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Sample records for outpatient barium enema

  1. Barium enema (image)

    MedlinePLUS

    A barium enema is performed to examine the walls of the colon. During the procedure, a well lubricated enema tube is inserted gently into the rectum. The barium, a radiopaque (shows up on X-ray) contrast ...

  2. Barium Enema Examination

    MedlinePLUS

    ... radiographic visualization of the gastrointestinal tract. It coats the walls of you lower digestive tract, casting shad- ows ... to side. This allows the barium to coat the walls of your colon. If you feel uncom- fortable ...

  3. Extraperitoneal perforation of the rectum during barium enema.

    PubMed

    Rosenklint, A; Buemann, B; Hansen, P; Baden, H

    1975-01-01

    During barium enema, barium pentrated the rectum to the perirectal extraperitoneal tissue in six patients. Four of these died, and the two survivors have permanent colostomies. The incidence of this rare complication may be further reduced if barium enema is postponed after instrumentation of the rectum, the enema can not lifted more than one meter, the balloon not distended too much, the tip of the balloon catheter made very short, and the personnel in the radiological department made aware of the complication. The complication is probably best treated by prompt diverting colostomy, drainage of perirectal tissue, and antibiotics. PMID:1124343

  4. Solar eclipse sign of intussusception on barium enema.

    PubMed

    Raveenthiran, V

    2002-01-01

    The colographic appearance of intussusception is variously described as a claw sign, pincer defect, shouldering effect, and coiled-spring pattern. This report adds a new radiographic sign to the list. An end-on view of an intussusception on barium enema shows a ring of contrast resembling a solar eclipse. Familiarity with this bizarre appearance is desirable, lest it may be mistaken for spillage of barium due to a colonic perforation. PMID:11793074

  5. Hirschsprung disease: accuracy of the barium enema examination.

    PubMed

    Rosenfield, N S; Ablow, R C; Markowitz, R I; DiPietro, M; Seashore, J H; Touloukian, R J; Cicchetti, D V

    1984-02-01

    To determine the relative accuracy of the various radiologic signs of Hirschsprung disease (HD), we retrospectively reviewed both radiographs obtained after a barium enema and the medical records of 62 children who had surgery to prove or exclude the diagnosis of HD. The visualization of a rectosigmoid transition zone was highly predictive of HD, but nonvisualization did not rule out HD. A false positive transition zone at the splenic flexure was seen in four neonates who had small left colon syndrome rather than HD. Retention of barium seen on radiographs obtained 24 hours after a barium enema was not a specific sign, but it was the only sign of HD in seven neonates, including two who had total colonic aganglionosis. Anal manipulation prior to the barium enema examination did not affect the diagnostic value of that procedure. We conclude that the single most reliable radiographic sign of HD is the presence of a rectosigmoid transition zone. Statistically, the use of three radiographic features combined (rectosigmoid transition zone, retention of barium, and stool mixed with barium) correlated better with the presence or absence of HD than did any of these features alone. A comparison of 24 and 48 hour postevacuation radiographs may help to differentiate HD from meconium plug syndrome. PMID:6691093

  6. 21 CFR 201.304 - Tannic acid and barium enema preparations.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... a warning to the effect: Warning Not for use in enemas. (c) Any tannic acid intended for use by... 21 Food and Drugs 4 2013-04-01 2013-04-01 false Tannic acid and barium enema preparations. 201.304... Tannic acid and barium enema preparations. (a) It has become a widespread practice for tannic acid to...

  7. 21 CFR 201.304 - Tannic acid and barium enema preparations.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... a warning to the effect: Warning Not for use in enemas. (c) Any tannic acid intended for use by... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Tannic acid and barium enema preparations. 201.304... Tannic acid and barium enema preparations. (a) It has become a widespread practice for tannic acid to...

  8. 21 CFR 201.304 - Tannic acid and barium enema preparations.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... a warning to the effect: Warning Not for use in enemas. (c) Any tannic acid intended for use by... 21 Food and Drugs 4 2014-04-01 2014-04-01 false Tannic acid and barium enema preparations. 201.304... Tannic acid and barium enema preparations. (a) It has become a widespread practice for tannic acid to...

  9. 21 CFR 201.304 - Tannic acid and barium enema preparations.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... added to barium enemas to improve X-ray pictures. Tannic acid is capable of causing diminished liver... use in enemas. Tannic acid for rectal use to enhance X-ray visualization is regarded as a new...

  10. Appendicitis in children. Accuracy of the barium enema.

    PubMed

    Garcia, C; Rosenfield, N S; Markowitz, R I; Seashore, J H; Touloukian, R J; Cicchetti, D V

    1987-12-01

    The barium enema (BE) may be useful in the diagnosis of atypical appendicitis in children. We analyzed our experience with 18 children in whom appendicitis was suspected and BE was performed. All of the children underwent surgical exploration. Nonfilling of the appendix with cecal indentation, extravasation of barium from the appendix, or both, were considered positive signs of an inflamed appendix on BE. Using these criteria, 12 of 14 cases of proved appendicitis were true positive and two were equivocal. Four children were proved not to have appendicitis; one of these patients had a true-negative BE, two had equivocal BEs, and there was one false-positive BE (Schnlein-Henoch purpura). Extravasation of barium into the peritoneal cavity was noted in one patient; this was a rare complication. PMID:3687874

  11. 21 CFR 201.304 - Tannic acid and barium enema preparations.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 4 2012-04-01 2012-04-01 false Tannic acid and barium enema preparations. 201.304 Section 201.304 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL LABELING Specific Labeling Requirements for Specific Drug Products 201.304 Tannic acid and barium enema preparations....

  12. [A case of the latex-induced anaphylaxis by contact with barium enema catheter].

    PubMed

    Fujie, Sayuri; Yagami, Akiko; Suzuki, Kayoko; Akamatsu, Hirohiko; Matsunaga, Kayoko

    2004-01-01

    The subject was a 34-year-old female with asthma and atopic dermatitis who had previously undergone a Cesarean section. In December 1995, the patient had an acute abdominal pain, so she underwent a barium enema examination. During the procedure, severe anaphylactic shock developed, and the examination was stopped. The patient responded well to appropriate emergency therapy, and her symptoms were resolved. However, the woman visited our outpatient clinic because the symptoms of her atopic dermatitis got worse. She indicated that she felt itchy when using rubber gloves. Also, at the age of thirty, she had urticaria and dyspnea after drinking a glass of fruit juice. Subsequently radioallergosorbent testing demonstrated the presence of specific IgEs against latex, banana, kiwi, grapefruit, and avocado. Skin prick tests were positive for banana, grapefruit, avocado, and latex extract at a dilution of 1:1000. A scratch test was positive to an extract of a balloon catheter which included 0.3 microg/g latex proteins by the LEAP method. In conclusion, the patient was diagnosed with an anaphylaxis to the latex contained in a balloon catheter used for the barium enema. PMID:14762330

  13. The value of the preoperative barium-enema examination in the assessment of pelvic masses

    SciTech Connect

    Gedgaudas, R.K.; Kelvin, F.M.; Thompson, W.M.; Rice, R.P.

    1983-03-01

    The value of the barium-enema examination in the assessment of pelvic masses was studied in 44 patients. Findings from those barium-enema examinations and from pathological specimens from 37 patients who had malignant tumors and seven patients who had endometriosis were retrospectively analyzed to determine if the barium-enema examination is useful in differentiating extrinsic lesions with and without invasion of the colon. None of the 12 patients who had extrinsic lesions had any of the criteria that indicated bowel-wall invasion. These criteria included fixation and serrations of the bowel wall in all patients with invasion, and ulceration and fistulizaton in those patients who had complete transmural invasion. In patients with pelvic masses, the preoperative barium-enema examination may be useful to the surgeon in planning surgery and in preparing the patient for the possibility of partial colectomy or colostomy.

  14. Comparison of Golytely lavage with standard diet/cathartic preparation for double-contrast barium enema.

    PubMed

    Girard, C M; Rugh, K S; DiPalma, J A; Brady, C E; Pierson, W P

    1984-06-01

    In a two-part study, two groups of 100 outpatients each were randomly assigned a colon preparation. In part 1, a standard 1-day diet/cathartic combination was compared with Golytely. In part 2, diet/cathartics was compared with Golytely plus Dulcolax (bisacodyl). The standard preparation provided good or excellent feces removal in 81 (80%) of 101 subjects. Golytely alone was successful in only 21 (53%) of 40 patients, but Golytely followed by Dulcolax achieved good or excellent feces removal in 31 (82%) of 38. Degraded mucosal coating with Golytely alone, due to excessive fluid retention, was also corrected by the addition of Dulcolax. Golytely alone is not an adequate method of colon cleansing for double-contrast barium enema, but Golytely plus Dulcolax is as effective as the standard preparation. PMID:6609598

  15. Barium enema examination using a remote controlled positive and negative contrast media inflator.

    PubMed

    Hisamichi, S; Masuda, Y; Shirane, A; Sugawara, N; Gomi, T; Oshiba, S

    1977-11-01

    In a series of 30 patients, barium enema examination of the colon was performed via a remote controlled air and contrast media inflator. With this apparatus, introduction and elimination of air and barium into the colon can be accomplished at a freely adjustable rate of injection by remote control. Fluoroscopy time is significantly reduced and the operator is not exposed to radiation. PMID:910070

  16. Dose optimisation of double-contrast barium enema examinations.

    PubMed

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

    2010-01-01

    The purpose of the present work was to optimise the filtration and dose setting for double-contrast barium enema examinations using a Philips MultiDiagnost Eleva FD system. A phantom study was performed prior to a patient study. A CDRAD phantom was used in a study where copper and aluminium filtration, different detector doses and tube potentials were examined. The image quality was evaluated using the software CDRAD Analyser and the phantom dose was determined using the Monte Carlo-based software PCXMC. The original setting [100 % detector dose (660 nGy air kerma) and a total filtration of 3.5 mm Al, at 81 kVp] and two other settings identified by the phantom study (100 % detector dose and additional filtration of 1 mm Al and 0.2 mm Cu as well as 80 % detector dose and added filtration of 1 mm Al and 0.2 mm Cu) were included in the patient study. The patient study included 60 patients and up to 8 images from each patient. Six radiologists performed a visual grading characteristics study to evaluate the image quality. A four-step scale was used to judge the fulfillment of three image quality criteria. No overall statistical significant difference in image quality was found between the three settings (P > 0.05). The decrease in the effective dose for the settings in the patient study was 15 % when filtration was added and 34 % when both filtrations was added and detector dose was reduced. The study indicates that additional filtration of 1 mm Al and 0.2 mm Cu and a decrease in detector dose by 20 % from the original setting can be used in colon examinations with Philips MultiDiagnost Eleva FD to reduce the patient dose by 30 % without significantly affecting the image quality. For 20 exposures, this corresponds to a decrease in the effective dose from 1.6 to 1.1 mSv. PMID:20231164

  17. DETECTION OF SMALL LESIONS OF THE LARGE BOWELBarium Enema Versus Double Contrast

    PubMed Central

    Robinson, J. Maurice

    1954-01-01

    Roentgen study with the so-called opaque barium enema with some modifications is superior to double contrast study as the primary means of demonstrating polyps in the colon as well as other lesions. The method described combines fluoroscopy, high kilovoltage radiography, fluoroscopically aimed spot films taken with compression, suction and evacuation studies. In this way unsuspected as well as suspected polyps can be demonstrated, particularly if attention is directed to the region where polyps are most likely to be foundnamely, the distal third of the large bowel. Double contrast study is quite valuable as a supplement to the modified single contrast barium enema, but it has not been sufficiently perfected to replace the modified opaque barium enema as a primary procedure. In many instances a combination of methods will, of course, be required. PMID:13209360

  18. Phased surgical treatment of barium enema-induced rectal injury and retention of barium in the pelvic floor space

    PubMed Central

    Yang, Xuefei; Xia, Ligang; Huang, Jun; Wang, Jianping

    2014-01-01

    Iatrogenic injuries caused by barium enema are rarely reported. Following a phased surgical protocol for up to one year, we have successfully treated a patient with rectal injury and severe infection of the pelvic floor space complicated with retention of large amounts of barium and vaginal fistula. In this article, the phased surgery planning for the treatment of rectal injury complicated with vaginal fistula is discussed in terms of the pros and cons, and the observed effect and evolution of barium retained in the pelvic floor space are described. PMID:25405155

  19. Accidental embryo irradiation during barium enema examinations: An estimation of absorbed dose

    SciTech Connect

    Damilakis, J.; Perisinakis, K.; Grammatikakis, J.

    1996-04-01

    The purpose of this report is to investigate the possibility of an embryo to receive a dose of more than 10 cGy, the threshold of malformation induction in embryos reported by the International Commission on Radiological Protection, during barium enema examinations. Thermoluminescent dosimeters were place in a phantom to calculate the depth-to-skin conversion coefficient needed for dose estimation at the average embryo depth in patients. Barium enema examinations were performed in 20 women of childbearing age with diagnostic problems demanding longer fluoroscopy times. Doses at 6 cm, the average embryo depth, were determined by measurements at the patients` skin followed by dose calculation at the site of interest. The range of doses estimated at embryo depth for patients was 1.9 to 8.2 cGy. The dose always exceeded 5 cGy when fluoroscopy time was longer than 7 minutes. The dose at the embryo depth never exceeded 10 cGy. This study indicates that fluoroscopy time should not exceed 7 minutes in childbearing-age female patients undergoing barium enema examinations. 6 refs., 1 fig., 2 tabs.

  20. A review of factors affecting patient doses for barium enemas and meals.

    PubMed

    Martin, C J

    2004-10-01

    A study of patient doses for barium enema and meal examinations has been carried out for hospitals in the West of Scotland to assess the impact of dose reduction facilities on new X-ray equipment. Dose-area product (DAP) information has been collected on examinations for groups of patients at 20 hospitals and results reviewed together with data on equipment performance measurements. Median DAPs for barium enemas and meals were 15.7 Gy cm(2) and 4.8 Gy cm(2), respectively, and effective doses estimated from the results are 3.5+/-0.7 mSv and 1.5+/-0.5 mSv, respectively. These doses are lower than those reported in earlier studies and in previous surveys in the West of Scotland. The reduction in dose is linked primarily to the low dose facilities available on newer X-ray equipment, such as low dose pulsed fluoroscopy, digital imaging facilities and use of copper filtration. Use of the image intensifier for decubitus images on C-arm units employed for barium enemas also gives a significantly lower dose. Equipment with copper filtration had the lowest doses. The reduction in effective dose will be significantly less than the reduction in DAP for units in which a copper filter is included and the adoption of lower diagnostic reference levels is proposed for units with this facility. It is important that the operators are aware of the low dose imaging options on their equipment in order that techniques can be fully optimized. PMID:15482999

  1. Complications of barium enema examinations: a survey of UK Consultant Radiologists 1992 to 1994.

    PubMed

    Blakeborough, A; Sheridan, M B; Chapman, A H

    1997-02-01

    Questionnaires were sent to all Consultant Radiologists in the UK regarding complications from barium enema examinations. The 756 respondents performed a total of 738,216 examinations over the three year period 1992 to 1994. Seventy-seven Consultants (10.2%) reported a total of 82 complications including 13 deaths: an overall mortality rate of 1 in 56,786. Only three of 30 (10%) cases of bowel perforation died, as compared with nine out of 16 (56%) cases of cardiac arrhythmia. The only remaining death was a consequence of vaginal intubation. Details of all the reported complications are recorded. This was an entirely retrospective study. PMID:9043049

  2. Effect of glucagon on the diagnostic accuracy of double-contrast barium enema examinations.

    PubMed

    Thoeni, R F; Vandeman, F; Wall, S D

    1984-01-01

    The effect of glucagon-induced hypotonicity on the diagnostic accuracy of double-contrast barium enema examinations was determined in 133 consecutive patients in a double-blind crossover study. All patients underwent colonoscopy and served as their own controls by undergoing a double-contrast study after intravenous injection of 1 mg of glucagon and another after intravenous injection of 1 ml of saline placebo, in randomized order. The frequencies of good/excellent hypotonicity and quality of examinations after first doses of glucagon (55.3% and 80.8%) were not significantly different from the frequencies of good/excellent results after first doses of saline (51.3% and 86.5%). The sensitivity was 72.6% after glucagon and 64.5% after placebo; the specificity was 88.7% after glucagon and 77.9% after placebo; and the respective accuracies were 81.2% and 71.9%. These percentages should be used only to compare results with and without glucagon and, by study design, do not represent results of a complete double-contrast study. The variation among these percentages was not statistically significant, but diverticulitis was more accurately diagnosed after glucagon. It was concluded that glucagon does not significantly improve the sensitivity and specificity of the double-contrast barium enema examination and should be used only in selected instances. PMID:6606942

  3. Barium enema: use of increased copper filtration to optimize dose and image quality.

    PubMed

    Morrell, R E; Rogers, A T; Jobling, J C; Shakespeare, K E

    2004-02-01

    The purpose of this study was to determine and validate the optimum copper filtration for adult double contrast barium enema examinations. Entrance surface dose rates to polymethyl methacrylate slabs and corresponding image intensifier input kermas, were measured for various added copper filters. Image contrast was assessed using a Leeds TO.10 test object. Copper filter thickness of 0.3 mm was chosen, as this reduced entrance surface dose rate by 56%, without substantially degrading image contrast due to kV and mA saturation. 20 sets of clinical films taken with each of 0.3 mm copper, 0.1 mm copper and no copper were reviewed following randomization, by a specialist gastrointestinal radiologist. Each set of digital spot and conventional films was allocated a score for each of three regions of the bowel, on a scale of 0-3 for perceived barium coating. The Kruskal-Wallis test showed no significant difference in perceived coating between the three groups (Digital spot: sigmoid colon p=0.207, splenic flexure p=0.103, hepatic flexure p=0.894. Screen-film: left colon p=0.803, right colon p=0.487, transverse colon p=0.905). All examinations but one were classified as diagnostic. The remaining one was classified indeterminate, due to poor distension of the colon. On adding 0.3 mm copper filtration, the mean dose-area product per examination was reduced by 57%, from 17.7 Gy cm(2) to 7.6 Gy cm(2). The estimated reduction in effective dose was 11%, from 3.0 mSv to 2.7 mSv. X-ray tube loading increased by 30%, but this caused no overheating with our local examination protocol and schedule. Additional filtration of 0.3 mm copper for adult double contrast barium enemas has now been implemented in routine clinical use at our hospital. PMID:15010383

  4. Barium enema

    MedlinePLUS

    ... clean. Your doctor will give you instructions for cleansing your colon. During the test: You lie flat ... large intestine. You will be given instructions for cleansing your bowel. This is also called bowel preparation. ...

  5. Pattern and distribution of colonic diverticulosis: Analysis of 2877 barium enemas in Thailand

    PubMed Central

    Lohsiriwat, Varut; Suthikeeree, Wanwarang

    2013-01-01

    AIM: To determine the pattern and distribution of colonic diverticulosis in Thai adults. METHODS: A review of the computerized radiology database for double contrast barium enema (DCBE) in Thai adults was performed at the Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand. Incomplete studies and DCBE examinations performed in non-Thai individuals were excluded. The pattern and distribution of colonic diverticulosis detected during DCBE studies from June 2009 to October 2011 were determined. The occurrence of solitary cecal diverticulum, rectal diverticulum and giant diverticulum were reported. Factors influencing the presence of colonic diverticulosis were evaluated. RESULTS: A total of 2877 suitable DCBE examinations were retrospectively reviewed. The mean age of patients was 59.8 ± 14.7 years. Of these patients, 1778 (61.8%) were female and 700 (24.3%) were asymptomatic. Colonic diverticulosis was identified in 820 patients (28.5%). Right-sided diverticulosis (641 cases; 22.3%) was more frequently reported than left-sided diverticulosis (383 cases; 13.3%). Pancolonic diverticulosis was found in 98 cases (3.4%). The occurrence of solitary cecal diverticulum, rectal diverticulum and giant diverticulum were 1.5% (42 cases), 0.4% (12 cases), and 0.03% (1 case), respectively. There was no significant difference in the overall occurrence of colonic diverticulosis between male and female patients (28.3% vs 28.6%, P = 0.85). DCBE examinations performed in patients with some gastrointestinal symptoms revealed the frequent occurrence of colonic diverticulosis compared with those performed in asymptomatic individuals (29.5% vs 25.3%, P = 0.03). Change in bowel habit was strongly associated with the presence of diverticulosis (a relative risk of 1.39; P = 0.005). The presence of diverticulosis was not correlated with age in symptomatic patients or asymptomatic individuals (P > 0.05). CONCLUSION: Colonic diverticulosis was identified in 28.5% of DCBE examinations in Thai adults. There was no association between the presence of diverticulosis and gender or age. PMID:24379590

  6. Flexible fiberoptic sigmoidoscopy and double-contrast barium-enema examination in the identification of adenomas and carcinoma of the colon.

    PubMed

    Farrands, P A; Vellacott, K D; Amar, S S; Balfour, T W; Hardcastle, J D

    1983-11-01

    To assess the accuracy of the flexible fiberoptic sigmoidoscope, 227 consecutive patients (mean age 61.8 +/- 13 years) requiring investigation of colonic symptoms were evaluated using rigid and flexible sigmoidoscopy (PAF and KDV) and double-contrast barium enema (SSA). Patients with equivocal findings or adenomatous polyps underwent colonoscopy (TWB). Thirty-four patients had carcinoma and 50 patients had one or more adenomatous polyps (greater than 5mm). The neoplastic yield from rigid sigmoidoscopy was 12 per cent, flexible fiberoptic sigmoidoscopy 90 per cent, and double-contrast barium enema only 76 per cent. Barium enema failed to identify eight carcinomas and 13 adenomatous polyps; seven of the eight carcinomas were polypoid Dukes' Stage A lesions, and associated diverticular disease was present in 62.5 per cent of cases. Flexible fiberoptic sigmoidoscopy failed to identify seven carcinomas and one adenomatous polyp. Five of the carcinomas were beyond range of the instrument; in one patient, a stricture was seen that was caused by the carcinoma; and in the seventh patient, the examination was terminated because of angulation spasm. Double-contrast barium enema is inaccurate in detecting lesions in the sigmoid colon, with flexible sigmoidoscopy being superior. PMID:6628146

  7. The use of carbon dioxide as an insufflation agent in barium enema--does it have a role?

    PubMed

    Robson, N K; Lloyd, M; Regan, F

    1993-03-01

    A double blind prospective study was undertaken to evaluate the benefit of using carbon dioxide in double contrast barium enema (DCBE). 142 consecutive patients referred for DCBE were randomly allocated to receive either air or carbon dioxide (CO2) as the insufflation agent. The use of CO2 reduced the incidence of immediate and delayed severe pain from 31% to 12.5% and from 12.9% to 4.2% respectively. There was a statistically significant higher incidence of delayed severe pain in the younger age group as found in previous studies. Post-evacuation films showed that there was less residual gas after CO2. The quality of the DCBE was unchanged. We urge the more widespread use of CO2 as insufflation agent in DCBE. PMID:8472110

  8. Barium Enema Examination

    MedlinePLUS

    ... los hubiera, seran necesarios. Aumente la cantidad de agua que toma en los das siguientes a su ... Podr recibir instrucciones de aumentar su consumo de agua o tomar un laxante. ? Esta pgina educacional del ...

  9. Detection of rectal and rectosigmoid lesions by double-contrast barium enema examination and sigmoidoscopy. Accuracy of technique and efficacy of standard overhead views.

    PubMed

    Thoeni, R F; Petras, A

    1982-01-01

    The double-contrast barium-enema examination (DC-BE) and endoscopy were compared in 100 patients (126 lesions) to determine the accuracy of each method and assess the efficacy of standard overhead views in detecting rectal and rectosigmoid masses. Seven lesions were missed with DB-BE (accurate rate, 95%) and 20 with endoscopy (accuracy rate, 84%). Lateral and angled rectum views were positive in 74% and 94%, respectively; combining these with supine, prone, and left posterior oblique views, 95% of 121 lesions were detected on at least 2 radiographs. Fifteen of 41 lesions (37%) were missed with the rigid sigmoidoscope, but only 5 of 85 (6%) with the flexible sigmoidoscope. The authors conclude that suspected rectal or rectosigmoid tumors can be diagnosed accurately with only 5 projections, rather than the 11 often employed for the entire colon, and that the flexible sigmoidoscope should be used routinely instead of the rigid sigmoidoscope. PMID:7053548

  10. Lower GI Series (Barium Enema)

    MedlinePLUS

    ... series by talking with a health care provider cleansing the bowel Talking with a health care provider. ... he or she may suggest a different procedure. Cleansing the bowel. The health care provider will give ...

  11. Computed tomographic colonography compared with colonoscopy or barium enema for diagnosis of colorectal cancer in older symptomatic patients: two multicentre randomised trials with economic evaluation (the SIGGAR trials).

    PubMed Central

    Halligan, Steve; Dadswell, Edward; Wooldrage, Kate; Wardle, Jane; von Wagner, Christian; Lilford, Richard; Yao, Guiqing L; Zhu, Shihua; Atkin, Wendy

    2015-01-01

    BACKGROUND Computed tomographic colonography (CTC) is a relatively new diagnostic test that may be superior to existing alternatives to investigate the large bowel. OBJECTIVES To compare the diagnostic efficacy, acceptability, safety and cost-effectiveness of CTC with barium enema (BE) or colonoscopy. DESIGN Parallel randomised trials: BE compared with CTC and colonoscopy compared with CTC (randomisation 2 : 1, respectively). SETTING A total of 21 NHS hospitals. PARTICIPANTS Patients aged ≥ 55 years with symptoms suggestive of colorectal cancer (CRC). INTERVENTIONS CTC, BE and colonoscopy. MAIN OUTCOME MEASURES For the trial of CTC compared with BE, the primary outcome was the detection rate of CRC and large polyps (≥ 10 mm), with the proportion of patients referred for additional colonic investigation as a secondary outcome. For the trial of CTC compared with colonoscopy, the primary outcome was the proportion of patients referred for additional colonic investigation, with the detection rate of CRC and large polyps as a secondary outcome. Secondary outcomes for both trials were miss rates for cancer (via registry data), all-cause mortality, serious adverse events, patient acceptability, extracolonic pathology and cost-effectiveness. RESULTS A total of 8484 patients were registered and 5384 were randomised and analysed (BE trial: 2527 BE, 1277 CTC; colonoscopy trial: 1047 colonoscopy, 533 CTC). Detection rates in the BE trial were 7.3% (93/1277) for CTC, compared with 5.6% (141/2527) for BE (p = 0.0390). The difference was due to better detection of large polyps by CTC (3.6% vs. 2.2%; p = 0.0098), with no significant difference for cancer (3.7% vs. 3.4%; p = 0.66). Significantly more patients having CTC underwent additional investigation (23.5% vs. 18.3%; p = 0.0003). At the 3-year follow-up, the miss rate for CRC was 6.7% for CTC (three missed cancers) and 14.1% for BE (12 missed cancers). Significantly more patients randomised to CTC than to colonoscopy underwent additional investigation (30% vs. 8.2%; p < 0.0001). There was no significant difference in detection rates for cancer or large polyps (10.7% for CTC vs. 11.4% for colonoscopy; p = 0.69), with no difference when cancers (p = 0.94) and large polyps (p = 0.53) were analysed separately. At the 3-year follow-up, the miss rate for cancer was nil for colonoscopy and 3.4% for CTC (one missed cancer). Adverse events were uncommon for all procedures. In 1042 of 1748 (59.6%) CTC examinations, at least one extracolonic finding was reported, and this proportion increased with age (p < 0.0001). A total of 149 patients (8.5%) were subsequently investigated, and extracolonic neoplasia was diagnosed in 79 patients (4.5%) and malignancy in 29 (1.7%). In the short term, CTC was significantly more acceptable to patients than BE or colonoscopy. Total costs for CTC and colonoscopy were finely balanced, but CTC was associated with higher health-care costs than BE. The cost per large polyp or cancer detected was £4235 (95% confidence interval £395 to £9656). CONCLUSIONS CTC is superior to BE for detection of cancers and large polyps in symptomatic patients. CTC and colonoscopy detect a similar proportion of large polyps and cancers and their costs are also similar. CTC precipitates significantly more additional investigations than either BE or colonoscopy, and evidence-based referral criteria are needed. Further work is recommended to clarify the extent to which patients initially referred for colonoscopy or BE undergo subsequent abdominopelvic imaging, for example by computed tomography, which will have a significant impact on health economic estimates. TRIAL REGISTRATION Current Controlled Trials ISRCTN95152621. PMID:26198205

  12. Proper Management for Morbid Iatrogenic Retroperitoneal Barium Insufflation

    PubMed Central

    Vahedian-Ardakani, Jalal; Nazerani, Shahram; Saraee, Amir; Sarmast, Ali; Saraee, Ehsan

    2014-01-01

    A barium enema is a diagnostic and therapeutic procedure commonly used for colon and rectum problems. Rectal perforation with extensive intra- and/or extraperitoneal spillage of barium is a devastating complication of a barium enema that leads to a significant increase in patient mortality. Due to the low number of reported cases in recent scientific literature and the lack of experience with the management of these cases, we would like to present our treatment approach to a rare case of retroperitoneal contamination with barium, followed by its intraperitoneal involvement during a diagnostic barium enema. Our experience with long-term management of the patient and the good outcome will be depicted in this paper. PMID:25580416

  13. How to administer an enema.

    PubMed

    Peate, Ian

    2015-12-01

    Rationale and key points This article aims to help nurses to undertake the administration of enemas in a safe, effective and patient-centred manner, ensuring privacy and dignity. The administration of an enema is a common healthcare procedure, which can be used to deliver medication or aid bowel evacuation. ? The administration of an enema should be undertaken by a competent nurse. ? An enema is a liquid preparation inserted into the rectum. ? The nurse must explain the procedure to the patient and should assist the individual before, during and after the procedure. ? The nurse should document all care given. Reflective activity Clinical skills articles can help update your practice and ensure it remains evidence based. Apply this article to your practice. Reflect on and write a short account of: 1. How you felt performing this intimate procedure. 2. The positive elements of care delivery and those that could be enhanced. Subscribers can upload their reflective accounts at: rcni.com/portfolio . PMID:26639291

  14. 21 CFR 876.5210 - Enema kit.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Enema kit. 876.5210 Section 876.5210 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GASTROENTEROLOGY-UROLOGY DEVICES Therapeutic Devices 876.5210 Enema kit. (a) Identification. An enema kit is a device intended to instill water...

  15. SOURCE ASSESSMENT: MAJOR BARIUM CHEMICALS

    EPA Science Inventory

    This report summarizes data on air emissions from the production of major barium chemicals. Compounds studied include barium sulfide, barium carbonate, barium chloride, barium hydroxide, and barium sulfate. In order to evaluate potential environmental effects the source severity,...

  16. Barium cyanide

    Integrated Risk Information System (IRIS)

    Barium cyanide ; CASRN 542 - 62 - 1 Human health assessment information on a chemical substance is included in the IRIS database only after a comprehensive review of toxicity data , as outlined in the IRIS assessment development process . Sections I ( Health Hazard Assessments for Noncarcinogenic Ef

  17. Effects of high volume saline enemas vs no enema during labour The N-Ma Randomised Controlled Trial [ISRCTN43153145

    PubMed Central

    Cuervo, Luis Gabriel; Bernal, Mara del Pilar; Mendoza, Natalia

    2006-01-01

    Background Enemas are used during labour in obstetric settings with the belief that they reduce puerperal and neonatal infections, shorten labour duration, and make delivery cleaner for attending personnel. However, a systematic review of the literature found insufficient evidence to support the use of enemas. The objective of this RCT was to address an identified knowledge gap by determining the effect of routine enemas used during the first stage of labour on puerperal and neonatal infection rates. Methods Design: RCT (randomised controlled trial; randomized clinical trial). Outcomes: Clinical diagnosis of maternal or neonatal infections, labour duration, delivery types, episiotomy rates, and prescription of antibiotics Setting: Tertiary care referral hospital at the Javeriana University (Bogot, Colombia) that attended 3170 births during study period with a caesarean section rate of 26%. Participants: 443 women admitted for delivery to the obstetrics service (February 1997 to February 1998) and followed for a month after delivery. Inclusion criteria were women with: low risk pregnancy and expected to remain in Bogot during follow up; gestational age ? 36 weeks; no pelvic or systemic bacterial infection; intact membranes; cervix dilatation ?7 cm. Intervention: 1 litre saline enema, versus no enema, allocated following a block random allocation sequence and using sealed opaque envelopes. Results Allocation provided balanced groups and 86% of the participants were followed up for one month. The overall infection rate for newborns was 21%, and 18% for women. We found no significant differences in puerperal or neonatal infection rates (Puerperal infection: 41/190 [22%] with enema v 26/182 [14%] without enema; RR 0.66 CI 95%: 0.43 to 1.03; neonatal infection 38/191 [20%] with enema v 40/179 [22%] without enema; RR 1.12, 95% CI 95% 0.76 to 1.66), and median labour time was similar between groups (515 min. with enema v 585 min. without enema; P = 0.24). Enemas didn't significantly change episiorraphy dehiscence rates (21/182 [12%] with enema v 32/190 [17%] without enema; P = 0.30). Conclusion This RCT found no evidence to support routine use of enemas during labour. Although these results cannot rule out a small clinical effect, it seems unlikely that enemas will improve maternal and neonatal outcomes and provide an overall benefit. PMID:16545140

  18. Enema ion compositions for enhancing colorectal drug delivery.

    PubMed

    Maisel, Katharina; Chattopadhyay, Sumon; Moench, Thomas; Hendrix, Craig; Cone, Richard; Ensign, Laura M; Hanes, Justin

    2015-07-10

    Delivering drugs to the colorectum by enema has advantages for treating or preventing both local and systemic diseases. However, the properties of the enema itself are not typically exploited for improving drug delivery. Sodium ions are actively pumped out of the lumen of the colon, which is followed by osmotically-driven water absorption, so we hypothesized that this natural mechanism could be exploited to drive nanoparticles and drugs to the colorectal tissue surface. Here, we report that sodium-based, absorption-inducing (hypotonic) enemas rapidly transport hydrophilic drugs and non-mucoadhesive, mucus penetrating nanoparticles (MPP), deep into the colorectal folds to reach virtually the entire colorectal epithelial surface. In contrast, isotonic and secretion-inducing (hypertonic) vehicles led to non-uniform, poor surface coverage. Sodium-based enemas induced rapid fluid absorption even when moderately hyper-osmolal (~350 mOsm) compared to blood (~300 mOsm), which suggests that active sodium absorption plays a key role in osmosis-driven fluid uptake. We then used tenofovir, an antiretroviral drug in clinical trials for preventing HIV, to test the effects of enema composition on local and systemic drug delivery. We found that strongly hypotonic and hypertonic enemas caused rapid systemic drug uptake, whereas moderately hypotonic enemas with ion compositions similar to feces resulted in high local tissue levels with minimal systemic drug exposure. Similarly, moderately hypotonic enemas provided improved local drug retention in colorectal tissue, whereas hypertonic and isotonic enemas provided markedly reduced drug retention in colorectal tissue. Lastly, we found that moderately hypotonic enema formulations caused little to no detectable epithelial damage, while hypertonic solutions caused significant damage, including epithelial sloughing; the epithelial damage caused increased systemic drug absorption and penetration of MPP into colorectal tissue, a potential advantage in certain drug delivery applications. In summary, we illustrate that enema composition can be adjusted to maximize local versus systemic drug delivery, and that mildly hypotonic, sodium-based vehicles can provide uniform drug and MPP delivery in the colon that maximizes local drug concentrations. PMID:25937321

  19. [Outpatient emergencies].

    PubMed

    Rivallan, Armel; Le Nagard, Philippe

    2014-01-01

    The outpatient monitoring of patients sometimes involves emergency situations. In their practice, the nurses who visit the patient's home are confronted with the limits of their intervention. Faced with these delicate situations team coordination is a strength and the reactivity of the caregivers often contributes to a satisfactory outcome for the patient. PMID:24979919

  20. Isoosmolar Enemas Demonstrate Preferential Gastrointestinal Distribution, Safety, and Acceptability Compared with Hyperosmolar and Hypoosmolar Enemas as a Potential Delivery Vehicle for Rectal Microbicides

    PubMed Central

    Leyva, Francisco J.; Bakshi, Rahul P.; Fuchs, Edward J.; Li, Liye; Caffo, Brian S.; Goldsmith, Arthur J.; Ventuneac, Ana; Carballo-Diéguez, Alex; Du, Yong; Leal, Jeffrey P.; Lee, Linda A.; Torbenson, Michael S.

    2013-01-01

    Abstract Rectally applied antiretroviral microbicides for preexposure prophylaxis (PrEP) of HIV infection are currently in development. Since enemas (rectal douches) are commonly used by men who have sex with men prior to receptive anal intercourse, a microbicide enema could enhance PrEP adherence by fitting seamlessly within the usual sexual practices. We assessed the distribution, safety, and acceptability of three enema types—hyperosmolar (Fleet), hypoosmolar (distilled water), and isoosmolar (Normosol-R)—in a crossover design. Nine men received each enema type in random order. Enemas were radiolabeled [99mTc-diethylene triamine pentaacetic acid (DTPA)] to assess enema distribution in the colon using single photon emission computed tomography/computed tomography (SPECT/CT) imaging. Plasma 99mTc-DTPA indicated mucosal permeability. Sigmoidoscopic colon tissue biopsies were taken to assess injury as well as tissue penetration of the 99mTc-DTPA. Acceptability was assessed after each product use and at the end of the study. SPECT/CT imaging showed that the isoosmolar enema had greater proximal colonic distribution (up to the splenic flexure) and greater luminal and colon tissue concentrations of 99mTc-DTPA when compared to the other enemas (p<0.01). Colon biopsies also showed that only the hyperosmolar enema caused sloughing of the colonic epithelium (p<0.05). In permeability testing, the hypoosmolar enema had higher plasma 99mTc-DTPA 24-h area under the concentration-time curve and peak concentration compared to the hyperosmolar and isoosmolar enemas, respectively. Acceptability was generally good with no clear preferences among the three enema types. The isoosmolar enema was superior or similar to the other enemas in all categories and is a good candidate for further development as a rectal microbicide vehicle. PMID:23885722

  1. MR colonography without bowel cleansing or water enema: a pilot study

    PubMed Central

    Sambrook, A; Mcateer, D; Yule, S; Phull, P

    2012-01-01

    Objectives The value of screening for colorectal cancer has been well demonstrated, and national programmes are being implemented. At present the primary imaging modality is colonoscopy, which has an associated morbidity and mortality. CT colonography (CTC) has been proposed as an alternative, but this is associated with radiation exposure and generally requires bowel preparation. The aim of this pilot study was to assess the feasibility of MR colonography (MRC) without bowel preparation or water enema for the detection of colorectal neoplasia. Methods Patients scheduled for colonoscopy were invited to participate in the study; informed consent was obtained. MRC (with oral barium faecal tagging and colonic air distension) was performed 1–2 weeks before the colonoscopy. Axial T2 weighted single-shot fast spin-echo (prone and supine) and axial T1 weighted fast spoiled gradient-recalled (pre- and post-iv gadolinium) supine MRI sequences were performed. The examinations were reported by two gastrointestinal radiologists by consensus. Colonoscopy following standard bowel preparation was performed by a single endoscopist blinded to the MRC results. Significant lesions were defined as polyps or masses >10 mm in diameter. Results 29 patients were studied. Colonoscopy revealed 25 mass lesions in 13 patients. MRC correctly identified four of the nine lesions >10 mm in diameter (sensitivity 44%; specificity 100%). Although specificity remained high for smaller lesions, sensitivity was poor. Conclusion This pilot study has demonstrated the feasibility of performing MRC without bowel preparation or water enema. This would seem to be a promising modality for colorectal cancer screening. Larger studies are required to determine the accuracy of this modality for the detection of colorectal neoplasia. PMID:22167505

  2. Barium release system

    NASA Technical Reports Server (NTRS)

    Lewis, B. W.; Stokes, C. S.; Smith, E. W.; Murphy, W. J. (inventors)

    1973-01-01

    A chemical system is described for releasing a good yield of free barium neutral atoms and barium ions in the upper atmosphere and interplanetary space for the study of the geophysical properties of the medium. The barium is released in the vapor phase so that it can be ionized by solar radiation and also be excited to emit resonance radiation in the visible range. The ionized luminous cloud of barium becomes a visible indication of magnetic and electrical characteristics in space and allows determination of these properties over relatively large areas at a given time.

  3. Barium bright and heavy

    NASA Astrophysics Data System (ADS)

    Fromm, Katharina M.

    2013-02-01

    Katharina M. Fromm relates how barium and its ores went from a magical, glowing species that attracted witches and alchemists to components in a variety of compounds that are key parts of modern life.

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

    PubMed Central

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

    2014-01-01

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

  5. Outpatient burn management.

    PubMed

    Warner, Petra M; Coffee, Tammy L; Yowler, Charles J

    2014-08-01

    Most burn patients have injuries that may be treated on an outpatient basis. Newer silver-based dressings and improved medications for the treatment of pain and pruritus have led to further growth of outpatient care. The final barrier of distance from the burn center will decrease with the growth of telemedicine. It is incumbent for burn centers to develop outpatient guidelines to facilitate this growth of outpatient care. PMID:25085094

  6. Outpatient pediatric urologic procedures.

    PubMed

    Howards, S S; Siegel, A L; Snyder, H M; Duckett, J W

    1987-02-01

    Outpatient pediatric urologic surgery is not a new concept. However, it has recently become extremely popular. The general experience nationwide and particularly the experience at Children's Hospital of Philadelphia and the University of Virginia Hospital indicate that outpatient surgery can be very safe and satisfactory for patients. The outpatient approach requires close cooperation among anesthesiologists, surgeons, and outpatient personnel. Excellent communication with the patient and family is essential. This includes extensive educational printed material and 24-hour availability by telephone. Once the infrastructure is in place, outpatient pediatric urologic surgery results in efficient use of facilities and a more pleasant surgical experience for the patient. The psychological, social, and economic benefits of outpatient surgery make it imperative that a large percentage of pediatric procedures be done on an ambulatory basis. We do not, however, intend to suggest that all minor procedures can be done on an outpatient basis, as certain special situations will mandate hospitalization. PMID:3811053

  7. Observed Barium Emission Rates

    NASA Technical Reports Server (NTRS)

    Stenbaek-Nielsen, H. C.; Wescott, E. M.; Hallinan, T. J.

    1993-01-01

    The barium releases from the CRRES satellite have provided an opportunity for verifying theoretically calculated barium ion and neutral emission rates. Spectra of the five Caribbean releases in the summer of 1991 were taken with a spectrograph on board a U.S. Air Force jet aircraft. Because the line of sight release densities are not known, only relative rates could be obtained. The observed relative rates agree well with the theoretically calculated rates and, together with other observations, confirm the earlier detailed theoretical emission rates. The calculated emission rates can thus with good accuracy be used with photometric observations. It has been postulated that charge exchange between neutral barium and oxygen ions represents a significant source for ionization. If so. it should be associated with emissions at 4957.15 A and 5013.00 A, but these emissions were not detected.

  8. Effects of a Glutamine Enema on Anastomotic Healing in an Animal Colon Anastomosis Model

    PubMed Central

    Oner, Osman Zekai; Oruc, Mehmet Tahir; Bulbuller, Nurullah; Ozdem, Sebahat; Ozdemir, Sukru; Alikanooglu, Arsenal Sezgin; Karakoyun, Rojbin; Dogan, Ugur; Ongen, Ayper; Koc, Umit

    2015-01-01

    Purpose Anastomotic leakage in colorectal surgery is a very important issue. Although many studies have shown the positive effects of enteral glutamine (Gln) on anastomotic healing, none has assessed the effects of administering Gln via an enema for anastomotic healing. To fill this study gap, this study investigated the intraluminal effect of administration of Gln enema on the healing of colonic anastomosis in a rat model. Methods Thirty Wistar albino rats were divided into three groups containing 10 rats each and were subjected to distal left colon transection and anastomosis. Postoperatively, group I (the control group) was administered no treatment, group II was administered daily placebo enemas containing physiological saline, and group III was administered daily 2% L-Gln enemas. After sacrifice on postoperative day 5, anastomotic healing, burst pressure, tissue hydroxyproline levels, and histological parameters were measured, and group values were compared via statistical analysis. Results Group III was found to have the highest mean bursting pressure and tissue hydroxyproline levels and the lowest mean ischemia score. While the values of these parameters were not found to differ significantly among the groups, the lack of significance may have been due to the limited number of subjects examined. Conclusion Administration of a Gln enema may have a positive effect on anastomosis in terms of bursting pressure and histopathological parameters. Future research should examine administration of a preoperative Gln enema as a means of decreasing the traumatic effects of the enema and identifying its applicability in surgical practice. PMID:26817016

  9. Barium and Compounds

    Integrated Risk Information System (IRIS)

    EPA / 635 / R - 05 / 001 www.epa.gov / iris TOXICOLOGICAL REVIEW OF BARIUM AND COMPOUNDS ( CAS No . 7440 - 39 - 3 ) In Support of Summary Information on the Integrated Risk Information System ( IRIS ) March 1998 Minor revisions January 1999 Reference dose revised June 2005 U.S . Environmental Protec

  10. Barium and Compounds

    Integrated Risk Information System (IRIS)

    Barium and Compounds ; CASRN 7440 - 39 - 3 Human health assessment information on a chemical substance is included in the IRIS database only after a comprehensive review of toxicity data , as outlined in the IRIS assessment development process . Sections I ( Health Hazard Assessments for Noncarcinog

  11. "The medicine from behind": The frequent use of enemas in western African traditional medicine.

    TOXLINE Toxicology Bibliographic Information

    van Andel T; van Onselen S; Myren B; Towns A; Quiroz D

    2015-11-04

    ETHNOPHARMACOLOGICAL RELEVANCE: Purgative enemas form an integral part of African traditional medicine. Besides possible benefits, serious health risks of rectal herbal therapy have been described in literature. To design appropriate health education programs, it is essential to understand traditional herbal practices and local perceptions of health and illness. Little is known about the herbal ingredients of enemas in Sub-Saharan Africa and consumers' personal reasons to use them.AIM OF THE STUDY: To analyze the importance of enema use with regard to plant species used and illnesses treated in West and Central Africa, to understand the local health beliefs that underlie frequent enema use and to evaluate which recipes and practices could be beneficial or harmful.MATERIALS AND METHODS: We extracted data from 266 ethnobotanical questionnaires on medicinal (in particular women's health and childcare) and ritual plant use in Ghana, Benin and Gabon. Plants mentioned during interviews were vouchered and identified in herbaria. Health issues treated by means of enemas were ranked according to the number of plant species used for a specific illness. We compared our results with findings of medical research on benefits and risks of enema use in Sub-Saharan Africa.RESULTS: We recorded ca. 213 different plant species used in hundreds of recipes for rectal insertions, mostly in Ghana and Gabon. Stomachache, abdominal pain, female infertility and birth facilitation were treated with the highest number of plants species. Cleansing the intestines of young children to promote their health by getting rid of 'dirt', instead of treating constipation, was an important cultural practice that required the rectal application of herbal medicine, as well as other cultural bound health issues like stimulating children to walk at an early age. Tradition, the bitter taste of herbal medicine and the rapid effect of enemas were frequently mentioned reasons for enema use.DISCUSSION AND CONCLUSIONS: Literature indicates that although enemas can help to improve the hygienic conditions of a household with young infants, frequent enema use can pose serious risks like direct toxicity caused by harmful ingredients, mechanical injury and infections. In Africa, enemas containing herbal medicine are common methods of administering herbal medicine for a variety of diseases, rather than just medicinal treatments for constipation as previously thought. Health professionals should be aware of the extent of, and motivation behind enema use to develop culturally appropriate education programs, especially targeted at vulnerable groups such as elderly people, parents of young infants and pregnant women.

  12. Small-bowel enema in the diagnosis of adhesive obstructions.

    PubMed

    Caroline, D F; Herlinger, H; Laufer, I; Kressel, H Y; Levine, M S

    1984-06-01

    The small-bowel enema was evaluated in 60 patients in whom a final diagnosis of adhesive obstruction was made by surgery or on the basis of clinical findings. Distinctive radiographic and clinical features were found with single versus multiple bands. While 72% of 32 single-band obstructions were graded as severe, this grading was given to only 34% of 18 obstructions by multiple bands. Extensive adhesions were demonstrated in 10 patients and presented varied radiographic features. The radiographic diagnosis of adhesive obstruction was found to be correct in 36 (87.8%) of 41 patients in whom a surgical diagnosis could subsequently be made. However, an incorrect radiologic diagnosis of obstruction by metastases was made in five patients. They form the basis for a discussion of the differential diagnosis. PMID:6609596

  13. Barium Vanadate Microspheres

    NASA Astrophysics Data System (ADS)

    Yosinski, Shari; Tweeton, Landon; Feller, Steve; Affatigato, Mario

    2009-11-01

    It has been found that many glass powders can form micro- or nanospheres when heated in a flame or by a laser. Much of the research in this area of microspheres has concentrated on making hollow spheres, called microballoons, of silica and borosilicate glasses. Our aim was to create highly porous barium vanadate microspheres for possible future applications in material storage. The surface area of porous spheres would provide a greater amount of bonding surface area for dopants than hollow spheres. Barium vanadate glass with a molar fraction of 0.4 to 0.6 barium oxide was used because this glass is stable and has a low Tg. Size distributions of the spheres were quantified and the extent of sphere formation and porosity was examined using a scanning electron microscope. The size of spheres formed is affected by powder size, dropping method, and flame position. The porosity of the microspheres is affected by flame temperature, time spent in flame, and the material onto which the spheres fall. The greatest porosity was achieved by first heating the glass powder at a low temperature and then immediately sending it through the flames of two MAPP gas torches at approximately 2100^oC onto a metal sheet.

  14. The antegrade continence enema procedure and total anorectal reconstruction.

    PubMed

    Zbar, Andrew P

    2014-05-01

    Patients may present with anal incontinence (AI) following repair of a congenital anorectal anomaly years previously, or require total anorectal reconstruction (TAR) following radical rectal extirpation, most commonly for rectal cancer. Others may require removal of their colostomy following sphincter excision for Fournier's gangrene, or in cases of severe perineal trauma. Most of the data pertaining to antegrade continence enema (the ACE or Malone procedure) comes from the pediatric literature in the management of children with AI, but also with supervening chronic constipation, where the quality of life and compliance with this technique appears superior to retrograde colonic washouts. Total anorectal reconstruction requires an anatomical or physical supplement to the performance of a perineal colostomy, which may include an extrinsic muscle interposition (which may or may not be 'dynamized'), construction of a neorectal reservoir, implantation of an incremental artificial bowel sphincter or creation of a terminal, smooth-muscle neosphincter. The advantages and disadvantages of these techniques and their outcome are presented here. PMID:24759342

  15. The antegrade continence enema procedure and total anorectal reconstruction

    PubMed Central

    Zbar, Andrew P.

    2014-01-01

    Patients may present with anal incontinence (AI) following repair of a congenital anorectal anomaly years previously, or require total anorectal reconstruction (TAR) following radical rectal extirpation, most commonly for rectal cancer. Others may require removal of their colostomy following sphincter excision for Fournier's gangrene, or in cases of severe perineal trauma. Most of the data pertaining to antegrade continence enema (the ACE or Malone procedure) comes from the pediatric literature in the management of children with AI, but also with supervening chronic constipation, where the quality of life and compliance with this technique appears superior to retrograde colonic washouts. Total anorectal reconstruction requires an anatomical or physical supplement to the performance of a perineal colostomy, which may include an extrinsic muscle interposition (which may or may not be dynamized'), construction of a neorectal reservoir, implantation of an incremental artificial bowel sphincter or creation of a terminal, smooth-muscle neosphincter. The advantages and disadvantages of these techniques and their outcome are presented here. PMID:24759342

  16. Relationship between the pH of enema solutions and intestinal damage in rabbits.

    PubMed

    Zhang, Feng; Li, Xia; Xu, Xujuan; Cai, Duanying; Zhang, Jianguo

    2015-01-01

    Mechanical enemas can lead to intestinal mucosal injuries and bowel barrier damage, presenting as electrolyte disturbances and functional intestinal disorders. Most researchers believe that the mechanism of injury is related to osmolality, volume and temperature of the solution, infusion pressure, and the composition of the enema tube. We hypothesized that the pH of the enema solution may also contribute to intestinal damage. We administered enema solutions--normal saline, soapsuds, or vinegar (neutral, alkaline, or acidic solutions, respectively)--to three groups of rabbits (n = 20 per group). The solutions were standardized for volume and temperature and the soapsuds and vinegar solutions were adjusted to be isotonic with normal saline or deionized water. We also included a control group (n = 20) in which the enema tubes were inserted but no solution was administered. We biopsied 3 sites (rectum and distal and proximal colon). Damage to intestinal mucosa was observed by light microscopy and transmission electron microscopy. In order to explore the detection of damage using noninvasive methods, cyclooxygenase (COX)-2 gene expression was measured in the exfoliated cells gathered from postenema defecation. Epithelial loss, inflammatory reaction, and cellular microstructure damage was increased in the vinegar and soapsuds groups. Also, exfoliated cells in these groups had higher COX-2 expression than the normal saline group. The acidic and alkaline enema solutions thus caused more severe damage to the intestinal mucosa compared to the neutral liquid, supporting our hypothesis. Further, the detection of COX-2 expression shows promise as a noninvasive method for estimating enema-induced damage. PMID:25504953

  17. Barium Peritonitis in Small Animals

    PubMed Central

    KO, Jae Jin; MANN, F. A. (Tony)

    2014-01-01

    ABSTRACT Barium peritonitis is extremely rare, but is difficult to treat and may be life-threatening. Barium suspension leakage from the gastrointestinal tract into the abdominal cavity has a time-dependent and synergistically deleterious effect in patients who have generalized bacterial peritonitis. The severity of barium peritonitis is dependent on the quantity of barium in the abdominal cavity. Barium sulfate leakage results in hypovolemia and hypoproteinemia by worsening the exudation of extracellular fluid and albumin. Abdominal fluid analysis is a useful and efficient method to diagnose barium peritonitis. Serial radiographs may not be a reliable or timely diagnostic technique. Initial aggressive fluid resuscitation and empirical broad-spectrum antibiotic treatment should be instituted promptly, followed quickly by celiotomy. During exploratory surgical intervention, copious irrigation and direct wiping with gauze are employed to remove as much barium as possible. Omentectomy should be considered when needed to expedite barium removal. Despite aggressive medical and surgical treatments, postoperative prognosis is guarded to poor due to complications, such as acute vascular shock, sepsis, diffuse peritonitis, hypoproteninemia, electrolyte imbalance, cardiac arrest, small bowel obstruction related to progression of granulomas and adhesions in the abdominal cavity. Therefore, intensive postoperative monitoring and prompt intervention are necessary to maximize chances for a positive outcome. For those that do survive, small bowel obstruction is a potential consequence due to progression of abdominal adhesions. PMID:24430662

  18. Barium uranyl diphosphonates

    SciTech Connect

    Nelson, Anna-Gay D.; Alekseev, Evgeny V.; Ewing, Rodney C.; Albrecht-Schmitt, Thomas E.

    2012-08-15

    Three Ba{sup 2+}/UO{sub 2}{sup 2+} methylenediphosphonates have been prepared from mild hydrothermal treatment of uranium trioxide, methylendiphosphonic acid (C1P2) with barium hydroxide octahydrate, barium iodate monohydrate, and small aliquots of HF at 200 Degree-Sign C. These compounds, Ba[UO{sub 2}[CH{sub 2}(PO{sub 3}){sub 2}]{center_dot}1.4H{sub 2}O (Ba-1), Ba{sub 3}[(UO{sub 2}){sub 4}(CH{sub 2}(PO{sub 3}){sub 2}){sub 2}F{sub 6}]{center_dot}6H{sub 2}O (Ba-2), and Ba{sub 2}[(UO{sub 2}){sub 2}(CH{sub 2}(PO{sub 3}){sub 2})F{sub 4}]{center_dot}5.75H{sub 2}O (Ba-3) all adopt layered structures based upon linear uranyl groups and disphosphonate molecules. Ba-2 and Ba-3 are similar in that they both have UO{sub 5}F{sub 2} pentagonal bipyramids that are bridged and chelated by the diphosphonate moiety into a two-dimensional zigzag anionic sheet (Ba-2) and a one-dimensional ribbon anionic chain (Ba-3). Ba-1, has a single crystallographically unique uranium metal center where the C1P2 ligand solely bridges to form [UO{sub 2}[CH{sub 2}(PO{sub 3}){sub 2}]{sup 2-} sheets. The interlayer space of the structures is occupied by Ba{sup 2+}, which, along with the fluoride ion, mediates the structure formed and maintains overall charge balance. - Graphical abstract: Illustration of the stacking of the layers in Ba{sub 3}[(UO{sub 2}){sub 4}(CH{sub 2}(PO{sub 3}){sub 2}){sub 2})F{sub 6}]{center_dot}6H{sub 2}O viewed along the c-axis. The structure is constructed from UO{sub 7} pentagonal bipyramidal units, U(1)O{sub 7}=gray, U(2)O{sub 7}=yellow, barium=blue, phosphorus=magenta, fluorine=green, oxygen=red, carbon=black, and hydrogen=light peach. Highlights: Black-Right-Pointing-Pointer The polymerization of the UO{sub 2}{sup 2+} sites to form uranyl dimers leads to structural variations in compounds. Black-Right-Pointing-Pointer Barium cations stitch uranyl diphosphonate anionic layers together, and help mediate structure formation. Black-Right-Pointing-Pointer HF acts as both a mineralizing agent and a ligand.

