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Sample records for left radial approaches

  1. Randomized comparative study of left versus right radial approach in the setting of primary percutaneous coronary intervention for ST-elevation myocardial infarction

    PubMed Central

    Fu, Qiang; Hu, Hongyu; Wang, Dezhao; Chen, Wei; Tan, Zhixu; Li, Qun; Chen, Buxing

    2015-01-01

    Background Growing evidence suggests that the left radial approach (LRA) is related to decreased coronary procedure duration and fewer cerebrovascular complications as compared to the right radial approach (RRA) in elective percutaneous coronary intervention (PCI). However, the feasibility of LRA in primary PCI has yet to be studied further. Therefore, the aim of this study was to investigate the efficacy of LRA compared with RRA for primary PCI in ST-elevation myocardial infarction (STEMI) patients. Materials and methods A total of 200 consecutive patients with STEMI who received primary PCI were randomized to LRA (number [n]=100) or RRA (n=100). The study endpoint was needle-to-balloon time, defined as the time from local anesthesia infiltration to the first balloon inflation. Radiation dose by measuring cumulative air kerma (CAK) and CAK dose area product, as well as fluoroscopy time and contrast volume were also investigated. Results There were no significant differences in the baseline characteristics between the two groups. The coronary procedural success rate was similar between both radial approaches (98% for left versus 94% for right; P=0.28). Compared with RRA, LRA had significantly shorter needle-to-balloon time (16.0±4.8 minutes versus 18.0±6.5 minutes, respectively; P=0.02). Additionally, fluoroscopy time (7.4±3.4 minutes versus 8.8±3.5 minutes, respectively; P=0.01) and CAK dose area product (51.9±30.4 Gy cm2 versus 65.3±49.1 Gy cm2, respectively; P=0.04) were significantly lower with LRA than with RRA. Conclusion Primary PCI can be performed via LRA with earlier blood flow restoration in the infarct-related artery and lower radiation exposure when compared with RRA; therefore, the LRA may become a feasible and attractive alternative to perform primary PCI for STEMI patients. PMID:26150704

  2. [Approaches to radial shaft].

    PubMed

    Bartoníček, J; Naňka, O; Tuček, M

    2015-10-01

    In the clinical practice, radial shaft may be exposed via two approaches, namely the posterolateral Thompson and volar (anterior) Henry approaches. A feared complication of both of them is the injury to the deep branch of the radial nerve. No consensus has been reached, yet, as to which of the two approaches is more beneficial for the proximal half of radius. According to our anatomical studies and clinical experience, Thompson approach is safe only in fractures of the middle and distal thirds of the radial shaft, but highly risky in fractures of its proximal third. Henry approach may be used in any fracture of the radial shaft and provides a safe exposure of the entire lateral and anterior surfaces of the radius.The Henry approach has three phases. In the first phase, incision is made along the line connecting the biceps brachii tendon and the styloid process of radius. Care must be taken not to damage the lateral cutaneous nerve of forearm.In the second phase, fascia is incised and the brachioradialis identified by the typical transition from the muscle belly to tendon and the shape of the tendon. On the lateral side, the brachioradialis lines the space with the radial artery and veins and the superficial branch of the radial nerve running at its bottom. On the medial side, the space is defined by the pronator teres in the proximal part and the flexor carpi radialis in the distal part. The superficial branch of the radial nerve is retracted together with the brachioradialis laterally, and the radial artery medially.In the third phase, the attachment of the pronator teres is identified by its typical tendon in the middle of convexity of the lateral surface of the radial shaft. The proximal half of the radius must be exposed very carefully in order not to damage the deep branch of the radial nerve. Dissection starts at the insertion of the pronator teres and proceeds proximally along its lateral border in interval between this muscle and insertion of the supinator

  3. Rebirth of left radial artery access: could this be the 'right' radial artery?

    PubMed

    Taylor, Montoya; Capers, Quinn; Patel, Dilesh; Mehta, Nishaki K

    2015-06-01

    Cardiac catheterization has several risks, notably which include bleeding, stroke and death. The transradial (TR) approach to catheterization is associated with a lower bleeding risk. The right radial approach is the default method in most laboratories and the left radial artery (LRA) serves as the bail-out approach. This article discusses the advantages and disadvantages of transfemoral and TR access routes. The authors envisage an increased adoption of the LRA approach, due to the anatomical superiority and ease of catheter engagement afforded by this approach. The authors discuss ways to increase operator ease for LRA in the laboratory and propose a novel way to improve LRA work-flow. PMID:26000561

  4. Delayed Sudden Radial Artery Rupture After Left Transradial Coronary Catheterization

    PubMed Central

    Indolfi, Ciro; Passafaro, Francesco; Mongiardo, Annalisa; Spaccarotella, Carmen; Torella, Daniele; Sorrentino, Sabato; Polimeni, Alberto; Emanuele, Vittorio; Curcio, Antonio; De Rosa, Salvatore

    2015-01-01

    Abstract Local complications at the radial access site are not frequent, hence its large diffusion as the preferred access route for endovascular procedures. However, in a time of fast widespreading, better comprehension of all potential complications becomes critical to facilitate their early recognition and the most appropriate treatment. In this case report, we present for the first time a case of sudden massive bleeding at the left wrist, due to spontaneous gross rupture of the left radial artery bleeding 15 days after an endovascular procedure through a left radial arterial access. The patient had been readmitted to the hospital after evidence of local infection at the left wrist with loss of substance. The radial artery was patent with no evidence of pseudoaneurysm. After sudden radial artery rupture, with massive bleeding and suspicion that the local infection could have reached the arterial wall, surgical hemostasis with artery ligation was obtained. Healing of the large wound was then efficiently speeded up using a negative pressure wound therapy. This is the first case of macroscopic radial artery rupture associated with local wrist infection after arterial catheterization. After prompt surgical hemostasis, negative pressure wound therapy was very helpful in favoring healing of the large and deep wound. PMID:25761194

  5. Effect of Left Versus Right Radial Artery Approach for Coronary Angiography on Radiation Parameters in Patients With Predictors of Transradial Access Failure.

    PubMed

    Shah, Binita; Burdowski, Joseph; Guo, Yu; Velez de Villa, Bryan; Huynh, Andrew; Farid, Meena; Maini, Mansi; Serrano-Gomez, Claudia; Staniloae, Cezar; Feit, Frederick; Attubato, Michael J; Slater, James; Coppola, John

    2016-08-15

    Left transradial approach (TRA) for coronary angiography is associated with lower radiation parameters than right TRA in an all-comers population. The aim of this study was to determine the effects of left versus right TRA on radiation parameters in patients with predictors of TRA failure. Patients with predictors of TRA failure (≥3 of 4 following criteria: age ≥70 years, female gender, height ≤64 inches, and hypertension) referred to TRA operators were randomized to either right (n = 50) or left (n = 50) TRA, whereas those referred to transfemoral approach (TFA) operators were enrolled in a prospective registry (n = 50). The primary end point was the radiation measure of dose-area product (DAP). In an intention-to-treat analysis, DAP (34.1 Gy·cm(2) [24.9 to 45.6] vs 41.9 Gy·cm(2) [27.3 to 58.0], p = 0.08), fluoroscopy time (3.7 minutes [2.4 to 6.3] vs 5.6 minutes [3.1 to 8.7], p = 0.07), and operator radiation exposure (516 μR [275 to 967] vs 730 μR [503 to 1,165], p = 0.06) were not significantly different between left and right TRA, but total dose (411 mGy [310 to 592] vs 537 mGy [368 to 780], p = 0.03) was significantly lower with left versus right TRA. Radiation parameters were lowest in the TFA cohort (DAP 24.5 Gy·cm(2) [15.7 to 33.2], p <0.001; fluoroscopy time 2.3 minutes [1.5 to 3.7], p <0.001; operator radiation exposure 387 μR [264 to 557]; total dose 345 mGy [250 to 468], p = 0.001). Results were similar after adjustment for differences in baseline characteristics. In conclusion, median measurements of radiation were overall not significantly different between left versus right TRA in this select population of patients with predictors of TRA failure. All measurements of radiation were lowest in the TFA group. PMID:27328954

  6. Details of left ventricular radial wall motion supporting the ventricular theory of the third heart sound obtained by cardiac MR

    PubMed Central

    Robson, M D; Rider, O J; Pegg, T J; Dasanu, C A; Jung, B A; Rotaru, N; Clarke, K; Holloway, C J

    2014-01-01

    Objective: Obtaining new details of radial motion of left ventricular (LV) segments using velocity-encoding cardiac MRI. Methods: Cardiac MR examinations were performed on 14 healthy volunteers aged between 19 and 26 years. Cine images for navigator-gated phase contrast velocity mapping were acquired using a black blood segmented κ-space spoiled gradient echo sequence with a temporal resolution of 13.8 ms. Peak systolic and diastolic radial velocities as well as radial velocity curves were obtained for 16 ventricular segments. Results: Significant differences among peak radial velocities of basal and mid-ventricular segments have been recorded. Particular patterns of segmental radial velocity curves were also noted. An additional wave of outward radial movement during the phase of rapid ventricular filling, corresponding to the expected timing of the third heart sound, appeared of particular interest. Conclusion: The technique has allowed visualization of new details of LV radial wall motion. In particular, higher peak systolic radial velocities of anterior and inferior segments are suggestive of a relatively higher dynamics of anteroposterior vs lateral radial motion in systole. Specific patterns of radial motion of other LV segments may provide additional insights into LV mechanics. Advances in knowledge: The outward radial movement of LV segments impacted by the blood flow during rapid ventricular filling provides a potential substrate for the third heart sound. A biphasic radial expansion of the basal anteroseptal segment in early diastole is likely to be related to the simultaneous longitudinal LV displacement by the stretched great vessels following repolarization and their close apposition to this segment. PMID:24641347

  7. Radial Artery Approach to Salvage Nonmaturing Radiocephalic Arteriovenous Fistulas

    SciTech Connect

    Hsieh, Mu-Yang; Lin, Lin; Tsai, Kuei-Chin; Wu, Chih-Cheng

    2013-08-01

    PurposeTo evaluate the usefulness of an approach through the radial artery distal to the arteriovenous anastomosis for salvaging nonmaturing radiocephalic arteriovenous fistulas.MethodsProcedures that fulfilled the following criteria were retrospectively reviewed: (1) autogenous radiocephalic fistulas, (2) fistulas less than 3 months old, (3) distal radial artery approach for salvage. From 2005 to 2011, a total of 51 patients fulfilling the above criteria were enrolled. Outcome variables were obtained from angiographic, clinical and hemodialysis records, including the success, complication, and primary and secondary patency rates.ResultsThe overall anatomical and clinical success rates for the distal radial artery approach were 96 and 94 %, respectively. The average procedure time was 36 {+-} 19 min. Six patients (12 %) experienced minor complications as a result of extravasations. No arterial complication or puncture site complication was noted. The postinterventional 6-month primary patency rate was 51 %, and the 6-month secondary patency rate was 90 %. When the patients were divided into a stenosed group (20 patients) and an occluded group (31 patients), there were no differences in the success rate, complication rate, or primary and secondary patency rates.ConclusionAn approach through the radial artery distal to the arteriovenous anastomosis is an effective and safe alternative for the salvage of nonmaturing radiocephalic arteriovenous fistulas, even for occluded fistulas.

  8. Steady state simulator using alternate left right approach

    NASA Astrophysics Data System (ADS)

    Ng, Yit Hoe; Hasan, Mohammad Khatim

    2013-04-01

    Partial difference equation plays important role in simulating a wide variety of science and engineering problem. In this paper, we develop numerical application which implements the iterative methods for steady state simulation and its numerical engine. A new approach names Alternate Left Right is applied onto Successive Overrelaxation (SOR) called as the Alternate Left Right Successive Overrelaxation (ALRSOR) iterative method. The experiment's results are compared amongst SOR and ALRSOR to reveal the performance of these numerical engines. From the results, Alternate Left Right approach successfully increases the speed computation. In conclusion, ALRSOR method performs the fastest amongst the compared method.

  9. A new approach to assessment of the left ventricle

    PubMed Central

    Poppe, Katrina K.; Doughty, Rob N.; Whalley, Gillian A.; Triggs, Christopher M.

    2016-01-01

    Cardiac motion is a continuous process; however most measurements to assess cardiac function are taken at brief moments in the cardiac cycle. Using functional data analysis, repeated measurements of left ventricular volume recorded at each frame of a continuous image measured with cardiac ultrasound (echocardiography) were turned into a function of volume over time. The first derivative of the displacement of volume with respect to time is velocity; the second derivative is acceleration. Plotting volume, velocity, and acceleration against each other in a 3-dimensional plot results in a closed loop. The area within the loop is defined by the kinematics of volume change and so may represent ventricular function. • We have developed an approach to analyzing images of the left ventricle that incorporates information from throughout the cardiac cycle. • Comparing systolic and diastolic areas within a loop defined by volume, velocity, and acceleration of left ventricular volume highlights imbalances in the kinematics of the two phases, potentially indicating early sub-clinical disease. • Substantially more information about left ventricular function may be derived from a non-invasive clinically available tool such as echocardiography. PMID:27104150

  10. Robotic Left Ventricular Assist Device Implantation Using Left Thoracotomy Approach in Patients with Previous Sternotomies.

    PubMed

    Khalpey, Zain; Bin Riaz, Irbaz; Marsh, Katherine M; Ansari, Muhammad Zubair Ahmad; Bilal, Jawad; Cooper, Anthony; Paidy, Samata; Schmitto, Jan D; Smith, Richard; Friedman, Mark; Slepian, Marvin J; Poston, Robert

    2015-01-01

    Left ventricular assist devices (LVADs) are commonly used as either a bridge-to-transplant or a destination therapy. The traditional approach for LVAD implantation is via median sternotomy, but many candidates for this procedure have a history of failed cardiac surgeries and previous sternotomy. Redo sternotomy increases the risk of heart surgery, particularly in the setting of advanced heart failure. Robotics facilitates a less invasive approach to LVAD implantation that circumvents some of the morbidity associated with a redo sternotomy. We compared the outcomes of all patients at our institution who underwent LVAD implantation via either a traditional sternotomy or using robotic assistance. The robotic cohort showed reduced resource utilization including length of hospital stay and use of blood products. As the appropriate candidates become elucidated, robotic assistance may improve the safety and cost-effectiveness of reoperative LVAD surgery. PMID:25914953

  11. Comparison of Safety of Radial and Femoral Approaches for Coronary Catheterization in Interventional Cardiology

    PubMed Central

    Samul, Wojciech; Turowska, Anna; Kwasiborski, Przemysław Jerzy; Kowalczyk, Paweł; Cwetsch, Andrzej

    2015-01-01

    Background The femoral approach has been the preferably used access in interventional cardiology as well for coronary diagnostics as for percutaneous coronary intervention, being perceived as easy and facilitating quick access with relatively low risk. Due to the results of the latest studies, however, the radial approach has become increasingly popular. The aim of this study was a safety analysis of cardiological interventional procedures (i.e., coronarography and PCI) according to the vessel approach. Material/Methods The 204 coronary interventions done in our Department of Interventional Cardiology were retrospectively analyzed. All the procedures were classified according to femoral or radial access. The incidence of local complications (e.g., major bleedings and hematomas) was assessed as well as the volume of contrast agent administered during the procedure and the radiation dose. Results It has been shown that radial approach, which is obviously more comfortable for patients, reduces the risk of local complications (0 vs. 2.97% and 0 vs. 3.96%) and does not lead to increased radiation exposure (p=0.88). However, there could be a larger volume of contrast agent administered (p=0.029), which in some cases could increase the risk of contrast-induced nephropathy. Conclusions The radial approach should be recommended as a first choice because it is safer than the classical femoral approach, but one must be cautious in choosing radial approach patients with renal insufficiency. PMID:25996689

  12. How to perform distal anchoring technique by 6French radial approach in complex coronary procedures.

    PubMed

    Fiocca, Luigi; Bernelli, Chiara; Sirbu, Vasile; Musumeci, Giuseppe; Guagliumi, Giulio; Vassileva, Angelina; Borghesi, Marco; Valsecchi, Orazio

    2016-01-01

    Despite remarkable advances in the interventional landscape, device delivery during percutaneous coronary intervention (PCI) can still present technical challenges especially when performed in complex anatomical settings and through radial approach. To overcome difficult coronary stent delivery, several strategies have been developed. A niche option in such complex cases is the anchoring balloon technique, which involves inflation of a balloon non-coaxially in a side branch or distally to the target lesion in a coaxial fashion, to facilitate stent delivery. However, the main limitation of this technique is the requirement of a large guide catheter (≥7French) which may preclude the use of radial approach. We describe, step-by-step, the distal anchoring ballooning technique performed by a 6Fr radial approach to overcome the stent delivery failure in complex anatomical scenarios and to safely and successfully carry out the PCI procedures. PMID:27053437

  13. Radial left ventricular dyssynchrony by speckle tracking in apical versus non apical right ventricular pacing- evidence of dyssynchrony on medium term follow up

    PubMed Central

    Choudhary, Dinesh; Chaurasia, Amit Kumar; Kumar, S Mahesh; Arulkumar, Ajeet; Thajudeen, Anees; Namboodiri, Narayanan; Sanjay, G; Abhilash, SP; Ajitkumar, VK; JA, Tharakan

    2016-01-01

    Introduction: To study effects of various sites of right ventricular pacing lead implantation on left ventricular function by 2-dimensional (2D) speckle tracking for radial strain and LV dyssynchrony. Methods: This was retrospective prospective study. Fifteen patients each with right ventricular (RV) apical (RV apex and apical septum) and non-apical (mid septal and low right ventricular outflow tract [RVOT]) were programmed to obtain 100% ventricular pacing for evaluation by echo. Location and orientation of lead tip was noted and archived by fluoroscopy. Electrocardiography (ECG) was archived and 2D echo radial dyssynchrony was calculated. Results: The baseline data was similar between two groups. Intraventricular dyssynchrony was significantly more in apical location as compared to non-apical location (radial dyssynchrony: 108.2 ± 50.2 vs. 50.5 ± 24, P < 0.001; septal to posterior wall delay [SLWD] 63.5 ± 27.5 vs. 34 ± 10.7, P < 0.001, SPWD 112.5 ± 58.1 vs. 62.7 ± 12.1, P = 0.003). The left ventricular ejection fraction was decreased more in apical location than non apical location. Interventricular dyssynchrony was more in apical group but was not statistically significant. The QRS duration, QTc and lead thresholds were higher in apical group but not statistically significant. Conclusion: Pacing in non apical location (RV mid septum or low RVOT) is associated with less dyssynchrony by specific measures like 2D radial strain and correlates with better ventricular function in long term. PMID:27069563

  14. Total Arterial Revascularization with Radial Artery T-grafts in Patients with Significant Left Main Stem Stenosis Is Not Associated with Higher Perioperative Risk.

    PubMed

    Fleissner, Felix; Reitz, Michael; Cebotari, Serghei; Kaufeld, Tim; Haverich, Axel; Shrestha, Malakh; Ismail, Issam; Martens, Andreas

    2016-04-01

    Background Total arterial revascularization (TAR) has become a standard procedure for the treatment of coronary multivessel disease, due to the superior long-term patency rates of arterial grafts as compared with saphenous vein graft material. Controversies about the use of TAR in patients with left main coronary artery disease exist. Hence, we ought to determine whether left main coronary artery disease is a risk factor for early postoperative mortality and morbidity after TAR using the in situ left internal thoracic artery (LITA) and radial artery as composite T-graft. Methods A total of 904 consecutive patients were included in this retrospective study. They underwent first-time coronary artery bypass grafting surgery in our institution, receiving TAR using the in situ LITA and RA T-graft. Of these patients, 247 (27%) had left main coronary artery disease (Group LMSS) and 657 (73%) had no significant left main coronary artery stenosis (Group nLMSS). Results Results were comparable. Mortality and perioperative myocardial infarction rates were 0.4% LMSS versus 0.3% nLMSS, p = 1, and 2% LMSS versus 2% nLMSS, p = 0.81, respectively. Stroke rate, acute renal failure rate, and reoperation rates were 2% LMSS versus 1% nLMSS, p = 0.36, 7% LMSS versus 8% nLMSS, p = 0.41, and 2% LMSS versus 3% nLMSS, p = 0.5, respectively. Postoperative stay was shorter in the LMSS group (8.1 ± 4.3 days vs. 8.9 ± 6.1 days nLMSS, p = 0.048). Conclusion Our perioperative results indicate that TAR in patients with left main stenosis is safe and feasible. Long-term results will have to be awaited to further evaluate prognostic outcome. PMID:26334240

  15. Radial versus femoral approach in STEMI: what do we know so far?

    PubMed

    Santucci, Andrea; Gargiulo, Giuseppe; Ariotti, Sara; Marino, Marcello; Magnani, Giulia; Baldo, Andrea; Piccolo, Raffaele; Franzone, Anna; Valgimigli, Marco

    2016-06-01

    Radial approach has been used since 1989 to perform coronary angiography as an alternative to femoral access. During past decades, the development of dedicated equipment has led to high efficacy also in complex procedures. ST elevation myocardial infarction (STEMI) is known to be a high bleeding risk setting and in turn bleeding events can negatively impact on outcomes. Observational studies have demonstrated feasibility, efficacy and safety of radial approach when compared to femoral access in STEMI patients, with benefit in bleeding rates. These advantages have also been described in specific populations such as in the elderly and in patients with cardiogenic shock. Some large randomized trials have been conducted to assess outcomes of transradial access versus transfemoral access, with RIVAL and MATRIX representing the largest two studies. The RIVAL documented a significant reduction in access site-related complications in the global population of acute coronary syndrome (ACS) patients, with also lower mortality and net clinical adverse events (NACE), mainly driven by significant reduction of bleeding and all-cause mortality, in the STEMI sub-group. Overall, the MATRIX trial confirmed that radial access decreased bleeding and all-cause death thus reducing the rate of NACE and supporting the transradial access as the one to be preferred in ACS patients. Clinical advantages of radial access have been also tested in smaller randomized trials corroborating the evidence of radial access as a highly recommendable alternative to femoral access in the setting of primary percutaneous coronary intervention (p-PCI). The current evidence suggests that radial access should become the default access for patients with ACS undergoing invasive management. PMID:26934660

  16. Radial dyssynchrony assessed by cardiovascular magnetic resonance in relation to left ventricular function, myocardial scarring and QRS duration in patients with heart failure

    PubMed Central

    2009-01-01

    Background Intuitively, cardiac dyssynchrony is the inevitable result of myocardial injury. We hypothezised that radial dyssynchrony reflects left ventricular remodeling, myocardial scarring, QRS duration and impaired LV function and that, accordingly, it is detectable in all patients with heart failure. Methods 225 patients with heart failure, grouped according to QRS duration of <120 ms (A, n = 75), between 120-149 ms (B, n = 75) or ≥150 ms (C, n = 75), and 50 healthy controls underwent assessment of radial dyssynchrony using the cardiovascular magnetic resonance tissue synchronization index (CMR-TSI = SD of time to peak inward endocardial motion in up to 60 myocardial segments). Results Compared to 50 healthy controls (21.8 ± 6.3 ms [mean ± SD]), CMR-TSI was higher in A (74.8 ± 34.6 ms), B (92.4 ± 39.5 ms) and C (104.6 ± 45.6 ms) (all p < 0.0001). Adopting a cut-off CMR-TSI of 34.4 ms (21.8 plus 2xSD for controls) for the definition of dyssynchrony, it was present in 91% in A, 95% in B and 99% in C. Amongst patients in NYHA class III or IV, with a LVEF<35% and a QRS>120 ms, 99% had dyssynchrony. Amongst those with a QRS<120 ms, 91% had dyssynchrony. Across the study sample, CMR-TSI was related positively to left ventricular volumes (p < 0.0001) and inversely to LVEF (CMR-TSI = 178.3 e (-0.033 LVEF) ms, p < 0.0001). Conclusion Radial dyssynchrony is almost universal in patients with heart failure. This vies against the notion that a lack of response to CRT is related to a lack of dyssynchrony. PMID:19930713

  17. Vectorial approach to studying second harmonic generation in collagen using linearly and radially polarized beams

    NASA Astrophysics Data System (ADS)

    Yew, Elijah Y. S.; Sheppard, Colin J. R.

    2006-08-01

    The study of second harmonic generation (SHG) has been examined using a vectorial approach for both linearly and radially polarized beams. This approach is necessary for situations when the beam is tightly focused such as in a microscope. Using the vectorial approach, the result of including the y and z components of the electric field is that previously ignored 'cross-component' terms are now found to have an influence on the SHG polarization and the radiation patterns obtained. Since SHG is dependent on the susceptibility tensor, the inclusion of these 'cross-component' terms can help to identify structural changes in biological materials simply by studying the changes in the tensor via the SHG polarization. In particular, we calculate the second harmonic polarization induced in collagen for both linearly and radially polarized beams.

  18. Left ventricular radial colour and longitudinal pulsed-wave tissue Doppler echocardiography in 39 healthy domestic pet rabbits.

    PubMed

    Casamian-Sorrosal, Domingo; Saunders, Richard; Browne, William; Elliot, Sarah; Fonfara, Sonja

    2014-10-01

    This paper reports radial colour and longitudinal mitral annulus pulsed-wave tissue Doppler findings in a large cohort of healthy, adult pet rabbits. Thirty-nine rabbits (22 Dwarf Lops, 14 French Lops and three Alaskans) underwent conscious echocardiography. The median age of the rabbits was 22 months and the median weight was 2.8 kg (Dwarf Lop 2.4 kg/French Lop 6.0 kg). Adequate radial colour and longitudinal pulsed-wave tissue Doppler traces were obtained in 100% and 85% of cases, respectively. Most systolic tissue Doppler parameters were significantly higher in French Lops than in Dwarf Lops. Separation of mitral inflow diastolic waves was present in 40% of cases using conventional spectral Doppler and in >60% of cases using pulsed-wave tissue Doppler which could be beneficial when evaluating diastolic function in rabbits. This study can be used as a reference for normal echocardiographic tissue Doppler values for adult rabbits undergoing conscious echocardiography in clinical practice. PMID:25089025

  19. Transmesocolic Approach for Left Side Laparoscopic Pyeloplasty: Comparison with Laterocolic Approach in the Initial Learning Period

    PubMed Central

    Han, Hyun Ho; Ham, Won Sik; Kim, Jang Hwan; Choi, Young Deuk; Han, Sang Won; Chung, Byung Ha

    2013-01-01

    Purpose To evaluate the outcome of transmesocolic (TMC) laparoscopic pyeloplasty compared with conventional laterocolic procedure for surgeons with limited experience. Materials and Methods We started laparoscopic pyeloplasty for ureteropelvic junction obstruction in 2009. Since then, 21 patients of left side disease have undergone this surgery in our institution. To access the left ureteropelvic junction, we used the conventional laterocolic approach in 9 patients, while the transmesocolic approach was used in the remaining 12 patients, and perioperative results and follow-up data were then compared. Results The mean operative time using the transmesocolic approach was significantly shorter than the conventional laterocolic approach (242 vs. 308 min, p=0.022). Furthermore, there was no complication or open conversion. Postoperative pain was significantly decreased in the TMC group (2.8 vs. 4.0 points, measured using the visual analogue scale on the first postoperative day, p=0.009). Postoperative complications were encountered in two patients. All patients were symptom-free after 1 year of follow-up, and radiologic success rates for each group were 92 and 89%, respectively. Conclusion Direct exposure of the ureteropelvic junction via the mesocolon saves time during the colon mobilization procedure. The approach is safe and feasible even for surgeons with limited experience, and has success rates similar to those of the conventional laterocolic approach. PMID:23225819

  20. Morphological Assessment of Cadaveric Radial, Brachial and Subclavian Arteries: A Neurointerventional Approach

    PubMed Central

    Yilmaz, Ali; Ozkul, Ayca; Shin, Dong Seong; Im, Soo-Bin; Yoon, Seok-Mann

    2015-01-01

    Objective The transradial catheterization (TRC) is becoming widespread, primarily for neurointerventions. Therefore, the evaluation of radial artery puncture in clinical practice and a better understanding of the anatomy are important to improve the safety of neuroendovascular surgery. Methods Ten formalin-fixed adult Korean cadavers were dissected to expose radial artery (RA), brachial artery (BrA) and subclvian artery (ScA), bilaterally. Vessel lengths and diameters were meaured using a caliper and distance between the specific point of vessels and the anatomical landmarks including the radial styloid process, the medial epicondyle of the humerus, the sternoclavicular joint, and the vertebral artery orifice were also measured. Results The average length between the radial (RAPS) and the BrA puncture sites (BrAPS) and between the vertebral artery orifice (VAO) and the BrA bifurcation (BrAB) did not differ between sides (p>0.05). The average length between the radial styloid process (RSP) and the RAPS was 13.41±2.19 mm, and the RSP was 26.85±2.47 mm from the median nerve (MN). The mean length between the medial epicondyle (ME) and the BrAPS as 44.23±5.47 mm, whereas the distance between the ME and the MN was 42.23±4.77 mm. The average VAO-ScA angle was 70.94±6.12°, and the length between the ScA junction (SCJ) and the VAO was 60.30±8.48 mm. Conclusion This study provides basic anatomical information about the radial artery and the brachial route and can help improving new techniques, selection of size and shape of catheters for TRC. This can help neurointerventionists who adopt a transradial neuroendovascular approach and offers comprehensive and safe care to their patients. PMID:26819682

  1. Radial artery for coronary artery bypass grafting: does proximal anastomosis to the aorta or left internal mammary artery achieve better patency?

    PubMed

    Watson, Robert A; Hamza, Mustafa; Tsakok, Teresa M; Tsakok, Maria T

    2013-12-01

    A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was 'in coronary artery bypass grafting using radial artery grafts, does proximal anastomosis to the aorta or left internal mammary artery achieve better patency'. Altogether >183 papers were found using the reported search, of which 9 represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. Radial artery grafts typically have a narrower lumen than vein grafts, and as such there is some concern that anastomosing them directly to the aorta during coronary artery bypass grafting (CABG) may impair graft patency. As such, some surgeons prefer to anastomose radial artery grafts to a second-order vessel such as the left internal mammary artery (LIMA). We sought to assess the evidence for this. A handful of papers directly addressing the issue of the effect of the site of proximal anastomosis on graft patency were found, with three showing no significant difference. One such study reported an insignificant difference in angiographic patency at 32 months postoperatively, with 94.1% of off-aorta grafts remaining patent vs 87.2% of off-LIMA grafts (p = 0.123). However, a large-scale well-designed study was able to demonstrate a statistically significant difference at five years postoperatively, with 74.3% of off-aorta grafts patent, compared with 65.2% of off-LIMA (p = 0.004). Nonetheless, a number of papers that report patency for either off-aorta or off-LIMA grafts give comparable figures for each technique. Additionally, different centres and investigators report very different patency results for grafts that have the same site of proximal anastomosis. One centre was able to achieve patency rates for off-LIMA grafts of 88% up to a mean of 7.7 years postoperatively while another centre reported a patency rate

  2. Ovariectomy by left flank approach in prepubertal Nelore (Bos indicus) heifers

    PubMed Central

    Peiró, Juliana R.; Nogueira, Geison M.; Nogueira, Guilherme P.; Perri, Silvia H.V.; Cardoso, Daniel

    2009-01-01

    The main objective of this study was to evaluate a recumbent left flank approach to bilateral ovariectomy in prepubertal heifers and to develop an optimal surgical technique for this procedure. Both ovaries were removed from 6 Nelore heifers by left flank approach without any complications, except in 1 heifer, which was believed to have had only 1 ovary based on ultrasound and exploration during surgery, but was later found to have a remaining functional ovary. Ovariectomy via left flank approach in recumbent prepubertal heifers is feasible and technically easy. This procedure does not involve special instrumentation and, despite the invasive approach, it allows optimal visualization of the ovaries and uterus. PMID:19794897

  3. Impact of a bidirectional approach via radial and popliteal arteries for the treatment of chronic total occlusion of lower limb artery: A case report

    PubMed Central

    Sakai, Hidetsugu; Oyama, Naotsugu; Imagawa, Shogo; Kishimoto, Noriaki; Tsutsui, Hiroyuki

    2007-01-01

    A 49-year-old man with poorly controlled diabetes was admitted to Kushiro Rosai Hospital, Hokkaido, Japan after scalding both feet with boiling water. Because of poor healing, he was assessed for peripheral arterial disease. Angiography revealed total occlusion of the right common and external iliac arteries, diffuse stenosis of the right superficial femoral artery, focal stenosis of the left common iliac artery and chronic total occlusion of the left superficial femoral artery. A staged procedure with bidirectional approach via the radial and popliteal arteries was attempted. During the procedures, the patient was in the prone position on the catheterization table, and bidirectional guidewire manipulation was performed. All of the lesions were successfully stented. The patient was not required to change positions during the procedure, which can be performed by a single operator. The bidirectional approach is effective in the setting of transcatheter treatment of chronic total occlusive disease. PMID:22477246

  4. pSnakes: a new radial active contour model and its application in the segmentation of the left ventricle from echocardiographic images.

