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Sample records for chronic anal fissure

  1. Anal fissure

    PubMed Central

    Schlichtemeier, Steven; Engel, Alexander

    2016-01-01

    SUMMARY An anal fissure is a common, mostly benign, condition that can be acute or chronic. The diagnosis is usually made on history and physical examination, but further investigations are sometimes necessary. Primary fissures are usually benign and located in the posterior or anterior position. Secondary fissures are lateral or multiple and often indicate a more serious underlying pathology. The management of primary anal fissures is generally non-operative and includes increased dietary fibre, sitz baths, topical ointments and botulinum toxin injections. If these treatments are ineffective the patient will need a surgical referral. Secondary anal fissures require further investigation. Multidisciplinary management is preferable and is essential in the case of malignancy. PMID:27041801

  2. Anal fissure.

    PubMed

    Metcalf, Amanda M

    2002-12-01

    Anal fissure is a common condition with a characteristic presentation. Despite increased pharmaceutical options in the medical management of anal fissures, surgical therapy is not in danger of becoming obsolete. Lateral internal sphincterotomy remains an attractive option for many patients suffering from this painful condition. PMID:12516855

  3. Anal fissure

    MedlinePlus

    ... pain interferes with normal bowel movements Petroleum jelly Zinc oxide, 1% hydrocortisone cream, Preparation H, and other ... anal muscle Prescription creams such as nitrates or calcium channel blockers, applied over the fissure to help ...

  4. Increased anal basal pressure in chronic anal fissures may be caused by overreaction of the anal-external sphincter continence reflex.

    PubMed

    van Meegdenburg, Maxime M; Trzpis, Monika; Heineman, Erik; Broens, Paul M A

    2016-09-01

    Chronic anal fissure is a painful disorder caused by linear ulcers in the distal anal mucosa. Even though it counts as one of the most common benign anorectal disorders, its precise etiology and pathophysiology remains unclear. Current thinking is that anal fissures are caused by anal trauma and pain, which leads to internal anal sphincter hypertonia. Increased anal basal pressure leads to diminished anodermal blood flow and local ischemia, which delays healing and leads to chronic anal fissure. The current treatment of choice for chronic anal fissure is either lateral internal sphincterotomy or botulinum toxin injections. In contrast to current thinking, we hypothesize that the external, rather than the internal, anal sphincter is responsible for increased anal basal pressure in patients suffering from chronic anal fissure. We think that damage to the anal mucosa leads to hypersensitivity of the contact receptors of the anal-external sphincter continence reflex, resulting in overreaction of the reflex. Overreaction causes spasm of the external anal sphincter. This in turn leads to increased anal basal pressure, diminished anodermal blood flow, and ischemia. Ischemia, finally, prevents the anal fissure from healing. Our hypothesis is supported by two findings. The first concerned a chronic anal fissure patient with increased anal basal pressure (170mmHg) who had undergone lateral sphincterotomy. Directly after the operation, while the submucosal anesthetic was still active, basal anal pressure decreased to 80mmHg. Seven hours after the operation, when the anesthetic had completely worn off, basal anal pressure increased again to 125mmHg, even though the internal anal sphincter could no longer be responsible for the increase. Second, in contrast to previous studies, recent studies demonstrated that botulinum toxin influences external anal sphincter activity and, because it is a striated muscle relaxant, it seems reasonable to presume that it affects the striated

  5. Anal fissure - series (image)

    MedlinePlus

    ... rectum through which passes stool during defecation. The anal sphincter is a critical mechanism for control of ... Anal fissures are tears in the skin overlying the anal sphincter, usually due to increased tone of ...

  6. Anal fissure - slideshow

    MedlinePlus

    ... this page: //medlineplus.gov/ency/presentations/100154.htm Anal fissure - series—Normal anatomy To use the sharing ... rectum through which passes stool during defecation. The anal sphincter is a critical mechanism for control of ...

  7. Study of Operated Patients of Lateral Internal Anal Sphincterotomy for Chronic Anal Fissure

    PubMed Central

    Patel, Harshad Shankarlal; Chavda, Jagdish; Parikh, Jayesh; Naik, Nehal

    2013-01-01

    Introduction: Anal fissure causes significant morbidity in the population. It is proposed that elevated sphincter pressures may cause ischaemia of the anal lining and this may be responsible for the pain of anal fissures and their failure to heal. When pharmacologic therapy fails or fissures recur frequently, lateral internal sphincterotomy is the surgical treatment of choice. Material and Methods: Retrospective analysis was done of admitted and operated patients of anal fissure by lateral anal internal sphincterotomy either by open or closed technique between April 2010 and November 2011 in Gujarat Medical Education & Research Society Medical College, Sola, Ahmedabad, India. The follow-up data of all patients was evaluated for pain relief, recurrence, wound infection, incontinence to flatus or stool or both for a period of up to 6 months. Results: Wound infection rate was 10.3% in open method and 4.2% in closed method. Incontinence to flatus was 8.3% in closed method and 3.4% in open method. This was temporary and controlled within a 1 week. Incontinence to stool was 3.4% in open method which was temporary and controlled within 2 weeks while none in closed method. None of the patients in either group had come with recurrence within 6 months follow-up. Conclusion: Lateral anal internal sphincterotomy is safe regarding long term incontinence and effective regarding recurrence. PMID:24551659

  8. Anorectal conditions: anal fissure and anorectal fistula.

    PubMed

    Fox, Audralan; Tietze, Pamela H; Ramakrishnan, Kalyanakrishnan

    2014-04-01

    Anal fissures are linear splits in the anal mucosa. Acute fissures typically resolve within a few weeks; chronic fissures persist longer than 8 to 12 weeks. Most fissures are posterior and midline and are related to constipation or anal trauma. Painful defecation and rectal bleeding are common symptoms. The diagnosis typically is clinical. High-fiber diet, stool softeners, and medicated ointments relieve symptoms and speed healing of acute fissures but offer limited benefit in chronic fissures. Lateral internal sphincterotomy is the surgical management of choice for chronic and refractory acute fissures. Anorectal fistula is an abnormal tract connecting the anorectal mucosa to the exterior skin. Fistulas typically develop after rupture or drainage of a perianal abscess. Fistulas are classified as simple or complex; low or high; and intersphincteric, transsphincteric, suprasphincteric, or extrasphincteric. Inspection of the perianal area identifies the skin opening, and anoscopy visualizes internal openings. The goal of management is to obliterate the tract and openings with negligible sphincter disruption to minimize incontinence. Fistulotomy is effective for simple fistulas; patients with complex fistulas may require fistulectomy. Other procedures that are used include injection of fibrin glue or insertion of a bioprosthetic plug into the fistula opening. PMID:24742084

  9. Comparative study of Ksharasutra suturing and Lord's anal dilatation in the management of Parikartika (chronic fissure-in-ano)

    PubMed Central

    Dudhamal, Tukaram S.; Baghel, Madhav Singh; Bhuyan, Chaturbhuja; Gupta, Sanjay Kumar

    2014-01-01

    Background: Parikartika resembles fissure-in-ano which is very common among all ano-rectal disorders. In Ayurvedic texts, Parikartika is described as a complication of Vamana and Virechana as well as complication of Atisara. Ksharasutra was proved successful in the management of fistula-in-ano, piles, and there is a need to try its efficacy in fissure-in-ano. Aim: To evaluate the role of Ksharasutra suturing (KSS) in fissure bed in chronic fissure-in-ano. Materials and Methods: Total 100 patients of chronic fissure-in-ano were selected and randomly divided into two groups (50 in each group). In group-A, patients were undergone by KSS; while in patients of Group-B Lord's anal dilatation followed by KSS was done under spinal anesthesia. The KSS was done once and after slough out of Ksharasutra, the wound was treated for 4 weeks and assessment of the result was done on the basis of gradation adopted. Results: The pain relief on 14th day in Group-A was 86% while in Group-B 100% was observed. As on 7th day in Group-A, oozing was stopped in 68% patients, while in Group-B, oozing was stopped in 82% patients. On 21st day, Group-B showed more healing (85%) as compared to Group-A (69%). In this study 68% of patients were cured. Conclusion: In Group-B (KSS with Lord's anal dilatation) patients were cured early as compared to patients of Group-A (KSS alone). PMID:25558158

  10. Effects of Aloe vera cream on chronic anal fissure pain, wound healing and hemorrhaging upon defection: a prospective double blind clinical trial.

    PubMed

    Rahmani, N; Khademloo, M; Vosoughi, K; Assadpour, S

    2014-01-01

    Aloe vera is a medicinal plant that promotes wound healing in burn injuries. A prospective clinical trial was conducted to evaluate the effects of a topical cream containing 0.5% Aloe vera juice powder in the treatment of chronic anal fissures. The aloe cream was applied by the patients to the wound site 3 times per day for 6 weeks following the instructions of a physician. Pain was assessed with a visual analog scale before treatment and at the end of each week of treatment. Wound healing and the amount and severity of bleeding were examined and evaluated before and at the end of each week of treatment. There were statistically significant differences in chronic anal fissure pain, hemorrhaging upon defection and wound healing before and at the end of the first week of treatment also in comparison with control group (p < 0.0001). In this study, a topical cream containing aloe vera juice was an effective treatment for chronic anal fissures. This is a promising result indicating that further comparative studies are justified. PMID:24763890

  11. Nitroglycerin 0.4% ointment vs placebo in the treatment of pain resulting from chronic anal fissure: a randomized, double-blind, placebo-controlled study

    PubMed Central

    2013-01-01

    Background Complications of chronic anal fissure (CAF) treatments are prompting interest in lower-risk therapies. This study was conducted to compare nitroglycerin (NTG) 0.4% ointment with placebo for pain associated with CAF. Methods In this randomized, double-blind, placebo-controlled trial, patients with one CAF and moderate-to-severe pain (≥50 mm on a 100 mm visual analog scale [VAS]) received 375 mg NTG 0.4% (1.5 mg active ingredient) or 375 mg placebo ointment applied anally every 12 hours for 21 days. The primary end point was change from baseline VAS score in 24-hour pain averaged over days 14–18. Review of data from patients who withdrew early was blinded to treatment. To control for the confounding effects of analgesics, all patients received 650 mg acetaminophen for headache prophylaxis before each application. Results A total of 247 patients were enrolled (NTG, n = 123; placebo, n = 124). The prespecified baseline observation carried forward (BOCF) analysis found no significant difference between groups; however, a last observation carried forward (LOCF) analysis showed a significant advantage for NTG. A post hoc analysis (LOCF/BOCF hybrid) demonstrated a significant adjusted mean difference of −7.0 mm in favor of NTG 0.4% (95% CI −13.6, –0.4; P = .038). Headache was the most common adverse event in the NTG (69.9%) and placebo (47.6%) groups. Conclusions This was the first placebo-controlled study that also controlled for the confounding effects of analgesics used to treat NTG-induced headache. In patients with moderate-to-severe CAF pain, NTG 0.4% ointment effectively reduced CAF pain compared with placebo. Trial registration ClinicalTrials.gov, NCT00522041 PMID:23815124

  12. Cost considerations in the treatment of anal fissures.

    PubMed

    Brisinda, Giuseppe; Bianco, Giuseppe; Silvestrini, Nicola; Maria, Giorgio

    2014-08-01

    Anal fissure is a split in the lining of the distal anal canal. Lateral internal sphincterotomy remains the gold standard for treatment of anal fissure. Although technique is simple and effective, a drawback of this surgical procedure is its potential to cause minor but some times permanent alteration in rectal continence. Conservative approaches (such as topical application of ointment or botulinum toxin injections) have been proposed in order to treat this condition without any risk of permanent injury of the internal anal sphincter. These treatments are effective in a large number of patients. Furthermore, with the ready availability of medical therapies to induce healing of anal fissure, the risk of a first-line surgical approach is difficult to justify. The conservative treatments have a lower cost than surgery. Moreover, evaluation of the actual costs of each therapeutic option is important especially in times of economic crisis and downsizing of health spending. PMID:24867398

  13. A novel method of anal fissure laser surgery: a pilot study.

    PubMed

    Esfahani, Mehran Nasr; Madani, Golnoush; Madhkhan, Sepideh

    2015-08-01

    Anal fissure is a common painful problem, affecting all age groups. Its pathophysiology is based on high sphincter pressures and reduced blood supplying and treatments which means that it generally reduces anal pressures and increases anodermal blood flow. Since each of the anal fissure's routine therapies has some limitations such as definite risk of permanent fecal incontinence and high recurrence rate, we tried to find a more effective and less invasive procedure. In this pilot study which was implemented on 25 male and female patients aged 20-75 years, diagnosed clinically with chronic anal fissure, the Carbon Dioxide Laser Fractional was used to treat patients. In order to first remove fibrotic and granulation tissues, the base and the edges of the fissure were laser beamed. Eight spots were made on the sphincter by the laser on its continuous mode; somehow, they were passed through the full thickness of sphincter without interrupting its continuance. Afterwards, the area around the fissure ulcer was irradiated by deep fractional mode of the laser to stimulate the submucosa to regenerate and rejuvenate. After going through this procedure, patients were followed up within 6 months to 1 year. Pain, bleeding, and constipation were significantly improved. None of the patients had recurrence after a 1-year follow-up, and none of them had fecal incontinence and/or inability to control the passage of gas too. This study revealed that this new laser-based surgery is a simple, safe, and effective procedure to treat the anal fissure that can be performed with local anesthesia in an outpatient clinic with minimal postoperative morbidity. PMID:26067925

  14. Hemorrhoids and anal fissures in inflammatory bowel disease.

    PubMed

    D'Ugo, S; Stasi, E; Gaspari, A L; Sileri, P

    2015-12-01

    Perianal disease is a common complication of inflammatory bowel disease (IBD). It includes different conditions from more severe and potentially disabling ones, such as abscesses and fistulas, to more benign conditions such as hemorrhoids, skin tags and fissures. Most literature has been focused on anal sepsis and fistulae, as they carry the majority of disease burden and often alter the natural course of the disease. Hemorrhoids and anal fissures in patients with IBD have been overlooked, although they can represent a challenging problem. The management of hemorrhoids and fissures in IBD patients may be difficult and may significantly differ compared to the non-affected population. Historically surgery was firmly obstructed, and hemorrhoidectomy or sphincterotomy in patients with associated diagnosis of IBD was considered harmful, although literature data is scant and based on small series. Various authors reported an incidence of postoperative complications higher in IBD than in the general populations, with potential severe events. Considering that a spontaneous healing is possible, the first line management should be a medical therapy. In patients non-responding to conservative measures it is possible a judicious choice of surgical options on a highly selective basis; this can lead to acceptable results, but the risk of possible complications needs to be considered. In this review it is analyzed the current literature on the incidence, symptoms and treatment options of hemorrhoids and anal fissures in patients with Crohn's disease and ulcerative colitis. PMID:26446683

  15. Anal fissure

    MedlinePlus

    ... cream, if pain interferes with normal bowel movements Petroleum jelly Zinc oxide, 1% hydrocortisone cream, Preparation H, ... is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation ...

  16. Anal Fissure

    MedlinePlus

    Skip to main content ASCRS Patients Educational Resources Diseases and Conditions Patient Education Library Patient Success Stories Treatments and Screening Resources Find a Surgeon Hereditary Colorectal Cancer Registries Helpful Links Physicians ...

  17. [Anal suppurations].

    PubMed

    Senéjoux, A

    2001-01-15

    Anal suppurations can be classified according to their origin: from the anal canal, from above the anal canal, or independent from the ano-rectum. Wherever suppuration comes from, an abscess can be present at the acute phase. Anal fistulas represent about 70% of anal suppurations. They always begin by cryptoglandular infection, which can spread to the intersphincteric space and then pass through the anal sphincter. Treatment of anal fistula is a double challenge: healing the suppuration, and preserving anal continence. Among suppurations independent from the ano-rectum pilonidal disease is the most frequent (15% of the suppurations). Other causes of ano-perineal suppurations are infected fissure, Verneuil's disease, and gland, recto-vaginal fistulas and Crohn's disease. PMID:11234090

  18. Anal adenocarcinoma complicating chronic Crohn’s disease

    PubMed Central

    Papaconstantinou, Ioannis; Mantzos, Dionysios S.; Kondi-Pafiti, Agathi; Koutroubakis, Ioannis E.

    2015-01-01

    Introduction Colorectal adenocarcinoma and Crohn’s disease are known to be associated entities. However, a carcinoma arising within a chronic perianal fistulous tract in a patient with Crohn’s disease is a rare complication. Presentation of case We present a case of a 40-year-old male patient with a long-standing perianal Crohn’s disease who developed an anal mucinous adenocarcinoma within the fistulous tracts. Discussion Although, Crohn’s disease and colorectal carcinoma association is well established, few cases have been reported where the cancer has originated within a perianal fistula. Constant mucosal regeneration occurring within a fistula seems to be the predominant pathogenetic mechanism, while immunosuppressants and anti-TNF agents may also contribute to the malignant transformation. Unfortunately, the lack of suspicion and the inadequate physical examination or colonoscopy due to exacerbation of the perianal symptoms could lead to delayed diagnosis; and thus, a poor prognosis. Conclusion Albeit a rare complication, clinicians should maintain a high degree of vigilance about the possible development of adenocarcinoma in patients with long-standing perianal Crohn’s disease. Thus, these patients should be kept under regular surveillance with examination under anaesthesia and biopsies or curettage of the tracts. PMID:25884608

  19. Etiologic and clinical analysis of chronic complex anal and rectal inflammation in children less than 3 years old

    PubMed Central

    Huang, Yanlei; Zheng, Shan; Xiao, Xianmin

    2014-01-01

    Objective: To analyze the etiology and clinical diagnostic method for chronic complex anal and rectal inflammation in children less than 3 years old. Method: Seven children (5 males and 2 females; 1 year 8 months to 3 years of age at the time of physician evaluation) with chronic complex anal and rectal inflammation were enrolled between May 2008 and May 2013 at our hospital. Clinical history, results of auxiliary examinations, and empirical treatment of the children were analyzed retrospectively combined with the etiologic diagnosis. Results: Four patients were confirmed to have Crohn’s disease and one patient was confirmed to have intestinal tuberculosis; two patients were suspected to have Crohn’s disease. Anemia and low pre-albumin level were common (seven patients); serologic testing revealed four patients with elevated IgG levels and seven patients with elevated IgA levels; there were no patients with positive tuberculosis antibody titers and two patients were weakly positive for C-ANCA (one patient with Crohn’s disease and one patient intestinal tuberculosis). Colonoscopies revealed that the entire colon was affected in one patient, the left hemicolon was affected in four patients, and the sigmoid colon and rectum were affected in two patients. Two patients with Crohn’s disease and one patient with intestinal tuberculosis were diagnosed by colonoscopies in combination with histopathologic examinations. Two patients with Crohn’s disease were confirmed after empirical drug treatment, and two other patients were not definitely diagnosed. Conclusion: The possibility of Crohn’s disease or intestinal tuberculosis should be considered in the clinical diagnosis of complex chronic anal and rectal inflammation in younger children. Local surgery is sometimes unnecessary. Empirical drug treatment should be used if necessary. PMID:25550910

  20. Treatment and prevention of pouchitis after ileal pouch-anal anastomosis for chronic ulcerative colitis

    PubMed Central

    Singh, Siddharth; Stroud, Andrea M; Holubar, Stefan D; Sandborn, William J; Pardi, Darrell S

    2016-01-01

    Background Pouchitis occurs in approximately 50% of patients following ileal pouch-anal anastomosis (IPAA) for chronic ulcerative colitis. Objectives The primary objective was to determine the efficacy and safety of medical therapies (including antibiotics, probiotics, and other agents) for prevention or treatment of acute or chronic pouchitis. Search methods We searched MEDLINE, EMBASE and the Cochrane Library from inception to October 2014. Selection criteria Randomized controlled trials of prevention or treatment of acute or chronic pouchitis in adults who underwent IPAA for ulcerative colitis were considered for inclusion. Data collection and analysis Two authors independently screened studies for eligibility, extracted data and assessed study quality. Methodological quality was assessed using the Cochrane risk of bias tool. The overall quality of the evidence supporting the outcomes was evaluated using the GRADE criteria. The primary outcome was the proportion of patients with clinical improvement or remission of pouchitis in patients with acute or chronic pouchitis, or the proportion of patients with no episodes of pouchitis after IPAA. The proportion of patients who developed at least one adverse event was a secondary outcome. We calculated the risk ratio (RR) and corresponding 95% confidence interval (CI) for each dichotomous outcome. Main results Thirteen studies (517 participants) were included in the review. Four studies assessed treatment of acute pouchitis. One study (16 participants) compared ciprofloxacin and metronidazole; another (26 participants) compared metronidazole to budesonide enemas; another (18 participants) compared rifaximin to placebo; and the fourth study (20 participants) compared Lactobacillus GG to placebo. Four studies assessed treatment of chronic pouchitis. One study (19 participants) compared glutamine to butyrate suppositories; another (40 participants) compared bismuth enemas to placebo; and two studies (76 participants

  1. Robust pulmonary lobe segmentation against incomplete fissures

    NASA Astrophysics Data System (ADS)

    Gu, Suicheng; Zheng, Qingfeng; Siegfried, Jill; Pu, Jiantao

    2012-03-01

    As important anatomical landmarks of the human lung, accurate lobe segmentation may be useful for characterizing specific lung diseases (e.g., inflammatory, granulomatous, and neoplastic diseases). A number of investigations showed that pulmonary fissures were often incomplete in image depiction, thereby leading to the computerized identification of individual lobes a challenging task. Our purpose is to develop a fully automated algorithm for accurate identification of individual lobes regardless of the integrity of pulmonary fissures. The underlying idea of the developed lobe segmentation scheme is to use piecewise planes to approximate the detected fissures. After a rotation and a global smoothing, a number of small planes were fitted using local fissures points. The local surfaces are finally combined for lobe segmentation using a quadratic B-spline weighting strategy to assure that the segmentation is smooth. The performance of the developed scheme was assessed by comparing with a manually created reference standard on a dataset of 30 lung CT examinations. These examinations covered a number of lung diseases and were selected from a large chronic obstructive pulmonary disease (COPD) dataset. The results indicate that our scheme of lobe segmentation is efficient and accurate against incomplete fissures.

  2. Anal Cancer

    MedlinePlus

    ... saved articles window. My Saved Articles » My ACS » Anal Cancer Download Printable Version [PDF] » Whether you (or ... the topics below to get started. What Is Anal Cancer? What is anal cancer? What are the ...

  3. Anal Cancer

    MedlinePlus

    ... are here Home > Types of Cancer > Anal Cancer Anal Cancer This is Cancer.Net’s Guide to Anal Cancer. Use the menu below to choose the ... social workers, and patient advocates. Cancer.Net Guide Anal Cancer Introduction Statistics Risk Factors and Prevention Screening ...

  4. Intractable colitis associated with chronic granulomatous disease in a young girl.

    PubMed

    Yaman, Aytaç; Kuloğlu, Zarife; Doğu, Figen; İkincioğulları, Aydan; Ensari, Arzu; Çiftçi, Ergin; Kansu, Aydan

    2015-01-01

    Chronic granulomatous disease (CGD) is an autosomal recessive or X-linked disorder caused by NADPH oxidase deficiency leading to an impaired ability of reactive superoxide anion and metabolite formation and recurring severe bacterial and fungal infections, with a high mortality rate. Diarrhea, colitis, ileus, perirectal abscess formation and anal fissures are reported gastrointestinal findings in these patients. We report a case of intractable colitis associated with CGD in a young girl. PMID:26690604

  5. Anal cancer

    MedlinePlus

    ... Sexual activity. Having many sexual partners and having anal sex are both major risks. This may be due ... have sex with many partners or have unprotected anal sex are at high risk of these infections. Using ...

  6. Growing Hemorrhagic Choroidal Fissure Cyst

    PubMed Central

    Gelal, Fazıl; Gurkan, Gokhan; Feran, Hamit

    2016-01-01

    Choroidal fissure cysts are often incidentally discovered. They are usually asymptomatic. The authors report a case of growing and hemorrhagic choroidal fissure cyst which was treated surgically. A 22-year-old female presented with headache. Cranial MRI showed a left-sided choroidal fissure cyst. Follow-up MRI showed that the size of the cyst had increased gradually. Twenty months later, the patient was admitted to our emergency department with severe headache. MRI and CT showed an intracystic hematoma. Although such cysts usually have a benign course without symptoms and progression, they may rarely present with intracystic hemorrhage, enlargement of the cyst and increasing symptomatology. PMID:26962426

  7. Pulmonary Fissure Integrity and Collateral Ventilation in COPD Patients

    PubMed Central

    Pu, Jiantao; Wang, Zhimin; Gu, Suicheng; Fuhrman, Carl; Leader, Joseph K.; Meng, Xin; Tedrow, John; Sciurba, Frank C.

    2014-01-01

    Purpose To investigate whether the integrity (completeness) of pulmonary fissures affects pulmonary function in patients with chronic obstructive pulmonary disease (COPD). Materials and Methods A dataset consisting of 573 CT exams acquired on different subjects was collected from a COPD study. According to the global initiative for chronic obstructive lung disease (GOLD) criteria, these subjects (examinations) were classified into five different subgroups, namely non-COPD (222 subjects), GOLD-I (83 subjects), GOLD-II (141 subjects), GOLD-III (63 subjects), and GOLD-IV (64 subjects), in terms of disease severity. An available computer tool was used to aid in an objective and efficient quantification of fissure integrity. The correlations between fissure integrity, and pulmonary functions (e.g., FEV1, and FEV1/FVC) and COPD severity were assessed using Pearson and Spearman's correlation coefficients, respectively. Results For the five sub-groups ranging from non-COPD to GOLD-IV, the average integrities of the right oblique fissure (ROF) were 81.8%, 82.4%, 81.8%, 82.8%, and 80.2%, respectively; the average integrities of the right horizontal fissure (RHF) were 62.6%, 61.8%, 62.1%, 62.2%, and 62.3%, respectively; the average integrities of the left oblique fissure (LOF) were 82.0%, 83.2%, 81.7%, 82.0%, and 78.4%, respectively; and the average integrities of all fissures in the entire lung were 78.0%, 78.6%, 78.1%, 78.5%, and 76.4%, respectively. Their Pearson correlation coefficients with FEV1 and FE1/FVC range from 0.027 to 0.248 with p values larger than 0.05. Their Spearman correlation coefficients with COPD severity except GOLD-IV range from −0.013 to −0.073 with p values larger than 0.08. Conclusion There is no significant difference in fissure integrity for patients with different levels of disease severity, suggesting that the development of COPD does not change the completeness of pulmonary fissures and incomplete fissures alone may not contribute to the

  8. Anal lesions presenting in a cohort of child gastroenterological examinations. Implications for sexual traumatic injuries.

    PubMed

    Rougé-Maillart, Clotilde; Houdu, Sora; Darviot, Estelle; Buchaillet, Céline; Baron, Céline

    2015-05-01

    The purpose of this study was to describe the anal lesions found in children during a pediatric gastroenterology consultation when the reason for the complaint was related to a digestive disease. This prospective descriptive study included 100 children under 15 years of age over a 13-month period, consulting due to digestive symptoms. The children were under 8 years old (90%) and 25% were under 3.1 years old. Constipation was the most frequent reason for consultation (69%). Fifty-one anal lesions were observed, of which 58.8% were anal fissures, 15.7% were skin tags and 5.8% were venous congestions related to straining. Anal fissures and skin tags were located at the median line, according to the clock-face method in supine position. No child had more than two anal lesions. No anal dilatation, sphincter hypotonia, anal scars, anal lacerations or bruises were found. The two most common anal lesions were anal fissures and skin tags. These anal lesions were mainly observed at the median line and were due to constipation. No cases of multiple anal lesions were found in terms of common digestive diseases. PMID:25882145

  9. Anal cancer

    MedlinePlus

    ... the last part of your large intestine where solid waste from food (stool) is stored. Stool leaves your body through the anus when you have a bowel movement. Anal cancer is fairly rare. It spreads ... Squamous cell carcinoma. This is the most common type of anal cancer. It starts in cells that ...

  10. [Anal intraepithelial neoplasia].

    PubMed

    de Parades, Vincent; Fathallah, Nadia; Barret, Maximilien; Zeitoun, Jean-David; Lemarchand, Nicolas; Molinié, Vincent; Weiss, Laurence

    2013-01-01

    Anal intraepithelial lesions are caused by chronic infection with oncogenic types of human papillomavirus. Their incidence and prevalence are increasing, especially among patients with HIV infection. Their natural history is not well known, but high-grade intraepithelial lesions seem to have an important risk to progress to squamous cell carcinoma. Their treatment can be achieved by many ways (surgery, coagulation, imiquimod, etc.) but there is a high rate of recurrent lesions. Pretherapeutic evaluation should benefit from high-resolution anoscopy. Periodic physical examination and anal cytology may probably be interesting for screening the disease among patients with risk factors. Vaccine against oncogenic types of papillomavirus may prevent the development of anal intraepithelial neoplasia. PMID:23122632

  11. Anal Dysplasia Screening

    PubMed Central

    2007-01-01

    Executive Summary Objective This review considered the role of the anal Pap test as a screening test for anal dysplasia in patients at high risk of anal SCC. The screening process is now thought to be improved with the addition of testing for the human papillomavirus (HPV) in high-risk populations. High-resolution anoscopy (a method to view the rectal area, using an anoscope, a lighted instrument inserted into the rectum) rather than routine anoscopy-guided biopsy, is also now considered to be the diagnostic standard. Clinical Need: Target Population and Condition Anal cancer, like cervical cancer, is a member of a broader group of anogenital cancers known to be associated with sexually transmitted viral HPV infection. Human papillomavirus is extremely prevalent, particularly in young, sexually active populations. Sexual practices involving receptive anal intercourse lead to significantly elevated risk for anal dysplasia and cancer, particularly in those with immune dysfunctions. Anal cancer is rare. It occurs at a rate of about 1 to 2 per 100,000 in the general population. It is the least common of the lower gastrointestinal cancers, representing about 4% of them, in contrast to colorectal cancers, which remain the third most commonly diagnosed malignancy. Certain segments of the population, however, such as HIV-positive men and women, other chronic immune-suppressed patients (e.g., after a transplant), injection drug users, and women with genital dysplasia /cancer, have a high susceptibility to anal cancer. Those with the highest identified risk for anal cancer are HIV-positive homosexual and bisexual men, at a rate of 70 per 100,000 men. The risk for anal cancer is reported to be increasing dramatically in HIV-positive males and females, particularly since the introduction of highly active antiretroviral therapy in the mid-1990s. The introduction of effective viral therapy has been said to have transformed the AIDS epidemic in developed countries into a chronic

  12. Shallow Subsurface Structures of Volcanic Fissures

    NASA Astrophysics Data System (ADS)

    Parcheta, C. E.; Nash, J.; Mitchell, K. L.; Parness, A.

    2015-12-01

    Volcanic fissure vents are a difficult geologic feature to quantify. They are often too thin to document in detail with seismology or remote geophysical methods. Additionally, lava flows, lava drain back, or collapsed rampart blocks typically conceal a fissure's surface expression. For exposed fissures, quantifying the surface (let along sub0surface) geometric expression can become an overwhelming and time-consuming task given the non-uniform distribution of wall irregularities, drain back textures, and the larger scale sinuosity of the whole fissure system. We developed (and previously presented) VolcanoBot to acquire robust characteristic data of fissure geometries by going inside accessible fissures after an eruption ends and the fissure cools off to <50 C. Data from VolcanoBot documents the fissure conduit geometry with a near-IR structured light sensor, and reproduces the 3d structures to cm-scale accuracy. Here we present a comparison of shallow subsurface structures (<30 m depth) within the Mauna Ulu fissure system and their counterpart features at the vent-to-ground-surface interface. While we have not mapped enough length of the fissure to document sinuosity at depth, we see a self-similar pattern of irregularities on the fissure walls throughout the entire shallow subsurface, implying a fracture mechanical origin similar to faults. These irregularities are, on average, 1 m across and protrude 30 cm into the drained fissure. This is significantly larger than the 10% wall roughness addressed in the engineering literature on fluid dynamics, and implies that magma fluid dynamics during fissure eruptions are probably not as passive nor as simple as previously thought. In some locations, it is possible to match piercing points across the fissure walls, where the dike broke the wall rock in order to propagate upwards, yet in other locations there are erosional cavities, again, implying complex fluid dynamics in the shallow sub-surface during fissure eruptions.

  13. New method for assessment of anal sensation in various anorectal disorders.

    PubMed

    Roe, A M; Bartolo, D C; Mortensen, N J

    1986-04-01

    A new technique for quantifying anal sensation utilizing mucosal electrosensitivity is described and has been tested in 97 patients. Normal subjects (n = 20) have a sensory threshold varying from 2 to 7.3 mA being most acute in the region of the anal valves. Sensory awareness also extends into the upper anal canal. Patients with neuropathic incontinence (n = 17) have a sensory deficit (P less than 0.002) whilst patients with haemorrhoids (n = 28) have less sensitive mucosa displaced into the upper anal canal (P less than 0.0001). Patients with acute fissure-in-ano (n = 10) have lower thresholds of sensation at the site of the fissure and slow transit constipation patients (n = 22) have normal anal sensation. The technique is reproducible and should prove useful in the investigation of anorectal disorders. PMID:3697665

  14. Anal Warts

    MedlinePlus

    ... entire pelvic region to include the vaginal or penile area to look for other warts that may require treatment. MUST I BE HOSPITALIZED FOR SURGICAL TREATMENT? Surgical treatment of anal warts is usually performed as outpatient surgery. HOW MUCH TIME WILL I LOSE FROM WORK ...

