Understanding Antegrade Colonic Enema (ACE) Surgery

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... Enema (ACE) Surgery Menu Overview Procedure Details Risks / Benefits What is antegrade colonic enema (ACE) surgery? Antegrade ... Accepted Insurance Make a Donation Refer a Patient Phone Directory Blog, News & Mobile Apps Consult QD Health Essentials Newsroom Mobile Apps ...

Analysis of glycerin waste in A-Area sanitary treatment facility material

International Nuclear Information System (INIS)

1995-01-01

TNX has a large supply of 55 gallon drums containing pure glycerin and glycerin with additives. The glycerin drums were procured to simulate the glass stream in a pilot-scale melter process at TNX. Since the glycerin was not used for this process, TNX is looking at disposing the material in a sanitary waste treatment facility onsite. The effect of adding the contents of the drums to sewage bacteria was tested. A drum of pure glycerin and a drum of glycerin mixed with lithium chloride were tested. The test consisted of mixing sanitary sludge material with the glycerin material. The purpose of the test was to determine if the glycerin impacted the aerobic bacterial population. The bacterial densities were determined by taking samples from the sludge/glycerin mixtures and using aerobic plate count methods. The total organic carbon (TOC) levels were measured before and after testing. The results indicate that the cell density of the aerobic bacteria increased with the addition of glycerin and the glycerin mixture and the TOC removal rate was different for all tests. Disposal of glycerin in the wastewater treatment facilities should pose no problems. Additional testing and analysis of the mixed samples should be done before its disposal in a waste water treatment facility

[Tetany secondary to phosphate enema toxicity, case report].

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Núñez Sánchez, María José; Leighton Swaneck, Sofía; Díaz, Franco

2017-06-01

Phosphate enemas are frequently used in the treatment of constipation. Errors in dosage and administration can lead to severe complications. To report a case of severe toxicity of phosphate enemas in a child with no risk factors. 2 years old female, with functional constipation, was brought to emergency department because abdominal pain. She was diagnosed with fecal impaction and received half a bottle of Fleet Adult® (Laboratorio Synthon, Chile) two times, with no clinical resolution, deciding to start proctoclisis in pediatric ward. Soon after admission, she presented painful tetany, but alert and oriented. Patient was transferred to PICU where severe hyperphosphatemia and secondary hypocalcemia were confirmed. Her treatment included electrolyte correction; removal of residual phosphate enema and hyperhydration. Tetany resolved over 2 hours after admission and no other complications. Proctoclisis was performed and patient was discharged three days after admission with pharmacological management of constipation. Phosphate enemas may cause serious complications in children with no risk factors. Errors in dosage, administration and removal of the enema are causes of toxicity in this group. Pediatricians and health personnel must be aware of risks and signs of toxicity of phosphate enema.

Crude glycerin in diets for feedlot Nellore cattle

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Eric Haydt Castello Branco van Cleef

2014-02-01

Full Text Available Two studies were conducted to evaluate the effects of crude glycerin on feed intake, performance, carcass characteristics, and total digestibility of Nellore bulls. In experiment 1, cattle (n = 30 were fed a control diet without crude glycerin and diets containing 7.5, 15, 22.5, and 30% crude glycerin, for 103 d. Animals were harvested and data of carcass characteristics were collected. In experiment 2, a digestibility trial was performed using indigestible acid detergent fiber (iADF as internal marker, and five rumen-cannulated steers. Both experiments were conducted as a randomized complete block design and data were analyzed using mixed procedures. In experiment 1 no differences were observed among treatments on dry matter intake, and performance variables. Regarding carcass characteristics, no effect was observed, except for carcass fat estimates, which were greater in treatments with crude glycerin. In experiment 2, crude glycerin promoted a decrease in digestibility of fibrous fractions NDF and HEM, and increased digestibility of crude protein by 6%. Although it caused negative effect on digestibility of fibrous fraction of diets, crude glycerin can be a good energy source for Nellore bulls, since no losses are observed on performance and carcass characteristics when animals are fed up to 30% of this by-product.

Effect of rectal enema on intrafraction prostate movement during image-guided radiotherapy.

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Choi, Youngmin; Kwak, Dong-Won; Lee, Hyung-Sik; Hur, Won-Joo; Cho, Won-Yeol; Sung, Gyung Tak; Kim, Tae-Hyo; Kim, Soo-Dong; Yun, Seong-Guk

2015-04-01

Rectal volume and movement are major factors that influence prostate location. The aim of this study was to assess the effect of a rectal enema on intrafraction prostate motion. The data from 12 patients with localised prostate cancer were analysed. Each patient underwent image-guided radiotherapy (RT), receiving a total dose of 70 Gy in 28 fractions. Rectal enemas were administered to all of the patients before each RT fraction. The location of the prostate was determined by implanting three fiducial markers under the guidance of transrectal ultrasound. Each patient underwent preparation for IGRT twice before an RT fraction and in the middle of the fraction. The intrafraction displacement of the prostate was calculated by comparing fiducial marker locations before and in the middle of an RT fraction. The rectal enemas were well tolerated by patients. The mean intrafraction prostate movement in 336 RT fractions was 1.11 ± 0.77 mm (range 0.08-7.20 mm). Intrafraction motions of 1, 2 and 3 mm were observed in 56.0%, 89.0% and 97.6% of all RT fractions, respectively. The intrafraction movements on supero-inferior and anteroposterior axes were larger than on the right-to-left axes (P movement, calculated using the van Herk formula (2.5Σ + 0.7σ), was 1.50 mm. A daily rectal enema before each RT fraction was tolerable and yielded little intrafraction prostate displacement. We think the use of rectal enemas is a feasible method to reduce prostate movement during RT. © 2014 The Royal Australian and New Zealand College of Radiologists.

Effect of rectal enema on intrafraction prostate movement during image-guided radiotherapy

International Nuclear Information System (INIS)

Choi, Youngmin; Kwak, Dong-Won; Lee, Hyung-Sik; Hur, Won-Jooh; Cho, Won-Yeol; Sung, Gyung Tak; Kim, Tae-Hyo; Kim, Soo-Dong; Yun, Seong-Guk

2015-01-01

Rectal volume and movement are major factors that influence prostate location. The aim of this study was to assess the effect of a rectal enema on intrafraction prostate motion. The data from 12 patients with localised prostate cancer were analysed. Each patient underwent image-guided radiotherapy (RT), receiving a total dose of 70 Gy in 28 fractions. Rectal enemas were administered to all of the patients before each RT fraction. The location of the prostate was determined by implanting three fiducial markers under the guidance of transrectal ultrasound. Each patient underwent preparation for IGRT twice before an RT fraction and in the middle of the fraction. The intrafraction displacement of the prostate was calculated by comparing fiducial marker locations before and in the middle of an RT fraction. The rectal enemas were well tolerated by patients. The mean intrafraction prostate movement in 336 RT fractions was 1.11 ± 0.77 mm (range 0.08–7.20 mm). Intrafraction motions of 1, 2 and 3 mm were observed in 56.0%, 89.0% and 97.6% of all RT fractions, respectively. The intrafraction movements on supero-inferior and anteroposterior axes were larger than on the right-to-left axes (P < 0.05). The CTV-to-PTV margin necessary to allow for movement, calculated using the van Herk formula (2.5Σ + 0.7σ), was 1.50 mm. A daily rectal enema before each RT fraction was tolerable and yielded little intrafraction prostate displacement. We think the use of rectal enemas is a feasible method to reduce prostate movement during RT.

Blood pressure changes during barium enema

International Nuclear Information System (INIS)

Roach, S.C.; Martin, O.J.D.; Owen, A.; Martin, D.F.

2001-01-01

AIMS: To document blood pressure changes during barium enema examination and to determine at what point in the examination changes are likely to occur. METHODS AND RESULTS: Blood pressure measurements were taken at seven points during the course of barium enema examination in 107 consecutive patients. We found that patients over the age of 60 years had statistically significant decreases in blood pressure when they were stood up during the course of the examination. Many of these patients were asymptomatic. Patients who had symptoms (15/107, 14%) when standing up had a degree of hypotension. The duration of barium enema examination is longer in those patients who experience symptoms. CONCLUSION: During a barium enema examination hypotension occurs at the point of standing up more frequently in patients over 60 years and in those who suffer symptoms at this time. Patients who fall into one of these groups should be considered at risk of fainting at this point in the examination. A modified technique to avoid standing should be considered in at-risk patients. Roach, S.C. et al. (2001)

Perforations during contrast enema

International Nuclear Information System (INIS)

Vogel, H.; Steinkamp, U.; Grabbe, E.; Allgemeines Krankenhaus Ochsenzoll, Hamburg

1983-01-01

During contrast enema, perforation into the retroperitoneal space can be differentiated from perforation into the peritoneum and perforation into the intestinal wall associated with formation of barium granulomas or submucosal spreading of the contrast medium. Other special forms are perforation with contrast medium embolism of diverticula; of the processus vermiformis; penetration of contrast medium into fistulous systems and from the operated areas. Risk factors are: balloon catheter, intestinal tubes with a hard tip, preternatural anus, excessive enema pressure, contrast medium additions, preceding manipulations, intestinal diseases, advanced age and delegation of manipulations to assistants and unskilled staff. Children are particularly at risk. (orig.) [de

Indications for repeated enema reduction of intussusception in children

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Vujović Dragana

2014-01-01

Full Text Available Introduction. Intussusception is a common abdominal emergency in early childhood. It is idiopathic in more than 90% of cases with incidence of 1.5-4 per 1,000 live births. The treatment of choice is nonoperative hydrostatic or air enema reduction. Objective. The aim of the study was to evaluate the influence of clinical presentation and symptom duration in non-operative treatment, considering the indications for delayed enema reduction and its efficacy. Methods. From the total number of 107 patients with intusussception, aged from 2 months to 14 years (median 9 months, 102 (95% patients with ileo-colic intussusceptions were treated initially by ultrasound guided saline enema. Records were reviewed for patients with failed initial treatment and delayed repeated enemas or operative procedure. The predictor variable included duration of presenting symptoms. Results. Successful treatment by hydrostatic saline enemas had 58/102 (57% patients. Success in reduction was greater if symptom duration was 24 hours, (4/45 cases; 9%. Despite failed initial attempts, enema reduction was reattempted in 12 patients, with success in 7/12 (60% patients. Children with symptom duration >24 hours had a greater risk of requiring surgery (41/45 cases; 91%, p<0.001, including 5 (5% patients with ileo-ileal intussusceptions. Conclusion. The accuracy of ultrasound guided saline enema in intussusception reduction is high. Delay in presentation decreases success of non-operative treatment. Delayed enema reduction is important therapeutic option for intussusceptions. Surgical treatment is indicated in cases of complications.

Evaluation of Dietary Glycerin Inclusion During Different Broiler Rearing Phases

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LW Freitas

Full Text Available ABSTRACT The objective of this study was to evaluate the effect of the dietary addition of different levels of glycerin on the performance, litter moisture, pododermatitis incidence, and carcass and parts yield of broilers. In total, 1,610 broilers were reared in 35 pens with 46 birds each. A completely randomized experimental design, with five treatments with seven replicates was applied. The experimental treatments were: T1: control diet; T2: dietary inclusion of 5% glycerin from 1-42 days of age; T3: dietary inclusion of 10% glycerin from 1-42 days of age; T4: dietary inclusion of 5% glycerin from 7-42 days of age; T5: dietary inclusion of 10% glycerin from 7-42 days of age. The diets containing glycerin fed since the pre-starter period improved broiler weight gain and feed conversion ratio, but did not influence feed intake or livability. At the end of the experiment, the production efficiency index of the broilers fed 10% glycerin during the entire rearing period was significantly reduced compared with the other treatments. Litter moisture in the pens of broilers fed 10% glycerin during the entire rearing period was higher compared to the other treatments since day 21.Diets containing 10% glycerin, both for the entire rearing period (1-42 days or only after the pre-starter phase (7-42 days, influenced broiler performance and incidence of severe pododermatitis, reducing the production efficiency indexes at 42 days. Glycerin may be added up to 5% in broiler´s diets with no effect on performance, litter moisture and carcass yield, indicating that this co-product of the biodiesel industry can be used as an alternative feedstuff for broilers.

Other glycerin reactions

International Nuclear Information System (INIS)

Kimsanov, B.Kh.; Karimov, M.B.; Khuseynov, K.

1998-01-01

At the dehydration of glycerin under at the action of water-take substances (KHSO 4 , HBO 3 , waterless MgSO 4 ) forms acrolein. Acrolein at the careful oxidation change into acrylic acid, which is monomer for synthesis of polymer materials

Self-Administered Ethanol Enema Causing Accidental Death

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Thomas Peterson

2014-01-01

Full Text Available Excessive ethanol consumption is a leading preventable cause of death in the United States. Much of the harm from ethanol comes from those who engage in excessive or hazardous drinking. Rectal absorption of ethanol bypasses the first pass metabolic effect, allowing for a higher concentration of blood ethanol to occur for a given volume of solution and, consequently, greater potential for central nervous system depression. However, accidental death is extremely rare with rectal administration. This case report describes an individual with klismaphilia whose death resulted from acute ethanol intoxication by rectal absorption of a wine enema.

Dynamics of glycerine and water transport across human skin from binary mixtures.

Science.gov (United States)

Ventura, S A; Kasting, G B

2017-04-01

Skin transport properties of glycerine and water from binary mixtures contacting human skin were determined to better understand the mechanism of skin moisturization by aqueous glycerine formulations. Steady-state permeation for 3 H 2 O and 14 C-glycerine across split-thickness human skin in vitro and desorption dynamics of the same permeants in isolated human stratum corneum (HSC) were experimentally determined under near equilibrium conditions. These data were compared to a priori values developed in the context of a thermodynamic model for binary mixtures of glycerine and water and a previously determined water sorption isotherm for HSC. This allowed the estimation of diffusion and partition coefficients for each permeant in the HSC, as well as HSC thickness, as a function of composition of the contacting solution. These data may be used to estimate water retention and associated HSC swelling related to the absorption and slow release of glycerine from the skin. It took 6+ days for glycerine to completely desorb from HSC immersed in glycerine/water binary solutions. Desorption of both 3 H 2 O and 14 C-glycerine from HSC was slower in pure water than from binary mixtures, a result that is largely explained by the greater swelling of HSC in water. Parametric relationships were developed for water and glycerine intradiffusivities in HSC as functions of HSC water content, and a mutual diffusion coefficient was estimated by analogy with glycerine/water binary solutions. The intradiffusivity of 14 C-glycerine in HSC as inferred from sorption/desorption experiments was shown to be approximately 10-fold less than that inferred from permeation experiments, whereas the corresponding values for 3 H 2 O were comparable. These studies confirm that glycerine enters HSC in substantial quantities and has a long residence time therein. The coupling between bulk water and glycerine transport projected from binary solution data suggests the net effect of glycerine is to slow water

Enema abuse by mothers of children presenting to the emergency ...

African Journals Online (AJOL)

Enema is largely used and widely abused in our community for various ailments including fever, constipation; abdominal pains vomiting and even diarrhoea. Objectives: To describe the abuse of enema at home in the Calabar area, and the associated findings among children who received enema. Method: Children ...

From cross-linking to plasticization - characterization of Glycerin/HTPB blends

Energy Technology Data Exchange (ETDEWEB)

Kohga, Makoto [Department of Applied Chemistry, National Defense Academy, Hashirimizu, Yokosuka, Kanagawa (Japan)

2009-10-15

Usually, a plasticizer is a relatively low-viscosity liquid ingredient that is added to improve the mechanical properties and the processing properties of a propellant, such as a lower viscosity for casting or a longer pot life of the mixed, but uncured propellant. The effects of many plasticizers on the performance of the composite propellant have been studied in detail. Glycerin is a triol, a low viscosity material, and inexpensive. It seems that the processing properties and the mechanical properties of the HTPB binder would be improved by the addition of glycerin. The curing behavior, the mechanical properties, and the thermal decomposition of a glycerin/HTPB blend have been investigated in this study. The viscosity of the glycerin/HTPB blend and the increasing ratio of the viscosity versus the elapsed time are lower than those of only HTPB. The mechanical properties are improved by the addition of glycerin, even for a low quantity of glycerin. The thermal decomposition behavior of the blend occurs at lower temperatures when compared to that of HTPB. (Abstract Copyright [2009], Wiley Periodicals, Inc.)

Extreme hyperphosphatemia and hypocalcemic coma associated with phosphate enema.

Science.gov (United States)

Hsu, Heng Jung; Wu, Mai-Szu

2008-01-01

Fleet enema (sodium phosphate, C.B. Fleet Co., Inc., Lynchburg, Virginia) is widely used for bowel preparation or constipation relief in the hospital and over the counter. The potential risks, including hyperphosphatemia and hypocalcemic coma should be kept in mind of primary care physician. The patients with older age, bowel obstruction, small intestinal disorders, poor gut motility, and renal disease are contraindicated or should be administered with caution. We present a patient with old age and chronic renal failure who developed severe hyperphosphatemia and hypocalcemic tetany with coma after sodium phosphate enema. We recommend the use of alternative enema preparations, such as simple tap water or saline solution enemas, which can prevent fatal complications in high risk patients.

21 CFR 201.304 - Tannic acid and barium enema preparations.

Science.gov (United States)

2010-04-01

... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Tannic acid and barium enema preparations. 201.304... Tannic acid and barium enema preparations. (a) It has become a widespread practice for tannic acid to be added to barium enemas to improve X-ray pictures. Tannic acid is capable of causing diminished liver...

Barium enema findings of milk allergy in infants

International Nuclear Information System (INIS)

Kim, Gyoung Ju; Kim, Mi Jeong; Lee, Hee Jung

2006-01-01

We wanted to evaluate the barium enema findings of milk allergy in infants. Retrospective evaluation of the plain abdominal radiography and barium enema findings was performed in fifteen young infants suffering with milk allergy. The presence of gaseous distension, rectal gas, paralytic ileus and mechanical obstruction was evaluated on the plain radiography. The presence of spasm, a transitional zone, a reversed rectosigmoid index and mucosal irregularity was analyzed on the barium enema; the presence of barium retention was also evaluated on 24-hour-delayed plain radiography. Paralytic ileus was the most common finding on the plain radiography (93%). On the barium enema, continuous spasm of the colon, ranging from the rectum to the descending colon, was revealed in ten infants (67%). A transitional zone was observed in one infant and a reversed rectosigmoid index was revealed in four. Mucosal irregularity was observed in two infants. Barium retention was demonstrated in 11 of fifteen cases: throughout the entire colon (n = 3), from the rectum to the descending colon (n = 7), and up to the transverse colon (n = 1). The most common barium enema finding of milk allergy in infants was spasm of the distal colon. The other findings were a transitional zone, a reversed rectosigmoid index, mucosal irregularity and barium retention

Effect of rectal enemas on rectal dosimetric parameters during high-dose-rate vaginal cuff brachytherapy. A prospective trial

Energy Technology Data Exchange (ETDEWEB)

Sabater, Sebastia; Andres, Ignacio; Sevillano, Marimar; Berenguer, Roberto; Aguayo, Manuel; Villas, Maria Victoria [Complejo Hospitalario Universitario de Albacete (CHUA), Department of Radiation Oncology, Albacete (Spain); Gascon, Marina; Arenas, Meritxell [Hospital Universitari Sant Joan, Department of Radiation Oncology, Reus (Spain); Rovirosa, Angeles; Camacho-Lopez, Cristina [University of Barcelona, IDIBAPS, Gynecological Cancer Unit, Radiation Oncology Department, ICMHO, Hospital Clinic, Barcelona (Spain)

2016-04-15

To evaluate the effects of rectal enemas on rectal doses during postoperative high-dose-rate (HDR) vaginal cuff brachytherapy (VCB). This prospective trial included 59 patients. Two rectal cleansing enemas were self-administered before the second fraction, and fraction 1 was considered the basal status. Dose-volume histogram (DVH) values were generated for the rectum and correlated with rectal volume variation. Statistical analyses used paired and unpaired t-tests. Despite a significant 15 % reduction in mean rectal volume (44.07 vs. 52.15 cc, p = 0.0018), 35.6 % of patients had larger rectums after rectal enemas. No significant rectal enema-related DVH differences were observed compared to the basal data. Although not statistically significant, rectal cleansing-associated increases in mean rectal DVH values were observed: D{sub 0.1} {sub cc}: 6.6 vs. 7.21 Gy; D{sub 1} {sub cc}: 5.35 vs. 5.52 Gy; D{sub 2} {sub cc}: 4.67 vs. 4.72 Gy, before and after rectal cleaning, respectively (where D{sub x} {sub cc} is the dose to the most exposed x cm {sup 3}). No differences were observed in DVH parameters according to rectal volume increase or decrease after the enema. Patients whose rectal volume increased also had significantly larger DVH parameters, except for D{sub 5} {sub %}, D{sub 25} {sub %}, and D{sub 50} {sub %}. In contrast, in patients whose rectal volume decreased, significance was only seen for D{sub 25} {sub %} and D{sub 50} {sub %} (D{sub x} {sub %} dose covering x % of the volume). In the latter patients, nonsignificant reductions in D{sub 2} {sub cc}, D{sub 5} {sub cc} and V{sub 5} {sub Gy} (volume receiving at least 5 Gy) were observed. The current rectal enemas protocol was ineffective in significantly modifying rectal DVH parameters for HDR-VCB. (orig.) [German] Beurteilung der Auswirkungen von rektalen Dosen waehrend postoperativer High-Dose-Rate-(HDR-)Brachytherapie an der Scheidenmanschette (''vaginal cuff brachytherapy'', VCB). An

Co-digestion of crude glycerin associated with cattle manure in biogas production in the State of Paraná, Brazil

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Felix Augusto Pazuch

2017-05-01

Full Text Available The addition of different concentrations of crude glycerin, associated with cattle manure, on the volumetric production of biogas is analyzed. Different concentrations of crude glycerin (2, 4 and 6% m m-1 were added as supplement in anaerobic co-digestion of dairy cattle waste, in laboratory batch biodigesters (3.5 L usable volume. The biodigesters were operated under mesophilic conditions (30ºC, with 30-day hydraulic retention time (HRT. Total solids (TS, volatile solids (VS and chemical oxygen demand (COD were analyzed to determine the efficiency of the process in the removal of organic matter and its effect on biogas production. The addition of 4% glycerin provided a larger production of biogas, approximately 9.307 mL. The efficiency in COD removal decreased in treatments with glycerin, with highest reduction (68% in the control treatment. There was a 90 and 118% increase respectively for Gli4 and Gli6% treatments. VS reductions Gly 0, Gly 2, Gly 4 and Gly 6% treatments were 18.17, 61.60, 24.36 and 44.83%, for the respective treatments.

Physico - chemical characterization of gamma irradiated PVP-honey-glycerine hydrogel

International Nuclear Information System (INIS)

Darmawan Darwis; Lely Hardiningsih; Farah Nurlidar

2010-01-01

Research to investigate physico-chemical characterizatics of hydrogel wound dressing containing 6% (b/v) of honey and various concentrations of glycerine from 0-5% (b/v) has been done. Nine series of hydrogel formulas with various composition of PVP hydrogel were irradiated using gamma rays at a dose of 25 kGy. The results showed that addition of honey 6% and glycerine up to 5% lead to the formation of hydrogel with following properties: sterile, transparence, browning color, improved flexibility, conformability to skin and resistance against mould. The PVP-honey-glycerine hydrogel also showed lower water favor evaporation at 37 o C and higher water absorption properties compared to basic formula (without additional of honey and glycerine). (author)

Gravimetric analysis and differential scanning calorimetric studies on glycerin-induced skin hydration.

Science.gov (United States)

Lee, Ae-Ri Cho; Moon, Hee Kyung

2007-11-01

A thermal gravimetric analysis (TGA) and a differential scanning calorimetry (DSC) were carried out to characterize the water property and an alteration of lipid phase transition of stratum corneum (SC) by glycerin. In addition, the relationship between steady state skin permeation rate and skin hydration in various concentrations of glycerin was investigated. Water vapor absorption-desorption was studied in the hairless mouse stratum corneum. Dry SC samples were exposed to different conc. of glycerin (0-50%) followed by exposure to dry air and the change in weight property was monitored over time by use of TGA. In DSC study, significant decrease in DeltaH of the lipid transition in 10% glycerin and water treated sample: the heat of lipid transition of normal, water, 10% glycerin treated SC were 6.058, 4.412 and 4.316 mJ/mg, respectively. In 10% glycerin treated SCs, the Tc of water shifts around 129 degrees C, corresponding to the weakly bound secondary water. In 40% glycerin treated SC, the Tc of water shifts to 144 degrees C corresponding to strongly bound primary water. There was a good correlation between the hydration property of the skin and the steady state skin flux with the correlation coefficient (r2=0.94). As the hydration increased, the steady state flux increased. As glycerin concentration increased, hydration property decreased. High diffusivity induced by the hydration effect of glycerin and water could be the major contributing factor for the enhanced skin permeation of nicotinic acid (NA).

Spectra of single-bubble sonoluminescence in water and glycerin-water mixtures

International Nuclear Information System (INIS)

Gaitan, D.F.; Atchley, A.A.; Lewia, S.D.; Carlson, J.T.; Maruyama, X.K.; Moran, M.; Sweider, D.

1996-01-01

A single gas bubble, acoustically levitated in a standing-wave field and oscillating under the action of that field, can emit pulses of blue-white light with duration less than 50 ps. Measurements of the spectrum of this picosecond sonoluminescence with a scanning monochrometer are reported for air bubbles levitated in water and in glycerin-water mixtures. While the spectrum has been reported previously by others for air bubbles in water, the spectrum for air bubbles in water-glycerin mixtures has not. Expected emission lines from glycerin were conspicuously absent, suggesting a different mechanism for light production in single-bubble sonoluminescence. Other conclusions are the spectrum for air bubbles in water is consistent with that previously reported, the radiated energy decreases as the glycerin concentration increases, and the peak of the spectrum appears to shift to longer wavelengths for the water-glycerin mixtures. copyright 1996 The American Physical Society

Enterogastroesophageal reflux during barium enema: Report of a case

International Nuclear Information System (INIS)

Shin, Hyoun Ja; Rhee, Hak Song

1972-01-01

Enterogastric reflux during barium enema examination has been ascribed to various causes including incompetence of the ilepcecal valve, shunt, fistula, excessive barium etc. Recently we have encountered a case of complete enterogastroesphageal regurgitation during barium enema examination performed for the reduction of the ileocolic intuosusception in 6 months old baby. The regurgitation occurred only in the first of two barium enema examinations conducted at one month interval for recurring intussusception. The barium-saline solution used in the present study was not more than 350 ml in quantity. No organic or physical causes of such a complete regurgitation could be determined

The chemistry of glycerin

International Nuclear Information System (INIS)

Kimsanov, B.Kh.; Karimov, M.B.; Khuseynov, K.

1998-01-01

This book dedicated to chemistry of polyatomic alcohols, in particular, to glycerin and its numerous derivatives. These compounds are very widespread in the natural objects and carry out several functions in alive organism. Big part of these matters are arrange in industry production of base organic synthesis

Qualitative characteristics of meat from young bulls fed different levels of crude glycerin.

Science.gov (United States)

Carvalho, J R R; Chizzotti, M L; Ramos, E M; Machado Neto, O R; Lanna, D P D; Lopes, L S; Teixeira, P D; Ladeira, M M

2014-02-01

The objective was to evaluate the fatty acid profile and qualitative characteristics of meat from young bulls fed crude glycerin. Forty-four animals with an initial live weight of 368 ± 4 kg were used in a completely randomized design, with four treatments: no glycerin or addition of 6, 12 or 18% glycerin. The animals were slaughtered with 519.5 ± 14.9 kg of live weight. The meat characteristics assessed were chemical composition, shear force, fatty acid concentration, color and lipid oxidation. The addition of glycerin increased the content of ether extract (P<0.05) in the muscle. A linear increase was observed (P<0.05) in the oleic acid contents (C18:1 cis 9). The saturated fatty acid (SFA) contents linearly decreased in the muscle as a function of glycerin addition. The lightness (L*) and yellowness (b*) indices increased with the use of crude glycerin (P<0.05). The crude glycerin increased the intramuscular fat and oleic acid content in the longissimus dorsi muscle. © 2013.

Generation of biogas using crude glycerin from biodiesel production as a supplement to cattle slurry

Energy Technology Data Exchange (ETDEWEB)

Robra, S.; Neto, J. A. Almeida [Departamento de Ciencias Agrarias e Ambientais, Universidade Estadual de Santa Cruz, Rod. Ilheus/Itabuna km 16 s/n, CEP 45662-000 Ilheus, Bahia (Brazil); Serpa da Cruz, R.; de Oliveira, A.M.; Santos, J.V. [Departamento de Ciencias Exatas e Tecnologicas, Universidade Estadual de Santa Cruz, Rod. Ilheus/Itabuna km 16 s/n, CEP 45662-000 Ilheus, Bahia (Brazil)

2010-09-15

The influence of crude glycerin on biogas production and methane content of the produced biogas was studied, when added to cattle slurry. The experimental design consisted of 5% wt (Gli 5), 10% wt (Gli 10), and 15% wt (Gli 15) of crude glycerin added to cattle slurry, and one control digester without addition of crude glycerin. Anaerobic digestion was carried out in 4 laboratory size CSTR-type biogas digesters with a working volume of 3 L, in semi-continuous regime at mesophilic conditions, over a period of 10 weeks. The highest biogas yields (825.3 mL g{sup -1} and 825.7 mL g{sup -1}, respectively) relative to mass of volatile compounds added, were produced by the treatments Gli 5 and Gli 10. The control treatment produced 268.6 mL g{sup -1}, whereas the treatment Gli 15 produced 387.9 mL g{sup -1}. This low value was due to the breakdown of the process. Compared to the control, methane contents was increased by 9.5%, 14.3%, and 14.6%, respectively, for the treatments Gli 5, Gli 10, and Gli 15. (author)

Glycerin levels while maintaining the electrolyte balance in finishing pig diets

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Rafaeli Gonçalves Leite

Full Text Available ABSTRACT The objective of this study was to evaluate performance and carcass and meat characteristics of finishing pigs fed diets with different levels of glycerin, while maintaining the electrolyte balance. Forty barrows with an initial weight of 97.76±13.44 kg were distributed, in a randomized block design, into four treatments with five replicates. Treatments consisted of diets containing 0, 5, 10, and 15% glycerin. Inclusions of salt and sodium bicarbonate were adjusted to balance the sodium content and maintain the same electrolyte balance of the diets as a function of glycerin inclusions. In vivo backfat thickness, daily feed intake, daily weight gain, and feed conversion were measured. After the animals were slaughtered, pH and temperature were measured 45 min and 24 h postmortem, and backfat thickness, loin-eye area, drip loss, and colorimetry were determined. Glycerin inclusion levels did not influence the performance of barrows. Hot carcass weight, dressing percentage, and lightness had higher values when pigs were fed diets containing 2.32, 2.43, and 2.61% glycerin, respectively. The other carcass and meat characteristics were not influenced. Glycerin can be used in finishing pig diets without compromising results of performance or carcass and meat characteristics up to the inclusion level of 15%.

40 CFR 417.50 - Applicability; description of the glycerine distillation subcategory.

Science.gov (United States)

2010-07-01

... AGENCY (CONTINUED) EFFLUENT GUIDELINES AND STANDARDS SOAP AND DETERGENT MANUFACTURING POINT SOURCE... production of finished glycerine of various grades (e.g., USP) through concentration from crude glycerine by...

The diagnostic value of barium enema in acute appendicitis

International Nuclear Information System (INIS)

Kim, Yong Ga; Chung, Duck Soo; Kim, Ok Dong

1986-01-01

Acute appendicitis is the most common acute surgical condition of the abdomen. When the clinical presentation is atypical, barium enema has proven to be safe and useful in confirming the diagnosis and reducing the negative surgical exploration. However, the performance of barium enema in acute appendicitis has known contraindication primarily because of fear of leakage by perforation of the inflamed appendix. This study using barium enema as a diagnostic aid in acute appendicitis with atypical clinical presentation was performed to further support the previously noted efficacy and safety of this procedure. The results were as followings: 1. In case of acute appendicitis with atypical clinical presentation, the use of barium enema as a diagnostic aid increased the accuracy of diagnosis and decreased the negative surgical exploration. In women between 11 to 50 years old age, especially, it played important role differentiating appendicitis from nonsurgical acute abdomen. 2. The results of the study were 92.31% in sensitivity, 7.69% in false positive, 6.9% in false negative, and 10.26% in negative appendectomy. 3. None of case of leakage of barium by perforation of the inflamed appendix was noted, therefore, barium enema was thought to be safe as a diagnostic aid in acute appendicitis. 4. A simple partial or non filling of appendix without other associated positive finding could not exclude appendicitis, therefore, close clinical observation was necessary. 5. The positive findings of barium enema and their sensitivity were as followings: 1. Non filling of appendix: 90% 2. Partial filling of appendix: 91.7% 3. Displacement or a local impression on terminal ileum: 100%

Outcome of barium enema in patients with colorectal symptoms ...

African Journals Online (AJOL)

Background: For many years, double contrast barium enema has been an effective way to evaluate the large bowel. With the development of the colonoscope, the role of barium enema has been questioned. However it is still useful in investigating patients with colorectal symptoms especially in the developing world where ...

Coffee Enema for Preparation for Small Bowel Video Capsule Endoscopy: A Pilot Study

Science.gov (United States)

Kim, Eun Sun; Keum, Bora; Seo, Yeon Seok; Jeen, Yoon Tae; Lee, Hong Sik; Um, Soon Ho; Kim, Chang Duck; Ryu, Ho Sang

2014-01-01

Coffee enemas are believed to cause dilatation of bile ducts and excretion of bile through the colon wall. Proponents of coffee enemas claim that the cafestol palmitate in coffee enhances the activity of glutathione S-transferase, an enzyme that stimulates bile excretion. During video capsule endoscopy (VCE), excreted bile is one of the causes of poor preparation of the small bowel. This study aimed to evaluate the feasibility and effect of coffee enema for preparation of the small bowel during VCE. In this pilot study, 17 of 34 patients were assigned to the coffee enema plus polyethylene glycol (PEG) 2 L ingestion group, whereas the 17 remaining control patients received 2 L of PEG only. The quality of bowel preparation was evaluated in the two patient groups. Bowel preparations in the proximal segments of small bowel were not differ between two groups. In the mid and distal segments of the small intestine, bowel preparations tend to be better in patients who received coffee enemas plus PEG than in patients who received PEG only. The coffee enema group did not experience any complications or side effects. Coffee enemas may be a feasible option, and there were no clinically significant adverse events related to coffee enemas. More prospective randomized studies are warranted to improve small bowel preparation for VCE. PMID:25136541

Diagnostic role of barium enema in carcinoma rectum

International Nuclear Information System (INIS)

Asghar, M.

2003-01-01

Objective: The main aim of this barium enema study was to evaluate its role in patients suspected to have rectal pathologies with complaints of change in bowel habit, anorexia/weight loss, bleeding per rectum and acute/sub-acute colonic obstruction. Results: barium enema study as screening test for colo-rectal carcinoma was undertaken. Contrast outlined the colonic growth in 35 cases, out of which the cases of carcinoma colon were 24 including 13 patients suffering from carcinoma rectum. The percentage of carcinoma colon to total colonic growth was 68% while, carcinoma rectum to total carcinoma colon was 54%. Conclusion: On the basis of these investigations, it is concluded that patient's compliance is important factor in the early detection of colonic neoplasia. Though results of colonoscopy are more reliable but in practice, barium enema (double contrast) is performed initially to outline the lesion and then colonoscopy for biopsy purpose. (author)

Effectiveness of therapeutic barium enema for diverticular hemorrhage.

Science.gov (United States)

Matsuura, Mizue; Inamori, Masahiko; Nakajima, Atsushi; Komiya, Yasuhiko; Inoh, Yumi; Kawasima, Keigo; Naitoh, Mai; Fujita, Yuji; Eduka, Akiko; Kanazawa, Noriyoshi; Uchiyama, Shiori; Tani, Rie; Kawana, Kennichi; Ohtani, Setsuya; Nagase, Hajime

2015-05-14

To evaluate the effectiveness of barium impaction therapy for patients with colonic diverticular bleeding. We reviewed the clinical charts of patients in whom therapeutic barium enema was performed for the control of diverticular bleeding between August 2010 and March 2012 at Yokohama Rosai Hospital. Twenty patients were included in the review, consisting of 14 men and 6 women. The median age of the patients was 73.5 years. The duration of the follow-up period ranged from 1 to 19 mo (median: 9.8 mo). Among the 20 patients were 11 patients who required the procedure for re-bleeding during hospitalization, 6 patients who required it for re-bleeding that developed after the patient left the hospital, and 3 patients who required the procedure for the prevention of re-bleeding. Barium (concentration: 150 w%/v%) was administered per the rectum, and the leading edge of the contrast medium was followed up to the cecum by fluoroscopy. After confirmation that the ascending colon and cecum were filled with barium, the enema tube was withdrawn, and the patient's position was changed every 20 min for 3 h. Twelve patients remained free of re-bleeding during the follow-up period (range: 1-19 mo) after the therapeutic barium enema, including 9 men and 3 women with a median age of 72.0 years. Re-bleeding occurred in 8 patients including 5 men and 3 women with a median age of 68.5 years: 4 developed early re-bleeding, defined as re-bleeding that occurs within one week after the procedure, and the remaining 4 developed late re-bleeding. The DFI (disease-free interval) decreased 0.4 for 12 mo. Only one patient developed a complication from therapeutic barium enema (colonic perforation). Therapeutic barium enema is effective for the control of diverticular hemorrhage in cases where the active bleeding site cannot be identified by colonoscopy.

Prospective comparison of double contrast barium enema plus flexible sigmoidoscopy v colonoscopy in rectal bleeding: barium enema v colonoscopy in rectal bleeding.

OpenAIRE

Irvine, E J; O'Connor, J; Frost, R A; Shorvon, P; Somers, S; Stevenson, G W; Hunt, R H

1988-01-01

Rectal bleeding often heralds serious colonic disease. The literature suggests that colonoscopy is superior to barium enema plus sigmoidoscopy, although no good comparative studies exist. Seventy one patients with overt rectal bleeding had prospectively flexible sigmoidoscopy, double contrast barium enema and colonoscopy completed independently. Against the gold standard, the sensitivity and specificity of colonoscopy were 0.69 and 0.78 respectively for a spectrum of colonic lesions, while fo...

The simple ethers of glycerin

International Nuclear Information System (INIS)

Kimsanov, B.Kh.; Karimov, M.B.

1998-01-01

From glycerin derivatives the considerable interest is present simple ethers because many of them are biological active and found wide practical using as an effect drugs, inters for thin organic synthesis, vehicle for injections, regulators of plants growth, reagents, components for perfumery-cosmetic goods and etc

Glycerine Treated Nanofibrillated Cellulose Composites

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Esra Erbas Kiziltas

2016-01-01

Full Text Available Glycerine treated nanofibrillated cellulose (GNFC was prepared by mixing aqueous nanofibrillated cellulose (NFC suspensions with glycerine. Styrene maleic anhydride (SMA copolymer composites with different loadings of GNFC were prepared by melt compounding followed by injection molding. The incorporation of GNFC increased tensile and flexural modulus of elasticity of the composites. Thermogravimetric analysis showed that as GNFC loading increased, the thermal stability of the composites decreased marginally. The incorporation of GNFC into the SMA copolymer matrix resulted in higher elastic modulus (G′ and shear viscosities than the neat SMA copolymer, especially at low frequencies. The orientation of rigid GNFC particles in the composites induced a strong shear thinning behavior with an increase in GNFC loading. The decrease in the slope of elastic modulus with increasing GNFC loading suggested that the microstructural changes of the polymer matrix can be attributed to the incorporation of GNFC. Scanning electron microscopy (SEM images of fracture surfaces show areas of GNFC agglomerates in the SMA matrix.

Complications from radiographer-performed double contrast barium enemas

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Vora, P.; Chapman, A. E-mail: anthony.chapman@leedsth.nhs.uk

2004-04-01

AIM: To determine the types and rates of complications encountered by radiographers when performing double contrast barium enemas (DCBE). MATERIALS AND METHODS: Seven hundred and forty-one questionnaires were posted to radiographers who had in the last 5 years attended one of the biannual barium enema training courses. RESULTS: Of 741 questionnaires posted 407 (54.9%) were returned completed. Approximately 348,000 barium enema examinations had been performed. Fifty-nine radiographers reported 89 complications, including 13 intra-peritoneal and 11 extra-peritoneal perforations. There were five deaths (mortality 1 in 70,000). Deaths resulted from two of 24 (10%) perforations, two of 45 (5%) cardiac events and one cerebrovascular accident that occurred during an examination. CONCLUSIONS: Radiographers have been regularly performing DCBEs for almost a decade. The mortality for radiographer-performed DCBE is similar to that previously reported for radiologists, although a slightly higher rate of perforation is noted and so this is an area where radiographer training should be targeted.

Complications from radiographer-performed double contrast barium enemas

International Nuclear Information System (INIS)

Vora, P.; Chapman, A.

2004-01-01

AIM: To determine the types and rates of complications encountered by radiographers when performing double contrast barium enemas (DCBE). MATERIALS AND METHODS: Seven hundred and forty-one questionnaires were posted to radiographers who had in the last 5 years attended one of the biannual barium enema training courses. RESULTS: Of 741 questionnaires posted 407 (54.9%) were returned completed. Approximately 348,000 barium enema examinations had been performed. Fifty-nine radiographers reported 89 complications, including 13 intra-peritoneal and 11 extra-peritoneal perforations. There were five deaths (mortality 1 in 70,000). Deaths resulted from two of 24 (10%) perforations, two of 45 (5%) cardiac events and one cerebrovascular accident that occurred during an examination. CONCLUSIONS: Radiographers have been regularly performing DCBEs for almost a decade. The mortality for radiographer-performed DCBE is similar to that previously reported for radiologists, although a slightly higher rate of perforation is noted and so this is an area where radiographer training should be targeted

A new vehicle for herbicide application using crude glycerin, a by ...

African Journals Online (AJOL)

This work aimed to develop oil-in-water (O/W) emulsions using crude glycerin treated with ... The crude glycerin was used to develop five stable emulsions with promising ..... Biodiesel and renewable diesel: A comparison. Progr. Energy Combust. Sci. ... Production, consumption, prices, characterization and new trends in.

Lower rectal cancer. Preoperative staging with CT air enema technique

International Nuclear Information System (INIS)

Kanazawa, Amane; Fujii, Shouichi; Iwata, Seiichirou

2009-01-01

Preoperative assessment of rectal cancer wall invasion is an important indication of the need for lateral side wall dissection. The purpose of this study was to determine the accuracy rates and clinical usefulness of air-enema CT in preoperative staging of lower rectal cancer. A total of 88 patients diagnosed with lower rectal cancer were examined with an air-enema CT preoperatively and had surgical resection performed. One group was T1-T2 while the other was T3-T4. Forty-two patients were T1-T2, and 46 patients were T3-T4. In univariate and multivariate analysis, irregularities of the rectal wall and spiculated appearance of the rectal wall were significant predictive factors in T3-T4. In patients with air-enema CT findings of rectal wall irregularities and speculated appearance, the accuracy rate for detecting T3-T4 was 85.2-86.45 percent. These results show that air-enema CT is useful for determining the preoperative staging of lower rectal cancer and indication of the need for lateral side wall dissection. (author)

Colonoscopy can miss diverticula of the left colon identified by barium enema.

Science.gov (United States)

Niikura, Ryota; Nagata, Naoyoshi; Shimbo, Takuro; Akiyama, Junichi; Uemura, Naomi

2013-04-21

To identify the diagnostic value of colonoscopy for diverticulosis as determined by barium enema. A total of 65 patients with hematochezia who underwent colonoscopy and barium enema were analyzed, and the diagnostic value of colonoscopy for diverticula was assessed. The receiver operating characteristic area under the curve was compared in relation to age (barium enema. Colonoscopy had a sensitivity of 91% and specificity of 90%. No significant differences were found in the receiver operating characteristic area under the curve (ROC-AUC) for age group or sex. The ROC-AUC of the left colon was significantly lower than that of the right colon (0.81 vs 0.96, P = 0.02). Colonoscopy identified 486 colonic diverticula, while barium enema identified 1186. The detection ratio for the entire colon was therefore 0.41 (486/1186). The detection ratio in the left colon (0.32, 189/588) was significantly lower than that of the right colon (0.50, 297/598) (P barium enema, only half the number of colonic diverticula can be detected by colonoscopy in the entire colon and even less in the left colon.

Glycerin in cattle feed: intake, digestibility, and ruminal and blood parameters

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Vanessa Ruiz Fávaro

2015-06-01

Full Text Available This study aimed to evaluate the effects of glycerin supplements in the diet of beef cattle by assessing intake, apparent nutrient digestibility, ruminal pH, ruminal ammonia concentrations, and blood parameters. The study was conducted at the São Paulo State University (UNESP, Jaboticabal campus using five crossbred cattle in an experiment employing a 5 x 5 Latin square design. Cattle diet treatments included zero, 50, 100, 150, and 200 g kg-1 dry matter of glycerin. Feed, leftover feed, and faeces were collected to determine intake and digestibility. Samples of ruminal liquid were collected at –1, 0, 1, 2, 4, 6 and 8 h after feeding to determine pH and ruminal ammonia. Blood was collected four hours after the morning feeding from the coccygeal vein. Replacing maize with glycerin resulted in lower concentrations of ether extract and non-fibre carbohydrates in the diets, leading to a linear decrease in the intake of these nutrients (P<0.05. The digestibility of neutral detergent fibre and non-fibre carbohydrates also decreased linearly with increasing dietary glycerin concentrations (P<0.05. The results for ruminal fermentation parameters showed a linear decrease (P<0.05 in the ruminal concentration of N-NH3 with increasing dietary levels of glycerin; however, ruminal pH was not affected (P<0.05. Serum concentrations of urea, triglycerides, cholesterol, and plasma glucose concentrations were within normal ranges based on the literature. The inclusion of glycerin in the cattle diet altered rumen fermentation, reducing the concentration of N-NH 3, the digestibility of neutral detergent fiber and non-fiber carbohydrates.

The Mutagenic Potential Caused by the Emissions from Combustion of Crude Glycerin and Diesel Fuel

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Daniel Terruggi Mazak

2015-04-01

Full Text Available This study evaluated the use of crude glycerin as an alternative of energy generation to replace the traditional fuels. The Tradescantia stamen hair mutation assay (Trad-SH was applied to study the mutagenic effects caused by the emissions generated in the direct combustion of diesel oil and glycerin in a flame tube furnace. Tradescantia inflorescences were exposed to gaseous emissions from the combustion tests in a fumigation chamber for 30-40 min. The analysis of variance and the Tukey test were applied to compare the differences between six test groups (intoxicated with emissions from glycerin and diesel oil combustion and a control group. Only one glycerin group showed statistical differences (0.05, possibly due to the complexity of the burning process and impurities, besides the acrolein present in its emissions. The high heating value (HHV of crude glycerin (25.5 MJ/kg was lower than diesel oil (45.19 MJ/kg, but it was comparable to other fuels. Although the use of glycerin as a biofuel could be an important aspect to be considered, the results showed that the glycerin had a substantial mutagenic potential similar to that of diesel oil.

Meat quality of suckling lambs supplemented with contents of crude glycerin in creep feeding

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Ana Carolina Ribeiro Sanquetta de Pellegrin

2014-10-01

Full Text Available The objective of this research was to evaluate the effect of crude glycerin in the supplement provided in creep feeding on the physico-chemical and sensory characteristics of meat from suckling lambs kept in pasture ryegrass. Thirty two suckling lambs, sixteen male and sixteen female, were distributed into 4 diets with different concentrations of crude glycerin: 0, 10, 20 and 30% crude glycerin, in the replacement of corn, in the isoproteic supplement (18% CP provided daily in amounts equivalent to 2% of body weight. The experimental design was randomized blocks, with each variable data submitted to analysis of variance at 5% significance and the significant results subjected to regression analysis. There was no effect (P>0,05 of contents of crude glycerin on the chemical composition and cholesterol content of lamb meat. On the other hand, there was increased linearly (P>0,05 pH and cooking losses by the use of crude glycerin. No influence (P>0,05 of crude glycerin concentration on the texture profile analysis (TPA, sensorial analysis by triangular test and even when was evaluated attributes color, tenderness and juiciness of lamb meat. Up to 30% of crude glycerin in the supplement provided in creep feeding for suckling lambs grazing ryegrass do not compromise the physical-chemical and sensorial quality of the lamb meat.

Effectiveness of therapeutic barium enema for diverticular hemorrhage

Science.gov (United States)

Matsuura, Mizue; Inamori, Masahiko; Nakajima, Atsushi; Komiya, Yasuhiko; Inoh, Yumi; Kawasima, Keigo; Naitoh, Mai; Fujita, Yuji; Eduka, Akiko; Kanazawa, Noriyoshi; Uchiyama, Shiori; Tani, Rie; Kawana, Kennichi; Ohtani, Setsuya; Nagase, Hajime

2015-01-01

AIM: To evaluate the effectiveness of barium impaction therapy for patients with colonic diverticular bleeding. METHODS: We reviewed the clinical charts of patients in whom therapeutic barium enema was performed for the control of diverticular bleeding between August 2010 and March 2012 at Yokohama Rosai Hospital. Twenty patients were included in the review, consisting of 14 men and 6 women. The median age of the patients was 73.5 years. The duration of the follow-up period ranged from 1 to 19 mo (median: 9.8 mo). Among the 20 patients were 11 patients who required the procedure for re-bleeding during hospitalization, 6 patients who required it for re-bleeding that developed after the patient left the hospital, and 3 patients who required the procedure for the prevention of re-bleeding. Barium (concentration: 150 w%/v%) was administered per the rectum, and the leading edge of the contrast medium was followed up to the cecum by fluoroscopy. After confirmation that the ascending colon and cecum were filled with barium, the enema tube was withdrawn, and the patient’s position was changed every 20 min for 3 h. RESULTS: Twelve patients remained free of re-bleeding during the follow-up period (range: 1-19 mo) after the therapeutic barium enema, including 9 men and 3 women with a median age of 72.0 years. Re-bleeding occurred in 8 patients including 5 men and 3 women with a median age of 68.5 years: 4 developed early re-bleeding, defined as re-bleeding that occurs within one week after the procedure, and the remaining 4 developed late re-bleeding. The DFI (disease-free interval) decreased 0.4 for 12 mo. Only one patient developed a complication from therapeutic barium enema (colonic perforation). CONCLUSION: Therapeutic barium enema is effective for the control of diverticular hemorrhage in cases where the active bleeding site cannot be identified by colonoscopy. PMID:25987779

Intussusception reduction: Effect of air vs. liquid enema on radiation dose

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Kaplan, Summer L.; Edgar, J.C.; Anupindi, Sudha A.; Zhu, Xiaowei [The Children' s Hospital of Philadelphia, Department of Radiology, Philadelphia, PA (United States); University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA (United States); Magill, Dennise; Felice, Marc A. [University of Pennsylvania, Environmental Health and Radiation Safety, Philadelphia, PA (United States)

2017-10-15

Both air and radiopaque liquid contrast are used to reduce ileocolic intussusception under fluoroscopy. Some suggest air lowers radiation dose due to shorter procedure times. However, air enema likely lowers radiation dose regardless of fluoroscopy time due to less density over the automatic exposure control cells. We test the hypothesis that air enema reduction of ileocolic intussusception results in lower radiation dose than liquid contrast enema independent of fluoroscopy time. We describe a role for automatic exposure control in this dose difference. We retrospectively evaluated air and liquid intussusception reductions performed on a single digital fluoroscopic unit during a 26-month period. We compared patient age, weight, gender, exam time of day and year, performing radiologist(s), radiographic image acquisitions, grid and magnification use, fluoroscopy time and dose area product. We compared categorical and continuous variables statistically using chi-square and Mann-Whitney U tests, respectively. The mean dose area product was 2.7-fold lower for air enema, 1.3 ± 0.9 dGy.cm{sup 2}, than for liquid, 3.5 ± 2.5 dGy.cm{sup 2} (P<0.005). The mean fluoroscopy time was similar between techniques. The mean dose area product/min was 2.3-fold lower for air, 0.6 ± 0.2 dGy.cm{sup 2}/min, than for liquid, 1.4 ± 0.5 dGy.cm{sup 2}/min (P<0.001). No group differences were identified in other measured dose parameters. Fluoroscopic intussusception reduction using air enema uses less than half the radiation dose of liquid contrast enema. Dose savings are independent of fluoroscopy time and are likely due to automatic exposure control interaction. (orig.)

A new vehicle for herbicide application using crude glycerin, a by ...

African Journals Online (AJOL)

The supply of glycerin derived from the pre-purification of biodiesel has increased considerably in Brazil, making it necessary to identify economic and environmentally friendly applications for this byproduct. This work aimed to develop oil-in-water (O/W) emulsions using crude glycerin treated with H3PO4 for use as a ...

Computed tomography of the colo-rectal cancer using the olive oil enema

International Nuclear Information System (INIS)

Katayama, Hiroshi; Hori, Shinichi; Ohkawa, Motoomi; Fujikawa, Koichi; Mori, Masaki; Katsuta, Shizutomo.

1983-01-01

The recent widespread use of the double contrast Ba enema method has allowed considerable progress to be made in the diagnosis of colo-rectal cancer. However, the double contrast Ba enema technique has been found to be inadequate in the detection of the extra-luminal extensions of cancer in its early stage. CT can be utilized as an accurate non-invasive technique for evaluating colon tumors, particularly in the rectum and sigmoid colon which are adjacent to many organs. It is possible to apply CT for evaluating whether the cancer's extra-luminal extensions are at a preoperative stage or not. Due to the many limitations inherent in the Ba enema study. We developed a new olive oil enema technique to make it possible to more accurately differentiate the intra-luminal lesion, the intestinal wall and the extra-luminal extension. (author)

Co-digestion of swine excreta associated with increasing levels of crude glycerin

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Marco Antonio Previdelli Orrico Junior

2016-03-01

Full Text Available ABSTRACT The objective of this research was to evaluate the performance of anaerobic co-digestion of swine excreta associated with increasing doses of crude glycerin and different hydraulic retention times (HRT. A completely randomized design was adopted in a 3 × 4 factorial arrangement composed of three HRT (10, 17, and 24 days and four crude glycerin doses (0, 5, 10, and 15 g/100 g of total solids [TS], with four replications per treatment. The assessed parameters were: biogas production potential, reductions of volatile solids (VS, chemical oxygen demand (COD, and most probable number of total and thermotolerant coliforms. The biogas production per added VS presented quadratic effect at 17 and 24 days of HRT, with ideal doses of 5.5 and 5.9 g of crude glycerin/100 g TS, respectively. There was no difference among glycerin doses at 10-day HRT for VS reductions; however, at HRT of 17 and 24 days, there were differences, with greater reduction of 61.1% for 5 g of crude glycerin/100 g TS at 24-day HRT. The COD reduction values showed an effect among retention times, in which the 24-day HRT provided the best results. Reductions in coliforms were greater than 99%, with no difference among treatments. Addition of 5 to 6 g of crude glycerin/100 g TS with a 24-day HRT is more effective in biogas production and reduction of VS, COD, and coliforms from co-digestion of swine excreta.

Benefits of Barium Enema in Patients with Incomplete Colonoscopy. Prospective Study of 45 Cases; Valor del enema de bario en pacientes con colonoscopia incompleta. Estudio prospectivo de 45 casos

Energy Technology Data Exchange (ETDEWEB)

Gispert, S.; Mayolas, N.; Hidalgo, A. [Hospital General Universitario Vall de Hebron. Barcelona (Spain)

2003-07-01

To evaluate the usefulness of barium enema in patients with incomplete colonoscopy. There was carried out a prospective 10-month study of 45 patients with incomplete colonoscopy (27 men and 18 women), who were later examined by means of barium enema (33 conventional, 12 double-contrast) in order to check for additional pathology in portions of the colon not visualized by colonoscopy. Barium enema diagnosed six possible additional lesions (13.3%) in portions of the colon not visualized by incomplete colonoscopy (four neoplasia and two non-neoplasia). Regarding the neoplasia two were true positives and two false positives. Both true positives were adenocarcinomas (one synchronous caecum, and another in splenic angle). The two false positives corresponded to fecal matter stuck to the intestinal wall. Regarding the non-neoplasia, multiple stenosis was detected in a patient with Crohn's disease and an enterocolic fistula was found in a patient with sigmoid colon neoplasia. The diagnostic yield of barium enema in the detection of additional pathology in colon portions not visualized by colonoscopy was of 9%. Barium enema following incomplete colonoscopy permits a complete colon evaluation in most cases, and it offers additional diagnostic information. (Author) 21 refs.

Growth performance, carcass characteristics and meat quality of finishing bulls fed crude glycerin-supplemented diets

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Mônica Chaves Françozo

2013-04-01

Full Text Available This study was conducted to evaluate the performance, carcass characteristics and chemical composition of Longissimusmuscle (LM of the bulls. Twenty-four Nellore bulls were used in a complete randomised design. The bulls were randomly assigned to one of the three diets containing 0, 5 or 12% glycerin. Final BW and ADG were similar (P>0.05 between the bulls fed with 5 or 12% of glycerin but were higher (P0.05 by glycerin level. Hot carcass weight increased (P0.05 the conformation, colour, texture, marbling and pH. There was difference (P>0.05 for moisture, ashes and crude protein among glycerin levels. Bulls fed 12% glycerin present the highest (P<0.03 total lipids on LM. The percentage of saturated fatty acids (SFA, monounsaturated acids (MUFA, polyunsaturated acids (PUFA, n-6 and n-3 fatty acids and PUFA/SFA and n-6:n-3 ratios of the LM were similar among the diets. In conclusion, glycerin level did not affect the animal performance and carcass characteristics of Nellore bulls finished in feedlot.

Semipurified glycerins on starting piglets feeding‏ (15-30 kg - doi: 10.4025/actascianimsci.v35i2.17264

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Clodoaldo de Lima Costa Filho

2013-03-01

Full Text Available The nutritional value and the performance of piglets fed on diets with semipurified glycerin (SPGV and mixed (SPGM vegetable oil was determined and evaluated. Thirty-two crossbred piglets, allotted in a completely randomized block design, were used in the digestibility trial. Two types of glycerin (SPGV and SPGM and three levels of diet (4, 8 and 12% were studied. The experimental unit consisted of one piglet. Glycerins’ metabolizable energy (ME was estimated by regression of ME (kcal kg-1 intake associated with glycerin vs. glycerin intake (kg. ME as-feed-basis rates were 3,373 for SPGV and 2,932 for SPGM, or rather, the glycerins are highly available energy source for piglets. In the performance trial, 90 piglets were allotted in a completely randomized blocks design in a 2 x 4 + 1 factorial scheme, two glycerins, four levels (3, 6, 9 and 12%, five replicates (pens and two piglets per pen. A control diet with no glycerin (0% was additionally formulated. Since no effect of glycerin inclusion on pig performance occurred, it was feasible to use up to 12% of both types of glycerin on piglets feeding.    

Crude glycerin in the supplement for beef cattle on pasture

OpenAIRE

San Vito, Elias [UNESP

2015-01-01

Four experiments were conducted during the dry and rainy season, in order to assess the increasing concentrations of crude glycerin (80% glycerol) in the supplement of young Nellore grazing tropical grass, on intake, digestibility, ruminal fermentation, rumen microorganism profile, performance, methane emission, and carcass and meat quality traits. The treatment consist of supplements with increasing concentrations (0, 70, 140, 210, and 280 g/kg DM basis of supplement) of crude glycerin, fed ...

DIAGNOSTIC ACCURACY OF BARIUM ENEMA FINDINGS IN HIRSCHSPRUNG'S DISEASE.

Science.gov (United States)

Peyvasteh, Mehran; Askarpour, Shahnam; Ostadian, Nasrollah; Moghimi, Mohammad-Reza; Javaherizadeh, Hazhir

2016-01-01

Hirschsprung's disease is the most common cause of pediatric intestinal obstruction. Contrast enema is used for evaluation of the patients with its diagnosis. To evaluate sensitivity, specificity, positive predictive value, and negative predictive value of radiologic findings for diagnosis of Hirschsprung in patients underwent barium enema. This cross sectional study was carried out in Imam Khomeini Hospital for one year starting from 2012, April. Sixty patients were enrolled. Inclusion criteria were: neonates with failure to pass meconium, abdominal distention, and refractory constipation who failed to respond with medical treatment. Transitional zone, delay in barium evacuation after 24 h, rectosigmoid index (maximum with of the rectum divided by maximum with of the sigmoid; abnormal if de Hirschsprung é a causa mais comum de obstrução intestinal pediátrica. Enema baritado é usado para a avaliação dos pacientes com o diagnóstico . Avaliar a sensibilidade, especificidade, valor preditivo positivo e valor preditivo negativo de achados radiológicos para diagnóstico de Hirschsprung em pacientes submetidos ao enema opaco. Este estudo transversal foi realizado em Imam Khomeini Hospital por um ano a partir de abril de 2012. Sessenta pacientes foram incluídos. Os critérios de inclusão foram: recém-nascidos com insuficiência de passagem de mecônio, distensão abdominal, e constipação refratária sem resposta ao tratamento médico. Foram avaliadas no enema zona de transição, atraso na evacuação de bário após 24 h, índice retossigmoide (máximo do diâmetro do reto dividido pelo máximo do sigmóide; anormal se casos com a doença de Hirschsprung e sem foi 17,90±18,29 meses e 17,8±18,34 meses, respectivamente (p=0,983). Confirmou-se em 30 (M=20, F=10) dos casos. Falha no mecônio foi encontrada em 21 (70%) casos. Sensibilidade, especificidade, VPP e VPN foram de 90%, 80%, 81,8% e 88,8%, respectivamente, para a zona de transição no enema

A controlled trial of colostomy management by natural evacuation, irrigation and foam enema.

Science.gov (United States)

Doran, J; Hardcastle, J D

1981-10-01

Twenty patients entered a prospective controlled trial of colostomy management by three techniques--natural evacuation, colostomy irrigation and foam enema. Every patient spent 2 months using each technique. The mean number of colostomy actions weekly was 17 during natural evacuation, 6 during irrigation and 10 with the enema. There was no significant difference in the time taken to manage the colostomy by each technique. Eighteen patients considered that both irrigation and the foam enema improved the quality of their life, and opted to continue with irrigation on completion of the study. There were no major complications during the trial but leakage of foam and an increase in flatus were problems with the foam enema. It is concluded that patients should be made aware of the alternative methods available for colostomy management and be encouraged to use the method of their choice.

Aerobic stability, chemical composition and ruminal degradability of sugarcane silage with glycerin from biodiesel

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Marco Antonio Bensimon Gomes

2015-06-01

Full Text Available The experiment was performed with the objective of studying the ensiled sugarcane silage with 0, 5, 10, 15 and 20% of glycerin in experimental PVC silos. The aerobic stability was assessed by measuring the pH and the temperature of the silage at 0, 24, 48, 72, 96 and 120h. The chemical composition, the levels of non-fiber carbohydrates (NFC and the total digestible nutrients (TDN were evaluated. The in vitro digestibility of dry matter (IVDDM and the in vitro digestibility of the cell wall (IVDCW in the silages were evaluated. In three fistulated cattle the in situ degradability of dry matter (DM and the disappearance percentage of the neutral detergent fiber (NDF in samples incubated at 0, 2, 6, 12, 24, 48, 72 and 96h were analyzed. The experimental design was completely randomized and the statistical analyzes were done using Bayesian inference. Increases were observed in DM, TDN, mineral matter, NFC and reductions in NDF, acid detergent fiber, crude protein and ether extract as the inclusion of glycerin was higher. IVDDM increased (P <0.05 in silage with 15 and 20% of glycerin in relation to those with 0, 5 and 10%. The IVDCW at levels of 10, 15 and 20% of glycerin was higher (P <0.05 compared to the other treatments. Increases were observed in the soluble portion (a, a reduction in the insoluble fraction (b, and an increase in the degradability fraction constant (c of the silages with 5, 10, 15 and 20% of glycerin (P <0.05 compared to the control. Glycerin improved aerobic stability while maintaining a low pH and temperature during the observation period at levels of 15 and 20% of glycerin against the silage with 0, 5 and 10%. These results indicate glycerin as a promising additive for sugarcane silage, being able to enhance energy density and improve the aerobic stability of the ensiled matter when its inclusion is from 10 to 20%.

Ingestive behavior of grazing heifers receiving crude glycerin supplementation during the dry-rainy season transition

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Vitor Visintin Silva de Almeida

2014-09-01

Full Text Available The search to find food alternatives for corn and feeding alternatives that reduce the cost of production has been constant. The use of oleaginous grains to produce ethanol and biodiesel has produced an excess of byproducts, especially biodiesel which produces crude glycerin. The objective of this study was to evaluate the effect of including crude glycerin on the ingestive behavior of crossbred heifers supplemented with pasture. Thirty-six crossbred heifers with an initial mean weight of 301.5 ± 31 kg were distributed in a completely randomized design with four treatments and nine replicates per treatment. The animals were kept in a Brachiaria brizantha (Hochst. ex A. Rich. Stapf 'Marandu' pasture in a rotational-grazing system. The treatments tested were 0.0%, 3.33%, 6.66%, and 9.99% crude glycerin included in total DM to replace corn (Tea mays L. Including crude glycerin reduced the time for grazing and eating at the trough and increased idle time. Rumination was quadratically influenced. Eating time (min kg-1 DM and neutral detergent fiber [NDF] was reduced, while rumination time (min kg-1 DM and NDF was quadratically affected by adding glycerin. The variables, time spent per ruminated bolus and the number of chews per day, were not affected. The number of boluses per day showed a quadratic effect. The number of grazing, idle, ruminating, and eating at the trough periods were not affected by including crude glycerin; means were 15.1, 24.9, and 13.3 and 3.71 periods d-1, respectively. Feed and rumination efficiency (kg h-1 DM and NDF increased when crude glycerin was included in the diet. Including crude glycerin promotes feed and rumination efficiency in grazing heifers.

Sensitivity of single contrast barium enema with regard to colorectal disease as diagnosed by colonoscopy

International Nuclear Information System (INIS)

Kaude, J.V.; Harty, R.F.

1982-01-01

The results of single contrast barium enema were retrospectively correlated with colonoscopically diagnosed colorectal disease in 54 patients (75 lesions). Altogether 66 lesions (88%) were correctly diagnosed. The sensitivity of barium enema for polyps was 81% (26/32). There were three perceptive errors and three polyps 5 mm or less in size were not demonstrated by barium enema. Twenty-nine cases of inflammatory disorders were all correctly diagnosed. One of 12 malignancies was missed by perceptive error. In two cases with vascular malformations the barium enema was normal. 4/9 (44%) of missed lesions were perceptive errors and could have been probably avoided by a second independent reading of films. (orig.)

Anaerobic co-digestion cassava wastewater and crude glycerin for removal of COD and solid; Co-digestao anaerobica de manipueira e glicerina bruta para remocao de DQO e solidos

Energy Technology Data Exchange (ETDEWEB)

Silva, Jefferson L.G.; Guerra Junior, Joao B. [Universidade Estadual do Oeste do Parana (UNIOESTE), Cascavel, PR (Brazil)], E-mail: j.lg11@yahoo.com.br; Gomes, Simone D.; Mallmann, Larissa S. [Universidade Estadual do Oeste do Parana (CCET/PGEAGRI/UNIOESTE), Cascavel, PR (Brazil). Dept. de Recursos Hidricos e Saneamento Ambiental

2012-11-01

To be discarded into the environment, cassava wastewater, generated during the processing of the cassava root, needs to be dealt with trying to reduce its organic load and total solids, harmful to water bodies. As for crude glycerin, a byproduct of biodiesel production, need alternatives to its destination, because the cost to its purification is often not feasible, preventing its use by pharmaceutical and food industries. In this study we chose to anaerobic digestion to treat manipueira assessing the behavior of the reactor with the addition of glycerin. The reactor was constructed of PVC with 60cm long, 20cm in diameter and a volume of 8.38 L, and HRT was 5 days. Three treatments were applied: T1, only manipueira, T2 with 0.25% glycerol and T3, with 0.50%. The three treatments showed a great reduction of organic load (above 90%) and higher with the addition of 0.25% crude glycerine. The highest mean removal of solids and total volatile solids occurred in treatment with 0.50% crude glycerine, being 84.18% and 91.41% respectively. (author)

Perforation and mortality after cleansing enema for acute constipation are not rare but are preventable

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Niv G

2013-04-01

Full Text Available Galia Niv,1 Tamar Grinberg,2 Ram Dickman,3 Nir Wasserberg,4 Yaron Niv1,3 1Risk Management and Quality Assurance, 2Emergency Department, 3Department of Gastroenterology, 4Department of Surgery B, Rabin Medical Center, Beilinson Hospital and Tel Aviv University, Tel Aviv, Israel Objectives: Constipation is a common complaint, frequently treated with cleansing enema. Enemas can be very effective but may cause serious adverse events, such as perforation or metabolic derangement. Our aim was to evaluate the outcome of the use of cleansing enema for acute constipation and to assess adverse events within 30 days of therapy. Methods: We performed a two-phase study: an initial retrospective and descriptive study in 2010, followed by a prospective study after intervention, in 2011. According to the results of the first phase we established guidelines for the treatment of constipation in the Emergency Department and then used these in the second phase. Results: There were 269 and 286 cases of severe constipation in the first and second periods of the study, respectively. In the first study period, only Fleet® Enema was used, and in the second, this was changed to Easy Go enema (free of sodium phosphate. There was a 19.2% decrease in the total use of enema, in the second period of the study (P < 0.0001. Adverse events and especially, the perforation rate and the 30-day mortality in patients with constipation decreased significantly in the second phase: 3 (1.4% versus 0 (P = 0.0001 and 8 (3.9% versus 2 (0.7% (P = 0.0001, for perforation and death in the first and second period of the study, respectively. Conclusion: Enema for the treatment of acute constipation is not without adverse events, especially in the elderly, and should be applied carefully. Perforation, hyperphosphatemia (after Fleet Enema, and sepsis may cause death in up to 4% of cases. Guidelines for the treatment of acute constipation and for enema administration are urgently needed. Keywords

Rectal Fecal Impaction Treatment in Childhood Constipation: Enemas Versus High Doses Oral PEG

NARCIS (Netherlands)

Bekkali, Noor-L.-Houda; van den Berg, Maartje-Maria; Dijkgraaf, Marcel G. W.; van Wijk, Michiel P.; Bongers, Marloes E. J.; Liem, Olivia; Benninga, Marc A.

2009-01-01

OBJECTIVE: We hypothesized that enemas and polyethylene glycol (PEG) would be equally effective in treating rectal fecal impaction (RFI) but enemas would be less well tolerated and colonic transit time (CTT) would improve during disimpaction. METHODS: Children (4-16 years) with functional

Feeding behavior of Nellore cattle fed high concentrations of crude glycerin

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Eric Haydt Castello Branco Van Cleef

2015-07-01

Full Text Available The objective of this study was to evaluate the inclusion of up to 30% crude glycerin in Nellore cattle diets and its effects on feeding behavior parameters. It were used 30 animals with 277.7kg BW and 18 months old, which were kept in feedlot in individual pens during 103 days (21 adaptation and 82 data collection. The animals were assigned (initial weight in blocks and submitted to the following treatments: G0; G7.5; G15; G22.5; and G30, corresponding to control group, 7.5, 15, 22.5, and 30% crude glycerin in the diet dry matter, respectively. The feeding behavior (feeding, idle, ruminating, number of chews, feeding efficiency and ruminating efficiency were evaluated for three days. Data were analyzed as a completely randomized block design, analyzing contrasts and observing the significance of linear, quadratic and control treatment × glycerin treatments effects. The inclusion up to 30% crude glycerin in diets of Nellore cattle altered the feeding efficiency, expressed in g NDF h-1, the ruminating efficiency relative to NDF, the time and number of chews per ruminal bolus, facilitating the feed ingestion and directly influencing the time spent on feeding.

Intra-individual comparison of patient acceptability of multidetector-row CT colonography and double-contrast barium enema

International Nuclear Information System (INIS)

Taylor, S.A.; Halligan, S.; Burling, D.; Bassett, P.; Bartram, C.I.