    PubMed

    de Alexandria, Auzuir Ripardo; Cortez, Paulo César; Bessa, Jessyca Almeida; da Silva Félix, John Hebert; de Abreu, José Sebastião; de Albuquerque, Victor Hugo C

    2014-10-01

    Active contours are image segmentation methods that minimize the total energy of the contour to be segmented. Among the active contour methods, the radial methods have lower computational complexity and can be applied in real time. This work aims to present a new radial active contour technique, called pSnakes, using the 1D Hilbert transform as external energy. The pSnakes method is based on the fact that the beams in ultrasound equipment diverge from a single point of the probe, thus enabling the use of polar coordinates in the segmentation. The control points or nodes of the active contour are obtained in pairs and are called twin nodes. The internal energies as well as the external one, Hilbertian energy, are redefined. The results showed that pSnakes can be used in image segmentation of short-axis echocardiogram images and that they were effective in image segmentation of the left ventricle. The echo-cardiologist's golden standard showed that the pSnakes was the best method when compared with other methods. The main contributions of this work are the use of pSnakes and Hilbertian energy, as the external energy, in image segmentation. The Hilbertian energy is calculated by the 1D Hilbert transform. Compared with traditional methods, the pSnakes method is more suitable for ultrasound images because it is not affected by variations in image contrast, such as noise. The experimental results obtained by the left ventricle segmentation of echocardiographic images demonstrated the advantages of the proposed model. The results presented in this paper are justified due to an improved performance of the Hilbert energy in the presence of speckle noise. PMID:24957548

  5. The Current Approach to Diagnosis and Management of Left Ventricular Noncompaction Cardiomyopathy: Review of the Literature

    PubMed Central

    Bennett, Courtney E.; Freudenberger, Ronald

    2016-01-01

    Isolated left ventricular noncompaction (LVNC) is a genetic cardiomyopathy characterized by prominent ventricular trabeculations and deep intertrabecular recesses, or sinusoids, in communication with the left ventricular cavity. The low prevalence of patients with this cardiomyopathy presents a unique challenge for large, prospective trials to assess its pathogenesis, management, and outcomes. In this paper we review the embryology and genetics of LVNC, the diagnostic approach, and propose a management approach based on the current literature available. PMID:26881173

  6. Artificial neural network modeling of fixed bed biosorption using radial basis approach

    NASA Astrophysics Data System (ADS)

    Saha, Dipendu; Bhowal, Avijit; Datta, Siddhartha

    2010-04-01

    In modern day scenario, biosorption is a cost effective separation technology for the removal of various pollutants from wastewater and waste streams from various process industries. The difficulties associated in rigorous mathematical modeling of a fixed bed bio-adsorbing systems due to the complexities of the process often makes the development of pure black-box artificial neural network (ANN) models particularly useful in this field. In this work, radial basis function network has been employed as ANN to model the breakthrough curves in fixed bed biosorption. The prediction has been compared to the experimental breakthrough curves of Cadmium, Lanthanum and a dye available in the literature. Results show that this network gives fairly accurate representation of the actual breakthrough curves. The results obtained from ANN modeling approach shows the better agreement between experimental and predicted breakthrough curves as the error for all these situations are within 6%.

  7. [Artificial Inversion of the Left-Right Visceral Asymmetry in Vertebrates: Conceptual Approaches and Experimental Solutions].

    PubMed

    Truleva, A S; Malashichev, E B; Ermakov, A S

    2015-01-01

    Externally, vertebrates are bilaterally symmetrical; however, left-right asymmetry is observed in the structure of their internal organs and systems of organs (circulatory, digestive, and respiratory). In addition to the asymmetry of internal organs (visceral), there is also functional (i.e., asymmetrical functioning of organs on the left and right sides of the body) and behavioral asymmetry. The question of a possible association between different types of asymmetry is still open. The study of the mechanisms of such association, in addition to the fundamental interest, has important applications for biomedicine, primarily for the understanding of the brain functioning in health and disease and for the development of methods of treatment of certain mental diseases, such as schizophrenia and autism, for which the disturbance of left-right asymmetry of the brain was shown. To study the deep association between different types of asymmetry, it is necessary to obtain adequate animal models (primarily animals with inverted visceral organs, situs inversus totalis). There are two main possible approaches to obtaining such model organisms: mutagenesis followed by selection of mutant strains with mutations in the genes that affect the formation of the left-right visceral asymmetry and experimental obtaining of animals with inverted internal organs. This review focuses on the second approach. We describe the theoretical models for establishing left-right asymmetry and possible experimental approaches to obtaining animals with inverted internal organs. PMID:26859965

  8. Simultaneous resection of left atrial myxoma and esophageal carcinoma via right thoraco-abdominal approach.

    PubMed

    Ni, Buqing; Lu, Xiaohu; Gong, Qixing; Shao, Yongfeng

    2016-07-01

    Concomitant occurrence of atrial myxoma and esophageal carcinoma is an extremely rare entity. Here we present two cases of synchronously suffered left atrial myxoma and esophageal carcinoma. Both patients underwent simultaneous resection of two tumors via the right thoraco-abdominal approach and recovered well. PMID:27499990

  9. Simultaneous resection of left atrial myxoma and esophageal carcinoma via right thoraco-abdominal approach

    PubMed Central

    Ni, Buqing; Lu, Xiaohu; Gong, Qixing

    2016-01-01

    Concomitant occurrence of atrial myxoma and esophageal carcinoma is an extremely rare entity. Here we present two cases of synchronously suffered left atrial myxoma and esophageal carcinoma. Both patients underwent simultaneous resection of two tumors via the right thoraco-abdominal approach and recovered well. PMID:27499990

  10. Travel time approach to kinetically sorbing solute by diverging radial flows through heterogeneous porous formations

    NASA Astrophysics Data System (ADS)

    Severino, Gerardo; de Bartolo, Samuele; Toraldo, Gerardo; Srinivasan, Gowri; Viswanathan, Hari

    2012-12-01

    Diverging radial flow takes place in a heterogeneous porous medium where the log conductivity Y = ln K is modeled as a stationary random space function (RSF). The flow is steady, and is generated by a fully penetrating well. A linearly sorbing solute is injected through the well envelope, and we aim at computing the average flux concentration (breakthrough curve). A relatively simple solution for this difficult problem is achieved by adopting, similar to Indelman and Dagan (1999), a few simplifying assumptions: (i) a thick aquifer of large horizontal extent, (ii) mildly heterogeneous medium, (iii) strongly anisotropic formation, and (iv) large Peclet number. By introducing an appropriate Lagrangian framework, three-dimensional transport is mapped onto a one-dimensional domain (τ, t) where τ and t represent the fluid travel and current time, respectively. Central for this approach is the probability density function of the RSF τthat is derived consistently with the adopted assumptions stated above. Based on this, it is shown that the travel time can be regarded as a Gaussian random variable only in the far field. The breakthrough curves are analyzed to assess the impact of the hydraulic as well as reactive parameters. Finally, the travel time approach is tested against a forced-gradient transport experiment and shows good agreement.

  11. Meshless Local Petrov-Galerkin Euler-Bernoulli Beam Problems: A Radial Basis Function Approach

    NASA Technical Reports Server (NTRS)

    Raju, I. S.; Phillips, D. R.; Krishnamurthy, T.

    2003-01-01

    A radial basis function implementation of the meshless local Petrov-Galerkin (MLPG) method is presented to study Euler-Bernoulli beam problems. Radial basis functions, rather than generalized moving least squares (GMLS) interpolations, are used to develop the trial functions. This choice yields a computationally simpler method as fewer matrix inversions and multiplications are required than when GMLS interpolations are used. Test functions are chosen as simple weight functions as in the conventional MLPG method. Compactly and noncompactly supported radial basis functions are considered. The non-compactly supported cubic radial basis function is found to perform very well. Results obtained from the radial basis MLPG method are comparable to those obtained using the conventional MLPG method for mixed boundary value problems and problems with discontinuous loading conditions.

  12. Behavioral Approach System Sensitivity and Risk Taking Interact to Predict Left-Frontal EEG Asymmetry

    PubMed Central

    Black, Chelsea L.; Goldstein, Kim E.; LaBelle, Denise R.; Brown, Christopher W.; Harmon-Jones, Eddie; Abramson, Lyn Y.; Alloy, Lauren B.

    2014-01-01

    The Behavioral Approach System (BAS) hypersensitivity theory of bipolar disorder (BD; Alloy & Abramson, 2010; Depue & Iacono, 1989) suggests that hyperreactivity in the BAS results in the extreme fluctuations of mood characteristic of BD. In addition to risk conferred by BAS hypersensitivity, cognitive and personality variables may play a role in determining risk. We evaluated relationships among BAS sensitivity, risk taking, and an electrophysiological correlate of approach motivation, relative left-frontal electroencephalography (EEG) asymmetry. BAS sensitivity moderated the relationship between risk taking and EEG asymmetry. More specifically, individuals who were high in BAS sensitivity showed left-frontal EEG asymmetry regardless of their level of risk-taking behavior. However, among individuals who were moderate in BAS sensitivity, risk taking was positively associated with asymmetry. These findings suggest that cognitive and personality correlates of bipolar risk may evidence unique contributions to a neural measure of trait-approach motivation. Clinical implications of these findings are discussed. PMID:25022775

  13. Behavioral approach system sensitivity and risk taking interact to predict left-frontal EEG asymmetry.

    PubMed

    Black, Chelsea L; Goldstein, Kim E; LaBelle, Denise R; Brown, Christopher W; Harmon-Jones, Eddie; Abramson, Lyn Y; Alloy, Lauren B

    2014-09-01

    The Behavioral Approach System (BAS) hypersensitivity theory of bipolar disorder (BD; Alloy & Abramson, 2010; Depue & Iacono, 1989) suggests that hyperreactivity in the BAS results in the extreme fluctuations of mood characteristic of BD. In addition to risk conferred by BAS hypersensitivity, cognitive and personality variables may play a role in determining risk. We evaluated relationships among BAS sensitivity, risk taking, and an electrophysiological correlate of approach motivation, relative left-frontal electroencephalography (EEG) asymmetry. BAS sensitivity moderated the relationship between risk taking and EEG asymmetry. More specifically, individuals who were high in BAS sensitivity showed left-frontal EEG asymmetry regardless of their level of risk-taking behavior. However, among individuals who were moderate in BAS sensitivity, risk taking was positively associated with asymmetry. These findings suggest that cognitive and personality correlates of bipolar risk may evidence unique contributions to a neural measure of trait-approach motivation. Clinical implications of these findings are discussed. PMID:25022775

  14. GRACE L1b inversion through a self-consistent modified radial basis function approach

    NASA Astrophysics Data System (ADS)

    Yang, Fan; Kusche, Juergen; Rietbroek, Roelof; Eicker, Annette

    2016-04-01

    Implementing a regional geopotential representation such as mascons or, more general, RBFs (radial basis functions) has been widely accepted as an efficient and flexible approach to recover the gravity field from GRACE (Gravity Recovery and Climate Experiment), especially at higher latitude region like Greenland. This is since RBFs allow for regionally specific regularizations over areas which have sufficient and dense GRACE observations. Although existing RBF solutions show a better resolution than classical spherical harmonic solutions, the applied regularizations cause spatial leakage which should be carefully dealt with. It has been shown that leakage is a main error source which leads to an evident underestimation of yearly trend of ice-melting over Greenland. Unlike some popular post-processing techniques to mitigate leakage signals, this study, for the first time, attempts to reduce the leakage directly in the GRACE L1b inversion by constructing an innovative modified (MRBF) basis in place of the standard RBFs to retrieve a more realistic temporal gravity signal along the coastline. Our point of departure is that the surface mass loading associated with standard RBF is smooth but disregards physical consistency between continental mass and passive ocean response. In this contribution, based on earlier work by Clarke et al.(2007), a physically self-consistent MRBF representation is constructed from standard RBFs, with the help of the sea level equation: for a given standard RBF basis, the corresponding MRBF basis is first obtained by keeping the surface load over the continent unchanged, but imposing global mass conservation and equilibrium response of the oceans. Then, the updated set of MRBFs as well as standard RBFs are individually employed as the basis function to determine the temporal gravity field from GRACE L1b data. In this way, in the MRBF GRACE solution, the passive (e.g. ice melting and land hydrology response) sea level is automatically

  15. Comparison between retrograde and transeptal approach in radiofrequency catheter ablation of left accessory pathways.

    PubMed

    Hashem, S; Choudhury, A K; Paul, G K; Rahman, M Z

    2015-01-01

    To study a series of patients submitted to radiofrequency catheter ablation (RFA) of left accessory pathways (AP) using the transeptal approach (TSA) as compared to the conventional retrograde arterial approach (RAA). Sixty consecutive patients (44 male; mean age of 35.60±11.63 years) with 60 left APs (39 overt and 21 concealed) underwent catheter ablation using the TS method (30 patients) and the RAA method (30 patients) in an alternate fashion. The analysis was performed according to the intention-to-treat principle. The transeptal puncture was successfully performed in 29 patients (96%). This access allowed primary success in the ablation in all the patients without any complication. When we compared this approach with the RAA there was no difference as regards the primary success (p=0.103), fluoroscopy time (p=0.565) and total time (p=0.1917). Three patients in the RAA group presented a vascular complication. The TSA allowed shorter ablation times (p=0.006) and smaller number of radiofrequency applications (p=0.042) as compared to the conventional RAA. The patients who had unsuccessful ablation in the first session in each approach underwent with the opposite technique (cross-over), with a final ablation success rate of 100%.The TS and RA approaches showed similar efficacy and safety for the ablation of left accessory pathways. The TSA allowed shorter ablation times and smaller number of radiofrequency applications. When the techniques were used in a complementary fashion, they increased the final efficacy of the ablation. PMID:25725674

  16. Modeling left and right atrial contributions to the ECG: A dipole-current source approach.

    PubMed

    Jacquemet, Vincent

    2015-10-01

    This paper presents the mathematical formulation, the numerical validation and several illustrations of a forward-modeling approach based on dipole-current sources to compute the contribution of a part of the heart to the electrocardiogram (ECG). Clinically relevant applications include identifying in the ECG the contributions from the right and the left atrium. In a Courtemanche-based monodomain computer model of the atria and torso, 1000 dipoles distributed throughout the atrial mid-myocardium are found to be sufficient to reproduce body surface potential maps with a relative error <1% during both sinus rhythm and atrial fibrillation. When the boundary element method is applied to solve the forward problem, this approach enables fast offline computation of the ECG contribution of any anatomical part of the atria by applying the principle of superposition to the dipole sources. In the presence of a right-left activation delay (sinus rhythm), pulmonary vein isolation (sinus rhythm) or left-right differences in refractory period (atrial fibrillation), the decomposition of the ECG is shown to help interpret ECG morphology in relation to the atrial substrate. These tools provide a theoretical basis for a deeper understanding of the genesis of the P wave or fibrillatory waves in normal and pathological cases. PMID:26149374

  17. Management of radial nerve injury associated with humeral shaft fractures: an evidence-based approach.

    PubMed

    Elton, Suzanne G; Rizzo, Marco

    2008-11-01

    Injury to the radial nerve is not uncommonly associated with fractures of the humerus. Despite a considerable amount of information and literature regarding management of these associated injuries, a universally accepted algorithm for treatment remains elusive. This article assimilates the data and provides evidence-based recommendations regarding treatment. PMID:18925550

  18. Electrophysiologic testing guided risk stratification approach for sudden cardiac death beyond the left ventricular ejection fraction.

    PubMed

    Gatzoulis, Konstantinos A; Tsiachris, Dimitris; Arsenos, Petros; Tousoulis, Dimitris

    2016-01-26

    Sudden cardiac death threats ischaemic and dilated cardiomyopathy patients. Anti- arrhythmic protection may be provided to these patients with implanted cardiac defibrillators (ICD), after an efficient risk stratification approach. The proposed risk stratifier of an impaired left ventricular ejection fraction has limited sensitivity meaning that a significant number of victims will remain undetectable by this risk stratification approach because they have a preserved left ventricular systolic function. Current risk stratification strategies focus on combinations of non invasive methods like T wave alternans, late potentials, heart rate turbulence, deceleration capacity and others, with invasive methods like the electrophysiologic study. In the presence of an electrically impaired substrate with formed post myocardial infarction fibrotic zones, programmed ventricular stimulation provides important prognostic information for the selection of the patients expected to benefit from an ICD implantation, while due to its high negative predictive value, patients at low risk level may also be detected. Clustering evidence from different research groups and electrophysiologic labs support an electrophysiologic testing guided risk stratification approach for sudden cardiac death. PMID:26839662

  19. Comparing estimation approaches for the illness-death model under left truncation and right censoring.

    PubMed

    Vakulenko-Lagun, Bella; Mandel, Micha

    2016-04-30

    Left-truncated data arise when lifetimes are observed only if they are larger than independent truncation times. For example, in a cross-sectional sampling, only individuals who live long enough to be present on the sampling day are observed. There are several ways to perform statistical inference under this setting. One can do the following: (i) use an unconditional approach, (ii) condition on the value of the truncation variable, or (iii) condition on all the history up to the time of truncation. The latter two approaches are equivalent when analyzing univariate survival outcomes but differ under the multi-state framework. In this paper, we consider the illness-death model and compare between the three estimation approaches in a parametric regression framework. We show that approach (ii) is more efficient than the standard approach (iii), although it requires more computational effort. Approach (i) is the most efficient approach, but it requires knowledge on the distribution of the truncation variable and hence is less robust. The methods are compared using a theoretical example and simulations and are applied to intensive care units data collected in a cross-sectional design, where the illness state corresponds to a bloodstream infection. Copyright © 2015 John Wiley & Sons, Ltd. PMID:26553433

  20. Zinc uptake and radial transport in roots of Arabidopsis thaliana: a modelling approach to understand accumulation

    PubMed Central

    Claus, Juliane; Bohmann, Ansgar; Chavarría-Krauser, Andrés

    2013-01-01

    Background and Aims Zinc uptake in roots is believed to be mediated by ZIP (ZRT-, IRT-like proteins) transporters. Once inside the symplast, zinc is transported to the pericycle, where it exits by means of HMA (heavy metal ATPase) transporters. The combination of symplastic transport and spatial separation of influx and efflux produces a pattern in which zinc accumulates in the pericycle. Here, mathematical modelling was employed to study the importance of ZIP regulation, HMA abundance and symplastic transport in creation of the radial pattern of zinc in primary roots of Arabidopsis thaliana. Methods A comprehensive one-dimensional dynamic model of radial zinc transport in roots was developed and used to conduct simulations. The model accounts for the structure of the root consisting of symplast and apoplast and includes effects of water flow, diffusion and cross-membrane transport via transporters. It also incorporates the radial geometry and varying porosity of root tissues, as well as regulation of ZIP transporters. Key Results Steady-state patterns were calculated for various zinc concentrations in the medium, water influx and HMA abundance. The experimentally observed zinc gradient was reproduced very well. An increase of HMA or decrease in water influx led to loss of the gradient. The dynamic behaviour for a change in medium concentration and water influx was also simulated showing short adaptation times in the range of seconds to minutes. Slowing down regulation led to oscillations in expression levels, suggesting the need for rapid regulation and existence of buffering agents. Conclusions The model captures the experimental findings very well and confirms the hypothesis that low abundance of HMA4 produces a radial gradient in zinc concentration. Surprisingly, transpiration was found also to be a key parameter. The model suggests that ZIP regulation takes place on a comparable timescale as symplastic transport. PMID:23258417

  1. Optimization of global model composed of radial basis functions using the term-ranking approach

    SciTech Connect

    Cai, Peng; Tao, Chao Liu, Xiao-Jun

    2014-03-15

    A term-ranking method is put forward to optimize the global model composed of radial basis functions to improve the predictability of the model. The effectiveness of the proposed method is examined by numerical simulation and experimental data. Numerical simulations indicate that this method can significantly lengthen the prediction time and decrease the Bayesian information criterion of the model. The application to real voice signal shows that the optimized global model can capture more predictable component in chaos-like voice data and simultaneously reduce the predictable component (periodic pitch) in the residual signal.

  2. On the applicability of the standard approaches for evaluating a neoclassical radial electric field in a tokamak edge region

    DOE PAGESBeta

    Dorf, M. A.; Cohen, R. H.; Simakov, A. N.; Joseph, I.

    2013-08-27

    The use of the standard approaches for evaluating a neoclassical radial electric field Er, i.e., the Ampere (or gyro-Poisson) equation, requires accurate calculation of the difference between the gyroaveraged electron and ion particle fluxes (or densities). In the core of a tokamak, the nontrivial difference appears only in high-order corrections to a local Maxwellian distribution due to the intrinsic ambipolarity of particle transport. The evaluation of such high-order corrections may be inconsistent with the accuracy of the standard long wavelength gyrokinetic equation (GKE), thus imposing limitations on the applicability of the standard approaches. However, in the edge of a tokamak,more » charge-exchange collisions with neutrals and prompt ion orbit losses can drive non-intrinsically ambipolar particle fluxes for which a nontrivial (Er-dependent) difference between the electron and ion fluxes appears already in a low order and can be accurately predicted by the long wavelength GKE. As a result, the parameter regimes where the radial electric field dynamics in the tokamak edge region is dominated by the non-intrinsically ambipolar processes, thus allowing for the use of the standard approaches, are discussed.« less

  3. On the applicability of the standard approaches for evaluating a neoclassical radial electric field in a tokamak edge region

    SciTech Connect

    Dorf, M. A.; Cohen, R. H.; Joseph, I.; Simakov, A. N.

    2013-08-15

    The use of the standard approaches for evaluating a neoclassical radial electric field E{sub r}, i.e., the Ampere (or gyro-Poisson) equation, requires accurate calculation of the difference between the gyroaveraged electron and ion particle fluxes (or densities). In the core of a tokamak, the nontrivial difference appears only in high-order corrections to a local Maxwellian distribution due to the intrinsic ambipolarity of particle transport. The evaluation of such high-order corrections may be inconsistent with the accuracy of the standard long wavelength gyrokinetic equation (GKE), thus imposing limitations on the applicability of the standard approaches. However, in the edge of a tokamak, charge-exchange collisions with neutrals and prompt ion orbit losses can drive non-intrinsically ambipolar particle fluxes for which a nontrivial (E{sub r}-dependent) difference between the electron and ion fluxes appears already in a low order and can be accurately predicted by the long wavelength GKE. The parameter regimes, where the radial electric field dynamics in the tokamak edge region is dominated by the non-intrinsically ambipolar processes, thus allowing for the use of the standard approaches, are discussed.

  4. On the applicability of the standard approaches for evaluating a neoclassical radial electric field in a tokamak edge region

    SciTech Connect

    Dorf, M. A.; Cohen, R. H.; Simakov, A. N.; Joseph, I.

    2013-08-27

    The use of the standard approaches for evaluating a neoclassical radial electric field Er, i.e., the Ampere (or gyro-Poisson) equation, requires accurate calculation of the difference between the gyroaveraged electron and ion particle fluxes (or densities). In the core of a tokamak, the nontrivial difference appears only in high-order corrections to a local Maxwellian distribution due to the intrinsic ambipolarity of particle transport. The evaluation of such high-order corrections may be inconsistent with the accuracy of the standard long wavelength gyrokinetic equation (GKE), thus imposing limitations on the applicability of the standard approaches. However, in the edge of a tokamak, charge-exchange collisions with neutrals and prompt ion orbit losses can drive non-intrinsically ambipolar particle fluxes for which a nontrivial (Er-dependent) difference between the electron and ion fluxes appears already in a low order and can be accurately predicted by the long wavelength GKE. As a result, the parameter regimes where the radial electric field dynamics in the tokamak edge region is dominated by the non-intrinsically ambipolar processes, thus allowing for the use of the standard approaches, are discussed.

  5. Radial Erosion

    NASA Technical Reports Server (NTRS)

    2005-01-01

    [figure removed for brevity, see original site]

    The ejecta surrounding the crater (off image to the left) in this image has undergone significant erosion by the wind. The wind has stripped the surface features from the ejecta and has started to winnow away the ejecta blanket. Near the margin of the ejecta the wind is eroding along a radial pattern -- taking advantage of radial emplacement. Note the steep margin of the ejecta blanket. Most, if not all, of the fine ejecta material has been removed and the wind in now working on the more massive continuous ejecta blanket.

    Image information: VIS instrument. Latitude 12.5, Longitude 197.4 East (162.6 West). 37 meter/pixel resolution.

    Note: this THEMIS visual image has not been radiometrically nor geometrically calibrated for this preliminary release. An empirical correction has been performed to remove instrumental effects. A linear shift has been applied in the cross-track and down-track direction to approximate spacecraft and planetary motion. Fully calibrated and geometrically projected images will be released through the Planetary Data System in accordance with Project policies at a later time.

    NASA's Jet Propulsion Laboratory manages the 2001 Mars Odyssey mission for NASA's Office of Space Science, Washington, D.C. The Thermal Emission Imaging System (THEMIS) was developed by Arizona State University, Tempe, in collaboration with Raytheon Santa Barbara Remote Sensing. The THEMIS investigation is led by Dr. Philip Christensen at Arizona State University. Lockheed Martin Astronautics, Denver, is the prime contractor for the Odyssey project, and developed and built the orbiter. Mission operations are conducted jointly from Lockheed Martin and from JPL, a division of the California Institute of Technology in Pasadena.

  6. A Bio-Inspired Approach for the Reduction of Left Ventricular Workload

    PubMed Central

    Pahlevan, Niema M.; Gharib, Morteza

    2014-01-01

    Previous studies have demonstrated the existence of optimization criteria in the design and development of mammalians cardiovascular systems. Similarities in mammalian arterial wave reflection suggest there are certain design criteria for the optimization of arterial wave dynamics. Inspired by these natural optimization criteria, we investigated the feasibility of optimizing the aortic waves by modifying wave reflection sites. A hydraulic model that has physical and dynamical properties similar to a human aorta and left ventricle was used for a series of in-vitro experiments. The results indicate that placing an artificial reflection site (a ring) at a specific location along the aorta may create a constructive wave dynamic that could reduce LV pulsatile workload. This simple bio-inspired approach may have important implications for the future of treatment strategies for diseased aorta. PMID:24475239

  7. An analysis of the viscous flow through a compact radial turbine by the average passage approach

    NASA Technical Reports Server (NTRS)

    Heidmann, James D.; Beach, Timothy A.

    1990-01-01

    A steady, three-dimensional viscous average passage computer code is used to analyze the flow through a compact radial turbine rotor. The code models the flow as spatially periodic from blade passage to blade passage. Results from the code using varying computational models are compared with each other and with experimental data. These results include blade surface velocities and pressures, exit vorticity and entropy contour plots, shroud pressures, and spanwise exit total temperature, total pressure, and swirl distributions. The three computational models used are inviscid, viscous with no blade clearance, and viscous with blade clearance. It is found that modeling viscous effects improves correlation with experimental data, while modeling hub and tip clearances further improves some comparisons. Experimental results such as a local maximum of exit swirl, reduced exit total pressures at the walls, and exit total temperature magnitudes are explained by interpretation of the flow physics and computed secondary flows. Trends in the computed blade loading diagrams are similarly explained.

  8. Distributed Generators Allocation in Radial Distribution Systems with Load Growth using Loss Sensitivity Approach

    NASA Astrophysics Data System (ADS)

    Kumar, Ashwani; Vijay Babu, P.; Murty, V. V. S. N.

    2016-07-01

    Rapidly increasing electricity demands and capacity shortage of transmission and distribution facilities are the main driving forces for the growth of distributed generation (DG) integration in power grids. One of the reasons for choosing a DG is its ability to support voltage in a distribution system. Selection of effective DG characteristics and DG parameters is a significant concern of distribution system planners to obtain maximum potential benefits from the DG unit. The objective of the paper is to reduce the power losses and improve the voltage profile of the radial distribution system with optimal allocation of the multiple DG in the system. The main contribution in this paper is (i) combined power loss sensitivity (CPLS) based method for multiple DG locations, (ii) determination of optimal sizes for multiple DG units at unity and lagging power factor, (iii) impact of DG installed at optimal, that is, combined load power factor on the system performance, (iv) impact of load growth on optimal DG planning, (v) Impact of DG integration in distribution systems on voltage stability index, (vi) Economic and technical Impact of DG integration in the distribution systems. The load growth factor has been considered in the study which is essential for planning and expansion of the existing systems. The technical and economic aspects are investigated in terms of improvement in voltage profile, reduction in total power losses, cost of energy loss, cost of power obtained from DG, cost of power intake from the substation, and savings in cost of energy loss. The results are obtained on IEEE 69-bus radial distribution systems and also compared with other existing methods.

  9. KANTBP 2.0: New version of a program for computing energy levels, reaction matrix and radial wave functions in the coupled-channel hyperspherical adiabatic approach

    NASA Astrophysics Data System (ADS)

    Chuluunbaatar, O.; Gusev, A. A.; Vinitsky, S. I.; Abrashkevich, A. G.

    2008-11-01

    A FORTRAN 77 program for calculating energy values, reaction matrix and corresponding radial wave functions in a coupled-channel approximation of the hyperspherical adiabatic approach is presented. In this approach, a multi-dimensional Schrödinger equation is reduced to a system of the coupled second-order ordinary differential equations on a finite interval with homogeneous boundary conditions: (i) the Dirichlet, Neumann and third type at the left and right boundary points for continuous spectrum problem, (ii) the Dirichlet and Neumann type conditions at left boundary point and Dirichlet, Neumann and third type at the right boundary point for the discrete spectrum problem. The resulting system of radial equations containing the potential matrix elements and first-derivative coupling terms is solved using high-order accuracy approximations of the finite element method. As a test desk, the program is applied to the calculation of the reaction matrix and radial wave functions for 3D-model of a hydrogen-like atom in a homogeneous magnetic field. This version extends the previous version 1.0 of the KANTBP program [O. Chuluunbaatar, A.A. Gusev, A.G. Abrashkevich, A. Amaya-Tapia, M.S. Kaschiev, S.Y. Larsen, S.I. Vinitsky, Comput. Phys. Commun. 177 (2007) 649-675]. Program summaryProgram title: KANTBP Catalogue identifier: ADZH_v2_0 Program summary URL:http://cpc.cs.qub.ac.uk/summaries/ADZH_v2_0.html Program obtainable from: CPC Program Library, Queen's University, Belfast, N. Ireland Licensing provisions: Standard CPC licence, http://cpc.cs.qub.ac.uk/licence/licence.html No. of lines in distributed program, including test data, etc.: 20 403 No. of bytes in distributed program, including test data, etc.: 147 563 Distribution format: tar.gz Programming language: FORTRAN 77 Computer: Intel Xeon EM64T, Alpha 21264A, AMD Athlon MP, Pentium IV Xeon, Opteron 248, Intel Pentium IV Operating system: OC Linux, Unix AIX 5.3, SunOS 5.8, Solaris, Windows XP RAM: This depends on the

  10. A restricted branch and bound approach for setting the left turn phase sequences in signalized networks

    SciTech Connect

    Pillai, R.S.; Rathi, A.K.; Cohen, S.

    1994-07-01

    The main objective of synchronized signal timing is to keep traffic moving along arterial in platoons throughout the signal system by proper setting of left turn phase sequence at signals along the arterials/networks. The synchronization of traffic signals located along the urban/suburban arterials in metropolitan areas is perhaps one of the most cost-effective method for improving traffic flow along these streets. The popular technique for solving this problem formulates it as a mixed integer linear program and used Land and Powell branch and bound search to arrive at the optimal solution. The computation time tends to be excessive for realistic multiarterial network problems due to the exhaustive nature of the branch and bound search technique. Furthermore, the Land and Powell branch and bound code is known to be numerically unstable, which results in suboptimal solutions for network problems with a range on the cycle time variable. This paper presents the development of a fast and numerically stable heuristic, developed using MINOS linear programming solver. The new heuristic can generate optimal/near-optimal solutions in a fraction of the time needed to compute the optimal solution by Land and Powell code. The solution technique is based on restricted search using branch and bound technique. The efficiency of the heuristic approach is demonstrated by numerical results for a set of test problems.

