Science.gov

Sample records for lumboperitoneal lp shunt

  1. Adult hydrocoele complicating a lumboperitoneal shunt.

    PubMed

    Pollak, T A; Marcus, H J; James, G; Dorward, N; Thorne, L

    2011-10-01

    We report an adult patient who developed a right-sided hydrocoele following a lumboperitoneal shunt. While hydrocoeles have been described as a rare complication following ventriculo- and lumboperitoneal shunts in children, we are unaware of any previously reported cases of hydrocoeles resulting from such shunts in adults. PMID:21344965

  2. Laparoscopic-assisted lumboperitoneal shunt placement for idiopathic intracranial hypertension.

    PubMed

    Hammers, Ronald; Prabhu, Vikram C; Sarker, Sharfi; Jay, Walter M

    2008-01-01

    Lumboperitoneal (LP) shunting is considered an effective method of cerebrospinal fluid (CSF) diversion in patients with idiopathic intracranial hypertension (IIH). Confirmation of flow out of the distal portion of the catheter once in its final position can be difficult, especially in obese individuals. A new technique to improve placement of the peritoneal catheter involves laparoscopic catheter insertion. We performed laparoscopic-assisted LP shunt placement for IIH on four patients. Improvement in preoperative IIH symptomatology was noted in all patients. No laparoscopic-procedure-related complications were noted. No problems were noted in shunt functioning and none of the shunts have required revision surgery at last follow-up. LP shunt related complications were noted in two of the four patients. Complications included bilateral lower extremity lumbar radiculopathy in one patient that resolved with a short course of gabapentin, spinal headache in one patient that resolved with bed rest and fluids, and development of a small intracranial subdural hygroma without mass effect in one patient that is asymptomatic and being followed without clinical consequence. Laparoscopic insertion of the abdominal catheter is safe and effective and does not appear to independently cause an increased risk of complications. PMID:18432541

  3. Shunt dependency in shunted arachnoid cyst: a reason to avoid shunting.

    PubMed

    Kim, Seung-Ki; Cho, Byung-Kyu; Chung, You-Nam; Kim, Hee-Soo; Wang, Kyu-Chang

    2002-10-01

    Cystoperitoneal (CP) shunting is minimally invasive and achieves a high rate of resolution on neuroimaging. However, in the absence of definite symptoms, shunting should be reconsidered, because some patients can experience shunt dependency after CP shunting. In this study, the risk of shunt dependency in patients with arachnoid cysts treated with CP shunting and the management of these patients are described. Eight patients (7 boys and 1 girl) were diagnosed as shunt dependent following CP shunting. At the time of the first operation (mean age at first shunting 6.1 years, range 1-11 years), a causal relationship between symptoms and the arachnoid cyst was evident in only 2 cases. Clinical manifestations, neuroimaging (computed tomography and/or magnetic resonance imaging) and intracranial pressure (ICP) data were reviewed retrospectively. The mean age of the patients at the time of shunt dependency was 9.8 years (range 6-13 years), and the mean time between the first shunt operation and shunt dependency was 41 months (range 17-80 months). Although neuroimaging demonstrated a collapsed cyst and small ventricles in most patients, ICP monitoring revealed significant intracranial hypertension. The release of shunt ligation, revision or additional shunting, such as ventriculoperitoneal shunting or lumboperitoneal shunting, resulted in the complete resolution of symptoms except in one patient who lost vision. This study shows that shunt dependency after CP shunting is a real problem and requires more attention. ICP monitoring can demonstrate the presence of intracranial hypertension when clinical and radiological analyses do not. PMID:12372910

  4. Management for traumatic chronic subdural hematoma patients with well-controlled shunt system for hydrocephalus

    PubMed Central

    Yamada, Shoko Mitrrt; Tomia, Yusuke; Murakami, Hideki; Nakane, Makoto

    2015-01-01

    Key Clinical Message Traumatic CSDH enlarged in two cases with VP or LP shunt system although the shunt valve pressure was increased to 200 mmH2O. In surgery, the hematoma cavity pressure was found to be 130 and 140 mmH2O, suggesting that to raise the shunt valve pressure is not effective for decreasing CSDH volume. PMID:26273439

  5. Distal splenorenal shunt

    MedlinePLUS

    ... shunt procedure; Renal - splenic venous shunt; Warren shunt; Cirrhosis - distal splenorenal; Liver failure - distal splenorenal ... hepatitis Blood clots Certain congenital disorders Primary biliary cirrhosis When blood cannot flow normally through the portal ...

  6. Ventriculomammary shunt: an unusual ventriculoperitoneal shunt complication.

    PubMed

    Chaudhry, Nauman S; Johnson, Jeremiah N; Morcos, Jacques J

    2015-02-01

    Ventriculoperitoneal (VP) shunt malfunctions are common and can result in significant consequences for patients. Despite the prevalence of breast augmentation surgery and breast surgery for other pathologies, few breast related VP shunt complications have been reported. A 54-year-old woman with hydrocephalus post-subarachnoid hemorrhage returned 1 month after VP shunt placement complaining of painful unilateral breast enlargement. After investigation, it was determined that the distal VP shunt catheter had migrated from the peritoneal cavity into the breast and wrapped around her breast implant. The breast enlargement was the result of cerebrospinal fluid retention. We detail this unusual case and review all breast related VP shunt complications reported in the literature. To avoid breast related complications related to VP shunt procedures, it is important to illicit pre-procedural history regarding breast implants, evade indwelling implants during catheter tunneling and carefully securing the abdominal catheter to prevent retrograde catheter migration to the breast. PMID:25127261

  7. Aqueous shunts for glaucoma

    PubMed Central

    Minckler, Don; Vedula, Satyanarayana S; Li, Tianjing; Mathew, Milan; Ayyala, Ramesh; Francis, Brian

    2014-01-01

    Background Aqueous shunts are employed for intraocular pressure (IOP) control in primary and secondary glaucomas that fail medical, laser, and other surgical therapies. Objectives This review compares aqueous shunts for IOP control and safety. Search strategy We searched CENTRAL, MEDLINE, PubMed, EMBASE, NRR in January 2006, LILACS to February 2004 and reference lists of included trials. Selection criteria We included all randomized and quasi-randomized trials in which one arm of the study involved shunts. Data collection and analysis Two authors independently extracted data for included studies and a third adjudicated discrepancies. We contacted investigators for missing information. We used fixed-effect models and summarized continuous outcomes using mean differences. Main results We included fifteen trials with a total of 1153 participants with mixed diagnoses. Five studies reported details sufficient to verify the method of randomization but only two had adequate allocation concealment. Data collection and follow-up times were variable. Meta-analysis of two trials comparing Ahmed implant with trabeculectomy found trabeculectomy resulted in lower mean IOPs 11 to 13 months later (mean difference 3.81 mm Hg, 95% CI 1.94 to 5.69 mm Hg). Meta-analysis of two trials comparing double-plate Molteno implant with the Schocket shunt was not done due to substantial heterogeneity. One study comparing ridged with standard double-plate Molteno implants found no clinically significant differences in outcome. Two trials investigating the effectiveness of adjunctive mitomycin (MMC) with the Molteno and Ahmed implants found no evidence of benefit with MMC. Two trials that investigated surgical technique variations with the Ahmed found no benefit with partial tube ligation or excision of Tenon's capsule. One study concluded there were outcome advantages with a double versus a single-plate Molteno implant and one trial comparing the 350 mm2 and 500 mm2 Baerveldt shunts found no clinically significant advantage of the larger device but neither of these trials included all patients randomized. One study suggested improved clinical outcome when MMC was employed with a newly described shunt including ultrasound supporting the conclusion. One small study did not demonstrate an outcome advantage to systemic steroid use postoperatively with single-plate Molteno shunts. One study comparing endocyclophotocoagulation (ECP) with Ahmed implant in complicated glaucomas found no evidence of better IOP control with Ahmed implant over ECP. Authors' conclusions Relatively few randomized trials have been published on aqueous shunts and methodology and data quality among them is poor. To date there is no evidence of superiority of one shunt over another. PMID:16625616

  8. TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT

    PubMed Central

    Patidar, Kavish R.; Sydnor, Malcolm; Sanyal, Arun J.

    2014-01-01

    Transjugular intrahepatic portosystemic shunt (TIPS) is an established procedure for the complications of portal hypertension. The largest body of evidence for its use has been supported for recurrent or refractory variceal bleeding and refractory ascites. Its use has also been advocated for acute variceal bleed, hepatic hydrothorax, and hepatorenal syndrome. With the replacement of bare metal stents with polytetrafluoroethylen (PTFE) covered stents, shunt patency has improved dramatically thus improving outcomes. Therefore, reassessment of its utility, management of its complications, and understanding of various TIPS techniques is important. PMID:25438287

  9. Subacute bacterial endocarditis and subsequent shunt nephritis from ventriculoatrial shunting 14?years after shunt implantation.

    PubMed

    Burström, Gustav; Andresen, Morten; Bartek, Jiri; Fytagoridis, Anders

    2014-01-01

    Fourteen years after shunt implantation, a 26-year-old patient with myelomeningocele, concomitant hydrocephalus and a ventriculoatrial cerebrospinal fluid (CSF) shunt presented with brief but recurrent episodes of fever predominantly when taking showers or during physical exertion. After 4?years of inconclusive multidisciplinary investigations, the patient progressed into end-stage renal disease before an echocardiogram revealed a vegetative plaque on the tendinous chords of the tricuspid valve. CSF cultures were grown from the shunt valve, confirming bacterial growth of Propionibacterium acnes suspected of causing subacute bacterial endocarditis and subsequent shunt nephritis. The patient was successfully treated with antibiotics combined with ventriculoatrial shunt removal and endoscopic third ventriculocisternostomy (VCS). This case illustrates the nowadays rare, but potentially severe complication of subacute bacterial endocarditis and shunt nephritis. It also exemplifies the VCS as an alternative to implanting foreign shunt systems for CSF diversion. PMID:24962489

  10. LP Field, 2010

    USGS Multimedia Gallery

    Rivers in middle Tennessee crested May 2-3,2010, breaking records at many USGS-operated streamgages. The flood peak on the Cumberland River in downtown Nashville ranks as the highest observed during the past 73 years. Flooding on the Cumberland River damaged the Grand Ole Opry House, LP Field (shown...

  11. [Nephritis following shunt operation for hydrocephalus].

    PubMed

    Bódi, I; István, B

    1998-07-12

    The ventriculo-atrial (VA) and ventriculo-peritoneal (VP) shunts implanted due to hypertensive hydrocephalus might get infected and be complicated by shunt nephritis. We reviewed the morphological changes in kidney retrospectively in the autopsy materials of our institute for the last 15 years after shunt implantation. Histological examination of the kidney was performed in 26 of these cases having 7 cases with glomerular morphological changes. Thus, the shunt nephritis is a relatively frequent complication of VA or VP shunts implanted due to hydrocephalus. Monitorization and follow-up of kidney function in case of any dysfunction of the shunt may suggest the possibility of shunt infection, and the removal of the infected shunt may protect the development of more severe, septic complications. PMID:9702081

  12. 49 CFR 236.838 - Wire, shunt.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 4 2011-10-01 2011-10-01 false Wire, shunt. 236.838 Section 236.838 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION... Wire, shunt. A wire forming part of a shunt circuit....

  13. 49 CFR 236.838 - Wire, shunt.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Wire, shunt. 236.838 Section 236.838 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION... Wire, shunt. A wire forming part of a shunt circuit....

  14. Ventriculoperitoneal shunt perforations of the gastrointestinal tract.

    PubMed

    Thiong'o, Grace Muthoni; Luzzio, Christopher; Albright, A Leland

    2015-07-01

    OBJECT The purposes of this study were to evaluate the frequency with which children presented with ventriculoperitoneal (VP) shunt perforations of the gastrointestinal (GI) tract, to determine the type of shunts that caused the perforations, and to compare the stiffness of perforating catheters with the stiffness of catheters from other manufacturers. METHODS Medical records were reviewed of 197 children who were admitted with VP shunt malfunction. Catheter stiffness was evaluated by measuring relative resistance to cross-sectional compression, resistance to column buckling, and elasticity in longitudinal bending. Catheter frictional force was measured per unit length. RESULTS Six children were identified whose VP shunts had perforated the GI tract; 2 shunts subsequently protruded through the anal orifice, 1 protruded through the oral cavity, and 3 presented with subcutaneous abscesses that tracked upward from the intestine to the chest. All perforating shunts were Chhabra shunts. Catheter stiffness and resistance to bending were greatest with a Medtronic shunt catheter, intermediate with a Codman catheter, and least with a Chhabra catheter. Frictional force was greatest with a Chhabra catheter and least with a Medtronic catheter. CONCLUSIONS The frequency of perforations by Chhabra shunts appears to be higher than the frequency associated with other shunts. The increased frequency does not correlate with their stiffness but may reflect their greater frictional forces. PMID:25837887

  15. Ventricular shunting for hydrocephalus following intraventricular haemorrhage.

    PubMed

    Roberts, J P; Burge, D M

    1989-12-01

    31 patients underwent ventricular shunting (17 VA and 14 VP) for post-haemorrhagic hydrocephalus over 11 years. The mean gestational age was 31.8 +/- 4.17 (1 SD) weeks and birth weight 1.83 +/- 0.77 (1 SD) kg, with no differences between the VA and VP groups. Shunts inserted less than 5 weeks of age failed more frequently than those inserted after 5 weeks. There were 5 early (less than 30 days) blocks all in VP shunts (p = 0.023) but no difference in distal catheter blockage rate (p = 0.14). There were no early infections. In later follow-up, 35% of patients had block episodes and 22% infective episodes with no significant difference between the type of shunt used. Overall mortality was 6.5% and not related to shunt complications. Revisions were more frequent in VP shunts (0.9 revisions/shunt year) than VA shunts (0.6 revs/shunt year). Using life table analysis 60% of VP and 30% of VA shunts failed within 2 years of insertion. PMID:2623959

  16. Shunt regulation electric power system

    NASA Technical Reports Server (NTRS)

    Wright, W. H.; Bless, J. J. (inventors)

    1971-01-01

    A regulated electric power system having load and return bus lines is described. A plurality of solar cells interconnected in a power supplying relationship and having a power shunt tap point electrically spaced from the bus lines is provided. A power dissipator is connected to the shunt tap point and provides for a controllable dissipation of excess energy supplied by the solar cells. A dissipation driver is coupled to the power dissipator and controls its conductance and dissipation and is also connected to the solar cells in a power taping relationship to derive operating power therefrom. An error signal generator is coupled to the load bus and to a reference signal generator to provide an error output signal which is representative of the difference between the electric parameters existing at the load bus and the reference signal generator. An error amplifier is coupled to the error signal generator and the dissipation driver to provide the driver with controlling signals.

  17. Arterioportal shunts on dynamic computed tomography

    SciTech Connect

    Nakayama, T.; Hiyama, Y.; Ohnishi, K.; Tsuchiya, S.; Kohno, K.; Nakajima, Y.; Okuda, K.

    1983-05-01

    Thirty-two patients, 20 with hepatocelluar carcinoma and 12 with liver cirrhosis, were examined by dynamic computed tomography (CT) using intravenous bolus injection of contrast medium and by celiac angiography. Dynamic CT disclosed arterioportal shunting in four cases of hepatocellular carcinoma and in one of cirrhosis. In three of the former, the arterioportal shunt was adjacent to a mass lesion on CT, suggesting tumor invasion into the portal branch. In one with hepatocellular carcinoma, the shunt was remote from the mass. In the case with cirrhosis, there was no mass. In these last two cases, the shunt might have been caused by prior percutaneous needle puncture. In another case of hepatocellular carcinoma, celiac angiography but not CT demonstrated an arterioportal shunt. Thus, dynamic CT was diagnostic in five of six cases of arteriographically demonstrated arterioportal shunts.

  18. Radiological Insertion and Management of Peritoneovenous Shunt

    SciTech Connect

    Bratby, M. J.; Hussain, F. F. Lopez, A. J.

    2007-06-15

    The purpose of the study was to report our experience of the management of complications following the insertion of a peritoneovenous shunt for intractable malignant ascites. From June 1999 to January 2006, 26 patients underwent insertion of a peritoneovenous shunt for ascites by interventional radiologists. We have used ultrasound and shuntography to assist in the diagnosis of the cause of shunt blockage. Successful techniques for the restoration of the shunt function include port- pumping, stripping of any fibrin sheath, and revision of either the venous or peritoneal catheter. The procedure was initially successful in all patients with continued patency until death in 17. A further four patients are still alive with a functioning shunt. There was one rapid postprocedure death resulting from pulmonary edema. Two patients developed pneumothorax, managed successfully with either a chest drain or aspiration. Shunt dysfunction occurred eight times in seven patients. There were five successful revisions in four patients. Overall, shunt patency has been maintained in 80.1% of patients. Shunt dysfunction is seen in a significant number of patients, but successful revision of the shunt can be achieved in the majority.

  19. 21 CFR 882.4545 - Shunt system implantation instrument.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...2010-04-01 false Shunt system implantation instrument. 882.4545 Section...Devices § 882.4545 Shunt system implantation instrument. (a) Identification. A shunt system implantation instrument is an instrument...

  20. 49 CFR 236.725 - Circuit, switch shunting.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...2010-10-01 false Circuit, switch shunting. 236...REPAIR OF SIGNAL AND TRAIN CONTROL SYSTEMS, DEVICES, AND...Definitions § 236.725 Circuit, switch shunting. A shunting circuit which is closed through contacts of a...

  1. LP-80 IMU program status

    NASA Astrophysics Data System (ADS)

    Jackson, Edward N.

    Development history, system design features, performance, and hardware status are reviewed for the fourth-generation LP-80 strapdown inertial measurement unit (IMU) which is currently in full-scale development to meet the design objectives required for missiles, torpedoes, drones, and range instrumentation system applications. The LP-80 is fully self-contained and operates at all attitudes, providing digital processed outputs of angular rate and linear acceleration measured in the body axis frame. For range applications, the LP-80 is designed to provide linear velocities with respect to a space stabilized coordinate frame.

  2. 21 CFR 874.3820 - Endolymphatic shunt.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Endolymphatic shunt. 874.3820 Section 874.3820 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3820 Endolymphatic shunt....

  3. 21 CFR 874.3820 - Endolymphatic shunt.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Endolymphatic shunt. 874.3820 Section 874.3820 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3820 Endolymphatic shunt....

  4. 21 CFR 874.3820 - Endolymphatic shunt.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Endolymphatic shunt. 874.3820 Section 874.3820 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3820 Endolymphatic shunt....

  5. 21 CFR 874.3820 - Endolymphatic shunt.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Endolymphatic shunt. 874.3820 Section 874.3820 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3820 Endolymphatic shunt....

  6. 21 CFR 874.3820 - Endolymphatic shunt.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Endolymphatic shunt. 874.3820 Section 874.3820 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3820 Endolymphatic shunt....

  7. WEIGHTED Lp -BOUNDEDNESS OF FOURIER SERIES

    E-print Network

    Pérez, Mario

    Jacobi weight on the interval [-1, 1] and, for each function f, let Snf denote the n-th partial sum with respect to dµ. The study of the boundedness Snf Lp(updµ) C f Lp(vpdµ), (1) where u(x) = (1 - x)a (1 + x, . . . , N) (3) and A a, B b, Gi gi (4) hold, then C > 0 such that Snf Lp(updµ) C f Lp(vpdµ) f Lp (vp dµ

  8. Current concepts in congenital portosystemic shunts.

    PubMed

    Mankin, Kelley M Thieman

    2015-05-01

    Congenital portosystemic shunts (CPSS) are vascular abnormalities that allow portal blood to bypass the liver and join systemic circulation. Laboratory and imaging studies are performed preoperatively to diagnose CPSS and hopefully identify an anatomic location of the shunt. CPSS can be found in different locations in both small and large breed dogs. Most CPSS are best managed surgically. The goal of surgical management of CPSS is to slowly redirect blood from the shunting vessel through the portal vasculature while avoiding portal hypertension. Many surgical management methods are available, including open and less invasive procedures, such as laparoscopy and embolization. PMID:25737000

  9. Scintisplenoportography in assessing patency of distal splenorenal shunts

    SciTech Connect

    Teres, J.; Herranz, R.; Visa, J.; Lomena, F.; Pera, C.; Rodes, J.

    1983-06-01

    Scintisplenoportography was performed on 33 occasions in 28 cirrhotic patients who had bled from esophagogastric varices. In 17 cases scintisplenoportography was carried out after a retroperitoneal distal splenorenal shunt procedure and in the remaining 16 instances in patients without any surgical shunt. In four patients scintisplenoportography was performed before and after a surgical shunt procedure, and in one case, before and after the shunt thrombosed. Gammagraphic patterns and spleen-heart times helped determine which patients did not have a surgical shunt, which had a patent shunt, and which patients had a thrombosed shunt. A patent shunt pattern and a thrombosed shunt pattern have been defined. It is concluded that scintisplenoportography is a useful, reproducible, and safe method to assess the patency of distal splenorenal shunts.

  10. 21 CFR 874.3820 - Endolymphatic shunt.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ...CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3820 Endolymphatic shunt. (a) Identification...is a device that consists of a tube or sheet intended to be implanted to relieve the symptons of vertigo. The device...

  11. Severe respiratory failure following ventriculopleural shunt

    PubMed Central

    Alam, Shahzad; Manjunath, Nagaraju M.

    2015-01-01

    Cerebrospinal fluid (CSF) diversion procedure has been used for long to treat hydrocephalus in children. The principle of shunting is to establish a communication between the CSF and a drainage cavity (peritoneum, right atrium, and pleura). Ventriculoperitoneal shunt is used most commonly, followed secondly by ventriculopleural shunt (VPLS). Hydrothorax due to excessive CSF accumulation is a rare complication following both the type of shunts and is more frequently seen with VPLS. We report a case of a 6-year-old female child presenting with massive CSF hydrothorax with respiratory failure following VPLS. The aim of the article is to highlight early recognition of this rare and life-threatening condition, which could easily be missed if proper history is not available.

  12. 21 CFR 874.3820 - Endolymphatic shunt.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...3820 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3820 Endolymphatic shunt. (a) Identification....

  13. 21 CFR 874.3820 - Endolymphatic shunt.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ...3820 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3820 Endolymphatic shunt. (a) Identification....

  14. 21 CFR 874.3820 - Endolymphatic shunt.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ...3820 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3820 Endolymphatic shunt. (a) Identification....

  15. LP3853/LP3856 3A Fast Response Ultra Low Dropout Linear Regulators

    E-print Network

    Berns, Hans-Gerd

    respond very quickly to step changes in load, which makes them suitable for low voltage microprocessor applications. The LP3853/LP3856 are developed on a CMOS process which allows low quies- cent current operation independent of output load current. This CMOS process also allows the LP3853/LP3856 to op- erate under

  16. Subspaces of Lp that embed into Lp() with William B. Johnson

    E-print Network

    Schechtman, Gideon

    Subspaces of Lp that embed into Lp(µ) with µ finite William B. Johnson and Gideon Schechtman Abstract Enflo and Rosenthal [4] proved that p(1), 1 embed into Lp not embed into X, then X embeds into Lp(µ) for some finite measure µ. 1 Introduction In this note we study

  17. The economic impact of ventriculoperitoneal shunt failure

    PubMed Central

    Shannon, Chevis N.; Simon, Tamara D.; Reed, Gavin T.; Franklin, Frank A.; Kirby, Russell S.; Kilgore, Meredith L.; Wellons, John C.

    2012-01-01

    Object Detailed costs to individuals with hydrocephalus and their families as well as to third-party payers have not been previously described. The purpose of this study was to determine the primary caregiver out-of-pocket expenses and the third-party payer reimbursement rate associated with a shunt failure episode. Methods A retrospective study of children born between 2000 and 2005 who underwent initial ventriculoperitoneal (VP) shunt placement and who subsequently experienced a shunt failure requiring surgical intervention within 2 years of their initial shunt placement was conducted. Institutional reimbursement and demographic data from Children’s Hospital of Alabama (CHA) were augmented with a caregiver survey of any out-of pocket expenses encountered during the shunt failure episode. Institutional reimbursements and caregiver out-of-pocket expenses were then combined to provide the cost for a shunt failure episode at CHA. Results For shunt failures, the median reimbursement total was $5008 (interquartile range [IQR] $2068–$17,984), the median caregiver out-of-pocket expenses was $419 (IQR $251–$1112), and the median total cost was $5411 (IQR $2428–$18,582). Private insurance reimbursed at a median rate of $5074 (IQR $2170–$14,852) compared with public insurance, which reimbursed at a median rate of $4800 (IQR $1876–$19,395). Caregivers with private insurance reported a median $963 (IQR $322–$1741) for out-of-pocket expenses, whereas caregivers with public insurance reported a median $391 (IQR $241–$554) for out-of-pocket expenses (p = 0.017). Conclusions This study confirmed that private insurance reimbursed at a higher rate, and that although patients had a shorter length of stay as compared with those with public insurance, their out-of-pocket expenses associated with a shunt failure episode were greater. However, it could not be determined if the significant difference in out-of-pocket expenses between those with private and those with public insurance was due directly to the cost of shunt failure. This model does not take into consideration community resources and services available to those with public insurance. These resources and services could offset the out-of-pocket burden, and therefore should be considered in future cost models. PMID:22132918

  18. Hydrocephalus and Shunts in the Person with Spina Bifida

    MedlinePLUS

    ... VA) shunts—VA shunts move the to a vein, usually in the neck or under the collarbone; • ... from the general information presented here, SBA advises readers to consult a qualiled medical or other professional ...

  19. Radionuclide demonstration of intrapulmonary shunting in cirrhosis

    SciTech Connect

    Bank, E.R.; Thrall, J.H.; Dantzker, D.R.

    1983-05-01

    The association of hepatic cirrhosis and severe arterial hypoxemia has been well described. Although alterations in ventilatory function may partially account for the hypoxemia, the principal mechanism is thought to be a microangiopathic change in the pulmonary vasculature resulting in intrapulmonary arteriovenous shunting with resultant systemic desaturation. Whole-body radionuclide scans with technetium-99m macroaggregated albumin labeling have been diagnostic of right-to-left shunting by their demonstration of tracer accumulation within the extrapulmonary circulation. A case of severe pulmonary arteriovenous shunting in an alcoholic patient in whom hepatic disease had not been of apparent clinical significance before radionuclide scanning is reported. He did not have cuntaeous angiomata as have all other patients with alcoholic cirrhosis and hypoxemia.

  20. Radionuclide demonstration of intrapulmonary shunting in cirrhosis

    SciTech Connect

    Bank, E.R.; Thrall, J.H.; Dantzker, D.R.

    1983-05-01

    The association of hepatic cirrhosis and severe arterial hypoxemia has been well described. Although alterations in ventilatory function may partially account for the hypoxemia, the principal mechanism is thought to be a microangiopathic change in the pulmonary arteriovenous shunting with resultant systemic desaturation. Whole-body radionuclide scans with technetium-99m macroaggrregated albumin (/sup 99m/Tc MAA) labeling have been diagnostic of right-to-left shunting by their demonstration of tracer accumulation within the extrapulmonary circulation. A case of severe pulmonary arteriovenous shunting in an alcoholic patient in whom hepatic disease had not been of apparent clinical significance before radionuclide scanning is reported. He did not have cutaneous angiomata as have all other patients with alcoholic cirrhosis and hypoxemia.

  1. 49 CFR 236.57 - Shunt and fouling wires.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Shunt and fouling wires. 236.57 Section 236.57...: All Systems Track Circuits § 236.57 Shunt and fouling wires. (a) Except as provided in paragraph (b) of this section, shunt wires and fouling wires hereafter installed or replaced shall consist of...

  2. 49 CFR 236.57 - Shunt and fouling wires.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 4 2011-10-01 2011-10-01 false Shunt and fouling wires. 236.57 Section 236.57...: All Systems Track Circuits § 236.57 Shunt and fouling wires. (a) Except as provided in paragraph (b) of this section, shunt wires and fouling wires hereafter installed or replaced shall consist of...

  3. 49 CFR 236.104 - Shunt fouling circuit.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Shunt fouling circuit. 236.104 Section 236.104 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION...: All Systems Inspections and Tests; All Systems § 236.104 Shunt fouling circuit. Shunt fouling...

  4. 49 CFR 236.725 - Circuit, switch shunting.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Circuit, switch shunting. 236.725 Section 236.725 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION... Circuit, switch shunting. A shunting circuit which is closed through contacts of a switch...

  5. 49 CFR 236.60 - Switch shunting circuit; use restricted.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 4 2011-10-01 2011-10-01 false Switch shunting circuit; use restricted. 236.60... Instructions: All Systems Track Circuits § 236.60 Switch shunting circuit; use restricted. Switch shunting circuit shall not be hereafter installed, except where tract or control circuit is opened by the...

  6. 49 CFR 236.104 - Shunt fouling circuit.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 4 2014-10-01 2014-10-01 false Shunt fouling circuit. 236.104 Section 236.104 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION...: All Systems Inspections and Tests; All Systems § 236.104 Shunt fouling circuit. Shunt fouling...

  7. 49 CFR 236.104 - Shunt fouling circuit.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 4 2012-10-01 2012-10-01 false Shunt fouling circuit. 236.104 Section 236.104 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION...: All Systems Inspections and Tests; All Systems § 236.104 Shunt fouling circuit. Shunt fouling...

  8. 49 CFR 236.60 - Switch shunting circuit; use restricted.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 4 2014-10-01 2014-10-01 false Switch shunting circuit; use restricted. 236.60... Instructions: All Systems Track Circuits § 236.60 Switch shunting circuit; use restricted. Switch shunting circuit shall not be hereafter installed, except where tract or control circuit is opened by the...

  9. 49 CFR 236.725 - Circuit, switch shunting.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 4 2011-10-01 2011-10-01 false Circuit, switch shunting. 236.725 Section 236.725 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION... Circuit, switch shunting. A shunting circuit which is closed through contacts of a switch...

  10. 49 CFR 236.60 - Switch shunting circuit; use restricted.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 4 2013-10-01 2013-10-01 false Switch shunting circuit; use restricted. 236.60... Instructions: All Systems Track Circuits § 236.60 Switch shunting circuit; use restricted. Switch shunting circuit shall not be hereafter installed, except where tract or control circuit is opened by the...

  11. 49 CFR 236.725 - Circuit, switch shunting.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 4 2013-10-01 2013-10-01 false Circuit, switch shunting. 236.725 Section 236.725 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION... Circuit, switch shunting. A shunting circuit which is closed through contacts of a switch...

  12. 49 CFR 236.60 - Switch shunting circuit; use restricted.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Switch shunting circuit; use restricted. 236.60... Instructions: All Systems Track Circuits § 236.60 Switch shunting circuit; use restricted. Switch shunting circuit shall not be hereafter installed, except where tract or control circuit is opened by the...

  13. 49 CFR 236.104 - Shunt fouling circuit.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 4 2011-10-01 2011-10-01 false Shunt fouling circuit. 236.104 Section 236.104 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION...: All Systems Inspections and Tests; All Systems § 236.104 Shunt fouling circuit. Shunt fouling...

  14. 49 CFR 236.60 - Switch shunting circuit; use restricted.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 4 2012-10-01 2012-10-01 false Switch shunting circuit; use restricted. 236.60... Instructions: All Systems Track Circuits § 236.60 Switch shunting circuit; use restricted. Switch shunting circuit shall not be hereafter installed, except where tract or control circuit is opened by the...

  15. 49 CFR 236.104 - Shunt fouling circuit.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 4 2013-10-01 2013-10-01 false Shunt fouling circuit. 236.104 Section 236.104 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION...: All Systems Inspections and Tests; All Systems § 236.104 Shunt fouling circuit. Shunt fouling...

  16. 49 CFR 236.725 - Circuit, switch shunting.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 4 2012-10-01 2012-10-01 false Circuit, switch shunting. 236.725 Section 236.725 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION... Circuit, switch shunting. A shunting circuit which is closed through contacts of a switch...

  17. 49 CFR 236.725 - Circuit, switch shunting.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 4 2014-10-01 2014-10-01 false Circuit, switch shunting. 236.725 Section 236.725 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION... Circuit, switch shunting. A shunting circuit which is closed through contacts of a switch...

  18. Predisposing Factors for Spontaneous Closure of Congenital Portosystemic Shunts.

    PubMed

    Paganelli, Massimiliano; Lipsich, José E; Sciveres, Marco; Alvarez, Fernando

    2015-10-01

    In a review of 382 cases of congenital portosystemic shunt, we found that presentation with neonatal cholestasis strongly predicts spontaneous closure of intrahepatic shunts (OR 8.3, 95% CI 3.4-20.2). Spontaneous closure before the 24th month of age is more likely for distal or multiple shunts, but rare for patent ductus venosus. PMID:26276223

  19. Atlantoaxial rotatory fixation after ventriculoperitoneal shunting.

    PubMed

    Heary, R F; Reid, P; Carmel, P W

    2011-10-01

    Ventriculoperitoneal (VP) shunting is a common neurosurgical procedure in the pediatric population. Atlantoaxial rotatory fixation (AARF) is not uncommon in this same group. We present the first reported case of AARF following a VP shunt procedure. A 10-year-old boy, with hydrocephalus and a left temporal arachnoid cyst since birth, underwent a revision of his VP and cystoperitoneal shunts. A second operation was performed 2 days later to optimize catheter placement. Postoperative neck pain was attributed to tunneling of the subcutaneous catheter. 2 months after surgery, the child had minimal neck discomfort but maintained his head in a "cock-robin" position. Plain radiographs and computed tomographic (CT) images confirmed AARF. The child was admitted and placed in halo traction. After 3 days of traction, analgesics, sedation, and muscle relaxants, anatomic re-alignment of the C1-C2 vertebral complex was confirmed on CT scan. Following 3 months of immobilization in a halo-vest apparatus, the halo was removed. At 8-year follow-up, the clinical examination is normal and repeat imaging studies remain normal. Due to surgical positioning, and postoperative signs attributed to normal postoperative pain, an AARF was not initially recognized. This case represents the first time that AARF has been reported following a VP shunt procedure. PMID:21959746

  20. 21 CFR 874.3820 - Endolymphatic shunt.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... An endolymphatic shunt is a device that consists of a tube or sheet intended to be implanted to relieve the symptons of vertigo. The device permits the unrestricted flow of excess endolymph from the distended end of the endolymphatic system into...

  1. Fabrication of capacitively-shunted superconducting qubits

    NASA Astrophysics Data System (ADS)

    Yoder, Jonilyn L.; Gudmundsen, Theodore J.; Bolkhovsky, Vladimir; Welander, Paul B.; Gustavsson, Simon; Hover, David; Kerman, Andrew J.; Sears, Adam P.; Oliver, William D.

    2014-03-01

    Improvements in superconducting qubit coherence times and reproducibility have been demonstrated using capacitive shunting. In this study, we present methods for the preparation of both capacitively-shunted charge qubits (transmons) and capacitively-shunted flux qubits. Hybrid fabrication techniques were employed to combine high-quality-factor aluminum capacitive shunts with shadow-evaporated Josephson junctions, and the Josephson junctions were prepared using suspended-bridge germanium masks. We also will describe process testing results that were acquired to assess wafer-to-wafer reproducibility of our fabrication protocols. This research was funded in part by the Office of the Director of National Intelligence (ODNI), Intelligence Advanced Research Projects Activity (IARPA); and by the Assistant Secretary of Defense for Research and Engineering under Air Force Contract number FA8721-05-C-0002. All statements of fact, opinion or conclusions contained herein are those of the authors and should not be construed as representing the official views or policies of IARPA, the ODNI, or the U.S. Government.

  2. Passively Shunted Piezoelectric Damping of Centrifugally-Loaded Plates

    NASA Technical Reports Server (NTRS)

    Duffy, Kirsten P.; Provenza, Andrew J.; Trudell, Jeffrey J.; Min, James B.

    2009-01-01

    Researchers at NASA Glenn Research Center have been investigating shunted piezoelectric circuits as potential damping treatments for turbomachinery rotor blades. This effort seeks to determine the effects of centrifugal loading on passively-shunted piezoelectric - damped plates. Passive shunt circuit parameters are optimized for the plate's third bending mode. Tests are performed both non-spinning and in the Dynamic Spin Facility to verify the analysis, and to determine the effectiveness of the damping under centrifugal loading. Results show that a resistive shunt circuit will reduce resonant vibration for this configuration. However, a tuned shunt circuit will be required to achieve the desired damping level. The analysis and testing address several issues with passive shunt circuit implementation in a rotating system, including piezoelectric material integrity under centrifugal loading, shunt circuit implementation, and tip mode damping.

  3. Spectropolarimetry of ASASSN-14lp

    NASA Astrophysics Data System (ADS)

    Porter, Amber L.; Leising, Mark D.; Milne, Peter; Williams, Grant; Smith, Paul S.

    2016-01-01

    Spectropolarimetric observations which capture the degree of polarization as a function of wavelength help us to explore the aspherical nature of supernova explosions. Using the CCD Imaging/Spectropolarimeter (SPOL) at the 6.5-m MMT and 90" Bok telescopes, we obtained multi-epoch observations of the Type Ia supernova ASASSN-14lp from pre-maximum through late times. We confirm a low continuum polarization indicating a nearly spherical explosion and investigate how the evolution of the Si II 6355Å feature compares to other Type Ia supernovae.

  4. 75 FR 39680 - Houston Pipe Line Company LP, Worsham-Steed Gas Storage, L.P., Energy Transfer Fuel, LP, Mid...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-12

    ...Company LP, Worsham-Steed Gas Storage, L.P., Energy Transfer Fuel, LP, Mid Continent Market Center, L.L.C., Oasis Pipeline, LP (Not Consolidated); Notice of Baseline Filings July 2, 2010. Take notice that on June 29, 2010 and...

  5. 77 FR 53885 - Jordan Cove Energy Project LP, Pacific Connector Gas Pipeline LP; Notice of Extension of Comment...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-04

    ...Jordan Cove Energy Project LP, Pacific Connector Gas Pipeline LP; Notice of Extension...Jordan Cove Liquefaction and Pacific Connector Pipeline Projects This notice announces...Docket No. PF12-7-000, and Pacific Connector Gas Pipeline LP's (Pacific...

  6. 77 FR 59393 - Jordan Cove Energy Project LP; Pacific Connector Gas Pipeline LP; Notice of Additional Public...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-27

    ...Jordan Cove Energy Project LP; Pacific Connector Gas Pipeline LP; Notice of Additional...Jordan Cove Liquefaction and Pacific Connector Pipeline Projects On October 9, 10...Docket No. PF12-7-000, and Pacific Connector Gas Pipeline LP's (Pacific...

  7. Laparoscopically assisted ventriculoperitoneal shunt placement: a prospective randomized controlled trial.

    PubMed

    Schucht, Philippe; Banz, Vanessa; Trochsler, Markus; Iff, Samuel; Krähenbühl, Anna Katharina; Reinert, Michael; Beck, Jürgen; Raabe, Andreas; Candinas, Daniel; Kuhlen, Dominique; Mariani, Luigi

    2015-05-01

    OBJECT In ventriculoperitoneal (VP) shunt surgery, laparoscopic assistance can be used for placement of the peritoneal catheter. Until now, the efficacy of laparoscopic shunt placement has been investigated only in retrospective and nonrandomized prospective studies, which have reported decreased distal shunt dysfunction rates in patients undergoing laparascopic placement compared with mini-laparotomy cohorts. In this randomized controlled trial the authors compared rates of shunt failure in patients who underwent laparoscopic surgery for peritoneal catheter placement with rates in patients who underwent traditional mini-laparotomy. METHODS One hundred twenty patients scheduled for VP shunt surgery were randomized to laparoscopic surgery or mini-laparotomy for insertion of the peritoneal catheter. The primary endpoint was the rate of overall shunt complication or failure within the first 12 months after surgery. Secondary endpoints were distal shunt failure, overall complication/ failure, duration of surgery and hospitalization, and morbidity. RESULTS The overall shunt complication/failure rate was 15% (9 of 60 cases) in the laparoscopic group and 18.3% (11 of 60 cases) in the mini-laparotomy group (p = 0.404). Patients in the laparoscopic group had no distal shunt failures; in contrast, 5 (8%) of 60 patients in the mini-laparotomy group experienced distal shunt failure (p = 0.029). Intraoperative complications occurred in 2 patients (both in the laparoscopic group), and abdominal pain led to catheter removal in 1 patient per group. Infections occurred in 1 patient in the laparoscopic group and 3 in the mini-laparotomy group. The mean durations of surgery and hospitalization were similar in the 2 groups. CONCLUSIONS While overall shunt failure rates were similar in the 2 groups, the use of laparoscopic shunt placement significantly reduced the rate of distal shunt failure compared with mini-laparotomy. PMID:25534231

  8. Active shunt capacitance cancelling oscillator circuit

    DOEpatents

    Wessendorf, Kurt O.

    2003-09-23

    An oscillator circuit is disclosed which can be used to produce oscillation using a piezoelectric crystal, with a frequency of oscillation being largely independent of any shunt capacitance associated with the crystal (i.e. due to electrodes on the surfaces of the crystal and due to packaging and wiring for the crystal). The oscillator circuit is based on a tuned gain stage which operates the crystal at a frequency, f, near a series resonance frequency, f.sub.S. The oscillator circuit further includes a compensation circuit that supplies all the ac current flow through the shunt resistance associated with the crystal so that this ac current need not be supplied by the tuned gain stage. The compensation circuit uses a current mirror to provide the ac current flow based on the current flow through a reference capacitor that is equivalent to the shunt capacitance associated with the crystal. The oscillator circuit has applications for driving piezoelectric crystals for sensing of viscous, fluid or solid media by detecting a change in the frequency of oscillation of the crystal and a resonator loss which occur from contact of an exposed surface of the crystal by the viscous, fluid or solid media.

  9. Ventriculoperitoneal shunt infection following uterine instrumentation for dysfunctional uterine bleeding.

    PubMed

    Shaw, Andrew B; Marlin, Evan S; Ikeda, Daniel S; Ammirati, Mario

    2014-08-01

    Shunt infections are most common within the first 6 months following implantation. A shunt infection 19 years after implantation secondary to uterine ablation has not been reported to our knowledge. Office hysteroscopic procedures have become commonplace in gynecologic practice. Infectious complication rates are low, but peritonitis has been described. We present a patient with a ventriculoperitoneal shunt infection following a uterine ablation for dysfunctional uterine bleeding. Three days following the ablation she developed abdominal pain. CT scan of the abdomen 5 months after the procedure revealed a pseudocyst. She then underwent removal of her shunt with intra-operative cultures revealing Streptococcus agalactiae. Definitive treatment consisted of shunt explantation and antibiotic treatment with complete resolution of her pain and pseudocyst. Consideration for prophylactic antibiotics should be made when a patient with a ventriculoperitoneal shunt undergoes any transvaginal procedure. PMID:24656752

  10. Characterization of multiple acquired portosystemic shunts using transplenic portal scintigraphy.

    PubMed

    Morandi, Federica; Sura, Patricia A; Sharp, Dorothy; Daniel, Gregory B

    2010-01-01

    We describe the scintigraphic patterns observed in 14 patients with confirmed multiple portosystemic shunts imaged via transplenic portal scintigraphy. Parameters evaluated included presence of multiple anomalous vessels, presence of hepatofugal flow caudal to spleen, and/or to cranial margin of the kidneys, slow absorption resulting in longer spleen to heart transit time, and presence of biphasic or fragmented bolus. Twenty-eight additional patients, 14 with a confirmed single portocaval and 14 with a portoazygos shunt, were used for comparison. Nine of 14 (64.3%) patients with multiple shunts had multiple vessels, five (35.7%) had a biphasic bolus, 13 (92.9%) had hepatofugal flow caudal to the cranial margin of the kidneys. In all single portocaval shunts, a single anomalous vessel was identified. None had hepatofugal flow caudal to the border of the kidneys. Among portoazygos shunts, 4/14 (28.6%) had flow caudal to the injection site. Six portoazygos and one portocaval shunts had biphasic bolus. Median transit time from spleen to heart was significantly longer (1.9 s) in patients with multiple shunts than in patients with a portocaval shunt (1.0 s), but not in patients with a portoazygos shunt (1.3 s). Although a distinct plexus of anomalous vessels is not detected in all patients with multiple shunts imaged using transplenic portal scintigraphy, findings of hepatofugal flow caudal to the margin of the kidneys, and longer transit time compared with single portocaval shunts were characteristic. Flow caudal to the splenic injection site but cranial to the kidneys and biphasic bolus can also be seen with a single congenital shunt. PMID:20806882

  11. Factors affecting ventriculoperitoneal shunt survival in adult patients

    PubMed Central

    Khan, Farid; Rehman, Abdul; Shamim, Muhammad S.; Bari, Muhammad E.

    2015-01-01

    Background: Ventriculoperitoneal (VP) shunt insertion remains the mainstay of treatment for hydrocephalus despite a high rate of complications. The predictors of shunt malfunction have been studied mostly in pediatric patients. In this study, we report our 11-year experience with VP shunts in adult patients with hydrocephalus. We also assess the various factors affecting shunt survival in a developing country setting. Methods: A retrospective chart analysis was conducted for all adult patients who had undergone shunt placement between the years 2001 and 2011. Kaplan–Meier curves were used to determine the duration from shunt placement to first malfunction and log-rank (Cox–Mantel) tests were used to determine the factors affecting shunt survival. Results: A total of 227 patients aged 18–85 years (mean: 45.8 years) were included in the study. The top four etiologies of hydrocephalus included post-cranial surgery (23.3%), brain tumor or cyst (22.9%), normal pressure hydrocephalus (15%), and intracranial hemorrhage (13.7%). The overall incidence of shunt malfunction was 15.4% with the median time to first shunt failure being 120 days. Etiology of hydrocephalus (P = 0.030) had a significant association with the development of shunt malfunction. Early shunt failure was associated with age (P < 0.001), duration of hospital stay (P < 0.001), Glasgow Coma Scale (GCS) score less than 13 (P = 0.010), excision of brain tumors (P = 0.008), and placement of extra-ventricular drains (P = 0.033). Conclusions: Patients with increased age, prolonged hospital stay, GCS score of less than 13, extra-ventricular drains in situ, or excision of brain tumors were more likely to experience early shunt malfunction. PMID:25722930

  12. Adaptive resonant shunted piezoelectric devices for vibration suppression

    NASA Astrophysics Data System (ADS)

    Niederberger, Dominik; Morari, Manfred; Pietrzko, Stanislaw J.

    2003-08-01

    This paper presents a new adaptation technique for R-L shunted piezoelectric patches (PZT) bonded on mechanical structures for single mode vibration suppression. For the implementation of the adaptive R-L shunt circuit, a new variable inductor circuit controlled by transistors is developed. Additionally, a new modeling method for shunted PZTs based on equivalent transformer and gyrator circuits is presented. This leads to a comprehensive model that simplifies the search for optimal shunt circuits. Furthermore, it allows simulating the system consisting of the structure, the PZT patch and a complex transistor or other non-linear shunts on standard electronic simulators like PSpice or Saber. Damping performance of R-L shunted piezoelectric devices is very sensitive to environmental factors changing the circuit"s resonance frequency corresponding to the damped vibration mode. This requires fast adaptive tuning of the R-L shunted circuit, which is implemented using a new adaptation technique. The tuning direction of this adaptation law is obtained by detecting the phase shift between the velocity of the mechanical structure and the current in the shunt circuit. As the exact value of the phase for this technique is not required, one can reduce the adaptation problem to multiplication and integration of current and velocity. The performance of the presented new adaptive R-L shunt is compared with the common adaptation law based on minimizing the RMS value of the strain and then experimentally verified. The adaptive R-L shunt, which minimizes the phase-shift, can tune to the optimal parameters within seconds, but it needs an additional velocity sensor. In contrast, the R-L shunt minimizing the RMS value works without extra sensors, but needs some minutes to tune optimally. The new adaptive R-L shunt circuit can be implemented in small analog electronic chips that allows integrating it in smart materials.

  13. Impedance Changes Indicate Proximal Ventriculoperitoneal Shunt Obstruction In Vitro.

    PubMed

    Basati, Sukhraaj; Tangen, Kevin; Hsu, Ying; Lin, Hanna; Frim, David; Linninger, Andreas

    2015-12-01

    Extracranial cerebrospinal fluid (CSF) shunt obstruction is one of the most important problems in hydrocephalus patient management. Despite ongoing research into better shunt design, robust and reliable detection of shunt malfunction remains elusive. The authors present a novel method of correlating degree of tissue ingrowth into ventricular CSF drainage catheters with internal electrical impedance. The impedance based sensor is able to continuously monitor shunt patency using intraluminal electrodes. Prototype obstruction sensors were fabricated for in-vitro analysis of cellular ingrowth into a shunt under static and dynamic flow conditions. Primary astrocyte cell lines and C6 glioma cells were allowed to proliferate up to 7 days within a shunt catheter and the impedance waveform was observed. During cell ingrowth a significant change in the peak-to-peak voltage signal as well as the root-mean-square voltage level was observed, allowing the impedance sensor to potentially anticipate shunt malfunction long before it affects fluid drainage. Finite element modeling was employed to demonstrate that the electrical signal used to monitor tissue ingrowth is contained inside the catheter lumen and does not endanger tissue surrounding the shunt. These results may herald the development of "next generation" shunt technology that allows prediction of malfunction before it affects patient outcome. PMID:25014951

  14. Semi-shunt field emission in electronic devices

    SciTech Connect

    Karpov, V. G.; Shvydka, Diana

    2014-08-04

    We introduce a concept of semi-shunts representing needle shaped metallic protrusions shorter than the distance between a device electrodes. Due to the lightening rod type of field enhancement, they induce strong electron emission. We consider the corresponding signature effects in photovoltaic applications; they are: low open circuit voltages and exponentially strong random device leakiness. Comparing the proposed theory with our data for CdTe based solar cells, we conclude that stress can stimulate semi-shunts' growth making them shunting failure precursors. In the meantime, controllable semi-shunts can play a positive role mitigating the back field effects in photovoltaics.

  15. Superconducting fault current-limiter with variable shunt impedance

    SciTech Connect

    Llambes, Juan Carlos H; Xiong, Xuming

    2013-11-19

    A superconducting fault current-limiter is provided, including a superconducting element configured to resistively or inductively limit a fault current, and one or more variable-impedance shunts electrically coupled in parallel with the superconducting element. The variable-impedance shunt(s) is configured to present a first impedance during a superconducting state of the superconducting element and a second impedance during a normal resistive state of the superconducting element. The superconducting element transitions from the superconducting state to the normal resistive state responsive to the fault current, and responsive thereto, the variable-impedance shunt(s) transitions from the first to the second impedance. The second impedance of the variable-impedance shunt(s) is a lower impedance than the first impedance, which facilitates current flow through the variable-impedance shunt(s) during a recovery transition of the superconducting element from the normal resistive state to the superconducting state, and thus, facilitates recovery of the superconducting element under load.