2005-01-01

AIMS: To compare the subjective acceptability of CT colonography in comparison with barium enema in older symptomatic patients, and to ascertain preferences for future colonic investigation. MATERIALS AND METHODS: The study population comprised 78 persons aged 60 years or over with symptoms suggestive of colorectal neoplasia, who underwent CT colonography followed the same day by barium enema. A 25-point questionnaire was administered after each procedure and an additional follow-up questionnaire a week later. Responses were compared using Wilcoxon matched pairs testing, Mann-Whitney test statistics and binomial exact testing. RESULTS: Participants suffered less physical discomfort during CT colonography (p=0.03) and overall satisfaction was greater compared with barium enema (p=0.03). On follow-up, respondents reported significantly better tolerance of CT colonography (p=0.002), and were less prepared to undergo barium enema again (p<0.001). Of 52 subjects expressing an opinion, all preferred CT to barium enema. CONCLUSION: Patient satisfaction was higher with CT colonography than barium enema. CT colonography caused significantly less physical discomfort and was overwhelmingly preferred by patients

Intra-individual comparison of patient acceptability of multidetector-row CT colonography and double-contrast barium enema

Energy Technology Data Exchange (ETDEWEB)

Taylor, S.A. [Department of Intestinal Imaging, St Mark' s and Northwick Park Hospitals, London (United Kingdom)]. E-mail: csytaylor@yahoo.co.uk; Halligan, S. [Department of Intestinal Imaging, St Mark' s and Northwick Park Hospitals, London (United Kingdom); Burling, D. [Department of Intestinal Imaging, St Mark' s and Northwick Park Hospitals, London (United Kingdom); Bassett, P. [Department of Intestinal Imaging, St Mark' s and Northwick Park Hospitals, London (United Kingdom); Bartram, C.I. [Department of Intestinal Imaging, St Mark' s and Northwick Park Hospitals, London (United Kingdom)

2005-02-01

AIMS: To compare the subjective acceptability of CT colonography in comparison with barium enema in older symptomatic patients, and to ascertain preferences for future colonic investigation. MATERIALS AND METHODS: The study population comprised 78 persons aged 60 years or over with symptoms suggestive of colorectal neoplasia, who underwent CT colonography followed the same day by barium enema. A 25-point questionnaire was administered after each procedure and an additional follow-up questionnaire a week later. Responses were compared using Wilcoxon matched pairs testing, Mann-Whitney test statistics and binomial exact testing. RESULTS: Participants suffered less physical discomfort during CT colonography (p=0.03) and overall satisfaction was greater compared with barium enema (p=0.03). On follow-up, respondents reported significantly better tolerance of CT colonography (p=0.002), and were less prepared to undergo barium enema again (p<0.001). Of 52 subjects expressing an opinion, all preferred CT to barium enema. CONCLUSION: Patient satisfaction was higher with CT colonography than barium enema. CT colonography caused significantly less physical discomfort and was overwhelmingly preferred by patients.

Patient dose variation investigated in four Irish hospitals for barium meal and barium enema examinations

International Nuclear Information System (INIS)

Carroll, E.; Brennan, P.C.

2001-01-01

Four hospitals have been studied, intra- and inter-hospital variations examined and the mean DAP values recorded for barium enemas and barium meals. Mean DAP values for barium meals and barium enemas at 11.4 Gy.cm 2 and 20.1 Gy.cm 2 respectively have been shown. Differences between individual examinations for barium meals varied by up to a factor of 185 and for barium enemas, up to a factor of 19, with hospital means for barium meal and enema examinations each differing by up to a factor of 3. The data provided by this study have suggested that large variations in patient dose do exist in Ireland for barium meal and barium enema examinations. Fluoroscopy time was shown to be a major contributor to the variations reported, with number of images playing a minor role. Results have demonstrated the need for standardisation of technique throughout the country for these examinations. (author)

Prospective comparison of air-contrast barium enema and colonoscopy in patients with fecal occult blood: a pilot study.

Science.gov (United States)

Rockey, Don C; Koch, Johannes; Yee, Judy; McQuaid, Kenneth R; Halvorsen, Robert A

2004-12-01

The utility of air-contrast barium enema and colonoscopy for evaluation of the colon has been debated. Air-contrast barium enema is less expensive and invasive than colonoscopy, but it also is less sensitive and specific. Further, although air-contrast barium enema may be less painful than colonoscopy, it often is poorly tolerated by patients. Thus, this study compared the sensitivity and the specificity of air-contrast barium enema and colonoscopy for detection of colonic lesions in patients with fecal occult blood. Over a 30-month period, patients with fecal occult blood were recruited. Patients underwent standard air-contrast barium enema, followed by colonoscopy 7 to 14 days later. Colonoscopists were blinded to the results of air-contrast barium enema until the colonoscopy was completed, after which the results were disclosed. If the findings were discrepant, colonoscopy was repeated. A total of 100 patients were evaluated. Nine air-contrast barium enemas were reported to be inadequate, and the cecum was not intubated at colonoscopy in two patients. In the remaining patients, 5 cancers were identified (1 each cecum, transverse colon, descending colon, sigmoid colon, and rectum) by both studies. Sixty-six polypoid lesions were identified in 30 patients. Diverticula were identified in 42 patients by air-contrast barium enema and in 18 patients by colonoscopy. Air-contrast barium enema detected 3 of 36 polypoid lesions 5 mm or less in diameter, 5 of 15 adenomas 6 to 9 mm in size, and 4 of 15 adenomas 10 mm or greater in diameter (sensitivity 8%, 33%, and 27%, respectively). After excluding patients with diverticula, air-contrast barium enema detected 3 of 7 adenomas 10 mm or greater in size. Overall, 12 polypoid lesions or filling defects were identified by air-contrast barium enema that could not be verified by colonoscopy. The specificity of air-contrast barium enema for lesions 1.0 cm or greater in size was 100%; for those 6 mm or greater, it was 97%. Air

Improving Quality and Efficiency for Intussusception Management After Successful Enema Reduction.

Science.gov (United States)

Raval, Mehul V; Minneci, Peter C; Deans, Katherine J; Kurtovic, Kelli J; Dietrich, Ann; Bates, D Gregory; Rangel, Shawn J; Moss, R Lawrence; Kenney, Brian D

2015-11-01

The purpose of this project was to implement a protocol facilitating discharge from the emergency department (ED) after successful radiologic ileocolic intussusception reduction in a pediatric referral center. A multidisciplinary team identified drivers for successful quality improvement including educational brochures, a standardized radiologic report, an observation period in the ER with oral hydration challenges, and follow-up phone calls the day after discharge. Patient outcomes were tracked, and quarterly feedback was provided. Of 80 patients identified over a 24-month period, 34 (42.5%) did not qualify for discharge home due to need for surgical intervention (n = 9), specific radiologic findings (n = 11), need for additional intravenous hydration (n = 4), or other reasons (n = 7). Of 46 patients who qualified for discharge, 30 (65.2%) were successfully sent home from the ED. One patient returned with recurrent symptoms that required repeat enema reduction. Sixteen patients were observed and discharged within 23 hours. Adherence with discharge from the ED improved over time. Discharge from the ED was associated with cost savings and improved net margins at the hospital level for each encounter. A sustainable multidisciplinary quality improvement project to discharge intussusception patients from the ED after air-contrast enema reduction was successfully integrated in a high-volume referral center through education, standardized radiologic reporting, and protocoled follow-up. Copyright © 2015 by the American Academy of Pediatrics.

Bioconversion from crude glycerin by Xanthomonas campestris 2103: xanthan production and characterization

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L. V. Brandão

2013-12-01

Full Text Available The production and rheological properties of xanthan gum from crude glycerin fermentation, a primary by-product of the biodiesel industry with environmental and health risks, were evaluated. Batch fermentations (28 °C/250 rpm /120 h were carried out using crude glycerin, 0.01% urea and 0.1% KH2PO4, (% w/v, and compared to a sucrose control under the same operational conditions, using Xanthomonas campestris strain 2103 isolate from Brazil. Its maximal production by crude glycerin fermentation was 7.23±0.1 g·L-1 at 120 h, with an apparent viscosity of 642.57 mPa·s, (2 % w/v, 25 °C, 25 s-1, 70% and 30% higher than from sucrose fermentation, respectively. Its molecular weight varied from 28.2 to 36.2×10(6 Da. The Ostwald-de-Waele model parameters (K and n indicated a pseudoplastic behavior at all concentrations (0.5 to 2.0 %, w/v and temperatures (25-85 °C, while its consistency index indicated promising rheological properties for drilling fluid applications. Therefore, crude glycerin has potential as a cost-effective and alternative substrate for non-food grade xanthan production.

Benefits of Barium Enema in Patients with Incomplete Colonoscopy. Prospective Study of 45 Cases

International Nuclear Information System (INIS)

Gispert, S.; Mayolas, N.; Hidalgo, A.

2003-01-01

To evaluate the usefulness of barium enema in patients with incomplete colonoscopy. There was carried out a prospective 10-month study of 45 patients with incomplete colonoscopy (27 men and 18 women), who were later examined by means of barium enema (33 conventional, 12 double-contrast) in order to check for additional pathology in portions of the colon not visualized by colonoscopy. Barium enema diagnosed six possible additional lesions (13.3%) in portions of the colon not visualized by incomplete colonoscopy (four neoplasia and two non-neoplasia). Regarding the neoplasia two were true positives and two false positives. Both true positives were adenocarcinomas (one synchronous caecum, and another in splenic angle). The two false positives corresponded to fecal matter stuck to the intestinal wall. Regarding the non-neoplasia, multiple stenosis was detected in a patient with Crohn's disease and an enterocolic fistula was found in a patient with sigmoid colon neoplasia. The diagnostic yield of barium enema in the detection of additional pathology in colon portions not visualized by colonoscopy was of 9%. Barium enema following incomplete colonoscopy permits a complete colon evaluation in most cases, and it offers additional diagnostic information. (Author) 21 refs

Fat, meat quality and sensory attributes of Large White × Landrace barrows fed with crude glycerine

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M. Belen Linares

2014-07-01

Full Text Available The use of alternative raw materials like crude glycerine in animal feed to reduce final costs could be of interest as the sector seeks to increase its competitiveness. The aims of the present work were to evaluate the effect of crude glycerine on back-fat thickness and the proximate composition of pork and to examine the effect on pork quality of using growing-finishing feeds with different percentages of crude glycerine added. For this purpose 60 crossbreed (Large White × Landrace barrows were subdivided into three groups according to the crude glycerine concentration administered in feed: C, control diet, no crude glycerine; and G2.5 and G5 with 2.5% and 5% added crude glycerine, respectively. This study evaluated proximate composition, pH, cooking losses, texture, colour coordinates, fatty acid profile, and sensorial analysis. No differences were found in any of the three groups studied (C, G2.5, G5 for measurements performed both before (with ultrasound equipment and after slaughter (millimetre ruler. The proximate composition and the physical-chemical parameters of longissimus dorsi were similar between groups. There were no differences detected (p>0.05 between the three groups as regards the CIELab coordinates, textural profile and sensory attributes. Therefore, 5% crude glycerine to replace corn could be used as an ingredient in pig feed without appreciably affecting the back-fat and meat quality characteristics.

Glycerine associated molecules with herbicide for controlling ...

African Journals Online (AJOL)

ciganinha”, belongs to the family Bignoniaceae. The only way to control this plant species in crop fields is by the application of herbicides on the stump or directly on the stem. The present study aimed to analyze the effect of glycerine in controlling A.

Epidermal growth factor enemas for induction of remission in left-sided ulcerative colitis

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Hugo Nodarse-Cuní

2013-03-01

Full Text Available Introduction: ulcerative colitis is a little known chronic inflammatory disease in colonic mucosa. The positive effect of epidermal growth factor was shown in a previous report, with enema use for treatment of mild to moderate left-sided manifestation of the disease. This evidence provided the basis for evaluating the efficacy and safety profile of a viscous solution of this product. Methods: thirty-one patients were randomized to three groups for daily medications during 14 days. Twelve received one 10 mg enema of epidermal growth factor dissolved in 100 mL of viscous solution whereas nine were treated with placebo enema; both groups also received 1.2 g of oral mesalamine per day. The other group included ten patients with 3 g / 100 mL of mesalamine enema. Primary end point was clinical responses after two weeks of treatment, defined as a decreased of, at least three points from baseline, the Disease Activity Index and endoscopic or histological evidences of improvement. Results: remission of disease was observed in all patients in the epidermal growth factor group, and six in both, mesalamine enema and placebo group. All the comparisons between groups showed statistically significant superiority for epidermal growth factor, the only product with significant reduction in disease activity index as well as the presence and intensity of digestive symptoms in patients after treatment. None adverse event was reported. Conclusions: the results agree with previous molecular and clinical evidences, indicating that the epidermal growth factor is effective to reduce disease activity and to induce remission. A new study involving more patients should be conducted to confirm the efficacy of the epidermal growth factor enemas.

Performance and carcass characteristics of lambs fed on diets supplemented with glycerin from biodiesel production

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Marco Antonio Bensimon Gomes

2011-10-01

Full Text Available This study was carried out to evaluate the influence of diets supplemented with glycerin as an alternative ingredient to corn on the performance and carcass characteristics of Santa Inês confined lambs. The study involved 27 lambs aged 90 days, having an average initial weight of 26.33 ± 0.15 kg. Lambs were randomly distributed into a control group and groups with diets containing 15 and 30% glycerin in the total feed. Diet was formulated with 40% roughage and 60% concentrate. The experimental design was completely randomized, and the production performance and carcass characteristics were analyzed by analysis of variance, and the subjective carcass characteristics, by general linear models. The daily average gain was 0.21, 0.24 and 0.23 kg/day; feeding conversion was 6.39, 5.73 and 5.92 kg of diet/kg BW for control animals, and those fed with 15 or 30% glycerin, respectively, without treatment differences. Lambs were slaughtered, weighing 34 to 36 kg, and average weight of the cold carcass and commercial carcass yield were evaluated. The results were, respectively, 15.97 kg and 49.18%, for control, 15.96 kg and 48.31% for animals fed with 15% glycerin, and 15.79 kg and 47.87% for those treated with 30% glycerin, with no treatment effects. Meat tenderness and cooking loss averages were not affected by diets, with 5.07 kg and 40.45%, 5.10 kg and 40.81%, and 5.27 kg and 39.04%, respectively, for control, and those fed with 15 or 30% glycerin. Therefore, it is possible to conclude that up to 30% of medium purity glycerin in the dry matter of the diet can be used to replace corn, without any negative effect on lamb performance or carcass characteristics.

Anaerobic co-digestion of crude glycerin and starch industry effluent Codigestão anaeróbia de glicerina bruta e efluente de fecularia

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Andrea C. Larsen

2013-04-01

Full Text Available The Brazil's Biodiesel Production and Use Program introduces biodiesel in the Brazilian energy matrix, bringing along the perspective of a growth of the glycerin offer, co-product generated in the proportion of 10 kg for each 100 L of biodiesel. The aim of this study was to evaluate the addition of crude glycerin in the anaerobic digestion of cassava starch industry effluent (cassava wastewater, in a horizontal semi-continuous flow reactor of one phase in laboratory scale. It was used a reactor with a 8.77 L of useful volume, a medium support for corrugated conduit of polyvinyl chloride (PVC, temperature of 261 ºC, fed with cassava wastewater and glycerin, with hydraulic detention times of 4 and 5 days and increasing volumetric organic load of 3.05; 9.32; 14.83 and 13.59 g COD L-1 d-1, obtained with the addition of glycerin at 0; 2; 3 and 2% (v/v, respectively. The average removal efficiencies of TS and TVS were decreasing from the addition of glycerin to the cassava wastewater, averaging 81.19 to 55.58% for TS and 90.21 to 61.45% for TVS. The addition of glycerin at 2% increased the biogas production compared to the control treatment, reaching 1.979 L L-1 d-1. The biogas production as a function of the consumed COD was higher for the control treatment than for the treatments with addition of glycerin, which indicates lower conversion of organic matter into biogas.O Programa Nacional de Produção e Uso do Biodiesel introduziu o biodiesel na matriz energética brasileira, trazendo a perspectiva de aumento da oferta de glicerina, coproduto gerado na proporção de 10 kg para cada 100 L de biodiesel. O objetivo principal deste trabalho foi avaliar a adição de glicerina bruta na digestão anaeróbia de efluente de indústria de fécula de mandioca (manipueira, em reator de fluxo semicontínuo horizontal de uma fase, em escala de laboratório. Foi utilizado um reator com volume útil de 8,77 L, meio suporte em eletroduto corrugado de policloreto

Development, economic viability and attributes of lamb carcass from confined animals fed on different amounts of crude glycerin

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Fabiola Cristine de Almeida Rego

2015-10-01

Full Text Available The current study aims to assess the effect from crude glycerin inclusion (0, 7, 14, and 21% dry matter in the diet of slaughtered lamb on their development, nutrient consumption, biometrical measures, diet economic viability and carcass features. Thirty two (32 non-castrated male Texel lambs were used in the study, they presented mean initial weight 15.9 ± 4.1 kilos and were distributed in casual outlining. They were fed with four treatments, with 8 repetitions. Animals were slaughtered when they reached approximately 35 kilos. The mean total weight gain was 20.72 kilos and mean daily weight gain was 260 grams. No changes resulted from glycerin use. The carcass performance was similar among treatments (P>0.05 and the cold carcass performance (CCP was 44.68%. There were no effects (P>0.05 on the loin eye area (LEA and on fat thickness (FT; they showed averages of 13.66 cm2 and 0.84 mm, respectively. Nutrition cost per animal during the whole confinement period varied between R$82.60 (eighty-two Reais and forty-eight cents to R$92.48. The smallest nutrition amount consisted of 21% crude glycerin. The gross profit ranged from R$30.75 to R$ 34.01 per animal, for feed without glycerin and 21% glycerin, respectively. Animal development was not impacted by glycerin introduction, even with decrease on dry and organic mass consumption. The result showed that crude glycerin inclusion might be used in lambs’ diet. Whenever there are big amounts of feed involved in the process, the 21% crude glycerin addition may be an interesting cost reduction. Seventy eight percent (78% glycerol crude glycerin to replace corn-based feed in confined lambs’ diet appeared to be nutritionally and economically viable. 

Sensitivity of single and double contrast barium enema in the detection of colorectal carcinoma

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Myllylae, V.; Paeivansalo, M.; Laitinen, S.; Oulu Univ.

1984-01-01

The preoperative barium enema of the 188 colorectal carcinoma patients operated at the Oulu University Central Hospital (Finland) during 1977-1982 were examined retrospectively. Altogether 112 single contrast studies and 87 double contrast studies had been made on these patients. The single contrast barium enemas had resulted in a correct diagnosis of colorectal carcinoma in 93 cases (sensitivity 83%). The correct diagnosis in the double contrast studies numbered 71 (sensitivity 82%). Most of the overlooked carcinomas were located in the caecum, in the sigmoid or the rectum. Most of the errors made in the single contrast studies were due to detection errors and poor evacuation. The most common failures in double contrast enemas were detection errors and nonvisualisation of the sigmoid. The authors recommend use of the double contrast technique and suggest that the two methods of barium enema be used to complement each other. A false negative diagnosis delayed the operation of the colorectal carcinoma patients by 2.2 months (median). (orig.) [de

Glycerine derived from biodiesel production as a feedstuff for broiler diets

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CLS Silva

2012-09-01

Full Text Available The performance, carcass traits, and litter humidity of broilers fed increasing levels of glycerine derived from biodiesel production were evaluated. In this experiment, 1,575 broilers were distributed according to a completely randomized experimental design into five treatments with seven replicates of 45 birds each. Treatments consisted of a control diet and four diets containing 2.5, 5.0, 7.5, or 10% glycerine. The experimental diets contained equal nutritional levels and were based on corn, soybean meal and soybean oil. The glycerine included in the diets contained 83.4% glycerol, 1.18% sodium, and 208 ppm methanol, and a calculated energy value of 3,422 kcal AMEn/kg. Performance parameters (weight gain, feed intake, feed conversion ratio, live weight, and livability were monitored when broilers were 7, 21, and 42 days of age. On day 43, litter humidity was determined in each pen, and 14 birds/treatment were sacrificed for the evaluation of carcass traits. During the period of 1 to 7 days, there was a positive linear effect of the treatments on weight gain, feed intake, and live weight gain. Livability linearly decreased during the period of 1 to 21 days. During the entire experimental period, no significant effects were observed on performance parameters or carcass traits, but there was a linear increase in litter humidity. Therefore, the inclusion of up to 5% glycerine in the diet did not affect broiler performance during the total rearing period.

Multidetector computerized tomography enema versus magnetic resonance enema in the diagnosis of rectosigmoid endometriosis

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Biscaldi, Ennio, E-mail: ennio.biscaldi@gmail.com [Department of Radiology, Galliera Hospital, via Mura delle Capuccine 14, 16128 Genoa (Italy); Ferrero, Simone, E-mail: simone.ferrero@unige.it [Department of Obstetrics and Gynecology, San Martino Hospital and National Institute for Cancer Research, University of Genoa, Largo Rosanna Benzi, 1, 16132 Genoa (Italy); Leone Roberti Maggiore, Umberto, E-mail: ulrm@libero.it [Department of Obstetrics and Gynecology, San Martino Hospital and National Institute for Cancer Research, University of Genoa, Largo Rosanna Benzi, 1, 16132 Genoa (Italy); Remorgida, Valentino, E-mail: vremorgida@yahoo.it [Department of Obstetrics and Gynecology, San Martino Hospital and National Institute for Cancer Research, University of Genoa, Largo Rosanna Benzi, 1, 16132 Genoa (Italy); Venturini, Pier Luigi, E-mail: venturini@unige.it [Department of Obstetrics and Gynecology, San Martino Hospital and National Institute for Cancer Research, University of Genoa, Largo Rosanna Benzi, 1, 16132 Genoa (Italy); Rollandi, Gian Andrea, E-mail: rollandi@galliera.it [Department of Radiology, Galliera Hospital, via Mura delle Capuccine 14, 16128 Genoa (Italy)

2014-02-15

Purpose: To compare the accuracy of multidetector computerized tomography enema (MDCT-e) and magnetic resonance enema (MRI-e) in determining the presence of sigmoid and rectal endometriotic nodules. Materials and methods: 260 women (32.6 ± 4.3 years) with symptoms suggestive of rectosigmoid endometriosis underwent MDCT-e and MRI-e prior to laparoscopy. After retrograde colonic distention and injection of intravenous contrast medium, patients were scanned on a 64-row MDCT scanner. MRI-e was performed on a 1.5 T magnet using an 8 channels phased array coil; intestinal distention was achieved by introducing in the rectum 250–300 ml of ultrasonographic gel diluted with saline solution. Radiological findings were compared with surgical and histological results. Results: 176 women had rectosigmoid endometriosis at surgery. There was no significant difference in the accuracy of MDCT-e (98.5%) and MRI-e (96.9%) in the diagnosis of sigmoid and rectal endometriosis (p = 0.248). The sensitivity, specificity, positive predictive value, negative predictive value, positive likelihood ratio and negative likelihood ratio of MDCT-e and MRI-e were respectively 98.3%, 98.8%, 99.4%, 96.5%, 81.59, 0.02 and 97.2%, 96.4%, 98.3%, 94.1%, 26.89, 0.03. Conclusions: Both MDCT-e and MRI-e are accurate in the diagnosis of rectal and sigmoid endometriosis.

Multidetector computerized tomography enema versus magnetic resonance enema in the diagnosis of rectosigmoid endometriosis

International Nuclear Information System (INIS)

Biscaldi, Ennio; Ferrero, Simone; Leone Roberti Maggiore, Umberto; Remorgida, Valentino; Venturini, Pier Luigi; Rollandi, Gian Andrea

2014-01-01

Purpose: To compare the accuracy of multidetector computerized tomography enema (MDCT-e) and magnetic resonance enema (MRI-e) in determining the presence of sigmoid and rectal endometriotic nodules. Materials and methods: 260 women (32.6 ± 4.3 years) with symptoms suggestive of rectosigmoid endometriosis underwent MDCT-e and MRI-e prior to laparoscopy. After retrograde colonic distention and injection of intravenous contrast medium, patients were scanned on a 64-row MDCT scanner. MRI-e was performed on a 1.5 T magnet using an 8 channels phased array coil; intestinal distention was achieved by introducing in the rectum 250–300 ml of ultrasonographic gel diluted with saline solution. Radiological findings were compared with surgical and histological results. Results: 176 women had rectosigmoid endometriosis at surgery. There was no significant difference in the accuracy of MDCT-e (98.5%) and MRI-e (96.9%) in the diagnosis of sigmoid and rectal endometriosis (p = 0.248). The sensitivity, specificity, positive predictive value, negative predictive value, positive likelihood ratio and negative likelihood ratio of MDCT-e and MRI-e were respectively 98.3%, 98.8%, 99.4%, 96.5%, 81.59, 0.02 and 97.2%, 96.4%, 98.3%, 94.1%, 26.89, 0.03. Conclusions: Both MDCT-e and MRI-e are accurate in the diagnosis of rectal and sigmoid endometriosis

Epidermal growth factor enemas for induction of remission in left-sided ulcerative colitis Enemas de factor de crecimiento epidérmico para inducir la remisión de la colitis ulcerosa izquierda

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Hugo Nodarse-Cuní

2013-03-01

Full Text Available Introduction: ulcerative colitis is a little known chronic inflammatory disease in colonic mucosa. The positive effect of epidermal growth factor was shown in a previous report, with enema use for treatment of mild to moderate left-sided manifestation of the disease. This evidence provided the basis for evaluating the efficacy and safety profile of a viscous solution of this product. Methods: thirty-one patients were randomized to three groups for daily medications during 14 days. Twelve received one 10 mg enema of epidermal growth factor dissolved in 100 mL of viscous solution whereas nine were treated with placebo enema; both groups also received 1.2 g of oral mesalamine per day. The other group included ten patients with 3 g / 100 mL of mesalamine enema. Primary end point was clinical responses after two weeks of treatment, defined as a decreased of, at least three points from baseline, the Disease Activity Index and endoscopic or histological evidences of improvement. Results: remission of disease was observed in all patients in the epidermal growth factor group, and six in both, mesalamine enema and placebo group. All the comparisons between groups showed statistically significant superiority for epidermal growth factor, the only product with significant reduction in disease activity index as well as the presence and intensity of digestive symptoms in patients after treatment. None adverse event was reported. Conclusions: the results agree with previous molecular and clinical evidences, indicating that the epidermal growth factor is effective to reduce disease activity and to induce remission. A new study involving more patients should be conducted to confirm the efficacy of the epidermal growth factor enemas.Introducción: la colitis ulcerosa es una enfermedad inflamatoria crónica de etiología poco conocida, que afecta la mucosa del colon. El efecto positivo del factor de crecimiento epidérmico fue reportado en estudio previo con uso de

Synthesis and characterization of dense membranes of silk fibroin with glycerin

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Silva, Mariana F.; Moraes, Mariana A. de; Weska, Raquel F.; Nogueira, Grinia M.; Beppu, Marisa M.

2009-01-01

The addition of plasticizers seeks improvements in mechanical properties of dense membranes of silk fibroin with possible interactions by hydrogen bonds. The aim of the present study was to produce and characterize dense membranes of silk fibroin containing glycerin in two different concentrations. The characterization of the membranes was performed from scanning electron microscopy (SEM), mechanical traction tests, infrared spectroscopy (FTIR-ATR) and X-ray diffraction (XRD). The results indicated that the addition of glycerin allowed obtaining homogeneous and more crystalline membranes and improved their properties of elongation. (author)

Granulomatous colitis: findings on double contrast barium enema and follow-up studies

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Song, Jong Gi; Han, Joon Koo; Kim, Seung Hoon; Choo, Sung Wook; Kim, Seung Cheol; Choi, Byung Ihn

1995-01-01

To evaluate the radiologic findings of granulomatous colitis on double contrast barium enema and changes on follow-up studies. Serial double contrast barium enema of six patients with granulomatous colitis confirmed by endoscopic biopsy were reviewed. We analyzed the radiologic findings and their follow-up changes, including aphthous ulcers, lymphoid hyperplasia, deep ulcers, cobble stone appearance, geographic ulcers, asymmetric involvement of ulcers, skip lesions, sinus tract, fistula formation, pseudosacculation, focal stricture, and small bowel involvement. Pretreatment double contrast barium enema findings were aphthous ulcers in five patients, deep ulcer in six, cobble stone appearance in five, longitudinal geographic ulcers in two, fistulas in one, pseudosacculations in two, focal stricture in one, and pseudopolyps in six. Also, anal ulcers were observed in two patients, asymmetric involvement of ulcers in three, skip lesions in four, and small bowel involvement in five in five patients proved to have inactive disease after treatment, aphthous ulcers and deep ulcers disappeared. Geographic ulcers of two patients and anal ulcer of one patients decreased in size or depth. Pseudosacculation in one patient disappeared. Pseudopolyps decreased in two patients, increased in one, and decreased after increase in two. One patient whose disease remained active after treatment showed maintenance or increase of ulcers or fistula. And their pseudosacculation or focal stricture unchanged and pseudopolyps decreased. The major radiologic findings of chronic granulomatous colitis on double contrast barium enema are aphthous ulcer, deep ulcer, cobble stone appearance, discontinuity of the lesion and coexistence of ulcers and pseudopolyps. And, double contrast barium enema is good follow-up modality because its findings correlate with clinical course of the granulomatous colitis after treatment

Virtual colonoscopy with electron beam CT: correlation with barium enema, colonoscopy and pathology

International Nuclear Information System (INIS)

Hong, Hye Suk; Kim, Min Jung; Chung, Jae Joon; Kim, Myeong Jin; Lee, Jong Tae; Yoo, Hyung Sik

1998-01-01

To perform virtual colonoscopy using electron beam tomography(EBT) in patients in whom a colonic mass was present, and to compare the results with those obtained using barium enema, colonoscopy and gross pathologic specimens. Materials and Methods : Ten patients in whom colonic masses were diagnosed by either barium enema or colonoscopy were involved in this study. There were nine cases of adenocarcinoma and one of tubulovillous adenoma. Using EBT preoperative abdominopelvic CT scans were performed. Axial scans were then three-dimensionally reconstructed to produce virtual colonoscopic images and were compared with barium enema, colonoscopy and gross pathologic specimens. Virtual colonoscopic images of the masses were classified as either 1)polyploid, 2)sessile,3)fungating, or 4)annular constrictive. We also determined whether ulcers were present within the lesions and whether there was obstruction. Results : After virtual colonoscopy, two lesions were classified as polyploid, one as sessile, five as fungating and two as annular constrictive. Virtual colonoscopic images showed good correlation with the findings of barium enema, colonoscopy and gross pathologic specimens. Three of six ulcerative lesions were observed on colonoscopy; in seven adenocarcinomas with partial or total luminal obstruction, virtual colonoscopy visualized the colon beyond the obstructed sites. In one case, barium contrast failed to pass through the obstructed portion and in six cases, the colonoscope similarly failed. Conclusion : Virtual colonoscopies correlated well with barium enema, colonoscopy and gross pathologic specimens. They provide three dimensional images of colonic masses and are helpful for the evaluation of obstructive lesions

Glycerin and essential oils in the diet of Nellore bulls finished in feedlot: animal performance and apparent digestibility

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Lorrayny Galoro da Silva

2014-05-01

Full Text Available Current research studied the effect of partial replacing corn by glycerin and essential oils addition in the diet of Nellore bulls finished in feedlot on feed intake, animal performance and three markers were assessed to estimate apparent digestibility. Thirty bulls with average weight 400 ± 34.1 kg and 22 ± 2 months old were housed in collective pens (10 x 20 m2 for 63 days. The bulls were randomly assigned to 3 diets (10 bulls per treatment: CON – Control (without glycerin or Essential® oils; GLY – Glycerin (15% on dry matter - DM; and GEO – Glycerin (15% on DM and Essential® oils (3 g animal day-1. Three different markers were used to estimate apparent digestibility in the diets: indigestible dry matter –iDM; indigestible neutral detergent fiber – iNDF; and purified lignin – LIPE®. Feed efficiency and animal performance were not affected by the corn partial replacing by glycerin. No effects were found in partial corn replacing by glycerin and Essential® oils addition in the diets on the fecal output, crude protein and ether extract digestibility among the diets. The DM and OM apparent digestibility were higher for bulls fed with glycerin and Essential® oils. The CHO digestibility was higher for CON diet. The markers iDM, iNDF and LIPE® were similarly to estimate apparent digestibility to all nutrients in the diets.

Qualitative characteristics of hamburgers and koftas produced from meat of lambs fed glycerine

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T. H. Borghi

2016-12-01

Full Text Available The objective of this study was to evaluate the qualitative (pH, color, water activity, water retention capacity, cooking loss, and shear force and sensory characteristics of processed meat produced from less noble cuts of the carcasses of lambs fed diets containing sugarcane as roughage and concentrates with and without 10 and 20% glycerine. Neck and rib meat of 30 lambs slaughtered at a body weight of 32.0 ± 0.2 kg was used for the elaboration of hamburgers and koftas. Except for color, the inclusion of glycerine in the lamb diet did not influence (P>0.05 the qualitative traits evaluated. The inclusion of glycerine reduced the redness (from 10.07 to 8.89, P=0.044 and yellowness (from 5.97 to 5.07, P=0.039 of hamburgers. The same effect was observed for the redness (from 10.83 to 9.61, P=0.031 and yellowness (from 5.86 to 5.12, P=0.047 of koftas. The sensory characteristics evaluated were not influenced (P>0.05 and the grades of overall acceptance ranged from 7.4 to 7.9. The inclusion of glycerine in the diet of lambs altered the color of processed meat products, but provided satisfactory sensory characteristics.

Early colon cancer : findings on double contrast barium enema

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Kim, Seung Kwon; Lim, Jae Hoon; Lee, Soon Jin; Lim, Hyo Keun

1998-01-01

The purpose of this study is to describe the radiologic findings of early colon cancer on double-contrast barium enema. We retrospectively reviewed the double-contrast barium enemas of eight patients (M:F = 6:2; mean age : 67 yrs; range : 48-77 yrs) who were pathologically proven to be early colon cancer. The location, size and gross morphology of lesions was evaluated using double-contrast barium enema, while depth of invasion, degree of differentiation, precancerous lesions and lymph node metastasis were evaluated histopathologically. Early colon cancer was found in the rectum (n=4), sigmoid colon (n=3) and ascending colon (n=1). The size of mass ranged from 2.3 ∼ 8.3 (mean, 4.6) cm. And the polypoid type was most common (n=7); this was subdivided into sessile (Is, n=5), semipedunculated (Isp, n=1) and pedunculated type (Ip, n=1). Another mass was a sessile polypoid combined with a flat depressed lesion. In eight cases, four cancers were confined to the mucosa, while the remaining four had infiltrated the submucosa. Most cancers arose from villous and villotubular adenoma. All cases were well-differentiated adenocarcinoma and no metastasis to lymph nodes had occurred. In early colon cancer, lesions were mainly polypoid and large. Most arose from villous and villotubular adenoma. (author). 19 refs., 1 tab., 3 figs

Comparison of Sucralfate and Hydrocortisone Enemas in Treatment of Active Ulcerative Proctitis; A Double-Blind Randomized ClinicalL Trial

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Mohammad Reza Javadi

2003-08-01

Full Text Available Sucralfate enema has been proposed and investigated in treatment of ulcerative proctitis, but its efficacy is still a matter of debate. Hydrocortisone enema is still an established drug in treatment of ulcerative proctitis. This study was designed to compare the effect of sucralfate enema with hydrocortisone enema. Patients with active sigmoidoscopic and histologic features of ulcerative proctitis were included. All patients had clinical manifestations of proctitis for at least four weeks prior to the study and had negative parasitic stool culture. The total of 25 patients entered the study. They were randomly divided in two groups; group I (n =14 and group II (n = 11 who received sucralfate and hydrocortisone enemas respectively for 4 weeks. Both groups had a significant improvement in clinical features, histologic activity and sigmoidoscopic evaluation in comparison with the baseline. Furthermore there was no significant differences between the two groups concerning mean changes of clinical, sigmoidoscopic, and histologic grading, after treatment. Considering the low cost and minimal adverse effects of sucralfate, and almost equal efficacy in comparison with hydrocortisone enema, its usage can be recommended.

Crude glycerine inclusion in Limousin bull diets: animal performance, carcass characteristics and meat quality.

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Egea, M; Linares, M B; Garrido, M D; Villodre, C; Madrid, J; Orengo, J; Martínez, S; Hernández, F

2014-12-01

Three hundred and six Limousin young bulls (7±1months of age, initial body weight 273±43kg) were used to evaluate the effect of crude glycerine supplementation on animal performance, carcass characteristics and meat quality. Animals were assigned to three different diets: Control (0% of crude glycerine), G2 and G4 (2 and 4% of crude glycerine, respectively). The diets were administrated ad libitum for 240days (final body weight 644±24kg). Average daily weight gain, average daily feed intake, the gain:feed ratio, ultrasound measures in vivo, carcass characteristics, pH, water holding capacity, drip losses, and cooking losses were not affected (P>0.05) by diets. Diet decreased C16:0 (P<0.01) and C16:1 (P<0.05) contents in meat. The G4 meat showed lower C12:0, C14:0, C17:0, C18:0, C18:1, C18:2, C18:3, c9,t11-c18:2, C20:0 and C20:4 levels (P<0.05) than control. Glycerine increased desirable fatty acid percentages (P<0.05) in intramuscular fat. Copyright © 2014 Elsevier Ltd. All rights reserved.

Ingestive Behavior of Heifers Supplemented with Glycerin in Substitution of Corn on Pasture

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L. M. A. M. Facuri

2014-11-01

Full Text Available The objective was to evaluate the ingestive behavior of crossbred heifers finished on a Brachiaria brizantha cv. Marandu pasture receiving four levels of glycerin in their supplementation. Thirty-six crossbred heifers with average initial weight of 264.83±3.83 kg and 20 months of age were distributed into a completely randomized design with four treatments and nine replications: control (0%, 4.82%, 10.12%, and 15.56% glycerin in the dry matter. The grazing time reduced linearly (p0.05. The number of rumination periods reduced linearly (p0.05 whereas the feed efficiency of neutral detergent fiber reduced linearly (p<0.05. Addition of glycerin in substitution of corn in supplements for animals managed on pastures does not influenced feed intake, but reduces the grazing time and increases the idle time. The supplementation also improves feed and rumination efficiencies.

Small bowel volvulus in children. Its appearance on the barium enema examination

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Siegel, M.J.; Shackelford, G.D.; McAlister, W.H.

1980-01-01

Two children with small bowel volvulus diagnosed on barium enema examination are reported. In one patient the volvulus was associated with malrotation and in the other patient there was a post-operative peritoneal adhesion. In both cases the diagnosis was based on beaking of the head of the barium column at the site of volvulus. Radiographic demonstration of a beak sign in the small bowel on barium enema examination should suggest a diagnosis of small bowel volvulus, and indicates the need for immediate surgery.

Digestibility of diets with glycerin for Nellore heifers in feedlot

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Marisa Xavier Manço

2012-12-01

Full Text Available The research for not pollutants and renewable sources of energy, made the biodiesel is reused. But, its production generates the “Glycerin” (10% of biodiesel volume. This production is increasing and accumulating year by year, like other industrious by-products. With no law about discarding, scientists started to feed animals in different species with it. Rich in glycerol, it gives energy for animals and doesn't have other nutrients. It improves the alimentary conversion and does not change ruminal ambient or carcass production. For ruminants is used glycerin originated just from vegetables. This experiment aimed to discover what glycerin’s level can be used on diet. Made at the Unesp University of Campus of Jaboticabal, were used 24 heifers of Nellore in feedlot, weight of ± 265 kg in individuals stalls for 112 days. Were used three crossbreed cattle (Angus x Nellore castrated and cannulated, with ± 400 kg of weight for incubation. The “blond glycerin” used has 83% of glycerol. The proportion of Forage: Concentrate was 30:70. Corn silage was the forage. The concentrate was composed of: soy hulls, sunflower meal, urea and corn or corn more glycerin. All treatments had same percentages of protein and energy and were identified as “without glycerin” (G0, “with 10% of glycerin” (G10 and “20% of glycerin inclusion” (G20 in the dry matter of diet. Samples of food, leavings and excrements were collected. The collections of excrements were made at the superior part of them, without contact with the floor, at the moment of defecation for three consecutive days. Leavings and food were collected just before feeding. Bromatologics analyses were made according AOAC (1995, VAN SOEST and WINE (1967, HENDRIX (1993 and the digestion was made in autoclave (0,5 Kgf/cm2, 111ºC for 50 minutes, proceeding adapted of PELL and SCHOFIELD (1992. ADFi was used as indicator. Incubation was made according to CASALI et al. (2008 for 240 hours and

Performance, rumen development, and carcass traits of male calves fed starter concentrate with crude glycerin

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Raylon Pereira Maciel

2016-06-01

Full Text Available ABSTRACT The objective of this study was to assess the effects of including crude glycerin in the diet on intake, performance, rumen development, and carcass traits of dairy crossbred veal calves fed starter concentrate containing 0, 80, 160, and 240 g kg−1 crude glycerin. Twenty-eight calves with an average weight of 38.03±6.7 kg and five days of age were distributed in a completely randomized design with four treatments with seven replications. Calves were individually housed in covered stalls equipped with feeders and drinkers for 56 days. The calf response to inclusion of crude glycerin in the concentrate changed over the weeks and the inclusion level of 240 g kg−1 resulted in greater dry matter intake and average daily gain. There was no effect on the final weight and total weight gain of the animals, with mean values of 73.60 and 35.16 kg, respectively. The weight of the rumen-reticulum adjusted for body weight, empty body weight, and total stomach weight increased linearly with the inclusion of crude glycerin. Blood total protein, globulin, urea, cholesterol, gamma glutamyl transferase, aspartate aminotransferase, and alkaline phosphatase concentrations did not differ among treatments. Carcass traits and meat color were not affected. Crude glycerin can be added to dairy calf starter concentrate up to 240 g kg−1 dry matter because it benefits concentrate intake, performance, and rumen development without affecting animal health.

A randomized trial of enema versus polyethylene glycol 3350 for fecal disimpaction in children presenting to an emergency department.

Science.gov (United States)

Miller, Melissa K; Dowd, Mary Denise; Friesen, Craig A; Walsh-Kelly, Christine M

2012-02-01

This study aimed to compare efficacy of enema versus polyethylene glycol (PEG) 3350 for pediatric fecal impaction treatment. We conducted a prospective, randomized comparison of treatments of fecal impaction in children in a pediatric emergency department (ED). Treatment arms were a single milk and molasses enema in the ED or PEG 3350 for 3 days outpatient. Telephone follow-up was done on days 1, 3, and 5. The primary outcome was main symptom improvement. Additional outcomes were stool frequency, consistency, and ease of stool passage. Treatment failures (home enema, ED return, or hospital admission) were tracked. Seventy-nine subjects participated (39 PEG; 40 enema). At day 1, PEG subjects were less likely to have improved main symptom (odds ratio [OR], 0.3; 95% confidence interval [CI], 0.1-0.8) but no difference in other outcomes. Half (54%) in enema arm were reported as upset by ED therapy, whereas no children in PEG arm were upset (P PEG arm (83%; P = 0.08). This pilot study suggests that disimpaction by enema may be superior to PEG for immediate relief of symptoms. Larger trials are needed to assess any advantage.

Performance and carcass characteristics of dairy steers fed diets containing crude glycerin

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Raylon Pereira Maciel

Full Text Available ABSTRACT The objective of the study was to assess the effects of including 0, 79.8, 159.8, and 240.0 g kg-1 crude glycerin in the total diet dry matter on the 84 days feedlot performance, nutrient digestibility, blood parameters, and carcass characteristics of crossbred dairy steers. Experimental diets were composed of 98.5 g kg-1 of sorghum silage and 901.5 g kg-1 of concentrate. Twenty-four crossbred dairy steers (337.3±39.8 kg body weight and 15 months of age were distributed in a completely randomized design with four treatments and six replicates. The intake and digestibility of the dry matter and nutrients were not altered by including crude glycerin in the diet. Crude glycerol levels did not affect the final weight (430.2 kg, daily weight gain (1.38 kg day-1, total weight gain (97.2 kg, hot carcass weight (218.9 kg, cold carcass weight (215.2 kg, hot carcass yield (0.50 kg 100 kg-1 BW, longissimus dorsi area (62.86 cm², subcutaneous fat thickness (4.05 mm, and carcass physical composition. Concentrations of serum glucose, triglycerides, total cholesterol, high-density lipoprotein cholesterol, and creatinine were not altered by including crude glycerin in the diet. Crude glycerin can be added to high concentrate diet up to 240 g kg-1 without changing the animal performance, apparent digestibility of nutrients, the main carcass characteristics, and blood parameters of finishing crossbred dairy steers.

A Randomized Controlled Trial of Glycerin Suppositories During Phototherapy in Premature Neonates.

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Butler-O'Hara, Meggan; Reininger, Ann; Wang, Hongyue; Amin, Sanjiv B; Rodgers, Nathan J; D'Angio, Carl T

To determine if glycerin suppositories were effective in reducing total duration of phototherapy in premature neonates. We hypothesized that glycerin suppositories would have no effect on phototherapy duration or total serum bilirubin levels. Prospective randomized controlled double-blinded trial. Level IV NICU. Neonates born between 30 weeks, 0 days and 34 weeks, 6 days gestational age who developed physiologic hyperbilirubinemia needing phototherapy. Neonates were randomized to the no-suppository group or to the suppository group. Neonates were randomized to receive glycerin suppositories every 8 hours while under phototherapy or to a sham group. The primary outcome was total hours of phototherapy. Secondary outcomes included peak total serum bilirubin levels, time from start to discontinuation of phototherapy, rate of decline in bilirubin levels, repeat episodes of phototherapy, and number of stools while the neonates received phototherapy. A total of 39 neonates were assigned to the no-suppository group and 40 to the suppository group. Withholding suppositories was not inferior to providing suppositories. The total hours of phototherapy were not longer (i.e., noninferior) among neonates not provided suppositories (61 ± 53 hours) than among those given suppositories (72 ± 49 hours). There were no differences in peak bilirubin levels, rate of bilirubin decline, or repeat episodes of phototherapy. Routine use of glycerin suppositories among preterm neonates who receive phototherapy does not affect bilirubin levels or phototherapy duration. Copyright © 2017 AWHONN, the Association of Women’s Health, Obstetric and Neonatal Nurses. Published by Elsevier Inc. All rights reserved.

Microbiological viability of bovine amniotic membrane stored in glycerin 99% at room temperature for 48 months

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Kelly Cristine de Sousa Pontes

Full Text Available ABSTRACT The medium for storing biological tissues is of great importance for their optimal use in surgery. Glycerin has been proven efficient for storing diverse tissues for prolonged time, but the preservation of the bovine amniotic membrane in glycerin 99% at room temperature has never been evaluated to be used safely in surgical procedures. This study evaluated the preservation of 80 bovine amniotic membrane samples stored in glycerin 99% at room temperature. The samples were randomly divided evenly into four groups. Samples were microbiologically tested after 1, 6, 12 and 48 months of storage. The presence of bacteria and fungi in the samples was evaluated by inoculation on blood agar and incubation at 37 ºC for 48 hours and on Sabouraud agar at 25 ºC for 5 to 10 days. No fungal or bacterial growth was detected in any of the samples. It was concluded that glycerin is an efficient medium, regarding microbiology, for preserving pre-prepared bovine amniotic membrane, keeping the tissue free of microorganisms that grow in the media up to 48 months at room temperature.

Crude glycerin decreases nonesterified fatty acid concentration in ewes during late gestation and early lactation.

Science.gov (United States)

Polizel, D M; Susin, I; Gentil, R S; Ferreira, E M; de Souza, R A; Freire, A P A; Pires, A V; Ferraz, M V C; Rodrigues, P H M; Eastridge, M L

2017-02-01

Crude glycerin is a gluconeogenic substrate in ruminants and may help to decrease the occurrence of pregnancy toxemia. The objective in this trial was to determine the effects of feeding a diet containing crude glycerin on DMI, milk yield, milk composition, and blood metabolites in periparturient ewes and lamb performance. One hundred eighteen 90 (±1.1)-d pregnant Santa Inês ewes were used. After lambing, 32 ewes (62.8 ± 1.3 kg BW) were allotted in a randomized complete block design defined by prelambing diet, BW, BCS, lambing date, type of birth (single or twin), and sex of offspring. Diets were isonitrogenous (13.0 ± 0.3% CP, DM basis), composed of concentrate and raw sugarcane bagasse (70:30 ratio, DM basis), and fed ad libitum daily. Crude glycerin (83.6% glycerol) levels were 0 or 10% (DM basis), corresponding to the experimental diets G0 and G10, respectively. From 8 until 56 d of lactation, DMI was determined. In the same period, once a week at 1000 h, the ewes were separated from the lambs and mechanically milked after intravenous administration of 10 IU of synthetic oxytocin. Three hours after the first milking, ewes were milked again and milk yield and composition were determined. Glucose, NEFA, and β-hydroxybutyrate (BHBA) were determined at -14, -7, 0, 7, 14, 28, and 56 d relative to lambing and insulin was determined at -14, -7, 0, and 7 d. Crude glycerin did not affect DMI (2.2 kg/d for G0 vs. 2.2 kg/d for G10; = 0.93) or milk production (171 g/3 h for G0 vs. 164 g/3 h for G10; = 0.66). However, there was a decrease ( = 0.01) in milk fat percentage (8.1% for G0 vs. 7.0% for G10) for ewes fed glycerin. Ewes fed the G10 diet had decreased ( ewes fed the G10 diet (0.46 mmol/L for G0 vs. 0.61 mmol/L for G10). There was no effect of diets fed to ewes on lamb growth from birth to weaning. Crude glycerin improved energy balance of periparturient ewes, suggesting a reduced risk of developing clinical metabolic-related disorders. Crude glycerin can be

Hydrogen production by aqueous phase catalytic reforming of glycerine

International Nuclear Information System (INIS)

Ozguer, Derya Oncel; Uysal, Bekir Zuehtue

2011-01-01

Hydrogen is believed to be the one of the main energy carriers in the near future. In this research glycerine, which is produced in large quantities as a by-product of biodiesel process, was converted to hydrogen aiming to contribute to clean energy initiative. Conversion of glycerol to hydrogen was achieved via aqueous-phase reforming (APR) with Pt/Al 2 O 3 catalyst. The experiments were carried out in an autoclave reactor and a continuous fixed-bed reactor. The effects of reaction temperature (160-280 o C), feed flow rate (0.05-0.5 mL/dak) and feed concentration (5-85 wt-% glycerine) on product distribution were investigated. Optimum temperature for hydrogen production with APR was determined as 230 o C. Maximum gas production rate was found at the feed flow rates around 0.1 mL/min. It was also found that hydrogen concentration in the gas product increased with decreasing glycerol concentration in the feed.

Ingestive behavior of lactating cows fed sugarcane and crude glycerin levels on the diet

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Lucas Teixeira Costa

2014-09-01

Full Text Available The crude glycerin used as feed for ruminants has drawn attention of the researchers for dealing with environmental aspects. Considering current legislation did not establish how to treat this product, this is a low cost alternative of great amount of a residue of the biodiesel production. In this study we evaluated different crude glycerin levels on ingestive behavior which were studied as the diet of lactating cows fed with sugarcane. The glycerin levels were 0, 4, 8 and 12% of the dry matter; the diet was balanced to contain enough nutrients for the maintenance and milk production of 15 kg.dia-1. Sixteen (16 crossbred Holstein x Zebu cows were distributed into four 4x4 Latin Squares. The animals were submitted to observation of 24 hours every five minutes to evaluate ingestive behavior. The observation of the activities was recorded. The animal´s behavior was visually determined with five minutes of intervals to determine the times spent in idle, feeding, rumination, and were calculated patterns of feeding and rumination. The addition of glycerin to the diet did not affect the ingestive behavior parameter in lactating cows fed sugarcane, might be explained by the similarity in NDF content of diets, and up to 12% may be added of the diet’s dry matter.

Routine filtration for decubitus radiography during double contrast barium enema examinations

International Nuclear Information System (INIS)

Camellini, V.; Abelli, P.; Marconi, G.

1987-01-01

A wedge-shaped plexiglass compensation filter for use in lateral decubitus radiographs of double contrast barium enema examinations has been designed. This filter, which has been used since February 1985, was compared with a second plexiglass filter, made by E-Z-EM. Voltage and amperage were kept contrast. Two different experiments were conducted in order to demonstrate the benefits of routine use of this compensation filter. First, the changes in skin dose were assessed using an ionization chamber on phantom. Secondly, three radiologists examined a series of 80 consecutive barium enemas without knowing which had been performed using the new filter. Out of the 70 examinations they considered excellent, as many as 45 had been performed with the new filter. Personal experience and the studies described show that the use of a compensation filter improves the accuracy and thus the diagnostic quality of the examinations as it enhances the detail of the anatomic structure of the colon; moreover the filter reduces skin exposure by up to 73.1% (EZ-E-EM filter 47.3%) and, at the same time, less radiographic films are needed. Routine use of a plexiglass compensation filter in lateral decubitus radiographs while performing a double contrast barium enema examination, is strongly recommended especially in obese patients

Ingestive Behavior of Heifers Supplemented with Glycerin in Substitution of Corn on Brachiaria brizantha Pasture.

Science.gov (United States)

Facuri, L M A M; Silva, R R; da Silva, F F; de Carvalho, G G P; Sampaio, C B; Mendes, F B L; Lisboa, M M; Barroso, D S; Carvalho, V M; Pereira, M M S

2014-11-01

The objective was to evaluate the ingestive behavior of crossbred heifers finished on a Brachiaria brizantha cv. Marandu pasture receiving four levels of glycerin in their supplementation. Thirty-six crossbred heifers with average initial weight of 264.83±3.83 kg and 20 months of age were distributed into a completely randomized design with four treatments and nine replications: control (0%), 4.82%, 10.12%, and 15.56% glycerin in the dry matter. The grazing time reduced linearly (p0.05). The number of rumination periods reduced linearly (p0.05) whereas the feed efficiency of neutral detergent fiber reduced linearly (p<0.05). Addition of glycerin in substitution of corn in supplements for animals managed on pastures does not influenced feed intake, but reduces the grazing time and increases the idle time. The supplementation also improves feed and rumination efficiencies.

Renal excretion of water-soluble contrast media after enema in the neonatal period.

Science.gov (United States)

Kim, Hee Sun; Je, Bo-Kyung; Cha, Sang Hoon; Choi, Byung Min; Lee, Ki Yeol; Lee, Seung Hwa

2014-08-01

When abdominal distention occurs or bowel obstruction is suspected in the neonatal period, a water-soluble contrast enema is helpful for diagnostic and therapeutic purposes. The water-soluble contrast medium is evacuated through the anus as well as excreted via the kidneys in some babies. This study was designed to evaluate the incidence of renal excretion after enemas using water-soluble contrast media and presume the causes. Contrast enemas using diluted water-soluble contrast media were performed in 23 patients under 2 months of age. After the enema, patients were followed with simple abdominal radiographs to assess the improvement in bowel distention, and we could also detect the presence of renal excretion of contrast media on the radiographs. Reviewing the medical records and imaging studies, including enemas and consecutive abdominal radiographs, we evaluated the incidence of renal excretion of water-soluble contrast media and counted the stay duration of contrast media in urinary tract, bladder, and colon. Among 23 patients, 12 patients (52%) experienced the renal excretion of water-soluble contrast media. In these patients, stay-in-bladder durations of contrast media were 1-3 days and stay-in-colon durations of contrast media were 1-10 days, while stay-in-colon durations of contrast media were 1-3 days in the patients not showing renal excretion of contrast media. The Mann-Whitney test for stay-in-colon durations demonstrated the later evacuation of contrast media in the patients with renal excretion of contrast media (p = 0.07). The review of the medical records showed that 19 patients were finally diagnosed as intestinal diseases, including Hirschsprung's disease, meconium ileum, meconium plug syndrome, and small bowel atresia or stenosis. Fisher's exact test between the presence of urinary excretion and intestinal diseases indicated a statistically significant difference (p = 0.04). The intestinal diseases causing bowel obstruction may increase the

Methane production from cattle manure supplemented with crude glycerin from the biodiesel industry in CSTR and IBR.

Science.gov (United States)

Castrillón, L; Fernández-Nava, Y; Ormaechea, P; Marañón, E

2013-01-01

The aim of the present research work was to optimise biogas production from cattle manure by adding crude glycerin from the biodiesel industry. For this purpose, 6%v/v crude glycerin (the optimum amount according to previous research) was added to ground manure and the mixture was sonicated to enhance biodegradability prior to anaerobic co-digestion at 55 °C. Two different reactors were used: continuously stirred (CSTR) and induced bed (IBR). The methanol and pure glycerin contents of the crude glycerin used in this study were 5.6% and 49.4% (w/w), respectively. The best results when operating in CSTR were obtained for an organic loading rate (OLR) of 5.4 kg COD/m(3) day, obtaining 53.2m(3) biogas/t wet waste and 80.7% COD removal. When operating in IBR, the best results were obtained for an OLR of 6.44 kg COD/m(3)day, obtaining 89.6% COD removal and a biogas production of 56.5m(3)/t wet waste. Copyright © 2012 Elsevier Ltd. All rights reserved.

Failure of 5-aminosalicylic acid enemas to improve chronic radiation proctitis

International Nuclear Information System (INIS)

Baum, C.A.; Biddle, W.L.; Miner, P.B. Jr.

1989-01-01

Radiation proctitis is a well-known complication of abdominal and pelvic radiation. Conventional medical and surgical treatment often is disappointing. 5-Aminosalicylic acid (5-ASA) is the active component in sulfasalazine and is effective in the treatment of distal ulcerative colitis. Four patients with radiation proctitis were treated with 4 g 5-ASA by enema nightly for two to six months. Patients were seen monthly, interviewed, and a sigmoidoscopic exam performed. No change was seen in the degree of mucosal inflammation on follow-up sigmoidoscopic exams. Three patients noted no change in their symptoms of bleeding, pain, or tenesmus. One patient noted initial improvement, but this was not sustained. 5-ASA enemas do not appear to be effective in the treatment of radiation proctitis

A double-blind, randomized study comparing pure chromated glycerin with chromated glycerin with 1% lidocaine and epinephrine for sclerotherapy of telangiectasias and reticular veins.

Science.gov (United States)

Kern, Philippe; Ramelet, Albert-Adrien; Wutschert, Robert; Mazzolai, Lucia

2011-11-01

Chromated glycerin (CG) is an effective, although painful, sclerosing agent for telangiectasias and reticular leg veins treatment. To determine pain level and relative efficacy of pure or one-third lidocaine-epinephrine 1% mixed chromated glycerin in a prospective randomized double-blind trial. Patients presenting with telangiectasias and reticular leg veins on the lateral aspect of the thigh (C(1A) or (S) E(P) A(S) P(N1) ) were randomized to receive pure CG or CG mixed with one-third lidocaine-epinephrine 1% (CGX) treatment. Lower limb photographs were taken before and after treatment and analyzed by blinded expert reviewers for efficacy assessment (visual vein disappearance). Patients' pain and satisfaction were assessed using visual analogue scales. Data from 102 of 110 randomized patients could be evaluated. Patient pain scores were significantly higher when pure CG was used than with CGX (psclerotherapy pain without affecting efficacy when treating telangiectasias and reticular leg veins. © 2011 by the American Society for Dermatologic Surgery, Inc.

Iatrogen perforation of the rectum following barium enema

International Nuclear Information System (INIS)

Eggum, R.; Kressner, U.; Haffner, J.

1998-01-01

Perforation of the rectum following barium enema is relatively rare, occurring in 1 of 3,000 procedures. Colorectal perforation is a serious condition and early diagnosis is of paramount importance in order to avoid any delay in treating the patient. Direct suture of the perforation, lavage, presacral drainage and stomia are the preferred methods of primary surgical treatment. 10 refs., 1 fig

Revaluation on detection of metastatic cancer of the colorectum with barium enema. Comparison with computed tomography and colonoscopy

International Nuclear Information System (INIS)

Watari, Jiro; Mizukami, Yusuke; Tanabe, Hirotaka

1996-01-01

The findings with barium enema were analyzed and compared to those with computed tomography and colonoscopy in 15 patients with metastatic cancer of the colorectum, which were from 8 gastric, 2 colonic, 2 ovarian, 1 pancreatic, 1 prostatic carcinomas and 1 unknown origin. Primary cancers of intra-abdominal cavity origin tended to make multiple colorectal metastases (91.7%). With barium enema colonic and rectal involvement was mostly expressed as the tethered type and the diffuse type by Ishikawa's classification, respectively. Computed tomography detected direct tumor invasion to the colorectum in 4 cases. Of the other 11 cases, 8 patients (72.3%) showed abnormally thickened colorectal wall. Colonoscopy detected only 3 (37.5%) out of 8 lesions seen in 4 patients who had undergone colonoscopy before barium enema. Many of the lesions missed were the tethered type involvement. Barium enema is the most sensitive method to detect metastatic cancer of the colorectum. (author)

A Brief Review of Therapeutic and Diagnostic Applications of Enema in Iranian Traditional Medicine and Other Complementary Medicines

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Hamideh khorrampazouh

2018-02-01

Full Text Available Introduction: Enema or ‘hoqne’ is a therapeutic approach used for a wide range of diseases in the Iranian traditional medicine. The use of this method dates back to thousands of years to Hippocrates and Galen. The aim of this study was to review the history of enema and its methods and indices in the Iranian medicine and other complementary medicine.Methods: This review study was conducted on the Iranian medicine textbooks and articles published in the international databases, including Google Scholar, PubMed, Embase, and Scopus, as well as the Iranian databases, such as SID and Magiran. The searching process was performed using the following keywords: ‘Hoqne’, ‘Enema’, ‘Vasta’, ‘Basta’, and ‘Complementary and Alternative Medicine (CAM’. There was no limitation regarding the publication data of the included studies.Result: In the Iranian medicine, the term “hoqne” is equivalent to enema. Enema is used in various diseases of the brain, respiratory system, digestive system, urogenital system, and musculoskeletal system, as well as systemic diseases. Enema is one of the five main therapies in the Indian medicine or Ayurveda. In other types of complementary medicine, including Chinese medicine, this procedure has therapeutic applications. Although enema has been recognized as a diagnostic method in modern medicine, it has been considered as a therapeutic approach in the recent years.Conclusion: According to the findings of the reviewed studies, enema is a major therapeutic focus in complementary medicine, part of which has been confirmed in the recent studies. Given the low side effects and high success rate of this treatment, it can be used as a supplemental therapy for the management of poisoning, febrile seizures, prolonged functional constipation, and chronic kidney disease, as well as the prevention of swelling. However, this theory requires further investigation and targeted clinical trials. This method has been

Evaluation of sucralfate enema in experimental diversion colitis

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José Aires Pereira

2013-10-01

Full Text Available Diversion colitis (DC is an inflammatory disease that develops in segments with fecal di- version. Sucralfate (SCF complex, which consists of sucrose octasulfate and polyaluminum hydroxide, has been demonstrated to be effective in the treatment of different forms of colitis. However, until now, the effects of SCF have not been evaluated in DC. Objective: to evaluate whether the use of enemas containing SFC improves histological find- ings in experimental DC. Methods: Thirty-six rats underwent right colon bypass procedure through the creation of a proximal colostomy and a distal mucous fistula. The animals were divided into two groups according to the euthanization procedure to be performed two to four weeks after sur- gery. Each experimental group was divided into three subgroups of six animals, which were submitted to daily application of enemas containing saline solution 0.9% or SCF at con- centrations of 1.0 g/kg/day or 2.0 g/kg/day, respectively. The diagnosis of DC in segments with fecal diversion was established by histopathological study considering the following variables: epithelial loss, formation of crypt abscesses, the population of goblet cells, in- flammatory infiltrate and presence of fibrosis. For statistical analysis, the nonparametric Mann-Whitney and Kruskal-Wallis tests were used, with a significance level of 5% (p <0.05. Results: It was observed that the daily application of SCF enemas decreased epithelial loss, formation of colon crypt abscesses, inflammatory infiltrate and tissue fibrosis (p <0.05, un- related to time of intervention. The intervention with SCF preserves the goblet cell popula- tion. The effects of the substance on the preservation of colonic epithelium; the decrease in the inflammatory process and subsequent abscess formation in the colon crypts are associated with the concentration used, whereas tissue fibrosis decrease is associated with the concentration and time of intervention. Conclusion

Glycerin Reformation in High Temperature and Pressure Water

Science.gov (United States)

2012-01-01

filtration, belt filtering and flotation , among others (98, 103). The remaining material can undergo anaerobic digestion to produce methane, burned to...132–135). In that same 1933 patent, acrolein was produced from glycerin using a copper phosphate catalyst (132). Many studies have been published...carried out over a catalyst of copper and zinc oxide on an alumina support (198, 199). The high temperature F-T can accommodate some carbon dioxide

Feeding behavior, microbial efficiency, and nitrogen balance of Nellore heifers supplemented with crude glycerin

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Gonçalo Mesquita da Silva

2016-09-01

Full Text Available This study aimed to evaluate the inclusion of crude glycerin in diets for Nellore heifers grazing on a Brachiaria brizantha pasture, during the dry season, on urine and plasma urea concentrations, feeding behavior, and microbial protein synthesis. Sixty Nellore heifers with an average initial weight of 285.89 ± 18.74 kg, at approximately 19 ± 2 months of age, were distributed, in a completely randomized design, into the following five treatments with twelve replicates: 0.00, 4.00, 8.00, 12.00, and 16.00% inclusion of crude glycerin in the diet they were fed. Grazing time decreased linearly (P 0.05, averaging 113.73g CP per kg TDN ingested. Plasma nitrogen concentration did not show any effects (P > 0.05, averaging 13.11 mg dL?1. Supplementing heifers during the dry season, at 0.7% BW, using up to 16% crude glycerin in the diet composition, did not elicit positive responses from feeding behavior and had little influence on microbial synthesis.

Effects of dietary inclusion of high concentrations of crude glycerin on meat quality and fatty acid profile of feedlot fed Nellore bulls.

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Eric H C B van Cleef

Full Text Available Crude glycerin, the main by-product of biodiesel production, can replace dietary energy sources, such as corn. The objective of this study was to evaluate the inclusion of up to 30% of crude glycerin in dry matter (DM of the total diets, and its effects on meat quality parameters of feedlot Nellore bulls. Thirty animals (227.7 ± 23.8 kg body weight; 18 months old were housed in individual pens and fed 5 experimental diets, containing 0, 7.5, 15, 22.5 or 30% crude glycerin (DM basis. After 103 d (21 d adaptation animals were slaughtered and the Longissimus muscle was collected. The characteristics assessed were chemical composition, fatty acid profile, cholesterol, shear force, pH, color, water-holding capacity, cooking loss and sensory properties. The increasing inclusion of crude glycerin in the diets did not affect the chemical composition of the Longissimus muscle (P > 0.10. A quadratic effect was observed when levels of crude glycerin were increased, on the concentration of pentadecanoic, palmitoleic and eicosenoic fatty acids in meat (P < 0.05, and on the activity of the delta-9 desaturase 16 and delta-9 desaturase 18 enzymes (P < 0.05. The addition of crude glycerin increased the gamma linolenic fatty acid concentration (P < 0.01, and altered the monounsaturated fatty acids in Longissimus muscle of animals (Pquad. < 0.05. Crude glycerin decreased cholesterol content in meat (P < 0.05, and promoted higher flavor score and greasy intensity perception of the meat (P < 0.01. The inclusion of up to 30% crude glycerin in Nellore cattle bulls`diets (DM basis improves meat cholesterol and sensory attributes, such as flavor, without affecting significantly the physical traits, the main fatty acid concentrations and the chemical composition.

Histological evaluation of bovine tunica albuginea as biomaterial conserved in 98% glycerin and in 0.625% glutaraldehyde

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Leticia Leal Oliveira

2015-12-01

Full Text Available ABSTRACT. Oliveira L.L., Barata J.S., Silva A.V.P., Caravalho E.C.Q., Nunes L.C. & Abílio E.J. [Histological evaluation of bovine tunica albuginea as biomaterial conserved in 98% glycerin and in 0.625% glutaraldehyde.] Avaliação histológica da túnica albugínea bovina como biomaterial conservada em glicerina a 98% e em glutaraldeído a 0,625%. Revista Brasileira de Medicina Veterinária, 37(4:309-315, 2015. Departamento de Medicina Veterinária, Universidade Federal do Espírito Santo, Alto Universitário s/n, Guararema, Alegre, ES 29500-000, Brasil. E-mail: leticialealolive@hotmail.com Biomaterials have long been studied in reconstructive surgery, both natural and synthetic origin. It can be used as support to host tissue cells development and an efficient bed of stem cells for tissue engineering and regeneration of tissues and organs. The aim of this study was to evaluate the tunica albuginea as biomaterial preserved in glycerin 98% and glutaraldehyde 0.625% and analyze its integrity for use in grafting therapy by microscopic examinations. Tunica albuginea were obtained from healthy adults crossbred cattle from slaughterhouse, tunicas albugineas were preserved in 98% glycerin and 0.625% glutaraldehyde for a period of 30 days at least. Tunica albuginea was fixed in 10% formalin, histologically processed and stained by hematoxylin-eosin, Masson’s trichrome and red picrosisrius polarization. Macroscopically there was a difference in the texture and color of tunica albuginea and in glutaraldehyde group were more firm and thick. Microscopic evaluation revealed that both the glycerin and the glutaraldehyde can be used as conservation medium in function of preserving the basic architecture tissue of the tunica albuginea, however, the glycerin was more efficient preservation of cellular structures. Histochemical techniques have highlighted the collagen and elastic fibers present in tunicas albugineas and highlight the predominance of type I

Carcinoma of the colon: Diagnosis by ultrasound and enema

International Nuclear Information System (INIS)

Cremin, B.J.; Brown, R.A.

1987-01-01

Carcinoma of the colon presenting before puberty is rare and few cases have been recorded in radiological literature. The symptomatology is usually vague but may be similar to the classical presentation of adults. The barium enema will also show the same constricting lesions. Two cases are reported, in one of which the initial diagnosis was made by ultrasound. (orig.)

Carcinoma of the colon: Diagnosis by ultrasound and enema

Energy Technology Data Exchange (ETDEWEB)

Cremin, B.J.; Brown, R.A.

1987-05-01

Carcinoma of the colon presenting before puberty is rare and few cases have been recorded in radiological literature. The symptomatology is usually vague but may be similar to the classical presentation of adults. The barium enema will also show the same constricting lesions. Two cases are reported, in one of which the initial diagnosis was made by ultrasound.

Is CT effective in diagnosing the acute appendicitis?: Focus on comparison of unenhanced CT with barium enema

International Nuclear Information System (INIS)

Choi, Seong Hee; Hahm, So Hee; Kang Jin Hwa; Moon, Jeong Hwa

1994-01-01

To evaluate the role of unenhanced CT in diagnosing the acute appendicitis. We retrospectively analyzed conventional contrast-enhanced abdominal CT scans of 197 normal patients and barium enemas of 26 out of the 197 patients. Additional unenhanced CT scans of right lower abdomen were performed on 30 patients who were suspected of having acute appendicitis; barium enema was performed in 26 patients. In the analysis of the conventional CT scans, we could detect 132 (67%) normal appendices. On barium enema of 26 out of 197 patients, abruptly narrowed appendix was visualized in 5 cases and luminal irregularity in 4 cases but all 26 cases showed normal appendix on CT. In the 30 cases of unenhanced CT, all appendices were visualized. Among 12 cases which were proved as acute appendicitis, barium enema was done in 10 cases; abruptly narrowed appendix was shown in 3 and luminal irregularity in 1. Among 18 cases which were diagnosed as normal appendix, nonvisualization of appendix was in 1 case, abruptly narrowed lumen in 3, and luminal irregularity in 9. Unenhanced CT in the area of the cecum may be an effective and safe diagnostic tool acute appendicitis

Contrast enema depiction of small-bowel volvulus in complicated neonatal bowel obstruction

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Navarro, Oscar M.; Daneman, Alan; Miller, Stephen F. [Hospital for Sick Children, Department of Diagnostic Imaging, Toronto, ON (Canada)

2004-12-01

About one-half of patients with meconium ileus (MI) present with a complication such as volvulus, atresia, meconium peritonitis or giant cystic meconium peritonitis. The treatment of these complications requires surgery. However, the preoperative diagnosis of complicated MI is difficult. We describe two neonates with complicated small-bowel obstruction, one with MI related to cystic fibrosis and the other not related to cystic fibrosis. In both, contrast enema depicted a spiral appearance of the distal small bowel, which at surgery proved to be the result of volvulus associated with antenatal bowel perforation. This appearance of the small bowel on contrast enema in this clinical setting has not been previously described. The recognition of this spiral appearance of the distal small bowel suggests the need for surgery. (orig.)

Contrast enema depiction of small-bowel volvulus in complicated neonatal bowel obstruction

International Nuclear Information System (INIS)

Navarro, Oscar M.; Daneman, Alan; Miller, Stephen F.

2004-01-01

About one-half of patients with meconium ileus (MI) present with a complication such as volvulus, atresia, meconium peritonitis or giant cystic meconium peritonitis. The treatment of these complications requires surgery. However, the preoperative diagnosis of complicated MI is difficult. We describe two neonates with complicated small-bowel obstruction, one with MI related to cystic fibrosis and the other not related to cystic fibrosis. In both, contrast enema depicted a spiral appearance of the distal small bowel, which at surgery proved to be the result of volvulus associated with antenatal bowel perforation. This appearance of the small bowel on contrast enema in this clinical setting has not been previously described. The recognition of this spiral appearance of the distal small bowel suggests the need for surgery. (orig.)

