Intramedullary nailing of clavicular midshaft fractures in adults using titanium elastic nail

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CHEN Qing-yv

2012-02-01

Full Text Available 【Abstract】 Objective: Studies showed elastic stable intramedullary nailing (ESIN of displaced midclavicular fractures has excellent outcomes, as well as high complication rates and specific problems. The aim was to discuss ESIN of midshaft clavicular fractures. Methods: Totally 60 eligible patients (aged 18-63 years were randomized to either ESIN group or non-operative group between January 2007 and May 2008. Clavicular shortening was measured after trauma and osseous consolidation. Radiographic union and complications were assessed. Function analysis including Constant shoulder scores and disabilities of the arm, shoulder and hand (DASH scores were performed after a 15-month follow-up. Results: ESIN led to a signifcantly shorter time to union, especially for simple fractures. In ESIN group, all patients got fracture union, of which 5 cases had medial skin irritation and 1 patient needed revision surgery because of implant failure. In the nonoperative group, there were 3 nonunion cases and 2 symptomatic malunions developed requiring corrective osteotomy. At 15 months after intramedullary stabilization, patients in the ESIN group were more satisfied with the appearance of the shoulder and overall outcome, and they benefited a lot from the great improvement of post-traumatic clavicular shortening. Furthermore, DASH scores were lower and Constant scores were significantly higher in contrast to the non-operative group. Conclusion: ESIN is a safe minimally invasive surgical technique with lower complication rate, faster return to daily activities, excellent cosmetic and better functional results, restoration of clavicular length for treating mid-shaft clavicular fractures, resulting in high overall satisfaction, which can be regard as an alternative to plate fixation or nonoperative treatment of mid-shaft clavicular fractures. Key words: Clavicle; Fracture fixation intramedu- llary; Outcome assessment

Comparison of Internal Fixations for Distal Clavicular Fractures Based on Loading Tests and Finite Element Analyses

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Rina Sakai

2014-01-01

Full Text Available It is difficult to apply strong and stable internal fixation to a fracture of the distal end of the clavicle because it is unstable, the distal clavicle fragment is small, and the fractured region is near the acromioclavicular joint. In this study, to identify a superior internal fixation method for unstable distal clavicular fracture, we compared three types of internal fixation (tension band wiring, scorpion, and LCP clavicle hook plate. Firstly, loading tests were performed, in which fixations were evaluated using bending stiffness and torsional stiffness as indices, followed by finite element analysis to evaluate fixability using the stress and strain as indices. The bending and torsional stiffness were significantly higher in the artificial clavicles fixed with the two types of plate than in that fixed by tension band wiring (P<0.05. No marked stress concentration on the clavicle was noted in the scorpion because the arm plate did not interfere with the acromioclavicular joint, suggesting that favorable shoulder joint function can be achieved. The stability of fixation with the LCP clavicle hook plate and the scorpion was similar, and plate fixations were stronger than fixation by tension band wiring.

Treatment of midshaft clavicular nonunion with plate fixation and autologous bone grafting

DEFF Research Database (Denmark)

Olsen, Bo Sanderhoff; Vaesel, M T; Søjbjerg, Jens Ole

1995-01-01

We studied the results of 16 consecutive midshaft clavicular nonunions operated on at the Shoulder and Elbow Clinic during the period from 1990 to 1993. All patients were treated with rigid 3.5 mm plate fixation and autologous cancellous bone grafting. Union of the fractures was achieved in all...... except one case, with a reconstruction ratio (restoration of bone length) of 0.96 (range 0.88 to 1.03). At follow-up 12 of 16 patients had returned to their preinjury activity level and according to the Constant score had obtained an excellent result. Two patients were graded as good, one as fair......, and one had a failure. Thirteen of 16 patients were satisfied with the cosmetic outcome, assessing their cosmetic result as either good or excellent. Rigid plate fixation and restoration of clavicular length with autologous cancellous bone graft is recommended for the treatment of symptomatic clavicular...

Modelling clavicular and scapular kinematics: from measurement to simulation

NARCIS (Netherlands)

bolsterlee, B.; Veeger, H.E.J.; van der Helm, F.C.T.

2014-01-01

Musculoskeletal models are intended to be used to assist in prevention and treatments of musculoskeletal disorders. To capture important aspects of shoulder dysfunction, realistic simulation of clavicular and scapular movements is crucial. The range of motion of these bones is dependent on thoracic,

Sterno-costo-clavicular hyperostosis

International Nuclear Information System (INIS)

Hallas, J.; Olesen, K.P.

1988-01-01

The clinical and radiologic findings in a case of sterno-costo-clavicular hyperostosis are reported and compared with the findings in the 23 Caucasian and about 300 Japanese cases reported in the literature. The main complaints are pain in the upper anterior chest wall and sometimes limited mobility of the shoulders. Radiologically, the clavicles, the sternum and the first ribs are grossly enlarged with complete fusion between them. As reported in previous cases, our patient had conspicuous congestion of the external jugular veins, but no other signs of compression in the thoracic inlet. There was asymptomatic compression of both subclavian veins, but none of the previously reported skin manifestations and no complaints from other parts of the locomotive system. The patient was HLA-B27 negative. (orig.)

Levator claviculae muscle presenting as a hard clavicular mass: imaging study

International Nuclear Information System (INIS)

Ruiz Santiago, F.; Lopez Milena, G.; Tristan Fernandez, J.M.; Chamorro Santos, C.

2001-01-01

We report a case of levator claviculae muscle presenting clinically as a hard mass in the clavicular area due to angular deformity of this bone. To our knowledge, this is the first report where the anomalous muscle shows this clinical presentation. (orig.)

[Intramedullary stabilisation of displaced midshaft clavicular fractures: does the fracture pattern (simple vs. complex) influence the anatomic and functional result].

Science.gov (United States)

Langenhan, R; Reimers, N; Probst, A

2014-12-01

Displaced midshaft clavicular fractures are often treated operatively. The most common way of treatment is plating. Elastic stable intramedullary nailing (ESIN) is an alternative, but seldom used. Studies showed comparable or even better results for intramedullary nailing than for plating in simple 2- or 3-fragment midshaft fractures. The indication of ESIN for multifragmentary clavicular fractures is discussed critically in the literature because of reduced primary stability and danger of secondary shortening. Until now only few studies report functional results after fracture healing depending on the fracture type. To the best of our knowledge there is no study showing significantly worse functional scores for ESIN in complex displaced midshaft fractures. The objective of this study was to examine anatomic and functional results of simple (2 or 3 fragments, OTA type 15B1 and 15B2) and complex (multifragmentary, OTA type 15B3) displaced midshaft clavicula fractures after internal fixation. Between 2009 and 2012, 40 patients (female/male 10/30; mean age 33 [16-60] years) with closed displaced midshaft clavicular fractures were treated by open reduction and ESIN (Titanium Elastic Nail [TEN], Synthes, Umkirch, Germany). Thirty-seven patients were retrospectively analysed after a mean of 27 (12-43) months. Twenty patients (group A) had simple fractures (OTA type 15B1 and 15B2), 17 patients (group B) had complex fractures (OTA type 15B3). All shoulder joints were postoperatively treated functionally for six weeks without weight limited to 90° abduction/flexion. Both groups were comparable in gender, age, body mass index, months until metal removal, number of physiotherapy sessions and time until follow-up examination. Joint function (neutral zero method) and strength (standing patient with arm in 90° abduction, holding 1-12 kg for 5 sec) in both shoulders were documented. The distance between the centre of the jugulum and the lateral acromial border was measured for

Validation of Navigation Ultrasound for Clavicular Length Measurement

DEFF Research Database (Denmark)

Høj, Anders Thorsmark; Villa, Chiara; Christensen, Ole M.

2017-01-01

interval): approximately ± 7.5 mm, Pearson's correlation R: 0.948-0.974). Navigation ultrasound can measure clavicular length with an intra-rater reliability matching that of 3-D rendered computed tomography scans and with high validity. Its use could spread to other fields requiring accurate...... of 52.5 (range: 21-78 y) were included. Navigation ultrasound exhibited high reliability (intra-class correlation coefficient: 0.942-0.997, standard error of the mean: 0.7-2.9 mm, minimal detectable change: 2.3-8.1 mm) and validity (measurement error: 1.3%-1.8%, limits of agreement (95% confidence...

Unstable drift eigenmode in slab geometry

International Nuclear Information System (INIS)

Tsotsonis, S.; Hirose, A.

1986-01-01

The unstable Pearlstein-Berk mode of drift waves in plane, sheared slab geometry has later been shown to be stable when electron Landau resonance is rigorously treated. Based on the variational method previously developed the authors have found that in addition to the absolutely stable Pearlstein-Berk mode, there exists an absolutely unstable eigenfunction characterized by ω ≤ ω/sub chemical bonde/, and weak ''radial'' dependence. Also, the growth rate, only weakly depends on the magnetic shear and ion/electron temperature ratio

Healing patterns of clavicular birth injuries as a guide to fracture dating in cases of possible infant abuse

International Nuclear Information System (INIS)

Walters, Michele M.; Forbes, Peter W.; Buonomo, Carlo; Kleinman, Paul K.

2014-01-01

Dating fractures is critical in cases of suspected infant abuse. There are little scientific data to guide radiologists, and dating is generally based on personal experience and conventional wisdom. Since birth-related clavicular fractures are not immobilized and their age is known, we propose that an assessment of these injuries may serve as a guide for dating inflicted fractures in young infants, acknowledging that patterns observed in the clavicle may not be entirely generalizable to other bones injured in the setting of abuse. One hundred thirty-one radiographs of presumed birth-related clavicular fractures in infants between 0 and 3 months of age were reviewed by two pediatric radiologists with 30 and 15 years' experience. Readers were asked to evaluate images based on several parameters of fracture healing, with a focus on subperiosteal new bone formation (SPNBF) and callus formation. SPNBF and callus were each evaluated with regard to presence, thickness and character. Responses were correlated with known fracture ages. SPNBF was rarely seen in fractures less than 7 days old and was most often present by 10 days. Callus formation was rarely seen in fractures less than 9 days old and was most often present by 15 days. SPNBF thickness increased with fracture age and the character of SPNBF evolved from single-layered to solid/multilayered. Callus thickness decreased with fracture age and callus matrix evolved from soft to intermediate to hard in character. There is an evolution in clavicular fracture healing in young infants that follows a predictable pattern. These findings afford the prospect that predictable patterns of infant clavicular fracture healing can provide an evidence base that may be applicable in cases of suspected infant abuse. (orig.)

Clavicular fracture following uvulectomy and traditional hair barbing: A case report

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Aliyu Ibrahim

2013-01-01

Full Text Available Activities of traditional barbers are an age-long practice in northern Nigerian. They are involved in conducting hair barbing and uvulectomy of newborn babies usually on the 7 th day of life. This procedure is often associated with complications like bleeding, infections, but its association with clavicular fracture is a rare event which had not been reported before now. Therefore, the case of a 10-day-old Nigerian girl is highlighted. She was managed conservatively with minimal handling of the involved limb.

Spinal kirschner wire migration after surgical treatment of clavicular fracture or acromioclavicular joint dislocation: Report of a case and meta-analysis

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Hermann Adonis N'da

2018-06-01

Full Text Available Kirschner wire is the most used device for clavicular and acromioclavicular joint dislocation fixation. Although wire migrations have been extensively reported, spinal migrations remain rare. Moreover, the mechanism of migration is still elusive. The aim of the present paper is to describe a single case of cervical spine migration of a K-wire followed by meta-analysis. Twelve cases of spinal K-wire have been reported in the last 20years, with less than 2 cases per year. Clavicular fixation was the main initial procedure with 66.67% of cases. The average time between surgery and migration was 25.5months. C7-T1 and T2-T3 were the prominent level of migration with each 33.33% of cases, where the migration was transversal in 72.73% of cases. The neural foramen was the most penetrating site of the K-wire in the spine (75% of cases. In all cases the wire was removed via direct access surgery by gentle pulling out along its axis under view control. The greater range of motion in the shoulder seems to be the main mechanism of all kinds of migrations. Keywords: Acromioclavicular joint dislocation, Clavicular fracture, Kirschner wire migration

Stable or unstable tear of the anterior cruciate ligament of the knee: an MR diagnosis?

Energy Technology Data Exchange (ETDEWEB)

Dyck, Pieter van; Gielen, Jan L.; Parizel, Paul M. [University Hospital Antwerp and University of Antwerp, Department of Radiology, Edegem (Belgium); Vanhoenacker, Filip M. [University Hospital Antwerp and University of Antwerp, Department of Radiology, Edegem (Belgium); AZ St-Maarten Duffel/Mechelen, Department of Radiology, Duffel (Belgium); Wouters, Kristien [University Hospital Antwerp and University of Antwerp, Department of Scientific Coordination and Biostatistics, Edegem (Belgium); Dossche, Lieven [University Hospital Antwerp and University of Antwerp, Department of Orthopedics, Edegem (Belgium)

2012-03-15

To determine the usefulness of magnetic resonance (MR) imaging to distinguish stable from unstable tears of the anterior cruciate ligament (ACL) of the knee. MR images of 97 patients with surgically confirmed ACL tear were retrospectively reviewed. According to arthroscopic and clinical examination, these patients had 36 stable and 61 unstable (9 partial and 52 complete) ACL tears. MR images were interpreted by two blinded reviewers and scored with respect to previously reported primary and secondary MR signs of ACL injury. Based on a comprehensive assessment of all the MR findings, ACLs were categorized as being stable or unstable. MR accuracy was calculated considering only primary MR signs and considering both primary and secondary MR signs of ACL injury, separately. Accuracy of each individual primary and secondary MR sign was calculated. Considering only primary MR signs, sensitivity, specificity, and accuracy of MR were 77, 92, and 82%, respectively. Considering both primary and secondary MR signs, sensitivity, specificity, and accuracy of MR were 59, 81, and 67%, respectively. Of all MR signs, discontinuity and abnormal orientation had highest test accuracy (79 and 87%, respectively). Anterior tibial translation, uncovering of the posterior horn of the lateral meniscus, and hyperbuckled PCL were only seen in unstable ACLs (specificity 100%), but these secondary findings had low sensitivity (23%). Bone contusion around the lateral knee compartment was seen in both unstable and stable ACLs (accuracy 64%). Previously reported MR imaging signs do not allow accurate distinction between clinically stable and unstable ACL injuries. Anterior tibial translation, uncovering of the posterior horn of the lateral meniscus, and hyperbuckled PCL, if present, are helpful signs in the diagnosis of an unstable tear. The presence of bone marrow edema around the lateral knee compartment is not predictive of ACL insufficiency. (orig.)

Lesión de la articulación acromio-clavicular en jugadores de rugby

OpenAIRE

Olaizola, Joaquín

2014-01-01

El rugby es un deporte de contacto que se realiza al aire libre en un campo de juego con una pelota. El objetivo del presente trabajo fue conocer la incidencia de la lesión en la articulación Acromio-Clavicular. Para ello deberemos conocer cuáles son los músculos de la articulación del hombro que participan en el gesto deportivo. Con los resultados obtenidos lograremos que estos deportistas sepan qué músculos deben fortalecer y mantener a través de actividades complementarias evitando futuras...

[The randomized controlled trial of the treatment for clavicular fracture by rotatory manual reduction with forceps holder and retrograde percutaneous pinning transfixation].

Science.gov (United States)

Bi, Hong-zheng; Yang, Mao-qing; Tan, Yuan-chao; Fu, Song

2008-07-01

To study the curative effect and safety of rotatory manual reduction with forceps holder and retrograde percutaneous pinning transfixation in treating clavicular fracture. All 201 cases of clavicular fractures were randomly divided into treatment group (101 cases) and control group (100 cases). The treatment group was treated by rotatory manual reduction with forceps holder and retrograde percutaneous pinning transfixation. The control group was treated by open reduction and internal fixation with Kirschner pin. All cases were followed up for 4 to 21 months (mean 10.6 months). SPSS was used to analyze clinic healing time of fracture and shoulder-joint function in both two groups. After operation, 101 cases of treatment group achieved union of fracture and the clinical healing time was 28 to 49 days (mean 34.5+/-2.7 days). In control group,there were 4 cases with nonunion of fracture,the other 96 cases were union,the clinical healing time was 36 to 92 days (mean 55.3+/-4.8 days). The excellent and good rate of shoulder-joint function was 100% in treatment group and 83% in control group. By t-test and chi2-test, there was significant difference between the two groups in curative effect (Pmanual reduction with forceps holder and retrograde pinning transfixation can be used in various kinds of clavicular shaft fracture, with many virtues such as easy operation, reliable fixation, short union time of fracture, good functional recovery of shoulder-joint and no incision scar affecting appearance.

[EFFECTIVENESS OF CLAVICULAR HOOK PLATE COMBINED WITH TRAPEZIUS MUSCLE FASCIA FOR RECONSTRUCTION OF ACROMIOCLAVICULAR AND CORACOCLAVICULAR LIGAMENTS TO TREAT COMPLETE ACROMIOCLAVICULAR JOINT DISLOCATION].

Science.gov (United States)

Wang, Chaoliang; Wang, Yingzhen; Zhu, Tao; Sun, Xuesheng; Lin, Chu; Gao, Bo; Li, Xinxia

2015-02-01

To explore the effectiveness of the clavicular hook plate combined with trapezius muscle fascia for reconstruction of acromioclavicular and coracoclavicular ligaments to treat acute complete acromioclavicular dislocations. Between January 2008 and April 2012, 66 patients with acromioclavicular dislocation were treated with the clavicular hook plate combined with trapezius muscle fascia for reconstruction of acromioclavicular and coracoclavicular ligaments in 32 cases (experimental group) and with the clavicular hook plate in 34 cases (control group). There was no significant difference in gender, age, injured side, the cause of injury, and the time from injury to operation between 2 groups (P > 0.05). Visual analogue scale (VAS), Constant shoulder scores, and coracoid clavi-cledistance (CC. Dist) were measured at preoperation and at 2 years after operation. Signal/noise quotiem (SNQ) was measured by MRI at 2 years after operation. The operation complications were observed. The patients of 2 groups obtained primary healing of incision. The morbidity of complication in experimental group (12.5%, 4/32) was significantly lower than that in control group (91.2%, 31/34) (Χ2 = 40.96, P = 0.00). All the cases were followed up 2.8 years on average (range, 2 to 4 years). VAS scores and CC.Dist significantly decreased at 2 years after operation when compared with preoperative values in the 2 groups (P acromioclavicular and coracoclavicular ligaments is successful in treating acute complete acromioclavicular dislocations, with the advantages of higher ligament healing, less complication, and early improvement of shoulder functions.

From stable to unstable anomaly-induced inflation

Science.gov (United States)

Netto, Tibério de Paula; Pelinson, Ana M.; Shapiro, Ilya L.; Starobinsky, Alexei A.

2016-10-01

Quantum effects derived through conformal anomaly lead to an inflationary model that can be either stable or unstable. The unstable version requires a large dimensionless coefficient of about 5× {10}^8 in front of the {R}^2 term that results in the inflationary regime in the R+{R}^2 ("Starobinsky") model being a generic intermediate attractor. In this case the non-local terms in the effective action are practically irrelevant, and there is a `graceful exit' to a low curvature matter-like dominated stage driven by high-frequency oscillations of R - scalarons, which later decay to pairs of all particles and antiparticles, with the amount of primordial scalar (density) perturbations required by observations. The stable version is a genuine generic attractor, so there is no exit from it. We discuss a possible transition from stable to unstable phases of inflation. It is shown that this transition is automatic if the sharp cut-off approximation is assumed for quantum corrections in the period of transition. Furthermore, we describe two different quantum mechanisms that may provide a required large {R}^2-term in the transition period.

From stable to unstable anomaly-induced inflation

Energy Technology Data Exchange (ETDEWEB)

Paula Netto, Tiberio de [Universidade Federal de Juiz de Fora, Departamento de Fisica, ICE, Juiz de Fora, MG (Brazil); Pelinson, Ana M. [Universidade Federal de Santa Catarina, Departamento de Fisica, CFM, Bairro da Trindade, Florianopolis, SC (Brazil); Shapiro, Ilya L. [Universidade Federal de Juiz de Fora, Departamento de Fisica, ICE, Juiz de Fora, MG (Brazil); Tomsk State Pedagogical University and Tomsk State University, Tomsk (Russian Federation); Starobinsky, Alexei A. [L.D. Landau Institute for Theoretical Physics RAS, Moscow (Russian Federation); Utrecht University, Department of Physics and Astronomy, Institute for Theoretical Physics, Utrecht (Netherlands)

2016-10-15

Quantum effects derived through conformal anomaly lead to an inflationary model that can be either stable or unstable. The unstable version requires a large dimensionless coefficient of about 5 x 10{sup 8} in front of the R{sup 2} term that results in the inflationary regime in the R+R{sup 2} (''Starobinsky'') model being a generic intermediate attractor. In this case the non-local terms in the effective action are practically irrelevant, and there is a 'graceful exit' to a low curvature matter-like dominated stage driven by high-frequency oscillations of R - scalarons, which later decay to pairs of all particles and antiparticles, with the amount of primordial scalar (density) perturbations required by observations. The stable version is a genuine generic attractor, so there is no exit from it. We discuss a possible transition from stable to unstable phases of inflation. It is shown that this transition is automatic if the sharp cut-off approximation is assumed for quantum corrections in the period of transition. Furthermore, we describe two different quantum mechanisms that may provide a required large R{sup 2}-term in the transition period. (orig.)

Anatomical reconstruction of unstable trochanteric fractures through posterior approach

Directory of Open Access Journals (Sweden)

Partha Saha

2015-01-01

Full Text Available Objective Unstable intertrochanteric fractures continue to be a challenge for orthopedic surgeons due to the functional limitations it results in the postoperative period. Anatomical reconstruction of the posteromedial fragment becomes difficult through conventional lateral approach, leading to excessive fracture collapse and limping. Materials and Methods: prospective, nonrandomized study was done with 40 patients. They were operated in prone position through posterior approach. Cancellous screws or SS-wires were used to fix the greater or lesser trochanteric fragments and dynamic hip screw (DHS or dynamic condylar screw (DCS for the main two fragments. Bone grafts were used to pack cavities at the posterior trochanteric regions. Results: Fracture healing occurred earlier compared to conventional lateral approach without excessive fracture collapse in majority of cases (average time to achieve union was 13.8 weeks; range: 10–18 weeks. Good functional recovery was noted with 75% 'Good' or 'Excellent' Harris Hip Scores at 24 weeks. Conclusion: Anatomical reconstruction of unstable trochanteric fractures becomes easier through posterior approach with earlier and better functional recovery.

MINIMALLY INVASIVE SINGLE-DOOR PLATE LAMINOPLASTY WITH LATERAL MASS SCREW FIXATION FOR THE UNSTABLE SEGMENT. REPORT OF TWO CASES WITH LONG FOLLOW-UP

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SERGIO SORIANO-SOLÍS

Full Text Available ABSTRACT Objective: To report two cases of multilevel cervical spondylotic myelopathy with monosegmental instability, in which we performed a minimally invasive microsurgical transmuscular approach with tubular retractors to create a single-door plate laminoplasty combined with fixation of the unstable segment with lateral mass screws. Methods: The surgical procedures were performed by the senior author. In both patients, the follow-up was performed using the Oswestry Disability Index (ODI, the Visual Analogue Scale for neck and radicular pain (radVAS, neckVAS, the Neck Disability Index (NDI and the Short Form 36 (SF-36, in the preoperative (preop and postoperative (postop periods, and at 1, 3, 6, 12, 18 and 24 months. A radiological evaluation also was performed, which included AP, lateral and flexion-extension films at 6, 12 and 24 months and CT-scan at 12 months. Results: Case 1 - preop ODI: 40%, 24 months postop ODI: 4%; preop radVAS: 7, 24 months radVAS: 0; preop neckVAS: 8, postop 24 months neckVAS: 0; preopNDI: 43%, 24 months PostopNDI: 8%; SF-36 - preop Physical Functioning (PF: 40, preop Vitality (VT: 40, preop Emotional role functioning (RE: 33.3, Bodily pain (BP: 51, General Health (GH: 57, Social Functioning (SF: 75; postop PF: 95, VT: 95, RE: 100, BP: 74, GH: 87, SF: 100. Case 2 - preopODI: 46%, 24 months postopODI: 10%; preop radVAS: 7, 24m radVAS: 0; preop neckVAS: 9, postop 24 months neckVAS: 0; preopNDI: 56%, 24 months PostopNDI: 15%; SF-36 - preop PF: 39, VT: 45, RE: 33.3, BP: 50, GH: 49, SF: 70; postop PF: 90, VT: 100, RE: 100, BP: 82, GH: 87, SF: 100. No complications, cervical instability or signs of failed surgery were found trough and at final follow-up at 24 months. We found significant clinical improvement in both patients. Conclusions: Minimally invasive cervical laminoplasty combined with lateral mass screw fixation for the unstable segment is a useful technique in cases with multilevel cervical spondylotic myelopathy

Significance of Tc-99m pyrophosphate accumulation in unstable angina

International Nuclear Information System (INIS)

Tange, Shoichi; Kondo, Chisato; Ohta, Yoshiko; Kusakabe, Kiyoko; Shigeta, Akiko; Uchida, Tatsuro; Sumiyoshi, Tetsuya; Kaneko, Noboru; Hosoda, Saichi

1993-01-01

Tc-99m pyrophosphate (PYP) and Tl-201 simultaneous dual energy single photon emission computed tomography (SPECT) were performed in 33 patients with clinically unstable angina. According to the presence or absence of PYP accumulation in the myocardium, the patients were classified as PYP (+) group (n=22) and PYP (-) group (n=11). Clinical features, types of unstable angina, ECG changes, and serial creatine kinase (CK) data were compared in the two groups. The 'new angina at rest' type of unstable angina was more significantly common in the PYP (+) group (16/22) than the PYP (-) group (2/11). The remaining 6 patients in the PYP (+) group and 2 patients in the PYP (-) group had 'angina of effort with changing pattern'. There was a significant difference in the occurrence of ST elevation and ST depression between the group: 59% in the PYP (+) group vs. 18% in the PYP (-) group for ST elevation and 23% in the PYP (+) group vs. 64% in the PYP (-) group for ST depression. The PYP (+) group showed significant improvement in ejection fraction in the stable state (57±12%) as compared with the unstable state (62±11%), although there was no difference between the stable and unstable state in the PYP (-) group. Although wall motion abnormality index (WMI) was poorer in the PYP (+) group than the PYP (-) group, it improved to the same degree as the PYP (-) group one month later. These data suggest that the area showing PYP (+) may reflect stunned myocardium and that Tc-99m PYP accumulation may correlate with clinical features of unstable angina. (N.K.)

Ankle proprioception is not targeted by exercises on an unstable surface

NARCIS (Netherlands)

Kiers, H.; Brumagne, S.; van Dieen, J.; Wees, P.J. van der; Vanhees, L.

2012-01-01

Laboratory study using a repeated measures design. The aim of this study was to determine if ankle proprioception is targeted in exercises on unstable surfaces. Lateral ankle sprain (LAS) has recurrence rates over 70%, which are believed to be due to a reduced accuracy of proprioceptive signals from

Operative versus nonoperative treatment of unstable lateral malleolar fractures: a randomized multicenter trial.

Science.gov (United States)

Sanders, David W; Tieszer, Christina; Corbett, Bradley

2012-03-01

To compare clinical and functional outcomes after operative and nonoperative treatment of undisplaced, unstable, isolated fibula fractures. Randomized multicenter clinical trial. Six level 1 trauma centers. Eighty-one patients with undisplaced, unstable, isolated fibula fractures as confirmed by an external rotation stress examination demonstrating an increase in medial clear space to 5 mm or greater were followed for 12 months after treatment. Forty-one patients were treated operatively by open reduction and internal fixation of the fibula. Forty patients underwent nonoperative treatment, which included the use of a short leg cast or brace and protected weight bearing for 6 weeks. Functional outcomes determined using the Olerud-Molander Ankle Score and the Short Form 36. Radiographic outcomes included measurement of union and displacement at each visit. There were no statistically significant differences in functional outcome scores or pace of recovery between the operative and nonoperative groups at any time interval (β = -0.28, 3.49; P = 0.936). Complications in the nonoperative group included 8 patients with a medial clear space ≥5 mm and 8 patients with delayed union or nonunion. In the operative group, 5 patients had a surgical site infection and 5 patients required hardware removal. Patients managed operatively had equivalent functional outcomes compared with nonoperative treatment; however, the risk of displacement and problems with union was substantially lower in patients managed with surgery.

Augmentation of proximal femoral nail in unstable trochanteric fractures

Directory of Open Access Journals (Sweden)

Gadegone Wasudeo M.

2017-01-01

Full Text Available Introduction: Biomechanically proximal femoral nail (PFN is a better choice of implant, still it is associated with screw breakage, cut out of screw through femoral head, Z effect, reverse Z effect, and lateral migration of screws. The purpose of this study is to evaluate the results of augmented PFN in terms of prevention of postoperative complications and failure rates in unstable trochanteric fractures. Material and methods: We carried out a prospective study of 82 cases with unstable trochanteric femoral fractures from April 2010 to December 2015. Forty-two females and 40 males in the age group between 58 and 81 years were included in this study. There were 45 cases of AO 31 A2 (2.2, 2.3 and 37 cases of AO 31 A3 (3.1, 3.2, 3.3. Fractures were fixed by PFN with augmentation by an additional screw from trochanter to inferior quadrant of femoral head or cerclage wire to strengthen the lateral trochanteric wall. Results: The bone healing is observed in all the cases in the mean period of 14.2 weeks. Nine patients developed complications, including lateral migration of neck screws (n = 5, Z effect (n = 1, infection (n = 2, and breakage of distal interlocking bolt in one case. Removal of screws was required in five cases. Patients were followed up for a mean of 8.4 months. At the end of follow-up the Salvati and Wilson hip function was 32 (out of 40 in 88% of patients. Conclusion: The stabilization of lateral trochanteric wall with additional screw or cerclage wire increases the stability of construct.

SPECT/CT imaging in bone scintigraphy of a case of clavicular osteoma

International Nuclear Information System (INIS)

Yamamoto, Yuka; Nishiyama, Yoshihiro

2014-01-01

Osteoma is a benign bone-forming tumor that usually arises in the craniofacial bones and rarely in the long bones. Clavicular involvement is extremely rare. We report a 51-year-old woman with osteoma of the left clavicle. Radiograph of the left shoulder showed a well-defined lobulated blastic mass in the proximal and mid-portion of the left clavicle. Bone scintigraphy was performed 4 hours after an intravenous injection of Tc-99m hydroxymethylene diphosphonate (HMDP). Whole-body image showed a focus of intensely increased uptake in the clavicle. Single photon emission computed tomography / computed tomography (SPECT/CT) images were also acquired and clearly showed intense uptake at the tumor site. Integrated SPECT/CT imaging supplies both functional and anatomic information about bone the SPECT imaging improves sensitivity compared with planar imaging, the CT imaging provides precise localization of the abnormal uptake, and information on the shape and structure of the abnormalities improves the specificity of the diagnosis

Results of operative fixation of unstable ankle fractures in geriatric patients.

Science.gov (United States)

Pagliaro, A J; Michelson, J D; Mizel, M S

2001-05-01

It is widely accepted that operative fixation of unstable ankle fractures yields predictably good outcomes in the general population. The current literature, however reports less acceptable results in the geriatric population age 65 years and older. The current study analyzes the outcome of the surgical treatment of unstable ankle fractures in patients at least 65 years old. Twenty three patient over 65 years old were surgically treated after sustaining 21 (91%) closed and 2 (9%) open grade II unstable ankle fractures. Fractures were classified according to the Danis-Weber and Lauge-Hansen schemes. Fracture type was predominantly Weber B (21/23, 91%), or supination external rotation stage IV (21/23, 91%). Fracture union rate was 100%. There were three significant complications including a lateral wound dehiscence with delayed fibular union in an open fracture dislocation, and two below knee amputations, neither of which was directly related to the fracture treatment. There were three minor complications; one superficial wound infection and two cases of prolonged incision drainage, all of which resolved without further surgical intervention. Complications were associated with open fractures and preexisting systemic disease. These results indicate that open reduction and internal fixation of unstable ankle fractures in geriatric patients is an efficacious treatment regime that with results that are comparable to the general population.

Comparison of the Tight Rope Technique and Clavicular Hook Plate for the Treatment of Rockwood Type III Acromioclavicular Joint Dislocation.

Science.gov (United States)

Cai, Leyi; Wang, Te; Lu, Di; Hu, Wei; Hong, Jianjun; Chen, Hua

2018-06-01

Acromioclavicular joint dislocation is one of the most common shoulder problems and may lead to instability or degenerative changes. The aim of this study was to compare the clinical outcomes of the Tight Rope system and clavicular hook plate for Rockwood type III acromioclavicular joint dislocation in adults. This was a prospective, randomized study in a hospital setting. From January 2012 to December 2014, 69 patients with type III injury were reviewed. Patients were randomly divided into two groups: Group A was treated using the TightRope system and Group B with the clavicular hook plate. All participants were followed up for 12 months. Clinical outcomes, radiological results and postoperative complications were recorded. The length of incision was significantly shorter in Goup A than that in Group B. The blood loss of surgery was significantly less in the Group A. Significant difference could be found between the two groups regarding the Visual Analogue Scale scores one day after surgery, at the 3 and 12 months follow-up. There were no differences according to the improvement of the Constant-Murley score and the coracoclavicular distance between the groups. The two groups have similar clinical and radiological outcomes. Both treatments could relieve the pain of dislocation, improve the function of Acromioclavicular joint and rectify the coracoclavicular distance measured in plain films. However, the TightRope system exhibited some advantages in terms of length of incision, blood loss of surgery, the pain postoperatively and no need for a second surgery.

A Biomechanical Analysis of Different Clavicular Tunnel Diameters in Anatomic Acromioclavicular Ligament Reconstruction.

Science.gov (United States)

Voss, Andreas; Beitzel, Knut; Alaee, Farhang; Dukas, Alex; Herbst, Elmar; Obopilwe, Elifho; Apostolakos, John; DiVenere, Jessica; Singh, Hardeep; Cote, Mark P; Mazzocca, Augustus D

2016-08-01

To evaluate the biomechanical stability of a tendon-to-clavicle bone interface fixation of a graft in revision acromioclavicular reconstruction. Fifteen fresh-frozen cadaveric shoulders were used. All specimens underwent bone density evaluation. For the primary reconstruction, a 5-mm semitendinosus allograft was inserted into a 5-mm bone tunnel at 25 and 45 mm from the lateral end of the clavicle using a 5.5 × 8-mm PEEK (polyether ether ketone) tenodesis screw. Each single graft was fixed in a cryo-clamp and cyclically loaded from 5 to 70 N for 3,000 cycles, followed by load-to-failure testing at a rate of 120 mm/min to simulate the revision case. To simulate tunnel widening, the tunnels of the revision series were over-drilled with an 8-mm drill, and a 5-mm semitendinosus graft with an 8 × 12-mm PEEK tenodesis screw was inserted. Biomechanical testing was then repeated. The bone mineral density analysis showed a significantly higher density at the 45-mm hole compared with the 25-mm hole (P = .001). The ultimate load to failure increased from the 5.5-mm screw to the 8-mm screw at the 45-mm hole position (P = .001). There was no statistically significant difference at the 25-mm hole position (P = .934). No statistical significance for graft elongation comparing the 5.5-mm screw and the 8-mm screw at the 25-mm (P = .156) and 45-mm (P = .334) positions could be found. Comparable biomechanical stability for the tendon-to-bone interface fixation in different clavicular tunnel diameters simulating primary and revision reconstruction was achieved. There is a lack of literature regarding revision acromioclavicular joint reconstruction, but our biomechanical results show comparable stability to primary reconstruction. These data provide support for the use of anatomic acromioclavicular ligament reconstruction in revision cases. Copyright © 2016 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

Brownian motion surviving in the unstable cubic potential and the role of Maxwell's demon

Science.gov (United States)

Ornigotti, Luca; Ryabov, Artem; Holubec, Viktor; Filip, Radim

2018-03-01

The trajectories of an overdamped particle in a highly unstable potential diverge so rapidly, that the variance of position grows much faster than its mean. A description of the dynamics by moments is therefore not informative. Instead, we propose and analyze local directly measurable characteristics, which overcome this limitation. We discuss the most probable particle position (position of the maximum of the probability density) and the local uncertainty in an unstable cubic potential, V (x ) ˜x3 , both in the transient regime and in the long-time limit. The maximum shifts against the acting force as a function of time and temperature. Simultaneously, the local uncertainty does not increase faster than the observable shift. In the long-time limit, the probability density naturally attains a quasistationary form. We interpret this process as a stabilization via the measurement-feedback mechanism, the Maxwell demon, which works as an entropy pump. The rules for measurement and feedback naturally arise from the basic properties of the unstable dynamics. All reported effects are inherent in any unstable system. Their detailed understanding will stimulate the development of stochastic engines and amplifiers and, later, their quantum counterparts.

Distal clavicular osteolysis in adults: association with bench pressing intensity

International Nuclear Information System (INIS)

Nevalainen, Mika T.; Morrison, William B.; Zoga, Adam C.; Roedl, Johannes B.; Ciccotti, Michael G.

2016-01-01

To investigate the association between distal clavicular osteolysis (DCO) and bench pressing intensity. From a retrospective review of MRI shoulder reports of individuals between 20 and 40 years of age, 262 male patients with DCO and 227 age-matched male patients without DCO were selected. All patients had completed a bench pressing questionnaire. The patients' bench pressing frequency (times per week), duration (years of bench pressing), bench pressing weight (maximum bench pressing weight with one repetition = 1RM) and the ratio of bench pressing weight to body weight were compared between both groups using Chi-square and Mann-Whitney tests. The results showed that 56 % (146/262) of patients with DCO were high-intensity bench pressers (1RM more than 1.5 times the body weight) compared to 6 % (14/227) in patients without DCO. High-intensity bench pressing was a risk factor for DCO (OR = 19; 95 %CI = 11-35; p 1 x /week) and duration (>5 years) of bench pressing were risk factors. In bench pressers who suffered from DCO, the mean 1RM was 283 lbs (±SD 57) compared to 209 lbs (±SD 60) in bench pressers not affected by DCO (p < 0.001, Mann-Whitney). High-intensity, but not low-intensity bench pressing is a risk factor for DCO. (orig.)

Systematic procedure for identifying the five main ossification stages of the medial clavicular epiphysis using computed tomography: a practical proposal for forensic age diagnostics.

Science.gov (United States)

Wittschieber, Daniel; Schulz, Ronald; Pfeiffer, Heidi; Schmeling, Andreas; Schmidt, Sven

2017-01-01

In forensic age estimations of living individuals, computed tomography of the clavicle is widely used for determining the age of majority. To this end, the degree of ossification of the medial clavicular epiphysis can be determined by means of two classification systems complementing each other: a 5-stage system and an additional 6-stage system that further sub-classifies the stages 2 and 3. In recent years, practical experience and new data revealed that difficulties and even wrong stage determinations may occur especially when following the short descriptions of the fundamental 5-stage system only. Based on current literature, this article provides a systematic procedure for identifying the five main ossification stages by listing important preconditions and presenting an algorithm that is comprised of four specific questions. Each question is accompanied by comprehensive and detailed descriptions which specify the criteria used for differentiation. The information is subdivided into "single-slice view" and "multi-slice view." In addition, illustrative case examples and schematic drawings facilitate application of the procedure in forensic practice. The pitfalls associated with the criteria of stage determination will be discussed in detail. Eventually, two general rules will be inferred to assign correct ossification stages of the medial clavicular epiphysis by means of computed tomography.

Output Error Method for Tiltrotor Unstable in Hover

Directory of Open Access Journals (Sweden)

Lichota Piotr

2017-03-01

Full Text Available This article investigates unstable tiltrotor in hover system identification from flight test data. The aircraft dynamics was described by a linear model defined in Body-Fixed-Coordinate System. Output Error Method was selected in order to obtain stability and control derivatives in lateral motion. For estimating model parameters both time and frequency domain formulations were applied. To improve the system identification performed in the time domain, a stabilization matrix was included for evaluating the states. In the end, estimates obtained from various Output Error Method formulations were compared in terms of parameters accuracy and time histories. Evaluations were performed in MATLAB R2009b environment.

Reliability of Schmeling's stages of ossification of medial clavicular epiphyses and its validity to assess 18 years of age in living subjects.

Science.gov (United States)

Cameriere, R; De Luca, S; De Angelis, D; Merelli, V; Giuliodori, A; Cingolani, M; Cattaneo, C; Ferrante, L

2012-11-01

Nowadays, due to the global increase in migration movements, forensic age estimation of living young adults has become an important focus of interest. Minors often have no identification documents providing their correct birth dates. Establishing the age of majority is therefore fundamental in order to determine whether juvenile penal systems or penal systems in force for adults are to be applied. Radiological examination of the clavicles is one of the methods recommended by the Study Group on Forensic Age Diagnostics. In this retrospective study, a sample of chest radiographs of 274 subjects, aged between 12 and 25 years, was studied according to Schmeling's method in order to examine the ossification of both medial clavicular epiphyses. All stage classifications were evaluated by five examiners. Intra- and inter-examiner reliability was analysed by Cohen's K statistic. Intra-examiner agreement was insufficient for two of the experts. Inter-examiner agreement, among the other three operators, was moderate (K = 0.509). Study of reliability highlighted difficulties in interpretation, the need to select qualified personnel and choice of the best radiographic image in order to reduce any anatomic overlaps. Although ossification of the medial clavicular epiphyses is recommended to assess whether an individual has already reached the age of majority or not, these results suggested that it is very difficult to clearly identify the five stages of ossification by using conventional chest radiography.

Unstable periodic orbits and chaotic economic growth

International Nuclear Information System (INIS)

Ishiyama, K.; Saiki, Y.

2005-01-01

We numerically find many unstable periodic solutions embedded in a chaotic attractor in a macroeconomic growth cycle model of two countries with different fiscal policies, and we focus on a special type of the unstable periodic solutions. It is confirmed that chaotic behavior represented by the model is qualitatively and quantitatively related to the unstable periodic solutions. We point out that the structure of a chaotic solution is dissolved into a class of finite unstable periodic solutions picked out among a large number of periodic solutions. In this context it is essential for the unstable periodic solutions to be embedded in the chaotic attractor

Balancing for Unstable Nonlinear Systems

NARCIS (Netherlands)

Scherpen, J.M.A.

1993-01-01

A previously obtained method of balancing for stable nonlinear systems is extended to unstable nonlinear systems. The similarity invariants obtained by the concept of LQG balancing for an unstable linear system can also be obtained by considering a past and future energy function of the system. By

Beneficial effect of nitrates on myocardial glucose utilization in unstable angina pectoris

International Nuclear Information System (INIS)

Araujo, L.I.; Camici, P.; Spinks, T.; Jones, T.; Maseri, A.

1987-01-01

Myocardial uptake of the glucose analog F-18-2-fluoro-2-deoxy-D-glucose (FDG) was assessed by positron emission tomography in 6 normal volunteers, 7 patients with chronic stable angina and 22 patients with unstable angina at rest in fasting conditions. Regional myocardial perfusion was assessed by rubidium-82. The study was repeated a few days later after intravenous infusion of isosorbide dinitrate. FDG uptake was similar in control subjects and patients with stable angina (0.023 +/- 0.032 vs 0.012 +/- 0.008 mol/ml/min, p less than 0.42) but was about 4-fold higher on the average in patients with unstable angina (0.084 +/- 0.047, p less than 0.01). The severity of coronary obstructions in stable and unstable angina patients was similar. The increased uptake involved the whole heart, including areas not distal to critically stenosed vessels; it was not associated with reduced myocardial perfusion and was not related to a recent episode of transient ischemia as assessed by symptoms and by Holter monitoring. After continuous infusion of nitrates, FDG uptake was consistently and significantly reduced toward normal levels both in areas perfused by critically stenosed coronary arteries and by noncritically stenosed vessels

The value of sub-stages and thin slices for the assessment of the medial clavicular epiphysis: a prospective multi-center CT study.

Science.gov (United States)

Wittschieber, Daniel; Schulz, Ronald; Vieth, Volker; Küppers, Martin; Bajanowski, Thomas; Ramsthaler, Frank; Püschel, Klaus; Pfeiffer, Heidi; Schmidt, Sven; Schmeling, Andreas

2014-06-01

The clavicle plays an important role for forensic age estimation in living individuals, particularly with regard to the age of majority. The present prospective study aims to evaluate the age-dependent ossification process of the medial clavicular epiphysis in order to establish the clavicular sub-stages introduced in 2010 as well as the advantages and possibilities of thin-slice computed tomography (CT). For this purpose, 0.6 mm thin-slice CT scans of sternoclavicular joints of 572 bodies aged between 10 and 40 years were evaluated by means of two complementary classification systems: a five-stage system and a sub-staging system for the main stages 2 and 3. Assessment was possible in 493 cases. The results for stages 4 and 5 are in line with previous studies that found the ages of 21 years and 26 years, respectively, as minimum ages for these stages. Sub-stage 3c was first found at the age of 19 years in both sexes, thereby corroborating the value of this sub-stage as to statements about the age of majority. In comparison to other CT studies, stage 3a was first observed ~1 year earlier (16.4 years in males and 15.5 years in females). Stage 2c only occurred in 3 cases. In conclusion, the data corroborate the significance of diagnosing sub-stages as well as the value of thin-slice CT. For forensic practice, the concomitant and complementary use of both classification systems applied in this study can be recommended.

Cosmology and unstable nuclei

International Nuclear Information System (INIS)

Schramm, D.N.

1995-01-01

Primordial nucleosynthesis has established itself as one of the three pillars of Big Bang cosmology. Many of the Big Bang Nucleosynthesis reactions involve unstable nuclei. Hence there is a tight relationship hetween the subject of this conference and cosmology. The prime role of unstable nuclei in cosmology is related to lithium synthesis and the lack of cosmological synthesis of Be and B. These nuclei will thus be focused upon. Nucleosynthesis involves comparing calculated abundances with observed abundances. In general, abundance determinations are dominated by systematic rather than statistical errors, and work on bounding systematics is crucial. The quark-hadron inspired inhomogeneous calculations now unanimously agree that only relatively small variations in Ω b are possible vis-a-vis the homogeneous model; hence the robustness of Ω b ∼0.05 is now apparent. (These calculations depend critically on unstable nuclei.) The above argues that the bulk of the baryons in the universe are not producing visible light. A comparison with the ROSAT cluster data is also shown to be consistent with the standard BBN model. Ω b ∼1 seems to be definitely excluded, so if Ω TOTAL =1, as some recent observations may hint, then non-baryonic dark matter is required. The implications of the recently reported halo microlensing events are discussed. In summary, it is argued that the physics of unstable nuclei affects the fundamental dark matter argument. ((orig.))

Distal clavicular osteolysis in adults: association with bench pressing intensity

Energy Technology Data Exchange (ETDEWEB)

Nevalainen, Mika T.; Morrison, William B.; Zoga, Adam C.; Roedl, Johannes B. [Sidney Kimmel Medical College at Thomas Jefferson University, Division of Musculoskeletal Imaging and Interventions, Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, PA (United States); Ciccotti, Michael G. [Sidney Kimmel Medical College at Thomas Jefferson University, Division of Sports Medicine, Department of Orthopedic Surgery, Thomas Jefferson University Hospital, Rothman Institute, Philadelphia, PA (United States)

2016-11-15

To investigate the association between distal clavicular osteolysis (DCO) and bench pressing intensity. From a retrospective review of MRI shoulder reports of individuals between 20 and 40 years of age, 262 male patients with DCO and 227 age-matched male patients without DCO were selected. All patients had completed a bench pressing questionnaire. The patients' bench pressing frequency (times per week), duration (years of bench pressing), bench pressing weight (maximum bench pressing weight with one repetition = 1RM) and the ratio of bench pressing weight to body weight were compared between both groups using Chi-square and Mann-Whitney tests. The results showed that 56 % (146/262) of patients with DCO were high-intensity bench pressers (1RM more than 1.5 times the body weight) compared to 6 % (14/227) in patients without DCO. High-intensity bench pressing was a risk factor for DCO (OR = 19; 95 %CI = 11-35; p < 0.001). Low-intensity bench pressing (1RM less than 1.5 times the body weight) was not a risk factor for DCO (OR = 0.6; 95 % CI = 0.4-0.8). High frequency (>1 x /week) and duration (>5 years) of bench pressing were risk factors. In bench pressers who suffered from DCO, the mean 1RM was 283 lbs (±SD 57) compared to 209 lbs (±SD 60) in bench pressers not affected by DCO (p < 0.001, Mann-Whitney). High-intensity, but not low-intensity bench pressing is a risk factor for DCO. (orig.)

Manual control of unstable systems

Science.gov (United States)

Allen, R. W.; Hogue, J. R.; Parseghian, Z.

1986-01-01

Under certain operational regimes and failure modes, air and ground vehicles can present the human operator with a dynamically unstable or divergent control task. Research conducted over the last two decades has explored the ability of the human operator to control unstable systems under a variety of circumstances. Past research is reviewed and human operator control capabilities are summarized. A current example of automobile directional control under rear brake lockup conditions is also reviewed. A control system model analysis of the driver's steering control task is summarized, based on a generic driver/vehicle model presented at last year's Annual Manual. Results from closed course braking tests are presented that confirm the difficulty the average driver has in controlling the unstable directional dynamics arising from rear wheel lockup.

Conventional radiation-biological dosimetry using frequencies of unstable chromosome aberrations

International Nuclear Information System (INIS)

Ramalho, Adriana T.; Costa, Maria Lucia P.; Oliveira, Monica S.

1998-01-01

Frequency of chromosome aberrations detected by conventional cytogenetics is a very useful parameter in biological radiodosimetry. It can be used for estimating absorbed doses in individuals working with radioactive sources and individuals accidentally exposed to radiation. In the first case subjects wear physical dosimeters as a routine safety habit. The laboratory at the Institute of Radioprotection and Dosimetry (IRD, Brazil) has been using conventional cytogenetic analysis to complement data obtained by physical dosimetry since 1983. Until now, more than one hundred cases were investigated where individual physical dosimeters detected occupational exposure (above the safety limits allowed). In total, only 34% of these cases were confirmed by conventional cytogenetic dosimetry. Also, conventional cytogenetic analysis following the radiation accident of Goiania (Brazil) in 1987 have been used. Peripheral lymphocytes from 129 exposed or potentially exposed individuals were analyzed for the frequencies of unstable chromosomal aberrations (dicentrics, centric rings and acentrics fragments) to estimate absorbed radiation doses. During the emergency period, doses were estimated to help immediate medical treatment using in vitro calibration curves produced before the accident. Later on, doses were assessed once more using new in vitro calibration curves. A drawback of this technique is that unstable aberrations are lost after exposure. To investigate the mean lifespan of lymphocytes containing dicentric and ring aberrations, we have followed 15 victims of the Goiania accident over all these years. Results suggest that the disappearance of unstable aberrations is dose-dependent. This could explain the variation in the results found among studies in this field

Conventional radiation-biological dosimetry using frequencies of unstable chromosome aberrations

Energy Technology Data Exchange (ETDEWEB)

Ramalho, Adriana T.; Costa, Maria Lucia P.; Oliveira, Monica S. [Institute of Radioprotection and Dosimetry (IRD), National Commission of Nuclear Energy (CNEN), Av. Salvador Allende, Cx. P. 37750, Rio de Janeiro 22.780-160 (Brazil)

1998-08-03

Frequency of chromosome aberrations detected by conventional cytogenetics is a very useful parameter in biological radiodosimetry. It can be used for estimating absorbed doses in individuals working with radioactive sources and individuals accidentally exposed to radiation. In the first case subjects wear physical dosimeters as a routine safety habit. The laboratory at the Institute of Radioprotection and Dosimetry (IRD, Brazil) has been using conventional cytogenetic analysis to complement data obtained by physical dosimetry since 1983. Until now, more than one hundred cases were investigated where individual physical dosimeters detected occupational exposure (above the safety limits allowed). In total, only 34% of these cases were confirmed by conventional cytogenetic dosimetry. Also, conventional cytogenetic analysis following the radiation accident of Goiania (Brazil) in 1987 have been used. Peripheral lymphocytes from 129 exposed or potentially exposed individuals were analyzed for the frequencies of unstable chromosomal aberrations (dicentrics, centric rings and acentrics fragments) to estimate absorbed radiation doses. During the emergency period, doses were estimated to help immediate medical treatment using in vitro calibration curves produced before the accident. Later on, doses were assessed once more using new in vitro calibration curves. A drawback of this technique is that unstable aberrations are lost after exposure. To investigate the mean lifespan of lymphocytes containing dicentric and ring aberrations, we have followed 15 victims of the Goiania accident over all these years. Results suggest that the disappearance of unstable aberrations is dose-dependent. This could explain the variation in the results found among studies in this field

A comparison of locked versus nonlocked Enders rods for length unstable pediatric femoral shaft fractures.

Science.gov (United States)

Ellis, Henry Bone; Ho, Christine A; Podeszwa, David A; Wilson, Philip L

2011-12-01

Stainless steel flexible Enders rods have been used for intramedullary fixation of pediatric femur fractures with good success. Despite intraoperative anatomic alignment, length unstable femur fractures can present postoperatively with fracture shortening. The purpose of this study was to review all length unstable pediatric femoral shaft fractures in which Enders rods were used and compare those that were locked to those that were not locked. A retrospective clinical and radiographic review of all patients at a single institution undergoing flexible intramedullary fixation for length unstable femoral shaft fractures from 2001 to 2008. A length unstable fracture was defined as either a comminuted fracture or a spiral fracture longer than twice the diameter of the femoral shaft. A total of 107 length unstable femoral shaft fractures fixed with Enders rods were identified, of which 37 cases (35%) had both Enders rods "locked" through the eyelet in the distal femur with a 2.7 mm fully threaded cortical screw. Patient demographics, clinical course, complications, fracture characteristics, and radiographic outcomes were compared for the locked and nonlocked groups. There were no statistical differences between the groups in demographic data, operative variables, fracture pattern, fracture location, time to union, femoral alignment, or major complications. Shortening of the femur and nail migration measured at 1 to 6 weeks postoperatively was significantly greater for the nonlocked cases. The medial and lateral locked Enders rods moved 1.3 and 1.9 mm, respectively, and the unlocked Enders each moved 12.1 mm (P < 0.05). At final follow-up there were significantly more (P < 0.05) clinical complaints in nonlocked group, including limp, clinical shortening, and painful palpable rods. Locking Enders rods for length unstable pediatric fractures is an excellent option to prevent shortening and resulted in no additional complications, added surgical time, or increased blood loss

Two dimensional unstable scar statistics.

Energy Technology Data Exchange (ETDEWEB)

Warne, Larry Kevin; Jorgenson, Roy Eberhardt; Kotulski, Joseph Daniel; Lee, Kelvin S. H. (ITT Industries/AES Los Angeles, CA)

2006-12-01

This report examines the localization of time harmonic high frequency modal fields in two dimensional cavities along periodic paths between opposing sides of the cavity. The cases where these orbits lead to unstable localized modes are known as scars. This paper examines the enhancements for these unstable orbits when the opposing mirrors are both convex and concave. In the latter case the construction includes the treatment of interior foci.

[Distal clavicle fracture].

Science.gov (United States)

Seppel, G; Lenich, A; Imhoff, A B

2014-06-01

Reposition and fixation of unstable distal clavicle fractures with a low profile locking plate (Acumed, Hempshire, UK) in conjunction with a button/suture augmentation cerclage (DogBone/FibreTape, Arthrex, Naples, FL, USA). Unstable fractures of the distal clavicle (Jäger and Breitner IIA) in adults. Unstable fractures of the distal clavicle (Jäger and Breitner IV) in children. Distal clavicle fractures (Jäger and Breitner I, IIB or III) with marked dislocation, injury of nerves and vessels, or high functional demand. Patients in poor general condition. Fractures of the distal clavicle (Jäger and Breitner I, IIB or III) without marked dislocation or vertical instability. Local soft-tissue infection. Combination procedure: Initially the lateral part of the clavicle is exposed by a 4 cm skin incision. After reduction of the fracture, stabilization is performed with a low profile locking distal clavicle plate. Using a special guiding device, a transclavicular-transcoracoidal hole is drilled under arthroscopic view. Additional vertical stabilization is arthroscopically achieved by shuttling the DogBone/FibreTape cerclage from the lateral portal cranially through the clavicular plate. The two ends of the FibreTape cerclage are brought cranially via adjacent holes of the locking plate while the DogBone button is placed under the coracoid process. Thus, plate bridging is achieved. Finally reduction is performed and the cerclage is secured by surgical knotting. Use of an arm sling for 6 weeks. Due to the fact that the described technique is a relatively new procedure, long-term results are lacking. In the short term, patients postoperatively report high subjective satisfaction without persistent pain.

Natriuretic peptides in unstable coronary artery disease.

Science.gov (United States)

Jernberg, Tomas; James, Stefan; Lindahl, Bertil; Johnston, Nina; Stridsberg, Mats; Venge, Per; Wallentin, Lars

2004-09-01

Patients with unstable coronary artery disease (CAD), i.e., unstable angina or non-ST-elevation myocardial infarction, vary widely in clinical presentation, prognosis and response to treatment. To select appropriate therapy, early risk stratification has become increasingly important. This review focuses on the emerging role of natriuretic peptides in the early assessment of patients with unstable CAD. We conclude that levels of brain natriuretic peptide (BNP) and N-terminal pro-brain natriuretic peptide (NT-proBNP) are strongly associated to mortality and the risk of future congestive heart failure, and carry important prognostic information independent from previously known risk factors in unstable CAD. There are some data indicating that these markers can also be helpful in the selection of appropriate therapy in these patients but further studies are needed. Before a routine use of BNP or NT-proBNP in unstable CAD can be recommended, the cost-effectiveness of adding these new markers to the currently routine markers and their impact on selection of treatment needs further evaluation. Copyright 2004 Elsevier Ltd

Crisis-induced unstable dimension variability in a dynamical system

International Nuclear Information System (INIS)

Kubo, Geraldo T.; Viana, Ricardo L.; Lopes, Sergio R.; Grebogi, Celso

2008-01-01

Unstable dimension variability is an extreme form of non-hyperbolic behavior in chaotic systems whose attractors have periodic orbits with a different number of unstable directions. We propose a new mechanism for the onset of unstable dimension variability based on an interior crisis, or a collision between a chaotic attractor and an unstable periodic orbit. We give a physical example by considering a high-dimensional dissipative physical system driven by impulsive periodic forcing

Study protocol: the effect of whole body vibration on acute unilateral unstable lateral ankle sprain- a biphasic randomized controlled trial.

Science.gov (United States)

Baumbach, Sebastian Felix; Fasser, Mariette; Polzer, Hans; Sieb, Michael; Regauer, Markus; Mutschler, Wolf; Schieker, Matthias; Blauth, Michael

2013-01-14

Ankle sprains often result in ankle instability, which is most likely caused by damage to passive structures and neuromuscular impairment. Whole body vibration (WBV) is a neuromuscular training method improving those impaired neurologic parameters. The aim of this study is to compare the current gold standard functional treatment to functional treatment plus WBV in patients with acute unilateral unstable inversion ankle sprains. 60 patients, aged 18-40 years, presenting with an isolated, unilateral, acute unstable inversion ankle sprain will be included in this bicentric, biphasic, randomized controlled trial. Samples will be randomized by envelope drawing. All patients will be allowed early mobilization and pain-dependent weight bearing, limited functional immobilization by orthosis, PRICE, NSARDs as well as home and supervised physiotherapy. Supervised physical therapy will take place twice a week, for 30 minutes for a period of 6 weeks, following a standardized intervention protocol. During supervised physical therapy, the intervention group will perform exercises similar to those of the control group, on a side-alternating sinusoidal vibration platform. Two time-dependent primary outcome parameters will be assessed: short-term outcome after six weeks will be postural control quantified by the sway index; mid-term outcome after one year will be assessed by subjective instability, defined by the presence of giving-way attacks. Secondary outcome parameters include: return to pre-injury level of activities, residual pain, recurrence, objective instability, energy/coordination, Foot and Ankle Disability Index and EQ 5D. This is the first trial investigating the effects of WBV in patients with acute soft tissue injury. Inversion ankle sprains often result in ankle instability, which is most likely due to damage of neurological structures. Due to its unique, frequency dependent, influence on various neuromuscular parameters, WBV is a promising treatment method for

Electromagnetic Radiation Originating from Unstable Electron Oscillations

DEFF Research Database (Denmark)

Juul Rasmussen, Jens; Pécseli, Hans

1975-01-01

Electromagnetic oscillations in the range 300 – 700 MHz were observed from an unmagnetized argon discharge with an unstable electron velocity distribution function.......Electromagnetic oscillations in the range 300 – 700 MHz were observed from an unmagnetized argon discharge with an unstable electron velocity distribution function....

Pole mass, width, and propagators of unstable fermions

International Nuclear Information System (INIS)

Kniehl, B.A.; Sirlin, A.

2008-01-01

The concepts of pole mass and width are extended to unstable fermions in the general framework of parity-nonconserving gauge theories, such as the Standard Model. In contrast with the conventional on-shell definitions, these concepts are gauge independent and avoid severe unphysical singularities, properties of great importance since most fundamental fermions in nature are unstable particles. General expressions for the unrenormalized and renormalized dressed propagators of unstable fermions and their field-renormalization constants are presented. (orig.)

The Fate of Unstable Circumbinary Planets

Science.gov (United States)

Kohler, Susanna

2016-03-01

What happens to Tattooine-like planets that are instead in unstable orbits around their binary star system? A new study examines whether such planets will crash into a host star, get ejected from the system, or become captured into orbit around one of their hosts.Orbit Around a DuoAt this point we have unambiguously detected multiple circumbinary planets, raising questions about these planets formation and evolution. Current models suggest that it is unlikely that circumbinary planets would be able to form in the perturbed environment close their host stars. Instead, its thought that the planets formed at a distance and then migrated inwards.One danger such planets face when migrating is encountering ranges of radii where their orbits become unstable. Two scientists at the University of Chicago, Adam Sutherland and Daniel Fabrycky, have studied what happens when circumbinary planets migrate into such a region and develop unstable orbits.Producing Rogue PlanetsTime for planets to either be ejected or collide with one of the two stars, as a function of the planets starting distance (in AU) from the binary barycenter. Colors represent different planetary eccentricities. [Sutherland Fabrycky 2016]Sutherland and Fabrycky used N-body simulations to determine the fates of planets orbiting around a star system consisting of two stars a primary like our Sun and a secondary roughly a tenth of its size that are separated by 1 AU.The authors find that the most common fate for a circumbinary planet with an unstable orbit is ejection from the system; over 80% of unstable planets were ejected. This has interesting implications: if the formation of circumbinary planets is common, this mechanism could be filling the Milky Way with a population of free-floating, rogue planets that no longer are associated with their host star.The next most common outcome for unstable planets is collision with one of their host stars (most often the secondary), resulting inaccretion of the planet

On the Velocity of Moving Relativistic Unstable Quantum Systems

Directory of Open Access Journals (Sweden)

K. Urbanowski

2015-01-01

Full Text Available We study properties of moving relativistic quantum unstable systems. We show that in contrast to the properties of classical particles and quantum stable objects the velocity of freely moving relativistic quantum unstable systems cannot be constant in time. We show that this new quantum effect results from the fundamental principles of the quantum theory and physics: it is a consequence of the principle of conservation of energy and of the fact that the mass of the quantum unstable system is not defined. This effect can affect the form of the decay law of moving relativistic quantum unstable systems.

Study protocol: the effect of whole body vibration on acute unilateral unstable lateral ankle sprain- a biphasic randomized controlled trial

Directory of Open Access Journals (Sweden)

Baumbach Sebastian Felix

2013-01-01

Full Text Available Abstract Background Ankle sprains often result in ankle instability, which is most likely caused by damage to passive structures and neuromuscular impairment. Whole body vibration (WBV is a neuromuscular training method improving those impaired neurologic parameters. The aim of this study is to compare the current gold standard functional treatment to functional treatment plus WBV in patients with acute unilateral unstable inversion ankle sprains. Methods/Design 60 patients, aged 18–40 years, presenting with an isolated, unilateral, acute unstable inversion ankle sprain will be included in this bicentric, biphasic, randomized controlled trial. Samples will be randomized by envelope drawing. All patients will be allowed early mobilization and pain-dependent weight bearing, limited functional immobilization by orthosis, PRICE, NSARDs as well as home and supervised physiotherapy. Supervised physical therapy will take place twice a week, for 30 minutes for a period of 6 weeks, following a standardized intervention protocol. During supervised physical therapy, the intervention group will perform exercises similar to those of the control group, on a side-alternating sinusoidal vibration platform. Two time-dependent primary outcome parameters will be assessed: short-term outcome after six weeks will be postural control quantified by the sway index; mid-term outcome after one year will be assessed by subjective instability, defined by the presence of giving-way attacks. Secondary outcome parameters include: return to pre-injury level of activities, residual pain, recurrence, objective instability, energy/coordination, Foot and Ankle Disability Index and EQ 5D. Discussion This is the first trial investigating the effects of WBV in patients with acute soft tissue injury. Inversion ankle sprains often result in ankle instability, which is most likely due to damage of neurological structures. Due to its unique, frequency dependent, influence on various

Restrictions in the realisation of multipass unstable resonators

International Nuclear Information System (INIS)

Strakhov, S Yu

2009-01-01

Main restrictions in the realisation of multipass unstable resonators caused by intracavity losses and large-scale aberrations are considered. The influence of intracavity losses on the laser radiation power and divergence is analysed based on the numerical simulation of an unstable resonator. The efficiency criterion for the unstable multipass resonator is proposed, which is proportional to the radiation brightness and takes into account the influence of the misalignment, thermal deformation and the main parameters of the active medium and resonator on the parameters of laser radiation. (resonators)

Unstable slope management program.

Science.gov (United States)

2009-08-01

This Rapid Response Project gathered information on existing unstable slope management programs, with a : focus on asset management practices in the United States and overseas. On the basis of this study, the research : team summarized and recommende...

Unstable oscillators based hyperchaotic circuit

DEFF Research Database (Denmark)

Murali, K.; Tamasevicius, A.; G. Mykolaitis, A.

1999-01-01

A simple 4th order hyperchaotic circuit with unstable oscillators is described. The circuit contains two negative impedance converters, two inductors, two capacitors, a linear resistor and a diode. The Lyapunov exponents are presented to confirm hyperchaotic nature of the oscillations in the circ...... in the circuit. The performance of the circuit is investigated by means of numerical integration of appropriate differential equations, PSPICE simulations, and hardware experiment.......A simple 4th order hyperchaotic circuit with unstable oscillators is described. The circuit contains two negative impedance converters, two inductors, two capacitors, a linear resistor and a diode. The Lyapunov exponents are presented to confirm hyperchaotic nature of the oscillations...

[Treatment aspects of unstable angina. Costs and payments for DRG].

Science.gov (United States)

Brunelli, C; Spallarossa, P; Pasdera, A; Bezante, G P; Zorzet, F; Rossettin, P

1998-01-01

Patients with unstable angina fall into a wide prognostic and therapeutic spectrum but, in general, have great access to specialty care and invasive procedures. In the modern era, in which admissions for unstable angina outnumber those for myocardial infarction, and growing economic pressures are placed on health care systems, cardiologists must re-examine clinical strategies for treating unstable angina in the light of health-cost accounting. The aims of the present study were to examine the current management of patients admitted to our cardiology department and to calculate the medical costs. A patient schedule was drawn up to prospectively register the number and type of cardiac processes carried out during hospitalization for all unstable angina patients in the period between March 1st and May 30th, 1995. Time (minutes) actually spent by both physicians and nurses for each cardiac process were carefully recorded in order to calculate the activity budget. The effective economic budget was built for each cardiac process taking into account salaries, consumable supplies, equipment service contracts, depreciation and indirect medical and non medical costs for CCU and ward. Based to the Diagnosis Related Groups (DRG) system, 53 out of 318 patients (16%) were admitted with documented or suspected unstable angina and allocated to discharge into four DRGs: DRG 140-medically treated unstable angina: 18 patients; DRG 124-unstable angina with angiography: 16 patients; DRG 122-unstable angina evolving in myocardial infarction: 6 patients; DRG 112-unstable angina with angioplasty: 13 patients. The mean cost for hospitalized patient with unstable angina was 5,574,958 Italian Liras (DRG 140 = 2,687,719; DRG 124 = 2,800,347; DRG 122 = 6,086,563; DRG 112 = 12,751,454). The difference in costs was essentially related to the procedures involved in medical care, DRGs with expensive cardiac processes having higher costs. Furthermore, these data show a deep discrepancy between

Structure of Clavicle In Relation to Weight Transmission

Science.gov (United States)

Routatal, Rohini V

2015-01-01

Aims and Objectives It is a known fact that weight of upper limb is transmitted to the axial skeleton through clavicle. The present study is an attempt to correlate pattern of compact and trabecular bone of clavicle as a weight transmitting bone. Materials and Methods Sixty clavicles were studied from right and left sides of 30 cadavers donated to the Anatomy department, Pramukhswami Medical College, Karamsad, India. The study was focused on the thickness of compact bone of clavicle and trabecular pattern of this bone. Results Cancellous bone: Cancellous bone near both ends of clavicle presented meshwork of thin bony plates. Between the conoid tubercle and area for attachment of costo-clavicular ligament, cancellous bone showed a definite pattern. Thickness of compact bone The compact bone was thicker between conoid tubercle and area for attachment of costo-clavicular ligament. At midshaft point thickness of compact bone was maximum. Conclusion The structure of clavicle between conoid tubercle and area for costoclavicular ligament showed thick compact bone and definite pattern of cancellous bone. This structure of clavicle between conoid tubercle and area for attachment of costo-clavicular ligament transmits weight from lateral to medial direction and this knowledge of clavicular structure will also be useful to orthopedic surgeons to deal with clavicular fractures and other abnormalities. PMID:26393112

Pitfalls in MR morphology of the sterno-costo-clavicular region using whole-body MRI

International Nuclear Information System (INIS)

Jurik, A.G.; Zejden, A.; Lambert, R.G.W.; Rufibach, K.; Hodler, J.; Maksymowych, W.P.; Duewell, S.; Kissling, R.O.; Weber, U.