  15. Fluoride release from fissure sealants.

    PubMed

    Garcia-Godoy, F; Abarzua, I; De Goes, M F; Chan, D C

    1997-01-01

    This 30-day study, compared the amounts and patterns of fluoride release from 5 commercially available fluoride-containing pit and fissure sealants: FluroShield, Helioseal-F, Ultraseal XT, Baritone L3, and Teethmate-F; Delton without fluoride, was used as control. Disc-shaped samples of each sealant were immersed in distilled water and the fluoride release was measured periodically until day 30. All the fluoridated sealants tested released measurable fluoride throughout the test period in a similar pattern: the greatest amount of fluoride was released in the first 24 hours after mixing, fell sharply on the second day and decreased slowly for the last days. On day one, Baritone L3 released significantly more fluoride than all other materials. Teethmate-F released the highest amount of fluoride during all the other time intervals from day 2, until day 30. PMID:9643204

  16. Clinical Manifestations among Children with Chronic Functional Constipation

    PubMed Central

    Dehghani, Seyed Mohsen; Kulouee, Niloofar; Honar, Naser; Imanieh, Mohammad-Hadi; Haghighat, Mahmood; Javaherizadeh, Hazhir

    2015-01-01

    BACKGROUND Constipation is one of the most frequent cause of patient visits to pediatric gastroenterology clinics. Early diagnosis and treatment is important. There are few studies about clinical manifestations of constipation in children. We aimed to find the relative frequency of gastrointestinal manifestations of constipation among constipated children. METHODS This cross-sectional study was carried out on children aged < 18 years old with chronic functional constipation referred to Imam Reza Clinic of Shiraz University of Medical Sciences. Children with organic causes of chronic constipation were excluded from study. Rome III criteria were used for defining constipation. The duration of study was 1 year starting from September 2010. Abdominal pain, fecal mass, rectal bleeding, anorexia, fecal soiling, retentive posture, withholding behavior, anal fissure, and peri-anal erythema were recorded for each case based on history and physical examination. Data were analyzed using SPSS software, version 13.0 (Chicago, IL, USA). RESULTS Of 222 children with functional constipation, 124(55.9%) were girls and 98 (44.1%) were boys with a mean ± SD age of 5±3.12 years. The mean ± SD duration of constipation was 2.2±1.9 years. Large and hard stool was present in 93.7% of the patients. Painful defecation and withholding behavior were seen in 92.3% and 91.9% of the patients, respectively. Fecal impaction was more frequent among boys compared with girls (p<0.01). Fecal soiling was present in 40.8% of the boys and 28.2% of the girls (p=0.04). CONCLUSION Large and hard stool, painful defecation and withholding behavior were the most frequent signs or symptoms among children with chronic functional constipation. Fresh rectal bleeding and anal fissure were the least frequent signs and symptoms in this group. PMID:25628851

  17. SURFACE FISSURE FORMATION ABOVE UNDERGROUND COALSEAM FIRES: DIMENSIONLESS RELATIONSHIPS BETWEEN SURFACE FISSURES AND SUBSURFACE SUBSIDENCE

    NASA Astrophysics Data System (ADS)

    Ide, T. S.; Pollard, D. D.; Orr, F. M.

    2009-12-01

    Coalbed fires are uncontrolled subsurface fires that occur around the world. These fires are believed to be significant contributors to annual CO2 emissions. Although many of these fires have been burning for decades, researchers have only recently begun to investigate physical mechanisms that control fire behavior. One aspect that is poorly characterized is the relationship between subsurface combustion and surface fissures. At the surface above many fires, long, wide fissures are observed. At a coalbed fire near Durango, Colorado, these fissures form systematic orthogonal patterns that align with regional joints in the Upper Cretaceous Fruitland Formation. Understanding the mechanisms that form and widen these fissures is important, as the fissures are believed to play vital roles in sustaining the combustion in the subsurface by acting as chimneys for the escaping gases and conduits for incoming oxygen. In some of the coalbed fire simulation models available today, these fissures are treated as fixed boundary conditions, but we argue, using field observations and simulation results, that there exists a relationship between the location and magnitude of subsidence caused by the fire and the opening of fissures. Four distinct types of fissures are observed over the coalbed fire near Durango, CO. These fissures are termed ‘molehill’, ‘plateau’, ‘gaping’, and ‘narrow’ based on their surface appearances. Molehill fissures are marked by surface depressions on either side, causing the strata around the opening to form an apex towards the center of the fissure. Plateau fissures show a steep vertical offset on only one side with minimal horizontal displacement. Gaping fissures and narrow fissures are predominantly opening with little evidence for vertical displacements. Gaping fissures are defined as fissures with wide apertures (0.3 ~ 1.5m), while narrow fissures have apertures on the order of centimeters. A boundary element method code was used to show

  18. Modeling plaque fissuring and dissection during balloon angioplasty intervention.

    PubMed

    Gasser, T Christian; Holzapfel, Gerhard A

    2007-05-01

    Balloon angioplasty intervention is traumatic to arterial tissue. Fracture mechanisms such as plaque fissuring and/or dissection occur and constitute major contributions to the lumen enlargement. However, these types of mechanically-based traumatization of arterial tissue are also contributing factors to both acute procedural complications and chronic restenosis of the treatment site. We propose physical and finite element models, which are generally useable to trace fissuring and/or dissection in atherosclerotic plaques during balloon angioplasty interventions. The arterial wall is described as an anisotropic, heterogeneous, highly deformable, nearly incompressible body, whereas tissue failure is captured by a strong discontinuity kinematics and a novel cohesive zone model. The numerical implementation is based on the partition of unity finite element method and the interface element method. The later is used to link together meshes of the different tissue components. The balloon angioplasty-based failure mechanisms are numerically studied in 3D by means of an atherosclerotic-prone human external iliac artery, with a type V lesion. Image-based 3D geometry is generated and tissue-specific material properties are considered. Numerical results show that in a primary phase the plaque fissures at both shoulders of the fibrous cap and stops at the lamina elastica interna. In a secondary phase, local dissections between the intima and the media develop at the fibrous cap location with the smallest thickness. The predicted results indicate that plaque fissuring and dissection cause localized mechanical trauma, but prevent the main portion of the stenosis from high stress, and hence from continuous tissue damage. PMID:17385047

  19. Narrow Vertical Caves: Mapping Volcanic Fissure Geometries

    NASA Astrophysics Data System (ADS)

    Parcheta, C.; Nash, J.; Parness, A.; Mitchell, K. L.; Pavlov, C. A.

    2015-10-01

    Volcanic conduits are difficult to quantify, but their geometry fundamentally influences how eruptions occur. We robotically map old fissure conduits - elongated narrow cracks in the ground that transported magma to the surface during an eruption.

  20. Outpatient treatment of fissure-in-ano.

    PubMed

    Badejo, O A

    1984-12-01

    A review of 86 cases of fissure-in-ano as seen in Ife is presented. The method of management is described and compared with other conservative methods of treatment. The results show a complete healing of the condition within two weeks as compared with four to six weeks recorded in other series. Healing was confirmed by a complete resolution of symptoms together with re-epithelisation of the fissure on inspection at proctoscopy. It is suggested that the described surgical management is simple, fast, cost reducing and time saving in the treatment of fissure-in-ano. It is further envisaged that this procedure may also serve as a means of relief to our already congested hospitals. PMID:6528355

  1. Effect of surface fissure on apparent resistivity measurements

    NASA Astrophysics Data System (ADS)

    Sailhac, P.; Gance, J.; Malet, J.

    2013-12-01

    Fissures are features of interest, prone to create preferential flow path, modifying locally the soil hydrogeological behavior. Electrical Resistivity Tomography (ERT) is a suitable tool to monitor such preferential flow path. However, this technique is not efficient in the presence of surface fissure, due to a bad resistivity recovering around the fissure vicinity during the inversion process. Therefore, we propose a description of fissure effect on raw apparent resistivity on three resistivity arrays. The purposes of the study are multiple. First, we aim at making ERT users aware of surface fissure effect, and propose a first help to interpret basically resistivity pseudo sections. Second, we propose to ERT users to automatically conduct a surface fissure survey on the studied profile, in order to consider each fissure in a forward DC model and to suppress their effect. Finally, this study is only a first step toward 2D fissure shape inversion, and time-lapse monitoring of fissure drying and filling. In this study, we create a fissure model based on different geomorphological descriptors. After describing the FEM-DC forward modeling strategy, we investigate the fissure effect on pseudo section of apparent resistivity for a Wenner-Schlumberger (WS), a dipole-dipole (DD) and a gradient (GRAD) array. We determine a fissure detectability threshold for each array and perform a sensitivity analysis on the different fissure parameters (position, width, depth, dip angles...). The crack filling or drying effect is also investigated. The possibility to remove fissure effect and to propose a first interpretation of time-lapse data is illustrated on real data. This study show again the higher sensitivity of the DD array compared to the GRAD and WS arrays. Not only the maximal amplitude in the pseudo section is higher for the DD array, but also the anomaly pattern created by the fissure is much larger for this acquisition geometry. The minimal depth detectable for the DD

  2. Thoracoscopic sympathetic clamping in a patient with an azygos fissure.

    PubMed

    Moon, Seok Whan; Yoon, Jeong Sub; Jo, Keon Hyeon; Wang, Young Pil; Park, Hyeon Jin

    2005-04-01

    We believe that an azygos fissure may predispose to bleeding during thoracoscopic surgery. An azygos fissure causes important morphologic changes in the superior mediastinum and thereby poses a risk of massive bleeding during thoracoscopic procedures. We report on a successful thoracoscopic procedure conducted in a patient with palmar hyperhidrosis and an azygos fissure and emphasize that the course of the thoracic sympathetic chain runs laterally along the base of the azygos fissure. PMID:15821627

  3. Current management of anal fistulas in Crohn's disease

    PubMed Central

    Eder, Piotr; Banasiewicz, Tomasz; Matysiak, Konrad; Łykowska-Szuber, Liliana

    2015-01-01

    Anal fistulas occurring in Crohn's disease (CD) comprise a risk factor of severe course of inflammation. They are frequently intractable due to various factors such as penetration of the anal canal or rectal wall, impaired wound healing, and immunosuppression, among others. Anal fistulas typical to CD develop from fissures or ulcers of the anal canal or rectum. Accurate identification of the type of fistula, such as low and simple or high and complex, is crucial for prognosis as well as for the choice of treatment. If fistulotomy remains the gold standard in the surgical treatment of the former, it is contraindicated in high and complex fistulas due to possible risk of damage to the anal sphincter with subsequent faecal incontinence. Therefore, the latter require a conservative and palliative approach, such as an incision and drainage of abscesses accompanying fistulas or prolonged non-cutting seton placement. Currently, conservative, sphincter-preserving, and definitive procedures such as mucosal advancement or dermal island flaps, the use of plugs or glue, video assisted anal fistula treatment, ligation of the intersphincteric track, and vacuum assisted closure are gaining a great deal of interest. Attempting to close the internal opening without injuring the sphincter is a major advantage of those methods. However, both the palliative and the definitive procedures require adjuvant therapy with medical measures. PMID:26557938

  4. From fissure to fault: A model of fault growth in the Krafla Fissure System, NE Iceland

    NASA Astrophysics Data System (ADS)

    Bramham, Emma; Paton, Douglas; Wright, Tim

    2015-04-01

    Current models of fault growth examine the relationship of fault length (L) to vertical displacement (D) where the faults exhibit the classic fault shape of gradually increasing vertical displacement from zero at the fault tips to a maximum displacement (Dmax) at the middle of the fault. These models cannot adequately explain displacement-length observations at the Krafla fissure swarm, in Iceland's northern volcanic zone, where we observe that many of the faults with significant vertical displacements still retain fissure-like features, with no vertical displacement, along portions of their lengths. We have created a high resolution digital elevation model (DEM) of the Krafla region using airborne LiDAR and measured the displacement/length profiles of 775 faults, with lengths ranging from 10s to 1000s of metres. We have categorised the faults based on the proportion of the profile that was still fissure-like. Fully-developed faults (no fissure-like regions) were further grouped into those with profiles that had a flat-top geometry (i.e. significant proportion of fault length with constant throw), those with a bell-shaped throw profile and those that show regions of fault linkage. We suggest that a fault can most easily accommodate stress by displacing regions that are still fissure-like, and that a fault would be more likely to accommodate stress by linkage once it has reached the maximum displacement for its fault length. Our results demonstrate that there is a pattern of growth from fissure to fault in the Dmax/L ratio of the categorised faults and propose a model for this growth. These data better constrain our understanding of how fissures develop into faults but also provide insights into the discrepancy in D/L profiles from a typical bell-shaped distribution.

  5. Anatomy and approaches along the cerebellar-brainstem fissures.

    PubMed

    Matsushima, Ken; Yagmurlu, Kaan; Kohno, Michihiro; Rhoton, Albert L

    2016-01-01

    OBJECT Fissure dissection is routinely used in the supratentorial region to access deeply situated pathology while minimizing division of neural tissue. Use of fissure dissection is also practical in the posterior fossa. In this study, the microsurgical anatomy of the 3 cerebellar-brainstem fissures (cerebellomesencephalic, cerebellopontine, and cerebellomedullary) and the various procedures exposing these fissures in brainstem surgery were examined. METHODS Seven cadaveric heads were examined with a microsurgical technique and 3 with fiber dissection to clarify the anatomy of the cerebellar-brainstem and adjacent cerebellar fissures, in which the major vessels and neural structures are located. Several approaches directed along the cerebellar surfaces and fissures, including the supracerebellar infratentorial, occipital transtentorial, retrosigmoid, and midline suboccipital approaches, were examined. The 3 heads examined using fiber dissection defined the anatomy of the cerebellar peduncles coursing in the depths of these fissures. RESULTS Dissections directed along the cerebellar-brainstem and cerebellar fissures provided access to the posterior and posterolateral midbrain and upper pons, lateral pons, floor and lateral wall of the fourth ventricle, and dorsal and lateral medulla. CONCLUSIONS Opening the cerebellar-brainstem and adjacent cerebellar fissures provided access to the brainstem surface hidden by the cerebellum, while minimizing division of neural tissue. Most of the major cerebellar arteries, veins, and vital neural structures are located in or near these fissures and can be accessed through them. PMID:26274986

  6. Visualization of three dimensional earth fissures in geological structure

    NASA Astrophysics Data System (ADS)

    Zhu, L.; Yu, J.; Liu, Y.; Gong, H.; Chen, Y.; Chen, B.

    2015-11-01

    This paper proposes a new method for visualizing the earth fissures of geological structure in three dimensional (3-D) domains on the basis of the seismic data and features information of earth fissures. The seismic data were interpreted for obtaining the stratagraphic data with various lithological information and the depth of the earth fissures. The spatial distribution of the ground fissures including the dip, strike and width were digitalized on an ArcGIS platform. Firstly, the 3-D geological structure was rebuilt using the Generalized Tri-Prism (GTP) method which is a real solid method for displaying geological structures. The GTP method can reflect the inner material of the strata and can simulate complicated geological structures such as faults and stratagraphic pinch outs. The upper and lower surfaces of each stratum consist of Triangle Irregular Networks (TIN). The inner solid between the two surfaces are a series of triangular prisms. Secondly, since the width of the ground fissure gradually decreases with depth, multiple edge lines of the earth fissures on the bottom stratum surface are deduced on the basis of the fissure characteristics. Then, the model of the earth fissures consisting of a series of triangular pyramids can be constructed using these points and the edge lines. A cutting operation was carried out on the 3-D geological structure using this ground fissures model. If the surfaces of the ground fissures model intersects with the GTPs in the geological structure model, new GTPs were generated within the local regions. During this process, the topological relations between TIN, triangular prism and lines were reconstructed so that the visualization of ground fissures in the geological structure model is realized. This method can facilitate the mechanism for studying fissures and avoid the gaps between the fissure solid and the geological structure to accurately reflect their 3-D characteristics.

  7. [Fissures in biliary calculi. Personal contribution (author's transl)].

    PubMed

    Nano, M; Potenzoni, F; Camandona, M; Casalegno, P A

    1979-04-01

    In a series of 70 patients suffering from biliary lithiasis, the roentgenologic findings of fissures in the calculi was observed in 5 cases examined by means of cholecystography and in 7 cases who underwent cholangiocholecystography. Fissures were demonstrated 11 times in calculi after surgery. The "Mercedes-Benz" sign was never observed at the abdominal examination without contrast medium. The presence of fissures may be an additional sign in the radiologic diagnosis of biliary calculi, but its value is not determinant. PMID:550199

  8. Anal Warts and Anal Intradermal Neoplasia

    PubMed Central

    Echenique, Ignacio; Phillips, Benjamin R.

    2011-01-01

    For the last five millennia we have been dealing with the annoyance of verrucas. Anogenital human papillomavirus (HPV) infection is the most common sexually transmitted disease in the United States and is increasing in incidence. As in other gastrointestinal conditions, HPV infection can lead to a stepwise transition from normal cells to dysplastic cells and then to invasive anal cancer. Knowledge of the natural history of HPV infection, risk factors, diagnostic tools, and therapeutic methods gives us the tools to adequately prevent, evaluate, treat, and counsel our patients. In this review, the authors detail the diagnosis, management, and treatment of anal condyloma and anal intraepithelial neoplasia with a focus on prevention, early detection, and treatment using current data and technology. PMID:22379403

  9. [Sylvius (1614-1672) and his fissure].

    PubMed

    van Gijn, Jan; Gijselhart, Joost P

    2010-01-01

    Franciscus dele Boë, or Sylvius, was born into a family of French Huguenots who had moved to the province of Hessen. He studied medicine in Sedan, Leiden and Basle. He was a private teacher in anatomy in Leiden for some years, and while teaching he drew the attention of his students to the long fissure on either side of the cerebral surface. He practised successfully as a physician in Amsterdam from 1641 onwards, until he was recalled to the chair of medicine in Leiden in 1658. He emphasized the role of chemical processes in the human body (iatrochemistry). PMID:20699035

  10. Corrections of surface fissure effect on apparent resistivity measurements

    NASA Astrophysics Data System (ADS)

    Gance, J.; Sailhac, P.; Malet, J.-P.

    2015-02-01

    Electrical resistivity tomography (ERT) is a useful tool to detect and track water flow paths in the subsoil. However, measurements are strongly affected by subsurface heterogeneities such as fissures of different sizes and genesis (shrinking-swelling, macropores and deformation). In this work, we focus on surface fissures characterized by dimensions lower than the interelectrode spacing and correct their effect on apparent resistivity pseudo-sections by incorporating fissure geometry in the topography. We show that fissures with depths greater than 0.10 times the interelectrode spacing for a dipole-dipole array and equal to 0.16 for the gradient array and the Wenner-Schlumberger arrays create significant anomalies (greater than 5 per cent) in the pseudo-section. Surface fissure widths and dip angles have little effect with respect to the fissure depths which can increase the apparent resistivity up to 200 per cent. The clogging of the fissures with water or soil material decreases the anomaly effect linearly with the percentage of filling. The correction of apparent resistivity values is possible for relatively simple fissure geometries and only requires a manual survey of the surface fissures. It allows to improve the quality of the inverted resistivity section by mitigating the inversion artefacts and therefore a better interpretation.

  11. Anal condyloma acuminatum.

    PubMed

    McCutcheon, Tonna

    2009-01-01

    Anal condyloma acuminatum is a human papillomavirus (HPV) that affects the mucosa and skin of the anorectum and genitalia. Anal condyloma acuminatum is the most commonly diagnosed sexually transmitted disease in the United States. To date, there are more than 100 HPV types, with HPV-6, HPV-10, and HPV-11 predominately found in the anogenital region and causing approximately 90% of genital warts. Risk factors for anal condyloma acuminatum include multiple sex partners, early coital age, anal intercourse, and immunosuppression. Transmission occurs by way of skin-to-skin contact through sexual intercourse, oral sex, anal sex, or other contact involving the genital area. The virus may remain latent for months to years until specific mechanisms cause production of viral DNA, leading to the presentation of anal condyloma acuminatum.Patients with anal condyloma acuminatum may be asymptomatic or present with presence of painless bumps, itching, and discharge or bleeding. It is not uncommon to have involvement of more than one area, and multiple lesions may also be present and extend into the anal canal or rectum. To date, there is no serologic testing or culture to detect anal condyloma acuminatum; therefore, diagnosis is made clinically or by detection of HPV DNA. Multiple factors determine the choice of treatment, which may range from patient-applied medications to surgical intervention. Despite treatment choice, recurrence rates are high, indicating the importance of patient education on prevention of HPV infection and reinfection. Unfortunately, at this time, no cure exists for anal condyloma acuminatum; however, recently Gardasil and Cervarix (in Australia only) vaccines have become available and are showing promising results. PMID:19820442

  12. Diffuse large B cell lymphoma presenting as a peri-anal abscess.

    PubMed

    Jayasekera, Hasanga; Gorissen, Kym; Francis, Leo; Chow, Carina

    2014-01-01

    A non-healing peri-anal abscess can be difficult to manage and is often attributed to chronic disease. This case documents a male in his seventh decade who presented with multiple peri-anal collections. The abscess cavity had caused necrosis of the internal sphincter muscles resulting in faecal incontinence. Biopsies were conclusive for diffuse large B-cell lymphoma. A de-functioning colostomy was performed and the patient was initiated on CHOP-R chemotherapy. Anal lymphoma masquerading as a peri-anal abscess is rare. A high degree of suspicion must be maintained for an anal abscess which does not resolve with conservative management. PMID:24898408

  13. Prevalence of and Risk Factors for Anal Human Papillomavirus Infection Among Young Healthy Women in Costa Rica

    PubMed Central

    Castro, Felipe A.; Quint, Wim; Gonzalez, Paula; Katki, Hormuzd A.; Herrero, Rolando; van Doorn, Leen-Jan; Schiffman, Mark; Struijk, Linda; Rodriguez, Ana Cecilia; DelVecchio, Corey; Lowy, Douglas R.; Porras, Carolina; Jimenez, Silvia; Schiller, John; Solomon, Diane; Wacholder, Sholom; Hildesheim, Allan; Kreimer, Aimée R.

    2012-01-01

    Background. Anal cancer is caused by human papillomavirus (HPV), yet little is known about anal HPV infection among healthy young women. Methods. A total of 2017 sexually active women in the control arm of an HPV-16/18 vaccine trial had a single anal specimen collected by a clinician at the 4-year study visit. Samples were tested for HPV by SPF10 PCR/DEIA/LiPA25, version 1. Results. A total of 4% of women had HPV-16, 22% had oncogenic HPV, and 31% had any HPV detected in an anal specimen. The prevalence of anal HPV was higher among women who reported anal intercourse, compared with those who did not (43.4% vs 28.4%; P < .001). Among women who reported anal intercourse, cervical HPV (adjusted odds ratio [aOR], 5.3 [95% confidence interval {CI}, 3.4–8.2]), number of sex partners (aOR, 2.2 [95% CI, 1.1–4.6] for ≥4 partners), and number of anal intercourse partners (aOR, 1.9 [95% CI, 1.1–3.3] for ≥2 partners) were independent risk factors for anal HPV detection. Among women who reported no anal intercourse, cervical HPV (aOR, 4.7 [95% CI, 3.7–5.9]), number of sex partners (aOR, 2.4 [95% CI, 1.7–3.4] for ≥4 partners), and report of anal fissures (aOR, 2.3 [95% CI, 1.1–4.8]) were associated with an increased odds of anal HPV detection. Conclusion. Anal HPV is common among young women, even those who report no anal sex, and was associated with cervical HPV infection. Anal fissures in women who report never having had anal intercourse may facilitate HPV exposure. Clinical Trials Registration. NCT00128661. PMID:22850119

  14. A Geophysical Study of Fissures in Pahrump, Nevada

    NASA Astrophysics Data System (ADS)

    Hirsch, A. C.; McEwan, M. J.; Howley, R. A.; Mehling, J. B.; Snelson, C. M.; Drohan, P.

    2004-12-01

    Earth fissures are surface expressions of deep fracturing subsidence systems caused by groundwater withdrawl greater than aquifer recharge. This type of subsidence is most common in arid environments of the south western U.S. such as, Las Vegas, NV, Phoenix, AZ, and areas in New Mexico. In addition, fissures have recently been identified in the Pahrump Valley in southwestern Nevada just west of Las Vegas. The city of Pahrump has experienced an increase in population and economic growth. This growth has lead to a higher demand in the use of the areas natural resources. One major concern is groundwater pumping and over-watering of the land surface. Pahrump has experienced significant differential subsidence within the valley causing significant structural damage to infrastructure. This differential subsidence is most readily identified by its surface expression as fissures. Earth fissures are not only shallow surface features but can be 10's of meters deep and 100's of meters long. These ground failures can be exacerbated by faults at depth, shallow bedrock, and/or differential compaction. However, the most significant cause is from groundwater withdrawl. Several geophysical methods were performed on the fissures to better understand their subsurface expression, trend, and ultimately their affect on the city of Pahrump. Seismic refraction, reflection, ground penetrating radar (GPR), and gravity measurements were performed on the fissures and surrounding area including local faults. Our initial studies show the fissures propagating for long distances, in a variety of shapes, and trending in a north-south direction. Initial GPR studies show high fissure reflections at approximately 1 and 1.5 meters along with general slumping features below these reflections. Fissures are an unmitigatable problem. Our results will help identify fissures in the area that do not have a surface expression as well as mapping the current fissures and their extent. These results can be used

  15. Fine Mapping and Introgressing a Fissure Resistance Locus

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Rice (Oryza sativa L.) kernel fissuring is a major concern of both rice producers and millers. Fissures are small cracks in rice kernels that increase breakage among kernels when transported or milled, which decrease the value of processed rice. This study employed molecular gene tagging methods to ...

  16. Anal signs of child sexual abuse: a case–control study

    PubMed Central

    2014-01-01

    Background There is uncertainty about the nature and specificity of physical signs following anal child sexual abuse. The study investigates the extent to which physical findings discriminate between children with and without a history of anal abuse. Methods Retrospective case note review in a paediatric forensic unit. Cases: all eligible cases from1990 to 2007 alleging anal abuse. Controls: all children examined anally from 1998 to 2007 with possible physical abuse or neglect with no identified concern regarding sexual abuse. Fisher’s exact test (two-tailed) was performed to ascertain the significance of differences for individual signs between cases and controls. To explore the potential role of confounding, logistic regression was used to produce odds ratios adjusted for age and gender. Results A total of 184 cases (105 boys, 79 girls), average age 98.5 months (range 26 to 179) were compared with 179 controls (94 boys, 85 girls) average age 83.7 months (range 35–193). Of the cases 136 (74%) had one or more signs described in anal abuse, compared to 29 (16%) controls. 79 (43%) cases and 2 (1.1%) controls had >1 sign. Reflex anal dilatation (RAD) and venous congestion were seen in 22% and 36% of cases but <1% of controls (likelihood ratios (LR) 40, 60 respectively), anal fissure in 14% cases and 1.1% controls (LR 13), anal laxity in 27% cases and 3% controls (LR 10). Novel signs seen significantly more commonly in cases were anal fold changes, swelling and twitching. Erythema, swelling and fold changes were seen most commonly within 7 days of last reported contact; RAD, laxity, venous congestion, fissure and twitching were observed up to 6 months after the alleged assault. Conclusions Anal findings are more common in children alleging anal abuse than in those presenting with physical abuse or neglect with no concern about sexual abuse. Multiple signs are rare in controls and support disclosed anal abuse. PMID:24884914

  17. Numerical simulation of earth fissures due to groundwater withdrawal

    NASA Astrophysics Data System (ADS)

    Wang, Z.; Zhang, Y.; Wu, J.; Yu, J.; Gong, X.

    2015-11-01

    Excessive groundwater withdrawal can cause land subsidence and earth fissures. The initiation and propagation of earth fissures are related to tensile failure and crack propagation in soils. Based on fracture mechanics, the crack band model (CBM), one of the smear crack models which is relatively easy to construct and convenient to be integrated into standard finite element codes is used in this paper. The calculated results of CBM are less dependent on the sizes of finite elements. The model was applied to simulate the formation and propagation of earth fissures in the hydrostratigraphic units with a bedrock ridge. The simulated positions and patterns of earth fissures coincide with field observations, suggesting that the modeling approach is adept to simulate the initiation and propagation of earth fissures due to groundwater withdrawal.

  18. What Is Anal Cancer?

    MedlinePlus

    ... anal papillae are also called fibroepithelial polyps . Skin tags: Skin tags are benign growths of connective tissue that are covered by squamous cells. Skin tags are often mistaken for hemorrhoids (swollen veins inside ...

  19. Stages of Anal Cancer

    MedlinePlus

    ... following stages are used for anal cancer: Stage 0 (Carcinoma in Situ) In stage 0 , abnormal cells ... or check-ups. Treatment Options by Stage Stage 0 (Carcinoma in Situ) Treatment of stage 0 is ...

  20. Pearl in interhemispheric fissure: A rare phenomenon.

    PubMed

    Agarwal, Vivek; Vijayan, Abhishek; Velho, Vernon; Mally, Rahul

    2012-10-01

    Epidermoid cysts (Keratin pearls) are benign congenital lesions, found commonly in cerebello-pontine angle, suprasellar cistern, sylvian cistern, pineal region, but they are very rare in interhemispheric fissure. Approaching these lesions are challenging to neurosurgeons because of narrow and deep fissure with surrounding vital structures. The present study constitutes an analysis of interhemispheric epidermoid managed at our hospital in last 10 years (Jan 2001-Dec 2010). Total 187 cases of intracranial epidermoid operated in our institute; eight of them were interhemispheric epidermoid making about 4.27% of all epidermoids. The patients were presented with seizures (50%), headache (37%), and weakness (25%). On examination, the common findings were decreased Mini mental score (MMSE) in 50%, motor deficit in 25%, and decreased visual acuity in 25% of cases. All patients underwent craniotomy across the midline as per the location of the lesions. In seven patients, tumors were resected by interhemispheric approach but in one by transcortical. Lesion were excised with microscope and endoscopic assistance with measures to prevent spillage of epidermoid tissue while excision. Post excision tumor bed was irrigated with hydrocortisone diluted saline. All patients except one improved after surgery and non-developed chemical meningitis. One patient of parietal interhemispheric epidermoid with transcortical approach developed weakness in immediate post-operative period. Patients were followed for average 6.8 year without any recurrence. Interhemispheric epidermoids are rare tumors. Achieving safe complete excision without spillage is surgical goal to prevent chemical meningitis and recurrence. Endoscope assists in achieving complete excision so decrease incidence of chemical meningitis and recurrence. PMID:23559996

  1. Study of the deformation mechanism of the Gaoliying ground fissure

    NASA Astrophysics Data System (ADS)

    Cheng, G.; Wang, H.; Luo, Y.; Guo, H.

    2015-11-01

    The Gaoliying ground fissure in Beijing has caused building cracking and road damage, and has seriously influenced city construction. Based on investigations and trenching, the influences of the fault and the variation of groundwater levels on the formation mechanism of the Gaoliying ground fissure were investigated by using FLAC3D. The results indicated that (1) the surface location of Gaoliying fissure is controlled by the underlying normal fault activity, and over pumping further exacerbates development of the ground fissure; (2) when the groundwater level declines, obvious differential settlement occurs at both sides of the ground fissure, in which greater settlement occurs in the vicinity of the hanging wall, the greater the distance from the hanging wall, the smaller the ground subsidence, however smaller ground subsidence occurs in the vicinity of the footwall, the greater the distance from the footwall, the greater the ground subsidence; (3) the vertical velocity of the ground fissure triggered by the fault activity and groundwater decline ranges from 15.5 to 18.3 mm a-1, which is basically in line with the monitoring data. The fault activity contributes about 28-39 %, and the groundwater contributes about 61-72 % to the deformation of the ground fissure, respectively.

  2. Heterosexual anal sexuality and anal sex behaviors: a review.

    PubMed

    McBride, Kimberly R; Fortenberry, J Dennis

    2010-03-01

    Little research addresses the role of anal sexuality and anal sexual behaviors as a widely practiced but relatively less frequent element of a heterosexual sexual repertoire. However, the importance of anal sex in sexual health is increasingly well-defined by epidemiological and clinical studies. This article reviews existing data on a range of heterosexual anal sex practices and provides conceptual and methodological recommendations for new research. PMID:20358456

  3. Anal itching - self-care

    MedlinePlus

    Anal itching occurs when the skin around your anus becomes irritated. You may feel intense itching around ... Anal itching may be caused by: Spicy foods, caffeine, alcohol, and other irritating foods and beverages Scents ...

  4. Steinert's syndrome presenting as anal incontinence: a case report

    PubMed Central

    2011-01-01

    Introduction Myotonic dystrophy (MD) or Steinert's syndrome is a rare cause of chronic diarrhea and anal incontinence. In the presence of chronic diarrhea and fecal incontinence with muscle weakness, neuromuscular disorders such as myotonic dystrophy should be considered in the differential diagnosis. Case Presentation We present the case of a 45-year-old Turkish man with Steinert's syndrome, who was not diagnosed until the age of 45. Conclusions In clinical practice, the persistence of diarrhea and fecal incontinence with muscle weakness should suggest that the physician perform an anal manometric study and electromyography. Neuromuscular disorders such as myotonic dystrophy should be considered in the differential diagnosis. PMID:21838873

  5. Seeded Amplification of Chronic Wasting Disease Prions in Nasal Brushings and Recto-anal Mucosa-Associated Lymphoid Tissues from Elk by Real-Time Quaking-Induced Conversion.

    PubMed

    Haley, Nicholas J; Siepker, Chris; Hoon-Hanks, Laura L; Mitchell, Gordon; Walter, W David; Manca, Matteo; Monello, Ryan J; Powers, Jenny G; Wild, Margaret A; Hoover, Edward A; Caughey, Byron; Richt, Jürgen A

    2016-04-01

    Chronic wasting disease (CWD), a transmissible spongiform encephalopathy of cervids, was first documented nearly 50 years ago in Colorado and Wyoming and has since been detected across North America and the Republic of Korea. The expansion of this disease makes the development of sensitive diagnostic assays and antemortem sampling techniques crucial for the mitigation of its spread; this is especially true in cases of relocation/reintroduction or prevalence studies of large or protected herds, where depopulation may be contraindicated. This study evaluated the sensitivity of the real-time quaking-induced conversion (RT-QuIC) assay of recto-anal mucosa-associated lymphoid tissue (RAMALT) biopsy specimens and nasal brushings collected antemortem. These findings were compared to results of immunohistochemistry (IHC) analysis of ante- and postmortem samples. RAMALT samples were collected from populations of farmed and free-ranging Rocky Mountain elk (Cervus elaphus nelsoni;n= 323), and nasal brush samples were collected from a subpopulation of these animals (n= 205). We hypothesized that the sensitivity of RT-QuIC would be comparable to that of IHC analysis of RAMALT and would correspond to that of IHC analysis of postmortem tissues. We found RAMALT sensitivity (77.3%) to be highly correlative between RT-QuIC and IHC analysis. Sensitivity was lower when testing nasal brushings (34%), though both RAMALT and nasal brush test sensitivities were dependent on both thePRNPgenotype and disease progression determined by the obex score. These data suggest that RT-QuIC, like IHC analysis, is a relatively sensitive assay for detection of CWD prions in RAMALT biopsy specimens and, with further investigation, has potential for large-scale and rapid automated testing of antemortem samples for CWD. PMID:26888899

  6. Calcified gallstone fissures: the reversed Mercedes Benz sign.

    PubMed

    Strijk, S P

    1987-01-01

    This article describes the occurrence of an unusual radiating pattern of calcification in the center of large radiolucent gallstones. The radiographic findings are attributed to calcium deposition within the fissures of biliary calculi. PMID:3556975

  7. Differential compaction mechanism for earth fissures near Casa Grande, Arizona.

    USGS Publications Warehouse

    Jachens, R.C.; Holzer, T.L.

    1982-01-01

    Precise gravity measurements indicate that earth fissures or tension cracks caused by ground-water withdrawal within a 10km2 area SE of Casa Grande are associated with relief on the buried interface between the alluvial aquifer and underlying bedrock. These relations suggest that the fissures are forming in response to localized differential compaction caused by localized variations of aquifer-system thickness. -from Authors

  8. Implications of ground-deformation measurements across earth fissures in subsidence areas in the southwestern USA

    USGS Publications Warehouse

    Holzer, Thomas L.

