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Sample records for brachial ejection time

  1. Automated analysis of brachial ultrasound time series

    NASA Astrophysics Data System (ADS)

    Liang, Weidong; Browning, Roger L.; Lauer, Ronald M.; Sonka, Milan

    1998-07-01

    Atherosclerosis begins in childhood with the accumulation of lipid in the intima of arteries to form fatty streaks, advances through adult life when occlusive vascular disease may result in coronary heart disease, stroke and peripheral vascular disease. Non-invasive B-mode ultrasound has been found useful in studying risk factors in the symptom-free population. Large amount of data is acquired from continuous imaging of the vessels in a large study population. A high quality brachial vessel diameter measurement method is necessary such that accurate diameters can be measured consistently in all frames in a sequence, across different observers. Though human expert has the advantage over automated computer methods in recognizing noise during diameter measurement, manual measurement suffers from inter- and intra-observer variability. It is also time-consuming. An automated measurement method is presented in this paper which utilizes quality assurance approaches to adapt to specific image features, to recognize and minimize the noise effect. Experimental results showed the method's potential for clinical usage in the epidemiological studies.

  2. Bilateral transit time assessment of upper and lower limbs as a surrogate ankle brachial index marker.

    PubMed

    Foo, Jong Yong Abdiel

    2008-01-01

    Ankle brachial index is useful in monitoring the pathogenesis of peripheral arterial occlusive diseases. Sphygmomanometer is the standard instrument widely used but frequent prolonged monitoring can be less comfortable for patients. Pulse transit time is known to be inversely correlated with blood pressure and a ratio-based pulse transit time measurement has been proposed as a surrogate ankle brachial index marker. In this study, 17 normotensive adults (9 men; aged 25.4 +/- 3.9 years) were recruited. Two postural change test activities were performed to induce changes in the stiffness of the arterial wall of the moved periphery. Results showed that only readings from the limbs that adopted a new posture registered significant blood pressure and pulse transit time changes (P < .05). Furthermore, there was significant correlation between the ankle brachial index and pulse transit time ratio measure for both test activities (R(2) > or = 0.704). The findings herein suggest that pulse transit time ratio is a surrogate and accommodating ankle brachial index marker.

  3. Detection of systolic ejection click using time growing neural network.

    PubMed

    Gharehbaghi, Arash; Dutoit, Thierry; Ask, Per; Sörnmo, Leif

    2014-04-01

    In this paper, we present a novel neural network for classification of short-duration heart sounds: the time growing neural network (TGNN). The input to the network is the spectral power in adjacent frequency bands as computed in time windows of growing length. Children with heart systolic ejection click (SEC) and normal children are the two groups subjected to analysis. The performance of the TGNN is compared to that of a time delay neural network (TDNN) and a multi-layer perceptron (MLP), using training and test datasets of similar sizes with a total of 614 normal and abnormal cardiac cycles. From the test dataset, the classification rate/sensitivity is found to be 97.0%/98.1% for the TGNN, 85.1%/76.4% for the TDNN, and 92.7%/85.7% for the MLP. The results show that the TGNN performs better than do TDNN and MLP when frequency band power is used as classifier input. The performance of TGNN is also found to exhibit better immunity to noise.

  4. Brachial plexopathy

    MedlinePlus

    ... the muscles Weakness of hand flexing A detailed history may help determine the cause of the brachial plexopathy. Age and sex are important, because some brachial plexus problems are more common in certain groups. For example, young men more often have inflammatory or post-viral ...

  5. Ejection time by ear densitogram and its derivative - Clinical and physiologic applications.

    NASA Technical Reports Server (NTRS)

    Quarry-Pigott, V.; Chirife, R.; Spodick, D. H.

    1973-01-01

    Ear densitographic ejection times (EDET) and first derivative ear densitogram ejection times (dEDET) were studied to determine whether their reliability and validity justify their substitution for ejection times derived from the far less stable carotid pulse tracing. Inter- and intra-subject comparisons were made on thirty individuals under a wide variety of disease and challenge states. Statistical analysis of the data - which had been obtained through a blinded procedure - showed an overall correlation (r) of .98 for carotid vs EDET and .99 for carotid vs dEDET. The t-test demonstrated no significant differences among ejection times derived from the three methods. Moreover, the close tracking at rest and during challenges of ejection times derived from these curves with those from the carotid indicate that either method may be substituted for standard carotid curves without sacrificing reliability or validity of the measure.

  6. Space-time evolution of ejected plasma for the triggering of gas switch

    NASA Astrophysics Data System (ADS)

    Liu, Shanhong; Liu, Xuandong; Shen, Xi; Feng, Lei; Tie, Weihao; Zhang, Qiaogen

    2016-06-01

    Ejected plasma has been widely applied to the discharge process of gas spark switches as a trigger technology, and the development process of ejected plasma has a direct and important effect on the discharge characteristics of gas switches. In this paper, both the injection characteristics and space-time evolution of ejected plasma for the triggering of gas spark switch with different stored energies, pulse polarities, and pressures are studied. The discharge characteristics and breakdown process of a gas switch ignited by ejected plasma under different working coefficients are also discussed briefly. The results show that stored energy has significant influence on the characteristics of ejected plasma. With the increase of stored energy, the propulsion mode of ejected plasma in the axial direction transforms from "plasmoid" to "plasma flow," and the distribution of the ejected plasma goes through "cloud," "core-cloud," and "branch" in sequence. The velocity of ejected plasma under negative pulse polarity is obviously higher than that under positive pulse polarity, especially at the very beginning time. The radial dimensions of ejected plasma under two kinds of pulse polarities follow the similar varying pattern over time, which increase first and then decrease, assuming an inverted "U"-shaped curve. With the increase of pressure, the velocity of ejected plasma significantly decreases and the "branch" channels droop earlier. Applying the ejected plasma to the triggering of a gas switch, the switch can be triggered reliably in a much wide working coefficient range of 10%-90%. With the increase of working coefficient, the breakdown process of the switch translates from slow working mode to fast working mode, and the delay time reduces from tens of μs to hundreds of ns.

  7. Brachial plexopathy

    PubMed Central

    Khadilkar, Satish V.; Khade, Snehaldatta S.

    2013-01-01

    Brachial plexus injury can occur as a result of trauma, inflammation or malignancies, and associated complications. The current topic is concerned with various forms of brachial plexopathy, its clinical features, pathophysiology, imaging findings, and management. Idiopathic brachial neuritis (IBN), often preceded with antecedent events such as infection, commonly present with abruptonset painful asymmetric upper limb weakness with associated wasting around the shoulder girdle and arm muscles. Idiopathic hypertrophic brachial neuritis, a rare condition, is usually painless to begin with, unlike IBN. Hereditary neuralgic amyotrophy is an autosomal-dominant disorder characterized by repeated episodes of paralysis and sensory disturbances in an affected limb, which is preceded by severe pain. While the frequency of the episodes tends to decrease with age, affected individuals suffer from residual deficits. Neurogenic thoracic outlet syndrome affects the lower trunk of the brachial plexus. It is diagnosed on the basis of electrophysiology and is amenable to surgical intervention. Cancer-related brachial plexopathy may occur secondary to metastatic infiltration or radiation therapy. Traumatic brachial plexus injury is commonly encountered in neurology, orthopedic, and plastic surgery set-ups. Trauma may be a direct blow or traction or stretch injury. The prognosis depends on the extent and site of injury as well as the surgical expertise. PMID:23661957

  8. Brachial neuritis.

    PubMed

    Dillin, L; Hoaglund, F T; Scheck, M

    1985-07-01

    Brachial neuritis is an unusual syndrome of unknown etiology that can be confused with other causes of pain or weakness, or both, of the shoulder and arm. It is important to distinguish this disorder because of its dramatic symptoms and relatively good prognosis. Sharp pain, usually in the elbow or shoulder, marks the onset of brachial neuritis, but is relatively short-lived. Weakness generally occurs as the pain is subsiding and most frequently involves the deltoid, spinati, serratus anterior, biceps, and triceps. Paresthesias, atrophy, and sensory loss are inconstant features. Electromyographic findings of fibrillation potentials and positive waves characteristically are found in a pattern indicating combined nerve-root and peripheral nerve involvement. Electromyography more frequently than clinical examination shows that the lesion is bilateral, and also is of both diagnostic and prognostic value. Other laboratory studies serve only to exclude other causes of shoulder pain. The clinical course is variable, but in 90 per cent of patients complete recovery occurs within three years. Recurrences are uncommon.

  9. Left ventricular ejection time, not heart rate, is an independent correlate of aortic pulse wave velocity.

    PubMed

    Salvi, Paolo; Palombo, Carlo; Salvi, Giovanni Matteo; Labat, Carlos; Parati, Gianfranco; Benetos, Athanase

    2013-12-01

    Several studies showed a positive association between heart rate and pulse wave velocity, a sensitive marker of arterial stiffness. However, no study involving a large population has specifically addressed the dependence of pulse wave velocity on different components of the cardiac cycle. The aim of this study was to explore in subjects of different age the link between pulse wave velocity with heart period (the reciprocal of heart rate) and the temporal components of the cardiac cycle such as left ventricular ejection time and diastolic time. Carotid-femoral pulse wave velocity was assessed in 3,020 untreated subjects (1,107 men). Heart period, left ventricular ejection time, diastolic time, and early-systolic dP/dt were determined by carotid pulse wave analysis with high-fidelity applanation tonometry. An inverse association was found between pulse wave velocity and left ventricular ejection time at all ages (<25 years, r(2) = 0.043; 25-44 years, r(2) = 0.103; 45-64 years, r(2) = 0.079; 65-84 years, r(2) = 0.044; ≥ 85 years, r(2) = 0.022; P < 0.0001 for all). A significant (P < 0.0001) negative but always weaker correlation between pulse wave velocity and heart period was also found, with the exception of the youngest subjects (P = 0.20). A significant positive correlation was also found between pulse wave velocity and dP/dt (P < 0.0001). With multiple stepwise regression analysis, left ventricular ejection time and dP/dt remained the only determinant of pulse wave velocity at all ages, whereas the contribution of heart period no longer became significant. Our data demonstrate that pulse wave velocity is more closely related to left ventricular systolic function than to heart period. This may have methodological and pathophysiological implications.

  10. Heart rate-left ventricular ejection time relations - Variations during postural change and cardiovascular challenges

    NASA Technical Reports Server (NTRS)

    Lance, V. Q.; Spodick, D. H.

    1976-01-01

    Experiments were conducted on healthy human subjects to determine HR-LVET (Heart Rate-Left Ventricular Ejection Time) regression relations in different postures, including tilt, and during isometric exercise. The subjects were tested in the resting state in supine and sitting positions, during isometric handgrip in supine and sitting positions and during 70 deg headup tilt. The recordings included a bipolar electrocardiogram and a right external carotid pulse curve. Comparison of the HR-LVET relation for the conditions under analysis revealed differences among the respective regression equations, which can be explained by the well-established differences in stroke volume and ejection rate among these states. These differences appear to account for the fact that under conditions in which stroke volume variations should be the major determinant, slopes will be similar but intercepts will vary. Since substantial differences among intercepts are observed, caution should be exercised whenever the intercept factor is used to predict LVET for HR.

  11. User-guided automated segmentation of time-series ultrasound images for measuring vasoreactivity of the brachial artery induced by flow mediation

    NASA Astrophysics Data System (ADS)

    Sehgal, Chandra M.; Kao, Yen H.; Cary, Ted W.; Arger, Peter H.; Mohler, Emile R.

    2005-04-01

    Endothelial dysfunction in response to vasoactive stimuli is closely associated with diseases such as atherosclerosis, hypertension and congestive heart failure. The current method of using ultrasound to image the brachial artery along the longitudinal axis is insensitive for measuring the small vasodilatation that occurs in response to flow mediation. The goal of this study is to overcome this limitation by using cross-sectional imaging of the brachial artery in conjunction with the User-Guided Automated Boundary Detection (UGABD) algorithm for extracting arterial boundaries. High-resolution ultrasound imaging was performed on rigid plastic tubing, on elastic rubber tubing phantoms with steady and pulsatile flow, and on the brachial artery of a healthy volunteer undergoing reactive hyperemia. The area of cross section of time-series images was analyzed by UGABD by propagating the boundary from one frame to the next. The UGABD results were compared by linear correlation with those obtained by manual tracing. UGABD measured the cross-sectional area of the phantom tubing to within 5% of the true area. The algorithm correctly detected pulsatile vasomotion in phantoms and in the brachial artery. A comparison of area measurements made using UGABD with those made by manual tracings yielded a correlation of 0.9 and 0.8 for phantoms and arteries, respectively. The peak vasodilatation due to reactive hyperemia was two orders of magnitude greater in pixel count than that measured by longitudinal imaging. Cross-sectional imaging is more sensitive than longitudinal imaging for measuring flow-mediated dilatation of brachial artery, and thus may be more suitable for evaluating endothelial dysfunction.

  12. Brachial Plexus Injuries

    MedlinePlus

    ... to the shoulder, arm, and hand. Brachial plexus injuries are caused by damage to those nerves. Symptoms ... sensation in the arm or hand Brachial plexus injuries can occur as a result of shoulder trauma, ...

  13. To determine block establishment time of supraclavicular brachial plexus block using blunt versus short bevel needle: A prospective randomized trial

    PubMed Central

    Ahuja, V; Thapa, D; Gombar, S; Dhiman, D

    2016-01-01

    Background: Unintentional intraneural injection under ultrasound guidance (USG) with fine caliber needles and lower success rate with large caliber Tuohy needles in supraclavicular brachial plexus block (SCB) have been reported. Materials and Methods: We undertook study to standardize the use of 20-gauge short versus blunt bevel needle for SCB. After approval of Institutional Ethics Committee and written informed consent, patients were randomized using computer-generated random number table to either of the two groups; blunt bevel needle group (n = 30): SCB under USG using 20-gauge Tuohy needle or short bevel needle group (n = 30): SCB under USG using 20-gauge short bevel needle. The primary outcome of the study was time to establishment of sensory and motor block of individual nerves, and secondary outcome was tolerability and any adverse effects. Results: The time to establishment of sensory and motor block in individual nerve territory was similar in both the groups. The complete sensory and motor anesthesia was achieved in 78.3% patients and complete sensory and motor anesthesia after supplementary block was achieved in 86.6% patients. Paresthesias during SCB were recorded in 15 patients. Out of these eight patients were of blunt bevel group and seven patients were of short bevel group. None of the patients experienced any neurological adverse effects. Conclusion: The establishment of sensory and motor blockade of individual nerves was similar to 20-gauge short and blunt bevel needle under ultrasound guide with no neurological adverse events. PMID:27375378

  14. A Comparative Study in the Use of Brachial Photoplethysmography and the QRS Complex as Timing References in Determination of Pulse Transit Time

    DTIC Science & Technology

    2007-11-02

    splinted in each case to keep the brachial archery prominent. The probes were connected with flexible cable to the data acquisition unit. The subject was...pressure. A sample of data was taken during this period. A measurement of the distance from the detection point on the brachial archery to the...brachial archery , at the elbow, and produced a strong, if elusive, plethysmograph. The wider focus of this work is to explore a means for non

  15. Time-Dependent Regional Myocardial Strains in Patients with Heart Failure with a Preserved Ejection Fraction

    PubMed Central

    Smith, Shane P.; Secomb, Timothy W.; Hong, Brian D.; Moulton, Michael J.

    2016-01-01

    Objectives. To better understand the etiology of HFpEF in a controlled human population, regional time-varying strains were computed using echocardiography speckle tracking in patients with heart failure with a preserved ejection fraction and normal subjects. Methods. Eleven normal volunteers and ten patients with echo-graded diastolic dysfunction and symptoms of heart failure were imaged with echocardiography and longitudinal, circumferential, and rotational strains were determined using speckle-tracking. Diastolic strain rate was also determined. Patient demographics and echo-derived flows, volumes, and pressures were recorded. Results. Peak longitudinal and circumferential strain was globally reduced in patients (p < 0.001), when compared to controls. The patients attained peak longitudinal and circumferential strain at a consistently later point in systole than controls. Rotational strains were not different in most LV regions. Early diastolic strain rate was significantly reduced in the patients (p < 0.001). LV mass and wall thickness were significantly increased in the patients; however ejection fraction was preserved and stroke volume was diminished (p < 0.001). Conclusions. This study shows that patients with HFpEF have reduced early diastolic strain rate and reduced peak strain that is regionally homogeneous and that they also utilize a longer fraction of systole to achieve peak axial strains. PMID:27042673

  16. Severe Brachial Plexus Injuries in American Football.

    PubMed

    Daly, Charles A; Payne, S Houston; Seiler, John G

    2016-11-01

    This article reports a series of severe permanent brachial plexus injuries in American football players. The authors describe the mechanisms of injury and outcomes from a more contemporary treatment approach in the form of nerve transfer tailored to the specific injuries sustained. Three cases of nerve transfer for brachial plexus injury in American football players are discussed in detail. Two of these patients regained functional use of the extremity, but 1 patient with a particularly severe injury did not regain significant function. Brachial plexus injuries are found along a spectrum of brachial plexus stretch or contusion that includes the injuries known as "stingers." Early identification of these severe brachial plexus injuries allows for optimal outcomes with timely treatment. Diagnosis of the place of a given injury along this spectrum is difficult and requires a combination of imaging studies, nerve conduction studies, and close monitoring of physical examination findings over time. Although certain patients may be at higher risk for stingers, there is no evidence to suggest that this correlates with a higher risk of severe brachial plexus injury. Unfortunately, no equipment or strengthening program has been shown to provide a protective effect against these severe injuries. Patients with more severe injuries likely have less likelihood of functional recovery. In these patients, nerve transfer for brachial plexus injury offers the best possibility of meaningful recovery without significant morbidity. [ Orthopedics. 2016; 39(6):e1188-e1192.].

  17. WAITING TIMES OF QUASI-HOMOLOGOUS CORONAL MASS EJECTIONS FROM SUPER ACTIVE REGIONS

    SciTech Connect

    Wang Yuming; Liu Lijuan; Shen Chenglong; Liu Rui; Ye Pinzhong; Wang, S.

    2013-02-01

    Why and how do some active regions (ARs) frequently produce coronal mass ejections (CMEs)? These are key questions for deepening our understanding of the mechanisms and processes of energy accumulation and sudden release in ARs and for improving our space weather prediction capability. Although some case studies have been performed, these questions are still far from fully answered. These issues are now being addressed statistically through an investigation of the waiting times of quasi-homologous CMEs from super ARs in solar cycle 23. It is found that the waiting times of quasi-homologous CMEs have a two-component distribution with a separation at about 18 hr. The first component is a Gaussian-like distribution with a peak at about 7 hr, which indicates a tight physical connection between these quasi-homologous CMEs. The likelihood of two or more occurrences of CMEs faster than 1200 km s{sup -1} from the same AR within 18 hr is about 20%. Furthermore, the correlation analysis among CME waiting times, CME speeds, and CME occurrence rates reveals that these quantities are independent of each other, suggesting that the perturbation by preceding CMEs rather than free energy input is the direct cause of quasi-homologous CMEs. The peak waiting time of 7 hr probably characterizes the timescale of the growth of the instabilities triggered by preceding CMEs. This study uncovers some clues from a statistical perspective for us to understand quasi-homologous CMEs as well as CME-rich ARs.

  18. Estimating Travel Times of Coronal Mass Ejections to 1 AU Using Multi-spacecraft Coronagraph Data

    NASA Astrophysics Data System (ADS)

    Kilpua, E. K. J.; Mierla, M.; Rodriguez, L.; Zhukov, A. N.; Srivastava, N.; West, M. J.

    2012-08-01

    We study the relationship between the speeds of coronal mass ejections (CMEs) obtained close to the Sun and in the interplanetary medium during the low solar-activity period from 2008 to 2010. We use a multi-spacecraft forward-modeling technique to fit a flux-rope-like model to white-light coronagraph images from the STEREO and SOHO spacecraft to estimate the geometrical configuration, propagation in three-dimensions (3D), and the radial speeds of the observed CMEs. The 3D speeds obtained in this way are used in existing CME travel-time prediction models. The results are compared to the actual CME transit times from the Sun to STEREO, ACE, and Wind spacecraft as well as to the transit times calculated using projected CME speeds. CME 3D speeds give slightly better predictions than projected CME speeds, but a large scatter is observed between the predicted and observed travel times, even when 3D speeds are used. We estimate the possible sources of errors and find a weak tendency for large interplanetary CMEs (ICMEs) with high magnetic fields to arrive faster than predicted and small, low-magnetic-field ICMEs to arrive later than predicted. The observed CME transit times from the Sun to 1 AU show a particularly good correlation with the upstream solar-wind speed. Similar trends have not been observed in previous studies using data sets near solar maximum. We suggest that near solar minimum a relatively narrow range of CME initial speeds, sizes, and magnetic-field magnitudes led to a situation where aerodynamic drag between CMEs and ambient solar wind was the primary cause of variations in CME arrival times from the Sun to 1 AU.

  19. Real-time Ensemble Forecasting of Coronal Mass Ejections using the WSA-ENLIL+Cone Model

    NASA Astrophysics Data System (ADS)

    Mays, M. L.; Taktakishvili, A.; Pulkkinen, A. A.; MacNeice, P. J.; Rastaetter, L.; Kuznetsova, M. M.; Odstrcil, D.

    2013-12-01

    Ensemble forecasting of coronal mass ejections (CMEs) provides significant information in that it provides an estimation of the spread or uncertainty in CME arrival time predictions due to uncertainties in determining CME input parameters. Ensemble modeling of CME propagation in the heliosphere is performed by forecasters at the Space Weather Research Center (SWRC) using the WSA-ENLIL cone model available at the Community Coordinated Modeling Center (CCMC). SWRC is an in-house research-based operations team at the CCMC which provides interplanetary space weather forecasting for NASA's robotic missions and performs real-time model validation. A distribution of n (routinely n=48) CME input parameters are generated using the CCMC Stereo CME Analysis Tool (StereoCAT) which employs geometrical triangulation techniques. These input parameters are used to perform n different simulations yielding an ensemble of solar wind parameters at various locations of interest (satellites or planets), including a probability distribution of CME shock arrival times (for hits), and geomagnetic storm strength (for Earth-directed hits). Ensemble simulations have been performed experimentally in real-time at the CCMC since January 2013. We present the results of ensemble simulations for a total of 15 CME events, 10 of which were performed in real-time. The observed CME arrival was within the range of ensemble arrival time predictions for 5 out of the 12 ensemble runs containing hits. The average arrival time prediction was computed for each of the twelve ensembles predicting hits and using the actual arrival time an average absolute error of 8.20 hours was found for all twelve ensembles, which is comparable to current forecasting errors. Some considerations for the accuracy of ensemble CME arrival time predictions include the importance of the initial distribution of CME input parameters, particularly the mean and spread. When the observed arrivals are not within the predicted range, this

  20. Recurrent brachial plexus neuropathy.

    PubMed

    Bradley, W G; Madrid, R; Thrush, D C; Campbell, M J

    1975-09-01

    The clinical, electrophysiological and pathological changes in 3 patients with recurrent attacks of non-traumatic brachial plexus neuropathy have been described. Two had recurrent attacks and a dominant family history of similar attacks, together with evidence of lesser degrees of nerve involvement outside the brachial plexus. In one patient the attacks were moderately painful, while in the other there was little or no pain. Only one showed undue slowing of motor nerve conduction during ischaemia, but in both cases the sural nerves had the changes of tomaculous neuropathy, with many sausage-shaped swellings of the myelin sheaths, and extensive segmental demyelination and remyelination. The third patient had two attacks of acute brachial plexus neuropathy which were both extremely painful. The clinical features were compatible with a diagnosis of neuralgic amuotrophy. In the second attack, there was vagus nerve involvement and the sural nerve showed evidence of healed extensive segmental demyelination. The various syndromes presenting with acute non-traumatic brachial plexus neuropathy are reviewed, and a tentative nonsological classification advanced. Most patients fall into the category of acute, painful paralysis with amyotrophy, with no family history and no evidence of lesions outside the brachial plexus. It is suggested that the term "neuralgic amyotrophy" be restricted to this group. Patients with features outside this clinical picture probably suffer from other disease entities presenting with brachial plexus neuropathy. The familial cases constitute one or more aetioliogical subgroups, differing from neuralgic amyotrophy in the frequency of recurrences, the relative freedom from pain in the attacks, the frequency of nerve lesions outside the brachial plexus, and of hypotelorism. Individual attacks of acute brachial plexus neuropathy, however, may be identical in patients with the different diseases, and further pathological and biochemical studies are

  1. Ejection of the Massive Hydrogen-rich Envelope Timed with the Collapse of the Stripped SN 2014C

    NASA Astrophysics Data System (ADS)

    Margutti, Raffaella; Kamble, A.; Milisavljevic, D.; Zapartas, E.; de Mink, S. E.; Drout, M.; Chornock, R.; Risaliti, G.; Zauderer, B. A.; Bietenholz, M.; Cantiello, M.; Chakraborti, S.; Chomiuk, L.; Fong, W.; Grefenstette, B.; Guidorzi, C.; Kirshner, R.; Parrent, J. T.; Patnaude, D.; Soderberg, A. M.; Gehrels, N. C.; Harrison, F.

    2017-02-01

    We present multi-wavelength observations of SN 2014C during the first 500 days. These observations represent the first solid detection of a young extragalactic stripped-envelope SN out to high-energy X-rays ∼40 keV. SN 2014C shows ordinary explosion parameters (Ek ∼ 1.8 × 1051 erg and Mej ∼ 1.7 M⊙). However, over an ∼1 year timescale, SN 2014C evolved from an ordinary hydrogen-poor supernova into a strongly interacting, hydrogen-rich supernova, violating the traditional classification scheme of type-I versus type-II SNe. Signatures of the SN shock interaction with a dense medium are observed across the spectrum, from radio to hard X-rays, and revealed the presence of a massive shell of ∼1 M⊙ of hydrogen-rich material at ∼6 × 1016 cm. The shell was ejected by the progenitor star in the decades to centuries before collapse. This result challenges current theories of massive star evolution, as it requires a physical mechanism responsible for the ejection of the deepest hydrogen layer of H-poor SN progenitors synchronized with the onset of stellar collapse. Theoretical investigations point at binary interactions and/or instabilities during the last nuclear burning stages as potential triggers of the highly time-dependent mass loss. We constrain these scenarios utilizing the sample of 183 SNe Ib/c with public radio observations. Our analysis identifies SN 2014C-like signatures in ∼10% of SNe. This fraction is reasonably consistent with the expectation from the theory of recent envelope ejection due to binary evolution if the ejected material can survive in the close environment for 103–104 years. Alternatively, nuclear burning instabilities extending to core C-burning might play a critical role.

  2. Obstetrical brachial plexus palsy.

    PubMed

    Romaña, M C; Rogier, A

    2013-01-01

    Obstetrical brachial plexus palsy is considered to be the result of a trauma during the delivery, even if there remains some controversy surrounding the causes. Although most babies recover spontaneously in the first 3 months of life, a small number remains with poor recovery which requires surgical brachial plexus exploration. Surgical indications depend on the type of lesion (producing total or partial palsy) and particularly the nonrecovery of biceps function by the age of 3 months. In a global palsy, microsurgery will be mandatory and the strategy for restoration will focus first on hand reinnervation and secondarily on providing elbow flexion and shoulder stability. Further procedures may be necessary during growth in order to avoid fixed contractured deformities or to give or increase strength of important muscle functions like elbow flexion or wrist extension. The author reviews the history of obstetrical brachial plexus injury, epidemiology, and the specifics of descriptive and functional anatomy in babies and children. Clinical manifestations at birth are directly correlated with the anatomical lesion. Finally, operative procedures are considered, including strategies of reconstruction with nerve grafting in infants and secondary surgery to increase functional capacity at later ages. However, normal function is usually not recovered, particularly in total brachial plexus palsy.

  3. Modification over time of pulse wave velocity parallel to changes in aortic BP, as well as in 24-h ambulatory brachial BP.

    PubMed

    Oliveras, A; Segura, J; Suarez, C; García-Ortiz, L; Abad-Cardiel, M; Vigil, L; Gómez-Marcos, M A; Sans Atxer, L; Martell-Claros, N; Ruilope, L M; de la Sierra, A

    2016-03-01

    Arterial stiffness as assessed by carotid-femoral pulse wave velocity (cfPWV) is a marker of preclinical organ damage and a predictor of cardiovascular outcomes, independently of blood pressure (BP). However, limited evidence exists on the association between long-term variation (Δ) on aortic BP (aoBP) and ΔcfPWV. We aimed to evaluate the relationship of ΔBP with ΔcfPWV over time, as assessed by office and 24-h ambulatory peripheral BP, and aoBP. AoBP and cfPWV were evaluated in 209 hypertensive patients with either diabetes or metabolic syndrome by applanation tonometry (Sphygmocor) at baseline(b) and at 12 months of follow-up(fu). Peripheral BP was also determined by using validated oscillometric devices (office(o)-BP) and on an outpatient basis by using a validated (Spacelabs-90207) device (24-h ambulatory BP). ΔcfPWV over time was calculated as follows: ΔcfPWV=[(cfPWVfu-cfPWVb)/cfPWVb] × 100. ΔBP over time resulted from the same formula applied to BP values obtained with the three different measurement techniques. Correlations (Spearman 'Rho') between ΔBP and ΔcfPWV were calculated. Mean age was 62 years, 39% were female and 80% had type 2 diabetes. Baseline office brachial BP (mm Hg) was 143±20/82±12. Follow-up (12 months later) office brachial BP (mm Hg) was 136±20/79±12. ΔcfPWV correlated with ΔoSBP (Rho=0.212; P=0.002), Δ24-h SBP (Rho=0.254; P<0.001), Δdaytime SBP (Rho=0.232; P=0.001), Δnighttime SBP (Rho=0.320; P<0.001) and ΔaoSBP (Rho=0.320; P<0.001). A multiple linear regression analysis included the following independent variables: ΔoSBP, Δ24-h SBP, Δdaytime SBP, Δnighttime SBP and ΔaoSBP. ΔcfPWV was independently associated with Δ24-h SBP (β-coefficient=0.195; P=0.012) and ΔaoSBP (β-coefficient= 0.185; P=0.018). We conclude that changes in both 24-h SBP and aoSBP more accurately reflect changes in arterial stiffness than do office BP measurements.

  4. Ejection time-corrected systolic velocity improves accuracy in the evaluation of myocardial dysfunction: a study in piglets.

    PubMed

    Odland, Hans Henrik; Kro, Grete Anette Birkeland; Munkeby, Berit H; Edvardsen, Thor; Saugstad, Ola Didrik; Thaulow, Erik

    2010-10-01

    This study aimed to assess the effect of correcting for the impact of heart rate (HR) or ejection time (ET) on myocardial velocities in the long axis in piglets undergoing hypoxia. The ability to eject a higher volume at a fixed ET is a characteristic of contractility in the heart. Systolic velocity of the atrioventricular annulus displacement is directly related to volume changes of the ventricle. Both ET and systolic velocity may be measured in a single heartbeat. In 29 neonatal pigs, systolic velocity and ET were measured with tissue Doppler techniques in the mitral valve annulus, the tricuspid valve annulus, and the septum. All ejection time corrected velocities (S((ET)), mean ± SEM, cm/s) decreased significantly during hypoxia (S(mva(ET)) 15.5 ± 0.2 to 13.2 ± 0.3 (p < 0.001), S(septal(ET)) 9.9 ± 0.1 to 7.8 ± 0.2 (p < 0.001), S(tva(ET)) 12.1 ± 0.2 to 9.8 ± 0.3 (p < 0.001)). The magnitude of change from baseline to hypoxia was greater for ejection time corrected systolic velocities than for RR-interval corrected velocities (mean ± SEM, cm/s); ΔS(mva(ET)) 2.3 ± 2.0 vs. ΔS(mva(RR)) 1.6 ± 1.1 (p = 0.02), ΔS(septal(ET)) 2.1 ± 1.0 vs. ΔS(septal(RR)) 1.6 ± 1.0 (p < 0.01), ΔS(tva(ET)) 2.3 ± 1.1 vs. ΔS(tva(RR)) 1.8 ± 1.3 (p = 0.04). The receiver operator characteristic (ROC) showed superior performance of S((ET)) compared with uncorrected velocities. The decrease in S((ET)) during hypoxia was not influenced by important hemodynamic determinants. ET-corrected systolic velocity improves accuracy and decreases variability in the evaluation of systolic longitudinal function and contractility during global hypoxia in neonatal pigs compared with systolic velocity alone. It is robust toward hemodynamic changes. This novel method has the potential of becoming a useful tool in clinical practice.

  5. Determination of left ventricular volume, ejection fraction, and myocardial mass by real-time three-dimensional echocardiography

    NASA Technical Reports Server (NTRS)

    Qin, J. X.; Shiota, T.; Thomas, J. D.

    2000-01-01

    Reconstructed three-dimensional (3-D) echocardiography is an accurate and reproducible method of assessing left ventricular (LV) functions. However, it has limitations for clinical study due to the requirement of complex computer and echocardiographic analysis systems, electrocardiographic/respiratory gating, and prolonged imaging times. Real-time 3-D echocardiography has a major advantage of conveniently visualizing the entire cardiac anatomy in three dimensions and of potentially accurately quantifying LV volumes, ejection fractions, and myocardial mass in patients even in the presence of an LV aneurysm. Although the image quality of the current real-time 3-D echocardiographic methods is not optimal, its widespread clinical application is possible because of the convenient and fast image acquisition. We review real-time 3-D echocardiographic image acquisition and quantitative analysis for the evaluation of LV function and LV mass.

  6. Posterior subscapular dissection: An improved approach to the brachial plexus for human anatomy students.

    PubMed

    Hager, Shaun; Backus, Timothy Charles; Futterman, Bennett; Solounias, Nikos; Mihlbachler, Matthew C

    2014-05-01

    Students of human anatomy are required to understand the brachial plexus, from the proximal roots extending from spinal nerves C5 through T1, to the distal-most branches that innervate the shoulder and upper limb. However, in human cadaver dissection labs, students are often instructed to dissect the brachial plexus using an antero-axillary approach that incompletely exposes the brachial plexus. This approach readily exposes the distal segments of the brachial plexus but exposure of proximal and posterior segments require extensive dissection of neck and shoulder structures. Therefore, the proximal and posterior segments of the brachial plexus, including the roots, trunks, divisions, posterior cord and proximally branching peripheral nerves often remain unobserved during study of the cadaveric shoulder and brachial plexus. Here we introduce a subscapular approach that exposes the entire brachial plexus, with minimal amount of dissection or destruction of surrounding structures. Lateral retraction of the scapula reveals the entire length of the brachial plexus in the subscapular space, exposing the brachial plexus roots and other proximal segments. Combining the subscapular approach with the traditional antero-axillary approach allows students to observe the cadaveric brachial plexus in its entirety. Exposure of the brachial dissection in the subscapular space requires little time and is easily incorporated into a preexisting anatomy lab curriculum without scheduling additional time for dissection.

  7. Traumatic Brachial Artery Injuries

    PubMed Central

    Ergunes, Kazim; Yilik, Levent; Ozsoyler, Ibrahim; Kestelli, Mert; Ozbek, Cengiz; Gurbuz, Ali

    2006-01-01

    We performed this retrospective study to analyze our strategies for managing and surgically treating brachial artery injuries. Fifty-seven patients with a total of 58 traumatic brachial artery injuries underwent surgery at our institution, from August 1996 through November 2004. Fifty-four patients were male and 3 were female (age range, 7 to 75 years; mean, 29.4 years). Forty-four of the patients had penetrating injuries (18 had stab wounds; 16, window glass injuries; and 10, industrial accidents), 10 had blunt trauma injuries (traffic accidents), and 3 had gunshot injuries. Fourteen patients (24.6%) had peripheral nerve injury. All patients underwent Doppler ultrasonographic examination. The repair of the 58 arterial injuries involved end-to-end anastomosis for 32 injuries (55.2%), reverse saphenous vein graft interpositional grafts for 18 (31%), and primary repair for 8 (13.8%). Venous continuity was achieved in 11 (84.6%) of 13 patients who had major venous injuries. Nine of the 57 patients (15.8%) required primary fasciotomy. Follow-up showed that 5 of the 14 patients with peripheral nerve injury had apparent disabilities due to nerve injury. One patient underwent amputation. There were no deaths. We believe that good results can be achieved in patients with brachial artery injuries by use of careful physical examination, Doppler ultrasonography, and restoration of viability with vascular repair and dbridement of nonviable tissues. Traumatic neurologic injury frequently leads to disability of the extremities. PMID:16572866

  8. Connecting speeds, directions and arrival times of 22 coronal mass ejections from the sun to 1 AU

    SciTech Connect

    Möstl, C.; Veronig, A. M.; Rollett, T.; Temmer, M.; Peinhart, V.; Amla, K.; Hall, J. R.; Liewer, P. C.; De Jong, E. M.; Colaninno, R. C.; Davies, J. A.; Harrison, R. A.; Lugaz, N.; Farrugia, C. J.; Galvin, A. B.; Liu, Y. D.; Luhmann, J. G.; Vršnak, B.

    2014-06-01

    Forecasting the in situ properties of coronal mass ejections (CMEs) from remote images is expected to strongly enhance predictions of space weather and is of general interest for studying the interaction of CMEs with planetary environments. We study the feasibility of using a single heliospheric imager (HI) instrument, imaging the solar wind density from the Sun to 1 AU, for connecting remote images to in situ observations of CMEs. We compare the predictions of speed and arrival time for 22 CMEs (in 2008-2012) to the corresponding interplanetary coronal mass ejection (ICME) parameters at in situ observatories (STEREO PLASTIC/IMPACT, Wind SWE/MFI). The list consists of front- and backsided, slow and fast CMEs (up to 2700 km s{sup –1}). We track the CMEs to 34.9 ± 7.1 deg elongation from the Sun with J maps constructed using the SATPLOT tool, resulting in prediction lead times of –26.4 ± 15.3 hr. The geometrical models we use assume different CME front shapes (fixed-Φ, harmonic mean, self-similar expansion) and constant CME speed and direction. We find no significant superiority in the predictive capability of any of the three methods. The absolute difference between predicted and observed ICME arrival times is 8.1 ± 6.3 hr (rms value of 10.9 hr). Speeds are consistent to within 284 ± 288 km s{sup –1}. Empirical corrections to the predictions enhance their performance for the arrival times to 6.1 ± 5.0 hr (rms value of 7.9 hr), and for the speeds to 53 ± 50 km s{sup –1}. These results are important for Solar Orbiter and a space weather mission positioned away from the Sun-Earth line.

  9. Material ejection

    NASA Technical Reports Server (NTRS)

    Webb, David F.; Forbes, Terry G.; Aurass, Henry; Chen, James; Martens, Piet; Rompolt, Bogdan; Rusin, Vojtech; Martin, Sara F.

    1994-01-01

    This paper reviews the major discussions and conclusions of the Flares 22 Workshop concerning the physical processes involved in mass ejecta events, with an emphasis on large-scale phenomena, especially Coronal Mass Ejections (CMEs). New insights have been gained from recent data obtained from the Solar Maximum Mission (SMM) and Yohkoh spacecraft and from several new ground-based radio and optical instruments, as well as from theoretical advances concerning the origins, driving mechanisms and long-term evolution of CMEs.

  10. Improving an Empirical Prediction of the Transit Time of Coronal Mass Ejections from the Sun to the Earth

    NASA Astrophysics Data System (ADS)

    Biesecker, D. A.; Murtagh, W. J.; Zezula, D. J.; Arge, C. N.

    2005-05-01

    At the 2004 AAS/SPD meeting, we presented initial results of an attempt to predict (or forecast) the arrival of Earth-directed coronal mass ejections at Earth. Our initial work, following closely on that of Gopalswamy et al. (2000, 2001), incorporated knowledge of the solar wind conditions at the time of the CME and of the source location. This resulted in an improvement in forecast accuracy over Gopalswamy et al. by 25% (2.6 hours). At the time of presenting these results, we discussed potential improvements to the prediction algorithm. First, we proposed to complete a more sophisticated incorporation of solar wind data. The initial study used the solar wind speed measured at ACE at the time of the launch of the CME as a proxy for the solar wind speed encountered by the CME as it travels towards Earth. In this poster, we improve on this by incorporating the Wang-Sheeley-Arge solar wind speed model to model the actual solar wind encountered by the CME through its entire transit from the Sun to the Earth. Second, the initial study used Sudden Impulse (SI) times as the measure for CME arrival at Earth. While this is a useful measure to use to provide a meaningful forecast, it makes comparison with other transit time predictions more difficult. Therefore, in addition to predicting the time until the SI begins, we also show how well we can predict when the associated shock arrives at L1.

  11. Correlation Analyses Between the Characteristic Times of Gradual Solar Energetic Particle Events and the Properties of Associated Coronal Mass Ejections

    NASA Astrophysics Data System (ADS)

    Pan, Z. H.; Wang, C. B.; Wang, Yuming; Xue, X. H.

    2011-06-01

    It is generally believed that gradual solar energetic particles (SEPs) are accelerated by shocks associated with coronal mass ejections (CMEs). Using an ice-cream cone model, the radial speed and angular width of 95 CMEs associated with SEP events during 1998 - 2002 are calculated from SOHO/LASCO observations. Then, we investigate the relationships between the kinematic properties of these CMEs and the characteristic times of the intensity-time profile of their accompanied SEP events observed at 1 AU. These characteristic times of SEP are i) the onset time from the accompanying CME eruption at the Sun to the SEP arrival at 1 AU, ii) the rise time from the SEP onset to the time when the SEP intensity is one-half of peak intensity, and iii) the duration over which the SEP intensity is within a factor of two of the peak intensity. It is found that the onset time has neither significant correlation with the radial speed nor with the angular width of the accompanying CME. For events that are poorly connected to the Earth, the SEP rise time and duration have no significant correlation with the radial speed and angular width of the associated CMEs. However, for events that are magnetically well connected to the Earth, the SEP rise time and duration have significantly positive correlations with the radial speed and angular width of the associated CMEs. This indicates that a CME event with wider angular width and higher speed may more easily drive a strong and wide shock near to the Earth-connected interplanetary magnetic field lines, may trap and accelerate particles for a longer time, and may lead to longer rise time and duration of the ensuing SEP event.

  12. Validation of Real-time Modeling of Coronal Mass Ejections Using the WSA-ENLIL+Cone Heliospheric Model

    NASA Astrophysics Data System (ADS)

    Romano, M.; Mays, M. L.; Taktakishvili, A.; MacNeice, P. J.; Zheng, Y.; Pulkkinen, A. A.; Kuznetsova, M. M.; Odstrcil, D.

    2013-12-01

    Modeling coronal mass ejections (CMEs) is of great interest to the space weather research and forecasting communities. We present recent validation work of real-time CME arrival time predictions at different satellites using the WSA-ENLIL+Cone three-dimensional MHD heliospheric model available at the Community Coordinated Modeling Center (CCMC) and performed by the Space Weather Research Center (SWRC). SWRC is an in-house research-based operations team at the CCMC which provides interplanetary space weather forecasting for NASA's robotic missions and performs real-time model validation. The quality of model operation is evaluated by comparing its output to a measurable parameter of interest such as the CME arrival time and geomagnetic storm strength. The Kp index is calculated from the relation given in Newell et al. (2007), using solar wind parameters predicted by the WSA-ENLIL+Cone model at Earth. The CME arrival time error is defined as the difference between the predicted arrival time and the observed in-situ CME shock arrival time at the ACE, STEREO A, or STEREO B spacecraft. This study includes all real-time WSA-ENLIL+Cone model simulations performed between June 2011-2013 (over 400 runs) at the CCMC/SWRC. We report hit, miss, false alarm, and correct rejection statistics for all three spacecraft. For hits we show the average absolute CME arrival time error, and the dependence of this error on CME input parameters such as speed, width, and direction. We also present the predicted geomagnetic storm strength (using the Kp index) error for Earth-directed CMEs.

  13. Treatment Options for Brachial Plexus Injuries

    PubMed Central

    Sakellariou, Vasileios I.; Badilas, Nikolaos K.; Stavropoulos, Nikolaos A.; Mazis, George; Kotoulas, Helias K.; Kyriakopoulos, Stamatios; Tagkalegkas, Ioannis; Sofianos, Ioannis P.

    2014-01-01

    The incidence of brachial plexus injuries is rapidly growing due to the increasing number of high-speed motor-vehicle accidents. These are devastating injuries leading to significant functional impairment of the patients. The purpose of this review paper is to present the available options for conservative and operative treatment and discuss the correct timing of intervention. Reported outcomes of current management and future prospects are also analysed. PMID:24967125

  14. [Ankle brachial index measurement].

    PubMed

    Rucigaj, Tanja Planinsek

    2014-10-01

    Ultrasound examinations are noninvasive diagnostic methods which, along with appropriate history and clinical examination, provide basic information on the etiology and spread of the disease, as well as on treatment options required in patients with chronic venous insufficiency and arterial flow impairment. Doppler flow meter offers useful data on venous blood return, primarily in great veins, while both deep and superficial veins as well as arteries can be visualized and data on venous and arterial hemodynamics obtained by duplex ultrasonography. In addition, Doppler flow meter provides data on the peripheral arterial system action through ankle brachial index measurement, which will guide the choice of compression therapy when deciding on the treatment of peripheral arterial disease and mixed arteriovenous leg ulcers. However, diagnosis of arterial insufficiency requires additional examinations.

  15. Determination of left ventricular ejection fraction by visual estimation during real-time two-dimensional echocardiography

    SciTech Connect

    Rich, S.; Sheikh, A.; Gallastegui, J.; Kondos, G.T.; Mason, T.; Lam, W.

    1982-09-01

    It has been shown that the measured reduction in the cross-sectional area of the left ventricle (LV), as viewed in the short axis, closely approximates its ejection fraction (EF). We assessed the reliability of using two-dimensional echocardiography (2DE) to visually estimate the EF during real-time viewing, without the need of digitizers, planimetry, or calculations. Twenty-five adult hospitalized patients with either suspected or known cardiac disease were evaluated prospectively. Each patient also had gated nuclear angiography during the same admission, and 14 had cardiac catheterization with left ventriculography. The EF was determined by 2DE using a visual estimate of the percent area reduction of the LV cavity in the short-axis view at the level of the papillary muscles. All 2 DE studies were read by two or more blinded reviewers, with a value for the EF to the nearest 2.5% determined by consensus. These values correlated closely to the values determined in all 25 patients with gated nuclear angiography (r . 0.927) and the 14 patients who had left ventriculography (r . 0.935). We believe that this method of visually estimating the LVEF will enable echocardiographers to easily use 2 DE for a reliable and instantaneous assessment of ventricular function, without the need of sophisticated analytical equipment.

  16. Brachial plexus injury in newborns

    MedlinePlus

    Gentle massage of the arm and range-of-motion exercises are recommended for mild cases. The infant ... the American College of Obstetricians and Gynecologists' Task Force on Neonatal Brachial Plexus Palsy. Obstet Gynecol . 2014 ...

  17. Ejection Fraction: What Does It Measure?

    MedlinePlus

    ... does the term "ejection fraction" mean? What does it measure? Answers from Rekha Mankad, M.D. Ejection fraction ... percentage of blood leaving your heart each time it contracts. During each heartbeat pumping cycle, the heart ...

  18. Coronal Mass Ejections

    NASA Astrophysics Data System (ADS)

    Crooker, Nancy; Joselyn, Jo Ann; Feynman, Joan

    The early 1970's can be said to mark the beginning of The Enlightenment in the history of the Space Age, literally as well as by analogy to European history. Instruments blinded by Earth's atmosphere were lifted above and, for the first time, saw clearly and continuously the ethereal white light and sparkling x-rays from the solar corona. From these two bands of the light spectrum came images of coronal mass ejections and coronal holes, respectively. But whereas coronal holes were immediately identified as the source of high-speed solar wind streams, at first coronal mass ejections were greeted only by a sense of wonder. It took years of research to identify their signatures in the solar wind before the fastest ones could be identified with the well-known shock disturbances that cause the most violent space storms.

  19. MRI of the Brachial Plexus: Modified Imaging Technique Leading to a Better Characterization of Its Anatomy and Pathology

    PubMed Central

    Torres, Carlos; Mailley, Kathleen; del Carpio O’Donovan, Raquel

    2013-01-01

    Summary Magnetic resonance imaging (MRI) is the imaging modality of choice for the evaluation of the brachial plexus due to its superior soft tissue resolution and multiplanar capabilities. The evaluation of the brachial plexus however represents a diagnostic challenge for the clinician and the radiologist. The imaging assessment of the brachial plexus, in particular, has been traditionally challenging due to the complexity of its anatomy, its distribution in space and due to technical factors. Herein, we describe a modified technique used in our institution for the evaluation of the brachial plexus which led to a substantial decrease in scanning time and to better visualization of all the segments of the brachial plexus from the roots to the branches, in only one or two images, facilitating therefore the understanding of the anatomy and the interpretation of the study. To our knowledge, we are the first group to describe this technique of imaging the brachial plexus. We illustrate the benefit of this modified technique with an example of a patient with a lesion in the proximal branches of the left brachial plexus that was clinically suspected but missed on conventional brachial plexus imaging for six consecutive years. In addition, we review the common and infrequent benign and malignant pathology that can affect the brachial plexus. PMID:24355190

  20. Dose Constraints to Prevent Radiation-Induced Brachial Plexopathy in Patients Treated for Lung Cancer

    SciTech Connect

    Amini, Arya; Yang Jinzhong; Williamson, Ryan; McBurney, Michelle L.; Erasmus, Jeremy; Allen, Pamela K.; Karhade, Mandar; Komaki, Ritsuko; Liao, Zhongxing; Gomez, Daniel; Cox, James; Dong, Lei; Welsh, James

    2012-03-01

    Purpose: As the recommended radiation dose for non-small-cell lung cancer (NSCLC) increases, meeting dose constraints for critical structures like the brachial plexus becomes increasingly challenging, particularly for tumors in the superior sulcus. In this retrospective analysis, we compared dose-volume histogram information with the incidence of plexopathy to establish the maximum dose tolerated by the brachial plexus. Methods and Materials: We identified 90 patients with NSCLC treated with definitive chemoradiation from March 2007 through September 2010, who had received >55 Gy to the brachial plexus. We used a multiatlas segmentation method combined with deformable image registration to delineate the brachial plexus on the original planning CT scans and scored plexopathy according to Common Terminology Criteria for Adverse Events version 4.03. Results: Median radiation dose to the brachial plexus was 70 Gy (range, 56-87.5 Gy; 1.5-2.5 Gy/fraction). At a median follow-up time of 14.0 months, 14 patients (16%) had brachial plexopathy (8 patients [9%] had Grade 1, and 6 patients [7%] had Grade {>=}2); median time to symptom onset was 6.5 months (range, 1.4-37.4 months). On multivariate analysis, receipt of a median brachial plexus dose of >69 Gy (odds ratio [OR] 10.091; 95% confidence interval [CI], 1.512-67.331; p = 0.005), a maximum dose of >75 Gy to 2 cm{sup 3} of the brachial plexus (OR, 4.909; 95% CI, 0.966-24.952; p = 0.038), and the presence of plexopathy before irradiation (OR, 4.722; 95% CI, 1.267-17.606; p = 0.021) were independent predictors of brachial plexopathy. Conclusions: For lung cancers near the apical region, brachial plexopathy is a major concern for high-dose radiation therapy. We developed a computer-assisted image segmentation method that allows us to rapidly and consistently contour the brachial plexus and establish the dose limits to minimize the risk of brachial plexopathy. Our results could be used as a guideline in future prospective

  1. Characteristic Times of Gradual Solar Energetic Particle Events and Their Dependence on Associated Coronal Mass Ejection Properties

    DTIC Science & Technology

    2005-08-01

    2. REPORT TYPE 3. DATES COVERED (From - To) 01-08-2005 REPRINT 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER Characteristic Times of Gradual Solar ...coronagraph on SOHO observed during 1998-2002 to statistically determine three characteristic times of gradual solar energetic particle (SEP) events as...functions of solar source longitude: (1) To, the time from associated CME launch to SEP onset at I AU, (2) TR, the rise time from SEO onset to the time when

  2. Using the GPS to Improve Trajectory Position and Velocity Determination During Real-Time Ejection Seat Test and Evaluation

    DTIC Science & Technology

    2003-02-01

    fall testing or riding a roller coaster with the dual DIVEPACS could provide 73 more information on the DIVEPACS reacquisition time after loss of...20 GPS Receiver Tracking Loops .............................................................................................. 20 Differential GPS...19 Figure 9. Tracking Loops

  3. A Linear Relationship between Crystal Size and Fragment Binding Time Observed Crystallographically: Implications for Fragment Library Screening Using Acoustic Droplet Ejection

    PubMed Central

    Birone, Claire; Brown, Maria; Hernandez, Jesus; Neff, Sherry; Williams, Daniel; Allaire, Marc; Orville, Allen M.; Sweet, Robert M.; Soares, Alexei S.

    2014-01-01

    High throughput screening technologies such as acoustic droplet ejection (ADE) greatly increase the rate at which X-ray diffraction data can be acquired from crystals. One promising high throughput screening application of ADE is to rapidly combine protein crystals with fragment libraries. In this approach, each fragment soaks into a protein crystal either directly on data collection media or on a moving conveyor belt which then delivers the crystals to the X-ray beam. By simultaneously handling multiple crystals combined with fragment specimens, these techniques relax the automounter duty-cycle bottleneck that currently prevents optimal exploitation of third generation synchrotrons. Two factors limit the speed and scope of projects that are suitable for fragment screening using techniques such as ADE. Firstly, in applications where the high throughput screening apparatus is located inside the X-ray station (such as the conveyor belt system described above), the speed of data acquisition is limited by the time required for each fragment to soak into its protein crystal. Secondly, in applications where crystals are combined with fragments directly on data acquisition media (including both of the ADE methods described above), the maximum time that fragments have to soak into crystals is limited by evaporative dehydration of the protein crystals during the fragment soak. Here we demonstrate that both of these problems can be minimized by using small crystals, because the soak time required for a fragment hit to attain high occupancy depends approximately linearly on crystal size. PMID:24988328

  4. A linear relationship between crystal size and fragment binding time observed crystallographically: implications for fragment library screening using acoustic droplet ejection.

    PubMed

    Cole, Krystal; Roessler, Christian G; Mulé, Elizabeth A; Benson-Xu, Emma J; Mullen, Jeffrey D; Le, Benjamin A; Tieman, Alanna M; Birone, Claire; Brown, Maria; Hernandez, Jesus; Neff, Sherry; Williams, Daniel; Allaire, Marc; Orville, Allen M; Sweet, Robert M; Soares, Alexei S

    2014-01-01

    High throughput screening technologies such as acoustic droplet ejection (ADE) greatly increase the rate at which X-ray diffraction data can be acquired from crystals. One promising high throughput screening application of ADE is to rapidly combine protein crystals with fragment libraries. In this approach, each fragment soaks into a protein crystal either directly on data collection media or on a moving conveyor belt which then delivers the crystals to the X-ray beam. By simultaneously handling multiple crystals combined with fragment specimens, these techniques relax the automounter duty-cycle bottleneck that currently prevents optimal exploitation of third generation synchrotrons. Two factors limit the speed and scope of projects that are suitable for fragment screening using techniques such as ADE. Firstly, in applications where the high throughput screening apparatus is located inside the X-ray station (such as the conveyor belt system described above), the speed of data acquisition is limited by the time required for each fragment to soak into its protein crystal. Secondly, in applications where crystals are combined with fragments directly on data acquisition media (including both of the ADE methods described above), the maximum time that fragments have to soak into crystals is limited by evaporative dehydration of the protein crystals during the fragment soak. Here we demonstrate that both of these problems can be minimized by using small crystals, because the soak time required for a fragment hit to attain high occupancy depends approximately linearly on crystal size.

  5. Brachial plexus lesions in patients with cancer: 100 cases

    SciTech Connect

    Kori, S.H.; Foley, K.M.; Posner, J.B.

    1981-01-01

    In patients with cancer, brachial plexus signs are usually caused by tumor infiltration or injury from radiation therapy (RT). We analyzed 100 cases of brachial plexopathy to determine which clinical criteria helped differentiate tumor from radiation injury. Seventy-eight patients had tumor and 22 had radiation injury. Severe pain occurred in 80% of tumor patients but in only 19% of patients with radiation injury. The lower trunk was involved in 72% of the tumors. Seventy-eight percent of the radiation injuries affected the upper plexus (C5-6). Horner syndrome was more common in tumor, and lymphedema in radiation injury. The time from RT to onset of plexus symptoms, and the dose of RT, also differed.

  6. Neurinomas of the brachial plexus: case report.

    PubMed

    Forte, A; Gallinaro, L S; Bertagni, A; Montesano, G; Prece, V; Illuminati, G

    1999-01-01

    Neurinomas, also referred to as neurilemmomas and schwannomas, are rare benign tumours of the peripheral nerves, a low proportion of which arise from the brachial plexus. Authors report a case of an ancient schwannoma arising from the brachial plexus. The tumour, usually asymptomatic, may cause sensory radicular symptoms, or rarely motor deficits in the involved arm. Enucleation of the tumour from the nerve without damage to any of the fascicles is the correct treatment.

  7. ARRIVAL TIME CALCULATION FOR INTERPLANETARY CORONAL MASS EJECTIONS WITH CIRCULAR FRONTS AND APPLICATION TO STEREO OBSERVATIONS OF THE 2009 FEBRUARY 13 ERUPTION

    SciTech Connect

    Moestl, C.; Rollett, T.; Temmer, M.; Veronig, A. M.; Biernat, H. K.; Lugaz, N.; Farrugia, C. J.; Galvin, A. B.; Davies, J. A.; Harrison, R. A.; Crothers, S.; Luhmann, J. G.; Zhang, T. L.; Baumjohann, W.

    2011-11-01

    One of the goals of the NASA Solar TErestrial RElations Observatory (STEREO) mission is to study the feasibility of forecasting the direction, arrival time, and internal structure of solar coronal mass ejections (CMEs) from a vantage point outside the Sun-Earth line. Through a case study, we discuss the arrival time calculation of interplanetary CMEs (ICMEs) in the ecliptic plane using data from STEREO/SECCHI at large elongations from the Sun in combination with different geometric assumptions about the ICME front shape [fixed-{Phi} (FP): a point and harmonic mean (HM): a circle]. These forecasting techniques use single-spacecraft imaging data and are based on the assumption of constant velocity and direction. We show that for the slow (350 km s{sup -1}) ICME on 2009 February 13-18, observed at quadrature by the two STEREO spacecraft, the results for the arrival time given by the HM approximation are more accurate by 12 hr than those for FP in comparison to in situ observations of solar wind plasma and magnetic field parameters by STEREO/IMPACT/PLASTIC, and by 6 hr for the arrival time at Venus Express (MAG). We propose that the improvement is directly related to the ICME front shape being more accurately described by HM for an ICME with a low inclination of its symmetry axis to the ecliptic. In this case, the ICME has to be tracked to >30{sup 0} elongation to obtain arrival time errors < {+-} 5 hr. A newly derived formula for calculating arrival times with the HM method is also useful for a triangulation technique assuming the same geometry.

  8. Lack of evidence of the effectiveness of primary brachial plexus surgery for infants (under the age of two years) diagnosed with obstetric brachial plexus palsy.

    PubMed

    Bialocerkowski, Andrea; Gelding, Bronwyn

    2006-12-01

    secondary deformities. Data collection and analysis  Two independent reviewers assessed the eligibility of each study for inclusion into the review, the study design used and its methodological quality. Where any disagreement occurred, consensus was reached by discussion. Studies were also assessed for clinical homogeneity by considering populations, interventions and outcomes. Where heterogeneity was present, synthesis was undertaken in a narrative format. Results  Twenty-one studies were included in the review. Most were ranked low on the hierarchy of evidence (no randomised controlled trials were found), and most had only fair methodological quality. Surgical intervention was variable, as were the eligibility criteria for surgery, the timing of surgery and the outcome instruments used to evaluate the effect of surgery. Therefore, it is difficult to draw conclusions regarding the effectiveness of primary brachial plexus surgery for infants with obstetric brachial plexus palsy. Conclusions  Although there is a wealth of information regarding the outcome following primary brachial plexus surgery it was not possible to determine whether this treatment is effective in increasing functional recovery in infants with obstetric brachial plexus palsy. Further research is required to develop standardised surgical criteria, and standardised outcome measures should be used at specific points in time during the recovery process to facilitate comparison between studies. Moreover, comparison groups are required to determine the relative effectiveness of surgery compared with other forms of management.