2013-01-01

Aim: To analyse the imaging findings at the sterno-costo-clavicular (SCC) joint region using whole-body (WB) magnetic resonance imaging (MRI) in healthy individuals to minimize misinterpretation as changes due to spondyloarthritis (SpA). Materials and methods: As part of a cross-sectional study of 122 SpA patients, 75 healthy individuals (42/33 males/females; median age 30.3 years; range 17.7–63.8 years) were scanned using sagittal and coronal WB short tau inversion recovery (STIR) and T1-weighted MRI sequences. The SCC region was analysed independently by seven readers for bone marrow oedema (BMO), erosions, subchondral fat signal intensity (FSI), and joint fluid accumulation. Results: SCC changes simulating inflammation were reported by four or more of the seven readers in 15 (20%) healthy individuals (12 male/three female; median age 32.1 years; range 20.2–48 years). Thirteen individuals (17%) had changes at the manubriosternal joint (MSJ); five had BMO, one BMO + erosion, four erosion, two erosion + FSI, and one FSI only. Changes at the sternoclavicular joint occurred in three individuals (4%) encompassing erosion, erosion + FSI + BMO, and joint fluid accumulation, respectively. One patient had both MSJ and sternoclavicular joint changes. Conclusions: Findings mimicking inflammatory changes occurred in healthy individuals, particularly in the MSJ. Awareness of this is important in recognition of SCC inflammation in SpA

Pre-failure behaviour of an unstable limestone cliff from displacement and seismic data

Directory of Open Access Journals (Sweden)

J.-L. Got

2010-04-01

Full Text Available We monitored the displacement and seismic activity of an unstable vertical rock slice in a natural limestone cliff of the southeast Vercors massif, southeast France, during the months preceding its collapse. Displacement measurements showed an average acceleration of the movement of its top, with clear increases in the displacement velocity and in the discrete seismic event production rate during periods where temperature falls, with more activity when rainfall or frost occurs. Crises of discrete seismic events produce high amplitudes in periodograms, but do not change the high frequency base noise level rate. We infer that these crises express the critical crack growth induced by water weakening (from water vapor condensation or rain of the rock strength rather than to a rapid change in applied stresses. Seismic noise analysis showed a steady increase in the high frequency base noise level and the emergence of spectral modes in the signal recorded by the sensor installed on the unstable rock slice during the weeks preceding the collapse. High frequency seismic noise base level seems to represent subcritical crack growth. It is a smooth and robust parameter whose variations are related to generalized changes in the rupture process. Drop of the seismic noise amplitude was concomitant with the emergence of spectral modes – that are compatible with high-order eigenmodes of the unstable rock slice – during the later stages of its instability. Seismic noise analysis, especially high frequency base noise level analysis may complement that of inverse displacement velocity in early-warning approaches when strong displacement fluctuations occur.

Total motion generated in the unstable thoracolumbar spine during management of the typical trauma patient: a comparison of methods in a cadaver model.

Science.gov (United States)

Prasarn, Mark L; Zhou, Haitao; Dubose, Dewayne; Rossi, Gianluca Del; Conrad, Bryan P; Horodyski, Marybeth; Rechtine, Glenn R

2012-05-01

The proper prehospital and inpatient management of patients with unstable spinal injuries is critical for prevention of secondary neurological compromise. The authors sought to analyze the amount of motion generated in the unstable thoracolumbar spine during various maneuvers and transfers that a trauma patient would typically be subjected to prior to definitive fixation. Five fresh cadavers with surgically created unstable L-1 burst fractures were tested. The amount of angular motion between the T-12 and L-2 vertebral segments was measured using a 3D electromagnetic motion analysis device. A complete sequence of maneuvers and transfers was then performed that a patient would be expected to go through from the time of injury until surgical fixation. These maneuvers and transfers included spine board placement and removal, bed transfers, lateral therapy, and turning the patient prone onto the operating table. During each of these, the authors performed what they believed to be the most commonly used versus the best techniques for preventing undesirable motion at the injury level. When placing a spine board there was more motion in all 3 planes with the log-roll technique, and this difference reached statistical significance for axial rotation (p = 0.018) and lateral bending (p = 0.003). Using logrolling for spine board removal resulted in increased motion again, and this was statistically significant for flexion-extension (p = 0.014). During the bed transfer and lateral therapy, the log-roll technique resulted in more motion in all 3 planes (p ≤ 0.05). When turning the cadavers prone for surgery there was statistically more angular motion in each plane for manually turning the patient versus the Jackson table turn (p ≤ 0.01). The total motion was decreased by almost 50% in each plane when using an alternative to the log-roll techniques during the complete sequence (p ≤ 0.007). Although it is unknown how much motion in the unstable spine is necessary to cause

Unstable volatility

DEFF Research Database (Denmark)

Casas, Isabel; Gijbels, Irène

2012-01-01

The objective of this paper is to introduce the break-preserving local linear (BPLL) estimator for the estimation of unstable volatility functions for independent and asymptotically independent processes. Breaks in the structure of the conditional mean and/or the volatility functions are common...... in Finance. Nonparametric estimators are well suited for these events due to the flexibility of their functional form and their good asymptotic properties. However, the local polynomial kernel estimators are not consistent at points where the volatility function has a break. The estimator presented...

Nuclear data for unstable isotopes

International Nuclear Information System (INIS)

Sorlin, O.

1992-01-01

Nuclear Physics and Astrophysics are both entrusted with the task of understanding nucleosynthesis and energy production in the stars. At high temperatures and densities present in explosive scenarii such as the early universe, cataclysmic binary stars (nova or accretion stars), and supernovae, the nucleosynthesis proceeds throughout unstable nuclei. In order to produce and to study the most exotic isotopes that are not accessible from stable beam - stable (or radioactive) target experiments, it is necessary to develop facilities that utilize Radioactive Nuclear Beams (RNB). The existing methods for producing unstable nuclei will be described in paragraph 2. A review of the major explosive stellar processes will be made through some selected examples using RNB

Analysis of the efficacy and safety of conventional radiotherapy of chest wall and clavicular field and three-dimensional conformal radiotherapy in patients after modified radical mastectomy

Directory of Open Access Journals (Sweden)

Song-Lin Wang

2017-04-01

Full Text Available Objective: To explore the efficacy and safety of conventional radiotherapy of chest wall and clavicular field and three-dimensional conformal radiotherapy in patients after modified radical mastectomy. Methods: A total of 84 patients who were admitted in our hospital after modified radical mastectomy were included in the study and divided into the conventional radiotherapy group (n=42 and the three-dimensional conformal radiotherapy group (n=42 according to different radiotherapy methods. The patients in the conventional radiotherapy group were given conventional radiotherapy of chest wall and clavicular field, while the patients in the three-dimensional conformal radiotherapy group were given three-dimensional conformal radiotherapy. The serum tumor markers and peripheral blood T lymphocyte subsets 6-8 weeks after treatment in the two groups were detected. The clinical efficacy, and toxic and side effects in the two groups were evaluated. Results: The serum CA15-3, CA125, CEA, and CK19 levels after treatment in the two groups were significantly reduced when compared with before treatment, CD3 +,CD4 +, and CD4 +/CD8 + were significantly elevated, while CD8 + was significantly reduced when compared with before treatment, but the comparison of the above indicators between the two groups was not statistically significant. The occurrence rate of radioactive skin damage and pneumonia after treatment in the conventional radiotherapy group was significantly higher than that in the three-dimensional conformal radiotherapy group. Conclusions: The two kinds of radiotherapy schemes have an equal efficacy, but the toxic and side effects of three-dimensional conformal radiotherapy are significantly lower than those by the conventional radiotherapy, with a certain advantage.

Study on unstable fracture characteristics of light water reactor piping

International Nuclear Information System (INIS)

Kurihara, Ryoichi

1998-08-01

Many testing studies have been conducted to validate the applicability of the leak before break (LBB) concept for the light water reactor piping in the world. It is especially important among them to clarify the condition that an inside surface crack of the piping wall does not cause an unstable fracture but ends in a stable fracture propagating only in the pipe thickness direction, even if the excessive loading works to the pipe. Pipe unstable fracture tests performed in Japan Atomic Energy Research Institute had been planned under such background, and clarified the condition for the cracked pipe to cause the unstable fracture under monotonous increase loading or cyclic loading by using test pipes with the inside circumferential surface crack. This paper examines the pipe unstable fracture by dividing it into two parts. One is the static unstable fracture that breaks the pipe with the inside circumferential surface crack by increasing load monotonously. Another is the dynamic unstable fracture that breaks the pipe by the cyclic loading. (author). 79 refs

Cold or hot, stable or unstable collective nuclear motion

International Nuclear Information System (INIS)

Chomaz, Ph.; Lacroix, D.; Jacquot, B.; Colonna, M.; Ayik, S.

1999-01-01

We present a general discussion of the mean field dynamics of finite nuclei prepared under extreme of temperature and pressure. Many features of the dynamics are carefully studied such as the collective expansion, the evaporation process, the different time-scale. We show that under the thermal pressure and the effect of the compression, the system may reach low density regions where it may become unstable. Early development of the instabilities in a dilute nuclear source in investigated using a finite temperature quantal Rpa approach for different systems. The growth rates of the unstable collective modes are determining by solving a dispersion relation. Which is obtained by parameterizing the transition density in terms of its multipole moments. Under typical conditions of a dilute finite system at moderate temperatures the dispersion relation exhibits an ultraviolet cut-off. As a result, only a finite number of multiple modes becomes unstable , and the number of the unstable collective modes increases with the size of the source. Calculations indicate that for an expanding source, unstable modes show a transition from surface to volume character. (author)

Unstable fracture of nuclear pressure vessel

International Nuclear Information System (INIS)

Urata, Kazuyoshi

1978-01-01

Unstable fracture of nuclear pressure vessel shell for light water reactors up to 1,000 MWe class is discussed in accordance with ASME Code Sec. XI. The depth of surface crack required to protect against the unstable fracture is calculated on the basis of reactor operating conditions including loss of coolant accidents. Calculated surface crack depth a is equal to tαexp(2.19(a/l)) where l is crack length and t is weld thickness. α is crack depth required to protect against the unstable fracture in terms of the ratio of crack deth to weld thickness for surface crack have infinite length. Using this α, the safety factor included for allowable defect described in Sec. XI and the effects of thickness is discussed. It is derived that allowable defect described in Sec. XI include the safety factor of two on the crack depth for crack initiation at postulated accident and the safety factor of ten for crack depth calculated from point of view of crack arrest at normal conditions. (auth.)

Unstable ductile fracture conditions in upper shelf region

International Nuclear Information System (INIS)

Nakano, Yoshifumi; Kubo, Takahiro

1985-01-01

The phenomenon of unstability of ductile fracture in the upper shelf region of a forged steel for nuclear reactor pressure vessels A508 Cl. 3 was studied with a large compliance apparatus, whose spring constants were 100, 170 and 230 kgf/mm, at the test temperatures of 100, 200 and 300 0 C and at the loading rates of 2, 20 and 200 mm/min in the crosshead speed. The main results obtained are as follows: (1) The fracture modes of the specimens consisted of (a) stable fracture, (b) unstable fracture which leads to a complete fracture rapidly and (c) quasiunstable fracture which does not lead to a complete fracture though a rapid extension of ductile crack takes place. (2) Side groove, high temperature or small spring constant made a ductile crack more unstable. (3) High temperature or large spring constant made the occurrence of quasiunstable fracture easier. (4) Quasiunstable ductile fracture took place before the maximum load, that is, at the J integral value of about 10 kgf/mm. The initiation of a microscopic ductile crack, therefore, seems to lead to quasiunstable fracture. (5) The concept that unstable ductile fracture takes place when Tsub(app) exceeds Tsub(mat) seems applicable only to the case in which unstable ductile fracture takes place after the maximum load has been exceeded. (author)

Comparison of occipitocervical and atlantoaxial fusion in treatment of unstable Jefferson fractures

Directory of Open Access Journals (Sweden)

Yong Hu

2017-01-01

Full Text Available Background: Controversy exists regarding the management of unstable Jefferson fractures, with some surgeons performing reduction and immobilization of the patient in a halo vest and others performing open reduction and internal fixation. This study compares the clinical and radiological outcome parameters between posterior atlantoaxial fusion (AAF and occipitocervical fusion (OCF constructs in the treatment of the unstable atlas fracture. Materials and Methods: 68 consecutive patients with unstable Jefferson fractures treated by AAF or OCF between October 2004 and March 2011 were included in this retrospective evaluation from institutional databases. The authors reviewed medical records and original images. The patients were divided into two surgical groups treated with either AAF ( n = 48, F/M 30:18 and OCF ( n = 20, F/M 13:7 fusion. Blood loss, operative time, Japanese Orthopaedic Association (JOA score, visual analog scale (VAS score, atlanto-dens interval, lateral mass displacement, complications, and the bone fusion rates were recorded. Results: Five patients with incomplete paralysis (7.4% demonstrated postoperative improvement by more than 1 grade on the American Spinal Injury Association impairment scale. The JOA score of the AAF group improved from 12.5 ± 3.6 preoperatively to 15.7 ± 2.3 postoperatively, while the JOA score of the OCF group improved from 11.2 ± 3.3 preoperatively to 14.8 ± 4.2 postoperatively. The VAS score of AAF group decreased from 4.8 ± 1.5 preoperatively to 1.0 ± 0.4 postoperatively, the VAS score of the OCF group decreased from 5.4 ± 2.2 preoperatively to 1.3 ± 0.9 postoperatively. Conclusions: The OCF or AAF combined with short-term external immobilization can establish the upper cervical stability and prevent further spinal cord injury and nerve function damage.

Open MR imaging of the unstable shoulder in the apprehension test position: description and evaluation of an alternative MR examination position

International Nuclear Information System (INIS)

Wintzell, G.; Larsson, S.; Larsson, H.; Zyto, K.

1999-01-01

The aim of this study was to describe and evaluate an alternative MR assessment procedure for analysis of unstable shoulders. Twelve patients with unilateral recurrent anterior shoulder dislocation had both shoulders examined. Magnetic resonance imaging was performed with an open-MR system in the apprehension position with the shoulder in 90 of abduction and maximum tolerable external rotation. Contrast enhancement was achieved with intravenous gadolinium. Correlations were made to the findings at operation. In 10 of 12 unstable shoulders the inferior glenohumeral ligament labral complex (IGHLLC) was detached from the glenoid as seen on MR and later verified during surgery. In one shoulder MR was unable to show a capsulolabral detachment that was verified at surgery, whereas in one shoulder both MR and surgical assessment revealed no soft tissue detachment (accuracy 92 %). A Hill-Sachs lesion was visualized and verified in all unstable shoulders, whereas the stable controls revealed normal IGHLLC and no Hill-Sachs lesion. Open-MRI evaluation of the shoulder in the apprehension test position may become a useful tool for the evaluation of anterior shoulder instability. (orig.)

Isotope shifts in unstable nuclei

International Nuclear Information System (INIS)

Rebel, H.

1980-05-01

Current experimental investigations of isotope shifts in atomic spectra of unstable nuclei and the resulting information about size and shape of nuclei far off stability are discussed with reference to some representative examples. (orig.)

Structure and clusters of light unstable nuclei

International Nuclear Information System (INIS)

En'yo, Yoshiko

2010-01-01

As it is known, cluster structures are often observed in light nuclei. In the recent evolution of unstable nuclear research (on nuclei having unbalanced number of neutron and proton) further new types of clusters are coming to be revealed. In this report, structures of light unstable nuclei and some of the theoretical models to describe them are reviewed. The following topics are picked up. 1. Cluster structure and theoretical models, 2. Cluster structure of unstable nuclei (low excited state). 3. Cluster structure of neutron excess beryllium isotopes. 4. Cluster gas like state in C isotope. 5. Dineutron structure of He isotopes. Numbers of strange nuclear structures of light nuclei are illustrated. Antisymmetrized molecular dynamics (AMD) is the recently developed theoretical framework which has been successfully used in heavy ion reactions and nuclear structure studies. Successful application of AMD to the isotopes of Be, B and C are illustrated. (S. Funahashi)

Novel utilization of 3D technology and the hybrid operating theatre: Peri-operative assessment of posterior sterno-clavicular dislocation using cone beam CT

International Nuclear Information System (INIS)

Crowhurst, James A; Campbell, Douglas; Whitby, Mark; Pathmanathan, Pavthrun

2013-01-01

A patient with a medial and posterior dislocation of the right sterno-clavicular (SC) joint and displacement of the trachea and brachiocephalic artery by the medial head of the clavicle underwent general anaesthetic in the operating theatre for an open reduction procedure. The surgeon initially attempted a closed reduction, but this required imaging to check SC alignment. The patient was transferred to an adjacent hybrid operating theatre for imaging. Cone beam computed tomography (CBCT) was performed, which successfully demonstrated a significant reduction in the dislocation of the SC joint. The trachea and brachiocephalic artery were no longer compressed or displaced. This case study demonstrates an alternative to the patient being transferred to the medical imaging department for multi-slice CT. It also describes a novel use of the hybrid operating theatre and its CBCT capabilities

Novel utilization of 3D technology and the hybrid operating theatre: Peri-operative assessment of posterior sterno-clavicular dislocation using cone beam CT

Energy Technology Data Exchange (ETDEWEB)

Crowhurst, James A; Campbell, Douglas; Whitby, Mark; Pathmanathan, Pavthrun [The Prince Charles Hospital, Rode Road, Chermside, Queensland (Australia)

2013-06-15

A patient with a medial and posterior dislocation of the right sterno-clavicular (SC) joint and displacement of the trachea and brachiocephalic artery by the medial head of the clavicle underwent general anaesthetic in the operating theatre for an open reduction procedure. The surgeon initially attempted a closed reduction, but this required imaging to check SC alignment. The patient was transferred to an adjacent hybrid operating theatre for imaging. Cone beam computed tomography (CBCT) was performed, which successfully demonstrated a significant reduction in the dislocation of the SC joint. The trachea and brachiocephalic artery were no longer compressed or displaced. This case study demonstrates an alternative to the patient being transferred to the medical imaging department for multi-slice CT. It also describes a novel use of the hybrid operating theatre and its CBCT capabilities.

Analysis of Plasma Homocysteine Levels in Patients with Unstable Angina

Directory of Open Access Journals (Sweden)

José Roberto Tavares

2002-08-01

Full Text Available OBJECTIVE - To determine the prevalence of hyperhomocystinemia in patients with acute ischemic syndrome of the unstable angina type. METHODS - We prospectively studied 46 patients (24 females with unstable angina and 46 control patients (19 males, paired by sex and age, blinded to the laboratory data. Details of diets, smoking habits, medication used, body mass index, and the presence of hypertension and diabetes were recorded, as were plasma lipid and glucose levels, C-reactive protein, and lipoperoxidation in all participants. Patients with renal disease were excluded. Plasma homocysteine was estimated using high-pressure liquid chromatography. RESULTS - Plasma homocysteine levels were significantly higher in the group of patients with unstable angina (12.7±6.7 µmol/L than in the control group (8.7±4.4 µmol/L (p<0.05. Among males, homocystinemia was higher in the group with unstable angina than in the control group, but this difference was not statistically significant (14.1±5.9 µmol/L versus 11.9±4.2 µmol/L. Among females, however, a statistically significant difference was observed between the 2 groups: 11.0±7.4 µmol/L versus 6.4±2.9 µmol/L (p<0.05 in the unstable angina and control groups, respectively. Approximately 24% of the patients had unstable angina at homocysteine levels above 15 µmol/L. CONCLUSION - High homocysteine levels seem to be a relevant prevalent factor in the population with unstable angina, particularly among females.

Pitfalls in MR morphology of the sterno-costo-clavicular region using whole-body MRI.

Science.gov (United States)

Jurik, A G; Zejden, A; Lambert, R G W; Rufibach, K; Hodler, J; Maksymowych, W P; Duewell, S; Kissling, R O; Weber, U

2013-08-01

To analyse the imaging findings at the sterno-costo-clavicular (SCC) joint region using whole-body (WB) magnetic resonance imaging (MRI) in healthy individuals to minimize misinterpretation as changes due to spondyloarthritis (SpA). As part of a cross-sectional study of 122 SpA patients, 75 healthy individuals (42/33 males/females; median age 30.3 years; range 17.7-63.8 years) were scanned using sagittal and coronal WB short tau inversion recovery (STIR) and T1-weighted MRI sequences. The SCC region was analysed independently by seven readers for bone marrow oedema (BMO), erosions, subchondral fat signal intensity (FSI), and joint fluid accumulation. SCC changes simulating inflammation were reported by four or more of the seven readers in 15 (20%) healthy individuals (12 male/three female; median age 32.1 years; range 20.2-48 years). Thirteen individuals (17%) had changes at the manubriosternal joint (MSJ); five had BMO, one BMO + erosion, four erosion, two erosion + FSI, and one FSI only. Changes at the sternoclavicular joint occurred in three individuals (4%) encompassing erosion, erosion + FSI + BMO, and joint fluid accumulation, respectively. One patient had both MSJ and sternoclavicular joint changes. Findings mimicking inflammatory changes occurred in healthy individuals, particularly in the MSJ. Awareness of this is important in recognition of SCC inflammation in SpA. Copyright © 2013 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.

Proton scattering from unstable nuclei

Indian Academy of Sciences (India)

Recent improvements in the intensities and optical qualities of radioactive beams have made ... The quality of the data obtained are illustrated with recent results obtained at the GANIL facility for unstable oxygen, sulfur and argon isotopes.

Symmetry energy, unstable nuclei and neutron star crusts

Energy Technology Data Exchange (ETDEWEB)

Iida, Kei [Kochi University, Department of Natural Science, Kochi (Japan); RIKEN Nishina Center, Saitama (Japan); Oyamatsu, Kazuhiro [RIKEN Nishina Center, Saitama (Japan); Aichi Shukutoku University, Department of Human Informatics, Aichi (Japan)

2014-02-15

The phenomenological approach to inhomogeneous nuclear matter is useful to describe fundamental properties of atomic nuclei and neutron star crusts in terms of the equation of state of uniform nuclear matter. We review a series of researches that we have developed by following this approach. We start with more than 200 equations of state that are consistent with empirical masses and charge radii of stable nuclei and then apply them to describe matter radii and masses of unstable nuclei, proton elastic scattering and total reaction cross sections off unstable nuclei, and nuclei in neutron star crusts including nuclear pasta. We finally discuss the possibility of constraining the density dependence of the symmetry energy from experiments on unstable nuclei and even observations of quasi-periodic oscillations in giant flares of soft gamma-ray repeaters. (orig.)

Paradoxes of unstable electron

International Nuclear Information System (INIS)

Okun, L.B.; Zeldovich, Ya.B.

1978-01-01

The hypothesis that electron is unstable - when it is consistent with the vanishing mass of the photon- leads to a number of paradoxical statements. The lifetime of the electron is determined by emission of a huge number of longitudinal photons and exponentially depends on the amount of emitted energy. This suggests to discuss searches for charge nonconservation in experiments with high energy particles

Unstable mixed convective transport in groundwater

International Nuclear Information System (INIS)

Schincariol, R.A.; Schwartz, F.W.

1990-01-01

This study is an experimental investigation of variable density groundwater flow in homogeneous and lenticular porous media. A solution of 500 mg/l Rhodamine WT dye served as the carrier for various concentrations of solute (NaCl) introduced into a two-dimensional flow tank at concentrations ranging from 1000 to 100,000 mg/l. At the scale of the experiments, mass transport depends upon both forced and free convection. In addition, density differences as low as 0.008 g/cm 3 (1000 mg/l NaCl) between a plume of dense water and ambient groundwater in homogeneous medium produces gravitational instabilities at realistic groundwater velocities. These instabilities are manifest by lobe-shaped protuberances that formed first along the bottom edge of the plume and later within the plume. As the density difference increases to 0.0015 g/cm 3 (2000 mg/l NaCl), 0.0037 g/cm 3 (5000 mg/l NaCl) or higher, this unstable mixing due to convective dispersion significantly alters the spreading process, resulting in a large degree of vertical spreading of the plume. In a lenticular medium the combination of convective dispersion and nonuniform flow due to heterogeneities results in relatively large dispersion. Scale considerations indicate that convective dispersion may provide an important component of mixing at the field scale. (Author) (30 refs., 12 figs., 3 tabs.)

Signatures of unstable semiclassical trajectories in tunneling

International Nuclear Information System (INIS)

Levkov, D G; Panin, A G; Sibiryakov, S M

2009-01-01

It was found recently that processes of multidimensional tunneling are generally described at high energies by unstable semiclassical trajectories. We study two observational signatures related to the instability of trajectories. First, we find an additional power-law dependence of the tunneling probability on the semiclassical parameter as compared to the standard case of potential tunneling. The second signature is a substantial widening of the probability distribution over final-state quantum numbers. These effects are studied using a modified semiclassical technique which incorporates stabilization of the tunneling trajectories. The technique is derived from first principles. We obtain expressions for the inclusive and exclusive tunneling probabilities in the case of unstable semiclassical trajectories. We also investigate the 'phase transition' between the cases of stable and unstable trajectories across certain 'critical' values of energy. Finally, we derive the relation between the semiclassical probabilities of tunneling from the low-lying and highly excited initial states. This puts on firm ground a conjecture made previously in the semiclassical description of collision-induced tunneling in field theory

Externally perturbed unstable systems

International Nuclear Information System (INIS)

Posch, H.A.; Narnhofer, H.; Thirring, W.

1991-01-01

We discuss computer solutions of Newton's equation of motion for unstable systems in a container with time-dependent walls. An expansion leads to the formation of a cluster and a significant increase of the temperature. The question of entropy increase for expansion and compression of the system and the related problem of the feasibility of a perpetuum mobile of the second kind are investigated. (Authors)

Heteroclinic cycles between unstable attractors

NARCIS (Netherlands)

Broer, Henk; Efstathiou, Konstantinos; Subramanian, Easwar

We consider networks of pulse coupled linear oscillators with non-zero delay where the coupling between the oscillators is given by the Mirollo-Strogatz function. We prove the existence of heteroclinic cycles between unstable attractors for a network of four oscillators and for an open set of

Lateral migration with telescoping of a trochanteric fixation nail in the treatment of an intertrochanteric hip fracture.

Science.gov (United States)

Liu, Wanjun; Wang, Junqiang; Weaver, Michael J; Vrahas, Mark S; Zhou, Dongsheng

2014-01-01

The trochanteric fixation nail (TFN) can be used to treat stable and unstable fractures of intertrochanteric hip fractures. We study the common lateral migration that occurs with telescoping of intertrochanteric hip fractures treated with TFN and identify the predictors and relationships to clinical outcomes. Patient demographic information, fracture type (Arbeitsgemeinschaft für Osteosynthesefragen (AO)/Orthopaedic Trauma Association (OTA) classification), radiographic data, and clinical data were collected. Lateral migration with telescoping was measured. Statistical analyses were performed to determine which variables predicted lateral migration with telescoping. Patient outcome scores were recorded using the Modified Harris Hip Score (MHHS), Hip Outcome Score-Activity of Daily Living (HOS-ADL), and Visual Analog Scale for pain. Two hundred and twenty-three patients (67 males, 156 females) fitted the radiographic and follow-up (average 24.6 months) criteria. The average age was 77.2 years. The average lateral migration with telescoping was 4.8 mm. Twenty-one patients (9.4%) had excessive lateral migration with telescoping ( = 10 mm). The quality of calcar reduction (P = 0.01) and unstable fracture patterns (P = 0.006) were significant predictive factors of lateral migration with telescoping. The mean outcome scores (MHHS and HOS-ADL) were 80.1 points and 78.7 points, respectively. All subjects had no significant relationship to lateral migration with telescoping (P > 0.05). Of all the patients who developed lateral migration with telescoping, only one required removal of the blade for hip pain and all patients went on to uneventful union at an average time of 4.5 months. Lateral migration with telescoping is a common mechanical complication of intertrochanteric hip fracture treated with the TFN procedure. It was predicted by the quality of calcar reduction and fracture type. However, this did not affect stable fixation and fracture healing, so rarely leads to

Direct numerical simulation of stable and unstable turbulent thermal boundary layers

International Nuclear Information System (INIS)

Hattori, Hirofumi; Houra, Tomoya; Nagano, Yasutaka

2007-01-01

This paper presents direct numerical simulations (DNS) of stable and unstable turbulent thermal boundary layers. Since a buoyancy-affected boundary layer is often encountered in an urban environmental space where stable and unstable stratifications exist, exploring a buoyancy-affected boundary layer is very important to know the transport phenomena of the flow in an urban space. Although actual observation may qualitatively provide the characteristics of these flows, the relevant quantitative turbulent quantities are very difficult to measure. Thus, in order to quantitatively investigate a buoyancy-affected boundary layer in detail, we have here carried out for the first time time- and space-developing DNS of slightly stable and unstable turbulent thermal boundary layers. The DNS results show the quantitative turbulent statistics and structures of stable and unstable thermal boundary layers, in which the characteristic transport phenomena of thermally stratified boundary layers are demonstrated by indicating the budgets of turbulent shear stress and turbulent heat flux. Even though the input of buoyant force is not large, the influence of buoyancy is clearly revealed in both stable and unstable turbulent boundary layers. In particular, it is found that both stable and unstable thermal stratifications caused by the weak buoyant force remarkably alter the structure of near-wall turbulence

Heteroclinic cycles between unstable attractors

International Nuclear Information System (INIS)

Broer, Henk; Efstathiou, Konstantinos; Subramanian, Easwar

2008-01-01

We consider networks of pulse coupled linear oscillators with non-zero delay where the coupling between the oscillators is given by the Mirollo–Strogatz function. We prove the existence of heteroclinic cycles between unstable attractors for a network of four oscillators and for an open set of parameter values

Contributions to lateral balance control in ambulatory older adults.

Science.gov (United States)

Sparto, Patrick J; Newman, A B; Simonsick, E M; Caserotti, P; Strotmeyer, E S; Kritchevsky, S B; Yaffe, K; Rosano, C

2018-06-01

In older adults, impaired control of standing balance in the lateral direction is associated with the increased risk of falling. Assessing the factors that contribute to impaired standing balance control may identify areas to address to reduce falls risk. To investigate the contributions of physiological factors to standing lateral balance control. Two hundred twenty-two participants from the Pittsburgh site of the Health, Aging and Body Composition Study had lateral balance control assessed using a clinical sensory integration balance test (standing on level and foam surface with eyes open and closed) and a lateral center of pressure tracking test using visual feedback. The center of pressure was recorded from a force platform. Multiple linear regression models examined contributors of lateral control of balance performance, including concurrently measured tests of lower extremity sensation, knee extensor strength, executive function, and clinical balance tests. Models were adjusted for age, body mass index, and sex. Larger lateral sway during the sensory integration test performed on foam was associated with longer repeated chair stands time. During the lateral center of pressure tracking task, the error in tracking increased at higher frequencies; greater error was associated with worse executive function. The relationship between sway performance and physical and cognitive function differed between women and men. Contributors to control of lateral balance were task-dependent. Lateral standing performance on an unstable surface may be more dependent upon general lower extremity strength, whereas visual tracking performance may be more dependent upon cognitive factors. Lateral balance control in ambulatory older adults is associated with deficits in strength and executive function.

Tratamento artroscópico da luxação acromio-clavicular pelo método "tight rope" (arthrex® Arthroscopic treatment of acromioclavicular joint dislocation by tight rope technique (arthrex®

Directory of Open Access Journals (Sweden)

Luis Alfredo Gómez Vieira

2009-02-01

Full Text Available OBJETIVO: Apresentar a técnica cirúrgica artroscópica pelo método "Tight Rope" e a avaliação dos resultados com esta técnica no tratamento da luxação acrômio-clavicular aguda. MÉTODOS: entre agosto de 2006 e maio de 2007, 10 ombros de 10 pacientes com luxação acrômio-clavicular aguda foram submetidos a tratamento artroscópcio pela técnica Tight Rope-Arthrex®. O seguimento mínimo foi de 12 meses, com média de 15 meses. A idade variou de 26 e 42 anos com média de 34 anos. Todos os pacientes eram do sexo masculino. Todos os pacientes foram atendidos na fase aguda da lesão sendo avaliados por radiologia simples (série trauma. Os pacientes foram acompanhados semanalmente no primeiro mês e a cada três meses após o procedimento artroscópico. A avaliação clínica foi feita por meio dos critérios da University of Califórnia at Los Angeles (UCLA. RESULTADOS: Todos os pacientes operados agudamente encontravam-se satisfeitos com os resultados do tratamento cirúrgico artroscópico com uma média de 32,5 pontos na escala de avaliação da UCLA. CONCLUSÃO: O tratamento artroscópico da luxação acrômio-clavicular aguda pelo método "Tight Rope" é uma técnica cirúrgica minimamente invasiva que mostrou-se eficiente para o tratamento destas lesões.OBJECTIVE: Presenting the arthroscopic treatment by Tight Rope - Arthrex® system for acute acromioclavicular dislocation and to evaluate results obtained with this procedure. METHODS: Between August 2006 and May 2007, 10 shoulders of 10 patients with acute acromioclavicular dislocation were submitted to arthroscopic repair using the Tight Rope - Arthrex® system. Minimum follow-up was 12 months, with a mean of 15 months. Age ranged from 26 to 42, mean 34 years. All patients were male. Radiology evaluation was made by trauma series x-ray. The patients were assisted in the first month weekly and after three months after the procedure. Clinical evaluation was based on the University

Thallium-201 myocardial imaging in unstable angina and variant angina

International Nuclear Information System (INIS)

Wackers, F.J.Th.; Lie, K.I.; Liem, K.L.; Sokole, E.B.; Schoot, J.B. van der

1980-01-01

It is of clinical relevance in the coronary care unit to evaluate the potential role of 201 Tl scintigraphy in patients with unstable angina. In the present chapter the authors discuss 1) the pattern of 201 Tl scintigraphy in patients with unstable angina; and 2) the potential predictive value of 201 Tl scintigraphy in identifying patients with unstable angina who have a poorer prognosis or greater tendency to subsequently develop acute myocardial infarction. All patients with unstable angina pectoris were purposely studied during the pain free period. It seemed conceivable that injecting 201 Tl during an anginal attack would result in a high percentage of scintigraphic defects and probably diminish a potential discriminative value of the method. Moreover in clinical practice the majority of patients arrive at the coronary care unit some time after the last anginal attack. If a diagnostic test performed at this time could distinguish high and low risk patients, important therapeutic decisions might be made at the earliest possible times. (Auth.)

A study of unstable rock failures using finite difference and discrete element methods

Science.gov (United States)

Garvey, Ryan J.

Case histories in mining have long described pillars or faces of rock failing violently with an accompanying rapid ejection of debris and broken material into the working areas of the mine. These unstable failures have resulted in large losses of life and collapses of entire mine panels. Modern mining operations take significant steps to reduce the likelihood of unstable failure, however eliminating their occurrence is difficult in practice. Researchers over several decades have supplemented studies of unstable failures through the application of various numerical methods. The direction of the current research is to extend these methods and to develop improved numerical tools with which to study unstable failures in underground mining layouts. An extensive study is first conducted on the expression of unstable failure in discrete element and finite difference methods. Simulated uniaxial compressive strength tests are run on brittle rock specimens. Stable or unstable loading conditions are applied onto the brittle specimens by a pair of elastic platens with ranging stiffnesses. Determinations of instability are established through stress and strain histories taken for the specimen and the system. Additional numerical tools are then developed for the finite difference method to analyze unstable failure in larger mine models. Instability identifiers are established for assessing the locations and relative magnitudes of unstable failure through measures of rapid dynamic motion. An energy balance is developed which calculates the excess energy released as a result of unstable equilibria in rock systems. These tools are validated through uniaxial and triaxial compressive strength tests and are extended to models of coal pillars and a simplified mining layout. The results of the finite difference simulations reveal that the instability identifiers and excess energy calculations provide a generalized methodology for assessing unstable failures within potentially complex

Relevant signs of stable and unstable thoracolumbar vertebral column trauma

International Nuclear Information System (INIS)

Gehweiler, J.A.; Daffner, R.H.; Osborne, R.L.

1981-01-01

One-hundred and seventeen patients with acute thoracolumbar vertebral column fracture or fracture-dislocations were analyzed and classified into stable (36%) and unstable (64%). Eight helpful roentgen signs were observed that may serve to direct attention to serious underlying, often occult, fractures and dislocations. The changes fall into four principal groups: abnormal soft tissues, abnormal vertebral alignment, abnormal joints, and widened vertebral canal. All stable and unstable lesions showed abnormal soft tissues, while 70% demonstrated kyphosis and/or scoliosis, and an abnormal adjacent intervertebral disk space. All unstable lesions showed one or more of the following signs: displaced vertebra, widened interspinous space, abnormal apophyseal joint(s), and widened vertebral canal. (orig.)

Monitoring Unstable Glaciers with Seismic Noise Interferometry

Science.gov (United States)

Preiswerk, L. E.; Walter, F.

2016-12-01

Gravity-driven glacier instabilities are a threat to human infrastructure in alpine terrain, and this hazard is likely to increase with future changes in climate. Seismometers have been used previously on hazardous glaciers to monitor the natural englacial seismicity. In some situations, an increase in "icequake" activity may indicate fracture growth and thus an imminent major break-off. However, without independent constraints on unstable volumes, such mere event counting is of little use. A promising new approach to monitor unstable masses in Alpine terrain is coda wave interferometry of ambient noise. While already established in the solid earth, application to glaciers is not straightforward, because the lack of inhomogeneities typically suppresses seismic coda waves in glacier ice. Only glaciers with pervasive crevasses provide enough scattering to generate long codas. This is requirement is likely met for highly dynamic unstable glaciers. Here, we report preliminary results from a temporary 5-station on-ice array of seismometers (corner frequencies: 1 Hz, array aperture: 500m) on Bisgletscher (Switzerland). The seismometers were deployed in shallow boreholes, directly above the unstable tongue of the glacier. In the frequency band 4-12 Hz, we find stable noise cross-correlations, which in principle allows monitoring on a subdaily scale. The origin and the source processes of the ambient noise in these frequencies are however uncertain. As a first step, we evaluate the stability of the sources in order to separate effects of changing source parameters from changes of englacial properties. Since icequakes occurring every few seconds may dominate the noise field, we compare their temporal and spatial occurrences with the cross-correlation functions (stability over time, the asymmetry between causal and acausal parts of the cross-correlation functions) as well as with results from beamforming to assess the influence of these transient events on the noise field.

Weak gravitational lensing as a method to constrain unstable dark matter

International Nuclear Information System (INIS)

Wang Meiyu; Zentner, Andrew R.

2010-01-01

The nature of the dark matter remains a mystery. The possibility of an unstable dark matter particle decaying to invisible daughter particles has been explored many times in the past few decades. Meanwhile, weak gravitational lensing shear has gained a lot of attention as a probe of dark energy, though it was previously considered a dark matter probe. Weak lensing is a useful tool for constraining the stability of the dark matter. In the coming decade a number of large galaxy imaging surveys will be undertaken and will measure the statistics of cosmological weak lensing with unprecedented precision. Weak lensing statistics are sensitive to unstable dark matter in at least two ways. Dark matter decays alter the matter power spectrum and change the angular diameter distance-redshift relation. We show how measurements of weak lensing shear correlations may provide the most restrictive, model-independent constraints on the lifetime of unstable dark matter. Our results rely on assumptions regarding nonlinear evolution of density fluctuations in scenarios of unstable dark matter and one of our aims is to stimulate interest in theoretical work on nonlinear structure growth in unstable dark matter models.

Muscular outputs during dynamic bench press under stable versus unstable conditions.

Science.gov (United States)

Koshida, Sentaro; Urabe, Yukio; Miyashita, Koji; Iwai, Kanzunori; Kagimori, Aya

2008-09-01

Previous studies have suggested that resistance training exercise under unstable conditions decreases the isometric force output, yet little is known about its influence on muscular outputs during dynamic movement. The objective of this study was to investigate the effect of an unstable condition on power, force, and velocity outputs during the bench press. Twenty male collegiate athletes (mean age, 21.3 +/- 1.5 years; mean height, 167.7 +/- 7.7 cm; mean weight, 75.9 +/- 17.5 kg) participated in this study. Each subject attempted 3 sets of single bench presses with 50% of 1 repetition maximum (1RM) under a stable condition with a flat bench and an unstable condition with a Swiss ball. Acceleration data were obtained with an accelerometer attached to the center of a barbell shaft, and peak outputs of power, force, and velocity were computed. Although significant loss of the peak outputs was found under the unstable condition (p velocity outputs, compared with previous findings. Such small reduction rates of muscular outputs may not compromise the training effect. Prospective studies are necessary to confirm whether the resistance training under an unstable condition permits the improvement of dynamic performance and trunk stability.

Estimation scheme for unstable ductile fracture of pressure vessel

International Nuclear Information System (INIS)

Takahashi, Jun; Okamura, Hiroyuki; Sakai, Shinsuke

1990-01-01

This paper presents a new scheme for the estimation of unstable ductile fracture using the J-integral. The proposed method uses a load-versus-displacement diagram which is generated using fully plastic solutions. By this method, the phenomena of the ductile fracture can be grasped visually. Thus, the parametrical survey can be executed far more easily than before. Then, using the proposed method, unstable ductile fracture is analyzed for single-edge cracked plates under both uniform tension and pure bending. In addition, several parametrical surveys are performed concerning (1) J-controlled crack growth, (2) compliance of the structure, (3) ductility of the material (i.e., J-resistance curve), and (4) scale of the structure (i.e., screening criterion). As a result, it is shown that the proposed method is especially effective for the paramtrical study of unstable ductile fracture. (author)

Rock slope instabilities in Norway: First systematic hazard and risk classification of 22 unstable rock slopes

Science.gov (United States)

Böhme, Martina; Hermanns, Reginald L.; Oppikofer, Thierry; Penna, Ivanna

2016-04-01

Unstable rock slopes that can cause large failures of the rock-avalanche type have been mapped in Norway for almost two decades. Four sites have earlier been characterized as high-risk objects based on expertise of few researchers. This resulted in installing continuous monitoring systems and set-up of an early-warning system for those four sites. Other unstable rock slopes have not been ranked related to their hazard or risk. There are ca. 300 other sites known of which 70 sites were installed for periodic deformation measurements using multiple techniques (Global Navigation Satellite Systems, extensometers, measurement bolts, and others). In 2012 a systematic hazard and risk classification system for unstable rock slopes was established in Norway and the mapping approach adapted to that in 2013. Now, the first 22 sites were classified for hazard, consequences and risk using this classification system. The selection of the first group of sites to be classified was based on an assumed high hazard or risk and importance given to the sites by Norwegian media and the public. Nine of the classified 22 unstable rock slopes are large sites that deform inhomogeneously or are strongly broken up in individual blocks. This suggests that different failure scenarios are possible that need to be analyzed individually. A total of 35 failure scenarios for those nine unstable rock slopes were considered. The hazard analyses were based on 9 geological parameters defined in the classification system. The classification system will be presented based on the Gamanjunni unstable rock slope. This slope has a well developed back scarp that exposes 150 m preceding displacement. The lateral limits of the unstable slope are clearly visible in the morphology and InSAR displacement data. There have been no single structures observed that allow sliding kinematically. The lower extend of the displacing rock mass is clearly defined in InSAR data and by a zone of higher rock fall activity. Yearly

Thin disk laser with unstable resonator and reduced output coupler

Science.gov (United States)

Gavili, Anwar; Shayganmanesh, Mahdi

2018-05-01

In this paper, feasibility of using unstable resonator with reduced output coupling in a thin disk laser is studied theoretically. Unstable resonator is modeled by wave-optics using Collins integral and iterative method. An Yb:YAG crystal with 250 micron thickness is considered as a quasi-three level active medium and modeled by solving rate equations of energy levels populations. The amplification of laser beam in the active medium is calculated based on the Beer-Lambert law and Rigrod method. Using generalized beam parameters method, laser beam parameters like, width, divergence, M2 factor, output power as well as near and far-field beam profiles are calculated for unstable resonator. It is demonstrated that for thin disk laser (with single disk) in spite of the low thickness of the disk which leads to low gain factor, it is possible to use unstable resonator (with reduced output coupling) and achieve good output power with appropriate beam quality. Also, the behavior of output power and beam quality versus equivalent Fresnel number is investigated and optimized value of output coupling for maximum output power is achieved.

Incidence and follow-up of Braunwald subgroups in unstable angina pectoris

NARCIS (Netherlands)

van Miltenburg-van Zijl, A. J.; Simoons, M. L.; Veerhoek, R. J.; Bossuyt, P. M.

1995-01-01

OBJECTIVES. This study was performed to establish the prognosis of patients with unstable angina within the subgroups of the Braunwald classification. BACKGROUND. Among many classifications of unstable angina, the Braunwald classification is frequently used. However, the incidence and risk for each

Neuromuscular adjustments of gait associated with unstable conditions

Science.gov (United States)

Ivanenko, Y. P.; d'Avella, A.; Serrao, M.; Ranavolo, A.; Draicchio, F.; Cappellini, G.; Casali, C.; Lacquaniti, F.

2015-01-01

A compact description of coordinated muscle activity is provided by the factorization of electromyographic (EMG) signals. With the use of this approach, it has consistently been shown that multimuscle activity during human locomotion can be accounted for by four to five modules, each one comprised of a basic pattern timed at a different phase of gait cycle and the weighting coefficients of synergistic muscle activations. These modules are flexible, in so far as the timing of patterns and the amplitude of weightings can change as a function of gait speed and mode. Here we consider the adjustments of the locomotor modules related to unstable walking conditions. We compared three different conditions, i.e., locomotion of healthy subjects on slippery ground (SL) and on narrow beam (NB) and of cerebellar ataxic (CA) patients on normal ground. Motor modules were computed from the EMG signals of 12 muscles of the right lower limb using non-negative matrix factorization. The unstable gait of SL, NB, and CA showed significant changes compared with controls in the stride length, stride width, range of angular motion, and trunk oscillations. In most subjects of all three unstable conditions, >70% of the overall variation of EMG waveforms was accounted for by four modules that were characterized by a widening of muscle activity patterns. This suggests that the nervous system adopts the strategy of prolonging the duration of basic muscle activity patterns to cope with unstable conditions resulting from either slippery ground, reduced support surface, or pathology. PMID:26378199

A priori which-way information in quantum interference with unstable particles

International Nuclear Information System (INIS)

Krause, D.E.; Fischbach, E.; Rohrbach, Z.J.

2014-01-01

If an unstable particle used in a two-path interference experiment decays before reaching a detector, which-way information becomes available that reduces the detected interference fringe visibility V. Here we argue that even when an unstable particle does not decay while in the interferometer, a priori which-way information is still available in the form of path predictability P which depends on the particle's decay rate Γ. We further demonstrate that in a matter-wave Mach–Zehnder interferometer using an excited atom with an appropriately tuned cavity, P is related to V through the duality relation P 2 +V 2 =1. - Highlights: • Even undecayed unstable particles exhibit novel interference effects. • Interference is studied in a Mach–Zehnder interferometer with a cavity. • More which-way information is available when using unstable particles. • A relation between which-way information and interference is satisfied

Non-Abelian magnetized blackholes and unstable attractors

International Nuclear Information System (INIS)

Mosaffa, A.E.; Randjbar-Daemi, S.; Sheikh-Jabbari, M.M.

2006-12-01

Fluctuations of non-Abelian gauge fields in a background magnetic flux contain tachyonic modes and hence the background is unstable. We extend these results to the cases where the background flux is coupled to Einstein gravity and show that the corresponding spherically symmetric geometries, which in the absence of a cosmological constant are of the form of Reissner-Nordstroem blackholes or the AdS 2 x S 2 , are also unstable. We discuss the relevance of these instabilities to several places in string theory including various string compactifications and the attractor mechanism. Our results for the latter imply that the attractor mechanism shown to work for the extremal Abelian charged blackholes, cannot be applied in a straightforward way to the extremal non-Abelian colored blackholes. (author)

On the representations of Poincare group associated with unstable particles

International Nuclear Information System (INIS)

Exner, RP.

1983-01-01

The problem of relativistically-covariant description of unstable particles is reexamined. We follow the approach which associates a unitary reducible representation of Poincare group with a larger isolated system, and compare it with the one ascribing a non-unitary irreducible representation to the unstable particle alone. It is shown that the problem roots in choice of the subspace Hsub(u) of the state Hilbert space which could be related to the unstable particle. Translational invariance of Hsub(u) is proved to be incompatible with unitarity of the boosts. Further we propose a concrete choice of Hsub(u) and argue that in most cases of the actual experimental arrangements, this subspace is effectively one-dimensional. A correct slow-down for decay of a moving particle is obtained

Nonlinear Analysis of an Unstable Bench Press Bar Path and Muscle Activation.

Science.gov (United States)

Lawrence, Michael A; Leib, Daniel J; Ostrowski, Stephanie J; Carlson, Lara A

2017-05-01

Lawrence, MA, Leib, DJ, Ostrowski, SJ, and Carlson, LA. Nonlinear analysis of an unstable bench press bar path and muscle activation. J Strength Cond Res 31(5): 1206-1211, 2017-Unstable resistance exercises are typically performed to improve the ability of stabilizing muscles to maintain joint integrity under a load. The purpose of this study was to examine the effects of an unstable load (as provided by a flexible barbell and a load suspended by elastic bands) on the bar path, the primary musculature, and stabilizing musculature while bench pressing using nonlinear analyses. Fifteen resistance-trained men (age 24.2 ± 2.7 years, mass 84.1 ± 12.0 kg, height 1.77 ± 0.05 m, 9.9 ± 3.4 years of lifting experience, and bench press 1 repetition maximum (RM) 107.5 ± 25.9 kg) volunteered for this study. Subjects pressed 2 sets of 5 repetitions in both stable (total load 75% 1RM) and unstable (total load 60% 1RM) conditions using a standard barbell and a flexible Earthquake bar, respectively. Surface electromyography was used to detect muscle activity of primary movers (pectoralis major, anterior deltoid, and triceps) and bar stabilizing musculature (latissimus dorsi, middle and posterior deltoid, biceps brachii, and upper trapezius). During the unstable condition, the bar moved in more ways and was less predictable in the mediolateral and anteroposterior directions. However, the muscle activation patterns of all muscles were more constrained with the unstable barbell. These findings suggest that the unstable condition was more challenging to control, but subjects controlled the instability by contracting their muscles in a more stable pattern or "staying tight" throughout the exercise.

Can Unstable Shoe Be Used As a Safety Training Shoe for Rehabilitation Exercises?

Directory of Open Access Journals (Sweden)

Amin Gandomkar

2014-04-01

Full Text Available Objective: Unstable shoes have been recommended to osteoarthritis patients in order to reduce walking injuries. The aim of this study was to test the effect of unstable shoe on biomechanical selected variables related to injury during stanse phase of running. Materials & Methods: Twenty five healthy young male students available men (21±2.27years participated in this study. Subjects were asked to ran on the force plate in barefoot, with unstable and control shoe conditions. Active and passive joint power, peak anterior-posterior forces, active and passive vertical force, loading rate and impulse of posterior and passive vertical forces variables were recorded using synchronizing force plate and video camera and calculated in MATLAB software. A repeated measure of ANOVA used to test the hypothesis in SPSS software (version 20, p<0.05. Results: negative power at Ankle joint decreased significantly by 49%, 35% using unstable shoe compared to contol shoe and barefoot conditions respectively (P=0.02,P<0.05. Furthemore, unstable shoe decreased significantly the active ankle power compared to barefoot condition by 23% (P=0.01. Loading rate and peak of passive vertical force, impulse and peak of posterior force increased significantly in unstable shoe compared to control shoe (P<0.05. Conclusion: Unstable shoe increased some of running related injuries risk factors such as Loading rate and peak of passive vertical force, impulse and peak of posterior force. Furthemore, this shoe could decrease absorption potential shank muscles and ankle active stability compared to control shoe. However, with increase of ankle active power compared to barefoot and lower anterior force, Unstable shoe could improve the ankle joint force generation and propulsion potential.

Quantum demolition filtering and optimal control of unstable systems.

Science.gov (United States)

Belavkin, V P

2012-11-28

A brief account of the quantum information dynamics and dynamical programming methods for optimal control of quantum unstable systems is given to both open loop and feedback control schemes corresponding respectively to deterministic and stochastic semi-Markov dynamics of stable or unstable systems. For the quantum feedback control scheme, we exploit the separation theorem of filtering and control aspects as in the usual case of quantum stable systems with non-demolition observation. This allows us to start with the Belavkin quantum filtering equation generalized to demolition observations and derive the generalized Hamilton-Jacobi-Bellman equation using standard arguments of classical control theory. This is equivalent to a Hamilton-Jacobi equation with an extra linear dissipative term if the control is restricted to Hamiltonian terms in the filtering equation. An unstable controlled qubit is considered as an example throughout the development of the formalism. Finally, we discuss optimum observation strategies to obtain a pure quantum qubit state from a mixed one.

J-integral evaluation and stability analysis in the unstable ductile fracture

International Nuclear Information System (INIS)

Miyoshi, Toshiro; Yoshida, Yuichiro; Shiratori, Masaki.

1984-01-01

Concerning unstable ductile fracture, which is an important problem on the structural stability of line pipes, nuclear reactor piping and so on, the research on fracture mechanics parameters which control the beginning of the stable growth and unstable growth of cracks attracts interest. At present, as the parameters, the T-modulus based on J-integral crack tip opening angle, crack opening angle averaged over crack developing part, plastic work coefficient and so on have been proposed. The research on the effectiveness and inter-relation of these parameters is divided into generation phase and application phase, and by these researches, it was reported that all T-modulus, CTOA and COA took almost constant values in relation to crack development, except initial transition period. In order to decide which parameter is most appropriate, the detailed analysis is required. In this study, the analysis of unstable ductile fracture of a central crack test piece and a small tensile test piece was carried out by finite element method, and the evaluation of J-integral in relation to crack development, J-integral resistance value when COA is assumed to be a constant, the form of an unstable fracture occurring point and the compliance dependence were examined. The method of analysis, the evaluation of J-integral, J-integral resistance value, unstable fracture occurring point and stability diagram are described. (Kako, I.)

Characterization of Unstable Rock Slopes Through Passive Seismic Measurements

Science.gov (United States)

Kleinbrod, U.; Burjanek, J.; Fäh, D.

2014-12-01

Catastrophic rock slope failures have high social impact, causing significant damage to infrastructure and many casualties throughout the world each year. Both detection and characterization of rock instabilities are therefore of key importance. An analysis of ambient vibrations of unstable rock slopes might be a new alternative to the already existing methods, e.g. geotechnical displacement measurements. Systematic measurements have been performed recently in Switzerland to study the seismic response of potential rockslides concerning a broad class of slope failure mechanisms and material conditions. Small aperture seismic arrays were deployed at sites of interest for a short period of time (several hours) in order to record ambient vibrations. Each measurement setup included a reference station, which was installed on a stable part close to the instability. Recorded ground motion is highly directional in the unstable parts of the rock slope, and significantly amplified with respect to stable areas. These effects are strongest at certain frequencies, which were identified as eigenfrequencies of the unstable rock mass. In most cases the directions of maximum amplification are perpendicular to open cracks and in good agreement with the deformation directions obtained by geodetic measurements. Such unique signatures might improve our understanding of slope structure and stability. Thus we link observed vibration characteristics with available results of detailed geological characterization. This is supported by numerical modeling of seismic wave propagation in fractured media with complex topography.For example, a potential relation between eigenfrequencies and unstable rock mass volume is investigated.

Unstable pigment mutants of Chlorella vulgaris B. as induced by UV irradiation

International Nuclear Information System (INIS)

Chankova, S.; Vinarova, K.

1987-01-01

The dynamics of arising of unstable 'segregating' pigment mutants of Chlorella vulgaris B. has been investigated in dependence on the dose of UV-rays applied and the macro- and microstructural changes taking place. The mutants are found to occur with a low frequency, irrespective of the dose applied and the presence or absence of photo-reactivation. A constantly recurring process of decomposition into two subclones is observed: light green (unstable) and yellow-green (stable). The existence of two cellular populations - structurally damaged and structurally undamaged - in the light-green unstable subclone has been demonstrated. There exists a qualitative and a quantitative correlation between the structural deformations in the cell and the dose with which the unstable pigment mutants are induced. Disturbances in the cell division are observed,resulting in delayed growth rate and the formation of small colonies

Effects of core strength training using stable versus unstable surfaces on physical fitness in adolescents: a randomized controlled trial.

Science.gov (United States)

Granacher, Urs; Schellbach, Jörg; Klein, Katja; Prieske, Olaf; Baeyens, Jean-Pierre; Muehlbauer, Thomas

2014-01-01

It has been demonstrated that core strength training is an effective means to enhance trunk muscle strength (TMS) and proxies of physical fitness in youth. Of note, cross-sectional studies revealed that the inclusion of unstable elements in core strengthening exercises produced increases in trunk muscle activity and thus provide potential extra training stimuli for performance enhancement. Thus, utilizing unstable surfaces during core strength training may even produce larger performance gains. However, the effects of core strength training using unstable surfaces are unresolved in youth. This randomized controlled study specifically investigated the effects of core strength training performed on stable surfaces (CSTS) compared to unstable surfaces (CSTU) on physical fitness in school-aged children. Twenty-seven (14 girls, 13 boys) healthy subjects (mean age: 14 ± 1 years, age range: 13-15 years) were randomly assigned to a CSTS (n = 13) or a CSTU (n = 14) group. Both training programs lasted 6 weeks (2 sessions/week) and included frontal, dorsal, and lateral core exercises. During CSTU, these exercises were conducted on unstable surfaces (e.g., TOGU© DYNAIR CUSSIONS, THERA-BAND© STABILITY TRAINER). Significant main effects of Time (pre vs. post) were observed for the TMS tests (8-22%, f = 0.47-0.76), the jumping sideways test (4-5%, f = 1.07), and the Y balance test (2-3%, f = 0.46-0.49). Trends towards significance were found for the standing long jump test (1-3%, f = 0.39) and the stand-and-reach test (0-2%, f = 0.39). We could not detect any significant main effects of Group. Significant Time x Group interactions were detected for the stand-and-reach test in favour of the CSTU group (2%, f = 0.54). Core strength training resulted in significant increases in proxies of physical fitness in adolescents. However, CSTU as compared to CSTS had only limited additional effects (i.e., stand-and-reach test). Consequently, if the

Technetium-99m-pyrophosphate myocardial imaging in unstable angina

International Nuclear Information System (INIS)

Willerson, J.T.; Parkey, R.W.; Lewis, S.E.; Buja, L.M.; Bonte, F.J.

1980-01-01

The authors have found that approximately one third of patients with the syndrome of unstable angina pectoris have abnormal 99mTc-pyrophosphate myocardial scintigrams even in the absence of abnormal enzymes and electrocardiographic confirmation of the presence of acute myocardial necrosis. Thus, 99mTc-pyrophosphate myocardial imaging technique appears to represent a sensitive means to detect acute multicellular injury associated with the clinical syndrome of unstable angina pectoris even when cardiac enzymes are normal and the electrocardiogram does not definitively document the presence of acute myocardial necrosis. (Auth.)

Unstable Titan-generated Rayleigh-Taylor Lakes Impact Ice

Science.gov (United States)

Umurhan, O. M.; Korycansky, D. G.; Zahnle, K. J.

2014-12-01

The evolution of surface morphology on Titan, Triton, and other worlds is strongly influenced by the interplay of various fluid dynamical processes. Specifically, overturning instabilities can easily arise due to the special circumstances of landform evolution that probably occurred on these worlds. On Titan, large impacts that formed basins like Menrva crater (and possibly Hotei Regio) would have generated impact-melt ice lakes unstably arranged over less dense ice. Cantaloupe terrains, for example as seen on Triton, may be the result of condensation of volatiles (methane, nitrogen) leading to unstably stratified layers of different compositions and densities. In each of these cases, Rayleigh-Taylor instabilities leading to large scale diapirism may be at play. In addition to the dynamics of these instabilities, other physical effects (e.g. heat diffusion, freezing/melting, porosity, temperature dependent viscosity) likely play an important role in the evolution of these features. In this ongoing study, we examine the properties of unstably stratified fluids in which the lower less-dense ice has a temperature dependent viscosity. Surprisingly, we find that there exists an optimal disturbance length scale corresponding to the fastest growth of the Rayleigh-Taylor instability. For unstably stratified layers of water (low viscosity heavy liquid lying above an ice whose viscosity increases with depth) the fastest growing mode corresponds to 40-60 km scales with overturn times of approximately 100 days. We present a detailed numerical stability analysis in a corresponding Boussinessq model (in the creeping flow limit) incorporating thermal conduction and latent heat release and we examine the stability properties surveying a variety of parameters. We have also developed a two-dimensional numerical code (a hybrid spectral/compact-differencing scheme) to model the evolution of such systems for which we shall present preliminary numerical results depicting the outcome of

Scaling Laws for Unstable Interfaces Driven by Strong Shocks in Cylindrical Geometry

International Nuclear Information System (INIS)

Zhang, Q.; Graham, M.J.; Graham, M.J.

1997-01-01

The Richtmyer-Meshkov (RM) instability is an interfacial interface between two fluids of different densities driven by shock waves and plays an important role in the studies of inertial confinement fusion and of supernovas. So far, most of the studies are for RM unstable interfaces driven by weak or intermediate shocks in planar geometry. For experiments conducted at the Nova laser, the unstable material interface is accelerated by very strong shocks. In this Letter, we present scaling laws for the RM unstable interface driven by strong imploding and exploding shocks. copyright 1997 The American Physical Society

STATIC BALANCE MEASUREMENTS IN STABLE AND UNSTABLE CONDITIONS DO NOT DISCRIMINATE GROUPS OF YOUNG ADULTS ASSESSED BY THE FUNCTIONAL MOVEMENT SCREEN™ (FMS™).

Science.gov (United States)

Trindade, Matheus A; de Toledo, Aline Martins; Cardoso, Jefferson Rosa; Souza, Igor Eduardo; Dos Santos Mendes, Felipe Augusto; Santana, Luisiane A; Carregaro, Rodrigo Luiz

2017-11-01

The Functional Movement Screen™ (FMS™) has been the focus of recent research related to movement profiling and injury prediction. However, there is a paucity of studies examining the associations between physical performance tasks such as balance and the FMS™ screening system. The purpose of this study was to compare measures of static balance in stable and unstable conditions between different groups divided by FMS™ scores. A secondary purpose was to discern if balance indices discriminate the groups divided by FMS™ scores. Cross-sectional study. Fifty-seven physically active subjects (25 men and 32 women; mean age of 22.9 ± 3.1 yrs) participated. The outcome was unilateral stance balance indices, composed by: Anteroposterior Index; Medial-lateral Index, and Overall Balance Index in stable and unstable conditions, as provided by the Biodex balance platform. Subjects were dichotomized into two groups, according to a FMS™ cut-off score of 14: FMS1 (score > 14) and FMS2 (score ≤ 14). The independent Students t-test was used to verify differences in balance indices between FMS1 and FMS2 groups. A discriminant analysis was applied in order to identify which of the balance indices would adequately discriminate the FMS™ groups. Comparisons between FMS1 and FMS2 groups in the stable and unstable conditions demonstrated a higher unstable Anteroposterior index for FMS2 (p=0.017). No significant differences were found for other comparisons (p>0.05). The indices did not discriminate the FMS™ groups ( p  > 0.05). The balance indices adopted in this study were not useful as a parameter for identification and discrimination of healthy subjects assessed by the FMS™. 2c.

Wear Behavior of an Unstable Knee: Stabilization via Implant Design?

Directory of Open Access Journals (Sweden)

Jörn Reinders

2014-01-01

Full Text Available Background. Wear-related failures and instabilities are frequent failure mechanisms of total knee replacements. High-conforming designs may provide additional stability for the joint. This study analyzes the effects of a ligamentous insufficiency on the stability and the wear behavior of a high-conforming knee design. Methods. Two simulator wear tests were performed on a high-conforming total knee replacement design. In the first, a ligamentous-stable knee replacement with a sacrificed anterior cruciate ligament was simulated. In the second, a ligamentous-unstable knee with additionally insufficient posterior cruciate ligament and medial collateral ligament was simulated. Wear was determined gravimetrically and wear particles were analyzed. Implant kinematics was recorded during simulation. Results. Significantly higher wear rates (P≤0.001 were observed for the unstable knee (14.58±0.56 mg/106 cycles compared to the stable knee (7.97 ± 0.87 mg/106 cycles. A higher number of wear particles with only small differences in wear particle characteristics were observed. Under unstable knee conditions, kinematics increased significantly for translations and rotations (P≤0.01. This increase was mainly attributed to higher tibial posterior translation and internal rotations. Conclusion. Higher kinematics under unstable test conditions is a result of insufficient stabilization via implant design. Due to the higher kinematics, increased wear was observed in this study.

gamma. -unstable nuclei in the sdg boson model

Energy Technology Data Exchange (ETDEWEB)

Kuyucak, S.; Lac, V.S.; Morrison, I.; Barrett, B.R. (School of Physics, Univ. of Melbourne, Parkville (Australia))

1991-07-18

Following the recent Pt(p, p') experiments which indicated the need for g bosons to reproduce the E4 data, we have extended the O(6) limit of the sd boson model to include g bosons. It is shown that a {gamma}-unstable hamiltonian in the sdg model consisting of a quadrupole interaction and a g boson energy leads to results that are very similar to the O(6) limit. Deviations from the empirical energy spectrum that stem from the {gamma}-unstable nature of the hamiltonian can be improved by including a consistent hexadecapole interaction which induces triaxiality. The same hexadecapole operator can also account for the strong E4 transitions. Applications are made to the Xe and Pt isotopes. (orig.).

γ-unstable nuclei in the sdg boson model

Science.gov (United States)

Kuyucak, S.; Lac, V.-S.; Morrison, I.; Barrett, B. R.

1991-07-01

Following the recent Pt(p, p‧) experiments which indicated the need for g bosons to reproduce the E4 data, we have extended the O(6) limit of the sd boson model to include g bosons. It is shown that a γ-unstable hamiltonian in the sdg model consisting of a quadrupole interaction and a g boson energy leads to results that are very similar to the O(6) limit. Deviations from the empirical energy spectrum that stem from the γ-unstable nature of the hamiltonian can be improved by including a consistent hexadecapole interaction which induces triaxiality. The same hexadecapole operator can also account for the strong E4 transitions. Applications are made to the Xe and Pt isotopes.

Optical isotope shifts for unstable samarium isotopes

International Nuclear Information System (INIS)

Eastham, D.A.; Walker, P.M.; Griffith, J.A.R.; Evans, D.E.; Grant, I.S.; England, J.G.; Fawcett, M.J.

1984-01-01

Using a tunable dye laser beam intersecting a thermal atomic beam, optical isotope shifts and hyperfine splittings have been measured for the four unstable samarium isotopes between 144 Sm and 154 Sm, covering the well known transition region from spherical to deformed shapes. (orig.)

Unstable Systems in Relativistic Quantum Field Theory

CERN Document Server

Maiani, Luciano

1998-01-01

We show how the state of an unstable particle can be defined in terms of stable asymptotic states. This general definition is used to discuss and to solve some old problems connected with the short-time and large-time behaviour of the non-decay amplitude.

LATERAL MARKETING IN THE CONTEXT OF THE SUCCESSFUL PRODUCT POLICY OF WINERIES IN THE REPUBLIC OF MOLDOVA

Directory of Open Access Journals (Sweden)

Svetlana GHENOVA

2016-06-01

Full Text Available This scientific publication is aimed at solving application of lateral marketing the issues of in the context of commodity policy of wineries in the Republic of Moldova. Currently, Moldovan wineries face with a high level of competition,both in foreign and domestic market of alcoholic beverages, which leads to an unstable dynamics of growth of volumes of production and sales of their products. We have also studied examples of applying the lateral technology of Moldovan wineries, which revealed the level of the problem and their implementation. Along with this, a number of recommendations have been made in the framework of lateral marketing at the product level, market and marketing mix, allowing increasing the efficiency of commodity policy of domestic wineries.

Numerical simulation of a improving virtual confocal unstable resonator with circular mirrors of spherical surfaces

International Nuclear Information System (INIS)

Wang Taichun; Fu Hanqing; Du Xiangwan

1999-01-01

Based on the analysis of advantages and disadvantages of the unstable resonator with a phase-unifying output coupler, the improving unstable resonator are designed. The numerical simulation results indicate that the improving unstable resonator overcomes disadvantages of that resonator and its far-field intensity focusing is better than the conventional resonator

Diagnostic possibilities of radionuclide investigation in patterns with stable and unstable angina pectoris

International Nuclear Information System (INIS)

Ponomareva, A.G.; Zudbinov, Yu.I.; Sokolov, O.K.; Kudinov, V.I.