    2010-01-01

    Ground deformation was monitored at earth fissures in areas of land subsidence induced by groundwater extraction in the southwestern United States. The ground deformation is consistent with the mechanism that fissures are caused by horizontal strains generated by bending of overburden in response to localized differential compaction. Subsidence profiles indicated that localized differential subsidence occurred across the fissures and that maximum convex-upward curvature was at the fissure. The overall shape of the profile stayed similar with time, and maximum curvature remained stationary at the fissure. Horizontal displacements were largest near the fissure, and generally were small to negligible away from the fissure. Maximum tensile horizontal strains were at the fissure and coincided with maximum curvature in the subsidence profiles. Horizontal tensile strain continued to accumulate at fissures after they formed with rates of opening ranging from 30 to 120 microstrain/year at fissures in Arizona.

  9. Predominant cultivable microflora of human dental fissure plaque.

    PubMed Central

    Theilade, E; Fejerskov, O; Karring, T; Theilade, J

    1982-01-01

    Plaque developed in 10 occlusal fissures from unerupted third molars during implantation for 200 to 270 days in lower molars of dental students was studied. To characterize the predominant cultivable flora, 592 isolates (51 to 67 from each fissure) were subcultured from anaerobic roll tubes. Twenty-eight of the isolates were lost. Streptococci constituted 8 to 86% (median, 45%) of the isolates, Streptococcus mutans constituted 0 to 86% (median, 25%) and S. sanguis constituted 0 to 15% (median, 1%). A few isolates of "S. mitior" and "S. milleri" were found, but no S. salivarius. Staphylococci made up 0 to 23% (median, 9%). Gram-positive rods constituted 6 to 59% (median, 35%). Of these, 0 to 46% (median, 18%) were Actinomyces naeslundii and A. viscosus, but no anaerobic actinomyces were isolated. Arachnia and propionibacteria made up small proportions, lactobacilli were isolated from two fissures, constituting 10 and 29%, and eubacteria were isolated from one fissure (27%). Gram-negative cocci made up 0 to 46% (media, 4%). Only two isolates of gram-negative rods were found, both facultative anaerobes. Although 8 of the 10 fissures had large proportions of S. mutans, lactobacilli, or both, no caries was found even with microradiography. The large individual variation probably reflects differences in initial colonization from saliva and in growth conditions in each fissure. PMID:7095858

  10. Encopresis and anal masturbation.

    PubMed

    Aruffo, R N; Ibarra, S; Strupp, K R

    2000-01-01

    Current pediatric and psychiatric studies on encopresis and its treatment are heavily influenced by mechanical, physiological, and behavioral considerations. Although psychodynamic treatment has generally been considered to be of little benefit, and its findings suspect, the authors suggest that a psychodynamic approach adds substantially to the understanding of some cases of encopresis; that the anal sensations and anal erotic feelings reported by a number of encopretic children are intense, and that the encopretic symptom, soiling, in these children is the result of a conscious form of anal masturbation in which the fecal mass is used for stimulation; and that any study of encopresis is incomplete that does not include what encopretic children, engaged in a sound therapeutic relationship, know and say about their soiling. The authors further suggest that physical treatments of those children whose encopresis is psychologically driven may be contraindicated. The presence of a large stool does not in itself substantiate a physical illness. Further research is needed to elucidate the prevalence of anal masturbation in encopretic children. PMID:11212192

  11. Open Fissure Folds record coseismic loading and postseismic stress relaxation

    NASA Astrophysics Data System (ADS)

    Nüchter, Jens-Alexander

    2015-03-01

    Open Fissure Folds hosted by high pressure/low temperature metamorphic rocks of south Evia (Greece) are introduced, their structural and microstructural record is analysed, and a mechanical model is proposed. Open Fissure Folds are preserved as at least two parallel folded quartz-feldspar veins separated by narrow buckled rock columns. The veins originated as tensile cracks that propagated in the middle crust driven by high differential stress. Features diagnostic for Open Fissure Folds indicate that the rock columns represented the layers of high viscosity, and not the veins as consistently reported in many previous studies on folded veins. This record is taken to indicate that buckling of the rock columns initiated after arrest of the fractures and terminated prior to complete vein sealing. Accordingly, mechanical decoupling by open fissures allowed for buckling of the rock columns in response to episodic creep of the host rocks according to stress relaxation, as expected for postseismic deformation in the earthquake cycle. I propose that the parental fractures propagated in response to quasi-instantaneous coseismic loading of the middle crust. Buckling was attributed to transient postseismic creep and stress relaxation. Complete sealing of the veins occurred when stresses were largely relaxed. Each Open Fissure Fold records the stress and strain history of a single earthquake.

  12. [Death after anal "fisting"].

    PubMed

    Preuss, Johanna; Strehler, Marco; Dettmeyer, Reinhard; Madea, Burkhard

    2008-01-01

    A 45-year-old homeless woman was found dead at her usual sleeping place. Apart from traces of blood on the lower abdomen of the body, the police investigations did not produce any clues pointing to an unnatural death. At autopsy, it was found, however, that death had been caused by extensive disruptions of the intestine. After being confronted with the results, the sexual partner of the victim admitted manual anal penetration, but claimed that this had been done by mutual agreement. The court did not accept that statement and sentenced him to life imprisonment for murder. The frequency of such fatal outcomes of anal penetration, the relationship between the perpetrator and the victim and the special features at the scene are discussed. PMID:18389861

  13. Research on positioning of Xi'an ground fissures with InSAR quality map

    NASA Astrophysics Data System (ADS)

    Xu, Li; Zhao, Chao-ying

    2011-02-01

    Xi'an ground fissure is a typical geo-hazard with nearly half a century history, which have been caused serious damages to roads, building and other civil facilities. Based on the theory of deformation de-correlation of the active ground fissures, this manuscript mainly investigated the positioning method of active ground fissures by analyzing the pseudo-coherence map of adaptively filtered differential interferogram. We took two ERS1 SAR data during 1992-1993 as an example to investigate the active fissures position during this period. Consequently, high consistency between newly detected fissures and the ground fissure map from engineering geological investigation can be achieved.

  14. Perioperative Identification of an Accessory Fissure of the Right Lung

    PubMed Central

    Taverne, Yannick; Kleinrensink, Gert-Jan; de Rooij, Peter

    2015-01-01

    Anatomical variations of lungs are common in clinical practice; however, they are sometimes overlooked in routine imaging. Surgical anatomy of the lung is complex and many variations are known to occur. A defective pulmonary development gives rise to variations in lobes and fissures. Morphological presentation is of clinical importance and profound knowledge of the organogenesis and functional anatomy is imperative for the interpretation and evaluation of lung pathophysiology and subsequent surgical intervention. However, appreciating them on radiographs and CT scans is difficult and they are therefore often either not identified or completely misinterpreted. As presented in this case report, an accessory fissure separating the superior segment of the right lower lobe from its native lobe was seen perioperatively and could only retrospectively be defined on X-rays and CT scan. It is imperative to keep in mind that accessory fissures can be missed on imaging studies and thus can make the surgical procedure more challenging. PMID:26185701

  15. Marginal Microleakage of Conventional Fissure Sealants and Self-Adhering Flowable Composite as Fissure Sealant in Permanent Teeth

    PubMed Central

    Rahimian-Imam, Sara; Fayazi, Mohammad Reza

    2015-01-01

    Objectives: Application of sealants is a safe and effective way to prevent occlusal caries in the posterior teeth. A successful sealant therapy depends on good isolation. Decreased steps of adhesive application may enable proper isolation and use of self-adhering flowable composites for sealant therapy. This study sought to compare the marginal microleakage of fissure sealants and self-adhering flowable composites in permanent teeth. Materials and Methods: This in vitro, experimental study was conducted on 60 extracted human premolar teeth. The teeth were divided randomly into two groups of 30. In the first group, fissure sealant (Clinpro, 3M ESPE, USA) was placed on the teeth. In the second group, self-adhering flowable composite (Vertise Flow, Kerr, USA) was applied as the sealant. Then, both groups were immersed in 0.5% fuchsin dye solution for 24 hours. Sectioned samples were observed with a stereomicroscope for the extent of dye penetration. Data were analyzed using SPSS 21 and the Mann-Whitney test (P<0.05). Results: Microleakage in the fissure sealant group was significantly higher than that in the self-adhering flowable composite group (P<0.001). Conclusion: Microleakage was less using self-adhering flowable composite compared to conventional fissure sealant; therefore, self-adhering flowable composite can be used as a suitable fissure sealant in permanent teeth. PMID:26884777

  16. Pit and fissure sealant: review of the literature.

    PubMed

    Simonsen, Richard J

    2002-01-01

    For this literature review of pit and fissure sealant, 1,465 references were selected by a search for "sealants" on PubMed. References were limited to dental journals and papers in the English language. The search comprised papers from 1971 to October 2001. Additional papers of historical significance prior to 1971 were added from memory and from reference lists published in early papers. This paper reviewed the literature on pit and fissure sealants under the following subheadings: (1) laboratory studies, (2) clinical technique and tooth preparation, (3) etching time, (4) auxiliary application of pit and fissure sealant, (5) retention and caries prevention, (6) fluoride used with sealants and fluoride-containing sealant, (7) glass ionomer materials as sealants, (8) options in sealant: filled vs unfilled; colored vs clear; autocure vs light-initiated, (9) sealant placed over caries in a therapeutic manner, (10) cost effectiveness of sealant application, (11) underuse of pit and fissure sealant, (12) the estrogenicity issue, (13) use of an intermediate bonding layer to improve retention, (14) new developments and projections, and (15) summary and conclusions. From a careful and thorough review of peer-reviewed publications on pit and fissure sealant, it is clear that sealants are safe, effective and underused (at least underused in the United States). Pit and fissure sealant is best applied to high-risk populations by trained auxiliaries using sealant that incorporates the benefit of an intermediate bonding layer, applied under the rubber dam or with some alternative short-term, but effective, isolation technique, onto an enamel surface that has been cleaned with an air polishing technique and etched with 35% phosphoric acid for 15 seconds. The dental profession awaits with enthusiasm, and some impatience, the incorporation of dentin-bonding technology into the development of a modern, more durable, resin-based sealant. PMID:12412954

  17. An opening magmatic fissure: structural pattern of its termination

    NASA Astrophysics Data System (ADS)

    Zelenin, Egor A.; Kozhurin, Andrey I.; Pinegina, Tatiana K.; Mikhaylyukova, Polina G.

    2014-05-01

    Volcanic zones of Kamchatka bear two types of active faults and fractures. Faults of the first type are tectonic, so they are long-living with net offset growing with time by repeating movement. Faults of the second type could be termed volcano-tectonic as they couple with or are caused by eruptions and thus move just once. Authors have explored and described a NE-SW-striking fissure on the SW side of Gorely plateau in the South Kamchatka volcanic zone, which conducted magma 200 years ago (Selyangin, Ponomareva, 1999). The fissure depression is filled with basaltic-andesite lava. The 900 meters long southern terminus of the fissure is situated on the hill slope and therefore not overlapped with lava. The fissure ending is an asymmetric graben, deeper at its west side, up to 300 m wide and bounded by two nearly parallel normal faults. The graben floor is gradually deepening to the north, away from the terminus, down to 9-10 m. Bounding faults are perfectly expressed in topography, thus providing a rare opportunity for determination of fissure parameters. Both faults dip at 80-85°, that gives approximately up to 3 m of perpendicular extension and the same thickness of the dyke beneath. Vertical movements on the western and eastern bounding faults were accompanied by horizontal components, left-lateral and right-lateral, respectively. There are also several transverse north-facing scarps breaking the graben floor and not extending beyond its limits. The observed deformations altogether suggests simultaneous sinking of the graben floor and northward compensating movement of masses into the graben. Tectonic landforms we studied illustrate how strain could be compensated at the end of an opening fissure and provide some insight into similar settings at a regional and even global scale.

  18. Engineering a robotic approach to mapping exposed volcanic fissures

    NASA Astrophysics Data System (ADS)

    Parcheta, C. E.; Parness, A.; Mitchell, K. L.

    2014-12-01

    Field geology provides a framework for advanced computer models and theoretical calculations of volcanic systems. Some field terrains, though, are poorly preserved or accessible, making documentation, quantification, and investigation impossible. Over 200 volcanologists at the 2012 Kona Chapman Conference on volcanology agreed that and important step forward in the field over the next 100 years should address the realistic size and shape of volcanic conduits. The 1969 Mauna Ulu eruption of Kīlauea provides a unique opportunity to document volcanic fissure conduits, thus, we have an ideal location to begin addressing this topic and provide data on these geometries. Exposed fissures can be mapped with robotics using machine vision. In order to test the hypothesis that fissures have irregularities with depth that will influence their fluid dynamical behavior, we must first map the fissure vents and shallow conduit to deci- or centimeter scale. We have designed, constructed, and field-tested the first version of a robotic device that will image an exposed volcanic fissure in three dimensions. The design phase included three steps: 1) create the payload harness and protective shell to prevent damage to the electronics and robot, 2) construct a circuit board to have the electronics communicate with a surface-based computer, and 3) prototype wheel shapes that can handle a variety of volcanic rock textures. The robot's mechanical parts were built using 3d printing, milling, casting and laser cutting techniques, and the electronics were assembled from off the shelf components. The testing phase took place at Mauna Ulu, Kīlauea, Hawai'i, from May 5 - 9, 2014. Many valuable design lessons were learned during the week, and the first ever 3D map from inside a volcanic fissure were successfully collected. Three vents had between 25% and 95% of their internal surfaces imaged. A fourth location, a non-eruptive crack (possibly a fault line) had two transects imaging the textures

  19. Screening for Anal Cancer in Women

    PubMed Central

    Moscicki, Anna-Barbara; Darragh, Teresa M.; Berry-Lawhorn, J. Michael; Roberts, Jennifer Margaret; Khan, Michelle J.; Boardman, Lori A.; Chiao, Elizabeth; Einstein, Mark H.; Goldstone, Stephen E.; Jay, Naomi; Likes, Wendy M.; Stier, Elizabeth A.; Welton, Mark Lane; Wiley, Dorothy J.; Palefsky, Joel M.

    2015-01-01

    Objective The incidence of anal cancer is higher in women than men in the general population and has been increasing for several decades. Similar to cervical cancer, most anal cancers are associated with human papillomavirus (HPV) and it is believed that anal cancers are preceded by anal high-grade squamous intraepithelial lesions (HSIL). Our goal was to summarize the literature on anal cancer, HSIL and HPV infection in women, and provide screening recommendations in women. Methods A group of experts convened by the ASCCP and the International Anal Neoplasia Society reviewed the literature on anal HPV infection, anal SIL and anal cancer in women. Results Anal HPV infection is common in women but is relatively transient in most. The risk of anal HSIL and cancer varies considerably by risk group, with HIV-infected women and those with a history of lower genital tract neoplasia (LGTN) at highest risk compared with the general population. Conclusions While there are no data yet to demonstrate that identification and treatment of anal HSIL leads to reduced risk of anal cancer, women in groups at the highest risk should be queried for anal cancer symptoms and have digital anorectal examinations to detect anal cancers. HIV-infected women and women with LGTN, may be considered for screening with anal cytology with triage to treatment if HSIL is diagnosed. Healthy women with no known risk factors or anal cancer symptoms do not need to be routinely screened for anal cancer or anal HSIL. PMID:26103446

  20. Do We Know What Causes Anal Cancer?

    MedlinePlus

    ... anal cancer be prevented? Do we know what causes anal cancer? Researchers have found some risk factors that increase ... now being done to learn how HPV might cause anal cancer. There is good evidence that HPV causes many ...

  1. Dental Pit and Fissure Sealants: Implications for School Health Personnel.

    ERIC Educational Resources Information Center

    McCormack-Brown, K. R.; And Others

    1989-01-01

    To promote good personal hygiene practices in students, school health personnel must be informed about dental pit and fissure sealants and related programs. Adoption and maintenance of such programs may depend on the success of school health personnel in educating administrators and policymakers. (SM)

  2. Craniosynostosis, anal anomalies, and porokeratosis (CDAGS syndrome): case report and literature review.

    PubMed

    Chouery, Eliane; Guissart, Claire; Mégarbané, Hala; Aral, Bernard; Nassif, Charbel; Thauvin-Robinet, Christel; Faivre, Laurence; Mégarbané, André

    2013-12-01

    CDAGS syndrome is an autosomal recessive syndrome characterized by craniosynostosis, large open fontanelles, hearing loss, anal anomalies, genitourinary malformations and porokeratosis. To our knowledge, only four families from different geographic regions and ethnic backgrounds have been reported until now and no molecular defect has been identified. Here we report two sisters presenting with craniosynostosis, microcephaly, short downslanting palpebral fissures, sparse hair, eyelashes, and eyebrows and porokeratosis that appeared at the age of one month. The youngest sister had an imperforate anus with rectoperineal fistula. Array-CGH did not reveal any pathological CNV. Molecular analysis of the c16orf57, RECQL4 and MCM5 genes was normal. PMID:24095818

  3. New method opens opportunity to proactively select for fissure resistance in early breeding generations

    Technology Transfer Automated Retrieval System (TEKTRAN)

    WANTED: New rice varieties improved for resistance to kernel fissuring. Rice kernel fissuring is one of the leading causes of reduced milling yield. Any reduction in fissuring can result in direct increases in yield and profit for both producers and millers. While most U.S. rice varieties yield a...

  4. Numerical modeling of the evolution of two-phase zone under fissured caprock

    SciTech Connect

    Yano, Y.; Ishido, T.

    1993-01-28

    A vapor-dominated two-phase zone would be formed in a geothermal reservoir under fissured caprock, if the permeability of the fissure is much smaller than a critical permeability which is estimated by an energy balance. If the permeability of the fissure is large, then the rule of minimum mass input would be applied.

  5. Selection for fissure resistance now made possible in early breeding generations

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Rice kernel fissuring is one of the leading causes of milling yield losses. Any reduction in fissuring can result in direct increases in yield and profit for both producers and millers. While most U.S. rice varieties yield around 55% head rice, the fissure-resistant varieties ‘Cypress’, ‘Saber’ an...

  6. Can Anal Cancer Be Found Early?

    MedlinePlus

    ... Next Topic Signs and symptoms of anal cancer Can anal cancer be found early? Many anal cancers can be found early in the course of the ... they reach an advanced stage. Other anal cancers can cause symptoms like those of diseases other than ...

  7. [SURGICAL TREATMENT OF POSTOPERATIVE STRICTURE OF ANAL CHANNELL].

    PubMed

    Shevchuk, I M; Sadoviy, I Ya; Novytskiy, O V

    2015-09-01

    The results of treatment of 50 patients, suffering postoperative stricture of anal channell (SACH), who were treated in Proctology Department of Ivano-Frankivskiy Rural Clinical Hospital in 2006-2014 yrs, were analyzed. After conduction of hemorrhoidectomy in accordance to Milligan-Morgan method for chronic hemorrhoids grades III-IV a SACH have occurred in 46 (92%) patients, excision of a chronic anal fissura was performed in 3 (6%) and excision of perianal pointed condylomas--in 1 patient. In 2006-2007 yrs 11 (22%) patients were operated in accordance to approaches, which were conventional at that time (comparison group). In 2008 - 2014 yrs 39 (78%) patients were admitted to hospital (main group), in whom new approaches for diagnosis, conservative and surgical treatment were applied, 30 (76.9%) of them were operated. The proposed method on isolated roentgen contrast investigation of anal channell have permitted to determine objectively a form, diameter and grade of the anal channel stricture, and it may be applied as a screening procedure, as additional objective criterion while choosing a surgical tactic. Application of the improved operative technique for SACH have permitted to lower its occurrence rate from 45.4 to 6.7%. PMID:26817078

  8. Primary radiation therapy in the treatment of anal carcinoma

    SciTech Connect

    Cantril, S.T.; Green, J.P.; Schall, G.L.; Schaupp, W.C.

    1983-09-01

    From 1966 to 1981, 47 patients with a diagnosis of anal carcinoma were irradiated. This group was composed of 23 males and 24 females, with age ranging from 38 to 84 years (average 64.4 years). Five patients were treated preoperatively and 34 were treated definitively with cancericidal doses of irradiation. Acute radiation reactions requiring a rest-break were noted in 28% of patients, but all were managed as outpatients without untoward chronic sequelae. Chronic complications were noted in 13 patients, including two patients who required colostomy for severe anal stenosis and two who required A-P resection for large painful ulcers. Twenty-eight of 35 patients (80%) treated with irradiation alone have remained locally controlled without further treatment. An additional four have been salvaged by surgery. Only three patients had interstitial implants as part of their treatment course. Actuarial survival at five years for the N/sub 0/ patients and the group as a whole are 95.6 and 79.3%, respectively. It is concluded that external beam irradiation alone, properly fractionated to cancericidal doses, can control anal carcinoma with acceptable morbidity rates and without the use of either chemotherapy or interstitial implants in most cases. There is also a strong correlation suggesting that anal intercourse and male homosexuality play a significant role in the etiology of this disease.

  9. Black Anal Canal: Acute Necrosis

    PubMed Central

    Martins, Catarina; Gonçalves, Cláudia; Alves, Paulo; Gil, Inês; Canhoto, Manuela; Silva, Filipe; Cotrim, Isabel; Amado, Cristina; Eliseu, Liliana; Vasconcelos, Helena

    2016-01-01

    Acute ischemia of the rectum or anal canal resulting in necrosis is extremely uncommon because both the rectum and the anal canal have excellent blood supplies. We present a case with spontaneous necrosis of the anal canal without rectal involvement. Surgical debridement was accomplished, and the recovery was uneventful. The patient was elderly, with probable atherosclerotic arterial disease, and presented with hypotension. Due to the lack of other precipitating factors, the hypoperfusion hypothesis seems to be the most suitable in this case. To the best of our knowledge, no similar cases have been reported in the literature on this subject.

  10. A Computational Geometry Approach to Automated Pulmonary Fissure Segmentation in CT Examinations

    PubMed Central

    Pu, Jiantao; Leader, Joseph K; Zheng, Bin; Knollmann, Friedrich; Fuhrman, Carl; Sciurba, Frank C; Gur, David

    2010-01-01

    Identification of pulmonary fissures, which form the boundaries between the lobes in the lungs, may be useful during clinical interpretation of CT examinations to assess the early presence and characterization of manifestation of several lung diseases. Motivated by the unique nature of the surface shape of pulmonary fissures in three-dimensional space, we developed a new automated scheme using computational geometry methods to detect and segment fissures depicted on CT images. After a geometric modeling of the lung volume using the Marching Cube Algorithm, Laplacian smoothing is applied iteratively to enhance pulmonary fissures by depressing non-fissure structures while smoothing the surfaces of lung fissures. Next, an Extended Gaussian Image based procedure is used to locate the fissures in a statistical manner that approximates the fissures using a set of plane “patches.” This approach has several advantages such as independence of anatomic knowledge of the lung structure except the surface shape of fissures, limited sensitivity to other lung structures, and ease of implementation. The scheme performance was evaluated by two experienced thoracic radiologists using a set of 100 images (slices) randomly selected from 10 screening CT examinations. In this preliminary evaluation 98.7% and 94.9% of scheme segmented fissure voxels are within 2 mm of the fissures marked independently by two radiologists in the testing image dataset. Using the scheme detected fissures as reference, 89.4% and 90.1% of manually marked fissure points have distance ≤ 2 mm to the reference suggesting a possible under-segmentation of the scheme. The case-based RMS (root-mean-square) distances (“errors”) between our scheme and the radiologist ranged from 1.48±0.92 to 2.04±3.88 mm. The discrepancy of fissure detection results between the automated scheme and either radiologist is smaller in this dataset than the inter-reader variability. PMID:19272987

  11. The effect of vegetation on infiltration in shallow soils underlain by fissured bedrock

    NASA Astrophysics Data System (ADS)

    Stothoff, S. A.; Or, D.; Groeneveld, D. P.; Jones, S. B.

    1999-05-01

    Mean annual infiltration above the high-level waste repository proposed to be sited at Yucca Mountain, Nevada, has a large impact on assessments of repository performance. Ongoing investigations of infiltration processes have identified the relatively horizontal caprock environment above portions of the repository as a potentially large source of infiltrating waters, due to shallow, permeable soils above a moderately welded tuff with large soil-filled fissures. The combination of shallow soils and fissured bedrock allows rapid penetration of wetting pulses to below the rooting zone. Plant uptake can strongly reduce net infiltration in arid environments with high water storage capacity, and, despite the low water storage capacity, there is a relatively high vegetation density in this environment. The apparent discrepancy between high vegetation density and low water storage motivates the study of plant-hydrologic interactions in this semiarid environment. Field observations were coupled with plant- and landscape-scale models to provide insight into plant-hydrologic interactions. Several lines of evidence, including: (i) linear plant growth features observed on aerial photographs; (ii) comparisons of plant cover within the fissured environment and comparable environments lacking fissures; and (iii) direct excavations, all suggest that the widely spaced soil-filled fissures are conducive to plant growth even when fissures are buried at soil depths exceeding 30 cm. Results from a mechanistic simulation model for root growth into fissures suggest that the additional (sheltered) plant-available soil water within fissures provides a competitive advantage for plant establishment. Therefore, plants that germinate above a fissure are more likely to survive, in turn developing linear features above fissures. Having established that plants preferentially root within soil-filled fissures in the caprock environment, a set of simulations were performed to examine the hydrologic

  12. Short communication: sclerosing meningioma in the deep sylvian fissure.

    PubMed

    Fukushima, Shintaro; Narita, Yoshitaka; Yonezawa, Motoki; Ohno, Makoto; Arita, Hideyuki; Miyakita, Yasuji; Ichimura, Koichi; Yoshida, Akihiko; Shibui, Soichiro

    2014-10-01

    Sclerosing meningioma is a rare type of meningeal tumor with extensive collagen depositions. Deep sylvian meningioma, a tumor that is unattached to the dura mater, is also unusual. The biological activity of both is controversial, as are therapeutic strategies. A heterogeneous contrast-enhanced mass in the right sylvian fissure of a 10-year-old boy with a 3-year history of epilepsy was identified via magnetic resonance imaging. The patient underwent partial surgical resection because the tumor was hard and contained numerous perforators arising from the right middle cerebral artery. The tumor was histologically diagnosed as sclerosing meningioma. Twelve months after surgery, the patient was asymptomatic and did not require any additional therapies. This case is the first report of a sclerosing meningioma arising in the deep sylvian fissure. We discuss the therapeutic dilemma of this case with respect to the current literature. PMID:24141724

  13. [Aortic intramural hematoma fissuration: atypical presentation in an aircraft pilot].

    PubMed

    Fozzato, Francesca; Prioli, Maria Antonia; Santini, Francesco; Menini, Fabio; Pavan, Michela; Guarise, Paola; Vassanelli, Corrado

    2010-02-01

    Aortic intramural hematoma is a life-threatening thoracic aortic pathology. In this report we describe a case of fissuration of an aortic intramural hematoma with atypical clinical presentation, which occurred in an aircraft pilot. The patient was admitted to our emergency room with transient chest pain developed during a flight landing, followed only by persistent abdominal pain. The ECG and cardiac enzymes were normal. A portable two-dimensional transthoracic echocardiogram showed aortic root dilation and pericardial effusion. Transesophageal echocardiography showed aortic intramural hematoma with fissuration into the pericardial space. The angio-computed tomography confirmed the diagnosis. Two hours after admission the patient, with signs of cardiac tamponade, underwent Bentall surgical intervention without complications. PMID:20408481

  14. Anal Pap smears and anal cancer: what dermatologists should know.

    PubMed

    Liszewski, Walter; Ananth, Amy T; Ploch, Lauren E; Rogers, Nicole E

    2014-11-01

    Squamous epithelial cells are susceptible to infection by the human papillomavirus. Infection of squamous epithelium with oncogenic human papillomavirus types is associated with development of dysplasia and potential malignant transformation. Historically, cervical cancer has been the most prevalent human papillomavirus-induced squamous neoplasia. However, because of widespread screening via Pap smear testing, rates of cervical cancer in the United States have decreased dramatically during the past 50 years. Rates of anal cancer, in contrast, have doubled during the past 30 years. The groups at highest risk for development of anal cancer are men who have sex with men, HIV-positive patients, and patients immunosuppressed as a result of solid-organ transplantation. By detecting dysplasia before it develops into invasive cancer, anal Pap smears may be a potentially useful screening tool for anal cancer, particularly in individuals known to be at increased risk. However, at this time, sufficient data supporting the benefit of anal Pap smear screening are lacking. With insufficient evidence, no national health care organizations currently recommend the use of anal Pap smears as a routine screening test, even among high-risk groups. PMID:25088812

  15. Delayed Superior Orbital Fissure Syndrome After Reconstruction of Blowout Fracture.

    PubMed

    Kim, Young Joon; Choi, Woong Kyu

    2016-01-01

    The superior orbital fissure syndrome (SOFS) has been known to be a condition caused by impairment of the nerves that cross the superior orbital fissure. Traumatic SOFS is an uncommon complication which occurs usually within 48 hours after a facial injury. A 25-year-old male sustained facial trauma following an altercation. Clinical findings on presentation included swelling, ecchymosis, hyphema, subretinal hemorrhage, and mild extraocular movement limitation upon lateral gaze on his right eyelids. Facial computed tomography scan confirmed fractures of the medial walls of the right orbit and herniation of orbital soft tissue without the incarceration of medial rectus muscle. Ten days after the trauma, the operation was performed. On postoperative day 16, the patient showed ptosis of the right upper eyelid with a fixed pupil, and there was a hypoesthesia over the distribution of the right supraorbital and supratrochlear nerves. The authors diagnosed as a delayed SOFS and prescribed 4 mg of methylprednisolone q.i.d. for 30 days. After steroid therapy, extraocular movement limitations improved progressively. After 8 months, movement was completely restored. The authors experienced delayed SOFS on posttrauma day 27, and it was treated by steroid therapy. Surgical intervention is required when there is an evident etiology such as underlying hematoma or plate migration. If the reason is not clear like our case, steroid therapy can be considered as one of the options. Particularly, the authors should give special attention to the patient who has congenitally narrow superior orbital fissure, like Fujiwara et al suggested. PMID:26674904

  16. [HPV-induced anal lesions].

    PubMed

    Wieland, U; Kreuter, A

    2015-06-01

    Human papillomavirus (HPV) infections belong to the most common sexually transmitted infections. To date, more than 200 completely classified HPV-types have been reported, and those belonging to the genus alpha predominantly infect the anogenital region. Condylomata acuminata are caused by the two low-risk types HPV6 and HPV11 in more than 90 % of cases. Treatment of genital warts might be either ablative (e.g. electrocautery, surgical excision, or laser therapy) or topical (e.g. podophyllotoxine, trichloroacetic acid, or imiquimod), and depends on the size, location, morphology and anatomical region. Recurrences after treatment are frequent. Therefore, combination therapies (e.g. topical and ablative) play an important role in daily routine. HIV-infected individuals, especially HIV-positive MSM, have a strongly increased risk for anal dysplasia and anal cancer. Condylomata acuminata and a large proportion of anal dysplasia and anal carcinoma are preventable by prophylactic HPV-vaccination. PMID:25859930

  17. Electrocautery for Precancerous Anal Lesions

    Cancer.gov

    Results from a randomized clinical trial conducted in Amsterdam suggest that electrocautery is better than topical imiquimod or fluorouracil at treating potentially precancerous anal lesions in HIV-positive men who have sex with men.

  18. Modern management of anal fistula

    PubMed Central

    Limura, Elsa; Giordano, Pasquale

    2015-01-01

    Ideal surgical treatment for anal fistula should aim to eradicate sepsis and promote healing of the tract, whilst preserving the sphincters and the mechanism of continence. For the simple and most distal fistulae, conventional surgical options such as laying open of the fistula tract seem to be relatively safe and therefore, well accepted in clinical practise. However, for the more complex fistulae where a significant proportion of the anal sphincter is involved, great concern remains about damaging the sphincter and subsequent poor functional outcome, which is quite inevitable following conventional surgical treatment. For this reason, over the last two decades, many sphincter-preserving procedures for the treatment of anal fistula have been introduced with the common goal of minimising the injury to the anal sphincters and preserving optimal function. Among them, the ligation of intersphincteric fistula tract procedure appears to be safe and effective and may be routinely considered for complex anal fistula. Another technique, the anal fistula plug, derived from porcine small intestinal submucosa, is safe but modestly effective in long-term follow-up, with success rates varying from 24%-88%. The failure rate may be due to its extrusion from the fistula tract. To obviate that, a new designed plug (GORE BioA®) was introduced, but long term data regarding its efficacy are scant. Fibrin glue showed poor and variable healing rate (14%-74%). FiLaC and video-assisted anal fistula treatment procedures, respectively using laser and electrode energy, are expensive and yet to be thoroughly assessed in clinical practise. Recently, a therapy using autologous adipose-derived stem cells has been described. Their properties of regenerating tissues and suppressing inflammatory response must be better investigated on anal fistulae, and studies remain in progress. The aim of this present article is to review the pertinent literature, describing the advantages and limitations of

  19. Modern management of anal fistula.

    PubMed

    Limura, Elsa; Giordano, Pasquale

    2015-01-01

    Ideal surgical treatment for anal fistula should aim to eradicate sepsis and promote healing of the tract, whilst preserving the sphincters and the mechanism of continence. For the simple and most distal fistulae, conventional surgical options such as laying open of the fistula tract seem to be relatively safe and therefore, well accepted in clinical practise. However, for the more complex fistulae where a significant proportion of the anal sphincter is involved, great concern remains about damaging the sphincter and subsequent poor functional outcome, which is quite inevitable following conventional surgical treatment. For this reason, over the last two decades, many sphincter-preserving procedures for the treatment of anal fistula have been introduced with the common goal of minimising the injury to the anal sphincters and preserving optimal function. Among them, the ligation of intersphincteric fistula tract procedure appears to be safe and effective and may be routinely considered for complex anal fistula. Another technique, the anal fistula plug, derived from porcine small intestinal submucosa, is safe but modestly effective in long-term follow-up, with success rates varying from 24%-88%. The failure rate may be due to its extrusion from the fistula tract. To obviate that, a new designed plug (GORE BioA®) was introduced, but long term data regarding its efficacy are scant. Fibrin glue showed poor and variable healing rate (14%-74%). FiLaC and video-assisted anal fistula treatment procedures, respectively using laser and electrode energy, are expensive and yet to be thoroughly assessed in clinical practise. Recently, a therapy using autologous adipose-derived stem cells has been described. Their properties of regenerating tissues and suppressing inflammatory response must be better investigated on anal fistulae, and studies remain in progress. The aim of this present article is to review the pertinent literature, describing the advantages and limitations of

  20. The fissure: interlobar collateral ventilation and implications for endoscopic therapy in emphysema

    PubMed Central

    Koster, Theodoor David; Slebos, Dirk-Jan

    2016-01-01

    In patients with severe emphysema, bronchoscopic lung volume reduction using one-way valves is a promising therapeutic option to improve lung function and quality of life. The goal of this treatment is to achieve a complete lobar atelectasis. In a significant proportion of patients, this atelectasis cannot be achieved due to interlobar collateral ventilation. This collateral ventilation is generated through incomplete lobar fissures. Therefore, only patients with complete fissures and no collateral ventilation can be selected for endobronchial therapy with one-way valves. Incomplete fissures are very common and exhibit a great variation in anatomy. The reported prevalence is 17%–85% for the right major fissure, 19%–74% for the left major fissure, and 20%–90% for the minor fissure. There are several methods of measuring or predicting the presence of collateral ventilation, with computed tomography (CT)-fissure analysis and the Chartis measurement being the most important. CT-fissure analysis is an indirect method to measure the completeness of fissures as a surrogate for collateral ventilation. The Chartis system is an endobronchial method to directly measure the presence of collateral ventilation. Both methods have unique value, and the combination of both can accurately predict the treatment response to the bronchoscopic placement of endobronchial valves. This review provides an in-depth view of lung fissure and collateral ventilation to help understand its importance in selecting the appropriate patients for new emphysema treatments and thus avoid useless treatment in unsuitable patients. PMID:27110109

  1. Giant desiccation fissures filled with calcareous eolian sand, Hermosa Formation (Pennsylvanian), southeastern Utah

    NASA Astrophysics Data System (ADS)

    Loope, David B.; Haverland, Zsolt E.