  9. Direct night-time ejection of particle-phase reduced biogenic sulfur compounds from the ocean to the atmosphere.

    PubMed

    Gaston, Cassandra J; Furutani, Hiroshi; Guazzotti, Sergio A; Coffee, Keith R; Jung, Jinyoung; Uematsu, Mitsuo; Prather, Kimberly A

    2015-04-21

    The influence of oceanic biological activity on sea spray aerosol composition, clouds, and climate remains poorly understood. The emission of organic material and gaseous dimethyl sulfide (DMS) from the ocean represents well-documented biogenic processes that influence particle chemistry in marine environments. However, the direct emission of particle-phase biogenic sulfur from the ocean remains largely unexplored. Here we present measurements of ocean-derived particles containing reduced sulfur, detected as elemental sulfur ions (e.g., (32)S(+), (64)S2(+)), in seven different marine environments using real-time, single particle mass spectrometry; these particles have not been detected outside of the marine environment. These reduced sulfur compounds were associated with primary marine particle types and wind speeds typically between 5 and 10 m/s suggesting that these particles themselves are a primary emission. In studies with measurements of seawater properties, chlorophyll-a and atmospheric DMS concentrations were typically elevated in these same locations suggesting a biogenic source for these sulfur-containing particles. Interestingly, these sulfur-containing particles only appeared at night, likely due to rapid photochemical destruction during the daytime, and comprised up to ∼67% of the aerosol number fraction, particularly in the supermicrometer size range. These sulfur-containing particles were detected along the California coast, across the Pacific Ocean, and in the southern Indian Ocean suggesting that these particles represent a globally significant biogenic contribution to the marine aerosol burden.

  10. Brachial artery aneurysms associated with arteriovenous access for hemodialysis.

    PubMed

    Chemla, Eric; Nortley, Mei; Morsy, Mohamed

    2010-01-01

    Brachial artery aneurysm (BAA) is a rare condition. We describe a series of cases of BAA with arteriovenous access. Thirteen patients were retrospectively identified between January 2006 and July 2009 using a patient database. All were associated with brachio-cephalic fistulas. Mean age was 51.2 +/- 13.8 years. Twelve males (93.3%) were identified. Characteristics were: diabetes 1, hypertension 8, hypercholesterolemia 2, ischemic heart disease 2, family history of aneurysmal disease 2. Five BAA developed after access ligation, eight while it was working, one after trauma. One was associated with a venous aneurysm. While the average life of the access was 161 +/- 115 months, the average time for BAA formation was 40 +/- 35.8 months. BAA was asymptomatic in three patients, whereas 10 presented with ischemic and neurologic symptoms. None presented with a rupture. All patients underwent surgical repair, seven an aneurysm excision and end-to-end reconstruction of the brachial artery. Venous conduits were utilized: four long saphenous veins, one cephalic, and one basilic vein. All patients had patent brachial arteries with a complete relief of symptoms at 14 months. BAA is a rare but significant complication of vascular access. The surgical approaches presented offer a reasonable outcome.

  11. Stereoscopic study of the kinematic evolution of a coronal mass ejection and its driven shock from the sun to the earth and the prediction of their arrival times

    SciTech Connect

    Hess, Phillip; Zhang, Jie

    2014-09-01

    We present a detailed study of the complete evolution of a coronal mass ejection (CME). We have tracked the evolution of both the ejecta and its shock, and further fit the evolution of the fronts to a simple but physics-based analytical model. This study focuses on the CME initiated on the Sun on 2012 July 12 and arriving at the Earth on 2012 July 14. Shock and ejecta fronts were observed by white light images, as well as in situ by the Advanced Composition Explorer satellite. We find that the propagation of the two fronts is not completely dependent upon one another, but can each be modeled in the heliosphere with a drag model that assumes the dominant force of affecting CME evolution to be the aerodynamic drag force of the ambient solar wind. Results indicate that the CME ejecta front undergoes a more rapid deceleration than the shock front within 50 R {sub ☉} and therefore the propagation of the two fronts is not completely coupled in the heliosphere. Using the graduated cylindrical shell model, as well as data from time-elongation stack plots and in situ signatures, we show that the drag model can accurately describe the behavior of each front, but is more effective with the ejecta. We also show that without the in situ data, based on measurements out to 80 R {sub ☉} combined with the general values for drag model parameters, the arrival of both the shock and ejecta can be predicted within four hours of arrival.

  12. Mass Spectra and Yields of Intact Charged Biomolecules Ejected by Massive Cluster Impact for Bioimaging in a Time-of-Flight Secondary Ion Microscope.

    PubMed

    Zhang, Jitao; Franzreb, Klaus; Aksyonov, Sergei A; Williams, Peter

    2015-11-03

    Impacts of massive, highly charged glycerol clusters (≳10(6) Da, ≳ ± 100 charges) have been used to eject intact charged molecules of peptides, lipids, and small proteins from pure solid samples, enabling imaging using these ion species in a time-of-flight secondary ion microscope with few-micrometer spatial resolution. Here, we report mass spectra and useful ion yields (ratio of intact charged molecules detected to molecules sputtered) for several molecular species-two peptides, bradykinin and angiotensin II; two lipids, phosphatidylcholine and sphingomyelin; Irganox 1010 (a detergent); insulin; and rhodamine B-and show that useful ion yields are high enough to enable bioimaging of peptides and lipids in biological samples with few-micrometer resolution and acceptable signals. For example, several hundred molecular ion counts should be detectable from a 3 × 3 μm(2) area of a pure lipid bilayer given appropriate instrumentation or tens of counts from a minor constituent of such a layer.

  13. Dynamics of polymer ejection from capsid

    NASA Astrophysics Data System (ADS)

    Linna, R. P.; Moisio, J. E.; Suhonen, P. M.; Kaski, K.

    2014-05-01

    Polymer ejection from a capsid through a nanoscale pore is an important biological process with relevance to modern biotechnology. Here, we study generic capsid ejection using Langevin dynamics. We show that even when the ejection takes place within the drift-dominated region there is a very high probability for the ejection process not to be completed. Introducing a small aligning force at the pore entrance enhances ejection dramatically. Such a pore asymmetry is a candidate for a mechanism by which viral ejection is completed. By detailed high-resolution simulations we show that such capsid ejection is an out-of-equilibrium process that shares many common features with the much studied driven polymer translocation through a pore in a wall or a membrane. We find that the ejection times scale with polymer length, τ ˜Nα. We show that for the pore without the asymmetry the previous predictions corroborated by Monte Carlo simulations do not hold. For the pore with the asymmetry the scaling exponent varies with the initial monomer density (monomers per capsid volume) ρ inside the capsid. For very low densities ρ ≤0.002 the polymer is only weakly confined by the capsid, and we measure α =1.33, which is close to α =1.4 obtained for polymer translocation. At intermediate densities the scaling exponents α =1.25 and 1.21 for ρ =0.01 and 0.02, respectively. These scalings are in accord with a crude derivation for the lower limit α =1.2. For the asymmetrical pore precise scaling breaks down, when the density exceeds the value for complete confinement by the capsid, ρ ⪆0.25. The high-resolution data show that the capsid ejection for both pores, analogously to polymer translocation, can be characterized as a multiplicative stochastic process that is dominated by small-scale transitions.

  14. A Flying Ejection Seat

    NASA Technical Reports Server (NTRS)

    Hollrock, R. H.; Barzda, J. J.

    1972-01-01

    To increase aircrewmen's chances for safe rescue in combat zones, the armed forces are investigating advanced escape and rescue concepts that will provide independent flight after ejection and thus reduce the risk of capture. One of the candidate concepts is discussed; namely, a stowable autogyro that serves as the crewman's seat during normal operations and automatically converts to a flight vehicle after ejection. Discussed are (1) the mechanism subsystems that the concept embodies to meet the weight and cockpit-packaging constraints and (2) tests that demonstrated the technical feasibility of the stowage, deployment, and flight operation of the rotor lift system.

  15. Simulation of Duty Cycle-Based Trapping and Ejection of Massive Ions Using Linear Digital Quadrupoles: the Enabling Technology for High Resolution Time-of-Flight Mass Spectrometry in the Ultra High Mass Range.

    PubMed

    Lee, Jeonghoon; Marino, Maxwell A; Koizumi, Hideya; Reilly, Peter T A

    2011-06-15

    Duty cycle-based trapping and extraction processes have been investigated for linear digitally-driven multipoles by simulating ion trajectories. The duty cycles of the applied waveforms were adjusted so that an effective trapping or ejection electric field was created between the rods and the grounded end cap electrodes. By manipulating the duty cycles of the waveforms, the potentials of the multipole rods can be set equal for part of the waveform cycle. When all rods are negative for this period, the device traps positive ions and when all are positive, it ejects them in focused trajectories. Four Linac II electrodes[1] have been added between the quadrupole rods along the asymptotes to create an electric field along the symmetry axis for collecting the ions near the exit end cap electrode and prompt ejection. This method permits the ions to be collected and then ejected in a concentrated and collimated plug into the acceleration region of a time-of-flight mass spectrometer (TOFMS). Our method has been shown to be independent of mass. Because the resolution of orthogonal acceleration TOFMS depends primarily on the dispersion of the ions injected into the acceleration region and not on the ion mass, this technology will enable high resolution in the ultrahigh mass range (m/z > 20,000).

  16. Simulation of Duty Cycle-Based Trapping and Ejection of Massive Ions Using Linear Digital Quadrupoles: the Enabling Technology for High Resolution Time-of-Flight Mass Spectrometry in the Ultra High Mass Range

    PubMed Central

    Lee, Jeonghoon; Marino, Maxwell A.; Koizumi, Hideya; Reilly, Peter T. A.

    2011-01-01

    Duty cycle-based trapping and extraction processes have been investigated for linear digitally-driven multipoles by simulating ion trajectories. The duty cycles of the applied waveforms were adjusted so that an effective trapping or ejection electric field was created between the rods and the grounded end cap electrodes. By manipulating the duty cycles of the waveforms, the potentials of the multipole rods can be set equal for part of the waveform cycle. When all rods are negative for this period, the device traps positive ions and when all are positive, it ejects them in focused trajectories. Four Linac II electrodes[1] have been added between the quadrupole rods along the asymptotes to create an electric field along the symmetry axis for collecting the ions near the exit end cap electrode and prompt ejection. This method permits the ions to be collected and then ejected in a concentrated and collimated plug into the acceleration region of a time-of-flight mass spectrometer (TOFMS). Our method has been shown to be independent of mass. Because the resolution of orthogonal acceleration TOFMS depends primarily on the dispersion of the ions injected into the acceleration region and not on the ion mass, this technology will enable high resolution in the ultrahigh mass range (m/z > 20,000). PMID:21731427

  17. Heliocentric Distance of Coronal Mass Ejections at the Time of Energetic Particle Release: Revisiting the Ground Level Enhancement Events of Solar Cycle 23

    NASA Technical Reports Server (NTRS)

    Gopalswamy, Natchimuthuk

    2011-01-01

    Using the kinematics of coronal mass ejections (CMEs), onset time of soft X-ray flares, and the finite size of the pre-eruption CME structure, we derive the heliocentric distane at which the energetic particles during the ground level enhancement (GLE) events of Solar Cycle 23. We find that the GLE particles are released when the CMEs reach an average heliocentric distance of approx.3.25 solar radii (Rs). From this we infer that the shocks accelerating the particles are located at similar heights. Type II radio burst observations indicate that the CMEs are at much lower distances (average approx.1.4 Rs) when the CME-driven shock first forms. The shock seems to travel approx.1.8 Rs over a period of approox.30 min on the average before releasing the GLE particles. In deriving these results, we made three assumptions that have observational support: (i) the CME lift off occurs from an initial distance of about 1.25 Rs; (ii) the flare onset and CME onset are one and the same because these are two different manifestations of the same eruption; and (iii) the CME has positive acceleration from the onset to the first appearance in the coronagraphic field of view (2.5 to 6 Rs). Observations of coronal cavities in eclipse pictures and in coronagraphic images justify the assumption (i). The close relationship between the flare reconnection magnetic flux and the azimuthal flux of interplanetary magnetic clouds justify assumption (ii) consistent with the standard model (CSHKP) of solar eruption. Coronagraphic observations made close to the solar surface indicate a large positive acceleration of CMEs to a heliocentric distance of approx.3 Rs before they start slowing down due to the drag force. The inferred acceleration (approx.1.5 km/s/s) is consistent with reported values in the literature.

  18. Systematic evaluation of brachial plexus injuries.

    PubMed

    Haynes, S

    1993-01-01

    Brachial plexus injuries offer a unique challenge to the athletic trainer because of their relatively high frequency rate in contact sports and because of the complexity of the neuroanatomy in the cervical area. During a game, athletic trainers must make a fast, accurate decision regarding a player's return to competition. It is imperative that the athletic trainer be able to quickly differentiate between minor injuries and more serious injuries warranting removal from the game and/or physician referral. A systematic approach to the evaluation of a brachial plexus injury is essential to ensure proper treatment. This paper will present a structured approach to an on-the-field assessment of brachial plexus injuries.

  19. Magnetic resonance neurography of the brachial plexus

    PubMed Central

    Upadhyaya, Vaishali; Upadhyaya, Divya Narain; Kumar, Adarsh; Pandey, Ashok Kumar; Gujral, Ratni; Singh, Arun Kumar

    2015-01-01

    Magnetic Resonance Imaging (MRI) is being increasingly recognised all over the world as the imaging modality of choice for brachial plexus and peripheral nerve lesions. Recent refinements in MRI protocols have helped in imaging nerve tissue with greater clarity thereby helping in the identification, localisation and classification of nerve lesions with greater confidence than was possible till now. This article on Magnetic Resonance Neurography (MRN) is based on the authors’ experience of imaging the brachial plexus and peripheral nerves using these protocols over the last several years. PMID:26424974

  20. Dexamethasone added to lidocaine prolongs axillary brachial plexus blockade.

    PubMed

    Movafegh, Ali; Razazian, Mehran; Hajimaohamadi, Fatemeh; Meysamie, Alipasha

    2006-01-01

    Different additives have been used to prolong regional blockade. We designed a prospective, randomized, double-blind study to evaluate the effect of dexamethasone added to lidocaine on the onset and duration of axillary brachial plexus block. Sixty patients scheduled for elective hand and forearm surgery under axillary brachial plexus block were randomly allocated to receive either 34 mL lidocaine 1.5% with 2 mL of isotonic saline chloride (control group, n = 30) or 34 mL lidocaine 1.5% with 2 mL of dexamethasone (8 mg) (dexamethasone group, n = 30). Neither epinephrine nor bicarbonate was added to the treatment mixture. We used a nerve stimulator and multiple stimulations technique in all of the patients. After performance of the block, sensory and motor blockade of radial, median, musculocutaneous, and ulnar nerves were recorded at 5, 15, and 30 min. The onset time of the sensory and motor blockade was defined as the time between last injection and the total abolition of the pinprick response and complete paralysis. The duration of sensory and motor blocks were considered as the time interval between the administration of the local anesthetic and the first postoperative pain and complete recovery of motor functions. Sixteen patients were excluded because of unsuccessful blockade. The duration of surgery and the onset times of sensory and motor block were similar in the two groups. The duration of sensory (242 +/- 76 versus 98 +/- 33 min) and motor (310 +/- 81 versus 130 +/- 31 min) blockade were significantly longer in the dexamethasone than in the control group (P < 0.01). We conclude that the addition of dexamethasone to lidocaine 1.5% solution in axillary brachial plexus block prolongs the duration of sensory and motor blockade.

  1. Ejection Fraction Heart Failure Measurement

    MedlinePlus

    ... Thromboembolism Aortic Aneurysm More Ejection Fraction Heart Failure Measurement Updated:Feb 15,2017 The ejection fraction (EF) is an important measurement in determining how well your heart is pumping ...

  2. What has changed in brachial plexus surgery?

    PubMed Central

    de Rezende, Marcelo Rosa; Silva, Gustavo Bersani; de Paula, Emygdio José Leomil; Junior, Rames Mattar; de Camargo, Olavo Pires

    2013-01-01

    Brachial plexus injuries, in all their severity and complexity, have been extensively studied. Although brachial plexus injuries are associated with serious and often definitive sequelae, many concepts have changed since the 1950s, when this pathological condition began to be treated more aggressively. Looking back over the last 20 years, it can be seen that the entire approach, from diagnosis to treatment, has changed significantly. Some concepts have become better established, while others have been introduced; thus, it can be said that currently, something can always be offered in terms of functional recovery, regardless of the degree of injury. Advances in microsurgical techniques have enabled improved results after neurolysis and have made it possible to perform neurotization, which has undoubtedly become the greatest differential in treating brachial plexus injuries. Improvements in imaging devices and electrical studies have allowed quick decisions that are reflected in better surgical outcomes. In this review, we intend to show the many developments in brachial plexus surgery that have significantly changed the results and have provided hope to the victims of this serious injury. PMID:23644864

  3. [Idiopathic brachial neuralgia after cesarean section].

    PubMed

    Rihane, B; Le Borgne, J M; Bélair, C

    2002-11-01

    We report a case of idiopathic brachial nevralgia of the right shoulder in a 30-year-old female, after caesarean section, under spinal anaesthesia. Two days after surgery, intense cervical pain appeared on the second day, associated with rapid collapse of muscular shoulder belt. Full recovery occurred in four months.

  4. Postoperative analgesia comparing levobupivacaine and ropivacaine for brachial plexus block

    PubMed Central

    Watanabe, Kunitaro; Tokumine, Joho; Lefor, Alan Kawarai; Moriyama, Kumi; Sakamoto, Hideaki; Inoue, Tetsuo; Yorozu, Tomoko

    2017-01-01

    Abstract Background: On a pharmacologic basis, levobupivacaine is expected to last longer than ropivacaine. However, most reports of these anesthetics for brachial plexus block do not suggest a difference in analgesic effect. The aim of this study is to compare the postoperative analgesic effects of levobupivacaine and ropivacaine when used for treating ultrasound-guided brachial plexus block. Methods: A total of 62 patients undergoing orthopedic surgery procedures were prospectively enrolled and randomized to receive levobupivacaine (group L, N = 31) or ropivacaine (group R, N = 31). The duration of analgesia, offset time of motor block, need for rescue analgesics, and sleep disturbance on the night of surgery were recorded. Pain score was recorded on the day of surgery, and on postoperative days 1 and 2. Results: There was no difference in the time interval until the first request for pain medication comparing the two groups (group L: 15.6 [11.4, 16.8] hours; group R: 12.5 [9.4, 16.0] hours, P = 0.32). There was no difference in the duration of motor block (group L: 12.2 [7.6, 14.4] hours; group R: 9.4 [7.9, 13.2] hours, P = 0.44), pain score (P = 0.92), need for rescue analgesics (group L: 55%; group R: 65%, P = 0.6), or rate of sleep disturbance (group L: 61%, group R: 58%, P = 1.0) on comparing the two groups. Conclusions: There was no difference in postoperative analgesia comparing levobupivacaine and ropivacaine when used for brachial plexus block. PMID:28328862

  5. Coronal mass ejections

    SciTech Connect

    Steinolfson, R.S.

    1990-01-01

    Coronal mass ejections (CMEs) are now recognized as an important component of the large-scale evolution of the solar corona. Some representative observations of CMEs are reviewed with emphasis on more recent results. Recent observations and theory are examined as they relate to the following aspects of CMEs: (1) the role of waves in determining the white-light signature; and (2) the mechanism by which the CME is driven (or launched) into the corona.

  6. DRAMATIC INFRARED VARIABILITY OF WISE J1810-3305: CATCHING EARLY-TIME DUST EJECTION DURING THE THERMAL PULSE OF AN ASYMPTOTIC GIANT BRANCH STAR?

    SciTech Connect

    Gandhi, Poshak; Yamamura, Issei; Takita, Satoshi

    2012-05-20

    We present the discovery of a source with broadband infrared photometric characteristics similar to Sakurai's object. WISE J180956.27-330500.2 (hereafter J1810-3305) shows very red WISE colors, but a very blue 2MASS [K] versus WISE [W1 (3.4 {mu}m)] color. It was not visible during the IRAS era, but now has a 12 {mu}m flux well above the IRAS point-source catalog detection limit. There are also indications of variability in historical optical photographic plates as well as in multi-epoch AKARI mid-infrared measurements. The broadband infrared spectral energy distribution (SED) shape, post-IRAS brightening, and multiwavelength variability are all characteristics also shared by Sakurai's object-a post-asymptotic giant branch (post-AGB) star which underwent a late thermal pulse and recently ejected massive envelopes of dust that are currently expanding and cooling. Optical progenitor colors suggest that J1810-3305 may have been of late spectral class. Its dramatic infrared brightening and the detection of a late-type optical counterpart are consistent with a scenario in which we have caught an extremely massive dust ejection event (in 1998 or shortly before) during the thermal pulse of an AGB star, thus providing a unique opportunity to observe stellar evolution in this phase. J1810-3305 is the only source in the entire WISE preliminary data release with similar infrared SED and variability, emphasizing the rarity of such sources. Confirmation of its nature is of great importance.

  7. Surgical treatment of brachial plexus injuries in adults.

    PubMed

    Ricardo, Monreal

    2005-12-01

    We carried out a retrospective review of 32 consecutive patients (30 adults and two children) with total or partial lesions of the brachial plexus who had surgical repair using nerve grafting, neurotisation, and neurolysis between January 1991 and December 2003. The outcome measures of muscular strength were correlated with the type of lesion, age, preoperative time, length and number of grafts, and time to reinnervation of the biceps. The function of the upper limb was also evaluated. There was a significant correlation between muscular strength after surgical repair and both the preoperative time and the length of the nerve graft. There was also a significant correlation between muscular strength and the number of grafts. Muscular strength was better when the neurolysis was done before six months. When neurosurgical repair and reconstructive procedures were performed, the function of the upper limb was improved.

  8. Relation between Flare-associated X-Ray Ejections and Coronal Mass Ejections.

    PubMed

    Nitta; Akiyama

    1999-11-01

    In an attempt to identify the direct signatures of coronal mass ejections (CMEs) in soft X-ray wavelengths, we have searched for plasma ejections in Yohkoh soft X-ray telescope (SXT) images in a total of 17 limb flares, and compared the results with the Solar and Heliospheric Observatory LASCO data. A general correlation exists between the presence/absence of the X-ray ejection and the CME. Although the height versus time relation often indicates (under the assumption of constant speed) that the CME onset coincides with the X-ray ejection, the latter probably does not represent the CME front, because the CME speed must result from acceleration, which would put the estimated onset at an earlier time. In some cases, the estimated CME onset time comes well before the impulsive phase of the associated flare. Although the role of the flare-associated plasma ejection in a CME is still unclear, we propose that its occurrence depends on the presence of open field lines, which can be due to a preceding CME. Lastly, we present a rare example of SXT observations of what appeared to be the three-part structure of a CME, which was seen a few minutes before a major flare started.

  9. Lightning strike-induced brachial plexopathy.

    PubMed

    Bhargava, Amita N; Kasundra, Gaurav M; Khichar, Subhakaran; Bhushan, Bharat S K

    2014-10-01

    We describe a patient who presented with a history of lightning strike injury. Following the injury, he sustained acute right upper limb weakness with pain. Clinically, the lesion was located to the upper and middle trunk of the right brachial plexus, and the same confirmed with electrophysiological studies. Nerve damage due to lightning injuries is considered very rare, and a plexus damage has been described infrequently, if ever. Thus, the proposed hypothesis that lightning rarely causes neuropathy, as against high-voltage electric current, due to its shorter duration of exposure not causing severe burns which lead to nerve damage, needs to be reconsidered.

  10. Brachial plexopathy: recurrent cancer or radiation

    SciTech Connect

    Lederman, R.J.; Wilbourn, A.J.

    1984-10-01

    We reviewed clinical and electrodiagnostic features of 16 patients with neoplastic brachial plexopathy (NBP) and 17 patients with radiation-induced plexopathy (RBP). The groups were similar in symptom-free interval after cancer diagnosis and location of the plexus lesions. NBP patients had pain and Horner's syndrome; RBP patients had paresthesias, but rarely Horner's. NBP patients presented earlier after symptom onset and had a shorter course. RBP patients more frequently had abnormal sensory and normal motor nerve conduction studies and characteristically had fasciculations or myokymia on EMG.

  11. Lightning strike-induced brachial plexopathy

    PubMed Central

    Bhargava, Amita N.; Kasundra, Gaurav M.; Khichar, Subhakaran; Bhushan, Bharat S. K.

    2014-01-01

    We describe a patient who presented with a history of lightning strike injury. Following the injury, he sustained acute right upper limb weakness with pain. Clinically, the lesion was located to the upper and middle trunk of the right brachial plexus, and the same confirmed with electrophysiological studies. Nerve damage due to lightning injuries is considered very rare, and a plexus damage has been described infrequently, if ever. Thus, the proposed hypothesis that lightning rarely causes neuropathy, as against high-voltage electric current, due to its shorter duration of exposure not causing severe burns which lead to nerve damage, needs to be reconsidered. PMID:25288846

  12. Obstetrical brachial plexus injury (OBPI): Canada's national clinical practice guideline

    PubMed Central

    Coroneos, Christopher J; Voineskos, Sophocles H; Christakis, Marie K; Thoma, Achilleas; Bain, James R; Brouwers, Melissa C

    2017-01-01

    Objective The objective of this study was to establish an evidence-based clinical practice guideline for the primary management of obstetrical brachial plexus injury (OBPI). This clinical practice guideline addresses 4 existing gaps: (1) historic poor use of evidence, (2) timing of referral to multidisciplinary care, (3) Indications and timing of operative nerve repair and (4) distribution of expertise. Setting The guideline is intended for all healthcare providers treating infants and children, and all specialists treating upper extremity injuries. Participants The evidence interpretation and recommendation consensus team (Canadian OBPI Working Group) was composed of clinicians representing each of Canada's 10 multidisciplinary centres. Outcome measures An electronic modified Delphi approach was used for consensus, with agreement criteria defined a priori. Quality indicators for referral to a multidisciplinary centre were established by consensus. An original meta-analysis of primary nerve repair and review of Canadian epidemiology and burden were previously completed. Results 7 recommendations address clinical gaps and guide identification, referral, treatment and outcome assessment: (1) physically examine for OBPI in newborns with arm asymmetry or risk factors; (2) refer newborns with OBPI to a multidisciplinary centre by 1 month; (3) provide pregnancy/birth history and physical examination findings at birth; (4) multidisciplinary centres should include a therapist and peripheral nerve surgeon experienced with OBPI; (5) physical therapy should be advised by a multidisciplinary team; (6) microsurgical nerve repair is indicated in root avulsion and other OBPI meeting centre operative criteria; (7) the common data set includes the Narakas classification, limb length, Active Movement Scale (AMS) and Brachial Plexus Outcome Measure (BPOM) 2 years after birth/surgery. Conclusions The process established a new network of opinion leaders and researchers for further

  13. Shoulder pain and isolated brachial plexopathy

    PubMed Central

    Kishan, Amar U; Syed, Sana; Fiorito-Torres, Franchesca; Thakore-James, Manisha

    2012-01-01

    Pancoast syndrome, classically considered as a constellation of (1) pain along the C8–T2 dermatomes, (2) weakness and atrophy of the hand and (3) Horner's syndrome, often presents a diagnostic challenge. In fact, it may manifest as a singular orthopaedic complaint, prompting a futile barrage of tests and referrals. The authors present the case of an elderly man who initially presented with severe shoulder pain. Due to progressive pain and weakness, he was referred to rheumatology and was treated with corticosteroid injections for a presumed musculoskeletal lesion. Ultimately, he manifested gross muscular atrophy and worsening pain, prompting a referral to neurology. An electromyogram (EMG) suggested a lower brachial plexopathy, and a follow-up brachial plexus MRI identified a large Pancoast tumour. Unfortunately, his disease was rapidly progressive, and he passed away within 2 months. While the MRI remains the gold standard for diagnosing Pancoast syndrome, an EMG can facilitate diagnosis in difficult cases such as this one. PMID:22744250

  14. Lateral approach for supraclavicular brachial plexus block

    PubMed Central

    Sahu, DK; Sahu, Anjana

    2010-01-01

    A lateral approach described by Volker Hempel and Dr. Dilip Kotharihas been further studied, evaluated and described in detail in the present study. The aim of this study was to evaluate lateral approach of supraclavicular brachial plexus block, mainly in terms of successes rate and complication rate. The study was conducted in secondary level hospital and tertiary level hospital from 2004 to 2008. It was a prospective nonrandomized open-level study. Eighty-two patients of both sexes, aged between 18 and 65 years with ASA Grade I and II scheduled to undergo elective major surgery of the upper limb below the midarm, were selected for this new lateral approach of brachial plexus block. The onset and duration of sensory and motor block, any complications and need for supplement anaesthesia were observed. Success and complication rate were calculated in percentage. Average onset and duration of sensory and motor block was calculated as mean ± SD and percentage. Out of 82 patients, 75 (92%) have got successful block with no significant complication in any case. PMID:20885867

  15. Dose–Volume Modeling of Brachial Plexus-Associated Neuropathy After Radiation Therapy for Head-and-Neck Cancer: Findings From a Prospective Screening Protocol

    SciTech Connect

    Chen, Allen M.; Wang, Pin-Chieh; Daly, Megan E.; Cui, Jing; Hall, William H.; Vijayakumar, Srinivasan; Phillips, Theodore L.; Farwell, D. Gregory; Purdy, James A.

    2014-03-15

    Purpose: Data from a prospective screening protocol administered for patients previously irradiated for head-and-neck cancer was analyzed to identify dosimetric predictors of brachial plexus-associated neuropathy. Methods and Materials: Three hundred fifty-two patients who had previously completed radiation therapy for squamous cell carcinoma of the head and neck were prospectively screened from August 2007 to April 2013 using a standardized self-administered instrument for symptoms of neuropathy thought to be related to brachial plexus injury. All patients were disease-free at the time of screening. The median time from radiation therapy was 40 months (range, 6-111 months). A total of 177 patients (50%) underwent neck dissection. Two hundred twenty-one patients (63%) received concurrent chemotherapy. Results: Fifty-one patients (14%) reported brachial plexus-related neuropathic symptoms with the most common being ipsilateral pain (50%), numbness/tingling (40%), and motor weakness and/or muscle atrophy (25%). The 3- and 5-year estimates of freedom from brachial plexus-associated neuropathy were 86% and 81%, respectively. Clinical/pathological N3 disease (P<.001) and maximum radiation dose to the ipsilateral brachial plexus (P=.01) were significantly associated with neuropathic symptoms. Cox regression analysis revealed significant dose–volume effects for brachial plexus-associated neuropathy. The volume of the ipsilateral brachial plexus receiving >70 Gy (V70) predicted for symptoms, with the incidence increasing with V70 >10% (P<.001). A correlation was also observed for the volume receiving >74 Gy (V74) among patients treated without neck dissection, with a cutoff of 4% predictive of symptoms (P=.038). Conclusions: Dose–volume guidelines were developed for radiation planning that may limit brachial plexus-related neuropathies.

  16. Magnetohydrodynamic simulations of the ejection of a magnetic flux rope

    NASA Astrophysics Data System (ADS)

    Pagano, P.; Mackay, D. H.; Poedts, S.

    2013-06-01

    Context. Coronal mass ejections (CME's) are one of the most violent phenomena found on the Sun. One model to explain their occurrence is the flux rope ejection model. In this model, magnetic flux ropes form slowly over time periods of days to weeks. They then lose equilibrium and are ejected from the solar corona over a few hours. The contrasting time scales of formation and ejection pose a serious problem for numerical simulations. Aims: We simulate the whole life span of a flux rope from slow formation to rapid ejection and investigate whether magnetic flux ropes formed from a continuous magnetic field distribution, during a quasi-static evolution, can erupt to produce a CME. Methods: To model the full life span of magnetic flux ropes we couple two models. The global non-linear force-free field (GNLFFF) evolution model is used to follow the quasi-static formation of a flux rope. The MHD code ARMVAC is used to simulate the production of a CME through the loss of equilibrium and ejection of this flux rope. Results: We show that the two distinct models may be successfully coupled and that the flux rope is ejected out of our simulation box, where the outer boundary is placed at 2.5 R⊙. The plasma expelled during the flux rope ejection travels outward at a speed of 100 km s-1, which is consistent with the observed speed of CMEs in the low corona. Conclusions: Our work shows that flux ropes formed in the GNLFFF can lead to the ejection of a mass loaded magnetic flux rope in full MHD simulations. Coupling the two distinct models opens up a new avenue of research to investigate phenomena where different phases of their evolution occur on drastically different time scales. Movies are available in electronic form at http://www.aanda.org

  17. The Accretion Flow-Discrete Ejection Connection in GRS 1915+105

    NASA Astrophysics Data System (ADS)

    Punsly, Brian; Rodriguez, Jérôme; Trushkin, Sergei A.

    2016-07-01

    The microquasar GRS 1915+105 is known for its spectacular discrete ejections. They occur unexpectedly, thus their inception has escaped direct observation. It has been shown that the X-ray flux increases in the hours leading up to a major ejection. In this article, we consider the serendipitous interferometric monitoring of a modest version of a discrete ejection described in Reid et al. that would have otherwise escaped detection in daily radio light curves. The observation begins ˜1 hr after the onset of the ejection, providing unprecedented accuracy on the estimate of the ejection time. The astrometric measurements allow us to determine the time of ejection as {{MJD}} {56436.274}-0.013+0.016, i.e., within a precision of 41 minutes (95% confidence). Just like larger flares, we find that the X-ray luminosity increases in last 2-4 hr preceding ejection. Our finite temporal resolution indicates that this elevated X-ray flux persists within {21.8}-19.1+22.6 minutes of the ejection with 95% confidence, the highest temporal precision of the X-ray-superluminal ejection connection to date. This observation provides direct evidence that the physics that launches major flares occurs on smaller scales as well (lower radio flux and shorter ejection episodes). The observation of a X-ray spike prior to a discrete ejection, although of very modest amplitude, suggests that the process linking accretion behavior to ejection is general from the smallest scales to high luminosity major superluminal flares.

  18. Evidence linking coronal mass ejections with interplanetary magnetic clouds

    NASA Technical Reports Server (NTRS)

    Wilson, R. M.; Hildner, E.

    1983-01-01

    Using proxy data for the occurrence of those mass ejections from the solar corona which are directed earthward, we investigate the association between the post-1970 interplanetary magnetic clouds of Klein and Burlaga and coronal mass ejections. The evidence linking magnetic clouds following shocks with coronal mass ejections is striking; six of nine clouds observed at Earth were preceded an appropriate time earlier by meter-wave type II radio bursts indicative of coronal shock waves and coronal mass ejections occurring near central meridian. During the selected periods when no clouds were detected near Earth, the only type II bursts reported were associated with solar activity near the limbs. Where the proxy solar data to be sought are not so clearly suggested, that is, for clouds preceding interaction regions and clouds within cold magnetic enhancements, the evidence linking the clouds and coronal mass ejections is not as clear; proxy data usually suggest many candidate mass-ejection events for each cloud. Overall, the data are consistent with and support the hypothesis suggested by Klein and Burlaga that magnetic clouds observed with spacecraft at 1 AU are manifestations of solar coronal mass ejection transients.

  19. Coronal Mass Ejections - A Statistical View

    NASA Technical Reports Server (NTRS)

    SaintCyr, O. C.; Cremades, H.

    2008-01-01

    Although first recognized in 1971, the quasi-continuous record since 1979 of the appearance of coronal mass ejections (CMEs-perhaps more appropriately called coronal magnetic ejections) has resulted in a stable understanding of their properties, at least from a statistical viewpoint. These eruptions occur every few days during solar activity minimum and many times per day during maximum. They are believed to play an important role throughout the heliosphere in such diverse events as removing helicity from the corona; modulating the energetic particle environment in the inner heliosphere; causing severe geomagnetic storms at Earth and other magnetic bodies throughout the solar system; and controlling the galactic cosmic ray flux. It is therefore understandable that researchers have studied both individual events and the ensemble of CMEs observed over several solar cycles. We will present an overview of these statistics, some new recent observations, and a personal perspective on potential paths of future research.

  20. MHD shocks in coronal mass ejections

    NASA Technical Reports Server (NTRS)

    Steinolfson, R. S.

    1991-01-01

    The primary objective of this research program is the study of the magnetohydrodynamic (MHD) shocks and nonlinear simple waves produced as a result of the interaction of ejected lower coronal plasma with the ambient corona. The types of shocks and nonlinear simple waves produced for representative coronal conditions and disturbance velocities were determined. The wave system and the interactions between the ejecta and ambient corona were studied using both analytic theory and numerical solutions of the time-dependent, nonlinear MHD equations. Observations from the SMM coronagraph/polarimeter provided both guidance and motivation and are used extensively in evaluating the results. As a natural consequence of the comparisons with the data, the simulations assisted in better understanding the physical interactions in coronal mass ejections (CME's).

  1. Effect of Enhanced External Counter Pulsation Treatment on Aortic Blood Pressure, Arterial Stiffness and Ejection Fraction in Patients with Coronary Artery Disease

    PubMed Central

    Nayar, Sushma; Meyyappan, Chokkalingam; Ganesh, N; Chandrakasu, Arumugam; Nayar, Pradeep G

    2016-01-01

    Introduction Enhanced External Counter Pulsation (EECP) is a non-invasive treatment option for patients with Coronary Artery Disease (CAD). The treatment has shown to augment diastolic pressure and reduce Left Ventricular (LV) after-load by reducing systemic vascular resistance. The effect of EECP in standard brachial blood pressure and central haemodynamic parameters are not known. Aim We hypothesized that EECP may have differential effect in CAD patients with low systolic blood pressure when compared to normal systolic pressure and the mechanism underlying this differential effect may be due to improvement in LV function. Materials and Methods A total of 72 consecutive patients who underwent EECP treatment for symptomatic CAD with LV dysfunction were divided into two groups based on cut-off value of 100mmHg for systolic blood pressure. First group had patients with brachial systolic blood pressure of >100mmHg and second group had patients with brachial systolic blood pressure of ≤100mmHg. We measured central aortic systolic pressure, pulse pressure, augmentation index and augmentation pressure by SphygmoCor device and Ejection Fraction (EF) was measured by echo-cardiography. All these measurements were carried out prior to and after completion of 35 days of EECP sessions. Results Central systolic pressure, brachial systolic pressure, aortic pulse pressure, augmentation pressure and augmentation index significantly decreased in patients with normal brachial systolic pressure with baseline moderate LV dysfunction. Brachial systolic, aortic systolic and aortic pulse pressure significantly increased with no change in augmentation index and pressure is observed in patients with baseline severe LV dysfunction associated with low systolic pressure post EECP treatment. Conclusion EECP treatment has haemodynamically favourable differential effect in normal and low brachial systolic pressure and this is mainly driven by improvement in LV function in patients with

  2. Brachial Plexopathy in Apical Non-Small Cell Lung Cancer Treated With Definitive Radiation: Dosimetric Analysis and Clinical Implications

    SciTech Connect

    Eblan, Michael J.; Corradetti, Michael N.; Lukens, J. Nicholas; Xanthopoulos, Eric; Mitra, Nandita; Christodouleas, John P.; Grover, Surbhi; Fernandes, Annemarie T.; Langer, Corey J.; Evans, Tracey L.; Stevenson, James; Rengan, Ramesh; Apisarnthanarax, Smith

    2013-01-01

    Purpose: Data are limited on the clinical significance of brachial plexopathy in patients with apical non-small cell lung cancers (NSCLC) treated with definitive radiation therapy. We report the rates of radiation-induced brachial plexopathy (RIBP) and tumor-related brachial plexopathy (TRBP) and associated dosimetric parameters in apical NSCLC patients. Methods and Materials: Charts of NSCLC patients with primary upper lobe or superiorly located nodal disease who received {>=}50 Gy of definitive conventionally fractionated radiation or chemoradiation were retrospectively reviewed for evidence of brachial plexopathy and categorized as RIBP, TRBP, or trauma-related. Dosimetric data were gathered on ipsilateral brachial plexuses (IBP) contoured according to Radiation Therapy Oncology Group atlas guidelines. Results: Eighty patients were identified with a median follow-up and survival time of 17.2 and 17.7 months, respectively. The median prescribed dose was 66.6 Gy (range, 50.4-84.0), and 71% of patients received concurrent chemotherapy. RIBP occurred in 5 patients with an estimated 3-year rate of 12% when accounting for competing risk of death. Seven patients developed TRBP (estimated 3-year rate of 13%), comprising 24% of patients who developed locoregional failures. Grade 3 brachial plexopathy was more common in patients who experienced TRBP than RIBP (57% vs 20%). No patient who received {<=}78 Gy to the IBP developed RIBP. On multivariable competing risk analysis, IBP V76 receiving {>=}1 cc, and primary tumor failure had the highest hazard ratios for developing RIBP and TRBP, respectively. Conclusions: RIBP is a relatively uncommon complication in patients with apical NSCLC tumors receiving definitive doses of radiation, while patients who develop primary tumor failures are at high risk for developing morbid TRBP. These findings suggest that the importance of primary tumor control with adequate doses of radiation outweigh the risk of RIBP in this population of

  3. Brachial plexopathy as a rare presenting manifestation of scorpion envenomation.

    PubMed

    Rubin, Devon I; Vavra, Michael

    2011-07-01

    We report a patient who experienced a rare manifestation of an acute, severe brachial plexopathy as the initial complication of scorpion (presumed Hemiscorpius lepturus species) envenomation. Features suggesting conduction block, due to either proximal demyelination or ion channel dysfunction, along with axonal loss were seen on serial electrophysiological studies. Possible mechanisms of the brachial plexopathy include direct compression from tissue edema or a toxic effect on the membrane channels along the nerve.

  4. Mass ejections from the Sun

    NASA Astrophysics Data System (ADS)

    Green, Lucie M.

    Coronal mass ejections are the most spectacular form of solar activity and they play a key role in driving space weather at the Earth. These eruptions are associated with active regions and occur throughout an active region's entire lifetime. All coronal mass ejection models invoke the presence of a twisted magnetic field configuration known as a magnetic flux rope either before or after eruption onset. The observational identification of magnetic flux ropes in the solar atmosphere using remote sensing data represents a challenging task, but theoretical models have led to the understanding that there are signatures that reveal their presence. The range of coronal mass ejection models are helping build a more complete picture of both the trigger and drivers of these eruptions.

  5. The Solar Mass Ejection Imager

    NASA Technical Reports Server (NTRS)

    Jackson, B. V.; Buffington, A.; Hick, P. L.; Kahler, S. W.; Altrock, R. C.; Gold, R. E.; Webb, D. F.

    1995-01-01

    We are designing a Solar Mass Ejection Imager (SMEI) capable of observing the Thomson-scattered signal from transient density features in the heliosphere from a spacecraft situated near AU. The imager is designed to trace these features, which include coronal mass ejections. corotating structures and shock waves, to elongations greater than 90 deg from the Sun. The instrument may be regarded as a progeny of the heliospheric imaging capability shown possible by the zodiacal-light photometers of the HELIOS spacecraft. The instrument we are designing would make more effective use of in-situ solar wind data from spacecraft in the vicinity of the imager by extending these observations to the surrounding environment. The observations from the instrument should allow deconvolution of these structures from the perspective views obtained as they pass the spacecraft. An imager at Earth could allow up to three days warning of the arrival of a mass ejection from the Sun .

  6. Vibration sensation as an indicator of surgical anesthesia following brachial plexus block

    PubMed Central

    Jindal, Seema; Sidhu, Gurkaran Kaur; Sood, Dinesh; Grewal, Anju

    2016-01-01

    Background: Local anesthetic instillation in close vicinity to nerves anywhere in body blocks sensations in the same order as in central neuraxial blockade. The main purpose of this study was to evaluate the efficacy of vibration sense as criteria to determine the onset of surgical anesthesia following brachial plexus block and its correlation with loss of sensory and motor power. Materials and Methods: This prospective study included fifty patients of American Society of Anaesthesiologist physical status I and II, aged between 18 and 45 years, undergoing elective upper limb surgery under brachial plexus block by supraclavicular approach. The baseline values of vibration sense perception using 128 Hz Rydel–Seiffer tuning fork, motor power using formal motor power of wrist flexion and wrist extension, and sensory score by pinprick method were recorded preoperatively and every 5 min after giving block till the onset of complete surgical anesthesia. Results: The mean ± standard deviation of time (in minutes) for sensory, motor, and vibration block was 13.33 ± 3.26, 21.10 ± 3.26, and 25.50 ± 2.02, respectively (P < 0.05). Although all the patients achieved complete sensory and motor block after 25 min, 14% of the patients still had vibration sensations intact and 100% of the patients achieved complete sensory, motor, and vibration block after 30 min. Conclusions: Vibration sense serves as a reliable indicator for the onset of surgical anesthesia following brachial plexus block. Vibration sense testing with 128 Hz Rydel–Seiffer tuning fork along with motor power assessment should be used as an objective tool to assess the onset of surgical anesthesia following brachial plexus block. PMID:27833488

  7. Results of ulnar nerve neurotization to biceps brachii muscle in brachial plexus injury

    PubMed Central

    Rezende, Marcelo Rosa De; Rabelo, Neylor Teofilo Araújo; Silveira, Clóvis Castanho; Petersen, Pedro Araújo; Paula, Emygdio José Leomil De; Mattar, Rames

    2012-01-01

    OBJECTIVE: To evaluate the factors influencing the results of ulnar nerve neurotization at the motor branch of the brachii biceps muscle, aiming at the restoration of elbow flexion in patients with brachial plexus injury. METHODS: 19 patients, with 18 men and 1 woman, mean age 28.7 years. Eight patients had injury to roots C5-C6 and 11, to roots C5-C6-C7. The average time interval between injury and surgery was 7.5 months. Four patients had cervical fractures associated with brachial plexus injury. The postoperative follow-up was 15.7 months. RESULTS: Eight patients recovered elbow flexion strength MRC grade 4; two, MRC grade 3 and nine, MRC <3. There was no impairment of the previous ulnar nerve function. CONCLUSION: The surgical results of ulnar nerve neurotization at the motor branch of brachii biceps muscle are dependent on the interval between brachial plexus injury and surgical treatment, the presence of associated fractures of the cervical spine and occipital condyle, residual function of the C8-T1 roots after the injury and the involvement of the C7 root. Signs of reinnervation manifested up to 3 months after surgery showed better results in the long term. Level of Evidence: IV, Case Series. PMID:24453624

  8. A new Doppler method of assessing left ventricular ejection force in chronic congestive heart failure.

    PubMed

    Isaaz, K; Ethevenot, G; Admant, P; Brembilla, B; Pernot, C

    1989-07-01

    A noninvasive method using Doppler echocardiography was developed to determine the force exerted by the left ventricle in accelerating the blood into the aorta. The value of this new Doppler ejection index in the assessment of left ventricular (LV) performance was tested in 36 patients with chronic congestive heart disease undergoing cardiac catheterization and in 11 age-matched normal control subjects. The 36 patients were subgrouped into 3 groups based on angiographic ejection fraction (LV ejection fraction greater than 60, 41 to 60 and less than or equal to 40%). According to Newton's second law of motion (force = mass X acceleration), the LV ejection force was derived from the product of the mass of blood ejected during the acceleration time with the mean acceleration undergone during that time. In patients with LV ejection fraction less than or equal to 40%, LV ejection force, peak aortic velocity and mean acceleration were severely depressed when compared with the other groups (p less than 0.001). In patients with LV ejection fraction of 41 to 60%, LV ejection force was significantly reduced (22 +/- 3 kdynes) when compared with normal subjects (29 +/- 5 kdynes, p = 0.002) and with patients with LV ejection fraction greater than 60% (29 +/- 7 kdynes, p = 0.009); peak velocity and mean acceleration did not differ between these 3 groups. The LV ejection force showed a good linear correlation with LV ejection fraction (r = 0.86) and a better power fit (r = 0.91). Peak aortic blood velocity and mean acceleration showed less good linear correlations with LV ejection fraction (r = 0.73 and r = 0.66, respectively). The mass of blood ejected during the acceleration time also showed a weak linear correlation with LV ejection fraction (r = 0.64). An LV ejection force less than 20 kdynes was associated with a depressed LV performance (LV ejection fraction less than 50%) with 91% sensitivity and 90% specificity. Thus, these findings suggest that LV ejection force is a new

  9. Numerical validation of a new method to assess aortic pulse wave velocity from a single recording of a brachial artery waveform with an occluding cuff.

    PubMed

    Trachet, B; Reymond, P; Kips, J; Swillens, A; De Buyzere, M; Suys, B; Stergiopulos, N; Segers, P

    2010-03-01

    Recently a new method has been proposed as a tool to measure arterial pulse wave velocity (PWV), a measure of the stiffness of the large arteries and an emerging parameter used as indicator of clinical cardiovascular risk. The method is based on measurement of brachial blood pressure during supra-systolic pressure inflation of a simple brachial cuff [the device is known as the Arteriograph (Tensiomed, Budapest, Hungary)]. This occlusion yields pronounced first and secondary peaks in the pressure waveform, the latter ascribed to a reflection from the aortic bifurcation, and PWV is calculated as the ratio of twice the jugulum-symphysis distance and the time difference between the two peaks. To test the validity of this working principle, we used a numerical model of the arterial tree to simulate pressures and flows in the normal configuration, and in a configuration with an occluded brachial artery. A pronounced secondary peak was indeed found in the brachial pressure signal of the occluded model, but its timing was only related to brachial stiffness and not to aortic stiffness. We also compared PWV's calculated with three different methods: PWVATG (approximately Arteriograph principle), PWVcar-fem (approximately carotid-femoral PWV, the current clinical gold standard method), and PWVtheor (approximately Bramwell-Hill equation). Both PWVATG (R2=0.94) and PWVcar-fem (R2=0.95) correlated well with PWVtheor, but their numerical values were lower (by 2.17+/-0.42 and 1.08+/-0.70 m/s for PWVATG and PWVcar-fem, respectively). In conclusion, our simulations question the working principle of the Arteriograph. Our data indicate that the method picks up wave reflection phenomena confined to the brachial artery, and derived values of PWV rather reflect the stiffness of the brachial arteries.

  10. Morphology of brachial plexus and axillary artery in bonobo (Pan paniscus).

    PubMed

    Kikuchi, Y; Oishi, M; Shimizu, D

    2011-02-01

    A left brachial plexus and axillary artery of bonobo (Pan paniscus) were examined, and the interrelation between the brachial plexus and the axillary artery was discussed. This is the first report of the brachial plexus and the axillary artery of bonobo. The bonobo brachial plexus formed very similar pattern to that of other ape species and human. On the other hand, the branches of the bonobo axillary artery had uncommon architecture in comparison with human case. The axillary artery did not penetrate the brachial plexus and passes through all way along anterior to the brachial plexus. Only 4.9% of human forelimbs have this pattern. Moreover, the brachial artery runs through superficially anterior to branches of the brachial plexus.

  11. Drop Ejection From an Oscillating Rod

    NASA Technical Reports Server (NTRS)

    Wilkes, E. D.; Basaran, O. A.

    1999-01-01

    The dynamics of a drop of a Newtonian liquid that is pendant from or sessile on a solid rod that is forced to undergo time-periodic oscillations along its axis is studied theoretically. The free boundary problem governing the time evolution of the shape of the drop and the flow field inside it is solved by a method of lines using a finite element algorithm incorporating an adaptive mesh. When the forcing amplitude is small, the drop approaches a limit cycle at large times and undergoes steady oscillations thereafter. However, drop breakup is the consequence if the forcing amplitude exceeds a critical value. Over a wide range of amplitudes above this critical value, drop ejection from the rod occurs during the second oscillation period from the commencement of rod motion. Remarkably, the shape of the interface at breakup and the volume of the primary drop formed are insensitive to changes in forcing amplitude. The interface shape at times close to and at breakup is a multi-valued function of distance measured along the rod axis and hence cannot be described by recently popularized one-dimensional approximations. The computations show that drop ejection occurs without the formation of a long neck. Therefore, this method of drop formation holds promise of preventing formation of undesirable satellite droplets.

  12. Brachial Plexus-Associated Neuropathy After High-Dose Radiation Therapy for Head-and-Neck Cancer

    SciTech Connect

    Chen, Allen M.; Hall, William H.; Li, Judy; Beckett, Laurel; Farwell, D. Gregory; Lau, Derick H.; Purdy, James A.

    2012-09-01

    Purpose: To identify clinical and treatment-related predictors of brachial plexus-associated neuropathies after radiation therapy for head-and-neck cancer. Methods and Materials: Three hundred thirty patients who had previously completed radiation therapy for head-and-neck cancer were prospectively screened using a standardized instrument for symptoms of neuropathy thought to be related to brachial plexus injury. All patients were disease-free at the time of screening. The median time from completion of radiation therapy was 56 months (range, 6-135 months). One-hundred fifty-five patients (47%) were treated by definitive radiation therapy, and 175 (53%) were treated postoperatively. Radiation doses ranged from 50 to 74 Gy (median, 66 Gy). Intensity-modulated radiation therapy was used in 62% of cases, and 133 patients (40%) received concurrent chemotherapy. Results: Forty patients (12%) reported neuropathic symptoms, with the most common being ipsilateral pain (50%), numbness/tingling (40%), motor weakness, and/or muscle atrophy (25%). When patients with <5 years of follow-up were excluded, the rate of positive symptoms increased to 22%. On univariate analysis, the following factors were significantly associated with brachial plexus symptoms: prior neck dissection (p = 0.01), concurrent chemotherapy (p = 0.01), and radiation maximum dose (p < 0.001). Cox regression analysis confirmed that both neck dissection (p < 0.001) and radiation maximum dose (p < 0.001) were independently predictive of symptoms. Conclusion: The incidence of brachial plexus-associated neuropathies after radiation therapy for head-and-neck cancer may be underreported. In view of the dose-response relationship identified, limiting radiation dose to the brachial plexus should be considered when possible.

  13. Aerodynamic Forces Experienced during Ejection.

    DTIC Science & Technology

    1981-03-01

    BIOMECHANICAL DATA The blomechanical properties of long bones vary significantly with geometry, material properties , loading method, pathology, etc...side if neceseesary and Identify by block number) Ejection F -4 Aircraft Acceleration (abrupt Windblast Injury Biomechanical data Long bones 20...Ligaments-medial collateral tear-dislocation Menisci-medlal meniscus tear e Frequency: 44% e Mechanism: The function of the ligament Is to prevent abnormal

  14. Massive hemothorax: A rare complication after supraclavicular brachial plexus block.

    PubMed

    Singh, Shiv Kumar; Katyal, Surabhi; Kumar, Amit; Kumar, Pawan

    2014-01-01

    Plexus block is the preferred anesthesia plan for upper limb surgeries. Among the known complications, hematoma formation following the vascular trauma is often occur but this complication is frequently underreported. We present a case where a massive hemothorax developed post operatively in a patient who underwent resection of giant cell tumor of the right hand radius bone followed by arthroplasty under brachial plexus block using supraclavicular approach. This case report attempts to highlight the essence of remaining vigilant postoperatively for first initial days after brachial plexus block, especially after failed or multiple attempts. Ultrasound guided technique in combination with nerve stimulator has proven to be more reliable and safer than traditional techniques.

  15. Acute presentation of brachial plexus schwannoma secondary to infarction.

    PubMed

    Sidani, Charif; Saraf-Lavi, Efrat; Lyapichev, Kirill A; Nadji, Mehrdad; Levi, Allan D

    2015-06-01

    Schwannomas of the brachial plexus are rare and typically present as slowly growing masses. We describe a case of a 37-year-old female who presented with acute onset of severe left upper extremity pain. Magnetic resonance imaging (MRI) showed a 2.3 × 2.1 cm peripherally enhancing centrally cystic lesion in the left axilla, along the cords of the left brachial plexus, with significant surrounding edema and enhancement. The mass was surgically removed. Pathology was consistent with a schwannoma with infarction. The pain completely resolved immediately after surgery.

  16. Analysis of melt ejection during long pulsed laser drilling

    NASA Astrophysics Data System (ADS)

    Ting-Zhong, Zhang; Zhi-Chao, Jia; Hai-Chao, Cui; De-Hua, Zhu; Xiao-Wu, Ni; Jian, Lu

    2016-05-01

    In pulsed laser drilling, melt ejection greatly influences the keyhole shape and its quality as well, but its mechanism has not been well understood. In this paper, numerical simulation and experimental investigations based on 304 stainless steel and aluminum targets are performed to study the effects of material parameters on melt ejection. The numerical method is employed to predict the temperatures, velocity fields in the solid, liquid, and vapour front, and melt pool dynamics of targets as well. The experimental methods include the shadow-graphic technique, weight method, and optical microscope imaging, which are applied to real-time observations of melt ejection phenomena, measurements of collected melt and changes of target mass, observations of surface morphology and the cross-section of the keyhole, respectively. Numerical and experimental results show that the metallic material with high thermal diffusivity like aluminum is prone to have a thick liquid zone and a large quantity of melt ejection. Additionally, to the best of our knowledge, the liquid zone is used to illustrate the relations between melt ejection and material thermal diffusivity for the first time. The research result in this paper is useful for manufacturing optimization and quality control in laser-material interaction. Project supported by the Natural Science Foundation of Jiangsu Province, China (Grant No. KYLX_0341) and the National Natural Science Foundation of China (Grant No. 61405147).

  17. MEMEX: Mechanisms of Energetic Mass Ejection Explorer

    NASA Astrophysics Data System (ADS)

    Moore, T. E.; Chappell, C. R.; Clemmons, J. H.; Cully, C. M.; Donovan, E.; Earle, G. D.; Heelis, R. A.; Kistler, L. M.; Kepko, L.; Khazanov, G. V.; Knudsen, D. J.; Lessard, M.; McFadden, J. P.; Nicolls, M. J.; Pollock, C. J.; Pfaff, R. F.; Rankin, R.; Rowland, D. E.; Semeter, J. L.; Thayer, J. P.; Winglee, R.

    2013-12-01

    MEMEX is designed to find out how gravitationally-trapped volatile matter is being lost from atmospheres by energetic processes, depleting them of key constituents, as has occurred most dramatically at Mars. This process is exemplified in geospace by the dissipation of solar energy to produce ionospheric outflows that feed back on dynamics of the solar wind interaction with Earth's magnetosphere. Kinetic and electromagnetic energy flow from the Sun into the coupled (auroral) ionosphere, where resultant electron, ion, and gas heating give rise to upwelling, ionization, and mass ejection. Proposed mechanisms involve wave-particle heating interactions, upward ambipolar electric fields, or ponderomotive forces. A large number of free energy sources have been identified, but empirical guidance remains weak concerning their relative importance. Moreover, it is unclear if the waves interact with particles primarily in a cyclotron resonant mode, or in a lower hybrid exchange of electron (parallel) and ion (perpendicular) energy, or in a bulk ponderomotive mode. MEMEX will answer the questions raised by these issues: Where do the waves that produce mass ejection grow? How do they propagate and transport energy? How can wave amplitudes, heating, and escape rates be derived from solar wind conditions? Is the heating a cyclotron resonant process or a bulk ponderomotive forcing process? To obtain answers, MEMEX will for the first time simultaneously observe the magnetospheric and atmospheric boundary conditions applied to the topside or exobase layer, and the response of ions and electrons to the ensuing battle between electrodynamic forcing and collisional damping.

  18. Fractionation of hydrogen and deuterium on Venus due to collisional ejection

    NASA Astrophysics Data System (ADS)

    Gurwell, M. A.; Yung, Y. L.

    1993-02-01

    The collisional ejection process for hydrogen on Venus is reanalyzed. Improved values for the efficiency of H and D escape as a function of the ionospheric temperature are reported. It is proposed that the reduction of the hydrogen flux for collisional ejection be reduced from 8 to 3.5 x 10 exp 6/sq cm/s, and a revised D/H fractional factor of 0.47 due to collisional ejection is suggested. The resulting deuterium flux is 3.1 x 10 exp 4/sq cm/s, roughly six times the flux due to charge exchange, making collisional ejection the dominant escape mechanism for deuterium on Venus.

  19. Nerve transfers in brachial plexus birth palsies: indications, techniques, and outcomes.

    PubMed

    Kozin, Scott H

    2008-11-01

    The advent of nerve transfers has greatly increased surgical options for children who have brachial plexus birth palsies. Nerve transfers have considerable advantages, including easier surgical techniques, avoidance of neuroma resection, and direct motor and sensory reinnervation. Therefore, any functioning nerve fibers within the neuroma are preserved. Furthermore, a carefully selected donor nerve results in little or no clinical deficit. However, some disadvantages and unanswered questions remain. Because of a lack of head-to-head comparison between nerve transfers and nerve grafting, the window of opportunity for nerve grafting may be missed, which may degrade the ultimate outcome. Time will tell the ultimate role of nerve transfer or nerve grafting.

