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Sample records for ruptured vertebrobasilar fusiform

  1. Pathological examination of a ruptured fusiform aneurysm of the middle cerebral artery

    PubMed Central

    Kinoshita, Masashi; Kida, Shinya; Hasegawa, Mitsuhiro; Yamashita, Junkoh; Nomura, Motohiro

    2014-01-01

    Background: Little is known about the pathogenesis and clinical course of fusiform compared with saccular aneurysms. The case of a ruptured fusiform aneurysm accompanied by dissection at the M2 portion of the middle cerebral artery (MCA) is reported, along with pathological findings. Case Description: A 41-year-old female presenting with subarachnoid hemorrhage was revealed to have a ruptured fusiform aneurysm at the M2 portion of the right MCA on angiography. She was treated with superficial temporal artery-MCA anastomosis and trapping of the aneurysm. The aneurysm consisted of a whitish fusiform dilatation with a thickened wall of the MCA and two red protrusions on it. Pathological examinations revealed disruption and fragmentation of the internal elastic lamina and intimal thickening in the fusiform lesion. There were two aneurysmal protrusions on the main fusiform dilatation. In one protruded lesion, a dissection of the intima was observed. Conclusion: We propose that a dissection and saccular aneurysm additionally developed on the wall of a preexisting segmental ectasia of the MCA in our case. In this report, we discuss the etiology of fusiform aneurysms of the MCA. PMID:25422790

  2. Tailored PICA Revascularization for Unusual Ruptured Fusiform Vertebro-PICA Origin Aneurysms: Rationale and Case Illustrations

    PubMed Central

    Carlson, Andrew P.

    2015-01-01

    Ruptured fusiform aneurysms of the vertebral artery involving posterior inferior cerebellar artery (PICA) origin are difficult to manage without sacrificing PICA. In this report, two very unusual cases are described which highlight different revascularization strategies that may be required. The first case initially appeared to be a small saccular PICA origin aneurysm, but detailed angiography showed a serpentine recanalization of a fusiform aneurysm. This was treated with PICAPICA anastomosis and trapping of the aneurysm. The second case is a dissecting vertebral aneurysm with both PICA and the anterior spinal artery originating from the dome. PICA was found to be a bihemispheric variant, so no in situ bypass was available, and an occipital artery to PICA bypass was performed. The vertebral artery was occluded proximally only and follow-up angiography showed remodeling of the distal vertebral artery with the anterior spinal artery filling by retrograde flow from the distal vertebral artery. These cases illustrate both the anatomic variability of this region as well as the need to be familiar with multiple treatment strategies including revascularization techniques to be able to successfully treat these aneurysms. PMID:26623241

  3. Tailored PICA Revascularization for Unusual Ruptured Fusiform Vertebro-PICA Origin Aneurysms: Rationale and Case Illustrations.

    PubMed

    Carlson, Andrew P

    2015-11-01

    Ruptured fusiform aneurysms of the vertebral artery involving posterior inferior cerebellar artery (PICA) origin are difficult to manage without sacrificing PICA. In this report, two very unusual cases are described which highlight different revascularization strategies that may be required. The first case initially appeared to be a small saccular PICA origin aneurysm, but detailed angiography showed a serpentine recanalization of a fusiform aneurysm. This was treated with PICA-PICA anastomosis and trapping of the aneurysm. The second case is a dissecting vertebral aneurysm with both PICA and the anterior spinal artery originating from the dome. PICA was found to be a bihemispheric variant, so no in situ bypass was available, and an occipital artery to PICA bypass was performed. The vertebral artery was occluded proximally only and follow-up angiography showed remodeling of the distal vertebral artery with the anterior spinal artery filling by retrograde flow from the distal vertebral artery. These cases illustrate both the anatomic variability of this region as well as the need to be familiar with multiple treatment strategies including revascularization techniques to be able to successfully treat these aneurysms. PMID:26623241

  4. Vertebrobasilar circulatory disorders

    MedlinePLUS

    Vertebrobasilar circulatory disorders are conditions in which blood supply to the back of the brain is disrupted. ... Complications of vertebrobasilar circulatory disorders are stroke ... (respiratory) failure (which may require the use of a machine ...

  5. The surgical management of vertebrobasilar insufficiency.

    PubMed

    de los Reyes, R A; Ausman, J I; Diaz, F G; Pak, H; Pearce, J E; Dujovny, M

    1983-01-01

    Vertebrobasilar insufficiency may result from structural lesions anywhere along the vertebrobasilar system. Recently developed techniques in angiography and microsurgery have made the vertebrobasilar system more accessible to surgical therapy. The syndrome of vertebrobasilar insufficiency is discussed, and our experience with the surgical treatment of lesions from the vertebral origin to the distal basilar region is reviewed. PMID:6880877

  6. Subclavian fusiform aneurysm causing partial subclavian steal syndrome. Case report.

    PubMed

    Buljan, Krunoslav; Buljan, Vesna; Hegedu, Ivana; Pali? Kramari?, Ruica; Petek, Marta; Kristek, Branka; Butkovi? Soldo, Silva

    2014-03-01

    We present a 55-year-old man with repeated transient symptoms of vertebrobasilar arterial pathology. Physical examination detected no signs that would indicate the stenosis of the proximal subclavian artery segment. Ultrasound detected hemodynamic disorder of right vertebral artery, which correspond to a partial subclavian steal syndrome. Angiography shows fusiform aneurysm of ipsilateral subclavian artery in which central part is the base of hypoplastic vertebral artery. In the literature are rare reports of cases of partial subclavian steal syndrome caused by aneurysmal expansion of subclavian artery. PMID:24567930

  7. Research Progress on Vertebrobasilar Dolichoectasia

    PubMed Central

    Yuan, Yong-Jie; Xu, Kan; Luo, Qi; Yu, Jin-Lu

    2014-01-01

    Vertebrobasilar dolichoectasia (VBD) is a rare disease characterized by significant expansion, elongation, and tortuosity of the vertebrobasilar arteries. Current data regarding VBD are very limited. Here we systematically review VBD incidence, etiology, characteristics, clinical manifestations, treatment strategies, and prognosis. The exact incidence rate of VBD remains unclear, but is estimated to be 1.3% of the population. The occurrence of VBD is thought to be due to the cooperation of multiple factors, including congenital factors, infections and immune status, and degenerative diseases. The VBD clinical manifestations are complex with ischemic stroke as the most common, followed by progressive compression of cranial nerves and the brain stem, cerebral hemorrhage, and hydrocephalus. Treatment of VBD remains difficult. Currently, there are no precise and effective treatments, and available treatments mainly target the complications of VBD. With the development of stent technology, however, it may become an effective treatment for VBD. PMID:25136259

  8. Workflow Optimization in Vertebrobasilar Occlusion

    SciTech Connect

    Kamper, Lars Meyn, Hannes; Nordmeyer, Simone; Kempkes, Udo; Piroth, Werner

    2012-06-15

    Objective: In vertebrobasilar occlusion, rapid recanalization is the only substantial means to improve the prognosis. We introduced a standard operating procedure (SOP) for interventional therapy to analyze the effects on interdisciplinary time management. Methods: Intrahospital time periods between hospital admission and neuroradiological intervention were retrospectively analyzed, together with the patients' outcome, before (n = 18) and after (n = 20) implementation of the SOP. Results: After implementation of the SOP, we observed statistically significant improvement of postinterventional patient neurological status (p = 0.017). In addition, we found a decrease of 5:33 h for the mean time period from hospital admission until neuroradiological intervention. The recanalization rate increased from 72.2% to 80% after implementation of the SOP. Conclusion: Our results underscore the relevance of SOP implementation and analysis of time management for clinical workflow optimization. Both may trigger awareness for the need of efficient interdisciplinary time management. This could be an explanation for the decreased time periods and improved postinterventional patient status after SOP implementation.

  9. Outflow Occlusion with Occipital Artery-Posterior Inferior Cerebellar Artery Bypass for Growing Vertebral Artery Fusiform Aneurysm with Ischemic Onset: A Case Report.

    PubMed

    Kochi, Ryuzaburo; Endo, Hidenori; Fujimura, Miki; Sato, Kenichi; Sugiyama, Shin-ichiro; Osawa, Shin-ichiro; Tominaga, Teiji

    2015-08-01

    Surgical treatments should be considered for vertebral artery fusiform aneurysms, which become symptomatic due to cerebral ischemia or mass effect. Ischemic complication is one of the major problems after surgical or endovascular trapping, which is associated with unfavorable outcomes. The authors present a case with growing vertebral artery (VA) fusiform aneurysm with ischemic onset successfully treated with outflow occlusion with occipital artery-posterior inferior cerebellar artery (OA-PICA) bypass. A 50-year-old woman presented with left PICA territory infarction. Left vertebral angiography (VAG) showed occlusion of the left VA at the proximal V4 segment. Right VAG revealed that the distal part of the left V4 segment with fusiform aneurysmal dilatation was reconstituted through vertebrobasilar junction, and the left PICA was the outlet of the blood flow from the fusiform aneurysm. Although the patient was treated conservatively, enlargement of the left VA fusiform aneurysm was observed 8 months after the initial presentation. Considering the potential risks for future stroke or bleeding, we performed clip occlusion of the origin of the left PICA, which could achieve outflow occlusion of the fusiform aneurysm with preservation of the perforators arising around the aneurysm. We created OA-PICA anastomosis for revascularization of the distal PICA. The postoperative course was uneventful, and the postoperative right VAG revealed occlusion of the fusiform aneurysm. Outflow occlusion instead of trapping is an effective surgical option for VA fusiform aneurysm to achieve obliterate the aneurysm with preservation of the perforator at the blind end. PMID:25979424

  10. Trigeminal hypoplasia due to vertebrobasilar dolichoectasia: A new entity.

    PubMed

    Jha, Abhishek; Gupta, Prakhar; Haroon, Mohammad; Shah, Gaurav; Gupta, Gagan; Khalid, Mohd

    2015-01-01

    The term "vertebrobasilar dolichoectasia" refers to anomalous dilatation of the intracranial arteries associated with elongation or tortuosity of the affected vessels. The etiology of the disease is unknown and is usually detected incidentally. The predominant clinical manifestations arise due to the mass effect of the dilated vessels and may include cranial nerve compression, extrinsic aqueductal compression, motor and sensory disturbances. Trigeminal hypoplasia is a very uncommon condition, usually described in association with Goldenhar-Gorlin syndrome and has not yet been attributed to vertebrobasilar dolichoectasia. The current case report highlights this rare association of trigeminal nerve hypoplasia and vertebrobasilar dolichoectasia, leading to hemifacial and corneal anesthesia. PMID:26167222

  11. Trigeminal hypoplasia due to vertebrobasilar dolichoectasia: A new entity

    PubMed Central

    Jha, Abhishek; Gupta, Prakhar; Haroon, Mohammad; Shah, Gaurav; Gupta, Gagan; Khalid, Mohd.

    2015-01-01

    The term vertebrobasilar dolichoectasia refers to anomalous dilatation of the intracranial arteries associated with elongation or tortuosity of the affected vessels. The etiology of the disease is unknown and is usually detected incidentally. The predominant clinical manifestations arise due to the mass effect of the dilated vessels and may include cranial nerve compression, extrinsic aqueductal compression, motor and sensory disturbances. Trigeminal hypoplasia is a very uncommon condition, usually described in association with Goldenhar-Gorlin syndrome and has not yet been attributed to vertebrobasilar dolichoectasia. The current case report highlights this rare association of trigeminal nerve hypoplasia and vertebrobasilar dolichoectasia, leading to hemifacial and corneal anesthesia. PMID:26167222

  12. Vertebrobasilar Dolichoectasia Induced Hydrocephalus: the Water-Hammer Effect.

    PubMed

    Zisimopoulou, Vaso; Ntouniadaki, Aikaterini; Aggelidakis, Panagiotis; Siatouni, Anna; Gatzonis, Stylianos; Tavernarakis, Antonios

    2015-04-24

    Vertebrobasilar dolichoectasia is a clinical entity associated rarely with obstructive hydrocephalus. We present a 48-year old male with a profound dilatation of the ventricular system due to a dolichoectatic basilar artery, as appeared in imaging studies. The patient suffered from longstanding hydrocephalus and presenile dementia. The underlying mechanism for obstructive hydrocephalus due to vertebrobasilar dolichoectasia is considered to be both a water-hammer effect and a direct compression of adjacent structures. We suggest prompt surgical intervention upon diagnosis as a first choice treatment in order to avoid further complications. PMID:26236456

  13. Vertebrobasilar Dolichoectasia Induced Hydrocephalus: the Water-Hammer Effect

    PubMed Central

    Zisimopoulou, Vaso; Ntouniadaki, Aikaterini; Aggelidakis, Panagiotis; Siatouni, Anna; Gatzonis, Stylianos; Tavernarakis, Antonios

    2015-01-01

    Vertebrobasilar dolichoectasia is a clinical entity associated rarely with obstructive hydrocephalus. We present a 48-year old male with a profound dilatation of the ventricular system due to a dolichoectatic basilar artery, as appeared in imaging studies. The patient suffered from longstanding hydrocephalus and presenile dementia. The underlying mechanism for obstructive hydrocephalus due to vertebrobasilar dolichoectasia is considered to be both a water-hammer effect and a direct compression of adjacent structures. We suggest prompt surgical intervention upon diagnosis as a first choice treatment in order to avoid further complications. PMID:26236456

  14. Time Management in Acute Vertebrobasilar Occlusion

    SciTech Connect

    Kamper, Lars; Mansour, Michael; Winkler, Sven B.; Kempkes, Udo; Haage, Patrick

    2009-03-15

    Acute vertebrobasilar occlusion (VBO) is associated with a high risk of stroke and death. Although local thrombolysis may achieve recanalization and improve outcome, mortality is still between 35% and 75%. However, without recanalization the chance of a good outcome is extremely poor, with mortality rates of 80-90%. Early treatment is a fundamental factor, but detailed studies of the exact time management of the diagnostic and interventional workflow are still lacking. Data on 18 patients were retrospectively evaluated. Time periods between symptom onset, admission to hospital, time of diagnosis, and beginning of intervention were correlated with postinterventional neurological status. The Glasgow Coma Scale and National Institute of Health Stroke Scale (NIHSS) were used to examine patients before and after local thrombolysis. Additionally, multivariate statistics were applied to reveal similarities between patients with neurological improvement. Primary recanalization was achieved in 77% of patients. The overall mortality was 55%. Major complications were intracranial hemorrhage and peripheral embolism. The time period from symptom onset to intervention showed a strong correlation with the postinterventional NIHSS as well as the patient's age, with the best results in a 4-h interval. Multivariate statistics revealed similarities among the patients. Evaluation of time management in acute VBO by multivariate statistics is a helpful tool for definition of similarities in this patient group. Similarly to the door-to-balloon time for acute coronary interventions, the chances for a good outcome depend on a short time interval between symptom onset and intervention. While the only manipulable time period starts with hospital admission, our results emphasize the necessity of efficient intrahospital workflow.

  15. Risk of Vertebrobasilar Stroke and Chiropractic Care

    PubMed Central

    Boyle, Eleanor; Ct, Pierre; He, Yaohua; Hogg-Johnson, Sheilah; Silver, Frank L.; Bondy, Susan J.

    2008-01-01

    Study Design Population-based, case-control and case-crossover study. Objective To investigate associations between chiropractic visits and vertebrobasilar artery (VBA) stroke and to contrast this with primary care physician (PCP) visits and VBA stroke. Summary of Background Data Chiropractic care is popular for neck pain and headache, but may increase the risk for VBA dissection and stroke. Neck pain and headache are common symptoms of VBA dissection, which commonly precedes VBA stroke. Methods Cases included eligible incident VBA strokes admitted to Ontario hospitals from April 1, 1993 to March 31, 2002. Four controls were age and gender matched to each case. Case and control exposures to chiropractors and PCPs were determined from health billing records in the year before the stroke date. In the case-crossover analysis, cases acted as their own controls. Results There were 818 VBA strokes hospitalized in a population of more than 100 million person-years. In those aged <45years, cases were about three times more likely to see a chiropractor or a PCP before their stroke than controls. Results were similar in the case control and case crossover analyses. There was no increased association between chiropractic visits and VBA stroke in those older than 45years. Positive associations were found between PCP visits and VBA stroke in all age groups. Practitioner visits billed for headache and neck complaints were highly associated with subsequent VBA stroke. Conclusion VBA stroke is a very rare event in the population. The increased risks of VBA stroke associated with chiropractic and PCP visits is likely due to patients with headache and neck pain from VBA dissection seeking care before their stroke. We found no evidence of excess risk of VBA stroke associated chiropractic care compared to primary care.

  16. Successfully treated symptomatic fusiform basilar artery aneurysm in a patient with hindbrain malformation via inverted Y-stenting.

    PubMed

    Purakal, Alixandra S; Ginat, Daniel Thomas; Lee, Seon-Kyu

    2016-03-01

    A double overlapping reverse Y-stent approach to creating flow diversion using traditional open-cell stent technology was evaluated as a treatment option symptomatic fusiform basilar aneurysms. A 36-year-old man with a complex hindbrain malformation presented with acute ocular dysmotility due to a rapidly enlarging fusiform basilar artery aneurysm. The aneurysm was treated by insertion of two stents into the vertebrobasilar system in an inverted Y-configuration from the basilar tip to the V4 segments of the bilateral vertebral arteries, essentially creating flow diversion without using a dedicated flow diversion device. This resulted in immediate symptomatic improvement. The stents remained patent and the aneurysm was obliterated at 6 months follow-up. Furthermore, the patient remained free of associated symptoms at 10 months follow-up. Thus, the double stenting technique can be used instead of a flow diversion device to effectively create flow diversion, promote aneurysm sac thrombosis, and lead to resolution of symptoms in large fusiform basilar artery aneurysms. PMID:25646132

  17. Fusiform Correlates of Facial Memory in Autism

    PubMed Central

    Trontel, Haley G.; Duffield, Tyler C.; Bigler, Erin D.; Froehlich, Alyson; Prigge, Molly B.D.; Nielsen, Jared A.; Cooperrider, Jason R.; Cariello, Annahir N.; Travers, Brittany G.; Anderson, Jeffrey S.; Zielinski, Brandon A.; Alexander, Andrew; Lange, Nicholas; Lainhart, Janet E.

    2013-01-01

    Prior studies have shown that performance on standardized measures of memory in children with autism spectrum disorder (ASD) is substantially reduced in comparison to matched typically developing controls (TDC). Given reported deficits in face processing in autism, the current study compared performance on an immediate and delayed facial memory task for individuals with ASD and TDC. In addition, we examined volumetric differences in classic facial memory regions of interest (ROI) between the two groups, including the fusiform, amygdala, and hippocampus. We then explored the relationship between ROI volume and facial memory performance. We found larger volumes in the autism group in the left amygdala and left hippocampus compared to TDC. In contrast, TDC had larger left fusiform gyrus volumes when compared with ASD. Interestingly, we also found significant negative correlations between delayed facial memory performance and volume of the left and right fusiform and the left hippocampus for the ASD group but not for TDC. The possibility of larger fusiform volume as a marker of abnormal connectivity and decreased facial memory is discussed. PMID:24761228

  18. Volatile terpenoids from aeciospores of Cronartium fusiforme.

    NASA Technical Reports Server (NTRS)

    Laseter, J. L.; Weete, J. D.; Walkinshaw, C. H.

    1973-01-01

    Identification of the terpenoids present in the volatile fraction from aeciospores of the gall rust fungus Cronartium fusiforme. The major monoterpenoid hydrocarbons found to be present with only traces of camphene include alpha-pinene, beta-pinene, delta(3)-carene, myrcene, linonene, beta-phellandrene, and delta-terpinene. A number of monoterpenoid alcohols, acyclic sesquiterpenes, and aromatic compounds were also present.

  19. Vertebrobasilar insufficiency revealed by xenon-133 inhalation SPECT

    SciTech Connect

    Delecluse, F.; Voordecker, P.; Raftopoulos, C.

    1989-07-01

    A study of cerebral and cerebellar blood flow reactivity to acetazolamide by xenon-133-inhalation single photon emission computed tomography (/sup 133/Xe SPECT) was carried out in a patient with bouts of transient basilar ischemia, whose neurological examination, computed tomographic scan, and auditory evoked potentials were normal. Though the patient was symptom-free at the time of the study, /sup 133/Xe SPECT demonstrated vertebrobasilar insufficiency by showing an impaired vasodilatory response in both the occipital lobes and the right cerebellar hemisphere. Three weeks later, the patient suffered an extensive stroke in these same areas. We therefore suggest that this method could be of great value in the assessment of vertebrobasilar insufficiency.

  20. Hemifacial spasm due to vertebrobasilar dolichoectasia: a case report

    PubMed Central

    AbdelHamid, Mustafa; John, Kuruvilla; Rizvi, Tanvir; Huff, Nicholas

    2015-01-01

    Hemifacial spasm (HFS) happens because of vascular compression of the facial nerve at the root exit zone. Vertebrobasilar dolichoectasia (VBD) is a very rare cause of HFS. VBD is diagnosed by computed tomography angiography and magnetic resonance imaging. Here, we report a case of 65-year-old female patient with HFS due to VBD. We discuss the complications and the treatment options for the case. PMID:26649123

  1. Anastomosis of occipital artery to anterior inferior cerebellar artery for vertebrobasilar junction stenosis.

    PubMed

    Ausman, J I; Diaz, F G; de los Reyes, R A; Pak, H; Patel, S; Boulos, R

    1981-08-01

    A new approach to revascularization of the posterior fossa for vertebrobasilar insufficiency due to vertebrobasilar junction stenosis is reported. The procedure involves anastomosing the occipital artery to a branch of the anterior inferior cerebellar artery. Rationale for the procedure and surgical technique are discussed. PMID:7280991

  2. Pipeline Embolization Device for Large/Giant or Fusiform Aneurysms: An Initial Multi-Center Experience in Korea

    PubMed Central

    Shin, Yong Sam; Baik, Min Woo; Lee, Deok Hee; Jeon, Pyoung; Baik, Seung Kug; Lee, Tae Hong; Kang, Dong-Hoon; Suh, Sang-il; Byun, Jun Soo; Jung, Jin-Young; Kwon, Kihun; Kim, Dong Joon; Park, Keun Young; Kim, Bum-soo; Park, Jung Cheol; Kim, Seong Rim; Kim, Young Woo; Kim, Hoon; Jo, Kyungil; Yoon, Chang Hyo; Kim, Young Soo

    2016-01-01

    Purpose The purpose of this study was to assess the safety and early outcomes of the Pipeline device for large/giant or fusiform aneurysms. Materials and Methods The Pipeline was implanted in a total of 45 patients (mean age, 58 years; M:F=10:35) with 47 large/giant or fusiform aneurysms. We retrospectively evaluated the characteristics of the treated aneurysms, the periprocedural events, morbidity and mortality, and the early outcomes after Pipeline implantation. Results The aneurysms were located in the internal carotid artery (ICA) cavernous segment (n=25), ICA intradural segment (n=11), vertebrobasilar trunk (n=8), and middle cerebral artery (n=3). Procedure-related events occurred in 18 cases, consisting of incomplete expansion (n=8), shortening-migration (n=5), transient occlusion of a jailed branch (n=3), and in-stent thrombosis (n=2). Treatment-related morbidity occurred in two patients, but without mortality. Both patients had modified Rankin scale (mRS) scores of 2, but had an improved mRS score of 0 at 1-month follow-up. Of the 19 patients presenting with mass effect, 16 improved but three showed no changes in their presenting symptoms. All patients had excellent outcomes (mRS, 0 or 1) during the follow-up period (median, 6 months; range, 2-30 months). Vascular imaging follow-up (n=31, 65.9%; median, 3 months, range, 1-25 months) showed complete or near occlusion of the aneurysm in 24 patients (77.4%) and decreased sac size in seven patients (22.6%). Conclusion In this initial multicenter study in Korea, the Pipeline seemed to be safe and effective for large/giant or fusiform aneurysms. However, a learning period may be required to alleviate device-related events. PMID:26958407

  3. Flow diverter placement for management of dissecting ruptured aneurysm in a non-fused basilar artery.

    PubMed

    Saliou, Guillaume; Power, Sarah; Krings, Timo

    2016-02-01

    Intracranial vertebral artery dissection can be associated with subarachnoid hemorrhage (SAH) and pseudoaneurysm formation. Dissecting aneurysms have a high risk of rebleeding in the acute phase. To our knowledge, the management of an acute vertebrobasilar junction dissecting aneurysm associated with a basilar non-fusion has not been previously reported. We report here a case of SAH due to rupture of a dissecting aneurysm involving the vertebrobasilar junction and extending to involve the right limb and proximal junction of a non-fused basilar artery, managed by insertion of a flow-diverting stent with excellent clinical outcome and long-term patency of the flow diverter. PMID:26628453

  4. Mechanical Removal of Migrated Onyx Due to Microcatheter Rupture During AVM Embolization: A Technical Case Report.

    PubMed

    Senturk, Cagin

    2015-12-01

    We report a case where migrated Onyx could be removed safely with a mechanical thrombectomy device after withdrawal of the damaged microcatheter. A microcatheter was retained in the superior cerebellar artery with attached Onyx fragments on its tip during embolization of a bled cerebellar AVM. During retrieval maneuvers microcatheter shaft was ruptured and Onyx fragments were released into the vertebrobasilar system causing occlusion. Finally, Onyx fragment on tip of the microcatheter could be detached with dimethyl sulfoxide injection and the microcatheter could be withdrawn. A Merci retriever device (Concentric Medical, Mountain View, CA, USA) was successfully used to retrieve most of the dislodged Onyx material and recanalize the vertebrobasilar circulation. PMID:25910968

  5. Computed Tomography Angiography of Carotid Arteries and Vertebrobasilar System

    PubMed Central

    Kramer, Manuel; Ellmann, Stephan; Allmendinger, Thomas; Eller, Achim; Kammerer, Ferdinand; May, Matthias S.; Baigger, João F.; Uder, Michael; Lell, Michael M.

    2015-01-01

    Abstract Computed tomography angiography (CTA) of carotid arteries and vertebrobasilar system is a standardized procedure with excellent image quality, but radiation exposure remains a matter of concern. The aim of this study is to examine to what extent radiation dose can be lowered in relation to a standard protocol by simulating examinations with lower tube currents applying a dedicated software. Lower tube current was simulated by a dedicated noise insertion and reconstruction software (ReconCT). In a phantom study, true scans were performed with different dose protocols and compared to the results of simulated dose reductions of the same degree, respectively. In a patient study, 30 CTAs of supra-aortic vessels were reconstructed at a level of 100%, 75%, 50%, and 25% of the initial dose. Objective and subjective image analyses were performed. No significant noise differences between true scans and simulated scans of mimicked contrasted vessels were found. In the patient study, the quality scores of the 4 dose groups differed statistically significant; this difference vanished for the comparison of the 100% and 75% datasets after dichotomization into the categories of diagnostic and nondiagnostic image quality (P = .50). This study suggests an easy-to-implement method of simulating CTAs of carotid arteries and vertebrobasilar system with lower tube current for dose reduction by artificially adding noise to the original raw data. Lowering the radiation dose in a moderate extent to 75% of the original dose levels does not significantly alter the diagnostic image quality. PMID:26131822

  6. Acute vertebrobasilar ischemic stroke due to electric injury.

    PubMed

    Singh Jain, Rajendra; Kumar, Sunil; Suresh, Desai Tushar; Agarwal, Rakesh

    2015-07-01

    Electrical injuries are most commonly due to household accidents.Various factors determine the severity of electric injury, including type of current, amperage, voltage, tissue resistance, pathway of current,and duration of contact with the body. Various types of neurologic damage due to electrical injury have been described in literature. It may manifest as peripheral nerve injury, spinal cord damage, seizures, cerebellarataxia, hypoxic encephalopathy, and intracerebral hemorrhage. Acute ischemic stroke is an infrequent complication of electrical injury. Herein,we report a case of middle-aged man, who accidentally sustained high voltage electrical injury followed by acute vertebrobasilar ischemic stroke. Magnetic resonance imaging of the brain showed acute infarctin bilateral cerebellar and medial occipital regions. Computed tomographic angiogram of the brain and neck vessels was normal. Possibly,in our patient, the mechanism could be related to direct vascular injury due to electric current. PMID:25684743

  7. Recurrent facial hemiparesis due to dolichoectatic vertebrobasilar artery: an unusual and ignored cause

    PubMed Central

    Mishra, Vijay Nath; Chaurasia, Rameshwar Nath; Gupta, Shailesh; Joshi, Deepika

    2013-01-01

    Dolichoectatic arteries are elongated tortuous aneurysms of intracranial arteries most commonly of vertebrobasilar tree presenting with ischaemic, haemorrhagic, thromboembolic lesions or with cranial nerve compression. The clinical presentation includes tic douloureux, neuralgia, tinnitus, vertigo, motor or sensory deficits, ataxia, dementia, Parkinsonism, hydrocephalus, headache, migraine, aneurysm, neoplasm, stroke/transient ischaemic attacks, leukoencephalopathy, central sleep apnoea and cerebellar dysfunctions. We present a case of recurrent facial nerve palsy secondary to vertebrobasilar dolichoectasia, an interesting and rare condition. PMID:23505276

  8. Recurrent facial hemiparesis due to dolichoectatic vertebrobasilar artery: an unusual and ignored cause.

    PubMed

    Mishra, Vijay Nath; Chaurasia, Rameshwar Nath; Gupta, Shailesh; Joshi, Deepika

    2013-01-01

    Dolichoectatic arteries are elongated tortuous aneurysms of intracranial arteries most commonly of vertebrobasilar tree presenting with ischaemic, haemorrhagic, thromboembolic lesions or with cranial nerve compression. The clinical presentation includes tic douloureux, neuralgia, tinnitus, vertigo, motor or sensory deficits, ataxia, dementia, Parkinsonism, hydrocephalus, headache, migraine, aneurysm, neoplasm, stroke/transient ischaemic attacks, leukoencephalopathy, central sleep apnoea and cerebellar dysfunctions. We present a case of recurrent facial nerve palsy secondary to vertebrobasilar dolichoectasia, an interesting and rare condition. PMID:23505276

  9. The assessment value of transcranial Doppler sonography versus magnetic resonance angiography in vertebrobasilar stroke

    PubMed Central

    Ghorbani, Abbas; Ashtari, Fereshteh; Fatehi, Farzad

    2010-01-01

    BACKGROUND: The goal of this study was to determine the reliability of TCD in evaluation of vertebrobasilar arteries in comparison with brain MRA in patients suffering from acute vertebrobasilar stroke. METHODS: Samples were patients with definite clinical diagnosis of vertebrobasilar stroke. For all patients brain MRI, MRA and TCD were performed during the first 48 hours of admission. Basilar artery was insonated at the depth of 75 to 85 mm and vertebral arteries were insonated at the depth of 45 to 55 mm. On brain MRA, the degree of stenosis in vertebrobasilar arteries was graded from I (normal) to IV (total stenosis) and the correlation between the grade of stenosis and TCD indices were studied. RESULTS: Spearman correlation test revealed a significant correlation between mean flow velocity (MFV) and MRA grading (correlation coefficient = -0.486) as well as end diastolic velocity (EDV) and MRA grading (correlation coefficient = -0.323) with no significant correlation between pulsatility index, peak systolic velocity and MRA grading (p > 0.05). One way ANOVA analysis showed that there was only significant mean MFV and mean EDV difference between grade 1 and other grades. CONCLUSIONS: TCD was only able to differentiate between stenotic and normal pattern and could not assist in the grading of stenosis. On the other hand, in acute vertebrobasilar stroke that TCD performed blindly without visualization of arteries and in a fixed depth it might have limited value in the grading of vertebrobasilar system stenosis. PMID:21526072

  10. Endovascular Treatment of Supra-Aortic Extracranial Stenoses in Patients with Vertebrobasilar Insufficiency Symptoms

    SciTech Connect

    Zaytsev, A.Y. Stoyda, A.Y.; Smirnov, V.E.; Scherbyuk, A.N.; Kondrashin, S.A; Artukchina, E.G.; Kikevitch, V.A.

    2006-10-15

    Purpose. Stenoses and thromboses of vessels feeding the vertebrobasilar territory can evoke serious disturbances including ischemic stroke. We present our experience of endovascular interventions for patients with signs of vertebrobasilar insufficiency (VBI) resulted from subclavian, vertebral and brachiocephalic arterial stenoses. Methods. Twenty-one patients (10 men) aged from 35 to 84 years (mean 64.3 years) with symptoms compatible with VBI underwent balloon angioplasty and stenting of subclavian (SA), innominate (IA) and vertebral (VA) arteries. Procedures were done by radiologists experienced in systematic stenting of the lesions. VBI was manifested by persistent signs in 15 patients, and by transitory ischemic attacks in the posterior circulatory territory in 4 (19%). Two patients (10%) experienced ischemic strokes (in the vertebrobasilar circulation in both cases). In 3 patients (14%) VBI was accompanied by upper limb vascular insufficiency symptoms. All cases were resistant to medical treatment. A neurologist assessed complaints, initial VBI signs and their alteration after intervention in all patients. Outcomes were measured with the 5-point scale suggested by Malek et al.: (1) excellent result (asymptomatic, no neurologic deficits and no symptoms of vertebrobasilar ischemia); (2) good (no neurologic deficits, at most one transient episode of vertebrobasilar ischemia over a period of 3 months after treatment); (3) fair (minimal neurologic deficit and at most one transient episode per month of vertebrobasilar ischemia); (4) poor (no improvement compared with neurologic status before treatment and/or persistent symptoms of vertebrobasilar ischemia); (5) death (regardless of cause). Endovascular treatment was performed for SA stenosis in 15 patients, for SA occlusion in 2, for IA stenosis in 2, and for VA stenosis in 2. There were 15 cases of atherosclerosis, 2 of aortoarteritis, 4 of proximal SA kinking. SA and IA stenoses ranged from 60% to 100% (mean 74.5%), VA stenoses were 90% in both cases. Results. Initial technical success was achieved in 96% of cases. There were no postprocedural complications or deaths. During 6-36 months (mean 21.3 months) of follow-up all patients showed improvement in VBI symptoms or upper limb ischemia. Within 36 months after the procedure outcomes were estimated as excellent and good in 13 patients (76%) and poor in 2 (12%), the last being attributed to atherosclerosis progression in other vascular areas. Restenosis in the stented area has developed in 1 patient (6%). Conclusions. Balloon angioplasty and stenting of extracranial vertebrobasilar arterial stenoses appeared to be effective in endovascular treatment of medically resistant VBI. Further investigations are required to clarify the role of subclavian artery kinking in VBI development and indications for various methods of its correction.

  11. MRI diffusion tensor tracking of a new amygdalo-fusiform and hippocampo-fusiform pathway system in humans

    PubMed Central

    Smith, Charles D.; Lori, Nicolas F.; Akbudak, Erbil; Sorar, Ertugrul; Gultepe, Eren; Shimony, Joshua S.; McKinstry, Robert C.; Conturo, Thomas E.

    2009-01-01

    Purpose To use MRI diffusion-tensor tracking (DTT) to test for the presence of unknown neuronal fiber pathways interconnecting mid-fusiform cortex and anteromedial temporal lobe in humans. Such pathways are hypothesized to exist because these regions co-activate in functional MRI (fMRI) studies of emotion-valued faces and words, suggesting a functional link that could be mediated by neuronal connections. Materials and Methods 15 normal human subjects were studied using unbiased DTT approaches designed for probing unknown pathways, including whole-brain seeding and large pathway-selection volumes. Several quality-control steps verified the results. Results Parallel amygdalo-fusiform and hippocampo-fusiform pathways were found in all subjects. The pathways begin/end at mid-fusiform gyrus above the lateral occipitotemporal sulcus bilaterally. The superior pathway ends/begins at the superolateral amygdala. The inferior pathway crosses medially and ends/begins at the hippocampal head. The pathways are left-lateralized, with consistently larger cross-sectional area, higher anisotropy, and lower minimum eigenvalue (D-min) on the left, where D-min assesses intrinsic cross-fiber diffusivity independent of curvature. Conclusion A previously-undescribed pathway system interconnecting mid-fusiform region with amygdala/hippocampus has been revealed. This pathway system may be important for recognition, memory consolidation, and emotional modulation of face, object, and lexical information, which may be disrupted in conditions such as Alzheimer's disease. PMID:19418556

  12. Bow hunter's syndrome causing vertebrobasilar insufficiency in a young man with neck muscle hypertrophy.

    PubMed

    Sarkar, Joy; Wolfe, Stacey Q; Ching, Brian H; Kellicut, Dwight C

    2014-05-01

    Vertebrobasilar insufficiency is characterized by impaired blood flow within the posterior circulation, producing symptoms of vertigo, nausea, vomiting, visual disturbances, and syncope. Given these nonspecific symptoms, the diagnosis of vertebrobasilar ischemia may be difficult to distinguish from more benign conditions. A healthy 37-year-old man presented to our clinic with near syncope upon turning his head to the left. Dynamic angiography revealed occlusion of the left vertebral artery at C7 with 90 head rotation to the left, consistent with bow hunter's syndrome. No obvious bony abnormalities were identified on computed tomography or magnetic resonance imaging scans. Transient rotational vertebral artery syndrome, a rare cause of vertebrobasilar insufficiency, has most often been reported at the C1-2 level, and the majority of cases occur in patients >50 years of age because of degenerative osteophytes and contralateral atherosclerosis. We present the unusual case of a young man with symptoms of vertebrobasilar insufficiency and discuss the potential effects of weightlifting and neck muscle hypertrophy on vertebral artery flow dynamics. PMID:24184499

  13. Bilobed Wide Neck Posterior Cerebral Artery Aneurysm Associated with Fusiform Basilar Aneurysm, Subarachnoid Hemorrhage and Chronic Renal Failure

    PubMed Central

    Siauw Koan, Tan

    2003-01-01

    Summary A 56 year-old woman presented with a ruptured bilobed wide neck aneurysm of the P2 segment of the PCA, atherosclerotic fusiform basilar artery aneurysm, subarachnoid bleeding with negative CT scan and chronic renal failure. She was managed by a cooperative approach involving neurosurgeons, neuroradiologist, neurointensivist, emergency room physicians, nurses and technicians. She underwent operation by proximal clipping for the aneurysm of the PCA. Postoperative neurological deficits include homonymous hemianopsia and ipsilateral third nerve palsy. The operation was performed through asubtemporal approach. At surgery, the aneurysm was located in the distal of the P2 segment of PCA, bilobed up and down, no definitive neck with small distal branches, and was treated by proximal clipping of the PCA aneurysm. The fusiform basilar artery aneurysm was severely atherosclerotic and left untouched. This is a rare case which required a high index of suspicion to detect subarachnoid bleeding from ruptured posterior fossa aneurysm, accurate prediction of the site of bleeding and the location of aneurysm location by conventional angiogram, MRI and MRA, and careful planned surgical strategy with the right approach for the P2 segment of the PCA aneurysm, complicated post operative care with airway management, triple H therapy, nutrition, additional measures and multiple hemodialysis. PMID:20591269

  14. Rupture disc

    DOEpatents

    Newton, Robert G.

    1977-01-01

    The intermediate heat transport system for a sodium-cooled fast breeder reactor includes a device for rapidly draining the sodium therefrom should a sodium-water reaction occur within the system. This device includes a rupturable member in a drain line in the system and means for cutting a large opening therein and for positively removing the sheared-out portion from the opening cut in the rupturable member. According to the preferred embodiment of the invention the rupturable member includes a solid head seated in the end of the drain line having a rim extending peripherally therearound, the rim being clamped against the end of the drain line by a clamp ring having an interior shearing edge, the bottom of the rupturable member being convex and extending into the drain line. Means are provided to draw the rupturable member away from the drain line against the shearing edge to clear the drain line for outflow of sodium therethrough.

  15. Aphasic seizure caused by focal epilepsy in the left fusiform gyrus.

    PubMed

    Suzuki, I; Shimizu, H; Ishijima, B; Tani, K; Sugishita, M; Adachi, N

    1992-11-01

    We report a patient with paroxysmal aphasia evoked by ictal epileptiform discharges localized to the left fusiform gyrus, where a small brain tumor existed. The intracranial EEG recordings during other seizures demonstrated a close functional link between the left fusiform gyrus and Wernicke's area. The patient also showed transient aphasia with electrical stimulation of the left fusiform gyrus. PMID:1436539

  16. Giant serpentine vertebrobasilar aneurysm with vertebral artery hypoplasia and fenestration- a case report.

    PubMed

    Choudhary, Pradeep; Khokhar, Harsh Vardhan; Saxena, Sangeeta

    2015-03-01

    Intracranial aneurysm in paediatric age group is rare and association of the aneurysm with congenital vertebral artery anomaly is further rarer. We describe such a case in an 11-year-old male patient who consulted a paediatrician about headache and vertigo, and a noncontrast CT (NCCT) head revealed peripherally calcified hyperdense mass in prepontine and basal cisterns. Magnetic resonance imaging (MRI) including contrast enhanced magnetic resonance angiography (MRA) revealed partially thrombosed giant serpentine aneurysm of right vertebrobasilar artery and contralateral hypoplastic vertebral artery with fenestration. The nondominant left vertebral artery gave off the posterior inferior cerebellar artery, then became hypoplastic and joined with its counterpart to form the basilar artery. This pattern is called as type 9. The patient was kept on conservative management. The role of MRI in this congenital anomaly and its association with vertigo and aneurysm of vertebro-basilar artery is discussed. PMID:25954679

  17. Covert face recognition without the fusiform-temporal pathways.

    PubMed

    Valds-Sosa, Mitchell; Bobes, Maria A; Quiones, Ileana; Garcia, Lorna; Valdes-Hernandez, Pedro A; Iturria, Yasser; Melie-Garcia, Lester; Lopera, Francisco; Asencio, Jos

    2011-08-01

    Patients with prosopagnosia are unable to recognize faces consciously, but when tested indirectly they can reveal residual identification abilities. The neural circuitry underlying this covert recognition is still unknown. One candidate for this function is the partial survival of a pathway linking the fusiform face area (FFA) and anterior-inferior temporal (AIT) cortex, which has been shown to be essential for conscious face identification. Here we performed functional magnetic, and diffusion tensor imaging in FE, a patient with severe prosopagnosia, with the goal of identifying the neural substrates of his robust covert face recognition. FE presented massive bilateral lesions in the fusiform gyri that eliminated both FFAs, and also disrupted the fibers within the inferior longitudinal fasciculi that link the visual areas with the AITs and medial temporal lobes. Therefore participation of the fusiform-temporal pathway in his covert recognition was precluded. However, face-selective activations were found bilaterally in his occipital gyri and in his extended face system (posterior cingulate and orbitofrontal areas), the latter with larger responses for previously-known faces than for faces of strangers. In the right hemisphere, these surviving face selective-areas were connected via a partially persevered inferior fronto-occipital fasciculus. This suggests an alternative occipito-frontal pathway, absent from current models of face processing, that could explain the patient's covert recognition while also playing a role in unconscious processing during normal cognition. PMID:21570471

  18. Successful Decoding of Famous Faces in the Fusiform Face Area

    PubMed Central

    Axelrod, Vadim; Yovel, Galit

    2015-01-01

    What are the neural mechanisms of face recognition? It is believed that the network of face-selective areas, which spans the occipital, temporal, and frontal cortices, is important in face recognition. A number of previous studies indeed reported that face identity could be discriminated based on patterns of multivoxel activity in the fusiform face area and the anterior temporal lobe. However, given the difficulty in localizing the face-selective area in the anterior temporal lobe, its role in face recognition is still unknown. Furthermore, previous studies limited their analysis to occipito-temporal regions without testing identity decoding in more anterior face-selective regions, such as the amygdala and prefrontal cortex. In the current high-resolution functional Magnetic Resonance Imaging study, we systematically examined the decoding of the identity of famous faces in the temporo-frontal network of face-selective and adjacent non-face-selective regions. A special focus has been put on the face-area in the anterior temporal lobe, which was reliably localized using an optimized scanning protocol. We found that face-identity could be discriminated above chance level only in the fusiform face area. Our results corroborate the role of the fusiform face area in face recognition. Future studies are needed to further explore the role of the more recently discovered anterior face-selective areas in face recognition. PMID:25714434

  19. Processing of Facial Emotion in the Human Fusiform Gyrus

    PubMed Central

    Kawasaki, Hiroto; Tsuchiya, Naotsugu; Kovach, Christopher K.; Nourski, Kirill V.; Oya, Hiroyuki; Howard, Matthew A.; Adolphs, Ralph

    2012-01-01

    Electrophysiological and fMRI-based investigations of the ventral temporal cortex of primates provide strong support for regional specialization for the processing of faces. These responses are most frequently found in or near the fusiform gyrus, but there is substantial variability in their anatomical location and response properties. An outstanding question is the extent to which ventral temporal cortex participates in processing dynamic, expressive aspects of faces, a function usually attributed to regions near the superior temporal cortex. Here, we investigated these issues through intracranial recordings from eight human surgical patients. We compared several different aspects of face processing (static and dynamic faces; happy, neutral, and fearful expressions) with power in the high-gamma band (70150 Hz) from a spectral analysis. Detailed mapping of the response characteristics as a function of anatomical location was conducted in relation to the gyral and sulcal pattern on each patients brain. The results document responses with high responsiveness for static or dynamic faces, often showing abrupt changes in response properties between spatially close recording sites and idiosyncratic across different subjects. Notably, strong responses to dynamic facial expressions can be found in the fusiform gyrus, just as can responses to static faces. The findings suggest a more complex, fragmented architecture of ventral temporal cortex around the fusiform gyrus, one that includes focal regions of cortex that appear relatively specialized for either static or dynamic aspects of faces. PMID:22185494

  20. Successful treatment of a giant pediatric fusiform basilar trunk aneurysm with surpass flow diverter.

    PubMed

    Kan, Peter; Mokin, Maxim; Puri, Ajit S; Wakhloo, Ajay K

    2015-01-01

    Fusiform aneurysms present a unique challenge to traditional microsurgical and endovascular treatment because of the lack of a discernible neck and the involvement of parent vessel. Flow diversion has increasingly become the treatment of choice for fusiform aneurysms in the anterior circulation, but its results in the posterior circulation are variable. We report successful treatment of a giant fusiform upper basilar trunk aneurysm with the Surpass flow diverter in an adolescent, and discuss the potential advantages of this emerging technology in the treatment of fusiform posterior circulation aneurysms. PMID:26040828

  1. The anatomical and functional specialization of the fusiform gyrus.

    PubMed

    Weiner, Kevin S; Zilles, Karl

    2016-03-01

    The fusiform gyrus (FG) is commonly included in anatomical atlases and is considered a key structure for functionally-specialized computations of high-level vision such as face perception, object recognition, and reading. However, it is not widely known that the FG has a contentious history. In this review, we first provide a historical analysis of the discovery of the FG and why certain features, such as the mid-fusiform sulcus, were discovered and then forgotten. We then discuss how observer-independent methods for identifying cytoarchitectonical boundaries of the cortex revolutionized our understanding of cytoarchitecture and the correspondence between those boundaries and cortical folding patterns of the FG. We further explain that the co-occurrence between cortical folding patterns and cytoarchitectonical boundaries are more common than classically thought and also, are functionally meaningful especially on the FG and probably in high-level visual cortex more generally. We conclude by proposing a series of alternatives for how the anatomical organization of the FG can accommodate seemingly different theoretical aspects of functional processing, such as domain specificity and perceptual expertise. PMID:26119921

  2. Puerarin and betahistine treatment of vertebrobasilar ischemia vertigo: A meta-analysis of randomized controlled trials

    PubMed Central

    CHEN, YAN-YAN; CHEN, WEN; ZHANG, QING; LI, HUI; ZHANG, YE-WEN; KANG, QIAN; LAN, YI; WU, QING

    2016-01-01

    The present meta-analysis aimed to evaluate the effectiveness and safety of puerarin co-treatment with betahistine in treating vertebrobasilar ischemia (VBI) vertigo. A total of 6 medical databases were searched, identifying randomized controlled trials (RCTs) of VBI vertigo performed until August 2014 that investigated a combined treatment of puerarin with betahistine or with other conventional drugs. The quality of the literature was evaluated using the Cochrane Collaboration's tool for assessing risk of bias, and Rev Man 5.0 software was used for statistical analysis and evaluation. The present study included 7 RCTs, involving a total of 664 subjects, and revealed a statistically significant increase in efficacy between the control and the experimental group (odds ratio [OR], 4.99; 95% confidence interval [CI], 3.05 to 8.15). The average blood flow velocity within the vertebrobasilar arteries increased following treatment with puerarin and betahistine compared with that of the control groups (OR, 7.59; 95% CI, 6.19 to 9.00); however, no difference was detected between these groups in the average flow velocity within the left vertebral artery (OR, 6.17; 95% CI, 5.22 to 7.13). The frequency of adverse reactions in the experimental group was lower (OR, 0.75; 95% CI, 0.32 to 1.77) compared with the control group. Combined puerarin and betahistine regimens were more effective in treating VBI vertigo compared with other, conventional drugs; effectively alleviating the associated symptoms, including dizziness and increased average blood flow velocity within the vertebrobasilar arteries, without causing an increased number of serious side effects. However, the efficacy and safety of puerarin and betahistine use in treating VBI vertigo requires additional investigation.

  3. Hemodynamic Characteristics of the Vertebrobasilar System Analyzed Using MRI-Based Models

    PubMed Central

    Wake-Buck, Amanda K.; Gatenby, J. Christopher; Gore, John C.

    2012-01-01

    The vertebrobasilar system (VBS) is unique in human anatomy in that two arteries merge into a single vessel, and it is especially important because it supplies the posterior circulation of the brain. Atherosclerosis develops in this region, and atherosclerotic plaques in the vertebrobasilar confluence can progress with catastrophic consequences, including artery occlusion. Quantitative assessments of the flow characteristics in the VBS could elucidate the factors that influence flow patterns in this confluence, and deviations from normal patterns might then be used to predict locations to monitor for potential pathological changes, to detect early signs of disease, and to evaluate treatment options and efficacy. In this study, high-field MRI was used in conjunction with computational fluid dynamics (CFD) modeling to investigate the hemodynamics of subject-specific confluence models (n = 5) and to identify different geometrical classes of vertebrobasilar systems (n = 12) of healthy adult subjects. The curvature of the vessels and their mutual orientation significantly affected flow parameters in the VBS. The basilar artery geometry strongly influenced both skewing of the velocity profiles and the wall shear stress distributions in the VBS. All five subjects modeled possessed varying degrees of vertebral asymmetry, and helical flow was observed in four cases, suggesting that factors other than vertebral asymmetry influence mixing of the vertebral artery flow contributions. These preliminary studies verify that quantitative, MR imaging techniques in conjunction with subject-specific CFD models of healthy adult subjects may be used to characterize VBS hemodynamics and to predict flow features that have been related to the initiation and development of atherosclerosis in large arteries. This work represents an important first step towards applying this approach to study disease initiation and progression in the VBS. PMID:23251503

  4. Differential Development of Selectivity for Faces and Bodies in the Fusiform Gyrus

    ERIC Educational Resources Information Center

    Peelen, Marius V.; Glaser, Bronwyn; Vuilleumier, Patrik; Eliez, Stephan

    2009-01-01

    Viewing faces or bodies activates category-selective areas of visual cortex, including the fusiform face area (FFA), fusiform body area (FBA), and extrastriate body area (EBA). Here, using fMRI, we investigate the development of these areas, focusing on the right FFA and FBA. Despite the overlap of functionally defined FFA and FBA (54%-75%

  5. Microvascular decompression for hemifacial spasm secondary to vertebrobasilar dolichoectasia: surgical strategies, technical nuances and clinical outcomes.

    PubMed

    Zaidi, Hasan A; Awad, Al-Wala; Chowdhry, Shakeel A; Fusco, David; Nakaji, Peter; Spetzler, Robert F

    2015-01-01

    Hemifacial spasm (HFS) due to direct compression of the facial nerve by a dolichoectatic vertebrobasilar artery is rare. Vessels are often non-compliant and tethered by critical brainstem perforators. We set out to determine surgical strategies and outcomes for this challenging disease. All patients undergoing surgery for HFS secondary to vertebrobasilar dolichoectasia were reviewed. Hospital records, clinic notes and radiographic imaging were collected for outcome measures. Seventeen patients (eight males, nine females) were identified. Sixteen patients (94%) were treated with Teflon pledgets (DuPont, Wilmington, DE, USA) and one (6%) patient had a vascular sling placed around a severely diseased vertebral artery. All patients had significant reduction in symptoms and 82% of patients had complete resolution of symptoms (average follow-up: 41.4 months). One patient suffered persistent facial nerve paresis and swallowing difficulty. Two other patients suffered a 1 point decrease in the House-Brackmann facial nerve grading scale. Four patients (23%) required re-operation (infection, cerebrospinal fluid leak, and two patients with delayed recurrence of HFS). Of the latter, one patient required repositioning of a Teflon pledget and another patient underwent a sling decompression. There were no perioperative strokes or death. Excellent relief of symptoms with acceptable preoperative morbidity can be achieved using Teflon pledgets alone in most cases. In recalcitrant cases, sling transposition can be used to further augment the decompression. Careful attention must be paid to prevent vascular kinking and preserve brainstem perforators. PMID:25510536

  6. Clinical research of persimmon leaf extract and ginkgo biloba extract in the treatment of vertebrobasilar insufficiency.

    PubMed

    Guo, S G; Guan, S H; Wang, G M; Liu, G Y; Sun, H; Wang, B J; Xu, F

    2015-01-01

    This paper aims to compare the curative effects of persimmon leaf extract and ginkgo biloba extract in the treatment of headache and dizziness caused by vertebrobasilar insufficiency. Sixty patients were observed, who underwent therapy with persimmon leaf extract and ginkgo biloba extract based on the treatment of nimodipine and aspirin. After 30 days, 30 patients treated with persimmon leaf extract and 30 patients with ginkgo biloba extract were examined for changes in hemodynamic indexes and symptoms, such as headache and dizziness. The results showed statistically significant differences of 88.3% for the persimmon leaf extract and 73.1% for the ginkgo biloba extract, P < 0.05. Compared to the group of ginkgo biloba extract, the group of persimmon leaf extract had more apparent improvement in the whole blood viscosity, plasma viscosity, fibrinogen, hematokrit, and platelet adhesion rate, and the difference was statistically significant (P < 0.05 or P < 0.01). Based on these analyses, it can be concluded that persimmon leaf extract is better than ginkgo biloba extract in many aspects, such as cerebral circulation improvement, cerebral vascular expansion, hypercoagulable state lowering and vertebrobasilar insufficiency-induced headache and dizziness relief. PMID:25864752

  7. Intradural vertebral endarterectomy with nonautologous patch angioplasty for refractory vertebrobasilar ischemia: Case report and literature review

    PubMed Central

    Uschold, Timothy; Abla, Adib A.; Wilson, David A.; McDougall, Cameron G.; Nakaji, Peter

    2014-01-01

    Background: The natural history of patients with symptomatic vertebrobasilar ischemic symptoms due to chronic bilateral vertebral artery occlusive disease is progressive, and poses significant challenges when refractory to medical therapy. Surgical treatment options depend largely on location and characteristics of the atheroma (s), and generally include percutaneous transluminal angioplasty (PTA) with or without stent placement, posterior circulation revascularization (bypass), extracranial vertebral artery reconstruction, or vertebral artery endarterectomy. Case Description: We present the case of a 56-year-old male with progressive vertebrobasilar ischemia due to tandem lesions in the right vertebral artery at the origin and intracranially in the V4 segment. The contralateral vertebral artery was occluded to the level of posterior inferior cerebellar artery (PICA) and posterior communicating arteries were absent. Following PTA and stent placement at the right vertebral artery origin, the patient was successfully treated with intradural vertebral artery endarterectomy (V4EA) and patch angioplasty via the far lateral approach. Distal endovascular intervention at the V4 segment proved not technically feasible after multiple attempts. Conclusions: V4EA is an uncommonly performed procedure, but may be considered for carefully selected patients. The authors’ techniques and indications are discussed. Historical outcomes, relevant anatomic considerations, and lessons learned are reviewed from the literature. PMID:25558424

  8. Computed Tomography Angiography of Carotid Arteries and Vertebrobasilar System: A Simulation Study for Radiation Dose Reduction.

    PubMed

    Kramer, Manuel; Ellmann, Stephan; Allmendinger, Thomas; Eller, Achim; Kammerer, Ferdinand; May, Matthias S; Baigger, Joo F; Uder, Michael; Lell, Michael M

    2015-07-01

    Computed tomography angiography (CTA) of carotid arteries and vertebrobasilar system is a standardized procedure with excellent image quality, but radiation exposure remains a matter of concern. The aim of this study is to examine to what extent radiation dose can be lowered in relation to a standard protocol by simulating examinations with lower tube currents applying a dedicated software.Lower tube current was simulated by a dedicated noise insertion and reconstruction software (ReconCT). In a phantom study, true scans were performed with different dose protocols and compared to the results of simulated dose reductions of the same degree, respectively. In a patient study, 30 CTAs of supra-aortic vessels were reconstructed at a level of 100%, 75%, 50%, and 25% of the initial dose. Objective and subjective image analyses were performed.No significant noise differences between true scans and simulated scans of mimicked contrasted vessels were found. In the patient study, the quality scores of the 4 dose groups differed statistically significant; this difference vanished for the comparison of the 100% and 75% datasets after dichotomization into the categories of diagnostic and nondiagnostic image quality (P =?.50).This study suggests an easy-to-implement method of simulating CTAs of carotid arteries and vertebrobasilar system with lower tube current for dose reduction by artificially adding noise to the original raw data. Lowering the radiation dose in a moderate extent to 75% of the original dose levels does not significantly alter the diagnostic image quality. PMID:26131822

  9. Bidirectional communication between amygdala and fusiform gyrus during facial recognition

    PubMed Central

    Herrington, John D.; Taylor, James M.; Grupe, Daniel W.; Curby, Kim M.; Schultz, Robert T.

    2011-01-01

    Decades of research have documented the specialization of fusiform gyrus (FG) for facial information processes. Recent theories indicate that FG activity is shaped by input from amygdala, but effective connectivity from amygdala to FG remains undocumented. In this fMRI study, 39 participants completed a face recognition task. 11 participants underwent the same experiment approximately four months later. Robust face-selective activation of FG, amygdala, and lateral occipital cortex were observed. Dynamic causal modeling and Bayesian Model Selection (BMS) were used to test the intrinsic connections between these structures, and their modulation by face perception. BMS results strongly favored a dynamic causal model with bidirectional, face-modulated amygdala-FG connections. However, the right hemisphere connections diminished at time 2, with the face modulation parameter no longer surviving Bonferroni correction. These findings suggest that amygdala strongly influences FG function during face perception, and that this influence is shaped by experience and stimulus salience. PMID:21497657

  10. Dynamic Encoding of Face Information in the Human Fusiform Gyrus

    PubMed Central

    Ghuman, Avniel Singh; Brunet, Nicolas M.; Li, Yuanning; Konecky, Roma O.; Pyles, John A.; Walls, Shawn A.; Destefino, Vincent; Wang, Wei; Richardson, R. Mark

    2014-01-01

    Humans’ ability to rapidly and accurately detect, identify, and classify faces under variable conditions derives from a network of brain regions highly tuned to face information. The fusiform face area (FFA) is thought to be a computational hub for face processing, however temporal dynamics of face information processing in FFA remains unclear. Here we use multivariate pattern classification to decode the temporal dynamics of expression-invariant face information processing using electrodes placed directly upon FFA in humans. Early FFA activity (50-75 ms) contained information regarding whether participants were viewing a face. Activity between 200-500 ms contained expression-invariant information about which of 70 faces participants were viewing along with the individual differences in facial features and their configurations. Long-lasting (500+ ms) broadband gamma frequency activity predicted task performance. These results elucidate the dynamic computational role FFA plays in multiple face processing stages and indicate what information is used in performing these visual analyses. PMID:25482825

  11. Endovascular management of fusiform aneurysm of anterior temporal artery: Technical report

    PubMed Central

    Pabaney, Aqueel Hussain; Mazaris, Paul A.; Kole, Max K.; Reinard, Kevin A.

    2015-01-01

    Background: The treatment of a rare, nontraumatic, fusiform aneurysm of the anterior temporal artery (ATA) via endovascular techniques is presented, and procedural nuances are highlighted. Methods: We performed a retrospective chart review and collected demographic and clinical data on the patient presented here; procedural details were extracted from operative notes. Results: Following successful balloon test occlusion (BTO) of the ATA, complete coil embolization of the ATA, and its associated fusiform aneurysm was performed. Postprocedurally, the patient did not suffer any adverse neurological sequelae. Conclusion: Selective BTO of intracranial branch vessels is safe, technically feasible, and could serve as a useful technical tool in the treatment of complex, fusiform intracranial aneurysms. PMID:26290771

  12. Posterior reversible encephalopathy syndrome with thalamic involvement during vasopressor treatment of vertebrobasilar vasospasm after subarachnoid hemorrhage.

    PubMed

    Madaelil, Thomas Philip; Dhar, Rajat

    2015-01-01

    Hemodynamic augmentation is the primary medical intervention employed to reverse neurological deficits associated with vasospasm and delayed cerebral ischemia following aneurysmal subarachnoid hemorrhage. Failure to improve despite induced hypertension (IH) may raise concern for persistent hypoperfusion and prompt even more aggressive blood pressure augmentation. However, posterior reversible encephalopathy syndrome (PRES) is a hyperperfusion syndrome reported as a rare complication of IH that may confound this picture. We report a case of PRES with prominent thalamic involvement and impaired level of consciousness secondary to blood pressure augmentation for the treatment of symptomatic vertebrobasilar vasospasm. Recognition of this syndrome in distinction to worsening ischemia is particularly critical, as normalization of blood pressure should lead to rapid clinical improvement. PMID:26655666

  13. Usefulness of magnetic resonance imaging in diagnosing vertebro-basilar insufficiency.

    PubMed

    Miura, M; Naito, Y; Naito, E; Funabiki, K; Honjo, I

    1997-01-01

    To estimate the usefulness of magnetic resonance imaging (MRI) in diagnosing vertebro-basilar insufficiency (VBI), 41 VBI patients with vertigo or dizziness and 26 subjects without vertigo or dizziness (as control) were examined by MRI. Sixty-eight percent of the VBI group and 12% of the control group showed a large difference between the right and the left vertebral artery diameter, the incidence being significantly higher in the VBI group. Thirty-nine percent of the VBI group and 12% of the control group had lacunar infarction in the brain stem, of which the incidence was significantly higher in the VBI group, MRI can be recommended to diagnose VBI providing information on both blood vessel disorder and ischemic changes in the brain. PMID:9288248

  14. Combined external counterpulsation and endovascular stenting treatment for symptomatic vertebrobasilar artery stenosis: two case reports

    PubMed Central

    Xiong, Li; Chen, Xiang Yan; Leung, Thomas Wai Hong; Wong, Lawrence Ka Sing

    2015-01-01

    Symptomatic vertebrobasilar artery (VBA) stenosis has a poor prognosis. Intravascular stents provide a new therapeutic approach, but the long-term outcome of stenting compared with medical outcome is controversial. External counterpulsation (ECP) is a noninvasive method to improve perfusion of vital organs. We report two cases of this combination with ECP treatment in addition to receiving endovascular stenting. Two patients experienced posterior ischemic stroke. Digital subtraction angiography revealed a severe basilar or vertebral artery stenosis. Computed tomographic perfusion revealed significantly decreased perfusion of posterior artery territories. Both of them underwent combined ECP treatment and endovascular stenting of the stenosed basilar or vertebral artery, without recurrent stroke within 30 days after stenting. The two patients were independent (modified Rankin scale ?2) at the 12-month follow-up time. Combined ECP treatment and endovascular stent placement may be effective and safe for patients with symptomatic VBA stenosis who failed aggressive medical treatment. PMID:26568838

  15. The role of the posterior fusiform gyrus in reading

    PubMed Central

    Devlin, Joseph T.; Jamison, Helen L.; Gonnerman, Laura M.; Matthews, Paul M.

    2006-01-01

    Studies of skilled reading (Price & Mechelli, 2005), its acquisition in children (Shaywitz et al., 2002; Turkeltaub, Gareau, Flowers, Zeffiro, & Eden, 2003), and its impairment in patients with pure alexia (Leff et al., 2001), all highlight the importance of the left posterior fusiform cortex in visual word recognition. We used visual masked priming and fMRI to elucidate the specific functional contribution of this region to reading and found that: i) unlike words, repetition of pseudowords (solst-solst) did not produce a neural priming effect in this region, ii) orthographically related words such as corner-corn did produce a neural priming effect, but iii) this orthographic priming effect was reduced when prime-target pairs were semantically related (teacher-teach). These findings conflict with the notion of stored visual word forms and instead suggest that this region acts as an interface between visual form information and higher-order stimulus properties such as its associated sound and meaning. Importantly, this function is not specific to reading, but is also engaged when processing any meaningful visual stimulus. PMID:16839299

  16. Skill Dependent Audiovisual Integration in the Fusiform Induces Repetition Suppression

    PubMed Central

    McNorgan, Chris; Booth, James R.

    2015-01-01

    Learning to read entails mapping existing phonological representations to novel orthographic representations and is thus an ideal context for investigating experience driven audiovisual integration. Because two dominant brain-based theories of reading development hinge on the sensitivity of the visual-object processing stream to phonological information, we were interested in how reading skill relates to audiovisual integration in this area. Thirty-two children between 8 and 13 years of age spanning a range of reading skill participated in a functional magnetic resonance imaging experiment. Participants completed a rhyme judgment task to word pairs presented unimodally (auditory- or visual-only) and cross-modally (auditory followed by visual). Skill-dependent sub-additive audiovisual modulation was found in left fusiform gyrus, extending into the putative visual word form area, and was correlated with behavioral orthographic priming. These results suggest learning to read promotes facilitatory audiovisual integration in the ventral visual-object processing stream and may optimize this region for orthographic processing. PMID:25585276

  17. Evaluation of fusiform rust-resistant loblolly pine families for the South Carolina sandhills region

    SciTech Connect

    Powers, H.R. Jr.

    1981-10-01

    Loblolly pine trees from various geographic sources are being evaluated for resistance to fusiform rust. Reasons for differences in resistance and the mechanisms of rust infection are also being investigated. (ACR)

  18. Immune-modulating activities of polysaccharides extracted from brown algae Hizikia fusiforme.

    PubMed

    Jeong, Sang Chul; Jeong, Yong Tae; Lee, Sang Myung; Kim, Jin Hee

    2015-01-01

    The immuno-modulating activities of seaweed (Hizikia fusiforme) extracts on murine macrophage and splenocyte were studied in vitro. Polysaccharide (HFP) exhibited the potential macrophage stimulating effects than water extract (HFW) such as NO production and enhanced pro-inflammatory cytokines on the Raw 264.7 cells and splenocytes. From the mono-sugar composition, HFP-associated fucose based on HFP of H. fusiforme acts as immune modulator. PMID:25744337

  19. Comparative proteomic analysis provides insight into cadmium stress responses in brown algae Sargassum fusiforme.

    PubMed

    Zhang, Aiqin; Xu, Tao; Zou, Huixi; Pang, Qiuying

    2015-06-01

    Sargassum fusiforme is one of the most widely consumed seaweeds in China, Korea and Japan. In this work, we performed growth analysis and comparative proteomics to investigate the molecular mechanisms of the response to 1 day and 5 days Cd stress in S. fusiforme. Our results showed a significant decrease in growth rate and an increase in Cd ion content in S. fusiforme in response to Cd treatment. Comparative proteomic analysis revealed 25 and 51 differentially expressed protein spots in S. fusiforme under 1 day and 5 days Cd stress, respectively. A great number of these proteins was metabolic enzymes involved in carbohydrate metabolism and energy metabolism. Many proteins involved in the processing of genetic information showed a decrease in abundance under 1 day Cd stress. In contrast, 9 of the identified protein spots primarily involved in genetic information processing and carbohydrate metabolism were greatly enriched under 5 days Cd stress. Overall, our investigation indicated that Cd stress negatively affects the metabolic activity of S. fusiforme through the down-regulation of key metabolic enzymes. In addition, S. fusiforme may adapt to 5 days Cd stress by promoting consumption of photoassimilates through the up-regulation of glycolysis and the citrate cycle to supply energy for survival. PMID:25827747

  20. Comparison of open and controlled pollinated pine families for susceptibility to air pollution, acid rain, and fusiform rust. Progress report

    SciTech Connect

    Chevone, B.; Powers, H.R. Jr.

    1982-10-01

    Loblolly pine seedlings were fumigated with SO/sub 2/, ozone, and a combination of SO/sub 2/ and ozone to determine the relative susceptibility of different strains to air pollution and to fusiform rust. There seems to be no relationship between susceptibility to air pollution and to fusiform rust, indicating it should be possible to select strains resistant to both fusiform rust and air pollution. (ACR)

  1. The Effect of Microvascular Decompression for Hemifacial Spasm Caused by Vertebrobasilar Dolichoectasia

    PubMed Central

    Kang, Jeong-Han; Kang, Dong-Wan; Chung, Sang Sup

    2012-01-01

    Objective Hemifacial spasm (HFS) caused by vertebrobasilar dolichoectasia (VBD) is very rare, and in theses cases, it is difficult to decompress the nerve from its vascular compression. The objective of this study was to investigate the outcome of microvascular decompression (MVD) for HFS caused by VBD. Methods There were 10 patients of HFS caused by VBD at our hospital between September 1978 and September 2008. We evaluated magnetic resonance angiography (MRA) and time of flight magnetic resonance imaginge (TOF MRI) findings using the criteria for VBD. We compared the clinical outcomes of MVD for the 10 patients with VBD with the overall outcomes of the total 2058 MVDs performed for HFS. Results The results of MVD for HFS caused by VBD were successful in 90.9% of cases. The postoperative complication rate in VBD was 45.5%. Offending vessels in patients with VBD were identified visually during surgery. Adverse effects after MVD were found in 4 patients. We found that the diameter of VBD was significantly greater in patients with complications than in those with no complications (p=0.028). Conclusion Our data shows that MVD may be a good treatment modality for HFS caused by VBD but care must be taken to avoid adverse effects from the procedure. It is important to detach the dolichoectatic artery from its surrounding structures sufficiently to allow it to be easily movable. In addition, attempts should be made to lessen the retraction of the cerebellum during release of the dolichoectatic artery. PMID:23091664

  2. Vertebrobasilar junction giant aneurysm: Lessons learned from a neurosurgical audit and anatomical investigation.

    PubMed

    Graziano, Francesca; Ganau, Mario; Russo, Vittorio Maria; Iacopino, Domenico G; Ulm, Arthur John

    2015-10-01

    The treatment of vascular lesions of the vertebrobasilar junction (VBJ) remains a challenging task in the neurosurgical practice and the gold standard therapy is still under debate. In this article, the authors report a detailed postmortem study of a VBJ giant aneurysm (GA) previously endovascularly treated. Although the decision-making process for the vast majority of neurosurgical treatment can nowadays be accurately carried out during the preoperative planning (i.e., with the aid of neuroimaging fusion protocols, neuronavigation platforms, etc.) meant to maximize the anatomical understanding of the lesions and minimize possible intraprocedural challenges, this postmortem study represents the ultimate essence of neurosurgical audit as the laboratory investigations allowed to reevaluate the clinical history of VBJ GA, and reassess the multiple strategies available for its treatment with a straightforward anatomical perspective. Specifically, the lessons learned through this clinical and laboratory work uphold a great educational value regarding the complex management of those lesions, including the possible role of combined skull base surgical approaches. PMID:25891495

  3. Are there any novel radiological diagnostic clues in magnetic resonance imaging for vertebrobasilar insufficiency?

    PubMed Central

    Ozal, Safiye Tokgoz; Ogutcu, Esra Karabay; Aydin, Alper; Tunc, Suzan; Kaygusuz, Umut; Cinar, Hasibe Gokce

    2015-01-01

    Background The aim of the current study was to investigate whether signal intensities on magnetic resonance imaging (MRI) views and radiological findings on Doppler ultrasonography may have a diagnostic value for vertebrobasilar insufficiency (VBI). Methods This case-control study was performed on demographic and radiologic data derived from 18 VBI patients and 58 healthy controls in the radiology department of a tertiary care center. The blood flow characteristics including peak systolic and end diastolic flow rates, resistance and pulsatility indices, mean velocities, flow rates, diameters and intensity pattern of vertebral arteries on cervical and cranial MRI sequences were noted. The association between blood flow characteristics and signal patterns on MRI views was investigated in VBI patients and controls. Results Blood flow and vessel diameter were significantly decreased in VBI patients compared to controls on both sides (P<0.001). In contrast, other parameters did not exhibit any remarkable difference between VBI and control groups. The distribution of hypo- or hyperintense signals in VBI and control groups was similar. No remarkable variabilities were detected in blood flow characteristics of cases presenting with signals having different intensities on MRI sequences. Conclusions In conclusion, results of the current study have demonstrated that assessment of blood flow and vascular diameter may be important for ruling in VBI. Nevertheless, the intensity of signals derived from vessels seems not reveal any data of diagnostic significance in these cases. Further studies on larger populations may allow development and exploration of newer diagnostic techniques and clues for VBI. PMID:26807367

  4. Glass rupture disk

    DOEpatents

    Glass, S. Jill (Albuquerque, NM); Nicolaysen, Scott D. (Albuquerque, NM); Beauchamp, Edwin K. (Albuquerque, NM)

    2002-01-01

    A frangible rupture disk and mounting apparatus for use in blocking fluid flow, generally in a fluid conducting conduit such as a well casing, a well tubing string or other conduits within subterranean boreholes. The disk can also be utilized in above-surface pipes or tanks where temporary and controllable fluid blockage is required. The frangible rupture disk is made from a pre-stressed glass with controllable rupture properties wherein the strength distribution has a standard deviation less than approximately 5% from the mean strength. The frangible rupture disk has controllable operating pressures and rupture pressures.