  11. A novel in vivo approach to assess radial and axial distensibility of large and intermediate pulmonary artery branches.

    PubMed

    Bellofiore, A; Henningsen, J; Lepak, C G; Tian, L; Roldan-Alzate, A; Kellihan, H B; Consigny, D W; Francois, C J; Chesler, N C

    2015-04-01

    Pulmonary arteries (PAs) distend to accommodate increases in cardiac output. PA distensibility protects the right ventricle (RV) from excessive increases in pressure. Loss of PA distensibility plays a critical role in the fatal progression of pulmonary arterial hypertension (PAH) toward RV failure. However, it is unclear how PA distensibility is distributed across the generations of PA branches, mainly because of the lack of appropriate in vivo methods to measure distensibility of vessels other than the large, conduit PAs. In this study, we propose a novel approach to assess the distensibility of individual PA branches. The metric of PA distensibility we used is the slope of the stretch ratio-pressure relationship. To measure distensibility, we combined invasive measurements of mean PA pressure with angiographic imaging of the PA network of six healthy female dogs. Stacks of 2D images of the PAs, obtained from either contrast enhanced magnetic resonance angiography (CE-MRA) or computed tomography digital subtraction angiography (CT-DSA), were used to reconstruct 3D surface models of the PA network, from the first bifurcation down to the sixth generation of branches. For each branch of the PA, we calculated radial and longitudinal stretch between baseline and a pressurized state obtained via acute embolization of the pulmonary vasculature. Our results indicated that large and intermediate PA branches have a radial distensibility consistently close to 2%/mmHg. Our axial distensibility data, albeit affected by larger variability, suggested that the PAs distal to the first generation may not significantly elongate in vivo, presumably due to spatial constraints. Results from both angiographic techniques were comparable to data from established phase-contrast (PC) magnetic resonance imaging (MRI) and ex vivo mechanical tests, which can only be used in the first branch generation. Our novel method can be used to characterize PA distensibility in PAH patients undergoing

  12. Resting-state activity in the left executive control network is associated with behavioral approach and is increased in substance dependence

    PubMed Central

    Krmpotich, Theodore D.; Tregellas, Jason R.; Thompson, Laetitia L.; Banich, Marie T.; Klenk, Amanda M.; Tanabe, Jody L.

    2013-01-01

    Background Individuals with drug addictions report increased willingness to approach rewards. Approach behaviors are thought to involve executive control processes and are more strongly represented in the left compared to right prefrontal cortex. A direct link between approach tendencies and left hemisphere activity has not been shown in the resting brain. We hypothesized that compared to controls, substance dependent individuals (SDI) would have greater left hemisphere activity in the left executive control network (ECN) at rest. Methods Twenty-five SDI and 25 controls completed a Behavioral Inhibition System/Behavioral Activation System (BIS/BAS) questionnaire and underwent a resting-state fMRI scan. Group independent component analysis was performed. We used template matching to identify the left and right ECN separately and compared the corresponding components across groups. Across group, BAS scores were correlated with signal fluctuations in the left ECN and BIS scores with right ECN. Results BAS scores were higher in SDI compared to controls (p<.003) and correlated with signal fluctuation in the left ECN. SDI showed significantly more activity than controls in the left prefrontal cortex of the left ECN. Conversely, SDI showed less activity than controls in the right prefrontal cortex of the right ECN. Conclusions Results from this study suggest that approach tendencies are related to the left ECN, even during rest. Higher resting-state signal in the left ECN may play a role in heightened approach tendencies that contribute to drug-seeking behavior. PMID:23428318

  13. Micro-resonator loss computation using conformal transformation and active-lasing FDTD approach and applications to tangential/radial output waveguide optimization I: Analytical approach

    NASA Astrophysics Data System (ADS)

    Li, Xiangyu; Ou, Fang; Huang, Yingyan; Ho, Seng-Tiong

    2013-03-01

    Understanding the physics of the loss mechanism of optical microresonators is important for one to know how to use them optimally for various applications. In these three-paper series, we utilized both analytical method (Conformal Transformation Approach) and numerical method (Active-Lasing Finite-Difference Time-Domain method) to study the resonator loss and cavity quality "Q" factor and apply them to optimize the radial/tangential waveguide coupling design. Both approaches demonstrate good agreement in their common region of applicability. In Part I, we review and expand on the conformal transformation method to show how exact solution of radiation loss for the case of cylindrical micro-resonator under both TE and TM polarizations can be obtained. We show how the method can be extended to apply to microdisk case.

  14. Multiscale approaches to protein-mediated interactions between membranes—relating microscopic and macroscopic dynamics in radially growing adhesions

    NASA Astrophysics Data System (ADS)

    Bihr, Timo; Seifert, Udo; Smith, Ana-Sunčana

    2015-08-01

    Macromolecular complexation leading to coupling of two or more cellular membranes is a crucial step in a number of biological functions of the cell. While other mechanisms may also play a role, adhesion always involves the fluctuations of deformable membranes, the diffusion of proteins and the molecular binding and unbinding. Because these stochastic processes couple over a multitude of time and length scales, theoretical modeling of membrane adhesion has been a major challenge. Here we present an effective Monte Carlo scheme within which the effects of the membrane are integrated into local rates for molecular recognition. The latter step in the Monte Carlo approach enables us to simulate the nucleation and growth of adhesion domains within a system of the size of a cell for tens of seconds without loss of accuracy, as shown by comparison to 106 times more expensive Langevin simulations. To perform this validation, the Langevin approach was augmented to simulate diffusion of proteins explicitly, together with reaction kinetics and membrane dynamics. We use the Monte Carlo scheme to gain deeper insight to the experimentally observed radial growth of micron sized adhesion domains, and connect the effective rate with which the domain is growing to the underlying microscopic events. We thus demonstrate that our technique yields detailed information about protein transport and complexation in membranes, which is a fundamental step toward understanding even more complex membrane interactions in the cellular context.

  15. Comparison of the morphometric features of the left and right horse kidneys: a stereological approach.

    PubMed

    Bolat, D; Bahar, S; Tipirdamaz, S; Selcuk, M L

    2013-12-01

    The aims of this study were to determine the total volume of the horse kidney and volume fractions of its functional subcomponents (cortex, medulla, renal pelvis) using stereological methods and investigate any possible difference in the functional subcomponents of the right and left kidneys that may arise from differences in shape. The study was carried out on the kidneys of 5 horses of different breed and sex. The weight of the kidneys was measured by a digital scale, and kidney volume was calculated by Archimedes' principle. Total kidney volume and volume fractions of subcomponents of the right and left kidneys were estimated by the Cavalieri's principle. The weights of the right and left kidneys were 550 ± 25 g and 585 ± 23 g, respectively. The volumes of the right and left kidneys estimated using the Cavalieri method were 542 ± 46 ml and 581 ± 29 ml. The relative organ weight of the kidneys was calculated as 1:330. The densities of the right and left kidneys were determined to be 1.01 and 1.00, respectively. The mean volume fractions of the cortex, medulla and renal pelvis were determined as 55.6, 42.7 and 1.7 in both kidneys. No statistically significant difference existed between morphometric data pertaining to the right and left kidneys (P > 0.05). To determine precisely whether differences in shape cause any difference in the functional subcomponents of the right and left kidneys requires further investigation of differences in the number of microscopically functional unit of the kidney such as renal glomeruli and nephrons. PMID:23410249

  16. [Zaidemberg's vascularized radial graft].

    PubMed

    Saint-Cast, Y

    2010-12-01

    In 1991, Carlos Zaidemberg described a new technique to repair scaphoid non-unions with a vascularized bone graft harvested from the radial styloid process. An anatomic study based on 30 dissections after colorized latex injection established the constancy of the radial styloid process's artery, while showing that its origin, course and length were subject to variations. In a retrospective series of 38 cases over a period of 10 years, the vascularized bone graft was indicated for: (1) scaphoid non-union with the presence of avascular changes of the proximal fragment (23 cases); (2) failed prior reconstruction with bone graft and internal fixation (nine cases); (3) degenerative styloid-scaphoid arthritis (three cases); (4) fracture on Preiser dystrophy (three cases). The five steps of the simplified operative technique without dissection of the vascular pedicle include: (1) longitudinal dorso-radial approach, identification of the periosteal portion of the radial styloid process artery; (2) incision of the first and second compartments, longitudinal arthrotomy under the second compartment; (3) styloidectomy and transversal resection of the scaphoid non-union and sclerotic bone; (4) elevation of the vascularized bone graft; (5) transversal and radial insertion of the vascularized bone graft, osteosynthesis by two or three K-wire touching the scaphoid's radial edge. Scaphoid union was obtained in 33 cases out of 38. The only postoperative complications were two transient radial paresthesia. The standardized surgical procedure using vascularized bone graft harvested from the radial styloid process provides an efficient scaphoid reconstruction. PMID:21087882

  17. A Change Management, Systems Thinking, or Organizational Development Approach to the No Child Left Behind Act

    ERIC Educational Resources Information Center

    Galloway, Dominique L.

    2007-01-01

    Problems with implementation of the No Child Left Behind Act (NCLB) can be assessed in light of change management theory. Viewing stakeholders collectively as a corporate entity supports employing change management strategies to make the NCLB work. Examining ways that organizational controls and change management can work together points to…

  18. Ulnar Artery Compression: A Feasible and Effective Approach to Prevent the Radial Artery Occlusion after Coronary Intervention

    PubMed Central

    Tian, Jun; Chu, Yu-Shun; Sun, Jing; Jiang, Tie-Min

    2015-01-01

    Background: Radial artery (RA) occlusion (RAO) is not rare in patients undergoing coronary intervention by transradial approach (TRCI). Predictors of and prevention from RAO have not been systematically studied. This study aimed to analyze the risk factors of the weakness of RA pulsation (RAP) and its predictive value for RAO after TRCI, and simultaneously to describe a feasible and effective approach to maintain RA patency. Methods: Between June 2006 and March 2010, all patients who underwent TRCI were classified according to the weakness of RAP after removing compression bandage with confirmation by Doppler ultrasound for the first 30 consecutive patients. Among a total of 2658 patients studied, 187 (7%) patients having a weaker RAP were prospectively monitored. At 1 h after bandage removal, the ulnar artery in puncture side of all patients was blocked with manual compression to favor brachial and collateral artery blood flow through the RA until a good RAP was restored. The primary analysis was the occurrence of RAO. Results: Doppler ultrasound demonstrated the significant reduction of both systolic velocity (61.24 ± 3.95 cm/s vs. 72.31 ± 3.57 cm/s) and diastolic velocity (1.83 ± 0.32 cm/s vs. 17.77 ± 3.97 cm/s) in RA at access side as compared to the contralateral RA (all P < 0.001), but these velocities in ipsilateral ulnar artery (81.2 ± 2.16 cm/s and 13.1 ± 2.86 cm/s, respectively) increased profoundly. The average time of ulnar artery compression was 4.1 ± 1.2 h (ranged 2.5–6.5 h). There were two patients experienced persistent RAO with a success rate of 98.9% and RAO in 0.075% of patients after ulnar artery compression was applied. The pulsation of the ulnar artery after compression was removed had not been influenced by the compression. Conclusions: After intervention using TRCI approach, the presence of a weaker RAP is an indicator of imminent RAO. The continuing compression of ipsilateral ulnar artery is an effective approach to maintain RA

  19. Application of an Epicardial Left Atrial Appendage Occlusion Device by a Robotic-Assisted, Right Chest Approach.

    PubMed

    Lewis, Clifton T P; Stephens, Richard L; Horst, Vernon D; Angelillo, Margaret; Tyndal, Charles M

    2016-05-01

    Closure of the left atrial appendage (LAA) has become a standard part of any mitral valve operation because it is thought to reduce the potential for late thrombus development and for embolic events. To date, surgeons performing robotic mitral valve operations have been limited to an endocardial approach to LAA closure. However, oversewing the orifice of the LAA is time consuming and lengthens the cross-clamp time, and failures to obtain permanent closure have been reported. We describe our technique for an epicardial approach that is safe and efficient and that gives a secure closure of the LAA. PMID:27106473

  20. Numerical simulation of patient-specific left ventricular model with both mitral and aortic valves by FSI approach.

    PubMed

    Su, Boyang; Zhong, Liang; Wang, Xi-Kun; Zhang, Jun-Mei; Tan, Ru San; Allen, John Carson; Tan, Soon Keat; Kim, Sangho; Leo, Hwa Liang

    2014-02-01

    Intraventricular flow is important in understanding left ventricular function; however, relevant numerical simulations are limited, especially when heart valve function is taken into account. In this study, intraventricular flow in a patient-specific left ventricle has been modelled in two-dimension (2D) with both mitral and aortic valves integrated. The arbitrary Lagrangian-Eulerian (ALE) approach was employed to handle the large mesh deformation induced by the beating ventricular wall and moving leaflets. Ventricular wall deformation was predefined based on MRI data, while leaflet dynamics were predicted numerically by fluid-structure interaction (FSI). Comparisons of simulation results with in vitro and in vivo measurements reported in the literature demonstrated that numerical method in combination with MRI was able to predict qualitatively the patient-specific intraventricular flow. To the best of our knowledge, we are the first to simulate patient-specific ventricular flow taking into account both mitral and aortic valves. PMID:24332277

  1. Feasibility and Safety of Transradial Arterial Approach for Simultaneous Right and Left Vertebral Artery Angiographic Studies and Stenting

    SciTech Connect

    Yip, H.-K.; Youssef, Ali A.; Chang, W.-N.; Lu, C.-H.; Yang, C.-H.; Chen, S.-M.; Wu, C.-J.

    2007-09-15

    Objectives. This study investigated whether the transradial artery (TRA) approach using a 6-French (F) Kimny guiding catheter for right vertebral artery (VA) angiographic study and stenting is safe and effective for patients with significant VA stenosis. Background. The TRA approach is commonly performed worldwide for both diagnostic cardiac catheterization and catheter-based coronary intervention. However, to our knowledge, the safety and feasibility of left and right VA angiographic study and stenting, in the same procedure, using the TRA approach for patients with brain ischemia have not been reported. Methods. The study included 24 consecutive patients (22 male, 2 female; age, 63-78 years). Indications for VA angiographic study and stenting were (1) prior stroke or symptoms related to vertebrobasilar ischemia and (2) an asymptomatic but vertebral angiographic finding of severe stenosis (>70%). A combination of the ipsilateral and retrograde-engagement technique, which involved a looping 6-F Kimny guiding catheter, was utilized for VA angiographic study. For VA stenting, an ipsilateral TRA approach with either a Kimny guiding catheter or a left internal mammary artery guiding catheter was utilized in 22 patients and retrograde-engagement technique in 2 patients. Results. A technically successful procedure was achieved in all patients, including left VA stenting in 15 patients and right VA stenting in 9 patients. The mean time for stenting (from engagement to stent deployment) was 12.7 min. There were no vascular complications or mortality. However, one patient suffered from a transient ischemic attack that resolved within 3 h. Conclusion. We conclude that TRA access for both VA angiographic study and VA stenting is safe and effective, and provides a simple and useful clinical tool for patients unsuited for femoral arterial access.

  2. Pelvic congestion syndrome and left renal compression syndrome - clinical features and therapeutic approaches.

    PubMed

    Jeanneret, Christina; Beier, Konstantin; von Weymarn, Alexander; Traber, Jürg

    2016-07-01

    Knowledge of the anatomy of the pelvic, gonadal and renal veins is important to understand pelvic congestion syndrome (PCS) and left renal vein compression syndrome (LRCS), which is also known as the nutcracker syndrome. LRCS is related to PCS and to the presence of vulvar, vaginal and pudendal varicose veins. The diagnosis of the two syndromes is difficult, and usually achieved with CT- or phlebography. The gold standard is the intravenous pressure measurement using conventional phlebography. The definition of PCS is described as pelvic pain, aggravated in the standing position and lasting for more than 6 months. Pain in the left flank and microhaematuria is seen in patients with LRCS. Women with multiple pregnancies are at increased risk of developing varicose vein recurrences with pelvic drainage and ovarian vein reflux after crossectomy and stripping of the great saphenous vein. The therapeutic options are: conservative treatment (medroxyprogesteron) or interventional (coiling of the ovarian vein) or operative treatment (clipping of the ovarian vein). Controlled prospective trials are needed to find the best treatment. PMID:27428495

  3. Bounce-averaged approach to radial diffusion modeling: From a new derivation of the instantaneous rate of change of the third adiabatic invariant to the characterization of the radial diffusion process

    NASA Astrophysics Data System (ADS)

    Lejosne, SolèNe; Boscher, Daniel; Maget, Vincent; Rolland, Guy

    2012-08-01

    In this paper, a new approach for the derivation of the instantaneous rate of change of the third adiabatic invariant is introduced. It is based on the tracking of the bounce-averaged motion of guiding centers with assumptions that are only kept to the necessary conditions for definition and conservation of the first two adiabatic invariants. The derivation is first given in the case of trapped equatorial particles drifting in a time varying magnetic field in the absence of electrostatic potential. It is then extended to more general cases including time varying electric potentials and non-equatorial particles. Finally, the general formulation of the third adiabatic invariant time derivative is related to the description of the radial diffusion process occurring in the radiation belts. It highlights the links that exist between previous theoretical works with the objective of a better understanding of the radial diffusion process. A theoretical validation in the specific case of equatorial particles drifting in a magnetic field model whose disturbed part is limited to the first terms of a spherical expansion is also presented.

  4. An Artificial Intelligence Approach to Automatic Left Ventricular Border Detection in 2-D Echocardiography

    PubMed Central

    Buchan, Iris; Covvey, H. Dominic; Rakowski, Harry

    1985-01-01

    A program has been developed for left ventricular (LV) border tracking on ultrasound images. For each frame, forty border points at equally-spaced angles around the LV center are found gradually during three passes. Pass 1 uses adaptive thresholding to find the most obvious border points. Pass 2 then uses an artificial intelligence technique of finding possible border path segments, associating a score with each, and, from paths with superior scores, obtaining more of the border points. Pass 3 closes any remaining gaps by interpolation. The program tracks the LV border quite well in spite of dropout and interference from intracardiac structures, except during end-systole. Multi-level passes provide a very useful structure for border tracking, with increasingly slow but more sophisticated algorithms possible at higher levels for use when earlier passes recognise failure.

  5. Integrated genomic approaches implicate osteoglycin (Ogn) in the regulation of left ventricular mass

    PubMed Central

    Petretto, Enrico; Sarwar, Rizwan; Grieve, Ian; Lu, Han; Kumaran, Mande K; Muckett, Phillip J; Mangion, Jonathan; Schroen, Blanche; Benson, Matthew; Punjabi, Prakash P; Prasad, Sanjay K; Pennell, Dudley J; Kiesewetter, Chris; Tasheva, Elena S; Corpuz, Lolita M; Webb, Megan D; Conrad, Gary W; Kurtz, Theodore W; Kren, Vladimir; Fischer, Judith; Hubner, Norbert; Pinto, Yigal M; Pravenec, Michal; Aitman, Timothy J; Cook, Stuart A

    2009-01-01

    Left ventricular mass (LVM) and cardiac gene expression are complex traits regulated by factors both intrinsic and extrinsic to the heart. To dissect the major determinants of LVM, we combined expression quantitative trait locus1 and quantitative trait transcript2 (QTT) analyses of the cardiac transcriptome in the rat. Using these methods and in vitro functional assays, we identified osteoglycin (Ogn) as a major candidate regulator of rat LVM, with increased Ogn protein expression associated with elevated LVM. We also applied genome-wide QTT analysis to the human heart and observed that, out of ~22,000 transcripts, OGN transcript abundance had the highest correlation with LVM. We further confirmed a role for Ogn in the in vivo regulation of LVM in Ogn knockout mice. Taken together, these data implicate Ogn as a key regulator of LVM in rats, mice and humans, and suggest that Ogn modifies the hypertrophic response to extrinsic factors such as hypertension and aortic stenosis. PMID:18443592

  6. A Phase-Conjugate-Mirror Inspired Approach for Building Cloaking Structures with Left-handed Materials.

    PubMed

    Zheng, Guoan; Heng, Xin; Yang, Changhuei

    2009-01-01

    A phase conjugate mirror (PCM) has a remarkable property of cancellation the back-scattering wave of the lossless scatterers. The similarity of a phase conjugate mirror to the interface of a matched RHM (right-handed material) and a LHM (left-handed material) prompts us to explore the potentials of using the RHM-LHM structure to achieve the anti-scattering property of the PCM. In this paper, we present two such structures. The first one is a RHM-LHM cloaking structure with a lossless arbitrary-shape scatterer imbedded in the RHM and its left-handed duplicate imbedded in the matched LHM. It is shown that such a structure is transparent to the incident electromagnetic (EM) field. As a special case of this structure, we proposed an EM tunnel that allows EM waves to spatially transport to another location in space without significant distortion and reflection. The second one is an RHM-PEC (perfect electric conductor)-LHM cloaking structure, which is composed of a symmetric conducting shell embedded in the interface junction of an RHM and the matched LHM layer. Such a structure presents an anomalously small scattering cross-section to an incident propagating EM field, and the interior of the shell can be used to shield small objects (size comparable to the wavelength) from interrogation. We report the results of 2D finite-element-method (FEM) simulations that were performed to verify our idea, and discuss the unique properties of the proposed structures as well as their limitations. PMID:20126415

  7. Strategic approach to concurrent aberrant left gastric vein and aberrant left hepatic artery in laparoscopic distal gastrectomy for early gastric cancer: A case report.

    PubMed

    Kuwada, Kazuya; Kuroda, Shinji; Kikuchi, Satoru; Hori, Naoto; Kubota, Tetsushi; Nishizaki, Masahiko; Kagawa, Shunsuke; Fujiwara, Toshiyoshi

    2015-11-01

    An aberrant left gastric vein (ALGV) directly entering the lateral segment of the liver is a rare variation in the portal vein system, whereas an aberrant left hepatic artery (ALHA) arising from the left gastric artery is observed relatively frequently. Here we report a case in which both ALGV and ALHA were encountered before laparoscopic distal gastrectomy with curative lymphadenectomy for gastric cancer. We accurately diagnosed these vessel anomalies preoperatively on abdominal contrast-enhanced CT. During surgery, we divided the ALGV at the point of entry to the liver and preserved the ALHA by dividing the branches toward the stomach, in consideration of curability and safety. The postoperative course was uneventful overall, although temporary mild liver dysfunction was observed. This case highlights the importance of preoperative evaluation and preparation in a rare case of concurrent ALGV and ALHA. PMID:26708584

  8. Percutaneous transvenous intracardiac ultrasound imaging in dogs: a new approach to monitor left ventricular function.

    PubMed Central

    Jiang, L.; Weissman, N. J.; Guerrero, J. L.; He, J.; Weyman, A. E.; Levine, R. A.; Picard, M. H.

    1996-01-01

    OBJECTIVE: To evaluate the feasibility and ability of percutaneous transvenous intracardiac echocardiography (ICE) to image the left ventricle (LV) and monitor its function from the right ventricular (RV) cavity. METHODS: A 10 MHz catheter was advanced into the RV from the jugular vein and positioned along the septum at the LV papillary muscle level in five dogs. The catheter was manipulated until a stable catheter position along the septum, which provided on-axis images of LV, was obtained. Different states of LV size and systolic function (n = 80) were created with dobutamine or esmolol, both in the presence and absence of coronary stenoses. LV stroke area (cm2) obtained by ICE was measured at the mid-ventricular level and compared with stroke volume (cm3) obtained simultaneously with a transaortic flow probe. LV end diastolic, end systolic, and stroke areas obtained by ICE were also compared with those obtained by short-axis epicardial echocardiography. RESULTS: In 96% of the stages, short axis images of the LV could be obtained and measured by ICE. LV end diastolic, end systolic, and stroke areas measured by ICE were not significantly different from epicardial echocardiographic values. Stroke area correlated with stroke volume in each dog (mean correlation coefficient 0.79 (SEE 0.19) cm2) (P < 0.001). CONCLUSIONS: Percutaneous intracardiac ultrasound imaging allows monitoring of LV function from the RV with an accuracy comparable to a short-axis epicardial echocardiogram. The present device can be used in closed chest experimental studies. With the development of lower frequency devices, this technique may be valuable for continuous monitoring of LV function in patients in the intensive care unit or operating room. Images PMID:8944593

  9. A level set approach for left ventricle detection in CT images using shape segmentation and optical flow

    NASA Astrophysics Data System (ADS)

    Brieva, Jorge; Moya-Albor, Ernesto; Escalante-Ramírez, Boris

    2015-01-01

    The left ventricle (LV) segmentation plays an important role in a subsequent process for the functional analysis of the LV. Typical segmentation of the endocardium wall in the ventricle excludes papillary muscles which leads to an incorrect measure of the ejected volume in the LV. In this paper we present a new variational strategy using a 2D level set framework that includes a local term for enhancing the low contrast structures and a 2D shape model. The shape model in the level set method is propagated to all image sequences corresponding to the cardiac cycles through the optical flow approach using the Hermite transform. To evaluate our strategy we use the Dice index and the Hausdorff distance to compare the segmentation results with the manual segmentation carried out by the physician.

  10. Endoscopic fluorescence mapping of the left atrium: A novel experimental approach for high resolution endocardial mapping in the intact heart

    PubMed Central

    Kalifa, Jérôme; Klos, Matthew; Zlochiver, Sharon; Mironov, Sergey; Tanaka, Kazuhiko; Ulahannan, Netha; Yamazaki, Masatoshi; Jalife, José; Berenfeld, Omer

    2007-01-01

    Background Despite availability of several mapping technologies to investigate the electrophysiological mechanisms of atrial fibrillation (AF), an experimental tool enabling high resolution mapping of electrical impulse on the endocardial surface of the left atrium is still lacking. Objective To present a new optical mapping approach implementing a steerable cardio-endoscope in isolated hearts. Methods The system consists of a direct or side-view endoscope coupled to a 532 nm excitation Laser for illumination, and to a CCD camera for imaging of potentiometric dye fluorescence (DI-4-ANEPPS, 80×80 pixels, 200–800 frames/sec). The cardio-endoscope was aimed successively at diverse posterior left atrial (PLA) locations to obtain high resolution movies of electrical wave propagation, as well as detailed endocardial anatomical features, in the presence and the absence of atrial stretch. Results We present several examples of high resolution endoscopic PLA recordings of wave propagation patterns during both sinus rhythm and AF with signal-to-noise ratio similar to conventional optical mapping systems. We demonstrate the endoscope’s ability to visualize highly organized AF sources (rotors) at specific locations on the PLA and PLA-pulmonary vein junctions, and present video images of waves emanating from such sources as they propagate into pectinate muscles in the LA appendage. In particular, we demonstrate this approach to be ideally suited for studying the effects of atrial stretch on AF dynamics. Conclusions In isolated hearts, cardio-endoscopic optical mapping of electrical activity should enable comprehensive evaluation of atrial fibrillatory activity in the PLA, of the role of the local anatomy on AF dynamics and of the efficacy of pharmacological and ablative interventions. PMID:17599678

  11. Successful placement of a deflectable decapolar catheter via the right femoral vein approach in a patient with coronary sinus ostial atresia and persistent left superior vena cava

    PubMed Central

    Ng, Choon Ta; See, Jason; Lee, Chee Wan; Ching, Chi-Keong

    2014-01-01

    The authors illustrate the successful ablation of a left-sided posterior accessory pathway via a retrograde aortic approach in a patient with coronary ostial atresia associated with persistent left-sided superior vena cava. This is an extremely rare anomaly which should be considered by cardiac electrophysiologists when there is difficulty cannulating the coronary sinus via the right atrial route. Awareness of this route obviates the need for additional venous access.

  12. Radial-radial single rotor turbine

    DOEpatents

    Platts, David A.

    2006-05-16

    A rotor for use in turbine applications has a radial compressor/pump having radially disposed spaced apart fins forming passages and a radial turbine having hollow turbine blades interleaved with the fins and through which fluid from the radial compressor/pump flows. The rotor can, in some applications, be used to produce electrical power.

  13. Effect on bleeding, time to revascularization, and one-year clinical outcomes of the radial approach during primary percutaneous coronary intervention in patients with ST-segment elevation myocardial infarction.

    PubMed

    Arzamendi, Dabit; Ly, Hung Quoc; Tanguay, Jean-François; Chan, Mark Yan Yee; Chevallereau, Pierre; Gallo, Richard; Ibrahim, Reda; L'Allier, Philippe; Levesque, Sylvie; Gosselin, Gilbert; Deguise, Pierre; Joyal, Michel; Gregoire, Jean; Bonan, Raoul; Crepeau, Jacques; Doucet, Serge

    2010-07-15

    The radial approach during percutaneous coronary intervention (PCI) has been reported to reduce the incidence of bleeding complications. However, the radial approach still accounts for <10% of procedures worldwide and only 1% in the United States. Our objective was to compare the effect of radial versus femoral vascular access on the time to reperfusion, incidence of bleeding complications, and overall clinical outcomes in the setting of primary PCI. We prospectively collected data on all patients undergoing primary PCI at the Montreal Heart Institute from April 1, 2007 to March 30, 2008. The time to revascularization and major bleeding were prespecified as a co-primary end point, and major adverse cardiac events, including death, myocardial infarction, and target vessel revascularization within 12 months, were considered a secondary end point. A total of 489 patients were included in the present longitudinal cohort study, 234 in the femoral group and 254 in the radial group. In the propensity-adjusted model, the use of the femoral approach was a strong independent predictor of bleeding (odds ratio 4.22, 95% confidence interval 3.17 to 10.60). No significant difference between the radial and femoral groups was observed relative to the time to revascularization (21.4 +/- 11.8 minutes vs 22.8 +/- 10.3 minutes, respectively; p = 0.68). Moreover, the radial approach was associated with a decreased risk of major adverse cardiac events (odds ratio 0.31, 95% confidence interval 0.10 to 0.94). In conclusion, primary PCI using the radial approach was associated with a fourfold reduction in major bleeding, without compromising the time to revascularization. Moreover, the radial approach was associated with a significant reduction in major adverse cardiac events at 12 months. PMID:20598995

  14. "Happy Days Are Here Again": A Left and Right Brain 4MAT Approach to Teaching Depression-Era Presidential Elections.

    ERIC Educational Resources Information Center

    Cantu, D. Antonio

    2001-01-01

    Provides a lesson plan that focuses on the 1932, 1936, and 1940 presidential election campaigns. Illustrates the use of the left and right brain 4MAT teaching model that considers individual learning styles associated with right and left hemisphere dominance. Includes a bibliography and eight handouts. (CMK)

  15. A novel systems engineering approach to the design of a precision radial velocity spectrograph: the GMT-Consortium Large Earth Finder (G-CLEF)

    NASA Astrophysics Data System (ADS)

    Podgorski, William; Bean, Jacob; Bergner, Henry; Chun, Moo-Young; Crane, Jeffrey; Evans, Ian; Evans, Janet; Furesz, Gabor; Guzman, Dani; Kim, Kang-Min; McCracken, Kenneth; Mueller, Mark; Norton, Timothy; Park, Chan; Park, Sang; Plummer, David; Szentgyorgyi, Andrew; Uomoto, Alan; Yuk, In-Soo

    2014-07-01

    One of the first light instruments for the Giant Magellan Telescope (GMT) will be the GMT-Consortium Large Earth Finder (G-CLEF). It is an optical band echelle spectrograph that is fiber fed to enable high stability. One of the key capabilities of G-CLEF will be its extremely precise radial velocity (PRV) measurement capability. The RV precision goal is 10 cm/sec, which is expected to be achieved with advanced calibration methods and the use of the GMT adaptive optics system. G-CLEF, as part of the GMT suite of instruments, is being designed within GMT's automated requirements management system. This includes requirements flow down, traceability, error budgeting, and systems compliance. Error budgeting is being employed extensively to help manage G-CLEF technical requirements and ensure that the top level requirements are met efficiently. In this paper we discuss the G-CLEF error budgeting process, concentrating on the PRV precision and instrument throughput budgets. The PRV error budgeting process is covered in detail, as we are taking a detailed systems error budgeting approach to the PRV requirement. This has proven particularly challenging, as the precise measurement of radial velocity is a complex process, with error sources that are difficult to model and a complex calibration process that is integral to the RV measurement. The PRV budget combines traditional modeling and analysis techniques, where applicable, with semi-empirical techniques, as necessary. Extrapolation from existing PRV instruments is also used in the budgeting process.