  20. The natural history and management of brachial plexus birth palsy.

    PubMed

    Buterbaugh, Kristin L; Shah, Apurva S

    2016-12-01

    Brachial plexus birth palsy (BPBP) is an upper extremity paralysis that occurs due to traction injury of the brachial plexus during childbirth. Approximately 20 % of children with brachial plexus birth palsy will have residual neurologic deficits. These permanent and significant impacts on upper limb function continue to spur interest in optimizing the management of a problem with a highly variable natural history. BPBP is generally diagnosed on clinical examination and does not typically require cross-sectional imaging. Physical examination is also the best modality to determine candidates for microsurgical reconstruction of the brachial plexus. The key finding on physical examination that determines need for microsurgery is recovery of antigravity elbow flexion by 3-6 months of age. When indicated, both microsurgery and secondary shoulder and elbow procedures are effective and can substantially improve functional outcomes. These procedures include nerve transfers and nerve grafting in infants and secondary procedures in children, such as botulinum toxin injection, shoulder tendon transfers, and humeral derotational osteotomy.

  1. Factors Affecting Ejection Risk in Rollover Crashes

    PubMed Central

    Funk, James R.; Cormier, Joseph M.; Bain, Charles E.; Wirth, Jeffrey L.; Bonugli, Enrique B.; Watson, Richard A.

    2012-01-01

    Ejection greatly increases the risk of injury and fatality in a rollover crash. The purpose of this study was to determine the crash, vehicle, and occupant characteristics that affect the risk of ejection in rollovers. Information from real world rollover crashes occurring from 2000 – 2010 was obtained from the National Automotive Sampling System (NASS) in order to analyze the effect of the following parameters on ejection risk: seatbelt use, rollover severity, vehicle type, seating position, roof crush, side curtain airbag deployment, glazing type, and occupant age, gender, and size. Seatbelt use was found to reduce the risk of partial ejection and virtually eliminate the risk of complete ejection. For belted occupants, the risk of partial ejection risk was significantly increased in rollover crashes involving more roof inversions, light trucks and vans (LTVs), and larger occupants. For unbelted occupants, the risk of complete ejection was significantly increased in rollover crashes involving more roof inversions, LTVs, far side occupants, and higher levels of roof crush. Roof crush was not a significant predictor of ejection after normalizing for rollover severity. Curtain airbag deployment was associated with reduced rates of partial and complete ejection, but the effect was not statistically significant, perhaps due to the small sample size (n = 89 raw cases with curtain deployments). A much greater proportion of occupants who were ejected in spite of curtain airbag deployment passed through the sunroof and other portals as opposed to the adjacent side window compared to occupants who were ejected in rollovers without a curtain airbag deployment. The primary factors that reduce ejection risk in rollover crashes are, in generally decreasing order of importance: seatbelt use, fewer roof inversions, passenger car body type, curtain airbag deployment, near side seating position, and small occupant size. PMID:23169130

  2. Brachial arterial pressure to assess cardiovascular structural damage: an overview and lessons from clinical trials.

    PubMed

    London, Gérald M

    2008-01-01

    Epidemiological studies have emphasized the relationship between blood pressure (BP) and the incidence of cardiovascular diseases. Severity of hypertension was in the past judged on the basis of diastolic BP. More recent epidemiological studies have directed attention to systolic pressure as a better guide to cardiovascular and all-cause mortality. Traditionally, hypertension was appreciated by measures of BP recorded in peripheral arteries, usually brachial artery which was assumed to reflect pressures in all parts of arterial system. All these studies neglected that peripheral systolic BP differs from pressure recorded in the aorta and central arteries. While mean and diastolic pressures are almost constant along the arterial tree, due to the stiffness and geometric heterogeneity of large arteries and the timing and magnitude of wave reflections systolic BP and pulse pressure are amplified from the aorta to peripheral arteries, and brachial systolic BP only indirectly reflects the systolic BP in the aorta and central arteries. Several recent studies have shown that the effects of antihypertensive drugs are not the same in peripheral and central arteries, fact which could account for different effects of various drugs on end-organ damage, such as regression of left ventricular hypertrophy. Moreover, it has been shown that aortic and central artery pressure (or their determinants) are stronger predictors of end-organ damage and cardiovascular outcome than conventionally measured brachial pressure. These studies have focused the attention on the physical properties of large arteries and on the way they influence the level of systolic and pulse pressures along the arterial tree.

  3. Brachial Artery Reconstruction in Trauma Using Reversed Arm Vein from the Injured Upper Limb

    PubMed Central

    Harnarayan, Patrick

    2016-01-01

    Background: Brachial artery repair may be technically challenging with a paucity of guidelines. The use arm vein (AV) from the traumatized limb is herein described. Methods: Data were prospectively collected from 2002 to 2016 on brachial artery injury including age, sex, mechanism/site of injury, and repair technique. Categories included AV and non-arm vein (NAV) groups. One-year outcomes were noted. Results: All 31 cases studied were of men with an age range of 16 to 73 years (mean = 28). Injuries included 13 gunshots, 7 stabbings, 6 glass injuries, 2 dislocated elbows, 1 crush, 1 impalement, and 1 avulsion. Site of injuries included the antecubital region in 25, midbrachial in 5, and proximal brachial in 1, with 4 associated fractures. Repair was done using reversed AV from the traumatized limb in 15 cases and NAV in 16. In the AV group, the adjacent basilic vein was used in 9 cases, the adjacent cephalic vein in 3, and the distal (or wrist area) cephalic vein in 3. The limb salvage rates in the AV versus NAV groups were 100% and 94%, respectively (Fisher’s exact t test, P = 1.00), with no major technique-related complications. Conclusions: The outcomes of using reversed AV from the traumatized limb are equivalent to those of other standard techniques such as primary repair, polytetrafluoroethylene, or reversed great saphenous vein, with a 1-year limb salvage rate of 100%. Additionally, advantages include decreased wound complications, better vein graft--artery caliber match, and shorter operating times while maintaining acceptable patency rates. PMID:27826464

  4. V are Interplanetary Coronal Mass Ejections Observed with the SOlar Mass Ejection Imager

    DTIC Science & Technology

    2007-01-01

    SUBTITLE V arc interplanetary coronal mass ejections observed with the Solar Mass Ejection Imager 5a. CONTRACT NUMBER 5b. GRANT NUMBER a. 5c...doi: 10.1029/2007JA012358 14. ABSTRACT Since February 2003, The Solar Mass Ejection Imager (SMEI) has been observing interplanetary- coronal mass...ejections (ICMEs) at solar elongation angles ^ > 20 degrees. The ICMEs generally appear as loops or arcs in the sky, but five show distinct outward

  5. Mass ejections. [during solar flares

    NASA Technical Reports Server (NTRS)

    Rust, D. M.; Hildner, E.; Hansen, R. T.; Dryer, M.; Mcclymont, A. N.; Mckenna-Lawlor, S. M. P.; Mclean, D. J.; Schmahl, E. J.; Steinolfson, R. S.; Tandberg-Hanssen, E.

    1980-01-01

    Observations and model simulations of solar mass ejection phenomena are examined in an investigation of flare processes. Consideration is given to Skylab and other observations of flare-associated sprays, eruptive prominences, surges and coronal transients, and to MHD, gas dynamic and magnetic loop models developed to account for them. Magnetic forces are found to confine spray material, which originates in preexisting active-region filaments, within steadily expanding loops, while surges follow unmoving, preexisting magnetic field lines. Simulations of effects of a sudden pressure pulse at the bottom of the corona are found to exhibit many characteristics of coronal transients associated with flares, and impulsive heating low in the chromosphere is found to be able to account for surges. The importance of the magnetic field as the ultimate source of energy which drives eruptive phenomena as well as flares is pointed out.

  6. Modeling Interplanetary Coronal Mass Ejections

    NASA Technical Reports Server (NTRS)

    Riley, Pete

    2004-01-01

    Heliospheric models of Coronal Mass Ejection (CME) propagation and evolution provide an important insight into the dynamics of CMEa and are a valuable tool for interpreting interplanetary in situ observations. Moreover, they represent a virtual laboratory for exploring conditions and regions of space that are not conveniently or currently accessible by spacecraft. In this review I summarize recent advances in modeling the properties and evolution of CMEs in the solar wind. In particular, I will focus on: (1) the types of ICME models; (2) the boundary conditions that are imposed, (3) the role of the ambient solar wind; (4) predicting new phenomena; and (5) distinguishing between competing CME initiation mechanisms. I will conclude by discussing what topics will likely be important for models to address in the future.

  7. Low-Volume Brachial Plexus Block Providing Surgical Anesthesia for Distal Arm Surgery Comparing Supraclavicular, Infraclavicular, and Axillary Approach: A Randomized Observer Blind Trial

    PubMed Central

    Vazin, Mojgan; Jensen, Kenneth; Kristensen, Danja L.; Hjort, Mathias; Tanggaard, Katrine; Karmakar, Manoj K.; Bendtsen, Thomas F.

    2016-01-01

    Background. Distal arm surgery is widely performed under regional anesthesia with brachial plexus block. The preponderance of evidence for the efficacy relies upon injection of local anesthetic in excess of 30 mL. We aimed to compare three different ultrasound-guided brachial plexus block techniques restricting the total volume to 20 mL. Methods. 120 patients were prospectively randomized to ultrasound-guided brachial plexus block with 20 mL ropivacaine 0.75% at either the supraclavicular, infraclavicular, or axillary level. Multiinjection technique was performed with all three approaches. Primary outcome measure was performance time. Results. Performance time and procedural pain were similar between groups. Needle passes and injection numbers were significantly reduced in the infraclavicular group (P < 0.01). Nerve visibility was significantly reduced in the axillary group (P = 0.01). Success-rate was significantly increased in the supraclavicular versus the axillary group (P < 0.025). Total anesthesia-related time was significantly reduced in the supraclavicular compared to the infraclavicular group (P < 0.01). Block duration was significantly increased in the infraclavicular group (P < 0.05). No early adverse effects occurred. Conclusion. Supraclavicular and infraclavicular blocks exhibited favorable characteristics compared to the axillary block. Supraclavicular brachial plexus block with the multiinjection intracluster technique exhibited significantly reduced total anesthesia-related time and higher success rate without any early adverse events. PMID:27990435

  8. Sizes and locations of coronal mass ejections - SMM observations from 1980 and 1984-1989

    NASA Technical Reports Server (NTRS)

    Hundhausen, A. J.

    1993-01-01

    A statistical description of the sizes and locations of 1209 mass ejections observed with the SMM coronagraph/polarimeter in 1980 and 1984-1989 is presented. The average width of the coronal mass ejections detected with this instrument was close to 40 deg in angle for the entire period of SMM observations. No evidence was found for a significant change in mass ejection widths as reported by Howard et al. (1986). There is clear evidence for changes in the latitude distribution of mass ejections over this epoch. Mass ejections occurred over a much wider range of latitudes at the times of high solar activity (1980 and 1989) than at times of low activity (1985-1986).

  9. Observation of particle ejection behavior following laser-induced breakdown on the rear surface of a sodium chloride optical window

    NASA Astrophysics Data System (ADS)

    Shen, Chao; Cheng, Xiang'ai; Xu, Zhongjie; Wei, Ke; Jiang, Tian

    2017-01-01

    Laser-induced rear surface breakdown process of sodium chloride (NaCl) optical window was investigated based on the time-resolved shadowgraphy and interferometry. Violent particle ejection behavior lasting from tens of nanoseconds to tens of microseconds after the breakdown was observed. Classified by the particle velocity and propagating direction, the ejection process can be divided into three phases: (1) high-speed ejection of liquid particles during the first 100-ns delay; (2) micron-sized material clusters ejection from ˜100-ns to ˜1-μs delay; (3) larger and slower solid-state particles ejection from ˜1 μs to tens of microseconds delay. The moving directions of particles in the first and third phases are both perpendicular to the sample surface while particles ejected in the second phase exhibits angular ejection and present a V-like particle pattern. Mechanisms include explosive boiling, impact ejection, and shockwave ejection are discussed to explain this multiple phase ejection behavior. Our results highlight the significance of impact ejection induced by recoil pressure and backward propagating internal shockwave for laser-induced rear surface breakdown events of optical materials with low melting point.

  10. A smart pinless ejection mechanism using dual-resonance excitation Langevin piezoelectric transducers

    NASA Astrophysics Data System (ADS)

    Wang, Yu-Jen; Fu, Kuo-Chieh; Wang, Chun-Chieh

    2016-01-01

    This study investigated a smart pinless ejection mechanism comprising two dual-resonance excitation Langevin piezoelectric transducers (DRELPTs) for keeping the injection parts intact and protecting their top and bottom surfaces from scarring during plastic injection molding. The dimensions of each DRELPT were determined using longitudinal vibration models, and an optimization method was used to set the frequency ratio of the first to the second longitudinal mode to 1:2. This concept enables the driving of DRELPT in its two longitudinal modes consistent with the ejection direction in resonant-type smooth impact drive mechanisms. During the ejection process, DRELPT provides an ejection force, which is applied on the sidewalls of the injection parts to protect their top and bottom surfaces from scarring. Considering individual differences in the resonance frequencies of DRELPTs, a resonance frequency tracking circuit based on a phase-locked loop was designed to keep DRELPT actuating in resonance. The ejection velocity of the injection part was estimated using the kinetic models derived from the dynamic behavior of the mold cavity and injection parameters. A characteristic number S was defined to evaluate the average velocity of the injection part during ejection. Proof-of-concept experimental results of the pinless ejection mechanism are presented. The ejection time, that is, the time from triggering the composite wave to the full departure of the injection part from the mold cavity, was 72 ms.

  11. Recent advances in the management of brachial plexus injuries

    PubMed Central

    Bhandari, Prem Singh; Maurya, Sanjay

    2014-01-01

    Management of brachial plexus injury is a demanding field of hand and upper extremity surgery. With currently available microsurgical techniques, functional gains are rewarding in upper plexus injuries. However, treatment options in the management of flail and anaesthetic limb are still evolving. Last three decades have witnessed significant developments in the management of these injuries, which include a better understanding of the anatomy, advances in the diagnostic modalities, incorporation of intra-operative nerve stimulation techniques, more liberal use of nerve grafts in bridging nerve gaps, and the addition of new nerve transfers, which selectively neurotise the target muscles close to the motor end plates. Newer research works on the use of nerve allografts and immune modulators (FK 506) are under evaluation in further improving the results in nerve reconstruction. Direct reimplantation of avulsed spinal nerve roots into the spinal cord is another area of research in brachial plexus reconstruction. PMID:25190913

  12. Massive hemothorax: A rare complication after supraclavicular brachial plexus block

    PubMed Central

    Singh, Shiv Kumar; Katyal, Surabhi; Kumar, Amit; Kumar, Pawan

    2014-01-01

    Plexus block is the preferred anesthesia plan for upper limb surgeries. Among the known complications, hematoma formation following the vascular trauma is often occur but this complication is frequently underreported. We present a case where a massive hemothorax developed post operatively in a patient who underwent resection of giant cell tumor of the right hand radius bone followed by arthroplasty under brachial plexus block using supraclavicular approach. This case report attempts to highlight the essence of remaining vigilant postoperatively for first initial days after brachial plexus block, especially after failed or multiple attempts. Ultrasound guided technique in combination with nerve stimulator has proven to be more reliable and safer than traditional techniques. PMID:25886347

  13. Ultrasonographic evaluation of brachial plexus tumors in five dogs.

    PubMed

    Rose, Scott; Long, Craig; Knipe, Marguerite; Hornof, Bill

    2005-01-01

    Five dogs with unilateral thoracic limb lameness, neurologic deficits, muscle atrophy, and pain, or a combination of these signs, were examined using ultrasonograghy. Large, hypoechoic tubular masses that displaced vessels and destroyed the normal architecture were found in each dog. The affected axilla of each patient was then imaged with computed tomography or magnetic resonance to fully assess the extent of the masses. We describe the use of ultrasound in screening patients for brachial plexus tumors.

  14. Perineural administration of dexmedetomidine in combination with ropivacaine prolongs axillary brachial plexus block.

    PubMed

    Zhang, Yu; Wang, Chang-Song; Shi, Jing-Hui; Sun, Bo; Liu, Shu-Jie; Li, Peng; Li, En-You

    2014-01-01

    To evaluate the hypothesis that adding dexmedetomidine to ropivacaine prolongs axillary brachial plexus block. Forty-five patients of ASA I~II and aged 25-60 yr who were scheduled for elective forearm and hand surgery were randomly divided into 3 equal groups and received 40 ml of 0.33% ropivacaine + 1 ml dexmedetomidine (50 μg) (Group DR1), 40 ml of 0.33% ropivacaine + 1 ml dexmedetomidine (100 μg) (group DR2) or 40 ml of 0.33% ropivacaine + 1 ml saline (group R) in a double-blind fashion. The onset and duration of sensory and motor blocks and side effects were recorded. The demographic data and surgical characteristics were similar in each group. Sensory and motor block onset times were the same in the three groups. Sensory and motor blockade durations were longer in group DR2 than in group R (P < 0.05). There was no significant difference in the sensory blockade duration between group DR1 and group R. Bradycardia, hypertension and hypotension were not observed in group R and occurred more often in group DR2 than in group DR1. Dexmedetomidine added to ropivacaine for an axillary brachial plexus block prolongs the duration of the block. However, dexmedetomidine may also lead to side effects such as bradycardia, hypertension, and hypotension.

  15. Initiation of Coronal Mass Ejections

    NASA Technical Reports Server (NTRS)

    Moore, Ronald L.; Sterling, Alphonse C.

    2005-01-01

    This paper is a synopsis of the initiation of the strong-field magnetic explosions that produce large, fast coronal mass ejections. Cartoons based on observations are used to describe the inferred basic physical processes and sequences that trigger and drive the explosion. The magnetic field that explodes is a sheared-core bipole that may or may not be embedded in surrounding strong magnetic field, and may or may not contain a flux rope before it starts to explode. We describe three different mechanisms that singly or in combination trigger the explosion: (1) runaway internal tether-cutting reconnection, (2) runaway external tether-cutting reconnection, and (3) ideal MHD instability or loss or equilibrium. For most eruptions, high-resolution, high-cadence magnetograms and chromospheric and coronal movies (such as from TRACE and/or Solar-B) of the pre-eruption region and of the onset of the eruption and flare are needed to tell which one or which combination of these mechanisms is the trigger. Whatever the trigger, it leads to the production of an erupting flux rope. Using a simple model flux rope, we demonstrate that the explosion can be driven by the magnetic pressure of the expanding flux rope, provided the shape of the expansion is "fat" enough.

  16. Evaluation of an education day for families of children with obstetrical brachial plexus palsy.

    PubMed

    Ho, Emily S; Ulster, Alissa A

    2011-09-01

    Children with obstetrical brachial plexus palsy may have chronic physical impairment in their affected upper extremity. Affected children and their families may benefit from psychosocial interventions including therapeutic relationships with health professionals, meeting other families living with obstetrical brachial plexus palsy, support groups, and social work. One method of addressing psychosocial needs is through a support and education day. The purpose of this quality improvement project is to evaluate parental perceptions of a support and education day called the "Brachial Plexus Family Day." Families of children with obstetrical brachial plexus palsy who attended the Brachial Plexus Family Day completed a questionnaire to evaluate the different programs offered during the day. The families also ranked the importance of different psychosocial supports offered in the clinic. Sixty-three out of 69 families completed the questionnaire. Each program of the Brachial Plexus Family Day was rated as good or excellent by the respondents. Ninety-seven percent of respondents rated meeting other families and children with obstetrical brachial plexus palsy as helpful supports. Attending a Brachial Plexus Family day event (86%), followed by connecting with a doctor (60%), and physical or occupational therapist (59%) were the highest ranked supports reported by the families. The parents and caregivers that attended the Brachial Plexus Family Day rated the program highly. This group also valued the opportunity to connect with other families and children affected with the same condition.

  17. Delayed rupture of a pseudoaneurysm in the brachial artery of a burn reconstruction patient

    PubMed Central

    2013-01-01

    A brachial artery pseudoaneurysm is a rare but serious condition that can be limb threatening. A number of reports have found that it may be the result of damage to the blood vessels around the brachial artery, either directly or indirectly, due to trauma or systemic diseases. We present our experience of delayed pseudoaneurysm rupture of the brachial artery in a rehabilitation patient with burns of the upper extremity who underwent fasciotomy and musculocutaneous flap coverage. We also provide a review of the brachial artery pseudoaneurysm. PMID:23758847

  18. [Modified grant method protocol for dissecting and identifying the brachial plexus].

    PubMed

    Arakawa, Takamitsu; Setsu, Tomiyoshi; Terashima, Toshio

    2004-03-01

    Dissection of the brachial plexus is an important part in the anatomical course, but it is difficult for medical students to identify individual nerves of the brachial plexus due to its complexity and numerous variations. We have recently adopted the Grant method (1991) to guide students in the successful identification of this plexus. However, according to the Grant method the part of the upper limb including the brachial plexus is dissected before the neck part, which makes it impossible to identify the roots, trunks, and cords of the brachial plexus, and to identify the nerve branches extending from the brachial plexus. Here, we propose of anatomical dissection protocol of the brachial plexus a modified Grant method for medical students and instructors. The points of the modified protocols are: (1) to dissect the brachial plexus after the dissection of the neck part, (2) to identify the nerve trunks at the scalenus gap after dissecting the lateral, medial and posterior cords. The modified Grant method can be adapted to any other dissecting protocol of the brachial plexus, and will allow students to cope with many variations of the brachial plexus when they occur.

  19. Magnetic resonance imaging of traumatic and non-traumatic brachial plexopathies

    PubMed Central

    Fan, Yiru Lorna; Othman, Mohamad Isham Bin; Dubey, Niraj; Peh, Wilfred CG

    2016-01-01

    Adult-onset brachial plexopathy can be classified into traumatic and non-traumatic aetiologies. Traumatic brachial plexopathies can affect the pre- or postganglionic segments of the plexus. Non-traumatic brachial plexopathies may be due to neoplasia, radiotherapy, thoracic outlet syndrome and idiopathic neuralgic amyotrophy. Conventional magnetic resonance imaging (MRI) is useful to localise the area of injury or disease, and identify the likely cause. This review discusses some of the common causes of adult-onset brachial plexopathy and their imaging features on MRI. We also present a series of cases to illustrate some of these causes and their MRI findings. PMID:27779278

  20. Discovery of collimated ejection from the symbiotic binary BF Cygni

    NASA Astrophysics Data System (ADS)

    Skopal, A.; Tomov, N. A.; Tomova, M. T.

    2013-03-01

    Context. Detection of collimated ejection from white dwarfs (WD) in symbiotic binaries is very rare and has employed a variety of methods in X-ray, radio, optical imagery, and spectroscopy. To date, its signature in the optical spectra has only been recorded for four objects (MWC 560, Hen 3-1341, StHα 190, and Z And). Aims: We present the first observational evidence of highly-collimated bipolar ejection from the symbiotic binary BF Cyg, which developed during its current (2006-12) active phase, and determine their physical parameters. Methods: We monitored the outburst with the optical high-resolution spectroscopy and multicolour UBVRCIC photometry. Results: During 2009, three years after the 2006-eruption of BF Cyg, satellite components to Hα and Hβ lines emerged in the spectrum. During 2012, they became stable and were located symmetrically with respect to the main emission core of the line. Spectral properties of these components suggest bipolar ejection collimated within an opening angle of ≲15°, whose radiation is produced by an optically thin medium with the emission measure of 1-2 × 1059 (d/3.8 kpc)2 cm-3. Conclusions: Formation of the collimated ejection a few years after the eruption and its evolution on a time scale of years at a constant optical brightness can aid us in better understanding the accretion process during the active phases of symbiotic stars. Based on data collected with 2-m telescope at the Rozhen National Astronomical Observatory and the David Dunlap Observatory.

  1. Compressed wormlike chain moving out of confined space: A model of DNA ejection from bacteriophage

    NASA Astrophysics Data System (ADS)

    Wang, Ji-Zeng; Li, Long; Gao, Hua-Jian

    2012-08-01

    The molecular biomechanics of DNA ejection from bacteriophage is of interest to not only fundamental biological understandings but also practical applications such as the design of advanced site-specific and controllable drug delivery systems. In this paper, we analyze the viscous motion of a semiflexible polymer chain coming out of a strongly confined space as a model to investigate the effects of various structure confinements and frictional resistances encountered during the DNA ejection process. The theoretically predicted relations between the ejection speed, ejection time, ejection length, and other physical parameters, such as the phage type, total genome length and ionic state of external buffer solutions, show excellent agreement with in vitro experimental observations in the literature.

  2. Two billion years of magmatism recorded from a single Mars meteorite ejection site.

    PubMed

    Lapen, Thomas J; Righter, Minako; Andreasen, Rasmus; Irving, Anthony J; Satkoski, Aaron M; Beard, Brian L; Nishiizumi, Kunihiko; Jull, A J Timothy; Caffee, Marc W

    2017-02-01

    The timing and nature of igneous activity recorded at a single Mars ejection site can be determined from the isotope analyses of Martian meteorites. Northwest Africa (NWA) 7635 has an Sm-Nd crystallization age of 2.403 ± 0.140 billion years, and isotope data indicate that it is derived from an incompatible trace element-depleted mantle source similar to that which produced a geochemically distinct group of 327- to 574-million-year-old "depleted" shergottites. Cosmogenic nuclide data demonstrate that NWA 7635 was ejected from Mars 1.1 million years ago (Ma), as were at least 10 other depleted shergottites. The shared ejection age is consistent with a common ejection site for these meteorites. The spatial association of 327- to 2403-Ma depleted shergottites indicates >2 billion years of magmatism from a long-lived and geochemically distinct volcanic center near the ejection site.

  3. Two billion years of magmatism recorded from a single Mars meteorite ejection site

    PubMed Central

    Lapen, Thomas J.; Righter, Minako; Andreasen, Rasmus; Irving, Anthony J.; Satkoski, Aaron M.; Beard, Brian L.; Nishiizumi, Kunihiko; Jull, A. J. Timothy; Caffee, Marc W.

    2017-01-01

    The timing and nature of igneous activity recorded at a single Mars ejection site can be determined from the isotope analyses of Martian meteorites. Northwest Africa (NWA) 7635 has an Sm-Nd crystallization age of 2.403 ± 0.140 billion years, and isotope data indicate that it is derived from an incompatible trace element–depleted mantle source similar to that which produced a geochemically distinct group of 327- to 574-million-year-old “depleted” shergottites. Cosmogenic nuclide data demonstrate that NWA 7635 was ejected from Mars 1.1 million years ago (Ma), as were at least 10 other depleted shergottites. The shared ejection age is consistent with a common ejection site for these meteorites. The spatial association of 327- to 2403-Ma depleted shergottites indicates >2 billion years of magmatism from a long-lived and geochemically distinct volcanic center near the ejection site. PMID:28164153

  4. Aug. 31, 2012 Coronal Mass Ejection

    NASA Video Gallery

    This two part movie shows an Aug. 31 coronal mass ejection (CME) from the sun , the same event that caused depletion and refilling of the radiation belts just after the Relativistic Electron-Proton...

  5. Sept. 28, 2012 Coronal Mass Ejection

    NASA Video Gallery

    This Sept. 28 coronal mass ejection (CME) from the sun, captured by NASA’s Solar Dynamics Observatory (SDO), is the event which caused the near total annihilation of the new radiation belt and sl...

  6. Omnidirectional and Controllable Wing Using Fluid Ejection

    DTIC Science & Technology

    1996-10-22

    8217 Q edge along a continuous perimeter from which fluid outflow tangential to the Coanda edge is -1 o selectively effected by omnidirectional...the air flow over the wing ’ ^ surfaces is directed internally within the fuselage. The tangential ejection of fluid outflow over Coanda edge...tangential ejection 2 outflow from a Coanda edge of a lift wing independently of its translation direction through an d ambient fluid so as

  7. Solar origins of coronal mass ejections

    NASA Technical Reports Server (NTRS)

    Kahler, Stephen

    1987-01-01

    The large scale properties of coronal mass ejections (CMEs), such as morphology, leading edge speed, and angular width and position, have been cataloged for many events observed with coronagraphs on the Skylab, P-78, and SMM spacecraft. While considerable study has been devoted to the characteristics of the SMEs, their solar origins are still only poorly understood. Recent observational work has involved statistical associations of CMEs with flares and filament eruptions, and some evidence exists that the flare and eruptive-filament associated CMEs define two classes of events, with the former being generally more energetic. Nevertheless, it is found that eruptive-filament CMEs can at times be very energetic, giving rise to interplanetary shocks and energetic particle events. The size of the impulsive phase in a flare-associated CME seems to play no significant role in the size or speed of the CME, but the angular sizes of CMEs may correlate with the scale sizes of the 1-8 angstrom x-ray flares. At the present time, He 10830 angstrom observations should be useful in studying the late development of double-ribbon flares and transient coronal holes to yield insights into the CME aftermath. The recently available white-light synoptic maps may also prove fruitful in defining the coronal conditions giving rise to CMEs.

  8. CFD Simulations of Vibration Induced Droplet Ejection.

    NASA Astrophysics Data System (ADS)

    James, Ashley; Smith, Marc K.; Glezer, Ari

    1998-11-01

    Vibration-induced droplet ejection is a process that occurs when a liquid droplet is placed on a vibrating membrane. Above a critical value of the excitation amplitude, Faraday waves form on the surface of the drop. As the amplitude is increased secondary drops are ejected from the wave crests. A Navier-Stokes solver designed to simulate the transient fluid mechanics of the process is presented. The solver is based on a MAC method on a staggered grid. A volume of fluid method is implemented to track the free surface. The volume fraction is advected via a second-order, unsplit method that minimizes numerical diffusion of the interface. Surface tension is incorporated as a continuum surface force. This work is intended to provide a comprehensive description of the fluid dynamics involved in vibration-induced droplet ejection, with the aim of understanding the mechanism behind the ejection process. The evolution of the interface through droplet ejection will be simulated. The dependence of the ejection process on the driving parameters will be evaluated and the resonance characteristics of the drop will be determined. The results of the computations will be compared with experimental results.

  9. Correlation between ultrasound imaging, cross-sectional anatomy, and histology of the brachial plexus: a review.

    PubMed

    van Geffen, Geert J; Moayeri, Nizar; Bruhn, Jörgen; Scheffer, Gert J; Chan, Vincent W; Groen, Gerbrand J

    2009-01-01

    The anatomy of the brachial plexus is complex. To facilitate the understanding of the ultrasound appearance of the brachial plexus, we present a review of important anatomic considerations. A detailed correlation of reconstructed, cross-sectional gross anatomy and histology with ultrasound sonoanatomy is provided.

  10. Finger movement at birth in brachial plexus birth palsy

    PubMed Central

    Nath, Rahul K; Benyahia, Mohamed; Somasundaram, Chandra

    2013-01-01

    AIM: To investigate whether the finger movement at birth is a better predictor of the brachial plexus birth injury. METHODS: We conducted a retrospective study reviewing pre-surgical records of 87 patients with residual obstetric brachial plexus palsy in study 1. Posterior subluxation of the humeral head (PHHA), and glenoid retroversion were measured from computed tomography or Magnetic resonance imaging, and correlated with the finger movement at birth. The study 2 consisted of 141 obstetric brachial plexus injury patients, who underwent primary surgeries and/or secondary surgery at the Texas Nerve and Paralysis Institute. Information regarding finger movement was obtained from the patient’s parent or guardian during the initial evaluation. RESULTS: Among 87 patients, 9 (10.3%) patients who lacked finger movement at birth had a PHHA > 40%, and glenoid retroversion < -12°, whereas only 1 patient (1.1%) with finger movement had a PHHA > 40%, and retroversion < -8° in study 1. The improvement in glenohumeral deformity (PHHA, 31.8% ± 14.3%; and glenoid retroversion 22.0° ± 15.0°) was significantly higher in patients, who have not had any primary surgeries and had finger movement at birth (group 1), when compared to those patients, who had primary surgeries (nerve and muscle surgeries), and lacked finger movement at birth (group 2), (PHHA 10.7% ± 15.8%; Version -8.0° ± 8.4°, P = 0.005 and P = 0.030, respectively) in study 2. No finger movement at birth was observed in 55% of the patients in this study group. CONCLUSION: Posterior subluxation and glenoid retroversion measurements indicated significantly severe shoulder deformities in children with finger movement at birth, in comparison with those lacked finger movement. However, the improvement after triangle tilt surgery was higher in patients who had finger movement at birth. PMID:23362472

  11. Nontraumatic determination of left ventricular ejection fraction by radionuclide angiocardiography.

    PubMed

    Schelbert, H R; Verba, J W; Johnson, A D; Brock, G W; Alazraki, N P; Rose, F J; Ashburn, W L

    1975-05-01

    Previous reports have suggested that left ventricular ejection fraction can be assessed by recording the passage of peripherally administered radioactive bolus through the heart. The accuracy and validity of this technique were examined in 20 patients undergoing diagnostic cardiac catheterization. 99m-Tc-human serum albumin was injected via a central venous catheter into the superior vena cava and precordial activity recorded with a gamma scintillation camera interfaced to a small digital computer. A computer program was designed to generate time-activity curves from the left ventricular blood pool and to calculate left ventricular ejection fractions from the cyclic fluctuations of the left ventricular time-activity curve which correspond to left ventricular volume changes during each cardiac cycle. The results correlated well with those obtained by biplane cineangiocardiography (r equals 0.94) and indicated that the technique should allow accurate and reproducible determination of left ventricular ejection fraction. The findings, however, demonstrated that the time-activity curve must be generated from a region-of-interest which fits the left ventricular blood pool precisely and must be corrected for contributions arising from noncardiac background structures. This nontraumatic and potentially noninvasive technique appears particularly useful for serial evaluation of the acutely ill patient and for follow-up studies in nonhospitalized patients.

  12. High resolution neurography of the brachial plexus by 3 Tesla magnetic resonance imaging.

    PubMed

    Cejas, C; Rollán, C; Michelin, G; Nogués, M

    2016-01-01

    The study of the structures that make up the brachial plexus has benefited particularly from the high resolution images provided by 3T magnetic resonance scanners. The brachial plexus can have mononeuropathies or polyneuropathies. The mononeuropathies include traumatic injuries and trapping, such as occurs in thoracic outlet syndrome due to cervical ribs, prominent transverse apophyses, or tumors. The polyneuropathies include inflammatory processes, in particular chronic inflammatory demyelinating polyneuropathy, Parsonage-Turner syndrome, granulomatous diseases, and radiation neuropathy. Vascular processes affecting the brachial plexus include diabetic polyneuropathy and the vasculitides. This article reviews the anatomy of the brachial plexus and describes the technique for magnetic resonance neurography and the most common pathologic conditions that can affect the brachial plexus.

  13. Kinematical properties of coronal mass ejections

    NASA Astrophysics Data System (ADS)

    Temmer, M.

    2016-11-01

    Coronal mass ejections (CMEs) are the most dynamic phenomena in our solar system. They abruptly disrupt the continuous outflow of solar wind by expelling huge clouds of magnetized plasma into interplanetary space with velocities enabling to cross the Sun-Earth distance within a few days. Earth-directed CMEs may cause severe geomagnetic storms when their embedded magnetic fields and the shocks ahead compress and reconnect with the Earth's magnetic field. The transit times and impacts in detail depend on the initial CME velocity, size, and mass, as well as on the conditions and coupling processes with the ambient solar wind flow in interplanetary space. The observed CME parameters may be severely affected by projection effects and the constant changing environmental conditions are hard to derive. This makes it difficult to fully understand the physics behind CME evolution, preventing to do a reliable forecast of Earth-directed events. This short review focusing on observational data, shows recent methods which were developed to derive the CME kinematical profile for the entire Sun-Earth distance range as well as studies which were performed to shed light on the physical processes that CMEs encounter when propagating from Sun to Earth.

  14. Coronal Mass Ejections and Solar Radio Emissions

    NASA Technical Reports Server (NTRS)

    Gopalswamy, Nat

    2010-01-01

    Coronal mass ejections (CMEs) have important connections to various types of radio emissions from the Sun. The persistent noise storm radiation (type I storm at metric wavelengths, type III storms at longer wavelengths) can be clearly interrupted by the occurrence of a CME in the active region that produces the storm. Sometimes the noise storm completely disappears and other times, it reappears in the active region. Long-lasting type III bursts are associated with CME eruption, thought to be due to the reconnection process taking place beneath the erupting CME. Type II bursts are indicative of electron acceleration in the CME-driven shocks and hence considered to be the direct response of the CME propagation in the corona and interplanetary medium. Finally type IV bursts indicate large-scale post-eruption arcades containing trapped electrons that produce radio emission. This paper summarizes some key results that connect CMEs to various types of radio emission and what we can learn about particle acceleration in the corona) and interplanetary medium. Particular emphasis will be placed on type If bursts because of their connection to interplanetary shocks detected in situ.

  15. Particle Heating Resulting from Coronal Mass Ejection

    NASA Astrophysics Data System (ADS)

    Paul, Suman; Sundar De, Syam; Guha, Gautam

    2016-07-01

    Coronal Mass Ejection (CME) is a continuous phenomena occurring from the entire solar coronal zone responsible for the outflow of solar masses, viz., protons, electrons, neutrons and solar wind in the form of plasma. These perturb the Earth's atmosphere via magnetopause. Very high temperature plasma generator in the solar atmosphere produces huge magnetic dipoles with intense magnetic field. It traps the energetic charged particles released from the solar corona. These particles gyrate along the magnetic field lines and are gradually elongated outwards from the Sun. Due to this, the field lines get detached at some critical limit thereby enhancing the magnetic reconnection with the interplanetary magnetic field releasing huge energy in the form of X-rays and γ-rays. This perturbs the Earth's atmosphere. In this work, the situation has been investigated by momentum balance equation, energy balance equation along with the equations of continuity and states. From the analyses, the dispersive nature of the thermospheric medium is studied. Variation of normalized electron temperature with dimensionless time has been critically contemplated. The altitude dependent electric field in the medium is also investigated.

  16. EIT Observations of Coronal Mass Ejections

    NASA Technical Reports Server (NTRS)

    Gurman, J. B.; Fisher, Richard B. (Technical Monitor)

    2000-01-01

    Before the Solar and Heliospheric Observatory (SOHO), we had only the sketchiest of clues as to the nature and topology of coronal mass ejections (CMEs) below 1.1 - 1.2 solar radii. Occasionally, dimmings (or 'transient coronal holes') were observed in time series of soft X-ray images, but they were far less frequent than CME's. Simply by imaging the Sun frequently and continually at temperatures of 0.9 - 2.5 MK we have stumbled upon a zoo of CME phenomena in this previously obscured volume of the corona: (1) waves, (2) dimmings, and (3) a great variety of ejecta. In the three and a half years since our first observations of coronal waves associated with CME's, combined Large Angle Spectroscopic Coronagraph (LASCO) and extreme ultra-violet imaging telescope (EIT) synoptic observations have become a standard prediction tool for space weather forecasters, but our progress in actually understanding the CME phenomenon in the low corona has been somewhat slower. I will summarize the observations of waves, hot (> 0.9 MK) and cool ejecta, and some of the interpretations advanced to date. I will try to identify those phenomena, analysis of which could most benefit from the spectroscopic information available from ultraviolet coronograph spectrometer (UVCS) observations.

  17. Dynamic simulation of coronal mass ejections

    NASA Technical Reports Server (NTRS)

    Steinolfson, R. S.; Wu, S. T.

    1980-01-01

    A model is developed for the formation and propagation through the lower corona of the loop-like coronal transients in which mass is ejected from near the solar surface to the outer corona. It is assumed that the initial state for the transient is a coronal streamer. The initial state for the streamer is a polytropic, hydrodynamic solution to the steady-state radial equation of motion coupled with a force-free dipole magnetic field. The numerical solution of the complete time-dependent equations then gradually approaches a stationary coronal streamer configuration. The streamer configuration becomes the initial state for the coronal transient. The streamer and transient simulations are performed completely independent of each other. The transient is created by a sudden increase in the pressure at the base of the closed-field region in the streamer configuration. Both coronal streamers and coronal transients are calculated for values of the plasma beta (the ratio of thermal to magnetic pressure) varying from 0.1 to 100.

  18. Postoperative monitoring in free muscle transfers for reconstruction in brachial plexus injuries.

    PubMed

    Dodakundi, Chaitanya; Doi, Kazuteru; Hattori, Yasunori; Sakamoto, Soutetsu; Yonemura, Hiroshi; Fujihara, Yuki

    2012-03-01

    Free gracilis transfers are done for reanimation of the upper limb in traumatic total brachial plexus palsy. Because of buried nature of the free muscle and monitoring skin flap in the axillary or infraclavicular region, it is always a tricky situation for continuous and repeated monitoring to assess vascular status. Critical ischemia times vary between the muscle and monitoring skin flap because of which signs of ischemic changes in the monitoring skin flap are always delayed with respect to the muscle. We describe a novel method that uses the principle of evoked potentials from the muscle to assess the vascular status of the free muscle and detects vascular compromise early before the skin changes are apparent.

  19. Anatomic Variation of Subclavian Artery Visualized on Ultrasound-Guided Supraclavicular Brachial Plexus Block

    PubMed Central

    Prasad, Arunima; Banerjee, Sumantra Sarathi

    2014-01-01

    Use of ultrasonography for performance of nerve and plexus blocks has made the process simpler and safer. However, at times, variant anatomy of the visualized structures can lead to failure of blocks or complications such as intravascular injections. This is especially true in case of novice operators. We report a case of a variant branch of subclavian artery, possibly the dorsal scapular artery passing through the brachial plexus nerve bundles in the supraclavicular area. Since this variation in anatomy was visualized in the scout scan prior to the performance of the block, it was possible to avoid any accidental puncture. Hence, a thorough knowledge of the ultrasound anatomy is important in order to identify various aberrations and variations. It is also prudent to perform a preliminary scan, prior to performance of the block to localize the target area and avoid any inadvertent complications. PMID:25143765

  20. Neutrino diffusion and mass ejection in protoneutron stars

    SciTech Connect

    Almeida, L. G.; Rodrigues, H.; Portes, D. Jr.; Duarte, S. B.

    2010-11-15

    We discuss the mass ejection mechanism induced by diffusion of neutrino during the early stage of the protoneutron star cooling. A dynamical calculation is employed in order to determine the amount of matter ejected and the remnant compact object mass. An equation of state considering hadronic and quark phases for the stellar dense matter was used to solve the whole time evolution of the system during the cooling phase. The initial neutrino population was obtained by considering beta equilibrium in the dense stellar matter with confined neutrinos, in the very early period of the deleptonic stage of the nascent pulsar. For specified initial configurations of the protoneutron star, we solve numerically the set of equations of motion together with neutrino diffusion through the dense stellar medium.

  1. Numerical Simulations of a Flux Rope Ejection

    NASA Astrophysics Data System (ADS)

    Pagano, P.; Mackay, D. H.; Poedts, S.

    2015-03-01

    Coronal mass ejections (CMEs) are the most violent phenomena observed on the Sun. One of the most successful models to explain CMEs is the flux rope ejection model, where a magnetic flux rope is expelled from the solar corona after a long phase along which the flux rope stays in equilibrium while magnetic energy is being accumulated. However, still many questions are outstanding on the detailed mechanism of the ejection and observations continuously provide new data to interpret and put in the context. Currently, extreme ultraviolet (EUV) images from the Atmospheric Imaging Assembly (AIA) on board the Solar Dynamic Observatory (SDO) are providing new insights into the early phase of CME evolution. In particular, observations show the ejection of magnetic flux ropes from the solar corona and how they evolve into CMEs. However, these observations are difficult to interpret in terms of basic physical mechanisms and quantities, thus, we need to compare equivalent quantities to test and improve our models. In our work, we intend to bridge the gap between models and observations with our model of flux rope ejection where we consistently describe the full life span of a flux rope from its formation to ejection. This is done by coupling the global non-linear force-free model (GNLFFF) built to describe the slow low- β formation phase, with a full MHD simulation run with the software MPI-AMRVAC, suitable to describe the fast MHD evolution of the flux rope ejection that happens in a heterogeneous β regime. We also explore the parameter space to identify the conditions upon which the ejection is favoured (gravity stratification and magnetic field intensity) and we produce synthesised AIA observations (171 Å and 211 Å). To carry this out, we run 3D MHD simulation in spherical coordinates where we include the role of thermal conduction and radiative losses, both of which are important for determining the temperature distribution of the solar corona during a CME. Our model of

  2. Acromioclavicular joint dislocation with associated brachial plexus injury

    PubMed Central

    Gallagher, Charles Alexander; Blakeney, William; Zellweger, René

    2014-01-01

    We present the case of a 32-year-old female who sustained a left acromioclavicular (AC) joint type V injury and brachial plexus injury. The patient's AC joint injury was identified 6 days after she was involved in a motorbike accident where she sustained multiple other injuries. She required operative fixation of the AC joint using a locking compression medial proximal tibial plate. At 3 months post operatively, the patient was found to have a subluxed left shoulder as a result of an axonal injury to the upper trunk of the brachial plexus. In addition, the tibial plate had cut out. The plate was subsequently removed. At 8 months the glenohumeral articulation had been restored and the patient had clinically regained significant shoulder function. After 15 months the patient was pain free and could complete all her activities of daily living without impediment. She returned to playing competitive pool after 24 months. PMID:24855076

  3. Electrohydodynamic ejection without using nozzle electrode

    NASA Astrophysics Data System (ADS)

    Dat Nguyen, Vu; Byun, Doyoung

    2009-11-01

    The electrohydrodynamic (EHD) ejection technique has been applied to inkjet printing technology for fabrication of printed electronics. The conventional EHD inkjet device is based on dc voltage and requires two electrodes: a nozzle electrode and an extractor electrode. This study notes several drawbacks of the conventional EHD printing device such as electrical breakdown and demonstrates stable jetting by using the extractor electrode alone without the nozzle electrode and ac voltage. The continuous ejection of droplets can be obtained only by ac voltage, showing consistent ejection at every peak of electrical signal. The suggested EHD inkjet device prevents electrical breakdown and broaden the range of material selection for nozzle design. Experiments with high speed camera also point out that the generated droplets are much smaller than the nozzle size. Using glass capillary, we show various printing patterns of lines and characters.

  4. Coronal mass ejections and coronal structures

    NASA Technical Reports Server (NTRS)

    Hildner, E.; Bassi, J.; Bougeret, J. L.; Duncan, R. A.; Gary, D. E.; Gergely, T. E.; Harrison, R. A.; Howard, R. A.; Illing, R. M. E.; Jackson, B. V.

    1986-01-01

    Research on coronal mass ejections (CMF) took a variety of forms, both observational and theoretical. On the observational side there were: case studies of individual events, in which it was attempted to provide the most complete descriptions possible, using correlative observations in diverse wavelengths; statistical studies of the properties CMEs and their associated activity; observations which may tell us about the initiation of mass ejections; interplanetary observations of associated shocks and energetic particles even observations of CMEs traversing interplanetary space; and the beautiful synoptic charts which show to what degree mass ejections affect the background corona and how rapidly (if at all) the corona recovers its pre-disturbance form. These efforts are described in capsule form with an emphasis on presenting pictures, graphs, and tables so that the reader can form a personal appreciation of the work and its results.

  5. Visualization of the air ejected from the temporary cavity in brain and tissue simulants during gunshot wounding.

    PubMed

    Lazarjan, M S; Geoghegan, P H; Taylor, M C; Jermy, M C

    2015-01-01

    One hypothesis for the physical mechanism responsible for backspatter during cranial gunshot wounding is that air is ejected by the collapse of the temporary cavity formed around the bullet path. Using bovine and ovine heads and simulant materials, evidence of this ejection was sought by measuring the velocity of the air that was drawn in and ejected from the cavity in front of the wound channel after bullet impact. A laminar flow of fog-laden air was arranged in front of the wound channel and two high speed cameras recording at 30,000 frames/second captured the air motion. All samples were shot with standard 9 mm × 19 mm FMJ ammunition. Different concentrations of ballistic gelatine were used to characterize the effect of elasticity of the material on the velocity of the air. Fresh bovine and ovine heads were shot with the same experimental set up to investigate if there was induction of air into, and ejection of air from the entrance wounds. The results show, for the first time, that the temporary cavity does eject air in gelatine. The velocity of in-drawn air for 3, 5 and 10% concentration of gelatine was 81, 76 and 65 m/s respectively and the velocity of ejected air for 5 and 10% concentration of gelatine were 43 and 72 m/s respectively. The results show that when the concentration of gelatine is increased, the velocity of the air drawn into the cavity decreases and the velocity of the ejected air increases. However, no ejection was observed in 3% gelatine, ovine or bovine heads. Although ejection of air was not observed, ejection of brain from the wound channel was seen. Using the velocity of the ejected brain, the minimum intracranial pressure required to eject the brain tissue was estimated to be 712 kPa and 468 kPa for the sheep and bovine heads respectively.

  6. Do we understand coronal mass ejections yet?

    NASA Astrophysics Data System (ADS)

    Hildner, Ernest

    Though many more coronal mass ejections (CMEs) were observed, and though much more has been learned about them during the Solar Maximum Analysis period, they are not yet fully understood. A few recent observational results are reviewed; conclusions and implications drawn from these observations are presented. An emerging picture of the magnetic character of CMEs is sketched; the variations of CMEs' frequency and latitudes over most of a solar cycle are shown. A strong caution about the present lack of concensus on the definition of CMEs is illustrated with examples of the consequences of using different definitions. Finally, some remaining questions about coronal mass ejections are posed.

  7. Halo Coronal Mass Ejections and Geomagnetic Storms

    NASA Technical Reports Server (NTRS)

    Gopalswamy, Nat

    2009-01-01

    In this letter, I show that the discrepancies in the geoeffectiveness of halo coronal mass ejections (CMEs) reported in the literature arise due to the varied definitions of halo CMEs used by different authors. In particular, I show that the low geoeffectiveness rate is a direct consequence of including partial halo CMEs. The geoeffectiveness of partial halo CMEs is lower because they are of low speed and likely to make a glancing impact on Earth. Key words: Coronal mass ejections, geomagnetic storms, geoeffectiveness, halo CMEs.

  8. Brachial artery vasomotion and transducer pressure effect on measurements by active contour segmentation on ultrasound

    SciTech Connect

    Cary, Theodore W.; Sultan, Laith R.; Sehgal, Chandra M.; Reamer, Courtney B.; Mohler, Emile R.

    2014-02-15

    Purpose: To use feed-forward active contours (snakes) to track and measure brachial artery vasomotion on ultrasound images recorded in both transverse and longitudinal views; and to compare the algorithm's performance in each view. Methods: Longitudinal and transverse view ultrasound image sequences of 45 brachial arteries were segmented by feed-forward active contour (FFAC). The segmented regions were used to measure vasomotion artery diameter, cross-sectional area, and distention both as peak-to-peak diameter and as area. ECG waveforms were also simultaneously extracted frame-by-frame by thresholding a running finite-difference image between consecutive images. The arterial and ECG waveforms were compared as they traced each phase of the cardiac cycle. Results: FFAC successfully segmented arteries in longitudinal and transverse views in all 45 cases. The automated analysis took significantly less time than manual tracing, but produced superior, well-behaved arterial waveforms. Automated arterial measurements also had lower interobserver variability as measured by correlation, difference in mean values, and coefficient of variation. Although FFAC successfully segmented both the longitudinal and transverse images, transverse measurements were less variable. The cross-sectional area computed from the longitudinal images was 27% lower than the area measured from transverse images, possibly due to the compression of the artery along the image depth by transducer pressure. Conclusions: FFAC is a robust and sensitive vasomotion segmentation algorithm in both transverse and longitudinal views. Transverse imaging may offer advantages over longitudinal imaging: transverse measurements are more consistent, possibly because the method is less sensitive to variations in transducer pressure during imaging.

  9. Electroacupuncture stimulation of the brachial plexus trunk on the healthy side promotes brain-derived neurotrophic factor mRNA expression in the ischemic cerebral cortex of a rat model of cerebral ischemia/reperfusion injury.

    PubMed

    Guo, Zongjun; Wang, Lumin

    2012-07-25

    A rat model of cerebral ischemia/reperfusion was established by suture occlusion of the left middle cerebral artery. In situ hybridization results showed that the number of brain-derived neurotrophic factor mRNA-positive cells in the ischemic rat cerebral cortex increased after cerebral ischemia/ reperfusion injury. Low frequency continuous wave electroacupuncture (frequency 2-6 Hz, current intensity 2 mA) stimulation of the brachial plexus trunk on the healthy (right) side increased the number of brain-derived neurotrophic factor mRNA-positive cells in the ischemic cerebral cortex 14 days after cerebral ischemia/reperfusion injury. At the same time, electroacupuncture stimulation of the healthy brachial plexus truck significantly decreased neurological function scores and alleviated neurological function deficits. These findings suggest that electroacupuncture stimulation of the brachial plexus trunk on the healthy (right) side can greatly increase brain-derived neurotrophic factor mRNA expression and improve neurological function.

  10. Effects of Slag Ejection on Solid Rocket Motor Performance

    NASA Technical Reports Server (NTRS)

    Whitesides, R. Harold; Purinton, David C.; Hengel, John E.; Skelley, Stephen E.

    1995-01-01

    In past firings of the Reusable Solid Rocket Motor (RSRM) both static test and flight motors have shown small pressure perturbations occurring primarily between 65 and 80 seconds. A joint NASA/Thiokol team investigation concluded that the cause of the pressure perturbations was the periodic ingestion and ejection of molten aluminum oxide slag from the cavity around the submerged nozzle nose which tends to trap and collect individual aluminum oxide droplets from the approach flow. The conclusions of the team were supported by numerous data and observations from special tests including high speed photographic films, real time radiography, plume calorimeters, accelerometers, strain gauges, nozzle TVC system force gauges, and motor pressure and thrust data. A simplistic slag ballistics model was formulated to relate a given pressure perturbation to a required slag quantity. Also, a cold flow model using air and water was developed to provide data on the relationship between the slag flow rate and the chamber pressure increase. Both the motor and the cold flow model exhibited low frequency oscillations in conjunction with periods of slag ejection. Motor and model frequencies were related to scaling parameters. The data indicate that there is a periodicity to the slag entrainment and ejection phenomena which is possibly related to organized oscillations from instabilities in the dividing streamline shear layer which impinges on the underneath surface of the nozzle.

  11. Use of StarClose for brachial artery closure after percutaneous endovascular interventions.

    PubMed

    Puggioni, Alessandra; Boesmans, Evelyne; Deloose, Koen; Peeters, Patrick; Bosiers, Marc

    2008-01-01

    The objective of this study was to evaluate a percutaneous extravascular closure device (StarClose, Abbott Vascular, Redwood City, CA) after brachial endovascular approach. From 2004 to 2006, 29 patients received StarClose for brachial closure. Primary endpoints were successful deployment and absence of procedure-related morbidity, secondary endpoints were brachial artery patency on duplex and absence of late (> 30 days) complications. The device was successfully deployed in all patients. In two patients (6.8%) local complications occurred: one patient developed a large hematoma successfully treated with prolonged compression and a second patient presented with brachial artery occlusion requiring operative intervention. After a mean follow-up of 7.5+/-7.2 months, all patients had a palpable brachial/radial pulse; none had signs of infection, distal embolization or neurological deficits. On ultrasound b-mode imaging, the clip was visible as a 4 mm echolucent area at the outer anterior wall of the artery. Based on the peak systolic velocity ratios between the site of StarClose and proximal brachial artery (mean 1.08+/-0.2), none of the studied patients had a significant stenosis at the site of closure. StarClose is safe and effective in providing hemostasis following interventional procedures through the brachial artery; further advantages include patients comfort and early discharge.

  12. Serial measurements of left ventricular ejection fraction by radionuclide angiography early and late after myocardial infarction.

    PubMed

    Schelbert, H R; Henning, H; Ashburn, W L; Verba, J W; Karliner, J S; O'Rourke, R A

    1976-10-01

    The left ventricular ejection fraction was determined serially with radioisotope angiography in 63 patients with acute myocardial infarction. After the peripheral injection of a bolus of technetium-99m, precordial radioactivity was recorded with a gamma scintillation camera and the ejection fraction calculated from the high frequency left ventricular time-activity curve. Since this technique requires no assumptions with respect to left ventricular geometry, it is particularly useful in patients with segmental left ventricular dysfunction. Serial measurements during the first 5 days after hospital admission were made in 50 patients, 30 of whom were studied during the subsequent 2 to 39 months (mean 19.9 months). Late follow-up serial studies were also performed in an additional 13 patients who had only one measurement of the left ventricular ejection fraction during the early postinfarction period. Early after infarction, the left ventricular ejection fraction was normal (more than 0.52) in only 15 of the 63 patients, and averaged 0.52 +/- 0.05 (standard deviation) in the 27 patients with an uncomplicated infarct. The ejection fraction was reduced in 24 patients with mild to moderate left ventricular failure (0.40 +/- 0.05, P less than 0.0001) and in the 12 patients with overt pulmonary edema (0.33 +/- 0.07, P less than 0.0001). In 35 patients the ejection fraction correlated with the mean pulmonary arterial wedge pressure (r = 0.72). In 15 patients with normal left ventricular wall motion by heart motion videotracking, the ejection fraction was significantly higher (0.53 +/- 0.08) than in the 26 patients with regional left ventricular dysfunction (0.41 +/- 0.10, P less than 0.0001). During the early postinfarction period, the left ventricular ejection fraction improved in 55 percent of patients and remained unchanged or decreased in 45 percent. A further increase in the ejection fraction was noted in 61 percent of patients during the late follow-up period. Patients

  13. Evidence of elevated X-ray absorption before and during major flare ejections in GRS 1915+105

    SciTech Connect

    Punsly, Brian; Rodriguez, Jérôme

    2014-03-10

    We present time-resolved X-ray spectroscopy of the microquasar GRS 1915+105 with the MAXI observatory in order to study the accretion state just before and during the ejections associated with its major flares. Radio monitoring with the RATAN-600 radio telescope from 4.8-11.2 GHz has revealed two large, steep-spectrum major flares in the first eight months of 2013. Since the RATAN has received one measurement per day, we cannot determine the jet-forming time without more information. Fortunately, this is possible since a distinct X-ray light curve signature that occurs preceding and during major ejections has been determined in an earlier study. The X-ray luminosity spikes to very high levels in the hours before ejection, then becomes variable (with a nearly equal X-ray luminosity when averaged over the duration of the ejection) during a brief 3-8 hr ejection process. By comparing this X-ray behavior with MAXI light curves, we can estimate the beginning and end of the ejection episode of the strong 2013 flares to within ∼3 hr. Using this estimate in conjunction with time-resolved spectroscopy from the data in the MAXI archives allows us to deduce that the X-ray absorbing hydrogen column density increases significantly in the hours preceding the ejections and remains elevated during the ejections responsible for the major flares. This finding is consistent with an outflowing wind or enhanced accretion at high latitudes.

  14. Distinction between neoplastic and radiation-induced brachial plexopathy, with emphasis on the role of EMG

    SciTech Connect

    Harper, C.M. Jr.; Thomas, J.E.; Cascino, T.L.; Litchy, W.J.

    1989-04-01

    The results of clinical, radiologic, and electrophysiologic studies are retrospectively reviewed for 55 patients with neoplastic and 35 patients with radiation-induced brachial plexopathy. The presence or absence of pain as the presenting symptom, temporal profile of the illness, presence of a discrete mass on CT of the plexus, and presence of myokymic discharges on EMG contributed significantly to the prediction of the underlying cause of the brachial plexopathy. The distribution of weakness and the results of nerve conduction studies were of no help in distinguishing neoplastic from radiation-induced brachial plexopathy.

  15. Avulsion of the brachial plexus in a great horned owl (Bubo virginaus)

    USGS Publications Warehouse

    Moore, M.P.; Stauber, E.; Thomas, N.J.

    1989-01-01

    Avulsion of the brachial plexus was documented in a Great Horned Owl (Bubo virginianus). A fractured scapula was also present. Cause of these injuries was not known but was thought to be due to trauma. Differentiation of musculoskeletal injury from peripheral nerve damage can be difficult in raptors. Use of electromyography and motor nerve conduction velocity was helpful in demonstrating peripheral nerve involvement. A brachial plexus avulsion was suspected on the basis of clinical signs, presence of electromyographic abnormalities in all muscles supplied by the nerves of the brachial plexus and absence of median-ulnar motor nerve conduction velocities.