    1988-04-01

    At two stratigraphic intervals within the upper member of the Upper Pennsylvanian Hermosa Formation, calcareous eolian sand fills downward-tapering fissures that are as much as 18 cm wide and 5.7 m deep. Fissure fillings define orthogonal polygons 10 m or more in diameter. One of the host beds is primarily composed of subtidally deposited limestone, the other is a thinly laminated, nonmarine red siltstone. Both systems of fissure fillings are directly overlain and underlain by large-scale cross-stratified, calcareous eolianites. The limestone host bed contains chert pseudomorphs after gypsum. Compaction of host rocks contorted fissure fillings and caused doming of eolian strata over each fissure. Platy mineral grains in fissure fillings are aligned subparallel to bedding in the host rocks, supporting the view that the fissures were passively filled rather than forcefully injected. These ancient fissure systems are similar in scale and pattern to those that define giant desiccation polygons in numerous Great Basin playas. The Pennsylvanian fissures, like their Holocene counterparts, probably formed when groundwater tables dropped from shallow levels within fine-grained, impermeable deposits into underlying aquifers, greatly decreasing the extent of the capillary fringe. Our study of the fissures and host rocks supports the hypothesis that carbonate grains within the eolianites were deflated from uncemented marine sediments that were broadly exposed during regressive intervals.

  2. A Review of Cyanoacrylate Liquid Skin Protectant and Its Efficacy on Pedal Fissures

    PubMed Central

    Vlahovic, Tracey C.; Hinton, Elizabeth A.; Chakravarthy, Debashish; Fleck, Cynthia Ann

    2011-01-01

    Introduction Skin fissures are a common dermatologic condition caused by excessive dry skin, numerous systemic diseases, and backless shoe gear. They are defects in skin that fall into the category of damaged, partial-thickness skin wounds, as opposed to full-thickness wounds. Patients with heel fissures are at an increased risk for developing infection, which could cause more severe issues, especially in patients with diabetes and peripheral vascular disease. Methods Five patients from Temple Foot and Ankle Institute, Philadelphia, PA, with a total of 8 heel fissures and 2 hallux fissures, were studied. Patients were dispensed 9 vials of a cyanoacrylate liquid skin protectant (Marathon™, Medline Industries, Inc, Mundelein, IL) to be applied to the fissure every 3 days. Patients returned every 2 weeks for follow-up in clinic. Results The hallux fissures and 4 of the heel fissures went to complete closure after 2 weeks. There was an average decrease of 1.16 cm in length of the heel fissure dimensions after 2 weeks and an average decrease of 1.1 cm in length of the hallux fissures. Conclusion This novel skin protectant proved to be a comfortable, easy, and effective tool in aiding the resolution of pedal skin fissures. PMID:24527155

  3. Sphincteroplasty for anal incontinence

    PubMed Central

    Pescatori, Lorenzo Carlo; Pescatori, Mario

    2014-01-01

    Sphincteroplasty (SP) is the operation most frequently performed in patients suffering from moderate-to-severe anal incontinence (AI) who do not respond to conservative treatment. Other costly surgeries, such as artificial bowel sphincter (ABS) and electro-stimulated graciloplasty, have been more or less abandoned due to their high morbidity rate. Minimally invasive procedures are widely used, such as sacral neuromodulation and injection of bulking agents, but both are costly and the latter may cure only mild incontinence. The early outcome of SP is usually good if the sphincters are not markedly denervated, but its effect diminishes over time. SP is more often performed for post-traumatic than for idiopathic AI. It may also be associated to the Altemeier procedure, aimed at reducing the recurrence rate of rectal prolapse, and may be useful when AI is due either to injury to the sphincter, or to a narrowed rectum following the procedure for prolapse and haemorrhoids (PPH) and stapled transanal rectal resection (STARR). The outcome of SP is likely to be improved with biological meshes and post-operative pelvic floor rehabilitation. SP is more effective in males than in multiparous women, whose sphincters are often denervated, and its post-operative morbidity is low. In conclusion, SP, being both low-cost and safe, remains a good option in the treatment of selected patients with AI. PMID:24759337

  4. Phimosis with Preputial Fissures as a Predictor of Undiagnosed Type 2 Diabetes in Adults.

    PubMed

    Huang, Yun-Ching; Huang, Yao-Kuang; Chen, Chih-Shou; Shindel, Alan W; Wu, Ching-Fang; Lin, Jian-Hui; Chiu, Kuo-Hsiung; Yang, Tzu-Hsin; Shi, Chung-Sheng

    2016-03-01

    Diabetes is usually asymptomatic in its early stage. Early diagnosis may improve outcomes by enabling initiation of treatment before end organ damage has progressed. The aim of this study was to determine whether the clinical sign of phimosis with preputial fissures is predictive of type 2 diabetes in patients not previously diagnosed with diabetes. Twenty-eight patients with acquired phimosis and preputial fissures were collected prospectively. Twenty-eight controls with acquired phimosis without preputial fissures were selected. Statistically significant differences were found in body mass index, random plasma glucose, glucosuria and glycosylated haemoglobin levels, but not in age, family history of diabetes, hypertension and classical hyperglycaemic symptoms. Diabetes was confirmed in all 28 patients in the preputial fissures group, but only 2 (7.1%) patients in the non-preputial fissures group (p < 0.0001). In conclusion, phimosis with preputial fissures may be a specific sign of undiagnosed diabetes mellitus. PMID:26349852

  5. Enamel fusion using a carbon dioxide laser: A technique for sealing pits and fissures

    SciTech Connect

    Walsh, L.J.; Perham, S.J. )

    1991-05-01

    The well-established enhanced resistance of lased enamel to demineralization is the basis for clinical application of the carbon dioxide laser to caries prevention. This in vitro study examined the effect of focused infrared laser radiation on sound enamel and early pit and fissure caries. Low power levels (2-5 W) induced localized melting and resolidification of enamel with little surface destruction. For sound fissures, fusion of enamel from the lateral walls of the fissure eliminated the fissure space, providing a sealant effect; while in carious fissures, carious enamel was vaporized and adjacent sound enamel fused to partially eliminate the defect. The technique for enamel fusion using CO2 lasers has potential application for sealing pits and fissures and producing physicochemical alterations in enamel which may have preventive benefits.

  6. Joints, fissures, and voids in rhyolite welded ash-flow tuff at Teton damsite, Idaho

    USGS Publications Warehouse

    Prostka, Harold J.

    1977-01-01

    Several kinds of joints, fissures, and voids are present in densely welded rhyolite ash-flow tuff at Teton damsite. Older fissures and voids probably were formed in the ash-flow sheet during secondary flowage, which probably was caused by differential compaction or settling over irregular topography. The younger, more abundant fissures are mostly steep cooling joints that probably have been opened farther by horizontal tectonic extension and gravitational creep, perhaps aided by lateral stress relief.

  7. Caries-preventive effect of fissure sealants: a systematic review.

    PubMed

    Mejàre, Ingegerd; Lingström, Peter; Petersson, Lars G; Holm, Anna-Karin; Twetman, Svante; Källestål, Carina; Nordenram, Gunilla; Lagerlöf, Folke; Söder, Birgitta; Norlund, Anders; Axelsson, Susanna; Dahlgren, Helena

    2003-12-01

    The objectives of this study were to evaluate systematically the evidence of the caries-preventive effect of fissure sealing of occlusal tooth surfaces and to examine factors potentially modifying the effect. The search strategies included electronic databases, reference lists of articles, and selected textbooks. Inclusion criteria were randomized or quasi-randomized clinical trials or controlled clinical trials comparing fissure sealing with no treatment or another preventive treatment in children up to 14 years of age at the start; the outcome measure was caries increment; the diagnostic criteria had been described; and the follow-up time was at least 2 years. Inclusion decisions were taken and grading of the studies was done independently by two of the authors. The main measure of effect was relative risk reduction. Thirteen studies using resin-based or glass ionomer sealant materials were included in the final analysis. The results showed that most studies were performed during the 1970s and a single application had been utilized. The relative caries risk reduction pooled estimate of resin-based sealants on permanent 1st molars was 33% (relative risk = 0.67; CI = 0.55-0.83). The effect depended on retention of the sealant. In conclusion, the review suggests limited evidence that fissure sealing of 1st permanent molars with resin-based materials has a caries-preventive effect. The evidence is incomplete for permanent 2nd molars, premolars and primary molars and for glass ionomer cements. Overall, there remains a need for further trials of high quality, particularly in child populations with a low and a high caries risk, respectively. PMID:14960003

  8. Bonding Agents in Pit and Fissure Sealants: A Review

    PubMed Central

    Das, Usha Mohan; G, Suma

    2009-01-01

    Dental adhesive systems used for bonding dental resins to enamel and dentin have evolved through several "generations," with changes in chemistry, mechanism, number of bottles, application technique, and clinical effectiveness. The trend in the latest generation of dental bonding systems is to reduce the number of components and clinical placement steps. The introduction of i bond, a single-bottle dental adhesive system, is the latest of the new generation materials, and combines etchant, adhesive, and desensitizer in one component. This paper describes different dentin bonding agents, its evolution, mechanism of action and different commercially available dentin bonding agents and their role in the retention of pit and fissure sealant. PMID:25206115

  9. Sylvian fissure epidermoid cyst presenting with intention tremor

    PubMed Central

    Shah, Abhidha; Makkiyah, Feda; Goel, Atul

    2016-01-01

    Epidermoid tumors are benign tumors which contain keratin, cellular debris, and cholesterol, and are lined with stratified squamous epithelium. They grow in discreet silence sustained over a multitude of years. The tumors most commonly present with headache and seizures. We report the case of a 24-year-old male with a large sylvian fissure epidermoid tumor who presented with intention tremor. The patient was operated, and a near-total excision of the tumor was performed with a resolution of the tremor. PMID:27057232

  10. Fluoride release and uptake abilities of different fissure sealants

    PubMed Central

    Andenna, Gianluigi; Ceci, Matteo; Beltrami, Riccardo; Colombo, Marco; Cucca, Lucia

    2016-01-01

    Background The long-term capability of resin sealants and glass ionomer cements to release fluoride is associated to a reduction in pit and fissure caries. The regular use of fluoride varnishes/toothpastes can result in the absorption of fluoride into the sealant. The objective of the present study was to assess the fluoride release/uptake capacities of different fissure sealants. Material and Methods Three different fissure sealants (Fuji Triage/GC, Fissurit FX/Voco and Grandio Seal/Voco) were examined. Ten discs of each material were prepared. Each disc was incubated with distilled water and then the solution analyzed for diluted for fluoride concentration, using a combination of fluoride electrode (OrionGP 1 S/N 13824, Orion Research Inc, Boston, MA, USA) connected to an expandable ion analyzer (Orion 720A, Orion Research Inc, Boston, MA, USA). Standard curves between 1 and 100 ppm F- were used to calibrate the electrode. Cumulative fluoride release was measured on days 1, 2, 3, 5, 7, 21, 35 and 49, then two different fluoride varnishes/pastes (Profluorid Varnish/Voco, MI Paste Plus/GC), were applied to the sealants tested, and fluoride release (after reuptake) was measured on days 56, 70 and 84. Results Kruskal Wallis test confirmed significant differences in fluoride release between Fuji Triage/GC and Fissurit FX/Voco and Grandio Seal/Voco from day 1 (P < 0.001). The application of fluoride varnish Profluorid Varnish enhanced the fluoride release for all sealants (P < 0.05). MI Paste Plus enhanced the fluoride release for all sealants except for Fuji Triage/GC (P > 0.05). Conclusions The GIC-based sealant (Fuji Triage/GC) released significantly more fluoride than the resin sealants tested. The exposure to the fluoridated varnish (Profluorid Varnish) significantly recharged the sealants tested more than the CPP-ACPF toothpaste (MI Paste Plus). Key words:Fissure sealants, fluoride release, fluoride uptake, glass ionomer cements. PMID:27398179

  11. Research of features related to land subsidence and ground fissure disasters in the Beijing Plain

    NASA Astrophysics Data System (ADS)

    Yang, Y.; Luo, Y.; Liu, M.; Wang, R.; Wang, H.

    2015-11-01

    This study overviews the development history, current situation, impact, and hazards of land subsidence and ground fissure disasters in the Beijing Plain (BP) and focuses on the disaster distribution and features of disaster-causing mechanisms. Currently, the BP is still in a rapid developmental stage of land subsidence. The development and distribution of land subsidence are affected by various factors including the thickness of Quaternary compressible clay, groundwater overexploitation, and the rapid development of urban construction. The causes of ground fissures in the BP are complex and diverse, with evidence of structure fissures, non-structure fissures, and mixed genesis fissures. Investigations of the Gaoliying ground fissure have shown that this fissure has evidence of fracture activity, with vertical deformation that is more significant than horizontal deformation. Furthermore, this ground fissure has characteristics of inter-annual periodicity and annual jumping. The land subsidence and ground fissures are all under structural control and impact each other, and more severe hazards may be induced under the superimposition of these two types of disasters. Effective measures and suggestions for disaster prevention and control are recommended on the basis of this study.

  12. Conservative treatment for anal incontinence

    PubMed Central

    Carter, Dan

    2014-01-01

    Anal incontinence (AI) in adults is a troublesome condition that negatively impacts upon quality of life and results in significant embarrassment and social isolation. The conservative management of AI is the first step and targets symptomatic relief. The reported significant improvement with conservative treatments for AI is close to 25% and involves prescribed changes in lifestyle habits, a reduced intake of foods that may cause or aggravate diarrhea or rectal urgency, and the use of specific anti-diarrheal agents. The use of a mechanical barrier in the form of an anal plug and the outcomes and principles of pelvic kinesitherapies and biofeedback options are outlined. This review discusses a gastroenterologist's approach towards conservative therapy in patients referred with anal incontinence. PMID:24759347

  13. Fissure sealants: Knowledge and practice of Yemeni dental practitioners

    PubMed Central

    Al-Maweri, Sadeq Ali; Al-Jamaei, Aisha Ahmed; Halboub, Esam Saleh; Al-Soneidar, Walid Ahmed; Tarakji, Bassel; Alsalhani, Anas

    2016-01-01

    Objectives This study was conducted to evaluate Yemeni dental practitioners' knowledge and practices concerning fissure sealants. Materials and Methods: A modified questionnaire consisted of 25-items was distributed to 500 dentists working in Sana'a City. Descriptive statistics and Chi-square/Fisher's exact tests were used for statistical analyses. Results: The response rate was 74%. Most of the respondents were male (61.3%), general practitioners (84.2%), and had <5 years of clinical experience (48.3%). The respondents showed a reasonable level of knowledge about sealants, with the majority (88%) believed that there is strong scientific evidence about fissure sealants effectiveness and around 90% showed a good understanding of sealant placement instructions. On the other hand, respondents showed insufficient knowledge about sealants clinical practice. Conclusion: Although a high proportion of dental practitioners showed adequate knowledge about dental sealant, following guidelines and standardized procedures in clinical practice is lacking. These emphasize the need for regular continuing education courses for dental professional. PMID:27095903

  14. Fracture mechanical behavior of red sandstone containing a single fissure and two parallel fissures after exposure to different high temperature treatments

    NASA Astrophysics Data System (ADS)

    Yang, Sheng-Qi; Jing, Hong-Wen; Huang, Yan-Hua; Ranjith, P. G.; Jiao, Yu-Yong

    2014-12-01

    A detailed understanding of the brittle deformation behavior of sandstone containing pre-existing flaws at elevated temperatures is a key concern in underground engineering. In this research, uniaxial compression tests were performed to evaluate the effect of high temperature treatments (300, 600 or 900 °C) on the strength, deformability and fracture coalescence behavior of a sandstone containing either a single fissure or two parallel fissures. All experiments focused on rectangular prismatic (80 × 160 × 30 mm) specimens of red sandstone. Constant strain rate experiments were performed on either: (1) specimens that contained a single 2 mm-wide fissure or (2) specimens that contained two 2 mm-wide parallel fissures. The specimens containing either one or two fissures were either left at room temperature (i.e., no heat treatment), or heat treated to 300, 600 or 900 °C prior to experimentation. The results demonstrated that, in all cases, the strength and stiffness of red sandstone was increased at 300 °C, before decreasing up to our maximum temperature of 900 °C. However, the peak strain at failure always showed an increase when the temperature was increased. The crack initiation, propagation and coalescence process were monitored during the deformation using both photographic monitoring and acoustic emission (AE) monitoring techniques. The monitoring results showed that the cracking process depended on both the fissure geometry and the heat treatment temperature. The potential mechanisms causing the differences in the mechanical behavior observed with increasing temperature are discussed, as is the influence of the single fissure and the two parallel fissures on the crack evolution process. These results are important and valuable to understand the fracture mechanism of rock engineering in deep underground mining excavations and nuclear waste depositories.

  15. 21 CFR 872.3765 - Pit and fissure sealant and conditioner.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Pit and fissure sealant and conditioner. 872.3765 Section 872.3765 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3765 Pit and fissure sealant...

  16. 21 CFR 872.3765 - Pit and fissure sealant and conditioner.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Pit and fissure sealant and conditioner. 872.3765 Section 872.3765 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3765 Pit and fissure sealant...

  17. 21 CFR 872.3765 - Pit and fissure sealant and conditioner.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Pit and fissure sealant and conditioner. 872.3765 Section 872.3765 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3765 Pit and fissure sealant...

  18. 21 CFR 872.3765 - Pit and fissure sealant and conditioner.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Pit and fissure sealant and conditioner. 872.3765 Section 872.3765 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3765 Pit and fissure sealant...

  19. Response to early generation selection for resistance to rice kernel fissuring

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The value of milled rice (Oryza sativa L.) depends on the percent whole versus broken kernels after milling. Kernel fissures caused by pre- or post-harvest stresses are the leading cause of breakage upon milling. ‘Cypress’ is known to be more fissure resistant (FR) than most cultivars, but breeding ...

  20. Early screening of recombinant inbred lines for fissure resistance in non-semidwarf rice

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Rice (Oryza sativa L.) kernel fissuring poses a major problem for both rice farmers and millers. It results in the decreased value of milled rice because of the increase in the percentage of broken kernels associated with fissuring. This study employs the use of fine mapping to increase the genetic ...

  1. Holocene intracontinental deformation of the northern North China Plain: Evidence of tectonic ground fissures

    NASA Astrophysics Data System (ADS)

    Xu, Liqing; Li, Sanzhong; Cao, Xianzhi; Somerville, I. D.; Suo, Yanhui; Liu, Xin; Dai, Liming; Zhao, Shujuan; Guo, Lingli; Wang, Pengcheng; Cao, Huahua

    2016-04-01

    Following the collecting and analyzing of field data on the geometry and kinematics characteristics of ground fissures in the northern North China Plain (NNCP), this paper shows that en échelon ground fissures or tectonic ground fissures with a length of several meters to tens of kilometers extending along active faults are possibly controlled by underlying active faults. There are two groups of tectonic ground fissures developed in the NNCP. One group consists of ENE-trending "right-stepping" ground fissures, some of which have a component of sinistral motion. The other group is NNE-trending "left-stepping" ground fissures with dextral motion. A large amount of data from trenches, boreholes and seismic exploration reflect that they are active-faulting-related. The NNW-trending regional extensional stress field and the reactivation of pre-existing faults are the major factors controlling ground fissures. Data from the Quaternary sedimentary records, deep incised valleys, the distribution of earthquakes and ground fissures, and our field work show that the Holocene intracontinental deformation of the NNCP is characterized by intense faulting and northwestward tilting, which may be related to a NNW-SSE-oriented tensional stress field in the shallow crust and asthenospheric upwelling in the mantle.

  2. Preserving rice quality: fine mapping and introgressing a fissure resistance locus

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Rice (Oryza sativa L.) kernel fissuring is a major concern of both rice producers and millers. Fissures are small cracks in the rice kernels that increase the percentage of breakage among the kernels when they are transported and milled, which decreases the value of processed rice. This study employ...

  3. Video monitoring analysis of the dynamics at fissure eruptions

    NASA Astrophysics Data System (ADS)

    Witt, Tanja; Walter, Thomas R.

    2016-04-01

    At basaltic eruption often lava fountains occur. The fountains mainly develop at erupting fissures, underlain by a magma-filled dike transporting the magma horizontally and vertically. Understanding of the dynamics of the deep dike and fracture mechanisms are mainly based on geophysical data as well as observations from seismic or geodetic networks. At the surface, however, new methods are needed to allow detailed interpretation on the eruption velocities, interactions between vents and complexities in the magma paths. With video cameras we collected imaging data from different erupting fissures. We find that lava fountaining is often correlated at distinct vents. From the frames of the videos we calculated the height and velocities of fountains as a function of time. Lava fountains often show a pulsating regime, that may change over time. Comparing the fountain height as a function of time of different vents by an time-dependent cross-correlation, we find a time lag between the pulses at adjacent vents. From this we derive an apparent velocity of temporal separation between vents, associated with the fountaining activity based on the calculated time lag and the vent distances. Although the correlation system can change episodically and sporadically, both the frequency of the fountains and eruption and the rest time between single fountains remain remarkably similar for adjacent lava fountains imply a controlling process in the magma feeder system itself. We present and compare our method for the Kamoamoa eruption 2011 (Hawaii) and the Holuhraun eruption 2014/2015 (Iceland). Both sites show a significant time shift between the single pulses of adjacent vents. We compare our velocities determined by this time shift to the assumed magma flow velocity in the dike as determined by independent models. Therefore we conjecture that the time shift of venting activity may allow to estimate the dynamics of magma and fluid migration at depth, as well as to identify the

  4. Groundwater-Mining-Induced Subsidence and Earth Fissures in Cedar Valley, Southwestern Utah

    NASA Astrophysics Data System (ADS)

    Knudsen, T. R.; Inkenbrandt, P.; Lund, W. R.; Lowe, M.; Bowman, S. D.

    2014-12-01

    Groundwater pumping in excess of recharge (groundwater mining) has lowered the potentiometric surface in Cedar Valley, southwestern Utah, by as much as 114 feet since 1939. Lowering the potentiometric surface (head decline) has caused permanent compaction of fine-grained sediments of the Cedar Valley aquifer. Recently acquired interferometric synthetic aperture radar (InSAR) imagery shows that land subsidence is occurring over an ~100 square-mile area, including two pronounced subsidence bowls in the northeastern (Enoch graben) and southwestern (Quichapa Lake area) parts of the valley. A lack of accurate historical benchmark elevation data over much of the valley prevents detailed long-term quantification of subsidence. In response to the land subsidence, earth fissures have formed along the margins of the Enoch graben and north and west of Quichapa Lake. Our initial inventory of Cedar Valley fissures, which relied on aerial-photography analysis, identified 3.9 miles of fissures in 2009. With newly acquired light detection and ranging (LiDAR) coverage in 2011, we more than doubled the total length of mapped fissures to 8.3 miles. Fissures on the west side of the Enoch graben exhibit ongoing vertical surface displacement with rates as high as 1.7 inches/year. The largest Enoch-graben-west fissure has displaced street surfaces, curb and gutter, and sidewalks, and has reversed the flow direction of a sewer line in a partially developed subdivision. Several Cedar Valley fissures are closely associated with, and in some places coincident with, mapped Quaternary faults. While the majority of Cedar Valley fissures are mapped in agricultural areas, continued groundwater mining and resultant subsidence will likely cause existing fissures to lengthen and new fissures to form that may eventually impact other developed areas of the valley.

  5. Cisplatin and Fluorouracil Compared With Carboplatin and Paclitaxel in Treating Patients With Inoperable Locally Recurrent or Metastatic Anal Cancer

    ClinicalTrials.gov

    2016-03-22

    Anal Basaloid Carcinoma; Anal Canal Cloacogenic Carcinoma; Anal Squamous Cell Carcinoma; Metastatic Anal Canal Carcinoma; Recurrent Anal Canal Carcinoma; Stage IIIB Anal Canal Cancer; Stage IV Anal Canal Cancer

  6. Evidence not practised: the underutilisation of preventive fissure sealants.

    PubMed

    Bonetti, D L

    2014-04-01

    International and UK professional organisations, Cochrane systematic reviews, and international and UK guidance documents all support the application of preventive fissure sealants (PFSs) as an effective treatment for reducing caries. However, PFSs are well known to be underutilised in primary care. This paper collates data from PFS-relevant studies in Scotland, which has a large population of children at caries risk, to identify the beliefs and factors dentists perceive as influencing their decision not to provide this treatment. This information provides a platform to suggest how to increase the application of PFSs in this region (a standardised audit incorporating evidence-based behaviour change techniques, supplemental guidance on how to implement gold-standard recommendations in practice, training). This may also be relevant outside of Scotland, as well as to the implementation of other evidence-based behaviours in practice. PMID:24722094

  7. Pleistocene microvertebrates from fissure-fillings in Thailand

    NASA Astrophysics Data System (ADS)

    Chaimanee, Yaowalak; Jaeger, Jean-Jacques; Suteethorn, Varavudh

    Microvertebrates (and among them specially, rodents) have contributed to the elaboration of precise biochronological time scales and to the reconstitution of Pleistocene paleoenvironments in several parts of the world (North America, Africa, Europe and Japan). They have been demonstrated to be highly sensitive to climatic changes since they are very sensitive to vegetation changes. Up to now, no data is available for Southeast Asia and very few information is available concerning the nature of climatic changes which affected that part of the tropical world during the Pleistocene. In the past few years, we have discovered several fissure fillings in Thailand yielding numerous remains of microvertebrates which have been extracted by dissolution in acetic acid solution. These deposits are the result of the feeding activity of predators, like owls or diurnal raptors, whose pellets are accumulated in caves or fissures. Eleven localities, located in Central (2), Eastern (1), Western (2) and Peninsular Thailand (6) have been investigated so far. Several rodent species, belonging to 9 genera of Murinae (rats and mice) and 9 genera of Sciuridae (squirrels) have been identified in these localities. The most important differences with the extant representatives often concern the size of the teeth of these fossil species. The meaning of these size differences is not yet clearly understood since they can be attributed either to significant time differences between localities (microevolution) or as the result of size variations related to climatic changes (clinical variations). More data will have to be collected to calibrate the temporal frame. Already, important modification of the geographic distribution of some species have been discovered which testify that during the Pleistocene, significative climatic changes have affected Southeast Asia. For example, Exilisciurus, a squirrel which is presently restricted to Borneo has been recognized in Peninsular Thailand. Also, Iomys

  8. Discrete element modeling on the crack evolution behavior of brittle sandstone containing three fissures under uniaxial compression

    NASA Astrophysics Data System (ADS)

    Yang, Sheng-Qi; Huang, Yan-Hua; Ranjith, P. G.; Jiao, Yu-Yong; Ji, Jian

    2015-12-01

    Based on experimental results of brittle, intact sandstone under uniaxial compression, the micro-parameters were firstly confirmed by adopting particle flow code (PFC^{2D}). Then, the validation of the simulated models were cross checked with the experimental results of brittle sandstone containing three parallel fissures under uniaxial compression. The simulated results agreed very well with the experimental results, including the peak strength, peak axial strain, and ultimate failure mode. Using the same micro-parameters, the numerical models containing a new geometry of three fissures are constructed to investigate the fissure angle on the fracture mechanical behavior of brittle sandstone under uniaxial compression. The strength and deformation parameters of brittle sandstone containing new three fissures are dependent to the fissure angle. With the increase of the fissure angle, the elastic modulus, the crack damage threshold, and the peak strength of brittle sandstone containing three fissures firstly increase and secondly decrease. But the peak axial strain is nonlinearly related to the fissure angle. In the entire process of deformation, the crack initiation and propagation behavior of brittle sandstone containing three fissures under uniaxial compression are investigated with respect to the fissure angle. Six different crack coalescence modes are identified for brittle sandstone containing three fissures under uniaxial compression. The influence of the fissure angle on the length of crack propagation and crack coalescence stress is evaluated. These investigated conclusions are very important for ensuring the stability and safety of rock engineering with intermittent structures.

  9. Internal anal sphincter: an anatomic study.

    PubMed

    Uz, A; Elhan, A; Ersoy, M; Tekdemir, I

    2004-01-01

    The anatomy of the internal anal sphincter and surrounding structures was investigated in 24 cadavers using a surgical microscope (6-25 x magnification). An understanding of the anatomy of the internal anal sphincter is helpful in avoiding complications during surgical procedures in the anorectal region. The external anal sphincter was composed of three ellipsoid rings of skeletal muscle (subcutaneous, superficial, and deep) that encircle the anal canal; in contrast, we found that the internal anal sphincter was composed of flat rings of smooth muscle bundles stacked one on top of the other, like the slats of a Venetian blind. In each anal canal, the average number of ring-like slats observed was 26.33 +/- 2.93 (range = 20-30) and each was covered by its own fascia. The smooth muscle fibers and fascia coalesced at three equidistant points around the anal canal to form three columns that extended distally into the lumen and differed in form from the other anal columns. When viewed from an anterior position, the columns were located anteriorly at the observer's right (5 o'clock position), posteriorly at the right (1 o'clock position), and laterally at the left (9 o'clock position). This heretofore unreported anatomy of the internal anal sphincter may play an important role in closing off the lumen of the anal canal and maintaining bowel continence. PMID:14695582

  10. Conservative management of anal leiomyosarcoma

    SciTech Connect

    Minsky, B.D.; Cohen, A.M.; Hajdu, S.I. )

    1991-10-01

    Leiomyosarcomas of the large intestine are unusual neoplasms, comprising less than 0.1% of all malignancies of the colon and rectum. Six cases of leiomyosarcoma of the anus have been reported. The optimal treatment for this neoplasm is not known. The standard surgical approach is abdominoperineal resection. The authors report the seventh case of this rare neoplasm and outline its treatment using local excision and iridium 192 brachytherapy in an attempt to preserve the anal sphincter. In selected patients, conservative surgery followed by radiation therapy may be an alternative to radical surgery, with the goals of local control of the disease and anal sphincter preservation. However, more experience is needed before this approach could be recommended routinely.

  11. Infrasound from the 2007 fissure eruptions of Kīlauea Volcano, Hawai'i

    USGS Publications Warehouse

    Fee, D.; Garces, M.; Orr, T.; Poland, M.

    2011-01-01

    Varied acoustic signals were recorded at Kīlauea Volcano in mid-2007, coincident with dramatic changes in the volcano's activity. Prior to this time period, Pu'u 'Ō'ō crater produced near-continuous infrasonic tremor and was the primary source of degassing and lava effusion at Kīlauea. Collapse and draining of Pu'u 'Ō'ō crater in mid-June produced impulsive infrasonic signals and fluctuations in infrasonic tremor. Fissure eruptions on 19 June and 21 July were clearly located spatially and temporally using infrasound arrays. The 19 June eruption from a fissure approximately mid-way between Kīlauea's summit and Pu'u 'O'o produced infrasound for ~30 minutes-the only observed geophysical signal associated with the fissure opening. The infrasound signal from the 21 July eruption just east of Pu'u 'Ō'ō shows a clear azimuthal progression over time, indicative of fissure propagation over 12.9 hours. The total fissure propagation rate is relatively slow at 164 m/hr, although the fissure system ruptured discontinuously. Individual fissure rupture times are estimated using the acoustic data combined with visual observations.

  12. Modeling of earth fissures caused by land subsidence due to groundwater withdrawal

    NASA Astrophysics Data System (ADS)

    Panda, B. B.; Rucker, M. L.; Fergason, K. C.

    2015-11-01

    Land subsidence and earth fissures are phenomena related to groundwater withdrawal in a sedimentary basin. If the rock basement or basin lithology is irregular, both vertical and horizontal displacements can be induced due to differential settlement and tensile stresses appearing in the soil mass. If the differential settlement is of sufficient magnitude, earth fissuring can occur within tensile zones. The magnitudes of compaction and fissure geometry are closely related to the thickness and skeletal compressibility of fine-grained sediments within the aquifer system. Land subsidence and earth fissuring were modeled by employing a two-dimensional (2-D) coupled seepage and stress-strain finite element analysis. The basin bedrock geometry, lithological variation, measurements of surface displacements, and changes in hydraulic head were the critical input parameter for the subsidence modeling. Simulation results indicate that strain had exceeded the approximate threshold for fissure formation of 0.02 to 0.06 % in the area of the identified fissures. The numerical model was used to predict future subsidence and potential earth fissures for flood control structures within the metro Phoenix area.

  13. [Anal cancer in HIV patients].

    PubMed

    Quéro, Laurent; Duval, Xavier; Abramowitz, Laurent

    2014-11-01

    Despite effective highly active antiretroviral treatment, anal cancer incidence has recently strongly increased in HIV-infected population. Treatment strategy in HIV-infected patients does not differ from general population. HIV-infected patients treated by chemo-radiotherapy are exposed to high-grade toxicities and should be closely monitored to deliver the optimal treatment. Close collaboration between oncologist and infectiologist is highly recommended to adjust antiretroviral therapy if necessary. PMID:25418596

  14. Preferential flow in fissured sediments in desert soils related to radioactive waste disposal

    SciTech Connect

    Scanlon, B.R.; Raney, J.A. . Bureau of Economic Geology)

    1992-01-01

    Unsaturated flow in fissured sediments in the Chihuahuan Desert of Texas was examined to determine if these features act as preferred pathways for water and solute transport. Fissures are surface features, or gulleys, that are underlain by fractures filled with sediment derived from surrounding areas. Hydraulic and chemical approaches were used to investigate unsaturated flow processes beneath and adjacent to fissures, and the results were compared with data from surrounding geomorphic systems such as arroyos, ephemeral streams, and interstreams. Typically, high water potentials in surficial sediments result from infiltration of recent precipitation. Below this surficial zone of high water potentials lies a zone of low water potentials that is much thinner beneath the fissure than in adjacent sediments or in sediments beneath ephemeral streams and interstreams. Maximum chloride concentrations in profiles in the near-surface fissured sediments were much lower than those measured in all other geomorphic systems. The corresponding moisture velocities in the fissured sediments ranged from 10 to 70 mm/yr. A tracer experiment demonstrated higher downward water and solute transport in the fracture fill beneath the fissure relative to adjacent sediments. Numerical simulations of the tracer experiment with the computer code TRACR3D reproduced the overall shape of the tracer plume. Sensitivity analyses demonstrated that the tracer plume is most sensitive to spatial variability in soil texture and the corresponding hydraulic parameters. The results from this study suggest that sediments in the fissured area act as preferred pathways in the shallow subsurface because surface runoff is concentrated in the fissures and because underlying fractures and cavities provide avenues for moisture and solute transport.