  5. Complete mitochondrial genome of the brown alga Sargassum fusiforme (Sargassaceae, Phaeophyceae): genome architecture and taxonomic consideration.

    PubMed

    Liu, Feng; Pang, Shaojun; Luo, Minbo

    2016-03-01

    Sargassum fusiforme (Harvey) Setchell (=Hizikia fusiformis (Harvey) Okamura) is one of the most important economic seaweeds for mariculture in China. In this study, we present the complete mitochondrial genome of S. fusiforme. The genome is 34,696?bp in length with circular organization, encoding the standard set of three ribosomal RNA genes (rRNA), 25 transfer RNA genes (tRNA), 35 protein-coding genes, and two conserved open reading frames (ORFs). Its total AT content is 62.47%, lower than other brown algae except Pylaiella littoralis. The mitogenome carries 1571?bp of intergenic region constituting 4.53% of the genome, and 13 pairs of overlapping genes with the overlap size from 1 to 90?bp. The phylogenetic analyses based on 35 protein-coding genes reveal that S. fusiforme has a closer evolutionary relationship with Sargassum muticum than Sargassum horneri, indicating Hizikia are not distinct evolutionary entity and should be reduced to synonymy with Sargassum. PMID:24989050

  6. Graphene oxide induced growth of one-dimensional fusiform zirconia nanostructures for highly selective capture of phosphopeptides.

    PubMed

    Pang, Huan; Lu, Qingyi; Gao, Feng

    2011-11-14

    Graphene oxide (GO) has been demonstrated as a nanostructure growth-directing template for the synthesis of fusiform zirconia nanostructures on GO planes. The obtained fusiform zirconia-GO hybrid composites (FZGO) have good dispersion ability and show highly selective capture of phosphopeptides from complex peptide mixtures. PMID:21952079

  7. Wingspan Stent for High-Grade Symptomatic Vertebrobasilar Artery Atherosclerotic Stenosis

    SciTech Connect

    Li Jian Zhao Zhenwei Gao Guodong Deng Jianping; Yu Jia; Gao Li; Yuan Yang; Qv Youzhi

    2012-04-15

    Purpose: This study was designed to present the treatment outcomes with Wingspan stent angioplasty of high-grade intracranial vertebrobasilar artery (VBA) stenosis in symptomatic patients. Methods: Between 2007 and 2010, the records of 30 patients with 31 intracranial high-grade VBA stenoses (all{>=}70%) who underwent elective stenting due to the failure of medical therapy were retrospectively reviewed. Clinical evaluation was performed based on the modified Rankin scale and the National Institutes of Health Stroke Scale. Results: In all cases, the stent deployment was technically successful. The mean stenosis decreased significantly from 82.28 {+-} 8.02% (range, 72-99%) to 11.18 {+-} 7.28% (range, 0-25%) after stent-assisted angioplasty (P < 0.05). Periprocedure complications occurred in 3 (10%) of 30 patients; there were 2 cases of perforator strokes and 1 case of transient flow insufficiency with stent overlap. Clinical follow-up (mean, 17.81 {+-} 11.49 months; range, 5-40 months) was available for 27 patients, and angiographic follow-up (mean, 9.95 {+-} 5.74 months, range, 5-20 months) was available for 19 patients. Only one case demonstrated recurrent symptoms with restenosis ({>=}50%). There were no recurrent ischemic events and no cases of restenosis in the other patients. Conclusions: According to our data, the Wingspan stent for symptomatic intracranial VBA stenoses is a safe and efficacious treatment alternative in cases with recurrent symptoms despite medical therapy. However, the improvement of outcome requires the reduction in the rate of procedure-related complications and long-term outcomes still have to be demonstrated.

  8. Ruptured abdominal aortic aneurysm.

    PubMed

    Sachs, T; Schermerhorn, M

    2010-06-01

    Ruptured abdominal aortic aneurysm (AAA) continues to be one of the most lethal vascular pathologies we encounter. Its management demands prompt and efficient evaluation and repair. Open repair has traditionally been the mainstay of treatment. However, the introduction of endovascular techniques has altered the treatment algorithm for ruptured AAA in most major medical centers. We present recent literature and techniques for ruptured AAA and its surgical management. PMID:20668419

  9. Neurons in the Fusiform Gyrus are Fewer and Smaller in Autism

    ERIC Educational Resources Information Center

    van Kooten, Imke A. J.; Palmen, Saskia J. M. C.; von Cappeln, Patricia; Steinbusch, Harry W. M.; Korr, Hubert; Heinsen, Helmut; Hof, Patrick R.; van Engeland, Herman; Schmitz, Christoph

    2008-01-01

    Abnormalities in face perception are a core feature of social disabilities in autism. Recent functional magnetic resonance imaging studies showed that patients with autism could perform face perception tasks. However, the fusiform gyrus (FG) and other cortical regions supporting face processing in controls are hypoactive in patients with autism.…

  10. Neurons in the Fusiform Gyrus are Fewer and Smaller in Autism

    ERIC Educational Resources Information Center

    van Kooten, Imke A. J.; Palmen, Saskia J. M. C.; von Cappeln, Patricia; Steinbusch, Harry W. M.; Korr, Hubert; Heinsen, Helmut; Hof, Patrick R.; van Engeland, Herman; Schmitz, Christoph

    2008-01-01

    Abnormalities in face perception are a core feature of social disabilities in autism. Recent functional magnetic resonance imaging studies showed that patients with autism could perform face perception tasks. However, the fusiform gyrus (FG) and other cortical regions supporting face processing in controls are hypoactive in patients with autism.

  11. The Left Fusiform Area Is Affected by Written Frequency of Words

    ERIC Educational Resources Information Center

    Proverbio, Alice M.; Zani, Alberto; Adorni, Roberta

    2008-01-01

    The recent neuroimaging literature gives conflicting evidence about whether the left fusiform gyrus (FG) might recognize words as unitary visual objects. The sensitivity of the left FG to word frequency might provide a neural basis for the orthographic input lexicon theorized by reading models [Patterson, K., Marshall, J. C., & Coltheart, M.…

  12. Mapping and morphometric analysis of synapses and spines on fusiform cells in the dorsal cochlear nucleus

    PubMed Central

    Salloum, Rony H.; Chen, Guoyou; Velet, Liliya; Manzoor, Nauman F.; Elkin, Rachel; Kidd, Grahame J.; Coughlin, John; Yurosko, Christopher; Bou-Anak, Stephanie; Azadi, Shirin; Gohlsch, Stephanie; Schneider, Harold; Kaltenbach, James A.

    2014-01-01

    Fusiform cells are the main integrative units of the mammalian dorsal cochlear nucleus (DCN), collecting and processing inputs from auditory and other sources before transmitting information to higher levels of the auditory system. Despite much previous work describing these cells and the sources and pharmacological identity of their synaptic inputs, information on the three-dimensional organization and utltrastructure of synapses on these cells is currently very limited. This information is essential since an understanding of synaptic plasticity and remodeling and pathologies underlying disease states and hearing disorders must begin with knowledge of the normal characteristics of synapses on these cells, particularly those features that determine the strength of their influence on the various compartments of the cell. Here, we employed serial block face scanning electron microscopy (SBFSEM) followed by 3D reconstructions to map and quantitatively characterize synaptic features on DCN fusiform cells. Our results reveal a relative sparseness of synapses on the somata of fusiform cells but a dense distribution of synapses on apical and basal dendrites. Synapses on apical dendrites were smaller and more numerous than on basal dendrites. The vast majority of axosomatic terminals were found to be linked to other terminals connected by the same axon or different branches of the same axon, suggesting a high degree of divergent input to fusiform cells. The size of terminals was correlated with the number of mitochondria and with the number of active zones, which was highly correlated with the number of postsynaptic densities, suggesting that larger terminals exert more powerful influence on the cell than smaller terminals. These size differences suggest that the input to basal dendrites, most likely those from the auditory nerve, provide the most powerful sources of input to fusiform cells, while those to apical dendrites (e.g., parallel fiber) are weaker but more numerous. PMID:25294990

  13. Mapping and morphometric analysis of synapses and spines on fusiform cells in the dorsal cochlear nucleus.

    PubMed

    Salloum, Rony H; Chen, Guoyou; Velet, Liliya; Manzoor, Nauman F; Elkin, Rachel; Kidd, Grahame J; Coughlin, John; Yurosko, Christopher; Bou-Anak, Stephanie; Azadi, Shirin; Gohlsch, Stephanie; Schneider, Harold; Kaltenbach, James A

    2014-01-01

    Fusiform cells are the main integrative units of the mammalian dorsal cochlear nucleus (DCN), collecting and processing inputs from auditory and other sources before transmitting information to higher levels of the auditory system. Despite much previous work describing these cells and the sources and pharmacological identity of their synaptic inputs, information on the three-dimensional organization and utltrastructure of synapses on these cells is currently very limited. This information is essential since an understanding of synaptic plasticity and remodeling and pathologies underlying disease states and hearing disorders must begin with knowledge of the normal characteristics of synapses on these cells, particularly those features that determine the strength of their influence on the various compartments of the cell. Here, we employed serial block face scanning electron microscopy (SBFSEM) followed by 3D reconstructions to map and quantitatively characterize synaptic features on DCN fusiform cells. Our results reveal a relative sparseness of synapses on the somata of fusiform cells but a dense distribution of synapses on apical and basal dendrites. Synapses on apical dendrites were smaller and more numerous than on basal dendrites. The vast majority of axosomatic terminals were found to be linked to other terminals connected by the same axon or different branches of the same axon, suggesting a high degree of divergent input to fusiform cells. The size of terminals was correlated with the number of mitochondria and with the number of active zones, which was highly correlated with the number of postsynaptic densities, suggesting that larger terminals exert more powerful influence on the cell than smaller terminals. These size differences suggest that the input to basal dendrites, most likely those from the auditory nerve, provide the most powerful sources of input to fusiform cells, while those to apical dendrites (e.g., parallel fiber) are weaker but more numerous. PMID:25294990

  14. Spontaneous ruptured hepatocellular carcinoma.

    PubMed

    Yoshida, Hiroshi; Mamada, Yasuhiro; Taniai, Nobuhiko; Uchida, Eiji

    2016-01-01

    The incidence of hepatocellular carcinoma (HCC) is rising worldwide. Spontaneous rupture of HCC occasionally occurs, and ruptured HCC with intraperitoneal hemorrhage is potentially life-threatening. The most common symptom of ruptured HCC is acute abdominal pain. The tumor size in ruptured HCC is significantly greater than that in non-ruptured HCC, and HCC protrudes beyond the original liver margin. In the acute phase, hemostasis is the primary concern and tumor treatment is secondary. Transcatheter arterial embolization (TAE) can effectively induce hemostasis. The hemostatic success rate of TAE ranges 53-100%. A one-stage surgical operation is a treatment modality for selected patients. Conservative treatment is usually given to patients in a moribund state with inoperable tumors and thus has poor outcomes. Patients with severe ruptures of advanced HCC and poor liver function have high mortality rates. Liver failure occurs in 12-42% of patients during the acute phase. In the stable phase, tumor treatment, such as transarterial chemoembolization or hepatic resection should be concerned. The combination of acute hemorrhage and cancer in patients with ruptured HCC requires a two-step therapeutic approach. TAE followed by elective hepatectomy is considered an effective strategy for patients with ruptured HCC. PMID:25631290

  15. Excess copper induced proteomic changes in the marine brown algae Sargassum fusiforme.

    PubMed

    Zou, Hui-Xi; Pang, Qiu-Ying; Zhang, Ai-Qin; Lin, Li-Dong; Li, Nan; Yan, Xiu-Feng

    2015-01-01

    Copper (Cu) is an essential micronutrient for algal growth and development; however, it is also generally considered to be one of the most toxic metals when present at higher levels. Seaweeds are often exposed to low concentrations of metals, including Cu, for long time periods. In cases of ocean outfall, they may even be abruptly exposed to high levels of metals. The physiological processes that are active under Cu stress are largely unknown. In this study, the brown macroalga Sargassum fusiforme was cultured in fresh seawater at final Cu concentrations of 0, 4, 8, 24 and 47 μM. The Cu(2+) concentration and chlorophyll autofluorescence were measured to establish the toxic effects of Cu on this economically important seaweed. The accumulation of Cu by S. fusiforme was also dependent upon the external Cu concentration. Algal growth displayed a general decline with increasing media Cu concentrations, indicating that S. fusiforme was able to tolerate Cu stress at low concentrations, while it was negatively impacted at high concentrations. The term "acute stress" was employed to indicate exposure to high Cu concentrations for 1 day in this study. On the other hand, "chronic stress" was defined as exposure to lower sub-lethal Cu concentrations for 7 days. Proteins were extracted from control and Cu-treated S. fusiforme samples and separated by two-dimensional gel electrophoresis. Distinct patterns of protein expression in the acute and chronic stress conditions were observed. Proteins related to energy metabolism and photosynthesis were reduced significantly, whereas those related to carbohydrate metabolism, protein destination, RNA degradation and signaling regulation were induced in S. fusiforme in response to acute copper stress. Energy metabolism-related proteins were significantly induced by chronic Cu stress. Proteins from other functional groups, such as those related to membranes and transport, were present in minor quantities. These results suggest that S. fusiforme is sensitive to excess Cu, regardless of the presence of acute or chronic stress. We discuss the possible function of these identified proteins, taking into consideration the information available from other plant models. PMID:25450944

  16. Triple cardiac rupture.

    PubMed

    Vazquez, Alejandro; Osa, Ana; Vicente, Rosario; Montero, Jose A

    2014-09-01

    Left ventricular free wall rupture and acute ischaemic mitral regurgitation are nowadays rare, but still potentially lethal mechanical complications after acute myocardial infarction. We report a case of a sequential left ventricular free wall rupture, anterolateral papillary muscle disruption, secondary severe mitral regurgitation and subsequent posteromedial papillary muscle head rupture in a single patient during the same ischaemic episode after myocardial infarction, and their related successful surgical procedures and management until discharge. Prompt bedside diagnosis and emergent consecutive surgical procedures, as well as temporary left ventricular assistance, were crucial in the survival of this patient. PMID:24876216

  17. Structural characterization and effect on anti-angiogenic activity of a fucoidan from Sargassum fusiforme.

    PubMed

    Cong, Qifei; Chen, Huanjun; Liao, Wenfeng; Xiao, Fei; Wang, Peipei; Qin, Yi; Dong, Qun; Ding, Kan

    2016-01-20

    A fucoidan FP08S2 was isolated from the boiling-water extract of Sargassum fusiforme, purified by CaCl2 precipitation and chromatography on DEAE-cellulose and Sephacryl S-300. FP08S2 contained fucose, xylose, galactose, mannose, glucuronic acid, and 20.8% sulfate. The sulfate groups were attached to diverse positions of fucose, xylose, mannose, and galactose residues. The backbone of FP08S2 consisted of alternate 1,2-linked α-D-Manp and 1,4-linked β-D-GlcpA. Sugar composition analysis and ESI-MS revealed that the oligosaccharides from branches contained fucose, xylose, galactose, glucuronic acid and sulfate. FP08S2 could significantly inhibit tube formation and migration of human microvascular endothelial cells (HMEC-1) dose-dependently. These results suggested that the fucoidan FP08S2 from brown seaweeds S. fusiforme could be a potent anti-angiogenic agent. PMID:26572427

  18. Lingual and fusiform gyri in visual processing: a clinico-pathologic study of superior altitudinal hemianopia.

    PubMed Central

    Bogousslavsky, J; Miklossy, J; Deruaz, J P; Assal, G; Regli, F

    1987-01-01

    A macular-sparing superior altitudinal hemianopia with no visuo-psychic disturbance, except impaired visual learning, was associated with bilateral ischaemic necrosis of the lingual gyrus and only partial involvement of the fusiform gyrus on the left side. It is suggested that bilateral destruction of the lingual gyrus alone is not sufficient to affect complex visual processing. The fusiform gyrus probably has a critical role in colour integration, visuo-spatial processing, facial recognition and corresponding visual imagery. Involvement of the occipitotemporal projection system deep to the lingual gyri probably explained visual memory dysfunction, by a visuo-limbic disconnection. Impaired verbal memory may have been due to posterior involvement of the parahippocampal gyrus and underlying white matter, which may have disconnected the intact speech areas from the left medial temporal structures. Images PMID:3585386

  19. Multivoxel Patterns in Fusiform Face Area Differentiate Faces by Sex and Race

    PubMed Central

    Contreras, Juan Manuel; Banaji, Mahzarin R.; Mitchell, Jason P.

    2013-01-01

    Although prior research suggests that fusiform gyrus represents the sex and race of faces, it remains unclear whether fusiform face area (FFA)the portion of fusiform gyrus that is functionally-defined by its preferential response to facescontains such representations. Here, we used functional magnetic resonance imaging to evaluate whether FFA represents faces by sex and race. Participants were scanned while they categorized the sex and race of unfamiliar Black men, Black women, White men, and White women. Multivariate pattern analysis revealed that multivoxel patterns in FFAbut not other face-selective brain regions, other category-selective brain regions, or early visual cortexdifferentiated faces by sex and race. Specifically, patterns of voxel-based responses were more similar between individuals of the same sex than between men and women, and between individuals of the same race than between Black and White individuals. By showing that FFA represents the sex and race of faces, this research contributes to our emerging understanding of how the human brain perceives individuals from two fundamental social categories. PMID:23936077

  20. The orthography-specific functions of the left fusiform gyrus: Evidence of modality and category specificity

    PubMed Central

    Tsapkini, Kyrana; Rapp, Brenda

    2010-01-01

    We report on an investigation of the cognitive functions of an individual with a resection of the left fusiform gyrus. This individual and a group of control participants underwent testing to examine the question of whether or not there are neural substrates within the left fusiform gyrus that are dedicated to orthographic processing. We evaluated the modality specificity (written vs. spoken language) and the category specificity (written language vs. other visual categories) of this individuals impairments. The results clearly reveal deficits affecting lexical processes in both reading and spelling. Specifically, we find disruption of normal, rapid access to meaning from print in reading and of accurate retrieval of the spellings of words from their meaning in writing. These deficits stand in striking contrast with intact processing of spoken language and categories of visual stimuli such as line drawings of objects and faces. The modality and category specificity of the deficits provide clear evidence of neural substrates within the left mid-fusiform gyrus that are specialized and necessary for normal orthographic processing. PMID:19428003

  1. Engagement of Fusiform Cortex and Disengagement of Lateral Occipital Cortex in the Acquisition of Radiological Expertise

    PubMed Central

    Harley, Erin M.; Pope, Whitney B.; Villablanca, J. Pablo; Mumford, Jeanette; Suh, Robert; Mazziotta, John C.; Enzmann, Dieter

    2009-01-01

    The human visual pathways that are specialized for object recognition stretch from lateral occipital cortex (LO) to the ventral surface of the temporal lobe, including the fusiform gyrus. Plasticity in these pathways supports the acquisition of visual expertise, but precisely how training affects the different regions remains unclear. We used functional magnetic resonance imaging to measure neural activity in both LO and the fusiform gyrus in radiologists as they detected abnormalities in chest radiographs. Activity in the right fusiform face area (FFA) correlated with visual expertise, measured as behavioral performance during scanning. In contrast, activity in left LO correlated negatively with expertise, and the amount of LO that responded to radiographs was smaller in experts than in novices. Activity in the FFA and LO correlated negatively in experts, whereas in novices, the 2 regions showed no stable relationship. Together, these results suggest that the FFA becomes more engaged and left LO less engaged in interpreting radiographic images over the course of training. Achieving expert visual performance may involve suppressing existing neural representations while simultaneously developing others. PMID:19321653

  2. How music alters a kiss: superior temporal gyrus controls fusiform-amygdalar effective connectivity.

    PubMed

    Pehrs, Corinna; Deserno, Lorenz; Bakels, Jan-Hendrik; Schlochtermeier, Lorna H; Kappelhoff, Hermann; Jacobs, Arthur M; Fritz, Thomas Hans; Koelsch, Stefan; Kuchinke, Lars

    2014-11-01

    While watching movies, the brain integrates the visual information and the musical soundtrack into a coherent percept. Multisensory integration can lead to emotion elicitation on which soundtrack valences may have a modulatory impact. Here, dynamic kissing scenes from romantic comedies were presented to 22 participants (13 females) during functional magnetic resonance imaging scanning. The kissing scenes were either accompanied by happy music, sad music or no music. Evidence from cross-modal studies motivated a predefined three-region network for multisensory integration of emotion, consisting of fusiform gyrus (FG), amygdala (AMY) and anterior superior temporal gyrus (aSTG). The interactions in this network were investigated using dynamic causal models of effective connectivity. This revealed bilinear modulations by happy and sad music with suppression effects on the connectivity from FG and AMY to aSTG. Non-linear dynamic causal modeling showed a suppressive gating effect of aSTG on fusiform-amygdalar connectivity. In conclusion, fusiform to amygdala coupling strength is modulated via feedback through aSTG as region for multisensory integration of emotional material. This mechanism was emotion-specific and more pronounced for sad music. Therefore, soundtrack valences may modulate emotion elicitation in movies by differentially changing preprocessed visual information to the amygdala. PMID:24298171

  3. Equilibrium and Kinetic Studies of Cd2+ Biosorption by the Brown Algae Sargassum fusiforme

    PubMed Central

    Zou, Hui-Xi; Li, Nan; Wang, Li-Hua; Yu, Ping; Yan, Xiu-Feng

    2014-01-01

    A fundamental investigation of the biosorption of Cd2+ from aqueous solution by the edible seaweed Sargassum fusiforme was performed under batch conditions. The influences of experimental parameters, such as the initial pH, sorption time, temperature, and initial Cd2+ concentration, on Cd2+ uptake by S. fusiforme were evaluated. The results indicated that the biosorption of Cd2+ depended on the initial Cd2+ concentration, as well as the pH. The uptake of Cd2+ could be described by the Langmuir isotherm model, and both the Langmuir biosorption equilibrium constant and the maximum biosorption capacity of the monolayer decreased with increasing temperature, thereby confirming the exothermic character of the sorption process. The biosorption kinetics follows the pseudo-second-order kinetic model, and intraparticle diffusion is the sole rate-limiting step for the entire biosorption period. These fundamental equilibrium and kinetic results can support further studies to the removal of cadmium from S. fusiforme harvested from cadmium-polluted waters. PMID:24736449

  4. Incidence of fusiform rust infection on loblolly pine related to tip moth damage

    SciTech Connect

    Powers, H.R. Jr.; Stone, D.M.

    1985-09-01

    Nantucket pine tip moth (Rhyacionia frustrana) is a common pest over most of the natural range of loblolly pine, causing deformation and growth reduction of seedlings and saplings during the early life of the stand. Fusiform rust (caused by Cronartium quercuum f. sp. fusiforme) is a limiting factor in the production of southern pines throughout a broad area of the southeastern United States, extending from South Carolina to Texas. The target areas on the hosts for both pests are young, succulent shoot tissues. Carbofuran, a systematic insecticide, was used to determine the effect of controlling tip moth on seedlings infected by the fusiform rust organism. Beginning with the 2nd year carbofuran was applied over 4 successive years. The insecticide sharply reduced the incidence of tip moth and increased the height of 5-year-old saplings compared with untreated controls. Usually any treatment that stimulates the growth of pines also results in increased rust infection. However, this was not the case here because untreated saplings had significantly more infection. It is not known whether the increased disease incidence on untreated trees was due to the susceptibility and/or total number of secondary shoots initiated in response to tip dieback caused by the tip moth, or if carbofuran itself has some fungicidal effect resulting in lower infection on treated seedlings. 6 refs., 1 tab.

  5. Crossmodal plasticity in the fusiform gyrus of late blind individuals during voice recognition.

    PubMed

    Hlig, Cordula; Fcker, Julia; Best, Anna; Rder, Brigitte; Bchel, Christian

    2014-12-01

    Blind individuals are trained in identifying other people through voices. In congenitally blind adults the anterior fusiform gyrus has been shown to be active during voice recognition. Such crossmodal changes have been associated with a superiority of blind adults in voice perception. The key question of the present functional magnetic resonance imaging (fMRI) study was whether visual deprivation that occurs in adulthood is followed by similar adaptive changes of the voice identification system. Late blind individuals and matched sighted participants were tested in a priming paradigm, in which two voice stimuli were subsequently presented. The prime (S1) and the target (S2) were either from the same speaker (person-congruent voices) or from two different speakers (person-incongruent voices). Participants had to classify the S2 as either coming from an old or a young person. Only in late blind but not in matched sighted controls, the activation in the anterior fusiform gyrus was modulated by voice identity: late blind volunteers showed an increase of the BOLD signal in response to person-incongruent compared with person-congruent trials. These results suggest that the fusiform gyrus adapts to input of a new modality even in the mature brain and thus demonstrate an adult type of crossmodal plasticity. PMID:25280451

  6. Ruptured visceral artery aneurysms.

    PubMed

    Chiaradia, M; Novelli, L; Deux, J-F; Tacher, V; Mayer, J; You, K; Djabbari, M; Luciani, A; Rahmouni, A; Kobeiter, H

    2015-01-01

    Visceral artery aneurysms are rare but their estimated mortality due to rupture ranges between 25 and 70%. Treatment of visceral artery aneurysm rupture is usually managed by interventional radiology. Specific embolization techniques depend on the location, affected organ, locoregional arterial anatomy, and interventional radiologist skill. The success rate following treatment by interventional radiology is greater than 90%. The main complication is recanalization of the aneurysm, showing the importance of post-therapeutic monitoring, which should preferably be performed using MR imaging. PMID:26054246

  7. [Iatrogenic postintubation tracheal rupture].

    PubMed

    Parshin, V D; Pogodina, A N; Vyzhigina, M A; Rusakov, M A

    2006-01-01

    Iatrogenic damage to the trachea in its intubation and during artificial lung ventilation ,is a rare, severe and commonly fatal complication in resuscitative care. The risk for tracheal damage increases in emergency, time shortage and hypoxia in a patient, while intubating with a double-lumen tube, using rigid mandrin guides without a safety limit stop, and having difficulties in intubating the patient due to his/her anatomic features. Fibrotracheoscopy is the principal diagnostic techniques that may cause tracheal rupture, which may be transformed to a therapeutic measure, by placing an intubation tube caudally at the site of tracheal rupture. Among 33 patients, only 6 underwent surgical defect suturing. When the trachea is ruptured, surgery is indicated for respiratory hemorrhage unstopped by inflating the cuff of an intubation tube and, perhaps, associated with the damage to a large vessel; for progressive gas syndrome, extensive rupture of the membranous part with the involvement of the tracheal bifurcation and main bronchus or with the interposition of paratracheal tissues; for a concomitant damage to the esophagus; for rupture of the tracheal membranous part during intubation before thoracotomy or for rupture detected during thoracotomy for another cause. Correct and timely care may eliminate this life-threatening iatrogenic complication, by yielding a good effect. PMID:16758936

  8. Perceptual specificity in visual object priming: functional magnetic resonance imaging evidence for a laterality difference in fusiform cortex.

    PubMed

    Koutstaal, W; Wagner, A D; Rotte, M; Maril, A; Buckner, R L; Schacter, D L

    2001-01-01

    Seeing an object on one occasion may facilitate or prime processing of the same object if it is later again encountered. Such priming may also be found -- but at a reduced level -- for different but perceptually similar objects that are alternative exemplars or 'tokens' of the initially presented object. We explored the neural correlates of this perceptual specificity using event-related functional magnetic resonance imaging (fMRI) procedures, contrasting neural activity when participants made object classification decisions (size judgments) regarding previously presented objects (repeated same), alternative exemplars of previously presented objects (repeated different), or entirely new objects (novel). Many frontal regions (including bilateral frontal operculum, bilateral posterior inferior frontal/precentral, left anterior inferior frontal, and superior frontal cortices) and multiple late visual and posterior regions (including middle occipital, fusiform, fusiform-parahippocampal, precuneus, and posterior cingulate, all bilaterally), demonstrated reduced neural activity for repeated compared to novel objects. Greater repetition-induced reductions were observed for same than for different exemplars in several of these regions (bilateral posterior inferior frontal, right precuneus, bilateral middle occipital, bilateral fusiform, bilateral parahippocampal and bilateral superior parietal). Additionally, right fusiform (occipitotemporal) cortex showed significantly less priming for different versus same exemplars than did left fusiform. These findings converge with behavioral evidence from divided visual field studies and with neuropsychological evidence underscoring the key role of right occipitotemporal cortex in processing specific visual form information; possible differences in the representational-functional role of left fusiform are discussed. PMID:11163375

  9. Endovascular Stenting for Restenosis of the Intracranial Vertebrobasilar Artery After Balloon Angioplasty: Two Case Reports and Review of the Literature

    SciTech Connect

    Kiyosue, Hiro Okahara, Mika; Yamashita, Masanori; Nagatomi, Hirofumi; Nakamura, Natsuki; Mori, Hiromu

    2004-09-15

    Percutaneous transluminal balloon angioplasty (PTA) has been used in the treatment of critical stenosis of the intracranial vertebrobasilar artery (VBA). PTA of the intracranial VBA carries the risk of fatal complications such as arterial dissection or acute occlusion as well as postoperative restenosis. The estimated risk of periprocedural complications and restenosis were approximately 20% and 27%. The use of recently developed stents could prevent these problems of PTA. We present two cases of restenosis of the intracranial VBA after PTA which stenoses were successfully retreated with endovascular stenting using flexible coronary stents without any complications. Neither restenosis nor other recurrent symptoms were observed during the 4- and 6-month follow-up period. Reviewing the literature of 33 cases and our 2 cases, the overall complication rates related to stenting and restenosis were 5.6% and 7.8%. Endovascular stenting for the treatment of intracranial VBA can reduce the risk of arterial dissection and restenosis.

  10. Achilles Tendon Rupture

    PubMed Central

    Wertz, Jess; Galli, Melissa; Borchers, James R.

    2013-01-01

    Context: Achilles tendon (AT) rupture in athletes is increasing in incidence and accounts for one of the most devastating sports injuries because of the threat to alter or end a career. Despite the magnitude of this injury, reliable risk assessment has not been clearly defined, and prevention strategies have been limited. The purpose of this review is to identify potential intrinsic and extrinsic risk factors for AT rupture in aerial and ground athletes stated in the current literature. Evidence Acquisition: A MEDLINE search was conducted on AT rupture, or injury and risk factors and athletes from 1980 to 2011. Emphasis was placed on epidemiology, etiology, and review articles focusing on the risk for lower extremity injury in runners and gymnasts. Thirty articles were reviewed, and 22 were included in this assessment. Results: Aerial and ground athletes share many intrinsic risk factors for AT rupture, including overuse and degeneration of the tendon as well as anatomical variations that mechanically put an athlete at risk. Older athletes, athletes atypical in size for their sport, high tensile loads, leg dominance, and fatigue also may increase risk. Aerial athletes tend to have more extrinsic factors that play a role in this injury due to the varying landing surfaces from heights and technical maneuvers performed at various skill levels. Conclusion: Risk assessment for AT rupture in aerial and ground athletes is multivariable and difficult in terms of developing prevention strategies. Quantitative measures of individual risk factors may help identify major contributors to injury. PMID:24427410

  11. Inactivation of murine norovirus-1 in the edible seaweeds Capsosiphon fulvescens and Hizikia fusiforme using gamma radiation.

    PubMed

    Park, Shin Young; Kang, Sujin; Ha, Sang-Do

    2016-06-01

    This study investigated the effects of gamma radiation (3-10 kGy) upon the inactivation of murine norovirus-1 (MNV-1), a human norovirus (NoV) surrogate. The edible green and brown algae, fulvescens (Capsosiphon fulvescens) and fusiforme (Hizikia fusiforme), respectively, were experimentally contaminated with 5-6 log10 plaque forming units (PFU)/ml MNV-1. The titer of MNV-1 significantly decreased (P < 0.05) as the dose of gamma radiation increased. MNV-1 titer decreased to 1.16-2.46 log10 PFU/ml in fulvescens and 0.37-2.21 log10 PFU/ml in fusiforme following irradiation. However, all Hunters ('L', 'a' and 'b') and sensory qualities (appearance, color, flavor, texture and overall acceptability) were not significantly (P > 0.05) different in both algae following gamma radiation. The Weibull model was used to generate non-linear survival curves and to calculate Gd values for 1, 2, and 3 log10 reductions of MNV-1 in fulvescens (R(2) = 0.992) and fusiforme (R(2) = 0.988). A Gd value of 1 (90% reduction) corresponded to 2.89 and 3.93 kGy in fulvescens and fusiforme, respectively. A Gd value of 2 (99% reduction) corresponded to 7.75 and 9.02 kGy in fulvescens and fusiforme, respectively, while a Gd value of 3 (99.9% reduction) in fulvescens and fusiforme corresponded with 13.83 and 14.93 kGy of gamma radiation, respectively. A combination of gamma radiation at medium doses and other treatments could be used to inactivate ≥3 log10 PFU/ml NoV in seaweed. The inactivation kinetics due to gamma radiation against NoV in these algae might provide basic information for use in seaweed processing and distribution. PMID:26919820

  12. Right fusiform response patterns reflect visual object identity rather than semantic similarity.

    PubMed

    Bruffaerts, Rose; Dupont, Patrick; De Grauwe, Sophie; Peeters, Ronald; De Deyne, Simon; Storms, Gerrit; Vandenberghe, Rik

    2013-12-01

    We previously reported the neuropsychological consequences of a lesion confined to the middle and posterior part of the right fusiform gyrus (case JA) causing a partial loss of knowledge of visual attributes of concrete entities in the absence of category-selectivity (animate versus inanimate). We interpreted this in the context of a two-step model that distinguishes structural description knowledge from associative-semantic processing and implicated the lesioned area in the former process. To test this hypothesis in the intact brain, multi-voxel pattern analysis was used in a series of event-related fMRI studies in a total of 46 healthy subjects. We predicted that activity patterns in this region would be determined by the identity of rather than the conceptual similarity between concrete entities. In a prior behavioral experiment features were generated for each entity by more than 1000 subjects. Based on a hierarchical clustering analysis the entities were organised into 3 semantic clusters (musical instruments, vehicles, tools). Entities were presented as words or pictures. With foveal presentation of pictures, cosine similarity between fMRI response patterns in right fusiform cortex appeared to reflect both the identity of and the semantic similarity between the entities. No such effects were found for words in this region. The effect of object identity was invariant for location, scaling, orientation axis and color (grayscale versus color). It also persisted for different exemplars referring to a same concrete entity. The apparent semantic similarity effect however was not invariant. This study provides further support for a neurobiological distinction between structural description knowledge and processing of semantic relationships and confirms the role of right mid-posterior fusiform cortex in the former process, in accordance with previous lesion evidence. PMID:23811413

  13. Encoding human sexual chemosensory cues in the orbitofrontal and fusiform cortices

    PubMed Central

    Zhou, Wen; Chen, Denise

    2009-01-01

    Chemosensory communication of affect and motivation is ubiquitous among animals. In humans, emotional expressions are naturally associated with faces and voices. Whether chemical signals play a role as well has hardly been addressed. Here we use functional magnetic resonance imaging (fMRI) to show that the right orbitofrontal cortex, right fusiform cortex, and right hypothalamus respond to airborne natural human sexual sweat, indicating that this particular chemosensory compound is encoded holistically in the brain. Our findings provide neural evidence that socioemotional meanings, including the sexual ones, are conveyed in the human sweat. PMID:19118174

  14. Solvothermal synthesis of fusiform hexagonal prism SrCO{sub 3} microrods via ethylene glycol solution

    SciTech Connect

    Shi Liange; Du Fanglin . E-mail: dufanglin@qust.edu.cn

    2007-08-07

    Fusiform hexagonal prism SrCO{sub 3} microrods were prepared by a simple solvothermal route at 120 deg. C, and characterized by X-ray powder diffraction (XRD), field-emission scanning electron microscopy (FE-SEM) and Fourier transform infrared (FT-IR) spectroscopy. By controlling the content of ethylene glycol (EG), it was found that ethylene glycol (EG) played an important role in the formation of such SrCO{sub 3} microrods. Finally, effects of other solvents on the products, including 1,2-propanediol and glycerin, were also investigated.

  15. The Contribution of the Left Mid-fusiform Cortical Thickness to Chinese and English Reading in a Large Chinese Sample

    PubMed Central

    Zhang, Mingxia; Li, Jin; Chen, Chuansheng; Mei, Leilei; Xue, Gui; Lu, Zhonglin; Chen, Chunhui; He, Qinghua; Wei, Miao; Dong, Qi

    2012-01-01

    Previous functional neuroimaging studies have shown that the left mid-fusiform cortex plays a critical role in reading. However, there is very limited research relating this regions anatomical structure to reading performance either in native or second language. Using structural MRI and three reading tasks (Chinese characters, English words, and alphabetic pseudowords) and a non-reading task (visual-auditory learning), this study investigated the contributions of the left mid-fusiform cortical thickness to reading in a large sample of 226 Chinese subjects. Results showed that cortical thickness in the left mid-fusiform gyrus was positively correlated with performance on all three reading tasks but not with the performance on the non-reading task. Our findings provide structural evidence for the left mid-fusiform cortex as the gateway region for reading Chinese and English. The absence of the association between the left mid-fusiform cortical thickness and non-reading performance implied the specific role of this area in reading skills, not in general language skills. PMID:23022094

  16. One-year-old fear memories rapidly activate human fusiform gyrus.

    PubMed

    Mueller, Erik M; Pizzagalli, Diego A

    2016-02-01

    Fast threat detection is crucial for survival. In line with such evolutionary pressure, threat-signaling fear-conditioned faces have been found to rapidly (<80?ms) activate visual brain regions including the fusiform gyrus on the conditioning day. Whether remotely fear conditioned stimuli (CS) evoke similar early processing enhancements is unknown. Here, 16 participants who underwent a differential face fear-conditioning and extinction procedure on day 1 were presented the initial CS 24?h after conditioning (Recent Recall Test) as well as 9-17 months later (Remote Recall Test) while EEG was recorded. Using a data-driven segmentation procedure of CS evoked event-related potentials, five distinct microstates were identified for both the recent and the remote memory test. To probe intracranial activity, EEG activity within each microstate was localized using low resolution electromagnetic tomography analysis (LORETA). In both the recent (41-55 and 150-191?ms) and remote (45-90?ms) recall tests, fear conditioned faces potentiated rapid activation in proximity of fusiform gyrus, even in participants unaware of the contingencies. These findings suggest that rapid processing enhancements of conditioned faces persist over time. PMID:26416784

  17. Two-stage selection in slash pine produces good gains in fusiform rust resistance

    SciTech Connect

    Sluder, E.R.

    1996-08-01

    The best 6 of 21 progeny-tested first-generation slash pine selections were crossed in a half diallel to study inheritance patterns of their superior fusiform rust resistance (5 trees) and height (1 tree). Their six first-test progenies were duplicated and included in the study. These two groups of progenies, along with two commercial check lots, were planted on an Upper Coastal Plain and a Flatwoods site in Georgia. At age 10 yr, the 15 progenies in the half diallel averaged 23% rust-infected compared with 54% for the check lots. First-test progenies averaged 30% infected. For percentage infection, the six parents differed in general combining ability (GCA) (0.01>P>0.001) on both test sites and in specific combining ability (0.05>P>0.01) on one site. GCA variation for height was significant (0.05>P>0.01) on one site. The parent selected for height had the highest breeding value for height at age 10 yr. These results show that resistance to the fusiform rust disease, a serious problem in management of the species, can be improved in slash pine. These 6 parents and their 15 progenies in the half-diallel cross are a good source of rust resistance genes for use in slash pine improvement programs.

  18. Hemispheric asymmetry in the fusiform gyrus distinguishes Homo sapiens from chimpanzees.

    PubMed

    Chance, Steven A; Sawyer, Eva K; Clover, Linda M; Wicinski, Bridget; Hof, Patrick R; Crow, Timothy J

    2013-11-01

    While the neural basis for linguistic communication has been linked to brain structural asymmetries found only in humans (wider connective spacing is found between the minicolumns of neurons in the left hemisphere language areas), it is unknown if the opposite microanatomical asymmetry exists in the fusiform gyrus which typically supports a right hemisphere bias for face processing. Unlike language, face processing is an ability shared with chimpanzees and, as Darwin observed, the widespread use of facial expressions in animal communication suggests a biological basis. We tested the principle that minicolumn asymmetry follows typical functional dominance in humans, and tested its evolutionary continuity, by measuring minicolumn width, neuronal size and density in the mid-fusiform cortex in 14 humans and 14 chimpanzees. We found that microanatomical asymmetry distinguishes humans from chimpanzees although the direction of asymmetry is the same as in language areas-the right hemisphere contained narrower minicolumns and smaller pyramidal neurons, as in auditory language areas. Uniformly narrow minicolumns in chimpanzees and in the human right hemisphere are consistent with mechanistic predictions supporting the apparent bias towards holistic face processing. Wider minicolumns and larger neurons in the human left hemisphere may be consistent with a language function such as word-form processing. Microanatomical asymmetry in the neocortex therefore provides a correlate of hemispheric specialisation. PMID:23108793

  19. Emotional Face Processing in Pediatric Bipolar Disorder: Evidence for Functional Impairments in the Fusiform Gyrus

    PubMed Central

    Perlman, Susan B.; Fournier, Jay C.; Bebko, Genna; Bertocci, Michele A.; Hinze, Amanda K.; Bonar, Lisa; Almeida, Jorge R. C.; Versace, Amelia; Schirda, Claudiu; Travis, Michael; Gill, Mary Kay; Demeter, Christine; Diwadkar, Vaibhav A.; Sunshine, Jeffrey L.; Holland, Scott K.; Kowatch, Robert. A.; Birmaher, Boris; Axelson, David; Horwitz, Sarah M.; Arnold, L. Eugene; Fristad, Mary. A; Youngstrom, Eric A.; Findling, Robert L.; Phillips, Mary L.

    2013-01-01

    Objective Pediatric bipolar disorder involves poor social functioning, but the neural mechanisms underlying these deficits are not well understood. Previous neuroimaging studies have found deficits in emotional face processing localized to emotional brain regions. However, few studies have examined dysfunction in other regions of the face processing circuit. This study assessed hypoactivation in key face processing regions of the brain in pediatric bipolar disorder. Method Youth with a bipolar spectrum diagnosis (n=20) were matched to a nonbipolar clinical group (n=20), with similar demographics and comorbid diagnoses, and a healthy control group (n=20). Youth participated in a functional magnetic resonance imaging (fMRI) scanning which employed a task-irrelevant emotion processing design in which processing of facial emotions was not germane to task performance. Results Hypoactivation, isolated to the fusiform gyrus, was found when viewing animated, emerging facial expressions of happiness, sadness, fearfulness, and especially anger in pediatric bipolar participants relative to matched clinical and healthy control groups. Conclusions The results of the study imply that differences exist in visual regions of the brains face processing system and are not solely isolated to emotional brain regions, such as the amygdala. Findings are discussed in relation to facial emotion recognition and fusiform gyrus deficits previously reported in the autism literature. Behavioral interventions targeting attention to facial stimuli might be explored as possible treatments for bipolar disorder in youth. PMID:24290464

  20. Fucosterol, a sterol extracted from Sargassum fusiforme, shows antidepressant and anticonvulsant effects.

    PubMed

    Zhen, Xing-Hua; Quan, Ying-Chun; Jiang, Hai-Ying; Wen, Zheng-Shun; Qu, You-Le; Guan, Li-Ping

    2015-12-01

    We previously showed that extracts of Sargassum fusiforme significantly reduce immobility time in the forced swim test and tail suspension test, suggesting that these extracts possess antidepressant-like effects. Here, fucosterol extracted from S. fusiforme was evaluated for antidepressant and anticonvulsant activities in mice. Fucosterol (10, 20, 30 and 40mg/kg) significantly shortened immobility time in the forced swim test and tail suspension test for30min after treatment but had no effect on locomotor activity in the open field test. Fucosterol significantly increased serotonin, norepinephrine and the metabolite 5-hydroxyindoleacetic acid in mouse brain, suggesting that the effects of fucosterol may be mediated through these neurotransmitters. As assessed using maximal electroshock, fucosterol (20, 40, 100mg/kg) possessed anticonvulsant activity, whereas rotarod toxicity test results indicated that fucosterol did not induce neurotoxicity at the same dose levels in mice. Thus, fucosterol may be a useful antidepressant adjunct candidate for treating depression in patients with epilepsy. A significant increase in hippocampal brain-derived neurotrophic factor (BDNF) levels was found in the fucosterol 20mg/kg group (P<0.05). Our findings suggested that fucosterol may possess an antidepressant-like effect, which may be mediated by increasing central BDNF levels. PMID:26515446

  1. Analysis of intellectual and cognitive performance in patients with multi-infarct dementia, vertebrobasilar insufficiency with dementia, and Alzheimer's disease.

    PubMed Central

    Perez, F I; Rivera, V M; Meyer, J S; Gay, J R; Taylor, R L; Mathew, N T

    1975-01-01

    A prominent feature in dementia is intellectual deterioration. Review of the clinical literature indicates a lack of suitably quantitated studies of specific intellectual defects in dementia. The present study investigated the performance of patients with multi-infarct dementia (MID), dementia due to Alzheimer's disease (AD), and vertebrobasilar insufficiency (VBI) with dementia using the Wechsler Adult Intelligence Scale (WAIS). Forty-two patients ranging in age from 45 to 85 years (x 66) were included. Significant differences in cognitive and intellectual performance were found between patients with dementia due to VBI and MID versus neuronal atrophy of the Alzheimer's type. The group with AD performed significantly and consistently lower on all measures. There were no significant differences between the two cerebrovascular disease groups, even though the MID group performed consistently more poorly than the VBI group. A discriminant function analysis classified 74% of the patients correctly based on the individual WAIS scores. The diagnosis was more easily made when tasks measuring visual motor coordination and abstract reasoning were included in the analysis. PMID:1151420

  2. Blunt traumatic pericardial rupture.

    PubMed Central

    Levine, A J; Collins, F J

    1995-01-01

    A 28-year-old man presented with left chest, head and limb injuries following a road traffic accident (RTA). Increasing haemodynamic instability necessitated an emergency left thoracotomy at which a complete rupture of the pericardium and herniation of the heart was found. After repair, the patient made an uneventful post-operative recovery. The aetiology, investigation and management of this rare injury is discussed. Images Fig. 1 PMID:7640832

  3. Iatrogenic tracheobronchial rupture

    PubMed Central

    Paraschiv, M

    2014-01-01

    Abstract Iatrogenic tracheobronchial ruptures most frequently occur during tracheal intubation, but they can also be produced during tracheobronchial endoscopy or thoracic surgery. The clinical presentation can be brutal, with respiratory failure, cervical emphysema, pneumothorax and hemoptysis. There are also less symptomatic presentations. The diagnosis is confirmed by bronchoscopy. The therapeutic approach can be differentiated, surgical or conservative, although the criteria are not universally accepted. This article aims to review the indications and therapeutic options. PMID:25408752

  4. Induced Resistance in Solanum lycopersicum by Algal Elicitor Extracted from Sargassum fusiforme

    PubMed Central

    Sbaihat, Layth; Takeyama, Keiko; Koga, Takeharu; Takemoto, Daigo; Kawakita, Kazuhito

    2015-01-01

    Tomato (Solanum lycopersicum) production relies heavily on the use of chemical pesticides, which is undesired by health- and environment-concerned consumers. Environment-friendly methods of controlling tomato diseases include agroecological practices, organic fungicides, and biological control. Plants' resistance against pathogens is induced by applying agents called elicitors to the plants and would lead to disease prevention or reduced severity. We investigated the ability of a novel elicitor extracted from the brown sea algae (Sargassum fusiforme) to elicit induced resistance in tomato. The studied elicitor induced hypersensitive cell death and O2? production in tomato tissues. It significantly reduced severities of late blight, grey mold, and powdery mildew of tomato. Taken together, our novel elicitor has not shown any direct antifungal activity against the studied pathogens, concluding that it is an elicitor of induced resistance. PMID:25802893

  5. Decreased GABAB Receptors in the Cingulate Cortex and Fusiform Gyrus in Autism

    PubMed Central

    Gibbs, Terrell T.; Blatt, Gene J.

    2010-01-01

    Autism is a behaviorally defined neurodevelopmental disorder and among its symptoms are disturbances in face and emotional processing. Emerging evidence demonstrates abnormalities in the GABAergic (gamma-aminobutyric acid) system in autism, which likely contributes to these deficits. GABAB receptors play an important role in modulating synapses and maintaining the balance of excitation-inhibition in the brain. The density of GABAB receptors in subjects with autism and matched controls was quantified in the anterior and posterior cingulate cortex, important for socio-emotional and cognitive processing, and the fusiform gyrus, important for identification of faces and facial expressions. Significant reductions in GABAB receptor density were demonstrated in all three regions examined suggesting that alterations in this key inhibitory receptor subtype may contribute to the functional deficits in individuals with autism. Interestingly, the presence of seizure in a subset of autism cases did not have a significant effect on the density of GABAB receptors in any of the three regions. PMID:20557420

  6. Functional asymmetry between the left and right human fusiform gyrus explored through electrical brain stimulation.

    PubMed

    Rangarajan, Vinitha; Parvizi, Josef

    2016-03-01

    The ventral temporal cortex (VTC) contains several areas with selective responses to words, numbers, faces, and objects as demonstrated by numerous human and primate imaging and electrophysiological studies. Our recent work using electrocorticography (ECoG) confirmed the presence of face-selective neuronal populations in the human fusiform gyrus (FG) in patients implanted with intracranial electrodes in either the left or right hemisphere. Electrical brain stimulation (EBS) disrupted the conscious perception of faces only when it was delivered in the right, but not left, FG. In contrast to our previous findings, here we report both negative and positive EBS effects in right and left FG, respectively. The presence of right hemisphere language dominance in the first, and strong left-handedness and poor language processing performance in the second case, provide indirect clues about the functional architecture of the human VTC in relation to hemispheric asymmetries in language processing and handedness. PMID:26277460

  7. Induced resistance in Solanum lycopersicum by algal elicitor extracted from Sargassum fusiforme.

    PubMed

    Sbaihat, Layth; Takeyama, Keiko; Koga, Takeharu; Takemoto, Daigo; Kawakita, Kazuhito

    2015-01-01

    Tomato (Solanum lycopersicum) production relies heavily on the use of chemical pesticides, which is undesired by health- and environment-concerned consumers. Environment-friendly methods of controlling tomato diseases include agroecological practices, organic fungicides, and biological control. Plants' resistance against pathogens is induced by applying agents called elicitors to the plants and would lead to disease prevention or reduced severity. We investigated the ability of a novel elicitor extracted from the brown sea algae (Sargassum fusiforme) to elicit induced resistance in tomato. The studied elicitor induced hypersensitive cell death and O2 (-) production in tomato tissues. It significantly reduced severities of late blight, grey mold, and powdery mildew of tomato. Taken together, our novel elicitor has not shown any direct antifungal activity against the studied pathogens, concluding that it is an elicitor of induced resistance. PMID:25802893

  8. Fingerspelling, signed language, text and picture processing in deaf native signers: The role of the mid-fusiform gyrus

    PubMed Central

    Waters, Dafydd; Campbell, Ruth; Capek, Cheryl M.; Woll, Bencie; David, Anthony S.; McGuire, Philip K.; Brammer, Michael J.; MacSweeney, Mairad

    2007-01-01

    In fingerspelling, different hand configurations are used to represent the different letters of the alphabet. Signers use this method of representing written language to fill lexical gaps in a signed language. Using fMRI, we compared cortical networks supporting the perception of fingerspelled, signed, written, and pictorial stimuli in deaf native signers of British Sign Language (BSL). In order to examine the effects of linguistic knowledge, hearing participants who knew neither fingerspelling nor a signed language were also tested. All input forms activated a left fronto-temporal network, including portions of left inferior temporal and mid-fusiform gyri, in both groups. To examine the extent to which activation in this region was influenced by orthographic structure, two contrasts of orthographic and non-orthographic stimuli were made: one using static stimuli (text vs. pictures), the other using dynamic stimuli (fingerspelling vs. signed language). Greater activation in left and right inferior temporal and mid-fusiform gyri was found for pictures than text in both deaf and hearing groups. In the fingerspelling vs. signed language contrast, a significant interaction indicated locations within the left and right mid-fusiform gyri. This showed greater activation for fingerspelling than signed language in deaf but not hearing participants. These results are discussed in light of recent proposals that the mid-fusiform gyrus may act as an integration region, mediating between visual input and higher-order stimulus properties. PMID:17363278

  9. Biosorption of Hg(II) and Cu(II) by biomass of dried Sargassum fusiforme in aquatic solution.

    PubMed

    Huang, Shengmou; Lin, Gan

    2015-01-01

    The biosorption of heavy metals Hg(II) and Cu(II) from aquatic solution by biomass of dried Sargassum fusiforme was studied in the paper. The Sargassum fusiforme was able to absorb appreciable amount of mercury and copper from the aquatic solutions within 60min of contact time with the metal solution and exhibited high removal of mercury and copper at low equilibrium concentrations. The specific adsorption of both Hg(II) and Cu(II) increased at low concentration of biomass and decreased when biomass concentration exceeded 2.0g/L. The binding of mercury followed Freundlich model while copper supported Langmuir isotherm for adsorption with their r(2) values of 0.971 and 0.923, respectively. The maximum adsorption per unit masses of Sargassum fusiforme (mg/L) at equilibrium (qmax) for Hg(II) and Cu(II) were calculated to be 30.86 and 7.69mg/g, respectively. The biosorption by Sargassum fusiforme was best described using a pseudo-second-order kinetic model for copper and mercury ions in solution in the study. The adsorption was pH dependent as the maximum mercury biosorption and copper adsorption was happened at solution pH of 8-10. PMID:25806112

  10. Task Effects in the Mid-Fusiform Gyrus: A Comparison of Orthographic, Phonological, and Semantic Processing of Chinese Characters

    ERIC Educational Resources Information Center

    Guo, Yi; Burgund, E. Darcy

    2010-01-01

    The left mid-fusiform gyrus is repeatedly reported to be involved in visual word processing. Nevertheless, it is controversial whether this area responds to orthographic processing of reading. To examine this idea, neural activity was measured using functional magnetic resonance imaging in the present study while subjects performed phonological,

  11. [Achilles tendon rupture].

    PubMed

    Thermann, H; Hfner, T; Tscherne, H

    2000-03-01

    The treatment of acute of Achilles tendon rupture experienced a dynamic development in the last ten years. Decisive for this development was the application of MRI and above all the ultrasonography in the diagnostics of the pathological changes and injuries of tendons. The question of rupture morphology as well as different courses of healing could be now evaluated objectively. These advances led consequently to new modalities in treatment concepts and rehabilitation protocols. The decisive input for improvements of the outcome results and particularly the shortening of the rehabilitation period came with introduction of the early functional treatment in contrast to immobilizing plaster treatment. In a prospective randomized study (1987-1989) at the Trauma Dept. of the Hannover Medical School could show no statistical differences comparing functional non-operative with functional operative therapy with a special therapy boot (Variostabil/Adidas). The crucial criteria for therapy selection results from the sonographically measured position of the tendon stumps in plantar flexion (20 degrees). With complete adaptation of the tendons' ends surgical treatment does not achieve better results than non-operative functional treatment in term of tendon healing and functional outcome. Regarding the current therapeutic standards each method has is advantages and disadvantages. Both, the operative and non-operative functional treatment enable a stable tendon healing with a low risk of re-rupture (1-2%). Meanwhile there is consensus for early functional after-treatment of the operated Achilles' tendons. There seems to be a trend towards non-operative functional treatment in cases of adequate sonographical findings, or to minimal invasive surgical techniques. PMID:10798233

  12. The Effectiveness of Additional Treatment Modalities after the Failure of Recanalization by Thrombectomy Alone in Acute Vertebrobasilar Arterial Occlusion

    PubMed Central

    Kim, Seong Mook; Sohn, Sung-Il; Hong, Jeong-Ho; Chang, Hyuk-Won; Lee, Chang-Young

    2015-01-01

    Objective Acute vertebrobasilar artery occlusion (AVBAO) is a devastating disease with a high mortality rate. One of the most important factors affecting favorable clinical outcome is early recanalization. Mechanical thrombectomy is an emerging treatment strategy for achieving a high recanalization rates. However, thrombectomy alone can be insufficient to complete recanalization, especially for acute stroke involving large artery atheromatous disease. The purpose of this study is to investigate the safety and efficacy of mechanical thrombectomy in AVBAO. Methods Fourteen consecutive patients with AVBAO were treated with mechanical thrombectomy. Additional multimodal treatments were intra-arterial (IA) thrombolysis, balloon angioplasty, or permanent stent placement. Recanalization by thrombectomy alone and multimodal treatments were assessed by the Thrombolysis in Cerebral Infarction (TICI) score. Clinical outcome was determined using the National Institutes of Health Stroke Scale (NIHSS) at 7 days and the modified Rankin Scale (mRS) at 3 months. Results Thrombectomy alone and multimodal treatments were performed in 10 patients (71.4%) and 4 patients (28.6%), respectively. Successful recanalization (TICI 2b-3) was achieved in 11 (78.6%). Among these 11 patients, 3 (27.3%) underwent multimodal treatment due to underlying atherosclerotic stenosis. Ten (71.4%) of the 14 showed NIHSS score improvement of >10. Overall mortality was 3 (21.4%) of 14. Conclusion We suggest that mechanical thrombectomy is safe and effective for improving recanalization rates in AVBAO, with low complication rates. Also, in carefully selected patients after the failure of recanalization by thrombectomy alone, additional multimodal treatment such as IA thrombolysis, balloons, or stents can be needed to achieve successful recanalization. PMID:26713141

  13. Ruptured tubal molar pregnancy.

    PubMed

    Yakasai, I A; Adamu, N; Galadanchi, H S

    2012-01-01

    Molar pregnancies in most instances develop within the uterine cavity, but may occur at any site. Ectopic molar pregnancy is a rare event. The objective of this study was to present a case of ruptured tubal molar gestation, discuss its clinical features and ways to improve diagnostic accuracy. A 35-year-old woman presented with features suggestive of ruptured tubal ectopic pregnancy. There was neither any evidence at the time of presentation to suspect a molar gestation, nor ? human chorionic gonadotrophin (?hCG) hormone estimation was done, but only a clearview pregnancy test was carried out. She had total left salpingectomy and histological evaluation of the specimen revealed complete hydatidiform mole. The hCG level normalized within 3 weeks of follow-up. Clinical features of ectopic molar pregnancy may be indistinguishable from non-molar ectopic pregnancy. We recommend ?hCG estimation as well as histological examination of the surgical specimen for all patients coming with features suggestive of ectopic pregnancy. PMID:23238205

  14. Ruptured Spleen as a Differential Diagnosis in Ruptured Tubal Pregnancy

    PubMed Central

    Weekes, Leroy R.

    1984-01-01

    Two cases of traumatic biphasic or secondary splenic rupture are presented to demonstrate the clinical picture of an entity the obstetrician-gynecologist will be encountering more commonly in the future. The signs and symptoms of this condition figured prominently in the differential diagnosis of ruptured tubal pregnancy. PMID:6737489

  15. Spontaneous rupture on irregular faults

    NASA Astrophysics Data System (ADS)

    Liu, C.

    2014-12-01

    It is now know (e.g. Robinson et al., 2006) that when ruptures propagate around bends, the rupture velocity decrease. In the extreme case, a large bend in the fault can stop the rupture. We develop a 2-D finite difference method to simulate spontaneous dynamic rupture on irregular faults. This method is based on a second order leap-frog finite difference scheme on a uniform mesh of triangles. A relaxation method is used to generate an irregular fault geometry-conforming mesh from the uniform mesh. Through this numerical coordinate mapping, the elastic wave equations are transformed and solved in a curvilinear coordinate system. Extensive numerical experiments using the linear slip-weakening law will be shown to demonstrate the effect of fault geometry on rupture properties. A long term goal is to simulate the strong ground motion near the vicinity of bends, jogs, etc.

  16. Ruptured thought: rupture as a critical attitude to nursing research.

    PubMed

    Beedholm, Kirsten; Lomborg, Kirsten; Frederiksen, Kirsten

    2014-04-01

    In this paper, we introduce the notion of rupture from the French philosopher Michel Foucault, whose studies of discourse and governmentality have become prominent within nursing research during the last 25 years. We argue that a rupture perspective can be helpful for identifying and maintaining a critical potential within nursing research. The paper begins by introducing rupture as an inheritance from the French epistemological tradition. It then describes how rupture appears in Foucault's works, as both an overall philosophical approach and as an analytic tool in his historical studies. Two examples of analytical applications of rupture are elaborated. In the first example, rupture has inspired us to make an effort to seek alternatives to mainstream conceptions of the phenomenon under study. In the second example, inspired by Foucault's work on discontinuity, we construct a framework for historical epochs in nursing history. The paper concludes by discussing the potential of the notion of rupture as a response to the methodological concerns regarding the use of Foucault-inspired discourse analysis within nursing research. We agree with the critique of Cheek that the critical potential of discourse analysis is at risk of being undermined by research that tends to convert the approach into a fixed method. PMID:24741691

  17. Perceived communicative context and emotional content amplify visual word processing in the fusiform gyrus.

    PubMed

    Schindler, Sebastian; Wegrzyn, Martin; Steppacher, Inga; Kissler, Johanna

    2015-04-15

    The personal significance of a language statement depends on its communicative context. However, this is rarely taken into account in neuroscience studies. Here, we investigate how the implied source of single word statements alters their cortical processing. Participants' brain event-related potentials were recorded in response to identical word streams consisting of positive, negative, and neutral trait adjectives stated to either represent personal trait feedback from a human or to be randomly generated by a computer. Results showed a strong impact of perceived sender. Regardless of content, the notion of receiving feedback from a human enhanced all components, starting with the P2 and encompassing early posterior negativity (EPN), P3, and the late positive potential (LPP). Moreover, negative feedback by the "human sender" elicited a larger EPN, whereas positive feedback generally induced a larger LPP. Source estimations revealed differences between "senders" in visual areas, particularly the bilateral fusiform gyri. Likewise, emotional content enhanced activity in these areas. These results specify how even implied sender identity changes the processing of single words in seemingly realistic communicative settings, amplifying their processing in the visual brain. This suggests that the concept of motivated attention extends from stimulus significance to simultaneous appraisal of contextual relevance. Finally, consistent with distinct stages of emotional processing, at least in contexts perceived as social, humans are initially alerted to negative content, but later process what is perceived as positive feedback more intensely. PMID:25878274

  18. Phylogeny of Prosthecobacter, the fusiform caulobacters: members of a recently discovered division of the bacteria.

    PubMed

    Hedlund, B P; Gosink, J J; Staley, J T

    1996-10-01

    Prosthecobacter fusiformis is morphologically similar to caulobacters; however, it lacks a dimorphic life cycle. To determine the relatedness of the genus Prosthecobacter to dimorphic caulobacters and other prosthecate members of the alpha subgroup of the Proteobacteria (alpha-Proteobacteria), we isolated and sequenced 16S rRNA genes from four Prosthecobacter strains. Surprisingly, the results of phylogenetic analyses placed the fusiform caulobacters in a deeply rooted division of the Bacteria that was most closely affiliated with the Planctomyces-Chlamydia group and only distantly related to the alpha-Proteobacteria. The genus Prosthecobacter shares a common lineage in this division with Verrucomicrobium spinosum, a polyprosthecate, heterotrophic bacterium. Consistent with this phylogenetic placement, menaquinones were isolated from Prosthecobacter strains and menaquinones have been isolated from Verrucomicrobium strains and planctomycetes but not from members of the alpha-Proteobacteria. Thus, the genus Prosthecobacter is a second genus in the recently described order Verrucomicrobiales. Members of the genus Prosthecobacter are susceptible to beta-lactam antibiotics and contain mesodiaminopimelic acid, indicating that they, unlike members of the Planctomycetales or Chlamydiales, have peptidoglycan cell walls. This major phenotypic difference, together with the phylogenetic independence of the verrucomicrobia, indicates that these bacteria and the sources of related 16S ribosomal DNAs obtained from soils, freshwater, and the marine pelagic environment represent an unrecognized division of the Bacteria. PMID:8863424

  19. Trial-level information for individual faces in the fusiform face area depends on subsequent memory.

    PubMed

    Hasinski, Adam E; Sederberg, Per B

    2016-01-01

    Previous research has shown that face-sensitive brain regions, such as the fusiform face area (FFA) and anterior inferior temporal lobe (aIT), not only respond selectively to face stimuli, but also respond uniquely to individual faces. A common factor in the existing literature is that face stimuli in these experiments are highly familiar to participants, usually by design. We set out to investigate to what extent familiarity correlates with the emergence of face-specific information in face-sensitive regions by testing novel faces with only a single repetition. Our results, consistent with a familiarity hypothesis, demonstrate that the FFA and aIT show face-specific information only when participants demonstrate subsequent memory for those faces. Functionally-defined regions that are not believed to process faces holistically showed no face-specific information, regardless of subsequent memory. To our knowledge, this is the first demonstration of face-specific information in face-sensitive regions for stimuli that were not highly familiar. These results contribute to our understanding of how individuating information comes to be represented in face-sensitive regions and suggest that this process can take place even after a single repetition of a particular face. PMID:26343317

  20. Emotional expressions evoke a differential response in the fusiform face area

    PubMed Central

    Harry, Bronson; Williams, Mark A.; Davis, Chris; Kim, Jeesun

    2013-01-01

    It is widely assumed that the fusiform face area (FFA), a brain region specialized for face perception, is not involved in processing emotional expressions. This assumption is based on the proposition that the FFA is involved in face identification and only processes features that are invariant across changes due to head movements, speaking and expressing emotions. The present study tested this proposition by examining whether the response in the human FFA varies across emotional expressions with functional magnetic resonance imaging and brain decoding analysis techniques (n = 11). A one vs. all classification analysis showed that most emotional expressions that participants perceived could be reliably predicted from the neural pattern of activity in left and the right FFA, suggesting that the perception of different emotional expressions recruit partially non-overlapping neural mechanisms. In addition, emotional expressions could also be decoded from the pattern of activity in the early visual cortex (EVC), indicating that retinotopic cortex also shows a differential response to emotional expressions. These results cast doubt on the idea that the FFA is involved in expression invariant face processing, and instead indicate that emotional expressions evoke partially de-correlated signals throughout occipital and posterior temporal cortex. PMID:24194707

  1. Increased BOLD signal in the fusiform gyrus during implicit emotion processing in anorexia nervosa☆

    PubMed Central

    Fonville, Leon; Giampietro, Vincent; Surguladze, Simon; Williams, Steven; Tchanturia, Kate

    2013-01-01

    Background The behavioural literature in anorexia nervosa (AN) has suggested impairments in psychosocial functioning and studies using facial expression processing tasks (FEPT) have reported poorer recognition and slower identification of emotions. Methods Functional magnetic resonance imaging (fMRI) was used alongside a FEPT, depicting neutral, mildly happy and happy faces, to examine the neural correlates of implicit emotion processing in AN. Participants were instructed to specify the gender of the faces. Levels of depression, anxiety, obsessive–compulsive symptoms and eating disorder behaviour were obtained and principal component analysis (PCA) was performed to acquire uncorrelated variables. Results fMRI analysis revealed a greater blood-oxygenation level dependent (BOLD) response in AN in the right fusiform gyrus to all facial expressions. This response showed a linear increase with the happiness of the facial expression and was found to be stronger in those not taking medication. PCA analysis revealed a single component indicating a greater level of general clinical symptoms. Conclusion Neuroimaging findings would suggest that alterations in implicit emotion processing in AN occur during early perceptual processing of social signals and illustrate greater engagement on the FEPT. The lack of separate components using PCA suggests that the questionnaires used might not be suited as predictive measures. PMID:24501698

  2. Is This Car Looking at You? How Anthropomorphism Predicts Fusiform Face Area Activation when Seeing Cars

    PubMed Central

    Kühn, Simone; Brick, Timothy R.; Müller, Barbara C. N.; Gallinat, Jürgen

    2014-01-01

    Anthropomorphism encompasses the attribution of human characteristics to non-living objects. In particular the human tendency to see faces in cars has long been noticed, yet its neural correlates are unknown. We set out to investigate whether the fusiform face area (FFA) is associated with seeing human features in car fronts, or whether, the higher-level theory of mind network (ToM), namely temporoparietal junction (TPJ) and medial prefrontal cortex (MPFC) show a link to anthropomorphism. Twenty participants underwent fMRI scanning during a passive car-front viewing task. We extracted brain activity from FFA, TPJ and MPFC. After the fMRI session participants were asked to spontaneously list adjectives that characterize each car front. Five raters judged the degree to which each adjective can be applied as a characteristic of human beings. By means of linear mixed models we found that the implicit tendency to anthropomorphize individual car fronts predicts FFA, but not TPJ or MPFC activity. The results point to an important role of FFA in the phenomenon of ascribing human attributes to non-living objects. Interestingly, brain regions that have been associated with thinking about beliefs and mental states of others (TPJ, MPFC) do not seem to be related to anthropomorphism of car fronts. PMID:25517511

  3. The Faces in Radiological Images: Fusiform Face Area Supports Radiological Expertise.

    PubMed

    Bilalić, Merim; Grottenthaler, Thomas; Nägele, Thomas; Lindig, Tobias

    2016-03-01

    The fusiform face area (FFA) has often been used as an example of a brain module that was developed through evolution to serve a specific purpose-face processing. Many believe, however, that FFA is responsible for holistic processing associated with any kind of expertise. The expertise view has been tested with various stimuli, with mixed results. One of the main stumbling blocks in the FFA controversy has been the fact that the stimuli used have been similar to faces. Here, we circumvent the problem by using radiological images, X-rays, which bear no resemblance to faces. We demonstrate that FFA can distinguish between X-rays and other stimuli by employing multivariate pattern analysis. The sensitivity to X-rays was significantly better in experienced radiologists than that in medical students with limited radiological experience. For the radiologists, it was also possible to use the patterns of FFA activations obtained on faces to differentiate X-ray stimuli from other stimuli. The overlap in the FFA activation is not based on visual similarity of faces and X-rays but rather on the processes necessary for expertise with both kinds of stimulus. Our results support the expertise view that FFA's main function is related to holistic processing. PMID:25452573

  4. Cortical Thickness in Fusiform Face Area Predicts Face and Object Recognition Performance.

    PubMed

    McGugin, Rankin W; Van Gulick, Ana E; Gauthier, Isabel

    2016-02-01

    The fusiform face area (FFA) is defined by its selectivity for faces. Several studies have shown that the response of FFA to nonface objects can predict behavioral performance for these objects. However, one possible account is that experts pay more attention to objects in their domain of expertise, driving signals up. Here, we show an effect of expertise with nonface objects in FFA that cannot be explained by differential attention to objects of expertise. We explore the relationship between cortical thickness of FFA and face and object recognition using the Cambridge Face Memory Test and Vanderbilt Expertise Test, respectively. We measured cortical thickness in functionally defined regions in a group of men who evidenced functional expertise effects for cars in FFA. Performance with faces and objects together accounted for approximately 40% of the variance in cortical thickness of several FFA patches. Whereas participants with a thicker FFA cortex performed better with vehicles, those with a thinner FFA cortex performed better with faces and living objects. The results point to a domain-general role of FFA in object perception and reveal an interesting double dissociation that does not contrast faces and objects but rather living and nonliving objects. PMID:26439272

  5. Left fusiform BOLD responses are inversely related to word-likeness in a one-back task

    PubMed Central

    Wang, Xiaojuan; Yang, Jianfeng; Shu, Hua; Zevin, Jason D.