1986-01-01

Myocardial radiocardiography and scintigraphy with 99m Tc-pyrophosphate was performed in 58 patients with stable angina and 60 patients with unstable angina. In patients with stable angina, positive scintigrams were mostly recorded after anginal attacks. Their central hemodynamic parameters deteriorated progressively as angina increased in severity. Patients with unstable angina typically showed myocardial accumulation of the label that was unrelated to anginal attacks and recordable by direct-projection scintigraphy. The assessment of myocardial radiocardiographic and scintigraphic data allows one to differentiate between stable and unstable angina

Generating Unstable Resonances for Extraction Schemes Based on Transverse Splitting

CERN Document Server

Giovannozzi, M; Turchetti, G

2009-01-01

A few years ago, a novel multi-turn extraction scheme was proposed, based on particle trapping inside stable resonances. Numerical simulations and experimental tests have confirmed the feasibility of such a scheme for low order resonances. While the third-order resonance is generically unstable and those higher than fourth-order are generically stable, the fourth-order resonance can be either stable or unstable depending on the specifics of the system under consideration. By means of the Normal Form a general approach to control the stability of the fourth-order resonance has been derived. This approach is based on the control of the amplitude detuning and the general form for a lattice with an arbitrary number of sextupole and octupole families is derived in this paper. Numerical simulations have confirmed the analytical results and have shown that, when crossing the unstable fourth-order resonance, the region around the centre of the phase space is depleted and particles are trapped in only the four stable ...

Effects of an unstable shoe construction on balance in women aged over 50 years

DEFF Research Database (Denmark)

Ramstrand, Nerrolyn; Thuesen, Anna Helena; Nielsen, Dennis Brandborg

2010-01-01

BACKGROUND: Shoes with an unstable sole construction are commonly used as a therapeutic tool by physiotherapists and are widely available from shoe and sporting goods retailers. The aim of this study was to investigate the effects of using an unstable shoe (Masai Barefoot Technology) on standing ....... INTERPRETATION: Results from the present study suggest that, for this group of individuals, use of unstable footwear may improve certain aspects of balance....

Diagnosis of Unstable Angina Pectoris Has Declined Markedly with the Advent of More Sensitive Troponin Assays

DEFF Research Database (Denmark)

D'Souza, Maria; Sarkisian, Laura; Saaby, Lotte

2015-01-01

]) was established in cases of a rise and/or fall of cardiac troponin I together with cardiac ischemic features. Patients with unstable chest discomfort and cardiac troponin I values below the decision limit of myocardial infarction were diagnosed as having unstable angina pectoris. The definition of acute coronary...... syndrome included unstable angina pectoris, NSTEMI, and STEMI. Mortality data were obtained from the Danish Civil Personal Registration System. RESULTS: Of 3762 consecutive patients, 516 had acute coronary syndrome. Unstable angina pectoris was present in 7%, NSTEMI in 67%, and STEMI in 26%. The NSTEMI...... patients were older, more frequently women, and had more comorbidities than patients with unstable angina pectoris and STEMI. At median follow-up of 3.2 years 195 patients had died: 14% of unstable angina pectoris, 45% of NSTEMI, and 25% of STEMI patients. Age-adjusted log-rank statistics revealed...

Frequency, imaging findings, risk factors, and long-term sequelae of distal clavicular osteolysis in young patients

Energy Technology Data Exchange (ETDEWEB)

Roedl, Johannes B.; Nevalainen, Mika; Gonzalez, Felix M.; Morrison, William B.; Zoga, Adam C. [Thomas Jefferson University Hospital, Thomas Jefferson University, Division of Musculoskeletal Imaging and Interventions, Department of Radiology, Philadelphia, PA (United States); Dodson, Christopher C. [Thomas Jefferson University Hospital, Rothman Institute, Sidney Kimmel Medical College at Thomas Jefferson University, Division of Sports Medicine, Department of Orthopedic Surgery, Philadelphia, PA (United States)

2015-05-01

Atraumatic distal clavicular osteolysis (DCO) has been described in adult male weightlifters. Our purpose was to investigate the frequency, magnetic resonance imaging (MRI) characteristics, risk factors, and long-term sequelae of DCO in young patients. Individuals with atraumatic DCO were identified in a retrospective review of 1,432 consecutive MRI shoulder reports in patients between 13 and 19 years of age. MRI findings of DCO, association with athletic activity, short-term clinical outcome after 3-6 months, and long-term clinical and MRI outcome after 2 years were analyzed. A pre-MRI questionnaire assessed the patients' athletic history including overhead activity and weightlifting. At a mean age of 15.9 years, 6.5 % (93/1432) of patients had atraumatic DCO, and 24 % were females. The combination of an overhead sport (basketball, volleyball, tennis, swimming) and supplemental weight training was a risk factor for DCO (odds ratio = 38, p = 0.01). Ninety-three percent of patients responded to conservative therapy. On follow-up imaging, 71 % of DCO patients had acromioclavicular (AC) joint osteoarthritis (vs. 35 % in controls, p = 0.006); 79 % had flattening of the distal clavicle and interval widening of the AC joint to a mean of 5.0 mm (compared to 2.4 mm in controls, p < 0.001). Severity of DCO edema was associated with pain (p < 0.02) at initial presentation and with AC joint osteoarthritis (p = 0.004) on follow-up. In athletic teenagers, the combination of weightlifting and overhead activity is a risk factor for atraumatic DCO, and females are affected in 24 %. Long-term sequelae include widening of the AC joint and AC joint osteoarthritis. (orig.)

Frequency, imaging findings, risk factors, and long-term sequelae of distal clavicular osteolysis in young patients

International Nuclear Information System (INIS)

Roedl, Johannes B.; Nevalainen, Mika; Gonzalez, Felix M.; Morrison, William B.; Zoga, Adam C.; Dodson, Christopher C.

2015-01-01

Atraumatic distal clavicular osteolysis (DCO) has been described in adult male weightlifters. Our purpose was to investigate the frequency, magnetic resonance imaging (MRI) characteristics, risk factors, and long-term sequelae of DCO in young patients. Individuals with atraumatic DCO were identified in a retrospective review of 1,432 consecutive MRI shoulder reports in patients between 13 and 19 years of age. MRI findings of DCO, association with athletic activity, short-term clinical outcome after 3-6 months, and long-term clinical and MRI outcome after 2 years were analyzed. A pre-MRI questionnaire assessed the patients' athletic history including overhead activity and weightlifting. At a mean age of 15.9 years, 6.5 % (93/1432) of patients had atraumatic DCO, and 24 % were females. The combination of an overhead sport (basketball, volleyball, tennis, swimming) and supplemental weight training was a risk factor for DCO (odds ratio = 38, p = 0.01). Ninety-three percent of patients responded to conservative therapy. On follow-up imaging, 71 % of DCO patients had acromioclavicular (AC) joint osteoarthritis (vs. 35 % in controls, p = 0.006); 79 % had flattening of the distal clavicle and interval widening of the AC joint to a mean of 5.0 mm (compared to 2.4 mm in controls, p < 0.001). Severity of DCO edema was associated with pain (p < 0.02) at initial presentation and with AC joint osteoarthritis (p = 0.004) on follow-up. In athletic teenagers, the combination of weightlifting and overhead activity is a risk factor for atraumatic DCO, and females are affected in 24 %. Long-term sequelae include widening of the AC joint and AC joint osteoarthritis. (orig.)

Trunk muscle activity increases with unstable squat movements.

Science.gov (United States)

Anderson, Kenneth; Behm, David G

2005-02-01

The objective of this study was to determine differences in electromyographic (EMG) activity of the soleus (SOL), vastus lateralis (VL), biceps femoris (BF), abdominal stabilizers (AS), upper lumbar erector spinae (ULES), and lumbo-sacral erector spinae (LSES) muscles while performing squats of varied stability and resistance. Stability was altered by doing the squat movement on a Smith machine, a free squat, and while standing on two balance discs. Fourteen male subjects performed the movements. Activities of the SOL, AS, ULES, and LSES were highest during the unstable squat and lowest with the Smith machine protocol (p squats on unstable surfaces may permit a training adaptation of the trunk muscles responsible for supporting the spinal column (i.e., erector spinae) as well as the muscles most responsible for maintaining posture (i.e., SOL).

Gamma-unstable nuclei in the sdg boson model

Science.gov (United States)

Kuyucak, S.; Lac, V.-S.; Morrison, I.; Barret, B. R.

Following the recent Pt(p,p') experiments which indicated the need for high angular momentum (g) bosons to reproduce the E4 data, we have extended the O(6) limit of the sd boson model to the sdg bosons. It is shown that a gamma-unstable Hamiltonian in the sdg model consisting of a quadrupole interaction and a g boson energy leads to results that are very similar to the O(6) limit. Deviations from the empirical energy spectrum that stem from the gamma-unstable nature of the Hamiltonian can be improved by including a consistent hexadecapole interaction which induces triaxiality. The same hexadecapole operator can also account for the strong E4 transitions to the 4(sup +) states presumed to be g boson states. Specific applications are made to the Xe and Pt isotopes.

Fluoroscopy-guided reduction and fibular nail fixation to manage unstable ankle fractures in patients with diabetes: a retrospective cohort study.

Science.gov (United States)

Ashman, B D; Kong, C; Wing, K J; Penner, M J; Bugler, K E; White, T O; Younger, A S E

2016-09-01

Patients with diabetes are at increased risk of wound complications after open reduction and internal fixation of unstable ankle fractures. A fibular nail avoids large surgical incisions and allows anatomical reduction of the mortise. We retrospectively reviewed the results of fluoroscopy-guided reduction and percutaneous fibular nail fixation for unstable Weber type B or C fractures in 24 adult patients with type 1 or type 2 diabetes. The re-operation rate for wound dehiscence or other indications such as amputation, mortality and functional outcomes was determined. Two patients developed lateral side wound infection, one of whom underwent wound debridement. Three other patients required re-operation for removal of symptomatic hardware. No patient required a below-knee amputation. Six patients died during the study period for unrelated reasons. At a median follow-up of 12 months (7 to 38) the mean Short Form-36 Mental Component Score and Physical Component Score were 53.2 (95% confidence intervals (CI) 48.1 to 58.4) and 39.3 (95% CI 32.1 to 46.4), respectively. The mean Visual Analogue Score for pain was 3.1 (95% 1.4 to 4.9). The mean Ankle Osteoarthritis Scale total score was 32.9 (95% CI 16.0 to 49.7). Fluoroscopy-guided reduction and fibular nail fixation of unstable ankle fractures in patients with diabetes was associated with a low incidence of wound and overall complications, while providing effective surgical fixation. Cite this article: Bone Joint J 2016;98-B:1197-1201. ©2016 The British Editorial Society of Bone & Joint Surgery.

The azimuthally anisotropic emission of unstable light nuclear in the heavy ion collisions at intermediate energy

International Nuclear Information System (INIS)

He Zhiyong; Jin Genming; Li Zuyu; Duan Limin; Dai Guangxi; Zhang Baoguo; Wu Heyu; Wen Wanxin; Qi Yujin; Luo Qingzheng

1996-01-01

The unstable light nuclei emitted in the interaction of 40 Ar on 197 Au have been detected at energy of 25 MeV/u by using particle-particle correlation measurement at small relative angle. Their in-plane and out-of-plane emission were measured for three bins of experimentally estimated impact parameter. The enhanced in-plane emission for mid-rapidity unstable nuclei is observed. This enhanced in-plane emission becomes stronger with increasing of impact parameter, but changes small with the mass of unstable nuclei. The in-plane enhancement decreases slightly with the energy of excited state of unstable nuclei. For projectile-like unstable nuclei, the in-plane emission dominates as expected

Generating unstable resonances for extraction schemes based on transverse splitting

Directory of Open Access Journals (Sweden)

M. Giovannozzi

2009-02-01

Full Text Available A few years ago, a novel multiturn extraction scheme was proposed, based on particle trapping inside stable resonances. Numerical simulations and experimental tests have confirmed the feasibility of such a scheme for low order resonances. While the third-order resonance is generically unstable and those higher than fourth order are generically stable, the fourth-order resonance can be either stable or unstable depending on the specifics of the system under consideration. By means of the normal form, a general approach to control the stability of the fourth-order resonance has been derived. This approach is based on the control of the amplitude detuning and the general form for a lattice with an arbitrary number of sextupole and octupole families is derived in this paper. Numerical simulations have confirmed the analytical results and have shown that, when crossing the unstable fourth-order resonance, the region around the center of the phase space is depleted and particles are trapped in only the four stable islands. A four-turn extraction could be designed using this technique.

Theory of elementary excitations in unstable Bose-Einstein condensates and the instability of sonic horizons

International Nuclear Information System (INIS)

Leonhardt, U.; Kiss, T.; Oehberg, P.

2003-01-01

Like classical fluids, quantum gases may suffer from hydrodynamic instabilities. Our paper develops a quantum version of the classical stability analysis in fluids, the Bogoliubov theory of elementary excitations in unstable Bose-Einstein condensates. In unstable condensates the excitation modes have complex frequencies. We derive the normalization conditions for unstable modes such that they can serve in a mode decomposition of the noncondensed component. Furthermore, we develop approximative techniques to determine the spectrum and the mode functions. Finally, we apply our theory to sonic horizons - sonic black and white holes. For sonic white holes the spectrum of unstable modes turns out to be intrinsically discrete, whereas black holes may be stable

Search for unstable photinos

International Nuclear Information System (INIS)

Mayer, P.

1987-04-01

We have searched in e + e - -annihilation for the photino, the partner of the photon, which is predicted by supersymmetry. Photinos can be pair produced in e + e - annihilation by the exchange of a scalar electron, the partner of the electron. It was assumed that the photino is unstable and decays in a photon and a lighter supersymmetric particle. This second particle leaves the detector unobserved. In the final state one sees then two photons with missing energy and missing momentum. The data were taken with the detector CELLO at the e + e - storage ring PETRA at DESY, Hamburg. The CMS energy was between 38.3 GeV and 46.8 GeV, the total luminosity was 38.3 pb -1 . The liquid argon lead calorimeter of CELLO, the most important part for this analysis, is specialised for the measurement of electromagnetic showers. It has a good space resolution and covers 96% of the solid angle of 4π. We have selected events with 2 photons in the central calorimeter, both with an energy of more than 2 GeV. The high background due to cosmic showers was reduced by accepting only events which were correlated to the time of the e + e - annihilation. Also the direction of the showers had to point to the interaction point. The applied cuts accepted the expected events with a probability P≅0.3. No event was found which was compatible with the production of unstable photinos. One can give limits on the mass of the photino, which depend on the mass of the scalar electron and on the decay path of the photino. In the simplest case, if all photinos decay at the interaction point, photinos with masses below 21 GeV are excluded (with a mass of the scalar electron below 40 GeV). (orig.) [de

γ-unstable nuclei in the sdg boson model

International Nuclear Information System (INIS)

Kuyucak, S.; Lac, V-S.; Morrison, I.; Barret, B.R.

1991-01-01

Following the recent Pt(p,p') experiments which indicated the need for g bosons to reproduce the E4 data, we have extended the O(6) limit of the sd boson model to the sdg bosons. It is shown that a γ-unstable Hamiltonian in the sdg model consisting of a quadrupole interaction and a g boson energy leads to results that are very similar to the O(6) limit. Deviations from the empirical energy spectrum that stem from the γ-unstable nature of the Hamiltonian can be improved by including a consistent hexadecapole interaction which induces triaxiality. The same hexadecapole operator can also account for the strong E4 transitions to the 4 + states presumed to be g boson states. Specific applications are made to the Xe and Pt isotopes. 12 refs., 2 tabs., 4 figs

Energy harvesting by dynamic unstability and internal resonance for piezoelectric beam

Energy Technology Data Exchange (ETDEWEB)

Lan, Chunbo; Qin, Weiyang, E-mail: 353481781@qq.com; Deng, Wangzheng [Department of Engineering Mechanics, Northwestern Polytechnical University, Xi' an 710072 (China)

2015-08-31

We investigated the energy harvesting of a vertical beam with tip mass under vertical excitations. We applied dynamic unstability and internal resonance to improve the efficiency of harvesting. The experiments of harmonic excitation were carried out. Results show that for the beam there exist internal resonances in the dynamically unstable and the buckling bistable cases. The dynamic unstability is a determinant for strong internal resonance or mode coupling, which can be used to create a large output from piezoelectric patches. Then, the experiments of stochastic excitation were carried out. Results prove that the internal resonance or mode coupling can transfer the excitation energy to the low order modes, mainly the first and the second one. This can bring about a large output voltage. For a stochastic excitation, it is proved that there is an optimal weight of tip mass for realizing internal resonance and producing large outputs.

Infrared sensitivity of unstable vacua

International Nuclear Information System (INIS)

Krotov, Dmitry; Polyakov, Alexander M.

2011-01-01

We discover that some unstable vacua have long memory. By that we mean that even in the theories containing only massive particles, there are correllators and expectation values which grow with time. We examine the cases of instabilities caused by the constant electric fields, expanding and contracting universes and, most importantly, the global de Sitter space. In the last case the interaction leads to a remarkable UV/IR mixing and to a large back reaction. This gives reasons to believe that the cosmological constant problem could be resolved by the infrared physics.

Concluding remarks of the International symposium on structure and reactions of unstable nuclei

International Nuclear Information System (INIS)

Mueller, A.C.

1991-01-01

A brief history of unstable beams is given, followed by a short description of the experimental facilities. The structure and reaction of unstable nuclei is discussed, and the neutron-halo nuclei are studied. Some considerations are given related to exotic-beam facilities. (K.A.) 14 refs., 2 figs

The fate of unstable gauge flux compactifications

Energy Technology Data Exchange (ETDEWEB)

Burgess, C P [McMaster Univ., Hamilton, ON (Canada). Dept. of Physics and Astronomy; [Perimeter Institute for Theoretical Physics, Waterloo, ON (Canada); Parameswaran, S L [Hamburg Univ. (Germany). 2. Inst. fuer Theoretische Physik; Zavala, I [Bonn Univ. (Germany). Bethe Center for Theoretical Physics and Physikalisches Inst.

2008-12-15

Fluxes are widely used to stabilise extra dimensions, but the supporting monopolelike configurations are often unstable, particularly if they arise as gauge flux within a non-abelian gauge sector. We here seek the endpoint geometries to which this instability leads, focussing on the simplest concrete examples: sphere-monopole compactifications in six dimensions. Without gravity most monopoles in non-abelian gauge groups are unstable, decaying into the unique stable monopole in the same topological class. We show that the same is true in Einstein-YM systems, with the new twist that the decay leads to a shrinkage in the size of the extra dimensions and curves the non-compact directions: in D dimensions a Mink{sub D-2} x S{sub 2} geometry supported by an unstable monopole relaxes to AdS{sub D-2} x S{sub 2}, with the endpoint sphere smaller than the initial one. For supergravity the situation is more complicated because the dilaton obstructs such a simple evolution. The endpoint instead acquires a dilaton gradient, thereby breaking some of the spacetime symmetries. For 6D supergravity we argue that it is the 4D symmetries that break, and examine several candidates for the endpoint geometry. By using the trick of dimensional oxidation it is possible to recast the supergravity system as a higher-dimensional Einstein-YM monopole, allowing understanding of this system to guide us to the corresponding endpoint. The result is a Kasner-like geometry conformal to Mink{sub 4} times S{sub 2}, with nontrivial conformal factor and dilaton breaking the maximal 4D symmetry and generating a singularity. Yet the resulting configuration has a lower potential energy than did the initial one, and is perturbatively stable, making it a sensible candidate endpoint for the evolution. (orig.)

The fate of unstable gauge flux compactifications

International Nuclear Information System (INIS)

Burgess, C.P.; Parameswaran, S.L.; Zavala, I.

2008-12-01

Fluxes are widely used to stabilise extra dimensions, but the supporting monopolelike configurations are often unstable, particularly if they arise as gauge flux within a non-abelian gauge sector. We here seek the endpoint geometries to which this instability leads, focussing on the simplest concrete examples: sphere-monopole compactifications in six dimensions. Without gravity most monopoles in non-abelian gauge groups are unstable, decaying into the unique stable monopole in the same topological class. We show that the same is true in Einstein-YM systems, with the new twist that the decay leads to a shrinkage in the size of the extra dimensions and curves the non-compact directions: in D dimensions a Mink D-2 x S 2 geometry supported by an unstable monopole relaxes to AdS D-2 x S 2 , with the endpoint sphere smaller than the initial one. For supergravity the situation is more complicated because the dilaton obstructs such a simple evolution. The endpoint instead acquires a dilaton gradient, thereby breaking some of the spacetime symmetries. For 6D supergravity we argue that it is the 4D symmetries that break, and examine several candidates for the endpoint geometry. By using the trick of dimensional oxidation it is possible to recast the supergravity system as a higher-dimensional Einstein-YM monopole, allowing understanding of this system to guide us to the corresponding endpoint. The result is a Kasner-like geometry conformal to Mink 4 times S 2 , with nontrivial conformal factor and dilaton breaking the maximal 4D symmetry and generating a singularity. Yet the resulting configuration has a lower potential energy than did the initial one, and is perturbatively stable, making it a sensible candidate endpoint for the evolution. (orig.)

Buoyant Unstable Behavior of Initially Spherical Lean Hydrogen-Air Premixed Flames

Directory of Open Access Journals (Sweden)

Zuo-Yu Sun

2014-07-01

Full Text Available Buoyant unstable behavior in initially spherical lean hydrogen-air premixed flames within a center-ignited combustion vessel have been studied experimentally under a wide range of pressures (including reduced, normal, and elevated pressures. The experimental observations show that the flame front of lean hydrogen-air premixed flames will not give rise to the phenomenon of cellular instability when the equivalence ratio has been reduced to a certain value, which is totally different from the traditional understanding of the instability characteristics of lean hydrogen premixed flames. Accompanied by the smoothened flame front, the propagation mode of lean hydrogen premixed flames transitions from initially spherical outwardly towards upwardly when the flames expand to certain sizes. To quantitatively investigate such buoyant instability behaviors, two parameters, “float rate (ψ” and “critical flame radius (Rcr”, have been proposed in the present article. The quantitative results demonstrate that the influences of initial pressure (Pint on buoyant unstable behaviors are different. Based on the effects of variation of density difference and stretch rate on the flame front, the mechanism of such buoyant unstable behaviors has been explained by the competition between the stretch force and the results of gravity and buoyancy, and lean hydrogen premixed flames will display buoyant unstable behavior when the stretch effects on the flame front are weaker than the effects of gravity and buoyancy.

CT of hemodynamically unstable abdominal trauma

International Nuclear Information System (INIS)

Petridis, A.; Pilavaki, M.; Vafiadis, E.; Palladas, P.; Finitsis, S.; Drevelegas, A.

1999-01-01

This article is an appraisal of the use of CT in the management of patients with unstable abdominal trauma. We examined 41 patients with abdominal trauma using noncontrast dynamic CT. In 17 patients a postcontrast dynamic CT was also carried out. On CT, 25 patients had hemoperitoneum. Thirteen patients had splenic, 12 hepatic, 6 pancreatic, 8 bowel and mesenteric, 12 renal and 2 vascular injuries. Seven patients had retroperitoneal and 2 patients adrenal hematomas. All but five lesions (three renal, one pancreatic, and one splenic) were hypodense when CT was performed earlier than 8 h following the injury. Postcontrast studies (n = 17), revealed 4 splenic, 3 hepatic, 1 pancreatic, 3 renal, and 2 bowel and mesenteric injuries beyond what was found on noncontrast CT. Surgical confirmation (n = 21) was obtained in 81.81 % of splenic, 66.66 % of hepatic, 83.33 % of pancreatic, 100 % of renal, 100 % of retroperitoneal, and 85.71 % of bowel and mesenteric injuries. The majority of false diagnoses was obtained with noncontrast studies. Computed tomography is a remarkable method for evaluation and management of patients with hemodynamically unstable abdominal trauma, but only if it is revealed in the emergency room. Contrast injection, when it could be done, revealed lesions that were not suspected on initial plain scans. (orig.)

Imaging unstable plaque

International Nuclear Information System (INIS)

SRIRANJAN, Rouchelle S.; TARKIN, Jason M.; RUDD, James H.; EVANS, Nicholas R.; CHOWDHURY, Mohammed M.

2016-01-01

Recent advances in imaging technology have enabled us to utilise a range of diagnostic approaches to better characterise high-risk atherosclerotic plaque. The aim of this article is to review current and emerging techniques used to detect and quantify unstable plaque in the context of large and small arterial systems and will focus on both invasive and non-invasive imaging techniques. While the diagnosis of clinically relevant atherosclerosis still relies heavily on anatomical assessment of arterial luminal stenosis, evolving multimodal cross-sectional imaging techniques that encompass novel molecular probes can provide added information with regard to plaque composition and overall disease burden. Novel molecular probes currently being developed to track precursors of plaque rupture such as inflammation, micro-calcification, hypoxia and neoangiogenesis are likely to have translational applications beyond diagnostics and have the potential to play a part in quantifying early responses to therapeutic interventions and more accurate cardiovascular risk stratification.

Accelerator complex for unstable beams at INS

International Nuclear Information System (INIS)

Tomizawa, M.; Arai, S.; Doi, M.; Katayama, T.; Niki, K.; Tokuda, N.; Yoshizawa, M.

1992-11-01

The construction of the prototype facility of the Exotic arena in the Japan Hadron Project (JHP) is started in 1992 at the Institute for Nuclear Study (INS), University of Tokyo. The purpose of this facility is to study the various technical problems of the Exotic arena, and to perform the experiment on nuclear and astrophysics with unstable nuclear beam. The unstable nuclei produced by bombarding a thick target with 40 MeV proton beam from the existing SF cyclotron are ionized in the ion sources, mass-analyzed by an ISOL, and transported to the accelerator complex. The accelerator complex consists of a split coaxial RFQ and an interdigital H type linac. The construction of accelerator will be completed in fiscal year 1994. The development of the SCRFQ and the IH linac which is suitable to the post-accelerator of the SCRFQ are reported. Charge stripper and the beam matching between the SCRFQ and the IH linac are explained. A buncher is necessary for the matching of longitudinal phase space between the SCRFQ and the IH linac. (K.I.)

Clinical Course of Two Children with Unstable Hemoglobins : The Effect of Hydroxyurea Therapy

NARCIS (Netherlands)

Loovers, Harriet M.; Tamminga, Nienke; Mulder, Andre B.; Tamminga, Rienk Y. J.

Case reports on the effect of hydroxyurea (HU) therapy for unstable hemoglobins (Hbs) are sparse; only three adult cases have been reported. We report for the first time on the effect of HU therapy in children carrying unstable Hbs. The first case concerns a female child with a familial history of

Effect of an Unstable Load on Primary and Stabilizing Muscles During the Bench Press.

Science.gov (United States)

Ostrowski, Stephanie J; Carlson, Lara A; Lawrence, Michael A

2017-02-01

Ostrowski, SJ, Carlson, LA, and Lawrence, MA. Effect of an unstable load on primary and stabilizing muscles during the bench press. J Strength Cond Res 31(2): 430-434, 2017-Unstable resistance exercises are performed to increase activity of stabilizing muscles. The premise is that this increase in activity will yield greater strength gains than traditional resistance exercises. The purpose of this study was to determine if an unstable load increases muscle activity of stabilizing muscles during a bench press as compared with a standard bench press with a typical load. Fifteen resistance-trained males (age 24.2 ± 2.7 years, mass 84.8 ± 12.0 kg, height 1.77 ± 0.05 m, weight lifting experience 9.9 ± 3.4 years, and bench press 1 repetition maximum [1RM] 107.5 ± 25.9 kg) volunteered for this study. Subjects pressed 2 sets of 5 repetitions in both stable (75% 1RM) and unstable (60% 1RM) conditions using a standard barbell and a flexible Earthquake bar, respectively. Surface electromyography was used to detect muscle activity of primary movers (pectoralis major, anterior deltoid, and triceps) and stabilizing musculature (latissimus dorsi, middle and posterior deltoid, biceps brachii, and upper trapezius). Muscle activity was compared using a multivariate analysis of variance to determine significant (p ≤ 0.05) phase and condition differences. The right and left biceps and the left middle deltoid were significantly more active in the unstable condition. Some of the stabilizing muscles were found to be significantly more active in the unstable condition with 15% less weight. Therefore, bench pressing with an unstable load appears promising in activating stabilizing musculature compared with pressing a typical barbell.

One-dimensional unstable eigenfunction and manifold computations in delay differential equations

International Nuclear Information System (INIS)

Green, Kirk; Krauskopf, Bernd; Engelborghs, Koen

2004-01-01

In this paper we present a new numerical technique for computing the unstable eigenfunctions of a saddle periodic orbit in a delay differential equation. This is used to obtain the necessary starting data for an established algorithm for computing one-dimensional (1D) unstable manifolds of an associated saddle fixed point of a suitable Poincare map. To illustrate our method, we investigate an intermittent transition to chaos in a delay system describing a semiconductor laser subject to phase-conjugate feedback

Considerations concering the generalization of the Dirac equations to unstable fermions

International Nuclear Information System (INIS)

Kniehl, Bernd A.; Sirlin, Alberto

2014-08-01

We discuss the generalization of the Dirac equations and spinors in momentum space to free unstable spin-1/2 fermions taking into account the fundamental requirement of Lorentz covariance. We derive the generalized adjoint Dirac equations and spinors, and explain the very simple relation that exists, in our formulation, between the unstable and stable cases. As an application of the generalized spinors, we evaluate the probability density. We also discuss the behavior of the generalized Dirac equations under time reversal.

Dynamical formation of a hairy black hole in a cavity from the decay of unstable solitons

International Nuclear Information System (INIS)

Sanchis-Gual, Nicolas; Font, José A; Carlos Degollado, Juan; Herdeiro, Carlos; Radu, Eugen

2017-01-01

Recent numerical relativity simulations within the Einstein–Maxwell–(charged-)Klein–Gordon (EMcKG) system have shown that the non-linear evolution of a superradiantly unstable Reissner–Nordström black hole (BH) enclosed in a cavity, leads to the formation of a BH with scalar hair. Perturbative evidence for the stability of such hairy BHs has been independently established, confirming they are the true endpoints of superradiant instability. The same EMcKG system admits also charged scalar soliton-type solutions, which can be either stable or unstable. Using numerical relativity techniques, we provide evidence that the time evolution of some of these unstable solitons leads, again, to the formation of a hairy BH. In some other cases, unstable solitons evolve into a (bald) Reissner–Nordström BH. These results establish that the system admits two distinct channels to form hairy BHs at the threshold of superradiance: growing hair from an unstable (bald) BH, or growing a horizon from an unstable (horizonless) soliton. Some parallelism with the case of asymptotically flat boson stars and Kerr BHs with scalar hair is drawn. (paper)

Dynamical formation of a hairy black hole in a cavity from the decay of unstable solitons

Science.gov (United States)

Sanchis-Gual, Nicolas; Degollado, Juan Carlos; Font, José A.; Herdeiro, Carlos; Radu, Eugen

2017-08-01

Recent numerical relativity simulations within the Einstein-Maxwell-(charged-)Klein-Gordon (EMcKG) system have shown that the non-linear evolution of a superradiantly unstable Reissner-Nordström black hole (BH) enclosed in a cavity, leads to the formation of a BH with scalar hair. Perturbative evidence for the stability of such hairy BHs has been independently established, confirming they are the true endpoints of superradiant instability. The same EMcKG system admits also charged scalar soliton-type solutions, which can be either stable or unstable. Using numerical relativity techniques, we provide evidence that the time evolution of some of these unstable solitons leads, again, to the formation of a hairy BH. In some other cases, unstable solitons evolve into a (bald) Reissner-Nordström BH. These results establish that the system admits two distinct channels to form hairy BHs at the threshold of superradiance: growing hair from an unstable (bald) BH, or growing a horizon from an unstable (horizonless) soliton. Some parallelism with the case of asymptotically flat boson stars and Kerr BHs with scalar hair is drawn.

Minimal gain marching schemes: searching for unstable steady-states with unsteady solvers

Science.gov (United States)

de S. Teixeira, Renan; S. de B. Alves, Leonardo

2017-12-01

Reference solutions are important in several applications. They are used as base states in linear stability analyses as well as initial conditions and reference states for sponge zones in numerical simulations, just to name a few examples. Their accuracy is also paramount in both fields, leading to more reliable analyses and efficient simulations, respectively. Hence, steady-states usually make the best reference solutions. Unfortunately, standard marching schemes utilized for accurate unsteady simulations almost never reach steady-states of unstable flows. Steady governing equations could be solved instead, by employing Newton-type methods often coupled with continuation techniques. However, such iterative approaches do require large computational resources and very good initial guesses to converge. These difficulties motivated the development of a technique known as selective frequency damping (SFD) (Åkervik et al. in Phys Fluids 18(6):068102, 2006). It adds a source term to the unsteady governing equations that filters out the unstable frequencies, allowing a steady-state to be reached. This approach does not require a good initial condition and works well for self-excited flows, where a single nonzero excitation frequency is selected by either absolute or global instability mechanisms. On the other hand, it seems unable to damp stationary disturbances. Furthermore, flows with a broad unstable frequency spectrum might require the use of multiple filters, which delays convergence significantly. Both scenarios appear in convectively, absolutely or globally unstable flows. An alternative approach is proposed in the present paper. It modifies the coefficients of a marching scheme in such a way that makes the absolute value of its linear gain smaller than one within the required unstable frequency spectra, allowing the respective disturbance amplitudes to decay given enough time. These ideas are applied here to implicit multi-step schemes. A few chosen test cases

Relationship between the serologic status of helicobacter pylori with the presence of unstable angina

International Nuclear Information System (INIS)

Alavi, S.M.; Adel, S. M. H.; Rajabzadeh, A.

2008-01-01

To determine whether unstable angina is co-related to seropositivity to chronic Helicobacter pylori (HP) infection. It is a case control, descriptive study conducted at CCU in Razi Hospital in Ahwaz a city southwest Iran, from 2004 to 2005. We measured serum HP- lgG levels of participants in CCU in a hospital. Blood samples were drawn during study period from 96 patients (mean age 56 years) with Unstable Angina (UA) according to American Heart Association criteria and from 96 participants free of cardiovascular disease (mean age 58 years) and stored at 20 degree C. Serology results were studied in relation to UA. Using chi squared test, odds ratios (OR) and 95% confidence intervals (CI) were calculated, adjusting for age, gender, and established risk factors. Seventy nine (82.3%) of patients with unstable angina and 55(61.1%) in the control group presented a positive anti HP-lgG. Odds ratio was 3 with 95% CI: 1.9 to 4.3. There was significant relation between HP-lgG positivity and unstable angina (P 0.05). Our study revealed relationship between seropositivity of HP-lgG and unstable angina. (author)

Orbit dynamics for unstable linear motion

International Nuclear Information System (INIS)

Parzen, G.

1997-01-01

A treatment is given of the orbit dynamics for linear unstable motion that allows for the zeros in the beta function and makes no assumptions about the realness of the betatron and phase functions. The phase shift per turn is shown to be related to the beta function and the number of zeros the beta function goes through per turn. The solutions of the equations of motion are found in terms of the beta function

Orbit dynamics for unstable linear motion

International Nuclear Information System (INIS)

Parzen, G.

1996-04-01

A treatment is given of the orbit dynamics for linear unstable motion that allows for the zeros in the beta function and makes no assumption about the realness of the betatron and phase functions. The phase shift per turn is shown to be related to the beta function and the number of zeros the beta function goes through per turn. The solutions of the equations of motion are found in terms of the beta function

Unstable Resonator Retrofitted Handheld Laser Designator

Science.gov (United States)

1978-06-01

retrofitted with a negative-branch unstable resona- tor laser and hybrid pump cavity in place of the conventional plane-mirror/ porro prism resonator and...directed by prism B to an expanding telescope, shared with the viewing system of the designator. The actual, unfolded resonator length is approxi...was performed based on using a plane- parallel cavity consisting of a 47% reflectivity output coupler, porro - prism reflector, and the same LiNb03

Investigation of unstable periodic space-time states in distributed active system with supercritical current

International Nuclear Information System (INIS)

Koronovskij, A.A.; Rempen, I.S.; Khramov, A.E.

2003-01-01

The set of the unstable periodic space-time states, characterizing the chaotic space-time dynamics of the electron beam with the supercritical current in the Pierce diode is discussed. The Lyapunov indicators of the revealed instable space-time states of the chaotic dynamics of the distributed self-excited system are calculated. It is shown that change in the set of the unstable periodic states in dependence on the Pierce parameter is determined by change in the various orbits stability, which is demonstrated by the values of senior Lyapunov unstable state index [ru

Detection of unstable angina by /sup 99m/technetium pyrophosphate myocardial scintigraphy

International Nuclear Information System (INIS)

Abdulla, A.M.; Canedo, M.I.; Cortez, B.C.; McGinnis, K.D.; Wilhelm, S.K.

1976-01-01

/sup 99m/Technetium stannous pyrophosphate has been shown to accumulate in acutely infarcted myocardium. To determine if the isotope is also taken up by severely ischemic, but not necrotic myocardium, we performed myocardial scintigraphic studies in 17 patients with chest pains. Seven of the patients satisfied conventional clinical, electrocardiographic, and laboratory criteria for the diagnosis of unstable angina and showed no electrocardiographic or enzymatic evidence of myocardial necrosis. Five of these seven patients with unstable angina demonstrated abnormal localized patterns, and one showed a borderline picture. Myocardial scintiscans were normal in all of a control group of ten patients with stable angina. Thus, scanning with /sup 99m/technetium stannous pyrophosphate is shown to be of value in the objective demonstration of myocardial abnormality in unstable angina

Genesis and bifurcations of unstable periodic orbits in a jet flow

International Nuclear Information System (INIS)

Uleysky, M Yu; Budyansky, M V; Prants, S V

2008-01-01

We study the origin and bifurcations of typical classes of unstable periodic orbits in a jet flow that was introduced before as a kinematic model of chaotic advection, transport and mixing of passive scalars in meandering oceanic and atmospheric currents. A method to detect and locate the unstable periodic orbits and classify them by the origin and bifurcations is developed. We consider in detail period-1 and period-4 orbits playing an important role in chaotic advection. We introduce five classes of period-4 orbits: western and eastern ballistic ones, whose origin is associated with ballistic resonances of the fourth-order, rotational ones, associated with rotational resonances of the second and fourth orders and rotational-ballistic ones associated with a rotational-ballistic resonance. It is a new kind of unstable periodic orbits that may appear in a chaotic flow with jets and/or circulation cells. Varying the perturbation amplitude, we track out the origin and bifurcations of the orbits for each class

Stabilization of switched nonlinear systems with unstable modes

CERN Document Server

Yang, Hao; Cocquempot, Vincent

2014-01-01

This book provides its reader with a good understanding of the stabilization of switched nonlinear systems (SNS), systems that are of practical use in diverse situations: design of fault-tolerant systems in space- and aircraft; traffic control; and heat propagation control of semiconductor power chips. The practical background is emphasized throughout the book; interesting practical examples frequently illustrate the theoretical results with aircraft and spacecraft given particular prominence. Stabilization of Switched Nonlinear Systems with Unstable Modes treats several different subclasses of SNS according to the characteristics of the individual system (time-varying and distributed parameters, for example), the state composition of individual modes and the degree and distribution of instability in its various modes. Achievement and maintenance of stability across the system as a whole is bolstered by trading off between individual modes which may be either stable or unstable, or by exploiting areas of part...

Spinal instrumentation for unstable C1-2 injury.

Science.gov (United States)

Mizuno, J; Nakagawa, H

1999-06-01

Seventeen patients with unstable C1-2 injuries were treated between 1990 and 1997. Various methods of instrumentation surgery were performed in 16 patients, excluding a case of atlantoaxial rotatory fixation. Posterior stabilization was carried out in 14 cases using Halifax interlaminar clamp, Sof'wire or Danek cable, or more recently, transarticular screws. Transodontoid anterior screw fixation was performed in four cases of odontoid process fractures, with posterior instrumentation in two cases because of malunion. Rigid internal fixation by instrumentation surgery for the unstable C1-2 injury avoids long-term application of a Halo brace and facilitates early rehabilitation. However, the procedure is technically demanding with the risk of neural and vascular injuries, particularly with posterior screw fixation. Sagittal reconstruction of thin-sliced computed tomography scans at the C1-2 region, neuronavigator, and intraoperative fluoroscopy are essential to allow preoperative surgical planning and intraoperative guidance.

Quantum electrodynamics with unstable vacuum

Energy Technology Data Exchange (ETDEWEB)

Fradkin, E.S. (P.N. Lebedev Physical Inst., USSR Academy of Sciences, Moscow (USSR)); Gitman, D.M. (Moscow Inst. of Radio Engineering Electronics and Automation (USSR)); Shvartsman, Sh.M. (Tomsk State Pedagogical Inst. (USSR))

1991-01-01

Intense external fields destabilize vacuum inducing the creation of particle pairs. In this book the formalism of quantum electrodynamics (QED), using a special perturbation theory with matrix propagators, is systematically analyzed for such systems. The developed approach is, however, general for any quantum field with unstable vacuum. The authors propose solutions for real pair-creating fields. They discuss the general form for the causal function and many other Green's functions, as well as methods for finding them. Analogies to the optical theorem and rules for computing total probabilities are given, as are solutions for non-Abelian theories. (orig.).

Force production during squats performed with a rotational resistance device under stable versus unstable conditions.

Science.gov (United States)

Moras, Gerard; Vázquez-Guerrero, Jairo

2015-11-01

[Purpose] Force production during a squat action on a rotational resistance device (RRD) under stable and unstable conditions. [Subjects and Methods] Twenty-one healthy males were asked to perform six sets of six repetitions of squats on an RRD on either stable or unstable surfaces. The stable and unstable sets were performed on different days. Muscular outputs were obtained from a linear encoder and a strain gauge fixed to a vest. [Results] Overall, the results showed no significant differences for any of the dependent variables across exercise modes. Forcemean outputs were higher in the concentric phase than in the eccentric phase for each condition, but there were no differences in velocity, time or displacement. The forcepeak was similar in the eccentric and concentric phases of movement under both stable and unstable conditions. There were no significant differences in forcemean between sets per condition or between conditions. [Conclusion] These results suggest that performing squats with a RRD achieves similar forcemean and forcepeak under stable and unstable conditions. The forcepeak produced is also similar in concentric and eccentric phases.

Computed Tomography Angiography Evaluation of Risk Factors for Unstable Intracranial Aneurysms.

Science.gov (United States)

Wang, Guang-Xian; Gong, Ming-Fu; Wen, Li; Liu, Lan-Lan; Yin, Jin-Bo; Duan, Chun-Mei; Zhang, Dong

2018-03-19

To evaluate risk factors for instability in intracranial aneurysms (IAs) using computed tomography angiography (CTA). A total of 614 consecutive patients diagnosed with 661 IAs between August 2011 and February 2016 were reviewed. Patients and IAs were divided into stable and unstable groups. Along with clinical characteristics, IA characteristics were evaluated by CTA. Multiple logistic regression analysis was used to identify the independent risk factors associated with unstable IAs. Receiver operating characteristic (ROC) curve analysis was performed on the final model, and optimal thresholds were obtained. Patient age (odds ratio [OR], 0.946), cerebral atherosclerosis (CA; OR, 0.525), and IAs located at the middle cerebral artery (OR, 0.473) or internal carotid artery (OR, 0.512) were negatively correlated with instability, whereas IAs with irregular shape (OR, 2.157), deep depth (OR, 1.557), or large flow angle (FA; OR, 1.015) were more likely to be unstable. ROC analysis revealed threshold values of age, depth, and FA of 59.5 years, 4.25 mm, and 87.8°, respectively. The stability of IAs is significantly affected by several factors, including patient age and the presence of CA. IA shape and location also have an impact on the stability of IAs. Growth into an irregular shape, with a deep depth, and a large FA are risk factors for a change in IAs from stable to unstable. Copyright © 2018 Elsevier Inc. All rights reserved.

Mixing phases of unstable two-level systems

International Nuclear Information System (INIS)

Sokolov, V.V.; Brentano, P. von.

1993-01-01

An unstable two-level system decaying into an arbitrary number of channels is considered. It is shown that the mixing phases of the two overlapping resonances can be expressed in the terms of their partial widths and one additional universal mixing parameter. Some applications to a doublet of 2 + resonances in 8 Be and to the ρ-ω systems are considered. 18 refs

Stable and unstable crack growth in Type 304 stainless steel plate

International Nuclear Information System (INIS)

Yagawa, G.

1984-01-01

Experimental and theoretical results on stable as well as unstable fractures for Type 304 stainless steel plates with a central crack subjected to tension force are given. In the experiment using a testing machine with a special spring for high compliance, the transition points from the stable to the unstable crack growth are observed and comparisons are made between the test results and the finite element solutions. A round robin calculation for the elastic-plastic stable crack growth using one of the specimens mentioned above is also given. (orig.)

Unstable angina pectoris: the results of intracoronary administration of fibrinolytic agents

International Nuclear Information System (INIS)

Gratsianskij, N.A.; Panchenko, E.P.; Agapov, A.A.; Logutov, Yu.A.; Vladimirov, S.S.

1986-01-01

Intracoronary thrombolytic infusions were used in 10 patients with unstable angina and high risk of myocardial infarction (MI). Streptokinase (500.000 units per hour) was used in 9 patients, and urokinase, in one. Vascular recanalization was achieved in 4 cases where angiografhy, showed coronary arterial occlusion by a thrombus. Myocardial infarction developed in 8 patients (large-focal in 6 and small focal in 2) within 1 to 16 days after the thrombolytic infuson. Therefore, short-term local thrombolytic infusion fails to prevent myocardial infarction in patients with unstable angina

Boundary Between Stable and Unstable Regimes of Accretion

Directory of Open Access Journals (Sweden)

Blinova A. A.

2014-01-01

Full Text Available We investigated the boundary between stable and unstable regimes of accretion and its dependence on different parameters. Simulations were performed using a “cubed sphere" code with high grid resolution (244 grid points in the azimuthal direction, which is twice as high as that used in our earlier studies. We chose a very low viscosity value, with alpha-parameter α=0.02. We observed from the simulations that the boundary strongly depends on the ratio between magnetospheric radius rm (where the magnetic stress in the magnetosphere matches the matter stress in the disk and corotation radius rcor (where the Keplerian velocity in the disk is equal to the angular velocity of the star. For a small misalignment angle of the dipole field, Θ = 5°, accretion is unstable if rcor/rm> 1.35, and is stable otherwise. In cases of a larger misalignment angle of the dipole, Θ = 20°, instability occurs at slightly larger values, rcor/rm> 1.41

Influence of unstable footwear on lower leg muscle activity, volume change and subjective discomfort during prolonged standing.

Science.gov (United States)

Karimi, Zanyar; Allahyari, Teimour; Azghani, Mahmood Reza; Khalkhali, Hamidreza

2016-03-01

The present study was an attempt to investigate the effect of unstable footwear on lower leg muscle activity, volume change and subjective discomfort during prolonged standing. Ten healthy subjects were recruited to stand for 2 h in three footwear conditions: barefoot, flat-bottomed shoe and unstable shoe. During standing, lower leg discomfort and EMG activity of medial gastrocnemius (MG) and tibialis anterior (TA) muscles were continuously monitored. Changes in lower leg volume over standing time also were measured. Lower leg discomfort rating reduced significantly while subjects standing on unstable shoe compared to the flat-bottomed shoe and barefoot condition. For lower leg volume, less changes also were observed with unstable shoe. The activity level and variation of right MG muscle was greater with unstable shoe compared to the other footwear conditions; however regarding the left MG muscle, significant difference was found between unstable shoe and flat-bottomed shoe only for activity level. Furthermore no significant differences were observed for the activity level and variation of TA muscles (right/left) among all footwear conditions. The findings suggested that prolonged standing with unstable footwear produces changes in lower leg muscles activity and leads to less volume changes. Perceived discomfort also was lower for this type of footwear and this might mean that unstable footwear can be used as ergonomic solution for employees whose work requires prolonged standing. Copyright © 2015 Elsevier Ltd and The Ergonomics Society. All rights reserved.

A high-power diode-laser-pumped CW Nd:YAG laser using a stable-unstable resonator

International Nuclear Information System (INIS)

Mudge, M.; Ostermeyer, P.; Veitch, J.; Munch, J.; Hamilton, M.W.

2000-01-01

Full text: The design and operation of a power-scalable diode-laser-pumped CW Nd:YAG zigzag slab laser that uses a stable-unstable resonator with a graded reflectivity mirror as an output coupler is described. We demonstrate control of the thermal lens strength in the unstable plane and weak thermal lensing in the stable plane that is independent of pump power, vital for efficient scalability. This enabled CW operation of the stable-unstable resonator with excellent near- and far-field beam quality

CT of hemodynamically unstable abdominal trauma

Energy Technology Data Exchange (ETDEWEB)

Petridis, A.; Pilavaki, M.; Vafiadis, E.; Palladas, P.; Finitsis, S.; Drevelegas, A. [Department of Radiology, General Hospital ``G. Papanikolaou,`` Thessaloniki (Greece)

1999-03-01

This article is an appraisal of the use of CT in the management of patients with unstable abdominal trauma. We examined 41 patients with abdominal trauma using noncontrast dynamic CT. In 17 patients a postcontrast dynamic CT was also carried out. On CT, 25 patients had hemoperitoneum. Thirteen patients had splenic, 12 hepatic, 6 pancreatic, 8 bowel and mesenteric, 12 renal and 2 vascular injuries. Seven patients had retroperitoneal and 2 patients adrenal hematomas. All but five lesions (three renal, one pancreatic, and one splenic) were hypodense when CT was performed earlier than 8 h following the injury. Postcontrast studies (n = 17), revealed 4 splenic, 3 hepatic, 1 pancreatic, 3 renal, and 2 bowel and mesenteric injuries beyond what was found on noncontrast CT. Surgical confirmation (n = 21) was obtained in 81.81 % of splenic, 66.66 % of hepatic, 83.33 % of pancreatic, 100 % of renal, 100 % of retroperitoneal, and 85.71 % of bowel and mesenteric injuries. The majority of false diagnoses was obtained with noncontrast studies. Computed tomography is a remarkable method for evaluation and management of patients with hemodynamically unstable abdominal trauma, but only if it is revealed in the emergency room. Contrast injection, when it could be done, revealed lesions that were not suspected on initial plain scans. (orig.) With 6 figs., 5 tabs., 20 refs.

Challenges in modeling unstable two-phase flow experiments in porous micromodels

Science.gov (United States)

Meheust, Y.; Ferrari, A.; Jimenez-Martinez, J.; Le Borgne, T.; Lunati, I.

2014-12-01

The simulation of unstable invasion patterns in porous media flow is challenging since small perturbations tend to grow in time, so that slight differences in geometry or initial conditions potentially give rise to significantly different solutions. Here we present a detailed comparison of pore scale simulations and experiments of unstable primary drainage in porous micromodels. The porous medium consists of a Hele-Shaw cell containing cylindrical obstacles. Two experimental flow cells have been constructed by soft lithography, with different degrees of heterogeneity in the grain size distribution. To model two-phase flow at the pore scale, we solve Navier-Stokes equations for mass and momentum conservation in the discretized pore space and employ the Volume of Fluid (VOF) method to track the evolution of the interface. During drainage, if the defending fluid is the most viscous, viscous forces destabilize the interface, giving rise to the formation of preferential flow paths, in the form of a branched fingering structure. We test different numerical models (a 2D vertical integrated model and a full 3D model) and different initial conditions, studying their impact on the simulated spatial distributions of the fluid phases. Although due to the unstable nature of the invasion, small discrepancies between the experimental setup and the numerical model can result in different fluids patterns (see figure), simulations show a satisfactory agreement with the structures observed experimentally. To estimate the ability of the numerical approach to reproduce unstable displacement, we compare several quantities in both the statistical and deterministic sense. We demonstrate the impact of three main sources of uncertainty : i) the uncertainty on the pore space geometry, ii) the interface initialization and ii) three dimensional effects [1]. Simulations in weakly heterogeneous geometries are found to be more challenging because uncertainties on pore neck widths are on the same

Small Kerr-anti-de Sitter black holes are unstable

International Nuclear Information System (INIS)

Cardoso, Vitor; Dias, Oscar J.C.

2004-01-01

Superradiance in black hole spacetimes can trigger instabilities. Here we show that, due to superradiance, small Kerr-anti-de Sitter black holes are unstable. Our demonstration uses a matching procedure, in a long wavelength approximation

Percutaneous pedicle screw for unstable spine fractures in polytraumatized patients: A report of two cases

Directory of Open Access Journals (Sweden)

Boon Beng Tan

2012-01-01

Full Text Available Unstable spine fractures commonly occur in the setting of a polytraumatized patient. The aim of management is to balance the need for early operative stabilization and prevent additional trauma due to the surgery. Recent published literature has demonstrated the benefits of early stabilization of an unstable spine fracture particularly in patients with higher injury severity score (ISS. We report two cases of polytrauma with unstable spine fractures stabilized with a minimally invasive percutaneous pedicle screw instrumentation system as a form of damage control surgery. The patients had good recovery from the polytrauma injuries. These two cases illustrate the role of minimally invasive stabilization, its limitations and technical pitfalls in the management of unstable spine fractures in the polytrauma setting as a form of damage control surgery.

Correlation between Serum High Sensitivity CRP Level and Inhospital Cardiac Events in the Patients with Unstable Angina

Directory of Open Access Journals (Sweden)

H. Kazerani

2007-10-01

Full Text Available Introduction & Objective: Several studies have been performed to evaluate correlation of serum high sensitivity CRP (hs-CRP level with the prognosis of the patients with diagnosis of unstable angina, and by now different results were reported. The aim of this study was to assess correlation between serum hs-CRP level and inhospital prognosis and cardiac events in the patients with unstable angina. Materials & Methods: This descriptive analytic study was performed from Sep 2004 till Feb 2006 in Shahid Beheshti hospital. Kermanshah, Iran. Sera were collected from 250 patients for hs-CRP measurement. Exclusion criteria were: acute ST elevation MI, non ST elevation MI, patients with history of recent infection, patients with recent trauma and patients with serum high sensitive CRP level more than 10 mg/lit. Patients were divided into two groups, first group whose serum hs-CRP level was less than 3 mg/lit and second group whose serum hs-CRP level was between 3 and 10 mg/lit. They were followed for recurrent chest pain, arrhythmias, pulmonary edema, acute myocardial infarction and in hospital death. Results were analyzed using x² and t-test. Results: Mean age were 57±7.8 and 58±11.5 years in first group and second group respectively. There was statistically significant difference in some cardiac complications such as dyspnea, duration of hospitalization, recurrent chest pain, CCU admission (p<0.001 and in hospital myocardial infarction (p=0.03, between two groups. Some complications did not have significant difference such as pulmonary edema, cardiogenic shock, arrhythmia, S3, S4 and pulmonary rates .There was no mortality in both groups. Conclusion: According to the results, we can use serum hs-CRP level for risk stratification in the patients with diagnosis of unstable angina. Obviously the patients with high serum hs-CRP level need more attention whether early invasive management help these patients, may be the matter of later studies.

Management of acute unstable acromioclavicular joint injuries.

Science.gov (United States)

Cisneros, Luis Natera; Reiriz, Juan Sarasquete

2016-12-01

Surgical management of acute unstable acromioclavicular joint injuries should be focused on realigning the torn ends of the ligaments to allow for healing potential. The most widely utilized treatment methods incorporate the use of metal hardware, which can alter the biomechanics of the acromioclavicular joint. This leads to a second surgical procedure for hardware removal once the ligaments have healed. Patients with unstable acromioclavicular joint injuries managed with arthroscopy-assisted procedures have shown good and excellent clinical outcomes, without the need for a second operation. These procedures incorporate a coracoclavicular suspension device aimed to function as an internal brace, narrowing the coracoclavicular space thus allowing for healing of the torn coracoclavicular ligaments. The lesser morbidity of a minimally invasive approach and the possibility to diagnose and treat concomitant intraarticular injuries; no obligatory implant removal, and the possibility of having a straight visualization of the inferior aspect of the base of the coracoid (convenient when placing coracoclavicular fixation systems) are the main advantages of the arthroscopic approach over classic open procedures. This article consists on a narrative review of the literature in regard to the management of acute acromioclavicular joint instability.

Diagnosis of unstable angina pectoris has declined markedly with the advent of more sensitive troponin assays.

Science.gov (United States)

D'Souza, Maria; Sarkisian, Laura; Saaby, Lotte; Poulsen, Tina S; Gerke, Oke; Larsen, Torben B; Diederichsen, Axel C P; Jangaard, Nikolaj; Diederichsen, Søren Z; Hosbond, Susanne; Hove, Jens; Thygesen, Kristian; Mickley, Hans

2015-08-01

Since the arrival of the universal definition of myocardial infarction more sensitive troponin assays have been developed. How these occurrences have influenced the proportions and clinical features of the components of acute coronary syndrome have not been studied prospectively in unselected hospital patients. During 2010 we evaluated all patients in whom cardiac troponin I had been measured at a single university hospital. The diagnosis of acute myocardial infarction (ST-elevation myocardial infarction [STEMI] or non-ST-elevation myocardial infarction [NSTEMI]) was established in cases of a rise and/or fall of cardiac troponin I together with cardiac ischemic features. Patients with unstable chest discomfort and cardiac troponin I values below the decision limit of myocardial infarction were diagnosed as having unstable angina pectoris. The definition of acute coronary syndrome included unstable angina pectoris, NSTEMI, and STEMI. Mortality data were obtained from the Danish Civil Personal Registration System. Of 3762 consecutive patients, 516 had acute coronary syndrome. Unstable angina pectoris was present in 7%, NSTEMI in 67%, and STEMI in 26%. The NSTEMI patients were older, more frequently women, and had more comorbidities than patients with unstable angina pectoris and STEMI. At median follow-up of 3.2 years 195 patients had died: 14% of unstable angina pectoris, 45% of NSTEMI, and 25% of STEMI patients. Age-adjusted log-rank statistics revealed differences in mortality: NSTEMI vs unstable angina pectoris (P = .0091) and NSTEMI vs STEMI (P = .0045). The application of the universal definition together with the use of a contemporary troponin assay seems to have reduced the proportion of patients with unstable angina pectoris to the benefit of patients with NSTEMI. Despite this, NSTEMI patients have a sustained higher mortality than patients with STEMI. Copyright © 2015 Elsevier Inc. All rights reserved.

Damping capacity of unstable steels on chromium-nickel-manganese base

Energy Technology Data Exchange (ETDEWEB)

Kochkin, L.I.; Rudakov, A.A. (Kirovskij Politekhnicheskij Inst. (USSR))

1982-02-01

The paper deals with results of a study on the energy scattering in OKh13N3G8, 20Kh13N3G4 and 30Kh13N3G4 unstable steels. It is shown that the development of microplastic strains most easily occurs in low-carbon steel having a two-phase structure in the initial state. The proceeding of microplastic deformations in carbon unstable steels is limited by the interstitial atom effect on the dislocation movement. It is established that in OKh13N3G8 steel the martensite ..cap alpha --> gamma..- transformation begins under the cyclic stress amplitudes below the yield point of this steel. The steels studied possess a high vibrostrength.

Unstable decay and state selection

International Nuclear Information System (INIS)

McKane, Alan; Tarlie, Martin

2001-01-01

The decay of unstable states when several metastable states are available for occupation is investigated using path-integral techniques. Specifically, a method is described that enables the probabilities with which the metastable states are occupied to be calculated by finding optimal paths, and fluctuations about them, in the weak-noise limit. The method is illustrated on a system described by two coupled Langevin equations, which are found in the study of instabilities in fluid dynamics and superconductivity. The problem involves a subtle interplay between nonlinearities and noise, and a naive approximation scheme that does not take this into account is shown to be unsatisfactory. The use of optimal paths is briefly reviewed and then applied to finding the conditional probability of ending up in one of the metastable states, having begun in the unstable state. There are several aspects of the calculation that distinguish it from most others involving optimal paths: (i) the paths do not begin and end on an attractor, and moreover, the final point is to a large extent arbitrary, (ii) the interplay between the fluctuations and the leading-order contribution are at the heart of the method, and (iii) the final result involves quantities that are not exponentially small in the noise strength. This final result, which gives the probability of a particular state being selected in terms of the parameters of the dynamics, is remarkably simple and agrees well with the results of numerical simulations. The method should be applicable to similar problems in a number of other areas, such as state selection in lasers, activationless chemical reactions, and population dynamics in fluctuating environments

Unstable Pore-Water Flow in Intertidal Wetlands

Science.gov (United States)

Barry, D. A.; Shen, C.; Li, L.

2014-12-01

Salt marshes are important intertidal wetlands strongly influenced by interactions between surface water and groundwater. Bordered by coastal water, the marsh system undergoes cycles of inundation and exposure driven by the tide. This leads to dynamic, complex pore-water flow and solute transport in the marsh soil. Pore-water circulations occur over vastly different spatial and temporal scales with strong link to the marsh topography. These circulations control solute transport between the marsh soil and the tidal creek, and ultimately affect the overall nutrient exchange between the marsh and coastal water. The pore-water flows also dictate the soil condition, particularly aeration, which influences the marsh plant growth. Numerous studies have been carried out to examine the pore-water flow process in the marsh soil driven by tides, focusing on stable flow with the assumption of homogeneity in soil and fluid properties. This assumption, however, is questionable given the actual inhomogeneous conditions in the field. For example, the salinity of surface water in the tidal creek varies temporally and spatially due to the influence of rainfall and evapotranspiration as well as the freshwater input from upland areas to the estuary, creating density gradients across the marsh surface and within the marsh soil. Many marshes possess soil stratigraphy with low-permeability mud typically overlying high-permeability sandy deposits. Macropores such as crab burrows are commonly distributed in salt marsh sediments. All these conditions are prone to the development of non-uniform, unstable preferential pore-water flow in the marsh soil, for example, funnelling and fingering. Here we present results from laboratory experiments and numerical simulations to explore such unstable flow. In particular, the analysis aims to address how the unstable flow modifies patterns of local pore-water movement and solute transport, as well as the overall exchange between the marsh soil and

Unstable oscillatory Pierce modes of neutralized electron beams

International Nuclear Information System (INIS)

Cary, J.R.; Lemons, D.S.

1982-01-01

Oscillatory modes of the Pierce system have been calculated. These modes are found to have growth rates comparable to the previously investigated purely growing modes. When these modes are included, it is found that the Pierce system is unstable for most values of ω/sub p/ L/V 0 >π

The stress-tenogram in the diagnosis of ruptures of the lateral ligament of the ankle

International Nuclear Information System (INIS)

Evans, G.A.; Frenyo, S.D.

1979-01-01

The stress-tenogram is a radiological technique for the investigation of injuries to the lateral ligament of the ankle, and combines the information previously provided by inversion and anterior stress radiographs, and the peroneal tenogram. It is designed to differentiate between stable and unstable ankles, and between isolated ruptures of the anterior talofibular ligament and combined tears of the anterior talofibular and calcaneofibular ligaments. A high degree of diagnostic accuracy has been confirmed at operative repair in a group of thirty-two patients. (author)

Long-term effects of electrical neurostimulation in patients with unstable angina : Refractory to conventional therapies

NARCIS (Netherlands)

de Vries, Jessica; DeJongste, Mike J. L.; Zijlstra, Felix; Staal, Michiel

2007-01-01

Background. Patients with unstable angina pectoris may become refractory to conventional therapies. Electrical neurostimulation with transcutaneous electrical stimulation and/or spinal cord stimulation has been shown to be effective for patients with refractory unstable angina pectoris in hospital

Emission temperatures from the decay of particle-unstable complex nuclei

International Nuclear Information System (INIS)

Nayak, T.K.

1990-01-01

Relative populations of particle-unstable states were measured for complex fragments emitted in the reaction 14 N + Ag at E/A = 35 MeV by using a position sensitive high resolution hodoscope. Experimental population probabilities of particle-unstable states were extracted by fitting the coincidence spectra of the decay products by an appropriate R-matrix or Breit-Wigner formalism. According to thermal models, the populations of excited states at freezeout are expected to follow a Boltzmann distribution weighted by the emission temperature of the system. Tests of this freezeout assumption were made by comparing the experimental population to the predictions of statistical calculations. Extensive statistical calculation which include the effect of sequential feeding from heavier particle unstable nuclei were performed to estimate the population probabilities and the ratios of population probabilities indicate emission temperatures of about 3-4 MeV. But a detailed comparison for individual fragments for a calculation with T em = 4 MeV reveals that about half of the measured population probabilities and one third of the ratios of the population probabilities differ significantly from the predictions of statistical calculations. Calculations which include rotational effects could not satisfactorily account for this discrepancy. These results suggest a possible breakdown of the assumption of local thermal equilibrium at freezeout

Finite-width effects in unstable-particle production at hadron colliders

Energy Technology Data Exchange (ETDEWEB)

Falgari, P. [Utrecht Univ. (Netherlands). Inst. for Theoretical Physics; Utrecht Univ. (Netherlands). Spinoza Inst.; Papanastasiou, A.S. [Deutsches Elektronen-Synchrotron DESY, Hamburg (Germany); Signer, A. [Paul Scherrer Institut, Villigen (Switzerland); Zuerich Univ. (Switzerland). Inst. for Theoretical Physics

2013-03-15

We present a general formalism for the calculation of finite-width contributions to the differential production cross sections of unstable particles at hadron colliders. In this formalism, which employs an effective-theory description of unstable-particle production and decay, the matrix element computation is organized as a gauge-invariant expansion in powers of {Gamma}{sub X}/m{sub X}, with {Gamma}{sub X} and m{sub X} the width and mass of the unstable particle. This framework allows for a systematic inclusion of off-shell and non-factorizable effects whilst at the same time keeping the computational effort minimal compared to a full calculation in the complex-mass scheme. As a proof-of-concept example, we give results for an NLO calculation of top-antitop production in the q anti q partonic channel. As already found in a similar calculation of single-top production, the finite-width effects are small for the total cross section, as expected from the naive counting {proportional_to}{Gamma}{sub t}/m{sub t}{proportional_to}1%. However, they can be sizeable, in excess of 10%, close to edges of certain kinematical distributions. The dependence of the results on the mass renormalization scheme, and its implication for a precise extraction of the top-quark mass, is also discussed.

Finite-width effects in unstable-particle production at hadron colliders

International Nuclear Information System (INIS)

Falgari, P.; Signer, A.; Zuerich Univ.

2013-03-01

We present a general formalism for the calculation of finite-width contributions to the differential production cross sections of unstable particles at hadron colliders. In this formalism, which employs an effective-theory description of unstable-particle production and decay, the matrix element computation is organized as a gauge-invariant expansion in powers of Γ X /m X , with Γ X and m X the width and mass of the unstable particle. This framework allows for a systematic inclusion of off-shell and non-factorizable effects whilst at the same time keeping the computational effort minimal compared to a full calculation in the complex-mass scheme. As a proof-of-concept example, we give results for an NLO calculation of top-antitop production in the q anti q partonic channel. As already found in a similar calculation of single-top production, the finite-width effects are small for the total cross section, as expected from the naive counting ∝Γ t /m t ∝1%. However, they can be sizeable, in excess of 10%, close to edges of certain kinematical distributions. The dependence of the results on the mass renormalization scheme, and its implication for a precise extraction of the top-quark mass, is also discussed.

The effect of different unstable footwear constructions on centre of pressure motion during standing.

Science.gov (United States)

Plom, W; Strike, S C; Taylor, M J D

2014-06-01

The aim of this study was to test the effect different unstable footwear constructions have on centre of pressure motion when standing. Sixteen young female volunteers were tested in five conditions, three unstable footwear (Reebok Easy-Tone, FitFlop and Skechers Shape-Ups), a standard shoe and barefoot in a randomised order. Double and single leg balance on a force plate was assessed via centre of pressure excursions and displacements in each condition. For double leg and single leg standing centre of pressure excursions in the anterior-posterior direction were significantly increased wearing Skechers Shape-Ups compared to barefoot and the standard shoe. For the Reebok Easy Tone during single leg standing excursions in the anterior-posterior direction were significantly greater compared to the barefoot condition. Cumulative displacement of the centre of pressure in medial-lateral direction increased significantly during single leg standing when wearing Skechers Shape-Ups compared to barefoot and standard shoe as well as for Reebok Easy Tone vs. barefoot. It would appear from these quiet standing results that the manner of the construction of instability shoes effects the CoP movement which is associated with induced instability. Greater CoP excursion occurred in the A-P direction while the cumulative displacements were greater in the M-L direction for those shoes with the rounded sole and soft foam and those with airpods. The shoe construction with altered density foam did not induce any change in the CoP movement, during quite standing, which tends to suggest that it is not effective at inducing balance. Not all instability shoes are effective in altering the overall instability of the wearer. Copyright © 2014 Elsevier B.V. All rights reserved.

Production of spin-polarized unstable nuclei by using polarized electron capture process

International Nuclear Information System (INIS)

Shimizu, S.

1998-01-01

Measurements of emitted radiation from spin polarized nuclei are used to get information on electromagnetic moment of ground state unstable nuclei together with spin or parity state of excited states of their decayed (daughter) nuclei. These data are known to be useful for experimental investigation into the structure of unstable nuclei far from the stability line. The present study aims to establish a general method applicable to 11 Be and 16 N nuclei. To produce spin polarization, a new method in which the electron spin polarization of Rb is firstly produced by laser pumping, then the electron is transferred to the unstable nuclear beam (RNB) when they passes through the Rb vapor is proposed. Finally the polarized RNB will be implanted into superfluid helium to remain with a long spin-relaxation time. Future experimental set up for the above measurement adopted in the available radioactive nuclear beam facilities is briefly described. (Ohno, S.)