Triacrylate of glycerin synthesis and use in network polymer

International Nuclear Information System (INIS)

Morita, Reinaldo Y.; Zawadzki, Sonia F.; Barbosa, Ronilson V.

2009-01-01

The goal of this work was the synthesis and characterization of a new cross linker: the glyceryl triacrylate. The synthesis was done by an esterification reaction between glycerin and acrylic acid and the product, called GA, was characterized by infrared and nuclear magnetic resonance (NMR- 1a) spectroscopy. The behavior was analysed after a copolymerization with methyl methacrylate monomer (MMA). It was also prepared the PMMA and GA homopolymers. The addition of glycerin triacrylate up to 2 % in the MMA monomer changed the solubility of the copolymer. This one became insoluble in organic solvents in which the pure linear poly(methyl methacrylate) was soluble. Thermal analysis showed that the addition of 2% GA didn't change the Tg value of the PMMA pure, but the GA homopolymer showed a Tg value equal to 180 C, lower than expected. It seems that GA product is working as cross linker, but some insaturation links did not react. They remain as pendent groups, causing the Tg lowering. The results suggest that the new product can be used as cross linker for the application in acrylic polymers. (author)

Dry matter digestibility and metabolizable energy of crude glycerines originated from palm oil using fed rooster assay

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Astiari Tia Legawa

2017-07-01

Full Text Available A study was conducted to determine the dry matter digestibility, gross energy (GE, the nitrogen-corrected apparent metabolizable energy (AMEn, and the nitrogen-corrected true metabolizable energy (TMEn of two crude glycerine from two different sources. The first crude glycerine (CG1 was from a large scale biodiesel producer with high content of glycerol (89.49% and low content of crude fat (1.73%, meanwhile the second crude glycerine (CG2 was from a medium scale biodiesel producer with lower content of glycerol than CG1 (38.36% and high content of crude fat (23.63%. Fed rooster assay based on Sibbald (1976 was used in the experiment. The experimental feed consisted of ground corn and three levels of crude glycerine (0, 10, and 20%. Twenty four Hisex brown roosters were housed in metabolic cages. Roosters were force fed with 30 g experimental feed, after 24 hours of fasting. Excreta collection was performed for two days while the roosters were fasting again. The content values of GE, AMEn, and TMEn of CG1 were 4065.18, 2926.59, and 3068.73 kcal kg-1 and for CG2 were 5928.09, 4010.11, and 4054.52 kcal kg, respectively.

Barium enema and endoscopy for the detection of colorectal neoplasia: Sensitivity, specificity, complications and its determinants

International Nuclear Information System (INIS)

Zwart, Ingrid M. de; Griffioen, Gerrit; Shaw, M. Pertaap Chandie; Lamers, Cornelis B.H.W.; Roos, Albert de

2001-01-01

AIM: To analyse sensitivity, specificity and complication rate of endoscopy, and barium enema for the detection of colorectal neoplasia. MATERIALS AND METHODS: A MEDLINE search was performed (1980-2000) directed at the endoscopic and radiologic literature on barium enema. Articles were selected based on the type of study, availability of sensitivity and specificity values in sizeable patient groups, and reports on complications. Sixty articles were included in the analysis. RESULTS: Endoscopy proved to have superior sensitivity for polyps in patients at high-risk for colorectal neoplasia. The role of endoscopy and radiology in average-risk screening populations is not known. Sensitivity and specificity rates ranged widely, probably due to bias. For the detection of small polyps endoscopy has superior performance, whereas sensitivity is similar for endoscopy and barium enema for the detection of larger (>1 cm) polyps and tumours. Overall, endoscopy is associated with a higher complication rate. CONCLUSION: Endoscopy is the preferred detection method in high-risk patients. The role of endoscopy and radiology in a screening setting requires evaluation. This review provides the test characteristics of endoscopy and radiology which are relevant for a cost-effectiveness analysis. Double-contrast barium enema may play an important role for screening purposes, owing to its good sensitivity for detecting larger (>1 cm) polyps and its lack of major complications. Zwart, I.M. de et al. (2001)

Radiographer and radiologist perception error in reporting double contrast barium enemas: A pilot study

International Nuclear Information System (INIS)

Booth, Alison M.; Mannion, Richard A.J.

2005-01-01

Purpose: The practice of radiographers performing double contrast barium enemas (DCBE) is now widespread and in many centres the radiographer's opinion is, at least, contributing to a dual reporting system [Bewell J, Chapman AH. Radiographer performed barium enemas - results of a survey to assess progress. Radiography 1996;2:199-205; Leslie A, Virjee JP. Detection of colorectal carcinoma on double contrast barium enema when double reporting is routinely performed: an audit of current practice. Clin Radiol 2001;57:184-7; Culpan DG, Mitchell AJ, Hughes S, Nutman M, Chapman AH. Double contrast barium enema sensitivity: a comparison of studies by radiographers and radiologists. Clin Radiol 2002;57:604-7]. To ensure this change in practice does not lead to an increase in reporting errors, this study aimed to compare the perception abilities of radiographers with those of radiologists. Methods: Three gastro-intestinal (GI) radiographers and three consultant radiologists independently reported on a selection of 50 DCBE examinations, including the level of certainty in their comments for each examination. A blinded comparison of the results with an independent 'standard report' was recorded. Results: The results demonstrate there was no significant difference in perception error for any of the levels of certainty, for single reporting, for double reading by a radiographer/radiologist or by two radiologists. Conclusions: The study shows that radiographers can perceive abnormalities on DCBE at similar sensitivities and specificities as radiologists. While the participants in the study may be typical of a district general hospital, the nature of the study gives it limited external validity. As a pilot, the results demonstrate that, with slight modification, the methodology could be used for a larger study

An assessment of the accuracy of contrast enema for the diagnosis ...

African Journals Online (AJOL)

Diagnostic accuracy levels were calculated by comparing radiological results with histology results, which is the gold standard. Results: Diagnostic accuracy of contrast enema was 78%, sensitivity was 94.4% and the negative predictive value was 95.7%. Specificity (68.8%) and positive predictive values (63%) were ...

The production of paper soaps from coconut oil and Virgin Coconut Oil (VCO) with the addition of glycerine as plasticizer

Science.gov (United States)

Widyasanti, Asri; Miracle Lenyta Ginting, Anastasia; Asyifani, Elgina; Nurjanah, Sarifah

2018-03-01

Hand washing with soap is important because it is proven to clean hands from germs and bacteria. The paper soapswere made from coconut oil and virgin coconut oil (VCO) with the addition of glycerin as a plasticizer. The aims of this research were to determine both formulation of paper soap using coconut oil and VCO based with addition of glycerin, and to determine the quality of the paper soapswhich is a disposable hand soap. This research used laboratory experimental method using descriptive analysis. The treatments of this research were treatment A (paper soap without the addition of glycerin), treatment B (paper soap with the addition of glycerin 10% (w/w)), treatment C (paper soap with the addition of glycerin 15% (w/w)), treatment D (paper soap with the addition of glycerin of 20% (w/w)). Parameters tested were moisture content, stability of foam, pH value, insoluble material in ethanol, free alkali content, unsaponified fat, antibacterial activity test, and organoleptic test. The result of physicochemical characteristics for bothcoconut oil-paper soap and VCO-paper soap revealed that treatment C (the addition of glycerin 15% (w/w) was the best soap formulation. Coconut Oil papersoap 15% w/w glicerin had water content 13.72%, the content of insoluble material in ethanol 3.93%, the content of free alkali 0.21%, and the content of unsaponified fat 4.06%, pH value 10.78, stability of foam 97.77%, and antibacterial activity against S. aureus 11.66 mm. Meanwhile, VCO paper soap 15% w/w glicerin had the value of water content of 18.47%, the value stability of foam of 96.7%, the pH value of 10.03, the value of insoluble material in ethanol of 3.49%, the value of free alkali content 0.17%, the value of unsaponified fat 4.91%, and the value of inhibition diameter on the antibacterial activity test 15.28 mm. Based on Mandatory Indonesian National Standard of solid soap SNI 3532:2016 showed that both of paper soap had not been accorded with SNI 3532:2016, unless the

The novel appearance of low rectal anastomosis on contrast enema following laparoscopic anterior resection: discriminating anastomotic leaks from "dog-ears" on water-soluble contrast enema and flexible sigmoidoscopy.

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Katory, Mark; McLean, Ross; Osman, Khalid; Ahmad, Mukhtar; Hughes, Tracey; Newby, Mike; Dennison, Christopher; O'Loughlin, Paul

2017-02-01

Interpretation of water-soluble contrast enema following laparoscopic low anterior resection can be very challenging for both radiologists and colorectal surgeons. Discriminating the radiological appearances secondary to anastomotic configuration from those caused by actual anastomotic dehiscence is a common problem and may be made worse with the advent of laparoscopic surgery. The aim of this study is to identify potential novel appearances of the water-soluble contrast enema (WSCE) images of rectal anastomosis following laparoscopic low anterior resection to radiologists and surgeons. We enrolled 45 patients who underwent laparoscopic low anterior resection with proximal de-functioning loop ileostomy within a specialized colorectal unit. The water-soluble contrast enema reports were reviewed. Two blinded colorectal radiologists independently reviewed the images of patients suspected of anastomotic leak. All of these patients also underwent a flexible sigmoidoscopy to confirm or exclude anastomotic leak before reversal of loop ileostomy. Inter-observer concordance was calculated. Seven out of eighteen patients (38.9%) were found to have true anastomotic leaks on flexible sigmoidoscopy (15% overall leak rate). In the remaining eleven patients the image appearances were attributed to the appearance of the anastomotic 'dog-ear effect', created by the anastomotic configuration due to multiple firing of the intra-corporeal laparoscopic stapling device. Radiologist inter-observer concordance was 83%. Sensitivity was 100%, specificity 71%, positive-predictive value (38.9%) and negative-predictive value (100%). The novel appearances of laparoscopic-stapled rectal anastomoses in WSCE can be mistaken for anastomotic leak. To avoid delay in reversal of ileostomy, a flexible sigmoidoscopy can be used to confirm or exclude a leak.

The influence of temperature on the rheology of biodiesel and on the biodiesel-glycerin-ethanol blend - doi: 10.4025/actascitechnol.v34i1.8067

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Andrés José Cocato Steluti

2011-11-01

Full Text Available After transesterification reaction, biodiesel and glycerin (the resulting co-product, coupled to reaction excesses and impurities, make up two distinct phases that must be separated. The use of ethanol as a transesterificating agent impairs the above-mentioned separation due to the greater affinity of ethyl esters (biodiesel from ethanol to glycerin. Current research provides an analysis of the influence of temperature on the rheology of biodiesel and the bio-diesel-glycerin-ethanol blend. Rheology behavior is highly important not merely in issues involving, for instance, discharging and pumping, but also as a factor that should be evaluated within the process of separation of the biodiesel-glycerin phases by decantation and centrifugation.

Methodology for full comparative assessment of direct gross glycerin combustion in a flame tube furnace

Energy Technology Data Exchange (ETDEWEB)

Maturana, Aymer Yeferson; Pagliuso, Josmar D. [Dept. of Mechanical Engineering. Sao Carlos School of Engineering. University of Sao Paulo, Sao Carlos, SP (Brazil)], e-mails: aymermat@sc.usp.br, josmar@sc.usp.br

2010-07-01

This study is to develop a methodology to identify and evaluate the emissions and heat transfer associated to combustion of gross glycerin a by-product of the Brazilian biodiesel manufacture process as alternative energy source. It aims to increase the present knowledge on the matter and to contribute to the improvement of the economic and environmental perspective of biodiesel industry. This methodology was considered to be used for assessment of gross glycerin combustion from three different types of biodiesel (bovine tallow, palm and soy). The procedures for evaluation and quantification of emissions of sulphur and nitrogen oxides, total hydrocarbons, carbon monoxide, carbon dioxide, and acrolein were analyzed, described and standardized. Experimental techniques for mutagenic and toxic effects assessment of gases similarly were analyzed and standardized, as well as the calorific power, the associate heat transfer and fundamentals operational parameters. The methodology was developed, using a full-instrumented flame tube furnace, continuous gas analyzers, a chromatograph, automatic data acquisition systems and other auxiliary equipment. The mutagenic and toxic effects of the study was based on Tradescantia clone KU-20, using chambers of intoxication and biological analytical techniques previously developed and others were specially adapted. The benchmark for the initial set up was based on the performance evaluation of the previous equipment tested with diesel considering its behavior during direct combustion. Finally, the following factors were defined for the combustion of crude glycerin, configurations of equipment types, operational parameters such as air fuel ratio adiabatic temperature and other necessary aspect for successful application of the methodology. The developed and integrated methodology was made available to the concern industry, environmental authorities and researchers as procedures to access the viability of gross glycerin or similar fuels as

Barium enema and CT volumetry for predicting pathologic response to preoperative chemoradiotherapy in rectal cancer patients.

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Murono, Koji; Kawai, Kazushige; Tsuno, Nelson H; Ishihara, Soichiro; Yamaguchi, Hironori; Sunami, Eiji; Kitayama, Joji; Watanabe, Toshiaki

2014-06-01

Preoperative chemoradiotherapy has been widely used for the prevention of local recurrence of locally advanced rectal cancer, and the effect of chemoradiotherapy is known to be associated with overall survival. We aimed to evaluate the association of the pathologic response grade with tumor recurrence rate after chemoradiotherapy, using radiographic analysis and the Response Evaluation Criteria in Solid Tumors as the parameters. This study was conducted at a single tertiary care institution in Japan. This was a retrospective cohort study of patients undergoing preoperative chemoradiotherapy. A total of 101 low rectal cancer patients receiving preoperative chemoradiotherapy from July 2004 to August 2012 were enrolled. The tumor reduction rate was measured with the use of traditional Response Evaluation Criteria in Solid Tumors, barium enema, and CT volumetry, and the correlation between the reduction rate and the pathologic response grade was examined. The tumor reduction rate assessed according to Response Evaluation Criteria in Solid Tumors showed no association with the pathologic response grade (p =0.61). In contrast, the radiographic response rate by both barium enema and CT volumetry strongly correlated with the pathologic response grade (p volumetry had a lower recurrence rate (p =0.03, p =0.03, p =0.0002, and p =0.001). The difference between high responders and low responders was especially prominent by barium enema and CT volumetry. The study is limited by its retrospective nature. Double-contrast barium enema and CT volumetry were superior to Response Evaluation Criteria in Solid Tumors in evaluating the effect of chemoradiotherapy and predicting the likelihood of tumor recurrence.

21 CFR 172.866 - Synthetic glycerin produced by the hydrogenolysis of carbohydrates.

Science.gov (United States)

2010-04-01

... of carbohydrates. 172.866 Section 172.866 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF... produced by the hydrogenolysis of carbohydrates. Synthetic glycerin produced by the hydrogenolysis of carbohydrates may be safely used in food, subject to the provisions of this section: (a) It shall contain not in...

Randomized controlled trial: impact of glycerin suppositories on time to full feeds in preterm infants.

Science.gov (United States)

Khadr, Sophie N; Ibhanesebhor, Samuel E; Rennix, Connie; Fisher, Hazel E; Manjunatha, Chikkanayakanahalli M; Young, David; Abara, Rosemary C

2011-01-01

Feed intolerance delays achievement of enteral feeding in preterm infants. Parenteral nutrition is associated with cholestasis and increased risk of sepsis. Glycerin suppositories have been used to promote gastrointestinal motility and feed tolerance. To investigate whether daily glycerin suppositories (a) reduce the time to full enteral feeding in infants born at suppositories; 28-31(+6) weeks subgroup); controls - no intervention. The same feeding protocol and departmental guidelines for other aspects of neonatal intensive care were used in all subjects. Analysis was by intention to treat. 54 babies were recruited (31 males), 29 randomized to receive suppositories; 48 achieved full enteral feeds. The median (range) time to full feeds was 1.6 days shorter in intervention group babies than controls, but not statistically significant: 7.4 (4.6-30.9) days versus 9.0 (4.4-13.3) days (p = 0.780; 95% confidence interval: -1.917, 2.166). No significant differences were observed in secondary outcomes. Intervention group babies passed their first stool earlier than controls (median: day 2 vs. day 4; p = 0.016). Regular glycerin suppositories did not reduce the time to full enteral feeds in infants born at <32 weeks' gestation in our setting. Copyright © 2011 S. Karger AG, Basel.

Efficacy and Safety of Combined Oral and Enema Therapy Using Polyethylene Glycol 3350-Electrolyte for Disimpaction in Pediatric Constipation.

Science.gov (United States)

Yoo, Taeyeon; Bae, Sun Hwan

2017-12-01

We evaluated the efficacy and safety of combined oral and enema therapy using polyethylene glycol (PEG) 3350 with electrolyte solution for disimpaction in hospitalized children. We retrospectively studied 28 children having functional constipation who received inpatient treatment between 2008 and 2016. The amount of oral PEG 3350 electrolyte solution administered was 50-70 mL/kg/d (PEG 3350, 3-4.1 g/kg/d), and an enema solution was administered 1-2 times a day as a single dose of 15-25 mL/kg (PEG 3350, 0.975-1.625 g/kg/d). A colon transit time (CTT) test based on the Metcalf protocol was performed in some patients. Administration of oral and enema doses of PEG 3350 electrolyte solution showed 2.1±0.3 times and 2.9±0.4 times, respectively. After disimpaction, the frequency of defecation increased from 2.2±0.3 per week to once a day (1.1±0.1 per day). The number of patients who complained of abdominal pain was reduced from 15 (53.6%) to 4 (14.3%). Before hospitalization, nine patients underwent a CTT test, and 5 of 9 patients (55.6%) were classified as belonging to a group showing abnormalities. And in some patients, mild adverse effects were noted. We examined electrolytes and osmolality before and after disimpaction in 16 of 28 patients, and no abnormalities were noted. In terms of therapeutic efficacy and safety, combined oral and enema therapy using high-dose PEG 3350 with electrolytes is considered superior to conventional oral monotherapy or combined oral and enema therapy on an outpatient basis.

The Influence of a Humectant on the Retention by Humans of Solanesol from Cigarette Smoke (Part 2, Glycerin

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Moldoveanu SC

2014-12-01

Full Text Available Two common humectants are used as additives in the cigarette manufacturing process, propylene glycol (PG and glycerin. The humectants may influence the deposition of cigarette smoke in the human respiratory tract by affecting the hygroscopic properties and growth of smoke particles. This study examines the influence of glycerin addition on the retention of solanesol by smokers. The influence of PG addition has been previously reported (7. The first cigarette used in the study (control was a commercially available brand containing no additives in the blend (with a measured level of glycerin of 0.19%. The other cigarette (test had an identical tobacco blend to the control, but had 2.3% added glycerin. The construction of the cigarette with 2.3% glycerin (test was selected to match as closely as possible the ‘tar’ (as measured by Federal Trade Commission regimen, pressure drop (open and closed, and nicotine level of the commercial cigarette (control. Twelve smokers evaluated both products. The sample collection was performed using three cigarettes smoked within one hour. Each human subject smoked the control cigarette and then the test cigarette in two separate sessions. The exhaled smoke was collected using a vacuum assisted procedure designed to avoid strain in exhaling, and solanesol was analyzed using an high performance liquid chromatography (HPLC technique. The cigarette butts from the smokers were collected and also analyzed for solanesol. The results obtained for the cigarette butts from the smokers were used to calculate the level of solanesol in the smoke delivered to the human subject, based on calibration curves. These curves were generated separately by analyzing the solanesol in smoke and in the cigarette butts obtained by machine smoking under different puffing regimes. Knowing the levels of delivered amount of solanesol and that in the exhaled smoke it was possible to calculate the retention of this compound from mainstream

Enemas, suppositories and rectal stimulation are not effective in accelerating enteral feeding or meconium evacuation in low-birthweight infants: a systematic review.

Science.gov (United States)

Kamphorst, Kim; Sietsma, Ydelette; Brouwer, Annemieke J; Rood, Paul J T; van den Hoogen, Agnes

2016-11-01

Early full enteral feeding in preterm infants decreases morbidity and mortality. Our systematic review covered the effectiveness of rectal stimulation, suppositories and enemas on stooling patterns and feeding tolerance in low-birthweight infants born at up to 32 weeks. It comprised seven studies published between 2007 and 2014 and covered 495 infants. Suppositories were ineffective in shortening the time to reach full enteral feeding, and the evidence on enemas was contradictory. Enemas and rectal stimulation did not shorten the time until complete meconium evacuation was reached. Further research into safe, effective interventions to accelerate meconium excretion is needed. ©2016 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

Compensation filtration for decubitus radiography during double-contrast barium enema examinations

International Nuclear Information System (INIS)

Feczko, P.J.; Haggar, A.M.; Rauch, P.L.; Halpert, R.D.; Simms, S.M.

1983-01-01

Lateral decubitus images obtained during double-contrast barium enema examinations may be difficult to interpret because of the large difference in density between the various parts of the radiographs. Several types of filters are described which can be used to rectify this problem, thus improving the quality of the decubitus radiographs and achieving a slight reduction in radiation exposure

Colorectal cancer: screening double-contrast barium enema examination in average-risk adults older than 50 years.

Science.gov (United States)

Kung, Justin W; Levine, Marc S; Glick, Seth N; Lakhani, Paras; Rubesin, Stephen E; Laufer, Igor

2006-09-01

To retrospectively determine the diagnostic yield of double-contrast barium enema examinations performed for colorectal cancer screening of neoplasms 1 cm or larger or advanced neoplastic lesions of any size in average-risk adults older than 50 years. The Institutional Review Board at the affiliated Veterans Affairs Medical Center approved this HIPAA-compliant study protocol and did not require informed consent from patients. Computerized databases revealed 276 double-contrast barium enema examinations performed for colorectal cancer screening in average-risk adults older than 50 years. Radiographic and pathologic reports were reviewed to determine the number of patients who had polypoid lesions 1 cm or larger, polyps smaller than 1 cm, or advanced neoplastic lesions of any size. Forty-five (16.3%) of the 276 patients underwent follow-up sigmoidoscopy or colonoscopy. Medical, endoscopic, and pathologic records were reviewed and compared with radiographic findings. The results of double-contrast barium enema examination revealed 74 (26.8%) of 276 patients with 104 polypoid lesions in the colon, including 32 patients (11.6%) with 41 polypoid lesions 1 cm or larger, 15 patients (5.4%) with 19 polyps 6-9 mm, and 27 patients (9.8%) with 44 polyps 5 mm or smaller. Endoscopy was performed in 24 (75%) of 32 patients, the results of which confirmed 23 (72%) of 32 radiographically diagnosed lesions 1 cm or larger in 16 (67%) of 24 patients. In two of these individuals, the polyps were hyperplastic. The remaining 14 patients had a total of 21 neoplastic lesions 1 cm or larger, including 11 tubular adenomas, seven tubulovillous adenomas, one villous adenoma with marked dysplasia, and two cancers. The diagnostic yield of screening double-contrast barium enema examination was 5.1% (14 of 276 patients) for neoplastic lesions 1 cm or larger and 6.2% (17 of 276 patients) for advanced neoplastic lesions of any size. Double-contrast barium enema examinations performed in average

Efficacy and Safety of Gwakhyangjeonggi-San Retention Enema in Normal Rats and Spontaneously Hypertensive Rats

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Eunyoung Song

2013-01-01

Full Text Available The purpose of this study is to establish a protocol of retention-enema experiments and evaluate the antihypertensive effect and the safety of Gwakhyangjeonggi-san retention enema. Normal and spontaneously hypertensive rats (SHRs were divided into treatment and control groups, respectively. We applied the Gwakhyangjeonggi-san extract by decoction and 0.9% NaCl in each group, estimated the blood pressure and body weight, and performed HPLC analysis. ALT, AST, BUN, and creatinine were examined. The systolic blood pressure within each group in normal rats differed significantly in time effect, and so did the diastolic blood pressure in the treatment group of normal rats. The systolic, diastolic, and mean blood pressure showed significant differences in group effect in the treatment group of the SHRs. The time effect of the body weight in both groups of normal rats differed significantly, so did group × time and time effects in both groups of SHRs. AST, ALT, BUN, and creatinine showed no significant difference between groups. We concluded that the Gwakhyangjeonggi-san retention enema has a hypotensive effect in normal rats within the regular range of blood pressure, but an antihypertensive effect in SHRs. Also, the intervention is safe and does not affect the liver and kidney functions in normal rats.

Randomized clinical trial on the use of antispasmodic drugs in barium enema: impact on radiological practice

International Nuclear Information System (INIS)

Goei, Reginald; Kessels, Alphons H.; Nix, Maarten; Knipschild, Paul G.

2000-01-01

Purpose: To assess the willingness of radiologists to change their practice when the results of a randomized clinical trial (RCT) on the use of antispasmodic drugs in barium enema are presented. Materials and Methods: During the years 1994 and 1995 two postal questionnaires were sent to 481 practicing radiologists who were all members of the Netherlands Society of Radiology. In the first questionnaire the respondents were asked to give the characteristics of their practices in performing daily barium enema. The data from this questionnaire was used as a reference. The second questionnaire was sent to the respondents together with an abstract on the randomized clinical trial supporting the use of antispasmodic drugs in barium enema. We also indicated a preference for Buscopan over Glucagon as the antispasmodic drug. The willingness to change prescription habits was measured by comparing the data of the two questionnaires. Results: Of 481 practicing radiologists, 312 responded to the first questionnaire and gave information of their prescription habits (response rate 64%). These 312 responders were sent an abstract of the RCT and were asked to fill out a second questionnaire to determine their willingness to change their practice. Two hundred and sixty-seven radiologists responded (response rate 86%). A significant number of 119 (51%) were willing to increase the use of antispasmodic drugs. A significant number of 128 (55%) chose to increase the use of Buscopan, while a significant number of 81 (32%) were willing to decrease the use of Glucagon. Conclusion: Direct exposure to the results of an RCT recommending the use of antispasmodic drugs in barium enema, especially Buscopan, is likely to increase its use by practicing radiologists

How changes in a radiologist's technique can reduce patient dose in barium enema studies

International Nuclear Information System (INIS)

Corbett, R.H.

2001-01-01

Changes in a radiologist's technique, especially utilising digital technology, can lead to substantial dose savings in barium enema examinations. Data will be provided showing a 20% saving with only minimal change in technique. (author)

Barium enema and CT findings of Douglas pouch metastasis

International Nuclear Information System (INIS)

Miyakawa, Kunihisa; Uchiyama, Nachiko; Iinuma, Hajime; Moriyama, Noriyuki

1999-01-01

We retrospectively reviewed barium enema and CT findings of Douglas pouch metastasis in 170 patients. The findings were divided into three types: Anterior compression type, anterior fixed folds type, and stenosis type. Patients with gastric cancer usually showed a stenosis type, especially in those with poorly differentiated adenocarcinoma. Patients with colon and ovary cancer usually showed an anterior compression type. In patients with gastric cancer, those who showed a stenosis type had the most favorable prognosis among these three types. (author)

Glycerin Borax Treatment of Exfoliative Cheilitis Induced by Sodium Lauryl Sulfate: a Case Report.

Science.gov (United States)

Thongprasom, Kobkan

2016-06-01

This paper reports on the results of a case study of a 19-year-old female who presented to the Oral Medicine clinic with a chief complaint of scaly and peeling lips. The lesions had persisted on her lips for more than 7 years and were refractory to previous treatment. Her physician's diagnosis was contact dermatitis. We diagnosed this patient as having exfoliative cheilitis (EC). A patch test using the toothpaste containing sodium lauryl sulfate (SLS) was positive and the patient discontinued using it. Instead, she started using a toothpaste not containing SLS. One year after treating her lesions with hydrogen peroxide mouthwash 1% and glycerin borax, a gradual improvement was observed until returning to normal. Glycerin borax was safe, low cost and simple to use in treatment of refractory exfoliative cheilitis. SLS may have been a precipitating factor in EC in this case.

Glycerin Borax Treatment of Exfoliative Cheilitis Induced by Sodium Lauryl Sulfate: a Case Report

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Kobkan Thongprasom

2016-01-01

Full Text Available This paper reports on the results of a case study of a 19-year-old female who presented to the Oral Medicine clinic with a chief complaint of scaly and peeling lips. The lesions had persisted on her lips for more than 7 years and were refractory to previous treatment. Her physician’s diagnosis was contact dermatitis. We diagnosed this patient as having exfoliative cheilitis (EC. A patch test using the toothpaste containing sodium lauryl sulfate (SLS was positive and the patient discontinued using it. Instead, she started using a toothpaste not containing SLS. One year after treating her lesions with hydrogen peroxide mouthwash 1% and glycerin borax, a gradual improvement was observed until returning to normal. Glycerin borax was safe, low cost and simple to use in treatment of refractory exfoliative cheilitis. SLS may have been a precipitating factor in EC in this case.

Efficacy and Safety of Combined Oral and Enema Therapy Using Polyethylene Glycol 3350-Electrolyte for Disimpaction in Pediatric Constipation

OpenAIRE

Yoo, Taeyeon; Bae, Sun Hwan

2017-01-01

Purpose We evaluated the efficacy and safety of combined oral and enema therapy using polyethylene glycol (PEG) 3350 with electrolyte solution for disimpaction in hospitalized children. Methods We retrospectively studied 28 children having functional constipation who received inpatient treatment between 2008 and 2016. The amount of oral PEG 3350 electrolyte solution administered was 50–70 mL/kg/d (PEG 3350, 3–4.1 g/kg/d), and an enema solution was administered 1–2 times a day as a single dose...

Synthesis and characterization of Al2O3 obtained from the polymeric precursor method using glycerin as a poly alcohol

International Nuclear Information System (INIS)

Elicker, C.; Gaier, M.; Almeida, S.R.; Vieiraaa, B.M.; Ratmann, C.W.R.; Pereira, C.M.P. de; Cava, S.S.; Egea, J.J.

2014-01-01

In this study, calcium aluminate was synthesized using glycerin to replace ethylene glycol in the polymeric precursor method. The resulting resin was pre-calcined in a muffle at 300 °C for 2 h and the resulting material was calcined at 900 °C for 2 h. The powders were analyzed by XRD, SEM and EDX, TEM, Micro-Raman and IR. The results demonstrated the possibility of using glycerin as an alternative to ethylene glycol in the polymeric precursor method. (author)

Detection of colonic polyps in the elderly: Optimization of the single-contrast barium enema examination

International Nuclear Information System (INIS)

Gelfand, D.W.; Chen, Y.M.; Ott, D.J.; Munitz, H.A.

1986-01-01

Single-contrast studies account for 75% of barium enema examinations and are often performed in the elderly. By optimizing all factors, the following results were obtained: for polyps of less than 1 cm, 40 of 57 were detected (sensitivity, 70.2%); for polyps of 1 cm or larger, 33 of 35 were detected (sensitivity, 94%). Overall, 73 of 92 polyps were detected (sensitivity, 79.3%). These sensitivities result from meticulous preparation and the use of compression filming, low-density barium, moderate kilovoltages, high-resolution screens, remote control apparatus, and high-bandpass TV fluoroscopy. The authors conclude that an optimal single-contrast barium enema examination detects colonic polyps with a sensitivity approaching that of the double-contrast study and may be employed in elderly patients who cannot undergo the double-contrast study

Assessment of patient exposure for barium enema examinations

International Nuclear Information System (INIS)

Bednarek, D.R.; Rudin, S.; Wong, R.

1983-01-01

Methods are described for the assessment of patient exposure during clinical fluoroscopic procedures. Values of the roentgen-area-product (RAP) and their distribution throughout the examination are presented for both single-contrast and double-contrast barium enema studies. The double-contrast procedure was measured to give 50% more radiation to the patient than the single-contrast procedure when the same size optical aperture is used between the intensifier and TV pick-up tube. However, it was possible to decrease the fluoroscopic RAP value by over a factor of two for the double-contrast procedure without an adverse clinical effect by increasing the area of the aperture diaphragm

An oral modified-release nifedipine tablet (Adalat LA) and its appearance on double contrast barium enema

International Nuclear Information System (INIS)

Bleehen, Robert E.

2000-01-01

Adalat LA 30 mg and 60 mg tablets are widely prescribed oral modified release nifedipine preparations with a porous, non-digestible plastic tablet coating which is required in order to effect the osmotically driven slow release mechanism. These tablets may therefore be seen anywhere along the gastrointestinal tract and are passed apparently whole in the faeces. An example of the appearance within the rectum of Adalat LA 30 (Bayer) on double contrast barium enema is shown and the main features described. A review of the literature is given. Recognition of the appearances during the barium enema examination will prompt those performing the procedure to question the drug history where relevant and will reduce the incidence of false-positive reporting. Bleehen, R.E. (2000)

Contrast enema findings in patients presenting with poor functional outcome after primary repair for Hirschsprung disease.

Science.gov (United States)

Garrett, Kevin M; Levitt, Marc A; Peña, Alberto; Kraus, Steven J

2012-09-01

The radiologic evaluation of Hirschsprung disease is well described in the literature. However, there is a paucity of literature describing the appearance of the neo-rectum and colon after repair, specifically describing findings in patients with poor functional outcome, which would suggest the need for reoperation. We describe findings on contrast enema and correlate them with surgical findings at reoperation in children with poor functional outcome after primary repair for Hirschsprung disease who suffer from bowel dysfunction that can manifest with either soiling or obstructive symptoms such as enterocolitis. Children were identified from our colorectal surgery database. At the time of abstract submission, 35 children had contrast enemas prior to reoperation. Additional children continue to present for evaluation. The majority of children included in the study had their primary repair performed elsewhere. The initial procedures included: Duhamel (n = 11), Soave (n = 20) or Swenson (n = 3). One child had undergone a primary Soave repair and subsequently had a Swenson-type reoperation but continued to have a poor outcome. One child's initial surgical repair could not be determined. Images were reviewed by a staff pediatric radiologist and a pediatric radiology fellow. Findings encountered on contrast enema in these children include a distal narrowed segment due to stricture or aganglionic/transitional zone segment (8), dilated/hypomotile distal segment (7), thickened presacral space due to compressing Soave cuff (11), dilated Duhamel pouch (8), active enterocolitis (3) and partially obstructing twist of the pull-through segment (1). Multiple anatomical and pathological complications exist that can lead to bowel dysfunction in children after repair of Hirschsprung disease. Little recent literature exists regarding the radiographic findings in children. We had the opportunity to review a substantial series of these children, describe the contrast enema

Cracking oils, etc. , glycerine, oil and coal gas

Energy Technology Data Exchange (ETDEWEB)

Mann, W

1919-02-06

In the cracking of hydrocarbon oils, the thermal decomposition of fats to obtain glycerine, the production of oil and coal gas, and the destructive distillation of coal, peat, shale, etc., the lower molecular weight products are separated, while the higher molecular weight products are separated, while the higher molecular weight products and undecomposed substances are retained for further exposure to the decomposition conditions, by interposing one or more porous septa between the decomposition chamber and the condenser or receiver. The decomposition conditions may be maintained up to the porous septum; but it is preferable to place the porous septum in a separate chamber inside or outside the decomposition vessel; and a plurality of decomposition chambers may be used in series or parallel.

The value of sonography, CT and air enema for detection of complicated Meckel diverticulum in children with nonspecific clinical presentation

International Nuclear Information System (INIS)

Daneman, A.; Lobo, E.; Alton, D.J.; Shuckett, B.

1998-01-01

Background. Complicated Meckel diverticulum (MD) in children does not always present with painless rectal bleeding and its presentation can then produce a difficult diagnostic dilemma. In this clinical setting, sonography (US), CT or even air enema may be the first modality chosen to evaluate these children rather than the radionuclide Meckel scan (RNMS). Purpose. To assess the value of US, CT and air enema for detection of complicated MD. Materials and methods. Review of clinical, imaging, surgical and pathological findings in 64 children (55 males, 9 females) aged 4 days -14 years (mean = 3.7 years) with MD seen during an 8-year period, 1990-1997. Results. (a) In 33 patients with rectal bleeding, MD was detected on RNMS in 32. Ten of these 32 had other imaging studies, all of which were negative. (b) The other 31 patients, with varied clinical presentations, did not undergo RNMS. In these 31 and the 1 with a negative RNMS, 14 (44 %) had imaging features highly suggestive for the diagnosis of MD on US in all 14, on CT in 1, and on air enema in 3. The radiological spectrum of the inflamed, hemorrhagic MD is illustrated. Conclusion. The inflamed, hemorrhagic and the inverted, intussuscepted MD have a spectrum of features recognizable on US, CT and air enema. Some of these appearances are specific, others are not. Knowledge of and recognition of these features will facilitate detection of complicated MD in larger numbers of children presenting with symptoms other than the classic history of painless rectal bleeding and also in those with normal RNMS. (orig.)

Assessing colonic anatomy normal values based on air contrast enemas in children younger than 6 years.

Science.gov (United States)

Koppen, Ilan J N; Yacob, Desale; Di Lorenzo, Carlo; Saps, Miguel; Benninga, Marc A; Cooper, Jennifer N; Minneci, Peter C; Deans, Katherine J; Bates, D Gregory; Thompson, Benjamin P

2017-03-01

Contrast enemas with barium or water-soluble contrast agents are sometimes performed in children with severe intractable constipation to identify anatomical abnormalities. However there are no clear definitions for normal colonic size or abnormalities such as colonic dilation or sigmoid redundancy in children. To describe characteristics of colonic anatomy on air contrast enemas in children without constipation to provide normal values for colonic size ratios in children. We performed a retrospective chart review of children aged 0-5 years who had undergone air contrast enemas for intussusception. The primary outcome measures were the ratios of the diameters and lengths of predetermined colonic segments (lengths of rectosigmoid and descending colon; diameters of rectum, sigmoid, descending colon, transverse colon and ascending colon) in relation to the L2 vertebral body width. We included 119 children (median age 2.0 years, range 0-5 years, 68% boys). Colonic segment length ratios did not change significantly with age, although the differences for the rectosigmoid/L2 ratio were borderline significant (P = 0.05). The ratios that involved the rectal and ascending colon diameters increased significantly with age, while diameter ratios involving the other colonic segments did not. Differences by gender and race were not significant. These data can be used for reference purposes in young children undergoing contrast studies of the colon.

Analytical control of an esterification batch reaction between glycerine and fatty acids by near-infrared spectroscopy

International Nuclear Information System (INIS)

Blanco, Marcelo; Beneyto, Rafael; Castillo, Miguel; Porcel, Marta

2004-01-01

Near-infrared spectroscopy was used to control an esterification reaction between glycerine and middle- or long-chain fatty acids performed in a laboratory-scale reactor. The process involves the initial formation of monoglycerides, which is followed by that of di- and triglycerides as well as transesterification. Establishing the end point of the process is critical with a view to ensuring that the end product will have the composition required for its intended use. PLS calibration was applied to industrial and laboratory-scale batch samples, and laboratory samples were additionally used to extend calibration ranges and avoid correlation between the concentration of the batch samples. In this way, PLS calibration models for glycerine, fatty acids, water, and mono-, di- and triglycerides, were constructed. The proposed method allows the reaction to be monitored in real time, thereby avoiding long analysis times, excessive reagent consumption and the obtainment of out-of-specification products

Assessing colonic anatomy normal values based on air contrast enemas in children younger than 6 years

NARCIS (Netherlands)

Koppen, Ilan J. N.; Yacob, Desale; Di Lorenzo, Carlo; Saps, Miguel; Benninga, Marc A.; Cooper, Jennifer N.; Minneci, Peter C.; Deans, Katherine J.; Bates, D. Gregory; Thompson, Benjamin P.

2017-01-01

Contrast enemas with barium or water-soluble contrast agents are sometimes performed in children with severe intractable constipation to identify anatomical abnormalities. However there are no clear definitions for normal colonic size or abnormalities such as colonic dilation or sigmoid redundancy

Glycerin purification using asymmetric nano-structured ceramic membranes from production of waste fish oil biodiesel

Science.gov (United States)

Maghami, M.; Sadrameli, S. M.; Shamloo, M.

2018-02-01

Biodiesel is an environmental friendly alternative liquid transportation fuel that can be used in diesel engines without major modifications. The scope of this research work is to produce biodiesel from waste fish oil and its purification from the byproducts using a ceramic membrane. Transesterification of waste fish oil was applied for the biodiesel production using methanol in the presence of KOH as a catalyst. Effect of catalyst weight percent, temperature and methanol to oil molar ratio (MR) on the biodiesel yield have been studied and the results show that highest methyl ester yield of 79.2% has been obtained at 60 °C, MR: 6 and 1% KOH. The produced biodiesel purified by a ceramic membrane. Membrane flux and glycerin removal at different operating conditions such as temperature, trans-membrane pressures and cross flow velocities have been measured. Glycerin purity by membrane method is 99.97% by weight at the optimum condition. The highest membrane flux occurred at 50 °C temperature, 1 bar pressure and 3 m/s velocity.

EVALUATION OF ENEMAS CONTAINING SUCRALFATE IN TISSUE CONTENT OF MUC-2 PROTEIN IN EXPERIMENTAL MODEL OF DIVERSION COLITIS.

Science.gov (United States)

Fernandez, Oscar Orlando Araya; Pereira, José Aires; Campos, Fábio Guilherme; Araya, Carolina Mardegan; Marinho, Gabriele Escocia; Novo, Rafaela de Souza; Oliveira, Thais Silva de; Franceschi, Yara Tinoco; Martinez, Carlos Augusto Real

2017-01-01

The effects of topical application of sucralfate (SCF) on the tissue content of MUC-2 protein have not yet been evaluated in experimental models of diversion colitis. To measure the tissue content of MUC-2 protein in the colonic mucosa diverted from fecal stream submitted to the SCF intervention. Thirty-six rats underwent derivation of intestinal transit through proximal colostomy and distal mucous fistula. The animals were divided into three groups which were submitted application of enemas with saline, SCF 1 g/kg/day and SCF 2 g/kg/day. Each group was divided into two subgroups, according to euthanasia was done after two or four weeks. The colitis diagnosis was established by histopathological study and the inflammatory intensity was evaluated by previously validated scale. The MUC-2 protein was identified by immunohistochemistry and the tissue content was measured computerized morphometry). The application of enemas with SCF in the concentration of 2 g/kg/day reduced inflammatory score of the segments that were diverted from fecal stream. The content of MUC-2 in diverted colon of the animals submitted to the intervention with SCF, independently of intervention period and the used concentration, was significantly greater than animals submitted to the application of enemas containing saline (p< 0.01). The content of MUC-2 after the intervention with SCF in the concentration of 2 g/kg/day was significantly higher when compared to the animals submitted to the application containing SCF at concentration of 1.0 g/kg/day (p<0.01). The tissue content of MUC-2 reached the highest values after intervention with SCF in the concentration of 2 g/kg/day for four weeks (p<0.01). Conclusion: The preventive application of enemas containing SCF reduces the inflammatory score and avoids the reduction of tissue content of MUC-2, suggesting that the substance is a valid therapeutic strategy to preserve the mucus layer that covers the intestinal epithelium.

Fabrication of porous ethyl cellulose microspheres based on the acetone-glycerin-water ternary system: Controlling porosity via the solvent-removal mode.

Science.gov (United States)

Murakami, Masahiro; Matsumoto, Akihiro; Watanabe, Chie; Kurumado, Yu; Takama, Masashi

2015-08-01

Porous ethyl cellulose (EC) microspheres were prepared from the acetone-glycerin-water ternary system using an oil/water (O/W)-type emulsion solvent extraction method. The O/ W type emulsion was prepared using acetone dissolved ethyl cellulose as an oil phase and aqueous glycerin as a water phase. The effects of the different solvent extraction modes on the porosity of the microspheres were investigated. The specific surface area of the porous EC microspheres was estimated by the gas adsorption method. When the solvent was extracted rapidly by mixing the emulsion with water instantaneously, porous EC microspheres with a maximum specific surface area of 40.7±2.1 m2/g were obtained. On the other hand, when water was added gradually to the emulsion, the specific surface area of the fabricated microspheres decreased rapidly with an increase in the infusion period, with the area being 25-45% of the maximum value. The results of an analysis of the ternary phase diagram of the system suggested that the penetration of water and glycerin from the continuous phase to the dispersed phase before solidification affected the porosity of the fabricated EC microspheres.

Effects of glycerol on the metabolism of broilers fed increasing glycerine levels

OpenAIRE

Romano,GG; Menten,JFM; Freitas,LW; Lima,MB; Pereira,R; Zavarize,KC; Dias,CTS

2014-01-01

This study evaluated the metabolic response of broilers fed diets containing increasing crude glycerine levels in two bioassays. Birds were house in metabolic cages, and were distributed according to a completely randomized experimental design with five treatments of 4 replicates each (1st assay: 5 birds/ cage; 2nd assay: 1-20 days = 8 birds/ cage, and 21-42 days = 4 birds/cage). Treatments consisted of a control diet based on corn and soybean meal, and four other diets containing 2.5%, 5.0%,...

Rectosigmoid endometriosis: Comparison between CT water enema and video laparoscopy

International Nuclear Information System (INIS)

Stabile Ianora, A.A.; Moschetta, M.; Lorusso, F.; Lattarulo, S.; Telegrafo, M.; Rella, L.; Scardapane, A.

2013-01-01

Aim: To evaluate the accuracy of water enema computed tomography (CT) for predicting the location of endometriosis in patients with contraindications to magnetic resonance imaging (MRI), focusing on rectosigmoid lesions and having laparoscopic and histological data as the reference standard. Materials and methods: Thirty-three women (mean age 33.4 ± 3.1 years) suspected of having deep pelvic endometriosis underwent 64-row CT and video laparoscopy within 4 weeks. Two radiologists blinded to the clinical data evaluated the CT images obtained after colonic retrograde distension using water as the contrast medium, and a comparison with laparoscopic and histological findings was performed. CT sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and diagnostic accuracy were calculated. The radiation dose to patients was estimated. Cohen's weighted kappa (κ) test was used to evaluate the interobserver agreement. Results: In 23 out of 33 patients (69%) intestinal implants were found at surgery and pathological examinations. CT confirmed the diagnosis of rectosigmoid endometriosis in 20 out of 23 implants. Three nodules located on the proximal sigmoid colon (two serosal lesions and one infiltrating the muscularis layer) with a diameter of less than 1 cm were not diagnosed. CT sensitivity, specificity, PPV, NPV, and accuracy values were 87, 100, 100, 77, and 91%, respectively. The mean effective dose estimate was 6.30 ± 1.7 mSv. Almost perfect agreement between the two readers was found (k = 0.84). Conclusion: Water enema CT can play a role in the diagnosis of bowel endometriosis and represents another accurate potential tool for video laparoscopic approaches, especially in patients for whom MRI is contraindicated

Castor oil, bath and/or enema for cervical priming and induction of labour.

Science.gov (United States)

Kelly, Anthony J; Kavanagh, Josephine; Thomas, Jane

2013-07-24

Castor oil, a potent cathartic, is derived from the bean of the castor plant. Anecdotal reports, which date back to ancient Egypt have suggested the use of castor oil to stimulate labour. Castor oil has been widely used as a traditional method of initiating labour in midwifery practice. Its role in the initiation of labour is poorly understood and data examining its efficacy within a clinical trial are limited. This is one of a series of reviews of methods of cervical ripening and labour induction using standardised methodology. To determine the effects of castor oil or enemas for third trimester cervical ripening or induction of labour in comparison with other methods of cervical ripening or induction of labour. We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (30 April 2013) and bibliographies of relevant papers. Clinical trials comparing castor oil, bath or enemas used for third trimester cervical ripening or labour induction with placebo/no treatment or other methods listed above it on a predefined list of labour induction methods. A strategy was developed to deal with the large volume and complexity of trial data relating to labour induction. This involved a two-stage method of data extraction. Three trials, involving 233 women, are included. There was no evidence of differences in caesarean section rates between the two interventions in the two trials reporting this outcome (risk ratio (RR) 2.04, 95% confidence interval (CI) 0.92 to 4.55). There were no data presented on neonatal or maternal mortality or morbidity.There was no evidence of a difference between castor oil and placebo/no treatment for the rate of instrumental delivery, meconium-stained liquor, or Apgar score less than seven at five minutes. The number of participants was too small to detect all but large differences in outcome. All women who ingested castor oil felt nauseous (RR 59.92, 95% CI 8.46 to 424.52). The three trials included in the review contain small numbers

Obtaining polyester from glycerin for synthesis of polyurethanes

International Nuclear Information System (INIS)

Breves, Rodolfo A.; Ghesti, Grace F.; Sales, Maria J.A.

2014-01-01

The use of renewable resources has been increasing, due to the development of materials that have viable applications that are environmentally friendly. In this paper, a polyester was synthesized from glycerin, with the addition of adipic acid in a molar ratio of 1: 1.5, with dilauryl tin catalyst, which was added in proportions of 1 to 3% obtained PUs from castor oil (Ricinus communis) and MDI (diphenyl methane diisocyanate). The materials were characterized by infrared spectroscopy (FTIR), nuclear magnetic resonance "1H NMR, thermogravimetry (TG) and derivative thermogravimetry (DTG). The reaction for obtaining the polyester was confirmed by FTIR, the absorption band between 1708-1730 cm"-"1 and "1H NMR, in the region 1.4 to 1.8 ppm and 2.2 to 2.6 ppm. The thermal decomposition of polyester occurred with temperature above 300 ° C. PUs showed similar thermal stability. (author)

A randomized controlled trial of enemas in combination with oral laxative therapy for children with chronic constipation

NARCIS (Netherlands)

Bongers, Marloes E. J.; van den Berg, Maartje M.; Reitsma, Johannes B.; Voskuijl, Wieger P.; Benninga, Marc A.

2009-01-01

After 5 years of intensive oral laxative use, up to 30% of constipated children still have an unsuccessful outcome. Children refractory to oral laxatives might benefit from regular rectal evacuation by enemas. This randomized controlled trial compared the effects of additional treatment with rectal

Double-contrast barium enema in the diagnosis of intestinal deeply infiltrating endometriosis

OpenAIRE

Ribeiro, Helizabet Salomão Abdalla Ayroza; Ribeiro, Paulo Augusto Ayroza Galvão; Rodrigues, Francisco César; Donadio, Nilson; Auge, Antônio Pedro Flores; Aoki, Tsutomu

2008-01-01

OBJETIVO: avaliar a sensibilidade, especificidade, valor preditivo positivo e valor preditivo negativo do enema de bário com duplo contraste (EBDC) para o diagnóstico da endometriose do reto e sigmóide. MÉTODOS: estudo transversal prospectivo que incluiu 37 pacientes com quadro clínico suspeito de endometriose profunda. As pacientes foram submetidas ao EBDC de acordo com a técnica padrão descrita na literatura. Em seguida, foram submetidas à laparoscopia. Os exames foram realizados e seus res...

Optimization of the anaerobic co-digestion of pasteurized slaughterhouse waste, pig slurry and glycerine.

Science.gov (United States)

Rodríguez-Abalde, Ángela; Flotats, Xavier; Fernández, Belén

2017-03-01

The feasibility of co-digestion of blends of two different animal by-products (pig manure and pasteurized slaughterhouse waste) and recovered glycerine was studied in mesophilic conditions. Experiments were performed in a lab-scale CSTR along 490days, with a hydraulic retention time of 21-33days and with a step-wise increased organic loading rate, by adding and/or changing the wastes ratio, from 0.8 to 3.2kg COD m -3 d -1 . The best methane production rate (0.64Nm 3 CH4 m -3 d -1 ) represented an increment of 2.9-fold the initial one (0.22Nm 3 CH4 m -3 d -1 with pig manure solely). It was attained with a ternary mixture composed, in terms of inlet volatile solids, by 35% pig slurry, 47% pasteurized slaughterhouse waste and 18% glycerine. This blend was obtained through a stepwise C/N adjustment: this strategy led to a more balanced biodegradation due to unstressed bacterial populations through the performance, showed by the VFA-related indicators. Besides this, an improved methane yield (+153%) and an organic matter removal efficiency (+83%), regarding the digestion of solely pig slurry, were attained when the C/N ratio was adjusted to 10.3. Copyright © 2016 Elsevier Ltd. All rights reserved.

Iatrogen perforation of the rectum following barium enema; Iatrogen perforasjon av rectum ved roentgen colon

Energy Technology Data Exchange (ETDEWEB)

Eggum, R.; Kressner, U.; Haffner, J. [Buskerud Central Hospital, Drammen (Norway)

1998-05-01

Perforation of the rectum following barium enema is relatively rare, occurring in 1 of 3,000 procedures. Colorectal perforation is a serious condition and early diagnosis is of paramount importance in order to avoid any delay in treating the patient. Direct suture of the perforation, lavage, presacral drainage and stomia are the preferred methods of primary surgical treatment. 10 refs., 1 fig.

Rectosigmoid endometriosis: comparison between CT water enema and video laparoscopy.

Science.gov (United States)

Stabile Ianora, A A; Moschetta, M; Lorusso, F; Lattarulo, S; Telegrafo, M; Rella, L; Scardapane, A

2013-09-01

To evaluate the accuracy of water enema computed tomography (CT) for predicting the location of endometriosis in patients with contraindications to magnetic resonance imaging (MRI), focusing on rectosigmoid lesions and having laparoscopic and histological data as the reference standard. Thirty-three women (mean age 33.4 ± 3.1 years) suspected of having deep pelvic endometriosis underwent 64-row CT and video laparoscopy within 4 weeks. Two radiologists blinded to the clinical data evaluated the CT images obtained after colonic retrograde distension using water as the contrast medium, and a comparison with laparoscopic and histological findings was performed. CT sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and diagnostic accuracy were calculated. The radiation dose to patients was estimated. Cohen's weighted kappa (κ) test was used to evaluate the interobserver agreement. In 23 out of 33 patients (69%) intestinal implants were found at surgery and pathological examinations. CT confirmed the diagnosis of rectosigmoid endometriosis in 20 out of 23 implants. Three nodules located on the proximal sigmoid colon (two serosal lesions and one infiltrating the muscularis layer) with a diameter of less than 1 cm were not diagnosed. CT sensitivity, specificity, PPV, NPV, and accuracy values were 87, 100, 100, 77, and 91%, respectively. The mean effective dose estimate was 6.30 ± 1.7 mSv. Almost perfect agreement between the two readers was found (k = 0.84). Water enema CT can play a role in the diagnosis of bowel endometriosis and represents another accurate potential tool for video laparoscopic approaches, especially in patients for whom MRI is contraindicated. Copyright © 2013 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.

Characterization of a dielectric microdroplet thermal interface material with dispersed nanoparticles

International Nuclear Information System (INIS)

Hamdan, A.; Sahli, F.; Richards, R.; Richards, C.

2012-01-01

This work presents the fabrication and characterization of a dielectric microdroplet thermal interface material (TIM). Glycerin droplets, 1 μL, were tested as TIMs in this study. Copper nanoparticles having a diameter of 25 nm were dispersed in glycerin at different volume fractions to enhance its thermal conductivity. An increase of 57.5% in the thermal conductivity of glycerin was measured at a volume fraction of 15%. A minimum thermal interface resistance of 30.37 mm 2 K/W was measured for the glycerin microdroplets at a deformed droplet height of 10.2 μm. Good agreement between experimental measurements and the predictions of a model based on Maxwell’s equation of rules of mixtures was obtained. The effect of nanoparticles' size on the effective thermal conductivity of glycerin was studied. Nanoparticles with diameters of 60–80 and 300 nm were dispersed in glycerin at a volume fraction of 5%, and their results were compared to those of the 25 nm particles.

Early manifestation of Yersinia colitis demonstrated by the double-contrast barium enema

Energy Technology Data Exchange (ETDEWEB)

Aspestrand, F.

1986-11-01

A 19-year old female with a bloody, diarrheal illness of acute onset where Crohn's disease primarly was suspected is presented. The double-contrast barium enema revealed multiple, diffusely scattered aphthous erosions of the colonic mucosa: the rectum was scarcely affected. Biopsies taken by endoscopy demonstrated nonspecific inflammatory changes of the mucous membrane. However, routinely taken stool cultures revealed an infectious colitis due to Yersinia enterocolitica. Our case demonstrates the necessity to consider Yersinia enterocolitis in the radiographic differential diagnosis when the diagnosis of Crohn's disease or ulcerative colitis seems obvious.

Double contrast barium enema sensitivity: A comparison of studies by radiographers and radiologists

International Nuclear Information System (INIS)

Culpan, D.G.; Mitchell, A.J.; Hughes, S.; Nutman, M.; Chapman, A.H.

2002-01-01

PURPOSE: A retrospective study of histologically proven cases of colorectal cancer (CRC) was performed to assess whether the sensitivity of the radiographer-performed double contrast barium enema (DCBE) differed from that of the radiologist-performed study. MATERIALS AND METHODS: Histologically proven cases of CRC were reviewed over a 3-year period to ascertain whether: the diagnosis had been made by DCBE in the 3 years before histological diagnosis; the lesion had been correctly diagnosed; the examination had been performed by a radiologist or radiographer. RESULTS: In the 3-year period there were 478 cases with histologically proven CRC. Of these, 239 (50%) had undergone DCBE as the initial radiological investigation of the colon. Sixty-four examinations had been performed by radiographers. A correct diagnosis was made in 58 cases (90.6%), the report was equivocal in one case (1.6%), there were four false-negatives (6.25%), and one case was abandoned (1.6%). One hundred and seventy-five examinations were performed by radiologists. A correct diagnosis was made in 157 cases (89.7%), the report was equivocal in one case (0.6%), there were 16 false-negatives (9.1%), and one case was abandoned (0.6%). CONCLUSION: A sensitivity of 90.6% for radiographer-performed studies compared favourably with 89.7% for radiologist-performed studies and supports the practice of radiographers undertaking barium enemas. Culpan, D.G. et al. (2002)

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

Science.gov (United States)

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

2007-03-01

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

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

International Nuclear Information System (INIS)

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

2007-01-01

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

Evaluation of the application of enemas containing sucralfate in tissue content of neutral and acid mucins in experimental model of diversion colitis.

Science.gov (United States)

Chaim, Felipe Mendonça; Sato, Daniela Tiemi; Rodrigues, Murilo Rocha; Dias, Alice Moreira; Silveira Júnior, Paulo Pedroso; Pereira, José Aires; Martinez, Carlos Augusto Real

2014-09-01

To evaluate the effects of sucralfate on tissue content of neutral and acids mucins in rats with diversion colitis. Thirty-six rats were submitted to a proximal right colostomy and a distal mucous fistula. They were divided into two groups according to sacrifice to be performed two or four weeks after intervention. Each group was divided into three subgroups according daily application of enemas containing saline, sucralfate at 1.0 g/kg/day or 2.0 g/kg/day. Colitis was diagnosed by histological analysis and neutral and acid mucins by Periodic Acid Schiff and Alcian Blue techniques, respectively. The contents of mucins were quantified by computer-assisted image analysis. Student's t paired and ANOVA test were used to compare the contents of both types of mucins among groups, and to verify the variance with time, establishing level of signification of 5% for both (p<0.05). Enemas containing sucralfate improves the inflammation and increases the tissue contents of neutral and acid mucins. The content of neutral mucins does not change with the time or concentration of sucralfate used, while acid mucins increases with concentration and time of intervention. Sucralfate enemas improve the inflammatory process and increase the tissue content of neutral and acid mucins in colon without fecal stream.

The early manifestation of Yersinia colitis demonstrated by the double-contrast barium enema

International Nuclear Information System (INIS)

Aspestrand, F.

1986-01-01

A 19-year old female with a bloody, diarrheal illness of acute onset where Crohn's disease primarly was suspected is presented. The double-contrast barium enema revealed multiple, diffusely scattered aphthous erosions of the colonic mucosa: the rectum was scarcely affected. Biopsies taken by endoscopy demonstrated nonspecific inflammatory changes of the mucous membrane. However, routinely taken stool cultures revealed an infectious colitis due to Yersinia enterocolitica. Our case demonstrates the necessity to consider Yersinia enterocolitis in the radiographic differential diagnosis when the diagnosis of Crohn's disease or ulcerative colitis seems obvious. (orig.) [de

Development of various composition multicomponent chitosan/fish collagen/glycerin 3D porous scaffolds: Effect on morphology, mechanical strength, biostability and cytocompatibility.

Science.gov (United States)

Ullah, Saleem; Zainol, Ismail; Chowdhury, Shiplu Roy; Fauzi, M B

2018-05-01

The various composition multicomponent chitosan/fish collagen/glycerin 3D porous scaffolds were developed and investigated the effect of various composition chitosan/fish collagen/glycerin on scaffolds morphology, mechanical strength, biostability and cytocompatibility. The scaffolds were fabricated via freeze-drying technique. The effects of various compositions consisting in 3D scaffolds were investigated via FT-IR analysis, porosity, swelling and mechanical tests, and effect on the morphology of scaffolds investigated microscopically. The biostability and cytocompatibility tests were used to explore the ability of scaffolds to use for tissue engineering application. The average pore sizes of scaffolds were in range of 100.73±27.62-116.01±52.06, porosity 71.72±3.46-91.17±2.42%, tensile modulus in dry environment 1.47±0.08-0.17±0.03MPa, tensile modulus in wet environment 0.32±0.03-0.14±0.04MPa and biodegradation rate (at day 30) 60.38±0.70-83.48±0.28%. In vitro culture of human fibroblasts and keratinocytes showed that the various composition multicomponent 3D scaffolds were good cytocompatibility however, the scaffolds contained high amount of fish collagen excellently facilitated cell proliferation and adhesion. It was found that the high amount fish collagen and glycerin scaffolds have high porosity, enough mechanical strength and biostability, and excellent cytocompatibility. Copyright © 2018 Elsevier B.V. All rights reserved.

Is a Double Contrast Barium Enema Necessary in Patients who Undergo a CT Colonography as a Preoperative Work-up?

International Nuclear Information System (INIS)

Lee, Ji Won; Lee, Soon Jin; Choi, Dong Il; Kim, Hee Jung; Chun, Ho Kyung; Yun, Seong Hyeon; Jeon, Yong Hwan; Park, Seung Bae; Kim, Min Ju

2009-01-01

To determine the efficiency of CT colonography (CTC), as compared with the double contrast barium enema (DCBE) for the preoperative work-up of colorectal neoplasms. A total of 39 patients underwent both a CTC and DCBE before surgery. Three abdominal radiologists and three colorectal surgeons retrospectively reviewed virtual double contrast (VDC) and DCBE images, regarding each examination for localization, conspicuity, extent and morphology of neoplasms. We reviewed the radiological reports of the CTC and DCBE for the polyps. In the case of both VDC and DCBE, 40 cancers were detected in 39 patients. According to abdominal radiologists, VDC showed the same ability to identify DCBE for localization of neoplasms (p 0.05). The performance of the CTC is comparable to the DCBE for the localization of main mass and polyps in patients with colorectal neoplasm. Barium enema don't seem to be necessary for patients who undergo a CTC as preoperative work-up

Double contrast barium enema combined with non-invasive imaging in peritoneal mesothelioma

International Nuclear Information System (INIS)

Cozzi, G.; Bellomi, M.; Frigerio, L.F.; Ostinelli, C.; Marchiano, A.; Petrillo, R.; Severini, A.; Milan Univ.

1989-01-01

Mesotheliomas are rare tumors arising from serosal linings of the major serous cavities. Five patients with peritoneal mesothelioma underwent a double contrast barium enema (DCBE) and ultrasonography (US) (2 patients), computed tomography (CT) (3 patients) and/or magnetic resonance imaging (MRI) (3 patients). The diagnosis was confirmed at laparotomy. The radiologic pattern at DCBE is unspecific and consists of compression and dislocation of bowel loops by extrinsic masses. Mesenteric retraction and segmental stenosis may be present. In one patient DCBE was normal. US, CT and MRI findings are also unspecific but when combined with information obtained from DCBE the site and abdominal extension of the disease are well defined. (orig.)

Optimization of the anaerobic co-digestion of pasteurized slaughterhouse waste, pig slurry and glycerine

OpenAIRE

Rodríguez-Abalde, Ángela; Flotats Ripoll, Xavier; Fernández García, Belén

2016-01-01

The feasibility of co-digestion of blends of two different animal by-products (pig manure and pasteurized slaughterhouse waste) and recovered glycerine was studied in mesophilic conditions. Experiments were performed in a lab-scale CSTR along 490 days, with a hydraulic retention time of 21–33 days and with a step-wise increased organic loading rate, by adding and/or changing the wastes ratio, from 0.8 to 3.2 kgCOD m-3 d-1. The best methane production rate (0.64 Nm3CH4 m-3 d-1) represented an ...

Water soluble contrast enema examination of the integrity of the rectal anastomosis prior to loop ileostomy reversal may be superfluous.

Science.gov (United States)

Larsson, Anna; Lindmark, Gudrun; Syk, Ingvar; Buchwald, Pamela

2015-03-01

Defunctioning loop ileostomy in low anterior resection (LAR) is routinely used to reduce consequences of anastomotic leakage. The purpose of this study was to analyze which examination technique is optimal for evaluating the integrity of the anastomosis prior to loop ileostomy reversal. Retrospective analysis of 95 patients who had been subjected to LAR at Helsingborg Hospital and Skåne University Hospital, Sweden, was undertaken between January 2007 and June 2009. The examination techniques of the rectal anastomosis prior to reversal and the clinical outcome after reversal were studied. Radiologic anastomosis control using water soluble contrast enema, digital rectal examination (DRE), and rectoscopy were performed in 53 % (50/95), 98 % (93/95), and 69 % (66/95), respectively. In two patients, no control of the anastomosis was performed before reversal. Fifty-two percent (49/95) of the patients were examined using all techniques. Six patients demonstrated leakage detected before reversal of which two were only radiological leakages. These two patients underwent loop ileostomy reversal after delay without complications. They were the only ones where the three examination techniques did not prove coherence. Four patients had symptomatic leakage; these were detected with rectoscopy and DRE and verified with enema. Three patients developed anastomotic leakage after loop ileostomy reversal despite normal preoperative examinations. Two of these patients had rectovaginal fistulas (AVFs). This retrospective study indicates that contrast enema does not provide additional information if rectoscopy and DRE are normal. Despite negative examinations, three of nine leakages were diagnosed after loop ileostomy reversal. Especially, AVFs seem difficult to diagnose.

Correlation of double-contrast high-density barium enema, colonoscopy, and histology in children with special attention to disparities

International Nuclear Information System (INIS)

Stringer, D.A.; Sherman, P.M.; Jakowenko, N.

1986-01-01

Colonscopic and double-contrast high-density barium enema (DCBE) findings were correlated in 68 patients (39 boys and 29 girls) aged 6 months to 18 years (mean 11.6 years) evaluated over a 24-month period. There was excellent correlation in 53 patients (78.0%) and good correlation in another 3 (4.4%) who had identical diagnoses and only slightly differing extent of disease reported. In 2 of these, DCBE showed more extensive disease, confirmed histologically in 1. Distal colitis seen on colonoscopy as reddening and neovascularity was missed on DCBE in 6 patients. Colonoscopy and DEBE failed to show a polyp in 1 patient each. One patient who had a normal DCBE and colonoscopy demonstrated a histological abnormality, and 1 patient with an abnormality on histology and DCBE was normal on colonscopy. A disparity resulted from the time between procedures in 1 patient and observer error in another. This high correlation is far better than any previously reported in children, supporting the use of high-density barium sulfate and double-contrast barium enemas in pediatric patients. (orig.)

Inverse break-through investigation on uranium isotope separation in the system Fe(III) water-glycerine solution-U(IV) cathionic resin

International Nuclear Information System (INIS)

Murgulescu, Sanda; Calusaru, A.

1977-01-01

When a solution containing ferric ions passes on cationic resin in U(IV) form, the substitution of uranium by iron is preceded by oxydation of U(IV) to U(VI). During the contact of U(VI) in solution with U(IV) in resin, an exchange reaction occurs, in which 235 U is slightly concentrated in solution and 238 U in resin phase. Since increase of temperature accelerates the exchange reaction, the apparent thermodynamic values of the exchange reaction were calculated, by taking into account the variation of the apparent equilibrium constant as a function of the reciprocal value of the temperature. The corresponding thermodynamic values in both pure aqueous and water-glycerine solution are: ΔH 0 =6.45 cal.mol -1 and ΔS 0 =21.6x10 -3 cal. 0 K -1 . The use of glycerine containing solutions offers the important advantage to increase the stability versus hydrolysis of the ferric ions even at higher temperature

Técnicas y procedimientos: Sondaje rectal. Administración de un enema de limpieza. Extracción de fecalomas

OpenAIRE

Luis Rodrigo, María Teresa; Giménez Maroto, Ana Ma

2001-01-01

Sondaje rectal. Definición: Introducción de una sonda flexible a través de los esfínteres anales externo e interno. Objetivo: Administrar un enema o ayudar a reducir la flatulencia. Material: Sonda rectal, lubricante, empapador, guantes limpios, esparadrapo antialérgico y bolsa colectora (opcional)...

A double-blind randomised, placebo-controlled trial evaluating the influence of oral long-acting muscle relaxant (Mebeverine MR), and insufflation with CO{sub 2} on pain associated with barium enema

Energy Technology Data Exchange (ETDEWEB)

Lowe, A.S.; Chapman, A.H.; Wilson, D.; Culpan, A.G. [Department of Radiology, St. James' s University Hospital, Beckett Street, LS9 7TF, Leeds (United Kingdom)

2003-07-01

Previous investigators have shown significant benefit using CO{sub 2} for bowel insufflation. Others have suggested that the long-acting smooth muscle relaxant, Mebeverine, may be of benefit. We subjected this to a randomised double-blind trial. A total of 181 outpatients were randomised to receive either Mebeverine or placebo as pre-medication, and either air or CO{sub 2} for bowel insufflation, thus creating four treatment groups. Visual-analogue lines were used to record pain scores before, during, and up to 8 h following the enema. All groups showed increased pain scores during the enema, with peak pain scores at the end of the examination, falling to baseline scores by 8 h. Patients receiving the combination of C0{sub 2} and placebo had significantly lower pain scores at 1 and 4 h (P=0.00 and P=0.014, respectively; Kruskal-Wallis test) compared with all other groups. Having Mebeverine as a pre-medication did not significantly lower pain scores compared with placebo, and decreased the amount of benefit received from the CO{sub 2}. We confirm that CO{sub 2} is of benefit in decreasing pain during barium enema, and we recommend its routine use to improve the comfort of patients. Mebeverine is not of benefit, and its use as a pre-medication for enemas is not recommended. (orig.)

Rectal water contrast transvaginal ultrasound versus double-contrast barium enema in the diagnosis of bowel endometriosis

OpenAIRE

Jiang, Jipeng; Liu, Ying; Wang, Kun; Wu, Xixiang; Tang, Ying

2017-01-01

Objectives The aim of study was to compare the accuracy between rectal water contrast transvaginal ultrasound (RWC-TVS) and double-contrast barium enema (DCBE) in evaluating the bowel endometriosis presence as well as its extent. Design and setting 198 patients at reproductive age with suspicious bowel endometriosis were included. Physicians in two groups specialised at endometriosis performed RWC-TVS as well as DCBE before laparoscopy and both groups were blinded to other groups’ results. Fi...

Role of the double-contrast barium enema in rectal stenosis due to suppositories containing paracetamol and acetylsalicylic acid

International Nuclear Information System (INIS)

Tannouri, F.; Lalmand, B.; Zalcman, M.; Gansbeke, D. van; Gevenois, P.A.; Struyven, J.; Peny, M.O.; Gossum, A. van

1998-01-01

Self-treatment of chronic headache with suppositories containing paracetamol and acetylsalaicylic acid may lead to serious complications. We report the radiological features of five cases of rectal stenosis following the use of such suppositories. The role of the double-contrast barium enema in suggesting the diagnosis of this complication of a chronic and often unrecognized self-treatment is emphasized. (orig.)

Barium enema in frail elderly patients.

Science.gov (United States)

Segal, R; Khahil, A; Leibovitz, A; Gil, I; Annuar, M; Habot, B

2000-01-01

Barium enema (BE) examinations for the investigation of suspected colonic disease are often unsuccessful in elderly patients. The purpose of this study was to evaluate the success rate of BE in hospitalized frail elderly patients. Four hundred and seventy-two elderly patients hospitalized for different reasons underwent BE examinations. The medical charts and radiological reports were retrospectively reviewed. One hundred and ninety-two (41%) BE examinations were considered inadequate; mostly (32%) because of inappropriate preparation. Sixty-seven patients (14%) were not cooperative and could not retain the contrast material, and in 25 patients (5%), the examination failed due to both these reasons. The characteristics associated with unsuccessful BE examination were the mean number of medical problems (p < 0.001), the mean number of scheduled medications (p < 0.05) and in particular the long-term use of laxatives (p < 0.01) or antiparkinsonian drugs (p < 0.01). Of great significance in predicting an inadequate BE were the patient's functional status (p < 0.001) and the presence of dementia (p < 0.001). The high percentage of unsuccessful BEs in the frail elderly suggests that clinicians should carefully consider the need for that examination in these patients. We suggest that only in patients where there is a clear suspicion of a bleeding or obstructing tumor should a BE examination be performed, and even in these cases, colonoscopy or CT may be preferable as the initial examination in the frail elderly. Copyright 2000 S. Karger AG, Basel

Radiation doses to patients undergoing barium meal and barium enema examinations

International Nuclear Information System (INIS)

Delichas, M. G.; Hatziioannou, K.; Papanastassiou, E.; Albanopoulou, P.; Chatzi, E.; Sioundas, A.; Psarrakos, K.