  19. Antioxidant effects after coffee enema or oral coffee consumption in healthy Thai male volunteers.

    PubMed

    Teekachunhatean, S; Tosri, N; Sangdee, C; Wongpoomchai, R; Ruangyuttikarn, W; Puaninta, C; Srichairatanakool, S

    2012-07-01

    We designed an open-label, randomized two-phase crossover study to investigate the antioxidant effects after single and multiple doses of a coffee enema versus coffee consumed orally. Eleven healthy subjects were randomly assigned to either receive a coffee enema (3 times weekly for 6 visits) or consume ready-to-drink coffee (2 times daily for 11 days). After a washout period, subjects were switched to receive the alternate coffee procedure. Blood samples were collected at specific time points for the determination of serum levels of glutathione (GSH), malondialdehyde (MDA) and trolox equivalent antioxidant capacity (TEAC). The findings showed that either single or multiple administrations of the coffee enema or orally consumed coffee doses seemed not to produce any beneficial effects to enhance serum GSH levels or to decrease serum MDA levels over the study period of 12 days. In contrast, mean serum TEAC levels at day 12 after the coffee enema and at days 6 and 12 after oral coffee consumption were significantly reduced from their corresponding baseline values. Thus, no beneficial effects with respect to an enhancement of serum GSH and TEAC levels or a decrease in serum MDA concentrations were demonstrated after coffee enema or orally consumed ready-to-drink coffee. PMID:22249393

  20. Outpatient prospective payment.

    PubMed

    Matson, T

    1991-08-01

    In September of this year, the Health Care Financing Administration (HCFA) will present Congress with its recommendations for developing a prospective payment system for all Medicare outpatient services. Whichever plan is ultimately adopted, this system of payment will greatly impact the structure and management of outpatient services and, in particular, reimbursement for radiology services and use of technologies. While a system is perhaps at least two years away from full-scale implementation, providers are already witnessing diminishing reimbursement as a result of incremental payment changes since the early 1980's. With the across-the-board cuts of six percent for all hospital outpatient services, authorized for the first time last year by Congress, some providers are experiencing an escalation of payment short-falls. Further, if current experience with implementation of the inpatient prospective payment system is replicated in the outpatient arena, payments will not only be less but they will be dramatically different for various providers. Since implementation of DRGs, Medicare has achieved savings of $18 billion for inpatient care. While some hospitals have reported their best years financially, others are consolidating or closing. A prospective payment system for outpatients will also have such "winners and losers," but as a single policy initiative it will probably have a greater impact than both DRGs and the resource-based relative value scale (RBRVS) combined. Because fixed payments for inpatients have proliferated the push to outpatient care, a DRG-like system for outpatients will result in capping payments for the entire continuum of services provided in hospitals.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:10113061

  1. Rhubarb Enema Attenuates Renal Tubulointerstitial Fibrosis in 5/6 Nephrectomized Rats by Alleviating Indoxyl Sulfate Overload

    PubMed Central

    Lu, Fuhua; Liu, Xusheng; Zou, Chuan

    2015-01-01

    Aim To investigate the effects of rhubarb enema treatment using a 5/6 nephrectomized rat model and study its mechanisms. Methods Twenty-eight Sprague Dawley rats were divided into three groups: sham operation group (n = 8), 5/6 nephrectomized (5/6Nx) (n = 10), and 5/6Nx with rhubarb enema treatment (n = 10). The rhubarb enema was continuous for 1.0 month. Serum creatinine, serum indoxyl sulfate (IS) level, renal pathology, tubulointerstitial fibrosis, and renal oxidative stress were assessed. Results 5/6Nx rats showed increasing levels of serum creatinine and severe pathological lesions. Their serum creatinine levels obviously decreased after rhubarb enema treatment (P < 0.05 vs 5/6Nx group). The administration of rhubarb enema attenuated the histopathological changes in 5/6Nx rats. In addition, 5/6Nx rats showed an enhanced extent of tubulointerstitial fibrosis compared with sham rats, and administration of rhubarb enema to 5/6Nx rats ameliorated tubulointerstitial fibrosis. 5/6Nx rats showed increased serum levels of IS, renal oxidative stress, and NF-κB compared with sham rats, whereas administration of rhubarb enema to 5/6Nx rats decreased serum levels of IS, renal oxidative stress, and NF-κB levels. Conclusion Rhubarb enema treatment ameliorates tubulointerstitial fibrosis in the kidneys of 5/6Nx rats, most likely by alleviating IS overload and reducing kidney oxidative stress and inflammatory injury. PMID:26671452

  2. A randomised, controlled, double blind, escalating dose study of alicaforsen enema in active ulcerative colitis

    PubMed Central

    van Deventer, S J H; Tami, J A; Wedel, M K

    2004-01-01

    Objective: To evaluate the safety and efficacy of an enema formulation of alicaforsen, an antisense inhibitor of intercellular adhesion molecule, after 1, 3, and 6 months. Methods: This was a randomised, placebo controlled, double blind, escalating dose multicentre study in 40 patients with mild to moderately active distal ulcerative colitis (disease activity index (DAI) 4–10). Patients were assigned to four dosing cohorts of 10 patients each (eight active, two placebo). Each patient received 60 ml of alicaforsen enema (0.1, 0.5, 2, or 4 mg/ml or placebo) once daily for 28 consecutive days. Safety and efficacy (DAI and clinical activity index) scores were evaluated up to six months after initiation of dosing. Results: At day 29, alicaforsen enema resulted in dose dependent improvement in DAI (overall p = 0.003). Alicaforsen 4 mg/ml improved DAI by 70% compared with the placebo response of 28% (p = 0.004). Alicaforsen 2 and 4 mg/ml improved DAI status by 72% and 68% compared with a placebo response of 11.5% at month 3 (p = 0.016 and 0.021, respectively). Specifically, DAI improved from 5.6 to 1.6 and from 6.3 to 2.5 in the 2 and 4 mg/ml groups compared with placebo (7.5 to 6.1). None of the patients in the 4 mg/ml group compared with 4/8 placebo patients required additional medical or surgical intervention over baseline during the six month period after starting the enema treatment. The safety profile was favourable. Conclusions: Alicaforsen enema showed promising acute and long term benefit in patients with mild to moderate descending ulcerative colitis. Alicaforsen enemas had a favourable safety profile. These findings require verification in larger randomised controlled clinical trials. PMID:15479686

  3. Development of in situ gelling and bio adhesive 5-Fluorouracil enema.

    PubMed

    Wang, Lu-Lu; Zheng, Wen-Sheng; Chen, Shao-Hua; Fang, Xia-Qin

    2013-01-01

    In this study, a novel 5-Fluorouracil (5-FU) enema with good bio adhesion and temperature sensitivity was developed using in situ gelling technology. The preparation was formulated as a free-flowing liquid before use, while a layer of gel film was quickly formed when administered in the rectum, with a large contact surface area. It also demonstrated good biocompatibility, appropriate gel strength and bio adhesive force with excellent adhesion to rectal mucosa and prolonged action time, allowing more effective drug absorption and diffusion to surrounding tissues. Poloxamer 407 and poloxamer 188 were applied to adjust the gelling temperature. With the addition of carbopol and polycarbophil (bio adhesive substances), the solubility of 5-FU and gel strength increased, the temperature of gelation and the surface area of drug contact on mucous epithelium decreased. Decreased adhesive force between the preparation and the mucous membrane of the rectum was demonstrated with improving carbopol and polycarbophil's concentration. In vitro release demonstrated that 5-FU in situ gelling enema with different bases had a rapid and almost complete drug release. We used an optimized formulation of P407/P188/polycarbophil/5-FU (17/2.5/0.2/1.0) for animal experiments. The result showed that the drug evenly covered the surface of the rectum and there was no leakage in 6 hours. The in situ gelling enema showed significantly higher rectal tissue levels of 5-FU compared with suppository and intravenous administration, indicating that 5-FU could be well absorbed due to the enlarged releasing area, longer retention time and larger amount of dissolved active ingredients. Systemically, 5-FU levels in the enema group were similar to those in the suppository group and significantly lower than the intravenous group. The enema was not associated with morphological damage to rectal tissue. These results suggest that the bio adhesive and in situ gelling enema could be a more effective rectal delivery system of 5-FU. PMID:23976976

  4. Development of In Situ Gelling and Bio Adhesive 5-Fluorouracil Enema

    PubMed Central

    Wang, Lu-Lu; Zheng, Wen-Sheng; Chen, Shao-Hua; Fang, Xia-Qin

    2013-01-01

    In this study, a novel 5-Fluorouracil (5-FU) enema with good bio adhesion and temperature sensitivity was developed using in situ gelling technology. The preparation was formulated as a free-flowing liquid before use, while a layer of gel film was quickly formed when administered in the rectum, with a large contact surface area. It also demonstrated good biocompatibility, appropriate gel strength and bio adhesive force with excellent adhesion to rectal mucosa and prolonged action time, allowing more effective drug absorption and diffusion to surrounding tissues. Poloxamer 407 and poloxamer 188 were applied to adjust the gelling temperature. With the addition of carbopol and polycarbophil (bio adhesive substances), the solubility of 5-FU and gel strength increased, the temperature of gelation and the surface area of drug contact on mucous epithelium decreased. Decreased adhesive force between the preparation and the mucous membrane of the rectum was demonstrated with improving carbopol and polycarbophil’s concentration. In vitro release demonstrated that 5-FU in situ gelling enema with different bases had a rapid and almost complete drug release. We used an optimized formulation of P407/P188/polycarbophil/5-FU (17/2.5/0.2/1.0) for animal experiments. The result showed that the drug evenly covered the surface of the rectum and there was no leakage in 6 hours. The in situ gelling enema showed significantly higher rectal tissue levels of 5-FU compared with suppository and intravenous administration, indicating that 5-FU could be well absorbed due to the enlarged releasing area, longer retention time and larger amount of dissolved active ingredients. Systemically, 5-FU levels in the enema group were similar to those in the suppository group and significantly lower than the intravenous group. The enema was not associated with morphological damage to rectal tissue. These results suggest that the bio adhesive and in situ gelling enema could be a more effective rectal delivery system of 5-FU. PMID:23976976

  5. Discovery of the barium isotopes

    SciTech Connect

    Shore, A.; Fritsch, A.; Ginepro, J.Q.; Heim, M.; Schuh, A.; Thoennessen, M.

    2010-11-15

    Thirty-eight barium isotopes have been observed so far and the discovery of these isotopes is discussed here. For each isotope a brief summary of the first refereed publication, including the production and identification method, is presented.

  6. Large-volume barium aspiration

    PubMed Central

    Hundemer, Gregory L.; Kumar, Varun

    2015-01-01

    We present a case of large-volume barium aspiration in a 56-year-old woman with stage IV tongue squamous cell carcinoma and longstanding dysphagia. The patient rapidly developed hypoxemic respiratory failure from the resultant chemical pneumonitis. However, her respiratory status improved with supportive care alone in 48 hours. Barium aspiration is rare and often produces dramatic radiographic findings, but is generally associated with a favorable prognosis. PMID:25829647

  7. Barium light source method and apparatus

    NASA Technical Reports Server (NTRS)

    Curry, John J. (Inventor); MacDonagh-Dumler, Jeffrey (Inventor); Anderson, Heidi M. (Inventor); Lawler, James E. (Inventor)

    2002-01-01

    Visible light emission is obtained from a plasma containing elemental barium including neutral barium atoms and barium ion species. Neutral barium provides a strong green light emission in the center of the visible spectrum with a highly efficient conversion of electrical energy into visible light. By the selective excitation of barium ionic species, emission of visible light at longer and shorter wavelengths can be obtained simultaneously with the green emission from neutral barium, effectively providing light that is visually perceived as white. A discharge vessel contains the elemental barium and a buffer gas fill therein, and a discharge inducer is utilized to induce a desired discharge temperature and barium vapor pressure therein to produce from the barium vapor a visible light emission. The discharge can be induced utilizing a glow discharge between electrodes in the discharge vessel as well as by inductively or capacitively coupling RF energy into the plasma within the discharge vessel.

  8. Successful treatment of ileocolic intussusception with air enema reduction in an adult patient.

    PubMed

    Matsui, Satoshi; Kanemura, Takashi; Yokouchi, Yukako; Kamiichi, Hideo; Kiriu, Nobuaki; Koike, Yuji

    2014-05-01

    Intussusception is a rare condition in adults, representing only 1% of all bowel obstructions. In adult cases, operative explorations are recommended to treat the bowel obstruction and to diagnose underlying diseases. The objective of the current case report was to describe the successful treatment of ileocolic intussusception with air enema reduction in an adult patient. A previously healthy 21-year-old woman had a 20-hour history of colicky abdominal pain and vomiting and was diagnosed as having idiopathic ileocolic intussusception by abdominal computed tomography. We treated the patient with air enema reduction under fluoroscopic guidance instead of an operative procedure. She received oxygen and intravenous midazolam to provide some degree of pain relief. Air was carefully pumped manually into the rectum, and the air pressure was monitored with a manometer. Because of air leakage from the rectum through the void to the outside the body, we continued to provide air to maintain the air pressure between 40 and 60 mm Hg. Three minutes after initiation of the air enema, when the patient experienced increasing abdominal pain and vomiting, the pressure was temporarily increased to greater than 100 mm Hg, and the air reached the terminal ileum. We considered the reduction successful and confirmed it with an abdominal ultrasound examination. We believe that air enema reduction is effective for treating idiopathic intussusception within 24 hours of symptom onset in young, previously healthy adult patients. PMID:24332898

  9. Optimized photorefractive barium titanate

    NASA Astrophysics Data System (ADS)

    Warde, Cardinal; Jenssen, Hans P.

    1992-03-01

    The goal of this research program was to investigate new and modified crystal-growth techniques that would lead to high-optical-quality BaTiO3 with increased photorefractive speed and sensitivity. The research program consisted of four parts: (1) feed material purification; (2) crystal growth by the top-seeded-solution technique as well as by a barium borate flux technique; (3) new furnace design studies; and (4) photorefractive characterization experiments. Iron and nickel-doped BaTiO3 crystals were grown under the program. BaTiO3 is a promising photorefractive material due to its large electrooptic coefficient and excellent self-pumped phase conjugation. Our furnaces were limited by certain design and operating characteristics, and crystals grown in these furnaces were easily contaminated by the furnace itself. Two new furnaces, cylindrical and octagonal furnaces, were developed with commercially available parts that are cleaner, more mechanically reproducible, more uniform in temperature and more responsive to control action through reduced thermal mass. The two furnaces are equipped with precise computer control of the pulling and rotation system. The cylindrical furnace was found to be susceptible to cracking due to expansion when heated and to shrinkage after heating. To prevent cracking, expansion joints were provided and the insulation set was made of flat plates set up in an octagonal pattern.

  10. Outpatient cervical ripening.

    PubMed

    Amorosa, Jennifer M H; Stone, Joanne L

    2015-10-01

    Induction of labor is one of the most commonly performed obstetric procedures. Many patients undergoing labor induction require cervical ripening. In an era where cost and patient satisfaction have become paramount, the idea of outpatient cervical ripening is appealing; provided it can be performed in a safe and cost effective manner. The ideal agent would induce adequate cervical ripening without causing significant uterine contractions/labor. Various methods have been studied including administration of misoprostol, PGE2, nitric oxide donors, use of Foley balloon catheters and acupuncture. Each method has its strengths and limitations; however, larger studies of outpatient cervical ripening that are specifically powered for rare adverse maternal and fetal outcomes are needed before definitive recommendations can be made. PMID:26365009

  11. Interaction between Barium Oxide and Barium Containing Chloride Melt

    NASA Astrophysics Data System (ADS)

    Nikolaeva, Elena V.; Zakiryanova, Irina D.; Korzun, Iraida V.; Bovet, Andrey L.; Antonov, Boris D.

    2015-05-01

    Thermal analysis was applied to determine the liquidus temperatures in the NaCl-KCl-BaCl2-BaO system, with BaO concentration varied from 0 to 6 mole%. The temperature dependence of the BaO solubility in the NaCl-KCl-BaCl2 eutectic melt was investigated; the thermodynamic parameters of BaO dissolution were calculated. The caloric effects of melting of the NaCl-KCl-BaCl2 eutectic with barium oxide and barium oxychloride additions were studied. The type, morphology, and composition of oxychloride ionic groupings in the melt were determined in situ using Raman spectroscopy.

  12. Enema Use among Men who have Sex with Men: A behavioral epidemiologic study with implications for HIV/STI prevention

    PubMed Central

    Noor, Syed W; Rosser, Simon

    2013-01-01

    Enema use or douching is a risk factor for HIV/STI in men who have sex with men (MSM). However, few studies have explored enema use practices. We examined the frequency of enema use, type of products used, and reasons to use and not to use before and after receptive anal sex in a large sample of MSM (N=4992) recruited from sixteen US cities. Through online surveys, we examined personal, behavioral, and environmental factors associated with enema use. Most (52%) participants reported having douched at least once and 35% reported douching within the last three months. While most (88%) reported enema use before receptive anal sex, 28% douched after receptive anal sex. Most participants (65%) used water to douche, 24% added salt, soap, and/or antibacterial products to water, and 30% reported using commercially-available products. Being a man of color (p<0.05); HIV-positive (p<0.001); diagnosed with an STI (p<0.01); identifying as versatile in sex (p<0.001); and having more than two unprotected sex partners (p<0.001) were significantly associated with recent enema use. Douching behavior appears closely associated with HIV/STI risk. Douching with water may be a concern since it may increase HIV/STI infection by damaging the epithelium. Development and promotion of a non-damaging, non-water based enema specifically for use in anal sex is recommended. In addition, the seemingly contradictory recommendations that water-based lubricant is recommended for anal sex but water-based enemas are dangerous need to be reconciled into a single consistent message. PMID:24346864

  13. Outpatient Thyroidectomy: Is it Safe?

    PubMed

    Balentine, Courtney J; Sippel, Rebecca S

    2016-01-01

    Outpatient thyroid surgery is controversial because of concerns over life-threatening cervical hematoma. Despite this concern, outpatient thyroidectomy is becoming increasingly common, especially among high-volume endocrine surgeons. Multiple studies have now demonstrated that careful patient selection combined with surgeon experience can result in successful and safe surgery without a full inpatient admission. This article reviews the data on safety and outcomes for outpatient thyroidectomy and discusses several techniques used to minimize risk to patients. PMID:26610774

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

    SciTech Connect

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

    1989-05-01

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

  15. Novel and Effective Almagate Enema for Hemorrhagic Chronic Radiation Proctitis and Risk Factors for Fistula Development.

    PubMed

    Yuan, Zi-Xu; Ma, Teng-Hui; Zhong, Qing-Hua; Wang, Huai-Ming; Yu, Xi-Hu; Qin, Qi-Yuan; Chu, Li-Li; Wang, Lei; Wang, Jian-Ping

    2016-01-01

    Radiation proctitis is a common complication after radiotherapy for pelvic malignant tumors. This study was conducted to assess the efficacy of novel almagate enemas in hemorrhagic chronic radiation proctitis (CRP) and evaluate risk factors related to rectal deep ulcer or fistula secondary to CRP. All patients underwent a colonoscopy to confirm the diagnosis of CRP and symptoms were graded. Typical endoscopic and pathological images, risk factors, and quality of life were also recorded. A total of 59 patients were enrolled. Gynecological cancers composed 93.1% of the primary malignancies. Complete or obvious reduction of bleeding was observed in 90% (53/59) patients after almagate enema. The mean score of bleeding improved from 2.17 to 0.83 (P<0.001) after the enemas. The mean response time was 12 days. No adverse effects were found. Moreover, long-term successful rate in controlling bleeding was 69% and the quality of life was dramatically improved (P=0.001). The efficacy was equivalent to rectal sucralfate, but the almagate with its antacid properties acted more rapidly than sucralfate. Furthermore, we firstly found that moderate to severe anemia was the risk factor of CRP patients who developed rectal deep ulcer or fistulas (P= 0.015). We also found abnormal hyaline-like thick wall vessels, which revealed endarteritis obliterans and the fibrosis underlying this disease. These findings indicate that almagate enema is a novel effective, rapid and well-tolerated method for hemorrhagic CRP. Moderate to severe anemia is a risk factor for deep ulceration or fistula. PMID:26925655

  16. Small bowel double-contrast enema in stage III ovarian cancer.

    PubMed

    Wittich, G; Salomonowitz, E; Szepesi, T; Czembirek, H; Fruehwald, F

    1984-02-01

    The efficiency of small bowel double-contrast enema in the detection and localization of tumor- or therapy-induced lesions of the intestine was studied retrospectively in 43 patients with stage III ovarian carcinoma. The radiographic findings in 62 examinations were verified by operative and autopsy findings and by the clinical course. Postoperative changes in the small bowel were noted in 69% of the patients (63% moderate, 6% severe). Signs of acute radiation enteritis were found in 36% (all moderate). Signs of chronic radiation enteropathy were detected in 71% (53% moderate, 18% severe). Small bowel obstruction due to recurrent tumor was correctly identified in 9%. Nonobstructing peritoneal implants were detected in 27% of the patients. The small bowel double-contrast enema is accurate in localizing lesions resulting from adhesions, acute and chronic radiation enteritis, or obstructing tumor; it is less efficient in detecting nonobstructive peritoneal metastases. The major clinical value of this examination is its ability to differentiate "dysfunctional intestine," which is managed conservatively, from focal obstruction requiring surgery. The radiographic features of chronic radiation enteritis on double-contrast enema examination are discussed in detail. PMID:6607594

  17. Barium hexaferrite (M-phase) exhibiting superstructure

    SciTech Connect

    Ganapathi, L.; Gopalakrishnan, J.; Rao, C.N.R.

    1984-05-01

    Barium hexaferrite (M-phase) prepared by the flux method is found to exhibit a ..sqrt..3a x ..sqrt..3a superstructure similar to barium hexaaluminate. Morgan and Shaw as well as Iyi et al have recently reported the formation of a barium-rich phase of barium hexaaluminate possessing a ..sqrt..3a x ..sqrt..3a superstructure of the magnetoplumbite structure. In view of the similarities between the layer structures of ..beta..-aluminas and the corresponding ferrites the authors have been carrying out electron microscopic investigations of potassium ..beta..-alumina and BaA1/sub 12/O/sub 19/ along with ferrites of similar compositions. They have obtained electron diffraction patterns of barium hexaaluminate identical to those obtained by Morgan and Shaw and Iyi et al, but more interestingly, they have found a phase of barium hexaferrite (M-phase) exhibiting the ..sqrt..3a x ..sqrt..3a superstructure.

  18. The problem of the barium stars

    NASA Technical Reports Server (NTRS)

    Bohm-Vitense, E.; Nemec, J.; Proffitt, C.

    1984-01-01

    Ultraviolet observations of barium stars and other cool stars with peculiar element abundances are reported. Those observations attempted to find hot white dwarf companions. Among six real barium stars studied, only Zeta Cap was found to have a white dwarf companion. Among seven mild, or marginal, barium stars studied, at least three were found to have hot subluminous companions. It is likely that all of them have white dwarf companions.

  19. Yttrium and barium in open clusters

    NASA Astrophysics Data System (ADS)

    Mishenina, T. V.; Korotin, S. A.; Yegorova, I. A.; Kovtukh, V. V.; Carraro, G.

    2013-06-01

    Based on the VLT high-resolution spectra for stars of five open clusters: Ruprecht 4, Ruprecht 7, Berkeley 25, Berkeley 73, and Berkeley 75 (G. Carraro et al., 2007) we determined the yttrium and barium abundances using the synthetic-spectrum method. Barium abundance was calculated under a non-LTE approximation. We analyzed the correlation between yttrium and barium abundances and the ages of open clusters and stars of the Galactic thin disk.

  20. Pharmacokinetics of Caffeine following a Single Administration of Coffee Enema versus Oral Coffee Consumption in Healthy Male Subjects.

    PubMed

    Teekachunhatean, Supanimit; Tosri, Nisanuch; Rojanasthien, Noppamas; Srichairatanakool, Somdet; Sangdee, Chaichan

    2013-01-01

    The objective of this study was to determine the pharmacokinetics of caffeine after single administration of a coffee enema versus coffee consumed orally in healthy male subjects. The study design was an open-label, randomized two-phase crossover study. Eleven healthy subjects were randomly assigned either to receive 500?mL of coffee enema for 10 minutes or to consume 180?mL of ready-to-drink coffee beverage. After a washout period of at least 10 days, all the subjects were switched to receive the alternate coffee procedure. Blood samples were collected immediately before and at specific time points until 12 hours after coffee administration in each phase. The mean caffeine content in both the coffee solution prepared for the coffee enema and the ready-to-drink coffee beverage was not statistically different. The C max and AUC of caffeine obtained from the coffee enema were about 3.5 times significantly less than those of the coffee consumed orally, despite having slightly but statistically faster T max. The t 1/2 of caffeine obtained following both coffee procedures did not statistically differ. In summary, the relative bioavailability of caffeine obtained from the coffee enema was about 3.5 times significantly less than those of the coffee consumed orally. PMID:23533801

  1. Pulmonary Embolism Following Outpatient Vasectomy

    PubMed Central

    Mott, Frank E.; Farooqi, Bilal; Moore, Harry

    2016-01-01

    Venous thromboembolic events have several known major risk factors such as prolonged immobilization or major surgery. Pulmonary embolism has rarely been reported after an outpatient vasectomy was completed. We present the rare case of a healthy 32-year-old Caucasian male with no known risk factors who presented with pleuritic chest pain 26 days after his outpatient vasectomy was performed. Subsequently, he was found to have a pulmonary embolism as per radiological imaging. We explore the association between outpatient vasectomies and venous thromboembolic events. A review of the literature is also included.

  2. Monitoring Outpatient Care

    NASA Technical Reports Server (NTRS)

    2003-01-01

    Each year, health care costs for managing chronically ill patients increase as the life expectancy of Americans continues to grow. To handle this situation, many hospitals, doctors practices, and home care providers are turning to disease management, a system of coordinated health care interventions and communications, to improve outpatient care. By participating in daily monitoring programs, patients with congestive heart failure, chronic obstructive pulmonary disease, diabetes, and other chronic conditions requiring significant self-care are facing fewer emergency situations and hospitalizations. Cybernet Medical, a division of Ann Arbor, Michigan-based Cybernet Systems Corporation, is using the latest communications technology to augment the ways health care professionals monitor and assess patients with chronic diseases, while at the same time simplifying the patients interaction with technology. Cybernet s newest commercial product for this purpose evolved from research funded by NASA, the National Institute of Mental Health, and the Advanced Research Projects Agency. The research focused on the physiological assessment of astronauts and soldiers, human performance evaluation, and human-computer interaction. Cybernet Medical's MedStar Disease Management Data Collection System is an affordable, widely deployable solution for improving in-home-patient chronic disease management. The system's battery-powered and portable interface device collects physiological data from off-the-shelf instruments.

  3. Interfraction Prostate Movement in Bone Alignment After Rectal Enema for Radiotherapy

    PubMed Central

    Seo, Young Eun; Kim, Tae Hyo; Lee, Ki Soo; Cho, Won Yeol; Lee, Hyung-Sik; Hur, Won-Joo

    2014-01-01

    Purpose To assess the effect of a rectal enema on interfraction prostate movement in bone alignment (BA) for prostate radiotherapy (RT), we analyzed the spatial difference in prostates in a bone-matched setup. Materials and Methods We performed BA retrospectively with data from prostate cancer patients who underwent image-guided RT (IGRT). The prostate was identified with implanted fiducial markers. The setup for the IGRT was conducted with the matching of three fiducial markers on RT planning computed tomography images and those on two oblique kV x-ray images. Offline BA was performed at the same position. The coordinates of a virtual prostate in BA and a real prostate were obtained by use of the ExaxTrac/NovalisBody system, and the distance between them was calculated as the spatial difference. Interfraction prostate displacement was drawn from the comparison of the spatial differences. Results A total of 15 patients with localized prostate cancer treated with curative hypofractionated IGRT were enrolled. A total of 420 fractions were analyzed. The mean of the interfraction prostate displacements after BA was 3.122.00 mm (range, 0.20-10.53 mm). The directional difference was profound in the anterior-posterior and supero-inferior directions (2.141.73 mm and 1.971.44 mm, respectively) compared with the right-left direction (0.260.22 mm, p<0.05). The required margin around the clinical target volume was 4.97 mm with the formula of van Herk et al. Conclusions The interfraction prostate displacement was less frequent when a rectal enema was performed before the procedure. A rectal enema can be used to reduce interfraction prostate displacement and resulting clinical target volume-to-planning target volume margin. PMID:24466393

  4. Transrectal-ultrasound prostatic biopsy preparation: rectal enema vs. mechanical bowel preparation

    PubMed Central

    Lombardo, Riccardo; Presicce, Fabrizio; Bellangino, Mariangela; Agro, Enrico Finazzi; Gambrosier, Matteo Bonetto; Trucchi, Alberto; Petta, Stefano; Tubaro, Andrea

    2015-01-01

    Introduction Transrectal prostate biopsy (TRUSbx) is the standard for the diagnosis of prostate cancer. Different bowel preparations are used for patients undergoing TRUSbx. The aim of our study was to compare two different bowel preparations for TRUSbx. Material and methods From May 2012 and onwards, a selected group of men undergoing TRUS 12-core prostate biopsy were enrolled into a prospective database. Patients were randomized 1:1 to receive a rectal enema (Group A) the night before the procedure or polyethylene glycol 34.8 grams/4 liters of water the day before the procedure (Group B). A VAS scale to evaluate the patients discomfort according to the two preparations was collected. The same antibiotic prophylaxis was performed in both groups. All complications were prospectively recorded and graded according to the Clavien Classification System (CCS). Results A total of 198 patients were consecutively enrolled. Mean age was 67.5 7.9 years, mean body mass index (BMI) was 27.1 4.2 Kg/m2, mean PSA value was 9.3 12.6 ng/ml and the mean prostatic volume was 60.6 29 ml. 97 patients were enrolled in Group A and 101 in Group B. Overall post-biopsy morbidity rate was 60%. No significant differences for low-grade and high-grade complications was observed between the two groups. Patients receiving the rectal enema presented with a significantly lower VAS score (3.1 1.1 vs. 5.9 1.7; p = 0.02). Conclusions Our study confirmed that a rectal enema should be considered as the standard bowel preparation in patients undergoing a TRUS biopsy; it is as effective as PEG and associated with less discomfort. PMID:26251750

  5. Barium Depletion in Hollow Cathode Emitters

    NASA Technical Reports Server (NTRS)

    Polk, James E.; Capece, Angela M.; Mikellides, Ioannis G.; Katz, Ira

    2009-01-01

    The effect of tungsten erosion, transport and redeposition on the operation of dispenser hollow cathodes was investigated in detailed examinations of the discharge cathode inserts from an 8200 hour and a 30,352 hour ion engine wear test. Erosion and subsequent re-deposition of tungsten in the electron emission zone at the downstream end of the insert reduces the porosity of the tungsten matrix, preventing the ow of barium from the interior. This inhibits the interfacial reactions of the barium-calcium-aluminate impregnant with the tungsten in the pores. A numerical model of barium transport in the internal xenon discharge plasma shows that the barium required to reduce the work function in the emission zone can be supplied from upstream through the gas phase. Barium that flows out of the pores of the tungsten insert is rapidly ionized in the xenon discharge and pushed back to the emitter surface by the electric field and drag from the xenon ion flow. This barium ion flux is sufficient to maintain a barium surface coverage at the downstream end greater than 0.6, even if local barium production at that point is inhibited by tungsten deposits. The model also shows that the neutral barium pressure exceeds the equilibrium vapor pressure of the impregnant decomposition reaction over much of the insert length, so the reactions are suppressed. Only a small region upstream of the zone blocked by tungsten deposits is active and supplies the required barium. These results indicate that hollow cathode failure models based on barium depletion rates in vacuum dispenser cathodes are very conservative.

  6. Processing science of barium titanate

    NASA Astrophysics Data System (ADS)

    Aygun, Seymen Murat

    Barium titanate and barium strontium titanate thin films were deposited on base metal foils via chemical solution deposition and radio frequency magnetron sputtering. The films were processed at elevated temperatures for densification and crystallization. Two unifying research goals underpin all experiments: (1) To improve our fundamental understanding of complex oxide processing science, and (2) to translate those improvements into materials with superior structural and electrical properties. The relationships linking dielectric response, grain size, and thermal budget for sputtered barium strontium titanate were illustrated. (Ba 0.6Sr0.4)TiO3 films were sputtered on nickel foils at temperatures ranging between 100-400C. After the top electrode deposition, the films were co-fired at 900C for densification and crystallization. The dielectric properties were observed to improve with increasing sputter temperature reaching a permittivity of 1800, a tunability of 10:1, and a loss tangent of less than 0.015 for the sample sputtered at 400C. The data can be understood using a brick wall model incorporating a high permittivity grain interior with low permittivity grain boundary. However, this high permittivity value was achieved at a grain size of 80 nm, which is typically associated with strong suppression of the dielectric response. These results clearly show that conventional models that parameterize permittivity with crystal diameter or film thickness alone are insufficiently sophisticated. Better models are needed that incorporate the influence of microstructure and crystal structure. This thesis next explores the ability to tune microstructure and properties of chemically solution deposited BaTiO3 thin films by modulation of heat treatment thermal profiles and firing atmosphere composition. Barium titanate films were deposited on copper foils using hybrid-chelate chemistries. An in-situ gas analysis process was developed to probe the organic removal and the barium titanate phase formation. The exhaust gases emitted during the firing of barium titanate films were monitored using a residual gas analyzer (RGA) to investigate the effects of ramp rate and oxygen partial pressure. The dielectric properties including capacitor yield were correlated to the RGA data and microstructure. This information was used to tailor a thermal profile to obtain the optimum dielectric response. A ramp rate of 20C/min and a pO2 of 10-13 atm resulted in a permittivity of 1500, a loss tangent of 0.035 and a 90% capacitor yield in 0.5 mm dot capacitors. Yield values above 90% represent a significant advantage over preexisting reports and can be attributed to an improved ability to control final porosity. Finally, the dramatic enhancement in film density was demonstrated by understanding the processing science relationships between organic removal, crystallization, and densification in chemical solution deposition. The in situ gas analysis was used to develop an each-layer-fired approach that provides for effective organic removal, thus pore elimination, larger grain sizes, and superior densification. The combination of large grain size and high density enabled reproducing bulk-like dielectric properties in a thin film. A room temperature permittivity of 3000, a 5 muF/cm2 capacitance density, and a dielectric tunability of 15:1 were achieved. By combining the data sets generated in this thesis with those of comparable literature reports, we were able to broadly rationalize scaling effects in polycrystalline thin films. We show that the same models successfully applied to bulk ceramic systems are appropriate for thin films, and that models involving parasitic interfacial layers are not needed. Developing better models for scaling effects were made possible solely by advancing our ability to synthesize materials thus eliminating artifacts and extrinsic effects.

  7. REMOVAL OF BARIUM AND RADIUM FROM GROUNDWATER

    EPA Science Inventory

    A research project was undertaken to investigate processes for removing barium and radium from drinking water. Special emphasis was placed on ion exchange processes that can be used without adding large concentrations of sodium to the water. The wastes from radium and barium remo...

  8. 75 FR 19657 - Barium Chloride From China

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-15

    ... COMMISSION Barium Chloride From China AGENCY: United States International Trade Commission. ACTION: Notice of... chloride from China. SUMMARY: The Commission hereby gives notice that it will proceed with a full review... revocation of the antidumping duty order on barium chloride from China would be likely to lead...

  9. Outpatient management of amyotrophic lateral sclerosis.

    PubMed

    Hudson, A J

    1987-12-01

    The patient with ALS can be managed almost entirely as an outpatient by a team consisting of a nurse, physiotherapist, occupational therapist, speech pathologist, nutritionist, respirologist, social worker, and certain other consultants from time to time. The team's goal is to maintain physical function and extend the useful life of the patient through the skills that the team members are trained to provide. Pulmonary function tests, especially spirometry, should be done at regular intervals and a modified barium swallow should also be done at least once in cases with dysphagia. It is possible with these tests to anticipate and even correct a number of hazards, such as upper airway obstruction and aspiration. Some patients are candidates for gastrostomy and tympanic and chorda tympani neurectomy, but full knowledge of their pulmonary function is essential before undertaking any operative procedure. Death in ALS is due to pulmonary failure and the choice of respirator care requires careful deliberation with the family. The neurologist and ALS team should work in close cooperation with the home care personnel in the patient's own community. Does the care of the ALS patient in any way affect survival? In the attempt to answer this question we have estimated the survival of ALS patients in southwestern Ontario, most of whom have visited our clinic over the period of 1978 to 1985, inclusive. As shown in Figure 4, there was an apparent decline in the annual mortality rate over this period, although there was no significant change in the incidence of ALS in this region.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:3140337

  10. Bowel management with antegrade colonic enema using a Malone or a Monti conduit--clinical results.

    PubMed

    Perez, M; Lemelle, J L; Barthelme, H; Marquand, D; Schmitt, M

    2001-10-01

    During this last decade, major surgical improvements have been proposed for the treatment of patients suffering from faecal incontinence or intractable constipation. Between 1996 and 1999, 12 patients mainly presenting with spina bifida were operated for antegrade colonic enema (ACE). In seven cases, a Malone procedure was performed. In 5 cases we used a Monti plasty to create a continent catheterisable conduit. In 4 cases the neoconduit was placed between the transverse colon and the umbilicus. The mean follow-up was 15 months. Bowel control and continence were obtained in 11 cases, postoperatively. One early complete stenosis of the cutaneous stoma occurred, after which the patient did not wish to carry on. Another patient stopped using his ACE stoma after several months because he was able to manage his bowel evacuation voluntarily without requiring an enema. The other ten patients have greatly improved their quality of life. Complications included principally stomal stenosis which can be regularly dilated by the patient himself using the Hegar dilator. Patients with umbilical stoma have a result comparable to patients with Malone procedure. Our series shows that ACE can be performed without an appendix using a Monti plasty. Implantation of the continent conduit in the caecum or in the transverse colon does not modify the overall results of ACE. PMID:11719869

  11. Radium/Barium Waste Project

    SciTech Connect

    McDowell, Allen K.; Ellefson, Mark D.; McDonald, Kent M.

    2015-06-25

    The treatment, shipping, and disposal of a highly radioactive radium/barium waste stream have presented a complex set of challenges requiring several years of effort. The project illustrates the difficulty and high cost of managing even small quantities of highly radioactive Resource Conservation and Recovery Act (RCRA)-regulated waste. Pacific Northwest National Laboratory (PNNL) research activities produced a Type B quantity of radium chloride low-level mixed waste (LLMW) in a number of small vials in a facility hot cell. The resulting waste management project involved a mock-up RCRA stabilization treatment, a failed in-cell treatment, a second, alternative RCRA treatment approach, coordinated regulatory variances and authorizations, alternative transportation authorizations, additional disposal facility approvals, and a final radiological stabilization process.

  12. Fabrication of Barium Zirconate Coated Crucibles

    NASA Astrophysics Data System (ADS)

    Chan, Wayne

    2000-05-01

    Erb et al. have shown that barium zirconate crucibles are inert to the YBCO molten flux during the crystal growth process. Since these crucibles are not commercially available and they are costly and time-consuming to fabricate, a barium zirconate coating process on inexpensive and commerically available crucibles was developed to replicate the properties of actual barium zirconate crucibles. Specifically, the coating process entailed barium zirconium isopropoxide being painted onto an alumina crucible and a yttrium-stabilized zirconia (YSZ) crucible. Then the alumina crucible was fired at 1385 degrees Celcius for 53 hours and the YSZ crucible was fired at 1200 degrees Celsius for 24 hours. After the firing process, crystals were grown in these coated crucibles. The crystals were analyzed with the SQUID magnetometer to determine the transition temperature and with the energy-dispersive X-ray spectroscopy (EDX) to determine the crystal composition.

  13. Barium Isotopes in Single Presolar Grains

    NASA Technical Reports Server (NTRS)

    Pellin, M. J.; Davis, A. M.; Savina, M. R.; Kashiv, Y.; Clayton, R. N.; Lewis, R. S.; Amari, S.

    2001-01-01

    Barium isotopic compositions of single presolar grains were measured by laser ablation laser resonant ionization mass spectrometry and the implications of the data for stellar processes are discussed. Additional information is contained in the original extended abstract.

  14. Effect of traditional Chinese medicinal enemas on ulcerative colitis of rats

    PubMed Central

    Guo, Song-Ming; Tong, Hong-Bin; Bai, Lian-Song; Yang, Wei

    2004-01-01

    AIM: To investigate the effects of traditional Chinese medicinal enema (TCME) on inflammatory and immune response of colonic mucosa of rats with ulcerative colitis (UC), and to observe the pathogenic mechanism. METHODS: Thirty UC rats, induced by intestinal enema together with 2.4-dinitrochlorobenzene (DNCB) and acetic acid, were randomly divided into 3 groups, i.e., G I, G II and G III. Groups G I and G II were administered with TCME and salazosulfapyridine enema (SASPE), respectively. Group G III was clystered with only normal saline (NSE), served as control. Group G IV was taken from normal rats as reference, once daily, from the 7th day after the establishment of UC for total 28 d. Interleukin-6 (IL-6) in the colonic mucosa was assayed by 3H-TdR incorporation assay. Colonic mucosal lymphocyte subpopulation adhesive molecules, CD4+CD11a+, CD4+CD18+, CD8+CD11a+, CD8+CD18+ (LSAM), tumor necrosis factor (TNF)-?, and interferon-? (IFN-?), were detected by enzyme linked immunosorbent assay (ELISA). Moreover, the expression of TNF-? mRNA and IFN-? mRNA in colonic mucosa were detected by polymerase chain reaction (RT-PCR). RESULTS: Before therapies, in model groups, G I, G II and G III, levels of IL-6, TNF-?, IFN-?, CD8+CD11a+ and CD8+CD18+ were significantly different (38.29 2.61 U/mL, 16.54 1.23 ng/L, 8.61 0.89 ng/L, 13.51% 2.31% and 12.22% 1.13%, respectively) compared to those in G IV group (31.56 2.47 U/mL, 12.81 1.38 ng/L, 5.28 0.56 ng/L, 16.68% 1.41% and 16.79% 1.11%, respectively). After therapeutic enemas, in G I group, the contents of IL-6 (32.48 2.53 U/m), TNF-? (13.42 1.57 ng/L) and IFN-? (5.87 0.84 ng/L) were reduced; then, the contents of CD8+CD11a+ (16.01% 1.05 %) and CD8+CD18+ (16.28% 0.19%) were raised. There was no significant difference between groups G I and G IV, but the difference between groups G I and G II was quite obvious (P < 0.05). The expressions of TNF-? mRNA and IFN-? mRNA in group G III were much higher than those of group G IV, but those in group G I were significantly suppressed by TCME therapy. CONCLUSION: Ulcerative colitis is related to colonic regional mucosal inflammatory factors and immune imbalance. TCME can effectively inhibit regional mucosal inflammatory factors and improve their disorder of immunity. PMID:15222036

  15. Small barium rail gun for plasma injection

    SciTech Connect

    Kiwamoto, Y.

    1980-03-01

    A small rail gun with a barium electrode can be operated at higher than one shot per second to produce more than 2 x 10/sup 16/ barium ions with energy 10--20 eV. The operation of the gun takes advantage of the external magnetic field for cross-field plasma injection into a trap. Up to 7 kG of the magnetic field examined, the gun performance improves with the increased magnetic field strength.

  16. Small barium rail gun for plasma injection.

    PubMed

    Kiwamoto, Y

    1980-03-01

    A small rail gun with a barium electrode can be operated at higher than one shot per second to produce more than 2x10(16) barium ions with energy 10-20 eV. The operation of the gun takes advantage of the external magnetic field for cross-field plasma injection into a trap. Up to 7 kG of the magnetic field examined, the gun performance improves with the increased magnetic field strength. PMID:18647050

  17. Intussusception

    MedlinePLUS

    ... kinds of enemas (an air enema or a barium enema ) often can diagnose and treat intussusception at ... been turned inside out and cures the blockage. Barium, a liquid mixture, is sometimes used in place ...

  18. Thermochemical hydrogen production via a cycle using barium and sulfur - Reaction between barium sulfide and water

    NASA Technical Reports Server (NTRS)

    Ota, K.; Conger, W. L.

    1977-01-01

    The reaction between barium sulfide and water, a reaction found in several sulfur based thermochemical cycles, was investigated kinetically at 653-866 C. Gaseous products were hydrogen and hydrogen sulfide. The rate determining step for hydrogen formation was a surface reaction between barium sulfide and water. An expression was derived for the rate of hydrogen formation.

  19. Outpatient laparoscopic interval female sterilization.

    PubMed

    Intaraprasert, S; Taneepanichskul, S; Chaturachinda, K

    1997-05-01

    A 23-year retrospective review of laparoscopic sterilization in Ramathibodi Hospital, Bangkok, Thailand, is reported. A total of 9041 cases of outpatient laparoscopic interval female sterilizations were done from January 1973 to December 1995. Intraoperative complications occurred in 35 cases (0.39%) and hospital admissions totalled 65 cases (0.72%). Adnexal injuries were the most frequent complication. There was one case of death from anesthetic complication. Management and prevention of complications are discussed. PMID:9220224

  20. Constraining the oceanic barium cycle with stable barium isotopes

    NASA Astrophysics Data System (ADS)

    Cao, Zhimian; Siebert, Christopher; Hathorne, Ed C.; Dai, Minhan; Frank, Martin

    2016-01-01

    The distribution of barium (Ba) concentrations in seawater resembles that of nutrients and Ba has been widely used as a proxy of paleoproductivity. However, the exact mechanisms controlling the nutrient-like behavior, and thus the fundamentals of Ba chemistry in the ocean, have not been fully resolved. Here we present a set of full water column dissolved Ba (DBa) isotope (δ137BaDBa) profiles from the South China Sea and the East China Sea that receives large freshwater inputs from the Changjiang (Yangtze River). We find pronounced and systematic horizontal and depth dependent δ137BaDBa gradients. Beyond the river influence characterized by generally light signatures (0.0 to + 0.3 ‰), the δ137BaDBa values in the upper water column are significantly higher (+ 0.9 ‰) than those in the deep waters (+ 0.5 ‰). Moreover, δ137BaDBa signatures are essentially constant in the entire upper 100 m, in which dissolved silicon isotopes are fractionated during diatom growth resulting in the heaviest isotopic compositions in the very surface waters. Combined with the decoupling of DBa concentrations and δ137BaDBa from the concentrations of nitrate and phosphate this implies that the apparent nutrient-like fractionation of Ba isotopes in seawater is primarily induced by preferential adsorption of the lighter isotopes onto biogenic particles rather than by biological utilization. The subsurface δ137BaDBa distribution is dominated by water mass mixing. The application of stable Ba isotopes as a proxy for nutrient cycling should therefore be considered with caution and both biological and physical processes need to be considered. Clearly, however, Ba isotopes show great potential as a new tracer for land-sea interactions and ocean mixing processes.

  1. Analysis of 777 cases with obstruction of the ureter or extrahepatic bile duct by ultrasonography after normal saline retention enema

    PubMed Central

    2012-01-01

    Background Conventional transabdominal ultrasound usually fails to visualize parts of the ureter or extrahepatic bile duct covered by bowel gas. In this study, we propose a new method for gaining acoustic access to the ureters and extrahepatic bile duct to help determine the nature of obstruction to these structures when conventional transabdominal ultrasound fails. Methods The normal saline retention enema method, that is, using normal saline-filled colons to gain acoustic access to the bilateral ureters and extrahepatic bile duct and detecting the lesions with transabdominal ultrasonic diagnostic apparatus, was applied to 777 patients with obstructive lesions, including 603 with hydroureter and 174 with dilated common bile duct, which were not visualized by conventional ultrasonography. The follow-up data of all the patients were collected to verify the results obtained by this method. Results Of the 755 patients who successfully finished the examination after normal saline retention enema (the success rate of the enema is about 98%), the nature of obstruction in 718 patients was determined (the visualizing rate is approximately 95%), including 533 with ureteral calculus, 23 with ureteral stricture, 129 with extrahepatic bile duct calculus, and 33 with common bile duct tumor. Conclusions Colons filled fully with normal saline can surely give acoustic access to the bilateral ureters and extrahepatic bile duct so as to determine the nature of obstruction of these structures when conventional transabdominal ultrasound fails. PMID:22871226

  2. 40 CFR 721.10011 - Barium calcium manganese strontium oxide.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 31 2014-07-01 2014-07-01 false Barium calcium manganese strontium... Specific Chemical Substances § 721.10011 Barium calcium manganese strontium oxide. (a) Chemical substance and significant new uses subject to reporting. (1) The chemical substance identified as barium...

  3. 40 CFR 721.10011 - Barium calcium manganese strontium oxide.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 32 2012-07-01 2012-07-01 false Barium calcium manganese strontium... Specific Chemical Substances § 721.10011 Barium calcium manganese strontium oxide. (a) Chemical substance and significant new uses subject to reporting. (1) The chemical substance identified as barium...

  4. 40 CFR 721.10011 - Barium calcium manganese strontium oxide.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 30 2010-07-01 2010-07-01 false Barium calcium manganese strontium... Specific Chemical Substances § 721.10011 Barium calcium manganese strontium oxide. (a) Chemical substance and significant new uses subject to reporting. (1) The chemical substance identified as barium...

  5. 40 CFR 721.10011 - Barium calcium manganese strontium oxide.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 31 2011-07-01 2011-07-01 false Barium calcium manganese strontium... Specific Chemical Substances § 721.10011 Barium calcium manganese strontium oxide. (a) Chemical substance and significant new uses subject to reporting. (1) The chemical substance identified as barium...

  6. 40 CFR 721.10011 - Barium calcium manganese strontium oxide.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 32 2013-07-01 2013-07-01 false Barium calcium manganese strontium... Specific Chemical Substances § 721.10011 Barium calcium manganese strontium oxide. (a) Chemical substance and significant new uses subject to reporting. (1) The chemical substance identified as barium...

  7. Rectal perforations and fistulae secondary to a glycerin enema: Closure by over-the-scope-clip

    PubMed Central

    Mori, Hirohito; Kobara, Hideki; Fujihara, Shintaro; Nishiyama, Noriko; Kobayashi, Mitsuyoshi; Masaki, Tsutomu; Izuishi, Kunihiko; Suzuki, Yasuyuki

    2012-01-01

    Rectal perforations due to glycerin enemas (GE) typically occur when the patient is in a seated or lordotic standing position. Once the perforation occurs and peritonitis results, death is usually inevitable. We describe two cases of rectal perforation and fistula caused by a GE. An 88-year-old woman presented with a large rectal perforation and a fistula just after receiving a GE. Her case was further complicated by an abscess in the right rectal wall. The second patient was a 78-year-old woman who suffered from a rectovesical fistula after a GE. In both cases, we performed direct endoscopic abscess lavage with a saline solution and closed the fistula using an over-the-scope-clip (OTSC) procedure. These procedures resulted in dramatic improvement in both patients. Direct endoscopic lavage and OTSC closure are very useful for pararectal abscess lavage and fistula closure, respectively, in elderly patients who are in poor general condition. Our two cases are the first reports of the successful endoscopic closure of fistulae using double OTSCs after endoscopic lavage of the debris and an abscess of the rectum secondary to a GE. PMID:22791955

  8. Effect of Basti (oil enema) therapy for the management of cough in pertussis

    PubMed Central

    Gujarathi, Rahul H.; Gokhale, Vivek M.; Tongaonkar, Jayashree N.

    2013-01-01

    Bordetella pertussis continues to circulate even in countries with good childhood vaccination coverage. Sporadic cases are still observed either due to no vaccination, incomplete vaccination or as a result of failure of vaccination. Though acute in nature it has a longer disease span with multiple life-threatening complications despite adequate management. This study was undertaken to study the effect of Sneha Basti (oil enema) in pertussis in relation to reduction in intensity of cough and complications of the disease when administered along with the conventional pharmacological therapy. Patients with the clinical picture mimicking pertussis were screened, investigated for pertussis and appropriate conventional pharmacological therapy of Erythromycin a preferred antimicrobial agent was started. Concurrently, Sneha Basti was administered to these two children. Both patients showed favourable results in terms of reduction of Kasa (cough) and the disease period with a faster recovery when compared to conventional therapy alone as has been observed routinely. No complications incurred during the complete disease span. It was concluded that if the pharmacological therapy is augmented with the complimentary systems of medicines, it can reduce the prolonged span and intensity of the disease and prevent other complications. PMID:24696577

  9. Ileoanal pouches: Comparison of CT, scintigraphy, and contrast enemas for diagnosing postsurgical complications

    SciTech Connect

    Thoeni, R.F.; Fell, S.C.; Engelstad, B.; Schrock, T.B. )

    1990-01-01

    The value of CT of the pelvis, 111In-labeled leukocyte scintigraphy, and contrast enema (pouchography) for detecting postsurgical complications was assessed in 44 patients with total colectomy, rectal mucosectomy, and ileoanal pouches. Ileoanal pouches were created as reservoirs from an ileal loop that was anastomosed to the dentate line of the anus and stayed connected to the remainder of the ileum. This pouch preserves the normal defecatory pathway and eliminates disease-producing mucosa. A total of 57 sets of examinations revealed 22 cases of normal postoperative findings, 22 of pouchitis, 13 of abscess, and three of fistula. Overall sensitivity for detecting complications with pouchography was 60% (18 of 30 findings); with CT, 78% (28 of 36 findings); and with scintigraphy, 79% (23 of 29 findings). Pouchitis was best diagnosed by scintigraphy (sensitivity, 80%), followed by CT (sensitivity, 71%) and pouchography (sensitivity, 53%). Only CT correctly diagnosed all cases of abscess. Fistulas were frequently missed by all three methods. If tests were combined, the overall sensitivity rose to 93% for the combination CT/scintigraphy and to 86% for CT/pouchography, but did not improve for pouchography/scintigraphy (78%). For evaluation of complications in patients with ileoanal pouches, CT should be the initial test. If an abscess is found, no further tests are needed. If CT findings are negative, a scintigram should be obtained. Our data did not establish a clear role for pouchography.

  10. Reducing Antibiotic Use for Young Children with Intussusception following Successful Air Enema Reduction

    PubMed Central

    Zhang, Yinghui; Ye, Weimin; Chen, Xingdong; Liu, Qian; Liu, Huandi; Si, Chunfeng; Jia, Hongying

    2015-01-01

    China introduced a new policy regarding the management of antibiotic use. We evaluated the reasonableness of antibiotic use among children suffering from intussusception before and after policy. A retrospective study was conducted involving 234 young children with intussusception who were treated between January 1, 2011 and December 30, 2013. Demographics and detailed antibiotics regimens were collected. ?2 test was used to evaluate differences between the phase I (preintervention, n = 68) and phase II (postintervention, n = 166). We determined that the overall antibiotic use rate following successful air enema reduction was 41% (97/234), which decreased from 99% (67/68) in phase I to 18% (30/166) in phase II. In phase I, prophylactic antibiotic usage reached up to 84% (56/67). The quantity of aztreonam for injection accounted for 63% (45/71), and cefamandole nafate for injection accounted for 25% (18/71). In phases II, prophylactic antibiotic usage were reduced to 13% (4/30). The quantity of aztreonam for injection was decreased to 12% (4/33) and cefamandole nafate for injection was 3% (1/33). Antibiotics' options were more diverse. In conclusion, policy intervention was effective in addressing some aspects of antibacterial drug usage among young children with intussusception. However, excessive drug use remains a public health problem. The guidelines for the antibiotic management of intussusception for children must be established in China. PMID:26569111

  11. Hospital outpatient services under Medicare, 1987

    PubMed Central

    Helbing, Charles; Latta, Viola B.; Keene, Roger E.

    1990-01-01

    Presented in this article are data related to hospital outpatient services provided for aged and disabled Medicare beneficiaries during calendar year 1987. Trend data are also presented for selected calendar years 1974-87. Hospital outpatient covered charges and Medicare program payments (in total and per enrollee) are the statistics employed to measure the use of hospital outpatient services. The data contained in this article should provide information to help identify trends and patterns of care for monitoring the Medicare hospital outpatient services. PMID:10113399

  12. 75 FR 20625 - Barium Chloride From China

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-20

    ... From the Federal Register Online via the Government Publishing Office INTERNATIONAL TRADE COMMISSION Barium Chloride From China AGENCY: United States International Trade Commission. ACTION: Revised... established a schedule for the conduct of this review (74 FR 62587, November 30, 2010). Subsequently,...

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

    PubMed Central

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

    2015-01-01

    Purpose Intussusception is a common surgical emergency in infants and children. The incidence of intussusception is from one to four per 2,000 infants and children. If there is no peritonitis, perforation sign on abdominal radiographic studies, and nonresponsive shock, nonoperative reduction by pneumatic or hydrostatic enema can be performed. The purpose of this study was to compare the success rates of both the methods. Methods Two institutional retrospective cohort studies were performed. All intussusception patients (ICD-10 code K56.1) who had visited Chiang Mai University Hospital and Siriraj Hospital from January 2006 to December 2012 were included in the study. The data were obtained by chart reviews and electronic databases, which included demographic data, symptoms, signs, and investigations. The patients were grouped according to the method of reduction followed into pneumatic reduction and hydrostatic reduction groups with the outcome being the success of the reduction technique. Results One hundred and seventy episodes of intussusception occurring in the patients of Chiang Mai University Hospital and Siriraj Hospital were included in this study. The success rate of pneumatic reduction was 61% and that of hydrostatic reduction was 44% (P=0.036). Multivariable analysis and adjusting of the factors by propensity scores were performed; the success rate of pneumatic reduction was 1.48 times more than that of hydrostatic reduction (P=0.036, 95% confidence interval [CI] =1.03–2.13). Conclusion Both pneumatic and hydrostatic reduction can be performed safely according to the experience of the radiologist or pediatric surgeon and hospital setting. This study showed that pneumatic reduction had a higher success rate than hydrostatic reduction. PMID:26719697

  14. Contrast Enema for Hirschsprung Disease Investigation: Diagnostic Accuracy and Validity for Subsequent Diagnostic and Surgical Planning.

    PubMed

    Frongia, Giovanni; Günther, Patrick; Schenk, Jens-Peter; Strube, Kai; Kessler, Markus; Mehrabi, Arianeb; Romero, Philipp

    2016-04-01

    Introduction A targeted Hirschsprung disease (HD) diagnostic is necessary, as it determines a specific approach primarily based on surgical resection of the affected aganglionic colonic segment. The aim of this study was to evaluate the diagnostic accuracy of a contrast enema (CE) for HD diagnosis and to determine whether it should be performed before or after rectal biopsies (RBs). Methods A retrospective observational study of children undergoing RB for HD investigation was performed. In the performed CE, the occurrence and the level of a colonic caliber change (CCC) were recorded and its concordance with the histologically assessed level of aganglionosis by RB and the odds ratio were calculated. Results A total of 107 cases were included. Sensitivity and specificity for a CCC in CE were 74.1% and 94.6%. A CCC present in CE was associated with a 50-fold increased probability for a histologically proven HD. The overall concordance between a CCC and the histologically assessed level of aganglionosis was high (kappa 0.642, p = 0.003), being correct in 94.4% of cases when the CCC was located in the rectosigmoid, but only in 50% of cases when it was located in more proximal segments. By performing a CE only after HD diagnosis confirmation by RB would avoid 67.5% of CE with no loss of diagnostic accuracy. Conclusion We confirm that CE is a valuable tool for HD diagnosis; however, it should only be performed for subsequent diagnostic and surgical planning following histological confirmation of HD by RB. On the basis of this, an algorithm for an optimized investigation and management of HD is presented. PMID:25803244

  15. Heart Failure Update: Outpatient Management.

    PubMed

    Wojnowich, Katherine; Korabathina, Ravi

    2016-03-01

    Outpatient management of heart failure (HF) is aimed at treating symptoms and preventing hospitalizations and readmissions. Management is initiated in a stepwise approach. Blockade of the renin-angiotensin system is a cornerstone of therapy and should be started, along with beta blockers, as soon as the diagnosis of HF is made. Other drugs, including diuretics, aldosterone antagonists, hydralazine, and nitrates, may be added based on symptoms and American College of Cardiology/American Heart Association stage. Despite a great interest in and theoretical benefit of naturoceutical products in the mitigation of oxidative stress and HF progression, none has been proven to be beneficial, and concerns exist regarding their interactions with standard HF drugs. Other nonpharmacologic interventions, including sodium restriction, regular exercise, and/or cardiac rehabilitation, should be initiated at diagnosis. HF often is progressive, and clinicians should be aware of late stage management options, including implantable devices, cardiac transplantation, and hospice care. PMID:26974001

  16. Outpatient treatment of adult asthma.

    PubMed Central

    Kleerup, E C; Tashkin, D P

    1995-01-01

    As a chronic disease with intermittent exacerbations, asthma is treated primarily in the outpatient setting by primary care physicians. Asthma is the result of complex and only partially understood interactions of respiratory, inflammatory, and neural cells and their mediators. The goals of asthma therapy are to prevent and relieve symptoms, allow normal activities of daily living, restore and maintain normal pulmonary function, avoid adverse effects from interventions, and minimize inconvenience and cost. These goals can be achieved through educating patients, assessing and monitoring asthma severity, avoiding or controlling asthma triggers, establishing an intervention plan for routine self-management and the management of exacerbations, and providing regular follow-up care. We present a stepped approach to asthma pharmacotherapy, emphasizing anti-inflammatory therapy--inhaled corticosteroids, cromolyn sodium, or nedocromil sodium--as a summary of recent national and international recommendations. PMID:7667983

  17. Effect of Majja Basti (therapeutic enema) and Asthi Shrinkhala (Cissus quadrangularis) in the management of Osteoporosis (Asthi-Majjakshaya).

    PubMed

    Gupta, Ajay K; Shah, Nehal; Thakar, A B

    2012-01-01

    Osteoporosis is a systemic disorder that affects entire skeleton, which is a metabolic bone disease characterized by low bone mass and microarchitectural deterioration of the skeleton, leading to enhanced bone fragility and a consequent increase in fracture risk. In Ayurveda, it can be correlated with Asthi-Majjakshaya. Basti (therapeutic enema) is the prime therapy for Asthi related diseases and Asthi Shrinkhala (Cissus quadrangularis) is the drug which is being used for strengthening of bone by traditional Vaidya since long. It has been selected for oral administration. In clinical trial, 12 patients treated with Majja Basti along with Asthi Shrinkhala pulp capsules and results are very encouraging. PMID:23049194

  18. Outpatient laparoscopic appendectomy for acute appendicitis.

    PubMed

    Cash, Cassadra L; Frazee, Richard C; Smith, Randall W; Davis, Matthew L; Hendricks, John C; Childs, Ed W; Abernathy, Stephen W

    2012-02-01

    Laparoscopic appendectomy is the widely accepted treatment for acute appendicitis. This approach offers the potential of less pain, shorter hospital stay, and quicker return to activities. Traditionally, patients are hospitalized for 24 hours after laparoscopic appendectomy. This practice can be questioned due to the good results of other outpatient laparoscopic surgery. A retrospective review of 119 patients undergoing laparoscopic appendectomy for uncomplicated acute appendicitis was undertaken from January through September 2009; outpatient and inpatient laparoscopic appendectomies were compared. Patients were selected for outpatient management based upon physician discretion and their clinical course in operation and recovery rooms. Forty-two patients were dismissed on the day of surgery and 77 were admitted for 1 to 5 days postoperatively. No significant differences in age, gender, and preoperative comorbidities between outpatient and inpatient groups were found. Postoperative complications occurred in 2.4 per cent of outpatients and 11.7 per cent of inpatients (P = 0.16). Complications included superficial wound infections, urinary retention, urinary tract infection, intra-abdominal bleeding, pneumonia, and infected hematoma. Based upon this study, outpatient laparoscopic appendectomy can be performed safely in selected patients. This study provides the background for the present prospective protocol for routine outpatient laparoscopic appendectomy at our institution. PMID:22369831

  19. Nanoparticles of barium induce apoptosis in human phagocytes

    PubMed Central

    Mores, Luana; França, Eduardo Luzia; Silva, Núbia Andrade; Suchara, Eliane Aparecida; Honorio-França, Adenilda Cristina

    2015-01-01

    Purpose Nutrients and immunological factors of breast milk are essential for newborn growth and the development of their immune system, but this secretion can contain organic and inorganic toxins such as barium. Colostrum contamination with barium is an important issue to investigate because this naturally occurring element is also associated with human activity and industrial pollution. The study evaluated the administration of barium nanoparticles to colostrum, assessing the viability and functional activity of colostral mononuclear phagocytes. Methods Colostrum was collected from 24 clinically healthy women (aged 18–35 years). Cell viability, superoxide release, intracellular Ca2+ release, and phagocyte apoptosis were analyzed in the samples. Results Treatment with barium lowered mononuclear phagocyte viability, increased superoxide release, and reduced intracellular calcium release. In addition, barium increased cell death by apoptosis. Conclusion These data suggest that nanoparticles of barium in colostrum are toxic to cells, showing the importance of avoiding exposure to this element. PMID:26451108

  20. Survey of barium in Italian drinking water supplies

    SciTech Connect

    Lanciotti, E.; Comodo, N.; Gambassini, L.; Cerbai, E. ); Vallone, G.; Griffini, E. ); Mugelli, A. )

    1989-12-01

    Trace metal contamination in public water supplies may be detrimental to human health. In recent years there has been increasing attention paid to the presence of barium in public water supplies and to its possible effects on human health. Recently the maximum allowed level for barium in drinking water in Europe has been reduced from 1 mg/L to 0.1 mg/L. The toxic effects following acute ingestion of soluble barium salts are well characterized. Elevated barium levels in drinking water have been associated with higher mortality rates due to cardiovascular or heart diseases. The present survey was undertaken to evaluate the extent of exposure of the Tuscany population to barium. Levels of barium were measured in drinking water supplies.