  16. Radial Halbach Magnetic Bearings

    NASA Technical Reports Server (NTRS)

    Eichenberg, Dennis J.; Gallo, Christopher A.; Thompson, William K.

    2009-01-01

    minimizing it on the opposite side. The advantage of this configuration is that it makes it possible to approach the theoretical maximum force per unit area that could be exerted by a given amount of permanent-magnet material. The configuration is named after physicist Klaus Halbach, who conceived it for use in particle accelerators. Halbach arrays have also been studied for use in magnetic-levitation ("maglev") railroad trains. In a radial Halbach magnetic bearing, the basic Halbach arrangement is modified into a symmetrical arrangement of sector-shaped permanent magnets mounted on the outer cylindrical surface of a drum rotor (see Figure 2). The magnets are oriented to concentrate the magnetic field on their radially outermost surface. The stator coils are mounted in a stator shell surrounding the rotor.

  17. Differences between left- and right-handers in approach/avoidance motivation: influence of consistency of handedness measures

    PubMed Central

    Hardie, Scott M.; Wright, Lynn

    2014-01-01

    Hand preference is often viewed as a troublesome variable in psychological research, with left-handers routinely excluded from studies. Contrary to this, a body of evidence has shown hand preference to be a useful variable when examining human behavior. A recent review argues that the most effective way of using handedness as a variable, is a comparison between individuals who use their dominant hand for virtually all manual activities (consistent handers) versus those who use their other hand for at least one activity (inconsistent handers). The authors contend that researchers should only focus on degree of handedness rather than direction of preference (left versus right). However, we argue that the field suffers from a number of methodological and empirical issues. These include a lack of consensus in choice of cut-off point to divide consistent and inconsistent categories and importantly a paucity of data from left-handers. Consequentially, researchers predominantly compare inconsistent versus consistent right-handers, largely linked to memory, cognition and language. Other research on response style and personality measures shows robust direction of handedness effects. The present study examines both strength and direction of handedness on self-reported behavioral inhibition system (BIS) and behavioral activation system (BAS) scores, using evidence from a large (N = 689) dataset including more than 200 left-handers. There were degree of handedness effects on BIS and BAS-Fun Seeking, but effects are largely driven by differences between consistent left-handers and other groups. Choice of cut-off point substantively influenced results, and suggests that unless a suitable sample of left-handers is included, researchers clarify that their degree of handedness effects are applicable only to right-handers. We concur that strength of hand preference is an important variable but caution that differences related to consistency may not be identical in right and left

  18. A Bayesian Approach to Infer Radial and Azimuthal Anisotropy of the Crust and Upper Mantle from Surface-Wave Dispersion Curves

    NASA Astrophysics Data System (ADS)

    Ravenna, M.; Lebedev, S.

    2015-12-01

    A reliable approach to quantify non-uniqueness and to provide error estimates in nonlinear inversion problems, as the surface-wave dispersion curves inversion for the seismic velocity structure of the earth, is Monte Carlo sampling in a Bayesian statistical framefork. We develop a Markov Chain Monte Carlo method for joint inversion of Rayleigh- and Love-wave dispersion curves that is able to yield robust radially and azimuthally anisotropic shear velocity profiles, with resolution to depths down to the transition zone.The inversion technique doesn't involve any linearization procedure or strong a priori bounds around a reference model. In a fixed dimensional Bayesian formulation, we choose to set the number of parameters relatively high, with a more dense parametrization in the uppermost mantle in order to have a good resolution of the Litosphere-Astenosphere Boundary region. We apply the MCMC algorithm to the inversion of surface-wave phase velocities accurately determined in broad period ranges in a few test regions. In the Baikal-Mongolia region we invert Rayleigh- and Love- wave dispersion curves for radially anisotropic structure (Vsv,Vsh) of the crust and upper mantle. In the Tuscany region, where we have phase velocity data with good azimuthal coverage, a different implementation of the algorithm is applied that is able to resolve azimuthal anisotropy; the Rayleigh wave dispersion curves measured at different azimuths have been inverted for the Vsv structure and the depth distribution of the 2-ψ azimuthal anisotropy of the region, with good resolution down to asthenospheric and transition zone depths.

  19. Design and rationale of the AngioSeal versus the Radial approach In acute coronary SyndromE (ARISE) trial: a randomized comparison of a vascular closure device versus the radial approach to prevent vascular access site complications in non-ST-segment elevation acute coronary syndrome patients

    PubMed Central

    2013-01-01

    Background Arterial access is a major site of bleeding complications after invasive coronary procedures. Among strategies to decrease vascular complications, the radial approach is an established one. Vascular closure devices provide more comfort to patients and decrease hemostasis and need for bed rest. However, the inconsistency of data proving their safety limits their routine adoption as a strategy to prevent vascular complications, requiring evidence through adequately designed randomized trials. The aim of this study is to compare the radial versus femoral approach using a vascular closure device for the incidence of arterial puncture site vascular complications among non-ST-segment elevation acute coronary syndrome patients submitted to an early invasive strategy. Methods ARISE is a national, multicenter, non-inferiority randomized clinical trial. Two hundred patients with non-ST-segment elevation acute coronary syndrome will be randomized to either radial or femoral access using a vascular closure device. The primary outcome is the occurrence of vascular complications at an arterial puncture site 30 days after the procedure, including major bleeding, retroperitoneal hematoma, compartment syndrome, hematoma ≥ 5 cm, pseudoaneurysm, arterio-venous fistula, infection, limb ischemia, arterial occlusion, adjacent nerve injury or the need for vascular surgical repair. Results Enrollment was initiated in September 2012, and until October 2013 91 patients were included. The inclusion phase is expected to last until the second half of 2014. Conclusions The ARISE trial will help define the role of a vascular closure device as a bleeding avoidance strategy in patients with NSTEACS. Trial registration ClinicalTrials.gov identifier: NCT01653587 PMID:24345099

  20. Right-Left Approach and Reaching Arm Movements of 4-Month Infants in Free and Constrained Conditions

    ERIC Educational Resources Information Center

    Morange-Majoux, Francoise; Dellatolas, Georges

    2010-01-01

    Recent theories on the evolution of language (e.g. Corballis, 2009) emphazise the interest of early manifestations of manual laterality and manual specialization in human infants. In the present study, left- and right-hand movements towards a midline object were observed in 24 infants aged 4 months in a constrained condition, in which the hands…

  1. Radial head fracture - aftercare

    MedlinePlus

    Elbow fracture - radial head - aftercare ... the radius bone, just below your elbow. A fracture is a break in your bone. The most common cause of a radial head fracture is falling with an outstretched arm.

  2. COMPARATIVE ANATOMICAL STUDY BETWEEN THE RIGHT AND LEFT SIDES OF THE AXILLARY NERVE IN RELATION TO DELTOPECTORAL APPROACH AND ACROMION

    PubMed Central

    Junior, Antonio Carlos Tenor; Ribeiro, Fabiano Rebouças; Filho, Rômulo Brasil; Filho, Cantídio Salvador Filardi; Lutfi, Hilton Vargas; Magri, Eduardo Angoti

    2015-01-01

    Objective: To establish anatomical parameters for the axillary nerve by measuring the distances to the acromion and the deltopectoral access, and to ascertain whether there are any differences in comparative measurements between the left and right sides. Method: An anatomical study on the path of the axillary nerve was conducted by dissecting 30 shoulders of 20 fresh adult cadavers. For comparative study, bilateral dissection was performed on 10 cadavers. Digital caliper gauges, accurate to the nearest 0.05 cm, were used to measure the distances between the lateral extremity of the acromion and the anterior and posterior branches of the axillary nerve, and between the deltopectoral space and the anterior branch of the axillary nerve. Results: The shortest distance between the acromion and the axillary nerve was 5.47 cm, and the greatest distance was 7.06 cm. The shortest distance between the deltopectoral groove and the axillary nerve was 3.94 cm. A statistically significant difference was found using Wilcoxon’s test in comparative measurements between the left and right sides for the distances between the posterior branch of the axillary nerve and the midpoint of the lateral border of the acromion (A-E), and between the anterior branch of the axillary nerve and the anterior extremity of the acromion (B-C), both of which were larger on the right side. Conclusions: The axillary nerve was situated between 5.47 and 7.06 cm distally to the acromion, and 3.94 cm laterally to the deltopectoral space. There was a statistically significant difference in the comparison between the left and right sides, and both measurements were larger on the right side. PMID:27047824

  3. KANTBP: A program for computing energy levels, reaction matrix and radial wave functions in the coupled-channel hyperspherical adiabatic approach

    NASA Astrophysics Data System (ADS)

    Chuluunbaatar, O.; Gusev, A. A.; Abrashkevich, A. G.; Amaya-Tapia, A.; Kaschiev, M. S.; Larsen, S. Y.; Vinitsky, S. I.

    2007-10-01

    A FORTRAN 77 program is presented which calculates energy values, reaction matrix and corresponding radial wave functions in a coupled-channel approximation of the hyperspherical adiabatic approach. In this approach, a multi-dimensional Schrödinger equation is reduced to a system of the coupled second-order ordinary differential equations on the finite interval with homogeneous boundary conditions of the third type. The resulting system of radial equations which contains the potential matrix elements and first-derivative coupling terms is solved using high-order accuracy approximations of the finite-element method. As a test desk, the program is applied to the calculation of the energy values and reaction matrix for an exactly solvable 2D-model of three identical particles on a line with pair zero-range potentials. Program summaryProgram title: KANTBP Catalogue identifier: ADZH_v1_0 Program summary URL:http://cpc.cs.qub.ac.uk/summaries/ADZH_v1_0.html Program obtainable from: CPC Program Library, Queen's University, Belfast, N. Ireland Licensing provisions: Standard CPC licence, http://cpc.cs.qub.ac.uk/licence/licence.html No. of lines in distributed program, including test data, etc.: 4224 No. of bytes in distributed program, including test data, etc.: 31 232 Distribution format: tar.gz Programming language: FORTRAN 77 Computer: Intel Xeon EM64T, Alpha 21264A, AMD Athlon MP, Pentium IV Xeon, Opteron 248, Intel Pentium IV Operating system: OC Linux, Unix AIX 5.3, SunOS 5.8, Solaris, Windows XP RAM: depends on (a) the number of differential equations; (b) the number and order of finite-elements; (c) the number of hyperradial points; and (d) the number of eigensolutions required. Test run requires 30 MB Classification: 2.1, 2.4 External routines: GAULEG and GAUSSJ [W.H. Press, B.F. Flanery, S.A. Teukolsky, W.T. Vetterley, Numerical Recipes: The Art of Scientific Computing, Cambridge University Press, Cambridge, 1986] Nature of problem: In the hyperspherical adiabatic

  4. Left-ventricle segmentation in real-time 3D echocardiography using a hybrid active shape model and optimal graph search approach

    NASA Astrophysics Data System (ADS)

    Zhang, Honghai; Abiose, Ademola K.; Campbell, Dwayne N.; Sonka, Milan; Martins, James B.; Wahle, Andreas

    2010-03-01

    Quantitative analysis of the left ventricular shape and motion patterns associated with left ventricular mechanical dyssynchrony (LVMD) is essential for diagnosis and treatment planning in congestive heart failure. Real-time 3D echocardiography (RT3DE) used for LVMD analysis is frequently limited by heavy speckle noise or partially incomplete data, thus a segmentation method utilizing learned global shape knowledge is beneficial. In this study, the endocardial surface of the left ventricle (LV) is segmented using a hybrid approach combining active shape model (ASM) with optimal graph search. The latter is used to achieve landmark refinement in the ASM framework. Optimal graph search translates the 3D segmentation into the detection of a minimum-cost closed set in a graph and can produce a globally optimal result. Various information-gradient, intensity distributions, and regional-property terms-are used to define the costs for the graph search. The developed method was tested on 44 RT3DE datasets acquired from 26 LVMD patients. The segmentation accuracy was assessed by surface positioning error and volume overlap measured for the whole LV as well as 16 standard LV regions. The segmentation produced very good results that were not achievable using ASM or graph search alone.

  5. Automatic left-atrial segmentation from cardiac 3D ultrasound: a dual-chamber model-based approach

    NASA Astrophysics Data System (ADS)

    Almeida, Nuno; Sarvari, Sebastian I.; Orderud, Fredrik; Gérard, Olivier; D'hooge, Jan; Samset, Eigil

    2016-04-01

    In this paper, we present an automatic solution for segmentation and quantification of the left atrium (LA) from 3D cardiac ultrasound. A model-based framework is applied, making use of (deformable) active surfaces to model the endocardial surfaces of cardiac chambers, allowing incorporation of a priori anatomical information in a simple fashion. A dual-chamber model (LA and left ventricle) is used to detect and track the atrio-ventricular (AV) plane, without any user input. Both chambers are represented by parametric surfaces and a Kalman filter is used to fit the model to the position of the endocardial walls detected in the image, providing accurate detection and tracking during the whole cardiac cycle. This framework was tested in 20 transthoracic cardiac ultrasound volumetric recordings of healthy volunteers, and evaluated using manual traces of a clinical expert as a reference. The 3D meshes obtained with the automatic method were close to the reference contours at all cardiac phases (mean distance of 0.03+/-0.6 mm). The AV plane was detected with an accuracy of -0.6+/-1.0 mm. The LA volumes assessed automatically were also in agreement with the reference (mean +/-1.96 SD): 0.4+/-5.3 ml, 2.1+/-12.6 ml, and 1.5+/-7.8 ml at end-diastolic, end-systolic and pre-atrial-contraction frames, respectively. This study shows that the proposed method can be used for automatic volumetric assessment of the LA, considerably reducing the analysis time and effort when compared to manual analysis.

  6. Radial Basis Functions for Combining Shape and Speckle Tracking in 4D Echocardiography

    PubMed Central

    Compas, Colin B.; Wong, Emily Y.; Huang, Xiaojie; Sampath, Smita; Lin, Ben A.; Pal, Prasanta; Papademetris, Xenophon; Thiele, Karl; Dione, Donald P.; Stacy, Mitchel; Staib, Lawrence H.; Sinusas, Albert J.; O'Donnell, Matthew; Duncan, James S.

    2014-01-01

    Quantitative analysis of left ventricular deformation can provide valuable information about the extent of disease as well as the efficacy of treatment. In this work, we develop an adaptive multi-level compactly supported radial basis approach for deformation analysis in 3D+time echocardiography. Our method combines displacement information from shape tracking of myocardial boundaries (derived from B-mode data) with mid-wall displacements from radio-frequency-based ultrasound speckle tracking. We evaluate our methods on open-chest canines (N=8) and show that our combined approach is better correlated to magnetic resonance tagging-derived strains than either individual method. We also are able to identify regions of myocardial infarction (confirmed by postmortem analysis) using radial strain values obtained with our approach. PMID:24893257

  7. Support vector analysis of color-Doppler images: a new approach for estimating indices of left ventricular function.

    PubMed

    Rojo-Alvarez, J L; Bermejo, J; Juárez-Caballero, V M; Yotti, R; Cortina, C; García-Fernández, M A; Antoranz, J C

    2006-08-01

    Reliable noninvasive estimators of global left ventricular (LV) chamber function remain unavailable. We have previously demonstrated a potential relationship between color-Doppler M-mode (CDMM) images and two basic indices of LV function: peak-systolic elastance (Emax) and the time-constant of LV relaxation (tau). Thus, we hypothesized that these two indices could be estimated noninvasively by adequate postprocessing of CDMM recordings. A semiparametric regression (SR) version of support vector machine (SVM) is here proposed for building a blind model, capable of analyzing CDMM images automatically, as well as complementary clinical information. Simultaneous invasive and Doppler tracings were obtained in nine mini-pigs in a high-fidelity experimental setup. The model was developed using a test and validation leave-one-out design. Reasonably acceptable prediction accuracy was obtained for both Emax (intraclass correlation coefficient Ric, = 0.81) and tau (Ric, = 0.61). For the first time, a quantitative, noninvasive estimation of cardiovascular indices is addressed by processing Doppler-echocardiography recordings using a learning-from-samples method. PMID:16894996

  8. Radial arm strike rail

    DOEpatents

    McKeown, Mark H.; Beason, Steven C.

    1991-01-01

    The radial arm strike rail assembly is a system for measurement of bearings, directions, and stereophotography for geologic mapping, particularly where magnetic compasses are not appropriate. The radial arm, pivoting around a shaft axis, provides a reference direction determination for geologic mapping and bearing or direction determination. The centerable and levelable pedestal provide a base for the radial arm strike rail and the telescoping camera pedestal. The telescoping feature of the radial arm strike rail allows positioning the end of the rail for strike direction or bearing measurement with a goniometer.

  9. Late-presenting left internal mammary to great cardiac vein fistula treated with a vascular plug.

    PubMed

    Franco-Gutierrez, Raul; Estevez-Loureiro, Rodrigo; Calviño-Santos, Ramon

    2010-10-01

    A 73-year-old patient, who underwent triple bypass surgery in another hospital in 1991 after suffering an acute myocardial infarction, was admitted to our institution after an episode of unstable angina. Evidence of a left internal mammary artery grafted to the great cardiac anterior interventricular vein (GCV), with Qp:Qs > 1.5:1, was demonstrated by angiography. We report the closure of said fistula using a percutaneous left radial artery access and the deployment of an Amplatzer vascular occlusion device via the antegrade approach. PMID:20944199

  10. Weak Radial Artery Pulse

    PubMed Central

    Venugopalan, Poothirikovil; Sivakumar, Puthuval; Ardley, Robert G.; Oates, Crispian

    2012-01-01

    We present an 11year-old boy with a weak right radial pulse, and describe the successful application of vascular ultrasound to identify the ulnar artery dominance and a thin right radial artery with below normal Doppler flow velocity that could explain the discrepancy. The implications of identifying this anomaly are discussed. PMID:22375269

  11. Aortic dissection presenting as acute subtotal left main coronary artery occlusion: a case approach and review of the literature.

    PubMed

    Ruisi, Michael; Fallahi, Arzhang; Lala, Moinakhtar; Kanei, Yumiko

    2015-05-01

    Aortic dissection is the most common fatal condition of the aorta, yet it is often missed on initial clinical presentation. Aortic dissection associated with acute coronary syndrome (ACS) is relatively rare, but if it occurs, it can be diagnostically challenging, and the condition can be fatal. Here we describe a case of aortic dissection presenting as ST-segment elevation myocardial infarction (STEMI) managed via the transradial approach. We describe the current literature on the subject. PMID:25780485

  12. Aortic Dissection Presenting as Acute Subtotal Left Main Coronary Artery Occlusion: A Case Approach and Review of the Literature

    PubMed Central

    Ruisi, Michael; Fallahi, Arzhang; Lala, Moinakhtar; Kanei, Yumiko

    2015-01-01

    Aortic dissection is the most common fatal condition of the aorta, yet it is often missed on initial clinical presentation. Aortic dissection associated with acute coronary syndrome (ACS) is relatively rare, but if it occurs, it can be diagnostically challenging, and the condition can be fatal. Here we describe a case of aortic dissection presenting as ST-segment elevation myocardial infarction (STEMI) managed via the transradial approach. We describe the current literature on the subject. PMID:25780485

  13. Triple acting radial seal

    DOEpatents

    Ebert, Todd A; Carella, John A

    2012-03-13

    A triple acting radial seal used as an interstage seal assembly in a gas turbine engine, where the seal assembly includes an interstage seal support extending from a stationary inner shroud of a vane ring, the interstage seal support includes a larger annular radial inward facing groove in which an outer annular floating seal assembly is secured for radial displacement, and the outer annular floating seal assembly includes a smaller annular radial inward facing groove in which an inner annular floating seal assembly is secured also for radial displacement. A compliant seal is secured to the inner annular floating seal assembly. The outer annular floating seal assembly encapsulates the inner annular floating seal assembly which is made from a very low alpha material in order to reduce thermal stress.

  14. Novel Integration Radial and Axial Magnetic Bearing

    NASA Technical Reports Server (NTRS)

    Blumenstock, Kenneth; Brown, Gary

    2000-01-01

    Typically, fully active magnetically suspended systems require one axial and two radial magnetic bearings. Combining radial and axial functions into a single device allows for more compact and elegant packaging. Furthermore, in the case of high-speed devices such as energy storage flywheels, it is beneficial to minimize shaft length to keep rotor mode frequencies as high as possible. Attempts have been made to combine radial and axial functionality, but with certain drawbacks. One approach requires magnetic control flux to flow through a bias magnet reducing control effectiveness, thus resulting in increased resistive losses. This approach also requires axial force producing magnetic flux to flow in a direction into the rotor laminate that is undesirable for minimizing eddy-current losses resulting in rotational losses. Another approach applies a conical rotor shape to what otherwise would be a radial heteropolar magnetic bearing configuration. However, positional non-linear effects are introduced with this scheme and the same windings are used for bias, radial, and axial control adding complexity to the controller and electronics. For this approach, the amount of axial capability must be limited. It would be desirable for an integrated radial and axial magnetic bearing to have the following characteristics; separate inputs for radial and axial control for electronics and control simplicity, all magnetic control fluxes should only flow through their respective air gaps and should not flow through any bias magnets for minimal resistive losses, be of a homopolar design to minimize rotational losses, position related non-linear effects should be minimized, and dependent upon the design parameters, be able to achieve any radial/axial force or power ratio as desired. The integrated radial and axial magnetic bearing described in this paper exhibits all these characteristics. Magnetic circuit design, design equations, and magnetic field modeling results will be presented.

  15. Novel Integrated Radial and Axial Magnetic Bearing

    NASA Technical Reports Server (NTRS)

    Blumenstock, Kenneth A.; Brown, Gary L.; Powers, Edward I. (Technical Monitor)

    2000-01-01

    Typically, fully active magnetically suspended systems require one axial and two radial magnetic bearings. Combining radial and axial functions into a single device allows for more compact and elegant packaging. Furthermore, in the case of high-speed devices such as energy storage flywheels, it is beneficial to minimize shaft length to keep rotor mode frequencies as high as possible. Attempts have been made to combine radial and axial functionality, but with certain drawbacks. One approach requires magnetic control flux to flow through a bias magnet reducing control effectiveness, thus resulting in increased resistive losses. This approach also requires axial force producing magnetic flux to flow in a direction into the rotor laminate that is undesirable for minimizing eddy-current losses resulting in rotational losses. Another approach applies a conical rotor shape to what otherwise would be a radial heteropolar magnetic bearing configuration. However, positional non-linear effects are introduced with this scheme and the same windings are used for bias, radial, and axial control adding complexity to the controller and electronics. For this approach, the amount of axial capability must be limited. It would be desirable for an integrated radial and axial magnetic bearing to have the following characteristics, separate inputs for radial and axial control for electronics and control simplicity, all magnetic control fluxes should only flow through their respective air gaps and should not flow through any bias magnets for minimal resistive losses, be of a homopolar design to minimize rotational losses, position related non-linear effects should be minimized, and dependent upon the design parameters, be able to achieve any radial/axial force or power ratio as desired. The integrated radial and axial magnetic bearing described in this paper exhibits all these characteristics. Magnetic circuit design, design equations, and analysis results will be presented.

  16. FAME Radial Velocity Survey

    NASA Astrophysics Data System (ADS)

    Salim, S.; Gould, A.

    2000-12-01

    Full-Sky Astrometric Mapping Explorer (FAME) belongs to a new generation of astrometry satellites and will probe the surrounding space some 20 times deeper than its predecessor Hipparcos. As a result we will acquire precise knowledge of 5 out of 6 components of phase-space for millions of stars. The remaining coordinate, radial velocity, will remain unknown. In this study, we look at how the knowledge of radial velocity affects the determination of the structure of the Galaxy, and its gravitational potential. We therefore propose a radial velocity survey of FAME stars, and discuss its feasibility and technical requirements.

  17. A case of secondary somatosensory epilepsy with a left deep parietal opercular lesion: successful tumor resection using a transsubcentral gyral approach during awake surgery.

    PubMed

    Maesawa, Satoshi; Fujii, Masazumi; Futamura, Miyako; Hayashi, Yuichiro; Iijima, Kentaro; Wakabayashi, Toshihiko

    2016-03-01

    Few studies have examined the clinical characteristics of patients with lesions in the deep parietal operculum facing the sylvian fissure, the region recognized as the secondary somatosensory area (SII). Moreover, surgical approaches in this region are challenging. In this paper the authors report on a patient presenting with SII epilepsy with a tumor in the left deep parietal operculum. The patient was a 24-year-old man who suffered daily partial seizures with extremely uncomfortable dysesthesia and/or occasional pain on his right side. MRI revealed a tumor in the medial aspect of the anterior transverse parietal gyrus, surrounding the posterior insular point. Long-term video electroencephalography monitoring with scalp electrodes failed to show relevant changes to seizures. Resection with cortical and subcortical mapping under awake conditions was performed. A negative response to stimulation was observed at the subcentral gyrus during language and somatosensory tasks; thus, the transcortical approach (specifically, a transsubcentral gyral approach) was used through this region. Subcortical stimulation at the medial aspect of the anterior parietal gyrus and the posterior insula around the posterior insular point elicited strong dysesthesia and pain in his right side, similar to manifestation of his seizure. The tumor was completely removed and pathologically diagnosed as pleomorphic xanthoastrocytoma. His epilepsy disappeared without neurological deterioration postoperatively. In this case study, 3 points are clinically significant. First, the clinical manifestation of this case was quite rare, although still representative of SII epilepsy. Second, the location of the lesion made surgical removal challenging, and the transsubcentral gyral approach was useful when intraoperative mapping was performed during awake surgery. Third, intraoperative mapping demonstrated that the patient experienced pain with electrical stimulation around the posterior insular point

  18. Radial nerve dysfunction

    MedlinePlus

    ... may occur: Abnormal sensations to the hand or forearm ("back" of the hand), "thumb side" (radial surface) ... wrist or fingers Muscle loss ( atrophy ) in the forearm Weakness of the wrist and finger Wrist or ...

  19. Radial nerve dysfunction (image)

    MedlinePlus

    The radial nerve travels down the arm and supplies movement to the triceps muscle at the back of the upper arm. ... the wrist and hand. The usual causes of nerve dysfunction are direct trauma, prolonged pressure on the ...

  20. Radial heat flux transformer

    NASA Technical Reports Server (NTRS)

    Basiulis, A.; Buzzard, R. J.

    1971-01-01

    Unit moves heat radially from small diameter shell to larger diameter shell, or vice versa, with negligible temperature drop, making device useful wherever heating or cooling of concentrically arranged materials, substances, and structures is desired.

  1. Radial nerve dysfunction

    MedlinePlus

    ... nerve leads to problems with movement in the arm and wrist and with sensation in the back of the arm or hand. ... to the radial nerve, which travels down the arm and controls movement of the triceps muscle at ...

  2. Radial turbine cooling

    NASA Astrophysics Data System (ADS)

    Roelke, Richard J.

    The technology of high temperature cooled radial turbines is reviewed. Aerodynamic performance considerations are described. Heat transfer and structural analysis are addressed, and in doing so the following topics are covered: cooling considerations, hot side convection, coolant side convection, and rotor mechanical analysis. Cooled rotor concepts and fabrication are described, and the following are covered in this context: internally cooled rotor, hot isostatic pressure bonded rotor, laminated rotor, split blade rotor, and the NASA radial turbine program.

  3. Radial turbine cooling

    NASA Technical Reports Server (NTRS)

    Roelke, Richard J.

    1992-01-01

    The technology of high temperature cooled radial turbines is reviewed. Aerodynamic performance considerations are described. Heat transfer and structural analysis are addressed, and in doing so the following topics are covered: cooling considerations, hot side convection, coolant side convection, and rotor mechanical analysis. Cooled rotor concepts and fabrication are described, and the following are covered in this context: internally cooled rotor, hot isostatic pressure bonded rotor, laminated rotor, split blade rotor, and the NASA radial turbine program.

  4. Neonatal Ross-Konno operation and endocardial fibroelastosis resection after foetal percutaneous aortic valve balloon valvuloplasty: a complex approach to rescue the left heart.

    PubMed

    Perez-Negueruela, Carolina; Mayol, Javier; Prada, Fredy; Caffarena-Calvar, Jose Maria

    2014-09-01

    We report a case of a patient who presented with aortic stenosis and a borderline left ventricle during foetal life. A balloon aortic valve valvuloplasty was performed in uterus, and in the postnatal period for relief of the left ventricular outflow tract obstruction followed by a Ross-Konno procedure with fibroelastosis resection. These successful interventions allowed left ventricular growth and the conversion to a biventricular circulation after a single-stage surgery. PMID:24627438

  5. Radial turbine cooling

    NASA Technical Reports Server (NTRS)

    Roelke, Richard J.

    1992-01-01

    Radial turbines have been used extensively in many applications including small ground based electrical power generators, automotive engine turbochargers and aircraft auxiliary power units. In all of these applications the turbine inlet temperature is limited to a value commensurate with the material strength limitations and life requirements of uncooled metal rotors. To take advantage of all the benefits that higher temperatures offer, such as increased turbine specific power output or higher cycle thermal efficiency, requires improved high temperature materials and/or blade cooling. Extensive research is on-going to advance the material properties of high temperature superalloys as well as composite materials including ceramics. The use of ceramics with their high temperature potential and low cost is particularly appealing for radial turbines. However until these programs reach fruition the only way to make significant step increases beyond the present material temperature barriers is to cool the radial blading.

  6. Radial Nerve Tendon Transfers.

    PubMed

    Cheah, Andre Eu-Jin; Etcheson, Jennifer; Yao, Jeffrey

    2016-08-01

    Radial nerve palsy typically occurs as a result of trauma or iatrogenic injury and leads to the loss of wrist extension, finger extension, thumb extension, and a reduction in grip strength. In the absence of nerve recovery, reconstruction of motor function involves tendon transfer surgery. The most common donor tendons include the pronator teres, wrist flexors, and finger flexors. The type of tendon transfer is classified based on the donor for the extensor digitorum communis. Good outcomes have been reported for most methods of radial nerve tendon transfers as is typical for positional tendon transfers not requiring significant power. PMID:27387076

  7. Radially uniform electron source

    NASA Technical Reports Server (NTRS)

    Mccomas, D.; Bame, S. J.

    1982-01-01

    A thermionic electron source capable of producing uniform count rates in a number of channel electron multipliers simultaneously was required for conditioning multipliers for an extended space mission. It was found that a straight tungsten filament in the center of a cylindrically symmetric geometry surrounded by an array of multipliers emits a radially asymmetric distribution of electrons that changes with time. A source was developed which successfully produces a time-independent radially uniform distribution of electrons by moving the filament out of the direct line of sight and replacing it with a centrally located electron 'cloud.'

  8. Radial wedge flange clamp

    DOEpatents

    Smith, Karl H.

    2002-01-01

    A radial wedge flange clamp comprising a pair of flanges each comprising a plurality of peripheral flat wedge facets having flat wedge surfaces and opposed and mating flat surfaces attached to or otherwise engaged with two elements to be joined and including a series of generally U-shaped wedge clamps each having flat wedge interior surfaces and engaging one pair of said peripheral flat wedge facets. Each of said generally U-shaped wedge clamps has in its opposing extremities apertures for the tangential insertion of bolts to apply uniform radial force to said wedge clamps when assembled about said wedge segments.