    2011-01-01

    Although its precise functional contribution to reading remains unclear, there is broad consensus that activity in the left mid-fusiform gyrus is highly sensitive to written words and word-like stimuli. In the current study, we take advantage of a particularity of the Chinese writing system in order to manipulate word-likeness parametrically, from real characters, to pseudo-characters that vary in whether they contain phonological and semantic cues, to artificial stimuli with varying surface similarity to real characters. In a one-back task, BOLD activity in the left mid-fusiform was inversely related to word-likeness, such that the least activity was observed in response to real characters, and the greatest to artificial stimuli that violate the orthotactic constraints of the writing system. One possible explanation for this surprising result is that the short-term memory demands of the one-back task put more pressure on the visual system when other sources of information cannot be used to aid in detecting repeated stimuli. For real characters and, to a lesser extent for pseudo-characters, information about meaning and pronunciation can contribute to performance, whereas artificial stimuli are entirely dependent on visual information. Consistent with this view, functional connectivity analyses revealed a strong positive relationship between left mid-fusiform and other visual areas, whereas areas typically involved in phonological and semantic processing for text were negatively correlated with this region. PMID:21216293

  6. Comparative analysis of spherical and fusiform choledochal cyst based on three-dimensional magnetic resonance cholangiopancreatography, biliary amylase, and histopathological examination

    PubMed Central

    Aggerwal, Neel; Menon, Prema; Rao, Katragadda Lakshmi Narasimha; Sodhi, Kushaljit S.; Kakkar, Nandita

    2015-01-01

    Aims: The aim was to compare biliary amylase, common channel, and gall bladder/liver histopathology between spherical and fusiform choledochal cysts. Materials and Methods: Children undergoing cyst excision with Roux-en-Y hepatico-jejunostomy over a 17 months period were prospectively studied. The common channel was assessed by three-dimensional (3D) magnetic resonance cholangiopancreatography (MRCP). Results: Among 22 patients (spherical = 10, fusiform = 12), there was a higher incidence of spherical cysts in infants (5/7-71.4%) and fusiform cysts in older children (10/15-66.7%) (P = 0.09). Common channel identified in 14 (64%) cases was long (>10 mm) in 5 (38.2%) (one spherical, four fusiform [P = 0.5]) with associated high biliary amylase levels (>500 IU/L) in four (one spherical, three fusiform) (P = 0.05). Exact point of junction of common bile duct with pancreatic duct was visible with coronal half-Fourier-acquisition single-shot turbo spin-echo and 3D sampling perfection with application with optimize contrast using different flip angle evolution sequence using a reformatted plane of axis, particularly coronal, and coronal oblique orientation. Biliary amylase was raised (>100 IU/L) in 4 (40%) in the spherical group, compared to 8 (67%) in the fusiform group. Mean biliary amylase was similar in gallbladder and cyst in spherical but higher in gallbladder in fusiform cysts. Mean biliary amylase was <500 IU/L in 85.7% infants. Five out of 7 infants had liver fibrosis or cirrhosis on histopathology (P = 0.05). There were no dysplastic changes in the gallbladder epithelium. Conclusion: Three-dimensional MRCP delineated the common channel in two-third cases especially in coronal and coronal oblique orientation. The long common channel may have an etiological role in fusiform cysts. Spherical cysts, especially in infants, have a higher incidence of obstructive cholangiopathy. PMID:26166983

  7. Expert individuation of objects increases activation in the fusiform face area of children.

    PubMed

    James, Thomas W; James, Karin Harman

    2013-02-15

    The role of experience in the development of brain mechanisms for face recognition is intensely debated. Experience with subordinate- and individual-level classification of faces is thought, by some, to be foundational in the development of the specialization of face recognition. Studying children with extremely intense interests (EII) provides an opportunity to examine experience-related changes in non-face object recognition in a population where face expertise is not fully developed. Here, two groups of school-aged children -one group with an EII with Pokémon cards and another group of age-matched controls - underwent fMRI while viewing faces, Pokémon characters, Pokémon objects, and Digimon characters. Pokémon objects were non-character Pokémon cards that experts do not typically individuate during game play and trading. Neither experts nor controls had previous experience with Digimon characters. As expected, experts and controls showed equivalent activation in the fusiform face area (FFA) with face stimuli. As predicted by the expertise hypothesis, experts showed greater activation than controls with Pokémon characters, and showed greater activation with Pokémon characters than Pokémon objects. Experts and controls showed equivalent activation with Digimon characters. However, heightened activation with Digimon characters in both groups suggested that there are other strong influences on the activation of the FFA beyond stimulus characteristics, experience, and classification level. By demonstrating the important role of expertise, the findings are inconsistent with a purely face-specific account of FFA function. To our knowledge, this is the first demonstration of the effects of expertise and categorization level on activation in the FFA in a group of typically developing children. PMID:23153968

  8. Local Discriminability Determines the Strength of Holistic Processing for Faces in the Fusiform Face Area

    PubMed Central

    Goffaux, Valerie; Schiltz, Christine; Mur, Marieke; Goebel, Rainer

    2013-01-01

    Recent evidence suggests that the Fusiform Face Area (FFA) is not exclusively dedicated to the interactive processing of face features, but also contains neurons sensitive to local features. This suggests the existence of both interactive and local processing modes, consistent with recent behavioral findings that the strength of interactive feature processing (IFP) engages most strongly when similar features need to be disambiguated. Here we address whether the engagement of the FFA into interactive versus featural representational modes is governed by local feature discriminability. We scanned human participants while they matched target features within face pairs, independently of the context of distracter features. IFP was operationalized as the failure to match the target without being distracted by distracter features. Picture-plane inversion was used to disrupt IFP while preserving input properties. We found that FFA activation was comparably strong, irrespective of whether similar target features were embedded in dissimilar contexts(i.e., inducing robust IFP) or dissimilar target features were embedded in the same context (i.e., engaging local processing). Second, inversion decreased FFA activation to faces most robustly when similar target features were embedded in dissimilar contexts, indicating that FFA engages into IFP mainly when features cannot be disambiguated at a local level. Third, by means of Spearman rank correlation tests, we show that the local processing of feature differences in the FFA is supported to a large extent by the Occipital Face Area, the Lateral Occipital Complex, and early visual cortex, suggesting that these regions encode the local aspects of face information. The present findings confirm the co-existence of holistic and featural representations in the FFA. Furthermore, they establish FFA as the main contributor to the featural/holistic representational mode switches determined by local discriminability. PMID:23316180

  9. Processing deficits for familiar and novel faces in patients with left posterior fusiform lesions

    PubMed Central

    Roberts, Daniel J.; Lambon Ralph, Matthew A.; Kim, Esther; Tainturier, Marie-Josephe; Beeson, Pelagie M.; Rapcsak, Steven Z.; Woollams, Anna M.

    2015-01-01

    Pure alexia (PA) arises from damage to the left posterior fusiform gyrus (pFG) and the striking reading disorder that defines this condition has meant that such patients are often cited as evidence for the specialisation of this region to processing of written words. There is, however, an alternative view that suggests this region is devoted to processing of high acuity foveal input, which is particularly salient for complex visual stimuli like letter strings. Previous reports have highlighted disrupted processing of non-linguistic visual stimuli after damage to the left pFG, both for familiar and unfamiliar objects and also for novel faces. This study explored the nature of face processing deficits in patients with left pFG damage. Identification of famous faces was found to be compromised in both expressive and receptive tasks. Discrimination of novel faces was also impaired, particularly for those that varied in terms of second-order spacing information, and this deficit was most apparent for the patients with the more severe reading deficits. Interestingly, discrimination of faces that varied in terms of feature identity was considerably better in these patients and it was performance in this condition that was related to the size of the length effects shown in reading. This finding complements functional imaging studies showing left pFG activation for faces varying only in spacing and frontal activation for faces varying only on features. These results suggest that the sequential part-based processing strategy that promotes the length effect in the reading of these patients also allows them to discriminate between faces on the basis of feature identity, but processing of second-order configural information is most compromised due to their left pFG lesion. This study supports a view in which the left pFG is specialised for processing of high acuity foveal visual information that supports processing of both words and faces. PMID:25837867

  10. Reduced repetition suppression to faces in the fusiform face area of adults with autism spectrum conditions.

    PubMed

    Ewbank, Michael; Pell, Philip; Powell, Thomas; von Em Hagen, Elisabeth; Baron-Cohen, Simon; Calder, Andrew

    2015-09-01

    In neuroimaging studies, repetitions of the same stimulus typically result in a reduction in neural activity, known as repetition suppression (RS). Repeated presentation of the same face is associated with RS in core regions of the face processing network, including the fusiform face area (FFA). At a behavioural level, repeated viewing of the same stimulus causes a change in perceptual sensitivity, known as a visual aftereffect. Evidence indicates that visual aftereffects for faces are attenuated in children and adolescents with autism spectrum conditions (ASC), leading to the proposal that atypical adaptive coding in face processing networks may underlie difficulties in face learning and memory found in ASC. However, whether individuals with ASC show reduced RS to faces remains to be addressed. Here, we used functional MRI to investigate RS to faces and non-faces (simple geometric shapes) in adults with a clinical diagnosis of ASC. We measured activity in face- and object-selective regions of occipitotemporal cortex while participants viewed blocks of images comprising repetitions of the same face/shape or images of different faces/shapes. Participants also completed standardized behavioural tests of face and car memory. Relative to age and IQ matched controls, individuals with ASC showed diminished RS to faces in right FFA. By contrast, RS to shapes in object-selective regions did not differ between groups. This finding could not be explained by differences in gaze fixations or face-selectivity in FFA. In addition, behavioural data revealed that individuals with ASC showed a significant impairment in face memory (compared to controls) but not car memory. These findings suggest reduced RS in FFA as a possible neural mechanism underlying attenuated facial aftereffects found in ASC, and suggest that differences in the adaptive properties of the face-processing network may underlie difficulties in face learning and memory associated with this condition. Meeting abstract presented at VSS 2015. PMID:26326898

  11. Processing deficits for familiar and novel faces in patients with left posterior fusiform lesions.

    PubMed

    Roberts, Daniel J; Lambon Ralph, Matthew A; Kim, Esther; Tainturier, Marie-Josephe; Beeson, Pelagie M; Rapcsak, Steven Z; Woollams, Anna M

    2015-11-01

    Pure alexia (PA) arises from damage to the left posterior fusiform gyrus (pFG) and the striking reading disorder that defines this condition has meant that such patients are often cited as evidence for the specialisation of this region to processing of written words. There is, however, an alternative view that suggests this region is devoted to processing of high acuity foveal input, which is particularly salient for complex visual stimuli like letter strings. Previous reports have highlighted disrupted processing of non-linguistic visual stimuli after damage to the left pFG, both for familiar and unfamiliar objects and also for novel faces. This study explored the nature of face processing deficits in patients with left pFG damage. Identification of famous faces was found to be compromised in both expressive and receptive tasks. Discrimination of novel faces was also impaired, particularly for those that varied in terms of second-order spacing information, and this deficit was most apparent for the patients with the more severe reading deficits. Interestingly, discrimination of faces that varied in terms of feature identity was considerably better in these patients and it was performance in this condition that was related to the size of the length effects shown in reading. This finding complements functional imaging studies showing left pFG activation for faces varying only in spacing and frontal activation for faces varying only on features. These results suggest that the sequential part-based processing strategy that promotes the length effect in the reading of these patients also allows them to discriminate between faces on the basis of feature identity, but processing of second-order configural information is most compromised due to their left pFG lesion. This study supports a view in which the left pFG is specialised for processing of high acuity foveal visual information that supports processing of both words and faces. PMID:25837867

  12. [Achilles tendon ruptures and tibialis anterior tendon ruptures].

    PubMed

    Pagenstert, G; Leumann, A; Frigg, A; Valderrabano, V

    2010-12-01

    Achilles tendon ruptures (ATR) are becoming the most frequent tendon rupture of the lower extremity, whereas less than 100 cases of tibialis anterior tendon ruptures (TATR) have been reported. Common in both tendons are the degenerative causes of ruptures in a susceptible tendon segment, whereas traumatic transections occur at each level. Triceps surae and tibialis anterior muscles are responsible for the main sagittal ankle range of motion and ruptures lead to a distinctive functional deficit. However, diagnosis is delayed in up to 25% of ATR and even more frequently in TATR. Early primary repair provides the best functional results. With progressive retraction and muscle atrophy delayed tendon reconstruction has less favourable functional results. But not all patients need full capacity, power and endurance of these muscles and non-surgical treatment should not be forgotten. Inactive patients with significant comorbidities and little disability should be informed that surgical treatment of TATR is complicated by high rates of rerupture and surgical treatment of ATR can result in wound healing problems rarely necessitating some kind of transplantation. PMID:21110002

  13. Fault Branching and Rupture Directivity

    NASA Astrophysics Data System (ADS)

    Dmowska, R.; Rice, J. R.; Kame, N.

    2002-12-01

    Can the rupture directivity of past earthquakes be inferred from fault geometry? Nakata et al. [J. Geogr., 1998] propose to relate the observed surface branching of fault systems with directivity. Their work assumes that all branches are through acute angles in the direction of rupture propagation. However, in some observed cases rupture paths seem to branch through highly obtuse angles, as if to propagate ``backwards". Field examples of that are as follows: (1) Landers 1992. When crossing from the Johnson Valley to the Homestead Valley (HV) fault via the Kickapoo (Kp) fault, the rupture from Kp progressed not just forward onto the northern stretch of the HV fault, but also backwards, i.e., SSE along the HV [Sowers et al., 1994, Spotila and Sieh, 1995, Zachariasen and Sieh, 1995, Rockwell et al., 2000]. Measurements of surface slip along that backward branch, a prominent feature of 4 km length, show right-lateral slip, decreasing towards the SSE. (2) At a similar crossing from the HV to the Emerson (Em) fault, the rupture progressed backwards along different SSE splays of the Em fault [Zachariasen and Sieh, 1995]. (3). In crossing from the Em to Camp Rock (CR) fault, again, rupture went SSE on the CR fault. (4). Hector Mine 1999. The rupture originated on a buried fault without surface trace [Li et al., 2002; Hauksson et al., 2002] and progressed bilaterally south and north. In the south it met the Lavic Lake (LL) fault and progressed south on it, but also progressed backward, i.e. NNW, along the northern stretch of the LL fault. The angle between the buried fault and the northern LL fault is around -160o, and that NNW stretch extends around 15 km. The field examples with highly obtuse branch angles suggest that there may be no simple correlation between fault geometry and rupture directivity. We propose that an important distinction is whether those obtuse branches actually involved a rupture path which directly turned through the obtuse angle (while continuing also on the main fault), or rather involved arrest by a barrier on the original fault and jumping [Harris and Day, JGR, 1993] to a neighboring fault on which rupture propagated bilaterally to form what appears as a backward-branched structure. Our studies [Poliakov et al., JGR in press, 2002; Kame et al, EOS, 2002] of stress fields around a dynamically moving mode II crack tip show a clear tendency to branch from the straight path at high rupture speeds, but the stress fields never allow the rupture path to directly turn through highly obtuse angles, and hence that mechanism is unlikely. In contrast, study of fault maps in the vicinity of the Kp to HV fault transition [Sowers et al., 1994], discussed as case (1) above, strongly suggest that the large-angle branching occurred as a jump, which we propose as the likely general mechanism. Implications for the Nakata et al. [1998] aim of inferring rupture directivity from branch geometry is that this will be possible only when rather detailed characterization (by surface geology, seismic relocation, trapped waves) of fault connectivity can be carried out in the vicinity of the branching junction, to ascertain whether direct turning of the rupture path through an angle, or jumping and then propagating bilaterally, were involved in prior events. They have opposite implications for how we would associate past directivity with a (nominally) branched fault geometry.

  14. Rupture of the tracheobronchial tree.

    PubMed Central

    Roxburgh, J C

    1987-01-01

    Eleven cases of tracheobronchial rupture are described. Nine were the result of external non-penetrating trauma and all but three had other serious injuries. The remaining two were caused by endobronchial intubation. Of the cases caused by external injury, respiratory tract injury was confined to the cervical trachea in three. Two required tracheostomy and repair and the third was managed conservatively; all made satisfactory recoveries. Intrathoracic rupture was recognised on or soon after admission in three cases. One patient died of uncontrollable pulmonary haemorrhage before he could be operated on; immediate repair gave good long term results in the other two. In three cases rupture of the main bronchus was not recognised until complete obstruction developed three, five, and 12 weeks after the accidents. The strictures were resected and the lung re-expanded. Robertshaw endobronchial tubes ruptured the left main bronchus in two patients undergoing oesophageal surgery. Uneventful recovery followed immediate repair. The difficulty of confirming rupture of a major airway is discussed and the importance of conserving the lung when the diagnosis has been missed is emphasised. Images PMID:3317977

  15. Rebleeding of Ruptured Intracranial Aneurysms in the Immediate Postoperative Period after Coil Embolization

    PubMed Central

    Chang, Se Hun; Lee, Seung Hwan; Koh, Hak Cheol; Koh, Jun Seok

    2015-01-01

    Objective Early rebleeding after coil embolization of ruptured intracranial aneurysms is rare, however serious and fatal results of rebleeding have been reported. We studied the incidence and angiographic and clinical characteristics of rebleeding of ruptured aneurysms occurring in the immediate postoperative period after coil embolization. Materials and Methods We analyzed patients who had aneurysmal subarachnoid hemorrhage and underwent coil embolization. Patients with dissecting aneurysms, blood blister-like aneurysms, fusiform aneurysms, and pseudoaneurysms were excluded. This study included 330 consecutive patients. The clinical and radiological data of 7 of these patients with acute rebleeding after coil embolization were reviewed. Results The incidence of rebleeding of ruptured aneurysms after coil embolization was 2.1% (7/330), and all cases of rebleeding occurred in the immediate postoperative period within 3 days after coiling. The radiological characteristics were as follows: anterior communicating artery (ACoA) aneurysm (71.4%, 5/7); presence of intracerebral hemorrhage (ICH, 71.4%, 5/7); dome-to-neck ratio < 2 (42.9%, 3/7); presence of bleb (42.9%, 3/7); and subtotal occlusion of aneurysm after coiling (14.3%, 1/7). A thrombolytic agent was administered in 1 patient and continued anticoagulation was performed in 2 patients. Rebleeding patients showed a very poor outcome (Glasgow Outcome Scale 1, 85.7%, 6/7). Conclusion The prognosis of early rebleeding was very poor. Location of aneurysms on ACoA, the unilateral hypoplasia of A1 segment, presence of ICH and bleb, and adverse events during the procedure were probably associated with early rebleeding of ruptured intracranial aneurysms in the immediate postoperative period after coil embolization. PMID:26526272

  16. Spontaneous splenic rupture in pregnancy

    PubMed Central

    Elghanmi, Adil; Mohamed, Jou; Khabouz, Samira

    2015-01-01

    Splenic rupture during pregnancy is a rare and can frequently be a misdiagnosed pathology. This rupture is associated with a high maternal and fetal mortality rate. A 26 years old Moroccan woman para II gravida II presented at the third stage of pregnancy with acute onset of severe abdominal pain. She developed immediately a hypovolemic shock. After both a physical and sonographical exam, it was revealed that it was due to a massive hemoperitoneum. Therefore, an emergent laparotomy and cesarean delivery with abdominal exploration were performed; also, an active bleeding was identified at the splenic hilum consistent with splenic rupture. Through this case report, we want to raise awareness of this surgical emergency that requires immediate recognition because any delay can lead to catastrophic consequences PMID:26587160

  17. Non-popliteal synovial rupture.

    PubMed

    Sit, Michelle; Higgs, Jay B

    2009-06-01

    The ruptured popliteal synovial cyst is a common complication of chronic knee arthritis. In contrast, non-popliteal synovial rupture is less well recognized and may present a diagnostic dilemma. We report an 81-year-old woman who presented with chest wall pain and ecchymosis. Ultrasonography of the shoulder region readily diagnosed a dissecting parasynovial cyst. She developed the unusual complication of contralateral recurrence. Literature review revealed a small but important set of non-popliteal synovial ruptures in the regions of the shoulder, elbow, wrist, spine, hip, knee, and ankle. Local swelling, inflammation, ecchymosis, and nerve impingement may mimic other conditions. Awareness of the clinical presentations and a high index of suspicion are required to avoid diagnostic confusion. Management data are limited to case reports of arthrocentesis, injection, and very rarely, surgery. PMID:19390451

  18. Cortical Thickness in Fusiform Face Area Predicts Face and Object Recognition Performance.

    PubMed

    McGugin, Rankin; Van Gulick, Ana; Gauthier, Isabel

    2015-09-01

    The response to non-face objects in the face selective fusiform face area (FFA) can predict behavioral performance for these objects, but such results are often disregarded because experts may pay more attention to objects in their domain of expertise. We report an effect of expertise with objects in FFA that cannot be explained by differential attention. We relate regional cortical thickness (rCT) of FFA to face and object recognition using the Cambridge Face Memory Test (CFMT) and Vanderbilt Expertise Test (VET). Object performance in the VET was summarized using two PCA factors, one for living objects (VET-LV) and one for non-living objects (VET-NL). Using high-resolution structural data, we measured rCT in individually defined FFA1 and FFA2, OFA and PHG, in twenty-seven men recruited to vary in expertise for cars. The only significant correlations with behavioral performance were found in the FFAs. In right FFA2, rCT was positively correlated with performance on VET-NL (r=.42). This was supported by a correlation with an independent matching task with cars and planes (.43). In contrast, rCT was negatively correlated with performance on the VET-LV in left FFA1 (-.50) and FFA2 (-.68), and with performance on the CFMT in right FFA1 (-.46). Multiple regression revealed that performance with faces and objects together accounted for ~40% of the variance in rCT in several FFA patches. While men with a thicker FFA cortex performed better with non-living objects, those with a thinner FFA cortex performed better with faces and living objects. Performance with these different categories may reflect experience that is acquired during different phases of brain development (arguably faces earlier than vehicles), with different mechanisms of plasticity operating at these different times. The results point to a domain-general role of FFA in object perception, one that cannot be explained by attention to objects of expertise. Meeting abstract presented at VSS 2015. PMID:26326116

  19. Self-Rupturing Hermetic Valve

    NASA Technical Reports Server (NTRS)

    Tucker, Curtis E., Jr.; Sherrit, Stewart

    2011-01-01

    For commercial, military, and aerospace applications, low-cost, small, reliable, and lightweight gas and liquid hermetically sealed valves with post initiation on/off capability are highly desirable for pressurized systems. Applications include remote fire suppression, single-use system-pressurization systems, spacecraft propellant systems, and in situ instruments. Current pyrotechnic- activated rupture disk hermetic valves were designed for physically larger systems and are heavy and integrate poorly with portable equipment, aircraft, and small spacecraft and instrument systems. Additionally, current pyrotechnically activated systems impart high g-force shock loads to surrounding components and structures, which increase the risk of damage and can require additional mitigation. The disclosed mechanism addresses the need for producing a hermetically sealed micro-isolation valve for low and high pressure for commercial, aerospace, and spacecraft applications. High-precision electrical discharge machining (EDM) parts allow for the machining of mated parts with gaps less than a thousandth of an inch. These high-precision parts are used to support against pressure and extrusion, a thin hermetically welded diaphragm. This diaphragm ruptures from a pressure differential when the support is removed and/or when the plunger is forced against the diaphragm. With the addition of conventional seals to the plunger and a two-way actuator, a derivative of this design would allow nonhermetic use as an on/off or metering valve after the initial rupturing of the hermetic sealing disk. In addition, in a single-use hermetically sealed isolation valve, the valve can be activated without the use of potential leak-inducing valve body penetrations. One implementation of this technology is a high-pressure, high-flow-rate rupture valve that is self-rupturing, which is advantageous for high-pressure applications such as gas isolation valves. Once initiated, this technology is self-energizing and requires low force compared to current pyrotechnic-based burst disk hermetic valves. This is a novel design for producing a single-use, self-rupturing, hermetically sealed valve for isolation of pressurized gas and/or liquids. This design can also be applied for single-use disposable valves for chemical instruments. A welded foil diaphragm is fully supported by two mated surfaces that are machined to micron accuracies using EDM. To open the valve, one of the surfaces is moved relative to the other to (a) remove the support creating an unsupported diaphragm that ruptures due to over pressure, and/or (b) produce tension in the diaphragm and rupture it.

  20. Enzymatically triggered rupture of polymersomes.

    PubMed

    Jang, Woo-Sik; Park, Seung Chul; Reed, Ellen H; Dooley, Kevin P; Wheeler, Samuel F; Lee, Daeyeon; Hammer, Daniel A

    2016-01-20

    Polymersomes are robust vesicles made from amphiphilic block co-polymers. Large populations of uniform giant polymersomes with defined, entrapped species can be made by templating of double-emulsions using microfluidics. In the present study, a series of two enzymatic reactions, one inside and the other outside of the polymersome, were designed to induce rupture of polymersomes. We measured how the kinetics of rupture were affected by altering enzyme concentration. These results suggest that protocells with entrapped enzymes can be engineered to secrete contents on cue. PMID:26616557

  1. Rupture of spleen post colonoscopy.

    PubMed

    Younes, Nidal A; Al-Ardah, Mahmoud I; Daradkeh, Salam S

    2009-08-01

    We review an interesting case of elective colonoscopy for rectal bleeding in a 68-year-old woman complicated by splenic rupture. She was managed by aggressive fluid and blood resuscitation followed by splenectomy. She had a smooth recovery and was discharged home 4 days after admission. The extreme rarity and interesting clinical course of the patient are discussed. PMID:19668895

  2. Distal biceps and triceps ruptures.

    PubMed

    Kokkalis, Zinon T; Ballas, Efstathios G; Mavrogenis, Andreas F; Soucacos, Panayotis N

    2013-03-01

    Biceps and triceps tendon ruptures are rather uncommon injuries and are most commonly diagnosed clinically. Magnetic resonance imaging can help the clinician to differentiate an incomplete tear and define any degeneration of the tendon. Surgical anatomical repair is typically performed in acute complete ruptures whereas nonoperative treatment can be used for partial ruptures, as well as for patients unfit for surgery. Single incision techniques are associated with a higher rate of nerve injuries, while double incision repairs have a higher prevalence of heterotopic ossification. Although various fixation methods have been applied including bone tunnels, interference screws, suture anchors, cortical button fixation, the current evidence does not support the superiority of one method over the other. A well-planned postoperative rehabilitation programme is essential for a good final outcome. As better fixation devices are being used, more aggressive rehabilitation programmes have been applied. Epidemiology, clinical evaluation, diagnosis, surgical and conservative management of these injuries are presented in this review along with the authors' preferred technique for the anatomical repair of acute complete ruptures. PMID:23352149

  3. Functional Characterization and Differential Coactivation Patterns of Two Cytoarchitectonic Visual Areas on the Human Posterior Fusiform Gyrus

    PubMed Central

    Caspers, Julian; Zilles, Karl; Amunts, Katrin; Laird, Angela R.; Fox, Peter T.; Eickhoff, Simon B.

    2016-01-01

    The ventral stream of the human extrastriate visual cortex shows a considerable functional heterogeneity from early visual processing (posterior) to higher, domain-specific processing (anterior). The fusiform gyrus hosts several of those “high-level” functional areas. We recently found a subdivision of the posterior fusiform gyrus on the microstructural level, that is, two distinct cytoarchitectonic areas, FG1 and FG2 (Caspers et al., Brain Structure & Function, 2013). To gain a first insight in the function of these two areas, here we studied their behavioral involvement and coactivation patterns by means of meta-analytic connectivity modeling based on the BrainMap database (www.brainmap.org), using probabilistic maps of these areas as seed regions. The coactivation patterns of the areas support the concept of a common involvement in a core network subserving different cognitive tasks, that is, object recognition, visual language perception, or visual attention. In addition, the analysis supports the previous cytoarchitectonic parcellation, indicating that FG1 appears as a transitional area between early and higher visual cortex and FG2 as a higher-order one. The latter area is furthermore lateralized, as it shows strong relations to the visual language processing system in the left hemisphere, while its right side is stronger associated with face selective regions. These findings indicate that functional lateralization of area FG2 relies on a different pattern of connectivity rather than side-specific cytoarchitectonic features. PMID:24038902

  4. Behavior of the Edible Seaweed Sargassum fusiforme to Copper Pollution: Short-Term Acclimation and Long-Term Adaptation

    PubMed Central

    Lin, Li-Dong; Zhang, Ai-Qin; Li, Nan; Lin, Yan-Qing; Li, Lu-Min; Wu, Qin-Qin; Yan, Xiu-Feng

    2014-01-01

    Aquatic agriculture in heavy-metal-polluted coastal areas faces major problems due to heavy metal transfer into aquatic organisms, leading to various unexpected changes in nutrition and primary and/or secondary metabolism. In the present study, the dual role of heavy metal copper (Cu) played in the metabolism of photosynthetic organism, the edible seaweed Sargassum fusiforme, was evaluated by characterization of biochemical and metabolic responses using both 1H NMR and GC-MS techniques under acute (47 M, 1 day) and chronic stress (8 M, 7 days). Consequently, photosynthesis may be seriously inhibited by acute Cu exposure, resulting in decreasing levels of carbohydrates, e.g., mannitol, the main products of photosynthesis. Ascorbate may play important roles in the antioxidant system, whose content was much more seriously decreased under acute than that under chronic Cu stress. Overall, these results showed differential toxicological responses on metabolite profiles of S. fusiforme subjected to acute and chronic Cu exposures that allowed assessment of impact of Cu on marine organisms. PMID:25025229

  5. Preserved mid-fusiform activation for visual words in a patient with a visual word recognition impairment.

    PubMed

    Welcome, Suzanne E; Pasquarella, Adrian; Chen, Xi; Olson, David R; Joanisse, Marc F

    2014-12-01

    Previous functional imaging studies have highlighted the role of left ventral temporal cortex in processing written word forms. We explored activation and anatomical connectivity of this region in HE, a professional writer with alexia as a result of stroke affecting primarily white matter in the left inferior temporal lobe. We used a one-back visual recognition task and functional Magnetic Resonance Imaging to elicit automatic activation to various orthographic and non-orthographic stimuli. Surprisingly, HE showed cortical activation in the left mid-fusiform area during the presentation of words and word-like stimuli, suggesting that this region?s role in processing visual words is intact despite his severely impaired reading. Diffusion Tensor Imaging data further suggest that HE shows an anatomical disconnection between the ventral temporal cortex and posterior middle temporal cortex. Together, these findings suggest that activation of word-specific regions of mid-fusiform gyrus is not sufficient to yield the conscious experience of reading in the absence of activity in downstream regions of the classical reading network. PMID:25447068

  6. Behavior of the edible seaweed Sargassum fusiforme to copper pollution: short-term acclimation and long-term adaptation.

    PubMed

    Zou, Hui-Xi; Pang, Qiu-Ying; Lin, Li-Dong; Zhang, Ai-Qin; Li, Nan; Lin, Yan-Qing; Li, Lu-Min; Wu, Qin-Qin; Yan, Xiu-Feng

    2014-01-01

    Aquatic agriculture in heavy-metal-polluted coastal areas faces major problems due to heavy metal transfer into aquatic organisms, leading to various unexpected changes in nutrition and primary and/or secondary metabolism. In the present study, the dual role of heavy metal copper (Cu) played in the metabolism of photosynthetic organism, the edible seaweed Sargassum fusiforme, was evaluated by characterization of biochemical and metabolic responses using both 1H NMR and GC-MS techniques under acute (47 M, 1 day) and chronic stress (8 M, 7 days). Consequently, photosynthesis may be seriously inhibited by acute Cu exposure, resulting in decreasing levels of carbohydrates, e.g., mannitol, the main products of photosynthesis. Ascorbate may play important roles in the antioxidant system, whose content was much more seriously decreased under acute than that under chronic Cu stress. Overall, these results showed differential toxicological responses on metabolite profiles of S. fusiforme subjected to acute and chronic Cu exposures that allowed assessment of impact of Cu on marine organisms. PMID:25025229

  7. Real-time Monitoring of the Lateral Spread Response Resulting from Serial Decompression for Hemifacial Spasm Caused by a Fusiform Aneurysm.

    PubMed

    Lee, Sung Ho; Choi, Seok Keun; Kim, Johnho

    2015-07-01

    Fusiform aneurysm as a cause of hemifacial spasm (HFS) is an extremely rare condition. A 69-year-old man developed paroxysmal spasm of his left side facial muscles over a period of 5 years. Radiologic images demonstrated a left vertebral artery (VA) fusiform aneurysm compressing the root entry zone of the left facial nerve. The patient underwent serial surgical procedures for the treatment of HFS under intraoperative electromyography monitoring. Lateral spread response (LSR) did not disappear despite 5 minutes of extracranial left VA ligation and remained after cerebrospinal fluid drainage after dura opening. After interposition of the VA through Teflon felt insertion, the LSR finally disappeared. The patient became symptom free immediately after the surgery and continued as such throughout a follow-up period of 1 year. This is the first report involving real-time monitoring of the LSR changes resulting from serial procedures of decompression in an HFS caused by a fusiform aneurysm of the VA. PMID:26140340

  8. Quadriceps Tendon Rupture due to Postepileptic Convulsion

    PubMed Central

    Erkut, Adem; Guvercin, Yilmaz; Sahin, Rifat; Keskin, Davut

    2014-01-01

    We present a case of quadriceps tendon (QT) rupture. QT ruptures can occur in all ages. The cause is mostly traumatic in origin. Spontaneous ruptures that are thought to result from predisposing conditions are rare. Post-convulsion QT ruptures lacking traumas in their history can be overlooked in clinical examinations. This should be born in mind by the attending physician, as early diagnosis and treatment of the condition can lead to satisfactory outcomes. PMID:24944977

  9. Histopathological findings in spontaneous tendon ruptures.

    PubMed

    Jzsa, L; Kannus, P

    1997-04-01

    A spontaneous rupture of a tendon may be defined as a rupture that occurs during movement and activity, that should not and usually does not damage the involved musculotendinous units (1). Spontaneous tendon ruptures were uncommon before the 1950s. Bhler found only 25 Achilles tendon ruptures in Wien between 1925 and 1948 (2). Msender & Klatnek treated 20 Achilles tendon ruptures between 1953 and 1956, but 105 ruptures between 1964 and 1967 (3). Lawrence et al. found only 31 Achilles tendon ruptures in Boston during a period of 55 years (1900-1954) (4). During the recent decades tendon ruptures have, however, become relatively common in developed countries, especially in Europe and North America. A high incidence of tendon ruptures has been reported in Austria, Denmark, Finland, Germany. Hungary, Sweden, Switzerland and the USA; somewhat lower incidences have been reported in Canada, France, Great Britain and Spain. On the other hand, Greece, Japan, the Netherlands and Portugal have reported a clearly lower incidence. Interestingly, Achilles tendon ruptures are a rarity in developing countries, especially in Africa and East-Asia (5). In many developed countries, the increases in the rupture incidence have been dramatic. In the National Institute of Traumatology in Budapest, Hungary, the number of patients with an Achilles tendon rupture increased 285% in men and 500% in women between two successive 7-year periods, 1972-1978 and 1979-1985 (5). PMID:9211612

  10. 46 CFR 64.61 - Rupture disc.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 2 2014-10-01 2014-10-01 false Rupture disc. 64.61 Section 64.61 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs 64.61 Rupture disc. If a rupture...

  11. 46 CFR 64.61 - Rupture disc.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 2 2013-10-01 2013-10-01 false Rupture disc. 64.61 Section 64.61 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs 64.61 Rupture disc. If a rupture...

  12. 46 CFR 64.61 - Rupture disc.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 2 2011-10-01 2011-10-01 false Rupture disc. 64.61 Section 64.61 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs 64.61 Rupture disc. If a rupture...

  13. 46 CFR 64.61 - Rupture disc.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 2 2010-10-01 2010-10-01 false Rupture disc. 64.61 Section 64.61 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs 64.61 Rupture disc. If a rupture...

  14. 46 CFR 64.61 - Rupture disc.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 2 2012-10-01 2012-10-01 false Rupture disc. 64.61 Section 64.61 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs 64.61 Rupture disc. If a rupture...

  15. Factors influencing maternal survival in ruptured uterus.

    PubMed

    Megafu, U

    1985-12-01

    Ruptured uterus continues to be a common obstetric hazard in under developed countries. The commonest cause is spontaneous rupture from obstructed labor in the multipara. There was not a single rupture in the primipara. Rupture following previous cesarean section scar is also common. The most effective way of management is to correct fluid and blood loss followed by laparotomy and subtotal hysterectomy. This method gave a lower mortality than either repair and sterilization or total hysterectomy. Adequate pre-operative resuscitation and time interval between rupture and operation also influences mortality rate. The experience of the surgeon is another vital factor in determining mortality rate. PMID:2868942

  16. Predicting the endpoints of earthquake ruptures.

    PubMed

    Wesnousky, Steven G

    2006-11-16

    The active fault traces on which earthquakes occur are generally not continuous, and are commonly composed of segments that are separated by discontinuities that appear as steps in map-view. Stress concentrations resulting from slip at such discontinuities may slow or stop rupture propagation and hence play a controlling role in limiting the length of earthquake rupture. Here I examine the mapped surface rupture traces of 22 historical strike-slip earthquakes with rupture lengths ranging between 10 and 420 km. I show that about two-thirds of the endpoints of strike-slip earthquake ruptures are associated with fault steps or the termini of active fault traces, and that there exists a limiting dimension of fault step (3-4 km) above which earthquake ruptures do not propagate and below which rupture propagation ceases only about 40 per cent of the time. The results are of practical importance to seismic hazard analysis where effort is spent attempting to place limits on the probable length of future earthquakes on mapped active faults. Physical insight to the dynamics of the earthquake rupture process is further gained with the observation that the limiting dimension appears to be largely independent of the earthquake rupture length. It follows that the magnitude of stress changes and the volume affected by those stress changes at the driving edge of laterally propagating ruptures are largely similar and invariable during the rupture process regardless of the distance an event has propagated or will propagate. PMID:17108963

  17. [Ruptured cerebral artery blister aneurysm].

    PubMed

    Vega Valds, Pedro; Murias Quintana, Eduardo; Meiln Martnez, Angela; Gutirrez Morales, Julio; Lopez Garcia, Antonio

    2013-01-01

    We report the case of a young patient with subarachnoid haemorrhage secondary to a ruptured blister-like aneurysm. Since this kind of aneurysms have fragile walls without a well-defined neck, their treatment is difficult. We initially planned the deployment of a flow-diverter stent, but an angiogram obtained after 10 days revealed a morphological change of the aneurysm. Therefore, we finally deployed a conventional stent and introduced 2 micro coils into the point of rupture, obtaining a good morphological result without rebleeding. Follow-up at 1 and 6 months did not observe regrowth of the aneurysm. We offer a brief introduction and discussion of this pathology and its treatment. PMID:23517694

  18. Spontaneous rupture of the ureter

    PubMed Central

    Eken, Alper; Akbas, Tugana; Arpaci, Taner

    2015-01-01

    Spontaneous rupture of the ureter is a very rare condition and usually results from ureteral obstruction by a calculus. Only theoretical mechanisms have been proposed and no possible explanation has yet been reported in the literature. Intravenous contrast-enhanced computed tomography is the most informative study with high sensitivity. Treatment should be individualised, and depends on the state of the patient. Minimally invasive endourological procedures with double-J catheter placement and percutaneous drainage offer excellent results. Conservative management with analgesics and antibiotic coverage may be an alternative to surgery. Herein, we present a case of spontaneous rupture of the proximal ureter with no evidence of an underlying pathological condition. PMID:25715862

  19. Spontaneous hepatic rupture in pregnancy.

    PubMed

    Nelson, E W; Archibald, L; Albo, D

    1977-12-01

    Hepatic rupture as a late complication of toxemic pregnancy is a rare yet lethal condition requiring rapid recognition and surgical management. The clinical triad of toxemia, right upper quadrant pain, and sudden hypotension is the diagnostic hallmark of presentation. Most patients present near the time of delivery and are found to have subcapsular hematomas of the right hepatic lobe with free rupture into the peritoneal cavity and resultant exsanguinating hemorrhage. The association of toxemia and disseminated intravascular coagulation with secondary microembolic damage to the liver and other organs has been discussed. Basic surgical principles in the managment of hepatic subcapsular hematomas, and the prolonged postoperative course and frequent complications in these patients have been stressed. PMID:596550

  20. Effects of Dietary Fermented Seaweed and Seaweed Fusiforme on Growth Performance, Carcass Parameters and Immunoglobulin Concentration in Broiler Chicks

    PubMed Central

    Choi, Y. J.; Lee, S. R.; Oh, J-W.

    2014-01-01

    This study was conducted to investigate the effects of brown seaweed (Undaria pinnatifida) by-product and seaweed fusiforme (Hizikia fusiformis) by-product supplementation on growth performance and blood profiles including serum immunoglobulin (Ig) in broilers. Fermentation of seaweeds was conducted by Bacillus subtilis and Aspergillus oryzae. In a 5-wk feeding trial, 750 one-d-old broiler chicks were divided into 5 groups, and were assigned to the control diet or experimental diets including control+0.5% brown seaweed (BS) by-product, control+0.5% seaweed fusiforme (SF) by-product, control+0.5% fermented brown seaweed (FBS) by-product, and control+0.5% fermented seaweed fusiforme (FSF) by-product. As a consequence, body weight gain (BWG) and gain:feed of seaweed by-product groups were clearly higher, when compared to those of control diet group from d 18 to 35 and the entire experimental period (p<0.05). In mortality rate, seaweed by-product groups were significantly lower when compared to control diet group during entire experimental period (p<0.05). However, Feed Intake of experimental diets group was not different from that of the control group during the entire experimental period. Whereas, Feed Intake of fermented seaweed by-product groups was lower than that of non-fermented seaweed groups (p<0.05). Total organ weights, lipids, and glutamic oxalacetic transaminase (GOT) of all treatment groups were not different from those of control group. However, glutamic pyruvate transaminase (GPT) of all treatment groups was higher than that of control group at d 17 (p<0.05). In case of serum Igs concentration, the concentration of IgA antibody in BS, SF, FSF treatment groups was significantly higher than in control group at d 35 (p<0.01). IgA concentration in FBS supplementation groups was negligibly decreased when compared to the control group. IgM concentration in the serums of all treatment groups was significantly higher than in control group (p<0.05) and in fermented seaweed by-product groups were much higher than in non-fermented seaweed groups (p<0.05). On the other hand, IgG concentrations in all treatment groups were lower than in control group (p<0.05). Taken together, our results suggest that by-product dietary supplementation of BS, SF, FBS, and FSF in poultry may provide positive effects of growth performance and immune response. PMID:25050025

  1. Achilles tendon rupture in badminton.

    PubMed Central

    Kaalund, S; Lass, P; Hgsaa, B; Nhr, M

    1989-01-01

    The typical badminton player with an Achilles tendon rupture is 36 years old and, despite limbering up, is injured at the rear line in a sudden forward movement. He resumes work within three months and has a slight lack of dorsiflexion in the ankle as the main complication. Most patients resume badminton within one year, but some finish their sports career, mainly due to fear of a new injury. The investigation discusses predisposing factors and prophylactic measures. PMID:2605439

  2. Beyond the core face-processing network: Intracerebral stimulation of a face-selective area in the right anterior fusiform gyrus elicits transient prosopagnosia.

    PubMed

    Jonas, Jacques; Rossion, Bruno; Brissart, Hlne; Frismand, Solne; Jacques, Corentin; Hossu, Gabriela; Colnat-Coulbois, Sophie; Vespignani, Herv; Vignal, Jean-Pierre; Maillard, Louis

    2015-11-01

    According to neuropsychological evidence, a distributed network of regions of the ventral visual pathway - from the lateral occipital cortex to the temporal pole - supports face recognition. However, functional magnetic resonance imaging (fMRI) studies have generally confined ventral face-selective areas to the posterior section of the occipito-temporal cortex, i.e., the inferior occipital gyrus occipital face area (OFA) and the posterior and middle fusiform gyrus fusiform face area (FFA). There is recent evidence that intracranial electrical stimulation of these areas in the right hemisphere elicits face matching and recognition impairments (i.e., prosopagnosia) as well as perceptual face distortions. Here we report a case of transient inability to recognize faces following electrical stimulation of the right anterior fusiform gyrus, in a region located anteriorly to the FFA. There was no perceptual face distortion reported during stimulation. Although no fMRI face-selective responses were found in this region due to a severe signal drop-out as in previous studies, intracerebral face-selective event-related potentials and gamma range electrophysiological responses were found at the critical site of stimulation. These results point to a causal role in face recognition of the right anterior fusiform gyrus and more generally of face-selective areas located beyond the "core" face-processing network in the right ventral temporal cortex. It also illustrates the diagnostic value of intracerebral electrophysiological recordings and stimulation in understanding the neural basis of face recognition and visual recognition in general. PMID:26143305

  3. Receptor architecture of visual areas in the face and word-form recognition region of the posterior fusiform gyrus.

    PubMed

    Caspers, Julian; Palomero-Gallagher, Nicola; Caspers, Svenja; Schleicher, Axel; Amunts, Katrin; Zilles, Karl

    2015-01-01

    Recently, two extrastriate visual areas on the posterior fusiform gyrus, areas FG1 and FG2, were identified based on cytoarchitectonical criteria (Caspers et al. in Brain Struct Funct 218:511-526, 2013a). They are located within the object-related ventral visual stream at the transition between early and higher-order (category-specific) visual areas. FG2 has a topographical position which is best comparable to the face or visual word-form recognition area. However, the precise function of FG2 is presently unknown. Since transmitter receptors are key molecules of neurotransmission, we analysed the regional and laminar distribution of 15 different receptor binding sites by means of quantitative in vitro receptor autoradiography. Significant differences between receptor densities of both areas were found for NMDA, GABAB, M3, nicotinic ?4/?2 and 5-HT1A receptors as well as for GABAA associated benzodiazepine binding sites. These results support the cytoarchitectonic segregation of FG1 and FG2 into two distinct cortical areas. In addition, principal component and hierarchical cluster analyses of the multireceptor data of both fusiform areas and 24 visual, auditory, somatosensory and multimodal association areas not only revealed the typical receptor architectonic characteristics of visual areas for FG1 and FG2, but also suggest their putative function as object recognition regions due to the similarity of their receptor fingerprints with those of areas of the ventral visual stream. Furthermore, FG1 and FG2 build a cluster with the multimodal association areas of the inferior parietal lobule. This underlines their hierarchically high position in the visual system of the human cerebral cortex. PMID:24126835

  4. Fusiform Gyrus Dysfunction is Associated with Perceptual Processing Efficiency to Emotional Faces in Adolescent Depression: A Model-Based Approach.

    PubMed

    Ho, Tiffany C; Zhang, Shunan; Sacchet, Matthew D; Weng, Helen; Connolly, Colm G; Henje Blom, Eva; Han, Laura K M; Mobayed, Nisreen O; Yang, Tony T

    2016-01-01

    While the extant literature has focused on major depressive disorder (MDD) as being characterized by abnormalities in processing affective stimuli (e.g., facial expressions), little is known regarding which specific aspects of cognition influence the evaluation of affective stimuli, and what are the underlying neural correlates. To investigate these issues, we assessed 26 adolescents diagnosed with MDD and 37 well-matched healthy controls (HCL) who completed an emotion identification task of dynamically morphing faces during functional magnetic resonance imaging (fMRI). We analyzed the behavioral data using a sequential sampling model of response time (RT) commonly used to elucidate aspects of cognition in binary perceptual decision making tasks: the Linear Ballistic Accumulator (LBA) model. Using a hierarchical Bayesian estimation method, we obtained group-level and individual-level estimates of LBA parameters on the facial emotion identification task. While the MDD and HCL groups did not differ in mean RT, accuracy, or group-level estimates of perceptual processing efficiency (i.e., drift rate parameter of the LBA), the MDD group showed significantly reduced responses in left fusiform gyrus compared to the HCL group during the facial emotion identification task. Furthermore, within the MDD group, fMRI signal in the left fusiform gyrus during affective face processing was significantly associated with greater individual-level estimates of perceptual processing efficiency. Our results therefore suggest that affective processing biases in adolescents with MDD are characterized by greater perceptual processing efficiency of affective visual information in sensory brain regions responsible for the early processing of visual information. The theoretical, methodological, and clinical implications of our results are discussed. PMID:26869950

  5. Structural elucidation and protective role of a polysaccharide from Sargassum fusiforme on ameliorating learning and memory deficiencies in mice.

    PubMed

    Hu, Pei; Li, Zhixiong; Chen, Mingcang; Sun, Zhaolin; Ling, Yun; Jiang, Jian; Huang, Chenggang

    2016-03-30

    A fucoidan, Sargassum fusiforme polysaccharide 65 (SFPS65) A, was isolated from a brown alga (S. fusiforme). SFPS65A had an estimated molecular weight of 90kDa and showed αD(20) -74.3288 (c 0.05, H2O). SFPS65A is composed of fucose, galactose, xylose, glucose, glucuronic acid, and mannose in the ratio of 19.23:9.58:6.64:1:6.52:2.57. The structural features of SFPS65A were investigated using composition analysis, methylation analysis, infrared spectrum, nuclear magnetic resonance spectroscopy, and electrospray ionization quadruple time-of-flight tandem mass spectroscopy. Results showed that SFPS65A has a main chain composed of →3)-β-l-Fucp-(1→3,4)-β-l-Fucp-(1→3,4)-β-l-Fucp-(1→ and connected with →3,4)-α-d-GlcAp-(1→, →4)-β-d-Xylp-(1→, →4)-α-d-Galp-(1→, →3,6)-α-d-Manp-(1→ alternately. The branches at O-3 of the fucosyl residue and O-3 of the hexosyl residues may include sulfate, →4)-β-l-Fucp-(1→, β-d-Xylp-(1→, and β-d-Xylp-(1→. SFPS65A exhibited an activity on Alzheimer's disease in vivo in the pharmacological experiments by increasing the cognitive abilities of scopolamine-, ethanol-, and sodium nitrite-treated mice against memory deficits. PMID:26794958

  6. Fusiform Gyrus Dysfunction is Associated with Perceptual Processing Efficiency to Emotional Faces in Adolescent Depression: A Model-Based Approach

    PubMed Central

    Ho, Tiffany C.; Zhang, Shunan; Sacchet, Matthew D.; Weng, Helen; Connolly, Colm G.; Henje Blom, Eva; Han, Laura K. M.; Mobayed, Nisreen O.; Yang, Tony T.

    2016-01-01

    While the extant literature has focused on major depressive disorder (MDD) as being characterized by abnormalities in processing affective stimuli (e.g., facial expressions), little is known regarding which specific aspects of cognition influence the evaluation of affective stimuli, and what are the underlying neural correlates. To investigate these issues, we assessed 26 adolescents diagnosed with MDD and 37 well-matched healthy controls (HCL) who completed an emotion identification task of dynamically morphing faces during functional magnetic resonance imaging (fMRI). We analyzed the behavioral data using a sequential sampling model of response time (RT) commonly used to elucidate aspects of cognition in binary perceptual decision making tasks: the Linear Ballistic Accumulator (LBA) model. Using a hierarchical Bayesian estimation method, we obtained group-level and individual-level estimates of LBA parameters on the facial emotion identification task. While the MDD and HCL groups did not differ in mean RT, accuracy, or group-level estimates of perceptual processing efficiency (i.e., drift rate parameter of the LBA), the MDD group showed significantly reduced responses in left fusiform gyrus compared to the HCL group during the facial emotion identification task. Furthermore, within the MDD group, fMRI signal in the left fusiform gyrus during affective face processing was significantly associated with greater individual-level estimates of perceptual processing efficiency. Our results therefore suggest that affective processing biases in adolescents with MDD are characterized by greater perceptual processing efficiency of affective visual information in sensory brain regions responsible for the early processing of visual information. The theoretical, methodological, and clinical implications of our results are discussed. PMID:26869950

  7. Early second trimester uterine scar rupture

    PubMed Central

    Bharatnur, Sunanda; Hebbar, Shripad; G, Shyamala

    2013-01-01

    Spontaneous uterine scar rupture can be lethal in pregnant women. A spontaneous uterine scar rupture in the early mid-trimester is rare and difficult to diagnose. This is a case of a 30-year-old woman (G2P1L1) at 19?weeks of gestation and having undergone a previous caesarean section presented with acute abdomen in shock. Laparotomy revealed a uterine scar rupture, which was resutured after evacuation of products of conception. This case merits that the uterine rupture should be considered as a differential diagnosis in pregnant women presenting with acute abdomen. In this case, although there was uterine rupture in the second trimester and a complete placental separation, fetus was alive which is quite unusual in patients presenting with rupture uterus. PMID:24326433

  8. Early second trimester uterine scar rupture.

    PubMed

    Bharatnur, Sunanda; Hebbar, Shripad; Shyamala, G

    2013-01-01

    Spontaneous uterine scar rupture can be lethal in pregnant women. A spontaneous uterine scar rupture in the early mid-trimester is rare and difficult to diagnose. This is a case of a 30-year-old woman (G2P1L1) at 19 weeks of gestation and having undergone a previous caesarean section presented with acute abdomen in shock. Laparotomy revealed a uterine scar rupture, which was resutured after evacuation of products of conception. This case merits that the uterine rupture should be considered as a differential diagnosis in pregnant women presenting with acute abdomen. In this case, although there was uterine rupture in the second trimester and a complete placental separation, fetus was alive which is quite unusual in patients presenting with rupture uterus. PMID:24326433

  9. Investigation of cryogenic rupture disc design

    NASA Technical Reports Server (NTRS)

    Keough, J. B.; Oldland, A. H.

    1973-01-01

    Rupture disc designs of both the active (command actuated) and passive (pressure ruptured) types were evaluated for performance characteristics at cryogenic temperatures and for capability to operate in a variety of cryogens, including gaseous and liquid fluorine. The test results, coupled with information from literature and industry searches, were used to establish a statement of design criteria and recommended practices for application of rupture discs to cryogenic rocket propellant feed and vent systems.

  10. Spontaneous rupture of a splenotic nodule.

    PubMed Central

    Lanigan, D. J.

    1990-01-01

    A case is presented of spontaneous rupture of splenic tissue occurring 14 years after a splenectomy was carried out for trauma. Spontaneous rupture of a splenotic nodule has not previously been described and it may be added to the list of causes of spontaneous haemoperitoneum. The incidence and function of residual splenic tissue are briefly discussed and other causes of splenic rupture are outlined. PMID:2267217

  11. Neck curve polynomials in neck rupture model

    SciTech Connect

    Kurniadi, Rizal; Perkasa, Yudha S.; Waris, Abdul

    2012-06-06

    The Neck Rupture Model is a model that explains the scission process which has smallest radius in liquid drop at certain position. Old fashion of rupture position is determined randomly so that has been called as Random Neck Rupture Model (RNRM). The neck curve polynomials have been employed in the Neck Rupture Model for calculation the fission yield of neutron induced fission reaction of {sup 280}X{sub 90} with changing of order of polynomials as well as temperature. The neck curve polynomials approximation shows the important effects in shaping of fission yield curve.

  12. Second-Trimester Uterine Rupture: Lessons Learnt

    PubMed Central

    F. ABDULWAHAB, Dalia; ISMAIL, Hamizah; NUSEE, Zalina

    2014-01-01

    Uterine rupture is a rare life-threatening complication. It mainly occurs in the third trimester of pregnancy and is rarely seen during the first or second trimesters. Our centre experienced three important cases of uterine rupture. First case: spontaneous uterine rupture at 14 weeks of pregnancy, which was diagnosed at autopsy. It was misled by the ultrasound finding of an intrauterine pregnancy, and searching for other non-gynaecological causes delayed the urgent obstetric surgical management. Second case: ruptured uterus at 24 weeks following medical termination due to foetal anomaly. It was diagnosed only at laparotomy indicated for failed medical termination and chorioamnionitis. Third case: uterine rupture at 21 weeks of pregnancy in a patient with gastroenterology symptoms. In these reports, we have discussed the various risk factors, presentations, course of events and difficulties in diagnosing uterine rupture. The study concludes that the clinical presentation of uterine ruptures varies. It occurs regardless of gestational age. Ultrasound findings of intrauterine pregnancy with free fluid do not exclude uterine rupture or ectopic pregnancy. Searching for non-gynaecological causes in such clinical presentations might delay crucial surgical intervention, which leads to unnecessary morbidity, mortality or loss of obstetrics function. PMID:25977625

  13. Do buried-rupture earthquakes trigger less landslides than surface-rupture earthquakes for reverse faults?

    NASA Astrophysics Data System (ADS)

    Xu, Chong

    2014-07-01

    Gorum et al. (2013, Geomorphology 184, 127-138) carried out a study on inventory compilation and statistical analyses of landslides triggered by the 2010 Mw 7.0 Haiti earthquake. They revealed that spatial distribution patterns of these landslides were mainly controlled by complex rupture mechanism and topography. They also suggested that blind-rupture earthquakes trigger fewer landslides than surface-rupture earthquakes on thrust reverse faults. Although a few lines of evidence indicate that buried-rupture earthquakes might trigger fewer landslides than surface-rupture earthquakes on reverse faults, more careful comparisons and analyses indicate that it is not always true. Instead, some cases show that a buried-rupture earthquake can trigger a larger quantity of landslides that are distributed in a larger area, whereas surface-rupture earthquakes can trigger larger but a fewer landslides distributed in a smaller area.

  14. Detection of a major gene for resistance to fusiform rust disease in loblolly pine by genomic mapping.

    PubMed Central

    Wilcox, P L; Amerson, H V; Kuhlman, E G; Liu, B H; O'Malley, D M; Sederoff, R R

    1996-01-01

    Genomic mapping has been used to identify a region of the host genome that determines resistance to fusiform rust disease in loblolly pine where no discrete, simply inherited resistance factors had been previously found by conventional genetic analysis over four decades. A resistance locus, behaving as a single dominant gene, was mapped by association with genetic markers, even though the disease phenotype deviated from the expected Mendelian ratio. The complexity of forest pathosystems and the limitations of genetic analysis, based solely on phenotype, had led to an assumption that effective long-term disease resistance in trees should be polygenic. However, our data show that effective long-term resistance can be obtained from a single qualitative resistance gene, despite the presence of virulence in the pathogen population. Therefore, disease resistance in this endemic coevolved forest pathosystem is not exclusively polygenic. Genomic mapping now provides a powerful tool for characterizing the genetic basis of host pathogen interactions in forest trees and other undomesticated, organisms, where conventional genetic analysis often is limited or not feasible. Images Fig. 5 Fig. 6 PMID:8632980

  15. Preparation and certification of hijiki reference material, NMIJ CRM 7405-a, from the edible marine algae hijiki (Hizikia fusiforme).

    PubMed

    Narukawa, Tomohiro; Inagaki, Kazumi; Zhu, Yanbei; Kuroiwa, Takayoshi; Narushima, Izumi; Chiba, Koichi; Hioki, Akiharu

    2012-02-01

    A certified reference material, NMIJ CRM 7405-a, for the determination of trace elements and As(V) in algae was developed from the edible marine hijiki (Hizikia fusiforme) and certified by the National Metrology Institute of Japan (NMIJ), the National Institute of Advanced Industrial Science and Technology (AIST). Hijiki was collected from the Pacific coast in the Kanto area of Japan, and was washed, dried, powdered, and homogenized. The hijiki powder was placed in 400 bottles (ca. 20 g each). The concentrations of 18 trace elements and As(V) were determined by two to four independent analytical techniques, including (ID)ICP-(HR)MS, ICP-OES, GFAAS, and HPLC-ICP-MS using calibration solutions prepared from the elemental standard solution of Japan calibration service system (JCSS) and the NMIJ CRM As(V) solution, and whose concentrations are certified and SI traceable. The uncertainties of all the measurements and preparation procedures were evaluated. The values of 18 trace elements and As(V) in the CRM were certified with uncertainty (k = 2). PMID:22159512

  16. A Model of Emergent Category-specific Activation in the Posterior Fusiform Gyrus of Sighted and Congenitally Blind Populations.

    PubMed

    Chen, Lang; Rogers, Timothy T

    2015-10-01

    Theories about the neural bases of semantic knowledge tend between two poles, one proposing that distinct brain regions are innately dedicated to different conceptual domains and the other suggesting that all concepts are encoded within a single network. Category-sensitive functional activations in the fusiform cortex of the congenitally blind have been taken to support the former view but also raise several puzzles. We use neural network models to assess a hypothesis that spans the two poles: The interesting functional activation patterns reflect the base connectivity of a domain-general semantic network. Both similarities and differences between sighted and congenitally blind groups can emerge through learning in a neural network, but only in architectures adopting real anatomical constraints. Surprisingly, the same constraints suggest a novel account of a quite different phenomenon: the dyspraxia observed in patients with semantic impairments from anterior temporal pathology. From this work, we suggest that the cortical semantic network is wired not to encode knowledge of distinct conceptual domains but to promote learning about both conceptual and affordance structure in the environment. PMID:26042499

  17. Neural Decoding Reveals Impaired Face Configural Processing in the Right Fusiform Face Area of Individuals with Developmental Prosopagnosia

    PubMed Central

    Zhang, Jiedong; Liu, Jia

    2015-01-01

    Most of human daily social interactions rely on the ability to successfully recognize faces. Yet ?2% of the human population suffers from face blindness without any acquired brain damage [this is also known as developmental prosopagnosia (DP) or congenital prosopagnosia]). Despite the presence of severe behavioral face recognition deficits, surprisingly, a majority of DP individuals exhibit normal face selectivity in the right fusiform face area (FFA), a key brain region involved in face configural processing. This finding, together with evidence showing impairments downstream from the right FFA in DP individuals, has led some to argue that perhaps the right FFA is largely intact in DP individuals. Using fMRI multivoxel pattern analysis, here we report the discovery of a neural impairment in the right FFA of DP individuals that may play a critical role in mediating their face-processing deficits. In seven individuals with DP, we discovered that, despite the right FFA's preference for faces and it showing decoding for the different face parts, it exhibited impaired face configural decoding and did not contain distinct neural response patterns for the intact and the scrambled face configurations. This abnormality was not present throughout the ventral visual cortex, as normal neural decoding was found in an adjacent object-processing region. To our knowledge, this is the first direct neural evidence showing impaired face configural processing in the right FFA in individuals with DP. The discovery of this neural impairment provides a new clue to our understanding of the neural basis of DP. PMID:25632131

  18. Spontaneous rupture of the spleen operated in gynecological unit mistaken for ruptured hemorrhagic ovarian cyst: total splenectomy

    PubMed Central

    Eko, Filbert Eko; Fouelifack, Florent Ymele; de Paul, Elanga Vincent

    2014-01-01

    Spontaneous splenic rupture is always neglected when consulting acute abdominal pains in gynecological emergencies. It constitutes about 1% of all splenic ruptures and can be managed by abstention, surgery or embolization. We present the case of a young lady who was diagnosed of spontaneous rupture during surgery that was mistaken for ruptured hemorrhagic ovarian cyst and finally treated by total splenectomy. The pre-operative work up was absolute for a rupturred hemorrhagic cyst and secondariy for a ruptured ectopic gestation. PMID:25918564

  19. Dynamic Interface Rupture in Extremely Heterogeneous Media

    NASA Astrophysics Data System (ADS)

    Uenishi, K.; Tsuji, K.

    2007-12-01

    Fracture experiments of monolithic brittle materials usually show the maximum speed of smooth rupture at some 30 % of the relevant shear wave speed. This experimental maximum rupture speed is by far lower than those predicted by theories and inferred from inversions of seismograms, and some seismic inversions (e.g., the 1979 Imperial Valley, 1992 Landers, 1999 Izmit, 2001 the central Kunlunshan and 2002 Denali earthquakes) even suggest the existence of supershear rupture speeds (i.e., rupture propagating faster than the relevant shear wave). Recently, Uenishi et al. ( SSJ Fall Meeting, 2004, 2005; AGU Fall Meeting, 2006) experimentally investigated dynamic fracture in monolithic hyperelastic materials under static mode- loading conditions with relatively high crack-parallel stresses. Using a high-speed digital video camera system, they showed that cracks may propagate supersonically even in homogeneous materials. However, the exact mechanism for rupture nucleation and the transition of a nucleated rupture from sub-Rayleigh to super-shear rupture speed has not been identified yet. In this contribution, we further develop our experimental system and investigate dynamic fracture in extremely heterogeneous media, consisting of thin fluid and solid films: Inside a wire frame (50mm high, 50mm wide), a flat soap film contacts a flat thin solid plastic film (20mm high, 20mm wide), under static tensile loading conditions. The rupture (crack), initiated at a point, propagates subsonically in the linear elastic fluid film (see e.g., Uenishi et al., SSJ Fall Meeting, 2006, for the dynamic rupture in monolithic fluid films). When the circular rupture front reaches the interface, the rupture advances along the interface and then it is "diffracted" at the two corners of the interface. We record the rupture propagation process utilizing our high-speed digital video camera at a frame rate of 20 ?s (2010-6s). The observed results show that interface rupture propagation may accelerate (or even decelerate) and the dynamic rupture behavior is very sensitive to the geometry of the interface between the two films: (1) When the subsonic rupture front reaches the first rectangular corner, it accelerates around the corner and then advances supersonically along the interface; and (2) when the supersonic interface rupture front approaches the second corner (obtuse with respect to the rupture front in fluid), it bifurcates for a short period (400 ?s): the first branch unexpectedly expands rather straight into the bulk and the second one propagates along the interface at a lower speed; At a later stage, again unexpectedly, the first branched crack decelerates significantly in the bulk and the two cracks eventually merge into a single crack. The overall behavior is - in some sense - similar to that of the oblique shock and Prandtl- Meyer expansion waves in fluid mechanics, and it might give new insights not only into the question of high rupture speeds of natural earthquakes but also into the generation mechanism of tsunamis. u.ac.jp/~uenishi/

  20. Metrics for comparing dynamic earthquake rupture simulations

    USGS Publications Warehouse

    Barall, Michael; Harris, Ruth A.

    2014-01-01

    Earthquakes are complex events that involve a myriad of interactions among multiple geologic features and processes. One of the tools that is available to assist with their study is computer simulation, particularly dynamic rupture simulation. A dynamic rupture simulation is a numerical model of the physical processes that occur during an earthquake. Starting with the fault geometry, friction constitutive law, initial stress conditions, and assumptions about the condition and response of the near?fault rocks, a dynamic earthquake rupture simulation calculates the evolution of fault slip and stress over time as part of the elastodynamic numerical solution (?see the simulation description in the electronic supplement to this article). The complexity of the computations in a dynamic rupture simulation make it challenging to verify that the computer code is operating as intended, because there are no exact analytic solutions against which these codes results can be directly compared. One approach for checking if dynamic rupture computer codes are working satisfactorily is to compare each codes results with the results of other dynamic rupture codes running the same earthquake simulation benchmark. To perform such a comparison consistently, it is necessary to have quantitative metrics. In this paper, we present a new method for quantitatively comparing the results of dynamic earthquake rupture computer simulation codes.

  1. Age at intracranial aneurysm rupture among generations

    PubMed Central

    Woo, D; Hornung, R; Sauerbeck, L; Brown, R; Meissner, I; Huston, J; Foroud, T; Broderick, J

    2009-01-01

    Background: Previous studies have reported intracranial aneurysm (IA) occurring at young ages in subsequent generations. These studies did not correct for duration of follow-up. Second-generation members who would have their ruptured IA late in life may not be detected due to shorter follow-up time than the first generation. We examined families in which ruptured IA occurred in two consecutive generations for the hypothesis that the second generation (F1) was more likely to have a rupture at a younger age than the older generation (F0). Methods: The Familial Intracranial Aneurysm (FIA) Study is a multicenter, international study recruiting families of ruptured and unruptured IA. All available family members are interviewed. Cox proportional hazards regression models and Kaplan-Meier curves were used to examine differences by generation. Results: Although we found that the F1 generation was more likely to have an aneurysm rupture at a younger age than the F0 generation, we found that this was largely because of a lack of follow-up time in the F1 generation. The F1 generation had 50% the rupture rate of the prior generation. When analyzed by Kaplan-Meier curves, we found a tendency to have a slightly later rupture rate in the F1 generation once time to follow-up was included in the analysis model. Conclusions: Families of ruptured intracranial aneurysm (IA) do not appear to demonstrate “anticipation.” Our finding suggests that genetic epidemiology of ruptured IA should examine all types of variations such as single base-pair changes, deletions, insertions, and other variations that do not demonstrate anticipation. GLOSSARY FIA = familial intracranial aneurysm; IA = intracranial aneurysm; SAH = subarachnoid hemorrhage. PMID:19237697

  2. CT diagnosis of ruptured abdominal aortic aneurysm

    SciTech Connect

    Rosen, A.; Korobkin, M.; Silverman, P.M.; Moore, A.V. Jr.; Dunnick, N.R.

    1984-08-01

    Abdominal computed tomography was performed in six patients with suspected ruptured abdominal aortic aneurysm but in whom an alternate clinical diagnosis was seriously considered. In each patient, a large aortic aneurysm was demonstrated in association with a retroperitoneal accumulation of high-density blood. The retroperitoneal blood was primarily confined to the extracapsular perinephric space. In four of the six patients, a focal area of the aortic wall was indistinct on the side of the retroperitoneal hemorrhage at the presumed site of rupture. Five of the six patients underwent emergency surgery, which confirmed the site of aneurysm, presence of rupture and the location of fresh retroperitoneal blood.

  3. Gastric rupture after the Heimlich maneuver.

    PubMed

    Bintz, M; Cogbill, T H

    1996-01-01

    Since 1975, the Heimlich maneuver has been widely applied to relieve upper airway obstruction caused by aspirated material. Life-threatening complications have been documented following this simple procedure. We report two cases of gastric rupture after use of the Heimlich maneuver. Both patients experienced pulmonary and abdominal symptoms. The diagnosis was confirmed in each case by the demonstration of free intraperitoneal air on an upright chest roentgenogram. Full-thickness gastric rupture along the lesser curvature of the stomach was repaired in both patients; one patient died. Abdominal pain or persistent abdominal distention despite nasogastric suction after the Heimlich maneuver should prompt evaluation for possible gastric rupture. PMID:8576987

  4. Creep-rupture reliability analysis

    NASA Technical Reports Server (NTRS)

    Peralta-Duran, A.; Wirsching, P. H.

    1985-01-01

    A probabilistic approach to the correlation and extrapolation of creep-rupture data is presented. Time temperature parameters (TTP) are used to correlate the data, and an analytical expression for the master curve is developed. The expression provides a simple model for the statistical distribution of strength and fits neatly into a probabilistic design format. The analysis focuses on the Larson-Miller and on the Manson-Haferd parameters, but it can be applied to any of the TTP's. A method is developed for evaluating material dependent constants for TTP's. It is shown that optimized constants can provide a significant improvement in the correlation of the data, thereby reducing modelling error. Attempts were made to quantify the performance of the proposed method in predicting long term behavior. Uncertainty in predicting long term behavior from short term tests was derived for several sets of data. Examples are presented which illustrate the theory and demonstrate the application of state of the art reliability methods to the design of components under creep.

  5. Creep-rupture reliability analysis

    NASA Technical Reports Server (NTRS)

    Peralta-Duran, A.; Wirsching, P. H.

    1984-01-01

    A probabilistic approach to the correlation and extrapolation of creep-rupture data is presented. Time temperature parameters (TTP) are used to correlate the data, and an analytical expression for the master curve is developed. The expression provides a simple model for the statistical distribution of strength and fits neatly into a probabilistic design format. The analysis focuses on the Larson-Miller and on the Manson-Haferd parameters, but it can be applied to any of the TTP's. A method is developed for evaluating material dependent constants for TTP's. It is shown that optimized constants can provide a significant improvement in the correlation of the data, thereby reducing modelling error. Attempts were made to quantify the performance of the proposed method in predicting long term behavior. Uncertainty in predicting long term behavior from short term tests was derived for several sets of data. Examples are presented which illustrate the theory and demonstrate the application of state of the art reliability methods to the design of components under creep.