  1. Barium hexaferrite suspensions for electrophoretic deposition.

    PubMed

    Ovtar, Simona; Lisjak, Darja; Drofenik, Miha

    2009-09-15

    In this investigation we have looked at the preparation of barium hexaferrite suspensions, with the stability of the magnetic barium hexaferrite particles being increased by the addition of a surfactant, dodecylbenzylsulfonic acid (DBSA). The influence of the solubility DBSA in different solvents and its adsorption onto the surfaces of particles with different sizes were determined from zeta-potential measurements. The most suitable and stable suspensions of barium hexaferrite particles, regardless of their sizes, were obtained in 1-butanol, and these were then used for a subsequent electrophoretic deposition. The microstructures of the deposits were examined with electron microscopy. The thickness and density of the deposits as a function of the electric field, the zeta-potential, the particle size, and the separation distance between the electrodes were investigated. The thickness of the deposits was found to increase with the increasing zeta-potential of the suspension and with the increasing separation distance between the electrodes. Denser deposits were obtained from the suspensions of smaller particles that had narrower particle size distributions. PMID:19541323

  2. Rapid barium removal in the Delaware estuary

    SciTech Connect

    Stecher, H.A. III; Kogut, M.B.

    1999-04-01

    Six profiles of dissolved barium covering the entire salinity range of the Delaware River and Bay estuary from March through September 1996 were collected and analyzed. The profiles are similar to one another in both shape and magnitude except for one attribute. A sudden ({le} 24 days), nearly complete (>90%) removal of dissolved Ba in midestuary occurs in mid-May followed by an 80% recovery in early June. This removal appears to be temporally and spatially coupled to the end of the spring bloom. Based on such episodic behavior, and on recent work with flocculation of diatom exudates, the authors conclude that the Ba depletion is caused by barite precipitation in the estuary during the late stages of the bloom. This would imply that lower estuary and inner coastal margin sediments associated with eutrophic estuaries receive a seasonal pulse of barite. The suddenness of this event also implies that sedimentary barite is strongly influenced by high productivity events. Comparison of the riverine Ba concentration with the effective riverine end member after desorptive barium release yields an estimated 30--40 nM Ba available from the suspended sediments as they enter the estuary. This estimate is supported by excess barium in unfiltered samples over filtered samples taken from the river and also by calculations done elsewhere.

  3. Barium Titanate Nanoparticles for Biomarker Applications

    NASA Astrophysics Data System (ADS)

    Matar, O.; Posada, O. M.; Hondow, N. S.; Wlti, C.; Saunders, M.; Murray, C. A.; Brydson, R. M. D.; Milne, S. J.; Brown, A. P.

    2015-10-01

    A tetragonal crystal structure is required for barium titanate nanoparticles to exhibit the nonlinear optical effect of second harmonic light generation (SHG) for use as a biomarker when illuminated by a near-infrared source. Here we use synchrotron XRD to elucidate the tetragonal phase of commercially purchased tetragonal, cubic and hydrothermally prepared barium titanate (BaTiO3) nanoparticles by peak fitting with reference patterns. The local phase of individual nanoparticles is determined by STEM electron energy loss spectroscopy (EELS), measuring the core-loss O K-edge and the Ti L3-edge energy separation of the t2g, eg peaks. The results show a change in energy separation between the t2g and eg peak from the surface and core of the particles, suggesting an intraparticle phase mixture of the barium titanate nanoparticles. HAADF-STEM and bright field TEM-EDX show cellular uptake of the hydrothermally prepared BaTiO3 nanoparticles, highlighting the potential for application as biomarkers.

  4. Dietary Geraniol by Oral or Enema Administration Strongly Reduces Dysbiosis and Systemic Inflammation in Dextran Sulfate Sodium-Treated Mice

    PubMed Central

    De Fazio, Luigia; Spisni, Enzo; Cavazza, Elena; Strillacci, Antonio; Candela, Marco; Centanni, Manuela; Ricci, Chiara; Rizzello, Fernando; Campieri, Massimo; Valerii, Maria C.

    2016-01-01

    (Trans)-3,7-Dimethyl-2,6-octadien-1-ol, commonly called geraniol (Ge-OH), is an acyclic monoterpene alcohol with well-known anti-inflammatory, antitumoral, and antimicrobial properties. It is widely used as a preservative in the food industry and as an antimicrobial agent in animal farming. The present study investigated the role of Ge-OH as an anti-inflammatory and anti-dysbiotic agent in the dextran sulfate sodium (DSS)-induced colitis mouse model. Ge-OH was orally administered to C57BL/6 mice at daily doses of 30 and 120 mg kg(−1) body weight, starting 6 days before DSS treatment and ending the day after DSS removal. Furthermore, Ge-OH 120 mg kg(−1) dose body weight was administered via enema during the acute phase of colitis to facilitate its on-site action. The results show that orally or enema-administered Ge-OH is a powerful antimicrobial agent able to prevent colitis-associated dysbiosis and decrease the inflammatory systemic profile of colitic mice. As a whole, Ge-OH strongly improved the clinical signs of colitis and significantly reduced cyclooxygenase-2 (COX-2) expression in colonocytes and in the gut wall. Ge-OH could be a powerful drug for the treatment of intestinal inflammation and dysbiosis. PMID:26973525

  5. Creating unstable velocity-space distributions with barium injections

    NASA Technical Reports Server (NTRS)

    Pongratz, M. B.

    1983-01-01

    Ion velocity-space distributions resulting from barium injections from orbiting spacecraft and shaped charges are discussed. Active experiments confirm that anomalous ionization processes may operate, but photoionization accounts for the production of the bulk of the barium ions. Pitch-angle diffusion and/or velocity-space diffusion may occur, but observations of barium ions moving upwards against gravity suggests that the ions retain a significant enough fraction of their initial perpendicular velocity to provide a mirror force. The barium ion plasmas should have a range of Alfven Mach numbers and plasma betas. Because the initial conditions can be predicted these active experiments should permit testing plasma instability hypotheses.

  6. Hypertension and associated cardiovascular abnormalities induced by chronic barium feeding.

    PubMed

    Perry, H M; Kopp, S J; Perry, E F; Erlanger, M W

    1989-01-01

    Because high barium concentrations (2-10 ppm) in human drinking water have been reported to be associated with elevated cardiovascular mortality, hypertension and other cardiovascular effects were sought in rats chronically exposed for 1-16 mo to drinking water containing 1, 10, or 100 ppm barium. From weaning, female Long-Evans rats were kept in a "low contamination" environment and fed a diet low in trace metals. Their drinking water was deionized, fortified with 5 essential trace metals, and either 0, 1, 10, or 100 ppm barium was added. Indirect systolic pressure of unanesthetized rats was measured in triplicate at 1, 2, 4, 8, 12, and 16 mo. Average systolic pressure increased significantly after exposure to 100 ppm barium for 1 mo or longer and after exposure to 10 ppm barium for 8 mo or longer. After 4 or 16 mo, barium exposure failed to alter organ weights or tissue concentrations of calcium, magnesium, sodium, or potassium; however, both 10 and 100 ppm barium resulted in significant increases in tissue barium. Rats exposed to 100 ppm Ba for 16 mo exhibited depressed rates of cardiac contraction and depressed electrical excitability in the heart. Hearts from these maximally exposed rats also had significantly lower ATP content and phosphorylation potential, as measured by 31P NMR spectroscopy. Although the barium-induced increase in the blood pressure of rats was modest, comparable mild hypertension in humans would have major health implications. PMID:2585541

  7. Lanthanide doped strontium-barium cesium halide scintillators

    DOEpatents

    Bizarri, Gregory; Bourret-Courchesne, Edith; Derenzo, Stephen E.; Borade, Ramesh B.; Gundiah, Gautam; Yan, Zewu; Hanrahan, Stephen M.; Chaudhry, Anurag; Canning, Andrew

    2015-06-09

    The present invention provides for a composition comprising an inorganic scintillator comprising an optionally lanthanide-doped strontium-barium, optionally cesium, halide, useful for detecting nuclear material.

  8. Outpatient Myelography: A Prospective Trial Comparing Complications after Myelography between Outpatients and Inpatients in Japan

    PubMed Central

    Matsumoto, Tomohiro; Inoue, Hidenori; Aoki, Takaaki; Ishiguro, Naoki; Osawa, Yoshimitsu

    2015-01-01

    Study Design Prospective comparative study. Purpose To compare the incidence and severity of adverse reactions associated with myelography performed in outpatients vs. in inpatients and report the safety and usefulness of outpatient myelography in Japanese patients. Overview of Literature Myelography is normally performed as an inpatient procedure in most hospitals in Japan. No studies have reported the usefulness and adverse effects of outpatient myelography in Japanese patients. Methods We performed 221 myelography procedures. Eighty-five of the 221 patients underwent outpatient myelography using our new protocol. The incidence and severity of adverse reactions were compared with the other 136 patients, who underwent conventional inpatient myelography. We further compared the cost of outpatient and inpatient myelography. Results The overall rate of adverse effects was 9.4% in outpatients, as compared with 7.4% in inpatients. Overall, 1.2% of outpatients and 0.74% inpatients experienced "severe" adverse effects (requiring hospitalization). There were no significant differences between the 2 groups in either the overall rate of adverse effects or the rate of "severe" adverse effects. Moreover, the average outpatient procedure cost was only one-third to one-half that of the inpatient procedure. Conclusions This was the first study to address the safety and usefulness of outpatient myelography in Japanese patients. If selected according to proper inclusion criteria for outpatient procedure, no significant differences were observed in the adverse effects between inpatients and outpatients. The outpatient procedure is more economical and has the added benefit of being more convenient and time-efficient for the patient. PMID:26713127

  9. Binding and Leakage of Barium in Alginate Microbeads

    PubMed Central

    Mørch, Yrr A.; Qi, Meirigeng; Gundersen, Per Ole M.; Formo, Kjetil; Lacik, Igor; Skjåk-Bræk, Gudmund; Oberholzer, Jose; Strand, Berit L.

    2013-01-01

    Microbeads of alginate cross-linked with Ca2+ and/or Ba2+ are popular matrices in cell-based therapy. The aim of this study was to quantify the binding of barium in alginate microbeads and its leakage under in vitro and accumulation under in vivo conditions. Low concentrations of barium (1 mM) in combination with calcium (50 mM) and high concentrations of barium (20 mM) in gelling solutions were used for preparation of microbeads made of high-G and high-M alginates. High-G microbeads accumulated barium from gelling solution and contained higher concentrations of divalent ions for both low- and high-Ba exposure compared to high-G microbeads exposed to calcium solely and to high-M microbeads for all gelling conditions. Although most of the unbound divalent ions were removed during the wash and culture steps, leakage of barium was still detected during storage. Barium accumulation in blood and femur bone of mice implanted with high-G beads was found to be dose-dependent. Estimated barium leakage relevant to transplantation to diabetic patients with islets in alginate microbeads showed that the leakage was 2.5 times lower than the tolerable intake value given by WHO for high-G microbeads made using low barium concentration. The similar estimate gave 1.5 times higher than is the tolerable intake value for the high-G microbeads made using high barium concentration. In order to reduce the risk of barium accumulation that may be of safety concern, the microbeads made of high-G alginate gelled with a combination of calcium and low concentration of barium ions is recommended for islet transplantation. PMID:22700168

  10. BARIUM IN TEETH AS INDICATOR OF BODY BURDEN

    EPA Science Inventory

    A study was conducted to determine the biological availability of naturally occurring barium in a municipal drinking water by the analysis of barium in deciduous teeth of children. The grade school children of two Illinois towns were chosen for the study. The towns were chosen ba...

  11. Acute barium intoxication following ingestion of ceramic glaze.

    PubMed Central

    Thomas, M.; Bowie, D.; Walker, R.

    1998-01-01

    A case of deliberate overdose of barium sulphide in a psychiatric setting is presented, with resulting flaccid paralysis, malignant arrhythmia, respiratory arrest and severe hypokalaemia, but ultimately with complete recovery. The degree of paralysis appears to be related directly to serum barium levels. The value of early haemodialysis, particularly with respiratory paralysis and hypokalaemia, is emphasised. PMID:10211330

  12. Composition and structure measurements in an ionospheric barium cloud

    NASA Astrophysics Data System (ADS)

    Narcisi, R.; Tracinski, E.; Federico, G.; Wlodyka, L.; Bench, P.

    1981-12-01

    A 48 kg barium payload was launched from Eglin Air Force Base, Florida on 12 December 1980 at 2311 GMT and detonated at 183.7 km. At 2342:50.25 GMT, a second rocket, instrumented with an ion mass spectrometer and pulsed plasma probes, was fired to traverse the barium cloud. Composition, ion density, and structure measurements were acquired up to 241.2 km in both the natural and disturbed ionosphere. The rocket penetrated the barium cloud between 147 and 184 km. In addition to the Ba+, Ba++ produced by H Lyman alpha ionization, and Ca+, an impurity in the barium were detected in the cloud. A peak barium ion concentration of about 6,000,000 ions cu cm was measured at 161 km where the ionospheric NO+ and O2+ ions were essentially eliminated by large recombination loss. The bottom side of the barium cloud had a relatively smooth structure while the top side showed significant density fluctuations. The first experimental evidence of a theoretically predicted E region 'image cloud' was found in the form of an enhanced NO+ layer just below the barium cloud. Unexplained wave-like density variations in O+, NO+, and O2(+) also were seen above the barium cloud to 195 km. A quantitative estimate of the outgassing water vapor concentrations near the payload's surface was made using the fast change transfer rate coefficient for O+ + H2O yields H2O+ + O that created the observed water vapor ions.

  13. Barium Enhancement in NGC 6819 Blue Stragglers

    NASA Astrophysics Data System (ADS)

    Milliman, Katelyn; Mathieu, Robert D.; Schuler, Simon C.

    2015-01-01

    Possible formation pathways for blue straggler stars include mergers in hierarchical triple systems, stellar collisions during dynamical encounters, and mass transfer from a giant companion. Extensive work on the blue stragglers in the old open cluster NGC 188 (7 Gyr) has led to exciting discoveries including a binary secondary mass distribution peaked at 0.5 MSolar and the detection of three young white dwarf binary companions. These indicate that mass transfer from an asymptotic giant branch star is the dominant mechanism for blue straggler formation in open clusters. Such mass transfer events should pollute the surface abundance of the blue straggler with nucleosynthesis products from the evolved donor. The other formation pathways, mergers and collisions, are predicted to produce no such enhancements. In an effort to move beyond NGC 188 and into other open clusters we present the first results of a surface abundance study of the blue stragglers in the intermediate-aged open cluster NGC 6819 (2.5 Gyr) using the Hydra multi-object spectrograph on the WIYN 3.5 m telescope. This part of our study centers on the s-process element barium as a tracer of formation via mass transfer. We compare the blue straggler surface abundance of barium to that of a sample of main-sequence stars in NGC 6819 and find multiple blue stragglers with anomalous abundances. Surprising, most of the blue stragglers with barium anomalies show no radial-velocity evidence for a companion. We gratefully acknowledge funding from the National Science Foundation under grant AST- 0908082 and the Wisconsin Space Grant Consortium.

  14. Outcomes of outpatient management of pediatric burns.

    PubMed

    Brown, Matthew; Coffee, Tammy; Adenuga, Paul; Yowler, Charles J

    2014-01-01

    The literature surrounding pediatric burns has focused on inpatient management. The goal of this study is to characterize the population of burned children treated as outpatients and assess outcomes validating this method of burn care. A retrospective review of 953 patients treated the burn clinic and burn unit of a tertiary care center. Patient age, burn etiology, burn characteristics, burn mechanism, and referral pattern were recorded. The type of wound care and incidence of outcomes including subsequent hospital admission, infection, scarring, and surgery served as the primary outcome data. Eight hundred and thirty children were treated as outpatients with a mean time of 1.8 days for the evaluation of burn injury in our clinic. Scalds accounted for 53% of the burn mechanism, with burns to the hand/wrist being the most frequent area involved. The mean percentage of TBSA was 1.4% for the outpatient cohort and 8% for the inpatient cohort. Burns in the outpatient cohort healed with a mean time of 13.4 days. In the outpatient cohort, nine (1%) patients had subsequent admissions and three (0.4%) patients had concern for infection. Eight patients from the outpatient cohort were treated with excision and grafting. The vast majority of pediatric burns are small, although they may often involve more critical areas such as the face and hand. Outpatient wound care is an effective treatment strategy which results in low rates of complications and should become the standard of care for children with appropriate burn size and home support. PMID:25055004

  15. Scattering lengths of calcium and barium isotopes

    SciTech Connect

    Dammalapati, U.; Willmann, L.; Knoop, S.

    2011-11-15

    We have calculated the s-wave scattering length of all the even isotopes of calcium (Ca) and barium (Ba) in order to investigate the prospect of Bose-Einstein condensation (BEC). For Ca we have used an accurate molecular potential based on detailed spectroscopic data. Our calculations show that Ca does not provide other isotopes alternative to the recently Bose condensed {sup 40}Ca that suffers strong losses because of a very large scattering length. For Ba we show by using a model potential that the even isotopes cover a broad range of scattering lengths, opening the possibility of BEC for at least one of the isotopes.

  16. Short-cavity squeezing in barium

    NASA Technical Reports Server (NTRS)

    Hope, D. M.; Bachor, H-A.; Manson, P. J.; Mcclelland, D. E.

    1992-01-01

    Broadband phase sensitive noise and squeezing were experimentally observed in a system of barium atoms interacting with a single mode of a short optical cavity. Squeezing of 13 +/- 3 percent was observed. A maximum possible squeezing of 45 +/- 8 percent could be inferred for out experimental conditions, after correction for measured loss factors. Noise reductions below the quantum limit were found over a range of detection frequencies 60-170 MHz and were best for high cavity transmission and large optical depths. The amount of squeezing observed is consistent with theoretical predictions from a full quantum statistical model of the system.

  17. Europium-doped barium bromide iodide

    SciTech Connect

    Gundiah, Gautam; Hanrahan, Stephen M.; Hollander, Fredrick J.; Bourret-Courchesne, Edith D.

    2009-10-21

    Single crystals of Ba0.96Eu0.04BrI (barium europium bromide iodide) were grown by the Bridgman technique. The title compound adopts the ordered PbCl2 structure [Braekken (1932). Z. Kristallogr. 83, 222-282]. All atoms occupy the fourfold special positions (4c, site symmetry m) of the space group Pnma with a statistical distribution of Ba and Eu. They lie on the mirror planes, perpendicular to the b axis at y = +-0.25. Each cation is coordinated by nine anions in a tricapped trigonal prismatic arrangement.

  18. Barium toxicity effects in soybean plants.

    PubMed

    Suwa, Ryuichi; Jayachandran, Krish; Nguyen, Nguyen Tran; Boulenouar, Abdellah; Fujita, Kounosuke; Saneoka, Hirofumi

    2008-10-01

    Barium (Ba)-induced phytotoxicity at 100, 1000, or 5000 microM Ba in soybean plants (Glycine max) was investigated under hydroponic culture conditions. Soybean growth and leaf photosynthetic activity were significantly inhibited by all three levels of Ba treatments. In the case of photosynthetic activity, 5000 microM Ba treatment shutdown stomatal opening and perturbed carbon fixation metabolism and translocation. However, 100 and 1000 microM Ba treatments shut down stomatal opening and inhibited carbon fixation, but without perturbation of leaf carbon fixation-related metabolism. Potassium (K) absorption by soybean roots was also reduced in all three Ba treatments. This decreased K absorption reduced K localization at guard cells. Barium accumulation in guard cells also inhibited K transport from epidermal cells to guard cells. This lack of K in guard cells resulted in stomatal closure. As a result of inhibition of K transport into guard cells and stomatal shutdown, photosynthetic activity and plant productivity were inhibited. Our experiment indicates that Ba has phytotoxic effects on soybean plants by inhibiting photosynthesis. PMID:18259801

  19. Early identification of alcoholism in Navy psychiatric outpatients.

    PubMed

    Schuckit, M A; Gunderson, E K

    1977-06-01

    This study compares Navy outpatient alcoholics, inpatient alcoholics, and a general outpatient psychiatric population on a number of demographic and clinical variables. Compared to inpatients, the outpatient alcoholics were younger, more often married, and were more frequently given favorable discharges. Compared to nonalcoholic outpatients, the outpatients were older, had lower socioeconomic origins, and were more often given favorable discharges. The characteristics of outpatient alcoholics are discussed, and an attempt is made to lay the groundwork for early case finding and prevention of alcoholism in the service. PMID:862498

  20. Do all barium stars have a white dwarf companion?

    NASA Technical Reports Server (NTRS)

    Dominy, J. F.; Lambert, D. L.

    1983-01-01

    International Ultraviolet Explorer short-wavelength, low-dispersion spectra were analyzed for four barium, two mild barium, and one R-type carbon star in order to test the hypothesis that the barium and related giants are produced by mass transfer from a companion now present as a white dwarf. An earlier tentative identification of a white dwarf companion to the mild barium star Zeta Cyg is confirmed. For the other stars, no ultraviolet excess attributable to a white dwarf is seen. Limits are set on the bolometric magnitude and age of a possible white dwarf companion. Since the barium stars do not have obvious progenitors among main-sequence and subgiant stars, mass transfer must be presumed to occur when the mass-gaining star is already on the giant branch. This restriction, and the white dwarf's minimum age, which is greater than 8 x 10 to the 8th yr, determined for several stars, effectively eliminates the hypothesis that mass transfer from an asymptotic giant branch star creates a barium star. Speculations are presented on alternative methods of producing a barium star in a binary system.

  1. Microstructure and magnetism in barium strontium titanate (BSTO)-barium hexaferrite (BaM) multilayers

    SciTech Connect

    Frey, N.A.; Heindl, R.; Srinath, S.; Srikanth, H. . E-mail: sharihar@cas.usf.edu; Dudney, N.J.

    2005-08-11

    High quality multilayers of barium ferrite (BaM) and barium strontium titanate (BSTO) were grown in optimized conditions on thermally oxidized Si(1 0 0) and Al{sub 2}O{sub 3} substrates using magnetron sputtering. As-grown films were amorphous and different annealing procedures were explored to stabilize crystalline phases. BSTO and BaM phases were identified using X-ray diffraction and cross-sectional scanning electron micrographs showed sharp interfaces between BSTO and BaM layers. Magnetic hysteresis loops obtained at various temperatures and field orientations showed a large coercivity ({approx}2500 Oe) consistent with the hard magnetic hexaferrite component. Hysteresis loops also revealed the distinct influence of magnetocrystalline and shape anisotropies at different temperature ranges.

  2. Photoluminescence of barium titanate and barium zirconate in multilayer disordered thin films at room temperature.

    PubMed

    Moreira, M L; Gurgel, M F C; Mambrini, G P; Leite, E R; Pizani, P S; Varela, J A; Longo, E

    2008-09-25

    The emission of wide band photoluminescence showed a synergic effect on barium zirconate and barium titanate thin films in alternate multilayer system at room temperature by 488 nm exiting wavelength. The thin films obtained by spin-coating were annealed at 350, 450, and 550 degrees C for 2 h. The X-ray patterns revealed the complete separation among the BaTiO3 and BaZrO3 phases in the adjacent films. Visible and intense photoluminescence was governed by BaZrO3 thin films in the multilayer system. Quantum mechanics calculations were used in order to simulate ordered and disordered thin films structures. The disordered models, which were built by using the displacement of formers and modifier networks, showed a different symmetry in each system, which is in accordance with experimental photoluminescence emission, thus allowing to establish a correlation among the structural and optical properties of these multilayered systems. PMID:18593105

  3. Designed microstructures in textured barium hexaferrite

    NASA Astrophysics Data System (ADS)

    Hovis, David Brian

    It is a fundamental principle of materials science that the microstructure of a material defines its properties and ultimately its performance for a given application. A prime example of this can be found in the large conch shell Strombus gigas, which has an intricate microstructure extending across five distinct length scales. This microstructure gives extraordinary damage tolerance to the shell. The structure of Strombus gigas cannot be replicated in a modern engineering ceramic with any existing processing technique, so new processing techniques must be developed to apply this structure to a model material. Barium hexaferrite was chosen as a model material to create microstructures reminiscent of Strombus gigas and evaluate its structure-property relations. This work describes novel processing methods to produce textured barium hexaferrite with no coupling between the sample geometry and the texture direction. This technique, combining magnetic field-assisted gelcasting with templated grain growth, also allows multilayer samples to be fabricated with different texture directions in adjacent layers. The effects of adding either B2O3 or excess BaCO 3 on the densification and grain growth of barium hexaferrite was studied. The texture produced using this technique was assessed using orientation imaging microscopy (OIM) at Oak Ridge National Laboratory. These measurements showed peak textures as high as 60 MRD and sharp interfaces between layers cast with different texture directions. The effect of oxygen on the quality of gelcasting is also discussed, and it is shown that with proper mold design, it is possible to gelcast multiple layers with differing texture directions without delamination. Monolithic and multilayer samples were produced and tested in four point bending to measure the strength and work of fracture. Modulus measurements, made with the ultrasonic pulse-echo technique, show clear signs of microcracking in both the isotropic and textured samples. Both the strength and work of fracture were shown to be affected by the texture direction. The multilayer samples did not show significant improvements in either strength or work of fracture, but they did show much less variability than the monolithic samples.

  4. A high-altitude barium radial injection experiment

    NASA Technical Reports Server (NTRS)

    Wescott, E. M.; Stenbaek-Nielsen, H. C.; Hallinan, T. J.; Deehr, C. S.; Romick, G. J.; Olson, J. V.; Roederer, J. G.; Sydora, R.

    1980-01-01

    A rocket launched from Poker Flat, Alaska, carried a new type of high-explosive barium shaped charge to 571 km, where detonation injected a thin disk of barium vapor with high velocity nearly perpendicular to the magnetic field. The TV images of the injection are spectacular, revealing three major regimes of expanding plasma which showed early instabilities in the neutral gas. The most unusual effect of the injection is a peculiar rayed barium-ion structure lying in the injection plane and centered on a 5 km 'black hole' surrounding the injection point. Preliminary electrostatic computer simulations show a similar rayed development.

  5. Large Flexoelectric Anisotropy in Paraelectric Barium Titanate.

    PubMed

    Narvaez, Jackeline; Saremi, Sahar; Hong, Jiawang; Stengel, Massimiliano; Catalan, Gustau

    2015-07-17

    The bending-induced polarization of barium titanate single crystals has been measured with an aim to elucidate the origin of the large difference between theoretically predicted and experimentally measured flexoelectricity in this material. The results indicate that part of the difference is due to polar regions (short-range order) that exist above T(C) and up to T*?200-225?C. Above T*, however, the flexovoltage coefficient still shows an unexpectedly large anisotropy for a cubic material, with (001)-oriented crystals displaying 10 times more flexoelectricity than (111)-oriented crystals. Theoretical analysis shows that this anisotropy cannot be a bulk property, and we therefore interpret it as indirect evidence for the theoretically predicted but experimentally elusive contribution of surface piezoelectricity to macroscopic bending-induced polarization. PMID:26230825

  6. Tobacco Smoking in Adolescent Psychiatric Outpatients

    ERIC Educational Resources Information Center

    Ditchburn, K. Marie; Sellman, J. Douglas

    2013-01-01

    Three main aims of this study were to ascertain the prevalence rate of smoking among adolescent psychiatric outpatients; estimate smokers' degree of nicotine dependence; and investigate the relationship between smoking and common mental health disorders. Face-to-face interviews were conducted on 93 patients ages 13-18 presenting to an adolescent

  7. Outpatient Management of the Borderline Adolescent.

    ERIC Educational Resources Information Center

    Godenne, Ghislaine D.

    1978-01-01

    This paper attempts to describe the psychopathology of the borderline patient. Descriptive features of the syndrome in children, adults, and adolescents are given. Genetic considerations and psychic structures are discussed with their resulting treatment implications. Finally, outpatient treatment strategies are presented in detail, including

  8. [Dimensional modeling analysis for outpatient payments].

    PubMed

    Guo, Yi-zhong; Guo, Yi-min

    2008-09-01

    This paper introduces a data warehouse model for outpatient payments, which is designed according to the requirements of the hospital financial management while dimensional modeling technique is combined with the analysis on the requirements. This data warehouse model can not only improve the accuracy of financial management requirements, but also greatly increase the efficiency and quality of the hospital management. PMID:19119657

  9. Azacitidine in outpatient treatment single center experience

    PubMed Central

    Stefanko, Ewa; Bogucka-Fedorczuk, Aleksandra; Butrym, Aleksandra; Por?ba, Rafa?; Kuliczkowski, Kazimierz; Wrbel, Tomasz

    2016-01-01

    Aim of the study Azacitidine is a hypomethylating agent which is used in the treatment of myelodysplastic syndromes, acute myeloid leukemia and chronic myelomonocytic leukemia. Because of good tolerance to the drug, azacitidine can be administered both during hospitalization and in an outpatient setting. The aim of our retrospective analysis was to assess the efficacy of azacitidine treatment in patients with a myelodysplastic syndrome and with acute myeloid leukemia who had received treatment in hospital and in an ambulatory care setting. Offsets in the course of azacitidine administration and discontinuations of treatment have a negative impact on patients response to the therapy. Material and methods The study included 31 patients. Sixteen patients received azacitidine in an ambulatory care setting, 15 patients within their hospitalization. Results A hematologic response was achieved in 48% of the patients. Forty-one percent of the cycles were delayed. In an outpatient setting, 62% of the cycles were administered systematically, while during hospitalization the patients received 54% of cycles on time. Administrative problems caused the delay of 26% of the cycles. Conclusions Azacitidine has a high tolerance level and a high safety profile which allows for its use in an outpatient care setting. Outpatient administration of azacitidine is feasible and safe without compromising efficacy. PMID:26843844

  10. Tobacco Smoking in Adolescent Psychiatric Outpatients

    ERIC Educational Resources Information Center

    Ditchburn, K. Marie; Sellman, J. Douglas

    2013-01-01

    Three main aims of this study were to ascertain the prevalence rate of smoking among adolescent psychiatric outpatients; estimate smokers' degree of nicotine dependence; and investigate the relationship between smoking and common mental health disorders. Face-to-face interviews were conducted on 93 patients ages 13-18 presenting to an adolescent…

  11. Calculated emission rates for barium releases in space

    NASA Technical Reports Server (NTRS)

    Stenbaek-Nielsen, H. C.

    1989-01-01

    The optical emissions from barium releases in space are caused by resonance and fluorescent scattering of sunlight. Emission rates for the dominant ion and neutral lines are calculated assuming the release to be optically thin and the barium to be in radiative equilibrium with the solar radiation. The solar spectrum has deep Fraunhofer absorption lines at the primary barium ion resonances. A velocity component toward or away from the sun will Doppler shift the emission lines relative to the absorption lines and the emission rates will increase many-fold over the rest value. The Doppler brightening is important in shaped charge or satellite releases where the barium is injected at high velocities. Emission rates as a function of velocity are calculated for the 4554, 4934, 5854, 6142 and 6497 A ion emission lines and the dominant neutral line at 5535 A. Results are presented for injection parallel to the ambient magnetic field, B, and for injection at an angle to B.

  12. Upper gastrointestinal barium evaluation of duodenal pathology: A pictorial review

    PubMed Central

    Gupta, Pankaj; Debi, Uma; Sinha, Saroj Kant; Prasad, Kaushal Kishor

    2014-01-01

    Like other parts of the gastrointestinal tract (GIT), duodenum is subject to a variety of lesions both congenital and acquired. However, unlike other parts of the GIT viz. esophagus, rest of the small intestine and large intestine, barium evaluation of duodenal lesions is technically more challenging and hence not frequently reported. With significant advances in computed tomography technology, a thorough evaluation including intraluminal, mural and extramural is feasible in a single non-invasive examination. Notwithstanding, barium evaluation still remains the initial and sometimes the only imaging study in several parts of the world. Hence, a thorough acquaintance with the morphology of various duodenal lesions on upper gastrointestinal barium examination is essential in guiding further evaluation. We reviewed our experience with various common and uncommon barium findings in duodenal abnormalities. PMID:25170399

  13. Study of the photovoltaic effect in thin film barium titanate

    NASA Technical Reports Server (NTRS)

    Grannemann, W. W.; Dharmadhikari, V. S.

    1983-01-01

    The feasibility of making non-volatile digital memory devices of barium titanate, BaTiO3, that are integrated onto a silicon substrate with the required ferroelectric film produced by processing, compatible with silicon technology was examined.

  14. Evolution of structure in the PLACES barium clouds

    NASA Astrophysics Data System (ADS)

    Simons, D. J.; Lebeda, C. F.; Pongratz, M. B.; Fitzgerald, T. J.; Dupre, R. R.

    1984-02-01

    The PLACES (Position Location and Communication Effects Simulations) experiment is discussed. Intensified optical instruments are used to examine the barium ion and neutral resonance fluorescence light from the four barium ionospheric thermite releases. The effects of structured ionospheric plasmas on transionospheric radio communication lines are determined. As part of this experiment, it was necessary to characterize the evolution of the structure (striations) in the barium ionospheric plasma. The motivation for using barium to simulate these effects is examined. The theoretical and empirical basis for using optical diagnostics for deriving the electron column content of the ion clouds is discussed. The time evolution of the power spectral density (PSD) of striations for the electron column density perpendicular to the magnetic field is derived for the two clouds.

  15. 42 CFR 410.60 - Outpatient physical therapy services: Conditions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 2 2013-10-01 2013-10-01 false Outpatient physical therapy services: Conditions... Services § 410.60 Outpatient physical therapy services: Conditions. (a) Basic rule. Except as specified in paragraph (a)(3)(iii) of this section, Medicare Part B pays for outpatient physical therapy services only...

  16. 38 CFR 17.93 - Eligibility for outpatient services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... the nearest VA medical center or Department of Defense facility (with which VA has a sharing agreement... AFFAIRS MEDICAL Outpatient Treatment 17.93 Eligibility for outpatient services. (a) VA shall furnish on an ambulatory or outpatient basis medical services as are needed, to the following applicants...

  17. 38 CFR 17.93 - Eligibility for outpatient services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... the nearest VA medical center or Department of Defense facility (with which VA has a sharing agreement... AFFAIRS MEDICAL Outpatient Treatment 17.93 Eligibility for outpatient services. (a) VA shall furnish on an ambulatory or outpatient basis medical services as are needed, to the following applicants...

  18. 42 CFR 410.60 - Outpatient physical therapy services: Conditions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 2 2011-10-01 2011-10-01 false Outpatient physical therapy services: Conditions... Services § 410.60 Outpatient physical therapy services: Conditions. (a) Basic rule. Except as specified in paragraph (a)(3)(iii) of this section, Medicare Part B pays for outpatient physical therapy services only...

  19. Synthesis, photoluminescence and magnetic properties of barium vanadate nanoflowers

    SciTech Connect

    Xu, Jing; Chongqing University of Science and Technology, Chongqing 401331 ; Hu, Chenguo; Xi, Yi; Peng, Chen; Wan, Buyong; He, Xiaoshan

    2011-06-15

    Graphical abstract: The flower-shaped barium vanadate was obtained for the first time. The photoluminescence and magnetic properties of the barium vanadate nanoflowers were investigated at room temperature. Research highlights: {yields} In the paper, the flower-shaped barium vanadate were obtained for the first time. The CHM method used here is new and simple for preparation of barium vanadate. {yields} The photoluminescence and magnetic properties of the barium vanadate nanoflowers were investigated at room temperature. The strong bluish-green emission was observed. {yields} The ferromagnetic behavior of the barium vanadate nanoflowers was found with saturation magnetization of about 83.50 x 10{sup -3} emu/g, coercivity of 18.89 Oe and remnant magnetization of 4.63 x 10{sup -3} emu/g. {yields} The mechanisms of PL and magnetic property of barium vanadate nanoflowers have been discussed. -- Abstract: The flower-shaped barium vanadate has been obtained by the composite hydroxide mediated (CHM) method from V{sub 2}O{sub 5} and BaCl{sub 2} at 200 {sup o}C for 13 h. XRD and XPS spectrum of the as-synthesized sample indicate it is hexagonal Ba{sub 3}V{sub 2}O{sub 8} with small amount of Ba{sub 3}VO{sub 4.8} coexistence. Scan electron microscope and transmission electron microscope display that the flower-shaped crystals are composed of nanosheets with thickness of {approx}20 nm. The UV-visible spectrum shows that the barium vanadate sample has two optical gaps (3.85 eV and 3.12 eV). Photoluminescence spectrum of the barium vanadate flowers exhibits a visible light emission centered at 492 and 525 nm which might be attributed to VO{sub 4} tetrahedron with T{sub d} symmetry in Ba{sub 3}V{sub 2}O{sub 8}. The ferromagnetic behavior of the barium vanadate nanoflowers has been found with saturation magnetization of about 83.50 x 10{sup -3} emu/g, coercivity of 18.89 Oe and remnant magnetization of 4.63 x 10{sup -3} emu/g, which is mainly due to the presence of a non-orthovanadate phase with spin S = 1/2.

  20. 'Skidding' of the CRRES G-9 barium release

    NASA Technical Reports Server (NTRS)

    Huba, J. D.; Mitchell, H. G.; Fedder, J. A.; Bernhardt, P. A.

    1992-01-01

    A simulation study and experimental data of the CRRES G-9 ionospheric barium release are presented. The simulation study is based on a 2D electrostatic code that incorporates time-dependent coupling to the background plasma. It is shown that the densest portion of the barium ion cloud 'skids' about 15 km within the first three seconds following the release, consistent with the optical data analyses.

  1. A search for technetium (Tc II) in barium stars

    NASA Technical Reports Server (NTRS)

    Little-Marenin, Irene R.; Little, Stephen J.

    1987-01-01

    The authors searched without success for the lines of Tc II at 2647.02, 2610.00 and 2543.24 A in IUE spectra of the barium stars HR 5058, Omicron Vir, and Zeta Cap. The lack of Tc II implies that the observed s-process enhancements were produced more than half a million years ago and supports the suggestion that the spectral peculiarities of barium stars are probably related to the binary nature of the stars.

  2. Enteroclysis

    MedlinePLUS

    ... bowel enema; CT enteroclysis; Small bowel follow-through; Barium enteroclysis ... Possible injury to bowel structures during the study Barium may cause constipation. Tell your health care provider ...

  3. Feasibility of outpatient surgery in the tropics.

    PubMed

    Favretti, F; Pucciarelli, S; Lise, M; Tieba, M; Rotigliano, G F; Banzata, O

    1990-01-01

    The feasibility of outpatient surgery was investigated at a regional hospital in a Third World country. A series of 73 patients with uncomplicated hernias (inguinal, femoral) and hydroceles were allocated at random to receive standard surgical treatment either as inpatients (group 1) or as outpatients (group 2). Patients living within a 4 km radius of the hospital or who agreed to stay in specially provided quarters nearby were eligible to take part in the study. Patients not able to follow the basic hygiene rules taught by the local staff were excluded. The morbidity rate was 5/36 (13.8%) in group 1 and 8/37 (21.6%) in group 2. No statistically significant differences were demonstrated between the complications that occurred in the two groups. PMID:2305475

  4. Pricing commodity outpatient procedures assessing the impact.

    PubMed

    Cleverley, William O

    2015-10-01

    Hospitals should carefully consider all relevant factors before choosing to lower prices and payments for certain outpatient commodity services in an effort to remain competitive in their market. Key steps to take in the evaluation process include: Determining current profitability. Assessing profitability by payer class. Understanding overall cost positions. Assessing the relative payment terms of current commercial contracts. Determining the net revenue effect of proposed changes. PMID:26595979

  5. Disparities in internet use among orthopedic outpatients.

    PubMed

    Walsh, Kenneth P; Rehman, Saqib; Goldhirsh, Jessie

    2014-02-01

    Internet access has lagged behind for patients with lower incomes and from certain ethnic groups. This study investigated the possible improvement of access to health-related information on the Internet for all patients in an urban outpatient setting, regardless of socioeconomic background. A 28-question survey was completed by 100 orthopedic outpatients evaluating associations between their age, ethnicity, income, or education level and their access to the Internet. The survey also examined how patients used the Internet to obtain information about their medical condition, their privacy concerns when conducting online research, and their use of mobile phones as a primary means of Internet access. The Internet was used by 57% of orthopedic outpatients in this urban setting. Internet access decreased with advancing age but increased with increasing income and education, findings consistent with similar studies. Despite the inability to identify an association between ethnicity and Internet access in this patient population, fewer Latinos (33%) than whites (67%) or African Americans (77%) sought information about their medical condition. Among patients who used a mobile phone as the primary method for online access, 74% were African American or Latino and 26% were white. This difference in mobile phone use for online access suggests that mobile phones have provided ethnic minorities with greater Internet access and thus may have narrowed the digital divide among the races. PMID:24679198

  6. Theoretical isotope shifts in neutral barium

    NASA Astrophysics Data System (ADS)

    Naz, C.; Li, J. G.; Godefroid, M.

    2015-03-01

    The present work deals with a set of problems in isotope shifts of neutral barium spectral lines. Some well-known transitions (6 s2 1S0-6 s 6 p 1,3P1o and 6 s2 1S0-6 p2 3P0) are investigated. Values of the changes in the nuclear mean-square charge radius are deduced from the available experimental isotope shifts using our ab initio electronic factors. The three sets {? A ,A'} obtained from these lines are consistent with each other. The combination of the available nuclear mean-square radii with our electronic factors for the 6 s 5 d 3D1 ,2-6 s 6 p 1P1o transitions produces isotope shift values in conflict with the laser spectroscopy measurements of U. Dammalapati et al. [Eur. Phys. J. D 53, 1 (2009), 10.1140/epjd/e2009-00076-x].

  7. Development of advanced barium ferrite tape media

    NASA Astrophysics Data System (ADS)

    Shimizu, Osamu; Oyanagi, Masahito; Morooka, Atsushi; Mori, Masahiko; Kurihashi, Yuich; Tada, Toshio; Suzuki, Hiroyuki; Harasawa, Takeshi

    2016-02-01

    We developed an advanced particulate magnetic tape using fine barium ferrite (BaFe) particles for magnetic-tape storage systems. The new tape showed a signal-to-noise ratio (SNR) that was 3.5 dB higher than that of the commercially available BaFe tape used for the Linear Tape Open generation 6 tape-storage system, at a linear density of 300 kfci measured with a giant magnetoresistive head with a reader width of 0.45 ?m. Such significant increase in SNR was achieved by reducing the magnetic particle volume from 1950 to 1350 nm3, while maintaining a sufficiently high thermal stability, improving the perpendicular squareness ratio from 0.66 to 0.83, and improving the surface roughness from 2.5 to 2.0 nm when measured by atomic force microscopy and from 2.4 to 0.9 nm when measured by optical interferometry. This paper describes the characteristics of the new BaFe particles and media, which are expected to be employed for future high-capacity linear-tape systems.

  8. High H? ionic conductivity in barium hydride.

    PubMed

    Verbraeken, Maarten C; Cheung, Chaksum; Suard, Emmanuelle; Irvine, John T S

    2015-01-01

    With hydrogen being seen as a key renewable energy vector, the search for materials exhibiting fast hydrogen transport becomes ever more important. Not only do hydrogen storage materials require high mobility of hydrogen in the solid state, but the efficiency of electrochemical devices is also largely determined by fast ionic transport. Although the heavy alkaline-earth hydrides are of limited interest for their hydrogen storage potential, owing to low gravimetric densities, their ionic nature may prove useful in new electrochemical applications, especially as an ionically conducting electrolyte material. Here we show that barium hydride shows fast pure ionic transport of hydride ions (H(-)) in the high-temperature, high-symmetry phase. Although some conductivity studies have been reported on related materials previously, the nature of the charge carriers has not been determined. BaH2 gives rise to hydride ion conductivity of 0.2 S cm(-1) at 630 C. This is an order of magnitude larger than that of state-of-the-art proton-conducting perovskites or oxide ion conductors at this temperature. These results suggest that the alkaline-earth hydrides form an important new family of materials, with potential use in a number of applications, such as separation membranes, electrochemical reactors and so on. PMID:25485988

  9. Prospects for Barium Tagging in Gaseous Xenon

    SciTech Connect

    Sinclair, D.; Rollin, E.; Smith, J.; Mommers, A.; Ackerman, N.; Aharmim, B.; Auger, M.; Barbeau, P.S.; Benitez-Medina, C.; Breidenbach, M.; Burenkov, A.; Cook, S.; Coppens, A.; Daniels, T.; DeVoe, R.; Dobi, A.; Dolinski, M.J.; Donato, K.; Fairbank, W., Jr.; Farine, J.; Giroux, G.; /Bern U., LHEP /Carleton U. /Stanford U., Phys. Dept. /Carleton U. /Laurentian U. /Carleton U. /SLAC /Indiana U. /Indiana U., CEEM /Korea U. /Stanford U., Phys. Dept. /SLAC /Alabama U. /Colorado State U. /Stanford U., Phys. Dept. /Alabama U. /SLAC /Stanford U., Phys. Dept. /Alabama U. /Massachusetts U., Amherst /SLAC /Alabama U. /SLAC /Maryland U. /Moscow, ITEP /Stanford U., Phys. Dept. /Maryland U. /Bern U., LHEP /Laurentian U. /SLAC /Maryland U.

    2012-05-03

    Tagging events with the coincident detection of a barium ion would greatly reduce the background for a neutrino-less double beta decay search in xenon. This paper describes progress towards realizing this goal. It outlines a source that can produce large quantities of Ba++ in gas, shows that this can be extracted to vacuum, and demonstrates a mechanism by which the Ba++ can be efficiently converted to Ba+ as required for laser identification. It is clear from this study that electrospray is a convenient mechanism for producing Ba++ is gas at atmospheric pressure. It is likely that the source will perform just as effectively at higher pressures. Even though the source region has water vapour and methanol vapour at the 0.3% level, there is no evidence for molecular formation. The use of TEA offers an effective method to achieve the charge state conversion. The overall design of the ion extraction from high pressure to vacuum is very similar to the scheme proposed for the final detector and this appears to work well although the efficiency is not yet determined.

  10. Barium stars and the s-process

    NASA Astrophysics Data System (ADS)

    Cowley, C. R.; Downs, P. L.

    1980-03-01

    Theoretical s-process calculations are presented. Isotopic abundances are summed, so that atomic number becomes the independent variable. This form of representation of the calculations has distinct advantages in the interpretation of stellar data, since one generally does not have isotopic information. Predictions based on single neutron exposures as well as exponential exposure distributions are compared with the high-quality observations of Tech (1971) for Zeta Cap and a few other stars. Tech's data provide a remarkably good fit of theory and observations. For the exposures of relevance to the barium stars, dysprosium and, indeed, heavier lanthanides are expected to be comparable in abundance to samarium and gadolinium. A very low Ce/Ba ratio (less than approximately 0.1) is not expected if Ba and Sr have comparable abundances. It is concluded that the observations are not yet of high enough quality to allow one to discriminate among several possible exposure models, but that the prospect for doing so with improved observations is good.

  11. Mononuclear barium diketonate polyamine adducts. Synthesis, structures, and use in MOCVD of barium titanate

    SciTech Connect

    Gardiner, R.A.; Gordon, D.C.; Stauf, G.T.; Vaartstra, B.A.; Ostrander, R.L.; Rheingold, A.L.

    1994-11-01

    Mononuclear barium {beta}-diketonate Lewis base adducts have been synthesized by reaction of Ba(thd){sub 2} (thd = 2,2,6,6-tetramethyl-3,5-heptanedionate) with polyamines 1,1,4,7,7-pentamethyldiethylenetriamine (pmdt) and 1,1,4,7,10,10-hexamethyltriethylenetetramine (hmtt). The adducts [Ba(thd){sub 2}(pmdt)] (I) and [Ba(thd){sub 2}(hmtt)] (II) have been characterized by NMR spectroscopy, elemental analyses and single-crystal X-ray diffraction. Compound I crystallizes in the space group P2{sub 1}/c with a = 10.577(3) {angstrom}, b = 23.547(7) {angstrom}, c = 15.963(5) {angstrom}, {beta} = 105.21(2){degrees}, and Z = 4. Compound II crystallizes in the space group P2{sub 1}/c with a = 10.833(6) {angstrom}, b = 20.442(12) {angstrom}, c = 19.404(9) {angstrom}, {beta} = 104.35(4){degrees}, and Z = 4. The adducts are seven- and eight-coordinate, respectively, with all nitrogen atoms of the polyamine bound to a single barium center. Compound I has been used for thin-film growth of BaTiO{sub 3} which has revealed that, compared to Ba(thd){sub 2}(tetraglyme), the polyamine adduct allows a larger temperature window for effective vapor transport. 10 refs., 2 figs., 2 tabs.

  12. Acceleration of barium ions near 8000 km above an aurora

    NASA Technical Reports Server (NTRS)

    Stenbaek-Nielsen, H. C.; Hallinan, T. J.; Wescott, E. M.; Foeppl, H.

    1984-01-01

    A barium shaped charge, named Limerick, was released from a rocket launched from Poker Flat Research Range, Alaska, on March 30, 1982, at 1033 UT. The release took place in a small auroral breakup. The jet of ionized barium reached an altitude of 8100 km 14.5 min after release, indicating that there were no parallel electric fields below this altitude. At 8100 km the jet appeared to stop. Analysis shows that the barium at this altitude was effectively removed from the tip. It is concluded that the barium was actually accelerated upward, resulting in a large decrease in the line-of-sight density and hence the optical intensity. The parallel electric potential in the acceleration region must have been greater than 1 kV over an altitude interval of less than 200 km. The acceleration region, although presumably auroral in origin, did not seem to be related to individual auroral structures, but appeared to be a large-scale horizontal structure. The perpendicular electric field below, as deduced from the drift of the barium, was temporally and spatially very uniform and showed no variation related to individual auroral structures passing through.

  13. Preparation of barium hexaferrite powders using oxidized steel scales waste

    NASA Astrophysics Data System (ADS)

    Septiani, Ardita; Idayanti, Novrita; Kristiantoro, Tony

    2016-02-01

    Research on preparation of barium hexaferrite powders has been done using Hot Strip Mill scales as raw materials. Hot Strip Mill scales are oxidized steel scales waste from steel industrial process. The method used for preparing the barium hexaferrite powders was solid state reaction method. Oxidized steel scales were milled using ball mill for 10 hours, then screened through a 250 mesh sieve to obtain powders with maximum size of 63 µm. Powders were roasted at 600°C temperature for 4 hours to obtain hematite (Fe2O3) phase. Roasted powders were then mixed with barium carbonate, and were subsequently milled for 16 hours. After mixing, powders were calcined with an increasing rate of 10°C/min and maintained at 1100°C for 3 hours. Calcination process was performed to acquire barium hexaferrite phase. X-ray Diffraction (XRD) characterization in conjunction with RIR analysis showed that 85 wt. % of barium hexaferrite is formed. The magnetic properties of powders were characterized using Permagraph. It is found the value of remanent induction is 1.09 kG, coercivity of 2.043 kOe, and the maximum energy product of 0.25 MGOe.

  14. Geochemistry of Barium in Sediments of the Western Black Sea

    NASA Astrophysics Data System (ADS)

    Kasten, S.; Bogus, K.; Jones, M.; Henkel, S.; Maerz, C.; Pfeifer, K.; Seifert, R.

    2008-12-01

    During two cruises with RV POSEIDON and RV METEOR to the western Black Sea (west of Crimean Peninsula) in 2004 and 2007, respectively, sediment cores were taken along a transect from 500 to 1700 m water depth. Pore water and solid phase investigations aimed at unraveling the geochemical behaviour of barium in this anoxic water column and sedimentary environment. In particular, our study - which represents the first investigation on barium geochemistry in Black Sea sediments - focussed on the following questions: (1) Does barite form in the anoxic water column and - if so - is the amount of barite reaching the sediment surface dependent on water depth as reported for oxic marine depositional environments?, (2) Can barium/barite be used as a sedimentary tracer of past productivity in the Black Sea?, (3) How is barium redistributed post-depositionally at the sulfate/methane transition (SMT) which is typically located around 2 m sediment depth?, (4) Can we use diagenetic barite to trace the downward migration of the sulfate/methane transition which occurred in the Black Sea deposits since the transition from the last glacial freshwater lake situation to the Holocene anoxic marine period? Understanding the geochemistry of barium in sediments underlying anoxic water bodies - like is the case in the Black Sea - will significantly contribute to improving interpretations of fossil sedimentary records laid down under oxygen-depleted water column conditions, like below or within oxygen minimum zones or during Cretaceous Oceanic Anoxic Events.

  15. Both barium and calcium activate neuronal potassium currents

    SciTech Connect

    Ribera, A.B.; Spitzer, N.C.

    1987-09-01

    Amphibian spinal neurons in culture possess both rapidly inactivating and sustained calcium-dependent potassium current components, similar to those described for other cells. Divalent cation-dependent whole-cell outward currents were isolated by subtracting the voltage-dependent potassium currents recorded from Xenopus laevis neurons in the presence of impermeant cadmium from the currents produced without cadmium but in the presence of permeant divalent cations. These concentrations of permeant ions were low enough to avoid contamination by macroscopic inward currents through calcium channels. Calcium-dependent potassium currents were reduced by 1 ..mu..M tetraethylammonium. These currents can also be activated by barium or strontium. Barium as well as calcium activated outward currents in young neurons (6-8 hr) and in relatively mature neurons (19-26 hr in vitro). However, barium influx appeared to suppress the sustained voltage-dependent potassium current in most cells. Barium also activated at least one class of potassium channels observed in excised membrane patches, whole blocking others. The blocking action may have masked and hindered detection of the stimulatory action of barium in other systems.

  16. Barium Depletion in the NSTAR Discharge Cathode After 30,000 Hours of Operation

    NASA Technical Reports Server (NTRS)

    Polk, James E.; Capece, Angela M.; Mikellides, Ioannis G.; Katz, Ira

    2010-01-01

    Dispenser hollow cathodes rely on a consumable supply of barium released by impregnant materials in the pores of a tungsten matrix to maintain a low work function surface. Examinations of cathode inserts from long duration ion engine tests show deposits of tungsten at the downstream end that appear to block the flow of barium from the interior. In addition, a numerical model of barium transport in the insert plasma indicates that the barium partial pressure in the insert may exceed the equilibrium vapor pressure of the dominant barium-producing reaction, and it was postulated previously that this would suppress barium loss in the upstream part of the insert. New measurements of the depth of barium depletion from a cathode insert operated for 30,352 hours reveal that barium loss is confined to a narrow region near the downstream end, confirming this hypothesis.

  17. Rocket having barium release system to create ion clouds in the upper atmosphere

    NASA Technical Reports Server (NTRS)

    Lewis, B. W.; Stokes, C. S.; Smith, E. W.; Murphy, W. J. (inventors)

    1974-01-01

    A chemical system for releasing a good yield of free barium atoms and barium ions to create ion clouds in the upper atmosphere and interplanetary space for the study of the geophysical properties of the medium is presented.

  18. Emission spectrographic determination of barium in sea water using a cation exchange concentration procedure

    USGS Publications Warehouse

    Szabo, B. J.; Joensuu, O.

    1967-01-01

    A concentration technique employing Dowex 50W cation exchange resin is described for the determination of barium in sea water. The separated barium is precipitated as fluoride together with calcium and strontium and measured by emission spectrographic analysis. The vertical distribution of barium in sea water has been measured in the Caribbean Sea and the Atlantic Ocean. The barium content varied between 7 and 23 ??g. per liter; in two profiles, the lowest concentrations were at a depth of about 1000 meters.

  19. Barium Levels in Soils and Centella asiatica

    PubMed Central

    Ong, Ghim Hock; Yap, Chee Kong; Mahmood, Maziah; Tan, Soon Guan; Hamzah, Suhaimi

    2013-01-01

    In this study, Centella asiatica and surface soils were collected from 12 sampling sites in Peninsular Malaysia, and the barium (Ba) concentrations were determined. The Ba concentration [?g/g dry weight (dw)] was 63.72 to 382.01 ?g/g in soils while in C. asiatica, Ba concentrations ranged from 5.05 to 21.88 ?g/g for roots, 3.31 to 11.22 ?g/g for leaves and 2.37 to 6.14 ?g/g for stems. In C. asiatica, Ba accumulation was found to be the highest in roots followed by leaves and stems. The correlation coefficients (r) of Ba between plants and soils were found to be significantly positively correlated, with the highest correlation being between roots-soils (r=0.922, p<005), followed by leaves-soils (r=0.890, p<005) and stems-soils (r=0.848, p<005). This indicates that these three parts of C. asiatica are good biomonitors of Ba pollution. For the transplantation study, four sites were selected as unpolluted [(Universiti Putra Malaysia (UPM)], semi-polluted (Seri Kembangan and Balakong) and polluted sites (Juru). Based on the transplantation study under experimental field and laboratory conditions, Ba concentrations in C. asiatica were significantly (p<0.05) higher after three weeks of exposure at Seri Kembangan, Balakong and Juru. Thus, these experimental findings confirm that the leaves, stems and roots of C. asiatica can reflect the Ba levels in the soils where this plant is found. Three weeks after back transplantation to clean soils, the Ba levels in C. asiatica were still higher than the initial Ba level even though Ba elimination occurred. In conclusion, the leaves, stems and roots of C. asiatica are good biomonitors of Ba pollution. PMID:24575242

  20. Barium Levels in Soils and Centella asiatica.

    PubMed

    Ong, Ghim Hock; Yap, Chee Kong; Mahmood, Maziah; Tan, Soon Guan; Hamzah, Suhaimi

    2013-08-01

    In this study, Centella asiatica and surface soils were collected from 12 sampling sites in Peninsular Malaysia, and the barium (Ba) concentrations were determined. The Ba concentration [?g/g dry weight (dw)] was 63.72 to 382.01 ?g/g in soils while in C. asiatica, Ba concentrations ranged from 5.05 to 21.88 ?g/g for roots, 3.31 to 11.22 ?g/g for leaves and 2.37 to 6.14 ?g/g for stems. In C. asiatica, Ba accumulation was found to be the highest in roots followed by leaves and stems. The correlation coefficients (r) of Ba between plants and soils were found to be significantly positively correlated, with the highest correlation being between roots-soils (r=0.922, p<005), followed by leaves-soils (r=0.890, p<005) and stems-soils (r=0.848, p<005). This indicates that these three parts of C. asiatica are good biomonitors of Ba pollution. For the transplantation study, four sites were selected as unpolluted [(Universiti Putra Malaysia (UPM)], semi-polluted (Seri Kembangan and Balakong) and polluted sites (Juru). Based on the transplantation study under experimental field and laboratory conditions, Ba concentrations in C. asiatica were significantly (p<0.05) higher after three weeks of exposure at Seri Kembangan, Balakong and Juru. Thus, these experimental findings confirm that the leaves, stems and roots of C. asiatica can reflect the Ba levels in the soils where this plant is found. Three weeks after back transplantation to clean soils, the Ba levels in C. asiatica were still higher than the initial Ba level even though Ba elimination occurred. In conclusion, the leaves, stems and roots of C. asiatica are good biomonitors of Ba pollution. PMID:24575242

  1. Radiation dose in mass screening for gastric cancer with high-concentration barium sulfate compared with moderate-concentration barium sulfate.