  9. Elbow dislocation with irreparable fracture radial head

    PubMed Central

    Tanna, Dilip

    2013-01-01

    Background: Treatment of elbow dislocation with irreparable radial head fracture needs replacement of radial head to achieve stability of elbow. An alternate method in cases of elbow dislocation with radial head fracture can be resection of radial head with repair of medial collateral ligament. We report a retrospective analysis of cases of elbow dislocation with irreparable radial head treated by excision head of radius and repair of MCL. Materials and Methods: Nine patients of elbow dislocation with associated irreparable fractures of the head of the radius were included in this analysis (6 F:3 M, Age: 35-47 years). Radial head excision was done through the lateral approach and MCL was sutured using no 3 Ethibond using medial approach. Above elbow plaster was given for 6 weeks and gradual mobilization was done thereafter. All patients were assessed at final followup using Mayo elbow performance score (MEPS). Results: Mean followup was 19.55 ± 7.12 months (range 14-36 months). There was no extension deficit when compared to opposite side with mean range of flexion of 138.8° ± 6.97° (range 130 -145°). Mean pronation was 87.7° ± 4.4° (range 80-90°) and mean supination was 87.7 ± 4.62° (range 80-90°). The mean MEPS was 98.8 ± 3.33 (range 90-100). No patient had pain, sensory complaints, subluxation or redislocation. All were able to carry out their daily activities without disability. Conclusion: Radial head excision with MCL repair is an acceptable option for treatment of patients with elbow dislocation and irreparable radial head fracture. PMID:23798760

  10. Silent cerebral infarct after cardiac catheterization as detected by diffusion weighted Magnetic Resonance Imaging: a randomized comparison of radial and femoral arterial approaches

    PubMed Central

    Hamon, Michèle; Burzotta, Francesco; Oppenheim, Catherine; Morello, Rémy; Viader, Fausto; Hamon, Martial

    2007-01-01

    Background and objective Cerebral microembolism detected by transcranial Doppler (TCD) occurs systematically during cardiac catheterization, but its clinical relevance, remains unknown. Studies suggest that asymptomatic embolic cerebral infarction detectable by diffusion-weighted (DW) MRI might exist after percutaneous cardiac interventions with a frequency as high as 15 to 22% of cases. We have set up, for the first time, a prospective multicenter trial to assess the rate of silent cerebral infarction after cardiac catheterization and to compare the impact of the arterial access site, comparing radial and femoral access, on this phenomenon. Study design This prospective study will be performed in patients with severe aortic valve stenosis. To assess the occurrence of cerebral infarction, all patients will undergo cerebral DW-MRI and neurological assessment within 24 hours before, and 48 hours after cardiac catheterization and retrograde catheterization of the aortic valve. Randomization for the access site will be performed before coronary angiography. A subgroup will be monitored by transcranial power M-mode Doppler during cardiac catheterization to observe cerebral blood flow and track emboli. Neuropsychological tests will also be recorded in a subgroup of patients before and after the interventional procedures to assess the impact of silent brain injury on potential cognitive decline. The primary end-point of the study is a direct comparison of ischemic cerebral lesions as detected by serial cerebral DW-MRI between patients explored by radial access and patients explored by femoral access. Secondary end-points include comparison of neuropsychological test performance and number of microembolism signals observed in the two groups. Implications Using serial DW-MRI, silent cerebral infarction rate will be defined and the potential influence of vascular access site will be evaluated. Silent cerebral infarction might be a major concern during cardiac catheterization

  11. Radial forces in a misaligned radial face seal

    NASA Technical Reports Server (NTRS)

    Etsion, I.

    1977-01-01

    Radial forces on the primary seal ring of a flat misaligned seal are analyzed, taking into account the radial variation in seal clearance. An analytical solution for both hydrostatic and hydrodynamic effects is presented that covers the whole range from zero to full angular misalignment. The net radial force on the primary seal ring is always directed so as to produce a radial eccentricity which generates inward pumping. Although the radial force is usually very small, in some cases it may be one of the reasons for excessive leakage through both the primary and secondary seals of a radial face seal.

  12. Radial forces in a misaligned radial face seal

    NASA Technical Reports Server (NTRS)

    Etsion, I.

    1978-01-01

    Radial forces on the primary seal ring of a flat misaligned seal are analyzed, taking into account the radial variation in seal clearance. An analytical solution for both hydrostatic and hydrodynamic effects is presented that covers the whole range from zero to full angular misalignment. The net radial force on the primary seal ring is always directed so as to produce a radial eccentricity which generates inward pumping. Although the radial force is usually very small, in some cases it may be one of the reasons for excessive leakage through both the primary and secondary seals of a radial face seal.

  13. Hypoplastic left heart syndrome

    MedlinePlus

    HLHS; Congenital heart - hypoplastic left heart; Cyanotic heart disease - hypoplastic left heart ... Hypoplastic left heart is a rare type of congenital heart disease. It is more common in males than in females. As ...

  14. Extruder scale-up assessment in the process of extrusion-spheronization: comparison of radial and axial systems by a design of experiments approach.

    PubMed

    Désiré, Amélie; Paillard, Bruno; Bougaret, Joël; Baron, Michel; Couarraze, Guy

    2013-02-01

    Scaling-up the extrusion-spheronization process involves the separate scale-up of each of the five process steps: dry mixing, granulation, extrusion, spheronization, and drying. The aim of the study was to compare two screw extrusion systems regarding their suitability for scaling-up. Two drug substances of high- and low-solubility in water were retained at different concentrations as formulation variables. Different spheronization times were tested. The productivity of the process was followed up using the extrusion rate and yield. Pellets were characterized by their size and shape, and by their structural and mechanical properties. A response surface design of experiments was built to evaluate the influence of the different variables and their interactions on each response, and to select the type of extrusion which provides the best results in terms of product quality, the one which shows less influence on the product after scale-up ("scalability") and when the formula used changes ("robustness"), and the one which allows the possibility to adjust pellet properties with spheronization variables ("flexibility"). Axial system showed the best characteristics in terms of product quality at lab and industrial scales, the best robustness at industrial scale, and the best scalability, by comparison with radial system. Axial system thus appeared as the easiest scaled-up system. Compared to lab scale, the conclusions observed at industrial scale were the same in terms of product quality, but different for robustness and flexibility, which confirmed the importance to test the systems at industrial scale before acquiring the equipment. PMID:23216219

  15. Radial Inflow Turboexpander Redesign

    SciTech Connect

    William G. Price

    2001-09-24

    Steamboat Envirosystems, LLC (SELC) was awarded a grant in accordance with the DOE Enhanced Geothermal Systems Project Development. Atlas-Copco Rotoflow (ACR), a radial expansion turbine manufacturer, was responsible for the manufacturing of the turbine and the creation of the new computer program. SB Geo, Inc. (SBG), the facility operator, monitored and assisted ACR's activities as well as provided installation and startup assistance. The primary scope of the project is the redesign of an axial flow turbine to a radial inflow turboexpander to provide increased efficiency and reliability at an existing facility. In addition to the increased efficiency and reliability, the redesign includes an improved reduction gear design, and improved shaft seal design, and upgraded control system and a greater flexibility of application

  16. Variable stator radial turbine

    NASA Technical Reports Server (NTRS)

    Rogo, C.; Hajek, T.; Chen, A. G.

    1984-01-01

    A radial turbine stage with a variable area nozzle was investigated. A high work capacity turbine design with a known high performance base was modified to accept a fixed vane stagger angle moveable sidewall nozzle. The nozzle area was varied by moving the forward and rearward sidewalls. Diffusing and accelerating rotor inlet ramps were evaluated in combinations with hub and shroud rotor exit rings. Performance of contoured sidewalls and the location of the sidewall split line with respect to the rotor inlet was compared to the baseline. Performance and rotor exit survey data are presented for 31 different geometries. Detail survey data at the nozzle exit are given in contour plot format for five configurations. A data base is provided for a variable geometry concept that is a viable alternative to the more common pivoted vane variable geometry radial turbine.

  17. Radial pressure flange seal

    DOEpatents

    Batzer, T.H.; Call, W.R.

    1989-01-24

    This invention provides an all metal seal for vacuum or pressure vessels or systems. This invention does not use gaskets. The invention uses a flange which fits into a matching groove. Fluid pressure is applied in a chamber in the flange causing at least one of the flange walls to radially press against a side of the groove creating the seal between the flange wall and the groove side. 5 figs.

  18. Radial pressure flange seal

    DOEpatents

    Batzer, Thomas H.; Call, Wayne R.

    1989-01-01

    This invention provides an all metal seal for vacuum or pressure vessels or systems. This invention does not use gaskets. The invention uses a flange which fits into a matching groove. Fluid pressure is applied in a chamber in the flange causing at least one of the flange walls to radially press against a side of the groove creating the seal between the flange wall and the groove side.

  19. Radial Field Piezoelectric Diaphragms

    NASA Technical Reports Server (NTRS)

    Bryant, R. G.; Effinger, R. T., IV; Copeland, B. M., Jr.

    2002-01-01

    A series of active piezoelectric diaphragms were fabricated and patterned with several geometrically defined Inter-Circulating Electrodes "ICE" and Interdigitated Ring Electrodes "ICE". When a voltage potential is applied to the electrodes, the result is a radially distributed electric field that mechanically strains the piezoceramic along the Z-axis (perpendicular to the applied electric field). Unlike other piezoelectric bender actuators, these Radial Field Diaphragms (RFDs) strain concentrically yet afford high displacements (several times that of the equivalent Unimorph) while maintaining a constant circumference. One of the more intriguing aspects is that the radial strain field reverses itself along the radius of the RFD while the tangential strain remains relatively constant. The result is a Z-deflection that has a conical profile. This paper covers the fabrication and characterization of the 5 cm. (2 in.) diaphragms as a function of poling field strength, ceramic thickness, electrode type and line spacing, as well as the surface topography, the resulting strain field and displacement as a function of applied voltage at low frequencies. The unique features of these RFDs include the ability to be clamped about their perimeter with little or no change in displacement, the environmentally insulated packaging, and a highly repeatable fabrication process that uses commodity materials.

  20. Radially inhomogeneous bounded plasmas

    NASA Astrophysics Data System (ADS)

    Zakeri-Khatir, H.; Aghamir, F. M.

    2016-07-01

    On the basis of kinetic theory along with self-consistent field equations, the expressions for dielectric tensor of radially inhomogeneous magnetized plasma columns are obtained. The study of dielectric tensor characteristics allows the accurate analysis of the inhomogeneous properties, beyond limitations that exist in the conventional method. Through the Bessel–Fourier transformation, the localized form of material equations in a radially inhomogeneous medium are obtained. In order to verify the integrity of the model and reveal the effect of inhomogeneity, a special case of a cylindrical plasma waveguide completely filled with inhomogeneous magnetized cold plasma was considered. The dispersion relation curves for four families of electromagnetic (EH and HE) and electrostatic (SC and C) modes are obtained and compared with the findings of the conventional model. The numerical analysis indicates that the inhomogeneity effect leads to coupling of electromagnetic and electrostatic modes each having different radial eigen numbers. The study also reveals that the electrostatic modes are more sensitive to inhomogeneous effects than the electromagnetic modes.

  1. An unusual course of the radial artery.

    PubMed

    Pelin, C; Zagyapan, R; Mas, N; Karabay, G

    2006-11-01

    Radial artery variations are of importance for clinicians, whether in angiographic examinations or surgical approaches. The high origin radial artery is the most frequent arterial variation observed in the upper limb, showing an incidence of 14.27% in dissection material and 9.75% in angiographic examination. In the present study an unusual course of the radial artery and its relation with the median nerve has been evaluated. During embryological development the radial artery sprouts from two arterial buds arising from the lateral side of the brachial artery and coalescing with each other. The artery lies in the forearm and is overlapped by the brachioradial muscle. In this particular case the radial artery originated from the medial side of the brachial artery and crossed the median nerve twice in an unusual manner 8 cm below the point at which the deep brachial artery arose and 12 cm above the intercondylar line. These results will enhance anatomical knowledge of the region and reduce complication in surgical approaches. PMID:17171625

  2. Antiproton compression and radial measurements

    SciTech Connect

    Andresen, G. B.; Bowe, P. D.; Hangst, J. S.; Bertsche, W.; Butler, E.; Charlton, M.; Humphries, A. J.; Jenkins, M. J.; Joergensen, L. V.; Madsen, N.; Werf, D. P. van der; Bray, C. C.; Chapman, S.; Fajans, J.; Povilus, A.; Wurtele, J. S.; Cesar, C. L.; Lambo, R.; Silveira, D. M.; Fujiwara, M. C.

    2008-08-08

    Control of the radial profile of trapped antiproton clouds is critical to trapping antihydrogen. We report detailed measurements of the radial manipulation of antiproton clouds, including areal density compressions by factors as large as ten, achieved by manipulating spatially overlapped electron plasmas. We show detailed measurements of the near-axis antiproton radial profile, and its relation to that of the electron plasma. We also measure the outer radial profile by ejecting antiprotons to the trap wall using an octupole magnet.

  3. Anatomical study of the intrahepatic biliary ducts. Parameters that guide the surgical approach in transplanting the left lobe of the liver

    PubMed Central

    FARIAS, F.; BIGOLIN, A. VICENTE; CAVAZZOLA, L. TOTTI; DA COSTA FILHO, O. PEREIRA; DA COSTA, R. GONÇALVES; KALIL, A. NOCCHI

    2013-01-01

    Summary Introduction The techniques of split liver transplantation and transplanting organs from living donors require a thorough anatomical knowledge of biliary drainage, and this is an important factor in preventing complications. Methods forty-five human livers were used to perform this study. Measurements were made between the confluence of the right hepatic duct (RHD) and the left hepatic duct (LHD) and among the following structures: the venous ligament, the vertex of the confluence of the duct of segment II (DSll) and the duct of segment III (DSIII), the insertion of the duct of the segment I (DSI) and the duct of segment IV (DSIV). Then the distance between the vertex of the confluence of DSII and DSIII and the ligamentum venosum was checked. Results The LHD had less anatomical variation than the RHD. Four drainage patterns were established for the left lobe, and pattern l, in which the confluence of DSll and DSIII is to the left of the ligamentum venosum, is considered to be the most constant one. A single duct of the confluence of DSll and DSIII was found 1, 2 and 2.5 cm to the right of the ligamentum venosum in 65%, 80%, and 95% of the cases, respectively. Conclusion It was possible to show evidence of four drainage patterns of the left anatomical lobe of the liver. Furthermore, it was possible to establish the ligamentum venosum as an anatomical reference for locating the confluences of the ducts of the left liver segments. PMID:24091176

  4. Radial reflection diffraction tomography

    DOEpatents

    Lehman, Sean K.

    2012-12-18

    A wave-based tomographic imaging method and apparatus based upon one or more rotating radially outward oriented transmitting and receiving elements have been developed for non-destructive evaluation. At successive angular locations at a fixed radius, a predetermined transmitting element can launch a primary field and one or more predetermined receiving elements can collect the backscattered field in a "pitch/catch" operation. A Hilbert space inverse wave (HSIW) algorithm can construct images of the received scattered energy waves using operating modes chosen for a particular application. Applications include, improved intravascular imaging, bore hole tomography, and non-destructive evaluation (NDE) of parts having existing access holes.

  5. Radial Reflection diffraction tomorgraphy

    DOEpatents

    Lehman, Sean K

    2013-11-19

    A wave-based tomographic imaging method and apparatus based upon one or more rotating radially outward oriented transmitting and receiving elements have been developed for non-destructive evaluation. At successive angular locations at a fixed radius, a predetermined transmitting element can launch a primary field and one or more predetermined receiving elements can collect the backscattered field in a "pitch/catch" operation. A Hilbert space inverse wave (HSIW) algorithm can construct images of the received scattered energy waves using operating modes chosen for a particular application. Applications include, improved intravascular imaging, bore hole tomography, and non-destructive evaluation (NDE) of parts having existing access holes.

  6. Underground radial pipe network

    SciTech Connect

    Peterson, D.L.

    1984-04-24

    The network, useful in conducting fluids to underground sites, is an assembly of flexible pipes or tubes, suspended from and connected to a drill pipe. The flexible pipes, assembled in a bundle, are spring biased to flare outwardly in an arcuate manner when a releasable cap on the distal end of the bundle is removed. The assembled bundle is inserted into and lowered down a bore hole. When the cap is released, the pipes flare radially and outwardly. Fluid, pumped into and through the assembly, can be directed into the underground formation for various purposes.

  7. Radial Rydberg wavepacket maps

    NASA Astrophysics Data System (ADS)

    Zeibel, J. G.; Jones, R. R.

    2001-04-01

    Picosecond laser pulses have been used to excite radial Rydberg wavepackets in Ca. Time-delayed, unipolar, `half-cycle' electric field pulses are used to probe the evolution of the wavepackets as a continuous function of binding energy. The data provide three-dimensional maps of wavepacket recurrence probability versus binding energy versus time. A rescaling of the energy and time coordinate axes allows the visualization of the distinct difference between the initial oscillations of the wavepacket and those that occur at integer and fractional revivals.

  8. Radial cutting torch

    SciTech Connect

    Robertson, M.C.

    1997-01-08

    The project`s aim is to complete development of the Radial Cutting Torch, a pyrotechnic cutter, for use in all downhole tubular cutting operations in the petroleum industry. Project objectives are to redesign and pressure test nozzle seals to increase product quality, reliability, and manufacturability; improve the mechanical anchor to increase its temperature tolerance and its ability to function in a wider variety of wellbore fluids; and redesign and pressure test the RCT nozzle for operation at pressures from 10 to 20 ksi. The proposal work statement is included in the statement of work for the grant via this reference.

  9. On one classical problem in the radial orbit instability theory

    NASA Astrophysics Data System (ADS)

    Polyachenko, E. V.; Shukhman, I. G.

    2016-02-01

    Antonov's classical problem of stability of a collisionless sphere with a purely radial motion of stars is considered as a limit of the problem in which stars move in nearly radial orbits. We provide the proper limiting equations that take into account the singularity in the density distribution at the sphere center and give their solutions. We show that there is instability for even and odd spherical harmonics, with all unstable modes being not slow. The growth rates of aperiodic even modes increase indefinitely when approaching purely radial models. The physics of the radial orbit instability is discussed.

  10. Fast radial flows in transition disk holes

    SciTech Connect

    Rosenfeld, Katherine A.; Andrews, Sean M.; Chiang, Eugene

    2014-02-20

    Protoplanetary 'transition' disks have large, mass-depleted central cavities, yet also deliver gas onto their host stars at rates comparable to disks without holes. The paradox of simultaneous transparency and accretion can be explained if gas flows inward at much higher radial speeds inside the cavity than outside the cavity, since surface density (and by extension optical depth) varies inversely with inflow velocity at fixed accretion rate. Radial speeds within the cavity might even have to approach free-fall values to explain the huge surface density contrasts inferred for transition disks. We identify observational diagnostics of fast radial inflow in channel maps made in optically thick spectral lines. Signatures include (1) twisted isophotes in maps made at low systemic velocities and (2) rotation of structures observed between maps made in high-velocity line wings. As a test case, we apply our new diagnostic tools to archival Atacama Large Millimeter Array data on the transition disk HD 142527 and uncover evidence for free-fall radial velocities inside its cavity. Although the observed kinematics are also consistent with a disk warp, the radial inflow scenario is preferred because it predicts low surface densities that appear consistent with recent observations of optically thin CO isotopologues in this disk. How material in the disk cavity sheds its angular momentum wholesale to fall freely onto the star is an unsolved problem; gravitational torques exerted by giant planets or brown dwarfs are briefly discussed as a candidate mechanism.

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

    PubMed

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

    2016-08-01

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

  12. Radial cold trap

    DOEpatents

    Grundy, Brian R.

    1981-01-01

    The radial cold trap comprises a housing having a plurality of mesh bands disposed therein. The mesh bands comprise concentrically arranged bands of mesh with the mesh specific surface area of each band increasing from the outermost mesh band to the innermost mesh band. An inlet nozzle is attached to the outside section of the housing while an outlet nozzle is attached to the inner portion of the housing so as to be concentrically connected to the innermost mesh band. An inlet baffle having orifices therein may be disposed around the outermost mesh band and within the housing for directing the flow of the fluid from the inlet nozzle to the outermost mesh band in a uniform manner. The flow of fluid passes through each consecutive mesh band and into the outlet nozzle. The circular pattern of the symmetrically arranged mesh packing allows for better utilization of the entire cold trap volume.

  13. Radial cold trap

    DOEpatents

    Grundy, B.R.

    1981-09-29

    The radial cold trap comprises a housing having a plurality of mesh bands disposed therein. The mesh bands comprise concentrically arranged bands of mesh with the mesh specific surface area of each band increasing from the outermost mesh band to the innermost mesh band. An inlet nozzle is attached to the outside section of the housing while an outlet nozzle is attached to the inner portion of the housing so as to be concentrically connected to the innermost mesh band. An inlet baffle having orifices therein may be disposed around the outermost mesh band and within the housing for directing the flow of the fluid from the inlet nozzle to the outermost mesh band in a uniform manner. The flow of fluid passes through each consecutive mesh band and into the outlet nozzle. The circular pattern of the symmetrically arranged mesh packing allows for better utilization of the entire cold trap volume. 2 figs.

  14. A fully relativistic radial fall

    NASA Astrophysics Data System (ADS)

    Spallicci, Alessandro D. A. M.; Ritter, Patxi

    2014-10-01

    Radial fall has historically played a momentous role. It is one of the most classical problems, the solutions of which represent the level of understanding of gravitation in a given epoch. A gedankenexperiment in a modern frame is given by a small body, like a compact star or a solar mass black hole, captured by a supermassive black hole. The mass of the small body itself and the emission of gravitational radiation cause the departure from the geodesic path due to the back-action, that is the self-force. For radial fall, as any other non-adiabatic motion, the instantaneous identity of the radiated energy and the loss of orbital energy cannot be imposed and provide the perturbed trajectory. In the first part of this paper, we present the effects due to the self-force computed on the geodesic trajectory in the background field. Compared to the latter trajectory, in the Regge-Wheeler, harmonic and all others smoothly related gauges, a far observer concludes that the self-force pushes inward (not outward) the falling body, with a strength proportional to the mass of the small body for a given large mass; further, the same observer notes a higher value of the maximal coordinate velocity, this value being reached earlier during infall. In the second part of this paper, we implement a self-consistent approach for which the trajectory is iteratively corrected by the self-force, this time computed on osculating geodesics. Finally, we compare the motion driven by the self-force without and with self-consistent orbital evolution. Subtle differences are noticeable, even if self-force effects have hardly the time to accumulate in such a short orbit.

  15. Radial gate hoist mechanisms mounted above radial gates, view to ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Radial gate hoist mechanisms mounted above radial gates, view to the east - Wellton-Mohawk Irrigation System, Wasteway No. 1, Wellton-Mohawk Canal, North side of Wellton-Mohawk Canal, bounded by Gila River to North & the Union Pacific Railroad & Gila Mountains to south, Wellton, Yuma County, AZ

  16. Radially composite piezoelectric ceramic tubular transducer in radial vibration.

    PubMed

    Shuyu, Lin; Shuaijun, Wang

    2011-11-01

    The radially composite piezoelectric tubular transducer is studied. It is composed of radially poled piezoelectric and a long metal tube. The electro-mechanical equivalent circuit of the radially poled piezoelectric and metal tube in radial vibration is obtained. Based on the force and velocity boundary conditions, the six-port electro-mechanical equivalent circuit for the composite tubular transducer is given and the resonance/anti-resonance frequency equations are obtained. The relationship between the resonance frequency and the dimensions is analyzed. Numerically simulated results obtained by the finite element method are compared with those from the analytical method. Composite piezoelectric tubular transducers are designed and manufactured. The resonance/anti-resonance frequencies are measured, and it is shown that the theoretical results are in good agreement with the simulated and experimental results. It is expected that radially composite piezoelectric tubular transducers can be used as high-power ultrasonic radiators in ultrasonic applications, such as ultrasonic liquid processing. PMID:22083782

  17. An Approach to Measuring Dispersed Families with a Particular Focus on Children ‘Left Behind’ by Migrant Parents: Findings from Rural South Africa

    PubMed Central

    Bennett, Rachel; Hosegood, Victoria; Newell, Marie-Louise; McGrath, Nuala

    2015-01-01

    There is growing policy and academic interest in the conditions, experiences, and well-being of migrant families stretched across origin and destination households. In South Africa, the dispersal of children and migrant parents across multiple households is a commonplace childhood experience. However, in common with the broader international context, quantitative analyses of the social and residential connections between children and migrant parents in South Africa have been limited by the lack of available data that document family arrangements from the perspective of more than one household. This paper describes a new data collection effort in the origin and destination households of migrants from rural KwaZulu-Natal and explains the methodology for using this data to examine multiple household contexts for children and parents. In order to illustrate the contribution that this form of data collection effort could make to family migration studies, the paper also presents results on the living arrangements of children ‘left behind’ by migrant parents; a potentially vulnerable group whose arrangements are challenging to examine with existing data sources. The empirical results show the majority (75%) of left behind children have previously migrated and a significant proportion of migrants' children (25%) were not living in their parent's origin or destination household. The findings highlight the need for careful measurement of the circumstances of left behind children and demonstrate the contribution of linked data for providing insights into the residential arrangements of migrants' children. © 2014 The Authors. Population, Space and Place published by John Wiley & Sons Ltd PMID:25983668

  18. Radial flow heat exchanger

    DOEpatents

    Valenzuela, Javier

    2001-01-01

    A radial flow heat exchanger (20) having a plurality of first passages (24) for transporting a first fluid (25) and a plurality of second passages (26) for transporting a second fluid (27). The first and second passages are arranged in stacked, alternating relationship, are separated from one another by relatively thin plates (30) and (32), and surround a central axis (22). The thickness of the first and second passages are selected so that the first and second fluids, respectively, are transported with laminar flow through the passages. To enhance thermal energy transfer between first and second passages, the latter are arranged so each first passage is in thermal communication with an associated second passage along substantially its entire length, and vice versa with respect to the second passages. The heat exchangers may be stacked to achieve a modular heat exchange assembly (300). Certain heat exchangers in the assembly may be designed slightly differently than other heat exchangers to address changes in fluid properties during transport through the heat exchanger, so as to enhance overall thermal effectiveness of the assembly.

  19. Radial systems of dark globules

    SciTech Connect

    Gyul'budagyn, A.L.

    1986-03-01

    The author gives examples of radial systems consisting of dark globules and ''elephant trunks''. Besides already known systems, which contain hot stars at their center, data are given on three radial systems of a new kind, at the center of which there are stars of spectral types later than B. Data are given on 32 globules of radial systems of the association Cep OB2. On the basis of the observational data, it is concluded that at least some of the isolated Bok globules derive from elephant trunks and dark globules forming radial systems around hot stars. It is also suggested that the two molecular clouds situated near the Rosette nebula and possessing velocities differing by ca 20 km/sec from the velocity of the nebula could have been ejected in opposite directions from the center of the nebula. One of these clouds consists of dark globules forming the radial system of the Rosette nebula.

  20. Intrinsic radial sensitivity of nucleon inelastic scattering

    NASA Astrophysics Data System (ADS)

    Kelly, J. J.

    1988-02-01

    A linear expansion analysis of the folding model transition amplitude is used to study the intrinsic sensitivity of the inelastic scattering of intermediate energy nucleons to the radial form of the neutron transition density, given known proton transition densities from electron scattering. Realistic density-dependent effective interactions are used to construct pseudodata. These pseudodata are then reanalyzed and the error matrix is used to calculate an error band for the radial transition density. This approach reveals the sensitivity of the extracted transition density to absorption, medium modifications of the interaction, and the extent and quality of the data in a manner that is largely free of the residual inaccuracies in reaction theory that complicate the analysis of real data. We find that the intrinsic radial sensitivity of nucleon inelastic scattering is best for projectile energies between 200 and 500 MeV, but is adequate to resolve the radial dependence of neutron transition densities even in the interior of heavy nuclei throughout the energy regime 100-800 MeV. We have also compared our method with scale-factor analyses which assume proportionality between neutron and proton densities. For states whose transition densities are similar in the surface, we find scaling to be accurate at the 20% level. However, for light nuclei substantial deviations beyond the first peak of the differential cross section reveal sensitivity to shape differences. This sensitivity is reduced for heavy nuclei. The model dependence of radial densities is also studied. A high-q constraint is used to analyze the contribution of incompleteness error to the deduced error bands and to reduce the model dependence.

  1. Radial and azimuthal beam parameters.

    PubMed

    Lumer, Yaakov; Moshe, Inon

    2009-02-01

    Global invariant parameters are introduced to characterize the radial and azimuthal content of totally polarized beams. Such parameters are written in terms of the second moments of the optical beam and are invariant in propagation through symmetric first-order optical systems described by the ABCD matrix. Since it was proven in the past that the usual definition for radial polarization is not invariant, such invariance is novel in characterizing the radial and azimuthal polarizations content of optical beams. The possibility of obtaining a pure mode from a given beam using the proposed parameters is discussed. PMID:19183626

  2. Pre-ejection period by radial artery tonometry supplements echo doppler findings during biventricular pacemaker optimization

    PubMed Central

    2011-01-01

    Background Biventricular (Biv) pacemaker echo optimization has been shown to improve cardiac output however is not routinely used due to its complexity. We investigated the role of a simple method involving computerized pre-ejection time (PEP) assessment by radial artery tonometry in guiding Biv pacemaker optimization. Methods Blinded echo and radial artery tonometry were performed simultaneously in 37 patients, age 69.1 ± 12.8 years, left ventricular (LV) ejection fraction (EF) 33 ± 10%, during Biv pacemaker optimization. Effect of optimization on echo derived velocity time integral (VTI), ejection time (ET), myocardial performance index (MPI), radial artery tonometry derived PEP and echo-radial artery tonometry derived PEP/VTI and PEP/ET indices was evaluated. Results Significant improvement post optimization was achieved in LV ET (286.9 ± 37.3 to 299 ± 34.6 ms, p < 0.001), LV VTI (15.9 ± 4.8 cm to 18.4 ± 5.1 cm, p < 0.001) and MPI (0.57 ± 0.2 to 0.45 ± 0.13, p < 0.001) and in PEP (246.7 ± 36.1 ms to 234.7 ± 35.5 ms, p = 0.003), PEP/ET (0.88 ± 0.21 to 0.79 ± 0.17, p < 0.001), and PEP/VTI (17.3 ± 7 to 13.78 ± 4.7, p < 0.001). The correlation between comprehensive echo Doppler and radial artery tonometry-PEP guided optimal atrioventricular delay (AVD) and optimal interventricular delay (VVD) was 0.75 (p < 0.001) and 0.69 (p < 0.001) respectively. In 29 patients with follow up assessment, New York Heart Association (NYHA) class reduced from 2.5 ± 0.8 to 2.0 ± 0.9 (p = 0.004) at 1.8 ± 1.4 months. Conclusion An acute shortening of PEP by radial artery tonometry occurs post Biv pacemaker optimization and correlates with improvement in hemodynamics by echo Doppler and may provide a cost-efficient approach to assist with Biv pacemaker echo optimization. PMID:21794181

  3. Coplanar Waveguide Radial Line Stub

    NASA Technical Reports Server (NTRS)

    Simons, R. N.; Taub, S. R.

    1993-01-01

    A coplanar waveguide radial line stub resonator is experimentally characterized with respect to stub radius, sectoral angle, substrate thickness, and relative dielectric constant. A simple closed-form design equation which predicts the resonance radius of the stub is presented.

  4. Geometric and Dosimetric Approach to Determine Probability of Late Cardiac Mortality in Left Tangential Breast Irradiation: Comparison Between Wedged Beams and Field-in-Field Technique

    SciTech Connect

    Pili, Giorgio; Grimaldi, Luca; Fidanza, Christian; Florio, Elena T.; Petruzzelli, Maria F.; D'Errico, Maria P.; De Tommaso, Cristina; Tramacere, Francesco; Musaio, Francesca; Castagna, Roberta; Francavilla, Maria C.; Gianicolo, Emilio A.L.; Portaluri, Maurizio

    2011-11-01

    Purpose: To evaluate the probability of late cardiac mortality resulting from left breast irradiation planned with tangential fields and to compare this probability between the wedged beam and field-in-field (FIF) techniques and to investigate whether some geometric/dosimetric indicators can be determined to estimate the cardiac mortality probability before treatment begins. Methods and Materials: For 30 patients, differential dose-volume histograms were calculated for the wedged beam and FIF plans, and the corresponding cardiac mortality probabilities were determined using the relative seriality model. As a comparative index of the dose distribution uniformity, the planning target volume (PTV) percentages involved in 97-103% of prescribed dose were determined for the two techniques. Three geometric parameters were measured for each patient: the maximal length, indicates how much the heart contours were displaced toward the PTV, the angle subtended at the center of the computed tomography slice by the PTV contour, and the thorax width/thickness ratio. Results: Evaluating the differential dose-volume histograms showed that the gain in uniformity between the two techniques was about 1.5. With the FIF technique, the mean dose sparing for the heart, the left anterior descending coronary artery, and the lung was 15% (2.5 Gy vs. 2.2 Gy), 21% (11.3 Gy vs. 9.0 Gy), and 42% (8.0 Gy vs. 4.6 Gy) respectively, compared with the wedged beam technique. Also, the cardiac mortality probability decreased by 40% (from 0.9% to 0.5%). Three geometric parameters, the maximal length, angle subtended at the center of the computed tomography slice by the PTV contour, and thorax width/thickness ratio, were the determining factors (p = .06 for FIF, and p = .10 for wedged beam) for evaluating the cardiac mortality probability. Conclusion: The FIF technique seemed to yield a lower cardiac mortality probability than the conventional wedged beam technique. However, although our study

  5. A combined deep-learning and deformable-model approach to fully automatic segmentation of the left ventricle in cardiac MRI.