  16. The Automatic Detection of Coronal Mass Ejections Using the Solar Mass Ejection Imager

    DTIC Science & Technology

    2009-10-30

    Res., 112, A09103, doi: 10.1029/2007JA012358, 2007. Low, B.C., Solar activity and the corona , Solar Phys. 167, p217, 1996. Robbrecht, E., and D...AFRL-RV-HA-TR-2009-1104 Q- o o o p o The Automatic Detection of Coronal Mass Ejections Using the Solar Mass Ejection Imager Timothy A. Howard... Solar Mass Ejection Imager 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6340IF 6. AUTHORS Timothy A. Howard S. James Tappin

  17. Linear theory on temporal instability of megahertz faraday waves for monodisperse microdroplet ejection.

    PubMed

    Tsai, Shirley C; Tsai, Chen S

    2013-08-01

    A linear theory on temporal instability of megahertz Faraday waves for monodisperse microdroplet ejection based on mass conservation and linearized Navier-Stokes equations is presented using the most recently observed micrometer- sized droplet ejection from a millimeter-sized spherical water ball as a specific example. The theory is verified in the experiments utilizing silicon-based multiple-Fourier horn ultrasonic nozzles at megahertz frequency to facilitate temporal instability of the Faraday waves. Specifically, the linear theory not only correctly predicted the Faraday wave frequency and onset threshold of Faraday instability, the effect of viscosity, the dynamics of droplet ejection, but also established the first theoretical formula for the size of the ejected droplets, namely, the droplet diameter equals four-tenths of the Faraday wavelength involved. The high rate of increase in Faraday wave amplitude at megahertz drive frequency subsequent to onset threshold, together with enhanced excitation displacement on the nozzle end face, facilitated by the megahertz multiple Fourier horns in resonance, led to high-rate ejection of micrometer- sized monodisperse droplets (>10(7) droplets/s) at low electrical drive power (<;1 W) with short initiation time (<;0.05 s). This is in stark contrast to the Rayleigh-Plateau instability of a liquid jet, which ejects one droplet at a time. The measured diameters of the droplets ranging from 2.2 to 4.6 μm at 2 to 1 MHz drive frequency fall within the optimum particle size range for pulmonary drug delivery.

  18. Do centrioles generate a polar ejection force?

    PubMed

    Wells, Jonathan

    2005-01-01

    A microtubule-dependent polar ejection force that pushes chromosomes away from spindle poles during prometaphase is observed in animal cells but not in the cells of higher plants. Elongating microtubules and kinesin-like motor molecules have been proposed as possible causes, but neither accounts for all the data. In the hypothesis proposed here a polar ejection force is generated by centrioles, which are found in animals but not in higher plants. Centrioles consist of nine microtubule triplets arranged like the blades of a tiny turbine. Instead of viewing centrioles through the spectacles of molecular reductionism and neo-Darwinism, this hypothesis assumes that they are holistically designed to be turbines. Orthogonally oriented centriolar turbines could generate oscillations in spindle microtubules that resemble the motion produced by a laboratory vortexer. The result would be a microtubule-mediated ejection force tending to move chromosomes away from the spindle axis and the poles. A rise in intracellular calcium at the onset of anaphase could regulate the polar ejection force by shutting down the centriolar turbines, but defective regulation could result in an excessive force that contributes to the chromosomal instability characteristic of most cancer cells.

  19. How much dust does Enceladus eject?

    NASA Astrophysics Data System (ADS)

    Kempf, Sascha; Srama, Ralf; Postberg, Frank; Schmidt, Juergen

    2016-07-01

    There is an ongoing argument how much dust per second the ice volcanoes on Saturn's ice moon eject. By adjusting their plume model to the dust flux measured by the Cassini dust detector during the close Enceladus flyby in 2005, Schmidt et al. (2008) obtained a total dust production rate in the plumes of about

  20. Origin of Coronal Shocks without Mass Ejections

    NASA Astrophysics Data System (ADS)

    Shanmugaraju, A.; Moon, Y.-J.; Cho, K.-S.; Dryer, M.; Umapathy, S.

    2006-01-01

    We present an analysis of all the events (around 400) of coronal shocks for which the shock-associated metric type IIs were observed by many spectrographs during the period April 1997 December 2000. The main objective of this analysis is to give evidence for the type IIs related to only flare-blast waves, and thus to find out whether there are any type II-associated coronal shocks without mass ejections. By carefully analyzing the data from multi-wavelength observations (Radio, GOES X-ray, Hα, SOHO/LASCO and SOHO/EIT-EUV data), we have identified only 30 events for which there were actually no reports of CMEs. Then from the analysis of the LASCO and EIT running difference images, we found that there are some shocks (nearly 40%, 12/30) which might be associated with weak and narrow mass ejections. These weak and narrow ejections were not reported earlier. For the remaining 60% events (18/30), there are no mass ejections seen in SOHO/LASCO. But all of them are associated with flares and EIT brightenings. Pre-assuming that these type IIs are related to the flares, and from those flare locations of these 18 cases, 16 events are found to occur within the central region of the solar disk (longitude ≤45^∘). In this case, the weak CMEs originating from this region are unlikely to be detected by SOHO/LASCO due to low scattering. The remaining two events occurred beyond this longitudinal limit for which any mass ejections would have been detected if they were present. For both these events, though there are weak eruption features (EIT dimming and loop displacement) in the EIT images, no mass ejection was seen in LASCO for one event, and a CME appeared very late for the other event. While these two cases may imply that the coronal shocks can be produced without any mass ejections, we cannot deny the strong relationship between type IIs and CMEs.

  1. Dynamic and static light scattering analysis of DNA ejection from the phage λ

    NASA Astrophysics Data System (ADS)

    Löf, David; Schillén, Karin; Jönsson, Bengt; Evilevitch, Alex

    2007-07-01

    With the aid of time-resolved dynamic light scattering (DLS) and static light scattering (SLS), we have analyzed the ejection kinetics from the bacterial virus bacteriophage (or phage) λ , triggered in vitro by its receptor. We have used DLS to investigate the kinetics in such a system. Furthermore, we have shown that both SLS and DLS can be interchangeably used to study the process of phage DNA release. DLS is superior to SLS in that it also allows the change in the light scattering arising from each of the components in the system to be monitored under conditions such that the relaxation times are separable. With help of these two methods we present a model explaining the reason for the observed decrease in the scattering intensity accompanying DNA ejection from phage. We emphasize that ejection from phage capsid occurs through a very long tail (which is nearly three times longer than the capsid diameter), which significantly separates ejected DNA from the scattering volume of the capsid. The scattering intensity recorded during the DNA ejection process is the result of a change in the form factor of the phage particle, i.e., the change in the interference effects between the phage capsid and the DNA confined in the phage particle. When the DNA molecule is completely ejected it remains in the proximity of the phage for some time, thus contributing to the scattering signal as it diffuses away from the phage capsid, into the scattering volume and returns to its unperturbed chain conformation in bulk solution. The free DNA chain does not contribute to the scattered intensity, when measured at a large angle, due to the DNA form factor and the low concentration. Although the final diffusion-controlled step can lead to overestimation of the real ejection time, we can still use both scattering methods to estimate the initial DNA ejection rates, which are mainly dependent on the pressure-driven DNA ejection from the phage, allowing studies of the effects of various

  2. Upper Limb Multifactorial Movement Analysis in Brachial Plexus Birth Injury

    PubMed Central

    Bahm, Jorg

    2016-01-01

    Multifactorial motion analysis was first established for gait and then developed in the upper extremity. Recordings of infrared light reflecting sensitive passive markers in space, combined with surface eletromyographic recordings and/or transmitted forces, allow eclectic study of muscular coordination in the upper limb. Brachial plexus birth injury is responsible for various patterns of muscle weakness, imbalance, and/or simultaneous activation, soft tissue contractures, and bone-joint deformities, leading to individual motion patterns and adaptations, which we studied by means of motion analysis tools. We describe the technical development and examination setup to evaluate motion impairment and present first clinical results. Motion analysis is a reliable objective assessment tool allowing precise pre- and postoperative multimodal evaluation of upper limb function. Level of evidence: II. PMID:28077954

  3. Brachial plexus injury: the London experience with supraclavicular traction lesions.

    PubMed

    Birch, Rolfe

    2009-01-01

    In this article, the author details the experiences of his hospital and other London hospitals in treating brachial plexus injury. As noted, important advances have been made in methods of diagnosis and repair. Myelography was replaced by CT scan and later by MRI. Among the topics the author explores are diagnosis (including pain, the presence or absence of the Tinel sign, and the irradiation of pins and needles) and the principles of repair. The author emphasizes that it is imperative that ruptured nerves be repaired as soon as possible, with the closed traction lesion coming, in urgency, close behind reattachment of the amputated hand or repair of a great artery and a trunk nerve in the combined lesion. Finally, the article concludes that the surgeon must be actively engaged in the whole process of rehabilitation and treatment of pain. This is part of a Point-Counterpoint discussion with Dr. David G. Kline's presentation of "A Personal Experience."

  4. OCT/PS-OCT imaging of brachial plexus neurovascular structures

    NASA Astrophysics Data System (ADS)

    Raphael, David T.; Zhang, Jun; Zhang, Yaoping; Chen, Zhongping; Miller, Carol; Zhou, Li

    2004-07-01

    Introduction: Optical coherence tomography (OCT) allows high-resolution imaging (less than 10 microns) of tissue structures. A pilot study with OCT and polarization-sensitive OCT (PS-OCT) was undertaken to image ex-vivo neurovascular structures (vessels, nerves) of the canine brachial plexus. Methods: OCT is an interferometry-based optical analog of B-mode ultrasound, which can image through non-transparent biological tissues. With approval of the USC Animal Care and Use Committee, segments of the supra- and infraclavicular brachial plexus were excised from euthanized adult dogs, and the ex-vivo specimens were placed in cold pH-buffered physiologic solution. An OCT beam, in micrometer translational steps, scanned the fixed-position bisected specimens in transverse and longitudinal views. Two-dimensional images were obtained from identified arteries and nerves, with specific sections of interest stained with hematoxylin-eosin for later imaging through a surgical microscope. Results: with the beam scan direction transverse to arteries, the resulting OCT images showed an identifiable arterial lumen and arterial wall tissue layers. By comparison, transverse beam OCT images of nerves revealed a multitude of smaller nerve bundles contained within larger circular-shaped fascicles. PS-OCT imaging was helpful in showing the characteristic birefringence exhibited by arrayed neural structures. Discussion: High-resolution OCT imaging may be useful in the optical identification of neurovascular structures during attempted regional nerve blockade. If incorporated into a needle-shaped catheter endoscope, such a technology could prevent intraneural and intravascular injections immediately prior to local anesthetic injection. The major limitation of OCT is that it can form a coherent image of tissue structures only to a depth of 1.5 - 2 mm.

  5. Morphometric Atlas Selection for Automatic Brachial Plexus Segmentation

    SciTech Connect

    Van de Velde, Joris; Wouters, Johan; Vercauteren, Tom; De Gersem, Werner; Duprez, Fréderic; De Neve, Wilfried; Van Hoof, Tom

    2015-07-01

    Purpose: The purpose of this study was to determine the effects of atlas selection based on different morphometric parameters, on the accuracy of automatic brachial plexus (BP) segmentation for radiation therapy planning. The segmentation accuracy was measured by comparing all of the generated automatic segmentations with anatomically validated gold standard atlases developed using cadavers. Methods and Materials: Twelve cadaver computed tomography (CT) atlases (3 males, 9 females; mean age: 73 years) were included in the study. One atlas was selected to serve as a patient, and the other 11 atlases were registered separately onto this “patient” using deformable image registration. This procedure was repeated for every atlas as a patient. Next, the Dice and Jaccard similarity indices and inclusion index were calculated for every registered BP with the original gold standard BP. In parallel, differences in several morphometric parameters that may influence the BP segmentation accuracy were measured for the different atlases. Specific brachial plexus-related CT-visible bony points were used to define the morphometric parameters. Subsequently, correlations between the similarity indices and morphometric parameters were calculated. Results: A clear negative correlation between difference in protraction-retraction distance and the similarity indices was observed (mean Pearson correlation coefficient = −0.546). All of the other investigated Pearson correlation coefficients were weak. Conclusions: Differences in the shoulder protraction-retraction position between the atlas and the patient during planning CT influence the BP autosegmentation accuracy. A greater difference in the protraction-retraction distance between the atlas and the patient reduces the accuracy of the BP automatic segmentation result.

  6. Ejection associated injuries within the German Air Force from 1981-1997.

    PubMed

    Werner, U

    1999-12-01

    From 1981-1997 there were 86 ejections from 56 aircraft within the German Air Force. Of these, 24 accidents were associated with the F-104 Starfighter, 14 with the PA 200 Tornado, 12 from the F-4 Phantom, 5 from the Alpha Jet and 1 from a MiG 29 Fulcrum. One case involved a front seat pilot, who had already sustained fatal injuries from midair collision, being command ejected by the rear seat pilot. The remaining 85 ejections are the basis of this study. One weapons system officer died from hypothermia after landing in the sea and another from bleeding into the medulla oblongata after flailing; all other participants survived. This is an overall success rate of 97.6%. Of all 85 participants, 12 (14%) were uninjured, 41 (48.2%) were slightly injured, and 30 (35.3%) were severely injured. Typical injuries were those of the spine and lower limbs. The most common severe injury was a vertebral fracture caused by ejection acceleration. This is followed by lower limb injuries received during the parachute landing fall. At the time of ejection, all uninjured crews were flying below 3500 ft altitude and below 260 kn airspeed. Of all ejections from each aircraft type, the percentage of vertebral fractures is highest with the F-4 Phantom (31.8%), followed by the F-104 (16.6%) and the PA 200 Tornado with only 14.8%. The PA 200 is equipped with the most modern type of ejection seat of these aircraft. A conclusion of the gained data is that more modern ejection seat types provide lower injury severity but not fewer total injury numbers, and that the medical data taken during accident investigation should be taken more accurately and in a more standarized fashion to be comparable.

  7. Pyroclast Tracking Velocimetry illuminates bomb ejection and explosion dynamics at Stromboli (Italy) and Yasur (Vanuatu) volcanoes

    NASA Astrophysics Data System (ADS)

    Gaudin, Damien; Taddeucci, Jacopo; Scarlato, Piergiorgio; Moroni, Monica; Freda, Carmela; Gaeta, Mario; Palladino, Danilo Mauro

    2014-07-01

    A new image processing technique—Pyroclast Tracking Velocimetry—was used to analyze a set of 30 high-speed videos of Strombolian explosions from different vents at Stromboli (Italy) and Yasur (Vanuatu) volcanoes. The studied explosions invariably appear to result from the concatenation of up to a hundred individual pyroclast ejection pulses. All these pulses share a common evolution over time, including (1) a non-linear decrease of the pyroclast ejection velocity, (2) an increasing spread of ejection angle, and (3) an increasing size of the ejected pyroclasts. These features reflect the dynamic burst of short-lived gas pockets, in which the rupture area enlarges while pressure differential decreases. We estimated depth of pyroclast release to be approximately 1 and 8 m below the surface at Stromboli and Yasur, respectively. In addition, explosions featuring more frequent pulses also have higher average ejection velocities and larger total masses of pyroclasts. These explosions release a larger overall amount of energy stored in the pressurized gas by a combination of more frequent and stronger ejection pulses. In this context, the associated kinetic energy per explosion, ranging 103-109 J appears to be a good proxy for the explosion magnitude. Differences in the pulse-defining parameters among the different vents suggest that this general process is modulated by geometrical factors in the shallow conduit, as well as magma-specific rheology. Indeed, the more viscous melt of Yasur, compared to Stromboli, is associated with larger vents producing fewer pulses but larger pyroclasts.

  8. Restoration and protection of brachial plexus injury: hot topics in the last decade.

    PubMed

    Zhang, Kaizhi; Lv, Zheng; Liu, Jun; Zhu, He; Li, Rui

    2014-09-15

    Brachial plexus injury is frequently induced by injuries, accidents or birth trauma. Upper limb function may be partially or totally lost after injury, or left permanently disabled. With the development of various medical technologies, different types of interventions are used, but their effectiveness is wide ranging. Many repair methods have phasic characteristics, i.e., repairs are done in different phases. This study explored research progress and hot topic methods for protection after brachial plexus injury, by analyzing 1,797 articles concerning the repair of brachial plexus injuries, published between 2004 and 2013 and indexed by the Science Citation Index database. Results revealed that there are many methods used to repair brachial plexus injury, and their effects are varied. Intervention methods include nerve transfer surgery, electrical stimulation, cell transplantation, neurotrophic factor therapy and drug treatment. Therapeutic methods in this field change according to the hot topic of research.

  9. Screening for Peripheral Artery Disease and Cardiovascular Disease Risk Assessment with Ankle Brachial Index in Adults

    MedlinePlus

    Understanding Task Force Recommendations Screening for Peripheral Artery Disease and Cardiovascular Disease Risk Assessment with Ankle Brachial Index in Adults The U.S. Preventive Services Task Force (Task Force) has issued a ...

  10. Restoration and protection of brachial plexus injury: hot topics in the last decade

    PubMed Central

    Zhang, Kaizhi; Lv, Zheng; Liu, Jun; Zhu, He; Li, Rui

    2014-01-01

    Brachial plexus injury is frequently induced by injuries, accidents or birth trauma. Upper limb function may be partially or totally lost after injury, or left permanently disabled. With the development of various medical technologies, different types of interventions are used, but their effectiveness is wide ranging. Many repair methods have phasic characteristics, i.e., repairs are done in different phases. This study explored research progress and hot topic methods for protection after brachial plexus injury, by analyzing 1,797 articles concerning the repair of brachial plexus injuries, published between 2004 and 2013 and indexed by the Science Citation Index database. Results revealed that there are many methods used to repair brachial plexus injury, and their effects are varied. Intervention methods include nerve transfer surgery, electrical stimulation, cell transplantation, neurotrophic factor therapy and drug treatment. Therapeutic methods in this field change according to the hot topic of research. PMID:25374596

  11. Reliability of 3D upper limb motion analysis in children with obstetric brachial plexus palsy.

    PubMed

    Mahon, Judy; Malone, Ailish; Kiernan, Damien; Meldrum, Dara

    2017-03-01

    Kinematics, measured by 3D upper limb motion analysis (3D-ULMA), can potentially increase understanding of movement patterns by quantifying individual joint contributions. Reliability in children with obstetric brachial plexus palsy (OBPP) has not been established.

  12. Contralateral Spinal Accessory Nerve Transfer: A New Technique in Panavulsive Brachial Plexus Palsy.

    PubMed

    Zermeño-Rivera, Jaime; Gutiérrez-Amavizca, Bianca Ethel

    2015-06-01

    Brachial plexus avulsion results from excessive stretching and can occur secondary to motor vehicle accidents, mainly in motorcyclists. In a 28-year-old man with panavulsive brachial plexus palsy, we describe an alternative technique to repair brachial plexus avulsion and to stabilize and preserve shoulder function by transferring the contralateral spinal accessory nerve to the suprascapular nerve. We observed positive clinical and electromyographic results in sternocleidomastoid, trapezius, supraspinatus, infraspinatus, pectoralis, triceps, and biceps, with good outcome and prognosis for shoulder function at 12 months after surgery. This technique provides a unique opportunity for patients suffering from severe brachial plexus injuries and lacking enough donor nerves to obtain shoulder stability and mobility while avoiding bone fusion and preserving functionality of the contralateral shoulder with favorable postoperative outcomes.

  13. Neuroanatomy of the brachial plexus: normal and variant anatomy of its formation.

    PubMed

    Johnson, Elizabeth O; Vekris, Marios; Demesticha, Theano; Soucacos, Panayotis N

    2010-03-01

    The brachial plexus is the complex network of nerves, extending from the neck to the axilla, which supplies motor, sensory, and sympathetic fibers to the upper extremity. Typically, it is formed by the union of the ventral primary rami of the spinal nerves, C5-C8 & T1, the so-called "roots" of the brachial plexus. By examining the neural architecture of the brachial plexus, the most constant arrangement of nerve fibers can be delineated, and the most predominate variations in the neural architecture defined. A thorough understanding of the neuroanatomy of the brachial plexus, with an appreciation of the possible anatomic variations that may occur is necessary for effective clinical practice.

  14. Brachial Plexus Injury from CT-Guided RF Ablation Under General Anesthesia

    SciTech Connect

    Shankar, Sridhar Sonnenberg, Eric van; Silverman, Stuart G.; Tuncali, Kemal; Flanagan, Hugh L.; Whang, Edward E.

    2005-06-15

    Brachial plexus injury in a patient under general anesthesia (GA) is not uncommon, despite careful positioning and, particularly, awareness of the possibility. The mechanism of injury is stretching and compression of the brachial plexus over a prolonged period. Positioning the patient within the computed tomography (CT) gantry for abdominal or chest procedures can simulate a surgical procedure, particularly when GA is used. The potential for brachial plexus injury is increased if the case is prolonged and the patient's arms are raised above the head to avoid CT image degradation from streak artifacts. We report a case of profound brachial plexus palsy following a CT-guided radiofrequency ablation procedure under GA. Fortunately, the patient recovered completely. We emphasize the mechanism of injury and detail measures to combat this problem, such that radiologists are aware of this potentially serious complication.

  15. Investigation of brachial plexus traction lesions by peripheral and spinal somatosensory evoked potentials.

    PubMed Central

    Jones, S J

    1979-01-01

    Peripheral, spinal and cortical somatosensory evoked potentials were recorded in 26 patients with unilateral traction injuries of the brachial plexus ganglia. Of 10 cases explored surgically the recordings correctly anticipated the major site of the lesion in eight. PMID:422958

  16. Electrostatic Droplet Ejection Using Planar Needle Inkjet Head

    NASA Astrophysics Data System (ADS)

    Hakiai, Kazunori; Ishida, Yuji; Baba, Akiyoshi; Asano, Tanemasa

    2005-07-01

    For the purpose of investigating the electrostatic droplet ejection event, a planar needle inkjet head with a projected cone-shaped needle (3-D head) was prepared to observe the phenomenon of droplet ejection. As the initial approach to developing a liquid ejection monitoring method, electric current was also measured. The ejection was found to take place as a series of single events that are composed of fine droplet ejections forming the Taylor cone and the subsequent swing back of the liquid front owing to the relationship between surface tension and electrostatic force. The critical factors for ejecting fine droplets in the case of using the inkjet head having a protruding needle were back pressure from the reservoir and the wetting control of the structures. The fast Fourier transform of electric current revealed the appearance of periodic signals during ejection, which may be used in developing a technique of sensing droplet ejection.

  17. The Search for Stellar Coronal Mass Ejections

    NASA Astrophysics Data System (ADS)

    Villadsen, Jacqueline; Hallinan, Gregg; Monroe, Ryan; Bourke, Stephen; Starburst Program Team

    2017-01-01

    Coronal mass ejections (CMEs) may dramatically impact habitability and atmospheric composition of planets around magnetically active stars, including young solar analogs and many M dwarfs. Theoretical predictions of such effects are limited by the lack of observations of stellar CMEs. My thesis addresses this gap through a search for the spectral and spatial radio signatures of CMEs on active M dwarfs.Solar CMEs produce radio bursts with a distinctive spectral signature, narrow-band plasma emission that drifts to lower frequency as a CME expands outward. To search for analogous events on nearby stars, I worked on system design, software, and commissioning for the Starburst project, a wideband single-baseline radio interferometry backend dedicated to stellar observations. In addition, I led a survey of nearby active M dwarfs with the Karl G. Jansky Very Large Array (JVLA), detecting 12 bright (>10 mJy) radio bursts in 58 hours. This survey’s ultra-wide bandwidth (0.23-6.0 GHz) dynamic spectroscopy, unprecedented for stellar observations, revealed diverse behavior in the time-frequency plane. Flare star UV Ceti produced complex, luminous events reminiscent of brown dwarf aurorae; AD Leo sustained long-duration, intense, narrow-band "storms"; and YZ CMi emitted a burst with substructure with rapid frequency drift, resembling solar Type III bursts, which are attributed to electrons moving at speeds of order 10% of the speed of light.To search for the spatial signature of CMEs, I led 8.5-GHz observations with the Very Long Baseline Array simultaneous to 24 hours of the JVLA survey. This program detected non-thermal continuum emission from the stars in all epochs, as well as continuum flares on AD Leo and coherent bursts on UV Ceti, enabling measurement of the spatial offset between flaring and quiescent emission.These observations demonstrate the diversity of stellar transients that can be expected in time-domain radio surveys, especially with the advent of large low

  18. From SOHO to STEREO: Understanding Propagation of Coronal Mass Ejections

    NASA Astrophysics Data System (ADS)

    Gopalswamy, N.

    2011-12-01

    Direct comparison between coronal mass ejections (CMEs) from near the Sun and their solar wind counterparts became possible roughly a decade after the discovery of CMEs (Lindsay et al. 1999). This comparison revealed that fast CMEs decelerate and slow CMEs accelerate due to the interaction with the solar wind. Gopalswamy et al. (2000) quantified this interaction as an interplanetary acceleration which is useful in predicting the arrival time and speed of CMEs at 1 AU. The interplanetary acceleration is essentially due to the aerodynamic drag between the CME and the solar wind because the propelling force and the solar gravity are effective only near the Sun. Combined remote-sensing and in situ observations from SOHO and Wind/ACE have helped us estimate the influence of the solar wind on the propagation of CMEs. However, these measurements have severe limitations because the remote-sensed and in-situ observations correspond to different portions of the CME. Furthermore, the true speeds of Earth-directed CMEs cannot be measured accurately from a spacecraft located along the Sun-Earth line. There have been attempts to model the CME as a cone and get the space speed of the CME, which did improve the travel time predictions. Instruments on board the Solar Terrestrial Relations Observatory (STEREO) mission were able to provide observations of Earth-arriving CMEs without projection effects, while the same CMEs were observed at Sun-Earth L1 by Wind and ACE spacecraft. The quadrature between STEREO and L1 spacecraft presented an ideal situation to study the interplanetary evolution of CMEs and test earlier model results. The quadrature observations did improve the CME travel time predictions, but additional factors such as the unusually slow solar wind, CME cannibalism, and coronal-hole deflection need to be considered to reconcile the difference between observed and predicted travel times. This point is illustrated using the 2011 February 15 CME. References Gopalswamy, N

  19. Vascular patterns of upper limb: an anatomical study with accent on superficial brachial artery

    PubMed Central

    Kachlik, David; Konarik, Marek; Baca, Vaclav

    2011-01-01

    The aim of the study was to evaluate the terminal segmentation of the axillary artery and to present four cases of anomalous branching of the axillary artery, the superficial brachial artery (arteria brachialis superficialis), which is defined as the brachial artery that runs superficially to the median nerve. Totally, 130 cadaveric upper arms embalmed by classical formaldehyde technique from collections of the Department of Anatomy, Third Faculty of Medicine, Charles University in Prague, were macroscopically dissected with special focus on the branching arrangement of the axillary artery. The most distal part of the axillary artery (infrapectoral part) terminated in four cases as a bifurcation into two terminal branches: the superficial brachial artery and profunda brachii artery, denominated according to their relation to the median nerve. The profunda brachii artery primarily gave rise to the main branches of the infrapectoral part of the axillary artery. The superficial brachial artery descended to the cubital fossa where it assumed the usual course of the brachial artery in two cases and in the other two cases its branches (the radial and ulnar arteries) passed superficially to the flexors. The incidence of the superficial brachial artery in our study was 5% of cases. The reported incidence is a bit contradictory, from 0.12% to 25% of cases. The anatomical knowledge of the axillary region is of crucial importance for neurosurgeons and specialists using the radiodiagnostic techniques, particularly in cases involving traumatic injuries. The improved knowledge would allow more accurate diagnostic interpretations and surgical treatment. PMID:21342134

  20. 49 CFR 571.226 - Standard No. 226; Ejection Mitigation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    .... Target means the x-z plane projection of the ejection headform face as shown in Figure 1. Walk-in van... the ejection headform when the headform is aligned with an impact target location and just touching... propels the ejection impactor into the impact target locations of each side daylight opening of a...

  1. EPISODIC EJECTION FROM ACTIVE ASTEROID 311P/PANSTARRS

    SciTech Connect

    Jewitt, David; Agarwal, Jessica; Weaver, Harold; Mutchler, Max; Larson, Stephen

    2015-01-10

    We examine the development of the active asteroid 311P/PANSTARRS (formerly, 2013 P5) in the period from 2013 September to 2014 February using high resolution images from the Hubble Space Telescope. This multi-tailed object is characterized by a single, reddish nucleus of absolute magnitude H ≥ 18.98 ± 0.10, corresponding to an equal-area sphere of radius ≤200 ± 20 m (for assumed geometric albedo 0.29 ± 0.09). We set an upper limit to the radii of possible companion nuclei at ∼10 m. The nucleus ejected debris in nine discrete episodes, spread irregularly over a nine month interval, each time forming a distinct tail. Particles in the tails range from about 10 μm to at least 80 mm in radius, and were ejected at speeds <1 m s{sup –1}. The ratio of the total ejected dust mass to the nucleus mass is ∼3×10{sup –5}, corresponding to a global surface layer ∼2 mm thick, or to a deeper layer covering a smaller fraction of the surface. The observations are incompatible with an origin of the activity by impact or by the sublimation of entrapped ice. This object appears to be shedding its regolith by rotational (presumably YORP-driven) instability. Long-term fading of the photometry (months) is attributed to gradual dissipation of near-nucleus dust. Photometric variations on short timescales (<0.7 hr) are probably caused by fast rotation of the nucleus. However, because of limited time coverage and dilution of the nucleus signal by near-nucleus dust, we have not been able to determine the rotation period.

  2. Ejection safety for advanced fighter helmets

    NASA Astrophysics Data System (ADS)

    Wiley, Larry L.; Brown, Randall W.; MacMillan, Robert T.

    1995-05-01

    The old saying, `Safety is paramount.' was never more true than it is in the area of ejection safety for high-speed fighter aircraft. The fighter aircraft of today has been designed to endure tremendous structural loading during dogfight or evasive maneuvers. It can fly faster, turn quicker, stay in the air longer (with in-flight refuel) and carry more bombs than its predecessor. Because of human physiological limits, the human has become the weak link in today's fighter aircraft. The fighter pilot must endure and function with peak performance in conditions that are much worse than anything the majority of us will ever encounter. When these conditions reach a point that human endurance is exceeded, devices such as anti-g suits and positive pressure breathing apparatus help the fighter pilot squeeze out that extra percentage of strength necessary to outperform the opponent. As fighter aircraft become more sophisticated, helmet trackers, helmet displays and noise cancellation devices are being added to the helmet. Yet the fighter pilot's helmet must remain lightweight and be aesthetically appealing, while still offering ballistic protection. It must function with existing life support equipment such as the Combined Advanced Technology Enhanced Design g-Ensemble (COMBAT-EDGE). It must not impede the pilot's ability to perform any action necessary to accomplish the planned mission. The helmet must protect the pilot during the harsh environment of ejection. When the pilot's only resort is to pull the handle and initiate the ejection sequence, the helmet becomes his salvation or instant death. This paper discusses the safety concerns relative to the catapult phase of ejecting from a high-speed fighter while wearing an advanced fighter helmet.

  3. Ejectable underwater sound source recovery assembly

    NASA Technical Reports Server (NTRS)

    Irick, S. C. (Inventor)

    1974-01-01

    An underwater sound source is described that may be ejectably mounted on any mobile device that travels over water, to facilitate in the location and recovery of the device when submerged. A length of flexible line maintains a connection between the mobile device and the sound source. During recovery, the sound source is located be particularly useful in the recovery of spent rocket motors that bury in the ocean floor upon impact.

  4. IMPULSIVE ACCELERATION OF CORONAL MASS EJECTIONS. I. STATISTICS AND CORONAL MASS EJECTION SOURCE REGION CHARACTERISTICS

    SciTech Connect

    Bein, B. M.; Berkebile-Stoiser, S.; Veronig, A. M.; Temmer, M.; Muhr, N.; Kienreich, I.; Utz, D.

    2011-09-10

    We use high time cadence images acquired by the STEREO EUVI and COR instruments to study the evolution of coronal mass ejections (CMEs) from their initiation through impulsive acceleration to the propagation phase. For a set of 95 CMEs we derived detailed height, velocity, and acceleration profiles and statistically analyzed characteristic CME parameters: peak acceleration, peak velocity, acceleration duration, initiation height, height at peak velocity, height at peak acceleration, and size of the CME source region. The CME peak accelerations we derived range from 20 to 6800 m s{sup -2} and are inversely correlated with the acceleration duration and the height at peak acceleration. Seventy-four percent of the events reach their peak acceleration at heights below 0.5 R{sub sun}. CMEs that originate from compact sources low in the corona are more impulsive and reach higher peak accelerations at smaller heights. These findings can be explained by the Lorentz force, which drives the CME accelerations and decreases with height and CME size.

  5. Potential Method of Predicting Coronal Mass Ejection

    NASA Astrophysics Data System (ADS)

    Imholt, Timothy

    2001-10-01

    Coronal Mass Ejections (CME) may be described as a blast of gas and highly charged solar mass fragments ejected into space. These ejections, when directed toward Earth, have many different effects on terrestrial systems ranging from the Aurora Borealis to changes in wireless communication. The early prediction of these solar events cannot be overlooked. There are several models currently accepted and utilized to predict these events, however, with earlier prediction of both the event and the location on the sun where the event occurs allows us to have earlier warnings as to when they will affect man-made systems. A better prediction could perhaps be achieved by utilizing low angular resolution radio telescope arrays to catalog data from the sun at different radio frequencies on a regular basis. Once this data is cataloged a better predictor for these CME’s could be found. We propose a model that allows a prediction to be made that appears to be longer than 24 hours.

  6. Potential Method of Predicting Coronal Mass Ejection

    NASA Astrophysics Data System (ADS)

    Imholt, Timothy; Roberts, J. A.; Scott, J. B.; University Of North Texas Team

    2000-10-01

    Coronal Mass Ejections (CME) may be described as a blast of gas and highly charged solar mass fragments ejected into space. These ejections, when directed toward Earth, have many different effects on terrestrial systems ranging from the Aurora Borealis to changes in wireless communications. The importance of an early prediction of these solar events cannot be overlooked. There are several models currently accepted and utilized to predict these events, however, with earlier prediction of both the event and the location on the sun where the event occur allows us to have earlier warnings as to when they will effect man-made systems. A better prediction could perhaps be achieved by utilizing low angular resolution radio telescope arrays to catalog data from the sun at different radio frequencies on a regular basis. Once this data is cataloged a better predictor for these CME's could be found. We propose a model that allows a prediction to be made that appears to be longer than 24 hours.

  7. Membrane-assisted viral DNA ejection.

    PubMed

    Santos-Pérez, Isaac; Oksanen, Hanna M; Bamford, Dennis H; Goñi, Felix M; Reguera, David; Abrescia, Nicola G A

    2017-03-01

    Genome packaging and delivery are fundamental steps in the replication cycle of all viruses. Icosahedral viruses with linear double-stranded DNA (dsDNA) usually package their genome into a preformed, rigid procapsid using the power generated by a virus-encoded packaging ATPase. The pressure and stored energy due to this confinement of DNA at a high density is assumed to drive the initial stages of genome ejection. Membrane-containing icosahedral viruses, such as bacteriophage PRD1, present an additional architectural complexity by enclosing their genome within an internal membrane vesicle. Upon adsorption to a host cell, the PRD1 membrane remodels into a proteo-lipidic tube that provides a conduit for passage of the ejected linear dsDNA through the cell envelope. Based on volume analyses of PRD1 membrane vesicles captured by cryo-electron tomography and modeling of the elastic properties of the vesicle, we propose that the internal membrane makes a crucial and active contribution during infection by maintaining the driving force for DNA ejection and countering the internal turgor pressure of the host. These novel functions extend the role of the PRD1 viral membrane beyond tube formation or the mere physical confinement of the genome. The presence and assistance of an internal membrane might constitute a biological advantage that extends also to other viruses that package their linear dsDNA to high density within an internal vesicle.

  8. Topological friction strongly affects viral DNA ejection

    PubMed Central

    Marenduzzo, Davide; Micheletti, Cristian; Orlandini, Enzo; Sumners, De Witt

    2013-01-01

    Bacteriophages initiate infection by releasing their double-stranded DNA into the cytosol of their bacterial host. However, what controls and sets the timescales of DNA ejection? Here we provide evidence from stochastic simulations which shows that the topology and organization of DNA packed inside the capsid plays a key role in determining these properties. Even with similar osmotic pressure pushing out the DNA, we find that spatially ordered DNA spools have a much lower effective friction than disordered entangled states. Such spools are only found when the tendency of nearby DNA strands to align locally is accounted for. This topological or conformational friction also depends on DNA knot type in the packing geometry and slows down or arrests the ejection of twist knots and very complex knots. We also find that the family of (2, 2k+1) torus knots unravel gradually by simplifying their topology in a stepwise fashion. Finally, an analysis of DNA trajectories inside the capsid shows that the knots formed throughout the ejection process mirror those found in gel electrophoresis experiments for viral DNA molecules extracted from the capsids. PMID:24272939

  9. Analysis of bolus formation in micropipette ejection systems.

    PubMed

    Mirbod, Parisa; Meng, Diwen

    2015-06-01

    The ejection of drugs from micropipettes is practiced frequently in biomedical research and clinical studies however, little is known about the dynamics of this process. The fundamentals of disperse fluid injection via a capillary into an ambient immiscible fluid have been investigated extensively. Here, we experimentally investigate the bolus formation in micropipette ejection systems, where the injection and ambient fluid are the same. We experimentally measure the temporal evolution of the bolus formation in the same fluid. There are three different bolus formation mechanisms that arise from different Re t regimes: a) a nearly spherical bolus, b) a pear-like bolus, and c) a large distortion or axial jet. We examine the scaled dimensions of the bolus, R b/D t, L b/D t, H/D t, and α, as a function of the dimensionless parameters such as tip Reynolds number, Re t, dimensionless value of g/(D t (.) V t), the dimensionless time, tV t/D t, and the distance between the edge of the micropipette and the free surface, D/D t. The bolus radius for 0.2 < Re t < 30 grows according to t (1/2) in the entire time range, which allows us to estimate the time for complete bolus formation.

  10. On the ejection and dispersion velocities of meteor particles

    NASA Astrophysics Data System (ADS)

    Kresak, L.

    1992-07-01

    This paper is a reaction to the attempts to determine the ejection velocities of meteor particles from cometary nuclei using the statistics of photographic meteor orbits. It is argued that this is essentially impossible. The original dispersion velocities are masked completely by much larger measuring errors, and for all permanent meteor showers also by the accumulated effects of planetary perturbations. The perturbations, appearing after sufficient spread particles along the orbit, are on the average about 25-times more effective in the direction perpendicular to the orbital plane than in the direction of motion, and they are about 50-times more effective for typical comets of Jupiter family than for those of Halley type. The latter disproportion is responsible for the widely different distribution of the revolution periods of comets, annual meteor showers, and temporary meteor storms. In addition to direct spacecraft measurements, the only feasible sources of information on the ejection velocities are meteor storms, like the Draconids or Leonids, appearing only several times per century, and the cometary dust trail discovered by IRAS. Both of them indicate incomparably lower velocities than the meteor data - only a few meters per second - and a substantial role of the solar radiation pressure in the initial dispersion.

  11. Permanent brachial plexus birth palsy does not impair the development and function of the spine and lower limbs.

    PubMed

    Kirjavainen, Mikko O; Remes, Ville M; Peltonen, Jari; Helenius, Ilkka J; Rautakorpi, Sanna M; Vähäsarja, Vesa J; Pöyhiä, Tiina H; Nietosvaara, Yrjänä

    2009-11-01

    Permanent brachial plexus birth palsy (BPBP) impairs the function of the affected upper limb. Avulsion type root injuries may damage the cervical spinal cord. Whether abnormal function of an upper limb affected by BPBP has any observable effects on the development of the locomotion system and overall motor function has not been clarified in depth. A total of 111 patients who had undergone brachial plexus surgery for BPBP in infancy were examined after a mean follow-up time of 13 (5-32) years. Patients' physical activities were recorded by a questionnaire. No significant inequalities in leg length were found and the incidence of structural scoliosis (1.7%) did not differ from that of the reference population. Nearly half of the patients (43%) had asynchronous motion of the upper limbs during gait, which was associated with impaired upper limb function. Data obtained from the completed questionnaires indicated that only few patients were unable to participate in normal activities such as: bicycling, cross-country skiing or swimming. Not surprisingly, 71% of the patients reported problems related to the affected upper limb, such as muscle weakness and/or joint stiffness during the aforementioned activities.

  12. Repeated upper limb salvage in a case of severe traumatic soft-tissue and brachial artery defect.

    PubMed

    Noaman, Hassan Hamdy; Shiha, Anis Elsayed

    2002-01-01

    We present the case of a 9-year-old male patient who suffered a gunshot injury to the right arm. The patient arrived in shock, his right arm severely traumatized, with soft-tissue loss involving the anterior surface and both sides of the right arm. The humerus was exposed. There was brachial artery defect and damage to the lateral fibers of the median nerve. The mangled extremity severity score (MESS) was 8 points. The patient was treated with general resuscitation, blood transfusion, and debridement. A venous graft, 12 cm in length, to bridge the brachial artery defect, and tendon transfer, triceps to the biceps, was performed in one step. Postoperatively, there was a normal radial pulse, normal skin color, normal temperature, and normal movement of the fingers without pain. Unfortunately, the patient then sustained a second trauma to the right arm 3 weeks later, rupturing the graft. This time he lost 1,500 cc of blood. After another blood transfusion, we performed a second reverse saphenous vein graft. The patient stayed at the hospital for 3 weeks. At follow-up 12 months later, the limb has good function and, except for the presence of a scar and skin graft, is equal in appearance to the left side.

  13. Functioning free gracilis transfer to reconstruct elbow flexion and quality of life in global brachial plexus injured patients

    PubMed Central

    Yang, Yi; Yang, Jian-Tao; Fu, Guo; Li, Xiang-Ming; Qin, Ben-Gang; Hou, Yi; Qi, Jian; Li, Ping; Liu, Xiao-Lin; Gu, Li-Qiang

    2016-01-01

    In the study, the functional recovery and relative comprehensive quality of life of cases of global brachial plexus treated with free functioning muscle transfers were investigated. Patients who received functioning gracilis muscle transfer between August 1999 and October 2014 to reconstruct elbow flexion, wrist and fingers extension were recruited. The mean age of the patients was 26.36 (range, 16–42) years. The mean period of time from gracilis transfer to the last follow-up was 54.5 months (range, 12–185 months). Muscle power, active range of motion of the elbow flexion, wrist extension, and total active fingers extension were recorded. SDS, SAS and DASH questionnaires were given to estimate patients’ quality of life. 35.71% reported good elbow flexion and 50.00% reported excellent elbow flexion. The average ROM of the elbow flexion was 106.5° (range, 0–142°) and was 17.00° (range, 0–72°) for wrist extension. The average DASH score was 51.14 (range, 17.5–90.8). The prevalence of anxiety and depression were 42.86% and 45.24%. Thrombosis and bowstringing were the most common short and long-term complications. Based on these findings, free gracilis transfer using accessory nerve as donor nerve is a satisfactory treatment to reconstruct the elbow flexion and wrist extension in global-brachial-plexus-injured patients. PMID:26935173

  14. Kinetics of Polymer Ejection from Capsid Confinement: Scaling Considerations and Computer Experiment

    NASA Astrophysics Data System (ADS)

    Milchev, A.; Binder, K.

    2012-08-01

    We investigate the ejection dynamics of a flexible polymer chain out of confined environment by means of scaling considerations and Monte Carlo simulations. Situations of this kind arise in different physical contexts, including a flexible synthetic polymer partially confined in a nanopore and a viral genome partially ejected from its capsid. In the case of cylindric confinement the entropic driving force which pulls the chain out of the pore is argued to be constant once a few persistent lengths are out of the pore. We demonstrate that in this case the ejection dynamics follows a √ {t}-law with elapsed time t. The mean ejection time τ depends nonmonotonically on chain length N. However, if the geometric constraints comprise a wider capsid chamber attached to a narrow exit tube, the mechanism of ejection changes and involves the surmounting of an activation barrier. The driving force then varies in time. One finds good agreement of theory and computer simulation with recent experiments with DNA.

  15. The distribution of ejected brown dwarfs in clusters

    NASA Astrophysics Data System (ADS)

    Goodwin, S. P.; Hubber, D. A.; Moraux, E.; Whitworth, A. P.

    2005-12-01

    We examine the spatial distribution of brown dwarfs produced by the decay of small-N stellar systems as expected from the embryo ejection scenario. We model a cluster of several hundred stars grouped into 'cores' of a few stars/brown dwarfs. These cores decay, preferentially ejecting their lowest-mass members. Brown dwarfs are found to have a wider spatial distribution than stars, however once the effects of limited survey areas and unresolved binaries are taken into account it can be difficult to distinguish between clusters with many or no ejections. A large difference between the distributions probably indicates that ejections have occurred, however similar distributions sometimes arise even with ejections. Thus the spatial distribution of brown dwarfs is not necessarily a good discriminator between ejection and non-ejection scenarios.

  16. Role of osmotic and hydrostatic pressures in bacteriophage genome ejection

    NASA Astrophysics Data System (ADS)

    Lemay, Serge G.; Panja, Debabrata; Molineux, Ian J.

    2013-02-01

    A critical step in the bacteriophage life cycle is genome ejection into host bacteria. The ejection process for double-stranded DNA phages has been studied thoroughly in vitro, where after triggering with the cellular receptor the genome ejects into a buffer. The experimental data have been interpreted in terms of the decrease in free energy of the densely packed DNA associated with genome ejection. Here we detail a simple model of genome ejection in terms of the hydrostatic and osmotic pressures inside the phage, a bacterium, and a buffer solution or culture medium. We argue that the hydrodynamic flow associated with the water movement from the buffer solution into the phage capsid and further drainage into the bacterial cytoplasm, driven by the osmotic gradient between the bacterial cytoplasm and culture medium, provides an alternative mechanism for phage genome ejection in vivo; the mechanism is perfectly consistent with phage genome ejection in vitro.

  17. Modeling MHD accretion-ejection: episodic ejections of jets triggered by a mean-field disk dynamo

    SciTech Connect

    Stepanovs, Deniss; Fendt, Christian; Sheikhnezami, Somayeh E-mail: fendt@mpia.de

    2014-11-20

    We present MHD simulations exploring the launching, acceleration, and collimation of jets and disk winds. The evolution of the disk structure is consistently taken into account. Extending our earlier studies, we now consider the self-generation of the magnetic field by an α{sup 2}Ω mean-field dynamo. The disk magnetization remains on a rather low level, which helps to evolve the simulations for T > 10, 000 dynamical time steps on a domain extending 1500 inner disk radii. We find the magnetic field of the inner disk to be similar to the commonly found open field structure, favoring magneto-centrifugal launching. The outer disk field is highly inclined and predominantly radial. Here, differential rotation induces a strong toroidal component, which plays a key role in outflow launching. These outflows from the outer disk are slower, denser, and less collimated. If the dynamo action is not quenched, magnetic flux is continuously generated, diffuses outward through the disk, and fills the entire disk. We have invented a toy model triggering a time-dependent mean-field dynamo. The duty cycles of this dynamo lead to episodic ejections on similar timescales. When the dynamo is suppressed as the magnetization falls below a critical value, the generation of the outflows and also accretion is inhibited. The general result is that we can steer episodic ejection and large-scale jet knots by a disk-intrinsic dynamo that is time-dependent and regenerates the jet-launching magnetic field.

  18. Asymmetric ejection of jets from the symbiotic prototype Z Andromedae

    NASA Astrophysics Data System (ADS)

    Skopal, A.; Tarasova, T. N.; Pribulla, T.; Vanko, M.; Dubovsky, P. A.; Kudzej, I.

    Z And is considered as a prototype symbiotic star. The binary composes of a late-type, M4.5 III, giant and a white dwarf accreting from the giant's wind on the 758-day orbit. From 2000 September, Z And started a series of outbursts with the main optical maxima in 2000 December, 2006 July and 2009 December. During the 2006 optical maximum, highly-collimated bipolar jets were detected for the first time. They were launched asymmetrically with respect to the reference wavelength of the spectral line. Their presence was transient, they disappeared by the end of 2006. During the following re-brightening, from the beginning of 2008 to its end, faint emission satellite components to the Hα and Hβ were observed again. The red component was enhanced relatively to its blue counterpart. During the recent 2009 major outburst, the mass ejection in the form of jet was indicated almost exclusively on the red side of the Hα line with velocities from +1000 (2009/10/01) to +1800 km s-1 (2010/01/05). During the light maxima, our high-time-resolution photometry revealed irregular waves in the star's brightness throughout a night(˜m 0.06mag),while in between the outbursts,they nearly disappeared. Evolution in the rapid photometric variability and asymmetric ejection of jets could be explained by a disruption of the inner parts of the disk ignited by radiation-induced warping of the disk.

  19. Compromising abnormalities of the brachial plexus as displayed by magnetic resonance imaging.

    PubMed

    Collins, J D; Shaver, M L; Disher, A C; Miller, T Q

    1995-01-01

    Magnetic resonance images (MRI) of brachial plexus anatomy bilaterally, not possible by plain radiographs or CT, were presented to the Vascular Surgery, Neurology, and the Neurosurgery departments. Patients were requested for MRI of their brachial plexus. They were referred for imaging and the imaging results were presented to the faculty and housestaff. Our technique was accepted and adopted to begin referrals for MRI evaluation of brachial plexopathy. Over 175 patients have been studied. Eighty-five patients were imaged with the 1.5 Tesla magnet (Signa; General Electric Medical Systems, Milwaukee, WI) 3-D reconstruction MRI. Coronal, transverse (axial), oblique transverse, and sagittal plane T1-weighted and selected T2-weighted pulse sequences were obtained at 4-5 mm slice thickness, 40-45 full field of view, and a 512 x 256 size matrix. Saline water bags were used to enhance the signal between the neck and the thorax. Sites of brachial plexus compromise were demonstrated. Our technique with 3-D reconstruction increased the definition of brachial plexus pathology. The increased anatomical definition enabled the vascular surgeons and neurosurgeons to improve patient care. Brachial plexus in vivo anatomy as displayed by MRI, magnetic resonance angiography (MRA), and 3-D reconstruction offered an opportunity to augment the teaching of clinical anatomy to medical students and health professionals. Selected case presentations (bodybuilder, anomalous muscle, fractured clavicle, thyroid goiter, silicone breast implant rupture, and cervical rib) demonstrated compromise of the brachial plexus displayed by MRI. The MRI and 3-D reconstruction techniques, demonstrating the bilateral landmark anatomy, increased the definition of the clinical anatomy and resulted in greater knowledge of patient care management.

  20. Brachial artery injury following opened elbow dislocation associated with accessory brachial artery: two rare entities in a 17-year -old girl: case report.

    PubMed

    Hajji, Rita; Zrihni, Youssef; Naouli, Hamza; Bouarhroum, Abdellatif

    2015-01-01

    Elbow dislocations are the most frequently encountered after shoulder dislocations. In their vast majority, these injuries carry a good prognosis. Although, concomitant arterial injury is rare and make them more serious. In this paper, we report a case of a 17 year old woman with opened elbow dislocation with arterial injury associated to an artery variation: "accessory brachial artery".

  1. Brachial artery injury following opened elbow dislocation associated with accessory brachial artery: two rare entities in a 17-year –old girl: case report

    PubMed Central

    Hajji, Rita; Zrihni, Youssef; Naouli, Hamza; Bouarhroum, Abdellatif

    2015-01-01

    Elbow dislocations are the most frequently encountered after shoulder dislocations. In their vast majority, these injuries carry a good prognosis. Although, concomitant arterial injury is rare and make them more serious. In this paper, we report a case of a 17 year old woman with opened elbow dislocation with arterial injury associated to an artery variation: "accessory brachial artery" PMID:26161188

  2. Activity associated with coronal mass ejections at solar minimum - SMM observations from 1984-1986

    NASA Technical Reports Server (NTRS)

    St. Cyr, O. C.; Webb, D. F.

    1991-01-01

    Seventy-three coronal mass ejections (CMEs) observed by the coronagraph aboard SMM between 1984 and 1986 were examined in order to determine the distribution of various forms of solar activity that were spatially and temporally associated with mass ejections during solar minimum phase. For each coronal mass ejection a speed was measured, and the departure time of the transient from the lower corona estimated. Other forms of solar activity that appeared within 45 deg longitude and 30 deg latitude of the mass ejection and within +/-90 min of its extrapolated departure time were explored. The statistical results of the analysis of these 73 CMEs are presented, and it is found that slightly less than half of them were infrequently associated with other forms of solar activity. It is suggested that the distribution of the various forms of activity related to CMEs does not change at different phases of the solar cycle. For those CMEs with associations, it is found that eruptive prominences and soft X-rays were the most likely forms of activity to accompany the appearance of mass ejections.

  3. Perineural versus intravenous dexamethasone as adjuncts to local anaesthetic brachial plexus block for shoulder surgery.

    PubMed

    Rosenfeld, D M; Ivancic, M G; Hattrup, S J; Renfree, K J; Watkins, A R; Hentz, J G; Gorlin, A W; Spiro, J A; Trentman, T L

    2016-04-01

    This randomised, double-blind, placebo-controlled study compared the effect of perineural with intravenous dexamethasone, both administered concomitantly with interscalene brachial plexus block for shoulder surgery. Patients received 8 mg dexamethasone mixed with ropivacaine in the block injection (n = 42), 8 mg dexamethasone intravenously at the time of the block (n = 37), or intravenous saline (n = 41) at the time of the block. Perineural and intravenous dexamethasone resulted in prolonged mean (SD) duration of block to 16.9 (5.2) h and 18.2 (6.4) h, respectively, compared with 13.8 (3.8) h for saline (p = 0.001). Mean (SD) opioid consumption (morphine equivalents) during the first 24 h after postanaesthesia recovery arrival was 12.2 (9.3) mg in the perineural dexamethasone, 17.1 (15.9) mg in the intravenous dexamethasone and 24.1 (14.3) mg in the saline groups (p = 0.001). Dexamethasone via either route reduced anti-emetic use (p = 0.046). There was no effect on patient satisfaction. These results suggest that both perineural and intravenous dexamethasone are useful adjuncts to ropivacaine interscalene block, with the intravenous route preferred as this avoids the possibility of neural toxicity of dexamethasone.

  4. Pharyngeal-cervical-brachial variant of Guillain-Barre syndrome.

    PubMed

    Wakerley, Benjamin R; Yuki, Nobuhiro

    2014-03-01

    The pharyngeal-cervical-brachial (PCB) variant of Guillain-Barré syndrome is defined by rapidly progressive oropharyngeal and cervicobrachial weakness associated with areflexia in the upper limbs. Serial nerve conduction studies suggest that PCB represents a localised subtype of Guillain-Barré syndrome characterised by axonal rather than demyelinating neuropathy. Many neurologists are unfamiliar with PCB, which is often misdiagnosed as brainstem stroke, myasthenia gravis or botulism. The presence of additional ophthalmoplegia and ataxia indicates overlap with Fisher syndrome. Half of patients with PCB carry IgG anti-GT1a antibodies which often cross-react with GQ1b, whereas most patients with Fisher syndrome carry IgG anti-GQ1b antibodies which always cross-react with GT1a. Significant overlap between the clinical and serological profiles of these patients supports the view that PCB and Fisher syndrome form a continuous spectrum. In this review, we highlight the clinical features of PCB and outline new diagnostic criteria.

  5. Bilateral Brachial Plexus Home Going Catheters After Digital Amputation for Patient With Upper Extremity Digital Gangrene

    PubMed Central

    Abd-Elsayed, Alaa A; Seif, John; Guirguis, Maged; Zaky, Sherif; Mounir-Soliman, Loran

    2011-01-01

    Peripheral nerve catheter placement is used to control surgical pain. Performing bilateral brachial plexus block with catheters is not frequently performed; and in our case sending patient home with bilateral brachial plexus catheters has not been reported up to our knowledge. Our patient is a 57 years old male patient presented with bilateral upper extremity digital gangrene on digits 2 through 4 on both sides with no thumb involvement. The plan was to do the surgery under sequential axillary blocks. On the day of surgery a right axillary brachial plexus block was performed under ultrasound guidance using 20 ml of 0.75% ropivacaine. Patient was taken to the OR and the right fingers amputation was carried out under mild sedation without problems. Left axillary brachial plexus block was then done as the surgeon was closing the right side, two hours after the first block was performed. The left axillary block was done also under ultrasound using 20 ml of 2% mepivacaine. The brachial plexus blocks were performed in a sequential manner. Surgery was unremarkable, and patient was transferred to post anesthetic care unit in stable condition. Over that first postoperative night, the patient complained of severe pain at the surgical sites with minimal pain relief with parentral opioids. We placed bilateral brachial plexus catheters (right axillary and left infra-clavicular brachial plexus catheters). Ropivacaine 0.2% infusion was started at 7 ml per hour basal rate only with no boluses on each side. The patient was discharged home with the catheters in place after receiving the appropriate education. On discharge both catheters were connected to a single ON-Q (I-flow Corporation, Lake Forest, CA) ball pump with a 750 ml reservoir using a Y connection and were set to deliver a fixed rate of 7 ml for each catheter. The brachial plexus catheters were removed by the patient on day 5 after surgery without any difficulty. Patient's postoperative course was otherwise unremarkable

  6. Structural and dynamic features of geoeffective coronal ejections

    NASA Astrophysics Data System (ADS)

    Minasyants, G. S.; Minasyants, T. M.

    2011-12-01

    The structure and physical conditions in 104 coronal mass ejections (CMEs) with a clear-cut leading shock front have been considered using satellite data for 1996-2008. In 99% of cases, the action of increased shock front dynamic pressure on the Earth's magnetosphere resulted in the origination of geomagnetic storms with sudden commencement. It has been revealed that decreased magnetic field strength values correspond to denser plasma bunches in an ejection body and vice versa. As a result, gas pressure is decreased in regions with increased magnetic pressure. Thus, a self-consistent interrelationship between plasma parameters, which supports total pressure at mutual changes in gas and magnetic pressures, is observed in the ejection structure. Pronounced differences in variations in the physical parameters in different zones along the front in the Earth-Sun direction have not been detected for each ejection. The maximal distances between the compared ejection zones are 2 million kilometers. This indicates that the ejection structure is stable. The values of the shock front velocity ( V psf), temperature ( T psf), and density ( N psf), as well as the ejection geometrical extension ( L ae), have been compared for the considered ejections. Cases when ejections followed one another at intervals of 3-30 h have been studied. It has been established that a leading ejection is strongly decelerated during its motion, and the next ejection faster covers the distance to the Earth. The next ejections with larger values of the plasma physical parameters are more geoeffective as compared to the previous ejections.

  7. Transport in the interplanetary medium of coronal mass ejections

    NASA Astrophysics Data System (ADS)

    Borgazzi, A.; Lara, A.; Romero-Salazar, L.; Ventura, A.

    2008-07-01

    Coronal mass ejections (CMEs) are large scale structures of plasma and magnetic field expelled from the Sun to the interplanetary medium and generally observed in white light coronagraphs. During their travel, in the interplanetary medium these structures named interplanetary coronal mass ejections (ICMEs), suffer acceleration or deceleration due to the interaction with the ambient solar wind. This process can be understood as a transference of momentum between the interplanetary CME (ICME) and the solar wind. This process seems to be fundamentally different for `slow' and `fast' ICMEs (compared with the ambient solar wind velocity). In this work, we approach the problem from the fluid dynamics point of view and consider the ICMEs - solar wind system as two interacting fluids under the action of viscous forces. We note that this interaction is a special case of interaction between low density plasmas. Using these viscous forces in the Newtons Second Law, we obtained an analytical solution for the ICME velocity as a function of time. By comparing our analytic results with empirical models found in recent literature, we suggested values for the viscosity and drag parameters in this system. In this first approximation we have neglected the magnetic field.

  8. Ejection Dynamics in Vibration-Induced Droplet Atomization

    NASA Astrophysics Data System (ADS)

    Vukasinovic, Bojan; Smith, Marc K.; Glezer, Ari

    2001-11-01

    A primary sessile liquid drop is atomized into a fine spray of secondary droplets using vibration-induced atomization (VIDA) resulting from forced waves on a free surface of the primary drop. The mechanism of free surface breakup during the VIDA process is investigated using high-speed imaging and laser vibrometry. Secondary droplets result from a localized collapse of surface troughs and the ejection and ultimate breakup of momentary liquid spikes. The characteristic breakup time of these liquid spikes scales with the vibration period and the spike length initially varies like t0.5. The breakup begins with a capillary pinch-off from the tip of the spike that can be followed by additional pinching of liquid droplets. For relatively low-viscosity liquid (e.g., water) a capillary-wave instability of a jet is observed in some cases, while in very viscous liquid (e.g., glycerin-water solution) the first breakup occurs near the stem of the jet. The mechanisms of secondary droplet ejection and the influence of the operating parameters and fluid properties are discussed.

  9. Use of a Collagen-Based Device for Closure of Low Brachial Artery Punctures

    SciTech Connect

    Belenky, A. Aranovich, D.; Greif, F.; Bachar, G.; Bartal, G.; Atar, E.