  16. Intracranial calcified pseudocyst reaction to a shunt catheter.

    PubMed

    Yowtak, June; Hughes, Douglas; Heger, Ian; Macomson, Samuel D

    2014-02-01

    A 9-year-old boy with spina bifida, Chiari II malformation, and hydrocephalus presented with signs of increased intracranial pressure consistent with a shunt malfunction. Radiological investigations revealed an intracranial calcified lesion along the ventricular catheter. A shunt tap revealed a translucent milky white fluid. The patient underwent a ventriculostomy and, eventually, a shunt revision. Pathology findings were consistent with the formation of dystrophic calcification and a pseudocyst around the shunt catheter. Postoperatively, the patient returned to his neurological baseline. This is, to the best of the authors' knowledge, the first report of an intracranial calcified pseudocyst in a patient with normal renal function. PMID:24329159

  17. Over-drainage and persistent shunt-dependency in patients with idiopathic intracranial hypertension treated with shunts and bariatric surgery

    PubMed Central

    Roth, Jonathan; Constantini, Shlomi; Kesler, Anat

    2015-01-01

    Background: Idiopathic intracranial hypertension (IIH) may lead to visual impairment. Shunt surgery is indicated for refractory IIH-related symptoms that persist despite medical treatment, or those presenting with significant visual decline. Obesity is a risk factor for IIH; a reduction in weight has been shown to improve papilledema. Bariatric surgery (BS) has been suggested for treating IIH associated with morbid obesity. In this study, we describe a high rate of over-drainage (OD) seen in patients following shunts and BS. Methods: The study cohort includes 13 patients with IIH that underwent shunt surgery for treatment of the IIH-related symptoms. Six patients underwent BS in addition to the shunt surgery (but not concomitantly). Seven patients had only shunt surgeries with no BS. Data were collected retrospectively. Results: BS effectively led to weight reduction (body mass index decreasing from 43 ± 4 to 28 ± 5). Patients undergoing BS had 1–6 (2.5 ± 1.9) shunt revisions for OD following BS, as opposed to 0–3 (1.4 ± 1.1) revisions prior to BS over similar time spans (statistically insignificant difference), and 0–6 (1.6 ± 2.5) revisions among the non-BS patients over a longer time span (statistically insignificant difference). Two patients in the BS group underwent shunt externalization and closure; however, they proved to be shunt-dependent. Conclusions: Patients with IIH that undergo shunt surgery and BS (not concomitantly) may suffer from OD symptoms, necessitating multiple shunt revisions, and valve upgrades. Despite BS being a valid primary treatment for some patients with IIH, among shunted patients, BS may not lead to resolution of IIH-related symptoms and patients may remain shunt-dependent. PMID:26713173

  18. LP01 to LP0m mode converters using all-fiber two-stage tapers

    NASA Astrophysics Data System (ADS)

    Mellah, Hakim; Zhang, Xiupu; Shen, Dongya

    2015-11-01

    A mode converter between LP01 and LP0m modes is proposed using two stages of tapers. The first stage is formed by an adiabatically tapering a circular fiber to excite the desirable LP0m mode. The second stage is formed by inserting an inner core (tapered from both sides) with a refractive index smaller than the original core. This second stage is used to obtain low insertion loss and high extinction ratio of the desired LP0m mode. Three converters between LP01 and LP0m, m=2, 3, and 4, are designed for C-band, and simulation results show that less than 0.24, 0.54 and 0.7 dB insertion loss and higher than 15, 16, and 17.5 dB extinction ratio over the entire band were obtained for the three converters, respectively.

  19. 76 FR 53440 - Freeport LNG Development, LP; Freeport LNG Expansion, LP; FLNG Liquefaction LLC; Notice of Intent...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-26

    ... Energy Regulatory Commission Freeport LNG Development, LP; Freeport LNG Expansion, LP; FLNG Liquefaction... construction and operation of facilities proposed by Freeport LNG Development, LP, Freeport LNG Expansion, LP... liquefied natural gas (LNG) import terminal on Quintana Island in Brazoria County, Texas. The Project...

  20. 77 FR 43589 - Freeport LNG Development, L.P., Freeport LNG Expansion, L.P., FLNG Liquefaction LLC; Supplemental...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-25

    ... Energy Regulatory Commission Freeport LNG Development, L.P., Freeport LNG Expansion, L.P., FLNG... proposed by Freeport LNG Development, L.P., Freeport LNG Expansion, L.P, and FLNG Liquefaction LLC... existing liquefied natural gas (LNG) import terminal on Quintana Island in Brazoria County, Texas....

  1. Decomposition Methods for Large Scale LP Decoding

    E-print Network

    Barman, Siddharth; Draper, Stark C; Recht, Benjamin

    2012-01-01

    When binary linear error-correcting codes are used over symmetric channels, a relaxed version of the maximum likelihood decoding problem can be stated as a linear program (LP). This LP decoder can be used to decode at bit-error-rates comparable to state-of-the-art belief propagation (BP) decoders, but with significantly stronger theoretical guarantees. However, LP decoding when implemented with standard LP solvers does not easily scale to the block lengths of modern error correcting codes. In this paper we draw on decomposition methods from optimization theory, specifically the Alternating Directions Method of Multipliers (ADMM), to develop efficient distributed algorithms for LP decoding. The key enabling technical result is a nearly linear time algorithm for two-norm projection onto the parity polytope. This allows us to use LP decoding, with all its theoretical guarantees, to decode large-scale error correcting codes efficiently. We present numerical results for two LDPC codes. The first is the rate-0.5 [2...

  2. Effect of portasystemic venous shunt surgery on hyperglucagonaemia in cirrhosis: paired studies of pre- and post-shunted subjects

    PubMed Central

    Dudley, F. J.; Alford, F. P.; Chisholm, D. J.; Findlay, D. M.

    1979-01-01

    The effect of liver disease on glucagon metabolism was examined in nine patients with chronic liver disease who were studied both before and after the creation of a surgical portasystemic shunt. Hepatocellular function did not deteriorate after shunt surgery. However, hepatic perfusion with splanchnic venous blood, as determined by scintisplenoportography, decreased after shunt surgery in six subjects but appeared unaltered in three. Basal plasma immunoreactive glucagon (IRG) levels in the pre-shunt cirrhotic group were significantly greater (p <0·005) than in control subjects and further increased (p <0·05) after shunt surgery. Moreover, the increase in basal IRG after shunt was evident only in patients in whom portasystemic shunting was demonstrably increased by surgery. Despite the higher basal IRG levels postoperatively, shunt surgery in the cirrhotics did not alter basal glucose and insulin levels or the glucose and insulin response to a glucose or protein load. Circulating IRG was heterogeneous in the pre-shunt cirrhotic patients: the 9000 molecular weight fraction comprised 27±4%, the 3500 mol. wt. fraction 71±4%, and the > 40 000 mol. wt. fraction was minimal. After shunt surgery, the relative proportion of the 9000 mol. wt. fraction of IRG (13±3%) decreased significantly (p <0·05) and this fall was associated with a corresponding increase in the 3,500 mol. wt. fraction (84±4%). It is concluded that, in cirrhosis, hyperglucagonaemia is: (1) dependent on the degree of portasystemic shunting rather than impaired hepatocellular function; (2) predominantly due to increased circulating 3500 molecular weight glucagon; and (3) not a major factor in the pathogenesis of carbohydrate intolerance in liver disease. PMID:533693

  3. 49 CFR 236.724 - Circuit, shunt fouling.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Circuit, shunt fouling. 236.724 Section 236.724... Circuit, shunt fouling. The track circuit in the fouling section of a turnout, connected in multiple with the track circuit in the main track....

  4. 49 CFR 236.724 - Circuit, shunt fouling.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 4 2013-10-01 2013-10-01 false Circuit, shunt fouling. 236.724 Section 236.724... Circuit, shunt fouling. The track circuit in the fouling section of a turnout, connected in multiple with the track circuit in the main track....

  5. 49 CFR 236.724 - Circuit, shunt fouling.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 4 2012-10-01 2012-10-01 false Circuit, shunt fouling. 236.724 Section 236.724... Circuit, shunt fouling. The track circuit in the fouling section of a turnout, connected in multiple with the track circuit in the main track....

  6. 49 CFR 236.724 - Circuit, shunt fouling.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 4 2014-10-01 2014-10-01 false Circuit, shunt fouling. 236.724 Section 236.724... Circuit, shunt fouling. The track circuit in the fouling section of a turnout, connected in multiple with the track circuit in the main track....

  7. 49 CFR 236.724 - Circuit, shunt fouling.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 4 2011-10-01 2011-10-01 false Circuit, shunt fouling. 236.724 Section 236.724... Circuit, shunt fouling. The track circuit in the fouling section of a turnout, connected in multiple with the track circuit in the main track....

  8. A case of Sotos syndrome with subduroperitoneal shunt.

    PubMed

    Park, Seoung Woo; Park, Moon Sung; Hwang, Jin Soon; Shin, Yong Sam; Yoon, Soo Han

    2006-01-01

    The authors present a case of Sotos syndrome with increasing severity of subdural hygroma from the age of 5 months, which was managed with a subduroperitoneal shunt at 10 months of age. The patient had been followed up until 30 months of age with continuing improvement of symptoms. The patient initially presented with dolichocephaly accompanied by macrocrania, early tooth development, repeated pneumonia infections and developmental retardation concerning crawling, sitting, walking and speaking at 5 months of age. Magnetic resonance imaging (MRI) demonstrated partial hypoplasia of the corpus callosum and bifrontal subdural hygroma. The patient underwent subduroperitoneal shunting at 10 months of age with partial improvement of symptoms. At 18 months of age, the patient showed increased irritability and sweating, and development of spinal kyphosis, which resulted from shunt malfunction as shown in the shuntogram. The appearance of cervical syringomyelia was also seen in the MRI. After shunt revision, the irritability, sweating and kyphosis improved along with disappearance of the syringomyelia. The authors describe a case of Sotos syndrome with subduroperitoneal shunt that showed syringomyelia which developed with shunt malfunction but disappeared after shunt revision. We emphasize the importance of active management such as subduroperitoneal shunting to drain the cerebrospinal fluid in the Sotos syndrome. PMID:16636621

  9. Internal carotid artery rupture caused by carotid shunt insertion

    PubMed Central

    Illuminati, Giulio; Caliò, Francesco G.; Pizzardi, Giulia; Vietri, Francesco

    2015-01-01

    Introduction Shunting is a well-accepted method of maintaining cerebral perfusion during carotid endarterectomy (CEA). Nonetheless, shunt insertion may lead to complications including arterial dissection, embolization, and thrombosis. We present a complication of shunt insertion consisting of arterial wall rupture, not reported previously. Presentation of case A 78-year-old woman underwent CEA combined with coronary artery bypass grafting (CABG). At the time of shunt insertion an arterial rupture at the distal tip of the shunt was detected and was repaired via a small saphenous vein patch. Eversion CEA and subsequent CABG completed the procedure whose postoperative course was uneventful. Discussion Shunting during combined CEA-CABG may be advisable to assure cerebral protection from possible hypoperfusion due to potential hemodynamic instability of patients with severe coronary artery disease. Awareness and prompt management of possible shunt-related complications, including the newly reported one, may contribute to limiting their harmful effect. Conclusion Arterial wall rupture is a possible, previously not reported, shunt-related complication to be aware of when performing CEA. PMID:26255001

  10. Shunt attachment and method for interfacing current collection systems

    DOEpatents

    Denney, P.E.; Iyer, N.C.; Hannan, W.F. III.

    1992-12-08

    A composite brush to shunt attachment wherein a volatile component of a composite but mostly metallic brush, used for current collection purposes, does not upon welding or brazing, adversely affect the formation of the interfacial bond with a conductive shunt which carries the current from the zone of the brush. The brush to shunt attachment for a brush material of copper-graphite composite and a shunt of copper, or substituting silver for copper as an alternative, is made through a hot isostatic pressing (HIP). The HIP process includes applying high pressure and temperature simultaneously at the brush to shunt interface, after it has been isolated or canned in a metal casing in which the air adjacent to the interface has been evacuated and the interfacial area has been sealed before the application of pressure and temperature. 6 figs.

  11. Shunt attachment and method for interfacing current collection systems

    DOEpatents

    Denney, Paul E. (State College, PA); Iyer, Natraj C. (Columbia, SC); Hannan, III, William F. (Monroeville Boro, PA)

    1992-01-01

    A composite brush to shunt attachment wherein a volatile component of a composite but mostly metallic brush, used for current collection purposes, does not upon welding or brazing, adversely affect the formation of the interfacial bond with a conductive shunt which carries the current from the zone of the brush. The brush to shunt attachment for a brush material of copper-graphite composite and a shunt of copper, or substituting silver for copper as an alternative, is made through a hot isostatic pressing (HIP). The HIP process includes applying high pressure and temperature simultaneously at the brush to shunt interface, after it has been isolated or canned in a metal casing in which the air adjacent to the interface has been evacuated and the interfacial area has been sealed before the application of pressure and temperature.

  12. Ventriculoperitoneal shunt placement for POEMS syndrome.

    PubMed

    Alvarez-Breckenridge, Christopher A; Attiah, Mark A; Zachariah, Marcus; Gummadavelli, Abhijeet; Yang, Jimmy; Codd, Patrick J

    2015-10-01

    We report a 41-year-old woman with a history of an uncomplicated spinal hemangioma resection, who developed acute onset sensory-motor polyneuropathy following influenza vaccine administration. With extensive workup she was diagnosed with POEMS syndrome with progressive headaches, visual loss with papilledema, and repeated elevated lumbar puncture opening pressures despite treatment with acetazolamide and immunosuppressive therapy. Her symptoms dramatically improved following ventriculoperitoneal shunt placement. POEMS syndrome is a paraneoplastic disorder involving a constellation of clinical symptoms including polyneuropathy, organomegaly, endocrinopathy, monoclonal protein elevation, and skin changes. The progression of the disease involves a number of neurovascular sequelae, including symmetric sensory-motor polyneuropathy resembling chronic inflammatory demyelinating polyneuropathy, cerebrovascular accidents, and papilledema associated with increased intracranial pressure. Despite the association of POEMS with papilledema, treatment for this finding typically includes acetazolamide and therapeutic large volume lumbar punctures. To our knowledge, this is the first report of cerebrospinal fluid shunting for the symptomatic management of hydrocephalus associated with POEMS syndrome. PMID:26077937

  13. Fabrication and characterization of shunted ?-SQUID

    SciTech Connect

    Kumar, Nikhil; Fournier, T.; Courtois, H.; Gupta, Anjan K.

    2014-04-24

    In order to eliminate hysteresis, we have fabricated and characterized niobium based shunted micron size superconducting quantum interference devices (?-SQUIDs). We find a wide temperature range where these ?-SQUIDs are non-hysteretic in nature and show a very good I{sub c} vs. B oscillations in hysteretic regime and V vs. B oscillations in non-hysteretic regime. Here we report the characteristics of a shunted- ?-SQUID (Wf38LS72D5). In this device we have achieved a large voltage modulation, in non-hysteretic regime, at various temperatures including such as 1.1 mV at 6.62 K with a transfer function V{sub ?}?=?7.2mV/?{sub 0}. The figures within the original article PDF file, as supplied to AIP Publishing, were affected by a PDF-processing error. Consequently, the article re-flowed and pagination increased from 3 to 4 pages. This article was updated on 14 May 2014 to correct the PDF-processing error, with the scientific content remaining unchanged. Readers are advised that the replacement article PDF file contains an additional blank page to preserve the original pagination.

  14. 78 FR 25262 - TexStar Transmission, LP; TEAK Texana Transmission Company, LP; Notice of Filings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-30

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission TexStar Transmission, LP; TEAK Texana Transmission Company, LP; Notice of Filings Take notice that on April 23, 2013, the applicants listed above submitted an amendment to...

  15. 78 FR 22872 - TexStar Transmission, LP; TEAK Texana Transmission Company, LP; Notice of Filings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-17

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission TexStar Transmission, LP; TEAK Texana Transmission Company, LP; Notice of Filings Take notice that on April 5, 2013, the applicants listed above submitted an amendment to...

  16. Multimode shunt damping of piezoelectric smart panel for noise reduction

    NASA Astrophysics Data System (ADS)

    Kim, Jaehwan; Kim, Joon-Hyoung

    2004-08-01

    Multimode shunt damping of piezoelectric smart panel is studied for noise reduction. Piezoelectric smart panel is a plate structure on which a piezoelectric patch is attached with an electrical shunt circuit. When an incidence sound is impinged on the panel structure, the structure vibrates and the attached piezoelectric patch produces an electrical energy, which can be effectively dissipated as heat via the electrical shunt circuit. Since the energy dissipation strongly depends on the vibration mode of the panel structure, many patches are required for multiple vibration modes. Instead of using multiple piezoelectric patches, a single piezoelectric patch is used in conjunction with a blocked shunt circuit for multimode shunt damping. Modeling, shunt parameter tuning, and implementation of the blocked shunt circuit along with an acoustic test of the panel are explained. A remarkable reduction of the transmitted noise was achieved for multiple modes of the panel. Since this technology has many merits in terms of compactness, low cost, robustness, and ease of installation, practical applications in many noise problems can be anticipated.

  17. Ion beam sputter-etched ventricular catheter for hydrocephalus shunt

    NASA Technical Reports Server (NTRS)

    Banks, B. A. (inventor)

    1983-01-01

    A cerebrospinal fluid shunt in the form of a ventricular catheter for controlling the condition of hydrocephalus by relieving the excessive cerebrospinal fluid pressure is described. A method for fabrication of the catheter and shunting the cerebral fluid from the cerebral ventricles to other areas of the body is also considered. Shunt flow failure occurs if the ventricle collapse due to improper valve function causing overdrainage. The ventricular catheter comprises a multiplicity of inlet microtubules. Each microtubule has both a large openings at its inlet end and a multiplicity of microscopic openings along its lateral surfaces.

  18. 21 CFR 874.3850 - Endolymphatic shunt tube with valve.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3850 Endolymphatic shunt tube with valve...pressure-limiting valve associated with a tube intended to be implanted in the inner ear to relieve symptoms of vertigo and...

  19. 21 CFR 874.3850 - Endolymphatic shunt tube with valve.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ...CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3850 Endolymphatic shunt tube with valve...pressure-limiting valve associated with a tube intended to be implanted in the inner ear to relieve symptoms of vertigo and...

  20. Shunting inhibitory cellular neural networks with chaotic external inputs

    NASA Astrophysics Data System (ADS)

    Akhmet, M. U.; Fen, M. O.

    2013-06-01

    Taking advantage of external inputs, it is shown that shunting inhibitory cellular neural networks behave chaotically. The analysis is based on the Li-Yorke definition of chaos. Appropriate illustrations which support the theoretical results are depicted.

  1. 21 CFR 874.3850 - Endolymphatic shunt tube with valve.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3850 Endolymphatic shunt... of a pressure-limiting valve associated with a tube intended to be implanted in the inner ear...

  2. 21 CFR 874.3850 - Endolymphatic shunt tube with valve.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3850 Endolymphatic shunt... of a pressure-limiting valve associated with a tube intended to be implanted in the inner ear...

  3. 21 CFR 874.3850 - Endolymphatic shunt tube with valve.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3850 Endolymphatic shunt... of a pressure-limiting valve associated with a tube intended to be implanted in the inner ear...

  4. 21 CFR 874.3850 - Endolymphatic shunt tube with valve.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3850 Endolymphatic shunt... of a pressure-limiting valve associated with a tube intended to be implanted in the inner ear...

  5. 21 CFR 874.3850 - Endolymphatic shunt tube with valve.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3850 Endolymphatic shunt... of a pressure-limiting valve associated with a tube intended to be implanted in the inner ear...

  6. Parallel basis matrix triangularisation for hyper-sparse LP problems

    E-print Network

    Hall, Julian

    Parallel basis matrix triangularisation for hyper-sparse LP problems Julian Hall School of Mathematics University of Edinburgh July 4th 2007 Parallel basis matrix triangularisation for hyper-sparse LP into the basis matrix B the matrix N Parallel basis matrix triangularisation for hyper-sparse LP problems 2 #12

  7. In vitro flow measurements in ion sputtered hydrocephalus shunts

    NASA Technical Reports Server (NTRS)

    Cho, Y. I.; Back, L. H.

    1989-01-01

    This paper describes an experimental procedure for accurate measurements of the pressure-drop/flow rate relationship in hydrocephalus shunts. Using a fish-hook arrangement, small flow rates in a perforated ion-sputtered Teflon microtubule were measured in vitro in a pressured system and were correlated with pressure in the system. Results indicate that appropriate drainage rates could be obtained in the physiological range for hydrocephalus shunts.

  8. [Angiological and neurological problems after shunt surgery in haemodialysis patients].

    PubMed

    Brittinger, W D

    2005-06-01

    Vascular access induced complications contribute to the morbidity of patients on regular dialysis treatment. Impaired peripheral perfusion, cardiac stress and nerve lesions are the most common of these complications. In the first part of this paper, angiological problems caused by creating arterio-venous shunts are described. Shunt volumes, blood circulation in the shunt arm and shunt-induced alterations of the circulatory blood volume are discussed as well as the conditions under which these parameters gain pathogenic importance. After describing the different shunt-specific circulatory disturbances in detail, the whole spectrum of preventive interventions are discussed. Based on the author's experience during more than four decades in this field, it is strongly recommended to treat even slight but clinically relevant circulatory disorders caused by arterio-venous shunts. The second part of this paper deals with neurological complications in access surgery for dialysis. The pathogenesis of these complications and the measures necessary to avoid them are discussed. Depending on the skin incision, 5 to 20 % of the patients with fistulas between the radial artery and the cephalic vein at the wrist show lesions of the superficial branch of the radial nerve or of the lateral forearm nerve branches. Fistulas with the ulnar artery at the dorsal aspect of the lower forearm frequently cause irritations of the ulnar nerve's superficial palmar branch. Fistulas with the basilic vein in the upper arm often are associated with lesions of the medial cutaneous nerve of the forearm, especially when the vein is "subcuticularized". Aside from these rather benign lesions, sometimes severe sensomotoric functional losses of the median, radial, and ulnar nerves occur, predominantly after implantation of vascular graft shunts in the upper arm. Similar nerve damage can also be observed in association with severe impairment of the peripheral perfusion caused by this type of shunt. Nerve lesions resulting from severe ischemia are rather rare and most often develop in risk patients with preexisting poor peripheral perfusion. PMID:15997427

  9. Exercise reduces persistent ductus arteriosus shunting in piglets.

    PubMed

    Seaberg, D; Lorenz, E; Lund, G; Rysavy, J; Pierpont, M E; Zhang, S L; Einzig, S

    1987-11-01

    To determine the effects of dynamic exercise on ductal left to right shunting and skeletal and myocardial blood flow distribution, a persistent ductus arteriosus was created by balloon catheters in neonatal piglets. At 8-10 weeks of age, aortic, pulmonary artery, and left atrial catheters were placed and radiolabelled microspheres injected for measuring left ventricular output, organ blood flows, and ductus left to right shunting at rest and during treadmill exercise (1.6 mph). At rest, effective left ventricular output and myocardial and skeletal muscle blood flows were similar in the study group and controls. Exercise increased skeletal muscle and left ventricular blood flows similarly in the control and study group and did not accentuate the exercise induced small reduction in the left ventricular subendocardial to subepicardial blood flow ratio. This was due to a significant reduction in the ductus left to right shunt during exercise (mean(SD) 34(15) vs 18(7)%, p less than 0.02) and maintenance of effective left ventricular output in the study group (447(144) vs 446(98) ml.min-1.kg-1 in controls). The reduction in ductus shunting during exercise was due to a significant decrease in systemic vascular resistance and a small increase in pulmonary vascular and ductus resistance. Thus, reduced persistent ductus arteriosus shunting and maintenance of effective left ventricular output prevents myocardial perfusion abnormalities during dynamic exercise in swine with a persistent ductus and small to moderate left to right shunts. PMID:3370667

  10. First Report of Ventriculoperitoneal Shunt Infection due to Cyberlindnera fabianii

    PubMed Central

    Baghdadi, Jonathan; Hemarajata, Peera; Humphries, Romney; Kelesidis, Theodoros

    2015-01-01

    Fungal infections in the central nervous system (CNS) are associated with significant morbidity and death. Transient fungemia in immunocompetent patients without any other risk factors for fungemia has been suggested as a possible mechanism that may lead to serious fungal ventriculoperitoneal (VP) shunt infections, but evidence is lacking. The clinical spectrum, diagnosis, and optimal therapy of Cyberlindnera fabianii infections remain to be determined. We describe the first case of CNS infection due to C. fabianii that occurred in an immunocompetent adult with a VP shunt. Spontaneous translocation with yeast that is not part of the normal gastrointestinal flora in the setting of ingestion of multiple servings of a fermentation product was the likely source from which Cyberlindnera fabianii gained entrance into the VP shunt system, causing meningitis in this patient. The authors conclude that, in view of the high morbidity associated with yeast infection of the CNS, long-term antifungal therapy should be strongly considered in cases where the VP shunt cannot be completely removed. Transient fungemia may lead to invasive disease in an immunocompetent host with VP shunt, even in the absence of any other risk factors for fungemia and even after remote placement of the VP shunt. PMID:26618013

  11. Activity of an Antimicrobial Hydrocephalus Shunt Catheter against Propionibacterium acnes ? †

    PubMed Central

    Bayston, Roger; Vera, Litza; Ashraf, Waheed

    2010-01-01

    Shunt infection is a major complication affecting approximately 10% of procedures. Propionibacterium acnes, an anaerobic skin bacterium, is increasingly recognized as a shunt pathogen, causing up to 14% of infections. Though susceptible to penicillin and cephalosporins, P. acnes shunt infections are not preventable by means of perioperative prophylaxis, due to poor cerebrospinal fluid penetration. Antimicrobial shunts with activity against staphylococci are available, but their activity against P. acnes is unknown, and the study was designed to determine this. Three methods of evaluation were used in order to determine the emergence of resistance when exposure is to high inocula for long periods, the time taken to kill 100% of the bacteria attached to the shunt, and the duration of activity under constant flow conditions with repeated bacterial challenge. Despite repeated exposure to high bacterial inocula over 70 days, no resistance was seen. The time taken to kill all attached bacteria, 96 h, was twice that taken to kill attached staphylococci. Nevertheless, under constant flow conditions with repeated challenges, the antimicrobial catheters resisted colonization by P. acnes for 56 days. Using tests that were designed to be clinically predictive when done together, the results suggest that the antimicrobial catheters will be able to prevent colonization of hydrocephalus shunts by P. acnes. PMID:20837763

  12. tion 12 + 3 LP 120 -123 CP

    E-print Network

    Pfeifer, Holger

    tion 12 + 3 LP 30 SS) + SS: s: Ecology: 11 CP 15 CP 12 CP 6 CP 18 - 36 CP 0 - 21 CP 40 CP 120 - 123 CP at least d Ecology CP (SS) tematics P (SS) (WS) S) S or SS ) SS ) 11 CP Master in Biology, Major) Obligatory Courses WS: Biodiversity / Ecology 3 CP Neurobiology 3 CP Molecular Bioscience 5 CP Biochemistry

  13. LP Daac Product Lifecyle Plan in Action

    NASA Astrophysics Data System (ADS)

    Bennett, S. D.

    2014-12-01

    The Land Processes Distributed Active Archive Center (LP DAAC) is a NASA Earth Observing System (EOS) Data and Information System (EOSDIS) DAAC that supports selected EOS Community non-standard data products such as the Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER) Global Emissivity Database (GED), and also supports NASA Earth Science programs such as Making Earth System Data Records for Use in Research Environments (MEaSUREs) to contribute in providing long-term, consistent, and mature data products. To support and deliver excellence for NASA data stewardship, and to accommodate long-tail data preservation with Community and MEaSUREs products, the LP DAAC introduces a Product Lifecycle Plan that features a phased project framework to facilitate long-term product preservation. The first phase, Inception, captures all artifacts applied by the Product Developer(s) and develops Earth Science Data Records based on product artifacts. The second phase, Active Archive, distributes, promotes and provides services for the matured products to the science community. The third and final phase, Long-term Archive, establishes a permanent preservation location for all project artifacts. This poster depicts the LP DAAC Product Lifecycle Plan in action using the LP DAAC recently released NASA WELD Version 1.5 artifacts and phased objectives.

  14. Temporary arterial shunts to maintain limb perfusion after arterial injury: an animal study

    NASA Technical Reports Server (NTRS)

    Dawson, D. L.; Putnam, A. T.; Light, J. T.; Ihnat, D. M.; Kissinger, D. P.; Rasmussen, T. E.; Bradley, D. V. Jr

    1999-01-01

    BACKGROUND: Temporary shunt placement can quickly restore perfusion after extremity arterial injury. This study examined the adequacy of limb blood flow with shunt use, non-heparin-bonded shunt patency over prolonged periods, and the safety of this technique. METHODS: Common iliac arteries were divided and 4.0-mm Silastic Sundt shunts placed in 16 anesthetized pigs. Eight (group I) had shunts placed immediately; eight others (group II) were shunted after an hour of limb ischemia and hemorrhagic shock. Physiologic parameters and femoral artery blood flow in both hindlimbs were continuously monitored. Limb lactic acid generation, oxygen utilization, and hematologic and metabolic effects were serially evaluated for 24 hours. RESULTS: Shunts remained patent in 13 of 16 pigs. Shunts thrombosed in two group I animals because of technical errors, but functioned well after thrombectomy and repositioning. Patency could not be maintained in one animal that died from shock. Flow in group I shunted limbs was 57 (+/-11 SD) % of control. For group II animals in shock, shunted limb flow initially averaged 46 +/- 15% of control, but 4 hours after shunt placement, the mean limb blood flow was the same as in group I. Increased oxygen extraction compensated for the lower flow. Lactic acid production was not increased in comparison to control limbs. CONCLUSION: Shunts provided adequate flow in this model of extremity trauma. Correctly placed shunts stayed patent for 24 hours, without anticoagulation, if shunt placement followed resuscitation.

  15. Programmable shunts and headphones: Are they safe together?

    PubMed

    Spader, Heather S; Ratanaprasatporn, Linda; Morrison, John F; Grossberg, Jonathan A; Cosgrove, G Rees

    2015-10-01

    OBJECT Programmable shunts have a valuable role in the treatment of patients with hydrocephalus, but because a magnet is used to change valve settings, interactions with external magnets may reprogram these shunts. Previous studies have demonstrated the ability of magnetic toys and iPads to erroneously reprogram shunts. Headphones are even more ubiquitous, and they contain an electromagnet for sound projection that sits on the head very close to the shunt valve. This study is the first to look at the magnetic field emissions of headphones and their effect on reprogrammable shunt valves to ascertain whether headphones are safe for patients with these shunts to wear. METHODS In this in vitro study of the magnetic properties of headphones and their interactions with 3 different programmable shunts, the authors evaluated Apple earbuds, Beats by Dr. Dre, and Bose QuietComfort Acoustic Noise Cancelling headphones. Each headphone was tested for electromagnetic field emissions using a direct current gaussmeter. The following valves were evaluated: Codman Hakim programmable valve, Medtronic Strata II valve, and Aesculap proGAV. Each valve was tested at distances of 0 to 50 mm (in 5-mm increments) from each headphone. The exposure time at each distance was 1 minute, and 3 trials were performed to confirm results at each valve setting and distance. RESULTS All 3 headphones generated magnetic fields greater than the respective shunt manufacturer's recommended strength of exposure, but these fields did not persist beyond 5 mm. By 2 cm, the fields levels were below 20 G, well below the Medtronic recommendation of 90 G and the Codman recommendation of 80 G. Because the mechanism for the proGAV is different, there is no recommended gauss level. There was no change in gauss-level emissions by the headphones with changes in frequency and amplitude. Both the Strata and Codman-Hakim valves were reprogrammed by direct contact (distance 0 mm) with the Bose headphones. When a rotation component was added, all 3 headphones reprogrammed the Strata and Codman-Hakim valves at 0 mm. At all distances above 0 mm, the headphones did not affect the shunts. The proGAV valve was not affected by headphones at any distance. CONCLUSIONS Although all the headphones studied generated significant gauss fields at distances less than 5 mm, the programmable valve settings only changed at a distance of 0 mm (i.e., with direct contact). Given the subcutaneous location of the valve, the authors conclude that is highly unlikely that commercially available or customary headphones can contribute to the reprogramming of shunts. PMID:26149436

  16. Laparoscopic treatment of abdominal complications following ventriculoperitoneal shunt

    PubMed Central

    Grigorean, VT; Onose, G; Popescu, M; Strambu, V; Sandu, AM

    2009-01-01

    The aim of this study is the evaluation of laparoscopic treatment in abdominal complications following ventriculoperitoneal (VP) shunt. Methods: We report a retrospective study including 17 patients with abdominal complications secondary to VP shunt for hydrocephalus, laparoscopically treated in our department, between 2000 and 2007. Results: Patients' age ranged from 1 to 72 years old (mean age 25.8 years old). Male: female ratio was 1.4. Abdominal complications encountered were: shunt disconnection with intraperitoneal distal catheter migration 47.05% (8/17), infections 23.52% (4/17) such as abscesses and peritonitis, pseudocysts 11.76% (2/17), CSF ascites 5.88% (1/17), inguinal hernia 5.88% (1/17), and shunt malfunction due to excessive length of intraperitoneal tube 5.88% (1/17). Free–disease interval varies from 1 day to 21 years, depending on the type of complication, short in peritoneal irritation syndrome and abscesses (days) and long in ascites, pseudocysts(months– years). Laparoscopic treatment was: extraction of the foreign body in shunt disconnection with intraperitoneal distal catheter migration, evacuation, debridement, lavage and drainage for pseudocysts, abscess and peritonitis, shortening of the tube in shunt malfunction due to excessive length of intraperitoneal tube a nd hernioraphy. One diagnostic laparoscopy was performed in a peritoneal irritation syndrome, which found only CSF ascites. There were no conversions to open surgery. The overall mortality was of 5.88% and postoperative morbidity was of 11.76%. In 7 patients operated for abscesses, peritonitis, pseudocysts, and CSF ascites the shunting system was converted in to a ventriculocardiac shunt. Conclusions: Abdominal complication following VP shunt can be successfully performed laparoscopically. Abdominal surgery required, in selected cases, the repositioning of the distal catheter, frequently as a ventriculocardiac shunt. There are abdominal complications with no indication of surgery, like peritoneal irritation syndrome and CSF ascites. Free– disease interval varies from days (peritoneal irritation syndrome, abscesses) to month–years (pseudocyst, ascites), according to type of complication. PMID:20108757

  17. Attenuation of Congenital Portosystemic Shunt Reduces Inflammation in Dogs

    PubMed Central

    Tivers, Michael S.; Handel, Ian; Gow, Adam G.; Lipscomb, Victoria J.; Jalan, Rajiv; Mellanby, Richard J.

    2015-01-01

    Liver disease is a major cause of morbidity and mortality. One of the most significant complications in patients with liver disease is the development of neurological disturbances, termed hepatic encephalopathy. The pathogenesis of hepatic encephalopathy is incompletely understood, which has resulted in the development of a wide range of experimental models. Congenital portosystemic shunt is one of the most common congenital disorders diagnosed in client owned dogs. Our recent studies have demonstrated that the pathophysiology of canine hepatic encephalopathy is very similar to human hepatic encephalopathy, which provides strong support for the use of dogs with a congenital portosystemic shunt as a naturally occurring model of human hepatic encephalopathy. Specifically, we have demonstrated an important role for ammonia and inflammation in the development of hepatic encephalopathy in dogs with a congenital portosystemic shunt. Despite the apparent importance of inflammation in driving hepatic encephalopathy in dogs, it is unclear whether inflammation resolves following the successful treatment of liver disease. We hypothesized that haematological and biochemical evidence of inflammation, as gauged by neutrophil, lymphocyte and monocyte concentrations together with C-reactive protein concentrations, would decrease following successful treatment of congenital portosystemic shunts in dogs. One hundred and forty dogs with a congenital portosystemic shunt were enrolled into the study. We found that the proportion of dogs with a monocyte concentration above the reference range was significantly greater in dogs with hepatic encephalopathy at time of initial diagnosis. Importantly, neutrophil and monocyte concentrations significantly decreased following surgical congenital portosystemic shunt attenuation. We also found a significant decrease in C-reactive protein concentrations following surgical attenuation of congenital portosystemic shunts. Our study demonstrates that haematological and biochemical indices of inflammation reduce following successful treatment of the underlying liver disorder. PMID:25658922

  18. Coherence properties of a capacitively-shunt flux qubit

    NASA Astrophysics Data System (ADS)

    Birenbaum, Jeffrey; Sears, Adam; Nugroho, Christopher; Gudmundsen, Ted; Welander, Paul; Yoder, Jonilyn; Kamal, Archana; Gustavsson, Simon; Kerman, Jamie; Oliver, William; Clarke, John

    2014-03-01

    Coherence times for typical flux qubits have plateaued at 5 - 10 ? s for T1 and 1 - 3 ? s for TRamsey. To achieve longer coherence times we study capacitively-shunted flux qubits using high-Q capacitors to individually shunt all four Josephson junctions (JJs). The additional shunt capacitance moves 90 + % of the qubit energy from the lossy capacitance of the JJs into the high-Q shunts while preserving an anharmonicity greater than 100 % and maintaining f01 shunted flux qubit inductively coupled to a lumped-element readout resonator. The qubit junctions are deposited via aluminum e-beam evaporation using a bridgeless mask. We characterize the influence of qubit design parameters such as capacitance and geometry on the coherence time of the device. This research was funded in part by the Office of the Director of National Intelligence (ODNI), Intelligence Advanced Research Projects Activity (IARPA), through the Army Research Office.

  19. Shunt site chronic calcified extradural hematoma: An avoidable complication

    PubMed Central

    Mishra, Sudhansu Sekhar; Satapathy, Mani Charan; Senapati, Satya Bhusan

    2014-01-01

    Extradural hematoma (EDH) after ventriculoperitoneal (VP) shunt procedure is a rare, dangerous but easily avoidable and manageable complication. It is more common in children and young adults presumably due to relatively lax adhesion of dura to calvarium. We report a case of an 18-year-old male with acqueductal stenosis who underwent VP shunt procedure. Three months later, a computed tomography (CT) scan was done for the complaints of intractable headache and altered sensorium which showed chronic calcified EDH near shunt site. The ventricular catheter was in position and the ventricles were decompressed. After surgical decompression of EDH his symptoms improved. We discuss the factors leading to formation of EDH, with stress on proper technique to prevent or minimize such an avoidable complication. PMID:25250078

  20. Shunt site chronic calcified extradural hematoma: An avoidable complication.

    PubMed

    Mishra, Sudhansu Sekhar; Satapathy, Mani Charan; Senapati, Satya Bhusan

    2014-05-01

    Extradural hematoma (EDH) after ventriculoperitoneal (VP) shunt procedure is a rare, dangerous but easily avoidable and manageable complication. It is more common in children and young adults presumably due to relatively lax adhesion of dura to calvarium. We report a case of an 18-year-old male with acqueductal stenosis who underwent VP shunt procedure. Three months later, a computed tomography (CT) scan was done for the complaints of intractable headache and altered sensorium which showed chronic calcified EDH near shunt site. The ventricular catheter was in position and the ventricles were decompressed. After surgical decompression of EDH his symptoms improved. We discuss the factors leading to formation of EDH, with stress on proper technique to prevent or minimize such an avoidable complication. PMID:25250078

  1. Material-induced shunts in multicrystalline silicon solar cells

    SciTech Connect

    Breitenstein, O. Bauer, J.; Rakotoniaina, J. P.

    2007-04-15

    By applying lock-in thermography imaging, light-beam-induced current imaging, electron-beam-induced current imaging at different stages of sample preparation, and infrared light microscopy in transmission mode, the physical nature of the dominant material-induced shunts in multicrystalline solar cells made from p-type silicon material has been investigated. It turns out that these shunts are due to silicon carbide (SiC) filaments, which grow preferentially in grain boundaries and cross the whole cell. These filaments are highly n-type doped, like the emitter layer on the surface of the cells. They are electrically connected both with the emitter and with the back contact, thereby producing internal shunts in the solar cell.

  2. Shunted Piezoelectric Vibration Damping Analysis Including Centrifugal Loading Effects

    NASA Technical Reports Server (NTRS)

    Min, James B.; Duffy, Kirsten P.; Provenza, Andrew J.

    2011-01-01

    Excessive vibration of turbomachinery blades causes high cycle fatigue problems which require damping treatments to mitigate vibration levels. One method is the use of piezoelectric materials as passive or active dampers. Based on the technical challenges and requirements learned from previous turbomachinery rotor blades research, an effort has been made to investigate the effectiveness of a shunted piezoelectric for the turbomachinery rotor blades vibration control, specifically for a condition with centrifugal rotation. While ample research has been performed on the use of a piezoelectric material with electric circuits to attempt to control the structural vibration damping, very little study has been done regarding rotational effects. The present study attempts to fill this void. Specifically, the objectives of this study are: (a) to create and analyze finite element models for harmonic forced response vibration analysis coupled with shunted piezoelectric circuits for engine blade operational conditions, (b) to validate the experimental test approaches with numerical results and vice versa, and (c) to establish a numerical modeling capability for vibration control using shunted piezoelectric circuits under rotation. Study has focused on a resonant damping control using shunted piezoelectric patches on plate specimens. Tests and analyses were performed for both non-spinning and spinning conditions. The finite element (FE) shunted piezoelectric circuit damping simulations were performed using the ANSYS Multiphysics code for the resistive and inductive circuit piezoelectric simulations of both conditions. The FE results showed a good correlation with experimental test results. Tests and analyses of shunted piezoelectric damping control, demonstrating with plate specimens, show a great potential to reduce blade vibrations under centrifugal loading.

  3. Treatment of Portosystemic Shunt Myelopathy with a Stent Graft Deployed through a Transjugular Intrahepatic Route

    SciTech Connect

    Jain, Deepak Arora, Ankur; Deka, Pranjal; Mukund, Amar Bhatnagar, Shorav; Jindal, Deepti Kumar, Niteen Pamecha, Viniyendra

    2013-08-01

    A case of surgically created splenorenal shunt complicated with shunt myelopathy was successfully managed by placement of a stent graft within the splenic vein to close the portosystemic shunt and alleviate myelopathy. To our knowledge, this is the first report of a case of shunt myelopathy in a patient with noncirrhotic portal fibrosis without cirrhosis treated by a novel technique wherein a transjugular intrahepatic route was adopted to deploy the stent graft.

  4. [Spontaneous splenorenal and splenocaval shunts studied by echotomography].

    PubMed

    Pietri, H; Clément, J P; Corbeau, A; Boscaini, M; De Iorio, M; Cicero, F; Sarles, H

    1982-11-01

    Spontaneous spleno-renal and spleno-caval shunts may be anatomically and functionally important in portal hypertension syndromes, as demonstrated by the distinct opacification of the inferior vena cava observed after portal venography with iodine contrast media. Part of the course of these porto-caval anastomotic vessels can be visualized by ultrasonography opposite the left adrenal gland and in the space between the spleen and the left kidney. The images obtained are characteristic enough for the diagnosis of spleno-renal shunt to be suspected before it is confirmed by portal venography, as was the case in the four patients with hepatic cirrhosis reported by the authors. PMID:7155827

  5. Diagnosis of LP steam turbines: Prospects of a measuring technique

    SciTech Connect

    Gardzilewicz, A.; Marcinkowski, S.

    1995-12-31

    This paper describes methods and instruments for diagnosing problems of LP steam turbines. The instrumentation allows measurement of thermodynamic parameters of the steam with a high level of accuracy and estimating the efficiency of LP stages, even those running in wet steam. The precision of the results for various operating conditions is addressed. The instrumentation and techniques have been used to evaluate the effects of modernization of LP turbines.

  6. Successful Embolization of a Spontaneous Mesocaval Shunt Using the Amplatzer Vascular Plug II

    SciTech Connect

    Boixadera, Helena; Tomasello, Alejandro; Quiroga, Sergi; Cordoba, Joan; Perez, Mercedes; Segarra, Antoni

    2010-10-15

    A 48-year-old man with alcoholic liver cirrhosis and hepatic encephalopathy was found to have a large, spontaneous mesocaval shunt. The shunt was successfully occluded with the use of an Amplatzer Vascular Plug. To our knowledge, this is the first report of the use of this device to embolize a mesocaval shunt involving the superior mesenteric vein.

  7. Evaluation of MR/Fluoroscopyguided Portosystemic Shunt Creation in a Swine Model

    E-print Network

    Atalar, Ergin

    - renal shunt to decompress the splenic vein (3,4). Because the creation of these shunts is selective (IVC)/superior mesenteric vein (SMV)/portal vein (PV) punctures were performed in 10 swine (weight, 40 cava, PV portal vein, SMV superior mesenteric vein, TIPS transjugular intrahepatic portosystemic shunt

  8. 77 FR 2293 - AmeriGas Propane, L.P., AmeriGas Propane, Inc., Energy Transfer Partners, L.P., and Energy...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-17

    ...Gas Propane, L.P., AmeriGas Propane, Inc., Energy Transfer Partners, L.P., and Energy Transfer...'') with AmeriGas Propane, L.P. (``AmeriGas''), AmeriGas Propane, Inc., Energy Transfer Partners, L.P... acquire ETP's Heritage Propane business through the approximately $2.9 billion acquisition of...

  9. 78 FR 21491 - DeltaPoint Capital IV, L.P., DeltaPoint Capital IV (New York), L.P.; Notice Seeking Exemption...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-10

    ... DeltaPoint Capital IV, L.P., DeltaPoint Capital IV (New York), L.P.; Notice Seeking Exemption Under Section 312 of the Small Business Investment Act, Conflicts of Interest Notice is hereby given that DeltaPoint Capital IV, L.P. and DeltaPoint Capital IV (New York), L.P., 45 East Avenue, 6th Floor,...

  10. 76 FR 11446 - Erie Boulevard Hydropower, LP; Notice of Application Accepted for Filing, Soliciting Motions to...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-02

    ...Project No. 2047-049] Erie Boulevard Hydropower, LP; Notice of Application Accepted...2011. d. Applicant: Erie Boulevard Hydropower, LP. e. Name of Project: Stewarts...Compliance Specialist, Erie Boulevard Hydropower, LP, Hudson River Operations,...

  11. TIPS Versus Peritoneovenous Shunt in the Treatment of Medically Intractable Ascites

    PubMed Central

    Rosemurgy, Alexander S.; Zervos, Emmanuel E.; Clark, Whalen C.; Thometz, Donald P.; Black, Thomas J.; Zwiebel, Bruce R.; Kudryk, Bruce T.; Grundy, L Shane; Carey, Larry C.

    2004-01-01

    Objective: We undertook a prospective randomized clinical trial comparing TIPS to peritoneovenous (PV) shunts in the treatment of medically intractable ascites to establish relative efficacy and morbidity, and thereby superiority, between these shunts. Methods: Thirty-two patients were prospectively randomized to undergo TIPS or peritoneovenous (Denver) shunts. All patients had failed medical therapy. Results: After TIPS versus peritoneovenous shunts, median (mean ± SD) duration of shunt patency was similar: 4.4 months (6 ± 6.6 months) versus 4.0 months (5 ± 4.6 months). Assisted shunt patency was longer after TIPS: 31.1 months (41 ± 25.9 months) versus 13.1 months (19 ± 17.3 months) (P < 0.01, Wilcoxon test). Ultimately, after TIPS 19% of patients had irreversible shunt occlusion versus 38% of patients after peritoneovenous shunts. Survival after TIPS was 28.7 months (41 ± 28.7 months) versus 16.1 months (28 ± 29.7 months) after peritoneovenous shunts. Control of ascites was achieved sooner after peritoneovenous shunts than after TIPS (73% vs. 46% after 1 month), but longer-term efficacy favored TIPS (eg, 85% vs. 40% at 3 years). Conclusion: TIPS and peritoneovenous shunts treat medically intractable ascites. Absence of ascites after either is uncommon. PV shunts control ascites sooner, although TIPS provides better long-term efficacy. After either shunt, numerous interventions are required to assist patency. Assisted shunt patency is better after TIPS. Treating medically refractory ascites with TIPS risks early shunt-related mortality for prospects of longer survival with ascites control. This study promotes the application of TIPS for medically intractable ascites if patients undergoing TIPS have prospects beyond short-term survival. PMID:15166968

  12. Embolization of nonvariceal portosystemic collaterals in transjugular intrahepatic portosystemic shunts

    SciTech Connect

    Bilbao, Jose Ignacio; Arias, Mercedes; Longo, Jesus Maria; Alejandre, Pedro Luis; Betes, Maria Teresa; Elizalde, Arlette Maria

    1997-03-15

    Percutaneous embolization of large portosystemic collaterals was performed in three patients following placement of a transjugular intrahepatic portosystemic shunt in order to improve hepatopetal portal flow. Improved hepatic portal perfusion was achieved in these cases, thereby theoretically reducing the risk of chronic hepatic encephalopathy.

  13. Hypertensive slit ventricle syndrome: pseudotumor cerebri with a malfunctioning shunt?

    PubMed

    Bateman, Grant A

    2013-12-01

    Symptomatic shunt malfunction without ventricular enlargement is known as slit ventricle syndrome (SVS). Patients presenting with this syndrome are not a homogeneous group. Of the 5 different types classified by Rekate, Type 1 is caused by CSF overdrainage and is associated with low pressures; Types 2 and 3 are associated with shunt blockage and elevated CSF pressures; Type 4 is cephalocranial disproportion that increases brain parenchymal pressure but not CSF pressure; and Type 5 is headache unrelated to shunt function. The low and normal CSF pressure types are relatively well understood, but the high-pressure forms are more problematic. In the high-pressure forms of SVS it is said that the lack of ventricular dilation is related to a reduction in brain compliance analogous to idiopathic intracranial hypertension or pseudotumor cerebri. Despite this, there is little evidence in the literature to support this conjecture. With this in mind, 3 cases of SVS associated with elevated CSF pressure are presented. The MR venogram findings and hemodynamics of these 3 cases are shown to be identical to those of pseudotumor cerebri. A literature review indicates that an underlying venous impairment may be functioning in the patients who re-present with small ventricles following shunt malfunction. PMID:23991845

  14. PROOF-MASS INERTIAL VIBRATION CONTROL USING A SHUNTED

    E-print Network

    Fleming, Andrew J.

    PROOF-MASS INERTIAL VIBRATION CONTROL USING A SHUNTED ELECTROMAGNETIC TRANSDUCER Andrew J. Fleming-mass dampers utilize a suspended mass to reduce the vibration experienced by a host structure. Active vibration vibration absorbtion. An electrical impedance is designed and connected to an electromagnetic coil

  15. Focally spared area of fatty liver caused by arterioportal shunt

    SciTech Connect

    Arita, Takeshi; Matsunaga, Naofumi; Honma, Yutaka

    1996-05-01

    We describe a case with a focally spared area in fatty liver caused by arterioportal shunt. Furthermore, we discuss the cause of the focally spared area related to a localized dilution or reduction in portal blood flow. 13 refs., 1 fig.