    PubMed

    Avendi, M R; Kheradvar, Arash; Jafarkhani, Hamid

    2016-05-01

    Segmentation of the left ventricle (LV) from cardiac magnetic resonance imaging (MRI) datasets is an essential step for calculation of clinical indices such as ventricular volume and ejection fraction. In this work, we employ deep learning algorithms combined with deformable models to develop and evaluate a fully automatic LV segmentation tool from short-axis cardiac MRI datasets. The method employs deep learning algorithms to learn the segmentation task from the ground true data. Convolutional networks are employed to automatically detect the LV chamber in MRI dataset. Stacked autoencoders are used to infer the LV shape. The inferred shape is incorporated into deformable models to improve the accuracy and robustness of the segmentation. We validated our method using 45 cardiac MR datasets from the MICCAI 2009 LV segmentation challenge and showed that it outperforms the state-of-the art methods. Excellent agreement with the ground truth was achieved. Validation metrics, percentage of good contours, Dice metric, average perpendicular distance and conformity, were computed as 96.69%, 0.94, 1.81 mm and 0.86, versus those of 79.2-95.62%, 0.87-0.9, 1.76-2.97 mm and 0.67-0.78, obtained by other methods, respectively. PMID:26917105

  6. High power radial klystron oscillator

    SciTech Connect

    Arman, M.J.

    1995-11-01

    The advantages of the radial klystron amplifier over the conventional klystron amplifier have been reported by Arman et al. Briefly, the radial structure of this design allows for much smaller impedances and thus higher power, the beam-cavity coupling is stronger because the beam travels inside the cavity, and the source is much more compact because there is no need for external magnetic fields. Here the author reports on possible advantages of the radial klystron oscillator over the radial klystron amplifier. The amplifying nature of certain HPM sources is often mandated by the requirement for synchronization and phase-locking of a number of sources in specific applications. In situations where amplification is solely adhered to for the purpose of achieving higher powers, the oscillator will be a better choice if a mechanism can be found to grow the desired mode at the required frequency. By switching to the oscillator mode there will be no need for priming the cavity or maintaining the phase. This simplifies the design and reduces the operational and maintenance cost of the source. Here he reports that an oscillator version of the radial klystron is possible and in fact more suitable for many applications. The mechanism for exciting and growing the mode will be transit-time effects thus providing all the beneficial features of the transit-time oscillators. The complications due to the presence of thin foils in the radial design still persist and will be dealt with in subsequent works. Numerical simulations using the PIC codes MAGIC and SOS indicate the radial klystron oscillator is a viable and efficient means of rf generation.

  7. Left heart catheterization

    MedlinePlus

    Catheterization - left heart ... to help guide the catheters up into your heart and arteries. Dye will be injected into your ... in the blood vessels that lead to your heart. The catheter is then moved through the aortic ...

  8. Hypoplastic left heart syndrome

    MedlinePlus

    ... not grow properly, including the: Aorta -- the blood vessel that carries oxygen-rich blood from the left ... between the arteries and pulmonary arteries (the blood vessels that carry blood to the lungs). Babies are ...

  9. Left-Handed Connections.

    ERIC Educational Resources Information Center

    Lipson, Alice M.

    1984-01-01

    The following aspects of left-handedness are discussed: etiology and associated learning and developmental disorders; right-brain dominance and how to detect it; adaptations to the physical learning environment; behavior patterns; and teaching techniques. (JW)

  10. Double inlet left ventricle

    MedlinePlus

    ... born with this condition have only one working pumping chamber (ventricle) in their heart. ... condition generally have a large left ventricle (the pumping chamber of the heart that supplies the body ...

  11. Radial lean direct injection burner

    DOEpatents

    Khan, Abdul Rafey; Kraemer, Gilbert Otto; Stevenson, Christian Xavier

    2012-09-04

    A burner for use in a gas turbine engine includes a burner tube having an inlet end and an outlet end; a plurality of air passages extending axially in the burner tube configured to convey air flows from the inlet end to the outlet end; a plurality of fuel passages extending axially along the burner tube and spaced around the plurality of air passage configured to convey fuel from the inlet end to the outlet end; and a radial air swirler provided at the outlet end configured to direct the air flows radially toward the outlet end and impart swirl to the air flows. The radial air swirler includes a plurality of vanes to direct and swirl the air flows and an end plate. The end plate includes a plurality of fuel injection holes to inject the fuel radially into the swirling air flows. A method of mixing air and fuel in a burner of a gas turbine is also provided. The burner includes a burner tube including an inlet end, an outlet end, a plurality of axial air passages, and a plurality of axial fuel passages. The method includes introducing an air flow into the air passages at the inlet end; introducing a fuel into fuel passages; swirling the air flow at the outlet end; and radially injecting the fuel into the swirling air flow.

  12. Surgical management of left ventricular thrombus following severe dehydration.

    PubMed

    Tanaka, Yuki; Nie, Masaki; Yamamoto, Nobuyuki; Ohara, Kuniyoshi; Miyaji, Kagami

    2016-08-01

    We experienced a case involving a left ventricular ball-like thrombus caused by severe following a 150 mile cycling road race. The patient had lower-limb arterial obstruction due to systemic thromboembolism on admission with no significant embolism, including the cerebral arteries, were detected. Left ventricular wall motion was good with no evidence of left and right coronary artery occlusion; therefore, we performed emergency left ventricular thrombectomy. Although there are many reports of left ventricular thrombus following acute myocardial infarction, dehydration is a very rare cause. Herein, we describe the surgical and management approaches to the treatment of left ventricular thrombectomy in this case. PMID:26266631

  13. En bloc aortic and mitral valve replacement and left ventricular outflow tract enlargement using a combined transaortic and trans-septal atrial approach.

    PubMed

    Hassan, Mohammed; Windsor, Jimmy; Ricci, Marco

    2015-12-01

    Aortic and mitral valve replacement with division and reconstruction of the inter-valvular fibrous body has been described in clinical situations involving infective endocarditis, extensive annular calcifications and diminutive valve annuli. Herein, we describe a combined transaortic and trans-septal approach with division of the inter-valvular fibrosa for combined aortic and mitral valve replacement. The reconstruction of the inter-valvular fibrous body, atrial walls and aortic root was carried out using a 'three-patch' technique with bovine pericardium. PMID:26409564

  14. Free-floating left atrial ball thrombus after mitral valve replacement with patent coronary artery bypass grafts: successful removal by a right minithoracotomy approach without aortic cross-clamp.

    PubMed

    Hisatomi, Kazuki; Hashizume, Koji; Tanigawa, Kazuyoshi; Miura, Takashi; Matsukuma, Seiji; Yokose, Shogo; Kitamura, Tessho; Shimada, Takashi; Eishi, Kiyoyuki

    2016-06-01

    A free-floating thrombus in the left atrium without attachment to either the atrial wall or the mitral valve is extremely rare. We describe a case in a 79-year-old woman with chronic atrial fibrillation and a recent stroke who had undergone mitral valve replacement 25 years previously and coronary artery bypass grafting 5 years previously. Redo cardiac surgery represents a clinical challenge due to a higher rate of peri-operative morbidity and mortality. Median re-sternotomy can be particularly difficult in patients with functioning coronary artery grafts, where the risk of graft injury is a significant concern. Prompt surgical intervention was carried out, and to avoid the challenge of re-sternotomy in this patient with two prior thoracotomies, we successfully removed the thrombus by a right minithoracotomy approach without aortic cross-clamping. There was no postoperative occurrence of a new stroke or aggravation of the pre-existing stroke. PMID:25098689

  15. Left ventricular restoration devices.

    PubMed

    Oliveira, Guilherme H; Al-Kindi, Sadeer G; Bezerra, Hiram G; Costa, Marco A

    2014-04-01

    Left ventricular (LV) remodeling results in continuous cardiac chamber enlargement and contractile dysfunction, perpetuating the syndrome of heart failure. With current exhaustion of the neurohormonal medical paradigm, surgical and device-based therapies have been increasingly investigated as a way to restore LV chamber architecture and function. Left ventricular restoration has been attempted with surgical procedures, such as partial left ventriculectomy, surgical ventricular restoration with or without revascularization, and devices, such as the Acorn CorCap, the Paracor HeartNet, and the Myocor Myosplint. Whereas all these techniques require surgical access, with or without cardiopulmonary bypass, a newer ventricular partitioning device (VPD) called Parachute, can be delivered percutaneously through the aortic valve. Designed to achieve LV restoration from within the ventricle, this VPD partitions the LV by isolating aneurysmal from normal myocardium thereby diminishing the functioning cavity. This review aims to critically appraise the above methods, with particular attention to device-based therapies. PMID:24574107

  16. Parachute drag and radial force

    SciTech Connect

    Purvis, J.W.

    1986-01-01

    This paper presents a combination of old and new wind tunnel data in a format which illustrates the effects of inflated diameter, geometric porosity, reefing line length, suspension line length, number of gores, and number of ribbons on parachute drag. A new definition of radial force coefficient is presented, as well as a universal drag curve for flat circular and conical parachutes.

  17. Hemispheric asymmetries in perceived depth revealed through a radial line bisection task.

    PubMed

    Szpak, Ancrêt; Thomas, Nicole A; Nicholls, Michael E R

    2016-03-01

    Research suggests that the left cerebral hemisphere is predisposed for processing stimuli in 'near' space, whereas the right hemisphere is specialised for processing stimuli in 'far' space. This hypothesis was tested directly by asking 25 undergraduates to carry out a landmark radial line bisection task. To test the effect of hemispheric differences in processing, the lines were placed to the left, right or centre within the transverse plane. Consistent with predictions, lines in all three conditions were bisected distal to the true centre. More importantly, there was an asymmetry whereby the distal bias was stronger for lines presented in the left hemispace compared to the right hemispace. The results demonstrate that the perception of depth is affected by left/right placement along the lateral axis and highlight the cognitive/neural interplay between the radial and lateral axes. PMID:26645309

  18. Radial Velocity Eclipse Mapping of Exoplanets

    NASA Astrophysics Data System (ADS)

    Nikolov, Nikolay; Sainsbury-Martinez, Felix

    2015-07-01

    Planetary rotation rates and obliquities provide information regarding the history of planet formation, but have not yet been measured for evolved extrasolar planets. Here we investigate the theoretical and observational perspective of the Rossiter-McLaughlin effect during secondary eclipse (RMse) ingress and egress for transiting exoplanets. Near secondary eclipse, when the planet passes behind the parent star, the star sequentially obscures light from the approaching and receding parts of the rotating planetary surface. The temporal block of light emerging from the approaching (blueshifted) or receding (redshifted) parts of the planet causes a temporal distortion in the planet’s spectral line profiles resulting in an anomaly in the planet’s radial velocity curve. We demonstrate that the shape and the ratio of the ingress-to-egress radial velocity amplitudes depends on the planetary rotational rate, axial tilt, and impact factor (i.e., sky-projected planet spin-orbital alignment). In addition, line asymmetries originating from different layers in the atmosphere of the planet could provide information regarding zonal atmospheric winds and constraints on the hot spot shape for giant irradiated exoplanets. The effect is expected to be most-pronounced at near-infrared wavelengths, where the planet-to-star contrasts are large. We create synthetic near-infrared, high-dispersion spectroscopic data and demonstrate how the sky-projected spin axis orientation and equatorial velocity of the planet can be estimated. We conclude that the RMse effect could be a powerful method to measure exoplanet spins.

  19. No School Left Unscathed

    ERIC Educational Resources Information Center

    Allen, Tom

    2004-01-01

    The author maintains that the No Child Left Behind (NCLB) Act of 2001 brands good schools with "failing" labels, places the heaviest burdens on states that were already striving to meet challenging education goals, imposes inflexible rules, and fails to make good on promises to pay for programs that would help struggling schools meet the demands…

  20. No Cow Left Behind

    ERIC Educational Resources Information Center

    Remsen, Kenneth A.

    2004-01-01

    As a principal facing the task of figuring out all the complexities of the No Child Left Behind legislation, Kenneth Remsen, has concluded there is a strong belief that testing students is the answer to bringing about improvements in student performance. Because testing seems to be a cornerstone to improving performance, he doesn't understand why…

  1. Accountability Left Behind

    ERIC Educational Resources Information Center

    Testani, Rocco E.; Mayes, Joshua A.

    2008-01-01

    This article describes the reversal of the dismissal of an "unfunded-mandates" challenge to the No Child Left Behind Act (NCLB) brought by the National Education Association (NEA), several of its affiliates, and a number of school districts by the United States Court of Appeals for the Sixth Circuit. The decision in "School District of the City of…

  2. Redo off-pump coronary artery bypass grafting via a left thoracotomy

    PubMed Central

    Duvan, Ibrahim; Ates, Sanser; Emre Onuk, Burak; Pinar Sungar, Umit; Kurtoglu, Murat; Halidun Karagoz, Yahya

    2015-01-01

    Summary Background In this study, we retrospectively reviewed our experience in a meticulously selected group of patients undergoing redo off-pump coronary artery bypass graft (CABG) surgery from the descending aorta to the circumflex artery (Cx) and its branches. Methods Between January 2001 and October 2013, 32 patients at our hospital underwent redo off-pump CABG from the descending aorta to the Cx and its branches via a left posterolateral thoracotomy. Of these patients, 27 were male (84.3%) and five were female (15.7%), with a mean age of 61.66 ± 8.63 years. All patients had a patent left internal thoracic artery-to-left anterior descending coronary artery (LITA–LAD) anastomosis. Thoracotomy was performed through the fifth intercostal space. The saphenous vein or radial artery was prepared as a graft at the same time as the left posterolateral thoracotomy from the contralateral extremity, without any positional problem. Results The main reasons for surgery in this group of patients were new lesion formation in 19, graft occlusion in six, and both in seven patients. The average operating time was 143.90 ± 36.93 minutes, respiratory assist time was 5.08 ± 1.88 hours, intensive care unit (ICU) stay was 21.3 ± 4.41 hours and hospital stay was 5.06 ± 2.74 days. Thirty-eight bypasses were performed. The follow-up period was 56.17 ± 39.2 months. Six patients were lost in the follow-up period and four patients died. Twenty-two were alive and free of cardiac problems. Conclusion Redo off-pump CABG via a left posterolateral thoracotomy provided a safe and effective surgical approach with lower rates of postoperative morbidity and mortality in patients who required revascularisation of the Cx and its branches. PMID:25475408

  3. Causes of Secondary Radial Nerve Palsy and Results of Treatment.

    PubMed

    Reichert, Pawel; Wnukiewicz, Witold; Witkowski, Jarosław; Bocheńska, Aneta; Mizia, Sylwia; Gosk, Jerzy; Zimmer, Krzysztof

    2016-01-01

    BACKGROUND The aim of this study was to analyze the causes that lead to secondary damage of the radial nerve and to discuss the results of reconstructive treatment. MATERIAL AND METHODS The study group consisted of 33 patients treated for radial nerve palsy after humeral fractures. Patients were diagnosed based on clinical examinations, ultrasonography, electromyography, or nerve conduction velocity. During each operation, the location and type of nerve damage were analyzed. During the reconstructive treatment, neurolysis, direct neurorrhaphy, or reconstruction with a sural nerve graft was used. The outcomes were evaluated using the Medical Research Council (MRC) scales and the quick DASH score. RESULTS Secondary radial nerve palsy occurs after open reduction and internal fixation (ORIF) by plate, as well as by closed reduction and internal fixation (CRIF) by nail. In the case of ORIF, it most often occurs when the lateral approach is used, as in the case of CRIF with an insertion interlocking screws. The results of the surgical treatment were statistically significant and depended on the time between nerve injury and revision (reconstruction) surgery, type of damage to the radial nerve, surgery treatment, and type of fixation. Treatment results were not statistically significant, depending on the type of fracture or location of the nerve injury. CONCLUSIONS The potential risk of radial nerve neurotmesis justifies an operative intervention to treat neurological complications after a humeral fracture. Adequate surgical treatment in many of these cases allows for functional recovery of the radial nerve. PMID:26895570

  4. Causes of Secondary Radial Nerve Palsy and Results of Treatment

    PubMed Central

    Reichert, Paweł; Wnukiewicz, Witold; Witkowski, Jarosław; Bocheńska, Aneta; Mizia, Sylwia; Gosk, Jerzy; Zimmer, Krzysztof

    2016-01-01

    Background The aim of this study was to analyze the causes that lead to secondary damage of the radial nerve and to discuss the results of reconstructive treatment. Material/Methods The study group consisted of 33 patients treated for radial nerve palsy after humeral fractures. Patients were diagnosed based on clinical examinations, ultrasonography, electromyography, or nerve conduction velocity. During each operation, the location and type of nerve damage were analyzed. During the reconstructive treatment, neurolysis, direct neurorrhaphy, or reconstruction with a sural nerve graft was used. The outcomes were evaluated using the Medical Research Council (MRC) scales and the quick DASH score. Results Secondary radial nerve palsy occurs after open reduction and internal fixation (ORIF) by plate, as well as by closed reduction and internal fixation (CRIF) by nail. In the case of ORIF, it most often occurs when the lateral approach is used, as in the case of CRIF with an insertion interlocking screws. The results of the surgical treatment were statistically significant and depended on the time between nerve injury and revision (reconstruction) surgery, type of damage to the radial nerve, surgery treatment, and type of fixation. Treatment results were not statistically significant, depending on the type of fracture or location of the nerve injury. Conclusions The potential risk of radial nerve neurotmesis justifies an operative intervention to treat neurological complications after a humeral fracture. Adequate surgical treatment in many of these cases allows for functional recovery of the radial nerve. PMID:26895570

  5. Copy-left and Copy-right

    NASA Astrophysics Data System (ADS)

    VanderPlas, Jacob

    2015-01-01

    Any discussion of open licensing almost invariably devolves into a debate between copy-left licenses and permissive licenses, both sides defending their views with a nearly religious fervor. Copy-left licenses, typified by the GPL family of licenses, require all derived products to maintain the open, GPL license. Permissive licenses, typified by the BSD family of licenses, do not impose such requirements. I'll briefly explore the common arguments put forth in favor of either approach, and discuss some concrete examples of where these approaches have helped or hindered the software packages that used them.

  6. [Residual left orbital phlebolith. An anatomic-clinical observation].

    PubMed

    D'hermies, F; Hurbli, T; Berges, O; Meyer, A; Morel, X; Lot, G; Cophignon, J; Renard, G

    2000-05-01

    A 29-year-old female patient displayed a dense and hard left orbital mass, inferiorly, 3 years after she was treated through a neurosurgical approach for a left orbital varix. The lesion was hyperdense on CT-scan and was removed through a trans-conjunctival approach, with an excellent result. The histological diagnosis was a phlebolith. PMID:10844320

  7. Severity grading in radial dysplasia.

    PubMed

    Vilkki, S K

    2014-11-01

    A functional scoring method to grade the usefulness and quality of the upper limbs in congenital radial dysplasia is presented. It is based on the author's examinations of 44 arms with congenital deficiency of the radius. The hand (H), wrist (W) and proximal parts (P) of the extremity are each scored from 0 to 10 points for severity. The scoring is expressed similarly to the TNM (tumour, nodes, metastasis) tumour classification, for example as H5W4P2. The maximum severity index is 30 points. A severity grade of mild is between 1 and 8 points, moderate between 9 and 16 points and severe 17 points and over. In the author's series, the grades were mild in eight, moderate in 21 and severe in 15 cases. The functional severity grading should allow better comparison of radially deficient limbs and the results of treatment between groups of patients. PMID:24401744

  8. Diagnosis of occult radial head and neck fracture in adults.

    PubMed

    Pavić, Roman; Margetić, Petra; Hnatešen, Dijana

    2015-11-01

    The purpose of this study was to compare imaging modalities in the diagnosis of occult radial head and neck fractures and to assess the diagnostic value of ultrasound in diagnosing occult fractures of the radial head and neck. The study included 193 patients (101 male, 92 female) who were referred by trauma surgeons from January 2011 to July 2014 and presented with history of acute elbow trauma. The mean age of the patients was 37 years (range 15-82 years); 95 right and 98 left elbows were included in the study. Clinical examinations and standard radiograms were conducted. The anteroposterior radiographic view revealed no visible signs of fracture. The lateral radiographic view showed displacement of the anterior and posterior fat pads (fat pad sign) due to joint effusion, which is an indirect sign of fracture. In all 193 cases, ultrasound examination showed intraarticular effusion. In 176 cases (91%), there was effusion in both the olecranon bursa and the elbow joint. In 10 patients (5%), there was effusion only inside the elbow joint and in seven cases (4%) there was effusion only in the olecranon bursa. Cortical discontinuity (a direct sign of fracture) was clearly visualised in 157 cases (82%), in the radial neck in 108 cases and in the radial head in 49 cases. Ultrasound findings of fracture were questionable in 36 cases (18%). Step-off deformities, tiny avulsed bone fragments, double-line appearance of cortical margins, and diffuse irregularity of the bone surfaces were identified as auxiliary ultrasound findings (indirect signs of fracture). Standard radiograms were repeated after 7-10 days. In 184 cases (95%), there was a clearly visible fracture: a fracture of the radial neck in 111 cases (58%) and a fracture of non-displaced radial head in 73 cases (37%). In nine cases (5%), radial fracture was not confirmed on radiogram and MRI was performed in these patients. In conclusion, ultrasound imaging proved to be an effective method for diagnosing occult

  9. Radial Electromagnetic Press for IGNITOR

    NASA Astrophysics Data System (ADS)

    Cucchiaro, A.; Anzidei, L.; Capriccioli, A.; Celentano, G.; Crescenzi, C.; Gasparotto, M.; Guerrieri, A.; Pizzuto, A.; Palmieri, A.; Rita, C.; Roccella, M.; Coppi, B.

    1998-11-01

    The structural performance of the IGNITOR machine relies upon a combination of both bucking between Toroidal Field Coils (TFCs), Central Solenoid (CS) and the Central Post (CP), and wedging in a well-defined area of the TFCs and of the magnet mechanical structure (called C-Clamps). This requires a pre-loading system to enhance the load bearing capability. Several solutions have been assessed and compared with each other within the operational scenarios and eventually a radial electromagnetic press has been selected as reference(Pizzuto A. et al., ENEA Report IGN/MAC/001/96). The loading system is made up by active coils and passive restraining rings. The radial active press consists of two pairs of coils (200x200mm each), symmetrically located relative to the machine equatorial plane and seating onto the passive rings. The permanent pre--load of the rings is applied through a wedging system with a load of about 120 MN. A radial electromagnetic press has the purpose of modulating the axial pressure on the TFC inner legs during the pulse. Design aspects including stress analysis, manufacturing, assembly and operational scenarios of the selected solution are presented in this paper.

  10. Velocidades radiales en Collinder 121

    NASA Astrophysics Data System (ADS)

    Arnal, M.; Morrell, N.

    Se han llevado a cabo observaciones espectroscópicas de unas treinta estrellas que son posibles miembros del cúmulo abierto Collinder 121. Las mismas fueron realizadas con el telescopio de 2.15m del Complejo Astronómico El Leoncito (CASLEO). El análisis de las velocidades radiales derivadas del material obtenido, confirma la realidad de Collinder 121, al menos desde el punto de vista cinemático. La velocidad radial baricentral (LSR) del cúmulo es de +17 ± 3 km.s-1. Esta velocidad coincide, dentro de los errores, con la velocidad radial (LSR) de la nebulosa anillo S308, la cual es de ~20 ± 10 km.s-1. Como S308 se encuentra físicamente asociada a la estrella Wolf-Rayet HD~50896, es muy probable que esta última sea un miembro de Collinder 121. Desde un punto de vista cinemático, la supergigante roja HD~50877 (K3Iab) también pertenecería a Collinder 121. Basándonos en la pertenencia de HD~50896 a Collinder 121, y en la interacción encontrada entre el viento de esta estrella y el medio interestelar circundante a la misma, se estima para este cúmulo una distancia del orden de 1 kpc.

  11. Transient left paraduodenal hernia.

    PubMed

    Ovali, Gulgun Yilmaz; Orguc, Sebnem; Unlu, Murat; Pabuscu, Yuksel

    2005-09-01

    A 52-year-old woman with acute deterioration of recurrent abdominal pain was admitted to the hospital. Spiral computed tomography (CT) of abdomen was performed. A left paraduodenal hernia was identified on CT. There was no clinical sign or imaging finding suggesting intestinal obstruction or mesenteric ischemia. She refused surgical intervention since her pain was intermittant and decreasing. On the fifth day of hospitalization the patient's pain resolved completely and the follow-up CT demonstrated regression of the herniation. PMID:15994059

  12. Property of radially quadratic reflector systems

    NASA Technical Reports Server (NTRS)

    Mizusawa, M.; Katagi, T.

    1986-01-01

    This report shows that when considered in terms of optical geometry, radially parabolic and radially hyperbolic mirrors used as mirrors for Cassegrain and parabolic antennas possess values similar to common conical horn reflector antennas.

  13. Asymmetry of Radial and Symmetry of Tangential Neuronal Migration Pathways in Developing Human Fetal Brains

    PubMed Central

    Miyazaki, Yuta; Song, Jae W.; Takahashi, Emi

    2016-01-01

    The radial and tangential neural migration pathways are two major neuronal migration streams in humans that are critical during corticogenesis. Corticogenesis is a complex process of neuronal proliferation that is followed by neuronal migration and the formation of axonal connections. Existing histological assessments of these two neuronal migration pathways have limitations inherent to microscopic studies and are confined to small anatomic regions of interest (ROIs). Thus, little evidence is available about their three-dimensional (3-D) fiber pathways and development throughout the entire brain. In this study, we imaged and analyzed radial and tangential migration pathways in the whole human brain using high-angular resolution diffusion MR imaging (HARDI) tractography. We imaged ten fixed, postmortem fetal (17 gestational weeks (GW), 18 GW, 19 GW, three 20 GW, three 21 GW and 22 GW) and eight in vivo newborn (two 30 GW, 34 GW, 35 GW and four 40 GW) brains with no neurological/pathological conditions. We statistically compared the volume of the left and right radial and tangential migration pathways, and the volume of the radial migration pathways of the anterior and posterior regions of the brain. In specimens 22 GW or younger, the volume of radial migration pathways of the left hemisphere was significantly larger than that of the right hemisphere. The volume of posterior radial migration pathways was also larger when compared to the anterior pathways in specimens 22 GW or younger. In contrast, no significant differences were observed in the radial migration pathways of brains older than 22 GW. Moreover, our study did not identify any significant differences in volumetric laterality in the tangential migration pathways. These results suggest that these two neuronal migration pathways develop and regress differently, and radial neuronal migration varies regionally based on hemispheric and anterior-posterior laterality, potentially explaining regional differences in

  14. Radial pn Junction, Wire Array Solar Cells

    NASA Astrophysics Data System (ADS)

    Kayes, Brendan Melville

    Radial pn junctions are potentially of interest in photovoltaics as a way to decouple light absorption from minority carrier collection. In a traditional planar design these occur in the same dimension, and this sets a lower limit on absorber material quality, as cells must both be thick enough to effectively absorb the solar spectrum while also having minority-carrier diffusion lengths long enough to allow for efficient collection of the photo-generated carriers. Therefore, highly efficient photovoltaic devices currently require highly pure materials and expensive processing techniques, while low cost devices generally operate at relatively low efficiency. The radial pn junction design sets the direction of light absorption perpendicular to the direction of minority-carrier transport, allowing the cell to be thick enough for effective light absorption, while also providing a short pathway for carrier collection. This is achieved by increasing the junction area, in order to decrease the path length any photogenerated minority carrier must travel, to be less than its minority carrier diffusion length. Realizing this geometry in an array of semiconducting wires, by for example depositing a single-crystalline inorganic semiconducting absorber layer at high deposition rates from the gas phase by the vapor-liquid-solid (VLS) mechanism, allows for a "bottom up" approach to device fabrication, which can in principle dramatically reduce the materials costs associated with a cell.

  15. Implementing radial motion to the booster simulation

    SciTech Connect

    Yang, Xi; /Fermilab

    2007-04-01

    It's a puzzle that high intensity beams prefer a particular radial motion during transition in the Booster, and the result of removing such a radial motion is to increase the transition loss. In order to understand this observation, the radial motion should be taken into account in the longitudinal simulation.

  16. Close view looking to left side of statue showing left ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Close view looking to left side of statue showing left hand, shield, and laurel wreath - U.S. Capitol, Statue of Freedom, Intersection of North, South, & East Capitol Streets & Capitol Mall, Washington, District of Columbia, DC

  17. Radial smoothing for improving laser-beam irradiance uniformity.

    PubMed

    Zhong, Zheqiang; Hou, Pengcheng; Zhang, Bin

    2015-12-15

    Laser-beam irradiation uniformity is a key issue in inertial confinement fusion research. We propose a radial smoothing (RS) approach in which the speckle in a focal plane is smoothed by the radial redistribution through fast focal zooming. This focal zooming is generated by introducing the periodical spherical wavefront modulation to the laser beam, based on an optical Kerr medium and its pump laser with the temporal profile of a Gaussian pulse train. The utilization of RS significantly improves the laser-beam uniformity without obvious impact on the performance of the high-power laser system. PMID:26670528

  18. Left ventricular pseudoaneurysm perceived as a left lung mass

    PubMed Central

    Yaliniz, Hafize; Gocen, Ugur; Atalay, Atakan; Salih, Orhan Kemal

    2016-01-01

    Left ventricular pseudoaneurysm is a rare complication of aneurysmectomy. We present a case of a surgically treated left ventricular pseudoaneurysm, which was diagnosed three years after coronary artery bypass grafting and left ventricular aneurysmectomy. The presenting symptoms, diagnostic evaluation, and surgical repair are described.

  19. PRECISION RADIAL VELOCITIES WITH CSHELL

    SciTech Connect

    Crockett, Christopher J.; Prato, L.; Mahmud, Naved I.; Johns-Krull, Christopher M.; Jaffe, Daniel T.; Beichman, Charles A. E-mail: lprato@lowell.edu E-mail: cmj@rice.edu

    2011-07-10

    Radial velocity (RV) identification of extrasolar planets has historically been dominated by optical surveys. Interest in expanding exoplanet searches to M dwarfs and young stars, however, has motivated a push to improve the precision of near-infrared RV techniques. We present our methodology for achieving 58 m s{sup -1} precision in the K band on the M0 dwarf GJ 281 using the CSHELL spectrograph at the 3 m NASA Infrared Telescope Facility. We also demonstrate our ability to recover the known 4 M{sub JUP} exoplanet Gl 86 b and discuss the implications for success in detecting planets around 1-3 Myr old T Tauri stars.