  6. Spontaneous rupture of ovarian cystadenocarcinoma: pre- and post-rupture computed tomography evaluation*

    PubMed Central

    Salvadori, Priscila Silveira; Bomfim, Lucas Novais; von Atzingen, Augusto Castelli; DIppolito, Giuseppe

    2015-01-01

    Epithelial ovarian tumors are the most common malignant ovarian neoplasms and, in most cases, eventual rupture of such tumors is associated with a surgical procedure. The authors report the case of a 54-year-old woman who presented with spontaneous rupture of ovarian cystadenocarcinoma documented by computed tomography, both before and after the event. In such cases, a post-rupture staging tends to be less favorable, compromising the prognosis. PMID:26543286

  7. Achilles tendon rupture in atypical patient populations.

    PubMed

    Kingsley, Peter

    2016-03-01

    Rupture of the Achilles tendon is a significant injury, and the likelihood of a good recovery is directly associated with early diagnosis and appropriate referral. Such injuries are commonly assessed and identified by practitioners working in 'minors' areas of emergency departments or urgent care settings. The literature frequently describes rupture of the Achilles tendon as 'typically sport-related' affecting 'middle-aged weekend warriors', but this aetiology accounts for only about 70% of such injuries. Factors such as the natural ageing process, obesity and use of some commonly prescribed medications, can increase the risk of developing a tendinopathy and subsequent rupture, often from a seemingly insignificant incident. However, research suggests that injuries in this patient population are more likely be missed on first examination. This article describes risk factors that should alert clinicians to the possibility of Achilles tendon rupture in 'atypical' patient populations. PMID:26948227

  8. Pregnancy-related rupture of arterial aneurysms.

    PubMed

    Barrett, J M; Van Hooydonk, J E; Boehm, F H

    1982-09-01

    Over 50 per cent of ruptured arterial aneurysms in women under the age of 40 are pregnancy-related. The hemodynamic and endocrine changes of pregnancy appear to be the cause of arterial alterations which may lead to new aneurysm formation and/or weakening of preexisting aneurysms. The most commonly reported arteries to have aneurysms rupture during pregnancy are the aorta, cerebral arteries, splenic artery, renal artery, coronary artery, and ovarian artery. In many instances, the rupture of an arterial aneurysm will initially simulate other less serious disease processes, thus delaying the correct diagnosis until a catastrophic event occurs. Early diagnosis and treatment of a ruptured arterial aneurysm are imperative in order to give optimal chances of survival to the mother and fetus. PMID:6752786

  9. Ruptured celiac artery aneurysm mimicking Boerhaave syndrome.

    PubMed

    Liu, Chien-Yu; Yang, Kai-Wei; Chen, Wei-Kung; Huang, Chen-Hsiung

    2013-09-01

    Ruptured celiac artery aneurysm is a rare cause for epigastric pain and is usually detected incidentally. Atypical presentation with postemetic epigastralgia and pleural effusion usually leads physicians to make the diagnosis of Boerhaave syndrome. Herein, we report a 32-year-old woman who was diagnosed with Boerhaave syndrome initially after presenting with acute postemetic epigastralgia and predominant left side pleural effusion. Diagnostic left thoracentesis yielded bloody fluid with similar amylase level to serum. The chest computed tomographic scan showed no evidence of esophageal rupture. However, a ruptured celiac artery aneurysm with retroperitoneal hematoma extending to the posterior mediastinum and bilateral pleural space was found incidentally. Although ruptured celiac artery aneurysm is an uncommon cause for postemetic epigastralgia, acute vascular events such as the previously stated cause should be the first impression rather than Boerhaave syndrome if the patient also presents with isolated pleural effusion containing unelevated amylase. PMID:23773770

  10. [Left Ventricular Rupture following Mitral Valve Replacement].

    PubMed

    Yamaguchi, Atsushi

    2015-07-01

    Left ventricular rupture is a rare but lethal complication after mitral valve replacement (MVR). Between 1989 and 2014, of 850 patients who underwent MVR, 6 developed left ventricular rupture in Saitama Medical Center, Jichi Medical University. Treasure type I rupture occurred in 5 patients and Miller type III in 1. Four cases developed ventricular rupture right after declamping of the ascending aorta, and the remaining 2 after the transfer to the intensive care unit( ICU). Prompt surgical therapy was achieved for the instant closure of the muscular wall defect under the cardiopulmonary bypass and cardiac arrest, however, leading to the disappointing result of 66.7% of hospital death. It is the most important to relieving the stress of the posterior wall of the left ventricle during mitral surgery by using the modification techniques with the preservation of posterior mitral leaflet and avoiding pre and afterload of the left ventricle right after the MVR. PMID:26197900

  11. Acute Iliac Artery Rupture: Endovascular Treatment

    SciTech Connect

    Chatziioannou, A.; Mourikis, D.; Katsimilis, J.; Skiadas, V. Koutoulidis, V.; Katsenis, K.; Vlahos, L.

    2007-04-15

    The authors present 7 patients who suffered iliac artery rupture over a 2 year period. In 5 patients, the rupture was iatrogenic: 4 cases were secondary to balloon angioplasty for iliac artery stenosis and 1 occurred during coronary angioplasty. In the last 2 patients, the rupture was secondary to iliac artery mycotic aneurysm. Direct placement of a stent-graft was performed in all cases, which was dilated until extravasation was controlled. Placement of the stent-graft was successful in all the cases, without any complications. The techniques used, results, and mid-term follow-up are presented. In conclusion, endovascular placement of a stent-graft is a quick, minimally invasive, efficient, and safe method for emergency treatment of acute iliac artery rupture, with satisfactory short- and mid-term results.

  12. Structural changes in left fusiform areas and associated fiber connections in children with abacus training: evidence from morphometry and tractography

    PubMed Central

    Li, Yongxin; Wang, Yunqi; Hu, Yuzheng; Liang, Yurong; Chen, Feiyan

    2013-01-01

    Evidence supports the notion that the fusiform gyrus (FG), as an integral part of the ventral occipitotemporal junction, is involved widely in cognitive processes as perceiving faces, objects, places or words, and this region also might represent the visual form of an abacus in the abacus-based mental calculation process. The current study uses a combined voxel-based morphometry (VBM) and diffusion tensor imaging (DTI) analysis to test whether long-term abacus training could induce structural changes in the left FG and in the white matter (WM) tracts distribution connecting with this region in school children. We found that, abacus-trained children exhibited significant smaller gray matter (GM) volume than controls in the left FG. And the connectivity mapping identified left forceps major as a key pathway connecting left FG with other brain areas in the trained group, but not in the controls. Furthermore, mean fractional anisotropy (FA) values within left forceps major were significantly increased in the trained group. Interestingly, a significant negative correlation was found in the trained group between the GM volume in left FG and the mean FA value in left forceps major, suggesting an inverse effect of the reported GM and WM structural changes. In the control group, a positive correlation between left FG GM volume and tract FA was found as well. This analysis visualized the group level differences in GM volume, FA and fiber tract between the abacus-trained children and the controls, and provided the first evidence that GM volume change in the left FG is intimately linked with the micro-structural properties of the left forceps major tracts. The present results demonstrate the structural changes in the left FG from the intracortical GM to the subcortical WM regions and provide insights into the neural mechanism of structural plasticity induced by abacus training. PMID:23847506

  13. Dynamic rupture activation of backthrust fault branching

    NASA Astrophysics Data System (ADS)

    Xu, Shiqing; Fukuyama, Eiichi; Ben-Zion, Yehuda; Ampuero, Jean-Paul

    2015-03-01

    We perform dynamic rupture simulations to investigate the possible reactivation of backthrust branches triggered by ruptures along a main thrust fault. Simulations with slip-weakening fault friction and uniform initial stress show that fast propagation speed or long propagation distance of the main rupture promotes reactivation of backthrust over a range of branch angles. The latter condition may occur separately from the former if rupture speed is limited by an increasing slip-weakening distance towards the junction direction. The results suggest a trade-off between the amplitude and duration of the dynamic stress near the main rupture front for backthrust reactivation. Termination of the main rupture by a barrier can provide enhanced loading amplitude and duration along a backthrust rooted near the barrier, facilitating its reactivation especially with a high frictional resistance. The free surface and depth-dependent initial stress can have several additional effects. The sign of the triggered motion along the backthrust can be reversed from thrust to normal if a deeply nucleated main rupture breaks the free surface, while it is preserved as thrust if the main rupture is terminated by a barrier at depth. The numerical results are discussed in relation to several recent megathrust earthquakes in Sumatra, Chile, and Japan, and related topics such as branch feedbacks to the main fault. The dynamic view on backthrust fault branching provided by the study fills a gap not covered by quasi-static models or observations. A specific examined case of antithetic fault branching may be useful for indicating a barrier-like behavior along the main fault.

  14. Biomechanical rupture risk assessment of abdominal aortic aneurysms based on a novel probabilistic rupture risk index.

    PubMed

    Polzer, Stanislav; Gasser, T Christian

    2015-12-01

    A rupture risk assessment is critical to the clinical treatment of abdominal aortic aneurysm (AAA) patients. The biomechanical AAA rupture risk assessment quantitatively integrates many known AAA rupture risk factors but the variability of risk predictions due to model input uncertainties remains a challenging limitation. This study derives a probabilistic rupture risk index (PRRI). Specifically, the uncertainties in AAA wall thickness and wall strength were considered, and wall stress was predicted with a state-of-the-art deterministic biomechanical model. The discriminative power of PRRI was tested in a diameter-matched cohort of ruptured (n = 7) and intact (n = 7) AAAs and compared to alternative risk assessment methods. Computed PRRI at 1.5 mean arterial pressure was significantly (p = 0.041) higher in ruptured AAAs (20.21(s.d. 14.15%)) than in intact AAAs (3.71(s.d. 5.77)%). PRRI showed a high sensitivity and specificity (discriminative power of 0.837) to discriminate between ruptured and intact AAA cases. The underlying statistical representation of stochastic data of wall thickness, wall strength and peak wall stress had only negligible effects on PRRI computations. Uncertainties in AAA wall stress predictions, the wide range of reported wall strength and the stochastic nature of failure motivate a probabilistic rupture risk assessment. Advanced AAA biomechanical modelling paired with a probabilistic rupture index definition as known from engineering risk assessment seems to be superior to a purely deterministic approach. PMID:26631334

  15. Describing Soils: Calibration Tool for Teaching Soil Rupture Resistance

    ERIC Educational Resources Information Center

    Seybold, C. A.; Harms, D. S.; Grossman, R. B.

    2009-01-01

    Rupture resistance is a measure of the strength of a soil to withstand an applied stress or resist deformation. In soil survey, during routine soil descriptions, rupture resistance is described for each horizon or layer in the soil profile. The lower portion of the rupture resistance classes are assigned based on rupture between thumb and…

  16. Describing Soils: Calibration Tool for Teaching Soil Rupture Resistance

    ERIC Educational Resources Information Center

    Seybold, C. A.; Harms, D. S.; Grossman, R. B.

    2009-01-01

    Rupture resistance is a measure of the strength of a soil to withstand an applied stress or resist deformation. In soil survey, during routine soil descriptions, rupture resistance is described for each horizon or layer in the soil profile. The lower portion of the rupture resistance classes are assigned based on rupture between thumb and

  17. Yield Stress Effects on Mucus Plug Rupture

    NASA Astrophysics Data System (ADS)

    Hu, Yingying; Bian, Shiyao; Grotberg, John C.; Takayama, Shuichi; Grotberg, James B.

    2012-11-01

    Mucus plugs can obstruct airways, resulting in lost gas exchange and inflammation. Yield stress, one of the significant rheological properties of mucus, plays a significant role in plug rupture. We use carbopol 940 gels as mucus simulants to study dynamics of mucus plug rupture in experiments. Yield stress increases with gel concentration increasing (0.1% ~0.3%). The yield stress of the 0.2% gel is about 530 dyn/cm2, which can simulate normal mucus. A 2D PDMS channel is used to simulate a collapsed airway of the 12th generation in a human lung. Plug rupture is driven by a pressure drop of 1.6 104 ~ 2.0 104 dyn/cm2. Initial plug length varies from half to two times the half channel width. A micro-PIV technique is used to acquire velocity fields during rupture, from which wall shear stress is derived. Plug shortening velocity increases with the pressure drop, but decreases with yield stress or the initial plug length. Wall shear stress increases with yield stress, which indicates more potential damage may occur to epithelial cells when pathologic mucus has a high yield stress. Near the rupture moment, a wall shear stress peak appears at the front of the film deposited by the plug during rupture. This work is supported by NIH: HL84370 and HL85156.

  18. Surgical Strategies for Acutely Ruptured Arteriovenous Malformations.

    PubMed

    Martinez, Jaime L; Macdonald, R Loch

    2015-11-01

    Brain arteriovenous malformations (AVMs) are focal neurovascular lesions consisting of abnormal fistulous connections between the arterial and venous systems with no interposed capillaries. This arrangement creates a high-flow circulatory shunt with hemorrhagic risk and hemodynamic abnormalities. While most AVMs are asymptomatic, they may cause severe neurological complications and death. Each AVM carries an annual rupture risk of 2-4%. Intracranial hemorrhage due to AVM rupture is the most common initial manifestation (up to 70% of presentations), and it carries significant morbidity and mortality. This complication is particularly important in the young and otherwise healthy population, in whom AVMs cause up to one-third of all hemorrhagic strokes. A previous rupture is the single most important independent predictor of future hemorrhage. Current treatment modalities for AVM are microsurgery, endovascular embolization, and radiosurgery. In acutely ruptured AVMs, early microsurgical excision is usually avoided. The standard is to wait at least 4 weeks to allow for patient recovery, hematoma liquefaction, and inflammatory reactions to subside. Exceptions to this rule are small, superficial, low-grade AVMs with elucidated angioarchitecture, for which early simultaneous hematoma evacuation and AVM excision is feasible. Emergent hematoma evacuation with delayed AVM excision (unless, as mentioned, the AVM is low grade) is recommended in patients with a decreased level of consciousness due to intracranial hemorrhage, posterior fossa or temporal lobe hematoma of >30 ml, or hemispheric hematoma of >60 ml. The applicability of endovascular techniques for acutely ruptured AVMs is not clear, but feasible options, until a definitive treatment is determined, include occluding intranidal and distal flow-related aneurysms and 'sealing' any rupture site or focal angioarchitectural weakness when one can be clearly identified and safely accessed. Radiosurgery is not performed in acutely ruptured AVMs because its therapeutic effects occur in a delayed fashion. PMID:26587641

  19. Pericardial rupture from blunt chest trauma

    PubMed Central

    Borrie, J.; Lichter, I.

    1974-01-01

    Borrie, J. and Lichter, I. (1974).Thorax, 29, 329-337. Pericardial rupture from blunt chest trauma. Pericardial rupture may occur in two distinct anatomical sites, namely the diaphragmatic pericardium and the pleuropericardium. They may be combined. The problems in each type are different. In ruptured diaphragmatic pericardium the rent may involve the pericardial cavity alone, or may extend into one or both adjoining pleural cavities. Upward herniation of abdominal viscera can occur, with or without strangulation. The presence of a pericardial rent may be suggested by diagnostic pneumoperitoneum, and chest films showing displaced abdominal viscera; its extent may be fully revealed only by thoracotomy. If the rent involves only the diaphragmatic pericardium without lateral spread into a pleural cavity, the presence of a rent may be revealed only by exploratory thoracotomy with pericardiotomy. In ruptured pleuropericardium the rent is usually vertical and may occur on either side, more usually on the left. It may be recognized on chest films in its early stages by the presence of intrapericardial air arising from associated lung trauma. There is serious risk of heart dislocation with or without strangulation. The defect must be surgically repaired and, because of pericardial retraction, it may require a fabric patch. Teflon fabric has proved to be a long-term satisfactory pericardial substitute. Two cases of each type of pericardial rupture are described and illustrate these points. Images PMID:4853582

  20. Acoustic levels of heavy truck tire ruptures.

    PubMed

    Wood, Matthew; Woodruff, William

    2013-05-01

    Transportation vehicles, whether they are passenger vehicles or heavy trucks and transport vehicles, rely upon rubber tires to negotiate the roadways and surfaces on which they are driven. These tires have the potential of sudden rupture resulting from various causes including but not limited to over-pressurization, sidewall failures, or punctures from roadway debris. These rupture events can and do occur while the vehicles are stationary (e.g., during servicing) or are being driven, and often occur without notice. While the phenomenon of sudden tire failure has been documented for several decades, the potential bodily injury which can occur when an individual is in close proximity to such a sudden rupture has only more recently been documented. Aside from anecdotal mention in case studies, there has been little quantitative information available on the acoustic levels during these failures. Our study provides measured acoustic levels as a function of distance for such catastrophic tire failures. PMID:23622472

  1. On the rupture of DNA molecule

    NASA Astrophysics Data System (ADS)

    Mishra, R. K.; Modi, T.; Giri, D.; Kumar, S.

    2015-05-01

    Using Langevin dynamics simulations, we study effects of the shear force on the rupture of a double stranded DNA molecule. The model studied here contains two single diblock copolymers interacting with each other. The elastic constants of individual segments of diblock copolymer are considered to be different. We showed that the magnitude of the rupture force depends on whether the force is applied at 3' - 3' - ends or 5' - 5' - ends. Distributions of extension in hydrogen bonds and covalent bonds along the chain show the striking differences. Motivated by recent experiments, we have also calculated the variation of rupture force for different chain lengths. Results obtained from simulations have been validated with the analytical calculation based on the ladder model of DNA.

  2. Right ventricular hydatid cyst ruptured to pericardium.

    PubMed

    Sabzi, Feridoun; Vaziri, Siavoosh; Faraji, Reza

    2015-01-01

    Cardiac hydatidosis is rare presentation of body hydatidosis. Incidence of cardiac involvements range from 5% to 5% of patients with hydatid disease. Most common site of hydatid cyst in heart is interventricular septum and left ventricular free wall. Right ventricular free wall involvement by cyst that ruptured to pericardial cavity is very rare presentation of hydatid cyst. Cardiac involvement may have serious consequences such as rupture to blood steam or pericardial cavity. Both the disease and its surgical treatment carry a high complication rate, including rupture leading to cardiac tamponade, anaphylaxis and also death. In the present report, a 43-year-old man with constrictive pericarditis secondary to a pericardial hydatid cyst is described. PMID:26139761

  3. Postmyomectomic Uterine Rupture Despite Cesarean Section.

    PubMed

    Kacperczyk, Joanna; Bartnik, Paweł; Romejko-Wolniewicz, Ewa; Dobrowolska-Redo, Agnieszka

    2016-03-01

    Uterine fibroids (leiomyomas) are benign smooth muscle tumors of the uterus. Fibroids can develop anywhere within the muscular wall. Leiomyomas may be associated with infertility. Laparoscopic myomectomy is often used to remove symptomatic intramural or subserosal fibroids. Advantages of the procedure include short recovery time and minimal perioperative morbidity. At the same time, the multilayer suture technique is more complicated during laparoscopy. A rare but serious complication of laparoscopic myomectomies is uterine rupture. A brief review of the literature and a clinical example of a 33-year-old woman with history of infertility, laparoscopic myomectomies and uterine rupture followed by peripartum hemorrhage is presented. The treatment of leiomyomas is a challenge not only because of possible recurrence but also due to long-term consequences following successful myomectomy. Management of patients with uterine scars should include careful planning of the route of delivery, as the risk of rupture may be increased. PMID:26976991

  4. Component external leakage and rupture frequency estimates

    SciTech Connect

    Eide, S.A.; Khericha, S.T.; Calley, M.B.; Johnson, D.A.; Marteeny, M.L.

    1991-11-01

    In order to perform detailed internal flooding risk analyses of nuclear power plants, external leakage and rupture frequencies are needed for various types of components - piping, valves, pumps, flanges, and others. However, there appears to be no up-to-date, comprehensive source for such frequency estimates. This report attempts to fill that void. Based on a comprehensive search of Licensee Event Reports (LERs) contained in Nuclear Power Experience (NPE), and estimates of component populations and exposure times, component external leakage and rupture frequencies were generated. The remainder of this report covers the specifies of the NPE search for external leakage and rupture events, analysis of the data, a comparison with frequency estimates from other sources, and a discussion of the results.

  5. Partial rupture of the distal biceps tendon.

    PubMed

    Drr, H R; Stbler, A; Pfahler, M; Matzko, M; Refior, H J

    2000-05-01

    Partial rupture of the distal biceps tendon is a relatively rare event, and various degrees of partial tendon tears have been reported. In the current study four patients with partial atraumatic distal biceps tendon tears (mean age, 59 years; range, 40-82 years) are reported. In all four patients, a common clinical pattern emerged. Pain at the insertion of the distal biceps tendon in the radius unrelated to any traumatic event was the main symptom. In all patients the diagnosis was based on magnetic resonance imaging or computed tomography imaging. In three of four patients the partial rupture of the tendon caused a significant bursalike lesion. The typical appearance was a partially ruptured biceps tendon, with contrast enhancement signaling the degree of degeneration, tenosynovitis, and soft tissue swelling extending along the tendon semicircular to the proximal radius. In three patients, conservative treatment was successful. Only one patient needed surgery, with reinsertion of the tendon resulting in total functional recovery. PMID:10818980

  6. Prognostic factors of spontaneously ruptured hepatocellular carcinoma

    PubMed Central

    Han, Xiang-Jun; Su, Hong-Ying; Shao, Hai-Bo; Xu, Ke

    2015-01-01

    AIM: To evaluate the prognostic factors in patients with spontaneously ruptured hepatocellular carcinoma (HCC). METHODS: Seventy-nine patients experiencing spontaneous rupture of HCC between April 2004 and August 2014 were enrolled in this study. The clinical features, treatment modalities and outcomes were reviewed. The statistical methods used in this work included univariate analysis, Kaplan-Meier survival analysis with log-rank tests, and multivariate analysis using a Cox regression hazard model. RESULTS: Of the 79 patients with HCC rupture, 17 (21.5%) underwent surgery, 32 (40.5%) underwent transarterial embolization (TAE), and 30 (38%) received conservative treatment. The median survival time was 125 d, and the mortality rate at 30 d was 27.8%. Multivariate analysis revealed that lesion length (HR = 1.46, P < 0.001), lesion number (HR = 1.37, P = 0.042), treatment before tumor rupture (HR = 4.36, P = 0.019), alanine transaminase levels (HR = 1.0, P = 0.011), bicarbonate levels (HR = 1.18, P < 0.001), age (HR = 0.96, P = 0.026), anti-tumor therapy during the follow-up period (HR = 0.21, P = 0.008), and albumin levels (HR = 0.89, P = 0.010) were independent prognostic factors of survival after HCC rupture. The Barcelona-Clinic Liver Cancer (BCLC) stage was also an important prognostic factor; the median survival times for BCLC stages A, B and C were 251, 175 and 40 d, respectively (P < 0.001). CONCLUSION: Anti-tumor therapy during the follow-up period, without a history of anti-tumor therapy prior to HCC rupture, small tumor length and number, and early BCLC stage are the most crucial predictors associated with satisfactory overall survival. Other factors play only a small role in overall survival. PMID:26139994

  7. Linguine sign in musculoskeletal imaging: calf silicone implant rupture.

    PubMed

    Duryea, Dennis; Petscavage-Thomas, Jonelle; Frauenhoffer, Elizabeth E; Walker, Eric A

    2015-08-01

    Imaging findings of breast silicone implant rupture are well described in the literature. On MRI, the linguine sign indicates intracapsular rupture, while the presence of silicone particles outside the fibrous capsule indicates extracapsular rupture. The linguine sign is described as the thin, wavy hypodense wall of the implant within the hyperintense silicone on T2-weighted images indicative of rupture of the implant within the naturally formed fibrous capsule. Hyperintense T2 signal outside of the fibrous capsule is indicative of an extracapsular rupture with silicone granuloma formation. We present a rare case of a patient with a silicone calf implant rupture and discuss the MRI findings associated with this condition. PMID:25577259

  8. Gastric rupture after bag-mask-ventilation

    PubMed Central

    Bednarz, Stephan; Filipovic, Miodrag; Schoch, Otto; Mauermann, Eckhard

    2015-01-01

    A 42 year old woman underwent bronchoscopy with procedural propofol sedation. During the procedure, the patient suffered respiratory arrest, and bag-mask ventilation was initiated. During forced mask ventilation, abdominal distention occurred. Even after correct placement of an endotracheal and a nasogastric tube, high inspiratory pressures persisted. The abdominal CT scan revealed a high amount of intraperitoneal free air. An emergent laparotomy confirmed a stomach rupture. Immediately after opening of the peritoneal cavity, peak ventilatory pressures decreased. In this case forceful bag-mask ventilation led to air insufflation into the stomach, increasing gastric pressure, and consecutive stomach rupture. PMID:26744639

  9. COMPARISON OF CLADDING CREEP RUPTURE MODELS

    SciTech Connect

    P. Macheret

    2000-06-12

    The objective of this calculation is to compare several creep rupture correlations for use in calculating creep strain accrued by the Zircaloy cladding of spent nuclear fuel when it has been emplaced in the repository. These correlations are used to calculate creep strain values that are then compared to a large set of experimentally measured creep strain data, taken from four different research articles, making it possible to determine the best fitting correlation. The scope of the calculation extends to six different creep rupture correlations.

  10. Modeling rupture segmentations on the Cascadia megathrust

    NASA Astrophysics Data System (ADS)

    Yang, H.; Liu, Y.; McGuire, J. J.

    2012-12-01

    The Cascadia subduction zone has produced a series of large to great earthquakes, most recently in 1700 AD. Paleoseismological studies of submarine turbidites suggest a significant difference in recurrence interval between Northern (~500 year) and Southern (~200-300 year) Cascadia. Whether future large ruptures are segmented is very important for estimating hazard in Pacific Northwest, but remains enigmatic from the interpretations of current locking maps. Our approach is to develop rupture scenarios of Cascadia earthquakes by performing numerical simulations using the finite element software, PyLith. Based on the USGS plate interface model of Cascadia, we have constructed a realistic three-dimensional subduction fault model that stretches from Northern California to Central Vancouver Island. We have performed a number of dynamic rupture simulations using a set of artificial friction parameters and uniform stress distributions on the fault governed by a slip-weakening friction law. Preliminary results show that ruptures have initiated from the nucleation zone with higher shear stress than the ambient fault and have propagated on the realistic three-dimensional fault surface. The increase of dip angle with depth has little effect on the rupture propagation because that is governed mostly by the fault strength. The along-strike bend of the fault beneath Washington state and Vancouver Island has not impeded the rupture propagation given the uniform fault strength. To estimate the possible rupture segmentation, we have converted a slip-deficit rate model derived from GPS data into stress change distributions on the fault assuming the entire slip deficit would be released in the next great earthquake. We are also constructing another initial stress map derived from tidal and leveling data, which shows a significant difference in the locking depth beneath Central Oregon. The other important variable, the spatial variation of frictional parameters, however, has to be determined under certain assumptions. We assume the critical distance, Dc, is proportional to the final slip, thus will be obtained from the slip deficit distribution. By combining the estimated stresses and Dc for the slip-weakening relation, we will investigate how the different interseismic locking profiles could influence possible segmentation for future ruptures on the Cascadia megathrust. This work is supported by FM Global.

  11. Thoracic Outlet Syndrome Following Breast Implant Rupture

    PubMed Central

    Caplash, Yugesh; Giri, Pratyush; Kearney, Daniel; Wagstaff, Marcus

    2015-01-01

    Summary: We present a patient with bilateral breast implant rupture who developed severe locoregional silicone granulomatous lymphadenopathy. Poly Implant Prothese silicone implants had been used for bilateral breast augmentation 5 years prior. Extracapsular implant rupture and bilateral axillary lymphadenopathy indicated explantation, capsulectomy, and selective lymph node excision. Histology demonstrated silicone lymphadenopathy with no evidence of malignancy. Over the subsequent 12 months, she developed progressive locoregional lymphadenopathy involving bilateral cervical, axillary, and internal mammary groups, resulting in bilateral thoracic outlet syndrome. We report the unusual presentation, progression, and the ultimate surgical management of this patient. PMID:25878942

  12. Tendon ruptures: mallet, flexor digitorum profundus.

    PubMed

    Yeh, Peter C; Shin, Steven S

    2012-08-01

    Mallet injuries are the most common closed tendon injury in the athlete. Flexor digitorum profundus ruptures are rare in baseball, but are common injuries in contact sports. The diagnosis for each condition is based on clinical examination, although radiographs should be evaluated for a possible bony component. Treatment for mallet injury depends on the athlete's goals of competition and understanding of the consequences of any treatment chosen. Gripping, throwing, and catching would be restricted or impossible with the injured finger immobilized. Treatment of FDP ruptures is almost always surgical and requires reattachment of the torn tendon to the distal phalanx. PMID:22883898

  13. Rupture energy of a pendular liquid bridge

    NASA Astrophysics Data System (ADS)

    Pitois, O.; Moucheront, P.; Chateau, X.

    2001-09-01

    We propose a simple expression for the rupture energy of a pendular liquid bridge between two spheres, taking into account capillary and viscous (lubrication) forces. In the case of capillary forces only, the results are in accordance with curve fitting expressions proposed by Simons et al. [2] and Willett et al. [5]. We performed accurate measurements of the force exerted by liquid bridges between two spheres. Experimental results are found to be close to theoretical values. A reasonable agreement is also found in the presence of viscous forces. Finally, for small bridge volumes, the rupture criterion given by Lian et al. [10] is modified, taking into account additional viscous effects.

  14. Spontaneous Achilles tendon rupture in alkaptonuria.

    PubMed

    Alajoulin, Omar A; Alsbou, Mohammed S; Ja'afreh, Somayya O; Kalbouneh, Heba M

    2015-12-01

    Alkaptonuria (AKU) is a rare inborn metabolic disease characterized by accumulation of homogentisic acid (HGA). Excretion of HGA in urine causes darkening of urine and its deposition in connective tissues causes dark pigmentation (ochronosis), early degeneration of articular cartilage, weakening of the tendons, and subsequent rupture. In this case report, we present a rare case of a patient presented with unilateral spontaneous rupture of Achilles tendon due to AKU. The patient developed most of the orthopedic manifestations of the disease earlier than typical presentations. Alkaptonuria patients should avoid strenuous exercises and foot straining especially in patients developing early orthopedic manifestations. PMID:26620992

  15. Spontaneous Achilles tendon rupture in alkaptonuria

    PubMed Central

    Alajoulin, Omar A.; Alsbou, Mohammed S.; Jaafreh, Somayya O.; Kalbouneh, Heba M.

    2015-01-01

    Alkaptonuria (AKU) is a rare inborn metabolic disease characterized by accumulation of homogentisic acid (HGA). Excretion of HGA in urine causes darkening of urine and its deposition in connective tissues causes dark pigmentation (ochronosis), early degeneration of articular cartilage, weakening of the tendons, and subsequent rupture. In this case report, we present a rare case of a patient presented with unilateral spontaneous rupture of Achilles tendon due to AKU. The patient developed most of the orthopedic manifestations of the disease earlier than typical presentations. Alkaptonuria patients should avoid strenuous exercises and foot straining especially in patients developing early orthopedic manifestations. PMID:26620992

  16. Pectoralis major tendon rupture. Surgical procedures review.

    PubMed Central

    Merolla, Giovanni; Paladini, Paolo; Campi, Fabrizio; Porcellini, Giuseppe

    2012-01-01

    Summary Pectoralis major (PM) muscle is the powerful dynamic stabiliser of the shoulder that acts as a flexor, adductor and internal rotator. The rupture of the PM tendon is a relatively rare injury that was firstly described in a French boy by Patissier in 1822 and later, in 1861, by Letenneur who reported another similiar case. To date, over 200 cases have been published. In this article we describe the clinical anatomy and the mechanism of injuries of PM and we review the surgical procedures for acute and chronic ruptures. PMID:23738281

  17. Earthquake Stress Drop in Rupture Patches and Rupture Barriers on Gofar Transform Fault, East Pacific Rise

    NASA Astrophysics Data System (ADS)

    Moyer, P. A.; Boettcher, M. S.; McGuire, J. J.; Collins, J. A.

    2014-12-01

    The largest earthquakes on mid-ocean ridge transform faults (RTFs) exhibit the most systematic behaviors known in seismology. On the fast slipping Gofar transform fault on the East Pacific Rise (EPR), Mw ~6.0 earthquakes occur every ~5 years and repeatedly rupture the same asperities (fault patches), suggesting that the intervening fault segments (rupture barriers) stop the propagation of the largest earthquakes. In 2008, an ocean bottom seismometer (OBS) deployment captured the end of a seismic cycle on Gofar transform fault [McGuire et al., 2012]. We determine stress drop for earthquakes recorded during this experiment to investigate how the source properties of moderate sized earthquakes (3.0 < Mw < 5.5) differ between the rupture patch and rupture barrier fault segments. The OBS experiment on Gofar transform fault recorded an extensive foreshock sequence localized within a 10 km rupture barrier, the Mw 6.0 mainshock and its aftershocks that occurred in a ~10 km rupture patch, and an earthquake swarm that was located in a second rupture barrier adjacent to the ridge-transform intersection. Using waveforms recorded with a sample rate of 50 Hz on the OBS accelerometers, we calculate stress drop using the Madariaga [1976] circular crack model, with the corner frequency derived from an empirical Green's function (EGF) method, and seismic moment obtained by fitting an omega-squared source model to the low frequency amplitude of individual event spectra. Results for ~300 earthquakes in the foreshock, aftershock, and swarm zones have a range of stress drops from 0.2 to 50 MPa. Values for the best constrained 10% of earthquakes show a weighted average stress drop in the aftershock zone that is more than twice the weighted average stress drop in the foreshock zone (3.5 MPa and 1.1 MPa, respectively). These variations in earthquake stress drop reflect systematic differences in along strike fault zone properties between rupture patches and rupture barriers on Gofar transform fault.

  18. fMRI activation of the fusiform gyrus and amygdala to cartoon characters but not to faces in a boy with autism.

    PubMed

    Grelotti, David J; Klin, Ami J; Gauthier, Isabel; Skudlarski, Pawel; Cohen, Donald J; Gore, John C; Volkmar, Fred R; Schultz, Robert T

    2005-01-01

    Abnormal hypoactivation in the amygdala and fusiform gyrus, brain areas that participate in face processing and social cognition, has consistently been demonstrated in persons with autism. We investigated activity in these areas in a boy with autism, DD, who had a special interest in "Digimon" cartoon characters. DD individuates Digimon faster than familiar faces and objects, but he individuates familiar faces no faster than objects. In contrast, a typically developing boy with an interest in "Pokemon" cartoon characters is equally fast at individuating faces and Pokemon and faster at individuating faces and Pokemon than objects and Digimon. In addition, using functional magnetic resonance imaging (fMRI), we show that DD activates his amygdala and fusiform gyrus for perceptual discriminations involving Digimon but not for those involving familiar or unfamiliar faces. This pattern of activation is not seen in the typically developing control with an interest in Pokemon or in a second comparison case who has autism but no interest in Digimon. These results have important implications for our understanding of autism, cortical face specialization, and the possible role of the amygdala in the development of perceptual expertise. PMID:15707614

  19. [Papillary Muscle Rupture after Repair of Ischemic Left Ventricular Free Wall Rupture; Report of a Case].

    PubMed

    Kurumisawa, Soki; Kaminishi, Yuichirou; Akutsu, Hirohiko; Takazawa, Ippei; Aizawa, Kei; Misawa, Yoshio

    2015-11-01

    A 67-year-old man experienced acute inferior myocardial infarction. Echocardiography and computed tomography showed massive pericardial effusion. He underwent emergency operation for ischemic ventricular free wall rupture. During the operation, an oozing type rupture was found on the inferior wall and the bleeding was completely controlled by applying fibrin glue sheets. On the 5th day after the operation, ventricular tachycardia appeared with hemodynamic deterioration. Echocardiography showed a ruptured posteromedial papillary muscle with massive mitral regurgitation. Intra-aortic balloon pumping was introduced and emergency repair operation was performed. The mitral valve was replaced with a bioprosthetic valve. The postoperative course was uneventful. PMID:26555919

  20. D-Zero Cryostat Supplemental Rupture Disc

    SciTech Connect

    Mulholland, G.T.; /Fermilab

    1987-08-03

    The common relief and rupture disc vent line requires a double disc assembly with vented interspace for accurate disc burst pressures. The first disc must take pump and purge vacuum loading, but be set to operate at 110% of the MAWP, 18.3 psig (ASME code). The available solution is 18.3 psig with a burst tolerance of +/- psig. The interspace should be locally vented by a flow limiting vent valve to decouple the vent line backpressure from the vessel rupture disc. The second disc must take the worst case vent line backpressure, the steady state value found in D-Zero engineering note 3740.000-EN-63 with all three cryostats simultaneously venting at the fire condition into the 4-inch x 6-inch and 6-inch x 8-inch sections. This value is less than 2 psid. The maximum rupture value for the second disc must be less than the minimum rupture value for the first disc less 2 psid i.e. < 16.3.

  1. Surgical Management of Spontaneous Ruptured Hepatocellular Adenoma

    PubMed Central

    Ribeiro Junior, Marcelo Augusto Fontenelle; Chaib, Eleazar; Saad, William Abro; DAlbuquerque, Luiz Augusto Carneiro; Cecconello, Ivan

    2009-01-01

    AIMS Spontaneous ruptured hepatocellular adenoma (SRHA) is a rare life-threatening condition that may require surgical treatment to control hemorrhaging and also stabilize the patient. We report a series of emergency surgeries performed at our institution for this condition. METHODS We reviewed medical records and radiology files of 28 patients (from 1989 to 2006) with a proven diagnosis of hepatocellular adenoma (HA). Three (10.7%) of 28 patients had spontaneous ruptured hepatocellular adenoma, two of which were associated with intrahepatic hemorrhage while one had intraperitoneal bleeding. Two patients were female and one was male. Both female patients had a background history of oral contraceptive use. Sudden abdominal pain associated with hemodynamic instability occurred in all patients who suffered from spontaneous ruptured hepatocellular adenoma. The mean age was 41.6 years old. The preoperative assessment included liver function tests, ultrasonography and computed tomography. RESULTS The surgical approaches were as follows: right hemihepatectomy for controlling intraperitoneal bleeding, and right extended hepatectomy and non-anatomic resection of the liver for intrahepatic hemorrhage. There were no deaths, and the postoperative complications were bile leakage and wound infection (re-operation), as well as intraperitoneal abscess (re-operation) and pleural effusion. CONCLUSION Spontaneous ruptured hepatocellular adenoma may be treated by surgery for controlling hemorrhages and stabilizing the patient, and the decision to operate depends upon both the patients condition and the expertise of the surgical team. PMID:19690662

  2. Surface Rupture in Northwest Saudi Arabia

    USGS Multimedia Gallery

    Wendy McCausland of the USGS Volcano Disaster Assistance Program and Hani Zahran of the Saudi Geological Survey view the southern end of the surface fault rupture caused by a M5.4 earthquake in the Saudi Arabian desert on May 19, 2009. The ground displacements in the soft sediments of the foreground...

  3. Surgical resection of ruptured fibrolamellar hepatocellular carcinoma.

    PubMed

    Minutolo, Vincenzo; Licciardello, Alessio; Arena, Manuel; Minutolo, Orazio; Lanteri, Raffaele; Arena, Goffredo

    2013-01-01

    Fibrolamellar hepatocellular carcinoma (FLH) is a rare primary tumor of the liver, which typically arises from noncirrhotic livers and affects patients below the age of 35. We report on a 29-year-old male patient who presented with a ruptured FLH and was treated with surgical resection. Options for treatment and review of the management are described. PMID:23956918

  4. Surgical Resection of Ruptured Fibrolamellar Hepatocellular Carcinoma

    PubMed Central

    Minutolo, Vincenzo; Licciardello, Alessio; Arena, Manuel; Minutolo, Orazio; Lanteri, Raffaele; Arena, Goffredo

    2013-01-01

    Fibrolamellar hepatocellular carcinoma (FLH) is a rare primary tumor of the liver, which typically arises from noncirrhotic livers and affects patients below the age of 35. We report on a 29-year-old male patient who presented with a ruptured FLH and was treated with surgical resection. Options for treatment and review of the management are described. PMID:23956918

  5. Spontaneous splenic rupture resulted from infectious mononucleosis

    PubMed Central

    Won, Andy C.M.; Ethell, Anthony

    2011-01-01

    INTRODUCTION Infectious mononucleosis is common among young adults and teenagers. However, spontaneous rupture of spleen secondary to IM is rare and it is the most frequent cause of death in infectious mononucleosis. PRESENTATION OF CASE A previously healthy 16-year-old girl presented with a one-week history of sore throat, non-productive cough, fever, malaise and a positive Monospot test. Prior to transfer to the hospital, she had two syncopal episodes and a complaint of abdominal pain at home. Clinical examination revealed that she was febrile and mildly tachycardic with an evidence of localised peritonism on her left upper quadrant. Urgent abdominal ultrasound and computed tomography scan showed subcapsular haematoma with a significant amount of complex fluid within the abdominal cavity, especially the left flank. Emergency laparotomy was performed and a moderate amount of haemoperitoneum was evacuated. The spleen was found grossly enlarged with a haematoma identified on the ruptured capsule. Splenectomy was performed and peritoneal cavity was washed out meticulously prior to the closure of the abdominal wall. DISCUSSION Despite the fact that infectious mononucleosis is a self-limiting disease, it may cause serious and lethal complications. The best treatment of splenic rupture secondary to infectious mononucleosis has been controversial but it is mainly based on the haemodynamical status of the patient and the experience of the treating surgeon. CONCLUSION Spontaneous rupture of spleen secondary to IM can be lethal in those patients with high possibility of deterioration with conservative management, thus timely surgical intervention is required. PMID:22288057

  6. Bond-rupture immunosensors--a review.

    PubMed

    Hirst, Evan R; Yuan, Yong J; Xu, W L; Bronlund, J E

    2008-07-15

    It has long been the goal of researchers to develop fast and reliable point-of-care alternatives to existing lab-based tests. A viable point-of-care biosensor is fast, reliable, simple, cost-effective, and detects low concentrations of the target analyte. The target of biosensors is biological such as bacteria or virus and as such, the antibody-antigen bond derived from the real immune response is used. Biosensor applications include lab-based tests for the purposes of diagnostics, drug discovery, and research. Additional applications include environmental, food, and agricultural monitoring. The main merits of the bond-rupture method are quick, simple, and capable of discriminating between specific and non-specific interactions. The separation of specific and non-specific bonds is important for working in real-life complex serums such as blood. The bond-rupture technique can provide both qualitative results, the detection of a target, and quantitative results, the concentration of target. Bond-rupture achieves this by a label-free method requiring no pre-processing of the analyte. A piezoelectric transducer such as the quartz crystal microbalance (QCM) shakes the bound particles free from the surface. Other transducers such as Surface Acoustic Wave (SAW) are also considered. The rupture of the bonds is detected as electronic noise. This review article links diverse research areas to build a picture of a field still in development. PMID:18343101

  7. [Splenic rupture--a skateboard accident].

    PubMed

    Kruse, P

    1990-03-01

    A 13-year-old boy presented with persisting abdominal pain after a skateboard accident. Primary clinical and laboratory findings disclosed no signs of intra abdominal bleeding. Ultrasound scanning indicated rupture of the spleen which was confirmed by acute exploratory laparotomy. PMID:2321288

  8. Laparoscopic splenectomy for atraumatic splenic rupture.

    PubMed

    Grossi, Ugo; Crucitti, Antonio; D'Amato, Gerardo; Mazzari, Andrea; Tomaiuolo, Pasquina M C; Cavicchioni, Camillo; Bellantone, Rocco

    2011-01-01

    A traumatic splenic rupture (ASR) is a rare clinical entity. Several underlying benign and malignant conditions have been described as a leading cause. We report on a case of ASR in a 41-year-old man treated with laparoscopic splenectomy. Considering ASR as a life-threatening condition, a prompt diagnosis can be life saving. PMID:21675627

  9. Primary gastric rupture in 47 horses (19952011)

    PubMed Central

    Winfield, Laramie S.; Dechant, Julie E.

    2015-01-01

    The purpose of this retrospective case-control study was to identify factors associated with primary gastric rupture and to investigate if there were differences between etiologies of primary gastric rupture. Compared to the general colic population, Quarter horses were under-represented and Friesians and draft breeds were over-represented in 47 cases of primary gastric ruptures. Horses with primary gastric rupture typically presented with severe clinical and clinicopathological derangements. There were 24 idiopathic gastric ruptures, 20 gastric impaction associated ruptures, and 3 perforating gastric ulcers. Thoroughbred horses were over-represented in the idiopathic gastric rupture group compared to other breeds and etiologies. This study suggests the presence of important breed predispositions for development of gastric rupture. Further study is necessary to identify if these predispositions are associated with management factors or breed-specific disorders. PMID:26345205

  10. Source rupture process of the 2011 Fukushima-ken Hamadori earthquake: how did the two subparallel faults rupture?

    NASA Astrophysics Data System (ADS)

    Tanaka, Miho; Asano, Kimiyuki; Iwata, Tomotaka; Kubo, Hisahiko

    2014-12-01

    The 2011 Fukushima-ken Hamadori earthquake (MW 6.6) occurred about a month after the 2011 Great Tohoku earthquake (MW 9.0), and it is thought to have been induced by the 2011 Tohoku earthquake. After the 2011 Hamadori earthquake, two subparallel faults (the Itozawa and Yunodake faults) were identified by field surveys. The hypocenter was located nearby the Itozawa fault, and it is probable that the Itozawa fault ruptured before the Yunodake fault rupture. Here, we estimated the source rupture process of the 2011 Hamadori earthquake using a model with two subparallel faults based on strong motion data. The rupture starting point and rupture delay time of the Yunodake fault were determined based on Akaike's Bayesian Information Criterion (ABIC). The results show that the Yunodake fault started to rupture from the northern deep point 4.5 s after the Itozawa fault started to rupture. The estimated slip distribution in the shallow part is consistent with the surface slip distribution identified by field surveys. Time-dependent Coulomb failure function changes (?CFF) were calculated using the stress change from the Itozawa fault rupture in order to evaluate the effect of the rupture on the Yunodake fault. The ?CFF is positive at the rupture starting point of the Yunodake fault 4.5 s after the Itozawa fault started to rupture; therefore, it is concluded that during the 2011 Hamadori earthquake, the Yunodake fault rupture was triggered by the Itozawa fault rupture.

  11. Spontaneous rupture of multifocal hepatocellular carcinoma: case report

    PubMed Central

    zen, zkan; Tosun, Alptekin; Akgl, i?dem

    2015-01-01

    Hemoperitoneum due to nontraumatic liver rupture is rare. The most common cause of nontraumatic rupture of the liver is hepatocellular carcinoma (HCC). The other causes of nontraumatic liver ruptures are peliosis hepatis, polyarteritis nodosa, systemic lupus erythematosus, preeclampsia, metastatic carcinoma, and other primary liver tumors. In this report, we present the computed tomography findings of spontaneous liver rupture in a 52-year-old male patient due to multifocal HCC, with the diagnosis proven by surgical specimen. PMID:26316825

  12. A case of ruptured infectious anterior cerebral artery aneurysm treated by interposition graft bypass using the superficial temporal artery

    PubMed Central

    Abe, Takatsugu; Endo, Hidenori; Shimizu, Hiroaki; Fujimura, Miki; Endo, Toshiki; Sakata, Hiroyuki; Watanabe, Mika; Tominaga, Teiji

    2016-01-01

    Background: To describe the application of an interposition graft bypass using superficial temporal artery (STA) for the treatment of a ruptured anterior cerebral artery (ACA) infectious aneurysm. Case Description: A 30-year-old male suffered from severe headache with high fever. The patient's diagnosis was ruptured infectious ACA aneurysm at the A3 segment with a maximum diameter of 4.5 mm, caused by infectious endocarditis. The patient was initially treated with high-dose intravenous antibiotics. Follow-up digital subtraction angiography (DSA) revealed that the fusiform aneurysm had enlarged to a maximum diameter of 14.0 mm. A left paracentral artery, supplying the motor area of the left lower extremity, originated from the body of this aneurysm. Because the angiographic findings suggested a risk of recurrent bleeding, the patient underwent open surgery. Interposition graft bypass using the STA was performed to reconstruct the left A3 segment in an end-to-side manner (left proximal callosomarginal artery STA graft left distal pericallosal artery). Then, the origin of the left paracentral artery was cut and anastomosed to the STA graft in an end-to-side manner. The affected parent artery was trapped, and the aneurysm was resected. Postoperative magnetic resonance imaging showed no ischemic or hemorrhagic complications, and postoperative DSA revealed the patency of the interposition graft. Pathological diagnosis of the resected aneurysm revealed features corresponding to infectious cerebral aneurysm. The postoperative course was uneventful, and the patient was discharged without any neurological deficits. Conclusion: In the treatment of infectious cerebral aneurysms, revascularization should be considered when the affected artery supplies the eloquent area. Interposition graft bypass using the STA is one of the options for revascularization surgery for the treatment of infectious ACA aneurysms. PMID:26862444

  13. Rupture of wetting films caused by nanobubbles.

    PubMed

    Stckelhuber, Klaus Werner; Radoev, Boryan; Wenger, Andreas; Schulzet, Hans Joachim

    2004-01-01

    It is now widely accepted that nanometer sized bubbles, attached at a hydrophobic silica surface, can cause rupture of aqueous wetting films due to the so-called nucleation mechanism. But the knowledge of the existence of such nanobubbles does not give an answer to how the subprocesses of this rupture mechanism operate. The aim of this paper is to describe the steps of the rupture process in detail: (1) During drainage of the wetting film, the apex of the largest nanobubble comes to a distance from the wetting film surface, where surface forces are acting. (2) An aqueous "foam film" in nanoscale size is formed between the bubble and the wetting film surface; in this foam film different Derjaguin-Landau-Verwey-Overbeek (DLVO) forces are acting than in the surrounding wetting film. In the investigated system, hydrophobized silica/water/air, all DLVO forces in the wetting film are repulsive, whereas in the foam film the van der Waals force becomes attractive. (3) The surface forces over and around the apex of the nanobubble lead to a deformation of the film surfaces, which causes an additional capillary pressure in the foam film. An analysis of the pressure balance in the system shows that this additional capillary pressure can destabilize the foam film and leads to rupture of the foam film. (4) If the newly formed hole in the wetting film has a sufficient diameter, the whole wetting film is destabilized and the solid becomes dewetted. Experimental data of rupture thickness and lifetime of wetting films of pure electrolyte and surfactant solutions show that the stabilization of the foam film by surfactants has a crucial effect on the stability of the wetting film. PMID:15745015

  14. Radionuclide diagnosis of splenic rupture in infectious mononucleosis

    SciTech Connect

    Vezina, W.C.; Nicholson, R.L.; Cohen, P.; Chamberlain, M.J.

    1984-06-01

    Spontaneous splenic rupture is a rare but serious complication of infectious mononucleosis. Although radionuclide spleen imaging is a well accepted method for diagnosis of traumatic rupture, interpretation can be difficult in the setting of mononucleosis, as tears may be ill-defined and diagnosis hampered by inhomogeneous splenic uptake. Four proven cases of spontaneous rupture are presented, three of which illustrate these diagnostic problems.

  15. Ruptured rectal duplication with urogenital abnormality: Unusual presentation

    PubMed Central

    Solanki, Shailesh; Babu, M Narendra; Jadhav, Vinay; Shankar, Gowri; Santhanakrishnan, Ramesh

    2015-01-01

    Rectal duplication (RD) accounts for 5% of alimentary tract duplication. A varied presentation and associated anomalies have been described in the literature. Antenatal rupture of the RD is very rare. We present an unusual case of a ruptured RD associated with urogenital abnormalities in newborn male. We are discussing diagnosis, embryology, management and literature review of ruptured RD. PMID:25552833

  16. Ruptured rectal duplication with urogenital abnormality: Unusual presentation.

    PubMed

    Solanki, Shailesh; Babu, M Narendra; Jadhav, Vinay; Shankar, Gowri; Santhanakrishnan, Ramesh

    2015-01-01

    Rectal duplication (RD) accounts for 5% of alimentary tract duplication. A varied presentation and associated anomalies have been described in the literature. Antenatal rupture of the RD is very rare. We present an unusual case of a ruptured RD associated with urogenital abnormalities in newborn male. We are discussing diagnosis, embryology, management and literature review of ruptured RD. PMID:25552833

  17. Megathrust Properties and Large Earthquake Rupture Processes

    NASA Astrophysics Data System (ADS)

    Lay, T.; Ye, L.; Kanamori, H.

    2014-12-01

    Constraining physical controls on seismic rupture of plate boundary megathrust faults is challenging due to observational limitations, but seismic, geodetic, tsunami, electromagnetic, geologic and hydrologic studies are steadily accumulating data that hold potential of advancing our understanding of subduction fault zones. Very shallow (< 15 km deep) megathrust earthquakes are rare, but intermittently occur as large tsunami earthquakes such as the 2010 Mentawai Mw 7.8 event. This rupture occurred up-dip of prior large interplate ruptures in the Sumatra subduction zone in 2007, and rupture extended all the way to the trench, but with patchy large-slip regions that can only be confidently resolved using tsunami observations. The seismic wave radiation from tsunami earthquakes is now established to be distinct from that of ruptures deeper on the megathrust, but the controlling factors are not well-resolved. Smaller events at shallow depths tend to have diverse rupture processes, but some are also anomalously depleted in short-period radiation, suggesting that the shallow environment has variable scale-lengths of frictional heterogeneity. At the other end of the megathrust, large events deeper than about 35 km tend to have modest enhancement of short-period seismic wave radiation, with somewhat lower slope to their short-period source spectra than typical of shallower events. The controlling process are also not well-resolved for this behavior. These depth-variations of megathrust earthquake source spectra are one class of observations that may relate to pressure- and temperature-dependent evolution of the megathrust from the trench to decoupling depths near 45-50 km. Other attributes of seismic sources, such as static stress drop and moment-scaled radiated energy have large variability, but do not show systematic variations with depth on the megathrust, so some attributes of earthquake processes are not strongly influenced by evolving conditions of the plate boundary. We explore these issues based on a recent seismological study of all large interplate earthquakes from 1990-2014 combined with detailed investigations of several recent large and great earthquakes for which we have unprecedented geophysical data sets.

  18. Isolated Total Rupture of Extraocular Muscles

    PubMed Central

    Chen, Jingchang; Kang, Ying; Deng, Daming; Shen, Tao; Yan, Jianhua

    2015-01-01

    Abstract Total rupture of extraocular muscles is an infrequent clinical finding. Here we conducted this retrospective study to evaluate their causes of injury, clinical features, imaging, surgical management, and final outcomes in cases of isolated extraocular muscle rupture at a tertiary center in China. Thirty-six patients were identified (24 men and 12 women). Mean age was 34 years (range 260). The right eye was involved in 21 patients and the left 1 in 15. A sharp object or metal hook was the cause of this lesion in 16 patients, sinus surgery in 14 patients, traffic accident in 3 patients, orbital surgery in 2 patients, and conjunctive tumor surgery in 1 patient. The most commonly involved muscles were medial (18 patients) and inferior rectus muscles (13 patients). The function of the ruptured muscles revealed a scale of ?3 to ?4 defect of ocular motility and the amount of deviation in primary position varied from 10 to 140 PD (prism diopter). Computerized tomography (CT) confirmed the presence of ruptured muscles. An end-to-end muscle anastomosis was performed and 3 to 5?mm of muscle was resected in 23 patients. When the posterior border of the injured muscle could not be identified (13 patients), a partial tendon transposition was performed, together with recession of the antagonist in most patients, whereas a recession of the antagonist muscle plus a resection of the involved muscle with or without nasal periosteal fixation was performed in the remaining patients. After an average of 16.42 months of follow-up an excellent result was achieved in 23 patients and results of 13 patients were considered as a failure. In most patients, the posterior border of the ruptured muscle can be identified and an early surgery can be performed to restore function. Alternatively, a partial tendon transposition should be performed. When muscular rupture is suspected, an early orbital CT is required to confirm this possibility, which can then verify the necessity for an early surgical intervention. PMID:26426604

  19. A review on delayed presentation of diaphragmatic rupture

    PubMed Central

    Rashid, Farhan; Chakrabarty, Mallicka M; Singh, Rajeev; Iftikhar, Syed Y

    2009-01-01

    Diaphragmatic rupture is a life-threatening condition. Diaphragmatic injuries are quite uncommon and often result from either blunt or penetrating trauma. Diaphragmatic ruptures are usually associated with abdominal trauma however, it can occur in isolation. Acute traumatic rupture of the diaphragm may go unnoticed and there is often a delay between the injury and the diagnosis. A comprehensive literature search was performed using the terms "delayed presentation of post traumatic diaphragmatic rupture" and "delayed diaphragmatic rupture". The diagnostic and management challenges encountered are discussed, together with strategies for dealing with them. We have focussed on mechanism of injury, duration, presentation and site of injury, visceral herniation, investigations and different approaches for repair. We intend to stress on the importance of delay in presentation of diaphragmatic rupture and to provide a review on the available investigations and treatment methods. The enclosed case report also emphasizes on the delayed presentation, diagnostic challenges and the advantages of laparoscopic repair of delayed diaphragmatic rupture. PMID:19698091

  20. An unusual presentation of recurrent uterine rupture during pregnancy

    PubMed Central

    Tan, Shu Qi; Thia, Edwin Wee Hong; Tee, Chee Seng John; Yeo, George Seow Heong

    2015-01-01

    We describe a case of recurrent uterine rupture at the site of a previous rupture. Our patient had a history of right interstitial pregnancy with spontaneous uterine fundal rupture at 18 weeks of pregnancy. During her subsequent pregnancy, she was monitored closely by a senior consultant obstetrician. The patient presented at 34 weeks with right hypochondriac pain. She was clinically stable and fetal monitoring showed no signs of fetal distress. Ultrasonography revealed protrusion of the intact amniotic membranes in the abdominal cavity at the uterine fundus. Uterine rupture is a rare but hazardous obstetric complication. High levels of caution should be exercised in patients with a history of prior uterine rupture, as they may present with atypical symptoms. Ultrasonography could provide valuable information in such cases where there is an elevated risk of uterine rupture at the previous rupture site. PMID:26106245

  1. Spontaneous rupture of renal angiomyolipoma during pregnancy.

    PubMed

    dos Santos, Mariana Mouraz Lopes; Proena, Sara Marques Soares; Reis, Maria Ins Nunes Pereira de Almeida; Viana, Rui Miguel Almeida Lopes; Martins, Lusa Maria Bernardo; Colao, Joo Manuel dos Reis; Nunes, Filomena Maria Pinheiro

    2014-08-01

    Renal angiomyolipoma is a benign tumor, composed of adipocytes, smooth muscle cells and blood vessels. The association with pregnancy is rare and related with an increased risk of complications, including rupture with massive retroperitoneal hemorrhage. The follow-up is controversial because of the lack of known cases, but the priorities are: timely diagnosis in urgent cases and a conservative treatment when possible. The mode of delivery is not consensual and should be individualized to each case. We report a case of a pregnant woman with 18 weeks of gestation admitted in the emergency room with an acute right low back pain with no other symptoms. The diagnosis of rupture of renal angiomyolipoma was established by ultrasound and, due to hemodynamically stability, conservative treatment with imaging and clinical monitoring was chosen. At 35 weeks of gestation, it was performed elective cesarean section without complications for both mother and fetus. PMID:25184352

  2. Creep rupture behavior of Stirling engine materials

    NASA Technical Reports Server (NTRS)

    Titran, R. H.; Scheuerman, C. M.; Stephens, J. R.

    1985-01-01

    The automotive Stirling engine, being investigated jointly by the Department of Energy and NASA Lewis as an alternate to the internal combustion engine, uses high-pressure hydrogen as the working fluid. The long-term effects of hydrogen on the high temperature strength properties of materials is relatively unknown. This is especially true for the newly developed low-cost iron base alloy NASAUT 4G-A1. This iron-base alloy when tested in air has creep-rupture strengths in the directionally solidified condition comparable to the cobalt base alloy HS-31. The equiaxed (investment cast) NASAUT 4G-A1 has superior creep-rupture to the equiaxed iron-base alloy XF-818 both in air and 15 MPa hydrogen.

  3. Spontaneous intramural rupture of the oesophagus.

    PubMed Central

    Steadman, C; Kerlin, P; Crimmins, F; Bell, J; Robinson, D; Dorrington, L; McIntyre, A

    1990-01-01

    The clinical, endoscopic, and radiological features of seven patients with an uncommon oesophageal injury characterised by long lacerations of the oesophageal mucosa with haematoma formation but without perforation are reported. The injuries were not related to forceful vomiting or any other definable cause but were similar to those previously described as intramural oesophageal rupture. Upper gastrointestinal endoscopy undertaken to identify the cause of haematemesis in six patients proved safe and useful. When dysphagia and odynophagia occurred early in the clinical course to alert the clinician to possible oesophageal injury, radiological contrast studies were used to exclude perforation. One patient in this study had oesophageal cavernocapillary haemangiomatosis which may have caused intramural oesophageal bleeding and submucosal dissection but in the remainder the aetiology of intramural oesophageal rupture remains uncertain. Conservative management was successful in all patients. Images Figure 1 Figure 2 Figure 3 Figure 4 PMID:2387502

  4. Premature rupture of the membranes: neonatal consequences.

    PubMed

    Merenstein, G B; Weisman, L E

    1996-10-01

    Premature rupture of the membranes (PROM), membrane rupture before the onset of labor, occurs in 2% to 18% of pregnancies. The time from PROM to delivery (latency) is usually less than 48 hours in term pregnancy. Therefore, the risks of PROM at term are related to fetal distress, prolapsed cord, abruptio placenta, and rarely, infection. Preterm PROM (pPROM), PROM before 37 weeks' gestation, accounts for 20% to 40% of PROM, and the incidence is doubled in multiple gestations. The latency period in pPROM is inversely related to the gestational age thereby increasing the risks of oligohydramnios and infection in very premature infants and their mothers. Because pPROM is associated with 30% to 40% of premature births, pPROM is also responsible for the neonatal problems resulting from prematurity. This review examines the impact of PROM on the neonate including fetal distress, prematurity, infection, pulmonary hypoplasia, and restriction deformations. PMID:8912991

  5. Liquid salt environment stress-rupture testing

    DOEpatents

    Ren, Weiju; Holcomb, David E.; Muralidharan, Govindarajan; Wilson, Dane F.

    2016-03-22

    Disclosed herein are systems, devices and methods for stress-rupture testing selected materials within a high-temperature liquid salt environment. Exemplary testing systems include a load train for holding a test specimen within a heated inert gas vessel. A thermal break included in the load train can thermally insulate a load cell positioned along the load train within the inert gas vessel. The test specimen can include a cylindrical gage portion having an internal void filled with a molten salt during stress-rupture testing. The gage portion can have an inner surface area to volume ratio of greater than 20 to maximize the corrosive effect of the molten salt on the specimen material during testing. Also disclosed are methods of making a salt ingot for placement within the test specimen.

  6. Computational model of retinal photocoagulation and rupture

    NASA Astrophysics Data System (ADS)

    Sramek, Christopher; Paulus, Yannis M.; Nomoto, Hiroyuki; Huie, Phil; Palanker, Daniel

    2009-02-01

    In patterned scanning laser photocoagulation, shorter duration (< 20 ms) pulses help reduce thermal damage beyond the photoreceptor layer, decrease treatment time and minimize pain. However, safe therapeutic window (defined as the ratio of rupture threshold power to that of light coagulation) decreases for shorter exposures. To quantify the extent of thermal damage in the retina, and maximize the therapeutic window, we developed a computational model of retinal photocoagulation and rupture. Model parameters were adjusted to match measured thresholds of vaporization, coagulation, and retinal pigment epithelial (RPE) damage. Computed lesion width agreed with histological measurements in a wide range of pulse durations and power. Application of ring-shaped beam profile was predicted to double the therapeutic window width for exposures in the range of 1 - 10 ms.

  7. An unusual diagnosis of splenic rupture.

    PubMed

    Roche, Matthew; Maloku, Fatmir; Abdel-Aziz, Tarek Ezzat

    2014-01-01

    A 22-year-old woman presented with a 3-day history of worsening epigastric pain, non-productive cough and vomiting. On examination she was pale and had abdominal tenderness predominant in the right upper quadrant. Abdominal ultrasound excluded the presence of gall stones, but was unable to rule out free fluid in the abdomen. CT demonstrated extensive high-density ascites; however, no source of bleeding could be demonstrated. Clinically the patient's condition deteriorated, and an exploratory laparotomy was performed. In theatre the splenic capsule was found to have detached from the splenic body and emergency splenectomy was performed. Virology serology later demonstrated acute cytomegalovirus (CMV) infection, although tissue microscopy and CMV staining were negative. No other cause of rupture was found. The interesting aspects of this case include the poor correlation between initial presenting symptoms and subsequent diagnosis, the difficulty encountered in making a firm diagnosis and the atypical cause of rupture. PMID:25293683

  8. Unsuspected paperboard-endophthalmitis in ruptured eye.

    PubMed

    Wolter, J R; Pavilack, M A

    1990-05-01

    The eye of a 3-year-old boy was directly exposed to the explosion of an M-80 firecracker which he had been holding in his hand. The cornea and lens were ruptured. Although not evident on an initial CT scan, pathologic examination revealed a paperboard foreign body lodged in the vitreous. This paperboard, rather than the burnt powder, was likely the central focus of the subacute endophthalmitis that developed. PMID:2381660

  9. Megakaryocyte rupture for acute platelet needs

    PubMed Central

    Stritt, Simon

    2015-01-01

    Circulating platelets were thought to arise solely from the protrusion and fragmentation of megakaryocyte cytoplasm. Now, Nishimura et al. (2015. J. Cell Biol. http://dx.doi.org/10.1083/jcb.201410052) show that platelet release from megakaryocytes can be induced by interleukin-1? (IL-1?) via a new rupture mechanism, which yields higher platelet numbers, occurs independently of the key regulator of megakaryopoiesis thrombopoietin, and may occur during situations of acute platelet need. PMID:25963815

  10. Megakaryocyte rupture for acute platelet needs.

    PubMed

    Nieswandt, Bernhard; Stritt, Simon

    2015-05-11

    Circulating platelets were thought to arise solely from the protrusion and fragmentation of megakaryocyte cytoplasm. Now, Nishimura et al. (2015. J. Cell Biol. http://dx.doi.org/10.1083/jcb.201410052) show that platelet release from megakaryocytes can be induced by interleukin-1? (IL-1?) via a new rupture mechanism, which yields higher platelet numbers, occurs independently of the key regulator of megakaryopoiesis thrombopoietin, and may occur during situations of acute platelet need. PMID:25963815

  11. Wrapped Wire Detects Rupture Of Pressure Vessel

    NASA Technical Reports Server (NTRS)

    Hunt, James B.

    1990-01-01

    Simple, inexpensive technique helps protect against damage caused by continuing operation of equipment after rupture or burnout of pressure vessel. Wire wrapped over area on outside of vessel where breakthrough most likely. If wall breaks or burns, so does wire. Current passing through wire ceases, triggering cutoff mechanism stopping flow in vessel to prevent further damage. Applied in other situations in which pipes or vessels fail due to overpressure, overheating, or corrosion.

  12. Endovascular Treatment of Ruptured Pericallosal Artery Aneurysms

    PubMed Central

    Ko, Jun Kyeung; Kim, Hwan Soo; Choi, Hyuk Jin; Lee, Tae Hong; Yun, Eun Young

    2015-01-01

    Objective Aneurysms arising from the pericallosal artery (PA) are uncommon and challenging to treat. The aim of this study was to report our experiences of the endovascular treatment of ruptured PA aneurysms. Methods From September 2003 to December 2013, 30 ruptured PA aneurysms in 30 patients were treated at our institution via an endovascular approach. Procedural data, clinical and angiographic results were retrospectively reviewed. Results Regarding immediate angiographic control, complete occlusion was achieved in 21 (70.0%) patients and near-complete occlusion in 9 (30.0%). Eight procedure-related complications occurred, including intraprocedural rupture and early rebleeding in three each, and thromboembolic event in two. At last follow-up, 18 patients were independent with a modified Rankin Scale (mRS) score of 0-2, and the other 12 were either dependent or had expired (mRS score, 3-6). Adjacent hematoma was found to be associated with an increased risk of poor clinical outcome. Seventeen of 23 surviving patients underwent follow-up conventional angiography (mean, 16.5 months). Results showed stable occlusion in 14 (82.4%), minor recanalization in two (11.8%), and major recanalization, which required recoiling, in one (5.9%). Conclusion Our experiences demonstrate that endovascular treatment for a ruptured PA aneurysms is both feasible and effective. However, periprocedural rebleedings were found to occur far more often (20.0%) than is generally suspected and to be associated with preoperative contrast retention. Analysis showed existing adjacent hematoma is predictive of a poor clinical outcome. PMID:26539261

  13. Ruptured carotid aneurysm revealing a Behcet's disease.

    PubMed

    Lyazidi, Youssef; Abissegue, Ghislain Y; Chtata, Hassan T; Taberkant, Mustafa

    2015-08-01

    We report the case of a 20-year-old male who was operated for a large ruptured aneurysm of the right common carotid artery, revealing a Behcet's disease. The aneurysm was excised and the right common carotid artery was repaired with a polytetrafluoroethylene prosthesis. None of the criteria of the International Study Group for Behcet's disease was present at the time of the diagnosis. PMID:26038305

  14. Rupture directivity of moderate earthquakes in northern California

    USGS Publications Warehouse

    Seekins, Linda C.; Boatwright, John

    2010-01-01

    We invert peak ground velocity and acceleration (PGV and PGA) to estimate rupture direction and rupture velocity for 47 moderate earthquakes (3.5?M?5.4) in northern California. We correct sets of PGAs and PGVs recorded at stations less than 55125 km, depending on source depth, for site amplification and sourcereceiver distance, then fit the residual peak motions to the unilateral directivity function of Ben-Menahem (1961). We independently invert PGA and PGV. The rupture direction can be determined using as few as seven peak motions if the station distribution is sufficient. The rupture velocity is unstable, however, if there are no takeoff angles within 30 of the rupture direction. Rupture velocities are generally subsonic (0.5?0.9?); for stability, we limit the rupture velocity at v=0.92?, the Rayleigh wave speed. For 73 of 94 inversions, the rupture direction clearly identifies one of the nodal planes as the fault plane. The 35 strike-slip earthquakes have rupture directions that range from nearly horizontal (6 events) to directly updip (5 events); the other 24 rupture partly along strike and partly updip. Two strike-slip earthquakes rupture updip in one inversion and downdip in the other. All but 1 of the 11 thrust earthquakes rupture predominantly updip. We compare the rupture directions for 10 M?4.0 earthquakes to the relative location of the mainshock and the first two weeks of aftershocks. Spatial distributions of 8 of 10 aftershock sequences agree well with the rupture directivity calculated for the mainshock.

  15. Transient gravity perturbations induced by earthquake rupture

    NASA Astrophysics Data System (ADS)

    Harms, J.; Ampuero, J.-P.; Barsuglia, M.; Chassande-Mottin, E.; Montagner, J.-P.; Somala, S. N.; Whiting, B. F.

    2015-06-01

    The static and transient deformations produced by earthquakes cause density perturbations which, in turn, generate immediate, long-range perturbations of the Earth's gravity field. Here, an analytical solution is derived for gravity perturbations produced by a point double-couple source in homogeneous, infinite, non-self-gravitating elastic media. The solution features transient gravity perturbations that occur at any distance from the source between the rupture onset time and the arrival time of seismic P waves, which are of potential interest for real-time earthquake source studies and early warning. An analytical solution for such prompt gravity perturbations is presented in compact form. We show that it approximates adequately the prompt gravity perturbations generated by strike-slip and dip-slip finite fault ruptures in a half-space obtained by numerical simulations based on the spectral element method. Based on the analytical solution, we estimate that the observability of prompt gravity perturbations within 10 s after rupture onset by current instruments is severely challenged by the background microseism noise but may be achieved by high-precision gravity strainmeters currently under development. Our analytical results facilitate parametric studies of the expected prompt gravity signals that could be recorded by gravity strainmeters.

  16. Dynamics of retinal photocoagulation and rupture

    NASA Astrophysics Data System (ADS)

    Sramek, Christopher; Paulus, Yannis; Nomoto, Hiroyuki; Huie, Phil; Brown, Jefferson; Palanker, Daniel

    2009-05-01

    In laser retinal photocoagulation, short (<20 ms) pulses have been found to reduce thermal damage to the inner retina, decrease treatment time, and minimize pain. However, the safe therapeutic window (defined as the ratio of power for producing a rupture to that of mild coagulation) decreases with shorter exposures. To quantify the extent of retinal heating and maximize the therapeutic window, a computational model of millisecond retinal photocoagulation and rupture was developed. Optical attenuation of 532-nm laser light in ocular tissues was measured, including retinal pigment epithelial (RPE) pigmentation and cell-size variability. Threshold powers for vaporization and RPE damage were measured with pulse durations ranging from 1 to 200 ms. A finite element model of retinal heating inferred that vaporization (rupture) takes place at 180-190C. RPE damage was accurately described by the Arrhenius model with activation energy of 340 kJ/mol. Computed photocoagulation lesion width increased logarithmically with pulse duration, in agreement with histological findings. The model will allow for the optimization of beam parameters to increase the width of the therapeutic window for short exposures.