  15. Elements of an anal dysplasia screening program.

    PubMed

    Jay, Naomi

    2011-01-01

    The incidence of anal cancer in HIV-infected men who have sex with men (MSM) is highly elevated compared to the general population, as is the incidence of its precursor lesion, high-grade anal intraepithelial neoplasia (HGAIN). MSM in general and other immunocompromised populations are also at higher risk. Treatment of HGAIN may prevent development of cancer, similar to the decrease in cervical cancers that has occurred since the advent of cervical cancer screening programs in women. Cervical cancer screening tools have been adapted and validated for screening, diagnosis, and treatment of anal HGAIN. Anal cancer screening programs have now been available for more than a decade, although they are not yet standards of care. Incorporating screening procedures into practice depends on the available resources in a particular community. This article discusses the procedures for anal cancer screening including cytology, digital anal rectal examinations, high-resolution anoscopy, and biopsy. PMID:22035526

  16. Biomaterials in the Treatment of Anal Fistula: Hope or Hype?

    PubMed Central

    Scoglio, Daniele; Walker, Avery S.; Fichera, Alessandro

    2014-01-01

    Anal fistula (AF) presents a chronic problem for patients and colorectal surgeons alike. Surgical treatment may result in impairment of continence and long-term risk of recurrence. Treatment options for AFs vary according to their location and complexity. The ideal approach should result in low recurrence rates and minimal impact on continence. New technical approaches involving biologically derived products such as biological mesh, fibrin glue, fistula plug, and stem cells have been applied in the treatment of AF to improve outcomes and decrease recurrence rates and the risk of fecal incontinence. In this review, we will highlight the current evidence and describe our personal experience with these novel approaches. PMID:25435826

  17. Mechanical benefits of conservative restoration for dental fissure caries.

    PubMed

    Zhang, Zhongpu; Zheng, Keke; Li, Eric; Li, Wei; Li, Qing; Swain, Michael V

    2016-01-01

    The principle of minimal intervention dentistry (MID) is to limit removal of carious tooth tissue while maximizing its repair and survival potential. The objective of this study is to explore the fracture resistance of a permanent molar tooth with a fissure carious lesion along with three clinical restoration procedures, namely one traditional and two conservative approaches, based upon MID. The traditional restoration employs extensive surgical removal of enamel and dentine about the cavity to eliminate potential risk of further caries development, while conservative method #1 removes significantly less enamel and infected dentine, and conservative method #2 only restores the overhanging enamel above the cavity and leaves the infected and affected dentine as it was. An extended finite element method (XFEM) is adopted here to analyze the fracture behaviors of both two-dimensional (2D) and three-dimensional (3D) modeling of these four different scenarios. It was found that the two conservative methods exhibited better fracture resistance than the traditional restorative method. Although conservative method #2 has less fracture resistance than method #1, it had significantly superior fracture resistance compared to other restorations. More important, after cavity sealing it may potentially enhance the opportunity for remineralization and improved loading bearing capacity and fracture resistance. PMID:26298801

  18. 21 CFR 872.3765 - Pit and fissure sealant and conditioner.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3765 Pit and fissure sealant and... depressions (faults in the enamel) in the biting surfaces of teeth to prevent cavities. (b)...

  19. Use of CO2 laser in pit and fissure caries prevention: clinical evaluation

    NASA Astrophysics Data System (ADS)

    Brugnera, Aldo, Jr.; Rosso, Naomi; Duarte, Danilo; Guedes Pinto, Antonio C.; Genovese, Walter J.

    1997-05-01

    In this four-year follow up in vivo controlled study, 112 human permanent first molars, from children between the ages of 6 and 11 years old were used to investigate the viability of the CO2 laser in promoting carie-free occlusal surfaces in permanent molars, as an isolated form of treatment or associated with conventional fissure sealants. The findings suggest that occlusal caries prevention only by means of CO2 laser irradiation is not effective; that the utilization of photo-activated sealants, as well as its association with CO2 laser, applied over the occlusal fissures, are effective means of preventing occlusal caries and that the application of CO2 laser over occlusal fissures, prior to the application of a photo-activated fissure sealant, improves the retention of the sealant.

  20. Painless Ulcers and Fissures of Toes: Hereditary Sensory Neuropathy, Not Leprosy

    PubMed Central

    Rao, Angoori Gnaneshwar

    2016-01-01

    Hereditary sensory neuropathies (HSN) are rare genetically determined neuropathies. They often manifest as painless injuries in children. We present HSN in a 5-year-old boy who presented with recurrent fissuring and ulceration involving both great toes. PMID:26955138

  1. Land subsidence and earth fissures due to groundwater withdrawal in the Southern Yangtse Delta, China

    NASA Astrophysics Data System (ADS)

    Zhang, Yun; Xue, Yu-Qun; Wu, Ji-Chun; Yu, Jun; Wei, Zi-Xin; Li, Qin-Fen

    2008-08-01

    Excessive extraction of groundwater has caused severe land subsidence and earth fissures in the Southern Yangtse Delta, China. Based on field data, the temporal and spatial distribution of land subsidence is investigated and the causes for earth fissures are analyzed. The areal distribution of the land subsidence is closely related to the cones of depression in the main exploited aquifers. The compaction of a hydrostratigraphic unit depends on its mechanical behavior, thickness, compressibility, and the piezometric level changing. The primary subsidence layers in Shanghai have been the first aquitard before 1990 and the third confined aquifer since then. But the second aquitard unit was the primary subsidence layer in Changzhou. Earth fissures, trending in several directions, occurred in the Husu tectonic zone. They were mainly caused by differential subsidence and horizontal displacement that resulted from tensile stress and shear stress in units. The majority of fissures in the study area are tensile.

  2. Putative fissure-resistance QTLs mapped to chromosomes 1 and 8 based on allelic frequency differences observed between fissure-resistant and fissure-susceptible progeny from two segregating populations

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Whole rice kernels have two to three times more market value than broken, which means that any reduction in milling yield results in financial losses for both rice producers and millers. One of the primary causes of rice breakage during milling is fissuring of the rice before it even enters the mil...

  3. Fluorine mapping in sound and carious fissures of human teeth using PIGE

    NASA Astrophysics Data System (ADS)

    Yamamoto, H.; Nomachi, M.; Yasuda, K.; Iwami, Y.; Ebisu, S.; Sakai, T.; Fukuda, M.

    2005-04-01

    By using the PIGE technique at JAERI Takasaki, we measured fluorine (F) distribution in a micro area of occlusal fissures in the enamel of human teeth. The fissures were classified into three groups: Group I, no caries; Group II, incipient caries; Group III, advanced caries. The extracted teeth were embedded in epoxy resin and cut along the longitudinal axis through the fissures. The F concentration in the fissure at the cut surface was measured. A 1.7 MeV proton beam accelerated by the TIARA single-ended accelerator was delivered to a micro-beam apparatus. The beam spot size was about 1 μm with a beam current of about 100 pA. A nuclear reaction, 19F (p,αγ)16O, was used to measure the F concentration and gamma-rays from this reaction were detected with a 4″ NaI(Tl) detector. X-rays induced by proton were detected with a Ge detector to measure calcium concentration and the beam intensity was monitored with the X-ray yield from a copper foil for quantitative analysis. The obtained results were shown as two-dimensional mapping. In all specimens, an F concentration was observed around the fissure. The F concentration varied depending on the location of the fissure and decreased towards the inner part of the tooth. The maximum F concentration values in the measured area ranged from 3500-11700 ppm (mean = 6000 ppm) in Group I, 2400-10700 ppm (mean = 6300 ppm) in Group II, and 5200-16900 ppm (mean = 9300 ppm) in Group III. Although high F concentrations tended to be measured in the carious fissures, high values were also recognized in the sound fissures. More studies are necessary to clarify the relationship between F and carious lesions.

  4. Adaptive Management of Land Subsidence and Ground Fissuring in the Chino Groundwater Basin, California

    NASA Astrophysics Data System (ADS)

    Malone, A.; Rolfe, T.; Wildermuth, M.; Kavounas, P.

    2014-12-01

    The Chino Basin, located in southern California, is a large alluvial groundwater basin with storage in excess of five million acre-feet. The basin has a long history of groundwater development for various uses dating back to the early 1900s. As a result, piezometric heads declined basin-wide during the past century - in some areas by more than 200 feet. Declines of this magnitude typically cause irreversible aquifer-system compaction, which in turn results in subsidence at the ground surface. In portions of Chino Basin, land subsidence has been differential and accompanied by ground fissuring, which damaged existing infrastructure and poses concerns for new and existing development.Chino Basin Watermaster, the agency responsible for groundwater basin management, has recognized that land subsidence and ground fissuring should be minimized to the extent possible. At the same time, Watermaster is implementing aggressive groundwater-supply programs that include controlled overdraft and the possibility of causing head declines in areas prone to subsidence and fissuring. The groundwater-supply programs must also address the subsidence and fissuring phenomena.From 2001 to 2005, Watermaster conducted a technical investigation to characterize the extent, rate, and mechanisms of subsidence and fissuring. The investigation employed InSAR and ground-level surveying of benchmarks to monitor ground-surface deformation, and borehole extensometers and piezometric monitoring to establish the relationships between groundwater production, piezometric levels, and aquifer-system deformation. Based on the results of the investigation, Watermaster developed: (i) subsidence-management criteria for the areas experiencing acute subsidence and fissuring, and (ii) an adaptive management program to minimize the potential for future subsidence and fissuring across the entire Chino Basin. The science-based program includes ongoing monitoring, which now includes sophisticated fissure

  5. Radar Observations of Fissure-fed Basaltic Lava Flows, Craters of the Moon, Idaho

    NASA Technical Reports Server (NTRS)

    Martel, L.; Greeley, R.

    1985-01-01

    Changes in surface roughness of lava flows, estimated from dual polarization, synthetic aperture, X and L band side-looking airborne radar images, were tested as a means of locating fissure vent areas. If lava textures proess from smooth, near-vent shelly pahoehoe to hummocky pahoehoe to aa with distance from fissure vents, then radr images of the lava flows would show a progression from dark to brighter tones due to the flows' increasing radar back-scatter.

  6. Radar observations of fissure-fed basaltic lava flows, Craters of the Moon, Idaho

    NASA Astrophysics Data System (ADS)

    Martel, L.; Greeley, R.

    1985-04-01

    Changes in surface roughness of lava flows, estimated from dual polarization, synthetic aperture, X and L band side-looking airborne radar images, were tested as a means of locating fissure vent areas. If lava textures proess from smooth, near-vent shelly pahoehoe to hummocky pahoehoe to aa with distance from fissure vents, then radr images of the lava flows would show a progression from dark to brighter tones due to the flows' increasing radar back-scatter.

  7. Monitoring on Xi'an ground fissures deformation with TerraSAR-X data

    USGS Publications Warehouse

    Zhao, C.; Zhang, Q.; Zhu, W.; Lu, Zhiming

    2012-01-01

    Owing to the fine resolution of TerraSAR-X data provided since 2007, this paper applied 6 TerraSAR data (strip mode) during 3rd Dec. 2009 to 23rd Mar. 2010 to detect and monitor the active fissures over Xi'an region. Three themes have been designed for high precision detection and monitoring of Xi'an-Chang'an fissures, as small baseline subsets (SBAS) to test the atmospheric effects of differential interferograms pair stepwise, 2-pass differential interferogram with very short baseline perpendicular to generate the whole deformation map with 44 days interval, and finally, corner reflector (CR) technique was used to closely monitor the relative deformation time series between two CRs settled crossing two ground fissures. Results showed that TerraSAR data are a good choice for small-scale ground fissures detection and monitoring, while special considerations should be taken for their great temporal and baseline decorrelation. Secondly, ground fissures in Xi'an were mostly detected at the joint section of stable and deformable regions. Lastly, CR-InSAR had potential ability to monitor relative deformation crossing fissures with millimeter precision.

  8. Fracturing and earthquake activity within the Prestahnúkur fissure swarm in the Western Volcanic Rift Zone of Iceland

    NASA Astrophysics Data System (ADS)

    Hjartardóttir, Ásta Rut; Hjaltadóttir, Sigurlaug; Einarsson, Páll; Vogfjörd, Kristín.; Muñoz-Cobo Belart, Joaquín.

    2015-12-01

    The Prestahnúkur fissure swarm is located within the ultraslowly spreading Western Volcanic Zone in Iceland. The fissure swarm is characterized by normal faults, open fractures, and evidence of subglacial fissure eruptions (tindars). In this study, fractures and faults within the Prestahnúkur fissure swarm were mapped in detail from aerial photographs to determine the extent and activity of the fissure swarm. Earthquakes during the last ~23 years were relocated to map the subsurface fault planes that they delineate. The Prestahnúkur fissure swarm is 40-80 km long and up to ~20 km wide. Most of the areas of the fissure swarm have been glacially eroded, although a part of it is covered by postglacial lava flows. The fissure swarm includes numerous faults with tens of meters vertical offset within the older glacially eroded part, whereas open fractures are found within postglacial lava flows. Comparison of relocated earthquakes and surface fractures indicates that some of the surface fractures have been activated at depth during the last ~23 years, although no dike intrusions have been ongoing. The existence of tindars nevertheless indicates that dike intrusions and rifting events do occur within the Prestahnúkur fissure swarm. The low-fracture density within postglacial lava flows and low density of postglacial eruptive fissures indicate that rifting episodes occur less often than in the faster spreading Northern Volcanic Zone.

  9. Anal intraepithelial neoplasia: review and recommendations for screening and management.

    PubMed

    Smyczek, Petra; Singh, Ameeta E; Romanowski, Barbara

    2013-11-01

    Anal cancer is a rare malignancy of the distal gastrointestinal tract, often associated with human papillomavirus, the most common sexually transmitted infection worldwide. Currently available screening methods for anal intraepithelial neoplasia, a precursor for anal cancer, combine anal Papanicolaou cytology and high resolution anoscopy with biopsy of suspicious lesions. Significant barriers to establishing anal cancer screening programmes include the small number of healthcare professionals performing high resolution anoscopy and the lack of data showing that anal cancer screening can reduce morbidity and mortality related to anal carcinoma. Despite several controversies surrounding anal cancer screening, the rising incidence of this disease in some groups supports routine screening programmes in high-risk populations, especially in HIV-positive men who have sex with men. This review outlines the epidemiology of anal intraepithelial neoplasia and anal cancer and summarizes issues related to the introduction of anal cancer screening programmes. PMID:23970583

  10. Comparison of Various Concentrations of Tricalcium Phosphate Nanoparticles on Mechanical Properties and Remineralization of Fissure Sealants

    PubMed Central

    Tavassoli-Hojjati, Sara; Atai, Mohammad; Haghgoo, Roza; Rahimian-Imam, Sara; Kameli, Somayeh; Ahmaian-Babaki, Fatemeh; Hamzeh, Faezeh; Ahmadyar, Maryam

    2014-01-01

    Objective: The aim of this study was to investigate the mechanical properties (flexural strength, micro-shear bond strength) and remineralizing potential of fissure sealants by adding various concentrations of β-tricalcium phosphate nanoparticles. Materials and Methods: This in-vitro study consisted of five experimental groups containing prepared nano-fisssure sealants (1–5 wt.% β-TCP nanoparticles) and two control groups containing a prepared and a commercial fissure sealant. Flexural/micro-shear bond strength values were measured using Zwick test machine. Cavities on sixty healthy premolar teeth were filled with the fissure sealants containing 0–5 wt.% of nano β-TCP. The samples were assessed for remineralization under scanning electron microscopy (SEM) and EDAX. Kolmogorov-Smirnov test, One-way ANOVA and Tukey’s Post Hoc analysis/HSD were used to analyze the data. Results: There was no significant difference between the flexural strengths/elastic modulus of the 0–5 wt.% nano β-TCP groups (p>0.05). The average flexural strength/elastic modulus of the prepared fissure sealant group (0%) was significantly higher than the commercial fissure sealant group (Clinpro) (p<0.05). There was no significant difference between micro-shear bond strengths of the experimental groups (1–5 wt.%), and between the commercial and the prepared (0%) fissure sealant groups (p>0.05). Examining the samples under SEM showed a significant increase in thickness of the intermediate layer with increasing concentrations of β-TCP nanoparticles (p<0.05). Conclusion: Addition of 1–5 wt.% β-TCP nanoparticles to the fissure sealants significantly increased the remineralization potential without affecting the mechanical properties. PMID:25584048

  11. Retention of resin-based filled and unfilled pit and fissure sealants: A comparative clinical study

    PubMed Central

    Reddy, V. Rajashekar; Chowdhary, Nagalakshmi; Mukunda, K. S.; Kiran, N. K.; Kavyarani, B. S.; Pradeep, M. C.

    2015-01-01

    Background and Objectives: The most caries-susceptible period of a permanent first molar tooth is the eruption phase, during which the enamel is not fully matured and it is usually difficult for the child to clean the erupting tooth surfaces. Sealing occlusal pits and fissures with resin-based pit and fissure sealants is a proven method to prevent occlusal caries. The difference in the viscosity of the sealants differs in the penetration into pit and fissures and abrasive wear resistance property due to the addition of filler particles. The present study was conducted to evaluate and compare the retention of the resin-based filled (Helioseal F, Ivoclar Vivadent) and unfilled (Clinpro, 3M ESPE) pit and fissure sealants, which is important for their effectiveness. Materials and Methods: Fifty-six children between the age group of 6 and 9 years, with all four newly erupted permanent first molars were selected. Sealants were applied randomly using split mouth design technique on permanent first molars. Evaluation of sealant retention was performed at regular intervals over 12 months, using Simonsen's criteria at 2nd, 4th, 6th, 8th, 10th and 12th month. The results were subjected to statistical analysis. Results: At the end of our study period (12th month), 53.57% showed complete retention, 37.50% showed partial retention, and 8.83% showed complete missing of resin-based filled (Helioseal F) pit and fissure sealant. And, 64.29% showed complete retention, 32.14% showed partial retention, and 3.57% showed complete missing of resin-based unfilled (Clinpro) pit and fissure sealant. This difference in retention rates between filled and unfilled pit and fissure sealants was not statistically significant. Conclusion: The difference in retention rates between Helioseal F and Clinpro was not statistically significant, but Clinpro (unfilled) sealant showed slightly higher retention rates and clinically better performance than Helioseal F (filled). PMID:25821368

  12. New Techniques for Treating an Anal Fistula

    PubMed Central

    2012-01-01

    Surgery for an anal fistula may result in recurrence or impairment of continence. The ideal treatment for an anal fistula should be associated with low recurrence rates, minimal incontinence and good quality of life. Because of the risk of a change in continence with conventional techniques, sphincter-preserving techniques for the management complex anal fistulae have been evaluated. First, the anal fistula plug is made of lyophilized porcine intestinal submucosa. The anal fistula plug is expected to provide a collagen scaffold to promote tissue in growth and fistula healing. Another addition to the sphincter-preserving options is the ligation of intersphincteric fistula tract procedure. This technique is based on the concept of secure closure of the internal opening and concomitant removal of infected cryptoglandular tissue in the intersphincteric plane. Recently, cell therapy for an anal fistula has been described. Adipose-derived stem cells have two biologic properties, namely, ability to suppress inflammation and differentiation potential. These properties are useful for the regeneration or the repair of damaged tissues. This article discusses the rationales for, the estimated efficacies of, and the limitations of new sphincter-preserving techniques for the treatment of anal fistulae. PMID:22413076

  13. Prophylactic HPV vaccination and anal cancer.

    PubMed

    Stier, Elizabeth A; Chigurupati, Nagasudha L; Fung, Leslie

    2016-06-01

    The incidence of anal cancer is increasing. High risk populations include HIV-positive men who have sex with men (MSM), HIV-negative MSM, HIV-positive women and heterosexual men and women with a history of cervical cancer. HPV has been detected in over 90% of anal cancers. HPV16 is the most common genotype detected in about 70% of anal cancers. The quadrivalent HPV (qHPV) vaccine has been demonstrated to prevent vaccine associated persistent anal HPV infections as well as anal intraepithelial neoplasia grades 2-3 (AIN2+) in young MSM not previously infected. A retrospective analysis also suggests that qHPV vaccination of older MSM treated for AIN2+ may significantly decrease the risk of recurrence of the AIN2+. The HPV types detected in anal cancer are included in the 9-valent vaccine. Thus, the 9-valent HPV vaccine, when administered to boys and girls prior to the onset of sexual activity, should effectively prevent anal cancer. PMID:26933898

  14. Automatic recognition of lung lobes and fissures from multislice CT images

    NASA Astrophysics Data System (ADS)

    Zhou, Xiangrong; Hayashi, Tatsuro; Hara, Takeshi; Fujita, Hiroshi; Yokoyama, Ryujiro; Kiryu, Takuji; Hoshi, Hiroaki

    2004-05-01

    Computer-aided diagnosis (CAD) has been expected to help radiologists to improve the accuracy of abnormality detection and reduce the burden during CT image interpretations. In order to realize such functions, automated segmentations of the target organ regions are always required by CAD systems. This paper describes a fully automatic processing procedure, which is designed to identify inter-lobe fissures and divide lung into five lobe regions. The lung fissures are disappeared very fuzzy and indefinite in CT images, so that it is very difficult to extract fissures directly based on its CT values. We propose a method to solve this problem using the anatomy knowledge of human lung. We extract lung region firstly and then recognize the structures of lung vessels and bronchus. Based on anatomy knowledge, we classify the vessels and bronchus on a lobe-by-lobe basis and estimate the boundary of each lobe region as the initial fissure locations. Within those locations, we extract lung fissures precisely based on an edge detection method and divide lung regions into five lung lobes lastly. The performance of the proposed method was evaluated using 9 patient cases of high-resolution multi-slice chest CT images; the improvement has been confirmed with the reliable recognition results.

  15. In Vitro Comparison of Microleakage of Two Materials Used as Pit and Fissure Sealants

    PubMed Central

    Bahrololoomi, Zahra; Soleymani, Aliasghar; Heydari, Zahra

    2011-01-01

    Background and aims Marginal seal of the material is extremely important in fissure sealant therapy. The aim of this study was to investigate microleakage of flowable composite resins and conventional fissure sealants with or without dentin bonding agent. Materials and methods The occlusal surface of 60 intact extracted human premolars, divided into four groups, were cleaned with pumice/slurry, etched with 37% phosphoric acid for 15 seconds, rinsed and dried. Groups were treated differ-ently: Excite bonding agent followed by Helioseal F fissure sealant in group1; Helioseal F alone in group 2; Excite bonding agent followed by Tetric Flow in group 3; and Tetric Flow alone in group 4. Light-curing was done after each application. After thermocycling, the whole surface of each specimen was coated with nail varnish except for one millimeter around the fissure sealant. The teeth were immersed in 2% basic fuchsin for 24 hours and then sectioned buccolingually. The sections were analyzed for leakage under a stereomicroscope. Data was analyzed by Kruskal-Wallis and Mann-Whitney tests at asignificance level of P < 0.05. Results There were no statistically significant differencesbetween the study groups in terms of the mean microleakage scores (P > 0.05), except for groups 2 and 4 (P = 0.002) and groups 3 and 4 (P = 0.033). Conclusion Use of a flowable composite with bonding agent is a good alternative for sealing pits and fissures; however, further in vitro and in vivo studies are necessary. PMID:22991611

  16. Anal Cancer: What Happens After Treatment?

    MedlinePlus

    ... this phase of your treatment. For patients with colostomies Most people treated for anal cancer don’t ... APR, you will need to have a permanent colostomy. If you have a colostomy, follow-up is ...

  17. Treatment Options by Stage (Anal Cancer)

    MedlinePlus

    ... following stages are used for anal cancer: Stage 0 (Carcinoma in Situ) In stage 0 , abnormal cells ... or check-ups. Treatment Options by Stage Stage 0 (Carcinoma in Situ) Treatment of stage 0 is ...

  18. Anal Disorders - Multiple Languages: MedlinePlus

    MedlinePlus

    ... Supplements Videos & Tools You Are Here: Home → Multiple Languages → All Health Topics → Anal Disorders URL of this page: https://medlineplus.gov/languages/analdisorders.html Other topics A-Z A B ...

  19. Anal Disorders - Multiple Languages: MedlinePlus

    MedlinePlus

    ... Supplements Videos & Tools You Are Here: Home → Multiple Languages → All Health Topics → Anal Disorders URL of this page: https://www.nlm.nih.gov/medlineplus/languages/analdisorders.html Other topics A-Z A B ...

  20. An experimental study on fracture mechanical behavior of rock-like materials containing two unparallel fissures under uniaxial compression

    NASA Astrophysics Data System (ADS)

    Huang, Yan-Hua; Yang, Sheng-Qi; Tian, Wen-Ling; Zeng, Wei; Yu, Li-Yuan

    2016-06-01

    Strength and deformability characteristics of rock with pre-existing fissures are governed by cracking behavior. To further research the effects of pre-existing fissures on the mechanical properties and crack coalescence process, a series of uniaxial compression tests were carried out for rock-like material with two unparallel fissures. In the present study, cement, quartz sand, and water were used to fabricate a kind of brittle rock-like material cylindrical model specimen. The mechanical properties of rock-like material specimen used in this research were all in good agreement with the brittle rock materials. Two unparallel fissures (a horizontal fissure and an inclined fissure) were created by inserting steel during molding the model specimen. Then all the pre-fissured rock-like specimens were tested under uniaxial compression by a rock mechanics servo-controlled testing system. The peak strength and Young's modulus of pre-fissured specimen all first decreased and then increased when the fissure angle increased from 0° to 75°. In order to investigate the crack initiation, propagation and coalescence process, photographic monitoring was adopted to capture images during the entire deformation process. Moreover, acoustic emission (AE) monitoring technique was also used to obtain the AE evolution characteristic of pre-fissured specimen. The relationship between axial stress, AE events, and the crack coalescence process was set up: when a new crack was initiated or a crack coalescence occurred, the corresponding axial stress dropped in the axial stress-time curve and a big AE event could be observed simultaneously. Finally, the mechanism of crack propagation under microscopic observation was discussed. These experimental results are expected to increase the understanding of the strength failure behavior and the cracking mechanism of rock containing unparallel fissures.

  1. A robotic approach to mapping post-eruptive volcanic fissure conduits

    NASA Astrophysics Data System (ADS)

    Parcheta, Carolyn E.; Pavlov, Catherine A.; Wiltsie, Nicholas; Carpenter, Kalind C.; Nash, Jeremy; Parness, Aaron; Mitchell, Karl L.

    2016-06-01

    VolcanoBot was developed to map volcanic vents and their underlying conduit systems, which are rarely preserved and generally inaccessible to human exploration. It uses a PrimeSense Carmine 1.09 sensor for mapping and carries an IR temperature sensor, analog distance sensor, and an inertial measurement unit (IMU) inside a protective shell. The first field test succeeded in collecting valuable scientific data but revealed several needed improvements, including more rugged cable connections and mechanical couplers, increased ground clearance, and higher-torque motors for uphill mobility. The second field test significantly improved on all of these aspects but it traded electrical ruggedness for reduced data collection speed. Data collected by the VolcanoBots, while intermittent, yield the first insights into the cm-scale geometry of volcanic fissures at depths of up to 25 m. VolcanoBot was deployed at the 1969 Mauna Ulu fissure system on Kīlauea volcano in Hawai'i. It collected first-of-its-kind data from inside the fissure system. We hypothesized that 1) fissure sinuosity should decrease with depth, 2) irregularity should be persistent with depth, 3) any blockages in the conduit should occur at the narrowest points, and 4) the fissure should narrow with depth until it is too narrow for VolcanoBot to pass or is plugged with solidified lava. Our field campaigns did not span enough lateral or vertical area to test sinuosity. The preliminary data indicate that 1) there were many irregularities along fissures at depth, 2) blockages occurred, but not at obviously narrow locations, and 3) the conduit width remained a consistent 0.4-0.5 m for most of the upper 10 m that we analyzed.

  2. Pulmonary Fissure Detection in CT Images Using a Derivative of Stick Filter.

    PubMed

    Xiao, Changyan; Stoel, Berend C; Bakker, M Els; Peng, Yuanyuan; Stolk, Jan; Staring, Marius

    2016-06-01

    Pulmonary fissures are important landmarks for recognition of lung anatomy. In CT images, automatic detection of fissures is complicated by factors like intensity variability, pathological deformation and imaging noise. To circumvent this problem, we propose a derivative of stick (DoS) filter for fissure enhancement and a post-processing pipeline for subsequent segmentation. Considering a typical thin curvilinear shape of fissure profiles inside 2D cross-sections, the DoS filter is presented by first defining nonlinear derivatives along a triple stick kernel in varying directions. Then, to accommodate pathological abnormality and orientational deviation, a [Formula: see text] cascading and multiple plane integration scheme is adopted to form a shape-tuned likelihood for 3D surface patches discrimination. During the post-processing stage, our main contribution is to isolate the fissure patches from adhering clutters by introducing a branch-point removal algorithm, and a multi-threshold merging framework is employed to compensate for local intensity inhomogeneity. The performance of our method was validated in experiments with two clinical CT data sets including 55 publicly available LOLA11 scans as well as separate left and right lung images from 23 GLUCOLD scans of COPD patients. Compared with manually delineating interlobar boundary references, our method obtained a high segmentation accuracy with median F1-scores of 0.833, 0.885, and 0.856 for the LOLA11, left and right lung images respectively, whereas the corresponding indices for a conventional Wiemker filtering method were 0.687, 0.853, and 0.841. The good performance of our proposed method was also verified by visual inspection and demonstration on abnormal and pathological cases, where typical deformations were robustly detected together with normal fissures. PMID:26766371

  3. The effect of CT technical factors on quantification of lung fissure integrity

    NASA Astrophysics Data System (ADS)

    Chong, D.; Brown, M. S.; Ochs, R.; Abtin, F.; Brown, M.; Ordookhani, A.; Shaw, G.; Kim, H. J.; Gjertson, D.; Goldin, J. G.

    2009-02-01

    A new emphysema treatment uses endobronchial valves to perform lobar volume reduction. The degree of fissure completeness may predict treatment efficacy. This study investigated the behavior of a semiautomated algorithm for quantifying lung fissure integrity in CT with respect to reconstruction kernel and dose. Raw CT data was obtained for six asymptomatic patients from a high-risk population for lung cancer. The patients were scanned on either a Siemens Sensation 16 or 64, using a low-dose protocol of 120 kVp, 25 mAs. Images were reconstructed using kernels ranging from smooth to sharp (B10f, B30f, B50f, B70f). Research software was used to simulate an even lower-dose acquisition of 15 mAs, and images were generated at the same kernels resulting in 8 series per patient. The left major fissure was manually contoured axially at regular intervals, yielding 37 contours across all patients. These contours were read into an image analysis and pattern classification system which computed a Fissure Integrity Score (FIS) for each kernel and dose. FIS values were analyzed using a mixed-effects model with kernel and dose as fixed effects and patient as random effect to test for difference due to kernel and dose. Analysis revealed no difference in FIS between the smooth kernels (B10f, B30f) nor between sharp kernels (B50f, B70f), but there was a significant difference between the sharp and smooth groups (p = 0.020). There was no significant difference in FIS between the two low-dose reconstructions (p = 0.882). Using a cutoff of 90%, the number of incomplete fissures increased from 5 to 10 when the imaging protocol changed from B50f to B30f. Reconstruction kernel has a significant effect on quantification of fissure integrity in CT. This has potential implications when selecting patients for endobronchial valve therapy.

  4. Neural control of internal anal sphincter function.

    PubMed

    Lubowski, D Z; Nicholls, R J; Swash, M; Jordan, M J

    1987-08-01

    The effect on anal tone of electrical stimulation of the presacral (hypogastric) sympathetic nerves has been studied in eight patients during abdominal rectopexy or restorative proctocolectomy. A sharp fall in anal pressure occurred in seven patients (mean fall 59 cmH2O; range 35-80 cmH2O). In one patient given a beta- and alpha-sympathetic blocking drug (labetalol 200 mg) intra-operatively, the anal pressure decreased by 15 cmH2O. These observations show that stimulation of the presacral sympathetic nerves causes relaxation of the internal anal sphincter and implies that these nerves may induce relaxation of the sphincter in vivo. The pathway of the recto-anal reflex has been studied intra-operatively in three patients undergoing rectal excision. The recto-anal reflex is present after presacral nerve blockade and after full mobilization of the rectum, but is abolished by circumferential rectal myotomy. The reflex has a local intramural pathway. This observation validates the assumption that absence of this reflex is a feature of aganglionosis, as in Hirschsprung's disease. PMID:3651766

  5. Double-porosity models for a fissured groundwater reservoir with fracture skin.

    USGS Publications Warehouse

    Moench, A.F.

    1984-01-01

    Theories of flow to a well in a double-porosity groundwater reservoir are modified to incorporate effects of a thin layer of low-permeability material or fracture skin that may be present at fracture-block interfaces as a result of mineral deposition or alteration. The commonly used theory for flow in double-porosity formations that is based upon the assumption of pseudo-steady state block-to-fissure flow is shown to be a special case of the theory presented in this paper. The latter is based on the assumption of transient block-to-fissure flow with fracture skin.-from Author

  6. Radiating graben-fissure systems in the Ulfrun Regio area, Venus

    NASA Astrophysics Data System (ADS)

    Studd, D.; Ernst, R. E.; Samson, C.

    2011-09-01

    Radiating graben-fissure systems are common on Venus. Most are thought to be underlain by mafic dykes, fed by centrally-located magmatic centres. From previous work it has been shown that these magmatic plumbing systems can extend out up to 2000 km or more and that interaction between neighbouring systems can provide insight into the relative chronology of their magmatic centres. Systematic mapping of graben-fissure systems has potential as a tool for regional magmatic chronology and correlation on Venus. This methodology is applied to the Ulfrun Regio area (200-240°E, 0-25°N) where we mapped 47,000 graben and fissures. From these, 66 radiating systems comprised of 13,000 individual graben and fissures, and having radii of up to 2000 km have been identified, and are interpreted to be underlain by dyke swarms focussed on magmatic centres. Cross-cutting relationships among these systems and with the Hecate Chasma rift zone have been examined to provide a relative chronology for the magmatic centres. Two trends emerged: (a) an apparent younging from the southwest to northeast of the study area and (b) a cluster of older ages in the southwest, linked to the Atla Regio mantle plume.