    2007-04-15

    Purpose. To report our experience with the Angioseal vascular closure device for hemostasis of distal brachial artery puncture. Methods. Between September 2003 and August 2005, 64 Angioseal vascular closure devices were inserted in 64 patients (40 men, 24 women; mean age 65 years) immediately after diagnostic or therapeutic arterial angiographies performed through a 5 Fr to 7 Fr sheath via the distal brachial artery. Ultrasound examination of the brachial artery preceded the angiography in all cases and only arteries wider than 4 mm were closed by the Angioseal. In cases of a sonographically evident thin subcutaneous space of the cubital fossa, tissue tumescence, using 1% Lidocaine, was performed prior to the arterial closure. Results. The deployment success rate was 100%. No major complications were encountered; only 2 patients developed puncture site hematoma, and these were followed conservatively. Conclusions. Closure of low brachial artery punctures with the Angioseal is simple and safe. No additional manual compression is required. We recommend its use after brachial artery access interventions, through appropriately wide arteries, to improve early patient ambulation and potentially reduce possible puncture site complications.

  10. Genetic contribution to brachial artery flow-mediated dilation: The Northern Manhattan Family Study

    PubMed Central

    Suzuki, Keiko; Juo, Suh-Hang Hank; Rundek, Tanja; Boden-Albala, Bernadette; Disla, Norbelina; Liu, Rui; Park, Naeun; Di Tullio, Marco R.; Sacco, Ralph L.; Homma, Shunichi

    2007-01-01

    Background Brachial artery flow-mediated dilation (FMD) is a non-invasive measure of endothelial function. Endothelial dysfunction has been associated with traditional vascular risk factors and increased risk of cardiovascular disease. The importance of genetic contribution to FMD and baseline brachial artery diameter has not been shown in Hispanic populations. The purpose of this study was to estimate the heritability of FMD. Methods Flow mediated dilation and brachial artery diameter were measured in a subset of Caribbean Hispanic families from the ongoing Northern Manhattan Family Study (NOMAFS), which studies the contribution of genetics to stroke and cardiovascular risk factors. The age- and sex-adjusted heritability of FMD was estimated using variance component methods. Results The current data include 620 subjects (97 probands and 523 relatives) from 97 families. The age and sex-adjusted heritability of brachial artery diameter was 0.57 (p < 0.01). The age- and sex-adjusted heritability of FMD was 0.20 (p = 0.01). After additional adjustment for systolic and diastolic blood pressure, body mass index, smoking, lipid, diabetes mellitus, medication, and baseline brachial artery diameter, the heritability of FMD was 0.17 (p = 0.01). Conclusions We found modest heritability of FMD. FMD might be a reasonable phenotype for further investigation of genetic contribution to atherosclerosis. PMID:17462653

  11. Above Elbow Amputation Under Brachial Plexus Block at Supraclavicular and Interscalene Levels

    PubMed Central

    Ahmad, Hassan; Yadagiri, Manjula; Macrosson, Duncan; Majeed, Amer

    2015-01-01

    Introduction: The brachial plexus block is a commonly performed procedure in the anesthetic practice today. It is performed for analgesia as well as anesthesia for upper limb procedures. It has been used for amputation and replantation surgeries of the upper limb. Case presentation: We present the case of a 68-year-old gentleman who had brachial plexus block at supraclavicular and interscalene levels as the sole anesthetic for undergoing above elbow amputation. He was deemed to be very high risk for a general anesthetic as he suffered from severe chronic obstructive pulmonary disease (COPD) and a very poor exercise tolerance (NYHA Class III). The supraclavicular brachial plexus block was supplemented with an interscalene brachial plexus block due to inadequate surgical anesthesia encountered with the former. The procedure was successfully completed under regional anesthesia. Conclusions: The brachial plexus block can be performed at different levels in the same patient to achieve desired results, while employing sound anatomical knowledge and adhering to the maximum safe dose limit of the local anesthetic. PMID:26705518

  12. Trifurcation of superficial brachial artery: a rare case with its clinico-embryological implications.

    PubMed

    Gupta, N; Anshu, A; Dada, R

    2014-01-01

    Literatures on vasculature of upper limbs are crammed with reports of distinctly deviant version of normally prevalent vessels having modified origins, altered branching and odd courses. A unique anatomical variation in vascular pattern was observed during routine dissection of right upper limb in gross anatomy laboratory, AIIMS, New Delhi, India. The brachial artery was placed superficial to median nerve in the arm and therefore it was called superficial brachial artery. In the cubital fossa, 2.8 cm distal to intercondylar line of elbow joint, this superficial brachial artery terminated by trifurcation into radial, common interosseous and ulnar branches. Strikingly the ulnar branch, after its origin ran superficially over the median nerve and epitrochlear superficial flexor group of muscles of forearm in succession for the initial third of its course in the forearm, consequently it was addressed as superficial ulnar artery. The existence of superficial brachial artery in place of normal brachial artery, its termination by trifurcation into radial, common interosseous and superficial ulnar arteries with remarkably different courses, leads to confusing disposition of structures in the arm, cubital fossa and in the forearm and collectively makes this myriad of anatomical variations even rarer. The clinico-embryological revelations for combination of these unconventional observations, apprises and guides the specialized medical personnel attempting blind and invasive procedures in brachium and ante-brachium. This case report depicts the anatomical perspective and clinical implications on confronting a rare variant vasculature architecture pattern of upper limb.

  13. A case of relapsing-remitting facial palsy and ipsilateral brachial plexopathy caused by HSV-1.

    PubMed

    Alstadhaug, Karl B; Kvarenes, Hanne W; Prytz, Jan; Vedeler, Christian

    2016-05-01

    The etiologies of Bell's palsy and brachial neuritis remain uncertain, and the conditions rarely co-occur or reoccur. Here we present a woman in her twenties who had several relapsing-remitting episodes with left-sided facial palsy and brachial neuropathy. The episodes always started with painful left-sided oral blisters. Repeat PCRs HSV-1 DNA from oral vesicular lesions were positive. Extensive screening did not reveal any other underlying cause. Findings on MRI T2-weighted brachial plexus STIR images, using a 3.0-Tesla scanner during an episode, were compatible with brachial plexus neuritis. Except a mannose-binding lectin deficiency, a congenital complement deficiency that is frequently found in the general Caucasian population, no other immunodeficiency was demonstrated in our patient. In vitro resistance to acyclovir was tested negative, but despite prophylactic treatment with the drug in high doses, relapses recurred. To our knowledge, this is the first ever reported documentation of relapsing-remitting facial and brachial plexus neuritis caused by HSV-1.

  14. Studies of limb-dislodging forces acting on an ejection seat occupant.

    PubMed

    Schneck, D J

    1980-03-01

    A mathematical theory is being developed in order to calculate the aerodynamic loading to which a pilot is exposed during high-speed ejections. Neglecting the initial effects of flow separation, results thus far indicate that a pilot's musculoskeletal system is not likely to withstand the tendency for limb-flailing if he is ejecting at Mach numbers in excess of about 0.7. This tendency depends very strongly upon the angle at which the pilot's limbs intercept a high-speed flow; the forces that cause limb dislodgement increase dramatically with speed of ejection. Examining the time-course of limb-dislodging forces after the initial onset of windblast, the theory further predicts the generation of a double vortex street pattern on the downstream side of the limbs of an ejection seat occupant. This results in the corresponding appearance of oscillating forces tending to cause lateral motion (vibration) of the limbs. The amplitude and frequency of these oscillating forces are also very dependent on the Mach number of ejection and the angle at which the pilot's limbs intercept the flow. However, even at moderate Mach numbers, the frequency can be as high as 100 cycles per second, and the amplitude rapidly exceeds a pilot's musculo-skeletal resistive powers for Mach numbers above 0.7.

  15. High-resolution imaging of ejection dynamics in laser-induced forward transfer

    NASA Astrophysics Data System (ADS)

    Pohl, R.; Visser, C. W.; Römer, G. R. B. E.; Sun, C.; Huis in't Veld, A. J.; Lohse, D.

    2014-03-01

    Laser-induced Forward Transfer (LIFT) is a 3D direct-write method suitable for precision printing of various materials. As the ejection mechanism of picosecond LIFT has not been visualized in detail, the governing physics are not fully understood yet. Therefore, this article presents an experimental imaging study on the ejection process of gold-based LIFT. The LIFT experiments were performed using a 6.7 picosecond Yb:YAG laser source equipped with a SHG. The beam was focused onto a 200 nm thick gold donor layer. The high magnification images were obtained using bright field illumination by a 6 ns pulsed Nd:YAG laser source and a 50× long-distance microscope objective that was combined with a 200 mm tube lens. For laser fluence levels up to two times the donor-transfer-threshold, the ejection of a single droplet was observed. The typical droplet radius was estimated to be less than 3 μm. A transition of ejection features towards higher fluence, indicates a second fluence-regime in the ejection process. For higher laser fluence, the formation of an elongated gold jet was observed. This jet fragments into multiple relatively small droplets, resulting in a spray of particles on the receiving substrate.

  16. Vibration-induced drop atomization and the numerical simulation of low-frequency single-droplet ejection

    NASA Astrophysics Data System (ADS)

    James, Ashley J.; Smith, Marc K.; Glezer, Ari

    2003-02-01

    Vibration-induced droplet ejection is a novel way to create a spray. In this method, a liquid drop is placed on a vertically vibrating solid surface. The vibration leads to the formation of waves on the free surface. Secondary droplets break off from the wave crests when the forcing amplitude is above a critical value. When the forcing frequency is small, only low-order axisymmetric wave modes are excited, and a single secondary droplet is ejected from the tip of the primary drop. When the forcing frequency is high, many high-order non-axisymmetric modes are excited, the motion is chaotic, and numerous small secondary droplets are ejected simultaneously from across the surface of the primary drop. In both frequency regimes a crater may form that collapses to create a liquid spike from which droplet ejection occurs. An axisymmetric, incompressible, Navier Stokes solver was developed to simulate the low-frequency ejection process. A volume-of-fluid method was used to track the free surface, with surface tension incorporated using the continuum-surface-force method. A time sequence of the simulated interface shape compared favourably with an experimental sequence. The dynamics of the droplet ejection process was investigated, and the conditions under which ejection occurs and the effect of the system parameters on the process were determined.

  17. Electrostimulation with or without ultrasound-guidance in interscalene brachial plexus block for shoulder surgery.

    PubMed

    Salem, Mohamed H; Winckelmann, Jörg; Geiger, Peter; Mehrkens, Hans-Hinrich; Salem, Khaled H

    2012-08-01

    In a prospective controlled trial to compare conventional interscalene brachial plexus block (ISBPB) using anatomic landmarks and electro-stimulation with a combined technique of ultrasound guidance followed by nerve stimulation, 60 patients were randomized into 2 matched equal groups: Group A using nerve stimulation (NS) alone and Group B using the combination of ultrasound and NS. The time to detect the plexus (3.9 ± 4 min in Group A and 3.3 ± 1.4 min in Group B) was not significantly different. We needed to reposition the needle once (n = 13) or twice (n = 4) in Group B. First-shot motor response was achieved in all but one patient in Group A; here we were only able to locate the plexus by use of ultrasound. None of the patients needed general anaesthesia. There were no significant differences between postoperative pain, motor power, or patient's satisfaction. ISBPB seems similarly effective using electro-stimulation and ultrasound if performed by experienced anesthesiologists.

  18. Automated oscillometric determination of the ankle-brachial index provides accuracy necessary for office practice.

    PubMed

    Beckman, Joshua A; Higgins, Caitlin O; Gerhard-Herman, Marie

    2006-01-01

    Peripheral arterial disease (PAD) remains underdiagnosed by primary care and cardiovascular physicians. The office-based assessment of PAD is limited by the need for specialized equipment and the time required for performance of the ankle-brachial index (ABI). We explored whether the accuracy of automated ABI measurement by oscillometry compared favorably with the gold-standard method using continuous-wave Doppler ultrasound. Consecutive patients referred to our university hospital noninvasive vascular laboratory for ABI measurement were invited for participation. Of 205 patients, 201 participated, including 55 with PAD. The ABI was measured by automated oscillometry and Doppler ultrasound. The test of trends revealed a correlation coefficient of 0.78 in the left leg and 0.78 in the right leg (P<0.01 for both). The mean ABI difference between methods was 0.04+/-0.01 and 0.06+/-0.01, respectively, in the left and right legs. The differences between the methods followed a normal distribution. Oscillometric determination of the ABI provides an accurate determination of the ABI in an outpatient population. Our findings show automated oscillometry to be a reliable and easier method of ABI measurement, lowering the barrier to incorporation of this diagnostic test into clinical practice.

  19. Heart failure with preserved ejection fraction

    PubMed Central

    ElGuindy, Ahmed; Yacoub, Magdi H

    2012-01-01

    Abstract Heart failure with preserved ejection fraction (HFpEF) has recently emerged as a major cause of cardiovascular morbidity and mortality. Contrary to initial beliefs, HFpEF is now known to be as common as heart failure with reduced ejection fraction (HFrEF) and carries an unacceptably high mortality rate. With a prevalence that has been steadily rising over the past two decades, it is very likely that HFpEF will represent the dominant heart failure phenotype over the coming few years. The scarcity of trials in this semi-discrete form of heart failure and lack of unified enrolment criteria in the studies conducted to date might have contributed to the current absence of specific therapies. Understanding the epidemiological, pathophysiological and molecular differences (and similarities) between these two forms of heart failure is cornerstone to the development of targeted therapies. Carefully designed studies that adhere to unified diagnostic criteria with the recruitment of appropriate controls and adoption of practical end-points are urgently needed to help identify effective treatment strategies. PMID:25610841

  20. Particle Ejection and Levitation Technology (PELT)

    NASA Technical Reports Server (NTRS)

    2008-01-01

    Each of the six Apollo landers touched down at unique sites on the lunar surface. Aside from the Apollo 12 landing site located 180 meters from the Surveyor III lander, plume impingement effects on ground hardware during the landings were not a problem. The planned return to the Moon requires numerous landings at the same site. Since the top few centimeters of lunar soil are loosely packed regolith, plume impingement from the lander will eject the granular material at high velocities. A picture shows what the astronauts viewed from the window of the Apollo 14 lander. There was tremendous dust excavation beneath the vehicle. With high-vacuum conditions on the Moon (10 (exp -14) to 10 (exp -12) torr), motion of all particles is completely ballistic. Estimates derived from damage to Surveyor III caused by the Apollo 12 lander show that the speed of the ejected regolith particles varies from 100 m/s to 2,000 m/s. It is imperative to understand the physics of plume impingement to safely design landing sites for future Moon missions. Aerospace scientists and engineers have examined and analyzed images from Apollo video extensively in an effort to determine the theoretical effects of rocket exhaust impingement. KSC has joined the University of Central Florida (UCF) to develop an instrument that will measure the 3-D vector of dust flow caused by plume impingement during descent of landers. The data collected from the instrument will augment the theoretical studies and analysis of the Apollo videos.

  1. Energetics of solar coronal mass ejections

    NASA Astrophysics Data System (ADS)

    Subramanian, P.; Vourlidas, A.

    2007-05-01

    Aims:We investigate whether solar coronal mass ejections are driven mainly by coupling to the ambient solar wind or through the release of internal magnetic energy. Methods: We examine the energetics of 39 flux-rope like coronal mass ejections (CMEs) from the Sun using data in the distance range ~2-20 R⊙ from the Large Angle Spectroscopic Coronograph (LASCO) aboard the Solar and Heliospheric Observatory (SOHO). This comprises a complete sample of the best examples of flux-rope CMEs observed by LASCO in 1996-2001. Results: We find that 69% of the CMEs in our sample experience a clearly identifiable driving power in the LASCO field of view. For those CMEs that are driven, we examine if they might be deriving most of their driving power by coupling to the solar wind. We do not find conclusive evidence in favor of this hypothesis. On the other hand, we find that their internal magnetic energy is a viable source of the required driving power. We have estimated upper and lower limits on the power that can possibly be provided by the internal magnetic field of a CME. We find that, on average, the lower limit to the available magnetic power is around 74% of what is required to drive the CMEs, while the upper limit can be as much as an order of magnitude larger.

  2. Global Response to Local Ionospheric Mass Ejection

    NASA Technical Reports Server (NTRS)

    Moore, T. E.; Fok, M.-C.; Delcourt, D. C.; Slinker, S. P.; Fedder, J. A.

    2010-01-01

    We revisit a reported "Ionospheric Mass Ejection" using prior event observations to guide a global simulation of local ionospheric outflows, global magnetospheric circulation, and plasma sheet pressurization, and comparing our results with the observed global response. Our simulation framework is based on test particle motions in the Lyon-Fedder-Mobarry (LFM) global circulation model electromagnetic fields. The inner magnetosphere is simulated with the Comprehensive Ring Current Model (CRCM) of Fok and Wolf, driven by the transpolar potential developed by the LFM magnetosphere, and includes an embedded plasmaspheric simulation. Global circulation is stimulated using the observed solar wind conditions for the period 24-25 Sept 1998. This period begins with the arrival of a Coronal Mass Ejection, initially with northward, but later with southward interplanetary magnetic field. Test particles are launched from the ionosphere with fluxes specified by local empirical relationships of outflow to electrodynamic and particle precipitation imposed by the MIlD simulation. Particles are tracked until they are lost from the system downstream or into the atmosphere, using the full equations of motion. Results are compared with the observed ring current and a simulation of polar and auroral wind outflows driven globally by solar wind dynamic pressure. We find good quantitative agreement with the observed ring current, and reasonable qualitative agreement with earlier simulation results, suggesting that the solar wind driven global simulation generates realistic energy dissipation in the ionosphere and that the Strangeway relations provide a realistic local outflow description.

  3. On interplanetary coronal mass ejection identification at 1 AU

    NASA Astrophysics Data System (ADS)

    Mulligan, T.; Russell, C. T.; Gosling, J. T.

    1999-06-01

    Coronal mass ejections are believed to be produced in the corona from closed magnetic regions not previously participating in the solar wind expansion. At 1 AU their interplanetary counterparts (ICMEs) generally have a number of distinct plasma and field signatures that distinguish them from the ambient solar wind. These include heat flux dropouts, bi-directional streaming, enhanced alpha particle events, times of depressed proton temperatures, intervals of distorted or enhanced magnetic field, and times of large magnetic field rotations characteristic of magnetic clouds. The first three of these signatures are phenomena that occur at some point within the ICME, but do not necessarily persist throughout the entire ICME. The large scale magnetic field rotations, distortions and enhancements, and the proton temperature depressions tend to mark more accurately the beginning and end of the ICME proper. We examine herein the reliability with which each of these markers identifies ICMEs utilizing ISEE-3 data from 1978-1980.

  4. STOCHASTICITY AND PERSISTENCE OF SOLAR CORONAL MASS EJECTIONS

    SciTech Connect

    Telloni, D.; Antonucci, E.; Carbone, V.; Lepreti, F.

    2014-01-20

    The study of the statistical properties of coronal mass ejections (CMEs) reveals that their properties depend on the period of solar activity. In particular, when investigating the origin of the waiting time distribution between CMEs, a significant departure from a Poisson process during periods of high solar activity has been found, thus suggesting the existence of at least two physical processes underlying the origin of CMEs. One acts continuously, perhaps related to randomly occurring magnetic reconfigurations of the solar corona at large scales. The other plays a role only during the solar maximum, probably due to the photospheric emergence of magnetic flux as a statistically persistent mechanism, which generates long correlation times among CME events strong enough not to be destroyed by the former random process.

  5. Constraint-Induced Movement Therapy for Children with Obstetric Brachial Plexus Palsy: Two Single-Case Series

    ERIC Educational Resources Information Center

    Buesch, Francisca Eugster

    2010-01-01

    The objective of this pilot study was to investigate the feasibility of constraint-induced movement therapy (CIMT) in children with obstetric brachial plexus palsy and receive preliminary information about functional improvements. Two patients (age 12 years) with obstetric brachial plexus palsy were included for a 126-h home-based CIMT…

  6. Hand Function in Children with an Upper Brachial Plexus Birth Injury: Results of the Nine-Hole Peg Test

    ERIC Educational Resources Information Center

    Immerman, Igor; Alfonso, Daniel T.; Ramos, Lorna E.; Grossman, Leslie A.; Alfonso, Israel; Ditaranto, Patricia; Grossman, John A. I.

    2012-01-01

    Aim: The aim of this study was to evaluate hand function in children with Erb upper brachial plexus palsy. Method: Hand function was evaluated in 25 children (eight males; 17 females) with a diagnosed upper (C5/C6) brachial plexus birth injury. Of these children, 22 had undergone primary nerve reconstruction and 13 of the 25 had undergone…

  7. Characteristic features of hereditary neuropathy with liability to pressure palsy (HNPP) presenting with brachial plexopathy in soldiers.

    PubMed

    Kim, Kyoung-Eun

    2014-11-15

    A brachial plexus lesion is not common in hereditary neuropathy with liability to pressure palsy (HNPP). We report the clinical and electrodiagnostic features of young soldiers with HNPP presenting with brachial plexopathy. By reviewing 2year medical records from Korean military hospitals, we identified soldiers with brachial plexus lesions. Among them, patients diagnosed with HNPP were determined and clinical and electrophysiological findings were compared between HNPP and non-HNPP patients with a brachial plexus lesion. Thirteen patients (6.8%) were diagnosed with HNPP among 189 patients with a brachial plexus lesion. Push-ups, as either a punishment or an exercise, was the most frequent preceding event in HNPP patients (76.9%), whereas it was rare in non-HNPP patients. The distal motor latency of the median nerve showed the highest sensitivity (90.9%) and specificity (100%) for HNPP in patients with a brachial plexus lesion. In conclusion, HNPP should be suspected in patients with brachial plexopathy if brachial plexopathy develops after push-ups or if the distal motor latency of median nerves is prolonged.

  8. Ultrafast probing of ejection dynamics of Rydberg atoms and molecular fragments from electronically excited helium nanodroplets.

    PubMed

    Bünermann, Oliver; Kornilov, Oleg; Haxton, Daniel J; Leone, Stephen R; Neumark, Daniel M; Gessner, Oliver

    2012-12-07

    The ejection dynamics of Rydberg atoms and molecular fragments from electronically excited helium nanodroplets are studied with time-resolved extreme ultraviolet ion imaging spectroscopy. At excitation energies of 23.6 ± 0.2 eV, Rydberg atoms in n = 3 and n = 4 states are ejected on different time scales and with significantly different kinetic energy distributions. Specifically, n = 3 Rydberg atoms are ejected with kinetic energies as high as 0.85 eV, but their appearance is delayed by approximately 200 fs. In contrast, n = 4 Rydberg atoms appear within the time resolution of the experiment with considerably lower kinetic energies. Major features in the Rydberg atom kinetic energy distributions for both principal quantum numbers can be described within a simple elastic scattering model of localized perturbed atomic Rydberg atoms that are expelled from the droplet due to their repulsive interaction with the surrounding helium bath. Time-dependent kinetic energy distributions of He(2) (+) and He(3) (+) ions are presented that support the formation of molecular ions in an indirect droplet ionization process and the ejection of neutral Rydberg dimers on a similar time scale as the n = 3 Rydberg atoms.

  9. Effect of Addition of Fentanyl to Xylocaine Hydrochloride in Brachial Plexus Block by Supraclavicular Approach

    PubMed Central

    Paluvadi, Venkata Raghavendra; Manne, Venkata Sesha Sai Krishna

    2017-01-01

    Aim: This study was designed to quantitatively compare the effects of 1.5% xylocaine with 1.5% xylocaine and fentanyl (1 μg/kg) mixture for supraclavicular brachial plexus block. Materials and Methods: Sixty patients between the age group of 20–60 and scheduled for upper limb surgery were divided into two groups (xylocaine group and xylocaine plus fentanyl group). After performing supraclavicular brachial plexus block, an assessment was made for onset of analgesia, duration and degree of analgesia, block intensity, and for any other side effects. Results: Mean duration of analgesia is Group I is 2.1 h and in Group II is 8.1 h; a four-fold increase in duration of analgesia. Conclusion: Addition of fentanyl to xylocaine for supraclavicular brachial plexus block has no significant effect on onset or quality of analgesia, but duration of analgesia is significantly prolonged. PMID:28298769

  10. Different Learning Curves for Axillary Brachial Plexus Block: Ultrasound Guidance versus Nerve Stimulation

    PubMed Central

    Luyet, C.; Schüpfer, G.; Wipfli, M.; Greif, R.; Luginbühl, M.; Eichenberger, U.

    2010-01-01

    Little is known about the learning of the skills needed to perform ultrasound- or nerve stimulator-guided peripheral nerve blocks. The aim of this study was to compare the learning curves of residents trained in ultrasound guidance versus residents trained in nerve stimulation for axillary brachial plexus block. Ten residents with no previous experience with using ultrasound received ultrasound training and another ten residents with no previous experience with using nerve stimulation received nerve stimulation training. The novices' learning curves were generated by retrospective data analysis out of our electronic anaesthesia database. Individual success rates were pooled, and the institutional learning curve was calculated using a bootstrapping technique in combination with a Monte Carlo simulation procedure. The skills required to perform successful ultrasound-guided axillary brachial plexus block can be learnt faster and lead to a higher final success rate compared to nerve stimulator-guided axillary brachial plexus block. PMID:21318138

  11. Does C5 or C6 Radiculopathy Affect the Signal Intensity of the Brachial Plexus on Magnetic Resonance Neurography?

    PubMed Central

    Seo, Tae Gyu; Kim, In-Soo; Son, Eun Seok

    2016-01-01

    Patients with C5 or C6 radiculopathy complain of shoulder area pain or shoulder girdle weakness. Typical idiopathic neuralgic amyotrophy (INA) is also characterized by severe shoulder pain, followed by paresis of shoulder girdle muscles. Recent studies have demonstrated that magnetic resonance neurography (MRN) of the brachial plexus and magnetic resonance imaging (MRI) of the shoulder in patients with INA show high signal intensity (HSI) or thickening of the brachial plexus and changes in intramuscular denervation of the shoulder girdle. We evaluated the value of brachial plexus MRN and shoulder MRI in four patients with typical C5 or C6 radiculopathy. HSI of the brachial plexus was noted in all patients and intramuscular changes were observed in two patients who had symptoms over 4 weeks. Our results suggest that HSI or thickening of the brachial plexus and changes in intramuscular denervation of the shoulder girdle on MRN and MRI may not be specific for INA. PMID:27152289

  12. Space probe/satellite ejection apparatus for spacecraft

    NASA Technical Reports Server (NTRS)

    Smyly, H. M.; Miller, C. D.; Cloyd, R. A.; Heller, C. (Inventor)

    1984-01-01

    An ejection apparatus for spinning and propelling objects for ejection from a spacecraft at a desired velocity and rotational speed is discussed. The apparatus includes a launch cradle on which the space object to be ejected rests. The cradle is rotatably supported by a central hub secured to the upper end of the pneumatic cylinder piston shaft. Release mechanisms consisting of a retractable pin and locking lug is utilized to hold the cradle and object to be ejected. The release mechanism has a fixed barrier member which holds the retractable pin in engagement with the locking lug until release by upward movement of the launch cradle beyond the barrier height.

  13. Space probe/satellite ejection apparatus for spacecraft

    NASA Technical Reports Server (NTRS)

    Smyly, H. M.; Miller, C. D.; Cloyd, R. A.; Heller, C. (Inventor)

    1985-01-01

    An ejection apparatus for spinning and propelling objects for ejection from a spacecraft at a desired velocity and rotational speed is discussed. The apparatus includes a launch cradle on which the space object to be ejected rests. The cradle is rotatably supported by a central hub secured to the upper end of the pneumatic cylinder piston shaft. Release mechanisms consisting of a retractable pin and locking lug is utilized to hold the cradle and object to be ejected. The release mechanism has a fixed barrier member which holds the retractable pin in engagement with the locking lug until release by upward movement of the launch cradle beyond the barrier height.

  14. Acoustic and aerodynamic characteristics of ejectives in Amharic

    NASA Astrophysics Data System (ADS)

    Demolin, Didier

    2004-05-01

    This paper invetsigates the main phonetic characteristics that distinguishes ejectives from pulmonic sounds in Amharic. In this language, there are five ejectives that can be phonemically singleton or geminate. Duration measurements have been made in intervocalic position for pulmonic stops and for each type of ejective, taking into account the overall duration and VOT. Results show that ejective stops have a higher amplitude burst than pulmonic stops. The duration of the noise is shorter for ejective fricatives compared to pulmonic fricatives. At the end of ejective fricatives, there is a 30-ms glottal lag that is not present in pulmonic fricatives. Geminate ejectives are realized by delaying the elevation of the larynx. This can be observed on the spectrographic data by an increase of the noise at the end of the geminate ejectives. Aerodynamic data have been collected in synchronization with the acoustic recordings. The main observations are that pharyngeal pressures values are much higher than what is usually assumed (up to 40 CmH2O for velars) and that the delayed command in the elevation of the larynx of geminate ejectives is shown by two phases in the rise of pharyngeal pressure.

  15. Epithelioid hemangioma of brachial artery: report of a case and review of the literature

    PubMed Central

    Moira, Ragazzi; Giuseppe, Falco; Riccardo, Valli; Nicola, Rocco; Daniele, Bordoni; Pierfrancesco, Cadenelli; Antonio, Della Corte Gianni; Antonello, Accurso; Bruno, Amato; Giovanni, Casali; Guglielmo, Ferrari

    2015-01-01

    Epithelioid hemangioma (EH) is an uncommon benign vascular lesion, also known as angioblastic lymphoid (or angiolymphoid) hyperplasia with eosinophilia, characterized by an unclear etiopathogenesis. It usually affects young to middle-aged adults and develops in the head and neck region, as painless cutaneous or subcutaneous reddish papules or nodules. Large vessels involvement is extremely rare, and to date only two cases affecting the brachial artery have been cited in literature. In this report we present a further case of EH of the brachial artery and review the pertinent literature. PMID:28352744

  16. Hereditary Neuropathy with Liability to Pressure Palsy Presenting as an Acute Brachial Plexopathy: A Lover's Palsy

    PubMed Central

    Wedderburn, Sarah; Pateria, Puraskar; Panegyres, Peter K.

    2014-01-01

    It is generally regarded that patients with hereditary neuropathy to pressure palsies, due to a deletion in the PMP22 gene, show recurrent pressure palsy and generalised peripheral neuropathy (pes cavus and hammer toes sometimes develop). Brachial plexopathy is rarely identified as a first presentation of hereditary neuropathy to pressure palsies. We describe a young man who developed a painless flail upper limb with a clinical diagnosis of a brachial plexopathy after his partner slept on his arm – a PMP22 deletion was found. His father, who had a symmetrical polyneuropathy without recurrent mononeuropathies, shared the PMP22 deletion. PMID:25685136

  17. Dexamethasone as an Adjuvant to Bupivacaine in Supraclavicular Brachial Plexus Block in Paediatrics for Post-operative Analgesia

    PubMed Central

    Ribeiro, Karl Sa; Ollapally, Anjali

    2016-01-01

    Introduction Sensory blockade of the brachial plexus with local anaesthetics for perioperative analgesia leads to stable haemodynamics intraoperatively, smoother emergence from general anaesthesia and decreased need for supplemental analgesics or suppositories in the Post-operative period. However, increasing the duration of local anaesthetic action is often desirable because it prolongs surgical anaesthesia and analgesia. Various studies in adults prove that steroids increase the duration of action of local anaesthetics when used as adjuncts. Aim The study aimed at determining the efficacy of dexame-thasone as an adjuvant to bupivacaine for Post-operative analgesia following sensory blockade of the brachial plexus in paediatrics. Materials and Methods The study was divided into two groups of 15 each, group BD receiving dexamethasone (0.1mg/kg) as an adjunct to bupivacaine 0.125% and group B receiving bupivacaine alone. The duration of analgesia was taken as time from completion of the block to the patient receiving rescue analgesia, the haemodynamics were measured until 180 minutes after surgery, the incidence of Post-operative Nausea and Vomiting (PONV) was measured. Results The duration of analgesia in the group BD was 27.1±13.4 hours and was significantly higher as compared to the group B, in which it was 13.9±11.3 hours (p<0.05). The pulse rate measured Post-operatively between both groups at 20 minutes (p-value 0.634), 60 minutes (p-value 0.888), 120 minutes (p-value 0.904) and 180 minutes (p-value 0.528) showed no statistical significance. Likewise the mean blood pressure measured between the two groups at 20 minutes, 60 minutes, 120 minutes and 180 minutes Post-operatively showed no significance. There was no significant difference in incidence of PONV in both groups with p-value of 0.624. Conclusion Dexamethasone as an adjuvant to local anaesthetic in brachial plexus blocks significantly, prolongs duration of analgesia in children undergoing upper limb

  18. Coronal Mass Ejections: From Sun to Earth

    NASA Astrophysics Data System (ADS)

    Patsourakos, S.

    2016-06-01

    Coronal Mass Ejections (CMEs) are gigantic expulsions of magnetized plasmas from the solar corona into the interplanetary (IP) space. CMEs spawn ~ 1015 gr of mass and reach speeds ranging between several hundred to a few thousand km/s (e.g., Gopalswamy et al. 2009; Vourlidas et al. 2010). It takes 1-5 days for a CME to reach Earth. CMEs are one of the most energetic eruptive manifestations in the solar system and are major drivers of space weather via their magnetic fields and energetic particles, which are accelerated by CME-driven shocks. In this review we give a short account of recent, mainly observational, results on CMEs from the STEREO and SDO missions which include the nature of their pre-eruptive and eruptive configurations and the CME propagation from Sun to Earth. We conclude with a discussion of the exciting capabilities in CME studies that will soon become available from new solar and heliospheric instrumentation.

  19. Geometrical Properties of Coronal Mass Ejections

    NASA Astrophysics Data System (ADS)

    Cremades, Hebe; Bothmer, Volker

    Based on the SOHO/LASCO dataset, a collection of "structured" coronal mass ejections (CMEs) has been compiled within the period 1996-2002, in order to analyze their three-dimensional configuration. These CME events exhibit white-light fine structures, likely indicative of their possible 3D topology. From a detailed investigation of the associated low coronal and photospheric source regions, a generic scheme has been deduced, which considers the white-light topology of a CME projected in the plane of the sky as being primarily dependent on the orientation and position of the source region's neutral line on the solar disk. The obtained results imply that structured CMEs are essentially organized along a symmetry axis, in a cylindrical manner. The measured dimensions of the cylinder's base and length yield a ratio of 1.6. These CMEs seem to be better approximated by elliptic cones, rather than by the classical ice cream cone, characterized by a circular cross section.

  20. Solar Eruptions: Coronal Mass Ejections and Flares

    NASA Technical Reports Server (NTRS)

    Gopalswamy, Nat

    2012-01-01

    This lecture introduces the topic of Coronal mass ejections (CMEs) and solar flares, collectively known as solar eruptions. During solar eruptions, the released energy flows out from the Sun in the form of magnetized plasma and electromagnetic radiation. The electromagnetic radiation suddenly increases the ionization content of the ionosphere, thus impacting communication and navigation systems. Flares can be eruptive or confined. Eruptive flares accompany CMEs, while confined flares hav only electromagnetic signature. CMEs can drive MHD shocks that accelerate charged particles to very high energies in the interplanetary space, which pose radiation hazard to astronauts and space systems. CMEs heading in the direction of Earth arrive in about two days and impact Earth's magnetosphere, producing geomagnetic storms. The magnetic storms result in a number of effects including induced currnts that can disrupt power grids, railroads, and underground pipelines

  1. Boulders Ejected From Small Impact Craters

    NASA Astrophysics Data System (ADS)

    Bart, Gwendolyn D.; Melosh, H. J.

    2006-09-01

    We investigate the distribution of boulders ejected from lunar craters by analyzing high resolution Lunar Orbiter images. Our previous study (DPS 2004) of four small craters indicated that larger boulders are more frequently found close to the crater rim rather than far away, and that the size of the ejecta drops off as a power law with distance from the crater. Our current study adds more than ten new bouldery craters that range in size from 200 m to several kilometers and are found on a variety of terrain (mare, highlands, and the Copernicus ejecta blanket.) For each crater we plot the boulder diameter as a function of the ejection velocity of the boulder. We compare this size-velocity distribution with the size-velocity distribution of ejecta from large craters (Vickery 1986, 1987) to ascertain the mechanism of fracture of the substrate in the impact. We also make cumulative plots of the boulders, indicating the number of boulders of each size present around the crater. The cumulative plots allow us to compare our boulder distributions with the distributions of secondary craters from large impacts. Material thrown from a several-hundred-meter diameter crater may land intact as boulders, but material thrown from a tens-of-kilometers diameter crater will travel at a significantly higher velocity, and will form a secondary crater when it impacts the surface. Our data helps elucidate whether the upturn, at small diameters, of the cratering curve of the terrestrial planets is due to secondary impacts or to the primary population. This work is funded by NASA PGG grant NNG05GK40G.

  2. Automatic Detection and Classification of Coronal Mass Ejections

    NASA Astrophysics Data System (ADS)

    Qu, Ming; Shih, Frank Y.; Jing, Ju; Wang, Haimin

    2006-09-01

    We present an automatic algorithm to detect, characterize, and classify coronal mass ejections (CMEs) in Large Angle Spectrometric Coronagraph (LASCO) C2 and C3 images. The algorithm includes three steps: (1) production running difference images of LASCO C2 and C3; (2) characterization of properties of CMEs such as intensity, height, angular width of span, and speed, and (3) classification of strong, median, and weak CMEs on the basis of CME characterization. In this work, image enhancement, segmentation, and morphological methods are used to detect and characterize CME regions. In addition, Support Vector Machine (SVM) classifiers are incorporated with the CME properties to distinguish strong CMEs from other weak CMEs. The real-time CME detection and classification results are recorded in a database to be available to the public. Comparing the two available CME catalogs, SOHO/LASCO and CACTus CME catalogs, we have achieved accurate and fast detection of strong CMEs and most of weak CMEs.

  3. An ice-cream cone model for coronal mass ejections

    NASA Astrophysics Data System (ADS)

    Xue, X. H.; Wang, C. B.; Dou, X. K.

    2005-08-01

    In this study, we use an ice-cream cone model to analyze the geometrical and kinematical properties of the coronal mass ejections (CMEs). Assuming that in the early phase CMEs propagate with near-constant speed and angular width, some useful properties of CMEs, namely the radial speed (v), the angular width (α), and the location at the heliosphere, can be obtained considering the geometrical shapes of a CME as an ice-cream cone. This model is improved by (1) using an ice-cream cone to show the near real configuration of a CME, (2) determining the radial speed via fitting the projected speeds calculated from the height-time relation in different azimuthal angles, (3) not only applying to halo CMEs but also applying to nonhalo CMEs.

  4. ISAAC: A REXUS Student Experiment to Demonstrate an Ejection System with Predefined Direction

    NASA Astrophysics Data System (ADS)

    Balmer, G.; Berquand, A.; Company-Vallet, E.; Granberg, V.; Grigore, V.; Ivchenko, N.; Kevorkov, R.; Lundkvist, E.; Olentsenko, G.; Pacheco-Labrador, J.; Tibert, G.; Yuan, Y.

    2015-09-01

    ISAAC Infrared Spectroscopy to Analyse the middle Atmosphere Composition — was a student experiment launched from SSC's Esrange Space Centre, Sweden, on 29th May 2014, on board the sounding rocket REXUS 15 in the frame of the REXUS/BEXUS programme. The main focus of the experiment was to implement an ejection system for two large Free Falling Units (FFUs) (240 mm x 80 mm) to be ejected from a spinning rocket into a predefined direction. The system design relied on a spring-based ejection system. Sun and angular rate sensors were used to control and time the ejection. The flight data includes telemetry from the Rocket Mounted Unit (RMU), received and saved during flight, as well as video footage from the GoPro camera mounted inside the RMU and recovered after the flight. The FFUs' direction, speed and spin frequency as well as the rocket spin frequency were determined by analyzing the video footage. The FFU-Rocket-Sun angles were 64.3° and 104.3°, within the required margins of 90°+45°. The FFU speeds were 3.98 mIs and 3.74 mIs, lower than the expected 5± 1 mIs. The FFUs' spin frequencies were 1 .38 Hz and 1 .60 Hz, approximately half the rocket's spin frequency. The rocket spin rate slightly changed from 3. 163 Hz before the ejection to 3.1 17 Hz after the ejection of the two FFUs. The angular rate, sun sensor data and temperature on the inside of the rocket module skin were also recorded. The experiment design and results of the data analysis are presented in this paper.

  5. Tracking Coronal Mass Ejections with a Heliospheric Imager: Case Studies from the Solar Mass Ejection Imager

    NASA Astrophysics Data System (ADS)

    Johnston, J. C.; Mizuno, D. R.; Webb, D. F.; Kuchar, T. A.; Howard, T. A.

    2005-05-01

    The Solar Mass Ejection Imager (SMEI) was launched on board the DoD Space Test Program's Coriolis satellite in January 2003. Two-thirds through its planned 3-year lifetime, SMEI has observed Coronal Mass Ejections (CMEs), comets and asteroids as they move through the heliosphere. More than 140 CMEs have been detected with the SMEI instrument, including well-documented "halo" events that led to geomagnetic storm conditions on Earth. These observations demonstrate the potential of a heliospheric imager for space weather specification and prediction purposes. We present several case studies of CMEs as they propagate through the SOHO LASCO and SMEI fields of view, and examine SMEI's "hit" rate for detection of geoeffective CMEs.

  6. Fighter Pilot Ejection Study as an Educational Tool

    ERIC Educational Resources Information Center

    Robinson, Garry; Jovanoski, Zlatko

    2010-01-01

    In this article, we apply the well-known equations of projectile motion to the case of a fighter pilot ejecting from an aircraft, the aim being to establish under what conditions there is danger of impact with the rear vertical stabilizer. The drag force on the pilot after ejection is assumed to vary as the velocity squared and the aircraft motion…

  7. Calculation of momentum distribution of positronium ejected from surfaces

    SciTech Connect

    Shindo, S.; Ishii, A.

    1987-07-01

    The two-dimensional momentum distribution of positronium formed and ejected from a surface is calculated and compared with experimental results. It is shown that the higher-order Born contribution is very important for explaining the experimental momentum distributions of positronium ejected from the surface.

  8. A simultaneous spin/eject mechanism for aerospace payloads

    NASA Technical Reports Server (NTRS)

    Palmer, G. D.; Banks, T. N.

    1976-01-01

    A simultaneous spin/eject mechanism was developed for aerospace applications requiring a compact, passive device which would accommodate payload support and controlled-release functions, and which would provide a highly accurate spin-ejection motion to the payload. The mechanism satisfied the requirements and is adaptable to other deployment applications.

  9. Radiation-induced brachial plexopathy: Neurological follow-up in 161 recurrence-free breast cancer patients

    SciTech Connect

    Olsen, N.K.; Pfeiffer, P.; Johannsen, L.; Schroder, H.; Rose, C. )

    1993-04-30

    The purpose was to assess the incidence and clinical manifestations of radiation-induced brachial plexopathy in breast cancer patients, treated according to the Danish Breast Cancer Cooperative Group protocols. One hundred and sixty-one recurrence-free breast cancer patients were examined for radiation-induced brachial plexopathy after a median follow-up period of 50 months (13-99 months). After total mastectomy and axillary node sampling, high-risk patients were randomized to adjuvant therapy. One hundred twenty-eight patients were treated with postoperative radiotherapy with 50 Gy in 25 daily fractions over 5 weeks. In addition, 82 of these patients received cytotoxic therapy (cyclophosphamide, methotrexate, and 5-fluorouracil) and 46 received tamoxifen. Five percent and 9% of the patients receiving radiotherapy had disabling and mild radiation-induced brachial plexopathy, respectively. Radiation-induced brachial plexopathy was more frequent in patients receiving cytotoxic therapy (p = 0.04) and in younger patients (p = 0.04). The clinical manifestations were paraesthesia (100%), hypaesthesia (74%), weakness (58%), decreased muscle stretch reflexes (47%), and pain (47%). The brachial plexus is more vulnerable to large fraction size. Fractions of 2 Gy or less are advisable. Cytotoxic therapy adds to the damaging effect of radiotherapy. Peripheral nerves in younger patients seems more vulnerable. Radiation-induced brachial plexopathy occurs mainly as diffuse damage to the brachial plexus. 24 refs., 9 tabs.

  10. Luxation de l’épaule compliquée de paralysie du plexus brachial

    PubMed Central

    Lukulunga, Loubet Unyendje; Moussa, Abdou Kadri; Mahfoud, Mustapha; EL Bardouni, Ahmed; Berrada, Mohamed Saleh; El Yaacoubi, Moradh

    2014-01-01

    Les auteurs rapportent l'observation d'une paralysie totale du plexus brachial survenue trois mois après un épisode de luxation antéro-interne sous coracoïdienne associée à une fracture du trochiter chez une patiente âgée de 88 ans. PMID:25426187

  11. Cost analysis of brachial plexus injuries: variability of compensation by insurance companies before and after surgery.

    PubMed

    Felici, N; Zaami, S; Ciancolini, G; Marinelli, E; Tagliente, D; Cannatà, C

    2014-04-01

    Traumatic paralysis of the brachial plexus is an extremely disabling pathology. The type of trauma most frequently suffered by this group of patients is due to motorcycle injuries. It therefore affects a population of young patients. In the majority of cases, these patients receive compensation for permanent damage from insurance companies. Surgery of the brachial plexus enables various forms of functional recovery, depending on the number of roots of the brachial plexus involved in the injury. The aim of this study is to compare the functional deficit and the extent of the related compensation before and after surgical intervention, and to evaluate the saving in economic terms (understood as the cost of compensation paid by insurance companies) obtainable through surgical intervention. The authors analysed the functional recovery obtained through surgery in 134 patients divided into 4 groups on the basis of the number of injured roots. The levels of compensation payable to the patient before surgical intervention, and 3 years after, were then compared. The results showed that the saving obtainable through surgical treatment of brachial plexus injuries may exceed 65% of the economic value of the compensation that would have been attributable to the same patients if they had not undergone surgical treatment.

  12. Mononeuritis multiplex with brachial plexus neuropathy coincident with Mycoplasma pneumoniae infection.

    PubMed

    Kidron, D; Barron, S A; Mazliah, J

    1989-01-01

    Mycoplasma pneumoniae infection has been associated with a variety of neurologic complications involving the central nervous system, the peripheral nervous system and muscle. We present a patient who developed a previously unreported complication: mononeuritis multiplex. This consisted of a severe brachial plexus neuropathy with contralateral cervical monoradiculopathy.

  13. A young man with intimomedial mucoid degeneration of the brachial artery.

    PubMed

    Raber, Menno H; Meerwaldt, Robbert; van Det, Rob J

    2011-03-01

    Intimomedial mucoid degeneration is a rare disorder and has been described as a distinctly different entity from Erdheim's cystic medial necrosis. Most studies show a strong predominance in African American females with hypertension. In our case report, we describe the presence of a large brachial aneurysm in a young white male with intimomedial mucoid degeneration.

  14. Robot-Assisted Surgery of the Shoulder Girdle and Brachial Plexus

    PubMed Central

    Facca, Sybille; Hendriks, Sarah; Mantovani, Gustavo; Selber, Jesse C.; Liverneaux, Philippe

    2014-01-01

    New developments in the surgery of the brachial plexus include the use of less invasive surgical approaches and more precise techniques. The theoretical advantages of the use of robotics versus endoscopy are the disappearance of physiological tremor, three-dimensional vision, high definition, magnification, and superior ergonomics. On a fresh cadaver, a dissection space was created and maintained by insufflation of CO2. The supraclavicular brachial plexus was dissected using the da Vinci robot (Intuitive Surgical, Sunnyvale, CA). A segment of the C5 nerve root was grafted robotically. A series of eight clinical cases of nerve damage around the shoulder girdle were operated on using the da Vinci robot. The ability to perform successful microneural repair was confirmed in both the authors' clinical and experimental studies, but the entire potential of robotically assisted microneural surgery was not realized during these initial cases because an open incision was still required. Robotic-assisted surgery of the shoulder girdle and brachial plexus is still in its early stages. It would be ideal to have even finer and more suitable instruments to apply fibrin glue or electrostimulation in nerve surgery. Nevertheless, the prospects of minimally invasive techniques would allow acute and subacute surgical approach of traumatic brachial plexus palsy safely, without significant and cicatricial morbidity. PMID:24872778

  15. Brachial plexus compression due to subclavian artery pseudoaneurysm from internal jugular vein catheterization

    PubMed Central

    Mol, T. N.; Gupta, A.; Narain, U.

    2017-01-01

    Internal jugular vein (IJV) catheterization has become the preferred approach for temporary vascular access for hemodialysis. However, complications such as internal carotid artery puncture, vessel erosion, thrombosis, and infection may occur. We report a case of brachial plexus palsy due to compression by right subclavian artery pseudoaneurysm as a result of IJV catheterization in a patient who was under maintenance hemodialysis. PMID:28356671

  16. Changes in Spinal Cord Architecture after Brachial Plexus Injury in the Newborn

    ERIC Educational Resources Information Center

    Korak, Klaus J.; Tam, Siu Lin; Gordon, Tessa; Frey, Manfred; Aszmann, Oskar C.

    2004-01-01

    Obstetric brachial plexus palsy is a devastating birth injury. While many children recover spontaneously, 20-25% are left with a permanent impairment of the affected limb. So far, concepts of pathology and recovery have focused on the injury of the peripheral nerve. Proximal nerve injury at birth, however, leads to massive injury-induced…

  17. Digital infarction in a hemodialysis patient due to embolism from a thrombosed brachial arteriovenous fistula.

    PubMed

    Yj, Anupama

    2015-10-01

    Acute onset of digital ischemia and infarction is an unusual complication in patients undergoing hemodialysis. This is a report of a patient on regular hemodialysis who presented with acute distal extremity ischemia, progressing to digital infarction and on evaluation was found to have thrombosis of brachial arteriovenous fistula with embolization to the distal arteries causing digital artery occlusion.

  18. Effect of Dexmedetomidine as an Adjuvant to 0.75% Ropivacaine in Interscalene Brachial Plexus Block Using Nerve Stimulator: A Prospective, Randomized Double-blind Study

    PubMed Central

    Rashmi, H. D.; Komala, H. K.

    2017-01-01

    Background: Ropivacaine, a newer local anesthetic (LA), has been increasingly used nowadays in different concentrations for peripheral nerve blocks. It has lesser cardiac toxicity and higher safety margin when compared to bupivacaine. Dexmedetomidine, a novel α2 agonist, is widely used as adjuvant to LA in peripheral nerve blocks to decrease the time of onset and increase the duration of the block. In this study, we evaluated the effect of dexmedetomidine as an adjuvant with 0.75% ropivacaine for interscalene brachial plexus block using nerve stimulator. Aim: This study aims to know the effect of using dexmedetomidine as an adjuvant to 0.75% ropivacaine in interscalene brachial plexuses block using nerve stimulator. Settings and Designs: Sixty patients scheduled for elective orthopedic surgery of the upper limb under interscalene block were considered in this prospective randomized controlled double-blind study. The study population was randomly divided into two groups with thirty patients in each group by using computerized randomization. Materials and Methods: Group R received 30 ml of 0.75% ropivacaine with 0.5 ml normal saline and Group RD received 30 ml of 0.75% ropivacaine with 50 μg of dexmedetomidine. The onset of sensory and motor blocks, duration of sensory and motor block, and patient satisfaction score were observed. Results: Both the groups were comparable in demographic characteristics. The onset of the sensory and motor block is earlier and statistically significant in Group RD (P < 0.05) when compared to Group R. The duration of sensory and motor blockade were significantly prolonged in Group RD (P < 0.0001). Conclusion: Addition of dexmedetomidine to 0.75% ropivacaine in interscalene brachial plexus block significantly shortened the time of onset of the block and prolongs the duration sensory and motor blockade. PMID:28298772

  19. CONSEQUENCES OF THE EJECTION AND DISRUPTION OF GIANT PLANETS

    SciTech Connect

    Guillochon, James; Ramirez-Ruiz, Enrico; Lin, Douglas

    2011-05-10

    The discovery of Jupiter-mass planets in close orbits about their parent stars has challenged models of planet formation. Recent observations have shown that a number of these planets have highly inclined, sometimes retrograde orbits about their parent stars, prompting much speculation as to their origin. It is known that migration alone cannot account for the observed population of these misaligned hot Jupiters, which suggests that dynamical processes after the gas disk dissipates play a substantial role in yielding the observed inclination and eccentricity distributions. One particularly promising candidate is planet-planet scattering, which is not very well understood in the nonlinear regime of tides. Through three-dimensional hydrodynamical simulations of multi-orbit encounters, we show that planets that are scattered into an orbit about their parent stars with closest approach distance being less than approximately three times the tidal radius are either destroyed or completely ejected from the system. We find that as few as 9 and as many as 12 of the currently known hot Jupiters have a maximum initial apastron for scattering that lies well within the ice line, implying that these planets must have migrated either before or after the scattering event that brought them to their current positions. If stellar tides are unimportant (Q{sub *} {approx}> 10{sup 7}), disk migration is required to explain the existence of the hot Jupiters present in these systems. Additionally, we find that the disruption and/or ejection of Jupiter-mass planets deposits a Sun's worth of angular momentum onto the host star. For systems in which planet-planet scattering is common, we predict that planetary hosts have up to a 35% chance of possessing an obliquity relative to the invariable plane of greater than 90{sup 0}.

  20. Status of the Solar Mass Ejection Imager

    NASA Astrophysics Data System (ADS)

    Johnston, J. C.; Radick, R. R.; Webb, D. F.

    2001-05-01

    The Solar Mass Ejection Imager (SMEI) is a proof-of-concept experiment designed to detect and track coronal mass ejections (CMEs) as they propagate from the Sun through interplanetary space to the Earth and beyond. SMEI will Image CMEs by sensing sunlight scattered from the free electrons in these structures (Thomson scattering). SMEI will be launched by a Titan II rocket into a circular, sun-synchronous (830 km) orbit in 2002 as part of the Space Test Program's CORIOLIS mission. SMEI will image the entire sky once per spacecraft orbit over a mission lifetime of three years. The major subsystems of SMEI are three electronic camera assemblies and a data-handling unit. Each camera consists of a baffle, a radiator, a bright object sensor, an electronics box, and a strongbox containing a shutter, optics and a CCD. Each camera images a 3x60 degree field. Together, they view a 180-degree slice of sky, and sweep over the entire sky once per orbit. SMEI's basic data product will be a 100-minute cadence of all-sky maps of heliospheric brightness, with stars removed, having an angular resolution of about one degree and a photometric precision of about 0.1%. Successful operation of SMEI will represent a major step in improving space weather forecasts. When combined with in-situ solar wind measurements from upstream monitors such as WIND and ACE, SMEI will provide one- to three-day predictions of impending geomagnetic storms at the Earth. SMEI will complement missions such as SoHO, GOES SXI, Solar-B, and STEREO by providing data relating solar drivers to terrestrial effects. Other benefits of SMEI will include observations of variable stars, extra-Solar planetary transits, novae and supernovae, comets and asteroids. The SMEI experiment is being designed and constructed by a team of scientists and engineers from the Air Force Research Laboratory, the University of Birmingham (UB) in the United Kingdom, the University of California at San Diego (UCSD), and Boston University. The

  1. Perineural Nalbuphine in Ambulatory Upper Limb Surgery: A Comparison of Effects of Levobupivacaine with and without Nalbuphine as Adjuvant in Supraclavicular Brachial Plexus Block – A Prospective, Double-blinded, Randomized Controlled Study

    PubMed Central

    Das, Anjan; RoyBasunia, Sandip; Mukherjee, Anindya; Biswas, Hirak; Biswas, Rajasree; Mitra, Tapobrata; Chattopadhyay, Surajit; Mandal, Subrata Kumar

    2017-01-01

    Background and Aims: Various opioid additives have been trialed to prolong brachial plexus block. We evaluated the effect of adding nalbuphine hydrochloride to levobupivacaine for supraclavicular brachial plexus blockade. The primary end-points were the onset and duration of sensory and motor blocks and duration of analgesia. Materials and Methods: Seventy-eight patients (aged 25–45 years) posted for ambulatory forearm and hand surgery under supraclavicular brachial plexus block were divided into two equal groups (Groups LN and LC) in a randomized, double-blind fashion. In Group LN (n = 39), 30 ml 0.5% levobupivacaine + 10 mg (diluted in 2 ml 0.9% saline) nalbuphine hydrochloride, and in Group LC (n = 39), 30 ml 0.5% levobupivacaine + 2 ml normal saline (0.9%) were administered in supraclavicular block. Sensory and motor block onset times and block durations, time to first analgesic use, total analgesic need, postoperative visual analog scale (VAS), hemodynamics, and side effects were recorded for each patient. Results: Although with similar demographic profile and block (sensory and motor) onset time, sensory and motor block duration and time to first analgesic use were significantly longer and the total need for rescue analgesics was lower in Group LN (P < 0.05) than Group LC. Postoperative VAS value at 24 h was significantly lower in Group LN (P < 0.05). Intraoperative hemodynamics was comparable between two groups, and no any appreciable side effect was noted throughout the study period. Conclusion: It can be concluded that adding nalbuphine hydrochloride to supraclavicular brachial plexus block increases the sensory and motor block duration and time to first analgesic use, and decreases total analgesic use with no side effects. PMID:28298754

  2. Ensemble Modeling of the 23 July 2012 Coronal Mass Ejection

    NASA Astrophysics Data System (ADS)

    Cash, M. D.; Biesecker, D. A.; Pizzo, V.; Koning, C. A.; Millward, G.; Arge, C. N.; Henney, C. J.; Odstrcil, D.

    2015-10-01

    On 23 July 2012 a significant and rapid coronal mass ejection (CME) was detected in situ by the Solar Terrestrial Relations Observatory (STEREO) A. This CME was unusual due to its extremely brief Sun-to-1 AU transit time of less than 21 h and its exceptionally high impact speed of 2246 km/s. If this CME had been Earth directed, it would have produced a significant geomagnetic storm with potentially serious consequences. To protect our ground- and space-based assets, there is a clear need to accurately forecast the arrival times of such events using realistic input parameters and models run in near real time. Using Wang-Sheely-Arge (WSA)-Enlil, the operational model currently employed at the NOAA Space Weather Prediction Center, we investigate the sensitivity of the 23 July CME event to model input parameters. Variations in the initial CME speed, angular width, and direction, as well as the ambient solar wind background, are investigated using an ensemble approach to study the effect on the predicted arrival time of the CME at STEREO A. Factors involved in the fast transit time of this large CME are discussed, and potential improvements to modeling such events with the WSA-Enlil model are presented.

  3. Slingshot ejections from clusters of three and four black holes

    NASA Astrophysics Data System (ADS)

    Valtonen, M. J.; Mikkola, S.; Heinamaki, P.; Valtonen, H.

    1994-11-01

    This paper continues the investigation of the dynamical evolution of three- and four-black-hole clusters which arise in the centers of giant galaxies in successive galaxy mergers. About 100,000 three- and four-black-hole systems of varying initial compactness and drawn from different initial mass functions have been studied. Orbits have been calculated using a new method which allows the calculation of energy losses to gravitational radiation in four-body systems. We look for ejections of black holes from the galaxy and compare them with populations of extended radio sources. The main conclusions are the following: (1) In conditions prevailing after galaxy mergers, the chances that black holes are ejected out of the galaxy are improved if the initial number of black holes is at least four. (2) Ejections from four-black-hole systems happen easily. The common types of ejection are a one-sided ejection and a two-sided ejection with a 'remnant' central black hole. A two-sided ejection without a central black hole occurs in only a few percent of the cases. (3) The frequencies of different types of ejection agree with radio source populations only if many one-sided double sources have been misclassified as single-component sources. (4) In two-sided ejections the most common structure is the so-called dogleg structure of Stocke et al.; i.e., there is a major deviation from the opposite alignment of the ejected black holes as seen from the center of the galaxy. (5) The structures of the two-sided ejections agree with the double radio source populations only if many dogleg structures have been missed in the compilation of radio source samples. This could happen because of the overwhelming brightness of the central radio component. (6) If reasonable sample selection biases are introduced, the main properties of the ejection samples agree well with double radio source samples. The typical age of visibility of an ejected black hole is found to be about 108 years. We predict

  4. The impact of handgrip exercise duty cycle on brachial artery flow-mediated dilation.

    PubMed

    King, Trevor J; Slattery, David J; Pyke, Kyra E

    2013-07-01

    Endothelial function is essential for vasoprotection and regulation of vascular tone. Using handgrip exercise (HGEX) to increase blood flow-associated shear stress is an increasingly popular method for assessing brachial artery endothelial function via flow-mediated dilation (FMD). However, different exercise duty cycles [ratio of handgrip relaxation: contraction (seconds)] produce different patterns of brachial artery shear stress with distinct antegrade/retrograde magnitudes. To determine the impact of HGEX duty cycle on brachial artery %FMD, three distinct duty cycles were employed while maintaining a uniform mean shear stress. Brachial artery diameter and mean blood velocity were assessed via echo and Doppler ultrasound in 16 healthy male subjects. Shear stress was estimated as shear rate (SR = blood velocity/brachial artery diameter) and the target mean SR during HGEX was 75 s(-1). Subjects performed three 6-min HGEX trials on each of 2 days (like trials averaged). In each trial, subjects performed one of the three randomly ordered HGEX duty cycles (1:1, 3:1, 5:1). %FMD was calculated from baseline to the end of HGEX and (subset N = 10) during each minute of HGEX. Data are mean ± SD. As intended, mean SR was uniform across duty cycles (6 min HGEX average: 72.9 ± 4.9s(-1), 72.6 ± 3.6s(-1), 72.8 ± 3.5 s(-1), p = 0.835), despite differences in antegrade/retrograde SR (p < 0.001). End-exercise %FMD (4.0 ± 1.3 %, 4.1 ± 2.2 %, 4.2 ± 1.4 %, p = 0.860) and %FMD during exercise (p = 0.939) were not different between duty cycles. These data indicate that the endothelium responds to the mean shear stress and is not specifically sensitive to the contraction/relaxation or retrograde shear stress created by a range of HGEX protocols.