    PubMed

    Yamamoto, K; Azuma, M; Kuroda, C; Kubo, T; Yabunaka, K; Yamazaki, H; Katsuda, T; Takeda, Y

    2009-06-01

    Recently, high-concentration barium sulfate has been developed and is used in many medical facilities. This study compared radiation dose using high-concentration and moderate-concentration barium sulfate. The dose was evaluated with an experimental method using a gastric phantom and with a clinical examination. In the former, the dose and X-ray tube load were measured on the phantom with two concentrations of barium sulfate. In the latter, the fluoroscopic dose-area product (DAP), the radiographic DAP and their sum, the total DAP, were investigated in 150 subjects (112 males, 38 females) treated with both concentrations of barium sulfate. The effective dose was calculated by the software of PCXMC in every case. The results of the experimental evaluation indicated that the effective dose and X-ray tube load were greater with high-concentration barium sulfate than with moderate-concentration barium sulfate (p < 0.05). The results of the clinical evaluation indicated that the fluoroscopic DAP was greater with moderate-concentration barium sulfate than with high-concentration barium sulfate (p < 0.05), but the radiographic DAP was quite the reverse, so the total DAP and effective dose were almost same with both concentrations of barium sulfate. We conclude that high-concentration barium sulfate does not increase radiation dose in mass screening for gastric cancer. PMID:19623859

  2. Outpatient vaginal cuff brachytherapy for endometrial cancer.

    PubMed

    Petereit, D. G.; Tannehill, S. P.; Grosen, E. A.; Hartenbach, E. M.; Schink, J. C.

    1999-11-01

    Petereit DG, Tannehill SP, Grosen EA, Hartenbach EM, Schink JC. Outpatient vaginal cuff brachytherapy for endometrial cancer. The objective of this study was to determine the efficacy and complications of postoperative high-dose-rate (HDR) vaginal-cuff brachytherapy (VCB) in patients with endometrial carcinoma. Between August 1989 to September 1997, 191 patients were treated postoperatively after a total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAH/BSO) with outpatient adjuvant HDR VCB for low-risk endometrial cancer (IB-84%, grade 1 or 2-96%). Patients were treated with 2 HDR fractions, delivered one week apart while under conscious sedation (16.2 Gy X 2 to the vaginal surface). All clinical endpoints were calculated using the Kaplan Meier method. The median time in the brachytherapy suite was 60 min in which no acute complications were observed. The 30-day morbidity and mortality rates were both 0%. With a median follow-up of 38 months (12-82 months), the 4-year survival, relapse-free survival, and vaginal-control rates were 95%, 98%, and 100%, respectively. One patient developed a colo-vaginal fistula at 5 years. Adjuvant HDR VCB in 2 outpatient insertions produced 100% vaginal control rates with minimal morbidity. The advantages of high dose-rate compared to low dose-rate vaginal brachytherapy include patient convenience, markedly shorter treatment times (1 h per insertion), and reduction in the cost and potential morbidity of hospitalization. HDR brachytherapy approach is a cost-effective alternative to either low-dose-rate brachytherapy or whole pelvic radiotherapy in carefully selected patients. PMID:11240811

  3. Screening for mental disorders in cardiology outpatients.

    PubMed

    Birket-Smith, Morten; Rasmussen, Alice

    2008-01-01

    The objective of the study was to compare the frequency of mental disorders in cardiology outpatients to the number of patients with psychological problems identified by cardiologists. In a cardiology outpatient service, 103 consecutive patients were asked to participate in the study. Of these 86 were included and screened for mental disorder with the Primary Care Evaluation of Mental Disorders (PRIME-MD), Structured Clinical Interview for DSM-IV (SCID) psychosis screening, the Clock Drawing Test, and the WHO-5 Well-being Index. The cardiologists were asked to rate the severity of somatic and mental problems in each patient on visual analogue scales (VAS-som and VAS-men). The current treatments, including psychiatric and psychological treatments, were noted, and the survival was followed for 3 years. Of the 86 patients included, 34 (40%) had a diagnosis of mental disorder. Eleven (12.8%) had major depression, six (7.0%) minor depression, six (7.0%) anxiety disorder, two unspecified somatoform disorder, seven (8.1%) dementia, one alcohol abuse and one psychosis. Three of the patients were in long-term psychopharmacological treatment. Although the cardiologists predicted mental disorder significantly better than chance, none of the patients was in relevant treatment for their mental disorder. At 3-year follow-up, 20 (24%) of the patients had died. Age and severity of heart disease predicted mortality, while the presence of a mental disorder did not. Mental disorders, especially depression, were frequent in cardiology outpatients. Even in cases where the cardiologists identified psychological problems, the diagnosis had no consequence, as none of the patients was offered relevant treatment. PMID:18569779

  4. Barium-borate-flyash glasses: As radiation shielding materials

    NASA Astrophysics Data System (ADS)

    Singh, Sukhpal; Kumar, Ashok; Singh, Devinder; Thind, Kulwant Singh; Mudahar, Gurmel S.

    2008-01-01

    The attenuation coefficients of barium-borate-flyash glasses have been measured for ?-ray photon energies of 356, 662, 1173 and 1332 keV using narrow beam transmission geometry. The photon beam was highly collimated and overall scatter acceptance angle was less than 3. Our results have an uncertainty of less than 3%. These coefficients were then used to obtain the values of mean free path (mfp), effective atomic number and electron density. Good agreements have been observed between experimental and theoretical values of these parameters. From the studies of the obtained results it is reported here that from the shielding point of view the barium-borate-flyash glasses are better shields to ?-radiations in comparison to the standard radiation shielding concretes and also to the ordinary barium-borate glasses.

  5. 40 CFR 721.10010 - Barium manganese oxide (BaMnO3).

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 31 2014-07-01 2014-07-01 false Barium manganese oxide (BaMnO3). 721... Substances 721.10010 Barium manganese oxide (BaMnO3). (a) Chemical substance and significant new uses subject to reporting. (1) The chemical substance identified as barium manganese oxide (BaMnO3) (PMN...

  6. 40 CFR 721.10010 - Barium manganese oxide (BaMnO3).

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 31 2011-07-01 2011-07-01 false Barium manganese oxide (BaMnO3). 721... Substances 721.10010 Barium manganese oxide (BaMnO3). (a) Chemical substance and significant new uses subject to reporting. (1) The chemical substance identified as barium manganese oxide (BaMnO3) (PMN...

  7. 40 CFR 721.10010 - Barium manganese oxide (BaMnO3).

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 32 2013-07-01 2013-07-01 false Barium manganese oxide (BaMnO3). 721... Substances 721.10010 Barium manganese oxide (BaMnO3). (a) Chemical substance and significant new uses subject to reporting. (1) The chemical substance identified as barium manganese oxide (BaMnO3) (PMN...

  8. 40 CFR 721.10010 - Barium manganese oxide (BaMnO3).

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 32 2012-07-01 2012-07-01 false Barium manganese oxide (BaMnO3). 721... Substances 721.10010 Barium manganese oxide (BaMnO3). (a) Chemical substance and significant new uses subject to reporting. (1) The chemical substance identified as barium manganese oxide (BaMnO3) (PMN...

  9. 40 CFR 721.10010 - Barium manganese oxide (BaMnO3).

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 30 2010-07-01 2010-07-01 false Barium manganese oxide (BaMnO3). 721... Substances 721.10010 Barium manganese oxide (BaMnO3). (a) Chemical substance and significant new uses subject to reporting. (1) The chemical substance identified as barium manganese oxide (BaMnO3) (PMN...

  10. The adhesiometer: a simple device to measure adherence of barium sulfate to intestinal mucosa.

    PubMed

    Salomonowitz, E; Frick, M P; Cragg, A H; Lund, G

    1984-04-01

    A simple, inexpensive device assessing barium sulfate adherence to alimentary tract mucosa was tested in an animal study using pigs and dogs. Interaction of gastric, intestinal, and colonic mucosal lining with three different barium preparations was studied. In both pigs and dogs, barium adherence to gastric mucosa was significantly stronger when compared with colonic mucosa. PMID:6608230

  11. [Prerequisites for outpatient treatment using general anesthesia].

    PubMed

    Seiter, A; Dumbach, J; Altemeyer, K H

    1992-01-01

    The possibility of profound preoperative examination by an experienced anesthesiologist, the cooperation of dentists, oral and maxillo-facial surgeons, anesthesiologists, pediatricians, internal specialists and family doctors, careful planning, conduction and supervision of anesthesia and postoperative treatment in a recovery room are essential in safe outpatient treatment under general anesthesia in the field of oral and maxillo-facial surgery. In case of unexpected postoperative complications patients have to be hospitalized. All the aforementioned requirements in respect of staff, apparatus and rooms must be fulfilled. PMID:1611976

  12. Involuntary outpatient treatment (IOT) in Spain.

    PubMed

    Hernández-Viadel, M; Cañete-Nicolás, C; Bellido-Rodriguez, C; Asensio-Pascual, P; Lera-Calatayud, G; Calabuig-Crespo, R; Leal-Cercós, C

    2015-01-01

    In recent decades there have been significant legislative changes in Spain. Society develops faster than laws, however, and new challenges have emerged. In 2004, the Spanish Association of Relatives of the Mentally Ill (FEAFES) proposed amending the existing legislation to allow for the implementation of involuntary outpatient treatment (IOT) for patients with severe mental illness. Currently, and after having made several attempts at change, there is no specific legislation governing the application of this measure. Although IOT may be implemented in local programmes, we consider legal regulation to be needed in this matter. PMID:25896809

  13. Compact pulse forming line using barium titanate ceramic material

    NASA Astrophysics Data System (ADS)

    Kumar Sharma, Surender; Deb, P.; Shukla, R.; Prabaharan, T.; Shyam, A.

    2011-11-01

    Ceramic material has very high relative permittivity, so compact pulse forming line can be made using these materials. Barium titanate (BaTiO3) has a relative permittivity of 1200 so it is used for making compact pulse forming line (PFL). Barium titanate also has piezoelectric effects so it cracks during high voltages discharges due to stresses developed in it. Barium titanate is mixed with rubber which absorbs the piezoelectric stresses when the PFL is charged and regain its original shape after the discharge. A composite mixture of barium titanate with the neoprene rubber is prepared. The relative permittivity of the composite mixture is measured to be 85. A coaxial pulse forming line of inner diameter 120 mm, outer diameter 240 mm, and length 350 mm is made and the composite mixture of barium titanate and neoprene rubber is filled between the inner and outer cylinders. The PFL is charged up to 120 kV and discharged into 5 ? load. The voltage pulse of 70 kV, 21 ns is measured across the load. The conventional PFL is made up of oil or plastics dielectrics with the relative permittivity of 2-10 [D. R. Linde, CRC Handbook of Chemistry and Physics, 90th ed. (CRC, 2009); Xia et al., Rev. Sci. Instrum. 79, 086113 (2008); Yang et al., Rev. Sci. Instrum. 81, 43303 (2010)], which increases the length of PFL. We have reported the compactness in length achieved due to increase in relative permittivity of composite mixture by adding barium titanate in neoprene rubber.

  14. Compact pulse forming line using barium titanate ceramic material.

    PubMed

    Kumar Sharma, Surender; Deb, P; Shukla, R; Prabaharan, T; Shyam, A

    2011-11-01

    Ceramic material has very high relative permittivity, so compact pulse forming line can be made using these materials. Barium titanate (BaTiO(3)) has a relative permittivity of 1200 so it is used for making compact pulse forming line (PFL). Barium titanate also has piezoelectric effects so it cracks during high voltages discharges due to stresses developed in it. Barium titanate is mixed with rubber which absorbs the piezoelectric stresses when the PFL is charged and regain its original shape after the discharge. A composite mixture of barium titanate with the neoprene rubber is prepared. The relative permittivity of the composite mixture is measured to be 85. A coaxial pulse forming line of inner diameter 120 mm, outer diameter 240 mm, and length 350 mm is made and the composite mixture of barium titanate and neoprene rubber is filled between the inner and outer cylinders. The PFL is charged up to 120 kV and discharged into 5 ? load. The voltage pulse of 70 kV, 21 ns is measured across the load. The conventional PFL is made up of oil or plastics dielectrics with the relative permittivity of 2-10 [D. R. Linde, CRC Handbook of Chemistry and Physics, 90th ed. (CRC, 2009); Xia et al., Rev. Sci. Instrum. 79, 086113 (2008); Yang et al., Rev. Sci. Instrum. 81, 43303 (2010)], which increases the length of PFL. We have reported the compactness in length achieved due to increase in relative permittivity of composite mixture by adding barium titanate in neoprene rubber. PMID:22129008

  15. 42 CFR 419.21 - Hospital outpatient services subject to the outpatient prospective payment system.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... hospice benefit: (1) Antigens. (2) Splints and casts. (3) Hepatitis B vaccine. (e) Effective January 1... prospective payment system for the following: (a) Medicare Part B services furnished to hospital outpatients designated by the Secretary under this part. (b) Services designated by the Secretary that are covered...

  16. 42 CFR 419.21 - Hospital outpatient services subject to the outpatient prospective payment system.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... hospice benefit: (1) Antigens. (2) Splints and casts. (3) Hepatitis B vaccine. (e)(1) Effective January 1... prospective payment system for the following: (a) Medicare Part B services furnished to hospital outpatients designated by the Secretary under this part. (b) Services designated by the Secretary that are covered...

  17. 42 CFR 419.21 - Hospital outpatient services subject to the outpatient prospective payment system.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... hospice benefit: (1) Antigens. (2) Splints and casts. (3) Hepatitis B vaccine. (e)(1) Effective January 1... prospective payment system for the following: (a) Medicare Part B services furnished to hospital outpatients designated by the Secretary under this part. (b) Services designated by the Secretary that are covered...

  18. 42 CFR 419.22 - Hospital outpatient services excluded from payment under the hospital outpatient prospective...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Secretary designates as requiring inpatient care. (o) Hospital outpatient services furnished to SNF... comprehensive care plan (and thus included under the SNF PPS) that are furnished by the hospital “under arrangements” but billable only by the SNF, regardless of whether or not the patient is in a Part A SNF...

  19. Enema versus polyethylene glycol for the management of rectal faecal impaction in children with constipation – a systematic review of randomised controlled trials

    PubMed Central

    Wojtyniak, Katarzyna; Horvath, Andrea; Szajewska, Hanna

    2015-01-01

    Introduction Rectal faecal impaction (RFI) from functional constipation is a common problem in children. Maintenance therapy should start after successful disimpaction. However, there is uncertainty with regard to the optimal disimpaction regimen. Aim We systematically evaluated the effect of polyethylene glycol (PEG) compared to enema for treating RFI. Material and methods The MEDLINE, EMBASE, and the Cochrane Library, with no language restrictions, were searched up to July 2014 for randomised controlled trials (RCTs) evaluating the effect of PEG compared with enema for disimpaction in children with functional constipation. The risk of bias was assessed using the Cochrane risk of bias tool. Results Two RCTs, involving 170 children aged 1 to 17 years, met the inclusion criteria. The studies were generally low in methodological quality. Compared with the enema group, the PEG 3350 group had significantly reduced chance for treatment success, but the difference was of a borderline statistical significance (RR = 0.83, 95% CI: 0.7–0.99). The use of PEG was also more likely to increase defecation frequency, but increased the risk of watery stools and increased faecal incontinence. Other outcomes, in general, were similar in both groups. Conclusions Current evidence does not allow us to conclude which intervention is more effective for treating RFI in children with functional constipation. These results should be interpreted with caution due to the limited number of trials and the low quality of reporting in these trials, high or unknown risk of bias, and sparse data. Further high-quality, adequately powered RCTs are needed to determine the optimal management. PMID:26759631

  20. Methods for producing monodispersed particles of barium titanate

    DOEpatents

    Hu, Zhong-Cheng (Knoxville, TN)

    2001-01-01

    The present invention is a low-temperature controlled method for producing high-quality, ultrafine monodispersed nanocrystalline microsphere powders of barium titanate and other pure or composite oxide materials having particles ranging from nanosized to micronsized particles. The method of the subject invention comprises a two-stage process. The first stage produces high quality monodispersed hydrous titania microsphere particles prepared by homogeneous precipitation via dielectric tuning in alcohol-water mixed solutions of inorganic salts. Titanium tetrachloride is used as an inorganic salt precursor material. The second stage converts the pure hydrous titania microsphere particles into crystalline barium titanate microsphere powders via low-temperature, hydrothermal reactions.

  1. Ionization and expansion of barium clouds in the ionosphere

    NASA Technical Reports Server (NTRS)

    Ma, T.-Z.; Schunk, R. W.

    1993-01-01

    A recently envelope 3D model is used here to study the motion of the barium clouds released in the ionosphere, including the ionization stage. The ionization and the expansion of the barium clouds and the interaction between the clouds and the background ions are investigated using three simulations: a cloud without a directional velocity, a cloud with an initial velocity of 5 km/s across the B field, and a cloud with initial velocity components of 2 km/s both along and across the B field.

  2. Emission mechanism of barium-containing thermionic cathodes

    SciTech Connect

    Enqui, Z.; Xeuque, L.

    1991-03-27

    Through the analysis and synthesis of data obtained from barium containing thermionic cathodes, especially those by modern surface analysis technique, the authors have come to a unified theory--the dynamical surface emission center model. Barium absorbed on the surface of alkaline earth metal oxides in case of oxide cathode or of aluminate, tungstate etc. in case of dispenser cathode may form the emission center. Its size should be large enough to screen off the attractive field produced by the substrate, but small enough to facilitate the transport of electrons from the substrate to the emitting center. The compositions and the dynamical characters of the surface emission center are also discussed.

  3. Study of the photovoltaic effect in thin film barium titanate

    NASA Technical Reports Server (NTRS)

    Grannemann, W. W.; Dharmadhikari, V. S.

    1981-01-01

    The photoelectric effect in structures consisting of metal deposited barium titanate film silicon is described. A radio frequency sputtering technique is used to deposit ferroelectric barium titantate films on silicon and quartz. Film properties are measured and correlated with the photoelectric effect characteristics of the films. It was found that to obtain good quality pin hole free films, it is necessary to reduce the substrate temperature during the last part of the deposition. The switching ability of the device with internal applied voltage is improved when applied with a ferroelectric memory device.

  4. Barium Tagging from nEXO Using Resonance Ionization Spectroscopy

    NASA Astrophysics Data System (ADS)

    Twelker, K.; Kravitz, S.

    nEXO is a 5-ton liquid enriched-xenon time projection chamber (TPC) to search for neutrinoless double-beta decay, designed to have the sensitivity to completely probe the inverted mass hierarchy of Majorana neutrinos. The detector will accommodate-as a background reduction technique-a system to recover and identify the barium decay product. This upgrade will allow a background-free measurement of neutrinoless double-beta decay and increase the half-life sensitivity of the experiment by at least one order of magnitude. Ongoing research and development includes a system to test barium extraction from liquid xenon using surface adsorption and Resonance Ionization Spectroscopy (RIS).

  5. Ferroelastic domains in lead-free barium zirconate titanate - barium calcium titanate piezoceramics

    NASA Astrophysics Data System (ADS)

    Ehmke, Matthias Claudius

    Piezoelectricity was first discovered by Pierre and Jaque Curie in the year 1880. Nowadays, piezoelectric materials are used in many application such as high voltage generation in gas igniters, actuation in micro-positioning devices, generation and detection of acoustic waves, emitters and receivers for sonar technology, ultrasonic cleaning, ultrasound medical therapy, and micropumps for ink-jet printers. The most commonly used piezoelectric material since the 1950's is the solid solution system lead zirconate titanate (PZT) that offers high piezoelectric performance under a large range of operating conditions. However, the toxicity of lead requires the replacement of PZT. The studied lead-free alternatives are commonly based on potassium sodium niobate (KNN) and bismuth sodium titanate (BNT), and more recently zirconium and calcium substituted barium titanate (BZT-BCT). The BZT-BCT system exhibits large piezoelectric coefficients that can exceed even those of most PZT compositions under certain conditions. Piezoelectricity was first discovered by Pierre and Jaque Curie in the year 1880. Nowadays, piezoelectric materials are used in many application such as high voltage generation in gas igniters, actuation in micro-positioning devices, generation and detection of acoustic waves, emitters and receivers for sonar technology, ultrasonic cleaning, ultrasound medical therapy, and micropumps for ink-jet printers. The most commonly used piezoelectric material since the 1950's is the solid solution system lead zirconate titanate (PZT) that offers high piezoelectric performance under a large range of operating conditions. However, the toxicity of lead requires the replacement of PZT. The studied lead-free alternatives are commonly based on potassium sodium niobate (KNN) and bismuth sodium titanate (BNT), and more recently zirconium and calcium substituted barium titanate (BZT-BCT). The BZT-BCT system exhibits large piezoelectric coefficients that can exceed even those of most PZT compositions under certain conditions.

  6. Intranasal ketamine preinduction of paediatric outpatients.

    PubMed

    Diaz, J H

    1997-01-01

    A double-blinded, placebo-controlled study compared the outcomes of intranasal ketamine premedication with placebo in outpatients. Forty paediatric outpatients were assigned randomly in a prospective fashion to one of two separate study groups of equal size (20 patients per group). A placebo group received 2 ml of intranasal saline, 1 ml per naris. The study group received intranasal ketamine, 3 mg.kg-1, diluted to 2 ml with saline, 1 ml per naris. Using a cooperation index, a play therapist scored resistance to nasal instillation, separation of the child from parents at ten min, and acceptance of anaesthesia monitors and face mask at 15 min. Differences in age, weight, episodes of vomiting, recovery and discharge times among the two groups were not significant. Intranasal ketamine, 3 mg.kg-1, was associated with a significantly better (P = 0.013) cooperation index than intranasal placebo. Intranasal ketamine, permitted pleasant and rapid separation of children from their parents, cooperative acceptance of monitoring and of mask inhalation induction, and did not cause prolonged postanaesthetic recovery or delayed discharge home. PMID:9243683

  7. [Leprosy outpatient clinic in Aichi Prefecture, Japan].

    PubMed

    Ishii, Norihisa; Yotsu, Rie Roselyne; Mori, Shuichi

    2011-09-01

    Until the Japanese Leprosy Prevention Law was abolished in 1996, leprosy patients, regardless of their severity, had to be treated by accredited doctors. The majority of them had to be confined in a sanatorium to be treated, since only few hospitals/sanatoria had outpatient clinics for leprosy patients. This de facto confinement limited their occupational, social, financial, and family options, but no clear criteria/guidelines allowing discharge existed. The importance of leprosy outpatient clinics was almost never debated until 1962, when Tofu Association (a foundation established in 1952 to support the confined patients) and the National Suruga Sanatorium planned the opening of the clinic. This clinic looked after total of 4,977 patients until the abolishment of the Law. Since 1996, 349 persons consulted the clinic as of 2010. The importance of the continuation of these clinics is beyond dispute, even in low-endemic countries. However, the diminishing number of patients and demands in this country makes the management difficult. Thus, coordination with the local clinics and dermatologists is inevitable. PMID:21941832

  8. Outpatient provider concentration and commercial colonoscopy prices.

    PubMed

    Pozen, Alexis

    2015-01-01

    The objective was to evaluate the magnitude of various contributors to outpatient commercial colonoscopy prices, including market- and provider-level factors, especially market share. We used adjudicated fee-for-service facility claims from a large commercial insurer for colonoscopies occurring in hospital outpatient department or ambulatory surgery center from October 2005 to December 2012. Claims were matched to provider- and market-level data. Linear fixed effects regressions of negotiated colonoscopy price were run on provider, system, and market characteristics. Markets were defined as counties. There were 178,433 claims from 169 providers (104 systems). The mean system market share was 76% (SD = 0.34) and the mean real (deflated) price was US$1363 (SD = 374), ranging from US$169 to US$2748. For every percentage point increase in a system or individual facility's bed share, relative price increased by 2 to 4 percentage points; this result was stable across a number of specifications. Market population and price were also consistently positively related, though this relation was small in magnitude. No other factor explained price as strongly as market share. Price variation for colonoscopy was driven primarily by market share, of particular concern as the number of mergers increases in wake of the recession and the Affordable Care Act. Whether variation is justified by better quality care requires further research to determine whether quality is subsumed in prices. PMID:25870183

  9. Complications with Outpatient Angiography and Interventional Procedures

    SciTech Connect

    Young, Noel; Chi, Ka-Kit; Ajaka, Joe; McKay, Lesa; O'Neill, Diane; Wong, Kai Ping

    2002-03-15

    Purpose: To prospectively identify the complications, and rates of complication, in outpatient angiography and interventional procedures. Methods: There were 1050 consecutive patients, 646 men and 404 women, aged 17-89 years, with a total of 1239 procedures studied in a 2-year period, 1997 to 1999. Results: There were 560 cases of aorto-femoral angiography,resulting in 124 complications (22%), with pain or hematoma in 110.There were 206 cases of neck and cerebral angiography, resulting in 51 complications (25%), with pain and hematoma in 34, transient ischemic attack in 2 and cerebrovascular accident in 1. There were 197 interfentional procedures, with 177 being balloon dilatations, resulting in 68 complications (35%), with 2 having hematomas and 1 having hematoma/abscess requiring active treatment. There were 276 cases having various 'other' procedures (e.g., renal angiography),resulting in 65 complications (24%), with pain and hematoma in 61. No procedure-related death occurred. Eighteen cases (1.5%) had significant complications, with contrast allergy in eight. Conclusion: Outpatient angiography and intervention are relatively safe, with low significant complication rates.

  10. Chemical abundance analysis of 19 barium stars

    NASA Astrophysics Data System (ADS)

    Yang, Guo-Chao; Liang, Yan-Chun; Spite, Monique; Chen, Yu-Qin; Zhao, Gang; Zhang, Bo; Liu, Guo-Qing; Liu, Yu-Juan; Liu, Nian; Deng, Li-Cai; Spite, Francois; Hill, Vanessa; Zhang, Cai-Xia

    2016-01-01

    We aim at deriving accurate atmospheric parameters and chemical abundances of 19 barium (Ba) stars, including both strong and mild Ba stars, based on the high signal-to-noise ratio and high resolution Echelle spectra obtained from the 2.16 m telescope at Xinglong station of National Astronomical Observatories, Chinese Academy of Sciences. The chemical abundances of the sample stars were obtained from an LTE, plane-parallel and line-blanketed atmospheric model by inputting the atmospheric parameters (effective temperatures Teff, surface gravities log g, metallicity [Fe/H] and microturbulence velocity ?t) and equivalent widths of stellar absorption lines. These samples of Ba stars are giants as indicated by atmospheric parameters, metallicities and kinematic analysis about UVW velocity. Chemical abundances of 17 elements were obtained for these Ba stars. Their Na, Al, ?- and iron-peak elements (O, Na, Mg, Al, Si, Ca, Sc, Ti, V, Cr, Mn, Ni) are similar to the solar abundances. Our samples of Ba stars show obvious overabundances of neutron-capture (n-capture) process elements relative to the Sun. Their median abundances of [Ba/Fe], [La/Fe] and [Eu/Fe] are 0.54, 0.65 and 0.40, respectively. The Y I and Zr I abundances are lower than Ba, La and Eu, but higher than the ?- and iron-peak elements for the strong Ba stars and similar to the iron-peak elements for the mild stars. There exists a positive correlation between Ba intensity and [Ba/Fe]. For the n-capture elements (Y, Zr, Ba, La), there is an anti-correlation between their [X/Fe] and [Fe/H]. We identify nine of our sample stars as strong Ba stars with [Ba/Fe] >0.6 where seven of them have Ba intensity Ba=2-5, one has Ba=1.5 and another one has Ba=1.0. The remaining ten stars are classified as mild Ba stars with 0.17<[Ba/Fe] <0.54.

  11. Chemical abundance analysis of 19 barium stars

    NASA Astrophysics Data System (ADS)

    Yang, Guo-Chao; Liang, Yan-Chun; Spite, Monique; Chen, Yu-Qin; Zhao, Gang; Zhang, Bo; Liu, Guo-Qing; Liu, Yu-Juan; Liu, Nian; Deng, Li-Cai; Spite, Francois; Hill, Vanessa; Zhang, Cai-Xia

    2016-01-01

    We aim at deriving accurate atmospheric parameters and chemical abundances of 19 barium (Ba) stars, including both strong and mild Ba stars, based on the high signal-to-noise ratio and high resolution Echelle spectra obtained from the 2.16 m telescope at Xinglong station of National Astronomical Observatories, Chinese Academy of Sciences. The chemical abundances of the sample stars were obtained from an LTE, plane-parallel and line-blanketed atmospheric model by inputting the atmospheric parameters (effective temperatures Teff, surface gravities log g, metallicity [Fe/H] and microturbulence velocity ξt) and equivalent widths of stellar absorption lines. These samples of Ba stars are giants as indicated by atmospheric parameters, metallicities and kinematic analysis about UVW velocity. Chemical abundances of 17 elements were obtained for these Ba stars. Their Na, Al, α- and iron-peak elements (O, Na, Mg, Al, Si, Ca, Sc, Ti, V, Cr, Mn, Ni) are similar to the solar abundances. Our samples of Ba stars show obvious overabundances of neutron-capture (n-capture) process elements relative to the Sun. Their median abundances of [Ba/Fe], [La/Fe] and [Eu/Fe] are 0.54, 0.65 and 0.40, respectively. The Y I and Zr I abundances are lower than Ba, La and Eu, but higher than the α- and iron-peak elements for the strong Ba stars and similar to the iron-peak elements for the mild stars. There exists a positive correlation between Ba intensity and [Ba/Fe]. For the n-capture elements (Y, Zr, Ba, La), there is an anti-correlation between their [X/Fe] and [Fe/H]. We identify nine of our sample stars as strong Ba stars with [Ba/Fe] >0.6 where seven of them have Ba intensity Ba=2-5, one has Ba=1.5 and another one has Ba=1.0. The remaining ten stars are classified as mild Ba stars with 0.17<[Ba/Fe] <0.54.

  12. Dynamics of a barium release in the magnetospheric tail

    NASA Technical Reports Server (NTRS)

    Mende, S. B.; Swenson, G. R.; Geller, S. P.; Doolittle, J. H.; Haerendel, G.

    1989-01-01

    The late time behavior of the May 13, 1985 magnetotail barium cloud is examined. The bulk dynamics of the cloud are studied based on triangulated data and data from Fabry-Perot Doppler velocity measurements. The changes in cloud morphology in relation to the in situ measurements made by the Ion Release Module satellite are discussed.

  13. REMOVING BARIUM AND RADIUM THROUGH CALCIUM CATION EXCHANGE

    EPA Science Inventory

    The removal of barium (Ba) and radium (Ra), which are found in many groundwater sources, was achieved in laboratory studies with an ion exchange process. In the studies, a strong acid resin in the calcium form effectively removed Ba(+2) and Ra (+2) to meet standards. The resin wa...

  14. BARIUM AND RADIUM IN WATER TREATMENT PLANT WASTES

    EPA Science Inventory

    Water treatment plants at nine locations (10 plants) in Illinois and Iowa were studied to determine the characteristics and disposal practices for the sludge, brine, and backwash water containing radium (Ra) and/or barium (Ba). The treatment processes in these ten plants include ...

  15. BARIUM AND RADIUM REMOVAL FROM GROUNDWATER BY ION EXCHANGE

    EPA Science Inventory

    The primary objective of this study was to determine the applicability of weak acid exchange resin in the hydrogen form for removal of hardness, barium and radium from groundwater. Weak acid resin in the hydrogen form eliminates the addition of sodium to drinking water. The capac...

  16. HEALTH EFFECTS OF HUMAN EXPOSURE TO BARIUM IN DRINKING WATER

    EPA Science Inventory

    The overall objective of this study was to examine by epidemiologic and supportive laboratory studies, the human health effects associated with ingestion of barium in drinking water exceeding the U.S. drinking water standard of 1.0 mg/l. The incidence of cardiovascular mortality ...

  17. HD 26367: A Nearby, Newly Identified Barium Dwarf

    NASA Astrophysics Data System (ADS)

    Gray, R. O.; Griffin, R. E. M.

    2007-07-01

    This paper demonstrates that HD 26367, classified as F7 V, is a barium dwarf with significant overabundances of Ba and Sr. We refine its spectral classification, perform a chemical-abundance analysis, and discuss evidence that the star is a binary.

  18. PROPOSED ORAL REFERENCE DOSE (RFD) FOR BARIUM AND COMPOUNDS

    EPA Science Inventory

    The Integrated Risk Information System (IRIS) is a database of EPA's consensus opinion of the human health effects that may result from exposure to various substances found in the environment. A Toxicological Review and IRIS Summary were prepared for barium and compounds in 1998 ...

  19. Highly perturbed states of barium in a static electric field

    NASA Astrophysics Data System (ADS)

    Bates, Kenneth A.; Masae, Jumpei; Vasilescu, Camelia; Schumacher, Douglass

    2001-09-01

    The spectrum of nominally bound states in barium in an electric field has been measured in a region where singly excited Rydberg states are heavily perturbed by a doubly excited state. Wave-packet and recurrence map analyses are performed and significant deviations are observed from the standard one-electron picture due to the more complex core.

  20. 38 CFR 17.92 - Outpatient care for research purposes.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... research purposes. 17.92 Section 17.92 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Outpatient Treatment 17.92 Outpatient care for research purposes. Subject to the... the treatment to be rendered is part of an approved Department of Veterans Affairs research...

  1. 38 CFR 17.92 - Outpatient care for research purposes.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... research purposes. 17.92 Section 17.92 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Outpatient Treatment 17.92 Outpatient care for research purposes. Subject to the... the treatment to be rendered is part of an approved Department of Veterans Affairs research...

  2. Bypassing the Local Rural Hospital for Outpatient Procedures

    ERIC Educational Resources Information Center

    Saunders, Charles; Bellamy, Gail R.; Menachemi, Nir; Chukmaitov, Askar S.; Brooks, Robert G.

    2009-01-01

    Purpose: To assess the amount of local rural hospital outpatient department (HOPD) bypass for outpatient procedures. Methods: We analyzed data on colonoscopies and upper gastrointestinal endoscopies performed in the state of Florida over the period 1997-2004. Findings: Approximately, 53% of colonoscopy and 45% of upper gastrointestinal endoscopy

  3. 42 CFR 410.59 - Outpatient occupational therapy services: Conditions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 2 2013-10-01 2013-10-01 false Outpatient occupational therapy services... Other Health Services § 410.59 Outpatient occupational therapy services: Conditions. (a) Basic rule... occupational therapy services only if they are furnished by an individual meeting the qualifications in...

  4. 42 CFR 410.59 - Outpatient occupational therapy services: Conditions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 2 2011-10-01 2011-10-01 false Outpatient occupational therapy services... Other Health Services § 410.59 Outpatient occupational therapy services: Conditions. (a) Basic rule... occupational therapy services only if they are furnished by an individual meeting the qualifications in...

  5. 42 CFR 410.155 - Outpatient mental health treatment limitation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Outpatient mental health treatment limitation. 410.155 Section 410.155 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND... § 410.155 Outpatient mental health treatment limitation. (a) Limitation. For services subject to...

  6. Evidence-Based Practices in Outpatient Treatment for Eating Disorders

    ERIC Educational Resources Information Center

    Schaffner, Angela D.; Buchanan, Linda Paulk

    2010-01-01

    This study examined the current issues relevant to implementing evidence-based practices in the context of outpatient treatment for eating disorders. The study also examined the effectiveness of an outpatient treatment program for eating disorders among a group of 196 patients presenting with anorexia nervosa, bulimia nervosa, or eating disorder…

  7. 38 CFR 17.165 - Emergency outpatient dental treatment.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... dental treatment. 17.165 Section 17.165 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Dental Services 17.165 Emergency outpatient dental treatment. When outpatient emergency dental care is provided, as a humanitarian service, to individuals who have no established...

  8. 38 CFR 17.161 - Authorization of outpatient dental treatment.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    .... 1712(b) and 38 CFR 17.93 to the extent prescribed and in accordance with the applicable classification... outpatient dental treatment. 17.161 Section 17.161 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Dental Services 17.161 Authorization of outpatient dental treatment....

  9. 38 CFR 17.163 - Posthospital outpatient dental treatment.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... dental treatment. 17.163 Section 17.163 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Dental Services 17.163 Posthospital outpatient dental treatment. The Chief, Dental Service may authorize outpatient dental care which is reasonably necessary to complete treatment of...

  10. 38 CFR 17.163 - Posthospital outpatient dental treatment.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... dental treatment. 17.163 Section 17.163 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Dental Services 17.163 Posthospital outpatient dental treatment. The Chief, Dental Service may authorize outpatient dental care which is reasonably necessary to complete treatment of...

  11. 38 CFR 17.163 - Posthospital outpatient dental treatment.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... dental treatment. 17.163 Section 17.163 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Dental Services 17.163 Posthospital outpatient dental treatment. The Chief, Dental Service may authorize outpatient dental care which is reasonably necessary to complete treatment of...

  12. 38 CFR 17.165 - Emergency outpatient dental treatment.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... dental treatment. 17.165 Section 17.165 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Dental Services 17.165 Emergency outpatient dental treatment. When outpatient emergency dental care is provided, as a humanitarian service, to individuals who have no established...

  13. 38 CFR 17.165 - Emergency outpatient dental treatment.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... dental treatment. 17.165 Section 17.165 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Dental Services 17.165 Emergency outpatient dental treatment. When outpatient emergency dental care is provided, as a humanitarian service, to individuals who have no established...

  14. 38 CFR 17.163 - Posthospital outpatient dental treatment.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... dental treatment. 17.163 Section 17.163 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Dental Services 17.163 Posthospital outpatient dental treatment. The Chief, Dental Service may authorize outpatient dental care which is reasonably necessary to complete treatment of...

  15. 38 CFR 17.165 - Emergency outpatient dental treatment.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... dental treatment. 17.165 Section 17.165 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Dental Services 17.165 Emergency outpatient dental treatment. When outpatient emergency dental care is provided, as a humanitarian service, to individuals who have no established...

  16. 38 CFR 17.165 - Emergency outpatient dental treatment.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... dental treatment. 17.165 Section 17.165 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Dental Services 17.165 Emergency outpatient dental treatment. When outpatient emergency dental care is provided, as a humanitarian service, to individuals who have no established...

  17. 38 CFR 17.163 - Posthospital outpatient dental treatment.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... dental treatment. 17.163 Section 17.163 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Dental Services 17.163 Posthospital outpatient dental treatment. The Chief, Dental Service may authorize outpatient dental care which is reasonably necessary to complete treatment of...

  18. Creative Art Therapy Groups: A Treatment Modality for Psychiatric Outpatients

    ERIC Educational Resources Information Center

    Drapeau, Marie-Celine; Kronish, Neomi

    2007-01-01

    This brief report examines the benefits of a creative art therapy group program for outpatients suffering from psychiatric disorders. Included is a review of relevant treatment outcomes literature on the effectiveness of group art therapy. The authors describe the Creative Art Therapy Group Program offered to adult psychiatric outpatients that is…

  19. 42 CFR 410.155 - Outpatient mental health treatment limitation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 2 2012-10-01 2012-10-01 false Outpatient mental health treatment limitation. 410.155 Section 410.155 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND... § 410.155 Outpatient mental health treatment limitation. (a) Limitation. For services subject to...

  20. 42 CFR 410.155 - Outpatient mental health treatment limitation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 2 2011-10-01 2011-10-01 false Outpatient mental health treatment limitation. 410.155 Section 410.155 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND... § 410.155 Outpatient mental health treatment limitation. (a) Limitation. For services subject to...

  1. 42 CFR 410.155 - Outpatient mental health treatment limitation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 2 2013-10-01 2013-10-01 false Outpatient mental health treatment limitation. 410.155 Section 410.155 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND... § 410.155 Outpatient mental health treatment limitation. (a) Limitation. For services subject to...

  2. Is there a cure for Medicare's outpatient payment pains?

    PubMed

    Blankenau, R

    1995-03-01

    Though HCFA is getting ready to release a new report to Congress on Medicare outpatient payment reform, there's consensus that a broad overhaul of the outpatient payment system is still in the distance. So when--and how--will the nightmare of a broken payment system be fixed? PMID:7866440

  3. Preliminary study of the CRRES magnetospheric barium releases

    NASA Astrophysics Data System (ADS)

    Huba, J. D.; Bernhardt, P. A.; Lyon, J. G.

    1992-01-01

    Preliminary theoretical and computational analyses of the Combined Release and Radiation Effects Satellite (CRRES) magnetospheric barium releases are presented. The focus of the studies is on the evolution of the diamagnetic cavity which is formed by the barium ions as they expand outward, and on the structuring of the density and magnetic field during the expansion phase of the releases. Two sets of simulation studies are discussed. The first set is based upon a 2D ideal MHD code and provides estimates of the time and length scales associated with the formation and collapse of the diamagnetic cavity. The second set uses a nonideal MHD code; specifically, the Hall term is included. This additional term is critical to the dynamics of sub-Alfvenic plasma expansions, such as the CRRES barium releases, because it leads to instability of the expanding plasma. Detailed simulations of the G4 and G10 releases were performed. In both cases the expanding plasma rapidly structured: the G4 release structured at time t less than about 3 s and developed scale sizes of about 1-2 km, while the G10 release structured at time t less than about 22 s and developed scale sizes of about 10-15 km. It is also found that the diamagnetic cavity size is reduced from those obtained from the ideal MHD results because of the structure. On the other hand, the structuring allows the formation of plasma blobs which appear to free stream across the magnetic field; thus, the barium plasma can propagate to larger distances traverse to the magnetic field than the case where no structuring occurs. Finally, a new normal mode of the system was discovered which may be excited at the leading edge of the expanding barium plasma.

  4. Medicare's outpatient code editor is key to APC payments.

    PubMed

    Leary, R; Farley, D E

    2001-07-01

    Since implementation of the outpatient prospective payment system (PPS) in August 2000, HCFA has used an inadequate communication process to inform providers about billing and coding requirements. Numerous program memorandums have been issued to communicate changes to the outpatient PPS and even to correct information that was provided in previous program memorandums. Providers need to monitor changes in outpatient PPS policy by reading the program memorandums posted on HCFA's Web site (www.hcfa.org) and through reviewing other informal communications posted to the HCFA Web site. In addition, the outpatient code editor (OCE) contains information about quarterly APC classification updates. In fact, the OCE is the only source of this information in many cases. Because the outpatient PPS differs from any other PPS implemented by HCFA, providers should ensure that they have all the current information they need to comply with the system's billing and coding requirements. PMID:11467230

  5. Outpatient provider contact prior to unintentional opioid overdose

    PubMed Central

    Lin, Lewei (Allison); Bohnert, Amy; Ilgen, Mark; Pfeiffer, Paul Nelson; Ganoczy, Dara; Blow, Fred

    2015-01-01

    Objectives Prescribed opioid medications are the most commonly implicated substances in unintentional overdoses. Outpatient health care encounters represent a potential opportunity to intervene to reduce opioid overdose risk. This study assessed the timing and type of outpatient provider contacts prior to overdose. Methods This study examined all adult patients nationally in the Veterans Health Administration (VHA) who died from unintentional prescription opioid overdose in fiscal years 2004–2007 and used VHA services anytime within two years of their deaths (n=1,813). For those whose last treatment contact was in an outpatient setting (n=1,457), demographic, clinical and treatment characteristics were compared among patients categorized by the location of their last contact. Results 33% (N=479) of those last seen in outpatient settings were seen within one week and 62% (N=910) within one month of their overdose. A substantial proportion of patients were last seen within one month of death in mental health or substance disorder outpatient settings (30% N=438). The majority of patients did not fill an opioid prescription on their last outpatient visit prior to unintentional opioid overdose. Conclusions The majority of patients who died by unintentional overdose on prescription opioids were seen within a month of their overdose in outpatient settings. These settings may provide an opportunity to prevent patients from dying from prescription opioid overdoses, and interventions to reduce risk should not be limited to visits that resulted in an opioid prescription. PMID:26129993

  6. Design, testing, fabrication and launch support of a liquid chemical barium release payload (utilizing the liquid fluorine-barium salt/hydrazine system)

    NASA Technical Reports Server (NTRS)

    Stokes, C. S.; Smith, E. W.; Murphy, W. J.

    1972-01-01

    A payload was designed which included a cryogenic oxidizer tank, a fuel tank, and burner section. Release of 30 lb of chemicals was planned to occur in 2 seconds at the optimum oxidizer to fuel ratio. The chemicals consisted of 17 lb of liquid fluorine oxidizer and 13 lb of hydrazine-barium salt fuel mixture. The fuel mixture was 17% barium chloride, 16% barium nitrate, and 67% hydrazine, and contained 2.6 lb of available barium. Two significant problem areas were resolved during the program: explosive valve development and burner operation. The release payload was flight tested, from Wallops Island, Virginia. The release took place at an altitude of approximately 260 km. The release produced a luminous cloud which expanded very rapidly, disappearing to the human eye in about 20 seconds. Barium ion concentration slowly increased over a wide area of sky until measurements were discontinued at sunrise (about 30 minutes).

  7. Surface studies of barium and barium oxide on tungsten and its application to understanding the mechanism of operation of an impregnated tungsten cathode

    NASA Technical Reports Server (NTRS)

    Forman, R.

    1976-01-01

    Surface studies have been made of multilayer and monolayer films of barium and barium oxide on a tungsten substrate. The purpose of the investigation was to synthesize the surface conditions that exist on an activated impregnated tungsten cathode and obtain a better understanding of the mechanism of operation of such cathodes. The techniques employed in these measurements were Auger spectroscopy and work-function measurements. The results of this study show that the surface of an impregnated cathode is identical to that observed for a synthesized monolayer or partial monolayer of barium on oxidized tungsten by evaluating Auger spectra and work-function measurements. Data obtained from desorption studies of barium monolayers on a tungsten substrate in conjunction with Auger and work-function results have been interpreted to show that throughout most of its life an impreganated cathode has a partial monolayer, rather than a monolayer, of barium on its surface.

  8. Outpatient competence restoration: A model and outcomes

    PubMed Central

    Johnson, Nicole R; Candilis, Philip J

    2015-01-01

    AIM: To describe a model outpatient competence restoration program (OCRP) and provide data on time to restoration of adjudicative competence. METHODS: The authors tracked the process by which individuals are referred for outpatient competence restoration (OCR) by courts in the United States capital, describing the unique requirements of American law, and the avenues available for compelling adherence. Competence to stand trial is a critical gate-keeping function of the judicial and forensic communities and assures that defendants understand courtroom procedures. OCR is therefore an effort to assure fairness and protection of important legal rights. Multi-media efforts are described that educate patients and restore competence to stand trial. These include resources such as group training, use of licensed clinicians, visual aids, structured instruments, and cinema. Aggregate data from the OCRP’s previous 4 years of OCR efforts were reviewed for demographic characteristics, restoration rate, and time to restoration. Poisson regression modeling identified the differences in restoration between sequential 45-d periods after entrance into the program. RESULTS: In the past 4 years, the DC OCRP has been successful in restoring 55 of 170 participants (32%), with an average referral rate of 35 persons per year. 76% are restored after the initial 45 d in the program. Demographics of the group indicate a predominance of African-American men with a mean age of 42. Thought disorders predominate and individuals in care face misdemeanor charges 78% of the time. Poisson regression modeling of the number attaining competence during four successive 45-d periods showed a substantial difference among the time periods for the rate of attaining competence (P = 0.0011). The three time periods after 45 d each showed a significant decrease in the restoration rate when compared to the initial 0 to 45 d period - their relative rates were only 22% to 33% as high as the rate for 0-45 d (all P-values, compared to the 0-45 d rate, were 0.013 or smaller). However, the three periods from day 45 to day 135 showed no difference among themselves (P = 0.87). CONCLUSION: The majority of restored participants were restored after 45 d, suggesting a model that may identify an optimal length of time to restoration. PMID:26110124

  9. Vulnerability of Rural Hospitals to Medicare Outpatient Payment Reform

    PubMed Central

    Mohr, Penny E.; Franco, Sheila J.; Blanchfield, Bonnie B.; Cheng, C. Michael; Evans, William N.

    1999-01-01

    Because the Balanced Budget Act (BBA) of 1997 requires implementation of a Medicare prospective payment system (PPS) for hospital outpatient services, the authors evaluated the potential impact of outpatient PPS on rural hospitals. Areas examined include: (1) How dependent are rural hospitals on outpatient revenue? (2) Are they more likely than urban hospitals to be vulnerable to payment reform? (3) What types of rural hospitals will be most vulnerable to reform? Using Medicare cost report data, the authors found that small size and government ownership are more common among rural than urban hospitals and are the most important determinants of vulnerability to payment reform. PMID:11481724

  10. Observations and theory of the AMPTE magnetotail barium releases

    NASA Technical Reports Server (NTRS)

    Bernhardt, P. A.; Roussel-Dupre, R. A.; Pongratz, M. B.; Haerendel, G.; Valenzuela, A.

    1987-01-01

    The barium releases in the magnetotail during the Active Magnetospheric Particle Tracer Explorers (AMPTE) operation were monitored by ground-based imagers and by instruments on the Ion Release Module. After each release, the data show the formation of a structured diamagnetic cavity. The cavity grows until the dynamic pressure of the expanding ions balances the magnetic pressure on its surface. The magnetic field inside the cavity is zero. The barium ions collect on the surface of the cavity, producing a shell. Plasma irregularities form along magnetic field lines draped over the surface of the cavity. The scale size of the irregularities is nearly equal to the thickness of the shell. The evolution and structuring of the diamagnetic cavity are modeled using magnetohydrodynamics theory.

  11. The Skylab barium plasma injection experiments. I - Convection observations

    NASA Technical Reports Server (NTRS)

    Wescott, E. M.; Stenbaek-Nielsen, H. C.; Davis, T. N.; Peek, H. M.

    1976-01-01

    Two barium-plasma injection experiments were carried out during magnetically active periods in conjunction with the Skylab 3 mission. The high-explosive shaped charges were launched near dawn on November 27 and December 4, 1973, UT. In both cases, the AE index was near 400 gammas, and extensive pulsating auroras covered the sky. The first experiment, Skylab Alpha, occurred in the waning phase of a 1000-gamma substorm, and the second, Skylab Beta, occurred in the expansive phase of an 800-gamma substorm. In both, the convection was generally magnetically eastward, with 100-km-level electric fields near 40 mV/m. However, in the Alpha experiment the observed orientation of the barium flux tube fit theoretical field lines having no parallel current, but the Beta flux-tube orientation indicated a substantial upward parallel sheet current.

  12. Study of the photovoltaic effect in thin film barium titanate

    NASA Technical Reports Server (NTRS)

    Grannemann, W. W.; Dharmadhikari, V. S.

    1982-01-01

    Ferroelectric films of barium titanate were synthesized on silicon and quartz substrates, and the photoelectric effect in the structure consisting of metal deposited ferroelectric barium titanate film silicon was studied. A photovoltage with polarity that depends on the direction of the remanent polarization was observed. The deposition of BaTiO3 on silicon and fused quartz substrates was accomplished by an rf sputtering technique. A series of experiments to study the growth of ferroelectric BaTiO3 films on single crystal silicon and fused quartz substrates were conducted. The ferroelectric character in these films was found on the basis of evidence from the polarization electric field hysteresis loops, capacitance voltage and capacitance temperature techniques and from X-ray diffraction studies.

  13. The crystal growth of barium flouride in aqueous solution

    NASA Astrophysics Data System (ADS)

    Barone, J. P.; Svrjcek, D.; Nancollas, G. H.

    1983-06-01

    The kinetics of growth of barium flouride seed crystals were investigated in aqueous solution at 25C using a constant composition method, in which the supersaturation and ionic strength were maintained constant by the addition of titrants consisting of barium nitrate and potassium flouride solutions. The rates of reaction, studied over a range of supersaturation (? ? 0.4 to 1.0), were interpreted in terms of crystal growth models. A spiral growth mechanism best describes the data, and scanning electron microscopy indicates a three-dimensional growth. In the presence of inorganic additives such as phosphate, however, induction periods precede a morphological two-dimensional crystallization. Coulter Counter results show little crystal agglomeration.

  14. Electromagnetic properties of photodefinable barium ferrite polymer composites

    NASA Astrophysics Data System (ADS)

    Sholiyi, Olusegun; Lee, Jaejin; Williams, John D.

    2014-07-01

    This article reports the magnetic and microwave properties of a Barium ferrite powder suspended in a polymer matrix. The sizes for Barium hexaferrite powder are 3-6 ?m for coarse and 0.8-1.0 ?m for the fine powder. Ratios 1:1 and 3:1 (by mass) of ferrite to SU8 samples were characterized and analyzed for predicting the necessary combinations of these powders with SU8 2000 Negative photoresist. The magnetization properties of these materials were equally determined and were analyzed using Vibrating Sample Magnetometer (VSM). The Thru, Reflect, Line (TRL) calibration technique was employed in determining complex relative permittivity and permeability of the powders and composites with SU8 between 26.5 and 40 GHz.

  15. NASA/Max Planck Institute Barium Ion Cloud Project.

    NASA Technical Reports Server (NTRS)

    Brence, W. A.; Carr, R. E.; Gerlach, J. C.; Neuss, H.

    1973-01-01

    NASA and the Max Planck Institute for Extraterrestrial Physics (MPE), Munich, Germany, conducted a cooperative experiment involving the release and study of a barium cloud at 31,500 km altitude near the equatorial plane. The release was made near local magnetic midnight on Sept. 21, 1971. The MPE-built spacecraft contained a canister of 16 kg of Ba CuO mixture, a two-axis magnetometer, and other payload instrumentation. The objectives of the experiment were to investigate the interaction of the ionized barium cloud with the ambient medium and to deduce the properties of electric fields in the proximity of the release. An overview of the project is given to briefly summarize the organization, responsibilities, objectives, instrumentation, and operational aspects of the project.

  16. Numerical simulation of a radially injected barium cloud

    NASA Technical Reports Server (NTRS)

    Swift, D. W.; Wescott, E. M.

    1981-01-01

    Electrostatic two-dimensional numerical simulations of a radially symmetric barium injection experiment demonstrate that ions created by solar UV irradiation are electrostatically bound to the electrons which remain tied to the field lines on which they are created. Two possible instabilities are identified, but neither of them causes the barium plasma cloud to polarize in a way that would permit the plasma to keep up with the neutrals. In a second model, the velocity of the neutrals is allowed to be a function of the azimuthal angle. Here, a portion of the cloud does polarize in a way that allows a portion of the plasma to detach and move outward at the approximate speed of the neutrals. No rapid detachment is found when only the density of the neutrals is given an azimuthal asymmetry.

  17. Life Model of Hollow Cathodes Using a Barium Calcium Aluminate Impregnated Tungsten Emitter

    NASA Technical Reports Server (NTRS)

    Kovaleski, S. D.; Burke, Tom (Technical Monitor)

    2001-01-01

    Hollow cathodes with barium calcium aluminate impregnated tungsten emitters for thermionic emission are widely used in electric propulsion. These high current, low power cathodes are employed in ion thrusters, Hall thrusters, and on the International Space Station in plasma contactors. The requirements on hollow cathode life are growing more stringent with the increasing use of electric propulsion technology. The life limiting mechanism that determines the entitlement lifetime of a barium impregnated thermionic emission cathode is the evolution and transport of barium away from the emitter surface. A model is being developed to study the process of barium transport and loss from the emitter insert in hollow cathodes. The model accounts for the production of barium through analysis of the relevant impregnate chemistry. Transport of barium through the approximately static gas is also being treated. Finally, the effect of temperature gradients within the cathode are considered.

  18. Outpatient Management of Pediatric Type 1 Diabetes

    PubMed Central

    Cogen, Fran R.

    2015-01-01

    The incidence of both type 1 and type 2 diabetes (T1DM and T2DM) continues to rise within the pediatric population. However, T1DM remains the most prevalent form diagnosed in children. It is critical that health-care professionals understand the types of diabetes diagnosed in pediatrics, especially the distinguishing features between T1DM and T2DM, to ensure proper treatment. Similar to all individuals with T1DM, lifelong administration of exogenous insulin is necessary for survival. However, children have very distinct needs and challenges compared to those in the adult diabetes population. Accordingly, treatment, goals, and age-appropriate requirements must be individually addressed. The main objectives for the treatment of pediatric T1DM include maintaining glucose levels as close to normal as possible, avoiding acute complications, and preventing long-term complications. In addition, unique to pediatrics, facilitating normal growth and development is important to comprehensive care. To achieve these goals, a careful balance of insulin therapy, medical nutrition therapy, and exercise or activity is necessary. Pharmacological treatment options consist of various insulin products aimed at mimicking prior endogenous insulin secretion while minimizing adverse effects. This review focuses on the management of pediatric T1DM in the outpatient environment, highlighting pharmacotherapy management strategies. PMID:26472948

  19. Chlamydia trachomatis cervicitis in gynecologic outpatients.

    PubMed

    Ripa, K T; Svensson, L; Mårdh, P A; Weström, L

    1978-12-01

    Symptoms suggestive of a lower genital tract infection (LGTI) are common complaints in women who consult gynecologists. Sexually transmitted microorganisms, such as Chlamydia trachomatis. Neisseria gonorrhoeae, and Trichomonas vaginalis, are responsible for a substantial proportion of LGTI. This study was performed to establish the frequency of LGTI caused by C trachomatis in women attending a gynecologic outpatient clinic. Of 170 women with LGTI, 32.9% harbored one or more of these organisms: C trachomatis was found in 19.3%, N gonorrhoeae in 4.7%, and T vaginalis in 25.9%. The results of the isolation studies were correlated with clinical signs and symptoms. In women under 25 years of age, chlamydial cervicitis was found significantly more often in users of oral contraceptives than in nonusers. In women not taking such drugs, cervical erosion was found more often in Chlamydia-positive than Chlamydia-negative women. Since clinical examination failed to reveal any characteristic signs in cases of chlamydial infection, it was not possible to distinguish a chlamydial from a gonococcal infection. This study also reports the successful treatment of 15 women affected by chlamydial cervicitis with doxycycline or trimethoprim sulphamethoxazole. PMID:104212

  20. Outpatient Management of Pediatric Type 1 Diabetes.

    PubMed

    Beck, Joni K; Cogen, Fran R

    2015-01-01

    The incidence of both type 1 and type 2 diabetes (T1DM and T2DM) continues to rise within the pediatric population. However, T1DM remains the most prevalent form diagnosed in children. It is critical that health-care professionals understand the types of diabetes diagnosed in pediatrics, especially the distinguishing features between T1DM and T2DM, to ensure proper treatment. Similar to all individuals with T1DM, lifelong administration of exogenous insulin is necessary for survival. However, children have very distinct needs and challenges compared to those in the adult diabetes population. Accordingly, treatment, goals, and age-appropriate requirements must be individually addressed. The main objectives for the treatment of pediatric T1DM include maintaining glucose levels as close to normal as possible, avoiding acute complications, and preventing long-term complications. In addition, unique to pediatrics, facilitating normal growth and development is important to comprehensive care. To achieve these goals, a careful balance of insulin therapy, medical nutrition therapy, and exercise or activity is necessary. Pharmacological treatment options consist of various insulin products aimed at mimicking prior endogenous insulin secretion while minimizing adverse effects. This review focuses on the management of pediatric T1DM in the outpatient environment, highlighting pharmacotherapy management strategies. PMID:26472948

  1. Synthesis and characterization of barium ferrite–silica nanocomposites

    SciTech Connect

    Aguilar-González, M.A.; Mendoza-Suárez, G.; Padmasree, K.P.

    2013-10-15

    In this work, we prepared barium ferrite-silica (BaM-SiO{sub 2}) nanocomposites of different molar ratios by high-energy ball milling, followed by heat-treatment at different temperatures. The microstructure, morphology and magnetic properties were characterized for different synthesis conditions by using X-ray diffraction (XRD), scanning electron microscopy (SEM) and vibrating sample magnetometry (VSM). The results indicate that 15 h of milling was enough to avoid the generation of hematite phase and to get a good dispersion of barium ferrite particles in the ceramic matrix. For milling periods beyond 15 h and heat treatment above 900 °C, the XRD patterns showed the presence of hematite phase caused by the decomposition of BaM. The agglomerate size observed through SEM analysis was around 150 nm with a good BaM dispersion into the SiO{sub 2} matrix. The highest saturation magnetization (Ms) value obtained was 43 emu/g and the corresponding coercivity (Hc) value of 3.4 kOe for the composition 60BaM-40SiO{sub 2} milled for 15 h and heat treated at 900 °C. This coercivity value is acceptable for the application in magnetic recording media. Highlights: • Barium ferrite–silica nanocomposites were prepared by high energy ball milling. • Optimal processing time is 15 h milling and heat treatment at 900 °C. • This is enough to avoid the generation of hematite phase. • Obtain good dispersion of barium ferrite particles in the ceramic matrix • Above this processing time shows the presence of increased amount of hematite.