Strategy switching in the stabilization of unstable dynamics.

Directory of Open Access Journals (Sweden)

Jacopo Zenzeri

Full Text Available In order to understand mechanisms of strategy switching in the stabilization of unstable dynamics, this work investigates how human subjects learn to become skilled users of an underactuated bimanual tool in an unstable environment. The tool, which consists of a mass and two hand-held non-linear springs, is affected by a saddle-like force-field. The non-linearity of the springs allows the users to determine size and orientation of the tool stiffness ellipse, by using different patterns of bimanual coordination: minimal stiffness occurs when the two spring terminals are aligned and stiffness size grows by stretching them apart. Tool parameters were set such that minimal stiffness is insufficient to provide stable equilibrium whereas asymptotic stability can be achieved with sufficient stretching, although at the expense of greater effort. As a consequence, tool users have two possible strategies for stabilizing the mass in different regions of the workspace: 1 high stiffness feedforward strategy, aiming at asymptotic stability and 2 low stiffness positional feedback strategy aiming at bounded stability. The tool was simulated by a bimanual haptic robot with direct torque control of the motors. In a previous study we analyzed the behavior of naïve users and we found that they spontaneously clustered into two groups of approximately equal size. In this study we trained subjects to become expert users of both strategies in a discrete reaching task. Then we tested generalization capabilities and mechanism of strategy-switching by means of stabilization tasks which consist of tracking moving targets in the workspace. The uniqueness of the experimental setup is that it addresses the general problem of strategy-switching in an unstable environment, suggesting that complex behaviors cannot be explained in terms of a global optimization criterion but rather require the ability to switch between different sub-optimal mechanisms.

Damping capacity of unstable steels on chromium-nickel-manganese base

International Nuclear Information System (INIS)

Kochkin, L.I.; Rudakov, A.A.

1982-01-01

The paper deals with results of a study on the energy scattering in OKh13N3G8, 20Kh13N3G4 and 30Kh13N3G4 unstable steels. It is shown that the development of microplastic strains most easily occurs in low-carbon steel having a two-phase structure in the initial state. The proceeding of microplastic deformations in carbon unstable steels is limited by the interstitial atom effect on the dislocation movement. It is established that in OKh13N3G8 steel the martensite α→γ- transformation begins under the cyclic stress amplitudes below the yield point of this steel. The steels studied possess a high vibrostrength [ru

Relativistic mean field theory for unstable nuclei

International Nuclear Information System (INIS)

Toki, Hiroshi

2000-01-01

We discuss the properties of unstable nuclei in the framework of the relativistic mean field (RMF) theory. We take the RMF theory as a phenomenological theory with several parameters, whose form is constrained by the successful microscopic theory (RBHF), and whose values are extracted from the experimental values of unstable nuclei. We find the outcome with the newly obtained parameter sets (TM1 and TMA) is promising in comparison with various experimental data. We calculate systematically the ground state properties of even-even nuclei up to the drip lines; about 2000 nuclei. We find that the neutron magic shells (N=82, 128) at the standard magic numbers stay at the same numbers even far from the stability line and hence provide the feature of the r-process nuclei. However, many proton magic numbers disappear at the neutron numbers far away from the magic numbers due to the deformations. We discuss how to describe giant resonances for the case of the non-linear coupling terms for the sigma and omega mesons in the relativistic RPA. We mention also the importance of the relativistic effect on the spin observables as the Gamow-Teller strength and the longitudinal and transverse spin responses. (author)

Dynamics and statistics of unstable quantum states

International Nuclear Information System (INIS)

Sokolov, V.V.; Zelevinsky, V.G.

1989-01-01

The statistical theory of spectra formulated in terms of random matrices is extended to unstable states. The energies and widths of these states are treated as real and imaginary parts of complex eigenvalues for an effective non-hermitian hamiltonian. Eigenvalue statistics are investigated under simple assumptions. If the coupling through common decay channels is weak we obtain a Wigner distribution for the level spacings and a Porter-Thomas one for the widths, with the only exception for spacings less than widths where level repulsion fades out. Meanwhile in the complex energy plane the repulsion of eigenvalues is quadratic in accordance with the T-noninvariant character of decaying systems. In the opposite case of strong coupling with the continuum, k short-lived states are formed (k is the number of open decay channels). These states accumulate almost the whole total width, the rest of the states becoming long-lived. Such a perestroika corresponds to separation of direct processes (a nuclear analogue of Dicke coherent superradiance). At small channel number, Ericson fluctuations of the cross sections are found to be suppressed. The one-channel case is considered in detail. The joint distribution of energies and widths is obtained. The average cross sections and density of unstable states are calculated. (orig.)

Thallium-201 scintigraphy in unstable angina pectoris

International Nuclear Information System (INIS)

Wackers, F.J.T.; Lie, K.I.; Liem, K.L.; Sokole, E.B.; Samson, G.; Van Der Schoot, J.B.; Durrer, D.

1978-01-01

Thallium-201 scintigraphy was performed during the pain free period in 98 patients with unstable angina. Scintiscans were positive in 39 patients, questionable in 27 patients and normal in 32 patients. Eighty-one patients responded favorably to treatment (group I). Seventeen patients had complicated courses (group II) and despite maximal treatment with propranolol either developed infarction (six patients) or continued to have angina necessitating coronary surgery (11 patients). In group I during the pain free period 26 of 81 patients had positive thallium-201 scans, whereas 20 patients had an abnormal ECG at that time; during angina 18 patients had transient ECG changes. In group II during the pain free period 13 of 17 patients had positive scans, whereas two patients had abnormal ECG at that time; during angina 12 patients showed transient ECG changes. The sensitivity to recognize group II was 76% for thallium-201 scintigraphy, 11% for ECG during the pain free period; 70% for ECG during angina; 94% for the combination of either positive scans or abnormal ECG. Thus, positive thallium-201 scans occur in patients with unstable angina, positive scans can be obtained during the pain free period, thallium-201 scans are more frequently positive in patients with complicated course

Tracer filamentation at an unstable ocean front

Science.gov (United States)

Feng, Yen Chia; Mahadevan, Amala; Thiffeault, Jean-Luc; Yecko, Philip

2017-11-01

A front, where two bodies of ocean water with different physical properties meet, can become unstable and lead to a flow with high strain rate and vorticity. Phytoplankton and other oceanic tracers are stirred into filaments by such flow fields, as can often be seen in satellite imagery. The stretching and folding of a tracer by a two-dimensional flow field has been well studied. In the ocean, however, the vertical shear of horizontal velocity is typically two orders of magnitude larger than the horizontal velocity gradient. Theoretical calculations show that vertical shear alters the way in which horizontal strain affects the tracer, resulting in thin, sloping structures in the tracer field. Using a non-hydrostatic ocean model of an unstable ocean front, we simulate tracer filamentation to identify the effect of vertical shear on the deformation of the tracer. In a complementary laboratory experiment, we generate a simple, vertically sheared strain flow and use dye and particle image velocimetry to quantify the filamentary structures in terms of the strain and shear. We identify how vertical shear alters the tracer filaments and infer how the evolution of tracers in the ocean will differ from the idealized two-dimensional paradigm. Support of NSF DMS-1418956 is acknowledged.

Velocity Spectra in the Unstable Planetary Boundary Layer

DEFF Research Database (Denmark)

Højstrup, Jørgen

1982-01-01

Models for velocity spectra of all three components in the lower half of the unstable PBL are presented. The model spectra are written as a sum of two parts, nS(n) = A(fi, z/zi)w*2 + B(f, z/zi)u*02, a mixed layer part with a stability dependence, and a surface layer part without stability...

Unstable mass outflow from a binary system

Energy Technology Data Exchange (ETDEWEB)

Nariai, K [Tokyo Univ., Mitaka (Japan). Tokyo Astronomical Observatory; Sugimoto, D

1976-12-01

A contact binary system which fills the outer Lagrangian lobe is unstable against the mass loss from the second Lagrangian point. The effect of the mass loss on the remaining system is studied for several typical cases. It is shown that the separation between the components at the periastron decreases with a high rate in most cases; therefore, the system continues to lose mass once gas begins to flow out from the second Lagrangian point.

Treatment of Unstable Trochanteric Femur Fractures: Proximal Femur Nail Versus Proximal Femur Locking Compression Plate.

Science.gov (United States)

Singh, Ashutosh Kumar; Narsaria, Nidi; G R, Arun; Srivastava, Vivek

Unstable trochanteric femur fractures are common fractures that are difficult to manage. We conducted a prospective study to compare functional outcomes and complications of 2 different implant designs, proximal femur nail (PFN) and proximal femur locking compression plate (PFLCP), used in internal fixation of unstable trochanteric femur fractures. On hospital admission, 48 patients with unstable trochanteric fractures were randomly assigned (using a sealed envelope method) to treatment with either PFN (24 patients) or PFLCP (24 patients). Perioperative data and complications were recorded. All cases were followed up for 2 years. The groups did not differ significantly (P > .05) in operative time, reduction quality, complications, hospital length of stay, union rate, or time to union. Compared with the PFLCP group, the PFN group had shorter incisions and less blood loss. Regarding functional outcomes, there was no significant difference in mean Harris Hip Score (P = .48) or Palmer and Parker mobility score (P = .58). Both PFN and PFLCP are effective in internal fixation of unstable trochanteric femur fractures.

Stimulation of confocal unstable resonators using thin gain sheet

International Nuclear Information System (INIS)

Du Yanyi

2000-01-01

Mode calculation in unstable resonators with flowing saturable gain using the fast Fourier transform (FFT) algorithm and thin gain sheet just nearly inside the big mirror. This method is in resonators of small disturbance (ψ 0max = π/2), middle magnification (m 0 ∼= 1%)

[Bone surgery for unstable hips in patients with cerebral palsy].

Science.gov (United States)

Poul, J; Pesl, M; Pokorná, M

2004-01-01

The aim of this retrospective study was to compare the efficacy of femoral osteotomy alone with that of osteotomy combined with an acetabular procedure in patients with unstable hips due to spastic cerebral palsy. Sixty-one hip joints in 50 patients who had shown distinct subluxation or dislocation of the joint were operated on. Eleven patients underwent bilateral surgery. Before bone surgery, soft-tissue release involving both the flexors and adductors was performed on 19 hips. Femoral osteotomy alone was performed on 29 hip joints and combined femoral and pelvic osteotomy was carried out on 32 joints.Twelve resections of the proximal femur in seven patients were evaluated as a separate group. All treated hip joints were assessed by clinical and radiographic examination at a follow-up of more than 5 years. The skiagraphs taken in a strictly neutral position of the lower limbs before surgery and at the final examination were evaluated on the basis of Reimers's migration index and Wiberg's centre-edge angle. The locomotor abilities of each child were categorized according to the Vojta scoring system for locomotor development. The range of motion in the treated hip joint was assessed using the standard S. F. T. R. method. The results obtained were statistically analyzed by the Kruskal- Wallis, one-way ANOVA test. A comparison of the results of femoral osteotomy alone with those of combined femoral and pelvic osteotomy showed that the post-operative values of the migration index and centre-edge angle, as compared with the pre-operative ones, were statistically higher (pVojta rating system. There was no change in the range of motion in the treated hip joints after the operation. In 28, out of the 32 joints treated by combined femoral and pelvic osteotomy, Salter osteotomy was performed and it showed a high efficacy in providing hip joint stability. The main emphasis during surgery was placed on the maximum acetabular rotation laterally. Femoral osteotomy alone was less

Lateral Vibration Attenuation by the Dynamic Adjustment of Bias Currents in Magnetic Suspension System

International Nuclear Information System (INIS)

Mizuno, Takeshi; Takasaki, Masaya; Ishino, Yuji

2016-01-01

Switching stiffness control is applied to attenuate vibration in the lateral directions in an active magnetic suspension system with electromagnets operated in differential mode. The magnetic suspension system using the attractive force between magnetized bodies is inherently unstable in the normal direction so that feedback control is necessary to achieve stable suspension. In contrast, it can be stable in the lateral directions due to the edge effects in the magnetic circuits. In several applications, such passive suspension is used in combination with the active one to reduce cost and space. However, damping in the lateral directions is generally small. As a result, induced vibrations in these directions are hardly attenuated. To suppress such vibration without any additional actuator (electromagnet), switching stiffness control is applied to an magnetic suspension system operated in the differential mode. The stiffness in the lateral direction is adjusted by varying the bias currents of an opposed pair of electromagnets located in the normal direction simultaneously according to the motion of the suspended object. When the varied bias currents are adjusted for the additive normal forces cancel each other, such control does not affect the suspension in the normal direction. The effectiveness of the proposed control methods is confirmed experimentally. (paper)

Treatment options for unstable trochanteric fractures: Screw or helical proxima femoral nail.

Science.gov (United States)

Bajpai, Jeetendra; Maheshwari, Rajesh; Bajpai, Akansha; Saini, Sumit

2015-01-01

To compare treatment outcome of screw proximal femoral nail (PFN) system with that of a helical PFN. The study included 77 patients with closed unstable intertrochanteric fracture classified as AO 31A2&31A3, between June 2008 to August 2011. Inclusion criteria were: all mature skeletons above 50 years of age; closed unstable trochanteric fracture classified as AO 31A2&A3. Exclusion criteria were: immature skeleton, pathological fracture of any cause other than osteoporosis, inability to walk inde- pendently prior to injury. Patients were randomized to 2 treatment groups based on admission sequence. Forty patients were treated with screw PFN and thirty seven were treated with helical PFN. Both groups were similar in respect of time of surgery, blood loss and functional assessment and duration of hospitalization. In screw PFN group 2 patients had superficial wound infection, 1 patient had persistent hip pain and 1 patient had shortening>1 cm buttrochanteric fractures even in Indian patients where the bones are narrow and neck diameter is small. It is an implant of choice for osteoporotic and unstable trochanteric fractures.

The use of unstable chromosome aberrations and micronuclei in the individual biomonitoring: a comparative study

International Nuclear Information System (INIS)

Fernandes, Thiago de Salazar e

2005-02-01

Biodosimetry is based on the investigation of radioinduced biological effects in order to correlate them with the absorbed dose. The quantification of unstable chromosome aberrations and micronuclei, in peripheral blood lymphocytes, are two methods commonly used in biodosimetry. In this context, the aim of this research was to compare these methods in the biomonitoring of health care professionals occupationally exposed to ionizing radiation. In parallel, the technique of C-banding was evaluated for quality control of unstable chromosome aberrations analyses. Thus, samples of peripheral blood from health care professionals of three hospitals from Recife (Brazil) were collected, and the lymphocytes cultures were carried out based on the cytogenetic classical technique. It was pointed out that analysis of micronuclei is faster than the unstable chromosome aberrations ones, which suggests the use of the former in preliminary evaluation in cases of suspected accidental exposure. C-banding technique was efficient, as confirmatory test, in the identification of dicentrics and rings during the analyses of unstable chromosome aberrations, being able to be applied in the quality control in biodosimetry. The comparison between the individual work conditions with the frequencies of unstable aberrations and micronuclei obtained from cytogenetic analysis, resulted in the change of behavior of the professionals involved in this research, with a better observance of the radioprotection standards. (author)

Exploring the Physics of Unstable Nuclei

Science.gov (United States)

Volya, Alexander

In this presentation the Continuum Shell Model (CSM) approach is advertised as a powerful theoretical tool for studying physics of unstable nuclei. The approach is illustrated using 17O as an example, which is followed by a brief presentation of the general CSM formalism. The successes of the CSM are highlighted and references are provided throughout the text. As an example, the CSM is applied perturbatively to 20O allowing one to explore the effects of continuum on positions of weakly bound states and low-lying resonances, as well as to discern some effects of threshold discontinuity.

Exploring the physics of unstable nuclei

International Nuclear Information System (INIS)

Volya, Alexander

2015-01-01

In this presentation the Continuum Shell Model (CSM) approach is advertised as a powerful theoretical tool for studying physics of unstable nuclei. The approach is illustrated using 17 O as an example, which is followed by a brief presentation of the general CSM formalism. The successes of the CSM are highlighted and references are provided throughout the text. As an example, the CSM is applied perturbatively to 20 O allowing one to explore the effects of continuum on positions of weakly bound states and low-lying resonances, as well as to discern some effects of threshold discontinuity. (author)

The outcome of surgically treated traumatic unstable pelvic fractures by open reduction and internal fixation

Directory of Open Access Journals (Sweden)

Keykhosro Mardanpour

2013-07-01

Full Text Available BACKGROUND: This study was performed to evaluate functional and radiological results of pelvic ring fractures treatment by open reduction and internal fixation. METHOD: Thirty eight patients with unstable pelvic fractures, treated from 2002 to 2008 were retrospectively reviewed. The mean patients’ age was 37 years (range 20 to 67. Twenty six patients were men (4patients with type B and 22 patients with type C fracture and 12 women (7 patients with type B and 5 patients with type C fracture. The commonest cause was a road traffic accident (N=37, about 97%. Internal fixation was done by plaque with ilioinguinal and kocher-langenbeek approaches for anterior, posterior pelvic wall and acetabulum fracture respectively. Quality of reduction was graded according to Majeed score system. RESULTS: There were 11 type-C and 27 type-B pelvic fractures according to Tile’s classification. Thirty six patients sustained additional injuries. the commonest additional injury was lower extremity fracture. The mean follow-up was 45.6 months (range 16 to 84 months.The functional outcome was excellent in 66%, good in 15%, fair in 11% and poor in 7% of the patients with type B pelvic fractures and functional outcome was excellent in 46%, good in 27%, fair in 27% and poor in 0% of the patients with type C pelvic fractures. There were four postoperative infections. No sexual functional problem was reported. Neurologic problem like Lateral cutaneous nerve of thigh injury recovered completely in 2 patients and partially in 2 patients. There was no significant relation between functional outcome and the site of fracture (P greater than 0.005. CONCLUSION: Unstable pelvic ring fracture injuries should be managed surgically by rigid stabilization. It must be carried out as soon as the general condition of the patient permits, and even up to two weeks

A chaotic system with a single unstable node

Energy Technology Data Exchange (ETDEWEB)

Sprott, J.C. [Department of Physics, University of Wisconsin, Madison, WI 53706 (United States); Jafari, Sajad, E-mail: sajadjafari@aut.ac.ir [Biomedical Engineering Department, Amirkabir University of Technology, Tehran 15875-4413 (Iran, Islamic Republic of); Pham, Viet-Thanh [School of Electronics and Telecommunications, Hanoi University of Science and Technology, 01 Dai Co Viet, Hanoi (Viet Nam); Hosseini, Zahra Sadat [Biomedical Engineering Department, Amirkabir University of Technology, Tehran 15875-4413 (Iran, Islamic Republic of)

2015-09-25

This paper describes an unusual example of a three-dimensional dissipative chaotic flow with quadratic nonlinearities in which the only equilibrium is an unstable node. The region of parameter space with bounded solutions is relatively small as is the basin of attraction, which accounts for the difficulty of its discovery. Furthermore, for some values of the parameters, the system has an attracting torus, which is uncommon in three-dimensional systems, and this torus can coexist with a strange attractor or with a limit cycle. The limit cycle and strange attractor exhibit symmetry breaking and attractor merging. All the attractors appear to be hidden in that they cannot be found by starting with initial conditions in the vicinity of the equilibrium, and thus they represent a new type of hidden attractor with important and potentially problematic engineering consequences. - Highlights: • An unusual example of a three-dimensional dissipative chaotic flow is introduced. • In this system the only equilibrium is an unstable node. • For some values of the parameters, the system has an attracting torus. • This torus can coexist with a strange attractor or with a limit cycle. • These properties are uncommon in three-dimensional systems.

Effect of Teriparatide on Unstable Pertrochanteric Fractures

Directory of Open Access Journals (Sweden)

Tsan-Wen Huang

2015-01-01

Full Text Available We retrospectively analyzed the radiographic and clinical outcomes of unstable pertrochanteric fractures (AO/OTA 31-A2 in 44 patients who underwent dynamic hip screw (DHS fixation and compared the results with 29 patients who received teriparatide in addition to DHS fixation. A significantly shorter time for fracture healing was recorded in the teriparatide-treated group than in the control group. Rates of lag screw sliding, femoral shortening, and varus collapse were all significantly reduced in the teriparatide-treated group. There were no significant differences with regard to superficial wound infection, pneumonia, urinary tract infection, mortality, malunion, and cutting of the lag screw. The mean overall mobility scores were significantly better in the teriparatide-treated group at 3 and 6 months (P<0.001 and P<0.001, resp. but not at 12 months or the last follow-up. The pain scores were also significantly better in the teriparatide-treated group at 3 and 6 months (P=0.040 and P=0.041, resp. but not at 12 months or the last follow-up. Teriparatide improves radiographic outcomes and yields better clinical outcomes at 3 and 6 months postoperatively. The improvement in union time may be important for elderly populations with unstable pertrochanteric fractures to enable them to return to daily activities and reduce morbidity and mortality.

[The rotationally stable screw-anchor with trochanteric stabilizing plate (RoSA/TSP) : First results in unstable trochanteric femur fractures].

Science.gov (United States)

Maier, K-J; Bücking, B; Horst, K; Andruszkow, H; Hildebrand, F; Knobe, M

2017-12-01

In unstable trochanteric fractures, the extramedullary rotationally stable screw-anchor (RoSA) combines the benefits of the load and rotational stability of the blade with the advantages of the screw (pull-out resistance, compression capability) in a single load carrier, and was designed to prevent femoral neck shortening by using an additional locked trochanteric stabilizing plate (TSP). The aim of the current prospective cohort study was the clinical evaluation of the RoSA/TSP system regarding the mechanical re-operation rate and the amount of postoperative femoral neck shortening. From September 2011 to January 2014 80 patients with unstable trochanteric fractures underwent internal extramedullary fixation with the RoSA/TSP (Königsee Implantate GmbH, Allendorf, Germany). Due to fracture stability and after induction of compression, additional long locked antitelescoping screws (AT, n = 1-4) were placed reaching the femoral head. Radiological (femoral neck shortening) and clinical re-examination of patients (n = 61) was performed 6-10 weeks and 6-10 months later. In the 61 re-examined patients (76 %) femoral neck shortening was very low with 2 mm 6-10 months after operation. Re-operations occurred in 8 % (n = 6) and in 4 % (n = 3) as prophylactic surgical intervention. Whereas one-third (4 %) of re-operations occurred due to iatrogenic surgical problems from the first operation two-thirds of patients (8 %) had a re-operation due to delay of bone union (3× nonunion, 3 planned removals of AT-screws to improve healing). The in-hospital mortality was 3 % (n = 2). The fixation of unstable trochanteric femur fractures using the RoSA/TSP in a first clinical setting led to a great primary stability, with significant advantages with regard to limited femoral neck shortening. However, the rigidity of the construct with its consequences regarding bone healing can be challenging for the surgeon. Nevertheless, in some cases of revision it could be beneficial

Evaluation of lower limb electromyographic activity when using unstable shoes for the first time: a pilot quasi control trial.

Science.gov (United States)

Branthwaite, Helen; Chockalingam, Nachiappan; Pandyan, Anand; Khatri, Gaurav

2013-08-01

Unstable shoes, which have recently become popular, claim to provide additional physiological and biomechanical advantages to people who wear them. Alterations in postural stability have been shown when using the shoe after training. However, the immediate effect on muscle activity when walking in unstable shoes for the first time has not been investigated. To evaluate muscle activity and temporal parameters of gait when wearing Masai Barefoot Technology shoes(®) for the first time compared to the subject's own regular trainer shoes. A pilot repeated-measures quasi control trial. Electromyographic measurements of lower leg muscles (soleus, medial gastrocnemius, lateral gastrocnemius, tibialis anterior, peroneus longus, rectus femoris, biceps femoris and gluteus medius) were measured in 15 healthy participants using Masai Barefoot Technology shoes and trainer shoes over a 10-m walkway. Muscle activity of the third and sixth steps was used to study the difference in behaviour of the muscles under the two shoe conditions. Temporal parameters were captured with footswitches to highlight heel strike, heel lift and toe off. Paired samples t-test was completed to compare mean muscle activity for Masai Barefoot Technology and trainer shoes. Indicated that the use of Masai Barefoot Technology shoes increased the intensity of the magnitude of muscle activity. While this increase in the activity was not significant across the subjects, there were inter-individual differences in muscle activity. This variance between the participants demonstrates that some subjects do alter muscle behaviour while wearing such shoes. A more rigorous and specific assessment is required when advising patients to purchase the Masai Barefoot Technology shoe. Not all subjects respond positively to using unstable shoes, and the point in time when muscle behaviour can change is variable. Use of Masai Barefoot Technology shoe in patient management should be monitored closely as the individual muscle

Risk stratification by using non-invasive radionuclide imaging in patients with unstable angina spec tories

International Nuclear Information System (INIS)

Saghari, M.

2002-01-01

Unstable angina represents a heterogeneous spectrum of clinical entities between chronic stable angina and acute myocardial infraction. Acute ischemic syndromes (including unstable angina) result from abrupt reduction in coronary flow, frequently after atherosclerotic plaque disruption and with or without associated thrombosis or vasospasm. Nuclear cardiology studies and in particular, myocardial perfusion imaging are powerful noninvasive tools for detecting and assessing the severity of acute ischemic syndromes, including unstable angina pec tories. The information derived from a nuclear cardiology study can answer unresolved clinical question and aid in subsequent patient management, specifically jeopardized myocardium detected during spontaneously occurring acute chest pain or controlled stress testing are important determinant of: 1) The need for admission to an intensive care monitoring unit 2) The need for and urgency of coronary angiography 3) The appropriate use of percutaneous or surgical coronary revascularization procedures. Extensive information suggests the stress nuclear perfusion imaging is the best validated technique for predischarge risk stratification with unstable angina patients who have been medically stabilized. Early information suggests avoidance of unecessary coronary angiography or revascularization is the cost effective strategy

Interaction effects on the unstable discharge-energy characteristic of pump-turbine in pump mode

Science.gov (United States)

Tao, R.; Xiao, R. F.; Yang, W.; Liu, W. C.

2013-12-01

For a pump-turbine, unstable discharge-energy characteristic is an important factor for operating stability. In this study, the rotor-stator interaction effects on the pump-turbine which has the unstable discharge-energy characteristic has been studied. A series of transient CFD simulations under different discharge conditions have been conducted. Through the contrast between the simulations and experiments, it is found out that the energy decline is strongly affected by the flow loss in the adjustable vane. More importantly, the magnitude and direction of fluid flowing into the adjustable vane are varying with the impeller rotating. Disordered flow structure occurs in the adjustable vane and causes the energy losses due to the interaction effects. Based on this study, improvements on the flow uniformity at impeller outlet will help us to solve the unstable discharge-energy problem.

Simulation and validation of concentrated subsurface lateral flow paths in an agricultural landscape

Science.gov (United States)

Zhu, Q.; Lin, H. S.

2009-08-01

The importance of soil water flow paths to the transport of nutrients and contaminants has long been recognized. However, effective means of detecting concentrated subsurface flow paths in a large landscape are still lacking. The flow direction and accumulation algorithm based on single-direction flow algorithm (D8) in GIS hydrologic modeling is a cost-effective way to simulate potential concentrated flow paths over a large area once relevant data are collected. This study tested the D8 algorithm for simulating concentrated lateral flow paths at three interfaces in soil profiles in a 19.5-ha agricultural landscape in central Pennsylvania, USA. These interfaces were (1) the interface between surface plowed layers of Ap1 and Ap2 horizons, (2) the interface with subsoil water-restricting clay layer where clay content increased to over 40%, and (3) the soil-bedrock interface. The simulated flow paths were validated through soil hydrologic monitoring, geophysical surveys, and observable soil morphological features. The results confirmed that concentrated subsurface lateral flow occurred at the interfaces with the clay layer and the underlying bedrock. At these two interfaces, the soils on the simulated flow paths were closer to saturation and showed more temporally unstable moisture dynamics than those off the simulated flow paths. Apparent electrical conductivity in the soil on the simulated flow paths was elevated and temporally unstable as compared to those outside the simulated paths. The soil cores collected from the simulated flow paths showed significantly higher Mn content at these interfaces than those away from the simulated paths. These results suggest that (1) the D8 algorithm is useful in simulating possible concentrated subsurface lateral flow paths if used with appropriate threshold value of contributing area and sufficiently detailed digital elevation model (DEM); (2) repeated electromagnetic surveys can reflect the temporal change of soil water storage

Initial and regime situations in the decay of unstable quantum systems

International Nuclear Information System (INIS)

Rimini, A.; Zambotti, G.

1980-01-01

Two different definitions of survival probability in the decay of an unstable quantum system are considered and the equations for them are deduced from the equation for the density operator. The regime situation for the ensemble of unstable systems is studied and the density operator in such a situation is derived. The possible definitions of lifetime are discussed. If the adopted definition makes reference to all time including the early ones, then it is compulsory to specify exactly the state at the initial time. The correct equations for the survival probabilities in such conditions are derived. Two typical examples of decay experiments are considered and the influence of the initial preparation on the mean life is discussed. Numerical examples are given. (author)

Characterization of the structural collapse undergone by an unstable system of ultrasoft particles

Science.gov (United States)

Prestipino, Santi; Malescio, Gianpietro

2016-09-01

The effective repulsion between macromolecules such as polymer chains or dendrimers is everywhere finite, implying that interaction centers can even coincide. If, in addition, the large-distance attraction is sufficiently strong, then the system is driven unstable. An unstable system lacks a conventional thermodynamics since, in the infinite-size limit, it eventually collapses to a finite-size cluster (for instance, a polymer dispersion undergoes irreversible coagulation when increasing the amount of dissolved salt beyond a certain limit). Using a double-Gaussian (DG) potential for demonstration, we study the phase behavior of a system of ultrasoft particles as a function of the attraction strength η. Above a critical threshold ηc, the DG system is unstable but its collective behavior is far from trivial since two separate regions of the thermodynamic plane can be identified, based on the value taken by the average waiting time for collapse: this is finite and small on one side of the boundary, while presumably infinite in the other region. In order to make sense of this evidence, we consider a stable system of particles interacting through a DG potential augmented with a hard core (stabilized DG, or SDG potential). We provide arguments supporting the view that the boundary line of the unstable DG model is the remnant of the spinodal line of a fluid-fluid phase transition occurring in the SDG model when the hard-core diameter is sent to zero.

The effect of unstable sandals on instability in gait in healthy female subjects.

Science.gov (United States)

Price, Carina; Smith, Laura; Graham-Smith, Philip; Jones, Richard

2013-07-01

Unstable footwear generally lacks thorough peer-review published research to support concepts and marketing claims. The purpose of this study was to investigate the instability induced by four (FitFlop, Masai Barefoot Technology, Reebok Easy-Tone and Skechers Tone-Ups) commercially available unstable sandals and one stable control sandal (Earth) in walking in 15 females (mean±SD age was 29±6.7 years, mass 62.6±6.9kg and height 167.1±4.2cm). Three-dimensional motion with synchronised electromyography and kinetic data were collected. Walking speed and step length remained consistent between conditions, however double support time decreased in Masai Barefoot Technology. Centre of pressure data identified no consistent difference between the stable control and the unstable sandals, however Masai Barefoot Technology reduced the anterior-posterior range of centre of pressure. Muscle activity differed significantly at the ankle in the unstable footwear. FitFlop, Reebok and Skechers increased peroneal activity during pre-swing, whereas Masai Barefoot Technology increased medial gastrocnemius and decreased tibialis anterior activity in loading response and mid-stance. The larger rocker sole of the Masai Barefoot Technology altered gait and muscle activation with regard to braking and progression in the sagittal plane. Reebok, Skechers and FitFlop, with softer, less stable foreparts increased evertor action at toe-off, having their effect in the coronal plane. The study highlighted that any instability induced by the shoes is design-specific. Copyright © 2013 Elsevier B.V. All rights reserved.

Does Unstable Employment Have an Association with Suicide Rates among the Young?

Science.gov (United States)

Kim, Chungah; Cho, Youngtae

2017-04-28

Although a growing body of literature has indicated that unemployment has a positive association with suicide, the dynamic aspects of unstable employment have not yet been considered in suicidology. This study explored the association between employment stability and completed suicide among people aged 25-34 years in 20 OECD (Organization for Economic Cooperation and Development) countries with time-series data (1994-2010). In order to consider the different aspects of unstable employment, we tested the impacts of employment protection legislation indicators as another proxy of job insecurity (employed, but unstable) apart from unemployment rates. Covariates, including economic growth rates, GDP per capita, fertility rates, and divorce rate, were controlled for. The analysis was designed to be gender- and age-specific, where observations with ages of 25-29 were separated from those with ages of 30-34. Random effect models were applied to examine changes over time in suicide rates, and other models were presented to check robustness. The results showed that it is a low level of employment protection, rather than unemployment itself, that was associated with increased suicide rates among all of the studied populations. The magnitude of the effect differed by gender.

Nd:YAG (2 omega) pumped dye laser using self-filtering unstable resonator

CERN Document Server

Rahimian, K; Hariri, H

2002-01-01

A self-filtering unstable resonator with a magnification of M=-3 in a Nd:YAG (2 omega) dye laser has been studied. The dye solution is Rhodamine 6 G in alcohol with the concentration of 5*10 sub - 3 Mol/lit. The spatial intensity distribution of the resonator has been compared has been compared with that of a plane-parallel resonator of equal length. The output energy in both configurations are comparable (20 mu J ,and 26 mu J ,respectively). A significant difference between these two resonators is the laser beam divergence, where beam divergences of 0.77 mrad for the self-filtering unstable resonator and 1.6 mrad for the plane-parallel resonator have been measured. The brightness corresponding to these two resonators are 1.5* 10 sub 1 1 and 2.2* 10 sub 1 0W.cm sub - 2.Sr sub - 1, and the pulse widths are 7 and 17 ns, respectively. These figures show clearly that laser resonator based on the self-filtering unstable resonator design an increase the laser brightness a factor of 10, with a beam divergence of a f...

Safety and efficacy of angioplasty with intracoronary stenting in patients with unstable coronary syndromes. Comparison with stable coronary syndromes

Directory of Open Access Journals (Sweden)

Luís C. L. Correia

2000-06-01

Full Text Available OBJECTIVE: To assess safety and efficacy of coronary angioplasty with stent implantation in unstable coronary syndromes. METHODS: Retrospective analysis of in-hospital and late evolution of 74 patients with unstable coronary syndromes (unstable angina or infarction without elevation of the ST segment undergoing coronary angioplasty with stent placement. These 74 patients were compared with 31 patients with stable coronary syndromes (stable angina or stable silent ischemia undergoing the same procedure. RESULTS: No death and no need for revascularization of the culprit artery occurred in the in-hospital phase. The incidences of acute non-Q-wave myocardial infarction were 1.4% and 3.2% (p=0.6 in the unstable and stable coronary syndrome groups, respectively. In the late follow-up (11.2±7.5 months, the incidences of these events combined were 5.7% in the unstable coronary syndrome group and 6.9% (p=0.8 in the stable coronary syndrome group. In the multivariate analysis, the only variable with a tendency to significance as an event predictor was diabetes mellitus (p=0.07; OR=5.2; 95% CI=0.9-29.9. CONCLUSION: The in-hospital and late evolutions of patients with unstable coronary syndrome undergoing angioplasty with intracoronary stent implantation are similar to those of the stable coronary syndrome group, suggesting that this procedure is safe and efficacious when performed in unstable coronary syndrome patients.

Hemi replacement arthroplasty for unstable inter-trochanteric fractures of femur.

Science.gov (United States)

Singh, Sudhir; Shrivastava, Chetan; Kumar, Sanjiv

2014-10-01

Unstable inter-trochanteric fracture in the geriatric population is a common injury and is associated with poor bone quality, excessive collapse, loss of fixation, and cut-out of the lag screw, are the common problems of attempts to fix these fractures. Present study is an attempt to evaluate the functional outcome of primary cemented bipolar hemiarthroplasty in unstable inter-trochanteric fractures in elderly patients. This prospective study included 25 cases with unstable inter-trochanteric fracture of femur between 60 -75 y of age in whom primary Cemented Bipolar hemi - arthroplasty was performed. The patients were followed up at six week, three month, six month and one year postoperatively and assessed using Harris Hip Score (HHS), Lower Extremity Functional Scale (LEFS), Visual analogue scale (VAS) for evaluation of outcome. The mean HHS score was 78.86+8.13 by the end of one year. Similarly mean LEFS score was 34.36+7.01 by the end of one year, whereas the mean pain score on VAS Scale by the year end was 1.04+1.02. The changes in HHS, LEFS and VAS up to six months periods are much greater which starts showing a stable trend thereafter. Fair to good scores were observed in all the patients. We compared our results with those reported by other authors and our study gave quite comparable results. We also used lower extremity function status score (LEFS) for assessment of functional ability. The purpose of its use was that while Harris Hip Score (HHS) provides information on a multitude of factors, LEFS is more patient oriented and provides the correct information about the level of activities a patient can resume post-operatively and can be offered as a self assessment tool. No significant complication except for grade I pressure sores in four patients were seen in postoperative period but they all resolved with proper nursing care by six week follow up. No patient required revision surgery. The authors believe that primary cemented bipolar hemiarthroplasty for

Nuclear Data on Unstable Nuclei for Astrophysics

International Nuclear Information System (INIS)

Smith, Michael Scott; Meyer, Richard A; Lingerfelt, Eric; Scott, J.P.; Hix, William Raphael; Ma, Zhanwen; Bardayan, Daniel W.; Blackmon, Jeff C.; Guidry, Mike W.; KOZUB, RAYMOND L.; Chae, Kyung YuK.

2004-01-01

Recent measurements with radioactive beams at ORNL's Holifield Radioactive Ion Beam Facility (HRIBF) have prompted the evaluation of a number of reactions involving unstable nuclei needed for stellar explosion studies. We discuss these evaluations, as well as the development of a new computational infrastructure to enable the rapid incorporation of the latest nuclear physics results in astrophysics models. This infrastructure includes programs that simplify the generation of reaction rates, manage rate databases, and visualize reaction rates, all hosted at a new website http://www.nucastrodata.org

Analysis of PITFL injuries in rotationally unstable ankle fractures.

Science.gov (United States)

Warner, Stephen J; Garner, Matthew R; Schottel, Patrick C; Hinds, Richard M; Loftus, Michael L; Lorich, Dean G

2015-04-01

Reduction and stabilization of the syndesmosis in unstable ankle fractures is important for ankle mortise congruity and restoration of normal tibiotalar contact forces. Of the syndesmotic ligaments, the posterior inferior tibiofibular ligament (PITFL) provides the most strength for maintaining syndesmotic stability, and previous work has demonstrated the significance of restoring PITFL function when it remains attached to a posterior malleolus fracture fragment. However, little is known regarding the nature of a PITFL injury in the absence of a posterior malleolus fracture. The goal of this study was to describe the PITFL injury pattern based on magnetic resonance imaging (MRI) and intraoperative observation. A prospective database of all operatively treated ankle fractures by a single surgeon was used to identify all supination-external rotation (SER) types III and IV ankle fracture patients with complete preoperative orthogonal ankle radiographs and MRI. All patients with a posterior malleolus fracture were excluded. Using a combination of preoperative imaging and intraoperative findings, we analyzed the nature of injuries to the PITFL. In total, 185 SER III and IV operatively treated ankle fractures with complete imaging were initially identified. Analysis of the preoperative imaging and operative reports revealed 34% (63/185) had a posterior malleolus fracture and were excluded. From the remaining 122 ankle fractures, the PITFL was delaminated from the posterior malleolus in 97% (119/122) of cases. A smaller proportion (3%; 3/122) had an intrasubstance PITFL rupture. Accurate and stable syndesmotic reduction is a significant component of restoring the ankle mortise after unstable ankle fractures. In our large cohort of rotationally unstable ankle fractures without posterior malleolus fractures, we found that most PITFL injuries occur as a delamination off the posterior malleolus. This predictable PITFL injury pattern may be used to guide new methods for

Disabilities caused by unstable mutations in Costa Rica

OpenAIRE

Morales Montero, Fernando; Cuenca Berger, Patricia; Castro Volio, Isabel

2004-01-01

Myotonic dystrophy and fragile X syndrome are two genetically determined relatively common disabilities. Both are examples of a new type of mutation mechanism called unstable or dynamic mutations, triple repeats expansions or DNA amplification. Fragile X syndrome is recognized as the main cause of hereditary mental retardation and myotonic dystrophy is considered the most common muscular dystrophy of adults. This is a prospective non randomized study of clinically affected people,...

Unstable states produced in collisions among complex nuclei

International Nuclear Information System (INIS)

Sepulveda J, D.

1978-01-01

A theory about resonant elastic dispersion is formulated and the wave function of unstable states associated with the resonances observed in the differential and total sections is studied. The object of this theory is to extend to the elastic collisions among complex nuclei interesting case, the methods and formalism of the dispersion of particles without structure by an external potential, following an idea originally formulated by H. Feshbach. (author)

Circumferential wires as a supplement to intramedullary nailing in unstable trochanteric hip fractures

DEFF Research Database (Denmark)

Ban, Ilija; Birkelund, Lasse; Palm, Henrik

2012-01-01

Fixation of unstable trochanteric fractures is challenging. Application of a circumferential wire may facilitate bone contact and avoid postoperative fracture displacement. However, the use of circumferential wires remains controversial due to possible disturbance of the blood supply to the under......Fixation of unstable trochanteric fractures is challenging. Application of a circumferential wire may facilitate bone contact and avoid postoperative fracture displacement. However, the use of circumferential wires remains controversial due to possible disturbance of the blood supply...... to the underlying bone. We evaluated the results of applied circumferential wires, concentrating mainly on complications and reoperations....

Examination of the creep behaviour of microstructurally unstable ferritic steels

International Nuclear Information System (INIS)

Williams, K.R.

1981-01-01

The inherent microstructural instability of 1/2Cr 1/2Mo 1/4V; 21/4Cr 1Mo and carbon steels creep tested or service exposed at low stresses is demonstrated. Measurements of important dispersion parameters have been made during creep life and have been found to follow normal coarsening kinetics. Using the measured time dependent change of the dispersion parameters, a dislocation source controlled model for recovery creep is used and further developed. The model allows the calculation of the Manson-Haferd plot of log (time to failure) against temperature for unstable steels. In addition, a classification of material stability is proposed, based on the ratio of time to fracture, t(sub f), and time to tertiary creep, tsub(t). This classification enables estimates of remaining creep life to be based either on well established criteria for stable materials or modifications of these criteria for unstable steels. (author)

Bench Press Upper-Body Muscle Activation Between Stable and Unstable Loads.

Science.gov (United States)

Dunnick, Dustin D; Brown, Lee E; Coburn, Jared W; Lynn, Scott K; Barillas, Saldiam R

2015-12-01

The bench press is one of the most commonly used upper-body exercises in training and is performed with many different variations, including unstable loads (ULs). Although there is much research on use of an unstable surface, there is little to none on the use of an UL. The purpose of this study was to investigate muscle activation during the bench press while using a stable load (SL) vs. UL. Twenty resistance-trained men (age = 24.1 ± 2 years; ht = 177.5 ± 5.8 cm; mass = 88.7 ± 13.7 kg) completed 2 experimental conditions (SL and UL) at 2 different intensities (60 and 80% one repetition maximum). Unstable load was achieved by hanging 16 kg kettlebells by elastic bands from the end of the bar. All trial lifts were set to a 2-second cadence with a slight pause at the bottom. Subjects had electrodes attached to 5 muscles (pectoralis major, anterior deltoid, medial deltoid, triceps brachii, and latissimus dorsi) and performed 3 isometric bench press trials to normalize electromyographic data. All 5 muscles demonstrated significantly greater activation at 80% compared with 60% load and during concentric compared with eccentric actions. These results suggest that upper body muscle activation is not different in the bench press between UL and SL. Therefore, coaches should use their preference when designing training programs.

Dumbbell meningioma of the cervico-clavicular region.

Science.gov (United States)

Hlavka, V; Miklić, P; Besenski, N; Miklić, D; Franz, G

1991-01-01

The authors are reporting on a case of a 55-year-old man with an epidural meningioma in the region from the C VII. to the Th I. segment. The tumor encircled this region, and to the front and right involved the channels through which pass the C VI, C VII. and C VIII. roots. Subdurally, no tumoral mass was found. Another part of this tumor, of the same histological architecture as the epidural cervicospinal part was found in the supraclavicular region to the right, closely connected to the arteries and nerves of this region. The authors discuss the possibility of the tumoral occurrence at this site, primarily taking into account the origin of this tumor from the cells of the outer surface of the arachnoidea, i.e. cap cells which can invade the dura, with later separation from the main arachnoidal layer. The other possibility of such dumbbell meningioma occurring at the outgoing openings of the neural paths from the spinal channel should be looked for in the remnants of the arachnoidal cells in the region of the outgoing openings. In the paper are also discussed and correlated clinico-pathological, CT and angiographic findings.

Prognostic factors for survival of women with unstable spinal bone metastases from breast cancer

International Nuclear Information System (INIS)

Foerster, Robert; Bruckner, Thomas; Bostel, Tilman; Schlampp, Ingmar; Debus, Juergen; Rief, Harald

2015-01-01

Bone metastases are an important clinical issue in women with breast cancer. Particularly, unstable spinal bone metastases (SBM) are a major cause of severe morbidity and reduced quality of life (QoL) due to frequent immobilization. Radiotherapy (RT) is the major treatment modality and is capable of promoting re-ossification and improving stability. Since local therapy response is excellent, survival of these patients with unstable SBM is of high clinical importance. We therefore conducted this analysis to assess survival and to determine prognostic factors for bone survival (BS) in women with breast cancer and unstable SBM. A total population of 92 women with unstable SBM from breast cancer who were treated with RT at our department between January 2000 and January 2012 was retrospectively investigated. We calculated overall survival (OS) and BS (time between first diagnosis of bone metastases until death) with the Kaplan-Meier method and assessed prognostic factors for BS with a Cox regression model. Mean age at first diagnosis of breast cancer was 60.8 years ± SD 12.4 years. OS after 1, 2 and 5 years was 84.8, 66.3 and 50 %, respectively. BS after 1, 2 and 5 years was 62.0, 33.7 and 12 %, respectively. An age > 50 years (p < .001; HR 1.036 [CI 1.015–1.057]), the presence of a single bone metastasis (p = .002; HR 0.469 [CI 0.292–0.753]) and triple negative phenotype (p < .001; HR 1.068 [CI 0.933–1.125]) were identified as independent prognostic factors for BS. Our analysis demonstrated a short survival of women with breast cancer and unstable SBM. Age, presence of a solitary SBM and triple-negative phenotype correlated with survival. Our results may have an impact on therapeutic decisions in the future and offer a rationale for future prospective investigations

Gravitationally self-bound quantum states in unstable potentials

Science.gov (United States)

Jääskeläinen, Markku

2018-04-01

Quantum mechanics at present cannot be unified with the theory of gravity at the deepest level, and to guide research towards the solution of this fundamental problem, we need to look for ways to observe or refute predictions originating from attempts to combine quantum theory with gravity. The influence of the gravitational field created by the material density given by the wave function itself gives rise to nontrivial phenomena. In this study I consider the wave function for the center-of-mass coordinate of a spherical mass distribution under the influence of the self-interaction of Newtonian gravity. I solve numerically for the ground state in the presence of an unstable potential and find that the energy of the free-space bound state can be lowered despite the nontrapping character of the potential. The center-of-mass ground state becomes increasingly localized for the used unstable potentials, although only in a limited parameter regime. The feebleness of the energy shift makes the observation of these effects demanding and requires further developments in the cooling of material particles. In addition, the influence of gravitational perturbations that are present in typical laboratory settings necessitates the use of extremely quiet and controlled environments such as those provided by recently proposed space-borne experiments.

Experimental evidence of lateral flow in unsaturated homogeneous isotropic sloping soil due to rainfall

Science.gov (United States)

Sinai, G.; Dirksen, C.

2006-12-01

This paper describes laboratory experimental evidence for lateral flow in the top layer of unsaturated sloping soil due to rainfall. Water was applied uniformly on horizontal and V-shaped surfaces of fine sand, at rates about 100 times smaller than the saturated hydraulic conductivity. Flow regimes near the surface and in the soil bulk were studied by using dyes. Streamlines and streak lines and wetting fronts were visually studied and photographed through a vertical glass wall. Near wetting fronts the flow direction was always perpendicular to the fronts owing to dominant matrix potential gradients. Thus, during early wetting of dry sloping sand, the flow direction is directed upslope. Far above a wetting front the flow was vertical due to the dominance of gravity. Downslope flow was observed during decreasing rainfall and dry periods. The lateral movement was largest near the soil surface and decayed with soil depth. Unstable downslope lateral flow close to the soil surface was attributed to non-Darcian flow due to variable temporal and spatial raindrop distributions. The experiments verify the theory that predicts unsaturated downslope lateral flow in sloping soil due to rainfall dynamics only, without apparent soil texture difference or anisotropy. This phenomenon could have significant implications for hillside hydrology, desert agriculture, irrigation management, etc., as well as for the basic mechanisms of surface runoff and erosion.

Comparison of the effects of an eight-week push-up program using stable versus unstable surfaces.

Science.gov (United States)

Chulvi-Medrano, Iván; Martínez-Ballester, Esteban; Masiá-Tortosa, Laura

2012-12-01

Recently, the trend among physical training and rehabilitation professionals is the use of resistance exercise on unstable equipment in order to increase the effort of the agonist and stabilizing muscles. It is unknown if performing exercises on unstable surfaces provides a greater training stimulus as compared to training on a stable training surface. Therefore, the purpose of this research was to compare the effect that push-up training on stable and unstable surfaces had on strength performance in healthy young men. Thirty subjects with experience in resistance training participated in push-up training two days per week for eight weeks on one of three different surfaces: the floor (Tp), the T-Bow® (TBp) or the BOSU® (Bp). Strength, as measured by one repetition maximum (1-RM) and muscle endurance, as measured by number of pushups performed did not improve significantly (p>0.05) for any of the intervention groups. The addition of unstable surfaces in push-up training does not provide greater improvement in muscular strength and endurance than push up training performed on a stable surface in young men. 3b.

How do classical particle-field systems become unstable? - The last physics problem that Ronald Davidson studied

Science.gov (United States)

Qin, Hong

2016-10-01

Many of the classical particle-field systems in (neutral and nonneutral) plasma physics and accelerator physics become unstable when the system parameters vary. How do these instabilities happen? It turns out, very interestingly, that all conservative systems become unstable by the same mechanism, i.e, the resonance between a positive- and a negative-action modes. And this is the only route that a stable system can become unstable. In this talk, I will use several examples in plasma physics and accelerator physics with finite and infinite degrees of freedom to illustrate the basic physical picture and the rigorous theoretical structure of the process. The features at the transition between stable and unstable regions in the parameter space are the fundamental characteristics of the underlying real Hamiltonian system and complex G-Hamiltonian system. The resonance between a positive- and a negative-action modes at the transition is the Krein collision well-known to mathematicians. Research supported by the U.S. Department of Energy (DE-AC02-09CH11466).

A missed injury leading to delayed diagnosis and postoperative infection of an unstable thoracic spine fracture - case report of a potentially preventable complication

Directory of Open Access Journals (Sweden)

Stahel Philip F

2011-10-01

Full Text Available Abstract Background Patients suffering from polytrauma often present with altered mental status and have varying levels of examinability. This makes evaluation difficult. Physicians are often required to rely on advanced imaging techniques to make prompt and accurate diagnoses. Occasionally, injury detection on advanced imaging studies can be challenging given the subtle findings associated with certain conditions, such as diffuse idiopathic skeletal hyperostosis (DISH. Delayed or missed diagnoses in the setting of spinal fracture can lead to catastrophic neurological injury. Case presentation A man struck by a motor vehicle suffered multiple traumatic injuries including numerous rib fractures, a mechanically unstable pelvic fracture, and also had suspicion for an aortic injury. Unfortunately, the upper thoracic segment (T1-5 was only visualized with axial images based on the electronic data. Several days later, a contrast CT scan obtained to check the status of suspected aortic injury revealed T3-T4 subluxation indicative of an unstable extension-type fracture in the setting of DISH. Due to the missed injury and delay in diagnosis, surgery was not performed until eight days after the injury. At surgery, the patient was found to have left T3-T4 facet joint infection as well as infected hematoma surrounding a left T4 transverse process fracture and a traumatic T4 costo-transverse joint fracture-subluxation. Despite presence of infection, an instrumented posterior spinal fusion from T1-T6 was performed and the patient recovered well after antibiotic treatment. Conclusion A T3-T4 unstable DISH extension-type fracture was initially missed in a polytrauma patient due to inadequate imaging acquisition, which caused a delay in treatment and bacterial seeding of fracture hematoma. Complete imaging is especially needed in obtunded patients that cannot be thoroughly examined.

Experiments in nonlinear dynamics using control-based continuation: Tracking stable and unstable response curves

DEFF Research Database (Denmark)

Bureau, Emil; Schilder, Frank; Santos, Ilmar

2014-01-01

We show how to implement control-based continuation in a nonlinear experiment using existing and freely available software. We demonstrate that it is possible to track the complete frequency response, including the unstable branches, for a harmonically forced impact oscillator.......We show how to implement control-based continuation in a nonlinear experiment using existing and freely available software. We demonstrate that it is possible to track the complete frequency response, including the unstable branches, for a harmonically forced impact oscillator....

Search for Unstable Heavy and Excited Leptons at LEP2

CERN Document Server

Abbiendi, G.; Akesson, P.F.; Alexander, G.; Allison, John; Anderson, K.J.; Arcelli, S.; Asai, S.; Ashby, S.F.; Axen, D.; Azuelos, G.; Bailey, I.; Ball, A.H.; Barberio, E.; Barlow, Roger J.; Batley, J.R.; Baumann, S.; Behnke, T.; Bell, Kenneth Watson; Bella, G.; Bellerive, A.; Bentvelsen, S.; Bethke, S.; Betts, S.; Biebel, O.; Biguzzi, A.; Bloodworth, I.J.; Bock, P.; Bohme, J.; Boeriu, O.; Bonacorsi, D.; Boutemeur, M.; Braibant, S.; Bright-Thomas, P.; Brigliadori, L.; Brown, Robert M.; Burckhart, H.J.; Capiluppi, P.; Carnegie, R.K.; Carter, A.A.; Carter, J.R.; Chang, C.Y.; Charlton, David G.; Chrisman, D.; Ciocca, C.; Clarke, P.E.L.; Clay, E.; Cohen, I.; Conboy, J.E.; Cooke, O.C.; Couchman, J.; Couyoumtzelis, C.; Coxe, R.L.; Cuffiani, M.; Dado, S.; Dallavalle, G.Marco; Dallison, S.; Davis, R.; de Roeck, A.; Dervan, P.; Desch, K.; Dienes, B.; Dixit, M.S.; Donkers, M.; Dubbert, J.; Duchovni, E.; Duckeck, G.; Duerdoth, I.P.; Estabrooks, P.G.; Etzion, E.; Fabbri, F.; Fanfani, A.; Fanti, M.; Faust, A.A.; Feld, L.; Ferrari, P.; Fiedler, F.; Fierro, M.; Fleck, I.; Frey, A.; Furtjes, A.; Futyan, D.I.; Gagnon, P.; Gary, J.W.; Gaycken, G.; Geich-Gimbel, C.; Giacomelli, G.; Giacomelli, P.; Gingrich, D.M.; Glenzinski, D.; Goldberg, J.; Gorn, W.; Grandi, C.; Graham, K.; Gross, E.; Grunhaus, J.; Gruwe, M.; Hajdu, C.; Hanson, G.G.; Hansroul, M.; Hapke, M.; Harder, K.; Harel, A.; Hargrove, C.K.; Harin-Dirac, M.; Hauschild, M.; Hawkes, C.M.; Hawkings, R.; Hemingway, R.J.; Herten, G.; Heuer, R.D.; Hildreth, M.D.; Hill, J.C.; Hobson, P.R.; Hocker, James Andrew; Hoffman, Kara Dion; Homer, R.J.; Honma, A.K.; Horvath, D.; Hossain, K.R.; Howard, R.; Huntemeyer, P.; Igo-Kemenes, P.; Imrie, D.C.; Ishii, K.; Jacob, F.R.; Jawahery, A.; Jeremie, H.; Jimack, M.; Jones, C.R.; Jovanovic, P.; Junk, T.R.; Kanaya, N.; Kanzaki, J.; Karapetian, G.; Karlen, D.; Kartvelishvili, V.; Kawagoe, K.; Kawamoto, T.; Kayal, P.I.; Keeler, R.K.; Kellogg, R.G.; Kennedy, B.W.; Kim, D.H.; Klier, A.; Kobayashi, T.; Kobel, M.; Kokott, T.P.; Kolrep, M.; Komamiya, S.; Kowalewski, Robert V.; Kress, T.; Krieger, P.; von Krogh, J.; Kuhl, T.; Kupper, M.; Kyberd, P.; Lafferty, G.D.; Landsman, H.; Lanske, D.; Lauber, J.; Lawson, I.; Layter, J.G.; Lellouch, D.; Letts, J.; Levinson, L.; Liebisch, R.; Lillich, J.; List, B.; Littlewood, C.; Lloyd, A.W.; Lloyd, S.L.; Loebinger, F.K.; Long, G.D.; Losty, M.J.; Lu, J.; Ludwig, J.; Macchiolo, A.; Macpherson, A.; Mader, W.; Mannelli, M.; Marcellini, S.; Marchant, T.E.; Martin, A.J.; Martin, J.P.; Martinez, G.; Mashimo, T.; Mattig, Peter; McDonald, W.John; McKenna, J.; Mckigney, E.A.; McMahon, T.J.; McPherson, R.A.; Meijers, F.; Mendez-Lorenzo, P.; Merritt, F.S.; Mes, H.; Meyer, I.; Michelini, A.; Mihara, S.; Mikenberg, G.; Miller, D.J.; Mohr, W.; Montanari, A.; Mori, T.; Nagai, K.; Nakamura, I.; Neal, H.A.; Nisius, R.; O'Neale, S.W.; Oakham, F.G.; Odorici, F.; Ogren, H.O.; Okpara, A.; Oreglia, M.J.; Orito, S.; Pasztor, G.; Pater, J.R.; Patrick, G.N.; Patt, J.; Perez-Ochoa, R.; Petzold, S.; Pfeifenschneider, P.; Pilcher, J.E.; Pinfold, J.; Plane, David E.; Poli, B.; Polok, J.; Przybycien, M.; Quadt, A.; Rembser, C.; Rick, H.; Robins, S.A.; Rodning, N.; Roney, J.M.; Rosati, S.; Roscoe, K.; Rossi, A.M.; Rozen, Y.; Runge, K.; Runolfsson, O.; Rust, D.R.; Sachs, K.; Saeki, T.; Sahr, O.; Sang, W.M.; Sarkisian, E.K.G.; Sbarra, C.; Schaile, A.D.; Schaile, O.; Scharff-Hansen, P.; Schieck, J.; Schmitt, S.; Schoning, A.; Schroder, Matthias; Schumacher, M.; Schwick, C.; Scott, W.G.; Seuster, R.; Shears, T.G.; Shen, B.C.; Shepherd-Themistocleous, C.H.; Sherwood, P.; Siroli, G.P.; Skuja, A.; Smith, A.M.; Snow, G.A.; Sobie, R.; Soldner-Rembold, S.; Spagnolo, S.; Sproston, M.; Stahl, A.; Stephens, K.; Stoll, K.; Strom, David M.; Strohmer, R.; Surrow, B.; Tafirout, R.; Talbot, S.D.; Taras, P.; Tarem, S.; Teuscher, R.; Thiergen, M.; Thomas, J.; Thomson, M.A.; Torrence, E.; Towers, S.; Trefzger, T.; Trigger, I.; Trocsanyi, Z.; Tsur, E.; Turner-Watson, M.F.; Ueda, I.; Van Kooten, Rick J.; Vannerem, P.; Verzocchi, M.; Voss, H.; Wackerle, F.; Waller, D.; Ward, C.P.; Ward, D.R.; Watkins, P.M.; Watson, A.T.; Watson, N.K.; Wells, P.S.; Wengler, T.; Wermes, N.; Wetterling, D.; White, J.S.; Wilson, G.W.; Wilson, J.A.; Wyatt, T.R.; Yamashita, S.; Zacek, V.; Zer-Zion, D.

2000-01-01

Searches for unstable neutral and charged heavy leptons, N and L+-, and for excited states of neutral and charged leptons, nu*, e*, mu*, and tau*, have been performed in e+e- collisions using data collected by the OPAL detector at LEP. The data analysed correspond to an integrated luminosity of about 58pb-1 at a centre-of-mass energy of 183GeV, and about 10pb-1 each at 161GeV and 172GeV. No evidence for new particles was found. Lower limits on the masses of unstable heavy and excited leptons are derived. From the analysis of charged-current, neutral-current, and photonic decays of singly produced excited leptons, upper limits are determined for the ratio of the coupling to the compositeness scale, f/Lambda, for masses up to the kinematic limit. For excited leptons, the limits are established independently of the relative values of the coupling constants f and f'.

Unstable system with Coulomb interaction distorted near the origin

International Nuclear Information System (INIS)

Kerbikov, B.O.

1981-01-01

An unstable system with Coulomb interaction distorted at small distances is considered. The results are applicable to hadronic atoms analysis. A detailed investigation of the model which can be solved exactly is presented. This model contains the separable short-range potential with the Yamaguchi form factor. Closed expressions for the modified effective range function and the Coulomb-modified scattering length ase obtained [ru

Function Lateralization via Measuring Coherence Laterality

Science.gov (United States)

Wang, Ze; Mechanic-Hamilton, Dawn; Pluta, John; Glynn, Simon; Detre, John A.

2009-01-01

A data-driven approach for lateralization of brain function based on the spatial coherence difference of functional MRI (fMRI) data in homologous regions-of-interest (ROI) in each hemisphere is proposed. The utility of using coherence laterality (CL) to determine function laterality was assessed first by examining motor laterality using normal subjects’ data acquired both at rest and with a simple unilateral motor task and subsequently by examining mesial temporal lobe memory laterality in normal subjects and patients with temporal lobe epilepsy. The motor task was used to demonstrate that CL within motor ROI correctly lateralized functional stimulation. In patients with unilateral epilepsy studied during a scene-encoding task, CL in a hippocampus-parahippocampus-fusiform (HPF) ROI was concordant with lateralization based on task activation, and the CL index (CLI) significantly differentiated the right side group to the left side group. By contrast, normal controls showed a symmetric HPF CLI distribution. Additionally, similar memory laterality prediction results were still observed using CL in epilepsy patients with unilateral seizures after the memory encoding effect was removed from the data, suggesting the potential for lateralization of pathological brain function based on resting fMRI data. A better lateralization was further achieved via a combination of the proposed approach and the standard activation based approach, demonstrating that assessment of spatial coherence changes provides a complementary approach to quantifying task-correlated activity for lateralizing brain function. PMID:19345736

Subphotospheric fluctuations in magnetized radiative envelopes: contribution from unstable magnetosonic waves

Science.gov (United States)

Sen, Koushik; Fernández, Rodrigo; Socrates, Aristotle

2018-06-01

We examine the excitation of unstable magnetosonic waves in the radiative envelopes of intermediate- and high-mass stars with a magnetic field of ˜kG strength. Wind clumping close to the star and microturbulence can often be accounted for when including small-scale, subphotospheric density or velocity perturbations. Compressional waves - with wavelengths comparable to or shorter than the gas pressure scale height - can be destabilized by the radiative flux in optically thick media when a magnetic field is present, in a process called the radiation-driven magneto-acoustic instability (RMI). The instability does not require radiation or magnetic pressure to dominate over gas pressure, and acts independently of subsurface convection zones. Here we evaluate the conditions for the RMI to operate on a grid of stellar models covering a mass range 3-40 M⊙ at solar metallicity. For a uniform 1 kG magnetic field, fast magnetosonic modes are unstable down to an optical depth of a few tens, while unstable slow modes extend beyond the depth of the iron convection zone. The qualitative behaviour is robust to magnetic field strength variations by a factor of a few. When combining our findings with previous results for the saturation amplitude of the RMI, we predict velocity fluctuations in the range ˜0.1-10 km s-1. These amplitudes are a monotonically increasing function of the ratio of radiation to gas pressure, or alternatively, of the zero-age main sequence mass.

Force Outputs during Squats Performed Using a Rotational Inertia Device under Stable versus Unstable Conditions with Different Loads.

Directory of Open Access Journals (Sweden)

Jairo Vázquez-Guerrero

Full Text Available The purpose of the study was to compare the force outputs achieved during a squat exercise using a rotational inertia device in stable versus unstable conditions with different loads and in concentric and eccentric phases. Thirteen male athletes (mean ± SD: age 23.7 ± 3.0 years, height 1.80 ± 0.08 m, body mass 77.4 ± 7.9 kg were assessed while squatting, performing one set of three repetitions with four different loads under stable and unstable conditions at maximum concentric effort. Overall, there were no significant differences between the stable and unstable conditions at each of the loads for any of the dependent variables. Mean force showed significant differences between some of the loads in stable and unstable conditions (P < 0.010 and peak force output differed between all loads for each condition (P < 0.045. Mean force outputs were greater in the concentric than in the eccentric phase under both conditions and with all loads (P < 0.001. There were no significant differences in peak force between concentric and eccentric phases at any load in either stable or unstable conditions. In conclusion, squatting with a rotational inertia device allowed the generation of similar force outputs under stable and unstable conditions at each of the four loads. The study also provides empirical evidence of the different force outputs achieved by adjusting load conditions on the rotational inertia device when performing squats, especially in the case of peak force. Concentric force outputs were significantly higher than eccentric outputs, except for peak force under both conditions. These findings support the use of the rotational inertia device to train the squatting exercise under unstable conditions for strength and conditioning trainers. The device could also be included in injury prevention programs for muscle lesions and ankle and knee joint injuries.

Force Outputs during Squats Performed Using a Rotational Inertia Device under Stable versus Unstable Conditions with Different Loads.

Science.gov (United States)

Vázquez-Guerrero, Jairo; Moras, Gerard; Baeza, Jennifer; Rodríguez-Jiménez, Sergio

2016-01-01

The purpose of the study was to compare the force outputs achieved during a squat exercise using a rotational inertia device in stable versus unstable conditions with different loads and in concentric and eccentric phases. Thirteen male athletes (mean ± SD: age 23.7 ± 3.0 years, height 1.80 ± 0.08 m, body mass 77.4 ± 7.9 kg) were assessed while squatting, performing one set of three repetitions with four different loads under stable and unstable conditions at maximum concentric effort. Overall, there were no significant differences between the stable and unstable conditions at each of the loads for any of the dependent variables. Mean force showed significant differences between some of the loads in stable and unstable conditions (P inertia device allowed the generation of similar force outputs under stable and unstable conditions at each of the four loads. The study also provides empirical evidence of the different force outputs achieved by adjusting load conditions on the rotational inertia device when performing squats, especially in the case of peak force. Concentric force outputs were significantly higher than eccentric outputs, except for peak force under both conditions. These findings support the use of the rotational inertia device to train the squatting exercise under unstable conditions for strength and conditioning trainers. The device could also be included in injury prevention programs for muscle lesions and ankle and knee joint injuries.

Robust Model-based Control of Open-loop Unstable Processes

International Nuclear Information System (INIS)

Emad, Ali

1999-01-01

This paper addresses the development of new formulations for estimating modeling errors or unmeasured disturbances to be used in Model Predictive Control (MPC) algorithms during open-loop prediction. Two different formulations were developed in this paper. One is used in MPC that directly utilizes linear models and the other in MPC that utilizes non-linear models. These estimation techniques were utilized to provide robust performance for MPC algorithms when the plant is open-loop unstable and under the influence of modeling error and/or unmeasured disturbances. For MPC that utilizes a non-linear model, the estimation technique is formulated as a fixed small size on-line optimization problem, while for linear MPC, the unmeasured disturbances are estimated via a proposed linear disturbance model. The disturbance model coefficients are identified on-line from historical estimates of plant-model mismatch. The effectiveness of incorporating these proposed estimation techniques into MPC is tested through simulated implementation on non-linear unstable exothermic fluidized bed reactor. Closed-loop simulations proved the capability of the proposed estimation methods to stabilize and, thereby, improve the MPC performance in such cases. (Author)

Monitoring cardiac output during hyperbaric oxygen treatment of haemodynamically unstable patients

DEFF Research Database (Denmark)

Hansen, Marco Bo; Treschow, Frederik; Skielboe, Martin

2013-01-01

Patients suffering from necrotizing fasciitis (NF) are often haemodynamically unstable and require extended monitoring of cardiovascular parameters; yet this is limited during hyperbaric oxygen treatment (HBOT). We aimed to evaluate the use and safety of transoesophageal Doppler (TED) monitoring ...

The effect of nonlinearity on unstable zones of Mathieu equation

Indian Academy of Sciences (India)

2017-02-09

Feb 9, 2017 ... Abstract. Mathieu equation is a well-known ordinary differential equation in which the excitation term appears as the non-constant coefficient. The mathematical modelling of many dynamic systems leads to Mathieu equation. The determination of the locus of unstable zone is important for the control of ...