  16. CONTEXT VIEW ALONG EXISTING PERIMETER TRACKS LOOKING TOWARDS SHUNTS IN ...

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

    CONTEXT VIEW ALONG EXISTING PERIMETER TRACKS LOOKING TOWARDS SHUNTS IN THEIR PRESENT-DAY POSITIONS, STORAGE SHED, AND MACHINE SHOP. LOOKING NORTHEAST. - Pennsylvania Railway Ore Dock, Lake Erie at Whiskey Island, approximately 1.5 miles west of Public Square, Cleveland, Cuyahoga County, OH

  17. 21 CFR 882.4545 - Shunt system implantation instrument.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Shunt system implantation instrument. 882.4545 Section 882.4545 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES... components under the skin. (b) Classification. Class I (general controls). When made only of surgical...

  18. 21 CFR 882.4545 - Shunt system implantation instrument.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Shunt system implantation instrument. 882.4545 Section 882.4545 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES... components under the skin. (b) Classification. Class I (general controls). When made only of surgical...

  19. Bilhemia: A Rare Complication of Transjugular Intraheptic Portosytemic Shunt

    PubMed Central

    Zhang, Michael

    2015-01-01

    A 56-year-old woman with cirrhosis due to chronic hepatitis C underwent emergent transjugular intrahepatic portosystemic shunt (TIPS) due to a ruptured esophageal varix during esophagogastroduodenoscopy. Following TIPS, the patient experienced a rapid rise in serum bilirubin with no evidence of biliary obstruction or hepatic injury. She was determined to have bilhemia, a rare but serious complication of TIPS. PMID:26504882

  20. 77 FR 30589 - SteelRiver Infrastructure Partners LP, SteelRiver Infrastructure Associates LLC, SteelRiver...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-23

    ...Infrastructure Partners LP, SteelRiver Infrastructure Associates LLC, SteelRiver Infrastructure Fund North America LP, and Patriot Funding...Associates LLC (SRIA LLC), SteelRiver Infrastructure Fund North America LP (SRIFNA LP),...

  1. Compact vs. Exponential-Size LP Relaxations

    SciTech Connect

    Carr, R.D.; Lancia, G.

    2000-09-01

    In this paper we introduce by means of examples a new technique for formulating compact (i.e. polynomial-size) LP relaxations in place of exponential-size models requiring separation algorithms. In the same vein as a celebrated theorem by Groetschel, Lovasz and Schrijver, we state the equivalence of compact separation and compact optimization. Among the examples used to illustrate our technique, we introduce a new formulation for the Traveling Salesman Problem, whose relaxation we show equivalent to the subtour elimination relaxation.

  2. Scientific heritage of L.P. Shilnikov

    NASA Astrophysics Data System (ADS)

    Afraimovich, Valentin S.; Gonchenko, Sergey V.; Lerman, Lev M.; Shilnikov, Andrey L.; Turaev, Dmitry V.

    2014-07-01

    This is the first part of a review of the scientific works of L.P. Shilnikov. We group his papers according to 7 major research topics: bifurcations of homoclinic loops; the loop of a saddle-focus and spiral chaos; Poincare homoclinics to periodic orbits and invariant tori, homoclinic in noautonous and infinite-dimensional systems; Homoclinic tangency; Saddlenode bifurcation — quasiperiodicity-to-chaos transition, blue-sky catastrophe; Lorenz attractor; Hamiltonian dynamics. The first two topics are covered in this part. The review will be continued in the further issues of the journal.

  3. Endovascular Intervention for Repositioning the Distal Catheter of Ventriculo-Atrial Shunt

    PubMed Central

    Xu, Botao; Chotai, Silky; Yang, Kaijun; Feng, Wenfeng; Zhang, Guozhong; Li, Mingzhou

    2012-01-01

    Displacement of distal ventriculo-atrial (VA) shunt is not uncommon. However, misplacement of the distal catheter of VA shunt in the internal jugular vein is a possibility, especially when conducted without intraoperative monitoring. We describe a patient in whom a VA shunt was performed due to failure of ventriculo-peritoneal shunt and the distal catheter of the shunt was found to be misplaced in the left internal jugular vein. Endovascular intervention via femoral vein was used to retrieve the distal catheter. PMID:22970420

  4. Measurement of flow of cerebrospinal fluid in shunts by transcutaneous thermal convection. Technical note.

    PubMed

    Neff, Samuel

    2005-10-01

    With the goal of developing a practical method of performing noninvasive measurements of flow in cerebrospinal fluid (CSF) shunts, transcutaneous thermal convection CSF shunt flow measurement was investigated using dimensional analysis, numerical modeling, and bench testing. Using appropriate manufacturing practices and controls, a microcontroller-based device was designed, constructed, and clinically tested. Flow was detected in functioning shunts nine times in 10 attempts. One test failed due to postoperative edema, and subsequent testing was limited to patients who had not undergone shunt surgery within the previous 2 weeks. On the basis of these data and previous reports, 510(k) clearance was granted by the Food and Drug Administration for detection of flow in CSF shunts. Flow in CSF shunts can be detected noninvasively and cost effectively by using a simple thermal convection system. The positive and negative predictive values of the test are equal to or greater than those of brain imaging and radionuclide shunt studies. PMID:16270690

  5. Sidewall shunted overdamped NbN-MgO-NbN Josephson junctions

    NASA Astrophysics Data System (ADS)

    Senapati, K.; Barber, Z. H.

    2009-04-01

    A sidewall shunting method is demonstrated to realize overdamped (i.e., nonhysteretic) current-voltage (IV) characteristics in superconductor-insulator-superconductor (SIS) junctions. Unlike the conventional layout of shunted SIS junctions, patterning a normal metal shunt on one of the sides of the junction considerably reduces the parasitic inductive path and leaves more area on a chip for active components. Using a conventional optical lithography route we have fabricated sidewall shunted SIS junctions of various sizes from NbN-MgO-NbN trilayers on MgO and oxidized Si substrates. In our experiment the effective shunting resistance is realized by a tunnel contact between the shunt metal and the base electrode via a thin layer of insulating MgO. The results of our electrical measurements verify the overdamped nature of the junctions shunted in this manner.

  6. Management of surgical splenorenal shunt-related hepatic myelopathy with endovascular interventional techniques.

    PubMed

    Wang, Mao-Qiang; Liu, Feng-Yong; Duan, Feng

    2012-12-21

    We present a case with hepatic myelopathy (HM) due to a surgical splenorenal shunt that was successfully treated by endovascular interventional techniques. A 39-year-old man presented with progressive spastic paraparesis of his lower limbs 14 mo after a splenorenal shunt. A portal venogram identified a widened patent splenorenal shunt. We used an occlusion balloon catheter initially to occlude the shunt. Further monitoring of the patient revealed a decrease in his serum ammonia level and an improvement in leg strength. We then used an Amplatzer vascular plug (AVP) to enable closure of the shunt. During the follow up period of 7 mo, the patient experienced significant clinical improvement and normalization of blood ammonia, without any complications. Occlusion of a surgically created splenorenal shunt with AVP represents an alternative therapy to surgery or coil embolization that can help to relieve shunt-induced HM symptoms. PMID:23323015

  7. 75 FR 27551 - Keystone Energy Partners, LP; Notice of Filing

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-17

    ... From the Federal Register Online via the Government Printing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Keystone Energy Partners, LP; Notice of Filing May 10, 2010. Take notice that on December 16, 2009, Keystone Energy Partners, LP submit for filing an Updated Market...

  8. Parallel basis matrix triangularisation for hyper-sparse LP problems

    E-print Network

    Hall, Julian

    Parallel basis matrix triangularisation for hyper-sparse LP problems Julian Hall School of Mathematics University of Edinburgh September 14th 2007 Parallel basis matrix triangularisation for hyper-sparse triangularisation scheme · Results Parallel basis matrix triangularisation for hyper-sparse LP problems 1 #12

  9. Parallel basis matrix triangularisation for hyper-sparse LP problems

    E-print Network

    Hall, Julian

    Parallel basis matrix triangularisation for hyper-sparse LP problems Julian Hall School of Mathematics University of Edinburgh July 4th 2007 Parallel basis matrix triangularisation for hyper-sparse LP · Results serial simulation parallel implementation Parallel basis matrix triangularisation for hyper-sparse

  10. 76 FR 68745 - Seneca Power Partners, L.P.

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-07

    ... Energy Regulatory Commission Seneca Power Partners, L.P. v. New York Independent System Operator, Inc... Power Act, 16 U.S.C. 824e and 825e and Rule 206 of the Federal Energy Regulatory Commission's (Commission) Rules of Practice and Procedures, 18 CFR 385.206, Seneca Power Partners, L.P. (Complainant)...

  11. 78 FR 79687 - Texas Eastern Transmission, LP; Notice of Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-31

    ... From the Federal Register Online via the Government Printing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Texas Eastern Transmission, LP; Notice of Application Take notice that on December 10, 2013 Texas Eastern Transmission, LP (Texas Eastern), at 5400 Westheimer Court, Houston, Texas 77056, filed an application in Docket...

  12. Fuzzy Inference System Approach for Locating Series, Shunt, and Simultaneous Series-Shunt Faults in Double Circuit Transmission Lines

    PubMed Central

    Swetapadma, Aleena; Yadav, Anamika

    2015-01-01

    Many schemes are reported for shunt fault location estimation, but fault location estimation of series or open conductor faults has not been dealt with so far. The existing numerical relays only detect the open conductor (series) fault and give the indication of the faulty phase(s), but they are unable to locate the series fault. The repair crew needs to patrol the complete line to find the location of series fault. In this paper fuzzy based fault detection/classification and location schemes in time domain are proposed for both series faults, shunt faults, and simultaneous series and shunt faults. The fault simulation studies and fault location algorithm have been developed using Matlab/Simulink. Synchronized phasors of voltage and current signals of both the ends of the line have been used as input to the proposed fuzzy based fault location scheme. Percentage of error in location of series fault is within 1% and shunt fault is 5% for all the tested fault cases. Validation of percentage of error in location estimation is done using Chi square test with both 1% and 5% level of significance. PMID:26413088

  13. Fuzzy Inference System Approach for Locating Series, Shunt, and Simultaneous Series-Shunt Faults in Double Circuit Transmission Lines.

    PubMed

    Swetapadma, Aleena; Yadav, Anamika

    2015-01-01

    Many schemes are reported for shunt fault location estimation, but fault location estimation of series or open conductor faults has not been dealt with so far. The existing numerical relays only detect the open conductor (series) fault and give the indication of the faulty phase(s), but they are unable to locate the series fault. The repair crew needs to patrol the complete line to find the location of series fault. In this paper fuzzy based fault detection/classification and location schemes in time domain are proposed for both series faults, shunt faults, and simultaneous series and shunt faults. The fault simulation studies and fault location algorithm have been developed using Matlab/Simulink. Synchronized phasors of voltage and current signals of both the ends of the line have been used as input to the proposed fuzzy based fault location scheme. Percentage of error in location of series fault is within 1% and shunt fault is 5% for all the tested fault cases. Validation of percentage of error in location estimation is done using Chi square test with both 1% and 5% level of significance. PMID:26413088

  14. Lithium in LP 944-20

    E-print Network

    Ya. V. Pavlenko; H. R. A. Jones; E. L. Martin; E. Guenther; M. A. Kenworthy; M. R. Zapatero Osorio

    2007-07-14

    We present a new estimate of the lithium abundance in the atmosphere of the brown dwarf LP 944-20. Our analysis is based on a self-consistent analysis of low, intermediate and high resolution optical and near-infrared spectra. We obtain log N(Li) = 3.25 +/-0.25 using fits of our synthetic spectra to the Li I resonance line doublet profiles observed with VLT/UVES and AAT/SPIRAL. This lithium abundance is over two orders of magnitude larger than previous estimates in the literature. In order to obtain good fits of the resonance lines of K I and Rb I and better fits to the TiO molecular absorption around the Li I resonance line, we invoke a semi-empirical model atmosphere with the dusty clouds located above the photosphere. The lithium abundance, however, is not changed by the effects of the dusty clouds. We discuss the implications of our estimate of the lithium abundance in LP 944-20 for the understanding of the properties of this benchmark brown dwarf.

  15. Comparison of Distal and Proximal Splenorenal Shunts: A Randomized Prospective Trial

    PubMed Central

    Fischer, Josef E.; Bower, Robert H.; Atamian, Susan; Welling, Richard

    1981-01-01

    Controversy still surrounds the place of portalsystemic shunting in the therapy of bleeding esophageal varices. Recently, a selective shunt, the distal splenorenal shunt, has achieved some degree of popularity and, apparently, is associated with less chronic encephalopathy. Because of this, a trial was initiated at the Massachusetts General Hospital and continued at the University of Cincinnati Medical Center, prospectively randomizing central and distal splenorenal shunts in consecutive elective cases of patients with established variceal bleeding. Preoperative evaluation included endoscopic examination at the time of hemorrhage, angiography and upper gastrointestinal series, emphasis on mental function including EEG, amino acids, neurologic examination, as well as standard liver chemistries. Nineteen patients underwent central splenorenal shunts and 23 distal splenorenal shunt. There was one operative death from hemorrhagic pancreatitis in a Child's Class A patient with distal splenorenal shunt. Four late deaths, from gunshot wound, auto accident, overwhelming pneumonitis similar to postsplenectomy syndrome, and metastatic carcinoma (2.5 years after operation), have been recorded in the distal splenorenal shunt group, and none in the central splenorenal shunt group. On follow-up angiographic examination, six shunts have clotted, with three patients requiring reoperation, generally mesocaval shunt. There has been no chronic encephalopathy, three individual episodes of encephalopathy, two in the central splenorenal shunt group and one in the distal splenorenal shunt group, two associated with gastrointestinal bleeding and one with intercurrent infection and overdiuresis. Follow-up liver chemistries and amino acids which may be useful as an indicator of hepatic function suggest that although the distal shunt group had a better amino acid pattern before operation, branched-chain amino acids tend to become lower in the distal group while remaining the same in the central group. Aromatic amino acids increase post shunt, equally in the two groups. The results do not support the contention that distal splenorenal shunt is associated either with greater survival or freedom from encephalopathy than central splenorenal shunt, a small side-to-side shunt. Ascites seems better controlled by the central splenorenal shunt. ImagesFig. 1.Fig. 2.Fig. 3.Fig. 4.Fig. 5.Fig. 6. PMID:6974543

  16. 77 FR 74179 - TexStar Transmission, LP; TEAK Texana Transmission Company, LP; Notice of Baseline Filings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-13

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission TexStar Transmission, LP; TEAK Texana Transmission Company, LP; Notice of Baseline Filings Take notice that on December 6, 2012, the applicants listed above submitted a...

  17. Approved Module Information for LP2021, 2014/5 Module Title/Name: Security Studies Module Code: LP2021

    E-print Network

    Neirotti, Juan Pablo

    proliferation, defence trade and gender security. Module Learning Outcomes: Students will gain an awarenessApproved Module Information for LP2021, 2014/5 Module Title/Name: Security Studies Module Code: LP in security studies. The course approaches ?security? in its broadest sense, that is, not only as a military

  18. Assessment of surgical portosystemic shunts and associated complications: The diagnostic and therapeutic role of radiologists.

    PubMed

    Taslakian, Bedros; Faraj, Walid; Khalife, Mohammad; Al-Kutoubi, Aghiad; El-Merhi, Fadi; Saade, Charbel; Hallal, Ali; Haydar, Ali

    2015-08-01

    Surgical portosystemic shunting, the formation of a vascular connection between the portal and systemic venous circulation, has been used as a treatment to reduce portal venous pressure. Although the use of portosystemic shunt surgery in the management of portal hypertension has declined during the past decade in favour of alternative therapies, and subsequently surgeons and radiologists became less familiar with the procedure, it remains a well-established treatment. Knowledge of different types of surgical portosystemic shunts, their pathophysiology and complications will help radiologists improve communication with surgeons and enhance their understanding of the diagnostic and therapeutic role of radiology in the assessment and management of these shunts. Optimal assessment of the shunt is essential to determine its patency and allow timely intervention. Both non-invasive and invasive imaging modalities complement each other in the evaluation of surgical portosystemic shunts. Interventional radiology plays an important role in the management of complications, such as shunt thrombosis and stenosis. This article describes the various types of surgical portosystemic shunts, explains the anatomy and pathophysiology of these shunts, illustrates the pearls and pitfalls of different imaging modalities in the assessment of these shunts and demonstrates the role of radiologists in the interventional management of complications. PMID:25963504

  19. LP based approach to optimal stable matchings

    SciTech Connect

    Teo, Chung-Piaw; Sethuraman, J.

    1997-06-01

    We study the classical stable marriage and stable roommates problems using a polyhedral approach. We propose a new LP formulation for the stable roommates problem. This formulation is non-empty if and only if the underlying roommates problem has a stable matching. Furthermore, for certain special weight functions on the edges, we construct a 2-approximation algorithm for the optimal stable roommates problem. Our technique uses a crucial geometry of the fractional solutions in this formulation. For the stable marriage problem, we show that a related geometry allows us to express any fractional solution in the stable marriage polytope as convex combination of stable marriage solutions. This leads to a genuinely simple proof of the integrality of the stable marriage polytope. Based on these ideas, we devise a heuristic to solve the optimal stable roommates problem. The heuristic combines the power of rounding and cutting-plane methods. We present some computational results based on preliminary implementations of this heuristic.

  20. Upward Migration of a Peritoneal Catheter Following Ventriculoperitoneal Shunt

    PubMed Central

    Cho, Kyung Rae; Yeon, Je Young

    2013-01-01

    We present an unusual case of peritoneal catheter migration following a ventriculoperitoneal shunt operation. A 7-month-old infant, who had suffered from intraventricular hemorrhage at birth, was shunted for progressive hydrocephalus. The peritoneal catheter, connected to an 'ultra small, low pressure valve system' (Strata®; PS Medical,Gola, CA, USA) at the subgaleal space, was placed into the peritoneal cavity about 30 cm in length. The patient returned to our hospital due to scalp swelling 21 days after the surgery. Simple X-ray images revealed total upward migration and coiling of the peritoneal catheter around the valve. Possible mechanisms leading to proximal upward migration of a peritoneal catheter are discussed. PMID:24003378

  1. Cellular phononic crystals with piezoelectric shunts for tunable directivity

    NASA Astrophysics Data System (ADS)

    Celli, Paolo; Gonella, Stefano

    2015-03-01

    Phononic crystals (PCs) are periodic media known for their spectral and spatial wave manipulation capabilities, among which we recall their stop-band filtering behavior, due to the formation of phononic bandgaps, and the spatial directivity, i.e., the inherent ability to produce directional wave patterns. In general, the anisotropic wave propagation patterns of PCs are characterized by multiple equipotent directions of wave beaming, a characteristic which prevents the effective de-energization of arbitrarily selected regions of the PC domain. In this work we discuss a few enhancements of the directivity of lattice-like PCs, obtained through the introduction of shunted piezoelectric inclusions. The lattice links of each unit cell are instrumented with piezoelectric patches, each connected to a separate negative capacitance circuit. By properly choosing the shunting parameters for selected subsets of patches, we can generate peculiar anisotropic stiffness landscapes and reconfigure the elastic wave patterns accordingly.

  2. Cerebral Venous Thrombosis after Ventriculoperitoneal Shunting: A Case Report

    PubMed Central

    MATSUBARA, Teppei; AYUZAWA, Satoshi; AOKI, Tsukasa; IKEDA, Go; SHIIGAI, Masanari; MATSUMURA, Akira

    2014-01-01

    Ventriculoperitoneal shunting (VPS) is a simple procedure, but there are several potential complications. We describe the first reported case of cerebral venous thrombosis (CVT) after VPS. A 69-year-old man suffering from normal pressure hydrocephalus underwent left VPS. Two months later he developed CVT and cerebral venous hemorrhage in the left frontal lobe. Computed tomography (CT) and magnetic resonance imaging (MRI) revealed the thrombus formation just adjacent to the shunt tube. One possible cause is compression of the cortical vein after brain shift and/or tension of the cortical vein due to intracranial hypotension (IH). A protein C deficiency was also detected. Surgeons should be aware that cerebral venous thrombosis can occur after VPS. PMID:24257484

  3. Lithium in LP944-20

    NASA Astrophysics Data System (ADS)

    Pavlenko, Ya. V.; Jones, H. R. A.; Martín, E. L.; Guenther, E.; Kenworthy, M. A.; Zapatero Osorio, M. R.

    2007-09-01

    We present a new estimate of the lithium abundance in the atmosphere of the brown dwarf LP944-20. Our analysis is based on a self-consistent analysis of low-, intermediate- and high-resolution optical and near-infrared spectra. We obtain logN(Li) = 3.25 +/- 0.25 using fits of our synthetic spectra to the LiI resonance line doublet profiles observed with Very Large Telescope/Ultraviolet-Visual Echelle Spectrograph (VLT/UVES) and Anglo-Australian Telescope/Segmented Pupil/Image Reformatting Array of Lenslets (AAT/SPIRAL). This lithium abundance is over two orders of magnitude larger than previous estimates in the literature. In order to obtain good fits of the resonance lines of KI and RbI and better fits to the TiO molecular absorption around the LiI resonance line, we invoke a semi-empirical model atmosphere with the dusty clouds located above the photosphere. The lithium abundance, however, is not changed by the effects of the dusty clouds. We discuss the implications of our estimate of the lithium abundance in LP944-20 for the understanding of the properties of this benchmark brown dwarf. Based on observations obtained on the European Southern Observatory at Cerro Paranal, Chile, in programs 68.C-0063(A) and 072.C-0110(B), the Anglo-Australian Telescope at Siding Springs Observatory during commissioning observations for SPIRAL (Segmented Pupil/Image Reformatting Array of Lenslets) instrument and the Keck Observatory in Mauna Kea, Hawaii. E-mail: yp@mao.kiev.ua

  4. Modernisation Issues of Diesel-Electric Shunting Locomotive Power Units

    NASA Astrophysics Data System (ADS)

    Hoimoja, Hardi; Jalakas, Tanel; Rosin, Argo; Rassylkin, Anton

    2010-01-01

    The research concentrates on the modernisation issues of inefficient diesel-electric shunting locomotives, produced in the former Soviet Union. The existing diesel-generator unit, serving as an onboard power plant can be replaced by hybridised units, with an energy storage unit acting as a peaking power source for dynamic modes. By integrating an energy storage unit into the power plant, the locomotive traction drive becomes hybridised, consuming less fuel during transients and idling.

  5. Chemoembolic Hepatopulmonary Shunt Reduction to Allow Safe Yttrium-90 Radioembolization Lobectomy of Hepatocellular Carcinoma

    SciTech Connect

    Gaba, Ron C.; VanMiddlesworth, Kyle A.

    2012-12-15

    Yttrium-90 ({sup 90}Y) radioembolization represents an emerging transcatheter treatment option for the management of hepatocellular carcinoma (HCC). Elevation of the hepatopulmonary shunt fraction risks nontarget radiation to the lungs and may limit the use of {sup 90}Y therapy in patients with locally advanced disease with vascular invasion, who often demonstrate increased shunting. We present two cases in which patients with HCC and portal vein invasion resulting in elevated hepatopulmonary shunt fractions underwent chemoembolic shunt closure to allow safe {sup 90}Y radioembolization. Both patients demonstrated excellent tumor response and patient survival. On this basis, we propose a role for chemoembolic reduction of the lung shunt fraction before {sup 90}Y radioembolization in patients with extensive tumor-related hepatopulmonary shunting.

  6. Laboratory study on intracranial hypotension created by pumping the chamber of a hydrocephalus shunt

    E-print Network

    Bromby, Adam; Czosnyka, Zofia; Allin, David M.; Richards, Hugh K.; Pickard, John D.; Czosnyka, Marek

    2007-03-26

    subdural tapping and magnetic resonance imaging. Acta Neurochir (Wien) 1998, 140:47-49. 11. Aschoff A, Klank A, Benesch C, Fruh K: Shunt function control by valve pumping – Fact or fancy? In-vitro-studies for the relia- bility, limitations and side... . Competing interests The UK shunt laboratory had, in the past, research and development agreements with the manufacturers: Cod- man, Medtronic, Phoenix, Integra, Aesculap (marketing Miethke shunts) and CSFdynamics. This research was not financed by any...

  7. Using Controlled Shunt Reactors for Voltage Stabilization on the Example of Real Electric Power System

    NASA Astrophysics Data System (ADS)

    Gusev, A. S.; Suvorov, A. A.; Sulaymanov, A. O.

    2015-10-01

    The article is devoted to actual task of real-time simulation controlled shunt reactors to use in the appropriate electric power system. Such development allows fully and reliably reproducing the processes running in controlled shunt reactors and electric power systems as whole. As an example of such task solution the working results of controlled shunt reactors simulation and its application for voltage stabilization are presented.

  8. Reversibility of intrapulmonary arteriovenous shunts in liver cirrhosis documented by serial radionuclide perfusion lung scans

    SciTech Connect

    Chen, N.S.; Barnett, C.A.; Farrer, P.A.

    1984-05-01

    Using serial perfusion lung scans, the opening up and closure of right-to-left intrapulmonary arteriovenous shunts has been documented over a period of several weeks in a patient with chronic alcoholic liver disease. The presence of the shunts correlates well with the severity of hypoxemia and the presence of nodular mottling on chest radiographs. The time course of these changes with clinical status suggests lability and the functional nature of these shunts.

  9. On the Complexity of ID/LP Parsing

    E-print Network

    Barton, G. Edward, Jr.

    1984-12-01

    Recent linguistic theories cast surface complexity as the result of interacting subsystems of constraints. For instance, the ID/LP grammar formalism separates constraints on immediate dominance from those on linear ...

  10. 78 FR 64933 - Texas Eastern Transmission, LP; Notice of Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-30

    ..., for a certificate of public convenience and necessity to construct its Emerald Longwall Mine Panel D1... Emerald Coal Resources, LP (Emerald) in Greene County, Pennsylvania in Panel D1 of Emerald's mine,...

  11. 78 FR 48668 - Kalaeloa Partners, LP; Notice of Filing

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-09

    ..., Kalaeloa Partners, L.P. (Kalaeloa) filed a petition for recertification as a qualifying cogeneration... cogeneration facility operating and efficiency standard requirements for its facility for year 2013. Any...

  12. 78 FR 64933 - Texas Eastern Transmission, LP; Notice of Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-30

    ...public convenience and necessity to construct its Emerald Longwall Mine Panel D1 Project. Texas Eastern...due to anticipated longwall mining activities of Emerald Coal Resources, LP (Emerald) in Greene County, Pennsylvania in Panel...

  13. Distal Dunk for Right Ventricle to Pulmonary Artery Shunt in Stage 1 Palliation.

    PubMed

    Mascio, Christopher E; Spray, Thomas L

    2015-12-01

    The use of a right ventricle-to-pulmonary artery (RV-PA) conduit for stage 1 palliation of hypoplastic left heart syndrome is common. A prospective randomized multiinstitutional study revealed that approximately 40% of those receiving this shunt required intervention on the shunt or pulmonary arteries, or both. A technique has been developed to help ameliorate proximal conduit stenosis. We present a new technique to improve distal conduit stenosis and decrease anastomotic bleeding from this site. The technique involves dunking a segment of the shunt into the pulmonary arteries and suture placement in the shunt rings and not in the polytetrafluoroethylene (PTFE). PMID:26652546

  14. The role of persistent foramen ovale and other shunts in decompression illness.

    PubMed

    Wilmshurst, Peter T

    2015-06-01

    A persistent foramen ovale (PFO) and other types of right-to-left shunts are associated with neurological, cutaneous and cardiovascular decompression illness (DCI). A right-to-left shunt is particularly likely to be implicated in causation when these types of DCI occur after dives that are not provocative. It is believed that venous nitrogen bubbles that form after decompression pass through the shunt to circumvent the lung ?lter and invade systemic tissues supersaturated with nitrogen (or other inert gas) and as a result there is peripheral ampli?cation of bubble emboli in those tissues. Approximately a quarter of the population have a PFO, but only a small proportion of the population with the largest right-to-left shunts are at high risk of shunt-mediated DCI. The increased risk of DCI in people with migraine with aura is because migraine with aura is also associated with right-to-left shunts and this increased risk of DCI appears to be con? ned to those with a large PFO or other large shunt. Various ultrasound techniques can be used to detect and assess the size of right-to-left shunts by imaging the appearance of bubble contrast in the systemic circulation after intravenous injection. In divers with a history of shunt-mediated DCI, methods to reduce the risk of recurrence include cessation of diving, modi?cation of future dives to prevent venous bubble liberation and transcatheter closure of a PFO. PMID:26165532

  15. Embolization of portal-systemic shunts in cirrhotic patients with chronic recurrent hepatic encephalopathy

    SciTech Connect

    Sakurabayashi, Shin; Sezai, Shuichi; Yamamoto, Yoshihiro; Hirano, Masanori; Oka, Hiroshi

    1997-03-15

    Purpose. To evaluate the efficacy of embolization of portal-systemic shunts in cirrhotic patients with chronic recurrent hepatic encephalopathy (CRHE). Methods. Seven cirrhotic patients with CRHE refractory to medical treatment (3 men and 4 women, mean age 66 years) were studied. Five patients had splenorenal shunts, 1 had a gastrorenal shunt, and 1 had an intrahepatic portal vein-hepatic vein shunt. Shunt embolization was performed using stainless steel coils, with a percutaneous transhepatic portal vein approach in 4 patients and a transrenal vein approach in 3 patients. Results. After embolization, the shunt disappeared in 4 patients on either ultrasound pulsed Doppler monitoring or portography. Complications observed in the 7 patients were fever, transient pleural effusion, ascites, and mild esophageal varices. For 3-6 months after embolization, the 4 patients whose shunts disappeared showed minimal or no reappearance of a shunt, and had no recurrence of encephalopathy. The serum ammonia levels decreased and electroencephalograms also improved. One of the 4 patients, who developed mild esophageal varices, required no treatment. Treatment was effective in 3 of the 4 patients (75%) who underwent embolization via a transhepatic portal vein. Conclusion. Transvascular embolization of shunts improved the outcome in 4 of 7 patients. The most effective embolization was achieved via the percutaneous transhepatic portal vein approach.

  16. Hyperoxia prevents exercise-induced intrapulmonary arteriovenous shunt in healthy humans

    PubMed Central

    Lovering, Andrew T; Stickland, Michael K; Amann, Markus; Murphy, Joan C; O'Brien, Matthew J; Hokanson, John S; Eldridge, Marlowe W

    2008-01-01

    The 100% oxygen (O2) technique has been used to detect and quantify right-to-left shunt for more than 50 years. The goal of this study was to determine if breathing 100% O2 affected intrapulmonary arteriovenous pathways during exercise. Seven healthy subjects (3 females) performed two exercise protocols. In Protocol I subjects performed an incremental cycle ergometer test (60 W + 30 W/2 min; breathing room air, ) and arteriovenous shunting was evaluated using saline contrast echocardiography at each stage. Once significant arteriovenous shunting was documented (bubble score = 2), workload was held constant for the remainder of the protocol and was alternated between 1.0 (hyperoxia) and 0.209 (normoxia) as follows: hyperoxia for 180 s, normoxia for 120 s, hyperoxia for 120 s, normoxia for 120 s, hyperoxia for 60 s and normoxia for 120 s. For Protocol II, subjects performed an incremental cycle ergometer test until volitional exhaustion while continuously breathing 100% O2. In Protocol I, shunting was seen in all subjects at 120–300 W. Breathing oxygen for 1 min reduced shunting, and breathing oxygen for 2 min eliminated shunting in all subjects. Shunting promptly resumed upon breathing room air. Similarly, in Protocol II, breathing 100% O2 substantially decreased or eliminated exercise-induced arteriovenous shunting in all subjects at submaximal and in 4/7 subjects at maximal exercise intensities. Our results suggest that alveolar hyperoxia prevents or reduces blood flow through arteriovenous shunt pathways. PMID:18687713

  17. Stent graft closure of a high flow splenorenal shunt after liver transplantation.

    PubMed

    Litvin, Sergey; Atar, Eli; Knizhnik, Michael; Bruckheimer, Elchanan; Belenky, Alexander

    2010-12-01

    We describe a patient after liver transplantation with a preexisting surgical splenorenal shunt close to the confluence of the splenic and superior mesenteric veins and a wide, short communication between the splenic and renal veins. To close the shunt, an inferior vena cava filter was inserted in the shunt and a vascular plug was placed in the splenic vein inside the filter. When this failed to stop the flow through the shunt, a covered stent was deployed at the superior mesenteric vein-portal vein junction. PMID:19784918

  18. Thrombosed Mesocaval Shunt: Salvage by Mechanical Thrombolysis. Case Report and Review of the Literature

    SciTech Connect

    Baijal, Sanjay Saran Mohan, Suyash; Singh, Jagadeesh R.; Verma, Ashish

    2008-07-15

    We report the case of a 27-year-old male who presented with acute mesocaval shunt thrombosis, which was successfully managed by mechanical thrombolysis. Shunt thrombosis was suspected when the patient showed clinical signs and symptoms of obstructive jaundice in the immediate postoperative period. Doppler sonography showed absence of flow across the shunt, suggestive of thrombosis, which was mechanically thrombolyzed by a percutaneous approach. The portocaval pressure gradient noted at the end of procedure was <5 mm Hg. The shunt remained patent at the end of 3 months' follow-up.

  19. 77 FR 58371 - Allegheny Hydro No. 8, L.P., Allegheny Hydro No. 9, L.P., and U.S. Bank National Association...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-20

    ...Energy Regulatory Commission [Project No. 3021-088] Allegheny Hydro No. 8, L.P., Allegheny Hydro No. 9, L.P., and U.S. Bank National Association Allegheny Hydro, LLC; Notice of Application for Transfer of License, and...

  20. 75 FR 20870 - Montreux Equity Partners II SBIC, L.P.; Montreux Equity Partners III SBIC, L.P.; Notice Seeking...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-21

    ...79-0452] Montreux Equity Partners II SBIC, L.P.; Montreux Equity Partners III SBIC, L.P.; Notice Seeking Exemption Under Section 312...hereby given that Montreux Equity Partners II SBIC, L.P. and Montreux Equity Partners III SBIC,...

  1. Shunting arc plasma source for pure carbon ion beam.

    PubMed

    Koguchi, H; Sakakita, H; Kiyama, S; Shimada, T; Sato, Y; Hirano, Y

    2012-02-01

    A plasma source is developed using a coaxial shunting arc plasma gun to extract a pure carbon ion beam. The pure carbon ion beam is a new type of deposition system for diamond and other carbon materials. Our plasma device generates pure carbon plasma from solid-state carbon material without using a hydrocarbon gas such as methane gas, and the plasma does not contain any hydrogen. The ion saturation current of the discharge measured by a double probe is about 0.2 mA?mm(2) at the peak of the pulse. PMID:22380206

  2. Shunting arc plasma source for pure carbon ion beama)

    NASA Astrophysics Data System (ADS)

    Koguchi, H.; Sakakita, H.; Kiyama, S.; Shimada, T.; Sato, Y.; Hirano, Y.

    2012-02-01

    A plasma source is developed using a coaxial shunting arc plasma gun to extract a pure carbon ion beam. The pure carbon ion beam is a new type of deposition system for diamond and other carbon materials. Our plasma device generates pure carbon plasma from solid-state carbon material without using a hydrocarbon gas such as methane gas, and the plasma does not contain any hydrogen. The ion saturation current of the discharge measured by a double probe is about 0.2 mA/mm2 at the peak of the pulse.

  3. A Hybridized GA with LP-LP Model for the Management of Confined Groundwater.

    PubMed

    Khadem, M; Afshar, M H

    2015-01-01

    A novel hybrid methodology is introduced in this paper for the optimal solution of the groundwater management problem. The problem to be addressed is the optimal determination and operation of a predefined number of wells out of a priori known set of potential wells with fixed locations to minimize the pumping cost of utilizing a two-dimensional (2D) confined aquifer under steady-state flow condition. The solution to this problem should satisfy a downstream demand, a lower/upper bound on the pumping rates, and a lower/upper bound on the water level drawdown in the wells. The problem is solved by hybridizing a genetic algorithm (GA) which suggests the candidate configurations for the operational wells and a hybrid linear programming (LP-LP) approach with the duty of finding the optimal operation policy of the candidate wells defined by their pumping rates. Two different codings, namely binary and integer codings, are used for the GA and their performances are compared. The ability of the proposed hybrid method is tested against two benchmark problems: (1) finding the optimal configuration and pumping rates of a predefined number of wells out of potential wells and (2) finding the optimal number, configuration and pumping rates of the operating wells out of potential wells and the results are presented and compared with the available ones showing superior efficiency and effectiveness of the proposed method. PMID:25059262

  4. Normal-pressure hydrocephalus: current understanding of diagnostic tests and shunting

    SciTech Connect

    Black, P.M.

    1982-02-01

    Normal-pressure hydrocephalus is no longer difficult to diagnose or treat-cranial computed tomographic scanning has made the diagnosis of ventricular enlargement straightforward, and shunt placement often helps the patient whose condition can be traced to a specific cause. Predicting accurately whether a patient will benefit from a shunt, however, is still problematic.

  5. 21 CFR 882.5550 - Central nervous system fluid shunt and components.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Central nervous system fluid shunt and components... Central nervous system fluid shunt and components. (a) Identification. A central nervous system fluid... central nervous system to an internal delivery site or an external receptacle for the purpose of...

  6. 21 CFR 882.5550 - Central nervous system fluid shunt and components.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Central nervous system fluid shunt and components... Central nervous system fluid shunt and components. (a) Identification. A central nervous system fluid... central nervous system to an internal delivery site or an external receptacle for the purpose of...

  7. 21 CFR 882.5550 - Central nervous system fluid shunt and components.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Central nervous system fluid shunt and components... Central nervous system fluid shunt and components. (a) Identification. A central nervous system fluid... central nervous system to an internal delivery site or an external receptacle for the purpose of...

  8. 21 CFR 882.5550 - Central nervous system fluid shunt and components.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Central nervous system fluid shunt and components... Central nervous system fluid shunt and components. (a) Identification. A central nervous system fluid... central nervous system to an internal delivery site or an external receptacle for the purpose of...

  9. 21 CFR 882.5550 - Central nervous system fluid shunt and components.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Central nervous system fluid shunt and components... Central nervous system fluid shunt and components. (a) Identification. A central nervous system fluid... central nervous system to an internal delivery site or an external receptacle for the purpose of...

  10. Anoxic ventilation improves systemic perfusion during extracorporeal circulation with uncontrolled systemic-to-pulmonary shunt.

    PubMed

    Hammel, James M; Deptula, Joseph; Hunt, Peter W; Lang, Haili; Duncan, Kim F

    2007-01-01

    Uncontrolled systemic-to-pulmonary shunt results in decreased systemic flow during extracorporeal life support (ECLS). Ligation of systemic-to-pulmonary shunts during ECLS is associated with poor outcome and is not always readily achieved. In ex vivo preparations, alveolar hypoxia results in pulmonary vasoconstriction despite normoxic pulmonary perfusate. We hypothesized that anoxic ventilation would result in reduced pulmonary shunting and increased systemic flow during ECLS in piglets with systemic-to-pulmonary shunt. Four piglets were placed on ECLS with right and left atrial drainage. A shunt was created between the bicarotid trunk and pulmonary artery, using 5-mm ePTFE tubing. Inspired oxygen was reduced to <1% for 10 minutes, then returned to room air; pH, hematocrit, temperature, ventilatory pressures, and total pump flow were maintained constant. Systemic arterial pressure and right atrial return volume and hemoglobin saturation were measured: All decreased significantly upon shunt unclamping. Anoxic ventilation caused increased systemic pressure (34 vs. 28 mm Hg, p < 0.05), flow (335 vs. 278 mL/min, p < 0.05), and systemic venous saturation (53% vs. 48%, p = 0.13) compared with room air ventilation. In conclusion, anoxic ventilation during normoxic ECLS in subjects with systemic-to-pulmonary shunts results in a significant and potentially clinically useful reduction in pulmonary shunting. PMID:17413566

  11. Superior vena cava syndrome with retropharyngeal edema as a complication of ventriculoatrial shunt

    PubMed Central

    Al-Natour, Mohammed S; Entezami, Pouya; Nazzal, Munier M S; Casabianca, Andrew B; Assaly, Ragheb; Riley, Kalen; Gaudin, Daniel

    2015-01-01

    Key Clinical Message Thirty-seven-year old female with hydrocephalus managed by a ventriculoatrial (VA) shunt presented with upper body edema, dysphagia, and headache. Imaging demonstrated thrombosis of the superior vena cava (SVC). Direct catheter thrombolysis led to resolution of thrombus burden. Superior vena cava thrombosis is a rare consequence of VA shunting and must be managed emergently. PMID:26509004

  12. Fast Energy Loss Computation and Fuzzy-Based Shunt Capacitor Insertion

    E-print Network

    Fast Energy Loss Computation and Fuzzy-Based Shunt Capacitor Insertion Dr. W. F. Mohammad, Dr. N power, reactive power, load voltage, load current, power factor, and the shunt capacitors current. It is found that when 2.7 MVAR bank capacitor is inserted in the network the load current is decreased from

  13. Transhepatic Embolization of Congenital Intrahepatic Portosystemic Venous Shunts with Associated Aneurysms

    PubMed Central

    Paudel, Kalyan; Hoffer, Eric K.

    2015-01-01

    Intrahepatic shunts between the portal and systemic venous systems with associated aneurysms are extremely rare. A middle aged woman presented with hepatic encephalopathy and was found to have two intrahepatic portosystemic venous shunts with associated aneurysms. Diagnosis was made by duplex ultrasound and was confirmed with contrast enhanced MRI. Treatment was performed percutaneously with an Amplatzer vascular plug. PMID:26257785

  14. Shunt currents in vanadium flow batteries: Measurement, modelling and implications for efficiency

    NASA Astrophysics Data System (ADS)

    Fink, H.; Remy, M.

    2015-06-01

    Shunt currents are an important factor which must be considered when designing a stack for flow batteries. They lead to a reduction of the coulombic efficiency and can cause furthermore a critical warming of the electrolyte. Shunt currents inevitably appear at bypass connections of the hydraulic system between the single cells of a stack. In this work the shunt currents of a five-celled mini stack of a vanadium flow battery with external hydraulic system and their effects are investigated directly. The external hydraulic system allows the implementation of current sensors for direct measurement of the shunt currents; moreover, the single bypass channels can be interrupted by clamping the tube couplings and with it the shunt currents between the cells when the pumps are off. Thus the shares of losses by cross contamination and by shunt currents are quantified separately by charge conservation measurements. The experimentally gained data are compared to a shunt current model based on a equivalent circuit diagram and the linear equation system derived from it. Experiments and model data are in good agreement. The effects of shunt currents for different flow frame geometries and number of cells in a stack are simulated and presented in this work.

  15. 21 CFR 882.5550 - Central nervous system fluid shunt and components.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Central nervous system fluid shunt and components. 882.5550 Section 882.5550 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN... shunt is a device or combination of devices used to divert fluid from the brain or other part of...

  16. 21 CFR 882.5550 - Central nervous system fluid shunt and components.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Central nervous system fluid shunt and components. 882.5550 Section 882.5550 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN... shunt is a device or combination of devices used to divert fluid from the brain or other part of...

  17. 21 CFR 882.5550 - Central nervous system fluid shunt and components.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Central nervous system fluid shunt and components. 882.5550 Section 882.5550 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN... shunt is a device or combination of devices used to divert fluid from the brain or other part of...

  18. 21 CFR 882.5550 - Central nervous system fluid shunt and components.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Central nervous system fluid shunt and components. 882.5550 Section 882.5550 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN... shunt is a device or combination of devices used to divert fluid from the brain or other part of...

  19. 21 CFR 882.5550 - Central nervous system fluid shunt and components.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Central nervous system fluid shunt and components. 882.5550 Section 882.5550 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN... shunt is a device or combination of devices used to divert fluid from the brain or other part of...

  20. Electromagnetic Shunt Damping S. Behrens A. J. Fleming S. O. Reza Moheimani

    E-print Network

    Fleming, Andrew J.

    Electromagnetic Shunt Damping S. Behrens A. J. Fleming S. O. Reza Moheimani School of Electricalqhzfdvwoh1hgx1dx Abstract A method for electromagnetic shunt damping (EMSD) will be presented in this paper. A passive control strategy is validated through experi- mentation on a simple electromagnetic mass

  1. Optimal Allocation of Shunt Dynamic Var Source SVC and STATCOM: A Survey

    E-print Network

    Tolbert, Leon M.

    1 Optimal Allocation of Shunt Dynamic Var Source SVC and STATCOM: A Survey Abstract-- Optimal categorizes the literature relevant to optimal allocation of shunt dynamic Var source SVC and STATCOM, based allocation, voltage stability analysis, CPF, modal analysis, OPF, SVC, STATCOM I. INTRODUCTION Recently

  2. What is the risk of a shunt malfunction after elective intradural surgery?

    PubMed

    Venable, Garrett T; Green, Cain S; Smalley, Zachary S; Bedford, E Cydnie; Modica, Joseph S; Klimo, Paul

    2015-12-01

    OBJECT Surgery for CSF diversion is the most common procedure performed by pediatric neurosurgeons. The failure rates for shunts remain frustratingly high, resulting in a burden to patients, families, providers, and healthcare systems. The goal of this study was to quantify the risk of a shunt malfunction in patients with an existing shunt who undergo an elective intradural operation. METHODS All elective intradural surgeries (cranial and spinal) at Le Bonheur Children's Hospital from January 2010 through June 2014 were reviewed to identify those patients who had a functional ventricular shunt at the time of surgery. Patient records were reviewed to collect demographic, surgical, clinical, radiological, and pathologic data, including all details related to any subsequent shunt revision surgery. The primary outcome was all-cause shunt revision (i.e., malfunction or infection) within 90 days of elective intradural surgery. RESULTS One hundred and fifty elective intradural surgeries were identified in 109 patients during the study period. There were 14 patients (12.8%, 13 male) who experienced 16 shunt malfunctions (10.7%) within 90 days of elective intradural surgery. These 14 patients underwent 13 craniotomies, 2 endoscopic fenestrations for loculated hydrocephalus, and 1 laminectomy for dorsal rhizotomy. Median time to failure was 9 days, with the shunts in half of our patients failing within 5 postoperative days. Those patients with failed shunts were younger (median 4.2 years [range 0.33-26 years] vs median 10 years [range 0.58-34 years]), had a shorter time interval from their previous shunt surgery (median 11 months [range 0-81 months] vs median 20 months [range 0-238 months]), and were more likely to have had intraventricular surgery (80.0% vs 60.3%). CONCLUSIONS This is the first study to quantify the risk of a shunt malfunction after elective intradural surgery. The 90-day all-cause shunt failure rate (per procedure) was 10.7%, with half of the failures occurring within the first 5 postoperative days. Possible risk factors for shunt malfunction after elective intradural surgeries are intraventricular surgical approach, shorter time since last shunt-related surgery, and young age. PMID:26359674

  3. Increased sensitivity of gastric acid secretion to gastrin in cirrhotic patients with portacaval shunt.

    PubMed Central

    Lenz, H J; Struck, T; Greten, H; Koss, M A; Eysselein, V E; Walsh, J H; Isenberg, J I

    1987-01-01

    We studied acid secretory responses to exogenous pentagastrin and to exogenous and endogenous gastrin in 12 stable cirrhotic subjects with portacaval shunt, 12 unshunted cirrhotics, and 12 normal subjects. Basal and stimulated serum gastrin concentrations as well as basal and maximum acid outputs were similar in the three groups. At low doses of either exogenous pentagastrin or gastrin-17 (G17), cirrhotics with portacaval shunt secreted significantly greater amounts of gastric acid than unshunted subjects. After low doses of intragastric peptone, cirrhotics with portacaval shunt secreted significantly more acid than unshunted cirrhotics and normal subjects. At each measured serum gastrin concentration after either exogenous G17 or intragastric peptone meals, cirrhotics with portacaval shunt secreted more acid than the unshunted control groups and their dose-response curve was significantly shifted to the left. Thus, in cirrhotic patients with portacaval shunt, gastric acid secretion is abnormally sensitive to both exogenously administered or endogenously released gastrin. PMID:3558817

  4. A noninvasive approach to quantitative measurement of flow through CSF shunts. Technical note.

    PubMed

    Stein, S C; Apfel, S

    1981-04-01

    A method of measuring flow rate through cerebrospinal fluid (CSF) shunts is reported. It consists of two thermistors in series applied to the skin over the shunt tubing. The thermistors respond by a drop in measured temperature following application of an ice cube placed on the skin overlying the proximal shunt tube. The time required for the thermal response to travel between the two thermistors is related to the velocity of flow through the shunt tubing. Flow rate can then be calculated using the internal diameter of the tubing. A series of animal experiments employing a constant infusion of mock CSF through subcutaneously implanted shunt tubing showed excellent correlation between calculated flow rates and actual infusion rates. The device is noninvasive and easily adapted to use in patients. The measurements are readily repeatable. PMID:7205361

  5. Elective minimally invasive coronary artery bypass: Shunt or tournique occlusion? Assessment of a protective role of perioperative left anterior descending shunting on myocardial damage. A prospective randomized study

    PubMed Central

    2012-01-01

    Background To determine impact of intraluminal-left anterior descending shunt to prevent myocardial damage in minimally invasive coronary artery bypass. Methods 38 patients were randomly assigned to external tournique occlusion (n?=?19) or intraluminal-left anterior descending shunt group (n?=?19). Blood samples for cardiac troponin T were collected at 30 minutes prior to, 6 and 24 hours after surgery. Results One patient in external tournique occlusion and two patients in intraluminal-left anterior descending shunt group were excluded from futher analysis due to preoperative cardiac troponin T level above the 99th-percentile. Postoperatively, each six patients in external tournique occlusion (33.3%) and intraluminal-left anterior descending shunt (35.3%) group were above the 99th-percentile. Two patients from each group (external tournique occlusion group 11.1% vs. intraluminal-left anterior descending shunt group 11.8%) had peak values above 10-% coeficient of variation cutoff (p?=?1). There were no significant differences in between both groups at all studied timepoints. Conclusion There was no protective effect of intraluminal shunting on myocardial damage compared to short-term tournique occlusion. It is upon the surgeon's discretion which method may preferrably be used to achieve a bloodless field in grafting of the non-occluded left anterior descending in minimally invasive coronary artery bypass. PMID:22809563

  6. Transjugular Intrahepatic Portosystemic Shunt (TIPS): Current Status and Future Possibilities

    SciTech Connect

    Bilbao, Jose Ignacio; Quiroga, Jorge; Herrero, Jose Ignacio; Benito, Alberto

    2002-08-15

    Since the insertion of the first TIPS in 1989 much has been learned about this therapeutic procedure. It has an established role for the treatment of some complications of portal hypertension: prevention of recurrent variceal bleeding and rescue of patients with acute uncontrollable variceal bleeding. In addition TIPS is useful for Budd-Chiari syndrome, refractory ascites and hepatorenal syndrome, although its specific role in these indications remains to be definitively established. However, the decrease in sinusoidal blood flow induced by TIPS can lead to the patient developing hepatic encephalopathy and liver failure in some cases. Therefore, TIPS should be used with caution in patients with very poor liver function. From a technical point of view, successful placement of TIPS is achieved in more than 98% of cases by experienced groups. At present, evaluation of TIPS dysfunction based on morphology probably leads to an overdiagnosis of this complication since most of these cases are not associated with clinical manifestations (recurrent bleeding or refractory ascites). The major disadvantage of TIPS remains its poor long-term patency requiring a mandatory surveillance program. The indicator for shunt function/malfunction should be the portosystemic pressure gradient, which is best assessed by intravascular measurements. Shunt obstructions may be prevented or reduced by the use of stent-grafts in the future.