  7. Influence of matrix diffusion and exchange reactions on radiocarbon ages in fissured carbonate aquifers

    SciTech Connect

    Maloszewski, P. ); Zuber, A. )

    1991-08-01

    The parallel fissure model coupled with the equation of diffusion into the matrix and with exchange reaction equations has been used to derive a simple formula for estimating the influence of matrix porosity and reaction parameters on the determination of radiocarbon ages in fissured carbonate rocks. Examples of evidently too great radiocarbon ages in carbonate formations, which are not explainable by models for the initial {sup 14}C corrections, can easily be explained by this formula. Parameters obtained for a chalk formation from a known multitracer experiment combined with a pumping test suggest a possibility of {sup 14}C ages more than three orders of magnitude greater than the ages which would be observed if the radiocarbon transport took place only in the mobile water in the fissures. It is shown that contrary to the solute movement on a small scale and with a variable input, the large-scale movement, characteristic for the {sup 14}C dating, does not necessarily require the knowledge of kinetic parameters, because they may be replaced by the distribution coefficient. Discordant tritium and {sup 14}C concentrations are commonly interpreted as a proof of mixing either in the aquifer or at the discharge site. For fissured carbonate formations, however, an alternative explanation is given by the derived model showing a considerable delay of {sup 14}C with respect to nonsorbable tracers.

  8. Effects of anterior cingulate fissurization on cognitive control during stroop interference.

    PubMed

    Huster, Rene J; Wolters, Carsten; Wollbrink, Andreas; Schweiger, Elisabeth; Wittling, Werner; Pantev, Christo; Junghofer, Markus

    2009-04-01

    The midcingulate cortex, as part of the more anteriorly located cingulate regions, is thought to play a major role in cognitive processes like conflict monitoring or response selection. Regarding midcingulate fissurization, the occurrence of a second or paracingulate sulcus is more common in the left than in the right hemisphere and has been shown to be associated with an advantageous performance on tests of executive functions. However, the cognitive mechanisms underlying such behavioral differences are completely unknown. The current study addressed this issue by comparing subjects with a low and a high degree of left hemispheric midcingulate fissurization while collecting behavioral as well as electrophysiological correlates of Stroop interference. A high degree of fissurization was associated with decreased behavioral Stroop interference accompanied by a stronger and prolonged frontal negative potential to incongruent trials starting around 320 ms. This increased frontal negativity is assumed to reflect an enhanced activity of a conflict monitoring system located in the midcingulate cortex. In contrast and starting around 400 ms, subjects with low fissurization revealed an increased positivity over parieto-occipital regions suggesting a compensatory need for enhanced effortful cognitive control in this group. These results contribute to the understanding of the neuronal implementation of individual differences regarding attentional mechanisms. PMID:18570202

  9. Giant desiccation fissures on the Black Rock and Smoke Creek Deserts, Nevada

    USGS Publications Warehouse

    Willden, R.; Mabey, D.R.

    1961-01-01

    Open fissures, from 100 to several hundred feet apart, that have produced polygonal patterns on the Black Rock Desert, Nevada, are believed to be giant desiccation cracks resulting from a secular trend toward aridity in the last few decades. Similar features on the Smoke Creek Desert probably have the same origin.

  10. Mapping the fissure potential zones based on microtremor measurement in Denpasar City, Bali

    NASA Astrophysics Data System (ADS)

    Prabowo, U. N.; Marjiyono; Sismanto

    2016-01-01

    Denpasar City and its vicinity considered as the areas with excessive ground water exploitation and high earthquake intensity. These conditions will cause these area potential with land subsidence which is triggering ground fissures. This research aims are to mapping the fissures potential areas based on microtremor measurement in Denpasar City and its vicinity. Ground fissures will happen if the land subsidence occurs in the areas which have different bedrock height beneath its sedimentary layer. The height of bedrock is determined by reducing surface elevation with the sedimentary layer thickness. This sedimentary layer thickness obtained from microtremor measurement using HVSR method, and Shear wave velocity (VS) obtained from microtremor array measurement which is analyzed by Spatial Auto Correlation (SPAC) method. The result from HVSR method as well as Peak Ground Acceleration (PGA) value are then analyzed to get ground shear strain value, which is the soil surface strain and its effect when earthquake occurs. Based on the bedrock map, it can be estimated that the bedrock layer forms structure in the southern part of the research areas and the potential fissuring area due to the massive ground water exploitation is in the west Denpasar Subdistrict. In addition, based on the bedrock map and ground shear strain value which combined with Simple Additive Weight (SAW) method, there are two areas having Assuring potential, i.e west and south Denpasar Subdistricts.

  11. Identification of genetic loci underlying the kernel fissure-resistance exhibited by 'cypress' and 'saber'

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The economic value of broken rice is about half that of whole milled rice, so one goal of producers, millers, and rice breeders is to reduce broken grains that result from the dehusking and milling processes One of the primary causes of rice breakage is fissuring, or cracking, of the rice before it ...

  12. Tensions and Fissures: The Politics of Standardised Testing and Accountability in Ontario, 1995-2015

    ERIC Educational Resources Information Center

    Pinto, Laura Elizabeth

    2016-01-01

    While Ontario has received international accolades for its enactment of province-wide standardised testing upon the formation of the Education Quality and Accountability Office (EQAO), a closer look at provincial assessments over a 20-year span reveals successes as well as systemic tensions and fissures. The purpose of this paper is twofold.…

  13. Methods for monitoring land subsidence and earth fissures in the Western USA

    NASA Astrophysics Data System (ADS)

    Fergason, K. C.; Rucker, M. L.; Panda, B. B.

    2015-11-01

    Depletion of groundwater resources in many deep alluvial basin aquifers in the Western USA is causing land subsidence, as it does in many regions worldwide. Land subsidence can severely and adversely impact infrastructure by changing the ground elevation, ground slope (grade) and through the development of ground cracks known as earth fissures that can erode into large gullies. Earth fissures have the potential to compromise the foundations of dams, levees, and other infrastructure and cause failure. Subsequent to an evaluation of the overall subsidence experienced in the vicinity of subsidence-impacted infrastructure, a detailed investigation to search for earth fissures, and design and/or mitigation of potentially effected infrastructure, a focused monitoring system should be designed and implemented. Its purpose is to provide data, and ultimately knowledge, to reduce the potential adverse impacts of land subsidence and earth fissure development to the pertinent infrastructure. This risk reduction is realized by quantifying the rate and distribution of ground deformation, and to detect ground rupture if it occurs, in the vicinity of the infrastructure. The authors have successfully designed and implemented monitoring systems capable of quantifying rates and distributions of ground subsidence and detection of ground rupture at multiple locations throughout the Western USA for several types of infrastructure including dams, levees, channels, basins, roadways, and mining facilities. Effective subsidence and earth fissure monitoring requires understanding and quantification of historic subsidence, estimation of potential future subsidence, delineation of the risk for earth fissures that could impact infrastructure, and motivation and resources to continue monitoring through time. A successful monitoring system provides the means to measure ground deformation, grade changes, displacement, and anticipate and assess the potential for earth fissuring. Employing multiple

  14. Effects of menthol essence and breast milk on the improvement of nipple fissures in breastfeeding women

    PubMed Central

    Akbari, Sedigheh Amir Ali; Alamolhoda, Seideh Hanieh; Baghban, Alireza Akbarzadeh; Mirabi, Parvaneh

    2014-01-01

    Background: Nipple fissure is a common disorder during breastfeeding. With high prevalence of nipple fissures and its impacts on breastfeeding, as well as the existence of evidence in favor of the application of peppermint as an antiinflammatory and antiinfection herb, the purpose of this study is to determine the effect of Menthol essence on improving nipple fissures in the primiparous breastfeeding women. Materials and Methods: This study was conducted using a clinical trial method. Samples were divided randomly into two groups of 55 women. The women in the peppermint group applied four drops of Menthol essence on their nipple and areola after each feeding. The control group applied four drops of their own milk on the nipple and areola after each feeding. Then, the two groups were studied on days 10 and 14 postpartum. For intensity of pain, the visual analog scale (0-10 cm) and to measure the severity of damage, Amir scale (1-10 cm) were applied and the existence or lack of nipple discharge was also recorded. The data were analyzed using SPSS 17 software. Results: The mean intensity of pain and nipple fissure before treatment (8.55 ± 1.74) and day 10 after delivery (4.26 ± 1.57) and before treatment and day 14 after delivery in the case group (1.32 ± 1.02) had a significant difference (P < 0.001). Nipple discharge between the two groups, before treatment (%75.2) and day 10 after delivery (%31.6) and before treatment and day 14 after delivery (%15.7), the case group had a significant difference (P < 0.001). Conclusion: Menthol essence can improve nipple fissures in the primiparous breastfeeding women. PMID:25364362

  15. What's New in Anal Cancer Research and Treatment?

    MedlinePlus

    ... Next Topic Additional resources for anal cancer What’s new in anal cancer research and treatment? Important research ... cancer cells is expected to help scientists develop new drugs to fight this disease. Early detection Ongoing ...

  16. Introducing the operation method for curing anal fistula by laser

    NASA Astrophysics Data System (ADS)

    Ji, Bingzhi

    1993-03-01

    The key to the treatment of anal fistula lies in scavenging the infected anal gland thoroughly, which is the source of anal fistula infection. The fistula tract at the internal orifice of the anal fistula is cut 1 cm using laser with the infectious source completely degenerated and the wound gassified and scanned. The residual distal fistula softens and disappears upon the action of organic fibrinolysin.

  17. Effect of Local Crystallographic Texture on the Fissure Formation During Charpy Impact Testing of Low-Carbon Steel

    NASA Astrophysics Data System (ADS)

    Ghosh, Abhijit; Patra, Sudipta; Chatterjee, Arya; Chakrabarti, Debalay

    2016-06-01

    The severity of the formation of fissures (also known as splitting or delamination) on the fracture surface of Charpy impact-tested samples of a low-carbon steel has been found to increase with the decrease in finish rolling temperature [1093 K to 923 K (820 °C to 650 °C)]. Combined scanning electron microscopy and electron back-scattered diffraction study revealed that crystallographic texture was the prime factor responsible for the fissure formation. Through-thickness texture band composed of cube [Normal Direction (ND)║<001>] and gamma [ND║<111>] orientations developed during the inter-critical rolling treatment. Strain incompatibility between these two texture bands causes fissure cracking on the main fracture plane. A new approach based on the angle between {001} planes of neighboring crystals has been employed in order to estimate the `effective grain size,' which is used to determine the cleavage fracture stress on different planes of a sample. The severity of fissure formation was found to be directly related to the difference in cleavage fracture stress between the `main fracture plane' and `fissure plane.' Clustering of ferrite grains having cube texture promoted the fissure crack propagation along the transverse `fissure plane,' by increasing the `effective grain size' and decreasing the cleavage fracture stress on that plane.

  18. Teaching Men's Anal Pleasure: Challenging Gender Norms with "Prostage" Education

    ERIC Educational Resources Information Center

    Branfman, Jonathan; Ekberg Stiritz, Susan

    2012-01-01

    To help students critique sex/gender norms, sexuality educators should address men's anal pleasure. Men's anal receptivity blurs accepted binaries like male/female, masculine/feminine, and straight/queer. By suppressing men's receptivity, the taboo against men's anal pleasure helps legitimize hegemonic sex/gender beliefs--and the sexism,…

  19. Antiretroviral Therapy as a Factor Protective against Anal Dysplasia in HIV-Infected Males Who Have Sex with Males

    PubMed Central

    Hidalgo-Tenorio, Carmen; Rivero-Rodriguez, Mar; Gil-Anguita, Concepción; Lopez De Hierro, Mercedes; Palma, Pablo; Ramírez-Taboada, Jessica; Esquivias, Javier; López-Ruz, Miguel Angel; Javier-Martínez, Rosario; Pasquau-Liaño, Juan

    2014-01-01

    Objectives Chronic infection with oncogenic HPV genotype is associated with the development of anal dysplasia. Antiretroviral therapy (ART) has been shown to decrease the incidence of cervical carcinoma in women with HIV. We sought to: 1) describe the prevalence and grade of anal dysplasia and HPV infection in our study subjects; 2) analyze the grade of correlation between anal cytology, PCR of high-risk HPV, and histology; 3) identify the factors associated with the appearance of ≥AIN2 lesions. Design Cross-sectional, prospective study. Methods A cohort of HIV-positive males (n = 140, mean age  = 37 years) who have sex with males (MSM) had epidemiological, clinical and analytical data collected. Anal mucosa samples were taken for cytology, HPV PCR genotyping, and anoscopy for histological analysis. Results Within the cohort, 77.1% were being treated with ART, 8.5% anoscopy findings were AIN2, and 11.4% carcinoma in situ; 74.2% had high-risk (HR), 59.7% low-risk (LR) HPV genotypes and 46.8% had both. The combination of cytology with PCR identifying HR-HPV better predicts the histology findings than either of these factors alone. Logistic regression highlighted ART as a protective factor against ≥AIN2 lesions (OR: 0.214; 95%CI: 0.054–0.84). Anal/genital condylomas (OR: 4.26; 95%CI: 1.27–14.3), and HPV68 genotype (OR: 10.6; 95%CI: 1.23–91.47) were identified as risk factors. Conclusions In our cohort, ART has a protective effect against dysplastic anal lesions. Anal/genital warts and HPV68 genotype are predictors of ≥AIN2 lesions. Introducing PCR HPV genotype evaluation improves screening success over that of cytology alone. PMID:24676139

  20. Construction and Evolution of an Ice-Confined Basaltic Eruptive Fissure Complex: Sveifluhals, SW Iceland

    NASA Astrophysics Data System (ADS)

    Mercurio, E. C.; Skilling, I. P.; Cameron, B.

    2009-05-01

    Ice-confined fissure-fed basaltic eruptions were common in Iceland during the Pleistocene. Most of these generated complexes consisting of closely spaced, sub-parallel, multi-vent ridges. Individual ridges are constructed mostly of numerous linked steep-sided mounds (point-source vents) and short ridges (fissure vents) of subaqueous lavas, most of which are draped by phreatomagmatic tephra. There are more than 1000 such ridges in Iceland and they represent an important, largely untapped, database on North Atlantic terrestrial ice conditions. Some of these complexes were of comparable length to the famous Laki fissure eruptions of 1783-1785. Sveifluhals is a 21.5-km long formerly ice-confined fissure complex of unknown age, but similar nearby centers have been dated at about 47ka. Ice-thickness estimates, based on volatile analysis of pillow rind glass vary from 70-400m. This is the first detailed study of such a complex, which focuses on how it was constructed in space and time, how it differs from published studies of simple single short fissure ice-confined centers, and how it interacted with the overlying ice. Initial results have identified vents with an average spacing of 0.7km on at least nine sub-parallel fissures, which are spaced about 0.1-0.5km apart. The vents are dominated by inward and outward-dipping rotated (oversteepened) blocks of bedded tephra, which overlies mostly slumped massive tephra. The tephra drapes subaqueous lava mounds that display marginal steep- ridges of subaqueous lavas, that may have been emplaced in short sub-ice tunnels. We have also identified several now dry lakes that formed in some inter-ridge areas, but whose age relationship to ridge construction is as yet uncertain. We present here our preliminary data on vent locations and estimates of product volumes, volumes of ice melted, and location of possible meltwater pathways. We discuss the most important differences of the processes and products of such ridge complexes compared

  1. King's Bowl Pit Crater, Lava Field and Eruptive Fissure, Idaho - A Multipurpose Volcanic Planetary Analog

    NASA Astrophysics Data System (ADS)

    Hughes, S. S.; Garry, B.; Kobs-Nawotniak, S. E.; Sears, D. W. G.; Borg, C.; Elphic, R. C.; Haberle, C. W.; Kobayashi, L.; Lim, D. S. S.; Sears, H.; Skok, J. R.; Heldmann, J. L.

    2014-12-01

    King's Bowl (KB) and its associated eruptive fissure and lava field on the eastern Snake River Plain, is being investigated by the NASA SSERVI FINESSE (Field Investigations to Enable Solar System Science and Exploration) team as a planetary analog to similar pits on the Moon, Mars and Vesta. The 2,220 ± 100 BP basaltic eruption in Craters of the Moon National Monument and Preserve represents early stages of low shield growth, which was aborted when magma supply was cut off. Compared to mature shields, KB is miniscule, with ~0.02 km3 of lava over ~3 km2, yet the ~6 km long series of fissures, cracks and pits are well-preserved for analog studies of volcanic processes. The termination of eruption was likely related to proximity of the 2,270 ± 50 BP eruption of the much larger Wapi lava field (~5.5 km3 over 325 km2 area) on the same rift. Our investigation extends early work by R. Greeley and colleagues, focusing on imagery, compositional variations, ejecta distribution, dGPS profiles and LiDAR scans of features related to: (1) fissure eruptions - spatter ramparts, cones, feeder dikes, extension cracks; (2) lava lake formation - surface morphology, squeeze-ups, slab pahoehoe lava mounds, lava drain-back, flow lobe overlaps; and (3) phreatic steam blasts - explosion pits, ejecta blankets of ash and blocks. Preliminary results indicate multiple fissure eruptions and growth of a basin-filled lava lake up to ~ 10 m thick with outflow sheet lava flows. Remnant mounds of original lake crust reveal an early high lava lake level, which subsided as much as 5 m as the molten interior drained back into the fissure system. Rapid loss of magma supply led to the collapse of fissure walls allowing groundwater influx that triggered multiple steam blasts along at least 500 m. Early blasts occurred while lake magma pressure was still high enough to produce squeeze-ups when penetrated by ejecta blocks. The King's Bowl pit crater exemplifies processes of a small, but highly energetic

  2. Prevalence of Dental Caries and Fissure Sealants in a Portuguese Sample of Adolescents

    PubMed Central

    Veiga, Nélio J.; Pereira, Carlos M.; Ferreira, Paula C.; Correia, Ilidio J.

    2015-01-01

    Introduction The aims of this study were to assess the prevalence of dental caries and the DMFT index, as well as the distribution pattern of pit and fissure sealants on permanent teeth in a Portuguese sample of adolescents, and to assess whether the existing usage of sealants and socio-demographic factors are correlated to caries prevalence on the examined sample. Materials and Methods A cross-sectional study was designed with a sample of 447 adolescents aged 12 to 18 years old, attending a public school in Sátão, Portugal. A self-administered questionnaire with questions about oral health behaviours and socio-economic status was answered by adolescents in the classroom. Clinical examination of oral health status and assessment of fissure sealants were accomplished by only one trained member of the research team. Results We obtained a DMFT index of 3.32 (2.92), which indicates a moderate level of prevalence of dental caries. When considering a DMFT = 0, we found significant statistical differences between the parents´ level of education (≤ 4th grade = 26.3 vs 5th–12th grade = 18.8 vs <12th grade = 43.3, p = 0.001), gender (male = 27.3 vs female = 19.6, p = 0.04), age (≤15 years = 27.1 vs <15 years = 18.5, p = 0.02), presence of fissure sealants (yes = 30.6 vs no = 13.5, p = 0.001) and experience of dental pain (no = 25.4 vs yes = 16.8, p = 0.02). When analyzing the prevalence of fissure sealants, we verified that 58.8% of adolescents had at least one fissure sealant applied. Significant statistical differences were found when analyzing the presence of fissure sealants related with parents´educational level (<9th grade, OR = 1.56 CI95% = 1.05–2.54), gender (female, OR = 1.86 CI95% = 1.19–2.98), experience of dental pain (yes, OR = 0.62 CI95% = 0.39–0.97) and presence of dental caries (yes, OR = 0.35 CI95% = 0.19–0.65). Conclusions The moderate level of caries prevalence reveals the need of improvement of primary prevention interventions among

  3. Chronic pancreatitis

    MedlinePlus

    Chronic pancreatitis - chronic; Pancreatitis - chronic - discharge; Pancreatic insufficiency - chronic; Acute pancreatitis - chronic ... abuse over many years. Repeated episodes of acute pancreatitis can lead to chronic pancreatitis. Genetics may be ...

  4. Thermal control of shape memory alloy artificial anal sphincters for complete implantation

    NASA Astrophysics Data System (ADS)

    Luo, Yun; Okuyama, Takeshi; Takagi, Toshiyuki; Kamiyama, Takamichi; Nishi, Kotaro; Yambe, Tomoyuki

    2005-02-01

    This paper presents an approach for the thermal control of an artificial anal sphincter using shape memory alloys. An artificial anal sphincter has been proposed by the authors to resolve problems of severe fecal incontinence in patients. The basic design of the artificial sphincter consists of two all-round shape memory alloy plates as the main functional parts, and heaters that are attached to the SMA plates for generating the thermal cycles required for the phase transformation accompanied shape changes of the plates. The SMA artificial sphincter could be fitted around intestines, performing an occlusion function at body temperature and a release function upon heating. Thermal compatibility of such prostheses is most important and is critical for practical use. Since a temperature rise of approximately 20 °C from body temperature is needed to activate a complete transformation of SMA plates, an earlier model of ours allowed only a short period of heating, resulting in incomplete evacuation. In this work, a thermal control approach using a temperature-responsive reed switch has been incorporated into the device to prevent the SMA plates from overheating. Then, with thermal insulation the artificial anal sphincter is expected to allow a long enough opening period for fecal continence; without any thermal impact to the surrounding tissues that would be in contact with the artificial sphincter. Thermal control was confirmed in both in vitro and in vivo experiments, suggesting the effectiveness of the present approach. The modified SMA artificial anal sphincter has been implanted into animal models for chronic experiments of up to 4 weeks, and has exhibited good performance by maintaining occlusion and release functions. At autopsy, no anomaly due to thermal impact was found on the surfaces of intestines that had been in contact with the artificial anal sphincter.

  5. Midwestern Rural Adolescents' Anal Intercourse Experience

    ERIC Educational Resources Information Center

    Dake, Joseph A.; Price, James H.; McKinney, Molly; Ward, Britney

    2011-01-01

    Purpose: The purpose of this study was to examine the prevalence of anal intercourse and its associated risk behaviors in a sample of Midwestern, predominantly white rural adolescents. Most of the research on this activity has been local or regional studies, with urban East and West Coast racial and ethnic minority adolescents. Methods: A…

  6. Squamous-cell Carcinoma of the Anus and Anal Canal: An Analysis of 55 Cases

    PubMed Central

    Gabriel, W. B.

    1941-01-01

    The analysis is of 55 cases admitted into St. Mark's Hospital from 1922 to 1940. The incidence was 3.35% of all cases of cancer of the rectum, anal canal and anus admitted during this period. Sex distribution—27 males and 28 females. The average age (61.7 years) is higher than that of columnar-cell carcinoma of the rectum (57.4 years). Histology.—The cases have been graded into three grades of malignancy—low grade, medium grade, and high grade. Low grade squamous carcinoma is twice as frequent in men as in women, and generally originates at the anal margin. Medium grade squamous carcinoma is equally distributed between men and women; it may arise at the anus or in the anal canal. High grade squamous carcinoma is much more common in the female sex and is almost entirely limited to the anal canal. Quadrant affected—about one-third of the anal margin growths and one-half of the anal canal growths were situated anteriorly. Differential diagnosis from simple papilloma, simple ulcer, chronic inflammation, tuberculous ulcer, tuberculide, primary chancre, amœbic ulcer, basal-cell carcinoma, columnar-cell carcinoma. Biopsy and grading essential before treatment is decided upon. The results of treatment in the three grades of malignancy are described. The best results were obtained in the early low-grade cases treated by interstitial radium needling. In the medium and high grades only three five-year survivals can be reported and these followed excision of the rectum. The management of the inguinal glands is discussed and the importance of a very close post-operative supervision emphasized. Squamous carcinoma of the anal canal may cause lymphatic metastases in the superior hæmorrhoidal glands; there have been four such cases in this series. Diathermy perineal excision is indicated in these cases. ImagesFig. 1Fig. 2Fig. 3Fig. 5Fig. 6aFig. 6bFig. 7Fig. 1Fig. 2Fig. 3Fig. 4 PMID:19992316

  7. Prevalence and Risk Indicators for Anal Incontinence among Pregnant Women

    PubMed Central

    Skjeldestad, Finn Egil; Sandvik, Leiv

    2013-01-01

    The aim of this study was to assess the prevalence and risk factors of anal incontinence in an unselected pregnant population at second trimester. A survey of pregnant women attending a routine ultrasound examination was conducted in a university hospital in Oslo, Norway. A questionnaire consisting of 105 items concerning anal incontinence (including St. Mark's score), urinary incontinence, medication use, and comorbidity was posted to women when invited to the ultrasound examination. Results. Prevalence of self-reported anal incontinence (St. Mark's score ≥ 3) was the lowest in the group of women with a previous cesarean section only (6.4%) and the highest among women with a previous delivery complicated by obstetric anal sphincter injury (24.4%). Among nulliparous women the prevalence of anal incontinence was 7.7% and was associated to low educational level and comorbidity. Prevalence of anal incontinence increased with increasing parity. Urinary incontinence was associated with anal incontinence in all parity groups. Conclusions. Anal incontinence was most frequent among women with a history of obstetric anal sphincter injury. Other obstetrical events had a minor effect on prevalence of anal incontinence among parous women. Prevention of obstetrical sphincter injury is likely the most important factor for reducing bothersome anal incontinence among fertile women. PMID:23819058

  8. Ground fissures in the area of Mavropigi Village (N. Greece): Seismotectonics or mining activity?

    NASA Astrophysics Data System (ADS)

    Kalogirou, Eleni; Tsapanos, Theodoros; Karakostas, Vassilios; Marinos, Vassilios; Chatzipetros, Alexandros

    2014-12-01

    In the beginning of July 2010, a ground fissure was observed in the field near the village of Mavropigi (Northern Greece) and specifically in its NW side. Later on (early September), a second ground fissure was perceived, close and almost parallel to the first one and very close to the limits of the lignite exploitation mine (by the Public Power Corporation, PPC). It was observed that the village of Mavropigi slides away slowly towards the PPC lignite mine. Geological, seismological, as well as geotechnical survey in the field indicated that the phenomenon is related to the coal mining exploitation in the near vicinity of the village rather than to any seismotectonic activity in the surrounding area.

  9. Quality Assessment of Information About Pit and Fissure Sealants in Persian Websites in 2012

    PubMed Central

    Ghasemi, Leila

    2016-01-01

    Objectives: Despite the increasing use of Internet, there is no supervision over the accuracy and quality of the information provided in the web. To deal with this problem, health specialists should take part in planning, publishing and supervision of online health-related information. The aim of this study was to evaluate the quality of information related to pit and fissure sealants in Persian websites. Materials and Methods: In this cross-sectional study, Persian websites providing information about fissure sealants were found using Google search engine. The searched keywords according to the MeSH database were “patient education” and “fissure sealant”. After applying the exclusion criteria, 37 websites out of 500 initial links remained in the study. These websites were evaluated based on a researcher-made checklist. The validity and reliability of the checklist were evaluated and confirmed. Descriptive analysis was applied to report the results of our study using SPSS version 11.5. Results: The average score for the quality of information was 22.46 out of 38. The minimum scores were 16 and 30 and belonged to Pezeshkanemrooz.com and Asa85.blogfa.com , respectively. The results showed that 62.2% of the answers were scored 2–4 and 37.8% were scored 1; therefore, the overall quality of the published content was rated to be moderate for 62.2% and low for 37.8% of the websites. Conclusions: Overall, the quality of information related to fissure sealant provided in Persian websites was good; however, the information given was mostly incomplete and could be improved. The main problems were doubtful credibility and outdated information.

  10. Artificial recharge through a well in fissured carbonate rock, west St. Paul, Minnesota

    USGS Publications Warehouse

    Reeder, Harold O.; Wood, Warren W.; Ehrlich, G.G.; Sun, Ren Jen

    1976-01-01

    The injection test demonstrated that it is hydrologically feasible to recharge the Prairie du Chien Group and the Jordan Sandstone artificially through wells completed in the Prairie du Chien Group. The fissures in the Prairie du Chien Group act as conduits through which water spreads. The water passes into the Jordan Sandstone from the Prairie du Chien over a larger area than it would if it were injected directly into the Jordan.

  11. Dynamics of the 2014 Holuhraun fissure eruption analysed by video monitoring system

    NASA Astrophysics Data System (ADS)

    Witt, Tanja; Walter, Thomas R.

    2015-04-01

    Events on the volcanic system within the axial volcanic zones are linked to plate movements. The spreading and subsequent rifting of the crust take place at the plate boundary and occurs in distinct rifting episodes. These rifting episodes are characterized by earthquakes and volcanic eruptions within the central volcano or along fissures. For the subsurface structure of a volcanic system and the behavior of the magma plumbing system during major rifting episodes two contrasting models exists, (i) vertical feeding by a deep magma source or (ii) lateral feeding through a shallow magma chamber under the central volcano. The ongoing 2014 Holuhraun eruption is providing a unique opportunity to rigorously test the feeding paths of an active fissure eruption. Here we employ video images to analyse the height and velocity variation of the lava fountains at the Holuhraun eruption fissure. On the first day of the eruption we could set up in total five high resolution video cameras. With algorithms of photogrammetry and correlation analysis we interpret the behavior of the lava fountains. Results suggest a significal lateral propagation path of the dynamics of the active vents, and a lateral migration of the peaks and lows of distinct lava fountains. Although the correlation system can change episodically and sporadically, both the frequency of the lava fountains and the eruption and rest time between single fountains remain similar for adjacent lava fountains imply a controlling process in the magma feeder system itself. We interpret the results by a lateral magma and gas flow underlying and feeding the eruption fissure. Systematic recording and analysis of video data hence help to decide which magma plumbing system is more reliable. Additionally, the dataset allows us to compare the eruption behavior to seismic datasets.

  12. Management of rare, low anal anterior fistula exception to Goodsall's rule with Kṣārasūtra

    PubMed Central

    Shindhe, Pradeep S.

    2014-01-01

    Anal fistula (bhagandara) is a chronic inflammatory condition, a tubular structure opening in the ano-rectal canal at one end and surface of perineum/peri-anal skin on the other end. Typically, fistula has two openings, one internal and other external associated with chronic on/off pus discharge on/off pain, pruritis and sometimes passing of stool from external opening. This affects predominantly male patients due to various etiologies viz., repeated peri-anal infections, Crohn's disease, HIV infection, etc., Complex and atypical variety is encountered in very few patients, which require special treatment for cure. The condition poses difficulty for a surgeon in treating due to issues like patient hesitation, trouble in preparing kṣārasūtra, natural and routine infection with urine, stool etc., and dearth of surgical experts and technique. We would like to report a complex and atypical, single case of anterior, low anal fistula with tract reaching to median raphe of scrotum, which was managed successfully by limited application of kṣārasūtra. PMID:25538355

  13. Management of rare, low anal anterior fistula exception to Goodsall's rule with Kṣārasūtra.

    PubMed

    Shindhe, Pradeep S

    2014-01-01

    Anal fistula (bhagandara) is a chronic inflammatory condition, a tubular structure opening in the ano-rectal canal at one end and surface of perineum/peri-anal skin on the other end. Typically, fistula has two openings, one internal and other external associated with chronic on/off pus discharge on/off pain, pruritis and sometimes passing of stool from external opening. This affects predominantly male patients due to various etiologies viz., repeated peri-anal infections, Crohn's disease, HIV infection, etc., Complex and atypical variety is encountered in very few patients, which require special treatment for cure. The condition poses difficulty for a surgeon in treating due to issues like patient hesitation, trouble in preparing kṣārasūtra, natural and routine infection with urine, stool etc., and dearth of surgical experts and technique. We would like to report a complex and atypical, single case of anterior, low anal fistula with tract reaching to median raphe of scrotum, which was managed successfully by limited application of kṣārasūtra. PMID:25538355

  14. Prevalence of anal human papillomavirus infection and anal HPV-related disorders in women: a systematic review.

    PubMed

    Stier, Elizabeth A; Sebring, Meagan C; Mendez, Audrey E; Ba, Fatimata S; Trimble, Debra D; Chiao, Elizabeth Y

    2015-09-01

    The aim of this study was to systematically review the findings of publications addressing the epidemiology of anal human papillomavirus (HPV) infection, anal intraepithelial neoplasia, and anal cancer in women. We conducted a systematic review among publications published from Jan. 1, 1997, to Sept. 30, 2013, to limit to publications from the combined antiretroviral therapy era. Three searches were performed of the National Library of Medicine PubMed database using the following search terms: women and anal HPV, women anal intraepithelial neoplasia, and women and anal cancer. Publications were included in the review if they addressed any of the following outcomes: (1) prevalence, incidence, or clearance of anal HPV infection, (2) prevalence of anal cytological or histological neoplastic abnormalities, or (3) incidence or risk of anal cancer. Thirty-seven publications addressing anal HPV infection and anal cytology remained after applying selection criteria, and 23 anal cancer publications met the selection criteria. Among HIV-positive women, the prevalence of high-risk (HR)-HPV in the anus was 16-85%. Among HIV-negative women, the prevalence of anal HR-HPV infection ranged from 4% to 86%. The prevalence of anal HR-HPV in HIV-negative women with HPV-related pathology of the vulva, vagina, and cervix compared with women with no known HPV-related pathology, varied from 23% to 86% and from 5% to 22%, respectively. Histological anal high-grade squamous intraepithelial lesions (anal intraepithelial neoplasia 2 or greater) was found in 3-26% of the women living with HIV, 0-9% among women with lower genital tract pathology, and 0-3% for women who are HIV negative without known lower genital tract pathology. The incidence of anal cancer among HIV-infected women ranged from 3.9 to 30 per 100,000. Among women with a history of cervical cancer or cervical intraepithelial neoplasia 3, the incidence rates of anal cancer ranged from 0.8 to 63.8 per 100,000 person-years, and in

  15. Arteries and Veins of the Sylvian Fissure and Insula: Microsurgical Anatomy.

    PubMed

    Delion, Matthieu; Mercier, Philippe; Brassier, Gilles

    2016-01-01

    We present a vascular anatomical study of the arteries and veins of the sylvian fissure and insula.A good knowledge of the sylvian fissure, the insula, and their vascular relationship would seem mandatory before performing surgery in this area, whatever the type of surgery (aneurysms, arteriovenous malformations, insular tumors).We start with the sylvian fissure and insula morphology, followed by the MCA description and its perforators, with special attention paid to the insular perforators. We demonstrate that the long insular perforators penetrating in the superior part of the posterior short gyrus and long gyri vascularize, respectively, the corticonuclear and corticospinal fasciculi. We particularly insist too on three anatomical constants regarding the vascularization of the insula, already described in the literature: The superior periinsular sulcus is the only sulcus on the lateral surface of the brain without an artery along its axis; the superior branch of the MCA supplies the anterior insular pole and both the anterior and middle short gyri in 100 % of cases; in at least 90 % of cases, the artery that supplied the central insular sulcus continued on to become the central artery.We end with the anatomical study of the veins and cisterns. PMID:26508410

  16. Potential for aquifer compaction, land subsidence, and earth fissures in the Tucson basin, Pima County, Arizona

    USGS Publications Warehouse

    Anderson, S.R.