2004-01-01

The radiation doses received by patients during 41 barium meal (BM) and 42 barium enema (BE) examinations in two Greek hospitals are presented. Radiation dose was measured in terms of the dose area product (DAP). The effective dose and doses to certain organs were estimated using the ODS-60 software. Mean total DAP values were found to be 25 ± 11 Gy cm 2 for BM and 60 ± 35 Gy cm 2 for BE examinations, whereas the estimated mean values of effective dose were 8.6 ± 4.0 and 24 ± 16 mSv respectively. DAP to effective dose conversion coefficients were estimated to be 0.34 mSv per Gy cm 2 for BM and 0.41 mSv per Gy cm 2 for BE. (authors)

Enemas, suppositories and rectal stimulation are not effective in accelerating enteral feeding or meconium evacuation in low-birthweight infants : a systematic review

NARCIS (Netherlands)

Kamphorst, Kim; Sietsma, Ydelette; Brouwer, Annemieke J; Rood, Paul J T; van den Hoogen, Agnes

2016-01-01

Early full enteral feeding in preterm infants decreases morbidity and mortality. Our systematic review covered the effectiveness of rectal stimulation, suppositories and enemas on stooling patterns and feeding tolerance in low-birthweight infants born at up to 32 weeks. It comprised seven studies

Degree of mucosal coating on double contrast barium enema : comparison of distilled water and normal saline as a suspension

International Nuclear Information System (INIS)

Seo, Tae Seok; Lee, Dong Ho; Ko, Young Tae; Lim, Joo Won; Han, Tae Il; Kim, Hyoung Jung

1997-01-01

To evaluate the degree of mucosal coating on double contrast barium enema (DCBE), using barium suspension made with distilled water or normal saline Between June 1 and July 30, 1996, fifty-four patients prospectively underwent DCBE using 83% w/v(weight-to-volume) of barium suspension (room temperature, 24 deg C), which was made with 1,200mL of distilled water (Group 1;29cases) and normal saline (Group 2;25cases) per 1Kg of Solotop (Taejoon Pharmacy, Seoul, Korea). Bowel preparation and examination methods were the same in both groups, and four projections(erect view, supine view, both decubitus views) were taken. The mucosal coating was graded as excellent, good, ordinary, or poor by three radiologists working independently, and scored from 3 to 0. Significance was analyzed by t-test. Mean grading scores were 2.33±0.70 in group 1 and 1.56±0.99 in group 2 (P<0.003). When barium suspension made with distilled water was used, the degree of mucosal coating on DCBE was better than when the suspension was made with normal saline

Role of the double-contrast barium enema in rectal stenosis due to suppositories containing paracetamol and acetylsalicylic acid

Energy Technology Data Exchange (ETDEWEB)

Tannouri, F.; Lalmand, B.; Zalcman, M.; Gansbeke, D. van; Gevenois, P.A.; Struyven, J. [Department of Radiology, Hopital Erasme, University of Brussels (Belgium); Peny, M.O. [Department of Pathology, University of Brussels (Belgium); Gossum, A. van [Department of Gastroenterology, University of Brussels (Belgium)

1998-09-01

Self-treatment of chronic headache with suppositories containing paracetamol and acetylsalaicylic acid may lead to serious complications. We report the radiological features of five cases of rectal stenosis following the use of such suppositories. The role of the double-contrast barium enema in suggesting the diagnosis of this complication of a chronic and often unrecognized self-treatment is emphasized. (orig.) With 6 figs., 20 refs.

Limitations of combined flexible sigmoidoscopy and double contrast barium enema in patients with rectal bleeding

International Nuclear Information System (INIS)

Hixson, L.J.; Sampliner, R.E.; Chernin, M.; Amberg, J.; Kogan, F.; Veterans Administration Medical Center, Tucson, AZ

1989-01-01

Eighty-seven outpatients with non-massive rectal bleeding or asymptomatic positive fecal occult blood were evaluated with 35 cm flexible sigmoidoscopy, double contrast barium enema (DBCE) and colonoscopy. 82% had hemorrhoids and 35% harbored colorectal neoplasia. The combination of flexible sigmoidoscopy and DCBE missed none of 7 malignant lesions. However, 35% of benign polyps ≥ 1 cm and 60.5% of those < 1 cm were not detected by this combination. The presence of hemorrhoids should not prevent a search for colon neoplasia and colonoscopy is the preferred method. (orig.)

[Perineal colostomy with antegrade continence enemas as an alternative after abdominoperineal resection for low rectal cancer].

Science.gov (United States)

Penninckx, F; D'Hoore, A; Vanden Bosch, A

2005-06-01

Some young and active patients requiring abdominoperineal resection for rectum cancer ask for an alternative of an abdominal colostomy. We analysed the results after a combination of a perineal colostomy and antegrade continence enemas (ACE). Fifteen patients have been operated between 1999 and 2004. Follow-up was >six months in 12 patients with a mean of two years and with a maximum of 55 months. The QLQ-C30 (version 3) and CR 38 questionnaires of the EORTC have been used to evaluate quality of life aspects. Five out of 15 patients presented complications: infection of the caecal conduit (2), small bowel obstruction (1), prolapse of the perineal colostomy (1), eventration (1), urologic complications (2). ACE are still used by all patients. The volume needed was 400 ml and duration of irrigation was 30 minutes (15-45 minutes). The median score for faecal incontinence was 0 ; faecal pseudocontinence was obtained by 7/12 patients. The scores for all aspects of functioning were excellent, as well as the score for body image. The general health status and quality of life were estimated at 75% from normal value. The procedure is simple and can be performed in one operative session. A perineal colostomy with ACE seems to be a valuable and less expensive alternative for an abdominal colostomy, and certainly for total anorectal reconstruction.

Clinical and economic impact of using macrogol 3350 plus electrolytes in an outpatient setting compared to enemas and suppositories and manual evacuation to treat paediatric faecal impaction based on actual clinical practice in England and Wales.

Science.gov (United States)

Guest, Julian F; Candy, David C A; Clegg, John P; Edwards, Di; Helter, Marianne T; Dale, Anne K; Fell, John; Cosgrove, Michael; Debelle, Geoffrey

2007-09-01

To estimate the clinical and economic impact of using macrogol 3350 plus electrolytes (macrogol 3350; Movicol; Movicol Paediatric Plain) in an outpatient setting compared to enemas and suppositories and manual evacuation to treat paediatric faecal impaction. A chart review was undertaken to extract clinical outcomes and resource use from the case notes of a cohort of children aged 2-11 years with faecal impaction who initially received either macrogol 3350 (in an outpatient setting) or enemas and suppositories or manual evacuation for initial disimpaction. Five centres across England and Wales participated in the study. These data were used to inform a decision model which depicted the management of children during the disimpaction phase and for a period of 12 weeks following initial disimpaction. Unit resource costs at 2005/2006 prices were applied to the resource utilisation estimates within the model, enabling the incremental costs and consequences of using macrogol 3350 in an outpatient setting, compared to the other treatments, to be estimated. 112 patients treated with macrogol 3350, 101 who received enemas and suppositories and 11 who underwent a manual evacuation were eligible for analysis. Ninety-seven per cent of children treated with macrogol 3350 were successfully disimpacted within 5 days, compared to 73% of those who received enemas and suppositories and 89% of those who underwent a manual evacuation (p suppositories and manual evacuation respectively; p suppositories or underwent a manual evacuation, respectively. Hence, using macrogol 3350 instead of enemas and suppositories and manual evacuation to disimpact the whole annual cohort of faecally impacted children aged 2-11 years in England could potentially reduce annual NHS expenditure on this condition by 59% (5 million pounds sterling) and reduce the annual number of paediatric hospital admissions for this condition by 92% (4330). Within the limitations of our model, macrogol 3350 affords the NHS

Intestinal preparation for colon enema with fosfo-soda fleet versus the conventional method

International Nuclear Information System (INIS)

Vecchioli Caldazza, A.; Celi, G.; De Franco, A.; Parrella, A.; Minordi, L.M.; Marano, P.

1999-01-01

The authors evaluate the possible optimization of a well-tolerated and versatile method of intestinal preparation able to adequately free the lumen and consequently improve diagnostic results with a lower risk of prolonged hospital stay for incorrectly prepared patients. They examined 40 patients, namely 20 men and 20 women referred to the Institute of radiology of the 'Sacro Cuore' Catholic University of Rome (Italy), Gastrointestinal tract unit, to undergo double contrast colonic enema. The statistical analysis of all data was performed with Wilcoxon test. Intestinal preparation with fosfo-soda fleet appeared to be definitely better than the conventional method relative to tolerance, while providing similarly satisfactory data relative to the other parameters [it

Free fatty acid suppositories are as effective as docusate sodium and sorbitol enemas in treating constipation in children.

Science.gov (United States)

Ormarsson, Orri Thor; Asgrimsdottir, Gudrun Marta; Loftsson, Thorsteinn; Stefansson, Einar; Lund, Sigrun Helga; Bjornsson, Einar Stefan

2016-06-01

A well-documented, clinically proven per rectum treatment for childhood constipation is needed. This phase two clinical trial evaluated the efficacy of suppositories containing free fatty acids (FFA) compared with Klyx docusate sodium and sorbitol enemas. A randomised, controlled, single-blind study was undertaken on 77 children aged between one and 17 who presented to an emergency department in Iceland and were diagnosed with constipation. In stage one, 23 patients were randomised to receive lower dose FFA suppositories or Klyx (n = 33). In stage two, 21 different patients were randomised to receive higher dose suppositories and compared with the same Klyx control subjects. The suppositories were effective at bowel emptying in 39% of the group who received the lower FFA doses and 81% of the group receiving higher doses, compared with 88% in the Klyx control group. Symptom relief was obtained in 30% of the group receiving the lower doses and 71% of the group receiving the higher doses, compared with 73% in the control group. The higher dose FFA suppositories were as effective as the Klyx enemas with regard to bowel emptying and symptom relief and might provide an important and less invasive alternative for childhood constipation. ©2016 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

The change of radiation doses to the patient when switching from conventional technique to digital technique without films in barium enema and IVU examinations. Final report SSI research project P933

CERN Document Server

Sjöholm, B

2003-01-01

X-ray examinations of the colon (barium enema) and the kidneys (IVU) are combined with rather high radiation doses to the patients when using analogue technique with film-screen systems. It is therefore of great interest to see if the change from analogue to digital technique involves a reduction of doses. Barium enema and IVU examinations were monitored with DAP-meters before and after the X-ray department changed to digital techniques. For IVU also the change from storage phosphor plates to a Direct Digital detector is included. The study comprises between 53 and 87 patients for each modality of the two examinations. A considerable dose reduction was observed. In barium enema the overview images with large field sizes were omitted when using digital technique. On the other hand the number of spot images was increased from 6 to 22. The fluoroscopy time was increased from 4 minutes to 6 minutes. The DAP value was reduced from 54,3 Gy cm sup 2 to 21,9 Gy cm sup 2. For IVU a dose reduction from 44,5 Gy cm sup 2...

Antimicrobial Effect of Aqueous, Ethanol, Methanol and Glycerin Extracts of Satureja bachtiarica on Streptococcus pyogenes, Pseudomonas aeruginosa and Staphylococcus epidermidis

OpenAIRE

Maryam Heidari-Sureshjani; Faride Tabatabaei-Yazdi; Behrooz Alizadeh-Behbahani; Ali Mortazavi

2015-01-01

Background: The Iranian medicinal plants, such as Satureja bachtiarica have been utilized as traditional medicines by the indigenous people of Chaharmahal and Bakhtiari in Iran. Objectives: According to biologically active compounds and traditional use of the Satureja bachtiarica, seem that this plant has significant antimicrobial effects. Materials and Methods: In this experimental study, Satureja bachtiarica after extraction with watery, ethanol 96%, methanol 96% and 20% glycerin anti...

Effects of feeding condensed distillers solubles and crude glycerin alone or in combination on finishing beef cattle performance, carcass characteristics, and in vitro fermentation.

Science.gov (United States)

Two experiments were conducted to evaluate the effects of feeding condensed distillers solubles (DS) and crude glycerin alone or in combination on performance of finishing beef cattle and in vitro fermentation. In both experiments, dietary treatments consisted of a steam flaked corn (SFC) based diet...

Barium sulfate aspiration: Severe chemical pneumonia induced by a massive reflux of contrast medium during small bowel barium enema.

Science.gov (United States)

Zhang, Lin; Yang, Yi; Zhang, Ji; Zhou, Xiaowei; Dong, Hongmei; Zhou, Yiwu

2015-08-01

Barium contrast radiography is a conventional procedure aimed at revealing lesions of the alimentary tract using barium sulfate on X-ray irradiation. Although it is widely used in clinics, adverse effects and complications are observed, such as anaphylaxis, granuloma, fecalithes, abdomen-leaking, embolism, bacterial contamination, and aspiration. We report a case of death due to a massive barium sulfate aspiration resulted from an air-barium double contrast enema radiography. A 25-year-old female patient was hospitalized with symptoms of abdominal distention, nausea, vomiting and diarrhea for three days. A progressive respiratory distress presented only 1h after a small bowel air-barium double contrast enema. The patient died 11h later. The result of autopsy revealed the cause of death to be severe chemical pneumonitis induced by gastric fluid which was aspirated into her lungs. Barium sulfate is generally recognized to be chemically inert for the respiratory system, but a mixture of barium sulfate with gastric contents is fatal. Here we intend to suggest that, when determining the potential cause of death, medical examiners should consider a patient's status quo as well as the possible adverse effects and complications caused by the barium sulfate preparation during gastrointestinal radiography. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

An evaluation of a radiographer-led barium enema service in the diagnosis of colorectal cancer

International Nuclear Information System (INIS)

Law, R.L.; Slack, N.F.; Harvey, R.F.

2008-01-01

Purpose: This study was undertaken to assess the sensitivity and efficacy of a radiographer-led double contrast barium enema (DCBE) service in the diagnosis of colorectal cancer (CRC). Methods: All patients on the CRC database from its inception in 1997 until the end of 2004 were cross-referenced with the radiology database. Details were recorded of any patient who had undergone a DCBE examination at any time prior to histological confirmation of colorectal cancer. All the DCBE in this review were performed and reported by radiographers as part of a protocol of double reporting with a consultant radiologist. The radiographers and radiologists reports were reviewed for each patient. Notes and X-rays were also reviewed when necessary. Reporting sensitivity was compared with the Royal College of Radiologists (RCR) barium enema examination targets for the diagnosis of colorectal carcinoma. Results: 362 of the 1005 patients on the CRC database had undergone a DCBE. Combined radiographer and radiologist reporting demonstrated a diagnostic sensitivity of 98% for CRC and were cancer specific in 93% of cases. These results compared favourably with the referenced RCR sensitivity targets for colorectal cancer. Reporting discord only occurred with the terminology of reporting 13 equivocal polyps. None of these polyps were neoplastic and thus did not affect CRC sensitivity. Conclusion: Radiographer reporting compares favourably with published CRC sensitivity data of more expensive techniques such as CT colonography. A protocol of radiographer/radiographer double reporting is now used at this hospital with radiological second opinion being acquired for more complex abnormal DCBE examination appearances. This service is a safe, cost-effective option that should not be overlooked with the increasing demand for CRC screening

Antimicrobial effect of Satureja bachtiarica extracts aqueous, ethanol, methanol and glycerin on streptococcus pyogenes, pseudomonas aeruginosa and staphylococcus epidermidis

OpenAIRE

Maryam Heidari Sureshjani; Farideh Tabatabaei Yazdi; Ali Mortazavi; Fakhri Shahidi; Behrooz Alizadeh Behbahani

2013-01-01

The Iranian medicinal plants, such as Satureja bachtiarica have been utilized as traditional medicines by the indigenous people of Chaharmahal va Bakhtiari in Iran. In this study, Satureja bachtiarica were dried in suitable condition (in shadow) after extraction with watery, ethanol 96 %, methanol 96% and 20% glycerin antimicrobial effect of extract were determined by “screening antimicrobial activity” and “disk agar diffusion test” in 10, 20, 30 and 40 mg/ml concentration of the extract agai...

Thermoplastic polyolefins as formaldehyde free binders in highly filled lignocellulosic panel boards: using glycerine as a processing aid in kenaf fiber polypropylene boards

Directory of Open Access Journals (Sweden)

Anand Ramesh Sanadi

2008-12-01

Full Text Available A new technique was developed to make highly loaded (up to 95% formaldehyde free natural fiber boards. The purpose of the paper is to report a broad study on 85% kenaf boards using linear thermoplastic polymers as the binder in preparing the boards to determine if these materials have potential in commercial applications by comparing them to other commercial materials. In these materials, linear thermoplastic polymer chains act as an adhesive and the product resembles a typical wood based panel (e.g., phenol formaldehyde fiber board. The process involved the use of small amount of glycerine in the fiber to enhance processibility in a thermo-kinetic mixer followed by hot pressing. In this paper, we report the properties of 85% by weight kenaf fiber boards using polypropylene as the adhesive. A maleated polypropylene was used to improve the adhesion and stress transfer between the adhesive and kenaf fiber. The addition of 2% by weight of glycerine based on the dry weight of kenaf fiber resulted in the best properties of the boards. Differential scanning calorimetric studies suggested that the glycerine had a little effect on the percent crystallinity of the matrix. Dynamic mechanical tests of the 85% boards showed some differences compared to conventional 60% by weight kenaf-PP composites. The 85% kenaf boards had a flexural strength of 75 MPa and a flexural modulus of 6.8 GPa with a specific gravity of 1.24. These properties are comparable to standard formaldehyde free high density hardboards with flexural strengths of 48.3 MPa and flexural modulus of 5.5 GPa, and a specific gravity of 1.28. This paper gives a broad overview of an initial study of these new materials.

Economic viability of crude glycerin in diets for lambs finished in feedlot

Directory of Open Access Journals (Sweden)

Mauriceia Costa Carvalho Barros

2015-02-01

Full Text Available The aim was to evaluate the economic viability of increasing levels of crude glycerin (CG in diets for finishing lambs. The trial was carried out at Southwest State University of Bahia, Itapetinga-BA. Twenty five crossbred, Santa Inês x Dorper, with 24 ± 2,0 kg, were housed in individual pens. The experimental design was completely randomized with five treatments and five replications. Treatments consisted of increasing levels of dietary CG (0, 2.65, 5.33, 8.06 and 10.84% and the roughage used was the Tifton 85 hay. Diets were formulated to meet the nutritional requeriments, aiming a gain of 200 g day-1. The analysis was based on use of economic indicators Net Present Value (NPV and Internal Rate of Return (IRR. The animals dry matter intake decreased linearly (P0.05 on performance and meat production results. None of the treatments showed economic viability.

Recycling of waste vegetable oil biodiesel and glycerine : social enterprise feasibility study

International Nuclear Information System (INIS)

2005-12-01

This study examined the feasibility of recycling waste vegetable oil into biodiesel fuel as part of a social enterprise spearheaded by the Centre de sante communautaire in Sudbury. The enterprise proposed the collection of waste vegetable oil from local restaurants for refinement into biodiesel fuel as well as glycerine byproducts. The study included reviews of legal issues related to the project as well as details of community consultation processes. Target participants were also identified. The biodiesel industry was briefly reviewed along with details of the biodiesel manufacturing process. The study determined that 2 permanent employees will be required to run the biodiesel project. Initial staffing for the first year of the project was estimated at 4 full-time equivalent participants. Equipment and capital purchases for the first year of operation were estimated at $75,000. Total funds for startup of the project were estimated at $140,000. Budgets were supplied to the year 2009. 34 refs., 2 tabs., 5 figs

Preliminary evaluation of helical CT colonography in detection of colonic diseases compared with double contrast barium enema

International Nuclear Information System (INIS)

Zhai Xiaoli; Zhang Lei; Zhai Renyou; Li Jie; Wang Yajie; Ding Yi

2000-01-01

Objective: To evaluate helical CT colonography in regard to technology principles, limitations, and clinical applications. Methods: Fifty-six patients underwent volume scanning using helical CT. The diseases included adenocarcinoma 39, adenomatous polyp 3, multiple diverticular 7, mucocele of appendix 1, and normal colon 6. All cases had been compared with double contrast barium enema (DCBE), proved by histology except the 6 normal colon and the 7 multiple diverticular. All CTC images were reconstructed using shaded surface display (SSD) on workstation. Then, perspective images such as the ones from DCBE were generated via ray sum. The images could clearly demonstrate the extent and detail of the disorder by using 'CUT' software, 'revolve' function, and zoom. Results: CTC correctly demonstrated 3-5 mm diverticulum, 3 mm ulcer, and 6 mm polyps. Not only show colon straitness clearly, CTC is also very sensitive to demonstrate the stenotic end of masses. In these cases, discovery rate of CTC is 100.0%, the rate of DCBE is 88.6%; CTC is more sensitive than DCBE in cases of tumor nodules. Ray sum can show the boundary of colonic mass extending to both proximal and distal ends, its discovery rate is 62.6%. Accuracy of localization for CTC is 100.0%. Conclusion: CTC is a novel technique for detecting colonic diseases. It is a safe, accurate, and non-invasive means for detection of lesions and is an efficient complement for DCBE. Further development in CTC technique is expected in the future

Triacrylate of glycerin synthesis and use in network polymer;Sintese do triacrilato de glicerina e seu uso como agente de ligacao cruzada

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Morita, Reinaldo Y.; Zawadzki, Sonia F.; Barbosa, Ronilson V., E-mail: yomorita1@hotmail.co [Universidade Federal do Parana (UFPR), Curitiba, PR (Brazil). Centro Politecnico

2009-07-01

The goal of this work was the synthesis and characterization of a new cross linker: the glyceryl triacrylate. The synthesis was done by an esterification reaction between glycerin and acrylic acid and the product, called GA, was characterized by infrared and nuclear magnetic resonance (NMR- 1a) spectroscopy. The behavior was analysed after a copolymerization with methyl methacrylate monomer (MMA). It was also prepared the PMMA and GA homopolymers. The addition of glycerin triacrylate up to 2 % in the MMA monomer changed the solubility of the copolymer. This one became insoluble in organic solvents in which the pure linear poly(methyl methacrylate) was soluble. Thermal analysis showed that the addition of 2% GA didn't change the Tg value of the PMMA pure, but the GA homopolymer showed a Tg value equal to 180 C, lower than expected. It seems that GA product is working as cross linker, but some insaturation links did not react. They remain as pendent groups, causing the Tg lowering. The results suggest that the new product can be used as cross linker for the application in acrylic polymers. (author)

Choice of double contrast barium enema (DCBE) method based on patient exposure dose

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Bartal, G; Ben Hasid, I [Hillel Yaffe Medical Center, Hadera (Israel)

1997-11-16

Morbidity of colon cancer continues to increase, taking second and third places in malignant tumors. The incidence of colorectal cancer (CRC) increases exponentially with age; those over 50 years of age represent 37% of general population, yet account for 95% of the cases, and more than 96% of the deaths from colon malignancies For a long time radiologic examinations were considered as a main pre-operative diagnostic method for cancer of the colon. The sensitivity of the barium enema with regard to diagnosis of the carcinoma and polyps ranges from 92-98.5%. Sigmoidoscopy for detection and removal of polyps has been shown to decrease the incidence of subsequent CRC`s by 70-80% in distal colon. However, the sigmoid colon is often difficult to examine because of associated diverticular disease, and about 15% of tumors in the sigmoid colon are overlooked. (Authors)

Choice of double contrast barium enema (DCBE) method based on patient exposure dose

International Nuclear Information System (INIS)

Bartal, G.; Ben Hasid, I.

1997-01-01

Morbidity of colon cancer continues to increase, taking second and third places in malignant tumors. The incidence of colorectal cancer (CRC) increases exponentially with age; those over 50 years of age represent 37% of general population, yet account for 95% of the cases, and more than 96% of the deaths from colon malignancies For a long time radiologic examinations were considered as a main pre-operative diagnostic method for cancer of the colon. The sensitivity of the barium enema with regard to diagnosis of the carcinoma and polyps ranges from 92-98.5%. Sigmoidoscopy for detection and removal of polyps has been shown to decrease the incidence of subsequent CRC's by 70-80% in distal colon. However, the sigmoid colon is often difficult to examine because of associated diverticular disease, and about 15% of tumors in the sigmoid colon are overlooked. Authors)

Glycerin Suppositories Use in Very Low Birth Weight Infants.

Science.gov (United States)

Patel, Shalinkumar; Dereddy, Narendra; Talati, Ajay J; Gaston, Kan; Dhanireddy, Ramasubbareddy

2017-01-01

Objective  To study the characteristics of very low birth weight (VLBW) infants receiving glycerin suppositories (GS) and evaluate the association of GS use with outcomes. Study Design  This is a retrospective study of VLBW infants admitted to a level III neonatal intensive care unit. Infants with birth weight between 500 and 1,499 g were evaluated. We evaluated the frequency of GS use and compared the characteristics and outcomes of the GS group with the no-GS group. Multivariate analyses controlling for gestational age and small for gestational age status were performed to study the effect of GS on outcomes. Results  A total of 1,073 infants were included in the study. Out of those, 527 (49.1%) infants received GS. Incidence of necrotizing enterocolitis was not significantly different between the two groups, while days to reach full enteral feeds and length of hospital stay were significantly longer in the GS group. Conclusion  Frequent use of GS warrants further prospective studies to evaluate its safety and efficacy in view of our study showing association with longer time to reach full enteral feeds. We speculate that GS use could be a marker for gastrointestinal dysmotility and hence the association with unfavorable clinical outcomes. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Colonic diverticulosis: evaluation with double contrast barium enema

International Nuclear Information System (INIS)

Ko, Jae Kook; Lee, Jong Koo; Yun, Eun Joo; Moon, Hee Jung; Shin, Hyun Ja

1997-01-01

To evaluate the pattern of colonic diverticulosis according to age and sex, and recent trend. The authors retrospectively reviewed 120 cases of colonic diverticulosis in 1,020 patients who had undergone a double contrast barium enema examination between January 1st, 1993, and December 31st, 1995, and analyzed the frequency, size, multiplicity and anatomical site, according to age and sex. Diverticulum size was classified into one of three groups : less than 5mm, 5-10mm, over 10mm in diameter. The overall incidence of colonic diverticulosis was 120 cases among 1,020 patients(11.8%) with an incidence 5.3 times higher in males than in females. Peak incidence was in the fifth decade, with 19 cases (15.8%) among males, and after the sixth decade, with four cases(3.3%) among females. Mean age was 57.7 years. Diverticulum size of 5-10mm in diameter was predominant (2% of cases); average diameter was 5-6mm. The incidence of colonic diverticulosis was 5.1 times more frequent in the right colon (101 cases) than in the left (20 cases). The overall incidence of colonic diverticulosis has continually increased; in addition it has also recently increased slightly in left-sided colon. This is thought to be due to various factors, both congenital and acquired, including longer life with good health care, constipation, irritable bowel syndrome, stress and the tendency of eating patterns to more closely resemble those of the west

Colonic diverticulosis: evaluation with double contrast barium enema

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Ko, Jae Kook; Lee, Jong Koo; Yun, Eun Joo; Moon, Hee Jung; Shin, Hyun Ja [Korea Veterans Hospital, Seoul (Korea, Republic of)

1997-02-01

To evaluate the pattern of colonic diverticulosis according to age and sex, and recent trend. The authors retrospectively reviewed 120 cases of colonic diverticulosis in 1,020 patients who had undergone a double contrast barium enema examination between January 1st, 1993, and December 31st, 1995, and analyzed the frequency, size, multiplicity and anatomical site, according to age and sex. Diverticulum size was classified into one of three groups : less than 5mm, 5-10mm, over 10mm in diameter. The overall incidence of colonic diverticulosis was 120 cases among 1,020 patients(11.8%) with an incidence 5.3 times higher in males than in females. Peak incidence was in the fifth decade, with 19 cases (15.8%) among males, and after the sixth decade, with four cases(3.3%) among females. Mean age was 57.7 years. Diverticulum size of 5-10mm in diameter was predominant (2% of cases); average diameter was 5-6mm. The incidence of colonic diverticulosis was 5.1 times more frequent in the right colon (101 cases) than in the left (20 cases). The overall incidence of colonic diverticulosis has continually increased; in addition it has also recently increased slightly in left-sided colon. This is thought to be due to various factors, both congenital and acquired, including longer life with good health care, constipation, irritable bowel syndrome, stress and the tendency of eating patterns to more closely resemble those of the west.

Design of a multicentre randomized trial to evaluate CT colonography versus colonoscopy or barium enema for diagnosis of colonic cancer in older symptomatic patients: The SIGGAR study

Directory of Open Access Journals (Sweden)

Edwards Rob

2007-10-01

Full Text Available Abstract Background and Aims The standard whole-colon tests used to investigate patients with symptoms of colorectal cancer are barium enema and colonoscopy. Colonoscopy is the reference test but is technically difficult, resource intensive, and associated with adverse events, especially in the elderly. Barium enema is safer but has reduced sensitivity for cancer. CT colonography ("virtual colonoscopy" is a newer alternative that may combine high sensitivity for cancer with safety and patient acceptability. The SIGGAR trial aims to determine the diagnostic efficacy, acceptability, and economic costs associated with this new technology. Methods The SIGGAR trial is a multi-centre randomised comparison of CT colonography versus standard investigation (barium enema or colonoscopy, the latter determined by individual clinician preference. Diagnostic efficacy for colorectal cancer and colonic polyps measuring 1 cm or larger will be determined, as will the physical and psychological morbidity associated with each diagnostic test, the latter via questionnaires developed from qualitative interviews. The economic costs of making or excluding a diagnosis will be determined for each diagnostic test and information from the trial and other data from the literature will be used to populate models framed to summarise the health effects and costs of alternative approaches to detection of significant colonic neoplasia in patients of different ages, prior risks and preferences. This analysis will focus particularly on the frequency, clinical relevance, costs, and psychological and physical morbidity associated with detection of extracolonic lesions by CT colonography. Results Recruitment commenced in March 2004 and at the time of writing (July 2007 5025 patients have been randomised. A lower than expected prevalence of end-points in the barium enema sub-trial has caused an increase in sample size. In addition to the study protocol, we describe our approach to

Reduction in oxidative stress levels in the colonic mucosa without fecal stream after the application of enemas containing aqueous Ilex paraguariensis extract.

Science.gov (United States)

Cunha, Fernando Lorenzetti da; Silva, Camila Morais Gonçalves da; Almeida, Marcos Gonçalves de; Lameiro, Thais Miguel do Monte; Marques, Letícia Helena Souza; Margarido, Nelson Fontana; Martinez, Carlos Augusto Real

2011-08-01

To evaluate the antioxidant effects of enemas containing aqueous extract of Ilex paraguariensis, comparing segments with and without fecal stream and correlating the segments with the duration of intervention. Twenty-six Wistar rats were subjected to a diversion of the fecal stream in the left colon by a proximal colostomy and distal mucosal fistula. The rats were distributed randomly into two experimental groups of 13 animals each based on the time of sacrifice after surgical procedure (two or four weeks). Each group was then divided into two experimental subgroups that received either second daily enemas containing 0.9% saline solution or aqueous extract of Ilex paraguariensis at 0.2g/100g. Colitis was diagnosed by histopathological analysis and the detection of oxidative tissue damage by measuring the levels of malondialdehyde. The Mann-Whitney test was used to compare the tissue levels of malondialdehyde between colon segments with and without fecal stream in each experimental group, and the Kruskal-Wallis test was used to verify the variance between the levels of oxidative stress according the duration of the irrigation; both tests determined significance at 5% (pirrigation were 0.05±0.006 and 0.06±0.006, and 0.05± 0.03 and 0.08 ±0.02, respectively. The malondialdehyde levels in the animals irrigated with Ilex paraguariensis with and without fecal stream after two and four weeks of irrigation were 0.010±0.002 and 0.02±0.004, and 0.03±0.007 and 0.04±0.01, respectively. After two and four weeks of intervention, the levels of malondialdehyde were lower in the animals irrigated with Ilex paraguariensis regardless of the time of irrigation (p=0.0001 and p=0.002, respectively). The daily rectal application of enemas containing aqueous extract of Ilex paraguariensis decreases oxidative tissue damage in the colon without fecal stream regardless of the time of irrigation.

Hemodialysis for near-fatal sodium phosphate toxicity in a child receiving sodium phosphate enemas.

Science.gov (United States)

Becknell, Brian; Smoyer, William E; O'Brien, Nicole F

2014-11-01

This study aimed to demonstrate the importance of considering hemodialysis as a treatment option in the management of sodium phosphate toxicity. This is a case report of a 4-year-old who presented to the emergency department with shock, decreased mental status, seizures, and tetany due to sodium phosphate toxicity from sodium phosphate enemas. Traditional management of hyperphosphatemia with aggressive hydration and diuretics was insufficient to reverse the hemodynamic and neurological abnormalities in this child. This is the first report of the use of hemodialysis in a child without preexisting renal failure for the successful management of near-fatal sodium phosphate toxicity. Hemodialysis can safely be used as an adjunctive therapy in sodium phosphate toxicity to rapidly reduce serum phosphate levels and increase serum calcium levels in children not responding to conventional management.

Colorectal carcinoma: preoperative staging with water enema spiral CT

International Nuclear Information System (INIS)

Guan Sheng; Gao Jianbo; Li Yintai; Chen Xuejun; Yang Xuehua; Yang Xiaopeng; Cheng Jingliang

2001-01-01

Objective: To determine the value and limitation of water enema spiral CT (WESCT) in staging of colorectal carcinoma. Methods: Forty-eight patients with histologically proven rectum or colon carcinoma were included in this study. All of them were examined by SCT, and the preoperative staging of TNM and Duke were used based on the findings of SCT. The results of WESCT were compared with those of surgical and pathological examination in all cases. Results: All lesions in the 47 cases were demonstrated clearly by WESCT and the sensitivity was 97.9%; 39 cases of 48 patients were correctly staged with TNM and 42 cases with Duke, the accuracy was 81.3% and 87.5% respectively, which were higher than the overall 50 % accuracy reported by references; (3) The accuracy of WESCT was 89.6% (43/48) in T stage and 81.3% (39/48) in N stage. Three cases in M stage were all diagnosed correctly; Conclusion: WESCT scan is a better method of depicting the colorectal carcinoma. It allows for accurate depiction and staging of colorectal carcinoma, especially detecting the invasion of adjacent tissues and distant metastasis. It is the best imaging method for staging the colorectal carcinoma . However the value of WESCT for early T staging in colorectal carcinoma and minute metastasis of lymph nodes or liver is limited

Impact of stirring speed, glycerin and sodium chloride concentrations on photoprotective nanoemulsions

Directory of Open Access Journals (Sweden)

Débora Granemann e Silva

2014-09-01

Full Text Available New technologies that improve the physical as the sensory properties of sunscreens can help to increase its continued use and impact on health. The use of nanoemulsions in the development of photoprotective vehicles is an advantage, since nanostructured components may have superior properties regarding their performance when compared to conventional products. The advantages of using nanobiotechnology in manufacture of cosmetic and dermatological formulations arise from the protection of compounds from chemical or enzymatic degradation, from the control of their release, and also to the prolonged retention time of cosmetic ingredients in the stratum corneum. Thus, this study aimed to evaluate the impact of stirring speed and of glycerin and sodium chloride concentrations in the development and effectiveness of a nanoemulsion containing ethylhexyl methoxycinnamate and benzophenone-3. The results of statistical analyses regarding the impact of the variables in the process of nanoemulsion development showed that these parameters affect the phase inversion temperature (PIT. However, this did not affect the particle size and the photoprotective efficacy in vitro.

Polysorbate 80 and low-osmolality water-soluble contrast medium enema in diagnosis and treatment of faecal obstruction in malignant phaeochromocytoma

International Nuclear Information System (INIS)

Ratcliffe, J.F.

1986-01-01

Stercoral obstruction in a young woman with disseminated phaeochromocytoma was diagnosed and treated successfully using an enema of isosmolar iohexol (Omnipaque) and 1% polysorbate 80 (Tween 80) without complication. Surgical intervention was thus avoided. A low osmolality water-soluble contrast medium (iohexol 150 mg I/ml) with a wetting agent (1% Tween 80) was used because a barium suspension would have inspissated, exacerbating the constipation and a hyperosmolar contrast medium might have precipitated a hypertensive crisis and destablished her critical salt and water balance. (orig.)

Antegrade continence enemas improve quality of life in patients with medically-refractory encopresis.

Science.gov (United States)

Church, Joseph T; Simha, Sidd; Wild, Laurie C; Teitelbaum, Daniel H; Ehrlich, Peter F

2017-05-01

Fecal incontinence is a socially debilitating problem for many children. We hypothesized that in selected patients with medically-refractory encopresis, placement of an appendicostomy or cecostomy tube for administration of antegrade continence enemas (ACE) would improve quality of life (QOL). We reviewed all patients with encopresis who underwent appendicostomy or cecostomy placement from 2003 to 2014 at our institution. We contacted subjects' parents by phone and administered 3 surveys: a survey reflecting current stooling habits, a disease-specific QOL survey, and the PedsQL™ QOL survey. QOL surveys were completed twice by parents, once reflecting pre-operative QOL, then again reflecting current QOL. Pre-procedure and post-procedure scores were compared by paired t-test. Ten patients underwent appendicostomy/cecostomy for encopresis. Eight completed phone surveys. All procedures were performed laparoscopically. All patients experienced fecal soiling pre-operatively, whereas 5/8 surveyed patients (63%) noted complete resolution of soiling post-procedure (pencopresis, likely related to resolution of soiling. 4. Copyright © 2017. Published by Elsevier Inc.

Synthesis and characterization of Al{sub 2}O{sub 3} obtained from the polymeric precursor method using glycerin as a poly alcohol; Sintese e caracterizacao de Al{sub 2}O{sub 3} obtida por meio do metodo dos precursores polimericos utilizando glicerina como polialcool

Energy Technology Data Exchange (ETDEWEB)

Elicker, C.; Gaier, M.; Almeida, S.R.; Vieiraaa, B.M.; Ratmann, C.W.R.; Pereira, C.M.P. de; Cava, S.S. [Universidade Federal de Pelotas (UFPel), Pelotas, RS (Brazil); Egea, J.J. [Consejo Superior de Investigaciones Cientificas, Madrid (Spain)

2014-07-01

In this study, calcium aluminate was synthesized using glycerin to replace ethylene glycol in the polymeric precursor method. The resulting resin was pre-calcined in a muffle at 300 °C for 2 h and the resulting material was calcined at 900 °C for 2 h. The powders were analyzed by XRD, SEM and EDX, TEM, Micro-Raman and IR. The results demonstrated the possibility of using glycerin as an alternative to ethylene glycol in the polymeric precursor method. (author)

Properties of lotus seed starch-glycerin monostearin complexes formed by high pressure homogenization.

Science.gov (United States)

Chen, Bingyan; Zeng, Shaoxiao; Zeng, Hongliang; Guo, Zebin; Zhang, Yi; Zheng, Baodong

2017-07-01

Starch-lipid complexes were prepared using lotus seed starch (LS) and glycerin monostearate (GMS) via a high pressure homogenization (HPH) process, and the effect of HPH on the physicochemical properties of LS-GMS complexes was investigated. The results of Fourier transform infrared spectroscopy and complex index analysis showed that LS-GMS complexes were formed at 40MPa by HPH and the complex index increased with the increase of homogenization pressure. Scanning electron microscopy displayed LS-GMS complexes present more nest-shape structure with increasing homogenization pressure. X-ray diffraction and differential scanning calorimetry results revealed that V-type crystalline polymorph was formed between LS and GMS, with higher homogenization pressure producing an increasingly stable complex. LS-GMS complex inhibited starch granules swelling, solubility and pasting development, which further reduced peak and breakdown viscosity. During storage, LS-GMS complexes prepared by 70-100MPa had higher Avrami exponent values and lower recrystallization rates compared with native starch, which suggested a lower retrogradation trendency. Copyright © 2017 Elsevier Ltd. All rights reserved.

A randomized prospective triaI comparing oral sodium phosphate with magnesium citrate in preparing of patients for double contrast barium enema

International Nuclear Information System (INIS)

Lee, Eun Joo; Lee, Sung Woo; Lee, Hyeon Kyeong; Yang, Chang Hun; Kim, Soon; Oh, Yoen Hee; Kim, Seung Hyeon

2004-01-01

The purpose of this study was to compare two bowel preparation agents, sodium phosphate solution with magnesium citrate solution. A total of 94 subjects that underwent a double-contrast barium enema were included in this study. Bowel preparation before performing the barium study was done by using a sodium phosphate solution in 47 subjects and by using a magnesium citrate solution in the other 47 subjects. We evaluated the presence or absence of side effects when using these bowel preparation agents. Two radiologist who were blinded to the type of bowel preparation evaluated the quality of bowel preparation at the colonic segments (ascending, descending, and sigmoid colon) on the radiographs obtained by double-contrast barium enema, with regard to stool cleansing, water retention, barium coating and bubble formation. The side effects, such as abdominal clamping pain, nausea, hunger pain and chill occurred more frequently in the sodium phosphate group than in the magnesium citrate group (p< 0.001). Stool retention was more frequently found in the magnesium citrate group (p< 0.001). However, no statistical difference was noted on the status of water retention and barium coating between two groups. Gas bubble formation was more commonly seen in the sodium phosphate group (p< 0.001). The sodium phosphate solution appeared to be more effective in cleansing the right colon (p=0.001). Sodium phosphate solution appears to be more effective for colonic cleansing, with a lower incidence of side effects, than when using magnesium citrate solution

Carcass characteristics of feedlot lambs fed crude glycerin contaminated with high concentrations of crude fat.

Science.gov (United States)

Lage, J F; Paulino, P V R; Pereira, L G R; Duarte, M S; Valadares Filho, S C; Oliveira, A S; Souza, N K P; Lima, J C M

2014-01-01

Thirty non-castrated male lambs with 20±2.3 kg average body weight (BW) were randomly assigned to five treatments consisted of different dietary concentrations of crude glycerin (CG; 0, 3, 6, 9 and 12% on DM basis) to evaluate the effects on performance, carcass and meat quality traits. A quadratic effect was observed for performance (P=0.04), final BW (P0.05) on carcass pH neither on shear-force, cooking loss and ether extract content in longissimus. The inclusion of CG tended to reduce the Zn content in meat (P=0.09). The data suggests that CG (36.2% of glycerol and 46.5% of crude fat) may be used in diets of finishing lambs with concentrations up to 3% without negative effects on performance and main carcass traits. Moreover, inclusion of CG seems to not affect quality and safety of meat for human consumption. Copyright © 2013 Elsevier Ltd. All rights reserved.

[Practical usage of a quality management system according to ISO 9001 : 2000 focusing on the double contrast (barium) enema].

Science.gov (United States)

Heinzle, G; Hergan, K; Fleisch, M; Hubmann, M; Oser, W

2001-12-01

We describe the implementation of quality improvement measures in a quality management system. With questionnaires for radiologists and patients, we investigated the relations between patient preparation and diagnostic quality serving the main purpose, to improve diagnostic quality with the help of more detailed patient information (e.g., changing preparation sheets and handling out "peri-med" information sheets to the patients). Furthermore, a comparative data ascertainment at other institutes was integrated. For the group of outpatients, increasing process quality (patient information) and outcome (diagnostic quality) could be achieved. Taking aspects of quality costs into consideration, a decrease in costs due to failures was achieved. More detailed patient information has positive effects on diagnostic quality of the double contrast (barium) enema.

The utility of the contrast enema in neonates with suspected Hirschsprung disease.

Science.gov (United States)

Putnam, Luke R; John, Susan D; Greenfield, Susan A; Kellagher, Caroline M; Austin, Mary T; Lally, Kevin P; Tsao, Kuojen

2015-06-01

The contrast enema (CE) is commonly utilized for suspected Hirschsprung disease (HD) patients. We set out to determine the utility of the CE in the newborn for clinically suspicious HD. All CEs performed for suspicion of HD in neonates from January 2004 to December 2013 were reviewed by two pediatric radiologists who were blinded to the original interpretations and final diagnoses. A standardized scoring sheet was utilized to document essential radiographic findings. Definitive diagnoses were determined by pathology. Descriptive statistics, likelihood ratios, and interrater agreement were determined. 158 CEs were reviewed. Interrater agreement was 89% with kappa (95% CI) of 0.63 (0.47-0.76). Common indications for CE were similar between non-HD and HD groups. The positive, inconclusive, and negative likelihood ratios (95% CI) were 38 (10-172), 3.2 (1.3-9.1), and 0.15 (0.06-0.47), respectively, leading to posttest probabilities for positive, inconclusive, and negative tests of 83%, 32%, and 2.5%, respectively. Although radiographic positive CE for HD portends a high probability of HD, inconclusive studies still represent a significant increased risk. In clinically suspicious infants for HD, those with inconclusive studies may benefit from a lower threshold to perform follow-up rectal biopsy. Copyright © 2015 Elsevier Inc. All rights reserved.

The Effects of Stereotactic Cerebroventricular Administration of Albumin, Mannitol, Hypertonic Sodium Chloride, Glycerin and Dextran in Rats with Experimental Brain Edema.

Science.gov (United States)

Ates, Tuncay; Gezercan, Yurdal; Menekse, Guner; Turkoz, Yusuf; Parlakpinar, Hakan; Okten, Ali Ihsan; Akyuva, Yener; Onal, Selami Cagatay

2017-01-01

To evaluate the effects of cerebroventricular administration of hyperoncotic/hyperosmotic agents on edematous brain tissue in rats with experimental head trauma. The study included 54 female Sprague-Dawley rats with weights ranging between 200 and 250 g. Six experimental groups were examined with each group containing 9 rats. All rats were exposed to head trauma, and treatment groups were administered 2 µl of one of the drugs (albumin, mannitol, hypertonic sodium chloride (NaCl), glycerin and dextran) 6, 12 and 24 hours after the trauma via the cerebroventricular route and using a stereotactic device. Rats were sacrificed 48 hours after the trauma, and brain tissues were extracted without damage. Biochemical analyses including reduced glutathione (GSH), nitric oxide (NO), malondialdehyde (MDA), tumor necrosis factor alpha (TNF-α), and interleukin 1 beta (IL-1β) were performed on the injured left hemisphere. Compared with the control group, the albumin, mannitol, 3% NaCl and glycerin treatment groups revealed dramatic increases in GSH levels (p < 0.001). Levels of MDA, which is the end-product of brain edema and lipid peroxidation, failed to show a statistically significant decrease, but there was a decreasing trend observed in the inter-group comparisons. NO levels were also decreased in the 3% NaCl treatment group. An analysis of TNF-α and IL-1β, two proinflammatory cytokines associated with the trauma, revealed that IL-1β decreased significantly in all treatment groups (p=0.001), whereas no significant difference was detected in TNF-α levels. Cerebroventricular administration of hyperoncotic/hyperosmotic agents provides substantial effects on the treatment of brain edema.

Effects of partial replacement of maize in the diet with crude glycerin and/or soyabean oil on ruminal fermentation and microbial population in Nellore steers.

Science.gov (United States)

Granja-Salcedo, Yury Tatiana; Duarte Messana, Juliana; Carneiro de Souza, Vinícius; Lino Dias, Ana Veronica; Takeshi Kishi, Luciano; Rocha Rebelo, Lucas; Teresinha Berchielli, Telma

2017-11-01

The objective of this study was to determine whether a combination of crude glycerin (CG) and soyabean oil (SO) could be used to partially replace maize in the diet of Nellore steers while maintaining optimum feed utilisation. Eight castrated Nellore steers fitted with ruminal and duodenal cannulas were used in a double 4×4 Latin square design balanced for residual effects, in a factorial arrangement (A×B), when factor A corresponded to the provision of SO, and factor B to the provision of CG. Steers feed SO and CG showed similar DM intake, DM, organic matter and neutral-detergent fibre digestibility to that of steers fed diets without oil and without glycerine (P>0·05). Both diets with CG additions reduced the acetate:propionate ratio and increased the proportion of iso-butyrate, butyrate, iso-valerate and valerate (Pdiets containing SO had less total N excretion (Pdiet generated a greater ruminal abundance of Prevotella, Succinivibrio, Ruminococcus, Syntrophococcus and Succiniclasticum. Archaea abundance (P=0·002) and total ciliate protozoa were less in steers fed diets containing SO (P=0·011). CG associated with lipids could be an energy source, which is a useful strategy for the partial replacement of maize in cattle diets, could result in reduced total N excretion and ruminal methanogens without affecting intake and digestibility.

Effect of glycerin and formic acid in the efficiency of deposit on Zn-Ni, obtained by electrodeposition; Efeito da glicerina e do acido formico na eficiencia de deposito da liga Zn-Ni, obtido atraves de eletrodeposicao

Energy Technology Data Exchange (ETDEWEB)

Pedroza, G.A.G.; Souza, C.A.C.; Lima, L.R.P.A.; Ferreira, D.M. [Universidade Federal da Bahia - Escola Politecnica, BA (Brazil)

2010-07-01

Additives are added to the electrodeposition of metal coatings to improve the characteristics of the deposit. However, the objective was to investigate the effect of adding glycerin and formic acid in the deposition efficiency and deposit structure of zinc-nickel alloy obtained by electrodeposition. The depositions were made at a galvanostatic current density of 10 mA/cm{sup 2} to obtain a deposit of about 5 mm in thickness. The deposition efficiency was determined through measures of mass, chemical composition of the deposit in the presence and absence of additives was examined by X-ray Spectrometer Fluorescence (XRF) and surface characterization of coatings was performed by Scanning Electron Microscopy (SEM). The high levels of glycerin (0,07 M) and formic acid (0,26 M) in bath deposition increased the deposition efficiency of around 10% to 12% by mass, respectively. (author)

Dose optimisation of double-contrast barium enema examinations.

Science.gov (United States)

Berner, K; Båth, M; Jonasson, P; Cappelen-Smith, J; Fogelstam, P; Söderberg, J

2010-01-01

The purpose of the present work was to optimise the filtration and dose setting for double-contrast barium enema examinations using a Philips MultiDiagnost Eleva FD system. A phantom study was performed prior to a patient study. A CDRAD phantom was used in a study where copper and aluminium filtration, different detector doses and tube potentials were examined. The image quality was evaluated using the software CDRAD Analyser and the phantom dose was determined using the Monte Carlo-based software PCXMC. The original setting [100 % detector dose (660 nGy air kerma) and a total filtration of 3.5 mm Al, at 81 kVp] and two other settings identified by the phantom study (100 % detector dose and additional filtration of 1 mm Al and 0.2 mm Cu as well as 80 % detector dose and added filtration of 1 mm Al and 0.2 mm Cu) were included in the patient study. The patient study included 60 patients and up to 8 images from each patient. Six radiologists performed a visual grading characteristics study to evaluate the image quality. A four-step scale was used to judge the fulfillment of three image quality criteria. No overall statistical significant difference in image quality was found between the three settings (P > 0.05). The decrease in the effective dose for the settings in the patient study was 15 % when filtration was added and 34 % when both filtrations was added and detector dose was reduced. The study indicates that additional filtration of 1 mm Al and 0.2 mm Cu and a decrease in detector dose by 20 % from the original setting can be used in colon examinations with Philips MultiDiagnost Eleva FD to reduce the patient dose by 30 % without significantly affecting the image quality. For 20 exposures, this corresponds to a decrease in the effective dose from 1.6 to 1.1 mSv.

Slowly digestible properties of lotus seed starch-glycerine monostearin complexes formed by high pressure homogenization.

Science.gov (United States)

Chen, Bingyan; Jia, Xiangze; Miao, Song; Zeng, Shaoxiao; Guo, Zebin; Zhang, Yi; Zheng, Baodong

2018-06-30

Starch-lipid complexes were prepared using lotus seed starch (LS) and glycerin monostearate (GMS) via a high-pressure homogenization process, and the effect of high pressure homogenization (HPH) on the slow digestion properties of LS-GMS was investigated. The digestion profiles showed HPH treatment reduced the digestive rate of LS-GMS, and the extent of this change was dependent on homogenized pressure. Scanning electron microscopy displayed HPH treatment change the morphology of LS-GMS, with high pressure producing more compact block-shape structure to resist enzyme digestion. The results of Gel-permeation chromatography and Small-angle X-ray scattering revealed high homogenization pressure impacted molecular weight distribution and semi-crystalline region of complexes, resulting in the formation of new semi-crystalline with repeat unit distance of 16-18 nm and molecular weight distribution of 2.50-2.80 × 10 5  Da, which displayed strong enzymatic resistance. Differential scanning calorimeter results revealed new semi-crystalline lamellar may originate from type-II complexes that exhibited a high transition temperature. Copyright © 2018 Elsevier Ltd. All rights reserved.

Diverticulitis of the sigmoid colon. A comparison of CT, colonic enema and laparoscopy

International Nuclear Information System (INIS)

Stefansson, T.; Univ. Hospital, Uppsala; Nyman, R.; Nilsson, S.; Ekbom, A.; Univ. Hospital, Uppsala; Paahlman, L.

1997-01-01

Purpose: To evaluate the use of laparoscopy, CT, colonic enema (CE), and laboratory tests (white blood cell count (WBC), sedimentation rate (SR), and C-reactive protein (CRP)) in diagnosing diverticulitis of the sigmoid colon. Material and Methods: The diagnostic methods were prospectively evaluated in 88 patients, 30 of whom were referred for laparoscopy. Results: Fity-two patients were found to have sigmoid diverticulitis: 20 patients by lanparoscopy, 21 by CT, and 11 by CE combined with one positive laboratory test. Laparoscopy proved to be superior to the other diagnostic methods in diagnosing diverticulitis of the sigmoid colon. CT had a high specificity (1.0; 95% CI: 0.92-1.0) but low sensitivity (0.69; 95% CI: 0.56-0.79) in detecting diverticulitis. CE had a higher sensitivity (0.82; 95% CI: 0.71-0.90) but a lower specificity (0.81; 95% CI: 0.67-0.91) than CT. Conclusion: CT was the best method for diagnosing abdominal pathology outside the colon. CT can be recommended as the first examination in seriously ill patients where abscesses and other causes of the symptoms than diverticulitis must first be rule out. Laparoscopy is probably the most accurate method in diagnosing diverticulitis. (orig.)

Evaluation of colonic involvement in endometriosis: double-contrast barium enema vs. magnetic resonance imaging.

Science.gov (United States)

Faccioli, N; Foti, G; Manfredi, R; Mainardi, P; Spoto, E; Ruffo, G; Minelli, L; Mucelli, R Pozzi

2010-08-01

The purpose of the study was to compare the accuracy of double-contrast barium enema (DCBE) and magnetic resonance imaging (MRI) in the diagnosis of intestinal endometriosis using the histological examination on resected specimen as comparative standard. Eighty-three consecutive patients with suspected intestinal endometriosis, resected between 2005 and 2007, were prospectively evaluated. All of the women underwent preoperative DCBE and MRI on the same day. We evaluated number, site (rectum, sigmoid, cecum), and size of the lesions. The imaging findings were correlated with those resulting at pathology. Among the 65 women who underwent surgery, 50/65 (76.9%) were found to have bowel endometriosis, with 9/50 (18%) patients presenting two lesions; DCBE allowed to detect 50/59 (84.7%) lesions. MRI allowed to detect 42/59 (71.1%) lesions. DCBE showed sensibility, specificity, PPV, NPV, and accuracy of respectively 84.7, 93.7, 98.0, 62.5, and 86.6%, MRI of 71.1, 83.3, 93.3, 46.8, and 74.6%. DCBE is more accurate than unenhanced MRI in the diagnosis of bowel endometriosis, and should be preferred in the preoperative management of this disease, since it usually enables a proper surgical planning.

Selective use of the biphasic-contrast barium enema study for evaluation of colonic lesions: Results of a prospective study

International Nuclear Information System (INIS)

De Lange, E.E.; Shaffer, H.A. Jr.; Riddervold, H.O.

1987-01-01

The authors performed a prospective study to determine the value of selective use of the biphasic contrast technique for a variety of indications. In a series of 571 double-contrast barium enema examinations, the examination was immediately followed by a single-contrast study in 85 cases. The biphasic procedure was performed to reexamine a colonic segment that was poorly evaluated initially because of diverticulosis (eta = 35), incomplete filling (eta = 28), or poor mucosal coating (eta = 26); or to verify or exclude a possible lesion identified during the double-contrast examination (eta = 22). The single-contrast study confirmed five polyps and excluded lesions in 17 cases with suspected polyps (eta = 5), strictures (eta = 4), and spasm (eta = 8). Six polyps not visualized on the double-contrast examination were detected with the single-contrast procedure

Effects of budesonide and probiotics enemas on the systemic inflammatory response of rats with experimental colitis Efeito de enemas contendo budesonida e probióticos na resposta inflamatória sistêmica de ratos com colite experimental

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Mardem Machado de Souza

2007-01-01

Full Text Available PURPOSE: The aim of this study was to investigate the effect of enemas containing probiotics and budesonide on the systemic inflammatory response in experimental colitis. METHODS: Fifty male Wistar rats with experimental colitis induced by 10% acetic acid enema were randomized to five groups (10 rats each according to the treatment: group 1 - saline solution, group 2 - budesonide (0.75 mg/kg/day, group 3 - probiotics (1mg/day, group 4 - probiotics plus budesonide, and group 5 - control, with not-treated rats. The following variables were studied: body weight, serum levels of albumin, C-reactive protein and interleucine-6 (IL-6. RESULTS: All animals lost weight between the beginning and the end of the experiment (280+ 16 mg versus 249+21 mg, p0.05. Only probiotic rats presented a significant decrease of IL-6 than controls (0,30±0,08 mg/dL vs. 0,19±0,03 mg/dL; pOBJETIVO: Investigar o efeito da administração retal de probióticos e budesonida na resposta inflamatória de ratos com colite experimental. MÉTODOS: Cinqüenta ratos Wistar com colite experimental induzida pelo acido acético à 10% foram randomizados em 5 grupos (n=10 por grupo para diferentes tratamentos: grupo 1 - solução fisiológica; grupo 2 budesonida (0,75mg/kg/dia; grupo 3 - probióticos (1 g/dia; grupo 4 - probióticos associados a budesonida; e finalmente grupo 5 - controle, composto por ratos sem tratamento. As seguintes variáveis foram estudadas: peso corporal, dosagens séricas de albumina, proteína C reativa (PCR e interleucina-6 (IL-6. RESULTADOS: Todos os animais perderam peso entre o inicio e o fim do experimento (280±16 vs 249±21g; p0.05. As comparações entre o grupo controle (0,30±0,08 mg/dL e outros mostraram que houve uma queda significante nos níveis de IL-6 apenas no grupo probiótico (0,19±0,03 mg/dL; p<0.01. CONCLUSÃO: Probióticos são efetivos na diminuição do estado inflamatório mediado pela IL-6 na colite experimental.

Gliceroquímica: novos produtos e processos a partir da glicerina de produção de biodiesel Glycerochemistry: new products and processes from glycerin of biodiesel production

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Claudio J. A. Mota

2009-01-01

Full Text Available Glycerol is a byproduct of biodiesel production through transesterification of oils and fat. This article discusses the chemical transformation of glycerol in ethers, acetals and esters of high technological applications, especially in the fuel sector. Glycerol hydrogenolysis, dehydration to acrolein and oxidation are discussed as well, to show the potential use of glycerol for production of plastic monomers. Finally, the article shows other transformations, such as syn gas production, epichloridrin and glycerin carbonate.

Comparison of three contrast radiographic techniques in the dog large intestine

International Nuclear Information System (INIS)

Vargas, L.; Thibaut, J.; Olhaberry, E.; Born, R.; Deppe, R.

1994-01-01

In order to compare three radiographic techniques -pneumocolon, barium enema and double contrast- in the large intestine of the dog, three radiographic series in ventrodorsal and right lateral projections were taken. Six healthy adult dogs of both sexes with an approximate weight between 5 to 10 kg were used. Three enemas were administered 24, 12 and 2 hrs. before the series of radiographs were taken. Then dogs were anaesthetized with sodium tiopental (20 mg/kg iv) and the contrast media were introduced. Pneumocolon was carried out in the first series introducing air (20 cc/kg) in the large intestine through a Foley rectal catheter. Radiographs were taken in both projections, after 5 and 15min. respectively. Barium enema was performed in the second series introducing barium sulfate (18%) in the large intestine through a Foley rectal catheter (25 cc/kg); 5 and 15 min. later, the radiographs were taken. In the third series -double contrast- the barium sulfate, which was obtained from each dog using a catheter, was substituted by a volume of air equal to that obtained from the contrast medium. Later the radiographs were taken in both projections. The radiographic plates of each series were analized comparing the characteristics of: radiographic density, outline and volume. With the pneumocolon barium enema and double contrast, the radiographic density was, in most cases, low, high and inter-mediate respectively. The radiographic outline was, in most cases, regular for the three techniques. Thee radiographic volume was similar in all of the series. From the results obtained, it is concluded that double contrast best outlines the intestinal mucosa and more information can be obtained from it [es

Effects of glycerin concentration in steam-flaked corn-based diets with supplemental yellow grease on performance and carcass characteristics of finishing beef steers.

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Buttrey, E K; Luebbe, M K; McCollum, F T; Cole, N A; MacDonald, J C; Hales, K E

2015-07-01

Forty-eight individually fed crossbred steers (initial BW = 381 ± 7.61 kg) were used to determine the effects of glycerin (GLY) concentration in steam-flaked corn (SFC)-based diets with added yellow grease on animal performance and carcass characteristics. Glycerin was included at 0, 2.5, 5, and 10% dietary DM replacing SFC. A completely randomized design was used with steers as the experimental unit, and the model included the fixed effects of diet. Contrast statements were used to determine linear and quadratic effects of GLY inclusion. Final BW and DMI were not affected (P > 0.27) by GLY concentration. Average daily gain and G:F based on live BW did not differ as GLY level increased in the diet from 0 to 10% of DM (P > 0.33). Carcass-adjusted final BW and carcass-adjusted G:F were also not affected by GLY concentration (P > 0.22); however, carcass-adjusted ADG tended to respond quadratically by decreasing from 2.5 to 5% GLY inclusion and increasing thereafter (P = 0.10). Calculated dietary NEm and NEg did not differ as GLY increased in the diet (P > 0.37). Hot carcass weight tended to respond quadratically, decreasing from 2.5 to 5% GLY and increasing thereafter (P = 0.10). Likewise, dressing percentage tended to respond quadratically by decreasing from 2.5 to 5% GLY inclusion and increasing to 10% GLY inclusion (P = 0.09). Fat thickness decreased linearly as GLY inclusion increased in the diet (P 0.21). Calculated yield grade (YG) decreased linearly as GLY increased in the diet from 0 to 10% of DM (P = 0.04). Based on our results, there was no animal performance benefit for replacing SFC with GLY in diets containing yellow grease, and the only change in carcass merit was a slight improvement in YG.

Microbiological evaluation of anatomical organs submitted to glycerinization and freeze-drying techniques

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Marianna Justo

2016-06-01

Full Text Available Alternatives conservation techniques are being requested with the proposal of formaldehyde substitution. Formaldehyde results in excessive anatomical specimens' weight and it can cause serious health problems to the manipulator, such as cancer. However, it provides an efficient germicide and fungicide action depending on concentration. The substitute techniques are glicerinization and freeze-drying which have advantages such as non-production of smells, lightness of the organs and dispenses the use of fixatives in conservation. As well as both intrinsic and extrinsic factors interfere in microbial growth, microbiological analyzes are essential to detect possible deteriorative microorganisms in organs and concluding effectively the technique used. Formalinized, glycerinated and freeze-drying organs were collected in three different times which were intercalated by two months, except formalinization that had one evaluation. The procedure required the use of sterilized swabs wetted in peptone water and molds measuring 5,0 cm x 10,0 cm positioned on two different piece's local resulting in 100 cm2 of area, to spread plate of total moulds, mesophiles (except in freeze-drying, psychrophilic (only in freeze-drying and Pseudomonas sp (except in formalinization. All the plates were counted and compared between each technique's evaluations by variance analyzes. Both alternatives techniques resulted in zero or in very low microbial quantity to cause health problems as well as it preserve pieces morphology. All values of all analyzes resulted below 1/ml, showing that glicerinization and freeze-drying techniques are so as efficient as formaldehyde. Keywords: Organs conservation, Anatomical techniques, Microbiology, Microbial growth

Obtaining polyester from glycerin for synthesis of polyurethanes; Obtencao de poliester a partir da glicerina para sintese de poliuretanas

Energy Technology Data Exchange (ETDEWEB)

Breves, Rodolfo A.; Ghesti, Grace F.; Sales, Maria J.A., E-mail: eu_sou_o_rodolfo@hotmail.com [Universidade de Brasilia (LabPol/UnB), DF (Brazil). Laboratorio de Pesquisa em Polimeros; Silva, Jessica S.; Coelho, Paulo V.M.; Lopes, Roseany V.V. [Universidade de Brasilia (UnB), DF (Brazil). Faculdade do Gama; Brioude, Michel M. [Freiburg University (Germany)

2014-07-01

The use of renewable resources has been increasing, due to the development of materials that have viable applications that are environmentally friendly. In this paper, a polyester was synthesized from glycerin, with the addition of adipic acid in a molar ratio of 1: 1.5, with dilauryl tin catalyst, which was added in proportions of 1 to 3% obtained PUs from castor oil (Ricinus communis) and MDI (diphenyl methane diisocyanate). The materials were characterized by infrared spectroscopy (FTIR), nuclear magnetic resonance {sup 1}H NMR, thermogravimetry (TG) and derivative thermogravimetry (DTG). The reaction for obtaining the polyester was confirmed by FTIR, the absorption band between 1708-1730 cm{sup -1} and {sup 1}H NMR, in the region 1.4 to 1.8 ppm and 2.2 to 2.6 ppm. The thermal decomposition of polyester occurred with temperature above 300 ° C. PUs showed similar thermal stability. (author)

Guidelines for Feeding Very Low Birth Weight Infants

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Sourabh Dutta

2015-01-01

Full Text Available Despite the fact that feeding a very low birth weight (VLBW neonate is a fundamental and inevitable part of its management, this is a field which is beset with controversies. Optimal nutrition improves growth and neurological outcomes, and reduces the incidence of sepsis and possibly even retinopathy of prematurity. There is a great deal of heterogeneity of practice among neonatologists and pediatricians regarding feeding VLBW infants. A working group on feeding guidelines for VLBW infants was constituted in McMaster University, Canada. The group listed a number of important questions that had to be answered with respect to feeding VLBW infants, systematically reviewed the literature, critically appraised the level of evidence, and generated a comprehensive set of guidelines. These guidelines form the basis of this state-of-art review. The review touches upon trophic feeding, nutritional feeding, fortification, feeding in special circumstances, assessment of feed tolerance, and management of gastric residuals, gastro-esophageal reflux, and glycerin enemas.

"The blood pressure and dermal sensitivity effects of Nylon hollow fiber releasing Glycerin Trinitrate in vivo "

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"Ostad SN

2002-09-01

Full Text Available In order to improve patient's compliance in taking glycerine trinitrate (GTN nylon hollow fiber which has been successfully used for release of chlorhexidine diacetate and levonorgestrel was employed to make nylon hollow fiber releasing GTN. Hollow nylon fibres of external diameter 0.63 mm, 75 mm long with an internal capacity of 16 μl, were filled with GTN (190 mg/ml in 70% ethanol (v/v or vehicle alone and the ends were heat-sealed. The fibers were then immersed in 10 ml of 0.9% (w/v saline in a separating funnel. The GTN release pattern from fiber, the effect of the product on blood pressure and its potential dermal toxicity were assessed. The release of GTN from the fibres was approximately 2.7 μg/min when the fibres contained 16 mg of drug. The results showed that the amount of GTN within the single fibre was enough to reduce blood pressure significantly, while it did not show significant dermal toxicity. It is concluded that GTN fiber, if used as monofilament, is not an alternative method for GTN delivery.

Mixed crude glycerin in laying hen diets: live performance and egg quality and fatty acid profile

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CRA Duarte

2014-12-01

Full Text Available This study evaluated the performance and the quality and fatty acid profile of eggs from laying hens fed diets containing mixed crude glycerin (MCG; 80% vegetable fat + 20% animal fat. A total of 240 39-week-old Hy-Line W36 laying hens were distributed according to a completely randomized experimental design into six treatments consisting of graded MCG dietary inclusion levels (0, 1.5, 3.0, 4.5, 6.0, and 7.5%, with five replicates of eight birds each. Feed intake linearly decreased (p<0.05 with increasing MCG inclusion levels. The percentages of myristic, palmitic, and α-linolenic acids in the eggs linearly decreased as MCG dietary levels increased (p<0.05, while α-linoleic acid, polyunsaturated fatty acids (PUFA and ω-6/ω-3 ratio linearly increased. Excreta moisture linearly increased with increasing levels of MCG inclusion (p<0.05. MCG may be included in up to 7.5% in layer feeds without impairing performance or egg quality, but levels up to 5.54% reduce SFA egg content. However, the inclusion of MCG in layer diets increases ω-6/ω-3 ratio in the eggs.

Evaluation of dairy sheep lambs supplemented with crude glycerin conveyed in water during pregnancy and lactation

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Hemilly Cristina Menezes Sá

2017-08-01

Full Text Available The aim of this study was to evaluate the influence of crude glycerin (CG suplementation in sheep diets during pregnancy and transition period. Twenty-four Lacaune x East Friesian genotypes sheep were randomly assigned to four treatments. Diet was composed of roughage: tifton hay, and standard concentrate for the categories, being these similar among the treatments, whereas the CG differed for the supplements in (zero, 1,5, 3,0 and 4,5% of dry matter being It added to the animals’ drinking water. The sheep received supplementation during all pregnancy and lactation. Dry matter intake during gestation was reduced with the higher supplementation of CG in the animals’ drinking water, presenting a linear decreasing response and remaining until delivery. Throughout lactation, the variable presented a linear behavior with the supplementation of CG on the eighteenth day of this phase, after a quadratic behavior was observed until the end of the evaluated period. The beta-hydroxybutyrate and non-esterified fatty acids levels were not influenced by CG supplementation throughout the gestation period. CG suplementation conveyed in water did not affect negatively milk production and composition.

A scintigraphic study of colostomy irrigation

Energy Technology Data Exchange (ETDEWEB)

Yasuda, Shinji; Fujii, Hisao; Nakano, Hiroshige (Nara Medical Univ., Kashihara (Japan))

1991-09-01

Colostomy irrigation was investigated by colonoscintigraphy. Twelve rectal cancer and one sigmoid colon cancer patients were examined. The tepid water whose volume was determined by barium enema was mixed with {sup 99m}Tc-DTPA. Dynamic scanning was started on commencement of colostomy irrigation. The sampling time was 3 seconds and scanning was performed for 30 minutes. The mean volume of remnant colon as measured by barium enema was 650 ml. The mean number of mass movements was 4.3. The mean evacuation time was 11 minutes 56 seconds and the mean half emptying time was calculated to be 9.5 minutes. The evacuation time in the patients who underwent colostomy irrigation for more than 2 years was greater than that in the patients who underwent irrigation for less than 2 years. Colonic motility was thought to have weakened. The half emptying time and the number of mass movements in the patients whose irrigation water went into the terminal ileum was more than that in the patients whose irrigation water was within the colon and cecum. Irrigation water which went into the terminal ileum was caused evacuation after the contents of the remnant colon were washed out. In conclusion, patients should have their colostomy irrigated with the tepid water, volume is determined by barium enema. Furthermore single infusion of the water is recommended. (author).