  7. Transjugular Intrahepatic Portosystemic Shunts in Children with Biliary Atresia

    SciTech Connect

    Huppert, Peter E.; Goffette, Pierre; Sokal, Emil M.; Schweizer, Paul; Claussen, Claus D.

    2002-12-15

    Purpose: We retrospectively evaluated the technical and long-term clinical results of transjugularintrahepatic portosystemic shunts (TIPS) in children with portal hypertension and biliary atresia (BA). Methods: Nine children with BA and recurrent bleeding from esophagogastric and/or intestinal varices were treated by TIPS at the age of 34-156 months and followed-up in two centers. Different types of stents were used. Results: Shunt insertion succeeded in all patients, but in two a second procedure was necessary. Seven procedures lasted more than 3 hr, mainly due to difficult portal vein puncture.Variceal bleeding ceased in all patients; however, 16 reinterventions were performed in eight patients for clinical reasons (n =11) and sonographically suspected restenosis (n =5). Four patients underwent successful liver transplantation 4-51 months after TIPS and five are in good clinical conditions 64-75 months after TIPS. Conclusions: TIPS in children with BA is technically difficult, mainly due to periportal fibrosis and small portal veins. Frequency of reinterventions seems to be higher compared with adults.

  8. Design and measurement of improved capacitively-shunted flux qubits

    NASA Astrophysics Data System (ADS)

    Sears, Adam; Birenbaum, Jeffrey; Hover, David; Gudmundsen, Theodore; Kerman, Andrew; Welander, Paul; Yoder, Jonilyn L.; Gustavsson, Simon; Jin, Xiaoyue; Kamal, Archana; Clarke, John; Oliver, William

    2014-03-01

    The addition of a capacitive or inductive shunt across one of the junctions can alter the coherence properties of a classic flux or RF-SQUID qubit. We have studied the performance of capacitively shunted flux qubits fabricated with MBE aluminum, starting from a 2D coplanar waveguide geometry used in similar high-performance transmon qubits, and measured dispersively. We will detail the importance of design parameters that preserve the flux qubit's anharmonicity and discuss conclusions about materials quality based on calculations of the participation of junction, dielectric, and superconductor components. This research was funded in part by the Office of the Director of National Intelligence (ODNI), Intelligence Advanced Research Projects Activity (IARPA); and by the Assistant Secretary of Defense for Research & Engineering under Air Force Contract number FA8721-05-C-0002. All statements of fact, opinion or conclusions contained herein are those of the authors and should not be construed as representing the official views or policies of IARPA, the ODNI, or the U.S. Government Present address: SLAC National Accelerator Laboratory, Menlo Park, CA.

  9. LP DAAC and MEaSUREs - Optimizing Collection Inception

    NASA Astrophysics Data System (ADS)

    Bennett, S.

    2013-12-01

    The Land Processes Distributed Active Archive Center (LP DAAC) is a selected NASA Earth Observing System (EOS) Data and Information System (EOSDIS) DAAC supporting the Making Earth System Data Records for Use in Research Environments (MEaSUREs) Program to contribute in providing long-term, consistent, and mature data products. The LP DAAC has identified three essential components for the MEaSUREs collection inception. The first component includes a framework of LP DAAC's data lifecycle including overall inception of products, curation of products, and long-term archiving of products. The second component fuses data producer and data provider operations, interleaving key personnel into key processes throughout the project. The third component integrates and evolves stakeholder elements into a standard methodology, alongside affording an overall homogeneous data delivery system for MEaSUREs collections. As an active participant on the Metadata Evolution for NASA Data Systems (MENDS) Tiger Team, the LP DAAC is working to categorize all data model elements into the ISO 19115 international metadata standard. This poster depicts how each of these three components optimizes the LP DAAC MEaSUREs collection inception process.

  10. 78 FR 62614 - Guttman Energy, Inc., PBF Holding Company LLC v. Buckeye Pipe Line Company, L.P., Laurel Pipe...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-22

    ..., L.P., Laurel Pipe Line Company, L.P.; Notice of Complaint Take notice that on October 15, 2013... Energy Regulatory Commission (Commission) a complaint against Buckeye Pipe Line Company L.P. and...

  11. 75 FR 38514 - Application to Export Electric Energy; Brookfield Energy Marketing LP

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-02

    ... Application to Export Electric Energy; Brookfield Energy Marketing LP AGENCY: Office of Electricity Delivery and Energy Reliability, DOE. ACTION: Notice of application. SUMMARY: Brookfield Energy Marketing LP... power marketing agencies and other entities within the United States. The existing...

  12. 78 FR 11965 - Agency Information Collection (Learner's Perception (LP) Survey) Activities Under OMB Review

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-20

    ...Information Collection (Learner's Perception (LP) Survey) Activities Under OMB...SUPPLEMENTARY INFORMATION: Title: Learner's Perception (LP) Survey, VA Form 10-0439...be use to obtain health care trainees perception of their clinical experience with...

  13. 77 FR 74280 - Proposed Information Collection (Learner's Perception (LP) Survey); Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-13

    ...Information Collection (Learner's Perception (LP) Survey); Comment Request AGENCY...information technology. Title: Learner's Perception (LP) Survey, VA Form 10-0439...be use to obtain health care trainees perception of their clinical experience with...

  14. 76 FR 38062 - Airworthiness Directives; Gulfstream Aerospace LP Model Galaxy and Gulfstream 200 Airplanes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-29

    ...2120-AA64 Airworthiness Directives; Gulfstream Aerospace LP Model Galaxy and Gulfstream 200 Airplanes AGENCY: Federal Aviation Administration...Applicability (c) This AD applies to Gulfstream Aerospace LP Model Galaxy and Gulfstream 200 airplanes, certificated in any...

  15. 76 FR 61036 - Airworthiness Directives; Gulfstream Aerospace LP Model Galaxy and Gulfstream 200 Airplanes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-03

    ...2120-AA64 Airworthiness Directives; Gulfstream Aerospace LP Model Galaxy and Gulfstream 200 Airplanes AGENCY: Federal Aviation Administration...Applicability (c) This AD applies to Gulfstream Aerospace LP Model Galaxy and Gulfstream 200 airplanes, certificated in any...

  16. 78 FR 38306 - Pacific Connector Gas Pipeline, LP; Notice of Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-26

    ...CP13-492-000 and PF12-17-000] Pacific Connector Gas Pipeline, LP; Notice of Application Take notice that on June 6, 2013, Pacific Connector Gas Pipeline, LP (Pacific Connector), 295 Chipeta Way, Salt Lake City,...

  17. 77 FR 38128 - Withdrawal of TORP Terminal LP, Bienville Offshore Energy Terminal Liquefied Natural Gas (LNG...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-26

    ... Maritime Administration Withdrawal of TORP Terminal LP, Bienville Offshore Energy Terminal Liquefied... Terminal LP's (TORP) withdrawal of the deepwater port license application for the proposed Bienville Offshore Energy Terminal (BOET). All actions related to the processing and agency coordination...

  18. 77 FR 38128 - Withdrawal of TORP Terminal LP, Bienville Offshore Energy Terminal Liquefied Natural Gas (LNG...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-26

    ...USCG-2006-24644] Withdrawal of TORP Terminal LP, Bienville Offshore Energy Terminal Liquefied Natural Gas (LNG) Deepwater Port...Maritime Administration (MARAD) announces TORP Terminal LP's (TORP) withdrawal of the...

  19. 75 FR 13644 - TORP Terminal LP, Bienville Offshore Energy Terminal Liquefied Natural Gas Deepwater Port License...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-22

    ...Administration [USCG-2006-24644] TORP Terminal LP, Bienville Offshore Energy Terminal Liquefied Natural Gas Deepwater Port License...Environmental Impact Statement (FSEIS) for the TORP Terminal LP, Bienville Offshore Energy Terminal...

  20. Spectrum of multidetector computed tomography/magnetic resonance imaging findings in intrahepatic vascular shunts: classification, characterization, and management.

    PubMed

    Sunnapwar, Abhijit; Katre, Rashmi; Prasad, Srinivasa R; Chintapalli, Kedar; Philips, Shaile

    2012-01-01

    With the increasing use of multidetector computed tomography and dynamic magnetic resonance imaging in evaluation of liver pathologies, a variety of vascular shunts are detected in the liver. These shunts can be related to tumors or they can be nonneoplastic. Identification of these shunts can help in diagnosing an underlying condition. We classify and describe a wide spectrum of intrahepatic vascular shunts with their key imaging features. After reviewing this article, the reader should have improved ability to detect and characterize intrahepatic vascular shunts, which will help in diagnosing an underlying condition and facilitate optimal patient care. PMID:22818839

  1. The Intermediate Age Brown Dwarf LP 944-20

    E-print Network

    C. G. Tinney

    1998-01-17

    Observations are presented which show that LiI 6708A is detected with equivalent width of 0.53+-0.05A in the proper-motion object LP 944-20 (which is also known as BRI 0337-3535). This Li detection implies that LP 944-20 is a brown dwarf with mass between 0.057 and 0.063Mo and age between 475 and 650Myr, making it the first brown dwarf to have its mass and age precisely determined.

  2. Flexural wave band-gaps in phononic metamaterial beam with hybrid shunting circuits

    NASA Astrophysics Data System (ADS)

    Zhang, Hao; Wen, Ji-Hong; Chen, Sheng-Bing; Wang, Gang; Wen, Xi-Sen

    2015-03-01

    Periodic arrays of hybrid-shunted piezoelectric patches are used to control the band-gaps of phononic metamaterial beams. Passive resistive-inductive (RL) shunting circuits can produce a narrow resonant band-gap (RG), and active negative capacitive (NC) shunting circuits can broaden the Bragg band-gaps (BGs). In this article, active NC shunting circuits and passive resonant RL shunting circuits are connected to the same piezoelectric patches in parallel, which are usually called hybrid shunting circuits, to control the location and the extent of the band-gaps. A super-wide coupled band-gap is generated when the coupling between RG and the BG occurs. The attenuation constant of the infinite periodic structure is predicted by the transfer matrix method, which is compared with the vibration transmittance of a finite periodic structure calculated by the finite element method. Numerical results show that the hybrid-shunting circuits can make the band-gaps wider by appropriately selecting the inductances, negative capacitances, and resistances. Project supported by the National Natural Science Foundation of China (Grant Nos. 51275519 and 51175501).

  3. Correlation of experimental rCBF determinations in goats with flow measurements from a Doppler-modified carotid artery shunt

    SciTech Connect

    Loftus, C.M.; Silvidi, J.A.; Becker, J.A.; Miller, B.V.; Bernstein, D.D.

    1989-01-01

    A carotid artery shunt system has been developed that continuously monitors blood flow rates by embedding a Doppler crystal in the shunt wall. The crystal ranges through a liquid lens that enables it to be placed without violation of the shunt lumen. Because the crystal is at a fixed angle (45 degrees) to the axis of blood flow and the diameter of the lumen remains constant, a linear relationship exists between flow rates and the Doppler velocity signal. This shunt system was previously tested in vitro using a pulsatile pump and was found to be accurate to within 4.7% of the actual flow rate. In the present study, animal (goat) experiments were performed consisting of simultaneous carotid shunt flow and bilateral rCBF measurements by the radiolabeled microsphere technique to determine in vivo the accuracy of this Doppler modified shunt and to ascertain the ability of shunt flow to increase in the face of acute contralateral carotid occlusion. Data from five animals show that in vivo shunt flow can be recorded to within 13% of control rCBF and that shunt flow increases nearly 50% under conditions of distal demand (contralateral carotid occlusion). This device may prove useful in laboratory studies of carotid shunt dynamics and in clinical practice to quickly detect correctable shunt flow abnormalities.

  4. Percutaneous Transjugular Direct Porto-caval Shunt in Patients with Budd-Chiari Syndrome

    SciTech Connect

    Quateen, A.; Pech, M.; Berg, T.; Bergk, A.; Podrabsky, P.; Felix, R.; Ricke, J.

    2006-08-15

    The purpose of the study was to evaluate the feasibility and effectiveness of direct porto-caval shunts in patients with Budd-Chiari syndrome (BCS) in whom there is no access to the hepatic veins during transjugular intrahepatic portosystemic shunt (TIPSS). We included six consecutive patients with fulminant/acute Budd-Chiari syndrome (mean age: 35 years) in whom a conventional TIPSS was not possible due to inaccessible hepatic veins. We performed a direct porto-caval shunt via a transhepatic approach. Patients were followed up by means of clinical examination, laboratory investigations, and Doppler ultrasound. TIPSS implantation from the inferior vena cava (IVC) was successful in all six patients (100%). The median transhepatic shunt length was 9 cm (8-10 cm). No procedure-related complications were observed in our patients. Early shunt occlusion occurred in three out of six patients (50%). In all three of these patients, the stent used to stabilize the shunt ended 1-2 cm before reaching the IVC. All occlusions were successfully recanalized. One of these patients developed recurrent early shunt as well as mesenteric and splenic vein occlusions. She died 7 days after TIPSS placement due to an unmanageable coagulation disorder. The remaining five patients were followed up by planned clinical examination and laboratory investigations (mean follow-up time was 15 months; patient 1 was followed up for 13 months, patient 2 for 14 months, patient 3 for 15 months, and patients 4 and 5 for 16 months) and all displayed a complete and durable resolution of liver failure and ascites without reintervention. In patients with acute liver failure originating from BCS and inaccessible hepatic veins, a direct transhepatic porto-caval shunt can be performed safely and effectively under ultrasound guidance. Future studies in larger patient groups should investigate if the patency of transcaval TIPSS with long transhepatic shunt segments is similar compared to conventional TIPSS via the hepatic vein.

  5. Staged Transcatheter Treatment of Portal Hypoplasia and Congenital Portosystemic Shunts in Children

    SciTech Connect

    Bruckheimer, Elchanan Dagan, Tamir; Atar, Eli; Schwartz, Michael; Kachko, Ludmila; Superina, Riccardo; Amir, Gabriel; Shapiro, Rivka; Birk, Einat

    2013-12-15

    Purpose: Congenital portosystemic shunts (CPSS) with portal venous hypoplasia cause hyperammonemia. Acute shunt closure results in portal hypertension. A transcatheter method of staged shunt reduction to afford growth of portal vessels followed by shunt closure is reported. Methods: Pressure measurements and angiography in the CPSS or superior mesenteric artery (SMA) during temporary occlusion of the shunt were performed. If vessels were diminutive and the pressure was above 18 mmHg, a staged approach was performed, which included implantation of a tailored reducing stent to reduce shunt diameter by {approx}50 %. Recatheterization was performed approximately 3 months later. If the portal pressure was below 18 mmHg and vessels had developed, the shunt was closed with a device. Results: Six patients (5 boys, 1 girl) with a median age of 3.3 (range 0.5-13) years had CPSS portal venous hypoplasia and hyperammonemia. Five patients underwent staged closure. One patient tolerated acute closure. One patient required surgical shunt banding because a reducing stent could not be positioned. At median follow-up of 3.8 (range 2.2-8.4) years, a total of 21 procedures (20 transcatheter, 1 surgical) were performed. In all patients, the shunt was closed with a significant reduction in portal pressure (27.7 {+-} 11.3 to 10.8 {+-} 1.8 mmHg; p = 0.016), significant growth of the portal vessels (0.8 {+-} 0.5 to 4.0 {+-} 2.4 mm; p = 0.037), and normalization of ammonia levels (202.1 {+-} 53.6 to 65.7 {+-} 9.6 {mu}mol/L; p = 0.002) with no complications. Conclusion: Staged CPSS closure is effective in causing portal vessel growth and treating hyperammonemia.

  6. 78 FR 42115 - NGAM Advisors, LP, et al.; Notice of Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-15

    ... COMMISSION NGAM Advisors, LP, et al.; Notice of Application July 9, 2013. AGENCY: Securities and Exchange... sections 12(d)(1)(A) and (B) of the Act. ] Applicants: NGAM Advisors, LP (``NGAMA'' or the ``Adviser...., Washington, DC 20549-1090. Applicants: c/ o Coleen Downs Dineen, NGAM Advisors, L.P., 399 Boylston...

  7. 78 FR 46388 - NGAM Advisors, L.P., et al.; Notice of Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-31

    ... From the Federal Register Online via the Government Publishing Office SECURITIES AND EXCHANGE COMMISSION NGAM Advisors, L.P., et al.; Notice of Application July 25, 2013. AGENCY: Securities and Exchange... Advisors, L.P. (the ``Adviser''), Natixis ETF Trust (the ``Trust'') and NGAM Distribution, L.P....

  8. 78 FR 14778 - Application to Export Electric Energy; Shell Energy North America (US), L.P.

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-07

    ... Application to Export Electric Energy; Shell Energy North America (US), L.P. AGENCY: Office of Electricity... (US), L.P. (Shell Energy) has applied to renew its authority to transmit electric energy from the..., Shell Energy North America (US), L.P., 1000 Main, Level 12, Houston, TX 77002. A final decision will...

  9. 78 FR 14779 - Application to Export Electric Energy; Shell Energy North America (US), L.P.

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-07

    ... Application to Export Electric Energy; Shell Energy North America (US), L.P. AGENCY: Office of Electricity... (US), L.P. (Shell Energy) has applied to renew its authority to transmit electric energy from the..., Shell Energy North America (US), L.P., 1000 Main, Level 12, Houston, TX 77002. A final decision will...

  10. 29 CFR 1926.153 - Liquefied petroleum gas (LP-Gas).

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 2011-07-01 false Liquefied petroleum gas (LP-Gas). 1926.153 Section...Prevention § 1926.153 Liquefied petroleum gas (LP-Gas). (a) Approval of...for transportation or storing liquefied petroleum gases. (b) Welding on LP-Gas...

  11. 29 CFR 1926.153 - Liquefied petroleum gas (LP-Gas).

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 2010-07-01 false Liquefied petroleum gas (LP-Gas). 1926.153 Section...Prevention § 1926.153 Liquefied petroleum gas (LP-Gas). (a) Approval of...for transportation or storing liquefied petroleum gases. (b) Welding on LP-Gas...

  12. 29 CFR 1926.153 - Liquefied petroleum gas (LP-Gas).

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 2013-07-01 false Liquefied petroleum gas (LP-Gas). 1926.153 Section...Prevention § 1926.153 Liquefied petroleum gas (LP-Gas). (a) Approval of...for transportation or storing liquefied petroleum gases. (b) Welding on LP-Gas...

  13. 29 CFR 1926.153 - Liquefied petroleum gas (LP-Gas).

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 2014-07-01 false Liquefied petroleum gas (LP-Gas). 1926.153 Section...Prevention § 1926.153 Liquefied petroleum gas (LP-Gas). (a) Approval of...for transportation or storing liquefied petroleum gases. (b) Welding on LP-Gas...

  14. 29 CFR 1926.153 - Liquefied petroleum gas (LP-Gas).

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 2012-07-01 false Liquefied petroleum gas (LP-Gas). 1926.153 Section...Prevention § 1926.153 Liquefied petroleum gas (LP-Gas). (a) Approval of...for transportation or storing liquefied petroleum gases. (b) Welding on LP-Gas...

  15. 78 FR 14779 - Application to Export Electric Energy; Shell Energy North America (US), L.P.

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-07

    ...Energy; Shell Energy North America (US), L.P. AGENCY: Office of Electricity Delivery...SUMMARY: Shell Energy North America (US), L.P. (Shell Energy) has applied to renew...Barnett, Shell Energy North America (US), L.P., 1000 Main, Level 12,...

  16. 78 FR 14778 - Application to Export Electric Energy; Shell Energy North America (US), L.P.

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-07

    ...Energy; Shell Energy North America (US), L.P. AGENCY: Office of Electricity Delivery...SUMMARY: Shell Energy North America (US), L.P. (Shell Energy) has applied to renew...Barnett, Shell Energy North America (US), L.P., 1000 Main, Level 12,...

  17. Traumatic Portacaval Shunt: A Case Report and Literature Review

    PubMed Central

    Spence, Susanna C; Strobel, Nathaniel HP; Beckmann, Nicholas M; Kumaravel, Manickam

    2013-01-01

    Computed tomography (CT) evaluation of the acute polytrauma patient has become well established as a mainstay of ER triage in hemodynamically stable patients. The radiologist plays a pivotal role in directing management by identifying and appropriately categorizing the severity of a patient’s injuries. High-grade liver injuries have undergone an increasing trend of nonoperative management over the last several decades, with concurrent decrease in mortality. However, we present a case of a patient with a grade V liver laceration, in whom a rare portacaval shunt was also present. In the setting of this rare injury, the radiologist will likely be the first person to recognize and categorize a severe complication, which may indicate the need for a fundamental change in patient management. PMID:24421924

  18. A SQUID gradiometer module with large junction shunt resistors

    NASA Astrophysics Data System (ADS)

    Qiu, Yang; Liu, Chao; Zhang, Shu-Lin; Zhang, Guo-Feng; Wang, Yong-Liang; Li, Hua; Zeng, Jia; Kong, Xiang-Yan; Xie, Xiao-Ming

    2014-08-01

    A dual-washer superconducting quantum interference device (SQUID) with a loop inductance of 350 pH and two on-washer integrated input coils is designed according to conventional niobium technology. In order to obtain a large SQUID flux-to-voltage transfer coefficient, the junction shunt resistance is selected to be 33 ?. A vertical SQUID gradiometer module with a baseline of 100 mm is constructed by utilizing such a SQUID and a first-order niobium wire-wound antenna. The sensitivity of this module reaches about 0.2 fT/(cm·Hz1/2) in the white noise range using a direct readout scheme, i.e., the SQUID is directly connected to an operational amplifier, in a magnetically shielded room. Some magnetocardiography (MCG) measurements with a sufficiently high signal-to-noise ratio (SNR) are demonstrated.

  19. Tunable acoustic waveguide based on vibro-acoustic metamaterials with shunted piezoelectric unit cells

    NASA Astrophysics Data System (ADS)

    Kwon, Byung-Jin; Jung, Jin-Young; Lee, Dooho; Park, Kwang-Chun; Oh, Il-Kwon

    2015-10-01

    We propose a new class of acoustic waveguides with tunable bandgaps (TBs) by using vibro-acoustic metamaterials with shunted periodic piezoelectric unit cells. The unit metamaterial cells that consist of a single crystal piezoelectric transducer and an electrical shunt circuit are designed to induce a strong vibro-acousto-electrical coupling, resulting in a tunable acoustic bandgap as well as local structural resonance and Bragg scattering bandgaps. The present results show that the TB frequency can be actively controlled and the transmission loss of the acoustic wave can be greatly improved by simply changing the inductance values in the shunt circuit.

  20. Coiling and migration of peritoneal catheter into the breast: a very rare complication of ventriculoperitoneal shunt.

    PubMed

    Shafiee, Sajad; Nejat, Farideh; Raouf, Sherief M; Mehdizadeh, Mehrzad; El Khashab, Mostafa

    2011-09-01

    Upward migration of distal catheter of a ventriculoperitoneal shunt with coiling is very rare. Pseudocyst and galactorrhea are known breast-related complications. Here, we report a 13-year-old girl, known case of myelomeningocele and shunted hydrocephalus, who presented with right breast pseudocyst due to distal tube migration and coiling of the catheter. Plain radiography was not diagnostic because of severe levoscoliosis, but chest computed tomography scan was confirmatory of shunt coiling lateral to the breast. The possible mechanisms causing this uncommon complication are described. PMID:21710231

  1. [Functional and morphological characteristics of the vascular bed of the limbs in arteriovenous shunts].

    PubMed

    Ugnenko, N M; Novikov, Iu G

    1975-02-01

    Based on phlebo- and lymphography findings patients with congenital arterio-venous fistulas of the lower extremities and in experimental construction of intervascular shunts on different levels of the caudal vena cava basin, it was found that changes in lymphatic collectors of the curs and femur depended directly on venous insufficiency and duration of the disease. In damaged micro- and macroscopic shunts changes in lymph vessels are characterised by a number of peculiarities. Functional and morphological changes in the vascular bed of limbs in patients with congenital and experimentally produced arteriovenous shunts are characterized by a stage development of progressive disturbances. PMID:1189222

  2. US EPA Testing of LP & MP UV Disinfection Technologies

    EPA Science Inventory

    Presentation will discuss the ongoing USEPA research on UV disinfection addressing the following objectives: Conservatively predict log inactivation and RED of adenovirus with surrogates; Conduct many (LP=61) UV reactor conditions challenged with Ad2, B. pumilus, and MS2 & conduc...

  3. 77 FR 12045 - Texas Eastern Transmission, LP; Notice of Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-28

    ... appurtenances located in federal waters offshore in the Gulf of Mexico near Louisiana. Specifically, Texas... pipeline in High Island Block A-539, all as more fully set forth in the application which is on file with... Energy Regulatory Commission Texas Eastern Transmission, LP; Notice of Application Take notice that...

  4. 78 FR 43190 - DCP Midstream, LP; Notice of Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-19

    ... environmental impact statement (FEIS) or EA for this proposal. The filing of the EA in the Commission's public..., DCP Midstream, LP (DCP), filed an application pursuant to Section 7(c) of the Natural Gas Act and Part... Pipeline). The Lucerne Residue Pipeline will connect DCP's new non- jurisdictional natural gas...

  5. LP-Form Inclusion Functions for Global Optimization

    E-print Network

    Neumaier, Arnold

    LP-Form Inclusion Functions for Global Optimization Stuart G. Mentzer Objexx Engineering Natick MA the effective dimension or yield exact bounds on finite regions. 1 Introduction Global optimization is concerned-hardness of this class of problems makes worst-case polynomial time algorithms unlikely. Efforts in global optimization

  6. 77 FR 77122 - Pyxis Capital, L.P., et al.;

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-31

    ... From the Federal Register Online via the Government Publishing Office SECURITIES AND EXCHANGE COMMISSION Pyxis Capital, L.P., et al.; Notice of Application December 21, 2012. AGENCY: Securities and Exchange Commission (the ``Commission''). ACTION: Notice of an application for an order under section 6(c) of the Investment Company Act of 1940...

  7. Fire Service Training. LP and Compressed Gas Emergencies.

    ERIC Educational Resources Information Center

    North Carolina State Dept. of Community Colleges, Raleigh.

    Part of a series of instructional outlines intended for use in a training program for firemen with no previous formal training, this curriculum guide discusses safety precautions for liquefied petroleum (LP) and compressed gas emergencies. During its twelve hours of instruction it covers (1) terminology; (2) the chemical composition of the gases;…

  8. Transjugular intrahepatic portosystemic stent-shunt: technical factors and new developments.

    PubMed

    Tripathi, Dhiraj; Redhead, Doris

    2006-11-01

    The introduction of expandable metal stents in the mid 1980s led to the development of transjugular intrahepatic portosystemic stent-shunt (TIPSS) as we know it today. Short-lived detrimental effects on the hyperdynamic circulation in cirrhosis accompany the acute reduction in portal pressure following TIPSS creation. Caution is needed in patients with cardiac dysfunction or pulmonary hypertension. With increasing expertise and careful patient selection, fatal procedural complications are rare and TIPSS can even be safely used as a bridge to liver transplantation. Shunt insufficiency and hepatic encephalopathy are more common following TIPSS. Currently, however, novel approaches to tackling both these limitations exist. These include the combination of uncovered TIPSS with variceal band ligation, and the introduction of polytetrafluoroethylene covered stents. Despite the lack of controlled studies, covered stents are now widely used and have the potential to drastically reduce shunt insufficiency, the need for long-term shunt surveillance and even hepatic encephalopathy. PMID:17033430

  9. [Spontaneous umbilical fistula as a complication of ventriculo-peritoneal shunt: case report].

    PubMed

    Takase, Takashi; Tane, Kazuyuki; Suzuki, Toshihisa; Inoue, Tsuyoshi; Fumoto, Yoshinaga

    2005-07-01

    We report a rare case of a spontaneous umbilical fistula as a complication of ventriculo-peritoneal shunt. A 36 year-old male was admitted our hospital complaining serous discharge from the umbilicus. Two years before admission, he underwent ventriculo-peritoneal shunt for the hydrocephalus due to right hypertensive intracranial hematoma and intraventricular hemorrhage. A shuntgraphy was done and it revealed the cerebrospinal fluid leakage from the umbilicus through an urachal remnant. The abdominal shunt tube was removed at the surgery, and the patient was discharged uneventfully without shunt revision. The possible etiology of this rare complication in this case was supposed to be due to the persistence of the urachus. PMID:16001814

  10. Carotid endarterectomy in an awake patient with contralateral carotid occlusion: influence of selective shunting.

    PubMed

    Locati, P; Socrate, A M; Lanza, G; Tori, A; Costantini, S

    2000-09-01

    The objectives of this study were to determine whether the presence of a contralateral carotid occlusion increases risk and whether the perioperative results are influenced by a systematic or selective policy of shunting during carotid endarterectomy (CEA) in an awake patient. In a retrospective study we compared patients with and without contralateral carotid occlusion (group I, n = 198 - group II, n = 1068) who required CEA. In 77 patients of group I, a shunt was systematically adopted (subgroup A); in the other 121 patients (subgroup B) and in all patients of group II a selective shunting policy was adopted. The risk for the patients with contralateral carotid occlusion was not significantly higher than that for patients without occlusion. Results were not influenced by systematic/selective shunting policy, and the incidence of signs of cerebral ischemia was higher in patients with contralateral carotid occlusion. PMID:10990554

  11. Improved survival rate after portacaval shunt in the rat using a modified microsurgical technique.

    PubMed

    Sharma, P

    1995-01-01

    It has been observed that portacaval shunt in the rat is accompanied by a high postoperative mortality rate and shunt patency is seldom optimal on long-term follow-up. The immediate postoperative mortality is directly related to the intraoperative duration of occlusion of the portal vein. In order to reduce the intraoperative occlusion time of the portal vein we devised a technique to construct half of the shunt without portal vein occlusion and the other half with occlusion. The total occlusion time was only 4-6 min. There was negligible postoperative mortality and shunt patency was 100% after 6-8 months' follow-up. The changes in body weight, organ weight and metabolic parameters were reproducible. PMID:7781645

  12. Noninvasive prediction of shunt operation outcome in idiopathic normal pressure hydrocephalus

    PubMed Central

    Aoki, Yasunori; Kazui, Hiroaki; Tanaka, Toshihisa; Ishii, Ryouhei; Wada, Tamiki; Ikeda, Shunichiro; Hata, Masahiro; Canuet, Leonides; Katsimichas, Themistoklis; Musha, Toshimitsu; Matsuzaki, Haruyasu; Imajo, Kaoru; Kanemoto, Hideki; Yoshida, Tetsuhiko; Nomura, Keiko; Yoshiyama, Kenji; Iwase, Masao; Takeda, Masatoshi

    2015-01-01

    Idiopathic normal pressure hydrocephalus (iNPH) is a syndrome characterized by gait disturbance, cognitive deterioration and urinary incontinence in elderly individuals. These symptoms can be improved by shunt operation in some but not all patients. Therefore, discovering predictive factors for the surgical outcome is of great clinical importance. We used normalized power variance (NPV) of electroencephalography (EEG) waves, a sensitive measure of the instability of cortical electrical activity, and found significantly higher NPV in beta frequency band at the right fronto-temporo-occipital electrodes (Fp2, T4 and O2) in shunt responders compared to non-responders. By utilizing these differences, we were able to correctly identify responders and non-responders to shunt operation with a positive predictive value of 80% and a negative predictive value of 88%. Our findings indicate that NPV can be useful in noninvasively predicting the clinical outcome of shunt operation in patients with iNPH. PMID:25585705

  13. Association of freezing tolerance to LpCBFIIIb and LpCBFIIIc gene polymorphism in perennial ryegrass accessions

    Technology Transfer Automated Retrieval System (TEKTRAN)

    CBF/DREB related genes are considered important genes for regulation of abiotic stress in plants. In this study, CBF/DREB genes in perennial ryegrass (Lolium perenne L.), also known as LpCBF genes, were resequenced from several cultivated and landrace plants from a worldwide collection. The same pla...

  14. Module Information for LP1019, 2015/6 -APPROVED Module Title/Name: Introduction to Politics Module Code: LP1019

    E-print Network

    Rebollo-Neira, Laura

    Module Information for LP1019, 2015/6 - APPROVED Module Title/Name: Introduction to Politics Module to enable students to acquire familiarity with main areas and problems of political science, and with key concepts used in the analysis of political institutions and processes. This knowledge forms the conceptual

  15. Approved Module Information for LP3026, 2014/5 Module Title/Name: Intellectuals and Politics Module Code: LP3026

    E-print Network

    Neirotti, Juan Pablo

    Approved Module Information for LP3026, 2014/5 Module Title/Name: Intellectuals and Politics Module to acquire familiarity with main areas and problems of political and philosophical ideas about regime and about political thought, commitment, and action, and their study in political science. This knowledge

  16. Approved Module Information for LP1019, 2014/5 Module Title/Name: Introduction to Politics Module Code: LP1019

    E-print Network

    Neirotti, Juan Pablo

    Approved Module Information for LP1019, 2014/5 Module Title/Name: Introduction to Politics Module and problems of political science, and with key concepts used in the analysis of political institutions of the political and politics-related issuers to be studied by POL and ES students throughout their programmes

  17. 77 FR 53885 - Jordan Cove Energy Project LP, Pacific Connector Gas Pipeline LP; Notice of Extension of Comment...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-04

    ... Extension of Comment Period and Additional Public Scoping Meetings for the Jordan Cove Liquefaction and... comment period for Jordan Cove Energy Project LP's (Jordan Cove) proposed liquefaction project in Coos... Liquefaction and Pacific Connector Pipeline Projects, Requests for Comments on Environmental Issues, and...

  18. Vibration and wave propagation attenuation for metamaterials by periodic piezoelectric arrays with high-order resonant circuit shunts

    NASA Astrophysics Data System (ADS)

    Zhou, Wanlu; Wu, You; Zuo, Lei

    2015-06-01

    Beam or plate metamaterials with periodic piezoelectric arrays have attracted more and more attention in recent years for wave propagation attenuation and the corresponding vibration reduction. Conventional designs use resistive shunt (R-shunt) and resistor-inductor shunt (RL-shunt). An innovative metamaterial with a high-order resonant shunt circuit is proposed and investigated for vibration and wave propagation attenuation in this paper. The proposed high-order resonant shunt circuit can introduce two local resonances in series around the tuning frequency to broaden the attenuation bandwidth, or can create two separate resonances to achieve two separate bandgaps. Finite element modeling of the beam metamaterial with wave propagation and vibration in the transverse direction is established. Simulations have been conducted to compare the vibration attenuation performances among R-shunt, RL-shunt, and the proposed high-order shunt. An impedance-based method has been presented for the parameter design of electrical components in the proposed high-order shunt for bandgaps at two desired frequencies.

  19. Spontaneous expectoration of a Blalock-Taussig shunt a decade after operation

    PubMed Central

    Kothari, Shyam S; Murugan, Madhan Kumar; Chowdhury, Ujjwal Kumar

    2015-01-01

    An eleven-year-old boy expectorated a foreign body in cough that was identified as the prosthetic graft used for a Blalock-Taussig shunt. The shunt procedure was done 10 years earlier, and a definitive repair for tetralogy of Fallot was done a year later. He had no other symptoms, and a computed tomography (CT) angiogram did not reveal any other significant anomaly. The reason for this extremely rare event is unclear. PMID:25684887

  20. Evaluation of Microbial Bacterial and Fungal Diversity in Cerebrospinal Fluid Shunt Infection

    PubMed Central

    Simon, Tamara D.; Pope, Christopher E.; Browd, Samuel R.; Ojemann, Jeffrey G.; Riva-Cambrin, Jay; Mayer-Hamblett, Nicole; Rosenfeld, Margaret; Zerr, Danielle M.; Hoffman, Lucas

    2014-01-01

    Background Cerebrospinal fluid shunt infection can be recalcitrant. Recurrence is common despite appropriate therapy for the pathogens identified by culture. Improved diagnostic and therapeutic approaches are required, and culture-independent molecular approaches to cerebrospinal fluid shunt infections have not been described. Objectives To identify the bacteria and fungi present in cerebrospinal fluid from children with cerebrospinal fluid shunt infection using a high-throughput sequencing approach, and to compare those results to those from negative controls and conventional culture. Methods This descriptive study included eight children ?18 years old undergoing treatment for culture-identified cerebrospinal fluid shunt infection. After routine aerobic culture of each cerebrospinal fluid sample, deoxyribonucleic acid (DNA) extraction was followed by amplification of the bacterial 16S rRNA gene and the fungal ITS DNA region tag-encoded FLX-Titanium amplicon pyrosequencing and microbial phylogenetic analysis. Results The microbiota analyses for the initial cerebrospinal fluid samples from all eight infections identified a variety of bacteria and fungi, many of which did not grow in conventional culture. Detection by conventional culture did not predict the relative abundance of an organism by pyrosequencing, but in all cases, at least one bacterial taxon was detected by both conventional culture and pyrosequencing. Individual bacterial species fluctuated in relative abundance but remained above the limits of detection during infection treatment. Conclusions Numerous bacterial and fungal organisms were detected in these cerebrospinal fluid shunt infections, even during and after treatment, indicating diverse and recalcitrant shunt microbiota. In evaluating cerebrospinal fluid shunt infection, fungal and anaerobic bacterial cultures should be considered in addition to aerobic bacterial cultures, and culture-independent approaches offer a promising alternative diagnostic approach. More effective treatment of cerebrospinal fluid shunt infections is needed to reduce unacceptably high rates of reinfection, and this work suggests that one effective strategy may be reduction of the diverse microbiota present in infection. PMID:24421877

  1. Superconducting FCL using a combined inducted magnetic field trigger and shunt coil

    DOEpatents

    Tekletsadik, Kasegn D. (Rexford, NY)

    2007-10-16

    A single trigger/shunt coil is utilized for combined induced magnetic field triggering and shunt impedance. The single coil connected in parallel with the high temperature superconducting element, is designed to generate a circulating current in the parallel circuit during normal operation to aid triggering the high temperature superconducting element to quench in the event of a fault. The circulating current is generated by an induced voltage in the coil, when the system current flows through the high temperature superconducting element.

  2. Experimental Percutaneous Extrahepatic Portacaval Shunt Creation by Transjugular Approach in Swine

    SciTech Connect

    Seong, Chang Kyu; Pavcnik, Dusan Uchida, Barry T.; Anai, Hiroshi; Timmermans, Hans; Niyyati, Mahtab; Corless, Christopher L.; Correa, Luiz O.; Keller, Frederick S.; Roesch, Josef

    2005-06-15

    The purpose of the study was to evaluate the feasibility of the creation of a percutaneous extrahepatic portacaval shunt (PEPS) in swine by a transjugular approach and to find a suitable stent-graft to use in PEPS. In 12 swine, the extrahepatic portal vein (PV) was entered from the inferior vena cava (IVC) by a needle system introduced from the transjugular approach. A catheter introduced through the transhepatic approach served as a target. Five types of stent-graft consisting of homemade Z stents and a polytetrafluoethylene cover were explored for PEPS creation. Eight animals had follow-up venograms up to 6 weeks or until the shunt became severely stenotic. Gross and histologic examinations were performed after the final follow-up venography. The PV punctures and stent-graft placement were difficult, but the PEPS was established in all animals. In four animals, the stent-graft failed to adequately cover the tract, causing severe hemorrhage. Only two shunts remained patent up to 6 weeks. The other shunts exhibited severe stenosis or occlusion. At gross examination, all shunts traversed the liver parenchyma of the caudate lobe surrounding the IVC. The extravascular PEPS portion was 4 mm to 2 cm long. All shunts entered the PV close to the splenomesenteric junction and exhibited neointimal formation. Shunt stenoses were caused by neointimal hyperplasia and occlusions by a superimposed thrombus. PEPS can be created by the transjugular approach in swine, but only the PV shunt entrance is extrahepatic. None of the tested rigid stent-grafts were suitable for PEPS creation. A short flexible stent-graft with flanged ends is suggested for further exploration.

  3. 77 FR 30589 - SteelRiver Infrastructure Partners LP, SteelRiver Infrastructure Associates LLC, SteelRiver...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-23

    ... Surface Transportation Board SteelRiver Infrastructure Partners LP, SteelRiver Infrastructure Associates LLC, SteelRiver Infrastructure Fund North America LP, and Patriot Funding LLC--Control Exemption--Patriot Rail Corp., et al. SteelRiver Infrastructure Partners LP (SRIP LP), SteelRiver...

  4. Novel therapy for non-cirrhotic hyperammonemia due to a spontaneous splenorenal shunt.

    PubMed

    Rogal, Shari S; Hu, Angela; Bandi, Rupal; Shaikh, Obaid

    2014-07-01

    Spontaneous splenorenal shunts in the absence of cirrhosis have rarely been reported as a cause hyperammonemia with encephalopathy. Several closure techniques of such lesions have been described. Here we report a case of a patient with no history of liver disease who developed significant confusion. After an extensive workup, he was found to have hyperammonemia and encephalopathy due to formation of a spontaneous splenorenal shunt. There was no evidence of cirrhosis on biopsy or imaging and no portal hypertension when directly measured. The shunt was 18 mm and too large for embolization so the segment of the splenic vein between the portal vein and the shunt was occluded using an Amplatzer plug. Thus, the superior mesenteric flow was directed entirely to the liver. After interventional radiology closure of the shunt using this technique there was complete resolution of symptoms. The case represents the first report of a successful closure of splenorenal shunt via percutaneous embolization of the splenic vein with an amplatzer plug using a common femoral vein approach. PMID:25009405

  5. Mechanism for measurement of flow rate of cerebrospinal fluid in hydrocephalus shunts.

    PubMed

    Rajasekaran, Sathish; Kovar, Spencer; Qu, Peng; Inwald, David; Williams, Evan; Qu, Hongwei; Zakalik, Karol

    2014-01-01

    The measurement of the flow rate of cerebrospinal fluid (CSF) or existence of CSF flow inside the shunt tube after shunt implant have been reported as tedious process for both patients and doctors; this paper outlines a potential in vitro flow rate measurement method for CSF in the hydrocephalus shunt. The use of implantable titanium elements in the shunt has been proposed to allow for an accurate temperature measurement along the shunt for prediction of CSF flow rate. The CSF flow velocity can be deduced by decoupling the thermal transfer in the measured differential time at a pair of measurement spots of the titanium elements. Finite element analyses on the fluidic and thermal behaviors of the shunt system have been conducted. Preliminary bench-top measurements on a simulated system have been carried out. The measured flow rates, ranging from 0.5 mm/sec to 1.0 mm/sec, which is clinically practical, demonstrate good agreements with the simulation results. PMID:25570411

  6. Prenatal surgery for myelomeningocele and the need for cerebrospinal fluid shunt placement.

    PubMed

    Tulipan, Noel; Wellons, John C; Thom, Elizabeth A; Gupta, Nalin; Sutton, Leslie N; Burrows, Pamela K; Farmer, Diana; Walsh, William; Johnson, Mark P; Rand, Larry; Tolivaisa, Susan; D'alton, Mary E; Adzick, N Scott

    2015-12-01

    OBJECT The Management of Myelomeningocele Study (MOMS) was a multicenter randomized trial comparing the safety and efficacy of prenatal and postnatal closure of myelomeningocele. The trial was stopped early because of the demonstrated efficacy of prenatal surgery, and outcomes on 158 of 183 pregnancies were reported. Here, the authors update the 1-year outcomes for the complete trial, analyze the primary and related outcomes, and evaluate whether specific prerandomization risk factors are associated with prenatal surgery benefit. METHODS The primary outcome was a composite of fetal loss or any of the following: infant death, CSF shunt placement, or meeting the prespecified criteria for shunt placement. Primary outcome, actual shunt placement, and shunt revision rates for prenatal versus postnatal repair were compared. The shunt criteria were reassessed to determine which were most concordant with practice, and a new composite outcome was created from the primary outcome by replacing the original criteria for CSF shunt placement with the revised criteria. The authors used logistic regression to estimate whether there were interactions between the type of surgery and known prenatal risk factors (lesion level, gestational age, degree of hindbrain herniation, and ventricle size) for shunt placement, and to determine which factors were associated with shunting among those infants who underwent prenatal surgery. RESULTS Ninety-one women were randomized to prenatal surgery and 92 to postnatal repair. The primary outcome occurred in 73% of infants in the prenatal surgery group and in 98% in the postnatal group (p < 0.0001). Actual rates of shunt placement were only 44% and 84% in the 2 groups, respectively (p < 0.0001). The authors revised the most commonly met criterion to require overt clinical signs of increased intracranial pressure, defined as split sutures, bulging fontanelle, or sunsetting eyes, in addition to increasing head circumference or hydrocephalus. Using these modified criteria, only 3 patients in each group met criteria but did not receive a shunt. For the revised composite outcome, there was a difference between the prenatal and postnatal surgery groups: 49.5% versus 87.0% (p < 0.0001). There was also a significant reduction in the number of children who had a shunt placed and then required a revision by 1 year of age in the prenatal group (15.4% vs 40.2%, relative risk 0.38 [95% CI 0.22-0.66]). In the prenatal surgery group, 20% of those with ventricle size < 10 mm at initial screening, 45.2% with ventricle size of 10 up to 15 mm, and 79.0% with ventricle size ? 15 mm received a shunt, whereas in the postnatal group, 79.4%, 86.0%, and 87.5%, respectively, received a shunt (p = 0.02). Lesion level and degree of hindbrain herniation appeared to have no effect on the eventual need for shunting (p = 0.19 and p = 0.13, respectively). Similar results were obtained for the revised outcome. CONCLUSIONS Larger ventricles at initial screening are associated with an increased need for shunting among those undergoing fetal surgery for myelomeningocele. During prenatal counseling, care should be exercised in recommending prenatal surgery when the ventricles are 15 mm or larger because prenatal surgery does not appear to improve outcome in this group. The revised criteria may be useful as guidelines for treating hydrocephalus in this group. PMID:26369371

  7. Effects of isradipine and other calcium antagonists on arteriovenous-shunt flow in anesthetized rabbits and cats

    SciTech Connect

    Hof, R.P.

    1989-04-17

    The effects of vasodilators on arteriovenous (AV)-shunt flow was investigated in anesthetized cats and rabbits, using the tracer microsphere method. In cats, the calcium antagonist isradipine reduced AV-shunt flow; verapamil showed a similar tendency and nicardipine was without effect. Dihydralazine strongly increased, but nitroglycerin and dipyridamole decreased AV-shunt flow. In rabbits, the effects of isradipine and verapamil were similar to those seen in cats. Sodium nitroprusside had no effect, whereas prazosin, minoxidil, and the potassium-channel activator cromakalim increased AV-shunt flow. The contrasting effects of drugs sharing the same mechanism of action suggest that target-tissue selectivity is more important than the mechanism of action. An increase of AV-shunt flow is unlikely to be beneficial but could be associated with a number of undesirable side effects. It might negatively affect migraine sufferers and, if AV-shunt dilatation shows no tolerance development, it represents an unnecessary hemodynamic burden for the heart.

  8. Hyperglucagonemia and hyperkinetic circulation after portocaval shunt in the rat

    SciTech Connect

    Kravetz, D.; Arderiu, M.; Bosch, J.; Fuster, J.; Visa, J.; Casamitjana, R.; Rodes, J.

    1987-02-01

    The study was aimed at investigating whether increased portal venous inflow (PVI) after portocaval shunt (PCS) in the rat is the result of selective splanchnic vasodilatation or whether it is part of a generalized circulatory disturbance. Rats with PCS and sham-operated controls were studied 2 wk after surgery by measuring cardiac output (CO), PVI, and hepatic artery flow (HAF) with radioactive microspheres (V Cr and UC). Plasma glucagon (GL) was measured by radioimmunoassay. PCS rats had increased CO and reduced arterial pressure and total peripheral resistance. PVI was markedly increased, but this appeared to be part of a generalized circulatory disturbance, since when PVI is expressed as percent of CO no difference is observed between PCS and sham-operated rats, indicating the absence of a preferential splanchnic vasodilatation. GL increased after PCS, and significant correlations were observed between GL and CO and between GL and PVI. HAF increased after PCS but did not compensate the loss of portal flow, evidence by a lower total hepatic flow in PCS rats. These results suggest that PCS induces a hyperkinetic circulatory state in which increased PVI represents its splanchnic manifestation and that increased GL release may be in part responsible for these hemodynamic changes.

  9. Integrated fuel cell stack shunt current prevention arrangement

    DOEpatents

    Roche, Robert P. (Cheshire, CT); Nowak, Michael P. (Bolton, CT)

    1992-01-01

    A fuel cell stack includes a plurality of fuel cells juxtaposed with one another in the stack and each including a pair of plate-shaped anode and cathode electrodes that face one another, and a quantity of liquid electrolyte present at least between the electrodes. A separator plate is interposed between each two successive electrodes of adjacent ones of the fuel cells and is unified therewith into an integral separator plate. Each integral separator plate is provided with a circumferentially complete barrier that prevents flow of shunt currents onto and on an outer peripheral surface of the separator plate. This barrier consists of electrolyte-nonwettable barrier members that are accommodated, prior to the formation of the integral separator plate, in corresponding edge recesses situated at the interfaces between the electrodes and the separator plate proper. Each barrier member extends over the entire length of the associated marginal portion and is flush with the outer periphery of the integral separator plate. This barrier also prevents cell-to-cell migration of any electrolyte that may be present at the outer periphery of the integral separator plate while the latter is incorporated in the fuel cell stack.

  10. Approved Module Information for LP3024, 2014/5 Module Title/Name: Political Parties and Party Systems Module Code: LP3024

    E-print Network

    Neirotti, Juan Pablo

    Approved Module Information for LP3024, 2014/5 Module Title/Name: Political Parties and Party Systems Module Code: LP3024 School: Languages and Social Sciences Module Type: Standard Module New Module? Not Specified Module Credits: 10 Module Management Information Module Leader Name Ed Turner Email Address e

  11. Smell of danger: an analysis of LP-gas odorization

    SciTech Connect

    Cain, W.S.; Turk, A.