    1987-01-01

    In 1979 the U.S. Geological Survey, in cooperation with the city of Tucson, began an investigation of aquifer compaction and its effects in the Tucson basin, including the potential hazards of aquifer compaction and subsequent damage to engineered structures, roads, water supply systems, gaslines, and sewage systems. Groundwater is the main source of water for irrigation, public supply, and industry. Pumping has exceeded recharge for several decades, and declines in groundwater levels have occurred in parts of the basin. In places, water level declines have resulted in small amounts of aquifer compaction and land subsidence. Further water level declines in parts of the Tucson basin may result in large amounts of aquifer compaction and land subsidence. Differential land subsidence may, in places, be accompanied by the formation of earth fissures. Aquifer compaction, land subsidence, and earth fissures can damage or affect the functional capability of manmade features. Specifically, aquifer compaction may damage wells, fissures may damage engineered structures, and differential land subsidence may affect structures such as sewers and water-supply systems that are dependent on gravity for their operation. (USGS)

  17. Resin infiltration of fissure caries with various techniques of pretreatment in vitro.

    PubMed

    Lausch, Julian; Paris, Sebastian; Selje, Timo; Dörfer, Christof E; Meyer-Lueckel, Hendrik

    2015-01-01

    The resin infiltration technique might be used for occlusal caries lesions in order to arrest their progression. This in vitro study evaluated the influence of various modifications of the infiltration technique on the penetration abilities of the infiltrant into occlusal lesions. Extracted human molars and premolars (n = 140) with non-cavitated white spot lesions were randomly allocated to 7 groups. As control, specimens were etched with 15% hydrochloric acid (HCl) gel for 120 s and resin infiltrated for 180 s (Icon; DMG). As modification HCl gel reduced in surface tension and viscosity with and without abrasives was applied using 3 different types of brushes either to oscillate or rub the HCl gel onto the enamel surface. The median maximum lesion depth was 1,232 µm (interquartile range 882-1,513). Compared with the control procedure [23% (16/50)] a higher percentage penetration was observed if the HCl gel was mixed with a small amount of abrasives were rubbed into the fissures using a modified brush with stiff bristles that were adjusted to the fissure relief for either 120 s [100% (64/100)] or 30 s [98% (61/100); p < 0.05; Mann-Whitney test]. All other experimental treatments resulted in penetration results in-between. It can be concluded that the use of an abrasive HCl gel in conjunction with a modified brush mostly enhances resin infiltration into fissure caries lesions. PMID:25427531

  18. Organogenesis of mild ocular coloboma in FLS mice: failure of basement membrane disintegration at optic fissure margins.

    PubMed

    Tsuji, Naho; Kita, Katsutoshi; Ozaki, Kiyokazu; Narama, Isao; Matsuura, Tetsuro

    2012-01-01

    Fatty Liver Shionogi (FLS) mice have been shown to develop a hereditary disorder characterized by localized retinochoroidal defects of the ventral fundus very similar to human typical ocular coloboma without microphthalmia. The objective of this study was to determine when and how the failure of the optic fissure closure occurs, and to clarify the disturbed mechanism of basement membrane disintegration during embryonal stage in FLS mice. Fetuses at day 11.5-15.5 of gestation were obtained from dams of FLS and BALB/c strain of mice. Coronal serial sections through the eye were examined by light and electron microscopy. The sections were followed by observation of the basement membrane using reaction with periodic acid-Schiff (PAS) reagent and immunohistochemical staining with anti-Laminin and anti-Type IV collagen antibodies. Both optic fissure margins closely approached each other up to GD 11.5 in all FLS and BALB/c embryos. The inner and outer layers of the optic cup did not normally fuse at midlenticular levels of the optic fissure in almost 70% of FLS fetuses by GD 15.5, whereas both margins were completely fused in all BALB/c fetuses of the same gestational day. In the FLS fetuses at GD 12.5, rolling on one side of fissure margins and consequent asymmetry were observed at the ventral optic fissure. The basement membrane persisted after the close contact of both sides of the fissure margins during GD 11.5 and 15.5. Ultrastructurally, the basal lamina was not disintegrated and mesenchymal cells intervened between the two neuroepithelial layers, resulting in complete separation of both fissure margins at GD 13.0. It is highly probable that the disturbed basement membrane disintegration right before optic fissure closure causes mild ocular coloboma without microphthalmia in FLS mice. PMID:22182670

  19. An Experimental and Numerical Study on Cracking Behavior of Brittle Sandstone Containing Two Non-coplanar Fissures Under Uniaxial Compression

    NASA Astrophysics Data System (ADS)

    Yang, Sheng-Qi; Tian, Wen-Ling; Huang, Yan-Hua; Ranjith, P. G.; Ju, Yang

    2016-04-01

    To understand the fracture mechanism in all kinds of rock engineering, it is important to investigate the fracture evolution behavior of pre-fissured rock. In this research, we conducted uniaxial compression experiments to evaluate the influence of ligament angle on the strength, deformability, and fracture coalescence behavior of rectangular prismatic specimens (80 × 160 × 30 mm) of brittle sandstone containing two non-coplanar fissures. The experimental results show that the peak strength of sandstone containing two non-coplanar fissures depends on the ligament angle, but the elastic modulus is not closely related to the ligament angle. With the increase of ligament angle, the peak strength decreased at a ligament angle of 60°, before increasing up to our maximum ligament angle of 120°. Crack initiation, propagation, and coalescence were all observed and characterized from the inner and outer tips of pre-existing non-coplanar fissures using photographic monitoring. Based on the results, the sequence of crack evolution in sandstone containing two non-coplanar fissures was analyzed in detail. In order to fully understand the crack evolution mechanism of brittle sandstone, numerical simulations using PFC2D were performed for specimens containing two non-coplanar fissures under uniaxial compression. The results are in good agreement with the experimental results. By analyzing the stress field, the crack evolution mechanism in brittle sandstone containing two non-coplanar fissures under uniaxial compression is revealed. These experimental and numerical results are expected to improve the understanding of the unstable fracture mechanism of fissured rock engineering structures.

  20. Fracturing and Seismicity at the Prestahnúkur Fissure Swarm in the Ultra-Slowly Spreading Western Volcanic Zone, Iceland

    NASA Astrophysics Data System (ADS)

    Hjartardottir, A. R.; Hjaltadottir, S.; Einarsson, P.; Vogfjord, K. S.

    2014-12-01

    Extension across the mid-Atlantic plate boundary in south Iceland is taken up by two parallel zones, the Western and the Eastern Volcanic Zones. Spreading across the western zone is of the order of 1-7 mm/year, qualifying it as an ultra-slow rift. The Prestahnúkur fissure swarm in the Western Volcanic Zone offers an opportunity to study magma-tectonic interaction in an ultra-slow spreading setting. In this study, fractures and faults were mapped in detail from aerial photographs to determine the extent of the fissure swarm. The fissure swarm is about 60 km long and 10 km wide, although its extent to the south is uncertain due to its linkage with the adjacent Hengill fissure swarm. The fissure swarm has both open fractures, indicating postglacial activation, and normal faults with up to 45 m vertical offset. Hyaloclastite ridges („tindars"), produced by subglacial fissure eruptions during the Pleistocene, are found within the fissure swarm, as well as postglacial lava flows. Intermittent seismicity occurs in the area. Earthquakes during the last ~24 years were relocated to study their relation with the surface fractures. Relocation of these events indicate that some of the fractures seen on surface have been activated during these years. The small cumulative seismic moment and slow spreading measured by geodetic methods nevertheless show that no dike intrusions have occurred during this period. Pleistocene tindars and Holocene lavas are clear indications of magmatism, however. We therefore suggest that the Prestahnúkur fissure swarm is mainly formed by diking and rifting during rifting episodes, whereas small scale fracture movements can occur during inter-rifting periods. The present small-scale fracture movements may indicate lack of magma to drive dike intrusions.

  1. Distributed Computing for Seismic Data Retrieval using FISSURES DHI Client FMI Implimented from MatSeis 1.9

    NASA Astrophysics Data System (ADS)

    Hart, D. M.; Li, Q.; Creager, K. C.; Ning, R.; Crotwell, H. P.; Zuzlewski, S.; Hellman, S. B.; Schoch, K. S.; Laughbon, C. J.; Stromme, S. R.

    2004-12-01

    Three software development efforts have recently combined to allow a seamless method for obtaining data from the IRIS DMC over the Internet and analyzing it in MATLAB. During the past few years IRIS has constructed the initial framework and definitions for FISSURES servers and Data Handling Interface (DHI) clients. FISSURES uses the distributed computing language Common Object Request Broker Architecture (CORBA), which allows software systems to work across the Internet in a platform independent and computer-language neutral manner. Starting from the FISSURES object model three seismic services have been defined: event, network and seismogram. From these three object types a DHI client is used to access information through FISSURES services. Using the University of Washington developed FISSURES-Matlab-Interface (FMI) DHI client, all three FISSURES objects can be accessed via the Internet and downloaded into local MATLAB objects, allowing access to earthquake event catalogs, seismograms, network and instrument information. The DHI client FMI can be implemented from MatSeis. MatSeis, developed at Sandia National Laboratory, is a MATLAB based, Graphical User Interface (GUI) controlled software package with seismic data visualization, signal processing, and database importing and exporting capabilities, to list just a few. In this poster, we will discuss the seismic data retrieval currently prototyped for the IRIS DMC, as well as the planned connections to the Northern California Earthquake Data Center (NCEDC), Southern California Earthquake Data Center (SCEDC), and South Carolina Earth Physics Project (SCEPP) data center.

  2. Internal anal sphincter augmentation and substitution

    PubMed Central

    de la Portilla, Fernando

    2014-01-01

    There is an increasing recognition of the importance of internal anal sphincter (IAS) dysfunction presenting as passive faecal incontinence. This problem may manifest after anal sphincterotomy or following the more minimally invasive operations for haemorrhoids, as well as with advancing age. Because of the poor results of IAS plication and the beneficial outcomes with peri-urethral bulking agents in urology, these materials have been developed for use in IAS dysfunction. This review outlines the basic purported mechanisms of action, defining the materials in clinical use, their methods of deployment, complications and reported outcomes. There is still much that is unknown concerning the ideal agent or the volume and the technique of deployment, which will only be answered by powerful, prospective, randomized, controlled trials. The specific role of autologous stem cells designed to regenerate the sphincters in cases of functional impairment or muscle loss is yet to be seen. PMID:24759338

  3. Seismic processes and migration of magma during the Great Tolbachik Fissure Eruption of 1975-1976 and Tolbachik Fissure Eruption of 2012-2013, Kamchatka Peninsula

    NASA Astrophysics Data System (ADS)

    Fedotov, S. A.; Slavina, L. B.; Senyukov, S. L.; Kuchay, M. S.

    2015-12-01

    Seismic and volcanic processes in the area of the northern group of volcanoes (NGV) in Kamchatka Peninsula that accompanied the Great Tolbachik Fissure Eruption (GTFE) of 1975-1976 and the Tolbachik Fissure Eruption (TFE, or "50 let IViS" due to anniversary of the Institute of Volcanology and Seismology, Far East Branch, Russian Academy of Sciences) of 2012-2013 and the seismic activity between these events are considered. The features of evolution of seismic processes of the major NGV volcanoes (Ploskii Tolbachik, Klyuchevskoy, Bezymannyi, and Shiveluch) are revealed. The distribution of earthquakes along depth, their spatial and temporal migration, and the relation of seismic and volcanic activity are discussed. The major features of seismic activity during the GTFE preparation and evolution and a development of earthquake series preceding the origin of the northern and southern breaks are described. The character of seismic activity between the GTFE and TFE is shown. The major peculiarities of evolution of seismic activity preceding and accompanying the TFE are described. The major magma sources and conduits of the NGV volcanoes are identified, as is the existence of a main conduit in the mantle and a common intermediate source for the entire NGV, the depth of which is 25-35 km according to seismic data. The depth of a neutral buoyancy layer below the NGV is 15-20 km and the source of areal volcanism of magnesian basalts northeast of the Klyuchevskoy volcano is located at depth of ~20 km. These data support the major properties of a 2010 geophysical model of magmatic feeding system of the Klyuchevskoy group of volcanoes. The present paper covers a wider NGV area and is based on the real experimental observations.

  4. Risk Factors for Anal HPV Infection and Anal Precancer in HIV-Infected Men Who Have Sex With Men

    PubMed Central

    Schwartz, Lauren M.; Castle, Philip E.; Follansbee, Stephen; Borgonovo, Sylvia; Fetterman, Barbara; Tokugawa, Diane; Lorey, Thomas S.; Sahasrabuddhe, Vikrant V.; Luhn, Patricia; Gage, Julia C.; Darragh, Teresa M.; Wentzensen, Nicolas

    2013-01-01

    Background. Carcinogenic human papillomaviruses (HPVs) cause a large proportion of anal cancers. Human immunodeficiency virus (HIV)–infected men who have sex with men (MSM) are at increased risk of HPV infection and anal cancer compared with HIV-negative men. We evaluated risk factors for HPV infection and anal precancer in a population of HIV-infected MSM. Methods. Our study included 305 MSM at an HIV/AIDS clinic in the Kaiser Permanente Northern California Health Maintenance Organization. Logistic regression was used to estimate associations of risk factors comparing men without anal HPV infection; men with anal HPV infection, but no precancer; and men with anal precancer. Results. Low CD4 count (<350 cells/mm3) and previous chlamydia infection were associated with an increased risk of carcinogenic HPV infection (odds ratio [OR], 3.65; 95% confidence interval [CI], 1.28–10.40 and OR, 4.24; 95% CI, 1.16–15.51, respectively). History of smoking (OR, 2.71 95% CI, 1.43–5.14), duration, recency, and dose of smoking increased the risk of anal precancer among carcinogenic HPV-positive men but had no association with HPV infection. Conclusions. We found distinct risk factors for anal HPV infection and anal precancer. Risk factors for HPV infection and anal precancer are similar to established risk factors for cervical cancer progression. PMID:23908478

  5. Anal intraepitelial neoplasia: A narrative review.

    PubMed

    Elorza, Garazi; Saralegui, Yolanda; Enríquez-Navascués, Jose María; Placer, Carlos; Velaz, Leyre

    2016-01-01

    Anal intraepitelial neoplasia (AIN) constitutes a major health problem in certain risk groups, such as patients with immunosuppression of varied origin, males who have sexual relations with other males, and females with a previous history of vaginal or cervical abnormalities in cytology. Its relationship with the human papillomavirus (HPV) infection has been well documented; however, many of the factors involved in the progression and regression of the viral infection to dysplasia and anal carcinoma are unknown. AIN can be diagnosed through cytology of the anal canal or biopsy guided by high-resolution anoscopy. However, the need for these techniques in high-risk groups remains controversial. Treatment depends on the risk factors and given the high morbidity and high recurrence rates the utility of the different local treatments is still a subject of debate. Surgical biopsy is justified only in the case of progression suggesting lesions. The role of the vaccination in high-risk patients as primary prevention has been debated by different groups. However, there is no general consensus on its use or on the need for screening this population. PMID:26765233

  6. Anal Cancer: An Examination of Radiotherapy Strategies

    SciTech Connect

    Glynne-Jones, Rob; Lim, Faye

    2011-04-01

    The Radiation Therapy Oncology Group 9811, ACCORD-03, and ACT II Phase III trials in anal cancer showed no benefit for cisplatin-based induction and maintenance chemotherapy, or radiation dose-escalation >59 Gy. This review examines the efficacy and toxicity of chemoradiation (CRT) in anal cancer, and discusses potential alternative radiotherapy strategies. The evidence for the review was compiled from randomized and nonrandomized trials of radiation therapy and CRT. A total of 103 retrospective/observational studies, 4 Phase I/II studies, 16 Phase II prospective studies, 2 randomized Phase II studies, and 6 Phase III trials of radiotherapy or chemoradiation were identified. There are no meta-analyses based on individual patient data. A 'one-size-fits-all' approach for all stages of anal cancer is inappropriate. Early T1 tumors are probably currently overtreated, whereas T3/T4 lesions might merit escalation of treatment. Intensity-modulated radiotherapy or the integration of biological therapy may play a role in future.

  7. Environmental scan of anal cancer screening practices: worldwide survey results

    PubMed Central

    Patel, Jigisha; Salit, Irving E; Berry, Michael J; de Pokomandy, Alexandra; Nathan, Mayura; Fishman, Fred; Palefsky, Joel; Tinmouth, Jill

    2014-01-01

    Anal squamous cell carcinoma is rare in the general population but certain populations, such as persons with HIV, are at increased risk. High-risk populations can be screened for anal cancer using strategies similar to those used for cervical cancer. However, little is known about the use of such screening practices across jurisdictions. Data were collected using an online survey. Health care professionals currently providing anal cancer screening services were invited to complete the survey via email and/or fax. Information was collected on populations screened, services and treatments offered, and personnel. Over 300 invitations were sent; 82 providers from 80 clinics around the world completed the survey. Fourteen clinics have each examined more than 1000 patients. Over a third of clinics do not restrict access to screening; in the rest, eligibility is most commonly based on HIV status and abnormal anal cytology results. Fifty-three percent of clinics require abnormal anal cytology prior to performing high-resolution anoscopy (HRA) in asymptomatic patients. Almost all clinics offer both anal cytology and HRA. Internal high-grade anal intraepithelial neoplasia (AIN) is most often treated with infrared coagulation (61%), whereas external high-grade AIN is most commonly treated with imiquimod (49%). Most procedures are performed by physicians, followed by nurse practitioners. Our study is the first description of global anal cancer screening practices. Our findings may be used to inform practice and health policy in jurisdictions considering anal cancer screening. PMID:24740973

  8. Environmental scan of anal cancer screening practices: worldwide survey results.

    PubMed

    Patel, Jigisha; Salit, Irving E; Berry, Michael J; de Pokomandy, Alexandra; Nathan, Mayura; Fishman, Fred; Palefsky, Joel; Tinmouth, Jill

    2014-08-01

    Anal squamous cell carcinoma is rare in the general population but certain populations, such as persons with HIV, are at increased risk. High-risk populations can be screened for anal cancer using strategies similar to those used for cervical cancer. However, little is known about the use of such screening practices across jurisdictions. Data were collected using an online survey. Health care professionals currently providing anal cancer screening services were invited to complete the survey via email and/or fax. Information was collected on populations screened, services and treatments offered, and personnel. Over 300 invitations were sent; 82 providers from 80 clinics around the world completed the survey. Fourteen clinics have each examined more than 1000 patients. Over a third of clinics do not restrict access to screening; in the rest, eligibility is most commonly based on HIV status and abnormal anal cytology results. Fifty-three percent of clinics require abnormal anal cytology prior to performing high-resolution anoscopy (HRA) in asymptomatic patients. Almost all clinics offer both anal cytology and HRA. Internal high-grade anal intraepithelial neoplasia (AIN) is most often treated with infrared coagulation (61%), whereas external high-grade AIN is most commonly treated with imiquimod (49%). Most procedures are performed by physicians, followed by nurse practitioners. Our study is the first description of global anal cancer screening practices. Our findings may be used to inform practice and health policy in jurisdictions considering anal cancer screening. PMID:24740973

  9. Anal squamous cell carcinoma: An evolution in disease and management

    PubMed Central

    Osborne, Marc C; Maykel, Justin; Johnson, Eric K; Steele, Scott R

    2014-01-01

    Anal cancer represents less than 1% of all new cancers diagnosed annually in the United States. Yet, despite the relative paucity of cases, the incidence of anal cancer has seen a steady about 2% rise each year over the last decade. As such, all healthcare providers need to be cognizant of the evaluation and treatment of anal squamous cell carcinoma. While chemoradiation remains the mainstay of therapy for most patients with anal cancer, surgery may still be required in recurrent, recalcitrant and palliative disease. In this manuscript, we will explore the diagnosis and management of squamous cell carcinoma of the anus. PMID:25278699

  10. Risk of Anal Cancer in People Living with HIV: Addressing Anal Health in the HIV Primary Care Setting.

    PubMed

    Walker, Crystal Martin; Likes, Wendy; Bernard, Marye; Kedia, Satish; Tolley, Elizabeth

    2016-01-01

    Anal health and anal cancer are rarely addressed in HIV primary care. We sought to understand factors that impeded or promoted addressing anal health in HIV primary care from providers' perspectives. In this exploratory study, HIV primary care providers from the Mid-South region of the United States participated in brief individual interviews. We analyzed transcribed data to identify barriers and facilitators to addressing anal health. Our study sample included five physicians and four nurse practitioners. The data revealed a number of barriers such as perception of patient embarrassment, provider embarrassment, external issues such as time constraints, demand of other priorities, lack of anal complaints, lack of resources, and gender discordance. Facilitators included awareness, advantageous circumstances, and the patient-provider relationship. Anal health education should be prioritized for HIV primary care providers. Preventive health visits should be considered to mitigate time constraints, demands for other priorities, and unequal gender opportunities. PMID:27080925

  11. Double-Porosity Models for a Fissured Groundwater Reservoir With Fracture Skin

    NASA Astrophysics Data System (ADS)

    Moench, Allen F.

    1984-07-01

    Theories of flow to a well in a double-porosity groundwater reservoir are modified to incorporate effects of a thin layer of low-permeability material or fracture skin that may be present at fracture-block interfaces as a result of mineral deposition or alteration. The commonly used theory for flow in double- porosity formations that is based upon the assumption of pseudo-steady state block-to-fissure flow is shown to be a special case of the theory presented in this paper. The latter is based on the assumption of transient block-to-fissure flow with fracture skin. Under conditions where fracture skin has a hydraulic conductivity that is less than that of the matrix rock, it may be assumed to impede the interchange of fluid between the fissures and blocks. Resistance to flow at fracture-block interfaces tends to reduce spatial variation of hydraulic head gradients within the blocks. This provides theoretical justification for neglecting the divergence of flow in the blocks as required by the pseudo-steady state flow model. Coupled boundary value problems for flow to a well discharging at a constant rate were solved in the Laplace domain. Both slab-shaped and sphere-shaped blocks were considered, as were effects of well bore storage and well bore skin. Results obtained by numerical inversion were used to construct dimensionless-type curves that were applied to well test data, for a pumped well and for an observation well, from the fractured volcanic rock terrane of the Nevada Test Site.

  12. Land subsidence and earth fissures in south-central and southern Arizona, USA

    NASA Astrophysics Data System (ADS)

    Conway, Brian D.

    2016-05-01

    Land subsidence due to groundwater overdraft has been an ongoing problem in south-central and southern Arizona (USA) since the 1940s. The first earth fissure attributed to excessive groundwater withdrawal was discovered in the early 1950s near Picacho. In some areas of the state, groundwater-level declines of more than 150 m have resulted in extensive land subsidence and earth fissuring. Land subsidence in excess of 5.7 m has been documented in both western metropolitan Phoenix and Eloy. The Arizona Department of Water Resources (ADWR) has been monitoring land subsidence since 2002 using interferometric synthetic aperture radar (InSAR) and since 1998 using a global navigation satellite system (GNSS). The ADWR InSAR program has identified more than 25 individual land subsidence features that cover an area of more than 7,300 km2. Using InSAR data in conjunction with groundwater-level datasets, ADWR is able to monitor land subsidence areas as well as identify areas that may require additional monitoring. One area of particular concern is the Willcox groundwater basin in southeastern Arizona, which is the focus of this paper. The area is experiencing rapid groundwater declines, as much as 32.1 m during 2005-2014 (the largest land subsidence rate in Arizona State—up to 12 cm/year), and a large number of earth fissures. The declining groundwater levels in Arizona are a challenge for both future groundwater availability and mitigating land subsidence associated with these declines. ADWR's InSAR program will continue to be a critical tool for monitoring land subsidence due to excessive groundwater withdrawal.

  13. Fissure distribution at Mauna Loa (Hawaii) as an example to understand shallow magma transfer at volcanoes

    NASA Astrophysics Data System (ADS)

    La Marra, Daniele; Acocella, Valerio; Trusdell, Frank

    2016-04-01

    Mauna Loa (Hawaii) is the largest active shield volcano on the Island of Hawai'i, covering more than half of it and rising to 4,169 meters above sea level. The volcano hosts the Moku'aweoweo summit caldera, from which two elongated rift zones depart: the Northeast Rift Zone (NERZ) and the Southwest Rift Zone (SWRZ). Most of Mauna Loa's eruptions begin with lava fountains from a series of fissure vents in the summit region and then often migrate to vents down either rift zone. Mauna Loa volcano shows a distinctive feature, being characterized by minor radial eruptive fissures (not related to the two main rifts) on the NW flank only. This study tries to explain such a selective distribution of vents, and thus of shallow magma transfer. To this aim, we run numerical models with different amount of opening of the two rift zones of Mauna Loa, as well as different amount of slip on its SE flank. Our results suggest that the selective occurrence of the radial fissures may be explained by the competition between two processes: a) rift intrusion (especially along the NERZ), promoting the development of radial dikes along the NW flank; b) flank slip, inhibiting the development of the radial dikes on the SE flank. The opening of the two non-parallel main rift zones of Mauna Loa promotes the local extension necessary to develop the radial dikes on the NW flank. A general model for the development of a third branch of radial rift, which may be also applied to Mt. Etna and some volcanoes on the Canary Islands, is proposed.

  14. Reconstructing recent basaltic fissure eruptions in the Afar Depression, Ethiopia, using satellite imagery

    NASA Astrophysics Data System (ADS)

    Barnie, T. D.; Ferguson, D. J.; Oppenheimer, C.

    2009-12-01

    Since 2005, there have been numerous dike intrusions in the Manda-Hararo rift segment in central Afar, Ethiopia, as part of an on-going rifting event similar to that which occurred at Krafla, Iceland between 1975 and 1984. Two of the dikes have been associated with basaltic fissure eruptions, in August 2007 and in June 2009. A large fissure eruption also occurred in the Erta ‘Ale volcanic range in northern Afar in November 2008, which may be related to the activity further south. These eruptions took place in remote areas and lasted only a few days, making field observation almost impossible. We must therefore rely on the geomorphology and geochemistry of the erupted deposits, and syn-eruption satellite observations of thermally emitted radiance and gas emissions to reconstruct the evolution of these eruptions. Reconstruction of the eruptions is important for i) understanding the relationship between dike intrusion and fissure eruption dynamics ii) understanding the relationship between eruption dynamics and the resulting deposits, iii) interpreting the deposits of pre-historic eruptions from previous rifting events, and iv) estimating the hazard posed to the local population by further activity. In this study we use pre- and post-eruption high resolution ASTER and ALI images to map the morphology of the erupted material, and SEVIRI and MODIS time series of the eruptions to track evolution of the vent dynamics and lava flows. These datasets are augmented by oblique aerial and ground based photographic and FLIR surveys of the cooling lava flows and tephra. ASTER and ALI images are also used to map older erupted materials, which allow us to compare this rifting event with previous events to anticipate future activity.

  15. Ability of Pit and Fissure Sealant-containing Amorphous Calcium Phosphate to inhibit Enamel Demineralization

    PubMed Central

    Owais, Arwa I; Kawaja, Wasan

    2016-01-01

    ABSTRACT Aim: To evaluate the effect of amorphous calcium phosphate (ACP)-containing pit and fissure sealant on inhibition of enamel demineralization in vitro. Materials and methods: Enamel specimens (n = 75) were prepared using freshly extracted noncarious human third molars. Box-shaped cavities (8 × 2 × 2 mm) on the buccal or lingual surfaces were prepared and restored with resin-based sealant (Concise™), ACP-containing sealant (Aegis®) or fluoride-containing sealant (Conseal-F™). The samples were acid challenged in a demineralizing solution of 50 mmol/l lactic acid at pH 5.0 for 4 days. The change in enamel microhardness (ASuH) was calculated. Data were analyzed using one-way analysis of variance (ANOVA) and Tukey’s post hoc test. Results: The mean SuH0 (±SD) (in Vicker’s unit) prior to the acid challenge was: Concise™ (318.83 ± 33.86), Aegis® (331.03 ± 21.52), Conseal-F™ (310.12 ± 34.31). Following the acid challenge, the values dropped in all groups and ASuH (±SD) values were 269.17 ± 47.49, 151.39 ± 23.96 and 175.79 ± 32.39 respectively. Conclusion: The ACP-containing pit and fissure sealant has the potential to inhibit enamel demineralization. How to cite this article: Zawaideh FI, Owais AI, Kawaja W. Ability of pit and fissure sealant-containing amorphous calcium phosphate to inhibit enamel demineralization. Int J Clin Pediatr Dent 2016;9(1):10-14. PMID:27274148

  16. Fissured Tongue

    MedlinePlus

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  17. Continuous monitoring of an earth fissure in Chino, California, USA - a management tool

    NASA Astrophysics Data System (ADS)

    Carpenter, M. C.

    2015-11-01

    Continuous measurements of deformation have been made in Chino, California across an earth fissure and nearby unfissured soil since 2011 in two buried, horizontal, 150 mm pipes, 51 m long, which are connected by sealed boxes enclosing vertical posts at mostly 6 m intervals. Horizontal displacements and normal strain are measured in one line using nine end-to-end quartz tubes that are attached to posts and span fissured or unfissured soil. The free ends of the tubes are supported by slings and move relative to the attachment post of the next quartz tube. Linear variable differential transformer (LVDT) sensors measure the relative movements. Five biaxial tilt sensors were also attached to selected posts in that line. Relative vertical movement was measured at nine locations along the line in the second pipe using low-level differential pressure sensors. The second pipe is half full of water giving a free water surface along its length. Data are recorded on a Campbell CR10 using multiplexers. The quartz-tube horizontal extensometers have exhibited more than 3 mm of predominantly elastic opening and closing in response to about 32 m of seasonal drawdown and recovery, respectively, in an observation well 0.8 km to the south. The nearest production well is 1.6 km to the west. The horizontal strain was 5.9 × 10-5 or 30 % of the lowest estimate of strain-at-failure for alluvium. Maximum relative vertical movement was 4.8 mm. Maximum tilt in the fissure zone was 0.09 arcdeg while tilt at a separate sensor 100 m to the east was 0.86 arcdeg, indicating a wider zone of deformation than is spanned by the instrumentation. High correlation of horizontal displacements during drawdown, and especially recovery, with change in effective stress supports differential compaction as the mechanism for earth-fissure movement. The continuous measurements of horizontal strain coupled with water-level fluctuations and vertical borehole extensometry can provide a real-time adaptive management

  18. Tectonics and magma chambers of the recent Tolbachik Fissure Eruption (Kamchatka Peninsula)

    NASA Astrophysics Data System (ADS)

    Ermakov, V. A.; Gontovaya, L. I.; Senyukov, S. L.

    2014-12-01

    Structural-geological, petrological, seismotectonic, and seismotomographic data received in regions of areal volcanism of the south-southwest sector of the Plosky Tolbachik volcano area are considered. The fissure eruption occurring here from November 2012 to the middle of September 2013 was called 50 years of IVS after the 50th anniversary of the Institute of Volcanology and Seismology, Far Eastern Branch, Russian Academy of Sciences. A joint analysis of new and retrospective data allows us to suggest a model for the recent eruption and formulate some problems for future studies and eruption forecasting.

  19. Treating pit-and-fissure caries: a systematic review and network meta-analysis.

    PubMed

    Schwendicke, F; Jäger, A M; Paris, S; Hsu, L Y; Tu, Y K

    2015-04-01

    For shallow or moderately deep pit-and-fissure lesions, various treatment options are available: (1) noninvasive treatments (e.g., fluoride application, antibacterial treatments, oral hygiene advice) avoid any dental hard tissue removal; (2) microinvasive treatments (e.g., sealing) remove only a few micrometers of hard tissues by etching; and minimally invasive methods (e.g., "preventive" resin/sealant restoration) remove carious dentin but avoid sacrificing sound tissues. We aimed at systematically reviewing and comparing these strategies for treating pit-and-fissure lesions in permanent teeth using network meta-analysis. Randomized or nonrandomized clinical trials investigating shallow or moderately deep primary caries lesions in fissured or pitted surfaces were included. We compared the risk of requiring invasive treatments or any retreatments in noninvasive, microinvasive, and minimally invasive treated lesions; untreated lesions were used as controls. Five electronic databases were systematically screened up to September 2013 and cross-referencing performed. Pairwise and network meta-analyses were performed and odds ratios and 95% confidence intervals (CI) calculated. Certainty of estimates was evaluated via GRADE criteria. From a total of 2,214 identified records, 14 studies representing 1,440 patients with 3,551 treated lesions were included. Pairwise meta-analysis found microinvasive and minimally invasive treated lesions to require less invasive retreatments than control lesions (odds ratios [95% confidence intervals]: 0.13 [0.07 to 0.26], 0.13 [0.03 to 0.50], respectively), whereas the estimate for noninvasively treated lesions remained nonsignificant (0.64 [0.39 to 1.06]). These findings were reflected in the strategy ranking stemming from network meta-analysis (first, minimally invasive; second, microinvasive; third, noninvasive). However, microinvasive treatment required significantly more total retreatments (including resealing) than minimally or

  20. [Endotracheal hemorrhage caused by fissuration of the innominate artery during prolonged intubation. Surgical treatment].

    PubMed

    Couraud, L; Hafez, A; Velly, J F

    1984-11-24

    We present our surgical procedure for the control of tracheal haemorrhages due to fissuration of the innominate artery in patients with prolonged tracheal intubation or tracheostomy. Temporary haemostasis and protection of the airways against flooding are ensured by downward advancement of the tube, overinflation of the cuffs and digital pressure if required. The fistula is then located and surgical haemostasis is obtained by resection of the innominate artery away from the infected area. The arterial stumps are covered up for protection against secondary infection. Re-establishment of blood flow is not systematic. Cervicosternotomy is regarded as the incision of choice. No complication was encountered in patients treated by this method. PMID:6239257

  1. A prospective randomized trial comparing stapler and laser techniques for interlobar fissure completion during pulmonary lobectomy.