  20. Left Atrial Appendage Aneurysm.

    PubMed

    Hosseini, Saeid; Hashemi, Arash; Saedi, Sedigheh; Jalili, Farshad; Maleki, Majid; Jalalian, Rozita; Rezaei, Yousef

    2016-09-01

    Left atrial appendage aneurysms (LAAA) are extremely rare. This condition is usually diagnosed incidentally or after the occurrence of thrombotic events or cardiac tachyarrhythmias in the second to fourth decades of life. It can predispose to hazardous adverse events, including atrial fibrillation, myocardial infarction, and systemic thromboembolism. We report a case of LAAA in a 68-year-old woman presenting with atypical chest pain, exertional dyspnea, and episodes of sudden-onset palpitation. Aneurysmectomy with the patient under cardiac arrest with cardiopulmonary bypass was performed. In addition, we explore the diagnosis, management, and prognosis of this entity through a meticulous literature review. PMID:27549544

  1. Percutaneous left ventricular restoration.

    PubMed

    Ige, Mobolaji; Al-Kindi, Sadeer G; Attizzani, Guilherme; Costa, Marco; Oliveira, Guilherme H

    2015-04-01

    The ventricular partitioning device known as Parachute is the first and only percutaneously implantable device aimed at restoration of normal left ventricular geometry in humans. Since its conception, this technology has undergone extensive animal and human testing, with proved feasibility and safety, and is currently being studied in a pivotal randomized clinical trial. This article discusses ventricular remodeling and therapies attempted in the past, details the components of the ventricular partitioning device, describes the implanting technique, and reviews the most current experience of this device in humans. PMID:25834974

  2. Radial propagation of geodesic acoustic modes

    SciTech Connect

    Hager, Robert; Hallatschek, Klaus

    2009-07-15

    The GAM group velocity is estimated from the ratio of the radial free energy flux to the total free energy applying gyrokinetic and two-fluid theory. This method is much more robust than approaches that calculate the group velocity directly and can be generalized to include additional physics, e.g., magnetic geometry. The results are verified with the gyrokinetic code GYRO[J. Candy and R. E. Waltz, J. Comput. Phys. 186, 545 (2003)], the two-fluid code NLET[K. Hallatschek and A. Zeiler, Phys. Plasmas 7, 2554 (2000)], and analytical calculations. GAM propagation must be kept in mind when discussing the windows of GAM activity observed experimentally and the match between linear theory and experimental GAM frequencies.

  3. Radial particle distributions in PARMILA simulation beams

    SciTech Connect

    Boicourt, G.P.

    1984-03-01

    The estimation of beam spill in particle accelerators is becoming of greater importance as higher current designs are being funded. To the present, no numerical method for predicting beam-spill has been available. In this paper, we present an approach to the loss-estimation problem that uses probability distributions fitted to particle-simulation beams. The properties of the PARMILA code's radial particle distribution are discussed, and a broad class of probability distributions are examined to check their ability to fit it. The possibility that the PARMILA distribution is a mixture is discussed, and a fitting distribution consisting of a mixture of two generalized gamma distributions is found. An efficient algorithm to accomplish the fit is presented. Examples of the relative prediction of beam spill are given. 26 references, 18 figures, 1 table.

  4. Bayesian planet searches in radial velocity data

    NASA Astrophysics Data System (ADS)

    Gregory, Phil

    2015-08-01

    Intrinsic stellar variability caused by magnetic activity and convection has become the main limiting factor for planet searches in both transit and radial velocity (RV) data. New spectrographs are under development like ESPRESSO and EXPRES that aim to improve RV precision by a factor of approximately 100 over the current best spectrographs, HARPS and HARPS-N. This will greatly exacerbate the challenge of distinguishing planetary signals from stellar activity induced RV signals. At the same time good progress has been made in simulating stellar activity signals. At the Porto 2014 meeting, “Towards Other Earths II,” Xavier Dumusque challenged the community to a large scale blind test using the simulated RV data to understand the limitations of present solutions to deal with stellar signals and to select the best approach. My talk will focus on some of the statistical lesson learned from this challenge with an emphasis on Bayesian methodology.

  5. An adaptive liquid lens with radial interdigitated electrode

    NASA Astrophysics Data System (ADS)

    Xu, Miao; Xu, Daming; Ren, Hongwen; Yoo, Il-Sou; Wang, Qiong-Hua

    2014-10-01

    A newly patterned electrode is designed for a dielectric liquid lens. The electrode has a radial interdigitated structure which can provide a symmetrical-nonuniform fringing field. This electric field can effectively deform the shape of a dielectric liquid droplet in radial direction, causing the focal length of the liquid droplet to change. For a lens using glycerol as the droplet and optical oil (SL-5267) as the surrounding medium, its focal length (f) can be tuned in the range of ˜ -8.28 ≦̸ f ≦̸ ˜ -4.4 mm, when the applied voltage is changed from 0 to 120 Vrms. In contrast to previous approaches, the liquid lens with radial interdigitated electrode has the advantages of scalable aperture size, wide variability of focal length, and good optical characteristics. Moreover, the driving voltage is insensitive to the size of the droplet.

  6. Radial evolution of power spectra of interplanetary Alfvenic turbulence

    NASA Technical Reports Server (NTRS)

    Bavassano, B.; Dobrowolny, M.; Mariani, F.; Ness, N. F.

    1981-01-01

    The radial evolution of the power spectra of the MHD turbulence within the trailing edge of high speed streams in the solar wind was investigated with the magnetic field data of Helios 1 and 2 for heliocentric distance between 0.3 and 0.9 AU. In the analyzed frequency range (.00028 Hz to .0083 Hz) the computed spectra have, near the Earth, values of the spectral index close to that predicted for an incompressible hydromagnetic turbulence in a stationary state. Approaching the Sun the spectral slope remains unchanged for frequencies f or approximately .00 Hz, whereas at lower frequencies, a clear evolution toward a less steep fall off with frequency is found. The radial gradient of the power in Alfvenic fluctuations depends on frequency and it increases upon increasing frequency. For frequencies f or approximately .00 Hz, however, the radial gradient remains approximately the same. Possible theoretical implications of the observational features are discussed.

  7. Radial neck fracture presenting to a Chiropractic clinic: a case report and literature review

    PubMed Central

    2014-01-01

    Objective The purpose of this case report is to describe a patient that presented with a Mason type II radial neck fracture approximately three weeks following a traumatic injury. Clinical features A 59-year old female presented to a chiropractic practice with complaints of left lateral elbow pain distal to the lateral epicondyle of the humerus and pain provocation with pronation, supination and weight bearing. The complaint originated three weeks prior following a fall on her left elbow while hiking. Intervention and outcome Plain film radiographs of the left elbow and forearm revealed a transverse fracture of the radial neck with 2mm displacement--classified as a Mason Type II fracture. The patient was referred for medical follow-up with an orthopedist. Conclusion This report discusses triage of an elbow fracture presenting to a chiropractic clinic. This case study demonstrates the thorough clinical examination, imaging and decision making that assisted in appropriate patient diagnosis and management. PMID:24685056

  8. Experimental feasibility study of estimation of the normalized central blood pressure waveform from radial photoplethysmogram.

    PubMed

    Zahedi, Edmond; Sohani, Vahid; Ali, M A Mohd; Chellappan, Kalaivani; Beng, Gan Kok

    2015-01-01

    The feasibility of a novel system to reliably estimate the normalized central blood pressure (CBPN) from the radial photoplethysmogram (PPG) is investigated. Right-wrist radial blood pressure and left-wrist PPG were simultaneously recorded in five different days. An industry-standard applanation tonometer was employed for recording radial blood pressure. The CBP waveform was amplitude-normalized to determine CBPN. A total of fifteen second-order autoregressive models with exogenous input were investigated using system identification techniques. Among these 15 models, the model producing the lowest coefficient of variation (CV) of the fitness during the five days was selected as the reference model. Results show that the proposed model is able to faithfully reproduce CBPN (mean fitness = 85.2% ± 2.5%) from the radial PPG for all 15 segments during the five recording days. The low CV value of 3.35% suggests a stable model valid for different recording days. PMID:25708380

  9. Incidence and Predictors of Radial Artery Occlusion Associated Transradial Catheterization

    PubMed Central

    Tuncez, Abdullah; Kaya, Zeynettin; Aras, Dursun; Yıldız, Abdulkadir; Gül, Enes Elvin; Tekinalp, Mehmet; Karakaş, Mehmet Fatih; Kısacık, Halil Lütfü

    2013-01-01

    In this study, we sought to assess the incidence and predictors of radial artery occlusion (RAO), which is a significant complication of transradial cardiac catheterization. We prospectively evaluated the results of 106 patients who underwent coronary angiography and percutaneous coronary intervention (PCI) via the transradial approach (TRA). At the 3rd h of intervention, the radial artery was checked by palpation; color doppler ultrasonography was performed at the 24th h. Fluoroscopy duration, procedure success, and complications of the radial artery were recorded. The procedure was successfully completed in all patients. RAO was detected in eight female and two male patients. In terms of RAO, there was a statistically significant difference between males and females (p=0.019). Other parameters did not show a significant correlation with RAO. Altough did not have any effect on procedural success, eight patients developed transient radial artery spasm. Gender was not associated with radial arterial spasms (p=0.19). TRA in the diagnosis and treatment of coronary artery disease has shown high procedural success and low complication rates; it addition, it presents a low economic burden. It should be used widely and be involved in the routine cardiology residency program. PMID:24151442

  10. Weighing Rocky Exoplanets with Improved Radial Velocimetry

    NASA Astrophysics Data System (ADS)

    Xuesong Wang, Sharon; Wright, Jason; California Planet Survey Consortium

    2016-01-01

    The synergy between Kepler and the ground-based radial velocity (RV) surveys have made numerous discoveries of small and rocky exoplanets, opening the age of Earth analogs. However, most (29/33) of the RV-detected exoplanets that are smaller than 3 Earth radii do not have their masses constrained to better than 20% - limited by the current RV precision (1-2 m/s). Our work improves the RV precision of the Keck telescope, which is responsible for most of the mass measurements for small Kepler exoplanets. We have discovered and verified, for the first time, two of the dominant terms in Keck's RV systematic error budget: modeling errors (mostly in deconvolution) and telluric contamination. These two terms contribute 1 m/s and 0.6 m/s, respectively, to the RV error budget (RMS in quadrature), and they create spurious signals at periods of one sidereal year and its harmonics with amplitudes of 0.2-1 m/s. Left untreated, these errors can mimic the signals of Earth-like or Super-Earth planets in the Habitable Zone. Removing these errors will bring better precision to ten-year worth of Keck data and better constraints on the masses and compositions of small Kepler planets. As more precise RV instruments coming online, we need advanced data analysis tools to overcome issues like these in order to detect the Earth twin (RV amplitude 8 cm/s). We are developing a new, open-source RV data analysis tool in Python, which uses Bayesian MCMC and Gaussian processes, to fully exploit the hardware improvements brought by new instruments like MINERVA and NASA's WIYN/EPDS.

  11. An Exact Formula for Calculating Inverse Radial Lens Distortions.

    PubMed

    Drap, Pierre; Lefèvre, Julien

    2016-01-01

    This article presents a new approach to calculating the inverse of radial distortions. The method presented here provides a model of reverse radial distortion, currently modeled by a polynomial expression, that proposes another polynomial expression where the new coefficients are a function of the original ones. After describing the state of the art, the proposed method is developed. It is based on a formal calculus involving a power series used to deduce a recursive formula for the new coefficients. We present several implementations of this method and describe the experiments conducted to assess the validity of the new approach. Such an approach, non-iterative, using another polynomial expression, able to be deduced from the first one, can actually be interesting in terms of performance, reuse of existing software, or bridging between different existing software tools that do not consider distortion from the same point of view. PMID:27258288

  12. An Exact Formula for Calculating Inverse Radial Lens Distortions

    PubMed Central

    Drap, Pierre; Lefèvre, Julien

    2016-01-01

    This article presents a new approach to calculating the inverse of radial distortions. The method presented here provides a model of reverse radial distortion, currently modeled by a polynomial expression, that proposes another polynomial expression where the new coefficients are a function of the original ones. After describing the state of the art, the proposed method is developed. It is based on a formal calculus involving a power series used to deduce a recursive formula for the new coefficients. We present several implementations of this method and describe the experiments conducted to assess the validity of the new approach. Such an approach, non-iterative, using another polynomial expression, able to be deduced from the first one, can actually be interesting in terms of performance, reuse of existing software, or bridging between different existing software tools that do not consider distortion from the same point of view. PMID:27258288

  13. Radial flow pulse jet mixer

    DOEpatents

    VanOsdol, John G.

    2013-06-25

    The disclosure provides a pulse jet mixing vessel for mixing a plurality of solid particles. The pulse jet mixing vessel is comprised of a sludge basin, a flow surface surrounding the sludge basin, and a downcoming flow annulus between the flow surface and an inner shroud. The pulse jet mixing vessel is additionally comprised of an upper vessel pressurization volume in fluid communication with the downcoming flow annulus, and an inner shroud surge volume separated from the downcoming flow annulus by the inner shroud. When the solid particles are resting on the sludge basin and a fluid such as water is atop the particles and extending into the downcoming flow annulus and the inner shroud surge volume, mixing occurs by pressurization of the upper vessel pressurization volume, generating an inward radial flow over the flow surface and an upwash jet at the center of the sludge basin.

  14. Radial superlattices and single nanoreactors

    NASA Astrophysics Data System (ADS)

    Deneke, Ch.; Jin-Phillipp, N.-Y.; Loa, I.; Schmidt, O. G.

    2004-05-01

    We investigate the wall structure and thermal stability of individual freestanding rolled-up nanotubes (RUNTs) using micro-Raman spectroscopy, transmission electron microscopy, and selected area electron diffraction. Our studies reveal that the walls of the InAs/GaAs RUNTs consist of a radial superlattice comprising alternating crystalline and noncrystalline layers. Furthermore, we locally heated individual RUNTs with a laser beam, and Raman spectroscopy was used in situ to monitor any structural changes. At about 300 °C the heated part of a RUNT starts to oxidize and eventually transforms into crystalline β-Ga2O3. This result shows that RUNTs can serve as nanoreactors that locally synthesize material at intentional places on a substrate surface.

  15. Flat disc, radially nonhomogeneous, lenses

    NASA Astrophysics Data System (ADS)

    Cornbleet, S.

    1980-12-01

    A plane surfaced lens can be constructed through the use of a radially nonhomogenous medium, with axial symmetry. The rays from an axial source are incident on the plane front surface, perpendicular to the axis, where the assumption is made that the rays obey Snell's laws locally as for an infinite uniform medium. The curved ray paths are then given by the standard ray integral and are taken up to the point where each ray becomes horizontal. For certain polynomial functions describing the refractive index, the ray integral is an incomplete elliptic integral of the first kind, and trial functions can be inserted, such that the rays have become horizontal all at a second plane surface, thus creating a flat disk lens. The total symmetry of the design provides for many advantageous properties.

  16. Impaired Verbal Associative Learning after Resection of Left Perirhinal Cortex

    ERIC Educational Resources Information Center

    Weintrob, David L.; Saling, Michael M.; Berkovic, Samuel F.; Reutens, David C.

    2007-01-01

    Some patients considered for left temporal lobectomy for epilepsy present with normal verbal learning and no MRI evidence of hippocampal pathology. In order to preserve learning function, the surgical approach in these cases often aims at sparing the hippocampus. Parahippocampal structures, including the left perirhinal region, however, also…

  17. Stirling Engine With Radial Flow Heat Exchangers

    NASA Technical Reports Server (NTRS)

    Vitale, N.; Yarr, George

    1993-01-01

    Conflict between thermodynamical and structural requirements resolved. In Stirling engine of new cylindrical configuration, regenerator and acceptor and rejector heat exchangers channel flow of working gas in radial direction. Isotherms in regenerator ideally concentric cylinders, and gradient of temperature across regenerator radial rather than axial. Acceptor and rejector heat exchangers located radially inward and outward of regenerator, respectively. Enables substantial increase in power of engine without corresponding increase in diameter of pressure vessel.

  18. Hollow Cathode With Multiple Radial Orifices

    NASA Technical Reports Server (NTRS)

    Brophy, John R.

    1992-01-01

    Improved hollow cathode serving as source of electrons has multiple radial orifices instead of single axial orifice. Distributes ion current more smoothly, over larger area. Prototype of high-current cathodes for ion engines in spacecraft. On Earth, cathodes used in large-diameter ion sources for industrial processing of materials. Radial orientation of orifices in new design causes current to be dispersed radially in vicinity of cathode. Advantageous where desireable to produce plasma more nearly uniform over wider region around cathode.

  19. Neptune - closest approach

    NASA Technical Reports Server (NTRS)

    1989-01-01

    The Voyager spacecraft took this picture after closest approach to Neptune on Aug. 25 1989, using the clear filter of the wide-angle camera with an exposure time of 255 seconds. The view back towards Neptune at a phase angle of 135 degrees found the two known rings to be five to 10 times brighter than seen in backscattering during Voyager approach at much lower phase angle. This brightness increase implies a large percentage of microscopic particles within the rings. Although the dominant arc-like clump of the outer ring is not seen here, the inner ring appears brighter than the outer ring at the longitudes seen in this image. A faint sheet of material is also revealed that extends from the faint ring at a radius of 53,200 kilometers(33,000 miles). A new and even fainter ring was discovered in this image at about 41,000 kilometers (25,400 miles), seen running from the lower left corner to about one-third the way across the top of the frame. This ring is quite broad, about 2,500 kilometers (1,550 miles) in radial width. In contrast to the two previously discovered rings, this feature is quite diffuse and has no well defined radial boundaries. The Voyager imaging experiment has now detected ring material in all of the radial regions in which it has been detected by groundbased stellar occultation experiments. The Voyager spacecraft was 720,000 kilometers (446,400 miles) from Neptune at the time of this exposure. The Voyager Mission is conducted by JPL for NASA's Office of Space Science and Applications.

  20. Right upper lobe lung cancer: Resection through left anterior mediastinotomy.

    PubMed

    Sirois, Marco; Abu Arab, Walid; Turcotte, Eric; Poulin, Yannick

    2016-01-01

    There is sparse information concerning approaches to metachronous lung cancer in patients who had a previous pneumonectomy for lung carcinoma. We describe the case of a 55-year-old woman who underwent a left pneumonectomy for lung carcinoma. Four years later, a radiological examination revealed a hypermetabolic nodule in the right upper lobe, which was located in the left hemithorax because of right lung hyperinflation and a mediastinal shift to the left. Wedge resection was carried out through a left anterior mediastinotomy. We believe that an anterior mediastinotomy represents a valuable option for the management of recurrent lung cancer after previous surgery. PMID:26124429

  1. The Expansion and Radial Speeds of Coronal Mass Ejections

    NASA Astrophysics Data System (ADS)

    Gopalswamy, N.; Dal Lago, A.; Yashiro, S.; Akiyama, S.

    We show the relation between radial (V_{rad}) and expansion (V_{exp}) speeds of coronal mass ejections (CMEs) depends on the CME width. As CME width increases, {V_{rad}/V_{exp}} decreases from a value >1 to <1. For widths approaching 180°, the ratio approaches 0 if the cone has a flat base, while it approaches 0.5 if the base has a bulge (ice cream cone). The speed difference between the limb and disk halos and the spherical expansion of super fast CMEs can be explained by the width dependence.

  2. Radial head button holing: a cause of irreducible anterior radial head dislocation.

    PubMed

    Shin, Su-Mi; Chai, Jee Won; You, Ja Yeon; Park, Jina; Bae, Kee Jeong

    2016-10-01

    "Buttonholing" of the radial head through the anterior joint capsule is a known cause of irreducible anterior radial head dislocation associated with Monteggia injuries in pediatric patients. To the best of our knowledge, no report has described an injury consisting of buttonholing of the radial head through the annular ligament and a simultaneous radial head fracture in an adolescent. In the present case, the radiographic findings were a radial head fracture with anterior dislocation and lack of the anterior fat pad sign. Magnetic resonance imaging (MRI) clearly demonstrated anterior dislocation of the fractured radial head through the torn annular ligament. The anterior joint capsule and proximal portion of the annular ligament were interposed between the radial head and capitellum, preventing closed reduction of the radial head. Familiarity with this condition and imaging findings will aid clinicians to make a proper diagnosis and fast decision to perform an open reduction. PMID:27502623

  3. Left paramedian abomasopexy in cattle.

    PubMed

    Lee, Inhyung; Yamagishi, Norio; Oboshi, Kenji; Yamada, Haruo

    2002-03-01

    Aims of surgery of left displacement of the abomasum (LDA) are to return the abomasum to its original position and create a permanent attachment in the position to prevent recurrence. Left paramedian abomasopexy was performed on six Holstein cows with LDA because normal position of the fundus of the abomasum is located in the left of the midline and the displacement initially only involves the fundus of the abomasum. All cows were recovered without recurrence of LDA. It is considered that the left paramedian abomasopexy could be a major alternative as a surgical treatment of LDA. PMID:14614273

  4. 3. Log bunkhouse (far left), log chicken house (left of ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    3. Log bunkhouse (far left), log chicken house (left of center), equipment shed (center), and workshop (far right). View to northwest. - William & Lucina Bowe Ranch, County Road 44, 0.1 mile northeast of Big Hole River Bridge, Melrose, Silver Bow County, MT

  5. 1. Postandbeam garage (far left), oneroom log cabin (left of ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    1. Post-and-beam garage (far left), one-room log cabin (left of center), house (right of center), garden shed and outhouse (far right). View to west-southwest. - William & Lucina Bowe Ranch, County Road 44, 0.1 mile northeast of Big Hole River Bridge, Melrose, Silver Bow County, MT

  6. 6. Livestock barn (far left), log drafthorse barn (left of ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    6. Livestock barn (far left), log draft-horse barn (left of center), loafing shed (center), log calving barn (right of center). View to west-northwest. - William & Lucina Bowe Ranch, County Road 44, 0.1 mile northeast of Big Hole River Bridge, Melrose, Silver Bow County, MT

  7. Radial keratotomy associated endothelial degeneration

    PubMed Central

    Moshirfar, Majid; Ollerton, Andrew; Semnani, Rodmehr T; Hsu, Maylon

    2012-01-01

    Purpose To describe the presentation and clinical course of eyes with a history of radial keratotomy (RK) and varying degrees of endothelial degeneration. Methods Retrospective case series were used. Results Thirteen eyes (seven patients) were identified with clinical findings of significant guttata and a prior history of RK. The mean age of presentation for cornea evaluation was 54.3 years (range: 38–72 years), averaging 18.7 years (range: 11–33 years) after RK. The presentation of guttata varied in degree from moderate to severe. Best corrected visual acuity (BCVA) ranged from 20/25 to 20/80. All patients had a history of bilateral RK, except one patient who did not develop any guttata in the eye without prior RK. No patients reported a family history of Fuch’s Dystrophy. One patient underwent a penetrating keratoplasty in one eye and a Descemet’s stripping automated endothelial keratoplasty (DSAEK) in the other eye. Conclusions RK may induce a spectrum of endothelial degeneration. In elderly patients, the findings of guttata may signify comorbid Fuch’s dystrophy in which RK incisions could potentially hasten endothelial decomposition. In these select patients with stable cornea topography and prior RK, DSAEK may successfully treat RK endothelial degeneration. PMID:22347792

  8. Differentiating common causes of radial wrist pain.

    PubMed

    Shuaib, Waqas; Mohiuddin, Zia; Swain, Freddie R; Khosa, Faisal

    2014-09-01

    Radial wrist pain is a common patient complaint with a broad differential. Because treatment and prognosis differ, determining the underlying cause is key. This article reviews a case of intersection syndrome and compares it to other causes of radial wrist pain. PMID:25148441

  9. Radial force in a bearingless reluctance motor

    NASA Astrophysics Data System (ADS)

    Chiba, Akira; Rahman, M. A.; Fukao, Tadashi

    1991-03-01

    A four-pole reluctance synchronous machine with additional two-pole windings was constructed. The additional winding currents produce the radial force to act as a magnetic bearing. Expressions for the machine inductance functions are given. Inductance functions with respect to the eccentric displacement of the rotor were measured. The contribution of these inductances to the radial force production is established.

  10. "Zone of vulnerability" for radial nerve injury: anatomic study.

    PubMed

    Ashfaq Hasan, S; Rauls, Russell B; Cordell, Cari L; Bailey, Mark S; Nguyen, Thao

    2014-01-01

    The authors of this study sought improved understanding of the radial nerve course through the brachium and hypothesized that the most proximal aspect of the triceps tendon (PATT) serves as a useful superficial landmark for localizing the nerve. It was also hypothesized that a poorly appreciated area of vulnerability for nerve injury exists where the radial nerve runs along the lateral cortex of the humerus proximal to its transit through the lateral intermuscular septum (LIMS). The authors assessed 33 fresh-frozen cadaveric specimens. A 6.7-cm span of the nerve lies directly on the periosteum of the humerus before piercing the LIMS. The proximal 4.6~cm abuts the posterior cortex. The final 2.1~cm just proximal to the LIMS runs along the lateral cortex. The nerve at the posterior midline of the humerus is 2.3~cm proximal to the level of the PATT. The radial nerve lies directly on the lateral humeral cortex for 2~cm proximal to its transit through the LIMS. The PATT appears to be a consistent and practical superficial landmark to determine the location of the radial nerve from a posterior approach. PMID:24875341

  11. Self-sustained radial oscillating flows between parallel disks

    NASA Astrophysics Data System (ADS)

    Mochizuki, S.; Yang, W.-J.

    1985-05-01

    It is pointed out that radial flow between parallel circular disks is of interest in a number of physical systems such as hydrostatic air bearings, radial diffusers, and VTOL aircraft with centrally located downward-positioned jets. The present investigation is concerned with the problem of instability in radial flow between parallel disks. A time-dependent numerical study and experiments are conducted. Both approaches reveal the nucleation, growth, migration, and decay of annular separation bubbles (i.e. vortex or recirculation zones) in the laminar-flow region. A finite-difference technique is utilized to solve the full unsteady vorticity transport equation in the theoretical procedure, while the flow patterns in the experiments are visualized with the aid of dye-injection, hydrogen-bubble, and paraffin-mist methods. It is found that the separation and reattachment of shear layers in the radial flow through parallel disks are unsteady phenomena. The sequence of nucleation, growth, migration, and decay of the vortices is self-sustained.

  12. Surface interpolation with radial basis functions for medical imaging

    SciTech Connect

    Carr, J.C.; Beatson, R.K.; Fright, W.R.

    1997-02-01

    Radial basis functions are presented as a practical solution to the problem of interpolating incomplete surfaces derived from three-dimensional (3-D) medical graphics. The specific application considered is the design of cranial implants for the repair of defects, usually holes, in the skull. Radial basis functions impose few restrictions on the geometry of the interpolation centers and are suited to problems where interpolation centers do not form a regular grid. However, their high computational requirements have previously limited their use to problems where the number of interpolation centers is small (<300). Recently developed fast evaluation techniques have overcome these limitations and made radial basis interpolation a practical approach for larger data sets. In this paper radial basis functions are fitted to depth-maps of the skull`s surface, obtained from X-ray computed tomography (CT) data using ray-tracing techniques. They are used to smoothly interpolate the surface of the skull across defect regions. The resulting mathematical description of the skull`s surface can be evaluated at any desired resolution to be rendered on a graphics workstation or to generate instructions for operating a computer numerically controlled (CNC) mill.

  13. Clinical Features of Wrist Drop Caused by Compressive Radial Neuropathy and Its Anatomical Considerations

    PubMed Central

    Han, Bo Ram; Yang, Jin Seo; Kang, Suk Hyung; Choi, Hyuk Jai

    2014-01-01

    Objective Posture-induced radial neuropathy, known as Saturday night palsy, occurs because of compression of the radial nerve. The clinical symptoms of radial neuropathy are similar to stroke or a herniated cervical disk, which makes it difficult to diagnose and sometimes leads to inappropriate evaluations. The purpose of our study was to establish the clinical characteristics and diagnostic assessment of compressive radial neuropathy. Methods Retrospectively, we reviewed neurophysiologic studies on 25 patients diagnosed with radial nerve palsy, who experienced wrist drop after maintaining a certain posture for an extended period. The neurologic presentations, clinical prognosis, and electrophysiology of the patients were obtained from medical records. Results Subjects were 19 males and 6 females. The median age at diagnosis was 46 years. The right arm was affected in 13 patients and the left arm in 12 patients. The condition was induced by sleeping with the arms hanging over the armrest of a chair because of drunkenness, sleeping while bending the arm under the pillow, during drinking, and unknown. The most common clinical presentation was a wrist drop and paresthesia on the dorsum of the 1st to 3rd fingers. Improvement began after a mean of 2.4 weeks. Electrophysiologic evaluation was performed after 2 weeks that revealed delayed nerve conduction velocity in all patients. Conclusion Wrist drop is an entrapment syndrome that has a good prognosis within several weeks. Awareness of its clinical characteristics and diagnostic assessment methods may help clinicians make diagnosis of radial neuropathy and exclude irrelevant evaluations. PMID:24851150

  14. Combination radial and thrust magnetic bearing

    NASA Technical Reports Server (NTRS)

    Blumenstock, Kenneth A. (Inventor)

    2002-01-01

    A combination radial and thrust magnetic bearing is disclosed that allows for both radial and thrust axes control of an associated shaft. The combination radial and thrust magnetic bearing comprises a rotor and a stator. The rotor comprises a shaft, and first and second rotor pairs each having respective rotor elements. The stator comprises first and second stator elements and a magnet-sensor disk. In one embodiment, each stator element has a plurality of split-poles and a corresponding plurality of radial force coils and, in another embodiment, each stator element does not require thrust force coils, and radial force coils are replaced by double the plurality of coils serving as an outer member of each split-pole half.

  15. Radial spin Hall effect of light

    NASA Astrophysics Data System (ADS)

    Shu, Weixing; Ke, Yougang; Liu, Yachao; Ling, Xiaohui; Luo, Hailu; Yin, Xiaobo

    2016-01-01

    We propose and realize a radial spin Hall effect (SHE) of light by using a dielectric metasurface. The metasurface with radially varying optical axes introduces a Pancharatnam-Berry (PB) geometrical phase to the incident light. The spatial gradient of PB phase accounts for a shift in the momentum space and thus leads the light to split radially into two concentric rays with opposite spin in the position space, which is called a radial SHE. Further experiments verify that the magnitude of the splitting increases with the rotation rate of the optical-axis orientation and the propagation distance, thereby allowing for macroscopic observation of the SHE. We also find that the phase of the incident light influences the profiles of the two split rays, while the polarization determines their intensities. The results provide methods to tune the SHE of light by engineering metasurfaces and modulating the incident light, and this radial SHE may be extrapolated to other physical systems.

  16. The Left-Handed Writer.

    ERIC Educational Resources Information Center

    Bloodsworth, James Gaston

    Contrary to the beliefs of many, right-handedness is not a single factor existing in almost all people, with a few exceptions termed left-handed: neither extreme exists independently of the other. During the first 4 years of life there is a period of fluctuation between right and left-handed dominance. Statistics and findings vary in determining…

  17. Investigation on impeller radial force for double-suction centrifugal pump with staggered blade arrangement

    NASA Astrophysics Data System (ADS)

    Zhang, Z. C.; Wang, F. J.; Yao, Z. F.; Leng, H. F.; Zhou, P. J.

    2013-12-01

    In order to find the effects of blade arrangement on impeller radial force, a double-suction centrifugal pump with two impeller configurations is investigated by using CFD approach. The two impeller have same geometry, same blade number, and different blade arrangement. One is staggered impeller in which the blades are arranged with half of blade phase angle staggered in circular direction, another is traditional symmetrical impeller with symmetrical blade arrangement. Results show that the radial force vector diagram for symmetrical impeller is a hexagonal, while it is nearly a circle for staggered impeller. The staggered impeller results no radial force saltation which exists in symmetrical impeller. The blade passing frequency dominates the radial force fluctuation in symmetrical impeller, while this frequency is almost not existed in staggered impeller. The results indicate that staggered blade arrangement can significantly reduce radial force fluctuation in double-suction centrifugal pump.

  18. Enhanced radial transport and energization of radiation belt electrons due to drift orbit bifurcations

    PubMed Central

    Ukhorskiy, A Y; Sitnov, M I; Millan, R M; Kress, B T; Smith, D C

    2014-01-01

    [1]Relativistic electron intensities in Earth's outer radiation belt can vary by multiple orders of magnitude on the time scales ranging from minutes to days. One fundamental process contributing to dynamic variability of radiation belt intensities is the radial transport of relativistic electrons across their drift shells. In this paper we analyze the properties of three-dimensional radial transport in a global magnetic field model driven by variations in the solar wind dynamic pressure. We use a test particle approach which captures anomalous effects such as drift orbit bifurcations. We show that the bifurcations lead to an order of magnitude increase in radial transport rates and enhance the energization at large equatorial pitch angles. Even at quiet time fluctuations in dynamic pressure, radial transport at large pitch angles exhibits strong deviations from the diffusion approximation. The radial transport rates are much lower at small pitch angle values which results in a better agreement with the diffusion approximation. PMID:26167431

  19. RAndomized Comparison of raDIal vs. femorAL Access for Routine Catheterization of Heart Transplant Patients (RADIAL-heart transplant study).