  17. Bladder rupture after intentional medication overdose.

    PubMed

    Huston, Butch; Mills, Kelly; Froloff, Victor; McGee, Michael

    2012-06-01

    We report the case of a 51-year-old woman who had a medical history of diabetes, depression with past suicide attempts, and suicidal ideation. She was found unresponsive in a motel with multiple bottles of medicines (melatonin, carisoprodol, ativan, and clonazepam) and an unopened bottle of wine. She was transported to the local hospital and treated for benzodiazepine toxicity and aspiration pneumonitis.The decedent gradually became more alert and was extubated 3 days after hospital admission. The decedent was reportedly getting up to use the restroom when she became tachypneic and diaphoretic and complained of generalized body pain. Her condition quickly declined, and she was pronounced deceased. A postmortem examination revealed an acute bladder rupture and soft tissue hemorrhage.A review of the literature reveals that isolated bladder rupture after minimal or no trauma in association with alcohol or drug ingestion is an infrequently reported, but recognized, injury. The diagnosis of bladder rupture should be considered in a patient with lower abdominal pain, even without a history of trauma. A history of voiding or bladder dysfunction should increase the suspicion for this injury. If suspected, a retrograde cystogram should be obtained promptly. Failure to consider and recognize this injury may lead to significant morbidity. PMID:21897194

  18. [Muscular rupture of the extensor pollicis longus].

    PubMed

    Towfigh, H

    1984-12-01

    Closed ruptures of the extensor pollicis longus tendon usually appear as a consequence of fractures of the wrist joint or the carpal bones or ensue from polyarthritic changes or result from a process of degeneration. Mechanical injury of the tendon is quite rare but can be observed after direct trauma or after operative treatment of a distal fracture of the radius. Closed traumatic ruptures of the extensor pollicis longus tendon in the absence of pathological changes are--in spite of the frequency of rotation injuries of the forearm--very rare. The patient in the case described is a 45-year-old locksmith whose forearm and hand had been caught in a lathe. This led to sudden, extreme rotation and pronation of the hand. Clinically distinct signs of a rupture of the extensor pollicis longus tendon could be seen. During operation a tear of the muscular portion of the long extensor tendon of the thumb was found. The function of extension was restored by transfer of the extensor indicis tendon. PMID:6392038

  19. Intersonic and Supersonic ruptures in a model of dynamic rupture in a layered medium

    NASA Astrophysics Data System (ADS)

    Ma, X.; Elbanna, A. E.

    2014-12-01

    The velocity structure in the lithosphere is quite complex and is rarely homogeneous. Wave reflection, transmission, and diffraction from the boundaries of the different layers and inclusions are expected to lead to a rich dynamic response and significantly affect rupture propagation on embedded faults. Here, we report our work on modeling dynamic rupture in an elastic domain with an embedded soft (stiff) layer as a first step towards modeling rupture propagation in realistic velocity structures. We use the Finite Element method (Pylith) to simulate rupture on a 2D in-plane fault embedded in an elastic full space. The simulated domain is 30 km wide and 100km long. Absorbing boundary conditions are used around the edges of the domain to simulate an infinite extension in all directions. The fault operates under linear slip-weakening friction law. We initiate the rupture by artificially overstressing a localized region near the left edge of the fault. We consider embedded soft/stiff layers with 20% to 60% reduction/increase of wave velocity respectively. The embedded layers are placed at different distances from the fault surface. We observed that the existence of a soft layer significantly shortens the transition length to supershear propagation through the Burridge-Andrews mechanism. The higher the material contrast, the shorter the transition length to supershear propagation becomes. We also observe that supershear rupture could be generated at pretress values that are lower than what is theoretically predicted for a homogeneous medium. We find that the distance from the lower boundary of the soft layer to the fault surface has a stronger influence on the supershear transition length as opposed to the thickness of the soft layer. In the existence of an embedded stiffer layer we found that rupture could propagate faster than the fault zone P-wave speed. In this case, the propagating rupture generate two Mach cones; one is associated with the shear wave, and the other is associated with the local P-wave speed. This is a signature of supersonic crack tips. We also noted a smooth transition into supershear, with the rupture speed increasing continuously through the so-called 'energetically forbidden zone' (between Rayleigh wave speed and shear wave speed) corresponding to the wave speeds of the background medium.

  20. Liver Hydatid Cyst with Transdiaphragmatic Rupture and Lung Hydatid Cyst Ruptured into Bronchi and Pleural Space

    SciTech Connect

    Ar Latin-Small-Letter-Dotless-I bas, Bilgin Kadri Dingil, Guerbuez; Koeroglu, Mert; Uenguel, Uemit; Zaral Latin-Small-Letter-Dotless-I , Aliye Ceylan

    2011-02-15

    The aim of this case study is to present effectiveness of percutaneous drainage as a treatment option of ruptured lung and liver hydatid cysts. A 65-year-old male patient was admitted with complicated liver and lung hydatid cysts. A liver hydatid cyst had ruptured transdiaphragmatically, and a lung hydatid cyst had ruptured both into bronchi and pleural space. The patient could not undergo surgery because of decreased respiratory function. Both cysts were drained percutaneously using oral albendazole. Povidone-iodine was used to treat the liver cyst after closure of the diaphragmatic rupture. The drainage was considered successful, and the patient had no recurrence of signs and symptoms. Clinical, laboratory, and radiologic recovery was observed during 2.5 months of catheterization. The patient was asymptomatic after catheter drainage. No recurrence was detected during 86 months of follow-up. For inoperable patients with ruptured liver and lung hydatid cysts, percutaneous drainage with oral albendazole is an alternative treatment option to surgery. The percutaneous approach can be life-saving in such cases.

  1. Rupture Velocities of Intermediate- and Deep-Focus Earthquakes

    NASA Astrophysics Data System (ADS)

    Warren, L. M.

    2014-12-01

    The rupture velocities of intermediate- and deep-focus earthquakes --- how they vary between subduction zones, how they vary with depth, and what their maximum values are --- may help constrain the mechanism(s) of the earthquakes. As part of a global study of intermediate- and deep-focus earthquakes, I have used rupture directivity to estimate the rupture vector (speed and orientation) for 422 earthquakes >70 km depth with MW ?5.7 since 1990. I estimate the rupture velocity relative to the local P-wave velocity (vr/?). Since the same method is used for all earthquakes, the results can be readily compared across study areas. The study areas --- Middle America, South America, Tonga-Kermadec, Izu-Bonin-Marianas, and Japan-Kurils-Kamchatka --- include some of the warmest and coldest subduction zones: subducting plate ages range from 9-150 Myr and descent rates range from 1-13 cm/yr. Across all subduction zones and depth ranges, for the 193 earthquakes with observable directivity and well-constrained rupture vectors, most earthquakes rupture on the more horizontal of the two possible nodal planes. However, the rupture vectors appear to be randomly-oriented relative to the slip vector, so the earthquakes span the continuum from Mode II (i.e., parallel slip and rupture vectors) to Mode III rupture (i.e., perpendicular slip and rupture vectors). For this earthquake population, the mean rupture velocity is 0.43 vr/? 0.14 vr/?. The mean earthquake rupture velocities are similar between all subduction zones. Since the local seismic wavespeed is faster in colder subduction zones, absolute rupture velocities are faster in colder subduction zones. Overall, the fastest rupture velocities exceed the local S-wave speed. The supershear ruptures are associated with earthquakes closer to Mode II than Mode III faulting. This is consistent with theoretical calculations, which limit the rupture velocity to the S-wave speed for Mode III rupture but the P-wave speed for Mode II rupture.

  2. The Energy Budget of Earthquake Rupture: a View From Spontaneous Rupture Modeling and Finite-Source Models

    NASA Astrophysics Data System (ADS)

    Mai, P.; Guatteri, M.

    2003-12-01

    It is a common and frustrating experience of many dynamic modelers to initiate spontaneous rupture calculations that subsequently abort before rupturing to the desired earthquake size [Nielsen and Olsen, 2000; Oglesby and Day, 2002]. Source parameters in such dynamic source models are strongly correlated, but stress drop is the main factor affecting the distribution of the other dynamic rupture parameters. Additionally, the position of the hypocenter exerts a strong influence on the dynamic properties of the earthquake, and certain hypocenter positions are not plausible as those would not lead to spontaneous rupture propagation. To further investigate this last statement, we analyze the energy budget during earthquake rupture using spontaneous dynamic rupture calculations and finite-source rupture models. In describing the energy budget during earthquake rupture, we follow Favreau and Archuleta [2003]. Each point on the fault contributes to the radiated seismic energy Ers = Eel - Efr - Erx, where Eel denotes the elasto-static energy and Efr the fracture energy. In this study we neglect for simplicity the relaxation work Erx spent during the stopping of the earthquake. A rupture can be characterized by locally negative seismic energy density values, but its integral over the fault plane must be positive. The fundamental condition for rupture growth is therefore that the integral of Ers on the rupture area remains always positive during rupture propagation. Based on a simple energy budget calculation, we focus on identifying those target slip/stress distribution in dynamic rupture modeling that for a given hypocenter location fail to rupture spontaneously. Additionally, we study the energy budget of finite-source rupture models by analyzing the integrated seismic energy for the inferred slip maps using also hypocenter positions other than the network location. These results indicate how rupture was promoted for the true hypocenter while randomized hypocenters may not have been able to sustain a large earthquake. Our approach helped us both to speed up the computation of successful spontaneous rupture models, as well as to construct dynamically consistent rupture models for strong motion prediction.

  3. Capsaicin stimulation of the cochlea and electric stimulation of the trigeminal ganglion mediate vascular permeability in cochlear and vertebro-basilar arteries: a potential cause of inner ear dysfunction in headache.

    PubMed

    Vass, Z; Steyger, P S; Hordichok, A J; Trune, D R; Jancs, G; Nuttall, A L

    2001-01-01

    Trigeminal neurogenic inflammation is one explanation for the development of vascular migraine. The triggers for this inflammation and pain are not well understood, but are probably vasoactive components acting on the blood vessel wall. Migraine-related inner ear symptoms like phonophobia, tinnitus, fluctuation in hearing perception and increased noise sensitivity provide indirect evidence that cochlear blood vessels are also affected by basilar artery migraine. The purpose of this investigation was to determine if a functional connection exists between the cochlea and the basilar artery. Neuronally mediated permeability changes in the cochlea and basilar artery were measured by colloidal silver and Evans Blue extravasation, following orthodromic and antidromic stimulation of the trigeminal ganglion innervating the cochlea. Capsaicin and electrical stimulation induced both dose- and time-dependent plasma extravasation of colloidal silver and Evans Blue from the basilar artery and anterior inferior cerebellar artery. Both orthodromic and antidromic activation of trigeminal sensory fibers also induced cochlear vascular permeability changes and significant quantitative differences between the treated and control groups in spectrophotometric assays. These results characterize a vasoactive connection between the cochlea and vertebro-basilar system through the trigeminal sensory neurons. We propose that vertigo, tinnitus and hearing deficits associated with basilar migraine could arise by excitation of the trigeminal nerve fibers in the cochlea, resulting in local plasma extravasation. In addition, cochlear "dysfunction" may also trigger basilar and cluster headache by afferent input to the trigeminal system. PMID:11311800

  4. Missed Iatrogenic Bladder Rupture Following Normal Vaginal Delivery

    PubMed Central

    Baheti, Vidyasagar H; Patwardhan, Sujata K

    2015-01-01

    Bladder rupture following caesarian section is well documented complications. Intraperitoneal bladder rupture following normal vaginal delivery is very rare. Hereby, we present a case report of intraperitoneal bladder rupture presented late following normal vaginal delivery. We report a case of spontaneous intraperitoneal urinary bladder rupture following uneventful outlet forceps delivery in a 22-year-old primi gravid woman with gestational diabetes mellitus and fetal macrosomia who presented with large urinary ascites, anuria and renal failure. Emergent exploratory laparotomy with repair of the intraperitoneal bladder rupture helped to prevent its potential complications. Postpartum patients who undergo episiotomy or perineal repair may land up in unnoticed urinary retention which may rarely terminate in spontaneous urinary bladder rupture. Awareness of its manifestations amongst emergency physician would help to initiate appropriate timely management. PMID:26557563

  5. Measuring thermal rupture force distributions from an ensemble of trajectories.

    PubMed

    Swan, J W; Shindel, M M; Furst, E M

    2012-11-01

    Rupture, bond breaking, or extraction from a deep and narrow potential well requires considerable force while producing minimal displacement. In thermally fluctuating systems, there is not a single force required to achieve rupture, but a spectrum, as thermal forces can both augment and inhibit the bond breaking. We demonstrate measurement and interpretation of the distribution of rupture forces between pairs of colloidal particles bonded via the van der Waals attraction. The otherwise irreversible bond is broken by pulling the particles apart with optical tweezers. We show that an ensemble of the particle trajectories before, during and after the rupture event may be used to produce a high fidelity description of the distribution of rupture forces. This analysis is equally suitable for describing rupture forces in molecular and biomolecular contexts with a number of measurement techniques. PMID:23215431

  6. Measuring Thermal Rupture Force Distributions from an Ensemble of Trajectories

    NASA Astrophysics Data System (ADS)

    Swan, J. W.; Shindel, M. M.; Furst, E. M.

    2012-11-01

    Rupture, bond breaking, or extraction from a deep and narrow potential well requires considerable force while producing minimal displacement. In thermally fluctuating systems, there is not a single force required to achieve rupture, but a spectrum, as thermal forces can both augment and inhibit the bond breaking. We demonstrate measurement and interpretation of the distribution of rupture forces between pairs of colloidal particles bonded via the van der Waals attraction. The otherwise irreversible bond is broken by pulling the particles apart with optical tweezers. We show that an ensemble of the particle trajectories before, during and after the rupture event may be used to produce a high fidelity description of the distribution of rupture forces. This analysis is equally suitable for describing rupture forces in molecular and biomolecular contexts with a number of measurement techniques.

  7. Capturing Continental Rupture Processes in Afar

    NASA Astrophysics Data System (ADS)

    Ebinger, Cynthia; Belachew, Manahloh; Tepp, Gabrielle; Keir, Derek; Ayele, Atalay

    2014-05-01

    Both continental and oceanic rifting processes are highly 3D, but the stability of the along-axis segmentation from rifting to breakup, and its relationship to seafloor spreading remains debated. Three-dimensional models of the interactions of faults and magmatism in time and space are in development, but modelling and observations suggest that magmatic segments may propagate and/or migrate during periods of magmatism. Our ability to discriminate between the various models in large part depends on the quality of data in the ocean-transition zone, or, observations from zones of incipient plate rupture. Largely 2D crustal-scale seismic data from magmatic passive margins reveal large magmatic additions to the crust, but the timing of this heat and mass transfer is weakly constrained. Thus, the lack of information on the across rift breadth of the deforming zone at rupture, and the relationship between the early rift segmentation and the seafloor spreading segmentation represent fundamental gaps in knowledge. Our study of Earth's youngest magmatic margin, the superbly exposed, tectonically active southern Red Sea, aims to answer the following questions: What are the geometry and kinematics of active fault systems across the 'passive margin' to zone of incipient plate rupture? What is the relationship between the initial border fault segmentation, and the breakup zone segmentation? What is the distribution of active deformation and magmatism, and how does it compare to time-averaged strain patterns? We integrate results of recent experiments that suggest widespread replacement of crust and mantle lithosphere beneath the 'passive' margin, and explain the ongoing seismic deformation as a consequence of bending stresses across the ocean-continent transition, with or without a dynamic component.

  8. [SURGICAL TREATMENT OF PATIENTS WITH URETERAL RUPTURES].

    PubMed

    Komjakov, B K; Guliev, B G

    2015-01-01

    The aim of the study was to analyze the causes of ureteral ruptures and the types surgical procedures used for their management. Over the period from 2006 to 2014, 7 patients with ureteral ruptures underwent surgical treatment in the Mechnikov N-WSMU clinic. All of them were males aged 50 to 71 years. In all cases, the ureter was injured during ureteroscopy and contact lithotripsy. In two patients the right ureter was cut off at the border of the upper and middle third, in four--at 3-4 cm below pyeloureteral segment, one patient diagnosed with a complete separation of the ureter from the kidney pelvis. Patients, who have suffered a detachment of the ureter in other hospitals, previously underwent surgical exploration of the retroperitoneal space, drainage of the kidney by pyelonephrostomy (5) and ureterocutaneostomy (1). In a case of a patient with an injury that occurred in our clinic, laparoscopic nephrectomy with autologous renal transplantation was carried out. Five patients with extended ureter defects underwent ileo-ureteroplasty. The patient with left ureterocutaneostomy underwent nephrovesical bypass. Patency of the upper urinary tract and kidney function were restored in all patients, all of them were relieved from external drains. The duration of the intestinal plastic averaged 160 minutes, laparoscopic nephrectomy with autologous transplantation--210 min and nephrovesical bypass--110 min. Blood transfusion was required only in autologous graft patient. The ureteral rupture is a serious complication of ureteral endourological procedures in upper urinary tract. It requires such complicated reconstructive operations as autologous transplantation of the kidney or intestinal ureteroplasty. PMID:26390553

  9. Dynamic stress changes during earthquake rupture

    USGS Publications Warehouse

    Day, S.M.; Yu, G.; Wald, D.J.

    1998-01-01

    We assess two competing dynamic interpretations that have been proposed for the short slip durations characteristic of kinematic earthquake models derived by inversion of earthquake waveform and geodetic data. The first interpretation would require a fault constitutive relationship in which rapid dynamic restrengthening of the fault surface occurs after passage of the rupture front, a hypothesized mechanical behavior that has been referred to as "self-healing." The second interpretation would require sufficient spatial heterogeneity of stress drop to permit rapid equilibration of elastic stresses with the residual dynamic friction level, a condition we refer to as "geometrical constraint." These interpretations imply contrasting predictions for the time dependence of the fault-plane shear stresses. We compare these predictions with dynamic shear stress changes for the 1992 Landers (M 7.3), 1994 Northridge (M 6.7), and 1995 Kobe (M 6.9) earthquakes. Stress changes are computed from kinematic slip models of these earthquakes, using a finite-difference method. For each event, static stress drop is highly variable spatially, with high stress-drop patches embedded in a background of low, and largely negative, stress drop. The time histories of stress change show predominantly monotonic stress change after passage of the rupture front, settling to a residual level, without significant evidence for dynamic restrengthening. The stress change at the rupture front is usually gradual rather than abrupt, probably reflecting the limited resolution inherent in the underlying kinematic inversions. On the basis of this analysis, as well as recent similar results obtained independently for the Kobe and Morgan Hill earthquakes, we conclude that, at the present time, the self-healing hypothesis is unnecessary to explain earthquake kinematics.

  10. Complex earthquake rupture and local tsunamis

    USGS Publications Warehouse

    Geist, E.L.

    2002-01-01

    In contrast to far-field tsunami amplitudes that are fairly well predicted by the seismic moment of subduction zone earthquakes, there exists significant variation in the scaling of local tsunami amplitude with respect to seismic moment. From a global catalog of tsunami runup observations this variability is greatest for the most frequently occuring tsunamigenic subduction zone earthquakes in the magnitude range of 7 < Mw < 8.5. Variability in local tsunami runup scaling can be ascribed to tsunami source parameters that are independent of seismic moment: variations in the water depth in the source region, the combination of higher slip and lower shear modulus at shallow depth, and rupture complexity in the form of heterogeneous slip distribution patterns. The focus of this study is on the effect that rupture complexity has on the local tsunami wave field. A wide range of slip distribution patterns are generated using a stochastic, self-affine source model that is consistent with the falloff of far-field seismic displacement spectra at high frequencies. The synthetic slip distributions generated by the stochastic source model are discretized and the vertical displacement fields from point source elastic dislocation expressions are superimposed to compute the coseismic vertical displacement field. For shallow subduction zone earthquakes it is demonstrated that self-affine irregularities of the slip distribution result in significant variations in local tsunami amplitude. The effects of rupture complexity are less pronounced for earthquakes at greater depth or along faults with steep dip angles. For a test region along the Pacific coast of central Mexico, peak nearshore tsunami amplitude is calculated for a large number (N = 100) of synthetic slip distribution patterns, all with identical seismic moment (Mw = 8.1). Analysis of the results indicates that for earthquakes of a fixed location, geometry, and seismic moment, peak nearshore tsunami amplitude can vary by a factor of 3 or more. These results indicate that there is substantially more variation in the local tsunami wave field derived from the inherent complexity subduction zone earthquakes than predicted by a simple elastic dislocation model. Probabilistic methods that take into account variability in earthquake rupture processes are likely to yield more accurate assessments of tsunami hazards.

  11. Conservative management of a ruptured mycotic aneurysm

    PubMed Central

    Lodge, Freya; Conway, Nerys; Waterfield, Nick

    2013-01-01

    Mycotic aneurysms are a well-recognised complication of infective endocarditis. In contrast to many sequelae of endocarditis, they can present late in the course of the disease, despite adequate treatment. We discuss the case of an 82-year-old patient who was successfully treated for Enterococcus faecalis endocarditis, but presented late with a hypotensive collapse. CT imaging demonstrated a ruptured mycotic aneurysm. He underwent laparotomy, but the decision was made to treat conservatively to protect the vascular supply to the bowel. The patient subsequently made a full recovery. PMID:23682082

  12. Conservative management of a ruptured mycotic aneurysm.

    PubMed

    Lodge, Freya; Conway, Nerys; Waterfield, Nick

    2013-01-01

    Mycotic aneurysms are a well-recognised complication of infective endocarditis. In contrast to many sequelae of endocarditis, they can present late in the course of the disease, despite adequate treatment. We discuss the case of an 82-year-old patient who was successfully treated for Enterococcus faecalis endocarditis, but presented late with a hypotensive collapse. CT imaging demonstrated a ruptured mycotic aneurysm. He underwent laparotomy, but the decision was made to treat conservatively to protect the vascular supply to the bowel. The patient subsequently made a full recovery. PMID:23682082

  13. Surgical Treatment of Distal Biceps Ruptures.

    PubMed

    Stoll, Laura E; Huang, Jerry I

    2016-01-01

    Distal biceps ruptures occur from eccentric loading of a flexed elbow. Patients treated nonoperatively have substantial loss of strength in elbow flexion and forearm supination. Surgical approaches include 1-incision and 2-incision techniques. Advances in surgical technology have facilitated the popularity of single-incision techniques through a small anterior incision. Recently, there is increased focus on the detailed anatomy of the distal biceps insertion and the importance of anatomic repair in restoring forearm supination strength. Excellent outcomes are expected with early repair of the distal biceps, with restoration of strength and endurance to near-normal levels with minimal to no loss of motion. PMID:26614933

  14. Anisotropy in rupture lines of paper sheets

    NASA Astrophysics Data System (ADS)

    Menezes-Sobrinho, I. L.; Couto, M. S.; Ribeiro, I. R. B.

    2005-06-01

    We have experimentally investigated the fracture process in paper samples submitted to a uniaxial force. Five types of paper sheets (newsprint, towel, sulfite, silk, and couche papers) were fractured along two orthogonal orientations. In order to characterize the rupture lines of the paper sheets we utilized the Hurst exponent. Our results indicate a dependence of the Hurst exponent on the orientation of the paper sheets for samples of newsprint and, probably, towel and silk papers. For the other types of paper the Hurst exponent does not depend on the direction of crack propagation.

  15. Anisotropy in rupture lines of paper sheets.

    PubMed

    Menezes-Sobrinho, I L; Couto, M S; Ribeiro, I R B

    2005-06-01

    We have experimentally investigated the fracture process in paper samples submitted to a uniaxial force. Five types of paper sheets (newsprint, towel, sulfite, silk, and couche papers) were fractured along two orthogonal orientations. In order to characterize the rupture lines of the paper sheets we utilized the Hurst exponent. Our results indicate a dependence of the Hurst exponent on the orientation of the paper sheets for samples of newsprint and, probably, towel and silk papers. For the other types of paper the Hurst exponent does not depend on the direction of crack propagation. PMID:16089834

  16. A Rare Case of Adductor Longus Muscle Rupture

    PubMed Central

    van de Kimmenade, R. J. L. L.; van Bergen, C. J. A.; van Deurzen, P. J. E.; Verhagen, R. A. W.

    2015-01-01

    An adductor longus muscle rupture is a rare injury. This case report describes a 32-year-old patient with an adductor longus rupture. The trauma mechanism was a hyperabduction movement during a soccer game. Nonoperative treatment was initiated. After a follow-up of 4 years, the patient was without pain but a small swelling was still visible. This report describes the anatomy, pathophysiology, and evidence-based treatment of adductor longus rupture. PMID:25918663

  17. Spontaneous Tricuspid Valve Chordal Rupture in Idiopathic Pulmonary Hypertension.

    PubMed

    Rodrigues, Ana Clara Tude; Afonso, Jos E; Cordovil, Adriana; Monaco, Claudia; Piveta, Rafael; Cordovil, Rodrigo; Fischer, Claudio H; Vieira, Marcelo; Lira-Filho, Edgar; Morhy, Samira S

    2016-03-01

    Rupture of tricuspid valve is unusual, occurring mainly in the setting of blunt trauma or endomyocardial biopsy. Spontaneous tricuspid valve chordal rupture is particularly rare. We report herein a case of a patient with severe pulmonary hypertension, on the lung transplantation waiting list, who presented with spontaneous chordal rupture, exacerbation of tricuspid insufficiency and worsening of clinical status. Diagnosis and treatment, along with possible mechanisms for this complication, are discussed. PMID:26660848

  18. Ruptured anterior mediastinal teratoma with radiologic, pathologic, and bronchoscopic correlation.

    PubMed

    Escalon, Joanna G; Arkin, Jordan; Chaump, Michael; Harkin, Timothy J; Wolf, Andrea S; Legasto, Alan

    2015-01-01

    While most teratomas are asymptomatic, intrathoracic teratomas can rarely rupture spontaneously causing more alarming symptoms. Ruptured teratoma is a serious clinical entity, and early recognition is crucial for avoidance of further complications and preparation of proper surgical approach. We present a case of ruptured anterior mediastinal teratoma with radiologic, pathologic, and bronchoscopic correlation. This case uniquely illustrates a patient presenting with signs of infection and progressively worsening symptoms, thus emphasizing the need for early diagnosis and the importance of imaging. PMID:25863875

  19. Right Hemi-Diaphragmatic Rupture: An Injury Missed or Masked?

    PubMed Central

    Dhua, Anjan

    2015-01-01

    Right sided traumatic diaphragmatic rupture in children is uncommon and may escape early detection. Missed injuries are associated with high mortality and morbidity due to incarceration and strangulation of abdominal viscera. We report a 15-month-old child with blunt trauma chest and abdomen, who presented with bilateral hemothoraces and liver laceration seven days after the incident. Diagnosis of right diaphragmatic rupture was confirmed after another week. The surgical repair of diaphragmatic rupture was undertaken successfully. PMID:26064808

  20. Surgical repair of a rupture of the pectoralis major muscle.

    PubMed

    Pochini, Alberto De Castro; Andreoli, Carlos Vicente; Ejnisman, Benno; Maffulli, Nicola

    2015-01-01

    Muscle rupture is rarely treated surgically. Few reports of good outcomes after muscular suture have been published. Usually, muscular lesions or partial ruptures heal with few side effects or result in total recovery. We report a case of an athlete who was treated surgically to repair a total muscular rupture in the pectoralis major muscle. After 6 months, the athlete returned to competitive practice. After a 2-year follow-up, the athlete still competes in skateboard championships. PMID:25716033

  1. Intracranial Aneurysms: Wall Motion Analysis for Prediction of Rupture.

    PubMed

    Vanrossomme, A E; Eker, O F; Thiran, J-P; Courbebaisse, G P; Zouaoui Boudjeltia, K

    2015-10-01

    Intracranial aneurysms are a common pathologic condition with a potential severe complication: rupture. Effective treatment options exist, neurosurgical clipping and endovascular techniques, but guidelines for treatment are unclear and focus mainly on patient age, aneurysm size, and localization. New criteria to define the risk of rupture are needed to refine these guidelines. One potential candidate is aneurysm wall motion, known to be associated with rupture but difficult to detect and quantify. We review what is known about the association between aneurysm wall motion and rupture, which structural changes may explain wall motion patterns, and available imaging techniques able to analyze wall motion. PMID:25929878

  2. Asymptomatic rupture of the uterus: a case report.

    PubMed Central

    Alper, M. M.; Dudley, D. K.

    1984-01-01

    Rupture of the gravid uterus is a serious obstetric emergency that threatens maternal and fetal life. In certain cases the classic clinical picture may be absent. Most asymptomatic ruptures are in the lower segment and of minor extent or are really dehiscences of scars. This paper presents a case of massive spontaneous rupture involving the entire corpus diagnosed at elective postpartum sterilization. This unusual event stimulated a review of the causes and clinical presentations of uterine rupture. Images FIG. 1 FIG. 2 PMID:6692194

  3. Silicone implant rupture: detection with US.

    PubMed

    Harris, K M; Ganott, M A; Shestak, K C; Losken, H W; Tobon, H

    1993-06-01

    The authors evaluated the ability of ultrasound (US) in detection of silicone implant ruptures and compared US detection with that of mammography and physical examination in 22 women with 29 sites of implant leakage. On sonograms, leaks were evident from a highly echogenic pattern of scattered and reverberating echoes with loss of detail posterior to the echogenic area. The area appears as a "snowstorm" and has a well-defined anterior margin but a poorly defined posterior margin. Twenty-five sites in 19 women were surgically confirmed. Mammograms obtained with various views and sonograms were available for comparison in 20 of 25 surgically confirmed leaks. Of all 29 leaks, 14 were detected at physical examination as palpable masses. Six of these 20 leaks were not detected with mammography. With US, only one leak was not detected. US allowed more accurate prediction of the extent of free silicone in the breast and enabled detection of silicone within axillary nodes. Recognition of the characteristic highly echogenic sonographic appearance of microglobules of free silicone in the soft tissues can improve detection of implant rupture. PMID:8497626

  4. GPU Acceleration of Support Operator Rupture Dynamics

    NASA Astrophysics Data System (ADS)

    Zhou, Y.; Dong, T.; Yuen, D. A.

    2010-12-01

    SORD (Support Operator Rupture Dynamics) is an open-source software based on a fourth-order finite-difference method which can simulate 3D elastic wave propagation and spontaneous rupture on hexahedral mesh. It can be used for many kinds of surface boundary conditions, including free surface. The original software is developed by Geoffrey Ely from USC and modified by us for acceleration on GPU with NVIDIA CUDA. Our motivation on accelerating SORD on GPU is inspired by new generation GPUs superior ability on general purpose computing and NVIDIA CUDAs user-friendly developing environment for academic users. After translating the code from Fortran 95 to CUDA and implementing the transformed CUDA SORD code on the NVIDIA Tesla C1060, we obtained a factor of 6 speedup as compared to the original Fortran 95 version code , which was run on Intel Xeon X5570 2.9GHz. Our 3D wave solutions show explicitly visually in 3D format the different propagating wave fronts associated with the P and S waves according to the appropriate elastic parameter ratios. Because of the limitation of the global memory of NVIDIA Tesla C1060, too many more grid points would slow the calculation. However, by using the new NVIDIA Tesla C2070, which has 6 GBytes global memory, we can increase the simulation data size into 350X350X350.

  5. The repetition of large-earthquake ruptures.

    PubMed Central

    Sieh, K

    1996-01-01

    This survey of well-documented repeated fault rupture confirms that some faults have exhibited a "characteristic" behavior during repeated large earthquakes--that is, the magnitude, distribution, and style of slip on the fault has repeated during two or more consecutive events. In two cases faults exhibit slip functions that vary little from earthquake to earthquake. In one other well-documented case, however, fault lengths contrast markedly for two consecutive ruptures, but the amount of offset at individual sites was similar. Adjacent individual patches, 10 km or more in length, failed singly during one event and in tandem during the other. More complex cases of repetition may also represent the failure of several distinct patches. The faults of the 1992 Landers earthquake provide an instructive example of such complexity. Together, these examples suggest that large earthquakes commonly result from the failure of one or more patches, each characterized by a slip function that is roughly invariant through consecutive earthquake cycles. The persistence of these slip-patches through two or more large earthquakes indicates that some quasi-invariant physical property controls the pattern and magnitude of slip. These data seem incompatible with theoretical models that produce slip distributions that are highly variable in consecutive large events. Images Fig. 3 Fig. 7 Fig. 9 PMID:11607662

  6. Acute Achilles tendon rupture in badminton players.

    PubMed

    Fahlstrm, M; Bjrnstig, U; Lorentzon, R

    1998-01-01

    All patients with badminton-related acute Achilles tendon ruptures registered during 1990 to 1994 at the University Hospital of Ume were retrospectively followed up using a questionnaire. Thirty-one patients (mean age, 36.0 years), 27 men and 4 women, were included. Thirty patients (97%) described themselves as recreational players or beginners. The majority of the injuries (29 of 31, 94%) happened at the middle or end of the planned game. Previous local symptoms had been noticed by five patients (16%). Long-term results showed that patients treated with surgery had a significantly shorter sick leave absence than patients treated without surgery (50 versus 75 days). There was no obvious selection favoring any treatment modality. None of the surgically treated patients had reruptures, but two reruptures occurred in the nonsurgically treated group. There seemed to be fewer remaining symptoms and a higher sports activity level after the injury in the surgically treated group. Our results indicate that local muscle fatigue may interfere with strength and coordination. Preventive measures such as specific treatment of minor injuries and adequate training of strength, endurance, and coordination are important. Our findings also indicate that surgical treatment and careful postoperative rehabilitation is of great importance among badminton players of any age or sports level with Achilles tendon rupture. PMID:9617415

  7. Quantifying uncertainty in earthquake rupture models

    NASA Astrophysics Data System (ADS)

    Page, Morgan T.

    Using dynamic and kinematic models, we analyze the ability of GPS and strong-motion data to recover the rupture history of earthquakes. By analyzing the near-source ground-motion generated by earthquake ruptures through barriers and asperities, we determine that both the prestress and yield stress of a frictional inhomogeneity can be recovered. In addition, we find that models with constraints on rupture velocity have less ground motion than constraint-free, spontaneous dynamic models with equivalent stress drops. This suggests that kinematic models with such constraints overestimate the actual stress heterogeneity of earthquakes. We use GPS data from the well-recorded 2004 Mw6.0 Parkfield Earthquake to further probe uncertainties in kinematic models. We find that the inversion for this data set is poorly resolved at depth and near the edges of the fault. In such an underdetermined inversion, it is possible to obtain spurious structure in poorly resolved areas. We demonstrate that a nonuniform grid with grid spacing matching the local resolution length on the fault outperforms small uniform grids, which generate spurious structure in poorly resolved regions, and large uniform grids, which lose recoverable information in well-resolved areas of the fault. The nonuniform grid correctly averages out large-scale structure in poorly resolved areas while recovering small-scale structure near the surface. In addition to probing model uncertainties in earthquake source models, we also examine the effect of model uncertainty in Probabilistic Seismic Hazard Analysis (PSHA). While methods for incorporating parameter uncertainty of a particular model in PSHA are well-understood, methods for incorporating model uncertainty are more difficult to implement due to the high degree of dependence between different earthquake-recurrence models. We show that the method used by the 2002 Working Group on California Earthquake Probabilities (WGCEP-2002) to combine the probability distributions given by multiple earthquake recurrence models has several adverse effects on their result. In particular, WGCEP-2002 uses a linear combination of the models which ignores model dependence and leads to large uncertainty in the final hazard estimate. In addition to analyzing current statistical problems, we present alternative methods for rigorously incorporating model uncertainty into PSHA.

  8. Goal-Directed Actions Activate the Face-Sensitive Posterior Superior Temporal Sulcus and Fusiform Gyrus in the Absence of Human-Like Perceptual Cues

    PubMed Central

    Shultz, Sarah

    2012-01-01

    The conditions under which we identify entities as animate agents and the neural mechanisms supporting this ability are central questions in social neuroscience. Prior studies have focused upon 2 perceptual cues for signaling animacy: 1) surface features representing body forms such as faces, torsos, and limbs and 2) motion cues associated with biological forms. Here, we consider a third cue—the goal-directedness of an action. Regions in the social brain network, such as the right posterior superior temporal sulcus (pSTS) and fusiform face area (FFA), are activated by human-like motion and body form perceptual cues signaling animacy. Here, we investigate whether these same brain regions are activated by goal-directed motion even when performed by entities that lack human-like perceptual cues. We observed an interaction effect whereby the presence of either human-like perceptual cues or goal-directed actions was sufficient to activate the right pSTS and FFA. Only stimuli that lacked human-like perceptual cues and goal-directed actions failed to activate the pSTS and FFA at the same level. PMID:21768227

  9. Presence of two neuropeptides in the fusiform ganglion and reproductive ducts of Octopus vulgaris: FMRFamide and gonadotropin-releasing hormone (GnRH).

    PubMed

    Di Cristo, Carlo; Paolucci, Marina; Iglesias, Josè; Sanchez, Javier; Di Cosmo, Anna

    2002-02-15

    We have found evidence of FMRFamide-like and cGnRH-I-like immunoreactivity in the central nervous system (CNS) and in the reproductive ducts of both female and male cephalopod Octopus vulgaris. Cell bodies and fibers were immunolocalized in the fusiform ganglion from which the nerves that reach the female and male reproductive ducts arise. FMRFamide-like and cGnRH-I-like immunoreactive nerve endings were present in the oviduct, and in the oviducal gland of the female and in the seminal vesicle of the male. The GnRH-like peptide from the reproductive ducts has been partially characterized by HPLC. The retention time of the Octopus vulgaris GnRH-like peptide was similar to the retention time of cGnRH-I. Based on these observations we suggest that FMRFamide-like and a novel GnRH-like peptide are involved in the control of reproductive ducts of Octopus vulgaris. One possibility is that the peptides affect gamete transport. Another possibility is that they regulate secretory products such as mucus and mucilaginous substances from the oviducal gland and the seminal vesicle. Our data provide further evidence to support the hypothesis of the existence of a central and peripheral peptidergic control of reproduction of Octopus vulgaris. PMID:11857460

  10. Stimulus Value Signals in Ventromedial PFC Reflect the Integration of Attribute Value Signals Computed in Fusiform Gyrus and Posterior Superior Temporal Gyrus

    PubMed Central

    Lim, Seung-Lark; O'Doherty, John P.

    2013-01-01

    We often have to make choices among multiattribute stimuli (e.g., a food that differs on its taste and health). Behavioral data suggest that choices are made by computing the value of the different attributes and then integrating them into an overall stimulus value signal. However, it is not known whether this theory describes the way the brain computes the stimulus value signals, or how the underlying computations might be implemented. We investigated these questions using a human fMRI task in which individuals had to evaluate T-shirts that varied in their visual esthetic (e.g., color) and semantic (e.g., meaning of logo printed in T-shirt) components. We found that activity in the fusiform gyrus, an area associated with the processing of visual features, correlated with the value of the visual esthetic attributes, but not with the value of the semantic attributes. In contrast, activity in posterior superior temporal gyrus, an area associated with the processing of semantic meaning, exhibited the opposite pattern. Furthermore, both areas exhibited functional connectivity with an area of ventromedial prefrontal cortex that reflects the computation of overall stimulus values at the time of decision. The results provide supporting evidence for the hypothesis that some attribute values are computed in cortical areas specialized in the processing of such features, and that those attribute-specific values are then passed to the vmPFC to be integrated into an overall stimulus value signal to guide the decision. PMID:23678116

  11. Stimulus value signals in ventromedial PFC reflect the integration of attribute value signals computed in fusiform gyrus and posterior superior temporal gyrus.

    PubMed

    Lim, Seung-Lark; O'Doherty, John P; Rangel, Antonio

    2013-05-15

    We often have to make choices among multiattribute stimuli (e.g., a food that differs on its taste and health). Behavioral data suggest that choices are made by computing the value of the different attributes and then integrating them into an overall stimulus value signal. However, it is not known whether this theory describes the way the brain computes the stimulus value signals, or how the underlying computations might be implemented. We investigated these questions using a human fMRI task in which individuals had to evaluate T-shirts that varied in their visual esthetic (e.g., color) and semantic (e.g., meaning of logo printed in T-shirt) components. We found that activity in the fusiform gyrus, an area associated with the processing of visual features, correlated with the value of the visual esthetic attributes, but not with the value of the semantic attributes. In contrast, activity in posterior superior temporal gyrus, an area associated with the processing of semantic meaning, exhibited the opposite pattern. Furthermore, both areas exhibited functional connectivity with an area of ventromedial prefrontal cortex that reflects the computation of overall stimulus values at the time of decision. The results provide supporting evidence for the hypothesis that some attribute values are computed in cortical areas specialized in the processing of such features, and that those attribute-specific values are then passed to the vmPFC to be integrated into an overall stimulus value signal to guide the decision. PMID:23678116

  12. Isolated rupture of teres major in a goalkeeper.

    PubMed

    Maciel, Rafael Almeida; Zogaib, Rodrigo Kallas; Pochini, Alberto De Castro; Ejnisman, Benno

    2015-01-01

    A complete rupture of the teres major is an extremely rare injury and rarely described in the literature. We report the first case of an isolated rupture of the teres major in a professional football goalkeeper. The diagnosis requires a high degree of suspicion and complementation by image examinations. Conservative treatment has a high success rate with early return to sport. PMID:26701915

  13. Non-bleeding Spontaneous Rupture of Hepatocellular Carcinoma

    PubMed Central

    Islam, Mahibul; Deka, Pranjal; Kapur, Raj; Ansari, Md. Abu Masud

    2013-01-01

    Rupture of hepatocellular carcinoma (HCC) is not uncommon and most ruptured HCC present with hemoperitoneum and hemorrhagic shock. Management of ruptured HCC is different than non-ruptured one. Short- and long-term mortality increases following rupture of HCC with increasing chances of tumor dissemination. We describe a case with non-bleeding spontaneous rupture of HCC. A 62-year-old male patient was admitted to our institute hospital with mild to moderate pain in the right upper part of the abdomen. He lost appetite and weight. Ultrasonography of the abdomen was performed and it suggested HCC and ascites. Triple phase computer tomography revealed HCC in segments 6 and 7 of liver with typical radiological characteristics. Portal vein was thrombosed. No extravasation of dye was seen. Ruptured of tumor through liver capsule was seen with necrosis and hemorrhage in the center of the tumor. Non-bleeding ruptured HCC has not been reported in the literature to the best of our knowledge. We herein describe this rare case. PMID:24497757

  14. Ultrasound Diagnosis of Bilateral Quadriceps Tendon Rupture After Statin Use

    PubMed Central

    Nesselroade, Ryan D.; Nickels, Leslie Connor

    2010-01-01

    Simultaneous bilateral quadriceps tendon rupture is a rare injury. We report the case of bilateral quadriceps tendon rupture sustained with minimal force while refereeing a football game. The injury was suspected to be associated with statin use as the patient had no other identifiable risk factors. The diagnosis was confirmed using bedside ultrasound. PMID:21079697

  15. Spleen rupture in course of chronic pancreatitis. A case report.

    PubMed

    Luck, O D; Juhl-Jensen, V

    1990-01-01

    Non-traumatic spleen rupture is exceedingly rare. We report case, in which an occlusion of the pancreatic duct induced a fistula from the pancreatic tail to the spleen coursing enzymatic digestion resulting in subcapsular bleeding and rupture of the spleen. The pathogenesis is discussed. PMID:2131568

  16. Animal models for plaque rupture: a biomechanical assessment.

    PubMed

    van der Heiden, Kim; Hoogendoorn, Ayla; Daemen, Mat J; Gijsen, Frank J H

    2016-02-29

    Rupture of atherosclerotic plaques is the main cause of acute cardiovascular events. Animal models of plaque rupture are rare but essential for testing new imaging modalities to enable diagnosis of the patient at risk. Moreover, they enable the design of new treatment strategies to prevent plaque rupture. Several animal models for the study of atherosclerosis are available. Plaque rupture in these models only occurs following severe surgical or pharmaceutical intervention. In the process of plaque rupture, composition, biology and mechanics each play a role, but the latter has been disregarded in many animal studies. The biomechanical environment for atherosclerotic plaques is comprised of two parts, the pressure-induced stress distribution, mainly - but not exclusively - influenced by plaque composition, and the strength distribution throughout the plaque, largely determined by the inflammatory state. This environment differs considerably between humans and most animals, resulting in suboptimal conditions for plaque rupture. In this review we describe the role of the biomechanical environment in plaque rupture and assess this environment in animal models that present with plaque rupture. PMID:26607378

  17. Relaxing Segmentation: Does It Improve Characterization of Fault Rupture Behavior?

    NASA Astrophysics Data System (ADS)

    Schwartz, D. P.

    2014-12-01

    Most faults have not ruptured once historically, let alone repeatedly. Estimating future rupture length of an earthquake source has been a challenge since the 1970s when concepts of full and half fault lengths were employed. In the 1980s paleoseismic event timing and observations of slip, coupled with geometric and other physical fault changes, led to concepts of fault segmentation and it's modeling for hazard. The Uniform California Earthquake Rupture Forecast 3 (UCERF 3, Field et al., 2014) relaxed segmentation, guided by rules in which a separation distance of ≤5km and orientation to Coulomb stress changes at fault junctions are prime factors for allowing fault-to-fault jumps. A set of ~350 fault sections produced ~250K ruptures ranging in length from 15 km-1200 km. An inversion provided the rates of these, which range from 102-108 years. Many of the long ruptures have exceedingly low individual rates within the UCERF 3 geologic model but are sufficient in number to release cumulative moment that brings the long-term (Myr) and historical (since 1850) MFDs for the California region into close agreement. Does UCERF 3 have too many multi-fault ruptures? Since 1850 there have been ~260 surface ruptures worldwide in shallow continental crust. 77% are 0-49km; 6% exceed 150km, and the longest is 1906 San Francisco (435-470 km). In California since 1857 there have been 31 surface ruptures. 77% are shorter than 49 km. The longest are 1906, 1857 Fort Tejon (297km), and 1872 Owens Valley (108 km). Most long historical strike-slip ruptures are continuous and geomorphically well-defined traces with limited geometric changes. In contrast, UCERF3 modeling of the south Hayward, as an example, allows it to participate in ruptures that extend to the south ends of the San Andreas or San Jacinto faults (900 km). These include branching (Hayward-Calaveras, San Andreas-San Jacinto) and jumps (Calaveras-San Andreas) on creeping sections of these faults. 5km is the connectivity threshold in UCERF 3 but only 40% of historical ruptures have negotiated this distance. There are other controls of rupture propagation: frictional properties, rupture dynamics, creep, and, as shown by the 2002 Denali-Totschunda rupture, the timing of the prior event and level of stress accumulation on adjacent fault sections. Time will be the tester.

  18. A Three Year Clinicopathological Study of Cases of Rupture Uterus

    PubMed Central

    Rathod, Setu; Swain, Sujata

    2015-01-01

    Introduction Rupture uterus is a life threatening obstetric complication with serious maternal and fetal side-effects. We report a 3 year (2010-2013) retrospective clinical study of pregnancy with rupture uterus cases attending a tertiary care hospital. Aim The aim of the study was to evaluate the incidence of rupture uterus, incidence as per age, parity, clinical presentations, risk factors, complications and management. Materials and Methods Retrospective data of 74 cases of rupture uterus in SCB Medical college, Cuttack was collected from case records of 26,547 deliveries during a 3 year span (2010-2013). Parameters like cause of rupture, type, site of rupture and outcome were recorded. The collected data was analysed by SPSS software v19. Results Out of 26,547 deliveries during the three year period, there were 74 cases of rupture uterus with an incidence of rupture 1 in 359 (0.28%). The mean age of rupture uterus was 27.4 years. 95.8% were multigravida and majority were referred cases from low socioeconomic status. Only 40.5% had the required minimum of four antenatal visits as recommended by WHO (World Health Organisation). A total of 48.6% of cases with rupture uterus had history of previous Caesarean section. Prolonged labour was present in 75.6% of the cases. Only 12.2% of the cases had history of oxytocin use whereas 9.5% had undergone an operative vaginal delivery. Obstructed labour was the cause in 24.3% of cases, 85.1% had complete rupture. Majority had a rupture in the anterior wall (69%) and 81.1% had rupture in lower segment of uterus. Only 17.6% had broad ligament haematoma, 10.8% colporrhexis and 6.8% had associated bladder injury. Repair was possible in only 39.2% of cases, whereas majority landed up in hysterectomy. Internal iliac ligation was done in 2.7% of cases. Perinatal mortality was 90.5% whereas maternal death was seen in 13.5% cases. One patient developed VVF (vesicovaginal fistula). Duration of hospital stay was upto 14 days in 81.1% cases. Conclusion Education and proper care especially of high risk patients like previous caesarean by competent personnal, proper use of oxytocin and early referral may help to reduce the incidence of rupture uterus. PMID:26673858

  19. Earthquake rupture stalled by a subducting fracture zone.

    PubMed

    Robinson, D P; Das, S; Watts, A B

    2006-05-26

    We showed that the rupture produced by the great Peru earthquake (moment magnitude 8.4) on 23 June 2001 propagated for approximately 70 kilometers before encountering a 6000-square-kilometer area of fault that acted as a barrier. The rupture continued around this barrier, which remained unbroken for approximately 30 seconds and then began to break when the main rupture front was approximately 200 kilometers from the epicenter. The barrier had relatively low rupture speed, slip, and aftershock density as compared to its surroundings, and the time of the main energy release in the earthquake coincided with the barrier's rupture. We associate this barrier with a fracture zone feature on the subducting oceanic plate. PMID:16728638

  20. Spontaneous diaphragmatic rupture related to local invasion by retroperitoneal liposarcoma.

    PubMed

    Pehar, M; Vukoja, I; Rozi?, D; Mikovi?, J

    2012-01-01

    We report a case of the female patient who was admitted to the hospital because of syncope experienced while climbing stairs. Diagnostic workup raised the suspicion of a right diaphragmatic rupture that was eventually confirmed by surgery (right-sided thoracotomy). Surgery also revealed tissue protruding through the rupture site from within the retroperitoneum that was proven subsequently to be a dedifferentiated liposarcoma. Second surgery was performed to completely remove the liposarcoma tissue and repair a coincident old right lumbar region hernia. The patient recovered fully. Spontaneous rupture of the diaphragm is rare and this is especially true for the right hemidiaphragm. We report the first case of diaphragmatic rupture caused by local infiltration by a retroperitoneal liposarcoma. This and similar reports emphasise that in cases with high clinical suspicion of diaphragmatic rupture, diagnosis should be pursued even in the absence of a preceding traumatic event. PMID:22524913

  1. Material contrast does not predict earthquake rupture propagation direction

    USGS Publications Warehouse

    Harris, R.A.; Day, S.M.

    2005-01-01

    Earthquakes often occur on faults that juxtapose different rocks. The result is rupture behavior that differs from that of an earthquake occurring on a fault in a homogeneous material. Previous 2D numerical simulations have studied simple cases of earthquake rupture propagation where there is a material contrast across a fault and have come to two different conclusions: 1) earthquake rupture propagation direction can be predicted from the material contrast, and 2) earthquake rupture propagation direction cannot be predicted from the material contrast. In this paper we provide observational evidence from 70 years of earthquakes at Parkfield, CA, and new 3D numerical simulations. Both the observations and the numerical simulations demonstrate that earthquake rupture propagation direction is unlikely to be predictable on the basis of a material contrast. Copyright 2005 by the American Geophysical Union.

  2. Distal biceps tendon reconstruction in chronic ruptures.

    PubMed

    Darlis, Nickolaos A; Sotereanos, Dean G

    2006-01-01

    The purpose of this retrospective study was to evaluate the results of anatomic reattachment with reconstruction of the distal biceps tendon using an Achilles tendon allograft in 7 male patients with chronic distal biceps ruptures. Through a 1-incision anterior approach, the tendon allograft was attached to the bicipital tuberosity by using suture anchors and then secured to the biceps remnant. Follow-up averaged 29 months. Mean elbow flexion was 145 degrees, an extension deficit of 20 degrees was observed in 1 patient, and mean pronosupination was 170 degrees. All patients had 5/5 strength in flexion and supination on manual testing, and all returned to their employment. Mean supination strength was 87% of the contralateral healthy extremity. Six achieved an excellent and 1 a good rating in the Mayo elbow performance score. No complications were encountered. This technique is an excellent alternative to nonanatomic reattachment to the brachialis muscle for patients with high functional demands in pronosupination. PMID:16979059

  3. Unresponsive primipara after rupture of membranes.

    PubMed

    Buechel, Johanna; Berset, Andreas; Lehmann, Michael A; Lapaire, Olav

    2015-01-01

    Amniotic fluid embolism, also called anaphylactoid syndrome of pregnancy, is a rare but severe problem in obstetrics. It occurs in 8/100,000 births and the maternal mortality is up to 90%. We report the case of a patient with amniotic fluid embolism who was transferred to our hospital. The initial presentation was an unresponsive patient after spontaneous rupture of the membranes. The massive hypotension and coagulopathy as well as fetal bradycardia of 60 bpm led, after stabilisation of the mother, to an emergency caesarean section. The neonate expired hours later, despite neonatological intensive care. During the operation, we had to deal with massive bleeding due to the coagulopathy. Through interdisciplinary teamwork including Bakri postpartum balloon insertion through the obstetrics team, uterine artery embolism by the interventional radiologists and transfusion of blood products, the maternal life was saved and the patient was discharged 9 days after admission. PMID:25883261

  4. Ruptured Rathke cleft cyst mimicking pituitary apoplexy.

    PubMed

    Neidert, Marian Christoph; Woernle, Christoph Michael; Leske, Henning; Mller-Goede, Diane; Pangalu, Athina; Schmid, Christoph; Bernays, Ren-Ludwig

    2013-12-01

    Rathke cleft cysts (RCCs) are benign cystic lesions of the sellar and suprasellar region that are asymptomatic in most cases. Occasionally, compression of the optic pathway and hypothalamo-pituitary structures may cause clinical symptoms, such as headaches, visual deficits and endocrinopathies. Acute presentation caused by hemorrhage into an RCC have been described in the literature, and the term "Rathke cleft cyst apoplexy" has been coined. We present the case of a 32-year-old man with acute onset of meningitis-type symptoms and imaging findings resembling hemorrhagic pituitary tumor apoplexy. In retrospect, clinical symptoms, intraoperative appearance, and histologic examination were compatible with the diagnosis of nonhemorrhagic rupture of an RCC. Thus, the clinical presentation of "Rathke cleft cyst apoplexy" is not necessarily caused by hemorrhage. PMID:23696292

  5. Poroelastic Bimaterial Effects in Rupture Dynamics

    NASA Astrophysics Data System (ADS)

    Dunham, E. M.; Rice, J. R.

    2006-12-01

    A mismatch of elastic properties across a fault induces normal stress changes during spatially nonuniform slip. Recently, Rudnicki and Rice (2006) showed that similar effects follow from a mismatch of poroelastic properties (e.g., permeability) within fluid-saturated damage fringes along the fault walls; those induce changes in pore pressure on the slip plane and hence changes in effective normal stress during slip. The sign of both changes can be either positive or negative, and they need not agree. Both signs reverse when the rupture propagates in the opposite direction, introducing asymmetry into the rupture process. We model a poroelastic fault zone cut by a planar fault separating regions of potentially different poroelastic properties. Slip compresses one side of the fault while dilating the opposite side. The resulting undrained pore pressure change is of opposite sign across the fault, and pore fluid diffuses to ensure continuity of pore pressure and fluid flux across the fault. Pore pressure on the fault decreases if the compressive side is less permeable (all other quantities being equal) and vice-versa. The poroelastic properties are measured over the hydraulic diffusion length, generally of order a few millimeters in well-sheared fault core cataclasite for a slip duration of a few seconds. (Poroelastic effects are essentially negligible on that time scale at greater distances from the fault because of vastly smaller pore pressure gradients; the material responds there like a classical elastic solid with moduli based on undrained poroelastic response.) Steady sliding of two half-spaces (neglecting shear heating) with identical elastic properties but a mismatch in poroelastic properties is unstable to perturbations for all non-zero values of the friction coefficient and Skempton's coefficient. The growth rate is proportional to the wavenumber of the perturbation, rendering this problem ill-posed in a manner similar to that for elastic mismatch. When both elastic and poroelastic properties are discontinuous across the fault, sliding is unstable for arbitrarily small friction coefficients if the elastic mismatch permits the existence of a generalized Rayleigh wave. When the poroelastic effect opposes the elastic bimaterial effect, there exists a critical parameter set at which the effects precisely balance and sliding is neutrally stable. The propagation direction of the unstable mode reverses across this critical state. For a large elastic mismatch, the generalized Rayleigh wave goes out of existence and sliding is stabilized for friction coefficients less than some critical value; this value is altered by the poroelastic response. This stability analysis is augmented by calculations of spontaneous ruptures on slip-weakening faults across which elastic and poroelastic properties may be discontinuous. Prakash-Clifton regularization permits convergent solutions in the otherwise ill-posed regime. The numerical method is validated by comparison to analytical solutions for the rupture of a line asperity between dissimilar elastic solids in frictionless contact (Harris and Day, 1997) and for a self-similar crack between identical elastic solids but with a mismatch in poroelastic properties.

  6. Multifractal scaling of thermally activated rupture processes.

    PubMed

    Sornette, D; Ouillon, G

    2005-01-28

    We propose a "multifractal stress activation" model combining thermally activated rupture and long memory stress relaxation, which predicts that seismic decay rates after mainshocks follow the Omori law approximately 1/t(p) with exponents p linearly increasing with the magnitude M(L) of the mainshock. We carefully test this prediction on earthquake sequences in the Southern California earthquake catalog: we find power law relaxations of seismic sequences triggered by mainshocks with exponents p increasing with the mainshock magnitude by approximately 0.1-0.15 for each magnitude unit increase, from p(M(L) = 3) approximately 0.6 to p(M(L) = 7) approximately 1.1, in good agreement with the prediction of the multifractal model. PMID:15698332

  7. Fluid-induced rupture experiment on Fontainebleau sandstone: Premonitory activity, rupture propagation, and aftershocks

    NASA Astrophysics Data System (ADS)

    Schubnel, A.; Thompson, B. D.; Fortin, J.; Guguen, Y.; Young, R. P.

    2007-10-01

    A 14% porosity Fontainebleau sandstone sample (diameter = 40 mm, length = 88 mm) was loaded tri-axially, under 100 MPa confining pressure and 240 MPa differential stress. In drained conditions and under constant load, pore pressure (water) was raised until failure was triggered. During the experiment, elastic wave velocities and permeability were monitored while more than 3000 Acoustic Emissions (AE) were located prior and after failure. AE locations show that macroscopic fracture propagated from a large nucleation patch at speeds comprised between 0.1 and 4 m/s. Number of AE hits per second followed Omori's law, with exponents of 0.92 and 1.18 pre- and post-failure respectively. No quiescence was observed post failure, except where rupture initially nucleated from. Fast depressurization of the pore space induced secondary aftershocks located within the fracture plane, possibly indicating a heterogeneous fault geometry after rupture, of lower permeability, that compacted during the release of pore pressure.

  8. Macroscopic Source Properties from Dynamic Rupture Styles in Plastic Media

    NASA Astrophysics Data System (ADS)

    Gabriel, A.; Ampuero, J. P.; Dalguer, L. A.; Mai, P. M.

    2011-12-01

    High stress concentrations at earthquake rupture fronts may generate an inelastic off-fault response at the rupture tip, leading to increased energy absorption in the damage zone. Furthermore, the induced asymmetric plastic strain field in in-plane rupture modes may produce bimaterial interfaces that can increase radiation efficiency and reduce frictional dissipation. Off-fault inelasticity thus plays an important role for realistic predictions of near-fault ground motion. Guided by our previous studies in the 2D elastic case, we perform rupture dynamics simulations including rate-and-state friction and off-fault plasticity to investigate the effects on the rupture properties. We quantitatively analyze macroscopic source properties for different rupture styles, ranging from cracks to pulses and subshear to supershear ruptures, and their transitional mechanisms. The energy dissipation due to off-fault inelasticity modifies the conditions to obtain each rupture style and alters macroscopic source properties. We examine apparent fracture energy, rupture and healing front speed, peak slip and peak slip velocity, dynamic stress drop and size of the process and plastic zones, slip and plastic seismic moment, and their connection to ground motion. This presentation focuses on the effects of rupture style and off-fault plasticity on the resulting ground motion patterns, especially on characteristic slip velocity function signatures and resulting seismic moments. We aim at developing scaling rules for equivalent elastic models, as function of background stress and frictional parameters, that may lead to improved "pseudo-dynamic" source parameterizations for ground-motion calculation. Moreover, our simulations provide quantitative relations between off-fault energy dissipation and macroscopic source properties. These relations might provide a self-consistent theoretical framework for the study of the earthquake energy balance based on observable earthquake source parameters.

  9. Bacterial DNA findings in ruptured and unruptured intracranial aneurysms.

    PubMed

    Pyysalo, Mikko J; Pyysalo, Liisa M; Pessi, Tanja; Karhunen, Pekka J; Lehtimäki, Terho; Oksala, Niku; Öhman, Juha E

    2016-05-01

    Objective Chronic inflammation has earlier been detected in ruptured intracranial aneurysms. A previous study detected both dental bacterial DNA and bacterial-driven inflammation in ruptured intracranial aneurysm walls. The aim of this study was to compare the presence of oral and pharyngeal bacterial DNA in ruptured and unruptured intracranial aneurysms. The hypothesis was that oral bacterial DNA findings would be more common and the amount of bacterial DNA would be higher in ruptured aneurysm walls than in unruptured aneurysm walls. Materials and methods A total of 70 ruptured (n = 42) and unruptured (n = 28) intracranial aneurysm specimens were obtained perioperatively in aneurysm clipping operations. Aneurysmal sac tissue was analysed using a real-time quantitative polymerase chain reaction to detect bacterial DNA from several oral species. Both histologically non-atherosclerotic healthy vessel wall obtained from cardiac by-pass operations (LITA) and arterial blood samples obtained from each aneurysm patient were used as control samples. Results Bacterial DNA was detected in 49/70 (70%) of the specimens. A total of 29/42 (69%) of the ruptured and 20/28 (71%) of the unruptured aneurysm samples contained bacterial DNA of oral origin. Both ruptured and unruptured aneurysm tissue samples contained significantly more bacterial DNA than the LITA control samples (p-values 0.003 and 0.001, respectively). There was no significant difference in the amount of bacterial DNA between the ruptured and unruptured samples. Conclusion Dental bacterial DNA can be found using a quantitative polymerase chain reaction in both ruptured and unruptured aneurysm walls, suggesting that bacterial DNA plays a role in the pathogenesis of cerebral aneurysms in general, rather than only in ruptured aneurysms. PMID:26777430

  10. Creep and rupture of an ODS alloy with high stress rupture ductility. [Oxide Dispersion Strengthened

    NASA Technical Reports Server (NTRS)

    Mcalarney, M. E.; Arsons, R. M.; Howson, T. E.; Tien, J. K.; Baranow, S.

    1982-01-01

    The creep and stress rupture properties of an oxide (Y2O3) dispersion strengthened nickel-base alloy, which also is strengthened by gamma-prime precipitates, was studied at 760 and 1093 C. At both temperatures, the alloy YDNiCrAl exhibits unusually high stress rupture ductility as measured by both elongation and reduction in area. Failure was transgranular, and different modes of failure were observed including crystallographic fracture at intermediate temperatures and tearing or necking almost to a chisel point at higher temperatures. While the rupture ductility was high, the creep strength of the alloy was low relative to conventional gamma prime strengthened superalloys in the intermediate temperature range and to ODS alloys in the higher temperature range. These findings are discussed with respect to the alloy composition; the strengthening oxide phases, which are inhomogeneously dispersed; the grain morphology, which is coarse and elongated and exhibits many included grains; and the second phase inclusion particles occurring at grain boundaries and in the matrix. The creep properties, in particular the high stress dependencies and high creep activation energies measured, are discussed with respect to the resisting stress model of creep in particle strengthened alloys.

  11. Shigella subverts the host recycling compartment to rupture its vacuole.

    PubMed

    Mellouk, Nora; Weiner, Allon; Aulner, Nathalie; Schmitt, Christine; Elbaum, Michael; Shorte, Spencer L; Danckaert, Anne; Enninga, Jost

    2014-10-01

    Shigella enters epithlial cells via internalization into a vacuole. Subsequent vacuolar membrane rupture allows bacterial escape into the cytosol for replication and cell-to-cell spread. Bacterial effectors such as IpgD, a PI(4,5)P2 phosphatase that generates PI(5)P and alters host actin, facilitate this internalization. Here, we identify host proteins involved in Shigella uptake and vacuolar membrane rupture by high-content siRNA screening and subsequently focus on Rab11, a constituent of the recycling compartment. Rab11-positive vesicles are recruited to the invasion site before vacuolar rupture, and Rab11 knockdown dramatically decreases vacuolar membrane rupture. Additionally, Rab11 recruitment is absent and vacuolar rupture is delayed in the ipgD mutant that does not dephosphorylate PI(4,5)P? into PI(5)P. Ultrastructural analyses of Rab11-positive vesicles further reveal that ipgD mutant-containing vacuoles become confined in actin structures that likely contribute to delayed vacular rupture. These findings provide insight into the underlying molecular mechanism of vacuole progression and rupture during Shigella invasion. PMID:25299335

  12. Patient specific stress and rupture analysis of ascending thoracic aneurysms.

    PubMed

    Trabelsi, Olfa; Davis, Frances M; Rodriguez-Matas, Jose F; Duprey, Ambroise; Avril, Stphane

    2015-07-16

    An ascending thoracic aortic aneurysm (ATAA) is a serious medical condition which, more often than not, requires surgery. Aneurysm diameter is the primary clinical criterion for determining when surgical intervention is necessary but, biomechanical studies have suggested that the diameter criterion is insufficient. This manuscript presents a method for obtaining the patient specific wall stress distribution of the ATAA and the retrospective rupture risk for each patient. Five human ATAAs and the preoperative dynamic CT scans were obtained during elective surgeries to replace each patient's aneurysm with a synthetic graft. The material properties and rupture stress for each tissue sample were identified using bulge inflation tests. The dynamic CT scans were used to generate patient specific geometries for a finite element (FE) model of each patient's aneurysm. The material properties from the bulge inflation tests were implemented in the FE model and the wall stress distribution at four different pressures was estimated. Three different rupture risk assessments were compared: the maximum diameter, the rupture risk index, and the overpressure index. The peak wall stress values for the patients ranged from 28% to 94% of the ATAA's failure stress. The rupture risk and overpressure indices were both only weakly correlated with diameter (?=-0.29, both cases). In the future, we plan to conduct a large experimental and computational study that includes asymptomatic patients under surveillance, patients undergoing elective surgery, and patients who have experienced rupture or dissection to determine if the rupture risk index or maximum diameter can meaningfully differentiate between the groups. PMID:25979384

  13. Daughter bubble cascades produced by folding of ruptured thin films.

    PubMed

    Bird, James C; de Ruiter, Rille; Courbin, Laurent; Stone, Howard A

    2010-06-10

    Thin liquid films, such as soap bubbles, have been studied extensively for over a century because they are easily formed and mediate a wide range of transport processes in physics, chemistry and engineering. When a bubble on a liquid-gas or solid-gas interface (referred to herein as an interfacial bubble) ruptures, the general expectation is that the bubble vanishes. More precisely, the ruptured thin film is expected to retract rapidly until it becomes part of the interface, an event that typically occurs within milliseconds. The assumption that ruptured bubbles vanish is central to theories on foam evolution and relevant to health and climate because bubble rupture is a source for aerosol droplets. Here we show that for a large range of fluid parameters, interfacial bubbles can create numerous small bubbles when they rupture, rather than vanishing. We demonstrate, both experimentally and numerically, that the curved film of the ruptured bubble can fold and entrap air as it retracts. The resulting toroidal geometry of the trapped air is unstable, leading to the creation of a ring of smaller bubbles. The higher pressure associated with the higher curvature of the smaller bubbles increases the absorption of gas into the liquid, and increases the efficiency of rupture-induced aerosol dispersal. PMID:20535206

  14. Rupture Synchronicity in Complex Fault Systems

    NASA Astrophysics Data System (ADS)

    Milner, K. R.; Jordan, T. H.

    2013-12-01

    While most investigators would agree that the timing of large earthquakes within a fault system depends on stress-mediated interactions among its elements, much of the debate relevant to time-dependent forecasting has been centered on single-fault concepts, such as characteristic earthquake behavior. We propose to broaden this discussion by quantifying the multi-fault concept of rupture synchronicity. We consider a finite set of small, fault-spanning volumes {Vk} within a fault system of arbitrary (fractal) complexity. We let Ck be the catalog of length tmax comprising Nk discrete times {ti(k)} that mark when the kth volume participates in a rupture of magnitude > M. The main object of our analysis is the complete set of event time differences {τij(kk') = ti(k) - tj(k')}, which we take to be a random process with an expected density function ρkk'(t). When k = k', we call this function the auto-catalog density function (ACDF); when k ≠ k', we call it the cross-catalog density function (CCDF). The roles of the ACDF and CCDF in synchronicity theory are similar to those of autocorrelation and cross-correlation functions in time-series analysis. For a renewal process, the ACDF can be written in terms of convolutions of the interevent-time distribution, and many of its properties (e.g., large-t asymptote) can be derived analytically. The interesting information in the CCDF, like that in the ACDF, is concentrated near t = 0. If two catalogs are completely asynchronous, the CCDF collapses to an asymptote given by the harmonic mean of the ACDF asymptotes. Synchronicity can therefore be characterized by the variability of the CCDF about this asymptote. The brevity of instrumental catalogs makes the identification of synchronicity at large M difficult, but we will illustrate potentially interesting behaviors through the analysis of a million-year California catalog generated by the earthquake simulator, RSQSim (Deiterich & Richards-Dinger, 2010), which we sampled at a dozen fault-spanning volumes. At the magnitude threshold M = 7, the ACDF can be well fit by renewal models with fairly small aperiodicity parameters (α < 0.2) for all fault volumes but one (on the San Jacinto fault). At interseismic (Reid) time scales, we observe pairs of fault segments that are tightly locked, such as the Cholame and Carrizo sections of the San Andreas Fault (SAF), where the CCDF and two ACDFs are nearly equal; segments out of phase (Carrizo-SAF/Coachella-SAF and Coachella-SAF/San Jacinto), where the CCDF variation is an odd function of time; and segments where events are in phase with integer ratios of recurrence times (2:1 synchronicity of Coachella-SAF/Mojave-SAF and Carrizo-SAF/Mojave-SAF). At near-seismic (Omori) time scales, we observe various modes of clustering, triggering, and shadowing in RSQSim catalogs; e.g., events on Mojave-SAF trigger Garlock events, and events on Coachella-SAF shut down events on San Jacinto. Therefore, despite its geometrical complexity and multiplicity of time scales, the RSQSim model of the San Andreas fault system exhibits a variety of synchronous behaviors that increase the predictability of large ruptures within the system. A key question for earthquake forecasting is whether the real San Andreas system is equally, or much less, synchronous.

  15. Altered posterior cingulate cortical cyctoarchitecture, but normal density of neurons and interneurons in the posterior cingulate cortex and fusiform gyrus in autism

    PubMed Central

    Rosene, Douglas L.; Kemper, Thomas L.; Bauman, Margaret L.; Blatt, Gene J.