Closed reduction with CT-guided screw fixation for unstable sacroiliac joint fracture-dislocation

Energy Technology Data Exchange (ETDEWEB)

Baskin, Kevin M.; Cahill, Ann Marie; Kaye, Robin D. [Children' s Hospital of Philadelphia, Department of Radiology, Philadelphia, PA (United States); Born, Christopher T. [Temple University Hospital/Temple Children' s Hospital, Temple Sports Medicine, Marlton, NJ (United States); Grudziak, Jan S. [Children' s Hospital of Pittsburgh, Department of Orthopedic Surgery, Pittsburgh, PA (United States); Towbin, Richard B.

2004-12-01

Unstable posterior pelvic ring fractures and dislocations are uncommon but potentially life-threatening injuries in children. Early definitive management reduces risk of immediate complications as well as chronic pain and gait dysfunction. Conventional operative therapy carries substantial risk of extensive blood loss and iatrogenic neurological and vascular injury. Minimally invasive image-guided intervention may further reduce immediate risk and improve long-term outcome. To describe CT-guided closed reduction and internal fixation (CRIF) and review outcomes of unstable fracture-dislocation of the sacroiliac (SI) joint in children. Between 2000 and 2003, three children (two girls, one boy) age 8-14 years were referred to interventional radiology for treatment of unstable SI joint fracture-dislocation not adequately treated with anterior external fixation alone. The three affected SI joints (two left, one right) were treated in a combined approach by pediatric interventional radiologists and orthopedic surgeons, using a percutaneous approach under CT guidance. Over a threaded guiding pin, 7.3 mm cannulated screws were used to achieve stable reduction of the affected SI joints. One screw was removed after slight (2 mm) migration. No neurovascular or other complications occurred. All patients had satisfactory healing with near-anatomic reduction, although recovery of the youngest was delayed by associated spinal injury. Compared to open surgical alternatives, CRIF under CT guidance reduces operating time, decreases blood loss, and allows early definitive fixation and immediate non-weight-bearing mobilization with a low rate of complication for unstable posterior pelvic ring fractures. In addition, CT-guided placement of the guide pin may allow safer screw positioning and may minimize the total number of screws needed to achieve pelvic stability. (orig.)

Cost-utility of enoxaparin compared with unfractionated heparin in unstable coronary artery disease

Directory of Open Access Journals (Sweden)

Milne Ruairidh

2001-10-01

Full Text Available Abstract Background Low molecular weight heparins hold several advantages over unfractionated heparin including convenience of administration. Enoxaparin is one such heparin licensed in the UK for use in unstable coronary artery disease (unstable stable angina and non-Q wave myocardial infarction. In these patients, two large randomised controlled trials and their meta-analysis showed small benefits for enoxaparin over unfractionated heparin at 30–43 days and potentially at one year. We found no relevant published full economic evaluations, only cost studies, one of which was conducted in the UK. The other studies, from the US, Canada and France, are difficult to interpret since their resource use and costs may not reflect UK practice. Methods We aimed to compare the benefits and costs of short-term treatment (two to eight days with enoxaparin and unfractionated heparin in unstable coronary artery disease. We used published data sources to estimate the incremental cost per quality adjusted life year (QALY, adopting a NHS perspective and using 1998 prices. Results The base case was a 0.013 QALY gain and net cost saving of £317 per person treated with enoxaparin instead of unfractionated heparin. All but one sensitivity analysis showed net savings and QALY gains, the exception (the worst case being a cost per QALY of £3,305. Best cases were a £495 saving and 0.013 QALY gain, or a £317 saving and 0.014 QALY gain per person. Conclusions Enoxaparin appears cost saving compared with unfractionated heparin in patients with unstable coronary artery disease. However, cost implications depend on local revascularisation practice.

Closed reduction with CT-guided screw fixation for unstable sacroiliac joint fracture-dislocation

International Nuclear Information System (INIS)

Baskin, Kevin M.; Cahill, Ann Marie; Kaye, Robin D.; Born, Christopher T.; Grudziak, Jan S.; Towbin, Richard B.

2004-01-01

Unstable posterior pelvic ring fractures and dislocations are uncommon but potentially life-threatening injuries in children. Early definitive management reduces risk of immediate complications as well as chronic pain and gait dysfunction. Conventional operative therapy carries substantial risk of extensive blood loss and iatrogenic neurological and vascular injury. Minimally invasive image-guided intervention may further reduce immediate risk and improve long-term outcome. To describe CT-guided closed reduction and internal fixation (CRIF) and review outcomes of unstable fracture-dislocation of the sacroiliac (SI) joint in children. Between 2000 and 2003, three children (two girls, one boy) age 8-14 years were referred to interventional radiology for treatment of unstable SI joint fracture-dislocation not adequately treated with anterior external fixation alone. The three affected SI joints (two left, one right) were treated in a combined approach by pediatric interventional radiologists and orthopedic surgeons, using a percutaneous approach under CT guidance. Over a threaded guiding pin, 7.3 mm cannulated screws were used to achieve stable reduction of the affected SI joints. One screw was removed after slight (2 mm) migration. No neurovascular or other complications occurred. All patients had satisfactory healing with near-anatomic reduction, although recovery of the youngest was delayed by associated spinal injury. Compared to open surgical alternatives, CRIF under CT guidance reduces operating time, decreases blood loss, and allows early definitive fixation and immediate non-weight-bearing mobilization with a low rate of complication for unstable posterior pelvic ring fractures. In addition, CT-guided placement of the guide pin may allow safer screw positioning and may minimize the total number of screws needed to achieve pelvic stability. (orig.)

GPU-based simulation of the two-dimensional unstable structure of gaseous oblique detonations

Energy Technology Data Exchange (ETDEWEB)

Teng, H.H.; Kiyanda, C.B.; Ng, H.D. [Department of Mechanical and Industrial Engineering, Concordia University, Montréal, QC, H3G 1M8 (Canada); Morgan, G.H.; Nikiforakis, N. [Cavendish Laboratory, Department of Physics, University of Cambridge, Cambridge, CB3 0HE (United Kingdom)

2015-03-10

In this paper, the two-dimensional structure of unstable oblique detonations induced by the wedge from a supersonic combustible gas flow is simulated using the reactive Euler equations with a one-step Arrhenius chemistry model. A wide range of activation energy of the combustible mixture is considered. Computations are performed on the Graphical Processing Unit (GPU) to reduce the simulation runtimes. A large computational domain covered by a uniform mesh with high grid resolution is used to properly capture the development of instabilities and the formation of different transverse wave structures. After the initiation point, where the oblique shock transits into a detonation, an instability begins to manifest and in all cases, the left-running transverse waves first appear, followed by the subsequent emergence of right-running transverse waves forming the dual-head triple point structure. This study shows that for low activation energies, a long computational length must be carefully considered to reveal the unstable surface due to the slow growth rate of the instability. For high activation energies, the flow behind the unstable oblique detonation features the formation of unburnt gas pockets and strong vortex-pressure wave interaction resulting in a chaotic-like vortical structure.

Use of unstable chromosome aberrations for biological dosimetry after the first postirradiation mitosis

International Nuclear Information System (INIS)

Doloy, M.T.; Malarbet, J.L.; Guedeney, G.; Bourguignon, M.; Leroy, A.; Reillaudou, M.; Masse, R.

1991-01-01

The loss of unstable chromosome aberrations after the first postirradiation mitosis makes their use difficult in radiation dosimetry. We describe here a method which, in a cell population observed at this stage, allows retrospective estimation of the frequencies of the unstable aberrations induced at the time of irradiation, and their use as a dosimeter. The laws controlling the behavior of unstable aberrations during mitosis were defined from a large-scale experiment on irradiated human lymphocytes. For cells undergoing the first, second, or third mitosis after irradiation, relationships were determined between the frequency, at irradiation time, of acentric fragments not arising from formation of dicentrics or rings, and the ratio of dicentrics and centric rings appearing without acentric fragments to the total number of dicentrics plus rings. On the basis of this ratio, the method described here provides an assessment of the postirradiation mitotic activity in a cell population. This assessment permitted estimation of the cell distribution and frequency of dicentrics plus centric rings, and of the frequency of acentric fragments at the time of irradiation. The use of this method for retrospective dosimetry after whole-body irradiation under various conditions of exposure is illustrated

Temperature-Driven Change in the Unstable Growth Mode on Patterned GaAs(001)

International Nuclear Information System (INIS)

Tadayyon-Eslami, T.; Phaneuf, R. J.; Kan, H.-C.; Calhoun, L. C.

2006-01-01

We observe a dramatic change in the unstable growth mode during GaAs molecular beam epitaxy on patterned GaAs(001) as the temperature is lowered through approximately 540 deg. C, roughly coincident with the preroughening temperature. Observations of the As 2 flux dependence, however, rule out thermodynamic preroughening as driving the growth mode change. Similar observations rule out the change in surface reconstruction as the cause. Instead, we find evidence that the change in the unstable growth mode can be explained by a competition between the decreased adatom collection rate on small terraces and a small anisotropic barrier to adatom diffusion downward across step bunches

On Debye radius measurement in an unstable gas discharged plasma

International Nuclear Information System (INIS)

Shvilkin, B.N.

1998-01-01

It is shown that at low concentrations of charged particles conditions can be realized in a magnetized unstable-to-drift plasma for which concentration perturbations are comparable to the concentration itself. The electron temperature is then determined by potential fluctuations, and the drift oscillation wavelength is of the order of the Debye length

Treatment of unstable trochanteric fractures : the balance between man and material

NARCIS (Netherlands)

I.B. Schipper (Inger)

2003-01-01

textabstractTreatment of unstable trochanteric fractures poses a challenge to surgeons in many ways. Accepting this challenge requires understanding of those parameters that determine the outcome. In operative fracture care at least four elements influence the outcome of treatment: the patient, the

Unstable genes unstable mind: beyond the central dogma of molecular biology.

Science.gov (United States)

Hegde, Mahabaleshwar V; Saraph, Arundhati A

2011-08-01

Schizophrenia has a polygenic mode of inheritance and an estimated heritability of over 80%, but success in understanding its genetic underpinnings to date has been modest. Unlike in trinucleotide neurodegenerative disorders, the phenomenon of genetic anticipation observed in schizophrenia or bipolar disorder has not been explained. For the first time, we provide a plausible molecular explanation of genetic anticipation and pathophysiology of schizophrenia, at least in part, with supporting evidence. We postulate that abnormally increased numbers of CAG repeats in many genes being expressed in the brain, coding for glutamine, cumulatively press for higher demand of glutamine in the respective brain cells, resulting in a metabolic crisis and dysregulation of the glutamate-glutamine cycle. This can adversely affect the functioning of both glutamate and GABA receptors, which are known to be involved in psychosis, and may also affect glutathione levels, increasing oxidative stress. The resulting psychosis (gain in function), originating from unstable genes, is described as an effect "beyond the central dogma of molecular biology". The hypothesis explains genetic anticipation, as further expansions in subsequent generations may result in increased severity and earlier occurrence. Many other well described findings provide proof of concept. This is a testable hypothesis, does not deny any known facts and opens up new avenues of research. Copyright © 2011 Elsevier Ltd. All rights reserved.

Unstable footwear as a speed-dependent noise-based training gear to exercise inverted pendulum motion during walking.

Science.gov (United States)

Dierick, Frédéric; Bouché, Anne-France; Scohier, Mikaël; Guille, Clément; Buisseret, Fabien

2018-05-15

Previous research on unstable footwear has suggested that it may induce mechanical noise during walking. The purpose of this study was to explore whether unstable footwear could be considered as a noise-based training gear to exercise body center of mass (CoM) motion during walking. Ground reaction forces were collected among 24 healthy young women walking at speeds between 3 and 6 km h -1 with control running shoes and unstable rocker-bottom shoes. The external mechanical work, the recovery of mechanical energy of the CoM during and within the step cycles, and the phase shift between potential and kinetic energy curves of the CoM were computed. Our findings support the idea that unstable rocker-bottom footwear could serve as a speed-dependent noise-based training gear to exercise CoM motion during walking. At slow speed, it acts as a stochastic resonance or facilitator that reduces external mechanical work; whereas at brisk speed it acts as a constraint that increases external mechanical work and could mimic a downhill slope.

Acromioclavicular joint reconstruction using the LockDown synthetic implant: a study with cadavers.

Science.gov (United States)

Taranu, R; Rushton, P R P; Serrano-Pedraza, I; Holder, L; Wallace, W A; Candal-Couto, J J

2015-12-01

Dislocation of the acromioclavicular joint is a relatively common injury and a number of surgical interventions have been described for its treatment. Recently, a synthetic ligament device has become available and been successfully used, however, like other non-native solutions, a compromise must be reached when choosing non-anatomical locations for their placement. This cadaveric study aimed to assess the effect of different clavicular anchorage points for the Lockdown device on the reduction of acromioclavicular joint dislocations, and suggest an optimal location. We also assessed whether further stability is provided using a coracoacromial ligament transfer (a modified Neviaser technique). The acromioclavicular joint was exposed on seven fresh-frozen cadaveric shoulders. The joint was reconstructed using the Lockdown implant using four different clavicular anchorage points and reduction was measured. The coracoacromial ligament was then transferred to the lateral end of the clavicle, and the joint re-assessed. If the Lockdown ligament was secured at the level of the conoid tubercle, the acromioclavicular joint could be reduced anatomically in all cases. If placed medial or 2 cm lateral, the joint was irreducible. If the Lockdown was placed 1 cm lateral to the conoid tubercle, the joint could be reduced with difficulty in four cases. Correct placement of the Lockdown device is crucial to allow anatomical joint reduction. Even when the Lockdown was placed over the conoid tubercle, anterior clavicle displacement remained but this could be controlled using a coracoacromial ligament transfer. ©2015 The British Editorial Society of Bone & Joint Surgery.

Perioperative lateral trochanteric wall fractures: sliding hip screw versus percutaneous compression plate for intertrochanteric hip fractures.

Science.gov (United States)

Langford, Joshua; Pillai, Gita; Ugliailoro, Anthony D; Yang, Edward

2011-04-01

This study was performed to determine the incidence of perioperative lateral wall fractures with a standard sliding hip screw (SHS) versus a percutaneous compression plate (PCCP) using identical meticulous closed reduction techniques in both groups. Retrospective analysis of a prospective trauma registry. Urban Level I trauma center. Over a 7-year period, 337 patients with intertrochanteric hip fractures were treated with either a SHS or a PCCP at our institution. The PCCP group (Group 1) consisted of 200 patients, of which 141 (71%) had adequate images to be included in the study. The SHS group (Group 2) consisted of 137 patients, of which 100 (73%) had adequate images to be included in the study. Closed reduction and plate application with either a standard sliding hip screw or a percutaneous compression plate for an Orthopaedic Trauma Association 31A1 or 31A2 intertrochanteric hip fracture. : Radiographic evidence of lateral trochanteric wall fracture as measured by intraoperative and perioperative radiographs. There was an overall lateral wall fracture incidence of 20% in the SHS group versus 1.4% in the PCCP group (P fracture types, there was a lateral wall fracture incidence of 29.8% in the SHS group versus 1.9% in the PCCP group (P trochanteric wall fracture compared with the SHS group. This difference became greater when just unstable intertrochanteric fractures were analyzed. An anatomic reduction, combined with a device (PCCP) that uses small-diameter defects in the lateral trochanteric wall, essentially eliminates perioperative lateral trochanteric wall fractures.

Unstable bodyweight and incident type 2 diabetes mellitus: A meta-analysis.

Science.gov (United States)

Kodama, Satoru; Fujihara, Kazuya; Ishiguro, Hajime; Horikawa, Chika; Ohara, Nobumasa; Yachi, Yoko; Tanaka, Shiro; Shimano, Hitoshi; Kato, Kiminori; Hanyu, Osamu; Sone, Hirohito

2017-07-01

The present meta-analysis aimed to clarify the association of unstable bodyweight with the risk of type 2 diabetes mellitus, an association that has been controversial among longitudinal studies. An electronic literature search using EMBASE and MEDLINE was followed up to 31 August 2016. The relative risks (RRs) of type 2 diabetes mellitus in individuals with unstable bodyweight were pooled using the inverse variance method. Eight studies were eligible for the meta-analysis. The median duration of measurements of weight change and follow-up years for ascertaining type 2 diabetes mellitus were 13.5 and 9.4 years, respectively. The pooled RR for the least vs most stable category was 1.33 (95% confidence interval 1.12-1.57). Between-study heterogeneity was statistically significant (P = 0.048). Whether type 2 diabetes mellitus was ascertained by blood testing explained 66.0% of the variance in the logarithm of RR (P = 0.02). In three studies in which blood testing was carried out, type 2 diabetes mellitus risk was not significant (RR 1.06, 95% confidence interval 0.91-1.25). Furthermore, publication bias that inflated type 2 diabetes mellitus risk was statistically detected by Egger's test (P = 0.09). Unstable bodyweight might be modestly associated with the elevated risk of type 2 diabetes mellitus; although serious biases, such as diagnostic suspicion bias and publication bias, made it difficult to assess this association. © 2017 The Authors. Journal of Diabetes Investigation published by Asian Association for the Study of Diabetes (AASD) and John Wiley & Sons Australia, Ltd.

Combined medial and lateral anatomic ligament reconstruction for chronic rotational instability of the ankle.

Science.gov (United States)

Buchhorn, Tomas; Sabeti-Aschraf, Manuel; Dlaska, Constantin E; Wenzel, Florian; Graf, Alexandra; Ziai, Pejman

2011-12-01

This study aimed to extend knowledge on the arthroscopic evaluation of the unstable ankle joint and the outcome of ligament reconstruction on rotational instability. In contrast to previous studies, we investigated the combined repair of lateral and medial ligaments. Ninety-six patients underwent medial and lateral ligament reconstruction between 2006 and 2008, 81 of whom, with a mean age of 31.9 (range, 14 to 44) years, completed the 12-month followup and were therefore included in this study (Table 1). Clinical, radiographic, and concomitant arthroscopic examination was performed prior to the ligament stabilization. Postoperative followup included clinical and radiographic evaluation after 3, 6, and 12 months. Arthroscopy showed a lesion of the anterior fibulotalar ligament (AFTL), calcaneofibular ligament (CFL), and tibiocalcanear ligament (TCL) (Deep part of deltoid ligament complex) in 67 patients. An avulsion of the proximal insertion point of the ATTL was additionally found in 14 cases. Clinical results 3 months after surgery showed a significant increase in the AOFAS-Hindfoot Score as well as a significant decrease of the Visual Analogue-Scale for pain (VAS) (p ankle joint in most cases has an injury of the lateral ligaments and a component of the deltoid, the TCL, but rarely with a combined lesion of the TCL and the anterior tibiotalar ligament (ATTL) (Superficial part of deltoid ligament complex). The combined lateral and medial ligament reconstruction with an anchor technique had a good clinical outcome with high patient satisfaction with few complications.

Multiphonon structure of γ-unstable or O(6) nuclei

International Nuclear Information System (INIS)

Otsuka, T.; Kim, K.H.

1995-01-01

The multiphonon structure is shown for the O(6) limit of the Interacting Boson Model. The phonon states are created by the O(6) quadrupole operator with proper symmetrization. All the σ = N states can be described in this scheme in terms of phonon quanta and two-phonon anharmonicity, while the ground state is γ unstable. This structure is carried over into higher-lying σ < N states. (author)

Fixation of Trochanteric Fragments in Cementless Bipolar Hemiarthroplasty of Unstable Intertrochanteric Fracture: Cerclage Wiring.

Science.gov (United States)

Lee, Young-Kyun; Park, Chan Ho; Koo, Kyung-Hoi

2017-12-01

Bipolar hemiarthroplasty (HA) is an option for the treatment of unstable intertrochanteric fracture in elderly patients. There is a raising concern regarding cable-grip related complications for the fixation of trochanteric fragments. Therefore, the aim of this study was to evaluate outcome of cementless HA with fixation for the trochanteric fragments using monofilament wires in unstable intertrochanteric fracture. We reviewed 92 cementless bipolar HAs using a grit-blasted long stem design for unstable intertrochanteric fractures in 91 elderly patients with a mean age of 81.7 years. During the arthroplasty, trochanteric fracture fragments were fixed using 1 or 2 vertical wires and transverse wires. We evaluated the clinical outcomes such as abductor power, ambulatory ability and wire-related complications, and radiologic outcomes including the union of the trochanteric fragment and subsidence of stem. Sixty-two patients were followed for a minimum of 2 years (mean, 59 months) postoperatively. The mean abductor power and Koval category was 4.1 (range, 3 to 5) and 4.6 (range, 1 to 6). The wire was broken in 3 hips (4.8%) and the nonunion of the greater trochanter occurred in 1 hips (1.6%). Two stems subsided by 3 mm and 8 mm, respectively, during postoperative 6 weeks, after which the subsidence was not progressive. Cerclage wiring of the trochanter using monofilament wire leads to acceptable outcome in cementless HA for senile patients with unstable intertrochanteric fracture. Cerclage wiring using a monofilament wire is recommended for the fixation of trochanteric fragments.

Porter-Thomas distribution in unstable many-body systems

International Nuclear Information System (INIS)

Volya, Alexander

2011-01-01

We use the continuum shell model approach to explore the resonance width distribution in unstable many-body systems. The single-particle nature of a decay, the few-body character of the interaction Hamiltonian, and the collectivity that emerges in nonstationary systems due to the coupling to the continuum of reaction states are discussed. Correlations between the structures of the parent and daughter nuclear systems in the common Fock space are found to result in deviations of decay width statistics from the Porter-Thomas distribution.

Effects of constant immigration on the dynamics and persistence of stable and unstable Drosophila populations

Science.gov (United States)

Dey, Snigdhadip; Joshi, Amitabh

2013-01-01

Constant immigration can stabilize population size fluctuations but its effects on extinction remain unexplored. We show that constant immigration significantly reduced extinction in fruitfly populations with relatively stable or unstable dynamics. In unstable populations with oscillations of amplitude around 1.5 times the mean population size, persistence and constancy were unrelated. Low immigration enhanced persistence without affecting constancy whereas high immigration increased constancy without enhancing persistence. In relatively stable populations with erratic fluctuations of amplitude close to the mean population size, both low and high immigration enhanced persistence. In these populations, the amplitude of fluctuations relative to mean population size went down due to immigration, and their dynamics were altered to low-period cycles. The effects of immigration on the population size distribution and intrinsic dynamics of stable versus unstable populations differed considerably, suggesting that the mechanisms by which immigration reduced extinction risk depended on underlying dynamics in complex ways. PMID:23470546

Unstable quantum states and rigged Hilbert spaces

International Nuclear Information System (INIS)

Gorini, V.; Parravicini, G.

1978-10-01

Rigged Hilbert space techniques are applied to the quantum mechanical treatment of unstable states in nonrelativistic scattering theory. A method is discussed which is based on representations of decay amplitudes in terms of expansions over complete sets of generalized eigenvectors of the interacting Hamiltonian, corresponding to complex eigenvalues. These expansions contain both a discrete and a continuum contribution. The former corresponds to eigenvalues located at the second sheet poles of the S matrix, and yields the exponential terms in the survival amplitude. The latter arises from generalized eigenvectors associated to complex eigenvalues on background contours in the complex plane, and gives the corrections to the exponential law. 27 references

Search for unstable sequential neutral and charged heavy leptons in $e^{+}e^{-}$ annihilation at $\\sqrt{s}$ = 130 and 136 GeV

CERN Document Server

Acciarri, M; Adriani, O; Aguilar-Benítez, M; Ahlen, S P; Alpat, B; Alcaraz, J; Alemanni, G; Allaby, James V; Aloisio, A; Alverson, G; Alviggi, M G; Ambrosi, G; Anderhub, H; Andreev, V P; Angelescu, T; Antreasyan, D; Arefev, A; Azemoon, T; Aziz, T; Bagnaia, P; Baksay, L; Ball, R C; Banerjee, S; Banicz, K; Barillère, R; Barone, L; Bartalini, P; Baschirotto, A; Basile, M; Battiston, R; Bay, A; Becattini, F; Becker, U; Behner, F; Berdugo, J; Berges, P; Bertucci, B; Betev, B L; Biasini, M; Biland, A; Bilei, G M; Blaising, J J; Blyth, S C; Bobbink, Gerjan J; Böck, R K; Böhm, A; Borgia, B; Boucham, A; Bourilkov, D; Bourquin, Maurice; Brambilla, Elena; Branson, J G; Brigljevic, V; Brock, I C; Buijs, A; Bujak, A T; Burger, J D; Burger, W J; Busenitz, J K; Buytenhuijs, A O; Cai, X D; Campanelli, M; Capell, M; Cara Romeo, G; Caria, M; Carlino, G; Cartacci, A M; Casaus, J; Castellini, G; Castello, R; Cavallari, F; Cavallo, N; Cecchi, C; Cerrada-Canales, M; Cesaroni, F; Chamizo-Llatas, M; Chan, A; Chang, Y H; Chaturvedi, U K; Chemarin, M; Chen, A; Chen, G; Chen, G M; Chen, H F; Chen, H S; Chéreau, X J; Chiefari, G; Chien, C Y; Choi, M T; Cifarelli, Luisa; Cindolo, F; Civinini, C; Clare, I; Clare, R; Cohn, H O; Coignet, G; Colijn, A P; Colino, N; Commichau, V; Costantini, S; Cotorobai, F; de la Cruz, B; Dai, T S; D'Alessandro, R; De Asmundis, R; De Boeck, H; Degré, A; Deiters, K; Denes, P; De Notaristefani, F; DiBitonto, Daryl; Diemoz, M; Van Dierendonck, D N; Di Lodovico, F; Dionisi, C; Dittmar, Michael; Dominguez, A; Doria, A; Dorne, I; Dova, M T; Drago, E; Duchesneau, D; Duinker, P; Durán, I; Dutta, S; Easo, S; Efremenko, Yu V; El-Mamouni, H; Engler, A; Eppling, F J; Erné, F C; Ernenwein, J P; Extermann, Pierre; Fabre, M; Faccini, R; Falciano, S; Favara, A; Fay, J; Felcini, Marta; Furetta, C; Ferguson, T; Fernández, D; Ferroni, F; Fesefeldt, H S; Fiandrini, E; Field, J H; Filthaut, Frank; Fisher, P H; Forconi, G; Fredj, L; Freudenreich, Klaus; Galaktionov, Yu; Ganguli, S N; Gau, S S; Gentile, S; Gerald, J; Gheordanescu, N; Giagu, S; Goldfarb, S; Goldstein, J; Gong, Z F; Gougas, Andreas; Gratta, Giorgio; Grünewald, M W; Gupta, V K; Gurtu, A; Gutay, L J; Hangarter, K; Hartmann, B; Hasan, A; Hebbeker, T; Hervé, A; Van Hoek, W C; Hofer, H; Hoorani, H; Hou, S R; Hu, G; Ilyas, M M; Innocente, Vincenzo; Janssen, H; Jin, B N; Jones, L W; de Jong, P; Josa-Mutuberria, I; Kasser, A; Khan, R A; Kamyshkov, Yu A; Kapinos, P; Kapustinsky, J S; Karyotakis, Yu; Kaur, M; Kienzle-Focacci, M N; Kim, D; Kim, J K; Kim, S C; Kim, Y G; Kinnison, W W; Kirkby, A; Kirkby, D; Kirkby, Jasper; Kittel, E W; Klimentov, A; König, A C; Köngeter, A; Korolko, I; Koutsenko, V F; Koulbardis, A; Krämer, R W; Kramer, T; Krenz, W; Kuijten, H; Kunin, A; Ladrón de Guevara, P; Landi, G; Lapoint, C; Lassila-Perini, K M; Lebeau, M; Lebedev, A; Lebrun, P; Lecomte, P; Lecoq, P; Le Coultre, P; Lee Jae Sik; Lee, K Y; Le Goff, J M; Leiste, R; Lenti, M; Leonardi, E; Levchenko, P M; Li Chuan; Lieb, E H; Lin, W T; Linde, Frank L; Lindemann, B; Lista, L; Liu, Z A; Lohmann, W; Longo, E; Lu, W; Lü, Y S; Lübelsmeyer, K; Luci, C; Luckey, D; Ludovici, L; Luminari, L; Lustermann, W; Ma Wen Gan; Macchiolo, A; Maity, M; Majumder, G; Malgeri, L; Malinin, A; Maña, C; Mangla, S; Marchesini, P A; Marin, A; Martin, J P; Marzano, F; Massaro, G G G; Mazumdar, K; McNally, D; McNeil, R R; Mele, S; Merola, L; Meschini, M; Metzger, W J; Von der Mey, M; Mi, Y; Mihul, A; Van Mil, A J W; Mirabelli, G; Mnich, J; Möller, M; Monteleoni, B; Moore, R; Morganti, S; Mount, R; Müller, S; Muheim, F; Nagy, E; Nahn, S; Napolitano, M; Nessi-Tedaldi, F; Newman, H; Nippe, A; Nowak, H; Organtini, G; Ostonen, R; Pandoulas, D; Paoletti, S; Paolucci, P; Park, H K; Pascale, G; Passaleva, G; Patricelli, S; Paul, T; Pauluzzi, M; Paus, C; Pauss, Felicitas; Peach, D; Pei, Y J; Pensotti, S; Perret-Gallix, D; Petrak, S; Pevsner, A; Piccolo, D; Pieri, M; Pinto, J C; Piroué, P A; Pistolesi, E; Plyaskin, V; Pohl, M; Pozhidaev, V; Postema, H; Produit, N; Raghavan, R; Rahal-Callot, G; Rancoita, P G; Rattaggi, M; Raven, G; Razis, P A; Read, K; Ren, D; Rescigno, M; Reucroft, S; Van Rhee, T; Ricker, A; Riemann, S; Riemers, B C; Riles, K; Ro, S; Robohm, A; Rodin, J; Rodríguez-Calonge, F J; Roe, B P; Röhner, S; Romero, L; Rosier-Lees, S; Rosselet, P; Van Rossum, W; Roth, S; Rubio, Juan Antonio; Rykaczewski, H; Salicio, J; Sánchez, E; Santocchia, A; Sarakinos, M E; Sarkar, S; Sassowsky, M; Schäfer, C; Shchegelskii, V; Schmidt-Kärst, S; Schmitz, D; Schmitz, P; Schneegans, M; Schöneich, B; Scholz, N; Schopper, Herwig Franz; Schotanus, D J; Schulte, R; Schultze, K; Schwenke, J; Schwering, G; Sciacca, C; Sciarrino, D; Sens, Johannes C; Servoli, L; Shevchenko, S; Shivarov, N; Shoutko, V; Shukla, J; Shumilov, E; Siedenburg, T; Son, D; Sopczak, André; Smith, B; Spillantini, P; Steuer, M; Stickland, D P; Sticozzi, F; Stone, H; Stoyanov, B; Strässner, A; Strauch, K; Sudhakar, K; Sultanov, G G; Sun, L Z; Susinno, G F; Suter, H; Swain, J D; Tang, X W; Tauscher, Ludwig; Taylor, L; Ting, Samuel C C; Ting, S M; Toker, O; Tonisch, F; Tonutti, M; Tonwar, S C; Tóth, J; Tsaregorodtsev, A Yu; Tully, C; Tuchscherer, H; Tung, K L; Ulbricht, J; Uwer, U; Valente, E; Van de Walle, R T; Vetlitskii, I; Viertel, Gert M; Vivargent, M; Völkert, R; Vogel, H; Vogt, H; Vorobev, I; Vorobyov, A A; Vorvolakos, A; Wadhwa, M; Wallraff, W; Wang, J C; Wang, X L; Wang, Y F; Wang, Z M; Weber, A; Wittgenstein, F; Wu, S X; Wynhoff, S; Xu, J; Xu, Z Z; Yang, B Z; Yang, C G; Yao, X Y; Ye, J B; Yeh, S C; You, J M; Zaccardelli, C; Zalite, A; Zemp, P; Zeng, Y; Zhang, Z; Zhang, Z P; Zhou, B; Zhou, Y; Zhu, G Y; Zhu, R Y; Zichichi, Antonino

1996-01-01

A search for unstable sequential neutral and charged heavy leptons has been made at center-of-mass energies 130 and 136 \\GeV\\ with the L3 detector at LEP. The neutral leptons are assumed to decay via mixing to electrons and muons. No evidence for their existence was found. We exclude unstable Dirac neutrinos for masses below 59.3 (57.9) \\GeV\\ and unstable Majorana neutrinos below 48.6 (47.2) \\GeV\\ if the neutrino couples to the electron(muon) family. We exclude unstable charged heavy leptons for masses below 61 \\GeV\\ for a wide range of the associated neutral lepton mass.

Treatment of unstable intraarticular fracture of distal radius: POP casting with external fixation.

Science.gov (United States)

ur Rahman, Obaid; Khan, Mohammad Qadeem; Rasheed, Haroon; Ahmad, Saleem

2012-04-01

To compare radiological and functional outcome of external fixation and distraction with conservative Plaster of Paris (POP) cast for unstable intra-articular fractures of the distal radius. The study was conducted on 60 patients with unstable intra-articular fracture of distal radius who reported to emergency or outpatient Orthopaedic Surgery department of Benazir Bhutto Hospital, Rawalpindi, between March and August 2007. They were divided into two equal groups: Group A and Group B, treated by Plaster of Paris cast, and external fixation with distraction respectively. The functional outcome in terms of freedom from pain, range of movement, grip power and deformity, and the radiological outcome of radial length, incongruity and radio-ulnar joint position were analysed at three months follow-up using a 3-point scoring scale. In Group A, 1 (3%) patient showed excellent result, 8 (27%) patients good results, 19 (63%) patients fair results and 2 (7%) patients poor result. In Group B, 14 (47%) patients showed excellent results, 11 (37%) patients good results, 4 (13%) patients fair results and 1 (3%) patient poor result. The outcome score of the Group B patients was significantly better compared to the Group A patients (p value advantages over conventional Plaster of Paris cast in the treatment of unstable intra-articular fractures of distal radius.

Immediate percutaneous sacroiliac screw insertion for unstable pelvic fractures: is it safe enough?

Science.gov (United States)

Acker, A; Perry, Z H; Blum, S; Shaked, G; Korngreen, A

2018-04-01

The purpose of this study was to compare the results of immediate and delayed percutaneous sacroiliac screws surgery for unstable pelvic fractures, regarding technical results and complication rate. Retrospective study. The study was conducted at the Soroka University Medical center, Beer Sheva, Israel, which is a level 1 trauma Center. 108 patients with unstable pelvic injuries were operated by the orthopedic department at the Soroka University Medical Center between the years 1999-2010. A retrospective analysis found 50 patients with immediate surgery and 58 patients with delayed surgery. Preoperative and postoperative imaging were analyzed and data was collected regarding complications. All patients were operated on by using the same technique-percutaneous fixation of sacroiliac joint with cannulated screws. The study's primary outcome measure was the safety and quality of the early operation in comparison with the late operation. A total of 156 sacroiliac screws were inserted. No differences were found between the immediate and delayed treatment groups regarding technical outcome measures (P value = 0.44) and complication rate (P value = 0.42). The current study demonstrated that immediate percutaneous sacroiliac screw insertion for unstable pelvic fractures produced equally good technical results, in comparison with the conventional delayed operation, without additional complications.

On the Kalman Filter error covariance collapse into the unstable subspace

Directory of Open Access Journals (Sweden)

A. Trevisan

2011-03-01

Full Text Available When the Extended Kalman Filter is applied to a chaotic system, the rank of the error covariance matrices, after a sufficiently large number of iterations, reduces to N⁺ + N⁰ where N⁺ and N⁰ are the number of positive and null Lyapunov exponents. This is due to the collapse into the unstable and neutral tangent subspace of the solution of the full Extended Kalman Filter. Therefore the solution is the same as the solution obtained by confining the assimilation to the space spanned by the Lyapunov vectors with non-negative Lyapunov exponents. Theoretical arguments and numerical verification are provided to show that the asymptotic state and covariance estimates of the full EKF and of its reduced form, with assimilation in the unstable and neutral subspace (EKF-AUS are the same. The consequences of these findings on applications of Kalman type Filters to chaotic models are discussed.

Capture cross sections on unstable nuclei

Science.gov (United States)

Tonchev, A. P.; Escher, J. E.; Scielzo, N.; Bedrossian, P.; Ilieva, R. S.; Humby, P.; Cooper, N.; Goddard, P. M.; Werner, V.; Tornow, W.; Rusev, G.; Kelley, J. H.; Pietralla, N.; Scheck, M.; Savran, D.; Löher, B.; Yates, S. W.; Crider, B. P.; Peters, E. E.; Tsoneva, N.; Goriely, S.

2017-09-01

Accurate neutron-capture cross sections on unstable nuclei near the line of beta stability are crucial for understanding the s-process nucleosynthesis. However, neutron-capture cross sections for short-lived radionuclides are difficult to measure due to the fact that the measurements require both highly radioactive samples and intense neutron sources. Essential ingredients for describing the γ decays following neutron capture are the γ-ray strength function and level densities. We will compare different indirect approaches for obtaining the most relevant observables that can constrain Hauser-Feshbach statistical-model calculations of capture cross sections. Specifically, we will consider photon scattering using monoenergetic and 100% linearly polarized photon beams. Challenges that exist on the path to obtaining neutron-capture cross sections for reactions on isotopes near and far from stability will be discussed.

Capture cross sections on unstable nuclei

Directory of Open Access Journals (Sweden)

Tonchev A.P.

2017-01-01

Full Text Available Accurate neutron-capture cross sections on unstable nuclei near the line of beta stability are crucial for understanding the s-process nucleosynthesis. However, neutron-capture cross sections for short-lived radionuclides are difficult to measure due to the fact that the measurements require both highly radioactive samples and intense neutron sources. Essential ingredients for describing the γ decays following neutron capture are the γ-ray strength function and level densities. We will compare different indirect approaches for obtaining the most relevant observables that can constrain Hauser-Feshbach statistical-model calculations of capture cross sections. Specifically, we will consider photon scattering using monoenergetic and 100% linearly polarized photon beams. Challenges that exist on the path to obtaining neutron-capture cross sections for reactions on isotopes near and far from stability will be discussed.

Scalar Hairy Black Holes in Four Dimensions are Unstable

Science.gov (United States)

Ganchev, Bogdan; Santos, Jorge E.

2018-04-01

We present a numerical analysis of the stability properties of the black holes with scalar hair constructed by Herdeiro and Radu. We prove the existence of a novel gauge where the scalar field perturbations decouple from the metric perturbations, and analyze the resulting quasinormal mode spectrum. We find unstable modes with characteristic growth rates which for uniformly small hair are almost identical to those of a massive scalar field on a fixed Kerr background.

Three-dimensional TDHF calculation for reactions of unstable nuclei

Energy Technology Data Exchange (ETDEWEB)

Kim, Ka-Hae; Otsuka, Takaharu [Tokyo Univ. (Japan). Dept. of Physics; Bonche, P.

1998-07-01

The fusion is studied for reactions between a stable and an unstable nuclei with neutron skin. The reactions {sup 16,28}O+{sup 40}Ca and {sup 16}O+{sup 16,28}O are taken as examples, and the three-dimensional time-dependent Hartree-Fock method with the full Skyrme interaction is used. It is confirmed that the fusion cross section in low-energy region is sensitive to the interaction used in the calculation. (author)

Scalar Hairy Black Holes in Four Dimensions are Unstable.

Science.gov (United States)

Ganchev, Bogdan; Santos, Jorge E

2018-04-27

We present a numerical analysis of the stability properties of the black holes with scalar hair constructed by Herdeiro and Radu. We prove the existence of a novel gauge where the scalar field perturbations decouple from the metric perturbations, and analyze the resulting quasinormal mode spectrum. We find unstable modes with characteristic growth rates which for uniformly small hair are almost identical to those of a massive scalar field on a fixed Kerr background.

Computed tomography fluoroscopy-guided placement of iliosacral screws in patients with unstable posterior pelvic fractures

International Nuclear Information System (INIS)

Iguchi, Toshihiro; Ogawa, Ken-Ichi; Doi, Takeshi; Munetomo, Kazuo; Miyasho, Koji; Hiraki, Takao; Kanazawa, Susumu; Ozaki, Toshifumi

2010-01-01

The purpose of this study was to evaluate retrospectively the safety and effectiveness of the computed tomography (CT) fluoroscopy-guided placement of iliosacral screws in patients with unstable posterior pelvic fractures. Six patients (four women and two men; mean age 55.8 years; range 35-77 years) with unstable posterior pelvic fractures underwent iliosacral screw placement under CT fluoroscopy guidance between November 2007 and August 2008. Unstable pelvic ring injury (AO types B and C) was the indication for this procedure. In all the six patients except one, CT fluoroscopy-guided placement had been technically successful. In one patient, a second screw had been inserted, with a tilt to the caudal site, and slightly advanced into the extrasacral body; afterward, it could be exchanged safely for a shorter screw. Five patients and one patient underwent placement of two screws and one screw, respectively. The mean duration of the procedure was 15.0 min (range 9-30 min) per screw; the duration was 12.3 min and 18.2 min for the first and second screws, respectively. No complications requiring treatment occurred during or after the procedure. The mean clinical and radiologic follow-up period was 14 months (range 6-21 months). All pelvic injuries had healed satisfactorily, without complication, and all patients are now doing well clinically and can walk. CT fluoroscopy-guided placement of iliosacral screws is a safe and effective treatment in patients with unstable posterior pelvic fractures. (orig.)

Lyapunov vectors and assimilation in the unstable subspace: theory and applications

International Nuclear Information System (INIS)

Palatella, Luigi; Carrassi, Alberto; Trevisan, Anna

2013-01-01

Based on a limited number of noisy observations, estimation algorithms provide a complete description of the state of a system at current time. Estimation algorithms that go under the name of assimilation in the unstable subspace (AUS) exploit the nonlinear stability properties of the forecasting model in their formulation. Errors that grow due to sensitivity to initial conditions are efficiently removed by confining the analysis solution in the unstable and neutral subspace of the system, the subspace spanned by Lyapunov vectors with positive and zero exponents, while the observational noise does not disturb the system along the stable directions. The formulation of the AUS approach in the context of four-dimensional variational assimilation (4DVar-AUS) and the extended Kalman filter (EKF-AUS) and its application to chaotic models is reviewed. In both instances, the AUS algorithms are at least as efficient but simpler to implement and computationally less demanding than their original counterparts. As predicted by the theory when error dynamics is linear, the optimal subspace dimension for 4DVar-AUS is given by the number of positive and null Lyapunov exponents, while the EKF-AUS algorithm, using the same unstable and neutral subspace, recovers the solution of the full EKF algorithm, but dealing with error covariance matrices of a much smaller dimension and significantly reducing the computational burden. Examples of the application to a simplified model of the atmospheric circulation and to the optimal velocity model for traffic dynamics are given. This article is part of a special issue of Journal of Physics A: Mathematical and Theoretical devoted to ‘Lyapunov analysis: from dynamical systems theory to applications’. (paper)

Research of Medical Expenditure among Inpatients with Unstable Angina Pectoris in a Single Center.

Science.gov (United States)

Wu, Suo-Wei; Pan, Qi; Chen, Tong; Wei, Liang-Yu; Xuan, Yong; Wang, Qin; Li, Chao; Song, Jing-Chen

2017-07-05

With the rising incidence as well as the medical expenditure among patients with unstable angina pectoris, the research aimed to investigate the inpatient medical expenditure through the combination of diagnosis-related groups (DRGs) among patients with unstable angina pectoris in a Grade A tertiary hospital to conduct the referential standards of medical costs for the diagnosis. Single-factor analysis and multiple linear stepwise regression method were used to investigate 3933 cases between 2014 and 2016 in Beijing Hospital (China) whose main diagnosis was defined as unstable angina pectoris to determine the main factors influencing the inpatient medical expenditure, and decision tree method was adopted to establish the model of DRGs grouping combinations. The major influential factors of inpatient medical expenditure included age, operative method, therapeutic effects as well as comorbidity and complications (CCs) of the disease, and the 3933 cases were divided into ten DRGs by four factors: age, CCs, therapeutic effects, and the type of surgery with corresponding inpatient medical expenditure standards setup. Data of nonparametric test on medical costs among different groups were all significant (P angina pectoris is conducive in standardizing the diagnosis and treatment behaviors of the hospital and reducing economic burdens among patients.

Analog Electronic Implementation of Unstable Dissipative Systems of Type I with Multi-Scrolls Displaced Along Space

Science.gov (United States)

Ontañón-García, L. J.; Lozoya-Ponce, R. E.

2017-06-01

Multi-scroll Unstable Dissipative Systems (UDS) in R3 which consist of piecewise linear systems are implemented electronically by means of analog computing. The scrolling behavior of the systems can be designed to oscillate along a specific axis or into space depending on the unstable and stable manifolds. In order for a multi-scroll attractor, this switching system must present at least two unstable hyperbolic focus-saddle equilibria with the same stability index, a negative real eigenvalue and a pair of complex conjugated eigenvalues with positive real part. Then, to displace the scrolls among the axes and space different switching control laws must be designed. By taking into consideration the mathematical expressions of the switching systems, the electronic implementations are carried out by means of operational amplifiers representing the real analog physical solution of the systems, from which the voltage is measured representing the states solution.

Sutudy on exchange flow under the unstably stratified field

OpenAIRE

文沢, 元雄

2005-01-01

This paper deals with the exchange flow under the unstably stratified field. The author developed the effective measurement system as well as the numerical analysis program. The system and the program are applied to the helium-air exchange flow in a rectangular channel with inclination. Following main features of the exchange flow were discussed based on the calculated results.(1) Time required for establishing a quasi-steady state exchange flow.(2) The relationship between the inclination an...

Unstable Temperature Distribution in Friction Stir Welding

Directory of Open Access Journals (Sweden)

Sadiq Aziz Hussein

2014-01-01

Full Text Available In the friction stir welding process, a nonuniform and high generated temperature is undesirable. Unstable temperature and distribution affect thermal and residual stresses along the welding line, thus necessitating mitigation. This paper presents a simple method to prevent significant temperature difference along the welding line and also to help nullifying some defect types associated with this welding, such as end-hole, initial unwelded line, and deformed areas. In the experimental investigation, a heat and force thermocouple and dynamometer were utilized while couple-field thermomechanical models were used to evaluate temperature and its distribution, plastic strain, and material displacement. The suggested method generated uniform temperature distributions. Measurement results are discussed, showing a good correlation with predictions.

Antisocial personality disorder--stable and unstable subtypes.

Science.gov (United States)

Ullrich, Simone; Coid, Jeremy

2010-04-01

There have been criticisms that the criteria for antisocial personality disorder (ASPD) are over-dependent on criminal behavior. This study aimed to identify unrelated criteria of social and behavioral problems and instability, and to investigate their associations in a representative household sample of adults in the UK. Approximately one third of adults with ASPD did not fulfill any of the criteria for instability. They were less aggressive and involved in illegal activities but expressed less remorse for their behaviors. Instability in ASPD was mediated primarily through comorbid anxiety disorders and borderline personality disorder. The concept of Secondary Psychopathy, which has not generally been applied to ASPD, demonstrated many similarities to the unstable subtype.

Accumulation of unstable periodic orbits and the stickiness in the two-dimensional piecewise linear map.

Science.gov (United States)

Akaishi, A; Shudo, A

2009-12-01

We investigate the stickiness of the two-dimensional piecewise linear map with a family of marginal unstable periodic orbits (FMUPOs), and show that a series of unstable periodic orbits accumulating to FMUPOs plays a significant role to give rise to the power law correlation of trajectories. We can explicitly specify the sticky zone in which unstable periodic orbits whose stability increases algebraically exist, and find that there exists a hierarchy in accumulating periodic orbits. In particular, the periodic orbits with linearly increasing stability play the role of fundamental cycles as in the hyperbolic systems, which allows us to apply the method of cycle expansion. We also study the recurrence time distribution, especially discussing the position and size of the recurrence region. Following the definition adopted in one-dimensional maps, we show that the recurrence time distribution has an exponential part in the short time regime and an asymptotic power law part. The analysis on the crossover time T(c)(*) between these two regimes implies T(c)(*) approximately -log[micro(R)] where micro(R) denotes the area of the recurrence region.

Stabilization and analytical tuning rule of double-loop control scheme for unstable dead-time process

Science.gov (United States)

Ugon, B.; Nandong, J.; Zang, Z.

2017-06-01

The presence of unstable dead-time systems in process plants often leads to a daunting challenge in the design of standard PID controllers, which are not only intended to provide close-loop stability but also to give good performance-robustness overall. In this paper, we conduct stability analysis on a double-loop control scheme based on the Routh-Hurwitz stability criteria. We propose to use this unstable double-loop control scheme which employs two P/PID controllers to control first-order or second-order unstable dead-time processes typically found in process industries. Based on the Routh-Hurwitz stability necessary and sufficient criteria, we establish several stability regions which enclose within them the P/PID parameter values that guarantee close-loop stability of the double-loop control scheme. A systematic tuning rule is developed for the purpose of obtaining the optimal P/PID parameter values within the established regions. The effectiveness of the proposed tuning rule is demonstrated using several numerical examples and the result are compared with some well-established tuning methods reported in the literature.

Demographic epidemiology of unstable pelvic fracture in the United States from 2000 to 2009: trends and in-hospital mortality.

Science.gov (United States)

Yoshihara, Hiroyuki; Yoneoka, Daisuke

2014-02-01

Unstable pelvic fracture is predominantly caused by high-energy blunt trauma and is associated with a high risk of mortality. The epidemiology in the United States is largely unknown. The purpose of this study was to examine the epidemiology of unstable pelvic fracture based on patient and hospital demographics in the United States during the last decade. The Nationwide Inpatient Sample was used to identify patients who were hospitalized with unstable pelvic fracture from 2000 to 2009, using the International Classification of Diseases--9th Rev.--Clinical Modification (ICD-9-CM) codes. The primary outcome parameter consisted of analyzing the temporal trends of in-hospital admissions for unstable pelvic fracture and the associated in-hospital mortality. The data were stratified by demographic variables, including age, sex, race, and hospital region in the United States. From 2000 to 2009, there were 24,059 patients in total; among these, 1,823 (7.6%) had open fractures, and 22,236 (92.4%) had closed fractures. The population growth-adjusted incidence was stable over time (p = 0.431). The incidence was the lowest in the northeastern region. The in-hospital mortality rate in patients with unstable pelvic fracture was 8.3% (21.3% for open fracture, 7.2% for closed fracture) and remained stable over time (p = 0.089). The in-hospital mortality rate was higher in several subgroups of patients, such as older patients, male patients, African-American patients, and patients in the northeastern region. During the last decade, the incidence of unstable pelvic fracture has remained stable over time in the United States. The in-hospital mortality rate in patients with unstable pelvic fracture was 8.3% and remained stable over time. The rate in patients with an open fracture was approximately three times higher than that in patients with a closed fracture. The incidence was the lowest, but the in-hospital mortality rate was the highest in the northeastern region compared with the

High energy nucleus-nucleus scattering and matter radius of unstable nucleus

International Nuclear Information System (INIS)

Sato, H.; Okuhara, Y.

1985-07-01

The interaction cross sections of high energy nucleus-nucleus scattering have been studied with the Glauber Model and Hartree-Fock like variational calculation for the nuclear structure. It is found that the experimental interaction cross sections of the light unstable nucleus-stable nucleus scatterings measured by INS-LBL collaboration are well reproduceable. (author)

Numerical simulation on beam breakup unstability of linear induction accelerator

International Nuclear Information System (INIS)

Zhang Kaizhi; Wang Huacen; Lin Yuzheng

2003-01-01

A code is written to simulate BBU in induction linac according to theoretical analysis. The general form of evolution of BBU in induction linac is investigated at first, then the effect of related parameters on BBU is analyzed, for example, the alignment error, oscillation frequency of beam centroid, beam pulse shape and acceleration gradient. At last measures are put forward to damp beam breakup unstability (BBU)

Renormalization, unstable manifolds, and the fractal structure of mode locking

International Nuclear Information System (INIS)

Cvitanovic, P.; Jensen, M.H.; Kadanoff, L.P.; Procaccia, I.

1985-01-01

The apparent universality of the fractal dimension of the set of quasiperiodic windings at the onset of chaos in a wide class of circle maps is described by construction of a universal one-parameter family of maps which lies along the unstable manifold of the renormalization group. The manifold generates a universal ''devil's staircase'' whose dimension agrees with direct numerical calculations. Applications to experiments are discussed

Extension of a chaos control method to unstable trajectories on infinite- or finite-time intervals: Experimental verification

International Nuclear Information System (INIS)

Yagasaki, Kazuyuki

2007-01-01

In experiments for single and coupled pendula, we demonstrate the effectiveness of a new control method based on dynamical systems theory for stabilizing unstable aperiodic trajectories defined on infinite- or finite-time intervals. The basic idea of the method is similar to that of the OGY method, which is a well-known, chaos control method. Extended concepts of the stable and unstable manifolds of hyperbolic trajectories are used here

Total motion generated in the unstable cervical spine during management of the typical trauma patient: a comparison of methods in a cadaver model.

Science.gov (United States)

Prasarn, Mark L; Horodyski, MaryBeth; Dubose, Dewayne; Small, John; Del Rossi, Gianluca; Zhou, Haitao; Conrad, Bryan P; Rechtine, Glenn R

2012-05-15

Biomechanical cadaveric study. We sought to analyze the amount of motion generated in the unstable cervical spine during various maneuvers and transfers that a trauma patient would typically be subjected to prior to definitive fixation, using 2 different protocols. From the time of injury until the spine is adequately stabilized in the operating room, every step in management of the spine-injured patient can result in secondary injury to the spinal cord. The amount of angular motion between C5 and C6, after a surgically created unstable injury, was measured using an electromagnetic motion analysis device (Polhemus Inc., Colchester, VT). A total sequence of maneuvers and transfers was then performed that a patient would be expected to go through from the time of injury until surgical fixation. This included spine board placement and removal, bed transfers, lateral therapy, and turning the patient prone onto the operating table. During each of these, we performed what has been shown to be the best and commonly used (log-roll) techniques. During bed transfers and the turn prone for surgery, there was statistically more angular motion in each plane for traditional transfer with the spine board and manually turning the patient prone as commonly done (P patient from the field to stabilization in the operating room using the best compared with the most commonly used techniques. As previously reported, using log-roll techniques consistently results in unwanted motion at the injured spinal segment.

Magnetic resonance imaging in patients with unstable angina: comparison with acute myocardial infarction and normals

International Nuclear Information System (INIS)

Ahmad, M.; Johnson, R.F. Jr.; Fawcett, H.D.; Schreiber, M.H.

1988-01-01

The role of magnetic resonance imaging in characterizing normal, ischemic and infarcted segments of myocardium was examined in 8 patients with unstable angina, 11 patients with acute myocardial infarction, and 7 patients with stable angina. Eleven normal volunteers were imaged for comparison. Myocardial segments in short axis magnetic resonance images were classified as normal or abnormal on the basis of perfusion changes observed in thallium-201 images in 22 patients and according to the electrocariographic localization of infarction in 4 patients. T2 relaxation time was measured in 57 myocardial segments with abnormal perfusion (24 with reversible and 33 with irreversible perfusion changes) and in 25 normally perfused segments. T2 measurements in normally perfused segments of patients with acute myocardial infarction, unstable angina and stable angina were within normal range derived from T2 measurements in 48 myocardial segments of 11 normal volunteers (42 +/- 10 ms). T2 in abnormal myocardial segments of patients with stable angina also was not significantly different from normal. T2 of abnormal segments in patients with unstable angina (64 +/- 14 in reversibly ischemic and 67 +/- 21 in the irreversibly ischemic segments) was prolonged when compared to normal (p less than 0.0001) and was not significantly different from T2 in abnormal segments of patients with acute myocardial infarction (62 +/- 18 for reversibly and 66 +/- 11 for irreversibly ischemic segments). The data indicate that T2 prolongation is not specific for acute myocardial infarction and may be observed in abnormally perfused segments of patients with unstable angina

Unstable roll motions by parametric resonance in following seas. Keisu reiki shindo ni motozuku oinamichu fuantei yokoyure

Energy Technology Data Exchange (ETDEWEB)

Ishiguro, T.; Ito, A.; Mizoguchi, S. (Ishikawajima-Harima Heavy Industries Co. Ltd., Tokyo (Japan))

1991-05-01

The unstable rolling region and angle in the regular waves were studied by both tank test modeling a large container ship and theoretical calculation based on Mathieu{prime}s equation. Further research was made on the influence of metacentric height (GM) under the calm sea condition, ship speed and bilge keel dimension on the unstable rolling region. To avoid the unstable roll motion in the waves caused by the parametric resonance, the fluctuation in GM is designed to be diminished on the waves by U-shaping the hull fore and aft like a fat large ship hull, or the fluctuation in dynamic stability is done to be diminished by increasing the GM on the calm sea. However, the ship with a U-shaped hull fore and aft is large in rolling angle due to the smallness in righting arm at the large heeling angle. Generally regardless of oceanic condition and ship speed, it is impossible to establish the GM absolutely without the primary and secondary synchronizing points. To avoid the unstable roll motion with a low ship speed, it is desirable to do it by the ship speed to be as high as possible. 11 refs., 13 figs., 1 tab.

Subsets of microsatellite-unstable colorectal cancers exhibit discordance between the CpG island methylator phenotype and MLH1 methylation status.

Science.gov (United States)

Kim, Jung H; Rhee, Ye-Y; Bae, Jeong-M; Kwon, Hyeong-J; Cho, Nam-Y; Kim, Mi J; Kang, Gyeong H

2013-07-01

Although the presence of MLH1 methylation in microsatellite-unstable colorectal cancer generally indicates involvement of the CpG island methylator phenotype (CIMP) in the development of the tumor, these two conditions do not always correlate. A minority of microsatellite-unstable colorectal cancers exhibit discordance between CIMP and MLH1 methylation statuses. However, the clinicopathological features of such microsatellite-unstable colorectal cancers with discrepant MLH1 methylation and CIMP statuses remain poorly studied. Microsatellite-unstable colorectal cancers (n=220) were analyzed for CIMP and MLH1 methylation statuses using the MethyLight assay. Based on the combinatorial CIMP and MLH1 methylation statuses, the microsatellite-unstable colorectal cancers were grouped into four subtypes (CIMP-high (CIMP-H) MLH1 methylation-positive (MLH1m+), CIMP-H MLH1 methylation-negative, CIMP-low/0 (CIMP-L/0) MLH1m+, and CIMP-L/0 MLH1 methylation-negative), which were compared in terms of their associations with clinicopathological and molecular features. The CIMP-L/0 MLH1 methylation-negative and CIMP-H MLH1m+ subtypes were predominant, comprising 63.6 and 24.1% of total microsatellite-unstable colorectal cancers, respectively. The discordant subtypes, CIMP-H MLH1 methylation-negative and CIMP-L/0 MLH1m+, were found in 5 and 7% of microsatellite-unstable colorectal cancers, respectively. The CIMP-H MLH1 methylation-negative subtype exhibited elevated incidence rates in male patients and was associated with larger tumor size, more frequent loss of MSH2 expression, increased frequency of KRAS mutation, and advanced cancer stage. The CIMP-L/0 MLH1m+ subtype was associated with onset at an earlier age, a predominance of MLH1 loss, and earlier cancer stage. None of the CIMP-L/0 MLH1m+ subtype patients succumbed to death during the follow-up. Our findings suggest that the discordant subtypes of colorectal cancers exhibit distinct clinicopathological and molecular features

Stable, metastable and unstable solutions of a spin-1 Ising system based on the free energy surfaces

Science.gov (United States)

Keskİin, Mustafa; Özgan, Şükrü

1990-04-01

Stable, metastable and unstable solutions of a spin-1 Ising model with bilinear and biquadratic interactions are found by using the free energy surfaces. The free energy expression is obtained in the lowest approximation of the cluster variation method. All these solutions are shown in the two-dimensional phase space, especially the unstable solutions which in some cases are difficult to illustrate in the two-dimensional phase space, found by Keskin et al. recently.

${ \\mathcal P }{ \\mathcal T }$-symmetric interpretation of unstable effective potentials

CERN Document Server

Bender, Carl M.; Mavromatos, Nick E.; Sarkar, Sarben

2016-01-01

The conventional interpretation of the one-loop effective potentials of the Higgs field in the Standard Model and the gravitino condensate in dynamically broken supergravity is that these theories are unstable at large field values. A ${ \\mathcal P }{ \\mathcal T }$-symmetric reinterpretation of these models at a quantum-mechanical level eliminates these instabilities and suggests that these instabilities may also be tamed at the quantum-field-theory level.

Effectiveness of Dual-Maneuver Using K-Wire and Dingman Elevator for the Reduction of Unstable Zygomatic Arch Fracture.

Science.gov (United States)

Yoon, Hyungwoo; Kim, Jiye; Chung, Seum; Chung, Yoon-Kyu

2014-08-01

The zygoma is the most prominent portion of the face. Almost all simple zygomatic arch fractures are treated in a closed fashion with a Dingman elevator. However, the open approach should be considered for unstable zygomatic arch fractures. The coronal approach for a zygomatic arch fracture has complications. In this study, we introduce our method to reduce a special type of unstable zygomatic fracture. We retrospectively reviewed zygomatic arch view and facial bone computed tomography scans of 424 patients who visited the Wonju Severance Christian Hospital from 2007 to 2010 with zygomaticomaxillary fractures, among whom 15 patients met the inclusion criteria. We used a Dingman elevator and K-wire simultaneously to manage this type of zygomatic arch fracture. Simple medial rotation force usually collapses the posterior fractured segment, and the fracture becomes unstable. Thus, the posterior fracture segment must be concurrently elevated with a Dingman elevator through Keen's approach with rotation force applied through the K-wire. All fractures were reduced without any instability using this method. We were able to reduce unstable and difficult zygomatic arch fractures without an open incision or any external fixation device.

Robustness of unstable attractors in arbitrarily sized pulse-coupled networks with delay

NARCIS (Netherlands)

Broer, Hendrik; Efstathiou, Konstantinos; Subramanian, Easwar

We consider arbitrarily large networks of pulse-coupled oscillators with non-zero delay where the coupling is given by the Mirollo-Strogatz function. We prove that such systems have unstable attractors (saddle periodic orbits whose stable set has non-empty interior) in an open parameter region for

Finite toroidal flow generated by unstable tearing mode in a toroidal plasma

Energy Technology Data Exchange (ETDEWEB)

Hao, G. Z., E-mail: haogz@swip.ac.cn; Wang, A. K.; Xu, Y. H.; He, H. D.; Xu, M.; Qu, H. P.; Peng, X. D.; Xu, J. Q.; Qiu, X. M. [Southwestern Institute of Physics, P.O. Box 432, Chengdu 610041 (China); Liu, Y. Q. [Culham Centre for Fusion Energy, Culham Science Centre, Abingdon OX14 3DB (United Kingdom); Sun, Y. [Institute of Plasma Physics, Chinese Academic of Sciences, P.O. Box 1126, Hefei 230031 (China); Cui, S. Y. [School of Mathematics and Statistics Science, Ludong University, Yantai 264025 (China)

2014-12-15

The neoclassical toroidal plasma viscosity torque and electromagnetic torque, generated by tearing mode (TM) in a toroidal plasma, are numerically investigated using the MARS-Q code [Liu et al., Phys. Plasmas 20, 042503 (2013)]. It is found that an initially unstable tearing mode can intrinsically drive a toroidal plasma flow resulting in a steady state solution, in the absence of the external momentum input and external magnetic field perturbation. The saturated flow is in the order of 0.5%ω{sub A} at the q=2 rational surface in the considered case, with q and ω{sub A} being the safety factor and the Alfven frequency at the magnetic axis, respectively. The generation of the toroidal flow is robust, being insensitive to the given amplitude of the perturbation at initial state. On the other hand, the flow amplitude increases with increasing the plasma resistivity. Furthermore, the initially unstable tearing mode is fully stabilized by non-linear interaction with the self-generated toroidal flow.

On the definition of entropy for quantum unstable states

International Nuclear Information System (INIS)

Civitarese, Osvaldo; Gadella, Manuel

2015-01-01

The concept of entropy is central to the formulation of the quantum statistical mechanics, and it is linked to the definition of the density operator and the associated probabilities of occupation of quantum states. The extension of this scheme to accommodate for quantum decaying states is conceptually difficult, because of the nature of these states. Here we present a way to treat quantum unstable states in the context of statistical mechanics. We focuss on the definition of the entropy and avoid the use of complex temperatures

Unstable dynamics, nonequilibrium phases, and criticality in networked excitable media

International Nuclear Information System (INIS)

Franciscis, S. de; Torres, J. J.; Marro, J.

2010-01-01

Excitable systems are of great theoretical and practical interest in mathematics, physics, chemistry, and biology. Here, we numerically study models of excitable media, namely, networks whose nodes may occasionally be dormant and the connection weights are allowed to vary with the system activity on a short-time scale, which is a convenient and realistic representation. The resulting global activity is quite sensitive to stimuli and eventually becomes unstable also in the absence of any stimuli. Outstanding consequences of such unstable dynamics are the spontaneous occurrence of various nonequilibrium phases--including associative-memory phases and one in which the global activity wanders irregularly, e.g., chaotically among all or part of the dynamic attractors--and 1/f noise as the system is driven into the phase region corresponding to the most irregular behavior. A net result is resilience which results in an efficient search in the model attractor space that can explain the origin of some observed behavior in neural, genetic, and ill-condensed matter systems. By extensive computer simulation we also address a previously conjectured relation between observed power-law distributions and the possible occurrence of a ''critical state'' during functionality of, e.g., cortical networks, and describe the precise nature of such criticality in the model which may serve to guide future experiments.

Inertial and stick-slip regimes of unstable adhesive tape peeling.

Science.gov (United States)

Dalbe, Marie-Julie; Villey, Richard; Ciccotti, Matteo; Santucci, Stéphane; Cortet, Pierre-Philippe; Vanel, Loïc

2016-05-18

We present an experimental characterization of the detachment front unstable dynamics observed during the peeling of pressure sensitive adhesives. We use an experimental set-up specifically designed to control the peeling angle θ and the peeled tape length L, while peeling an adhesive tape from a flat substrate at a constant driving velocity V. High-speed imaging allows us to report the evolution of the period and amplitude of the front oscillations, as well as the relative durations of their fast and slow phases, as a function of the control parameters V, L and θ. Our study shows that, as the driving velocity or the peeling angle increases, the oscillations of the peeling front progressively evolve from genuine "stick-slip" oscillations, made of alternating long stick phases and very brief slip phases, to sinusoidal oscillations of amplitude twice the peeling velocity. We propose a model which, taking into account the peeling angle-dependent kinetic energy cost to accelerate and decelerate the peeled tape, explains the transition from the "stick-slip" to the "inertial" regime of the dynamical instability. Using independent direct measurements of the effective fracture energy of the adhesive-substrate joint, we show that our model quantitatively accounts for the two regimes of the unstable dynamics.

Suspended Particulates Concentration (PM10 under Unstable Atmospheric Conditions over Subtropical Urban Area (Qena, Egypt

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M. El-Nouby Adam

2013-01-01

Full Text Available The main purpose of this study is to evaluate the suspended particulates (PM10 in the atmosphere under unstable atmospheric conditions. The variation of PM10 was investigated and primary statistics were employed. The results show that, the PM10 concentrations values ranged from 6.00 to 646.74 μg m−3. The average value of PM10 is equal to 114.32 μg m−3. The high values were recorded in April and May (155.17 μg m−3 and 171.82 μg m−3, respectively and the low values were noted in February and December (73.86 μg m−3 and 74.05 μg m−3, respectively. The average value of PM10 of the hot season (125.35 × 10−6 g m−3 was higher than its value for the cold season (89.27 μg m−3. In addition, the effect of weather elements (air temperature, humidity and wind on the concentration of PM10 was determined. The multiple R between PM10 and these elements ranged from 0.05 to 0.47 and its value increased to reach 0.73 for the monthly average of the database used. Finally, the PM10 concentrations were grouped depending on their associated atmospheric stability class. These average values were equal to 122.80 ± 9 μg m−3 (highly unstable or convective, 109.37 ± 12 μg m−3 (moderately unstable and 104.42 ± 15 μg m−3 (slightly unstable.