    PubMed

    Scalone, G; Brugaletta, S; Martín-Yuste, V; Seixo, F; Cotes, C; Gómez-Monterrosas, O; Alvarez-Contreras, L; Campreciós, M; Mirabet, S; Brossa, V; Sabaté, M

    2014-12-01

    Although a transradial approach (TRA) is considered feasible in many clinical situations, no data are available in patients undergoing orthotopic heart transplantation (OHT). Our goal was to randomly compare TRA versus a transfemoral approach (TFA) in this clinical setting. This single-center, prospective, randomized trial was conducted from January to November 2006, and all OHT patients scheduled for a control coronary angiography were randomized to receive TRA or TFA. The primary endpoint was the amount of contrast used during the procedure. The participating interventional cardiologists were intermediate-volume radial operators, and this was their initial experience of TRA in OHT patients. The analysis was performed according to the intention-to-treat principle. Overall, 49 patients (mean age, 55 ± 13 years; 74% male) were included in the trial: 26 patients were assigned to TRA, and 23 were assigned to TFA. A higher amount of contrast (147 mL [range, 113-175 mL] vs 105 mL [range, 86-127 mL]; P = .009), a longer fluoroscopy time (9.2 minutes [range, 6-12 minutes] vs 3.5 minutes [range, 3-5 minutes]; P < .001), a trend toward increased number of catheters used for left ostium cannulation, and a higher crossover rate (19% vs 0%; P = .03) were associated with TRA compared with TFA. Furthermore, patients treated with TRA exhibit a shorter hospital stay (6 [range 4-8]) compared with the other group (26 [range 24-28]) (P < .001). There were no significant differences between the 2 groups regarding total procedural time, and no vascular complications were reported in either group. For these operators with their first experience of TRA in OHT patients, TFA seemed to be more efficient. PMID:25498035

  20. Left ventricular wall stress compendium.

    PubMed

    Zhong, L; Ghista, D N; Tan, R S

    2012-01-01

    Left ventricular (LV) wall stress has intrigued scientists and cardiologists since the time of Lame and Laplace in 1800s. The left ventricle is an intriguing organ structure, whose intrinsic design enables it to fill and contract. The development of wall stress is intriguing to cardiologists and biomedical engineers. The role of left ventricle wall stress in cardiac perfusion and pumping as well as in cardiac pathophysiology is a relatively unexplored phenomenon. But even for us to assess this role, we first need accurate determination of in vivo wall stress. However, at this point, 150 years after Lame estimated left ventricle wall stress using the elasticity theory, we are still in the exploratory stage of (i) developing left ventricle models that properly represent left ventricle anatomy and physiology and (ii) obtaining data on left ventricle dynamics. In this paper, we are responding to the need for a comprehensive survey of left ventricle wall stress models, their mechanics, stress computation and results. We have provided herein a compendium of major type of wall stress models: thin-wall models based on the Laplace law, thick-wall shell models, elasticity theory model, thick-wall large deformation models and finite element models. We have compared the mean stress values of these models as well as the variation of stress across the wall. All of the thin-wall and thick-wall shell models are based on idealised ellipsoidal and spherical geometries. However, the elasticity model's shape can vary through the cycle, to simulate the more ellipsoidal shape of the left ventricle in the systolic phase. The finite element models have more representative geometries, but are generally based on animal data, which limits their medical relevance. This paper can enable readers to obtain a comprehensive perspective of left ventricle wall stress models, of how to employ them to determine wall stresses, and be cognizant of the assumptions involved in the use of specific models

  1. [Left-handedness and health].

    PubMed

    Milenković, Sanja; Belojević, Goran; Kocijancić, Radojka

    2010-01-01

    Hand dominance is defined as a proneness to use one hand rather than another in performing the majority of activities and this is the most obvious example of cerebral lateralization and an exclusive human characteristic. Left-handed people comprise 6-14% of the total population, while in Serbia, this percentage is 5-10%, moving from undeveloped to developed environments, where a socio-cultural pressure is less present. There is no agreement between investigators who in fact may be considered a left-handed person, about the percentage of left-handers in the population and about the etiology of left-handedness. In the scientific literature left-handedness has been related to health disorders (spine deformities, immunological disorders, migraine, neurosis, depressive psychosis, schizophrenia, insomnia, homosexuality, diabetes mellitus, arterial hypertension, sleep apnea, enuresis nocturna and Down Syndrome), developmental disorders (autism, dislexia and sttutering) and traumatism. The most reliable scientific evidences have been published about the relationship between left-handedness and spinal deformities in school children in puberty and with traumatism in general population. The controversy of other results in up-to-now investigations of health aspects of left-handedness may partly be explained by a scientific disagreement whether writing with the left hand is a sufficient criterium for left-handedness, or is it necessary to investigate other parameters for laterality assessment. Explanation of health aspects of left-handedness is dominantly based on Geschwind-Galaburda model about "anomalous" cerebral domination, as a consequence of hormonal disbalance. PMID:20607990

  2. Radial bias is not necessary for orientation decoding.

    PubMed

    Pratte, Michael S; Sy, Jocelyn L; Swisher, Jascha D; Tong, Frank

    2016-02-15

    Multivariate pattern analysis can be used to decode the orientation of a viewed grating from fMRI signals in early visual areas. Although some studies have reported identifying multiple sources of the orientation information that make decoding possible, a recent study argued that orientation decoding is only possible because of a single source: a coarse-scale retinotopically organized preference for radial orientations. Here we aim to resolve these discrepant findings. We show that there were subtle, but critical, experimental design choices that led to the erroneous conclusion that a radial bias is the only source of orientation information in fMRI signals. In particular, we show that the reliance on a fast temporal-encoding paradigm for spatial mapping can be problematic, as effects of space and time become conflated and lead to distorted estimates of a voxel's orientation or retinotopic preference. When we implement minor changes to the temporal paradigm or to the visual stimulus itself, by slowing the periodic rotation of the stimulus or by smoothing its contrast-energy profile, we find significant evidence of orientation information that does not originate from radial bias. In an additional block-paradigm experiment where space and time were not conflated, we apply a formal model comparison approach and find that many voxels exhibit more complex tuning properties than predicted by radial bias alone or in combination with other known coarse-scale biases. Our findings support the conclusion that radial bias is not necessary for orientation decoding. In addition, our study highlights potential limitations of using temporal phase-encoded fMRI designs for characterizing voxel tuning properties. PMID:26666900

  3. Ion radial transport induced by ICRF waves in tokamaks

    SciTech Connect

    Chen, L.; Vaclavik, J.; Hammett, G.W.

    1987-05-01

    The wave-induced fluxes of energetic-trapped ions during ICRF heating of tokamak plasmas are calculated using quasilinear equations. A simple single particle model of this transport mechanism is also given. Both a convective flux proportional to k/sub phi/vertical bar E/sub +/vertical bar/sup 2/ and a diffusive flux proportional to k/sub phi//sup 2/vertical bar E/sub +/vertical bar/sup 2/ are found. Here, k/sub phi/ is the toroidal wave number and E/sub +/ is the left-hand polarized wave field. The convective flux may become significant for large k/sub phi/ if the wave spectrum is asymmetric in k/sub phi/. But for the conditions of most previous experiments, these calculations indicate that radial transport driven directly by the ICRF wave is unimportant.

  4. The sign of four: a new class of cool non-radially pulsating stars?

    NASA Astrophysics Data System (ADS)

    Krisciunas, K.

    The author discusses four early F-type stars whose periods are an order of magnitude slower than known pulsators of comparable luminosity. They cannot be stars undergoing simple radial pulsations. For most of these stars, one can discount the possibility that the variability is due to rotational modulation of star spots, interactions with (or tidal distortions by) a close companion, or obscuration by a rotating lumpy ring of dust orbiting the star. They are certainly not eclipsing binaries. The only possibility left seems to be non-radial pulsations, though this explanation involves difficulties of its own. If they are indeed pulsating stars exhibiting non-radial gravity modes, they would be the first stars on the cool side of the Cepheid instability strip in the Hertzsprung-Russell diagram to be so identified.

  5. Catalogue of radial velocities of galaxies

    SciTech Connect

    Palumbo, G.G.S.

    1983-01-01

    The Catalogue of Radial Velocities of Galaxies is a survey of radial velocities of redshifts of the galaxies in the universe. It lists all available measurements for each galaxy (including Russian citations) from the measurement of the first radial velocity by Slipher in 1914 through December 1980. It includes optical and radio measurements for all galaxies in both the Northern and Southern Hemispheres. In bringing together uniformly and concisely all published references, the catalogue affords readers the opportunity to evaluate the data and determine which measurement for the radical velocity of each galaxy.

  6. Scintillating lustre induced by radial fins.

    PubMed

    Takahashi, Kohske; Fukuda, Haruaki; Watanabe, Katsumi; Ueda, Kazuhiro

    2012-01-01

    Radial lines of Ehrenstein patterns induce illusory scintillating lustre in gray disks inserted into the central gaps (scintillating-lustre effect). We report a novel variant of this illusion by replacing the radial lines with white and black radial fins. Both white and gray disks inserted into the central gaps were perceived as scintillating, if the ratio of the black/white fin width were balanced (ie, close to 1.0). Thus, the grayness of the central disk is not a prerequisite for the scintillation. However, the scintillation was drastically reduced when the ratio was imbalanced. Furthermore, the optimal ratio depended on the color of the center disks. PMID:23145270

  7. Radial Artery Coursing Behind the Biceps Brachii Tendon: Significance for the Transradial Catheterization and a Clinically Oriented Classification of the Radial Artery Variations

    SciTech Connect

    Jelev, L. Surchev, L.

    2008-09-15

    In routine clinical practice the variations of the radial artery are the main reason for technical failure during transradial catheterization. If these variations are well documented, however, they do not represent a problem in the transradial approach. Therefore, we report here a rare case of the radial artery which is very strange but potentially valuable for the clinical practice: it arises at a right angle from the brachial artery and passes behind the biceps brachii tendon. Based on our findings and on an extensive literature review, we propose for the first time a clinically oriented classification of the variations of the radial artery. This classification is related to the catheterization success at the usual access site of the radial artery at the wrist.

  8. Analysis of Longitudinal Space Charge Effects With Radial Dependence

    SciTech Connect

    Wu, Juhao; Huang, Z.; Emma, P.; /SLAC

    2005-09-30

    Longitudinal space charge (LSC) force can be a main effect driving the microbunching instability in the linac for an x-ray free-electron laser (FEL). In this paper, the LSC-induced beam modulation is studied using an integral equation approach that takes into account the transverse (radial) variation of LSC field for both the coasting beam limit and bunched beam. Changes of beam energy and the transverse beam size can be also incorporated. We discuss the validity of this approach and compare it with other analyses as well as numerical simulations.

  9. Radial displacement sensor for non-contact bearings

    NASA Technical Reports Server (NTRS)

    McCormick, John A. (Inventor); Sixsmith, Herbert (Inventor)

    1998-01-01

    A radial position sensor includes four capacitive electrodes oriented about a shaft, arranged in two diametrically opposite pairs. Sensor circuitry generates an output signal in proportion to the capacitance between the electrodes and the shaft; the capacitance between an electrode and the shaft increases as the shaft approaches the electrode and decreases as the shaft recedes from the electrode. The sensor circuitry applies an alternating voltage to one electrode of a pair and a 180 degree out of phase alternating voltage to the other electrode of the pair. The electrical responses of the two electrodes to their respective input signals are summed to form a radial deviation signal which is relatively free from the alternating voltage and accurately represents the position of the shaft relative to the electrodes of the pair.

  10. Sphericity measurements by the radial method: I. Mathematical fundamentals

    NASA Astrophysics Data System (ADS)

    Janecki, D.; Stępień, K.; Adamczak, S.

    2016-01-01

    Traditionally, form errors of spherical components have been assessed on the basis of roundness profiles measured in several randomly selected cross-sections. However, such evaluation is superficial, especially if there are significant local irregularities. A new concept was thus developed at the Kielce University of Technology to enable measurement of spherical specimens along some predefined paths so that the surface is densely covered with a grid of points. This approach assumes that measurements can be performed using a typical radial roundness measuring instrument equipped with a special mechanism for controlled positioning of a measured element. This work discusses the assumptions of the new concept and describes a mathematical model of sphericity measurement by the radial method.

  11. Invariant quaternion radial harmonic Fourier moments for color image retrieval

    NASA Astrophysics Data System (ADS)

    Xiang-yang, Wang; Wei-yi, Li; Hong-ying, Yang; Pan-pan, Niu; Yong-wei, Li

    2015-03-01

    Moments and moment invariants have become a powerful tool in image processing owing to their image description capability and invariance property. But, conventional methods are mainly introduced to deal with the binary or gray-scale images, and the only approaches for color image always have poor color image description capability. Based on radial harmonic Fourier moments (RHFMs) and quaternion, we introduced the quaternion radial harmonic Fourier moments (QRHFMs) for representing color images in this paper, which can be seen as the generalization of RHFMs for gray-level images. It is shown that the QRHFMs can be obtained from the RHFMs of each color channel. We derived and analyzed the rotation, scaling, and translation (RST) invariant property of QRHFMs. We also discussed the problem of color image retrieval using invariant QRHFMs. Experimental results are provided to illustrate the efficiency of the proposed color image representation.

  12. Radial Velocity Data Analysis with Compressed Sensing Techniques

    NASA Astrophysics Data System (ADS)

    Hara, Nathan C.; Boué, G.; Laskar, J.; Correia, A. C. M.

    2016-09-01

    We present a novel approach for analysing radial velocity data that combines two features: all the planets are searched at once and the algorithm is fast. This is achieved by utilizing compressed sensing techniques, which are modified to be compatible with the Gaussian processes framework. The resulting tool can be used like a Lomb-Scargle periodogram and has the same aspect but with much fewer peaks due to aliasing. The method is applied to five systems with published radial velocity data sets: HD 69830, HD 10180, 55 Cnc, GJ 876 and a simulated very active star. The results are fully compatible with previous analysis, though obtained more straightforwardly. We further show that 55 Cnc e and f could have been respectively detected and suspected in early measurements from the Lick observatory and Hobby-Eberly Telescope available in 2004, and that frequencies due to dynamical interactions in GJ 876 can be seen.

  13. Vacuum electron acceleration driven by a tightly focused radially polarized Gaussian beam.

    PubMed

    Dai, Lin; Li, Jian-Xing; Zang, Wei-Ping; Tian, Jian-Guo

    2011-05-01

    Electron acceleration in vacuum driven by a tightly focused radially polarized Gaussian beam has been studied in detail. Weniger transformation method is used to eliminate the divergence of the radially polarized electromagnetic field derived from the Lax series approach. And, electron dynamics in an intense radially polarized Gaussian beam is analyzed by using the Weniger transformation field. The roles of the initial phase of the electromagnetic field and the injection angle, position and energy of electron in energy gain of electron have been studied in detail. PMID:21643185

  14. Radial period extraction method employing frequency measurement for quantitative collimation testing

    NASA Astrophysics Data System (ADS)

    Li, Sikun; Wang, Xiangzhao

    2016-01-01

    A radial period extraction method employing frequency measurement is proposed for quantitative collimation testing using spiral gratings. The radial period of the difference-frequency fringe is treated as a measure of the collimation condition. A frequency measurement technique based on wavelet transform and a statistical approach is presented to extract the radial period directly from the amplitude-transmittance spiral fringe. A basic constraint to set the parameters of the wavelet is introduced. Strict mathematical demonstration is given. The method outperforms methods employing phase measurement in terms of precision, stability and noise immune ability.

  15. Radial/axial power divider/combiner

    NASA Technical Reports Server (NTRS)

    Vaddiparty, Yerriah P. (Inventor)

    1987-01-01

    An electromagnetic power divider/combiner comprises N radial outputs (31) having equal powers and preferably equal phases, and a single axial output (20). A divider structure (1) and a preferably identical combiner structure (2) are broadside coupled across a dielectric substrate (30) containing on one side the network of N radial outputs (31) and on its other side a set of N equispaced stubs (42) which are capacitively coupled through the dielectric substrate (30) to the N radial outputs (31). The divider structure (1) and the combiner structure (2) each comprise a dielectric disk (12, 22, respectively) on which is mounted a set of N radial impedance transformers (14, 24, respectively). Gross axial coupling is determined by the thickness of the dielectric layer (30). Rotating the disks (12, 22) with respect to each other effectuates fine adjustment in the degree of axial coupling.

  16. Aberrant Radial Artery Causing Carpal Tunnel Syndrome

    PubMed Central

    Kokkalis, Zinon T.; Tolis, Konstantinos E.; Megaloikonomos, Panayiotis D.; Panagopoulos, Georgios N.; Igoumenou, Vasilios G.; Mavrogenis, Andreas F.

    2016-01-01

    Anatomical vascular variations are rare causes of carpal tunnel syndrome. An aberrant medial artery is the most common vascular variation, while an aberrant radial artery causing carpal tunnel syndrome is even more rare, with an incidence ranging less than 3%. This article reports a patient with compression of the median nerve at the carpal tunnel by an aberrant superficial branch of the radial artery. An 80- year- old man presented with a 5-year history of right hand carpal tunnel syndrome; Tinel sign, Phalen test and neurophysiological studies were positive. Open carpal tunnel release showed an aberrant superficial branch of the radial artery with its accompanying veins running from radially to medially, almost parallel to the median nerve, ending at the superficial palmar arterial arch. The median nerve was decompressed without ligating the aberrant artery. At the last follow-up, 2 years after diagnosis and treatment the patient is asymptomatic. PMID:27517078

  17. Aberrant Radial Artery Causing Carpal Tunnel Syndrome.

    PubMed

    Kokkalis, Zinon T; Tolis, Konstantinos E; Megaloikonomos, Panayiotis D; Panagopoulos, Georgios N; Igoumenou, Vasilios G; Mavrogenis, Andreas F

    2016-06-01

    Anatomical vascular variations are rare causes of carpal tunnel syndrome. An aberrant medial artery is the most common vascular variation, while an aberrant radial artery causing carpal tunnel syndrome is even more rare, with an incidence ranging less than 3%. This article reports a patient with compression of the median nerve at the carpal tunnel by an aberrant superficial branch of the radial artery. An 80- year- old man presented with a 5-year history of right hand carpal tunnel syndrome; Tinel sign, Phalen test and neurophysiological studies were positive. Open carpal tunnel release showed an aberrant superficial branch of the radial artery with its accompanying veins running from radially to medially, almost parallel to the median nerve, ending at the superficial palmar arterial arch. The median nerve was decompressed without ligating the aberrant artery. At the last follow-up, 2 years after diagnosis and treatment the patient is asymptomatic. PMID:27517078

  18. Left lobe amoebic liver abscess

    PubMed Central

    Rasaretnam, Rudra; Wijetilaka, Shelton E.

    1976-01-01

    For reasons which are not quite clear amoebic liver abscesses in the left lobe are relatively uncommon. On account of the lesser bulk of the left lobe, and the potentially greater space under the left hemidiaphragm, expansive lesions within it remain less obtrusive than corresponding lesions in the right. Sixteen such cases are analysed and five distinct modes of clinical presentation have been found. Eight of the patients presented late with perforation into either the peritoneal or pleural cavities. In seven of eight remaining cases, an abdominal mass suggestive of a left lobe lesion was present. Anaemia, leucocytosis and a raised erythrocyte sedimentation rate were usually present, and in the five cases seen in the last year a positive reaction was obtained to the indirect fluorescent antibody test. Confirmatory radiological features were present only in advanced cases. ImagesFig. 2Fig. 3Fig. 4Fig. 5 PMID:959101

  19. Radial transport with perturbed magnetic field

    SciTech Connect

    Hazeltine, R. D.

    2015-05-15

    It is pointed out that the viscosity coefficient describing radial transport of toroidal angular momentum is proportional to the second power of the gyro-radius—like the corresponding coefficients for particle and heat transport—regardless of any geometrical symmetry. The observation is widely appreciated, but worth emphasizing because some literature gives the misleading impression that asymmetry can allow radial moment transport in first-order.

  20. Left Main Coronary Artery Aneurysm

    PubMed Central

    Doustkami, Hossein; Maleki, Nasrollah; Tavosi, Zahra

    2016-01-01

    Aneurysms of the left main coronary artery are exceedingly rare clinical entities, encountered incidentally in approximately 0.1% of patients who undergo routine angiography. The most common cause of coronary artery aneurysms is atherosclerosis. Angiography is the gold standard for diagnosis and treatment. Depending on the severity of the coexisting coronary stenosis, patients with left main coronary artery aneurysms can be effectively managed either surgically or pharmacologically. We herein report a case of left main coronary artery aneurysm in a 72-year-old man with a prior history of hypertension presenting to our hospital because of unstable angina. The electrocardiogram showed ST-segment depression and T-wave inversion in the precordial leads. All the data of blood chemistry were normal. Echocardiography showed akinetic anterior wall, septum, and apex, mild mitral regurgitation and ejection fraction of 45%. Coronary angiography revealed a saccular aneurysm of the left main coronary artery with significant stenosis in the left anterior descending, left circumflex, and right coronary artery. The patient immediately underwent coronary artery bypass grafting and ligation of the aneurysm. At six months’ follow-up, he remained asymptomatic. PMID:27403190

  1. Radial pulsations in DB white dwarfs?

    NASA Technical Reports Server (NTRS)

    Kawaler, Steven D.

    1993-01-01

    Theoretical models of DB white dwarfs are unstable against radial pulsation at effective temperatures near 20,000-30,000 K. Many high-overtone modes are unstable, with periods ranging from 12 s down to the acoustic cutoff period of approximately 0.1 s. The blue edge for radial instability lies at slightly higher effective temperatures than for nonradial pulsations, with the temperature of the blue edge dependent on the assumed efficiency of convection. Models with increased convective efficiency have radial blue edges that are increasingly closer to the nonradial blue edge; in all models the instability persists into the nonradial instability strip. Radial pulsations therefore may exist in the hottest DB stars that lie below the DB gap; the greatest chance for detection would be observations in the ultraviolet. These models also explain why searches for radial pulsations in DA white dwarfs have failed: the efficient convection needed to explain the blue edge for nonradial DA pulsation means that the radial instability strip is 1000 K cooler than found in previous investigations. The multiperiodic nature of the expected pulsations can be used to advantage to identify very low amplitude modes using the uniform spacing of the modes in frequency. This frequency spacing is a direct indicator of the mass of the star.

  2. Left Ventricular Assist Devices

    PubMed Central

    2004-01-01

    Executive Summary Objective The objective of this health technology policy assessment was to determine the effectiveness and cost-effectiveness of using implantable ventricular assist devices in the treatment of end-stage heart failure. Heart Failure Heart failure is a complex syndrome that impairs the ability of the heart to maintain adequate blood circulation, resulting in multiorgan abnormalities and, eventually, death. In the period of 1994 to 1997, 38,702 individuals in Ontario had a first hospital admission for heart failure. Despite reported improvement in survival, the five-year mortality rate for heart failure is about 50%. For patients with end-stage heart failure that does not respond to medical therapy, surgical treatment or traditional circulatory assist devices, heart transplantation (in appropriate patients) is the only treatment that provides significant patient benefit. Heart Transplant in Ontario With a shortage in the supply of donor hearts, patients are waiting longer for a heart transplant and may die before a donor heart is available. From 1999 to 2003, 55 to 74 people received a heart transplant in Ontario each year. Another 12 to 21 people died while waiting for a suitable donor heart. Of these, 1 to 5 deaths occurred in people under 18 years old. The rate-limiting factor in heart transplant is the supply of donor hearts. Without an increase in available donor hearts, attempts at prolonging the life of some patients on the transplant wait list could have a harmful effect on other patients that are being pushed down the waiting list (knock on effect). LVAD Technology Ventricular assist devices [VADs] have been developed to provide circulatory assistance to patients with end-stage heart failure. These are small pumps that usually assist the damaged left ventricle [LVADs] and may be situated within the body (intracorporeal] or outside the body [extracorporeal). Some of these devices were designed for use in the right ventricle [RVAD] or both

  3. A rare localization of neurothekeomas of radial nerve: A case report.

    PubMed

    Di Sante, L; Camerota, F; Celletti, C; Ioppolo, F; Santilli, V; David, E

    2015-01-01

    Neurothekeoma is a very rare benign connective tissue tumour that presumably derived from nerve sheath cells. We described the case of a rare localization of neurothekeoma in the upper limb with a strange presentation. A 49 years-old woman presented to the Physical Medicine and Rehabilitation Division of the Umberto I Hospital referring an intensive pain associated to paresthesias at the left forearm lasting from six months. The patient had a history of epicondylitis confirmed with an elbow RMN showing an increased thickness of the tendon insertions on the epicondiloidea region of the elbow. Rehabilitative and physical therapy has been done without symptoms remission. An ultrasound evaluation showed an oval formation well circumscribed in the context of the radial nerve. It was easy to demonstrate the relevance of the radial nerve, following it from the arch of Frohse until the humeral sulcus of the radial nerve. A MRI that showed a mass, mildly hypointense on T1- weighted sequences and hyperintense on T2-weighted images, with nonhomogeneous enhancement post-contrast, attributable to expansionary pathology of the radial nerve. A biopsy was done and the lesion was described as a benign tumor of nerve sheath, i.e., a Neurothekeoma of the radial nerve. Patients was surgically treated, the tumor has been removed and she referred the resolution of symptomatology. PMID:26794820

  4. Transseptal fine needle aspiration of a large left atrial tumour.

    PubMed

    Wong, Chi Wing; Ruygrok, Peter; Sutton, Timothy; Ding, Patricia; van Vliet, Chris; Occleshaw, Christopher; Smith, Warren

    2010-07-01

    The diagnosis of cardiac tumours is often based on images without tissue diagnosis or tissue obtained at surgery. Percutaneous myocardial biopsy via a transvenous approach has been described in literatures but this technique is not feasible with left atrial tumours. We report a patient presenting with heart failure and left atrial tumour. The diagnosis of spindle cell neoplasm was established pre-operatively via successful transseptal fine needle aspiration of cells from a left atrial tumour. We believe this technique worth consideration to aid pre-surgery diagnosis. PMID:19656723

  5. Conservative Management of Left Atrial Intramural Hematoma after Catheter Ablation

    PubMed Central

    Oraii, Saeed; Roshanali, Farideh; Ghorbanisharif, Alireza; Mikaeili, Javad; Tahraei, Mahmood

    2016-01-01

    Left atrial intramural hematoma is a very rare complication of radiofrequency ablation procedures. A patient with tachyarrhythmia underwent radiofrequency catheter ablation. Echocardiography performed the following morning showed a large mass in the left atrium, suggestive of intramural hematoma formation. The patient was in a stable condition; therefore, it was decided that follow-up should be conservative and her anticoagulation therapy was continued. The size of the hematoma decreased significantly over the following 50 days. This case highlights a rare complication of a complex catheter ablation procedure in the left atrium that was managed via a noninvasive approach, with which all interventionists should be familiar. PMID:27482270

  6. Why Am I Left-Handed?

    MedlinePlus

    ... does since most hitters are right-handed. In basketball and other sports, a left-handed player can ... change in strategy. For instance, a left-handed basketball player will dribble with his or her left ...

  7. Radial distribution of charged particles in a magnetic field.

    PubMed

    Sjue, S K L; Broussard, L J; Makela, M; McGaughey, P L; Young, A R; Zeck, B A

    2015-02-01

    The radial spread of charged particles emitted from a point source in a magnetic field is a potential source of systematic error for any experiment where magnetic fields guide charged particles to detectors with finite size. Assuming uniform probability as a function of the phase along the particle's helical trajectory, an analytic solution for the radial probability distribution function follows which applies to experiments in which particles are generated throughout a volume that spans a sufficient length along the axis of a homogeneous magnetic field. This approach leads to the same result as a different derivation given by Dubbers et al., Nucl. Instrum. Methods Phys. Res., Sect. A 763, 112-119 (2014). But the constant phase approximation does not strictly apply to finite source volumes or fixed positions, which lead to local maxima in the radial distribution of emitted particles at the plane of the detector. A simple method is given to calculate such distributions, then the effect is demonstrated with data from a (207)Bi electron-conversion source in the superconducting solenoid magnet spectrometer of the Ultracold Neutron facility at the Los Alamos Neutron Science Center. Implications for neutron beta decay spectroscopy are discussed. PMID:25725818

  8. Radial distribution of charged particles in a magnetic field

    SciTech Connect

    Sjue, S. K. L. Broussard, L. J.; Makela, M.; McGaughey, P. L.; Young, A. R.; Zeck, B. A.

    2015-02-15

    The radial spread of charged particles emitted from a point source in a magnetic field is a potential source of systematic error for any experiment where magnetic fields guide charged particles to detectors with finite size. Assuming uniform probability as a function of the phase along the particle’s helical trajectory, an analytic solution for the radial probability distribution function follows which applies to experiments in which particles are generated throughout a volume that spans a sufficient length along the axis of a homogeneous magnetic field. This approach leads to the same result as a different derivation given by Dubbers et al., Nucl. Instrum. Methods Phys. Res., Sect. A 763, 112–119 (2014). But the constant phase approximation does not strictly apply to finite source volumes or fixed positions, which lead to local maxima in the radial distribution of emitted particles at the plane of the detector. A simple method is given to calculate such distributions, then the effect is demonstrated with data from a {sup 207}Bi electron-conversion source in the superconducting solenoid magnet spectrometer of the Ultracold Neutron facility at the Los Alamos Neutron Science Center. Implications for neutron beta decay spectroscopy are discussed.

  9. Phase Transformation in Radially Merged Wurtzite GaAs Nanowires

    PubMed Central

    2015-01-01

    III–V Nanowires (NWs) grown with metal–organic chemical vapor deposition commonly show a polytypic crystal structure, allowing growth of structures not found in the bulk counterpart. In this paper we studied the radial overgrowth of pure wurtzite (WZ) GaAs nanowires and characterized the samples with high resolution X-ray diffraction (XRD) to reveal the crystal structure of the grown material. In particular, we investigated what happens when adjacent WZ NWs radially merge with each other by analyzing the evolution of XRD peaks for different amounts of radial overgrowth and merging. By preparing cross-sectional lamella samples we also analyzed the local crystal structure of partly merged NWs by transmission electron microscopy. Once individual NWs start to merge, the crystal structure of the merged segments is transformed progressively from initial pure WZ to a mixed WZ/ZB structure. The merging process is then modeled using a simple combinatorial approach, which predicts that merging of two or more WZ NWs will result in a mixed crystal structure containing WZ, ZB, and 4H. The existence large and relaxed segments of 4H structure within the merged NWs was confirmed by XRD, allowing us to accurately determine the lattice parameters of GaAs 4H. We compare the measured WZ and 4H unit cells with an ideal tetrahedron and find that both the polytypes are elongated in the c-axis and compressed in the a-axis compared to the geometrically converted cubic ZB unit cell. PMID:26494983

  10. Intraoperative hemodynamic evaluation of the radial and ulnar arteries during free radial forearm flap procedure.

    PubMed

    Lorenzetti, Fulvio; Giordano, Salvatore; Suominen, Erkki; Asko-Seljavaara, Sirpa; Suominen, Sinikka

    2010-02-01

    The purpose of this prospective study was to assess the blood flow of the radial and ulnar arteries before and after radial forearm flap raising. Twenty-two patients underwent radial forearm microvascular reconstruction for leg soft tissue defects. Blood flow of the radial, ulnar, and recipient arteries was measured intraoperatively by transit-time and ultrasonic flowmeter. In the in situ radial artery, the mean blood flow was 60.5 +/- 47.7 mL/min before, 6.7 +/- 4.1 mL/min after raising the flap, and 5.8 +/- 2.0 mL/min after end-to-end anastomosis to the recipient artery. In the ulnar artery, the mean blood flow was 60.5 +/- 43.3 mL/min before harvesting the radial forearm flap and significantly increased to 85.7 +/- 57.9 mL/min after radial artery sacrifice. A significant difference was also found between this value and the value of blood flow in the ulnar and radial arteries pooled together ( P < 0.05). The vascular resistance in the ulnar artery decreased significantly after the radial artery flap raising (from 2.7 +/- 3.1 to 1.9 +/- 2.2 peripheral resistance units, P = 0.010). The forearm has a conspicuous arterial vascularization not only through the radial and ulnar arteries but also through the interosseous system. The raising of the radial forearm flap increases blood flow and decreases vascular resistance in the ulnar artery. PMID:19902406