    1985-03-01

    LP-gas derives warning properties from the odorants ethyl mercaptan or thiophane. Laboratory tests have implied that the average person has the ability to smell the odors before leaking LP-gas reaches one-fifth its lower limit of flammability. Generally, however, laboratory tests ignore or discard persons with a poor sense of smell, especially the elderly and persons with certain types of hyposmia. Some persons who apparently can smell the warning agents when directed may otherwise fail to notice or identify them. Elderly men seem particularly vulnerable to instances of incidental anosmia and olfactory agnosia. Psychophysical testing of the warning agents has been rather unsophisticated. There exists neither a standard protocol for testing nor adequate specification of the perceptual properties that might make one warning agent better than another. Without such developments, improvement in warning agents will fail to occur. Possible improvements include increases in concentration, the use of blends to insure more uniform delivery of agent and, to decrease the perceptual vulnerability of relatively insensitive people, use of agents with favorable psychophysical (stimulus-response) functions and use of agents with favorable adaptation characteristics. Even without a change in existing products, it seems advisable to learn more about the vulnerability of LP-gas users and to employ educational means to reduce risks.

  12. Post-TIPS Hepatic Encephalopathy Treated by Occlusion Balloon-Assisted Retrograde Embolization of a Coexisting Spontaneous Splenorenal Shunt

    SciTech Connect

    Shioyama, Yasukazu; Matsueda, Kiyoshi; Horihata, Koushi; Kimura, Masashi; Nishida, Norifumi; Kishi, Kazushi; Terada, Masaki; Sato, Morio; Yamada, Ryusaku

    1996-11-15

    A 51-year-old man with posthepatitis cirrhosis underwent a transjugular intrahepatic portosystemic shunt (TIPS) for bleeding of recurrent esophageal varices. The patient had a coexisting, spontaneous, splenorenal shunt. He subsequently developed hepatic encephalopathy, presumably due to excessive portosystemic shunting. Since medical management resulted in no significant improvement, the splenorenal shunt was embolized from the jugular vein approach via renal vein access during temporary balloon occlusion. Within a few days, the patient's hepatic encephalopathy resolved. Twelve months later the patient showed no recurrence of encephalopathy and had maintained a patent TIPS.

  13. The Budd-Chiari syndrome. Treatment by mesenteric-systemic venous shunts.

    PubMed Central

    Cameron, J L; Herlong, H F; Sanfey, H; Boitnott, J; Kaufman, S L; Gott, V L; Maddrey, W C

    1983-01-01

    Twelve patients with the Budd-Chiari syndrome have been managed surgically. Ten of the patients were female, two were male, with a mean age of 40 years. Three of the patients had polycythemia vera, two had pre-existing cirrhosis, one had ingested estrogens, one had an occult tumor, and in four there were no associated factors. Ten patients presented with ascites and two with bleeding esophageal varices. The diagnosis was confirmed in all 12 patients by liver biopsy and hepatic vein catheterization. Inferior vena cavography revealed the abdominal vena cava to be thrombosed in six patients. The superior mesenteric vein was used to decompress the congested liver in all 12 patients. In five patients, a mesocaval shunt (MCS) was performed and in seven patients, a mesoatrial shunt (MAS) was carried out. There were four hospital deaths (two MCS, two MAS). One late death (MAS) occurred from liver failure following shunt thrombosis. Two additional patients (one MCS, one MAS) re-developed ascites immediately following surgery and angiography revealed a thrombosed shunt. Ascites has been controlled with a LeVeen shunt in these two patients, but liver biopsies showed progression to cirrhosis. The remaining five patients (three MAS, two MCS) did well, and angiography revealed patent shunts. Two of these patients, however, re-developed ascites at 4 and 10 months following MAS and required a second MAS. Follow-up ranges from 6 to 68 months. In three of the patients (two MCS, one MAS) with patent shunts, liver biopsy shows a remarkable return toward normal liver architecture and histology. Images Fig. 1. Fig. 2. Fig. 3. Fig. 4. Fig. 5. Fig. 6. Fig. 7. PMID:6615056

  14. T1-201 per rectum: A noninvasive method for evaluating portosystemic shunt

    SciTech Connect

    Verdickt, X.; Reding, P.; Tshiamala, P.; Ham, H.R.

    1984-01-01

    Portosystemic shunt is one of the most important complications of liver cirrhosis. Unfortunately, current methods for detecting and quantifying this shunt are either non-specific or associated with significant morbidity. The aim of this work was to evaluate the clinical value of a new non-traumatic method which consisted of administrating T1-201 per rectum and monitoring the absorbed activity using a camera and a computer system. The method assumes that in the absence of portosystemic shunt, most of the absorbed activity will be fixed in the liver while in the presence of this shunt, some of the activity will be fixed in the myocardium. The ratio of heart to liver activity can therefore be used to evaluate the importance of the portosystemic shunt. 34 subjects have been studied. The ratio of heart to liver activity at the 25th minute after the tracer administration is higher in patients with liver cirrhosis (n=22, m=.9, s.d.=.37) than in patients with steatosis (n=10, m=.28, s.d.=.03). In two healthy subjects investigated the H/L ratio was .27 and .30. The reproducibility of the test was evaluated in 8 subjects and showed a good reproducibility (mean of difference =.03, range=.01 to .07). Patients with esophageal varices had always a high H/L ratio while some patients with liver cirrhosis without esophageal varices had also high H/L ratio, probably due to the presence of intrahepatic shunt. The authors' results showed the value of this new non-traumatic test for detecting and quantifying extra- as well as intrahepatic portosystematic shunt.

  15. 2-LP mode few-mode fiber amplifier employing ring-core erbium-doped fiber.

    PubMed

    Ono, Hirotaka; Hosokawa, Tsukasa; Ichii, Kentaro; Matsuo, Shoichiro; Nasu, Hitoshi; Yamada, Makoto

    2015-10-19

    A fiber amplifier supporting 2 LP modes that employs a ring-core erbium-doped fiber (RC-EDF) is investigated to reduce differential modal gain (DMG). The inner and outer radii of the ring-core of the RC-EDF are clarified for 2-LP mode operation of the amplifier, and are optimized to reduce the DMG. It is shown that using the overlap integral between the erbium-doped core area and the signal power mode distribution is a good way to optimize the inner and outer radii of the ring-core of the RC-EDF and thus minimize the DMG. A fabricated RC-EDF and a constructed 2-LP mode EDFA are described and a small DMG of around 1 dB is realized for LP01, LP11 and LP21 pumping. PMID:26480402

  16. External lumbar drain: A pragmatic test for prediction of shunt outcomes in idiopathic normal pressure hydrocephalus

    PubMed Central

    Chotai, Silky; Medel, Ricky; Herial, Nabeel A.; Medhkour, Azedine

    2014-01-01

    Background: The consensus on most reliable supplemental test to predict the shunt responsiveness in patients with idiopathic normal pressure hydrocephalus (iNPH) is lacking. The aim of this study is to discuss the utility of external lumbar drain (ELD) in evaluation of shunt responsiveness for iNPH patients. Methods: A retrospective review of 66 patients with iNPH was conducted. All patients underwent 4-day ELD trial. ELD-positive patients were offered ventriculoperitoneal shunt (VPS) surgery. The primary outcome evaluation parameters were gait and mini mental status examination (MMSE) assessment. The family and patient perception of improvement was accounted for in the outcome evaluation. Results: There were 38 male and 28 female with mean age of 74 years (range 45-88 years). ELD trial was positive in 86% (57/66) of patients. No major complications were encountered with the ELD trial. A total of 60 patients (57 ELD-positive, 3 ELD-negative) underwent VPS insertion. The negative ELD trial (P = 0.006) was associated with poor outcomes following shunt insertion. The positive ELD trial predicted shunt responsiveness in 96% patients (P < 0.0001, OR = 96.2, CI = 11.6-795.3). A receiver operating characteristic (ROC) curve analysis revealed that the ELD trial is reasonably accurate in differentiating shunt responder from non-responder in iNPH patients (area under curve = 0.8 ± 0.14, P = 0.02, CI = 0.52-1.0). The mean follow-up period was 12-months (range 0.3-3 years). The significant overall improvement after VPS was seen in 92% (55/60). The improvement was sustained in 76% of patients at mean 3-year follow-up. The number of comorbid conditions (P = 0.034, OR = 4.15, CI = 1.2-9.04), and a history of cerebrovascular accident (CVA) (P = 0.035, OR = 4.4, CI = 1.9-14.6) were the predictors of poor outcome following shunt surgery. Conclusion: The positive ELD test predicted shunt responsiveness in 96% of patients. With adequate technique, maximal results with minimal complications can be anticipated. The number of comorbidities, history of CVA and negative ELD test were significantly associated with poor shunt outcomes. PMID:24678428

  17. Cerebral oxygenation and processed EEG response to clamping and shunting during carotid endarterectomy under general anesthesia.

    PubMed

    Perez, William; Dukatz, Christopher; El-Dalati, Sami; Duncan, James; Abdel-Rasoul, Mahmoud; Springer, Andrew; Go, Michael R; Dzwonczyk, Roger

    2015-12-01

    Clamping and shunting during carotid endarterectomy (CEA) surgery causes changes in cerebral blood flow. The purpose of this study was to assess and compare, side by side, the cerebral oxygenation (rSO2) and processed electroencephalogram (EEG) response bilaterally to carotid artery clamping and shunting in patients undergoing CEA under general anesthesia. With institutional approval and written informed consent, patients undergoing CEA under general anesthesia and routine carotid artery shunting were recorded bilaterally, simultaneously and continuously with an rSO2 and processed EEG monitor. The response of the monitors during carotid artery clamping and shunting were assessed and compared between monitors and bilaterally within each monitor. Sixty-nine patients were included in the study. At clamping the surgical-side and contralateral-side rSO2 dropped significantly below the baseline incision value (-17.6 and -9.4 % respectively). After shunting, the contralateral-side rSO2 returned to baseline while the surgical-side rSO2 remained significantly below baseline (-9.0 %) until the shunt was removed following surgery. At clamping the surgical-side and contralateral-side processed EEG also dropped below baseline (-19.9 and -20.6 % respectively). However, following shunt activation, the processed EEG returned bilaterally to baseline. During the course of this research, we found the rSO2 monitor to be clinically more robust (4.4 % failure rate) than the processed EEG monitor (20.0 % failure rate). There was no correlation between the rSO2 or processed EEG changes that occurred immediately after clamping and the degree of surgical side stenosis measured pre-operatively. Both rSO2 and processed EEG respond to clamping and shunting during CEA. Cerebral oximetry discriminates between the surgical and contralateral side during surgery. The rSO2 monitor is more reliable in the real-world clinical setting. Future studies should focus on developing algorithms based on these monitors that can predict clamping-induced cerebral ischemia during CEA in order to decide whether carotid artery shunting is worth the associated risks. From the practical point of view, the rSO2 monitor may be the better monitor for this purpose. PMID:25572653

  18. Complete Intestinal Obstruction and Necrosis as a Complication of a Ventriculoperitoneal Shunt in Children

    PubMed Central

    Zhao, Rui; Shi, Wei; Yu, Jianzhong; Gao, Xiaofeng; Li, Hao

    2015-01-01

    Abstract Ventriculoperitoneal (VP) shunt complications are common, but abdominal complications are rare. The objective of this report is to present 2 cases of intestinal obstruction due to a VP shunt and review the literature for data on this rare occurrence. A 4-month-old boy received surgical resection of a medulloblastoma and a VP shunt was inserted to manage progressive hydrocephalus. Two months later, he was admitted with intermittent vomiting, and plain abdominal radiography showed complete intestinal obstruction. Emergency laparotomy revealed an adhesive intestinal obstruction around the catheter, and approximately 5?cm of necrotic ileum was resected. His recovery was uneventful. In the second case, a 6-year-old boy was diagnosed with a primary nongerminomatous malignant germ cell tumor and a VP shunt was place to treat hydrocephalus. Two weeks after the first course of chemotherapy, he went into a coma; computed tomography demonstrated enlargement of the tumor and gross total resection was performed. Two weeks later, he developed abdominal distention; plain radiography showed intestinal obstruction and laparotomy revealed adhesive intestinal obstruction around the catheter with 15?cm of necrotic ileum. The necrotic bowel was resected. Unfortunately, the patient developed sepsis and despite treatment remained in a vegetative state. Medline, Central, Embase, and Google Scholar databases were searched up to May 9, 2014, using the terms VP shunt, shunting, and/or intestinal obstruction. Only cases involving children or adolescents were included. Eleven reports involving patients with abdominal complications resulting from a VP shunt for hydrocephalus were identified. The dates of the reports spanned from 1971 to 2014. Volvulus was the most common cause of VP shunt-related obstruction, and mechanical obstruction due to twisting of the catheter the second most common. Only 1 case in the literature review was related to intestinal adhesions. Treatment in most cases was laparotomy. Although intestinal obstruction is a rare complication of a VP shunt, it should be considered in the presence of abdominal symptoms and prompt treatment provided to have a good outcome. PMID:26313776

  19. Transjugular intrahepatic portosystemic shunts and portal hypertension-related complications

    PubMed Central

    Siramolpiwat, Sith

    2014-01-01

    Portal hypertension (PH) plays an important role in the natural history of cirrhosis, and is associated with several clinical consequences. The introduction of transjugular intrahepatic portosystemic shunts (TIPS) in the 1980s has been regarded as a major technical advance in the management of the PH-related complications. At present, polytetrafluoroethylene-covered stents are the preferred option over traditional bare metal stents. TIPS is currently indicated as a salvage therapy in patients with bleeding esophageal varices who fail standard treatment. Recently, applying TIPS early (within 72 h after admission) has been shown to be an effective and life-saving treatment in those with high-risk variceal bleeding. In addition, TIPS is recommended as the second-line treatment for secondary prophylaxis. For bleeding gastric varices, applying TIPS was able to achieve hemostasis in more than 90% of patients. More trials are needed to clarify the efficacy of TIPS compared with other treatment modalities, including cyanoacrylate injection and balloon retrograde transvenous obliteration of gastric varices. TIPS should also be considered in bleeding ectopic varices and refractory portal hypertensive gastropathy. In patients with refractory ascites, there is growing evidence that TIPS not only results in better control of ascites, but also improves long-term survival in appropriately selected candidates. In addition, TIPS is a promising treatment for refractory hepatic hydrothorax. However, the role of TIPS in the treatment of hepatorenal and hepatopulmonary syndrome is not well defined. The advantage of TIPS is offset by a risk of developing hepatic encephalopathy, the most relevant post-procedural complication. Emerging data are addressing the determination the optimal time and patient selection for TIPS placement aiming at improving long-term treatment outcome. This review is aimed at summarizing the published data regarding the application of TIPS in the management of complications related to PH. PMID:25493012

  20. Kidney plays a major role in ammonia homeostasis after portasystemic shunting in patients with cirrhosis.

    PubMed

    Olde Damink, Steven W M; Dejong, Cornelis H C; Deutz, Nicolaas E P; Redhead, Doris N; Hayes, Peter C; Soeters, Peter B; Jalan, Rajiv

    2006-08-01

    The kidney plays an important role in ammonia metabolism. In this study the hypothesis was tested that the kidney can acutely diminish ammonia release after portacaval shunting. Thirteen patients with cirrhosis (6 female/7 male, age 54.4 +/- 3.3 yr) were studied. Blood was sampled prior to and 1 h after transjugular intrahepatic stent-shunt (TIPSS) insertion from the portal vein, a hepatic vein, the right renal vein, and the femoral vein, and renal and liver plasma flow were measured. Prior to TIPSS, renal ammonia release was significantly higher than ammonia release from the splanchnic region, which was not significantly different from zero. TIPSS insertion did not change arterial ammonia concentration or ammonia release from the splanchnic region but reduced renal ammonia release into the circulation (P < 0.05) to values that were not different from zero. TIPSS resulted in a tendency toward increased venous-arterial ammonia concentration differences across leg muscle. Post-TIPSS ammonia efflux via portasystemic shunts was estimated to be seven times higher than renal efflux. Kidneys have the ability to acutely diminish systemic ammonia release after portacaval shunting. Diminished renal ammonia release and enhanced muscle ammonia uptake are important mechanisms by which the cirrhotic patient maintains ammonia homeostasis after portasystemic shunting. PMID:16455791

  1. The Value of Programmable Shunt Valves for the Management of Subdural Collections in Patients with Hydrocephalus

    PubMed Central

    Alexiou, George A.; Mihos, Evaggelos; Fotakopoulos, George; Voulgaris, Spyridon

    2013-01-01

    Background. The aim of the present study was to assess the value of electromagnetic programmable shunt valves for the treatment of subdural collections. Methods. Adult patients with hydrocephalus of various causes that were treated with programmable shunt valves during the last ten years were retrospectively studied. In 127 patients, 139 electromagnetic programmable shunt valves were implanted. Results. A nontraumatic subdural fluid collection was detected in 12 patients. The treatment of these patients consisted of reprogramming of the valve's opening pressure. In 5 patients small subdural hematomas were detected; 4 of these patients were treated by raising the opening pressure alone and one patient required surgical drainage and change of the pressure setting. Traumatic chronic subdural hematomas were detected in 6 patients. These patients were treated by surgical drainage and readjustment of the valve's opening pressure. Conclusion. The ability to treat a shunt-related complication, such as a subdural fluid collection, by reprogramming the valve's opening pressure to a higher setting is an advantage over nonprogrammable valves, and it enables the opening pressure to be slowly lowered once the fluid collection is reabsorbed. Based on our results, we believe that programmable shunt valves should be preferred. PMID:24453855

  2. Radionuclide quantitation of right-to-left intracardiac shunts in children

    SciTech Connect

    Peter, C.A.; Armstrong, B.E.; Jones, R.H.

    1981-09-01

    A simple, noninvasive method for measurement of right-to-left intracardiac shunts would enhance the management of patients with congenital heart disease. This study describes application of data processing techniques used previously in dye-indicator curves to data recorded during the initial transit of radioactive bolus through the central circulation. Radionuclide angiocardiograms were performed in 20 children, mean age 30 months, immediately after cardiac catheterization for congenital heart disease. The radionuclide data recorded over the carotid artery were used to replace arterial sampling required for dye indicators, and forward triangles were fitted to calculate the right-to-left shunt in an approach similar to that of Wood for indicator-dilution curves. Ten of the children had right-to-left shunts by Fick and radionuclide measurement, and 10 of the children with septal defects had no right-to-left shunt by either technique. Both the radionuclide and Fick measurements correlated well (r . 0.95). Therefore, radionuclide angiocardiographic data may be used for accurate calculation of right-to-left shunts in small children, eliminating the need for arterial sampling.

  3. A 20 ampere shunt regulator for controlling individual magnets in a seriesed string

    SciTech Connect

    Martin, E.J.; Dobeck, N.; Jones, G.S.; O`Sullivan, M.K.

    1996-08-01

    At the CEBAF accelerator, groups of dipole magnets are often connected together in series and powered from a single large constant-current regulated D-C supply, referred to locally as a {open_quotes}box{close_quotes} supply. Besides the economy realized, this configuration promotes correct field tracking of all elements of a beam transport channel. However, it is often desirable to vary the current in one element of a string independently of the others, particularly at the entrance and exits of transport channels. A 20 ampere programmable current shunt is described. Installed in parallel with the desired magnet, it permits shunting (bypassing) up to 5% of the string current around that magnet. The shunt regulator consists of a bank of MOSFET power transistors operated in linear mode. Regulation of current through the passbank is obtained by feedback from a manganin shunt maintained at a constant temperature for stability. The module is designed for remote operation and provides readbacks of various parameters useful for maintenance. To achieve complete electrical isolation, an onboard microprocessor provides remote communications via an opto-isolated serial data link. Constructional details and initial operating experience with the plug-in shunt are described.

  4. z=0 z=0 z=0 Steam-turbin Condenser LP-pump

    E-print Network

    Skogestad, Sigurd

    ¡ ¢£ ¤ ¥§¦ ¨ © ¥£ ¡ £ ¨ © ¦ ¦ ¡ £ ¨ © ¦ ¦ ¥ ¦ © © ¡ ¥ ¥ £ ¦ ¡ ! ¦ " ©# £ $ ¤ #12; 4 ¡ 3 @ ¢ 2 6 3 F 4 9 7 LC LC PC z=0 z=0 z=0 z=1 z=1 TC TC z=0 HP-pump Steam-turbin Condenser LP-pump Air compressor Deaerator HP-pump Steam-turbin Condenser LP-pump Air compressor Deaerator HP-turbine Combustor Fuel compressor Steam-turbine HP-valve valve LP- drum Evaporator #12; F 4 9 7 ¢ D ¡ 2 B@ 9 7 6

  5. Carbon shunting arc and its induced plasma and DLC film deposition

    SciTech Connect

    Yukimura, Ken; Isono, Ryoto; Yoshioka, Kenji

    1999-07-01

    Plasma Based Ion Implantation (PBII) technology is a promising method for realizing uniform ion implantation into materials with three dimensional topologies. Recently, a conformal implantation has become possible using a combination of a pulsed discharge with a pulsed bias of the materials. Non-gaseous plasmas such as carbon and tungsten with a high melting point are desirable as they can be produced without any external trigger devices. The authors think that a shunting arc is a promising method for creating a pulsed arc using the above materials without any trigger sources. This report is concerned with the production of DLC using shunting arcs as well as the formation of the shunting arc and its induced gaseous plasma. In addition, the possibility of a hybrid PBII system including gaseous and non-gaseous ions will be discussed.

  6. A Shunt Model of the Inner Medullary Nephron with Pre-Bend Transitions

    NASA Astrophysics Data System (ADS)

    Gonzalez, M. T.; Hegarty, A. F.; Thomas, S. R.

    2009-09-01

    Mathematical models of the renal medulla face the problem of representing water and solute transfer among tens of thousands of nephrons and blood vessels of various lengths, arranged in countercurrent fashion. Published models fall into two broad categories with respect to this issue: multi-nephron models, which explicitly represent a large number of individual nephrons, or lumped models with virtual shunts that represent the turning back of nephrons and vessels at varying depths. Shunt models have the advantage of a compact description and relatively rapid execution time but are ill-suited to faithfully represent features such as prebend transitions of epithelial permeabilities in nephrons of different lengths. A new shunt model approach that can accommodate pre-bend transitions of nephrons at all medullary depths is presented in this work together with the results of simulation of predicted flows and concentrations.

  7. Emergency management of an acute tension pneumocephalus following ventriculoperitoneal shunt surgery for normal pressure hydrocephalus.

    PubMed

    Aydoseli, Ayd?n; Akcakaya, Mehmet Osman; Aras, Yavuz; Boyali, Osman; Unal, Omer Faruk

    2013-01-01

    Tension pneumocephalus is a rare and life threatening complication of intracranial surgical procedures, and requires immediate recognition and surgical intervention. Tension pneumocephalus following ventriculoperitoneal shunt surgery is extremely rare and commonly seen as a delayed complication. To our knowledge, early postoperative tension pneumocephalus after shunt surgery was reported only in one other publication. We present a case of acute tension pneumocephalus following ventriculoperitoneal shunt surgery for normal pressure hydrocephalus, which was managed well with close neurological follow-up and rapid surgical intervention. The use of the portable CT scanner in this case saved significant time, without the transport of the patient to the radiology unit, made early surgical intervention possible, and prevented morbidity and mortality. PMID:24101285

  8. A 100 GHz Josephson mixer using resistively-shunted Nb tunnel junctions

    NASA Technical Reports Server (NTRS)

    Schoelkopf, R. J.; Phillips, T. G.; Zmuidzinas, J.

    1993-01-01

    The authors describe preliminary mixer results using resistively shunted Nb/AlO(x)/Nb tunnel junctions in a 100-GHz waveguide mixer mount. The mixer utilizes robust, lithographically defined devices which have nonhysteretic I-V curves. A receiver temperature of 390 K (DSB) has been obtained with a conversion loss of -6.5 dB. The receiver's behavior agrees qualitatively with the behavior predicted by the resistively shunted junction model. Substantial improvements in performance are expected with the use of better-optimized shunted junctions, and numerical simulations suggest that, if devices with higher ICRN (critical current-normal state resistance) products can be obtained, Josephson effect mixers could be competitive with SIS mixers at high frequencies.

  9. Pure pancreaticocutaneous fistula shunted into the urinary bladder. Lesson learned by an incomplete, original attempt.

    PubMed

    Violi, Vincenzo; Salvemini, Carlo; Darecchio, Antonio; Detullio, Paolo; Costi, Renato

    2014-01-01

    Because pancreaticocystostomy is a method of exocrine secretion management in pancreas transplantation, a legitimate question is whether a pure pancreatic fistula could be shunted into the bladder. After duodenopancreatectomy for cancer, a pancreaticojejunostomy leakage was treated by pancreas-saving anastomosis disconnection. The resulting pure pancreaticocutaneous fistula was later diverted into the bladder using a Denver valved-pump device. Technical problems necessitated redoing the shunt using a modified technique and device. Although the system did work, catheter displacement outside the bladder finally caused device takedown and external fistula restoration. Our attempt did not succeed mostly because of our inexperience in dealing with an altogether novel issue without appropriate technology. Supposing its feasibility, a pancreatic-bladder shunt might have a role in treating pure pancreatic fistulas or creating an external fistula whenever the pancreatic remnant is unreliable for an anastomosis, or when a leaked anastomosis' disconnection is preferable to completion pancreatectomy. PMID:24833149

  10. Percutaneous vesicoamniotic shunting versus conservative management for fetal lower urinary tract obstruction (PLUTO): a randomised trial

    PubMed Central

    Morris, Rachel K; Malin, Gemma L; Quinlan-Jones, Elisabeth; Middleton, Lee J; Hemming, Karla; Burke, Danielle; Daniels, Jane P; Khan, Khalid S; Deeks, Jon; Kilby, Mark D

    2013-01-01

    Summary Background Fetal lower urinary tract obstruction (LUTO) is associated with high perinatal and long-term childhood mortality and morbidity. We aimed to assess the effectiveness of vesicoamniotic shunting for treatment of LUTO. Methods In a randomised trial in the UK, Ireland, and the Netherlands, women whose pregnancies with a male fetus were complicated by isolated LUTO were randomly assigned by a central telephone and web-based randomisation service to receive either the intervention (placement of vesicoamniotic shunt) or conservative management. Allocation could not be masked from clinicians or participants because of the invasive nature of the intervention. Diagnosis was by prenatal ultrasound. The primary outcome was survival of the baby to 28 days postnatally. All primary analyses were done on an intention-to-treat basis, but these results were compared with those of an as-treated analysis to investigate the effect of a fairly large proportion of crossovers. We used Bayesian methods to estimate the posterior probability distribution of the effectiveness of vesicoamniotic shunting at 28 days. The study is registered with the ISRCTN Register, number ISRCTN53328556. Findings 31 women with singleton pregnancies complicated by LUTO were included in the trial and main analysis, with 16 allocated to the vesicoamniotic shunt group and 15 to the conservative management group. The study closed early because of poor recruitment. There were 12 livebirths in each group. In the vesicoamniotic shunt group one intrauterine death occurred and three pregnancies were terminated. In the conservative management group one intrauterine death occurred and two pregnancies were terminated. Of the 16 pregnancies randomly assigned to vesicoamniotic shunting, eight neonates survived to 28 days, compared with four from the 15 pregnancies assigned to conservative management (intention-to-treat relative risk [RR] 1·88, 95% CI 0·71–4·96; p=0·27). Analysis based on treatment received showed a larger effect (3·20, 1·06–9·62; p=0·03). All 12 deaths were caused by pulmonary hypoplasia in the early neonatal period. Sensitivity analysis in which non-treatment-related terminations of pregnancy were excluded made some slight changes to point estimates only. Bayesian analysis in which the trial data were combined with elicited priors from experts suggested an 86% probability that vesicoamniotic shunting increased survival at 28 days and a 25% probability that it had a large, clinically important effect (defined as a relative increase of 55% or more in the proportion of neonates who survived). There was substantial short-term and long-term morbidity in both groups, including poor renal function—only two babies (both in the shunt group) survived to 2 years with normal renal function. Seven complications occurred in six fetuses from the shunt group, including spontaneous ruptured membranes, shunt blockage, and dislodgement. These complications resulted in four pregnancy losses. Interpretation Survival seemed to be higher in the fetuses receiving vesicoamniotic shunting, but the size and direction of the effect remained uncertain, such that benefit could not be conclusively proven. Our results suggest that the chance of newborn babies surviving with normal renal function is very low irrespective of whether or not vesicoamniotic shunting is done. Funding UK National Institute of Health Research, Wellbeing of Women, Hannah Eliza Guy Charity (Birmingham Children's Hospital Charity). PMID:23953766

  11. Amorphous carbon film deposition by PBII&D using shunting arc discharge

    NASA Astrophysics Data System (ADS)

    Yukimura, K.; Ego, K.; Takaki, K.; Mukaigawa, S.; Fujiwara, T.

    2006-01-01

    Amorphous carbon films were deposited using a magnetically driven shunting arc (MDSA) discharge in methane gas circumstance with a deposition rate of 100 nm/min in plasma-based ion implantation and deposition method. The target was immersed in the plasma to deposit films and to extract ions from the ion sheath that evolves around the target. The extracted ion current characteristics and the deposited film feature were investigated in comparison with the previous highly evacuated ambient shunting arc discharge. The ion current was found to be increased by MDSA generation in methane gas case. This result suggests that methane gas is ionized by the MDSA. The hydrogen concentration of the prepared carbon films is 20-30% for the no methane case, while the hydrogen concentration is 40-50% for the shunting arc discharge in methane gas.

  12. Use of transsplenic injection of agitated saline and heparinized blood for the ultrasonographic diagnosis of macroscopic portosystemic shunts in dogs.

    PubMed

    Gómez-Ochoa, Pablo; Llabrés-Díaz, Francisco; Ruiz, Sergio; Corda, Andrea; Prieto, Saul; Sosa, Ivan; Gregori, Tommaso; Gascón, Manuel; Couto, Guillermo C

    2011-01-01

    We describe the use of ultrasonography-guided percutaneous splenic injection of agitated saline and heparinized blood for the diagnosis of portosystemic shunts (PSS) in 34 dogs. Agitated saline mixed with 1 ml of heparinized autologous blood was injected into the spleen of 34 sedated dogs under sonographic guidance. The transducer was then sequentially repositioned to visualize the portal vein, the caudal vena cava, and the right atrium through different acoustic windows. It was possible to differentiate between intrahepatic and extrahepatic shunts depending on the entry point of the microbubbles into the caudal vena cava. Portoazygos shunts and portocaval shunts could be differentiated based on the presence of microbubbles in the caudal vena cava and/or the right atrium. In one dog, collateral circulation due to portal hypertension was identified. In dogs with a single extrahepatic shunt, the microbubbles helped identify the shunting vessel. The technique was also used postoperatively to assess the efficacy of shunt closure. All abnormal vessels were confirmed by exploratory laparotomy or with ultrasonographic identification of the shunting vessel. Ultrasound-guided transsplenic injection of agitated saline with heparinized blood should be considered as a valuable technique for the diagnosis of PSS; it is easy to perform, safe, and the results are easily reproducible. PMID:21322395

  13. Effect of Shunts on Thin-Film CdTe Module Performance. Galymzhan T. Koishiyev, James R. Sites

    E-print Network

    Sites, James R.

    Effect of Shunts on Thin-Film CdTe Module Performance. Galymzhan T. Koishiyev, James R. Sites of shunts is introduced, and its effect on module-efficiency loss, as well as individual-parameter (FF, VOC with each other in their effect on the module. To address these questions, a 2-D circuit model of a Cd

  14. Anatomical Closure of Left-to-Right Shunts in Premature Infants with Bronchopulmonary Dysplasia and Pulmonary Hypertension: A Cautionary Tale

    PubMed Central

    Dereddy, Narendra R.; Chilakala, Sandeep R.; Rana, Divya

    2015-01-01

    Closure of a systemic to pulmonary shunt in premature infants with bronchopulmonary dysplasia may be beneficial, but in the presence of pulmonary hypertension is controversial. Here, we discuss two premature infants with pulmonary hypertension who developed acute pulmonary hypertensive crisis after closure of these shunts and hence advise caution. PMID:26495162

  15. Effect of Shunting of Collateral Flow into the Venous System on Arteriogenesis and Angiogenesis in Rabbit Hind Limb

    PubMed Central

    Yang, Bao-lin; Wu, Song; Wu, Xiaoqiong; Li, Ming Bo; Zhu, Wu; Guan, Yinglu; Liu, Li-Hua; Luo, Ming-ying; Cai, Wei-Jun; Schaper, Jutta; Schaper, Wolfgang

    2013-01-01

    The aim of this study was to characterize the vascular remodeling in the external iliac artery (EIA) and the lower leg muscles in a rabbit shunt model created between the distal stump of the occluded femoral artery and the accompanying vein. Histology and immunoconfocal microscopy were used in this study. We found that: 1) both endothelial nitric oxide synthase (eNOS) and phosphorylated eNOS (P-eNOS) proteins were significantly increased in the shunt-side EIA; 2) matrix metalloproteinase-2 (MMP-2) expression was 5.5 times in shunt side EIA over that in normal EIA; 3) intercellular adhension molecule-1 (ICAM-1) expression was strongly induced in endothelial cells (EC) and vascular adhension molecule-1 (VCAM-1) expression was significantly increased in both EC and the adventitia of the shunt-side EIA; 4) augmentation of cell proliferation and extracellular proteolysis by macrophage infiltration was observed in shunt-side EIA; 5) cell proliferation was active in shunt side EIA, but quiet in shunt side lower leg’s arterial vessels; 6) capillary density in shunt side lower leg muscles was 2 times over that in normal side. In conclusion, our data demonstrate the paradigm that the power of shear stress takes the reins in arteriogenesis, whereas ischemia in angiogenesis, but not in arteriogenesis. PMID:23554534

  16. Electrospun polyurethane as an alternative ventricular catheter and in vitro model of shunt obstruction.

    PubMed

    Suresh, Supraja; Black, Richard A

    2015-02-01

    Intracranial pressure and volume vary considerably between hydrocephalic patients, and with age, health and haemodynamic status; if left untreated, intracranial pressure rises and the ventricular system expands to accommodate the excess cerebrospinal fluid, with significant morbidity and mortality. Cerebrospinal fluid shunts in use today have a high incidence of failure with shunt obstruction being the most serious. Conventional proximal shunt catheters are made from poly(dimethyl)siloxane, the walls of which are perforated with holes for the cerebrospinal fluid to pass through. The limited range of catheters, in terms of material selection and flow distribution, is responsible in large part for their poor performance. In this study, we present an alternative design of proximal catheter made of electrospun polyether urethane, and evaluate its performance in the presence of glial cells, which are responsible for shunt blockage. The viability and growth of cells on catheter materials such as poly(dimethyl)siloxane and polyurethane in the form of cast films, microfibrous mats and porous sponges were studied in the presence of proteins present in cerebrospinal fluid after 48?h and 96?h in culture. The numbers of viable cells on each substrate were comparable to untreated poly(dimethyl)siloxane, both in the presence and absence of serum proteins found in cerebrospinal fluid. A cell culture model of shunt obstruction was developed in which cells on electrospun polyether urethane catheters were subjected to flow during culture in vitro, and the degree of obstruction quantified in terms of hydraulic permeability after static and perfusion culture. The results indicate that a catheter made of electrospun polyether urethane would be able to maintain cerebrospinal fluid flow even with the presence of cells for the time period chosen for this study. These findings have implications for the design and deployment of microporous shunt catheter systems for the treatment of hydrocephalus. PMID:25245779

  17. Rapid resolution of an acute subdural hematoma by increasing the shunt valve pressure in a 63-year-old man with normal-pressure hydrocephalus with a ventriculoperitoneal shunt: a case report and literature review

    PubMed Central

    2012-01-01

    Introduction Symptomatic subdural hematoma development is a constant concern for patients who have undergone cerebrospinal fluid shunting procedures to relieve symptoms related to normal-pressure hydrocephalus. Acute subdural hematomas are of particular concern in these patients as even minor head trauma may result in subdural hematoma formation. The presence of a ventricular shunt facilitates further expansion of the subdural hematoma and often necessitates surgical treatment, including subdural hematoma evacuation and shunt ligation. Case presentation We present the case of a 63-year-old North American Caucasian man with normal-pressure hydrocephalus with an adjustable valve ventriculoperitoneal shunt who developed an acute subdural hematoma after sustaining head trauma. Conservative treatment was favored over operative evacuation because our patient was neurologically intact, but simple observation was considered to be too high risk in the setting of a low-pressure ventriculoperitoneal shunt. Thus, the valve setting on the ventriculoperitoneal shunt was increased to its maximum pressure setting in order to reduce flow through the shunt and to mildly increase intracranial pressure in an attempt to tamponade any active bleeding and limit hematoma expansion. A repeat computed tomography scan of the head six days after the valve adjustment revealed complete resolution of the acute subdural hematoma. At this time, the valve pressure was reduced to its original setting to treat symptoms of normal-pressure hydrocephalus. Conclusions Programmable shunt valves afford the option for non-operative management of acute subdural hematoma in patients with ventricular shunts for normal-pressure hydrocephalus. As illustrated in this case report, increasing the shunt valve pressure may result in rapid resolution of the acute subdural hematoma in some patients. PMID:23174021

  18. Chaos detection tools: The LP-VIcode and its applications

    NASA Astrophysics Data System (ADS)

    Darriba, L. A.; Maffione, N. P.; Cincotta, P. M.; Giordano, C. M.

    A very important topic in galactic dynamics is the detection of instabilities of a given system and the possible appearance of chaos. Such a chaotic bahaviour can be detected and studied by means of variational chaos in- dicators (CIs). The CIs are based on the study of the evolution of initial deviation vectors, which makes these techniques specially sensitive to in- dicate the presence of chaos. Notwithstanding their special sensitiveness to identify chaos, the CIs are still good alternatives to determine also the resonance web. On the other hand, the so-called spectral analysis methods are based on the study of some quantity (e.g. the frequency) on a single orbit, which turns these techniques very efficient for the determination of the resonant struc- ture of the system. The analysis of the interaction among chaotic and regular components as well as the determination of the resonant structure of the Hamiltonian leads to a deeper understanding of the system's dynamics. Despite the advan- tages of the simultaneous application of both types of techniques, many researchers keep applying only one of them. Herein, we present an alpha version of a program coded in Fortran, the LP-VIcode. Although the code is in a developing stage, it can compute several CIs, and here we apply it together with the Frequency Modified Fourier Transform (FMFT) (Sidlichovský & Nesvorný 1996) to study the stationary space (Schwarzchild 1993) of an average realistic Hamiltonian model (Muzzio et al. 2005). Using the LP-VIcode, in Maffione et al. (2011b) and Darriba et al. (sub- mitted) the authors suggest an efficient package of CIs to study a general Hamiltonian. Here the research is extended to show that the complemen- tary use of the LP-VIcode and the spectral analysis methods is highly rec- ommended to study a realistic Hamiltonian model.

  19. Intratumoral Vascular Shunting: Biomarker of Clinical Outcome and Source of Circulating Tumor Cells?

    PubMed

    Deipolyi, Amy R; Zhu, Andrew X; Oklu, Rahmi

    2015-12-01

    Predicting which patients will benefit from radioembolization remains a challenge, as reliable prognostic indicators are not defined. Abnormal tumor vascular anatomy could not only impact the ability of cancer therapies to penetrate tumors, but may also contribute to a lesion's metastatic potential. Specifically, intratumoral vascular shunts could allow circulating tumor cells to initiate metastases by allowing them to gain access to distant sites in the body, bypassing capillary beds. Here, we describe how tumoral angiogenesis occurs and how intratumoral vascular shunts may form. PMID:25333732

  20. Pancreaticoportal Fistula and Disseminated Fat Necrosis After Revision of a Transjugular Intrahepatic Portosystemic Shunt

    SciTech Connect

    Klein, Seth J. Saad, Nael; Korenblat, Kevin; Darcy, Michael D.

    2013-04-15

    A 59-year old man with alcohol related cirrhosis and portal hypertension was referred for transjugular intrahepatic portosystemic shunt (TIPS) to treat his refractory ascites. Ten years later, two sequential TIPS revisions were performed for shunt stenosis and recurrent ascites. After these revisions, he returned with increased serum pancreatic enzyme levels and disseminated superficial fat necrosis; an iatrogenic pancreaticoportal vein fistula caused by disruption of the pancreatic duct was suspected. The bare area of the TIPS was subsequently lined with a covered stent-graft, and serum enzyme levels returned to baseline. In the interval follow-up period, the patient has clinically improved.

  1. Percutaneous Mesocaval Shunt Creation in a Patient with Chronic Portal and Superior Mesenteric Vein Thrombosis.

    PubMed

    Bercu, Zachary L; Sheth, Sachin B; Noor, Amir; Lookstein, Robert A; Fischman, Aaron M; Nowakowski, F Scott; Kim, Edward; Patel, Rahul S

    2015-10-01

    The creation of a transjugular intrahepatic portosystemic shunt (TIPS) is a critical procedure for the treatment of recurrent variceal bleeding and refractory ascites in the setting of portal hypertension. Chronic portal vein thrombosis remains a relative contraindication to conventional TIPS and options are limited in this scenario. Presented is a novel technique for management of refractory ascites in a patient with hepatitis C cirrhosis and chronic portal and superior mesenteric vein thrombosis secondary to schistosomiasis and lupus anticoagulant utilizing fluoroscopically guided percutaneous mesocaval shunt creation. PMID:25189666

  2. Sensitivity Analysis in LP and SDP Using Interior-Point

    E-print Network

    Todd, Michael J.

    .t. Ax = b; x 0; c and x 2 IRn, b 2 IRm, and A 2 IRm n. Associated dual LP: LPD(b;c) maxy;s bTy s.t. ATy + s = c; s 0; y 2 IRm and s 2 IRn. The coe cient matrix A is xed. INFORMS Philadelphia, 11/99 #12, where b 2 IRm, and a full Newton step is taken from (x;y;s) targeting the feasible pair of points (x0;y0

  3. Successful living donor liver transplant in a child with Abernethy malformation with biliary atresia, ventricular septal defect and intrapulmonary shunting.

    PubMed

    Singhal, Ashish; Srivastava, Ajitabh; Goyal, Neerav; Vij, Vivek; Wadhawan, Manav; Bera, Motilal; Gupta, Subash

    2009-12-01

    Congenital portosystemic shunts are the anomalies in which the mesenteric venous drainage bypasses the liver and drains directly into the systemic circulation. This is a report of a rare case of LDLT in a four-yr old male child suffering with biliary atresia (post-failed Kasai procedure) associated with (i) a large congenital CEPSh from the spleno-mesentric confluence to the LHV, (ii) intrapulmonary shunts, (iii) perimembranous VSD. The left lobe graft was procured from the mother of the child. Recipient IVC and the shunt vessel were preserved during the hepatectomy, and the caval and shunt clamping were remarkably short while performing the HV and portal anastomosis. Post-operative course was uneventful; intrapulmonary shunts regressed within three months after transplantation and currently after 18 months following transplant child is doing well with normal liver functions. CEPSh has been extensively discussed and all the published cases of liver transplantation for CEPSh were reviewed. PMID:19254272

  4. Neuroendoscopic surgery for ventriculitis and hydrocephalus after shunt infection and malfunction: Preliminary report of a new strategy

    PubMed Central

    Tabuchi, Sadaharu; Kadowaki, Mitsutoshi

    2015-01-01

    If not controlled in the early stage, ventriculitis is difficult to treat neurosurgically and can lead to serious sequelae, a long course of treatment, and hospitalization. We report two cases of ventriculitis and progressive hydrocephalus after shunt infection. Both were successfully treated by neuroendoscopic septostomy in combination with thorough intraventricular irrigation through a single burr hole followed by single shunt revision. Although surgical intervention has not been established as a first-choice treatment for ventriculitis, including early-stage ventriculitis, prompt neuroendoscopic surgery appears effective for the management of ventriculitis and hydrocephalus after shunt infection. The strategy described in this report might be useful to avoid recurrent shunt infections and malfunctions, simplify a shunt, and reduce the overall duration of hospitalization. PMID:25913583

  5. Risk factors for first cerebrospinal fluid shunt infection: findings from a multi-center prospective cohort study

    PubMed Central

    Simon, Tamara D.; Butler, Jerry; Whitlock, Kathryn B.; Browd, Samuel R.; Holubkov, Richard; Kestle, John R.W.; Kulkarni, Abhaya V.; Langley, Marcie; Limbrick, David D.; Mayer-Hamblett, Nicole; Tamber, Mandeep; Wellons, John C.; Whitehead, William E.; Riva-Cambrin, Jay

    2014-01-01

    Objective To quantify the extent to which revision(s) of cerebrospinal fluid (CSF) shunt are associated with increased risk of CSF shunt infection, after adjusting for patient factors that may contribute to infection risk. Study design We used the HCRN registry to assemble a large prospective six center cohort of 1,036 children undergoing initial CSF shunt placement between April 2008 and January 2012. The primary outcome of interest was first CSF shunt infection. Data for initial CSF shunt placement and all subsequent CSF shunt revisions prior to first CSF shunt infection, where applicable, were obtained. The risk of first infection was estimated using a multivariable Cox proportional hazard model accounting for patient characteristics and CSF shunt revisions, and is reported using hazard ratios (HR) with 95% confidence intervals (CI). Results Of the 102 children who developed first infection within 12 months of placement, 33 (32%) followed one or more CSF shunt revisions. Baseline factors independently associated with risk of first infection included: gastrostomy tube (HR 2.0, 95% CI: 1.1, 3.3), age 6–12 months (HR 0.3, 95% CI: 0.1, 0.8), and prior neurosurgery (HR 0.4, 95% CI: 0.2, 0.9). After controlling for baseline factors, infection risk was most significantly associated with the need for revision (1 revision vs. none, HR 3.9, 95% CI: 2.2, 6.5; ?2 revisions, HR 13.0, 95% CI: 6.5, 24.9). Conclusions This study quantifies the elevated risk of infection associated with shunt revisions observed in clinical practice. To reduce risk of infection risk further work should optimize revision procedures. PMID:24661340

  6. Management of pulmonary arterial hypertension associated with congenital systemic-to-pulmonary shunts and Eisenmenger's syndrome.

    PubMed

    Galie, Nazzareno; Manes, Alessandra; Palazzini, Massimiliano; Negro, Luca; Marinelli, Alessandro; Gambetti, Simona; Mariucci, Elisabetta; Donti, Andrea; Branzi, Angelo; Picchio, Fernando M

    2008-01-01

    A large proportion of patients with congenital heart disease (CHD), in particular those with relevant systemic-to-pulmonary shunts, will develop pulmonary arterial hypertension (PAH) if left untreated. Persistent exposure of the pulmonary vasculature to increased blood flow, as well as increased pressure, may result in pulmonary obstructive arteriopathy, which leads to increased pulmonary vascular resistance that, if it approaches or exceeds systemic resistance, will result in shunt reversal. Eisenmenger's syndrome, the most advanced form of PAH associated with CHD, is defined as CHD with an initial large systemic-to-pulmonary shunt that induces severe pulmonary vascular disease and PAH, with resultant reversal of the shunt and central cyanosis. The histopathological and pathobiological changes seen in patients with PAH associated with congenital systemic-to-pulmonary shunts, such as endothelial dysfunction of the pulmonary vasculature, are considered similar to those observed in idiopathic or other associated forms of PAH. A pathological and pathophysiological classification of CHD with systemic-to-pulmonary shunt leading to PAH has been developed that includes specific characteristics, such as the type, dimensions and direction of the shunt, extracardiac abnormalities and repair status. A clinically oriented classification has also been proposed. The prevalence of PAH associated with congenital systemic-to-pulmonary shunts in Western countries has been estimated to range between 1.6 and 12.5 cases per million adults, with 25-50% of this population affected by Eisenmenger's syndrome. Clinically, Eisenmenger's syndrome presents with multiple organ involvement, with progressive deterioration of function over time. The signs and symptoms of Eisenmenger's syndrome in the advanced stages include central cyanosis, dyspnoea, fatigue, haemoptysis, syncope and right-sided heart failure. Survival of patients with Eisenmenger's syndrome is clearly less than that of the general population, but appears to be better than that of patients with idiopathic PAH in a comparable functional class. The treatment strategy for patients with PAH associated with congenital systemic-to-pulmonary shunts and, in particular, those with Eisenmenger's syndrome is based mainly on clinical experience rather than being evidence based. General measures include recommendations for physical activity, pregnancy, infections, air travel, exposure to high altitudes and elective surgery, and that psychological assistance be provided as necessary. Phlebotomies are required only when hyperviscosity of the blood is evident, usually when the haematocrit is >65%. The use of supplemental oxygen therapy is controversial and it should be used only in patients in whom it produces a consistent increase in arterial oxygen saturation. Oral anticoagulant treatment with warfarin can be initiated in patients with pulmonary artery thrombosis and absent, or only mild, haemoptysis. The following three classes of drugs targeting the correction of abnormalities in endothelial dysfunction have been approved recently for the treatment of PAH: (i) prostanoids; (ii) endothelin receptor antagonists; and (iii) phosphodiesterase-5 inhibitors. The efficacy and safety of these compounds have been confirmed in uncontrolled studies in patients with PAH associated with corrected and uncorrected congenital systemic-to-pulmonary shunts, as well as in patients with Eisenmenger's syndrome. One randomized controlled trial reported favourable short- and long-term outcomes of treatment with the orally active dual endothelin receptor antagonist bosentan in patients with Eisenmenger's syndrome. Lung transplantation with repair of the cardiac defect or combined heart-lung transplantation are options for Eisenmenger's syndrome patients with a poor prognosis. A treatment algorithm based on the one used in the treatment of PAH patients is proposed for patients with PAH associated with corrected and uncorrected congenital systemic-to-pulmonary shunts and Eisenmenger's syndrome. PMID:18484798

  7. 78 FR 32294 - DeltaPoint Capital IV, L.P., DeltaPoint Capital IV (New York), L.P., License No. 02/02-0662,02/02...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-29

    ... DeltaPoint Capital IV, L.P., DeltaPoint Capital IV (New York), L.P., License No. 02/02-0662,02/02-0661... Notice is hereby given that DeltaPoint Capital IV, L.P. and DeltaPoint Capital IV (New York), L.P., 45... Interest of the Small Business Administration (``SBA'') Rules and Regulations (13 CFR 107.730)....

  8. 78 FR 21491 - DeltaPoint Capital IV, L.P., DeltaPoint Capital IV (New York), L.P.; Notice Seeking Exemption...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-10

    ... to Switchgear Acquisition, Inc., 1211 Stewart Avenue, Bethpage, NY 11714. The financing was... DeltaPoint Capital IV, L.P., owns more than ten percent of Switchgear Acquisition, Inc. Therefore,...

  9. 75 FR 80047 - Equitrans, L.P., Big Sandy Pipeline, LLC; Notice of Joint Application for Abandonment and...

    Federal Register 2010, 2011, 2012, 2013, 2014

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    ...Docket No. CP11-43-000] Equitrans, L.P., Big Sandy Pipeline, LLC; Notice of Joint Application...December 3, 2010, Equitrans L.P. (Equitrans) and Big Sandy Pipeline, LLC (Big Sandy), 625 Liberty Avenue, Suite 1700,...