Myocardial rest iodine-123-β-methyl-iodophenyl-pentadecanoic acid scintigraphy compared with dipyridamole stress thallium-201 scintigraphy in unstable angina

International Nuclear Information System (INIS)

Misumi, Ikuo; Kimura, Yoshihiro; Hokamura, Youichi; Yamabe, Hiroshige; Ueno, Kazuhiro

1998-01-01

Twelve patients with stable angina and 12 patients with unstable angina underwent rest iodine-123-β-methyl-iodophenyl-pentadecanoic acid (BMIPP), dipyridamole stress thallium scintigraphy and delayed thallium scintigraphy. In stable angina, sensitivity for detecting ischemic segments was higher in dipyridamole thallium (74%) than rest BMIPP (48%) images (p<0.05), but there was no significant difference between the 2 images in unstable angina. In unstable angina, the incidence of segments with higher defect scores on BMIPP images than on delayed thallium images and the opposite pattern was 27 and 5 (p<0.01). In stable angina, there was no difference. The mean defect score on BMIPP (6.3±5.6) was higher than that on delayed thallium scintigraphy (2.9±2.7) and it was almost the same as on the initial dipyridamole stress test (6.5±5.2). In conclusion, BMIPP scintigraphy is safer and may be as useful in detecting myocardial ischemia in patients with unstable angina as thallium scintigraphy. (author)

Unstable chromosome aberrations on peripheral blood lymphocytes from patients with cervical uterine cancer following radiotherapy

International Nuclear Information System (INIS)

Magnata, Simey de Souza Leao Pereira

2002-09-01

Absorbed dose determination is an important step for risk assessment related to an exposure to ionizing radiation. However, physical dosimetry cannot be always performed, principally in the case of retrospective estimates. In this context, the use of bioindicators (biological effects) has been proposed, which defines the so-called biological dosimetry. In particular, scoring of unstable chromosomes aberrations (dicentrics, centric rings and fragments) of peripheral blood lymphocytes, while is the most reliable biological method for estimating individual exposure to ionizing radiation. In this work, blood samples from 5 patients, with cervical uterine cancer, were evaluated after partial-body radiotherapy with a source of 69 Co. For this, conventional cytogenetic method was employed, based on Giemsa coloration and fluorescence in situ hybridization, in order to correlate the frequency of unstable chromosome aberrations of blood lymphocytes with absorbed dose, as a result of the radiotherapy. A good agreement was observed between the frequency of chromosome aberrations scored and the values of dose previously calculated by physical dosimetry during patient's radiotherapy. The results presented in this work point out the importance of concerning analyses of unstable chromosome aberrations as biological dosimeter in the investigation of partial-body exposure to ionizing radiation. (author)

Nuclear structure and magnetic moment of the unstable 12B-12N mirror pair

International Nuclear Information System (INIS)

Zheng Yongnan; Zhou Dongmei; Yuan Daqing; Zuo Yi; Fan Ping; Xu Yongjun; Zhu Jiazheng; Wang Zhiqiang; Luo Hailong; Zhang Xizhen; Zhu Shengyun; Mihara, M.; Matsuta, K.; Fukuda, M.; Minamisono, T.; Suzuki, T.

2010-01-01

Magnetic moments of the A=12 unstable mirror pair nuclides 12 B and 12 N have been measured by the β-NMR technique. The experimentally measured magnetic moments are μ( 12 B)=1.00(17)μ N and μ( 12 N)=0.4571(1)μ N . The improved shell model using an SFO Hamiltonian with enhanced spin-isospin monopole proton-neutron interaction and modified single-particle energies is employed to calculate the magnetic moments of 12 B and 12 N. The calculation yields μ( 12 B)=0.929μ N and μ( 12 N)=0.452μ N and has produced a new magic number 6 for the short-lived unstable mirror pair nuclides 12 B and 12 N. (authors)

Efficacy evaluation of fluoxetine combined with conventional drug treatment on unstable angina patients complicated with depression

Institute of Scientific and Technical Information of China (English)

Chun-Hua Liao

2015-01-01

Objective:To study the efficacy of fluoxetine combined with conventional drug treatment on unstable angina patients complicated with depression. Methods:120 cases of unstable angina patients with depression were randomly divided into two groups. The anti-depression group received fluoxetine combined with conventional drug therapy; the conventional group received conventional drug therapy. Then contents of monoamine neurotransmitters and their metabolites, antioxidants and inflammatory mediators of both groups were compared. Results:Serum monoamine neurotransmitters NE, 5-HT and HA levels of the anti-depression group were higher than those of the conventional group and metabolites 5-HIAA and HVA contents were lower than those of the conventional group; serum SOD, CAT, GSH and HSP-70 contents of the anti-depression group were higher than those of the conventional group, and hs-CRP, MMP9, MCP1 and HMGB1 contents were lower than those of the conventional group. Conclusion:Fluoxetine combined with conventional drug therapy can increase the contents of monoamine neurotransmitters and antioxidants, and reduce oxidative stress response and inflammatory response; it is an ideal method for treating unstable angina complicated with depression.

Unstable volatility functions: the break preserving local linear estimator

DEFF Research Database (Denmark)

Casas, Isabel; Gijbels, Irene

The objective of this paper is to introduce the break preserving local linear (BPLL) estimator for the estimation of unstable volatility functions. Breaks in the structure of the conditional mean and/or the volatility functions are common in Finance. Markov switching models (Hamilton, 1989......) and threshold models (Lin and Terasvirta, 1994) are amongst the most popular models to describe the behaviour of data with structural breaks. The local linear (LL) estimator is not consistent at points where the volatility function has a break and it may even report negative values for finite samples...

Selection of unstable patterns and control of optical turbulence by Fourier plane filtering

DEFF Research Database (Denmark)

Mamaev, A.V.; Saffman, M.

1998-01-01

We report on selection and stabilization of transverse optical patterns in a feedback mirror experiment. Amplitude filtering in the Fourier plane is used to select otherwise unstable spatial patterns. Optical turbulence observed for nonlinearities far above the pattern formation threshold...

Late Migration of Threaded Wire (Schanz Screw from Right Distal Clavicle to the Cervical Spine

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Chun-Hao Tsai

2009-01-01

Full Text Available We report a 49-year-old man who had undergone osteosynthesis to treat right distal clavicular fracture with a threaded wire (Schanz screw. The wire could not be removed due to its firm fixation within the bone. Eight years later, migration of the broken wire to the right 7th cervical vertebra punctured the lamina, with no spinal cord injury noted. The threaded wire was extracted from the C7 lamina emergently. No complication occurred after pin removal or during the 1-year postoperative follow-up.

Detection of angina-related coronary artery in patients with unstable angina pectoris by using 123I-BMIPP myocardial scintigraphy

International Nuclear Information System (INIS)

Oka, Toshiaki; Inoue, Seiji; Asano, Ryuta; Handa, Atsushi; Iguchi, Nobuo; Sumiyoshi, Tetsuya; Hosoda, Saichi; Kobayashi, Hideki; Kusakabe, Kiyoko.

1996-01-01

To evaluate the diagnostic accuracy of detection of angina-related coronary arteries in patients with unstable angina pectoris. Twenty patients with unstable angina pectoris underwent 123 I-BMIPP scintigraphy at rest. A mean duration from last anginal attack to 123 I-BMIPP scintigraphy was 4.8±3.2 days. Seventeen of 20 angina-related coronary territories were detected by reduced 123 -BMIPP uptake. The sensitivity and specificity for detection of angina-related coronary arteries were 85% and 95%, respectively. The decrease in myocardial uptake of 123 I-BMIPP agreed with the decrease in regional wall motion by using ultrasonic echocardiography. 123 I-BMIPP scintigraphy may be useful for detection of angina-related coronary artery in a routine clinical examination in patients with unstable angina pectoris. (author)

Cemented Hemiarthroplasty in Elderly Osteoporotic Unstable Trochanteric Fractures using Fracture Window

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Thakur A

2016-03-01

Full Text Available Introduction: We would like to analyze the role of cemented hemiarthroplasty in elderly osteoporotic unstable intertrochanteric fractures through trochanteric fracture window. Materials and Methods: The study was conducted from July 2011 to July 2014. From a total of 265 consecutive patients with intertrochanteric fractures of 42 patients were selected according to inclusion criteria and results were analyzed prospectively. All patients were operated at tertiary care institute. Patients which matched the inclusion criteria were selected. 42 patients entered the study and all completed the study. Primary cemented hemiarthroplasty was done in all patients. Modified Harris Hip Score was used to assess all the patients. Results: 42 patients were included in the study with an average age of 80.7 years. Only AO/OTA type 31-A2.2 and 31-A2.3 were included, average HHS at final follow up of three years was 86.2. No revision or reoperation was done. Conclusion: In a selected cohort of patients primary prosthetic replacement in elderly osteoporotic unstable intertrochanteric fractures is good option and the surgical technique allowed us to perform it more easily.

Wind tunnel experiments on unstable self-excited vibration of sectional girders

Science.gov (United States)

Král, Radomil; Pospíšil, Stanislav; Náprstek, Jiří

2014-01-01

In this paper, a wind tunnel analysis of two degrees-of-freedom system represented by sectional girders is carried out. Besides an evaluation of the aeroelastic coefficients, the analysis is focused on the influence of the natural frequency ratio on the initiation of unstable vibration, which can be of practical interest. On the phenomenological level, the paper also discusses experimentally ascertained response regimes, with an emphasis on their stability character. The attention is paid to the memory effect in the response described by the hysteresis loop together with the separation curves determining the stability boundaries. The influence of initial disturbance on the stability is examined. Two types of cross-sections were investigated: (i) rectangular one with the aspect ratio 1:5, and (ii) bridge-like cross-section with comparable principal dimensions. For both types of cross-sections, the limits of the stability are significantly affected by an intentionally introduced initial disturbance. This holds especially with regard to the rectangular profile where the separation curves create very narrow sub-domains between a stable and an unstable response, while the bridge-like cross-section demonstrates much stable behaviour.

Utilization of Point Clouds Characteristics in Interpretation and Evaluation Geophysical Resistivity Surveying of Unstable Running Block

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Marcel Brejcha

2016-05-01

Full Text Available Close to human residences the places often abound where anthropogenic activity and external factors cause their changes. The changes can often influence their inhabitants’ life thanks to incipient dangerous places. The project of successful design of measures to ensure stability of unstable running blocks depends on chosen approaches and primary resource preparation. Utilization of modern technologies in their taking and processing is required nowadays. The paper describes the taking and processing of data for project of solution „Stabilization of unstable running block“ in a municipal settled part with efficient utilization of unusual method of processing of geophysical resistivity method.

Electromyographic activity and 6RM strength in bench press on stable and unstable surfaces.

Science.gov (United States)

Saeterbakken, Atle H; Fimland, Marius S

2013-04-01

The purpose of the study was to compare 6-repetition maximum (6RM) loads and muscle activity in bench press on 3 surfaces, namely, stable bench, balance cushion, and Swiss ball. Sixteen healthy, resistance-trained men (age 22.5 ± 2.0 years, stature 1.82 ± 6.6 m, and body mass 82.0 ± 7.8 kg) volunteered for 3 habituation/strength testing sessions and 1 experimental session. In randomized order on the 3 surfaces, 6RM strength and electromyographic activity of pectoralis major, deltoid anterior, biceps brachii, triceps brachii, rectus abdominis, oblique external and erector spinae were assessed. Relative to stable bench, the 6RM strength was approximately 93% for balance cushion (p ≤ 0.001) and approximately 92% for Swiss ball (p = 0.008); the pectoralis major electromyographic (EMG) activity was approximately 90% using the balance cushion (p = 0.080) and approximately 81% using Swiss ball (p = 0.006); the triceps EMG was approximately 79% using the balance cushion (p = 0.028) and approximately 69% using the Swiss ball (p = 0.002). Relative to balance cushion, the EMG activity in pectoralis, triceps, and erector spinae using Swiss ball was approximately 89% (p = 0.016), approximately 88% (p = 0.014) and approximately 80% (p = 0.020), respectively. In rectus abdominis, the EMG activity relative to Swiss ball was approximately 69% using stable bench (p = 0.042) and approximately 65% using the balance cushion (p = 0.046). Similar EMG activities between stable and unstable surfaces were observed for deltoid anterior, biceps brachii, and oblique external. In conclusion, stable bench press had greater 6RM strength and triceps and pectoralis EMG activity compared with the unstable surfaces. These findings have implications for athletic training and rehabilitation, because they demonstrate an inferior effect of unstable surfaces on muscle activation of prime movers and strength in bench press. If an unstable surface in bench press is desirable, a balance cushion should

A pilot study on the influence of exercising on unstable training machine on balance control and trunk muscles activity.

Science.gov (United States)

Domeika, Aurelijus; Aleknaite-Dambrauskiene, Ieva; Poskaitis, Vytautas; Zaveckas, Vidmantas; Grigas, Vytautas; Zvironiene, Ausra

2018-05-16

The main position of the working population is becoming sitting. Immobile prolonged sedentary time may cause negative effects including reduced intervertebral discs nutrition. Main ways of mitigating them are regular position changes and exercising. To evaluate influence of the short term training on unstable training machine on balance control and trunk muscles activity in patients with lower back pain. Participants (n=16) experiencing lower back pain were trained on an unstable sculling machine "Rehabili". Their balance tested by (Biodex Balance System) and rectus abdominis, externus oblique, transverse abdominis, multifidus and erector spine muscles activity (measured by surface electromyography) while sitting and standing with usual and aligned body postures both before and after six weeks of training (three 15 minutes sessions per week) were compared in between. Balance control improved after the training program. Besides, more symmetrical activation of both sides rectus and transversus abdominis muscles, as well as increased transversus abdominis muscle activation of 19% (p< 0.05), were observed. Six weeks short sessions training on unstable training machine improved balance control and increased trunk muscles activity especially in aligned body posture when standing or sitting on unstable surface.

Analysis of unstable secondary particles produced in jet of 30 TeV energy sum

International Nuclear Information System (INIS)

Ogata, Takeshi

1978-01-01

High energy jet shower with energy sum of about 30 TeV has been obtained in the airplane-bone emulsion chamber. The size of the emulsion chamber was 20 cm x 25 cm x 12 cm. The airplane altitude was 260 g/cm 2 , and the exposure time was 600 hours. In this experiment, two jet events were found, and one of two events, KG-7, was the largest obtained so far. Three secondary charged particles produced by high energy interaction were analysed in detail. The analysis indicated that three charged particles seemed to be created by the decay of an unstable secondary particle. The lifetime of the unstable particle was estimated to be 10 -3 - 10 -14 sec, and this particle seems to be a charm particle. (Yoshimori, M.)

High-resolution simulations of unstable cylindrical gravity currents undergoing wandering and splitting motions in a rotating system

Science.gov (United States)

Dai, Albert; Wu, Ching-Sen

2018-02-01

High-resolution simulations of unstable cylindrical gravity currents when wandering and splitting motions occur in a rotating system are reported. In this study, our attention is focused on the situation of unstable rotating cylindrical gravity currents when the ratio of Coriolis to inertia forces is larger, namely, 0.5 ≤ C ≤ 2.0, in comparison to the stable ones when C ≤ 0.3 as investigated previously by the authors. The simulations reproduce the major features of the unstable rotating cylindrical gravity currents observed in the laboratory, i.e., vortex-wandering or vortex-splitting following the contraction-relaxation motion, and good agreement is found when compared with the experimental results on the outrush radius of the advancing front and on the number of bulges. Furthermore, the simulations provide energy budget information which could not be attained in the laboratory. After the heavy fluid is released, the heavy fluid collapses and a contraction-relaxation motion is at work for approximately 2-3 revolutions of the system. During the contraction-relaxation motion of the heavy fluid, the unstable rotating cylindrical gravity currents behave similar to the stable ones. Towards the end of the contraction-relaxation motion, the dissipation rate in the system reaches a local minimum and a quasi-geostrophic equilibrium state is reached. After the quasi-geostrophic equilibrium state, vortex-wandering or vortex-splitting may occur depending on the ratio of Coriolis to inertia forces. The vortex-splitting process begins with non-axisymmetric bulges and, as the bulges grow, the kinetic energy increases at the expense of decreasing potential energy in the system. The completion of vortex-splitting is accompanied by a local maximum of dissipation rate and a local maximum of kinetic energy in the system. A striking feature of the unstable rotating cylindrical gravity currents is the persistent upwelling and downwelling motions, which are observed for both the

On the persistence of unstable bump-on-tail electron velocity distributions in the earth's foreshock

International Nuclear Information System (INIS)

Klimas, A.J.; Fitzenreiter, R.J.

1988-01-01

Further evidence for the persistence of bump-on-tail unstable reduced velocity distribution in the Earth's electron foreshock is presented. This persistence contradicts our understanding of quasi-linear saturation of the bump-on-tail instability; the distributions should be stabilized through velocity space diffusion too quickly to allow an observation of their unstable form. A modified theory for the saturation of the bump-on-tail instability in the Earth's foreshock is proposed and examined using numerical simulation and quasi-linear theoretical techniques. It is argued the mechanism due to Filbert and Kellogg and to Cairns which is responsible for the creation of the bump-on-tail velocity distribution in the foreshock is still operative during the evolution of the bump-on-tail instability. The saturated state of the plasma must represent a balance between this creation mechanism and velocity space diffusion; the saturated state is not determined by velocity space diffusion alone. Thus the velocity distribution of the saturated stat may still appear bump-on-tail unstable to standard linear analysis which does not take the creation mechanism into account. The bump-on-tail velocity distributions in the foreshock would then represent the state of the plasma after saturation of the bump-on-tail instability, not before

Synthesis of unstable cyclic peroxides for chemiluminescence studies

Energy Technology Data Exchange (ETDEWEB)

Bartoloni, Fernando H.; Oliveira, Marcelo A. de; Augusto, Felipe A.; Ciscato, Luiz Francisco M.L.; Bastos, Erick L.; Baader, Wilhelm J., E-mail: wjbaader@iq.usp.br [Universidade de Sao Paulo (USP), SP (Brazil). Inst. de Quimica. Dept. de Quimica Fundamental

2012-11-15

Cyclic four-membered ring peroxides are important high-energy intermediates in a variety of chemi and bioluminescence transformations. Specifically, a-peroxy lactones (1,2-dioxetanones) have been considered as model systems for efficient firefly bioluminescence. However, the preparation of such highly unstable compounds is extremely difficult and, therefore, only few research groups have been able to study the properties of these substances. In this study, the synthesis, purification and characterization of three 1,2-dioxetanones are reported and a detailed procedure for the known synthesis of diphenoyl peroxide, another important model compound for the chemical generation of electronically excited states, is provided. For most of these peroxides, the complete spectroscopic characterization is reported here for the first time. (author)

Membrane extraction with thermodynamically unstable diphosphonic acid derivatives

Science.gov (United States)

Horwitz, E.P.; Gatrone, R.C.; Nash, K.L.

1997-10-14

Thermodynamically-unstable complexing agents which are diphosphonic acids and diphosphonic acid derivatives (or sulphur containing analogs), like carboxyhydroxymethanediphosphonic acid and vinylidene-1,1-diphosphonic acid, are capable of complexing with metal ions, and especially metal ions in the II, III, IV, V and VI oxidation states, to form stable, water-soluble metal ion complexes in moderately alkaline to highly-acidic media. However, the complexing agents can be decomposed, under mild conditions, into non-organic compounds which, for many purposes are environmentally-nondamaging compounds thereby degrading the complex and releasing the metal ion for disposal or recovery. Uses for such complexing agents as well as methods for their manufacture are also described. 1 fig.

NT-proBNP in unstable coronary artery disease--experiences from the FAST, GUSTO IV and FRISC II trials.

Science.gov (United States)

Jernberg, Tomas; James, Stefan; Lindahl, Bertil; Stridsberg, Mats; Venge, Per; Wallentin, Lars

2004-03-15

Risk stratification is important in patients with unstable coronary artery disease (CAD), i.e. unstable angina or non-ST-elevation myocardial infarction. This article focuses on the emerging role of N-terminal pro brain natriuretic peptide (NT-proBNP) and the results from the FAST, GUSTO IV and FRISC II trials. In the FAST study, NT-proBNP was measured on admission in 755 patients admitted because of symptoms suggestive of unstable CAD. Follow up was performed after 40 months. The GUSTO IV and the FRISC II-trials included patients with unstable CAD and NT-proBNP was analyzed in 6806 and 2019 patients, with follow up after 1 and 2 years, respectively. In the FAST study, patients in the 2nd, 3rd, and 4th NT-proBNP quartile had a relative risk of subsequent death of 4.2 (1.6-11.1), 10.7 (4.2-26.8) and 26.6 (10.8-65.5), respectively. In the GUSTO IV trial, increasing quartiles of NT-proBNP were related to short and long term mortality which at 1 year was; 1.8%, 3.9%, 7.7% and 19.2% (P<0.001), respectively. In multivariable analyses including well-known predictors of outcome, NT-proBNP level was independently associated to mortality in all three studies. In the FRISC II trial, the NT-proBNP level, especially if combined with a marker of inflammation, identified those with the greatest benefit from an early invasive strategy. NT-proBNP is strongly associated with mortality in patients with suspected or confirmed unstable CAD and, combined with a marker of inflammation, seems helpful in identifying those with greatest benefit from an early invasive strategy.

Stability of unstably stratified shear flow between parallel plates

Energy Technology Data Exchange (ETDEWEB)

Fujimura, Kaoru; Kelly, R E

1987-09-01

The linear stability of unstably stratified shear flows between two horizontal parallel plates was investigated. Eigenvalue problems were solved numerically by making use of the expansion method in Chebyshev polynomials, and the critical Rayleigh numbers were obtained accurately in the Reynolds number range of (0.01, 100). It was found that the critical Rayleigh number increases with an increase of the Reynolds number. The result strongly supports previous stability analyses except for the analysis by Makino and Ishikawa (J. Jpn. Soc. Fluid Mech. 4 (1985) 148 - 158) in which a decrease of the critical Rayleigh number was obtained.

Stability of unstably stratified shear flow between parallel plates

International Nuclear Information System (INIS)

Fujimura, Kaoru; Kelly, R.E.

1987-01-01

The linear stability of unstably stratified shear flows between two horizontal parallel plates was investigated. Eigenvalue problems were solved numerically by making use of the expansion method in Chebyshev polynomials, and the critical Rayleigh numbers were obtained accurately in the Reynolds number range of [0.01, 100]. It was found that the critical Rayleigh number increases with an increase of the Reynolds number. The result strongly supports previous stability analyses except for the analysis by Makino and Ishikawa [J. Jpn. Soc. Fluid Mech. 4 (1985) 148 - 158] in which a decrease of the critical Rayleigh number was obtained. (author)

Sacral neuromodulation in the treatment of the unstable bladder.

Science.gov (United States)

Bosch, J L

1998-07-01

Sacral neuromodulation as a treatment for urge incontinence in patients with an unstable bladder is the subject of ongoing clinical studies. Although approximately 75% of the patients treated with a permanent sacral foramen electrode implant have experienced significant improvements, it is now also clear that there is an initial failure rate of about 25%. Recent studies have pointed out the importance of improved patient selection on the basis of sex differences, urodynamic parameters and psychological factors. Also, newer forms of test stimulation and permanent electrode implantation are being explored in an effort to improve on the present results.

Six heads of origin of sternocleidomastoid muscle: a rare case | Kaur ...

African Journals Online (AJOL)

A morphological variation in the origin of the right sternocleidomastoid muscle was encountered during routine dissection of the neck for undergraduate students. We found six heads of the sternocleidomastoid muscle, two sternal and four clavicular heads. The two sternal heads were lying side by side, while two clavicular ...

[Clinical significance of early percutaneous coronary intervention in patients with Braunwald III-B type unstable angina pectoris].

Science.gov (United States)

Nozaki, Katsuhiro; Nakao, Koichi; Horiuchi, Kenji; Kasanuki, Hiroshi; Honda, Takashi

2003-06-01

To assess the efficacy of early invasive strategy for the treatment of Braunwald III-B type unstable angina pectoris. This study included 573 consecutive patients of whom 267 underwent percutaneous coronary intervention (PCI) (312 lesions). The patients were divided into two groups, 95 treated with the early invasive strategy of coronary angiography within 24 hr of admission (Group PCI-I) and the remaining 172 treated with the early conservative strategy of coronary angiography 24 hr after admission (Group PCI-C). No significant differences were noted in the baseline characteristics of the two groups except for ST segment elevation on electrocardiography at presentation, which occurred significantly less frequently in Group PCI-C (36.8% vs 8.1%, p strategy for unstable angina pectoris were almost equivalent to those of the early conservative strategy, despite more frequent ST segmental elevation at admission in Group PCI-I. These findings suggest that the early invasive strategy for unstable angina pectoris may be acceptable even in the current Japanese clinical setting without the use of GP IIb/IIIa receptor antagonist, low molecular weight heparin or clopidogrel.

On the persistence of unstable bump-on-tail electron velocity distributions in the earth's foreshock

Science.gov (United States)

Klimas, Alexander J.; Fitzenreiter, Richard J.

1988-01-01

This paper presents further evidence for the persistence of bump-on-tail unstable reduced velocity distributions in the earth's electron foreshock, which contradicts the understanding of quasi-linear saturation of the bump-on-tail instability. A modified theory for the saturation of the bump-on-tail instability in the earth's foreshock is proposed to explain the mechanism of this persistence, and the predictions are compared to the results of a numerical simulation of the electron plasma in the foreshock. The results support the thesis that quasi-linear saturation of the bump-on-tail instability is modified in the foreshock, due to the driven nature of the region, so that at saturation the stabilized velocity distribution still appears bump-on-tail unstable to linear plasma analysis.

Cosmetic Lateral Canthoplasty: Preserving the Lateral Canthal Angle

Directory of Open Access Journals (Sweden)

Yeon-Jun Kim

2016-07-01

Full Text Available Cosmetic lateral canthoplasty, in which the size of the eye is increased by extending the palpebral fissure and decreasing the degree of the eye slant, has become a prevalent procedure for East Asians. However, it is not uncommon for there to be complications or unfavorable results after the surgery. With this in mind, the authors have designed a surgical method to reduce complications in cosmetic lateral canthoplasty by preserving the lateral canthal angle. We discuss here the anatomy required for surgery, the surgical methods, and methods for reducing complications during cosmetic lateral canthoplasty.

Correction of aggregative thrombocytes activity in patients with unstable angina by THz irradiation of nitrogen oxide occurrence at in vitro conditions

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Vyacheslav F. Kirichuk

2013-11-01

Full Text Available There had been shown a normalizing effect of THz radiation of MEAS (molecular emission and absorption spectrum of 400 GHz nitrogen oxide occurrence on aggregation parameters of thrombocytes in patients with unstable angina at in vitro conditions. 180 patients with an unstable angina had been involved in to the research.

Experimental Demonstration of the Fermi-Pasta-Ulam Recurrence in a Modulationally Unstable Optical Wave

International Nuclear Information System (INIS)

Van Simaeys, G.; Emplit, Ph.; Haelterman, M.

2001-01-01

Through a detailed spectral analysis of the propagation of square-shaped laser pulses in optical fibers, we provide the experimental demonstration of the Fermi-Pasta-Ulam recurrence phenomenon in modulationally unstable optical waves ruled by the nonlinear Schroedinger equation

Lateral Concepts

DEFF Research Database (Denmark)

Gad, Christopher; Bruun Jensen, casper

2016-01-01

This essay discusses the complex relation between the knowledges and practices of the researcher and his/her informants in terms of lateral concepts. The starting point is that it is not the prerogative of the (STS) scholar to conceptualize the world; all our “informants” do it too. This creates...... the possibility of enriching our own conceptual repertoires by letting them be inflected by the concepts of those we study. In a broad sense, the lateral means that there is a many-to-many relation between domains of knowledge and practice. However, each specific case of the lateral is necessarily immanent...... to a particular empirical setting and form of inquiry. In this sense lateral concepts are radically empirical since it locates concepts within the field. To clarify the meaning and stakes of lateral concepts, we first make a contrast between lateral anthropology and Latour’s notion of infra-reflexivity. We end...

Convection due to an unstable density difference across a permeable membrane

Science.gov (United States)

Puthenveettil, Baburaj A.; Arakeri, Jaywant H.

We study natural convection driven by unstable concentration differences of sodium chloride (NaCl) across a horizontal permeable membrane at Rayleigh numbers (Ra) of 1010 to 1011 and Schmidt number (Sc)=600. A layer of brine lies over a layer of distilled water, separated by the membrane, in square-cross-section tanks. The membrane is permeable enough to allow a small flow across it at higher driving potentials. Based on the predominant mode of transport across the membrane, three regimes of convection, namely an advection regime, a diffusion regime and a combined regime, are identified. The near-membrane flow in all the regimes consists of sheet plumes formed from the unstable layers of fluid near the membrane. In the advection regime observed at higher concentration differences (Bb) show a common log-normal probability density function at all Ra. We propose a phenomenology which predicts /line{lambda}_b sqrt{Z_w Z_{V_i}}, where Zw and Z_{V_i} are, respectively, the near-wall length scales in Rayleighnard convection (RBC) and due to the advection velocity. In the combined regime, which occurs at intermediate values of C/2)4/3. At lower driving potentials, in the diffusion regime, the flux scaling is similar to that in turbulent RBC.

Superluminal warp drives are semiclassically unstable

Energy Technology Data Exchange (ETDEWEB)

Finazzi, S; Liberati, S [SISSA, via Beirut 2-4, Trieste 34151, Italy and INFN sezione di Trieste (Italy); Barcelo, C, E-mail: finazzi@sissa.i, E-mail: liberati@sissa.i, E-mail: carlos@iaa.e [Instituto de Astrofisica de AndalucIa, CSIC, Camino Bajo de Huetor 50, 18008 Granada (Spain)

2010-04-01

Warp drives are very interesting configurations of General Relativity: they provide a way to travel at superluminal speeds, albeit at the cost of requiring exotic matter to build them. Even if one succeeded in providing the necessary exotic matter, it would still be necessary to check whether they would survive to the switching on of quantum effects. Semiclassical corrections to warp-drive geometries created out of an initially flat spacetime have been analyzed in a previous work by the present authors in special locations, close to the wall of the bubble and in its center. Here, we present an exact numerical analysis of the renormalized stress-energy tensor (RSET) in the whole bubble. We find that the the RSET will exponentially grow in time close to the front wall of the superluminal bubble, after some transient terms have disappeared, hence strongly supporting our previous conclusion that the warp-drive geometries are unstable against semiclassical back-reaction. This result seems to implement the chronology protection conjecture, forbiddig the set up of a structure potentially dangerous for causality.

[Kirschner wire transfixation of unstable ankle fractures: indication, surgical technique and outcomes].

Science.gov (United States)

Marvan, J; Džupa, V; Bartoška, R; Kachlík, D; Krbec, M; Báča, V

2015-01-01

PURPOSE OF THE STUDY The aim of the study was to assess treatment outcomes in patients undergoing K-wire transfixation of unstable ankle fractures and compare the results with those of patients in whom it was possible to perform primary one-stage osteosynthesis. MATERIAL AND METHODS Between 2009 and 2012, a total of 358 patients (191 women and 167 men) had surgery for unstable ankle fracture. At 1-year follow-up, their subjective feelings, objective findings and ankle radiographs were evaluated. The fractures were categorised according to the Weber classification. A patient group treated by one-stage osteosynthesis, a group with definitive transfixation and a group of patients in whom temporary transfixation was converted to definitive osteosynthesis were assessed and compared. RESULTS The group treated by one-stage osteosynthesis included 278 patients with an average age of 47 years; the group of 20 patients with definitive transfixation had an average age of 67 years, and the group of 60 patients who had temporary transfixation with subsequent conversion to internal osteosynthesis were 55 years on average. In the group with one-stage osteosynthesis, 223 (80%) ankle fractures on post-injury radiographs were associated with minor joint dislocations and 55 (20%) with major dislocations. On the other hand, the radiographs of the patients treated by temporary transfixation and delayed open reduction with internal fixation showed major dislocations in 38 (63%) and minor dislocations in the rest of the patients (37%); the difference between the two groups was statistically significant (pfractures were most frequent in the group with temporary transfixation (60%) and least frequent in the group with primary osteosynthesis (44%); also this difference was statistically significant (p=0.032). At one-year follow-up, in the group with one-stage osteosynthesis, 220 patients (79%) had no radiographic signs of posttraumatic ankle osteoarthritis while, in the group with temporary

Low frequency noise in the unstable contact region of Au-to-Au microcontact for microelectromechanical system switches

Science.gov (United States)

Qiu, Haodong; Wang, Hong; Ke, Feixiang

2014-06-01

The noise behavior of Au-to-Au microcontact for microelectromechanical system switches has been experimentally studied in the unstable contact region. The results suggest that the electrical conduction remains nonmetallic at the initial stage during contact formation due to the existence of alien films, and traps in the alien layer located at the contact interface could play an important role in determining the conduction noise. The conduction fluctuation induced by electron trapping-detrapping associated with the hydrocarbon layer is found to be an intrinsic noise source contributing to the low frequency noise in the unstable contact region.

Low frequency noise in the unstable contact region of Au-to-Au microcontact for microelectromechanical system switches

Energy Technology Data Exchange (ETDEWEB)

Qiu, Haodong; Wang, Hong, E-mail: ewanghong@ntu.edu.sg [NOVITAS, Nanoelectronics Centre of Excellence, School of Electrical and Electronic Engineering, Nanyang Technological University, Singapore 639798 (Singapore); Ke, Feixiang [Temasek Laboratories at Nanyang Technological University, Research Techno Plaza, Singapore 637553 (Singapore)

2014-06-23

The noise behavior of Au-to-Au microcontact for microelectromechanical system switches has been experimentally studied in the unstable contact region. The results suggest that the electrical conduction remains nonmetallic at the initial stage during contact formation due to the existence of alien films, and traps in the alien layer located at the contact interface could play an important role in determining the conduction noise. The conduction fluctuation induced by electron trapping-detrapping associated with the hydrocarbon layer is found to be an intrinsic noise source contributing to the low frequency noise in the unstable contact region.

Low frequency noise in the unstable contact region of Au-to-Au microcontact for microelectromechanical system switches

International Nuclear Information System (INIS)

Qiu, Haodong; Wang, Hong; Ke, Feixiang

2014-01-01

The noise behavior of Au-to-Au microcontact for microelectromechanical system switches has been experimentally studied in the unstable contact region. The results suggest that the electrical conduction remains nonmetallic at the initial stage during contact formation due to the existence of alien films, and traps in the alien layer located at the contact interface could play an important role in determining the conduction noise. The conduction fluctuation induced by electron trapping-detrapping associated with the hydrocarbon layer is found to be an intrinsic noise source contributing to the low frequency noise in the unstable contact region.

Angular Stable Miniplate Fixation of Chronic Unstable Scaphoid Nonunion.

Science.gov (United States)

Schormans, Philip M J; Brink, Peter R G; Poeze, Martijn; Hannemann, Pascal F W

2018-02-01

Background  Around 5 to 15% of all scaphoid fractures result in nonunion. Treatment of long-lasting scaphoid nonunion remains a challenge for the treating surgeon. Healing of scaphoid nonunion is essential for prevention of scaphoid nonunion advanced collapse and the subsequent predictable pattern of radiocarpal osteoarthritis. Purpose  The purpose of this study was to investigate the feasibility of fixation of the scaphoid nonunion with a volar angular stable miniplate and cancellous bone grafting. We hypothesized that this technique could be successful, even in patients with previous surgery for nonunion and in patients with a long duration of nonunion. Patients and Methods  A total of 21 patients enrolled in a single-center prospective cohort study. Healing of nonunion was assessed on multiplanar computed tomography scan of the wrist at a 3-month interval. Functional outcome was assessed by measuring grip strength, range of motion, and by means of the patient-rated wrist and hand evaluation (PRWHE) questionnaire. Results  During follow-up, 19 out of 21 patients (90%) showed radiological healing of the nonunion. The range of motion did not improve significantly. Postoperative PRWHE scores decreased by 34 points. Healing occurred regardless of the length of time of the nonunion (range: 6-183 months) and regardless of previous surgery (38% of patients). Conclusion  Volar angular stable miniplate fixation with autologous cancellous bone grafting is a successful technique for the treatment of chronic unstable scaphoid nonunion, even in patients with long-lasting nonunion and in patients who underwent previous surgery for a scaphoid fracture. Rotational interfragmentary stability might be an important determining factor for the successful treatment of unstable scaphoid nonunion. Level of Evidence  Level IV.

Pipeline modeling and assessment in unstable slopes

Energy Technology Data Exchange (ETDEWEB)

Caceres, Carlos Nieves [Oleoducto Central S.A., Bogota, Cundinamarca (Colombia); Ordonez, Mauricio Pereira [SOLSIN S.A.S, Bogota, Cundinamarca (Colombia)

2010-07-01

The OCENSA pipeline system is vulnerable to geotechnical problems such as faults, landslides or creeping slopes, which are well-known in the Andes Mountains and tropical countries like Colombia. This paper proposes a methodology to evaluate the pipe behaviour during the soil displacements of slow landslides. Three different cases of analysis are examined, according to site characteristics. The process starts with a simplified analytical model and develops into 3D finite element numerical simulations applied to the on-site geometry of soil and pipe. Case 1 should be used when the unstable site is subject to landslides impacting significant lengths of pipeline, pipeline is straight, and landslide is simple from the geotechnical perspective. Case 2 should be used when pipeline is straight and landslide is complex (creeping slopes and non-conventional stabilization solutions). Case 3 should be used if the pipeline presents vertical or horizontal bends.

Modeling of supermodes in coupled unstable resonators

International Nuclear Information System (INIS)

Townsend, S.S.

1986-01-01

A general formalism describing the supermodes of an array of N identical, circulantly coupled resonators is presented. The symmetry of the problem results in a reduction of the N coupled integral equations to N decoupled integral equations. Each independent integral equation defines a set of single-resonator modes derived for a hypothetical resonator whose geometry resembles a member of the real array with the exception that all coupling beams are replaced by feedback beams, each with a prescribed constant phase. A given array supermode consists of a single equivalent resonator mode appearing repetitively in each resonator with a prescribed relative phase between individual resonators. The specific array design chosen for example is that of N adjoint coupled confocal unstable resonators. The impact of coupling on the computer modeling of this system is discussed and computer results for the cases of two- and four-laser coupling are presented

Mean-Field and RPA Approaches to Stable and Unstable Nuclei with Semi-Realistic Interactions

International Nuclear Information System (INIS)

Nakada, H.

2009-01-01

We have developed semi-realistic NN interactions [1, 2] by modifying the M3Y interaction [3] that was derived from the G-matrix. The modification has been made so that the saturation and the spin-orbit splittings could be reproduced. The new interactions contain finite-range LS and tensor channels, as well as Yukawa-form central channels having reasonable spin and spin-isospin properties. In order to handle such interactions in practical calculations, we have also developed new numerical methods [4-6], in which the Gaussian expansion method [7] is applied. It is noted that these methods have the following advantages: (i) we can efficiently describe the energy-dependent asymptotics of single-particle wave functions at large r, as is typified in arguments on the deformed neutron halo in 4 0M g [6], (ii) we can handle various effective interactions, including those having non-locality, and (iii) a single-set of bases is applicable to wide mass range of nuclei and therefore is suitable to systematic calculations. Thereby we can implement Hartree-Fock, Hartree-Fock-Bogolyubov and RPA calculations for stable and unstable nuclei with the semi-realistic interactions. It will be shown first that the new interactions have desired characters for the nuclear matter and for the single- and double-closed nuclei. We shall particularly focus on roles of specific channels of the effective interaction, by studying (a) 'shell evolution' and role of the spin-isospin and the tensor channels [8] in stable and unstable nuclei, and (b) the magnetic response in a fully self-consistent RPA calculation with the tensor force [9]. All these properties seem to be simultaneously and naturally reproduced by the semi-realistic interactions. Thus the semi-realistic interactions are promising in describing various aspects of nuclear structure from stable to drip-line nuclei, in a self-consistent and unified manner. Since they have microscopic origin with minimal modification, we can expect high

Kangaroo mother care for clinically unstable neonates weighing ≤2000 g: Is it feasible at a hospital in Uganda?

Science.gov (United States)

Morgan, Melissa C; Nambuya, Harriet; Waiswa, Peter; Tann, Cally; Elbourne, Diana; Seeley, Janet; Allen, Elizabeth; Lawn, Joy E

2018-06-01

Kangaroo mother care (KMC) for stable neonates ≤2000 g (g) is associated with decreased mortality, sepsis, hypothermia, and length of stay compared to conventional care. The World Health Organization states that KMC "should be initiated… as soon as newborns are clinically stable " [12]. However, the majority of deaths occur in unstable neonates. We aimed to determine the proportion of admitted neonates meeting proposed instability criteria, assess the feasibility of providing KMC to unstable neonates, and evaluate the acceptability of this intervention to parents and providers at Jinja Regional Referral Hospital in Uganda. This was a mixed-methods study. We recorded data including birthweight, chronological age, and treatments administered from medical charts, and calculated the percentage of clinically unstable neonates, defined as the need for ≥2 medical therapies in the first 48 hours of admission. We enrolled a sample of neonates meeting pre-defined instability criteria. Mothers were counselled to provide KMC as close to continuously as possible. We calculated the median duration of KMC per episode and per day. To explore acceptability, we conducted semi-structured interviews with parents and newborn unit care providers, and analysed data using the thematic content approach. We included 254 neonates in the audit, 10 neonates in the feasibility sub-study, and 20 participants in the acceptability sub-study. Instability criteria were easily implementable, identifying 89% of neonates as unstable in the audit. The median duration of individual KMC episodes ranged from 115 to 134 minutes. The median daily duration ranged from 4.5 to 9.7 hours. Seventy-five percent of interviewees felt KMC could be used in neonates concurrently receiving other medical therapies. Barriers included lack of resources (beds/space, monitoring devices), privacy issues, inadequate education, and difficulties motivating mothers to devote time to KMC. Recommendations included staff

The functional outcome of surgically treated unstable pelvic ring fractures by open reduction, internal fixation

Directory of Open Access Journals (Sweden)

Kaykhosro Mardanpour

2011-07-01

Full Text Available Background:Unstable Pelvic fracture,a result of high energy antero-posterior compression injury, has been managed based on internal fixation and open reduction. The mode of fixation in Unstable Pelvic fracture has, however, been a subject of controversy and some authors have proposed a need to address the issue of partial breach of the pelvic ring elements in these injuries. This study was performed to evaluate the functional and radiological results of treatment of pelvic ring fractures by open reduction, internal fixation. Methods: Thirty eight patients with unstable pelvic fractures, treated from 2002 to2008 were retrospectively reviewed. The mean age of patients’ was 37 years old (range 20 to 67. Twenty six patients were men and 12 women. The most common cause was a road traffic accident (N=37, 97%. There were 11 type-C and 27 type-B fractures according to Tile’s classification. Thirty six patients sustained additional injuries. The most prevalent additional injuries were lower extremity fractures. Open reduction, internal fixation as a definite management was applied for all patients. Quality of reduction was graded according to the grades proposed by Matta and Majeed’s score was used to assess the clinical outcome. The mean period of follow-up was 25 months (ranged from 6 to 109 months. About 81.6% of patients had either good or excellent radiological reduction. Results: The functional outcome was excellent in 66%, good in 15%, fair in 11% and poor in 7% of the patients. There were 4 postoperative infections. No sexual function problem was reported. Nerve deficits recovered completely in 2 and partially in 3 of 11 patients with preoperative neurologic deficiency. There was no significant relation between functional outcome and the site of fracture Conclusion: Unstable pelvic ring fracture injuries should be managed surgically by rigid stabilization that must be carried out as soon as the general ndition of the patient permits, and

Randomised, double-blind trial of intravenous diltiazem versus glyceryl trinitrate for unstable angina pectoris

NARCIS (Netherlands)

Gobel, EJAM; Hautvast, RWM; vanGilst, WH; Spanjaard, JN; Hillege, HL; DeJongste, MJL; Molhoek, GP; Lie, KI

1995-01-01

The effect of dihydropyridines in patients with unstable angina is discouraging. To find out the effect of the non- dihydropyridine-like calcium-channel blocker diltiazem, a randomised, double-blind trial was conducted comparing diltiazem with glyceryl trinitrate. both given intravenously, in 129

Development of atomic-beam resonance method to measure the nuclear moments of unstable nuclei

Energy Technology Data Exchange (ETDEWEB)

Sugimoto, T., E-mail: sugimoto@ribf.riken.jp [SPring-8 (Japan); Asahi, K. [Tokyo Institute of Technology, Department of Physics (Japan); Kawamura, H.; Murata, J. [Rikkyo University, Department of Physics (Japan); Nagae, D.; Shimada, K. [Tokyo Institute of Technology, Department of Physics (Japan); Ueno, H.; Yoshimi, A. [RIKEN Nishina Center (Japan)

2008-01-15

We have been working on the development of a new technique of atomic-beam resonance method to measure the nuclear moments of unstable nuclei. In the present study, an ion-guiding system to be used as an atomic-beam source have been developed.

Robust Output Model Predictive Control of an Unstable Rijke Tube

Directory of Open Access Journals (Sweden)

Fabian Jarmolowitz

2012-01-01

Full Text Available This work investigates the active control of an unstable Rijke tube using robust output model predictive control (RMPC. As internal model a polytopic linear system with constraints is assumed to account for uncertainties. For guaranteed stability, a linear state feedback controller is designed using linear matrix inequalities and used within a feedback formulation of the model predictive controller. For state estimation a robust gain-scheduled observer is developed. It is shown that the proposed RMPC ensures robust stability under constraints over the considered operating range.

A novel experimental scheme of electron scattering off unstable nuclei with a self-confining radioactive ion target (SCRIT)

International Nuclear Information System (INIS)

Wakasugi, Masanori

2005-01-01

We proposed a new experimental scheme of an electron scattering off unstable nuclei using a Self-Confining Radioactive Ion Target (SCRIT). The SCRIT is an unstable ion target formed in the electron storage ring, and is based on completely new idea. We constructed prototype of the SCRIT device and installed it in the electron storage ring KSR in Kyoto University. In the test experiment, 10 7 -Cs ions are confined in the SCRIT with the lifetime of about 2 s and the feasibility of the SCRIT as the target has been confirmed. (author)

Combined effects of headgroup charge and tail unsaturation of lipids on lateral organization and diffusion of lipids in model biomembranes

International Nuclear Information System (INIS)

Chen Xiao-Jie; Liang Qing

2017-01-01

Lateral organization and dynamics of lipids in plasma membranes are crucial for several cellular processes such as signal transduction across the membrane and still remain elusive. In this paper, using coarse-grained molecular dynamics simulation, we theoretically study the combined effects of headgroup charge and tail unsaturation of lipids on the lateral organization and diffusion of lipids in ternary lipid bilayers. In neutral ternary lipid bilayers composed of saturated lipids, unsaturated lipids, and cholesterols, under the conditions of given temperature and components, the main factor for the phase separation is the unsaturation of unsaturated lipids and the bilayers can be separated into liquid-ordered domains enriched in saturated lipids and cholesterols and liquid-disordered domains enriched in unsaturated lipids. Once the headgroup charge is introduced, the electrostatic repulsion between the negatively charged lipid headgroups will increase the distance between the charged lipids. We find that the lateral organization and diffusion of the lipids in the (partially) charged ternary lipid bilayers are determined by the competition between the headgroup charge and the unsaturation of the unsaturated lipids. In the bilayers containing unsaturated lipids with lower unsaturation, the headgroup charge plays a crucial role in the lateral organization and diffusion of lipids. The headgroup charge may make the lipid domains unstable and even can suppress phase separation of the lipids in some systems. However, in the bilayers containing highly unsaturated lipids, the lateral organization and diffusion of lipids are mainly dominated by the unsaturation of the unsaturated lipids. This work may provide some theoretical insights into understanding the formation of nanosized domains and lateral diffusion of lipids in plasma membranes. (paper)

A STUDY OF PRIMARY CEMENTED BIPOLAR HEMIARTHROPLASTY OF HIP IN ELDERLY PATIENTS WITH OSTEOPOROTIC, UNSTABLE INTERTROCHANTERIC FRACTURE

Directory of Open Access Journals (Sweden)

Maheshwar

2015-08-01

Full Text Available BACKGROUND: Intertrochanteric fractures are a major cause of morbidity and mortality in geriatric population. Osteoporosis contributes significantly to the comminution and instability in such fractures. Internal fixations in unstable intertrochanteric fractures are a ssociated with high rates of implant failures and gross restriction of hip movements. This study was undertaken to evaluate the efficacy of cemented bipolar hemiart h roplasty in elderly patients with osteoporotic, unstable intertrochanteric fractures. PATIE NTS AND METHODS: 52 patients aged above 60 years with unstable, comminuted intertrochanteric fractures with Singh’s index < 4 were operated with primary cemented bipolar hemireplacement arthroplasty. All the patients were mobilized early with full weight b earing in the post - operative period as permitted. 50 patients were evaluated for the functional outcome with Harris Hip score. RESULTS: The average age of patients was 65 years with female predominance (64%. Left side (56% was commonly involved and the c ommonest mode of injury was due to a trivial fall at home. Hypertension (30% was the commonest co - morbid condition. Limb shortening was the commonest complication (8%. The mean ± S.D. of the Harris Hip score was 85.6 ± 10.59 with a range from 56 to 96. Resul ts were excellent in 62%, good in 22%, fair in 12% and poor in 4% of cases. CONCLUSION: Elderly osteoporotic patients with comminuted, unstable intertrochanteric fractures have an increased prevalence of unsatisfactory functional results with conventional internal fixation devices. Primary cemented bipolar hemiarthroplasty with anatomical reconstruction of the trochanters allows early mobilization, improved functional outcome with relatively low incidence of associated complications.

Analysis of unstable chromosome alterations frequency induced by neutron-gamma mixed field radiation

Energy Technology Data Exchange (ETDEWEB)

Souza, Priscilla L.G.; Brandao, Jose Odinilson de C.; Vale, Carlos H.F.P.; Santos, Joelan A.L.; Vilela, Eudice C.; Lima, Fabiana F. [Centro Regional de Ciencias Nucleares (CRCN-NE/CNEN-PE), Recife, PE (Brazil)], e-mail: psouza@cnen.gov.br, e-mail: jodinilson@cnen.gov.br; Calixto, Merilane S.; Santos, Neide [Universidade Federal de Pernambuco (UFPE), Recife, PE (Brazil). Dept. de Genetica

2009-07-01

Nowadays monitoring chromosome alterations in peripheral blood lymphocytes have been used to access the radiation absorbed dose in individuals exposed accidental or occupationally to gamma radiation. However there are not many studies based on the effects of mixed field neutron-gamma. The radiobiology of neutrons has great importance because in nuclear factories worldwide there are several hundred thousand individuals monitored as potentially receiving doses of neutron. In this paper it was observed the frequencies of unstable chromosome alterations induced by a gamma-neutron mixed field. Blood was obtained from one healthy donor and exposed to mixed field neutron-gamma sources {sup 241}AmBe (20 Ci) at the Neutron Calibration Laboratory (NCL-CRCN/NE-PE-Brazil). The chromosomes were observed at metaphase, following colcemid accumulation and 1000 well-spread metaphases were analyzed for the presence of chromosome alterations by two experienced scorers. The results suggest that there is the possibility of a directly proportional relationship between absorbed dose of neutron-gamma mixed field radiation and the frequency of unstable chromosome alterations analyzed in this paper. (author)

Minimally invasive surgical treatment for unstable fractures of the proximal phalanx: intramedullary screw

Directory of Open Access Journals (Sweden)

Marcio Aurélio Aita

2016-02-01

Full Text Available ABSTRACT OBJECTIVE: To analyze the clinical-functional parameters and quality of life of patients undergoing minimally invasive surgical treatment for extra-articular fractures of the proximal phalanx, using an intramedullary screw (Acutrak(r. METHODS: Between January 2011 and September 2014, a prospective study was conducted on 41 patients (48 fingers with unstable extra-articular fractures of the proximal phalanx, who underwent minimally invasive surgical treatment using an intramedullary screw (Acutrak(r. These patients were evaluated 12 months after the surgery by means of the DASH quality-of-life questionnaire, VAS pain scale, measurement of range of motion (ROM, in degrees and radiographic assessment. RESULTS: All the patients achieved adequate reduction and consolidation of their fractures. There were statistically significant improvements in quality of life on the DASH scale, pain on the VAS scale and range of motion. CONCLUSION: The minimally invasive technique for treating unstable extra-articular fractures of the proximal phalanx using an intramedullary screw (Acutrak(r is effective and safe, and it presents satisfactory clinical-functional results.

Analysis of unstable chromosome alterations frequency induced by neutron-gamma mixed field radiation

International Nuclear Information System (INIS)

Souza, Priscilla L.G.; Brandao, Jose Odinilson de C.; Vale, Carlos H.F.P.; Santos, Joelan A.L.; Vilela, Eudice C.; Lima, Fabiana F.; Calixto, Merilane S.; Santos, Neide

2009-01-01

Nowadays monitoring chromosome alterations in peripheral blood lymphocytes have been used to access the radiation absorbed dose in individuals exposed accidental or occupationally to gamma radiation. However there are not many studies based on the effects of mixed field neutron-gamma. The radiobiology of neutrons has great importance because in nuclear factories worldwide there are several hundred thousand individuals monitored as potentially receiving doses of neutron. In this paper it was observed the frequencies of unstable chromosome alterations induced by a gamma-neutron mixed field. Blood was obtained from one healthy donor and exposed to mixed field neutron-gamma sources 241 AmBe (20 Ci) at the Neutron Calibration Laboratory (NCL-CRCN/NE-PE-Brazil). The chromosomes were observed at metaphase, following colcemid accumulation and 1000 well-spread metaphases were analyzed for the presence of chromosome alterations by two experienced scorers. The results suggest that there is the possibility of a directly proportional relationship between absorbed dose of neutron-gamma mixed field radiation and the frequency of unstable chromosome alterations analyzed in this paper. (author)

Qualitative Data Gathering Challenges in a Politically Unstable Rural Environment: A Zimbabwean Experience

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Tabitha Grace Mukeredzi

2012-02-01

Full Text Available Gaining access to participants in rural, politically unstable settings demands authority and consent not only from the participants and immediate line managers, but also from other players with interests in the research sites. This paper discusses data gathering experiences and challenges encountered during fieldwork for a PhD amidst a politically volatile situation in Zimbabwe in mid-2008. The article highlights the challenges encountered, how the researcher overcame some of them, and was stymied by others. Specifically, political challenges related to gaining access to schools and participants, which created time constraints and frustrations, fears and anxieties for the researcher. Issues of poor topography and interview space also emerged as other challenges. The paper proposes that the snags and surprises, the feelings of frustration, fear and anger that go with researching participants in politically unstable settings should not stall the research process but instead, handled with flexibility and patience, and used as motivation to continue. The experiences not only enhance the researcher's own reflexivity and reflectivity but also provide insights into the human conditions and actions as viewed from multiple perspectives.

Large Eddy Simulation of Unstably Stratified Turbulent Flow over Urban-Like Building Arrays

Directory of Open Access Journals (Sweden)

Bobin Wang

2013-01-01

Full Text Available Thermal instability induced by solar radiation is the most common condition of urban atmosphere in daytime. Compared to researches under neutral conditions, only a few numerical works studied the unstable urban boundary layer and the effect of buoyancy force is unclear. In this paper, unstably stratified turbulent boundary layer flow over three-dimensional urban-like building arrays with ground heating is simulated. Large eddy simulation is applied to capture main turbulence structures and the effect of buoyancy force on turbulence can be investigated. Lagrangian dynamic subgrid scale model is used for complex flow together with a wall function, taking into account the large pressure gradient near buildings. The numerical model and method are verified with the results measured in wind tunnel experiment. The simulated results satisfy well with the experiment in mean velocity and temperature, as well as turbulent intensities. Mean flow structure inside canopy layer varies with thermal instability, while no large secondary vortex is observed. Turbulent intensities are enhanced, as buoyancy force contributes to the production of turbulent kinetic energy.

Metastable and unstable cellular solidification of colloidal suspensions

Science.gov (United States)

Deville, Sylvain; Maire, Eric; Bernard-Granger, Guillaume; Lasalle, Audrey; Bogner, Agnès; Gauthier, Catherine; Leloup, Jérôme; Guizard, Christian

2009-12-01

Colloidal particles are often seen as big atoms that can be directly observed in real space. They are therefore becoming increasingly important as model systems to study processes of interest in condensed-matter physics such as melting, freezing and glass transitions. The solidification of colloidal suspensions has long been a puzzling phenomenon with many unexplained features. Here, we demonstrate and rationalize the existence of instability and metastability domains in cellular solidification of colloidal suspensions, by direct in situ high-resolution X-ray radiography and tomography observations. We explain such interface instabilities by a partial Brownian diffusion of the particles leading to constitutional supercooling situations. Processing under unstable conditions leads to localized and global kinetic instabilities of the solid/liquid interface, affecting the crystal morphology and particle redistribution behaviour.

Non-Abelian magnetized blackholes and unstable attractors

Energy Technology Data Exchange (ETDEWEB)

Mosaffa, A.E. [Institute for Studies in Theoretical Physics and Mathematics (IPM), PO Box 19395-5531, Tehran (Iran, Islamic Republic of)], E-mail: mosaffa@theory.ipm.ac.ir; Randjbar-Daemi, S. [The Abdus Salam International Centre for Theoretical Physics, Strada Costiera 11 34014, Trieste (Italy)], E-mail: seif@ictp.trieste.it; Sheikh-Jabbari, M.M. [Institute for Studies in Theoretical Physics and Mathematics (IPM), PO Box 19395-5531, Tehran (Iran, Islamic Republic of)], E-mail: jabbari@theory.ipm.ac.ir

2008-01-21

Fluctuations of non-Abelian gauge fields in a background magnetic charge contain 'tachyonic' modes which as we will show cause an instability of the background. We extend this result to the cases where the background charge (flux) is coupled to four-dimensional Einstein gravity and show that the corresponding spherically symmetric geometries, which in the absence of a cosmological constant are of the form of (colored) Reissner-Nordstroem blackholes or the AdS{sub 2}xS{sup 2}, are also unstable unless the flux assumes its smallest allowed value, in which case the configuration is stable. We discuss the relevance of these instabilities to several places in string theory including various string compactifications and the attractor mechanism. Our results for the latter imply that the attractor mechanism shown to work for the extremal Abelian charged blackholes, cannot be applied in a straightforward way to the extremal non-Abelian colored blackholes, with the exception of the minimally charged stable ones.

A boundary integral approach to unstable solidification

International Nuclear Information System (INIS)

Strain, J.

1989-01-01

We consider the supercooled Stefan problem with a general anisotropic curvature- and velocity-dependent boundary condition on the moving interface. We present numerical methods, based on an integral equation formulation and including a new algorithm for moving curves with curvature-dependent velocity. These methods compute a periodic interface with O(Δt) accuracy, where Δt is the time step. Previous work has been limited to short time spans and achieved slightly less than O(Δt 1/2 ) accuracy. Accurate numerical results are seen to agree with the predictions of linear stability theory. This agreement has eluded previous authors, because their numerical methods suffered from grid effects and their linear stability theory was incorrect. We study the long-time evolution of an unstable interface. Our computations exhibit the beginnings of a sidebranching instability when the boundary condition includes anisotropy and tip-splitting in the isotropic case. copyright 1989 Academic Press, Inc

Research of Medical Expenditure among Inpatients with Unstable Angina Pectoris in a Single Center

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Suo-Wei Wu

2017-01-01

Conclusions: The classification of DRGs by adopting the type of surgery as the main branch node to develop cost control standards in inpatient treatment of unstable angina pectoris is conducive in standardizing the diagnosis and treatment behaviors of the hospital and reducing economic burdens among patients.

Coherent production on nuclei and measurements of total cross sections for unstable particles

International Nuclear Information System (INIS)

Czyz, W.; Zielinski, M.

1980-01-01

The Koelbig-Margolis Formula is fitted to some explicity nonperturbative models of diffractive production. It is shown that, in spite of the fact that the standard procedure of fitting the integrated cross sections may give acceptable fits, thus obtained ''cross sections of unstable particles'', grossly disagree with the ''true'' cross sections known exactly from the models. (author)

Prognostic value of thallium-201 myocardial perfusion imaging in patients with unstable angina who respond to medical treatment

International Nuclear Information System (INIS)

Brown, K.A.

1991-01-01

Although the prognostic value of thallium-201 imaging is well established, its ability to risk stratify patients who present with unstable angina is unclear. Fifty-two consecutive patients admitted with unstable angina who responded to medical treatment and underwent stress thallium-201 imaging within 1 week of discharge were studied. Patients were followed up for 39 +/- 11 months. Cardiac events included cardiac death (n = 3), nonfatal myocardial infarction (n = 4) and admission for unstable angina or revascularization (n = 17). The ability of thallium-201 data (redistribution, fixed defects, normal) to predict cardiac events was compared with clinical data (age, gender, prior myocardial infarction, anginal syndrome, rest and stress electrocardiogram) and cardiac catheterization data using logistic regression. Thallium-201 redistribution was the only significant predictor of cardiac death or nonfatal myocardial infarction (p less than 0.05). The number of myocardial segments with thallium-201 redistribution (p less than 0.0005) and a history of prior myocardial infarction (p less than 0.05) were the only significant predictors of all cardiac events. Cardiac death or nonfatal myocardial infarction occurred more frequently in patients with thallium-201 redistribution (6 [26%] of 23) than in those without redistribution (1 [3%] of 29, p less than 0.05). Similarly, total cardiac events developed more frequently in patients with thallium-201 redistribution (p less than 0.001). Stress thallium-201 imaging has important prognostic value in patients admitted with unstable angina who respond to medical therapy and can identify subgroups at high versus low risk for future cardiac events

On the Fate of Unstable Circumbinary Planets: Tatooine’s Close Encounters with a Death Star

Science.gov (United States)

Sutherland, Adam P.; Fabrycky, Daniel C.

2016-02-01

Circumbinary planets whose orbits become unstable may be ejected, accreted, or even captured by one of the stars. We quantify the relative rates of these channels, for a binary of secondary star’s mass fraction 0.1 with an orbit of 1 AU. The most common outcome is ejection, which happens ∼80% of the time. If binary systems form circumbinary planets readily and sloppily, this process may fill the Milky Way with free-floating planets. A significant fraction of the time, ∼20%, the unstable planet strikes the primary or secondary. We tracked whether a Jupiter-like planet would undergo tidal stripping events during close passages, and find that these events are rarely strong enough to capture the planet, although this may be observable via free-floating planets that are heated or spun-up by this process.

Robustness of unstable attractors in arbitrarily sized pulse-coupled networks with delay

International Nuclear Information System (INIS)

Broer, Henk; Efstathiou, Konstantinos; Subramanian, Easwar

2008-01-01

We consider arbitrarily large networks of pulse-coupled oscillators with non-zero delay where the coupling is given by the Mirollo–Strogatz function. We prove that such systems have unstable attractors (saddle periodic orbits whose stable set has non-empty interior) in an open parameter region for three or more oscillators. The evolution operator of the system can be discontinuous and we propose an improved model with continuous evolution operator

A Versatile Route to Unstable Diazo Compounds via Oxadiazolines and their Use in Aryl–Alkyl Cross‐Coupling Reactions

Science.gov (United States)

Greb, Andreas; Poh, Jian‐Siang; Greed, Stephanie; Battilocchio, Claudio; Pasau, Patrick; Blakemore, David C.

2017-01-01

Abstract Coupling of readily available boronic acids and diazo compounds has emerged recently as a powerful metal‐free carbon–carbon bond forming method. However, the difficulty in forming the unstable diazo compound partner in a mild fashion has hitherto limited their general use and the scope of the transformation. Here, we report the application of oxadiazolines as precursors for the generation of an unstable family of diazo compounds using flow UV photolysis and their first use in divergent protodeboronative and oxidative C(sp2)−C(sp3) cross‐coupling processes, with excellent functional‐group tolerance. PMID:29088512

Decreased soluble cell adhesion molecules after tirofiban infusion in patients with unstable angina pectoris

Directory of Open Access Journals (Sweden)

Aliyev Emil

2004-04-01

Full Text Available Abstract Aim The inflammatory response, initiated by neutrophil and monocyte adhesion to endothelial cells, is important in the pathogenesis of acute coronary syndromes. Platelets play an important role in inflammatory process by interacting with monocytes and neutrophils. In this study, we investigated the effect of tirofiban on the levels of cell adhesion molecules (soluble intercellular adhesion molecule-1, sICAM-1, and vascular cell adhesion molecule-1, sVCAM-1 in patients with unstable angina pectoris (AP. Methods Thirty-five patients with unstable AP (Group I, ten patients with stable AP (Group II and ten subjects who had angiographycally normal coronary arteries (Group III were included the study. Group I was divided into two subgroups for the specific treatment regimens: Group IA (n = 15 received tirofiban and Group IB (n = 20 did not. Blood samples for investigating the cell adhesion molecules were drawn at zero time (baseline; 0 h in all patients and at 72 h in Group I. Results The baseline levels of sICAM-1 and sVCAM-1 were higher in Group I than in Groups II and III. They were higher in Group IA than in Group IB. However, the sICAM-1 and sVCAM-1 levels decreased significantly in Group IA after tirofiban infusion. In contrast, these levels remained unchanged or were increased above the baseline value in Group IB at 72 h. Conclusion The levels of cell adhesion molecules in patients with unstable AP decreased significantly after tirofiban infusion. Inhibition of platelet function by specific glycoprotein IIb/IIIa antagonists may decrease platelet-mediated inflammation and the ischemic end-point.

Model of the transverse modes of stable and unstable porro–prism resonators using symmetry considerations

CSIR Research Space (South Africa)

Burger, L

2007-01-01

Full Text Available of this type of resonator. Further use of the model reveals the formation of more complex beam patterns, and the nature of these patterns is investigated. Also, the output of stable and unstable resonator modes is presented....

Motor laterality as an indicator of speech laterality.

Science.gov (United States)

Flowers, Kenneth A; Hudson, John M

2013-03-01

The determination of speech laterality, especially where it is anomalous, is both a theoretical issue and a practical problem for brain surgery. Handedness is commonly thought to be related to speech representation, but exactly how is not clearly understood. This investigation analyzed handedness by preference rating and performance on a reliable task of motor laterality in 34 patients undergoing a Wada test, to see if they could provide an indicator of speech laterality. Hand usage preference ratings divided patients into left, right, and mixed in preference. Between-hand differences in movement time on a pegboard task determined motor laterality. Results were correlated (χ2) with speech representation as determined by a standard Wada test. It was found that patients whose between-hand difference in speed on the motor task was small or inconsistent were the ones whose Wada test speech representation was likely to be ambiguous or anomalous, whereas all those with a consistently large between-hand difference showed clear unilateral speech representation in the hemisphere controlling the better hand (χ2 = 10.45, df = 1, p laterality are related where they both involve a central control of motor output sequencing and that a measure of that aspect of the former will indicate the likely representation of the latter. A between-hand measure of motor laterality based on such a measure may indicate the possibility of anomalous speech representation. PsycINFO Database Record (c) 2013 APA, all rights reserved.

Rehabilitation of children at the inpatient stage after surgical treatment of unstable fractures of the thoracolumbar and lumbar spine

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Alla V. Ovechkina

2017-12-01

Full Text Available Introduction. The modern approach to the treatment of unstable fractures of the thoracolumbar and lumbar spine in children is surgical stabilization at the early stages after trauma by using metal structures that quickly restore vertical functionality to the patient and shorten the period of inpatient treatment. However, the issues related to restorative treatment have not been sufficiently addressed. Aim. To develop an algorithm for restorative treatment of children at the inpatient stage after surgical treatment of unstable uncomplicated fractures of the thoracolumbar and lumbar spine. Material and methods. Based on the results of treatment of 73 patients aged 9 to 17 years with unstable uncomplicated vertebral fractures, an algorithm of stage-by-stage rehabilitation by means of therapeutic gymnastics depending on the severity of the injury, method of surgical stabilization of the spine, physical condition of the child, and time passed after the operation was developed. Results and discussion. The use of differentiated groups of respiratory gymnastics and isometric and dynamic exercises for muscle groups restored vertical functionality to patients in 1–3 days after surgery, restored spine and motor functions, and shortened the duration of inpatient treatment to a range of 10–14 days. Conclusion. The developed algorithm for physical rehabilitation of children after surgical treatment of unstable injuries of the thoracic and lumbar spine by using metal structures at the inpatient stage contributed to the selection of the most rational and effective program of restorative treatment.

Extension of the CPT theorem to non-Hermitian Hamiltonians and unstable states

Energy Technology Data Exchange (ETDEWEB)

Mannheim, Philip D., E-mail: philip.mannheim@uconn.edu

2016-02-10

We extend the CPT theorem to quantum field theories with non-Hermitian Hamiltonians and unstable states. Our derivation is a quite minimal one as it requires only the time-independent evolution of scalar products, invariance under complex Lorentz transformations, and a non-standard but nonetheless perfectly legitimate interpretation of charge conjugation as an antilinear operator. The first of these requirements does not force the Hamiltonian to be Hermitian. Rather, it forces its eigenvalues to either be real or to appear in complex conjugate pairs, forces the eigenvectors of such conjugate pairs to be conjugates of each other, and forces the Hamiltonian to admit of an antilinear symmetry. The latter two requirements then force this antilinear symmetry to be CPT, while forcing the Hamiltonian to be real rather than Hermitian. Our work justifies the use of the CPT theorem in establishing the equality of the lifetimes of unstable particles that are charge conjugates of each other. We show that the Euclidean time path integrals of a CPT-symmetric theory must always be real. In the quantum-mechanical limit the key results of the PT symmetry program of Bender and collaborators are recovered, with the C-operator of the PT symmetry program being identified with the linear component of the charge conjugation operator.

Vertical unstable stability of electrodynamic suspension of high-speed ground transport

International Nuclear Information System (INIS)

Baiko, A.V.; Voevodskii, K.E.; Kochetkov, V.M.

1980-01-01

The problem considered is the vertical oscillation of a superconducting solenoid moving over a conducting sheet in connection with the electrodynamic suspension of high-speed ground transport. The oscillation is considered to be unstable at a sufficiently high speed. The current oscillation in the superconducting solenoid caused by its mechanical oscillation is also investigated. The superconducting properties of a solenoid are found to have a pronounced effect on stability. Both the theory and numerical results are presented. Methods of oscillation damping are also discussed. (author)

Beautiful Trees on Unstable Ground: Notes on the Data Problem in Lexicostatistics

OpenAIRE

Geisler , Hans; List , Johann-Mattis

2010-01-01

The manuscript was submitted in 2010, and is now still waiting for publication as:Geisler, H. and List, J.-M. (to appear in 201?): Beautiful trees on unstable ground: Notes on the dataproblem in lexicostatistics. In: Hettrich, Heinrich (ed.): Die Ausbreitung des Indogermanischen.Thesen aus Sprachwissenschaft, Archäologie und Genetik, Akten der Arbeitstagung derIndogermanischen Gesellschaft Würzburg, 24.-26. September 2009. Wiesbaden: Reichert.Please note that the content of this paper is outd...