  2. Pockels response in calcium barium niobate thin films

    NASA Astrophysics Data System (ADS)

    Helsten, R.; Razzari, L.; Ferrera, M.; Ndione, P. F.; Gaidi, M.; Durand, C.; Chaker, M.; Morandotti, R.

    2007-12-01

    The electro-optical response of calcium barium niobate ferroelectric thin films is characterized using a single beam setup in reflection geometry. Clear evidence of a Pockels response together with an r33 coefficient as high as 130pm/V is found. This large value and the high Curie temperature of the material under study (>250C) can be considered as a promising feature for the fabrication of hybrid, integrated electro-optical modulators working at a high repetition rate.

  3. Texture and Microstructural Development in Gelcast Barium Hexaferrite

    SciTech Connect

    Hovis, David B.; Faber, Katherine T.; Kenik, Edward A

    2008-01-01

    The development of texture in barium hexaferrite by templated grain growth was studied as a function of the Fe2O3/BaCO3 ratio, B2O3 additions in the starting materials, and sintering temperature. A magnetic field was used to orient the template particles during the gelcasting process. Excess BaCO3 resulted in abnormal grain growth and maximized texture, while B2O3 additions promoted coarsening, but no abnormal grain growth.

  4. Barium hexaferrite based on the waste products from electroplating processes

    SciTech Connect

    Vlasov, A.S.; Stepanchikova, I.G.; Makarov, S.V.; Zaitsev, V.A.; Danilov, A.S.

    1987-11-01

    The authors assess the possibility of simultaneously treating and using waste electroplating slurries containing large amounts of iron hydroxides for obtaining barium hexaferrite ceramics. Differential thermal analysis was employed to determine the processing and recovery parameters and the resulting hexaferrites were tested, mechanically and by x-ray diffraction, for their mechanical and magnetic properties as well as for their phase composition and structure. The consequences of the process on pollution abatement are also evaluated.

  5. Psychiatric Disorders in Outpatients With Borderline Intellectual Functioning: Comparison With Both Outpatients From Regular Mental Health Care and Outpatients With Mild Intellectual Disabilities

    PubMed Central

    Wieland, Jannelien; Haan, Sara Kapitein-de; Zitman, Frans G

    2014-01-01

    Objective: In the Netherlands, patients with borderline intellectual functioning are eligible for specialized mental health care. This offers the unique possibility to examine the mix of psychiatric disorders in patients who, in other countries, are treated in regular outpatient mental health care clinics. Our study sought to examine the rates of all main Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, Axis I psychiatric diagnoses in outpatients with borderline intellectual functioning of 2 specialized regional psychiatric outpatient departments and to compare these with rates of the same disorders in outpatients from regular mental health care (RMHC) and outpatients with mild intellectual disabilities (IDs). Method: Our study was a cross-sectional, anonymized medical chart review. All participants were patients from the Dutch regional mental health care provider Rivierduinen. Diagnoses of patients with borderline intellectual functioning (borderline intellectual functioning group; n = 235) were compared with diagnoses of patients from RMHC (RMHC group; n = 1026) and patients with mild ID (mild ID group; n = 152). Results: Compared with the RMHC group, psychotic and major depressive disorders were less common in the borderline intellectual functioning group, while posttraumatic stress disorder and V codes were more common. Compared with the mild ID group, psychotic disorders were significantly less common. Conclusion: Mental health problems in people with borderline intellectual functioning may not be well addressed in general psychiatry, or by standard psychiatry for patients with ID. Specific attention to this group in clinical practice and research may be warranted lest they fall between 2 stools. PMID:25007114

  6. Toward remote ion-ion entanglement with barium

    NASA Astrophysics Data System (ADS)

    Noel, Thomas W.; Auchter, Carolyn; Chou, Chen-Kuan; Blinov, Boris B.

    2015-03-01

    We present work toward remote entanglement of barium ions in traps separated by a few meters. A new version of an ion trap specialized for remote entanglement is introduced. The new trap allows for highly efficient collection of ion fluorescence while simultaneously minimizing ion micromotion and aligning the trap position precisely to the focus of an in-vacuum parabolic mirror by using a set of bias electrodes and a piezoelectric micro-positioning system. The success rate of the remote entanglement procedure depends strongly on the efficiency with which ion fluorescence can be coupled into an optical fiber. Characterization of our system in terms of ion fluorescence collection and fiber coupling efficiency is presented. Results demonstrating entanglement between a single barium ion and single spontaneously emitted photons are shown. The entanglement fidelity of the ion-photon state is measured to be 0.84(1) and a CHSH Bell signal of 2.303(36) finds violation of the CHSH version of the Bell inequality by over eight standard deviations. Barium's relatively long wavelength transitions make it an ideal candidate for our longer term goal of remote entanglement of ions separated by a kilometer or more. Such long distance remote entanglement should allow for a loophole-free verification of the violation of the Bell inequality.

  7. The Tordo 1 polar cusp barium plasma injection experiment

    NASA Technical Reports Server (NTRS)

    Wescott, E. M.; Stenbaek-Nielsen, H. C.; Davis, T. N.; Jeffries, R. A.; Roach, W. H.

    1978-01-01

    In January 1975, two barium plasma injection experiments were carried out with rockets launched into the upper atmosphere where field lines from the dayside cusp region intersect the ionosphere. The Tordo 1 experiment took place near the beginning of a worldwide magnetic storm. It became a polar cap experiment almost immediately as convection perpendicular to the magnetic field moved the fluorescent plasma jet away from the cusp across the polar cap in an antisunward direction. Convection across the polar cap with an average velocity of more than 1 km/s was observed for nearly 40 min until the barium flux tubes encountered large electron fields associated with a poleward bulge of the auroral oval near Greenland. Prior to the encounter with the aurora near Greenland there is evidence of upward acceleration of the barium ions while they were in the polar cap. The three-dimensional observations of the plasma orientation and motion give an insight into convection from the cusp region across the polar cap, the orientation of the polar cap magnetic field lines out to several earth radii, the causes of polar cap magnetic perturbations, and parallel acceleration processes.

  8. Scanning electron and tunneling microscopy of palladium barium emitters

    NASA Astrophysics Data System (ADS)

    Baiburin, V. B.; Volkov, U. P.; Semenov, S. V.; Semenov, A. S.

    2003-06-01

    The results of study of metal-alloyed palladium-barium emitters' of modern very high frequency high-powered electronic vacuum tubes by scanning electron microscopy (SEM) and scanning tunneling microscopy/spectroscopy (STM/STS) are presented. Since the Pd/Ba foil surface is fairly smooth and is not oxidized in air STM/STS investigations are carried out in air in normal laboratory environment. SEM and STM images show that the emitter surface has a complex porous structure. The cathode surface study by STS in tunneling gap modulation mode allowed to take a map of phase distribution with various work function values and high lateral resolution. Obtained images demonstrate the presence of three phases on the Pd/Ba emitter surface, viz. barium-oxygen compounds, intermetallic, and palladium. As it is seen from presented STS image the phase with a low work function value (barium oxides) is concentrated along boundaries of the substance inclusions with work function corresponding to the intemetallic compound Pd 5Ba. This supports the model of low work function areas obtained via Ba segregation from the intermetallic compound and oxidation. The presented methods may be used in the Pd/Ba cathode manufacturing process for increasing the yield of electronic devices in microwave tube production and optimize the emitters' characteristics.

  9. Structure and multiferroic properties of barium hexaferrite ceramics

    NASA Astrophysics Data System (ADS)

    Tan, Guolong; Chen, Xiuna

    2013-02-01

    Simultaneous occurrence of large ferroelectricity and strong ferromagnetism have been observed in barium hexaferrite ceramics. Barium hexaferrite (BaFe12O19) powders with hexagonal crystal structure were successfully synthesized in a polymer precursor method using barium acetate and ferric acetylacetonate as the precursors. The powders were pressed into pellets which were sintered into ceramics at 1200 C and 1300 C for 1 h. The structure and morphology of the ceramics were examined using X-ray diffraction and field emission scanning electron microscopy. Large spontaneous polarization was observed in the BaFe12O19 ceramics at room temperature, revealing a clear ferroelectric hysteresis loop. The maximum remanent polarization of the BaFe12O19 ceramic was estimated approximately 11.8 ?C cm-2. The FeO6 octahedron in its perovskite-like hexagonal unit cell and the shift of Fe3+ off the center of octahedron are suggested to be the origin of the polarization in BaFe12O19. The BaFe12O19 ceramics also showed strong ferromagnetism at room temperature.

  10. Buprenorphine Outpatient Outcomes Project: can Suboxone be a viable outpatient option for heroin addiction?

    PubMed Central

    Sittambalam, Charmian D.; Vij, Radhika; Ferguson, Robert P.

    2014-01-01

    Background Opioid dependence treatment traditionally involves methadone clinics, for which dispensing schedules can be cumbersome. Buprenorphine, a partial agonist of the mu receptor and antagonist of the kappa receptor, is a potential outpatient alternative to methadone. Funded by a grant from the State of Maryland's Community Health Resources Commission (CHRC), the Buprenorphine Outpatient Outcomes Project (BOOP) evaluates the outcome of Suboxone (buprenorphine/naloxone) treatment on abstinence from heroin use, rates of emergency room visits and hospitalizations, legal issues, and quality of life. Methods Active heroin users were recruited between June 2007 and June 2010 and induction therapy with Suboxone was instituted during hospitalization. Once discharged, patients were followed as outpatients for maintenance treatment and counseling. Data were collected from electronic medical records, Maryland state legal records, and SF-36 Health Surveys regarding several parameters and patients were categorized according to duration of treatment with Suboxone into one of three groups: <1 month, 13 months, and >3 months. Results A total of 220 participants were included in the study. The age range of participants was 1867 years with most being African American males. Eighty-three (38%) remained in the study for at least 1 month, with 37 of the 83 (45%) remaining in treatment for >3 months. Ten of the 37 (27%) never relapsed after their longest period of abstinence from heroin. During the first year after initiating treatment with Suboxone, hospitalization and emergency room visit rates for all 220 participants decreased by 45 and 23%, respectively, as compared to the year prior to starting treatment. The number of legal charges for drug possession decreased from 70 to 62. Anecdotally, the quality of life seemed to improve in those who were treated with Suboxone for longer periods of time and received regular counseling. Conclusion Overall, Suboxone is an effective treatment method for heroin addiction and is a viable outpatient therapy option. Individualized treatment plans and counseling must be implemented for maximum benefits to be seen. Retention of patients for a long duration of therapy was difficult, but for those who did remain, benefits were seen in overall health, abstinence from heroin use, cognition, and quality of life. PMID:24765257

  11. 76 FR 49458 - TRICARE; Hospital Outpatient Radiology Discretionary Appeal Adjustments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-10

    ... of the Secretary TRICARE; Hospital Outpatient Radiology Discretionary Appeal Adjustments AGENCY... hospitals of an opportunity for net adjusted payments for radiology services for which TRICARE payments were... radiology services specified in the regulation as being reimbursed under the allowable charge...

  12. Address outpatient issues now to reduce RAC risk exposure later.

    PubMed

    Kelley, George; Herdman, Brian; Abramowitz, Adam

    2010-05-01

    Hospitals can mitigate their RAC exposure to outpatient automated denials by: Knowing where their risks lie. Determining where operational processes could be breaking down. Understanding how much is being written off because of incorrect billing practices. PMID:20446431

  13. Doctors, Nurse Practitioners Offer Comparable Outpatient Heart Care

    MedlinePLUS

    ... nih.gov/medlineplus/news/fullstory_155097.html Doctors, Nurse Practitioners Offer Comparable Outpatient Heart Care: Study While ... are needed to assess patient outcomes, satisfaction and value. SOURCES: Robert A. Harrington, M.D., professor, medicine ...

  14. 38 CFR 17.42 - Examinations on an outpatient basis.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... MEDICAL Examinations and Observation and Examination § 17.42 Examinations on an outpatient basis. Physical... care and to the same categories of persons for whom hospitalization for observation and examination...

  15. 38 CFR 17.42 - Examinations on an outpatient basis.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... MEDICAL Examinations and Observation and Examination § 17.42 Examinations on an outpatient basis. Physical... care and to the same categories of persons for whom hospitalization for observation and examination...

  16. 38 CFR 17.42 - Examinations on an outpatient basis.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... MEDICAL Examinations and Observation and Examination § 17.42 Examinations on an outpatient basis. Physical... care and to the same categories of persons for whom hospitalization for observation and examination...

  17. 38 CFR 17.42 - Examinations on an outpatient basis.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... MEDICAL Examinations and Observation and Examination § 17.42 Examinations on an outpatient basis. Physical... care and to the same categories of persons for whom hospitalization for observation and examination...

  18. 38 CFR 17.42 - Examinations on an outpatient basis.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... MEDICAL Examinations and Observation and Examination § 17.42 Examinations on an outpatient basis. Physical... care and to the same categories of persons for whom hospitalization for observation and examination...

  19. Determination of silicon, barium, and titanium in fresnoite single crystals and raw materials for them

    SciTech Connect

    Sizonenko, N.T.; Egorova, L.A.; Gaiduk, O.V.; Khukhryanskii, A.K.

    1985-09-01

    Single crystals of fresnoite show good electroptic parameters and high resistance to laser radiation, and are being examined for use in acoustoelectronics and optoelectronics. This paper investigates simple and reliable methods of determining silicon, barium, and titanium without preliminary separation. The authors examined the effects of large amounts of titanium and barium on the determination of silicon; it was found that titanium interferes. Barium does not interfere with the determination of silicon. Barium and titanium were determined by EDTA titration. The relative standard deviation in determining each of the elements did not exceed 6 x 10/sup -3/.

  20. [Vitamins and minerals intake in hyperlipidemic outpatients].

    PubMed

    Grzybek, Agnieszka; Targosz, Urszula; Pachocka, Lucyna; Kłosiewicz-Latoszek, Longina

    2005-01-01

    Dietary modification is the first line treatment in cardiovascular disease. The dietary recommendations focus on the consumption of total fat, saturated fatty acids and cholesterol, additionally the adequate intake of some vitamins and minerals is also important. The purpose of this study was to evaluate vitamins and minerals intake in hyperlipidemic outpatients. The studied group comprised 103 women, with BMI 28.4 +/- 6.77 men with BMI 29 +/- 4.8, aged 20-60 years. Dietary assessment was based on 3-d food records. The energy intake in women was 1824.1 +/- 576 kcal/d, in men 2246.6 +/- 679 kcal/d. The average intake above the RDA was for vitamin A (147.5 +/- 94% of the RDA in women, 143.2 +/- 138% in men) vitamin E (119.8 +/- 58.7%, 130.2 +/- 76%), very close for vitamin B in women (98.9 +/- 33.1%) and in men additionally for iron (134.8 +/- 56%), niacin (110 +/- 38%) and vitamin B6 (101.7 +/- 36.2%). The lowest percentage of the RDA was for calcium (62.2 +/- 38%, 69.8 +/- 40.7%) and magnesium (76.2 +/- 25%, 78.6 +/- 24.6%) in women as well as in men and for vitamin B1 in women (76.2 +/- 28%) and for vitamin B2 in men (78.4 +/- 36.6%). The percentage of the RDA for vitamin C was 85.1 +/- 49% in women and 85.2 +/- 61.8% in men. In this studied group the low intake of certain vitamins and minerals was found. The nutritional education is required, which is aimed not only at lower intake of fat, saturated fatty acids and cholesterol, but also at adequate consumption of vitamins and minerals. PMID:16602424

  1. Tungsten and barium transport in the internal plasma of hollow cathodes

    NASA Astrophysics Data System (ADS)

    Polk, James E.; Mikellides, Ioannis G.; Katz, Ira; Capece, Angela M.

    2009-06-01

    The effect of tungsten erosion, transport, and redeposition on the operation of dispenser hollow cathodes was investigated in detailed examinations of the discharge cathode inserts from 8200 h and 30 352 h ion engine wear tests. Erosion and subsequent redeposition of tungsten in the electron emission zone at the downstream end of the insert reduce the porosity of the tungsten matrix, preventing the flow of barium from the interior. This inhibits the interfacial reactions of the barium-calcium-aluminate impregnant with the tungsten in the pores. A numerical model of barium transport in the internal xenon discharge plasma shows that the barium required to reduce the work function in the emission zone can be supplied from upstream through the gas phase. Barium that flows out of the pores of the tungsten insert is rapidly ionized in the xenon discharge and pushed back to the emitter surface by the electric field and drag from the xenon ion flow. This barium ion flux is sufficient to maintain a barium surface coverage at the downstream end greater than 0.6, even if local barium production at that point is inhibited by tungsten deposits. The model also shows that the neutral barium pressure exceeds the equilibrium vapor pressure of the impregnant decomposition reaction over much of the insert length, so the reactions are suppressed. Only a small region upstream of the zone blocked by tungsten deposits is active and supplies the required barium. These results indicate that hollow cathode failure models based on barium depletion rates in vacuum dispenser cathodes are very conservative.

  2. A review of the health impacts of barium from natural and anthropogenic exposure.

    PubMed

    Kravchenko, Julia; Darrah, Thomas H; Miller, Richard K; Lyerly, H Kim; Vengosh, Avner

    2014-08-01

    There is an increasing public awareness of the relatively new and expanded industrial barium uses which are potential sources of human exposure (e.g., a shale gas development that causes an increased awareness of environmental exposures to barium). However, absorption of barium in exposed humans and a full spectrum of its health effects, especially among chronically exposed to moderate and low doses of barium populations, remain unclear. We suggest a systematic literature review (from 1875 to 2014) on environmental distribution of barium, its bioaccumulation, and potential and proven health impacts (in animal models and humans) to provide the information that can be used for optimization of future experimental and epidemiological studies and developing of mitigative and preventive strategies to minimize negative health effects in exposed populations. The potential health effects of barium exposure are largely based on animal studies, while epidemiological data for humans, specifically for chronic low-level exposures, are sparse. The reported health effects include cardiovascular and kidney diseases, metabolic, neurological, and mental disorders. Age, race, dietary patterns, behavioral risks (e.g., smoking), use of medications (those that interfere with absorbed barium in human organism), and specific physiological status (e.g., pregnancy) can modify barium effects on human health. Identifying, evaluating, and predicting the health effects of chronic low-level and moderate-level barium exposures in humans is challenging: Future research is needed to develop an understanding of barium bioaccumulation in order to mitigate its potential health impacts in various exposured populations. Further, while occupationally exposed at-risk populations exist, it is also important to identify potentially vulnerable subgroups among non-occupationally exposed populations (e.g., elderly, pregnant women, children) who are at higher risk of barium exposure from drinking water and food. PMID:24844320

  3. Cost of post-stroke outpatient care in Malaysia

    PubMed Central

    Hejazi, Seyed Majid Akhavan; Mazlan, Mazlina; Abdullah, Saini Jeffery Freddy; Engkasan, Julia Patrick

    2015-01-01

    INTRODUCTION This study aimed to investigate the direct cost of outpatient care for patients with stroke, as well as the relationship between the aforementioned cost and the sociodemographic and stroke characteristics of the patients. METHODS This was a cross-sectional study involving patients with first-ever stroke who were attending outpatient stroke rehabilitation, and their family members. Participants were interviewed using a structured questionnaire designed to obtain information regarding the cost of outpatient care. Stroke severity was measured using the National Institute of Health Stroke Scale. RESULTS This study comprised 49 patients (28 men, 21 women) with a mean age of 60.2 (range 3580) years. The mean total cost incurred was USD 547.10 (range USD 53.504,591.60), of which 36.6% was spent on attendant care, 25.5% on medical aids, 15.1% on travel expenses, 14.1% on medical fees and 8.5% on out-of-pocket expenses. Stroke severity, age > 70 years and haemorrhagic stroke were associated with increased cost. The mean cost of attending outpatient therapy per patient was USD 17.50 per session (range USD 6.6030.60), with travelling expenses (41.8%) forming the bulk of the cost, followed by medical fees (38.1%) and out-of-pocket expenses (10.9%). Multiple regression analysis showed that stroke severity was the main determinant of post-stroke outpatient care cost (p < 0.001). CONCLUSION Post-stroke outpatient care costs are significantly influenced by stroke severity. The cost of attendant care was the main cost incurred during the first three months after hospital discharge, while travelling expenses was the main cost incurred when attending outpatient stroke rehabilitation therapy. PMID:25715857

  4. [MRSA clones identified in outpatient dermatology clinics].

    PubMed

    Hosoya, Shino; Ito, Teruyo; Misawa, Shigeki; Yoshiike, Takashi; Oguri, Toyoko; Hiramatsu, Keiichi

    2014-11-01

    To know the characteristics of methicillin-resistant Staphylococcus aureus (MRSA) strains disseminating through the Japanese community, we have determined types of Staphylococcal cassette chromosome mec (SCCmec) elements, Multi-Locus Sequence Typing (MLST), and carriages of four exotoxin genes (toxic-shock syndrome toxin, Panton-Valentine Leukocidine, and exfoliative toxins a and b) using 54 MRSA strains isolated from outpatients attending dermatology clinics at the four university hospitals of Juntendo University. Ten clonal complexes and 12 SCCmec types have been identified. As a result, more than 15 MRSA clones that were defined by the combination of genotype and SCCmec type, were identified. Among them, Clonal Complex (CC) 5-type IIa SCCmec strains were the most major (16 strains). In contrast to the fact that CC5- type IIa SCCmec strains known as a hospital-associated MRSA clone in Japan carried toxic-shock syndrome toxin gene (tst), only 2 of 16 strains have been shown to carry tst. Thirty-eight (70.4%) of isolates belonged to the clones distinct from the CC5-type IIa SCCmec strains. Among them, CC8 strains were major (12 strains), which contained 9 tst-positive CC8-type IVl SCCmec clones and a CC8-type IVa SCCmec strain carrying the Panton Valentine Leukocidin gene (lukS, F-PV). Clones related to impetigo were also identified: 7 exfoliative toxin b (etb) -positive clones, CC89-type IIa SCCmec and CC89-type V SCCmec strains; and 2 exfoliative toxin a (eta) -positive CC121-type V SCCmec strains. Other clones were as follows: CC1-type IVa SCCmec, CC8-type I SCCmec, CC81-type IVg SCCmec, CC97-type IVc SCCmec, CC91-type IVa SCCmec, CC59-type IVg SCCmec, CC45-type IIn SCCmec, CC89-SCCmec nontypeable, and CC8-type IVm, novel subtype of type IV SCCmec were identified in this study. Our data showed that many novel MRSA clones have emerged in the community. PMID:25764806

  5. SHORT TERM TOXICITY (1 AND 10 DAY GAVAGE) OF BARIUM CHLORIDE IN MALE AND FEMALE RATS

    EPA Science Inventory

    To assess adverse effects that might be caused by an event resulting in high levels of barium in drinking water, rats were gavaged with barium chloride (BaCl2 at dosage levels of 30,100, and 300 rng/kg in a 1-day study and at 100,145,209, and 300 rng/kg for 10 days, and the effec...

  6. 75 FR 36629 - Barium Chloride From the People's Republic of China: Continuation of Antidumping Duty Order

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-28

    ... China: Final Results of Expedited Third Sunset Review of Antidumping Duty Order, 74 FR 55814 (October 29... Five-year (``Sunset'') Review, 74 FR 31412 (July 1, 2009). As a result of its review, the Department... Barium Chloride From China, 75 FR 33824 (June 15, 2010), and Barium Chloride from China (Inv. No....

  7. Lack of effect of drinking water barium on cardiovascular risk factors

    SciTech Connect

    Wones, R.G.; Stadler, B.L.; Frohman, L.A. )

    1990-04-01

    Higher cardiovascular mortality has been associated in a single epidemiological study with higher levels of barium in drinking water. The purpose of this study was to determine whether drinking water barium at levels found in some U.S. communities-alters the known risk factors for cardiovascular disease. Eleven healthy men completed a 10-week dose-response protocol in which diet was controlled. Other aspects of the subjects' lifestyles known to affect cardiac risk factors were controlled, and the barium content (as barium chloride) of the drinking water was varied from 0, to 5 ppm, to 10 ppm. Multiple blood and urine samples, morning and evening blood pressure measurements, and 48-hr electrocardiographic monitoring were performed at each dose of barium. There were no changes in morning or evening systolic or diastolic blood pressures, plasma cholesterol or lipoprotein or apolipoprotein levels, serum potassium or glucose levels, or urine catecholamine levels. There were no arrythmias related to barium exposure detected on continuous electrocardiographic monitoring. A trend was seen toward increased total serum calcium levels with exposure to barium, which was of borderline statistical significance and of doubtful clinical significance. In summary, drinking water barium at levels of 5 and 10 ppm did not appear to affect any of the known modifiable cardiovascular risk factors.

  8. LACK OF EFFECT OF DRINKING WATER BARIUM ON CARDIOVASCULAR RISK FACTORS

    EPA Science Inventory

    Higher cardiovascular mortality has been associated in a single epidemiological study with higher levels of barium in drinking water. he purpose of this study was to determine whether drinking water barium at levels found in some U.S. communities alters the known risk factors for...

  9. The effect of barium on perceptions of taste intensity and palatability

    PubMed Central

    Dietsch, Angela M.; Solomon, Nancy Pearl; Steele, Catriona M.; Pelletier, Cathy A.

    2015-01-01

    Purpose Barium may affect the perception of taste intensity and palatability. Such differences are important considerations in the selection of dysphagia assessment strategies and interpretation of results. Methods Eighty healthy women grouped by age (younger, older) and genetic taste status (supertaster, non-taster) rated intensity and palatability for seven tastants prepared in deionized water with and without 40% w/v barium: non-carbonated and carbonated water, diluted ethanol, and high concentrations of citric acid (sour), sodium chloride (salty), caffeine (bitter) and sucrose (sweet). Mixed model analyses explored the effects of barium, taster status, and age on perceived taste intensity and acceptability of stimuli. Results Barium was associated with lower taste intensity ratings for sweet, salty, and bitter tastants, higher taste intensity in carbonated water, and lower palatability in water, sweet, sour, and carbonated water. Older subjects reported lower palatability (all barium samples, sour) and higher taste intensity scores (ethanol, sweet, sour) compared to younger subjects. Supertasters reported higher taste intensity (ethanol, sweet, sour, salty, bitter) and lower palatability (ethanol, salty, bitter) than non-tasters. Refusal rates were highest for younger subjects and supertasters, and for barium (regardless of tastant), bitter, and ethanol. Conclusions Barium suppressed the perceived intensity of some tastes and reduced palatability. These effects are more pronounced in older subjects and supertasters, but younger supertasters are least likely to tolerate trials of barium and strong tastant solutions. PMID:24037100

  10. Lack of effect of drinking water barium on cardiovascular risk factors.

    PubMed Central

    Wones, R G; Stadler, B L; Frohman, L A

    1990-01-01

    Higher cardiovascular mortality has been associated in a single epidemiological study with higher levels of barium in drinking water. The purpose of this study was to determine whether drinking water barium at levels found in some U.S. communities alters the known risk factors for cardiovascular disease. Eleven healthy men completed a 10-week dose-response protocol in which diet was controlled (600 mg cholesterol; 40% fat, 40% carbohydrate, 20% protein; sodium and potassium controlled at the subject's pre-protocol estimated intake). Other aspects of the subjects' lifestyles known to affect cardiac risk factors were controlled, and the barium content (as barium chloride) of the drinking water (1.5 L/day) was varied from 0 (first 2 weeks), to 5 ppm (next 4 weeks), to 10 ppm (last 4 weeks). Multiple blood and urine samples, morning and evening blood pressure measurements, and 48-hr electrocardiographic monitoring were performed at each dose of barium. There were no changes in morning or evening systolic or diastolic blood pressures, plasma cholesterol or lipoprotein or apolipoprotein levels, serum potassium or glucose levels, or urine catecholamine levels. There were no arrhythmias related to barium exposure detected on continuous electrocardiographic monitoring. A trend was seen toward increased total serum calcium levels with exposure to barium, which was of borderline statistical significance and of doubtful clinical significance. In summary, drinking water barium at levels of 5 and 10 ppm did not appear to affect any of the known modifiable cardiovascular risk factors. PMID:2384067

  11. Composition and structure measurements in an ionospheric barium cloud. Final report

    SciTech Connect

    Narcisi, R.; Trzcinski, E.; Federico, G.; Wlodyka, L.; Bench, P.

    1981-12-23

    A 48 kg barium payload was launched from Eglin Air Force Base, Florida on 12 December 1980 at 2311 GMT and detonated at 183.7 km. At 2342:50.25 GMT, a second rocket, instrumented with an ion mass spectrometer and pulsed plasma probes, was fired to traverse the barium cloud. Composition, ion density, and structure measurements were acquired up to 241.2 km in both the natural and disturbed ionosphere. The rocket penetrated the barium cloud between 147 and 184 km. In addition to the Ba+, Ba++ produced by H Lyman alpha ionization, and Ca+, an impurity in the barium were detected in the cloud. A peak barium ion concentration of about 6,000,000 ions cu cm was measured at 161 km where the ionospheric NO+ and O2+ ions were essentially eliminated by large recombination loss. The bottom side of the barium cloud had a relatively smooth structure while the top side showed significant density fluctuations. The first experimental evidence of a theoretically predicted E region 'image cloud' was found in the form of an enhanced NO+ layer just below the barium cloud. Unexplained wave-like density variations in O+, NO+, and O2(+) also were seen above the barium cloud to 195 km. A quantitative estimate of the outgassing water vapor concentrations near the payload's surface was made using the fast change transfer rate coefficient for O+ + H2O yields H2O+ + O that created the observed water vapor ions.

  12. Chemical stability of barium calcium aluminate dispenser-cathode impregnants

    SciTech Connect

    Lipeles, R.A.; Kan, H.K.A.

    1982-08-01

    A thermodynamic model has been formulated to describe the effects of temperature and composition on the chemistry of barium and barium oxide (Ba/BaO) generation from dispenser cathode impregnants. Our approach is to make use of the BaO-CaO-Al/sub 2/O/sub 3/ phase diagram and BaO vapor pressures of impregnant phases to calculate the BaO vapor pressure of the impregnant. This BaO vapor pressure is used to calculate the Ba vapor pressure resulting from reactions between BaO vapor and the tungsten cathode. The Ba/BaO vapor pressures are used to calculate Ba/BaO generation and evaporation rates from a wide range of impregnant compositions. Ba/BaO evaporation rates from dispenser cathodes, reported in the literature over a range of Ba and calcium (Ca) concentrations, are consistent with the rates predicted from this study. Two trends are evident. First, increasing the Ba concentration in the impregnant generally forms high vapor pressure Ba-rich phases leading to high Ba/BaO evaporation rates. Second, increasing Ca concentration in the impregnant lowers in the Ba/BaO vapor pressures by forming more stable barium-calcium-aluminate solid solutions. Ca has little effect on Ba/BaO vapor pressure once its solubility limit is reached and a separate CaO phase is formed. This model illustrates the possibility of extending cathode life by selecting impregnants composed of fairly stable solid-solution phases for use in cathodes that must be operated at high temperature for high current density.

  13. Wideband and enhanced microwave absorption performance of doped barium ferrite

    NASA Astrophysics Data System (ADS)

    Meng, Pingyuan; Xiong, Kun; Ju, Kui; Li, Shengnan; Xu, Guangliang

    2015-07-01

    To achieve stronger microwave attenuation and larger bandwidth in electromagnetic absorber, the nickel ions (Ni2+) and manganese ions (Mn2+) were employed to partially replace the cobalt ions (Co2+) in BaCoTiFe10O19, and the doped barium hexaferrite (Ba(MnNi)0.2Co0.6TiFe10O19 and Ba(MnNi)0.25Co0.5TiFe10O19) powders were synthesized via the sol-gel combustion method. Subsequently, the microwave absorbing composites were prepared by mixing the ferrite powders with the paraffin. The X-ray diffraction (XRD) patterns of the doped ferrites confirmed the formation of the M-type barium ferrite, and no other types of barium ferrite could be found. Based on the electromagnetic parameters measured by the vector net-analyzer, it was found that the composite (Ba(MnNi)0.2Co0.6TiFe10O19) possessed a minimum reflection loss of -52.8 dB at 13.4 GHz with a matching thickness of 1.8 mm and the bandwidth below -15 dB was 5.8 GHz. Moreover, the maximum attenuation of Ba(MnNi)0.25Co0.5TiFe10O19 could reach -69 dB when its thickness was 1.8 mm, and also the bandwidth less than -20 dB was ranging from 13.2 GHz to 18 GHz. Thus, Ba(MnNi)0.2Co0.6TiFe10O19 and Ba(MnNi)0.25Co0.5TiFe10O19 could be the good microwave absorbers, which have great potentials to be applied in the high frequency fields of the microwave absorbing materials.

  14. Low incidence of spontaneous bacterial peritonitis in asymptomatic cirrhotic outpatients

    PubMed Central

    Cadranel, Jean-Franois; Nousbaum, Jean-Baptiste; Bessaguet, Christophe; Nahon, Pierre; Nguyen-Khac, Eric; Moreau, Richard; Thvenot, Thierry; Silvain, Christine; Bureau, Christophe; Nouel, Olivier; Pilette, Christophe; Paupard, Thierry; Pauwels, Arnaud; Sapey, Thierry; Grang, Jean-Didier; Tran, Albert

    2013-01-01

    AIM: To compare the incidence of spontaneous bacterial peritonitis in cirrhotic outpatients and inpatients undergoing therapeutic paracentesis METHODS: From January 1 to May 31, 2004, 1041 patients from 70 different hospitals underwent 2123 therapeutic abdominal paracentesis (AP) performed as a outpatient procedure in 355 and as inpatient procedure in 686 cases respectively. The following parameters were compared prospectively between outpatients and inpatients: spontaneous bacterial peritonitis (SBP) prevalence, age, gender, cause of cirrhosis, symptoms, score and grade according to Child-Pugh classification, cirrhosis complications, antibiotics treatment, serum creatinine, platelet count and ascitic protein concentration. RESULTS: SBP was observed in 91 patients. In the whole population the SBP prevalence was 8.7% (95%CI: 7.2-10.6) it was 11.7% (95%CI: 9.5-14.3) in inpatients and 3.1% (95%CI: 1.7-5.5) in outpatients (P < 0.00001). SBP prevalence was 8.3% (95%CI: 4.3-15.6) in symptomatic outpatients vs 1.2% (95%CI: 0.4-3.4) in asymptomatic outpatients (P < 0.002). Patients undergoing outpatient AP were significantly different from those undergoing inpatient AP; they were older (61.1 11.1 years vs 59.4 11.7 years; P = 0.028), cause of cirrhosis was less often alcohol (83 .7 vs 88.2%; P < 0.001), Child-Pugh score was lower (8.9 vs 10.1; P < 0.001) and more often B than C (63.7% vs 38%; P < 0.001). In addition, in outpatients the platelet count was higher (161 93 Giga/L vs 143 89 Giga/L; P = 0.003), serum total bilirubin concentration was lower (38.2 60.7 ?mol/L vs 96.3 143.3 ?mol/L; P < 0.0001), and ascitic protein concentration higher (17.9 10.7 g/L vs 14.5 10.9 g/L; P < 0.001) than in inpatients. CONCLUSION: In asymptomatic cirrhotic outpatients, the incidence of spontaneous bacterial peritonitis is low thus exploratory paracentesis could be avoided in these patients without significant risk. PMID:23556041

  15. Thermal properties of calcium doped strontium barium niobate crystal

    NASA Astrophysics Data System (ADS)

    Gao, Ch. Y.; Xia, H. R.; Xu, J. Q.; Zhou, C. L.; Zhang, H. J.; Wang, J. Y.

    2008-06-01

    Calcium doped strontium barium niobate is a tungsten-bronze ferroelectric crystal with a tetragonal unit cell. Thermophysical properties including specific heat, thermal expansion, and thermal diffusion were performed on a single crystal (Ca0.28Ba0.75)0.25(Sr0.60Ba0.40)0.75Nb2O6 (CSBN25) to determine thermal behaviors along the a and c axes. Negative thermal expansion was observed along the c axes below the Curie temperature. Isotropic thermal behavior (thermal diffusion and thermal conductivity) was observed around Curie temperature. The abnormal thermal behaviors are considered as arising due to the geometry of the dope-affected crystal.

  16. Nanodielectric system for cryogenic applications: Barium titanate filled polyvinyl alcohol

    SciTech Connect

    Tuncer, Enis; Sauers, Isidor; James, David Randy; Ellis, Alvin R; Duckworth, Robert C

    2008-01-01

    In the current study the focus is on dielectric properties (as a function of frequency and temperature) of a polymeric composite system composed of polyvinyl alcohol and barium titanate nano powder. In the investigations, the temperature range is between 50-295 K, and the frequency range is between $20\\ \\hertz-1\\ \\mega\\hertz$. Polarization and conduction processes are investigated in the linear regime. Dielectric breakdown strengths of samples are also reported. The materials presented have potential to be implemented in cryogenic capacitor or field grading applications.

  17. Enhanced flexoelectricity through residual ferroelectricity in barium strontium titanate

    SciTech Connect

    Garten, Lauren M. Trolier-McKinstry, Susan

    2015-03-07

    Residual ferroelectricity is observed in barium strontium titanate ceramics over 30?C above the global phase transition temperature, in the same temperature range in which anomalously large flexoelectric coefficients are reported. The application of a strain gradient leads to strain gradient-induced poling or flexoelectric poling. This was observed by the development of a remanent polarization in flexoelectric measurements, an induced d{sub 33} piezoelectric response even after the strain gradient was removed, and the production of an internal bias of 9?kV m{sup ?1}. It is concluded that residual ferroelectric response considerably enhances the observed flexoelectric response.

  18. Radium and barium in the Amazon River system

    SciTech Connect

    Moore, W.S.; Edmond, J.M.

    1984-03-20

    Data for /sup 226/Ra and /sup 228/Ra in the Amazon River system show that the activity of each radium isotope is strongly correlated with barium concentrations. Two trends are apparent, one for rivers which drain shield areas and another for all other rivers. These data suggest that there has been extensive fractionation of U, Th, and Ba during weathering in the Amazon basin. The /sup 226/Ra data fit a flux model for the major ions indicating that /sup 226/Ra behaves conservatively along the main channel of the Amazon River.

  19. Dielectric behavior of barium modified strontium bismuth titanate ceramic

    SciTech Connect

    Nayak, P.; Badapanda, T.; Anwar, S.; Panigrahi, S.

    2014-04-24

    Barium Modified Strontium Bismuth Titanate(SBT) ceramic with general formula Sr1?xBaxBi4Ti4O15 is prepared by solid state reaction route. The structural analysis of the ceramics was done by X-ray diffraction technique. The X-ray patterns show that all the compositions are of single phase with orthorhombic structure. The temperature dependent dielectric behavior shows that the transition temperature decreases with Ba content but the maximum dielectric constant increases. The decreases of the transition with increase in Ba{sup 2+} ion, may be due to the decrease of orthorhombicity by the incorporation of Ba{sup 2+} ion in SBT lattice.

  20. Strain engineered barium strontium titanate for tunable thin film resonators

    SciTech Connect

    Khassaf, H.; Khakpash, N.; Sun, F.; Sbrockey, N. M.; Tompa, G. S.; Kalkur, T. S.; Alpay, S. P.

    2014-05-19

    Piezoelectric properties of epitaxial (001) barium strontium titanate (BST) films are computed as functions of composition, misfit strain, and temperature using a non-linear thermodynamic model. Results show that through adjusting in-plane strains, a highly adaptive rhombohedral ferroelectric phase can be stabilized at room temperature with outstanding piezoelectric response exceeding those of lead based piezoceramics. Furthermore, by adjusting the composition and the in-plane misfit, an electrically tunable piezoelectric response can be obtained in the paraelectric state. These findings indicate that strain engineered BST films can be utilized in the development of electrically tunable and switchable surface and bulk acoustic wave resonators.

  1. CNO and F abundances in the barium star HD 123396

    NASA Astrophysics Data System (ADS)

    Alves-Brito, A.; Karakas, A. I.; Yong, D.; Melndez, J.; Vsquez, S.

    2011-12-01

    Context. Barium stars are moderately rare, chemically peculiar objects, which are believed to be the result of the pollution of an otherwise normal star by material from an evolved companion on the asymptotic giant branch (AGB). Aims: We aim to derive carbon, nitrogen, oxygen, and fluorine abundances for the first time from the infrared spectra of the barium red giant star HD 123396 to quantitatively test AGB nucleosynthesis models for producing barium stars via mass accretion. Methods: High-resolution and high S/N infrared spectra were obtained using the Phoenix spectrograph mounted at the Gemini South telescope. The abundances were obtained through spectrum synthesis of individual atomic and molecular lines, using the MOOG stellar line analysis program, together with Kurucz's stellar atmosphere models. The analysis was classical, using 1D stellar models and spectral synthesis under the assumption of local thermodynamic equilibrium. Results: We confirm that HD 123396 is a metal-deficient barium star ([Fe/H] = -1.05), with A(C) = 7.88, A(N) = 6.65, A(O) = 7.93, and A(Na) = 5.28 on a logarithmic scale where A(H) = 12, leading to [(C+N)/Fe] ? 0.5. The A(CNO) group, as well as the A(Na) abundances, is in excellent agreement with those previously derived for this star using high-resolution optical data. We also found A(F) = 4.16, which implies [F/O] = 0.39, a value that is substantially higher than the F abundances measured in globular clusters of a similar metallicity, noting that there are no F measurements in field stars of comparable metallicity. Conclusions: The observed abundance pattern of the light elements (CNO, F, and Na) recovered here as well as the heavy elements (s-process) studied elsewhere suggest that the surface composition of HD 123396 is well fitted by the predicted abundance pattern of a 1.5 M? AGB model star with Z = 0.001. Thus, the AGB mass transfer hypothesis offers a quantitatively viable framework.

  2. Co,Ti,Mn-precipitated barium hexaferrite powders

    SciTech Connect

    Michalikova, M.; Gruskova, A.; Vicen, R.; Lipka, J.; Slama, J.

    1994-03-01

    Barium ferrites substituted Co, Ti, Mn, produced by the citrate method have been studied. The substitution x in BaCo{sub x}Ti{sub x}Mn{sub y}Fe{sub 12{minus}2x{minus}y}O{sub 19} has been varied from 0.2--2.0 i./f.u. and the substitution of Mn y = 0.1 i./f.u.. Magnetic parameters were measured by the vibration magnetometer. The mechanism of hexagonal structure formation has been checked by Moessbauer spectroscopy.

  3. Aspiration of barium-impregnated polyethylene spheres by a dog.

    PubMed

    Greci, V; Bissett, S A; Copple, C N; Hawkins, E C

    2010-05-01

    This case report describes an 11-year-old Belgian Malinois dog with acute onset of cough caused by aspiration of barium-impregnated polyethylene spheres (BIPS) and pneumonia following an episode of suspected gastric dilation. Although bronchoscopic retrieval of the BIPS was largely unsuccessful, the dog recovered uneventfully, with most of the BIPS being coughed out and swallowed over a 1-month period. Aspiration of BIPS should be considered a potential complication of their administration. Furthermore, endoscopic removal of aspirated BIPS is challenging and may not be indicated because of their inert nature and possible self-clearance. PMID:20529021

  4. Modeling Of Self-Pumped Single Barium Titanate Crystal

    NASA Astrophysics Data System (ADS)

    Goff, John R.; Brody, P. S.

    1988-04-01

    We have earlier described a detailed mechanism of self-pumped phase conjugation in a barium titanate crystal [1]. The proposed mechanism was motivated and supported by observations of light paths in the crystal, and differs in some respects from better-known previous explanations of similar phenomena [2]. Our model attaches particular significance to a proposed resonance between two opposite reflecting corners and to the simultaneous existence of a system of cooperating transmission and reflection gratings. We show the operation of the hypothesized system of gratings, as simulated by computer analysis. The results show points of agreement and disagreement with the actual behavior of the self-pumping crystal.

  5. Agglomeration behavior of solid nickel on polycrystalline barium titanate

    SciTech Connect

    Weil, K Scott; Mast, Eric S; Sprenkle, Vince

    2007-11-01

    This letter describes the phenomenon that takes place between nickel/barium titanate couples when heated under conditions employed in multilayer ceramic capacitor manufacturing practice: a 4hr, 1300°C isothermal anneal in 1% H2 – 99% N2. Dense, sputtered nickel films were observed to dewet the titanate and agglomerate into discrete or interconnected islands via a solid-state process. Up to a critical film thickness value of ~1.4 μm, the degree of agglomeration was found to display an exponential dependence on the thickness of the original nickel film.

  6. A barium-rich binary central star in Abell 70

    NASA Astrophysics Data System (ADS)

    Boffin, Henri M. J.; Miszalski, Brent; Frew, David J.; Acker, Agnes; Kppen, Joachim; Moffat, Anthony F. J.; Parker, Quentin A.

    2012-08-01

    We have found the central star of Abell 70 (PN G038.1-25.4, hereafter A 70) to be a binary consisting of a G8 IV-V secondary and a hot white dwarf. The secondary shows enhanced Ba II and Sr II features, firmly classifying it as a barium star. The nebula is found to have Type-I chemical abundances with helium and nitrogen enrichment, which combined with future abundance studies of the central star, will establish A 70 as a unique laboratory for studying s-process AGB nucleosynthesis.

  7. Two barium plasma injections into the northern magnetospheric cleft

    NASA Technical Reports Server (NTRS)

    Jeffries, R. A.; Roach, W. H.; Hones, E. W., Jr.; Wescott, E. M.; Stenbaek-Nielsen, H. C.; Davis, T. N.; Winningham, J. D.

    1975-01-01

    Two rocket experiments, performed in January 1975, investigated convection of plasma formed by solar photoionization of barium injected into the northern magnetospheric cleft at 13 km/s upward and parallel to the local geomagnetic field. Plasma convection was demonstrated from the cleft's poleward region, directly into and across the polar cap, and possibly into the convection system of the nightside auroral electrojet; plasma injected centrally within the cleft under quiet magnetic conditions remained in the cleft convection system for at least 22 min and revealed a highly structured E-field over about 600 km of longitudinal extent. Cleft location agreed with that predicted by ionosondes.

  8. Dielectric behavior of barium modified strontium bismuth titanate ceramic

    NASA Astrophysics Data System (ADS)

    Nayak, P.; Badapanda, T.; Anwar, S.; Panigrahi, S.

    2014-04-01

    Barium Modified Strontium Bismuth Titanate(SBT) ceramic with general formula Sr1-xBaxBi4Ti4O15 is prepared by solid state reaction route. The structural analysis of the ceramics was done by X-ray diffraction technique. The X-ray patterns show that all the compositions are of single phase with orthorhombic structure. The temperature dependent dielectric behavior shows that the transition temperature decreases with Ba content but the maximum dielectric constant increases. The decreases of the transition with increase in Ba2+ ion, may be due to the decrease of orthorhombicity by the incorporation of Ba2+ ion in SBT lattice.

  9. Outpatient treatment costs and their potential impact on cancer care.

    PubMed

    Isshiki, Takahiro

    2014-12-01

    Cancer creates a tremendous financial burden. Cancer-related costs are categorized into direct, indirect, and psychosocial costs. Although there have been many reports on medical care costs, which are direct, those on other costs are extremely scarce. We estimated travel time and costs required for cancer patients to receive outpatient treatment. We studied 521 cancer patients receiving anti-cancer treatment between February 2009 and December 2012 at the Outpatient Chemotherapy Center of Teikyo University Chiba Medical Center. Address data were extracted from Data Warehouse electronic medical records, and travel distance and time required for outpatient treatment were calculated via MapInfo and ACT Distance Calculator Package. Transportation costs were estimated on the basis of 274 (=$3.00) per kilometer. The study design was approved by an ethics review board of Teikyo University (12-851). Average round-trip travel distance, time, and cost for all patients were 26.7 km, 72.5 min, and 7,303 ($79.99), respectively. Cancer patients incurred a travel cost of 4000-9000 ($40.00 to $100.00) for each outpatient treatment. With population aging, seniors living alone and senior households are increasing, and outpatient visits are becoming a common burden. PMID:25060622

  10. Lifestyle of Hemodialysis Patients in Comparison with Outpatients

    PubMed Central

    Moghadasian, Sima; Sahebi Hagh, Mohammad Hasan; Aghaallah Hokmabadi, Leila

    2012-01-01

    Introduction: Nowadays, the chronic diseases are known to be associated with lifestyle risk factors. Hemodialysis patients encounter considerable amount of physical, mental and social pressure. Lifestyle is important because it affects quality of life and has important role in prevention. This study aimed to compare the lifestyle of hemodialysis patients and outpatients in health clinics of Tabriz. Methods: This was a case-control study on 155 hemodialysis patients and 155 outpatients referring to five dialysis centers and clinics, who met the inclusion criteria. Demographic data and some questions about lifestyle in nutrition, stress, physical activity and smoking were asked. Results: The history of hypertension among hemodialysis patients was 34.6% greater than outpatients. High daily salt consumption (more than two tablespoons a day) was 40.5% higher among hemodialysis patients than outpatients. In terms of saturated oil intake, it was 30.8%higher among hemodialysis patients. Problem in communicating with family members was 69.8% higher in hemodialysis patients. In terms of physical activity, 46.4% of outpatients had higher physical activity like walking. Conclusion: Lifestyle in different dimensions was associated with chronic kidney disease (CKD); therefore, the officials of health system are recommended to develop a program to combat chronic diseases and integrate it with providing the first-level health services. It seems that public education can have a major role in life-style modification and in chronic kidney diseases prevention. PMID:25276683

  11. Centrifugal Jet Spinning for Highly Efficient and Large-scale Fabrication of Barium Titanate Nanofibers

    PubMed Central

    Ren, Liyun; Kotha, Shiva P.

    2014-01-01

    The centrifugal jet spinning (CJS) method has been developed to enable large-scale synthesis of barium titanate nanofibers. Barium titanate nanofibers with fiber diameters down to 50 nm and grain sizes around 25 nm were prepared with CJS by spinning a sol-gel solution of barium titanate and poly(vinylpyrrolidone) with subsequent heat treatment at 850 °C. XRD and FTIR analysis demonstrated high purity and tetragonal perovskite structured barium titanate nanofibers. SEM and TEM images confirm the continuous high aspect ratio structure of barium titanate nanofibers after heat treatment. It is demonstrated that the CJS technique offers a highly efficient method for large-scale fabrication of ceramic nanofibers at production rates of up to 0.3 gram/minute. PMID:24563566

  12. Occultation of the ATS-3 satellite by the AVEFRIA barium ion cloud

    SciTech Connect

    Fitzgerald, T.J.; Simons, D.J.; Pongratz, M.B.; Clynch, J.R.

    1981-01-01

    During the AVEFRIA DOS barium release experiment, sponsored by the Los Alamos National Laboratory and the Defense Nuclear Agency in May 1978, the line of sight from one of the ground observation stations to the ATS-3 satellite was occulted by the barium ion cloud for a period of approximately five minutes. Optical measurements of the structured barium ion cloud were made with intensified cameras using the 455.4-nm wavelength fluorescent ion line. These measurements have been related to barium ion column density. During the occultation, the amplitude scintillations of the 136.47-MHz signal from the ATS-3 satellite were monitored. The optical measurements have been used to correlate the barium column density with the total electron content measurements and to calculate the scintillation index, S/sub 4/, and the two dimensional intensity pattern for comparison with the measured amplitude scintillations.

  13. Removal of carbon dioxide by reactive crystallization in a scrubber—kinetics of barium carbonate crystals

    NASA Astrophysics Data System (ADS)

    Chen, Pao-Chi; Kou, K. L.; Tai, H. K.; Jin, S. L.; Lye, C. L.; Lin, C. Y.

    2002-04-01

    A bubble column scrubber was utilized to remove simulated CO 2 waste gas under a constant pH value. Using barium chloride solution as an absorbent reacting with CO 2-gas in the scrubber under an alkaline solution condition, precipitates of barium carbonate were formed during the operation. Measured crystal size distributions at a given time were used to calculate the growth rate of barium carbonate crystals, which is proportional to a 1.49 order of relative supersaturation. This demonstrates that both mass transfer and surface integration are important to the crystal growth of barium carbonate. The classical nucleation theory can be used to describe the nucleation rate of barium carbonate. In addition, the agglomeration kernel is proportional to a 2.86 order of relative supersaturation.

  14. Dissolution of Barium from Barite in Sewage Sludges and Cultures of Desulfovibrio desulfuricans

    PubMed Central

    Baldi, F.; Pepi, M.; Burrini, D.; Kniewald, G.; Scali, D.; Lanciotti, E.

    1996-01-01

    High concentrations of total barium, ranging from 0.42 to 1.58 mg(middot)g(sup-1) (dry weight) were found in sludges of two sewage treatment plants near Florence, Italy. Barium concentrations in the suspended matter decreased as redox potential values changed from negative to positive. An anoxic sewage sludge sample was aerated, and 30% of the total barium was removed in 24 h. To demonstrate that barium was solubilized from barite by sulfate-reducing bacteria, a strain of Desulfovibrio desulfuricans was used to study the solubilization of barium from barite under laboratory conditions. During cell growth with different concentrations of barite from 0.01 to 0.3 g(middot)liter(sup-1) (the latter is the MIC) as the only source of sulfates in the cultures, the D. desulfuricans strain accumulated barium up to 0.58 (mu)g(middot)mg(sup-1) (dry weight). Three times the quantity of barium was dissolved by bacteria than in the uninoculated medium (control). The unexpectedly low concentration of soluble barium (1.2 mg of Ba(middot)liter(sup-1)) with respect to the quantity expected (109 mg of Ba(middot)liter(sup-1)), calculated on the basis of the free H(inf2)S evolved from the dissimilatory reduction of sulfate from barite, was probably due to the formation of other barium compounds, such as witherite (BaCO(inf3)) and the transient species barium sulfide (BaS). The D. desulfuricans strain, growing on barite, formed visible aggregates. Confocal microscopy analysis showed that aggregates consisted of bacteria and barite. After 3 days of incubation, several autofluorescent crystals surrounded by a dissolution halo were observed. The crystals were identified as BaS by comparison with the commercial compound. PMID:16535353

  15. Tungsten and Barium Transport in the Internal Plasma of Hollow Cathodes

    NASA Technical Reports Server (NTRS)

    Polk, James E.; Mikellides, Ioannis G.; Katz, Ira; Capece, Angela M.

    2008-01-01

    The effect of tungsten erosion, transport and redeposition on the operation of dispenser hollow cathodes was investigated in detailed examinations of the discharge cathode inserts from an 8200 hour and a 30,352 hour ion engine wear test. Erosion and subsequent re-deposition of tungsten in the electron emission zone at the downstream end of the insert reduces the porosity of the tungsten matrix, preventing the flow of barium from the interior. This inhibits the interfacial reactions of the barium-calcium-aluminate impregnant with the tungsten in the pores. A numerical model of barium transport in the internal xenon discharge plasma shows that the barium required to reduce the work function in the emission zone can be supplied from upstream through the gas phase. Barium that flows out of the pores of the tungsten insert is rapidly ionized in the xenon discharge and pushedback to the emitter surface by the electric field and drag from the xenon ion flow. Thisbarium ion flux is sufficient to maintain a barium surface coverage at the downstream endgreater than 0.6, even if local barium production at that point is inhibited by tungsten deposits. The model also shows that the neutral barium pressure exceeds the equilibrium vapor pressure of the impregnant decomposition reaction over much of the insert length,so the reactions are suppressed. Only a small region upstream of the zone blocked by tungsten deposits is active and supplies the required barium. These results indicate that hollowcathode failure models based on barium depletion rates in vacuum dispenser cathodes are very conservative.

  16. Effects of chemesthetic stimuli mixtures with barium on swallowing apnea duration.

    TOXLINE Toxicology Bibliographic Information

    Todd JT; Butler SG; Plonk DP; Grace-Martin K; Pelletier CA

    2012-10-01

    OBJECTIVES/HYPOTHESIS: This study tested the hypotheses that swallowing apnea duration (SAD) will increase given barium versus water, chemesthetic stimuli (i.e., water < ethanol, acid, and carbonation) mixed with barium, age (older > younger), and genetic taste differences (supertasters > nontasters).STUDY DESIGN: Prospective group design.SETTING: University Medical Center.METHODS: Eighty healthy women were identified as nontasters and supertasters, equally comprising two age groups: 18 to 35 years and 60+ years. The KayPentax Swallowing Signals Lab was used to acquire SAD via nasal cannula during individually randomized swallows of 5 mL barium, 2.7% w/v citric acid with barium, carbonation with barium, and 50:50 diluted ethanol with barium. Data were analyzed using path analysis, with the mediator of chemesthetic perception, adjusted for repeated measures.RESULTS: Significant main effects of age (P = .012) and chemesthetic stimuli (P = .014) were found, as well as a significant interaction between chemesthetic stimuli and age (P = .028). Older women had a significantly longer SAD than younger women. Post hoc analyses revealed that barium mixed with ethanol elicited a significantly longer SAD than other bolus conditions, regardless of age group. There were no significant differences in SAD between barium and water conditions, and no significant effect of chemesthetic perception (P > .05).CONCLUSIONS: Ethanol added to barium elicited longer SAD compared to plain barium, but not the other chemesthetic conditions. Older women had a longer SAD than younger women in all conditions. These findings may influence design of future studies examining effects of various stimuli on SAD.

  17. Barium titanate core gold shell nanoparticles for hyperthermia treatments

    PubMed Central

    FarrokhTakin, Elmira; Ciofani, Gianni; Puleo, Gian Luigi; de Vito, Giuseppe; Filippeschi, Carlo; Mazzolai, Barbara; Piazza, Vincenzo; Mattoli, Virgilio

    2013-01-01

    The development of new tools and devices to aid in treating cancer is a hot topic in biomedical research. The practice of using heat (hyperthermia) to treat cancerous lesions has a long history dating back to ancient Greece. With deeper knowledge of the factors that cause cancer and the transmissive window of cells and tissues in the near-infrared region of the electromagnetic spectrum, hyperthermia applications have been able to incorporate the use of lasers. Photothermal therapy has been introduced as a selective and noninvasive treatment for cancer, in which exogenous photothermal agents are exploited to achieve the selective destruction of cancer cells. In this manuscript, we propose applications of barium titanate coregold shell nanoparticles for hyperthermia treatment against cancer cells. We explored the effect of increasing concentrations of these nanoshells (0100 ?g/mL) on human neuroblastoma SH-SY5Y cells, testing the internalization and intrinsic toxicity and validating the hyperthermic functionality of the particles through near infrared (NIR) laser-induced thermoablation experiments. No significant changes were observed in cell viability up to nanoparticle concentrations of 50 ?g/mL. Experiments upon stimulation with an NIR laser revealed the ability of the nanoshells to destroy human neuroblastoma cells. On the basis of these findings, barium titanate coregold shell nanoparticles resulted in being suitable for hyperthermia treatment, and our results represent a promising first step for subsequent investigations on their applicability in clinical practice. PMID:23847415

  18. Plasma waves associated with the first AMPTE magnetotail barium release

    NASA Technical Reports Server (NTRS)

    Gurnett, D. A.; Anderson, R. R.; Bernhardt, P. A.; Luehr, H.; Haerendel, G.

    1986-01-01

    Plasma waves observed during the March 21, 1985, AMPTE magnetotail barium release are described. Electron plasma oscillations provided local measurements of the plasma density during both the expansion and decay phases. Immediately after the explosion, the electron density reached a peak of about 400,000/cu cm, and then started decreasing approximately as t to the -2.4 as the cloud expanded. About 6 minutes after the explosion, the electron density suddenly began to increase, reached a secondary peak of about 240/cu cm, and then slowly decayed down to the preevent level over a period of about 15 minutes. The density increase is believed to be caused by the collapse of the ion cloud into the diamagnetic cavity created by the initial expansion. The plasma wave intensities observed during the entire event were quite low. In the diamagnetic cavity, electrostatic emissions were observed near the barium ion plasma frequency, and in another band at lower frequencies. A broadband burst of electrostatic noise was also observed at the boundary of the diamagnetic cavity. Except for electron plasma oscillations, no significant wave activity was observed outside of the diamagnetic cavity.

  19. Results of magnetospheric barium ion cloud experiment of 1971

    NASA Technical Reports Server (NTRS)

    Adamson, D.; Fricke, C. L.; Long, S. A. T.