  10. 78 FR 16493 - ExxonMobil Canada Energy, Flint Hills Resources Canada, LP, Imperial Oil, NOVA Chemical (Canada...

    Federal Register 2010, 2011, 2012, 2013, 2014

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  11. 78 FR 48205 - Ranger Alternative Management, L.P. and Ranger Funds Investment Trust; Notice of Application

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  12. 77 FR 33716 - Foreign-Trade Zone 70-Detroit, MI; Expansion of Subzone; Marathon Petroleum Company LP, (Oil...

    Federal Register 2010, 2011, 2012, 2013, 2014

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    ...Foreign-Trade Zone 70--Detroit, MI; Expansion of Subzone; Marathon Petroleum Company LP, (Oil Refinery) Detroit, MI An application...70, requesting an expansion of Subzone 70T, on behalf of Marathon Petroleum Company LP in Detroit, Michigan. The...

  13. 77 FR 24723 - AstraZeneca Pharmaceuticals LP; Withdrawal of Approval of a New Drug Application for IRESSA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-25

    ...SERVICES Food and Drug Administration...FDA-2012-N-0370] AstraZeneca Pharmaceuticals LP; Withdrawal of Approval of a New Drug Application for...approval of a new drug application (NDA...by AstraZeneca Pharmaceuticals LP...

  14. 75 FR 19643 - West Oaks Energy LP; Supplemental Notice That Initial Market-Based Rate Filing Includes Request...

    Federal Register 2010, 2011, 2012, 2013, 2014

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  16. 76 FR 28843 - Emergence Capital Partners SBIC, L.P.; Notice Seeking Exemption Under Section 312 of the Small...

    Federal Register 2010, 2011, 2012, 2013, 2014

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    ... Capital Partners SBIC, L.P. proposes to provide equity financing to Genius.com , Inc., 1400 Fashion Island... Capital Partners SBIC, L.P., own more than ten percent of Genius.com , Inc. Therefore, Genius.com ,...

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    ...Regulatory Commission [Project No. 7320-042] Erie Boulevard Hydropower, L.P.; Notice of Application Accepted for Filing and...Date filed: July 1, 2013. d. Applicant: Erie Boulevard Hydropower, L.P. e. Name of Project: Chasm Hydroelectric...

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    ...Regulatory Commission [Project No. 5984-063] Erie Boulevard Hydropower, L.P.; Notice of Application Accepted for Filing, Soliciting...Date Filed: May 10, 2011. d. Applicant: Erie Boulevard Hydropower, L.P. (dba Brookfield Renewable Power). e. Name...

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    ...Regulatory Commission [Project No. 7320-042] Erie Boulevard Hydropower, L.P.; Notice of Application Tendered for Filing With...Date Filed: July 1, 2013. d. Applicant: Erie Boulevard Hydropower, L.P. e. Name of Project: Chasm Hydroelectric...

  20. 78 FR 68044 - Erie Boulevard Hydropower, L.P.; Notice of Scoping Meetings and Environmental Site Review and...

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    ...Regulatory Commission [Project No. 7320-042] Erie Boulevard Hydropower, L.P.; Notice of Scoping Meetings and Environmental Site...Date filed: July 1, 2013. d. Applicant: Erie Boulevard Hydropower, L.P. e. Name of Project: Chasm Hydroelectric...

  1. 78 FR 62348 - Erie Boulevard Hydropower L.P.; Notice of Application Tendered for Filing With the Commission and...

    Federal Register 2010, 2011, 2012, 2013, 2014

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    ...Regulatory Commission [Project No. 7518-015] Erie Boulevard Hydropower L.P.; Notice of Application Tendered for Filing With the...Filed: September 30, 2013. d. Applicant: Erie Boulevard Hydropower L.P. e. Name of Project: Hogansburg Hydroelectric...

  2. 77 FR 25133 - Foreign-Trade Zone 126, Temporary/Interim Manufacturing Authority, Brightpoint North America L.P...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-27

    ...Manufacturing Authority, Brightpoint North America L.P. (Cell Phone Kitting and Distribution); Notice of Approval On March...on behalf of Brightpoint North America L.P., to produce cell phone kits under FTZ procedures within FTZ 126--Site...

  3. 77 FR 13593 - PowerSmith Cogeneration Project, LP; Notice of Request for Waiver

    Federal Register 2010, 2011, 2012, 2013, 2014

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    ...EL12-37-000; QF86-36-006] PowerSmith Cogeneration Project, LP; Notice of Request for...18 CFR 292.205(c), PowerSmith Cogeneration Project, LP (PowerSmith) filed a...Regulations for the topping- cycle cogeneration facility owned and operated by...

  4. 76 FR 4648 - PowerSmith Cogeneration Project, LP; Notice of Filing

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  5. 77 FR 71585 - Brookfield Energy Marketing LP v. ISO New England Inc.; Notice of Complaint

    Federal Register 2010, 2011, 2012, 2013, 2014

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    ... From the Federal Register Online via the Government Printing Office ] DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Brookfield Energy Marketing LP v. ISO New England Inc.; Notice of Complaint... the Federal Power Act, 16 U.S.C. 824(e) and 825(e), Brookfield Energy Marketing LP (Complainant)...

  6. 78 FR 21929 - TexStar Crude Oil Pipeline, LP; Notice of Filing

    Federal Register 2010, 2011, 2012, 2013, 2014

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    Federal Register 2010, 2011, 2012, 2013, 2014

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    ... From the Federal Register Online via the Government Publishing Office ] DEPARTMENT OF ENERGY Federal Energy Regulatory Commission TexStar Transmission, LP; Notice of Petition for Rate Approval Take notice that on November 2, 2012, TexStar Transmission, LP (TexStar) filed a Petition for Rate...

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    Federal Register 2010, 2011, 2012, 2013, 2014

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    ...Energy Regulatory Commission [Docket No. AC10-73-000] Trans-Union Interstate Pipeline, L.P.; Notice of Filing April 20, 2010. Take notice that on April 9, 2010 Trans-Union Interstate Pipeline, L.P. submitted a request...

  10. 78 FR 26358 - TransCanada Keystone Pipeline, LP; Notice of Petition for Declaratory Order

    Federal Register 2010, 2011, 2012, 2013, 2014

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    ... From the Federal Register Online via the Government Printing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission TransCanada Keystone Pipeline, LP; Notice of Petition for Declaratory Order... and Procedure, 18 CFR 385.207(a)(2)(2012), TransCanada Keystone Pipeline, LP filed a petition...

  11. 76 FR 28026 - TransCanada Keystone Pipeline, LP; Notice of Request for Waiver

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-13

    ... Energy Regulatory Commission TransCanada Keystone Pipeline, LP; Notice of Request for Waiver Take notice that on May 2, 2011, TransCanada Keystone Pipeline, LP (TransCanada Keystone) filed a request for... changes to its committed rates. TransCanada Keystone states that good cause exists to grant such a...

  12. 77 FR 73637 - Alliance Pipeline L.P.; Notice of Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-11

    ... Energy Regulatory Commission Alliance Pipeline L.P.; Notice of Application Take notice that on November 26, 2012, Alliance Pipeline L.P. (Alliance), 800, 605-5 Ave. SW., Calgary, Alberta, Canada T2P 3H5... directed to Brian Troicuk, Manager, Regulatory Affairs, Alliance Pipeline Ltd. on behalf of...

  13. 77 FR 7572 - Alliance Pipeline L.P.; Notice of Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-13

    ... Energy Regulatory Commission Alliance Pipeline L.P.; Notice of Application Take notice that on January 25, 2012, Alliance Pipeline L.P. filed with the Federal Energy Regulatory Commission an application under... interstate natural gas pipeline lateral designed to connect new natural gas production near Tioga,...

  14. Immunological crossreactivity between Lp(a) and the third component of complement

    SciTech Connect

    Fless, G.M.; ZumMallen, M.E.

    1987-05-01

    Lipoprotein(a) (Lp(a)) is known to be an independent risk factor for atherosclerosis, yet little is known about its physiological role. During the authors investigation of the site of synthesis of Lp(a), they made the observation that the third component of complement (C3) reacts with antisera to Lp(a). Hep G-2 cells or rhesus liver organ cultures were labelled using TVS-methionine in serum-free, methionine-free DMEM. The labelled media were immunoprecipitated with antisera raised in the goat and the rabbit against Lp(a) and apolipoprotein(a) (apo(a)). The immunoprecipitates were subjected to electrophoresis on 2.5 - 16% gradient gels and visualized by autoradiography. All antisera consistently precipitated a significant amount of C3. This reaction with C3 could be inhibited by competition with pure preparations of Lp(a) and apo(a) or by preincubation of the medium with antiserum to C3. In addition, immunoprecipitation of C3 by anti-C3 was inhibited by competition with both apo(a) and Lp(a). No cross-reactivity was observed with antisera to apoB, apoE, normal rabbit serum, or purified non-specific rabbit IgG. This unexpected crossreactivity between Lp(a) and C3, observed in vitro, may have biological relevance and suggests a possible relationship between Lp(a) and the immune system.

  15. 76 FR 35736 - Special Conditions: Gulfstream Aerospace LP (GALP) Model G250 Airplane Automatic Power Reserve...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-20

    ...Conditions: Gulfstream Aerospace LP (GALP) Model G250 Airplane Automatic Power Reserve...for the Gulfstream Aerospace LP (GALP) Model G250 airplane. This airplane will have...applied for a type certificate for their new Model G250 airplane. The G250 is an...

  16. 76 FR 12103 - Erie Boulevard Hydropower, L.P; Notice of Settlement Agreement and Soliciting Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-04

    ... From the Federal Register Online via the Government Printing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Erie Boulevard Hydropower, L.P; Notice of Settlement Agreement and.... Date Filed: February 18, 2011. d. Applicant: Erie Boulevard Hydropower, L.P. e. Location: The...

  17. Benchmarking Interior Point LP/QP Solvers H. D. Mittelmann \\Lambda

    E-print Network

    Mittelmann, Hans D.

    benchmark was just added to [15]. The following IPM codes will be compared for LP problems: BPMPD, HOPDM and on the benchmarked codes follows next. The fourth and fifth sections deal with LP, respectively QP, problems, while convex QP problems in the benchmark

  18. 78 FR 13661 - Energy Transfer Fuel, LP; Notice of Petition for Rate Approval

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-28

    ... From the Federal Register Online via the Government Printing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Energy Transfer Fuel, LP; Notice of Petition for Rate Approval Take notice that on February 15, 2013, Energy Transfer Fuel, LP filed for approval of rates for...

  19. 75 FR 29333 - Iroquois Gas Transmission System, L.P.; Notice of Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-25

    ... Energy Regulatory Commission Iroquois Gas Transmission System, L.P.; Notice of Application May 18, 2010. Take notice that on May 17, 2010, Iroquois Gas Transmission System, L.P. (Iroquois), One Corporate..., 2010. Kimberly D. Bose, Secretary. BILLING CODE 6717-01-P...

  20. 77 FR 28375 - Eagle Rock Desoto Pipeline, L.P.; Notice of Petition for Rate Approval

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-14

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Eagle Rock Desoto Pipeline, L.P.; Notice of Petition for Rate Approval Take notice that on May 1, 2012, Eagle Rock Desoto Pipeline, L.P. (Desoto) filed a Rate Election pursuant...

  1. 76 FR 20971 - Eagle Rock Desoto Pipeline, L.P.; Notice of Filing

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-14

    ... From the Federal Register Online via the Government Printing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Eagle Rock Desoto Pipeline, L.P.; Notice of Filing Take notice that on April 7, 2011, Eagle Rock Desoto Pipeline, L.P. filed a revised Statement of Operating Conditions...

  2. 75 FR 27774 - Eagle Rock Desoto Pipeline, L.P.; Notice of Rate Election

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-18

    ... From the Federal Register Online via the Government Printing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Eagle Rock Desoto Pipeline, L.P.; Notice of Rate Election May 11, 2010. Take notice that on May 3, 2010, Eagle Rock Desoto Pipeline, L.P., (Desoto) filed a Notice of Rate...

  3. 77 FR 50492 - Notice of Petition for Declaratory Order; Shell Pipeline Company LP

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-21

    ... petroleum from deepwater Gulf of Mexico wells to Houston and Nederland, Texas area refineries and markets... Energy Regulatory Commission Notice of Petition for Declaratory Order; Shell Pipeline Company LP Take notice that on August 10, 2012, pursuant to Rule 207(a)(2), Shell Pipeline Company LP submitted...

  4. 76 FR 25330 - Texas Eastern Transmission, LP; Notice of Request Under Blanket Authorization

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-04

    ... abandon in place, 7.1-miles of its 16-inch pipeline located in Federal waters in the Gulf of Mexico near... Energy Regulatory Commission Texas Eastern Transmission, LP; Notice of Request Under Blanket Authorization Take notice that on April 18, 2011 Texas Eastern Transmission, LP (Texas Eastern), 5400...

  5. 29 CFR 1926.153 - Liquefied petroleum gas (LP-Gas).

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... published in 49 CFR part 178, Shipping Container Specifications. (3) Definition. As used in this section... 29 Labor 8 2013-07-01 2013-07-01 false Liquefied petroleum gas (LP-Gas). 1926.153 Section 1926.153... § 1926.153 Liquefied petroleum gas (LP-Gas). (a) Approval of equipment and systems. (1) Each system...

  6. 29 CFR 1926.153 - Liquefied petroleum gas (LP-Gas).

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... published in 49 CFR part 178, Shipping Container Specifications. (3) Definition. As used in this section... 29 Labor 8 2014-07-01 2014-07-01 false Liquefied petroleum gas (LP-Gas). 1926.153 Section 1926.153... § 1926.153 Liquefied petroleum gas (LP-Gas). (a) Approval of equipment and systems. (1) Each system...

  7. 29 CFR 1926.153 - Liquefied petroleum gas (LP-Gas).

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... published in 49 CFR part 178, Shipping Container Specifications. (3) Definition. As used in this section... 29 Labor 8 2012-07-01 2012-07-01 false Liquefied petroleum gas (LP-Gas). 1926.153 Section 1926.153... § 1926.153 Liquefied petroleum gas (LP-Gas). (a) Approval of equipment and systems. (1) Each system...

  8. 29 CFR 1926.153 - Liquefied petroleum gas (LP-Gas).

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... published in 49 CFR part 178, Shipping Container Specifications. (3) Definition. As used in this section... 29 Labor 8 2011-07-01 2011-07-01 false Liquefied petroleum gas (LP-Gas). 1926.153 Section 1926.153... § 1926.153 Liquefied petroleum gas (LP-Gas). (a) Approval of equipment and systems. (1) Each system...

  9. 29 CFR 1926.153 - Liquefied petroleum gas (LP-Gas).

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... published in 49 CFR Part 178, Shipping Container Specifications. (3) Definition. As used in this section... 29 Labor 8 2010-07-01 2010-07-01 false Liquefied petroleum gas (LP-Gas). 1926.153 Section 1926.153... § 1926.153 Liquefied petroleum gas (LP-Gas). (a) Approval of equipment and systems. (1) Each system...

  10. 77 FR 73089 - Cambria Investment Management, L.P. and Cambria ETF Trust; Notice of Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-07

    ... COMMISSION Cambria Investment Management, L.P. and Cambria ETF Trust; Notice of Application November 30, 2012... 12(d)(1)(J) of the Act for an exemption from sections 12(d)(1)(A) and (B) of the Act. Applicants: Cambria Investment Management, L.P. (``Cambria'') and Cambria ETF Trust (the ``Trust''). SUMMARY:...

  11. 77 FR 74884 - Cambria Investment Management, L.P. and Cambria ETF Trust; Notice of Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-18

    ... COMMISSION Cambria Investment Management, L.P. and Cambria ETF Trust; Notice of Application December 12, 2012... 12(d)(1)(J) of the Act for an exemption from sections 12(d)(1)(A) and (B) of the Act. Applicants: Cambria Investment Management, L.P. (``Cambria'') and Cambria ETF Trust (the ``Trust''). Summary...

  12. 76 FR 80424 - Highland Capital Management, L.P., et al.; Notice of Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-23

    ... COMMISSION Highland Capital Management, L.P., et al.; Notice of Application December 19, 2011. AGENCY... Act for an exemption from sections 17(a)(1) and (a)(2) of the Act, and under section 12(d)(1)(J) for... Management, L.P. (``Adviser''), Highland Funds I (``Trust'') and Nexbank Securities, Inc....

  13. 78 FR 61947 - Equitrans, L.P.; Notice of Request Under Blanket Authorization

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-07

    ... instructions on the Commission's Web site under the ``e-Filing'' link. Dated: September 26, 2013. Nathaniel J... Energy Regulatory Commission Equitrans, L.P.; Notice of Request Under Blanket Authorization Take notice that on September 16, 2013, Equitrans, L.P. (Equitrans), 625 Liberty Avenue, Suite 1700,...

  14. 75 FR 49917 - Enbridge Pipelines (North Texas) L.P.; Notice of Baseline Filing

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-16

    ...-8659. Comment Date: 5 p.m. Eastern Time on Monday, August 16, 2010. Nathaniel J. Davis, Sr., Deputy... Energy Regulatory Commission Enbridge Pipelines (North Texas) L.P.; Notice of Baseline Filing August 6, 2010. Take notice that on July 29, 2010, Enbridge Pipelines (North Texas) L.P. submitted a...

  15. 77 FR 65680 - Gulf South Pipeline Company, L.P.; Notice of Request Under Blanket Authorization

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-30

    ... Energy Regulatory Commission Gulf South Pipeline Company, L.P.; Notice of Request Under Blanket Authorization Take notice that on October 11, 2012, Gulf South Pipeline Company, L.P. (Gulf South), 9 Greenway Plaza, Suite 2800, Houston, Texas 77046, pursuant to the blanket certificate issued to Gulf...

  16. 77 FR 44610 - Enbridge Pipelines (North Texas) L.P.; Notice of Compliance Filing

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-30

    ... 23, 2012. Nathaniel J. Davis, Sr., Deputy Secretary. BILLING CODE 6717-01-P ... Energy Regulatory Commission Enbridge Pipelines (North Texas) L.P.; Notice of Compliance Filing Take notice that on July 13, 2012, Enbridge Pipelines (North Texas) L.P. filed a revised Statement...

  17. 75 FR 43801 - Airworthiness Directives; Eurocopter France (ECF) Model EC225LP Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-27

    ... ``significant rule'' under the DOT Regulatory Policies and Procedures (44 FR 11034, February 26, 1979); and 3... (ECF) Model EC225LP Helicopters AGENCY: Federal Aviation Administration (FAA), Department of... directive (AD) for the specified ECF Model EC225LP helicopters. This AD results from a mandatory...

  18. Automated Test Assembly Using lp_Solve Version 5.5 in R

    ERIC Educational Resources Information Center

    Diao, Qi; van der Linden, Wim J.

    2011-01-01

    This article reviews the use of the software program lp_solve version 5.5 for solving mixed-integer automated test assembly (ATA) problems. The program is freely available under Lesser General Public License 2 (LGPL2). It can be called from the statistical language R using the lpSolveAPI interface. Three empirical problems are presented to…

  19. 76 FR 12103 - Erie Boulevard Hydropower, L.P; Notice of Settlement Agreement and Soliciting Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-04

    ...Project No. 2713-082] Erie Boulevard Hydropower, L.P; Notice of Settlement Agreement...2011. d. Applicant: Erie Boulevard Hydropower, L.P. e. Location: The existing...Contact: Daniel Daoust, Erie Boulevard Hydropower, 33 West 1st Street, South,...

  20. TCP-LP: Low-Priority Service via End-Point Congestion Control

    E-print Network

    Kuzmanovic, Aleksandar

    . To this end, we develop TCP Low Priority (TCP-LP), a distributed algorithm whose goal is to uti- lize only service. Namely, the objective is for TCP-LP flows to uti- lize the bandwidth left unused by TCP flows

  1. Lp-SPECTRUM OF THE DIRAC OPERATOR ON PRODUCTS WITH HYPERBOLIC SPACES

    E-print Network

    Ammann, Bernd

    Lp-SPECTRUM OF THE DIRAC OPERATOR ON PRODUCTS WITH HYPERBOLIC SPACES BERND AMMANN AND NADINE GRO#E Abstract.We study the Lp-spectrum of the Dirac operator on complete mani* *folds. One of the main questions in this context is whether this spectrum depen

  2. 76 FR 81925 - Freeport LNG Development, L.P.; Notice of Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-29

    ... Energy Regulatory Commission Freeport LNG Development, L.P.; Notice of Application Take notice that on December 9, 2011, Freeport LNG Development, L.P. (Freeport LNG), filed an application pursuant to Section 3... authorization to modify the certificated LNG facilities located on Quintana Island, Texas. The filing may...

  3. 78 FR 23552 - Dominion Cove Point LNG, LP; Notice of Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-19

    ... Energy Regulatory Commission Dominion Cove Point LNG, LP; Notice of Application Take notice that on April 1, 2013, Dominion Cove Point LNG, LP (Dominion Cove Point), 120 Tredegar Street, Richmond, Virginia... for the export at its existing Cove Point LNG terminal in Calvert County, Maryland....

  4. 76 FR 58488 - Dominion Cove Point LNG, LP; Application for Blanket Authorization to Export Previously Imported...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-21

    ... Cove Point LNG, LP; Application for Blanket Authorization to Export Previously Imported Liquefied... (Application), filed on August 8, 2011, by Dominion Cove Point LNG, LP (DCP), requesting blanket authorization to export liquefied natural gas (LNG) that previously had been imported into the United States...

  5. 78 FR 35263 - Freeport LNG Development, L.P.; Application for Blanket Authorization To Export Previously...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-12

    ... Relating to Regulation of Imported Natural Gas, 49 FR 6684 (Feb. 22, 1984). Freeport LNG states that the... LNG Development, L.P.; Application for Blanket Authorization To Export Previously Imported Liquefied... application (Application), filed on April 19, 2013, by Freeport LNG Development, L.P. (Freeport...

  6. 76 FR 40723 - Dominion Cove Point LNG, LP; Notice of Technical Conference

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-11

    ... From the Federal Register Online via the Government Printing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Dominion Cove Point LNG, LP; Notice of Technical Conference On May 27, 2011, pursuant to section 4 of the Natural Gas Act (NGA), Dominion Cove Point LNG, LP (Cove Point) filed...

  7. 75 FR 74029 - Sabine Pass LNG, L.P.; Notice of Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-30

    ... Energy Regulatory Commission Sabine Pass LNG, L.P.; Notice of Application November 22, 2010. Take notice that on November 12, 2010, Sabine Pass LNG, L.P. (Sabine Pass), 700 Milam Street, Suite 800, Houston... a redundant high pressure boil off gas compressor at its existing Sabine Pass LNG Terminal,...

  8. 75 FR 35017 - Brookfield Energy Marketing LP; Supplemental Notice That Initial Market-Based Rate Filing...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-21

    ... Energy Regulatory Commission Brookfield Energy Marketing LP; Supplemental Notice That Initial Market... supplemental notice in the above-referenced proceeding of Brookfield Energy Marketing LP's application for... or call (866) 208-3676 (toll free). For TTY, call (202) 502-8659. Kimberly D. Bose,...

  9. 76 FR 4648 - PowerSmith Cogeneration Project, LP; Notice of Filing

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-26

    ... Energy Regulatory Commission PowerSmith Cogeneration Project, LP; Notice of Filing January 19, 2011. Take notice that on January 13, 2011, PowerSmith Cogeneration Project, LP (PowerSmith), pursuant to section... Regulations for the topping-cycle cogeneration facility owned and operated by PowerSmith located in...

  10. 77 FR 13593 - PowerSmith Cogeneration Project, LP; Notice of Request for Waiver

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-07

    ... Energy Regulatory Commission PowerSmith Cogeneration Project, LP; Notice of Request for Waiver Take... Act of 1978 (PURPA), as amended, 18 CFR 292.205(c), PowerSmith Cogeneration Project, LP (PowerSmith...-205(a)(1) of the Commission's Regulations for the topping- cycle cogeneration facility owned...

  11. 78 FR 34089 - Jordan Cove Energy Project, L.P.; Notice of Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-06

    ...Jordan Cove Energy Project, L.P.; Notice of Application Take...Jordan Cove Energy Project, L.P. (Jordan Cove), 125 Central...should be directed to Beth L. Webb, Dickstein Shapiro LLP, 1825...20426. Comment Date: 5:00 p.m. Eastern Time on June...

  12. INTERSECTION BODIES AND Lp-SPACES. N.J. KALTON AND A. KOLDOBSKY

    E-print Network

    Koldobsky, Alexander

    ]) that an n-dimensional normed space (Rn , · ) embeds in Lp, p > -1 if and only if there exists a finite Borel. The standard way of doing it is by using distributions. Applying both sides of the latter equality to a test at the following Definition 1. Let X be an n-dimensional normed space, and -n embeds in Lp

  13. Predictive Simulation of Bidirectional Glenn Shunt Using a Hybrid Blood Vessel Model

    E-print Network

    Leow, Wee Kheng

    Predictive Simulation of Bidirectional Glenn Shunt Using a Hybrid Blood Vessel Model Hao Li1 to model the deformation of blood vessels. The hybrid blood vessel model consists of a reference Cosserat rod and a surface mesh. The reference Cosserat rod models the blood vessel's global bending

  14. Percutaneous In Utero Thoracoamniotic Shunt Creation for Fetal Thoracic Abnormalities Leading to Non-Immune Hydrops

    PubMed Central

    White, Sarah B.; Tutton, Sean M.; Rilling, William S.; Kuhlmann, Randall S.; Peterson, Erika L.; Wigton, Thomas R.; Ames, Mary B.

    2015-01-01

    Purpose In a fetus, rare, fetal thoracic abnormalities can cause mediastinal shift and vena cava obstruction resulting in fetal hydrops and intra-uterine fetal demise. This series describes a trans-abdominal, trans-uterine Seldinger based percutaneous approach to create a shunt for treatment of these fetal abnormalities. Material and Methods Five fetuses presented with non-immune fetal hydrops due to fetal thoracic abnormalities causing severe mass effect. Under direct ultrasound guidance, an 18 G needle was used to access the malformation. Through a peel away sheath, a customized pediatric transplant 4.5 French double J ureteral stent was advanced; the leading loop was placed in the fetal thorax and the trailing end left outside the fetal thorax within the amniotic cavity. Results Seven thoracoamniotic shunts were successfully placed in 5 fetuses, with one shunt immediately replaced due to displacement during the procedure and the second not functioning at follow-up requiring insertion of a second shunt. All fetuses had successful decompression of the thoracic malformation, allowing lung re-expansion and resolution of hydrops. Three of 5 mothers had meaningful (> 7 days) prolongation of their pregnancies. All pregnancies were maintained to > 30 weeks, with a range of 30 weeks 1 day to 37 weeks 2 days. There were no maternal complications. Conclusions Seldinger based percutaneous approach to draining fetal thoracic abnormalities is feasible and can allow for prolongation of pregnancy, antenatal lung development and ultimately result in fetal survival. PMID:24702750

  15. Effects of Ground Equalization on the Electrical Performance of Asymmetric CPW Shunt Stubs

    NASA Technical Reports Server (NTRS)

    Dib, Nihad; Gupta, Minoo; Ponchak, George; Katehi, Linda

    1993-01-01

    A hybrid technique is used to study the effects of ground equalization on the electrical performance of CPW shunt stubs. Extensive experiments have been performed and the results are in good agreement with theoretical data. The advantages of using air-bridges in CPW circuits as opposed to bond-wires are also discussed.

  16. Cardiac magnetic resonance 'virtual catheterization' for the quantification of valvular regurgitations and cardiac shunt.

    PubMed

    Aquaro, Giovanni Donato; Barison, Andrea; Todiere, Giancarlo; Festa, Pierluigi; Ait-Ali, Lamia; Lombardi, Massimo; Di Bella, Gianluca

    2015-10-01

    Cardiac magnetic resonance (CMR) is considered the gold-standard noninvasive technique for the quantification of ventricular volumes by cine-imaging and of vascular flows by velocity-encoded phase contrast (VENC). In routine CMR scans, it is common to found clinical conditions, as valve regurgitations and cardiac shunts, producing a volume overload and significant mismatch between the right and left ventricular stroke volumes (RSV and LSV). In the presence of a valve regurgitation, the volume overload involves the respective ventricular chamber, whereas in cardiac shunts, the location of the volume overload depends on the site of the anatomic defect. Moreover, when a cardiac shunt is present, pulmonary and systemic cardiac outputs are different (Qp/Qs??1), whereas in the presence of valve regurgitation, Qp/Qs?=?1. Therefore, by combining the cine-imaging with the VENC technique, it is possible to investigate the cardiac physiology underlying different pathological conditions producing volume overload, and to quantify this overload (the regurgitant volume and/or shunt volume). In this report, we discussed the technical, theoretical and methodological aspects of this sort of 'virtual catheterization' by CMR, providing a simple algorithm to make the correct diagnosis. PMID:25643193

  17. Racial and socioeconomic disparities in outcomes following pediatric cerebrospinal fluid shunt procedures.

    PubMed

    Attenello, Frank J; Ng, Alvin; Wen, Timothy; Cen, Steven Y; Sanossian, Nerses; Amar, Arun P; Zada, Gabriel; Krieger, Mark D; McComb, J Gordon; Mack, William J

    2015-06-01

    OBJECT Racial and socioeconomic disparities within the US health care system are a growing concern. Despite extensive research and efforts to narrow such disparities, minorities and economically disadvantaged patients continue to exhibit inferior health care outcomes. Disparities in the delivery of pediatric neurosurgical care are understudied. Authors of this study examine the impact of race and socioeconomic status on outcomes following pediatric CSF shunting procedures. METHODS Discharge information from the 2000, 2003, 2006, and 2009 Kids' Inpatient Database for individuals (age < 21 years) with a diagnosis of hydrocephalus who had undergone CSF shunting procedures was abstracted for analysis. Multivariate logistic regression analyses, adjusting for patient and hospital factors and annual CSF shunt procedure volume, were performed to evaluate the effects of race and payer status on the likelihood of inpatient mortality and nonroutine hospital discharge (that is, not to home). RESULTS African American patients (p < 0.05) had an increased likelihood of inpatient death and nonroutine discharge compared with white patients. Furthermore, Medicaid patients had a significantly higher likelihood of nonroutine discharge (p < 0.05) as compared with privately insured patients. CONCLUSIONS Findings in this study, which utilized US population-level data, suggest the presence of racial and socioeconomic status outcome disparities following pediatric CSF shunting procedures. Further studies on health disparities in this population are warranted. PMID:25791773

  18. Transjugular Intrahepatic Portosystemic Shunt Placement in Patients with Cirrhosis and Concomitant Portal Vein Thrombosis

    SciTech Connect

    Ha, Thuong G. Van Hodge, Justin; Funaki, Brian; Lorenz, Jonathan; Rosenblum, Jordan; Straus, Christopher; Leef, Jeff

    2006-10-15

    Purpose. To determine the safety and efficacy of transjugular intrahepatic portosystemic shunt (TIPS) creation in patients with liver cirrhosis complicated by thrombosed portal vein. Methods. This study reviewed 15 cases of TIPS creation in 15 cirrhotic patients with portal vein thrombosis at our institution over an 8-year period. There were 2 women and 13 men with a mean age of 53 years. Indications were refractory ascites, variceal hemorrhage, and refractory pleural effusion. Clinical follow-up was performed in all patients. Results. The technical success rate was 75% (3/4) in patients with chronic portal vein thrombosis associated with cavernomatous transformation and 91% (10/11) in patients with acute thrombosis or partial thrombosis, giving an overall success rate of 87%. Complications included postprocedural encephalopathy and localized hematoma at the access site. In patients with successful shunt placement, the total follow-up time was 223 months. The 30-day mortality rate was 13%. Two patients underwent liver transplantation at 35 days and 7 months, respectively, after TIPS insertion. One patient had an occluded shunt at 4 months with an unsuccessful revision. The remaining patients had functioning shunts at follow-up. Conclusion. TIPS creation in thrombosed portal vein is possible and might be a treatment option in certain patients.

  19. Optimally tuned resonant negative capacitance for piezoelectric shunt damping based on measured electromechanical impedance

    NASA Astrophysics Data System (ADS)

    Salloum, Rogério; Heuss, Oliver; Götz, Benedict; Mayer, Dirk

    2015-04-01

    In this paper, a new tuning method for shunt damping with a series resistance, inductance and negative capacitance is proposed and its validity is investigated. It is based on the measured electromechanical impedance of a piezoelectric system, which is represented through an equivalent electrical circuit that takes into account the characteristics of the piezoelectric transducer and the host structure. Afterwards, an additional circuit representing the shunt is connected and the Norton equivalent impedance is obtained at the terminals that represent the mechanical mode of interest. During the tuning process, the optimal shunt parameters are found by minimizing the maximum absolute value of the Norton equivalent impedance over a defined frequency range through a numerical optimization. Taking benefit from the analogy between electrical impedance and mechanical admittance, the minimization of different mechanical responses (displacement, velocity or acceleration) is also proposed and the different optimum shunt parameters obtained are compared. In view of real technical applications, this method allows the integration of a real negative capacitance circuit, i.e., a negative impedance converter, rather than an ideal component. It is thus possible to use the impedance of this circuit and optimize the individual component values. Since this method is based on one simple measurement, it can be applied to arbitrary structures without the need of complex dynamic tests or expensive finite elements calculations. Finally, an experimental analysis is carried out in order to compare the damping performance of the proposed method and the conventional analytical method that minimizes a mechanical frequency response function.

  20. Variation of the Rex shunt for treating concurrent obstruction of the portal and superior mesenteric veins.

    PubMed

    Salzedas-Netto, Alcides Augusto; Duarte, Alexandre Alberto Barros; Linhares, Marcelo Moura; Mattar, Regina Helena; Medeiros, Karina Lúcio; Cury, Edson Khodor; Filho, Gaspar de Jesus Lopes; Gonzalez, Adriano Miziara; Martins, José Luiz

    2011-10-01

    Children with extrahepatic portal vein obstruction can be managed successfully by surgical intervention and should be evaluated for potential meso-Rex bypass. A Rex shunt variation is described to treat portal and superior mesenteric vein thrombosis. This technique uses the internal jugular vein as a conduit between the splenic vein and the left portal vein with splenic preservation. PMID:22008343

  1. Transhepatic closure of atrial septal defect and assisted closure of modified Blalock/Taussig shunt.

    PubMed

    Ebeid, Makram R; Joransen, James A; Gaymes, Charles H

    2006-05-01

    The details of transhepatic closure of moderate - large size atrial septal defect as well as assisted closure of a modified Blalock Taussig shunt in a 2 1/2 year old patient with occluded femoral vessels are discussed. The technical variations as well as the potential advantages of this route are outlined. PMID:16575924

  2. Comparison of Incidence and Risk Factors for Shunt-dependent Hydrocephalus in Aneurysmal Subarachnoid Hemorrhage Patients

    PubMed Central

    Bae, In-Seok; Choi, Kyu-Sun; Chun, Hyoung-Joon

    2014-01-01

    Objective The objective of this study was to compare the incidence of ventricular shunt placement for shunt-dependent hydrocephalus (SDHC) after clipping versus coiling of ruptured aneurysms. Materials and Methods A retrospective review was conducted in 215 patients with aneurysmal subarachnoid hemorrhage (SAH) who underwent surgical clipping or endovascular coiling during the period from May 2008 to December 2011. Relevant clinical and radiographic data were analyzed with regard to the incidence of hydrocephalus and ventriculo-peritoneal shunt (VPS). Patients treated with clipping were assigned to Group A, while those treated with coiling were assigned to Group B. Results Of 215 patients (157 clipping, 58 coiling), no significant difference in the incidence of final VPS was observed between treatment modalities (15.3% vs. 10.3%) (p = 0.35). Independent risk factors for VPS for treatment of chronic hydrocephalus were as follows: (1) older than 65 years, (2) poorer Hunt-Hess grade IV and V, (3) Fisher grade III and IV, and (4) particularly initial presence of an intraventricular hemorrhage. Conclusion In this study comparing two modalities for treatment of aneurysm, there was no difference in the incidence of chronic hydrocephalus requiring VPS. A significantly higher rate of shunt dependency was observed for age older than 65 years, poor initial neurological status, and thick SAH with presence of initial intraventricular hemorrhage. By understanding these factors related to development of SDHC and results, it is expected that management of aneurysmal SAH will result in a better prognosis. PMID:25045646

  3. A Multi-Mode Blade Damping Control using Shunted Piezoelectric Transducers with Active Feedback Structure

    NASA Technical Reports Server (NTRS)

    Choi, Benjamin; Morrison, Carlos; Min, James

    2009-01-01

    The Structural Dynamics and. Mechanics branch (RXS) is developing smart adaptive structures to improve fan blade damping at resonances using piezoelectric (PE) transducers. In this presentation, only one shunted PE transducer was used to demonstrate active control of multi-mode blade resonance damping on a titanium alloy (Ti-6A1-4V) flat plate model, regardless of bending, torsion, and 2-stripe modes. This work would have a significant impact on the conventional passive shunt damping world because the standard feedback control design tools can now be used to design and implement electric shunt for vibration control. In other words, the passive shunt circuit components using massive inductors and. resistors for multi-mode resonance control can be replaced with digital codes. Furthermore, this active approach with multi patches can simultaneously control several modes in the engine operating range. Dr. Benjamin Choi presented the analytical and experimental results from this work at the Propulsion-Safety and. Affordable Readiness (P-SAR) Conference in March, 2009.

  4. ONLINE-TUNED MULTI-MODE RESONANT PIEZOELECTRIC SHUNT FOR BROADBAND VIBRATION

    E-print Network

    Fleming, Andrew J.

    to the terminals of a bonded piezoelectric transducer. This is referred to as piezoelectric shunt damping. Good- ized by the connection of an electrical impedance to a structurally bonded piezoelectric transducer excited by a point force f(r, t), and the voltage Va applied to a dis- turbance patch. The resulting

  5. Portosystemic shunting and persistent fetal vascular structures in aryl hydrocarbon receptor-

    E-print Network

    Bradfield, Christopher A.

    Portosystemic shunting and persistent fetal vascular structures in aryl hydrocarbon receptor that the encoded aryl hydro- carbon receptor plays a role in the resolution of fetal vascular structures during development. Although the aryl hydrocarbon receptor is more commonly studied for its role in regulating

  6. Tube shunt coverage with gamma-irradiated cornea allograft (VisionGraft)

    PubMed Central

    Ekici, Feyzahan; Moster, Marlene R; Cvintal, Victor; Hu, Wanda D; Waisbourd, Michael

    2015-01-01

    Purpose To investigate the clinical outcomes of tube shunt coverage using sterile gamma-irradiated cornea allograft. Patients and methods The Wills Eye Hospital Glaucoma Research Center retrospectively reviewed the medical records of 165 patients who underwent glaucoma tube shunt procedures using sterile gamma-irradiated cornea allograft (VisionGraft) between December 2012 and November 2013. Demographic characteristics, type of tube shunt, and position were noted. Complications were recorded at 1 day; 1 week; 1, 3, 6, and 12 months; and on the final postoperative visit. Results One hundred and sixty-nine eyes of 165 patients were included. The mean follow-up time was 4.8±3.5 (ranging from 1 to 16) months. There was no evidence of immunological reaction, infection, or exposure in 166 eyes (98.2%). Three eyes (1.8%) experienced graft or tube exposure within the first 3 postoperative months. Two of the cases had underlying diseases: bullous pemphigoid and chronic allergic conjunctivitis. Conclusion Coverage of tube shunts using gamma-irradiated cornea allograft had a low exposure rate and was well tolerated. The graft can be stored long term at room temperature and has an excellent postoperative cosmetic appearance. PMID:25995612

  7. Passive Shunt Damping of a Piezoelectric Stack Nanopositioner Arnfinn Aas Eielsen and Andrew J. Fleming

    E-print Network

    Fleming, Andrew J.

    Passive Shunt Damping of a Piezoelectric Stack Nanopositioner Arnfinn Aas Eielsen and Andrew J in series with the driving piezoelectric stack actuator to damp the first mechanical resonance to be stable, and significantly improves the system response. I. INTRODUCTION Nanopositioning devices generate

  8. Dominant resonant mode damping of a piezoelectric tube nanopositioner using optimal sensorless shunts

    E-print Network

    Fleming, Andrew J.

    Dominant resonant mode damping of a piezoelectric tube nanopositioner using optimal sensorless shunts Sumeet S. Aphale, S. O. Reza Moheimani* and Andrew J. Fleming Abstract-- Piezoelectric tube to have higher scan speeds and accuracy. This has in turn, generated significant interest in the area

  9. Computer simulation of magnetization-controlled shunt reactors for calculating electromagnetic transients in power systems

    SciTech Connect

    Karpov, A. S.

    2013-01-15

    A computer procedure for simulating magnetization-controlled dc shunt reactors is described, which enables the electromagnetic transients in electric power systems to be calculated. It is shown that, by taking technically simple measures in the control system, one can obtain high-speed reactors sufficient for many purposes, and dispense with the use of high-power devices for compensating higher harmonic components.

  10. Spontaneous echocardiographic contrast associated with portosystemic shunt due to persistent patent ductus venosus.

    PubMed

    Toib, Amir; Goldstein, Seth B; Khanna, Geetika; Canter, Charles E; Lee, Caroline K; Balzer, David T; Singh, Gautam K

    2012-01-01

    We describe a case of an infant with a single ventricle physiology, who presented with spontaneous microbubbles originating from her inferior vena cava. Imaging revealed a persistent patent ductus venosus, leading to a portosystemic shunt, streaming the microbubbles into the heart. We discuss the possible mechanisms for this rare phenomenon in a child. PMID:22129147

  11. Abstract KeLP \\Lambda S.B. Baden y , P. Colella z , D. Shalit y , B. Van

    E-print Network

    Baden, Scott B.

    ``paper'' 2000/12/12 page 1 i i i i i i i i Abstract KeLP \\Lambda S.B. Baden y , P. Colella z , D. The resultant infrastructure, called KeLP \\Lambda , has been applied to a variety of applications including­ tured adaptive refinement for ab­initio molecular dynamics [13]. A distinguishing feature of KeLP

  12. 77 FR 60883 - Special Conditions: Eurocopter France (ECF) Model EC225LP Helicopter, Installation of a Search...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-05

    ...Conditions: Eurocopter France (ECF) Model EC225LP Helicopter, Installation of a...conditions No. 29-022-SC, for the ECF model EC225LP helicopter, which were published...to install an optional SAR AFCS in the model EC225LP helicopter. The model...

  13. 75 FR 79312 - Special Conditions: Eurocopter France (ECF) Model EC225LP Helicopter, Installation of a Search...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-20

    ...Conditions: Eurocopter France (ECF) Model EC225LP Helicopter, Installation of a...amended special conditions for the ECF model EC225LP helicopter. This helicopter...to install an optional SAR AFCS in the model EC225LP helicopter. The model...

  14. 75 FR 6414 - Cardinal Growth, L.P.; Notice Seeking Exemption Under Section 312 of the Small Business...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-09

    ...License No. 05/75-0257] Cardinal Growth, L.P.; Notice Seeking Exemption Under...Interest Notice is hereby given that Cardinal Growth, L.P., 311 South Wacker Driver...Regulations (13 CFR 107.730). Cardinal Growth, L.P. provided financing to...

  15. 78 FR 70546 - Erie Boulevard Hydropower, L.P.; Notice of Application Accepted for Filing, Soliciting Motions To...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-26

    ...Project No. 7518-015] Erie Boulevard Hydropower, L.P.; Notice of Application Accepted...2013. d. Applicant: Erie Boulevard Hydropower, L.P. e. Name of Project: Hogansburg...Licensing Manager, Erie Boulevard Hydropower, L.P., 33 West 1st Street...

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    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-20

    ...Project No. 7320-040] Erie Boulevard Hydropower, L.P.; Notice of Intent To File...d. Submitted By: Erie Boulevard Hydropower, L.P. e. Name of Project: Chasm...mudre@ferc.gov. j. Erie Boulevard Hydropower, L.P. (Erie) filed its...

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    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-07

    ...Project No. 7518-012] Erie Boulevard Hydropower L.P.; Notice of Intent To File License...d. Submitted By: Erie Boulevard Hydropower L.P. e. Name of Project: Hogansburg...we are designating Erie Boulevard Hydropower L.P. as the Commission's...

  18. 78 FR 62344 - Sabine Pass Liquefaction Expansion, LLC, Sabine Pass Liquefaction, LLC, and Sabine Pass LNG, L.P...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-18

    ... Sabine Pass LNG, L.P., Cheniere Creole Trail Pipeline, L.P.; Notice of Application Take notice that on... LNG, L.P. (collectively referred to as Sabine Pass) filed with the Federal Energy Regulatory..., construct, and operate additional liquefied natural gas (LNG) export facilities at the Sabine Pass...

  19. Building a 3D Yeast Genome Map Using 4C and LP Methods A thesis presented to the faculty of

    E-print Network

    Hosten, Serkan

    Building a 3D Yeast Genome Map Using 4C and LP Methods A thesis presented to the faculty of San;CERTIFICATION OF APPROVAL I certify that I have read Building a 3D Yeast Genome Map Using 4C and LP Methods Javier Arsuaga Professor of Mathematics, UC Davis #12;Building a 3D Yeast Genome Map Using 4C and LP

  20. 78 FR 63560 - Notice of Receipt of an Application by Magellan Pipeline Company, L.P., for Issuance of a...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-24

    ...Application by Magellan Pipeline Company, L.P., for Issuance of a Presidential Permit...Application by Magellan Pipeline Company, L.P., for Issuance of a Presidential Permit...received from Magellan Pipeline Company, L.P. (``Magellan'') notice that...

  1. Piezoelectric Shunt Vibration Damping of F-15 Panel under High Acoustic Excitation

    NASA Technical Reports Server (NTRS)

    Wu, Shu-Yau; Turner, Travis L.; Rizzi, Stephen A.

    2000-01-01

    At last year's SPIE symposium, we reported results of an experiment on structural vibration damping of an F-15 underbelly panel using piezoelectric shunting with five bonded PZT transducers. The panel vibration was induced with an acoustic speaker at an overall sound pressure level (OASPL) of about 90 dB. Amplitude reductions of 13.45 and 10.72 dB were achieved for the first and second modes, respectively, using single- and multiple-mode shunting. It is the purpose of this investigation to extend the passive piezoelectric shunt-damping technique to control structural vibration induced at higher acoustic excitation levels, and to examine the controllability and survivability of the bonded PZT transducers at these high levels. The shunting experiment was performed with the Thermal Acoustic Fatigue Apparatus (TAFA) at the NASA Langley Research Center using the same F-15 underbelly panel. The TAFA is a progressive wave tube facility. The panel was mounted in one wall of the TAFA test section using a specially designed mounting fixture such that the panel was subjected to grazing-incidence acoustic excitation. Five PZT transducers were used with two shunt circuits designed to control the first and second modes of the structure between 200 and 400 Hz. We first determined the values of the shunt inductance and resistance at an OASPL of 130 dB. These values were maintained while we gradually increased the OASPL from 130 to 154 dB in 6-dB steps. During each increment, the frequency response function between accelerometers on the panel and the acoustic excitation measured by microphones, before and after shunting, were recorded. Good response reduction was observed up to the 148dB level. The experiment was stopped at 154 dB due to wire breakage from vibration at a transducer wire joint. The PZT transducers, however, were still bonded well on the panel and survived at this high dB level. We also observed shifting of the frequency peaks toward lower frequency when the OASPL was increased. Detailed experimental results will be presented.

  2. Reduced clearance of proteins labeled with diisopropylfluorophosphate in portacaval-shunted rats

    PubMed Central

    Dienel, Gerald A.; Cruz, Nancy F.

    2013-01-01

    Portacaval shunting is a model for hepatic encephalopathy that causes chronic hyperammonemia, disruption of metabolic, signaling, and neurotransmitter systems, and progressive morphological changes. Exposure of cultured cells to ammonia raises intralysosomal pH and inhibits proteolysis, and the present study tested the hypothesis that proteolytic capacity is diminished in portacaval-shunted rats. Proteins were labeled in vivo with tracer doses of diisopropylfluorophosphate (DFP) and clearance of label was assayed. This approach labeled proteins independent of protein synthesis, which is reported to be altered in shunted rats, and avoided complications arising from re-utilization of labeled amino acids that causes underestimation of degradation rate. Characterization of DFP labeling showed that protein labeling was fast, about 50% of the label was released during a 24h interval, labeling by DFP metabolites was negligible, inhibition of brain acetylcholinesterase was not detectable, and labeling by [3H]- and [14C]DFP was equivalent. To assay degradative capacity, proteins were first labeled with [3H]DFP, followed by labeling with [14C]DFP that was given 24 or 72h later. The 3H/14C ratio in each animal was used as a relative measure of removal of 3H-labeled proteins. 3H/14C ratios were generally significantly higher in portacaval-shunted rats than in controls, consistent with reduced proteolytic capacity. Assays of amino acid incorporation into brain protein generally replicated literature reports, supporting the conclusion that protein synthesis unlikely to be markedly inhibited and amino acid recycling influences calculated protein synthesis rates in shunted rats. Therapeutic strategies to reduce ammonia level would help normalize lysosomal functions and protein and lipid turnover. PMID:24154686

  3. Investigation of the hydrodynamic properties of a new MRI-resistant programmable hydrocephalus shunt

    PubMed Central

    Allin, David M; Czosnyka, Marek; Richards, Hugh K; Pickard, John D; Czosnyka, Zofia H

    2008-01-01

    Background The Polaris valve is a newly released hydrocephalus shunt that is designed to drain cerebrospinal fluid (CSF) from the brain ventricles or lumbar CSF space. The aim of this study was to bench test the properties of the Polaris shunt, independently of the manufacturer. Methods The Polaris Valve is a ball-on-spring valve, which can be adjusted magnetically in vivo. A special mechanism is incorporated to prevent accidental re-adjustment by an external magnetic field. The performance and hydrodynamic properties of the valve were evaluated in the UK Shunt Evaluation Laboratory, Cambridge, UK. Results The three shunts tested showed good mechanical durability over the 3-month period of testing, and a stable hydrodynamic performance over 45 days. The pressure-flow performance curves, operating, opening and closing pressures were stable. The drainage rate of the shunt increased when a negative outlet pressure (siphoning) was applied. The hydrodynamic parameters fell within the limits specified by the manufacturer and changed according to the five programmed performance levels. Hydrodynamic resistance was dependant on operating pressure, changing from low values of 1.6 mmHg/ml/min at the lowest level to 11.2 mmHg/ml/min at the highest performance level. External programming proved to be easy and reliable. Even very strong magnetic fields (3 Tesla) were not able to change the programming of the valve. However, distortion of magnetic resonance images was present. Conclusion The Polaris Valve is a reliable, adjustable valve. Unlike other adjustable valves (except the Miethke ProGAV valve), the Polaris cannot be accidentally re-adjusted by an external magnetic field. PMID:18426562

  4. Characterization of the apoLp-III/LPS complex: insight into the mode of binding interaction.

    PubMed

    Oztug, Merve; Martinon, Daisy; Weers, Paul M M

    2012-08-01

    Apolipoproteins are able to associate with lipopolysaccharides (LPS), potentially providing protection against septic shock. To gain insight into the molecular details of this binding interaction, apolipophorin III (apoLp-III) from Galleria mellonella was used as a model. The binding of apoLp-III to LPS was optimal around 37-40 °C, close to the LPS phase transition temperature. ApoLp-III formed complexes with LPS from E. coli (serotype O55:B5) with a diameter of ~20 nm and a molecular weight of ~390 kDa, containing four molecules of apoLp-III and 24 molecules of LPS. The LPS-bound form of the protein was substantially more resistant to guanidine-induced denaturation compared to unbound protein. The denaturation profile displayed a multiphase character with a steep drop in secondary structure between 0 and 1 M guanidine-HCl and a slower decrease above 1 M guanidine-HCl. In contrast, apoLp-III bound to detoxified LPS was only slightly more resistant to guanidine-HCl induced denaturation compared to unbound protein. Analysis of size-exclusion FPLC elution profiles of mixtures of apoLp-III with LPS or detoxified LPS indicated a much weaker binding interaction with detoxified LPS compared to intact LPS. These results indicate that apoLp-III initially interacts with exposed carbohydrate regions, but that the lipid A region is required for a more stable LPS binding interaction. PMID:22779761

  5. Neural Network Based Modeling and Analysis of LP Control Surface Allocation

    NASA Technical Reports Server (NTRS)

    Langari, Reza; Krishnakumar, Kalmanje; Gundy-Burlet, Karen

    2003-01-01

    This paper presents an approach to interpretive modeling of LP based control allocation in intelligent flight control. The emphasis is placed on a nonlinear interpretation of the LP allocation process as a static map to support analytical study of the resulting closed loop system, albeit in approximate form. The approach makes use of a bi-layer neural network to capture the essential functioning of the LP allocation process. It is further shown via Lyapunov based analysis that under certain relatively mild conditions the resulting closed loop system is stable. Some preliminary conclusions from a study at Ames are stated and directions for further research are given at the conclusion of the paper.