  5. Filament Eruption without Coronal Mass Ejection

    NASA Technical Reports Server (NTRS)

    Choudhary, Debi Prasad; Moore, Ronald L.

    2003-01-01

    We report characteristics of quiescent filament eruptions that were not associated with coronal mass ejections (CMEs). We examined 12 quiescent filament eruptions, each of which was located far from disk center (20.7 R(sub sun)) in diffuse remnant magnetic fields of decayed active regions, was well observed in full-disk movies in Ha and Fe XI, and had good coronagraph coverage. Of the 12 events, 9 were associated with CMEs and 3 were not. Even though the two kinds of eruption were indistinguishable in their magnetic setting and in the eruptive motion of the filament in the Ha movies, each of the CME-producing eruptions produced a two-ribbon flare in Ha and a coronal arcade and/or two-ribbon flare in Fe XII, and each of the non-CME-producing eruptions did not. From this result, and the appearance of the eruptive motion in the Fe XII movies, we conclude that the non-CME-associated filament eruptions are confined eruptions like the confined filament eruptions in active regions.

  6. A model for stealth coronal mass ejections

    NASA Astrophysics Data System (ADS)

    Lynch, B. J.; Masson, S.; Li, Y.; DeVore, C. R.; Luhmann, J. G.; Antiochos, S. K.; Fisher, G. H.

    2016-11-01

    Stealth coronal mass ejections (CMEs) are events in which there are almost no observable signatures of the CME eruption in the low corona but often a well-resolved slow flux rope CME observed in the coronagraph data. We present results from a three-dimensional numerical magnetohydrodynamics (MHD) simulation of the 1-2 June 2008 slow streamer blowout CME that Robbrecht et al. (2009) called "the CME from nowhere." We model the global coronal structure using a 1.4 MK isothermal solar wind and a low-order potential field source surface representation of the Carrington Rotation 2070 magnetogram synoptic map. The bipolar streamer belt arcade is energized by simple shearing flows applied in the vicinity of the helmet streamer's polarity inversion line. The flows are large scale and impart a shear typical of that expected from the differential rotation. The slow expansion of the energized helmet streamer arcade results in the formation of a radial current sheet. The subsequent onset of expansion-induced flare reconnection initiates the stealth CME while gradually releasing the stored magnetic energy. We present favorable comparisons between our simulation results and the multiviewpoint SOHO-LASCO (Large Angle and Spectrometric Coronagraph) and STEREO-SECCHI (Sun Earth Connection Coronal and Heliospheric Investigation) coronagraph observations of the preeruption streamer structure and the initiation and evolution of the stealth streamer blowout CME.

  7. Slow shocks in coronal mass ejections

    NASA Technical Reports Server (NTRS)

    Steinolfson, R. S.

    1989-01-01

    The possibility that slow-mode shock compression may produce at least some of the increased brightness observed at the leading edge of coronal mass ejections is investigated. Among the reasons given for the possible existence of slow shocks are the following: (1) transient velocities are often greater than the upstream sound speed but less than the Alfven speed, (2) the presence of a slow shock is consistent with the flat top observed in some transients, and (3) the lateral extension of slow shocks may be responsible for distributing adjacent structures as also seen on the observations. It is shown that there may be some difficulties with this suggestion for transients originating inside the closed-field region at the base of a preexisting coronal streamer. First of all, slow mode characteristics have difficulty emerging from the closed-field region at the streamer base so they can merge to form a slow shock, unless a preceding, large-amplitude disturbance opens the field lines. In addition, a slow shock cannot exist at the center of the streamer current sheet. Finally, numerical simulations demonstrate that at least the last two (and possibly all) of the above reasons for slow shocks can be satisfied by a disturbance whose leading edge propagates at the local fast-mode speed without any shocks. The leading portion of the transient that would be seen in white-light coronagraphs propagates at a speed either less than or equal to the fast-mode speed.

  8. Thermodynamic MHD Modeling of Coronal Mass Ejections

    NASA Astrophysics Data System (ADS)

    Linker, Jon A.; Lionello, R.; Mikic, Z.; Riley, P.; Titov, V.

    2007-05-01

    Coronal mass ejections (CMEs) disrupt the large-scale coronal magnetic field and propel plasma and magnetic flux outward into interplanetary space. The most energetic CMEs typically originate from active regions on the Sun. Accurately modeling active regions while also capturing the entire corona requires MHD models that include energy transport (radiative losses,anisotropic thermal conduction, and coronal heating) in the transition region and solar corona. We refer to this as the thermodynamic MHD model. The more accurate representation of energy flow in the thermodynamic MHD model allows us to to compute simulated EUV and X-ray emission as would be observed from spacecraft such as SOHO, STEREO, and Hinode. With this approach, theorists no longer get to argue what emission they think their favorite model's magnetic field evolution implies; we can actually go compute the emission and compare with observations. As an example, we show a simulation of the May 12, 1997 CME, and compare the simulated emission with observations from the actual event of dimming regions, postflare loops, and reformation of loops near the northern polar coronal hole. Work supported by NASA, NSF and the Center for Integrated Space Weather Modeling (an NSF Science and Technology Center).

  9. Anatomy of Depleted Interplanetary Coronal Mass Ejections

    NASA Astrophysics Data System (ADS)

    Kocher, M.; Lepri, S. T.; Landi, E.; Zhao, L.; Manchester, W. B., IV

    2017-01-01

    We report a subset of interplanetary coronal mass ejections (ICMEs) containing distinct periods of anomalous heavy-ion charge state composition and peculiar ion thermal properties measured by ACE/SWICS from 1998 to 2011. We label them “depleted ICMEs,” identified by the presence of intervals where C6+/C5+ and O7+/O6+ depart from the direct correlation expected after their freeze-in heights. These anomalous intervals within the depleted ICMEs are referred to as “Depletion Regions.” We find that a depleted ICME would be indistinguishable from all other ICMEs in the absence of the Depletion Region, which has the defining property of significantly low abundances of fully charged species of helium, carbon, oxygen, and nitrogen. Similar anomalies in the slow solar wind were discussed by Zhao et al. We explore two possibilities for the source of the Depletion Region associated with magnetic reconnection in the tail of a CME, using CME simulations of the evolution of two Earth-bound CMEs described by Manchester et al.

  10. Why are halo coronal mass ejections faster?

    NASA Astrophysics Data System (ADS)

    Zhang, Qing-Min; Guo, Yang; Chen, Peng-Fei; Ding, Ming-De; Fang, Cheng

    2010-05-01

    Halo coronal mass ejections (CMEs) have been to be significantly faster than normal CMEs, which is a long-standing puzzle. In order to solve the puzzle, we first investigate the observed properties of 31 limb CMEs that clearly display loop-shaped frontal loops. The observational results show a strong tendency that slower CMEs are weaker in white-light intensity. Then, we perform a Monte Carlo simulation of 20000 artificial limb CMEs that have an average velocity of ~523 km s-1. The Thomson scattering of these events is calculated when they are assumed to be observed as limb and halo events, respectively. It is found that the white-light intensity of many slow CMEs becomes remarkably reduced when they turn from being viewed as a limb event to being viewed as a halo event. When the intensity is below the background solar wind fluctuation, it is assumed that they would be missed by coronagraphs. The average velocity of “detectable" halo CMEs is ~922 km s-1 very close to the observed value. This also indicates that wider events are more likely to be recorded. The results soundly suggest that the higher average velocity of halo CMEs is due to that a majority of slow events and some of narrow fast events carrying less material are so faint that they are blended with the solar wind fluctuations, and therefore are not observed.

  11. Active Longitude and Coronal Mass Ejection Occurrences

    NASA Astrophysics Data System (ADS)

    Gyenge, N.; Singh, T.; Kiss, T. S.; Srivastava, A. K.; Erdélyi, R.

    2017-03-01

    The spatial inhomogeneity of the distribution of coronal mass ejection (CME) occurrences in the solar atmosphere could provide a tool to estimate the longitudinal position of the most probable CME-capable active regions in the Sun. The anomaly in the longitudinal distribution of active regions themselves is often referred to as active longitude (AL). In order to reveal the connection between the AL and CME spatial occurrences, here we investigate the morphological properties of active regions. The first morphological property studied is the separateness parameter, which is able to characterize the probability of the occurrence of an energetic event, such as a solar flare or CME. The second morphological property is the sunspot tilt angle. The tilt angle of sunspot groups allows us to estimate the helicity of active regions. The increased helicity leads to a more complex buildup of the magnetic structure and also can cause CME eruption. We found that the most complex active regions appear near the AL and that the AL itself is associated with the most tilted active regions. Therefore, the number of CME occurrences is higher within the AL. The origin of the fast CMEs is also found to be associated with this region. We concluded that the source of the most probably CME-capable active regions is at the AL. By applying this method, we can potentially forecast a flare and/or CME source several Carrington rotations in advance. This finding also provides new information for solar dynamo modeling.

  12. Flow-through anastomosis using a T-shaped vascular pedicle for gracilis functioning free muscle transplantation in brachial plexus injury

    PubMed Central

    Hou, Yi; Yang, Jiantao; Yang, Yi; Qin, Bengang; Fu, Guo; Li, Xiangming; Gu, Liqiang; Liu, Xiaolin; Zhu, Qingtang; Qi, Jian

    2015-01-01

    OBJECTIVE: In gracilis functioning free muscle transplantation, the limited caliber of the dominant vascular pedicle increases the complexity of the anastomosis and the risk of vascular compromise. The purpose of this study was to characterize the results of using a T-shaped vascular pedicle for flow-through anastomosis in gracilis functioning free muscle transplantation for brachial plexus injury. METHODS: The outcomes of patients with brachial plexus injury who received gracilis functioning free muscle transplantation with either conventional end-to-end anastomosis or flow-through anastomosis from 2005 to 2013 were retrospectively compared. In the flow-through group, the pedicle comprised a segment of the profunda femoris and the nutrient artery of the gracilis. The recipient artery was interposed by the T-shaped pedicle. RESULTS: A total of 46 patients received flow-through anastomosis, and 25 patients received conventional end-to-end anastomosis. The surgical time was similar between the groups. The diameter of the arterial anastomosis in the flow-through group was significantly larger than that in the end-to-end group (3.87 mm vs. 2.06 mm, respectively, p<0.001), and there were significantly fewer cases of vascular compromise in the flow-through group (2 [4.35%] vs. 6 [24%], respectively, p=0.019). All flaps in the flow-through group survived, whereas 2 in the end-to-end group failed. Minimal donor-site morbidity was noted in both groups. CONCLUSIONS: Flow-through anastomosis in gracilis functioning free muscle transplantation for brachial plexus injury can decrease the complexity of anastomosis, reduce the risk of flap loss, and allow for more variation in muscle placement. PMID:26247666

  13. The size distributions of fragments ejected at a given velocity from impact craters

    NASA Technical Reports Server (NTRS)

    Okeefe, J. D.; Ahrens, T. J.

    1986-01-01

    The mass distribution of fragments that are ejected at a given velocity for impact craters is modeled to allow extrapolation of laboratory, field, and numerical results to large scale planetary events. The model is semi-empirical in nature and is derived from: (1) numerical calculations of cratering and the resultant mass versus ejection velocity, (2) observed ejecta blanket particle size distributions, (3) an empirical relationship between maximum ejecta fragment size and crater diameter, (4) measurements and theory of maximum ejecta size versus ejecta velocity, and (5) an assumption on the functional form for the distribution of fragments ejected at a given velocity. This model implies that or planetary impacts into competent rock, the distribution of fragments ejected at a given velocity is broad, e.g., 68% of the mass of the ejecta at a given velocity contains fragments having a mass less than 0.1 times a mass of the largest fragment moving at that velocity. The broad distribution suggests that in impact processes, additional comminution of ejecta occurs after the upward initial shock has passed in the process of the ejecta velocity vector rotating from an initially downward orientation. This additional comminution produces the broader size distribution in impact ejecta as compared to that obtained in simple brittle failure experiments.

  14. Comparison of Brachial Vein Versus Internal Jugular Vein Approach for Access to the Right Side of the Heart With or Without Myocardial Biopsy.

    PubMed

    Harwani, Neha; Chukwu, Ebere; Alvarez, Manrique; Thohan, Vinay

    2015-09-01

    Right heart catheterization (RHC) and endomyocardial biopsy are mainstay procedures for patients with heart failure and heart transplantation. Approaches are predominantly neck (internal jugular) or leg (femoral vein). We describe a novel arm (brachial/basilica vein) approach. Over 5.5 years, 1,130 right-sided cardiac procedures in 276 patients were analyzed retrospectively and divided into either neck or arm approach. Comparative analyses of procedural success, time, safety, efficacy, and cost were performed. Patient preference was assessed for those who had both neck and arm approaches. In patients receiving RHC (174 neck and 121 arm cases) and in those receiving RHC + biopsy (594 neck and 141 arm cases), mean elapsed and fluoroscopic times (minutes), respectively, were 60 ± 20 versus 62 ± 19 and 3.43 ± 3.8 versus 4.99 ± 5.2 (RHC neck vs arm, respectively), and 55 ± 19 versus 63 ± 17 and 4.14 ± 3.4 versus 5.22 ± 2.6 (RHC + biopsy neck vs arm, respectively). Procedural complications were low (n = 7, 0.6%) and restricted to the neck approach. Patients surveyed preferred the arm approach. In conclusion, RHC and endomyocardial biopsy through the brachial vein can be performed safely, timely, effectively, and at equivalent cost compared with a neck approach. We advocate that an arm approach be the preferred method for these procedures.

  15. Improved Measurement of Ejection Velocities From Craters Formed in Sand

    NASA Technical Reports Server (NTRS)

    Cintala, Mark J.; Byers, Terry; Cardenas, Francisco; Montes, Roland; Potter, Elliot E.

    2014-01-01

    A typical impact crater is formed by two major processes: compression of the target (essentially equivalent to a footprint in soil) and ejection of material. The Ejection-Velocity Measurement System (EVMS) in the Experimental Impact Laboratory has been used to study ejection velocities from impact craters formed in sand since the late 1990s. The original system used an early-generation Charge-Coupled Device (CCD) camera; custom-written software; and a complex, multicomponent optical system to direct laser light for illumination. Unfortunately, the electronic equipment was overtaken by age, and the software became obsolete in light of improved computer hardware.

  16. Is heart failure with midrange ejection fraction similar to preserved ejection fraction? Against.

    PubMed

    Formiga, F

    2017-03-14

    The new European guidelines (2016) for heart failure (HF) include the concept of HF with intermediate left ventricular ejection fraction (LVEF), i.e. an LVEF between 40 and 49%. Although few studies have been carried out, there are claims that HF with intermediate LVEF is not the same as HF with preserved LVEF. Perhaps the most consistent claim is the high percentage of associated ischemic heart disease, which could reflect LVEF recovery after adequate anti-ischemic treatment of HF with depressed LVEF, or even the progressive deterioration of LVEF following an ischemic event.

  17. Radiation dose to the brachial plexus in nasopharyngeal carcinoma treated with intensity-modulated radiation therapy: An increased risk of an excessive dose to the brachial plexus adjacent to gross nodal disease

    PubMed Central

    FENG, GUOSHENG; LU, HEMING; LIANG, YUAN; CHEN, HUASHENG; SHU, LIUYANG; LU, SHUI; ZHU, JIANFANG; GAO, WEIWEI

    2012-01-01

    This retrospective study aimed to evaluate the dose to the brachial plexus in patients with nasopharyngeal carcinoma (NPC) treated with intensity-modulated radiation therapy (IMRT). Twenty-eight patients were selected and the brachial plexus was delineated retrospectively. Brachial plexus adjacent/not adjacent to nodes were defined and abbreviated as BPAN and BPNAN, respectively. Dose distribution was recalculated and a dose-volume histogram was generated based on the original treatment plan. The maximum dose to the left brachial plexus was 59.12–78.47 Gy, and the percentage of patients receiving the maximum dose exceeding 60, 66 and 70 Gy was 96.4, 57.1 and 25.0%, respectively; the maximum dose to the right brachial plexus was 59.74–80.31 Gy, and the percentage of patients exposed to a maximum dose exceeding 60, 66 and 70 Gy was 96.4, 64.3 and 39.3%, respectively. For the left brachial plexus, the maximum doses to the BPANs and the BPNANs were 72.84±3.91 and 64.81±3.47 Gy, respectively (p<0.001). For the right brachial plexus, the maximum doses to the BPANs and the BPNANs were 72.91±4.74 and 64.91±3.52 Gy, respectively (p<0.001). The difference between the left BPANs and the left BPNANs was statistically significant not only for V60 (3.60 vs. 1.01 cm3, p=0.028) but also for V66 (1.26 vs. 0.11 cm3, p=0.046). There were significant differences in V60 (3.68 vs. 1.16 cm3, p<0.001) and V66 (1.83 vs. 1.23 cm3, p=0.012) between the right BPANs and the right BPNANs. In conclusion, a large proportion of patients were exposed to the maximum dose to the brachial plexus exceeding the Radiation Therapy Oncology Group-recommended restraints when the brachial plexus was not outlined. The BPANs are at a significantly higher risk of receiving an excessive radiation dose when compared to the BPNANs. A further study is underway to test whether brachial plexus contouring assists in the dose reduction to the brachial plexus for IMRT optimization. PMID:22970028

  18. Diagnostic Value and Surgical Implications of the 3D DW-SSFP MRI On the Management of Patients with Brachial Plexus Injuries

    PubMed Central

    Qin, Ben-Gang; Yang, Jian-Tao; Yang, Yi; Wang, Hong-Gang; Fu, Guo; Gu, Li-Qiang; Li, Ping; Zhu, Qing-Tang; Liu, Xiao-Lin; Zhu, Jia-Kai

    2016-01-01

    Three-dimensional diffusion-weighted steady-state free precession (3D DW-SSFP) of high-resolution magnetic resonance has emerged as a promising method to visualize the peripheral nerves. In this study, the application value of 3D DW-SSFP brachial plexus imaging in the diagnosis of brachial plexus injury (BPI) was investigated. 33 patients with BPI were prospectively examined using 3D DW-SSFP MR neurography (MRN) of brachial plexus. Results of 3D DW-SSFP MRN were compared with intraoperative findings and measurements of electromyogram (EMG) or somatosensory evoked potentials (SEP) for each injured nerve root. 3D DW-SSFP MRN of brachial plexus has enabled good visualization of the small components of the brachial plexus. The postganglionic section of the brachial plexus was clearly visible in 26 patients, while the preganglionic section of the brachial plexus was clearly visible in 22 patients. Pseudomeningoceles were commonly observed in 23 patients. Others finding of MRN of brachial plexus included spinal cord offset (in 16 patients) and spinal cord deformation (in 6 patients). As for the 3D DW-SSFP MRN diagnosis of preganglionic BPI, the sensitivity, the specificity and the accuracy were respectively 96.8%, 90.29%, and 94.18%. 3D DW-SSFP MRN of brachial plexus improve visualization of brachial plexus and benefit to determine the extent of injury. PMID:27782162

  19. Photogrammetric Trajectory Estimation of Foam Debris Ejected From an F-15 Aircraft

    NASA Technical Reports Server (NTRS)

    Smith, Mark S.

    2006-01-01

    Photogrammetric analysis of high-speed digital video data was performed to estimate trajectories of foam debris ejected from an F-15B aircraft. This work was part of a flight test effort to study the transport properties of insulating foam shed by the Space Shuttle external tank during ascent. The conical frustum-shaped pieces of debris, called "divots," were ejected from a flight test fixture mounted underneath the F-15B aircraft. Two onboard cameras gathered digital video data at two thousand frames per second. Time histories of divot positions were determined from the videos post flight using standard photogrammetry techniques. Divot velocities were estimated by differentiating these positions with respect to time. Time histories of divot rotations were estimated using four points on the divot face. Estimated divot position, rotation, and Mach number for selected cases are presented. Uncertainty in the results is discussed.

  20. QUASI-PERIODIC OSCILLATIONS IN LASCO CORONAL MASS EJECTION SPEEDS

    SciTech Connect

    Shanmugaraju, A.; Moon, Y.-J.; Cho, K.-S.; Bong, S. C.; Gopalswamy, N.; Akiyama, S.; Yashiro, S.; Umapathy, S.; Vrsnak, B. E-mail: moonyj@khu.ac.k

    2010-01-01

    Quasi-periodic oscillations in the speed profile of coronal mass ejections (CMEs) in the radial distance range 2-30 solar radii are studied. We considered the height-time data of the 307 CMEs recorded by the Large Angle and Spectrometric Coronagraph (LASCO) during 2005 January-March. In order to study the speed-distance profile of the CMEs, we have used only 116 events for which there are at least 10 height-time measurements made in the LASCO field of view. The instantaneous CME speed is estimated using a pair of height-time data points, providing the speed-distance profile. We found quasi-periodic patterns in at least 15 speed-distance profiles, where the speed amplitudes are larger than the speed errors. For these events we have determined the speed amplitude and period of oscillations. The periods of quasi-periodic oscillations are found in the range 48-240 minutes, tending to increase with height. The oscillations have similar properties as those reported by Krall et al., who interpreted them in terms of the flux-rope model. The nature of forces responsible for the motion of CMEs and their oscillations are discussed.

  1. ROTATION OF CORONAL MASS EJECTIONS DURING ERUPTION

    SciTech Connect

    Lynch, B. J.; Li, Y.; Luhmann, J. G.; Antiochos, S. K.; DeVore, C. R. E-mail: yanli@ssl.berkeley.edu E-mail: spiro.k.antiochos@nasa.gov

    2009-06-01

    Understanding the connection between coronal mass ejections (CMEs) and their interplanetary counterparts (ICMEs) is one of the most important problems in solar-terrestrial physics. We calculate the rotation of erupting field structures predicted by numerical simulations of CME initiation via the magnetic breakout model. In this model, the initial potential magnetic field has a multipolar topology and the system is driven by imposing a shear flow at the photospheric boundary. Our results yield insight on how to connect solar observations of the orientation of the filament or polarity inversion line (PIL) in the CME source region, the orientation of the CME axis as inferred from coronagraph images, and the ICME flux rope orientation obtained from in situ measurements. We present the results of two numerical simulations that differ only in the direction of the applied shearing motions (i.e., the handedness of the sheared-arcade systems and their resulting CME fields). In both simulations, eruptive flare reconnection occurs underneath the rapidly expanding sheared fields transforming the ejecta fields into three-dimensional flux rope structures. As the erupting flux ropes propagate through the low corona (from 2 to 4 R{sub sun}) the right-handed breakout flux rope rotates clockwise and the left-handed breakout flux rope rotates counterclockwise, in agreement with recent observations of the rotation of erupting filaments. We find that by 3.5 R {sub sun} the average rotation angle between the flux rope axes and the active region PIL is approximately 50 deg. We discuss the implications of these results for predicting, from the observed chirality of the pre-eruption filament and/or other properties of the CME source region, the direction and amount of rotation that magnetic flux rope structures will experience during eruption. We also discuss the implications of our results for CME initiation models.

  2. How much dust does Enceladus eject?

    NASA Astrophysics Data System (ADS)

    Kempf, Sascha; Horanyi, Mihaly; Schmidt, Jürgen; Southworth, Ben

    2015-04-01

    There is an ongoing argument how much dust per second the ice volcanoes on Saturn's ice moon Enceladus eject. By adjusting their plume model to the dust flux measured by the Cassini dust detector during the close Enceladus flyby in 2005, as well as to the plume brightness in Cassini imaging, Schmidt et al. (2008) obtained a total dust production rate in the plumes of about 5 kg/s. On the other hand, Ingersoll and Ewald (2011) derived a dust production rate of 51 kg/s from photometry of very high phase-angle images of the plume, a method that is sensitive also to particles in the size range of microns and larger. Knowledge of the production rate is essential for estimating the dust to gas mass ratio, which in turn is an important constraint for finding the plume source mechanism. Here we report on numerical simulations of the Enceladus dust plume. We run a large number of dynamical simulations including gravity and Lorentz force to investigate the earliest phase of the ring particle life span. The magnetic field in the vicinity of Enceladus is based on the model by Simon et al. (2012). The evolution of the electrostatic charge carried by the initially uncharged grains is treated self-consistently. Our numerical simulations reproduce dust measurements by the Cassini Cosmic Dust Analyzer (CDA) during Cassini plume traversals as well as the snowfall pattern derived from ISS observations of the Enceladus surface (Schenk et al, 2011, EPSC abstract). Based on our simulation results we are able to draw conclusions about the dust production rate as well as wether the Enceladus dust plume constitutes a dusty plasma.

  3. Venous thrombosis in subclavian, axillary, brachial veins with extension to internal jugular vein, right sigmoid sinus and simultaneous pulmonary embolism

    PubMed Central

    Tamizifar, Babak; Beigi, Arash; Rismankarzadeh, Maryam

    2013-01-01

    We present a rare case of Venous Thrombosis in Subclavian, Axillary, Brachial Veins with extension to Internal Jugular vein, right sigmoid sinus and simultaneous Pulmonary embolism during the treatment with low molecular weight heparin. PMID:23901341

  4. Left-ventricular peak ejection rate, filling rate, and ejection fraction--frame rate requirements at rest and exercise: concise communication.

    PubMed

    Bacharach, S L; Green, M V; Borer, J S; Hyde, J E; Farkas, S P; Johnston, G S

    1979-03-01

    The effect of framing rate on the measurement of left-ventricular (LV) ejection fraction (EF), peak ejection rate (PER), and peak filling rate (PFR) was evaluated at rest and during exercise in 11 normal subjects and 21 patients who underwent gated equilibrium blood-pool imaging. Left-ventricular time-activity curves were obtained in each subject, at rest and during stress, at temporal resolutions of 10, 20, 30, 40, and 50 msec per frame. Ejection fraction, PER, and PFR were determined for each frame duration. By observing changes in the measured values of these quantities with framing rate we conclude that: a) for the measurement of EF, 50 msec per frame at rest and 40 msec per frame at exercise is sufficient; b) PER requires 40 msec per frame at rest and 20 msec per frame during exercise; and c) for the measurement of PFR, at least 40 msec per frame at rest and 20 msec per frame during exercise are needed. These results should hold for both first-pass and gated equilibrium studies.

  5. Comparison of Brachial Artery Vasoreactivity in Elite Power Athletes and Age-Matched Controls

    PubMed Central

    Welsch, Michael A.; Blalock, Paul; Credeur, Daniel P.; Parish, Tracie R.

    2013-01-01

    Elite endurance athletes typically have larger arteries contributing to greater skeletal muscle blood flow, oxygen and nutrient delivery and improved physical performance. Few studies have examined structural and functional properties of arteries in power athletes. Purpose To compare the size and vasoreactivity of the brachial artery of elite power athletes to age-matched controls. It was hypothesized brachial artery diameters of athletes would be larger, have less vasodilation in response to cuff occlusion, but more constriction after a cold pressor test than age-matched controls. Methods Eight elite power athletes (age = 23±2 years) and ten controls (age = 22±1 yrs) were studied. High-resolution ultrasonography was used to assess brachial artery diameters at rest and following 5 minutes of forearm occlusion (Brachial Artery Flow Mediated Dilation = BAFMD) and a cold pressor test (CPT). Basic fitness measures included a handgrip test and 3-minute step test. Results Brachial arteries of athletes were larger (Athletes 5.39±1.51 vs. Controls: 3.73±0.71 mm, p<0.05), had greater vasodilatory (BAFMD%: Athletes: 8.21±1.78 vs. Controls: 5.69±1.56%) and constrictor (CPT %: Athletes: -2.95±1.07 vs. Controls: −1.20±0.48%) responses, compared to controls. Vascular operating range (VOR = Peak dilation+Peak Constriction) was also greater in athletes (VOR: Athletes: 0.55±0.15 vs. Controls: 0.25±0.18 mm, p<0.05). Athletes had superior handgrip strength (Athletes: 55.92±17.06 vs. Controls: 36.77±17.06 kg, p<0.05) but similar heart rate responses at peak (Athletes: 123±16 vs. Controls: 130±25 bpm, p>0.05) and 1 minute recovery (Athletes: 88±21 vs. Controls: 98±26 bpm, p>0.05) following the step test. Conclusion Elite power athletes have larger brachial arteries, and greater vasoreactivity (greater vasodilatory and constrictor responses) than age-matched controls, contributing to a significantly greater VOR. These data extend the existence of an

  6. Brachial artery reactivity in patients with severe sepsis: an observational study

    PubMed Central

    2012-01-01

    Introduction Ultrasound measurements of brachial artery reactivity in response to stagnant ischemia provide estimates of microvascular function and conduit artery endothelial function. We hypothesized that brachial artery reactivity would independently predict severe sepsis and severe sepsis mortality. Methods This was a combined case-control and prospective cohort study. We measured brachial artery reactivity in 95 severe sepsis patients admitted to the medical and surgical intensive care units of an academic medical center and in 52 control subjects without acute illness. Measurements were compared in severe sepsis patients versus control subjects and in severe sepsis survivors versus nonsurvivors. Multivariable analyses were also conducted. Results Hyperemic velocity (centimeters per cardiac cycle) and flow-mediated dilation (percentage) were significantly lower in severe sepsis patients versus control subjects (hyperemic velocity: severe sepsis = 34 (25 to 48) versus controls = 63 (52 to 81), P < 0.001; flow-mediated dilation: severe sepsis = 2.65 (0.81 to 4.79) versus controls = 4.11 (3.06 to 6.78), P < 0.001; values expressed as median (interquartile range)). Hyperemic velocity, but not flow-mediated dilation, was significantly lower in hospital nonsurvivors versus survivors (hyperemic velocity: nonsurvivors = 25 (16 to 28) versus survivors = 39 (30 to 50), P < 0.001; flow-mediated dilation: nonsurvivors = 1.90 (0.68 to 3.41) versus survivors = 2.96 (0.91 to 4.86), P = 0.12). Lower hyperemic velocity was independently associated with hospital mortality in multivariable analysis (odds ratio = 1.11 (95% confidence interval = 1.04 to 1.19) per 1 cm/cardiac cycle decrease in hyperemic velocity; P = 0.003). Conclusions Brachial artery hyperemic blood velocity is a noninvasive index of microvascular function that independently predicts mortality in severe sepsis. In contrast, brachial artery flow-mediated dilation, reflecting conduit artery endothelial function

  7. Videodensitometric ejection fraction from intravenous digital subtraction right ventriculograms: correlation with first pass radionuclide ejection fraction

    SciTech Connect

    Detrano, R.; MacIntyre, W.; Salcedo, E.E.; O'Donnell, J.; Underwood, D.A.; Simpfendorfer, C.; Go, R.T.; Butters, K.; Withrow, S.

    1985-06-01

    Thirty-one consecutive patients undergoing intravenous blurred mask digital subtraction right ventriculography were submitted to first pass radionuclide angiography. Second order mask resubtraction of end-diastolic and end-systolic right ventricular digital image frames was executed using preinjection end-diastolic and end-systolic frames to rid the digital subtraction images of mis-registration artifact. End-diastolic and end-systolic perimeters were drawn manually by two independent observers with a light pen. Ejection fractions calculated from the integrated videodensitometric counts within these perimeters correlated well with those derived from the first pass radionuclide right ventriculogram (r = 0.84) and the interobserver correlation was acceptable (r = 0.91). Interobserver differences occurred more frequently in patients with atrial fibrillation and in those whose tricuspid valve planes were difficult to discern on the digital subtraction right ventriculograms. These results suggest that videodensitometric analysis of digital subtraction right ventriculograms is an accurate method of determining right ventricular ejection fraction and may find wide clinical applicability.

  8. Pilot Fullerton dons ejection escape suit (EES) on middeck

    NASA Technical Reports Server (NTRS)

    1982-01-01

    Pilot Fullerton dons ejection escape suit (EES) (high altitude pressure garment) life preserver unit (LPU) on forward port side of middeck above potable water tank. Fullerton also adjusts lapbelt fitting and helmet holddown strap.

  9. Classification of Contextual Use of Left Ventricular Ejection Fraction Assessments.

    PubMed

    Kim, Youngjun; Garvin, Jennifer; Goldstein, Mary K; Meystre, Stéphane M

    2015-01-01

    Knowledge of the left ventricular ejection fraction is critical for the optimal care of patients with heart failure. When a document contains multiple ejection fraction assessments, accurate classification of their contextual use is necessary to filter out historical findings or recommendations and prioritize the assessments for selection of document level ejection fraction information. We present a natural language processing system that classifies the contextual use of both quantitative and qualitative left ventricular ejection fraction assessments in clinical narrative documents. We created support vector machine classifiers with a variety of features extracted from the target assessment, associated concepts, and document section information. The experimental results showed that our classifiers achieved good performance, reaching 95.6% F1-measure for quantitative assessments and 94.2% F1-measure for qualitative assessments in a five-fold cross-validation evaluation.

  10. Particle ejection during mergers of dark matter halos

    SciTech Connect

    Carucci, Isabella P.; Sparre, Martin; Hansen, Steen H.; Joyce, Michael E-mail: sparre@dark-cosmology.dk E-mail: joyce@lpnhe.in2p3.fr

    2014-06-01

    Dark matter halos are built from accretion and merging. During merging some of the dark matter particles may be ejected with velocities higher than the escape velocity. We use both N-body simulations and single-particle smooth-field simulations to demonstrate that rapid changes to the mean field potential are responsible for such ejection, and in particular that dynamical friction plays no significant role in it. Studying a range of minor mergers, we find that typically between 5–15% of the particles from the smaller of the two merging structures are ejected. We also find that the ejected particles originate essentially from the small halo, and more specifically are particles in the small halo which pass later through the region in which the merging occurs.

  11. Mass ejected by impacts with materials of various strengths

    SciTech Connect

    Canavan, G.H.

    1997-02-01

    Similarity solutions are used to discuss impacts on asteroids of various strengths, concentrating on the voids produced, the mass ejected, and its thermodynamic and mechanical state. Numerical calculations have advantages and limitations for the next step in complexity.

  12. Investigation on occupant ejection in high severity rear impact based on post mortem human subject sled tests.

    PubMed

    Petit, Philippe; Luet, Carole; Potier, Pascal; Vallancien, Guy

    2011-11-01

    Occupant protection in rear impact involves two competing challenges. On one hand, allowing a deformation of the seat would act as an energy absorber in low severity impacts and would consequently decrease the risk of neck injuries. However, on the other hand, large deformations of the seat may increase the likelihood of occupant ejection in high severity cases. Green et al. 1987 analyzed a total of 919 accidents in Great Britain. They found that occupant ejection resulted in a risk of severe injuries and fatalities between 3.6 and 4.5 times higher than those cases where no ejection was observed. The sample included single front, side and rear impacts as well as multiple impacts and rollover. The rate of belt use in the sample was 50%. While this analysis included all forms of impact scenarios, nevertheless, it highlights the relative injury severity of occupant ejection. Extensive literature search has found no full-scale rear impact tests involving Post Mortem Human Subjects (PMHS) conducted in a laboratory environment and resulting in ejection. This paper describes a total of 10 sled tests conducted on 3 belted PMHS using a simplified seat design composed of rigid plates assembled such that the angular and linear stiffness of the seatback (including the foam) was modeled. The initial angular position and the range of motion of the seatback, the size of the PMHS, the slack length of the seatbelt, the angular stiffness of the seatback, and the use of headrest were varied in the test matrix while the pulse was kept constant (triangular acceleration with a peak of 17 G at 30 ms and a duration of 95 ms). In the test series, the tests were not run randomly but the likelihood of occupant ejection was increased systematically until ejection occurred. PMHS seat ejection was observed only for the 95th percentile, initially positioned with a seatback angle relative to the vertical equal to 22°, a range of seatback angular motion equal to 44° and no headrest. Repeating

  13. Models of material ejection. [of solar coronal mass

    NASA Technical Reports Server (NTRS)

    Steinolfson, R. S.

    1990-01-01

    Some recently developed models related to the formation of a coronal mass ejection (CME) are reviewed. The models individually consider the stability of a prominence, the eruption of a coupled prominence and CME configuration with driven reconnection below the prominence, magnetic arcade equilibrium, and coronal evolution due to shear motion. No effort is made to critique the various models. Their relevance to actual observed material ejections will ultimately be determined by detailed comparison with present and future observations.

  14. Energetic Correlation Between Solar Flares and Coronal Mass Ejections

    NASA Technical Reports Server (NTRS)

    Dennis, Brian R.; Medlin, Drew A.; Haga, Leah; Schwartz, Richard a.; Tolbert, A. Kimberly

    2007-01-01

    We find a strong correlation between the kinetic energies (KEs) of the coronal mass ejections (CMEs) and the radiated energies of the associated solar flares for the events that occurred during the period of intense solar activity between 18 October and 08 November 2003. CME start times, speeds, mass and KEs were taken from Gopalswamy et al. (2005), who used SOHO/LASCO observations. The GOES observations of the associated flares were analyzed to find the peak soft X-ray (SXR) flux, the radiated energy in SXRs (L(sub sxR)), and the radiated energy from the emitting plasma across all wavelengths (L(sub hot)). RHESSI observations were also used to find the energy in non-thermal electrons, ions, and the plasma thermal energy for some events. For two events, SORCE/TIM observations of the total solar irradiance during a flare were also available to give the total radiated flare energy (L(sub total)).W e find that the total flare energies of the larger events are of the same order of magnitude as the CME KE with a stronger correlation than has been found in the past for other time intervals.

  15. Chromospheric Plasma Ejections in a Light Bridge of a Sunspot

    NASA Astrophysics Data System (ADS)

    Song, Donguk; Chae, Jongchul; Yurchyshyn, Vasyl; Lim, Eun-Kyung; Cho, Kyung-Suk; Yang, Heesu; Cho, Kyuhyoun; Kwak, Hannah

    2017-02-01

    It is well-known that light bridges (LBs) inside a sunspot produce small-scale plasma ejections and transient brightenings in the chromosphere, but the nature and origin of such phenomena are still unclear. Utilizing the high-spatial and high-temporal resolution spectral data taken with the Fast Imaging Solar Spectrograph and the TiO 7057 Å broadband filter images installed at the 1.6 m New Solar Telescope of Big Bear Solar Observatory, we report arcsecond-scale chromospheric plasma ejections (1.″7) inside a LB. Interestingly, the ejections are found to be a manifestation of upwardly propagating shock waves as evidenced by the sawtooth patterns seen in the temporal-spectral plots of the Ca ii 8542 Å and Hα intensities. We also found a fine-scale photospheric pattern (1″) diverging with a speed of about 2 km s‑1 two minutes before the plasma ejections, which seems to be a manifestation of magnetic flux emergence. As a response to the plasma ejections, the corona displayed small-scale transient brightenings. Based on our findings, we suggest that the shock waves can be excited by the local disturbance caused by magnetic reconnection between the emerging flux inside the LB and the adjacent umbral magnetic field. The disturbance generates slow-mode waves, which soon develop into shock waves, and manifest themselves as the arcsecond-scale plasma ejections. It also appears that the dissipation of mechanical energy in the shock waves can heat the local corona.

  16. An Experimental Investigation of Vibration-Induced Single Droplet Ejection.

    NASA Astrophysics Data System (ADS)

    Range, Kai; Smith, Marc K.; Glezer, Ari

    1998-11-01

    Vibration-induced droplet atomization occurs when small secondary droplets are ejected from the free surface of a larger droplet placed on a vibrating membrane. To model a single ejection event, a liquid droplet is placed on a small piston and vibrated using an electromagnetic driver. The droplet oscillates in a characteristic mode shape that depends on the driving frequency and amplitude, the properties of the liquid, and the size of the droplet. When the excitation amplitude is large enough, a small secondary droplet is ejected from the primary droplet. Observations of this process using high-speed digital video imaging show that droplet ejection occurs when a small liquid column or jet appears on the primary droplet and a secondary droplet forms on the column by a capillary-pinching mechanism. The liquid column or jet emanates from a crater in the primary droplet. As the driving frequency increases, this crater becomes smaller and the diameter of the ejected droplet decreases. We shall present results showing how the ejected droplet diameter and speed depends on the driving frequency and amplitude, the liquid properties, and the primary droplet volume.

  17. Ultrasound guided therapeutic injections of the cervical spine and brachial plexus

    PubMed Central

    2015-01-01

    Abstract Introduction: Recent applications in ultrasound imaging include ultrasound assessment and ultrasound guided therapeutic injections of the spine and brachial plexus. Discussion: Ultrasound is an ideal modality for these regions as it allows accurate safe and quick injection of single or multiple sites. It has the added advantages of lack of ionising radiation, and can be done without requiring large expensive radiology equipment. Conclusion: Brachial plexus pathology may be present in patients presenting for shoulder symptoms where very little is found at imaging the shoulder. It is important to understand the anatomy and normal variants that may exist to be able to recognise when pathology is present. When pathology is demonstrated it is easy to do a trial of therapy with ultrasound guided injection of steroid around the nerve lesion. This review will outline the normal anatomy and variants and common pathology, which can be amenable to ultrasound guided injection of steroid. PMID:28191203

  18. Respiratory distress in a one-month-old child suffering brachial plexus palsy.

    PubMed

    Héritier, Odile; Vasseur Maurer, Sabine; Reinberg, Olivier; Cotting, Jacques; Perez, Marie-Hélène

    2013-01-01

    This paper describes a one-month-old girl presenting with respiratory and growth failure due to diaphragmatic paralysis associated with left brachial plexus palsy after forceps delivery. Despite continuous positive pressure ventilation and nasogastric feeding, the situation did not improve and a laparoscopic diaphragmatic plication had to be performed. When dealing with a child born with brachial plexus palsy, one must think of this possible association and if necessary proceed to the complementary radiological examinations. The treatment must avoid complications like feeding difficulties and failure to thrive, respiratory infections or atelectasis. It includes intensive support and a good evaluation of the prognosis of the lesion to decide the best moment for a surgical therapy.

  19. Medial antebrachial cutaneous nerve injury after brachial plexus block: two case reports.

    PubMed

    Jung, Mi Jin; Byun, Ha Young; Lee, Chang Hee; Moon, Seung Won; Oh, Min-Kyun; Shin, Heesuk

    2013-12-01

    Medial antebrachial cutaneous (MABC) nerve injury associated with iatrogenic causes has been rarely reported. Local anesthesia may be implicated in the etiology of such injury, but has not been reported. Two patients with numbness and painful paresthesia over the medial aspect of the unilateral forearm were referred for electrodiagnostic study, which revealed MABC nerve lesion in each case. The highly selective nature of the MABC nerve injuries strongly suggested that they were the result of direct nerve injury by an injection needle during previous brachial plexus block procedures. Electrodiagnostic studies can be helpful in evaluating cases of sensory disturbance after local anesthesia. To our knowledge, these are the first documented cases of isolated MABC nerve injury following ultrasound-guided axillary brachial plexus block.

  20. Mediastinal mass and brachial plexopathy caused by subclavian arterial aneurysm in Behçet's disease.

    PubMed

    Yoo, W H; Kim, H K; Park, J H; Park, T S; Baek, H S

    2000-01-01

    Vascular involvement in Behçet's disease is divided into venous and arterial thrombosis and arterial aneurysmal formation. Subclavian arterial aneurysm rarely occurs in Behçet's disease; however, when it does occur, it causes serious aneurysmal rupture and local complications such as nerve compression and arterial ischemia. We describe the case of a 39-year-old male who presented with neurologic symptoms and signs of brachial plexopathy and mediastinal mass caused by Behçet's subclavian arterial aneurysm. This case shows that the occurrence of brachial plexopathy should be considered a manifestation of Behçet's disease, and that Behçet's aneurysm should be considered in the differential diagnosis of upper mediastinal mass.

  1. Complete Brachial Artery Transection following closed Posterior Elbow Dislocation: A Rare Case Report

    PubMed Central

    C, JayanthKumar B; Sampath, Deepak; N, Hanumantha Reddy; Motukuru, Vishnu

    2015-01-01

    Introduction: Vascular injury associated withclosed posterior elbow dislocations is rare and it usually occurs along with open dislocation, anterior dislocation, penetrating injuries, dislocations associated with fracture. We report such a case of closed posterior elbow dislocation with complete brachial artery rupture. Case Report: A 58 years old lady sustained posterior dislocation of right elbow following a fall at home. She presented three days later with complaints of severe pain, swelling around the right elbow and numbness of fingers following a closed reduction done elsewhere. Computed graft angiography showed complete transection of brachialartery. Patient was treated with thrombectomy, right great saphenous vein graft interposition repair of brachial artery and forearm fasciotomy. Conclusion: Vascular injuries associated with posterior elbow dislocation are very rare, but high index of suspicion of arterial injury need to be thought off and repeated vascular examination during pre and post reduction stage should be done to prevent complications. PMID:27299092

  2. Effectiveness of primary conservative management for infants with obstetric brachial plexus palsy.

    PubMed

    Bialocerkowski, Andrea; Kurlowicz, Kirsty; Vladusic, Sharon; Grimmer, Karen

    2005-03-01

    Background  Obstetric brachial plexus palsy, a complication of childbirth, occurs in 1-3 per 1000 live births internationally. Traction and/or compression of the brachial plexus is thought to be the primary mechanism of injury and this may occur in utero, during the descent through the birth canal or during delivery. This results in a spectrum of injuries that vary in severity, extent of damage and functional use of the affected upper limb. Most infants receive treatment, such as conservative management (physiotherapy, occupational therapy) or surgery; however, there is controversy regarding the most appropriate form of management. To date, no synthesised evidence is available regarding the effectiveness of primary conservative management for obstetric brachial plexus palsy. Objectives  The objective of this review was to systematically assess the literature and present the best available evidence that investigated the effectiveness of primary conservative management for infants with obstetric brachial plexus palsy. Search strategy  A systematic literature search was performed using 14 databases: TRIP, MEDLINE, CINAHL, AMED, Web of Science, Proquest 5000, Evidence Based Medicine Reviews, Expanded Academic ASAP, Meditext, Science Direct, Physiotherapy Evidence Database, Proquest Digital Dissertations, Open Archives Initiative Search Engine, Australian Digital Thesis Program. Those studies that were reported in English and published over the last decade (July 1992 to June 2003) were included in this review. Selection criteria  Quantitative studies that investigated the effectiveness of primary conservative management for infants with obstetric brachial plexus palsy were eligible for inclusion in this review. This excluded studies that solely investigated the effect of primary surgery for these infants, management of secondary deformities and the investigation of the effects of pharmacological agents, such as botulinum toxin. Data collection and analysis

  3. Brachial vs. central systolic pressure and pulse wave transmission indicators: a critical analysis.

    PubMed

    Izzo, Joseph L

    2014-12-01

    This critique is intended to provide background for the reader to evaluate the relative clinical utilities of brachial cuff systolic blood pressure (SBP) and its derivatives, including pulse pressure, central systolic pressure, central augmentation index (AI), and pulse pressure amplification (PPA). The critical question is whether the newer indicators add sufficient information to justify replacing or augmenting brachial cuff blood pressure (BP) data in research and patient care. Historical context, pathophysiology of variations in pulse wave transmission and reflection, issues related to measurement and model errors, statistical limitations, and clinical correlations are presented, along with new comparative data. Based on this overview, there is no compelling scientific or practical reason to replace cuff SBP with any of the newer indicators in the vast majority of clinical situations. Supplemental value for central SBP may exist in defining patients with exaggerated PPA ("spurious systolic hypertension"), managing cardiac and aortic diseases, and in studies of cardiovascular drugs, but there are no current standards for these possibilities.

  4. M2-F1 ejection seat test at South Edwards

    NASA Technical Reports Server (NTRS)

    1963-01-01

    The M2-F1 was fitted with an ejection seat before the airtow flights began. The project selected the seat used in the T-37 as modified by the Weber Company to use a rocket rather than a ballistic charge for ejection. To test the ejection seat, the Flight Research Center's Dick Klein constructed a plywood mockup of the M2-F1's top deck and canopy. On the first firings, the test was unsuccessful, but on the final test the dummy in the seat landed safely. The M2-F1 ejection seat was later used in the two Lunar Landing Research Vehicles and the three Lunar Landing Training Vehicles. Three of them crashed, but in each case the pilot ejected from the vehicle successfully. The wingless, lifting body aircraft design was initially conceived as a means of landing an aircraft horizontally after atmospheric reentry. The absence of wings would make the extreme heat of re-entry less damaging to the vehicle. In 1962, Dryden management approved a program to build a lightweight, unpowered lifting body as a prototype to flight test the wingless concept. It would look like a 'flying bathtub,' and was designated the M2-F1, the 'M' referring to 'manned' and 'F' referring to 'flight' version. It featured a plywood shell placed over a tubular steel frame crafted at Dryden. Construction was completed in 1963. The first flight tests of the M2-F1 were over Rogers Dry Lake at the end of a tow rope attached to a hopped-up Pontiac convertible driven at speeds up to about 120 mph. This vehicle needed to be able to tow the M2-F1 on the Rogers Dry Lakebed adjacent to NASA's Flight Research Center (FRC) at a minimum speed of 100 miles per hour. To do that, it had to handle the 400-pound pull of the M2-F1. Walter 'Whitey' Whiteside, who was a retired Air Force maintenance officer working in the FRC's Flight Operations Division, was a dirt-bike rider and hot-rodder. Together with Boyden 'Bud' Bearce in the Procurement and Supply Branch of the FRC, Whitey acquired a Pontiac Catalina convertible with

  5. Studying Geoeffective Interplanetary Coronal Mass Ejections Between the Sun and Earth: Space Weather Implications of Solar Mass Ejection Imager Observations

    DTIC Science & Technology

    2009-05-14

    during the Mav 12th, 1997 ICME, /. Ahnos. Sol. Terr. Phys., 66, 1295-1309. Billings, D. E. (1966), A Guide to the Solar Corona , Academic, San Diego...SUBTITLE Studying geoeffective interplanetary coronal mass ejections Between the Sun and Earth: Space weather implications of Solar Mass Ejection...DISTRIBUTION . „ . ru^en.1 nomicmcni Approved for Public Release; Distribution Unlimited. *Boston College, Chestnut Hill, MA, **AFRL, National Solar Ob

  6. An ejection model for SNC meteorites: An indication for recent volcanism on Mars

    NASA Technical Reports Server (NTRS)

    Manker, J. P.

    1992-01-01

    When compared to other achondrites, Shergotty-Nakhla-Chassigny (SNC) meteorites are viewed as anomalous objects. This conclusion is based mainly on their extremely young crystallization ages and their short cosmic ray exposure times. Further, SNC's noble gas and nitrogen components indicate a martian origin for these objects. If these meteorites are from Mars, then the most confounding question facing the planetary science community is how were they ejected from the planet's surface. The following is an investigation of that question.

  7. Probing the spacetime around supermassive black holes with ejected plasma blobs

    NASA Astrophysics Data System (ADS)

    Christian, Pierre; Loeb, Abraham

    2015-05-01

    Millimeter-wavelength very-long-baseline-interferometry observations of the supermassive black holes in Sgr A* and M87 by the Event Horizon Telescope could potentially trace the dynamics of ejected plasma blobs in real time. We demonstrate that the trajectory and tidal stretching of these blobs can be used to test general relativity and set new constraints on the mass and spin of these black holes.

  8. Familial long thoracic nerve palsy: a manifestation of brachial plexus neuropathy.

    PubMed

    Phillips, L H

    1986-09-01

    Long thoracic nerve palsy causes weakness of the serratus anterior muscle and winging of the scapula. It is usually traumatic in origin. Isolated long thoracic nerve palsy has not been recognized as the major manifestation of familial brachial plexus neuropathy, but I have studied the syndrome in four members of three generations of one family. One individual suffered an episode of facial paresis. The inheritance pattern was autosomal dominant.

  9. Sensory Evaluation of the Hands in Children with Brachial Plexus Birth Injury

    ERIC Educational Resources Information Center

    Palmgren, Tove; Peltonen, Jari; Linder, Tove; Rautakorpi, Sanna; Nietosvaara, Yrjana

    2007-01-01

    The aim of this study was to examine sensory changes of the hand in brachial plexus birth injury (BPBI). Ninety-five patients (43 females, 52 males) comprising two age groups, 6 to 8 years (mean age 7y 6mo) and 12 to 14 years (mean age 13y 2mo), were included. Sixty-four had upper (cervical [C] 5-6), 19 upper and middle (C5-7), and 12 had total…

  10. Newborn brachial plexus injuries: The twisting and extension of the fetal head as contributing causes.

    PubMed

    Sandmire, H; Morrison, J; Racinet, C; Hankins, G; Pecorari, D; Gherman, R

    2008-02-01

    The exact mechanism of the causation of brachial plexus injury (BPI) has long been a matter of controversy. It is our opinion that the twisting and the extension of the fetal head, during the labour and delivery process, will increase the stretching of the neck, thus contributing to the labour forces as the cause of BPI. Our opinions are offered to other researchers and readers for their consideration of how the labour forces can cause BPI.

  11. NEAR-SIMULTANEOUS OBSERVATIONS OF X-RAY PLASMA EJECTION, CORONAL MASS EJECTION, AND TYPE II RADIO BURST

    SciTech Connect

    Kim, Yeon-Han; Bong, Su-Chan; Park, Y.-D.; Cho, K.-S.; Moon, Y.-J.

    2009-11-10

    We report the first simultaneous observation of X-ray plasma ejection (XPE), coronal mass ejection (CME), and type II solar radio burst on 1999 October 26. First, an XPE was observed from 21:12 UT to 21:24 UT in the Yohkoh SXT field of view (1.1 to 1.4 R{sub sun}). The XPE was accelerated with a speed range from 190 to 410 km s{sup -1} and its average speed is about 290 km s{sup -1}. Second, the associated CME was observed by the Mauna Loa Mk4 coronameter (1.1-2.8 R{sub sun}) from 21:16 UT. The CME front was clearly identified at 21:26 UT and propagated with a deceleration of about -110 m s{sup -2}. Its average speed is about 360 km s{sup -1}. At the type II burst start time (21:25 UT), the height of the CME front is around 1.7 R{sub sun} and its speed is about 470 km s{sup -1}. Third, a type II solar radio burst was observed from 21:25 UT to 21:43 UT by the Culgoora solar radio spectrograph. The burst shows three emission patches during this observing period and the emission heights of the burst are estimated to be about 1.3 R{sub sun} (21:25 UT), 1.4 R{sub sun} (21:30 UT), and 1.8 R{sub sun} (21:40 UT). By comparing these three phenomena, we find that: (1) kinematically, while the XPE shows acceleration, the associated CME front shows deceleration; (2) there is an obvious height difference (0.3 R {sub sun}) between the CME front and the XPE front around 21:24 UT and the formation height of the type II burst is close to the trajectory extrapolated from the XPE front; (3) both speeds of the XPE and the CME are comparable with each other around the starting time of the type II burst. Considering the formation height and the speed of the type II burst, we suggest that its first emission is due to the coronal shock generated by the XPE and the other two emissions are driven by the CME flank interacting with the high-density streamer.

  12. Diffuse aneurysmal degeneration of the brachial artery after long-standing high-flow arteriovenous fistula closure for hemodialysis at elbow level.

    PubMed

    De Santis, Francesco; Martini, Guido; Mani, Gabriele; Bernhard, Othmar

    2014-07-01

    While the possibility of development of a panarterial dilatation proximal to a long-standing high-flow posttraumatic arteriovenous fistula is well known, to the best of our knowledge, this event has never been described after vascular access for hemodialysis closure. We describe a man in whom a diffuse aneurysmal degeneration of the brachial artery has been highlighted 6 months after long-standing high-flow arteriovenous fistula closure. A 47-year-old man developed a painful pulsatile mass in the anterior distal third of his arm 6 months after long-standing high-flow arteriovenous fistula closure at the level of his elbow. A computed tomography scan revealed multiple "true" aneurysms of the brachial artery (BA) that appeared enlarged in toto. One of these aneurysms (near the BA bifurcation) presented with significant thrombus stratification. Surgery was recommended because of the major risk of peripheral embolization. Considering the anatomic characteristics of both the BA and aneurysm, no arterial substitution was performed and, after removal of the thrombus, the aneurysm diameter was reduced via direct arterial wall suture. The patient was discharged under oral anticoagulation. Aneurysmal degeneration of the donor artery after vascular access is relatively rare but represents a challenging problem. Operative or conservative management of these aneurysms should evaluate both the possible aneurysm-related complications and the feasibility of vascular reconstruction. In this context, the risk of additional donor artery and/or vascular reconstruction enlargement over time should also be considered.

  13. Are Quasars Ejected from the Nucleus of NGC 4258?

    NASA Astrophysics Data System (ADS)

    Kondratko, P. T.; Greenhill, L. J.; Moran, J. M.

    2001-12-01

    The H2O maser in NGC 4258 traces a thin, almost edge-on, and slightly warped molecular disk around a supermassive black hole. Extensive measurements of the positions, three dimensional velocity vectors, and accelerations of dozens of masers are well explained by a simple disk model. However, discovery of two quasars with redshifts 0.39 and 0.65 symmetrically displaced by ~ 9' from the nucleus of NGC 4258 and located approximately at the position angle of the maser disk has fueled an alternative hypothesis by G. Burbidge, E.M. Burbidge, and co-workers. They proposed that the two quasars were ejected from the nucleus, are dynamically associated with the maser, and possess redshifts which are primarily non-cosmological in origin. We use 3 epochs of 20 cm VLBA images of one of the quasars and of NGC 4258 to derive an upper limit on the quasar proper motion of 0.4 mas year-1 (0.05 c) in the putative direction of ejection and with respect to the continuum emission from NGC 4258. This upper limit excludes the Ozernoy model in which the redshifts of the two quasars are primarily due to the transverse Doppler effect caused by a tranverse velocity of 6.6 mas year-1 (0.75 c). In addition to fixing an upper limit on the quasar proper motion, the images of NGC 4258 jet reveal a dominant, apparently stationary component located approximately ~ 6 mas north from the black hole and corresponding to the northern core of the jet. The distance of the core from the black hole scales with λ as expected in the standard model of Blandford and Königl. The southern jet core is undetected perhaps due to high optical depth associated with a hot, ionized wind or with an ionized material in the disk. The jet in the immediate vicinity of the central engine is characterized by γ >4.3, which appears to be relatively stable over time.

  14. Gross anatomy of the brachial plexus in the giant Anteater (Myrmecophaga tridactyla).

    PubMed

    Souza, P R; Cardoso, J R; Araujo, L B M; Moreira, P C; Cruz, V S; Araujo, E G

    2014-10-01

    Ten forelimbs of five Myrmecophaga tridactyla were examined to study the anatomy of the brachial plexus. The brachial plexuses of the M. tridactyla observed in the present study were formed by the ventral rami of the last four cervical spinal nerves, C5 through C8, and the first thoracic spinal nerve, T1. These primary roots joined to form two trunks: a cranial trunk comprising ventral rami from C5-C7 and a caudal trunk receiving ventral rami from C8-T1. The nerves originated from these trunks and their most constant arrangement were as follows: suprascapular (C5-C7), subscapular (C5-C7), cranial pectoral (C5-C8), caudal pectoral (C8-T1), axillary (C5-C7), musculocutaneous (C5-C7), radial (C5-T1), median (C5-T1), ulnar (C5-T1), thoracodorsal (C5-C8), lateral thoracic (C7-T1) and long thoracic (C6-C7). In general, the brachial plexus in the M. tridactyla is similar to the plexuses in mammals, but the number of rami contributing to the formation of each nerve in the M. tridactyla was found to be larger than those of most mammals. This feature may be related to the very distinctive anatomical specializations of the forelimb of the anteaters.

  15. [The value of brachial artery peak velocity variation during the Valsalva maneuver to predict fluid responsiveness].