    1975-01-01

    The barium ion cloud experiment involved the release of about 2 kg of barium at an altitude of 31 482 km, a latitude of 6.926 N., and a longitude of 74.395 W. Significant erosion of plasma from the main ion core occurred during the initial phase of the ion cloud expansion. From the motion of the outermost striational filaments, the electric field components were determined to be 0.19 mV/m in the westerly direction and 0.68 mV/m in the inward direction. The differences between these components and those measured from balloons flown in the proximity of the extremity of the field line through the release point implied the existence of potential gradients along the magnetic field lines. The deceleration of the main core was greater than theoretically predicted. This was attributed to the formation of a polarization wake, resulting in an increase of the area of interaction and resistive dissipation at ionospheric levels. The actual orientation of the magnetic field line through the release point differed by about 10.5 deg from that predicted by magnetic field models that did not include the effect of ring current.

  20. Crystal growth of barium rhenates from hydroxide fluxes

    NASA Astrophysics Data System (ADS)

    Bharathy, M.; Smith, M. D.; zur Loye, H.-C.

    2010-02-01

    Single crystals of two new barium rhenate compositions, Ba 16Re 6O 37 and Ba 10Re 3O 16(OH) 3, and of one new polymorph, orthorhombic Ba 5Re 2O 12, were grown out of a barium hydroxide flux in sealed silver tubes. Ba 16Re 6O 37 and Ba 10Re 3O 16(OH) 3 crystallize into the monoclinic C2/ m system, with a = 20.577(4) , b = 5.8897(10) , c = 15.438 (3) , ? = 92.255(10) and a = 1938342(9) , b = 5.8172(3) , c = 10.2925(5) , ? = 91.7460(10) , respectively. The orthorhombic polymorph of Ba 5Re 2O 12 crystallizes in the space group Pnma, with a = 19.6728(10) , b = 5.8491(3) and c = 10.4648(5) . All the three crystal structures are related and consist of a framework of BaO x polyhedra (where x varies from six to twelve) with interpenetrating layers of ReO 6 octahedra.

  1. Brillouin function characteristics for La-Co substituted barium hexaferrites

    NASA Astrophysics Data System (ADS)

    Wu, Chuanjian; Yu, Zhong; Yang, Yan; Sun, Ke; Guo, Rongdi; Jiang, Xiaona; Lan, Zhongwen

    2015-09-01

    La-Co substituted barium hexaferrites with the chemical formula of Ba1-xLaxFe12-xCoxO19 (x = 0.0, 0.1, 0.3, and 0.5), prepared by a conventional ceramic method, were systematically investigated by Raman spectra, X-ray photoelectron spectroscopy, Rietveld refinement of X-ray diffraction patterns, and vibrating sample magnetometer. The result manifests that all the compounds are crystallized in magnetoplumbite hexagonal structure. Trivalent cobalt ions prevailingly occupy the 2a, 4f1, and 12k sites. According to Néel model of collinear-spin ferrimagnetism, the molecular-field coefficients ωbf2, ωkf1, ωaf1, ωkf2, and ωbk of La-Co substituted barium hexaferrites have been calculated using the nonlinear fitting method, and the magnetic moment of five sublattices (2a, 2b, 4f1, 4f2, and 12k) versus temperature T has been also investigated. The fitting results are coincided well with the experimental data. Moreover, with the increase of La-Co substitution amount x, the molecular-field coefficients ωbf2 and ωaf1 decrease constantly, while the molecular-field coefficients ωkf1, ωkf2, and ωbk show a slight change.

  2. Proton trapping in yttrium-doped barium zirconate

    NASA Astrophysics Data System (ADS)

    Yamazaki, Yoshihiro; Blanc, Frdric; Okuyama, Yuji; Buannic, Lucienne; Lucio-Vega, Juan C.; Grey, Clare P.; Haile, Sossina M.

    2013-07-01

    The environmental benefits of fuel cells have been increasingly appreciated in recent years. Among candidate electrolytes for solid-oxide fuel cells, yttrium-doped barium zirconate has garnered attention because of its high proton conductivity, particularly in the intermediate-temperature region targeted for cost-effective solid-oxide fuel cell operation, and its excellent chemical stability. However, fundamental questions surrounding the defect chemistry and macroscopic proton transport mechanism of this material remain, especially in regard to the possible role of proton trapping. Here we show, through a combined thermogravimetric and a.c. impedance study, that macroscopic proton transport in yttrium-doped barium zirconate is limited by proton-dopant association (proton trapping). Protons must overcome the association energy, 29?kJ?mol-1, as well as the general activation energy, 16?kJ?mol-1, to achieve long-range transport. Proton nuclear magnetic resonance studies show the presence of two types of proton environment above room temperature, reflecting differences in proton-dopant configurations. This insight motivates efforts to identify suitable alternative dopants with reduced association energies as a route to higher conductivities.

  3. Proton trapping in yttrium-doped barium zirconate.

    PubMed

    Yamazaki, Yoshihiro; Blanc, Frdric; Okuyama, Yuji; Buannic, Lucienne; Lucio-Vega, Juan C; Grey, Clare P; Haile, Sossina M

    2013-07-01

    The environmental benefits of fuel cells have been increasingly appreciated in recent years. Among candidate electrolytes for solid-oxide fuel cells, yttrium-doped barium zirconate has garnered attention because of its high proton conductivity, particularly in the intermediate-temperature region targeted for cost-effective solid-oxide fuel cell operation, and its excellent chemical stability. However, fundamental questions surrounding the defect chemistry and macroscopic proton transport mechanism of this material remain, especially in regard to the possible role of proton trapping. Here we show, through a combined thermogravimetric and a.c. impedance study, that macroscopic proton transport in yttrium-doped barium zirconate is limited by proton-dopant association (proton trapping). Protons must overcome the association energy, 29 kJ mol(-1), as well as the general activation energy, 16 kJ mol(-1), to achieve long-range transport. Proton nuclear magnetic resonance studies show the presence of two types of proton environment above room temperature, reflecting differences in proton-dopant configurations. This insight motivates efforts to identify suitable alternative dopants with reduced association energies as a route to higher conductivities. PMID:23666383

  4. Growth of nanofibrous barium carbonate on calcium carbonate seeds

    NASA Astrophysics Data System (ADS)

    Homeijer, Sara J.; Olszta, Matthew J.; Barrett, Richard A.; Gower, Laurie B.

    2008-05-01

    Fibrous barium carbonate (BaCO 3/witherite) crystals 50-100 nm in diameter and several microns in length were grown on calcium carbonate (CaCO 3) seeds at temperatures as low as 4 °C. The BaCO 3 fibers were deposited onto calcite rhombs or CaCO 3 films using the polymer-induced liquid-precursor (PILP) process, which was induced with the sodium salt of polyacrylic acid (PAA). The structure and morphology of the resultant fibers were investigated using scanning electron microscopy (SEM), transmission electron microscopy (TEM), selected-area electron diffraction (SAED), and polarized light microscopy (PLM). Fibers were successfully grown on calcite seeds of various morphologies, with a range of barium concentrations, and PAA molecular weight and concentration. Two categories of fibers were grown: straight and twisted. Both types of fibers displayed single-crystalline SAED diffraction patterns, but after examining high-resolution TEM lattice images, it was revealed that the fibers were in fact made up of nanocrystalline domains. We postulate that these nanocrystalline domains are well aligned due to a singular nucleation event (i.e., each fiber propagates from a single nucleation event on the seed crystal) with the nanocrystalline domains resulting from stresses caused by dehydration during crystallization of the highly hydrated precursor phase. These BaCO 3 fibers grown on calcite substrates further illustrate the robustness and non-specificity of the PILP process.

  5. Empirical analysis of scaling and fractal characteristics of outpatients

    NASA Astrophysics Data System (ADS)

    Zhang, Li-Jiang; Liu, Zi-Xian; Guo, Jin-Li

    2014-01-01

    The paper uses power-law frequency distribution, power spectrum analysis, detrended fluctuation analysis, and surrogate data testing to evaluate outpatient registration data of two hospitals in China and to investigate the human dynamics of systems that use the first come, first served protocols. The research results reveal that outpatient behavior follow scaling laws. The results also suggest that the time series of inter-arrival time exhibit 1/f noise and have positive long-range correlation. Our research may contribute to operational optimization and resource allocation in hospital based on FCFS admission protocols.

  6. Work Satisfaction and Performance of Physicians in Pediatric Outpatient Clinics

    PubMed Central

    Nathanson, Constance A.; Becker, Marshall H.

    1973-01-01

    The sources and consequences of variations in work satisfaction are investigated in a study of approximately 100 physicians in six pediatric outpatient clinics, half of them associated with teaching hospitals and half with community hospitals. Measures of work satisfaction, role conflict, and performance are related to physicians' perceived internal and external reward values, controlling for clinic attributes and physicians' background characteristics, and differences between the two clinic types are documented. Implications of the study results for potential conflict between outpatient care and academic aims in teaching hospitals are discussed and avenues of possible further research are suggested. PMID:4705214

  7. New scrutiny of outpatient therapy with I-131.

    PubMed

    Harolds, Jay A

    2011-03-01

    Recently, there has been a Congressional examination of the safety to the public when outpatients are treated with I-131. The regulations regarding this procedure are being scrutinized to make sure that public safety is being protected. An evaluation of the data indicates that when Nuclear Regulatory Commission regulations are properly followed, the use of I-131 therapy is safe for the community. Furthermore, doing these procedures as an outpatient saves money and is more convenient for the patient. However, physicians also recognize that a small minority of patients who need I-131 treatment should be treated in the hospital. PMID:21285678

  8. Photoselective vaporization of the prostate in office and outpatient settings.

    PubMed

    Rosenthal, Brian D; DiTrolio, Joseph V

    2012-04-01

    The 980 nm/1470 nm diode laser represents the latest in laser technology for photovaporization of the prostate. Surgeons have already used this device in both inpatient and outpatient (office and ASC) setting to produce transurethral resection of the prostate (TURP) like lesions-albeit with fewer complications than traditional methods. The objective of this article is to report the techniques we used to demonstrate its efficacy and safety of the Evolve Dual (biolitec Inc., East Longmeadow, MA, USA) system in an outpatient surgery type setting. PMID:22512971

  9. Liquid-Phase Processing of Barium Titanate Thin Films

    NASA Astrophysics Data System (ADS)

    Harris, David Thomas

    Processing of thin films introduces strict limits on the thermal budget due to substrate stability and thermal expansion mismatch stresses. Barium titanate serves as a model system for the difficulty in producing high quality thin films because of sensitivity to stress, scale, and crystal quality. Thermal budget restriction leads to reduced crystal quality, density, and grain growth, depressing ferroelectric and nonlinear dielectric properties. Processing of barium titanate is typically performed at temperatures hundreds of degrees above compatibility with metalized substrates. In particular integration with silicon and other low thermal expansion substrates is desirable for reductions in costs and wider availability of technologies. In bulk metal and ceramic systems, sintering behavior has been encouraged by the addition of a liquid forming second phase, improving kinetics and promoting densification and grain growth at lower temperatures. This approach is also widespread in the multilayer ceramic capacitor industry. However only limited exploration of flux processing with refractory thin films has been performed despite offering improved dielectric properties for barium titanate films at lower temperatures. This dissertation explores physical vapor deposition of barium titanate thin films with addition of liquid forming fluxes. Flux systems studied include BaO-B2O3, Bi2O3-BaB2O 4, BaO-V2O5, CuO-BaO-B2O3, and BaO-B2O3 modified by Al, Si, V, and Li. Additions of BaO-B2O3 leads to densification and an increase in average grain size from 50 nm to over 300 nm after annealing at 900 °C. The ability to tune permittivity of the material improved from 20% to 70%. Development of high quality films enables engineering of ferroelectric phase stability using residual thermal expansion mismatch in polycrystalline films. The observed shifts to TC match thermodynamic calculations, expected strain from the thermal expansion coefficients, as well as x-ray diffract measurements . Our system exhibits flux-film-substrate interactions that can lead to dramatic changes to the microstructure. This effect is especially pronounced onc -sapphire, with Al diffusion from the substrate leading to formation of an epitaxial BaAl2O4 second phase at the substrate-film interface. The formation of this second phase in the presence of a liquid phase seeds {111} twins that drive abnormal grain growth. The orientation of the sapphire substrate determines the BaAl2O 4 morphology, enabling control the abnormal grain growth behavior. CuO additions leads to significant grain growth at 900 °C, with average grain size approaching 500 nm. The orthorhombic-tetragonal phase transition is clearly observable in temperature dependent measurements and both linear and nonlinear dielectric properties are improved. All films containing CuO are susceptible to aging. A number of other systems were investigated for efficacy at temperatures below 900 °C. Pulsed laser deposition was used to study flux + BaTiO 3 targets, layered flux films, and in situ liquids. RF-magnetron sputtering using a dual-gun approach was used to explore integration on flexible foils with Ba1-xSrxTiO3. Many of these systems were based on the BaO-B2O3 system, which has proven effective in thin films, multilayer ceramic capacitors, and bulk ceramics. Modifiers allow tailoring of the microstructure at 900 °C, however no compositions were found, and no reports exist in the open literature, that provide significant grain growth or densification below 900 °C. Liquid phase fluxes offer a promising path forward for low temperature processing of barium titanate, with the ultimate goal of integration with metalized silicon substrates. This work demonstrates significant improvements to dielectric properties and the necessity of understanding interactions in the film-flux-substrate system.

  10. Effect of heat treatment on the phase composition, structure and magnetic properties of M-type barium hexaferrite

    NASA Astrophysics Data System (ADS)

    Pashkova, E. V.; Solovyova, E. D.; Kolodiazhnyi, T. V.; Ivanitskii, V. P.; Belous, A. G.

    2014-11-01

    Effect of the heat treatment of carbonate-hydroxide precipitates on the phase composition, structure and magnetic properties of M-type barium hexaferrite has been investigated using the M?ssbauer spectroscopy, X-ray phase analysis and magnetic measurements. The distribution of Fe3+ ions over structural sites of barium hexaferrite with different degree of ferritizations has been defined. The conditions of single-domain behavior of barium hexaferrite nanoparticles in the magnetic field have been discussed. Obtained results explain the formation of magnetic structure during the synthesis of barium hexaferrite. This information could further be used for optimizing conditions for synthesis of nanosized barium hexaferrite with high-level properties.

  11. Low density barium and bentonite mixture versus high density barium: a comparative study to optimize negative gastrointestinal contrast agents for MRI.

    PubMed

    Paley, M R; Nicolas, A I; Mergo, P J; Torres, G M; Burton, S S; Ros, P R

    1997-01-01

    The purpose of this study was to compare the patient tolerance and efficacy, as magnetic resonance imaging negative oral contrast agents, of a mixture of clay compound bentonite and low density barium sulfate suspension with that of higher density barium sulfate. Twenty patients were randomized into two groups: 10 patients receiving a mixture of low concentration 60% w/v barium sulfate plus 2.5% w/v bentonite, and 10 patients receiving 220% w/v barium sulfate Liuqid-HD (E-Z-EM, Westbury, NY). Post-contrast Spin-echo (SE) T1- and T2-weighted images (WI) were obtained on a 1.0T magnet. Two independent readers scored the overall intraluminal signal intensity and delineation of the gastrointestinal tract and adjacent organs. Patient acceptance was evaluated via a short questionnaire, by recording spontaneous comments and documenting the quantity of contrast agent ingested. There was greater intraluminal bowel signal reduction and organ delineation with 220% w/v barium than with the barium-bentonite mixture on both SE T1WI (p = 0.03) and SE T2WI (p = 0.42). With both agents there was greater signal reduction on SE T2WI than SE T1WI. Higher scores for organ delineation for both contrast agents were seen with SE T1WI. With 220% w/v barium, there was significantly better delineation of the pancreatic body (p = 0.02) and pancreatic tail (p = 0.02) on T1WI compared with SE T2WI. With the barium-bentonite mixture, SE T1WI showed improved delineation of jejunum compared with SE T2WI (p = 0.03). There were no statistically significant differences between the volume of contrast ingested in the two groups. Abdominal cramps were recorded for one patient in each group. These results suggest that barium-bentonite mixture, although useful as a negative gastro-intestinal contrast agent, is not as effective as 220% w/v barium. Further studies with a larger patient population and concentration optimization studies are needed. PMID:9364949

  12. Bio-based barium alginate film: Preparation, flame retardancy and thermal degradation behavior.

    PubMed

    Liu, Yun; Zhang, Chuan-Jie; Zhao, Jin-Chao; Guo, Yi; Zhu, Ping; Wang, De-Yi

    2016-03-30

    A bio-based barium alginate film was prepared via a facile ionic exchange and casting approach. Its flammability, thermal degradation and pyrolysis behaviors, thermal degradation mechanism were studied systemically by limiting oxygen index (LOI), vertical burning (UL-94), microscale combustion calorimetry (MCC), thermogravimetric analysis (TGA) coupled with Fourier transform infrared analysis (FTIR) and pyrolysis-gas chromatography-mass spectrometry (Py-GC-MS). It showed that barium alginate film had much higher LOI value (52.0%) than that of sodium alginate film (24.5%). Moreover, barium alginate film passed the UL-94 V-0 rating, while the sodium alginate film showed no classification. Importantly, peak of heat release rate (PHRR) of barium alginate film in MCC test was much lower than that of sodium alginate film, suggested that introduction of barium ion into alginate film significantly decreased release of combustible gases. TG-FTIR and Py-GC-MS results indicated that barium alginate produced much less flammable products than that of sodium alginate in whole thermal degradation procedure. Finally, a possible degradation mechanism of barium alginate had been proposed. PMID:26794953

  13. Fabrication and characterization of cerium-doped barium titanate inverse opal by sol-gel method

    SciTech Connect

    Jin Yi; Zhu Yihua Yang Xiaoling; Li Chunzhong; Zhou Jinghong

    2007-01-15

    Cerium-doped barium titanate inverted opal was synthesized from barium acetate contained cerous acetate and tetrabutyl titanate in the interstitial spaces of a polystyrene (PS) opal. This procedure involves infiltration of precursors into the interstices of the PS opal template followed by hydrolytic polycondensation of the precursors to amorphous barium titanate and removal of the PS opal by calcination. The morphologies of opal and inverse opal were characterized by scanning electron microscope (SEM). The pores were characterized by mercury intrusion porosimetry (MIP). X-ray photoelectron spectroscopy (XPS) investigation showed the doping structure of cerium, barium and titanium. And powder X-ray diffraction allows one to observe the influence of doping degree on the grain size. The lattice parameters, crystal size and lattice strain were calculated by the Rietveld refinement method. The synthesis of cerium-doped barium titanate inverted opals provides an opportunity to electrically and optically engineer the photonic band structure and the possibility of developing tunable three-dimensional photonic crystal devices. - Graphical abstract: Cerium-doped barium titanate inverted opal was synthesized from barium acetate acid contained cerous acetate and tetrabutyl titanate in the interstitial spaces of a PS opal, which involves infiltration of precursors into the interstices of the PS opal template and removal of the PS opal by calcination.

  14. High barium levels in public drinking water and its association with elevated blood pressure.

    PubMed

    Brenniman, G R; Kojola, W H; Levy, P S; Carnow, B W; Namekata, T

    1981-01-01

    A maximum contaminant level for barium in drinking water has been set at 1. mg/L. This study examines for the first time, whether there are significant differences in mean blood pressure levels between a high and a low barium community. A total of approximately 2,400 Illinois residents in West Dundee, with a mean barium drinking water level of 7.3 mmg/L, and in McHenry, with a mean barium level of 0.1 mg/L, were studied. All other drinking water constituents were nearly identical between the two communities, with the major difference being the level of barium ingested. No significant differences (P greater than .05) were found in blood pressures between the high and low barium communities. Adjustment for duration of exposure, home water softeners, and high blood pressure medication did not alter the findings. The data from this study suggest that elevated levels of barium in drinking water do not significantly elevate blood pressure levels in adult males or females. It is recommended that the drinking water standard of 1. mg/L be re-examined for other possible health effects. PMID:7469488

  15. The Evolving Mixture of Barium Isotopes in Milky Way Halo Stars

    NASA Astrophysics Data System (ADS)

    Choudhury, Zareen; Kirby, E. N.; Guhathakurta, P.

    2014-01-01

    Heavy metals in stars form through one of two types of neutron capture processes: the rapid r-process or slower s-process. The fraction of odd and even barium isotopes in stars can indicate which process predominantly contributed to a stars heavy metals, since odd barium isotopes predominantly form through the r-process and even barium isotopes through the s-process. The stellar model predicts that older stars contain comparable amounts of odd and even barium isotopes, while the classical model states that they almost exclusively contain odd isotopes. This study investigated these competing models by analyzing high-resolution spectra of twelve Milky Way stars. These spectra were analyzed for the first time in this study. To quantify r- and s-process enrichment, we measured the odd barium isotope fraction in the stars by fitting models to the stars spectra. Generating models involved measuring the stars Doppler shift, resolution, and barium abundance. To reduce error margins we optimized resolution and barium abundance measurements by enhancing existing techniques through several rounds of revisions. Our results support the stellar model of heavy metal enrichment, and our proposed optimizations will enable future researchers to obtain a deeper understanding of chemical enrichment in the Universe. This research was supported by the Science Internship Program at the University of California Santa Cruz, Lick Observatory, and the National Science Foundation.

  16. Improving the view during flexible sigmoidoscopy: a systematic review of published randomized, controlled trials comparing the use of oral bowel preparation versus enema bowel preparation.

    PubMed

    Sajid, Muhammad Shafique; Caswell, Jennifer F; Abbas, Mustafa A Q; Baig, Mirza K; McFall, Malcolm R

    2015-09-01

    To systematically analyse the published randomized, controlled trials (RCTs) comparing the use of oral bowel preparation (OBP) versus enema bowel preparation (EBP) for diagnostic or screening flexible sigmoidoscopy. Published RCTs, comparing the use of OBP versus EBP, were analysed using RevMan(), and the combined outcomes were expressed as odds ratios (OR). Eight RCTs evaluating 2457 patients were retrieved from the standard electronic databases. There was significant heterogeneity among included trials. The compliance of the patients (p = 0.32) and the acceptability of both bowel preparation regimens (OR, 1.42; 95% CI, 0.67, 2.99; z = 0.92; p = 0.36) were similar in both groups. In addition, the incidence of adverse reactions (OR, 0.87; 95% CI, 0.54, 1.41; z = 0.57; p = 0.57), the risk of incomplete procedure due to poor bowel preparation (p = 0.18) and the incidence of poor bowel preparation (OR, 1.21; 95% CI, 0.63, 2.33; z = 0.59; p = 0.56) were also similar in both groups. EBP and OBP were equally effective for bowel preparation in patients undergoing flexible sigmoidoscopy. Although this study failed to demonstrate the superiority of EBP, at least equivalent efficacy for bowel cleansing may be extrapolated. PMID:25894508

  17. Outpatient Psychiatrists' Practices for Requesting Prior Treatment Records.

    PubMed

    Recupero, Patricia R; Harms, Samara E

    2015-12-01

    Patients' treatment records often contain information critical to risk assessment. We sought to determine whether psychiatrists treating outpatients agree about the standard of care (SOC) for requesting records from a patient's past clinicians. This web-based survey invited psychiatrists to review a hypothetical outpatient clinical vignette and to indicate whether they would request a release of information (ROI) from the patient for treatment records from past clinicians. Respondents also described the community SOC for similar scenarios and what they would do if a patient refused the ROI. Data were collected from June 15 through June 19, 2012. Most psychiatrists would try to obtain treatment records from any therapist, psychiatrist, or primary care physician seen by the patient within the past year. Some would require the patient's consent to ROI as a prerequisite to treatment. Few respondents felt that obtaining records from several years ago would be necessary in a typical, moderate-risk outpatient case. In an average outpatient scenario, the SOC would be to request treatment records from the past year. Psychiatrists rely heavily on clinical judgment when determining whether to obtain medical records from other providers. PMID:26668221

  18. Effectiveness of Child Psychoanalytic Psychotherapy in a Clinical Outpatient Setting

    ERIC Educational Resources Information Center

    Deakin, Elisabeth Kuhn; Tiellet Nunes, Maria Lucia

    2009-01-01

    The objective of this study was to evaluate the outcome of child psychoanalytic psychotherapy in a clinical outpatient setting in a city in southern Brazil. Three psychological tests (Rorschach, Bender and WISC III) were administered to 23 children, aged 6-11 years old, and the Child Behaviour Check List (CBCL) was completed by the parents. All

  19. Patient Satisfaction in Malaysia's Busiest Outpatient Medical Care

    PubMed Central

    Perianayagam, Wilson; Abdul Manaf, Rizal; Ali Jadoo, Saad Ahmed; Al-Dubai, Sami Abdo Radman

    2015-01-01

    This study aimed to explore factors associated with patient satisfaction of outpatient medical care in Malaysia. A cross-sectional exit survey was conducted among 340 outpatients aged between 13 and 80 years after successful clinical consultations and treatment acquirements using convenience sampling at the outpatient medical care of Tengku Ampuan Rahimah Hospital (HTAR), Malaysia, being the country's busiest medical outpatient facility. A survey that consisted of sociodemography, socioeconomic, and health characteristics and the validated Short-Form Patient Satisfaction Questionnaire (PSQ-18) scale were used. Patient satisfaction was the highest in terms of service factors or tangible priorities, particularly “technical quality” and “accessibility and convenience,” but satisfaction was low in terms of service orientation of doctors, particularly the “time spent with doctor,” “interpersonal manners,” and “communication” during consultations. Gender, income level, and purpose of visit to the clinic were important correlates of patient satisfaction. Effort to improve service orientation among doctors through periodical professional development programs at hospital and national level is essential to boost the country's health service satisfaction. PMID:25654133

  20. Patient satisfaction in Malaysia's busiest outpatient medical care.

    PubMed

    Ganasegeran, Kurubaran; Perianayagam, Wilson; Manaf, Rizal Abdul; Jadoo, Saad Ahmed Ali; Al-Dubai, Sami Abdo Radman

    2015-01-01

    This study aimed to explore factors associated with patient satisfaction of outpatient medical care in Malaysia. A cross-sectional exit survey was conducted among 340 outpatients aged between 13 and 80 years after successful clinical consultations and treatment acquirements using convenience sampling at the outpatient medical care of Tengku Ampuan Rahimah Hospital (HTAR), Malaysia, being the country's busiest medical outpatient facility. A survey that consisted of sociodemography, socioeconomic, and health characteristics and the validated Short-Form Patient Satisfaction Questionnaire (PSQ-18) scale were used. Patient satisfaction was the highest in terms of service factors or tangible priorities, particularly "technical quality" and "accessibility and convenience," but satisfaction was low in terms of service orientation of doctors, particularly the "time spent with doctor," "interpersonal manners," and "communication" during consultations. Gender, income level, and purpose of visit to the clinic were important correlates of patient satisfaction. Effort to improve service orientation among doctors through periodical professional development programs at hospital and national level is essential to boost the country's health service satisfaction. PMID:25654133

  1. Effectiveness of Child Psychoanalytic Psychotherapy in a Clinical Outpatient Setting

    ERIC Educational Resources Information Center

    Deakin, Elisabeth Kuhn; Tiellet Nunes, Maria Lucia

    2009-01-01

    The objective of this study was to evaluate the outcome of child psychoanalytic psychotherapy in a clinical outpatient setting in a city in southern Brazil. Three psychological tests (Rorschach, Bender and WISC III) were administered to 23 children, aged 6-11 years old, and the Child Behaviour Check List (CBCL) was completed by the parents. All…

  2. [Prevention of complications of colonic diverticular disease in outpatient practice].

    PubMed

    Levchenko, S V; Komissarenko, I A; Lazebnik, L B

    2016-01-01

    The literature review gives an update on the frequency and risk factors of complications of colonic diverticular disease, the results of recent investigations, which suggest the success and safety of outpatient treatment for uncomplicated acute diverticulitis. It evaluates the efficacy of pharmacological agents from different groups in preventing complications of colonic diverticular disease. PMID:27014782

  3. Perceived Mental Illness Stigma among Youth in Psychiatric Outpatient Treatment

    ERIC Educational Resources Information Center

    Elkington, Katherine S.; Hackler, Dusty; McKinnon, Karen; Borges, Cristiane; Wright, Eric R.; Wainberg, Milton L.

    2012-01-01

    This research explores the experiences of mental illness stigma in 24 youth (58.3% male, 13-24 years, 75% Latino) in psychiatric outpatient treatment. Using Link and Phelan's (2001) model of stigmatization, we conducted thematic analysis of the interview texts, examining experiences of stigma at individual and structural levels, in addition to the…

  4. Toward Instituting a Chaperone Policy in Outpatient Pediatric Clinics

    ERIC Educational Resources Information Center

    Feldman, Kenneth W.; Jenkins, Carol; Laney, Tyler; Seidel, Kristy

    2009-01-01

    Objectives: We sought to evaluate child, parent and medical provider preferences for chaperones for outpatient encounters and to evaluate the acceptability and frequency of utilization following institution of a chaperone policy. Secondarily, we sought to understand what medical history and examinations teens consider "sensitive." Design: We

  5. 42 CFR 410.60 - Outpatient physical therapy services: Conditions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... or a CAH or SNF. Medicare Part B pays for outpatient physical therapy services furnished to an inpatient of a hospital, CAH, or SNF who requires them but who has exhausted or is otherwise +ineligible for... SNF. (iv) Treat individuals who are patients of the practice and for whom the practice collects...

  6. 42 CFR 410.60 - Outpatient physical therapy services: Conditions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... or a CAH or SNF. Medicare Part B pays for outpatient physical therapy services furnished to an inpatient of a hospital, CAH, or SNF who requires them but who has exhausted or is otherwise +ineligible for... SNF. (iv) Treat individuals who are patients of the practice and for whom the practice collects...

  7. 42 CFR 410.59 - Outpatient occupational therapy services: Conditions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... or SNF. Medicare Part B pays for outpatient occupational therapy services furnished to an inpatient of a hospital, CAH, or SNF who requires them but who has exhausted or is otherwise ineligible for... SNF. (iv) Treat individuals who are patients of the practice and for whom the practice collects...

  8. 42 CFR 410.59 - Outpatient occupational therapy services: Conditions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... or SNF. Medicare Part B pays for outpatient occupational therapy services furnished to an inpatient of a hospital, CAH, or SNF who requires them but who has exhausted or is otherwise ineligible for... SNF. (iv) Treat individuals who are patients of the practice and for whom the practice collects...

  9. 42 CFR 410.60 - Outpatient physical therapy services: Conditions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... a hospital or a CAH or SNF. Medicare Part B pays for outpatient physical therapy services furnished to an inpatient of a hospital, CAH, or SNF who requires them but who has exhausted or is otherwise... SNF. (iv) Treat individuals who are patients of the practice and for whom the practice collects...

  10. 42 CFR 410.59 - Outpatient occupational therapy services: Conditions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... or SNF. Medicare Part B pays for outpatient occupational therapy services furnished to an inpatient of a hospital, CAH, or SNF who requires them but who has exhausted or is otherwise ineligible for... SNF. (iv) Treat individuals who are patients of the practice and for whom the practice collects...

  11. Addressing Principles of Recovery to Engage Consumers in Outpatient Treatment.

    PubMed

    Snyder, Marsha D; George, Benoy

    2015-08-01

    Mental illness often requires hospitalization, with high readmission rates. One way to improve outcomes and reduce readmission rates is for consumers to attend outpatient appointments. However, a major challenge in delivery of mental health outpatient treatment is missed appointments. When consumers miss appointments for outpatient follow-up, they also miss an opportunity for recovery. Non-attendance rates in psychiatric outpatient clinics have been a topic of considerable interest and attendance at appointments has been used as an indicator of quality of service provision. Strategies used to address missed appointments have been met with minimal success in improving engagement in treatment and do not offer evidence-based guidance regarding solutions to this challenge. Simple measures to gain consumer feedback on levels of therapeutic alliance and engagement in shared decision-making are available and can be used in clinical sessions to support recovery-based care. Psychiatric mental health nurses can engage consumers in recovery-based services that have salience to motivate them to engage in treatment. PMID:26379139

  12. Behaviour Profile of Hungarian Adolescent Outpatients with a Dual Diagnosis

    ERIC Educational Resources Information Center

    Dinya, Elek; Csorba, Janos; Suli, Agota; Grosz, Zsofia

    2012-01-01

    The behaviour dimensions of 244 Hungarian adolescent psychiatric outpatients with a dual diagnosis (intellectual disability and psychiatric diagnosis) were examined by means of the adapted version of the Behaviour Problem Inventory (BPI, Rojahn, Matson, Lott, Esbensen, & Smalls, 2001). Four IQ subgroups were created: borderline, mild, moderate and

  13. Laparoscopic Greater Curve Plication as an Outpatient Weight Loss Procedure

    PubMed Central

    Pacheco, Ilvia

    2015-01-01

    Background and Objectives: Laparoscopic greater curve plication is emerging as a weight loss procedure that avoids many of the complications of other surgeries that require gastrointestinal division, amputation, or use of a foreign body. Cost savings and affordability have also been promoted, as plication does not require the use of stapling devices, adjustable gastric bands, or prolonged hospitalization. The ability to predictably perform plication as an outpatient surgery may further define its role as a therapeutic option for treating morbid obesity. We present the 30-day outcomes and supplementary 12-month data in a series of 141 laparoscopic greater curve plication surgeries performed as outpatient procedures. Methods: Laparoscopic greater curve plication was performed as outpatient surgery in 141 consecutive patients. Outcomes including perioperative complications, incidental 12-month follow-up for weight loss, and change in diabetic and hypertensive medication are reported. Results: Of the 141 plications performed, 138 patients were discharged from the recovery room and 6 were readmitted. There was no conversion to open surgery and no mortality. Conclusions: The ability to reliably perform greater curve plication as an outpatient surgery may further define its role as an additional weight loss surgery technique. PMID:26508824

  14. Self-Esteem and Suicide Ideation in Psychiatric Outpatients

    ERIC Educational Resources Information Center

    Bhar, Sunil; Ghahramanlou-Holloway, Marjan; Brown, Gregory; Beck, Aaron T.

    2008-01-01

    Depression, hopelessness, and low self-esteem are implicated as vulnerability factors for suicide ideation. The association of self-esteem with suicide ideation after controlling for depressed mood and hopelessness was examined. Adult psychiatric outpatients (N = 338) completed measures of self-esteem, suicide ideation, hopelessness, and

  15. Hypomagnesemia Among Outpatient Long-Term Proton Pump Inhibitor Users.

    PubMed

    Biyik, Murat; Solak, Yalcin; Ucar, Ramazan; Cifci, Sami; Tekis, Dilek; Polat, Ilker; Gktepe, Mevlt Hakan; Sakiz, Davut; Ataseven, Huseyin; Demir, Ali

    2014-10-28

    Proton pump inhibitors (PPIs) are extensively prescribed drugs usually used for a long period. Recent reports linked PPI use with development of hypomagnesemia. However, there is still uncertainty regarding risk of hypomagnesemia in outpatients who were on long-term PPI use. Thus, we aimed to evaluate frequency of hypomagnesemia among a well-defined outpatient patient cohort with no other possible risk factors affecting serum magnesium levels. This was a case-control study carried out at the outpatient gastroenterology clinic of a University hospital. Patients who were on PPI therapy for at least 6 months without diuretic use and chronic kidney disease were included. Patients who were subjected to the same inclusion and exclusion criteria and not using PPI were included as control subjects. One hundred fifty-four patients and 84 control subjects were included. The mean duration of PPI use was 27.5 2.5 months. Mean serum magnesium levels of PPI users and nonusers were 2.17 0.20 mg/dL and 2.19 0.15 mg/dL, respectively. None of the patient had a serum magnesium level below laboratory lower range of 1.7 mg/dL. Our results showed that for typical gastroenterology outpatient clinic patients with no other risk factors affecting serum magnesium levels, long-term PPI use did not affect serum magnesium levels. PMID:25353358

  16. Reducing Outpatient Waiting Time: A Simulation Modeling Approach

    PubMed Central

    Aeenparast, Afsoon; Tabibi, Seyed Jamaleddin; Shahanaghi, Kamran; Aryanejhad, Mir Bahador

    2013-01-01

    Objectives The objective of this study was to provide a model for reducing outpatient waiting time by using simulation. Materials and Methods A simulation model was constructed by using the data of arrival time, service time and flow of 357 patients referred to orthopedic clinic of a general teaching hospital in Tehran. The simulation model was validated before constructing different scenarios. Results In this study 10 scenarios were presented for reducing outpatient waiting time. Patients waiting time was divided into three levels regarding their physicians. These waiting times for all scenarios were computed by simulation model. According to the final scores the 9th scenario was selected as the best way for reducing outpatient's waiting time. Conclusions Using the simulation as a decision making tool helps us to decide how we can reduce outpatient's waiting time. Comparison of outputs of this scenario and the based- case scenario in simulation model shows that combining physician's work time changing with patient's admission time changing (scenario 9) would reduce patient waiting time about 73.09%. Due to dynamic and complex nature of healthcare systems, the application of simulation for the planning, modeling and analysis of these systems has lagged behind traditional manufacturing practices. Rapid growth in health care system expenditures, technology and competition has increased the complexity of health care systems. Simulation is a useful tool for decision making in complex and probable systems. PMID:24616801

  17. Evidence-Based Practice for Outpatient Clinical Teams

    ERIC Educational Resources Information Center

    Hamilton, John D.

    2006-01-01

    This column focuses on evidence-based practice (EBP) within multidisciplinary outpatient settings, but first provides some definitions. Besides EBP (Burns and Hoagwood, 2005; Guyatt and Rennie, 2002), there are also evidence-based medicine (EBM; March et al., 2005), evidence-based service (EBS; Chorpita et al., 2002), and evidence-based treatment

  18. Aetiology of Intellectual Disability in Paediatric Outpatients in Northern India

    ERIC Educational Resources Information Center

    Jauhari, Prashant; Boggula, Raju; Bhave, Anupama; Bhargava, Roli; Singh, Chandrakanta; Kohli, Neera; Yadav, Rajesh; Kumar, Rashmi

    2011-01-01

    Aim: To study the aetiology of intellectual disability in patients presenting to hospital and the diagnostic yield of a standardized examination. Method: Over a 1-year period, the first three children presenting to the paediatric outpatients department (OPD) on 2 selected weekdays with developmental delay, suspected intellectual disability, or

  19. 38 CFR 17.161 - Authorization of outpatient dental treatment.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    .... 1712(b) and 38 CFR 17.93 to the extent prescribed and in accordance with the applicable classification... of CFR Sections Affected, which appears in the Finding Aids section of the printed volume and at www... outpatient dental treatment. 17.161 Section 17.161 Pensions, Bonuses, and Veterans' Relief DEPARTMENT...

  20. 38 CFR 17.161 - Authorization of outpatient dental treatment.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    .... 1712(b) and 38 CFR 17.93 to the extent prescribed and in accordance with the applicable classification... of CFR Sections Affected, which appears in the Finding Aids section of the printed volume and at www... outpatient dental treatment. 17.161 Section 17.161 Pensions, Bonuses, and Veterans' Relief DEPARTMENT...

  1. 38 CFR 17.161 - Authorization of outpatient dental treatment.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    .... 1712(b) and 38 CFR 17.93 to the extent prescribed and in accordance with the applicable classification... of CFR Sections Affected, which appears in the Finding Aids section of the printed volume and at www... outpatient dental treatment. 17.161 Section 17.161 Pensions, Bonuses, and Veterans' Relief DEPARTMENT...

  2. 38 CFR 17.161 - Authorization of outpatient dental treatment.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    .... 1712(b) and 38 CFR 17.93 to the extent prescribed and in accordance with the applicable classification... of CFR Sections Affected, which appears in the Finding Aids section of the printed volume and at www... outpatient dental treatment. 17.161 Section 17.161 Pensions, Bonuses, and Veterans' Relief DEPARTMENT...

  3. Aetiology of Intellectual Disability in Paediatric Outpatients in Northern India

    ERIC Educational Resources Information Center

    Jauhari, Prashant; Boggula, Raju; Bhave, Anupama; Bhargava, Roli; Singh, Chandrakanta; Kohli, Neera; Yadav, Rajesh; Kumar, Rashmi

    2011-01-01

    Aim: To study the aetiology of intellectual disability in patients presenting to hospital and the diagnostic yield of a standardized examination. Method: Over a 1-year period, the first three children presenting to the paediatric outpatients department (OPD) on 2 selected weekdays with developmental delay, suspected intellectual disability, or…

  4. Perceived Mental Illness Stigma among Youth in Psychiatric Outpatient Treatment

    ERIC Educational Resources Information Center

    Elkington, Katherine S.; Hackler, Dusty; McKinnon, Karen; Borges, Cristiane; Wright, Eric R.; Wainberg, Milton L.

    2012-01-01

    This research explores the experiences of mental illness stigma in 24 youth (58.3% male, 13-24 years, 75% Latino) in psychiatric outpatient treatment. Using Link and Phelan's (2001) model of stigmatization, we conducted thematic analysis of the interview texts, examining experiences of stigma at individual and structural levels, in addition to the

  5. Resident Physicians' Perspectives on Effective Outpatient Teaching: A Qualitative Study

    ERIC Educational Resources Information Center

    Kisiel, John B.; Bundrick, John B.; Beckman, Thomas J.

    2010-01-01

    Learning theories, which suggest that experienced faculty use collaborative teaching styles, are reflected in qualitative studies of learners in hospital settings. However, little research has used resident focus groups to explore characteristics of successful teachers in outpatient clinics. Therefore, focus group discussions with first through…

  6. Identifying Outpatients with Entrenched Suicidal Ideation Following Hospitalization

    ERIC Educational Resources Information Center

    O'Connor, Stephen S.; Jobes, David A.; Comtois, Katherine Anne; Atkins, David C.; Janis, Karin; Chessen, Chloe E.; Landes, Sara J.

    2012-01-01

    The purpose of this study was to identify outpatients who experience entrenched suicidal ideation following inpatient psychiatric hospitalization. Our findings suggest that the use of a suicidal ambivalence index score was helpful at discriminating those who reported significantly greater ratings of suicidal ideation across a 1-year period of

  7. Self-Esteem and Suicide Ideation in Psychiatric Outpatients

    ERIC Educational Resources Information Center

    Bhar, Sunil; Ghahramanlou-Holloway, Marjan; Brown, Gregory; Beck, Aaron T.

    2008-01-01

    Depression, hopelessness, and low self-esteem are implicated as vulnerability factors for suicide ideation. The association of self-esteem with suicide ideation after controlling for depressed mood and hopelessness was examined. Adult psychiatric outpatients (N = 338) completed measures of self-esteem, suicide ideation, hopelessness, and…

  8. Evidence-Based Practice for Outpatient Clinical Teams

    ERIC Educational Resources Information Center

    Hamilton, John D.

    2006-01-01

    This column focuses on evidence-based practice (EBP) within multidisciplinary outpatient settings, but first provides some definitions. Besides EBP (Burns and Hoagwood, 2005; Guyatt and Rennie, 2002), there are also evidence-based medicine (EBM; March et al., 2005), evidence-based service (EBS; Chorpita et al., 2002), and evidence-based treatment…

  9. Magnetic properties of Ni substituted Y-type barium ferrite

    SciTech Connect

    Won, Mi Hee; Kim, Chul Sung

    2014-05-07

    Y-type barium hexaferrite is attractive material for various applications, such as high frequency antennas and RF devices, because of its interesting magnetic properties. Especially, Ni substituted Y- type hexaferrites have higher magnetic ordering temperature than other Y-type. We have investigated macroscopic and microscopic properties of Y-type barium hexaferrite. Ba{sub 2}Co{sub 2−x}Ni{sub x}Fe{sub 12}O{sub 22} (x = 0, 0.5, 1.0, 1.5, and 2.0) samples are prepared by solid-state reaction method and studied by X-ray diffraction (XRD), vibrating sample magnetometer, and Mössbauer spectroscopy, as well as a network analyzer for high frequency characteristics. The XRD pattern is analyzed by Rietveld refinement method and confirms the hexagonal structure with R-3m. The hysteresis curve shows ferrimagnetic behavior. Saturation magnetization (M{sub s}) decreases with Ni contents. Ni{sup 2+}, which preferentially occupies the octahedral site with up-spin sub-lattice, has smaller spin value S of 1 than Co{sup 2+} having S = 3/2. The zero-field-cooled (ZFC) measurement of Ba{sub 2}Co{sub 1.5}Ni{sub 0.5}Fe{sub 12}O{sub 22} shows that Curie and spin transition temperatures are found to be 718 K and 209 K, respectively. The Curie temperature T{sub C} is increased with Ni contents, while T{sub S} is decreased with Ni. The Mössbauer spectra were measured at various temperatures and fitted by using a least-squares method with six sextet of six Lorentzian lines for Fe sites, corresponding to the 3b{sub VI}, 6c{sub IV}*, 6c{sub VI}, 18h{sub VI}, 6c{sub IV}, and 3a{sub IV} sites at below T{sub C}. From Mössbauer measurements, we confirmed the spin state of Fe ion to be Fe{sup 3+} and obtained the isomer shift (δ), magnetic hyperfine field (H{sub hf}), and the occupancy ratio of Fe ions at six sub-lattices. The complex permeability and permittivity are measured between 100 MHz and 4 GHz, suggesting that Y-type barium hexaferrite is promising for antenna applications in UHF band.

  10. Magnetic properties of Ni substituted Y-type barium ferrite

    NASA Astrophysics Data System (ADS)

    Won, Mi Hee; Kim, Chul Sung

    2014-05-01

    Y-type barium hexaferrite is attractive material for various applications, such as high frequency antennas and RF devices, because of its interesting magnetic properties. Especially, Ni substituted Y- type hexaferrites have higher magnetic ordering temperature than other Y-type. We have investigated macroscopic and microscopic properties of Y-type barium hexaferrite. Ba2Co2-xNixFe12O22 (x = 0, 0.5, 1.0, 1.5, and 2.0) samples are prepared by solid-state reaction method and studied by X-ray diffraction (XRD), vibrating sample magnetometer, and Mssbauer spectroscopy, as well as a network analyzer for high frequency characteristics. The XRD pattern is analyzed by Rietveld refinement method and confirms the hexagonal structure with R-3m. The hysteresis curve shows ferrimagnetic behavior. Saturation magnetization (Ms) decreases with Ni contents. Ni2+, which preferentially occupies the octahedral site with up-spin sub-lattice, has smaller spin value S of 1 than Co2+ having S = 3/2. The zero-field-cooled (ZFC) measurement of Ba2Co1.5Ni0.5Fe12O22 shows that Curie and spin transition temperatures are found to be 718 K and 209 K, respectively. The Curie temperature TC is increased with Ni contents, while TS is decreased with Ni. The Mssbauer spectra were measured at various temperatures and fitted by using a least-squares method with six sextet of six Lorentzian lines for Fe sites, corresponding to the 3bVI, 6cIV*, 6cVI, 18hVI, 6cIV, and 3aIV sites at below TC. From Mssbauer measurements, we confirmed the spin state of Fe ion to be Fe3+ and obtained the isomer shift (?), magnetic hyperfine field (Hhf), and the occupancy ratio of Fe ions at six sub-lattices. The complex permeability and permittivity are measured between 100 MHz and 4 GHz, suggesting that Y-type barium hexaferrite is promising for antenna applications in UHF band.

  11. 78 FR 6851 - Agency Information Collection (Dental Record Authorization and Invoice for Outpatient Services...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-31

    ... AFFAIRS Agency Information Collection (Dental Record Authorization and Invoice for Outpatient Services.... 2900-0335.'' SUPPLEMENTARY INFORMATION: Title: Dental Record Authorization and Invoice for Outpatient... fee dental program. The associated instructions make it possible to communicate with clarity...

  12. Copper mixed-valency in a new aluminum-barium-copper oxide

    NASA Astrophysics Data System (ADS)

    Vernooy, Paul D.; Dixon, Michael A.; Stacy, Angelica M.

    The results of an attempt to grow single crystals of yttrium-barium-copper-oxide (YBCO) superconductor by slow cooling from high-temperature barium hydroxide flux containing a small amount of barium chloride in an alumina crucible are reported. The resulting crystals were large hexagonal plates which were not the YBCO superconductor, but a new quaternary compound containing aluminum dissolved from the crucible by the basic melt. This new material, Al6Ba46Cu24O(86-x), is a black semiconductor with a bandgap of about 0.5 eV. From the stoichiometry of the fully oxidized material, copper has a formal valence midway between +23 and +3.

  13. Diffusion and phase transitions in barium monolayers on the (011) plane of tungsten

    NASA Astrophysics Data System (ADS)

    Naumovets, A. G.; Poplavsky, V. V.; Vedula, Yu. S.

    1988-07-01

    The diffusion parameters of barium on W(011) are shown to correlate with phase transitions in the adlayer. A suprisingly strong difference is found both in absolute values and in the coverage dependence of the diffusion parameters for barium on the (011) plane of W and Mo. A considerably lower mobility of barium on molybdenum is attributed to a larger contribution of covalent bonding on this substrate. It is concluded that the electron structure, together with the atomic structure of a surface, plays an important role in surface diffusion.

  14. Calcium barium niobate ridge waveguide on silicon substrate

    NASA Astrophysics Data System (ADS)

    Mortazy, Ebrahim; Stateikina, Irina; Tehranchi, Amirhossein; Delprat, Sbastien; Chaker, Mohamed; Wu, Ke

    2010-07-01

    A novel optical ridge waveguide using calcium barium niobate (CBN) with a high electro-optic coefficient on silicon substrate is proposed for the design and realization of the next-generation hybrid modulators with short length and low driving voltage. To overcome the etching difficulty of CBN, the design of a waveguide, including an elevated CBN layer based on etched silicon dioxide, is presented. Fabrication of a thick 2.5-?m CBN layer is performed using pulsed laser deposition. Deposited silicon dioxide on the sides and top of the CBN reduces the waveguide loss as low as 3.44 dB/cm, measured using a cutback method. Good agreement between the mode profiles of the simulation and measurement is obtained.

  15. Analysis of barium hydroxide and calcium hydroxide slurry carbonation reactors

    SciTech Connect

    Patch, K.D.; Hart, R.P.; Schumacher, W.A.

    1980-05-01

    The removal of CO/sub 2/ from air was investigated by using a continuous-agitated-slurry carbonation reactor containing either barium hydroxide (Ba(OH)/sub 2/) or calcium hydroxide (Ca(OH)/sub 2/). Such a process would be applied to scrub /sup 14/CO/sub 2/ from stack gases at nuclear-fuel reprocessing plants. Decontamination factors were characterized for reactor conditions which could alter hydrodynamic behavior. An attempt was made to characterize reactor performance with models assuming both plug flow and various degrees of backmixing in the gas phase. The Ba(OH)/sub 2/ slurry enabled increased conversion, but apparently the process was controlled under some conditions by phenomena differing from those observed for carbonation by Ca(OH)/sub 2/. Overall reaction mechanisms are postulated.

  16. Dynamics of the CRRES barium releases in the magnetosphere

    NASA Technical Reports Server (NTRS)

    Fuselier, S. A.; Mende, S. B.; Geller, S. P.; Miller, M.; Hoffman, R. A.; Wygant, J. R.; Pongratz, M.; Meredith, N. P.; Anderson, R. R.

    1994-01-01

    The Combined Release and Radiation Effects Satellite (CRRES) G-2, G-3, and G-4 ionized and neutral barium cloud positions are triangulated from ground-based optical data. From the time history of the ionized cloud motion perpendicular to the magnetic field, the late time coupling of the ionized cloud with the collisionless ambient plasma in the magnetosphere is investigated for each of the releases. The coupling of the ionized clouds with the ambient medium is quantitatively consistent with predictions from theory in that the coupling time increases with increasing distance from the Earth. Quantitative comparison with simple theory for the couping time also yields reasonable agreement. Other effects not predicted by the theory are discussed in the context of the observations.

  17. Coralline barium records temporal variability in equatorial Pacific upwelling

    NASA Astrophysics Data System (ADS)

    Lea, David W.; Shen, Glen T.; Boyle, Edward A.

    1989-08-01

    LATTICE-BOUND cadmium in scleractinian corals has been shown to be a sensitive tracer of historical changes in the nutrient content of surface waters1,2. Barium also substitutes into the lattice of aragonite reef-building corals because there is solid solution between orthorhombic BaCO3 (witherite) and CaCO3(aragonite)3. It is expected that the substitution should be proportional to the Ba content of sea water, which increases from low values in warm surface waters to higher values in cold deep waters. Here we present a high-resolution coralline Ba record from the Galapagos Islands spanning the period 1965-1978. Coralline Ba/Ca tracks historical sea surface temperatures, reflecting the vertical displacement of warm nutrient-poor surface waters by cold, nutrient-rich source waters. Differences between coralline Ba and Cd records may be due to preferential uptake of Cd by phytoplankton during times of lower surface nutrients.

  18. Barium titanate nanocomposite capacitor FY09 year end report.

    SciTech Connect

    Stevens, Tyler E.; DiAntonio, Christopher Brian; Yang, Pin; Chavez, Tom P.; Winter, Michael R.; Monson, Todd C.; Roesler, Alexander William; Fellows, Benjamin D.

    2009-11-01

    This late start RTBF project started the development of barium titanate (BTO)/glass nanocomposite capacitors for future and emerging energy storage applications. The long term goal of this work is to decrease the size, weight, and cost of ceramic capacitors while increasing their reliability. Ceramic-based nanocomposites have the potential to yield materials with enhanced permittivity, breakdown strength (BDS), and reduced strain, which can increase the energy density of capacitors and increase their shot life. Composites of BTO in glass will limit grain growth during device fabrication (preserving nanoparticle grain size and enhanced properties), resulting in devices with improved density, permittivity, BDS, and shot life. BTO will eliminate the issues associated with Pb toxicity and volatility as well as the variation in energy storage vs. temperature of PZT based devices. During the last six months of FY09 this work focused on developing syntheses for BTO nanoparticles and firing profiles for sintering BTO/glass composite capacitors.

  19. Synthesis and optical study of barium magnesium aluminate blue phosphors

    SciTech Connect

    Jeet, Suninder Pandey, O. P.; Sharma, Manoj

    2015-05-15

    Europium doped barium magnesium aluminate (BaMgAl{sub 10}O{sub 17}:Eu{sup 2+}) phosphor was prepared via solution combustion method at 550°C using urea as a fuel. Morphological and optical properties of the prepared sample was studied by X-ray diffraction (XRD), Transmission electron microscopy (TEM) and Photoluminescence spectroscopy (PL). XRD result showed the formation of pure phase BaMgAl{sub 10}O{sub 17}(JCPDS 26-0163) along with an additional phase BaAl{sub 2}O{sub 4}(JCPDS 01-082-1350). TEM image indicated the formation of faceted particles with average particle size 40 nm. From PL spectra, a broad emission band obtained at about 450 nm attributes to 4f{sup 6} 5d → 4f{sup 7} transition of Eu{sup 2+} which lies in the blue region of the visible spectrum.

  20. Strontium and barium iodide high light yield scintillators

    NASA Astrophysics Data System (ADS)

    Cherepy, Nerine J.; Hull, Giulia; Drobshoff, Alexander D.; Payne, Stephen A.; van Loef, Edgar; Wilson, Cody M.; Shah, Kanai S.; Roy, Utpal N.; Burger, Arnold; Boatner, Lynn A.; Choong, Woon-Seng; Moses, William W.

    2008-02-01

    Europium-doped strontium and barium iodide are found to be readily growable by the Bridgman method and to produce high scintillation light yields. SrI2(Eu ) emits into the Eu2+ band, centered at 435nm, with a decay time of 1.2?s and a light yield of 90000photons/MeV. It offers energy resolution better than 4% full width at half maximum at 662keV, and exhibits excellent light yield proportionality. BaI2(Eu ) produces >30000photons/MeV into the Eu2+ band at 420nm (<1?s decay). An additional broad impurity-mediated recombination band is present at 550nm (>3?s decay), unless high-purity feedstock is used.

  1. Preparation and magnetic properties of barium hexaferrite nanorods

    SciTech Connect

    Mu Guohong Pan Xifeng; Chen Na; Gan Keke; Gu Mingyuan

    2008-06-03

    The barium hexaferrite nanorods were successfully prepared by sol-gel technique combined with polymethylmethacrylate as template. The crystal structure, morphology and magnetic properties of BaFe{sub 12}O{sub 19} with different shape were investigated with X-ray diffraction, field emission scanning electron microscope and vibrating sample magnetometry. The results show that diameters and lengths of magnetic nanorods are about 60 nm and 300 nm, respectively. The coercivity of rod-shaped BaFe{sub 12}O{sub 19} is increased to 5350 Oe, in comparison with 4800 Oe with plate-shape. The formation mechanism of BaFe{sub 12}O{sub 19} nanorods and reasons resulting in high coercivity are discussed.

  2. Pulsating aurora induced by upper atmospheric barium releases

    NASA Technical Reports Server (NTRS)

    Deehr, C.; Romick, G.

    1977-01-01

    The paper reports the apparent generation of pulsating aurora by explosive releases of barium vapor near 250 km altitude. This effect occurred only when the explosions were in the path of precipitating electrons associated with the visible aurora. Each explosive charge was a standard 1.5 kg thermite mixture of Ba and CuO with an excess of Ba metal which was vaporized and dispersed by the thermite explosion. Traces of Sr, Na, and Li were added to some of the charges, and monitoring was achieved by ground-based spectrophotometric observations. On March 28, 1976, an increase in emission at 5577 A and at 4278 A was observed in association with the first two bursts, these emissions pulsating with roughly a 10 sec period for approximately 60 to 100 sec after the burst.

  3. Influence of Barium Hexaferrite on Magnetic Properties of Hydroxyapatite Ceramics.

    PubMed

    Jarupoom, P; Jaita, P

    2015-11-01

    Hydroxyapatite (HA) powders was derived from natural bovine bone by sequence of thermal processes. The barium hexaferrite (BF) find magnetic powders were added into HA powders in ratio of 1-3 vol.%. The HA-BF ceramics were prepared by a solid state reaction method and sintered at 1250 degrees C for 2 h. Effects of BF additive on structural, physical and magnetic properties of HA ceramics were investigated. X-ray diffraction revealed that all HA-BF samples showed a main phase of high purity hydroxyapatite [Ca10(PO4)6(OH)2] with calcium and phosphate molar ratio of 1.67. The addition of BF into HA inhibited grain growth and caused an improvement of mechanical properties. The M-H hysteresis loops also showed an improvement in magnetic behavior for higher content of BF. Moreover, in vitro bioactivity test indicated that the 2-3 vol.% sample may be suitable for biological applications. PMID:26726671

  4. Properties of barium strontium titanate at millimeter wave frequencies

    NASA Astrophysics Data System (ADS)

    Osman, Nurul; Free, Charles

    2015-04-01

    The trend towards using higher millimetre-wave frequencies for communication systems has created a need for accurate characterization of materials to be used at these frequencies. Barium Strontium Titanate (BST) is a ferroelectric material whose permittivity is known to change as a function of applied electric field and have found varieties of application in electronic and communication field. In this work, new data on the properties of BST characterize using the free space technique at frequencies between 145 GHz and 155 GHz for both thick film and bulk samples are presented. The measurement data provided useful information on effective permittivity and loss tangent for all the BST samples. Data on the material transmission, reflection properties as well as loss will also be presented. The outcome of the work shows through practical measurement, that BST has a high permittivity with moderate losses and the results also shows that BST has suitable properties to be used as RAM for high frequency application.

  5. Small polarons and point defects in barium cerate

    NASA Astrophysics Data System (ADS)

    Swift, Michael; Janotti, Anderson; Van de Walle, Chris G.

    2015-12-01

    Barium cerate (BaCeO3) is a well-known ionic conductor of both hydrogen and oxygen. In applications, it is frequently doped (for instance with Y) to increase stability and promote diffusion. However, the effects of doping and native defects are not fully understood. Computational studies have been stymied by the nature of the conduction band, which is made up of cerium 4 f states. These states present a challenge to ab initio techniques based on density functional theory within the standard approximations for exchange and correlation. Using a hybrid functional, we investigate the effects of hydrogen impurities and native defects on the electrical and optical properties of BaCeO3. We discuss the tendency of excess electrons or holes to localize in the form of small polarons. We also explore the interactions of polarons with hydrogen impurities and oxygen vacancies, and their impact on luminescence properties.

  6. Impact of vanadium ions in barium borate glass

    NASA Astrophysics Data System (ADS)

    Abdelghany, A. M.; Hammad, Ahmed H.