  6. A new algorithm for detecting cloud height using OMPS/LP measurements

    NASA Astrophysics Data System (ADS)

    Chen, Z.; DeLand, M.; Bhartia, P. K.

    2015-10-01

    The Ozone Mapping and Profiler Suite Limb Profiler (OMPS/LP) ozone product requires the determination of cloud height for each event to establish the lower boundary of the profile for the retrieval algorithm. We have created a revised cloud detection algorithm for LP measurements that uses the spectral dependence of the vertical gradient in radiance between two wavelengths in the visible and near-IR spectral regions. This approach provides better discrimination between clouds and aerosols than results obtained using a single wavelength. Observed LP cloud height values show good agreement with coincident Cloud-Aerosol Lidar and Infrared Pathfinder Satellite Observation (CALIPSO) measurements.

  7. Application of ventriculoperitoneal shunt as a treatment for hydrocephalus in a dog with syringomyelia and Chiari I malformation

    PubMed Central

    Kim, Heejaung; Watanabe, Malaika; Nakaichi, Munekazu; Taura, Yasuho

    2006-01-01

    A twenty-month-old Chihuahua male dog was presented to us suffering with ataxia. Based on the physical examination, X-ray and magnetic resonance imaging (MRI) examinations, we diagnosed the dog with hydrocephalus, Chiari I malformation and syringomyelia. Treatment consisted of internal medical treatment and the placement of a ventriculoperitoneal (VP) shunt. The ventricular dilatation was relieved and the dog improved neurologically; however, the Chiari I malformation and syringomyelia remained after surgically positioning the VP shunt. PMID:16645349

  8. Center effect and other factors influencing temporization and shunting of cerebrospinal fluid in preterm infants with intraventricular hemorrhage

    PubMed Central

    Riva-Cambrin, Jay; Shannon, Chevis N.; Holubkov, Richard; Whitehead, William E.; Kulkarni, Abhaya V.; Drake, James; Simon, Tamara D.; Browd, Samuel R.; Kestle, John R. W.; Wellons, John C.

    2012-01-01

    Object There is little consensus regarding the indications for surgical CSF diversion (either with implanted temporizing devices [reservoir or subgaleal shunt] or shunt alone) in preterm infants with posthemorrhagic hydrocephalus. The authors determined clinical and neuroimaging factors associated with the use of surgical CSF diversion among neonates with intraventricular hemorrhage (IVH), and describe variations in practice patterns across 4 large pediatric centers. Methods The use of implanted temporizing devices and conversion to permanent shunts was examined in a consecutive sample of 110 neonates surgically treated for IVH related to prematurity from the 4 clinical centers of the Hydrocephalus Clinical Research Network (HCRN). Clinical, neuroimaging, and so-called processes of care factors were analyzed. Results Seventy-three (66%) of the patients underwent temporization procedures, including 50 ventricular reservoir and 23 subgaleal shunt placements. Center (p < 0.001), increasing ventricular size (p = 0.04), and bradycardia (p = 0.07) were associated with the use of an implanted temporizing device, whereas apnea, occipitofrontal circumference (OFC), and fontanel assessments were not. Implanted temporizing devices were converted to permanent shunts in 65 (89%) of the 73 neonates. Only a full fontanel (p < 0.001) and increased ventricular size (p = 0.002) were associated with conversion of the temporizing devices to permanent shunts, whereas center, OFCs, and clot characteristics were not. Conclusions Considerable center variability exists in neurosurgical approaches to temporization of IVH in prematurity within the HCRN; however, variation between centers is not seen with permanent shunting. Increasing ventricular size—rather than classic clinical findings such as increasing OFCs—represents the threshold for either temporization or shunting of CSF. PMID:22546024

  9. Noncirrhotic Extrahepatic Portosystemic Shunt Causing Adult-Onset Encephalopathy Treated with Endovascular Closure

    PubMed Central

    Elnekave, Eldad; Belenky, Eugenia; Van der Veer, Lindsley

    2015-01-01

    A 54-year-old woman presented with a six-month history of episodic confusion and progressive ataxia. A comprehensive metabolic panel was notable for elevated values of alkaline phosphatase (161?U/L), total bilirubin (1.5?mg/dL), and serum ammonia of 300?umol/L (normal range 9–47). Hepatitis panel, relevant serological tests, tumor markers (CA-19-9, CEA), and urea cycle enzyme studies were unrevealing. Lactulose and rifaximin therapy failed to normalize serum ammonia levels. Imaging revealed a structural vascular abnormality communicating between an enlarged inferior mesenteric vein and the left renal vein, measuring 16?mm in greatest diameter. The diagnosis of congenital extrahepatic portosystemic shunt was made and endovascular shunt closure was performed using a 22?mm Amplatzer II vascular plug. Within a day, serum ammonia levels normalized. Lactulose and rifaximin were discontinued, and confusion and ataxia resolved. PMID:26199783

  10. Quantitative radionuclide angiocardiography for left-to-right cardiac shunts in children

    SciTech Connect

    Smallhorn, J.F.; Adams, A.P.; Goldblatt, E.; Savage, J.P.

    1982-01-01

    Pulmonary to systemic flow ratios (Qp/Qs) were estimated by quantitative radionuclide angiocardiography (QRAC) in 135 children. The Qp/Qs ratios were derived from pulmonary time/activity curves using a gamma variate model. Eighty-five of these children also had Qp/Qs ratios estimated by oximetry at cardiac catheterization. The correlation between Qp/Qs, determined by QRAC and by oximetry was good. This relatively noninvasive technique has now been used to estimate the Qp/Qs ratio in 34 children with a clinically suspected left-to-right shunt, and postoperatively in 16 cases with residual murmurs; it has obviated the need for catheterization in many of these patients. The technique may also be used serially to determine changes in the Qp/Qs ratio in patients with known left-to-right shunts.

  11. On-line process analysis innovation: DiComp (tm) shunting dielectric sensor technology

    NASA Technical Reports Server (NTRS)

    Davis, Craig R.; Waldman, Frank A.

    1993-01-01

    The DiComp Shunting Dielectric Sensor (SDS) is a new patent-pending technology developed under the Small Business Innovation Research Program (SBIR) for NASA's Kennedy Space Center. The incorporation of a shunt electrode into a conventional fringing field dielectric sensor makes the SDS uniquely sensitive to changes in material dielectric properties in the KHz to MHz range which were previously detectable only at GHz measurement frequencies. The initial NASA application of the SDS for Nutrient Delivery Control has demonstrated SDS capabilities for thickness and concentration measurement of Hoagland nutrient solutions. The commercial introduction of DiComp SDS technology for concentration and percent solids measurements in dispersions, emulsions and solutions represents a new technology for process measurements for liquids in a variety of industries.

  12. Comparison of Multiple Carrier Disposition PWM Techniques Applied for Multi-Level Shunt Active Filter

    NASA Astrophysics Data System (ADS)

    Kathalingam, Sebasthi Rani; Karantharaj, Porkumaran

    2012-07-01

    This work presents the simulation of a shunt active filter using seven-level cascaded inverter. The ultimate objective is to bring out the influence of multiple carrier level shifted PWM techniques on the performance of a shunt active filter. Classical disposition PWM techniques such as PD, POD and APOD have been used to generate the gating signals for the inverter active switches. A comparison is presented to substantiate the effect of these techniques in filtering. The comparison is made from the perspective of reduction in THD of source currents after filtering. For compensation current extraction synchronous detection method has been used. The harmonic reduction is achieved in source currents as well as source voltages.

  13. Arterial and venous embolization: Declotting of dialysis shunts by direct injection of streptokinase

    SciTech Connect

    Zeit, R.M.

    1986-06-01

    During the past 33 months, thrombolysis of 79 clotted hemodialysis shunts was attempted by injecting small quantities of dilute streptokinase solution directly into the clotted shunt, followed by massage of the clot. Embolization of clot fragments in six of 79 cases (7.6%) was demonstrated angiographically. In four of the six cases embolization involved the brachial artery or its branches. In one case embolization involved an arm vein, and in one case embolization involved both the bracial artery and axillary vein. All patients remained asymptomatic, and repeat angiographic study, usually performed the following day, showed resolution of the emboli in four of five cases. The incidence of embolization in direct-injection thrombolysis reported in this study appears to be comparable to that reported in studies using the streptokinase infusion technique.

  14. Integration of Thermal Energy Harvesting in Semi-Active Piezoelectric Shunt-Damping Systems

    NASA Astrophysics Data System (ADS)

    Lubieniecki, Micha?; Uhl, Tadeusz

    2015-01-01

    The opportunities to energize a broad range of devices by use of energy available almost anywhere and in many forms are almost unlimited. A major advantage of energy harvesting is the manufacture of small autonomous electronic devices with no need for power supply and maintenance. Shunt damping circuits, although unfavorably affected by the size and mass of bulky coil inductors, started to base on synthetic inductors losing their passivity. In this paper we report a study of the feasibility of powering shunt damping circuits by use of thermal energy otherwise irrevocably lost from a bearing. The heat generated in the bearing is converted thermoelectrically into electric energy which is then used to power synthetic inductance circuitry. We show that the power demand of such circuit can be satisfied by use of a thermoelectric generator paired with a moderately loaded bearing.

  15. Noncirrhotic Extrahepatic Portosystemic Shunt Causing Adult-Onset Encephalopathy Treated with Endovascular Closure.

    PubMed

    Elnekave, Eldad; Belenky, Eugenia; Van der Veer, Lindsley

    2015-01-01

    A 54-year-old woman presented with a six-month history of episodic confusion and progressive ataxia. A comprehensive metabolic panel was notable for elevated values of alkaline phosphatase (161?U/L), total bilirubin (1.5?mg/dL), and serum ammonia of 300?umol/L (normal range 9-47). Hepatitis panel, relevant serological tests, tumor markers (CA-19-9, CEA), and urea cycle enzyme studies were unrevealing. Lactulose and rifaximin therapy failed to normalize serum ammonia levels. Imaging revealed a structural vascular abnormality communicating between an enlarged inferior mesenteric vein and the left renal vein, measuring 16?mm in greatest diameter. The diagnosis of congenital extrahepatic portosystemic shunt was made and endovascular shunt closure was performed using a 22?mm Amplatzer II vascular plug. Within a day, serum ammonia levels normalized. Lactulose and rifaximin were discontinued, and confusion and ataxia resolved. PMID:26199783

  16. Design and Implementation of Takagi-Sugeno Fuzzy Logic Controller for Shunt Compensator

    NASA Astrophysics Data System (ADS)

    Singh, Alka; Badoni, Manoj

    2015-08-01

    This paper describes the application of Takagi-Sugeno (TS) type fuzzy logic controller to a three-phase shunt compensator in power distribution system. The shunt compensator is used for power quality improvement and has the ability to provide reactive power compensation, reduce the level of harmonics in supply currents, power factor correction and load balancing. Additionally, it can also be used to regulate voltage at the point of common coupling (PCC). The paper discusses the design of TS fuzzy logic controller and its implementation based on only four rules. The smaller number of rules makes it suitable for experimental verification as compared to Mamdani fuzzy controller. A small laboratory prototype of the system is developed and the control algorithm is verified experimentally. The TS fuzzy controller is compared with the proportional integral based industrial controller and their performance is compared under a wide variation of dynamic load changes.

  17. Programmable shunt valves: in vitro assessment of safety of the magnetic field generated by a portable game machine.

    PubMed

    Nakashima, Koji; Nakajo, Takato; Kawamo, Michiari; Kato, Akihito; Ishigaki, Seiichiro; Murakami, Hidetomo; Imaizumi, Yohichi; Izumiyama, Hitoshi

    2011-01-01

    Cerebrospinal fluid (CSF) shunts are frequently used to treat hydrocephalus. The use of a programmable shunt valve allows physicians to easily change the opening pressure. Since patients with adjustable CSF shunt valves may use portable game machines, the permanent magnets in these machines may alter the shunt valve programmed settings or permanently damage the device. This study investigated the risk of unintentional valve adjustment associated with the use of game machines in patients with programmable CSF shunt valves. Four adjustable valves from 4 different manufacturers, Sophysa Polaris model SPV (Polaris valve), Miethke proGAV (proGAV), Codman Hakim programmable valve (CHPV), and Strata II small valve (Strata valve), were evaluated. Magnetic field interactions were determined using the portable game machine, Nintendo DS Lite (DS). The maximum distance between the valve and the DS that affected the valve pressure setting was measured by x-ray cinematography. The Polaris valve and proGAV were immune to unintentional reprogramming by the DS. However, the settings of the CHPV and Strata valves were randomly altered by the DS. Patients with an implanted shunt valve should be made aware of the risks posed by the magnetic fields associated with portable game machines and commonly used home electronics. PMID:21946726

  18. Shunt-dependent hydrocephalus following subarachnoid hemorrhage correlates with increased S100B levels in cerebrospinal fluid and serum.

    PubMed

    Brandner, S; Xu, Y; Schmidt, C; Emtmann, Irene; Buchfelder, Michael; Kleindienst, Andrea

    2012-01-01

    Posthemorrhagic hydrocephalus requiring permanent ventriculoperitoneal shunt placement is a major complication of aneurysmal subarachnoid hemorrhage (SAH). High S100B serum and cerebrospinal fluid (CSF) levels are considered to reflect the severity of brain injury. We prospectively assessed whether S100B levels in serum and CSF were predictive parameters for permanent shunt requirement following aneurysmal SAH. In patients suffering from aneurysmal SAH and treated with an external ventricular drain (EVD), S100B levels in serum and CSF were measured daily as long as the EVD was in place. S100B levels of patients who passed their EVD challenge were compared with those patients who required a permanent ventriculoperitoneal shunt placement. Out of 68 patients included in the study, 43 patients (63.2%) passed the EVD challenge and in 25 patients (36.8%) permanent ventriculoperitoneal shunting was performed. Group comparison revealed that in patients who required shunt placement, S100B was significantly higher in CSF (p < 0.05 at days 2, 4, 6, 10; p < 0.005 at days 1, 3, 5, 7, 8, 9) and serum (p < 0.05 at days 4-7) compared with patients who could be weaned from the EVD. Assessment of S100B levels in CSF and serum may be useful as a predictive parameter for shunt dependency in patients with posthemorrhagic hydrocephalus following aneurysmal SAH. PMID:22327696

  19. 77 FR 64767 - Airworthiness Directives; Gulfstream Aerospace LP (Type Certificate Previously Held by Israel...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-23

    ...Israel Aircraft Industries, Ltd.) Model Galaxy and Gulfstream 200 airplanes. The proposed...Israel Aircraft Industries, Ltd.) Model Galaxy and Gulfstream 200 airplanes. That NPRM...Review of the Gulfstream Aerospace LP Model Galaxy and Gulfstream 200 airplane service...

  20. 76 FR 41432 - Airworthiness Directives; Gulfstream Aerospace LP (Type Certificate Previously Held by Israel...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-14

    ...Israel Aircraft Industries, Ltd.) Model Galaxy, Gulfstream G150, and Gulfstream 200...Israel Aircraft Industries, Ltd.) Model Galaxy airplanes; and Gulfstream Aerospace LP...dated January 27, 2011. (2) For Model Galaxy and Gulfstream 200 airplanes: Do a...

  1. 76 FR 70040 - Airworthiness Directives; Gulfstream Aerospace LP (Type Certificate Previously Held by Israel...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-10

    ...Israel Aircraft Industries, Ltd.) Model Galaxy and Gulfstream G150 airplanes; and Gulfstream...Israel Aircraft Industries, Ltd.) Model Galaxy airplanes; and Gulfstream Aerospace LP...dated January 27, 2011. (2) For Model Galaxy and Gulfstream 200 airplanes: Do a...

  2. 76 FR 42123 - Texas Eastern Transmission, LP; Notice of Request Under Blanket Authorization

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-18

    ... From the Federal Register Online via the Government Printing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Texas Eastern Transmission, LP; Notice of Request Under Blanket... authorization to uprate the existing electric compressor unit at its Kosciusko Compressor Station from...

  3. An Archaeological Survey for the Cottonwood Energy LP Project in Newton and Orange Counties, Texas 

    E-print Network

    Moore, William

    2015-07-09

    Brazos Valley Research Associates (BVRA) performed a cultural resources survey of a 52 acre Cottonwood Energy LP power plant site and a four mile effluent discharge line in August 2003 in southern Newton and northern Orange counties, Texas...

  4. Tight embedding of subspaces of $L_p$ in $\\ell_p^n$ for even $p$

    E-print Network

    Schechtman, Gideon

    2010-01-01

    Using a recent result of Batson, Spielman and Srivastava, We obtain a tight estimate on the dimension of $\\ell_p^n$, $p$ an even integer, needed to almost isometrically contain all $k$-dimensional subspaces of $L_p$.

  5. 76 FR 70438 - Enterprise Intrastate L.P., Enterprise Texas Pipeline LLC; Notice of Filing

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-14

    ...Intrastate L.P., Enterprise Texas Pipeline LLC; Notice of Filing Take notice that on November 1, 2011, the applicants listed above filed a revised Statement of Operating Conditions (SOC) applicable to transportation services. The applicants...

  6. 77 FR 74280 - Proposed Information Collection (Learner's Perception (LP) Survey); Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-13

    ... Proposed Information Collection (Learner's Perception (LP) Survey); Comment Request AGENCY: Veterans Health Administration, Department of Veterans Affairs. ACTION: Notice. SUMMARY: The Veterans Health Administration (VHA... Cynthia Harvey-Pryor, Veterans Health Administration (10P7BFP), Department of Veterans Affairs,...

  7. 6. ROOF OF TURBINE BUILDING AND OF L.P. BOILER ROOM ...

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

    6. ROOF OF TURBINE BUILDING AND OF L.P. BOILER ROOM FROM NORTH END OF TURBINE BUILDING ROOF - Portland General Electric Company, Turbine Building, 1841 Southeast Water Street, Portland, Multnomah County, OR

  8. On resistant Lp-Norm Estimation by means of iteratively reweighted least Squares

    NASA Astrophysics Data System (ADS)

    Marx, Christian

    2013-03-01

    The L1-norm estimation is a resistant estimation method and therefore used for the detection of gross errors in geodetic measurement data. Alternatively, other Lp-norms have been suggested in literature for resistant parameter estimation. A common numerical solution method for Lp-norm estimation is the method of iteratively reweighted least squares. Procedural manners for a successful application of this method are considered. A modification of the method is given, which reduces the number of iterations significantly. By means of a simulation the applicability of the mentioned methods and the success of different Lp-norms in the detection of gross errors are tested. It shows that solving the L1-norm numerically may be unsuccessful and that instead a resistant Lp-norm is to be recommended, which is comparably successful in the detection of gross errors and can successfully be solved numerically by the presented modification of iteratively reweighted least squares.

  9. Late Intrahepatic Hematoma Complicating Transjugular Intrahepatic Portosystemic Shunt for Budd-Chiari Syndrome

    SciTech Connect

    Terreni, Natalia; Vangeli, Marcello; Raimondo, Maria Luisa; Tibballs, Jonathan M.; Patch, David; Burroughs, Andrew K.

    2007-09-15

    Late intrahepatic hematoma is a rare complication of the transjugular intrahepatic portosystemic shunt (TIPS) procedure. We describe a patient with Budd-Chiari syndrome (BCS), who presented with a large inrahepatic hematoma 13 days after TIPS. Review of the literature reveals only two previous cases, both occurring in patients with BCS and presenting after a similar time interval. This potentially serious complication appears to be specific for TIPS in BCS.

  10. Embolization of Hepatic Arteriovenous Shunt with Absolute Ethanol in a Patient with Hepatocellular Carcinoma

    SciTech Connect

    Senokuchi, Terutoshi Baba, Yasutaka Hayashi, Sadao Nakajo, Masayuki

    2011-02-15

    We report a 76-year-old man who had hepatocellular carcinoma (HCC) with arteriovenous shunting (AVS). Transcatheter chemoembolization (TACE) was selected as treatment because of poor pulmonary function. To prevent pulmonary embolism caused by the flow of embolic materials through the AVS, we performed embolization of the AVS with absolute ethanol under flow control by balloon catheters. Subsequently, we could perform TACE for HCC safely.

  11. Characteristics of the long duration pulses in a shunt linear voltage regulator

    NASA Astrophysics Data System (ADS)

    Palomar, C.; Franco, F. J.; Izquierdo, J. G.; López, I.; Agapito, J. A.

    2014-02-01

    Shunt linear voltage regulators are still used in situations where other kinds of regulators are not advised. This paper explores a mechanism liable to induce long duration pulses (~ 100 ?s) in these devices, which is eventually demonstrated using a pulsed laser facility. Data issued from these tests helps to understand how the electrical network parameters as well as the non-idealities of the devices affect the characteristics of the transients. Finally, this phenomenon is investigated in similar structures with identical purpose.

  12. Hypertensive pneumocephalus and nasal fistula in ventriculo-peritoneal shunt: case report and review of literature.

    PubMed

    Cantisani, P L; Cancelliere, M; Armenise, B; Lupo, F

    1999-06-01

    A case of hypertensive endoventricular pneumocephalus associated with rhinoliquorrea raised after about 2 years from the application of ventriculo-peritoneal shunt for hydrocephalus by stenosis of aqueduct is presented. The causes of such complication and diagnostic possibilities to point out the fistula by CT and ventricular cisternography are to talk over. Even the indication of external CSF drainage or to the repairing treatment will be discussed. Finally, literature is reviewed. PMID:10735770

  13. Safety of ultrasound contrast agents in patients with known or suspected cardiac shunts.

    PubMed

    Parker, Jeremy M; Weller, Mark W; Feinstein, Linda Maiman; Adams, Robin J; Main, Michael L; Grayburn, Paul A; Cosgrove, David O; Goldberg, Barry A; Darge, Kassa; Nihoyannopoulos, Petros; Wilson, Stephanie; Monaghan, Mark; Piscaglia, Fabio; Fowlkes, Brian; Mathias, Wilson; Moriyasu, Fuminari; Chammas, Maria Christina; Greenbaum, Lennard; Feinstein, Steven B

    2013-10-01

    Contrast-enhanced ultrasound imaging is a radiation-free diagnostic tool that uses biocompatible ultrasound contrast agents (UCAs) to improve image clarity. UCAs, which do not contain dye, often salvage "technically difficult" ultrasound scans, increasing the accuracy and reliability of a front-line ultrasound diagnosis, reducing unnecessary downstream testing, lowering overall health care costs, changing therapy, and improving patient care. Two UCAs currently are approved and regulated by the US Food and Drug Administration. They have favorable safety profiles and risk/benefit ratios in adult and pediatric populations, including compromised patients with severe cardiovascular diseases. Nevertheless, these UCAs are contraindicated in patients with known or suspected right-to-left, bidirectional, or transient right-to-left cardiac shunts. These patients, who constitute 10% to 35% of the general population, typically receive no UCAs when they undergo echocardiography. If their echocardiographic images are suboptimal, they may receive inappropriate diagnosis and treatment, or they may be referred for additional diagnostic testing, including radiation-based procedures that increase their lifetime risk for cancer or procedures that use contrast agents containing dye, which may increase the risk for kidney damage. An exhaustive review of current peer-reviewed research demonstrated no scientific basis for the UCA contraindication in patients with known or suspected cardiac shunts. Initial safety concerns were based on limited rodent data and speculation related to macroaggregated albumin microspheres, a radioactive nuclear imaging agent with different physical and chemical properties and no relation to UCAs. Radioactive macroaggregated albumin is not contraindicated in adult or pediatric patients with cardiac shunts and is routinely used in these populations. In conclusion, the International Contrast Ultrasound Society Board recommends removal of the contraindication to further the public interest in safe, reliable, radiation-free diagnostic imaging options for patients with known or suspected cardiac shunts and to reduce their need for unnecessary downstream testing. PMID:23816393

  14. Usefulness of Transjugular Intrahepatic Portosystemic Shunt in the Management of Bleeding Ectopic Varices in Cirrhotic Patients

    SciTech Connect

    Vidal, V.; Joly, L.; Perreault, P.; Bouchard, L.; Lafortune, M.; Pomier-Layrargues, G.

    2006-04-15

    Purpose. To evaluate the safety and efficacy of transjugular intrahepatic portosystemic shunt (TIPS) in the control of bleeding from ectopic varices. Methods. From 1995 to 2004, 24 cirrhotic patients, bleeding from ectopic varices, mean age 54.5 years (range 15-76 years), were treated by TIPS. The etiology of cirrhosis was alcoholic in 13 patients and nonalcoholic in 11 patients. The location of the varices was duodenal (n = 5), stomal (n = 8), ileocolic (n = 6), anorectal (n = 3), umbilical (n = 1), and peritoneal (n 1). Results. TIPS controlled the bleeding in all patients and induced a decrease in the portacaval gradient from 19.7 {+-} 5.4 to 6.4 {+-} 3.1 mmHg. Postoperative complications included self-limited intra-abdominal bleeding (n = 2), self-limited hemobilia (n = 1), acute thrombosis of the shunt (n = 1), and bile leak treated by a covered stent (n = 1). Median follow-up was 592 days (range 28-2482 days). Rebleeding occurred in 6 patients. In 2 cases rebleeding was observed despite a post-TIPS portacaval gradient lower than 12 mmHg and was controlled by variceal embolization; 1 patient underwent surgical portacaval shunt and never rebled; in 3 patients rebleeding was related to TIPS stenosis and treated with shunt dilatation with addition of a new stent. The cumulative rate of rebleeding was 23% and 31% at 1 and 2 years, respectively. One- and 2-year survival rates were 80% and 76%, respectively. Conclusion. The present series demonstrates that bleeding from ectopic varices, a challenging clinical problem, can be managed safely by TIPS placement with low rebleeding and good survival rates.

  15. Preoperative detection of intrahepatic venovenous shunt treated by microwave precoagulation during right hepatectomy

    PubMed Central

    Delhorme, Jean-Baptiste; Méméo, Riccardo; Marescaux, Jacques; Pessaux, Patrick

    2015-01-01

    A 53-year-old woman underwent a 2-stage right hepatectomy for bilobar metastasis of an ileal neuroendocrine carcinoma. Preoperative three-dimensional computed tomography reconstruction helped to diagnose an intrahepatic venovenous shunts from the right and middle hepatic veins to the left hepatic vein, which could cause a intraoperative bleeding. Hemostasis was performed by means of precoagulation with microwave-assisted coagulation. PMID:26558160

  16. Investigation of the hydrodynamic properties of a new MRI-resistant programmable hydrocephalus shunt

    E-print Network

    Allin, David M.; Czosnyka, Marek; Richards, Hugh K.; Pickard, John D.; Czosnyka, Zofia

    2008-04-21

    analysed the pressure waveform from the pres- sure transducer and controlled the rate of the infusion pump. The effect of changes in atmospheric pressure was compensated for by using the reference barometer, such that the effective pressure was measured... barometers zeroed. The following parameters were calculated: • Closing pressure: The differential pressure below which flow through the shunt ceases. The closing pressure was measured as the intercept of the regression line with the x- axis, drawn between...

  17. Global Measurement of Junge Layer Stratospheric Aerosol with OMPS/LP. Scattering Properties and Particle Size

    NASA Astrophysics Data System (ADS)

    Rault, D. F.; Bhartia, P. K.

    2014-12-01

    The OMPS/LP was launched on board the NPP space platform in October 2011. Over the past two years, the OMPS/LP was used to retrieve the global distribution of ozone and aerosol. The paper will describe the aerosol product, which NASA is presently preparing for public release. The current OMPS/LP aerosol product consists of latitude-altitude curtains along the NPP Sun-synchronous orbit, from cloud top to about 40 km. These curtains extend from local sunrise in Southern polar region to local sunset in Northern polar region. Aerosol extinctions are produced at five distinct wavelengths, namely 513, 525, 670, 750 and 870 nm, with a sampling of 1 km in vertical direction and 1 degree latitude in the along-track direction. The OMPS/LP aerosol dataset is fairly large, with 7000 vertical profiles produced each day for each wavelength. The aerosol product will be presented in terms of extinction monthly median values and mean Angstrom coefficient (particle size). Over the past two years, the Junge layer was affected by several events such as volcanic eruptions (Nabro and Kelut) and a meteor (Chelyabinsk), the effects of which are clearly visible in the OMPS/LP dataset. The Asian Tropopause Aerosol Layer (ATAL) can also be observed in the OMPS/LP dataset. Moreover the effect of the Brewer Dobson Circulation (BDC) can be observed at high altitudes: the BDC velocity at 35 km can be estimated from the time variation of iso-density heights and was found to compare well with BDC velocities evaluated with the water vapor tape recorder technique as well as MERRA model values. Finally, aerosol filaments are clearly visible in OMPS/LP aerosol dataset as they appear as distinct "bubbles" on the OMPS/LP curtain files at periodic intervals in both the Southern and Northern hemispheres. These filaments are a main source of transport from tropical to polar region, and OMPS/LP data can therefore be instrumental in quantifying the rate of this transport. The quality of the OMPS/LP aerosol product is being assessed by comparison with correlative measurements made by CALIPSO, OSIRIS and GOMOS. Statistical comparisons between OMPS/LP and other sensors show mean bias of less than 7% with an ensemble variance of 20-30%.

  18. Analysis of the Suitability of OMPS LP Ozone Profile Dataset for Extending the Aura MLS Record

    NASA Astrophysics Data System (ADS)

    Kramarova, N. A.; Bhartia, P. K.; Stolarski, R. S.; DeLand, M. T.

    2014-12-01

    The new Ozone Mapping and Profiler Suite (OMPS), launched on 28 October 2011 on the Suomi National Polar-orbiting Partnership satellite, represents the next generation of the US ozone monitoring system. The OMPS Limb Profiler (LP) sensor measures solar radiances scattered from the atmospheric limb in the UV and visible spectral ranges and reconstruct the vertical ozone profiles from the cloud top up to 60 km. The regular LP observations started in early 2012, and now the LP data record exceeds 2.5 years. In this presentation we will demonstrate capability of the new LP sensor to characterize the vertical ozone distribution in different atmospheric regions that are most sensitive to the changes in the stratospheric composition and dynamics. We will consider: a) the seasonal ozone patterns in the lower stratosphere - upper troposphere; b) the vertical ozone distribution inside the Antarctic ozone hole; c) the ozone patterns forced by the Quasi-Biennial Oscillations in the lower tropical stratosphere. The main focus of this study is to perform a comprehensive analysis of ozone patterns obtained from OMPS LP with those observed by Aura MLS to isolate similarities and differences between two sensors in characterizing these processes. We will examine how well LP reproduces the named above natural signals in comparison with MLS in terms of amplitude, phase and vertical structure. One of the key issues is that two instruments measure ozone in different coordinate systems: the LP measures ozone profiles as number density on a regular altitude scale, while Aura MLS retrieves ozone profiles as mixing ratios on pressure vertical grids. The comparison of two measurements requires unit conversion that in turn involves temperature profiles. Thus, the uncertainties related to the unit conversion should be accounted during the analysis. This scientific validation is critical for the further LP algorithm improvement and continuation of the Aura MLS ozone record in the future.

  19. High-resolution linkage map in the vicinity of the Lp locus

    SciTech Connect

    Mullick, A.; Gros, P.; Trasler, D.

    1995-04-10

    Looptail (Lp) is a mutation that profoundly affects neurulation in mouse and is characterized by craniorachischisis, an open neural tube extending from the midbrain to the tail in embryos homozygous for the mutation. Lp maps to the distal portion of mouse chromosome 1, and as part of a positional cloning approach, we have generated a high-resolution linkage map of the Lp chromosomal region. For this, we have carried out extensive segregation analysis in a total of 706 backcross mice informative for Lp and derived from two crosses, (Lp/ + X SJL/J)F1 X SJL/J and (Lp/ + X SWR/J)F1 X SWR/J. In addition, 269 mice from a (Mus spretus X C57BL/6J)F1 X C57BL/6J interspecific backcross were also used to order marker loci and calculate intergene distances for this region. With these mice, a total of 28 DNA markers corresponding to either cloned genes or anonymous markers of the SSLP or SSCP-types were mapped within a 5-cM interval overlapping the Lp region, with the following locus order and interlocus distances (in cM): centromere-D1Mit110 / Atp1{beta}1 / Cd3{zeta} /Cd3{eta} / D1Mit145 - D1Hun14 /D1Mit15 - D1Mit111 / D1Mit112 - D1Mit114 - D1Mit148 / D1Mit205/ D1Mit36 / D1Mit146 / D1Mit147 / D1Mit149 / Spnal1/Fcer1{alpha}-Eph1-Hlx1/D1Mit62. These studies have allowed the delineation of a maximum genetic interval for Lp of 0.5 cM, a size amenable to physical mapping techniques. 58 refs., 4 figs., 2 tabs.

  20. Active inductor shunt peaking in high-speed VCSEL driver design

    E-print Network

    Futian Liang; Datao Gong; Suen Hou; Chonghan Liu; Tiankuan Liu; Da-Shung Su; Ping-Kun Teng; Annie Xiang; Jingbo Ye; Ge Jin

    2013-06-04

    An all transistor active inductor shunt peaking structure has been used in a prototype of 8-Gbps high-speed VCSEL driver which is designed for the optical link in ATLAS liquid Argon calorimeter upgrade. The VCSEL driver is fabricated in a commercial 0.25-um Silicon-on-Sapphire (SoS) CMOS process for radiation tolerant purpose. The all transistor active inductor shunt peaking is used to overcome the bandwidth limitation from the CMOS process. The peaking structure has the same peaking effect as the passive one, but takes a small area, does not need linear resistors and can overcome the process variation by adjust the peaking strength via an external control. The design has been tapped out, and the prototype has been proofed by the preliminary electrical test results and bit error ratio test results. The driver achieves 8-Gbps data rate as simulated with the peaking. We present the all transistor active inductor shunt peaking structure, simulation and test results in this paper.

  1. Quantitative radionuclide angiocardiography for left-to-right cardiac shunts in children

    SciTech Connect

    Smallhorn, J.F.; Adams, A.P.; Goldblatt, E.; Savage, J.P.

    1982-01-01

    Pulmonary to systemic flow ratios (Qp/Qs) were estimated by quantitative radionuclide angiocardiography (QRAC) in 135 children. The Qp/Qs ratios were derived from pulmonary time/activity curves using a gamma variate model. Eighty-five of these children also had Qp/Qs ratios estimated by oximetry at cardiac catheterization. Left-to-right shunts with a Qp/Qs range of 1.2 to 3.0 were detected and quantitated by radionuclide angiography with an accuracy similar to that for oximetry. The correlation between Qp/Qs, determined by QRAC and by oximetry was good (r . .93; SEE .31). This relatively noninvasive technique has now been used to estimate the Qp/Qs ratio in 34 children with a clinically suspected left-to-right shunt, and postoperatively in 16 cases with residual murmurs; it has obviated the need for catheterization in many of these patients. The technique may also be used serially to determine changes in the Qp/Qs ratio in patients with known left-to-right shunts.

  2. Simultaneous Cranioplasty and Subdural-Peritoneal Shunting for Contralateral Symptomatic Subdural Hygroma following Decompressive Craniectomy

    PubMed Central

    Lin, Muh-Shi; Chen, Tzu-Hsuan; Kung, Woon-Man; Chen, Shuo-Tsung

    2015-01-01

    Background. Contralateral subdural hygroma caused by decompressive craniectomy tends to combine with external cerebral herniation, causing neurological deficits. Material and Methods. Nine patients who underwent one-stage, simultaneous cranioplasty and contralateral subdural-peritoneal shunting were included in this study. Clinical outcome was assessed by Glasgow Outcome Scale as well as Glasgow Coma Scale, muscle power scoring system, and complications. Results. Postoperative computed tomography scans demonstrated completely resolved subdural hygroma and reversed midline shifts, indicating excellent outcome. Among these 9 patients, 4 patients (44%) had improved GOS following the proposed surgery. Four out of 4 patients with lethargy became alert and orientated following surgical intervention. Muscle strength improved significantly 5 months after surgery in 7 out of 7 patients with weakness. Two out of 9 patients presented with drowsiness due to hydrocephalus at an average time of 65 days after surgery. Double gradient shunting is useful to eliminate the respective hydrocephalus and contralateral subdural hygroma. Conclusion. The described surgical technique is effective in treating symptomatic contralateral subdural hygroma following decompressive craniectomy and is associated with an excellent structural and functional outcome. However, subdural-peritoneal shunting plus cranioplasty thoroughly resolves the subdural hygroma collection, which might deteriorate the cerebrospinal fluid circulation, leading to hydrocephalus. PMID:25879062

  3. Hepatic artery flow improvement after portacaval shunt: a single hemodynamic clinical correlate.

    PubMed Central

    Burchell, A R; Moreno, A H; Panke, W F; Nealon, T F

    1976-01-01

    We have documented a highly significant increment in hepatic arterial flow following a portacaval shunt in patients with cirrhosis of the liver and portal hypertension. In contrast with other hemodynamic variables, the increment in arterial flow was directly related to morbidity, hospital mortality, and long term survival. Patients with increments smaller than 100 ml/min had the worst clinical results. They accounted for all of the hospital mortality, the largest incidence of encephalopathy, and the worst long term cumulative survival rates. The extent of the increment was not related directly to the type of shunt but, rather, to some intrinsic capability of the cirrhotic liver to increase its arterial flow in response to the relief of sinusoidal hypertension produced by the shunt. This capablilty appears related to the degree of entrapment of the hepatic arterioles by the fibrous tissues of cirrhosis. This encasement of arterioles should change the elastic properties of the hepatic arterial bed and we propose to measure these properties by determining the characteristic input impedance of the arterial bed. PMID:962397

  4. The adjustable systemic-pulmonary artery shunt provides precise control of flow in vivo.

    PubMed

    Douglas, William I; Moore, Karabeth B; Resig, Phillip P; Mohiuddin, M Waqar

    2010-01-01

    The ratio of pulmonary:systemic blood flow (Qp:Qs) remains problematic after single ventricle reconstruction. The adjustable systemic-pulmonary artery shunt (AS) was created as a solution for this problem. Prototype ASs were created using a screw-plunger mechanism as a variable resistor. A stepper motor controls plunger displacement. Six adult dogs underwent placement of a 4-mm AS in the femoral position to test its ability to control flow. Shunts were placed as arteriovenous fistulae to simulate the continuous flow of systemic-pulmonary AS. The 3.5-mm control shunts (CS) were placed on the contralateral side. The stepper motor was rotated from fully open to 3.4 mm of plunger depression for six complete cycles. Flow in the fully open AS was 687.9 +/- 28.7 cc/min* vs. 578.7 +/- 26.8 cc/min in the CS (flow +/- standard error, *p < 0.005 vs. CS). Standard deviation of flow was similar between the AS and CS, implying hysteresis in resistor function did not contribute to flow variability. Peak torque requirement to turn the resistor was 2.4 mNm. The AS offers excellent control of flow in vivo. Control of Qp:Qs may lead to improved outcomes for single ventricle reconstructions. PMID:20051834

  5. Active inductor shunt peaking in high-speed VCSEL driver design

    E-print Network

    Liang, Futian; Hou, Suen; Liu, Chonghan; Liu, Tiankuan; Su, Da-Shung; Teng, Ping-Kun; Xiang, Annie; Ye, Jingbo; Jin, Ge

    2013-01-01

    An all transistor active inductor shunt peaking structure has been used in a prototype of 8-Gbps high-speed VCSEL driver which is designed for the optical link in ATLAS liquid Argon calorimeter upgrade. The VCSEL driver is fabricated in a commercial 0.25-um Silicon-on-Sapphire (SoS) CMOS process for radiation tolerant purpose. The all transistor active inductor shunt peaking is used to overcome the bandwidth limitation from the CMOS process. The peaking structure has the same peaking effect as the passive one, but takes a small area, does not need linear resistors and can overcome the process variation by adjust the peaking strength via an external control. The design has been tapped out, and the prototype has been proofed by the preliminary electrical test results and bit error ratio test results. The driver achieves 8-Gbps data rate as simulated with the peaking. We present the all transistor active inductor shunt peaking structure, simulation and test results in this paper.

  6. Portosystemic shunting in portal hypertension: evaluation with portal scintigraphy with transrectally administered I-123 IMP

    SciTech Connect

    Kashiwagi, T.; Azuma, M.; Ikawa, T.; Takehara, T.; Matsuda, H.; Yoshioka, H.; Mitsutani, N.; Koizumi, T.; Kimura, K.

    1988-10-01

    Portosystemic shunting was evaluated with rectal administration of iodine-123 iodoamphetamine (IMP) in seven patients without liver disease and 53 patients with liver cirrhosis. IMP (2-3 mCi (74-111 MBq)) was administered to the rectum through a catheter. Images of the chest and abdomen were obtained for up to 60 minutes with a scintillation camera interfaced with a computer. In all patients, images of the liver and/or lungs were observed within 5-10 minutes and became clear with time. In patients without liver disease, only liver images could be obtained, whereas the lung was visualized with or without the liver in all patients with liver cirrhosis. The portosystemic shunt index was calculated by dividing counts of lungs by counts of liver and lung. These values were significantly higher in liver cirrhosis, especially in the decompensated stage. Transrectal portal scintigraphy with IMP appears to be a useful method for noninvasive and quantitative evaluation of portosystemic shunting in portal hypertension.

  7. Liver impairment after portacaval shunt in the rat: the loss of protective role of mast cells?

    PubMed

    Aller, Maria-Angeles; Martinez, Vicente; Corcuera, Maria-Teresa; Benito, Javier; Traver, Estefania; Gómez-Aguado, Fernando; Vergara, Patri; Arias, Jaime

    2012-07-01

    Mast cells are involved in various liver diseases and appear to play a broader pathogenic role than originally thought. They may participate in the splanchnic alterations related to a porto-systemic shunt. To verify this hypothesis we studied the serum and hepatic histological changes in rats four weeks after an end-to-side portacaval shunt. In this experimental model of chronic liver insufficiency we also assessed the mucosal mast cells (MMC) and connective tissue mast cells (CTMC) in the liver, mesenteric lymph nodes and small intestine, as well as the serum levels of rat mast cell protease-II (RMCP-II). The results show liver and testes atrophy, with hypoalbuminemia (p=0.0001), hyperbilirubinemia (p=0.0001) and increase in aspartate aminotransferase (p=0.004) and alanine aminotransferase (p=0.0001). Hepatic histopathology demonstrates hepatocytic necrosis and apoptosis, portal inflammation, biliary proliferation, steatosis and fibrosis. There is a decrease of MMCs and CTMCs in the liver, while in the ileum CTMCs increase and MMCs decrease. These results suggest the involvement of mast cells in the pathophysiological splanchnic impairments in this experimental model. In particular, the decreased number of liver mast cells may be associated with the hepatic atrophy. If this is the case, we propose that the disruption of the hepato-intestinal axis after a portocaval shunt in the rat could inhibit the ability of the liver to developing an appropriate repair response mediated by mast cells. PMID:21937094

  8. Pleurovenous shunt in treating refractory nonmalignant hepatic hydrothorax: a case report.

    PubMed

    Hadsaitong, Damrong; Suttithawil, Wudthichai

    2005-12-01

    We report a case of successful, long-term pleurovenous shunt (PVS) in treating refractory nonmalignant hepatic hydrothorax. An 82-year-old woman with liver cirrhosis, hypertension complicated with chronic renal failure while on hemodialysis, presented with progressive dyspnea in association with a recurrent right-sided pleural effusion, occurring secondary to transdiaphragmatic migration of ascites. The diagnosis was established by a demonstration of (99m)Tc-sulphur colloid sequential scintigraphic scan. Despite repetitive thoracenteses and traditional medical treatment, she suffered dyspnea without relief. Denver peritoneovenous shunt was inserted into the right-sided pleural cavity to drain effusion into the subclavian vein without short- and long-term complications. Manually pumping schedule of 10 min was performed twice daily to remove pleural fluid into the venous circulation for maintaining shunt patency. After 19 months of follow-up, the patient is doing well and PVS remains patent without significant pleural effusion. PVS opens a window of opportunity and offers an alternative procedure with minimal invasiveness for high-risk patients with refractory hepatic hydrothorax. It could be an alternative treatment to other conventional surgical interventions. PMID:16291082

  9. From shunting inhibition to dynamic normalization: Attentional selection and decision-making in brief visual displays.

    PubMed

    Smith, Philip L; Sewell, David K; Lilburn, Simon D

    2015-11-01

    Normalization models of visual sensitivity assume that the response of a visual mechanism is scaled divisively by the sum of the activity in the excitatory and inhibitory mechanisms in its neighborhood. Normalization models of attention assume that the weighting of excitatory and inhibitory mechanisms is modulated by attention. Such models have provided explanations of the effects of attention in both behavioral and single-cell recording studies. We show how normalization models can be obtained as the asymptotic solutions of shunting differential equations, in which stimulus inputs and the activity in the mechanism control growth rates multiplicatively rather than additively. The value of the shunting equation approach is that it characterizes the entire time course of the response, not just its asymptotic strength. We describe two models of attention based on shunting dynamics, the integrated system model of Smith and Ratcliff (2009) and the competitive interaction theory of Smith and Sewell (2013). These models assume that attention, stimulus salience, and the observer's strategy for the task jointly determine the selection of stimuli into visual short-term memory (VSTM) and the way in which stimulus representations are weighted. The quality of the VSTM representation determines the speed and accuracy of the decision. The models provide a unified account of a variety of attentional phenomena found in psychophysical tasks using single-element and multi-element displays. Our results show the generality and utility of the normalization approach to modeling attention. PMID:25448118

  10. Amplitude and recurrence time analysis of LP activity at Mount Etna, Italy

    NASA Astrophysics Data System (ADS)

    Cauchie, Léna; Saccorotti, Gilberto; Bean, Christopher J.

    2015-09-01

    The aim of this work is to improve our understanding of the long-period (LP) source mechanism at Mount Etna (Italy) through a statistical analysis of detailed LP catalogues. The behavior of LP activity is compared with the empirical laws governing earthquake recurrence, in order to investigate whether any relationships exist between these two apparently different earthquake classes. We analyzed a family of 8894 events detected during a temporary experiment in August 2005. For that time interval, the LP activity is sustained in time and the volcano did not exhibit any evident sign of unrest. The completeness threshold of the catalogue is established through a detection test based on synthetic waveforms. The retrieved amplitude distribution differs significantly from the Gutenberg-Richter law, and the interevent times distribution does not follow the typical ? law, expected for tectonic activity. In order to compare these results with a catalogue for which the source mechanism is well established, we applied the same procedure to a data set from Stromboli Volcano, where recurrent LP activity is closely related to very-long-period pulses, in turn associated with the summit explosions. Our results indicate that the two catalogues exhibit similar behavior in terms of amplitude and interevent time distributions. This suggests that the Etna's LP signals are most likely driven by stress changes caused by an intermittent degassing process occurring at depth, similar to that which drives the summit explosions at Stromboli Volcano.

  11. Comparison of shunt fraction estimation using transcolonic iodine-123-iodoamphetamine and technetium-99m-pertechnetate in a group of dogs with experimentally-induced chronic biliary cirrhosis

    SciTech Connect

    Koblik, P.D.; Hornof, W.J.; Yen, C.K.; Komtebedde, J.; Breznock, E.; Fisher, P. )

    1991-01-01

    Portosystemic shunt fraction estimation using transcolonic iodine-123-iodoamphetamine (IMP) has been previously validated relative to portal vein macroaggregated albumin injections using an experimental model of cirrhosis. Transcolonic technetium-99m-pertechnetate (TcO4-) has been proposed as an alternative tracer to IMP to study portal circulation in cirrhotic patients. We compared shunt fraction estimates from paired transcolonic IMP and TcO4- studies performed on a group of dogs before and after common bile duct ligation surgery. Pertechnetate over-estimated shunt fraction in 6/7 postoperative studies relative to IMP. A good correlation between the two methods was demonstrated, however, the slope of the regression line was substantially less than 1.0 with TcO4- values reaching 100% at IMP shunt values of approximately 60%. This apparent inability to accurately assess high shunt flows may limit the quantitative aspects of TcO4- studies on patients with severe portosystemic shunting.

  12. How to handle a huge portosystemic shunt in adult living donor liver transplantation with a small-for-size graft: report of a case.