    PubMed

    Sheng, L F; Yan, M; Zhang, F J; Ren, Q S; Yu, S H; Wu, M

    2017-02-14

    Objective: To evaluate whether brachial artery peak velocity variation(ΔVp) during a Valsalva maneuver(VM) could predict fluid responsiveness in spontaneously breathing patients. Methods: Ninety-six patients required radial artery catheter for elective surgery of Ningbo Yinzhou People's Hospital from December 2014 to June 2016 were enrolled. The brachial artery Doppler signal was recorded to measure the ΔVp while the VM was performed.Then doing the volume expansion (VE) , the cardiac output variation (ΔCO) before and after VE were measured.Pearson correlational analyses were conducted between ΔVp and ΔCO. Also the sensitivity and specificity of ΔVp were determined in predicting fluid responsiveness by the receiver operating characteristic (ROC) curve. Results: Patients were classified as group responders (n=24) and group non-responders (n=72). Responder was defined as cardiac output increased≥15% after VE.The ΔVp correlated well with ΔCO (r=0.792, P<0.01). The area under ROC curve was 0.903, with the ΔVp cut-off of 33%, the sensitivity of 87% and the specificity of 82%(P<0.01). Conclusion: Brachial artery peak velocity variation during a valsalva maneuver is a feasible method for predicting fluid responsiveness in spontaneously breathing patients.

  16. [Transradial percutaneous approach for cardiac catheterization in patients with previous brachial artery cutdown].

    PubMed

    Magariños, Eduardo; Solioz, Germán; Cermesoni, Gabriel; Koretzky, Martín; Carnevalini, Mariana; González, Daniel

    2013-01-01

    The percutaneous punction of the radial artery for catheterization procedures has gained acceptance lately. This was a consequence of achieving results similar to the femoral approach, with the benefits of a lower rate of complications and increased comfort for the patients post procedure. Recently it has gained an additional impulse with the better prognosis obtained in acute coronary syndromes. In this trial we have evaluated if the feasibility, results and advantages related with the use of the radial artery percutaneous approach to perform catheterization procedures, continues when used in patients who have had a previous brachial artery cutdown. Out of a total of 1356 percutaneous radial accesses, 53 were in patients with previous brachial artery cutdown. Through this access 71 catheterization procedures were performed, achieving access success in 96.2% (51/53) of the punctions. Once the access success was obtained, 93.6% (44/47) of the diagnostic procedures and 100% (24/24) of the therapeutics procedures were successful. During hospitalization, in this group of patients, no major adverse cardiac events occurred and there was a 1.4% (1/71) rate of minor events. At seven days follow up, no new complications were recorded. Although this is a small group, we believe that it is enough to show that percutaneous punctions of the radial artery to perform catheterization procedures, in patients with previous brachial artery cutdown, are feasible, allowing high access and procedure success rates, with a low frequency of complications.

  17. Surgical outcomes of the brachial plexus lesions caused by gunshot wounds in adults

    PubMed Central

    2009-01-01

    Background The management of brachial plexus injuries due to gunshot wounds is a surgical challenge. Better surgical strategies based on clinical and electrophysiological patterns are needed. The aim of this study is to clarify the factors which may influence the surgical technique and outcome of the brachial plexus lesions caused by gunshot injuries. Methods Two hundred and sixty five patients who had brachial plexus lesions caused by gunshot injuries were included in this study. All of them were male with a mean age of 22 years. Twenty-three patients were improved with conservative treatment while the others underwent surgical treatment. The patients were classified and managed according to the locations, clinical and electrophysiological findings, and coexisting lesions. Results The wounding agent was shrapnel in 106 patients and bullet in 159 patients. Surgical procedures were performed from 6 weeks to 10 months after the injury. The majority of the lesions were repaired within 4 months were improved successfully. Good results were obtained in upper trunk and lateral cord lesions. The outcome was satisfactory if the nerve was intact and only compressed by fibrosis or the nerve was in-contunuity with neuroma or fibrosis. Conclusion Appropriate surgical techniques help the recovery from the lesions, especially in patients with complete functional loss. Intraoperative nerve status and the type of surgery significantly affect the final clinical outcome of the patients. PMID:19627573

  18. Brachial Plexus in the Pampas Fox (Lycalopex gymnocercus): a Descriptive and Comparative Analysis.

    PubMed

    de Souza Junior, Paulo; da Cruz de Carvalho, Natan; de Mattos, Karine; Abidu Figueiredo, Marcelo; Luiz Quagliatto Santos, André

    2017-03-01

    Twenty thoracic limbs of ten Lycalopex gymnocercus were dissected to describe origin and distribution of the nerves forming brachial plexuses. The brachial plexus resulted from the connections between the ventral branches of the last three cervical nerves (C6, C7, and C8) and first thoracic nerve (T1). These branches connected the suprascapular, subscapular, axillary, musculocutaneous, radial, median and ulnar nerves to the intrinsic musculature and connected the brachiocephalic, thoracodorsal, lateral thoracic, long thoracic, cranial pectoral and caudal pectoral nerves to the extrinsic musculature. The C7 ventral branches contribute most to the formation of the nerves (62.7%), followed by C8 (58.8%), T1 (40.0%) and C6 (24.6%). Of the 260 nerves dissected, 69.2% resulted from a combination of two or three branches, while only 30.8% originated from a single branch. The origin and innervation area of the pampas fox brachial plexus, in comparison with other domestic and wild species, were most similar to the domestic dog and wild canids from the neotropics. The results of this study can serve as a base for comparative morphofunctional analysis involving this species and development of nerve block techniques. Anat Rec, 300:537-548, 2017. © 2016 Wiley Periodicals, Inc.

  19. Dexmedetomidine as an adjuvant to local anesthetics in brachial plexus blocks

    PubMed Central

    Ping, Yongmei; Ye, Qigang; Wang, Wenwei; Ye, Pingke; You, Zhibin

    2017-01-01

    Abstract Background: Brachial plexus block (BPB) for upper extremity surgery provides superior analgesia, but this advantage is limited by the pharmacological duration of local anesthetics. Dexmedetomidine (DEX) as a local anesthetics adjuvant for BPB has been utilized to prolong the duration of the nerve block in some randomized controlled trials (RCTs) but is far from unanimous in the efficacy and safety of the perineural route. Hence, an updated meta-analysis was conducted to assess the efficacy and safety of DEX as local anesthetic adjuvants on BPB. Methods: A search in electronic databases was conducted to collect the RCTs that investigated the impact of adding DEX to local anesthetics for BPB. Sensory block duration, motor block duration, onset time of sensory and motor block, time to first analgesic request, the common adverse effects were analyzed. Results: Eighteen trails (1014 patients) were included with 515 patients receiving perineural DEX. The addition of DEX prolonged the duration of sensory block (WMD 257 minutes, 95%CI 191.79–322.24, P < 0.001), motor block (WMD 242 minutes, 95%CI 174.94–309.34, P < 0.001), and analgesia (WMD 26 6 minutes, 95%CI 190.75–342.81, P < 0.001). Perineural DEX also increased the risk of bradycardia (OR=8.25, 95%CI 3.95–17.24, P < 0.001), hypotension (OR = 5.62, 95%CI 1.52–20.79, P < 0.01), and somnolence (OR = 19.67, 95%CI 3.94–98.09, P < 0.001). There was a lack of evidence that perineural DEX increased the risk of other adverse events. Conclusions: DEX is a potential anesthetic adjuvant that can facilitate better anesthesia and analgesia when administered in BPB. However, it also increased the risk of bradycardia, hypotension, and somnolence. Further research should focus on the efficacy and safety of the preneural administration of DEX. PMID:28121930

  20. MAGNETIC FIELD STRUCTURES TRIGGERING SOLAR FLARES AND CORONAL MASS EJECTIONS

    SciTech Connect

    Kusano, K.; Bamba, Y.; Yamamoto, T. T.; Iida, Y.; Toriumi, S.; Asai, A.

    2012-11-20

    Solar flares and coronal mass ejections, the most catastrophic eruptions in our solar system, have been known to affect terrestrial environments and infrastructure. However, because their triggering mechanism is still not sufficiently understood, our capacity to predict the occurrence of solar eruptions and to forecast space weather is substantially hindered. Even though various models have been proposed to determine the onset of solar eruptions, the types of magnetic structures capable of triggering these eruptions are still unclear. In this study, we solved this problem by systematically surveying the nonlinear dynamics caused by a wide variety of magnetic structures in terms of three-dimensional magnetohydrodynamic simulations. As a result, we determined that two different types of small magnetic structures favor the onset of solar eruptions. These structures, which should appear near the magnetic polarity inversion line (PIL), include magnetic fluxes reversed to the potential component or the nonpotential component of major field on the PIL. In addition, we analyzed two large flares, the X-class flare on 2006 December 13 and the M-class flare on 2011 February 13, using imaging data provided by the Hinode satellite, and we demonstrated that they conform to the simulation predictions. These results suggest that forecasting of solar eruptions is possible with sophisticated observation of a solar magnetic field, although the lead time must be limited by the timescale of changes in the small magnetic structures.

  1. Dynamics and column densities of small particles ejected from spacecraft

    NASA Technical Reports Server (NTRS)

    Naumann, R. J.

    1974-01-01

    Trajectories and relative motions of small particles ejected from a spacecraft were analyzed, and modifications to the clearing times and column densities because of orbital dynamics were assessed. It was found that despite the fact that such particles are confined by orbital dynamics to move along similar trajectories with the spacecraft rather than to continue their free expansion, the effect is negligible for viewing angles away from the orbital path. Small particles are rapidly swept away by drag and will not contribute significantly to the column density when viewing along the velocity vector in 420-km earth orbit. However, substantial increases in column density can results when viewing in a direction opposite to the velocity vector because of drag effects. In the absence of drag, significant column densities can build up both in front of and behind the spacecraft in earth orbit for particles released at a few meters per second. This effect is much less pronounced in lunar orbit because the same release velocity produces a larger orbital perturbation for the particle.

  2. On bipolar ejection. [of matter in astronomical systems

    NASA Technical Reports Server (NTRS)

    Cameron, A. G. W.

    1985-01-01

    Observations of bipolar outflows, including jets often with clumpy concentrations of matter, have been made for a wide variety of astronomical systems. In most but not all of the systems, an accretion disk is present. It is proposed that the general process responsible for bipolar ejection involves the conversion of rotational energy into magnetic energy, usually in the form of a polar magnetic torus, deep in the interiors of the systems involved. If the buoyancy of the torus resullts in draining the field lines of most of the matter which they thread, then the acceleration of the remaining matter in the toroidal bubble may produce velocities in excess of the escape velocity from the surface of the system. It is contemplated that this process will be repeated many times in most systems. A discussion is given of the application of these ideas to protostars, to stars evolved beyond the main sequence, to neutron stars, and to black holes on both stellar and galactic scales.

  3. RADIAL FLOW PATTERN OF A SLOW CORONAL MASS EJECTION

    SciTech Connect

    Feng, Li; Gan, Weiqun; Inhester, Bernd

    2015-06-01

    Height–time plots of the leading edge of coronal mass ejections (CMEs) have often been used to study CME kinematics. We propose a new method to analyze the CME kinematics in more detail by determining the radial mass transport process throughout the entire CME. Thus, our method is able to estimate not only the speed of the CME front but also the radial flow speed inside the CME. We have applied this method to a slow CME with an average leading edge speed of about 480 km s{sup −1}. In the Lagrangian frame, the speeds of the individual CME mass elements stay almost constant within 2 and 15 R{sub S}, the range over which we analyzed the CME. Hence, we have no evidence of net radial forces acting on parts of the CME in this range or of a pile up of mass ahead of the CME. We find evidence that the leading edge trajectory obtained by tie-pointing may gradually lag behind the Lagrangian front-side trajectories derived from our analysis. Our results also allow a much more precise estimate of the CME energy. Compared with conventional estimates using the CME total mass and leading edge motion, we find that the latter may overestimate the kinetic energy and the gravitational potential energy.

  4. Global Energetics of Solar Flares. IV. Coronal Mass Ejection Energetics

    NASA Astrophysics Data System (ADS)

    Aschwanden, Markus J.

    2016-11-01

    This study entails the fourth part of a global flare energetics project, in which the mass m cme, kinetic energy E kin, and the gravitational potential energy E grav of coronal mass ejections (CMEs) is measured in 399 M and X-class flare events observed during the first 3.5 years of the Solar Dynamics Observatory (SDO) mission, using a new method based on the EUV dimming effect. EUV dimming is modeled in terms of a radial adiabatic expansion process, which is fitted to the observed evolution of the total emission measure of the CME source region. The model derives the evolution of the mean electron density, the emission measure, the bulk plasma expansion velocity, the mass, and the energy in the CME source region. The EUV dimming method is truly complementary to the Thomson scattering method in white light, which probes the CME evolution in the heliosphere at r ≳ 2 R ⊙, while the EUV dimming method tracks the CME launch in the corona. We compare the CME parameters obtained in white light with the LASCO/C2 coronagraph with those obtained from EUV dimming with the Atmospheric Imaging Assembly onboard the SDO for all identical events in both data sets. We investigate correlations between CME parameters, the relative timing with flare parameters, frequency occurrence distributions, and the energy partition between magnetic, thermal, nonthermal, and CME energies. CME energies are found to be systematically lower than the dissipated magnetic energies, which is consistent with a magnetic origin of CMEs.

  5. Sheath-accumulating Propagation of Interplanetary Coronal Mass Ejection

    NASA Astrophysics Data System (ADS)

    Takahashi, Takuya; Shibata, Kazunari

    2017-03-01

    Fast interplanetary coronal mass ejections (ICMEs) are the drivers of strong space weather storms such as solar energetic particle events and geomagnetic storms. The connection between the space-weather-impacting solar wind disturbances associated with fast ICMEs at Earth and the characteristics of causative energetic CMEs observed near the Sun is a key question in the study of space weather storms, as well as in the development of practical space weather prediction. Such shock-driving fast ICMEs usually expand at supersonic speeds during the propagation, resulting in the continuous accumulation of shocked sheath plasma ahead. In this paper, we propose a “sheath-accumulating propagation” (SAP) model that describes the coevolution of the interplanetary sheath and decelerating ICME ejecta by taking into account the process of upstream solar wind plasma accumulation within the sheath region. Based on the SAP model, we discuss (1) ICME deceleration characteristics; (2) the fundamental condition for fast ICMEs at Earth; (3) the thickness of interplanetary sheaths; (4) arrival time prediction; and (5) the super-intense geomagnetic storms associated with huge solar flares. We quantitatively show that not only the speed but also the mass of the CME are crucial for discussing the above five points. The similarities and differences between the SAP model, the drag-based model, and the“snow-plow” model proposed by Tappin are also discussed.

  6. The 3D structure of Coronal Mass Ejections

    NASA Astrophysics Data System (ADS)

    Patsourakos, Spiros

    2016-07-01

    Coronal Mass Ejections (CMEs) represent one of the most powerful energy release phenomena in the entire solar system and are a major driver of space weather. Prior to 2006, our observational access to CMEs was limited to single viewpoint remote sensing observations in the inner/outer corona, and in-situ observations further away, e.g. at 1 AU. Taking all these factors together, turned out to be a major obstacle in our understanding and characterizing of the 3D structure and evolution of CMEs. The situation improved dramatically with the availability of multi-viewpoint imaging observations of CMEs, all way through from the Sun to 1 AU, from the STEREO mission since 2006, combined with observations from other missions (SOHO, Hinode, SDO, IRIS). With this talk we will discuss several key recent results in CME science resulting from the analysis of multi-viewpoint observations. This includes: (1) shape and structure; (2) kinematics and energetics; (3) trajectories, deflections and rotations; (4) arrival times and velocities at 1 AU; (5) magnetic field structure; (6) relationships with coronal and interplanetary shocks and solar energetic particles. The implications of these results in terms of CME theories and models will be also addressed. We will conclude with a discussion of important open issues in our understanding of CMEs and how these could be addressed with upcoming (Solar Orbiter, Solar Probe Plus) and under-study missions (e.g., L5).

  7. Characterizing the original ejection velocity field of the Koronis family

    NASA Astrophysics Data System (ADS)

    Carruba, V.; Nesvorný, D.; Aljbaae, S.

    2016-06-01

    An asteroid family forms as a result of a collision between an impactor and a parent body. The fragments with ejection speeds higher than the escape velocity from the parent body can escape its gravitational pull. The cloud of escaping debris can be identified by the proximity of orbits in proper element, or frequency, domains. Obtaining estimates of the original ejection speed can provide valuable constraints on the physical processes occurring during collision, and used to calibrate impact simulations. Unfortunately, proper elements of asteroids families are modified by gravitational and non-gravitational effects, such as resonant dynamics, encounters with massive bodies, and the Yarkovsky effect, such that information on the original ejection speeds is often lost, especially for older, more evolved families. It has been recently suggested that the distribution in proper inclination of the Koronis family may have not been significantly perturbed by local dynamics, and that information on the component of the ejection velocity that is perpendicular to the orbital plane (vW), may still be available, at least in part. In this work we estimate the magnitude of the original ejection velocity speeds of Koronis members using the observed distribution in proper eccentricity and inclination, and accounting for the spread caused by dynamical effects. Our results show that (i) the spread in the original ejection speeds is, to within a 15% error, inversely proportional to the fragment size, and (ii) the minimum ejection velocity is of the order of 50 m/s, with larger values possible depending on the orbital configuration at the break-up.

  8. From SOHO to STEREO: Understanding Propagation of Coronal Mass Ejections

    NASA Technical Reports Server (NTRS)

    Gopalswamy, Natchimuthuk

    2011-01-01

    Direct comparison between coronal mass ejections (CMEs) from near the Sun and their solar wind counterparts became possible roughly a decade after the discovery of CMEs (Lindsay et aL 1999). This comparison revealed that fast CMEs decelerate and slow CMEs accelerate due to the interaction with the solar wind. Gopalswamy et al (2000) quantified this interaction as an interplanetary acceleration which is useful in predicting the arrival time and speed of CMEs at 1 AU. The interplanetary acceleration is essentially due to the aerodynamic drag between the CME and the solar wind because the propelling force and the solar gravity are effective only near the Sun. Combined remote-sensing and in situ observations from SOHO and Wind/ACE have helped us estimate the influence of the solar wind on the propagation of CMEs. However, these measurements have severe limitations because the remote sensed and in-situ observations correspond to different portions of the CME. Furthermore, the true speeds of Earth-directed CMEs cannot be measured accurately from a spacecraft located along the Sun-Earth line. There have been attempts to model the CME as a cone and get the space speed of the CME, which did improve the travel time predictions. Instruments on board the Solar Terrestrial Relations Observatory (STEREO) mission were able to provide observations of Earth-arriving CMEs without projection effects, while the same CMEs were observed at Sun-Earth L1 by Wind and ACE spacecraft. The quadrature between STEREO and L1 spacecraft presented an ideal situation to study the interplanetary evolution of CMEs and test earlier model results. The quadrature observations did improve the CME travel time predictions, but additional factors such as the unusually slow solar wind, CME cannibalism, and coronal-hole deflection need to be considered to reconcile the difference between observed and predicted travel times. This point is illustrated using the 2011 February 15 CME

  9. Simulation of a liquid droplet ejection device using multi-actuator

    NASA Astrophysics Data System (ADS)

    Ono, Yoshihiro; Yoshino, Michitaka; Yasuda, Akira; Tanuma, Chiaki

    2016-07-01

    An equivalent circuit model for a liquid droplet ejection device using a multiactuator has been developed. The equivalent circuit was simplified using a gyrator in the synthesis of the outputs of many elements. The simulation was performed for an inkjet head having three piezoelectric elements using MATLAB/Simulink. In this model, the pressure chamber is filled with a Newtonian fluid. For this reason, the model assumed only the resistance component of the pressure chamber and the nozzle as a load. Furthermore, since the resistance component of the inlet is much larger than that of the nozzle, it is not considered in this model. As a result, by providing a time difference between the driving signals of the piezoelectric elements, we found that the pressure of the ink chamber could be arbitrarily controlled. By this model, it becomes possible to control the pressure in the ink chamber of the inkjet head required for the ejection of various inks.

  10. Coupled thermal analysis applied to the study of the rod ejection accident

    SciTech Connect

    Gonnet, M.

    2012-07-01

    An advanced methodology for the assessment of fuel-rod thermal margins under RIA conditions has been developed by AREVA NP SAS. With the emergence of RIA analytical criteria, the study of the Rod Ejection Accident (REA) would normally require the analysis of each fuel rod, slice by slice, over the whole core. Up to now the strategy used to overcome this difficulty has been to perform separate analyses of sampled fuel pins with conservative hypotheses for thermal properties and boundary conditions. In the advanced methodology, the evaluation model for the Rod Ejection Accident (REA) integrates the node average fuel and coolant properties calculation for neutron feedback purpose as well as the peak fuel and coolant time-dependent properties for criteria checking. The calculation grid for peak fuel and coolant properties can be specified from the assembly pitch down to the cell pitch. The comparative analysis of methodologies shows that coupled methodology allows reducing excessive conservatism of the uncoupled approach. (authors)

  11. Central blood pressure estimation by using N-point moving average method in the brachial pulse wave.

    PubMed

    Sugawara, Rie; Horinaka, Shigeo; Yagi, Hiroshi; Ishimura, Kimihiko; Honda, Takeharu

    2015-05-01

    Recently, a method of estimating the central systolic blood pressure (C-SBP) using an N-point moving average method in the radial or brachial artery waveform has been reported. Then, we investigated the relationship between the C-SBP estimated from the brachial artery pressure waveform using the N-point moving average method and the C-SBP measured invasively using a catheter. C-SBP using a N/6 moving average method from the scaled right brachial artery pressure waveforms using VaSera VS-1500 was calculated. This estimated C-SBP was compared with the invasively measured C-SBP within a few minutes. In 41 patients who underwent cardiac catheterization (mean age: 65 years), invasively measured C-SBP was significantly lower than right cuff-based brachial BP (138.2 ± 26.3 vs 141.0 ± 24.9 mm Hg, difference -2.78 ± 1.36 mm Hg, P = 0.048). The cuff-based SBP was significantly higher than invasive measured C-SBP in subjects with younger than 60 years old. However, the estimated C-SBP using a N/6 moving average method from the scaled right brachial artery pressure waveforms and the invasively measured C-SBP did not significantly differ (137.8 ± 24.2 vs 138.2 ± 26.3 mm Hg, difference -0.49 ± 1.39, P = 0.73). N/6-point moving average method using the non-invasively acquired brachial artery waveform calibrated by the cuff-based brachial SBP was an accurate, convenient and useful method for estimating C-SBP. Thus, C-SBP can be estimated simply by applying a regular arm cuff, which is greatly feasible in the practical medicine.

  12. Studies of hydrodynamic events in stellar evolution. III Ejection of planetary nebulae

    NASA Technical Reports Server (NTRS)

    Kutter, G. S.; Sparks, W. M.

    1974-01-01

    Investigation of the dynamic behavior of the hydrogen-rich envelope (0.101 solar mass) of an evolved star (1.1 solar mass) as the luminosity rises to 19,000 solar luminosities during the second ascent of the red-giant branch. For luminosities in the range 3100 less than L less than 19,000 solar luminosities the H-rich envelope pulsates like a long-period variable (LPV) with periods of the order of a year. As L reaches 19,000 solar luminosities, the entire H-rich envelope is ejected as a shell with speeds of a few times 10 km sec. The ejection occurs on a time scale of a few LPV pulsation periods. This ejection is shown to be related to the formation of a planetary nebula. The computations are based on an implicit hydrodynamic computer code. Tand rho-dependent opacities and excitation and ionization energies are included. As the H-rich envelope is accelerated off the stellar core, the gap between envelope and core is approximated by a vacuum filled with radiation.

  13. Inhibition of DNA ejection from bacteriophage by Mg+2 counterions

    NASA Astrophysics Data System (ADS)

    Lee, Sell; Tran, C. V.; Nguyen, T. T.

    2011-03-01

    The problem of inhibiting viral DNA ejection from bacteriophages by multivalent counterions, specifically Mg+2 counterions, is studied. Experimentally, it is known that MgSO4 salt has a strong and nonmonotonic effect on the amount of DNA ejected. There exists an optimal concentration at which the minimum amount of DNA is ejected from the virus. At lower or higher concentrations, more DNA is ejected from the capsid. We propose that this phenomenon is the result of DNA overcharging by Mg+2 multivalent counterions. As Mg+2 concentration increases from zero, the net charge of DNA changes from negative to positive. The optimal inhibition corresponds to the Mg+2 concentration where DNA is neutral. At lower/higher concentrations, DNA genome is charged. It prefers to be in solution to lower its electrostatic self-energy, which consequently leads to an increase in DNA ejection. By fitting our theory to available experimental data, the strength of DNA-DNA short range attraction energies, mediated by Mg+2, is found to be -0.004 kBT per nucleotide base. This and other fitted parameters agree well with known values from other experiments and computer simulations. The parameters are also in agreement qualitatively with values for tri- and tetravalent counterions.

  14. Inhibition of DNA ejection from bacteriophage by Mg^+2 counterions

    NASA Astrophysics Data System (ADS)

    Lee, Seil; Tran, Cathy V.; Nguyen, Toan T.

    2009-03-01

    The problem of inhibiting viral DNA ejection from bacteriophages by multivalent counterions, especially Mg^+2 counterions, is studied. Experimentally, it is known that MgSO4 salt has a strong and non-monotonic effect on the amount of DNA ejected. There exists an optimal concentration at which the least DNA is ejected from the virus. At lower or higher concentrations, more DNA is ejected from the capsid. We propose that this phenomenon is the result of DNA overcharging by Mg^+2 multivalent counterions. As Mg^+2 concentration increases from zero, DNA net charge changes from negative to positive. The optimal inhibition corresponds to the Mg^+2 concentration where DNA is neutral. At lower/higher concentrations, DNA genome is charged. It prefers to be in solution to lower its electrostatic self-energy, which consequently leads to an increase in DNA ejection. Our theory fits experimental data well. The strength of DNA-DNA short range attraction, mediated by Mg^+2, is found to be -0.003 kBT per nucleotide base.

  15. A detailed observation of the ejection and retraction of defense tissue acontia in sea anemone (Exaiptasia pallida).

    PubMed

    Lam, Julie; Cheng, Ya-Wen; Chen, Wan-Nan U; Li, Hsing-Hui; Chen, Chii-Shiarng; Peng, Shao-En

    2017-01-01

    Acontia, located in the gastrovascular cavity of anemone, are thread-like tissue containing numerous stinging cells which serve as a unique defense tissue against predators of the immobile acontiarian sea anemone. Although its morphology and biological functions, such as defense and digestion, have been studied, the defense behavior and the specific events of acontia ejection and retraction are unclear. The aim of this study is to observe and record the detailed process of acontia control in anemones. Observations reveal that the anemone, Exaiptasia pallida, possibly controls a network of body muscles and manipulates water pressure in the gastrovascular cavity to eject and retract acontia. Instead of resynthesizing acontia after each ejection, the retraction and reuse of acontia enables the anemone to respond quickly at any given time, thus increasing its overall survivability. Since the Exaiptasia anemone is an emerging model for coral biology, this study provides a foundation to further investigate the biophysics, neuroscience, and defense biology of this marine model organism.

  16. Accurate quantitative measurements of brachial artery cross-sectional vascular area and vascular volume elastic modulus using automated oscillometric measurements: comparison with brachial artery ultrasound

    PubMed Central

    Tomiyama, Yuuki; Yoshinaga, Keiichiro; Fujii, Satoshi; Ochi, Noriki; Inoue, Mamiko; Nishida, Mutumi; Aziki, Kumi; Horie, Tatsunori; Katoh, Chietsugu; Tamaki, Nagara

    2015-01-01

    Increasing vascular diameter and attenuated vascular elasticity may be reliable markers for atherosclerotic risk assessment. However, previous measurements have been complex, operator-dependent or invasive. Recently, we developed a new automated oscillometric method to measure a brachial artery's estimated area (eA) and volume elastic modulus (VE). The aim of this study was to investigate the reliability of new automated oscillometric measurement of eA and VE. Rest eA and VE were measured using the recently developed automated detector with the oscillometric method. eA was estimated using pressure/volume curves and VE was defined as follows (VE=Δ pressure/ (100 × Δ area/area) mm Hg/%). Sixteen volunteers (age 35.2±13.1 years) underwent the oscillometric measurements and brachial ultrasound at rest and under nitroglycerin (NTG) administration. Oscillometric measurement was performed twice on different days. The rest eA correlated with ultrasound-measured brachial artery area (r=0.77, P<0.001). Rest eA and VE measurement showed good reproducibility (eA: intraclass correlation coefficient (ICC)=0.88, VE: ICC=0.78). Under NTG stress, eA was significantly increased (12.3±3.0 vs. 17.1±4.6 mm2, P<0.001), and this was similar to the case with ultrasound evaluation (4.46±0.72 vs. 4.73±0.75 mm, P<0.001). VE was also decreased (0.81±0.16 vs. 0.65±0.11 mm Hg/%, P<0.001) after NTG. Cross-sectional vascular area calculated using this automated oscillometric measurement correlated with ultrasound measurement and showed good reproducibility. Therefore, this is a reliable approach and this modality may have practical application to automatically assess muscular artery diameter and elasticity in clinical or epidemiological settings. PMID:25693851

  17. Polarization instability of Raman solitons ejected during supercontinuum generation.

    PubMed

    Chao, Qing; Wagner, Kelvin H

    2015-12-28

    We numerically investigate polarization instability of soliton fission and the polarization dynamics of Raman solitons ejected during supercontinuum generation in a photonics crystal fiber using the coupled vector generalized nonlinear Schrödinger equations for both linear and circular birefringent fibers. The evolution of the state of polarizations of the ejected Raman soliton as representated on the Poincaré sphere is affected by both nonlinear and linear polarization rotations on the Poincaré sphere. The polarization dynamics reveal the presence of a polarization separatrix and the emergence of stable slow and unstable fast eigen-polarizations for the Raman solitons ejected in the supercontinuum generation process. Circularly birefringent fiber is investigated and found to simplify the nonlinear polarization dynamics.

  18. Prompt solar proton events and coronal mass ejections

    NASA Technical Reports Server (NTRS)

    Kahler, S. W.; Hildner, E.; Van Hollebeke, M. A. I.

    1978-01-01

    Data from the HAO white-light coronagraph and the X-ray telescope on Skylab have been used to investigate the coronal manifestations of 18 prompt solar proton events observed on the IMP 7 spacecraft during the Skylab period. Evidence is found that a mass-ejection event is a necessary condition for the occurrence of a prompt proton event. Mass-ejection events can be observed directly in the white-light coronagraph when they occur near the limb and inferred from the presence of a long-decay X-ray event when they occur on the disk. It is suggested that: (1) the occurrence of mass-ejection events facilitates the escape of protons - whether accelerated at low or high altitudes - to the interplanetary medium; and (2) there may exist a proton acceleration region above or around the outward moving ejecta far above the flare site.

  19. Experimental investigation on ejecting low-temperature cooling superconducting magnets

    NASA Astrophysics Data System (ADS)

    Liu, Bin; Zhang, Qiang; Tong, Ming-wei; Hu, Peng; Wu, Shuang-ying; Cai, Qin; Qin, Zeng-hu

    2013-10-01

    With the development of the high-temperature superconducting (HTS) materials and refrigeration technologies, using ejecting refrigeration to cool the superconducting materials becomes the direction of HTS applications. In this paper, an experimental study has been carried out on the basis of the theory of analyzing the ejecting low-temperature cooling superconducting magnet. The relationship between area ratios and refrigeration performance at different system pressures was derived. In addition, the working fluid flow and suction chamber pressure of the ejector with different area ratios at various inlet pressures have been examined to obtain the performance of ejectors under different working conditions. The result shows that the temperature of liquid nitrogen can be reduced to 70 K by controlling the inlet water pressure when the pressurized water at 20 °C is used to eject the saturated liquid nitrogen, which can provide the stable operational conditions for the HTS magnets cooling.

  20. Capstan Friction Model for DNA Ejection from Bacteriophages

    NASA Astrophysics Data System (ADS)

    Ghosal, Sandip

    2012-12-01

    Bacteriophages infect cells by attaching to the outer membrane and injecting their DNA into the cell. The phage DNA is then transcribed by the cell’s transcription machinery. A number of physical mechanisms by which DNA can be translocated from the phage capsid into the cell have been identified. A fast ejection driven by the elastic and electrostatic potential energy of the compacted DNA within the viral capsid appears to be used by most phages, at least to initiate infection. In recent in vitro experiments, the speed of DNA translocation from a λ phage capsid has been measured as a function of ejected length over the entire duration of the event. Here, a mechanical model is proposed that is able to explain the observed dependence of exit velocity on ejected length, and that is also consistent with the accepted picture of the geometric arrangement of DNA within the viral capsid.

  1. Ejection of a rear facing, golf cart passenger.

    PubMed

    Schau, Kyle; Masory, Oren

    2013-10-01

    The following report details the findings of a series of experiments and simulations performed on a commercially available, shuttle style golf cart during several maneuvers involving rapid accelerations of the vehicle. It is determined that the current set of passive restraints on these types of golf carts are not adequate in preventing ejection of a rear facing passenger during rapid accelerations in the forward and lateral directions. Experimental data and simulations show that a hip restraint must be a minimum of 13 in. above the seat in order to secure a rear facing passenger during sharp turns, compared to the current restraint height of 5 in. Furthermore, it is determined that a restraint directly in front of the rear facing passenger is necessary to prevent ejection. In addressing these issues, golf cart manufacturers could greatly reduce the likelihood of injury due to ejection of a rear facing, golf cart passenger.

  2. Three-dimensional reconstruction of coronal mass ejections

    NASA Technical Reports Server (NTRS)

    Jackson, Bernard V.; Hick, Paul

    1994-01-01

    Computer assisted tomography (CAT) techniques are used to reconstruct the three dimensional shape of coronal mass ejections in the interplanetary medium. Both the Helios 2 spacecraft zodiacal-light photometers and the Solwind coronograph measure changes in Thomson scattering of sunlight from electrons. The technique from near-perpendicular Solwind and Helios views are applied to determine the density of a mass ejection which left the solar surface on 24 May 1979. The coronograph and the Helios perspective views are not simultaneous; the Solwind observations extend outward to sky plane distances of only 10 of the solar radius, whereas the Helios 16 photometer observes to as close as 17 of the solar radius from the sun. The solution is obtained by assuming outward radial expansion and that the coronal mass ejections (CME's) have the same speed everywhere at the same height. The analyses show that CME's are extensive three dimensional structures (the CME of 24 May appears approximately shell) like in three dimensions.

  3. Interplanetary Coronal Mass Ejections from MESSENGER Orbital Observations at Mercury

    NASA Astrophysics Data System (ADS)

    Winslow, R. M.; Lugaz, N.; Philpott, L. C.; Schwadron, N.; Farrugia, C. J.; Anderson, B. J.; Smith, C. W.

    2015-12-01

    We use observations from the MErcury Surface, Space ENvironment, GEochemistry, and Ranging (MESSENGER) spacecraft, in orbit around Mercury, to investigate interplanetary coronal mass ejections (ICMEs) near 0.3 AU. MESSENGER, the first spacecraft since the 1980s to make in-situ measurements at distances < 0.5 AU, presents a unique opportunity for observing the innermost heliosphere. It also allows studies of ICME evolution as they expand and propagate outward, interacting with the solar wind. In order to catalog ICME events observed by MESSENGER, we design a strict set of selection criteria to identify them based on magnetic field observations only, since reliable solar wind plasma observations are not available from MESSENGER. We identify 61 ICME events observed by the MESSENGER Magnetometer between 2011 and 2014, and present statistical analyses of ICME properties at Mercury. In addition, using existing datasets of ICMEs at 1 AU we investigate key ICME property changes from Mercury to 1 AU. We find good agreement with previous studies for the magnetic field strength dependence on heliospheric distance, r. We have also established three different lines of evidence that ICME deceleration continues beyond the orbit of Mercury: 1) we find a shallow decrease with distance of ˜r-0.45 for the ICME shock speed from Mercury to 1 AU, 2) the average transit speed from the Sun to Mercury for ICMEs in our catalog is ˜20% faster than the average speed from the Sun to 1 AU, 3) the ICME transit time to 1 AU has a weaker dependence on the CME initial coronagraphic speed, as compared to what we predict based on our MESSENGER ICME catalog. Based on our results, future ICME propagation studies should account for ICME speed changes beyond Mercury's heliocentric distances to improve ICME arrival time forecasting. Our ICME database will also prove particularly useful for multipoint spacecraft studies of recent ICMEs, as well as for model validation of ICME properties.

  4. Interplanetary Coronal Mass Ejections Observed by MESSENGER and Venus Express

    NASA Astrophysics Data System (ADS)

    Good, S. W.; Forsyth, R. J.

    2016-01-01

    Interplanetary coronal mass ejections (ICMEs) observed by the MESSENGER and Venus Express spacecraft have been catalogued and analysed. The ICMEs were identified by a relatively smooth rotation of the magnetic field direction consistent with a flux rope structure, coinciding with a relatively enhanced magnetic field strength. A total of 35 ICMEs were found in the surveyed MESSENGER data (primarily from March 2007 to April 2012), and 84 ICMEs in the surveyed Venus Express data (from May 2006 to December 2013). The ICME flux rope configurations have been determined. Ropes with northward leading edges were about four times more common than ropes with southward leading edges, in agreement with a previously established solar cycle dependence. Ropes with low inclinations to the solar equatorial plane were about four times more common than ropes with high inclinations, possibly an observational effect. Left- and right-handed ropes were observed in almost equal numbers. In addition, data from MESSENGER, Venus Express, STEREO-A, STEREO-B and ACE were examined for multipoint signatures of the catalogued ICMEs. For spacecraft separations below 15° in heliocentric longitude, the second spacecraft observed the ICME flux rope in 82 % of cases; this percentage dropped to 49 % for separations between 15 and 30°, to 18 % for separations between 30 and 45°, and to 12 % for separations between 45 and 60°. As the spacecraft separation increased, it became increasingly likely that only the sheath and not the flux rope of the ICME was observed, in agreement with the notion that ICME flux ropes are smaller in longitudinal extent than the shocks or discontinuities that they often drive. Furthermore, this study has identified 23 ICMEs observed by pairs of spacecraft close to radial alignment. A detailed analysis of these events could lead to a better understanding of how ICMEs evolve during propagation.

  5. Ventricular ejection force in growth-retarded fetuses.

    PubMed

    Rizzo, G; Capponi, A; Rinaldo, D; Arduini, D; Romanini, C

    1995-04-01

    The objective of this study was to determine whether in growth-retarded fetuses secondary to uteroplacental insufficiency the cardiac ventricles exert a force different from that of appropriately grown fetuses. Doppler echocardiographic studies were performed in 156 appropriately grown fetuses (gestational age 18-38 weeks) and in 72 growth-retarded fetuses (gestational age 24-36 weeks) free from structural and chromosomal abnormalities and characterized by Doppler changes in the umbilical artery and middle cerebral artery suggesting uteroplacental insufficiency as the most likely etiology of the growth defect. Right and left ventricular ejection force values were calculated from velocity waveforms recorded at the level of aortic and pulmonary valves, according to Newton's second law of motion. In appropriately grown fetuses, left and right ventricular ejection force values significantly increased with advancing gestation and the two ventricles exerted similar force. In growth-retarded fetuses, the ventricular ejection force was significantly and symmetrically decreased in both ventricles. Among growth-retarded fetuses, a poorer perinatal outcome was observed in those fetuses in which the ejection force of both ventricles was below the 5th centile of the normal limits for gestation. In 12 growth-retarded fetuses followed longitudinally during the last week preceding intrauterine death or Cesarean section due to antepartum heart-rate late decelerations, a significant decrease of ejection force was found in both ventricles. Finally, a significant relationship was found between the severity of acidosis and right and left ventricular ejection force values in 22 fetuses in which Doppler recordings were performed immediately before cordocentesis.(ABSTRACT TRUNCATED AT 250 WORDS)

  6. Blockade of the brachial plexus abolishes activation of specific brain regions by electroacupuncture at LI4: a functional MRI study

    PubMed Central

    Gu, Weidong; Jiang, Wei; He, Jingwei; Liu, Songbin; Wang, Zhaoxin

    2015-01-01

    Objective Our aim was to test the hypothesis that electroacupuncture (EA) at acupuncture point LI4 activates specific brain regions by nerve stimulation that is mediatied through a pathway involving the brachial plexus. Methods Twelve acupuncture naive right-handed volunteers were allocated to receive three sessions of EA at LI4 in a random different order (crossover): (1) EA alone (EA); EA after injection of local anaesthetics into the deltoid muscle (EA+LA); and (3) EA after blockade of the brachial plexus (EA+NB). During each session, participants were imaged in a 3 T MRI scanner. Brain regions showing change in blood oxygen level-dependent (BOLD) signal (activation) were identified. Subjective acupuncture sensation was quantified after functional MRI scanning was completed. Results were compared between the three sessions for each individual, and averaged. Results Blockade of the brachial plexus inhibited acupuncture sensation during EA. EA and EA+LA activated the bilateral thalamus, basal ganglia, cerebellum and left putamen, whilst no significant activation was observed during EA+NB. The BOLD signal of the thalamus correlated significantly with acupuncture sensation score during EA. Conclusions Blockade of the brachial plexus completely abolishes patterns of brain activation induced by EA at LI4. The results suggest that EA activates specific brain regions through stimulation of the local nerves supplying the tissues at LI4, which transmit sensory information via the brachial plexus. Trial registration number ChiCTR-OO-13003389. PMID:26464415

  7. Acquired Brachial Cutaneous Dyschromatosis in a 60-Year-Old Male: A Case Report and Review of the Literature

    PubMed Central

    Foering, Kristen

    2014-01-01

    Acquired brachial cutaneous dyschromatosis is an acquired pigmentary disorder that has been described in only 20 patients but likely affects many more. This case of a man with acquired brachial cutaneous dyschromatosis is unique as most reports are in women. We report the case of a 60-year-old male who presents with an asymptomatic eruption characterized by hyperpigmented and telangiectatic macules coalescing into patches on the bilateral extensor aspects of the forearms which is consistent clinically and histopathologically with acquired brachial cutaneous dyschromatosis. Given its presence in patients with clinical evidence of chronic sun exposure and its histopathological finding of solar elastosis, acquired brachial cutaneous dyschromatosis is likely a disorder caused by cumulative UV damage. However, a possible association between angiotensin-converting enzyme inhibitors and acquired brachial cutaneous dyschromatosis exists. Further investigation is needed to elucidate both the pathogenesis of the disorder and forms of effective management. Treatment of the disorder should begin with current established treatments for disorders of dyspigmentation. PMID:25610668

  8. Biomarkers of Heart Failure with Preserved and Reduced Ejection Fraction.

    PubMed

    Senni, Michele; D'Elia, Emilia; Emdin, Michele; Vergaro, Giuseppe

    2017-02-09

    Biomarkers are increaingly being used in the management of heart failure not only for the purpose of screening, diagnosis, and risk stratification, but also as a guide to evaluate the response to treatment in the individual patient and as an entry criterion and/or a surrogate marker of efficacy in clinical trials testing novel drugs. In this chapter, we review the role of established biomarkers for heart failure management, according to the main classification of HF phenotypes, based on the measurement of left ventricular ejection fraction, including heart failure with reduced (<40%), preserved (≥50%), and, as recently proposed, mid-range (40-49%) ejection fraction.

  9. Nusat I - The first gas can ejected satellite

    NASA Astrophysics Data System (ADS)

    Twiggs, Robert J.

    Nusat I, an 18-inch diameter satellite, made history on April 29, 1985 by being the first satellite ejected from a newly designed Get-Away-Special canister on the Challenger orbiter. This ejection marked the beginning of a new era of satellite designs which can be inexpensively placed in orbit via the Space Shuttle. This paper describes the development of that project, including the project organization and funding, satellite design evolution, final design objectives, final satellite assembly and testing, integration before launch, and operational performance.

  10. Diagnosis of heart failure with preserved ejection fraction.

    PubMed

    Wachter, Rolf; Edelmann, Frank

    2014-07-01

    Heart failure with preserved ejection fraction (HFpEF) constitutes a growing health care burden worldwide. Although definitions vary somewhat among guidelines, in general the presence of typical heart failure symptoms and signs in combination with a preserved left ventricular ejection fraction (≥50%) and functional and/or structural left ventricular changes makes the diagnosis likely. This review focuses on the current understanding of diagnostic criteria, as presented in current guidelines and consensus recommendations, and on new insights from recent papers. The role of comorbidities that often contribute to symptoms and hamper the HFpEF diagnostics is also reviewed.

  11. Nuclear cardiac ejection fraction and cardiac index in abdominal aortic surgery

    SciTech Connect

    Fiser, W.P.; Thompson, B.W.; Thompson, A.R.; Eason, C.; Read, R.C.

    1983-11-01

    Since atherosclerotic heart disease results in more than half of the perioperative deaths that follow abdominal aortic surgery, a prospective protocol was designed for preoperative evaluation and intraoperative hemodynamic monitoring. Twenty men who were prepared to undergo elective operation for aortoiliac occlusive disease (12 patients) and abdominal aortic aneurysm (eight patients) were evaluated with a cardiac scan and right heart catheterization. The night prior to operation, each patient received volume loading with crystalloid based upon ventricular performance curves. At the time of the operation, all patients were anesthetized with narcotics and nitrous oxide, and hemodynamic parameters were recorded throughout the operation. Aortic crossclamping resulted in a marked depression in CI in all patients. CI remained depressed after unclamping in the majority of patients. There were two perioperative deaths, both from myocardial infarction or failure. Both patients had ejection fractions less than 30% and initial CIs less than 2 L/M2, while the survivors' mean ejection fraction was 63% +/- 1 and their mean CI was 3.2 L/M2 +/- 0.6. The authors conclude that preoperative evaluation of ejection fraction can select those patients at a high risk of cardiac death from abdominal aortic operation. These patients should receive intensive preoperative monitoring with enhancement of ventricular performance.

  12. Genesis Solar Wind Interstream, Coronal Hole and Coronal Mass Ejection Samples: Update on Availability and Condition

    NASA Technical Reports Server (NTRS)

    Allton, J. H.; Gonzalez, C. P.; Allums, K. K.

    2017-01-01

    Recent refinement of analysis of ACE/SWICS data (Advanced Composition Explorer/Solar Wind Ion Composition Spectrometer) and of onboard data for Genesis Discovery Mission of 3 regimes of solar wind at Earth-Sun L1 make it an appropriate time to update the availability and condition of Genesis samples specifically collected in these three regimes and currently curated at Johnson Space Center. ACE/SWICS spacecraft data indicate that solar wind flow types emanating from the interstream regions, from coronal holes and from coronal mass ejections are elementally and isotopically fractionated in different ways from the solar photosphere, and that correction of solar wind values to photosphere values is non-trivial. Returned Genesis solar wind samples captured very different kinds of information about these three regimes than spacecraft data. Samples were collected from 11/30/2001 to 4/1/2004 on the declining phase of solar cycle 23. Meshik, et al is an example of precision attainable. Earlier high precision laboratory analyses of noble gases collected in the interstream, coronal hole and coronal mass ejection regimes speak to degree of fractionation in solar wind formation and models that laboratory data support. The current availability and condition of samples captured on collector plates during interstream slow solar wind, coronal hole high speed solar wind and coronal mass ejections are de-scribed here for potential users of these samples.

  13. Characterization of the initial steps in the T7 DNA ejection process

    PubMed Central

    González-García, Verónica A; Bocanegra, Rebeca; Pulido-Cid, Mar; Martín-Benito, Jaime; Cuervo, Ana; Carrascosa, José L

    2015-01-01

    A specialized complex, the tail, is the most common strategy employed by bacterial viruses to deliver their genome without disrupting cell integrity. T7 has a short, non-contractile tail formed by a tubular structure surrounded by fibers. Recent studies showed that incubation of the virus with Escherichia coli lipopolysaccharides (LPS) resulted in complete delivery of the viral genome, demonstrating for the first time that LPS are the T7 receptor. Further screening of the bacterial envelope for proteinaceous compounds that affect T7 ejection showed that porins OmpA and OmpF affect viral particle adsorption and infection kinetics, suggesting that these proteins play a role in the first steps of virus-host interaction. Comparison of the structures before and after ejection showed the conformational changes needed in the tail for genome delivery. Structural similarities between T7 and other viruses belonging to the Podoviridae family suggests that they could also follow a similar DNA ejection mechanism. PMID:26458390

  14. Spectroscopic Observations of a Solar Flare and the Associated Coronal Mass Ejection

    NASA Astrophysics Data System (ADS)

    Murray, S.; Tian, H.; McKillop, S.

    2013-12-01

    We used data from the EUV Imaging Spectrometer (EIS) on board Hinode to examine a coronal mass ejection and a preceding flare observed on 21 November 2012 between 15:00 and 17:00 UT. Images from the Atmospheric Imaging Assembly on the Solar Dynamics Observatory were used to align the data from EIS with specific events occurring. We analyzed spectra of a few emission lines at three locations on the flare site and one location in the erupting prominence. On the flare site, we found line profiles showing typical characteristics of chromospheric evaporation: downflows at cooler lines and upflows at hotter lines. At one particular location on the flare site, we clearly identified dominant downflows on the order of 100 km/s in lines through Fe VIII to Fe XVI. To the best of our knowledge, this is the first time that such strong high-speed downflows have been spectroscopically observed in the impulsive phase of solar flares. The profile of the Fe VIII 184.54 line reveals two peaks and we were able to use the double Gaussian fit to separate the rapid downflows of dense material from the nearly stationary coronal background emission. For the erupting prominence, we were able to analyze multiple lines, cooler and warmer, of interest using this double Gaussian fit to separate the background emission from the emission of the ejected material. Our results show that the LOS velocities of the ejected material are about 100 km/s in the lower corona. Additionally, in each region of interest, we used the ratio of the density-sensitive line pair FeXII 195/186 to determine the electron density. Our results clearly show that the coronal densities were greatly enhanced during the flare. The density of the ejected material is also much larger than the typical coronal density. This research was supported by the NSF grant for the Solar Physics REU Program at the Smithsonian Astrophysical Observatory (AGS-1263241).

  15. MUSCLE TRANSFER FROM TRICEPS TO BICEPS IN PATIENTS WITH CHRONIC INJURY OF THE UPPER TRUNK OF THE BRACHIAL PLEXUS

    PubMed Central

    Souza, Fabiano Inúcio de; Saito, Mateus; Kimura, Luiz Koiti; Júnior, Rames Mattar; Zumiotti, Arnaldo Valdir

    2015-01-01

    Objective: To evaluate the results from transposition of the triceps for elbow flexion in patients with chronic and complete injury to the upper trunk of the brachial plexus. Methods: This was a retrospective study, including only patients who had biceps grade 0 and triceps grade 5, who underwent anterior transfer of the triceps muscle, performed between 1998 and 2005. The affected side, sex, type of accident, strength of elbow flexion, complications and patient satisfaction were investigated in 11 cases. Results: 10 patients were male; the age range was from 24 to 49 years, with a mean of 33.7 years. The minimum time between injury and surgery was 21 months (range 21-74 months). The left side was affected in eight cases, and the right only in three. Good results were obtained in 10 patients, who acquired elbow flexion strength of grade 3 (two cases) and grade 4 (eight cases), while one evolved unfavorably with grade 2 strength. Two cases had complications (initial compartment syndrome and insufficient tensioning). All the patients said that they were satisfied with the procedure. Conclusion: Anterior transposition of the triceps muscle provided patient satisfaction in all cases except one, attaining strength grade 4 in eight cases, grade 3 in two cases and grade 2 in one case. PMID:27022572

  16. Developing core sets for patients with obstetric brachial plexus injury based on the International Classification of Functioning, Disability and Health

    PubMed Central

    Duijnisveld, B. J.; Saraç, Ç.; Malessy, M. J. A.; Vliet Vlieland, T. P. M.; Nelissen, R. G. H. H.; Brachial Plexus Advisory Board, The ICF

    2013-01-01

    Background Symptoms of obstetric brachial plexus injury (OBPI) vary widely over the course of time and from individual to individual and can include various degrees of denervation, muscle weakness, contractures, bone deformities and functional limitations. To date, no universally accepted overall framework is available to assess the outcome of patients with OBPI. The objective of this paper is to outline the proposed process for the development of International Classification of Functioning, Disability and Health (ICF) Core Sets for patients with an OBPI. Methods The first step is to conduct four preparatory studies to identify ICF categories important for OBPI: a) a systematic literature review to identify outcome measures, b) a qualitative study using focus groups, c) an expert survey and d) a cross-sectional, multicentre study. A first version of ICF Core Sets will be defined at a consensus conference, which will integrate the evidence from the preparatory studies. In a second step, field-testing among patients will validate this first version of Core Sets for OBPI. Discussion The proposed method to develop ICF Core Sets for OBPI yields a practical tool for multiple purposes: for clinicians to systematically assess and evaluate the individual’s functioning, for researchers to design and compare studies, and for patients to get more insight into their health problems and their management. PMID:23836476

  17. The asymmetric scent: ringtailed lemurs (Lemur catta) have distinct chemical signatures in left and right brachial glands.

    PubMed

    Dapporto, Leonardo

    2008-10-01

    Distinctive cues are predicted to evolve when the benefits obtained by the recognition process overcome its costs. When individual recognition is particularly beneficial for both senders and receivers, the expression of strongly distinctive signals is predicted to evolve. On the other hand, it could be predicted that each individual should show a very stable individual signature. In the same perspective, a great stability of the individual signatures could be expected. Lemur catta is the first non-human primate in which olfactory individual recognition has been demonstrated on the basis of the specialized brachial gland secretions. In this paper, I performed gas chromatograph analyses of right and left gland samples collected in two different periods (breeding and non-breeding seasons) from seven males. The aim was to verify if a diversification in such cues, already demonstrated at the inter-individual level, also occurs at the intra-individual level between left and right glands. I verified, by discriminant analysis and chemical distance comparisons, that each gland of each lemur has its particular signature that is maintained through time. Moreover, such diversification resulted so marked to make the overall intra-individual chemical differences similar to/as strong as the inter-individual ones. Since in rodents several odors from different glands may be integrated in individual recognition, I suggest that bilateral diversification in L. catta scents may offer an enhanced distinctiveness that could provide benefits in mate choice and social relationships.

  18. [Brachial artery endothelial function in teenagers with obesity depending on severity of clinical, trophological and metabolic disorders].

    PubMed

    Maskova, G S; Chernaia, N L; Nagornova, E Iu; Fomina, O V; Byteva, T A

    2014-01-01

    We carried out complex examination of 68 adolescents aged 11-17 years with primary obesity which in addition to assessment of clinical-anamnestic, laboratory data and functional parameters of cardiovascular system included registration of reaction of brachial artery endothelium to reactive hyperemia. Vascular endothelial dysfunction (VED) was found in 66% of obese teenagers. Obesity in adolescents with VED was characterized by aggravated course with higher fat mass index (36.8 +/- 4.39%) and prevalence of hypothalamic (42%) and metabolic (8.8%) syndromes. Stable arterial hypertension (AH) found in 37% of examined adolescents was 1.5 times more often registered in those with VED. We distinguished 4 groups of adolescents with various degree of risk of development of cardiovascular disorders: with stable AH and VED (group I), with stable AH and normal function of vascular endothelium (group II), with normal or labile arterial pressure with VED (group III), with normal or labile arterial pressure with normal function of vascular endothelium. It is expedient to supplement examination of obese adolescents with assessment of the state of vascular endothelium aiming at determination of degree of risk of development of atherosclerosis and/or stable AH.

  19. The asymmetric scent: ringtailed lemurs ( Lemur catta) have distinct chemical signatures in left and right brachial glands

    NASA Astrophysics Data System (ADS)

    Dapporto, Leonardo

    2008-10-01

    Distinctive cues are predicted to evolve when the benefits obtained by the recognition process overcome its costs. When individual recognition is particularly beneficial for both senders and receivers, the expression of strongly distinctive signals is predicted to evolve. On the other hand, it could be predicted that each individual should show a very stable individual signature. In the same perspective, a great stability of the individual signatures could be expected. Lemur catta is the first non-human primate in which olfactory individual recognition has been demonstrated on the basis of the specialized brachial gland secretions. In this paper, I performed gas chromatograph analyses of right and left gland samples collected in two different periods (breeding and non-breeding seasons) from seven males. The aim was to verify if a diversification in such cues, already demonstrated at the inter-individual level, also occurs at the intra-individual level between left and right glands. I verified, by discriminant analysis and chemical distance comparisons, that each gland of each lemur has its particular signature that is maintained through time. Moreover, such diversification resulted so marked to make the overall intra-individual chemical differences similar to/as strong as the inter-individual ones. Since in rodents several odors from different glands may be integrated in individual recognition, I suggest that bilateral diversification in L. catta scents may offer an enhanced distinctiveness that could provide benefits in mate choice and social relationships.

  20. Morphology of ejected particles and impact sites on intercepting substrates following exit-surface laser damage with nanosecond pulses in silica

    SciTech Connect

    Demos, Stavros G.; Negres, Raluca A.

    2016-09-08

    A volume of superheated material reaching localized temperatures of the order of 1 eV and pressures of the order of 10 GPa is generated following laser-induced damage (breakdown) on the surface of transparent dielectric materials using nanosecond pulses. This leads to material ejection and the formation of a crater. To elucidate the material behaviors involved, we examined the morphologies of the ejected particles and found distinctive features that support their classification into different types. The different morphologies arise from the difference in the structure and physical properties (such as the dynamic viscosity and presence of instabilities) of the superheated and surrounding affected material at the time of ejection of each individual particle. In addition, the temperature and kinetic energy of a subset of the ejected particles were found to be sufficient to initiate irreversible modification on the intercepting silica substrates. Finally, the modifications observed are associated with mechanical damage and fusion of melted particles on the collector substrate.

  1. Morphology of ejected particles and impact sites on intercepting substrates following exit-surface laser damage with nanosecond pulses in silica

    NASA Astrophysics Data System (ADS)

    Demos, Stavros G.; Negres, Raluca A.

    2017-01-01

    A volume of superheated material reaching localized temperatures of the order of 1 eV and pressures of the order of 10 GPa is generated following laser-induced damage (breakdown) on the surface of transparent dielectric materials using nanosecond pulses. This leads to material ejection and the formation of a crater. To elucidate the material behaviors involved, we examined the morphologies of the ejected particles and found distinctive features that support their classification into different types. The different morphologies arise from the difference in the structure and physical properties (such as the dynamic viscosity and presence of instabilities) of the superheated and surrounding affected material at the time of ejection of each individual particle. In addition, the temperature and kinetic energy of a subset of the ejected particles were found to be sufficient to initiate irreversible modification on the intercepting silica substrates. The modifications observed are associated with mechanical damage and fusion of melted particles on the collector substrate.

  2. Effect of Basic Residue on the Kinetics of Peptide Fragmentation Examined Using Surface-Induced Dissociation Combined with Resonant Ejection

    SciTech Connect

    Laskin, Julia

    2015-11-30

    In this work, resonant ejection coupled with surface-induced dissociation (SID) in a Fourier transform ion cyclotron resonance mass spectrometer is used to examine fragmentation kinetics of two singly protonated hexapeptides, RYGGFL and KYGGFL, containing the basic arginine residue and less basic lysine residue at the N-terminus. The kinetics of individual reaction channels at different collision energies are probed by applying a short ejection pulse (1 ms) in resonance with the cyclotron frequency of a selected fragment ion and varying the delay time between ion-surface collision and resonant ejection while keeping total reaction delay time constant. Rice-Ramsperger-Kassel-Marcus (RRKM) modeling of the experimental data provides accurate threshold energies and activation entropies of individual reaction channels. Substitution of arginine with less basic lysine has a pronounced effect on the observed fragmentation kinetics of several pathways, including the b2 ion formation, but has little or no effect on formation of the b5+H2O fragment ion. The combination of resonant ejection SID, time- and collision energy-resolved SID, and RRKM modeling of both types of experimental data provides a detailed mechanistic understanding of the primary dissociation pathways of complex gaseous ions.

  3. A STUDY OF FAST FLARELESS CORONAL MASS EJECTIONS

    SciTech Connect

    Song, H. Q.; Chen, Y.; Ye, D. D.; Han, G. Q.; Du, G. H.; Li, G.; Zhang, J.; Hu, Q.

    2013-08-20

    Two major processes have been proposed to convert coronal magnetic energy into the kinetic energy of a coronal mass ejection (CME): resistive magnetic reconnection and the ideal macroscopic magnetohydrodynamic instability of a magnetic flux rope. However, it remains elusive whether both processes play a comparable role or one of them prevails during a particular eruption. To shed light on this issue, we carefully studied energetic but flareless CMEs, i.e., fast CMEs not accompanied by any flares. Through searching the Coordinated Data Analysis Workshops database of CMEs observed in Solar Cycle 23, we found 13 such events with speeds larger than 1000 km s{sup -1}. Other common observational features of these events are: (1) none of them originated in active regions, they were associated with eruptions of well-developed long filaments in quiet-Sun regions; (2) no apparent enhancement of flare emissions was present in soft X-ray, EUV, and microwave data. Further studies of two events reveal that (1) the reconnection electric fields, as inferred from the product of the separation speed of post-eruption ribbons and the photospheric magnetic field measurement, were generally weak; (2) the period with a measurable reconnection electric field is considerably shorter than the total filament-CME acceleration time. These observations indicate that for these fast CMEs, the magnetic energy was released mainly via the ideal flux-rope instability through the work done by the large-scale Lorentz force acting on the rope currents rather than via magnetic reconnections. We also suggest that reconnections play a less important role in accelerating CMEs in quiet-Sun regions of weak magnetic field than those in active regions of strong magnetic field.