    2015-02-01

    Combined optical and infrared spectral measurements of prepared barium borate glasses containing different concentrations of V2O5 were carried out. Vanadium containing glasses exhibit extended UV-visible (UV/Vis.) bands when compared with base binary borate glass. UV/Vis. spectrum shows the presence of an unsymmetrical strong UV broad band centered at 214 nm attributed to the presence of unavoidable trace iron impurities within the raw materials used for the preparation of such glass. The calculated direct and indirect optical band gaps are found to decrease with increasing the vanadium content (2.9:137 for indirect and 3.99:2.01 for direct transition). This change was discussed in terms of structural changes in the glass network. Infrared absorption spectra of the glasses reveal the appearance of both triangular and tetrahedral borate units. Electron spin resonance analyses indicate the presence of unpaired species in sufficient quantity to be identified and to confirm the spectral data.

  7. Microwave absorption properties of barium titanate/epoxide resin composites

    NASA Astrophysics Data System (ADS)

    Chen, Xiaodong; Wang, Guiqin; Duan, Yuping; Liu, Shunhua

    2007-03-01

    Nano-barium titanate (BT) was prepared by a sol-gel method. The prepared powders were characterized by x-ray powder diffraction and transmission electron microscopy. The complex relative dielectric permittivity (? = ?' - j?'') and magnetic permeability (? = ?' - j?'') of the BT powders were measured in the frequency range 8 ~ 18 GHz. The BT/epoxide resin (EP) composite with different volume contents was investigated. The effects of thickness on the BT/EP composite were studied. It was found that an optimum thickness and contents of the absorber can yield the maximum reflection loss which could be obtained over a broad frequency region in the X and Ku bands. Our results indicate that BT could be a promising microwave absorption material.

  8. Study on a flexoelectric microphone using barium strontium titanate

    NASA Astrophysics Data System (ADS)

    Kwon, S. R.; Huang, W. B.; Zhang, S. J.; Yuan, F. G.; Jiang, X. N.

    2016-04-01

    In this study, a flexoelectric microphone was, for the first time, designed and fabricated in a bridge structure using barium strontium titanate (Ba0.65Sr0.35TiO3) ceramic and tested afterwards. The prototyped flexoelectric microphone consists of a 1.5 mm  ×  768 μm  ×  50 μm BST bridge structure and a silicon substrate with a cavity. The sensitivity and resonance frequency were designed to be 0.92 pC/Pa and 98.67 kHz, respectively. The signal to noise ratio was measured to be 74 dB. The results demonstrate that the flexoelectric microphone possesses high sensitivity and a wide working frequency range simultaneously, suggesting that flexoelectricity could be an excellent alternative sensing mechanism for microphone applications.

  9. Barium depletion study on impregnated cathodes and lifetime prediction

    NASA Astrophysics Data System (ADS)

    Roquais, J. M.; Poret, F.; le Doze, R.; Ricaud, J. L.; Monterrin, A.; Steinbrunn, A.

    2003-06-01

    In the thermionic cathodes used in cathode ray-tubes (CRTs), barium is the key element for the electronic emission. In the case of the dispenser cathodes made of a porous tungsten pellet impregnated with Ba, Ca aluminates, the evaporation of Ba determines the cathode lifetime with respect to emission performance in the CRT. The Ba evaporation results in progressive depletion of the impregnating material inside the pellet. In the present work, the Ba depletion with time has been extensively characterized over a large range of cathode temperature. Calculations using the depletion data allowed modeling of the depletion as a function of key parameters. The link between measured depletion and emission in tubes has been established, from which an end-of-life criterion was deduced. Taking modeling into account, predicting accelerated life-tests were performed using high-density maximum emission current (MIK).

  10. On the nature of striae in strontium barium niobate

    SciTech Connect

    Monchamp, R.R.; Mihalik, G.B.; Franks, L.A.

    1993-12-31

    Strontium barium niobate crystals were grown by the Czochralski technique. These crystals were 15--20 mm in diameter and 25 to 75 mm long. Two types stride, designated as coarse and fine, were characterized. The coarse stride are optically dense and are spaced by 100 to 500 {mu}m apart; the fine striae are optically less dense and spaced 5--50 {mu}m apart. The origins of the stride are attributed to thermal fluctuations in the melt related to the control system and to rotation of the growing crystal in non-isothermal radial gradients. Analysis of the crystals would indicated that the coarse striae may contain increased concentrations of sodium.

  11. Syntheses and crystal structures of three barium uranium sulfides

    NASA Astrophysics Data System (ADS)

    Mesbah, Adel; Ibers, James A.

    2013-03-01

    The barium uranium sulfides Ba3.69US6, BaUS3, and BaU2S5 have been synthesized at 1273, 1323, and 1323 K, respectively. The structures of these compounds have been determined by single-crystal X-ray diffraction methods. They crystallize in space groups D3d6-R3c, D2h16-Pnma, and C2h5-P21/c, respectively. Among these three ternaries and Ba2US6 the coordination geometries about the U atoms vary considerably. Ba3.69US6 is a mixed U4+/U5+compound whereas the others are U4+ compounds. The decreasing dimensionality of the four compounds with increasing Ba-to-U content shows the expected trend.

  12. Are the CMS Hospital Outpatient Quality Measures Relevant for Rural Hospitals?

    ERIC Educational Resources Information Center

    Casey, Michelle M.; Prasad, Shailendra; Klingner, Jill; Moscovice, Ira

    2012-01-01

    Context: Quality measures focused on outpatient settings are of increasing interest to policy makers, but little research has been conducted on hospital outpatient quality measures, especially in rural settings. Purpose: To evaluate the relevance of Centers for Medicare and Medicaid Services' (CMS) outpatient quality measures for rural hospitals,…

  13. Factors Associated with Deliberate Self-Harm Behaviour among Depressed Adolescent Outpatients

    ERIC Educational Resources Information Center

    Tuisku, Virpi; Pelkonen, Mirjami; Kiviruusu, Olli; Karlsson, Linnea; Ruuttu, Titta; Marttunen, Mauri

    2009-01-01

    This study examined whether depressed adolescent outpatients with deliberate self-harm behaviour (DSH) differed from non-suicidal depressed adolescent outpatients in depressive and anxiety symptoms, alcohol use, perceived social support and number of negative life-events. Depressed adolescent outpatients (n = 155) aged 13-19 years were interviewed

  14. 42 CFR 410.62 - Outpatient speech-language pathology services: Conditions and exclusions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 2 2013-10-01 2013-10-01 false Outpatient speech-language pathology services... Medical and Other Health Services 410.62 Outpatient speech-language pathology services: Conditions and... for outpatient speech-language pathology services only if they are furnished by an individual...

  15. 42 CFR 414.63 - Payment for outpatient diabetes self-management training.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Payment for outpatient diabetes self-management... SERVICES Physicians and Other Practitioners § 414.63 Payment for outpatient diabetes self-management..., payment for outpatient diabetes self-management training is made under the physician fee schedule...

  16. 42 CFR 410.141 - Outpatient diabetes self-management training.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 2 2012-10-01 2012-10-01 false Outpatient diabetes self-management training. 410... HUMAN SERVICES MEDICARE PROGRAM SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS Outpatient Diabetes Self-Management Training and Diabetes Outcome Measurements § 410.141 Outpatient diabetes self-management...

  17. 42 CFR 410.141 - Outpatient diabetes self-management training.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Outpatient diabetes self-management training. 410... HUMAN SERVICES MEDICARE PROGRAM SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS Outpatient Diabetes Self-Management Training and Diabetes Outcome Measurements § 410.141 Outpatient diabetes self-management...

  18. 42 CFR 410.141 - Outpatient diabetes self-management training.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 2 2011-10-01 2011-10-01 false Outpatient diabetes self-management training. 410... HUMAN SERVICES MEDICARE PROGRAM SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS Outpatient Diabetes Self-Management Training and Diabetes Outcome Measurements § 410.141 Outpatient diabetes self-management...

  19. 42 CFR 410.141 - Outpatient diabetes self-management training.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 2 2013-10-01 2013-10-01 false Outpatient diabetes self-management training. 410... HUMAN SERVICES MEDICARE PROGRAM SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS Outpatient Diabetes Self-Management Training and Diabetes Outcome Measurements § 410.141 Outpatient diabetes self-management...

  20. 42 CFR 414.63 - Payment for outpatient diabetes self-management training.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 3 2013-10-01 2013-10-01 false Payment for outpatient diabetes self-management... HEALTH SERVICES Physicians and Other Practitioners § 414.63 Payment for outpatient diabetes self... this section, payment for outpatient diabetes self-management training is made under the physician...

  1. 42 CFR 410.141 - Outpatient diabetes self-management training.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 2 2014-10-01 2014-10-01 false Outpatient diabetes self-management training. 410... HUMAN SERVICES MEDICARE PROGRAM SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS Outpatient Diabetes Self-Management Training and Diabetes Outcome Measurements § 410.141 Outpatient diabetes self-management...

  2. 42 CFR 414.63 - Payment for outpatient diabetes self-management training.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 3 2011-10-01 2011-10-01 false Payment for outpatient diabetes self-management... SERVICES Physicians and Other Practitioners § 414.63 Payment for outpatient diabetes self-management..., payment for outpatient diabetes self-management training is made under the physician fee schedule...

  3. 42 CFR 414.63 - Payment for outpatient diabetes self-management training.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 3 2012-10-01 2012-10-01 false Payment for outpatient diabetes self-management... HEALTH SERVICES Physicians and Other Practitioners § 414.63 Payment for outpatient diabetes self... this section, payment for outpatient diabetes self-management training is made under the physician...

  4. 42 CFR 414.63 - Payment for outpatient diabetes self-management training.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 3 2014-10-01 2014-10-01 false Payment for outpatient diabetes self-management... HEALTH SERVICES Physicians and Other Practitioners § 414.63 Payment for outpatient diabetes self... this section, payment for outpatient diabetes self-management training is made under the physician...

  5. Factors that Affect Treatment Expectations of Outpatients with Substance Use Problems

    ERIC Educational Resources Information Center

    Raylu, Namrata; Kaur, Inderjit

    2012-01-01

    The study assessed treatment expectations (TE) of outpatients with substance use problems as well as factors that affect their TE. Participants were 200 outpatients presenting at three community based substance abuse treatment services. Results of general linear modelling analyses showed that outpatients with substance use problems have higher…

  6. Factors that Affect Treatment Expectations of Outpatients with Substance Use Problems

    ERIC Educational Resources Information Center

    Raylu, Namrata; Kaur, Inderjit

    2012-01-01

    The study assessed treatment expectations (TE) of outpatients with substance use problems as well as factors that affect their TE. Participants were 200 outpatients presenting at three community based substance abuse treatment services. Results of general linear modelling analyses showed that outpatients with substance use problems have higher

  7. 42 CFR 414.1105 - Payment for Comprehensive Outpatient Rehabilitation Facility (CORF) services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 3 2011-10-01 2011-10-01 false Payment for Comprehensive Outpatient Rehabilitation... HEALTH SERVICES Payment for Comprehensive Outpatient Rehabilitation Facility (CORF) Services 414.1105 Payment for Comprehensive Outpatient Rehabilitation Facility (CORF) services. (a) Payment under...

  8. 42 CFR 410.62 - Outpatient speech-language pathology services: Conditions and exclusions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 2 2011-10-01 2011-10-01 false Outpatient speech-language pathology services... Medical and Other Health Services 410.62 Outpatient speech-language pathology services: Conditions and... for outpatient speech-language pathology services only if they are furnished by an individual...

  9. SBN60, strontium-barium niobate at 100?K

    PubMed Central

    Stachowicz, Marcin; Gawryszewska, Olga; Swirkowicz, Marek A.; Lukasiewicz, Tadeusz

    2013-01-01

    The title compound, Sr0.6Ba0.4Nb2O6 (strontium barium niobium oxide), belongs to the group of strontiumbarium niobates with varying composition of Sr and Ba. Their general formula can be written as SrxBa1 - xNb2O6. Below the Curie temperature, T c, these materials indicate ferroelectric properties. The Curie temperature for SBN60 is equal to 3460.5?K so the structure is in the ferroelectric phase at the measurement temperature of 100?K. Characteristic for this family of compounds is the packing along the z-axis. The NbO6 corner-sharing octahedra surround three types of vacancy tunnels with pentagonal, square and triangular shapes. The Sr2+ ions partially occupy two unique sites, the first one located inside the pentagon and the second one in the square tunnels. Consequently, they are situated on the mirror plane and the intersection of two glide planes, respectively. The site inside the pentagonal tunnel is additionally disordered so that the same position is shared by Ba2+ and Sr2+ ions whereas another part of the Ba2+ ion occupies a different position (relative occupancies 0.43:0.41:0.16). One of the NbV atoms and three of the O2? ions occupy general positions. The second NbV atom is located on the intersection of the mirror planes. Two remaining O2? ions are located on the same mirror plane. Only the NbV atom and one of the O2? ions which is located on the mirror plane are not disordered. Each of the remaining O2? ions is split between two sites, with relative occupancies of 0.52:0.48 (O2? ions in general positions) and 0.64:0.36 (O2? ion on the mirror plane). PMID:24098159

  10. Barium and Carbon fluxes in the Canadian Arctic Archipelago

    NASA Astrophysics Data System (ADS)

    Thomas, H.; Shadwick, E. H.; Woule Ebongue, V.; Lansard, B.; Navez, J.; Gratton, Y.; Prowe, F.; Mucci, A.; Chierici, M.; Fransson, A.; Papakyriakou, T. N.; Sternberg, E.; Miller, L. A.

    2010-12-01

    The seasonal and spatial variability of dissolved Barium (Ba) in the Amundsen Gulf, southeastern Beaufort Sea, was monitored over a full year from September 2007 to September 2008. Barium displays a nutrient-type behavior with the highest concentrations observed at river mouths. The water column maximum is located at the base of the surface layer with lower concentrations above and below. The lowest concentrations are found in water masses of Atlantic origin, and Ba concentrations decrease eastward through the Canadian Arctic Archipelago. A three end-member mixing model comprising fresh water from sea-ice melt and rivers, as well as upper halocline water, was used to establish their relative contributions to the surface waters of the Amundsen Gulf. Based on water column and riverine Ba contributions, we assess the Ba depletion by particle sinking and subsequently estimate the carbon export production. In the upper 50 m of the water column of Amundsen Gulf, riverine Ba accounts for up to 15% of the dissolved Ba inventory, whereas up to 20% of the dissolved Ba inventory is depleted by barite (BaSO4) formation and export. Since riverine inputs and Ba export occur concurrently, the seasonal variability of dissolved Ba is moderate. Assuming a fixed organic carbon to barite flux ratio, carbon export out of the surface layer is estimated at 2 mol C m-2 yr-1. Finally, we propose a climatological carbon budget for the Amundsen Gulf based on recent literature data and our findings, the latter bridging the surface and subsurface water carbon cycles. This work is a contribution to the Canadian IPY programs CFL and GEOTRACES, to ArcticNet as well as to the IGBP/IHDP core project LOICZ.

  11. BD-21 3873: another yellow-symbiotic barium star.

    NASA Astrophysics Data System (ADS)

    Smith, V. V.; Cunha, K.; Jorissen, A.; Boffin, H. M. J.

    1997-08-01

    An abundance analysis of the yellow symbiotic system BD-21 3873 reveals it to be a metal-poor K-giant ([Fe/H]=-1.3) which is enriched in the heavy s-process elements. In that respect, this star appears to be a twin of AG Dra, another yellow symbiotic system analyzed in a previous paper (Smith et al., 1996A&A...315..179S). The heavy-element abundance distributions of AG Dra and BD-21 3873 are almost identical, and are best reproduced by a s-process with a neutron exposure parameter of 1.2-1.3mb^-1^ and a neutron density logN_n_=8.3 (as derived from the Rb/Zr ratio). These two systems thus link the symbiotic stars to the binary barium and CH stars which are also s-process enriched. These binary systems, which exhibit overabundances of the heavy elements, owe their abundance peculiarities to mass transfer from thermally-pulsing asymptotic giant branch stars, which have since evolved to become white-dwarf companions of the cool stars we now view as the chemically-peculiar primaries. The spectroscopic orbits of BD-21 3873 (derived from CORAVEL measurements) and AG Dra are similar to those of barium and CH stars. With an orbital period of 281.6d, BD-21 3873 is one of the closest systems in these families, and its light curve indeed suggests that variations due to reflection and ellipticity effects are present. The amplitude of the ellipsoidal variations indicates that the giant must be close to filling its Roche lobe. However, no acceptable solution simultaneously satisfies the constraints from the light curve, the orbital elements and the evolutionary tracks in the framework of the standard Roche lobe geometry. We suggest that this discrepancy may be resolved by taking into account the deformation of the Roche lobe caused by the force driving the large mass loss of the giant.

  12. Barium tagging in solid xenon for the EXO experiment

    NASA Astrophysics Data System (ADS)

    Mong, Brian

    2011-07-01

    Neutrinoless double beta decay experiments are searching for rare decay modes never before observed to uncover the absolute mass of the neutrino, as well as to discover if it is a Majorana fermion. Detection of the daughter nucleus can help provide positive identification of this event over most radioactive backgrounds. The goal of the Enriched Xenon Observatory (EXO) is to measure the rate of 0nubetabeta decay in 136Xe, incorporating 136Ba daughter identification by laser induced fluorescence spectroscopy. Here, we investigate a technique in which the 136Ba daughter is grabbed with a cryogenic probe by freezing it in solid xenon ice, and detected directly in the solid xenon. The absorption and fluorescence spectra of barium in solid xenon were observed for the first time in this work. Identification of the 6s 2 1S0 ? 6s6p 1P 1 transition in both absorption (558 nm) and emission spectra (594 nm) were made. Additional blue absorption and emission lines were observed, but their transitions were not identified. Saturation of the 6s2 1S0 ? 6s6p 1P1 transition was not observed with increased excitation rates using resonance excitation at 558nm. From this a limit on the metastable decay rate was deduced to be greater than 104 s-1. Finally a fluorescence spectrum was obtained from a sample with only 20,000 atoms in the laser beam. With potential improvements of 107 in detection efficiency, single barium atom detection seems possible in solid xenon. A fiber probe detector based on a bare single mode fiber was also constructed and tested with fluorescing dye molecules. Successful detection of a few dye molecules in solution at the probe tip was demonstrated.

  13. Numberical simulation of the effects of radially injected barium plasma in the ionosphere

    NASA Technical Reports Server (NTRS)

    Swift, D. W.

    1985-01-01

    The morphology of the ion cloud in the radial shaped charge barium injection was studied. The shape of the ion cloud that remains after the explosive products and neutral barium clears away was examined. The ion cloud which has the configuration of a rimless wagon wheel is shown. The major features are the 2.5 km radius black hole in the center of the cloud, the surrounding ring of barium ion and the spokes of barium ionization radiating away from the center. The cloud shows no evolution after it emerges from the neutral debris and it is concluded that it is formed within 5 seconds of the event. A numerical model is used to calculate the motion of ions and electrons subject to the electrostatic and lorenz forces.

  14. Comparison of the reflectance characteristics of polytetrafluoroethylene and barium sulfate paints

    NASA Technical Reports Server (NTRS)

    Butner, C. L.; Schutt, J. B.; Shai, M. C.

    1984-01-01

    Preliminary results are presented of the directional reflectance measurements taken on two tetrafluorethylene (TFE) paints formulated with silicone binders. Both paints are found to be more Lambertian than barium sulfate paint and pressed powder, although the pigment to binder ratios for barium sulfate and TFE paints are about 133 and 3.3 to 1, respectively. The TFE paints exhibit total visible reflectances above 90 percent and offer surfaces that are not significantly affected by water.

  15. Elevated Z line: a new sign of Barrett's esophagus on double-contrast barium esophagograms.

    PubMed

    Levine, Marc S; Ahmad, Nuzhat A; Rubesin, Stephen E

    2015-01-01

    We describe an elevated Z line as a new radiographic sign of Barrett's esophagus characterized by a transversely oriented, zigzagging, barium-etched line extending completely across the circumference of the midesophagus. An elevated Z line is rarely seen in other patients, so this finding should be highly suggestive of Barrett's esophagus on double-contrast barium esophagograms. If the patient is a potential candidate for surveillance, endoscopy and biopsy should be performed to confirm the presence of Barrett's esophagus. PMID:26264955

  16. Generation of sub-100-fs Stokes pulses upon SRS in a barium nitrate crystal

    SciTech Connect

    Konyashchenko, Aleksandr V; Losev, Leonid L; Tenyakov, S Yu

    2010-10-15

    72-fs pulses are generated at the first Stokes component frequency upon stimulated Raman scattering in a barium nitrate crystal for the radiation of the Ti{sup 3+}:Al{sub 2}O{sub 3} laser with the pulse duration of 50 fs. The energy efficiency of conversion is 20%. The barium nitrate crystal was optically pumped by two consecutive orthogonally polarised chirped pulses with the following time compression of the Stokes radiation pulse. (nonlinear optical phenomena)

  17. Barium isotopes in Allende meteorite - Evidence against an extinct superheavy element

    NASA Technical Reports Server (NTRS)

    Lewis, R. S.; Anders, E.; Shimamura, T.; Lugmair, G. W.

    1983-01-01

    Carbon and chromite fractions from the Allende meteorite that contain isotopically anomalous xenon-131 to xenon-136 (carbonaceous chondrite fission or CCF xenon) at up to 5 x 10 to the 11th atoms per gram show no detectable isotopic anomalies in barium-130 to barium-138. This rules out the possibility that the CCF xenon was formed by in situ fission of an extinct superheavy element. Apparently the CCF xenon and its carbonaceous carrier are relics from stellar nucleosynthesis.

  18. Calculations of energy levels and lifetimes of low-lying states of barium and radium

    SciTech Connect

    Dzuba, V. A.; Ginges, J. S. M.

    2006-03-15

    We use the configuration-interaction method and many-body perturbation theory to perform accurate calculations of energy levels, transition amplitudes, and lifetimes of low-lying states of barium and radium. Calculations for radium are needed for the planning of measurements of parity- and time-invariance-violating effects which are strongly enhanced in this atom. Calculations for barium are used to control the accuracy of the calculations.

  19. Barium swallow study in routine clinical practice: a prospective study in patients with chronic cough*,**

    PubMed Central

    Nin, Carlos Shuler; Marchiori, Edson; Irion, Klaus Loureiro; Paludo, Artur de Oliveira; Alves, Giordano Rafael Tronco; Hochhegger, Daniela Reis; Hochhegger, Bruno

    2013-01-01

    OBJECTIVE: To assess the routine use of barium swallow study in patients with chronic cough. METHODS: Between October of 2011 and March of 2012, 95 consecutive patients submitted to chest X-ray due to chronic cough (duration > 8 weeks) were included in the study. For study purposes, additional images were obtained immediately after the oral administration of 5 mL of a 5% barium sulfate suspension. Two radiologists systematically evaluated all of the images in order to identify any pathological changes. Fisher's exact test and the chi-square test for categorical data were used in the comparisons. RESULTS: The images taken immediately after barium swallow revealed significant pathological conditions that were potentially related to chronic cough in 12 (12.6%) of the 95 patients. These conditions, which included diaphragmatic hiatal hernia, esophageal neoplasm, achalasia, esophageal diverticulum, and abnormal esophageal dilatation, were not detected on the images taken without contrast. After appropriate treatment, the symptoms disappeared in 11 (91.6%) of the patients, whereas the treatment was ineffective in 1 (8.4%). We observed no complications related to barium swallow, such as contrast aspiration. CONCLUSIONS: Barium swallow improved the detection of significant radiographic findings related to chronic cough in 11.5% of patients. These initial findings suggest that the routine use of barium swallow can significantly increase the sensitivity of chest X-rays in the detection of chronic cough-related etiologies. PMID:24473762

  20. Thermal conversions of the yttrium-barium-copper salt of carboxylated cellulose and the synthesis of yttrium barium cuprate from it

    SciTech Connect

    Kaputskii, F.N.; Bashmakov, I.A.; Novikov, V.P.

    1994-09-20

    Thermal solid-phase conversions of the yttrium-barium-copper salt of tricarboxycellulose (TCC) with a 1-2-3 cation stoichiometry, respectively, have been considered. Yttrium barium cuprate is the end product of the thermal treatment of the triple salt. According to the data of X-ray analysis the onset of 1-2-3 phase formation is noticeable at 750-800{degrees}C. The temperature 875{degrees}C (with a duration of heating of 12 h) is sufficient for practically complete conversion of the Y-Ba-Cu salt of TCC into YBa{sub 2}Cu{sub 3}O{sub 7-{delta}}.

  1. Assessment by Using a Water-Soluble Contrast Enema Study of Radiologic Leakage in Lower Rectal Cancer Patients With Sphincter-Saving Surgery

    PubMed Central

    Seo, Seok In; Lee, Jong Lyul; Park, Seong Ho; Ha, Hyun Kwon

    2015-01-01

    Purpose This study evaluated the efficacy of a water-soluble contrast enema (WCE) in predicting anastomotic healing after a low anterior resection (LAR). Methods Between January 2000 and March 2012, 682 consecutive patients underwent a LAR or an ultra-low anterior resection (uLAR) and were followed up for leakage. Clinical leakage was established by using physical and laboratory findings. Radiologic leakage was identified by using retrograde WCE imaging. Abnormal radiologic features on WCE were categorized into four types based on morphology: namely, dendritic, horny, saccular, and serpentine. Results Of the 126 patients who received a concurrent diverting stoma, only two (1.6%) suffered clinical leakage due to pelvic abscess. However, 37 patients (6.7%) in the other group suffered clinical leakage following fecal diversion (P = 0.027). Among the 163 patients who received a fecal diversion, 20 showed radiologic leakage on the first WCE (eight with and 12 without a concurrent diversion); 16 had abnormal features continuously until the final WCE while four patients healed spontaneously. Eleven of the 16 patients (69%), by their surgeon's decision, underwent a stoma restoration based on clinical findings (2/3 dendritic, 3/4 horny, 5/7 saccular, 1/2 serpentine). After stoma reversal, only 2 of the 11 (19%) complained of complications related to the rectal anastomosis. Conclusion WCE is helpful for detecting radiologic leakage before stoma restoration, especially in patients suffering clinical leakage after an uLAR. However, surgeons appear to opt for stoma restoration despite the persistent existence of radiologic leakage in cases with particular features on the WCE. PMID:26361614

  2. Validity of a brief outpatient functional assessment measure.

    PubMed

    Baker, J G; Granger, C V; Ottenbacher, K J

    1996-01-01

    Aspects of validity are investigated with a brief functional assessment measure among outpatients undergoing rehabilitation for musculoskeletal problems. The Medical Rehabilitation Follow Along measure (MRFA) currently has screening, musculoskeletal, neurologic, and multiple sclerosis forms. In this study, the 31-item musculoskeletal form of the MRFA is compared with and contrasted to a measure of general health status, the Medical Outcomes Trust SF-36. Content, construct, and criterion validity are addressed using scale scores before (n = 94) and after (n = 48) outpatient rehabilitation. Scale scores are compared with therapists' ratings of improvement. The results provide support for the validity of inferences made from scale scores of the MRFA for persons with musculoskeletal problems. Applications of the MRFA, including screening, monitoring, and outcome assessment are discussed for clinical management, measuring treatment effectiveness, and program evaluation. PMID:8873703

  3. Patient satisfaction with services of the outpatient department

    PubMed Central

    Mohd, Athar; Chakravarty, Abhijit

    2014-01-01

    Background Patients' satisfaction is a useful measure to provide an indicator of quality in healthcare and thus needs to be measured frequently. The aim of the study was to analyse and compare the level of satisfaction of patients attending the Outpatient Department of a Hospital. Methods Study was conducted by using a pre-structured questionnaire with 120 samples. Samples were further stratified into sub-populations of Officers, Junior Commissioned Officers (JCOs) and Other Ranks (ORs) including dependents as study population. Results JCOs predominantly expressed lower satisfaction judgement with several attributes. Overall satisfaction judgement with Outpatient Department services were rated lower by JCOs (2.56) when compared with Officers and ORs (3.10), the difference being statistically significant. Conclusion Statistically significant differences have been identified by this study against various study attributes as well as overall impression towards OPD services among the study groups, which need to be addressed by the hospital leadership to achieve consumer delight. PMID:25378776

  4. Efficacy, safety, and applicability of outpatient treatment for diverticulitis

    PubMed Central

    Tursi, Antonio

    2014-01-01

    Acute diverticulitis of the colon represents a significant burden for national health systems, in terms of direct and indirect costs. Although current guidelines recommend use of antibiotics for the outpatient treatment of acute uncomplicated diverticulitis, evidence for this is still lacking. Hence, significant effort is now being made to identify the appropriate therapeutic approach to treat and prevent relapses of diverticulitis. Outpatient treatment has been identified as a safe and effective therapeutic approach in up to 90% of patients with uncomplicated diverticulitis. It allows important costs saving to health systems without a negative influence on quality of life for patients with uncomplicated diverticulitis, and reduces health care costs by more than 60%. PMID:24729730

  5. Satisfaction with outpatient geriatric evaluation and management (GEM).

    PubMed

    Morishita, L; Boult, C; Boult, L; Smith, S; Pacala, J T

    1998-06-01

    The purpose of this study was to evaluate high-risk older adults' satisfaction with outpatient geriatric evaluation and management (GEM). Community-dwelling Medicare beneficiaries (n = 522) age 70 years and older who had a high probability of repeated admission to hospitals (Pra > .40) were randomly assigned to receive either usual care or GEM for six months. Despite the stresses imposed by outpatient GEM (e.g., new relationships with providers, frequent office visits and changes in treatments), the mean satisfaction scores of the recipients of GEM were 9% higher than those of the recipients of usual care (4.31 vs 3.96, p < .001). The primary physicians of GEM recipients were also highly satisfied with GEM care. PMID:9640850

  6. Moisture-vapour-permeable film as an outpatient burn dressing.

    PubMed

    Waffle, C; Simon, R R; Joslin, C

    1988-02-01

    This study compares a moisture-vapour-permeable film (MVPF) with silver sulphadiazine in a randomized prospective manner for the treatment of outpatient burns. The two treatment groups were closely matched in age, sex, per cent of BSA burned, and in burn severity and locations. The MVPF group demonstrated a 39.0 per cent greater reduction in pain after application of the dressing over the silver sulphadiazine group. Patients in the MVPF film group also reported significantly less difficulty in wound care and in dressing interference with their daily functions. The clinical infection rate and time to healing were similar in both groups. In the management of outpatient burns, MVPF was found to be superior to silver sulphadiazine. PMID:3370523

  7. Three student manuals for obstetric and gynecologic outpatient care.

    PubMed

    Chez, R A

    1997-05-01

    We have written three pocket manuals to facilitate the interaction between obstetric and gynecology patients and medical students, junior residents, and advanced practice nurses in an ambulatory care setting. The purposes of the manuals include the organization of the content of outpatient care into a consistent framework for interaction with the patient at each outpatient visit and the provision of a practical memory jogger to facilitate effective clinician-patient communication. Each visit contains specific and suggested content under the same five categories: questions to be asked of the patient, focused aspects of the physical examination, laboratory tests to order, topics for purposeful discussion, and sentences to close the visit. These learning tools were designed to be integrated by local faculty into the department's formal curriculum. They are intended to support training in ambulatory care. They now need to be evaluated prospectively at individual sites. PMID:9166178

  8. Feasibility and Safety of Outpatient Total Laparoscopic Hysterectomy

    PubMed Central

    Lemyre, Madeleine; Couture, Vanessa; Bernier, Gabrielle; Laberge, Philippe Y.

    2015-01-01

    Background and Objective: Ambulatory total laparoscopic hysterectomy (TLH) could lead to significant cost savings, but some fear the effects of what could be premature postsurgical discharge. We sought to estimate the feasibility and safety of TLH as an outpatient procedure for benign gynecologic conditions. Methods: We report a prospective, consecutive case series of 128 outpatient TLHs performed for benign gynecologic conditions in a tertiary care center. Results: Of the 295 women scheduled for a TLH, 151 (51%) were attempted as an outpatient procedure. A total of 128 women (85%) were actually discharged home the day of their surgery. The most common reasons for admission the same day were urinary retention (19%) and nausea (15%). Indications for hysterectomy were mainly leiomyomas (62%), menorrhagia (24%), and pelvic pain (9%). Endometriosis and adhesions were found in 23% and 25% of the cases, respectively. Mean estimated blood loss was 56 mL and mean uterus weight was 215 g, with the heaviest uterus weighing 841 g. Unplanned consultation and readmission were infrequent, occurring in 3.1% and 0.8% of cases, respectively, in the first 72 hours. At 3 months, unplanned consultation, complication, and readmission had occurred in a similar proportion of inpatient and outpatient TLHs (17.2%, 12.5%, and 4.7% versus 18.1%, 12.7%, and 5.4%, respectively). In a logistic regression model, uterus weight, presence of adhesions or endometriosis, and duration of the operation were not associated with adverse outcomes. Conclusion: Same-day discharge is a feasible and safe option for carefully selected patients who undergo an uncomplicated TLH, even in the presence of leiomyomas, severe adhesions, or endometriosis. PMID:25788825

  9. Medicaid Program; Covered Outpatient Drugs. Final rule with comment period.

    PubMed

    2016-02-01

    This final rule implements provisions of the Patient Protection and Affordable Care Act of 2010, as amended by the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act) pertaining to Medicaid reimbursement for covered outpatient drugs (CODs). This final rule also revises other requirements related to CODs, including key aspects of their Medicaid coverage and payment and the Medicaid drug rebate program. PMID:26859897

  10. Acute behavioral interventions and outpatient treatment strategies with suicidal adolescents

    PubMed Central

    O’Brien, Kimberly H. McManama; Singer, Jonathan B.; LeCloux, Mary; Duarté-Vélez, Yovanska; Spirito, Anthony

    2015-01-01

    Despite the prevalence of suicidal thoughts and behaviors among adolescents, there is limited knowledge of effective interventions to use with this population. This paper reviews the findings of studies on behavioral interventions for adolescents who are at acute suicide risk, as well as outpatient treatment and risk management strategies with suicidal adolescents. The importance of addressing comorbid behaviors and enhancing protective factors are discussed. Cultural considerations in working with suicidal adolescents and strategies for conducting culturally competent treatment are explored. PMID:26279646

  11. Clinical Predictors of Recurrent Clostridium difficile Infection in Outpatients

    PubMed Central

    Shivashankar, Raina; Khanna, Sahil; Kammer, Patricia P.; Harmsen, W. Scott; Zinsmeister, Alan R.; Baddour, Larry M.; Pardi, Darrell S.

    2014-01-01

    Summary Background & Aim Clostridium difficile infection (CDI) recurs in 20-30% of patients. Our aim is to describe the predictors of recurrence in outpatients with CDI. Methods Outpatient cases of CDI in Olmsted County, MN residents diagnosed between June 28, 2007 and June 25, 2010 were identified. Recurrent CDI was defined as recurrence of diarrhea with a positive C. difficile PCR test from 15-56 days after the initial diagnosis with interim resolution of symptoms. Patients who had two positive tests within 14 days were excluded. Cox-proportional hazard models were used to assess the association of clinical variables with time to recurrence of CDI. Results The cohort included 520 outpatients; 104 had recurrent CDI (cumulative incidence of 17.5% by 30 days). Univariate analysis identified increasing age and antibiotic use to be associated with recurrent CDI. Severe CDI, peripheral leukocyte count, and change in serum creatinine >1.5-fold were not. In a multiple variable model, concomitant antibiotic use was associated with risk of recurrent CDI (HR=5.4, 95% CI 1.6-17.5, p=0.005), while age (HR per 10 year increase =1.1, 95% CI 0.9-1.3, p=0.22); peripheral leukocyte count > 15 × 109/L (HR =1.0, 95% CI 0.5-2.1, p=0.92); and change in serum creatinine greater than 1.5-fold (HR=0.8 , 95% CI 0.4 -1.5, p=0.44) were not. Conclusion Antibiotic use was independently associated with a dramatic risk of recurrent CDI in an outpatient cohort. It is important to avoid unnecessary systemic antibiotics in patients with CDI, and patients with ongoing antibiotic use should be monitored closely for recurrent infection. PMID:25039269

  12. Outpatient follow-up after traumatic injury: Challenges and opportunities

    PubMed Central

    Hansen, Luke; Shaheen, Aisha; Crandall, Marie

    2014-01-01

    Background: It has been shown that rates of ambulatory follow-up after traumatic injury are not optimal, but the association with insurance status has not been studied. Aims: To describe trauma patient characteristics associated with completed follow-up after hospitalization and to compare relative rates of healthcare utilization across payor types. Setting and Design: Single institution retrospective cohort study. Materials and Methods: We compared patient demographics and healthcare utilization behavior after discharge among trauma patients between April 1, 2005 and April 1, 2010. Our primary outcome of interest was outpatient provider contact within 2 months of discharge. Statistical Analysis: Multivariate logistic regression was used to determine the association between characteristics including insurance status and subsequent ambulatory and acute care. Results: We reviewed the records of 2906 sequential trauma patients. Patients with Medicaid and those without insurance were significantly less likely to complete scheduled outpatient follow-up within 2 months, compared to those with private insurance (Medicaid, OR 0.67, 95% CI 0.51-0.88; uninsured, OR 0.29, 95% CI 0.23-0.36). Uninsured and Medicaid patients were twice as likely as privately insured patients to visit the Emergency Department (ED) for any reason after discharge (uninsured patients (Medicaid, OR 2.6, 95% CI 1.50-4.53; uninsured, OR 2.10, 94% CI 1.31-3.36). Conclusion: We found marked differences between patients in scheduled outpatient follow-up and ED utilization after injury associated with insurance status; however, Medicaid seemed to obviate some of this disparity. Medicaid expansion may improve outpatient follow-up and affect patient outcome disparities after injury. PMID:25400385

  13. Factors associated with attendance to scheduled outpatient endoscopy

    PubMed Central

    Laiyemo, Adeyinka O.; Williams, Carla D.; Burnside, Clinton; Moghadam, Sepideh; Sanasi-Bhola, Kamla D.; Kwagyan, John; Brim, Hassan; Ashktorab, Hassan; Scott, Victor F.; Smoot, Duane T.

    2015-01-01

    Background Non-attendance of 42% has been reported for outpatient colonoscopy among persons with low socioeconomic status (SES) in an open access system in the United States. Objectives To evaluate attendance to outpatient endoscopy among populations with low SES after in-person consultations with endoscopists prior to scheduling. Methods Retrospectively, we reviewed the endoscopy schedule from September 2009 to August 2010 in an inner city teaching hospital in Washington DC. We identified patients who came for their procedures. We defined non-attendance as when patients did not notify the facility up to 24 hours prior to their scheduled procedures and did not show up . Results A total of 3,304 patients were scheduled for outpatient endoscopy (mean age 55.2 years; 59.5% females). Only 36 (1.1%) patients were uninsured. 716 (21.7%) patients did not show up for their procedures. There were no differences in attendance by age, sex and race. Patients seen in a private endoscopist's office (OR=1.47; 95%CI: 1.07–2.04) were more likely to attend when compared to patients seen in trainees’ continuity clinic. Married patients (OR=1.40; 95%CI: 1.11–1.78) were also more likely to attend. Conversely, Medicaid and uninsured patients were less likely to attend. Restricting our analysis to patients scheduled for only colonoscopy yielded similar results except that patients who were 50 years and older were more likely to attend. Conclusions Our study suggests improved attendance to endoscopy when populations with lower SES undergo prior consultation with an endoscopist. There is a potential to further improve attendance to out-patient endoscopy by directly involving the social support of the patients. PMID:25180285

  14. An outpatient/inpatient comparison of child psychiatric diagnosis.

    PubMed

    Safer, D J

    1995-04-01

    A chart review was undertaken in three community mental health centers and an emergency room to compare psychiatric diagnoses given to youths as outpatients with those they had previously received as inpatients. Major disparities between the two sets of diagnoses were evident. A profound underdiagnosis of conduct disorder and a selective overdiagnosis of unipolar depression occurred in hospitals. Implications of the findings are discussed. PMID:7611347

  15. Effectiveness of educational and administrative interventions in medical outpatient clinics.

    PubMed Central

    Pozen, M W; Bonnet, P D

    1976-01-01

    This study examines the popular belief that increased educational supervision and increased administrative support in university outpatient clinics will improve physician performance, which in turn will improve the process and outcome of patient care. Positive effects on house officers' attitudes and better functioning of clinics with respect to follow-up, information retrieval, and prescribing practices were demonstrated. However, no differences in the process and outcome of care were identified by faculty judges using implicit criteria. PMID:175666

  16. Outpatient Management of Febrile Children With Sickle Cell Disease.

    PubMed

    Sokol, Elizabeth; Obringer, Emily; Palama, Brett; Hageman, Joseph; Peddinti, Radhika

    2016-03-01

    The electronic medical records at 2 children's hospitals were reviewed from June 1, 2011 to May 31, 2013 for all patients with sickle cell disease who presented with fever. Of a total of 390 blood cultures drawn, 11 cultures (2.8%) turned positive with only 1 (0.3%) growing a true pathogen. This culture turned positive in 13 hours. There were 154 patients who received exclusive outpatient management of fever. Fourteen patients (9.1%) completed 1 acute care visit, 16 patients (10.4%) completed 2 acute care visits, and 124 patients (80.5%) completed 3 acute care visits. Of those treated exclusively as outpatients, there was 1 positive culture that was considered a contaminant. Although the overall rate of positivity was low, this study confirms previous findings that pediatric blood cultures become positive with pathogens within 48 hours. Given the high rate of compliance and early time to positivity of true pathogens, we suggest that follow-up for the febrile sickle cell disease patients can be treated on an outpatient basis. PMID:26149843

  17. Managing up to maximize medicare reimbursement for outpatient care.

    PubMed

    Bowden, K

    2001-10-01

    An example of managing up through participation in a multidisciplinary team tasked with maximizing reimbursement under the Medicare ambulatory patient classification (APC) system is described. Medicare's new system of payment for hospital outpatient services replaces the cost-based reimbursement model of the past with a technical payment based on the outpatient evaluation and management level. Individual institutions are responsible for developing criteria for defining technical visit levels. Managers at the New England Medical Center formed a team to develop these criteria. The team outlined components of the patient visit that qualified as technical costs, such as the use of space at a facility, medical and surgical supplies, and nonphysician professional services. Team members then contacted each of the center's clinics to identify specific services that met these criteria. After formulating the technical visit level criteria, the team determined who would assign the technical visit level, wrote policies and procedures, and trained staff. The APC team also assessed billing procedures, focusing particularly on the accuracy of the charge master and the use of proper codes and billing units for pass-through drugs. The team continues to monitor its results by reviewing payments received from Medicare and auditing high-risk areas. The APC team used the principles of managing up to maximize Medicare reimbursement for outpatient visits. PMID:11592351

  18. An audit of travel and waiting times for outpatient radiotherapy.

    PubMed

    Junor, E J; Macbeth, F R; Barrett, A

    1992-05-01

    The object of this study was to assess the non-medical factors which detract from the quality of outpatient receiving service to a population of 2.7 million in a wide geographical area. We conducted a survey by patient questionnaire of all outpatients receiving radiotherapy in the West of Scotland on a single day in 1990. A total of 216 outpatients attended for radiotherapy with a 92% response rate to the questionnaire being achieved. Median values (and ranges) were: age 58 (4-85) years, number of daily treatments 20 (4-33), distance travelled in one direction 10 (1-60) miles, travelling time 45 (5-130) minutes, waiting time in the unit for treatment 60 (0-200) minutes, and a time away from home of 2 hours 50 minutes (35 minutes-7 hours). Sixteen per cent of patients had a relative who lost time from work by transporting the patient and only 12 of 60 patients who were away from home over a meal time were offered a hospital meal. Sixteen per cent of patients came by ambulance and 73% by motor car. Of 146 travelling by car 27% used a charity service and 20% a volunteer driver ambulance service car. It is concluded that long travelling distances, travelling times and treatment waiting times for many patients require revision of transport provision, a strict appointment system, more treatment machines and hostel accommodation. PMID:1586635

  19. Outpatient renal needle biopsy of the transplanted kidney: safety profile.

    PubMed

    Petrone, H; Frapiccini, M G; Skare, R; Baran, M

    2011-11-01

    Since May 2005, we began performing renal graft biopsies as outpatient procedures when the patient's condition did not require hospitalization. To evaluate the safety profile of the 137 procedures performed in 111 patients, we performed a retrospective analysis of complications after all biopsies between 4 May 2005 and 6 January 6, 2011. The analysis focused on types of complications as well as needs for hospitalization with length of stay, for blood transfusion or for a further intervention. There were complications in 10.9% of procedures (n = 15) with 8% requiring hospitalization (n = 11). The complications were: gross hematuria (n = 10) including blockage of urinary flow (n = 2) with one subject requiring urologic intervention, and one patient experienced severe pain at the puncture site. Neither renal graft nor patient survival was threatened; there was no hemodynamic decompensation needing blood transfusions. The average hospital stay was 2.27 days (range = 1-8). Outpatient renal biopsies in 111 patients (137 procedures) had an 8% incidence of complications requiring admission and an average length of hospitalization of 2.27 days. Gross hematuria the most frequent problem, in no way compromised patient or graft survival showing it to be a safe outpatient procedure. PMID:22099801

  20. Intensive outpatient comprehensive behavioral intervention for tics: A case series

    PubMed Central

    Blount, Tabatha H; Lockhart, Ann-Louise T; Garcia, Rocio V; Raj, Jeslina J; Peterson, Alan L

    2014-01-01

    Recent randomized clinical trials have established the efficacy of Comprehensive Behavioral Intervention for Tics (CBIT) in treating children and adults with Tourette syndrome and persistent tic disorders. However, the standard CBIT protocol uses a weekly outpatient treatment format (i.e., 8 sessions over 10 wk), which may be inconvenient or impractical for some patients, particularly patients, who are required to travel long distances in order to receive care. In contrast, an intensive outpatient program may increase accessibility to evidence-based behavioral treatments for Tourette syndrome and other persistent tic disorders by eliminating the necessity of repeated travel. This case series evaluated the use of an intensive outpatient program CBIT (IOP CBIT) for the treatment of 2 preadolescent males (ages 10 and 14 years) with Tourette syndrome. The IOP CBIT treatment protocol included several hours of daily treatment over a 4-d period. Both children evidenced notable reductions in their tics and maintained treatment gains at follow-up. Moreover, both patients and their parents expressed treatment satisfaction with the IOP CBIT format. This case series addresses an important research gap in the behavioral treatment of tic disorders literature. The patients’ treatment outcomes indicate that IOP CBIT is a promising treatment that warrants more systematic investigation. PMID:25325069

  1. Possibly Impossible Patients: Management of Difficult Behavior in Oncology Outpatients

    PubMed Central

    Peteet, John R.; Meyer, Fremonta L.; Miovic, Michael K.

    2011-01-01

    Angry, threatening, or otherwise disruptive behavior by patients can interfere with necessary oncologic treatment, sometimes to the point of rendering continued care impossible. We offer oncology clinicians guidance in dealing with difficult outpatients by discussing the differential diagnosis and multidisciplinary management of treatment-disrupting behavior in the ambulatory oncology setting. We review the existing literature on dealing with difficult patients and present clinical experience at a comprehensive cancer center where a formalized, institutional process for responding to disruptive outpatients has been developed. A structured, multidisciplinary approach to deal with difficult behavior in oncology outpatients can improve care and staff morale. Staff using this approach can identify causes of treatment-disrupting behavior, develop and implement appropriate behavior plans, facilitate communication, address mental health issues, and ensure that decisions to terminate a relationship with a patient are ethical, clinically justified, and supported by due process. In the future, clinical recommendations and institutional guidelines for dealing with difficult patients should be evaluated with more structured, quantitative research. PMID:22043189

  2. Mssbauer study and magnetic properties of M-type barium hexaferrite doped with Co + Ti and Bi + Ti ions.

    PubMed

    Belous, A G; V'yunov, O I; Pashkova, E V; Ivanitskii, V P; Gavrilenko, O N

    2006-12-28

    Using X-ray powder diffractions, Mssbauer spectroscopy, and magnetic measurements, the effect of complex dopants (Co2+ + Ti4+) and (Bi3+ + Ti4+) on the fine structure and magnetic properties of M-type barium hexaferrite prepared by hydroxide and carbonate precipitations has been studied. The distribution of cations over five nonequivalent positions of barium hexaferrite with magnetoplumbite structure is discussed. It has been shown that doped barium hexaferrite can be used for high-coercitivity data storage media. PMID:17181308

  3. Active experiments in space in conjunction with Skylab. [barium plasma injection experiment and magnetic storm of March 7, 1972

    NASA Technical Reports Server (NTRS)

    Wescott, E. M.

    1974-01-01

    Two papers are presented which relate to the Skylab barium shaped charge experiments. The first describes the L=6.6 OOSIK barium plasma injection experiment and magnetic storm of March 7, 1972. Rocket payload, instrumentation, data reduction methods, geophysical environment at the time of the experiment, and results are given. The second paper presents the observation of an auroral Birkeland current which developed from the distortion of a barium plasma jet during the above experiment.

  4. Supramolecular curcumin-barium prodrugs for formulating with ceramic particles.

    PubMed

    Kamalasanan, Kaladhar; Anupriya; Deepa, M K; Sharma, Chandra P

    2014-10-01

    A simple and stable curcumin-ceramic combined formulation was developed with an aim to improve curcumin stability and release profile in the presence of reactive ceramic particles for potential dental and orthopedic applications. For that, curcumin was complexed with barium (Ba(2+)) to prepare curcumin-barium (BaCur) complex. Upon removal of the unbound curcumin and Ba(2+) by dialysis, a water-soluble BaCur complex was obtained. The complex was showing [M+1](+) peak at 10,000-20,000 with multiple fractionation peaks of MALDI-TOF-MS studies, showed that the complex was a supramolecular multimer. The (1)H NMR and FTIR studies revealed that, divalent Ba(2+) interacted predominantly through di-phenolic groups of curcumin to form an end-to-end complex resulted in supramolecular multimer. The overall crystallinity of the BaCur was lower than curcumin as per XRD analysis. The complexation of Ba(2+) to curcumin did not degrade curcumin as per HPLC studies. The fluorescence spectrum was blue shifted upon Ba(2+) complexation with curcumin. Monodisperse nanoparticles with size less than 200dnm was formed, out of the supramolecular complex upon dialysis, as per DLS, and upon loading into pluronic micelles the size was remaining in similar order of magnitude as per DLS and AFM studies. Stability of the curcumin was improved greater than 50% after complexation with Ba(2+) as per UV/Vis spectroscopy. Loading of the supramloecular nanoparticles into pluronic micelles had further improved the stability of curcumin to approx. 70% in water. These BaCur supramolecule nanoparticles can be considered as a new class of prodrugs with improved solubility and stability. Subsequently, ceramic nanoparticles with varying chemical composition were prepared for changing the material surface reactivity in terms of the increase in, degradability, surface pH and protein adsorption. Further, these ceramic particles were combined with curcumin prodrug formulations and optimized the curcumin release properties in the combined formulations. Our proof concept study shows that, the conversion of curcumin to a metal-organic supramolecular prodrug improved the solubility, stability and release profile of curcumin. The prodrug approach with the micellisation strategy appears to be more appropriate to deliver intact curcumin in the presence of ceramic particles of varying surface reactivity. PMID:25064480

  5. Association of air pollution with hospital outpatient visits in Beijing

    SciTech Connect

    Xiping Xu; Dockery, D.W. |; Christiani, D.C. |

    1995-05-01

    Data collected at a community-based hospital in Beijing, China, were analyzed in an assessment of the association of air pollution with daily outpatient visits. Total suspended particle (TSP) measurements were available for 210 d(mean, 388 {mu}g/m{sup 3}; maximum, 1 255 {mu}g/m{sup 3}), and sulfur dioxide (SO{sub 2}) measurements were available for 2 d (mean, 119 {mu}g/m{sup 3}), (maximum 478 {mu}g/m{sup 3}). The average number of daily hospital outpatient visits was 1 386; approximately 8.5% of these visits were to the surgery department, 7.9% were to the pediatrics department, and 20.6% were to the internal medicine department. A large increase in nonsurgery outpatient visits was observed in association with increases in both SO{sub 2} and TSP in linear regression models, after adjusting for temperature, humidity, season, and day of the week. The estimated effects (in which the most polluted days were compared with the least polluted days) on nonsurgery outpatient visits were increases of 20% (SE = 5%) and 17% (SE = 4%) in association with increases in SO{sub 2} and TSP, respectively. In a department-specific analysis, the association was found to be 1.5-to 2.0-fold stronger for pediatrics and internal medicine visits than for other types of visits. The separate association of SO{sub 2} and TSP with internal medicine visits remained statistically significant when both SO{sub 2} and TSP were considered simultaneously and when adjustment was made for surgery visits in both winter and summer. The association between outpatient visits and air pollutions appeared to be stronger in summer than in winter, although the summer daily mean SO{sub 2} concentration was only 17 {mu}g/m{sup 3} (maximum, 51 {mu}g/m{sup 3}). These data provide coherent evidence that current air-pollution levels in Beijing are associated with adverse health outcomes, and they also suggest that air pollution in Beijing needs to be controlled more effectively. 25 refs., 1 fig., 3 tabs.

  6. Low-temperature phase transitions in barium sodium niobate

    NASA Astrophysics Data System (ADS)

    Filipic, C.; Kutnjak, Z.; Lortz, R.; Torres-Pardo, A.; Dawber, M.; Scott, J. F.

    2007-06-01

    We present dielectric and specific heat data on barium sodium niobate (Ba2Na1-xNb5O15) from 4 to 460 K with an emphasis on the low-temperature incommensurate phase transitions. This material is ferroelectric below Tc(x) = ca 830 K, and the reciprocal dielectric constant extrapolates to zero near this temperature throughout the low-temperature phases, which involve distortions within the non-polar plane and do not affect significantly the ferroelectric properties. The transition from orthorhombic to incommensurate near 113 K has highly frequency-dispersive dynamics, reminiscent of those in relaxors, and an activation energy of 0.42 eV. The 'lock-in' transition near 30 K to a tetragonal structure with an enlarged unit cell has been controversial, with studies in Japan (1996, 1997) and the Czech Republic (2004) not finding the P4nc phase predicted by Schneck (1982) and measured directly via spallation neutron scattering by Scott et al (1990); our new studies show that this transition is limited by kinetics and requires very slow cooling for detection.

  7. Barium from a mini r-process in supernovae

    NASA Technical Reports Server (NTRS)

    Heymann, D.

    1983-01-01

    McCulloch and Wasserburg (1978) have reported nonlinear isotopic anomalies in barium for two Ca-Al-rich inclusions of the Allende carbonaceous chondrite, known as EK-1-4-1 and C-1. In an attempt to account for these anomalies, it has been proposed that Ba from an r-process of nucleosynthesis, containing Ba-135 and Ba-137, was injected into the primeval color system but was not totally homogenized. Questions arise in connection with the relations of Xe isotopes in carbonaceous chondrites. This has prompted Heymann and Dziczkaniec (1979, 1980, 1981) to study the formation of r-Xe, r-Kr, and r-Te by the mini r-process which is thought to occur in the O, Ne-rich shells of Type II supernovae. Lee et al. (1979) have studied the formation of r-Ba, r-Nd, and r-Sm by the same process. Certain differences regarding the approaches used by Lee et al. and by Heymann and Dziczkaniec make it necessary to restudy the work of Lee et al. Attention is given to the survival probabilities of nuclear species of interest, taking into accounts the elements Cs, Ba, I, and Xe.

  8. Nanoscale inhomogeneities in yttrium-barium-copper-oxide (YBCO) superconductors

    NASA Astrophysics Data System (ADS)

    Islam, Zahirul; Sinha, S. K.; Lang, J. C.; Liu, X.; Haskel, D.; Moss, S. C.; Srajer, G.; Veal, B. W.; Wermeille, D.; Lee, D. R.; Haeffner, D. R.; Welp, U.; Wochner, P.

    2004-03-01

    X-ray diffraction studies at the Advanced Photon Source reveal that nanoscale inhomogeneities, electronic or structural in origin, form in yttrium-barium-copper-oxide (YBa_2Cu_3O_6+x) superconductors and coexist with the superconducting (SC) state. Diffuse scattering from these inhomogeneous superstructures is due to atomic displacements with respect to equilibrium lattice sites (Z. Islam et al. Phys. Rev. B 66, 92501 (2002)), that are characterized by a wavevector of the form q=(q_x,0,0), where qx varies with hole doping from 2 unit cells (along shorter Cu-O-Cu direction) for very low doping to 4 unit cells at optimal doping. Interestingly, while these superstructures are 3-dimensionally ordered when the SC state is weakened (e.g., at x=0.4), as the doping increases, they become quasi 1D with correlation lengths comparable to SC coherence lengths in these cuprates. Recent first-principles calculations (D. de Fontaine et al., to be published) for the x=0.63 compound show that atomic displacements consistent with experimental data can be the result of ordering of O vacancies in YBCO. Models for various superstructures and their role in the phase diagram will be discussed.

  9. Two new barium sulfonates with pillared layered structures

    NASA Astrophysics Data System (ADS)

    Yang, Jin; Li, Li; Ma, Jian-Fang; Liu, Ying-Ying; Ma, Ji-Cheng

    2006-08-01

    The reactions of BaCl 22H 2O with NaHL a and K 3L b (H 2L a=4-hydroxybenzenesulfonic acid, H 3L b=4-hydroxy-5-nitro-1,3-benzenedisulfonic acid) gave two pillared layered coordination polymers: Ba(HL a)(Cl) 1 and KBaL b(H 2O) 32, respectively. The crystal structures were determined by X-ray diffraction method and refined by full-matrix least-squares methods to R=0.0509 and wR=0.1216 using 1455 reflections with I>2 ?( I) for 1; and R=0.0288 and wR=0.0727 using 2661 reflections with I>2 ?( I) for 2. The interesting feature of compound 1 is the coordination actions of chloride anions, which help to form the polymeric layers by bridging barium cations. In compound 2 the Lb3- anion acts as an unusual dodecadente ligand to form a coordination polymer with pillared layered structure.

  10. Two new barium sulfonates with pillared layered structures

    NASA Astrophysics Data System (ADS)

    Yang, Jin; Li, Li; Ma, Jian-Fang; Liu, Ying-Ying; Ma, Ji-Cheng

    2006-05-01

    The reactions of BaCl 22H 2O with NaHL a and K 3L b (H 2L a=4-hydroxybenzenesulfonic acid, H 3L b=4-hydroxy-5-nitro-1,3-benzenedisulfonic acid) gave two pillared layered coordination polymers: Ba(HL a)(Cl) 1 and KBaL b(H 2O) 32, respectively. The crystal structures were determined by X-ray diffraction method and refined by full-matrix least-squares methods to R=0.0509 and wR=0.1216 using 1455 reflections with I>2 ?( I) for 1; and R=0.0288 and wR=0.0727 using 2661 reflections with I>2 ?( I) for 2. The interesting feature of compound 1 is the coordination actions of chloride anions, which help to form the polymeric layers by bridging barium cations. In compound 2 the Lb3- anion acts as an unusual dodecadente ligand to form a coordination polymer with pillared layered structure.

  11. Communication: Barium ions and helium nanodroplets: Solvation and desolvation

    SciTech Connect

    Zhang Xiaohang; Drabbels, Marcel

    2012-08-07

    The solvation of Ba{sup +} ions created by the photoionization of barium atoms located on the surface of helium nanodroplets has been investigated. The excitation spectra corresponding to the 6p {sup 2}P{sub 1/2} Leftwards-Arrow 6s {sup 2}S{sub 1/2} and 6p {sup 2}P{sub 3/2} Leftwards-Arrow 6s {sup 2}S{sub 1/2} transitions of Ba{sup +} are found to be identical to those recorded in bulk He II [H. J. Reyher, H. Bauer, C. Huber, R. Mayer, A. Schafer, and A. Winnacker, Phys. Lett. A 115, 238 (1986)], indicating that the ions formed at the surface of the helium droplets become fully solvated by the helium. Time-of-flight mass spectra suggest that following the excitation of the solvated Ba{sup +} ions, these are being ejected from the helium droplets either as bare Ba{sup +} ions or as small Ba{sup +}He{sub n} (n < 20) complexes.

  12. Electrical properties of lanthanum doped barium titanate ceramics

    SciTech Connect

    Vijatovic Petrovic, M.M.; Bobic, J.D.; Ramoska, T.; Banys, J.; Stojanovic, B.D.