    PubMed

    Shirouzu, Yasumasa; Ohya, Yuki; Tsukamoto, Yukika; Yamamoto, Hidekazu; Lee, Kwang-Jong; Okajima, Hideaki; Asonuma, Katsuhiro; Inomata, Yukihiro

    2009-01-01

    Little attention has been paid to a ligation of the spontaneous portosystemic shunt in adult living donor liver transplantation (LDLT). A 33-year-old Japanese man with cryptogenic liver cirrhosis accompanied by a huge splenorenal shunt underwent LDLT. Acute cellular rejection produced "to and fro" portal venous flow on postoperative day (POD) 10. Steroid bolus therapy reversed the rejection, but the recovery of the portal venous flow was incomplete and the recipient subsequently started to have episodes of encephalopathy. Angiography showed portal hypoperfusion and portal flow steal via a huge splenorenal shunt. The patient underwent a shunt occlusion on POD 58. Portography showed marked improvement of the portal hypoperfusion. The encephalopathy thereafter dramatically reversed and the patient was discharged with no complications related to shunt ligation on POD 110. This case suggested that a ligation of a huge portosystemic shunt should therefore be considered at the time of transplantation, even when a relatively small graft is implanted. PMID:19562457

  13. Oxidative Stress and Total Antioxidant Status During Internal Carotid Artery Clamping with or without Shunting: An Experimental Pilot Study

    PubMed Central

    Papapetrou, Anastasios; Moris, Demetrios; Patelis, Nikolaos; Kouvelos, George N.; Bakogiannis, Chris; Klonaris, Chris; Georgopoulos, Sotiris

    2015-01-01

    Background The exact role of shunting during carotid endarterectomy remains controversial and unclear. The aim of this experimental study was to investigate to what degree carotid clamping may induce changes in the cerebral oxidative status and to focus on the relation of these changes with shunt insertion. Material/Methods Forty New-Zealand rabbits were randomized into 4 groups: group 1 classifying animals with carotid shunt and patent contralateral carotid artery; group 2 shunt and occlusion of the contralateral carotid artery; group 3 no-shunt and patent contralateral carotid artery; and group 4 no-shunt and occlusion of the contralateral carotid artery. Blood samples were collected from the ipsilateral internal jugular vein, immediately after carotid clamping (time 0), and then at 5, 10, 15, 30, and 60 minutes afterwards. Evaluation of oxidative stress was accomplished by measuring the lag-time, representing the initial phase of oxidation, rate of accumulation (RA), showing concentration of free oxygen radical and total antioxidant status (TAS) representing antioxidant composition of serum. Results Lag-time was significantly different in time points 0, 30 and 60 minutes within each different group. TAS was significantly different in time points 0, 15 and 60 min and RA in time points 0, 5, 10 and 60 min within each different group. 60 minutes after carotid clamping, the rate of accumulation as well as lag-time and TAS were increased in all groups, independently of using or not shunting or the presence of contralateral occlusion. After comparing groups 1, 2 and 3 regarding lag-time, TAS and RA, we did not find statistical difference among the groups at any time point. On the contrary, groups 1, 2 and 3 did show significantly different values comparing to group 4 after 60 min of occlusion. Conclusions Our experimental work based on cerebral metabolism found a significantly higher oxidative stress in models with contralateral carotid occlusion. The use of shunt in all other models did not have any influence on oxidative response. Future human studies should focus on the relation of oxidative status and shunt insertion to determine the benefit of selective or routine shunting during CEA. PMID:26391530

  14. Extrahepatic portacaval shunt via a magnetic compression technique: A cadaveric feasibility study

    PubMed Central

    Yan, Xiao-Peng; Liu, Wen-Yan; Ma, Jia; Li, Jian-Peng; Lv, Yi

    2015-01-01

    AIM: To explore the anatomical feasibility of portacaval shunt using a magnetic compression technique (MCT) in cadavers. METHODS: Computed tomography (CT) images of 30 portal hypertensive patients were obtained. The diameters of the portal vein (PV), the inferior vena cava (IVC), and distance between the two structures were measured. Similar measurements were performed on 20 adult corpses. The feasibility of portacaval shunt based on those measurements was analyzed. First stage of the extrahepatic portacaval shunt using MCT was performed on five cadavers. Specifically, the PV and IVC were exposed through an abdominal incision of the cadavers. The parent magnet was introduced from the femoral vein and was delivered into the IVC by an anchor wire and a 5F Cook catheter. The daughter magnet was introduced into the PV through the splenic vein using an interventional guide wire. When the daughter magnet met the parent magnet, they automatically clipped together and the first stage of the portacaval shunt was set up. RESULTS: The average diameters of the PV and the IVC measured from the 30 CT image were 14.39 ± 2.36 mm and 18.59 ± 4.97 mm, respectively, and the maximum and minimum distances between the PV and the IVC were 9.79 ± 4.56 mm and 9.50 ± 4.79 mm, respectively. From 20 cadavers, the average diameters of the PV and the IVC were 14.48 ± 1.47 mm and 24.71 ± 2.64 mm, and the maximum and minimum distances between the PV and the IVC were 10.14 ± 1.70 mm and 8.93 ± 1.17 mm, respectively. The distances between the PV and the IVC from both the CT images and the cadavers were within the effective length of portacaval anastomosis using MCT (30.30 ± 4.19 mm). The PV and IVC are in close proximity to each other with no intervening tissues or structures in between. Simulated surgeries of the first stage using MCT on five cadavers was successfully performed. CONCLUSION: Anatomically, extrahepatic portacaval shunt employing MCT is highly feasible in humans. PMID:26185378

  15. Harmonic Resonance in Power Transmission Systems due to the Addition of Shunt Capacitors

    NASA Astrophysics Data System (ADS)

    Patil, Hardik U.

    Shunt capacitors are often added in transmission networks at suitable locations to improve the voltage profile. In this thesis, the transmission system in Arizona is considered as a test bed. Many shunt capacitors already exist in the Arizona transmission system and more are planned to be added. Addition of these shunt capacitors may create resonance conditions in response to harmonic voltages and currents. Such resonance, if it occurs, may create problematic issues in the system. It is main objective of this thesis to identify potential problematic effects that could occur after placing new shunt capacitors at selected buses in the Arizona network. Part of the objective is to create a systematic plan for avoidance of resonance issues. For this study, a method of capacitance scan is proposed. The bus admittance matrix is used as a model of the networked transmission system. The calculations on the admittance matrix were done using Matlab. The test bed is the actual transmission system in Arizona; however, for proprietary reasons, bus names are masked in the thesis copy intended for the public domain. The admittance matrix was obtained from data using the PowerWorld Simulator after equivalencing the 2016 summer peak load (planning case). The full Western Electricity Coordinating Council (WECC) system data were used. The equivalencing procedure retains only the Arizona portion of the WECC. The capacitor scan results for single capacitor placement and multiple capacitor placement cases are presented. Problematic cases are identified in the form of 'forbidden response. The harmonic voltage impact of known sources of harmonics, mainly large scale HVDC sources, is also presented. Specific key results for the study indicated include: (1) The forbidden zones obtained as per the IEEE 519 standard indicates the bus 10 to be the most problematic bus. (2) The forbidden zones also indicate that switching values for the switched shunt capacitor (if used) at bus 3 should be should be considered carefully to avoid resonance condition from existing. (3) The highest sensitivity of 0.0033 per unit for HVDC sources of harmonics was observed at bus 7 when all the HVDC sources were active at the same time.

  16. N-butyl cyanoacrylate embolization with blood flow control of an arterioportal shunt that developed after radiofrequency ablation of hepatocellular carcinoma.

    PubMed

    Sonomura, Tetsuo; Kawai, Nobuyuki; Kishi, Kazushi; Ikoma, Akira; Sanda, Hiroki; Nakata, Kouhei; Minamiguchi, Hiroki; Nakai, Motoki; Hosokawa, Seiki; Tamai, Hideyuki; Sato, Morio

    2014-01-01

    We present a case of a patient with rapid deterioration of esophageal varices caused by portal hypertension accompanied by a large arterioportal shunt that developed after radiofrequency ablation of hepatocellular carcinoma. We used n-butyl cyanoacrylate (NBCA) as an embolic material to achieve pinpoint embolization of the shunt, because the microcatheter tip was 2 cm away from the shunt site. Under hepatic arterial flow control using a balloon catheter, the arterioportal shunt was successfully embolized with NBCA, which caused an improvement in the esophageal varices. PMID:24643464

  17. Radioembolization with Y-90 Glass Microspheres: Do We Really Need SPECT-CT to Identify Extrahepatic Shunts?

    PubMed Central

    Theysohn, Jens M.; Ruhlmann, Marcus; Müller, Stefan; Dechene, Alexander; Best, Jan; Haubold, Johannes; Umutlu, Lale; Gerken, Guido; Bockisch, Andreas; Lauenstein, Thomas C.

    2015-01-01

    Purpose Selective Internal Radiation Therapy (SIRT) with 90yttrium (Y-90) is an increasingly used therapeutic option for unresectable liver malignancies. Nontarget embolization of extrahepatic tissue secondary to vascular shunting can lead to SIRT associated complications. Our aim was to assess whether extrahepatic shunts can reliably be diagnosed based on hepatic digital subtraction angiography (DSA) or whether subsequent SPECT/CT data can provide additional information. Materials and Methods 825 patients with hepatocellular carcinoma (n = 636), hepatic metastases (n = 158) or cholangiocellular carcinoma (n = 31) were retrospectively analyzed. During hepatic DSA 128 arteries causing shunt flow to gastrointestinal tissue were coilembolized (right gastric artery n = 63, gastroduodenal artery n = 29; branches to duodenum / pancreas n = 36). Technectium-99m-labeled human serum albumin (HSA) was injected in all 825 patients. SPECT/CT data was used to identify additional or remaining shunts to extrahepatic tissue. Results An unexpected uptake of HSA in extrahepatic tissue was found by SPECT/CT in 54/825 (6.5%) patients (located in stomach n = 13, duodenum n = 26, distal bowel segments n = 12, kidney n = 1, diaphragm n = 2). These patients underwent repeated DSA and newly identified shunt vessels were coilembolized in 22/54 patients, while in 12/54 patients a more distal catheter position for repeat injection of HSA was chosen. In 20/54 patients the repeated SPECT/CT data still revealed an extrahepatic HSA uptake. These patients did not receive SIRT. Conclusion Most extrahepatic shunts can be identified on DSA prior to Y-90 therapy. However, SPECT-CT data helps to identify additional shunts that were initially not seen on DSA. PMID:26335790

  18. Module Information for LP1020, 2015/6 -APPROVED Module Title/Name: British Politics since 1945 Module Code: LP1020

    E-print Network

    Rebollo-Neira, Laura

    1 ? Domestic Politics: 1. British Society and Politics up to the end of to World War II 2 power relations 10. The Future of British Foreign Relations in the ?New World Order? InternationalModule Information for LP1020, 2015/6 - APPROVED Module Title/Name: British Politics since 1945

  19. Approved Module Information for LP1065, 2014/5 Module Title/Name: Introduction to the European Union Module Code: LP1065

    E-print Network

    Neirotti, Juan Pablo

    students with a basic introduction to the history and politics of the European Union and the process of the European Union. ? Understanding of the political and historical context in which European integration hasApproved Module Information for LP1065, 2014/5 Module Title/Name: Introduction to the European

  20. Approved Module Information for LP3008, 2014/5 Module Title/Name: Central and East European Politics Module Code: LP3008

    E-print Network

    Neirotti, Juan Pablo

    Politics Module Code: LP3008 School: Languages and Social Sciences Module Type: Standard Module New Module to central and east European politics. It begins with an overview of the events that led up to the collapse of communism, before considering the key themes that have dominated politics in this region since 1989. Module

  1. Approved Module Information for LP2007, 2014/5 Module Title/Name: Comparative Government and Politics Module Code: LP2007

    E-print Network

    Neirotti, Juan Pablo

    and Politics Module Code: LP2007 School: Languages and Social Sciences Module Type: Standard Module New Module students with a good knowledge of the study of Comparative Politics, focusing in particular on liberal political systems ? Students will be able to analyse critically the differences and similarities between

  2. Lp-PLA2 Antagonizes Left Ventricular Healing After Myocardial Infarction by Impairing the Appearance of Reparative Macrophages

    PubMed Central

    He, Shun; Chousterman, Benjamin G.; Fenn, Ashley; Anzai, Atsushi; Nairz, Manfred; Brandt, Martin; Hilgendorf, Ingo; Sun, Yuan; Ye, Yu-Xiang; Iwamoto, Yoshiko; Tricot, Benoit; Weissleder, Ralph; Macphee, Colin; Libby, Peter; Nahrendorf, Matthias

    2015-01-01

    Background— Healing after myocardial infarction (MI) involves the biphasic accumulation of inflammatory Ly-6Chigh and reparative Ly-6Clow monocytes/macrophages. Excessive inflammation disrupts the balance between the 2 phases, impairs infarct healing, and contributes to left ventricle remodeling and heart failure. Lipoprotein-associated phospholipase A2 (Lp-PLA2), a member of the phospholipase A2 family of enzymes, produced predominantly by leukocytes, participates in host defenses and disease. Elevated Lp-PLA2 levels associate with increased risk of cardiovascular events across diverse patient populations, but the mechanisms by which the enzyme elicits its effects remain unclear. This study tested the role of Lp-PLA2 in healing after MI. Methods and Results— In response to MI, Lp-PLA2 levels markedly increased in the circulation. To test the functional importance of Lp-PLA2, we generated chimeric mice whose bone marrow–derived leukocytes were Lp-PLA2–deficient (bmLp-PLA2?/?). Compared with wild-type controls, bmLp-PLA2?/? mice subjected to MI had lower serum levels of inflammatory cytokines tumor necrosis factor-?, interleukin (IL)-1?, and IL-6, and decreased number of circulating inflammatory myeloid cells. Accordingly, bmLp-PLA2?/? mice developed smaller and less inflamed infarcts with reduced numbers of infiltrating neutrophils and inflammatory Ly-6Chigh monocytes. During the later, reparative phase, infarcts of bmLp-PLA2?/? mice contained Ly-6Clow macrophages with a skewed M2-prone gene expression signature, increased collagen deposition, fewer inflammatory cells, and improved indices of angiogenesis. Consequently, the hearts of bmLp-PLA2?/? mice healed more efficiently, as determined by improved left ventricle remodeling and ejection fraction. Conclusions— Lp-PLA2 augments the inflammatory response after MI and antagonizes healing by disrupting the balance between inflammation and repair, providing a rationale for focused study of ventricular function and heart failure after targeting this enzyme acutely in MI. PMID:26232205

  3. Successful portal-systemic shunt occlusion of a direct shunt between the inferior mesenteric vein and inferior vena cava with balloon-occluded retrograde transvenous obliteration following recanalization after placing a covered stent in the portal and superior mesenteric veins.

    PubMed

    Hayashi, Sadao; Baba, Yasutaka; Senokuchi, Terutoshi; Ueno, Kazuto; Nakajo, Masayuki

    2009-05-01

    Extrahepatic portal-systemic shunts cause portal-systemic encephalopathy. Direct communication between the inferior mesenteric vein (IMV) and the inferior vena cava (IVC) is a relatively rare pathway among the variety of portal-systemic shunts. This report describes a case of successful occlusion of an IMV-IVC shunt. Based on laboratory data and computed tomography findings, a 69-year-old woman with liver cirrhosis was diagnosed with portal-systemic encephalopathy due to a shunt between the IMV and the IVC. Her hepatic coma had not been adequately controlled by oral or intravenous pharmacotherapy. First, we placed a covered stent in the main trunk of the portal vein and the superior mesenteric vein (SMV) to block the SMV hepatofugal flow and splenic vein hepatopetal flow, but this therapy showed only a transient therapeutic effect due to recanalization. Next, we performed balloon-occluded retrograde transvenous obliteration (BRTO) of the portal-systemic shunt. After the BRTO, she has had no episodes of portal-systemic encephalopathy for 2 years. PMID:19499309

  4. Management of Transjugular Intrahepatic Portosystemic Shunt (TIPS)-associated Refractory Hepatic Encephalopathy by Shunt Reduction Using the Parallel Technique: Outcomes of a Retrospective Case Series

    SciTech Connect

    Cookson, Daniel T. Zaman, Zubayr; Gordon-Smith, James; Ireland, Hamish M.; Hayes, Peter C.

    2011-02-15

    Purpose: To investigate the reproducibility and technical and clinical success of the parallel technique of transjugular intrahepatic portosystemic shunt (TIPS) reduction in the management of refractory hepatic encephalopathy (HE). Materials and Methods: A 10-mm-diameter self-expanding stent graft and a 5-6-mm-diameter balloon-expandable stent were placed in parallel inside the existing TIPS in 8 patients via a dual unilateral transjugular approach. Changes in portosystemic pressure gradient and HE grade were used as primary end points. Results: TIPS reduction was technically successful in all patients. Mean {+-} standard deviation portosystemic pressure gradient before and after shunt reduction was 4.9 {+-} 3.6 mmHg (range, 0-12 mmHg) and 10.5 {+-} 3.9 mmHg (range, 6-18 mmHg). Duration of follow-up was 137 {+-} 117.8 days (range, 18-326 days). Clinical improvement of HE occurred in 5 patients (62.5%) with resolution of HE in 4 patients (50%). Single episodes of recurrent gastrointestinal hemorrhage occurred in 3 patients (37.5%). These were self-limiting in 2 cases and successfully managed in 1 case by correction of coagulopathy and blood transfusion. Two of these patients (25%) died, one each of renal failure and hepatorenal failure. Conclusion: The parallel technique of TIPS reduction is reproducible and has a high technical success rate. A dual unilateral transjugular approach is advantageous when performing this procedure. The parallel technique allows repeat bidirectional TIPS adjustment and may be of significant clinical benefit in the management of refractory HE.

  5. Feasibility of pulmonary artery pressure measurements in infants through aorto-pulmonary shunts using a micromanometer pressure wire.

    PubMed

    Everett, A D; Matherne, G P

    2003-01-01

    Assessment of pulmonary artery pressure is an essential element in the evaluation of children palliated with surgical aorto-pulmonary shunts prior to definitive surgical repair. We report the ease of use and accuracy of a 0.014 inch micromanometer pressure wire for the measurement of pulmonary artery pressures in children with aorto-pulmonary artery shunts. The study population consisted of 11 infants and children with either a 3.5 mm modified Blalock-Taussig shunt from the subclavian artery to the branch pulmonary artery after stage 1 Norwood repair for hypoplastic left heart syndrome or palliative staged repair for tetralogy of Fallot, or a central shunt for pulmonary atresia or double outlet right ventricle. The unique features of the micromanometer pressure wire allowed rapid access and accurate measurement of pulmonary pressures in all patients studied. We conclude that the micromanometer pressure wire is a unique and accurate alternative device for rapid and safe determinations of pulmonary artery pressures in children with aorto-pulmonary artery shunts. PMID:12360387

  6. Chemotherapy-induced cerebrospinal fluid malabsorption in a shunted child: case report and review of the literature

    PubMed Central

    O'Halloran, Philip J; Kaliaperumal, Chandrasekaran; Caird, John

    2013-01-01

    Ventriculoperitoneal (VP) shunt insertion is one of the most common neurosurgical procedures for the treatment of chronic hydrocephalus. Although regarded as a relatively benign procedure, several complications including obstruction, infection and mechanical failure can be seen during the postoperative stage. Symptomatic sterile cerebrospinal fluid (CSF) ascites and hydrothoracies are rare complications of VP shunt surgery. The paucity of cases makes identifying the aetiological factors difficult, particularly without catheter tip migration. It is most likely that several factors interact to reduce the absorption of CSF. The authors discuss the case of a 5-year-old girl who developed CSF ascites and a pleural effusion after starting chemotherapy for a suprasellar pilocytic astrocytoma, 2?years post-VP shunt insertion, due to a secondary obstructive hydrocephalus. After the initial management of the presenting symptoms, the child's VP shunt was subsequently changed to a ventriculo-atrial shunt and the patient made an unremarkable recovery. We also review the literature pertaining to this rare complication, assessing identifiable risk factors and surgical management options. PMID:23396932

  7. Detailed analysis of amplitude and recurrence times of LP activity at Mt. Etna Volcano, Italy.

    NASA Astrophysics Data System (ADS)

    Cauchie, L.; Saccorotti, G.; Bean, C.; de Barros, L.

    2012-04-01

    Long-Period (LP) events recorded on many volcanoes worldwide are thought to be associated with conduit resonance triggered by fluid flow instabilities throughout the volcano plumbing system. The rate of Long-Period activity, however, varies greatly depending on the particular volcano taken into account. At Piton de la Fournaise, for instance, LP event rate is on the order of 10 events /year, while at Mt. Etna it is not unusual to observe several thousands of events per month. This work is aimed at improving our understanding of the LP source mechanism through a statistical analysis of detailed LP catalogues. The behaviour of LP activity is compared with the empirical laws governing earthquakes recurrence (e.g., Gutenberg-Richter [GR] and Omori's laws), in order to understand what relationships, if any, exist between these two apparently different earthquake classes. In particular, we investigated the amplitude and the recurrence time of LP activity on Mt. Etna, Italy, using data from a temporary network (inter-station distance ~5km ) and a small-aperture array (inter-station distance ~50m) deployed in 2005. Some 13,000 LP events were detected in August 2005 through a short-term average/long-term average (STA/LTA) method. Directional properties of these events were obtained by applying a Plane Wave Fitting (PWF) method to data from the small array. The different directions of propagation measured for such events suggest that at least two different sources are active. From PWF alone we were not able to isolate the contribution of individual sources without ambiguity. LP signals, however, exhibit a high degree of waveform similarity, thus providing a criterion for classification / source separation. Using correlation analysis, we then grouped the events into families containing comparable waveforms. By waveforms stacking, we obtained a representative, template event for each family. These template signals were then used for a Matched-Filtering of the continuous data streams, in order to discriminate small-amplitude events previously undetected by the STA/LTA triggering method. This procedure allowed for a significant enrichment of the catalogues, from which we retrieved amplitudes and inter-event times associated with individual families. The retrieved amplitude distributions differ significantly from the GR law, and there is no clear relationship between events amplitude and recurrence times. Comparison with data from both lab experiments and numerical simulations of (i) brittle-fracturing of high-viscosity materials, and (ii) fluid flow under different regimes, are needed in order to better understand the physics governing the observed distributions. Hopefully, these steps will lead to an improved understanding of LP activity, in turn clarifying their significance in terms of eruption forecasting.

  8. Small quasi-static displacements associated with shallow LP seismic sources

    NASA Astrophysics Data System (ADS)

    Thun, J.; Bean, C. J.; Lokmer, I.

    2014-12-01

    Seismic long-period (LP) events are still not completely understood, in part because our source models are poorly constrained. In particular individual LP events are usually inverted using a very limited bandwidth, which might mask important aspects of the source. Following advances from earthquake seismology where sources are inverted using joint static and dynamic data we investigate the possibility of using seismometers as deformation sensors, where 'static' displacements are hypothesised to be in the micrometre range (Bean et al. 2014). We use data from high-density networks on a variety of volcanoes. The first component of this study focuses on the extraction of small static displacement steps from seismometer data. The main challenges we face include low signal-to-noise ratios and ambiguity of the extracted ground motion due to the tilt-sensitivity of the instruments. We use a combination of laboratory experiments on seismometers and numerical simulations to investigate the processing steps needed to perform the 'step' extraction task and to guide the interpretation of the resulting data. The method is applied to signals recorded near the summits of Turrialba volcano (Costa Rica) and Mt Etna (Italy), which exhibit ramp-like displacement waveforms, coincidently associated by 'dynamic' LP recordings. Our interim conclusion is that these LP sources likely have a measurable static component in the source. Our next step is to use this static component to better constrain LP source inversions.

  9. Structural Basis for the Immunogenic Properties of the Meningococcal Vaccine Candidate LP2086.

    PubMed

    Mascioni, Alessandro; Bentley, Breagh E; Camarda, Rosaria; Dilts, Deborah A; Fink, Pamela; Gusarova, Viktoria; Hoiseth, Susan K; Jacob, Jaison; Lin, Shuo L; Malakian, Karl; McNeil, Lisa K; Mininni, Terri; Moy, Franklin; Murphy, Ellen; Novikova, Elena; Sigethy, Scott; Wen, Yingxia; Zlotnick, Gary W; Tsao, Désirée H H

    2009-03-27

    LP2086 is a family of outer membrane lipoproteins from Neisseria meningitidis, which elicits bactericidal antibodies and are currently undergoing human clinical trials in a bivalent formulation where each antigen represents one of the two known LP2086 subfamilies. Here we report the NMR structure of the recombinant LP2086 variant B01, a representative of the LP2086 subfamily B. The structure reveals a novel fold composed of two domains: a "taco-shaped" N-terminal beta-sheet and a C-terminal beta-barrel connected by a linker. The structure in micellar solution is consistent with a model of LP2086 anchored to the outer membrane bilayer through its lipidated N terminus. A long flexible chain connects the folded part of the protein to the lipid anchor and acts as spacer, making both domains accessible to the host immune system. Antibodies broadly reactive against members from both subfamilies have been mapped to the N terminus. A surface of subfamily-defining residues was identified on one face of the protein, offering an explanation for the induction of subfamily-specific bactericidal antibodies. PMID:19103601

  10. Analysis of error floor of LDPC codes under LP decoding over the BSC

    SciTech Connect

    Chertkov, Michael; Chilappagari, Shashi; Vasic, Bane; Stepanov, Mikhail

    2009-01-01

    We consider linear programming (LP) decoding of a fixed low-density parity-check (LDPC) code over the binary symmetric channel (BSC). The LP decoder fails when it outputs a pseudo-codeword which is not a codeword. We propose an efficient algorithm termed the instanton search algorithm (ISA) which, given a random input, generates a set of flips called the BSC-instanton and prove that: (a) the LP decoder fails for any set of flips with support vector including an instanton; (b) for any input, the algorithm outputs an instanton in the number of steps upper-bounded by twice the number of flips in the input. We obtain the number of unique instantons of different sizes by running the ISA sufficient number of times. We then use the instanton statistics to predict the performance of the LP decoding over the BSC in the error floor region. We also propose an efficient semi-analytical method to predict the performance of LP decoding over a large range of transition probabilities of the BSC.

  11. Intermediate term safety and efficacy of transscleral cyclophotocoagulation after tube shunt failure

    PubMed Central

    Ness, Peter J.; Khaimi, Mahmoud A.; Feldman, Robert M.; Tabet, Rania; Sarkisian, Steven R.; Skuta, Gregory L.; Chuang, Alice Z.; Mankiewicz, Kimberly A.

    2011-01-01

    Purpose To determine the efficacy and safety of diode transscleral cyclophotocoagulation (TSCPC) after tube shunt failure. Patients and Methods The patient population consisted of 32 eyes of 31 patients with uncontrolled glaucoma. Each eye had a previously implanted aqueous tube shunt and was currently on maximally tolerated medication. Each eye also underwent TSCPC treatment using the Iridex (Mountain View, CA) diode laser with a maximum of 360 degrees of treatment. All 31 charts were reviewed for data pertaining to demographics, treatment, ocular history, and follow-up clinical examinations. Safety was evaluated by complication data. Efficacy was evaluated in terms of TSCPC treatment parameters (number of laser applications, laser power, application duration, and degrees of ciliary body treated), intraocular pressure (IOP), number of hypotensive medications, and any further treatment required. Results With a mean (SD) follow-up of 17.1 (16.3) (median = 11.7) months from the last treatment, the mean IOP decreased from 28.6 (10.2) mmHg to 16.8 (7.5) mmHg (35% reduction) at 3 months (n = 30, p < 0.0001) and to 14.7 (7.9) mmHg (43% reduction) at 1 year (n = 13, p < 0.0001). Complications included hypotony (n = 4), hyphema (n = 2), failed corneal transplant (n = 1), and loss of light perception (n = 5). Conclusions TSCPC has a significant ocular hypotensive effect on glaucoma refractory to both tube shunt and medical therapy. The safety of this intervention remains unclear in this high risk patient population and warrants further study. PMID:21336148

  12. The brain following transjugular intrahepatic portosystemic shunt: the perspective from neuroimaging.

    PubMed

    Chen, Hui Juan; Zheng, Gang; Wichmann, Julian L; Schoepf, U Joseph; Lu, Guang Ming; Zhang, Long Jiang

    2015-12-01

    Hepatic encephalopathy (HE) is a common complication after implantation of a transjugular intrahepatic portosystemic shunt (TIPS). Neuroimaging offers a variety of techniques for non-invasive evaluation of alterations in metabolism, as well as structural and functional changes of the brain in patients after TIPS implantation. In this article, we review the epidemiology and pathophysiology of post-TIPS HE. The potential of neuroimaging including positron emission tomography and multimodality magnetic resonance imaging to investigate the pathophysiology of post-TIPS HE is presented. We also give a perspective on the role of neuroimaging in this field. PMID:26404041

  13. Method of making an ion beam sputter-etched ventricular catheter for hydrocephalus shunt

    NASA Technical Reports Server (NTRS)

    Banks, B. A. (inventor)

    1984-01-01

    The centricular catheter comprises a multiplicity of inlet microtubules. Each microtubule has both a large opening at its inlet end and a multiplicity of microscopic openings along its lateral surfaces. The microtubules are perforated by an ion beam sputter etch technique. The holes are etched in each microtubule by directing an ion beam through an electro formed mesh mask producing perforations having diameters ranging from about 14 microns to about 150 microns. This structure assures a reliable means for shunting cerebrospinal fluid from the cerebral ventricles to selected areas of the body.

  14. Hepatic Veins and Inferior Vena Cava Thrombosis in a Child Treated by Transjugular Intrahepatic Portosystemic Shunt

    SciTech Connect

    Carnevale, Francisco Cesar Santos, Aline Cristine Barbosa; Tannuri, Uenis; Cerri, Giovanni Guido

    2010-06-15

    We report the case of a 9-year-old boy with portal hypertension, due to Budd-Chiari syndrome, and retrohepatic inferior vena cava thrombosis, submitted to a transjugular intrahepatic portosystemic shunt (TIPS) by connecting the suprahepatic segment of the inferior vena cava directly to the portal vein. After 3 months, the withdrawal of anticoagulants promoted the thrombosis of the TIPS. At TIPS revision, thrombosis of the TIPS and the main portal vein and clots at the splenic and the superior mesenteric veins were found. Successful angiography treatment was performed by thrombolysis and balloon angioplasty of a severe stenosis at the distal edge of the stent.

  15. Periodic solution for state-dependent impulsive shunting inhibitory CNNs with time-varying delays.

    PubMed

    ?ayl?, Mustafa; Y?lmaz, Enes

    2015-08-01

    In this paper, we consider existence and global exponential stability of periodic solution for state-dependent impulsive shunting inhibitory cellular neural networks with time-varying delays. By means of B-equivalence method, we reduce these state-dependent impulsive neural networks system to an equivalent fix time impulsive neural networks system. Further, by using Mawhin's continuation theorem of coincide degree theory and employing a suitable Lyapunov function some new sufficient conditions for existence and global exponential stability of periodic solution are obtained. Previous results are improved and extended. Finally, we give an illustrative example with numerical simulations to demonstrate the effectiveness of our theoretical results. PMID:25965769

  16. A novel approach: how an intracoronary shunt proved to be lifesaving

    PubMed Central

    Booth, Karen; Hooks, Gareth J.; Mhandu, Peter C.E.; Parissis, Haralabos

    2015-01-01

    Outcomes and complications following internal massage in cardiac surgery are unknown due to the lack of cumulative effort to capture those events and subsequently developing a registry. Therefore, under the circumstances there are no algorithms defined in the literature. This case report outlines the importance of sound decision-making under pressure in order to achieve a favourable outcome. A potential solution is outlined to a very complex and rare problem: anastomotic disruption during internal cardiac massage in an intensive care unit setting, demonstrating the use of an intracoronary shunt for initial stabilization prior to a definitive procedure. PMID:26718426

  17. Anaesthesia for emergency ventriculo-peritoneal shunt in an adolescent with Noonan's syndrome.

    PubMed

    Samra, Tanvir; Banerjee, Neerja

    2014-07-01

    A 15-year-old boy with Noonan's syndrome was admitted for emergency ventriculo-peritoneal shunt. Intraoperative course was complicated by hypertensive urgency, which was effectively managed with high doses of esmolol (500 ?g/kg/min). Difficult airway was anticipated due to presence of webbed neck and facial dysmorphism. Tracheal intubation was however successfully accomplished with the aid of a bougie. This report thus highlights the unique anaesthetic problems encountered during anaesthetic management of such a case, which is worth sharing. PMID:25197115

  18. Posterior fossa tumors in children--indications for ventricular drainage and for V-P shunting.

    PubMed

    Imieli?ski, B L; Kloc, W; Wasilewski, W; Liczbik, W; Puzyrewski, R; Karwacki, Z

    1998-06-01

    A clinical analysis of 95 patients with posterior fossa tumors treated in the Department of Neurosurgery of the Medical University in Gdansk over a period of 16 years (1979-1995) is presented. The following preoperative factors were studied: localization, size and suspected type of tumor, size of the ventricular system, and presence or absence of the "halo" symptom. The indications for ventricular drainage (Fisher) versus V-P shunting as a preliminary treatment are discussed. Finally, the advantages of each of these procedures are emphasized. PMID:9694333

  19. Investigation of the effect of shunt current on battery efficiency and stack temperature in vanadium redox flow battery

    NASA Astrophysics Data System (ADS)

    Tang, Ao; McCann, John; Bao, Jie; Skyllas-Kazacos, Maria

    2013-11-01

    In vanadium redox flow batteries (VFB), the power of the battery is determined by the number of cells in the stack. Serial and parallel layouts are commonly adopted interactively to suit the designed power demand. The bipolar stack design inevitably introduces shunt currents bypassing into the common manifolds in the stack and thereby resulting in a parasitic loss of power and energy. During standby, shunt current and its associated internal discharge reactions can generate heat and increase stack temperature, potentially leading to thermal precipitation in the positive half-cell. This study aims to investigate the effect of shunt current on stack efficiency and temperature variation during standby periods for a 40-cell stack. Dynamic models based on mass balance, energy balance and electrical circuit are developed for simulations and the results provide an insight into stack performance that will aid in optimising stack design and suitable cooling strategies for the VFB.

  20. Catheter conversion of classic Glenn to bidirectional Glenn with closure of left central shunt years after surgical attempts.

    PubMed

    Ebeid, Makram R; Gaymes, Charles H

    2013-11-01

    Bidirectional Glenn shunt is usually performed in patients with single ventricle in preparation for a total cavo-pulmonary connection. We present a patient born with complex congenital heart disease consisting of single ventricle, pulmonary atresia, non confluent pulmonary arteries, and anomalous pulmonary venous return in whom surgical bidirectional Glenn was attempted. After multiple surgical attempts she was converted to a Classic Glenn and a central ascending aorta to left pulmonary artery shunt. Several years later by the aid of radiofrequency wire the occluded pulmonary artery segment was canalized establishing continuity between the two pulmonary artery branches with stenting of the intervening segment. The central shunt to the left pulmonary artery was subsequently embolized. Thus this patient was converted in the catheterization laboratory from the physiology of a classic Glenn to the more preferred bidirectional Glenn physiology. PMID:21542108

  1. N. Logic, E. Kyriakides, G. T. Heydt, "Lp State Estimators for Power Systems," N. Logic, E. Kyriakides, G. T. Heydt, "Lp state estimators for power systems," Journal of Electric Power

    E-print Network

    1 N. Logic, E. Kyriakides, G. T. Heydt, "Lp State Estimators for Power Systems," N. Logic, E. Kyriakides, G. T. Heydt, "Lp state estimators for power systems," Journal of Electric Power Components. Kyriakides G. T. Heydt Arizona State University PO Box 875706 Tempe, Arizona 85287 USA The widely used method

  2. Radiologic Variations in Gastrorenal Shunts and Collateral Veins from Gastric Varices in Images Obtained Before Balloon-Occluded Retrograde Transvenous Obliteration

    SciTech Connect

    Maeda, Hiroaki Hirota, Shozo; Yamamoto, Satoshi; Kobayashi, Kaoru; Arai, Keisuke; Miyamoto, Yoshiya; Fukuda, Tetsuya; Sugimoto, Koji; Nakao, Norio

    2007-06-15

    Purpose. To investigate variations in the features of gastrorenal shunts and collateral veins shown by balloon-occluded retrograde venography (B-RTV) and by superior mesenteric and celiac arteriography. Methods. A retrospective analysis was performed of the variation in these features on B-RTV and arteriography images obtained from 130 patients who have undergone these studies prior to balloon-occluded retrograde transvenous obliteration at our hospital since 1993. Results. At least one gastrorenal shunt was revealed in 97% (126/130) of cases. Types of gastrorenal shunts observed were as follows: only one main gastrorenal shunt, 94% (118/126) of cases; two main gastrorenal shunts with a ring-like appearance, 3% (4/126); and some gastrorenal shunts to the left renal vein, 3% (4/126). Collateral veins detected were as follows: left inferior phrenic vein, 75% (95/126) of cases; pericardiacophrenic vein, 40% (50/126); gonadal vein, 13% (16/126); retroperitoneal veins, 65% (82/126). Conclusion. It is very important to know the exact configuration of any gastrorenal shunts in order to guide advancement of the balloon catheter into the shunt and to avoid unexpected injection of the sclerosing agent.

  3. Selective Patch Angioplasty and Intraoperative Shunting in Carotid Endarterectomy: A Single-Center Review of 141 Procedures

    PubMed Central

    Evins, Alexander I; Marcus, Joshua; Rigante, Luigi; Kubota, Mayumi; Stieg, Philip E

    2015-01-01

    Objective: Open surgical treatment of carotid artery stenosis, namely, carotid endarterectomy (CEA), has evolved since its inception in 1953. Despite improvements in the treatment of carotid occlusive disease through technological and surgical innovations, the use of patch grafting in CEA’s remains controversial. We evaluate the durability of the primary closure and the safety of selective shunting during carotid endarterectomy (CEA) as determined by intraoperative EEG and postoperative outcomes. Methods: A consecutive series of CEA’s performed by the senior author at a single academic medical center from 2001 to 2012 were reviewed. All cases were performed under continuous intraoperative electroencephalography (EEG). Patch angioplasty was used in cases where there was tortuosity of the vessel within the region of the endarterectomy and narrow vessel diameter at the distal end of the arteriotomy. Shunting was used when intraoperative EEG showed a > 50% reduction in a waveform in any lead. Patients were evaluated for restenosis via imaging or ultrasound at six months and subsequently annual follow-up. Results: One hundred and forty-one CEA’s were performed on 132 (76 male, 56 female) patients with an average age of 71 years (range: 40–95 years). Four (3%) cases required patch angioplasty and three (2%) required intraoperative shunts. The cross-clamp time ranged from 22 to 74 minutes, and the duration increased with the use of shunts and patches. Complications were rare and included recurrent stenosis (n=2), postoperative transient ischemic attack (n=1), ischemic stroke in (n=1), temporary hypoglossal nerve weakness (n=2), temporary marginal mandibular nerve weakness (n=6), and neck hematoma (n=1). Conclusion: Intraoperative EEG data suggests that primary closure and selective shunting in CEA can result in outcomes comparable with routine patch angioplasty and shunting. PMID:26623222

  4. Lp stability for entropy solutions of scalar conservation laws with strict convex flux

    NASA Astrophysics Data System (ADS)

    Adimurthi; Ghoshal, Shyam Sundar; Veerappa Gowda, G. D.

    Here we consider the scalar convex conservation laws in one space dimension with strictly convex flux which is in C1. Existence, uniqueness and L1 contractivity were proved by Kružkov [14]. Using the relative entropy method, Leger showed that for a uniformly convex flux and for the shock wave solutions, the L2 norm of a perturbed solution relative to the shock wave is bounded by the L2 norm of the initial perturbation. Here we generalize the result to Lp norm for all 1?pLp norm of the perturbed solution relative to the modified N-wave is bounded by the Lp norm of the initial perturbation for all 1?p

  5. Capillary tone: cyclooxygenase, shear stress, luminal glycocalyx, and hydraulic conductivity (Lp)

    PubMed Central

    Williams, Donna A; Flood, Mary H

    2015-01-01

    Control of capillary hydraulic conductivity (Lp) is the physiological mechanism that underpins systemic hydration. Capillaries form the largest surface of endothelial cells in any species with a cardiovascular system and all capillaries are exposed to the flow-induced force, shear stress (?). Vasoactive molecules such as prostacyclin (cyclooxygenase product, COX) are released from endothelial cells in response to ?. Little is known about how COX activity impacts capillary Lp. The purpose here was to assess Lp in situ following an acute ?? stimulus and during COX1/COX2 inhibition. Mesenteric true capillaries (TC) of Rana pipiens (pithed) were cannulated for Lp assessment using the modified Landis technique. Rana were randomized into Control and Test groups. Two capillaries per animal were used (perfusate, 10 mg·mL?1 BSA/frog Ringer's; superfusate, frog Ringer's or indomethacin (10?5 mol·L?1) mixed in frog Ringer's solution). Three distinct responses of Lp to indomethacin (TC2) were demonstrated (TC1 and TC2 medians: Test Subgroup 1, 3.0 vs. 1.8; Test Subgroup 2, 18.2 vs. 2.2; Test Subgroup 3, 4.2 vs. 10.2 × 10?7 cm·sec?1·cm H2O?1). Multiple regression analysis revealed a relationship between capillary Lp and systemic red blood cell concentration or hematocrit, plasma protein concentration, and ?? (Test Subgroup 1, R2 = 0.59, P < 0.0001; Test Subgroup 2, R2 = 0.96, P = 0.002), but only during COX inhibition. Maintaining red blood cell and plasma protein levels within a normal range may control barrier function in a healthy state. Recovering barrier function may be an unrecognized benefit of transfusions during blood loss or edema formation. PMID:25896981

  6. Capillary tone: cyclooxygenase, shear stress, luminal glycocalyx, and hydraulic conductivity (Lp).

    PubMed

    Williams, Donna A; Flood, Mary H

    2015-04-01

    Control of capillary hydraulic conductivity (Lp) is the physiological mechanism that underpins systemic hydration. Capillaries form the largest surface of endothelial cells in any species with a cardiovascular system and all capillaries are exposed to the flow-induced force, shear stress (?). Vasoactive molecules such as prostacyclin (cyclooxygenase product, COX) are released from endothelial cells in response to ?. Little is known about how COX activity impacts capillary Lp. The purpose here was to assess Lp in situ following an acute ?? stimulus and during COX1/COX2 inhibition. Mesenteric true capillaries (TC) of Rana pipiens (pithed) were cannulated for Lp assessment using the modified Landis technique. Rana were randomized into Control and Test groups. Two capillaries per animal were used (perfusate, 10 mg·mL(-1) BSA/frog Ringer's; superfusate, frog Ringer's or indomethacin (10(-5) mol·L(-1)) mixed in frog Ringer's solution). Three distinct responses of Lp to indomethacin (TC2) were demonstrated (TC1 and TC2 medians: Test Subgroup 1, 3.0 vs. 1.8; Test Subgroup 2, 18.2 vs. 2.2; Test Subgroup 3, 4.2 vs. 10.2 × 10(-7) cm·sec(-1)·cm H2O(-1)). Multiple regression analysis revealed a relationship between capillary Lp and systemic red blood cell concentration or hematocrit, plasma protein concentration, and ?? (Test Subgroup 1, R(2) = 0.59, P < 0.0001; Test Subgroup 2, R(2) = 0.96, P = 0.002), but only during COX inhibition. Maintaining red blood cell and plasma protein levels within a normal range may control barrier function in a healthy state. Recovering barrier function may be an unrecognized benefit of transfusions during blood loss or edema formation. PMID:25896981

  7. Effects of topography and crustal heterogeneities on the source estimation of LP event at Kilauea volcano

    USGS Publications Warehouse

    Cesca, S.; Battaglia, J.; Dahm, T.; Tessmer, E.; Heimann, S.; Okubo, P.

    2008-01-01

    The main goal of this study is to improve the modelling of the source mechanism associated with the generation of long period (LP) signals in volcanic areas. Our intent is to evaluate the effects that detailed structural features of the volcanic models play in the generation of LP signal and the consequent retrieval of LP source characteristics. In particular, effects associated with the presence of topography and crustal heterogeneities are here studied in detail. We focus our study on a LP event observed at Kilauea volcano, Hawaii, in 2001 May. A detailed analysis of this event and its source modelling is accompanied by a set of synthetic tests, which aim to evaluate the effects of topography and the presence of low velocity shallow layers in the source region. The forward problem of Green's function generation is solved numerically following a pseudo-spectral approach, assuming different 3-D models. The inversion is done in the frequency domain and the resulting source mechanism is represented by the sum of two time-dependent terms: a full moment tensor and a single force. Synthetic tests show how characteristic velocity structures, associated with shallow sources, may be partially responsible for the generation of the observed long-lasting ringing waveforms. When applying the inversion technique to Kilauea LP data set, inversions carried out for different crustal models led to very similar source geometries, indicating a subhorizontal cracks. On the other hand, the source time function and its duration are significantly different for different models. These results support the indication of a strong influence of crustal layering on the generation of the LP signal, while the assumption of homogeneous velocity model may bring to misleading results. ?? 2008 The Authors Journal compilation ?? 2008 RAS.

  8. Beneficial effect on serum apo AI, apo B and Lp AI levels of Ramadan fasting.

    PubMed

    Adlouni, A; Ghalim, N; Saïle, R; Hda, N; Parra, H J; Benslimane, A

    1998-03-23

    In order to investigate for the first time in Morocco the effect of fasting in Ramadan, the ninth lunar month of the muslim year, on lipoprotein metabolism, we determined the levels of serum apolipoproteins; apolipoprotein AI (apo AI), apo B, apo AIV and those of lipoprotein particles; apo AI-containing lipoprotein particles (Lp AI) and also apo AI and apo AII containing lipoprotein particles (Lp AI:AII) in a group of 32 healthy, volunteer adult males. Determination of all these parameters was carried out on each week of the month of Ramadan and the results are compared with the pre-fasting and the post-fasting values. Ramadan fasting reduces significantly serum apo B (P < 0.05), while serum apo AI is significantly increased (P < 0.05) compared with the pre-fasting period. The increase of apo AI occurred on day 29 of Ramadan by 11.8%. Serum apo AIV was unchanged during the fasting period indicating that food intake during Ramadan is not based on lipid diet. The observed diet pattern during Ramadan showed an increase of total energy intake based on carbohydrates (+1.4% of total energy), proteins (+0.4% of total energy) but not on fat (-0.7% of total energy), compared with a usual diet used in the rest of the year. The fat diet is high in monounsaturated (P < 0.05) and polyunsaturated fatty acid in contrast to saturated fatty acid which decreased (P < 0.05) during Ramadan. On the other hand, analysis of serum Lp AI and Lp AI:AII showed that the levels of Lp AI:AII were unchanged but those of Lp AI were significantly increased (P < 0.01) at the end of Ramadan. These findings show that feeding behaviour that occurs during Ramadan beneficially affects serum apolipoprotein metabolism and may contribute to prevention of cardiovascular diseases. PMID:9565333

  9. Detection, Monitoring and Management of Rhizoctonia solani AG 2-2 LP That Causes Large Patch in Zoysiagrass in Texas 

    E-print Network

    Nissen, Lorna Denise

    2015-07-20

    and environmental conditions on R. solani AG 2-2 LP activity and LP symptom development in zoysiagrass in the fall and spring, particularly in Texas. Thus, thatch/soil moisture, thatch/soil temperature, air temperature, irrigation and nitrogen levels, and chemical...

  10. 78 FR 78353 - NuStar Crude Oil Pipeline L.P.; Notice of Petiton for Declaratory Order

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-26

    ... Federal Energy Regulatory Commission NuStar Crude Oil Pipeline L.P.; Notice of Petiton for Declaratory... Practice and Procedure, 18 CFR 385.207(a)(2)(2013), NuStar Crude Oil Pipeline L.P. (NuStar) filed a...Star's South Texas Crude Oil Pipeline system to transport additional Eagle Ford shale crude....

  11. 75 FR 56093 - Eagle Rock Desoto Pipeline, LP; Notice of Motion for Extension of Rate Case Filing Deadline

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-15

    ...Commission [Docket No. PR09-1-002] Eagle Rock Desoto Pipeline, LP; Notice of Motion for Extension...Take notice that on September 8, 2010, Eagle Rock Desoto Pipeline, L.P. (Eagle Rock) filed a request to extend the date for...

  12. 78 FR 10128 - Expansion/Reorganization of Foreign-Trade Subzone 70T; Marathon Petroleum Company LP; Detroit, MI

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-13

    ...Expansion/Reorganization of Foreign-Trade Subzone 70T; Marathon Petroleum Company LP; Detroit, MI Pursuant to its authority...Site 1 of Subzone 70T and remove Site 3 of the subzone at the Marathon Petroleum Company LP refinery in Detroit, Michigan....

  13. 76 FR 22695 - Yuba City Cogenerations Partners, LP; Supplemental Notice That Initial Market-Based Rate Filing...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-22

    ... From the Federal Register Online via the Government Printing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Yuba City Cogenerations Partners, LP; Supplemental Notice That Initial... notice in the above-referenced proceeding of Yuba City Cogeneration Partners, LP's application for...

  14. 76 FR 41239 - L&P Electric, Inc.; Supplemental Notice That Initial Market-Based Rate Filing Includes Request...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-13

    ... From the Federal Register Online via the Government Printing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission L&P Electric, Inc.; Supplemental Notice That Initial Market-Based Rate Filing Includes Request for Blanket Section 204 Authorization This is a supplemental notice in the above-referenced proceeding of L&P Electric,...

  15. 78 FR 62348 - Erie Boulevard Hydropower, L.P.; Notice of Application Accepted for Filing and Soliciting Motions...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-18

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Erie Boulevard Hydropower, L.P.; Notice of Application Accepted for Filing... Hydropower, L.P. e. Name of Project: Chasm Hydroelectric Project. f. Location: On the Salmon River,...

  16. 75 FR 51451 - Erie Boulevard Hydropower, L.P.; Notice of Intent To File License Application, Filing of Pre...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-20

    ... From the Federal Register Online via the Government Printing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Erie Boulevard Hydropower, L.P.; Notice of Intent To File License..., 2010. d. Submitted By: Erie Boulevard Hydropower, L.P. e. Name of Project: Chasm Hydroelectric...

  17. 76 FR 66710 - Erie Boulevard Hydropower, L.P.; Notice of Application Accepted for Filing, Soliciting Comments...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-27

    ... From the Federal Register Online via the Government Printing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Erie Boulevard Hydropower, L.P.; Notice of Application Accepted for Filing...: Erie Boulevard Hydropower, L.P. (dba Brookfield Renewable Power). e. Name of Projects: Oswego...

  18. 76 FR 4097 - Erie Boulevard Hydropower, L.P.; Notice of Application Tendered for Filing With the Commission...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-24

    ... From the Federal Register Online via the Government Printing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Erie Boulevard Hydropower, L.P.; Notice of Application Tendered for Filing... Hydropower, L.P. e. Name of Project: Oswegatchie River Hydroelectric Project. f. Location: The existing...

  19. 78 FR 62348 - Erie Boulevard Hydropower L.P.; Notice of Application Tendered for Filing With the Commission and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-18

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Erie Boulevard Hydropower L.P.; Notice of Application Tendered for Filing....: 7518-015. c. Date Filed: September 30, 2013. d. Applicant: Erie Boulevard Hydropower L.P. e. Name...

  20. 78 FR 68044 - Erie Boulevard Hydropower, L.P.; Notice of Scoping Meetings and Environmental Site Review and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-13

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Erie Boulevard Hydropower, L.P.; Notice of Scoping Meetings and... Boulevard Hydropower, L.P. e. Name of Project: Chasm Hydroelectric Project. f. Location: On the Salmon...