A scintigraphic study of colostomy irrigation

International Nuclear Information System (INIS)

Yasuda, Shinji; Fujii, Hisao; Nakano, Hiroshige

1991-01-01

Colostomy irrigation was investigated by colonoscintigraphy. Twelve rectal cancer and one sigmoid colon cancer patients were examined. The tepid water whose volume was determined by barium enema was mixed with 99m Tc-DTPA. Dynamic scanning was started on commencement of colostomy irrigation. The sampling time was 3 seconds and scanning was performed for 30 minutes. The mean volume of remnant colon as measured by barium enema was 650 ml. The mean number of mass movements was 4.3. The mean evacuation time was 11 minutes 56 seconds and the mean half emptying time was calculated to be 9.5 minutes. The evacuation time in the patients who underwent colostomy irrigation for more than 2 years was greater than that in the patients who underwent irrigation for less than 2 years. Colonic motility was thought to have weakened. The half emptying time and the number of mass movements in the patients whose irrigation water went into the terminal ileum was more than that in the patients whose irrigation water was within the colon and cecum. Irrigation water which went into the terminal ileum was caused evacuation after the contents of the remnant colon were washed out. In conclusion, patients should have their colostomy irrigated with the tepid water, volume is determined by barium enema. Furthermore single infusion of the water is recommended. (author)

Crude glycerine mixture in diets of broiler chickens (1 to 42 days Glicerina bruta mista na alimentação de frangos de corte (1 a 42 dias

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Ivan Moreira

2011-12-01

Full Text Available Two experiments were conducted to evaluate the effect of inclusion of different levels of crude glycerine mixture in the broilers feeding on performance, carcass yield and carcass composition. 960 broilers were used at 21 days of age distributed in a completely randomized design with six levels of crude glycerine mixture (0; 2; 4; 6; 8 and 10% and five replicates with 32 birds each. In the Experiment 1, for the growth period (22 to 42 days, was a linear effect in the levels of crude glycerine mixture inclusion on feed intake and a quadratic effect for weight gain, average weight and litter dry matter at 42 days old. There was no effect on broiler chicken carcass yield. In the Experiment 2, in the initial period (1 to 21 days, there was an increasing linear effect for feed intake and feed conversion. The same behavior was observed only for feed conversion in the period of 1 to 42 days. For chemical composition analysis of birds were not observed effects for all variables. The litter moisture at 21 and 42 days increased linearly. The utilization of crude glycerine mixture, byproduct of biodiesel production in feed formulation for broilers is possible, however should be better evaluated, for all the nutrients of its composition that could come into the diet balance, making possible to the broilers to have a nice performance.Dois experimentos foram conduzidos com o objetivo de avaliar o efeito da utilização de diferentes níveis de glicerina bruta mista na alimentação de frangos de corte sobre o desempenho, o rendimento de carcaça e a composição química corporal das aves. Foram utilizadas 960 aves da linhagem cobb, distribuídas em delineamento inteiramente casualizado, com seis níveis de inclusão de glicerina bruta mista na dieta (0; 2; 4; 6; 8 e 10% e cinco repetições com 32 aves cada. No experimento I, para o período de crescimento (22 a 42 dias, observou-se efeito linear dos níveis de inclusão de glicerina bruta mista sobre o

Long-term follow-up of patients after antegrade continence enema procedure.

Science.gov (United States)

Siddiqui, Anees A; Fishman, Steven J; Bauer, Stuart B; Nurko, Samuel

2011-05-01

Antegrade continence enema (ACE) has become an important therapeutic modality in the treatment of intractable constipation and fecal incontinence. There are little data available on the long-term performance of the ACE procedure in children. A retrospective review of patients who underwent the ACE procedure was conducted. Irrigation characteristics and complications were noted. Outcome was assessed for individual encounters based on frequency of bowel movements, incontinence, pain, and predictability. One hundred seventeen patients underwent an ACE. One hundred five patients had at least 6 months of follow-up, and were included in the analysis. Diagnoses included myelodysplasia (39%), functional intractable constipation (26%), anorectal malformations (21%), nonrelaxing internal anal sphincter (7%), cerebral palsy (3%), and other diagnoses (4%). The average follow-up was 68 months (range 7-178 months). At the last follow-up, 69% of patients had successful bowel management. Of the 31% of patients who did not have successful bowel management, 20% were using the ACE despite suboptimal results, 10% required surgical removal, and 2% were not using the ACE because of behavioral opposition to it. Patients were started on normal saline, but were switched to GoLYTELY (PEG-3350 and electrolyte solution) if there was an inadequate response (61% at final encounter). Additives were needed in 34% of patients. The average irrigation dose was 23 ± 0.7 mL/kg. The average toilet sitting time was 51.7 ± 3.5 minutes, with infusions running for 12.1 ± 1.2 minutes. Stomal complications occurred in 63% (infection, leakage, and stenosis) of patients, 33% required surgical revision and 6% eventually required diverting ostomies. Long-term use of the ACE gives successful results in 69% of patients, whereas 63% had a stoma-related complication and 33% required surgical revision of the stoma.

[2000-year history of the ear syringe and its relationship to the enema. Images from the history of otorhinolaryngology, represented by instruments from the collection of the Ingolstadt Medical History Museum].

Science.gov (United States)

Feldmann, H

1999-08-01

SYRINGES WITH A PISTON AND THEIR USE AS "CLYSTER ORICULARIUS" IN THE ANCIENT ROME: Syringes with a piston were already known in ancient times and have been mentioned as a device for spraying rose water (Philon of Byzantium, about 230 BC), and for fighting fires (Heron of Alexandria about 110 AD). Celsus mentions it several times in his grand opus "De Medicina" (1st century AD) in the treatment of purulent discharge from the ear and for removing foreign bodies from the external ear canal. He always calls it "clyster oricularius", i.e. ear syringe, even when he describes its use in applications other than otological, such as in urology. Later the ear syringe fell from favor for a very long time and was reinvented only at the beginning of the 19th century. IRRIGATION OF THE BOWELS, FROM THE BAG SYRINGE TO THE PISTON SYRINGE: Irrigations of the bowels, clysters, were performed from ancient times to the 18th century with a baglike syringe using the bladder of animals as a pouch. Syringes with a piston were used by barbers and surgeons only for cleansing wounds or irrigating natural cavities of the body. Irrigation of the external ear canal had completely fallen from favor. In France in the 18th century large syringes with a piston made of tin oder brass came into use for enemas and replaced the old baglike devices. THE REINVENTION OF THE EAR SYRINGE AFTER THE PROTOTYPE OF THE ENEMA SYRINGE: Itard, an otologist in France in 1821, was the first to describe irrigating the ear with a syringe to remove hard wax. He recommended using an enema syringe ("seringue à lavement") for the procedure. Soon after his publication special ear syringes of appropriate size were developed and described by Beck in Freiburg, Germany, in 1827; by Fabrizi in Modena, Italy, 1839; and Schmalz in Dresden, Germany, 1846, who also introduced the kidney-shaped bowel for catching the water. Apart from that, small baglike syringes made of rubber were devised especially for use by the patient himself

After the honeymoon comes divorce: long-term use of the antegrade continence enema procedure.

Science.gov (United States)

Yardley, Iain E; Pauniaho, Satu-Liisa; Baillie, Colin T; Turnock, Rick R; Coldicutt, Pat; Lamont, Graham L; Kenny, Simon E

2009-06-01

Having reported that 18% of children discontinue use of the antegrade continence enema (ACE) after 5 years, we aimed to determine long-term use after an ACE procedure. A postal/telephone questionnaire was conducted. Subjects were consecutive children undergoing an ACE between 1993 and 1999. Outcome measures were use of ACE, reasons for nonuse, complications, and overall satisfaction. Of 84 eligible subjects, data were available on 61 (73%) aged 22.4 years (15.5-35.1 years). Underlying diagnoses included spina bifida (n = 27), anorectal malformations (n = 18), constipation (n = 11), Hirschsprung's disease (n = 1), sacral agenesis (n = 2), and trauma/tumor (n = 2). Follow-up was 11.02 years (8.34-14.39 years). Thirty-six (59%) of 61 patients were still using their ACE. Reasons for nonuse were lack of effectiveness (n = 14), complications (n = 5), psychologic issues (n = 2), and poor compliance (n = 2). There was no association between diagnosis and nonuse (chi(2), P = .63). In those still using ACE, the overall satisfaction score was 4.1 (1-5). Several individuals reported feeling abandoned on becoming adults and losing the support they had in childhood. There is a late "failure" rate for the ACE procedure. However, satisfaction was high among those still using the ACE. This study further emphasizes the need for robust transitional care arrangements.

Ultrasound guided reduction of an ileocolic intussusception by a hydrostatic method by using normal saline enema in paediatric patients: a study of 30 cases.

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Digant, Shastri Mona; Rucha, Seth; Eke, Dessai

2012-12-01

The conventional hydrostatic reduction of an intussusception with barium enema or the pneumatic reduction of an intussusception is associated with considerable ionizing radiations and a risk of perforation; while the hydrostatic reduction of an intussusception under ultrasound guidance is a very safe method because the whole procedure is visualized with real time ultrasound. Also, being a non-invasive method with a high success rate, this procedure has emerged as a useful alternative to a surgical intervention. The aim of this study was to evaluate the role of ultrasound and colour Doppler studies for the guidance of the hydrostatic reduction of a childhood intussusception by using normal saline. Among 41 children who were evaluated with ultrasonography for the confirmation of the presence of intussusceptions, hydrostatic reduction of intussusception were performed under a sonographic guidance in 30 patients, whereas 11 patients were excluded due to clinical contraindications. This disease was observed mostly at the ages of 6 months to 24 months. In 80% of the patients, there was a recent history of gastroenteritis and 40 % had a history of common cold. The most common site of the intussusception was the transverse colon near the hepatic flexor of the colon (90%), with a mean duration of 22.1±17.3 hours. The overall rate of a successful reduction was 87% and the mean reduction time was 14 minutes. None of the cases showed recurrence within 24 hrs. No complications were observed. We conclude that ultrasound with colour Doppler study is very useful for the diagnosis of intussusceptions, as well as for guided hydrostatic reductions by using normal saline enema. This is an optimal, simple, and a safe procedure for the treatment of intussusceptions in paediatric patients.

Effect of supplementary glycerin on milk composition and heat stability in dairy goats

Directory of Open Access Journals (Sweden)

Deela Thoh

2017-12-01

Full Text Available Objective This experiment was studied the effects of various levels of crude glycerin (CG in dairy goat diet on daily intake, milk yield, milk composition, some physical properties and some quality changes of goat milk after sterilization. Methods Twelve 75% Saanen dairy goats (body weight = 49±3 kg; days in milk = 60±12 d were randomly assigned in a completely randomized design to evaluate the effects of three experimental diets consisting of 0%, 5%, and 10% CG (dry matter basis which were formulated to meet or exceed the nutrient requirements of goats. Experimental dairy goats were evaluated for feed and milk yield. Milk samples were analyzed for their composition, including fatty acids, casein profile, fat globule size, and color, and were sterilized to evaluate milk heat stability. Results There were no significant differences between 0% and 5% CG treatments infeed. Increasing CG supplementation from 0% to 5% increased milk yield from 2.38±0.12 to 2.64±0.23 kg/goat/d. In addition, milk samples from 5% CG treatment had the highest total solids, fat content and lactose content, and largest fat globule size. Increasing CG to 10% resulted in a decrease in milk fat. After sterilizing at 116°C, F0 = 3 min, goat milk samples from 5% CG treatment had slightly higher sediment content and comparatively higher degree of browning. Conclusion Considering milk yield, milk fat content and quality of sterilized milk, 5% CG supplementation in a total mixed ration has a potential for implementation in dairy goats.

Enema reduction of intussusception: the success rate of hydrostatic and pneumatic reduction.

Science.gov (United States)

Khorana, Jiraporn; Singhavejsakul, Jesda; Ukarapol, Nuthapong; Laohapensang, Mongkol; Wakhanrittee, Junsujee; Patumanond, Jayanton

2015-01-01

Intussusception is a common surgical emergency in infants and children. The incidence of intussusception is from one to four per 2,000 infants and children. If there is no peritonitis, perforation sign on abdominal radiographic studies, and nonresponsive shock, nonoperative reduction by pneumatic or hydrostatic enema can be performed. The purpose of this study was to compare the success rates of both the methods. Two institutional retrospective cohort studies were performed. All intussusception patients (ICD-10 code K56.1) who had visited Chiang Mai University Hospital and Siriraj Hospital from January 2006 to December 2012 were included in the study. The data were obtained by chart reviews and electronic databases, which included demographic data, symptoms, signs, and investigations. The patients were grouped according to the method of reduction followed into pneumatic reduction and hydrostatic reduction groups with the outcome being the success of the reduction technique. One hundred and seventy episodes of intussusception occurring in the patients of Chiang Mai University Hospital and Siriraj Hospital were included in this study. The success rate of pneumatic reduction was 61% and that of hydrostatic reduction was 44% (P=0.036). Multivariable analysis and adjusting of the factors by propensity scores were performed; the success rate of pneumatic reduction was 1.48 times more than that of hydrostatic reduction (P=0.036, 95% confidence interval [CI] =1.03-2.13). Both pneumatic and hydrostatic reduction can be performed safely according to the experience of the radiologist or pediatric surgeon and hospital setting. This study showed that pneumatic reduction had a higher success rate than hydrostatic reduction.

CT colonography versus double-contrast barium enema for screening of colorectal cancer: comparison of radiation burden.

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Neri, Emanuele; Faggioni, Lorenzo; Cerri, Francesca; Turini, Francesca; Angeli, Simone; Cini, Lorenzo; Perrone, Franco; Paolicchi, Fabio; Bartolozzi, Carlo

2010-10-01

Our aim is to compare the radiation dose associated with a low-dose CT colonography (CTC) protocol for colorectal cancer screening with that delivered by double-contrast barium enema (DCBE). CTC of twenty asymptomatic individuals (M:F = 10:10) participating to a colorectal cancer screening program and DCBE of fifteen patients (M:F = 6:9) were evaluated. For CTC, absorbed dose was determined by calculating the dose-length product for each CTC examination from measurements on a CT dose phantom equipped with a CT ion chamber. For DCBE, the free-in-air Kerma at the patient's X-ray entry surface and the Kerma-area product during fluoroscopy and fluorography were measured with a Barracuda system, with fluoroscopy times being recorded blinded to the performing operator. Effective dose at CTC was 2.17 ± 0.12 mSv, with good and excellent image quality in 14/20 (70%) and 6/20 cases (30%), respectively. With DCBE, effective patient dose was 4.12 ± 0.17 mSv, 1.9 times greater than CTC (P < 0.0001). Our results show that effective dose from screening CTC is substantially lower than that from DCBE, suggesting that CTC is the radiological imaging technique of the large bowel with the lowest risk of stochastic radiation effects.

The effect of timing of intravenous muscle relaxant on the quality of double-contrast barium enema

International Nuclear Information System (INIS)

Elson, E.M.; Elson, E.M.; Campbell, D.M.; Halligan, S.; Shaikh, I.; Davitt, S.; Bartram, C.I.

2000-01-01

AIM: To determine whether the timing of buscopan administration during double-contrast barium enema examination (DCBE) affects diagnostic quality. MATERIALS AND METHODS: In a prospective setting, 100 consecutive adult out-patients referred for DCBE received 20 mg buscopan (hyoscine-N-butylbromide) intravenously, either before infusion of barium suspension (Group A) or after barium infusion and gas insufflation (Group B). A subjective assessment of ease of contrast medium infusion was made at the time of examination and the films subsequently analysed by two radiologists unaware of the mode of relaxant administration, who noted the quality of mucosal coating and made subjective and objective measurements of segmental distension. RESULTS: There was no significant difference in screening times, infusion difficulty or colonic contrast medium coating between the two groups. Subjective assessment of distension of the caecum, ascending colon, transverse colon and rectum were not significantly different. Patients receiving intravenous relaxant after barium and gas infusion had less subjective descending (P = 0.05) and sigmoid (P = 0.04) colon distension, but there was no significant difference with respect to maximal bowel diameter in any of the segments measured. CONCLUSION: The timing of intravenous administration during DCBE is likely to have no significant effect on the diagnostic quality of the study. Elson, E.M. (2000)

Selective blockade of leukotriene production by a single dose of the FPL 64170XX 0.5% enema in active ulcerative colitis

DEFF Research Database (Denmark)

Kjeldsen, J; Laursen, L S; Hillingsø, Jens

1995-01-01

5-Lipoxygenase products of arachidonic acid metabolism are thought to play a central role in the secondary amplification of the inflammatory response of several inflammatory diseases, including ulcerative colitis. FPL 64170XX is a selective inhibitor of the enzyme 5-lipoxygenase. Concentrations...... containing 0.5% of FPL 64170XX. Repeated measures analysis of leukotriene B4, after adjusting for baseline, showed a significant treatment effect (P = 0.0014). The concentration of leukotriene B4 from rectal dialysates in patients receiving the active drug dropped to 15% (95% confidence interval 5......-40%) of the placebo level in the second dialysis following administration of FPL 64170XX 0.5%. By contrast, prostaglanding E2 concentrations doubled (P = 0.0068) in patients receiving FPL 64170XX 0.5% with no change in the placebo group. These findings demonstrate that a single dose of FPL 64170XX 0.5% enema...

Hospital-Level Variation in Practice Patterns and Patient Outcomes for Pediatric Patients Hospitalized With Functional Constipation.

Science.gov (United States)

Librizzi, Jamie; Flores, Samuel; Morse, Keith; Kelleher, Kelly; Carter, Jodi; Bode, Ryan

2017-06-01

Constipation is a common pediatric condition with a prevalence of 3% to 5% in children aged 4 to 17 years. Currently, there are no evidence-based guidelines for the management of pediatric patients hospitalized with constipation. The primary objective was to evaluate practice patterns and patient outcomes for the hospital management of functional constipation in US children's hospitals. We conducted a multicenter, retrospective cohort study of children aged 0 to 18 years hospitalized for functional constipation from 2012 to 2014 by using the Pediatric Health Information System. Patients were included by using constipation and other related diagnoses as classified by International Classification of Diseases, Ninth Revision . Patients with complex chronic conditions were excluded. Outcome measures included percentage of hospitalizations due to functional constipation, therapies used, length of stay, and 90-day readmission rates. Statistical analysis included means with 95% confidence intervals for individual hospital outcomes. A total of 14 243 hospitalizations were included, representing 12 804 unique patients. The overall percentage of hospitalizations due to functional constipation was 0.65% (range: 0.19%-1.41%, P hospitalization included: electrolyte laxatives: 40% to 96%; sodium phosphate enema: 0% to 64%; mineral oil enema: 0% to 61%; glycerin suppository: 0% to 37%; bisacodyl 0% to 47%; senna: 0% to 23%; and docusate 0% to 11%. Mean length of stay was 1.97 days (range: 1.31-2.73 days, P hospitalized with functional constipation across US children's hospitals. Collaborative initiatives to adopt evidence-based best practices guidelines could help standardize the hospital management of pediatric functional constipation. Copyright © 2017 by the American Academy of Pediatrics.

Comparison of three contrast radiographic techniques in the dog large intestine; Comparacion de tres tecnicas radiograficas de contraste en el intestino grueso del perro

Energy Technology Data Exchange (ETDEWEB)

Vargas, L.; Thibaut, J.; Olhaberry, E.; Born, R.; Deppe, R. [Universidad Austral de Chile, Valdivia (Chile)

1994-07-01

In order to compare three radiographic techniques -pneumocolon, barium enema and double contrast- in the large intestine of the dog, three radiographic series in ventrodorsal and right lateral projections were taken. Six healthy adult dogs of both sexes with an approximate weight between 5 to 10 kg were used. Three enemas were administered 24, 12 and 2 hrs. before the series of radiographs were taken. Then dogs were anaesthetized with sodium tiopental (20 mg/kg iv) and the contrast media were introduced. Pneumocolon was carried out in the first series introducing air (20 cc/kg) in the large intestine through a Foley rectal catheter. Radiographs were taken in both projections, after 5 and 15min. respectively. Barium enema was performed in the second series introducing barium sulfate (18%) in the large intestine through a Foley rectal catheter (25 cc/kg); 5 and 15 min. later, the radiographs were taken. In the third series -double contrast- the barium sulfate, which was obtained from each dog using a catheter, was substituted by a volume of air equal to that obtained from the contrast medium. Later the radiographs were taken in both projections. The radiographic plates of each series were analized comparing the characteristics of: radiographic density, outline and volume. With the pneumocolon barium enema and double contrast, the radiographic density was, in most cases, low, high and inter-mediate respectively. The radiographic outline was, in most cases, regular for the three techniques. Thee radiographic volume was similar in all of the series. From the results obtained, it is concluded that double contrast best outlines the intestinal mucosa and more information can be obtained from it [Spanish] Con la finalidad de comparar tres tecnicas radiograficas del intestino grueso del perro -neumocolon, enema baritado y doble contraste-, se tomaron tres series radiograficas en proyeccion ventrodorsal y lateral derecha en 6 perros adultos, de 5 a 10 kg de peso, que

Valor do enema de bário com duplo contraste no diagnóstico da endometriose do reto e sigmóide Double-contrast barium enema in the diagnosis of intestinal deeply infiltrating endometriosis

Directory of Open Access Journals (Sweden)

Helizabet Salomão Abdalla Ayroza Ribeiro

2008-08-01

Full Text Available OBJETIVO: avaliar a sensibilidade, especificidade, valor preditivo positivo e valor preditivo negativo do enema de bário com duplo contraste (EBDC para o diagnóstico da endometriose do reto e sigmóide. MÉTODOS: estudo transversal prospectivo que incluiu 37 pacientes com quadro clínico suspeito de endometriose profunda. As pacientes foram submetidas ao EBDC de acordo com a técnica padrão descrita na literatura. Em seguida, foram submetidas à laparoscopia. Os exames foram realizados e seus resultados e imagens foram interpretados e comparados com base na avaliação histológica. A análise estatística foi realizada pela análise de associação (teste do χ2 e análise de concordância (teste de Kappa. RESULTADOS: a média de idade das pacientes estudadas foi de 35,8±4,4 anos (faixa de 28 a 48 anos, sendo 85,6% brancas e 14,4% negras. A endometriose profunda foi confirmada por laparoscopia e pelo exame histológico em todas as pacientes estudadas. A endometriose intestinal foi confirmada histologicamente em 27 mulheres (72,9%. O EBDC demonstrou sinais radiológicos sugestivos de infiltração intestinal por endometriose em 24 mulheres (64,9% e ausência de sinais em 13 mulheres (35,1%. A sensibilidade do método foi de 87,5%, especificidade de 53,8%, valor preditivo positivo de 77,8% e valor preditivo negativo de 70%. Dentre os 24 exames anormais, 16 (43,2% apresentaram imagem radiológica do tipo espícula, 16 (43,2% apresentavam imagem compatível com estenose e quatro (10,8% o duplo contorno. CONCLUSÕES: o EBDC apresenta elevada sensibilidade e elevado valor preditivo positivo no diagnóstico da endometriose do reto e sigmóide. As imagens radiológicas do tipo espícula e estenose apresentam elevada sensibilidade e valor preditivo positivo para a infiltração intestinal por endometriose.PURPOSE: to evaluate the sensitivity, specificity, positive and negative predictive value of double contrast barium enema (DCBE for the diagnoses

Soap Suds Enemas Are Efficacious and Safe for Treating Fecal Impaction in Children With Abdominal Pain.

Science.gov (United States)

Chumpitazi, Corrie E; Henkel, Erin B; Valdez, Karina L; Chumpitazi, Bruno P

2016-07-01

Constipation is a common cause of pediatric abdominal pain and emergency department (ED) presentation. Despite the high prevalence, there is a dearth of clinical information and wide practice variation in childhood constipation management in the ED. The objective of the study was to assess the efficacy and safety of soap suds enema (SSE) in the therapy for fecal impaction in children with abdominal pain within the pediatric ED setting. The primary outcome was stool output following SSE. Secondary outcomes were adverse events, admissions, and return visits within 72 hours. The present study is a retrospective cross-sectional study performed in the ED at a quaternary care children's hospital of patients seen during a 12-month period who received an SSE for fecal impaction. Five hundred twelve patients (53% girls, median age 7.8 years, range: 8 months-23 years) received SSE therapy during a 1-year period. Successful therapy (bowel movement) following SSE occurred in 419 (82%). Adverse events included abdominal pain in 24 (5%) and nausea/vomiting in 18 (4%). No SSE-related serious adverse events were identified. Following SSE, 405 (79%) were subsequently discharged, of which 15 (3.7%) returned to the ED for re-evaluation within 72 hours. SSE is an efficacious and safe therapeutic option for the acute treatment of childhood fecal impaction in the ED setting.

Effects of crude glycerin from waste vegetable oil supplementation on feed intake, ruminal fermentation characteristics, and nitrogen utilization of goats.

Science.gov (United States)

Chanjula, Pin; Pongprayoon, Sahutaya; Kongpan, Sirichai; Cherdthong, Anusorn

2016-06-01

This experiment was evaluation of the effects of increasing concentrations of crude glycerin from waste vegetable oil (CGWVO) in diets on feed intake, digestibility, ruminal fermentation characteristics, and nitrogen balance of goats. Four crossbred male (Thai Native × Anglo Nubian) goats, with an average initial body weight (BW) of 31.5 ± 1.90 kg, were randomly assigned according to a 4 × 4 Latin square design. The dietary treatments contained 0, 2, 4, and 6 % of dietary dry matter (DM) of CGWVO. Based on this experiment, there were significantly different (P > 0.05) among treatment groups regarding DM intake and digestion coefficients of nutrients (DM, OM, CP, EE, NDF, and ADF), which goats receiving 6 % of CGWVO had lower daily DMI and nutrient intake than those fed on 0, 2, and 4 % of CGWVO. Ruminal pH, NH3-N, and blood urea nitrogen (BUN) concentration were unchanged by dietary treatments, except that for 6 % of CGWVO supplementation, NH3-N, and BUN were lower (P goats. This study was a good approach in exploiting the use of biodiesel production from waste vegetable oil for goat production.

Hereditary nonpolyposis colorectal cancer: not just a barium enema{exclamation_point} Radiographic manifestations and screening tools

Energy Technology Data Exchange (ETDEWEB)

Foster, L.; Jeon, P. [Health Sciences Center, Diagnostic Imaging, St. John' s, Newfoundland (Canada)]. E-mail: u43dlb@mun.ca; Green, J. [Health Sciences Center, Discipline of Genetics, Faculty of Medicine, St. John' s, Newfoundland (Canada)

2007-10-15

Hereditary nonpolyposis colorectal cancer (HNPCC) is an autosomal dominant trait characterized by presentation of colorectal cancer (CRC) at an early age and by an increased risk of other primary malignancies, including those of the endometrium. ovaries, stomach, small bowel, upper biliary tract, skin, and brain, as well as by transitional cell carcinoma (TCC) that especially involves the renal pelvis and ureter. Because specific genetic mutations causing HNPCC have been recently discovered, genetic screening options have been developed for some families. Subsequently, radiology has an increasing role in surveillance for and management of these HNPCC-associated tumours. Although colonoscopy is the mainstay of a screening regimen for colon cancer, the barium enema has been a standard radiologic investigation. Further, computed tomography (CT) colonography (now practised in various centres) will, with further refinement, prove to be of increasing value. Ultrasonography is a standard investigation for endometrial and ovarian cancer, with CT and magnetic resonance (MR) imaging often playing a central role. As for TCC, intravenous urography (IVU) had been a standard investigation tool. However, with continued evolution of multidetector row CT with postprocessing manipulation (CT urography [CTU]), the role of IVU is diminishing in most centres. Newfoundland has a high prevalence of HNPCC exhibiting a broad range of manifestations. In this article, radiologic images of various tumours from individuals with HNPCC demonstrate a radiologic spectrum of this fascinating hereditary disease. Screening implications and specific screening methods are reviewed. (author)

Rectal water contrast transvaginal ultrasound versus double-contrast barium enema in the diagnosis of bowel endometriosis.

Science.gov (United States)

Jiang, Jipeng; Liu, Ying; Wang, Kun; Wu, Xixiang; Tang, Ying

2017-09-07

The aim of study was to compare the accuracy between rectal water contrast transvaginal ultrasound (RWC-TVS) and double-contrast barium enema (DCBE) in evaluating the bowel endometriosis presence as well as its extent. 198 patients at reproductive age with suspicious bowel endometriosis were included. Physicians in two groups specialised at endometriosis performed RWC-TVS as well as DCBE before laparoscopy and both groups were blinded to other groups' results. Findings from RWC-TVS or DCBE were compared with histological results. The severity of experienced pain severity through RWC-TVS or DCBE was assessed by an analogue scale of 10 cm. In total, 110 in 198 women were confirmed to have endometriosis nodules in the bowel by laparoscopy as well as histopathology. For bowel endometriosis diagnosis, DCBE and RWC-TVS demonstrated sensitivities of 96.4% and 88.2%, specificities of 100% and 97.3%, positive prediction values of 100% and 98.0%, negative prediction values of 98.0% and 88.0%, accuracies of 98.0% and 92.4%, respectively. DCBE was related to more tolerance than RWC-TVS. RWC-TVS and DCBE demonstrated similar accuracies in the bowel endometriosis diagnosis; however, patients showed more tolerance for RWC-TVS than those with DCBE. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Appendicostomy irrigation for facilitating colonic evacuation in colostomy patients. Preliminary report.

Science.gov (United States)

Kotanagi, H; Koyama, K; Sato, Y; Takahashi, K

1998-08-01

A method for bowel irrigation through an appendicostomy (antegrade colonic enema) for patients with a left colostomy is described. The appendicostomy is easily constructed without morbidity. Irrigation through the appendicostomy is performed with minimum equipment, uses a small volume of irrigation water, and takes a relatively short time. This may improve colonic evacuation in patients with left colostomy.

Outcomes of asymptomatic anastomotic leaks found on routine postoperative water-soluble enema following anterior resection for cancer.

Science.gov (United States)

Killeen, S; Souroullas, P; Ho Tin, H; Hunter, I A; O'Grady, H; Gunn, J; Hartley, J E

2013-11-01

The incidence and consequence of an anastomotic leak associated with low anterior resection for cancer mandates covering stoma in most cases. A water-soluble enema is often performed to assess anastomotic integrity prior to stoma reversal. The functional outcome following reversal in patients with occult radiologically detected leaks is poorly defined. The goal of the present study was to determine the functional outcome in patients with a radiologically detected anastomotic leak who subsequently underwent stoma reversal. This case control study used patients with and without radiologically detected occult anastomotic leak having undergone reversal of covering stomata. The study group was matched with controls for age, gender, procedure, tumor stage, and adjuvant/neoadjuvant therapy. Validated fecal incontinence quality of life (FIQL), Cleveland Clinic Fecal Incontinence Score (CCFIS), and the Memorial Sloan-Kettering Cancer Center (MSKCC) Bowel Function Index (BFI) were used. Patient satisfaction, medication use, and ancillary procedures prior to closure were also recorded. Thirteen patients with radiologically detected occult anastomotic leaks and 13 matched controls were identified from a prospectively maintained database. The FIQL, CCFIS, and MSKCC BFI scores were significantly reduced in those with occult leaks. The mean number of radiological and surgical interventions was significantly greater in the patients with occult leaks. Antidiarrheal and bulking agent use, as well as patient satisfaction, were the same for both groups. Only one patient in the occult leak group would not undergo stoma reversal again. Reversal of a defunctioning ileostomy in the presence of an occult radiological leak can be associated with poorer functional outcomes, but patient satisfaction is undiminished.

Quasi-solid-state dye-sensitized solar cells from hydrophobic poly(hydroxyethyl methacrylate/glycerin)/polyaniline gel electrolyte

Energy Technology Data Exchange (ETDEWEB)

Li, Qinghua [National Defence Key Discipline Laboratory of Light Alloy Processing Science and Technology, Nanchang Hangkong University, Nanchang 330063 (China); Tang, Qunwei, E-mail: tangqunwei@hotmail.com [Institute of Materials Science and Engineering, Ocean University of China, Shandong Province, Qingdao 266100 (China); Chen, Haiyan [Institute of Materials Science and Engineering, Ocean University of China, Shandong Province, Qingdao 266100 (China); Xu, Haitao; Qin, Yuancheng [National Defence Key Discipline Laboratory of Light Alloy Processing Science and Technology, Nanchang Hangkong University, Nanchang 330063 (China); He, Benlin, E-mail: blhe@ouc.edu.cn [Institute of Materials Science and Engineering, Ocean University of China, Shandong Province, Qingdao 266100 (China); Liu, Zhichao; Jin, Suyue; Chu, Lei [Institute of Materials Science and Engineering, Ocean University of China, Shandong Province, Qingdao 266100 (China)

2014-04-01

Hydrophobic poly(hydroxyethyl methacrylate/glycerin) [poly(HEMA/GR)] gel with a three-dimensional (3D) framework was successfully fabricated and employed to integrate with polyaniline (PANi). The resultant poly(HEMA/GR)/PANi gel electrolyte exhibited interconnective porous structure for holding I{sup −}/I{sub 3}{sup −}, giving a similar conduction mechanism and ionic conductivity to that of liquid system but a much enhanced retention of I{sup −}/I{sub 3}{sup −} redox couple. Fourier transform infrared spectroscopy, X-ray diffraction patterns, cyclic voltammograms as well as electrochemical impedance spectroscopy were employed to evaluate the molecular structure, crystallinity, and the electrochemical behaviors, showing that the combination of PANi with poly(HEMA/GR) caused a lower charge-transfer resistance and higher electrocatalytic activity for the I{sub 3}{sup −}/I{sup −} redox reaction in the gel electrolyte. An efficiency of 6.63% was recorded from the quasi-solid-state DSSC assembled with the poly(HEMA/GR)/PANi gel electrolyte at 100 mW cm{sup −2}. - Graphical abstract: A poly(HEMA/GR)/PANi gel electrolyte is synthesized through in situ polymerization of PANi in 3D framework of poly(HEMA/GR) hydrophobic hydrogel. The recorded ionic conductivity and electrochemical performances are significantly enhanced by integrating with PANi The resultant overall photo-to-electric conversion efficiency is 6.63%. The high ionic conductivity, along with good electrolyte retention ability, reasonable DSSC performance, low cost, simple and scalable synthesis procedure, and competitive cost, promises the electrolyte to find applications in quasi-solid-state DSSCs. - Highlights: • Poly(HEMA/GR) was employed to combine with PANi in the 3D framework. • The conductivity and electrochemical performances were enhanced. • The conversion efficiency of the quasi-solid-state DSSC was 6.63%.

Effects of crude glycerin from waste vegetable oil in diets on performance and carcass characteristics of feedlot goats

Science.gov (United States)

2018-01-01

Objective This experiment was conducted to investigate the effects of crude glycerin from waste vegetable oil (CGWVO) on performance, carcass traits, meat quality, and muscle chemical composition. Methods Twenty-four crossbred (Thai Native×Anglo Nubian) uncastrated male goats (16.8± 0.46 kg body weight [BW]) were assigned to a completely randomized design and subjected to four experimental diets containing 0%, 2%, 4%, and 6% of CGWVO (63.42% of glycerol and 47.78% of crude fat) on a dry matter (DM) basis. The diets were offered ad libitum as total mixed rations twice daily. The feed intake, feeding behavior, growth performance, carcass and meat traits, and muscle chemical composition were evaluated. Results Based on this experiment, there were significant differences (p>0.05) among groups regarding DM intake, growth performance, and carcass traits where goats receiving 6% of CGWVO had lower daily DM intake, growth performance, and carcass traits than those fed on 0%, 2%, and 4% of CGWVO. There were no effects of CGWVO on carcass length, carcass width, Longissimus muscle (LM) area, Warner-Bratzler shear force, pH and color of LM at 45 min after slaughter, as well as on other carcass cut and muscle chemical composition. Conclusion In conclusion, the addition of up to 4% of DM in the diets for crossbred finishing goats seems to be the most interesting strategy, since it promotes greatest animal performance. Moreover, this study was a suitable approach to exploit the use of biodiesel production from waste vegetable oil for goat production. PMID:28830128

Effects of crude glycerin from waste vegetable oil in diets on performance and carcass characteristics of feedlot goats

Directory of Open Access Journals (Sweden)

Pin Chanjula

2018-04-01

Full Text Available Objective This experiment was conducted to investigate the effects of crude glycerin from waste vegetable oil (CGWVO on performance, carcass traits, meat quality, and muscle chemical composition. Methods Twenty-four crossbred (Thai Native×Anglo Nubian uncastrated male goats (16.8± 0.46 kg body weight [BW] were assigned to a completely randomized design and subjected to four experimental diets containing 0%, 2%, 4%, and 6% of CGWVO (63.42% of glycerol and 47.78% of crude fat on a dry matter (DM basis. The diets were offered ad libitum as total mixed rations twice daily. The feed intake, feeding behavior, growth performance, carcass and meat traits, and muscle chemical composition were evaluated. Results Based on this experiment, there were significant differences (p>0.05 among groups regarding DM intake, growth performance, and carcass traits where goats receiving 6% of CGWVO had lower daily DM intake, growth performance, and carcass traits than those fed on 0%, 2%, and 4% of CGWVO. There were no effects of CGWVO on carcass length, carcass width, Longissimus muscle (LM area, Warner-Bratzler shear force, pH and color of LM at 45 min after slaughter, as well as on other carcass cut and muscle chemical composition. Conclusion In conclusion, the addition of up to 4% of DM in the diets for crossbred finishing goats seems to be the most interesting strategy, since it promotes greatest animal performance. Moreover, this study was a suitable approach to exploit the use of biodiesel production from waste vegetable oil for goat production.

Effects of crude glycerin from waste vegetable oil in diets on performance and carcass characteristics of feedlot goats.

Science.gov (United States)

Chanjula, Pin; Cherdthong, Anusorn

2018-04-01

This experiment was conducted to investigate the effects of crude glycerin from waste vegetable oil (CGWVO) on performance, carcass traits, meat quality, and muscle chemical composition. Twenty-four crossbred (Thai Native×Anglo Nubian) uncastrated male goats (16.8± 0.46 kg body weight [BW]) were assigned to a completely randomized design and subjected to four experimental diets containing 0%, 2%, 4%, and 6% of CGWVO (63.42% of glycerol and 47.78% of crude fat) on a dry matter (DM) basis. The diets were offered ad libitum as total mixed rations twice daily. The feed intake, feeding behavior, growth performance, carcass and meat traits, and muscle chemical composition were evaluated. Based on this experiment, there were significant differences (p>0.05) among groups regarding DM intake, growth performance, and carcass traits where goats receiving 6% of CGWVO had lower daily DM intake, growth performance, and carcass traits than those fed on 0%, 2%, and 4% of CGWVO. There were no effects of CGWVO on carcass length, carcass width, Longissimus muscle (LM) area, Warner-Bratzler shear force, pH and color of LM at 45 min after slaughter, as well as on other carcass cut and muscle chemical composition. In conclusion, the addition of up to 4% of DM in the diets for crossbred finishing goats seems to be the most interesting strategy, since it promotes greatest animal performance. Moreover, this study was a suitable approach to exploit the use of biodiesel production from waste vegetable oil for goat production.

Colon Necrosis Due to Sodium Polystyrene Sulfonate with and without Sorbitol: An Experimental Study in Rats.

Science.gov (United States)

Ayoub, Isabelle; Oh, Man S; Gupta, Raavi; McFarlane, Michael; Babinska, Anna; Salifu, Moro O

2015-01-01

Based on a single rat study by Lillemoe et al, the consensus has been formed to implicate sorbitol rather than sodium polystyrene sulfonate (SPS) as the culprit for colon necrosis in humans treated with SPS and sorbitol. We tested the hypothesis that colon necrosis by sorbitol in the experiment was due to the high osmolality and volume of sorbitol rather than its chemical nature. 26 rats underwent 5/6 nephrectomy. They were divided into 6 groups and given enema solutions under anesthesia (normal saline, 33% sorbitol, 33% mannitol, SPS in 33% sorbitol, SPS in normal saline, and SPS in distilled water). They were sacrificed after 48 hours of enema administration or earlier if they were very sick. The gross appearance of the colon was visually inspected, and then sliced colon tissues were examined under light microscopy. 1 rat from the sorbitol and 1 from the mannitol group had foci of ischemic colonic changes. The rats receiving SPS enema, in sorbitol, normal saline, distilled water, had crystal deposition with colonic necrosis and mucosal erosion. All the rats not given SPS survived until sacrificed at 48 h whereas 11 of 13 rats that received SPS in sorbitol, normal saline or distilled water died or were clearly dying and sacrificed sooner. There was no difference between sorbitol and mannitol when given without SPS. In a surgical uremic rat model, SPS enema given alone or with sorbitol or mannitol seemed to cause colon necrosis and high mortality rate, whereas 33% sorbitol without SPS did not.

Barium granuloma of the rectum: case report

International Nuclear Information System (INIS)

Kim, Dae Jin; Kim, Se Hyung; Jeoung, Ah Young; Lee, Kyoung Ho; Choi, Byung Ihn; Han, Joon Koo

2003-01-01

Barium granulomas usually occur after barium enema within 8 cm of the anal verge probably due to minute laceration of rectal wall by enema tip and extravasation of barium during barium enema. We report a case of barium granuloma of rectum in a 47-year-old man, who did not have history of barium enema. In rare instance, barium granuloma can occur without a history of barium enema and careful interpretation of radiologic image is essential to make a correct diagnosis

METHOD OF ELECTROPOLISHING URANIUM

Science.gov (United States)

Walker, D.E.; Noland, R.A.

1959-07-14

A method of electropolishing the surface of uranium articles is presented. The process of this invention is carried out by immersing the uranium anticle into an electrolyte which contains from 35 to 65% by volume sulfuric acid, 1 to 20% by volume glycerine and 25 to 50% by volume of water. The article is made the anode in the cell and polished by electrolyzing at a voltage of from 10 to 15 volts. Discontinuing the electrolysis by intermittently withdrawing the anode from the electrolyte and removing any polarized film formed therein results in an especially bright surface.

Ultrasound guided reduction of childhood intussusception

International Nuclear Information System (INIS)

Yoon, Chong Hyun; Kim, Han Suk

1986-01-01

Following on from diagnosis using ultrasound, hydrostatic reduction using saline enema under ultrasound guidance was tried in 20 cases of childhood intussusception. The conclusions were as follows: 1. Success rates of saline enema under ultrasound guidance during a first-8 month period (P1) and a second-10 month period (P2) were 55.6% (5/9) and 54.5% (6/11) respectively. Average success rate was 55% (11/20). 2. During the periods of P1 and P2, no case was reduced by barium enema in 6 cases of failed reduction with saline enema. 3. During the period of P2, 5 cases of successful reduction with saline enema were confirmed by clinical follow-up without barium enema. 4. During the periods of P1 and P2, 9 cases of failed reduction with saline enema were operated, resulting in 6 cases of segmental resection and 3 cases of manual reduction. 5. The obvious advantages of this method are: 1. No radiation hazard. 2. No fear of barium peritonitis. 3. Detection of leading point. 6. With above results, this method could completely replace barium enema. And ultrasonography should be the initial study in the evaluation of intussusception in children and then if necessary, saline enema under ultrasound guidance should be done.

Walter Reed Army Medical Center, Washington, D. C. - Annual Progress Report FY-89. Volume 1

Science.gov (United States)

1990-01-02

Enemas Cause Hyperphosphatemia and Acidemia in Patients with Ulcerative Colitis After Routine5 Colonic Cleansing." 4. LCDR Michael S. Opsahl, MC...Cholestyramine Treatment of 101 Thyrotoxicosis (3/88) 1303-88 Burman, Kenneth COL MC. The Clinical Application of In Situ 102 Hybridization to Detect Viral...Absorption of Commercial 144 (Oral) Calcium Carbonate Supplements (10/87) 1398-87 Solomon, Barbara DNSc. The Management of Hyperthyroidism Due 145 to

Patient acceptability of CT colonography compared with double contrast barium enema: results from a multicentre randomised controlled trial of symptomatic patients

International Nuclear Information System (INIS)

Wagner, Christian von; Smith, Samuel; Ghanouni, Alex; Power, Emily; Wardle, Jane; Halligan, Steve; Lilford, Richard J.; Morton, Dion; Dadswell, Edward; Atkin, Wendy

2011-01-01

To determine patient acceptability of barium enema (BE) or CT colonography (CTC). After ethical approval, 921 consenting patients with symptoms suggestive of colorectal cancer who had been randomly assigned and completed either BE (N = 606) or CTC (N = 315) received a questionnaire to assess experience of the clinical episode including bowel preparation, procedure and complications. Satisfaction, worry and physical discomfort were assessed using an adapted version of a validated acceptability scale. Non-parametric methods assessed differences between the randomised tests and the effect of patient characteristics. Patients undergoing BE were significantly less satisfied (median 61, interquartile range [IQR] 54-67 vs. median 64, IQR 56-69; p = 0.003) and experienced more physical discomfort (median 40, IQR 29-52 vs. median 35.5, IQR 25-47; p < 0.001) than those undergoing CTC. Post-test, BE patients were significantly more likely to experience 'abdominal pain/cramps' (68% vs. 57%; p = 0.007), 'soreness' (57% vs. 37%; p < 0.001), 'nausea/vomiting' (16% vs. 8%; p = 0.009), 'soiling' (31% vs. 23%; p = 0.034) and 'wind' (92% vs. 84%; p = 0.001) and in the case of 'wind' to also rate it as severe (27% vs. 15%; p < 0.001). CTC is associated with significant improvements in patient experience. These data support the case for CTC to replace BE. (orig.)

Patient acceptability of CT colonography compared with double contrast barium enema: results from a multicentre randomised controlled trial of symptomatic patients.

Science.gov (United States)

von Wagner, Christian; Smith, Samuel; Halligan, Steve; Ghanouni, Alex; Power, Emily; Lilford, Richard J; Morton, Dion; Dadswell, Edward; Atkin, Wendy; Wardle, Jane

2011-10-01

To determine patient acceptability of barium enema (BE) or CT colonography (CTC). After ethical approval, 921 consenting patients with symptoms suggestive of colorectal cancer who had been randomly assigned and completed either BE (N = 606) or CTC (N = 315) received a questionnaire to assess experience of the clinical episode including bowel preparation, procedure and complications. Satisfaction, worry and physical discomfort were assessed using an adapted version of a validated acceptability scale. Non-parametric methods assessed differences between the randomised tests and the effect of patient characteristics. Patients undergoing BE were significantly less satisfied (median 61, interquartile range [IQR] 54-67 vs. median 64, IQR 56-69; p = 0.003) and experienced more physical discomfort (median 40, IQR 29-52 vs. median 35.5, IQR 25-47; p < 0.001) than those undergoing CTC. Post-test, BE patients were significantly more likely to experience 'abdominal pain/cramps' (68% vs. 57%; p = 0.007), 'soreness' (57% vs. 37%; p < 0.001), 'nausea/vomiting' (16% vs. 8%; p = 0.009), 'soiling' (31% vs. 23%; p = 0.034) and 'wind' (92% vs. 84%; p = 0.001) and in the case of 'wind' to also rate it as severe (27% vs. 15%; p < 0.001). CTC is associated with significant improvements in patient experience. These data support the case for CTC to replace BE.

Enhance heat transfer in the channel with V-shaped wavy lower plate using liquid nanofluids

Directory of Open Access Journals (Sweden)

Azher M. Abed

2015-03-01

Full Text Available The heat transfer and flow characteristics in corrugated with V-shape lower plate using nanofluids are numerically studied. The computations are performed on uniform heat flux over a range of Reynolds number (Re 8000–20,000. The governing equations are numerically solved in the domain by a finite volume method (FVM using the k–ε standard turbulent model. Studies are carried out for different types of nanoparticles Al2O3,CuO, SiO2 and ZnO with different volume fractions in the range of 0–4%. Three different types of base fluid (water, glycerin, ethylene glycol are also examined. Results indicated that the average Nusselt number for nanofluids is greater than that of the base liquid. The SiO2 nanofluid yields the best heat transfer enhancement among all other type of nanofluids. Heat transfer enhancement increase with increases the volumetric concentration, but it is accompanied by increasing pressure drop values. Moreover, the average Nusselt number increases with an increase in Reynolds number and volume concentration. The SiO2–glycerin nanofluid has the highest Nusselt number compared with other base fluids. The present study shows that these V-shaped wavy channels have advantages by using nanofluids and thus serve as promising candidates for incorporation into efficient heat transfer devices.

Comparison between CT Colonography and Double-Contrast Barium Enema for Colonic Evaluation in Patients with Renal Insufficiency

International Nuclear Information System (INIS)

Chung, Sun Young; Park, Seong Ho; Lee, Seung Soo; Lee, Ju Hee; Kim, Ah Young; Park, Su Ki; Han, Duck Jong; Ha, Hyun Kwon

2012-01-01

To compare the CT colonography (CTC) and double-contrast barium enema (DCBE) for colonic evaluation in patients with renal insufficiency. Two sequential groups of consecutive patients with renal insufficiency who had a similar risk for colorectal cancer, were examined by DCBE (n = 182; mean ± SD in age, 51 ± 6.4 years) and CTC (n = 176; 50 ± 6.7 years), respectively. CTC was performed after colon cleansing with 250-mL magnesium citrate (n = 87) or 4-L polyethylene glycol (n = 89) and fecal tagging. DCBE was performed after preparation with 250-mL magnesium citrate. Patients with colonic polyps/masses of ≥ 6 mm were subsequently recommended to undergo a colonoscopy. Diagnostic yield and positive predictive value (PPV) for colonic polyps/masses, examination quality, and examination-related serum electrolyte change were retrospectively compared between the two groups. Both the CTC and DCBE were positive for colonic polyps/masses in 28 (16%) of 176 and 11 (6%) of 182 patients, respectively (p = 0.004). Among patients with positive findings, 17 CTC and six DCBE patients subsequently underwent a colonoscopy and yielded a PPV of 88% (15 of 17 patients) and 50% (3 of 6 patients), respectively (p = 0.089). Thirteen patients with adenomatous lesions were detected in the CTC group (adenocarcinoma [n = 1], advanced adenoma [n = 6], and non-advanced adenoma [n = 6]), as compared with two patients (each with adenocarcinoma and advanced adenoma) in the DCBE group (p = 0.003). Six (3%) of 176 CTC and 16 (9%) of 182 DCBE examinations deemed to be inadequate (p 0.046). Electrolyte changes were similar in the two groups. In patients with renal insufficiency, CTC has a higher diagnostic yield and a marginally higher PPV for detecting colorectal neoplasia, despite a similar diagnostic yield for adenocarcinoma, and a lower rate of inadequate examinations as compared with DCBE.

Comparison between CT colonography and double-contrast barium enema for colonic evaluation in patients with renal insufficiency.

Science.gov (United States)

Chung, Sun-Young; Park, Seong Ho; Lee, Seung Soo; Lee, Ju Hee; Kim, Ah Young; Park, Su-Kil; Han, Duck Jong; Ha, Hyun Kwon

2012-01-01

To compare the CT colonography (CTC) and double-contrast barium enema (DCBE) for colonic evaluation in patients with renal insufficiency. Two sequential groups of consecutive patients with renal insufficiency who had a similar risk for colorectal cancer, were examined by DCBE (n = 182; mean ± SD in age, 51 ± 6.4 years) and CTC (n = 176; 50 ± 6.7 years), respectively. CTC was performed after colon cleansing with 250-mL magnesium citrate (n = 87) or 4-L polyethylene glycol (n = 89) and fecal tagging. DCBE was performed after preparation with 250-mL magnesium citrate. Patients with colonic polyps/masses of ≥ 6 mm were subsequently recommended to undergo a colonoscopy. Diagnostic yield and positive predictive value (PPV) for colonic polyps/masses, examination quality, and examination-related serum electrolyte change were retrospectively compared between the two groups. Both the CTC and DCBE were positive for colonic polyps/masses in 28 (16%) of 176 and 11 (6%) of 182 patients, respectively (p = 0.004). Among patients with positive findings, 17 CTC and six DCBE patients subsequently underwent a colonoscopy and yielded a PPV of 88% (15 of 17 patients) and 50% (3 of 6 patients), respectively (p = 0.089). Thirteen patients with adenomatous lesions were detected in the CTC group (adenocarcinoma [n = 1], advanced adenoma [n = 6], and non-advanced adenoma [n = 6]), as compared with two patients (each with adenocarcinoma and advanced adenoma) in the DCBE group (p = 0.003). Six (3%) of 176 CTC and 16 (9%) of 182 DCBE examinations deemed to be inadequate (p = 0.046). Electrolyte changes were similar in the two groups. In patients with renal insufficiency, CTC has a higher diagnostic yield and a marginally higher PPV for detecting colorectal neoplasia, despite a similar diagnostic yield for adenocarcinoma, and a lower rate of inadequate examinations as compared with DCBE.

Comparison of transvaginal sonography and double-contrast barium enema for diagnosing deep infiltrating endometriosis of the posterior compartment.

Science.gov (United States)

Savelli, L; Manuzzi, L; Coe, M; Mabrouk, M; Di Donato, N; Venturoli, S; Seracchioli, R

2011-10-01

To compare the diagnostic accuracy of transvaginal sonography (TVS) and double-contrast barium enema (DCBE) in the preoperative detection of deep infiltrating endometriosis (DIE) of the posterior compartment. This was a prospective study of 69 consecutive patients with results of pelvic examination or symptoms suggestive of DIE of the posterior compartment. TVS and DCBE were performed before surgery by two groups of physicians specialized in endometriosis, each blinded to the results of the other technique. Imaging data were compared with histopathologic analysis of the resected specimen (gold standard). Sensitivity, specificity, positive and negative predictive values and test accuracies were calculated for both imaging modalities. Sixty seven of the 69 women had a nodule of DIE confirmed at laparoscopy and histopathologic examination. TVS diagnosed DIE in 57 (85%) of these patients, while DCBE revealed the presence of the lesion in 24 (36%) women. For the diagnosis of posterior DIE, TVS and DCBE had, respectively, a sensitivity of 85% and 36%, specificity of 100% and 100%, positive predictive value of 100% and 100%, negative predictive value of 17% and 4% and accuracy of 85.5% and 38%. In patients with pure bowel DIE the sensitivity was 91% and 43%, specificity was 100% and 100%, positive predictive value was 100% and 100%, negative predictive value was 29% and 6% and accuracy was 91% and 45%, respectively. TVS has a much higher sensitivity than does DCBE in detecting the presence of posterior DIE and should thus be regarded as the imaging modality of choice when there is clinical suspicion of the disease. Copyright © 2011 ISUOG. Published by John Wiley & Sons, Ltd.

Mesalamine Rectal

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Rectal mesalamine comes as a suppository and an enema to use in the rectum. The suppository and the enema are usually used once a day at bedtime. ... rectal mesalamine without talking to your doctor.Mesalamine suppositories and enemas may stain clothing and other fabrics, ...

Reduction in oxidative stress levels in the colonic mucosa without fecal stream after the application of enemas containing aqueous Ilex paraguariensis extract Redução dos níveis de estresse oxidativo na mucosa cólica sem trânsito intestinal após aplicação de enemas contendo extrato aquoso de Ilex paraguariensis

Directory of Open Access Journals (Sweden)

Fernando Lorenzetti da Cunha

2011-08-01

Full Text Available PURPOSE: To evaluate the antioxidant effects of enemas containing aqueous extract of Ilex paraguariensis, comparing segments with and without fecal stream and correlating the segments with the duration of intervention. METHODS: Twenty-six Wistar rats were subjected to a diversion of the fecal stream in the left colon by a proximal colostomy and distal mucosal fistula. The rats were distributed randomly into two experimental groups of 13 animals each based on the time of sacrifice after surgical procedure (two or four weeks. Each group was then divided into two experimental subgroups that received either second daily enemas containing 0.9% saline solution or aqueous extract of Ilex paraguariensis at 0.2g/100g. Colitis was diagnosed by histopathological analysis and the detection of oxidative tissue damage by measuring the levels of malondialdehyde. The Mann-Whitney test was used to compare the tissue levels of malondialdehyde between colon segments with and without fecal stream in each experimental group, and the Kruskal-Wallis test was used to verify the variance between the levels of oxidative stress according the duration of the irrigation; both tests determined significance at 5% (pOBJETIVO: Avaliar os efeitos antioxidantes de clisteres contendo extrato aquoso de Ilex paraguariensis comparando segmentos com e sem trânsito fecal e correlacionando com o tempo de intervenção. MÉTODOS: Vinte e seis ratos Wistar machos foram submetidos à derivação do trânsito no cólon esquerdo pela confecção de colostomia proximal e fístula mucosa distal. Foram divididos de forma randomizada em dois grupos experimentais de 13 animais, de acordo com o sacrifício ser realizado após duas ou quatro semanas do procedimento cirúrgico. Cada grupo foi dividido em dois subgrupos experimentais segundo a aplicação diária ter sido realizada com enemas diários contendo solução fisiológica a 0,9% ou extrato aquoso de Ilex paraguariensis na concentra

A determination of elementary separation factors of isotopes 235U and 238U in the ionic exchange process and of eluents in the water-glycerine system

International Nuclear Information System (INIS)

Murgulescu, S.E.

1977-01-01

In the experiments focused on uranium isotope separation by ion and chemical exchange, the water-glycerine system was employed. The principle of the method consists in shifting a uranium band along an ion-exchange resin column by means of an eluent. The isotope effect of reactions determining the band heading into the column where complex bands between the metal ion and the ligand form and break up under the resin influence, is determined by the difference in affinity between the two isotopes as against the eluent. The isotope effect in question determines a unit deviation of the equilibrium constant for the classical isotope exchange reaction. Starting from the experimental results obtained, it was concluded that the ion and chemical exchange between the IV and VI valence forms of uranium can be applied to isotope separation in terms of the separation unit. As against the methods that have been applied at present (gaseous scattering, hydro-extracting and the nozzle method), for which every new stage corresponds to a separation elementary factor, several separation elementary factors can be cumulated into a single stage in a chemical and ion exchange unit, by the optimization of the shifting band and length. (author)

Nanofluidic Pre-Concentration Devices for Enhancing the Detection Sensitivity and Selectivity of Biomarkers for Human Performance Monitoring

Science.gov (United States)

2016-10-17

antibody by glutaraldehyde coupling, for enabling the selective catalysis of α-naphthyl phosphate (NPP) to the electroactive α-naphthol (NP) product , as...solution at 4 °C overnight. The dialysis product , PSA antibody-ALP conjugate, was then transferred to an Eppendorf tube and mixed with an equal...volume of glycerin and 1% BSA, for storage at 0 °C, prior to the experiments. Cortisol, Triamcinolone, Estradiol, Testosterone and Progesterone were

Preoperative assessment of intestinal endometriosis: A comparison of transvaginal sonography with water-contrast in the rectum, transrectal sonography, and barium enema.

Science.gov (United States)

Bergamini, Valentino; Ghezzi, Fabio; Scarperi, Stefano; Raffaelli, Ricciarda; Cromi, Antonella; Franchi, Massimo

2010-12-01

To evaluate the accuracy of Transrectal Sonography (TRS) and a new technique, Transvaginal Sonography with Water-Contrast in the Rectum (RWC-TVS), in the diagnosis of rectosigmoid endometriosis, and the accuracy of Barium Enema (BE) and RWC-TVS in the detection of intestinal stenosis due to endometriosis. In a prospective study, we compared the findings of TRS and RWC-TVS performed before surgery with the operative and pathologic findings in 61 consecutive patients who underwent laparoscopy or laparotomy for suspected rectosigmoid endometriosis. The accuracy of BE and RWC-TVS in the detection of intestinal stenosis was evaluated comparing the radiologic and ultrasonographic results with the macroscopic findings at surgery and pathology. RWC-TVS diagnosed rectosigmoid endometriosis with the same accuracy of TRS and was equally efficient as BE in the detection of a significant intestinal lumen stenosis. For the diagnosis of rectosigmoid endometriosis the sensitivity, specificity, positive and negative predictive values of TRS and RWC-TVS were 88.2% and 96%, 80%, and 90%, 95.7%, and 98%, and 57.1% and 81.8%, respectively. For the detection of intestinal stenosis the sensitivity, specificity, positive and negative predictive values of BE and RWC-TVS were 93.7% and 87.5%, 94.2% and 91.4%, 88.2% and 82.3%, and 97% and 94.1%, respectively. RWC-TVS is a new, simple technique for a single-step and accurate preoperative assessment of rectosigmoid endometriosis.

Patient acceptability of CT colonography compared with double contrast barium enema: results from a multicentre randomised controlled trial of symptomatic patients

Energy Technology Data Exchange (ETDEWEB)

Wagner, Christian von; Smith, Samuel; Ghanouni, Alex; Power, Emily; Wardle, Jane [University College London, Department of Epidemiology and Public Health, London (United Kingdom); Halligan, Steve [University College London, Centre for Medical Imaging, London (United Kingdom); University College Hospital, Centre for Medical Imaging, London (United Kingdom); Lilford, Richard J. [Birmingham University, Department of Epidemiology, Birmingham (United Kingdom); Morton, Dion [Birmingham University, Department of Surgery, Birmingham (United Kingdom); Dadswell, Edward; Atkin, Wendy [Imperial College London, Department of Surgery and Cancer, London (United Kingdom)

2011-10-15

To determine patient acceptability of barium enema (BE) or CT colonography (CTC). After ethical approval, 921 consenting patients with symptoms suggestive of colorectal cancer who had been randomly assigned and completed either BE (N = 606) or CTC (N = 315) received a questionnaire to assess experience of the clinical episode including bowel preparation, procedure and complications. Satisfaction, worry and physical discomfort were assessed using an adapted version of a validated acceptability scale. Non-parametric methods assessed differences between the randomised tests and the effect of patient characteristics. Patients undergoing BE were significantly less satisfied (median 61, interquartile range [IQR] 54-67 vs. median 64, IQR 56-69; p = 0.003) and experienced more physical discomfort (median 40, IQR 29-52 vs. median 35.5, IQR 25-47; p < 0.001) than those undergoing CTC. Post-test, BE patients were significantly more likely to experience 'abdominal pain/cramps' (68% vs. 57%; p = 0.007), 'soreness' (57% vs. 37%; p < 0.001), 'nausea/vomiting' (16% vs. 8%; p = 0.009), 'soiling' (31% vs. 23%; p = 0.034) and 'wind' (92% vs. 84%; p = 0.001) and in the case of 'wind' to also rate it as severe (27% vs. 15%; p < 0.001). CTC is associated with significant improvements in patient experience. These data support the case for CTC to replace BE. (orig.)

Management for intussusception in children.

Science.gov (United States)

Gluckman, Steven; Karpelowsky, Jonathan; Webster, Angela C; McGee, Richard G

2017-06-01

Intussusception is a common abdominal emergency in children with significant morbidity. Prompt diagnosis and management reduces associated risks and the need for surgical intervention. Despite widespread agreement on the use of contrast enema as opposed to surgery for initial management in most cases, debate persists on the appropriate contrast medium, imaging modality, pharmacological adjuvant, and protocol for delayed repeat enema, and on the best approach for surgical management for intussusception in children. To assess the safety and effectiveness of non-surgical and surgical approaches in the management of intussusception in children. We searched the following electronic databases: Cochrane Central Register of Controlled Trials (CENTRAL; 2016, Issue 8) in the Cochrane Library; Ovid MEDLINE (1950 to September 2016); Ovid Embase (1974 to September 2016); Science Citation Index Expanded (via Web of Science) (1900 to September 2016); and BIOSIS Previews (1969 to September 2016).We examined the reference lists of all eligible trials to identify additional studies. To locate unpublished studies, we contacted content experts, searched the World Health Organization International Clinical Trials Registry Platform (ICTRP) and ClinicalTrials.gov (September 2016), and explored proceedings from meetings of the British Association of Paedatric Surgeons (BAPS), the American Soceity of Pediatric Surgery, and the World Congress of Pediatric Surgery. We included all randomised controlled trials comparing contrast media, imaging modalities, pharmacological adjuvants, protocols for delayed repeat enema, and/or surgical approaches for the management of intussusception in children. We applied no language, publication date, or publication status restrictions. Two review authors independently conducted study selection and data extraction and assessed risk of bias using a standardised form. We resolved disagreements by consensus with a third review author when necessary. We reported

Influence of flocculating agents and structural vehicles on the physical stability and rheological behavior of nitrofurantoin suspension.

Science.gov (United States)

Moghimipour, Eskandar; Salimi, Anayatollah; Rezaee, Saeed; Balack, Maryam; Handali, Somayeh

2014-05-01

Nitrofurantoin is a nitrofuran antibiotic that has been used for treatment of urinary tract against positive and negative bacteria. The aim of this study was to evaluate the effect of structural vehicles and flocculating agents on physical stability and rheological behavior of nitrofurantoin suspension. To formulate the suspensions, the effect of glycerin and polysorbate 80 as wetting agents was evaluated and their particle sizes were determined using the sieve method. Then to achieve controlled flocculation, sodium citrate and aluminum chloride were added. After choosing the suitable wetting and flocculating agents, structural vehicles such as sodium carboxyl methyl cellulose and Veegum were evaluated individually and in combination. In addition, the effect of sorbitol on density of continuous phase and some physical stability parameters such as sedimentation volume, degree of flocculation and ease of redispersion of the suspensions were evaluated. After incorporation of structural vehicles, the rheological properties of formulations were also determined to find their flow behavior. According to the results, glycerin (0.2%) and sodium citrate (0.3%) had the best effect on the suspension stability as wetting and flocculating agents, respectively. Rheological properties of formulations showed pseudoplastic behavior with some degree of thixotropy. In conclusion, the suspension containing Veegum 1%, sodium carboxy methyl cellulose 1%, glycerine 0.2%, sodium citrate 0.3% and sorbitol 20 % was chosen as the most physically stable formulation.

The 24-hour skin hydration and barrier function effects of a hyaluronic 1%, glycerin 5%, and Centella asiatica stem cells extract moisturizing fluid: an intra-subject, randomized, assessor-blinded study.

Science.gov (United States)

Milani, Massimo; Sparavigna, Adele

2017-01-01

Moisturizing products are commonly used to improve hydration in skin dryness conditions. However, some topical hydrating products could have negative effects on skin barrier function. In addition, hydrating effects of moisturizers are not commonly evaluated up to 24 hours after a single application. Hyaluronic acid (HA) and glycerin are very well-known substances able to improve skin hydration. Centella asiatica extract (CAE) could exert lenitive, anti-inflammatory and reepithelialization actions. Furthermore, CAE could inhibit hyaluronidase enzyme activity, therefore prolonging the effect of HA. A fluid containing HA 1%, glycerin 5% and stem cells CAE has been recently developed (Jaluronius CS [JCS] fluid). To evaluate and compare the 24-hour effects of JCS fluid on skin hydration and on transepidermal water loss (TEWL) in healthy subjects in comparison with the control site. Twenty healthy women, mean age 40 years, were enrolled in an intra-subject (right vs left), randomized, assessor-blinded, controlled, 1-day trial. The primary end points were the skin hydration and TEWL, evaluated at the volar surface of the forearm and in standardized conditions (temperature- and humidity-controlled room: 23°C and 30% of humidity) using a corneometer and a vapometer device at baseline, 1, 8 and 24 hours after JCS fluid application. Measurements were performed by an operator blinded for the treatments. Skin hydration after 24 hours was significantly higher ( P =0.001; Mann-Whitney U test) in the JCS-treated area in comparison with the control site. JCS induced a significant ( P =0.0001) increase in skin hydration at each evaluation time (+59% after 1 hour, +48% after 8 hours and +29% after 24 hours) in comparison with both baseline ( P =0.0001) and non-treated control site ( P =0.001). TEWL after 24 hours was significantly lower ( P =0.049; Mann-Whitney U test) in the JCS-treated area in comparison with the control site (13±4 arbitrary units [AU] vs 16±6 AU). JCS fluid

Glycerin-Induced Conformational Changes in Bombyx mori Silk Fibroin Film Monitored by (13)C CP/MAS NMR and ¹H DQMAS NMR.

Science.gov (United States)

Asakura, Tetsuo; Endo, Masanori; Hirayama, Misaki; Arai, Hiroki; Aoki, Akihiro; Tasei, Yugo

2016-09-09

In order to improve the stiff and brittle characteristics of pure Bombyx mori (B. mori) silk fibroin (SF) film in the dry state, glycerin (Glyc) has been used as a plasticizer. However, there have been very limited studies on the structural characterization of the Glyc-blended SF film. In this study, (13)C Cross Polarization/Magic Angle Spinning nuclear magnetic resonance (CP/MAS NMR) was used to monitor the conformational changes in the films by changing the Glyc concentration. The presence of only 5 wt % Glyc in the film induced a significant conformational change in SF where Silk I* (repeated type II β-turn and no α-helix) newly appeared. Upon further increase in Glyc concentration, the percentage of Silk I* increased linearly up to 9 wt % Glyc and then tended to be almost constant (30%). This value (30%) was the same as the fraction of Ala residue within the Silk I* form out of all Ala residues of SF present in B. mori mature silkworm. The ¹H DQMAS NMR spectra of Glyc-blended SF films confirmed the appearance of Silk I* in the Glyc-blended SF film. A structural model of Glyc-SF complex including the Silk I* form was proposed with the guidance of the Molecular Dynamics (MD) simulation using ¹H-¹H distance constraints obtained from the ¹H Double-Quantum Magic Angle Spinning (DQMAS) NMR spectra.

Optimization of calcium phosphate fine ceramic powders preparation

Science.gov (United States)

Sezanova, K.; Tepavitcharova, S.; Rabadjieva, D.; Gergulova, R.; Ilieva, R.

2013-12-01

The effect of biomimetic synthesis method, reaction medium and further precursor treatments on the chemical and phase composition, crystal size and morphology of calcium phosphates was examined. Nanosized calcium phosphate precursors were biomimetically precipitated by the method of continuous precipitation in three types of reaction media at pH 8: (i) SBF as an inorganic electrolyte system; (ii) organic (glycerine) modified SBF (volume ratio of 1:1); (iii) polymer (10 g/l xanthan gum or 10 g/l guar gum) modified SBF (volume ratio of 1:1). After maturation (24 h) the samples were lyophilized, calcinated at 300°C for 3 hours, and washed with water, followed by new gelation, lyophilization and step-wise (200, 400, 600, 800, and 1000°C, each for 3 hours) sintering. The reaction medium influenced the chemical composition and particle size but not the morphology of the calcium phosphate powders. In all studied cases bi-phase calcium phosphate fine powders with well-shaped spherical grains, consisting of β-tricalcium phosphate (β-TCP) and hydroxyapatite (HA) with a Ca/P ratio of 1.3 - 1.6 were obtained. The SBF modifiers decreased the particle size of the product in the sequence guar gum ˜ xanthan gum < glycerin < SBF medium.

Avaliação dos níveis de peroxidação lipídica em células da mucosa cólica após aplicação de enemas com peróxido de hidrogênio: estudo experimental em ratos Evaluation of lipid peroxidation levels on mucosa colonic cells afther application of hydrogen peroxide in enemas: experimental study in rats

Directory of Open Access Journals (Sweden)

Letícia Helena Sousa Marques

2010-09-01

Full Text Available A aplicação de clisteres contendo peróxido de hidrogênio (H2O2 determina o aparecimento de quadros graves de colite, algumas vezes de evolução fatal. É possível que a colite induzida por H2O2 possa ocorrer pela quebra da barreira funcional do epitélio cólico por estresse oxidativo. Objetivo: Avaliar os níveis de peroxidação lipídica em células da mucosa cólica após instilação de H2O2 no reto excluso de trânsito fecal. Método: Vinte seis ratos Wistar machos foram submetidos a colostomia proximal terminal no cólon descendente e fístula mucosa distal. Os animais foram randomizados em dois grupos segundo o sacrifício ter sido realizado duas ou quatro semanas após a derivação intestinal. Cada grupo experimental foi dividido e dois subgrupos segundo aplicação de clisteres, em dias alternados, contendo solução fisiológica a 0,9% ou H2O2 a 3%. O diagnóstico de colite foi estabelecido por estudo histopatológico e os níveis de dano oxidativo tecidual pela dosagem de malondialdeído por espectrofotometria. Os resultados foram analisados com os testes de Mann-Whitney e Kruskal-Wallis, estabelecendo-se nível de significância de 5% (pThe use of rectal enemas with hydrogen peroxide (H2O2 determines the onset of severe colitis, sometimes with fatal evolution. It is possible that H2O2-induced colitis can occur by damage to the functional epithelial barrier of the colon by oxidative stress. Objective: The aim of present study was evaluate the levels of lipid peroxidation in cells of the colonic mucosa after instillation of H2O2 into the rectum excluded from fecal transit. Method: Twenty six male Wistar rats were undergone to proximal terminal colostomy in the descending colon and distal mucous fistula. The animals were randomized in two experimental groups according to the sacrifice was made two or four weeks after diversion of the fecal stream. Each experimental group was divided into two subgroups second application of

Selected properties of biodegradable material produced from thermoplastic starch with by-products of food industry addition

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Zdybel Ewa

2017-06-01

Full Text Available In this work extrusion process were used to create thermoplastic starch and to mix obtained starch with linen, quince and apple pomace at the same time. Obtained starch beads were formed in shapes. In experimental material was determined thermal conductivity, water absorption and the solubility in water. It is possible to get the biodegradable material produced from thermoplastic starch with an addition of fruit pomace. Adding pomace and glycerine to the biodegradable material made from starch change of susceptibility on water action. In the case of materials containing pomace, glycerine addition decreases the susceptibility on water action compared to the material manufactured with pomace addition but without glycerine. In the material containing pomace, glycerine addition caused the increase of the thermal insulation time compared to the material with pomace but no glycerine in it.