Influence of an unstable shoe on compensatory postural adjustments: An experimental evaluation

OpenAIRE

Andreia S. P. Sousa; Rui Macedo; Rubim Santos; João Manuel R. S. Tavares

2010-01-01

This study attempted to evaluate the influence of using an unstable shoe in muscle re-cruitment strategies and center of pressure (CoP) displacement after the application of an external perturba-tion. Fourteen healthy female subjects participated in this study. The electromyographic activity of medial ga-strocnemius, tibialis anterior, rectus femoris, biceps femoris, rectus abdominis and erector spinae muscles and the kinetic values to calculate the CoP were collected and analyzed after the a...

Isolation and Purification of Unstable Iridoid Glucosides from Traditional Chinese Medicine by Preparative High Performance Liquid Chromatography Coupled with Solid-phase Extraction

Institute of Scientific and Technical Information of China (English)

LI Cun-man; XIAO Yuan-sheng; XUE Xing-ya; FENG Jia-tao; ZHANG Xiu-li; LIANG Xin-miao

2011-01-01

An efficient preparative method was successfully developed for isolation and purification of unstable components from medicinal plant extracts, using a combined method of preparative high performance liquid chro matography(HPLC) and solid-phase extraction(SPE). The aim of this study was to obtain an effective method with high preparative efficiency and importantly to avoid the transformation of unstable compounds. The preparative HPLC system was based on an LC/MS controlled four-channel autopurification system. The SPE method was per formed with a C1s packing material to trap the target compounds and to remove the acidic additive derived from the mobile phase. Using this method, the unstable iridoid glucosides(IGs) as model compounds were successfully iso lated and purified from the extract of Hedyotis diffusa Willd. Six IGs(including one new minor IG) and one nucleo tide compound were simultaneously obtained, each with a purity of ＞91% as determined by HPLC. The structures of the isolated compounds were identified by UPLC/Q-TOF MS, UV, ID and/or 2D NMR. It was demonstrated that the combination of preparative HPLC with SPE is a versatile tool for preparative purification of unstable compounds from complex natural products.

Isolation and Purification of Unstable Iridoid Glucosides from Traditional Chinese Medicine by Preparative High Performance Liquid Chromatography Coupled with Solid-phase Extraction

Institute of Scientific and Technical Information of China (English)

无

2011-01-01

An efficient preparative method was successfully developed for isolation and purification of unstable components from medicinal plant extracts, using a combined method of preparative high performance liquid chro-matography（HPLC） and solid-phase extraction（SPE）. The aim of this study was to obtain an effective method with high preparative efficiency and importantly to avoid the transformation of unstable compounds. The preparative HPLC system was based on an LC/MS controlled four-channel autopurification system. The SPE method was performed with a C18 packing material to trap the target compounds and to remove the acidic additive derived from the mobile phase. Using this method, the unstable iridoid glucosides（IGs） as model compounds were successfully isolated and purified from the extract of Hedyotis diffusa Willd. Six IGs（including one new minor IG） and one nucleotide compound were simultaneously obtained, each with a purity of 〉91% as determined by HPLC. The structures of the isolated compounds were identified by UPLC/Q-TOF MS, UV, 1D and/or 2D NMR. It was demonstrated that the combination of preparative HPLC with SPE is a versatile tool for preparative purification of unstable compounds from complex natural products.

Thermocapillary instabilities in a laterally heated liquid bridge with end wall rotation

Science.gov (United States)

Kahouadji, L.; Houchens, B. C.; Witkowski, L. Martin

2011-10-01

The effect of rotation on the stability of thermocapillary driven flow in a laterally heated liquid bridge is studied numerically using the full-zone model of the floating-zone crystal growth technique. A small Prandtl number (0.02) fluid, relevant for semiconductor melts, is studied with an aspect ratio (height to diameter of the melt) equal to one. Buoyancy is neglected. A linear stability analysis of three-dimensional perturbations is performed and shows that for any ratio of angular velocities, a weak rotation rate has the surprising effect of destabilizing the base flow. By systematically varying the rotation rate and ratio of angular velocities, the critical threshold and azimuthal wave number of the most unstable mode is found over a wide range of this two parameter space. Depending on these parameters, the leading eigenmode is a wave propagating either in the positive or negative azimuthal direction, with kinetic energy typically localized close to one of the end walls. These results are of practical interest for industrial crystal growth applications, where rotation is often used to obtain higher quality crystals.

Effect of Tendon Vibration on Hemiparetic Arm Stability in Unstable Workspaces.

Directory of Open Access Journals (Sweden)

Megan O Conrad

Full Text Available Sensory stimulation of wrist musculature can enhance stability in the proximal arm and may be a useful therapy aimed at improving arm control post-stroke. Specifically, our prior research indicates tendon vibration can enhance stability during point-to-point arm movements and in tracking tasks. The goal of the present study was to investigate the influence of forearm tendon vibration on endpoint stability, measured at the hand, immediately following forward arm movements in an unstable environment. Both proximal and distal workspaces were tested. Ten hemiparetic stroke subjects and 5 healthy controls made forward arm movements while grasping the handle of a two-joint robotic arm. At the end of each movement, the robot applied destabilizing forces. During some trials, 70 Hz vibration was applied to the forearm flexor muscle tendons. 70 Hz was used as the stimulus frequency as it lies within the range of optimal frequencies that activate the muscle spindles at the highest response rate. Endpoint position, velocity, muscle activity and grip force data were compared before, during and after vibration. Stability at the endpoint was quantified as the magnitude of oscillation about the target position, calculated from the power of the tangential velocity data. Prior to vibration, subjects produced unstable, oscillating hand movements about the target location due to the applied force field. Stability increased during vibration, as evidenced by decreased oscillation in hand tangential velocity.

Six years of cytogenetic follow-up of unstable chromosome aberrations in Goiania patients

International Nuclear Information System (INIS)

Ramalho, A.T.; Curado, M.P.; Natarajan, A.T.; Cohen, J.A.

2000-01-01

Following the radiological accident which occurred in the city of Goiania (Brazil), in September of 1987, a cytogenetic follow-up of 16 exposed patients was started, aiming to observe the mean life time of lymphocytes containing dicentric and ring aberrations. The results suggest that for the highly exposed individuals (doses above 1 Gy) the disappearance rate of unstable aberrations follows a two-term exponential function. Up to 470 days after exposure, there is a rapid fall in the aberration frequency. After 470 days, the disappearance rate is very slow. These results may reflect different subpopulations of human lymphocytes, with different life spans. The estimated average half-time of elimination of dicentrics and rings among the highly exposed group (doses above 1 Gy) was 140 days for the initial period after the exposure (up to 470 days). This value is significantly shorter than the usually accepted value of 3 years reported in the literature. For the individuals who had received less than 1 Gy the disappearance of aberrations seems to have occurred in a slower way. Mean disappearance functions of unstable chromosome aberrations were inferred, to be applied in accident situations in which there is a blood sampling delay. (author)

A Versatile Route to Unstable Diazo Compounds via Oxadiazolines and their Use in Aryl-Alkyl Cross-Coupling Reactions.

Science.gov (United States)

Greb, Andreas; Poh, Jian-Siang; Greed, Stephanie; Battilocchio, Claudio; Pasau, Patrick; Blakemore, David C; Ley, Steven V

2017-12-22

Coupling of readily available boronic acids and diazo compounds has emerged recently as a powerful metal-free carbon-carbon bond forming method. However, the difficulty in forming the unstable diazo compound partner in a mild fashion has hitherto limited their general use and the scope of the transformation. Here, we report the application of oxadiazolines as precursors for the generation of an unstable family of diazo compounds using flow UV photolysis and their first use in divergent protodeboronative and oxidative C(sp 2 )-C(sp 3 ) cross-coupling processes, with excellent functional-group tolerance. © 2017 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim.

Integrated vehicle's lateral safety: the LATERAL SAFE experience

NARCIS (Netherlands)

Amditis, A.; Floudas, N.; Kaiser-Dieckhoff, U.; Hackbarth, T.; Broek, S.P. van den; Miglietta, M.; Danielson, L.; Gemou, M.; Bekiaris, E.

2008-01-01

The applications developed and the evaluation results of the EU funded automotive safety PReVENT IP subproject LATERAL SAFE are described. The data synthesis algorithms that aim at achieving a reliable representation of the objects and their kinematics, in the lateral and rear fields of the host

Complex and unstable simple elbow dislocations: a review and quantitative analysis of individual patient data

NARCIS (Netherlands)

de Haan, Jeroen; Schep, Niels; Tuinebreijer, Wim; den Hartog, Dennis

2010-01-01

The primary objective of this review of the literature with quantitative analysis of individual patient data was to identify the results of available treatments for complex elbow dislocations and unstable simple elbow dislocations. The secondary objective was to compare the results of patients with

Ambient vibrations of unstable rock slopes - insights from numerical modeling

Science.gov (United States)

Burjanek, Jan; Kleinbrod, Ulrike; Fäh, Donat

2017-04-01

The recent events in Nepal (2015 M7.8 Gorkha) and New Zealand (2016 M7.8 Kaikoura) highlighted the importance of earthquake-induced landslides, which caused significant damages. Moreover, landslide created dams present a potential developing hazard. In order to reduce the costly consequences of such events it is important to detect and characterize earthquake susceptible rock slope instabilities before an event, and to take mitigation measures. For the characterisation of instable slopes, acquisition of ambient vibrations might be a new alternative to the already existing methods. We present both observations and 3D numerical simulations of the ambient vibrations of unstable slopes. In particular, models of representative real sites have been developed based on detailed terrain mapping and used for the comparison between synthetics and observations. A finite-difference code has been adopted for the seismic wave propagation in a 3D inhomogeneous visco-elastic media with irregular free surface. It utilizes a curvilinear grid for a precise modeling of curved topography and local mesh refinement to make computational mesh finer near the free surface. Topographic site effects, controlled merely by the shape of the topography, do not explain the observed seismic response. In contrast, steeply-dipping compliant fractures have been found to play a key role in fitting observations. Notably, the synthetized response is controlled by inertial mass of the unstable rock, and by stiffness, depth and network density of the fractures. The developed models fit observed extreme amplification levels (factors of 70!) and show directionality as well. This represents a possibility to characterize slope structure and infer depth or volume of the slope instability from the ambient noise recordings in the future.

Seismic monitoring of the unstable rock slope at Aaknes, Norway

Science.gov (United States)

Roth, M.; Blikra, L. H.

2009-04-01

The unstable rock slope at Aaknes has an estimated volume of about 70 million cubic meters, and parts of the slope are moving at a rate between 2-15 cm/year. Amongst many other direct monitoring systems we have installed a small-scale seismic network (8 three-component geophones over an area of 250 x 150 meters) in order to monitor microseismic events related to the movement of the slope. The network has been operational since November 2005 with only a few short-term outages. Seismic data are transferred in real-time from the site to NORSAR for automatic detection processing. The resulting detection lists and charts and the associated waveform are forwarded immediately to the early warning centre of the Municipality of Stranda. Furthermore, we make them available after a delay of about 10-15 minutes on our public project web page (http://www.norsar.no/pc-47-48-Latest-Data.aspx). Seismic monitoring provides independent and complementary data to the more direct monitoring systems at Aaknes. We observe increased seismic activity in periods of heavy rain fall or snow melt, when laser ranging data and extensometer readings indicate temporary acceleration phases of the slope. The seismic network is too small and the velocity structure is too heterogeneous in order to obtain reliable localizations of the microseismic events. In summer 2009 we plan to install a high-sensitive broadband seismometer (60 s - 100 Hz) in the middle of the unstable slope. This will allow us to better constrain the locations of the microseismic events and to investigate potential low-frequency signals associated with the slope movement.

Closed string emission from unstable D-brane with background electric field

International Nuclear Information System (INIS)

Nagami, Kenji

2004-01-01

We study the closed string emission from an unstable Dp-brane with constant background electric field in bosonic string theory. The average total number density and the average total energy density of emitted closed strings are explicitly calculated in the presence of electric field. It is explicitly shown that the energy density in the UV region becomes finite whenever the background electric field is switched on. The energy density converted into closed strings in the presence of electric field is negligibly small compared with the D-brane tension in the weak string coupling limit. (author)

Unstable structure of ribosomal particles synthesized in. gamma. -irradiated Escherichia coli

Energy Technology Data Exchange (ETDEWEB)

Fujita, H; Morita, K [National Inst. of Radiological Sciences, Chiba (Japan)

1975-06-01

Stability of Escherichia coli ribosomes newly synthesized after ..gamma..-irradiation was compared with that of normal ribosomes. The ribosomal particles around 70-S synthesized in irradiated cells were more sensitive to digestion by pancreatic ribonuclease A. A larger number of the salt-unstable '50-S' precursor particles existed in the extract from irradiated cells than in the extract from unirradiated cells. These facts suggest that ribosomal particles, synthesized during an earlier stage in irradiated cells, maintain an incomplete structure even though they are not distinguishable from normal ribosomes by means of sucrose density-gradient centrifugation.

Unstable Periodic Orbit Analysis of Histograms of Chaotic Time Series

International Nuclear Information System (INIS)

Zoldi, S.M.

1998-01-01

Using the Lorenz equations, we have investigated whether unstable periodic orbits (UPOs) associated with a strange attractor may predict the occurrence of the robust sharp peaks in histograms of some experimental chaotic time series. Histograms with sharp peaks occur for the Lorenz parameter value r=60.0 but not for r=28.0 , and the sharp peaks for r=60.0 do not correspond to a histogram derived from any single UPO. However, we show that histograms derived from the time series of a non-Axiom-A chaotic system can be accurately predicted by an escape-time weighting of UPO histograms. copyright 1998 The American Physical Society

EFFECTS OF UNSTABLE SHOES ON ENERGY COST DURING TREADMILL WALKING AT VARIOUS SPEEDS

Directory of Open Access Journals (Sweden)

Keiji Koyama

2012-12-01

Full Text Available In recent years, shoes having rounded soles in the anterior- posterior direction have been commercially introduced, which are commonly known as unstable shoes (US. However, physiological responses during walking in US, particularly at various speeds, have not been extensively studied to date. The purpose of this study was to investigate the effect of wearing unstable shoes while walking at low to high speeds on the rate of perceived exertion (RPE, muscle activation, oxygen consumption (VO2, and optimum speed. Healthy male adults wore US or normal walking shoes (WS, and walked at various speeds on a treadmill with no inclination. In experiment 1, subjects walked at 3, 4, 5, 6, and 7 km·h-1 (duration, 3 min for all speeds and were recorded on video from the right sagittal plane to calculate the step length and cadence. Simultaneously, electromyogram (EMG was recorded from six different thigh and calf muscles, and the integrated EMG (iEMG was calculated. In experiment 2, RPE, heart rate and VO2 were measured with the walking speed being increased from 3.6 to 7.2 km·h-1 incrementally by 0.9 km·h-1 every 6 min. The optimum speed, defined by the least oxygen cost, was calculated from the fitted quadratic relationship between walking speed and oxygen cost. Wearing US resulted in significantly longer step length and lower cadence compared with WS condition at any given speed. For all speeds, iEMG in the medial gastrocnemius and soleus muscles, heart rate, and VO2 were significantly higher in US than WS. However, RPE and optimum speed (US, 4.75 ± 0.32 km·h-1; WS, 4. 79 ± 0.18 km·h-1 did not differ significantly between the two conditions. These results suggest that unstable shoes can increase muscle activity of lower legs and energy cost without influencing RPE and optimum speed during walking at various speeds

Role of platelet parameters and haematological indices in myocardial infarction and unstable angina

International Nuclear Information System (INIS)

Yaghoubi, A.; Golmohamadi, Z.; Alizadehasi, A.; Azarfarin, R.

2013-01-01

Objective: To explore the significance of platelet parameters, including mean platelet volume, platelet count and other haematological indices, in patients of acute coronary syndrome. Methods: In this one-year retrospective cross-sectional study in 2010, a total of 631 patients were enrolled at the Cardiovascular Research Institute, Tabriz University of Medical Sciences, Iran, and classified into three groups: myocardial infarction, unstable angina, and Control. Cardiovascular risk factors such as smoking, diabetes mellitus, hyperlipidaemia and hypertension status were compared. Blood samples were collected for the measurement of platelet count, mean platelet volume and other haematological indices, including prothrombin time, partial thromoplastin time, blood group and Rh, haematocrit, haemoglobin, and erythrocyte sedimentation rate. SPSS 18 was used for statistical analysis. Results: Of the total, there were 210 (33.3%; 163 men, 47 women) with myocardial infarction whose mean age was 62.7+-14.2 years; 211 (33.3%; 110 men, 101 women) had unstable angina with a mean age of 63.5+-13.1 years and 210 (33.3%; 117 men, 90 women) health controls with a mean age of 60.6+-12.8 years. The mean platelet volume values of patients in the first two groups were significantly higher than the control group (10.14 +-1.05 fL, 9.82 +- 0.93 fL and 9.34+-1.14 fL, respectively; p< 0.001). The platelet count was detected to be significantly lower in the patients than the controls (207.92+-58.40*109/L, 220.18+-65.81*109/L, 238+-56.10*109/L, respectively, p<0.001). While blood cell count was significantly higher in those with myocardial infarction compared to the unstable angina patients and control group (P<0.001). Differences in mean values of mean platelet volume between the two patient groups was not significant, but mean values of platelet count was statistically significant between these two groups (p<0.04). Conclusion: Mean platelet volume and platelet count may be considered

Effects of unstable shoes on chronic low back pain in health professionals: a randomized controlled trial.

Science.gov (United States)

Armand, Stéphane; Tavcar, Ziva; Turcot, Katia; Allet, Lara; Hoffmeyer, Pierre; Genevay, Stéphane

2014-12-01

The aim of this study was to evaluate the effectiveness of unstable shoes in reducing low back pain in health professionals. Of a volunteer sample of 144 participants, 40 with nonspecific chronic low back pain were eligible and enrolled in this study. Participants were randomized to an intervention group, who wore unstable shoes (model MBT Fora), or a control group, who wore conventional sports shoes (model Adidas Bigroar). The participants had to wear the study shoes during their work hours, and at least 6 hours per workday, over a period of 6 weeks. The primary outcome was low back pain assessed on a Visual Analog Scale. The secondary outcomes were patient satisfaction, disability evaluated using Roland-Morris questionnaire and quality of life evaluated using EQ-VAS. The intervention group showed a significant decrease in pain scores compared to the control group. The rate of satisfaction was higher in the intervention group (79%) compared to the control group (25%). There was no significant difference for the Roland-Morris disability questionnaire score and the EQ-VAS scale. The results of this clinical trial suggest that wearing unstable shoes for 6 weeks significantly decreases low back pain in patients suffering from chronic low back pain but had no significant effect on quality of life and disability scores. Copyright © 2014 Société française de rhumatologie. Published by Elsevier SAS. All rights reserved.

Response format, magnitude of laterality effects, and sex differences in laterality.

Science.gov (United States)

Voyer, Daniel; Doyle, Randi A

2012-01-01

The present study examined the evidence for the claim that response format might affect the magnitude of laterality effects by means of a meta-analysis. The analysis included the 396 effect sizes drawn from 266 studies retrieved by Voyer (1996) and relevant to the main effect of laterality and sex differences in laterality for verbal and non-verbal tasks in the auditory, tactile, and visual sensory modality. The response format used in specific studies was the only moderator variable of interest in the present analysis, resulting in four broad response categories (oral, written, computer, and pointing). A meta-analysis analogue to ANOVA showed no significant influence of response format on either the main effect of laterality or sex differences in laterality when all sensory modalities were combined. However, when modalities were considered separately, response format affected the main effect of laterality in the visual modality, with a clear advantage for written responses. Further pointed analyses revealed some specific differences among response formats. Results are discussed in terms of their implications for the measurement of laterality.

Unstable magnetic moments in Ce compounds

International Nuclear Information System (INIS)

Aarts, J.

1984-01-01

The problems which are connected with the appearance or disappearance of local moments in metals are well reflected in the magnetic behaviour of Ce intermetallic compounds. This work describes experiments on two Ce compounds which are typical examples of unstable moment systems. The first of these is CeAl 2 which at low temperatures, shows coexistence of antiferromagnetic order and the Kondo effect. Measurements are presented of the magnetization and the susceptibility in different magnetic field and temperature regions. An analysis of these measurements, using a model for the crystal field effects, shows the agreement between the measurements and the calculations to be reasonably good for CeAl 2 , but this agreement becomes worse upon decreasing Ce concentration. A phenomenological description of the observations is given. The second compound reported on is CeCu 2 Si 2 , the first 'heavy-fermion' superconductor to be investigated. The superconducting state is possibly formed by the quasi-particles of a non-magnetic many body singlet state, and not simply by the (sd) conduction electrons. This being a novel phenomenon, a number of experiments were performed to test this picture and to obtain a detailed description of the behaviour of CeCu 2 Si 2 . Measurements of the Meissner volume, confirmed the superconductivity to be intrinsic. (Auth.)

Development of an RFQ linac for unstable nuclei

International Nuclear Information System (INIS)

Arai, S.; Imanishi, A.; Morimoto, T.; Shibuya, S.; Tojyo, E.; Tokuda, N.

1990-05-01

A split coaxial RFQ (SCRFQ) is being developed for accelerating unstable nuclei with a charge-to-mass ratio larger than 1/60 from 1 to 170 keV/u in the JHP heavy-ion linac. The SCRFQ is equipped with modulated vanes to generate ideal quadrupole and accelerating fields. The fundamental problems on the SCRFQ have been clarified and solved through studies on a cold model, and the excellent accelerating performance has been confirmed by using a proton accelerating model working at 50 MHz. A 25.5-MHz prototype for the JHP SCRFQ is now under development. The prototype, 2.1 m in length and 0.9 m in diameter, will accelerate ions with a charge-to-mass ratio larger than 1/30 from 1 to 45 keV/u. Low-power tests conducted so far show that the prototype cavity has good rf characteristics. (author)

Turbulent transport of passive scalar behind line sources in an unstably stratified open channel flow

Energy Technology Data Exchange (ETDEWEB)

Liu, Chun-Ho [The Hong Kong Polytechnic University, Kowloon (Hong Kong). Department of Building and Real Estate; Leung, Dennis Y.C. [The University of Hong Kong (Hong Kong). Department of Mechanical Engineering

2006-11-15

This study employs a direct numerical simulation (DNS) technique to study the flow, turbulence structure, and passive scalar plume transport behind line sources in an unstably stratified open channel flow. The scalar transport behaviors for five emission heights (z{sub s}=0, 0.25H, 0.5H, 0.75H, and H, where H is the channel height) at a Reynolds number of 3000, a Prandtl number and a Schmidt number of 0.72, and a Richardson number of -0.2 are investigated. The vertically meandering mean plume heights and dispersion coefficients calculated by the current DNS model agree well with laboratory results and field measurements in literature. It is found that the plume meandering is due to the movement of the positive and negative vertical turbulent scalar fluxes above and below the mean plume heights, respectively. These findings help explaining the plume meandering mechanism in the unstably stratified atmospheric boundary layer. (author)

Analysis of unstable DNA sequence in FRM1 gene in Polish families with fragile X syndrome

International Nuclear Information System (INIS)

Milewski, Michal; Bal, Jerzy; Obersztyn, Ewa; Bocian, Ewa; Mazurczak, Tadeusz; Zygulska, Marta; Horst, Juergen; Deelen, Wout H.; Halley, Dicky J.J.

1996-01-01

The unstable DNA sequence in the FMR1 gene was analyzed in 85 individuals from Polish families with fragile X syndrome in order to characterize mutations responsible for the disease in Poland. In all affected individuals classified on the basis of clinical features and expression of the fragile site at X(q27.3) a large expansion of the unstable sequence (full mutation) was detected. About 5% (2 of 43) of individuals with full mutation did not express the fragile site. Among normal alleles, ranging in size from 20 to 41 CGC repeats, allele with 29 repeats was the most frequent (37%). Transmission of premutated and fully mutated alleles to the offspring was always associated with size increase. No change in repeat number was found when normal alleles were transmitted. (author). 19 refs., 4 figs, 1 tab

Using decision analysis to assess comparative clinical efficacy of surgical treatment of unstable ankle fractures.

Science.gov (United States)

Michelson, James D

2013-11-01

The development of a robust treatment algorithm for ankle fractures based on well-established stability criteria has been shown to be prognostic with respect to treatment and outcomes. In parallel with the development of improved understanding of the biomechanical rationale of ankle fracture treatment has been an increased emphasis on assessing the effectiveness of medical and surgical interventions. The purpose of this study was to investigate the use of using decision analysis in the assessment of the cost effectiveness of operative treatment of ankle fractures based on the existing clinical data in the literature. Using the data obtained from a previous structured review of the ankle fracture literature, decision analysis trees were constructed using standard software. The decision nodes for the trees were based on ankle fracture stability criteria previously published. The outcomes were assessed by calculated Quality-Adjusted Life Years (QALYs) assigned to achieving normal ankle function, developing posttraumatic arthritis, or sustaining a postoperative infection. Sensitivity analysis was undertaken by varying the patient's age, incidence of arthritis, and incidence or infection. Decision analysis trees captured the essential aspects of clinical decision making in ankle fracture treatment in a clinically useful manner. In general, stable fractures yielded better outcomes with nonoperative treatment, whereas unstable fractures had better outcomes with surgery. These were consistent results over a wide range of postoperative infection rates. Varying the age of the patient did not qualitatively change the results. Between the ages of 30 and 80 years, surgery yielded higher expected QALYs than nonoperative care for unstable fractures, and generated lower QALYs than nonoperative care for stable fractures. Using local cost estimates for operative and nonoperative treatment, the incremental cost of surgery for unstable fractures was less than $40,000 per QALY (the

Treatment of unstable distal radius fractures with Ilizarov circular, nonbridging external fixator.

Science.gov (United States)

Tyllianakis, Minos; Mylonas, Spyros; Saridis, Alkis; Kallivokas, Alkiviadis; Kouzelis, Antonis; Megas, Panagiotis

2010-03-01

Unstable distal radius fractures remain a challenge for the treating orthopaedic surgeon. We present a retrospective follow-up study (mean follow-up 12.5 months) of 20 patients with 21 unstable distal radius fractures that were reduced in a closed manner and stabilized with a nonbridging Ilizarov external fixator. Subsequent insertion of olive wires for interfragmentary compression was performed in cases with intra-articular fractures. According to the overall evaluation proposed by Gartland and Werley scoring system 12 wrists were classified as excellent, 6 as good, 2 as fair and 1 as poor. Grade II pin-tract infection in distal fracture fragment was detected in 3 wires from a total of 78 (3.8%) and in 4 half pins out of a total of 9 (44.4%). Pronation was the most frequently impaired movement. This was restricted in 4 patients (19%) in whom a radioulnar transfixing wire was applied. Symptoms of irritation of superficial sensory branch of the radial nerve occurred in 3 patients with an olive wire applied in a closed manner in the distal fragment. Ilizarov method yields functional results comparable to that of other methods whilst it avoids wrist immobilization, open reduction and reoperation for implant removal. The method is associated with a low rate of major complication and satisfactory functional outcome. Copyright 2009 Elsevier Ltd. All rights reserved.

Serum potassium values in relation to the use of diuretics in patients with unstable angina pectoris

NARCIS (Netherlands)

van Gilst, W. H.; Tijssen, J. G.; van Es, G. A.; Lubsen, J.

1988-01-01

Transient hypokalaemia may occur in acutely ill patients and is associated with an increased incidence of life-threatening arrhythmias. Therefore, we performed a retrospective analysis of the serum potassium values of 538 patients with unstable angina included in the Holland Interuniversity

Silver-Catalyzed [2+1] Cyclopropenation of Alkynes with Unstable Diazoalkanes: N-Nosylhydrazones as Room-Temperature Decomposable Diazo Surrogates.

Science.gov (United States)

Liu, Zhaohong; Li, Qiangqiang; Liao, Peiqiu; Bi, Xihe

2017-04-06

The [2+1] cycloaddition of alkynes with diazo compounds represents one of the most powerful and reliable methods for the construction of cyclopropenes. However, it remains a formidable challenge to accomplish the cyclopropenation of alkynes with non-stabilized diazoalkanes, owing to the fact that such compounds are unstable and prone to detonation. Herein, we report a general silver-catalyzed cyclopropenation reaction of alkynes with unstable diazoalkanes, by for the first time the discovery and application of N-nosylhydrazones as room-temperature decomposiable diazo surrogates. This method allows for the efficient assembly a wide variety of cyclopropene derivatives that are otherwise difficult to access by conventional methods. © 2017 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim.

Lateral dynamic flight stability of a model hoverfly in normal and inclined stroke-plane hovering

International Nuclear Information System (INIS)

Xu, Na; Sun, Mao

2014-01-01

Many insects hover with their wings beating in a horizontal plane (‘normal hovering’), while some insects, e.g., hoverflies and dragonflies, hover with inclined stroke-planes. Here, we investigate the lateral dynamic flight stability of a hovering model hoverfly. The aerodynamic derivatives are computed using the method of computational fluid dynamics, and the equations of motion are solved by the techniques of eigenvalue and eigenvector analysis. The following is shown: The flight of the insect is unstable at normal hovering (stroke-plane angle equals 0) and the instability becomes weaker as the stroke-plane angle increases; the flight becomes stable at a relatively large stroke-plane angle (larger than about 24°). As previously shown, the instability at normal hovering is due to a positive roll-moment/side-velocity derivative produced by the ‘changing-LEV-axial-velocity’ effect. When the stroke-plane angle increases, the wings bend toward the back of the body, and the ‘changing-LEV-axial-velocity’ effect decreases; in addition, another effect, called the ‘changing-relative-velocity’ effect (the ‘lateral wind’, which is due to the side motion of the insect, changes the relative velocity of its wings), becomes increasingly stronger. This causes the roll-moment/side-velocity derivative to first decrease and then become negative, resulting in the above change in stability as a function of the stroke-plane angle. (paper)

Synchronizing movements with the metronome: nonlinear error correction and unstable periodic orbits.

Science.gov (United States)

Engbert, Ralf; Krampe, Ralf Th; Kurths, Jürgen; Kliegl, Reinhold

2002-02-01

The control of human hand movements is investigated in a simple synchronization task. We propose and analyze a stochastic model based on nonlinear error correction; a mechanism which implies the existence of unstable periodic orbits. This prediction is tested in an experiment with human subjects. We find that our experimental data are in good agreement with numerical simulations of our theoretical model. These results suggest that feedback control of the human motor systems shows nonlinear behavior. Copyright 2001 Elsevier Science (USA).

Construction of an Unstable Ring-X Chromosome Bearing the Autosomal Dopa Decarboxylase Gene in Drosophila melanogaster and Analysis of Ddc Mosaics

OpenAIRE

Gailey, Donald A.; Bordne, Deborah L.; Vallés, Ana Maria; Hall, Jeffrey C.; White, Kalpana

1987-01-01

An unstable Ring-X chromosome, Ddc+- Ring-X carrying a cloned Dopa decarboxylase (Ddc) encoding segment was constructed. The construction involved a double recombination event between the unstable Ring-X, R(1)wvC and a Rod-X chromosome which contained a P-element mediated Ddc + insert. The resulting Ddc+-Ring-X chromosome behaves similarly to the parent chromosome with respect to somatic instability. The Ddc+-Ring-X chromosome was used to generate Ddc mosaics. Analyses of Ddc mosaics reveal...

Tuberculous osteomyelitis/arthritis of the first costo-clavicular joint and sternum.

Science.gov (United States)

Patel, Prasan; Gray, Robin R

2014-12-28

A young Somali immigrant presents with a two-year history of a large, firm, painful right anterolateral chest wall sternal mass. The patient denied any history of trauma or infection at the site and did not have a fever, erythematous lesion at the site, clubbing, or lymphadenopathy. A lateral chest radiograph demonstrated a low density mass isolated to the subcutaneous soft tissue overlying the sternum, ribs and clavicle. Computed tomography (CT) with contrast demonstrated a cystic lesion in the right anterolateral chest wall deep to the pectoralis muscle. Enhanced CT of the chest demonstrated sclerosis and destruction of the rib and costochondral joint and manubrio-sternal joint narrowing. Ultrasound-guided biopsy and aspiration returned 500 cc of purulent, cloudy yellow, foul-smelling fluid. Acid-fact bacilli stain and the nucleic acid amplification test identified and confirmed Mycobacterium tuberculosis. A diagnosis of tuberculous osteomyelitis/septic arthritis was made and antibiotic coverage for tuberculosis was initiated.

Treatment of unstable trochanteric fractures. Randomised comparison of the gamma nail and the proximal femoral nail.

NARCIS (Netherlands)

Schipper, I.B.; Steyerberg, E.W.; Castelein, R.M.; Heijden, F.H. van der; Hoed, P.T. den; Kerver, A.J.; Vugt, A.B. van

2004-01-01

The proximal femoral nail (PFN) is a recently introduced intramedullary system, designed to improve treatment of unstable trochanteric fractures of the hip. In a multicentre prospective clinical study, the intra-operative use, complications and outcome of treatment using the PFN (n = 211) were

A study of unstable slopes in permafrost areas : Alaskan case studies used as a training tool.

Science.gov (United States)

2011-12-01

This report is the companion to the PowerPoint presentation for the project A Study of Unstable Slopes in Permafrost: Alaskan Case Studies Used as a Training Tool. The objectives of this study are 1) to provide a comprehensive review of literat...

Avoiding unstable regions in the design space of EUV mirror systems comprising high-order aspheric surfaces

NARCIS (Netherlands)

Marinescu, O.; Bociort, F.; Braat, J.

2004-01-01

When Extreme Ultraviolet mirror systems having several high-order aspheric surfaces are optimized, the configurations often enter into highly unstable regions of the parameter space. Small changes of system parameters lead then to large changes in ray paths, and therefore optimization algorithms

Applicability of Pulse Pressure Variation during Unstable Hemodynamic Events in the Intensive Care Unit: A Five-Day Prospective Multicenter Study

Directory of Open Access Journals (Sweden)

Bertrand Delannoy

2016-01-01

Full Text Available Pulse pressure variation can predict fluid responsiveness in strict applicability conditions. The purpose of this study was to describe the clinical applicability of pulse pressure variation during episodes of patient hemodynamic instability in the intensive care unit. We conducted a five-day, seven-center prospective study that included patients presenting with an unstable hemodynamic event. The six predefined inclusion criteria for pulse pressure variation applicability were as follows: mechanical ventilation, tidal volume >7 mL/kg, sinus rhythm, no spontaneous breath, heart rate/respiratory rate ratio >3.6, absence of right ventricular dysfunction, or severe valvulopathy. Seventy-three patients presented at least one unstable hemodynamic event, with a total of 163 unstable hemodynamic events. The six predefined criteria for the applicability of pulse pressure variation were completely present in only 7% of these. This data indicates that PPV should only be used alongside a strong understanding of the relevant physiology and applicability criteria. Although these exclusion criteria appear to be profound, they likely represent an absolute contraindication of use for only a minority of critical care patients.

Evaluation of the contamination by stable and unstable isotopes in the coastal zones associated to hydrographic basins of Costa Rica

International Nuclear Information System (INIS)

Loria Meneses, Luis Guillermo; Lizano Rodriguez, Omar G.; Salazar Matarrita, Alfonso; Jimenez Dam, Ricardo

2003-01-01

The degree of contamination by the stable and unstable isotopes concentration in sediments of beaches of Costa Rica is evaluated. It establishes relations between the trace elements in sediments from beaches not associated to hydrographic basins and associated sediments to basins. The totality of sediments coming of beaches were analyzed by the technique of gamma spectroscopy and x-rays spectroscopy. It was determined that the beaches associated to bays and gulfs present greater concentrations as for the presence of radioactive isotopes. In addition, the existing concentrations for unstable isotopes present low values in the zones of open sea; whereas the values of radiation background in beaches and gulfs allow, to future, to detect if is presenting anthropogenic contamination of origin in that type of isotopes or could be a greater presence of these. The obtained results show that the values of radiation of background in beaches were unknown, as well as the unstable isotopes concentration. Also was found the presence of Cs 137, which comes normally from nuclear blasts. The work already includes two published documents [es

Retrospective dosimetry using Japanese brick quartz: A way forward despite an unstable fast decaying OSL signal

DEFF Research Database (Denmark)

Fujita, Hiroki; Jain, Mayank; Murray, A.S.

2011-01-01

signals has been carried out towards identification of common source traps. It is observed that OSL from Japanese brick quartz shows unusual luminescence characteristics; in particular, the initial fast decaying OSL signal contains a dominant (>90%) thermally unstable component related to the 85 °C TL...... peak, which necessitates a prior heat treatment. A single-aliquot regenerative-dose (SAR) protocol is developed and tested using thermal treatments intended to isolate a stable dosimetric signal. A minimum detection limit of 65 mGy is then estimated using this protocol. Following irradiation using 60Co...... of Japanese brick quartz examined here can be used to derive precise estimates of accident dose, and, possibly to distinguish between sources of gamma radiation in a nuclear accident. To our knowledge, this is the first report on the existence of an unstable fast decaying OSL signal in quartz derived from...

Small Enterprise Strategies in an Unstable Public Environment

Directory of Open Access Journals (Sweden)

Daryl D. Green

2016-04-01

Full Text Available Many small business owners in the United States dream about getting a large contract with the federal government, feeling that their lives would be easier if they did. Ironically, there have been numerous occasions where small businesses have gone out of business after being overwhelmed by a government contract. This case study addresses how small businesses can improve their survival and success rate in the public sector with a strategic approach to their operations. It begins by discussing the preparation that goes into federal contracting by small businesses. Case examples of four American companies involved in contracting with the Department of Energy are evaluated. Data collection is achieved through qualitative analysis. The application of these conclusions could increase the survival rate of small businesses operating in an unstable public environment. The study is significant because this research widens contemporary assumptions about strategic thinking for small businesses engaged in government contracting.

Unstable propagation of a Gaussian laser beam in a plasma waveguide

International Nuclear Information System (INIS)

Feit, M.D.; Maiden, D.E.

1976-01-01

Laser heating of long magnetically confined plasma columns to fusion temperatures requires propagation of a trapped laser beam over considerable distances. The present paper employs the parabolic approximation to the wave equation to analyze the propagation of a Gaussian beam through a plasma with a parabolic transverse density profile. Although propagation is stable in the axially uniform case, exhibiting alternate focusing and defocusing of the beam, it is unstable to small axial perturbations of certain wavelengths. In particular, an exponentially growing beam radius results from perturbations at wavelengths near that associated with the alternate focusing and defocusing mentioned above

Some cases of terrain unstability from the Dolenjska karst area

Directory of Open Access Journals (Sweden)

Magda Čarman

2010-12-01

Full Text Available The paper presents some cases of terrain unstability from the Dolenjska karst area formed in the last yearsaround Žužemberk and Dolenjske Toplice. The Dolenjska karst has its own characteristic way of development. Themain features are thick soil top, mainly composed of clay, and high and strongly fluctuating water table. Presentedare a landslide, two rockfalls and a sinkhole collapse. A landslide nearby Žužemberk was initiated in soil top. Bothrockfalls appeared in tectonically highly disturbed carbonate rocks along the Žužemberk fault. The sinkhole collapsein the area around Dolenjske Toplice developed in tectonically damaged rocks inside the Dolenjska - Notranjskahorst and during a period of heavy rain.

The role of imaging in the choice of correct treatment of unstable thoraco-lumbar fractures

International Nuclear Information System (INIS)

Valentini, Maria Consuelo; Busch, Rolf; Ferraris, Maria Maddalena; Venturi, Fabrizio

2006-01-01

The concept of unstable burst fracture has been discussed since over 50 years and this injury has received much attention in the literature as regards its radiological diagnosis and clinical treatment. The purpose of this article is to review the way we use imaging to diagnose the injury and to guide treatment

Integrated vehicle’s lateral safety: the LATERAL SAFE experience

NARCIS (Netherlands)

Amditis, A.; Floudas, N.; Kaiser-Dieckhoff, U.; Hackbarth, T.; Broek, S.P. van den; Miglietta, M.; Danielson, L.; Gemou, M.; Bekiaris, E.

2008-01-01

The applications developed and the evaluation results of the EU funded automotive safety PReVENT IP subproject LATERAL SAFE are described. The data synthesis algorithms that aim at achieving a reliable representation of the objects and their kinematics, in the lateral and rear fields of the host

Search for Unstable Heavy and Excited Leptons in $e^+ e^-$ Collisions at $\\sqrt{s}$ = 170-172 GeV

CERN Document Server

Ackerstaff, K; Allison, J; Altekamp, N; Anderson, K J; Anderson, S; Arcelli, S; Asai, S; Axen, D A; Azuelos, Georges; Ball, A H; Barberio, E; Barlow, R J; Bartoldus, R; Batley, J Richard; Baumann, S; Bechtluft, J; Beeston, C; Behnke, T; Bell, A N; Bell, K W; Bella, G; Bentvelsen, Stanislaus Cornelius Maria; Bethke, Siegfried; Biebel, O; Biguzzi, A; Bird, S D; Blobel, Volker; Bloodworth, Ian J; Bloomer, J E; Bobinski, M; Bock, P; Bonacorsi, D; Boutemeur, M; Bouwens, B T; Braibant, S; Brigliadori, L; Brown, R M; Burckhart, Helfried J; Burgard, C; Bürgin, R; Capiluppi, P; Carnegie, R K; Carter, A A; Carter, J R; Chang, C Y; Charlton, D G; Chrisman, D; Clarke, P E L; Cohen, I; Conboy, J E; Cooke, O C; Cuffiani, M; Dado, S; Dallapiccola, C; Dallavalle, G M; Davis, R; De Jong, S; del Pozo, L A; Desch, Klaus; Dienes, B; Dixit, M S; do Couto e Silva, E; Doucet, M; Duchovni, E; Duckeck, G; Duerdoth, I P; Eatough, D; Edwards, J E G; Estabrooks, P G; Evans, H G; Evans, M; Fabbri, Franco Luigi; Fanti, M; Faust, A A; Fiedler, F; Fierro, M; Fischer, H M; Fleck, I; Folman, R; Fong, D G; Foucher, M; Fürtjes, A; Futyan, D I; Gagnon, P; Gary, J W; Gascon, J; Gascon-Shotkin, S M; Geddes, N I; Geich-Gimbel, C; Geralis, T; Giacomelli, G; Giacomelli, P; Giacomelli, R; Gibson, V; Gibson, W R; Gingrich, D M; Glenzinski, D A; Goldberg, J; Goodrick, M J; Gorn, W; Grandi, C; Gross, E; Grunhaus, Jacob; Gruwé, M; Hajdu, C; Hanson, G G; Hansroul, M; Hapke, M; Hargrove, C K; Hart, P A; Hartmann, C; Hauschild, M; Hawkes, C M; Hawkings, R; Hemingway, Richard J; Herndon, M; Herten, G; Heuer, R D; Hildreth, M D; Hill, J C; Hillier, S J; Hobson, P R; Homer, R James; Honma, A K; Horváth, D; Hossain, K R; Howard, R; Hüntemeyer, P; Hutchcroft, D E; Igo-Kemenes, P; Imrie, D C; Ingram, M R; Ishii, K; Jawahery, A; Jeffreys, P W; Jeremie, H; Jimack, Martin Paul; Joly, A; Jones, C R; Jones, G; Jones, M; Jost, U; Jovanovic, P; Junk, T R; Karlen, D A; Kartvelishvili, V G; Kawagoe, K; Kawamoto, T; Kayal, P I; Keeler, Richard K; Kellogg, R G; Kennedy, B W; Kirk, J; Klier, A; Kluth, S; Kobayashi, T; Kobel, M; Koetke, D S; Kokott, T P; Kolrep, M; Komamiya, S; Kress, T; Krieger, P; Von Krogh, J; Kyberd, P; Lafferty, G D; Lahmann, R; Lai, W P; Lanske, D; Lauber, J; Lautenschlager, S R; Layter, J G; Lazic, D; Lee, A M; Lefebvre, E; Lellouch, Daniel; Letts, J; Levinson, L; Lloyd, S L; Loebinger, F K; Long, G D; Losty, Michael J; Ludwig, J; Macchiolo, A; MacPherson, A L; Mannelli, M; Marcellini, S; Markus, C; Martin, A J; Martin, J P; Martínez, G; Mashimo, T; Mättig, P; McDonald, W J; McKenna, J A; McKigney, E A; McMahon, T J; McPherson, R A; Meijers, F; Menke, S; Merritt, F S; Mes, H; Meyer, J; Michelini, Aldo; Mikenberg, G; Miller, D J; Mincer, A; Mir, R; Mohr, W; Montanari, A; Mori, T; Morii, M; Müller, U; Mihara, S; Nagai, K; Nakamura, I; Neal, H A; Nellen, B; Nisius, R; O'Neale, S W; Oakham, F G; Odorici, F; Ögren, H O; Oh, A; Oldershaw, N J; Oreglia, M J; Orito, S; Pálinkás, J; Pásztor, G; Pater, J R; Patrick, G N; Patt, J; Pearce, M J; Pérez-Ochoa, R; Petzold, S; Pfeifenschneider, P; Pilcher, J E; Pinfold, J L; Plane, D E; Poffenberger, P R; Poli, B; Posthaus, A; Rees, D L; Rigby, D; Robertson, S; Robins, S A; Rodning, N L; Roney, J M; Rooke, A M; Ros, E; Rossi, A M; Routenburg, P; Rozen, Y; Runge, K; Runólfsson, O; Ruppel, U; Rust, D R; Rylko, R; Sachs, K; Saeki, T; Sarkisyan-Grinbaum, E; Sbarra, C; Schaile, A D; Schaile, O; Scharf, F; Scharff-Hansen, P; Schenk, P; Schieck, J; Schleper, P; Schmitt, B; Schmitt, S; Schöning, A; Schröder, M; Schultz-Coulon, H C; Schumacher, M; Schwick, C; Scott, W G; Shears, T G; Shen, B C; Shepherd-Themistocleous, C H; Sherwood, P; Siroli, G P; Sittler, A; Skillman, A; Skuja, A; Smith, A M; Snow, G A; Sobie, Randall J; Söldner-Rembold, S; Springer, R W; Sproston, M; Stephens, K; Steuerer, J; Stockhausen, B; Stoll, K; Strom, D; Szymanski, P; Tafirout, R; Talbot, S D; Tanaka, S; Taras, P; Tarem, S; Teuscher, R; Thiergen, M; Thomson, M A; Von Törne, E; Towers, S; Trigger, I; Trócsányi, Z L; Tsur, E; Turcot, A S; Turner-Watson, M F; Utzat, P; Van Kooten, R; Verzocchi, M; Vikas, P; Vokurka, E H; Voss, H; Wäckerle, F; Wagner, A; Ward, C P; Ward, D R; Watkins, P M; Watson, A T; Watson, N K; Wells, P S; Wermes, N; White, J S; Wilkens, B; Wilson, G W; Wilson, J A; Wolf, G; Wyatt, T R; Yamashita, S; Yekutieli, G; Zacek, V; Zer-Zion, D

1998-01-01

We have searched for unstable neutral and charged heavy leptons, N and L^+/-, and for excited states of neutral and charged leptons, nu*, e*, mu* and tau*, in e^+e^- collisions at centre-of-mass energies of 170 and 172 GeV using the OPAL detector at LEP. No evidence for their existence was found. From the analysis of charged-current decays of pair-produced unstable heavy leptons, and of charged-current and photonic decays of pair-produced excited leptons, lower limits on their masses are derived. From the analysis of charged-current and photonic decays of singly-produced excited leptons, upper limits on the ratio of the coupling to the compositeness scale, f/Lambda, are determined for masses up to the kinematic limit.

Is 'bosonic matter' unstable in 2D?

CERN Document Server

Manoukian, E B

2003-01-01

An upper bound is derived for the exact ground-state energy in 2D, E sub N <= -(me sup 4 /2 h-bar sup 2)(N sup 3 sup / sup 2 /50 pi sup 2), of 'bosonic matter' consisting of N positive and N negative charges with Coulombic interactions. This is to be compared with the classic N sup 7 sup / sup 5 3D-law of Dyson and gives rise to a more 'violent' collapse of such matter in 2D for large N. The derivation is based on a rigorous analysis which, in the process, controls the negative part of the Hamiltonian over its positive kinetic energy part and detailed estimates needed for counting trial wavefunctions of arbitrary states. A formal dimensional analysis in the style of Dyson alone shows, in arbitrary dimensions of space d = 1, 2, ..., that E sub N approx = -(me sup 4 /2 h-bar sup 2)C sub d N suprho, rho = (d + 4)/(d + 2), where C sub d is a positive constant depending on d, consistent with our rigorous bound, and we are led to conjecture that 'bosonic matter' is unstable in all dimensions.

Endotracheal Intubation in Patients with Unstable Cervical Spine Using LMA-Fastrach and Gum Elastic Bogie

International Nuclear Information System (INIS)

Khan, M. U.

2014-01-01

Objective: To evaluate the success of alternative technique of ET- intubation in patients with unstable cervical spine with Philadelphia collar around the neck. Study Design: Case series. Place and Duration of Study: The Department of Anaesthesia, College of Medicine, King Saud University, Riyadh, Saudi Arabia, from June 2009 to June 2012. Methodology: Adult patients of either gender with unstable cervical spine wearing Philadelphia collar electively scheduled for cervical spine decompression and fixation more than one level were included. Those with anticipated difficult intubation, mouth opening 27 kg/m2 were excluded. After induction of anaesthesia FT-LMA was inserted. Correct position of FT-LMA was confirmed then soft straight end of gum elastic bogie was passed through FTLMA into trachea. FT-ILMA was removed on bogie. Reinforced silicon ET- tube was rail road on bogie. The bogie was pulled out and position of ET- tube was confirmed with ETCO2, chest movement and auscultation on bag ventilation. The ease of insertion of FT-LMA, ET- intubation and maximum time taken for successful intubation was noted. Results: 26 patients were studied with mean age of 59.3 A +- 2.93 years and M: F ratio of 7:3. The mean time taken from the insertion of gum elastic bogie to the ET intubation was 38.9 A +- 1.20 seconds. The success rate of ET- intubation in the first attempt was 88.4% and 7.6% in two attempts. Intubation failed in one patient. The mean ease of insertion of FT-LMA and ET- intubation in all patients was 46.7 A +- 2.59 and 46.5 A +- 2.66 respectively on VAS ( 0-100). No complication was noted in any patient. Conclusion: This technique is safe and reliable for achieving adequate ventilation and intubation in patients with unstable cervical spine with Philadelphia collar in place. (author)

Numerical detection of unstable periodic orbits in continuous-time dynamical systems with chaotic behaviors

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Y. Saiki

2007-09-01

Full Text Available An infinite number of unstable periodic orbits (UPOs are embedded in a chaotic system which models some complex phenomenon. Several algorithms which extract UPOs numerically from continuous-time chaotic systems have been proposed. In this article the damped Newton-Raphson-Mees algorithm is reviewed, and some important techniques and remarks concerning the practical numerical computations are exemplified by employing the Lorenz system.

Is the timing of surgery associated with avascular necrosis after unstable slipped capital femoral epiphysis? A multicenter study.

Science.gov (United States)

Kohno, Yusuke; Nakashima, Yasuharu; Kitano, Toshio; Irie, Taichi; Kita, Atsushi; Nakamura, Tomoyuki; Endo, Hirosuke; Fujii, Yosuke; Kuroda, Takayuki; Mitani, Shigeru; Kitoh, Hiroshi; Matsushita, Masaki; Hattori, Tadashi; Iwata, Koji; Iwamoto, Yukihide

2017-01-01

An unstable slipped capital femoral epiphysis (SCFE) is associated with a high rate of avascular necrosis (AVN). The etiology of AVN seems to be multifactorial, although it is not thoroughly known. The aims of our study were to determine the rate of AVN after an unstable SCFE and to investigate the risk factors for AVN, specifically evaluating the notion of an "unsafe window", during which medical interventions would increase the risk for AVN. This retrospective multicenter study included 60 patients with an unstable SCFE diagnosed between 1985 and 2014. Timing of surgery was evaluated for three time periods, from acute onset of symptoms to surgery: period I, 7 days. Multivariate logistic regression analysis was used to identify risk factors for AVN. Closed reduction and pinning was performed in 43 patients and in situ pinning in 17. Among these cases, 16 patients (27%) developed AVN. The rate of AVN was significantly higher in patients treated by closed reduction and pinning (15/43, 35%) than in those treated by in situ pinning (1/17, 5.9%) (p = 0.022). In patients treated by closed reduction and pinning, the incidence of AVN was 2/11 (18%) in period I, 10/13 (77%) in period II and 3/15 (20%) in period III, showing the significantly higher rate in period II (p = 0.002). The surgery provided in period II was identified as an independent risk factor for the development of AVN. Our rate of AVN was 27% using two classical treatment methods. Time-to-surgery, between 24 h and 7 days, was independently associated with AVN, supporting the possible existence of an "unsafe window" in patients with unstable SCFE treated by closed reduction and pinning. Copyright © 2016 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved.

Tuberculosis of the sternum and clavicle: imaging findings in 15 patients

International Nuclear Information System (INIS)

Shah, J.; Patkar, D.; Parikh, B.; Parmar, H.; Varma, R.; Patankar, T.; Prasad, S.

2000-01-01

Objective. To describe the imaging findings in sterno-clavicular tubercular involvement.Design and patients. Fifteen patients with pathologically proven tuberculosis of the sternum and clavicle were retrospectively evaluated. Routine radiography, computed tomography (CT) and magnetic resonance imaging (MRI) were used in some or all of the patients. Clinical information and imaging features were evaluated in each case.Results. Eight patients had sterno-clavicular joint (SCJ) involvement, five had isolated sternal involvement and two had isolated clavicular involvement. Seven patients were evaluated with only CT, six with only MRI and two with both. There were eight male and seven female patients, varying in age between 16 and 78 years. Fever, swelling and pain were common presenting symptoms. Two patients were HIV positive. Radiographs were positive in only eight patients. Destruction and signal intensity (SI) changes of the sternum and clavicle, destruction of the cartilage, soft tissue changes representing granulation tissue/abscess, displacement of the adjacent structures (vessels, trachea, etc.) and inflammatory changes in the adjacent structures in the form of cellulitis and myositis were common imaging features.Conclusions. All imaging methods can provide complementary information regarding sterno-clavicular tubercular involvement that is helpful for determination of the therapy. MRI is useful in determining the extent of the lesion, particularly marrow involvement and soft tissue extent. (orig.)

Tuberculosis of the sternum and clavicle: imaging findings in 15 patients

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Shah, J.; Patkar, D.; Parikh, B. [Dept. of Radiology, Nanavati Hospital, Mumbai (India); Parmar, H.; Varma, R.; Patankar, T.; Prasad, S. [Department of Radiology, King Edward VII Memorial Hospital, Mumbai (India)

2000-08-01

Objective. To describe the imaging findings in sterno-clavicular tubercular involvement.Design and patients. Fifteen patients with pathologically proven tuberculosis of the sternum and clavicle were retrospectively evaluated. Routine radiography, computed tomography (CT) and magnetic resonance imaging (MRI) were used in some or all of the patients. Clinical information and imaging features were evaluated in each case.Results. Eight patients had sterno-clavicular joint (SCJ) involvement, five had isolated sternal involvement and two had isolated clavicular involvement. Seven patients were evaluated with only CT, six with only MRI and two with both. There were eight male and seven female patients, varying in age between 16 and 78 years. Fever, swelling and pain were common presenting symptoms. Two patients were HIV positive. Radiographs were positive in only eight patients. Destruction and signal intensity (SI) changes of the sternum and clavicle, destruction of the cartilage, soft tissue changes representing granulation tissue/abscess, displacement of the adjacent structures (vessels, trachea, etc.) and inflammatory changes in the adjacent structures in the form of cellulitis and myositis were common imaging features.Conclusions. All imaging methods can provide complementary information regarding sterno-clavicular tubercular involvement that is helpful for determination of the therapy. MRI is useful in determining the extent of the lesion, particularly marrow involvement and soft tissue extent. (orig.)

Modified Firefly Algorithm based controller design for integrating and unstable delay processes

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A. Gupta

2016-03-01

Full Text Available In this paper, Modified Firefly Algorithm has been used for optimizing the controller parameters of Smith predictor structure. The proposed algorithm modifies the position formula of the standard Firefly Algorithm in order to achieve faster convergence rate. Performance criteria Integral Square Error (ISE is optimized using this optimization technique. Simulation results show high performance for Modified Firefly Algorithm as compared to conventional Firefly Algorithm in terms of convergence rate. Integrating and unstable delay processes are taken as examples to indicate the performance of the proposed method.

Risk factors for unstable blood glucose level: integrative review of the risk factors related to the nursing diagnosis

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Andressa Magalhães Teixeira

Full Text Available ABSTRACT Objective: to identify evidence in the literature on the possible risk factors for the risk of unstable blood glucose diagnosis in individuals with type 2 diabetes mellitus, and to compare them with the risk factors described by NANDA International. Method: an integrative literature review guided by the question: what are the risk factors for unstable blood glucose level in people with type 2 diabetes mellitus? Primary studies were included whose outcomes were variations in glycemic levels, published in English, Portuguese or Spanish, in PubMed or CINAHL between 2010 and 2015. Results: altered levels of glycated hemoglobin, body mass index>31 kg/m2, previous history of hypoglycemia, cognitive deficit/dementia, autonomic cardiovascular neuropathy, comorbidities and weight loss corresponded to risk factors described in NANDA International. Other risk factors identified were: advanced age, black skin color, longer length of diabetes diagnosis, daytime sleepiness, macroalbuminuria, genetic polymorphisms, insulin therapy, use of oral antidiabetics, and use of metoclopramide, inadequate physical activity and low fasting glycemia. Conclusions: risk factors for the diagnosis, risk for unstable blood glucose level, for persons with type 2 diabetes mellitus were identified, and 42% of them corresponded to those of NANDA International. These findings may contribute to the practice of clinical nurses in preventing the deleterious effects of glycemic variation.

Computer Cataloging of Electronic Journals in Unstable Aggregator Databases: The Hong Kong Baptist University Library Experience.

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Li, Yiu-On; Leung, Shirley W.

2001-01-01

Discussion of aggregator databases focuses on a project at the Hong Kong Baptist University library to integrate full-text electronic journal titles from three unstable aggregator databases into its online public access catalog (OPAC). Explains the development of the electronic journal computer program (EJCOP) to generate MARC records for…

Photo-neutron cross sections for unstable neutron-rich oxygen isotopes

International Nuclear Information System (INIS)

Leistenschneider, A.; Aumann, T.; Boretzky, K.

2001-05-01

The dipole response of stable and unstable neutron-rich oxygen nuclei of masses A = 17 to A = 22 has been investigated experimentally utilizing electromagnetic excitation in heavy-ion collisions at beam energies around 600 MeV/nucleon. A kinematically complete measurement of the neutron decay channel in inelastic scattering of the secondary beam projectiles from a Pb target was performed. Differential electromagnetic excitation cross sections dσ/dE were derived up to 30 MeV excitation energy. In contrast to stable nuclei, the deduced dipole strength distribution appears to be strongly fragmented and systematically exhibits a considerable fraction of low-lying strength, exhausting up to 12% of the energy-weighted dipole sum rule at excitation energies below 15 MeV. (orig.)

PRIMARY CEMENTED BIPOLAR HEMIARTHROPLASTY WITH TROCHANTERIC AND CALCAR RECONSTRUCTION IN UNSTABLE INTERTROCHANTERIC FRACTURES IN ELDERLY: A PROSPECTIVE STUDY

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Pandu Ranga Vital

2015-09-01

Full Text Available INTRODUCTION : To avoid the complications and morbidity associated with attempted Osteosynthesis of the so called Unstable inter - trochanteric fractures in the elderly population, Primary Cemented Bipolar hemiarthroplasty been around for over three decades now. But, hardly any emphasis been given over the technical aspects to i mprove the functional outcome. Present study is one such, following reconstructive attempts ( O f primary cemented bipolar hemiarthroplasty with trochanter and calcar reconstruction in the elderly population to reduce the risk of unstable Hemiarthroplasty. MATERIALS AND METHODS: This prospective study included 20 cases of elderly patients with mean age of 73.5 years (Age range 66 to 82 yr who sustained multifragmentary/communited inter - trochanteric femur fracture treated with Primary cemented bipolar hemiar throplasty with trochanteric and calcar reconstruction to emphasize the importance of restoration soft tissue tension to reduce the risk of unstable Hemiarthroplasty. Essential Technical steps include Figure of eight / multiple wire loop technique of recons truction ( with or without K ‘wires of greater trochanter/ abductor mechanism and calcar reconstruction either by wiring Lesser trochanteric fragment and or insertion of cortical piece of bone graft (medially under the collar of the prosthesis harvested f rom head and neck fragment. The patients were followed up at six week, three month, six month and one year postoperatively and assessed using Harris Hip Score (HHS. RESULTS: The mean HHS score was 85 (range 69 to 91 at the end of one year. The main clini cal measures were early post - operative full weight bearing, post - operative complication & functional outcome. The time to full weight bearing, the rate of post - operative complications & functional outcome was significantly better in cemented bipolar arthro plasty group. CONCLUSION: The authors strongly believe that primary cemented bipolar

Malaria infection has spatial, temporal, and spatiotemporal heterogeneity in unstable malaria transmission areas in northwest Ethiopia.

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Kassahun Alemu

Full Text Available BACKGROUND: Malaria elimination requires successful nationwide control efforts. Detecting the spatiotemporal distribution and mapping high-risk areas are useful to effectively target pockets of malaria endemic regions for interventions. OBJECTIVE: The aim of the study was to identify patterns of malaria distribution by space and time in unstable malaria transmission areas in northwest Ethiopia. METHODS: Data were retrieved from the monthly reports stored in the district malaria offices for the period between 2003 and 2012. Eighteen districts in the highland and fringe malaria areas were included and geo-coded for the purpose of this study. The spatial data were created in ArcGIS10 for each district. The Poisson model was used by applying Kulldorff methods using the SaTScan™ software to analyze the purely temporal, spatial and space-time clusters of malaria at a district levels. RESULTS: The study revealed that malaria case distribution has spatial, temporal, and spatiotemporal heterogeneity in unstable transmission areas. Most likely spatial malaria clusters were detected at Dera, Fogera, Farta, Libokemkem and Misrak Este districts (LLR =197764.1, p<0.001. Significant spatiotemporal malaria clusters were detected at Dera, Fogera, Farta, Libokemkem and Misrak Este districts (LLR=197764.1, p<0.001 between 2003/1/1 and 2012/12/31. A temporal scan statistics identified two high risk periods from 2009/1/1 to 2010/12/31 (LLR=72490.5, p<0.001 and from 2003/1/1 to 2005/12/31 (LLR=26988.7, p<0.001. CONCLUSION: In unstable malaria transmission areas, detecting and considering the spatiotemporal heterogeneity would be useful to strengthen malaria control efforts and ultimately achieve elimination.

Effect of PCI on inflammatory factors, cTnI, MMP-9 and NT-pro BNP in patients with unstable angina pectoris

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Ke-Tong Liu

2016-05-01

Full Text Available Objective: To investigate the effect of PCI on inflammatory factors, cTnI, MMP-9and NTpro BNP in patients with unstable angina pectoris. Methods: A total of 80 unstable angina pectoris patients were divided into observation group (40 cases and control group (40 cases. The observation group was given the therapy of PCI, and the control group was given coronary angiography. To observe the of inflammatory factors, cTnI, MMP-9 and NT-pro BNP were tested and compared before and after operation. Results: At 24 h after operation, CRP and IL-18 levels were increased significantly after treatment inoperation groups, there was no difference on inflammatory factors in control group, and had significant difference on inflammatory factors in two groups; At 24 h after operation, cTnI, MMP-9 and NT-pro BNP levels were increased significantly after treatment inoperation groups, there was no difference on inflammatory factors in control group, and had significant difference on inflammatory factors in two groups. Conclusion: PCI therapy can induce inflammation and myocardial injury in patients with unstable angina pectoris.

Adenosine stress and exercise 99Tcm-MIBI myocardial perfusion imaging in the diagnosis and risk stratification of patients with unstable angina

International Nuclear Information System (INIS)

Jia Peng; Guo Wanhua; Xu Shoulin; Feng Xuefeng

2008-01-01

Objective: The aim of this study was to evaluate the clinical value of adenosine stress or exercise 99 Tc m -methoxyisobutylisonitrile (MIBI) myocardial perfusion imaging in the diagnosis and risk stratification of patients with unstable angina. Methods: Eighty-seven hospitalized patients with unstable angina [54 men and 33 women, aged of (56.5±12.5) years] underwent adenosine stress or exercise myocardial perfusion imaging and coronary angiography. Patients were followed up. Results: Fifty-seven patients had abnormal myocardial perfusion imaging and significant coronary artery stenosis. Ten patients had abnormal myocardial perfusion imaging but normal coronary angiography. Eight patients had normal myocardial perfusion imaging but significant coronary artery stenosis. Twelve patients had normal myocardial perfusion imaging and normal coronary angiography. Patients with abnormal myocardial perfusion imaging had worse prognosis. There was relationship between cardiac events and the extent and severity of myocardial ischemia. Conclusion: Adenosine stress and exercise myocardial perfusion imaging is of important clinical value in the diagnosis and risk stratification of patients with unstable angina. (authors)

[Long-term efficacy of open reduction and internal fixation versus external fixation for unstable distal radius fractures: a meta-analysis].

Science.gov (United States)

Yang, Z; Yuan, Z Z; Ma, J X; Ma, X L

2017-11-07

Objective: To make a systematic assessment of the Long-term efficacy of open reduction and internal fixation versus external fixation for unstable distal radius fractures. Methods: A computer-based online search of PubMed, ScienceDirect, EMBASE, BIOSIS, Springer and Cochrane Library were performed. The randomized and controlled trials of open reduction and internal fixation versus external fixation for unstable distal radius fractures were collected. The included trials were screened out strictly based on the criterion of inclusion and exclusion. The quality of included trials was evaluated. RevMan 5.0 was used for data analysis. Results: Sixteen studies involving 1 268 patients were included. There were 618 patients with open reduction and internal fixation and 650 with external fixation. The results of meta-analysis indicated that there were statistically significant differences with regard to the complications postoperatively (infection( I (2)=0%, RR =0.27, 95% CI 0.16-0.45, Z =4.92, P internal fixation and external fixation are effective treatment for unstable distal radius fractures. Compared with external fixation, open reduction and internal fixation provides reduced complications postoperatively, lower DASH scores and better restoration of volar tilt for treatment of distal radius fractures.

[Brain lateralization and seizure semiology: ictal clinical lateralizing signs].

Science.gov (United States)

Horváth, Réka; Kalmár, Zsuzsanna; Fehér, Nóra; Fogarasi, András; Gyimesi, Csilla; Janszky, József

2008-07-30

Clinical lateralizing signs are the phenomena which can unequivocally refer to the hemispheric onset of epileptic seizures. They can improve the localization of epileptogenic zone during presurgical evaluation, moreover, their presence can predict a success of surgical treatment. Primary sensory phenomena such as visual aura in one half of the field of vision or unilateral ictal somatosensory sensation always appear on the contralateral to the focus. Periictal unilateral headache, although it is an infrequent symptom, is usually an ipsilateral sign. Primary motor phenomena like epileptic clonic, tonic movements, the version of head ubiquitously appear contralateral to the epileptogenic zone. Very useful lateralization sign is the ictal hand-dystonia which lateralizes to the contralateral hemisphere in nearly 100%. The last clonus of the secondarily generalized tonic-clonic seizure lateralizes to the ipsilateral hemisphere in 85%. The fast component of ictal nystagmus appears in nearly 100% on the contralateral side of the epileptic focus. Vegetative symptoms during seizures arising from temporal lobe such as spitting, nausea, vomiting, urinary urge are typical for seizures originating from non-dominant (right) hemisphere. Ictal pallor and cold shivers are dominant hemispheric lateralization signs. Postictal unilateral nose wiping refers to the ipsilateral hemispheric focus compared to the wiping hand. Ictal or postictal aphasia refers to seizure arising from dominant hemisphere. Intelligable speech during complex partial seizures appears in non-dominant seizures. Automatism with preserved consciousness refers to the seizures of non-dominant temporal lobe.

Nonlinearity from quantum mechanics: Dynamically unstable Bose-Einstein condensate in a double-well trap

International Nuclear Information System (INIS)

Javanainen, Juha

2010-01-01

We study theoretically an atomic Bose-Einstein condensate in a double-well trap, both quantum-mechanically and classically, under conditions such that in the classical model an unstable equilibrium dissolves into large-scale oscillations of the atoms between the potential wells. Quantum mechanics alone does not exhibit such nonlinear dynamics, but measurements of the atom numbers in the potential wells may nevertheless cause the condensate to behave essentially classically.

Laterality and Lateralization in Autism Spectrum Disorder, Using a Standardized Neuro-Psychomotor Assessment.