    2011-01-01

    Lay Abstract Autism is a behaviorally defined disorder with increasing prevalence rates globally. The disorder is characterized by deficits in several domains including social behaviors, restricted and repetitive behaviors, and deficits in communication. Two regions thought to contribute to deficits in social behavior are the posterior cingulate cortex (PCC) and fusiform gyrus (FFG). The PCC is involved in processing emotionally salient stimuli, and also has a role in processing faces. The FFG is the area responsible for object and face recognition. A potential imbalance between excitatory and inhibitory processing in the brain may contribute to some of the abnormal social behaviors observed in autism. This is supported by previous work suggesting reduced GABA receptors in the autistic brain. The present study used thionin stained section to qualitatively assess cortical patterning and quantitatively assess the density of neurons. Furthermore, immunohistochemistry was used to determine the density of a subset of GABAergic interneurons. In the autistic brain, the PCC displayed several abnormal cortical patterns including irregularly distributed neurons in specific cortical layers, and the presence of increased white matter neurons. In marked contrast, the FFG appeared normal and there were no significant differences in the density of neurons or interneurons in either region. The present study highlights the presence of abnormal findings in the PCC, which appear to have developmental origins and could affect local processing of social-emotional behaviors as well as the function of interrelated cortical areas. Scientific Abstract Autism is a developmental disorder with prenatal origins, currently estimated to affect 1 in 91 children in the United States. Social-emotional deficits are a hallmark of autism and early neuropathology studies have indicated involvement of the limbic system. Imaging studies demonstrate abnormal activation of the posterior cingulate cortex (PCC), a component of the limbic system. Abnormal activation has also been noted in the fusiform gyrus (FFG), a region important for facial recognition and a key element in social interaction. A potential imbalance between excitatory and inhibitory interneurons in the cortex may contribute to altered information processing in autism. Furthermore, reduced numbers of GABA receptors have previously been reported in the autistic brain. Thionin stained sections were used to qualitatively assess cytoarchitectonic patterning and quantitatively determine the density of neurons and immunohistochemistry was used to determine the densities of a subset of GABAergic interneurons utilizing parvalbumin- and calbindin- immunoreactivity. In autism, the PCC displayed altered cytoarchitecture with irregularly distributed neurons, poorly demarcated layers IV and V, and increased presence of white matter neurons. In contrast, no neuropathology was observed in the FFG. There was no significant difference in the density of thionin, parvalbumin, or calbindin interneurons in either region and there was a trend towards a reduced density of calbindin neurons in the PCC. This study highlights the presence of abnormal findings in the PCC, which appear to be developmental in nature and could affect the local processing of social-emotional behaviors as well as functioning of interrelated areas. PMID:21360830

  16. Endovascular Treatment of an Aortic Traumatic Double Rupture

    PubMed Central

    Attin, Domenico; Buia, Francesco; Russo, Vincenzo; Pilato, Emanuele; Lovato, Luigi; Bartolomeo, Roberto Di; Zompatori, Maurizio

    2015-01-01

    Traumatic thoracic aortic rupture is a life-threatening condition; aortic isthmus is the most common site of rupture, but in rare cases traumatic injury can localize elsewhere, such as at aortic arch or at the level of the diaphragm. In the past few years, endovascular treatment of traumatic aortic injury became a safe procedure, with lower mortality and complication, if compared with open surgery. We report a case of a 40-year-old-man admitted to emergency department after a violent car crash in which an aortic traumatic double rupture was successfully treated with two endovascular stent-grafts coverage. PMID:25859315

  17. The Initial Rupture of the 2000 Western Tottori Earthquake

    NASA Astrophysics Data System (ADS)

    Hirata, M.; Umeda, Y.; Mori, J.; Kawakata, H.

    2002-12-01

    Two clear P phases were identified on the seismograms for the 2000 Western Tottori earthquake(M7.3). Following the initial P phase (P1), a larger arrival (P2) several seconds later indicates that the rupture did not grow smoothly, but has at least 2 subevents. Hypocenters corresponding to these two P arrivals were determined using 14 stations within hypocentral distances of 60 km. The initial rupture started from the edge of a region that has had swarm activity, including M5 events, since 1989. The source of the second larger P phase was located 1km deeper and 5km southeast from the initial rupture. The hypocenter of the second rupture was off the fault plane estimated from the mechanism solution of the initial rupture using the P1 phase first motions. The average time interval between the two phases was 2.5 second, which is consistent with an empirical relation between the magnitude and duration time for initial ruptures. According to rupture model of this earthquake determined by Sekiguchi and Iwata, little slip occurred near the starting point, and 3 seconds after, larger slip occurred 5km southeast of the starting point, corresponding to our location of the source of second rupture. In this study, we tried deriving the rupture process for the spatiotemporal slip distribution of the first few seconds of the rupture of this earthquake by using a waveform inversion. We divided the area near the initial hypocenter into 10 x 6 subfaults with dimensions of 250 x 250 m2. For the inversion, we used 3-component data from 12 KiK-net and K-net stations data integrated from acceleration to velocity and bandpassed filtered from 0.1 to 3.0 Hz. Green_fs functions were calculated using a 1-dimensional velocity structure that was determined from the temporary aftershock observations. We used 12 time windows spaced at 0.05 sec intervals Our results show that the area of the initial rupture area was about 0.5 km2 and extended toward the southeast from the initial hypocenter. There does not appear to be much slip in the area between the location of the initial rupture and the location of the sudden increase in slip 2.5 seconds later.

  18. Spontaneous "spaghetti" flexor tendon ruptures in the rheumatoid wrist.

    PubMed

    Hashizume, Hiroyuki; Nishida, Keiichiro; Fujiwara, Kazuo; Inoue, Hajime

    2004-01-01

    A 54-year-old woman who had been treated for rheumatoid arthritis for 12 years developed spontaneous multiple flexor tendon ruptures during a 5-month period. Radiography revealed volar subluxation of the lunate bone. Surgery was performed 5 months after the first onset of tendon rupture. All eight flexors, except the flexor pollicis longus tendons, had ruptured, and the damage resembled spaghetti. Four flexor digitorum profundus tendons were reconstructed by bridge graft using their respective sublimis tendons. Wrist joint fusion and tenolysis were performed 3 months after the first operation. Each finger achieved a good range of motion 2 years and 6 months after the second operation. PMID:17143686

  19. Laparoscopic repair of a bladder rupture in a foal.

    PubMed

    Edwards, R B; Ducharme, N G; Hackett, R P

    1995-01-01

    Ruptured bladder was diagnosed in a 90-day-old Thoroughbred colt that had suffered a open, comminuted tibial fracture 2 days earlier. The bladder rupture was identified by laparoscopic examination of the abdomen and was repaired using a laparoscopic stapling instrument. This technique provided good visualization and allowed repair of the rupture with minimal intervention. Ten months after surgery, the foal was admitted to a referral surgical practice because of colic and stanguria. A urinary calculus was removed from the penile urethra by urethrotomy. Laparoscopic repair of the bladder with nonabsorbable staples may be contraindicated because of possible urolith formation. PMID:7701772

  20. Frictional melting during the rupture of the 1994 bolivian earthquake

    PubMed

    Kanamori; Anderson; Heaton

    1998-02-01

    The source parameters of the 1994 Bolivian earthquake (magnitude Mw = 8.3) suggest that the maximum seismic efficiency eta was 0.036 and the minimum frictional stress was 550 bars. Thus, the source process was dissipative, which is consistent with the observed slow rupture speed, only 20% of the local S-wave velocity. The amount of nonradiated energy produced during the Bolivian rupture was comparable to, or larger than, the thermal energy of the 1980 Mount St. Helens eruption and was sufficient to have melted a layer as thick as 31 centimeters. Once rupture was initiated, melting could occur, which reduces friction and promotes fault slip. PMID:9452378

  1. The rupture of a single liquid aluminium alloy film.

    PubMed

    Heim, K; Garca-Moreno, F; Vinod Kumar, G S; Rack, A; Banhart, J

    2014-07-14

    The present study is based on the idea of understanding the rupture of films in metal foams by studying free standing metallic films as a model system. Liquid dynamics, the velocity of the rupturing material as well as the behaviour of ceramic particles inside the melt were analysed optically ex situ and by synchrotron X-ray radiography in situ. It was found that the resistance of films to rupture is mainly based on the interaction between solid particles and an immobile oxide skin, the formation of which depends on the oxygen content of the surrounding atmosphere and the presence of magnesium. PMID:24854899

  2. Surviving Right Atrial Rupture From Blunt Thoracic Trauma After Pericardiectomy.

    PubMed

    Lajevardi, Sepehr Seyed; Galougahi, Keyvan Karimi; Nova, George; Marshman, David

    2016-02-01

    Right atrial rupture secondary to blunt trauma is exceedingly rare. We present a case report of blunt chest trauma and right atrial rupture in a patient with a background of pericardiectomy that were successfully managed surgically. Right atrial rupture must be considered as a differential diagnosis in patients with blunt chest trauma. In patients with previous pericardiectomy, this injury may manifest with massive hemothorax, and insertion of a chest drain should be performed with extreme caution. In our experience, urgent exploratory thoracotomy and repair of the defect are the mainstays of acute management. PMID:26777930

  3. Laparoscopic splenectomy for spontaneous rupture of the spleen.

    PubMed

    Thapar, Pinky M; Philip, Roji; Masurkar, Vishwanath G; Khadse, Prashant L; Randive, Nilima U

    2016-01-01

    Laparoscopic splenectomy is a gold standard for management of planned benign splenic pathologies. Spontaneous rupture of the spleen (SRS) leading to acute abdomen occurs in only 1% of all splenic ruptures. Laparoscopic splenectomy in traumatic and atraumatic rupture due to intra-splenic pathology is reported. We present the first reported case of laparoscopic splenectomy in a 23-year-old male who presented with hemoperitoneum due to idiopathic or SRS. The procedure was safely accomplished with slight modified technique and minimum usage of advanced gadgets. PMID:26917926

  4. Laparoscopic splenectomy for spontaneous rupture of the spleen

    PubMed Central

    Thapar, Pinky M.; Philip, Roji; Masurkar, Vishwanath G.; Khadse, Prashant L.; Randive, Nilima U.

    2016-01-01

    Laparoscopic splenectomy is a gold standard for management of planned benign splenic pathologies. Spontaneous rupture of the spleen (SRS) leading to acute abdomen occurs in only 1% of all splenic ruptures. Laparoscopic splenectomy in traumatic and atraumatic rupture due to intra-splenic pathology is reported. We present the first reported case of laparoscopic splenectomy in a 23-year-old male who presented with hemoperitoneum due to idiopathic or SRS. The procedure was safely accomplished with slight modified technique and minimum usage of advanced gadgets. PMID:26917926

  5. Earthquake rupture in shallow, unconsolidated sediment

    NASA Astrophysics Data System (ADS)

    Bullock, R. J.; De Paola, N.; Marco, S.; Holdsworth, R.

    2014-12-01

    Faults in shallow, unconsolidated sediment are often associated with aseismic creep, due to the velocity-strengthening behaviour of unconsolidated materials observed during lab experiments. They are expected to appear as broad zones of distributed deformation. However, large seismic ruptures can still propagate to the surface through shallow sediment, causing vast damage and destructive tsunamis. Our understanding of how seismic rupturing of shallow faults in unconsolidated sediment occurs in nature is limited due to the lack of direct observations constraining their structure, deformation patterns and mechanisms, and frictional behaviour. We studied syn-depositional normal faults, which deform unconsolidated, saturated lake sediments of the palaeo-Dead Sea. The sediments belong to the Lisan Formation (~70-18 Ka) and comprise alternating 1-3 mm thick laminae of aragonite and ultrafine-grained detritus. The faults formed at the surface, the only overburden being the overlying water column, and are known to have hosted seismic slip during large events (M ? 6), due to their association with seismites. The faults are discrete, localized structures, which sharply truncate laminae in the host sediment. Slip surfaces are sharp and straight and accompanied by a narrow slip zone, up to 1 cm wide, but often ? 1 mm wide, containing ultrafine-grained gouge. The majority of slip, up to 3 m, is concentrated in these slip zones. Faults can be categorised as having either simple geometry (one continuous fault strand accommodates all the displacement) or complex geometry (two or more fault segments share the overall displacement). Slip profiles constructed for simple geometry faults all have similar shapes, regardless of maximum displacement, whereas those for complex geometry faults are highly variable, due to segment interaction. It is apparent from the slip profiles that these faults grow and interact in the same way as 'brittle' faults in cohesive rocks. We will present results of microstructural analyses of the fault rocks, to constrain the deformation mechanisms occurring during seismic slip in unconsolidated sediment. We will also present results of low- and high-velocity friction experiments, which will constrain the conditions under which brittle deformation and seismic slip occur in these materials.

  6. The Role of Gamma-Band Activity in the Representation of Faces: Reduced Activity in the Fusiform Face Area in Congenital Prosopagnosia

    PubMed Central

    Dobel, Christian; Junghfer, Markus; Gruber, Thomas

    2011-01-01

    Background Congenital prosopagnosia (CP) describes an impairment in face processing that is presumably present from birth. The neuronal correlates of this dysfunction are still under debate. In the current paper, we investigate high-frequent oscillatory activity in response to faces in persons with CP. Such neuronal activity is thought to reflect higher-level representations for faces. Methodology Source localization of induced Gamma-Band Responses (iGBR) measured by magnetoencephalography (MEG) was used to establish the origin of oscillatory activity in response to famous and unknown faces which were presented in upright and inverted orientation. Persons suffering from congenital prosopagnosia (CP) were compared to matched controls. Principal Findings Corroborating earlier research, both groups revealed amplified iGBR in response to upright compared to inverted faces predominately in a time interval between 170 and 330 ms and in a frequency range from 50100 Hz. Oscillatory activity upon known faces was smaller in comparison to unknown faces, suggesting a sharpening effect reflecting more efficient processing for familiar stimuli. These effects were seen in a wide cortical network encompassing temporal and parietal areas involved in the disambiguation of homogenous stimuli such as faces, and in the retrieval of semantic information. Importantly, participants suffering from CP displayed a strongly reduced iGBR in the left fusiform area compared to control participants. Conclusions In sum, these data stress the crucial role of oscillatory activity for face representation and demonstrate the involvement of a distributed occipito-temporo-parietal network in generating iGBR. This study also provides the first evidence that persons suffering from an agnosia actually display reduced gamma band activity. Finally, the results argue strongly against the view that oscillatory activity is a mere epiphenomenon brought fourth by rapid eye-movements (micro saccades). PMID:21573175

  7. Altered Functional Connectivity of Fusiform Gyrus in Subjects with Amnestic Mild Cognitive Impairment: A Resting-State fMRI Study

    PubMed Central

    Cai, Suping; Chong, Tao; Zhang, Yun; Li, Jun; von Deneen, Karen M.; Ren, Junchan; Dong, Minghao; Huang, Liyu

    2015-01-01

    Visual cognition such as face recognition requests a high degree of functional integration between distributed brain areas of a network. It has been reported that the fusiform gyrus (FG) is an important brain area involved in facial cognition; altered connectivity of FG to some other regions may lead to a deficit in visual cognition especially face recognition. However, whether functional connectivity between the FG and other brain areas changes remains unclear in the resting state in amnestic mild cognitive impairment (aMCI) subjects. Here, we employed a resting-state functional MRI (fMRI) to examine alterations in functional connectivity of left/right FG comparing aMCI patients with age-matched control subjects. Forty-eight aMCI and 38 control subjects from the Alzheimer’s disease Neuroimaging Initiative were analyzed. We concentrated on the correlation between low frequency fMRI time courses in the FG and those in all other brain regions. Relative to the control group, we found some discrepant regions in the aMCI group which presented increased or decreased connectivity with the left/right FG including the left precuneus, left lingual gyrus, right thalamus, supramarginal gyrus, left supplementary motor area, left inferior temporal gyrus, and left parahippocampus. More importantly, we also obtained that both left and right FG have increased functional connections with the left middle occipital gyrus (MOG) and right anterior cingulate gyrus (ACC) in aMCI patients. That was not a coincidence and might imply that the MOG and ACC also play a critical role in visual cognition, especially face recognition. These findings in a large part supported our hypothesis and provided a new insight in understanding the important subtype of MCI. PMID:26379534

  8. Stress-rupture strength of alloy 718

    SciTech Connect

    Kennedy, R.L.; Cao, W.D.; Thomas, W.M.

    1996-03-01

    Alloy 718 is the most widely used of the nickel-base superalloys in aerospace applications such as compressor and turbine disks, cases, compressor blades and fasteners in aircraft gas-turbine engines. Since the development of the superalloy by Inco Alloys International over 30 years ago, researchers have made many slight modifications in chemical composition, and have refined process techniques to achieve further improvements in performance. Relatively little information on the effects of phosphorus has been published, and the available information is contradictory. However, phosphorus in superalloys is generally considered detrimental, and by specification is controlled to a low maximum value (0.015% max, for example, in AMS5662 E). This lack of data is the basis of a study by Teledyne Allvac to determine the effects of the interaction of phosphorus, boron, and carbon on the mechanical properties, processing characteristics, and microstructure of Allvac 718. Results show that a significant improvement in stress-rupture properties over those of a commercial Alloy 718 material is possible by optimizing phosphorus, boron, and carbon additions.

  9. [Idiopathic gastric rupture in toddler: case report].

    PubMed

    Donoso Fuentes, Alejandro; Arriagada Santis, Daniela; Cruces Romero, Pablo; Daz Rubio, Franco

    2012-04-01

    Idiopathic gastric rupture is rare in children. Most of them occur in newborn. The authors report the case of a 2-year-old female toddler with no significant medical records. Clinical picture began 48 h before with abdominal pain, nausea and vomiting. She was admitted to the Emergency Room in poor general condition, with abdominal distension and rebound tenderness. Laparotomy was performed immediately show-ing multiple perforations in the posterior wall of the stomach. Partial gastrectomy was performed. Afterwards, she was admitted to ICU in shock. She received mechanical ventilation, intravenous fluid administration (260 ml/kg in 12 h), vasoactive support and antibacterial therapy (cefotaxime and metronidazole). Laboratory showed leukopenia and thrombocytopenia. Etiological study was entirely negative for toxic and drug consumption. Collagen disease was ruled out and serum level of gastrin was normal. Her post operative course was characterized by persistent fever caused by left subphrenic collection (positive culture for Candida galabrata). Peritoneal lavage via laparotomy and percutaneous drainage of the residual collections were performed. She completed 3 weeks of antibacterial and antifungal therapies with adequate outcome. Her follow-up in 12 months was uneventful. PMID:22451295

  10. A viscoelastic model for axonal microtubule rupture.

    PubMed

    Shamloo, Amir; Manuchehrfar, Farid; Rafii-Tabar, Hashem

    2015-05-01

    Axon is an important part of the neuronal cells and axonal microtubules are bundles in axons. In axons, microtubules are coated with microtubule-associated protein tau, a natively unfolded filamentous protein in the central nervous system. These proteins are responsible for cross-linking axonal microtubule bundles. Through complimentary dimerization with other tau proteins, bridges are formed between nearby microtubules creating bundles. Formation of bundles of microtubules causes their transverse reinforcement and has been shown to enhance their ability to bear compressive loads. Though microtubules are conventionally regarded as bearing compressive loads, in certain circumstances during traumatic brain injuries, they are placed in tension. In our model, microtubule bundles were formed from a large number of discrete masses. We employed Standard Linear Solid model (SLS), a viscoelastic model, to computationally simulate microtubules. In this study, we investigated the dynamic responses of two dimensional axonal microtubules under suddenly applied end forces by implementing discrete masses connected to their neighboring masses with a Standard Linear Solid unit. We also investigated the effect of the applied force rate and magnitude on the deformation of bundles. Under tension, a microtubule fiber may rupture as a result of a sudden force. Using the developed model, we could predict the critical regions of the axonal microtubule bundles in the presence of varying end forces. We finally analyzed the nature of microtubular failure under varying mechanical stresses. PMID:25835789

  11. Soft, Brown Rupture: Clinical Signs and Symptoms Associated with Ruptured PIP Breast Implants

    PubMed Central

    Duncan, Robert T.; Feig, Christine; Reintals, Michelle; Hill, Sarah

    2014-01-01

    Background: Preoperative signs and symptoms of patients with Poly Implant Prothese (PIP) implants could be predictive of device failure. Based on clinical observation and intraoperative findings 4 hypotheses were raised: (1) Preoperative clinical signs including acquired asymmetry, breast enlargement, fullness of the lower pole, decreased mound projection, and change in breast consistency could be indicative of implant rupture. (2) Device failure correlates with a low preoperative Baker grade of capsule. (3) Brown-stained implants are more prone to implant failure. (4) The brown gel could be indicative of iodine ingression through a substandard elastomer shell. Methods: Preoperative clinical signs were compared with intraoperative findings for 27 patients undergoing PIP implant explantation. Results: Acquired asymmetry (P = 0.0003), breast enlargement (P = 0.0002), fuller lower pole (P < 0.0001), and loss of lateral projection (P < 0.0001) were all significantly predictive of device failure. Capsule Baker grade was lower preoperatively for ruptured implants. The lack of palpable and visible preoperative capsular contracture could be secondary to the elastic nature of the capsular tissue found. Brown implants failed significantly more often than white implants. Analysis of brown gel revealed the presence of iodine, suggesting povidone iodine ingression at implantation. Conclusions: Preoperative signs can be predictive of PIP implant failure. Brown-stained implants are more prone to rupture. The presence of iodine in the gel suggests unacceptable permeability of the shell early in the implants life span. A noninvasive screening test to detect brown implants in situ could help identify implants at risk of failure in those who elect to keep their implants. PMID:25506532

  12. Co-existence of a rare dyspnea with pericardial diaphragmatic rupture and pericardial rupture: a case report

    PubMed Central

    Karg?, Ahmet Blent; Zeybek, Arife

    2015-01-01

    Pericardial-diaphragmatic rupture is a rare condition which occurs after blunt trauma and involves the herniation of abdominal organs into the pericardium. A 77-year-old female patient presenting with complaints of palpitation and difficulty in breathing was admitted to the emergency room. Left lateral thoracotomy revealed the herniation of abdominal organs into the thorax. A pericardial-diaphragmatic rupture and a pericardial rupture were found to co-exist. The diaphragm and the pericardium were repaired primarily. The case is presented here because herniation of abdominal organs into the pleural cavity through the pericardium is a rare condition. PMID:26336505

  13. Conservative management of gastric rupture following scuba diving.

    PubMed Central

    Hunter, J D; Roobottom, C A; Bryson, P J; Brown, C

    1998-01-01

    Gastric rupture is an uncommon surgical problem which normally presents with an acute abdomen and peritonism. An unusual case following underwater ascent and its conservative management is presented. Images Figure 1 Figure 2 PMID:9570057

  14. Experimental investigation of creep rupture of reactor vessel lower head

    SciTech Connect

    Chu, Tze Yao; Pilch, M.M.; Bentz, J.H.

    1997-12-01

    This paper summarizes experiments on creep rupture of reactor pressure vessel (RPV) lower heads under the thermal and pressure loads of a core meltdown accident. Lower head failure (LHF) is of importance to accident assessment and accident management.

  15. A New Clinical Test in Diagnosing Quadriceps Tendon Rupture

    PubMed Central

    Jolles, BM; Garofalo, R; Gillain, L; Schizas, C

    2007-01-01

    INTRODUCTION Extensor mechanism ruptures might be easily overlooked and misdiagnosed, and delayed diagnosis of quadriceps tendon rupture is frequent. However, the literature recommends early surgical repair within 72 h. PATIENTS AND METHODS This paper describes a new simple clinical diagnostic test that directly evaluates the integrity of the distal 5 cm of the quadriceps tendon itself. It consists of inserting a needle in the tendon, proximal to the suspected rupture and mobilising the knee joint. RESULTS The suspected ruptured quadriceps tendons with a positive needle diagnostic test were confirmed intra-operatively. CONCLUSIONS This minimally invasive and easily available technique should be considered in the diagnostic work-up and treatment planning of patients with suspected tears of the quadriceps tendon. PMID:17394710

  16. Rapid estimation of fault rupture extent using envelopes of acceleration

    NASA Astrophysics Data System (ADS)

    Kang, Lan-Chi; Jin, Xing; Li, Jun; Qiu, Yi; Wei, Yong-Xiang

    2013-12-01

    We present a new strategy to estimate the geometry of a rupture on a finite fault for rapid reporting of seismic intensity. We use envelope attenuation relationships which were presented by Huo et al. (Acta Seismol Sin 16:519-525, 1994). An important base of this work is the fault finiteness theory. We propose a new model to simulate high-frequency motions from earthquakes with large rupture dimension. The envelope of high-frequency ground motion from a large earthquake can be expressed as a root-mean-squared combination of envelope functions from smaller earthquakes. We use simulated envelopes of ground acceleration to estimate the direction and along-strike length of a rupture. Using the Wenchuan and Jiji (Chi-Chi) earthquake dataset, we parameterize the fault geometry with an epicenter, a fault strike, and along-strike rupture lengths. So this methodology seems quite appropriate for the rapid reporting systems of seismic intensity.

  17. Aneurysmal Rupture of a Mesodiverticular Band to a Meckel's Diverticulum

    PubMed Central

    Sommerhalder, Christian; Fretwell, Kenneth R.; Salzler, Gregory G.; Creasy, John M.; Robitsek, R. Jonathan; Schubl, Sebastian D.

    2015-01-01

    Aneurysmal rupture of a mesodiverticular band has not previously been reported in the clinical literature. We are reporting a case of hemoperitoneum in a 51-year-old male after an aneurysmal rupture of a mesodiverticular band. This case demonstrates that in rare instances, a rupture of the mesodiverticular band leading to Meckel's diverticulum can lead to significant hemoperitoneum. This is usually caused by a traumatic injury but in our case was apparently caused by an aneurysm of the mesodiverticular artery. Patients with known Meckel's diverticula should be aware of the possibility of rupture, as should clinicians treating those with a history of this usually benign congenital abnormality. Rapid surgical intervention is necessary to repair the source of bleeding, as massive blood loss was encountered in this case. PMID:25688323

  18. Pancreatic rupture in four cats with high-rise syndrome.

    PubMed

    Liehmann, Lea M; Dörner, Judith; Hittmair, Katharina M; Schwendenwein, Ilse; Reifinger, Martin; Dupré, Gilles

    2012-02-01

    Pancreatic trauma and rupture are rare after feline high-rise syndrome; however, should it happen, pancreatic enzymes will leak into the abdominal cavity and may cause pancreatic autodigestion and fatty tissue saponification. If not diagnosed and treated, it can ultimately lead to multiorgan failure and death. In this case series, 700 records of high-rise syndrome cats that presented between April 2001 and May 2006 were analysed, and four cats with pancreatic rupture were identified. Clinical signs, diagnosis using ultrasonography and lipase activity in blood and abdominal effusion, and treatment modalities are reported. Three cats underwent surgical abdominal exploration, one cat was euthanased. Rupture of the left pancreatic limb was confirmed in all cases. Two of the operated cats survived to date. High-rise syndrome can lead to abdominal trauma, including pancreatic rupture. A prompt diagnosis and surgical treatment should be considered. PMID:22314089

  19. Spontaneous Posterior Uterine Rupture in Twin-Twin Transfusion Syndrome.

    PubMed

    Smid, Marcela C; Waltner-Toews, Rebecca; Goodnight, William

    2016-03-01

    Background?The maternal and fetal risks of uterine distension in rapidly progressive twin-twin transfusion syndrome (TTTS) in the setting of prior uterine scar are poorly characterized. Case?We present the case of a 42-year-old woman, G4P1201, at 21 weeks gestation with stage-1 TTTS who developed a spontaneous posterior uterine rupture necessitating emergent laparotomy and delivery of previable fetuses, possibly due to prior uterine scar from a displaced intrauterine device. Conclusion?TTTS may be a risk factor for uterine rupture, including uterine rupture in atypical anatomic locations. Prior unrecognized uterine scars, including perforations, may magnify the risk for atypical uterine rupture in the setting of excessive uterine distension. PMID:26929874

  20. Acute Patellar Tendon Rupture after Total Knee Arthroplasty Revision

    PubMed Central

    Rhee, Seung Joon; Pham, The Hien

    2015-01-01

    Patellar tendon rupture is a catastrophic complication following total knee arthroplasty (TKA). Though revision TKA has been suspected of being a predisposing factor for the occurrence of patellar tendon rupture, there are few reports on patellar tendon rupture after revision TKA. Here, we present a case of acute patellar tendon rupture that occurred after TKA revision. In the patient, the patellar tendon was so thin and could not be repaired, and accordingly was sutured end to end. We used the anterior tibialis tendon allograft to augment the poor quality patellar tendon tissue. Fixation of the allograft was done by using the bone tunnel created through tibial tuberosity and suturing the allograft to the patellar tendon and quadriceps tendon. The patient was instructed to wear a full extension knee splint and was kept non-weight bearing for 6 weeks after operation. Full knee extension could be achieved 6 weeks postoperatively. PMID:26060612

  1. Free surface effects on the propagation of dynamic rupture

    NASA Astrophysics Data System (ADS)

    Nielsen, Stefan B.

    Dynamic rupture of reverse and normal fault intersecting the surface are investigated. In the case of a normal fault nucleating at depth and propagating upwards, coupling of rupture-radiated stress and free boundary conditions at the surface may induce a shallow secondary nucleation anticipating up to a few seconds the arrival of the main rupture front. Indeed, the free surface induces normal stress fluctuations modifying the fault frictional strength. No significant effect on rupture velocity is observed in the case of reverse faulting. These incidences are explained by a stress analysis and illustrated by some numerical simulations in the case of dynamic normal faulting in a homogeneous half-space. The described effects could explain some observations of high frequency radiation close to the surface in documented shallow earthquakes like in Kalamata, 1986 [Bouin, 1994].

  2. Rapid Estimates of Rupture Extent for Large Earthquakes Using Aftershocks

    NASA Astrophysics Data System (ADS)

    Polet, J.; Thio, H. K.; Kremer, M.

    2009-12-01

    The spatial distribution of aftershocks is closely linked to the rupture extent of the mainshock that preceded them and a rapid analysis of aftershock patterns therefore has potential for use in near real-time estimates of earthquake impact. The correlation between aftershocks and slip distribution has frequently been used to estimate the fault dimensions of large historic earthquakes for which no, or insufficient, waveform data is available. With the advent of earthquake inversions that use seismic waveforms and geodetic data to constrain the slip distribution, the study of aftershocks has recently been largely focused on enhancing our understanding of the underlying mechanisms in a broader earthquake mechanics/dynamics framework. However, in a near real-time earthquake monitoring environment, in which aftershocks of large earthquakes are routinely detected and located, these data may also be effective in determining a fast estimate of the mainshock rupture area, which would aid in the rapid assessment of the impact of the earthquake. We have analyzed a considerable number of large recent earthquakes and their aftershock sequences and have developed an effective algorithm that determines the rupture extent of a mainshock from its aftershock distribution, in a fully automatic manner. The algorithm automatically removes outliers by spatial binning, and subsequently determines the best fitting strike of the rupture and its length by projecting the aftershock epicenters onto a set of lines that cross the mainshock epicenter with incremental azimuths. For strike-slip or large dip-slip events, for which the surface projection of the rupture is recti-linear, the calculated strike correlates well with the strike of the fault and the corresponding length, determined from the distribution of aftershocks projected onto the line, agrees well with the rupture length. In the case of a smaller dip-slip rupture with an aspect ratio closer to 1, the procedure gives a measure of the rupture extent and dimensions, but not necessarily the strike. We found that using standard earthquake catalogs, such as the National Earthquake Information Center catalog, we can constrain the rupture extent, rupture direction, and in many cases the type of faulting, of the mainshock with the aftershocks that occur within the first hour after the mainshock. However, this data may not be currently available in near real-time. Since our results show that these early aftershock locations may be used to estimate first order rupture parameters for large global earthquakes, the near real-time availability of these data would be useful for fast earthquake damage assessment.

  3. Acoustic investigation of rupture nucleation in the Laboratory

    NASA Astrophysics Data System (ADS)

    Schubnel, Alexandre; Brantut, Nicolas; Ougier-Simonin, Audrey; Adeliner, Mathilde; Fortin, Jerome; Gueguen, Yves

    2010-05-01

    Triaxial compression experiments were performed on several materials (Glass, Granite, Basalt, Sandstone, Marble and Gypsum) at confining pressures ranging from 10 to 100MPa, and from room temperature to 70 degrees C. During each of these experiments, acoustic waves radiated from damage accumulation and fast crack propagation were continuously monitored thanks to a fast acoustic recorder, which enables to obtain continuous acoustogram of rupture nucleation and propagation, without the limitations of former trigger systems. In our experiments, rupture does not need to be slowed down, and the transition from quasi-static nucleation to dynamic propagation has now been systematically investigated.Comparing each material, three main observation can be drawn : - First, the amount of damage accumulation before the dynamic rupture propagation varies from material to material, and also depends on the pressure and temperature conditions. For instance, glass, granites and sandstones are typically materials where the nucleation involves a large amount of cracking prior to rupture. In contrast, rupture in basalt at low confinement is not preceded by any damage accumulation. Finally, pre-rupture damage accumulation can also be purely aseismic, which is the case of marble for instance. - Second, the brittle-ductile transition does not exactly overlaps the aseismic-seismic transition, at least in the conditions at which we performed our experiments. For example, marble deforms plastically beyond 50MPa, and although the deformation is ductile, a large amount of crack accumulates in the rock, which tends to make it unstable. In the same way, acoustic emissions decrease in gypsum with increasing pressure and temperatures. - Finally, the time during which rupture propagates depends largely on the rheology. For instance, and in the case of ductile failures such as in marble, dislocation and twin accumulation is such that cracks propagation steps are small and/or slow, and thus the radiated energy release rate remains small at early stages of rupture and increases with rupture speed. Put together, our observations clearly highlight the dependence of the radiated acoustic (and microseismic?) energy during rupture nucleation and early stages of crack propagation not only on the rupture propagation speed and the slip velocity but most importantly on the rock's lithology and rheology.

  4. Laboratory investigation of the radiative energy transfer during rupture nucleation

    NASA Astrophysics Data System (ADS)

    Schubnel, A. J.; Brantut, N.; Ougier-Simonin, A.; Adelinet, M.; Fortin, J.; Gueguen, Y.

    2009-12-01

    Triaxial compression experiments were performed on several materials (Glass, Granite, Basalt, Sandstone, Marble and Gypsum) at confining pressures ranging from 10 to 100MPa, and from room temperature to 70 degrees C. During each of these experiments, acoustic waves radiated from damage accumulation and fast crack propagation were continuously monitored thanks to a fast acoustic recorder, which enables to obtain continuous acoustogram of rupture nucleation and propagation, without the limitations of former trigger systems. In our experiments, rupture does not need to be slowed down, and the transition from quasi-static nucleation to dynamic propagation has now been systematically investigated.Comparing each material, three main observation can be drawn : - First, the amount of damage accumulation before the dynamic rupture propagation varies from material to material, and also depends on the pressure and temperature conditions. For instance, glass, granites and sandstones are typically materials where the nucleation involves a large amount of cracking prior to rupture. In contrast, rupture in basalt at low confinement is not preceded by any damage accumulation. Finally, pre-rupture damage accumulation can also be purely aseismic, which is the case of marble for instance. - Second, the brittle-ductile transition does not exactly overlaps the aseismic-seismic transition, at least in the conditions at which we performed our experiments. For example, marble deforms plastically beyond 50MPa, and although the deformation is ductile, a large amount of crack accumulates in the rock, which tends to make it unstable. In the same way, acoustic emissions decrease in gypsum with increasing pressure and temperatures. - Finally, the time during which rupture propagates depends largely on the rheology. For instance, and in the case of ductile failures such as in marble, dislocation and twin accumulation is such that cracks propagation steps are small and/or slow, and thus the radiated energy release rate remains small at early stages of rupture and increases with rupture speed. Put together, our observations clearly highlight the dependence of the radiated acoustic (and microseismic?) energy during rupture nucleation and early stages of crack propagation not only on the rupture propagation speed and the slip velocity but most importantly on the rock’s lithology and rheology.

  5. [Massive hemoperitoneum from rupture of an intra-peritoneal varix].

    PubMed

    Laut, F; Frampas, E; Mathon, G; Leborgne, J; Dupas, B

    2002-11-01

    Rupture of an intra-abdominal varix in a patient with portal hypertension is a rare but severe cause of massive hemoperitoneum. The authors report the case of a patient with alcoholic cirrhosis that presented to the emergency department with hypovolemic shock. Imaging showed massive hemoperitoneum, severe portal hypertension and suggested the diagnosis of spontaneous rupture of an intra-abdominal varix, confirmed at laparotomy. PMID:12469017

  6. A Case Series of Spontaneous Rupture of the Urinary Bladder

    PubMed Central

    Kivlin, Dana; Ross, Curtis; Lester, Kyle; Metro, Michael; Ginsberg, Philip

    2015-01-01

    We report 2 cases of spontaneous bladder rupture related to chronic outlet obstruction and urinary retention. In both cases, focal perforation was identified within diverticula. Bladder rupture in the absence of trauma is a rare and serious event with a mortality rate approaching 50%. These injuries are often initially misdiagnosed and it is our goal to provide insight to the presentation, management and treatment of this rare event. PMID:26195965

  7. Atraumatic splenic rupture after coagulopathy owing to a snakebite.

    PubMed

    Kang, Changwoo; Kim, Dong Hoon; Kim, Seong Chun; Kim, Dong Seob; Jeong, Chi-Young

    2014-09-01

    Among the many complications that may follow envenomation by some species of venomous snakes, coagulopathy is common and well known. However, hemoperitoneum induced by coagulopathy after a snakebite is rare. Atraumatic spontaneous splenic rupture is also an uncommon and life-threatening condition. Here, we report a case of presumptive envenomation by Gloydius spp. that resulted in atraumatic splenic rupture as a probable manifestation of coagulopathy, which has not been previously reported. PMID:24882658

  8. A Case Series of Spontaneous Rupture of the Urinary Bladder.

    PubMed

    Kivlin, Dana; Ross, Curtis; Lester, Kyle; Metro, Michael; Ginsberg, Philip

    2015-05-01

    We report 2 cases of spontaneous bladder rupture related to chronic outlet obstruction and urinary retention. In both cases, focal perforation was identified within diverticula. Bladder rupture in the absence of trauma is a rare and serious event with a mortality rate approaching 50%. These injuries are often initially misdiagnosed and it is our goal to provide insight to the presentation, management and treatment of this rare event. PMID:26195965

  9. A Tuboovarian Abscess Associated with a Ruptured Spleen

    PubMed Central

    Li, Jennifer S.; Sheele, Johnathan Michael

    2016-01-01

    We report the first case of a tuboovarian abscess complicated by a ruptured spleen. Our patient was a 27-year-old female with human immunodeficiency virus (HIV) who presented to the emergency department (ED) with complaints of urinary symptoms and diarrhea. After being diagnosed with a tuboovarian abscess (TOA), she received antibiotics and was admitted to the gynecology service. Shortly thereafter she developed hemorrhagic shock, necessitating a splenectomy and salpingooophorectomy from a ruptured spleen. PMID:26904315

  10. Traumatic rupture of both peroneal longus and brevis tendons.

    PubMed

    Pelet, Stéphane; Saglini, Marco; Garofalo, Raffaele; Wettstein, Michael; Mouhsine, Elyazid

    2003-09-01

    Injuries of peroneal tendons are rare. Diagnosis of traumatic rupture is often late and presents as chronic ankle instability. A case of a complete traumatic rupture of both peroneal longus and brevis tendons with acute clinical and radiological diagnosis is presented. Surgical repair was performed by direct end-to-end suture on the 4th day after trauma, with excellent functional outcome at 1-year follow-up. PMID:14524524

  11. Imaging features of postpartum uterine rupture: a case report.

    PubMed

    Has, Recep; Topuz, Samet; Kalelioglu, Ibrahim; Tagrikulu, Demet

    2008-01-01

    We present a case report on a postpartum uterine rupture with the history of a previous cesarean section. During the diagnosis of rupture, ultrasound, computerized tomography (CT) and magnetic resonance imaging of the uterus were obtained. Ultrasound examination did not result in substantial information. CT and magnetic resonance imaging established the correct diagnosis. The patient underwent exploratory laparotomy, and the diagnosis was confirmed. Diagnostic qualifications of these three instruments were compared. PMID:17435984

  12. Prelabor uterine rupture after laparoscopic repair of uterine perforation.

    PubMed

    Tischner, Ilke; Tan, Toh L; Uchil, Dhiraj; Brown, Richard N

    2010-01-01

    Uterine rupture is an established risk of previous uterine trauma. Conventionally this has been considered most likely following prior classical or midline hysterotomies at cesarean section or subsequent to abdominal myomectomy in which the uterine cavity was breached. Although there are reports of such cases after laparoscopic procedures such as myomectomy the incidence is believed to be very small. We present an extreme case of uterine rupture at 27 weeks with a previous laparoscopically repaired uterine perforation. PMID:20226423

  13. Ruptured abdominal aortic aneurysm diagnosed through non-contrast MRI

    PubMed Central

    Chatra, Priyank S

    2013-01-01

    Rupture of an aneurysm is a rare complication although it is considered a common cause of death. Some of these patients present with the classic triad of symptoms such as abdominal pain, pulsatile abdominal mass and shock. Most symptoms are misleading and will only present as vague abdominal pain. Here we describe one such patient with an unusual presentation of a misleading abdominal mass which was eventually diagnosed as a ruptured abdominal aortic aneurysm after an emergency MRI. PMID:25003065

  14. Size-Dependent Rupture Strain of Elastically Stretchable Metal Conductors

    PubMed Central

    Graudejus, O.; Jia, Z.; Li, T.; Wagner, S.

    2012-01-01

    Experiments show that the rupture strain of gold conductors on elastomers decreases as the conductors are made long and narrow. Rupture is caused by the irreversible coalescence of microcracks into one long crack. A mechanics model identifies a critical crack length ?cr, above which the long crack propagates across the entire conductor width. ?cr depends on the fracture toughness of the gold film and the width of the conductor. The model provides guidance for the design of highly stretchable conductors. PMID:22773917

  15. Different and Unpredictable Clinical Outcome of Ruptured Pulmonary Hydatid Cysts

    PubMed Central

    Sheikhy, Kambiz; Daneshvar Kakhaki, Abolghasem; Saghebi, Seyed Reza; Malekzadegan, Alireza

    2015-01-01

    Most authors believe that the best treatment for pulmonary hydatid disease is surgical evacuation. Although albendazole has been used prophylactically before surgery, there are many reports about increased incidence of the rupture of cyst after albendazole therapy, which can cause some complications. In this case report we present a patient with bilateral pulmonary hydatid cyst that was ruptured after using albendazole and different strategies were used for management of each cyst.

  16. Fast rupture propagation for large strike-slip earthquakes

    NASA Astrophysics Data System (ADS)

    Wang, Dun; Mori, Jim; Koketsu, Kazuki

    2016-04-01

    Studying rupture speeds of shallow earthquakes is of broad interest because it has a large effect on the strong near-field shaking that causes damage during earthquakes, and it is an important parameter that reflects stress levels and energy on a slipping fault. However, resolving rupture speed is difficult in standard waveform inversion methods due to limited near-field observations and the tradeoff between rupture speed and fault size for teleseismic observations. Here we applied back-projection methods to estimate the rupture speeds of 15 Mw ≥ 7.8 dip-slip and 8 Mw ≥ 7.5 strike-slip earthquakes for which direct P waves are well recorded in Japan on Hi-net, or in North America on USArray. We found that all strike-slip events had very fast average rupture speeds of 3.0-5.0 km/s, which are near or greater than the local shear wave velocity (supershear). These values are faster than for thrust and normal faulting earthquakes that generally rupture with speeds of 1.0-3.0 km/s.

  17. Hypocenter locations in finite-source rupture models

    USGS Publications Warehouse

    Mai, P.M.; Spudich, P.; Boatwright, J.

    2005-01-01

    We use a database of more than 80 finite-source rupture models for more than 50 earthquakes (Mw, 4.1-8.1) with different faulting styles occurring in both tectonic and subduction environments to analyze the location of the hypocenter within the fault and to consider the correlation between hypocenter location and regions of large slip. Rupture in strike-slip and crustal dip-slip earthquakes tends to nucleate in the deeper sections of the fault; subduction earthquakes do not show this tendency. Ratios of the hypocentral slip to either the average or the maximum slip show that rupture can nucleate at locations with any level of relative displacement. Rupture nucleates in regions of very large slip (D ??? 2/3 Dmax,) in only 16% of the events, in regions of large slip (1/3 Dmax < D < 2/3 Dmax,) in 35% of the events, and in regions of low slip (D ??? 1/3 Dmax) in 48% of the events. These percentages significantly exceed the percentages of fault area with very large (???7%) and large (???28%) slip. Ruptures that nucleate in regions of low slip, however, tend to nucleate close to regions of large slip and encounter a zone of very large slip within half the total rupture length. Applying several statistical tests we conclude that hypocenters are not randomly located on a fault but are located either within or close to regions of large slip.

  18. Rupture of a biomembrane under dynamic surface tension

    NASA Astrophysics Data System (ADS)

    Bicout, D. J.; Kats, E.

    2012-03-01

    How long will a fluid membrane vesicle stressed with a steady ramp of micropipette last before rupture? Or conversely, how high should the surface tension be to rupture such a membrane? To answer these challenging questions we developed a theoretical framework that allows for the description and reproduction of dynamic tension spectroscopy (DTS) observations. The kinetics of the membrane rupture under ramps of surface tension is described as a succession of an initial pore formation followed by the Brownian process of the pore radius crossing the time-dependent energy barrier. We present the formalism and a derive (formal) analytical expression of the survival probability describing the fate of the membrane under DTS conditions. Using numerical simulations for the membrane prepared in an initial state with a given distribution of times for pore nucleation, we study the membrane lifetime (or inverse of rupture rate) and distribution of membrane surface tension at rupture as a function of membrane characteristics like pore nucleation rate, the energy barrier to failure, and tension loading rate. It is found that simulations reproduce the main features of DTS experiments, particularly the pore nucleation and pore-size diffusion-controlled limits of membrane rupture dynamics. This approach can be adapted and applied to processes of permeation and pore opening in membranes (electroporation, membrane disruption by antimicrobial peptides, vesicle fusion).

  19. Isolated renal pelvis rupture secondary to blunt trauma: Case report

    PubMed Central

    Taken, Kerem; Onc, Mehmet Re?it; Ergn, Mslm; Ery?lmaz, Recep; Gne?, Mustafa

    2015-01-01

    Introduction Isolated rupture of the renal pelvis is a very rare condition and thus causes delays in the diagnosis of the rupture. It is most commonly seen in the setting of obstructive ureteric calculus. Other rare causes include neoplasms, trauma, and iatrogenic procedures. Diagnosis is usually established on computed tomography (CT) which demonstrates the extravasation of the contrast in the peripelvic, perinephric, or retroperitoneal collections. Presentation of case A 27-year-old male patient was admitted to our hospital due to multiple traumas associated with motor vehicle accidents. The patient had clear urine output. A large pelvic rupture was detected by abdominal contrast-enhanced CT and after consulting with other departments, emergency repair of the renal pelvis was performed and a ureteral stent was implanted. Discussion Only a few isolated cases of pelvis rupture with resultant extravasation have been reported in the literature. The treatment of pelvic rupture should be preceded by the removal of underlying causes, followed by conservative management. However, surgical intervention should be warranted in the emergency cases presenting with the symptoms that may impede the decision-making process and in the cases whose diagnosis cannot be clarified by radiological techniques. Conclusion Renal pelvic injury must be considered in the differential diagnosis of blunt trauma. Surgical intervention may be necessary in some cases. We present a case who underwent surgery due to isolated renal pelvis rupture caused by blunt abdominal trauma. PMID:25734319

  20. Evidence for Supershear Rupture During the 1906 San Francisco Earthquake

    NASA Astrophysics Data System (ADS)

    Song, S.; Beroza, G. C.; Segall, P.

    2005-12-01

    The 1906 San Francisco earthquake is perhaps the single most important event in the history of earthquake science. Measurements taken and analyzed for that event led to the demonstration of elastic rebound. Despite the importance of this earthquake, the two most recently published source models, one based on seismic data and the other based on geodetic data, are sharply discordant. We suggest the two source models can be reconciled if rupture in the 1906 earthquake exceeded the shear wave velocity. Observations of super-shear rupture in recent large strike-slip earthquakes suggests that it is possible and may even be typical of large strike-slip events. We find that we can fit the geodetic data and the envelope of the seismic data provided the rupture exceeds the shear wave speed to the north of Point Arena. We are analyzing non-repeated triangulation measurements and solving the joint slip/rupture velocity inverse problem to test this hypothesis more rigorously. If supershear rupture in large earthquakes is common, it would be of fundamental importance for understanding the hazard posed by large strike-slip faults in general, and for our understanding seismic hazard in northern California in particular, because so much of our characterization of the hazard in that region is based on our understanding of what happened in 1906. The prediction of strong ground motion in future large strike-slip earthquakes will be profoundly different if earthquake rupture velocity is routinely supershear.

  1. The temporal distribution of seismic radiation during deep earthquake rupture

    USGS Publications Warehouse

    Houston, H.; Vidale, J.E.

    1994-01-01

    The time history of energy release during earthquakes illuminates the process of failure, which remains enigmatic for events deeper than about 100 kilometers. Stacks of teleseismic records from regional arrays for 122 intermediate (depths of 100 to 350 kilometers) and deep (depths of 350 to 700 kilometers) earthquakes show that the temporal pattern of short-period seismic radiation has a systematic variation with depth. On average, for intermediate depth events more radiation is released toward the beginning of the rupture than near the end, whereas for deep events radiation is released symmetrically over the duration of the event, with an abrupt beginning and end of rupture. These findings suggest a variation in the style of rupture related to decreasing fault heterogeneity with depth.The time history of energy release during earthquakes illuminates the process of failure, which remains enigmatic for events deeper than about 100 kilometers. Stacks of teleseismic records from regional arrays for 122 intermediate (depths of 100 to 350 kilometers) and deep (depths of 350 to 700 kilometers) earthquakes show that the temporal pattern of short-period seismic radiation has a systematic variation with depth. On average, for intermediate depth events more radiation is released toward the beginning of the rupture than near the end, whereas for deep events radiation is released symmetrically over the duration of the event, with an abrupt beginning and end of rupture. These findings suggest a variation in the style of rupture related to decreasing fault heterogeneity with depth.

  2. Volume Fraction Dependence of Droplet Rupturing in Concentrated Nanoemulsions

    NASA Astrophysics Data System (ADS)

    Meleson, K.

    2005-03-01

    We investigate droplet rupturing by extreme shear in concentrated silicone oil-in-water nanoemulsions stabilized by sodium dodecyl sulfate (SDS) surfactant. According to Taylor's prediction for dilute emulsions, the ruptured droplet radius, a, varies inversely with the viscosity of the continuous phase. If one assumes that the emulsion's effective viscosity controls the average radius of the ruptured droplets, then emulsions that have larger droplet volume fractions, ?s would be ruptured by the same shear flow to smaller radii. In stark contrast to this, we find that the average droplet radius actually rises with as ? approaches the quiescent maximally random jammed value of 0.64. This is evidence that both droplet rupturing and coalescence occur when concentrated emulsions are subjected to extreme shear. We have also observed phase inversion to an oil-continuous emulsion for ? > 0.64. This supports the idea that coalescence occurs as the driving shear breaks thin films between the concentrated oil droplets at high ?. In addition, we find that the ruptured droplet size is relatively insensitive to large changes in the oil viscosity inside the droplets.

  3. Self-healing pulse-like shear ruptures in the laboratory.

    PubMed

    Lykotrafitis, George; Rosakis, Ares J; Ravichandran, Guruswami

    2006-09-22

    Models predict that dynamic shear ruptures during earthquake faulting occur as either sliding cracks, where a large section of the interface slides behind a fast-moving rupture front, or self-healing slip pulses, where the fault relocks shortly behind the rupture front. We report experimental visualizations of crack-like, pulse-like, and mixed rupture modes propagating along frictionally held, "incoherent" interfaces separating identical solids, and we describe the conditions under which those modes develop. A combination of simultaneously performed measurements via dynamic photoelasticity and laser interferometry reveals the rupture mode type, the exact point of rupture initiation, the sliding velocity history, and the rupture propagation speed. PMID:16990544

  4. Carotid Atheroma Rupture Observed In Vivo and FSI-Predicted Stress Distribution Based on Pre-rupture Imaging

    PubMed Central

    Rayz, Vitaliy L.; Soares, Bruno; Wintermark, Max; Mofrad, Mohammad R. K.; Saloner, David

    2010-01-01

    Atherosclerosis at the carotid bifurcation is a major risk factor for stroke. As mechanical forces may impact lesion stability, finite element studies have been conducted on models of diseased vessels to elucidate the effects of lesion characteristics on the stresses within plaque materials. It is hoped that patient-specific biomechanical analyses may serve clinically to assess the rupture potential for any particular lesion, allowing better stratification of patients into the most appropriate treatments. Due to a sparsity of in vivo plaque rupture data, the relationship between various mechanical descriptors such as stresses or strains and rupture vulnerability is incompletely known, and the patient-specific utility of biomechanical analyses is unclear. In this article, we present a comparison between carotid atheroma rupture observed in vivo and the plaque stress distribution from fluid–structure interaction analysis based on pre-rupture medical imaging. The effects of image resolution are explored and the calculated stress fields are shown to vary by as much as 50% with sub-pixel geometric uncertainty. Within these bounds, we find a region of pronounced elevation in stress within the fibrous plaque layer of the lesion with a location and extent corresponding to that of the observed site of plaque rupture. PMID:20232151

  5. Vortex dynamics in ruptured and unruptured intracranial aneurysms

    NASA Astrophysics Data System (ADS)

    Trylesinski, Gabriel

    Intracranial aneurysms (IAs) are a potentially devastating pathological dilation of brain arteries that affect 1.5-5 % of the population. Causing around 500 000 deaths per year worldwide, their detection and treatment to prevent rupture is critical. Multiple recent studies have tried to find a hemodynamics predictor of aneurysm rupture, but concluded with distinct opposite trends using Wall Shear Stress (WSS) based parameters in different clinical datasets. Nevertheless, several research groups tend to converge for now on the fact that the flow patterns and flow dynamics of the ruptured aneurysms are complex and unstable. Following this idea, we investigated the vortex properties of both unruptured and ruptured cerebral aneurysms. A brief comparison of two Eulerian vortex visualization methods (Q-criterion and lambda 2 method) showed that these approaches gave similar results in our complex aneurysm geometries. We were then able to apply either one of them to a large dataset of 74 patient specific cases of intracranial aneurysms. Those real cases were obtained by 3D angiography, numerical reconstruction of the geometry, and then pulsatile CFD simulation before post-processing with the mentioned vortex visualization tools. First we tested the two Eulerian methods on a few cases to verify their implementation we made as well as compare them with each other. After that, the Q-criterion was selected as method of choice for its more obvious physical meaning (it shows the balance between two characteristics of the flow, its swirling and deformation). Using iso-surfaces of Q, we started by categorizing the patient-specific aneurysms based on the gross topology of the aneurysmal vortices. This approach being unfruitful, we found a new vortex-based characteristic property of ruptured aneurysms to stratify the rupture risk of IAs that we called the Wall-Kissing Vortices, or WKV. We observed that most ruptured aneurysms had a large amount of WKV, which appears to agree with the current hypothesized biological triggers of pathological remodeling of the artery walls. Having a good natural ratio of statuses in our IA cohort (55 unruptured vs. 19 ruptured), we were able to test the statistical significance of our predictor to fortify our findings. We also performed a distribution analysis of our cohort with respect to the number of WKV to strengthen the encouraging statistical analysis result; both analyses provided a clear good separation of the status of the aneurysms based on our predictor. Lastly, we constructed a receiver operating characteristic (ROC) curve to analyze the power different thresholds of WKV had in splitting the data in a binary way (unruptured/ruptured). The number of WKV was efficaciously able to stratify the rupture status, identifying 84.21 % of the ruptured aneurysms (with 25.45 % of false positives, i.e. unruptured IAs tagged as ruptured) when using a threshold value of 2. Our novel work undertaken to study the vortex structures in IAs brought to light interesting characteristics of the flow in the aneurysmal sac. We found that there are several distinct categories in which the aneurysm vortex topologies can be put in without relationship to the aneurysm rupture status. This first finding was in contradiction with available already-published results. Nonetheless, ruptured IAs had a statistically significant larger amount of WKV as opposed to unruptured aneurysms. This new predictor we propose to the community could very well clear a new path among the currently controversial WSS-based parameters. Although it needs to be improved to be more resilient, the first results obtained by the WKV-based parameter are promising when applied to a large dataset of 74 IAs patient-specific transient CFD simulations.

  6. Composite Overwrap Pressure Vessels: Mechanics and Stress Rupture Lifing Philosophy

    NASA Technical Reports Server (NTRS)

    Thesken, John C.; Murthy, Pappu L. N.; Phoenix, Leigh

    2007-01-01

    The NASA Engineering and Safety Center (NESC) has been conducting an independent technical assessment to address safety concerns related to the known stress rupture failure mode of filament wound pressure vessels in use on Shuttle and the International Space Station. The Shuttle's Kevlar-49 fiber overwrapped tanks are of particular concern due to their long usage and the poorly understood stress rupture process in Kevlar-49 filaments. Existing long term data show that the rupture process is a function of stress, temperature and time. However due to the presence of load sharing liners and the complex manufacturing procedures, the state of actual fiber stress in flight hardware and test articles is not clearly known. Indeed non-conservative life predictions have been made where stress rupture data and lifing procedures have ignored the contribution of the liner in favor of applied pressure as the controlling load parameter. With the aid of analytical and finite element results, this paper examines the fundamental mechanical response of composite overwrapped pressure vessels including the influence of elastic-plastic liners and degraded/creeping overwrap properties. Graphical methods are presented describing the non-linear relationship of applied pressure to Kevlar-49 fiber stress/strain during manufacturing, operations and burst loadings. These are applied to experimental measurements made on a variety of vessel systems to demonstrate the correct calibration of fiber stress as a function of pressure. Applying this analysis to the actual qualification burst data for Shuttle flight hardware revealed that the nominal fiber stress at burst was in some cases 23% lower than what had previously been used to predict stress rupture life. These results motivate a detailed discussion of the appropriate stress rupture lifing philosophy for COPVs including the correct transference of stress rupture life data between dissimilar vessels and test articles.

  7. Rupture of Very Small Intracranial Aneurysms: Incidence and Clinical Characteristics

    PubMed Central

    Lee, Gwang-Jin; Eom, Ki-Seong; Lee, Cheol; Kang, Sung-Don

    2015-01-01

    Objective Unruptured intracranial aneurysms are now being detected with increasing frequency in clinical practice. Results of the largest studies, including those of the International Study of Unruptured Intracranial Aneurysms, indicate that surgical and endovascular treatments are rarely justified in small aneurysms. However, we have encountered several cases of rupture of small and very small aneurysms in our clinical practice. This retrospective study analyzed the incidence and clinical characteristics of very small ruptured aneurysms. Materials and Methods A total of 200 patients with aneurysmal subarachnoid hemorrhage between January 2012 and December 2014 were reviewed. Various factors were analyzed, including the aneurysm location and size as well as the associated risk factors. Results The mean age of patients was 56.31 13.78 (range, 25-89) years, and the male to female ratio was 1:2.1. There were 94 (47%) small-sized (< 5 mm), 91 (45.5%) medium-sized (5-9.9 mm), and 15 large-sized (> 10 mm) aneurysms. Of these, 30 (15%) aneurysms were very small-sized (< 3 mm). The most frequent site of aneurysms was the anterior communicating artery (ACoA). However, the proportion of aneurysms at the ACoA was significantly high in very small aneurysms (53.3%, p = 0.013). Hypertension was a significant risk factor for rupture of very small aneurysms (p < 0.001). Conclusion About half of our cases of ruptured aneurysms involved the rupture of small and very small aneurysms. The most common site of rupture of very small aneurysm was the ACoA. Rupture of small and very small aneurysms is unpredictable, and treatment may be considered in selected high-risk patients according to factors such as young age, ACoA location, and hypertension. PMID:26526401

  8. Hemodynamic-Morphologic Discriminants for Intracranial Aneurysm Rupture

    PubMed Central

    Xiang, Jianping; Natarajan, Sabareesh K.; Tremmel, Markus; Ma, Ding; Mocco, J; Hopkins, L. Nelson; Siddiqui, Adnan H.; Levy, Elad I.; Meng, Hui

    2010-01-01

    Background and Purpose To identify significant morphologic and hemodynamic parameters that discriminate intracranial aneurysm (IA) rupture status using 3D angiography and computational fluid dynamics (CFD). Methods 119 IAs (38 ruptured, 81 unruptured) were analyzed from 3D angiographic images and CFD. Six morphologic and seven hemodynamic parameters were evaluated for significance with respect to rupture. Receiver-operating characteristic (ROC) analysis identified area under the curve (AUC) and optimal thresholds separating ruptured from unruptured aneurysms for each parameter. Significant parameters were examined by multivariate logistic regression analysis in 3 predictive modelsmorphology only, hemodynamics only, and combinedto identify independent discriminants, and the AUC-ROC of the predicted probability of rupture status was compared among these models. Results Morphologic parameters (Size Ratio [SR], Undulation Index, Ellipticity Index, and Nonsphericity Index) and hemodynamic parameters (Average Wall Shear Stress [WSS], Maximum intra-aneurysmal WSS, Low WSS Area, Average Oscillatory Shear Index [OSI], Number of Vortices, and Relative Resident Time) achieved statistical significance (p<0.01). Multivariate logistic regression analysis demonstrated SR to be the only independently significant factor in the morphology model (AUC=0.83, 95% confidence interval [CI] 0.750.91), whereas WSS and OSI were the only independently significant variables in the hemodynamics model (AUC=0.85, 95% CI 0.780.93). The combined model retained all three variables, SR, WSS, and OSI (AUC=0.89, 95% CI 0.820.96). Conclusion All three modelsmorphological (based on SR), hemodynamic (based on WSS and OSI), and combineddiscriminate IA rupture status with high AUC values. Hemodynamics is as important as morphology in discriminating aneurysm rupture status. PMID:21106956

  9. Downdip landward limit of Cascadia great earthquake rupture

    NASA Astrophysics Data System (ADS)

    Hyndman, R. D.

    2013-10-01

    paper examines the constraints to the downdip landward limit of rupture for the Cascadia great earthquakes off western North America. This limit is a primary control for ground motion hazard at near-coastal cities. The studies also provide information on the physical controls of subduction thrust rupture globally. The constraints are (1) "locked/transition" zones from geodetic deformation (GPS, repeated leveling, tide gauges); (2) rupture zone from paleoseismic coastal marsh subsidence, "paleogeodesy"; (3) temperature on the thrust for the seismic-aseismic transition; (4) change in thrust seismic reflection character downdip from thin seismic to thick ductile; (5) fore-arc mantle corner aseismic serpentinite and talc overlying the thrust; (6) updip limit of episodic tremor and slip (ETS) slow slip; (7) rupture area associations with shelf-slope basins; (8) depth limit for small events on the thrust; and (9) landward limit of earthquakes on the Nootka transform fault zone. The most reliable constraints for the limit of large rupture displacement, >10 m, are generally just offshore in agreement with thermal control for this hot subduction zone, but well-offshore central Oregon and near the coast of northern Washington. The limit for 1-2 m rupture that can still provide strong shaking is less well estimated 25-50 km farther landward. The fore-arc mantle corner and the updip extent of ETS slow slip are significantly landward from the other constraints. Surprisingly, there is a downdip gap between the best other estimates for the great earthquake rupture zone and the ETS slow slip. In this gap, plate convergence may occur as continuous slow creep.

  10. Predictive biomechanical analysis of ascending aortic aneurysm rupture potential

    PubMed Central

    Martin, Caitlin; Sun, Wei; Pham, Thuy; Elefteriades, John

    2013-01-01

    Aortic aneurysm is a leading cause of death in adults, often taking lives without any premonitory signs or symptoms. Adverse clinical outcomes of aortic aneurysm are preventable by elective surgical repair; however, identifying at-risk individuals is difficult. The objective of this study was to perform a predictive biomechanical analysis of ascending aortic aneurysm (AsAA) tissue to assess rupture risk on a patient-specific level. AsAA tissues, obtained intra-operatively from 50 patients, were subjected to biaxial mechanical and uniaxial failure tests to obtain their passive elastic mechanical properties. A novel analytical method was developed to predict the AsAA pressure-diameter response as well as the aortic wall yield and failure responses. Our results indicated that the mean predicted AsAA diameter at rupture was 5.6 ± 0.7 cm, and the associated blood pressure to induce rupture was 579.4 ± 214.8 mmHg. Statistical analysis showed significant positive correlation between aneurysm tissue compliance and predicted risk of rupture, where patients with a pressure-strain modulus ≥100 kPa may be nearly twice as likely to experience rupture than patients with more compliant aortic tissue. The mechanical analysis of pre-dissection patient tissue properties established in this study could predict the “future” onset of yielding and rupture in AsAA patients. The analysis results implicate decreased tissue compliance as a risk factor for AsAA rupture. The presented methods may serve as a basis for the development of a pre-operative planning tool for AsAA evaluation, a tool currently unavailable. PMID:23948500

  11. Composite Overwrap Pressure Vessels: Mechanics and Stress Rupture Lifting Philosophy

    NASA Technical Reports Server (NTRS)

    Thesken, John C.; Murthy, Pappu L. N.; Phoenix, S. L.

    2009-01-01

    The NASA Engineering and Safety Center (NESC) has been conducting an independent technical assessment to address safety concerns related to the known stress rupture failure mode of filament wound pressure vessels in use on Shuttle and the International Space Station. The Shuttle s Kevlar-49 (DuPont) fiber overwrapped tanks are of particular concern due to their long usage and the poorly understood stress rupture process in Kevlar-49 filaments. Existing long term data show that the rupture process is a function of stress, temperature and time. However due to the presence of load sharing liners and the complex manufacturing procedures, the state of actual fiber stress in flight hardware and test articles is not clearly known. Indeed nonconservative life predictions have been made where stress rupture data and lifing procedures have ignored the contribution of the liner in favor of applied pressure as the controlling load parameter. With the aid of analytical and finite element results, this paper examines the fundamental mechanical response of composite overwrapped pressure vessels including the influence of elastic plastic liners and degraded/creeping overwrap properties. Graphical methods are presented describing the non-linear relationship of applied pressure to Kevlar-49 fiber stress/strain during manufacturing, operations and burst loadings. These are applied to experimental measurements made on a variety of vessel systems to demonstrate the correct calibration of fiber stress as a function of pressure. Applying this analysis to the actual qualification burst data for Shuttle flight hardware revealed that the nominal fiber stress at burst was in some cases 23 percent lower than what had previously been used to predict stress rupture life. These results motivate a detailed discussion of the appropriate stress rupture lifing philosophy for COPVs including the correct transference of stress rupture life data between dissimilar vessels and test articles.

  12. Creep-rupture behavior of candidate Stirling engine iron supperalloys in high-pressure hydrogen. Volume 2: Hydrogen creep-rupture behavior

    NASA Technical Reports Server (NTRS)

    Bhattacharyya, S.; Peterman, W.; Hales, C.

    1984-01-01

    The creep rupture behavior of nine iron base and one cobalt base candidate Stirling engine alloys is evaluated. Rupture life, minimum creep rate, and time to 1% strain data are analyzed. The 3500 h rupture life stress and stress to obtain 1% strain in 3500 h are also estimated.

  13. Increased 18F-FDG Uptake Is Predictive of Rupture in a Novel Rat Abdominal Aortic Aneurysm Rupture Model

    PubMed Central

    English, Sean J.; Piert, Morand R.; Diaz, Jose A.; Gordon, David; Ghosh, Abhijit; D'Alecy, Louis G.; Whitesall, Steven E.; Sharma, Ashish K.; DeRoo, Elise P.; Watt, Tessa; Su, Gang; Henke, Peter K.; Eliason, Jonathan L.; Ailawadi, Gorav; Upchurch, Gilbert R.

    2015-01-01

    Objective To determine whether 18F-fluorodeoxyglucose (18F-FDG) micropositron emission tomography (micro-PET) can predict abdominal aortic aneurysm (AAA) rupture. Background An infrarenal AAA model is needed to study inflammatory mechanisms that drive rupture. 18F-FDG PET can detect vascular inflammation in animal models and patients. Methods After exposing Sprague-Dawley rats to intra-aortic porcine pancreatic elastase (PPE) (12 U/mL), AAA rupture was induced by daily, subcutaneous, ?-aminopropionitrile (BAPN, 300 mg/kg, N = 24) administration. Negative control AAA animals (N = 15) underwent daily saline subcutaneous injection after PPE exposure. BAPN-exposed animals that did not rupture served as positive controls [nonruptured AAA (NRAAA) 14d, N = 9]. Rupture was witnessed using radiotelemetry. Maximum standard uptakes for 18F-FDG micro-PET studies were determined. Aortic wall PAI-1, uPA, and tPA concentrations were determined by western blot analyses. Interleukin (IL)-1?, IL-6, IL-10, and MIP-2 were determined by Bio-Plex bead array. Neutrophil and macrophage populations per high-power field were quantified. Matrix metalloproteinase (MMP) activities were determined by zymography. Results When comparing ruptured AAA (RAAA) to NRAAA 14d animals, increased focal 18F-FDG uptakes were detected at subsequent sites of rupture (P = 0.03). PAI-1 expression was significantly less in RAAA tissue (P = 0.01), with comparable uPA and decreased tPA levels (P = 0.02). IL-1? (P = 0.04), IL-6 (P = 0.001), IL-10 (P = 0.04), and MIP-2 (P = 0.02)expression, neutrophil (P = 0.02) and macrophage presence (P = 0.002), and MMP9 (P < 0.0001) activity were increased in RAAA tissue. Conclusions With this AAA rupture model, increased prerupture 18F-FDG uptake on micro-PET imaging was associated with increased inflammation in the ruptured AAA wall. 18F-FDG PET imaging may be used to monitor inflammatory changes before AAA rupture. PMID:24651130

  14. Using Dynamic Rupture Models to Explore Physical Controls on the 2011 Mw 9.0 Tohoku-Oki Earthquake Rupture

    NASA Astrophysics Data System (ADS)

    Duan, B.

    2011-12-01

    Seismic and geodetic recordings are routinely used to invert for kinematic source models of large earthquakes, which provide us with detailed images of slip distribution and rupture evolution on causative faults. To gain insight into physical conditions that allow a fault to slip and a rupture to propagate in the way they did, we can resort to dynamic source models that obey physical laws in continuum mechanics and rock friction. Published kinematic models of the 2011 Mw 9.0 Tohoku-Oki earthquake reveal several features of the rupture. These features include 1) high static stress drop with large amounts of slip in a small area, 2) a weak initial phase, down-dip rupture for the first 40 seconds, extensive shallow rupture during 60 to 70 seconds, and continuing deeper rupture lasting more than 100 seconds, and 3) systematically down-dip high-frequency radiation with respect to the hypocenter. In this study, we use spontaneous rupture models to explore what physical conditions, including the initial stress state and friction properties on the subducting fault, can reproduce these features, so that we can gain some physical insights into controls on this megathrust earthquake. Dynamic rupture simulations of this shallow dipping megathrust faulting at reasonable spatial and temporal resolutions require parallel computing on supercomputers. Our newly parallelized finite element method algorithm EQdyna allows us to simulate a large suite of spontaneous rupture models to examine the questions. In model setup, we use depth-dependence principal stresses and take into account variations in pore fluid pressure and frictional properties associated with subducted seafloor features such as seamounts. Our preliminary results suggest followings. First, a high strength and high stress drop patch (probably a subducted seamount or seamout chain) just above the hypocenter on the fault plane can delay up-dip rupture and result in a concentrated large slip area. Second, significantly negative stress drop on the shallow portion of the subducting fault associated with the active accretionary prism is needed to reduce the amplitude of shallow slip and to confine shallow slip in a small area near the trench just up-dip of the region of maximum fault slip. Third, heterogeneities in the seismic strength parameter S down-dip of the hypocenter, probably due to both heterogeneous stresses from previous earthquakes and heterogeneous friction properties at the brittle and ductile transition zone, can produce large amounts of high-frequency radiations.

  15. Earthquake Rupture Complexity Evidence from Field Observations (Invited)

    NASA Astrophysics Data System (ADS)

    Hudnut, K. W.; Fletcher, J. M.; Rockwell, T. K.; Gonzalez-Garcia, J. J.; Teran, O.; Akciz, S. O.