Evaluation of glycerol derivative as emulsifier for oil based drilling fluids; Avaliacao de derivados de glicerina como emulsificante para fluidos de perfuracao de base oleo

Energy Technology Data Exchange (ETDEWEB)

Andrade, Susan A. [Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ (Brazil). Escola de Quimica; Cavalcanti, Milena Y.; Rodrigues Junior, Jorge; Lachter, Elizabeth R.; Nascimento, Regina Sandra V. [Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ (Brazil). Inst. de Quimica

2008-07-01

In view of the growing search for new applications for the surplus glycerine of biodiesel production, the use of a glycerine derivative as emulsifier in oil based muds is proposed in this work. Glycerine monooleate was synthesized through esterification reaction, and characterized by NMR{sup 13}C. Its applicability as emulsifier was verified through electric stability tests performed on inverted phase drilling fluids. The obtained results were compared with two formulations containing different emulsifiers (sorbitol monooleate and trimethylolpropane monooleate). It was also evaluated the rheological properties of the formulated fluids through standard tests. It was verified that the fluid that contained the glycerine derivative showed considerably better electric stability results than the other systems. It also presented rheological properties similar to the ones shown by the system that contained the commercial emulsifier (sorbitol monooleate). Thus, it was found that glycerine monooleate is a potential substitute to the currently emulsifiers (author)

A QUASI EXPERIMENTAL STUDY TO EVALUATE EFFECTIVENESS OF GLYCERIN MAGNESIUM SULPHATE DRESSING ON PHLEBITIS AMONG PATIENTS UNDERGOING PERIPHERAL INTRAVENOUS INFUSION IN SELECTED HOSPITAL,VADODARA

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Ravindra HN, Patel Krupa D

2015-07-01

Full Text Available Introduction: Intravenous therapy is indicated for many reasons. A significant number of patients admitted into hospital receive some forms of intravenous therapy through peripheral venous cannula, which is a common procedure carried out in hospital to allow rapid and accurate administration of medication. However, the intravenous cannulation can have undesirable effects, the most of which is phlebitis, which is due to mechanical, chemical or infectious cause. Method: In this study quasi-experimental research approach was used. Non probability purposive sampling technique was used to select the sample from the selected hospital. The research design adopted for the study was pre-test, post-test control group design. In the present study a sample of 60 hospitalised patients and who met the inclusion criteria was selected from the target population. In this study the instruments used are baseline Performa, structured interview schedule to assess the subjective symptoms and observation scale to observe the objective symptoms. Result: In experimental group post test mean score 1.10, SD was 0.71 respectively. In control group post test mean score 2.53, SD was 0.78 respectively. The obtained value 7.454 statistically was significant at 0.001 levels. So research hypothesis was accepted. So there was significant difference between post intervention phlebitis among the experimental group and control group. Discussion: In the research study findings revealed that Glycerin Magnesium sulphate dressing is highly effective in decrease phlebitis level to the patients.

NJP Vol 39 no 3

African Journals Online (AJOL)

Prof Ezechukwu

2011-11-02

Nov 2, 2011 ... These purposes include bowel cleansing before radiologic ... encopresis in children.1 Enema preparations often used in paediatrics .... tip injury or increased intraluminal pressure. 7,8 We ... Constipation: Enemas versus High.

Cost-Effectiveness Analysis of Five Competing Strategies for the Management of Multiple Recurrent Community-Onset Clostridium difficile Infection in France.

Science.gov (United States)

Baro, Emilie; Galperine, Tatiana; Denies, Fanette; Lannoy, Damien; Lenne, Xavier; Odou, Pascal; Guery, Benoit; Dervaux, Benoit

2017-01-01

Clostridium difficile infection (CDI) is characterized by high rates of recurrence, resulting in substantial health care costs. The aim of this study was to analyze the cost-effectiveness of treatments for the management of second recurrence of community-onset CDI in France. We developed a decision-analytic simulation model to compare 5 treatments for the management of second recurrence of community-onset CDI: pulsed-tapered vancomycin, fidaxomicin, fecal microbiota transplantation (FMT) via colonoscopy, FMT via duodenal infusion, and FMT via enema. The model outcome was the incremental cost-effectiveness ratio (ICER), expressed as cost per quality-adjusted life year (QALY) among the 5 treatments. ICERs were interpreted using a willingness-to-pay threshold of €32,000/QALY. Uncertainty was evaluated through deterministic and probabilistic sensitivity analyses. Three strategies were on the efficiency frontier: pulsed-tapered vancomycin, FMT via enema, and FMT via colonoscopy, in order of increasing effectiveness. FMT via duodenal infusion and fidaxomicin were dominated (i.e. less effective and costlier) by FMT via colonoscopy and FMT via enema. FMT via enema compared with pulsed-tapered vancomycin had an ICER of €18,092/QALY. The ICER for FMT via colonoscopy versus FMT via enema was €73,653/QALY. Probabilistic sensitivity analysis with 10,000 Monte Carlo simulations showed that FMT via enema was the most cost-effective strategy in 58% of simulations and FMT via colonoscopy was favored in 19% at a willingness-to-pay threshold of €32,000/QALY. FMT via enema is the most cost-effective initial strategy for the management of second recurrence of community-onset CDI at a willingness-to-pay threshold of €32,000/QALY.

Successful laparoscopic repair of uterine and rectal prolapse in an infant

Directory of Open Access Journals (Sweden)

Mariko Yoshida

2017-12-01

Full Text Available Neonatal or infantile uterine prolapse is a quite rare condition and is usually managed with conservative treatment. There is no standard surgical treatment for infantile uterine prolapse, and to the best of our knowledge, only 2 out of 30 patients suffering from it have been reported to undergo surgical repair in English literature since 1961. We here report the first successful case of laparoscopic repair for uterine prolapse in an infant. The patient was a 2-month old girl who had sacral myelomeningocele and Chiari type 2 malformation. She had undergone closure of myelomeningocele and ventriculoperitoneal shunting within 6 weeks after birth. At 7 weeks of age, the rectum and the uterus prolapsed, and the prolapse gradually deteriorated. Conservative treatments including repeated digital reduction, use of ointment and glycerin enema, and placement of a Foley catheter into the vagina were not effective. At the age of 100 days, she underwent laparoscopic hysteropexy and rectopexy. Three ports were placed on the umbilicus and the bilateral abdomen, and the bilateral mesovaria were sutured to the anterior abdominal wall to improve the visualization of the pelvis. The rectum and the uterine body were directly sutured to the sacral promontory with 2 non-absorbable braided sutures each, not using mesh prosthesis. The postoperative course was uneventful and neither uterine nor rectal prolapse has recurred for 2.5 years. We plan to follow up the patient for a long period since the long-term prognosis is not known.

Small-Volume Injections: Evaluation of Volume Administration Deviation From Intended Injection Volumes.

Science.gov (United States)

Muffly, Matthew K; Chen, Michael I; Claure, Rebecca E; Drover, David R; Efron, Bradley; Fitch, William L; Hammer, Gregory B

2017-10-01

In the perioperative period, anesthesiologists and postanesthesia care unit (PACU) nurses routinely prepare and administer small-volume IV injections, yet the accuracy of delivered medication volumes in this setting has not been described. In this ex vivo study, we sought to characterize the degree to which small-volume injections (≤0.5 mL) deviated from the intended injection volumes among a group of pediatric anesthesiologists and pediatric postanesthesia care unit (PACU) nurses. We hypothesized that as the intended injection volumes decreased, the deviation from those intended injection volumes would increase. Ten attending pediatric anesthesiologists and 10 pediatric PACU nurses each performed a series of 10 injections into a simulated patient IV setup. Practitioners used separate 1-mL tuberculin syringes with removable 18-gauge needles (Becton-Dickinson & Company, Franklin Lakes, NJ) to aspirate 5 different volumes (0.025, 0.05, 0.1, 0.25, and 0.5 mL) of 0.25 mM Lucifer Yellow (LY) fluorescent dye constituted in saline (Sigma Aldrich, St. Louis, MO) from a rubber-stoppered vial. Each participant then injected the specified volume of LY fluorescent dye via a 3-way stopcock into IV tubing with free-flowing 0.9% sodium chloride (10 mL/min). The injected volume of LY fluorescent dye and 0.9% sodium chloride then drained into a collection vial for laboratory analysis. Microplate fluorescence wavelength detection (Infinite M1000; Tecan, Mannedorf, Switzerland) was used to measure the fluorescence of the collected fluid. Administered injection volumes were calculated based on the fluorescence of the collected fluid using a calibration curve of known LY volumes and associated fluorescence.To determine whether deviation of the administered volumes from the intended injection volumes increased at lower injection volumes, we compared the proportional injection volume error (loge [administered volume/intended volume]) for each of the 5 injection volumes using a linear

[Target volume margins for lung cancer: internal target volume/clinical target volume].

Science.gov (United States)

Jouin, A; Pourel, N

2013-10-01

The aim of this study was to carry out a review of margins that should be used for the delineation of target volumes in lung cancer, with a focus on margins from gross tumour volume (GTV) to clinical target volume (CTV) and internal target volume (ITV) delineation. Our review was based on a PubMed literature search with, as a cornerstone, the 2010 European Organisation for Research and Treatment of Cancer (EORTC) recommandations by De Ruysscher et al. The keywords used for the search were: radiotherapy, lung cancer, clinical target volume, internal target volume. The relevant information was categorized under the following headings: gross tumour volume definition (GTV), CTV-GTV margin (first tumoural CTV then nodal CTV definition), in field versus elective nodal irradiation, metabolic imaging role through the input of the PET scanner for tumour target volume and limitations of PET-CT imaging for nodal target volume definition, postoperative radiotherapy target volume definition, delineation of target volumes after induction chemotherapy; then the internal target volume is specified as well as tumoural mobility for lung cancer and respiratory gating techniques. Finally, a chapter is dedicated to planning target volume definition and another to small cell lung cancer. For each heading, the most relevant and recent clinical trials and publications are mentioned. Copyright © 2013. Published by Elsevier SAS.

The effect of glycerin solution density and viscosity on vibration amplitude of oblique different piezoelectric MC near the surface in 3D modeling

Science.gov (United States)

Korayem, A. H.; Abdi, M.; Korayem, M. H.

2018-06-01

The surface topography in nanoscale is one of the most important applications of AFM. The analysis of piezoelectric microcantilevers vibration behavior is essential to improve the AFM performance. To this end, one of the appropriate methods to simulate the dynamic behavior of microcantilever (MC) is a numerical solution with FEM in the 3D modeling using COMSOL software. The present study aims to simulate different geometries of the four-layered AFM piezoelectric MCs in 2D and 3D modeling in a liquid medium using COMSOL software. The 3D simulation was done in a spherical container using FSI domain in COMSOL. In 2D modeling by applying Hamilton's Principle based on Euler-Bernoulli Beam theory, the governing motion equation was derived and discretized with FEM. In this mode, the hydrodynamic force was assumed with a string of spheres. The effect of this force along with the squeezed-film force was considered on MC equations. The effect of fluid density and viscosity on the MC vibrations that immersed in different glycerin solutions was investigated in 2D and 3D modes and the results were compared with the experimental results. The frequencies and time responses of MC close to the surface were obtained considering tip-sample forces. The surface topography of MCs different geometries were compared in the liquid medium and the comparison was done in both tapping and non-contact mode. Various types of surface roughness were considered in the topography for MC different geometries. Also, the effect of geometric dimensions on the surface topography was investigated. In liquid medium, MC is installed at an oblique position to avoid damaging the MC due to the squeezed-film force in the vicinity of MC surface. Finally, the effect of MC's angle on surface topography and time response of the system was investigated.

Toxicity of the main electronic cigarette components, propylene glycol, glycerin, and nicotine, in Sprague-Dawley rats in a 90-day OECD inhalation study complemented by molecular endpoints.

Science.gov (United States)

Phillips, Blaine; Titz, Bjoern; Kogel, Ulrike; Sharma, Danilal; Leroy, Patrice; Xiang, Yang; Vuillaume, Grégory; Lebrun, Stefan; Sciuscio, Davide; Ho, Jenny; Nury, Catherine; Guedj, Emmanuel; Elamin, Ashraf; Esposito, Marco; Krishnan, Subash; Schlage, Walter K; Veljkovic, Emilija; Ivanov, Nikolai V; Martin, Florian; Peitsch, Manuel C; Hoeng, Julia; Vanscheeuwijck, Patrick

2017-11-01

While the toxicity of the main constituents of electronic cigarette (ECIG) liquids, nicotine, propylene glycol (PG), and vegetable glycerin (VG), has been assessed individually in separate studies, limited data on the inhalation toxicity of them is available when in mixtures. In this 90-day subchronic inhalation study, Sprague-Dawley rats were nose-only exposed to filtered air, nebulized vehicle (saline), or three concentrations of PG/VG mixtures, with and without nicotine. Standard toxicological endpoints were complemented by molecular analyses using transcriptomics, proteomics, and lipidomics. Compared with vehicle exposure, the PG/VG aerosols showed only very limited biological effects with no signs of toxicity. Addition of nicotine to the PG/VG aerosols resulted in effects in line with nicotine effects observed in previous studies, including up-regulation of xenobiotic enzymes (Cyp1a1/Fmo3) in the lung and metabolic effects, such as reduced serum lipid concentrations and expression changes of hepatic metabolic enzymes. No toxicologically relevant effects of PG/VG aerosols (up to 1.520  mg PG/L + 1.890 mg VG/L) were observed, and no adverse effects for PG/VG/nicotine were observed up to 438/544/6.6 mg/kg/day. This study demonstrates how complementary systems toxicology analyses can reveal, even in the absence of observable adverse effects, subtoxic and adaptive responses to pharmacologically active compounds such as nicotine. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

Parent run science clubs: A case study at Nooitgedacht 88 primary school

CSIR Research Space (South Africa)

Butgereit, L

2006-12-01

Full Text Available ” λ Coke and Mentos 28 “Eye Popper” and “Attention Getter” λ Coke and Mentos 29 “Eye Popper” and “Attention Getter” λ Coke and Mentos 30 “Eye Popper” and “Attention Getter” λ Coke and Mentos λ Potassium Permanganate and Glycerine 31 “Eye... Popper” and “Attention Getter” λ Coke and Mentos λ Potassium Permanganate and Glycerine 32 “Eye Popper” and “Attention Getter” λ Coke and Mentos λ Potassium Permanganate and Glycerine 33 “Eye Popper” and “Attention Getter” λ Coke and Mentos...

Utilização de argilas para purificação de biodiesel

Directory of Open Access Journals (Sweden)

Andréia Juliana Almeida de Paula

2011-01-01

Full Text Available This work describes the results of the purification of methyl biodiesel, obtained by oxidized soybean oil, using different methods. After the ester separation from the glycerin by decanting, the ester was purified each time with distillation, washing with water and adsorption with bauxite, bentonite and attapulgite. The removal of total contamination, unsaponifiable material, concentrations of free glycerin and soap were analyzed in the purified ester phase. The best result of purification was observed with the use of bentonite and bauxite, in the removal of soap and free glycerin respectively.

Drug: D04875 [KEGG MEDICUS

Lifescience Database Archive (English)

Full Text Available D04875 Mixture ... Drug Zinc sulfate - iodine - sodium iodine - glycerin mixt; Neogl...ycerol (TN) Zinc sulfate [DR:D01081], Iodine [DR:D00108], Sodium iodine [DR:D04874], Glycerin [DR:D00028] ... Therapeutic category: 2790 ... PubChem: 17398205 ...

Biodiesel waste products as soil amendments : evaluation of microbial, biological, and plant toxicity.

Science.gov (United States)

2011-10-22

During biodiesel production, about 200 lbs of glycerol, commonly called glycerin, is produced for every 1 ton of biodiesel. As the : biodiesel industry grows, so does the need to dispose of this waste product. While potential uses for glycerin exist,...

Drug: D00028 [KEGG MEDICUS

Lifescience Database Archive (English)

Full Text Available ame as: C00116 Therapeutic category: 2357 7139 7190 ATC code: A06AG04 A06AX01 ... Component of Glyceol (TN) [DR:D04285], Compound iodin...e glycerin [DR:D04412], Dental iodine glycerin [DR:D0488

Is knowing believing? The role of event plausibility and background knowledge in planting false beliefs about the personal past.

Science.gov (United States)

Pezdek, Kathy; Blandon-Gitlin, Iris; Lam, Shirley; Hart, Rhiannon Ellis; Schooler, Jonathan W

2006-12-01

False memories are more likely to be planted for plausible than for implausible events, but does just knowing about an implausible event make individuals more likely to think that the event happened to them? Two experiments assessed the independent contributions o f plausibility a nd background knowledge to planting false beliefs. In Experiment 1, subjects rated 20 childhood events as to the likelihood of each event having happened to them. The list included the implausible target event "received an enema," a critical target event of Pezdek, Finger, and Hodge (1997). Two weeks later, subjects were presented with (1) information regarding the high prevalence rate of enemas; (2) background information on how to administer an enema; (3) neither type of information; or (4) both. Immediately or 2 weeks later, they rated the 20 childhood events again. Only plausibility significantly increased occurrence ratings. In Experiment 2, the target event was changed from "barium enema administered in a hospital" to "home enema for constipation"; significant effects of both plausibility and background knowledge resulted. The results suggest that providing background knowledge can increase beliefs about personal events, but that its impact is limited by the extent of the individual's familiarity with the context of the suggested target event.

Development of MgB2 superconductor wire with high critical current

International Nuclear Information System (INIS)

Kim, Chan Joong; Jun, Byung Hyuk; Park, Soon Dong; Kim, Nam Kyu; Kim, Yi Jeong; Yi, Ji Hye; Lee, Ji Hyun; Tan, Kai Sin

2009-07-01

The MgB 2 superconductor with smaller grain size could improve its critical properties by providing flux pinning centers with high grain boundary density. The effects of C doping such as charcoal, paper ash and glycerin on the superconducting properties was investigated for in situ processed MgB 2 samples using low purity semi-crystalline B powder. The results show a decrease in Tc and an enhancement of Jc at high fields for the C-doped samples as compared to the un-doped samples. A combined process of a mechanical ball milling and liquid glycerin (C 3 H 8 O 3 ) treatment of B powder has been conducted to enhance the superconducting properties of MgB 2 . The mechanical ball milling was effective for grain refinement, and a lattice disorder was easily achieved by glycerin addition. With the combined process, the critical properties was further increased due to a higher grain boundary density and a greater C substitution. To get fine grain structure of MgB 2 with high critical current properties, mechanical milling for as-received B powder and low temperature solid-state reaction of 550 or 600 .deg. C were attempted to in situ powder-in-tube processed MgB 2 /Fe wires. The critical current properties of the MgB 2 wires using the milled B powder were enhanced due to a smaller grain size and an increased volume of the superconducting phase. The solid-state reaction of a low temperature process for the samples using the milled B powder resulted in a poorer crystallinity with a smaller grain size, which improved superconducting properties. We established the system to measure the transport current properties of the MgB 2 wires. The field dependence of the transport Jc was evaluated for the MgB 2 wires heat-treated at different heat treatment conditions using ball-milled and glycerin-treated B powder. The MgB 2 magnet was developed and the AC loss of MgB 2 wire was also investigated. A conduction cooling device to cool the MgB 2 coil down to 4 K has been fabricated and the

Biodiesel purification methodology produced in the RECOPE experimental plant, using ion exchange resins

International Nuclear Information System (INIS)

Calderon Hernandez, Teresita

2016-01-01

A methodology was proposed for the biodisel purification of crude palm oil produced in a plant located on the Refinadora Costarricense de Petroleo (RECOPE) campus in Alto de Ochomogo, using ion exchange resins. A comparison between two resins was carried out: the USF C-211H, which had been acquired together with the RECOPE experimental plant and the PD206 resin, which was in the process of being acquired at the time of starting the project. The biodisel was eluted by glass columns packed with each resin, to determine the saturation of the same. The percentage of free and bound glycerin and the presence of soaps were analyzed as response variables. With the results obtained, it was determined that the PD206 resin is more efficient in the removal of glycerin, soaps and methanol than the resin USF C-211H. However, neither of the two resins diminishes the acidity of the biodisel. A biodisel sample was eluted by the PD206 resin and the quality of the obtained product was analyzed. A flash point of 145 degrees was obtained. A total acid number of 0.82 mg KOH / G was shown, no presence of water or sediment was observed. The percentage value of carbon residue was 0.01% m / m, the cloud point was 12 degrees, the density at 15 degrees was 0.8713 g / cm 3 , the viscosity at 40 degrees was 2.75 mm 2 /s; the stability to oxidation was 14.5 h, the percentage of free glycerin was 0.01% m / m and the percentage of total glycerin was 0.06% m / m, finally a percentage of Fatty Acids Methyl Esters (FAME) of 98,6%. Of the analyzed parameters, all are within the limits established in the Reglamento Tecnico Centroamericano except the acidity value, which exceeds the maximum value of 0.05 mg KOH / g sample. An economic analysis was carried out to evaluate which resin provides the best option to complete the purification process of the biodisel produced. The PD206, despite being more expensive, purifies a larger volume of biodiesel, so for a better negotiation in the purchase price, this

Production of lactic acid from C6-polyols by alkaline hydrothermal reactions

International Nuclear Information System (INIS)

Zhou Huazhen; Jin Fangming; Wu Bing; Cao Jianglin; Duan Xiaokun; Kishita, Atsushi

2010-01-01

Production of lactic acid from C6-polyols (Mannitol) under alkaline hydrothermal conditions was investigated. Experiments were performed to examine the difference in the production of lactic acid between C6-polyols and C3-polyols (glycerine), as well as C6-aldoses (glucose). Results showed that the yield of lactic acid from C6-polyols was lower than that from both glycerine and glucose. It indicated that long chain polyols might follow a different reaction pathway from that of glycerine. Further investigation is needed to clarify the reaction mechanism and improve the relatively low lactic acid acid yield from C6-polyols.

FORMULASI SEDIAAN MOUTHWASH PENCEGAH PLAK GIGI EKSTRAK BIJI KAKAO (Theobroma cacao L DAN UJI EFEKTIVITAS PADA BAKTERI Streptococcus mutans

Directory of Open Access Journals (Sweden)

Apriyanti Anastasia

2017-03-01

Full Text Available Research on the formulation of preparations mouthwash prevention of dental plaque extract of cocoa beans also has been tested in Streptococcus mutans bacteria by variations in the concentration of glycerin as a humectant in preparation which aims to determine the effect of different concentrations of glycerin as a humectant to the physical properties, chemical properties and inhibition zone Streptococcus mutans bacteria in mouthwash formula and to know the mouthwash formula that has the physical quality and the highest antibacterial activity. The method used includes the step of extraction of cocoa beans, preparation of a mouthwash with 4 formula using variations of glycerin F1 (0%, F2 (15%, F3 (20% and F4 (25% followed by an evaluation formula that includes organoleptic tests, pH test and the test of inhibition diameter. Tests performed on days 0, 7, 14 and 21. The results showed the concentration of glycerin as a humectant in a mouthwash formula cocoa seed extract has an effect on the diameter of inhibition zone, but did not have a significant effect on the physical and chemical properties of cocoa seed extracts mouthwash, The concentration of glycerin which meets the physical quality and the most excellent antibacterial activity that is 15% contained in the formula 2.

Conclusion; Zaklyuchenie

Energy Technology Data Exchange (ETDEWEB)

Nikitin, V I

1961-07-01

In this chapter of book are present conclusions about work done by author, in particular that he found comparatively simple and available ways of synthesis of glycerin of acetylene line and glycerin of ethylen line which before was unknown or almost unknown in the chemical literature.

Introduction; Vvedenie

Energy Technology Data Exchange (ETDEWEB)

Nikitin, V I

1961-07-01

Introduction describes the present book. Its includes seven chapters. First four from them touch with glycerin of acetylene line-their receiving, studying their oxidation reactions, transformations under the influence of dehydrating methods. Last three chapters dedicated to glycerin of ethylen line-synthesis, their cyclization into substituted dihydropyran.

Drug: D01016 [KEGG MEDICUS

Lifescience Database Archive (English)

Full Text Available ne glycerin [DR:D04412], Dental iodine glycerin [DR:D04880], Elemenmic (TN), Iodine...ssified ... DG02017 ... Potassium Same as: C08219 Therapeutic category: 3221 ATC code: R05CA02 S01XA04 V03AB21 ... Component of Compound iodi

Massive rectal bleeding from colonic diverticulosis

African Journals Online (AJOL)

ABEOLUGBENGAS

barium enema studies have indicated increasing world prevalence ... Other diagnostic modalities include barium enema, computerised ... This is in contrast to the findings in our patient when colonoscopy was carried out, in which the diverticula were more at the descending colon-left sided, and were found to be bleeding.

Recovery of Glycerol from Spent Soap LyeBy - Product of Soap Manufacture

Directory of Open Access Journals (Sweden)

A. U. Israel

2008-01-01

Full Text Available Three samples of spent lye from soap manufacturing companies namely Paterson Zochonis Industries (PZ, International Equitable Association (IEA, Kitchen Soap Industries (KSI all in Aba, Abia State of Nigeria and one laboratory simulated sample (SSL were analyzed for the amount of glycerol and residual salts. The amount of glycerol in all the samples increases in the order bleached glycerin > crude glycerin > semi-crude glycerin > treated lye > spent soap lye while the reverse is the order for the amount of residual salts. For the SSL, PZ, IEA and KSL samples, the percentage of recovered glycerol were 91.00, 83.20, 82.80 and 81.40 while the residual salt content (% were 9.80, 6.00, 7.08 and 8.03 respectively. These values compare well with international standards. The results show that the amount of the recovered glycerin and residual salts depend on the quality of the spent lye and the technology employed in the recovery treatment used.

Thermal injury of the colon due to colostomy irrigation

Energy Technology Data Exchange (ETDEWEB)

Jackson, F.R.; Ott, D.J.; Gelfand, D.W.

1981-07-15

A case of thermal burn and stricture of the colon following colostomy irrigation with hot water is described. The initial radiographic features on barium enema simulated nonspecific segmental colitis. Colonic stricture and enterolith formation developed subsequently. This case emphasizes that care should be taken in preparing irrigating and barium enema solutions.

Percutaneous endoscopic colostomy of the left colon: a new technique for management of intractable constipation in children.

Science.gov (United States)

Rawat, David J; Haddad, Munther; Geoghegan, Niamh; Clarke, Simon; Fell, John M

2004-07-01

The antegrade colonic enema is accepted as effective for management of intractable constipation in children when conventional bowel management has failed. This study describes experience with a new, minimally invasive technique, the distal antegrade colonic enema, which involves percutaneous endoscopic colostomy of the left colon. Fifteen children with refractory constipation and soiling who had radiographic evidence of megarectum and/or distal colonic delay were selected for the procedure. The junction of the descending and the sigmoid colon was identified colonoscopically, and the percutaneous endoscopic colostomy tube, through which antegrade distal colonic enema are administered, was inserted. Fourteen children underwent distal percutaneous endoscopic colostomy insertion. The median time required for the procedure was 30 minutes (20-50 minutes). Excluding one child (technical difficulties with percutaneous endoscopic colostomy placement), median post-procedural hospital stay was 4 days (2-27 days). Thirteen children were no longer soiling, and improvement in quality of life was reported at 2 months' follow-up. At 6 months' follow-up, 90% of children were clean during intervals between enemas. All children evaluated at 12 months' follow-up remained clean. Median duration of follow-up was 12.5 months (2-51 months). The distal percutaneous endoscopic colostomy is a simple alternative to established methods for delivery of antegrade enemas. It is less invasive and on reversal leaves only minor scarring.

Fabrication of hemispherical liquid encapsulated structures based on droplet molding

Science.gov (United States)

Ishizuka, Hiroki; Miki, Norihisa

2015-12-01

We have developed and demonstrated a method for forming spherical structures of a thin polydimethylsiloxane (PDMS) membrane encapsulating a liquid. Liquid encapsulation can enhance the performance of microelectromechanical systems (MEMS) devices by providing deformability and improved dielectric properties. Parylene deposition and wafer bonding are applied to encapsulate liquid into a MEMS device. In parylene deposition, a parylene membrane is directly formed onto a liquid droplet. However, since the parylene membrane is stiff, the membrane is fragile. Although wafer bonding can encapsulate liquid between two substrates, the surface of the fabricated structure is normally flat. We propose a new liquid encapsulation method by dispensing liquid droplets. At first, a 20 μl PDMS droplet is dispensed on ethylene glycol. A 70 μl glycerin droplet is dispensed into a PDMS casting solution layer. The droplet forms a layer on heated ethylene glycol. Glycerin and ethylene glycol are chosen for their high boiling points. Additionally, a glycerin droplet is dispensed on the layer and surrounded by a thin PDMS casting solution film. The film is baked for 1 h at 75 °C. As the result, a structure encapsulating a liquid in a flexible PDMS membrane is obtained. We investigate the effects of the volume, surface tension, and guide thickness on the shape of the formed structures. We also evaluated the effect of the structure diameter on miniaturization. The structure can be adapted for various functions by changing the encapsulated liquid. We fabricated a stiffness-tunable structure by dispensing a magnetorheoligical fluid droplet with a stiffness that can be changed by an external magnetic field. We also confirmed that the proposed structure can produce stiffness differences that are distinguishable by humans.

Acute urinary retention in a pre-school girl with constipation

Directory of Open Access Journals (Sweden)

Guillermo A. Ariza Traslaviña

2015-12-01

Full Text Available Objective: To report a case of a preschool girl who developed acute urinary retention associated with constipation. Case description: A girl aged six years old presented a 24 h history of inability to urinate. She was went twice to the emergency room during this period. In the first admission, 12 h after the onset of the symptoms, she presented abdominal pain and acute urinary retention. After the drainage by urinary catheterization of 300 mL of clear urine, she presented relief of the symptoms and, as urinalysis had no change, the patient was discharged home. Twelve hours after the first visit, she returned to the emergency room complaining about the same symptoms. At physical examination, there was only a palpable and distended bladder up to the umbilicus with no other abnormalities. Again, a urinary catheterization was performed, which drained 450 mL of clear urine, with immediate relief of the symptoms. Urinalysis and urine culture had no abnormalities. During the anamnesis, the diagnosis of constipation was considered and a plain abdominal radiography was performed, which identified large amount of feces throughout the colon (fecal retention. An enema with a 12% glycerin solution was prescribed for three days. During follow-up, the child used laxatives and dietary modifications, this contributed to the resolution of the constipation. There were no other episodes of urinary retention after 6 months of follow-up. Comments: Acute urinary retention in children is a rare phenomenon and constipation should be considered as a cause.

Thermal injury of the colon due to colostomy irrigation

International Nuclear Information System (INIS)

Jackson, F.R.; Ott, D.J.; Gelfand, D.W.

1981-01-01

A case of thermal burn and stricture of the colon following colostomy irrigation with hot water is described. The initial radiographic features on barium enema simulated nonspecific segmental colitis. Colonic stricture and enterolith formation developed subsequently. This case emphasizes that care should be taken in preparing irrigating and barium enema solutions. (orig.)

Flow characteristics of Newtonian and non-Newtonian fluids in a vessel stirred by a 60° pitched blade impeller

Directory of Open Access Journals (Sweden)

Jamshid M. Nouri

2008-03-01

Full Text Available Mean and rms velocity characteristics of two Newtonian flows at Reynolds numbers of 12,800 (glycerin solution and 48,000 (water and of a non-Newtonian flow (0.2% CMC solution, at a power number similar to the Newtonian glycerin flow in a mixing vessel stirred by a 60° pitched blade impeller have been measured by laser Doppler velocimetry (LDV. The velocity measurements, resolved over 360° and 1.08° of impeller rotation, showed that the mean flow of the two power number matched glycerin and CMC flows were similar to within 3% of the impeller tip velocity and the turbulence intensities generally lower in the CMC flow by up to 5% of the tip velocity. The calculated mean flow quantities showed similar discharge coefficient and pumping efficiency in all three flows and similar strain rate between the two power number matched glycerin and CMC flows; the strain rate of the higher Reynolds number Newtonian flow was found to be slightly higher. The energy balance around the impeller indicated that the CMC flow dissipated up to 9% more of the total input power and converted 7% less into the turbulence compared to the glycerin flow with the same power input which could lead to less effective mixing processes where the micro-mixing is important.

A comparison of dioctahedral smectite and iodine glycerin cream with topical mouth rinse in treatment of chemotherapy induced oral mucositis: a pilot study.

Science.gov (United States)

Lin, Jin-Xiang; Fan, Zu-Yan; Lin, Qu; Wu, Dong-Hao; Wu, Xiang-Yuan; Chen, Yan-Ru; Fang, Heng-Ying; Wu, Dong-Bing; Wen, Jing-Yun; Dong, Min; Ma, Xiao-Kun; Wan, Xiang-Bo

2015-04-01

To compare the efficacy of dioctahedral smectite and iodine glycerin (DSIG) cream with topical mouth rinse (composed of saline, gentamicin and Vitamin B12) in treatment of chemotherapy induced oral mucositis (OM). A total of 130 intensive chemotherapy or stem cells transplantation induced OM patients were recruited. Among these patients, 67 patients received topical mouth rinse and 63 patients received DSIG cream treatment. The OM would be treated on the OM appearance and sustained for 5 days. OM severity was measured daily using The American Oncology Nursing Society recommended Oral Assessment Guideline (OAG) score system. Compared with topical mouth rinse treatment, a significant lower OAG score was observed in DSIG cream treated patients. Specifically, the OAG scores were respectively 12.1 ± 1.1, 12.0 ± 1.2, 11.3 ± 1.3 and 10.4 ± 1.3 from day 2 to day 5 in topical mouth rinse treatment subgroup. Correspondingly, the OAG scores were respectively 10.2 ± 1.0, 9.3 ± 0.9, 8.5 ± 0.6 and 8.0 ± 0.2 for DSIG cream treatment subset (all P < 0.05). Importantly, compared with topical mouth rinse treatment, the DSIG cream significantly shortened OM repair time (4.68 ± 0.98 vs. 8.76 ± 1.80 days, P < 0.001). After 5 days treatment, 54 patients (85.7%) obtained complete regression with an OAG score ≤8, and 7 patients (11.1%) had partial regression with an OAG score of 9-10 in DSIG cream treatment subgroup. However, only 2 patients (3.0%) obtained completed regression and 32 patients (47.8%) had partial regression in topical mouth rinse treatment cohort. Moreover, no serious side-effect was observed in both cohorts. Compared with topical mouth rinse, DSIG cream significantly lowered the OAG score and shortened OM duration. Copyright © 2014 Elsevier Ltd. All rights reserved.

Figure 3a," 3b

African Journals Online (AJOL)

2005-06-28

Jun 28, 2005 ... Barium enema may show the caecum in a normal position or it may be incompletely rotated. A Barium follow-thru enema may give the same findings. More recently CT scans without and then with contrast has been shown to be useful. All these investigations may be performed without any diagnostic yield ...

Electronic cigarette nicotine delivery can exceed that of combustible cigarettes: a preliminary report.

Science.gov (United States)

Ramôa, Carolina P; Hiler, Marzena M; Spindle, Tory R; Lopez, Alexa A; Karaoghlanian, Nareg; Lipato, Thokozeni; Breland, Alison B; Shihadeh, Alan; Eissenberg, Thomas

2016-04-01

Electronic cigarettes (ECIGs) aerosolise a liquid that usually contains propylene glycol and/or vegetable glycerine, flavourants and the dependence-producing drug, nicotine, in various concentrations. This laboratory study examined the relationship between liquid nicotine concentration and plasma nicotine concentration and puffing behaviour in experienced ECIG users. Sixteen ECIG-experienced participants used a 3.3-Volt ECIG battery attached to a 1.5-Ohm dual-coil 'cartomiser' loaded with 1 mL of a flavoured propylene glycol/vegetable glycerine liquid to complete four sessions, at least 2 days apart, that differed by nicotine concentration (0, 8, 18 or 36 mg/mL). In each session, participants completed two 10-puff ECIG-use bouts (30 s puff interval) separated by 60 min. Venous blood was sampled to determine plasma nicotine concentration. Puff duration, volume and average flow rate were measured. Immediately after bout 1, mean plasma nicotine concentration was 5.5 ng/mL (SD=7.7) for 0 mg/mL liquid, with significantly (pcombustible cigarette. The rationale for this higher level of nicotine delivery is uncertain. 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/

Mixing compatibilities of Aspergillus and American cockroach allergens with other high-protease fungal and insect extracts.

Science.gov (United States)

Grier, Thomas J; Hall, Dawn M; Duncan, Elizabeth A; Coyne, Terrance C

2015-03-01

Recent studies have shown that Alternaria and German cockroach allergens can be degraded by endogenous proteases from other insect and fungal extracts when combined for immunotherapy, but data supporting the compatibilities of other high-protease products in comparable mixtures have not been reported. To assess the stabilities and compatibilities of Aspergillus fumigatus and American cockroach allergens after mixing with protease-rich extracts from other insects or fungi at concentrations similar to those recommended for subcutaneous immunotherapy. Mixtures containing A fumigatus, American cockroach, and other fungal or insect extracts were evaluated by quantitative (enzyme-linked immunosorbent assays) and qualitative (immunoblotting) methods. Test mixtures and control samples at 10% to 50% glycerin concentrations were analyzed after storage for up to 12 months at 2°C to 8°C. Moderate to high recoveries of Aspergillus extract activities were retained in control samples and extract mixtures under all conditions examined. American cockroach extract controls were partly degraded at 10% to 25% glycerin, and cockroach allergen compatibilities were decreased significantly in mixtures with several fungal extracts at 25% glycerin. Mixing with other insects did not compromise the stability of American cockroach allergens at 25% to 50% glycerin. Aspergillus extracts exhibited favorable stabilities after mixing with other high-protease products. American cockroach extract potencies were unstable in less than 50% glycerin, even in the absence of other protease-containing allergens, and were destabilized in mixtures with several fungal extracts. Addition of fungal and insect extracts to separate treatment vials or preparation of fungal-insect mixtures at elevated glycerin concentrations might be necessary to produce compatible patient formulations for allergen immunotherapy injections. Copyright © 2015 American College of Allergy, Asthma & Immunology. Published by Elsevier

Tools to Ensure Safe Medicines: New Monograph Tests in USP-NF

Directory of Open Access Journals (Sweden)

Catherine Sheehan

2010-06-01

Full Text Available This paper describes USP-NF compendial updates to six ‘high-priority” excipient monographs: Glycerin, Propylene Glycol, Sorbitol Solution, Sorbitol Sorbitan Solution, Noncrystallizing Sorbitol Solution and Maltitol Solution. The USP-NF revisions arose from the Food and Drug Administration’s (FDA’s requests to include, as part of each monograph’s Identification test, a limit test to detect the presence of Diethylene Glycol (DEG, a toxic adulterant. These revisions align with the 2007 FDA Guidance for Industry: Testing of Glycerin for Diethylene Glycol (1, that drug product manufacturers perform a specific identity test for DEG on all containers of all lots of glycerin before glycerin is used in the manufacture and preparation of drug products. This paper describes several risk factors due to a complex global excipient supply chain, nonspecific specifications, inadequate supply chain qualification, and poor understanding of regulations. Strengthening and conformance to compendial specifications is one of the tools necessary to mitigate risk and help prevent the next DEG adulteration that is part of USP’s efforts to ensure safe medicines.

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

Science.gov (United States)

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

2017-10-31

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

Untitled

Indian Academy of Sciences (India)

investigations. So far the best work has been that of Bar (1933) who reported. 14 frequencies, previous workers having found only seven. Bar worked with a Salnple of glycerine (d = 1.26) of about 97% purity as supplied by a Swiss firm. The difficulty in getting a good picture with glycerine is the presence of fluorescence ...

Biodiesel production from Jatropha curcas: Integrated process optimization

International Nuclear Information System (INIS)

Huerga, Ignacio R.; Zanuttini, María Soledad; Gross, Martín S.; Querini, Carlos A.

2014-01-01

Highlights: • The oil obtained from Jatropha curcas fruits has high variability in its properties. • A process for biodiesel production has been developed for small scale projects. • Oil neutralization with the glycerine phase has important advantages. • The glycerine phase and the meal are adequate to produce biogas. - Abstract: Energy obtained from renewable sources has increased its participation in the energy matrix worldwide, and it is expected to maintain this tendency. Both in large and small scales, there have been numerous developments and research with the aim of generating fuels and energy using different raw materials such as alternative crops, algae and lignocellulosic residues. In this work, Jatropha curcas plantation from the North West of Argentina was studied, with the objective of developing integrated processes for low and medium sizes farms. In these cases, glycerine purification and meal detoxification processes represent a very high cost, and usually are not included in the project. Consequently, alternative uses for these products are proposed. This study includes the evaluation of the Jatropha curcas crop during two years, evaluating the yields and oil properties. The solids left after the oil extraction were evaluated as solid fuels, the glycerine and the meal were used to generate biogas, and the oil was used to produce biodiesel. The oil pretreatment was carried out with the glycerine obtained in the biodiesel production process, thus neutralizing the free fatty acid, and decreasing the phosphorous and water content

Altitude Acclimatization and Blood Volume: Effects of Exogenous Erythrocyte Volume Expansion

National Research Council Canada - National Science Library

Sawka, M

1996-01-01

...: (a) altitude acclimatization effects on erythrocyte volume and plasma volume; (b) if exogenous erythrocyte volume expansion alters subsequent erythrocyte volume and plasma volume adaptations; (c...

Evaluation of the anorectal sphincter using MRI

International Nuclear Information System (INIS)

Kohda, Ehiichi

1994-01-01

Until now the evaluation of how to function on the sphincter muscle complex on the imaging study has been done by defecography. The purpose of this paper is to show the normal and abnormal functions of sphincter muscle complex at rest and squeeze using MRI. The subjects were 15 volunteers with informed consent and 13 post operative patients with a history anorectal anomalies. MR images were obtained with a 1.5 T unit. Sagittal and axial planes were evaluated both at rest and squeeze. Squeeze was simulated by insufflating a rectal balloon or enema on the volunteers. Only light stimulation was stressed on the post operative patients by means of balloon insufflation with 50 ml air. Under balloon stimulation, 71% of normal sphincter muscle complexes contracted only transverse dimention. The rest was as is. None revealed significant distension. All patients with continence demonstrated the same transverse contraction. Patients with incontinence showed no significant contraction. Under enema stimulation for normal subjects, sphincter muscle complex distended on both dimensions. Gluteal muscle contracted 50% of volunteers under enema stimulation. All post operative patients with continence demonstrated gluteal muscles contractions. Normal sphincter muscle complex contracts only in transverse dimension under balloon stimulation, which is caused by the muscle. Under enema stimulation, it distends on both dimensions. Gluteal muscle contract only under enema stimulation. In post operative patients, MRI shows different functions of anal sphincter muscle complex between continent and incontinent groups. It may explain causes of incontinence. The gluteal muscle and puborectal muscle seem to have one of the essentials for continence. (author)

Virtual colonoscopy training and accreditation: a national survey of radiologist experience and attitudes in the UK

International Nuclear Information System (INIS)

Burling, D.; Moore, A.; Taylor, S.; La Porte, S.; Marshall, M.

2007-01-01

Aim: Expert consensus recommends directed training and possibly in the future, formal accreditation before independent virtual colonoscopy (VC) reporting. We surveyed radiologists' experience of VC training, compared with barium enema, and assessed attitudes towards accreditation. Materials and methods: A questionnaire was sent to 78 consultant radiologists from 72 centres (65 National Health Service hospitals; seven independent primary screening centres) offering a VC service. Results: Fifty-four (69%) eligible radiologists responded. They had interpreted 18,152 examinations (range 3-1500) in total versus 232,350 (13 times more) barium enemas. Twenty-two (41%) deemed their VC training as inadequate [including five (45%) of screening centre radiologists], and only 14 (26%) had attended a training workshop due to lack of availability (54%) or financial/study leave constraints (24%). Eleven (20%) radiologists routinely double-reported VC examinations versus 37 (69%) barium enemas, yet 21 (39%) considered requirements for VC training were greater than barium enema. Thirty-eight (70%) favoured accreditation beyond internal audit for VC versus 15(28%) for barium enema. Of these 38, seven (18%) favoured 'one-off,' and 18 (47%) periodic testing, with 16 (42%) favouring external audit alone or in combination with testing. Overall, 42 (78%) considered specific accreditation for reporting screening examinations appropriate and 45 (83%) respondents preferred a national radiological organization to regulate such a scheme. Conclusion: There is wide variability in reporting experience and recommendations for VC training have not been widely adopted, in part due to limited access to dedicated workshops. UK radiologists are generally in favour of VC accreditation, governed by a national radiology organization

Sparse PDF Volumes for Consistent Multi-Resolution Volume Rendering

KAUST Repository

Sicat, Ronell Barrera

2014-12-31

This paper presents a new multi-resolution volume representation called sparse pdf volumes, which enables consistent multi-resolution volume rendering based on probability density functions (pdfs) of voxel neighborhoods. These pdfs are defined in the 4D domain jointly comprising the 3D volume and its 1D intensity range. Crucially, the computation of sparse pdf volumes exploits data coherence in 4D, resulting in a sparse representation with surprisingly low storage requirements. At run time, we dynamically apply transfer functions to the pdfs using simple and fast convolutions. Whereas standard low-pass filtering and down-sampling incur visible differences between resolution levels, the use of pdfs facilitates consistent results independent of the resolution level used. We describe the efficient out-of-core computation of large-scale sparse pdf volumes, using a novel iterative simplification procedure of a mixture of 4D Gaussians. Finally, our data structure is optimized to facilitate interactive multi-resolution volume rendering on GPUs.

Sparse PDF Volumes for Consistent Multi-Resolution Volume Rendering

KAUST Repository

Sicat, Ronell Barrera; Kruger, Jens; Moller, Torsten; Hadwiger, Markus

2014-01-01

This paper presents a new multi-resolution volume representation called sparse pdf volumes, which enables consistent multi-resolution volume rendering based on probability density functions (pdfs) of voxel neighborhoods. These pdfs are defined

Early diagnosis and screening for colorectal cancer

International Nuclear Information System (INIS)

Laufer, I.

1986-01-01

The barium enema has been a neglected tool in the diagnosis of early colon cancer. With appropriate attention to technical detail, the double contrast enema is capable of detecting the smallest malignant and pre-malignant lesions. Many of these early colon cancers are found in asymptomatic patients and these lesions are curable. The goal of a screening program should be to identify by history or by fecal occult blood testing patients at high risk for the development of colon cancer. These patients should be examined by high-quality double contrast enema in the search for these potentially lethal but curable lesions. In addition, we believe that any patient undergoing radiologic examination of the colon for whatever reason, should receive an examination of adequate quality to rule out an early colon cancer. (Author)

Value of the magnetic resonance imaging in the assessment of the circumferential resection margin (CRM) in patients with rectal cancer

International Nuclear Information System (INIS)

Seehaus, A.; Fatal Jaef, V.; Pietrani, M.; Ocantos, J.

2009-01-01

Purpose: To determine whether magnetic resonance imaging (MRI) can predict tumor involvement of the circumferential resection margin (CRM) in patients with rectal cancer. Materials and methods: Between april 2005 and march 2008, 70 consecutive patients (mean age 64, range 34-78 years), 40 F and 30 M, with endoscopy and biopsy- proven middle and lower rectal cancer. Non contrast enhanced MRI was performed on a Siemens Avanto 1.5 T. A phased array coil was used and T2 weighted thin section sequences (TR/TE 4200/88, slice thickness 3mm, gap 0, matrix 256 x 256, field of view 150 x 150 mm) were performed in axial, sagittal and coronal orientations. Patients received a 150 ml glycerin enema before examination. No air insufflations or intramuscular antispasmodic was used. The shortest distance from the tumor edge to the circumferential margin was measured. A distance ≤ ?2 mm, analyzed in axial slices, was considered as definition of circumferential margin involvement. Results: The CRM was 2 mm in both MRI and histopathological findings in 26 patients. In 8 cases the CRM was shorter on MRI than in histopathological sections. In 32 patients the CRM was respected in both exams and 4 patients were considered positive on histopathological findings but negative in MRI. The sensitivity, specificity, positive and negative predictive values for prediction of tumor involvement of CRM were 86%, 80%, 76% and 88%, respectively. Conclusions: MRI gives reliable information on tumor involvement of the CRM in patients with rectal cancer. This may provide accurate identification of an important prognostic risk factor in patients prior to surgical treatment. (authors) [es

The Voronoi volume and molecular representation of molar volume: equilibrium simple fluids.

Science.gov (United States)

Hunjan, Jagtar Singh; Eu, Byung Chan

2010-04-07

The Voronoi volume of simple fluids was previously made use of in connection with volume transport phenomena in nonequilibrium simple fluids. To investigate volume transport phenomena, it is important to develop a method to compute the Voronoi volume of fluids in nonequilibrium. In this work, as a first step to this goal, we investigate the equilibrium limit of the nonequilibrium Voronoi volume together with its attendant related molar (molal) and specific volumes. It is proved that the equilibrium Voronoi volume is equivalent to the molar (molal) volume. The latter, in turn, is proved equivalent to the specific volume. This chain of equivalences provides an alternative procedure of computing the equilibrium Voronoi volume from the molar volume/specific volume. We also show approximate methods of computing the Voronoi and molar volumes from the information on the pair correlation function. These methods may be employed for their quick estimation, but also provide some aspects of the fluid structure and its relation to the Voronoi volume. The Voronoi volume obtained from computer simulations is fitted to a function of temperature and pressure in the region above the triple point but below the critical point. Since the fitting function is given in terms of reduced variables for the Lennard-Jones (LJ) model and the kindred volumes (i.e., specific and molar volumes) are in essence equivalent to the equation of state, the formula obtained is a reduced equation state for simple fluids obeying the LJ model potential in the range of temperature and pressure examined and hence can be used for other simple fluids.

Prehospital tidal volume influences hospital tidal volume: A cohort study.

Science.gov (United States)

Stoltze, Andrew J; Wong, Terrence S; Harland, Karisa K; Ahmed, Azeemuddin; Fuller, Brian M; Mohr, Nicholas M

2015-06-01

The purposes of the study are to describe current practice of ventilation in a modern air medical system and to measure the association of ventilation strategy with subsequent ventilator care and acute respiratory distress syndrome (ARDS). Retrospective observational cohort study of intubated adult patients (n = 235) transported by a university-affiliated air medical transport service to a 711-bed tertiary academic center between July 2011 and May 2013. Low tidal volume ventilation was defined as tidal volumes less than or equal to 8 mL/kg predicted body weight. Multivariable regression was used to measure the association between prehospital tidal volume, hospital ventilation strategy, and ARDS. Most patients (57%) were ventilated solely with bag valve ventilation during transport. Mean tidal volume of mechanically ventilated patients was 8.6 mL/kg predicted body weight (SD, 0.2 mL/kg). Low tidal volume ventilation was used in 13% of patients. Patients receiving low tidal volume ventilation during air medical transport were more likely to receive low tidal volume ventilation in the emergency department (P tidal volume (P = .840). Low tidal volume ventilation was rare during air medical transport. Air transport ventilation strategy influenced subsequent ventilation but was not associated with ARDS. Copyright © 2015 Elsevier Inc. All rights reserved.

[Evaluation of tidal volume delivered by ventilators during volume-controlled ventilation].

Science.gov (United States)

Zhou, Juan; Yan, Yong; Cao, Desen

2014-12-01

To study the ways which ensure the delivery of enough tidal volume to patients under various conditions close to the demand of the physician. The volume control ventilation model was chosen, and the simulation lung type was active servo lung ASL 5000 or Michigan lung 1601. The air resistance, air compliance and lung type in simulation lungs were set. The tidal volume was obtained from flow analyzer PF 300. At the same tidal volume, the displaying values of tidal volume of E5, Servo i, Evital 4, and Evital XL ventilators with different lung types of patient, compliance of gas piping, leakage, gas types, etc. were evaluated. With the same setting tidal volume of a same ventilator, the tidal volume delivered to patients was different with different lung types of patient, compliance of gas piping, leakage, gas types, etc. Reducing compliance and increasing resistance of the patient lungs caused high peak airway pressure, the tidal volume was lost in gas piping, and the tidal volume be delivered to the patient lungs was decreased. If the ventilator did not compensate to leakage, the tidal volume delivered to the patient lungs was decreased. When the setting gas type of ventilator did not coincide with that applying to the patient, the tidal volume be delivered to the patient lungs might be different with the setting tidal volume of ventilator. To ensure the delivery of enough tidal volume to patients close to the demand of the physician, containable factors such as the compliance of gas piping, leakage, and gas types should be controlled.

A novel technique for investigation of complete and partial anisotropic wetting on structured surface by X-ray microtomography

Energy Technology Data Exchange (ETDEWEB)

Santini, M., E-mail: maurizio.santini@unibg.it [Department of Engineering and Applied Sciences, University of Bergamo, Bergamo (Italy); Guilizzoni, M. [Department of Energy, Politecnico di Milano, Milano (Italy); Fest-Santini, S. [Department of Engineering, University of Bergamo, Bergamo (Italy); Lorenzi, M. [School of Engineering and Mathematical Sciences, City University London, London (United Kingdom)

2015-02-15

An experimental study about the anisotropic wetting behavior of a surface patterned with parallel grooves is presented as an application example of a novel technique for investigation of complete and partial anisotropic wetting on structured surface by X-ray microtomography. Shape of glycerin droplets on such surface is investigated by X-ray micro computed tomography (microCT) acting as a non-intrusive, full volume 3D microscope with micrometric spatial resolution. The reconstructed drop volumes enable to estimate the exact volumes of the drops, their base contours, and 3D static contact angles, based on true cross-sections of the drop-surface couple. Droplet base contours are compared to approximate geometrical contour shapes proposed in the literature. Contact angles along slices parallel and perpendicular to the grooves direction are compared with each other. The effect of the sessile drop volume on the wetting behavior is discussed. The proposed technique, which is applicable for any structured surface, enables the direct measure of Wenzel ratio based on the microCT scan in the wetted region usually inapproachable by any others. Comparisons with simplified models are presented and congruence of results with respect to the minimum resolution needed is evaluated and commented.

The review of 134 cases colon and rectal carcinoma

Energy Technology Data Exchange (ETDEWEB)

Kim, Chung Kyu; Choi, Byung Sook [Yonsei University College of Medicine, Seoul (Korea, Republic of)

1971-10-15

Barium Enema study for colon examination is of great importance in the health care of our people and its value can be increased by a wide understanding of the attendant difficulties and limitation. Since the incidence of the colon and rectal carcinoma is increasing, the barium enema examination is more valuable. Radiologically diagnosed 134 cases of colon and rectal carcinoma from January 1964 to June 1970 have been reviewed at Yensei Univ., College of Medicine. Among the total admission during these years, the ratio of the colon and rectal carcinoma was 0.29 percent, and the incidence among barium enema examination was 5.3%. The peak age range was between 40 and 50 years. The average age of the patients was 46 years. It was more common in male. The clinical picture was rather vague in some cases, especially in the lesions of right colon. The large number of cases has bowel habit change, tarry or bloody stool and abdominal pain. About 60% of the lesions were located in rectum and 40% was proximal portion from the rectum, which could not be completely diagnosed only by digital examination and proctosigmoidoscopy. On roentgenogram, the most common form was encircling type, next was fungating. The positivity for accuracy of the barium enema examination was 90%. Majority of cancers of the colon, particularly those that produce symptoms are relative gross lesions. In daily practise we have to eager to find out small lesions by repeat and complete barium enema examination, including double contrast study. Early diagnosis is an aid immediate, logical objective in attempts to decrease the morbidity and mortality from carcinoma of colon.

The review of 134 cases colon and rectal carcinoma

International Nuclear Information System (INIS)

Kim, Chung Kyu; Choi, Byung Sook

1971-01-01

Barium Enema study for colon examination is of great importance in the health care of our people and its value can be increased by a wide understanding of the attendant difficulties and limitation. Since the incidence of the colon and rectal carcinoma is increasing, the barium enema examination is more valuable. Radiologically diagnosed 134 cases of colon and rectal carcinoma from January 1964 to June 1970 have been reviewed at Yensei Univ., College of Medicine. Among the total admission during these years, the ratio of the colon and rectal carcinoma was 0.29 percent, and the incidence among barium enema examination was 5.3%. The peak age range was between 40 and 50 years. The average age of the patients was 46 years. It was more common in male. The clinical picture was rather vague in some cases, especially in the lesions of right colon. The large number of cases has bowel habit change, tarry or bloody stool and abdominal pain. About 60% of the lesions were located in rectum and 40% was proximal portion from the rectum, which could not be completely diagnosed only by digital examination and proctosigmoidoscopy. On roentgenogram, the most common form was encircling type, next was fungating. The positivity for accuracy of the barium enema examination was 90%. Majority of cancers of the colon, particularly those that produce symptoms are relative gross lesions. In daily practise we have to eager to find out small lesions by repeat and complete barium enema examination, including double contrast study. Early diagnosis is an aid immediate, logical objective in attempts to decrease the morbidity and mortality from carcinoma of colon

Imaging of total colonic Hirschsprung disease

International Nuclear Information System (INIS)

Stranzinger, Enno; DiPietro, Michael A.; Strouse, Peter J.; Teitelbaum, Daniel H.

2008-01-01

Hirschsprung disease (HD) is a functional obstruction of the bowel caused by the absence of intrinsic enteric ganglion cells. The diagnosis of total colonic HD (TCHD) based on contrast enemas is difficult in newborns because radiological findings vary. To evaluate the radiographic and contrast enema findings in patients with pathologically proven TCHD. From 1966 to 2007, 17 records from a total of 31 patients with TCHD were retrospectively evaluated for diameter and shape of the colon, diameter of the small bowel, bowel wall contour, ileal reflux, abdominal calcifications, pneumoperitoneum, filling defects, transitional zones and rectosigmoid index. Three colonic patterns of TCHD were found: microcolon, question-mark-shape colon and normal caliber colon. Additional findings included spasmodic colon, ileal reflux, delayed evacuation and abdominal calcifications. Colonic transitional zones were found in eight patients with TCHD. The diagnosis of TCHD is difficult to establish by contrast enema studies. The length of the aganglionic small bowel and the age of the patient can influence the radiological findings in TCHD. The transitional zone and the rectosigmoid index can be false-positive in TCHD. The colon can appear normal. Consider TCHD if the contrast enema study is normal but the patient remains symptomatic and other causes of distal bowel obstruction have been excluded. (orig.)

Radiation-induced proctosigmoiditis. Prospective, randomized, double-blind controlled trial of oral sulfasalazine plus rectal steroids versus rectal sucralfate

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Kochhar, R.; Patel, F.; Dhar, A.; Sharma, S.C.; Ayyagari, S.; Aggarwal, R.; Goenka, M.K.; Gupta, B.D.; Mehta, S.K. (Postgraduate Institute of Medical Education and Research, Chandigarh (India))

1991-01-01

In a prospective study, 37 consecutive patients with radiation-induced proctosigmoiditis were randomized to receive a four-week course of either 3.0 g oral sulfasalazine plus 20 mg twice daily rectal prednisolone enemas (group I, N = 18) or 2.0 g twice daily rectal sucralfate enemas plus oral placebo (group II, N = 19). The two groups were comparable with respect to demographic features, duration of symptoms, and clinical and endoscopic staging of the disease. Fifteen patients in group I and 17 in group II completed the trial. At four weeks, both groups showed significant clinical improvement (P less than 0.01 for group I and P less than 0.001 for group II) and endoscopic healing (P less than 0.01 for group I and P less than 0.001 for group II). When the two groups were compared, sucralfate enemas showed a significantly better response as assessed clinically (P less than 0.05), although endoscopically the response was not statistically different (P greater than 0.05). We conclude that both treatment regimens are effective in the management of radiation proctitis. Sucralfate enemas give a better clinical response, are tolerated better, and because of the lower cost should be the preferred mode of short-term treatment.

Radiation-induced proctosigmoiditis. Prospective, randomized, double-blind controlled trial of oral sulfasalazine plus rectal steroids versus rectal sucralfate

International Nuclear Information System (INIS)

Kochhar, R.; Patel, F.; Dhar, A.; Sharma, S.C.; Ayyagari, S.; Aggarwal, R.; Goenka, M.K.; Gupta, B.D.; Mehta, S.K.

1991-01-01

In a prospective study, 37 consecutive patients with radiation-induced proctosigmoiditis were randomized to receive a four-week course of either 3.0 g oral sulfasalazine plus 20 mg twice daily rectal prednisolone enemas (group I, N = 18) or 2.0 g twice daily rectal sucralfate enemas plus oral placebo (group II, N = 19). The two groups were comparable with respect to demographic features, duration of symptoms, and clinical and endoscopic staging of the disease. Fifteen patients in group I and 17 in group II completed the trial. At four weeks, both groups showed significant clinical improvement (P less than 0.01 for group I and P less than 0.001 for group II) and endoscopic healing (P less than 0.01 for group I and P less than 0.001 for group II). When the two groups were compared, sucralfate enemas showed a significantly better response as assessed clinically (P less than 0.05), although endoscopically the response was not statistically different (P greater than 0.05). We conclude that both treatment regimens are effective in the management of radiation proctitis. Sucralfate enemas give a better clinical response, are tolerated better, and because of the lower cost should be the preferred mode of short-term treatment

Allergic colitis: a mimic of Hirschsprung disease

International Nuclear Information System (INIS)

Bloom, D.A.; Buonomo, C.; Fishman, S.J.; Furuta, G.; Nurko, S.

1999-01-01

Background. Allergy to cow milk protein is a common cause of gastrointestinal symptoms in infancy. Milk allergy is usually a clinical diagnosis, and thus there have been few reports of the radiographic findings. Objective. To describe the barium enema findings of allergic colitis and differentiate them from Hirschsprung disease. Materials and methods. Four infants (age range 7 days-5 weeks) with constipation underwent barium enema to exclude Hirschsprung disease. Radiographic findings were correlated with the pathologic specimens from suction rectal biopsy. Results. All enemas revealed irregular narrowing of the rectum and a transition zone. Rectal biopsies in each case demonstrated ganglion cells and evidence of an allergic colitis, with inflammatory infiltrates in the lamina propria. A diagnosis of milk allergy colitis was made and symptoms resolved after removal of milk from the diet. Conclusions. Milk allergy is common in infancy. The rectum is a primary target organ, with allergic colitis often diagnosed on clinical grounds alone. However, a child with allergic colitis may be referred to radiology for barium enema, especially if constipation is present. The radiologist should be aware of the unique imaging findings of allergic colitis, so as to avoid confusion with Hirschsprung disease and perhaps an unnecessary rectal biopsy. (orig.)

Volume and Surface-Enhanced Volume Negative Ion Sources

International Nuclear Information System (INIS)

Stockli, M P

2013-01-01

H - volume sources and, especially, caesiated H - volume sources are important ion sources for generating high-intensity proton beams, which then in turn generate large quantities of other particles. This chapter discusses the physics and technology of the volume production and the caesium-enhanced (surface) production of H - ions. Starting with Bacal's discovery of the H - volume production, the chapter briefly recounts the development of some H - sources, which capitalized on this process to significantly increase the production of H - beams. Another significant increase was achieved in the 1990s by adding caesiated surfaces to supplement the volume-produced ions with surface-produced ions, as illustrated with other H - sources. Finally, the focus turns to some of the experience gained when such a source was successfully ramped up in H - output and in duty factor to support the generation of 1 MW proton beams for the Spallation Neutron Source. (author)

Development of Automatic Visceral Fat Volume Calculation Software for CT Volume Data

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Mitsutaka Nemoto

2014-01-01

Full Text Available Objective. To develop automatic visceral fat volume calculation software for computed tomography (CT volume data and to evaluate its feasibility. Methods. A total of 24 sets of whole-body CT volume data and anthropometric measurements were obtained, with three sets for each of four BMI categories (under 20, 20 to 25, 25 to 30, and over 30 in both sexes. True visceral fat volumes were defined on the basis of manual segmentation of the whole-body CT volume data by an experienced radiologist. Software to automatically calculate visceral fat volumes was developed using a region segmentation technique based on morphological analysis with CT value threshold. Automatically calculated visceral fat volumes were evaluated in terms of the correlation coefficient with the true volumes and the error relative to the true volume. Results. Automatic visceral fat volume calculation results of all 24 data sets were obtained successfully and the average calculation time was 252.7 seconds/case. The correlation coefficients between the true visceral fat volume and the automatically calculated visceral fat volume were over 0.999. Conclusions. The newly developed software is feasible for calculating visceral fat volumes in a reasonable time and was proved to have high accuracy.

Evaluation of the anti-inflammatory and antioxidant effects of the sucralfate in diversion colitis

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Carlos Augusto Real Martinez

2015-04-01

Full Text Available Sucralfate enemas present good results in the treatment of colitis, however the mechanism of action of the drug is not yet fully clarified. Objective: To evaluate the anti-inflammatory and antioxidant effects of sucralfate enemas in diversion colitis model. Method: Thirty-six Wistar rats underwent intestinal bypass by end colostomy in the descending colon and distal mucous fistula. The animals were divided into 3 experimental groups according to the daily dose of enemas received containing 0.9% SF, sucralfate enemas or sucralfate enemas 1 g/kg/day or 2 g/kg/day. Each group was divided into two subgroups according to euthanasia to be performed 2–4 weeks after derivation. The tissue grade of inflammation was assessed histologically, and neutrophil infiltration by the tissue expression of myeloperoxidase (MPO identified by immunohistochemistry and quantified by computerized morphometry. Oxidative stress was measured by tissue levels of malondialdehyde (MDA. To compare the results the Student's t test variance was used, and also the variance by ANOVA test, establishing a level of significance of 5% (p < 0.05 for both. Results: The intervention with sucralfate enemas showed improvement in the intensity of tissue inflammation related to the concentration used and the duration of the intervention. Intervention with sucralfate enemas reduced the tissue levels of MPO, independent of concentration or time of intervention (p < 0.01. There was a reduction of MDA levels in animals irrigated with sucralfate enemas, independent of concentration or duration of the intervention (p < 0.01. Conclusion: Enemas with sucralfate enemas reduce inflammation, neutrophil infiltration and oxidative stress in the excluded colon suggesting topical application of the substance to be a valid therapeutic option for the treatment of diversion colitis. Resumen: A aplicação de clisteres com sucralfato (SCF apresenta bons resultados no tratamento de colites, entretanto

Structural, spectroscopic and biological investigation of copper oxides nanoparticles with various capping agents

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Nowak, A., E-mail: ana.maria.nowak@gmail.com [A. Chelkowski Institute of Physics, University of Silesia, Katowice (Poland); Szade, J.; Talik, E.; Ratuszna, A. [A. Chelkowski Institute of Physics, University of Silesia, Katowice (Poland); Ostafin, M. [Agricultural University of Cracow, Department of Microbiology, Krakow (Poland); Peszke, J. [A. Chelkowski Institute of Physics, University of Silesia, Katowice (Poland)

2014-06-01

Powder composed of copper oxides nanoparticles with various capping agents has been synthesized and characterized with the use of X-ray photoelectron spectroscopy (XPS), scanning electron microscopy (SEM) and X-ray diffraction (XRD). Polyvinyl alcohol (PVA), glycol propylene, glycerin and glycerin plus ammonia were used as capping agents. The scanning electron microscopy (SEM) studies showed that nanoparticles form agglomerates with the size from 80 to 120 nm while particles size determined from the XRD experiment was in the range from 7 to 21 nm. XPS and XRD experiments revealed that depending on capping and reducing agents used in the synthesis nanoparticles are composed of Cu{sub 2}O, CuO or a mixture of them. The biological activity test performed for a selected sample where the capping agent was glycerin plus ammonia has shown promising killing/inhibiting behavior, very effective especially for Gram negatives bacteria. - Highlights: • We obtained copper oxide nanoparticles in a powder form. • Several capping agents were tested. • Structural and chemical tests showed that the main component were Cu{sub 2}O and CuO. • The size of nanoparticles was in the range 7–21 nm. • Nanoparticles with glycerin and ammonia capping agent showed good antibacterial properties.

AVALIAÇÃO DO POTENCIAL USO DE BIOGLICERINA COMO BASE PARA FORMULAÇÃO DE FLUIDOS DE PERFURAÇÃO AQUOSOS PARA POÇOS DE PETRÓLEO E GÁS

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Cleysson C. Corrêa

Full Text Available The growing global concern about the environment associated with academic and government efforts are enabling a number of alternatives for sustainable development. Within this perspective one can include the search for value-added products using waste from renewable energy sources, such as those from the production of biodiesel. The rapid development of biodiesel production in Brazil directly affected the supply of glycerin and therefore the sector is seeking a market that can absorb this waste. Thus, with the increasing search for environmentally friendly products, formulation of a drilling fluid using a co-product of biodiesel production to replace the n-paraffin is of great importance to the oil industry for meeting the requirement of environmental regulation and, in addition, considerably reducing the cost of raw materials. In this context, the aim of this study was to characterize different glycerins to evaluate their potential as basis for drilling fluids for oil wells and gas. The glycerins were stable under the conditions evaluated without phase separation and precipitation of solids, exhibited good rheological profile and low value of interface tension. The results indicate a strong possibility of use of these glycerins as basis for drilling fluids and applicability by the oil industry.

Estimation of lung volume and pulmonary blood volume from radioisotopic images

International Nuclear Information System (INIS)

Kanazawa, Minoru

1989-01-01

Lung volume and pulmonary blood volume in man were estimated from the radioisotopic image using single photon emission computed tomography (SPECT). Six healthy volunteers were studied in a supine position with normal and altered lung volumes by applying continuous negative body-surface pressure (CNP) and by positive end-expiratory pressure (PEEP). 99m Tc labeled human serum albumin was administered as an aerosol to image the lungs. The CNP caused the diaphragm to be lowered and it increased the mean lung tissue volume obtained by SPECT from 3.09±0.49 l for baseline to 3.67±0.62 l for 10 cmH 2 O (p 2 O (p 2 O), respectively. The PEEP also increased the lung tissue volume to 3.68±0.68 l for 10 cmH 2 O as compared with the baseline (p 2 O PEEP. The lung tissue volume obtained by SPECT showed a positive correlation with functional residual capacity measured by the He dilution method (r=0.91, p 99m Tc-labeled red blood cells. The L/H ratio decreased after either the CNP or PEEP, suggesting a decrease in the blood volume per unit lung volume. However, it was suggested that the total pulmonary blood volume increased slightly either on the CNP (+7.4% for 10 cmH 2 O, p 2 O,p<0.05) when we extrapolated the L/H ratio to the whole lungs by multiplying the lung tissue volume obtained by SPECT. We concluded that SPECT could offer access to the estimation of lung volume and pulmonary blood volume in vivo. (author)

Cross-correlations in volume space: Differences between buy and sell volumes

Science.gov (United States)

Lee, Sun Young; Hwang, Dong Il; Kim, Min Jae; Koh, In Gyu; Kim, Soo Yong

2011-03-01

We study the cross-correlations of buy and sell volumes on the Korean stock market in high frequency. We observe that the pulling effects of volumes are as small as that of returns. The properties of the correlations of buy and sell volumes differ. They are explained by the degree of synchronization of stock volumes. Further, the pulling effects on the minimal spanning tree are studied. In minimal spanning trees with directed links, the large pulling effects are clustered at the center, not uniformly distributed. The Epps effect of buy and sell volumes are observed. The reversal of the cross-correlations of buy and sell volumes is also detected.

Spreading characteristics of proprietary rectal steroid preparations

International Nuclear Information System (INIS)

Hay, D.J.

1982-01-01

Three types of rectal steroid preparation were labelled with Technetium 99 or Indium 111, and the extent of spread of each within the bowel was followed, immediately after administration and at 2hrs, using a gamma camera. Patients with ulcerative colitis were compared with controls. Results indicate that 'Colifoam' enema and 'Predsol' suppository act mainly in the rectum, but 'Predsol retention' enema spreads further into the colon, making it more useful for patients with extensive ulcerative colitis. (U.K.)

Blood volume studies

International Nuclear Information System (INIS)

Lewis, S.M.; Yin, J.A.L.

1986-01-01

The use of dilution analysis with such radioisotopes as 51 Cr, 32 P, sup(99m)Tc and sup(113m)In for measuring red cell volume is reviewed briefly. The use of 125 I and 131 I for plasma volume studies is also considered and the subsequent determination of total blood volume discussed, together with the role of the splenic red cell volume. Substantial bibliography. (UK)

Is orbital volume associated with eyeball and visual cortex volume in humans?

Science.gov (United States)

Pearce, Eiluned; Bridge, Holly

2013-01-01

In humans orbital volume increases linearly with absolute latitude. Scaling across mammals between visual system components suggests that these larger orbits should translate into larger eyes and visual cortices in high latitude humans. Larger eyes at high latitudes may be required to maintain adequate visual acuity and enhance visual sensitivity under lower light levels. To test the assumption that orbital volume can accurately index eyeball and visual cortex volumes specifically in humans. Structural Magnetic Resonance Imaging (MRI) techniques are employed to measure eye and orbit (n = 88) and brain and visual cortex (n = 99) volumes in living humans. Facial dimensions and foramen magnum area (a proxy for body mass) were also measured. A significant positive linear relationship was found between (i) orbital and eyeball volumes, (ii) eyeball and visual cortex grey matter volumes and (iii) different visual cortical areas, independently of overall brain volume. In humans the components of the visual system scale from orbit to eye to visual cortex volume independently of overall brain size. These findings indicate that orbit volume can index eye and visual cortex volume in humans, suggesting that larger high latitude orbits do translate into larger visual cortices.

Can Heavier Liquid Float on Top of a Lighter One?

International Nuclear Information System (INIS)

Ayyad, A. H.; Takrori, F.