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Paquet, A; Golse, B; Girard, M; Olliac, B; Vaivre-Douret, L

2017-01-01

A detailed assessment of laterality in children with Autism Spectrum Disorder (ASD) was realized, including handedness and other measures (muscle tone, manual performance, dominant eye), using a standardized battery for the developmental assessment of neuro-psychomotor functions. The results of the laterality tests relating to cerebral hemisphere organization (spontaneous gestural laterality and tonic laterality) were different in ASD children, and indicate that the cerebral organization could be disrupted. These assessments, added to the observations of usual laterality most often reported in the literature, provide better understanding of the developmental organization from the pathophysiological point of view in children with ASD.

Induced singularities of mass distributions of unstable particles connected with cascade decay and the CP-problem

International Nuclear Information System (INIS)

Khalfin, L.A.

1975-01-01

On the basis of the strong energy-momentum conservation law, the induced singularities of mass distributions of unstable particles connected with cascade decay are investigated. The possible solution of the CP-problem in the decay of Kaon neutral - Antikaon neutral mesons based on the mechanism of the induced singularities is proposed

Do posture correction exercises have to be boring? Using unstable surfaces to prevent poor posture in children

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Agnieszka Jankowicz-Szymanska

2016-07-01

Full Text Available Introduction: Poor posture in children is a common problem. It appears most often in early school-age children and, if not corrected, progresses quickly as they mature. Aim of the research: To find a method that can prevent poor posture, is effective and attractive for children, and can be used on a wide scale in state schools. Material and methods : Seventy-seven first year pupils were tested at the beginning and at the end of the school year. Nineteen children undertook corrective exercises using unstable surfaces; 41 children sat on sensorimotor pillows during classes; and 17 children were the control group. Body mass and body height were measured. Body mass index was calculated. The symmetry of the position of selected skeletal points was assessed: the acromions, lower angles of the scapulas, apexes of the iliac crests, antero-superior iliac spine, and postero-superior iliac spine using a Duometer electronic device. The differences between the groups and changes between the first and second study for each group were estimated. Results : In the first study there were no significant differences in quality of posture. In the second study a significant improvement was noted in symmetry of the shoulders, scapulas, and pelvis in children who sat on sensorimotor pillows, as well as the position of the iliac crests and iliac spines in children exercising regularly on unstable surfaces. Conclusions: Exercises using unstable surfaces and sitting on sensorimotor pillows during classes might be an effective alternative to traditional posture correction exercises.

LATERAL SURVIVAL: AN OT ACCOUNT

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Moira Yip

2004-12-01

Full Text Available When laterals are the targets of phonological processes, laterality may or may not survive. In a fixed feature geometry, [lateral] should be lost if its superordinate node is eliminated by either the spreading of a neighbouring node, or by coda neutralization. So if [lateral] is under Coronal (Blevins 1994, it should be lost under Place assimilation, and if [lateral] is under Sonorant Voicing (Rice & Avery 1991 it should be lost by rules that spread voicing. Yet in some languages lateral survives such spreading intact. Facts like these argue against a universal attachment of [lateral] under either Coronal or Sonorant Voicing, and in favour of an account in terms of markedness constraints on feature-co-occurrence (Padgett 2000. The core of an OT account is that IFIDENTLAT is ranked above whatever causes neutralization, such as SHARE-F or *CODAF. laterality will survive. If these rankings are reversed, we derive languages in which laterality is lost. The other significant factor is markedness. High-ranked feature co-occurrence constraints like *LATDORSAL can block spreading from affecting laterals at all.

TORUS: Theory of Reactions for Unstable iSotopes - Year 1 Continuation and Progress Report

Energy Technology Data Exchange (ETDEWEB)

Arbanas, G; Elster, C; Escher, J; Mukhamedzhanov, A; Nunes, F; Thompson, I J

2011-02-24

The TORUS collaboration derives its name from the research it focuses on, namely the Theory of Reactions for Unstable iSotopes. It is a Topical Collaboration in Nuclear Theory, and funded by the Nuclear Theory Division of the Office of Nuclear Physics in the Office of Science of the Department of Energy. The funding started on June 1, 2010, it will have been running for nine months by the date of submission of this Annual Continuation and Progress Report on March 1, 2011. The extent of funding was reduced from the original application, and now supports one postdoctoral researcher for the years 1 through 3. The collaboration brings together as Principal Investigators a large fraction of the nuclear reaction theorists currently active within the USA. The mission of the TORUS Topical Collaboration is to develop new methods that will advance nuclear reaction theory for unstable isotopes by using three-body techniques to improve direct-reaction calculations, and, by using a new partial-fusion theory, to integrate descriptions of direct and compound-nucleus reactions. This multi-institution collaborative effort is directly relevant to three areas of interest: the properties of nuclei far from stability; microscopic studies of nuclear input parameters for astrophysics, and microscopic nuclear reaction theory.

A Brief Screening Instrument for Emotionally Unstable and Dissocial Personality Disorder in Male Offenders with Intellectual Disabilities

Science.gov (United States)

Taylor, John L.; Novaco, Raymond W.

2013-01-01

Personality disorder is prevalent among offenders with intellectual disabilities (ID), and it is associated with their risk for violence and recurrent offending behaviour. A new staff-rated instrument, the Personality Disorder Characteristics Checklist (PDCC), designed to screen for ICD-10 dissocial and emotionally unstable personality…

Rheology of unstable mineral emulsions

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Sokolović Dunja S.

2013-01-01

Full Text Available In this paper, the rheology of mineral oils and their unstable water emulsion were investigated. The oil samples were domestic crude oil UA, its fractions UA1, UA4 and blend semi-product UP1, while the concentration of oil in water emulsions was in the range from 1 up to 30%. The results were analyzed based on shear stress. The oil samples UA, UA1 and UP1 are Newtonian fluids, while UA4 is pseudoplastic fluid. The samples UA and UA4 show higher value of shear stress (83.75 Pa, 297 Pa, then other two samples UA1 and UP1 (18.41 Pa, 17.52 Pa. Rheology of investigated oils due to its complex chemical composition should be analyzed as a simultaneous effect of all their components. Therefore, structural composition of the oils was determined, namely content of paraffins, naphthenes, aromatics and asphaltenes. All samples contain paraffins, naphthenes and aromatics but only oils UA and UA4 contain asphaltenes as well. All investigated emulsions except 30% EUA4 are Newtonian fluids. The EUA4 30% emulsion shows pseudoplastic behaviour, and it is the only 30% emulsion among investigated ones that achieves lower shear stress then its oil. The characteristics of oil samples that could have an influence on their properties and their emulsion rheology, were determined. These characteristics are: neutralization number, interfacial tension, dielectric constant, and emulsivity. Oil samples UA and UA4 have significantly higher values of neutralization number, dielectric constants, and emulsivity. The sample UA has the lowest value of interface tension and the greatest emulsivity, indicating that this oil, among all investigated, has the highest preference for building emulsion. This could be the reason why 20% and 30% emulsions of the oil UA achieve the highest shear stress among all investigated emulsions.

Photo-oxidation of histidine peptides yields high concentrations of unstable peroxides

International Nuclear Information System (INIS)

Policarpio, V.V.; Hawkins, C.L.; Davies, M.J.

2003-01-01

Oxidation of proteins by UV, and visible light in the presence of sensitizers, results in side chain modification as well as aggregation and fragmentation. In particular, singlet oxygen has been reported to oxidize Met, Trp, Tyr, Cys and His side chains in a selective manner. In this study the oxidation of histidine and its derivatives, and His-containing peptides is examined using a range of sensitizers, to determine whether peroxides are major intermediates, and the mechanism of formation of these species. Visible light-sensitised oxidation of Gly-His-Gly in the presence of oxygen and rose bengal gives unstable substrate-derived peroxides with the peroxide yield increasing with increasing photolysis time. Similar behaviour was detected with other photosensitizers, though the peroxide yields varied with the sensitizer at identical concentrations with rose bengal > aluminium phthalocyanine > hematoporphyrin IX > zinc phthalocyanine > tetrakisporphine. The peroxide yield was decreased in the presence of azide and enhanced when deuterium oxide was employed as the solvent, consistent with peroxide formation being singlet oxygen mediated. Experiments using anoxic conditions gave low yields of peroxides confirming the oxygen-dependence of these reactions. HPLC analysis showed rapid loss of the parent peptide, with subsequent formation of both stable and unstable products; these are currently being characterized by MS and NMR. Similar behavior has been observed with other His derivatives. The yield of singlet oxygen formed in these reactions has been estimated using a bleaching assay (N, N-dimethyl-4-nitrosoaniline). Quantification of singlet oxygen formation and Gly-His-Gly derived peroxide during rose bengal-mediated photooxidation indicated a conversion efficiency of the initial singlet oxygen into substrate-derived peroxides of ca. 75% indicating that peroxide formation is a highly efficient and major reaction pathway

Effect of casemix funding on outcomes in patients admitted to hospital with suspected unstable angina.

Science.gov (United States)

Kerr, G D; Dunt, D; Gordon, I R

1998-01-19

To determine the effect of the introduction of casemix funding on resource utilisation and clinical outcomes in patients admitted to hospital with suspected unstable angina. A prospective cohort study with a 6-month follow-up. A suburban community hospital in Melbourne, Victoria. 336 consecutive patients admitted to the coronary care unit with suspected unstable angina before (156) and after (180) the introduction of casemix funding. Introduction of casemix funding in July 1993. Indices of resource utilisation: length of stay in hospital, length of stay in the coronary care unit, and total cost of investigations (pathology and radiology). Rates of serious cardiac events during hospital stay and after discharge. Readmissions within 28 days and 6 months of discharge. After the introduction of casemix funding there was a 1% increase in duration of hospital stay and a 5% increase in time spent in the coronary care unit, but neither of these increases was statistically significant. However, there was a significant reduction in total cost of investigations (39% decrease; 95% confidence interval, 14%-70%; P Casemix funding had no effect on short term clinical outcomes but resulted in significantly reduced investigation costs.

Update on open reduction and internal fixation of unstable pelvic fractures during pregnancy: case reports

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Carlos Roberto Schwartsmann

Full Text Available ABSTRACT This article aims to report four cases of unstable pelvic fractures in pregnant women treated by open reduction and internal fixation. Cases report: The study included four cases of pregnant women with unstable pelvic fractures; their outcomes were analyzed and discussed. Data were obtained from two University Hospitals. The mean age of women was 23 years; most (3/4 were primiparous, with a mean pregnancy age of 23 weeks. Two women had Malgaigne-type fractures and the other two had symphyseal disjunction associated with acetabular fractures. All fractures were treated surgically. One foetus was dead on admission to hospital. The other three developed well, along with their mothers. Good evolution was only possible with careful pre-, peri-, and postoperative care for the mother, as well as foetal assessment by a multidisciplinary team. In complex cases such as those presented in the present study, pre-, peri-, and postoperative care are mandatory, as well as the presence of a multidisciplinary team. The mother's life always takes priority in acute clinical pictures, as it offers the best chance of survival to both mother and child.

Denervation of the lateral humeral epicondyle for treatment of chronic lateral epicondylitis.

Science.gov (United States)

Rose, Nicholas E; Forman, Scott K; Dellon, A Lee

2013-02-01

Chronic lateral epicondylitis remains a treatment challenge. Traditional surgical treatments for lateral epicondylitis involve variations of the classic Nirschl lateral release. Anatomic studies reveal that the posterior branch or branches of the posterior cutaneous nerve of the forearm consistently innervate the lateral humeral epicondyle. We undertook the present study to determine the effectiveness of denervation of the lateral humeral epicondyle in treating chronic lateral epicondylitis. An institutional review board-approved prospective study included 30 elbows in 26 patients. Inclusion criteria included failure to respond to nonoperative treatment for more than 6 months and improvement in grip strength and in visual analog pain scale after diagnostic nerve block of the posterior branches of the posterior cutaneous nerve of the forearm proximal to the lateral humeral epicondyle. We excluded patients who had undergone previous surgery for lateral epicondylitis. Outcome measures included visual analog pain scale and grip strength testing. Denervation surgery involved identification and transection of the posterior cutaneous nerve of the forearm branches with implantation into the triceps. The presence of radial tunnel syndrome was noted but did not affect inclusion criteria; if it was present, we did not correct it surgically. We used no postoperative splinting and permitted immediate return to activities of daily living. At a mean of 28 months of follow-up, the average visual analog scale score decreased from 7.9 to 1.9. Average grip strength with the elbow extended improved from 13 to 24 kg. A total of 80% of patients had good or excellent results, as defined by an improvement of 5 or more points on the visual analog scale for pain. Denervation of the lateral epicondyle was effective in relieving pain in 80% of patients with chronic lateral epicondylitis who had a positive response to a local anesthetic block of the posterior branches of the posterior

The use of unstable chromosome aberrations and micronuclei in the individual biomonitoring: a comparative study; Emprego das aberracoes cromossomicas instaveis e micronucleos no biomonitoramento individual: estudo comparativo

Energy Technology Data Exchange (ETDEWEB)

Fernandes, Thiago de Salazar e

2005-02-15

Biodosimetry is based on the investigation of radioinduced biological effects in order to correlate them with the absorbed dose. The quantification of unstable chromosome aberrations and micronuclei, in peripheral blood lymphocytes, are two methods commonly used in biodosimetry. In this context, the aim of this research was to compare these methods in the biomonitoring of health care professionals occupationally exposed to ionizing radiation. In parallel, the technique of C-banding was evaluated for quality control of unstable chromosome aberrations analyses. Thus, samples of peripheral blood from health care professionals of three hospitals from Recife (Brazil) were collected, and the lymphocytes cultures were carried out based on the cytogenetic classical technique. It was pointed out that analysis of micronuclei is faster than the unstable chromosome aberrations ones, which suggests the use of the former in preliminary evaluation in cases of suspected accidental exposure. C-banding technique was efficient, as confirmatory test, in the identification of dicentrics and rings during the analyses of unstable chromosome aberrations, being able to be applied in the quality control in biodosimetry. The comparison between the individual work conditions with the frequencies of unstable aberrations and micronuclei obtained from cytogenetic analysis, resulted in the change of behavior of the professionals involved in this research, with a better observance of the radioprotection standards. (author)

A unified double-loop multi-scale control strategy for NMP integrating-unstable systems

International Nuclear Information System (INIS)

Seer, Qiu Han; Nandong, Jobrun

2016-01-01

This paper presents a new control strategy which unifies the direct and indirect multi-scale control schemes via a double-loop control structure. This unified control strategy is proposed for controlling a class of highly nonminimum-phase processes having both integrating and unstable modes. This type of systems is often encountered in fed-batch fermentation processes which are very difficult to stabilize via most of the existing well-established control strategies. A systematic design procedure is provided where its applicability is demonstrated via a numerical example. (paper)

High proportion of subclinical Plasmodium falciparum infections in an area of seasonal and unstable malaria in Sudan

DEFF Research Database (Denmark)

Elhassan, I M; Hviid, L; Jakobsen, P H

1995-01-01

In the present longitudinal study, a cohort (n = 98) of children and adults 5-30 years of age living in an area of highly seasonal and unstable malaria transmission were followed for malaria morbidity during several successive transmission seasons. Based on morbidity surveillance during 1993 and ...

Hartree-Fock+BCS approach to unstable nuclei with the Skyrme force

International Nuclear Information System (INIS)

Tajima, Naoki

2001-01-01

We reanalyze the results of our extensive Hartree-Fock+BCS calculation from new points of view paying attention to the properties of unstable nuclei. The calculation has been done with the Skyrme SIII force for the ground and shape isomeric states of 1029 even-even nuclei ranging 2≤Z≤114. We also discuss the advantages of the employed three-dimensional Cartesian-mesh representation, especially on its remarkably high precision with apparently coarse meshes when applied to atomic nuclei. In Appendices we give the coefficients of finite-point numerical differentiation and integration formulae suitable for Cartesian mesh representation and elucidate the features of each formula and the differences from a method based on the Fourier transformation. (author)

Usefulness of a Lateral Thoracodorsal Flap after Breast Conserving Surgery in Laterally Located Breast Cancer

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Jung Dug Yang

2013-07-01

Full Text Available BackgroundBreast-conserving surgery is widely accepted as an appropriate method in breast cancer, and the lateral thoracodorsal flap provides a simple, reliable technique, especially when a mass is located in the lateral breast. This study describes the usefulness of a lateral thoracodorsal flap after breast conserving surgery in laterally located breast cancer.MethodsFrom September 2008 to February 2013, a lateral thoracodorsal flap was used in 20 patients with laterally located breast cancer treated at our institution. The technique involves a local medially based, wedge shaped, fasciocutaneous transposition flap from the lateral region of the thoracic area. Overall satisfaction and aesthetic satisfaction surveys were conducted with the patients during a 6-month postoperative follow-up period. Aesthetic results in terms of breast shape and symmetry were evaluated by plastic surgeons.ResultsThe average specimen weight was 76.8 g. The locations of the masses were the upper lateral quadrant (n=15, the lower lateral quadrant (n=2, and the central lateral area (n=3. Complications developed in four of the cases, partial flap necrosis in one, wound dehiscence in one, and fat necrosis in two. The majority of the patients were satisfied with their cosmetic outcomes.ConclusionsPartial breast reconstruction using a lateral thoracodorsal flap is well matched with breast color and texture, and the surgery is less aggressive than other techniques with few complications. Therefore, the lateral thoracodorsal flap can be a useful, reliable technique in correcting breast deformity after breast conserving surgery, especially in laterally located breast cancer.

Usefulness of a Lateral Thoracodorsal Flap after Breast Conserving Surgery in Laterally Located Breast Cancer

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Ho Yong Park

2013-07-01

Full Text Available Background Breast-conserving surgery is widely accepted as an appropriate method in breast cancer, and the lateral thoracodorsal flap provides a simple, reliable technique, especially when a mass is located in the lateral breast. This study describes the usefulness of a lateral thoracodorsal flap after breast conserving surgery in laterally located breast cancer.Methods From September 2008 to February 2013, a lateral thoracodorsal flap was used in 20 patients with laterally located breast cancer treated at our institution. The technique involves a local medially based, wedge shaped, fasciocutaneous transposition flap from the lateral region of the thoracic area. Overall satisfaction and aesthetic satisfaction surveys were conducted with the patients during a 6-month postoperative follow-up period. Aesthetic results in terms of breast shape and symmetry were evaluated by plastic surgeons.Results The average specimen weight was 76.8 g. The locations of the masses were the upper lateral quadrant (n=15, the lower lateral quadrant (n=2, and the central lateral area (n=3. Complications developed in four of the cases, partial flap necrosis in one, wound dehiscence in one, and fat necrosis in two. The majority of the patients were satisfied with their cosmetic outcomes.Conclusions Partial breast reconstruction using a lateral thoracodorsal flap is well matched with breast color and texture, and the surgery is less aggressive than other techniques with few complications. Therefore, the lateral thoracodorsal flap can be a useful, reliable technique in correcting breast deformity after breast conserving surgery, especially in laterally located breast cancer.

Lateral root development in the maize (Zea mays) lateral rootless1 mutant.

Science.gov (United States)

Husakova, Eva; Hochholdinger, Frank; Soukup, Ales

2013-07-01

The maize lrt1 (lateral rootless1) mutant is impaired in its development of lateral roots during early post-embryonic development. The aim of this study was to characterize, in detail, the influences that the mutation exerts on lateral root initiation and the subsequent developments, as well as to describe the behaviour of the entire plant under variable environmental conditions. Mutant lrt1 plants were cultivated under different conditions of hydroponics, and in between sheets of moist paper. Cleared whole mounts and anatomical sections were used in combination with both selected staining procedures and histochemical tests to follow root development. Root surface permeability tests and the biochemical quantification of lignin were performed to complement the structural data. The data presented suggest a redefinition of lrt1 function in lateral roots as a promoter of later development; however, neither the complete absence of lateral roots nor the frequency of their initiation is linked to lrt1 function. The developmental effects of lrt1 are under strong environmental influences. Mutant primordia are affected in structure, growth and emergence; and the majority of primordia terminate their growth during this last step, or shortly thereafter. The lateral roots are impaired in the maintenance of the root apical meristem. The primary root shows disturbances in the organization of both epidermal and subepidermal layers. The lrt1-related cell-wall modifications include: lignification in peripheral layers, the deposition of polyphenolic substances and a higher activity of peroxidase. The present study provides novel insights into the function of the lrt1 gene in root system development. The lrt1 gene participates in the spatial distribution of initiation, but not in its frequency. Later, the development of lateral roots is strongly affected. The effect of the lrt1 mutation is not as obvious in the primary root, with no influences observed on the root apical meristem

Lateral root development in the maize (Zea mays) lateral rootless1 mutant

Science.gov (United States)

Husakova, Eva; Hochholdinger, Frank; Soukup, Ales

2013-01-01

Background and Aims The maize lrt1 (lateral rootless1) mutant is impaired in its development of lateral roots during early post-embryonic development. The aim of this study was to characterize, in detail, the influences that the mutation exerts on lateral root initiation and the subsequent developments, as well as to describe the behaviour of the entire plant under variable environmental conditions. Methods Mutant lrt1 plants were cultivated under different conditions of hydroponics, and in between sheets of moist paper. Cleared whole mounts and anatomical sections were used in combination with both selected staining procedures and histochemical tests to follow root development. Root surface permeability tests and the biochemical quantification of lignin were performed to complement the structural data. Key Results The data presented suggest a redefinition of lrt1 function in lateral roots as a promoter of later development; however, neither the complete absence of lateral roots nor the frequency of their initiation is linked to lrt1 function. The developmental effects of lrt1 are under strong environmental influences. Mutant primordia are affected in structure, growth and emergence; and the majority of primordia terminate their growth during this last step, or shortly thereafter. The lateral roots are impaired in the maintenance of the root apical meristem. The primary root shows disturbances in the organization of both epidermal and subepidermal layers. The lrt1-related cell-wall modifications include: lignification in peripheral layers, the deposition of polyphenolic substances and a higher activity of peroxidase. Conclusions The present study provides novel insights into the function of the lrt1 gene in root system development. The lrt1 gene participates in the spatial distribution of initiation, but not in its frequency. Later, the development of lateral roots is strongly affected. The effect of the lrt1 mutation is not as obvious in the primary root, with no

Lateral epicondylitis and beyond: imaging of lateral elbow pain with clinical-radiologic correlation

International Nuclear Information System (INIS)

Kotnis, Nikhil A.; Chiavaras, Mary M.; Harish, Srinivasan

2012-01-01

The diagnosis of lateral epicondylitis is often straightforward and can be made on the basis of clinical findings. However, radiological assessment is valuable where the clinical picture is less clear or where symptoms are refractory to treatment. Demographics, aspects of clinical history, or certain physical signs may suggest an alternate diagnosis. Knowledge of the typical clinical presentation and imaging findings of lateral epicondylitis, in addition to other potential causes of lateral elbow pain, is necessary. These include entrapment of the posterior interosseous and lateral antebrachial cutaneous nerves, posterolateral rotatory instability, posterolateral plica syndrome, Panner's disease, osteochondritis dissecans of the capitellum, radiocapitellar overload syndrome, occult fractures and chondral-osseous impaction injuries, and radiocapitellar arthritis. Knowledge of these potential masquerades of lateral epicondylitis and their characteristic clinical and imaging features is essential for accurate diagnosis. The goal of this review is to provide an approach to the imaging of lateral elbow pain, discussing the relevant anatomy, various causes, and discriminating factors, which will allow for an accurate diagnosis. (orig.)

Social, structural and behavioral determinants of overall health status in a cohort of homeless and unstably housed HIV-infected men.

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Elise D Riley

Full Text Available Previous studies indicate multiple influences on the overall health of HIV-infected persons; however, few assess and rank longitudinal changes in social and structural barriers that are disproportionately found in impoverished populations. We empirically ranked factors that longitudinally impact the overall health status of HIV-infected homeless and unstably housed men.Between 2002 and 2008, a cohort of 288 HIV+ homeless and unstably housed men was recruited and followed over time. The population was 60% non-Caucasian and the median age was 41 years; 67% of study participants reported recent drug use and 20% reported recent homelessness. At baseline, the median CD4 cell count was 349 cells/µl and 18% of eligible persons (CD490% ranked 5th for its positive influence on mental health, and viral load ranked 4th for its negative influence on physical health.The inability to meet food, hygiene, and housing needs was the most powerful predictor of poor physical and mental health among homeless and unstably housed HIV-infected men in an urban setting. Impoverished persons will not fully benefit from progress in HIV medicine until these barriers are overcome, a situation that is likely to continue fueling the US HIV epidemic.

Composition, somatic cell count and casein fractions of ethanol unstable milks - doi: 10.4025/actascitechnol.v35i1.11481

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Carlos Augusto Fernandes de Oliveira

2013-01-01

Full Text Available This study determined the composition, somatic cell count (SCC and relative percentage of a-S1, a-S2, b and k caseins in ethanol-unstable (UNA and stable bulk milk samples. The sampling plan involved farms that supplied milk to one dairy plant located in the northeast region of São Paulo, Brazil, in May (fall, July (winter, and September (spring 2007. Three hundred thirty-four bulk milk samples within an acceptable range of pH and acidity were included in the study and divided into two groups: a stable milk, when protein precipitation only occurred with 78% ethanol (v/v; and b unstable (UNA milk, when the precipitation occurred with 72% ethanol (v/v. From the total samples analyzed, 77 (23% were unstable in the 72% ethanol (v/v, although they have shown normal pH and acidity, and 41 (12.3% were stable in 78% ethanol (v/v. No differences were found between relative percentages of a and b-casein in UNA or stable milks. However, UNA samples showed higher SCC, as well as lower casein and lactose contents. Results indicated that the high SCC may be involved as a causal factor for the high incidence of UNA milks in the herds studied.  

Identification of chromosome aberrations in sporadic microsatellite stable and unstable colorectal cancers using array comparative genomic hybridization

DEFF Research Database (Denmark)

Jensen, Thomas Dyrsø; Li, Jian; Wang, Kai

2011-01-01

cancers constitute approximately 85% of sporadic cases, whereas microsatellite unstable (MSI) cases constitute the remaining 15%. In this study, we used array comparative genomic hybridization (aCGH) to identify genomic hotspot regions that harbor recurrent copy number changes. The study material...

Unstable intertrochanteric femur fractures in geriatric patients treated with the DLT trochanteric nail.

Science.gov (United States)

Temiz, Aytun; Durak, Aslihan; Atici, Teoman

2015-07-01

To evaluate clinical-functional and radiological results of geriatric patients with unstable intertrochanteric femur fracture treated with intramedullary nail. Thirty-two patients treated with intramedullary nail (DLT trochanteric nail) due to unstable intertrochanteric femur fractures were reviewed retrospectively. Fractures 31-A2 and 31-A3 (AO classification) were evaluated. Operation time, blood loss, and blood transfusion requirements, hospitalization period, time to fracture union were evaluated and perioperative and postoperative complications were recorded. According to the modified Baumgaertner criteria fracture reduction was analyzed radiologically, and nail tip-apex distance was measured. Femoral neck-shaft angle was also evaluated. Harris Hip Score for clinical evaluation and Kyo criteria for walking capacity were used. The mean age was 72 years (65-81), mean follow up time was 18.3 months (12-26). Nineteen patients had type 31-A2 and 13 had type 31-A3 fractures. Mean operation time was 36.3min (25-45), blood loss 185.9ml (100-250). Blood transfusion was required in 7 patients. The average hospitalization duration was 6 days (4-14) while the time to surgery from admission was 2.9 days (2-6). Radiologically, in 21 of the cases fracture reduction was well (65.6%), acceptable in 9 (28.1%), and poor in 2 (6.3%). In early postoperative period, the mean collo-diaphyseal angle was 129.1° (120-140°), mean tip-apex distance was 15.5mm (10-27). The mean Harris Hip Score was 63.4 (38-90). Two patients (6.3%) had excellent, 21 patients (65.6%) had good, 7 patients (21.8%) had moderate, and 2 patients (6.3%) had poor results. Walking capacity in the last follow-up in 20 of the cases (62.5%) was pre-fracture level. While complications were observed in seventeen patients (53.1%) (5 superficial wound infections, 5 fractures of the greater trochanter, 3 cases of secondary varus angulation and 4 cases of heterotopic ossification) none of them required additional surgery

EFFECTIVENESS OF MEDIAL TO LATERAL TAPING WITH EXERCISE PROGRAMME IN SUBJECTS WITH LATERAL EPICONDYLITIS

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Bhavana Dattaram Desai

2014-06-01

Full Text Available Background: Medial to lateral tapping and exercise programme has been found to be effective in Lateral epicondylitis. The purpose to find the combined effect of Medial to lateral tapping with exercise programme for subjects with lateral epicondylitis on pain intensity and functional ability. Method: An experimental study design, selected 40 subjects with Lateral epicondylitis randomized 20 subjects each into Study and Control group. Control group received only exercise programme while study group received combined medial to lateral tapping with exercise programme thrice a week for 4 weeks. Pain intensity was measured using Visual analogue scale and functional ability was measured using Patient Rated Tennis Elbow Evaluation questionnaire before and after 4 weeks of treatment. Results: When the post-intervention means were compared between Study and Control group after 4 weeks of treatment found statistically significant difference in the improvement in outcomes measures in means of VAS and PRTEE before and after intervention within the groups. Conclusion: It is concluded that the Medial to lateral tapping with exercise programme is more effective than the exercise programme in reduction of pain and improve functional abilities for subjects with Lateral epicondylitis.

Evidence for a continental unstable triple junction as an alternate model for Vrancea seismicity

International Nuclear Information System (INIS)

Besutiu, L.

2002-01-01

The Vrancea active seismic zone located in the bending area of Romanian Carpathians stands for a long time as a challenge to geoscientists all over the world. Deep seismicity in continental collision circumstances is rather rare and always constraints on dynamics of subduction. The pattern of the intermediate-depth seismicity in the Vrancea region suggests a confined prismatic nearly vertical seismic body. The small size and geometry of the seismic zone have made it difficult to interpret the kinematics of subduction and continental collision in the area. During the years, several models, almost all subduction-related, have more or less successfully tried to explain this phenomenon. The paper represents an attempt to explain the Vrancea intermediate depth seismicity starting from a new concept, as introduced by the plate tectonics theory: the triple junction. A continental unstable triple junction is proposed as an alternate model to explain the unusual seismicity in the Vrancea seismic area. Three tectonic plates / microplates seem to join in the region: East European Plate (EEP), Moesian microplate (MoP), and the Intra-Alpine microplate (IaP). Their edges are geophysically documented and their motion is evidenced. The differentiation in their relative velocities generated an unstable transform-transform-compression triple junction that determined the vertical collapse of the lithospheric segment to which the intermediate seismicity within Vrancea zone is associated. Three major plates' wedges bound the seismic body: Tornquist-Teissyere zone, Peceneaga-Camena fault, and Trans-Getica fault. Temperature accommodation phenomena associated to the sinking lithospheric body into the hotter upper mantle environment (such as convective cells, phase-transform processes, and devolatilization) could be responsible for the earthquakes occurrence. The problem of the missing subduction related volcanism within Vrancea triple junction (VTJ) area is definitely solved in the case

Laryngoscope and a new tracheal tube assist lightwand intubation in difficult airways due to unstable cervical spine.

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Cai-neng Wu

Full Text Available The WEI Jet Endotracheal Tube (WEI JET is a new tracheal tube that facilitates both oxygenation and ventilation during the process of intubation and assists tracheal intubation in patients with difficult airway. We evaluated the effectiveness and usefulness of the WEI JET in combination with lightwand under direct laryngoscopy in difficult tracheal intubation due to unstable cervical spine.Ninety patients with unstable cervical spine disorders (ASA I-III with general anaesthesia were included and randomly assigned to three groups, based on the device used for intubation: lightwand only, lightwand under direct laryngoscopy, lightwand with WEI JET under direct laryngoscopy.No statistically significant differences were detected among three groups with respect to demographic characteristics and C/L grade. There were statistically significant differences between three groups for overall intubation success rate (p = 0.015 and first attempt success rate (p = 0.000. The intubation time was significantly longer in the WEI group (110.8±18.3 s than in the LW group (63.3±27.5 s, p = 0.000 and DL group (66.7±29.4 s, p = 0.000, but the lowest SpO2 in WEI group was significantly higher than other two groups (p<0.01. The WEI JET significantly reduced successful tracheal intubation attempts compared to the LW group (p = 0.043. The severity of sore throat was similar in three groups (p = 0.185.The combined use of WEI JET under direct laryngoscopy helps to assist tracheal intubation and improves oxygenation during intubation in patients with difficult airway secondary to unstable spine disorders.Chinese Clinical Trial Registry ChiCTR-TRC-14005141.

Noncontiguous double-level unstable spinal injuries.

Science.gov (United States)

Takami, Masanari; Okada, Motohiro; Enyo, Yoshio; Iwasaki, Hiroshi; Yamada, Hiroshi; Yoshida, Munehito

2017-01-01

Noncontiguous double-level unstable spinal injuries (NDUSI) are uncommon and have not been well described. In this study, we aimed to better understand the patterns of NDUSI, in order to recommend proper diagnostic and treatment methods, as well as to raise awareness among traumatologists about the possibility of these uncommon injuries. A total of 710 consecutive patients with spine fractures were treated for >9 years since 2007 at a single regional trauma center. Of them, 18 patients with NDUSI were reviewed retrospectively. The incidence of NDUSI was 2.5 % of all spine fractures. In 17 of 18 patients (94.7 %), NDUSI was caused by a high-energy trauma. Nine patients (50.0 %) exhibited complete neurological deficit. Spinal cord injury occurred in the cranial injured region in all American Spinal Injury Association grade A cases. In one case, a second fracture was overlooked at the initial examination. NDUSI are common in cases of high-energy trauma and should be taken into consideration at the initial examination. A second fracture may be easily overlooked because of the high frequency of concomitant severe spinal cord injury in the cranial injured region and/or loss of consciousness due to associated injuries. To avoid overlooking injuries, full spine computed tomography is useful at the initial examination. Operative reduction and internal fixation with instrumentation through a posterior approach is recommendable for cases of NDUSI. In elderly patients, a very rapid stabilizing surgery should be planned before aspiration pneumonia occurs or the pulmonary condition worsens.

Serial thallium-201 imaging at rest in patients with unstable and stable angina pectoris: relationship of myocardial perfusion at rest to presenting clinical syndrome

International Nuclear Information System (INIS)

Brown, K.A.; Okada, R.D.; Boucher, C.A.; Phillips, H.R.; Strauss, H.W.; Pohost, G.M.

1983-01-01

In order to determine whether there are differences in myocardial perfusion at rest among patients with various unstable and stable angina syndromes, serial thallium-201 imaging was performed at rest in 19 patients presenting with rapidly worsening exertional angina (unstable angina, group A), 12 patients with rest angina alone without exertional symptoms (unstable angina, group B), and 34 patients with chronic stable angina. No patient had an episode of angina within 4 hours of study. Nineteen of 19 (100%) patients in group A demonstrated transient defects compared to only 3 of 12 (25%) patients in group B (p less than 0.0001) and 4 of 34 (12%) stable angina patients (p less than 0.0001). The majority of zones demonstrating transient defects in group A were associated with hypokinesis of the corresponding left ventriculogram segment without associated ECG evidence of previous infarction. There were no significant differences in the frequency of persistent thallium defects, severity of angiographic coronary artery disease, or frequency of regional wall motion abnormalities of myocardial segments supplied by stenotic coronary arteries among the three groups of patients. Transient defects have been shown to reflect reduction in regional coronary blood flow to viable myocardium. Therefore, we conclude that regional resting hypoperfusion of viable myocardium is far more common in patients with exertional unstable angina symptoms than in patients with rest angina alone or chronic stable angina

Lateral epicondylitis and beyond: imaging of lateral elbow pain with clinical-radiologic correlation

Energy Technology Data Exchange (ETDEWEB)

Kotnis, Nikhil A. [McMaster University, Departments of Radiology, Hamilton, ON (Canada); Sheffield Teaching Hospitals, Department of Medical Physics and Medical Imaging, Sheffield (United Kingdom); Chiavaras, Mary M. [McMaster University, Departments of Radiology, Hamilton, ON (Canada); Harish, Srinivasan [McMaster University, Departments of Radiology, Hamilton, ON (Canada); St. Joseph' s Healthcare, Department of Diagnostic Imaging, Hamilton, ON (Canada)

2012-04-15

The diagnosis of lateral epicondylitis is often straightforward and can be made on the basis of clinical findings. However, radiological assessment is valuable where the clinical picture is less clear or where symptoms are refractory to treatment. Demographics, aspects of clinical history, or certain physical signs may suggest an alternate diagnosis. Knowledge of the typical clinical presentation and imaging findings of lateral epicondylitis, in addition to other potential causes of lateral elbow pain, is necessary. These include entrapment of the posterior interosseous and lateral antebrachial cutaneous nerves, posterolateral rotatory instability, posterolateral plica syndrome, Panner's disease, osteochondritis dissecans of the capitellum, radiocapitellar overload syndrome, occult fractures and chondral-osseous impaction injuries, and radiocapitellar arthritis. Knowledge of these potential masquerades of lateral epicondylitis and their characteristic clinical and imaging features is essential for accurate diagnosis. The goal of this review is to provide an approach to the imaging of lateral elbow pain, discussing the relevant anatomy, various causes, and discriminating factors, which will allow for an accurate diagnosis. (orig.)

Motion in the unstable thoracolumbar spine when spine boarding a prone patient

Science.gov (United States)

Conrad, Bryan P.; Marchese, Diana L.; Rechtine, Glenn R.; Horodyski, MaryBeth

2012-01-01

Introduction Previous research has found that the log roll (LR) technique produces significant motion in the spinal column while transferring a supine patient onto a spine board. The purpose of this project was to determine whether log rolling a patient with an unstable spine from prone to supine with a pulling motion provides better thoracolumbar immobilization compared to log rolling with a push technique. Methods A global instability was surgically created at the L1 level in five cadavers. Two spine-boarding protocols were tested (LR Push and LR Pull). Both techniques entailed performing a 180° LR rotation of the prone patient from the ground to the supine position on the spine board. An electromagnetic tracking device registered motion between the T12 and L2 vertebral segments. Six motion parameters were tracked. Repeated-measures statistical analysis was performed to evaluate angular and translational motion. Results Less motion was produced during the LR Push compared to the LR Pull for all six motion parameters. The difference was statistically significant for three of the six parameters (flexion–extension, axial translation, and anterior–posterior (A–P) translation). Conclusions Both the LR Push and LR Pull generated significant motion in the thoracolumbar spine during the prone to supine LR. The LR Push technique produced statistically less motion than the LR Pull, and should be considered when a prone patient with a suspected thoracolumbar injury needs to be transferred to a long spine board. More research is needed to identify techniques to further reduce the motion in the unstable spine during prone to supine LR. PMID:22330191

A STUDY OF UNSTABLE INTERTROCHANTERIC FEMORAL FRACTURES TREATED BY TROCHANTERIC FEMORAL NAIL

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Sreenivasa Neikar

2017-11-01

Full Text Available BACKGROUND Intertrochanteric fracture is one of the most common fracture of the hip especially in the elderly. The incidence of intertrochanteric fracture is rising because of the increase in number of elderly population along with superadded osteoporosis. MATERIALS AND METHODS Study included cases of unstable intertrochanteric fractures (AO and OTA Classification 31-A2 and 31-A3 fracture patterns that were operated with the short trochanteric femoral nail, which fitted into the inclusion criteria done in medical college hospital, Vijayanagara Institute of Medical Sciences, Bellary, from February 2015 to September 2016. RESULTS The age distribution was from 40 to 80 years. The largest group of patients were from 61 to 70 years. The average age was 60.5 years. The number of male patients in our series was 20 (66.7% and female was 10 (33.3%. Right side was affected in 11 cases (36.7% and left side in 19 cases (63.3%. Good reduction was achieved in 23 patients (76.7%. Acceptable reduction was achieved in 7 (23.3% patients due to severe comminution. In our study, 25 patients (83.33% had no complications. We encountered one intraoperative complication in the form of greater trochanter splintering, while inserting the nail. In our study, we encountered following postoperative complications. We noticed one case of delayed union, one case of Z effect and 2 cases of varus malunion. CONCLUSION We conclude that short trochanteric femoral nail provides good fixation for unstable intertrochanteric fractures if proper preoperative planning, good reduction and surgical technique are followed leading to high rate of bone union and minimal soft tissue damage especially for Asian patients with relatively small femora.

Ligament rupture and unstable burst behaviors of axial flaws in steam generator U-bends

Energy Technology Data Exchange (ETDEWEB)

Bahn, Chi Bum, E-mail: bahn@pusan.ac.kr [Pusan National University, 2 Busandaehak-ro 63 beon-gil, Geumjeong-gu, Busan 609-735 (Korea, Republic of); Oh, Young-Jin [KEPCO Engineering & Construction Co. Inc., Seongnam 463-870 (Korea, Republic of); Majumdar, Saurin [Argonne National Laboratory, Lemont, IL 60439 (United States)

2015-11-15

Highlights: • Ligament rupture and unstable burst pressure tests were conducted with U-bends. • In general, U-bends showed higher ligament rupture and burst pressures than straight tubes. • U-bend test data was bounded by 90% lower limit of the probabilistic models for straight tubes. • Prediction models for straight tubes could be conservatively applied to U-bends. - Abstract: Incidents of U-bend cracking in steam generator (SG) tubes have been reported, some of which have led to tube rupture. Experimental and analytical modeling efforts to determine the failure criteria of flawed SG U-bends are limited. To evaluate structural integrity of flawed U-bends, ligament rupture and unstable burst pressure tests were conducted on 57 and 152 mm bend radius U-bends with axial electrical discharge machining notches. In general, the ligament rupture and burst pressures of the U-bends were higher than those of straight tubes with similar notches. To quantitatively address the test data scatter issue, probabilistic models were introduced. All ligament rupture and burst pressures of U-bends were bounded by 90% lower limits of the probabilistic models for straight tubes. It was concluded that the prediction models for straight tubes could be applied to U-bends to conservatively evaluate the ligament rupture and burst pressures of U-bends with axial flaws.

Ligament rupture and unstable burst behaviors of axial flaws in steam generator U-bends

International Nuclear Information System (INIS)

Bahn, Chi Bum; Oh, Young-Jin; Majumdar, Saurin

2015-01-01

Highlights: • Ligament rupture and unstable burst pressure tests were conducted with U-bends. • In general, U-bends showed higher ligament rupture and burst pressures than straight tubes. • U-bend test data was bounded by 90% lower limit of the probabilistic models for straight tubes. • Prediction models for straight tubes could be conservatively applied to U-bends. - Abstract: Incidents of U-bend cracking in steam generator (SG) tubes have been reported, some of which have led to tube rupture. Experimental and analytical modeling efforts to determine the failure criteria of flawed SG U-bends are limited. To evaluate structural integrity of flawed U-bends, ligament rupture and unstable burst pressure tests were conducted on 57 and 152 mm bend radius U-bends with axial electrical discharge machining notches. In general, the ligament rupture and burst pressures of the U-bends were higher than those of straight tubes with similar notches. To quantitatively address the test data scatter issue, probabilistic models were introduced. All ligament rupture and burst pressures of U-bends were bounded by 90% lower limits of the probabilistic models for straight tubes. It was concluded that the prediction models for straight tubes could be applied to U-bends to conservatively evaluate the ligament rupture and burst pressures of U-bends with axial flaws.

Influence of nifedipine on left ventricular perfusion and function in patients with unstable angina: Evaluation with radionuclide techniques

Energy Technology Data Exchange (ETDEWEB)

Wall, E.E. van der; Kerkkamp, H.J.; Simoons, M.L.; Rijk, P.P. van; Reiber, J.H.C.; Bom, N.; Lubsen, J.C.; Lie, K.I.

1986-04-01

In 1981, a large, double-blind, randomized trial was started in The Netherlands to evaluate the therapeutic effects of nifedipine and/or metoprolol in patients with unstable angina. This study has been called the Holland Interuniversity Nifedipine/metoprolol Trial (HINT) and required several hundred patients to establish potential therapeutic effects. From December 1982 to January 1984 the effects of nifedipine on left ventricular (LV) performance in a subgroup of 52 HINT patients were studied using radionuclide techniques. All patients (23 on nifedipine, 29 controls) underwent thallium-201 scintigraphy or radionuclide angiography just before and 48 h after the start of experimental medication. The radionuclide angiographic studies were also performed at 1 and 4 h after treatment. Nifedipine did not influence the incidence of disapperance of perfusion defects on the 48-h thallium images. No significant differences in overall LV ejections fraction (EF) were seen at any time between nifedipine-treated patients and controls. However, paired observations in 37 patients showed improvement of LVEF after 48 h in 8 patients on nifedipine and in only 1 control patient. Scintigraphic measurements on admission were not related to clinical outcome after 48 h. Concomitant administration of metoprolol did not influence LVEF in either group. It is concluded that nifedipine improves LVEF after 48 h in a subset of patients with unstable angina without affecting myocardial perfusion. This finding indicates that nifedipine has a predominant effect on afterload reduction in patients with unstable angina. Also, early scintigraphic measurements had no significant predictive value for subsequent cardiac events.

Laterally loaded masonry

DEFF Research Database (Denmark)

Raun Gottfredsen, F.

In this thesis results from experiments on mortar joints and masonry as well as methods of calculation of strength and deformation of laterally loaded masonry are presented. The strength and deformation capacity of mortar joints have been determined from experiments involving a constant compressive...... stress and increasing shear. The results show a transition to pure friction as the cohesion is gradually destroyed. An interface model of a mortar joint that can take into account this aspect has been developed. Laterally loaded masonry panels have also been tested and it is found to be characteristic...... that laterally loaded masonry exhibits a non-linear load-displacement behaviour with some ductility....

The energy-carrying velocity and rolling of tachyons of unstable D-branes

International Nuclear Information System (INIS)

Chung, Jin Hyun; L'Yi, Won Sik

2004-01-01

We show that the tachyons that originate from unstable D-branes carry energy and momentum at a velocity β = c 2 /v; where v is the phase velocity, which is greater than c. For an observer who moves with velocity β, the tachyon is observed to be moving from one of the ground states of the tachyon potential to a potential hill. The tachyon is found to either pass over the hill or bounce back to the original ground state. Another possible solution is the case that is margial to these; that is, the tachyon reaches the top of the potential hill and stays there forever.

Lateral loadings on snubber assemblies

International Nuclear Information System (INIS)

Raphael, L.S.

1981-01-01

This paper examines the installation of snubber assemblies in power plants with respect to transverse or lateral loads as well as axial loads. Evaluation of the effects of low level, lateral loads was performed by analytical means. At higher loadings, the snubber assembly could no longer be treated as a column; therefore, the effects of lateral loadings was determined by test. The test consisted of applying both lateral and axial loads simultaneously. Results of both the analysis and the test showed that the application of lateral loads had a considerable effect on the snubber assemblies

The use of a mutationally unstable X-chromosome in Drosophila melanogaster for mutagenicity testing

International Nuclear Information System (INIS)

Rasmuson, B.; Svahlin, H.; Rasmuson, A.; Montell, I.; Olofsson, H.

1978-01-01

Somatic eye-colour mutations in an unstable genetic system, caused by a transposable element in the white locus of the X-chromosome in Drosophila melanogaster, is suggested as an assay system for mutagenicity testing. The system is evaluated by comparison with a corresponding system in a stable X-chromosome. Its sensitivity is confirmed with X-ray and EMS treatment, and it is found to be confined to the specific segment of the X-chromosome where the transposable element is localized. (Auth.)

Recalcitrant Lateral Premalleolar Bursitis of the Ankle Associated with Lateral Ankle Instability

Directory of Open Access Journals (Sweden)

Masashi Naito

2017-01-01

Full Text Available Lateral premalleolar bursitis of the ankle is a rarely reported disorder in the English literature although it is not uncommon in Asian countries where people commonly sit on their feet. Here, we present the case of a 66-year-old woman with recalcitrant lateral premalleolar bursitis associated with lateral ankle instability which was successfully treated with surgical resection of the bursa and repair of the anterior talofibular ligament. Operative findings revealed a communication between the bursa and articular cavity of the ankle joint via the sheath of the extensor digitorum longus tendon, which was considered to act as a check valve leading to a large and recalcitrant bursitis. This report provides a novel concept about the etiology of recalcitrant lateral premalleolar bursitis of the ankle.

The effects of HIV stigma on health, disclosure of HIV status, and risk behavior of homeless and unstably housed persons living with HIV.

Science.gov (United States)

Wolitski, Richard J; Pals, Sherri L; Kidder, Daniel P; Courtenay-Quirk, Cari; Holtgrave, David R

2009-12-01

HIV-related stigma negatively affects the lives of persons living with HIV/AIDS (PLWHA). Homeless/unstably housed PLWHA experience myriad challenges and may be particularly vulnerable to the effects of HIV-related stigma. Homeless/unstably housed PLWHA from 3 U.S. cities (N = 637) completed computer-assisted interviews that measured demographics, self-assessed physical and mental health, medical utilization, adherence, HIV disclosure, and risk behaviors. Internal and perceived external HIV stigma were assessed and combined for a total stigma score. Higher levels of stigma were experienced by women, homeless participants, those with a high school education or less, and those more recently diagnosed with HIV. Stigma was strongly associated with poorer self-assessed physical and mental health, and perceived external stigma was associated with recent non-adherence to HIV treatment. Perceived external stigma was associated with decreased HIV disclosure to social network members, and internal stigma was associated with drug use and non-disclosure to sex partners. Interventions are needed to reduce HIV-related stigma and its effects on the health of homeless/unstably housed PLWHA.

Segmental sensory disturbance in brain stem infarctions of the lateral lower pons and lateral medulla

International Nuclear Information System (INIS)

Matsumoto, Sadayuki; Yamasaki, Masahiro; Maya, Kiyomi; Imai, Terukuni; Okuda, Bungo.

1987-01-01

We reported on seven cases of brainstem infarctions of the lateral lower pons and lateral medulla, the sensory deficit manifested over the trunk or the leg namely segmental sensory disturbances. All patients showed dissociated sensory disturbance of pain and temperature with retained deep sensations except two cases in which touch was also slightly impaired. The sensory distribution was classified into two types. The first ''crossed type'', ipsilatral face and contralateral trunk and leg below the level was involved in 4 cases, and the second ''unilateral type'' contralateral face and trunk above the level in 3 cases. Clinico-anatomical evaluation was executed by MRI. Lesions were detected in the lateral lower pons in two cases and in the lateral medulla in one case. The location of lesions by MRI revealed more lateral lesions showed ''crossed type'' of segmental sensory disturbance and more medial lesions ''unilateral type''. It was shown that the segmental sensory disturbance could be explained by the partial involvement of the lateral spinothalamic tract, which is arranged with the fibers from the sacral segments most lateral. We considered it very important to differentiate the segmental sensory disturbance by brainstem lesion in practical clinical diagnosis. We also emphasize the type of segmental sensory disturbance could be a localizing sign in the lateral brainstem as such, ''crossed type'' indicating the lesion of the lateral portion and ''unilateral type'' the medial portion of the lateral lower brainstem. (author)

Percutaneous lateral ligament reconstruction with allograft for chronic lateral ankle instability.

Science.gov (United States)

Youn, Hyunkook; Kim, Yong Sang; Lee, Jongseok; Choi, Woo Jin; Lee, Jin Woo

2012-02-01

The majority of lateral ankle instability can be treated successfully with conservative method. However, if such treatments fail, surgical treatment should be considered. A wide variety of procedures have been introduced to treat chronic lateral ankle instability. The percutaneous method avoids dissection which is associated with open surgery and can lead to excessive morbidity. The purpose of this study was to evaluate the clinical and radiological outcomes of percutaneous lateral ligament reconstruction with an allograft in the treatment of chronic lateral ankle instability. Between October 2006 and April 2009, percutaneous lateral ligament reconstruction using an allograft was performed on 15 ankles in 13 patients for chronic lateral ankle instability. The patients included in this study satisfied at least one of the following criteria: a previously failed reconstruction of the ligament, severe ankle instability (more than 15 degrees of talar tilt, more than 10 mm of anterior drawer), general laxity of ligaments, body mass index (BMI) higher than 25. The mean followup period was 18.1 (range, 12 to 40) months. The grafted tendon was secured by double tenodeses at both the talus and calcaneus or triple tenodeses which included a fibular tenodesis. The clinical outcomes were evaluated with Visual Analogue Scale (VAS) for pain, Karlsson-Peterson ankle score, and patients' subjective satisfaction. The radiological results were evaluated using the varus tilting angle and the anterior displacement distance. The VAS improved from preoperative 3.7 ±2.2 to 1.6 ±1.3 at the last followup (p = 0.002). The Karlsson-Peterson ankle score increased from 54.2 ±8.8 to 80.9 ±7.2 (p = 0.001). Patients were satisfied in 13 cases (86.7%) with excellent or good results. Radiologically, the mean varus tilting angle was 15.5 ±4.4 degrees preoperatively and 7.3 ±3.6 at the last followup (p = 0.001). The anterior drawer distance was 10.1 ±3.3 mm preoperatively and 7.2 ±2.7 mm at

Unstable child welfare permanent placements and early adolescent physical and mental health: The roles of adverse childhood experiences and post-traumatic stress.

Science.gov (United States)

Villodas, Miguel T; Cromer, Kelly D; Moses, Jacqueline O; Litrownik, Alan J; Newton, Rae R; Davis, Inger P

2016-12-01

Although researchers have found that child welfare placement disruptions are associated with elevated youth physical and mental health problems, the mechanisms that explain this association have not been previously studied. The present study built on a previous investigation of the physical and behavioral consequences of long-term permanent placement patterns among youth who participated in the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN). The current investigation (n=251) aimed to (a) report the early adolescent living situations of youth with different long-term placement patterns, and (b) to delineate the roles of adverse childhood experiences (ACEs) and post-traumatic stress (PTS) reactions in the association between unstable long-term placement patterns and physical and mental health problems during the transition to adolescence. Information about youth's living situations, ACEs, and physical and mental health was gathered prospectively from child protective services records and biannual caregiver and youth interviews when youth were 4-14 years old. The majority of youth remained with the same caregiver during early adolescence, but youth with chronically unstable permanent placement patterns continued to experience instability. Path analyses revealed that ACEs mediated the association between unstable placement patterns and elevated mental, but not physical, health problems during late childhood. Additionally, late childhood PTS mediated the association between unstable placement patterns and subsequent escalations in physical and mental health problems during the transition to adolescence. Findings highlight the importance of long-term permanency planning for youth who enter the child welfare system and emphasize the importance of trauma-focused assessment and intervention for these youth. Copyright © 2016 Elsevier Ltd. All rights reserved.

Prognosis in medically stabilized unstable angina: Early Holter ST-segment monitoring compared with predischarge exercise thallium tomography

International Nuclear Information System (INIS)

Marmur, J.D.; Freeman, M.R.; Langer, A.; Armstrong, P.W.

1990-01-01

The objective of this study was to assess the relative value of invasive and noninvasive predictors of outcome in patients after unstable angina. Fifty-four patients with unstable angina who had 6-month follow-up after stabilization on medical therapy were evaluated. We prospectively compared 24-hour Holter ST-segment monitoring at admission, quantitative exercise thallium tomography, and cardiac catheterization 5 +/- 2 days after admission and analyzed their value for predicting a cardiac event in patients with unstable angina within 6 months. When patients with a favorable outcome (n = 40) were compared with patients with an unfavorable outcome (n = 11) no statistical difference was found in duration of ST shift of 1 mm or more on Holter monitoring (51 +/- 119 min compared with 37 +/- 43 min), exercise duration by the standard Bruce protocol (8.0 +/- 3.6 min compared with 7.9 +/- 3.1 min), exercise-induced ST depression (0.6 +/- 0.9 mm compared with 1.0 +/- 1.0 mm), and contrast left ventricular ejection fraction (70% +/- 10% compared with 69% +/- 15%). Patients with a favorable outcome were distinguished from those with an unfavorable outcome by a higher maximum rate-pressure product (24 x 10(3) +/- 6 x 10(3) compared with 18 x 10(3) +/- 7 x 10(3), P = 0.0025), smaller size of the reversible scintigraphic perfusion defect expressed as a percentage of total myocardium imaged (6% +/- 11% compared with 17% +/- 18%, P = 0.05) and a smaller number of vessels with stenosis of 50% or more (1.1 +/- 1.2 compared with 2.1 +/- 1.0, P = 0.01). On multiple logistic regression analysis, a history of previous myocardial infarction was the most powerful predictor of outcome. In patients without myocardial infarction, reversible exercise thallium perfusion defect size was the only predictor

Non-physical practice improves task performance in an unstable, perturbed environment: Motor imagery and observational balance training

Directory of Open Access Journals (Sweden)

Wolfgang eTaube

2014-12-01

Full Text Available For consciously performed motor tasks executed in a defined and constant way, both motor imagery (MI and action observation (AO have been shown to promote motor learning. It is not known whether these forms of non-physical training also improve motor actions when these actions have to be variably applied in an unstable and unpredictable environment. The present study therefore investigated the influence of MI balance training (MI_BT and a balance training combining AO and MI (AO+MI_BT on postural control of undisturbed and disturbed upright stance on unstable ground. As spinal reflex excitability after classical (i.e., physical balance training (BT is generally decreased, we tested whether non-physical BT also has an impact on spinal reflex circuits. Thirty-six participants were randomly allocated into an MI_BT group, in which participants imagined postural exercises, an AO+MI_BT group, in which participants observed videos of other people performing balance exercises and imagined being the person in the video, and a non-active control group (CON. Before and after 4 weeks of non-physical training, balance performance was assessed on a free-moving platform during stance without perturbation and during perturbed stance. Soleus H-reflexes were recorded during stable and unstable stance. The post measurement revealed significantly decreased postural sway during undisturbed and disturbed stance after both MI_BT and AO+MI_BT. Spinal reflex excitability remained unchanged. This is the first study showing that non-physical training (MI_BT and AO+MI_BT not only promotes motor learning of ‘rigid’ postural tasks but also improves performance of highly variable and unpredictable balance actions. These findings may be relevant to improve postural control and thus reduce the risk of falls in temporarily immobilized patients.

Trichomonas vaginalis infection among homeless and unstably housed adult women living in a resource-rich urban environment.

Science.gov (United States)

Riley, Elise D; Cohen, Jennifer; Dilworth, Samantha E; Grimes, Barbara; Marquez, Carina; Chin-Hong, Peter; Philip, Susan S

2016-06-01

The social context of poverty is consistently linked to Trichomonas vaginalis infection, yet few studies regarding T. vaginalis have been conducted exclusively among low-income individuals. We identified social determinants of health associated with prevalent T. vaginalis infection among homeless and unstably housed adult women. Between April and October of 2010, we conducted cross-sectional T. vaginalis screening and behavioural interviews in an existing cohort of San Francisco homeless and unstably housed women. Data were analysed using multivariable logistical regression. Among 245 study participants, the median age was 47 years and 72% were of non-Caucasian race/ethnicity. T. vaginalis prevalence was 12%, compared to 3% in the general population, and 33% of infected individuals reported no gynaecological symptoms. In adjusted analysis, the odds of T. vaginalis infection were lower among persons older than 47 years, the population median (OR=0.14, 95% CI 0.04 to 0.38), and higher among those reporting recent short-term homeless shelter stays (OR=5.36, 95% CI 1.57 to 18.26). Race and income did not reach levels of significance. Sensitivity analyses indicated that testing all women who report recent unprotected sex would identify more infections than testing those who report gynaecological symptoms (20/30 vs 10/30; p=0.01). The prevalence of T. vaginalis is high among homeless and unstably housed adult women, over one-third of infected individuals have no gynaecological symptoms, and correlates of infection differ from those reported in the general population. Targeted screening and treatment among impoverished women reporting recent unprotected sex, particularly young impoverished women and all women experiencing short-term homelessness, may reduce complications related to this treatable infection. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

[Lateral epicondylitis: conservative - operative].

Science.gov (United States)

Altintas, Burak; Greiner, Stefan

2016-10-01

Lateral epicondylitis is a common disease of the common extensor origin at the lateral humerus. Despite its common self-limitation it can lead to chronic therapy-resistant pain with remarkable functional disability of the affected arm. Different conservative and operative treatment options of lateral epicondylitis are described and compared regarding benefits and risks. Additionally, recent surgical techniques and their complications are mentioned. Based on the current literature, it is shown which treatment option can be recommended. This review was based on the literature analysis in PubMed regarding "conservative and operative therapy of lateral epicondylitis" as well as the clinical experience of the authors. Conservative treatment is the primary choice for the treatment of lateral epicondylitis if concomitant pathologies such as instability among others can be excluded. It should include strengthening against resistance with eccentric stretching of the extensor group. In persistent cases, operative treatment is warranted. Resection of the pathologic tissue at the extensor origin with debridement and refixation of the healthy tendinous tissue yields good results. Most patients with lateral epicondylitis can be treated conservatively with success. Radiological evaluation should be performed in therapy-resistant cases. In the case of partial or complete rupture of the extensor origin, operative therapy is indicated.

[Usefullness of intrasacral fixation in an extremely unstable lumbosacral spine].

Science.gov (United States)

Nishiura, Tsukasa; Nishiguchi, Mitsuhisa; Kusaka, Noboru; Takayama, Kazuhiro; Maeda, Yasuhiko; Ogihara, Kotaro; Nakagawa, Minoru

2007-04-01

Intrasacral fixation technique devised by Jackson is said to provide rigid lumbosacral fixation. We treated 3 cases of lumbosacral lesions using this technique in which lumbosacral segment had become extremely unstable during surgical intervention adding to the effect of original lesions. In all cases, surgeries were performed in 2 stages, intrasacral fixation and anterior stabilization. Case 1: A 52-year-old male was diagnosed fungal discitis and spondylitis at L4 and L5. X-ray showed destruction of the vertebral bodies. L2, L3 and sacrum were fixed posteriorly using the intrasacral fixation technique. One week after the first operation, L4 and L5 vertebral bodies were replaced by long fibula grafts through the extraperitoneal approach. Case 2: A 25-year-old female with cauda equina syndrome and abnormal body form diagnosed as having spondyloptosis in which the entire vertebral body of L5 had descended below the endplate of S1. MR imaging revealed marked canal stenosis at the S1 level. In the first surgery, L5 vertebral body was resected through the transperitoneal approach. After 1 week of bed rest, posterior segments of L5 were resected, L4 was affixed to the sacrum and anterior stabilization was achieved with 2 mesh cages and lumbosacral spine was fixed using the intrasacral fixation technique. Case 3: A 64-year-old female was diagnosed as having pyogenic discitis and osteomyelitis at the L5-S1 level. In spite of successful medical treatment for infection, low back pain continued. Radiologically, L5 vertebral body was shown to have collapsed and slipped anteriorly over the sacrum. L3, L4 and sacrum were fixed by intrasacral fixation. One week after the first operation, the L5/S1 disc and the suppurtive vertebral bodies were resected through the extraperitoneal approach and anterior stabilization was performed with iliac bone grafts. At follow-up for a minimum of 6 months, initial fixation was maintained in all 3 cases and bony fusion was obtained. The

Unstable propagation behavior of a ductile crack in SUS-304 stainless steel under high compliance tensile loading

International Nuclear Information System (INIS)

Tomoda, Yoshio

1981-01-01

In relation to the safe maintenance of nuclear power plants, it is necessary to prevent reactor coolant pipings from burst type failure caused by the unstable propagation of defects and cracks, such as stress corrosion cracking and fatigue cracks. In ductile materials, crack propagation is stable in tensile loading under fixed grip condition, when a specimen is controlled to deform in proportion to the increase of tensile load. However, it has been known that the instability of ductile cracks occurs after tensile load reached the maximum, especially under constant loading condition arising in the loading devices with high compliance or low tensile rigidity. In order to confirm the reliability of SUS 304 stainless pipes subjected to SCC, the crack propagation behavior was examined with the specimens having center cracks, using both testing machines with high compliance and low compliance. The instability of ductile cracks and the propagation velocity of unstable cracks were analyzed, and the calculated results were compated with the experimental results. Not only the compliance of testing machines but also the conditions of specimens affected the propagation of cracks. (Kako, I.)

C-reactive protein and angiographic characteristics of stable and unstable coronary artery disease : Data from the prospective PREVEND cohort

NARCIS (Netherlands)

Geluk, C.A.; Post, W.J.; Hillege, H.L.; Tio, R.A.; Tijssen, J.G.; van Dijk, R.B.; Dijk, Willem; Bakker, S.J.; de Jong, P.E.; van Gilst, W.H.; Zijlstra, F.

Aims: High sensitive-C-reactive protein (hs-CRP) is associated with coronary risk, which may be explained by an association with (unstable) coronary artery disease (CAD). Until now, histopathological and angiographic studies have failed to consistently demonstrate a strong relationship. However,

Bypass surgery versus stenting for the treatment of multivessel disease in patients with unstable angina compared with stable angina

NARCIS (Netherlands)

P.J. de Feyter (Pim); P. van den Heuvel; F. Unger (Felix); R. Beyar; W.K. Lindeboom (Wietze); V. de Valk (Vincent); S. Milo; R. Simon (Rudiger); G.F.O. Tyers (Frank); D. Regensburger; P.A. Crean (Peter); I.M. Penn (Ian); E. McGovern; C. van Cauwelaert; P.W.J.C. Serruys (Patrick)

2002-01-01

textabstractBACKGROUND: Earlier reports have shown that the outcome of balloon angioplasty or bypass surgery in unstable angina is less favorable than in stable angina. Recent improvements in percutaneous treatment (stent implantation) and bypass surgery (arterial grafts) warrant reevaluation of the

Managing risk in an unstable world.

Science.gov (United States)

Bremmer, Ian

2005-06-01

With emerging markets like China and politically unstable countries like Saudi Arabia figuring more than ever into companies' investment calculations, business leaders are turning to political risk analysis to measure the impact of politics on potential markets, minimize risks, and make the most of global opportunities. But political risk is more subjective than its economic counterpart. It is influenced by the passage of laws, the foibles of government leaders, and the rise of popular movements. So corporate leaders must grapple not just with broad, easily observable trends but also with nuances of society and even quirks of personality. And those hard-to-quantify factors must constantly be pieced together into an ongoing narrative within historical and regional contexts. As goods, services, information, ideas, and people cross borders today with unprecedented velocity, corporations debating operational or infrastructural investments abroad increasingly need objective, rigorous assessments. One tool for measuring and presenting stability data, for example, incorporates 20 composite indicators of risk in emerging markets and scores risk variables according to both their structural and their temporal components. The indicators are then organized into four equally weighted subcategories whose ratings are aggregated into a single stability score. Countries are ranked on a scale of zero (a failed state) to100 (a fully institutionalized, stable democracy). Companies can buy political risk analyses from consultants or, as some large energy and financial services organizations have done, develop them in-house. Either way, a complete and accurate picture of any country's risk requires analysts with strong reportorial skills; timely, accurate data on a variety of social and political trends; and a framework for evaluating the impact of individual risks on stability.

An innovative bio-engineering retaining structure for supporting unstable soil

Directory of Open Access Journals (Sweden)

Gianluca Bella

2017-04-01

Full Text Available The paper presents a new prefabricated bio-engineering structure for the support of unstable soil. This prefabricated structure is made of a steel frame which is completely filled with soil and a face made of tree trunks among which scions or autochthonous bushes are planted. Due to the difficulties in interpreting the complex interaction between soil and structure during the installation and lifetime, an in situ test was carried out in order to evaluate the state of stress in the steel frame and to understand the global behavior of the structure under service loads. On the basis of the obtained results, a procedure for checking the structure safety was proposed and discussed. An easy design method was developed during the research. Moreover, the use of this type of prefabricated structure shows several advantages, such as good performances in terms of stabilizing effects, and easy assembly and transport.

Efficacy of malaria prevention during pregnancy in an area of low and unstable transmission

DEFF Research Database (Denmark)

Ndyomugyenyi, Richard; Clarke, Siân E; Hutchison, Coll L.

2011-01-01

-randomised placebo-controlled trial involving 5775 women of all parities examined the effect of IPTp, ITNs alone, or ITNs used in combination with IPTp on maternal anaemia and low birth weight (LBW) in a highland area of southwestern Uganda. The overall prevalence of malaria infection, maternal anaemia and LBW...... services was observed. With ITNs offering a number of advantages over IPTp, yet showing comparable efficacy, we discuss why ITNs could be an appropriate preventive strategy for malaria control during pregnancy in areas of low and unstable transmission....

Calculation of a CO sub 2 gasdynamic laser with selective thermal excitation and an unstable resonator

Energy Technology Data Exchange (ETDEWEB)

Kuz' min, A.I.; Lavrov, A.V.; Chernysheva, N.V. (Leningradskii Gosudarstvennyi Universitet, Leningrad (USSR))

1989-03-01

The problem of calculating an unstable telescopic resonator for a CO{sub 2} gasdynamic laser with selective thermal excitation is studied. Parabolized Navier-Stokes equations and equations of field propagation in the resonator are used to describe the GDL in the geometric optic approximation. The efficiency is studied as a function of the magnification factor and of the distance between the mirrors. 19 refs.

Emergency watershed protection measures in highly unstable terrain on the Blake Fire, Six Rivers National Forest, 1987

Science.gov (United States)

Mark E. Smith; Kenneth A. Wright

1989-01-01

The Blake Fire burned about 730 ha of mature timber on the west slope of South Fork Mountain in northwestern California. Many steep innergorge and landslide headwall areas burned very hot, killing most large trees and consuming much of the large organic debris in unstable drainages. This created a potential for adverse effects on downstream fisheries from landsliding...