    2011-10-15

    Pure and lanthanum doped barium titanate (BT) ceramics were prepared by sintering pellets at 1300 deg. C for 8 h, obtained from nanopowders synthesized by the polymeric precursor method. XRD results showed formation of a tetragonal structure. The presence of dopants changed the tetragonal structure to pseudo-cubic. The polygonal grain size was reduced up to 300 nm with addition of lanthanum as a donor dopant. Determined dielectric properties revealed that lanthanum modified BT ceramics possessed a diffused ferroelectric character in comparison with pure BT that is a classical ferroelectric material. In doped BT phase transition temperatures were shifted to lower temperatures and dielectric constant values were much higher than in pure BT. A modified Currie Weiss law was used to explore the connection between the doping level and degree of diffuseness of phase transitions. Impedance spectroscopy measurements were carried out at different temperatures in order to investigate electrical resistivity of materials and appearance of a PTCR effect. - Highlights: {yields} Pure and lanthanum doped BaTiO{sub 3} were prepared by polymeric precursors method. {yields} Change of structure from tetragonal to pseudo-cubic. {yields} Lanthanum as a donor dopant influenced on change of ferro-para phase transition. {yields} The diffuseness factor indicated the formation of diffuse ferroelectric material. {yields} Lanthanum affected on PTCR effect appearance in BT ceramics.

  13. Ferroelectric superlattice based on barium-strontium titanate solid solutions

    NASA Astrophysics Data System (ADS)

    Razumnaya, A. G.; Golovko, Yu. I.; Lyanguzov, N. V.; Yuzyuk, Yu. I.; Shirokov, V. B.; Mukhortov, V. M.; El Marssi, M.

    2015-11-01

    A superlattice of the composition Ba0.8Sr0.2TiO3/Ba0.4Sr0.6TiO3 has been grown by rf cathode sputtering on a MgO(001) substrate. The unit cell parameters of the superlattice layers along the normal to the substrate, modulation period, and orientation relationships between the film and the substrate have been determined using X-ray diffraction. Based on the temperature dependences of the polarized Raman spectra, it has been revealed that the frequency of soft mode E(TO) increases from 79 to 97 cm-1 in the temperature range of 80-350 K. It has been found that there are no characteristic indications of a sequence of phase transitions, which take place in bulk samples of barium-strontium titanate solid solutions of identical compositions, and the transition from the ferroelectric to paraelectric phase in the superlattice occurs at a temperature of 350 K.

  14. Growth and characterization of barium oxide nanoclusters on YSZ(111)

    SciTech Connect

    Nachimuthu, Ponnusamy; Kim, Yong Joo; Kuchibhatla, Satyanarayana V N T; Yu, Zhongqing; Jiang, Weilin; Engelhard, Mark H.; Shutthanandan, V.; Szanyi, Janos; Thevuthasan, Suntharampillai

    2009-08-13

    Barium oxide (BaO) was grown on YSZ(111) substrate by oxygen-plasma-assisted molecular beam epitaxy (OPA-MBE). In-situ reflection high-energy electron diffraction, ex-situ x-ray diffraction, atomic force microscopy and x-ray photoelectron spectroscopy have confirmed that the BaO grows as clusters on YSZ(111). During and following the growth under UHV conditions, BaO remains in single phase. When exposed to ambient conditions, the clusters transformed to BaCO3 and/or Ba(OH)2 H2O. However, in a few attempts of BaO growth, XRD results show a fairly single phase cubic BaO with a lattice constant of 0.5418(1) nm. XPS results show that exposing BaO clusters to ambient conditions results in the formation BaCO3 on the surface and partly Ba(OH)2 throughout in the bulk. Based on the observations, it is concluded that the BaO nanoclusters grown on YSZ(111) are highly reactive in ambient conditions. The variation in the reactivity of BaO between different attempts of the growth is attributed to the cluster size.

  15. Nanofunctionalized zirconia and barium sulfate particles as bone cement additives.

    PubMed

    Gillani, Riaz; Ercan, Batur; Qiao, Alex; Webster, Thomas J

    2010-01-01

    Zirconia (ZrO(2)) and barium sulfate (BaSO(4)) particles were introduced into a methyl methacrylate monomer (MMA) solution with polymethyl methacrylate (PMMA) beads during polymerization to develop the following novel bone cements: bone cements with unfunctionalized ZrO(2) micron particles, bone cements with unfunctionalized ZrO(2) nanoparticles, bone cements with ZrO(2) nanoparticles functionalized with 3-(trimethoxysilyl)propyl methacrylate (TMS), bone cements with unfunctionalized BaSO(4) micron particles, bone cements with unfunctionalized BaSO(4) nanoparticles, and bone cements with BaSO(4) nanoparticles functionalized with TMS. Results demonstrated that in vitro osteoblast (bone-forming cell) densities were greater on bone cements containing BaSO(4) ceramic particles after four hours compared to control unmodified bone cements. Osteoblast densities were also greater on bone cements containing all of the ceramic particles after 24 hours compared to unmodified bone cements, particularly those bone cements containing nanofunctionalized ceramic particles. Bone cements containing ceramic particles demonstrated significantly altered mechanical properties; specifically, under tensile loading, plain bone cements and bone cements containing unfunctionalized ceramic particles exhibited brittle failure modes whereas bone cements containing nanofunctionalized ceramic particles exhibited plastic failure modes. Finally, all bone cements containing ceramic particles possessed greater radio-opacity than unmodified bone cements. In summary, the results of this study demonstrated a positive impact on the properties of traditional bone cements for orthopedic applications with the addition of unfunctionalized and TMS functionalized ceramic nanoparticles. PMID:20161983

  16. Barium oxide, calcium oxide, magnesia, and alkali oxide free glass

    DOEpatents

    Lu, Peizhen Kathy; Mahapatra, Manoj Kumar

    2013-09-24

    A glass composition consisting essentially of about 10-45 mole percent of SrO; about 35-75 mole percent SiO.sub.2; one or more compounds from the group of compounds consisting of La.sub.2O.sub.3, Al.sub.2O.sub.3, B.sub.2O.sub.3, and Ni; the La.sub.2O.sub.3 less than about 20 mole percent; the Al.sub.2O.sub.3 less than about 25 mole percent; the B.sub.2O.sub.3 less than about 15 mole percent; and the Ni less than about 5 mole percent. Preferably, the glass is substantially free of barium oxide, calcium oxide, magnesia, and alkali oxide. Preferably, the glass is used as a seal in a solid oxide fuel/electrolyzer cell (SOFC) stack. The SOFC stack comprises a plurality of SOFCs connected by one or more interconnect and manifold materials and sealed by the glass. Preferably, each SOFC comprises an anode, a cathode, and a solid electrolyte.

  17. Hydrogen diffusion in Lead Zirconate Titanate and Barium Titanate

    SciTech Connect

    Alvine, Kyle J.; Vijayakumar, M.; Bowden, Mark E.; Schemer-Kohrn, Alan L.; Pitman, Stan G.

    2012-08-28

    Hydrogen is a potential clean-burning, next-generation fuel for vehicle and stationary power. Unfortunately, hydrogen is also well known to have serious materials compatibility issues in metals, polymers, and ceramics. Piezoelectric actuator materials proposed for low-cost, high efficiency high-pressure hydrogen internal combustion engines (HICE) are known to degrade rapidly in hydrogen. This limits their potential use and poses challenges for HICE. Hydrogen-induced degradation of piezoelectrics is also an issue for low-pressure hydrogen passivation in ferroelectric random access memory. Currently, there is a lack of data in the literature on hydrogen species diffusion in piezoelectrics in the temperature range appropriate for the HICE as charged via a gaseous route. We present 1HNMR quantification of the local hydrogen species diffusion within lead zirconate titanate and barium titanate on samples charged by exposure to high-pressure gaseous hydrogen ∼32 MPa. Results are discussed in context of theoretically predicted interstitial hydrogen lattice sites and aqueous charging experiments from existing literature.

  18. Properties of barium strontium titanate at millimeter wave frequencies

    SciTech Connect

    Osman, Nurul; Free, Charles

    2015-04-24

    The trend towards using higher millimetre-wave frequencies for communication systems has created a need for accurate characterization of materials to be used at these frequencies. Barium Strontium Titanate (BST) is a ferroelectric material whose permittivity is known to change as a function of applied electric field and have found varieties of application in electronic and communication field. In this work, new data on the properties of BST characterize using the free space technique at frequencies between 145 GHz and 155 GHz for both thick film and bulk samples are presented. The measurement data provided useful information on effective permittivity and loss tangent for all the BST samples. Data on the material transmission, reflection properties as well as loss will also be presented. The outcome of the work shows through practical measurement, that BST has a high permittivity with moderate losses and the results also shows that BST has suitable properties to be used as RAM for high frequency application.

  19. Impact of vanadium ions in barium borate glass.

    PubMed

    Abdelghany, A M; Hammad, Ahmed H

    2015-02-25

    Combined optical and infrared spectral measurements of prepared barium borate glasses containing different concentrations of V2O5 were carried out. Vanadium containing glasses exhibit extended UV-visible (UV/Vis.) bands when compared with base binary borate glass. UV/Vis. spectrum shows the presence of an unsymmetrical strong UV broad band centered at 214 nm attributed to the presence of unavoidable trace iron impurities within the raw materials used for the preparation of such glass. The calculated direct and indirect optical band gaps are found to decrease with increasing the vanadium content (2.9:137 for indirect and 3.99:2.01 for direct transition). This change was discussed in terms of structural changes in the glass network. Infrared absorption spectra of the glasses reveal the appearance of both triangular and tetrahedral borate units. Electron spin resonance analyses indicate the presence of unpaired species in sufficient quantity to be identified and to confirm the spectral data. PMID:25194319

  20. Barium in landscape components of the western Transbaikal region

    NASA Astrophysics Data System (ADS)

    Kashin, V. K.

    2015-10-01

    Barium concentrations in parent materials, soils, and plants of the forest-steppe, steppe, and dry steppe landscapes of the Transbaikal region have been studied. The average concentration of this element in rocks and soils of this region exceeds its clarke by 1.8-2.1 times. A positive correlation between the contents of Ba in soils, soil-forming rocks, and plants has been found. The concentration of Ba in soils does not correlate with the soil pH and humus content. Distribution patterns of Ba in the soil profiles have been characterized. With respect to the coefficient of the biological uptake by plants, Ba is assigned to the group of low accumulation (0.55-0.65) for mineral soils and of strong accumulation (6.0) for alluvial bog soils. Average concentrations of Ba in the steppe, meadow, and cultivated vegetation of the region are 1.9-2.3 times higher in comparison with the average concentration of this element in plants of the continents. The biological migration of Ba is most active in meadow landscapes, whereas steppe landscapes are characterized by the least active biological migration of this element.

  1. Thin film barium strontium titanate ferroelectric varactors for microwave applications

    NASA Astrophysics Data System (ADS)

    Yue, Hailing; Spatz, Devin; Wang, Shu; Shin, Eunsung; Subramanyam, Guru

    2015-11-01

    Analog phase shifters are investigated with a periodic structure that includes Barium Strontium Titanate ferroelectric thin film varactors in shunt or serial connection to the coplanar waveguide transmission line. The phase shift is achieved by applying a DC bias to the varactors and changing the reactance in the circuit. The goal of this paper is to characterize the shunt capacitive varactors regarding the voltage dependence of the capacitance, loss tangent, and insertion losses at different bias voltages. Quality factor analysis is also conducted taking the parasitic effects into account. Repeated measurements show that the capacitance of a single cell is tuned from 0.8pF to 0.2pF under a DC bias of 0-10V while the loss tangent is kept under 0.01 in the frequency range of 0-40GHz. Insertion loss is tuned from -4dB to less than -0.6dB from 0 to 10V with a Figure of Merit of 14 degrees/dB at 10GHz and the total quality factor of the unit cell is around 6.7 to 10 at 10GHz with matched port impedance. By cascading 10-25 single unit cells, the phase shift is expected to reach 360 degrees with minimum insertion loss.

  2. M Series Resonant X-Ray Lines of Barium for Near Threshold Electron Excitation.

    NASA Astrophysics Data System (ADS)

    Morgan, Dane Victor

    An investigation of the M series resonant x-ray emission lines of barium for near threshold electron excitation was undertaken with a vacuum double crystal spectrometer equipped with potassium acid phthalate crystals. X-ray continuum isochromats were also obtained for barium samples using the double crystal spectrometer as a monochrometer set to pass 532 eV photons. The rotatable anode allowed the sample to be observed by either the double crystal spectrometer or a soft x-ray appearance potential spectrometer, which was used for monitoring the surface of the barium sample for contamination, and to provide a cross-check for the double crystal spectrometer data. Barium M series characteristic x-ray spectra for 2.0 keV electron excitation were obtained for a variety of samples, and it was discovered that the fluorescent and resonant x-ray emission line energies remained virtually the same, regardless of the chemical condition of the sample. The continuum resonance effect was observed for near-threshold energy electron excitation, but it was significantly weaker than the same effect observed previously for lanthanum or cerium. The electron excitation energy and intensity of this effect were strongly dependent on the chemical condition of the barium sample. X-ray continuum isochromats were observed for pure and contaminated barium samples at a photon energy of 532 eV. For pure metallic barium, a peak associated with 4f electronic states was observed at an energy of about 10.2 eV above the Fermi level. When the sample was exposed to 1.5 times 10^4 Langmuir of air, the 4f structure became more sharply peaked, and shifted to an energy of about 12.0 eV above the Fermi level. A continuum isochromat of barium oxide was also observed. Chemical shifts in barium M_{ rm IV} and M_{rm V} appearance potential spectra are therefore caused solely by shifts in the energy position of the empty 4f electronic states relative to the Fermi level. This conclusion is supported by the observation that the peak in the continuum spectrum was shifted when the sample became contaminated, while the fluorescent and resonant x-ray emission lines remained fixed in energy.

  3. The Sol-Gel Synthesis of Rare-Earth Ions Substituted Barium Hexaferrites and Magnetic Properties

    NASA Astrophysics Data System (ADS)

    Cai, S.; Xin, P. H.; Wang, P. F.; Zhang, B. B.; Han, Y. B.; Peng, X. L.; Hong, B.; Jin, H. X.; Gong, J.; Jin, D. F.; Ge, H. L.; Wang, X. Q.; Zhang, J.

    2013-10-01

    In this paper, a series of rare-earth-doped barium hexaferrite powders (Ba0.95Re0.05-Fe12O19 and Ba0.95Re0.05M0.05Fe11.95O19: Re = La, Pr, Sm, Nd, Gd, Dy, Yb; M = Zn2+, Mn2+, Mn0.52+Zn2+0.5) were synthesized by the sol-gel self-combustion technology. The phase composition and the magnetic properties of the as-prepared barium hexaferrites were characterized and discussed with X-ray diffraction (XRD) and vibrating sample magnetometer (VSM). The results showed that the barium hexaferrites exhibited the magnetoplumbite phase structure with the average diameter of 45 nm. Magnetic properties study revealed that the variation of the saturation magnetization (Ms) was similar with the change of the rare-earth ions radius, but the change of Ms was low. This indicated that the magnetic moments of rare-earth ions could not affect Ms. The magnetocrystalline anisotropy field mainly influenced the anisotropism of hexaferrites, and the coercivity (Hc) of the rare-earth ions doped barium hexaferrites basically decreased with the increasing orbital quantum numbers (except Sm3+ and Gd3+). Further study showed the co-addition of Zn2+ and Mn2+ did not change the trend of Ms and Hc. Thus, it is concluded that the rare-earth ions played an important role for the anisotropy field of barium hexaferrites.

  4. Barium Tagging n Solid Xenon for nEXO Neutrinoless Double Beta Decay

    NASA Astrophysics Data System (ADS)

    Walton, Tim; Chambers, Chris; Craycraft, Adam; Fairbank, William; nEXO Collaboration

    2015-04-01

    nEXO is a next-generation experiment designed to search for neutrinoless double beta decay of the isotope Xe136 in a liquid xenon time projection chamber. Positive observation of this decay would determine the nature of the neutrino to be a Majorana particle. Since the daughter of this decay is barium (Ba136), detecting the presence of Ba136 at a decay site (called ``barium tagging'') would provide strong rejection of backgrounds in the search for this decay. This would involve detecting a single barium ion from within a macroscopic volume of liquid xenon. This technique may be available for a second phase of the nEXO detector and sensitivity beyond the inverted hierarchy to neutrino oscillations. Several methods of barium tagging are being explored by the nEXO collaboration, but here we present a method of trapping the barium ion/atom (it may neutralize) in solid xenon (SXe) at the end of a cold probe, and then detecting the ion/atom by its fluorescence in the SXe. Our group at CSU has been studying the fluorescence of Ba in SXe by laser excitation, in order to ultimately detect a single Ba +/Ba in a SXe sample. We present studies of fluorescence signals, as well as recent results on imaging small numbers of Ba atoms in SXe, in a focused laser region. This work is supported by grants from the National Science Foundation and the Department of Energy.

  5. Chromospherically active stars. 6: Giants with compact hot companions and the barium star scenario

    NASA Technical Reports Server (NTRS)

    Fekel, Francis C.; Henry, Gregory W.; Busby, Michael R.; Eitter, Joseph J.

    1993-01-01

    We have determined spectroscopic orbits for three chromospherically active giants that have hot compact companions. They are HD 160538 (K0 III + wd, P = 904 days), HD 165141 (G8 III + wd, P approximately 5200 days), and HD 185510 (K0 III + sdB, P = 20.6619 days). By fitting an IUE spectrum with theoretical models, we find the white dwarf companion of HD 165141 has a temperature of about 35000 K. Spectral types and rotational velocities have been determined for the three giants and distances have been estimated. These three systems and 39 Ceti are compared with the barium star mass-transfer scenario. The long-period mild barium giant HD 165141 as well as HD 185510 and 39 Ceti, which have relatively short periods and normal abundance giants, appear to be consistent with this scenario. The last binary, HD 160538, a system with apparently near solar abundances, a white dwarf companion, and orbital characteristics similar to many barium stars, demonstrates that the existence of a white-dwarf companion is insufficient to produce a barium star. The paucity of systems with confirmed white-dwarf companions makes abundance analyses of HD 160538 and HD 165141 of great value in examining the role of metallicity in barium star formation.

  6. Chromospherically active stars. 11: Giant with compact hot companions and the barium star scenario

    NASA Technical Reports Server (NTRS)

    Fekel, Francis C.; Henry, Gregory W.; Busby, Michael R.; Eitter, Joseph J.

    1993-01-01

    We have determined spectroscopic orbits for three chromsopherically active giants that have hot compact companions. They are HD 160538 (KO III + wd, P = 904 days), HD 165141 (G8 III + wd, P approximately 5200 days), and HD 185510 (KO III + sdB, P = 20.6619 days). By fitting an IUE spectrum with theoretical models, we find the white dwarf companion of HD 165141 has a temperature of about 35,000 K. Spectral types and rotational velocities have been determined for the three giants and distances have been estimated. These three systems and 39 Ceti are compared with the barium star mass-transfer scenario. The long-period mild barium giant HD 165141 as well as HD 185510 and 39 Ceti, which have relatively short periods and normal abundance giants, appear to be consistent with this scenario. The last binary, HD 160538, a system with apparently near solar abundances, a white dwarf companion, and orbital characteristics similar to many barium stars, demonstrates that the existence of a white dwarf companion is insufficient to produce a barium star. The paucity of systems with confirmed white dwarf companions makes abundance analyses of HD 160538 and HD 165141 of great value in examining the role of metallicity in barium star formation.

  7. Modifiable Risk Factors for Increased Arterial Stiffness in Outpatient Nephrology

    PubMed Central

    Elewa, Usama; Fernandez-Fernandez, Beatriz; Alegre, Raquel; Sanchez-Nio, Maria D.; Mahillo-Fernndez, Ignacio; Perez-Gomez, Maria Vanessa; El-Fishawy, Hussein; Belal, Dawlat; Ortiz, Alberto

    2015-01-01

    Arterial stiffness, as measured by pulse wave velocity (PWV), is an independent predictor of cardiovascular events and mortality. Arterial stiffness increases with age. However, modifiable risk factors such as smoking, BP and salt intake also impact on PWV. The finding of modifiable risk factors may lead to the identification of treatable factors, and, thus, is of interest to practicing nephrologist. We have now studied the prevalence and correlates of arterial stiffness, assessed by PWV, in 191 patients from nephrology outpatient clinics in order to identify modifiable risk factors for arterial stiffness that may in the future guide therapeutic decision-making. PWV was above normal levels for age in 85/191 (44.5%) patients. Multivariate analysis showed that advanced age, systolic BP, diabetes mellitus, serum uric acid and calcium polystyrene sulfonate therapy or calcium-containing medication were independent predictors of PWV. A new parameter, Delta above upper limit of normal PWV (Delta PWV) was defined to decrease the weight of age on PWV values. Delta PWV was calculated as (measured PWV) - (upper limit of the age-adjusted PWV values for the general population). MeanSD Delta PWV was 0.761.60 m/sec. In multivariate analysis, systolic blood pressure, active smoking and calcium polystyrene sulfonate therapy remained independent predictors of higher delta PWV, while age, urinary potassium and beta blocker therapy were independent predictors of lower delta PWV. In conclusion, arterial stiffness was frequent in nephrology outpatients. Systolic blood pressure, smoking, serum uric acid, calcium-containing medications, potassium metabolism and non-use of beta blockers are modifiable factors associated with increased arterial stiffness in Nephrology outpatients. PMID:25880081

  8. A new patient information leaflet for Dermatology outpatients

    PubMed Central

    Becker, Katrin; whittam, lindsay

    2014-01-01

    Lack of provision of information was the single most common cause of poor performance in the 2008/2009 NHS Patient Survey Programme of trusts in the UK. Information leaflets have been shown to improve patient satisfaction with consultations. We introduced a new patient information leaflet about the scheduled consultation in a district hospital's dermatology outpatient clinic. We then assessed in a small study its effect on the patients regarding helpfulness, preparation for and satisfaction with the out-patient consultation. Via the hospital's booking office, leaflets were sent to all patients (n=32) due to attend two outpatient clinics, accompanied by a letter about the survey. After the consultation, patients were given a short anonymous questionnaire to complete. Of the 32 patients, 12 patients did not receive the leaflet, three did not attend their consultation, and two left before they were handed the questionnaire. We gave out 15 questionnaires, and received 15 responses (100%). 46.9% of patients (n=15) answered the questionnaire. Of these 33.3% were new patients (n=5). 86.7% (n=13) found the leaflet helpful and 33% excellent (n=5). 86.7% felt well prepared for the consultation, 40% excellently (n=6). 86.7% were satisfied with the consultation, 73% rated their satisfaction as excellent (n=11). 60% of patients brought a list with their medication (n=9), 80% of the new patients (n=4). 13.3% of patients (n=2) wrote down questions prior to the consultation. Comments suggested the leaflet would be more useful for new patients. Patients scored highly for satisfaction with the consultation, whether or not they had received and information leaflet (we asked n=20 patients without leaflet). This short survey supports the idea that patients find it helpful to receive an information leaflet, and actively prepare by bringing a list of their medication, and thinking of questions.

  9. Patient satisfaction with outpatient lumbar microsurgical discectomy: a qualitative study

    PubMed Central

    Hersht, Maria; Massicotte, Eric M.; Bernstein, Mark

    2007-01-01

    Objective Lumbar microsurgical discectomy was traditionally done as an inpatient procedure, but over the last decade, there has been an ever-expanding shift toward outpatient lumbar microdiscectomy (OLM). We have been performing OLM since 1997 (MB) and 2002 (EMM), but no study of patient satisfaction has been carried out to date. the objective of our study was to investigate patient satisfaction with the experience Methods Between September 2004 and March 2005, we carried out a qualitative case study at Toronto Western Hospital, involving interviews with 28 patients who had recently undergone OLM. The protocol was approved by the institutional Research Ethics Board, and informed consent was obtained from each participant. Interviews were transcribed and stored anonymously and subjected to modified thematic analysis by 5 reviewers. Results Analysis of the interviews yielded several overarching themes: 1) patients are surprised that back surgery can be done on an outpatient basis; 2) the amount and quality of information they receive is satisfactory; 3) the overall experience is positive; 4) trust in one's surgeon is important; and 5) some patients have significant back pain in the early postoperative period. Conclusions Most patients appreciate the need for the health care system to save money where possible so that it can be spent in other, more resource-intensive areas. Outpatient lumbar microdiscectomy satisfies this goal while retaining high patient satisfaction rates. Qualitative research can yield substantial insight, which will improve the experience for future patients. Qualitative research is rare in the surgical literature and can answer questions quantitative research methods cannot. PMID:18053372

  10. Outpatient Outcomes of Pediatric Patients with Left Ventricular Assist Devices.

    PubMed

    Chen, Sharon; Lin, Aileen; Liu, Esther; Gowan, Maryalice; May, Lindsay J; Doan, Lan N; Almond, Christopher S; Maeda, Katsuhide; Reinhartz, Olaf; Hollander, Seth A; Rosenthal, David N

    2016-01-01

    Outpatient experience of children supported with continuous-flow ventricular assist devices (CF-VAD) is limited. We reviewed our experience with children discharged with CF-VAD support. All pediatric patients <18 years old with CF-VADs implanted at our institution were included. Discharge criteria included a stable medication regimen, completion of a VAD education program and standardized rehabilitation plan, and presence of a caregiver. Hospital readmissions (excluding scheduled admissions) were reviewed. Adverse events were defined by Interagency Registry for Mechanically Assisted Circulatory Support (INTERMACS) criteria. Of 17 patients with CF-VADs, 8 (47%) were discharged from the hospital (1 HeartWare ventricular assist device (Heartware Inc., Framingham, MA), 7 HeartMate II (Thoratec Corp, Pleasanton, CA)). Median age was 15.3 (range 9.6-17.1) years and weight was 50.6 (33.6-141) kg. Device strategies were destination therapy (DT; n = 4) and bridge to transplant (n = 4). Patients spent a median 49 (26-107) days hospitalized postimplant and had 2 (1-5) hospital readmissions. Total support duration was 3,154 patient-days, with 2,413 as outpatient. Most frequent adverse events were device malfunction and arrhythmias. There was one death because of pump thrombosis and no bleeding or stroke events. Overall adverse event rate was 15.22 per 100 patient-months. Early experience suggests that children with CF-VADs can be safely discharged. Device malfunction and arrhythmia were the most common adverse events but were recognized quickly with structured outpatient surveillance. PMID:26720740

  11. Fluphenazine enanthate in the outpatient treatment of late paraphrenia.

    PubMed

    Raskind, M; Alvarez, C; Herlin, S

    1979-10-01

    Fluphenazine enanthate parenterally was compared to an antipsychotic drug (haloperidol) given orally for the "crisis intervention" treatment of elderly outpatients with late paraphrenia. In the fluphenazine group, 11 of 13 patients improved, compared to only 3 of 13 in the oral drug group (p less than 0.01). The superiority of fluphenazine probably was attributable to improved compliance with the prescribed regimen by patients receiving parenteral depot medication. Despite the advanced age of the subjects, significant adverse drug effects were uncommon. PMID:469146

  12. Use and cost of hospital outpatient services under Medicare, 1985

    PubMed Central

    Helbing, Charles; Latta, Viola B.

    1988-01-01

    Presented in this article are program data on the use and cost of hospital outpatient (HOP) services rendered to aged and disabled Medicare beneficiaries during calendar year 1985. Trend data are also presented for calendar years 1974-85. The data shown in this article focus on charges, reimbursements, and reimbursements per enrollee as a means of measuring the cost of HOP services. The data provide information to help identify trends and patterns of care for monitoring the Medicare HOP benefit and for evaluating the impact of the inpatient hospital prospective payment system (PPS) on the use and cost of HOP services. PMID:10312629

  13. Sociopathy, gender, and treatment outcome among outpatient substance abusers.

    PubMed

    Galen, L W; Brower, K J; Gillespie, B W; Zucker, R A

    2000-12-22

    Antisocial personality disorder (ASPD) may predict poor prognosis but gender/sociopathy relationships to prognosis remain unclear. This study investigated the effects of ASPD upon psychiatric and substance-related outcomes among 235 addiction treatment center outpatients. Prevalence rates for ASPD were similar for males (16%) and females (22%). At baseline, women and ASPD patients displayed greater substance-related and psychiatric severity. At 6-month follow-up, ASPD patients had greater severity on both measures than did patients without ASPD, but women now had equivalent psychiatric severity to men. After controlling for initial severity, ASPD was related to worse substance-related outcomes, but not to worse psychiatric outcomes. PMID:11064181

  14. Detecting hospital fraud and claim abuse through diabetic outpatient services.

    PubMed

    Liou, Fen-May; Tang, Ying-Chan; Chen, Jean-Yi

    2008-12-01

    Hospitals and health care providers tend to get involved in exaggerated and fraudulent medical claims initiated by national insurance schemes. The present study applies data mining techniques to detect fraudulent or abusive reporting by healthcare providers using their invoices for diabetic outpatient services. This research is pursued in the context of Taiwan's National Health Insurance system. We compare the identification accuracy of three algorithms: logistic regression, neural network, and classification trees. While all three are quite accurate, the classification tree model performs the best with an overall correct identification rate of 99%. It is followed by the neural network (96%) and the logistic regression model (92%). PMID:18998594

  15. Charge-process strategies for outpatient prospective payment.

    PubMed

    Wolf, P

    2001-02-01

    One of the most important strategies for operating successfully under the outpatient prospective payment system is to establish an effective charging process. Achieving control of the process begins with a thorough assessment of chargemaster coding, how charges are structured in the chargemaster, and how hospital departments use the charges. Once problems are identified and corrected, the next step is to develop a system to maintain and monitor both the chargemaster and the charging process. Perhaps the most important component of the monitoring system is to include a mechanism to provide the necessary feedback to departments regarding errors related to the charge process. PMID:11271444

  16. Outpatient education reduces emergency room use by patients with epilepsy.

    PubMed

    Pascual, Franchette T; Hoang, Kathy; Hollen, Christopher; Swearingen, Richard; Hakimi, Andrea S; King, Jeanne Ann; Thompson, David

    2015-01-01

    Epilepsy is a costly diagnosis, with emergency room (ER) visits and hospital admissions comprising a large portion of total direct cost. An educational intervention to decrease the number of ER visits was implemented on outpatients with epilepsy, using educational handouts and DVD. The number of ER visits declined significantly in the four months following intervention compared with the preceding four months. This finding supports patient education as a valuable tool to reduce ER use, which may, in turn, cut down on health-care cost. PMID:25499153

  17. An Outpatient Clinic Information System Based on Distributed Database Technology

    PubMed Central

    Wilton, Richard; McCoy, J. Michael

    1989-01-01

    This paper describes a clinical information system used in an outpatient teaching clinic at UCLA. The system is designed specifically to address the information-processing needs of health-care providers in the clinic. The computer system uses distributed-database technology as a means of establishing data links between different applications running concurrently in a local area network as well as between network applications and hospital mainframe and minicomputer systems. The distributed architecture has resulted in a computer system that can evolve in response to anticipated clinical needs and to the introduction of new technology.

  18. Spontaneous pneumothorax: outpatient management with intercostal tube drainage.

    PubMed Central

    Pag, A.; Cossette, R.; Dontigny, L.; Lvy, R.; Mercier, C.; Pelletier, L. C.; Verdant, A.

    1975-01-01

    In a series of 104 episodes of pneumothorax 75 percent of episodes were managed successfully on an outpatient basis by observation (23.1 percent) or by intercostal tube drainage using a flutter valve (51.9 percent). The patients for whom this treatment was not successful were admitted to hospital; 17 of them (16.3 percent of 104) were treated surgically. Bleb suturing with a stapling device and dry sponge abrasion of the pleura was the operation of choice. Images FIG. 1 FIG. 2 PMID:1122441

  19. Hydrothermal crystallization of barium titanate: Mechanisms of nucleation and growth

    NASA Astrophysics Data System (ADS)

    Chun, Chang-Min

    Barium titanate is synthesized under hydrothermal conditions by the reaction of a variety of titania precursors with aqueous solutions of Ba(OH)sb2 at 80spC. Particles processed at relatively low concentrations of Ba(OH)sb2 are micro-sized and highly aggregated, but increasing concentrations cause the particle size to decrease, resulting in nanometer-sized and fairly monodispersed particles. The change in particle size and morphology at various Ba(OH)sb2 concentrations is controlled by the dissolution of titania and precipitation of BaTiOsb3. In order to explain the origin of "raspberry-like" BaTiOsb3 particles and the generation of hierarchically ordered BaTiOsb3 aggregate comprised of primary, crystalline particles, which exhibit an unusually high degree of crystallographic alignment, the role of colloidal stability and therefore controlled aggregation of precipitated primary particles is taken into account. Formation of SrTiOsb3 on BaTiOsb3 particles reveal that two different morphologies for the growing SrTiOsb3 exists and that the form taken by SrTiOsb3 depends on the degree of supersaturation. In concentrated solutions, homogeneous nucleation and aggregation growth occur. In dilute solutions, heterogeneous nucleation and continuous growth of SrTiOsb3 promote epitaxial growth. BaTiOsb3 particles prepared by the alkoxide (Ti(OCsb3Hsb7)sb4) -hydroxide (Ba(OH)sb2) route under hydrothermal conditions show that secondary processed such as aggregation and recrystallization are important to control the particle size and morphology. Particle clustering, and rearrangement of nanometer-sized BaTiOsb3 particles, and particulate uniformity can then be explained in terms of solution reactions and colloidal behavior.

  20. Dominant toughening mechanisms in barium aluminosilicate (BAS) glass-ceramics

    NASA Astrophysics Data System (ADS)

    Griggs, Jason Alan

    The purpose of this study was to develop a barium aluminosilicate (BAS) glass-ceramic with improved strength and fracture toughness by controlling the morphology of the constituent phases through a series of thermal crystallization treatments. The specific objectives of this study were to (1) determine which toughening mechanisms are active in the BAS system, (2) provide quantitative estimates of the relative contributions of those mechanisms, and (3) identify the processing conditions that correspond to a glass-ceramic with optimal fracture toughness. The BAS system was chosen for this study because of its potential applications in CAD-CAM production of dental prostheses. It is concluded that load sharing and crack deflection are the only major sources of toughening in the BAS system. Theoretical predictions for toughening increases due to load sharing and crack deflection are insufficient to account for 100% of the increases observed. The excess increase in fracture toughness is produced by thermal mismatch between and crystal and glass phases. The strength and fracture toughness of BAS glass-ceramics are shown to increase with increasing crystal growth time over the entire range of treatments studied. The strength and fracture toughness increased from 63 ± 8 MPa and 0.89 ± 0.05 MPa*msp{1/2}, respectively for BAS glass to 141 ± 8 MPa and 1.87 ± 0.07 MPa*msp{1/2} respectively for a glass-ceramic treated for 256 h at 975sp°C. Fracture toughness was also shown to increase with increasing mean crystal size. A non-stoichiometric glass composition results in thermal compatibility between the glass and crystal phases, eliminating the weakening at large crystal sizes that can be associated with a spontaneous microcracking mechanism.

  1. First Direct Evidence That Barium Dwarfs Have White Dwarf Companions

    NASA Astrophysics Data System (ADS)

    Gray, R. O.; McGahee, C. E.; Griffin, R. E. M.; Corbally, C. J.

    2011-05-01

    Barium II (Ba) stars are chemically peculiar F-, G-, and K-type objects that show enhanced abundances of s-process elements. Since s-process nucleosynthesis is unlikely to take place in stars prior to the advanced asymptotic giant branch (AGB) stage, the prevailing hypothesis is that each present Ba star was contaminated by an AGB companion which is now a white dwarf (WD). Unless the initial mass ratio of such a binary was fairly close to unity, the receiving star is thus at least as likely to be a dwarf as a giant. So although most known Ba stars appear to be giants, the hypothesis requires that Ba dwarfs be comparably plentiful and moreover that they should all have WD companions. However, despite dedicated searches with the IUE satellite, no WD companions have been directly detected to date among the classical Ba dwarfs, even though some 90% of those stars are spectroscopic binaries, so the contamination hypothesis is therefore presently in some jeopardy. In this paper, we analyze recent deep, near-UV and far-UV Galaxy Evolution Explorer (GALEX) exposures of four of the brightest of the class (HD 2454, 15360, 26367, and 221531), together with archived GALEX data for two newly recognized Ba dwarfs: HD 34654 and HD 114520 (which also prove to be spectroscopic binaries). The GALEX observations of the Ba dwarfs as a group show a significant far-UV excess compared to a control sample of normal F-type dwarfs. We suggest that this ensemble far-UV excess constitutes the first direct evidence that Ba dwarfs have WD companions.

  2. Evaluation of antibacterial properties of Barium Zirconate Titanate (BZT) nanoparticle

    PubMed Central

    Mohseni, Simin; Aghayan, Mahdi; Ghorani-Azam, Adel; Behdani, Mohammad; Asoodeh, Ahmad

    2014-01-01

    So far, the antibacterial activity of some organic and inorganic compounds has been studied. Barium zirconate titanate [Ba(ZrxTi1-x)O3] (x = 0.05) nanoparticle is an example of inorganic materials. In vitro studies have provided evidence for the antibacterial activity of this nanoparticle. In the current study, the nano-powder was synthesized by sol-gel method. X-ray diffraction showed that the powder was single-phase and had a perovskite structure at the calcination temperature of 1000 °C. Antibacterial activity of the desired nanoparticle was assessed on two gram-positive (Staphylococcus aureus PTCC1431 and Micrococcus luteus PTCC1625) and two gram-negative (Escherichia coli HP101BA 7601c and clinically isolated Klebsiella pneumoniae) bacteria according to Radial Diffusion Assay (RDA). The results showed that the antibacterial activity of BZT nano-powder on both gram-positive and gram-negative bacteria was acceptable. The minimum inhibitory concentration of this nano-powder was determined. The results showed that MIC values for E. coli, K. pneumoniae, M. luteus and S. aureus were about 2.3 μg/mL, 7.3 μg/mL, 3 μg/mL and 12 μg/mL, respectively. Minimum bactericidal concentration (MBC) was also evaluated and showed that the growth of E. coli, K. pneumoniae, M. luteus and S. aureus could be decreased at 2.3, 14, 3 and 18 μg/mL of BZT. Average log reduction in viable bacteria count in time-kill assay ranged between 6 Log10 cfu/mL to zero after 24 h of incubation with BZT nanoparticle. PMID:25763046

  3. Kinetic analysis of barium currents in chick cochlear hair cells.

    PubMed Central

    Zidanic, M; Fuchs, P A

    1995-01-01

    Inward barium current (IBa) through voltage-gated calcium channels was recorded from chick cochlear hair cells using the whole-cell clamp technique. IBa was sensitive to dihydropyridines and insensitive to the peptide toxins omega-agatoxin IVa, omega-conotoxin GVIa, and omega-conotoxin MVIIC. Changing the holding potential over a -40 to -80 mV range had no effect on the time course or magnitude of IBa nor did it reveal any inactivating inward currents. The activation of IBa was modeled with Hodgkin-Huxley m2 kinetics. The time constant of activation, tau m, was 550 microseconds at -30 mV and gradually decreased to 100 microseconds at +50 mV. A Boltzmann fit to the activation curve, m infinity, yielded a half activation voltage of -15 mV and a steepness factor of 7.8 mV. Opening and closing rate constants, alpha m and beta m, were calculated from tau m and m infinity, then fit with modified exponential functions. The H-H model derived by evaluating the exponential functions for alpha m and beta m not only provided an excellent fit to the time course of IBa activation, but was predictive of the time course and magnitude of the IBa tail current. No differences in kinetics or voltage dependence of activation of IBa were found between tall and short hair cells. We conclude that both tall and short hair cells of the chick cochlea predominantly, if not exclusively, express noninactivating L-type calcium channels. These channels are therefore responsible for processes requiring voltage-dependent calcium entry through the basolateral cell membrane, such as transmitter release and activation of Ca(2+)-dependent K+ channels. PMID:7787021

  4. FIRST DIRECT EVIDENCE THAT BARIUM DWARFS HAVE WHITE DWARF COMPANIONS

    SciTech Connect

    Gray, R. O.; McGahee, C. E.; Griffin, R. E. M.; Corbally, C. J. E-mail: cmcgahe@g.clemson.edu E-mail: corbally@as.arizona.edu

    2011-05-15

    Barium II (Ba) stars are chemically peculiar F-, G-, and K-type objects that show enhanced abundances of s-process elements. Since s-process nucleosynthesis is unlikely to take place in stars prior to the advanced asymptotic giant branch (AGB) stage, the prevailing hypothesis is that each present Ba star was contaminated by an AGB companion which is now a white dwarf (WD). Unless the initial mass ratio of such a binary was fairly close to unity, the receiving star is thus at least as likely to be a dwarf as a giant. So although most known Ba stars appear to be giants, the hypothesis requires that Ba dwarfs be comparably plentiful and moreover that they should all have WD companions. However, despite dedicated searches with the IUE satellite, no WD companions have been directly detected to date among the classical Ba dwarfs, even though some 90% of those stars are spectroscopic binaries, so the contamination hypothesis is therefore presently in some jeopardy. In this paper, we analyze recent deep, near-UV and far-UV Galaxy Evolution Explorer (GALEX) exposures of four of the brightest of the class (HD 2454, 15360, 26367, and 221531), together with archived GALEX data for two newly recognized Ba dwarfs: HD 34654 and HD 114520 (which also prove to be spectroscopic binaries). The GALEX observations of the Ba dwarfs as a group show a significant far-UV excess compared to a control sample of normal F-type dwarfs. We suggest that this ensemble far-UV excess constitutes the first direct evidence that Ba dwarfs have WD companions.

  5. Cadmium, zinc, copper, and barium in foraminifera tests

    NASA Astrophysics Data System (ADS)

    Boyle, Edward A.

    1981-03-01

    The concentrations of cadmium, zinc, copper and barium have been determined on 2-mg samples of single-species foraminifera populations. Cleaning techniques were tested using North Atlantic core tops, and followed by a detailed downcore study for the last 30,000 years in South Atlantic core V22-174. Raw foram tests cleaned by crushing followed by ultrasonic removal of fine-grained material, and dissolved in a pH 5.5 acetate buffer, contain appreciable amounts of trace elements associated with ferromanganese and alumino-silicate contaminants. A reductive/complexing cleaning treatment reduces ferromanganese contamination by 1-2 orders of magnitude. Acetate buffers at pH 5.5 complex iron and raise the solubility of ferromanganese oxides; these buffers are unsuitable for separating carbonate lattice-bound trace elements from the fraction associated with ferromanganese phases. Improved mechanical and ultrasonic reductive cleaning combined with a mild dissolution in distilled water under 1 atm. P CO 2 reduces contaminant levels another order of magnitude. The Cd and Zn concentrations (order 10 -8 mole Cd/mole Ca and 10 -5 mole Zn/mole Ca) of species with low surface area show an increase with decreasing isotopic temperatures. This increase is consistent with the increasing concentrations of these metals from low values in surface waters to higher values at depth. The variance of Cd and Zn over the last 30,000 years in the central South Atlantic is consistent with the probable variability of the dissolved trace elements at the calcification levels of the species analyzed. Cu and Ba are irreproducible and probably sensitive to residual contaminant phases. The trace element content of the tests differs from levels observed in a recent coprecipitation study. Foraminifera may be a significant vector in zinc cycling in the ocean.

  6. TWO BARIUM STARS IN THE OPEN CLUSTER NGC 5822

    SciTech Connect

    Katime Santrich, O. J.; Pereira, C. B.; De Castro, D. B. E-mail: claudio@on.br

    2013-08-01

    Open clusters are very useful examples to explain the constraint of the nucleosynthesis process with the luminosities of stars because the distances of the clusters are better known than those of field stars. We carried out a detailed spectroscopic analysis to derive the chemical composition of two red giants in the young open cluster NGC 5822, NGC 5822-2, and NGC 5822-201. We obtained abundances of C, N, O, Na, Mg, Al, Ca, Si, Ti, Ni, Cr, Y, Zr, La, Ce, and Nd. The atmospheric parameters of the studied stars and their chemical abundances were determined using high-resolution optical spectroscopy. We employed the local thermodynamic equilibrium model atmospheres of Kurucz and the spectral analysis code MOOG. The abundances of the light elements were derived using the spectral synthesis technique. We found that NGC 5822-2 and -201 have, respectively, a mean overabundance of the elements created by the s-process, ''s'', with the notation [s/Fe] of 0.77 {+-} 0.12 and 0.83 {+-} 0.05. These values are higher than those for field giants of similar metallicity. We also found that NGC 5822-2 and -201 have, respectively, luminosities of 140 L{sub Sun} and 76 L{sub Sun }, which are much lower than the luminosity of an asymptotic giant branch star. We conclude that NGC 5822-2 and NGC 5822-201 are two new barium stars first identified in the open cluster NGC 5822. The mass transfer hypothesis is the best scenario to explain the observed overabundances.

  7. Solid solution barium-strontium chlorides with tunable ammonia desorption properties and superior storage capacity

    NASA Astrophysics Data System (ADS)

    Bialy, Agata; Jensen, Peter B.; Blanchard, Didier; Vegge, Tejs; Quaade, Ulrich J.

    2015-01-01

    Metal halide ammines are very attractive materials for ammonia absorption and storage-applications where the practically accessible or usable gravimetric and volumetric storage densities are of critical importance. Here we present, that by combining advanced computational materials prediction with spray drying and in situ thermogravimetric and structural characterization, we synthesize a range of new, stable barium-strontium chloride solid solutions with superior ammonia storage densities. By tuning the barium/strontium ratio, different crystallographic phases and compositions can be obtained with different ammonia ab- and desorption properties. In particular it is shown, that in the molar range of 35-50% barium and 65-50% strontium, stable materials can be produced with a practically usable ammonia density (both volumetric and gravimetric) that is higher than any of the pure metal halides, and with a practically accessible volumetric ammonia densities in excess of 99% of liquid ammonia.

  8. Thoracoscopic treatment of barium-induced lung entrapment complicating esophageal perforation.

    PubMed

    Palazzo, Francesco; Silvestry, Scott C

    2008-02-01

    Patients with suspected esophageal perforations are routinely evaluated with a swallow study using a water-soluble contrast medium followed by thin-barium administration when the first fails to demonstrate a leak. Intrapleural barium instillation has been historically correlated with mild degree of pleural inflammation and a low-grade talclike reactive process. Still, if administered in excessive quantities, it may contribute to complicate the clinical scenario of pleural contamination secondary to the perforated esophagus. We report the case of a patient that presented with a malignant esophageal perforation and developed a trapped lung from extensive pleural contamination with barium sulfate that required video-assisted thoracic drainage and decortication with successful reexpansion of the lung and resolution of the acute symptoms. PMID:18288003

  9. The L equals 6.7 quiet time barium shaped charge injection experiment 'Chachalaca'

    NASA Technical Reports Server (NTRS)

    Wescott, E. M.; Stenbaek-Nielsen, H. C.; Davis, T. N.; Rieger, E. P.; Peek, H. M.; Bottoms, P. J.

    1975-01-01

    Near dawn on October 9, 1972, UT, a barium plasma injection experiment was carried out from Poker Flat, Alaska, during quiet magnetic conditions (Kp equals 1+). The visible plasma flux tube produced was more diffuse than the flux tubes in previous experiments, but it could be tracked for 30 min out to an altitude of 2.5 earth radii. The flux tube remained integral for about 20 min, when a single striation separated from the main streak. Comparisons of the observed flux tube orientation with theoretical field models show no significant deviations ascribable to field-aligned currents. Cross-field drift rates of the foot of the flux tube indicate an E field of approximately 7 mV/m at 200-km altitude. Although an attempt was made via a jet aircraft flight, barium ions were not detected in the southern conjugate region. No energetic particle precipitation phenomena were observed which could be ascribed to the barium plasma injection.

  10. Barium isotopes in individual presolar silicon carbide grains from the Murchison meteorite.

    SciTech Connect

    Savina, M. R.; Davis, A. M.; Tripa, C. E.; Pellin, M. J.; Clayton, R. N.; Lewis, R. S.; Amari, S.; Gallino, R.; Lugaro, M.; Univ. of Chicago; Washington Univ.; Univ. di Torino; Cambridge Univ.

    2003-09-01

    Barium isotopic compositions of single 2.3-5.3 {mu}m presolar SiC grains from the Murchison meteorite were measured by resonant ionization mass spectrometry. Mainstream SiC grains are enriched in s-process barium and show a spread in isotopic composition from solar to dominantly s-process. In the relatively coarse grain size fraction analyzed, there are large grain-to-grain variations of barium isotopic composition. Comparison of single grain data with models of nucleosynthesis in asymptotic giant branch (AGB) stars indicates that the grains most likely come from low mass carbon-rich AGB stars (1.5 to 3 solar masses) of about solar metallicity and with approximately solar initial proportions of r- and s-process isotopes. Measurements of single grains imply a wide variety of neutron-to-seed ratios, in agreement with previous measurements of strontium, zirconium and molybdenum isotopic compositions of single presolar SiC grains.

  11. Radar observations of ion cyclotron waves associated with two barium shaped-charge releases

    NASA Astrophysics Data System (ADS)

    Providakes, Jason; Swartz, Wesley E.; Kelley, Michael C.; Djuth, Frank T.; Noble, Steve

    1990-12-01

    Plasma waves associated with two shaped-charge barium releases from Wallops Island (Virginia) on May 13, 1986 were investigated using a 50 MHz Doppler radar interferometer and a 138-MHz Doppler radar operated from Kennedy Space Center. During the first barium release, measurements showed the existence of short-lived coherent 3-m and 1-m waves centered near 30 Hz. The coherent 30-Hz radar echoes were very similar to some naturally occurring auroral radar echoes that are believed to be generated by resistive current-driven electrostatic ion cyclotron (EIC) waves. The 30-Hz waves seen by the two radars far above the release are interpreted as strong EIC waves generated by intense field-aligned currents associated with the barium stream acting like an MHD generator coupled to the ionosphere.

  12. Plasma irregularities caused by cycloid bunching of the CRRES G-2 barium release

    NASA Technical Reports Server (NTRS)

    Bernhardt, P. A.; Huba, J. D.; Pongratz, M. B.; Simons, D. J.; Wolcott, J. H.

    1993-01-01

    The Combined Release and Radiation Effects Satellite (CRRES) spacecraft carried a number of barium thermite canisters for release into the upper atmosphere. The barium release labeled G-2 showed evidence of curved irregularities not aligned with the ambient magnetic field B. The newly discovered curved structures can be explained by a process called cycloid bunching. Cycloid bunching occurs when plasma is created by photoionization of a neutral cloud injected at high velocity perpendicular to B. If the injection velocity is much larger than the expansion speed of the cloud, the ion trail will form a cycloid that has irregularities spaced by the product of the perpendicular injection speed and the ion gyroperiod, Images of the solar-illuminated barium ions are compared with the results of a three-dimensional kinetic simulation. Cycloid bunching is shown to be responsible for the rapid generation of both curved and field-aligned irregularities in the CRRES G-2 experiment.

  13. Highly aligned arrays of high aspect ratio barium titanate nanowires via hydrothermal synthesis

    SciTech Connect

    Bowland, Christopher C.; Zhou, Zhi; Malakooti, Mohammad H.; Sodano, Henry A.

    2015-06-01

    We report on the development of a hydrothermal synthesis procedure that results in the growth of highly aligned arrays of high aspect ratio barium titanate nanowires. Using a multiple step, scalable hydrothermal reaction, a textured titanium dioxide film is deposited on titanium foil upon which highly aligned nanowires are grown via homoepitaxy and converted to barium titanate. Scanning electron microscope images clearly illustrate the effect the textured film has on the degree of orientation of the nanowires. The alignment of nanowires is quantified by calculating the Herman's Orientation Factor, which reveals a 58% improvement in orientation as compared to growth in the absence of the textured film. The ferroelectric properties of barium titanate combined with the development of this scalable growth procedure provide a powerful route towards increasing the efficiency and performance of nanowire-based devices in future real-world applications such as sensing and power harvesting.

  14. Prompt ionization in the CRIT II barium releases. [Critical Ionization Tests

    NASA Technical Reports Server (NTRS)

    Torbert, R. B.; Kletzing, C. A.; Liou, K.; Rau, D.

    1992-01-01

    Observations of electron and ion distributions inside a fast neutral barium jet in the ionosphere show significant fluxes within 4 km of release, presumably related to beam plasma instability processes involved in the Critical Ionization Velocity (CIV) effect. Electron fluxes exceeding 5 x 10 exp 12/sq cm-str-sec-keV were responsible for ionizing both the streaming barium and ambient oxygen. Resulting ion fluxes seem to be consistent with 1-2 percent ionization of the fast barium, as reported by optical observations, although the extended spatial distribution of the optically observed ions is difficult to reconcile with the in situ observations. When the perpendicular velocity of the neutrals falls below critical values, these processes shut off. Although these observations resemble the earlier Porcupine experimental results (Haerendel, 1982), theoretical understanding of the differences between these data and that of earlier negative experiments is still lacking.

  15. Spectroscopy of Ba and Ba+ deposits in solid xenon for barium tagging in nEXO

    NASA Astrophysics Data System (ADS)

    Mong, B.; Cook, S.; Walton, T.; Chambers, C.; Craycraft, A.; Benitez-Medina, C.; Hall, K.; Fairbank, W.; Albert, J. B.; Auty, D. J.; Barbeau, P. S.; Basque, V.; Beck, D.; Breidenbach, M.; Brunner, T.; Cao, G. F.; Cleveland, B.; Coon, M.; Daniels, T.; Daugherty, S. J.; DeVoe, R.; Didberidze, T.; Dilling, J.; Dolinski, M. J.; Dunford, M.; Fabris, L.; Farine, J.; Feldmeier, W.; Fierlinger, P.; Fudenberg, D.; Giroux, G.; Gornea, R.; Graham, K.; Gratta, G.; Heffner, M.; Hughes, M.; Jiang, X. S.; Johnson, T. N.; Johnston, S.; Karelin, A.; Kaufman, L. J.; Killick, R.; Koffas, T.; Kravitz, S.; Krcken, R.; Kuchenkov, A.; Kumar, K. S.; Leonard, D. S.; Licciardi, C.; Lin, Y. H.; Ling, J.; MacLellan, R.; Marino, M. G.; Moore, D.; Odian, A.; Ostrovskiy, I.; Piepke, A.; Pocar, A.; Retiere, F.; Rowson, P. C.; Rozo, M. P.; Schubert, A.; Sinclair, D.; Smith, E.; Stekhanov, V.; Tarka, M.; Tolba, T.; Twelker, K.; Vuilleumier, J.-L.; Walton, J.; Weber, M.; Wen, L. J.; Wichoski, U.; Yang, L.; Yen, Y.-R.; Zhao, Y. B.; nEXO Collaboration

    2015-02-01

    Progress on a method of barium tagging for the nEXO double beta decay experiment is reported. Absorption and emission spectra for deposits of barium atoms and ions in solid xenon matrices are presented. Excitation spectra for prominent emission lines, temperature dependence, and bleaching of the fluorescence reveal the existence of different matrix sites. A regular series of sharp lines observed in Ba+ deposits is identified with some type of barium hydride molecule. Lower limits for the fluorescence quantum efficiency of the principal Ba emission transition are reported. Under current conditions, an image of fewer than or equal to 104 Ba atoms can be obtained. Prospects for imaging single Ba atoms in solid xenon are discussed.

  16. Observation and theory of the barium releases from the CRRES satellite

    NASA Technical Reports Server (NTRS)

    Bernhardt, P. A.; Huba, J. D.; Scales, W. A.; Wescott, E. M.; Stenbaek-Nielsen, H. C.

    1992-01-01

    The relationship between releases of barium from the NASA Combined Release and Radiation Effects Satellite (CRRES) and enhanced auroral activity is discussed with reference to observational data. Barium releases were conducted at a variety of altitudes and injection velocities, and plasma irregularities are reported as a result of the interactions. Auroral activity increased within 5 min of each release, and references are made to the effects on diamagnetic cavities, bulk ion motion, and stimulated electron and ion precipitation. Artificially created structured diamagnetic cavities are noted for each release, plasma waves are generated by the high-speed ion clouds, and enhanced ionization is found in the critical ionization-velocity process. Barium releases are effective in stimulating electron precipitation, and the observed irregularities are related to cycloid bunching of the initial ion distributions.

  17. Phase transition studies in barium and strontium titanates at microwave frequencies

    NASA Technical Reports Server (NTRS)

    Dahiya, Jai N.

    1993-01-01

    The objectives were the following: to understand the phase transformations in barium and strontium titanates as the crystals go from one temperature to the other; and to study the dielectric behavior of barium and strontium titanate crystals at a microwave frequency of 9.12 GHz and as a function of temperature. Phase transition studies in barium and strontium titanate are conducted using a cylindrical microwave resonant cavity as a probe. The cavity technique is quite successful in establishing the phase changes in these crystals. It appears that dipole relaxation plays an important role in the behavior of the dielectric response of the medium loading the cavity as phase change takes place within the sample. The method of a loaded resonant microwave cavity as applied in this work has proven to be sensitive enough to monitor small phase changes of the cavity medium.

  18. Diabetes Mellitus in Outpatients in Debre Berhan Referral Hospital, Ethiopia

    PubMed Central

    Habtewold, Tesfa Dejenie; Tsega, Wendwesen Dibekulu; Wale, Bayu Yihun

    2016-01-01

    Introduction. Diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. Most people with diabetes live in low- and middle-income countries and these will experience the greatest increase in cases of diabetes over the next 22 years. Objective. To assess the prevalence and associated factors of diabetes mellitus among outpatients of Debre Berhan Referral Hospital. Methods and Materials. A cross-sectional study was conducted from April to June 2015 among 385 patients. Random quota sampling technique was used to get individual patients and risk factors assessment. Patients diabetes status was ascertained by World Health Organization Diabetes Mellitus Diagnostic Criteria. The collected data were entered, cleaned, and analyzed and Chi-square test was applied to test any association between dependent and independent variable. Result. Out of the total 385 study patients, 368 have participated in the study yielding a response rate of 95.3%. Concerning clinical presentation of diabetes mellitus, 13.3% of patients reported thirst, 14.4% of patients declared polyurea, and 14.9% of patients ascertained unexplained weight loss. The statistically significant associated factors of diabetes mellitus were hypertensive history, obesity, the number of parities, and smoking history. Conclusion. The prevalence of diabetes mellitus among outpatients in Debre Berhan Referral Hospital was 0.34% and several clinical and behavioral factors contribute to the occurrence of diabetes mellitus which impose initiation of preventive, promotive, and curative strategies. PMID:26881245

  19. Outpatient assessment of neurovisual functions in children with Cerebral Palsy.

    PubMed

    Barca, Laura; Cappelli, Francesca R; Di Giulio, Paola; Staccioli, Susanna; Castelli, Enrico

    2010-01-01

    This study examined the feasibility of the Atkinson Battery for Child Development for Examining Functional Vision (Atkinson, Anker, Rae, et al., 2002) to evaluate neurovisual functions of children with neurodevelopmental disorders in outpatient setting. A total of 90 patients underwent a comprehensive evaluation. Among these, a group of 33 children with Cerebral Palsy (CP), mean age 6 years, with different types of CP (26% diplegic, 37% hemiplegic and 37% tetraplegic) were selected to constitute the cohort of the study. Visual sensory measures as well as higher level visual functions were considered. Overall, 73% patients had impairments at the assessment protocol, the majority of which presenting difficulties on both visuoperceptual and visuospatial tasks (79%). Subgroups of participants presented similar profiles of impairments with spared basic visuocognitive abilities and limitations in visuoperceptual and visuospatial domains. The Atkinson's battery proved to be valuable for evaluation in outpatient setting and follow-up testing. Some limitations emerged. For the definition of personalized and detailed rehabilitation programs a breakdown of the different components of vision and subsequent in-depth evaluation are needed. PMID:19963340

  20. Diabetes Mellitus in Outpatients in Debre Berhan Referral Hospital, Ethiopia.

    PubMed

    Habtewold, Tesfa Dejenie; Tsega, Wendwesen Dibekulu; Wale, Bayu Yihun

    2016-01-01

    Introduction. Diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. Most people with diabetes live in low- and middle-income countries and these will experience the greatest increase in cases of diabetes over the next 22 years. Objective. To assess the prevalence and associated factors of diabetes mellitus among outpatients of Debre Berhan Referral Hospital. Methods and Materials. A cross-sectional study was conducted from April to June 2015 among 385 patients. Random quota sampling technique was used to get individual patients and risk factors assessment. Patients diabetes status was ascertained by World Health Organization Diabetes Mellitus Diagnostic Criteria. The collected data were entered, cleaned, and analyzed and Chi-square test was applied to test any association between dependent and independent variable. Result. Out of the total 385 study patients, 368 have participated in the study yielding a response rate of 95.3%. Concerning clinical presentation of diabetes mellitus, 13.3% of patients reported thirst, 14.4% of patients declared polyurea, and 14.9% of patients ascertained unexplained weight loss. The statistically significant associated factors of diabetes mellitus were hypertensive history, obesity, the number of parities, and smoking history. Conclusion. The prevalence of diabetes mellitus among outpatients in Debre Berhan Referral Hospital was 0.34% and several clinical and behavioral factors contribute to the occurrence of diabetes mellitus which impose initiation of preventive, promotive, and curative strategies. PMID:26881245