2011-01-01

We report on a first observation of a floating spherical Hg (density 13 g/cm 3 ) drop on top of a glycerin (density 1.26 g/cm 3 ) drop, the latter is hemispherical and about four times larger in volume. This observation is clearly against nature's gravity law and has never been reported before. Here we present spectacular high resolution photos that clearly demonstrate this remarkable floating phenomenon. Using milli-Q water, the Hg drop would stay down adhered at the triple line. Instead, the coincidental use of tap water displays the same phenomenon. Increasing the volume of the supporting liquid to a certain value causes the Hg drop to sink. A 5-M NaCl aqueous solution is found enough to show the same floating phenomenon. This floating mercury as a phenomenon is puzzling. On this length scale it seems that surface tension and curvature dominate over gravity. (fundamental areas of phenomenology (including applications))

Modification of γ-induced mutagenesis in Ames test-strains

International Nuclear Information System (INIS)

Basha, S.G.; Krasavin, E.A.; Kozubek, S.; Amirtaev, K.G.

1990-01-01

Glycerine and cysteamine protective effect on mutagenesis was studied in 3 strains of Salmonella typhimurium under γ-radiation. Glycerine modifying effect was shown to be not similar for various test-strains and depended on DNA injury nature. DNA complex injuries were shown to play significant role in mutagenesis of TA100 and TA102 strains. Absence of cysteamine modifying effect on γ-induced mutagenesis testified to cysteamine effect on enzyme balance. 20 refs.; 2 figs.; 1 tab

Incidental physiological sliding hiatal hernia: a single center comparison study between CT with water enema and CT colonography.

Science.gov (United States)

Revelli, Matteo; Furnari, Manuele; Bacigalupo, Lorenzo; Paparo, Francesco; Astengo, Davide; Savarino, Edoardo; Rollandi, Gian Andrea

2015-08-01

Hiatal hernia is a well-known factor impacting on most mechanisms underlying gastroesophageal reflux, related with the risk of developing complications such as erosive esophagitis, Barrett's esophagus and ultimately, esophageal adenocarcinoma. It is our firm opinion that an erroneous reporting of hiatal hernia in CT exams performed with colonic distention may trigger a consecutive diagnostic process that is not only unnecessary, inducing a unmotivated anxiety in the patient, but also expensive and time-consuming for both the patient and the healthcare system. The purposes of our study were to determine whether colonic distention at CT with water enema and CT colonography can induce small sliding hiatal hernias and to detect whether hiatal hernias size modifications could be considered significant for both water and gas distention techniques. We retrospectively evaluated 400 consecutive patients, 200 undergoing CT-WE and 200 undergoing CTC, including 59 subjects who also underwent a routine abdominal CT evaluation on a different time, used as internal control, while a separate group of 200 consecutive patients who underwent abdominal CT evaluation was used as external control. Two abdominal radiologists assessed the CT exams for the presence of a sliding hiatal hernia, grading the size as small, moderate, or large; the internal control groups were directly compared with the corresponding CT-WE or CTC study looking for a change in hernia size. We used the Student's t test applying a size-specific correction factor, in order to account for the effect of colonic distention: these "corrected" values were then individually compared with the external control group. A sliding hiatal hernia was present in 51 % (102/200) of the CT-WE patients and in 48.5 % (97/200) of the CTC patients. Internal control CT of the 31 patients with a hernia at CT-WE showed resolution of the hernia in 58.1 % (18/31) of patients, including 76.5 % (13/17) and 45.5 % (5/11) of small and moderate

Correlation of ultrasound estimated placental volume and umbilical cord blood volume in term pregnancy.

Science.gov (United States)

Pannopnut, Papinwit; Kitporntheranunt, Maethaphan; Paritakul, Panwara; Kongsomboon, Kittipong

2015-01-01

To investigate the correlation between ultrasound measured placental volume and collected umbilical cord blood (UCB) volume in term pregnancy. An observational cross-sectional study of term singleton pregnant women in the labor ward at Maha Chakri Sirindhorn Medical Center was conducted. Placental thickness, height, and width were measured using two-dimensional (2D) ultrasound and calculated for placental volume using the volumetric mathematic model. After the delivery of the baby, UCB was collected and measured for its volume immediately. Then, birth weight, placental weight, and the actual placental volume were analyzed. The Pearson's correlation was used to determine the correlation between each two variables. A total of 35 pregnant women were eligible for the study. The mean and standard deviation of estimated placental volume and actual placental volume were 534±180 mL and 575±118 mL, respectively. The median UCB volume was 140 mL (range 98-220 mL). The UCB volume did not have a statistically significant correlation with the estimated placental volume (correlation coefficient 0.15; p=0.37). However, the UCB volume was significantly correlated with the actual placental volume (correlation coefficient 0.62; pcorrelation coefficient 0.38; p=0.02). The estimated placental volume by 2D ultrasound was not significantly correlated with the UCB volume. Further studies to establish the correlation between the UCB volume and the estimated placental volume using other types of placental imaging may be needed.

The radiographic findings of adult congenital megacolon disease

International Nuclear Information System (INIS)

Deng Xiaotao; Yu Jingying; Zhang Yongchun

2000-01-01

Objective: To describe the radiographic findings of adult megacolon. Methods: Barium enema examination was performed in 6 patients with megacolon proved by operation. Results: The principal radiographic findings were a markedly dilated colon, the largest diameter was 22 cm, and a narrowed rectum, its length was 3-7 cm; with a cone or funnel shaped transitional segment, it is about 2-6 cm long. Conclusion: The barium enema examination is the most reliable and simple method in diagnosing adult congenital megacolon

[Progress in the early diagnosis of cancer of the colon and rectum].

Science.gov (United States)

Canessa, N; Roset, J; Boffi, A; Ferrara, J B; Galano, A; Albertengo, J C

1978-09-01

Our experience with the air contrast examination in the cancer of colon and rectum diagnoses is showed. The colaboration among radiologist, endoscopist, pathologist and surgeon is important. In the large bowel tumors diagnosis, the radiologic and endoscopic prodedures should be evaluated together. The double colonic contrast has showed in our experience, better results than with the barium enema. Over 31 patients with both studies, we obtained 13 false negatives (with barium enema, doing then the double colonic contrast became positive 12 (92.4%).

Effectiveness of an organized bowel management program in the management of severe chronic constipation in children.

Science.gov (United States)

Russell, Katie W; Barnhart, Douglas C; Zobell, Sarah; Scaife, Eric R; Rollins, Michael D

2015-03-01

Chronic constipation is a common problem in children. The cause of constipation is often idiopathic, when no anatomic or physiologic etiology can be identified. In severe cases, low dose laxatives, stool softeners and small volume enemas are ineffective. The purpose of this study was to assess the effectiveness of a structured bowel management program in these children. We retrospectively reviewed children with chronic constipation without a history of anorectal malformation, Hirschsprung's disease or other anatomical lesions seen in our pediatric colorectal center. Our bowel management program consists of an intensive week where treatment is assessed and tailored based on clinical response and daily radiographs. Once a successful treatment plan is established, children are followed longitudinally. The number of patients requiring hospital admission during the year prior to and year after initiation of bowel management was compared using Fisher's exact test. Forty-four children with refractory constipation have been followed in our colorectal center for greater than a year. Fifty percent had at least one hospitalization the year prior to treatment for obstructive symptoms. Children were treated with either high-dose laxatives starting at 2mg/kg of senna or enemas starting at 20ml/kg of normal saline. Treatment regimens were adjusted based on response to therapy. The admission rate one-year after enrollment was 9% including both adherent and nonadherent patients. This represents an 82% reduction in hospital admissions (phospital admissions in children with severe chronic constipation. Copyright © 2015 Elsevier Inc. All rights reserved.

Radiation dose measurement in gastrointestinal studies

International Nuclear Information System (INIS)

Sulieman, A.; Elzaki, M.; Kappas, C.; Theodorou, K.

2011-01-01

Barium studies investigations (barium swallow, barium meal and barium enema) are the basic routine radiological examination, where barium sulphate suspension is introduced to enhance image contrast of gastrointestinal tracts. The aim of this study was to quantify the patients' radiation doses during barium studies and to estimate the organ equivalent dose and effective dose with those procedures. A total of 33 investigations of barium studies were measured by using thermoluminescence dosemeters. The result showed that the patient entrance surface doses were 12.6±10, 44.5±49 and 35.7±50 mGy for barium swallow, barium meal, follow through and enema, respectively. Effective doses were 0.2, 0.35 and 1.4 mSv per procedure for barium swallow, meal and enema respectively. Radiation doses were comparable with the previous studies. A written protocol for each procedure will reduce the inter-operator variations and will help to reduce unnecessary exposure. (authors)

Video of Miscible Fluid Experiment Conducted on NASA Low Gravity Airplane

Science.gov (United States)

2003-01-01

This is a video of dyed water being injected into glycerin in a 2.2 centimeter (cm) diameter test tube. The experiment was conducted on the KC-135 aircraft, a NASA plane that creates microgravity and 2g conditions as it maneuvers through multiple parabolas. The water is less dense and so it rises to the top of the glycerin. The goal of the experiment was to determine if a blob of a miscible fluid would spontaneously become spherical in a microgravity environment.

Bare-Hand Volume Cracker for Raw Volume Data Analysis

Directory of Open Access Journals (Sweden)

Bireswar Laha

2016-09-01

Full Text Available Analysis of raw volume data generated from different scanning technologies faces a variety of challenges, related to search, pattern recognition, spatial understanding, quantitative estimation, and shape description. In a previous study, we found that the Volume Cracker (VC 3D interaction (3DI technique mitigated some of these problems, but this result was from a tethered glove-based system with users analyzing simulated data. Here, we redesigned the VC by using untethered bare-hand interaction with real volume datasets, with a broader aim of adoption of this technique in research labs. We developed symmetric and asymmetric interfaces for the Bare-Hand Volume Cracker (BHVC through design iterations with a biomechanics scientist. We evaluated our asymmetric BHVC technique against standard 2D and widely used 3D interaction techniques with experts analyzing scanned beetle datasets. We found that our BHVC design significantly outperformed the other two techniques. This study contributes a practical 3DI design for scientists, documents lessons learned while redesigning for bare-hand trackers, and provides evidence suggesting that 3D interaction could improve volume data analysis for a variety of visual analysis tasks. Our contribution is in the realm of 3D user interfaces tightly integrated with visualization, for improving the effectiveness of visual analysis of volume datasets. Based on our experience, we also provide some insights into hardware-agnostic principles for design of effective interaction techniques.

Volume Regulated Channels

DEFF Research Database (Denmark)

Klausen, Thomas Kjær

of volume perturbations evolution have developed system of channels and transporters to tightly control volume homeostasis. In the past decades evidence has been mounting, that the importance of these volume regulated channels and transporters are not restricted to the defense of cellular volume...... but are also essential for a number of physiological processes such as proliferation, controlled cell death, migration and endocrinology. The thesis have been focusing on two Channels, namely the swelling activated Cl- channel (ICl, swell) and the transient receptor potential Vanilloid (TRPV4) channel. I: Cl......- serves a multitude of functions in the mammalian cell, regulating the membrane potential (Em), cell volume, protein activity and the driving force for facilitated transporters giving Cl- and Cl- channels a major potential of regulating cellular function. These functions include control of the cell cycle...

Volume-Dependent Overestimation of Spontaneous Intracerebral Hematoma Volume by the ABC/2 Formula

International Nuclear Information System (INIS)

Chih-Wei Wang; Chun-Jung Juan; Hsian-He Hsu; Hua-Shan Liu; Cheng-Yu Chen; Chun-Jen Hsueh; Hung-Wen Kao; Guo-Shu Huang; Yi-Jui Liu; Chung-Ping Lo

2009-01-01

Background: Although the ABC/2 formula has been widely used to estimate the volume of intracerebral hematoma (ICH), the formula tends to overestimate hematoma volume. The volume-related imprecision of the ABC/2 formula has not been documented quantitatively. Purpose: To investigate the volume-dependent overestimation of the ABC/2 formula by comparing it with computer-assisted volumetric analysis (CAVA). Material and Methods: Forty patients who had suffered spontaneous ICH and who had undergone non-enhanced brain computed tomography scans were enrolled in this study. The ICH volume was estimated based on the ABC/2 formula and also calculated by CAVA. Based on the ICH volume calculated by the CAVA method, the patients were divided into three groups: group 1 consisted of 17 patients with an ICH volume of less than 20 ml; group 2 comprised 13 patients with an ICH volume of 20 to 40 ml; and group 3 was composed of 10 patients with an ICH volume larger than 40 ml. Results: The mean estimated hematoma volume was 43.6 ml when using the ABC/2 formula, compared with 33.8 ml when using the CAVA method. The mean estimated difference was 1.3 ml, 4.4 ml, and 31.4 ml for groups 1, 2, and 3, respectively, corresponding to an estimation error of 9.9%, 16.7%, and 37.1% by the ABC/2 formula (P<0.05). Conclusion: The ABC/2 formula significantly overestimates the volume of ICH. A positive association between the estimation error and the volume of ICH is demonstrated

By-products from the biodiesel chain as a substrate to citric acid production by solid-state fermentation.

Science.gov (United States)

Schneider, Manuella; Zimmer, Gabriela F; Cremonese, Ezequiel B; de C de S Schneider, Rosana; Corbellini, Valeriano A

2014-07-01

In this study, we propose the use of tung cake for the production of organic acids, with an emphasis on citric acid by solid-state fermentation. We evaluated the conditions of production and the by-products from the biodiesel chain as raw materials involved in this bioprocess. First, we standardized the conditions of solid-state fermentation in tung cake with and without residual fat and with different concentrations of glycerine using the fungus Aspergillus niger The solid-state fermentation process was monitored for 7 days considering the biomass growth and pH level. Citric acid production was determined by high-performance liquid chromatography. Fungal development was better in the crude tung cake, consisting of 20% glycerine. The highest citric acid yield was 350 g kg(-1) of biomass. Therefore, the solid-state fermentation of the tung cake with glycerine led to citric acid production using the Aspergillus niger fungus. © The Author(s) 2014.

Do new anesthesia ventilators deliver small tidal volumes accurately during volume-controlled ventilation?

Science.gov (United States)

Bachiller, Patricia R; McDonough, Joseph M; Feldman, Jeffrey M

2008-05-01

During mechanical ventilation of infants and neonates, small changes in tidal volume may lead to hypo- or hyperventilation, barotrauma, or volutrauma. Partly because breathing circuit compliance and fresh gas flow affect tidal volume delivery by traditional anesthesia ventilators in volume-controlled ventilation (VCV) mode, pressure-controlled ventilation (PCV) using a circle breathing system has become a common approach to minimizing the risk of mechanical ventilation for small patients, although delivered tidal volume is not assured during PCV. A new generation of anesthesia machine ventilators addresses the problems of VCV by adjusting for fresh gas flow and for the compliance of the breathing circuit. In this study, we evaluated the accuracy of new anesthesia ventilators to deliver small tidal volumes. Four anesthesia ventilator systems were evaluated to determine the accuracy of volume delivery to the airway during VCV at tidal volume settings of 100, 200, and 500 mL under different conditions of breathing circuit compliance (fully extended and fully contracted circuits) and lung compliance. A mechanical test lung (adult and infant) was used to simulate lung compliances ranging from 0.0025 to 0.03 L/cm H(2)O. Volumes and pressures were measured using a calibrated screen pneumotachograph and custom software. We tested the Smartvent 7900, Avance, and Aisys anesthesia ventilator systems (GE Healthcare, Madison, WI) and the Apollo anesthesia ventilator (Draeger Medical, Telford, PA). The Smartvent 7900 and Avance ventilators use inspiratory flow sensors to control the volume delivered, whereas the Aisys and Apollo ventilators compensate for the compliance of the circuit. We found that the anesthesia ventilators that use compliance compensation (Aisys and Apollo) accurately delivered both large and small tidal volumes to the airway of the test lung under conditions of normal and low lung compliance during VCV (ranging from 95.5% to 106.2% of the set tidal volume

Small bowel volvulus in children

International Nuclear Information System (INIS)

Siegel, M.J.; Shackelford, G.D.; McAlister, W.H.

1980-01-01

Two children with small bowel volvulus diagnosed on barium enema examination are reported. In one patient the volvulus was associated with malrotation and in the other patient there was a post-operative peritoneal adhesion. In both cases the diagnosis was based on beaking of the head of the barium column at the site of volvulus. Radiographic demonstration of a beak sign in the small bowel on barium enema examination should suggest a diagnosis of small bowel volvulus, and indicates the need for immediate surgery. (orig.) [de

Chemico-therapeutic approach to prevention of dental caries. [using stannous fluoride gel

Science.gov (United States)

Shannon, I. L.

1975-01-01

The program of chemical preventive dentistry is based primarily upon the development of a procedure for stabilizing stannous fluoride in solution by forcing it into glycerin. New topical fluoride treatment concentrates, fluoride containing gels and prophylaxis pastes, as well as a completely stable stannous fluoride dentifrice are made possible by the development of a rather complicated heat application method to force stannous fluoride into solution in glycerin. That the stannous fluoride is clinically effective in such a preparation is demonstrated briefly on orthodontic patients.

Strategy for improving the detailed examination rate for colorectal cancer screening. New approach for detailed colorectal cancer examination. Study for optimal pre-treatment for CT colonography

International Nuclear Information System (INIS)

Mitsushima, Toru; Fujiwara, Masanori; Nagata, Koichi

2012-01-01

In order to drastically improve the detailed examination rate for strategic colorectal cancer examination in Japan, it is necessary to introduce CT colonography (CTC) as a detailed examination method for colorectal cancer examination, in addition to colonoscopy (CS) which is the conventional detailed examination method. In our study, a cleansing enema/contrast solution (3% Nif-C) was prepared by adding 60 ml of a water-soluble iodine-based contrast agent (Gastrografin) and water to an oral cleansing enema agent (Niflec) in solid (powder) form to a final amount of 2000 ml. The solution was compared with a Niflec solution. In terms of patient's acceptability, more than half of the examined patients answered ''easier to drink than the Niflec solution'' or ''as easy to drink as the Niflec solution. '' Also, the Nif-C solution was comparable or superior to the Niflec solution in terms of cleansing enema effects. Regarding imaging effects essential for CTC, the CT level was found to be 200 HU or greater for any large intestine region upon CTC using the Nif-C solution. Thus, practically sufficient imaging effects were achieved. In conclusion, CTC with pretreatment involving a cleansing enema with oral administration of 3% Nif-C is superior to CS in terms of patient's acceptability. In addition, at least in view of the overseas reports on CTC, there is no particular problem in terms of diagnostic accuracy. Thus, CTC is expected to resolve various problems related to colorectal cancer examination in Japan. (author)

Reachable volume RRT

KAUST Repository

McMahon, Troy

2015-05-01

© 2015 IEEE. Reachable volumes are a new technique that allows one to efficiently restrict sampling to feasible/reachable regions of the planning space even for high degree of freedom and highly constrained problems. However, they have so far only been applied to graph-based sampling-based planners. In this paper we develop the methodology to apply reachable volumes to tree-based planners such as Rapidly-Exploring Random Trees (RRTs). In particular, we propose a reachable volume RRT called RVRRT that can solve high degree of freedom problems and problems with constraints. To do so, we develop a reachable volume stepping function, a reachable volume expand function, and a distance metric based on these operations. We also present a reachable volume local planner to ensure that local paths satisfy constraints for methods such as PRMs. We show experimentally that RVRRTs can solve constrained problems with as many as 64 degrees of freedom and unconstrained problems with as many as 134 degrees of freedom. RVRRTs can solve problems more efficiently than existing methods, requiring fewer nodes and collision detection calls. We also show that it is capable of solving difficult problems that existing methods cannot.

Reachable volume RRT

KAUST Repository

McMahon, Troy; Thomas, Shawna; Amato, Nancy M.

2015-01-01

© 2015 IEEE. Reachable volumes are a new technique that allows one to efficiently restrict sampling to feasible/reachable regions of the planning space even for high degree of freedom and highly constrained problems. However, they have so far only been applied to graph-based sampling-based planners. In this paper we develop the methodology to apply reachable volumes to tree-based planners such as Rapidly-Exploring Random Trees (RRTs). In particular, we propose a reachable volume RRT called RVRRT that can solve high degree of freedom problems and problems with constraints. To do so, we develop a reachable volume stepping function, a reachable volume expand function, and a distance metric based on these operations. We also present a reachable volume local planner to ensure that local paths satisfy constraints for methods such as PRMs. We show experimentally that RVRRTs can solve constrained problems with as many as 64 degrees of freedom and unconstrained problems with as many as 134 degrees of freedom. RVRRTs can solve problems more efficiently than existing methods, requiring fewer nodes and collision detection calls. We also show that it is capable of solving difficult problems that existing methods cannot.

MRI volume measurement of basal ganglia volumes in patients with Tourette's syndrome

International Nuclear Information System (INIS)

Lu Jie; Li Kuncheng; Cao Yanxiang; Zhang Miao; Sui Xin; Zhang Xiaohua

2009-01-01

Objective: To evaluate MRI measurement of basal ganglia volumes in patients with Tourette's syndrome. Methods: Ten patients with Tourette's syndrome (TS) and 10 healthy volunteers were studied. Volumes of bilateral caudate, putamen and pallidum were measured, and the results were analyzed using paired t test. The basal ganglia volume was normalized according to individual brain volume. The basal ganglia volumes of TS patients were compared with normal control group using independent-sample t test. Results: In 10 healthy volunteers, volumes of the left caudate, putamen, pallidum were significantly larger compared with those of the right side (P 0.05) in TS patients. After normalized processing, the volumes of the left caudate (7.06 ± 0.48) cm 3 , putamen (8.81±1.01) cm 3 , pallidum (2.64± 0.38) cm 3 were smaller than those of control group [caudate (11.05±1.86) cm 3 , putamen (9.97± 1.11) cm 3 , pallidum (3.04±0.37) cm 3 ] (t=-6.577, -2.457, -2.376, P 3 in TS patients was significantly smaller compared with the control group (9.81±1.83) cm 3 (t=-4.258, P 0.05). Conclusion: The basal ganglia volumes were significantly decreased in patients with TS. MRI volumetric measurement was an important tool for evaluating pathologic changes of TS. (authors)

SYMPTOMS AND DIAGNOSIS OF HIRSCHSPRUNG’S DISEASE

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Putu Ayu Ines Lassiyani Surya

2014-02-01

Full Text Available Hirschsprung disease is a disease that attacks the human digestive system, mainly in the largeintestine (colon. In this disease, found enlargement of the colon (megacolon, due to the absenceof ganglion cells in the distal intestine. Hirschsprung disease often affects neonates and evenchildren, are often characterized by delays in spending the first meconium, bilious vomiting,abdominal distension. Methods diagnois do for Hirschsprung's disease was confirmed by biopsy,barium enema or contrast enema, and anorectal manometry. Early diagnosis is crucial to conductrapid and appropriate treatment and to prevent complications.

Volume regulation in epithelia

DEFF Research Database (Denmark)

Larsen, Erik Hviid; Hoffmann, Else Kay

2016-01-01

to amphibian skin and mammalian cortical collecting tubule of low and intermediate osmotic permeability. Crosstalk between entrance and exit mechanisms interferes with volume regulation both at aniso-osmotic and iso-osmotic volume perturbations. It has been proposed that cell volume regulation is an intrinsic...... regulation are cloned. The volume-regulated anion channel (VRAC) exhibiting specific electrophysiological characteristics seems exclusive to serve cell volume regulation. This is contrary to K+ channels as well as cotransporters and exchange mechanisms that may serve both transepithelial transport and cell...... volume regulation. In the same cell, these functions may be maintained by different ion pathways that are separately regulated. RVD is often preceded by increase in cytosolic free Ca2+, probably via influx through TRP channels, but Ca2+ release from intracellular stores has also been observed. Cell...

Surface tension and wetting properties of rapeseed oil to biofuel conversion by-products

Science.gov (United States)

Muszyński, Siemowit; Sujak, Agnieszka; Stępniewski, Andrzej; Kornarzyński, Krzysztof; Ejtel, Marta; Kowal, Natalia; Tomczyk-Warunek, Agnieszka; Szcześniak, Emil; Tomczyńska-Mleko, Marta; Mleko, Stanisław

2018-04-01

This work presents a study on the surface tension, density and wetting behaviour of distilled glycerol, technical grade glycerol and the matter organic non-glycerin fraction. The research was conducted to expand the knowledge about the physical properties of wastes from the rapeseed oil biofuel production. The results show that the densities of technical grade glycerol (1.300 g cm-3) and distilled glycerol (1.267 g cm-3) did not differ and were significantly lower than the density of the matter organic non-glycerin fraction (1.579 g cm-3). Furthermore, the surface tension of distilled glycerol (49.6 mN m-1) was significantly higher than the matter organic non-glycerin fraction (32.7 mN m-1) and technical grade glycerol (29.5 mN m-1). As a result, both technical grade glycerol and the matter organic non-glycerin fraction had lower contact angles than distilled glycerol. The examined physical properties of distilled glycerol were found to be very close to that of the commercially available pure glycerol. The results suggest that technical grade glycerol may have potential application in the production of glycerol/fuel blends or biosurfactants. The presented results indicate that surface tension measurements are more useful when examining the quality of biofuel wastes than is density determination, as they allow for a more accurate analysis of the effects of impurities on the physical properties of the biofuel by-products.

Three-dimensional reconstruction volume: a novel method for volume measurement in kidney cancer.

Science.gov (United States)

Durso, Timothy A; Carnell, Jonathan; Turk, Thomas T; Gupta, Gopal N

2014-06-01

The role of volumetric estimation is becoming increasingly important in the staging, management, and prognostication of benign and cancerous conditions of the kidney. We evaluated the use of three-dimensional reconstruction volume (3DV) in determining renal parenchymal volumes (RPV) and renal tumor volumes (RTV). We compared 3DV with the currently available methods of volume assessment and determined its interuser reliability. RPV and RTV were assessed in 28 patients who underwent robot-assisted laparoscopic partial nephrectomy for kidney cancer. Patients with a preoperative creatinine level of kidney pre- and postsurgery overestimated 3D reconstruction volumes by 15% to 102% and 12% to 101%, respectively. In addition, volumes obtained from 3DV displayed high interuser reliability regardless of experience. 3DV provides a highly reliable way of assessing kidney volumes. Given that 3DV takes into account visible anatomy, the differences observed using previously published methods can be attributed to the failure of geometry to accurately approximate kidney or tumor shape. 3DV provides a more accurate, reproducible, and clinically useful tool for urologists looking to improve patient care using analysis related to volume.

Molecular representation of molar domain (volume), evolution equations, and linear constitutive relations for volume transport.

Science.gov (United States)

Eu, Byung Chan

2008-09-07

In the traditional theories of irreversible thermodynamics and fluid mechanics, the specific volume and molar volume have been interchangeably used for pure fluids, but in this work we show that they should be distinguished from each other and given distinctive statistical mechanical representations. In this paper, we present a general formula for the statistical mechanical representation of molecular domain (volume or space) by using the Voronoi volume and its mean value that may be regarded as molar domain (volume) and also the statistical mechanical representation of volume flux. By using their statistical mechanical formulas, the evolution equations of volume transport are derived from the generalized Boltzmann equation of fluids. Approximate solutions of the evolution equations of volume transport provides kinetic theory formulas for the molecular domain, the constitutive equations for molar domain (volume) and volume flux, and the dissipation of energy associated with volume transport. Together with the constitutive equation for the mean velocity of the fluid obtained in a previous paper, the evolution equations for volume transport not only shed a fresh light on, and insight into, irreversible phenomena in fluids but also can be applied to study fluid flow problems in a manner hitherto unavailable in fluid dynamics and irreversible thermodynamics. Their roles in the generalized hydrodynamics will be considered in the sequel.

Limiting volume with modern ventilators.

Science.gov (United States)

Wing, Thomas J; Haan, Lutana; Ashworth, Lonny J; Anderson, Jeff

2015-06-01

The acute respiratory distress syndrome (ARDS) network low tidal-volume study comparing tidal volumes of 12 ml/kg versus 6 ml/kg was published in 2000. The study was stopped early as data revealed a 22% relative reduction in mortality rate when using 6 ml/kg tidal volume. The current generation of critical care ventilators allows the tidal volume to be set during volume-targeted, assist/control (volume A/C); however, some ventilators include options that may prevent the tidal volume from being controlled. The purpose of this bench study was to evaluate the delivered tidal volume, when these options are active, in a spontaneously breathing lung model using an electronic breathing simulator. Four ventilators were evaluated: CareFusion AVEA (AVEA), Dräger Evita® XL (Evita XL), Covidien Puritan Bennett® 840(TM) (PB 840), and Maquet SERVO-i (SERVO-i). Each ventilator was connected to the Hans Rudolph Electronic Breathing Simulator at an amplitude of 0 cm H2O and then 10 cm H2O. All four ventilators were set to deliver volume A/C, tidal volume 400 ml, respiratory rate 20 bpm, positive end-expiratory pressure 5 cm H2O, peak flowrate 60 L/min. The displayed tidal volume was recorded for each ventilator at the above settings with additional options OFF and then ON. The AVEA has two options in volume A/C: demand breaths and V-sync. When activated, these options allow the patient to exceed the set tidal volume. When using the Evita XL, the option AutoFlow can be turned ON or OFF, and when this option is ON, the tidal volume may vary. The PB 840 does not have any additional options that affect volume delivery, and it maintains the set tidal volume regardless of patient effort. The SERVO-i's demand valve allows additional flow if the patient's inspiratory flowrate exceeds the set flowrate, increasing the delivered tidal volume; this option can be turned OFF with the latest software upgrade. Modern ventilators have an increasing number of optional settings. These settings may

Morphological properties of fresh and preserved paca peritoneum (Cuniculus paca, L. 1766

Directory of Open Access Journals (Sweden)

Angela Daniele de Camargo

2012-11-01

Full Text Available The objective of this study was to describe the morphological characteristics of peritoneum samples from four adult pacas, which were fresh and preserved in 98% glycerin for 30, 60 and 90 days. Samples were analyzed using light and scanning electron microscopy. A clear arrangement between the dense, modeled connective tissue and the dense, unmodeled connective tissue, and an insignificant change in the membrane tissue integrity, were observed in the material preserved in the glycerin. The results suggest that paca peritoneum can be used as a biological material.

Lower GI Series (Barium Enema)

Science.gov (United States)

... uses x-rays and a chalky liquid called barium to view your large intestine . The barium will make your large intestine more visible on ... single-contrast lower GI series, which uses only barium a double-contrast or air-contrast lower GI ...

Membranas biológicas homólogas preservadas em solução alcalina seguida de liofilização, glicerina a 98% e por liofilização para implantação em eqüinos Homologous biological membranes persevered in alkaline solution and lyophilized, glycerin 98% and by lyophilization for equines implantation

Directory of Open Access Journals (Sweden)

Valcinir Aloisio Scolla Vulcani

2008-08-01

to evaluate physicist-chemistries alterations in equines diaphragmatic tendineous centers implants submitted to alkaline solution and lyophilization treatment. The samples had been treated in alkaline solution for 24, 48, 72, 120 and 144 hours and lyophilized. It was analyzed the homogeneity, flexibility and resistance to the suture. After that, they had been submitted to the differential scanner calorimetry and to the scanner electronic microscopy. Samples of 72 hours in alkaline treatment, conserved in glycerin 98% and only lyophilized were implanted in recto abdominis internal fascia of equines. They were removed one, nine and 18 weeks post-implantation to evaluate the existence of tacks. It was verified that the homogeneity and flexibility are directly proportional to the increase of time of treatment in alkaline solution while the resistance is inversely proportional to the time increase, being 72 hour treatment intermediate for these characteristics. The differential scanner calorimetry showed that the treatment do not denature the present collagen in samples. The electronic microscopy showed that the increase of treatment time provides expansion of less dense zones of the material. In relation to the formation of tacks, the samples only lyophilized had presented maximum degree in the proposal classification followed for the conserved in glycerin 98% samples with average degree and the treated in alkaline solution and lyophilized samples had been classified in minimum degree. It was concluded that the treatment for 72 hours would be more appropriate for implantation and that the tissue integration with abdominal wall was better in relation to the samples lyophilized only and to the conserved in glycerin ones.

Estimating traffic volume on Wyoming low volume roads using linear and logistic regression methods

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Dick Apronti

2016-12-01

Full Text Available Traffic volume is an important parameter in most transportation planning applications. Low volume roads make up about 69% of road miles in the United States. Estimating traffic on the low volume roads is a cost-effective alternative to taking traffic counts. This is because traditional traffic counts are expensive and impractical for low priority roads. The purpose of this paper is to present the development of two alternative means of cost-effectively estimating traffic volumes for low volume roads in Wyoming and to make recommendations for their implementation. The study methodology involves reviewing existing studies, identifying data sources, and carrying out the model development. The utility of the models developed were then verified by comparing actual traffic volumes to those predicted by the model. The study resulted in two regression models that are inexpensive and easy to implement. The first regression model was a linear regression model that utilized pavement type, access to highways, predominant land use types, and population to estimate traffic volume. In verifying the model, an R2 value of 0.64 and a root mean square error of 73.4% were obtained. The second model was a logistic regression model that identified the level of traffic on roads using five thresholds or levels. The logistic regression model was verified by estimating traffic volume thresholds and determining the percentage of roads that were accurately classified as belonging to the given thresholds. For the five thresholds, the percentage of roads classified correctly ranged from 79% to 88%. In conclusion, the verification of the models indicated both model types to be useful for accurate and cost-effective estimation of traffic volumes for low volume Wyoming roads. The models developed were recommended for use in traffic volume estimations for low volume roads in pavement management and environmental impact assessment studies.

Klismaphilia--a physiological perspective.

Science.gov (United States)

Agnew, J

1982-10-01

Dr. Joanne Denko coined the work klismaphilia to describe the practices of some of her patients who enjoyed the use of enemas as a sexual stimulant. Since then questions occasionally appear in the professional literature asking about the relationship between enemas and sexual pleasure. This paper considers some of the physiological aspects of the human sexual apparatus that relate to anal sensitivity and explores why klismaphilia can be sexually grafifying. The paper starts with a discussion of the physiological basis for anal sensitivity and anal masturbation in both the human male and the human female. The paper then goes on to relate all this to the sexual sensations received from an enema, and discusses the similarities and differences between all these types of stimulation. Some of the psychological aspects of klismaphilia are also considered in relationship to the physiology involved. The paper concludes with a brief discussion of masked anal masturbation among the population at large. A comprehensive list of references from the literature is given to support these findings.

Radiographic determination of urinary bladder volume and residual urine volume

International Nuclear Information System (INIS)

Klumair, J.

1977-01-01

In the course of a long study the author has tested most of the methods for determination of urinary bladder volume. A radiographic method which can state bladder volume exactly in cc's is attainable only with great time and effort. In the author's experience, however, it is possible, by means of a pattern in connection with a IVP, to estimate residual urine volume from a post-void picture of the bladder with sufficient accuracy for practical purposes. An account is given of the production of this pattern and of two relatively simple calculations for residual volume based on AP and lateral views of circular- and ellipsoid-shaped bladders. Also discussed is the radiation exposure which varies with the radiographic methods used. In male patients, the radiation exposure appears to be negligible, especially when the testicles are protected by a radiation shield. In female patients - which make up only a small fraction of all patients -, radiation exposure is higher but must be accepted. (orig./MG) [de

Radiocardiographic determination of the stroke volume and of the heart minute volume in athletes

Energy Technology Data Exchange (ETDEWEB)

Sattler, R; Stoll, W [Friedrich-Schiller-Universitaet, Jena (German Democratic Republic). Radiologische Klinik

1981-11-01

Radiocardiography, a novel radioisotope method for the problemless determination of many cardiodynamic parameters which can be applied also at given physical exercise is presented. On the basis of stroke volume and heart minute volume values from 35 athletes practising different sports and of a comparison with normal values reported in the literature, differences in the cardiac adaptation and the function of athletic hearts and so-called normal hearts are pointed out. The stroke volume of endurance-trained athletes exceeds that of untrained individuals by 30-40 ml. Under exercise the increase of the stroke volume is considerably greater in endurance athletes than in individuals practising other sports or in untrained subjects. At rest the values of the heart minute volume are almost the same in athletes and untrained individuals. Under exercise the heart minute volume of endurance athletes (40 l/min) is nearly twice that of untrained individuals (volume reserve of the athlete).

Radiocardiographic determination of the stroke volume and of the heart minute volume in athletes

International Nuclear Information System (INIS)

Sattler, R.; Stoll, W.

1981-01-01

Radiocardiography, a novel radioisotope method for the problemless determination of many cardiodynamic parameters which can be applied also at given physical exercise is presented. On the basis of stroke volume and heart minute volume values from 35 athletes practising different sports and of a comparison with normal values reported in the literature, differences in the cardiac adaptation and the function of athletic hearts and so-called normal hearts are pointed out. The stroke volume of endurance-trained athetes exceed that of untrained individuals by 30-40 ml. Under exercise the increase of the stroke volume is considerably greater in endurance athletes than in individuals practising other sports or in untrained subjects. At rest the values of the heart minute volume are almost the same in athletes and untrained individuals. Under exercise the heart minute volume of endurance athletes (40 l/min) is nearly twice that of untrained individuals (volume reserve of the athlete). (author)

Facile Synthesis and Optical Properties of Small Selenium Nanocrystals and Nanorods

Science.gov (United States)

Jiang, Fengrui; Cai, Weiquan; Tan, Guolong

2017-06-01

Selenium is an important element for human's health, small size is very helpful for Se nanoparticles to be absorbed by human's body. Here, we present a facile approach to fabrication of small selenium nanoparticles (Nano-Se) as well as nanorods by dissolving sodium selenite (Na2SeO3) in glycerin and using glucose as the reduction agent. The as-prepared selenium nanoparticles have been characterized by X-ray diffraction (XRD), UV-Vis absorption spectroscopy and high resolution transmission electron microscope (HRTEM). The morphology of small Se nanoparticles and nanorods have been demonstrated in the TEM images. A small amount of 3-mercaptoproprionic acid (MPA) and glycerin play a key role on controlling the particle size and stabilize the dispersion of Nano-Se in the glycerin solution. In this way, we obtained very small and uniform Se nanoparticles; whose size ranges from 2 to 6 nm. This dimension is much smaller than the best value (>20 nm) ever reported in the literatures. Strong quantum confinement effect has been observed upon the size-dependent optical spectrum of these Se nanoparticles.

Chromium 51-ethylenediaminetetraacetate test: a useful test in the assessment of inflammatory bowel disease

International Nuclear Information System (INIS)

O'Morain, C.A.; Abelow, A.C.; Chervu, L.R.; Fleischner, G.M.; Das, K.M.

1986-01-01

We evaluated the usefulness of urinary excretion values in assessing mucosal damage in inflammatory bowel disease after administration of chromium 51-labeled EDTA either orally or rectally. In the oral study, 19 controls, 18 patients with Crohn's disease, and 13 patients with ulcerative colitis were given 100 microCi 51 Cr-EDTA by mouth. The amount of 51 Cr-EDTA in a 24-hour urine collection was expressed as a percentage of the ingested dose. The patients with Crohn's disease of the small bowel excreted 6.3% +/- 4.3%, which was significantly (P less than 0.001) higher than the percentage in patients with ulcerative colitis (1.7% +/- 1.1%) and controls (1.4% +/- 0.6%). In the enema study, 19 patients with ulcerative colitis, two with Crohn's disease, two with radiation colitis, and four controls (spastic colitis, lactose intolerance) were given 100 microCi 51 Cr-EDTA by retention enema. The patients with active colonic inflammation excreted 8.4% +/- 3.9% of the dose given by enema, which was significantly (P less than 0.01) higher than in other controls (1.9% +/- 0.91%) or patients with inactive colitis (2.2% +/- 1.9%). The 51 Cr-EDTA excretion test is a safe, inexpensive test useful in evaluating patients with inflammatory bowel disease. It can be given orally to screen patients with abdominal complaints who are suspected of having Crohn's disease involving the small intestine, and when given by enema it provides additional objective assessment of idiopathic ulcerative colitis or proctitis

Cost-Effectiveness Analysis of Six Strategies to Treat Recurrent Clostridium difficile Infection.

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Lauren Lapointe-Shaw

Full Text Available To assess the cost-effectiveness of six treatment strategies for patients diagnosed with recurrent Clostridium difficile infection (CDI in Canada: 1. oral metronidazole; 2. oral vancomycin; 3.oral fidaxomicin; 4. fecal transplantation by enema; 5. fecal transplantation by nasogastric tube; and 6. fecal transplantation by colonoscopy.Public insurer for all hospital and physician services.Ontario, Canada.A decision analytic model was used to model costs and lifetime health effects of each strategy for a typical patient experiencing up to three recurrences, over 18 weeks. Recurrence data and utilities were obtained from published sources. Cost data was obtained from published sources and hospitals in Toronto, Canada. The willingness-to-pay threshold was $50,000/QALY gained.Fecal transplantation by colonoscopy dominated all other strategies in the base case, as it was less costly and more effective than all alternatives. After accounting for uncertainty in all model parameters, there was an 87% probability that fecal transplantation by colonoscopy was the most beneficial strategy. If colonoscopy was not available, fecal transplantation by enema was cost-effective at $1,708 per QALY gained, compared to metronidazole. In addition, fecal transplantation by enema was the preferred strategy if the probability of recurrence following this strategy was below 8.7%. If fecal transplantation by any means was unavailable, fidaxomicin was cost-effective at an additional cost of $25,968 per QALY gained, compared to metronidazole.Fecal transplantation by colonoscopy (or enema, if colonoscopy is unavailable is cost-effective for treating recurrent CDI in Canada. Where fecal transplantation is not available, fidaxomicin is also cost-effective.

Chromium 51-ethylenediaminetetraacetate test: a useful test in the assessment of inflammatory bowel disease

Energy Technology Data Exchange (ETDEWEB)

O' Morain, C.A.; Abelow, A.C.; Chervu, L.R.; Fleischner, G.M.; Das, K.M.

1986-11-01

We evaluated the usefulness of urinary excretion values in assessing mucosal damage in inflammatory bowel disease after administration of chromium 51-labeled EDTA either orally or rectally. In the oral study, 19 controls, 18 patients with Crohn's disease, and 13 patients with ulcerative colitis were given 100 microCi /sup 51/Cr-EDTA by mouth. The amount of /sup 51/Cr-EDTA in a 24-hour urine collection was expressed as a percentage of the ingested dose. The patients with Crohn's disease of the small bowel excreted 6.3% +/- 4.3%, which was significantly (P less than 0.001) higher than the percentage in patients with ulcerative colitis (1.7% +/- 1.1%) and controls (1.4% +/- 0.6%). In the enema study, 19 patients with ulcerative colitis, two with Crohn's disease, two with radiation colitis, and four controls (spastic colitis, lactose intolerance) were given 100 microCi /sup 51/Cr-EDTA by retention enema. The patients with active colonic inflammation excreted 8.4% +/- 3.9% of the dose given by enema, which was significantly (P less than 0.01) higher than in other controls (1.9% +/- 0.91%) or patients with inactive colitis (2.2% +/- 1.9%). The /sup 51/Cr-EDTA excretion test is a safe, inexpensive test useful in evaluating patients with inflammatory bowel disease. It can be given orally to screen patients with abdominal complaints who are suspected of having Crohn's disease involving the small intestine, and when given by enema it provides additional objective assessment of idiopathic ulcerative colitis or proctitis.

Cost-Effectiveness Analysis of Six Strategies to Treat Recurrent Clostridium difficile Infection.

Science.gov (United States)

Lapointe-Shaw, Lauren; Tran, Kim L; Coyte, Peter C; Hancock-Howard, Rebecca L; Powis, Jeff; Poutanen, Susan M; Hota, Susy

2016-01-01

To assess the cost-effectiveness of six treatment strategies for patients diagnosed with recurrent Clostridium difficile infection (CDI) in Canada: 1. oral metronidazole; 2. oral vancomycin; 3.oral fidaxomicin; 4. fecal transplantation by enema; 5. fecal transplantation by nasogastric tube; and 6. fecal transplantation by colonoscopy. Public insurer for all hospital and physician services. Ontario, Canada. A decision analytic model was used to model costs and lifetime health effects of each strategy for a typical patient experiencing up to three recurrences, over 18 weeks. Recurrence data and utilities were obtained from published sources. Cost data was obtained from published sources and hospitals in Toronto, Canada. The willingness-to-pay threshold was $50,000/QALY gained. Fecal transplantation by colonoscopy dominated all other strategies in the base case, as it was less costly and more effective than all alternatives. After accounting for uncertainty in all model parameters, there was an 87% probability that fecal transplantation by colonoscopy was the most beneficial strategy. If colonoscopy was not available, fecal transplantation by enema was cost-effective at $1,708 per QALY gained, compared to metronidazole. In addition, fecal transplantation by enema was the preferred strategy if the probability of recurrence following this strategy was below 8.7%. If fecal transplantation by any means was unavailable, fidaxomicin was cost-effective at an additional cost of $25,968 per QALY gained, compared to metronidazole. Fecal transplantation by colonoscopy (or enema, if colonoscopy is unavailable) is cost-effective for treating recurrent CDI in Canada. Where fecal transplantation is not available, fidaxomicin is also cost-effective.

Mean nuclear volume

DEFF Research Database (Denmark)

Mogensen, O.; Sørensen, Flemming Brandt; Bichel, P.

1999-01-01

We evaluated the following nine parameters with respect to their prognostic value in females with endometrial cancer: four stereologic parameters [mean nuclear volume (MNV), nuclear volume fraction, nuclear index and mitotic index], the immunohistochemical expression of cancer antigen (CA125...

Research Studies Index. Authors and Subjects. Volume 1 through Volume 43 (1929-1975).

Science.gov (United States)

Drazan, Joseph, Comp.; Scott, Paula, Comp.

This volume contains author and subject indexes for volumes 1 through 43 (1929-1975) of "Research Studies," a scholarly, multi-disciplinary quarterly published at Washington State University. Each author index entry includes the title, volume, and inclusive pagination of the article. The subject index is a keyword-out-of-context…

Effect of volume expansion on systemic hemodynamics and central and arterial blood volume in cirrhosis

DEFF Research Database (Denmark)

Møller, S; Bendtsen, F; Henriksen, Jens Henrik Sahl

1995-01-01

, and arterial pressure were determined before and during a volume expansion induced by infusion of a hyperosmotic galactose solution. RESULTS: During volume expansion, the central and arterial blood volume increased significantly in patients with class A and controls, whereas no significant change was found...... in patients with either class B or class C. Conversely, the noncentral blood volume increased in patients with class B and C. In both patients and controls, the cardiac output increased and the systemic vascular resistance decreased, whereas the mean arterial blood pressure did not change significantly......BACKGROUND & AIMS: Systemic vasodilatation in cirrhosis may lead to hemodynamic alterations with reduced effective blood volume and decreased arterial blood pressure. This study investigates the response of acute volume expansion on hemodynamics and regional blood volumes in patients with cirrhosis...

Synergy and lubricant effect of biosurfactant/biodiesel addition in polymeric fluids; Acao lubrificante e sinergia da adicao de biosurfactante/biodiesel em fluidos polimericos

Energy Technology Data Exchange (ETDEWEB)

Medeiros, Suzan I.G.; Costa, Marta; Macedo, Sinara P.N. [Universidade Federal do Rio Grande do Norte (UFRN), Natal, RN (Brazil)

2008-07-01

The lubricity coefficient (CL) and filtrate volume of the polymeric drilling fluids contained glycerin, paraffin, biodiesel and biosurfactant were investigated to evidence the influence and efficiency when used individually or through associated. All the tested fluids were aged in rotative oven for 16 hours, at 200 deg F. In this study, the association of biodiesel with biosurfactant proved to be promising because it reduced the CL in 87% and the volume of filtered by 22%. Those results become promising when the applicability is approached in perforation of wells, because it means a smaller wear and tear of the drills when we told the lubricity data, and a smaller damage the formation when we provided a smaller invasion of the perforation fluid the formations. To evaluate the effect of the degradation of the products, the fluids were stocked to room temperature by thirty (30) days, being soon afterwards. That time of stockpiling went ideal to the hydration of the molecules, because its viscosity was alters sensibly and influencing positively in the filtrate and in rheologic mediated. (author)

A Paired, Double-Blind, Randomized Comparison of a Moisturizing Durable Barrier Cream to 10% Glycerine Cream in the Prophylactic Management of Postmastectomy Irradiation Skin Care: Trans Tasman Radiation Oncology Group (TROG) 04.01

Energy Technology Data Exchange (ETDEWEB)

Graham, Peter H., E-mail: peter.graham@sesiahs.health.nsw.gov.au [Cancer Care Centre, St. George Hospital, Kogarah, New South Wales (Australia); Plant, Natalie; Graham, Jennifer L.; Browne, Lois [Cancer Care Centre, St. George Hospital, Kogarah, New South Wales (Australia); Borg, Martin [Department of Radiation Oncology, Royal Adelaide Hospital (Australia); Capp, Anne [Department of Radiation Oncology, Mater Hospital, Newcastle, New South Wales (Australia); Delaney, Geoff P. [Cancer Care Centre, Liverpool Hospital, Liverpool, New South Wales (Australia); Harvey, Jennifer [Mater Hospital, South Brisbane, Queensland (Australia); Kenny, Lisbeth [Royal Brisbane Hospital, Herston, Queensland (Australia); Francis, Michael [Andrew Love Cancer Centre, Geelong (Australia); Zissiadis, Yvonne [Department of Radiation Oncology, Royal Perth Hospital, Perth (Australia)

2013-05-01

Purpose: A previous, unblinded study demonstrated that an alcohol-free barrier film containing an acrylate terpolymer (ATP) was effective in reducing skin reactions compared with a 10% glycerine cream (sorbolene). The different appearances of these products precluded a blinded comparison. To test the acrylate terpolymer principle in a double-blinded manner required the use of an alternative cream formulation, a moisturizing durable barrier cream (MDBC); the study was conducted by the Trans Tasman Radiation Oncology Group (TROG) as protocol 04.01. Methods and Materials: A total of 333 patients were randomized; 1 patient was ineligible and 14 patients withdrew or had less than 7 weeks' observations, leaving 318 for analysis. The chest wall was divided into medial and lateral compartments, and patients were randomized to have MDBC applied daily to the medial or lateral compartment and sorbolene to the other compartment. Weekly observations, photographs, and symptom scores (pain and pruritus) were collected to week 12 or resolution of skin reactions if earlier. Skin dose was confirmed by centrally calibrated thermoluminescent dosimeters. Results: Rates of medial and lateral compartment Common Toxicity Criteria (CTC), version 3, greater than or equal to grade 3 skin reactions were 23% and 41%, but rates by skin care product were identical at 32%. There was no significant difference between MDBC and sorbolene in the primary endpoint of peak skin reactions or secondary endpoints of area-under-the-curve skin reaction scores. Conclusions: The MDBC did not reduce the peak skin reaction compared to sorbolene. It is possible that this is related to the difference in the formulation of the cream compared with the film formulation. Skin dosimetry verification and double blinding are essential for radiation skin care comparative studies.

A Paired, Double-Blind, Randomized Comparison of a Moisturizing Durable Barrier Cream to 10% Glycerine Cream in the Prophylactic Management of Postmastectomy Irradiation Skin Care: Trans Tasman Radiation Oncology Group (TROG) 04.01

International Nuclear Information System (INIS)

Graham, Peter H.; Plant, Natalie; Graham, Jennifer L.; Browne, Lois; Borg, Martin; Capp, Anne; Delaney, Geoff P.; Harvey, Jennifer; Kenny, Lisbeth; Francis, Michael; Zissiadis, Yvonne

2013-01-01

Purpose: A previous, unblinded study demonstrated that an alcohol-free barrier film containing an acrylate terpolymer (ATP) was effective in reducing skin reactions compared with a 10% glycerine cream (sorbolene). The different appearances of these products precluded a blinded comparison. To test the acrylate terpolymer principle in a double-blinded manner required the use of an alternative cream formulation, a moisturizing durable barrier cream (MDBC); the study was conducted by the Trans Tasman Radiation Oncology Group (TROG) as protocol 04.01. Methods and Materials: A total of 333 patients were randomized; 1 patient was ineligible and 14 patients withdrew or had less than 7 weeks' observations, leaving 318 for analysis. The chest wall was divided into medial and lateral compartments, and patients were randomized to have MDBC applied daily to the medial or lateral compartment and sorbolene to the other compartment. Weekly observations, photographs, and symptom scores (pain and pruritus) were collected to week 12 or resolution of skin reactions if earlier. Skin dose was confirmed by centrally calibrated thermoluminescent dosimeters. Results: Rates of medial and lateral compartment Common Toxicity Criteria (CTC), version 3, greater than or equal to grade 3 skin reactions were 23% and 41%, but rates by skin care product were identical at 32%. There was no significant difference between MDBC and sorbolene in the primary endpoint of peak skin reactions or secondary endpoints of area-under-the-curve skin reaction scores. Conclusions: The MDBC did not reduce the peak skin reaction compared to sorbolene. It is possible that this is related to the difference in the formulation of the cream compared with the film formulation. Skin dosimetry verification and double blinding are essential for radiation skin care comparative studies

Bioavailability of the antiemetic metopimazine given as a microenema

DEFF Research Database (Denmark)

Herrstedt, J.; Jørgensen, M.; Angelo, H.R.

1996-01-01

The absorption of the antiemetic metopimazine (MPZ) given as a single dose of (a) 40 mg microenema, (b) 40 mg orally and (c) 10 mg as a 60 min i.v. continuous infusion was investigated in six healthy volunteers. Blood samples were drawn and the serum concentrations of MPZ and its acid metabolite ...... were measured. The bioavailability of MPZ given orally and as enemas was 22.3 and 19.5% respectively. Partial avoidance of hepatic first pass metabolism was seen with the enemas, which in contrast to suppositories, seems to represent a reliable form of rectal administration....

Patient radiation doses from enteroclysis examinations

International Nuclear Information System (INIS)

Hart, D.; Wall, B.F.; Haggett, P.J.; Boardman, P.; Nolan, D.J.

1994-01-01

Data relating to patient dose have been acquired for enteroclysis examinations (small bowel enemas) performed at the John Radcliffe Hospital, Oxford, on 23 adult patients. Dose-area products, fluoroscopy times and the number of radiographs taken are used to compare the examination procedure at the Hospital with enteroclysis and barium follow-throughs performed elsewhere. The mean dose-area product for the 23 examinations was 6.8 Gy cm 2 and the mean effective dose was estimated to be 1.5 mSv. These doses are intermediate between those arising from barium meals and barium enemas performed in the same room. (author)

Aperiodic Volume Optics

Science.gov (United States)

Gerke, Tim D.

Presented in this thesis is an investigation into aperiodic volume optical devices. The three main topics of research and discussion are the aperiodic volume optical devices that we call computer-generated volume holograms (CGVH), defects within periodic 3D photonic crystals, and non-periodic, but ordered 3D quasicrystals. The first of these devices, CGVHs, are designed and investigated numerically and experimentally. We study the performance of multi-layered amplitude computer-generated volume holograms in terms of efficiency and angular/frequency selectivity. Simulation results show that such aperiodic devices can increase diffraction efficiency relative to periodic amplitude volume holograms while maintaining angular and wavelength selectivity. CGVHs are also designed as voxelated volumes using a new projection optimization algorithm. They are investigated using a volumetric diffraction simulation and a standard 3D beam propagation technique as well as experimentally. Both simulation and experiment verify that the structures function according to their design. These represent the first diffractive structures that have the capacity for generating arbitrary transmission and reflection wave fronts and that provide the ability for multiplexing arbitrary functionality given different illumination conditions. Also investigated and discussed in this thesis are 3D photonic crystals and quasicrystals. We demonstrate that these devices can be fabricated using a femtosecond laser direct writing system that is particularly appropriate for fabrication of such arbitrary 3D structures. We also show that these devices can provide 3D partial bandgaps which could become complete bandgaps if fabricated using high index materials or by coating lower index materials with high index metals. Our fabrication method is particularly suited to the fabrication of engineered defects within the periodic or quasi-periodic systems. We demonstrate the potential for fabricating defects within

Fermentative utilization of glycerol residue for the production of acetic acid

Science.gov (United States)

Irvan; Trisakti, B.; Hasibuan, R.; Joli, M.

2018-02-01

Glycerol residue, frequently known as pitch, is a waste produced from the downstream product of crude glycerine distillation. With the increasing need of pure glycerine in the world, the glycerol residue produced is also increasing. Glycerol residue is a solid waste at room temperature, highly alkaline (pH > 13), corrosive, and categorized as hazardous and poisonous waste. In this research, acetic acid was produced from glycerol residue through the anaerobic fermentation process by using purple non-sulphur photosynthetic bacteria. The purpose of this study was to find out the influence of concentration change of glycerol residue on time and to find out the possibility of glycerol residue to be utilized as acetic acid. In this research, at first 400 g of glycerol residue was diluted with 200 ml of distilled water to change the glycerine phase, from solid to liquid at room temperature, acidified by using hydrochloric acid until pH 2. The top layer formed was fatty acid and triglycerides that should be removed. Meanwhile, the bottom layer was diluted glycerol residue which was then neutralized with caustic soda. To produce acetic acid, glycerol residue with various concentrations, salt, and purple non-sulphur photosynthetic bacteria were put together into a 100 ml bottle which had been previously sterilized, then incubated for four weeks under the light of 40-watt bulb. The result showed that on the 28th day of fermentation, the produced acetic acid were 0.28, 1.85, and 0.2% (w/w) by using glycerine with the concentration of 0.5, 1.0, and 1.5% (w/w), respectively.

Understanding the heterogeneity in volume overload and fluid distribution in decompensated heart failure is key to optimal volume management: role for blood volume quantitation.

Science.gov (United States)

Miller, Wayne L; Mullan, Brian P

2014-06-01

This study sought to quantitate total blood volume (TBV) in patients hospitalized for decompensated chronic heart failure (DCHF) and to determine the extent of volume overload, and the magnitude and distribution of blood volume and body water changes following diuretic therapy. The accurate assessment and management of volume overload in patients with DCHF remains problematic. TBV was measured by a radiolabeled-albumin dilution technique with intravascular volume, pre-to-post-diuretic therapy, evaluated at hospital admission and at discharge. Change in body weight in relation to quantitated TBV was used to determine interstitial volume contribution to total fluid loss. Twenty-six patients were prospectively evaluated. Two patients had normal TBV at admission. Twenty-four patients were hypervolemic with TBV (7.4 ± 1.6 liters) increased by +39 ± 22% (range, +9.5% to +107%) above the expected normal volume. With diuresis, TBV decreased marginally (+30 ± 16%). Body weight declined by 6.9 ± 5.2 kg, and fluid intake/fluid output was a net negative 8.4 ± 5.2 liters. Interstitial compartment fluid loss was calculated at 6.2 ± 4.0 liters, accounting for 85 ± 15% of the total fluid reduction. TBV analysis demonstrated a wide range in the extent of intravascular overload. Dismissal measurements revealed marginally reduced intravascular volume post-diuretic therapy despite large reductions in body weight. Mobilization of interstitial fluid to the intravascular compartment with diuresis accounted for this disparity. Intravascular volume, however, remained increased at dismissal. The extent, composition, and distribution of volume overload are highly variable in DCHF, and this variability needs to be taken into account in the approach to individualized therapy. TBV quantitation, particularly serial measurements, can facilitate informed volume management with respect to a goal of treating to euvolemia. Copyright © 2014 American College of Cardiology Foundation. Published

Long-term, low-level radwaste volume-reduction strategies. Volume 4. Waste disposal costs. Final report

International Nuclear Information System (INIS)

Sutherland, A.A.; Adam, J.A.; Rogers, V.C.; Merrell, G.B.

1984-11-01

Volume 4 establishes pricing levels at new shallow land burial grounds. The following conclusions can be drawn from the analyses described in the preceding chapters: Application of volume reduction techniques by utilities can have a significant impact on the volumes of wastes going to low-level radioactive waste disposal sites. Using the relative waste stream volumes in NRC81 and the maximum volume reduction ratios provided by Burns and Roe, Inc., it was calculated that if all utilities use maximum volume reduction the rate of waste receipt at disposal sites will be reduced by 40 percent. When a disposal site receives a lower volume of waste its total cost of operation does not decrease by the same proportion. Therefore the average cost for a unit volume of waste received goes up. Whether the disposal site operator knows in advance that he will receive a smaller amount of waste has little influence on the average unit cost ($/ft) of the waste disposed. For the pricing algorithm postulated, the average disposal cost to utilities that volume reduce is relatively independent of whether all utilities practice volume reduction or only a few volume reduce. The general effect of volume reduction by utilities is to reduce their average disposal site costs by a factor of between 1.5 to 2.5. This factor is generally independent of the size of the disposal site. The largest absolute savings in disposal site costs when utilities volume reduce occurs when small disposal sites are involved. This results from the fact that unit costs are higher at small sites. Including in the pricing algorithm a factor that penalizes waste generators who contribute larger amounts of the mobile nuclides 3 H, 14 C, 99 Tc, and 129 I, which may be the subject of site inventory limits, lowers unit disposal costs for utility wastes that contain only small amounts of the nuclides and raises unit costs for other utility wastes

The volume of a soliton

International Nuclear Information System (INIS)

Adam, C.; Haberichter, M.; Wereszczynski, A.

2016-01-01

There exists, in general, no unique definition of the size (volume, area, etc., depending on dimension) of a soliton. Here we demonstrate that the geometric volume (area etc.) of a soliton is singled out in the sense that it exactly coincides with the thermodynamical or continuum-mechanical volume. In addition, this volume may be defined uniquely for rather arbitrary solitons in arbitrary dimensions.

The volume of a soliton

Energy Technology Data Exchange (ETDEWEB)

Adam, C., E-mail: adam@fpaxp1.usc.es [Departamento de Física de Partículas, Universidad de Santiago de Compostela and Instituto Galego de Física de Altas Enerxias (IGFAE), E-15782 Santiago de Compostela (Spain); Haberichter, M. [School of Mathematics, Statistics and Actuarial Science, University of Kent, Canterbury, CT2 7NF (United Kingdom); Wereszczynski, A. [Institute of Physics, Jagiellonian University, Lojasiewicza 11, Kraków (Poland)

2016-03-10

There exists, in general, no unique definition of the size (volume, area, etc., depending on dimension) of a soliton. Here we demonstrate that the geometric volume (area etc.) of a soliton is singled out in the sense that it exactly coincides with the thermodynamical or continuum-mechanical volume. In addition, this volume may be defined uniquely for rather arbitrary solitons in arbitrary dimensions.

Postoperative volume balance

DEFF Research Database (Denmark)

Frost, H; Mortensen, C.R.; Secher, Niels H.

2017-01-01

In healthy humans, stroke volume (SV) and cardiac output (CO) do not increase with expansion of the central blood volume by head-down tilt or administration of fluid. Here, we exposed 85 patients to Trendelenburg's position about one hour after surgery while cardiovascular variables were determin...

Ovarian volume throughout life

DEFF Research Database (Denmark)

Kelsey, Thomas W; Dodwell, Sarah K; Wilkinson, A Graham

2013-01-01

conception to 82 years of age. This model shows that 69% of the variation in ovarian volume is due to age alone. We have shown that in the average case ovarian volume rises from 0.7 mL (95% CI 0.4-1.1 mL) at 2 years of age to a peak of 7.7 mL (95% CI 6.5-9.2 mL) at 20 years of age with a subsequent decline...... to about 2.8 mL (95% CI 2.7-2.9 mL) at the menopause and smaller volumes thereafter. Our model allows us to generate normal values and ranges for ovarian volume throughout life. This is the first validated normative model of ovarian volume from conception to old age; it will be of use in the diagnosis......The measurement of ovarian volume has been shown to be a useful indirect indicator of the ovarian reserve in women of reproductive age, in the diagnosis and management of a number of disorders of puberty and adult reproductive function, and is under investigation as a screening tool for ovarian...

Environmental report 1995. Volume 2

International Nuclear Information System (INIS)

Harrach, R.J.; Failor, R.A.; Gallegos, G.M.

1996-09-01

This is Volume 2 of the Lawrence Livermore National Laboratory's (LLNL's) annual Environmental Report 1995. This volume is intended to support summary data from Volume 1 and is essentially a detailed data report that provides additional data points, where applicable. Some summary data are also included in Volume 2, and more detailed accounts are given of sample collection and analytical methods. Volume 2 includes information in eight chapters on monitoring of air, air effluent, sewage, surface water, ground water, soil and sediment, vegetation and foodstuff, and environmental radiation, as well as three chapters on ground water protection, compliance self-monitoring and quality assurance

Clinical Usefulness of Implanted Fiducial Markers for Hypofractionated Radiotherapy of Prostate Cancer

International Nuclear Information System (INIS)

Choi, Young Min; Ahn, Sung Hwan; Lee, Hyung Hwan; Lee, Hyung Sik; Hur, Woo Joo; Yoon, Jin Han; Kim, Tae Hyo; Kim, Soo Dong; Yun, Seong Guk

2011-01-01

To assess the usefulness of implanted fiducial markers in the setup of hypofractionated radiotherapy for prostate cancer patients by comparing a fiducial marker matched setup with a pelvic bone match. Four prostate cancer patients treated with definitive hypofractionated radiotherapy between September 2009 and August 2010 were enrolled in this study. Three gold fiducial markers were implanted into the prostate and through the rectum under ultrasound guidance around a week before radiotherapy. Glycerin enemas were given prior to each radiotherapy planning CT and every radiotherapy session. Hypofractionated radiotherapy was planned for a total dose of 59.5 Gy in daily 3.5 Gy with using the Novalis system. Orthogonal kV X-rays were taken before radiotherapy. Treatment positions were adjusted according to the results from the fusion of the fiducial markers on digitally reconstructed radiographs of a radiotherapy plan with those on orthogonal kV X-rays. When the difference in the coordinates from the fiducial marker fusion was less than 1 mm, the patient position was approved for radiotherapy. A virtual bone matching was carried out at the fiducial marker matched position, and then a setup difference between the fiducial marker matching and bone matching was evaluated. Three patients received a planned 17-fractionated radiotherapy and the rest underwent 16 fractionations. The setup error of the fiducial marker matching was 0.94±0.62 mm (range, 0.09 to 3.01 mm; median, 0.81 mm), and the means of the lateral, craniocaudal, and anteroposterior errors were 0.39±0.34 mm, 0.46±0.34 mm, and 0.57±0.59 mm, respectively. The setup error of the pelvic bony matching was 3.15±2.03 mm (range, 0.25 to 8.23 mm; median, 2.95 mm), and the error of craniocaudal direction (2.29±1.95 mm) was significantly larger than those of anteroposterior (1.73±1.31 mm) and lateral directions (0.45±0.37 mm), respectively (p< 0.05). Incidences of over 3 mm and 5 mm in setup difference among the

Variable volume combustor

Science.gov (United States)

Ostebee, Heath Michael; Ziminsky, Willy Steve; Johnson, Thomas Edward; Keener, Christopher Paul

2017-01-17

The present application provides a variable volume combustor for use with a gas turbine engine. The variable volume combustor may include a liner, a number of micro-mixer fuel nozzles positioned within the liner, and a linear actuator so as to maneuver the micro-mixer fuel nozzles axially along the liner.

Bulk-volume behavior of pressure-densified amorphous polymers and free-volume behavior by positron annihilation lifetime measurement

International Nuclear Information System (INIS)

Hagiwara, K.; Ougizawa, T.; Inoue, T.; Hirata, K.; Kobayashi, Y.

2001-01-01

In order to study the nature of amorphous polymers, the free volume contribution on the bulk volume change was investigated on the basis of the relationship between the bulk volume behavior by PVT (pressure-volume-temperature) measurement and the free volume behavior by PALS (positron annihilation lifetime spectroscopy) measurement. A densified glass, prepared by cooling at constant rate from the melt state temperature to room temperature under 200 MPa, showed smaller bulk volume and free volume than non-densified glass. And the densified glass showed not only the same glass transition temperature (Tg) as non-densified glass but also another transition at lower temperature around (Tg-30 C). In this glass-glass transition, both the bulk volume and free volume of densified glass recovered to those of non-densified glass. Moreover the densified glass showed different thermal behavior from the glass which was enthalpy-relaxed under atmospheric pressure. From those results, it was considered that the free volume behavior largely related to the behavior of amorphous polymers. (orig.)

Volume definition system for treatment planning

International Nuclear Information System (INIS)

Alakuijala, Jyrki; Pekkarinen, Ari; Puurunen, Harri

1997-01-01

Purpose: Volume definition is a difficult and time consuming task in 3D treatment planning. We have studied a systems approach for constructing an efficient and reliable set of tools for volume definition. Our intent is to automate body outline, air cavities and bone volume definition and accelerate definition of other anatomical structures. An additional focus is on assisting in definition of CTV and PTV. The primary goals of this work are to cut down the time used in contouring and to improve the accuracy of volume definition. Methods: We used the following tool categories: manual, semi-automatic, automatic, structure management, target volume definition, and visualization tools. The manual tools include mouse contouring tools with contour editing possibilities and painting tools with a scaleable circular brush and an intelligent brush. The intelligent brush adapts its shape to CT value boundaries. The semi-automatic tools consist of edge point chaining, classical 3D region growing of single segment and competitive volume growing of multiple segments. We tuned the volume growing function to take into account both local and global region image values, local volume homogeneity, and distance. Heuristic seeding followed with competitive volume growing finds the body outline, couch and air automatically. The structure management tool stores ICD-O coded structures in a database. The codes have predefined volume growing parameters and thus are able to accommodate the volume growing dissimilarity function for different volume types. The target definition tools include elliptical 3D automargin for CTV to PTV transformation and target volume interpolation and extrapolation by distance transform. Both the CTV and the PTV can overlap with anatomical structures. Visualization tools show the volumes as contours or color wash overlaid on an image and displays voxel rendering or translucent triangle mesh rendering in 3D. Results: The competitive volume growing speeds up the

Environmental Report 1996, Volume 2

Energy Technology Data Exchange (ETDEWEB)

Harrach, R.J.

1996-01-01

This is Volume 2 of the Lawrence Livermore National Laboratory`s (LLNL`s) annual Environmental Report 1996, prepared for the US Department of Energy. Volume 2 supports Volume 1 summary data and is essentially a detailed data report that provides individual data points, where applicable. Volume 2 includes information on monitoring of air, air effluents, sewerable water, surface water, ground water, soil and sediment, vegetation and foodstuff, environmental radiation, and quality assurance.

Increased intracranial volume in Parkinson's disease

DEFF Research Database (Denmark)

Krabbe, Katja; Karlsborg, Merete; Hansen, Andreas

2005-01-01

segmentation and outlining of regions in order to identify regional volume changes that might be useful in the diagnosis of the two diseases. RESULTS: Patients with PD had significantly larger intracranial volumes (ICVs) and significantly smaller putaminal and sustantia nigra volumes than controls. MSA...... patients had significantly smaller substantia nigra and caudate volumes than controls but normal intracranial volume. In both patient groups there was a further trend towards smaller amygdala volumes. DISCUSSION: Increased ICV in PD patients is a new finding that may be explained by genetic factors...

Volume calculations of coarse woody debris; evaluation of coarse woody debris volume calculations and consequences for coarse woody debris volume estimates in forest reserves

NARCIS (Netherlands)

Wijdeven, S.M.J.; Vaessen, O.H.B.; Hees, van A.F.M.; Olsthoorn, A.F.M.

2005-01-01

Dead wood is recognized as one of the key indicators for sustainable forest management and biodiversity. Accurate assessments of dead wood volume are thus necessary. In this study New volume models were designed based on actual volume measurements of coarse woody debris. The New generic model

Rectal budesonide and mesalamine formulations in active ulcerative proctosigmoiditis: efficacy, tolerance, and treatment approach

Directory of Open Access Journals (Sweden)

Christophi GP

2016-05-01

Full Text Available George P Christophi, Arvind Rengarajan, Matthew A Ciorba Division of Gastroenterology, Washington University School of Medicine, St. Louis, MO, USA Abstract: Ulcerative colitis (UC is an immune-mediated disease of the colon that is characterized by diffuse and continuous inflammation contiguous from the rectum. Half of UC patients have inflammation limited to the distal colon (proctitis or proctosigmoiditis that primarily causes symptoms of bloody diarrhea and urgency. Mild-to-moderate distal UC can be effectively treated with topical formulations (rectal suppositories, enemas, or foam of mesalamine or steroids to reduce mucosal inflammation and alleviate symptoms. Enemas or foam formulations adequately reach up to the splenic flexure, have a minimal side-effect ­profile, and induce remission alone or in combination with systemic immunosuppressive therapy. Herein, we compare the efficacy, cost, patient tolerance, and side-effect profiles of steroid and mesalamine rectal formulations in distal UC. Patients with distal mild-to-moderate UC have a remission rate of approximately 75% (NNT =2 after treatment for 6 weeks with mesalamine enemas. Rectal budesonide foam induces remission in 41.2% of patients with mild-to-moderate active distal UC compared to 24% of patient treated with placebo (NNT =5. However, rectal budesonide has better patient tolerance profile compared to enema formulations. Despite its favorable efficacy, safety, and cost profiles, patients and physicians significantly underuse topical treatments for treating distal colitis. This necessitates improved patient education and physician familiarity regarding the indications, effectiveness, and potential financial and tolerability barriers in using rectal formulations. Keywords: inflammatory bowel disease, treatment cost effectiveness, Crohn’s disease, ulcerative colitis, colon mucosa, proctitis suppositories, topical immunosuppressive therapy

Preparation of goreisan suppository and pharmacokinetics of trans-cinnamic acid after administration to rabbits.