    2010-12-01

    Field observations provide strong evidence for four intriguing aspects of rupture process complexity for the 4 April 2010 El Mayor - Cucapah - Indiviso earthquake. First, the southern “fork” of the rupture exhibits two splays just to the northwest of the event epicenter, both with nearly pure right-lateral faulting. Teleseismic source modeling by others indicates normal slip on deep fault surface preceded the shallow strike-slip faulting, and our field observations from the fork area indicate that the earliest phase of strike-slip faulting did not involve a significant normal faulting component. Second, as rupture propagated to the northwest along the Pescadores fault, slip ended abruptly on this fault and transferred across a complex zone to the Borrego fault (although the Pescadores fault continues farther and would have seemed an easier route to follow). This stepover is called the Puerta Accommodation Zone (PAZ) which extends 11 km along-strike within an elevated portion of the Cucapah massif and accommodates a left step (transpressional) that measures less than 2 km across-strike. Though partly obscured by rockfalls in the steep terrain here, only discontinuous faulting of up to one meter reached the ground surface, yet imagery differencing by others indicates several meters of continuous subsurface slip throughout this section. This 11 km region of reduced and discontinuous slip is one of the longest surface rupture jumps ever observed, with lengthy and continuous surface faulting on either side. The SE end of the stepover coincides spatially with the Canon Rojo embayment where the M7.2 1892 surface rupture propagated onto a second fault forming an abrupt corner in its surface trace. Hence, the surface rupture and slip distribution pattern in 2010 appears to have been influenced by stress changes induced by the 1892 event. Thirdly, from the NW end of the transition section, the Borrego fault continues to the NNW with strong east-down slip obliquity. Along this same reach of fault, the Laguna Salada fault was re-activated with minor west side down slip. Along the Paso Inferior accommodation zone, splays trending NNW to N had strong east-down slip, with right-lateral oblique motion. It was along this portion of the rupture that an eyewitness observed the rupture propagating from N to S, instead of in the expected S to N direction. Back-rupture may have resulted from triggered slip having raced ahead of the slower main rupture front, or may indicate a place where contiguous deep rupture ran out in front of shallow slip, or may result from the involvement here of the detachment fault system. Finally, in the northwestern portion of the rupture, from Paso Superior to the northwest of Cerro Centinela, a pattern of NE - SW oriented “cross faults” and N-S faults broke at the surface, in a manner similar to rupture that occurred in the Elmore Ranch Fault Zone during the Superstition Hills earthquake sequence of 1987. Unlike the Elmore Ranch event, however, there was no known main shock sub-event or any large aftershock that can be readily associated with the extensive cross-faulting that is observed in this case.

  16. Near-Source Shaking and Dynamic Rupture in Plastic Media

    NASA Astrophysics Data System (ADS)

    Gabriel, A.; Mai, P. M.; Dalguer, L. A.; Ampuero, J. P.

    2012-12-01

    Recent well recorded earthquakes show a high degree of complexity at the source level that severely affects the resulting ground motion in near and far-field seismic data. In our study, we focus on investigating source-dominated near-field ground motion features from numerical dynamic rupture simulations in an elasto-visco-plastic bulk. Our aim is to contribute to a more direct connection from theoretical and computational results to field and seismological observations. Previous work showed that a diversity of rupture styles emerges from simulations on faults governed by velocity-and-state-dependent friction with rapid velocity-weakening at high slip rate. For instance, growing pulses lead to re-activation of slip due to gradual stress build-up near the hypocenter, as inferred in some source studies of the 2011 Tohoku-Oki earthquake. Moreover, off-fault energy dissipation implied physical limits on extreme ground motion by limiting peak slip rate and rupture velocity. We investigate characteristic features in near-field strong ground motion generated by dynamic in-plane rupture simulations. We present effects of plasticity on source process signatures, off-fault damage patterns and ground shaking. Independent of rupture style, asymmetric damage patterns across the fault are produced that contribute to the total seismic moment, and even dominantly at high angles between the fault and the maximum principal background stress. The off-fault plastic strain fields induced by transitions between rupture styles reveal characteristic signatures of the mechanical source processes during the transition. Comparing different rupture styles in elastic and elasto-visco-plastic media to identify signatures of off-fault plasticity, we find varying degrees of alteration of near-field radiation due to plastic energy dissipation. Subshear pulses suffer more peak particle velocity reduction due to plasticity than cracks. Supershear ruptures are affected even more. The occurrence of multiple rupture fronts affect seismic potency release rate, amplitude spectra, peak particle velocity distributions and near-field seismograms. Our simulations enable us to trace features of source processes in synthetic seismograms, for example exhibiting a re-activation of slip. Such physical models may provide starting points for future investigations of field properties of earthquake source mechanisms and natural fault conditions. In the long-term, our findings may be helpful for seismic hazard analysis and the improvement of seismic source models.

  17. Radiographic Risk Factors for Contralateral Rupture in Dogs with Unilateral Cranial Cruciate Ligament Rupture

    PubMed Central

    Chuang, Connie; Ramaker, Megan A.; Kaur, Sirjaut; Csomos, Rebecca A.; Kroner, Kevin T.; Bleedorn, Jason A.; Schaefer, Susan L.; Muir, Peter

    2014-01-01

    Background Complete cranial cruciate ligament rupture (CR) is a common cause of pelvic limb lameness in dogs. Dogs with unilateral CR often develop contralateral CR over time. Although radiographic signs of contralateral stifle joint osteoarthritis (OA) influence risk of subsequent contralateral CR, this risk has not been studied in detail. Methodology/Principal Findings We conducted a retrospective longitudinal cohort study of client-owned dogs with unilateral CR to determine how severity of radiographic stifle synovial effusion and osteophytosis influence risk of contralateral CR over time. Detailed survival analysis was performed for a cohort of 85 dogs after case filtering of an initial sample population of 513 dogs. This population was stratified based on radiographic severity of synovial effusion (graded on a scale of 0, 1, and 2) and severity of osteophytosis (graded on a scale of 0, 1, 2, and 3) of both index and contralateral stifle joints using a reproducible scoring method. Severity of osteophytosis in the index and contralateral stifles was significantly correlated. Rupture of the contralateral cranial cruciate ligament was significantly influenced by radiographic OA in both the index and contralateral stifles at diagnosis. Odds ratio for development of contralateral CR in dogs with severe contralateral radiographic stifle effusion was 13.4 at one year after diagnosis and 11.4 at two years. Odds ratio for development of contralateral CR in dogs with severe contralateral osteophytosis was 9.9 at one year after diagnosis. These odds ratios were associated with decreased time to contralateral CR. Breed, age, body weight, gender, and tibial plateau angle did not significantly influence time to contralateral CR. Conclusion Subsequent contralateral CR is significantly influenced by severity of radiographic stifle effusion and osteophytosis in the contralateral stifle, suggesting that synovitis and arthritic joint degeneration are significant factors in the disease mechanism underlying the arthropathy. PMID:25254499

  18. Surgical Resection of a Ruptured Pancreaticoduodenal Artery Aneurysm

    PubMed Central

    Takei, Tomohide; Sakai, Michihiro; Suzuki, Takuya; Yamamoto, Yuji; Ogasawara, Yasuo; Shimizu, Tetsuya; Imaizumi, Jun; Furuya, Ryosuke; Sekido, Hitoshi; Koizumi, Yasuhiro

    2016-01-01

    Patient: Female, 71 Final Diagnosis: Rupture of a pancreaticoduodenal artery aneurysm Symptoms: Medication: Clinical Procedure: Surgical operation Specialty: Surgery Objective: Rare disease Background: Ruptured aneurysms of the pancreaticoduodenal artery result in fatal hemorrhage and high mortality. Therefore, prompt diagnosis and treatment are required, but there are sometimes problems differentiating this specific diagnosis from other abdominal pathologies. Case Report: We encountered a rare case of a ruptured pancreaticoduodenal artery aneurysm with an atypical clinical presentation that simulated acute pancreatitis. A 71-year-old woman was admitted to the emergency department with abdominal pain in the left upper quadrant, a slightly elevated level of pancreatic amylase, and cholelithiasis on ultrasonography. With persistent pain and progressively decreasing hemoglobin level, computed tomography with contrast showed fluid collection in the subphrenic space, a retroperitoneal hematoma, and a pancreaticoduodenal artery aneurysm that appeared to originate from a branch of the SMA. Urgent angiography indicated spontaneous rupture of a pancreaticoduodenal artery aneurysm. Emergent surgery was undertaken, and a simple aneurysmectomy was successfully performed. The patients recovery was unremarkable. The prompt diagnosis of a pancreaticoduodenal artery aneurysm was difficult because the initial symptoms were vague and misleading in our case. Conclusions: A high level of suspicion, rapid diagnostic capability, and prompt surgical or endovascular intervention, as well as effective teamwork in the emergency department, are critical to avoid the devastating consequences of a ruptured visceral artery aneurysm. PMID:26794823

  19. Rupture of an evaporating liquid bridge between two grains

    NASA Astrophysics Data System (ADS)

    Mielniczuk, Boleslaw; El Youssoufi, Moulay; Sabatier, Laurent; Hueckel, Tomasz

    2014-10-01

    The study examines rupture of evaporating liquid bridges between two glass spheres. Evolution of the bridge profile has been recorded with the use of high-speed camera. Geometrical characteristics of the bridge were then used to calculate evolution of the variables during the process: Laplace pressure, capillary force, and surface tension force. For the purpose of reference, the bridge evolution is followed also during kinematic extension. During both processes the diameter of the neck decreases, with an acceleration of about 1-2 ms before the rupture. Two distinct rupture modes are observed, depending on the bridge aspect ratio. After the rupture, the mass of liquid splits, forming two separate oscillating drops attached to the spheres, and a suspended satellite droplet. Just before the rupture, an increasing repulsive Laplace pressure, and decreasing negative surface tension force develop. Capillary force follows the trend of the surface tension force, with an accelerating decline. Duration of the whole process and liquid mass stabilization is from 10 to 60 ms.

  20. [Traumatic thoracic aorta rupture: preclinical assessment, diagnosis and treatment options].

    PubMed

    Kopp, R; Andrassy, J; Czerner, S; Weidenhagen, A; Weidenhagen, R; Meimarakis, G; Reiser, M; Jauch, K W

    2008-08-01

    Traumatic aortic rupture is a life-threatening injury which is frequently associated with blunt thoracic trauma or found coincidentally in heavily traumatized patients. Depending on the degree of disruption of the damaged aortic wall, vascular injury is associated with a high primary mortality rate and a significant risk of secondary aortic rupture. Early clinical signs which may indicate a ruptured thoracic aorta are left sided thoracic pain, reduced ventilation, tachycardia and dyspnoe as well as hypotension in the lower extremities. The primary aim for emergency treatment is to maintain vital organ function and to hemodynamically stabilize the patient. Surgical treatment was previously performed by either direct aortic suture or segmental alloplastic graft interposition using the clamp and sew technique with or without extra-anatomic shunts or extracorporeal circulation. However, endovascular stent graft implantation has now become another treatment option for traumatic aortic rupture. According to the reported data and our own experience there is increasing evidence that endovascular aortic repair might become the treatment of choice for patients with traumatic aortic rupture, with the option of an early, less invasive intervention thus avoiding thoracotomy. Regular follow-up is necessary to detect possible stent graft migration or leakage which could require additional endovascular or open surgical re-interventions. PMID:18463834

  1. Origin, growth, and rupture of saccular aneurysms: a review.

    PubMed

    Sekhar, L N; Heros, R C

    1981-02-01

    Pathological and hemodynamic concepts regarding the origin, growth, and rupture of intracranial saccular aneurysms are reviewed. Aneurysms form as a result of an interplay between hemodynamic factors, such as axial stream impingement and the water hammer effect, and structural weaknesses at apices of arterial bifurcations, such as congenital and acquired medial defects, funnel-shaped dilatations, and areas of thinning. Hypertension and time aid the formation of aneurysms. Unknown factors in women and in some families also play a role. Enlargement of aneurysms results from an interplay between mechanical factors, such as self-excitation and resonance, that produce structural fatigue and pathological processes of repair of the aneurysmal wall. Rupture of aneurysms is caused by the same hemodynamic factors that effect growth and is also influenced by extramural pressure. Pathologically, a major rupture may be preceded by fibrinous and leukocytic infiltration of the wall, bleb formation, and a minor hemorrhage. Such minor leaks can be followed by healing and growth. Aneurysms that escape major hemorrhage or heal successfully after a hemorrhage can grow to giant proportions, but remain susceptible to rupture despite their size, unless they become completely thrombosed. Intramural thrombosis may be stimulated by minor leaks and is dependent upon the physical characteristics of aneurysms. Experimental, angiographic, and clinical studies that pertain to the origin, growth, and rupture of aneurysms are also reviewed. PMID:7010205

  2. Ruptured appendiceal diverticula mimicking low-grade appendiceal mucinous neoplasms.

    PubMed

    Hsu, Maylee; Young, Robert H; Misdraji, Joseph

    2009-10-01

    Low-grade appendiceal mucinous neoplasms may rupture and seed the peritoneum with bland neoplastic mucinous epithelium resulting, when grossly evident, in the well-known process pseudomyxoma peritonei. Appendiceal diverticula may also rupture, resulting in mucin on the appendiceal serosa, which may raise concern for an underlying appendiceal mucinous neoplasm. We report 11 cases of ruptured appendiceal diverticula that were initially either misdiagnosed as appendiceal mucinous neoplasms, raised concern for a neoplasm, or were thought to exhibit localized pseudomyxoma peritonei. Two cases showed eversion of the appendiceal lining onto the serosa; 1 showed collision between the diverticulum and endosalpingiosis, and 3 had rare nonneoplastic epithelial cells in extra-appendiceal mucin. Most cases showed mucosal hyperplasia, mild crypt disarray, and variable reactive atypia. Eight cases had mucosal neuromas or other neural changes. None of the patients progressed to pseudomyxoma peritonei during the follow-up interval (mean 23 mo). Pathologists should be aware that ruptured appendiceal diverticula may be associated with serosal mucin and even extra-appendiceal epithelium. Failure to distinguish this process from a mucosal neoplasm with rupture may result in unnecessary therapy and cause the patient undue alarm. PMID:19623035

  3. Prehistoric ruptures of the Gurvan Bulag fault, Gobi Altay, Mongolia

    USGS Publications Warehouse

    Prentice, C.S.; Kendrick, K.; Berryman, K.; Bayasgalan, A.; Ritz, J.F.; Spencer, J.Q.

    2002-01-01

    The 1957 Gobi Altay M8.3 earthquake in southern Mongolia was associated with the simultaneous rupture of several faults, including the Gurvan Bulag reverse fault, which is located about 25 km south of the main strike-slip Bogd fault. Our study of paleoseismic excavations across the Gurvan Bulag fault suggests that the penultimate surface rupture occurred after 6.0 ka, most likely between 2.6 and 4.4 ka, and a possible earlier rupture occurred after 7.3 ka. Our interpretation of the stratigraphic relations in one of the exposures suggests that at least five earthquakes have generated surface rupture of the Gurvan Bulag fault since the abandonment of an ancient alluvial fan surface. Luminescence dating of sediment associated with this surface indicates that it formed either 26.6 ?? 2.1 ka or 16.1 ?? 2.0 ka. These data imply that the recurrence intervals for surface faulting on the Gurvan Bulag and Bogd faults are similar, on the order of several thousands of years, but that the penultimate surface ruptures of the two faults did not occur during the same earthquake.

  4. Spontaneous Atraumatic Extensor Pollicis Longus Rupture in the Nonrheumatoid Population

    PubMed Central

    Rada, Erin M.; Shridharani, Sachin M.; Lifchez, Scott D.

    2013-01-01

    Introduction: Extensor pollicis longus (EPL) tendon rupture is a well-described phenomenon in patients with rheumatoid arthritis. Mechanisms of EPL tendon rupture in the nonrheumatoid population have also been described and include traumatic rupture, repetitive motion strain, and steroid injection into the tendon. Methods: The operative records for patients undergoing extensor pollicis longus reconstruction by the senior author were reviewed. Patients with a history of trauma to the wrist or inflammatory arthropathy were excluded. Results: We identified 3 patients who presented with spontaneous EPL tendon rupture. These patients reported no risk factors (as listed earlier) or inciting event. All 3 patients had some exposure to local steroids but this exposure was not at the site of subsequent tendon rupture. All patients were operatively repaired and went on to full recovery of EPL function. Discussion: In patients with sudden loss of extension of the thumb interphalangeal joint, a thorough history of steroid exposure including local steroid exposure remote to the affected EPL tendon may be relevant. PMID:23460929

  5. Ruptures of the anterior cruciate ligament in soccer.

    PubMed

    Rochcongar, P; Laboute, E; Jan, J; Carling, C

    2009-05-01

    Ruptures of the anterior cruciate ligament (ACL) are serious, common and costly injuries. The present 12-year investigation was undertaken to examine the frequency of ACL ruptures and identify the game events that may have contributed to the cause of these injuries in male soccer players across a French district. A retrospective questionnaire was used to record the players' age at the time of injury, laterality, standard of play, playing position and injured side. The characteristics of the injury situations were described in detail to investigate the game events involved in each case. A total of 934 ruptures was reported. Significantly more ruptures were sustained in a non-contact versus a contact situation (p<0.01). Of the total number of lesions, 34.5% occurred during a pivot action. The right knee was affected more than the left knee (p<0.001), irrespective of the dominant side of the player. Certain game events reported in the injury situations were shown to be related to player's age, standard and position. While these results have confirmed observations from previous investigations on ACL ruptures in soccer, the analysis of a considerably larger number of injury cases has brought new findings to the literature as well as recommendations for future research. PMID:19199222

  6. Creep rupture testing of carbon fiber-reinforced epoxy composites

    NASA Astrophysics Data System (ADS)

    Burton, Kathryn Anne

    Carbon fiber is becoming more prevalent in everyday life. As such, it is necessary to have a thorough understanding of, not solely general mechanical properties, but of long-term material behavior. Creep rupture testing of carbon fiber is very difficult due to high strength and low strain to rupture properties. Past efforts have included testing upon strands, single tows and overwrapped pressure vessels. In this study, 1 inch wide, [0°/90°]s laminated composite specimens were constructed from fabric supplied by T.D. Williamson Inc. Specimen fabrication methods and gripping techniques were investigated and a method was developed to collect long term creep rupture behavior data. An Instron 1321 servo-hydraulic material testing machine was used to execute static strength and short term creep rupture tests. A hanging dead-weight apparatus was designed to perform long-term creep rupture testing. The testing apparatus, specimens, and specimen grips functioned well. Collected data exhibited a power law distribution and therefore, a linear trend upon a log strength-log time plot. Statistical analysis indicated the material exhibited slow degradation behavior, similar to previous studies, and could maintain a 50 year carrying capacity at 62% of static strength, approximately 45.7 ksi.

  7. Composite Overwrapped Pressure Vessels (COPV) Stress Rupture Test

    NASA Technical Reports Server (NTRS)

    Russell, Richard; Flynn, Howard; Forth, Scott; Greene, Nathanael; Kezian, Michael; Varanauski, Don; Yoder, Tommy; Woodworth, Warren

    2009-01-01

    One of the major concerns for the aging Space Shuttle fleet is the stress rupture life of composite overwrapped pressure vessels (COPVs). Stress rupture life of a COPV has been defined as the minimum time during which the composite maintains structural integrity considering the combined effects of stress levels and time. To assist in the evaluation of the aging COPVs in the Orbiter fleet an analytical reliability model was developed. The actual data used to construct this model was from testing of COPVs constructed of similar, but not exactly same materials and pressure cycles as used on Orbiter vessels. Since no actual Orbiter COPV stress rupture data exists the Space Shuttle Program decided to run a stress rupture test to compare to model predictions. Due to availability of spares, the testing was unfortunately limited to one 40" vessel. The stress rupture test was performed at maximum operating pressure at an elevated temperature to accelerate aging. The test was performed in two phases. The first phase, 130 F, a moderately accelerated test designed to achieve the midpoint of the model predicted point reliability. The more aggressive second phase, performed at 160 F was designed to determine if the test article will exceed the 95% confidence interval of the model. This paper will discuss the results of this test, it's implications and possible follow-on testing.

  8. Dynamic Rupture Segmentation Along The Nankai Trough, Southwest Japan

    NASA Astrophysics Data System (ADS)

    Hok, S.; Fukuyama, E.; Hashimoto, C.

    2010-12-01

    In southwest Japan, large devastating earthquakes (Mw>8) occurred along the Nankai subduction zone every 100-200 years (e.g. Ando, 1975, Tectonophys.; Ishibashi, 2004, Ann. Geophys.). Historical records revealed the segmented nature of the 600 km long seismogenic zone, producing Nankai and Tonankai earthquakes to occur separately or jointly at each cycle. The intersegment zone which separates Nankai and Tonankai source areas, near the Kii Peninsula, should have some special physical properties. In this study, we investigate the dynamic linkage of the coseismic slips on the Nankai and Tonankai segments, by modeling the spontaneous rupture propagation on the subduction interface. To conduct a reliable modeling, the parameters lateral variations along the place interface are introduced by combining several geophysical observation data sets. First, we use a large-scale 3D geometry for the plate interface, inferred from seismicity; we also integrate the slip deficit distribution (Hashimoto et al., 2009, SSJ meeting) obtained by inversion of GPS data, to constrain the distribution of stress drop on the interface. This distribution is not uniform, and explains the 1st order asperities of the subduction zone: Hyuga, Nankai, Tonankai and Tokai areas appear clearly as loaded regions. In addition, a constitutive friction law is required to link fault slip and stress release. We compiled regional geophysical information relevant to the segmentation, to infer the distribution of the frictional parameters at seismogenic depths. We focused on areas where the rupture is known to have stopped. The barriers seem to be related to upper plate structure (Wells et al. 2003, JGR, Rosenau and Oncken 2009, JGR). Uplifted areas show common characteristics: end of seismogenic segments, underplating in the wedge, and higher density of the upper old wedge (granitic intrusions). Following above review, we introduced 3 barrier regions delimiting 2 asperity regions (Nankai and Tonankai). Inside the barrier, the fracture energy changes in regional scale, via a change of the critical slip distance scaling. The strength remains uniform along the interface. Asperities are produced by the initial stress distribution inferred from slip deficit. Using this model setting, we computed a few different spontaneous rupture scenarios, by changing only the location of rupture initiation. Remarkably, we could reproduce the segmentation of the rupture, as observed during the 1940s sequence, provided that the rupture initiates close to the Kii peninsula barrier area. However, if the rupture initiate far from the Kii peninsula, close to Tokai or west of Muroto cape for instance, the rupture is more likely to break the full plate interface in a single rupture event, consistently with what has been observed in the past. The rupture segmentation appears to be a consequence of the friction properties off-Kii Peninsula, as well as the rupture initiation position. This work provides a reliable way to enlighten the conditional segmentation process, as a consequence of the earthquake dynamic rupture.

  9. Rupture of maternal splenic artery aneurysm and fetal demise.

    PubMed

    Le Tinier, B; Jungo-Nançoz, C; McCarey, C; Jastrow, N

    2015-01-01

    Splenic artery aneurysm (SAA) is the third most common intra-abdominal aneurysm. This condition, which occurs predominantly in young women, is generally asymptomatic and frequently discovered during pregnancy upon rupture. Reported maternal and fetal mortality are respectively 75% and 72.5-95%. A 40-year-old woman gravida 4 para 3 was referred to the obstetrical emergencies at term for loss of consciousness, nausea, vomiting, and hypotension. At admission, the patient had developed upper abdominal pain. Fetal demise and hemoperitoneum were diagnosed. An abdominal computed tomography (CT) scan revealed SAA rupture. An emergency hemostatic splenectomy was performed followed by a cesarean section with a favorable subsequent outcome. SAA rupture should be considered in the differential diagnosis of acute abdominal pain during pregnancy. Prompt multidisciplinary management is essential for patient's survival. PMID:26152017

  10. Acute airway compromise due to ruptured inferior thyroid artery aneurysm.

    PubMed

    Coskun, Zerrin Ozerg?n; Yava?i, zcan; Durakoglugil, Tugba; Celebi Erdivanli, Ozlem; Ozgur, Abdulkadir; Terzi, Suat; Dursun, Engin

    2015-08-01

    A cervical hematoma secondary to the spontaneous rupture of an aneurysm is an uncommon but catastrophic life-threatening condition because it can potentially obstruct the airway. Inferior thyroid artery aneurysm and rupture is a very rare clinical entity and only a limited number of cases have been reported in the literature. In this article, we present the case of a female patient who suffered from a rapidly enlarging cervical mass followed by a rapid onset of dyspnea as a result of rupture of an inferior thyroid artery aneurysm. The diagnosis was confirmed by magnetic resonance angiography, and delayed surgery resulted in an uneventful outcome. We aim to draw the attention of emergency physicians to this rare condition. PMID:25770593

  11. Composite Overwrapped Pressure Vessel (COPV) Stress Rupture Testing

    NASA Technical Reports Server (NTRS)

    Greene, Nathanael J.; Saulsberry, Regor L.; Leifeste, Mark R.; Yoder, Tommy B.; Keddy, Chris P.; Forth, Scott C.; Russell, Rick W.

    2010-01-01

    This paper reports stress rupture testing of Kevlar(TradeMark) composite overwrapped pressure vessels (COPVs) at NASA White Sands Test Facility. This 6-year test program was part of the larger effort to predict and extend the lifetime of flight vessels. Tests were performed to characterize control parameters for stress rupture testing, and vessel life was predicted by statistical modeling. One highly instrumented 102-cm (40-in.) diameter Kevlar(TradeMark) COPV was tested to failure (burst) as a single-point model verification. Significant data were generated that will enhance development of improved NDE methods and predictive modeling techniques, and thus better address stress rupture and other composite durability concerns that affect pressure vessel safety, reliability and mission assurance.

  12. Engineering evaluation of ruptured strainer in Building 309

    SciTech Connect

    Papenfuss, J.N.

    1982-10-01

    This report deals with the consequences of the ruptured steam strainer and is divided into two sections. Section 1 evaluates the engineering aspects of the ruptured steam strainer, investigates the events that culminated in the damage and considers factors that may have contributed to the incident. Recommendations are presented to upgrade the system in Building 309 by incorporating hardware changes and proposes a change in operating procedures. Section 2 utilizes the findings presented in Section 1 as a basis for conducting a review on the remainder of the 300 Area steam system, in order to identify similar problem areas. Corrective action recommendations to reduce the risk of repeating component ruptures from water hammer conditions were developed out of the survey and the associated review.

  13. Transcatheter Arterial Embolization for Spontaneous Rupture of the Omental Artery

    SciTech Connect

    Matsumoto, Tomohiro; Yamagami, Takuji; Morishita, Hiroyuki; Iida, Shigeharu; Tazoe, Jun; Asai, Shunsuke; Masui, Koji; Ikeda, Jun; Nagata, Akihiro; Sato, Osamu; Nishimura, Tsunehiko

    2011-02-15

    We encountered a rare case of spontaneous rupture of the omental artery. A 25-year-old man without any episode of abdominal trauma or bleeding disorders came to the emergency unit with left upper abdominal pain. Hematoma with extravasation of the greater omentum and a hemoperitoneum was confirmed on abdominal contrast-enhanced computed tomography. Bleeding from the omental artery was suspected based on these findings. Transcatheter arterial embolization was successfully performed after extravasation of the omental artery, which arises from the left gastroepiploic artery, was confirmed on arteriography. Partial ometectomy was performed 10 days after transcatheter arterial embolization, revealing that the hematoma measured 10 cm in diameter in the greater omentum. Pathological examination showed rupture of the branch of an omental artery without abnormal findings, such as an aneurysm or neoplasm. Thus, we diagnosed him with spontaneous rupture of the omental artery. The patient recovered and was discharged from the hospital 10 days after the surgery, with a favorable postoperative course.

  14. Silent Spontaneous Uterine Rupture at 36 Weeks of Gestation

    PubMed Central

    Woo, J. Y.; Tate, L.; Roth, S.; Eke, A. C.

    2015-01-01

    Introduction. Silent spontaneous rupture of the uterus before term, with extrusion of an intact amniotic sac and delivery of a healthy neonate, with no maternal or neonatal morbidity or mortality is very rare. Very few cases have been reported in literature. Case Presentation. We report a case of silent spontaneous uterine rupture, found during a scheduled repeat cesarean section at 36 weeks of gestation. Patient had history of two prior classical cesarean sections. She underwent cesarean section, with delivery of a healthy male infant. She had a good postoperative recovery and was discharged on postoperative day 3. Conclusion. Silent spontaneous rupture of the uterus before term with extrusion of an intact amniotic sac is rare. A high index of suspicion and good imaging during pregnancy are important in making this diagnosis. PMID:26357580

  15. The osmotic rupture hypothesis of intracellular freezing injury.

    PubMed Central

    Muldrew, K; McGann, L E

    1994-01-01

    A hypothesis of the nature of intracellular ice formation is proposed in which the osmotically driven water efflux that occurs in cells during freezing (caused by the increased osmotic pressure of the extracellular solution in the presence of ice) is viewed as the agent responsible for producing a rupture of the plasma membrane, thus allowing extracellular ice to propagate into the cytoplasm. This hypothesis is developed into a mathematical framework and the forces that are present during freezing are compared to the forces which are required to rupture membranes in circumstances unrelated to low temperatures. The theory is then applied to systems which have been previously studied to test implications of the theory on the nature of intracellular ice formation. The pressure that develops during freezing due to water flux is found to be sufficient to cause a rupture of the plasma membrane and the theory gives an accurate description of the phenomenology of intracellular ice formation. PMID:8161706

  16. Complicated malaria and a covert ruptured spleen: a case report

    PubMed Central

    Waweru, Peter; Macleod, Jana; Gikonyo, Anthony

    2014-01-01

    Spontaneous splenic rupture in complicated malaria is an uncommon cause of hemoperitoneum in the tropics. The exact incidence of splenic rupture is unknown, largely due to under-reporting, but has been estimated at ?2%. Its pathophysiology is linked to the formation of a subcapsular hematoma. Upon rupture, patients present with features of shock and peritonitis and in most cases (95%), computed tomography (CT) scan detects the splenic injury. Patients should be managed conservatively with splenectomy reserved for patients with shock and hemoperitoneum due to risk of post-splenectomy sepsis. We report the case of a 38-year-old man with severe malaria who presented with fever, chills and abdominal pains. A CT scan abdomen failed to reveal splenic parenchymal injury or any splenic extravasation of contrast. Conservative management was unsuccessful. Exploratory laparatomy confirmed the spleen as the site of bleeding necessitating a splenectomy. PMID:25395608

  17. Ruptured Mycotic Aortic Aneurysm after Bacille Calmette-Guerin Therapy.

    PubMed

    Floros, Nikolaos; Meletiadis, Konstantinos; Kusenack, Ulrich; Zirngibl, Hubert; Kamper, Lars; Haage, Patrick; Dreger, Nici Markus

    2015-10-01

    To report a case of a ruptured mycotic abdominal aortic aneurysm (MAA) after intravesical Bacille Calmette-Guerin (BCG) therapy because of bladder carcinoma. A 57-year-old male patient was admitted to our hospital for follow-up computed tomography 14 months after transurethral resection of a papillary carcinoma of the bladder and intravesical BCG therapy. The CT scan revealed a ruptured MAA aneurysm and the patient underwent an endovascular repair with an aorto-bi-iliac stent graft. A ruptured MAA is a rare but lethal complication after BCG instillation therapy. The standard therapy is the open reconstruction but according to the literature an endovascular therapy in combination with long-term antibiotics should be considered as a bridging or a definite solution. PMID:26119640

  18. Predictors and clinical outcomes for spontaneous rupture of hepatocellular carcinoma

    PubMed Central

    Zhu, Qian; Li, Jing; Yan, Jian-Jun; Huang, Liang; Wu, Meng-Chao; Yan, Yi-Qun

    2012-01-01

    AIM: To determine the risk factors for hepatocellular carcinoma (HCC) rupture, and report the management and long-term survival results of patients with spontaneous rupture of HCC. METHODS: Among 4209 patients with HCC who were diagnosed at Eastern Hepatobiliary Surgery Hospital from April 2002 to November 2006, 200 (4.8%) patients with ruptured HCC (case group) were studied retrospectively in term of their clinical characteristics and prognostic factors. The one-stage therapeutic approach to manage ruptured HCC consisted of initial management by conservative treatment, transarterial embolization (TACE) or hepatic resection. Results of various treatments in the case group were evaluated and compared with the control group (202 patients) without ruptured HCC during the same study period. Continuous data were expressed as mean SD or median (range) where appropriate and compared using the unpaired t test. Categorical variables were compared using the Chi-square test with Yates correction or the Fisher exact test where appropriate. The overall survival rate in each group was determined using the Kaplan-Meier method and a log-rank test. RESULTS: Compared with the control group, more patients in the case group had underlying diseases of hypertension (7.5% vs 3.0%, P =0.041) and liver cirrhosis (87.5% vs 56.4%, P < 0.001), tumor size >5 cm (83.0% vs 57.4%, P < 0.001), tumor protrusion from the liver surface (66.0% vs 44.6%, P < 0.001), vascular thrombus (30.5% vs 8.9%, P < 0.001) and extrahepatic invasion (36.5% vs 12.4%, P < 0.001). On multivariate logistic regression analysis, underlying diseases of hypertension (P = 0.002) and liver cirrhosis (P < 0.001), tumor size > 5 cm (P < 0.001), vascular thrombus (P = 0.002) and extrahepatic invasion (P < 0.001) were predictive for spontaneous rupture of HCC. Among the 200 patients with spontaneous rupture of HCC, 105 patients underwent hepatic resection, 33 received TACE, and 62 were managed with conservative treatment. The median survival time (MST) of all patients with spontaneous rupture of HCC was 6 mo (range, 1-72 mo), and the overall survival at 1, 3 and 5 years were 32.5%, 10% and 4%, respectively. The MST was 12 mo (range, 1-72 mo) in the surgical group, 4 mo (range, 1-30 mo) in the TACE group and 1 mo (range, 1-19 mo) in the conservative group. Ninety-eight patients in the control group underwent hepatic resection, and the MST and median disease-free survival time were 46 mo (range, 6-93 mo) and 23 mo (range, 3-39 mo) respectively, which were much longer than that of patients with spontaneous rupture of HCC undergoing hepatic resection (P < 0.001). The 1-, 3-, and 5-year overall survival rates and the 1-, 3- and 5-year disease-free survival rates in patients with ruptured HCC undergoing hepatectomy were 57.1%, 19.0% and 7.6%, 27.6%, 14.3% and 3.8%, respectively, compared with those of 77.1%, 59.8% and 41.2%, 57.1%, 40.6% and 32.9% in 98 patients without ruptured HCC undergoing hepatectomy (P < 0.001). CONCLUSION: Prolonged survival can be achieved in selected patients undergoing one-stage hepatectomy, although the survival results were inferior to those of the patients without ruptured HCC. PMID:23326137

  19. Late calcification and rupture: a rare complication of ventriculoperitoneal shunting.

    PubMed

    Kural, Cahit; Kirik, Alparslan; Pusat, Serhat; Senturk, Tolga; Izci, Yusuf

    2012-01-01

    A 10-year old boy who had undergone a ventriculoperitoneal (V/P) shunt because of hydrocephalus at 10 days of age was doing well until 20 days ago, when he began to experience headache and seizures. CT scan revealed dilated lateral ventricles and calcification at the shunt site. X-rays showed an unusual calcification pattern around the shunt tube and rupture of the tube between the mastoid bone and clavicle. The patient underwent surgery and the shunt was changed completely. The ventricles became small in the follow-up. Even though V/P shunts may induce fibrous tissue formation and calcification around the tube, there are a few cases of shunt rupture and calcification of shunts in the literature. Possible mechanisms of the rupture and calcification are discussed in this paper. PMID:23208915

  20. Repair of patellar tendon rupture using suture anchors.

    PubMed

    Bushnell, Brandon D; Tennant, Joshua N; Rubright, James H; Creighton, R Alexander

    2008-04-01

    Acute isolated rupture of the patellar tendon traditionally has been repaired via transpatellar suture tunnels. This retrospective study evaluated the demographics and epidemiology of this injury as well as the effectiveness and complication rates of our suture anchor technique. Between 1993 and 2005, a total of 82 cases of patellar tendon disruption in 71 patients were repaired. Fourteen cases involved basic primary repair with suture anchors of an acute isolated rupture of the patellar tendon and had an average follow-up of 29 months (range: 3-112 months). There were 3 (21%) failures of repair. The remaining 11 patients had excellent range of motion and strength and returned to their preoperative level of function. These results are comparable with other reports in the literature. The suture anchor technique thus represents a viable option for repair of patellar tendon ruptures and should be investigated further with a randomized, controlled trial. PMID:18500063

  1. Emergency Stenting of a Ruptured Infected Anastomotic Femoral Pseudoaneurysm

    SciTech Connect

    Klonaris, Chris Katsargyris, Athanasios; Matthaiou, Alexandros; Giannopoulos, Athanasios; Tsigris, Chris; Papadopouli, Katerina; Tsiodras, Sotiris; Bastounis, Elias

    2007-11-15

    A 74-year-old man presented with a ruptured infected anastomotic femoral pseudoaneurysm. Due to severe medical comorbidities he was considered unsuitable for conventional surgical management and underwent an emergency endovascular repair with a balloon-expandable covered stent. The pseudoaneurysm was excluded successfully and the patient had an uneventful postoperative recovery with long-term suppressive antimicrobials. He remained well for 10 months after the procedure with no signs of recurrent local or systemic infection and finally died from an acute myocardial infarction. To our knowledge, emergency endovascular treatment of a free ruptured bleeding femoral artery pseudoaneurysm has not been documented before in the English literature. This case illustrates that endovascular therapy may be a safe and efficient alternative in the emergent management of ruptured infected anastomotic femoral artery pseudoaneurysms when traditional open surgery is contraindicated.

  2. Rapid aneurysm growth and rupture in systemic lupus erythematosus

    PubMed Central

    Graffeo, Christopher S.; Tanweer, Omar; Nieves, Cesar Fors; Belmont, H. Michael; Izmirly, Peter M.; Becske, Tibor; Huang, Paul P.

    2015-01-01

    Background: Subarachnoid hemorrhage (SAH) due to intracranial aneurysm rupture is a major neurosurgical emergency associated with significant morbidity and mortality. Rapid aneurysm growth is associated with rupture. Systemic lupus erythematosus (SLE) is a multi-system autoimmune disorder whose complications can include cerebral vasculitis and vasculopathy. Intracranial aneurysms are not known to occur more frequently in SLE patients than the general population; however, aneurysm growth rates have not been studied in SLE. Case Description: We present a 43-year-old female with SLE on prednisone, hydroxychloroquine, and azathioprine with moderate disease activity who presented with severe, acute-onset headache and was found to have Hunt and Hess grade II SAH due to rupture of an 8 mm saccular anterior communicating artery (ACoA) aneurysm. The patient developed severe vasospasm, re-ruptured, and was taken for angiography and embolization, which was challenging due to a high degree of vasospasm and arterial stenosis. Review of imaging from less than 2 years prior demonstrated a normal ACoA complex without evidence of an aneurysm. Conclusion: We review the literature and discuss the risk factors and pathophysiology of rapid aneurysm growth and rupture, as well as the pathologic vascular changes associated with SLE. Although SLE patients do not develop intracranial aneurysm at an increased rate, these changes may predispose them to higher incidence of growth and rupture. This possibility-coupled with increased morbidity and mortality of SAH in SLE-suggests that SAH should be considered in SLE patients presenting with headache, and advocates for more aggressive treatment of SLE patients with unruptured aneurysms. PMID:25657862

  3. Rupture of the Pitycachi Fault in the 1887 Mw 7.5 Sonora, Mexico earthquake (southern Basin-and-Range Province): Rupture kinematics and epicenter inferred from rupture branching patterns

    NASA Astrophysics Data System (ADS)

    Suter, Max

    2015-01-01

    During the 3 May 1887 Mw 7.5 Sonora earthquake (surface rupture end-to-end length: 101.8 km), an array of three north-south striking Basin-and-Range Province faults (from north to south Pitycachi, Teras, and Otates) slipped sequentially along the western margin of the Sierra Madre Occidental Plateau. This detailed field survey of the 1887 earthquake rupture zone along the Pitycachi fault includes mapping the rupture scarp and measurements of surface deformation. The surface rupture has an endpoint-to-endpoint length of ?41.0 km, dips ~70W, and is characterized by normal left-lateral extension. The maximum surface offset is 487 cm and the mean offset 260 cm. The rupture trace shows a complex pattern of second-order segmentation. However, this segmentation is not expressed in the 1887 along-rupture surface offset profile, which indicates that the secondary segments are linked at depth into a single coherent fault surface. The Pitycachi surface rupture shows a well-developed bipolar branching pattern suggesting that the rupture originated in its central part, where the polarity of the rupture bifurcations changes. Most likely the rupture first propagated bilaterally along the Pitycachi fault. The southern rupture front likely jumped across a step over to the Teras fault and from there across a major relay zone to the Otates fault. Branching probably resulted from the lateral propagation of the rupture after breaching the seismogenic part of the crust, given that the much shorter ruptures of the Otates and Teras segments did not develop branches.

  4. Ruptured Valsalva Sinus Aneurysm to Pericardium Simulated Aortic Root Dissection

    PubMed Central

    Davarpasand, Tahereh; Hosseinsabet, Ali; Abassi, Kumars; Arzhan, Sorya

    2014-01-01

    Ruptured valsalva sinus aneurysm to pericardium is a rare condition. Here, we described a case presented with tamponade. Initially, hemopericardium was partially drained and then, imaging evaluations were done. Transesophageal echocardiography showed limited dissection of aortic sinus and CT angiography of the ascending aorta showed deformed dilated right coronary sinus. Besides, surgery showed that windsock tract of the right coronary sinus had ruptured into the pericardium with avulsed right coronary aortic cusp. This case indicated a rare cause of cardiac tamponade and insufficiency of imaging modalities for making an accurate diagnosis. PMID:24936486

  5. Ruptured malignant phyllodes tumor of the breast: a case report

    PubMed Central

    Ditsatham, Chagkrit; Somwangprasert, Areewan; Watcharachan, Kirati; Wongmaneerung, Phanchaporn

    2016-01-01

    Phyllodes tumor or cystosarcoma phyllodes is a rare disease and is usually seen in middle-aged patients. Ruptured phyllodes tumor is a very rare condition. Our study reports patient presentation, diagnosis method, and treatment of an unusual case. A 58-year-old premenopausal female was diagnosed with a phyllodes tumor and presented with a rapidly growing mass for 2 months that ruptured 1 month later. She underwent simple mastectomy at the left side of her breast and received adjuvant radiotherapy. No recurrence was found 4 months after operation.

  6. Spontaneous Liver Rupture After Treatment With Drug-Eluting Beads

    SciTech Connect

    Ritter, C. O.; Wartenberg, M.; Mottok, A.; Steger, U.; Goltz, J. P.; Hahn, D.; Kickuth, R.

    2012-02-15

    Spontaneous rupture of hepatocellular carcinoma (HCC) after transcatheter arterial chemoembolization (TACE) is a rare and life-threatening complication. Pathophysiologic mechanisms are not yet fully known; it is suggested that rupture is preceded by reactive tissue edema and intratumerous bleeding, leading to a rapid expansion of tumour mass with risk of extrahepatic bleeding in the case of subcapsular localisation. This case report discusses a sudden, unexpected lethal complication in a 74 year-old male patient treated with TACE using DC Bead loaded with doxorubicin (DEBDOX) in a progressive multifocal HCC.

  7. Force spectroscopy of covalent bond rupture versus protein extraction

    NASA Astrophysics Data System (ADS)

    Afrin, Rehana; Okazaki, Susumu; Ikai, Atsushi

    2004-11-01

    Development of protein extraction and identification methods from a live cell surface using minimally invasive technology has an important implication as a possible tool to study time-dependent changes of the distribution of intrinsic membrane proteins in specific locals on the cell membrane. We have approached to this problem using an atomic force microscope mounted with a chemically modified probe with amino reactive covalent crosslinkers against amino groups on the membrane proteins. We discuss the probability of protein extraction versus covalent bond rupture in the experimentally observed rupture force in protein extraction. Possibility of protein unfolding by mechanical stretching during extraction from the cell surface is discussed.

  8. Deflate-gate: Conservative Management of a Large Ruptured Hydrocele

    PubMed Central

    Flores, Viktor X.; Wallen, Jared J.; Martinez, Danny R.; Carrion, Rafael

    2015-01-01

    A hydrocele is a common cause of intrascrotal swelling that results when fluid accumulates between the parietal and visceral layers of the tunica vaginalis. Over time, fluid may collect to form a massive hydrocele and result in significant discomfort for the patient. In this case report, we present a rare event of a 28-year-old gentleman with a documented massive hydrocele measuring 14.1נ8.9cm who ruptured his hydrocele during sexual intercourse. We expectantly managed the patient's ruptured hydrocele and encountered no complications throughout the course of his recovery. PMID:26793551

  9. Frontal lobe cerebral aneurysm rupture presenting as psychosis.

    PubMed Central

    Hall, D P; Young, S A

    1992-01-01

    A 23 year old male with acute onset of blunted affect, looseness of associations and auditory hallucinations presented to a tertiary care hospital 10 days after development of symptoms. Before transfer, the patient received a diagnosis of schizophreniform disorder and treatment with haloperidol was started which resulted in moderate improvement. Examination led to detection of a ruptured cerebral aneurysm in the left frontal lobe. Evacuation of the haematoma and repair of the aneurysm resulted in nearly complete resolution of symptoms. The rare incidence of acute aneurysm rupture, presenting in the case described, demonstrates the importance of a complete neurological examination in the evaluation of acute mental status changes. Images PMID:1479403

  10. Spontaneous Extraperitoneal Bladder Rupture Because of Chronic Appendicitis

    PubMed Central

    Morganstern, Bradley A.; Viviano, Robert; Elsamra, Sammy

    2013-01-01

    A 62-year-old man presented to the emergency department with an episode of syncope after 2-3 weeks of diffuse abdominal pain, now complaining of a severe increase in pain concurrent with >24 hours of no urine output. His workup showed an idiopathic extraperitoneal rupture of the bladder on computed tomography, which was handled conservatively with Foley insertion. Repeated follow-up and imaging showed no resolution or etiology over 2 months. The patient underwent exploratory laparotomy that showed an elongated appendix with a chronic tip appendicitis that had induced bladder rupture by chronic inflammatory changes. After repair, the patient had no further complaints.

  11. Left ventricular rupture postmitral valve replacement: surviving a catastrophe.

    PubMed

    Bisoyi, Samarjit; Mohanty, Jitendu; Mohapatra, Raghunath; Nayak, Debashish

    2015-01-01

    One of the dreaded mechanical complications of mitral valve replacement (MVR) is rupture of the left ventricle (LV). This report describes the early diagnosis and successful repair of rupture of posterior wall of LV in an elderly patient who underwent MVR. We have discussed the risk factors and perioperative issues implicated in such complication. The anesthesiologist as an intra-operative echocardiographer can aid in identifying the patient at risk. Though important surgical steps are necessary to prevent the complication; nonetheless, the anesthesiologist needs to take key measures in the perioperative period. PMID:25566717

  12. Spleen rupture due to primary angiosarcoma: a case report.

    PubMed

    Koutelidakis, Ioannis M; Tsiaousis, Panagiotis Z; Papaziogas, Basilios Th; Patsas, Aristeides G; Atmatzidis, Stefanos K; Atmatzidis, Konstantinos S

    2007-01-01

    A case of a 79-year-old female with rupture of the spleen due to primary angiosarcoma is presented. Symptoms were non-specific. Diagnosis was based on histology postoperatively. Primary angiosarcoma of the spleen is a very rare and aggressive neoplasm with a high metastatic rate and almost uniformly fatal. Due to small number of reported cases, there are no guidelines concerning adjuvant or palliative treatment or any beneficial protocols of chemotherapy or radiotherapy up to date. Splenectomy prior to rupture seems to have a positive impact on long-term survival. PMID:19016352

  13. [Complete rupture of the peroneal nerve by knee distortion].

    PubMed

    Ackermann, O; Jagobi, A; Lahner, M; Eckert, K

    2015-12-01

    This report describes a case of complete rupture of the peroneal nerve as a consequence of low velocity trauma. A 54-year-old physically fit patient suffered a complex trauma with complete nerve discontinuity as a result of knee joint distortion without external force. The initial medical findings were unremarkable, in particular neither the accident medical history nor the initial sensitivity impairment suggested the presence of serious knee damage; however, during clinical diagnostics a complex trauma with rupture of the peroneal nerve was found. Accordingly, an extensive revision with nerve suturing was carried out. PMID:25986768

  14. Diagnosis and management of a ruptured popliteal mycotic pseudoaneurysm.

    PubMed

    Dua, Anahita; Kuy, SreyRam; Desai, Sapan S; Kumar, Naveen; Heller, Jennifer; Lee, Cheong J

    2015-08-01

    Infected popliteal aneurysms are a rare but high-risk pathology that may present as a surgical emergency with acute rupture and sepsis. Management of acute ischemia in the presence of systemic sepsis is challenging and requires timely diagnosis, rapid intervention, and multidisciplinary communication to ensure an optimum outcome for both life and limb in these patients. We report on a case of a ruptured mycotic popliteal artery aneurysm as a consequence of septic embolization from infective endocarditis managed by reverse saphenous vein bypass. The clinical presentation, diagnostic process, and approach to management along with a literature review on mycotic popliteal aneurysm are presented in this case report. PMID:25245048

  15. Transvenous Embolization of a Ruptured Deep Cerebral Arteriovenous Malformation

    PubMed Central

    Pereira, V.M.; Marcos-Gonzalez, A.; Radovanovic, I.; Bijlenga, P.; Narata, A.P.; Moret, J.; Schaller, K.; Lovblad, K.O.

    2013-01-01

    Summary Ruptured cerebral arteriovenous malformations (AVMs) usually require treatment to avoid re-bleeding. Depending on the angioarchitecture and center strategy, the treatment can be surgical, endovascular, radiosurgical or combined methods. The classic endovascular approach is transarterial, but sometimes it is not always applicable. The transvenous approach has been described as an alternative for the endovascular treatment of small AVMs when arterial access or another therapeutic method is not possible. This approach can be considered when the nidus is small and if there is a single draining vein. We present a technical note on a transvenous approach for the treatment of a ruptured AVM in a young patient. PMID:23472720

  16. Rapid Mapping of Surface Rupture from the South Napa Earthquake

    NASA Astrophysics Data System (ADS)

    Trexler, C. C.; Morelan, A. E., III; Oskin, M. E.

    2014-12-01

    Rapid documentation (<1 day) of co-seismic surface rupture location and slip is essential for scientific and emergency response. We demonstrate how social media (text messaging and Twitter) and the emerging 3D data collection technique known as Structure from Motion (SfM), used in conjunction with traditional field reconnaissance, enabled us to rapidly locate and document surface ruptures from the Mw 6.0 South Napa earthquake. On the morning of the event, our field team used information available on social media to identify locations with potential surface rupture. Preliminary observations of surface rupture (measurements and geo-tagged photographs) were texted to the office-based team member who created digital maps of the rupture trace and shared them online via Twitter in near-real time. We documented many ephemeral features (such as offset roads, curbs, and driveways) along the rupture trace within 12 hours of the event, before these features were destroyed by road and infrastructure repair. We were able to return to most sites again within several days, allowing us to document continuing slip and create time-series datasets of offset features. After the collection and re-collection of data at selected sites, we made detailed measurements remotely using 3D models constructed with SfM. The ability to quantitatively project features into the fault plane using these models allows for accurate measurements of small features often difficult to observe and quantify in the field. Traditionally, even preliminary maps of rupture extent and offset magnitudes are not available for several days after an event because office-based processing and compilation is required. Because we were able to compile our data in real time, we distributed our results while they were still valuable for ongoing scientific response. Our work helped other science teams efficiently target fieldwork and instrument deployment; for example, one geodetic survey team used our surface rupture map to adjust their field deployment plans in an effort to capture rapidly-decaying postseismic movement. With social media and rapid, inexpensive data collection methods like SfM in mind, scientific response to future events has the potential to be more efficient and coordinated than ever before.

  17. Influence of disorder on the rupture process of fibrous materials

    NASA Astrophysics Data System (ADS)

    Menezes-Sobrinho, I. L.; Rodrigues, A. L. S.

    2010-12-01

    Based on computational modelling the influence of disorder on the rupture process of fibrous materials have been evaluated. This has been done by simulating a bundle of parallel fibers under a constant uniaxial force. The disorder process was introduced by randomly assigning a strength threshold to each fiber of the bundle according to the Weibull distribution. The results indicate that the rupture process is extremely sensitive to the disorder level. In particular, we demonstrated that the load necessary to break a fiber bundle with large disorder is smaller than that necessary to break a fiber bundle with small disorder.

  18. Coupling a geodynamic seismic cycling model to rupture dynamic simulations

    NASA Astrophysics Data System (ADS)

    Gabriel, Alice; van Dinther, Ylona

    2014-05-01

    The relevance and results of dynamic rupture scenarios are implicitly linked to the geometry and pre-existing stress and strength state on a fault. The absolute stresses stored along faults during interseismic periods, are largely unquantifiable. They are, however, pivotal in defining coseismic rupture styles, near-field ground motion, and macroscopic source properties (Gabriel et al., 2012). Obtaining these in a physically consistent manner requires seismic cycling models, which directly couple long-term deformation processes (over 1000 year periods), the self-consistent development of faults, and the resulting dynamic ruptures. One promising approach to study seismic cycling enables both the generation of spontaneous fault geometries and the development of thermo-mechanically consistent fault stresses. This seismo-thermo-mechanical model has been developed using a methodology similar to that employed to study long-term lithospheric deformation (van Dinther et al., 2013a,b, using I2ELVIS of Gerya and Yuen, 2007). We will innovatively include the absolute stress and strength values along physically consistent evolving non-finite fault zones (regions of strain accumulation) from the geodynamic model into dynamic rupture simulations as an initial condition. The dynamic rupture simulations will be performed using SeisSol, an arbitrary high-order derivative Discontinuous Galerkin (ADER-DG) scheme (Pelties et al., 2012). The dynamic rupture models are able to incorporate the large degree of fault geometry complexity arising in naturally evolving geodynamic models. We focus on subduction zone settings with and without a splay fault. Due to the novelty of the coupling, we first focus on methodological challenges, e.g. the synchronization of both methods regarding the nucleation of events, the localization of fault planes, and the incorporation of similar frictional constitutive relations. We then study the importance of physically consistent fault stress, strength, and geometry input for dynamic rupture propagation in terms of rupture path and dynamics. On the other hand, it will provide the opportunity to compare slow earthquake akin events developing in quasi-static geodynamic model to fully dynamic ruptures in terms of coseismic displacements and stress changes. Gabriel, A.-A. (2012), J.-P. Ampuero, L. A. Dalguer, and P. M. Mai, The transition of dynamic rupture modes in elastic media, J. Geophys. Res., 117(B9), 01480227. Gerya, T., and D. Yuen (2007), Robust characteristics method for modelling multiphase visco-elasto-plastic thermo-mechanical problems, Phys. Earth Planet In., 163(1-4), 83-105. Pelties, C. (2012), J. De la Puente, J.-P. Ampuero, G. B. Brietzke, and M. Käser Three-Dimensional Dynamic Rupture, Simulation with a High-order Discontinuous Galerkin Method on Unstructured Tetrahedral Meshes, J. Geophys. Res., 117(B2), B02309. van Dinther, Y. (2013a), T.V. Gerya, L.A. Dalguer, F. Corbi, F. Funiciello, and P.M. Mai, The seismic cycle at subduction thrusts: 2. Dynamic implications of geodynamic simulations validated with laboratory models, J. Geophys. Res., 118(4), 1502-1525. van Dinther, Y. (2013b), T.V. Gerya, L.A. Dalguer, P.M. Mai, G. Morra, and D. Giardini, The seismic cycle at subduction thrusts: insights from seismo-thermo-mechanical models, J. Geophys. Res., 118, 6183-6202.

  19. Consequence analysis for a steam generator tube rupture accident

    SciTech Connect

    Chuang, C.F.

    1983-01-01

    Radioiodine release to the environment following a PWR steam generator tube rupture accident is studied. The objective is to develop a realistic model which may be used to examine the rupture flow of primary coolant and the transport process of leaked primary coolant in the steam generator. Estimated radioiodine release from the model is first compared with past accident data. The result indicates that NRC staff and the licensee may have underestimated the actual releases in the Prairie Island steam generator tube rupture accident. Results also show that a tube rupture without offsite power available may yield a radioiodine release of 8 times larger than the value given in the SAR analysis. Possible modification of recovery operation and equipment design are recommended in order to mitigate the radioiodine release. They are (1) trip reactor as soon as possible, (2) maintain reactor coolant pumps operation, (3) depressurize primary system as quickly as possible, (4) maintain feedwater flow properly, (5) actuate safety injection to draw borated water sooner, (6) do not isolate the faulty loop too early, and (7) modify the steam dryer design to include horizontal zig-zag plates.

  20. Consequence analysis of a steam generator tube rupture accident

    SciTech Connect

    Wu, J.M.; Chuang, C.F.

    1984-12-01

    A flashing droplet model was developed to examine the rupture flow of reactor coolant and its transport phenomena through the stream generator during a steam generator tube rupture accident. The model includes flashing flow; droplet formation; droplet removal by tube bundles, bubble scrubbing, steam separators, and steam dryers; and droplet size change by evaporation and condensation. The calculation follows the actual sequence of events during the accident. Those reactor coolant droplets escaping from the steam generator are used to estimate the radioactivity released into the environment. The steam generator tube rupture accident that occurred at the Prairie Island Plant on October 2, 1979, was studied using the model. The model estimated a release of 204 ..mu..Ci of /sup 131/I equivalent activity. The U.S. Nuclear Regulatory Commission estimated a 210-..mu..Ci release, assuming an iodine partition factor of 1/100 in the steam-generator. The model was also used to analyze a hypothetical steam generator tube rupture accident coupled with loss of off-site power in a large 1100-MW (electric) Westinghouse four-loop plant. The model estimated that 45 Ci of /sup 131/I equivalent activity could be released through the relief valves, which were stuck open for 30 min. The number is eight times higher than the estimate from the Westinghouse safety analysis report using a uniform mixing model.

  1. Complex rupture during the 12 January 2010 Haiti earthquake

    USGS Publications Warehouse

    Hayes, G.P.; Briggs, R.W.; Sladen, A.; Fielding, E.J.; Prentice, C.; Hudnut, K.; Mann, P.; Taylor, F.W.; Crone, A.J.; Gold, R.; Ito, T.; Simons, M.

    2010-01-01

    Initially, the devastating Mw 7.0, 12 January 2010 Haiti earthquake seemed to involve straightforward accommodation of oblique relative motion between the Caribbean and North American plates along the Enriquillog-Plantain Garden fault zone. Here, we combine seismological observations, geologic field data and space geodetic measurements to show that, instead, the rupture process may have involved slip on multiple faults. Primary surface deformation was driven by rupture on blind thrust faults with only minor, deep, lateral slip along or near the main Enriquillog-Plantain Garden fault zone; thus the event only partially relieved centuries of accumulated left-lateral strain on a small part of the plate-boundary system. Together with the predominance of shallow off-fault thrusting, the lack of surface deformation implies that remaining shallow shear strain will be released in future surface-rupturing earthquakes on the Enriquillog-Plantain Garden fault zone, as occurred in inferred Holocene and probable historic events. We suggest that the geological signature of this earthquakeg-broad warping and coastal deformation rather than surface rupture along the main fault zoneg-will not be easily recognized by standard palaeoseismic studies. We conclude that similarly complex earthquakes in tectonic environments that accommodate both translation and convergenceg-such as the San Andreas fault through the Transverse Ranges of Californiag-may be missing from the prehistoric earthquake record. ?? 2010 Macmillan Publishers Limited. All rights reserved.

  2. Diagnosis of splenic rupture in malignant lymphoma using radionuclides

    SciTech Connect

    Wallace, J.C.

    1985-01-01

    The case of a 59-year-old woman with malignant lymphoma who was investigated for fever and left upper quadrant abdominal pain is presented. A combined spleen/lung scan showed marked medial displacement of an enlarged spleen and a gallium scan showed increased splenic uptake consistent with lymphomatous infiltration. The diagnosis of prior splenic rupture with subphrenic hematoma was confirmed at laparotomy.

  3. Analyzing Single-Event Gate Ruptures In Power MOSFET's

    NASA Technical Reports Server (NTRS)

    Zoutendyk, John A.

    1993-01-01

    Susceptibilities of power metal-oxide/semiconductor field-effect transistors (MOSFET's) to single-event gate ruptures analyzed by exposing devices to beams of energetic bromine ions while applying appropriate bias voltages to source, gate, and drain terminals and measuring current flowing into or out of each terminal.

  4. Percutaneous and Endovascular Embolization of Ruptured Hepatic Artery Aneurysm

    SciTech Connect

    Little, Andrew F.; Lee, Wai Kit

    2002-06-15

    A 72-year-old woman presented with an intraperitoneal hemorrhage from a ruptured intrahepatic arteryaneurysm, with an associated pseudoaneurysm developing a high-flow arteriovenous fistula. Persistent coagulopathy and a median arcuate ligament stenosis of the celiac axis further complicated endovascular management. Aneurysm thrombosis required percutaneous embolization with coils, a removable core guidewire and polyvinyl alcohol particles.

  5. Preterm Delivery in the Setting of Left Calyceal Rupture.

    PubMed

    Hanson, Brent; Tabbarah, Rami

    2015-01-01

    Spontaneous rupture of the renal collecting system is a rare but serious complication of pregnancy. We report a case of nontraumatic left renal calyceal rupture in a pregnancy which ultimately progressed to preterm delivery. A 29-year-old primigravida with a remote history of urolithiasis presented with left flank pain, suprapubic pain, and signs of preterm labor at 33 weeks of gestation. The patient was believed to have urolithiasis, although initial renal ultrasound failed to demonstrate definitive calculi. After a temporary improvement in flank pain with medication, the patient experienced acute worsening of her left flank pain. Urology was consulted and further imaging was obtained. Magnetic resonance imaging (MRI) was consistent with bilateral hydronephrosis and rupture of the left renal calyx. Given the patient's worsening pain in the setting of left calyceal rupture, the urology team planned for placement of a left ureteral stent. However, before the patient could receive her stent, she progressed to active labor and delivered a viable female infant vaginally. Following delivery, the patient's flank pain resolved rapidly and spontaneously, so no surgical intervention was performed. A summary of the literature and the details of this specific clinical situation are provided. PMID:26483981

  6. Stress Rupture Life Reliability Measures for Composite Overwrapped Pressure Vessels

    NASA Technical Reports Server (NTRS)

    Murthy, Pappu L. N.; Thesken, John C.; Phoenix, S. Leigh; Grimes-Ledesma, Lorie

    2007-01-01

    Composite Overwrapped Pressure Vessels (COPVs) are often used for storing pressurant gases onboard spacecraft. Kevlar (DuPont), glass, carbon and other more recent fibers have all been used as overwraps. Due to the fact that overwraps are subjected to sustained loads for an extended period during a mission, stress rupture failure is a major concern. It is therefore important to ascertain the reliability of these vessels by analysis, since the testing of each flight design cannot be completed on a practical time scale. The present paper examines specifically a Weibull statistics based stress rupture model and considers the various uncertainties associated with the model parameters. The paper also examines several reliability estimate measures that would be of use for the purpose of recertification and for qualifying flight worthiness of these vessels. Specifically, deterministic values for a point estimate, mean estimate and 90/95 percent confidence estimates of the reliability are all examined for a typical flight quality vessel under constant stress. The mean and the 90/95 percent confidence estimates are computed using Monte-Carlo simulation techniques by assuming distribution statistics of model parameters based also on simulation and on the available data, especially the sample sizes represented in the data. The data for the stress rupture model are obtained from the Lawrence Livermore National Laboratories (LLNL) stress rupture testing program, carried out for the past 35 years. Deterministic as well as probabilistic sensitivities are examined.

  7. Theory of time-dependent rupture in the Earth

    NASA Technical Reports Server (NTRS)

    Das, S.; Scholz, C. H.

    1980-01-01

    Fracture mechanics is used to develop a theory of earthquake mechanism which includes the phenomenon of subcritical crack growth. The following phenomena are predicted: slow earthquakes, multiple events, delayed multiple events (doublets), postseismic rupture growth and afterslip, foreshocks, and aftershocks. The theory predicts a nucleation stage prior to an earthquake, and suggests a physical mechanism by which one earthquake may 'trigger' another.

  8. Rupture of a left internal mammary artery during cardiopulmonary resuscitation

    PubMed Central

    Metting, Austin; Curtis, Brydan; Mixon, Timothy

    2016-01-01

    We present a rare case of a left internal mammary artery rupture during cardiopulmonary resuscitation (CPR). This case demonstrates that intrinsic cardiac/vascular injuries can occur even with manual CPR, and each patient should be monitored closely, considering the very subtle signs that can clue the physicians into the diagnosis. PMID:26722182

  9. Mechanics of shear rupture applied to earthquake zones

    NASA Technical Reports Server (NTRS)

    Li, Victor C.

    1986-01-01

    The mechanics of shear slippage and rupture in rock masses are reviewed. The essential ideas in fracture mechanics are summarized emphasizing the interpretation and relation among the fracture parameters in shear cracks. The slip-weakening model is described. The general formulation of the problem of nonuniform slip distribution in a continuum is covered.

  10. PROTOTYPE SYSTEM FOR PLUGGING LEAKS IN RUPTURED CONTAINERS

    EPA Science Inventory

    A development program was performed successfully to develop and test a prototype system for temporarily stopping the flow of hazardous materials spilling on land or underwater from ruptured or damaged containers. The prototype system is portable, integrated, and field-operable by...

  11. A rare knee extensor mechanism injury: Vastus intermedius tendon rupture

    PubMed Central

    Cetinkaya, Engin; Aydin, Canan Gonen; Akman, Yunus Emre; Gul, Murat; Arikan, Yavuz; Aycan, Osman Emre; Kabukcuoglu, Yavuz Selim

    2015-01-01

    Introduction Quadriceps tendon injuries are rare. There is a limited number of studies in the literature, reporting partial quadriceps tendon ruptures. We did not find any study reporting an isolated vastus intermedius tendon injury in the literature. Presentation of case A 22 years old professional rugby player with the complaints of pain in the right lower limb, decreased range of motion in right knee and a mass in the mid-anterior of the right thigh applied following an overloading on his hyperflexed knee during a rugby match. T2 sequence magnetic resonance images revealed discontinuity in the vastus intermedius tendon and intramuscular hematoma. The patient has been conservatively treated. Discussion Quadriceps tendon ruptures generally occur after the 4th decade in the presence of degenerative changes. Our case is a young professional rugby player. Isolated vastus intermedius tendon rupture is unusual. Conservative treatment is performed as the intermedius tendon is in the deepest layer of the quadriceps muscle. Conclusion We report the first case of isolated rupture of the vastus intermedius tendon in the literature and we claim that disorder may be succesfully treated with conservative treatment and adequate physiotheraphy. PMID:26298093

  12. Spontaneous postpartum rupture of an intact uterus: a case report.

    PubMed

    Mavromatidis, George; Karavas, George; Margioula-Siarkou, Chrysoula; Petousis, Stamatios; Kalogiannidis, Ioannis; Mamopoulos, Apostolos; Rousso, David

    2015-01-01

    Rupture of uterus is an obstetrical complication characterized by a breach in the uterine wall and the overlying serosa. We report an unusual case of spontaneous rupture of an unscarred uterus in a 33-year-old woman, a day after her third successful vaginal delivery. A 33-year-old pregnant woman, gravid 3, para 3, was referred to our department at 39 gestational week because of rupture of membranes. Despite tocolysis administration, her pregnancy was delivered vaginally after 2 days, giving birth to a male neonate of 3,020 g with normal Apgar scores at first and fifth minute. Her uterus was intact and gynecological examination after delivery was normal without any potential signs or symptoms of pathology. However, the day following her labor, patient complained of left iliac fossa pain. Her blood tests revealed a CRP value at 27.6 mg/L, whereas the X-rays revealed an extensive impacted fecal mass in the colon. MRI revealed that the left lower myometrial part of the uterus was depicted abrupt, with simultaneous presence of hemorrhagic stuff. The decision of laparotomy was therefore made in order to further evaluate rupture of uterus and properly treat patient. And subtotal hysterectomy was performed. Postoperative follow-up period was not characterized by any complications and patient was finally discharged 4 days after hysterectomy. PMID:25368704

  13. Peritonitis Caused by Rupture of Infected Retroperitoneal Teratoma

    PubMed Central

    2012-01-01

    Retroperitoneal teratomas are usually asymptomatic, though there have been isolated reports of retroperitoneal teratomas presenting as intra-abdominal abscesses and peritonitis in adults. A 7-year-old girl who had presented with acute abdomen due to ruptured retroperitoneal teratoma is reported. PMID:22953296

  14. Mapping the rupture process of moderate earthquakes by inverting accelerograms

    USGS Publications Warehouse

    Hellweg, M.; Boatwright, J.

    1999-01-01

    We present a waveform inversion method that uses recordings of small events as Green's functions to map the rupture growth of moderate earthquakes. The method fits P and S waveforms from many stations simultaneously in an iterative procedure to estimate the subevent rupture time and amplitude relative to the Green's function event. We invert the accelerograms written by two moderate Parkfield earthquakes using smaller events as Green's functions. The first earthquake (M = 4.6) occurred on November 14, 1993, at a depth of 11 km under Middle Mountain, in the assumed preparation zone for the next Parkfield main shock. The second earthquake (M = 4.7) occurred on December 20, 1994, some 6 km to the southeast, at a depth of 9 km on a section of the San Andreas fault with no previous microseismicity and little inferred coseismic slip in the 1966 Parkfield earthquake. The inversion results are strikingly different for the two events. The average stress release in the 1993 event was 50 bars, distributed over a geometrically complex area of 0.9 km2. The average stress release in the 1994 event was only 6 bars, distributed over a roughly elliptical area of 20 km2. The ruptures of both events appear to grow spasmodically into relatively complex shapes: the inversion only constrains the ruptures to grow more slowly than the S wave velocity but does not use smoothness constraints. Copyright 1999 by the American Geophysical Union.

  15. "The Little Gray Book": Pedagogy, Discourse and Rupture in 1937

    ERIC Educational Resources Information Center

    Milewski, Patrice

    2008-01-01

    In 1937, the Ministry of Education in Ontario published a document entitled "Programme of Studies for Grades 1 to VI of Public and Separate Schools" that became known amongst teachers as the "little gray book". The curriculum and pedagogy in the document enunciated a rupture or mutation in pedagogical discourse that broke with previously existing…

  16. A Reliable Way to Track Rupture Process of Earthquakes

    NASA Astrophysics Data System (ADS)

    Liu, Z.; Ge, Z.

    2014-12-01

    Compressive sensing (CS) is an algorithm which could find the solution to a sparse linear problem, which is physically consist with inversion problem of rupture process. Because relative to the whole fault plane, the seismic power radiation area is sparse in a specific moment during a great earthquake. CS method is used to invert the rupture process from teleseismic P wave data recorded by multiple seismic arrays with different azimuths and epicentral distances. Synthetic tests illustrate that, our method can suppress the artifacts caused by interference phases ( eg. PcP ) thus we can obtain a more reliable result than using the data from a single array. Moreover, the "swimming effect" in traditional back-projection method can be reduced due to the better azimuth coverage. Then the rupture process of the Mw7.9 earthquake in the Aleutian Islands, occurred at June 23, 2014 20:53 UTC is inverted. The results show that the rupture is along the subduction zone, which can be used to locate the primary fault plane combined with central moment tensor. In addition, where the released power concentrates in the earthquake is also given, which could help us determine which area is effected by the earthquake most heavily, thus the rescue operation can be effective. In conclusion, different from traditional beamforming method, CS can offer a high-resolution solution.