    PubMed

    Marulli, Giuseppe; Droghetti, Andrea; Di Chiara, Francesco; Calabrese, Francesca; Rebusso, Alessandro; Perissinotto, Egle; Muriana, Giovanni; Rea, Federico

    2013-02-01

    Alveolar air leaks, often resulting from lung tissue traumatization during dissection of fissures, still remain a challenging problem in lung surgery. Several tools and techniques have been used to reduce air leakage, but none was judged ideal. This prospective, randomized trial was designed to evaluate the feasibility, safety, and effectiveness of completion of fissures during pulmonary lobectomy by using a laser system. A standard stapler technique was used for comparison; the primary goal was to reach at least a comparable result. Forty-four patients were enrolled, 22 were treated with standard technique by using staplers (S) and 22 underwent laser (L) dissection. Randomization to one of the two groups was intraoperative after evaluating the presence of incomplete fissure (grade 3-4 following Craig's classification). A Thulium laser 2010 nm (Cyber TM, Quanta System, Italy) was used at power of 40 W. Outcome primary measures were the evaluation and duration of intra- and postoperative air leaks, the rate of complications, and the hospital stay. Air leaks (2.1 ± 4.2 vs 3.6 ± 7.2 days; p = 0.98) and chest tube duration (6.4 ± 4.2 vs 7.5 ± 6.3 days, p = 0.44) were lower in L compared with S group even if these were not statistically significant. Complications (36.4 vs 77.3 %; p = 0.006), hospital stay (6.9 ± 3.8 vs 9.9 ± 6.9 days; p = 0.03), hospitalization costs (5,650 vs 8,147 euros; p = 0.01), and procedure costs (77 % of difference; p < 0.0001) were significantly lower for L group, while operative time was longer (197 ± 34 vs 158 ± 41 min; p = 0.004). The use of laser dissection to prevent postoperative air leaks is effective and comparable with stapler technique. Aero-haemostatic laser properties (by sealing of small blood vessels and checking air leaks) allow a safe application during pulmonary lobectomy in interlobar fissure completion avoiding stapler use. PMID:22526973

  2. A Stress-Induced Permeability Evolution Model for Fissured Porous Media

    NASA Astrophysics Data System (ADS)

    Ma, Jianjun; Wang, Jun

    2016-02-01

    A unified permeability evolution model is proposed to capture the evolution of permeability induced by stress. This model is formulated within a conventional permeability-porosity power function, with special attentions being paid to the effects of shear deformation-induced tortuosity and compaction-induced closure of fissures through a permeability resistance parameter. This model contains a small amount number of parameters, which can be calibrated based on conventional experiments. The proposed model is validated through comparison between model simulation and experimental results for sandstones under a wide range of confining pressures. Good performance demonstrates the capability of the proposed permeability evolution model.

  3. Different scale land subsidence and ground fissure monitoring with multiple InSAR techniques over Fenwei basin, China

    NASA Astrophysics Data System (ADS)

    Zhao, C.; Zhang, Q.; Yang, C.; Zhang, J.; Zhu, W.; Qu, F.; Liu, Y.

    2015-11-01

    Fenwei basin, China, composed by several sub-basins, has been suffering severe geo-hazards in last 60 years, including large scale land subsidence and small scale ground fissure, which caused serious infrastructure damages and property losses. In this paper, we apply different InSAR techniques with different SAR data to monitor these hazards. Firstly, combined small baseline subset (SBAS) InSAR method and persistent scatterers (PS) InSAR method is used to multi-track Envisat ASAR data to retrieve the large scale land subsidence covering entire Fenwei basin, from which different land subsidence magnitudes are analyzed of different sub-basins. Secondly, PS-InSAR method is used to monitor the small scale ground fissure deformation in Yuncheng basin, where different spatial deformation gradient can be clearly discovered. Lastly, different track SAR data are contributed to retrieve two-dimensional deformation in both land subsidence and ground fissure region, Xi'an, China, which can be benefitial to explain the occurrence of ground fissure and the correlation between land subsidence and ground fissure.

  4. Adenocarcinoma of the anal canal: A report of two cases with review of literature.

    PubMed

    Kulkarni, Medha Pradip; Momin, Yasmin Altaf; Pandav, Amitkumar Bapuso; Sulhyan, Kalpana Ranjitsingh

    2016-01-01

    Adenocarcinoma of the anal canal accounts for about 20% of all anal canal cancers. It is subclassified into two types. (1) Colorectal type, which arises from the mucosa above dentate line and (2) extramucosal type, which includes adenocarcinoma arising in anorectal fistulae and adenocarcinoma arising from anal glands. Anal gland adenocarcinomas are extremely rare. In this article, we present two cases of anal adenocarcinoma, one colorectal type, and other anal gland carcinoma along with review of literature. PMID:27510691

  5. Detailed modeling of palpebral fissure and its influence on SAR and temperature rise in human eye under GHz exposures.

    PubMed

    Diao, Yinliang; Leung, Sai-Wing; He, Yaqing; Sun, Weinong; Chan, Kwok-Hung; Siu, Yun-Ming; Kong, Richard

    2016-05-01

    This article investigates variations in specific absorption rate and temperature rise in human eye caused by changes in palpebral fissure, the extent of opening between eyelids, under GHz plane-wave electromagnetic (EM) exposures. Detailed human head models with different palpebral fissure features were developed with a refined spatial resolution of 0.25 mm. These head models were then incorporated into both EM and bio-heat simulations, but using finite-difference time-domain method and finite-difference method, respectively. Maximum temperature rise in lens was found to be 0.8°C under EM exposure at 100 W/m(2) . Results reveal that changes in palpebral fissure would produce a 0.23°C variation in maximum temperature rise in lens. Bioelectromagnetics. 37:256-263, 2016. © 2016 Wiley Periodicals, Inc. PMID:27037717

  6. Understanding the link between circumferential dikes and eruptive fissures around calderas based on numerical and analog models

    NASA Astrophysics Data System (ADS)

    Corbi, Fabio; Rivalta, Eleonora; Pinel, Virginie; Maccaferri, Francesco; Acocella, Valerio

    2016-06-01

    Active calderas are seldom associated with circumferential eruptive fissures, but eroded magmatic complexes reveal widespread circumferential dikes. This suggests that, while the conditions to emplace circumferential dikes are easily met, mechanisms must prevent them from reaching the surface. We explain this discrepancy with experiments of air injection into gelatin shaped as a volcano with caldera. Analog dikes show variable deflection, depending on the competition between overpressure, Pe, and topographic unloading, Pl; when Pl/Pe = 4.8-5.3, the dikes propagate orthogonal to the least compressive stress. Due to the unloading, they become circumferential and stall below the caldera rim; buoyancy is fundamental for the further rise and circumferential fissure development. Numerical models quantitatively constrain the stress orientation within the gelatin, explaining the observed circumferential dikes. Our results explain how dikes propagate below the rim of felsic and mafic calderas, but only in the latter they are prone to feed circumferential fissures.

  7. Wear of two pit and fissure sealants in contact with primary teeth

    PubMed Central

    Galo, Rodrigo; Contente, Marta Maria Martins Giamatei; Borsatto, Maria Cristina

    2014-01-01

    Objectives: Wear simulations may provide an indication of the clinical performance of pit-and-fissure sealants when associated with primary teeth as counterbody, restricting the involved variables. The aim of this study was to evaluate wear of dental materials used as pit-and-fissure sealants in contact with primary teeth. Materials and Methods: A resinous sealant (Fluroshield®) and a resin-modified glass ionomer cement (Vitremer®) were selected in a post-plate design, using as counterbody primary tooth pins (4 × 4 × 2 mm) at 3 and 10 N vertical load, 1 Hz frequency, 900 wear cycles in artificial saliva (n = 15). Attrition coefficient values were obtained and the material and primary tooth volumes were analyzed. Data were analyzed statistically by ANOVA and Duncan's test (P < 0.05). Results: Fluroshield® presented the highest attrition coefficient values for the 3 N but these values decreased significantly for the 10 N load. The means for volume loss (3 mm) of the different samples after the wear test were not statistically different for the materials. The volume loss values for the primary teeth were statistically different and there was an increase in volume loss with the increase of the load applied in the wear tests. Conclusions: Differences were also observed with regard to the surface deformation characteristics. The wear rates of primary tooth enamel vary according to the type of material and the load applied during mastication. PMID:24966777

  8. The link between circumferential dikes and eruptive fissures around calderas: insights from numerical and analog models

    NASA Astrophysics Data System (ADS)

    Corbi, Fabio; Rivalta, Eleonora; Pinel, Virginie; Maccaferri, Francesco; Acocella, Valerio

    2016-04-01

    Active calderas are seldom associated with circumferential eruptive fissures along their rim, but eroded portions of extinct magmatic complexes reveal widespread evidence of circumferential dikes. This discrepancy suggests that, while the conditions to emplace circumferential dikes below volcanoes are easily met, mechanisms must exist to arrest the dikes before they reach the surface. Here we explain this discrepancy with laboratory experiments of air injection into a gelatin medium shaped to mimic a volcanic edifice with caldera. Our models show that the ascending dikes experience a variable degree of deflection, depending on the competition between dike overpressure, Pe, and the forcing induced by the topographic load, Pl. When Pl/Pe = 4.3 - 4.5 the analog dikes proceed almost insensitive to the stress rotation and erupt within the caldera. When Pl/Pe = 4.8 - 5.3 the analog dikes closely propagate orthogonal to the least compressive stress σ3 and stall below the caldera rim in a circumferential arrangement. Progressive buoyancy increase through repeated supply of fluid is fundamental for the occurrence of circumferential fissures. Complementary numerical models explain the observed circumferential arrangement and validate the experiments. These results contribute defining the shallow magma transfer and related hazard assessment within calderas.

  9. Monitoring an eruption fissure in 3D: video recording, particle image velocimetry and dynamics

    NASA Astrophysics Data System (ADS)

    Witt, Tanja; Walter, Thomas R.

    2015-04-01

    The processes during an eruption are very complex. To get a better understanding several parameters are measured. One of the measured parameters is the velocity of particles and patterns, as ash and emitted magma, and of the volcano itself. The resulting velocity field provides insights into the dynamics of a vent. Here we test our algorithm for 3 dimensional velocity fields on videos of the second fissure eruption of Bárdarbunga 2014. There we acquired videos from lava fountains of the main fissure with 2 high speed cameras with small angles between the cameras. Additionally we test the algorithm on videos from the geyser Strokkur, where we had 3 cameras and larger angles between the cameras. The velocity is calculated by a correlation in the Fourier space of contiguous images. Considering that we only have the velocity field of the surface smaller angles result in a better resolution of the existing velocity field in the near field. For general movements also larger angles can be useful, e.g. to get the direction, height and velocity of eruption clouds. In summary, it can be stated that 3D velocimetry can be used for several application and with different setup due to the application.

  10. One-year clinical evaluation of a Glass Carbomer fissure sealant, a preliminary study.

    PubMed

    Gorseta, K; Glavina, D; Borzabadi-Farahani, A; Van Duinen, R N; Skrinjaric, I; Hill, R G; Lynch, E

    2014-06-01

    Glass Carbomer is a new generation of restorative material developed from glass-ionomer cements with possibility of gradual mineralization into fluorapatite. The aim of this clinical trial was to investigate the retention of Glass Carbomer fissure sealant after 12 months, in comparison to a commonly used conventional resin-based sealant. Forty-eight teeth in 24 patients [mean (SD) = 8 (2.3) years] with well-delineated fissure morphology were randomly divided into two equal groups and sealed with Bis-GMA resin-based Helioseal F (group A, Ivoclar Vivadent, Liechtenstein) and Glass Carbomer (group B, Glass Carbomer Sealant, Glass Carbomer Products, Leiden, Netherlands) using the split mouth design. Materials were placed and set according to the manufacturer's instructions using a polymerization unit Bluephase 16i (Vivadent, Liechtenstein). Complete sealant retentions in both groups were 100% and 75% after 6 and 12 months of clinical service, respectively. There were there were no secondary caries lesions in both groups after 6 months; two new carious lesions were detected in both groups after 12 months. The Mann-Whitney U test revealed no significant difference between the two groups at both evaluations points (P > 0.05). Glass Carbomer material showed a similar retention rate when compared with a resin-based sealant. Future studies are required to examine the long-term performance of Glass Carbomer sealants. PMID:25134364

  11. Survey of anal sphincter dysfunction using anal manometry in patients with fecal incontinence: a possible guide to therapy

    PubMed Central

    Mandaliya, Rohan; DiMarino, Anthony J.; Moleski, Stephanie; Rattan, Satish; Cohen, Sidney

    2015-01-01

    Background Despite the surge of new medical and surgical approaches to treat fecal incontinence, the types of sphincter abnormalities in patients with incontinence have not been well characterized. We aimed to categorize anal sphincter dysfunction using anorectal manometry in patients with fecal incontinence as a potential guide for improved treatment. Methods A retrospective review of 162 consecutive patients with fecal incontinence referred for anorectal manometry was performed. Resting anal pressure and maximal squeeze pressure were considered as measures of internal anal sphincter and external anal sphincter function respectively. Results Mean age of the patients was 63 years (13-89); females (81.5%) and males (18.5%). 74% of the patients had sphincter dysfunction on anorectal manometry. Internal anal sphincter dysfunction was present in 62% patients vs. external anal sphincter dysfunction present in 44% patients. 80% females had abnormal manometry vs. 44% in males (P<0.0001). Internal anal sphincter dysfunction was present in 68% females vs. 37% in males (P=0.0026). Conclusions Overall, abnormal anorectal manometry studies revealed that internal anal sphincter dysfunction is the most common finding, alone or in combination with external anal sphincter dysfunction. We suggest that anorectal manometry may be important to delineate anal sphincter function prior to using newer therapeutic mechanical devices. Future studies using pharmacological agents to increase internal anal sphincter tone may be of clinical importance. Finally, the classification of fecal incontinence based on the type of sphincter dysfunction may be an improved guide in the selection of newer agents in treating fecal incontinence. PMID:26423466

  12. Monitoring of land subsidence and ground fissures in Xian, China 2005-2006: Mapped by sar Interferometry

    USGS Publications Warehouse

    Zhao, C.Y.; Zhang, Q.; Ding, X.-L.; Lu, Zhiming; Yang, C.S.; Qi, X.M.

    2009-01-01

    The City of Xian, China, has been experiencing significant land subsidence and ground fissure activities since 1960s, which have brought various severe geohazards including damages to buildings, bridges and other facilities. Monitoring of land subsidence and ground fissure activities can provide useful information for assessing the extent of, and mitigating such geohazards. In order to achieve robust Synthetic Aperture Radar Interferometry (InSAR) results, six interferometric pairs of Envisat ASAR data covering 2005-2006 are collected to analyze the InSAR processing errors firstly, such as temporal and spatial decorrelation error, external DEM error, atmospheric error and unwrapping error. Then the annual subsidence rate during 2005-2006 is calculated by weighted averaging two pairs of D-InSAR results with similar time spanning. Lastly, GPS measurements are applied to calibrate the InSAR results and centimeter precision is achieved. As for the ground fissure monitoring, five InSAR cross-sections are designed to demonstrate the relative subsidence difference across ground fissures. In conclusion, the final InSAR subsidence map during 2005-2006 shows four large subsidence zones in Xian hi-tech zones in western, eastern and southern suburbs of Xian City, among which two subsidence cones are newly detected and two ground fissures are deduced to be extended westward in Yuhuazhai subsidence cone. This study shows that the land subsidence and ground fissures are highly correlated spatially and temporally and both are correlated with hi-tech zone construction in Xian during the year of 2005-2006. ?? Springer-Verlag 2008.

  13. [The anal incontinence-- study on 20 operated cases].

    PubMed

    Iusuf, T; Sârbu, V; Grasa, C; Cristache, C; Botea, F

    2001-01-01

    The authors present 20 cases operated for anal incontinence. Two techniques were performed: direct repair (18 cases) and Musset-Cottrell procedure (2 cases). The results were excellent in 12 cases, good in 5 cases and satisfactory in 3 cases. The method of choice seems to be the direct repair of the anal sphincter after a proper local and general preparation. PMID:12731180

  14. Anal cancer and intraepithelial neoplasia screening: A review

    PubMed Central

    Leeds, Ira L; Fang, Sandy H

    2016-01-01

    This review focuses on the early diagnosis of anal cancer and its precursor lesions through routine screening. A number of risk-stratification strategies as well as screening techniques have been suggested, and currently little consensus exists among national societies. Much of the current clinical rationale for the prevention of anal cancer derives from the similar tumor biology of cervical cancer and the successful use of routine screening to identify cervical cancer and its precursors early in the disease process. It is thought that such a strategy of identifying early anal intraepithelial neoplasia will reduce the incidence of invasive anal cancer. The low prevalence of anal cancer in the general population prevents the use of routine screening. However, routine screening of selected populations has been shown to be a more promising strategy. Potential screening modalities include digital anorectal exam, anal Papanicolaou testing, human papilloma virus co-testing, and high-resolution anoscopy. Additional research associating high-grade dysplasia treatment with anal cancer prevention as well as direct comparisons of screening regimens is necessary to develop further anal cancer screening recommendations. PMID:26843912

  15. Anal cancer and intraepithelial neoplasia screening: A review.

    PubMed

    Leeds, Ira L; Fang, Sandy H

    2016-01-27

    This review focuses on the early diagnosis of anal cancer and its precursor lesions through routine screening. A number of risk-stratification strategies as well as screening techniques have been suggested, and currently little consensus exists among national societies. Much of the current clinical rationale for the prevention of anal cancer derives from the similar tumor biology of cervical cancer and the successful use of routine screening to identify cervical cancer and its precursors early in the disease process. It is thought that such a strategy of identifying early anal intraepithelial neoplasia will reduce the incidence of invasive anal cancer. The low prevalence of anal cancer in the general population prevents the use of routine screening. However, routine screening of selected populations has been shown to be a more promising strategy. Potential screening modalities include digital anorectal exam, anal Papanicolaou testing, human papilloma virus co-testing, and high-resolution anoscopy. Additional research associating high-grade dysplasia treatment with anal cancer prevention as well as direct comparisons of screening regimens is necessary to develop further anal cancer screening recommendations. PMID:26843912

  16. CHRONIC FECAL IMPACTION IN CHILDREN

    PubMed Central

    Feigen, Gerald Mason

    1957-01-01

    In seventeen cases of chronic fecal impaction in children the main symptoms were severe constipation, pain and bleeding on defecation, soiling of the underpants, and anxiety. The main findings were large impactions in the rectum, minor injuries of the anal canal, some degree of patulous anus and soiling of the perianal skin. Good results were obtained in all cases with treatment that included giving dioctyl sodium sulfosuccinate and flavored petrolatum, attention to diet, encouragement of the patient and advice to the parents. PMID:13383391

  17. Three QTLs conferring resistance to kernel fissuring in rice (Oryza sativa L.) identified by selective genotyping in two tropical japonica populations

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Kernel fissures caused by pre- or post-harvest stresses are the leading cause of breakage among milled rice, causing economic losses for producers, millers, and processors. Being an environmentally sensitive trait, it is difficult to reliably select for rice fissure resistance among breeding progen...

  18. Herpes zoster ophthalmicus presenting as orbital abscess along with superior orbital fissure syndrome: A case report

    PubMed Central

    Lavaju, Poonam; Badhu, Badri Prasad; Shah, Sangeeta

    2015-01-01

    Orbital abscess and superior orbital fissure syndrome (SOFS) are rare manifestations of herpes zoster ophthalmicus. Herein, we report a case of orbital abscess along with SOFS in a 2.5-year-old-male child secondary to herpes zoster infection. He presented with a 5-day history of proptosis and ptosis of the right eye that had been preceded by vesicular eruptions on the right forehead and scalp. Computed tomography scan of the head and orbit showed orbital abscess and right cavernous sinus thrombosis. A diagnosis of orbital abscess with SOFS secondary to herpes infection was made. The condition subsequently improved following antiviral therapy, intravenous vancomycin and amikacin, and oral corticosteroids. PMID:26632131

  19. Mapping radiating graben-fissure systems and pit crater chains on Venus

    NASA Astrophysics Data System (ADS)

    Davey, Sarah

    This study has mapped two types of extensional tectono-magmatic structures including radiating graben-fissure systems (RGFS) in the Idunn Mons and Mielikki Mons study areas, and pit crater chains in Idunn Mons, Themis Regio, Ulfrun Regio, and Ganiki Planitia on Venus. The areas selected to map RGFS host high emissivity anomalies focused on a single volcano and are proposed to reflect younger lava flows which might have occurred as recently as 250 ka. A relative chronology of RGFS is determined using cross-cutting relationships between interacting systems and surface geology. The Idunn Mons high emissivity anomaly is host to the youngest magmatic and volcanic activity, while the Mielikki Mons high emissivity anomaly is not the youngest. Hierarchical clusters of pit crater chains are predominantly focused on RGFS and coronae. It is hypothesized that hierarchical clustering is due to a lithology related variable as lithology may dictate how tensile stress is expressed.

  20. Enamel pretreatment with Er:YAG laser: effects on the microleakage of fissure sealant in fluorosed teeth

    PubMed Central

    Kianimanesh, Nasrin; Shayeghi, Bahareh

    2014-01-01

    Objectives The purpose of this in vitro study was to evaluate the microleakage and penetration of fissure sealant in permanent molar teeth with fluorosis after pretreatment of the occlusal surface. Materials and Methods A total of 120 third molars with mild dental fluorosis were randomly divided into 6 groups (n = 20). The tooth surfaces were sealed with an unfilled resin fissure sealant (FS) material. The experimental groups included: 1) phosphoric acid etching (AE) + FS (control); 2) AE + One-Step Plus (OS, Bisco) + FS; 3) bur + AE + FS; 4) bur + AE + OS + FS; 5) Er:YAG laser + AE + FS; and 6) Er:YAG laser + AE + OS + FS. After thermocycling, the teeth were immersed in 0.5% fuchsin and sectioned. Proportions of mircoleakage (PM) and unfilled area (PUA) were measured by digital microscope. Results Overall, there were significant differences among all groups in the PM (p = 0.00). Group 3 showed the greatest PM, and was significantly different from groups 2 to 6 (p < 0.05). Group 6 showed the lowest PM. Pretreatment with Er:YAG with or without adhesive led to less PM than bur pretreatment. There were no significant differences among groups in PUA. Conclusions Conventional acid etching provided a similar degree of occlusal seal in teeth with fluorosis compared to those pretreated with a bur or Er:YAG laser. Pretreatment of pits and fissures with Er:YAG in teeth with fluorosis may be an alternative method before fissure sealant application. PMID:25110641

  1. Research on a novel artificial anal sphincter for human incontinence.

    PubMed

    Zan, P; Yang, B; Zhang, J Y; Shao, Y

    2010-01-01

    This paper discusses a novel artificial anal sphincter with sensor feedback for controlling anal incontinence. The artificial anal sphincter system is a novel hydraulic-electric muscle which mainly comprises an artificial anal sphincter, a wireless power supply subsystem, and a communication subsystem. High integration of all functional components and no wire linking to the outer device make surgical implantation easier and lower risk. The wireless power supply subsystem employs a Class-E power amplifier based on adaptive control technique, and the electromagnetic compatibility in biological tissue is analysed. With the goal of designing a reliable and safe instrument, the models of human colonic blood flow and rectum motion are developed, the biomechanical material properties of human rectum and tissue ischaemia are analysed. The results show that the deformation of the artificial anal sphincter can be controlled by the press of reservoir below the upper limit of human tissue ischaemia. In vitro experiments demonstrate the artificial anal sphincter system is a good cure for human anal incontinence problems. PMID:20653341

  2. Exploring rock fissures: does a specialized root morphology explain endemism on granite outcrops?

    PubMed Central

    Poot, Pieter; Hopper, Stephen D.; van Diggelen, Josepha M.H.

    2012-01-01

    Background and Aims Worldwide, many plant species are confined to open, shallow-soil, rocky habitats. Although several hypotheses have been proposed to explain this habitat specificity, none has been convincing. We suggest that the high level of endemism on shallow soils is related to the edaphic specialization needed to survive in these often extremely drought-prone habitats. Previous research has shown that species endemic to ironstone communities in SW Australia have a specialized root morphology that enhances their chance to access fissures in the underlying rock. Here we test the generality of these findings for species that are confined to a shallow-soil habitat that is of much greater global significance: granite outcrops. Methods We compared temporal and spatial root growth and allocation of three endemic woody perennials of SW Australian granite outcrop communities with those of congeners occurring on nearby deeper soils. Seedlings of all species were grown in 1·2 m long custom-made containers with a transparent bottom that allowed monitoring of root growth over time. Key Results The granite outcrop endemics mostly differed in a predictable way from their congeners from deeper soils. They generally invested a larger portion of their biomass in roots, distributed their roots faster and more evenly over the container and had a lower specific root length. In different species pairs the outcrop endemics achieved their apparent advantage by a different combination of the aforementioned traits. Conclusions Our results are consistent with earlier work, indicating that species restricted to different types of drought-prone shallow-soil communities have undergone similar selection pressures. Although adaptive in their own habitat in terms of obtaining access to fissures in the underlying rock, these root system traits are likely to be maladaptive in deeper soil habitats. Therefore, our results may provide an explanation for the narrow endemism of many shallow

  3. Stratigraphy and geochronology of pitfall accumulations in caves and fissures, Bermuda

    NASA Astrophysics Data System (ADS)

    Hearty, Paul J.; Olson, Storrs L.; Kaufman, Darrell S.; Edwards, R. Lawrence; Cheng, Hai

    2004-05-01

    Deep fractures ("fissures") and avens ("skylights") in limestone cave roofs create natural traps for sediments and biota. Fissures fill quickly with surface sediment and organisms soon after opening. Debris cones are formed as materials fall, wash, or drift on air through openings in cave skylights. Such deposits in Admiral's and Grand Canyon Cave, Bermuda contain distinct beds and are composed of mixtures of sediment and charcoal, together with fossils of land snails, crabs, birds, reptiles, and bats. The "pitfall" accumulations were periodically sealed over by calcite flowstone. A stratigraphic record of surface activity and fauna through both glacial and interglacial periods has been preserved. The succession also provides an ideal setting in which to compare several geochronological methods. Calibrated 14C ages on charcoal and shells provide dated horizons at 1600, 12,800, and about 35,000 14C yr BP. Thermal ionization mass spectrometric (TIMS) ages on several flowstone layers constrain the entire sequence in the Admiral's Cave sequence between 126,300±900 yr (Termination II) and historical times. A continuous relative-age record generated by amino acid epimerization (AAE) geochronology ( D-alloisoleucine/ L-isoleucine or aIle/Ile) on the pulmonate land gastropod Poecilozonites verifies the biostratigraphy, reveals a minimal degree of mixing between stratigraphic units, and establishes an independent temporal link between the subterranean and subaerial deposits of Bermuda. This convergence between stratigraphy and geochronology yields a precisely dated succession from the oceanic island of Bermuda, and thus presents a unique opportunity to assess the rates and processes of evolutionary and climate change during that interval.

  4. Fissuration en relaxation des aciers inoxydables austénitiques au voisinage des soudures

    NASA Astrophysics Data System (ADS)

    Auzoux, Q.; Allais, L.; Gourgues, A. F.; Pineau, A.

    2003-03-01

    Des fissures intergranulaires peuvent se développer au voisinage des soudures des aciers inoxydables austénitiques lorsqu'ils sont réchauffés dans le domaine de température compris entre 500^{circ}C et 700^{circ}C. A ces températures, les contraintes résiduelles post-soudage se relaxent par déformation viscoplastique. Il peut arriver que ces zones proches de la soudure soient tellement fragiles, qu'elles ne puissent accommoder cette faible déformation. Afin de préciser quelles peuvent être les modifications microstructurales qui conduisent à une telle fragilisation, on a examiné les microstructures de ces zones et révélé ainsi un écrouissage résiduel, responsable d'une forte élévation de la dureté. On a pu reproduire par hypertrempe puis laminage entre 400^{circ}C et 600^{circ}C une microstructure similaire. Des essais mécaniques (traction, fluage, relaxation, sur éprouvettes lisses et pré-fissurées) ont été réalisés à 550^{circ}C et à 600^{circ}C sur ces zones affectées simulées et sur un état de référence hypertrempé. Ils ont montré que l'écrouissage diminuait la ductilité dans le domaine de rupture intergranulaire, sans modifier qualitativement le mécanisme d'endommagement. Pendant la pré-déformation les incompatibilités de déformation entre grains conduiraient à l'existence de contraintes locales élevées qui favoriseraient la germination des cavités intergranulaires.

  5. Shift from magmatic to phreatomagmatic explosion controlled by the evolution of lateral fissure eruption in Suoana Crater, Miyakejima

    NASA Astrophysics Data System (ADS)

    Geshi, Nobuo; Nemeth, Karoly; Noguchi, Rina; Oikawa, Teruki

    2016-04-01

    Combined analysis of the proximal deposit and exposed feeder-diatreme structure of the Suoana Crater of Miyakejima reveals the process of magma-water interaction controlled by the evolution of lateral fissure eruption in a stratovolcanic edifice. The Suoana Crater, an oval maar with 400 x 300 m across is one of the craters of the Suoana-Kazahaya crater chain which is formed during a fissure eruption in the 7th Century. The eruption fissure extends ~3 km from the summit area (~700 m asl) to the lower-flank area (~200m asl). The eruption fissure consists of upper maar-chain (>450 m asl) and lower scora-cone chain. As the wall of the 2000 AD caldera truncated at near the center of the Suoana Crater, the vertical section of the feeder dike - diatreme - maar system of the Suoana Crater is exposed in the caldera wall (Geshi et al., 2011). The ejected materials from the Suoana crater indicate the transition of eruption style from magmatic to phreatomagmatic. The juvenile clasts in the lower half of the deposit exhibit spatter-like shape, indicating the typical deposit from a vigorous fire fountain. Contrary, the juvenile clasts in the upper half are less vesiculated and exhibit cauliflower-shape, indicating the typical phreatomagmatic activity. This transition indicates that the magma-water interaction started at the middle of the eruption. Judging from the ratio of the thickness of the lower and upper parts, the contrast of the content of juvenile clasts, and bulk density of the deposit, the total ejected volume of magma is larger in the lower part compare to the upper part. The transition from magmatic to phreatomagmatic occurred only in the upper half of the eruption fissure, including the Suoana crater, whereas the lower half of the fissure continued dry magmatic eruption throughout their activity. The limited distribution of phreatomagmatic activity can be resulted by the magma extraction from the upper feeder dike system to the lower eruption fissure as it

  6. Ultrasound imaging of the anal sphincter complex: a review

    PubMed Central

    Abdool, Z; Sultan, A H; Thakar, R

    2012-01-01

    Endoanal ultrasound is now regarded as the gold standard for evaluating anal sphincter pathology in the investigation of anal incontinence. The advent of three-dimensional ultrasound has further improved our understanding of the two-dimensional technique. Endoanal ultrasound requires specialised equipment and its relative invasiveness has prompted clinicians to explore alternative imaging techniques. Transvaginal and transperineal ultrasound have been recently evaluated as alternative imaging modalities. However, the need for technique standardisation, validation and reporting is of paramount importance. We conducted a MEDLINE search (1950 to February 2010) and critically reviewed studies using the three imaging techniques in evaluating anal sphincter integrity. PMID:22374273

  7. Advances in the Management of Anal Cancer.

    PubMed

    Julie, Diana R; Goodman, Karyn A

    2016-03-01

    Although anal squamous cell carcinoma (ASCC) is an uncommon malignancy, its incidence has been increasing markedly in recent decades due to its association with human papilloma virus (HPV) infection. The well-established standard of care for localized ASCC consists of the combination of 5-fluorouracil (5FU) and mitomycin (MMC) chemotherapy, concurrent with external beam radiation therapy (EBRT). However, newer techniques are being actively pursued, including the use of newer radiation therapy (RT) technologies, such as intensity-modulated radiation therapy (IMRT). The areas of debate and development include the dosing and timing of MMC delivery, the role of cisplatin chemotherapy as an alternative to MMC, the replacement of the standard 96-h infusion of 5FU with oral capecitabine, the use of targeted chemotherapy agents, and the duration and dose of RT. PMID:26905274

  8. What Are the Risk Factors for Anal Cancer?

    MedlinePlus

    ... have few or no known risk factors. Human papilloma virus (HPV) infection Most squamous cell anal cancers ... to be linked to infection by the human papilloma virus (HPV), the same virus that causes cervical ...

  9. Mechanical Behavior of Brittle Rock-Like Specimens with Pre-existing Fissures Under Uniaxial Loading: Experimental Studies and Particle Mechanics Approach

    NASA Astrophysics Data System (ADS)

    Cao, Ri-hong; Cao, Ping; Lin, Hang; Pu, Cheng-zhi; Ou, Ke

    2016-03-01

    Joints and fissures with similar orientation or characteristics are common in natural rocks; the inclination and density of the fissures affect the mechanical properties and failure mechanism of the rock mass. However, the strength, crack coalescence pattern, and failure mode of rock specimens containing multi-fissures have not been studied comprehensively. In this paper, combining similar material testing and discrete element numerical method (PFC2D), the peak strength and failure characteristics of rock-like materials with multi-fissures are explored. Rock-like specimens were made of cement and sand and pre-existing fissures created by inserting steel shims into cement mortar paste and removing them during curing. The peak strength of multi-fissure specimens depends on the fissure angle α (which is measured counterclockwise from horizontal) and fissure number ( N f). Under uniaxial compressional loading, the peak strength increased with increasing α. The material strength was lowest for α = 25°, and highest for α = 90°. The influence of N f on the peak strength depended on α. For α = 25° and 45°, N f had a strong effect on the peak strength, while for higher α values, especially for the 90° sample, there were no obvious changes in peak strength with different N f. Under uniaxial compression, the coalescence modes between the fissures can be classified into three categories: S-mode, T-mode, and M-mode. Moreover, the failure mode can be classified into four categories: mixed failure, shear failure, stepped path failure, and intact failure. The failure mode of the specimen depends on α and N f. The peak strength and failure modes in the numerically simulated and experimental results are in good agreement.

  10. Anal Cancer Incidence and Mortality in Puerto Rico

    PubMed Central

    Colón-López, Vivian; Ortiz, Ana P.; Soto-Salgado, Marievelisse; Torres-Cintrón, Mariela; Mercado-Acosta, Juan José; Suárez, Erick

    2013-01-01

    Objective Anal cancer is a rare tumor that is associated with oncogenic HPV genotypes. This study aims to compare the age-standardized rates (ASRs) of anal cancer incidence and mortality in men and women living in Puerto Rico (PR) with those of non-Hispanic whites (NHW), non-Hispanic blacks (NHB), and Hispanics (USH) living in the continental United States (US). Methods ASRs were calculated based on cancer data that came from the PR Cancer Central Registry and from the Surveillance, Epidemiology, and End Results (SEER) program. The age-specific relative risks (RR) and 95% Confidence Interval (95% CI) were estimated using Poisson regression models. Results Comparing the period of 2001 to 2004 to that of 1992 to 1996, the incidence of anal cancer increased among NHW, NHB, and PR men. In females, an increase in the incidence was observed for all racial groups except for Puerto Rican women. When evaluating findings by age groups, Puerto Rican men younger than 60 years old had a 20% higher incidence of anal cancer than did USH men of the same age strata (RR: 2.20; 95% CI = 1.48–3.29). However, Puerto Rican females had a lower incidence of anal cancer than NHW and NHB women. An increased percent change in mortality was observed only in NHW and NHB men. A decreasing trend was observed in all racial/ethnic groups except for NHW women. Conclusion Our results support the notion that there are racial/ethnic differences in anal cancer incidence and mortality, with potential disparities among men and women in PR compared with USH men and women. Given the increasing incidence trends in anal cancer, particularly among PR, NHW, and NHB men, further investigation is needed to better elucidate screening practices that can aid in the prevention of anal cancer. PMID:23781623