Science.gov (United States)

Katagiri, Yukiko; Miyazaki, Yasunori; Uchino, Tomonobu; Kagawa, Yoshiyuki

2014-01-01

Goreisan suppository is prepared as a hospital preparation, and successfully used for the treatment of diarrhea and vomiting in young children with common cold. While clinical efficacy of the suppository has been reported, few studies have been carried out to clarify the preparation procedure and pharmacokinetics of the suppository. In this study, trans-cinnamic acid (CA) was used as a representative substance of goreisan constituents, and assayed by HPLC-UV. We investigated the properties of goreisan suppositories prepared using various sizes of pulverized goreisan extract granules, in vitro dissolution profiles using the reciprocating dialysis tube method, and pharmacokinetics in rabbits compared with those for goreisan enema. Mass and content uniformity tests on the suppositories of three size fractions, 0-75, 75-150, and 150-300 µm, showed good acceptance for all kinds of suppository. Storage stability at 4°C was maintained until 4 months. In vitro dissolution of CA from the suppository was proportional to time until 45 min, and slower than that from the enema. Finally, 80% of CA had dissolved at 60 min. Pharmacokinetic study in rabbits revealed that the area under the plasma concentration-time curve from 0 to 120 min (AUC0-120 min) of the suppository was twice that of the enema. Moreover, from a study in rabbits using CA injection and CA suppository, we revealed that CA was rapidly and well absorbed from the rectum, showing 84% absolute bioavailability. Thus, we illustrated the defined preparation procedure of the suppository and the superiority of the suppository over the enema. This study will support evidence that the suppository is fast-acting and efficacious in clinical use.

Cost-Effectiveness Analysis of Six Strategies to Treat Recurrent Clostridium difficile Infection

Science.gov (United States)

Lapointe-Shaw, Lauren; Tran, Kim L.; Coyte, Peter C.; Hancock-Howard, Rebecca L.; Powis, Jeff; Poutanen, Susan M.; Hota, Susy

2016-01-01

Objective To assess the cost-effectiveness of six treatment strategies for patients diagnosed with recurrent Clostridium difficile infection (CDI) in Canada: 1. oral metronidazole; 2. oral vancomycin; 3.oral fidaxomicin; 4. fecal transplantation by enema; 5. fecal transplantation by nasogastric tube; and 6. fecal transplantation by colonoscopy. Perspective Public insurer for all hospital and physician services. Setting Ontario, Canada. Methods A decision analytic model was used to model costs and lifetime health effects of each strategy for a typical patient experiencing up to three recurrences, over 18 weeks. Recurrence data and utilities were obtained from published sources. Cost data was obtained from published sources and hospitals in Toronto, Canada. The willingness-to-pay threshold was $50,000/QALY gained. Results Fecal transplantation by colonoscopy dominated all other strategies in the base case, as it was less costly and more effective than all alternatives. After accounting for uncertainty in all model parameters, there was an 87% probability that fecal transplantation by colonoscopy was the most beneficial strategy. If colonoscopy was not available, fecal transplantation by enema was cost-effective at $1,708 per QALY gained, compared to metronidazole. In addition, fecal transplantation by enema was the preferred strategy if the probability of recurrence following this strategy was below 8.7%. If fecal transplantation by any means was unavailable, fidaxomicin was cost-effective at an additional cost of $25,968 per QALY gained, compared to metronidazole. Conclusion Fecal transplantation by colonoscopy (or enema, if colonoscopy is unavailable) is cost-effective for treating recurrent CDI in Canada. Where fecal transplantation is not available, fidaxomicin is also cost-effective. PMID:26901316

BARIUM REDUCTION OF INTUSSUSCEPTION IN INFANCY

Science.gov (United States)

Denenholz, Edward J.; Feher, George. S.

1955-01-01

Barium enema reduction was used as the initial routine treatment in 29 infants with intussusception. In 22 of them the intussusception was reduced by this means. In three of eight patients operated upon the intussusception was found to be reduced. Four of the remaining five patients had clinical or x-ray evidence of complications before reduction by barium enema was attempted. Twenty-one of the patients, all of whom were observed in private practice, were treated without admission to the hospital. After reduction, these patients were observed closely by the clinician. None of these patients showed clinical or x-ray signs of complications before reduction. Certain clinical and roentgen criteria must be satisfied before it can be concluded that reduction by barium enema is complete. If there are clinical signs of complications with x-ray evidence of small bowel obstruction, only a very cautious attempt at hydrostatic reduction should be made. As the time factor is generally a reliable clinical guide to reducibility, the late cases should be viewed with greater caution. Long duration of symptoms, however, is not per se a contraindication to an attempt at hydrostatic reduction. PMID:13230908

Modeling Approach for Estimating Co-Produced Water Volumes and Saltwater Disposal Volumes in Oklahoma

Science.gov (United States)

Murray, K. E.

2016-12-01

Management of produced fluids has become an important issue in Oklahoma because large volumes of saltwater are co-produced with oil and gas, and disposed into saltwater disposal wells at high rates. Petroleum production increased from 2009-2015, especially in central and north-central Oklahoma where the Mississippian and Hunton zones were redeveloped using horizontal wells and dewatering techniques that have led to a disproportional increase in produced water volumes. Improved management of co-produced water, including desalination for beneficial reuse and decreased saltwater disposal volumes, is only possible if spatial and temporal trends can be defined and related to the producing zones. It is challenging to quantify the volumes of co-produced water by region or production zone because co-produced water volumes are generally not reported. Therefore, the goal of this research is to estimate co-produced water volumes for 2008-present with an approach that can be replicated as petroleum production shifts to other regions. Oil and gas production rates from subsurface zones were multiplied by ratios of H2O:oil and H2O:gas for the respective zones. Initial H2O:oil and H2O:gas ratios were adjusted/calibrated, by zone, to maximize correlation of county-scale produced H2O estimates versus saltwater disposal volumes from 2013-2015. These calibrated ratios were then used to compute saltwater disposal volumes from 2008-2012 because of apparent data gaps in reported saltwater disposal volumes during that timeframe. This research can be used to identify regions that have the greatest need for produced water treatment systems. The next step in management of produced fluids is to explore optimal energy-efficient strategies that reduce deleterious effects.

Some aspects of the relation between the volume of prostate carcinoma and its interstitial BT volume

International Nuclear Information System (INIS)

Zivanovic, A; Babic, J; Erak, M.; Dabic, K.; Donat, D.; Kuzmanovic, Z.; Savic, D.

1996-01-01

It is a fact that the volume achieved by the interstitial procedure during the brachy treatment of prostate carcinoma is several times smaller than the one we get in, so called, external beam therapy. Furthermore, interstitial brachytherapy offers the possibility to apply large dose into the small volume. However, both dose and volume are at the same time the factors that limit the therapy and the main technical offenders in case of therapy failure. We tried, through a strong individual approach, to compare the volume obtained mathematically and the volume obtained by planning (TPS). By means of clinical examinations and CT scans we conceived a prostate as half of the volume of ellipsoid under one condition only: the magnification of the prostate has to be a symmetrical one. Finally, we applied the following formula: V prostate=(1(2)) ellipsoid=2.09·a/2·e/2·b where a=(1(2)) of sagittal diameter b=prostate height (from apex to base) c=(1(2)) of transversal diameter Each volume obtained in the this way has been taken into account during the application of interstitial needles which in their own way and in accordance to a routine planning, form an active therapeutic interstitial volume. The obtained data showed differences between these two types of volumes. From the statistical point of view, mathematically obtained volume of CV was 16.6% while interstitial volume was 14.9%. T-test was 3.9. On average, mathematical volume is lower and this balance is a desirable one because it means a smaller possibility for potential positive biopsy as a result of a 'rest' tumour. If on the other hand, positive biopsy is a result of the 'rest' tumour and our interpretation has been a contradictory one, precious time with disappointing results will be lost. At the end we achieved: a) double checked control of the embraced volumes, b) stronger fulcrum for the next step: dose-fraction balance

Evaluation and Characterization of Biodiesels Obtained Through Ethylic or Methylic Transesterification of Tryacylglicerides in Corn Oil

Directory of Open Access Journals (Sweden)

Douglas Queiroz Santos

2014-06-01

Full Text Available This work was devoted to the transesterification of corn oil either with methyl or ethyl alcohol and to the characterization of the biodiesels (composed by FAME—fatty acid methyl esters—or FAEE—fatty acid ethyl esters, respectively produced. As an initial hypothesis, it was argued whether or not the two alcohols, both with short molecular chains, would impart significant differences to the chemical characteristics of the two biodiesels from corn oil. The most common properties of the biodiesels were evaluated by determining corresponding parameters for acid value, peroxide value, water content, oxidative stability, free and total glycerin, kinematic viscosity at 40 ℃ and density at 20 ℃, for both chemical routes, FAME and FAEE. In general, values were found to be well within the recommended limits for commercial biodiesel, in accordance with the Brazilian, European and American standard recommendations, except only for the oxidative stability. The methyl biodiesel presented acidity of 0.08 mg KOH/g; peroxide index, 23.77 meq/kg; oxidation stability, 3.10 h; water content, 297.1 mg/kg; total glycerin, 0.092 %; free glycerin, 0.009 %; viscosity, 4.05 mm2/s and density, 878.7 kg/m. The methyl biodiesel presented acidity of 0.11 mg/ KOH; peroxide index, 22.39 meq/kg; oxidation stability, 2.13 h; water content, 264.8 mg/kg; total glycerin, 0.25 %; free glycerin, 0.02 %; viscosity, 4.37 mm2/s and density, 874.0 kg/m. From a direct inspection of chemical data for the two products prepared via the two chemical routes, it can be drawn that values of the physical and chemical parameters for both, methyl and ethyl biodiesels, are essentially similar, except for the oxidative stability. However, the oxidative stability can be suitably adjusted by adding an anti-oxidizing agent to the ethyl biodiesel medium. The two biodiesels are thus promising alternatives to fully replace or to be admixed to the mineral diesel. Relatively to the pure petrol

Rectal bleeding and its management after irradiation for cervix cancer

International Nuclear Information System (INIS)

Chun, Mi Son; Kang, Seung Hee; Kil, Hoon Jong; Oh, Young Taek; Sohn, Jeong Hye; Ryu, Hee Suk; Lee, Kwang Jae; Jung, Hye Young

2002-01-01

Radiotherapy is the main treatment modality for uterine cervix cancer. Since the rectum is in the radiation target volume, rectal bleeding is a common late side effect. The study evaluates the risk factors of radiation induced rectal bleeding and discusses its optimal management. A total of 213 patients who completed external beam radiation therapy (EBRT) and intracavitary radiation (ICR) between September 1994 and December 1999 were included in this study. No patient had undergone concurrent chemo-radiotherapy. Ninety patients received radiotherapy according to a modified hyperfractionated schedule. A midline block was placed at a pelvic dose of between 30.6 Gy to 39.6 Gy. The total parametrial dose from the EBRT was 51 to 59 Gy depending on the extent of their disease. The point A dose from the HDR brachytherapy was 28 Gy to 30 Gy (4 Gy x 7, or 5 Gy x 6). The rectal point dose was calculated either by the ICRU 38 guideline, or by anterior rectal wall point seen on radiographs, with barium contrast. Rectal bleeding was scored by the LENT/SOMA criteria. For the management of rectal bleeding, we opted for observation, sucralfate enema or coagulation based on the frequency or amount of bleeding. The median follow-up period was 39 months (12 ∼ 86 months). The incidence of rectal bleeding was 12.7% (27/213); graded as 1 in 9 patients, grade 2 in 16 and grade 3 in 2. The overall moderate and severe rectal complication rate was 8.5%. Most complications (92.6%) developed within 2 years following completion of radiotherapy (median 16 months). No patient progressed to rectal fistula or obstruction during the follow-up period. In the univariate analysis, three factors correlated with a high incidence of bleeding: an icruCRBED greater than 100 Gy (19.7% vs. 4.2%), an EBRT dose to the parametrium over 55 Gy (22.1% vs. 5.1%) and higher stages of III and IV (31.8% vs. 10.5%). In the multivariate analysis, the icruCRBED was the only significant factor (ρ > 0.0432). The total

ANÁLISE MORFOLÓGICA E MICROBIOLÓGICA DO PERICÁRDIO BOVINO CONSERVADO EM AÇÚCAR, GLICERINA, MEL E SAL

Directory of Open Access Journals (Sweden)

Antônio Fernando Bariani Júnior

2014-07-01

Full Text Available Histological and microbiological comparative analysis of bovine pericardium preserved for 30 and 60 days in glycerin (98%, supersaturated sugar solution (300%, supersaturated solution of salt (150% and unprocessed honey were performed aiming to establish alternative ways of preservation of biological membranes. Samples of pericardium from five cattle were collected in fridge and maintained for up to 60 days in containers with the above mentioned solutions of conservation. For morphological analysis of the constituents of bovine pericardium were performed routine histological techniques associated to two microbiological culture techniques: streaking on the surface of the plate and pour-plate. The supersaturated solution of sugar (300% was the medium of preservation with results closer to the obtained with glycerin (98%, but was unable to prevent microorganisms growth. The unprocessed honey and supersaturated solution of salt (150% had suitable antiseptic characteristics, but failed to effectively conserve the pericardium, with a greater structural disorganization of the connective tissue, indicating advanced process of autolysis after 60 days of storage. It was concluded that glycerin (98% appeared as the most efficient solution when compared to the others evaluated in this study.

36 CFR 223.36 - Volume determination.

Science.gov (United States)

2010-07-01

... 36 Parks, Forests, and Public Property 2 2010-07-01 2010-07-01 false Volume determination. 223.36... Volume determination. (a) Timber sale contracts may provide for volume determination by scaling... the contract or permit provides for the determination of volume by tree measurement and the timber has...

Effect of large volume paracentesis on plasma volume--a cause of hypovolemia

International Nuclear Information System (INIS)

Kao, H.W.; Rakov, N.E.; Savage, E.; Reynolds, T.B.

1985-01-01

Large volume paracentesis, while effectively relieving symptoms in patients with tense ascites, has been generally avoided due to reports of complications attributed to an acute reduction in intravascular volume. Measurements of plasma volume in these subjects have been by indirect methods and have not uniformly confirmed hypovolemia. We have prospectively evaluated 18 patients (20 paracenteses) with tense ascites and peripheral edema due to chronic liver disease undergoing 5 liter paracentesis for relief of symptoms. Plasma volume pre- and postparacentesis was assessed by a 125 I-labeled human serum albumin dilution technique as well as by the change in hematocrit and postural blood pressure difference. No significant change in serum sodium, urea nitrogen, hematocrit or postural systolic blood pressure difference was noted at 24 or 48 hr after paracentesis. Serum creatinine at 24 hr after paracentesis was unchanged but a small but statistically significant increase in serum creatinine was noted at 48 hr postparacentesis. Plasma volume changed -2.7% (n = 6, not statistically significant) during the first 24 hr and -2.8% (n = 12, not statistically significant) during the 0- to 48-hr period. No complications from paracentesis were noted. These results suggest that 5 liter paracentesis for relief of symptoms is safe in patients with tense ascites and peripheral edema from chronic liver disease

Minimal preparation computed tomography instead of barium enema/colonoscopy for suspected colon cancer in frail elderly patients: an outcome analysis study

Energy Technology Data Exchange (ETDEWEB)

Kealey, S.M.; Dodd, J.D.; MacEneaney, P.M.; Gibney, R.G.; Malone, D.E. E-mail: d.malone@st-vincents.ie

2004-01-01

.18 [0.43], negative predictive value 0.97 [0.96], positive likelihood ratio result 1.6 [5.63], negative likelihood ratio result 0.27 [0.29], kappa 0.31 [0.43]. Tumour prevalence was 12%. A graph of conditional probabilities was generated and analysed. A variety of unsuspected pathology was also found in this series of patients. CONCLUSIONS: MPCT should be double-reported, at least initially. 'Possible' lesions should be ignored. Analysis of the graph of conditional probability applied to a group of frail, elderly patients with a high mortality from all causes (33% in our study) suggests: (1) if MPCT suggests definite or probable carcinoma, regardless of the pre-test probability, the post-test probability is high enough to warrant further action, (2) frail, elderly patients with a low pre-test probability for CRC and a negative MPCT should not have further investigation, (3) frail, elderly patients with a higher pre-test probability of CRC (such as those presenting with rectal bleeding) and a negative MPCT should have either double contrast barium enema (DCBE) or colonoscopy as further investigations or be followed clinically for 3-6 months. MPCT was acceptable to patients and clinicians and may reveal significant extra-colonic pathology.

Bench test evaluation of volume delivered by modern ICU ventilators during volume-controlled ventilation.

Science.gov (United States)

Lyazidi, Aissam; Thille, Arnaud W; Carteaux, Guillaume; Galia, Fabrice; Brochard, Laurent; Richard, Jean-Christophe M

2010-12-01

During volume-controlled ventilation, part of the volume delivered is compressed into the circuit. To correct for this phenomenon, modern ventilators use compensation algorithms. Humidity and temperature also influence the delivered volume. In a bench study at a research laboratory in a university hospital, we compared nine ICU ventilators equipped with compensation algorithms, one with a proximal pneumotachograph and one without compensation. Each ventilator was evaluated under normal, obstructive, and restrictive conditions of respiratory mechanics. For each condition, three tidal volumes (V (T)) were set (300, 500, and 800 ml), with and without an inspiratory pause. The insufflated volume and the volume delivered at the Y-piece were measured independently, without a humidification device, under ambient temperature and pressure and dry gas conditions. We computed the actually delivered V (T) to the lung under body temperature and pressure and saturated water vapour conditions (BTPS). For target V (T) values of 300, 500, and 800 ml, actually delivered V (T) under BTPS conditions ranged from 261 to 396 ml (-13 to +32%), from 437 to 622 ml (-13 to +24%), and from 681 to 953 ml (-15 to +19%), respectively (p ventilators.

Food preferences of wild house-mice (Mus musclus L).

Science.gov (United States)

Rowe, F P; Bradfield, A; Redfern, R

1974-12-01

The relative acceptance of various plain foods by wild house-mice (Mus musculus L.) was compared in laboratory choice tests. The palatability of glycerine and six oils, each included at 5% in pinhead oatmeal, was compared in a similar manner.The most favoured food was found to be whole canary seed (Phalaris canariensis). Pinhead oatmeal and wheat were also comparatively well accepted. Glycerine, corn oil, arachis oil and mineral oil were more palatable than either olive, linseed or cod-liver oils.The results of the choice tests are considered in relation to the use of poison baits for the control of free-living mice.

Food preferences of wild house-mice (Mus musculus L.)*

Science.gov (United States)

Rowe, F. P.; Bradfield, A.; Redfern, R.

1974-01-01

The relative acceptance of various plain foods by wild house-mice (Mus musculus L.) was compared in laboratory choice tests. The palatability of glycerine and six oils, each included at 5% in pinhead oatmeal, was compared in a similar manner. The most favoured food was found to be whole canary seed (Phalaris canariensis). Pinhead oatmeal and wheat were also comparatively well accepted. Glycerine, corn oil, arachis oil and mineral oil were more palatable than either olive, linseed or cod-liver oils. The results of the choice tests are considered in relation to the use of poison baits for the control of free-living mice. PMID:4531454

Cell volume regulation: physiology and pathophysiology

DEFF Research Database (Denmark)

Lambert, I H; Hoffmann, E K; Pedersen, Stine Helene Falsig

2008-01-01

are sensed are still far from clear, significant progress has been made with respect to the nature of the sensors, transducers and effectors that convert a change in cell volume into a physiological response. In the present review, we summarize recent major developments in the field, and emphasize......Cell volume perturbation initiates a wide array of intracellular signalling cascades, leading to protective and adaptive events and, in most cases, activation of volume-regulatory osmolyte transport, water loss, and hence restoration of cell volume and cellular function. Cell volume is challenged....../hypernatremia. On the other hand, it has recently become clear that an increase or reduction in cell volume can also serve as a specific signal in the regulation of physiological processes such as transepithelial transport, cell migration, proliferation and death. Although the mechanisms by which cell volume perturbations...

Early changes in volume and non-enhanced volume of acoustic neurinoma after stereotactic gamma-radiosurgery

Energy Technology Data Exchange (ETDEWEB)

Oyama, Hirofumi; Kobayashi, Tatsuya; Kida, Yoshihisa; Tanaka, Takayuki; Mori, Yoshimasa; Iwakoshi, Takayasu; Niwa, Masahiro; Kai, Osamu; Hirose, Mitsuhiko [Komaki City Hospital, Aichi (Japan)

1994-09-01

The effectiveness of stereotactic gamma-radiosurgery for treating acoustic neurinoma was evaluated by measuring the volumes of the tumor, non-enhanced tumor, and cerebellar edema in 13 patients with acoustic neurinoma who were followed up for 9 to 15 months (median 12.7 mos) after treatment. The tumor volume and non-enhanced volume tended to reach a maximum after 6 months, and cerebellar edema volume after 9 months, then decreased gradually thereafter. Hearing loss tended to increase gradually, but involvement of the facial nerve was transient. (author).

Wave energy devices with compressible volumes.

Science.gov (United States)

Kurniawan, Adi; Greaves, Deborah; Chaplin, John

2014-12-08

We present an analysis of wave energy devices with air-filled compressible submerged volumes, where variability of volume is achieved by means of a horizontal surface free to move up and down relative to the body. An analysis of bodies without power take-off (PTO) systems is first presented to demonstrate the positive effects a compressible volume could have on the body response. Subsequently, two compressible device variations are analysed. In the first variation, the compressible volume is connected to a fixed volume via an air turbine for PTO. In the second variation, a water column separates the compressible volume from another volume, which is fitted with an air turbine open to the atmosphere. Both floating and bottom-fixed, axisymmetric, configurations are considered, and linear analysis is employed throughout. Advantages and disadvantages of each device are examined in detail. Some configurations with displaced volumes less than 2000 m 3 and with constant turbine coefficients are shown to be capable of achieving 80% of the theoretical maximum absorbed power over a wave period range of about 4 s.

REFLECTION AND REFRACTION, VOLUME 2.

Science.gov (United States)

KLAUS, DAVID J.; AND OTHERS

THIS VOLUME 2 OF A TWO-VOLUME SET PROVIDES AUTOINSTRUCTION IN PHYSICS. THE UNITS COVERED IN THIS VOLUME ARE (1) REFLECTION OF LIGHT, (2) PHOTOMETRY, (3) POLARIZATION, (4) REFRACTION OF LIGHT, (5) SNELL'S LAW, (6) LENSES, FOCUS, AND FOCAL POINTS, (7) IMAGE FORMATION, AND (8) ABERRATIONS, THE EYE, AND MAGNIFICATION. THE INTRODUCTION AND UNITS ON…

ANDRA - Referential Materials. Volume 1: Context and scope; Volume 2: Argillaceous materials; Volume 3: Cementitious materials; Volume 4: The corrosion of metallic materials

International Nuclear Information System (INIS)

2001-01-01

This huge document gathers four volumes. The first volume presents some generalities about materials used in the storage of radioactive materials (definition, design principle, current choices and corresponding storage components, general properties of materials and functions of the corresponding storage components, physical and chemical solicitations experienced by materials in a storage), and the structure and content of the other documents. The second volume addresses argillaceous materials. It presents some generalities about these materials in the context of a deep geological storage, and about their design. It presents and comments the crystalline and chemical, and physical and chemical characteristics of swelling argillaceous materials and minerals, describes how these swelling argillaceous materials are shaped and set up, presents and comments physical properties (hydraulic, mechanical and thermal properties) of these materials, comments and discusses the modelling of the geo-chemical behaviour, and their behaviour in terms of containment and transport of radionuclides. The third volume addresses cementitious materials. It presents some generalities about these materials in the context of a deep geological storage, and about their definition and specifications. It presents some more detailed generalities (cement definition and composition, hydration, microstructure of hydrated cements, adjuvants), presents and comments their physical properties (fresh concrete structure and influence of composition, main aimed properties in the hardened status, transfer, mechanical, and thermal properties, shaping and setting up of these materials, technical solutions for hydraulic works). The fourth volume addresses the corrosion of metallic materials. It presents some generalities about these materials in the context of a deep geological storage of radioactive materials. It presents metallic materials and discusses their corrosion behaviour. It describes the peculiarities

Comparison of actual tidal volume in neonatal lung model volume control ventilation using three ventilators.

Science.gov (United States)

Toyama, H; Endo, Y; Ejima, Y; Matsubara, M; Kurosawa, S

2011-07-01

In neonates, small changes in tidal volumes (V(T)) may lead to complications. Previous studies have shown a significant difference between ventilator-measured tidal volume and tidal volume delivered (actual V(T)). We evaluated the accuracy of three different ventilators to deliver small V(T) during volume-controlled ventilation. We tested Servo 300, 840 ventilator and Evita 4 Neoflow ventilators with lung models simulating normal and injured neonatal lung compliance models. Gas volume delivered from the ventilator into the test circuit (V(TV)) and actual V(T) to the test lung were measured using Ventrak respiration monitors at set V(T) (30 ml). The gas volume increase of the breathing circuit was then calculated. Tidal volumes of the SV300 and PB840 in both lung models were similar to the set V(T) and the actual tidal volumes in the injured model (20.7 ml and 19.8 ml, respectively) were significantly less than that in the normal model (27.4 ml and 23.4 ml). PB840 with circuit compliance compensation could not improve the actual V(T). V(TV) of the EV4N in the normal and the injured models (37.8 ml and 46.6 ml) were markedly increased compared with set V(T), and actual V(T) were similar to set V(T) in the normal and injured model (30.2 ml and 31.9 ml, respectively). EV4N measuring V(T) close to the lung could match actual V(T) to almost the same value as the set V(T) however the gas volume of the breathing circuit was increased. If an accurate value for the patient's actual V(T) is needed, this V(T) must be measured by a sensor located between the Y-piece and the tracheal tube.

Structure-volume relationships: singular volume effects produced by cupric ion-globular protein interaction.

Science.gov (United States)

Katz, S; Shinaberry, G; Heck, E L; Squire, W

1980-08-05

The nature of the volume isotherms produced by the coordination of Cu(II) with ovalbumin and bovine serum albumin differs substantially from the adsorption isotherms produced by these systems. Whereas there was increased binding of Cu(II) associated with a pH increase from pH 5.3 to pH 7.4, the volume isotherms for these systems did not exhibit this type of pH dependence. The volume changes were determined at 30.0 +/- 0.001 degrees C with microdilatometers which could be read to 0.01 muL. The binding isotherms for ovalbumin at pH 5.3 and 7.4 and for bovine serum albumin at pH 5.3 was resolved by a Scatchard plot to yield the appropriate thermodynamic parameters. An algorithm was derived to calculate the distribution of the individual PMi complexes, i.e., PMi-1 + M in equilibrium (Ki) PMi where i equals 1, 2, 3, ..., n moles of cation, M, bound per mole of protein, P, for the above systems. The volume isotherms were then resolved in terms of the constituent delta Vi terms, i.e., the volume change produced by the formation of the individual PMi complexes. These values were verified by an independent graphical differentiation procedure. The coordination of Cu(II) to BSA at pH 7.4 produced a cooperative adsorption isotherm which was not amenable to a Scatchard analysis. The resultant anomalous volume isotherm was resolved into a component related to Cu(II)-site interaction and a negative volume effect attributable to a conformational change induced by complex formation. This structural transition which occurs at physiological pH may constitute a control mechanism for regulating the serum level of Cu(II) and possibly other divalent ions.

Colloid volume loading does not mitigate decreases in central blood volume during simulated hemorrhage while heat stressed

DEFF Research Database (Denmark)

Crandall, Craig G; Wilson, Thad E; Marving, Jens

2012-01-01

attenuates the reduction in regional blood volumes during a simulated hemorrhagic challenge imposed via lower-body negative pressure (LBNP). Seven subjects underwent 30 mmHg LBNP while normothermic, during passive heat stress (increased internal temperature ~1°C), and while continuing to be heated after...... intravenous colloid volume loading (11 ml/kg). Relative changes in torso and regional blood volumes were determined by gamma camera imaging with technetium-99m labeled erythrocytes. Heat stress reduced blood volume in all regions (ranging from 7 to 16%), while subsequent volume loading returned those values...... to normothermic levels. While normothermic, LBNP reduced blood volume in all regions (torso: 22±8%; heart: 18±6%; spleen: 15±8%). During LBNP while heat stressed, the reductions in blood volume in each region were markedly greater when compared to LBNP while normothermic (torso: 73±2%; heart: 72±3%; spleen: 72...

Effects of uncertainty in model predictions of individual tree volume on large area volume estimates

Science.gov (United States)

Ronald E. McRoberts; James A. Westfall

2014-01-01

Forest inventory estimates of tree volume for large areas are typically calculated by adding model predictions of volumes for individual trees. However, the uncertainty in the model predictions is generally ignored with the result that the precision of the large area volume estimates is overestimated. The primary study objective was to estimate the effects of model...

Volume dose of organs at risk in the irradiated volume

International Nuclear Information System (INIS)

Hishikawa, Yoshio; Tanaka, Shinichi; Miura, Takashi

1984-01-01

Absorbed dose of organs at risk in the 50% irradiated volume needs to be carefully monitored because there is high risk of radiation injury. This paper reports on the histogram of threedimensional volume dose of organs at risk, which is obtained by computer calculation of CT scans. In order to obtain this histogram, CT is first performed in the irradiation field. The dose in each pixel is then examined by the computer as to each slice. After the pixels of all slices in the organ at risk of the irradiated field are classified according to the doses, the number of pixels in the same dose class is counted. The result is expressed in a histogram. The histogram can show the differences of influence to organs at risk given by various radiation treatment techniques. Total volume dose of organs at risk after radiotherapy can also be obtained by integration of each dose of different treatment techniques. (author)

Troglitazone treatment increases bone marrow adipose tissue volume but does not affect trabecular bone volume in mice

DEFF Research Database (Denmark)

Erikstrup, Lise Tornvig; Mosekilde, Leif; Justesen, J

2001-01-01

proliferator activated receptor-gamma (PPARgamma). Histomorphometric analysis of proximal tibia was performed in order to quantitate the amount of trabecular bone volume per total volume (BV/TV %), adipose tissue volume per total volume (AV/TV %), and hematopoietic marrow volume per total volume (HV......Aging is associated with decreased trabecular bone mass and increased adipocyte formation in bone marrow. As osteoblasts and adipocytes share common precursor cells present in the bone marrow stroma, it has been proposed that an inverse relationship exists between adipocyte and osteoblast....../TV %) using the point-counting technique. Bone size did not differ between the two groups. In troglitazone-treated mice, AV/TV was significantly higher than in control mice (4.7+/-2.1% vs. 0.2+/-0.3%, respectively, mean +/- SD, P

Sucralfate versus mesalazine versus hydrocortisone in the prevention of acute radiation proctitis during conformal radiotherapy for prostate carcinoma. A randomized study.

Science.gov (United States)

Sanguineti, Giuseppe; Franzone, Paola; Marcenaro, Michela; Foppiano, Franca; Vitale, Vito

2003-07-01

To assess whether the topical use of steroids or 5-aminosalicylic acid (5-ASA) is superior to sucralfate in preventing acute rectal toxicity during three-dimensional conformal radiotherapy (3DCRT) to 76 Gy. Patients undergoing 3DCRT for prostate carcinoma at our institution were offered to be randomized to sucralfate 3 g in 15 ml suspension enema (Antepsin, mesalazine 4 g gel enema (Enterasyn, or hydrocortisone 100 mg foam enema (Colifoam. Randomization was blind to the treating physician but not to the patient. Sucralfate was chosen as control arm. Topical treatment had to be performed once daily, starting on day 1 of 3DCRT. Acute rectal toxicity was scored weekly according to RTOG criteria. Time to occurrence of grade 2+ acute rectal toxicity was taken as endpoint. The trial was opened in August 1999, and after the first 24 patients had been treated, arm 2 was discontinued because of eight patients receiving mesalazine, seven actually developed acute rectal toxicity (five patients grade 3 and two patients grade 2). Until May 2001, 134 consecutive patients were randomly assigned to sucralfate (63 patients), mesalazine (eight patients) or hydrocortisone (63 patients). The cumulative incidence of acute rectal toxicity at the end of treatment by arm is 61.9 +/- 6.1%, 87.5 +/- 11.7%, and 52.4 +/- 6.2% for arms 1, 2, and 3, respectively. The difference between the mesalazine group and the sucralfate group is highly significant (hazard ratio [HR] 2.5, 95% confidence interval [CI] 1.1-5.7; p = 0.03). At both uni- and multivariate analysis taking into account several patients and treatment covariates, the difference between hydrocortisone and sucralfate is not significant (HR 0.7, 95% CI 0.5-1.2; p = 0.2). Topical mesalazine is contraindicated during radiotherapy. Hydrocortisone enema is not superior to sucralfate in preventing acute rectal toxicity.

HIRSCHSPRUNG'S DISEASE—The Clinical Differentiation and Treatment of Children with Hirschsprung's Disease and Pseudo-Hirschsprung's Disease

Science.gov (United States)

Ravitch, Mark M.

1958-01-01

Hirschsprung's disease is marked by constipation from the time of birth, with the development, if uncorrected, of a protuberant abdomen and flared costal margins. The rectal ampulla is empty and the abdomen is filled with fecal masses. Pain is not prominent. Flatus is passed in large amounts. Encopresis does not occur. Barium enema shows the characteristic narrowed distal rectal segment and biopsy of the rectum shows absence of the ganglion cells of the myenteric plexus. Treatment is operative resection of the distal narrow segment and a primary anastomosis. Hirschsprung's disease may be mimicked in children with: 1. Psychogenic constipation—pseudo-Hirschsprung's disease. Unlike Hirschsprung's disease, symptoms do not appear at birth, encopresis is common, and the barium enema shows no narrow distal segment. 2. Mental retardation and cerebral defect. 3. Corrected imperforate anus—on the basis of stenosis, imperfect innervation or poor habit training. 4. Cretinism—with severe constipation and intestinal dilatation perhaps the presenting symptoms. Treatment of these four groups of children with severe constipation not due to Hirschsprung's disease is: For Group 1, open discussion with parent and child. Assumption by the physician of full control of the details of treatment, and relegation of parent to the role of the physician's agent in following the prescribed regimen. For Group 2, an enema regimen. Whereas fairly rapid restoration (and then persistence) of normal bowel habit can be expected in Group 1, the basic defects in Group 2 may require indefinite continuation of treatment. For Group 3, regular enema regimen, in the less severe cases—one identical with that used in Group 1, and dilatation of strictures or anoplasty. In Group 4, thyroid hormone therapy relieves the constipation of hypothyroidism and causes reversion of radiographic changes in the colon and rectum. PMID:13561108

Natural look in volume restoration.

Science.gov (United States)

Lupo, Mary P

2008-09-01

Filling and volumizing injection procedures are currently widely used for facial augmentation and re-establishing a youthful appearance. Aesthetic physicians have advanced from the practice of treating single lines and wrinkles towards filling large facial areas to globally restore natural facial contours and meet patient demand for nonsurgical rejuvenation. This review describes the different categories of fillers and volumizers based on their duration of action and ability to create a natural looking effect; they can be broadly classified as temporary or long-lasting biodegradable agents, or permanent nonbiodegradable agents. Temporary fillers are effective to correct lines and wrinkles, but may not adequately meet the need for global facial rejuvenation and volume replacement in a long-term, cost-efficient manner. Permanent fillers for global restoration pose the issue of long-term safety, and may not be compatible with changes in facial architecture with continued aging. Longer lasting volumizers provide patients with a durable, effective option for the restoration of facial volume and the re-establishment of youthful facial contours. Temporary fillers and volumizers may also be used in combination to provide a wide source of options for the global restoration and rejuvenation of the face.

Basic Quechua. Volume I: Quechua Reader. Volume II: Quechua Grammar and Dictionary.

Science.gov (United States)

Aitken-Soux, Percy G.; Crapo, Richley H.

Volume I, the reader, has 86 lessons consisting of short passages and vocabulary lists. The language and the stories presented were learned and collected at the Indian community and Hacienda of Cayara near Potosi, Bolivia. Translations of the passages are provided in a separate section. The second volume presents the grammar and phonology of the…

Correlation between metabolic tumor volume and pathologic tumor volume in squamous cell carcinoma of the oral cavity

International Nuclear Information System (INIS)

Murphy, James D.; Chisholm, Karen M.; Daly, Megan E.; Wiegner, Ellen A.; Truong, Daniel; Iagaru, Andrei; Maxim, Peter G.; Loo, Billy W.; Graves, Edward E.; Kaplan, Michael J.; Kong, Christina; Le, Quynh-Thu

2011-01-01

Purpose: To explore the relationship between pathologic tumor volume and volume estimated from different tumor segmentation techniques on 18 F-fluorodeoxyglucose (FDG) positron emission tomography (PET) in oral cavity cancer. Materials and methods: Twenty-three patients with squamous cell carcinoma of the oral tongue had PET–CT scans before definitive surgery. Pathologic tumor volume was estimated from surgical specimens. Metabolic tumor volume (MTV) was defined from PET–CT scans as the volume of tumor above a given SUV threshold. Multiple SUV thresholds were explored including absolute SUV thresholds, relative SUV thresholds, and gradient-based techniques. Results: Multiple MTV’s were associated with pathologic tumor volume; however the correlation was poor (R 2 range 0.29–0.58). The ideal SUV threshold, defined as the SUV that generates an MTV equal to pathologic tumor volume, was independently associated with maximum SUV (p = 0.0005) and tumor grade (p = 0.024). MTV defined as a function of maximum SUV and tumor grade improved the prediction of pathologic tumor volume (R 2 = 0.63). Conclusions: Common SUV thresholds fail to predict pathologic tumor volume in head and neck cancer. The optimal technique that allows for integration of PET–CT with radiation treatment planning remains to be defined. Future investigation should incorporate biomarkers such as tumor grade into definitions of MTV.

On the volume of cremated remains

DEFF Research Database (Denmark)

Harvig, Lise Lock; Lynnerup, Niels

2013-01-01

Harvig, L., Lynnerup, N. 2013. On the effective volume of prehistoric cremains - a comparative study of cremated bone volume measured manually and assessed by Computed Tomography. Journal of Archaeological Science 40, p. 2713–2722.......Harvig, L., Lynnerup, N. 2013. On the effective volume of prehistoric cremains - a comparative study of cremated bone volume measured manually and assessed by Computed Tomography. Journal of Archaeological Science 40, p. 2713–2722....

Effect of high and low ultrafiltration volume during hemodialysis on relative blood volume

NARCIS (Netherlands)

Dasselaar, JJ; de Jong, PE; Huisman, RM; Franssen, CFM

2006-01-01

Achieving an optimal posthemodialysis hydration status may be difficult because objective criteria for dry weight are lacking. Both relative blood volume changes (Delta RBV) at the end of hemodialysis and Delta RBV normalized for ultrafiltration volume (Delta RBV/UF ratio) have been reported to

Radiologic diagnosis of Hirschsprung's disease utilizing rectosphincteric reflex

Energy Technology Data Exchange (ETDEWEB)

Nagasaki, A.; Ikeda, K.; Hayashida, Y.

1984-09-01

Artificial balloon distension of the rectum caused a reflex opening of the anal canal as seen during barium enema in 10 out of 10 normal children and in 7 of 7 children with idiopathic constipation. Reflex opening of the anal canal was not observed in any of 15 children with proven Hirschsprung's disease. This lack of response was independent of the length of aganglionosis or previous diverting colostomy and corresponded to the fact that on manometric study the intraluminal pressure of the anal canal fell in normal children but not in the children with Hirschsprung's disease. This finding greatly improves the reliability of barium enema in the diagnosis of Hirschsprung's disease.

Colonoscopic diagnosis of rectal perforation by foreign body

Directory of Open Access Journals (Sweden)

Ashok Y Kshirsagar

2014-01-01

Full Text Available A foreign body in the rectum is not as common as other parts of the body and presents a dilemma for management. Variety of foreign bodies have been found into the rectum such as turnip, stick, tumbler, paper pot, screw driver, live shell, glass bottle, vibrator, door handle, electric bulb, candles, and fruits. Some are introduced for diagnostic or therapeutic purpose like thermometer, enema tubes, disposable enema tips, irrigation catheters. Emergency department procedures include rectal examination, proctoscopy, and abdominal radiography. Although foreign bodies can be removed in the emergency department in about two out of three cases, some still require a laparotomy and a diverting colostomy to remove the object or to treat bowel perforation.

Data collection system. Volume 1, Overview and operators manual; Volume 2, Maintenance manual; Appendices

Energy Technology Data Exchange (ETDEWEB)

Caudell, R.B.; Bauder, M.E.; Boyer, W.B.; French, R.E.; Isidoro, R.J.; Kaestner, P.C.; Perkins, W.G.

1993-09-01

Sandia National Laboratories (SNL) Instrumentation Development Department was tasked by the Defense Nuclear Agency (DNA) to record data on Tektronix RTD720 Digitizers on the HUNTERS TROPHY field test conducted at the Nevada Test Site (NTS) on September 18, 1992. This report contains a overview and description of the computer hardware and software that was used to acquire, reduce, and display the data. The document is divided into two volumes: an overview and operators manual (Volume 1) and a maintenance manual (Volume 2).

Lung volumes: measurement, clinical use, and coding.

Science.gov (United States)

Flesch, Judd D; Dine, C Jessica

2012-08-01

Measurement of lung volumes is an integral part of complete pulmonary function testing. Some lung volumes can be measured during spirometry; however, measurement of the residual volume (RV), functional residual capacity (FRC), and total lung capacity (TLC) requires special techniques. FRC is typically measured by one of three methods. Body plethysmography uses Boyle's Law to determine lung volumes, whereas inert gas dilution and nitrogen washout use dilution properties of gases. After determination of FRC, expiratory reserve volume and inspiratory vital capacity are measured, which allows the calculation of the RV and TLC. Lung volumes are commonly used for the diagnosis of restriction. In obstructive lung disease, they are used to assess for hyperinflation. Changes in lung volumes can also be seen in a number of other clinical conditions. Reimbursement for measurement of lung volumes requires knowledge of current procedural terminology (CPT) codes, relevant indications, and an appropriate level of physician supervision. Because of recent efforts to eliminate payment inefficiencies, the 10 previous CPT codes for lung volumes, airway resistance, and diffusing capacity have been bundled into four new CPT codes.

Fluoroscopy-guided hydrostatic reduction of intussusception in infancy: role of pharmacological premedication.

Science.gov (United States)

Esposito, Francesco; Ambrosio, Concetta; De Fronzo, Simona; Panico, Maria Rita; D'Aprano, Marilena; Giugliano, Anna Marcella; Noviello, Domenico; Oresta, Patrizia

2015-06-01

Intussusception is one of the most common causes of paediatric emergency. Fluoroscopy-guided hydrostatic reduction is a common nonoperative management strategy for the treatment of intussusception. The role of pharmacological premedication in increasing the success rate of hydrostatic reduction is still controversial. The purpose of this study was to verify the presence of a possible correlation between pharmacological premedication and the percentage of hydrostatic reduction of intussusception in paediatric patients. This study considered children with a diagnosis of idiopathic intussusception treated at our hospital between January 2007 and June 2013. One group of patients underwent hydrostatic reduction by barium enema without any preliminary therapy. A second group of patients received pharmacological premedication with both a sedative and an anti-oedematous agent before the procedure. A total of 398 patients were treated with barium enema for therapeutic purposes. In the group of patients who received no premedication (n = 254), 165 (65 %) children achieved hydrostatic reduction of the intussusception. Among the patients who received pharmacological premedication prior to barium enema (n = 144), 122 (85 %) children achieved resolution of the intussusception. Our study shows that the use of pharmacological premedication is effective for the reduction of the intussusception, as its limit patient stress, fluoroscopic time and radiation dose.

Neonatal sigmoid volvulus.

Science.gov (United States)

Khalayleh, Harbi; Koplewitz, Benjamin Z; Kapuller, Vadim; Armon, Yaron; Abu-Leil, Sinan; Arbell, Dan

2016-11-01

Neonatal sigmoid volvulus is a rare entity. It is associated with Hirschsprung's disease. Presentation is acute abdominal distention, vomiting and obstipation. Abdominal radiograph will show the "coffee bean" sign, but this is frequently missed and the diagnosis requires a high index of suspicion. Treatment options include contrast enema, colonoscopy or laparotomy, depending on the condition of the baby and local availability. During the last 6years, 6 infants with sigmoid volvulus were treated in our department. Four presented during the first 48h since birth, and 2 presented at the age of 2 and 7weeks of age. One child was operated and 5 had primary contrast enema with radiologic de-volvulus. Rectal biopsy was performed in all cases; three children had Hirschsprung's disease. Those with normal biopsies responded well to rectal washouts. Two patients had early one stage transanal pullthrough and one had 2 further occasions of sigmoid volvulus prior to definitive surgery. All three recovered with an uneventful course. Neonatal sigmoid volvulus requires a high level of suspicion. Contrast enema is efficient for primary de-volvulus. Rectal biopsy should be performed and if positive for Hirschsprung's disease, surgery should be performed sooner rather than later. Copyright © 2016 Elsevier Inc. All rights reserved.

Petroleum supply annual 1994. Volume 1

International Nuclear Information System (INIS)

1995-01-01

The Petroleum Supply Annual (PSA) contains information on the supply and disposition of crude oil and petroleum products. The publication reflects data that were collected from the petroleum industry during 1994 through annual and monthly surveys. The PSA is divided into two volumes. This first volume contains four sections: Summary Statistics, Detailed Statistics, Refinery Capacity, and Oxygenate Capacity each with final annual data. The second volume contains final statistics for each month of 1994, and replaces data previously published in the Petroleum Supply Monthly (PSM). The tables in Volumes 1 and 2 are similarly numbered to facilitate comparison between them. Below is a description of each section in Volume 1 of the PSA

Cerebellar volume in patients with dementia Volume cerebelar em pacientes com demência

Directory of Open Access Journals (Sweden)

Leonardo Baldaçara

2011-01-01

Full Text Available OBJECTIVE: The aim of this study was to examine the cerebellar volume of subjects at different stages of Alzheimer's disease and to investigate whether volume reductions in this structure are related to cognitive decline. METHOD: Ninety-six subjects from an epidemiological study were submitted to a magnetic resonance imaging scan and evaluated using the Mini-Mental State Examination and the Functional Activities Questionnaire. Subjects were divided into five groups according to the Clinical Dementia Rating scale. Twenty-six subjects from the original group who had no dementia diagnosis at baseline were re-evaluated for the onset of dementia after two years. RESULTS: The volumes of the cerebellar hemispheres, posterior cerebellar lobe, vermis and temporal lobe were found to be reduced as a function of the severity of the disease. There were significant positive correlations between the volume of the temporal lobe and cerebellum and the language, attention, and total scores in the Mini-Mental State Examination and the Functional Activities Questionnaire. A logistic regression analysis demonstrated that reduced temporal lobe, posterior cerebellar lobe and vermal volume at baseline is a risk factor for the onset of dementia. CONCLUSION: This is the first study demonstrating that reduced cerebellar volume is already apparent at the predementia stage. The results of this study support the involvement of the cerebellum in the progression of dementia. Whereas the cerebellum might not be directly associated with the origin of Alzheimer's disease, it may provide useful information related to its prognosis.OBJETIVO: O objetivo deste estudo foi examinar o volume cerebelar em indivíduos em diferentes fases da doença de Alzheimer e investigar se sua redução estaria relacionada com o declínio cognitivo. MÉTODO: Noventa e seis indivíduos de um estudo epidemiológico foram submetidos à ressonância magnética e avaliados por meio do Mini Exame do Estado

Cerebellar volume in patients with dementia Volume cerebelar em pacientes com demência

Directory of Open Access Journals (Sweden)

Leonardo Baldaçara

2011-06-01

Full Text Available OBJECTIVE: The aim of this study was to examine the cerebellar volume of subjects at different stages of Alzheimer's disease and to investigate whether volume reductions in this structure are related to cognitive decline. METHOD: Ninety-six subjects from an epidemiological study were submitted to a magnetic resonance imaging scan and evaluated using the Mini-Mental State Examination and the Functional Activities Questionnaire. Subjects were divided into five groups according to the Clinical Dementia Rating scale. Twenty-six subjects from the original group who had no dementia diagnosis at baseline were re-evaluated for the onset of dementia after two years. RESULTS: The volumes of the cerebellar hemispheres, posterior cerebellar lobe, vermis and temporal lobe were found to be reduced as a function of the severity of the disease. There were significant positive correlations between the volume of the temporal lobe and cerebellum and the language, attention, and total scores in the Mini-Mental State Examination and the Functional Activities Questionnaire. A logistic regression analysis demonstrated that reduced temporal lobe, posterior cerebellar lobe and vermal volume at baseline is a risk factor for the onset of dementia. CONCLUSION: This is the first study demonstrating that reduced cerebellar volume is already apparent at the predementia stage. The results of this study support the involvement of the cerebellum in the progression of dementia. Whereas the cerebellum might not be directly associated with the origin of Alzheimer's disease, it may provide useful information related to its prognosis.OBJETIVO: O objetivo deste estudo foi examinar o volume cerebelar em indivíduos em diferentes fases da doença de Alzheimer e investigar se sua redução estaria relacionada com o declínio cognitivo. MÉTODO: Noventa e seis indivíduos de um estudo epidemiológico foram submetidos à ressonância magnética e avaliados por meio do Mini Exame do Estado

Prostate volume measurement by TRUS using heights obtained by transaxial and midsagittal scaning: comparison with specimen volume following radical prostatectomy

International Nuclear Information System (INIS)

Park, Bung Bin; Kim, Jae Kyun; Choi, Sung Hoon; Noh, Han Na; Ji, Eun Kyung; Cho, Kyoung Sik

2000-01-01

The purpose of this study was to determine, when measuring prostate volume by TRUS, whether height is more accurately determined by transaxial or midsagittal scanning. Sixteen patients who between March 1995 and March 1998 underwent both preoperative TRUS and radical prostatectomy for prostate cancer were included in this study. Using prolate ellipse volume calculation (height x length x width x π/6), TRUS prostate volume was determined, and was compared with the measured volume of the specimen. Prostate volume measured by TRUS, regardless of whether height was determined transaxially or midsagittally, correlated closely with real specimen volume. When height was measured in one of these planes, a paired t test revealed no significant difference between TRUS prostate volume and real specimen volume (p = .411 and p = .740, respectively), nor were there significant differences between the findings of transaxial and midsagittal scanning (p = .570). A paired sample test, however, indicated that TRUS prostate volumes determined transaxially showed a higher correlation coefficient (0.833) and a lower standard deviation (9.04) than those determined midsagittally (0.714 and 11.48, respectively). Prostate volume measured by TRUS closely correlates with real prostate volume. Furthermore, we suggest that when measuring prostate volume in this way, height is more accurately determined by transaxial than by midsagittal scanning

Recurrence interval analysis of trading volumes.

Science.gov (United States)

Ren, Fei; Zhou, Wei-Xing

2010-06-01

We study the statistical properties of the recurrence intervals τ between successive trading volumes exceeding a certain threshold q. The recurrence interval analysis is carried out for the 20 liquid Chinese stocks covering a period from January 2000 to May 2009, and two Chinese indices from January 2003 to April 2009. Similar to the recurrence interval distribution of the price returns, the tail of the recurrence interval distribution of the trading volumes follows a power-law scaling, and the results are verified by the goodness-of-fit tests using the Kolmogorov-Smirnov (KS) statistic, the weighted KS statistic and the Cramér-von Mises criterion. The measurements of the conditional probability distribution and the detrended fluctuation function show that both short-term and long-term memory effects exist in the recurrence intervals between trading volumes. We further study the relationship between trading volumes and price returns based on the recurrence interval analysis method. It is found that large trading volumes are more likely to occur following large price returns, and the comovement between trading volumes and price returns is more pronounced for large trading volumes.

A note on stereological estimation of the volume-weighted second moment of particle volume

DEFF Research Database (Denmark)

Jensen, E B; Sørensen, Flemming Brandt

1991-01-01

It is shown that for a variety of biological particle shapes, the volume-weighted second moment of particle volume can be estimated stereologically using only the areas of particle transects, which can be estimated manually by point-counting....

The parallel volume at large distances

DEFF Research Database (Denmark)

Kampf, Jürgen

In this paper we examine the asymptotic behavior of the parallel volume of planar non-convex bodies as the distance tends to infinity. We show that the difference between the parallel volume of the convex hull of a body and the parallel volume of the body itself tends to . This yields a new proof...... for the fact that a planar body can only have polynomial parallel volume, if it is convex. Extensions to Minkowski spaces and random sets are also discussed....

The parallel volume at large distances

DEFF Research Database (Denmark)

Kampf, Jürgen

In this paper we examine the asymptotic behavior of the parallel volume of planar non-convex bodies as the distance tends to infinity. We show that the difference between the parallel volume of the convex hull of a body and the parallel volume of the body itself tends to 0. This yields a new proof...... for the fact that a planar body can only have polynomial parallel volume, if it is convex. Extensions to Minkowski spaces and random sets are also discussed....

Method and apparatus for imaging volume data

International Nuclear Information System (INIS)

Drebin, R.; Carpenter, L.C.

1987-01-01

An imaging system projects a two dimensional representation of three dimensional volumes where surface boundaries and objects internal to the volumes are readily shown, and hidden surfaces and the surface boundaries themselves are accurately rendered by determining volume elements or voxels. An image volume representing a volume object or data structure is written into memory. A color and opacity is assigned to each voxel within the volume and stored as a red (R), green (G), blue (B), and opacity (A) component, three dimensional data volume. The RGBA assignment for each voxel is determined based on the percentage component composition of the materials represented in the volume, and thus, the percentage of color and transparency associated with those materials. The voxels in the RGBA volume are used as mathematical filters such that each successive voxel filter is overlayed over a prior background voxel filter. Through a linear interpolation, a new background filter is determined and generated. The interpolation is successively performed for all voxels up to the front most voxel for the plane of view. The method is repeated until all display voxels are determined for the plane of view. (author)

Development of Carrageenan Hydrogel as a Sustained Release Matrix Containing Tocotrienol-Rich Palm-Based Vitamin E

International Nuclear Information System (INIS)

Yee, C.M.; Zafarizal Aldrin Azizul Hasan; Norashikin Ahmad; Hazimah, A.H.

2016-01-01

Topically applied hydrogel system as a general therapeutic mask for transdermal delivery of hydrophobic actives is not efficient due to the differences in polarity between the actives and the polymer network. This work presents a study on developing hydrogels based on carrageenan as a matrix for the delivery of a hydrophobic type of active, i.e. tocotrienol-rich palm-based vitamin E (TRPE) into the skin. The strength and flexibility of the hydrogel were increased by the inclusion of guar gum, potassium citrate and glycerine. The thermogravimetric analysis (TGA) results indicated a higher quantity of water in the hydrogel with glycerine while differential scanning calorimetry (DSC) showed three types of water molecules existed in the hydrogel. The hydrogel was non-irritating according to OECD Test Guideline No. 439 for in vitro skin irritation test. The hydrogel with TRPE fluids was able to permeate the polysulfone membrane and bioavailability of TRPE improved with the inclusion of PEG-40 hydrogenated castor oil mixture. Therefore, a carrageenan-based hydrogel with locust bean, guar gum, glycerine, potassium citrate and TRPE was successfully developed with good strength and flexibility and without any potential irritancy. The good bioavailability of TRPE-loaded in the hydrogel can be used for skin care application. (author)

Green polyurethane synthesis by emulsion technique: a magnetic composite for oil spill removal

Energy Technology Data Exchange (ETDEWEB)

Costa, Raphael Maria Dias da; Hungerbühler, Gabriela; Saraiva, Thiago; De Jong, Gabriel; Moraes, Rafael Silva; Ferreira, Luciana Spinelli; Souza Junior, Fernando Gomes de, E-mail: fgsj@ufrj.br [Universidade Federal do Rio de Janeiro (LaBioS/UFRJ), Rio de Janeiro, RJ (Brazil). Lab. de Biopolímeros e Sensores; Furtado, Evandro Goncalves [Alfa Rio Química Ltda., Duque de Caxias, RJ (Brazil); Silva, Fabrício Machado [Universidade de Brasília (UnB), Brasília, DF (Brazil); Oliveira, Geiza Esperandio de [Coordenacao de Pos-Graduacao e Pesquisa de Engenharia (PEN/COPPE/UFRJ), Rio de Janeiro, RJ (Brazil)

2017-07-01

After the consolidation of the Brazilian biodiesel industry, issues related to the final destination of the glycerin, the by-product from the biodiesel industrial process, drawing the attention of several researchers. There are several uses to this byproduct. Among them, the obtaining of polymers, such as polyurethane (PU), are very encouraged since the glycerin ca be used, as well as the castor oil, in the replacement of petrochemical polyols. The aim of this work was to propose a new route for the obtainment of a petroleum sorbent based on polyurethane resin from glycerin and castor oil, through the emulsion technique. In addition, maghemite (γ-Fe{sub 2}O{sub 3}) was mixed to the polymer matrix, producing a magnetic composite, able to make easier the oil cleanup process. The products synthesized were characterized by Fourier transform infrared spectroscopy, X-ray diffraction, simultaneous Thermogravimetry (TGA) and Differential scanning calorimetry (DSC), Optical microscopy, Scanning electron microscopy (SEM). In addition, magnetic force and oil removal capability tests were also performed. The magnetic material was used to remove oil from water, exhibited a good oil removal capability. In a typical test, 1g of the composite containing 5wt% of maghemite was able to remove 10g of oil from water. (author)

The virucidal effects against murine norovirus and feline calicivirus F4 as surrogates for human norovirus by the different additive concentrations of ethanol-based sanitizers.

Science.gov (United States)

Akasaka, Tempei; Shimizu-Onda, Yuko; Hayakawa, Satoshi; Ushijima, Hiroshi

2016-03-01

Since human norovirus is non-cultivable, murine norovirus and feline calicivirus have been used as surrogates. In this study, the virucidal effects of ethanol-based sanitizers with different concentrations of additives (malic acid/sodium malate, glycerin-fatty acid ester) against murine norovirus and feline calicivirus F4 were examined. The ethanol-based sanitizers at pH 7 showed sufficient virucidal effects, but glycerin-fatty acid ester included in ethanol-based sanitizers at pH 4 or 6 reduced the virucidal effects against murine norovirus. The ethanol-based sanitizers containing malic acid/sodium malate inactivated feline calicivirus F4 in shorter time, but there is no difference between ethanol-based sanitizers with and without glycerin-fatty acid ester. Traditionally, feline calicivirus has been used for long time as a surrogate virus for human norovirus. However, this study suggested that murine norovirus and feline calicivirus F4 had different sensitivity with the additive components of ethanol-based sanitizers. Therefore, using feline calicivirus alone as a surrogate for human norovirus may not be sufficient to evaluate the virucidal effect of sanitizers on food-borne infections caused by human norovirus. Sanitizers having virucidal effects against at least both murine norovirus and feline calicivirus may be more suitable to inactivate human norovirus. Copyright © 2015. Published by Elsevier Ltd.

Green polyurethane synthesis by emulsion technique: a magnetic composite for oil spill removal

International Nuclear Information System (INIS)

Costa, Raphael Maria Dias da; Hungerbühler, Gabriela; Saraiva, Thiago; De Jong, Gabriel; Moraes, Rafael Silva; Ferreira, Luciana Spinelli; Souza Junior, Fernando Gomes de; Silva, Fabrício Machado; Oliveira, Geiza Esperandio de

2017-01-01

After the consolidation of the Brazilian biodiesel industry, issues related to the final destination of the glycerin, the by-product from the biodiesel industrial process, drawing the attention of several researchers. There are several uses to this byproduct. Among them, the obtaining of polymers, such as polyurethane (PU), are very encouraged since the glycerin ca be used, as well as the castor oil, in the replacement of petrochemical polyols. The aim of this work was to propose a new route for the obtainment of a petroleum sorbent based on polyurethane resin from glycerin and castor oil, through the emulsion technique. In addition, maghemite (γ-Fe 2 O 3 ) was mixed to the polymer matrix, producing a magnetic composite, able to make easier the oil cleanup process. The products synthesized were characterized by Fourier transform infrared spectroscopy, X-ray diffraction, simultaneous Thermogravimetry (TGA) and Differential scanning calorimetry (DSC), Optical microscopy, Scanning electron microscopy (SEM). In addition, magnetic force and oil removal capability tests were also performed. The magnetic material was used to remove oil from water, exhibited a good oil removal capability. In a typical test, 1g of the composite containing 5wt% of maghemite was able to remove 10g of oil from water. (author)

Comparison of Hippocampal Volume in Dementia Subtypes

International Nuclear Information System (INIS)

Vijayakumar, Avinash; Vijayakumar, Abhishek

2012-01-01

Aims. To examine the relationship between different types of dementia and hippocampal volume. Methods. Hippocampal volume was measured using FL3D sequence magnetic resonance imaging in 26 Alzheimer's, vascular dementia, mixed dementia, and normal pressure hydrocephalus patients and 15 healthy controls and also hippocampal ratio, analyzed. Minimental scale was used to stratify patients on cognitive function impairments. Results. Hippocampal volume and ratio was reduced by 25% in Alzheimer's disease, 21% in mixed dementia, 11% in vascular dementia and 5% in normal pressure hydrocephalus in comparison to control. Also an asymmetrical decrease in volume of left hippocampus was noted. The severity of dementia increased in accordance to decreasing hippocampal volume. Conclusion. Measurement in hippocampal volume may facilitate in differentiating different types of dementia and in disease progression. There was a correlation between hippocampal volume and severity of cognitive impairment

Comparing Volumes of Prisms and Pyramids

Science.gov (United States)

Vinogradova, Natalya

2012-01-01

Students' experience in using formulas for volumes is often limited to substituting numbers into given formulas. An activity presented in this article may help students make connections between the formulas for volumes of prisms and volumes of pyramids. In addition, some interesting facts from number theory arise, demonstrating strong connections…

Quantifying Uncertainty in Soil Volume Estimates

International Nuclear Information System (INIS)

Roos, A.D.; Hays, D.C.; Johnson, R.L.; Durham, L.A.; Winters, M.

2009-01-01

Proper planning and design for remediating contaminated environmental media require an adequate understanding of the types of contaminants and the lateral and vertical extent of contamination. In the case of contaminated soils, this generally takes the form of volume estimates that are prepared as part of a Feasibility Study for Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) sites and/or as part of the remedial design. These estimates are typically single values representing what is believed to be the most likely volume of contaminated soil present at the site. These single-value estimates, however, do not convey the level of confidence associated with the estimates. Unfortunately, the experience has been that pre-remediation soil volume estimates often significantly underestimate the actual volume of contaminated soils that are encountered during the course of remediation. This underestimation has significant implications, both technically (e.g., inappropriate remedial designs) and programmatically (e.g., establishing technically defensible budget and schedule baselines). Argonne National Laboratory (Argonne) has developed a joint Bayesian/geostatistical methodology for estimating contaminated soil volumes based on sampling results, that also provides upper and lower probabilistic bounds on those volumes. This paper evaluates the performance of this method in a retrospective study that compares volume estimates derived using this technique with actual excavated soil volumes for select Formerly Utilized Sites Remedial Action Program (FUSRAP) Maywood properties that have completed remedial action by the U.S. Army Corps of Engineers (USACE) New York District. (authors)

Drusen Volume and Retinal Pigment Epithelium Abnormal Thinning Volume Predict 2-Year Progression of Age-Related Macular Degeneration.

Science.gov (United States)

Folgar, Francisco A; Yuan, Eric L; Sevilla, Monica B; Chiu, Stephanie J; Farsiu, Sina; Chew, Emily Y; Toth, Cynthia A

2016-01-01

To analyze the value of novel measures of retinal pigment epithelium-drusen complex (RPEDC) volume to predict 2-year disease progression of intermediate age-related macular degeneration (AMD). Prospective, observational study. Three hundred forty-five AMD and 122 non-AMD participants enrolled in the Age Related Eye Disease Study 2 Ancillary Spectral-Domain (SD) Optical Coherence Tomography (OCT) study. High-density SD OCT macular volumes were obtained at yearly study visits. The RPEDC abnormal thickening (henceforth, OCT drusen) and RPEDC abnormal thinning (RAT) volumes were generated by semiautomated segmentation of total RPEDC within a 5-mm-diameter macular field. Volume change and odds ratio (OR) with 95% confidence intervals (CI) for progression to advanced AMD with choroidal neovascularization (CNV) or central geographic atrophy (GA). Complete volumes were obtained in 265 and 266 AMD eyes and in 115 and 97 control eyes at baseline and at year 2, respectively. In AMD eyes, mean (standard deviation) OCT drusen volume increased from 0.08 mm(3) (0.16 mm(3)) to 0.10 mm(3) (0.23 mm(3); P < 0.001), and RAT volume increased from 8.3 × 10(-4) mm(3) (20.8 × 10(-4) mm(3)) to 18.4 × 10(-4) mm(3) (46.6 × 10(-4) mm(3); P < 0.001). Greater baseline OCT drusen volume was associated with 2-year progression to CNV (P = 0.002). Odds of developing CNV increased by 31% for every 0.1-mm(3) increase in baseline OCT drusen volume (OR, 1.31; 95% CI, 1.06-1.63; P = 0.013). Greater baseline RAT volume was associated with significant 2-year increase in RAT volume (P < 0.001), noncentral GA (P < 0.001), and progression to central GA (P < 0.001). Odds of developing central GA increased by 32% for every 0.001-mm(3) increase in baseline RAT volume (OR, 1.32; 95% CI, 1.14-1.53; P < 0.001). In non-AMD eyes, all volumes were significantly lower than AMD eyes and showed no significant 2-year change. Macular OCT drusen and RAT volumes increased significantly in AMD eyes over 2 years

Geometry of lengths, areas, and volumes two-dimensional spaces, volume 1

CERN Document Server

Cannon, James W

2017-01-01

This is the first of a three volume collection devoted to the geometry, topology, and curvature of 2-dimensional spaces. The collection provides a guided tour through a wide range of topics by one of the twentieth century's masters of geometric topology. The books are accessible to college and graduate students and provide perspective and insight to mathematicians at all levels who are interested in geometry and topology. The first volume begins with length measurement as dominated by the Pythagorean Theorem (three proofs) with application to number theory; areas measured by slicing and scaling, where Archimedes uses the physical weights and balances to calculate spherical volume and is led to the invention of calculus; areas by cut and paste, leading to the Bolyai-Gerwien theorem on squaring polygons; areas by counting, leading to the theory of continued fractions, the efficient rational approximation of real numbers, and Minkowski's theorem on convex bodies; straight-edge and compass constructions, giving c...

Delivered volumes of enteral nutrition exceed prescribed volumes.

Science.gov (United States)

Walker, Renee Nichole; Utech, Anne; Velez, Maria Eugenia; Schwartz, Katie

2014-10-01

Enteral nutrition (EN) provisions are typically calculated based on a 24-hour infusion period. However, feedings are often interrupted for daily activities, procedures, or gastrointestinal intolerance. The study's objective was to determine the delivered EN quantities provided to stable hospitalized patients, using cellular time and measured volumes to verify our EN calculation adjustment. A supply of consecutively numbered ready-to-hang (RTH) EN product was delivered to the bedside of 26 inpatients with established EN tolerance at goal rates on various types of nursing units. The dietitian weighed the volume remaining in the infusing product and recorded the measurement time. On the following days, the dietitian continued to weigh the infusing RTH product and the empty RTH bottles saved by nursing. The primary outcome was the difference between the prescribed and delivered EN provisions, which was calculated with a paired t test. Patients received significantly more calories in the delivered enteral feeding (mean [SD], 1678 [385] kcal) than prescribed calories in the EN order (1489 [246 kcal]; t = 3.736, P = .001), adjusting for observed time. No significant differences were found between nursing units, product, and rate. EN delivered may actually exceed ordered amounts by 5%–21% (mean, 12%) with feeding pump inaccuracy as the primary contributing factor. This differs from what others have found. Our findings support using a volume-based ordering system vs a rate-based ordering system for more accurate EN delivery.

Human gallbladder pressure and volume

DEFF Research Database (Denmark)

Borly, L; Højgaard, L; Grønvall, S

1996-01-01

volume with only slight changes in intraluminal pressure (n = 4). Except for the zero drift, this piece of equipment seemed to fulfil the requirements of being able to measure pressure in the GB. In vivo measurements showed a good clinical reproducibility of the method, and also that respiration...... influenced by respiration (n = 8) and the pressure seems to be higher in the sitting position than in the supine position (n = 5). Cystic duct opening pressure was 10.4, 11.2 and 16.8 mmHg (n = 3). Pressure-volume responses showed that the GB up to a certain volume could accommodate increases in intraluminal...... and patient posture influenced the pressure measurements. Further, a GB pressure-volume relationship was demonstrated, and the possibility of a cystic duct opening pressure was described....

VOLUMNECT: measuring volumes with Kinect

Science.gov (United States)

Quintino Ferreira, Beatriz; Griné, Miguel; Gameiro, Duarte; Costeira, João. Paulo; Sousa Santos, Beatriz

2014-03-01

This article presents a solution to volume measurement object packing using 3D cameras (such as the Microsoft KinectTM). We target application scenarios, such as warehouses or distribution and logistics companies, where it is important to promptly compute package volumes, yet high accuracy is not pivotal. Our application auto- matically detects cuboid objects using the depth camera data and computes their volume and sorting it allowing space optimization. The proposed methodology applies to a point cloud simple computer vision and image processing methods, as connected components, morphological operations and Harris corner detector, producing encouraging results, namely an accuracy in volume measurement of 8mm. Aspects that can be further improved are identified; nevertheless, the current solution is already promising turning out to be cost effective for the envisaged scenarios.

CONTAMINATED SOIL VOLUME ESTIMATE TRACKING METHODOLOGY

International Nuclear Information System (INIS)

Durham, L.A.; Johnson, R.L.; Rieman, C.; Kenna, T.; Pilon, R.

2003-01-01

The U.S. Army Corps of Engineers (USACE) is conducting a cleanup of radiologically contaminated properties under the Formerly Utilized Sites Remedial Action Program (FUSRAP). The largest cost element for most of the FUSRAP sites is the transportation and disposal of contaminated soil. Project managers and engineers need an estimate of the volume of contaminated soil to determine project costs and schedule. Once excavation activities begin and additional remedial action data are collected, the actual quantity of contaminated soil often deviates from the original estimate, resulting in cost and schedule impacts to the project. The project costs and schedule need to be frequently updated by tracking the actual quantities of excavated soil and contaminated soil remaining during the life of a remedial action project. A soil volume estimate tracking methodology was developed to provide a mechanism for project managers and engineers to create better project controls of costs and schedule. For the FUSRAP Linde site, an estimate of the initial volume of in situ soil above the specified cleanup guidelines was calculated on the basis of discrete soil sample data and other relevant data using indicator geostatistical techniques combined with Bayesian analysis. During the remedial action, updated volume estimates of remaining in situ soils requiring excavation were calculated on a periodic basis. In addition to taking into account the volume of soil that had been excavated, the updated volume estimates incorporated both new gamma walkover surveys and discrete sample data collected as part of the remedial action. A civil survey company provided periodic estimates of actual in situ excavated soil volumes. By using the results from the civil survey of actual in situ volumes excavated and the updated estimate of the remaining volume of contaminated soil requiring excavation, the USACE Buffalo District was able to forecast and update project costs and schedule. The soil volume

Volume holographic memory

Directory of Open Access Journals (Sweden)

Cornelia Denz

2000-05-01

Full Text Available Volume holography represents a promising alternative to existing storage technologies. Its parallel data storage leads to high capacities combined with short access times and high transfer rates. The design and realization of a compact volume holographic storage demonstrator is presented. The technique of phase-coded multiplexing implemented to superimpose many data pages in a single location enables to store up to 480 holograms per storage location without any moving parts. Results of analog and digital data storage are shown and real time optical image processing is demonstrated.

Radiographic heart-volume estimation in normal cats

International Nuclear Information System (INIS)

Ahlberg, N.E.; Hansson, K.; Svensson, L.; Iwarsson, K.

1989-01-01

Heart volume mensuration was evaluated on conventional radiographs from eight normal cats in different body positions using computed tomography (CT). Heart volumes were calculated from orthogonal thoracic radiographs in ventral and dorsal recumbency and from radiographs exposed with a vertical X-ray beam in dorsal and lateral recumbency using the formula for an ellipsoid body. Heart volumes were also estimated with CT in ventral, dorsal, right lateral and left lateral recumbency. No differences between heart volumes from CT in ventral recumbency and those from CT in right and left lateral recumbency were seen. In dorsal recumbency, however, significantly lower heart volumes were obtained. Heart volumes from CT in ventral recumbency were similar to those from radiographs in ventral and dorsal recumbency and dorsal/left lateral recumbency. Close correlation was also demonstrated between heart volumes from radiographs in dorsal/ left lateral recumbency and body weights of the eight cats