  17. Surgical Resection of a Ruptured Pancreaticoduodenal Artery Aneurysm.

    PubMed

    Takei, Tomohide; Sakai, Michihiro; Suzuki, Takuya; Yamamoto, Yuji; Ogasawara, Yasuo; Shimizu, Tetsuya; Imaizumi, Jun; Furuya, Ryosuke; Sekido, Hitoshi; Koizumi, Yasuhiro

    2016-01-01

    BACKGROUND Ruptured aneurysms of the pancreaticoduodenal artery result in fatal hemorrhage and high mortality. Therefore, prompt diagnosis and treatment are required, but there are sometimes problems differentiating this specific diagnosis from other abdominal pathologies. CASE REPORT We encountered a rare case of a ruptured pancreaticoduodenal artery aneurysm with an atypical clinical presentation that simulated acute pancreatitis. A 71-year-old woman was admitted to the emergency department with abdominal pain in the left upper quadrant, a slightly elevated level of pancreatic amylase, and cholelithiasis on ultrasonography. With persistent pain and progressively decreasing hemoglobin level, computed tomography with contrast showed fluid collection in the subphrenic space, a retroperitoneal hematoma, and a pancreaticoduodenal artery aneurysm that appeared to originate from a branch of the SMA. Urgent angiography indicated spontaneous rupture of a pancreaticoduodenal artery aneurysm. Emergent surgery was undertaken, and a simple aneurysmectomy was successfully performed. The patient's recovery was unremarkable. The prompt diagnosis of a pancreaticoduodenal artery aneurysm was difficult because the initial symptoms were vague and misleading in our case. CONCLUSIONS A high level of suspicion, rapid diagnostic capability, and prompt surgical or endovascular intervention, as well as effective teamwork in the emergency department, are critical to avoid the devastating consequences of a ruptured visceral artery aneurysm. PMID:26794823

  18. Preterm Delivery in the Setting of Left Calyceal Rupture

    PubMed Central

    Hanson, Brent; Tabbarah, Rami

    2015-01-01

    Spontaneous rupture of the renal collecting system is a rare but serious complication of pregnancy. We report a case of nontraumatic left renal calyceal rupture in a pregnancy which ultimately progressed to preterm delivery. A 29-year-old primigravida with a remote history of urolithiasis presented with left flank pain, suprapubic pain, and signs of preterm labor at 33 weeks of gestation. The patient was believed to have urolithiasis, although initial renal ultrasound failed to demonstrate definitive calculi. After a temporary improvement in flank pain with medication, the patient experienced acute worsening of her left flank pain. Urology was consulted and further imaging was obtained. Magnetic resonance imaging (MRI) was consistent with bilateral hydronephrosis and rupture of the left renal calyx. Given the patient's worsening pain in the setting of left calyceal rupture, the urology team planned for placement of a left ureteral stent. However, before the patient could receive her stent, she progressed to active labor and delivered a viable female infant vaginally. Following delivery, the patient's flank pain resolved rapidly and spontaneously, so no surgical intervention was performed. A summary of the literature and the details of this specific clinical situation are provided. PMID:26483981

  19. Transcatheter closure of ruptured sinus of valsalva to left ventricle

    PubMed Central

    Manuel, Devi A; Lahiri, Anandaroop; George, Oommen K

    2016-01-01

    We report a rare case of ruptured right sinus of valsalva into the left ventricle (LV). Transthoracic echocardiography showed a marked turbulent flow from the right aortic sinus to the LV. We describe a novel technique of closure of this defect with duct occluder, involving the formation of an arterio-arterial loop, without resorting to the usual arteriovenous loop.

  20. Axial creep-rupture time of boron-aluminum composites

    SciTech Connect

    Goda, Koichi; Hamada, Jun`ichi

    1995-11-01

    Axial creep tests of a 10vol% boron-aluminum hotpressed monolayer composite were carried out under several constant loads at 300 C in air. The composite behaved with slight primary creep, but did not show appreciable secondary creep. Several specimens encountered a momentary increase of strain during the creep test which separated the creep curve into two regions, because of the individual fiber breaks in the composite. And then, almost all the specimens suddenly fractured without tertiary creep. From the viewpoint of reliability engineering the statistical properties of the creep-rupture time were investigated. The average creep-rupture time decreased with an increase in the applied stress, and the relatively large coefficient of variation was estimated in every case, being around 1,000%. However, these scatters were estimated to be smaller than the scatter of creep-rupture time in the boron fiber itself. That means, the reliability of the fiber`s creep-rupture time is improved by compositing with matrix material.

  1. Rupture Loop Annex (RLA) ion exchange vault entry and characterization

    SciTech Connect

    Ham, J.E.

    1996-01-04

    This engineering report documents the entry and characterization of the Rupture Loop Annex Ion Exchange (RLAIX) Vault located near the 309 Building`s Plutonium Recycle Test Reactor (PRTR). Twelve ion exchange columns were found in the vault. Some of which contained transuranics, Cs 137, and Co 60. The characterization information is necessary for future vault cleanout and column disposal.

  2. Traumatic ruptured globe eye injuries in a large urban center

    PubMed Central

    Burstein, Eitan S; Lazzaro, Douglas R

    2013-01-01

    Background The purpose of this study was to examine patient characteristics and outcomes in a group of consecutive patients with ruptured globe eye injuries at Kings County Hospital Center, a large, urban, level 1 trauma center. Methods A retrospective chart review was performed to identify all patients with ruptured globe eye injuries seen between January 2009 and October 2011. Thirty-eight patients who sustained ruptured globe eye injuries from all causes were investigated for etiology and final visual outcomes Results Eight eyes in which vision could be assessed were evaluated as having no light perception at presentation and three of these eyes required primary enucleation. Of the 38 eyes, orbit fractures were found in 15 eyes and an intraocular foreign body was found in six eyes. Discussion Our cohort revealed a 37.5% rate of primary enucleation in eyes with no light perception, which we believe to be a reflection of the severity of injury. All three cases were secondary to a gunshot wound. Further, our sample, although small in size, revealed a very high percentage of eyes that were ruptured secondary to violent causes compared with other studies. PMID:23493627

  3. Anthrax toxin-induced rupture of artificial lipid bilayer membranes

    NASA Astrophysics Data System (ADS)

    Nablo, Brian J.; Panchal, Rekha G.; Bavari, Sina; Nguyen, Tam L.; Gussio, Rick; Ribot, Wil; Friedlander, Art; Chabot, Donald; Reiner, Joseph E.; Robertson, Joseph W. F.; Balijepalli, Arvind; Halverson, Kelly M.; Kasianowicz, John J.

    2013-08-01

    We demonstrate experimentally that anthrax toxin complexes rupture artificial lipid bilayer membranes when isolated from the blood of infected animals. When the solution pH is temporally acidified to mimic that process in endosomes, recombinant anthrax toxin forms an irreversibly bound complex, which also destabilizes membranes. The results suggest an alternative mechanism for the translocation of anthrax toxin into the cytoplasm.

  4. PWR steamline break analysis assuming concurrent steam generator tube rupture

    SciTech Connect

    Shier, W.G.; Levine, M.M.

    1980-01-01

    Results are presented for a steamline break analysis for a typical, two-loop, 2560 MW(t) pressurized water reactor. The calculations were performed using the IRT reactor system transient analysis code. Included are the analyses of steamline break transients assuming concurrent steam generator tube rupture (up to 30 steam generator tubes). Graphical and tabular results are presented.

  5. Rupture termination at restraining bends: The last great earthquake on the Altyn Tagh Fault

    NASA Astrophysics Data System (ADS)

    Elliott, Austin J.; Oskin, Michael E.; Liu-Zeng, Jing; Shao, Yanxiu

    2015-04-01

    Strike-slip rupture propagation falters where changes in fault strike increase Coulomb failure stress. Numerical models of this phenomenon offer predictions of rupture extent based on bend geometry, but have not been verified with field data. To test model predictions of rupture barriers, we examine rupture extent along a section of the sinistral Altyn Tagh Fault punctuated by three major double bends. We measure 3-8 m offsets and map >95 km of continuous scarps that define the most recent surface rupture. We document the eastern terminus of this rupture within the Aksay bend, where an undeformed Pleistocene alluvial fan we mapped and dated overlaps the fault. We conclude, based on this geomorphologic evidence, that multiple Holocene ruptures have stopped in the Aksay bend. Our field data validate model predictions of rupture termination at a >18 restraining bend and support use of geometric parameters to define expected earthquake sizes in seismic hazard models.

  6. Unusual simultaneous multifocal rupture of oesophagus, stomach and diaphragm after blunt trauma

    PubMed Central

    Marks, Wojciech; Witkowski, Zbigniew; Lasek, Jerzy; Deja, Włodzimierz; Stasiak, Mariusz; Kurowski, Krzysztof; Zapaśnik, Adam; Golabek-Dropiewska, Katarzyna

    2010-01-01

    An unusual case of simultaneous multifocal rupture of the oesophagus, stomach and diaphragm after blunt trauma is described. The characteristic computed tomography scans (with intraluminal contrast application) of the ruptured oesophagus are shown, and successful management is presented. PMID:22242058

  7. Kinematic Seismic Rupture Parameters from a Doppler Analysis

    NASA Astrophysics Data System (ADS)

    Caldeira, Bento; Bezzeghoud, Mourad; Borges, Jos F.

    2010-05-01

    The radiation emitted from extended seismic sources, mainly when the rupture spreads in preferred directions, presents spectral deviations as a function of the observation location. This aspect, unobserved to point sources, and named as directivity, are manifested by an increase in the frequency and amplitude of seismic waves when the rupture occurs in the direction of the seismic station and a decrease in the frequency and amplitude if it occurs in the opposite direction. The model of directivity that supports the method is a Doppler analysis based on a kinematic source model of rupture and wave propagation through a structural medium with spherical symmetry [1]. A unilateral rupture can be viewed as a sequence of shocks produced along certain paths on the fault. According this model, the seismic record at any point on the Earth's surface contains a signature of the rupture process that originated the recorded waveform. Calculating the rupture direction and velocity by a general Doppler equation, - the goal of this work - using a dataset of common time-delays read from waveforms recorded at different distances around the epicenter, requires the normalization of measures to a standard value of slowness. This normalization involves a non-linear inversion that we solve numerically using an iterative least-squares approach. The evaluation of the performance of this technique was done through a set of synthetic and real applications. We present the application of the method at four real case studies, the following earthquakes: Arequipa, Peru (Mw = 8.4, June 23, 2001); Denali, AK, USA (Mw = 7.8; November 3, 2002); Zemmouri-Boumerdes, Algeria (Mw = 6.8, May 21, 2003); and Sumatra, Indonesia (Mw = 9.3, December 26, 2004). The results obtained from the dataset of the four earthquakes agreed, in general, with the values presented by other authors using different methods and data. [1] Caldeira B., Bezzeghoud M, Borges JF, 2009; DIRDOP: a directivity approach to determining the seismic rupture velocity vector. J Seismology, DOI 10.1007/s10950-009-9183-x

  8. Seismic waves radiated during dynamic rupture of granite laboratory samples

    NASA Astrophysics Data System (ADS)

    Mclaskey, G.; Kilgore, B. D.; Lockner, D. A.; Beeler, N. M.

    2013-12-01

    Using arrays of piezoelectric sensors, we analyze the way that seismic waves are radiated during dynamic rupture of saw-cut faults in granite laboratory samples. We compare stick-slip events generated on a on a 0.15 m-long fault in a triaxial apparatus at 70 to 200 MPa normal stress with those on a 2 m-long fault in a large-scale biaxial apparatus at 1 to 7 MPa normal stress. The two machines have different values of unloading stiffness and produce stick-slip events with significantly different properties. Events on the triaxial apparatus have greater overall slip (400 to 1600 ?m) and larger sample-average shear stress changes (25 to 110 MPa) but shorter overall slip duration (200 to 400 ?s) compared to those on the large biaxial apparatus (50 to 150 ?m slip, 0.1 to 0.4 MPa stress changes, and 2 to 4 ms overall slip duration). As a result, the average slip speeds are much larger for events on the triaxial apparatus (2 to 4 m/s) compared to those on the large biaxial apparatus (15 to 75 mm/s). To explore the consequences of these differences, and how they relate to differences in dynamic rupture modes and seismic radiation, each sample is instrumented with at least 15 piezoelectric sensors which are used to study the timing, location, amplitude, and frequency content of radiated seismic waves. In addition, an array of strain gages on the 2 m samples allows us to explore how the local distribution of shear stress along the fault affects the way that fault rupture occurs. We find that at low stress levels fault slip along the 2 m fault occurs as brief bursts of rapid, seismic slip followed by slowly expanding (5 to 200 m/s) fronts of largely aseismic afterslip (80 to 500 ?m/s slip rates). Higher stress levels on the same fault produce ruptures that propagate close to the shear wave speed and continuously radiate seismic waves near the rupture front. In some cases we observe the rapid termination of seismic radiation on the 2 m fault when a rupture front propagates into a low stress region. Finally, we evaluate which of our observations are controlled by the boundary conditions and elastic properties of the apparatus and which are controlled by the elastic and frictional properties of the rocks and are most relevant to dynamic rupture processes that generate natural earthquakes.

  9. Improved Data Set for the Frequency of Gaps and Steps in Ground Ruptures

    NASA Astrophysics Data System (ADS)

    Biasi, G. P.; Wesnousky, S. G.; Morelan, A. E., III

    2014-12-01

    Observations of actual ground ruptures from moderate and large earthquakes show a wide range of behaviors, including fault-to-fault jumps, branching topologies, and rupture traces with multi-kilometer gaps between them. Seismic hazard assessments have responded to these observations by including increasingly sophisticated scenarios of possible ruptures in their earthquake rate forecasts. The largest of these to date has been the Uniform California Earthquake Forecast 3 (UCERF3), which explicitly included ruptures with fault-to-fault jumps in its rupture rate estimates. High-level site-specific seismic source characterizations such as for the Diablo Canyon Power Plant have also begun including complicated rupture geometries. Systematic collection of observations from ground rupturing earthquakes provide one way to evaluate these seismic source models. We have expanded an initial collection by Wesnousky (2008) with events post-dating that collection and events for which new information is available. New events increase the strike-slip and normal event set by 50% and reverse events by 35%. New data allow us to revise previous estimates for strike-slip rupture of the probability that a step of 1 km or more in width will arrest rupture. Observationally, 65% of strike-slip ruptures include at least one step of 1 km or greater. The number of steps through which ruptures are observed to rupture through can be modeled by a geometric distribution in which steps are crossed about 59% of the time. Steps are slightly more effective at arresting rupture in normal and reverse faulting cases, being crossed 56% and 50%, respectively. New events were also systematically examined for gaps in the mapped rupture trace. We find gaps of 1 km or more in about half of the ruptures of the new event set. These empirical data will compliment new research into rupture propagation across gaps, exemplified by the 2010 El Mayor Cucapah earthquake, which included a gap measured variously at 7 or 15 km in length.

  10. A New Surgical Repair Technique for Ischemic Total Papillary Muscle Rupture.

    PubMed

    Lee, Sung Kwang; Heo, Woon; Min, Ho-Ki; Kang, Do Kyun; Jun, Hee Jae; Hwang, Youn-Ho

    2015-11-01

    Papillary muscle (PM) rupture is an emergency surgical condition that may occur after acute myocardial infarction. In patients with compete rupture of the PM, mitral valve replacement is preferred or recommended generally because of unstable vital signs or technical difficulties with successful repair, as compared with patients with partial PM rupture. This case report describes the successful repair of a complete anterolateral PM rupture by using the single PM formation technique with subsequent ring annuloplasty. PMID:26522535

  11. Anicteric gallbladder rupture in dogs: 5 cases (2007-2013).

    PubMed

    Guess, Sarah C; Harkin, Kenneth R; Biller, David S

    2015-12-15

    Objective-To describe clinical, laboratory, and surgical findings in dogs with confirmed gallbladder rupture and in which serum total bilirubin concentration was within reference limits. Design-Retrospective case series. Animals-5 dogs. Procedures-Medical records were searched to identify dogs with gallbladder rupture that underwent treatment at the Kansas State University Veterinary Health Center from November 2007 through November 2013. Dogs were included if they had undergone abdominal ultrasonography, serum total bilirubin concentration was ? 0.4 mg/dL, and abdominal exploratory surgery confirmed the presence of gallbladder upture. Results-An exploratory celotomy was performed in all dogs because of ultrasonographic findings of mild to marked abdominal effusion and either an unidentifiable gallbladder (n = 1 dog) or a distended gallbladder with a suspected gallbladder mucocele (4 dogs). Serum total bilirubin concentration was within reference limits (median, 0.2 mg/dL; range, 0.1 to 0.4 mg/dL; reference range, 0.1 to 0.4 mg/dL) in all dogs before surgery. In 1 dog, bile acids concentrations in serum and in peritoneal fluid were compared and the results (48 ?mol/L and 1,070 ?mol/L, respectively) were supportive of the diagnosis of gallbladder rupture. Conclusions and Clinical Relevance-Results indicated that even when serum total bilirubin concentration is within reference limits, gallbladder rupture should be considered in dogs with acute signs of abdominal pain when a mucocele is suspected on abdominal imaging and free abdominal fluid is present. Results suggested that a comparison of serum to peritoneal fluid bile acids concentrations may provide additional support for a diagnosis of gallbladder rupture. PMID:26642136

  12. Dynamic Rupture Benchmarking of the ADER-DG Method

    NASA Astrophysics Data System (ADS)

    Pelties, C.; Gabriel, A.

    2012-12-01

    We will verify the arbitrary high-order derivative Discontinuous Galerkin (ADER-DG) method in various test cases of the 'SCEC/USGS Dynamic Earthquake Rupture Code Verification Exercise' benchmark suite (Harris et al. 2009). The ADER-DG scheme is able to solve the spontaneous rupture problem with high-order accuracy in space and time on three-dimensional unstructured tetrahedral meshes. Strong mesh coarsening or refinement at areas of interest can be applied to keep the computational costs feasible. Moreover, the method does not generate spurious high-frequency contributions in the slip rate spectra and therefore does not require any artificial damping as demonstrated in previous presentations and publications (Pelties et al. 2010 and 2012). We will show that the mentioned features hold also for more advanced setups as e.g. a branching fault system, heterogeneous background stresses and bimaterial faults. The advanced geometrical flexibility combined with an enhanced accuracy will make the ADER-DG method a useful tool to study earthquake dynamics on complex fault systems in realistic rheologies. References: Harris, R.A., M. Barall, R. Archuleta, B. Aagaard, J.-P. Ampuero, H. Bhat, V. Cruz-Atienza, L. Dalguer, P. Dawson, S. Day, B. Duan, E. Dunham, G. Ely, Y. Kaneko, Y. Kase, N. Lapusta, Y. Liu, S. Ma, D. Oglesby, K. Olsen, A. Pitarka, S. Song, and E. Templeton, The SCEC/USGS Dynamic Earthquake Rupture Code Verification Exercise, Seismological Research Letters, vol. 80, no. 1, pages 119-126, 2009 Pelties, C., J. de la Puente, and M. Kaeser, Dynamic Rupture Modeling in Three Dimensions on Unstructured Meshes Using a Discontinuous Galerkin Method, AGU 2010 Fall Meeting, abstract #S21C-2068 Pelties, C., J. de la Puente, J.-P. Ampuero, G. Brietzke, and M. Kaeser, Three-Dimensional Dynamic Rupture Simulation with a High-order Discontinuous Galerkin Method on Unstructured Tetrahedral Meshes, JGR. - Solid Earth, VOL. 117, B02309, 2012

  13. Dynamic Rupture Benchmarking of the ADER-DG Method

    NASA Astrophysics Data System (ADS)

    Gabriel, Alice; Pelties, Christian

    2013-04-01

    We will verify the arbitrary high-order derivative Discontinuous Galerkin (ADER-DG) method in various test cases of the 'SCEC/USGS Dynamic Earthquake Rupture Code Verification Exercise' benchmark suite (Harris et al. 2009). The ADER-DG scheme is able to solve the spontaneous rupture problem with high-order accuracy in space and time on three-dimensional unstructured tetrahedral meshes. Strong mesh coarsening or refinement at areas of interest can be applied to keep the computational costs feasible. Moreover, the method does not generate spurious high-frequency contributions in the slip rate spectra and therefore does not require any artificial damping as demonstrated in previous presentations and publications (Pelties et al. 2010 and 2012). We will show that the mentioned features hold also for more advanced setups as e.g. a branching fault system, heterogeneous background stresses and bimaterial faults. The advanced geometrical flexibility combined with an enhanced accuracy will make the ADER-DG method a useful tool to study earthquake dynamics on complex fault systems in realistic rheologies. References: Harris, R.A., M. Barall, R. Archuleta, B. Aagaard, J.-P. Ampuero, H. Bhat, V. Cruz-Atienza, L. Dalguer, P. Dawson, S. Day, B. Duan, E. Dunham, G. Ely, Y. Kaneko, Y. Kase, N. Lapusta, Y. Liu, S. Ma, D. Oglesby, K. Olsen, A. Pitarka, S. Song, and E. Templeton, The SCEC/USGS Dynamic Earthquake Rupture Code Verification Exercise, Seismological Research Letters, vol. 80, no. 1, pages 119-126, 2009 Pelties, C., J. de la Puente, and M. Kaeser, Dynamic Rupture Modeling in Three Dimensions on Unstructured Meshes Using a Discontinuous Galerkin Method, AGU 2010 Fall Meeting, abstract #S21C-2068 Pelties, C., J. de la Puente, J.-P. Ampuero, G. Brietzke, and M. Kaeser, Three-Dimensional Dynamic Rupture Simulation with a High-order Discontinuous Galerkin Method on Unstructured Tetrahedral Meshes, JGR. - Solid Earth, VOL. 117, B02309, 2012

  14. Spontaneous Rupture of the Superficial Femoral Artery Treated with Endovascular Stent-Grafting

    SciTech Connect

    Ramus, James R. Gibson, Matthew; Magee, Timothy; Torrie, Peter

    2007-09-15

    Spontaneous rupture of the superficial femoral artery (SFA) is rare. It may occur in the presence of an SFA aneurysm or in a nonaneurysmal, but usually atherosclerotic, artery. Previously these ruptures have been treated by surgical exclusion, often with bypass grafting. We report a case of spontaneous rupture of a nonaneurysmal SFA treated successfully with endovascular stent-grafting.

  15. [Right atrial rupture following a hoof kick to the chest wall].

    PubMed

    Alami, A A; Slaoui, A

    2003-02-01

    Several myocardial lesions can be induced by thoracic blunt trauma. It varies from myocardial lesions to heart rupture. We report a case of right atrial rupture due to unusual blunt trauma: a hoof kick. We describe a successful management of this case. We suggest that a diagnosis of cardiac chamber rupture should be considered in all cases of blunt thoracic trauma. PMID:12706768

  16. Creep-rupture of polymer-matrix composites. [graphite-epoxy laminates

    NASA Technical Reports Server (NTRS)

    Brinson, H. F.; Griffith, W. I.; Morris, D. H.

    1980-01-01

    An accelerated characterization method for resin matrix composites is reviewed. Methods for determining modulus and strength master curves are given. Creep rupture analytical models are discussed as applied to polymers and polymer matrix composites. Comparisons between creep rupture experiments and analytical models are presented. The time dependent creep rupture process in graphite epoxy laminates is examined as a function of temperature and stress level.

  17. Complex rupture processes at the Brarbunga caldera, Iceland

    NASA Astrophysics Data System (ADS)

    Cesca, Simone; Heimann, Sebastian; Hensch, Martin; Hjrleifsdttir, Vala; Holohan, Eoghan; Dahm, Torsten

    2015-04-01

    The unrest of the Brarbunga volcanic system in summer 2014 has been accompanied by a significant increase in seismicity, which was localized both at the caldera rim and along segments of a major, laterally-propagated dyke. The seismic activity was exceptional for the region, with more than 60 events of magnitude Ml larger than 5.0 recorded in the first three months of activity, which is still ongoing. Our aim here is to provide an explanation of the sustained seismicity at the caldera rim. We rely on regional broadband recordings to perform an inversion of source parameters and to model the source processes for the largest events (above Ml 5.0) in the sequence. Full moment tensor inversion and moment tensor clustering reveal that most events can be classified in two types, which can be well modeled by the superposition of a common sub-vertical compensated linear vector dipole (CLVD) and a normal faulting, which has a different orientation for the two types of events. The analysis of the earthquake source is further extended to smaller magnitudes, by using a waveform correlation approach; this confirms similar rupture processes for weaker events. An apparent discrepancy among seismological observations at local and regional distances, in terms of origin times and radiation patterns, suggest a complex rupture process, composed of different phases. Whereas local data are useful to track the nucleation phase, characterised by a shear failure, regional data can be used to assess the mechanism responsible for the most energetic signal, where the non-DC component becomes more relevant. The combined analysis of local and regional data revealed that, at least during the first phase of the sequence, the type of rupture is conditioned by the location of the rupture nucleation. When the rupture is initiated at the northern rim, the normal faulting component of the moment tensor strikes almost North-South; instead, if the rupture starts at the southern rim, the normal faulting component has an East-West striking. Our analysis is here used to simulate, test and discuss different proposed complex collapse models.

  18. Acoustic-Friction Networks and the Evolution of Precursor Rupture Fronts in Laboratory Earthquakes

    PubMed Central

    Ghaffari, H. O.; Young, R. P.

    2013-01-01

    The evolution of shear rupture fronts in laboratory earthquakes is analysed with the corresponding functional networks, constructed over acoustic emission friction-patterns. We show that the mesoscopic characteristics of functional networks carry the characteristic time for each phase of the rupture evolution. The classified rupture fronts in network states–obtained from a saw-cut fault and natural faulted Westerly granite - show a clear separation into three main groups, indicating different states of rupture fronts. With respect to the scaling of local ruptures' durations with the networks' parameters, we show that the gap in the classified fronts could be related to the possibility of a separation between slow and regular fronts.

  19. Predictor and Prognosis of Procedural Rupture during Coil Embolization for Unruptured Intracranial Aneurysm

    PubMed Central

    Lee, Kyung Min; Jo, Kyung Il; Jeon, Pyoung; Kim, Keon Ha; Kim, Jong-Soo

    2016-01-01

    Objective The objectives of this study was to determine the incidence and outcomes of procedural rupture (PR) during coil embolization of unruptured intracranial aneurysm (UIA) and to explore potential risk factors. Methods This retrospective study evaluated 1038 patients treated with coil embolization between January 2001 and May 2013 in a single tertiary medical institute. PR was defined as evidence of rupture during coil embolization or post procedural imaging. The patient's medical records were reviewed including procedure description, image findings and clinical outcomes. Results Twelve of 1038 (1.1%) patients showed PR. Points and time of rupture were parent artery rupture during stent delivery (n=2), aneurysm rupture during filling stage (n=9) and unknown (n=1). Two parent artery rupture and one aneurysm neck rupture showed poor clinical outcomes [modified Rankin Scale (mRs) >2] Nine aneurysm dome rupture cases showed favorable outcomes (mRS ?2). Location (anterior cerebral artery) of aneurysm was associated with high procedural rupture rate (p<0.05). Conclusion The clinical course of a patientwith procedural aneurysm rupture during filling stage seemed benign. Parent artery and aneurysm neck rupture seemed relatively urgent, serious and life threatening. Although the permanent morbidity rate was low, clinicians should pay attention to prevent PR, especially when confronting the anterior cerebral artery aneurysm. PMID:26885280

  20. Fracture mechanics determine the lengths of interface ruptures that mediate frictional motion

    NASA Astrophysics Data System (ADS)

    Bayart, Elsa; Svetlizky, Ilya; Fineberg, Jay

    2016-02-01

    The transition from static to sliding friction is mediated by rapid interfacial ruptures propagating through the solid contacts forming a frictional interface. While propagating, these ruptures correspond to true shear cracks. Frictional sliding is initiated only when a rupture traverses the entire interface; however, arrested ruptures can occur at applied shears far below the transition to frictional motion. Here we show, by measuring the real contact area and strain fields near rough frictional interfaces, that fracture mechanics quantitatively describe rupture arrest and therefore determine the onset of overall frictional sliding. Our measurements reveal both the local dissipation and the global elastic energy released by the rupture. The balance of these quantities entirely determines rupture lengths, whether finite or system-wide. These results confirm a fracture-mechanics-based paradigm for describing frictional motion and shed light on the selection of an earthquake’s magnitude.

  1. Psoas Abscess Caused by Spontaneous Rupture of Colon Cancer

    PubMed Central

    Lee, June-Kyu; Cha, Soo-Min; Joo, Yong-Bum

    2011-01-01

    Spontaneous rupture of colon cancer, combined with psoas abscess formation, is rare. A 44-year-old male visited for back pain and left buttock mass. Abdominal computed tomography and magnetic resonance image revealed a large abscess in the left psoas muscle and in the left lower quadrant area. Ten days after incision and drainage, a skin defect around the left anterior superior iliac spine remained. A local flap was performed using a superficial skin graft. Ten days after the stitches had been removed, fecal discharge was observed around the anterior superior iliac spine at the flap site. An operation was performed by a general surgeon who had diagnosed this as a case of enterocutaneous fistula. Operative findings included a ruptured tumor mass in the descending colon, which was connected to a retroperitoneal abscess. Pathologic report findings determined adenocarcinoma of the resected colon. Herein, we report a case of psoas abscess resulting from perforating colon cancer. PMID:22162799

  2. Instabilities at frictional interfaces: Creep patches, nucleation, and rupture fronts

    NASA Astrophysics Data System (ADS)

    Bar-Sinai, Yohai; Spatschek, Robert; Brener, Efim A.; Bouchbinder, Eran

    2013-12-01

    The strength and stability of frictional interfaces, ranging from tribological systems to earthquake faults, are intimately related to the underlying spatially extended dynamics. Here we provide a comprehensive theoretical account, both analytic and numeric, of spatiotemporal interfacial dynamics in a realistic rate-and-state friction model, featuring both velocity-weakening and velocity-strengthening behaviors. Slowly extending, loading-rate-dependent creep patches undergo a linear instability at a critical nucleation size, which is nearly independent of interfacial history, initial stress conditions, and velocity-strengthening friction. Nonlinear propagating rupture frontsthe outcome of instabilitydepend sensitively on the stress state and velocity-strengthening friction. Rupture fronts span a wide range of propagation velocities and are related to steady-state-front solutions.

  3. Single event gate rupture in thin gate oxides

    SciTech Connect

    Sexton, F.W.; Fleetwood, D.M.; Shaneyfelt, M.R.; Dodd, P.E.; Hash, G.L.

    1997-06-01

    As integrated circuit densities increase with each new technology generation, both the lateral and vertical dimensions shrink. Operating voltages, however, have not scaled as aggressively as feature size, with a resultant increase in the electric fields within advanced geometry devices. Oxide electric fields are in fact increasing to greater than 5 MV/cm as feature size approaches 0.1 {micro}m. This trend raises the concern that single event gate rupture (SEGR) may limit the scaling of advanced integrated circuits (ICs) for space applications. The dependence of single event gate rupture (SEGR) critical field on oxide thickness is examined for thin gate oxides. Critical field for SEGR increases with decreasing oxide thickness, consistent with an increasing intrinsic breakdown field.

  4. Thoracoscopy in diagnosis of ruptured pulmonary hydatid cyst.

    PubMed

    Sokouti, Mohsen; Nazemieh, Massoud

    2008-01-01

    A 26-year-old man presented with dyspnoea and pneumothorax diagnosed by chest radiography. He had previously presented with a massive right hydropneumothorax on his chest x ray 6 months ago, which was followed by 2 weeks of intercostal tube drainage resulting in a partial improvement of his symptoms. He was referred for a thoracoscopy to investigate the possible causes of the non-resolving pneumothorax, during which a large ruptured, crumpled hydatid cyst in the right pleural space, without empyema, was found. With a limited right thoracotomy, the crumpled laminated membrane of the hydatid cyst was removed. After extraction of the remaining particle of the laminated membrane of the same hydatid cyst in the right lower lobe and suturing of the bronchial opening, the pericyst layer was capitonnaged. Apart from common causes of pneumothorax in endemic areas, ruptured pulmonary hydatid cyst should be considered in pneumothoraces with an unusual clinical course. PMID:21716817

  5. Ruptured fibular ankle ligament: plaster or Pliton brace?

    PubMed

    Cetti, R; Christensen, S E; Corfitzen, M T

    1984-06-01

    A prospective randomised study was performed in order to compare plaster cast with Pliton-80 cast brace with a mobile plastic shoe insert in the treatment of ruptured fibular ankle ligaments. The two treatment groups consisted of 65 patients in each and all were participating in the follow-up sixth months after the accident. There were no statistically significant differences in the overall results between the two treatment groups. Because 1) the mobile Pliton-80 bandage subjectively is more acceptable to the patients and -2) the disability time in the Pliton-80 group was considerably shorter than in the plaster group--it was concluded that the mobile Pliton-80 bandage can be recommended as the treatment of ruptures of the fibular ankle ligaments. PMID:6466924

  6. Creep and creep-rupture behavior of Alloy 718

    SciTech Connect

    Brinkman, C.R.; Booker, M.K.; Ding, J.L.

    1991-01-01

    Data obtained from creep and creep-rupture tests conducted on 18 heats of Alloy 718 were used to formulate models for predicting high temperature time dependent behavior of this alloy. Creep tests were conducted on specimens taken from a number of commercial product forms including plate, bar, and forgoing material that had been procured and heat treated in accordance with ASTM specifications B-670 or B-637. Data were obtained over the temperature range of 427 to 760{degree}C ad at test times to about 87,000 h. Comparisons are given between experimental data and the analytical models. The analytical models for creep-rupture included one based on lot-centering regression analysis and two based on the Minimum Commitment Method. A master'' curve approach was used to develop and equation for estimating creep deformation up to the onset of tertiary creep. 11 refs., 13 figs.

  7. Endovascular repair of ruptured abdominal and thoracic aortic aneurysms.

    PubMed

    Hassoun, Heitham T; White, Laura E; Cheema, Faisal; Reardon, Michael J

    2011-01-01

    Management of acute pathology remains one of the most challenging clinical entities, with a persistently high mortality rate both prior to and upon arrival to a hospital. Responding to the distinct advantages of endovascular approaches to aortic disease, many high-volume cardiovascular centers have focused on endovascular therapies for managing patients with ruptured or leaking aortic aneurysms and other acute aortic syndromes. Nonetheless, similar to outcomes for other surgical emergencies, time and efficiency are critical in managing these conditions. Early diagnosis, transport to an appropriate acute care facility, rapid institution of optimal medical management, availability of cardiovascular anesthesia and intensive care, and appropriate and timely surgical intervention continue to be the keys to success. This article discusses the endovascular approach to ruptured abdominal and thoracic aortic aneurysms. PMID:21979121

  8. Advanced malignant mesothelioma mimicking acute contained thoracic aortic rupture

    PubMed Central

    Mouawad, Nicolas J.; Daniel, Vincent C.; Starr, Jean E.

    2014-01-01

    In the emergent setting, patients presenting with acute interscapular pain along with haemodynamic instability require immediate evaluation. We describe the case of a patient in which computed tomographic scanning demonstrated a large hyper-dense, periaortic collection on post-contrast imaging. Urgent endovascular repair was performed for descending thoracic aortic rupture. Her postoperative course, however, was atypical with a readmission 1 week after discharge with symptoms similar to her primary presentation. Alternative pathologies were then considered in a more elective setting in which the correct diagnosis of diffuse malignant mesothelioma was ultimately discovered in a patient with no previous exposure to occupational toxins. The tumour burden was advanced and the patient opted for palliative care. Herein, we suggest a consideration for oncological thoracic pathology in patients presenting with signs and symptoms mimicking acute thoracic aortic rupture or dissection, who may demonstrate atypical symptoms. PMID:24174122

  9. Hemoperitoneum caused by spontaneous rupture of hepatocellular carcinoma.

    PubMed

    Lugito, Nata P Hardjo; Kurniawan, Andree; Yaruntradhani, Rizki; Rachman, Andhika

    2015-01-01

    We are reporting a male, 46 years old came to emergency unit with a chief complaint of abdominal tenderness since 1 day prior to admission. No history of abdominal trauma. He often felt abdominal discomfort for the last 5 years. Physical examination revealed decreased consciousness, shock, pale conjungtiva, distended abdomen, with tenderness of the whole abdomen on palpation, and no bowel movement. Laboratory examination found anemia, leucocytosis, normal amilase and lipase. FAST (focus assissted Sonography on trauma) found massive ascites. Patient underwent cito laparotomic exploration that found blood on abdominal cavity, nodular liver, and actively bleeding tumour of liver. During hospitalization, patient recovered and discharged. In the case of acute abdomen, spontaneous ruptured hepatocellular carcinoma (HCC) is one of differential diagnosis, considering high incidence of HCC in South East Asia, especially Indonesia. Confirming diagnosis of generalized peritonitis requires abdominal CT scan and ultrasonography, to rule out ruptured HCC. PMID:25948769

  10. Isolated posterior capsular rupture following blunt head trauma

    PubMed Central

    Mansour, Ahmad M; Jaroudi, Mahmoud O; Hamam, Rola N; Maalouf, Fadi C

    2014-01-01

    Closed-globe traumatic cataract is not uncommon in males in the pediatric age group. However, there is a relative paucity of literature on isolated posterior lens capsule rupture associated with closed-globe traumatic cataract. We report a case of a 6-year-old boy who presented with white cataract 1 day after blunt trauma to the forehead associated with posterior capsular rupture that was detected by B-scan ultrasonography preoperatively. No stigmata of trauma outside the posterior capsule could be detected by slit-lamp exam, funduscopy, and optical coherence tomography. Phacoemulsification with posterior chamber intraocular lens implant was performed 24 hours after trauma, with the patient achieving 6/6 visual acuity 1 week and 6 months after surgery. Our case is unique, being the youngest (amblyogenic age) to be reported, with prompt surgical intervention, and with no signs of trauma outside the posterior capsule. PMID:25506201

  11. [Traumatic Testicular Rupture Complicated with Hydrocele: A Case Report].

    PubMed

    Yamamichi, Gaku; Tsutahara, Koichi; Okusa, Takuya; Taniguchi, Ayumu; Kishimoto, Nozomu; Tanigawa, Go; Takao, Tetsuya; Yamaguchi, Seiji

    2015-10-01

    A 17-year-old man presented with right hydrocele because of an athletic injury. His scrotum was hit with a ball 2 months ago while playing baseball. He was diagnosed with post-traumatic hydrocele and underwent needle puncture at another hospital 1 month after the trauma. However, the hydrocele did not improve. Therefore, he was referred to our hospital for surgical treatment. For diagnosis of the traumatic hydrocele testis, a hydrocelectomy was scheduled. When we opened the tunica vaginalis, we realized that the tunica albuginea had been ruptured and the testicular parenchyma had gushed out. We tried to replace all the escaped testicular parenchyma into the tunica albuginea, but it was impossible. Therefore were moved some of the redundant testicular parenchyma, and replaced the remnants into the tunica albuginea. After the operation, right hydrocele and testicular atrophy did not occur. Traumatic testicular rupture complicated with hydrocele is rare. PMID:26563625

  12. Spontaneous Uterine Rupture in a Preterm Pregnancy following Myomectomy

    PubMed Central

    Sutton, Claire; Standen, Prue; Acton, Jade; Griffin, Christopher

    2016-01-01

    A 44-year-old nulliparous woman was transferred to a tertiary obstetric hospital for investigation of acute onset abdominal pain. She was at gestation of 32 weeks and 2 days with a history of previous laparoscopic fundal myomectomy. An initial bedside ultrasound demonstrated oligohydramnios. Following an episode of increased pain early the following morning, a formal ultrasound diagnosed a uterine rupture with the fetal arm extending through a uterine rent. An uncomplicated classical caesarean section was performed and the neonate was delivered in good condition but with a bruised and oedematous right arm. The neonate was transferred to the Special Care Nursery for neonatal care. The patient had an uncomplicated postoperative course and was discharged home three days following delivery. This is an unusual presentation of uterine rupture following myomectomy where the fetal arm had protruded through the uterine wall. PMID:26925275

  13. Traumatic rupture of the stomach after Heimlich maneuver.

    PubMed

    van der Ham, A C; Lange, J F

    1990-01-01

    Fatal complications following the performance of the Heimlich maneuver have been reported. A 76-year-old woman presented to the emergency department with signs of respiratory distress, abdominal pain and distension one day after airway obstruction and subsequent resuscitation. Despite successful immediate laparotomy and repair of a ruptured stomach, she later succumbed to the sequelae of aspiration of gastric contents and dehiscence of the gastric tear. This is the 4th case of stomach rupture and the 7th reported fatal complication following the Heimlich maneuver. It is recommended that persons who undergo the Heimlich maneuver be examined and observed by a physician, as soon as possible, to rule out complications. PMID:2096168

  14. Earthquake rupture process recreated from a natural fault surface

    NASA Astrophysics Data System (ADS)

    Parsons, Tom; Minasian, Diane L.

    2015-11-01

    What exactly happens on the rupture surface as an earthquake nucleates, spreads, and stops? We cannot observe this directly, and models depend on assumptions about physical conditions and geometry at depth. We thus measure a natural fault surface and use its 3-D coordinates to construct a replica at 0.1 m resolution to obviate geometry uncertainty. We can recreate stick-slip behavior on the resulting finite element model that depends solely on observed fault geometry. We clamp the fault together and apply steady state tectonic stress until seismic slip initiates and terminates. Our recreated M ~ 1 earthquake initiates at contact points where there are steep surface gradients because infinitesimal lateral displacements reduce clamping stress most efficiently there. Unclamping enables accelerating slip to spread across the surface, but the fault soon jams up because its uneven, anisotropic shape begins to juxtapose new high-relief sticking points. These contacts would ultimately need to be sheared off or strongly deformed before another similar earthquake could occur. Our model shows that an important role is played by fault-wall geometry, although we do not include effects of varying fluid pressure or exotic rheologies on the fault surfaces. We extrapolate our results to large fault systems using observed self-similarity properties and suggest that larger ruptures might begin and end in a similar way, although the scale of geometrical variation in fault shape that can arrest a rupture necessarily scales with magnitude. In other words, fault segmentation may be a magnitude-dependent phenomenon and could vary with each subsequent rupture.

  15. Creep-rupture tests of internally pressurized Inconel 702 tubes

    NASA Technical Reports Server (NTRS)

    Gumto, K. H.

    1973-01-01

    Seamless Inconel 702 tubes with 0.375-in. outside diameter and 0.025-in. wall thickness were tested to failure at temperatures from 1390 to 1575 F and internal helium pressures from 700 to 1800 psi. Lifetimes ranged from 29 to 1561 hr. The creep-rupture strength of the tubes was about 70 percent lower than that of sheet specimens. Larson-Miller correlations and photomicrographs of some specimens are presented.

  16. Ruptured Baker's cyst with compartment syndrome: an extremely unusual complication

    PubMed Central

    Hamlet, Mark; Galanopoulos, Ilias; Mahale, Avinash; Ashwood, Neil

    2012-01-01

    A 69-year-old man presented with sudden onset of pain with acute tense swelling of his left leg. Initially he was treated empirically with antibiotics for cellulitis while the possibility of deep vein thrombosis was ruled out. His symptoms gradually worsened with progressive distal neurological deficit and increasing pain. Further investigations suggested that he had a ruptured Baker's cyst in the calf with development of compartment syndrome. PMID:23264161

  17. Analysis of uterine rupture at university teaching hospital Pakistan

    PubMed Central

    Aziz, Nousheen; Yousfani, Sajida

    2015-01-01

    Objective: To determine the risk factors, management modalities, fetomaternal outcome of uterine rupture cases at University teaching hospital in Pakistan. Methods: This retrospective descriptive study was conducted at the Department of Gynaecology and Obstetrics Liaquat University of Medical and Health Sciences (LUMHS) for a period of one year from January 1st to December 31st 2012. Main outcome measures were frequency, age, parity, booking status, risk factors, management modalities, fetal and maternal mortality associated with uterine rupture. The data was collected on pre-designed proforma analysed using SPSS Version 16 statistical package. Results: The frequency of ruptured uteri was calculated to be 0.67%, giving a ratio of 1:148 deliveries. Highest incidence was found in age group 25-30 (44.26%) with mean age of 30.36 years. and parity group 2-3 (57.37%) with mean parity 4.08. The risk factors for ruptured uterus include Caesarean section 43(70.49%), injudicious use of oxytocin 33(54.09%), obstructed labour 15 (24.59%) and multiparty 18 (29.50%). Repair of uterus was performed in 47(77.04%) cases. Maternal case fatality was 5(8.19%), while foetal wastage was 51 (83.60%). Conclusion: This study confirms the existence of a serious preventable obstetric problem, with significant maternal mortality and foetal wastage. Integrated efforts include Health education, focused antenatal care, skilled attendance, avoidance of injudicious use of oxytocin, and need of hospital based deliveries in patients with caesarean section which should be intensified to reduce this drastic obstetrical complication. PMID:26430430

  18. Massive spontaneous diaphragmatic rupture in EhlersDanlos syndrome

    PubMed Central

    Hamaoui, K; Riaz, A; Hay, A; Botha, A

    2012-01-01

    EhlersDanlos syndrome (EDS) is a rare disorder caused by abnormalities in the synthesis and structure of collagen. The resultant tissue fragility and weakness can lead to multiple surgical conditions. In this report we present the very rare and life threatening case of a massive spontaneous diaphragmatic rupture in a 35-year-old man with EDS and reflect on the literature, highlighting points to consider when managing such complex patients. PMID:22524904

  19. Management of hepatocellular carcinoma rupture in the caudate lobe

    PubMed Central

    Hong, De-Fei; Liu, Ying-Bin; Peng, Shu-You; Pang, Jin-Zhong; Wang, Zhi-Fei; Cheng, Jian; Shen, Guo-Liang; Zhang, Yuan-Biao

    2015-01-01

    AIM: To demonstrate that caudate lobectomy is a valid treatment in cases of hepatocellular carcinoma (HCC) rupture in the caudate lobe based on our experience with the largest case series reported to date. METHODS: A retrospective study of eight patients presenting with spontaneous rupture and hemorrhage of HCC in the caudate lobe was conducted. Two patients underwent ineffective transarterial embolization preoperatively. Caudate lobectomy was performed in all eight patients. Bilateral approach was taken in seven cases for isolated complete caudate lobectomy. Left-sided approach was employed in one case for isolated partial caudate lobectomy. Transarterial chemoembolization was performed postoperatively in all patients. RESULTS: Caudate lobectomy was successfully completed in all eight cases. The median time delay from the diagnosis to operation was 5 d (range: 0.25-9). Median operating time was 200 min (range: 120-310) with a median blood loss of 900 mL (range: 300-1500). Five patient remained in long-term follow-up, with one patient becoming lost to follow-up at 3 years and two patients currently alive at 7 and 19 mo. One patient required reoperation due to recurrence. Gamma knife intervention was performed for brain metastasis in another case. Two patients survived for 10 and 84 mo postoperatively, ultimately succumbing to multiple organ metastases. CONCLUSION: Caudate lobectomy is the salvage choice for HCC rupture in the caudate lobe. Local anatomy and physiologic features of the disease render caudate lobectomy a technically difficult operation. Postponement of surgical intervention is thus recommended while the rupture remains hemodynamically stable until an experienced surgeon becomes available. Prognosis is confounded by numerous factors, but long-term survival can be expected in the majority of cases. PMID:26185390

  20. Uterine rupture after prostaglandin analogues to induce midtrimester abortion

    PubMed Central

    Pappalardo, Elisa Maria; La Greca, Michele; Rapisarda, Giusi; Consoli, Daniele

    2010-01-01

    Although prostaglandins are largely used and considered safe drugs to induce midtrimester abortion, the literature reports several cases of uterine rupture consequent to their administration. We report the second ever-described case of uterine rupture after administration of gemeprost and sulprostone for midtrimester abortion in a 45 years-old women with scarred uterus. She was admitted to our Unit for termination at 20 weeks? gestation because of trisomy 21 diagnosed by chromosomal analysis of amniotic liquid at 16 weeks? gestation. Five pessaries of gemeprost (one pessary, every 3 hours) were administered into the posterior vaginal fornix. Since the cervix remained closed and uneffaced, another cycle of 5 gemeprost administration was conducted. When the cervix changed in consistency and dilatation, we decided to administrate sulprostone. At the obstetric examination any visible fetus was evidenced. The abdominal ultrasonography showed an empty uterine cavity and the gestational sac with the dead fetus in abdomen. Emergency laparotomy was therefore undertaken. Primary suture of the ruptured uterus was initially attempted but in vain. Therefore, total abdominal hysterectomy was performed to control bleeding and eventual hypovolemic shock. Given the lack of strong evidence in literature and the fact that case reports are not an optimal method for assessing frequency of an event nor the overall risks of a procedure since they frequently report rare single events, other larger studies are needed to assess whether women with multiple risk factors (e.g. advanced age and previous uterine surgery), and administered with prostaglandins? association have a higher risk of uterine rupture. PMID:22439053

  1. Surgical repair of ruptured trachea in a horse.

    PubMed

    Kirker-Head, C A; Jakob, T P

    1990-05-15

    An Arabian mare was referred with traumatically induced complete transection of the trachea. A temporary airway was established through the open wound at the site of the rupture. Resection of devitalized tissue including 3 tracheal ring segments, and anastomosis of the tracheal ends was subsequently performed under general anesthesia. Wound healing was complicated by a peritracheal abscess, which responded successfully to drainage and antibiotic administration. PMID:2347758

  2. Choriocarcinoma with Uterine Rupture and Shock: A Rare Case Report

    PubMed Central

    Agarwal, Manika; Pyrbot, Jupirika; Singh, A.S.

    2015-01-01

    Choriocarcinoma is a rare neoplasm and a malignant form of gestational trophoblastic disease. Choriocarcinoma is frequently preceded by a complete mole, ectopic pregnancy, nonmolar intrauterine abortion, and uncommonly by a partial mole. It is treated medically with chemotherapeutic drugs usually. However, we managed to save a life with appropriate and timely surgical intervention in a case of choriocarcinoma who presented with uterine rupture, haemoperitoneum, anaemia and hypovolemic shock. The patient underwent exploratory laparotomy and hysterectomy followed by systemic chemotherapy. PMID:26557535

  3. Traumatic right ventricular rupture following a horse kick.

    PubMed

    Gorman, Richard; Nuttall, Stuart Myles

    2012-01-01

    Cardiac tamponade is a life-threatening and time-critical emergency that requires early recognition and prompt management often alongside other resuscitation considerations. The use of ultrasound in the primary survey greatly assists in the early diagnosis allowing preparations for early definitive management to be made. An unusual case of right ventricular rupture following blunt trauma to the chest from a horse kick is discussed. PMID:23175003

  4. Gastric rupture after Heimlich maneuver and cardiopulmonary resuscitation.

    PubMed

    Tung, P H; Law, S; Chu, K M; Law, W L; Wong, J

    2001-01-01

    Choking is a common emergency problem. The Heimlich maneuver is unquestionably effective in relieving airway obstruction. Serious and life-threatening complications may arise, however, if the maneuver is applied incorrectly. Two cases of gastric rupture after Heimlich maneuver are reported. Lay public, paramedics and the medical professionals should be educated with the correct technique of Heimlich maneuver and its potential complications. All patients receiving Heimlich maneuver should be examined by an experienced physician. PMID:11268942

  5. Single cell measurements of vacuolar rupture caused by intracellular pathogens.

    PubMed

    Keller, Charlotte; Mellouk, Nora; Danckaert, Anne; Simeone, Roxane; Brosch, Roland; Enninga, Jost; Bobard, Alexandre

    2013-01-01

    Shigella flexneri are pathogenic bacteria that invade host cells entering into an endocytic vacuole. Subsequently, the rupture of this membrane-enclosed compartment allows bacteria to move within the cytosol, proliferate and further invade neighboring cells. Mycobacterium tuberculosis is phagocytosed by immune cells, and has recently been shown to rupture phagosomal membrane in macrophages. We developed a robust assay for tracking phagosomal membrane disruption after host cell entry of Shigella flexneri or Mycobacterium tuberculosis. The approach makes use of CCF4, a FRET reporter sensitive to β-lactamase that equilibrates in the cytosol of host cells. Upon invasion of host cells by bacterial pathogens, the probe remains intact as long as the bacteria reside in membrane-enclosed compartments. After disruption of the vacuole, β-lactamase activity on the surface of the intracellular pathogen cleaves CCF4 instantly leading to a loss of FRET signal and switching its emission spectrum. This robust ratiometric assay yields accurate information about the timing of vacuolar rupture induced by the invading bacteria, and it can be coupled to automated microscopy and image processing by specialized algorithms for the detection of the emission signals of the FRET donor and acceptor. Further, it allows investigating the dynamics of vacuolar disruption elicited by intracellular bacteria in real time in single cells. Finally, it is perfectly suited for high-throughput analysis with a spatio-temporal resolution exceeding previous methods. Here, we provide the experimental details of exemplary protocols for the CCF4 vacuolar rupture assay on HeLa cells and THP-1 macrophages for time-lapse experiments or end points experiments using Shigella flexneri as well as multiple mycobacterial strains such as Mycobacterium marinum, Mycobacterium bovis, and Mycobacterium tuberculosis. PMID:23792688

  6. Single Cell Measurements of Vacuolar Rupture Caused by Intracellular Pathogens

    PubMed Central

    Danckaert, Anne; Simeone, Roxane; Brosch, Roland; Enninga, Jost; Bobard, Alexandre

    2013-01-01

    Shigella flexneri are pathogenic bacteria that invade host cells entering into an endocytic vacuole. Subsequently, the rupture of this membrane-enclosed compartment allows bacteria to move within the cytosol, proliferate and further invade neighboring cells. Mycobacterium tuberculosis is phagocytosed by immune cells, and has recently been shown to rupture phagosomal membrane in macrophages. We developed a robust assay for tracking phagosomal membrane disruption after host cell entry of Shigella flexneri or Mycobacterium tuberculosis. The approach makes use of CCF4, a FRET reporter sensitive to β-lactamase that equilibrates in the cytosol of host cells. Upon invasion of host cells by bacterial pathogens, the probe remains intact as long as the bacteria reside in membrane-enclosed compartments. After disruption of the vacuole, β-lactamase activity on the surface of the intracellular pathogen cleaves CCF4 instantly leading to a loss of FRET signal and switching its emission spectrum. This robust ratiometric assay yields accurate information about the timing of vacuolar rupture induced by the invading bacteria, and it can be coupled to automated microscopy and image processing by specialized algorithms for the detection of the emission signals of the FRET donor and acceptor. Further, it allows investigating the dynamics of vacuolar disruption elicited by intracellular bacteria in real time in single cells. Finally, it is perfectly suited for high-throughput analysis with a spatio-temporal resolution exceeding previous methods. Here, we provide the experimental details of exemplary protocols for the CCF4 vacuolar rupture assay on HeLa cells and THP-1 macrophages for time-lapse experiments or end points experiments using Shigella flexneri as well as multiple mycobacterial strains such as Mycobacterium marinum, Mycobacterium bovis, and Mycobacterium tuberculosis. PMID:23792688

  7. Ruptured Baker's cyst with compartment syndrome: an extremely unusual complication.

    PubMed

    Hamlet, Mark; Galanopoulos, Ilias; Mahale, Avinash; Ashwood, Neil

    2012-01-01

    A 69-year-old man presented with sudden onset of pain with acute tense swelling of his left leg. Initially he was treated empirically with antibiotics for cellulitis while the possibility of deep vein thrombosis was ruled out. His symptoms gradually worsened with progressive distal neurological deficit and increasing pain. Further investigations suggested that he had a ruptured Baker's cyst in the calf with development of compartment syndrome. PMID:23264161

  8. Combined experimental and numerical study of spontaneous dynamic rupture on frictional interfaces

    NASA Astrophysics Data System (ADS)

    Lu, Xiao

    The process of spontaneous dynamic frictional sliding along the interface of two elastic solids is of great interest to a number of disciplines in engineering and sciences. Applications include frictional rupture processes in earthquakes, delamination of layered composite materials, and sliding between soft membranes in biological systems. The transient nature of rupture dynamics presents an array of fascinating yet challenging questions, including the nucleation process, the mechanism of interface failure, and the speed and mode of rupture propagation. This thesis presents such a combined experimental and theoretical study aimed at understanding the conditions for selecting pulse-like vs. crack-like rupture modes and subshear vs. supershear rupture speeds. There are two major contributions in this work. The first one is high-resolution experimental study of the rupture modes on a frictional interface. The study presents first experimental observations of spontaneous pulse-like ruptures in a homogeneous linear-elastic setting that mimics crustal earthquakes, reveals how different rupture modes are selected based on the level of fault prestress, demonstrates that both rupture modes can transition to supershear speeds, and advocates, based on comparison with theoretical studies, importance of velocity-weakening friction for earthquake dynamics. The second major contribution is the numerical modeling of the rupture experiments that reveal the importance of the rupture nucleation mechanism and friction formulations. The modeling of sub-Rayleigh to supershear transition has demonstrated the influence of rupture nucleation mechanism on supershear transition distance, as well as on the mechanism of supershear transition. The modeling of pulse-like to crack-like rupture mode transition has confirmed the necessity of velocity weakening friction for producing pulse-like rupture to match the experimental observations.

  9. Rupture process of the 2013 Okhotsk deep mega earthquake from iterative backprojection and compress sensing methods

    NASA Astrophysics Data System (ADS)

    Qin, W.; Yin, J.; Yao, H.

    2013-12-01

    On May 24th 2013 a Mw 8.3 normal faulting earthquake occurred at a depth of approximately 600 km beneath the sea of Okhotsk, Russia. It is a rare mega earthquake that ever occurred at such a great depth. We use the time-domain iterative backprojection (IBP) method [1] and also the frequency-domain compressive sensing (CS) technique[2] to investigate the rupture process and energy radiation of this mega earthquake. We currently use the teleseismic P-wave data from about 350 stations of USArray. IBP is an improved method of the traditional backprojection method, which more accurately locates subevents (energy burst) during earthquake rupture and determines the rupture speeds. The total rupture duration of this earthquake is about 35 s with a nearly N-S rupture direction. We find that the rupture is bilateral in the beginning 15 seconds with slow rupture speeds: about 2.5km/s for the northward rupture and about 2 km/s for the southward rupture. After that, the northward rupture stopped while the rupture towards south continued. The average southward rupture speed between 20-35 s is approximately 5 km/s, lower than the shear wave speed (about 5.5 km/s) at the hypocenter depth. The total rupture length is about 140km, in a nearly N-S direction, with a southward rupture length about 100 km and a northward rupture length about 40 km. We also use the CS method, a sparse source inversion technique, to study the frequency-dependent seismic radiation of this mega earthquake. We observe clear along-strike frequency dependence of the spatial and temporal distribution of seismic radiation and rupture process. The results from both methods are generally similar. In the next step, we'll use data from dense arrays in southwest China and also global stations for further analysis in order to more comprehensively study the rupture process of this deep mega earthquake. Reference [1] Yao H, Shearer P M, Gerstoft P. Subevent location and rupture imaging using iterative backprojection for the 2011 Tohoku Mw 9.0 earthquake. Geophysical Journal International, 2012, 190(2): 1152-1168. [2]Yao H, Gerstoft P, Shearer P M, et al. Compressive sensing of the Tohoku-Oki Mw 9.0 earthquake: Frequency-dependent rupture modes. Geophysical Research Letters, 2011, 38(20).

  10. Investigating Different Aspects of Supershear Rupture Speed to Constraint Earthquake Source Models

    NASA Astrophysics Data System (ADS)

    Dalguer, L. A.; Gabriel, A. A.; Mena Carbrera, B.; Baumann, C. F.

    2011-12-01

    Since the paper of Andrews (1976) in which the physical conditions to the occurrence of supershear rupture speed has been described in in-plane (mode II) rupture, several earthquakes, mainly large strike-slip faults, show evidence of this phenomenon. Now it is widely accepted this possibility, and several studies describing this phenomenon has been reported in the specialized literature. Those studies of supershear rupture are mainly described into the framework of classical cracks governed by slip-weakening friction. Numerical simulations of dynamic rupture in a heterogeneous field, as expected it is in nature, suggest that localized super-shear rupture speed in strike-slip fault exist at events of all sizes (Mena et al, BSSA 2011, submitted), as well as in dip-slip faults (see Baumann and Dalguer, AGU2011 this session). Inspired by the pioneer study on supershear cracks of Andrews (1976), we have developed in-plane dynamic rupture models governed by strong velocity weakening, to investigate the development of supershear rupture speed in a diversity of rupture styles: crack-like, pulse-like and combination of both. In addition to the classical supershear crack, we have identified four styles of supershear rupture patterns (Gabriel et al, JGR2011, submitted): 1) Supershear pulse triggered by a primary pulse; 2) supershear crack triggered by a primary pulse; 3) Initially steady state pulse, then very shortly become growing pulse to soon nucleates a bilateral asymmetric rupture crack, that later trigger a supershear rupture at the two new rupture fronts. The two supershear rupture fronts propagating toward the hypocenter suffer a collision at the hypocenter; 4) Growing main rupture pulse followed by a reactivation of a shear crack at the hypocenter, that subsequently triggers a supershear crack. The supershear transition mechanism described by Andrews (1976) operates also for all the listed supershear styles. We aim to characterize all these aspects of supershear rupture dynamics to constraint earthquake source models with kinematic description than can be used for forward modeling and/or as prior information for kinematic source inversions. We initiate this characterization considering first the classical shear cracks, for a suite of 3D strike-slip and dip-slip dynamic rupture models covering a wider range of magnitude (Mw 6-8). The source characterization that considers supershear rupture speed is of relevant importance for ground motion prediction and seismic hazard and risk evaluation, because the velocity pulses induced by supershear rupture may produce large damaging amplitude ground motion, due to the Mach waves radiated from the source during rupture (e.g. Dunham and Archuleta, 2005).

  11. Near-field tsunami edge waves and complex earthquake rupture

    USGS Publications Warehouse

    Geist, Eric L.

    2013-01-01

    The effect of distributed coseismic slip on progressive, near-field edge waves is examined for continental shelf tsunamis. Detailed observations of edge waves are difficult to separate from the other tsunami phases that are observed on tide gauge records. In this study, analytic methods are used to compute tsunami edge waves distributed over a finite number of modes and for uniformly sloping bathymetry. Coseismic displacements from static elastic theory are introduced as initial conditions in calculating the evolution of progressive edge-waves. Both simple crack representations (constant stress drop) and stochastic slip models (heterogeneous stress drop) are tested on a fault with geometry similar to that of the M w = 8.8 2010 Chile earthquake. Crack-like ruptures that are beneath or that span the shoreline result in similar longshore patterns of maximum edge-wave amplitude. Ruptures located farther offshore result in reduced edge-wave excitation, consistent with previous studies. Introduction of stress-drop heterogeneity by way of stochastic slip models results in significantly more variability in longshore edge-wave patterns compared to crack-like ruptures for the same offshore source position. In some cases, regions of high slip that are spatially distinct will yield sub-events, in terms of tsunami generation. Constructive interference of both non-trapped and trapped waves can yield significantly larger tsunamis than those that produced by simple earthquake characterizations.

  12. Endovascular Repair of Contained Rupture of the Thoracic Aorta

    SciTech Connect

    Morgan, Robert; Loosemore, Tom; Belli, Anna-Maria

    2002-08-15

    Purpose: To assess the efficacy of stent-grafts for the treatment of acute rupture of the thoracic aorta. Methods: Four patients with acute contained ruptures of the thoracic aorta were treated by insertion of stent-grafts. The underlying aortic lesions were aneurysm, acute aortic ulcer, acute type B dissection and giant cell aortitis. The procedures were performed under general anesthesia in three patients and local anesthesia in one patient. Results: All stent-grafts were successfully deployed. All patients survived the procedure and are now alive and well at follow-up (mean 6.3 months, range 44 days-16 months). One patient underwent a second stent procedure 10 days after the first procedure because of a proximal endoleak. All hemothoraces have resolved. There were no complications. Conclusion:Treatment of acute contained ruptures of the thoracic aorta by the insertion of stent-grafts is feasible. The technical success rates,complication rates and patient survival compare favorably with emergency surgery.

  13. Vortex dynamics in ruptured and unruptured intracranial aneurysms

    NASA Astrophysics Data System (ADS)

    Trylesinski, Gabriel; Varble, Nicole; Xiang, Jianping; Meng, Hui

    2013-11-01

    Intracranial aneurysms (IAs) are potentially devastating pathological dilations of arterial walls that affect 2-5% of the population. In our previous CFD study of 119 IAs, we found that ruptured aneurysms were correlated with complex flow pattern and statistically predictable by low wall shear stress and high oscillatory shear index. To understand flow mechanisms that drive the pathophysiology of aneurysm wall leading to either stabilization or growth and rupture, we aim at exploring vortex dynamics of aneurysmal flow and provide insight into the correlation between the previous predictive morphological parameters and wall hemodynamic metrics. We adopt the Q-criterion definition of coherent structures (CS) and analyze the CS dynamics in aneurysmal flows for both ruptured and unruptured IA cases. For the first time, we draw relevant biological conclusions concerning aneurysm flow mechanisms and pathophysiological outcome. In pulsatile simulations, the coherent structures are analyzed in these 119 patient-specific geometries obtained using 3D angiograms. The images were reconstructed and CFD were performed. Upon conclusion of this work, better understanding of flow patterns of unstable aneurysms may lead to improved clinical outcome.

  14. Rupture hardware minimization in pressurized water reactor piping

    SciTech Connect

    Mukherjee, S.K.; Ski, J.J. ); Chexal, V.; Norris, D.M. ); Goldstein, N.A. Beaudoin, B.F.; Quinones, D.F.; Server, W.L. )

    1989-02-01

    For much of the high-energy piping in light reactor systems, fracture mechanics calculations can be used to assure pipe failure resistance, thus allowing the elimination of excessive rupture restraint hardware both inside and outside containment. These calculations use the concept of leak-before-break (LBB) and include part-through-wall flaw fatigue crack propagation, through-wall flaw detectable leakage, and through-wall flaw stability analyses. Performing these analyses not only reduces initial construction, future maintenance, and radiation exposure costs, but also improves the overall safety and integrity of the plant since much more is known about the piping and its capabilities than would be the case had the analyses not been performed. This paper presents the LBB methodology applied a Beaver Valley Power Station- Unit 2 (BVPS-2); the application for two specific lines, one inside containment (stainless steel) and the other outside containment (ferrutic steel), is shown in a generic sense using a simple parametric matrix. The overall results for BVPS-2 indicate that pipe rupture hardware is not necessary for stainless steel lines inside containment greater than or equal to 6-in. (152-mm) nominal pipe size that have passed a screening criteria designed to eliminate potential problem systems (such as the feedwater system). Similarly, some ferritic steel line as small as 3-in. (76-mm) diameter (outside containment) can qualify for pipe rupture hardware elemination.

  15. The Rupture Behaviour Of Woven Fabrics Containing Kevlar Fibres

    NASA Astrophysics Data System (ADS)

    Mao, N.; Qu, J.; Darley, M.; Lingard, S.

    2012-07-01

    Woven fabrics containing high performance fibres are frequently used in spacecraft structures and the rupture behaviour of these fabrics heavily influences the performance of its final products. However, the initiation and propagation of a ruptured fracture in the woven fabrics is not clear and the interpretation of the results from different tear testing methods varies. Currently there is a lack of knowledge about both the characteristics of tear propagation woven fabrics containing high performance fibres such as Kevlar and the influence of the fabric structural parameters on the rupture behaviour of the fabrics; this knowledge gap creates difficulties for the engineering design and selection of suitable fabric materials to meet specific requirements in each application case involving such woven fabrics. In this paper, the tear propagations in a polyurethane-coated woven fabric containing Kevlar fibres based on two different tear testing standards are examined; the mechanism of tear propagation in woven fabrics and the influences of tear testing design on the interpretation of the results from different tear testing methods are discussed. It is expected that the results will guide both the engineering design of Kevlar woven fabric structures and the evaluation of the fabric performance.

  16. Cloacal exstrophy: prenatal diagnosis before rupture of the cloacal membrane.

    PubMed

    Langer, J C; Brennan, B; Lappalainen, R E; Caco, C C; Winthrop, A L; Hollenberg, R D; Paes, B A

    1992-10-01

    Embryologically, cloacal exstrophy is thought to result from persistence and subsequent rupture of the infraumbilical cloacal membrane during the fifth embryonic week. We report a case of cloacal exstrophy in which a prenatal diagnosis was made prior to rupture of the cloacal membrane. A routine ultrasound at 17 weeks' gestation demonstrated monoamniotic twins. One twin was normal, but the other was found to have a sacral myelomeningocele, "rocker-bottom" feet, splaying of the pubic rami, and a large cystic mass protruding from the infraumbilical anterior abdominal wall. A repeat ultrasound was performed at 22 weeks, with the same findings. At 26 weeks, further examination showed disappearance of the abdominal cyst, a small omphalocele, no demonstrable bladder, and the suggestion of prolapsed bowel inferior to the umbilical cord insertion. After delivery at 34 weeks, the abnormal twin was found to have the typical findings of cloacal exstrophy, myelomeningocele, bilateral lower limb anomalies, and extremely foreshortened small bowel. Rupture of the presumed cloacal membrane after 22 weeks in this case is inconsistent with our current understanding of the embryology of this anomaly, and should stimulate a reexamination of the current concepts. If the characteristic features are recognized, cloacal exstrophy can be diagnosed by prenatal ultrasound, permitting prenatal counseling and appropriate perinatal management. PMID:1403521

  17. Clinical course of premature rupture of the membranes.

    PubMed

    Alexander, J M; Cox, S M

    1996-10-01

    Premature rupture of the membranes (PROM), defined as rupture of the membranes before the onset of labor, is a common obstetric event occurring in 10% of pregnancies. Most of the time this occurs at or beyond 37 weeks' gestation with only 10% of PROM occurring at less than 37 weeks' gestation. The natural course of PROM is labor, and at term this is associated with a low rate of complications for the mother and the fetus. At less than 37 weeks' gestation PROM places the mother and the fetus at increased risk of short-term and long-term morbidity and mortality. Several factors related to preterm premature rupture of the membranes (PROM) add risk to the pregnancy and include premature delivery, infection in the mother and the fetus, effects of prolonged oligohydramnios on fetal development, abruptio placenta, prolapsed cord, and fetal malposition. Since the 1970s expectant management has been the standard treatment for PROM; however, in the majority of patients, this strategy results in the delivery of a preterm infant. In addition, controversy exists over the gestational age at which expectant management should be abandoned and active interventions to effect delivery pursued. This article discusses the natural history of PROM, the outcome of expectant management in PROM, and maternal and fetal outcomes in these patients. The emphasis of this discussion is on the preterm fetus. PMID:8912990

  18. Accelerated stress rupture lifetime assessment for fiber composites

    SciTech Connect

    Groves, S.E.; DeTeresa, S.J.; Sanchez, R.J.; Zocher, M.A.; Christensen, R.M.

    1997-02-01

    Objective was to develop a theoretical and experimental framework for predicting stress rupture lifetime for fiber polymer composites based on short-term accelerated testing. Originally a 3-year project, it was terminated after the first year, which included stress rupture experiments and viscoelastic material characterization. In principle, higher temperature, stress, and saturated environmental conditions are used to accelerate stress rupture. Two types of specimens were to be subjected to long-term and accelerated static tensile loading at various temperatures, loads in order to quantify both fiber and matrix dominated failures. Also, we were to apply state-of-the-art analytical and experimental characterization techniques developed under a previous DOE/DP CRADA for capturing and tracking incipient degradation mechanisms associated with mechanical performance. Focus was increase our confidence to design, analyze, and build long-term composite structures such as flywheels and hydrogen gas storage vessels; other applications include advanced conventional weapons, infrastructures, marine and offshore systems, and stockpile stewardship and surveillance. Capabilities developed under this project, though not completed or verified, are being applied to NIF, AVLIS, and SSMP programs.

  19. Rupture of thin liquid films sprayed on solid surfaces

    NASA Astrophysics Data System (ADS)

    Kadoura, M.; Chandra, S.

    2013-02-01

    An experimental study was done to observe the formation of thin films by spraying liquid onto a solid surface and to determine the conditions under which the films would rupture or remain stable. Water, or water mixed with 20-70 % by weight of glycerin, was sprayed for varying lengths of time onto a circular, 165-mm-diameter plate made of either Plexiglas, steel, or Parafilm-M and the motion of the liquid recorded using a high-speed camera. Water films ruptured immediately after the impact near the center of the surface. Then, if the film thickness was greater than a critical value, the water flooded back and the hole closed; otherwise, the hole remained in the water layer. The critical film thickness increases linearly with advancing liquid-solid contact angle. Increasing liquid viscosity by adding glycerin had little effect on critical film thickness, but inhibited spreading of the liquid and suppressed initial rupture of the liquid layer. A surface energy model was used to predict the variation of critical film thickness with surface wettability.

  20. Fault structure, wear mechanisms and rupture processes in pseudotachylyte generation

    NASA Astrophysics Data System (ADS)

    Swanson, Mark T.

    1992-04-01

    Fault-generated pseudotachylyte is found within both cataclastic and mylonitic host rocks suggesting that rapid catastrophic displacements have occurred at a variety of depths within paleoseismogenic zones. Pseudotachylyte-bearing fault zones represent a composite of structural features associated with the process of earthquake rupture propagation and coseismic slip. The development of multiple pseudotachylyte veins in fault linkages, duplexes, sidewall ripouts, en echelon arrays and brittle zones suggests repeated rupturing during a series of characteristic earthquakes. Each earthquake, as a coseismic slip event, can be subdivided into initial rupture, acceleration, stable sliding and final deceleration stages. These evolve through distinctive sequences of wear and deformation mechanisms that vary with sliding velocity, duration of slip, total displacement and the hydrodynamics of the developing fault zone. Slip is thought to proceed toward surface refinement and possible frictional melting following the propagation of leading shear fracture process zones. The passage of the initial process zone of oblique fracturing would be followed by linkage to a throughgoing structure with asperity reduction through brecciation, comminution and refined cataclastic flow for frictional melting in an abrasive wear-dominant model. At greater depths in the presence of mylonitic anisotropy, slip would proceed through initial layer-parallel surfaces and duplex linkages with rapid surface refinement through plastic smearing and laminar flow for frictional melting in an adhesive wear-dominant model.