  4. EUV Coronal Dimming and its Relationship to Coronal Mass Ejections

    NASA Astrophysics Data System (ADS)

    Mason, James

    2016-05-01

    As a coronal mass ejection (CME) departs from the inner solar atmosphere, it leaves behind a void. This region of depleted plasma results in a corresponding decrease in coronal emissions that can be observed by instruments tuned to measure the extreme ultraviolet (EUV) part of the electromagnetic spectrum. These coronal dimmings can be observed with EUV imagers and EUV spectral irradiance instruments. Onboard the Solar Dynamics Observatory (SDO), the EUV Variability Experiment (EVE) and Atmospheric Imaging Assembly (AIA) provide complementary observations; together they can be used to obtain high spatial and spectral resolution. AIA provides information about the location, extent, and spatial evolution of the dimming while EVE data are important to understand plasma temperature evolution. Concurrent processes with similar timescales to mass-loss dimming also impact the observations, which makes a deconvolution method necessary for the irradiance time series in order to have a “clean” mass-loss dimming light curve that can be parameterized and compared with CME kinematics. This presentation will first provide background on these various physical processes and the deconvolution method developed. Two case studies will then be presented, followed by a semi-statistical study (~30 events) to establish a correlation between dimming and CME parameters. In particular, the slope of the deconvolved irradiance dimming light curve is representative of the CME speed, and the irradiance dimming depth can serve as a proxy for CME mass. Finally, plans and early results from a more complete statistical study of all dimmings in the SDO era, based on an automated detection routine using EVE data, will be described and compared with independently derived dimmings automatically detected with AIA data.

  5. Theoretical basis for operational ensemble forecasting of coronal mass ejections

    NASA Astrophysics Data System (ADS)

    Pizzo, V. J.; Koning, C.; Cash, M.; Millward, G.; Biesecker, D. A.; Puga, L.; Codrescu, M.; Odstrcil, D.

    2015-10-01

    We lay out the theoretical underpinnings for the application of the Wang-Sheeley-Arge-Enlil modeling system to ensemble forecasting of coronal mass ejections (CMEs) in an operational environment. In such models, there is no magnetic cloud component, so our results pertain only to CME front properties, such as transit time to Earth. Within this framework, we find no evidence that the propagation is chaotic, and therefore, CME forecasting calls for different tactics than employed for terrestrial weather or hurricane forecasting. We explore a broad range of CME cone inputs and ambient states to flesh out differing CME evolutionary behavior in the various dynamical domains (e.g., large, fast CMEs launched into a slow ambient, and the converse; plus numerous permutations in between). CME propagation in both uniform and highly structured ambient flows is considered to assess how much the solar wind background affects the CME front properties at 1 AU. Graphical and analytic tools pertinent to an ensemble approach are developed to enable uncertainties in forecasting CME impact at Earth to be realistically estimated. We discuss how uncertainties in CME pointing relative to the Sun-Earth line affects the reliability of a forecast and how glancing blows become an issue for CME off-points greater than about the half width of the estimated input CME. While the basic results appear consistent with established impressions of CME behavior, the next step is to use existing records of well-observed CMEs at both Sun and Earth to verify that real events appear to follow the systematic tendencies presented in this study.

  6. Long term follow-up results of dorsal root entry zone lesions for intractable pain after brachial plexus avulsion injuries.

    PubMed

    Chen, H J; Tu, Y K

    2006-01-01

    Brachial plexus avulsion injury is one of the major complications after traffic, especially motorcycle accidents and machine injuries. Intractable pain and paralysis of the affected limbs are the major neurological deficits. During the past 18 years, we have encountered and treated more than 500 cases with brachial plexus avulsion injuries. Dorsal root entry zone lesions (DREZ) made by thermocoagulation were performed for intractable pain in 60 cases. Forty cases were under regular follow-up for 5-18 years. In early postoperative stage, the pain relief rate was excellent or good in 32 cases (80%). The pain relief rate dropped to 60% in 5 year follow-up period and only 9 cases (50%) had excellent or good result in 10 year follow-up. Reconstructive procedures were performed in almost all patients in the last 10 years. Dorsal root entry zone lesion is an effective procedure for pain control after brachial plexus avulsion injuries.

  7. Estimation of central aortic pressure waveform features derived from the brachial cuff volume displacement waveform.

    PubMed

    Butlin, Mark; Qasem, Ahmad; Avolio, Alberto P

    2012-01-01

    There is increasing interest in non-invasive estimation of central aortic waveform parameters in the clinical setting. However, controversy has arisen around radial tonometric based systems due to the requirement of a trained operator or lack of ease of use, especially in the clinical environment. A recently developed device utilizes a novel algorithm for brachial cuff based assessment of aortic pressure values and waveform (SphygmoCor XCEL, AtCor Medical). The cuff was inflated to 10 mmHg below an individual's diastolic blood pressure and the brachial volume displacement waveform recorded. The aortic waveform was derived using proprietary digital signal processing and transfer function applied to the recorded waveform. The aortic waveform was also estimated using a validated technique (radial tonometry based assessment, SphygmoCor, AtCor Medical). Measurements were taken in triplicate with each device in 30 people (17 female) aged 22 to 79 years of age. An average for each device for each individual was calculated, and the results from the two devices were compared using regression and Bland-Altman analysis. A high correlation was found between the devices for measures of aortic systolic (R(2)=0.99) and diastolic (R(2)=0.98) pressure. Augmentation index and subendocardial viability ratio both had a between device R(2) value of 0.82. The difference between devices for measured aortic systolic pressure was 0.5±1.8 mmHg, and for augmentation index, 1.8±7.0%. The brachial cuff based approach, with an individualized sub-diastolic cuff pressure, provides an operator independent method of assessing not only systolic pressure, but also aortic waveform features, comparable to existing validated tonometric-based methods.

  8. Décompression chirurgicale du syndrome de défilé thoraco-brachial

    PubMed Central

    Lukulunga, Loubet Unyendje; Moussa, Abdou Kadri; Mahfoud, Mustapha; Ismael, Farid; Berrada, Mohamed Saleh; El Yaacoubi, Moradh

    2014-01-01

    Le syndrome de défilé thoraco-brachial est une pathologie souvent méconnue à cause de diagnostic difficile par manque des signes pathognomoniques conduisant souvent à des errances. Les manifestations cliniques dépendent selon qu'il s'agit d'une compression nerveuse, vasculaire ou vasculo-nerveuse. Le but de cette étude est de décrire certains aspects cliniques particuliers et évaluer le résultat fonctionnel après la décompression chirurgicale du paquet vasculo-nerveux. Notre étude rétrospective a porté sur l'analyse des données cliniques, radiologiques, IRM et EMG sur les patients opérés entre janvier 2010 et juillet 2013 du syndrome de défilé thoraco-brachial dans le service de traumatologie orthopédie de l'hôpital Ibn Sina de Rabat. 15 cas ont été colligés: 12 cas post traumatiques (fracture de la clavicule) et 3 cas d'origines congénitales, dont l’âge moyen était 35 ans (20 à 50 ans) avec 9 femmes et 6 hommes. A la fin du traitement, le score de Dash est passé de 109 (46% Normal=0) à 70 (20%), et le stress test de Roos était de 70/100 à 80/100. Le résultat était excellent dans 12 cas soit (80%) et moins bon dans dans 3 cas (20%). En définitive, la résection de malformations osseuses, l'excision des brides et la neurolyse du plexus brachial suivie de la rééducation a donné une bonne évolution fonctionnelle. PMID:25709735

  9. 78 FR 55137 - Federal Motor Vehicle Safety Standards; Ejection Mitigation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-09

    ... Vehicle Safety Systems (TRW), and the Automotive Occupant Restraints Council (AORC)/Automotive Safety... September 9, 2013 Part II Department of Transportation National Highway Traffic Safety Administration 49 CFR Part 571 Federal Motor Vehicle Safety Standards; Ejection Mitigation; Final Rule #0;#0;Federal...

  10. Experimental Investigation of the Dispersion of Liquids by Ejection Atomizers

    NASA Astrophysics Data System (ADS)

    Arkhipov, V. A.; Bondarchuk, S. S.; Evsevleev, M. Ya.; Zharova, I. K.; Zhukov, A. S.; Zmanovskii, S. V.; Kozlov, E. A.; Konovalenko, A. I.; Trofimov, V. F.

    2013-11-01

    This paper presents the results of an experimental investigation of the dispersivity of liquid droplets in the spray cone of ejection atomizers. The calculational droplet size distribution function was measured by the method of low angles of the probe laser radiation scattering indicatrix on a pneumohydraulic bench under cold blow conditions. The efficiency of the proposed circuit designs of atomizers has been analyzed.

  11. Mass ejection from black hole-neutron star binaries

    NASA Astrophysics Data System (ADS)

    Kyutoku, Koutarou; Ioka, Kunihito; Shibata, Masaru

    2014-03-01

    Black hole-neutron star binaries are ones of the most promising sources of gravitational waves for upcoming second-generation detectors. To confirm gravitational-wave detection and obtain as much information as possible, it is desirable to observe electromagnetic counterparts simultaneously. It has been pointed out by many authors that various electromagnetic signals are reasonably expected if substantial material is ejected during the binary merger. One plausible mechanism of mass ejection from black hole-neutron star binaries is tidal disruption of neutron stars by the tidal force exerted by black holes. A quantitative study of this dynamical mass ejection requires numerical-relativity simulations. We perform simulations of black hole-neutron star binaries focusing on the dynamical mass ejection for a range of binary parameters including equations of state of neutron star matter. We present important results such as masses and velocities of ejecta obtained by our simulations, and also discuss possible characteristics of electromagnetic counterparts to black hole-neutron star binaries. In particular, we focus on anisotropy and bulk velocity (i.e., the velocity component other than the expansion velocity) of the ejecta, and electromagnetic features resulting from them.

  12. Successful management of complex regional pain syndrome type 1 using single injection interscalene brachial plexus block

    PubMed Central

    Fallatah, Summayah M.A.

    2014-01-01

    Complex regional pain syndrome (CRPS) type 1 of the upper limb is a painful and debilitating condition. Interscalene brachial plexus block (ISB) in conjugation with other modalities was shown to be a feasible therapy with variable success. We reported a case of CRPS type 1 as diagnosed by International Association for the Study of Pain criteria in which pharmacological approaches failed to achieve adequate pain relief and even were associated with progressive dysfunction of the upper extremity. Single injection ISB, in combination with physical therapy and botulinum toxin injection, was successful to alleviate pain with functional restoration. PMID:25422619

  13. Reactivity to low-flow as a potential determinant for brachial artery flow-mediated vasodilatation.

    PubMed

    Aizawa, Kunihiko; Elyas, Salim; Adingupu, Damilola D; Casanova, Francesco; Gooding, Kim M; Strain, W David; Shore, Angela C; Gates, Phillip E

    2016-06-01

    Previous studies have reported a vasoconstrictor response in the radial artery during a cuff-induced low-flow condition, but a similar low-flow condition in the brachial artery results in nonuniform reactivity. This variable reactivity to low-flow influences the subsequent flow-mediated dilatation (FMD) response following cuff-release. However, it is uncertain whether reactivity to low-flow is important in data interpretation in clinical populations and older adults. This study aimed to determine the influence of reactivity to low-flow on the magnitude of brachial artery FMD response in middle-aged and older individuals with diverse cardiovascular risk profiles. Data were analyzed from 165 individuals, divided into increased cardiovascular risk (CVR: n = 115, 85M, 67.0 ± 8.8 years) and healthy control (CTRL: n = 50, 30M, 63.2 ± 7.2 years) groups. Brachial artery diameter and blood velocity data obtained from Doppler ultrasound were used to calculate FMD, reactivity to low-flow and estimated shear rate (SR) using semiautomated edge-detection software. There was a significant association between reactivity to low-flow and FMD in overall (r = 0.261), CTRL (r = 0.410) and CVR (r = 0.189, all P < 0.05) groups. Multivariate regression analysis found that reactivity to low-flow, peak SR, and baseline diameter independently contributed to FMD along with sex, the presence of diabetes, and smoking (total R(2) = 0.450). There was a significant association between reactivity to low-flow and the subsequent FMD response in the overall dataset, and reactivity to low-flow independently contributed to FMD These findings suggest that reactivity to low-flow plays a key role in the subsequent brachial artery FMD response and is important in the interpretation of FMD data.

  14. Brachial artery injury due to closed posterior elbow dislocation: case report☆

    PubMed Central

    Miyazaki, Alberto Naoki; Fregoneze, Marcelo; Santos, Pedro Doneux; do Val Sella, Guilherme; Checchia, Caio Santos; Checchia, Sergio Luiz

    2016-01-01

    An association between closed posterior elbow dislocation and traumatic brachial artery injury is rare. Absence of radial pulse on palpation is an important warning sign and arteriography is the gold-standard diagnostic test. Early diagnosis is essential for appropriate treatment to be provided. This consists of joint reduction and immobilization, along with urgent surgical restoration of arterial flow. Here, a case (novel to the Brazilian literature) of an association between these injuries (and the treatment implemented) in a 27-year-old male patient is reported. These injuries were sustained through physical assault. PMID:27069896

  15. Brachial artery injury due to closed posterior elbow dislocation: case report.

    PubMed

    Miyazaki, Alberto Naoki; Fregoneze, Marcelo; Santos, Pedro Doneux; do Val Sella, Guilherme; Checchia, Caio Santos; Checchia, Sergio Luiz

    2016-01-01

    An association between closed posterior elbow dislocation and traumatic brachial artery injury is rare. Absence of radial pulse on palpation is an important warning sign and arteriography is the gold-standard diagnostic test. Early diagnosis is essential for appropriate treatment to be provided. This consists of joint reduction and immobilization, along with urgent surgical restoration of arterial flow. Here, a case (novel to the Brazilian literature) of an association between these injuries (and the treatment implemented) in a 27-year-old male patient is reported. These injuries were sustained through physical assault.

  16. [Current concepts in perinatal brachial plexus palsy. Part 2: late phase. Shoulder deformities].

    PubMed

    Dogliotti, Andrés Alejandro

    2011-10-01

    The incidence of obstetric brachial palsy is high and their sequelaes are frequent. Physiotherapy, microsurgical nerve reconstruction and secondary corrections are used together to improve the shoulder function. The most common posture is shoulder in internal rotation and adduction, because of the antagonist weakness. The muscle forces imbalance over the osteoarticular system, will result in a progressive glenohumeral joint deformity which can be recognized with a magnetic resonance image. Tendon transfers of the internal rotators towards the external abductor/rotator muscles, has good results, but has to be combined with antero-inferior soft-tissue releases, if passive range of motion is limited.

  17. Recurrent upper limb ischaemia due to a crutch-induced brachial artery aneurysm.

    PubMed

    Furukawa, Kouji; Hayase, Takahiro; Yano, Mitsuhiro

    2013-07-01

    An 83-year old man who had used bilateral axillary crutches for 67 years was referred to our hospital for acute left upper limb ischaemia. He underwent successful recanalization through emergent catheter thromboembolectomy. However, a crutch-induced left brachial artery aneurysm was subsequently detected by computed tomography. Therefore, we performed aneurysm exclusion and subsequent saphenous vein bypass grafting. When a crutch user presents with upper limb ischaemia, a high index of suspicion and early identification of the crutch induced vascular injury are mandatory for appropriate treatment.

  18. Heralding Extramedullary Blast Crisis: Horner's Syndrome with Brachial Plexopathy in a Patient with Chronic Myelogenous Leukemia

    PubMed Central

    Patil, Sadanand I.

    2016-01-01

    Chronic myelogenous leukemia (CML) blast crisis is an ominous clinical event that is challenging to treat. This can develop at extramedullary sites rarely and is defined as the infiltration of blasts outside the bone marrow irrespective of proliferation of blasts within the bone marrow. We aim to report an unusual clinical presentation characterized by Horner's syndrome, ipsilateral arm weakness, and cervical lymphadenopathy as the first signs of extramedullary blast crisis in a CML patient. To the best of our knowledge, the extramedullary locations involving the brachial plexus along with cervicothoracic paraspinal chloroma have not been previously reported in the literature. PMID:28096817

  19. Effect of salt intake and potassium supplementation on brachial-ankle pulse wave velocity in Chinese subjects: an interventional study

    PubMed Central

    Wang, Y.; Mu, J.J.; Geng, L.K.; Wang, D.; Ren, K.Y.; Guo, T.S.; Chu, C.; Xie, B.Q.; Liu, F.Q.; Yuan, Z.Y.

    2014-01-01

    Accumulating evidence has suggested that high salt and potassium might be associated with vascular function. The aim of this study was to investigate the effect of salt intake and potassium supplementation on brachial-ankle pulse wave velocity (PWV) in Chinese subjects. Forty-nine subjects (28-65 years of age) were selected from a rural community of northern China. All subjects were sequentially maintained on a low-salt diet for 7 days (3.0 g/day NaCl), a high-salt diet for an additional 7 days (18.0 g/day NaCl), and a high-salt diet with potassium supplementation for a final 7 days (18.0 g/day NaCl+4.5 g/day KCl). Brachial-ankle PWV was measured at baseline and on the last day of each intervention. Blood pressure levels were significantly increased from the low-salt to high-salt diet, and decreased from the high-salt diet to high-salt plus potassium supplementation. Baseline brachial-ankle PWV in salt-sensitive subjects was significantly higher than in salt-resistant subjects. There was no significant change in brachial-ankle PWV among the 3 intervention periods in salt-sensitive, salt-resistant, or total subjects. No significant correlations were found between brachial-ankle PWV and 24-h sodium and potassium excretions. Our study indicates that dietary salt intake and potassium supplementation, at least in the short term, had no significant effect on brachial-ankle PWV in Chinese subjects. PMID:25493387

  20. Proximal versus Distal Nerve Transfer for Biceps Reinnervation—A Comparative Study in a Rat’s Brachial Plexus Injury Model

    PubMed Central

    McGrath, Aleksandra M.; Lu, Johnny Chuieng-Yi; Chang, Tommy Naj-Jen; Fang, Frank

    2016-01-01

    Background: The exact role of proximal and distal nerve transfers in reconstruction strategies of brachial plexus injury remains controversial. We compared proximal with distal nerve reconstruction strategies in a rat model of brachial plexus injury. Methods: In rats, the C6 spinal nerve with a nerve graft (proximal nerve transfer model, n = 30, group A) and 50% of ulnar nerve (distal nerve transfer model, n = 30, group B) were used as the donor nerves. The targets were the musculocutaneous nerve and the biceps muscle. Outcomes were recorded at 4, 8, 12, and 16 weeks postoperatively. Outcome parameters included grooming test, biceps muscle weight, compound muscle action potentials, tetanic contraction force, and axonal morphology of the donor and target nerves. Results: The axonal morphology of the 2 donor nerves revealed no significant difference. Time interval analysis in the proximal nerve transfer group showed peak axon counts at 12 weeks and a trend of improvement in all functional and physiologic parameters across all time points with statistically significant differences for grooming test, biceps compound action potentials, tetanic muscle contraction force, and muscle weight at 16 weeks. In contrast, in the distal nerve transfer group, the only statistically significant difference was observed between the 4 and 8 week time points, followed by a plateau from 8 to 16 weeks. Conclusions: Outcomes of proximal nerve transfers are ultimately superior to distal nerve transfers in our experimental model. Possible explanations for the superior results include a reduced need for cortical adaptation and higher proportions of motor units in the proximal nerve transfers. PMID:28293499

  1. Thrombin Injection for Treatment of Brachial Artery Pseudoaneurysm at the Site of a Hemodialysis Fistula: Report of Two Patients

    SciTech Connect

    Clark, Timothy W.I.; Abraham, Robert J.

    2000-09-15

    We report two patients with arteriovenous hemodialysis fistulas that were complicated by brachial artery pseudoaneurysms. Each pseudoanerysm was percutaneously thrombosed with an injection of thrombin, using techniques to prevent escape of thrombin into the native brachial artery. In one patient, an angioplasty balloon was inflated across the neck of the aneurysm during thrombin injection. In the second patient, thrombin was injected during ultrasound-guided compression of the neck of the pseudoaneurysm. Complete thrombosis of each pseudoaneurysm was achieved within 30 sec. No ischemic or embolic events occurred. This technique may be useful in treating pseudoaneurysms of smaller peripheral arteries.

  2. Brachial artery transection associated with open elbow dislocation in a 12-year-old: a case report.

    PubMed

    Nazli, Yunus; Colak, Necmettin; Uras, Ismail; Komurcu, Mahmut; Cakir, Omer

    2013-02-01

    Although acute elbow dislocations are common orthopedic injuries, concomitant neurovascular injury is rare. Brachial artery transection can result from open elbow dislocation and responds well to vascular repair. Rapid evaluation and a high level of suspicion are essential to facilitate immediate treatment. Delay to identify vascular injury after elbow dislocation or reduction can potentially lead to limb ischemia, and potential loss of limb. We present a case of relatively rare transection of the brachial artery, with an accompanying traumatic open elbow dislocation in a 12-year-old boy.

  3. Brachial blood pressure-independent relations between radial late systolic shoulder-derived aortic pressures and target organ changes.

    PubMed

    Norton, Gavin R; Majane, Olebogeng H I; Maseko, Muzi J; Libhaber, Carlos; Redelinghuys, Michelle; Kruger, Deirdre; Veller, Martin; Sareli, Pinhas; Woodiwiss, Angela J

    2012-04-01

    Central aortic blood pressure (BP; BPc) predicts outcomes beyond brachial BP. In this regard, the application of a generalized transfer function (GTF) to radial pulse waves for the derivation of BPc is an easy and reproducible measurement technique. However, the use of the GTF may not be appropriate in all circumstances. Although the peak of the second shoulder of the radial waveform (P2) is closely associated with BPc, and, hence, BPc may be assessed without the need for a GTF, whether P2-derived BPc is associated with adverse cardiovascular changes independent of brachial BP is uncertain. Thus, P2- and GTF-derived aortic BPs were assessed using applanation tonometry and SphygmoCor software. Left ventricular mass was indexed for height(1.7) (n=678) and carotid intima-media thickness (IMT; n=462) was determined using echocardiography and vascular ultrasound. With adjustments for nurse-derived brachial pulse pressure (PP), P2-derived central PP was independently associated with left ventricular mass indexed for height(1.7) (partial r=0.18; P<0.0001) and IMT (partial r=0.40; P<0.0001). These relations were similar to nurse-derived brachial PP-independent relations between GTF-derived central PP and target organ changes (left ventricular mass indexed for height(1.7): partial r=0.17, P<0.0001; IMT: partial r=0.37, P<0.0001). In contrast, with adjustments for central PP, nurse-derived brachial PP-target organ relations were eliminated (partial r=-0.21 to 0.05). Twenty-four-hour, day, and night PP-target organ relations did not survive adjustments for nurse-derived brachial BP. In conclusion, central PP derived from P2, which does not require a GTF, is associated with cardiovascular target organ changes independent of brachial BP. Thus, when assessing adverse cardiovascular effects of aortic BP independent of brachial BP, P2-derived measures may complement GTF-derived measures of aortic BP.

  4. Ejection-ionization of molecules from free standing graphene

    NASA Astrophysics Data System (ADS)

    Verkhoturov, Stanislav V.; Czerwinski, Bartlomiej; Verkhoturov, Dmitriy S.; Geng, Sheng; Delcorte, Arnaud; Schweikert, Emile A.

    2017-02-01

    We present the first data on emission of -C60 stimulated by single impacts of 50 keV C60+2 on the self-assembled molecular layer of C60 deposited on free standing 2 layer graphene. The yield, Y, of -C60 emitted in the transmission direction is 1.7%. To characterize the ejection and ionization of molecules, we have measured the emission of -C60 from the surface of bulk C60 (Y = 3.7%) and from a single layer of C60 deposited on bulk pyrolytic graphite (Y = 3.3%). To gain insight into the mechanism(s) of ejection, molecular dynamic simulations were performed. The scenario of the energy deposition and ejection of molecules is different for the case of graphene due to the confined volume of projectile-analyte interaction. In the case of 50 keV C60+2 impacts on graphene plus C60, the C atoms of the projectile collide with those of the target. The knocked-on atoms take on a part of the kinetic energy of the projectile atoms. Another part of the kinetic energy is deposited into the rim around the impact site. The ejection of molecules from the rim is a result of collective movement of the molecules and graphene membrane, where the membrane movement provides the impulse for ejection. The efficient emission of the intact molecular ions implies an effective ionization probability of intact C60. The proposed mechanism of ionization involves the tunneling of electrons from the vibrationally exited area around the hole to the ejecta.

  5. A dose-finding randomised controlled trial of magnesium sulphate as an adjuvant in ultrasound-guided supraclavicular brachial plexus block

    PubMed Central

    Verma, Versha; Rana, Shelly; Chaudhary, Sudarshan Kumar; Singh, Jai; Verma, Ravinder Kumar; Sood, Saloni

    2017-01-01

    Background and Aim: Magnesium sulphate (MgSO4) has been used as an adjuvant in brachial plexus block with encouraging results; however, there is no consensus regarding its optimal dose. Thereby, we compared the efficacy of two doses of MgSO4 as an adjuvant in ultrasound (USG) guided supraclavicular brachial plexus block. Methods: Ninety patients, aged 20–60 years, belonging to American Society of Anesthesiologists physical status 1 or 2, were given USG-guided supraclavicular block. Group B (n = 30) received 20 ml of 0.5%bupivacaine + 5 ml normal saline (NS), Group BM0.5(n = 30) received 20 ml of 0.5%bupivacaine + 3.75 ml NS and 125 mg MgSO4 (1.25 ml) and Group BM1(n = 30) received 20 ml of 0.5%bupivacaine + 2.5 ml NS and 250 mg MgSO4 (2.5 ml). The primary outcome of study was the duration of post-operative analgesia. The normally distributed data were analysed using analysis of variance and categorical data analysed using Chi-square test. Results: Duration of post-operative analgesia was prolonged in Groups BM1 and BM0.5 (665.13 ± 97.874, 475.10 ± 53.294) min respectively as compared to Group B (272.03 ± 40.404 min: P = 0.00). The onset times of sensory and motor block were shorter in Group BM1 (5.17 ± 2.2 min) as compared to Groups BM0.5 and B (8.9 ± 2.3 and 17.7 ± 5.1 min: P = 0.00) respectively. Sensory and motor block durations were prolonged in Group BM1 as compared to BM0.5 and B (P = 0.00). Conclusions: MgSO4 as adjuvant in brachial plexus block increases the duration of post-operative analgesia. MgSO4 in the dose of 250mg has greater efficacy as compared to 125 mg.

  6. Ultrasound-guided axillary brachial plexus block versus local infiltration anesthesia for arteriovenous fistula creation at the forearm for hemodialysis in patients with chronic renal failure

    PubMed Central

    Nofal, WH; El Fawal, SM; Shoukry, AA; Sabek, EAS; Malak, WFA

    2017-01-01

    Background: The primary failure rate for arteriovenous fistula (AVF) creation under local anesthesia for hemodialysis is about 30%. Axillary brachial plexus block (BPB) may improve blood flow through blood vessels used in fistula creation; it may improve the AVF blood flow and thus may reduce the primary failure rate after 3 months. Methods: Hundred and forty patients with chronic renal failure scheduled for AVF creation for hemodialysis were divided into two equal groups; Group 1 (AxBP-G) received ultrasound (US) guided axillary BPB, and Group 2 (LI-G) received local infiltration. We recorded the measurements of the brachial and radial arteries before and after anesthesia and the AVF blood flow in both groups at three different time points. Furthermore, the primary failure rate was recorded in each group and compared. Results: After anesthesia, the mean radial artery blood flow in the AxBP-group was 3.52 ml/min more than the LI-group, and the brachial artery diameter was also 0.68 mm more than in the LI-group, both differences were statistically significant (P < 0.05). There were significant increases (P < 0.05) in the AVF blood flow in the AxBP-group more than the LI-group with mean differences of 29.6, 69.8, and 27.2 ml/min at 4 h, 1 week, and 3 months, respectively. The overall mean of AVF blood flow was 42.21 ml/min more in the AxBP group than the LI-group a difference which is statistically significant (P < 0.001). The primary failure rate was 17% in the AxBP group versus 30% in the LI-group; however, this difference is not significant statistically (P = 0.110). Conclusion: The US-guided axillary block increases AVF blood flow significantly more than local infiltration and nonsignificantly decreases the primary failure rate of the AVF after 3 months. PMID:28217059

  7. New Publicly Available EEGGL Tool for Simulating Coronal Mass Ejections.

    NASA Astrophysics Data System (ADS)

    Sokolov, I.; Manchester, W.; van der Holst, B.; Gombosi, T. I.; Jin, M.; Mullinix, R.; Taktakishvili, A.; Chulaki, A.; Toth, G.

    2015-12-01

    We present and demonstrate a new tool, EEGGL (Eruptive Event Generator using Gibson-Low configuration) for simulating CMEs (Coronal Mass Ejections). CMEs are among the most significant space weather events, producing the radiation hazards (via the diffuse shock acceleration of the Solar Energetic Particles - SEPs), the interplanetary shock waves as well as the geomagnetic activity due to the drastic changes of the interplanetary magnetic field within the "magnetic clouds" ("flux ropes"). Some of this effects may be efficiently simulated using the "cone model", which is employed in the real-time simulations of the ongoing CMEs at the NASA-Goddard Space Flight Center. The cone model provides a capability to predict the location, time, width and shape of the hydrodynamic perturbation in the upper solar corona (at ~0.1 AU), which can be used to drive the heliospheric simulation (with the ENLIL code, for example). At the same time the magnetic field orientation in this perturbation is uncertain within the cone model, which limits the capability of the geomagnetic activity forecast. The new EEGGL tool http://ccmc.gsfc.nasa.gov/analysis/EEGGL/recently developed at the Goddard Space Flight Center in collaboration with the University of Michigan provides a new capability for both evaluating the magnetic field configuration resulting from the CME and tracing the CME through the solar corona. In this way not only the capability to simulate the magnetic field evolution at 1 AU may be achieved, but also the more extensive comparison with the CME observations in the solar corona may be achieved. Based on the magnetogram and evaluation of the CME initial location and speed, the user may choose the active region from which the CME originates and then the EEGGL tools provides the parameters of the Gibson-Low magnetic configuration to parameterize the CME. The recommended parameters may be used then to drive the simulation of CME propagation from the low solar corona to 1 AU using

  8. Simulation of 'pathologic' changes in ICG waveforms resulting from superposition of the 'preejection' and ejection waves induced by left ventricular contraction

    NASA Astrophysics Data System (ADS)

    Ermishkin, V. V.; Kolesnikov, V. A.; Lukoshkova, E. V.; Sonina, R. S.

    2013-04-01

    The impedance cardiography (ICG) is widely used for beat-to-beat noninvasive evaluation of the left ventricular stroke volume and contractility. It implies the correct determination of the ejection start and end points and the amplitudes of certain peaks in the differentiated impedance cardiogram. An accurate identification of ejection onset by ICG is often problematic, especially in the cardiologic patients, due to peculiar waveforms. Using a simple theoretical model, we tested the hypothesis that two major processes are responsible for the formation of impedance systolic wave: (1) the changes in the heart geometry and surrounding vessels produced by ventricular contraction, which occur during the isovolumic phase and precede ejection, and (2) expansion of aorta and adjacent arteries during the ejection phase. The former process initiates the preejection wave WpE and the latter triggers the ejection wave WEj. The model predicts a potential mechanism of generating the abnormal shapes of dZ/dt due to the presence of preejection waves and explains the related errors in ICG time and amplitude parameters. An appropriate decomposition method is a promising way to avoid the masking effects of these waves and a further step to correct determination of the onset of ejection and the corresponding peak amplitudes from 'pathologically shaped' ICG signals.

  9. Subdwarf B stars from the common envelope ejection channel

    NASA Astrophysics Data System (ADS)

    Xiong, H.; Chen, X.; Podsiadlowski, Ph.; Li, Y.; Han, Z.

    2017-02-01

    Context. Subdwarf B stars (sdB) are important to stellar evolutionary theory and asteroseismology, and they are crucial to our understanding of the structure and evolution of the Galaxy. According to the canonical binary scenario, the majority of sdBs are produced from low-mass stars with degenerate cores where helium is ignited in a way of flashes. Owing to numerical difficulties, the models of produced sdBs are generally constructed from more massive stars with non-degenerate cores. This leaves several uncertainties on the exact characteristics of sdB stars. Aims: The purpose of this paper is to study the characteristics of sdBs produced from the common envelope (CE) ejection channel. Methods: We used the stellar evolution code Modules for Experiments in Stellar Astrophysics (MESA), which can resolve flashes during stellar evolution. To mimic the CE ejection process, we first evolved a single star to a position near the tip of the red giant branch, then artificially removed its envelope with a very high mass-loss rate until the envelope began to shrink. Finally, we followed the evolution of the remnant until it became a helium or a carbon-oxygen white dwarf. Results: The sdB stars produced from the CE ejection channel appear to form two distinct groups on the effective temperature-gravity diagram. One group, referred to as the flash-mixing sdBs, almost has no H-rich envelope and crowds at the hottest temperature end of the extreme horizontal branch (EHB), while the other group, called the canonical sdBs, has significant H-rich envelope and is spread throughout the entire canonical EHB region. The key factor for the dichotomy of the sdB properties is the development of convection during the first helium flash, that is, that the convection region penetrates the H-rich envelope in the case of the flash-mixing sdBs, but fails to do this in the case of the canonical sdBs. Conclusions: The dichotomy of the sdB properties from the CE ejection channel is intrinsic and

  10. [Differential diagnostics of diseases of the brachial plexus].

    PubMed

    Ritter, C; Wunderlich, G; Macht, S; Schroeter, M; Fink, G R; Lehmann, H C

    2014-02-01

    Progressive, atrophic, asymmetrically distributed flaccid paresis of arm and hand muscles represents a frequent symptom of neuromuscular diseases that can be attributed to injury of the arm nerves, the plexus or the cervical roots. A timely and exact diagnosis is mandatory; however, the broad spectrum of differential diagnoses often represents a diagnostic challenge. A large variety of neuromuscular disorders need to be considered, encompassing autoimmune mediated inflammatory neuropathic conditions, such as multifocal motor neuropathy, as well as chronic degenerative and nerve compression disorders. This review provides an overview of the most frequent disorders of the upper plexus and cervical roots and summarizes the characteristic clinical features as well as electrodiagnostic and laboratory test results. In addition the diagnostic value of magnetic resonance imaging and sonography is discussed.

  11. Variations of the origin of collateral branches emerging from the posterior aspect of the brachial plexus

    PubMed Central

    2007-01-01

    Background The frequency of variation found in the arrangement and distribution of the branches in the brachial plexus, make this anatomical region extremely complicated. The medical concerns involved with these variations include anesthetic blocks, surgical approaches, interpreting tumor or traumatic nervous compressions having unexplained clinical symptoms (sensory loss, pain, wakefulness and paresis), and the possibility of these structures becoming compromised. The clinical importance of these variations is discussed in the light of their differential origins. Methods The anatomy of brachial plexus structures from 46 male and 11 female cadaverous specimens were studied. The 40–80 year-old specimens were obtained from the Universidad Industrial de Santander's Medical Faculty's Anatomy Department (dissection laboratory). Parametric measures were used for calculating results. Results Almost half (47.1%) of the evaluated plexuses had collateral variations. Subscapular nerves were the most varied structure, including the presence of a novel accessory nerve. Long thoracic nerve variations were present, as were the absence of C5 or C7 involvement, and late C7 union with C5–C6. Conclusion Further studies are needed to confirm the existence of these variations in a larger sample of cadaver specimens. PMID:17587464

  12. Shoulder tendon transfer options for adult patients with brachial plexus injury.

    PubMed

    Elhassan, Bassem; Bishop, Alan; Shin, Alexander; Spinner, Robert

    2010-07-01

    Enhancement of upper-extremity function, specifically shoulder function, after brachial plexus injury requires a good understanding of nerve repair and transfer, with their expected outcome, as well as shoulder anatomy and biomechanics enabling the treating surgeon to use available functioning muscles around the shoulder for transfer, to improve shoulder function. Surgical treatment should address painful shoulder subluxation in addition to improvement of function. The literature focuses on improving shoulder abduction, but improving shoulder external rotation should take priority because this function, even if isolated, will allow patients to position their hand in front of their body. With a functional elbow and hand, patients will be able to do most activities of daily living. The lower trapezius has been shown to be a good transfer to restore external rotation of the shoulder. Other parts of the trapezius, levator scapulae, rhomboids, and, when available, the latissimus dorsi, pectoralis major, teres major, biceps, triceps, and serratus anterior muscles can all be used to replace the rotator cuff and deltoid muscle function. To optimize the results, a close working relationship is required between surgeons reconstructing brachial plexus injury and shoulder specialists.

  13. Tick paralysis with atypical presentation: isolated, reversible involvement of the upper trunk of brachial plexus.

    PubMed

    Engin, A; Elaldi, N; Bolayir, E; Dokmetas, I; Bakir, M

    2006-07-01

    Tick paralysis is a disease that occurs worldwide. It is a relatively rare but potentially fatal condition. The only way to establish the diagnosis is to carefully search for the tick paralysis. It is caused by a neurotoxin secreted by engorged female ticks. Tick paralysis generally begins in the lower extremities and ascends symmetrically to involve the trunk, upper extremities and head within a few hours. Although early-onset prominent bulbar palsy and isolated facial weakness without generalised paralysis are rare, there is no report in the English literature concerning isolated, reversible involvement of the upper trunk of brachial plexus caused by tick bite. We report a case of isolated, reversible involvement of the upper trunk of brachial plexus as a variant of tick paralysis. Diagnosis was confirmed with needle electromyography and nerve conduction examination. Within 2 weeks, the patient was fully recovered. The purpose of presenting this case is to remind clinicians that tick paralysis should be considered even in cases with atypical neurological findings admitted to the emergency department.

  14. Superficial brachial artery: A possible cause for idiopathic median nerve entrapment neuropathy.

    PubMed

    Nkomozepi, Pilani; Xhakaza, Nkosi; Swanepoel, Elaine

    2017-02-15

    Nerve entrapment syndromes occur because of anatomic constraints at specific locations in both upper and lower limbs. Anatomical locations prone to nerve entrapment syndromes include sites where a nerve courses through fibro-osseous or fibromuscular tunnels or penetrates a muscle. The median nerve (MN) can be entrapped by the ligament of Struthers; thickened biceps aponeurosis; between the superficial and deep heads of the pronator teres muscle and by a thickened proximal edge of flexor digitorum superficialis muscle. A few cases of MN neuropathies encountered are reported to be idiopathic. The superficial branchial artery (SBA) is defined as the artery running superficial to MN or its roots. This divergence from normal anatomy may be the possible explanation for idiopathic median nerve entrapment neuropathy. This study presents three cases with unilateral presence of the SBA encountered during routine undergraduate dissection at the University of Johannesburg. Case 1: SBA divided into radial and ulnar arteries. Brachial artery (BA) terminated as deep brachial artery. Case 2: SBA continued as radial artery (RA). BA terminated as ulnar artery (UA), anterior and posterior interosseous arteries. Case 3: SBA continued as UA. BA divided into radial and common interosseous arteries. Arteries that take an unusual course are more vulnerable to iatrogenic injury during surgical procedures and may disturb the evaluation of angiographic images during diagnosis. In particular, the presence of SBA may be a course of idiopathic neuropathies.

  15. The Role of Ankle-Brachial Index for Predicting Peripheral Arterial Disease

    PubMed Central

    RAC-ALBU, Marius; ILIUTA, Luminita; GUBERNA, Suzana Maria; SINESCU, Crina

    2014-01-01

    The presence of peripheral arterial disease (PAD) is associated with higher cardiovascular morbidity and mortality, regardless of gender or its clinical form of presentation (symptomatic or asymptomatic). PAD is considered an independent predictor for cardiovascular mortality, more important for survival than clinical history of coronary artery disease. The ankle brachial index (ABI) is a sensitive and cost-effective screening tool for PAD. ABI is valuable for screening of peripheral artery disease in patients at risk and for diagnosing the disease in patients who present with lower-extremity symptoms. Compared to other diagnostic methods, ABI is superior because it is s a simple, noninvasive test, which could be routinely determined in all patients. Normal cut-off values for ABI are between 0.9 and 1.4. An abnormal ankle-brachial index- below 0.9-is a powerful independent marker of cardiovascular risk. There is an inverse correlation between ABI values, non-fatal cardiac events (myocardial infarction, stroke and heart failure exacerbation) and mortality (cardiovascular and global), the relation being nonlinear, patients with very low ABI (<0.3) having a significantly higher additional risk. Also, ABI values over 1.3-1.4 correlate with major adverse cardiovascular events. Therefore, ABI can be considered a generalized atherosclerotic predictor, identifying patients at high risk for developing cardio- or cerebrovascular events and should be incorporated into routine clinical practice. PMID:25705296

  16. Brachial Artery Conductance During Reactive Hyperemia is Increased in Women with Polycystic Ovary Syndrome

    PubMed Central

    Raja-Khan, Nazia; Shuja, Showieb A.; Kunselman, Allen R.; Hogeman, Cynthia S.; Demers, Laurence M.; Gnatuk, Carol L.; Legro, Richard S.

    2010-01-01

    Objective To examine changes in brachial artery conductance (BAC) during reactive hyperemia in women with polycystic ovary syndrome (PCOS) compared to controls. Study Design This is a pilot case-control study performed at a single academic medical center. Changes in BAC during reactive hyperemia were evaluated in 31 women with PCOS and 11 healthy control women. Fasting glucose, insulin, lipids and androgen levels were also determined. A mixed-effects model was used to compare the PCOS curve to the control curve for change in BAC from baseline during reactive hyperemia. Results Body mass index (BMI) and testosterone levels were significantly increased in the PCOS group compared to controls (P < 0.05). In addition, the PCOS group had higher total and LDL cholesterol levels (P = 0.05 and 0.09, respectively). Change in BAC from baseline during reactive hyperemia was significantly increased in the PCOS group compared to controls even after adjusting for age, BMI and LDL cholesterol levels (P < 0.0001). There were no significant differences between the two groups in age, blood pressure, or fasting glucose or insulin levels. Conclusions Brachial artery conductance during reactive hyperemia is significantly increased in women with PCOS compared to controls and may be a novel early indicator of increased cardiovascular risk in women with PCOS. PMID:21112136

  17. Variations of Cords of Brachial Plexus and Branching Pattern of Nerves Emanating From Them.

    PubMed

    Singh, Rajani

    2017-03-01

    Brachial plexus is complex network of nerves, formed by joining and splitting of ventral rami of spinal nerves C5, C6, C7, C8, and T1 forming trunks, divisions, and cords. The nerves emerging from trunks and cords innervate the upper limb and to some extent pectoral region. Scanty literature describes the variations in the formation of cords and nerves emanating from them. Moreover, the variations of cords of brachial plexus and nerves emanating from them have iatrogenic implications in the upper limb and pectoral region. Hence study has been carried out. Twenty-eight upper limbs and posterior triangles from 14 cadavers fixed in formalin were dissected and rare and new variations of cords were observed. Most common variation consisted of formation of posterior cord by fusion of posterior division of upper and middle trunk and lower trunk continued as medial cord followed by originating of 2 pectoral nerves from anterior divisions of upper and middle trunk. Other variations include anterior division of upper trunk continued as lateral cord and pierced the coracobrachialis, upper and middle trunk fused to form common cord which divided into lateral and posterior cords, upper trunk gave suprascapular nerve and abnormal lateral pectoral nerve and formation of median nerve by 3 roots. These variations were analyzed for diagnostic and clinical significance making the study relevant for surgeons, radiologists in arresting failure patients and anatomists academically in medical education.

  18. Pan-brachial plexus neuropraxia following lightning: A rare case report

    PubMed Central

    Patnaik, Ashis; Mahapatra, Ashok Kumar; Jha, Menka

    2015-01-01

    Background: Neurological complications following lightning are rare and occur in form of temporary neurological deficits of central origin. Involvement of peripheral nervous system is extremely rare and only a few cases have been described in the literature. Isolated unilateral pan-brachial plexus neuropraxia has never been reported in the literature. Steroids have long been used for treatment of neuropraxia. However, their use in lightning neural injury is unique and requires special mention. Case Description: We report a rare case of lightning-induced unilateral complete flaccid paralysis along with sensory loss in a young patient. Lightning typically causes central nervous involvement in various types of motor and sensory deficit. Surprisingly, the nerve conduction study showed the involvement of peripheral nervous system involvement. Steroids were administered and there was significant improvement in neurological functions within a short span of days. Patients’ functions in the affected limb were normal in one month. Conclusion: Our case was interesting since it is the first such case in the literature where lightning has caused such a rare instance of unilateral pan-brachial plexus lesion. Such cases when seen, raises the possibility of more common central nervous system pathology rather than peripheral involvement. However, such lesions can be purely benign forms of peripheral nerve neuropraxia, which can be managed by steroid treatment without leaving any long-term neurological deficits. PMID:25883854

  19. [Cervico-omo-brachial pain and disability in a person of advanced age].

    PubMed

    Usui, M

    1997-07-01

    A person of advanced age usually has degenerative changes of bone, joint and ligament, which can be causes of cervico-omo-brachial pain and disability. He or she may also suffer from metastatic bone tumor of cervical spine or upper extremity. This article described pathology, signs and symptoms and recent treatment of these diseases. Cervical myelopathy and radiculopathy, which are most common causes of cervico-omo-brachial symptoms, are sometimes accompanied by peripheral entrapment neuropathy such as cubital tunnel syndrome or carpal tunnel syndrome (double crush syndrome). In this complicated situation, decompression of neural tissue in both cervical spine and carpal tunnel are necessary. In treatment for carpal tunnel syndrome, release of transverse carpal ligament under an arthroscope has proven to be useful and has been becoming popular. This minimally invasive surgery is also useful in shoulder surgery such as subacromial decompression in aged patients with rotator cuff tear and removal of calcium deposit in the shoulder joint. Osteoarthritis of the elbow also cause pain or disability of the elbow and the hand. Some metastatic bone tumors are treated by tumor resection and reconstruction with instruments, prosthesis or composite grafts, which are attempted not to cure the disease but to maintain or improve the quality of life of the patient.

  20. Tick paralysis with atypical presentation: isolated, reversible involvement of the upper trunk of brachial plexus

    PubMed Central

    Engin, A; Elaldi, N; Bolayir, E; Dokmetas, I; Bakir, M

    2006-01-01

    Tick paralysis is a disease that occurs worldwide. It is a relatively rare but potentially fatal condition. The only way to establish the diagnosis is to carefully search for the tick paralysis. It is caused by a neurotoxin secreted by engorged female ticks. Tick paralysis generally begins in the lower extremities and ascends symmetrically to involve the trunk, upper extremities and head within a few hours. Although early‐onset prominent bulbar palsy and isolated facial weakness without generalised paralysis are rare, there is no report in the English literature concerning isolated, reversible involvement of the upper trunk of brachial plexus caused by tick bite. We report a case of isolated, reversible involvement of the upper trunk of brachial plexus as a variant of tick paralysis. Diagnosis was confirmed with needle electromyography and nerve conduction examination. Within 2 weeks, the patient was fully recovered. The purpose of presenting this case is to remind clinicians that tick paralysis should be considered even in cases with atypical neurological findings admitted to the emergency department. PMID:16794084

  1. Brachial artery Doppler flux parameters before and after hot flush in Mexican postmenopausal women: preliminary report

    PubMed Central

    Rodríguez, Karina Vázquez; Ortiz, Sergio Rosales

    2016-01-01

    Objective To analyse brachial artery flux parameters in postmenopausal women before and after hot flush. Material and methods Two groups of postmenopausal women were studied: Group I, without vasomotor symptoms (n = 10) and Group II, with vasomotor symptoms (n = 10). In all them a brachial artery Doppler ultrasound was done, measuring before and after hyperaemic stimulus of the arterial diameter (AD), the pulsatility index (PI), and the resistive index (RI). In Group I, measurements were done at baseline and five minutes after. In Group II, measurements were at baseline, and one and five minutes after the hot-flush. Comparison between the groups was done with Mann-Whitney U test, and within the groups with Wilcoxon test. Results No differences were found among the groups in Doppler parameters. When comparing each group separately, in Group I, at baseline and at five minutes measurements, the AD was greater after the hyperaemic stimulus than before it. In group II at baseline, the PI was significantly greater after the hyperaemic stimulus than before to it. At the first and fifth minute, the AD was significantly greater after the hyperaemic stimulus than before to it. Conclusions No differences were found between those who did not have and those who had hot flushes. PMID:27095957

  2. Pressure-specified sensory device versus electrodiagnostic testing in brachial plexus upper trunk injury.

    PubMed

    Nath, Rahul Kumar; Bowen, Margaret Elaine; Eichhorn, Mitchell George

    2010-05-01

    Brachial plexus upper trunk injury is associated with winged scapula owing to the close anatomical course of the long thoracic nerve and upper trunk. Needle electromyography is a common diagnostic test for this injury; however, it does not detect injury in most patients with upper trunk damage. The pressure-specified sensory device may be an alternative to needle electromyography. Thirty patients with winged scapula and upper trunk injury were evaluated with needle electromyography (EMG) and pressure-specified sensory device (PSSD) tests. EMG testing of the biceps muscle was compared with PSSD testing of the dorsal hand skin (C6 damage), and EMG testing of the deltoid and spinati muscles was compared with PSSD testing of the deltoid skin (C5 damage). PSSD pressure values were significantly higher on the affected arm. On the basis of published and calculated threshold values the PSSD was found to be significantly more sensitive than EMG. The PSSD tests consistently identified injuries that were not detected by needle EMG tests. These findings provide strong evidence that the PSSD is more effective than needle EMG in the detection of brachial plexus upper trunk injury.

  3. MULTIPLE PLASMA EJECTIONS AND INTERMITTENT NATURE OF MAGNETIC RECONNECTION IN SOLAR CHROMOSPHERIC ANEMONE JETS

    SciTech Connect

    Singh, K. A. P.; Nishida, K.; Shibata, K.; Isobe, H.; Nishizuka, N. E-mail: nishida@kwasan.kyoto-u.ac.jp E-mail: isobe@kwasan.kyoto-u.ac.jp

    2012-11-01

    The recent discovery of chromospheric anemone jets with the Solar Optical Telescope (SOT) on board Hinode has shown an indirect evidence of magnetic reconnection in the solar chromosphere. However, the basic nature of magnetic reconnection in chromosphere is still unclear. We studied nine chromospheric anemone jets from SOT/Hinode using Ca II H filtergrams, and we found multiple bright, plasma ejections along the jets. In most cases, the major intensity enhancements (larger than 30% relative to the background intensity) of the loop correspond to the timing of the plasma ejections. The typical lifetime and size of the plasma ejecta are about 20-60 s and 0.3-1.5 Mm, respectively. The height-time plot of jet shows many sub-structures (or individual jets) and the typical lifetime of the individual jet is about one to five minutes. Before the onset of the jet activity, a loop appears in Ca II H and gradually increases in size, and after few minutes several jets are launched from the loop. Once the jet activity starts and several individual jets are launched, the loop starts shrinking with a speed of {approx}4 km s{sup -1}. In some events, a downward moving blob with a speed of {approx}35 km s{sup -1} was observed, associated with the upward moving plasma along one of the legs of the loop hosting the jets. The upward moving plasma gradually developed into jets. Multiple plasma ejections in chromospheric anemone jet show the strongly time-dependent as well as intermittent nature of magnetic reconnection in the solar chromosphere.

  4. Simulating AIA observations of a flux rope ejection

    NASA Astrophysics Data System (ADS)

    Pagano, P.; Mackay, D. H.; Poedts, S.

    2014-08-01

    Context. Coronal mass ejections (CMEs) are the most violent phenomena observed on the Sun. Currently, extreme ultraviolet (EUV) images from the Atmospheric Imaging Assembly (AIA) on board the Solar Dynamic Observatory (SDO) are providing new insights into the early phase of CME evolution. In particular, observations now show the ejection of magnetic flux ropes from the solar corona and how they evolve into CMEs. While this is the case, these observations are difficult to interpret in terms of basic physical mechanisms and quantities. To fully understand CMEs we need to compare equivalent quantities derived from both observations and theoretical models. This will aid in bridging the gap between observations and models. Aims: To this end, we aim to produce synthesised AIA observations from simulations of a flux rope ejection. To carry this out we include the role of thermal conduction and radiative losses, both of which are important for determining the temperature distribution of the solar corona during a CME. Methods: We perform a simulation where a flux rope is ejected from the solar corona. From the density and temperature of the plasma in the simulation we synthesise AIA observations. The emission is then integrated along the line of sight using the instrumental response function of AIA. Results: We sythesise observations of AIA in the channels at 304 Å, 171 Å, 335 Å, and 94 Å. The synthesised observations show a number of features similar to actual observations and in particular reproduce the general development of CMEs in the low corona as observed by AIA. In particular we reproduce an erupting and expanding arcade in the 304 Å and 171 Å channels with a high density core. Conclusions: The ejection of a flux rope reproduces many of the features found in the AIA observations. This work is therefore a step forward in bridging the gap between observations and models, and can lead to more direct interpretations of EUV observations in terms of flux rope

  5. Impact ejection of lunar meteorites and the age of Giordano Bruno

    NASA Astrophysics Data System (ADS)

    Fritz, Jörg

    2012-11-01

    Based on literature data from lunar meteorites and orbital observations it is argued that the lunar crater Giordano Bruno (22 km ∅) formed more than 1 Ma ago and probably ejected the lunar meteorites Yamato 82192/82193/86032 at 8.5 ± 1.5 Ma ago from the Th-poor highlands of the Moon. The efficiency and time scale to deliver 3He-rich lunar material into Earth’s sediments is discussed to assess the temporal relationship between the Giordano Bruno cratering event and a 1 Ma enduring 3He-spike which is observed in 8.2 Ma old sediments on Earth.

  6. A demonstration experiment of steam-driven, high-pressure melt ejection

    SciTech Connect

    Allen, M.D.; Pitch, M. ); Nichols, R.T. )

    1990-08-01

    A steam blowdown test was performed at the Surtsey Direct Heating Test Facility to test the steam supply system and burst diaphragm arrangement that will be used in subsequent Surtsey Direct Containment Heating (DCH) experiments. Following successful completion of the steam blowdown test, the HIPS-10S (High-Pressure Melt Streaming) experiment was conducted to demonstrate that the technology to perform steam-driven, high-pressure melt ejection (HPME) experiments has been successfully developed. In addition, the HIPS-10S experiment was used to assess techniques and instrumentation design to create the proper timing of events in HPME experiments. This document discusses the results of this test.

  7. Different functional reorganization of motor cortex after transfer of the contralateral C7 to different recipient nerves in young rats with total brachial plexus root avulsion.

    PubMed

    Pan, Feng; Wei, Hai-feng; Chen, Liang; Gu, Yu-dong

    2012-12-07

    Clinically, contralateral C7 transfer is used for nerve reconstruction in brachial plexus injuries. Postoperatively, synchronous motions at the donor limb are noteworthy. This study studied if different recipient nerves influenced transhemispheric functional reorganization of motor cortex after this procedure. 90 young rats with total root avulsion of the brachial plexus were divided into groups 1-3 of contralateral C7 transfer to anterior division of the upper trunk, to both the musculocutaneous and median nerves, and to the median nerve, respectively. After reinnervation of target muscles, number of sites for forelimb representations in bilateral motor cortices was determined by intracortical microstimulation at 1.5, 3, 6, 9, and 12 months postoperatively. At nine months, transhemispheric reorganization of nerves neurotized by contralateral C7 was fulfilled in four of six rats in group 1, one of six in group 2 and none in group 3, respectively; at 12 months, that was fulfilled in five of six in group 1, four of six in groups 2 and 3, respectively. Logistic regression analysis showed that rate of fulfilled transhemispheric reorganization in group 1 was 12.19 times that in group 3 (95% CI 0.006-0.651, p=0.032). At 12 months, number of sites for hindlimb representations which had encroached upon original forelimb representations on the uninjured side was statistically more in group 3 than in group 2 (t=9.5, p<0.0001). It is concluded that contralateral C7 transfer to upper trunk or to both the musculocutaneous and median nerves induces faster transhemispheric functional reorganization of motor cortex than that to median nerve alone in rats.

  8. Microwave radio emissions as a proxy for coronal mass ejection speed in arrival predictions of interplanetary coronal mass ejections at 1 AU

    NASA Astrophysics Data System (ADS)

    Matamoros, Carolina Salas; Klein, Karl Ludwig; Trottet, Gerard

    2017-01-01

    The propagation of a coronal mass ejection (CME) to the Earth takes between about 15 h and several days. We explore whether observations of non-thermal microwave bursts, produced by near-relativistic electons via the gyrosynchrotron process, can be used to predict travel times of interplanetary coronal mass ejections (ICMEs) from the Sun to the Earth. In a first step, a relationship is established between the CME speed measured by the Solar and Heliospheric Observatory/Large Angle and Spectrometric Coronagraph (SoHO/LASCO) near the solar limb and the fluence of the microwave burst. This relationship is then employed to estimate speeds in the corona of earthward-propagating CMEs. These speeds are fed into a simple empirical interplanetary acceleration model to predict the speed and arrival time of the ICMEs at Earth. The predictions are compared with observed arrival times and with the predictions based on other proxies, including soft X-rays (SXR) and coronographic measurements. We found that CME speeds estimated from microwaves and SXR predict the ICME arrival at the Earth with absolute errors of 11 ± 7 and 9 ± 7 h, respectively. A trend to underestimate the interplanetary travel times of ICMEs was noted for both techniques. This is consistent with the fact that in most cases of our test sample, ICMEs are detected on their flanks. Although this preliminary validation was carried out on a rather small sample of events (11), we conclude that microwave proxies can provide early estimates of ICME arrivals and ICME speeds in the interplanetary space. This method is limited by the fact that not all CMEs are accompanied by non-thermal microwave bursts. But its usefulness is enhanced by the relatively simple observational setup and the observation from ground, which makes the instrumentation less vulnerable to space weather hazards.

  9. Cutting Balloon-Assisted Angioplasty of an Anastomotic Carotid-Brachial Bypass Graft Stenosis: A Case Report

    SciTech Connect

    Prabhudesai, Vikramaditya; Orme, Richard Fox, Anthony D.

    2004-08-15

    Neointimal hyperplasia leads to anastomotic stenosis in bypass grafts. These stenoses are often resistant to conventional balloon dilatation. We present a case of a carotid-brachial bypass graft stenosis, which was treated by a 5-mm cutting balloon angioplasty with a good angiographic and clinical result.

  10. r-PROCESS NUCLEOSYNTHESIS IN DYNAMICALLY EJECTED MATTER OF NEUTRON STAR MERGERS

    SciTech Connect

    Goriely, Stephane; Bauswein, Andreas; Janka, Hans-Thomas

    2011-09-10

    Although the rapid neutron-capture process, or r-process, is fundamentally important for explaining the origin of approximately half of the stable nuclei with A > 60, the astrophysical site of this process has not been identified yet. Here we study r-process nucleosynthesis in material that is dynamically ejected by tidal and pressure forces during the merging of binary neutron stars (NSs) and within milliseconds afterward. For the first time we make use of relativistic hydrodynamical simulations of such events, defining consistently the conditions that determine the nucleosynthesis, i.e., neutron enrichment, entropy, early density evolution and thus expansion timescale, and ejecta mass. We find that 10{sup -3}-10{sup -2} M{sub sun} are ejected, which is enough for mergers to be the main source of heavy (A {approx}> 140) galactic r-nuclei for merger rates of some 10{sup -5} yr{sup -1}. While asymmetric mergers eject 2-3 times more mass than symmetric ones, the exact amount depends weakly on whether the NSs have radii of {approx}15 km for a 'stiff' nuclear equation of state (EOS) or {approx}12 km for a 'soft' EOS. r-process nucleosynthesis during the decompression becomes largely insensitive to the detailed conditions because of efficient fission recycling, producing a composition that closely follows the solar r-abundance distribution for nuclei with mass numbers A > 140. Estimating the light curve powered by the radioactive decay heating of r-process nuclei with an approximative model, we expect high emission in the B-V-R bands for 1-2 days with potentially observable longer duration in the case of asymmetric mergers because of the larger ejecta mass.

  11. Dynamics of bacteriophage genome ejection in vitro and in vivo

    NASA Astrophysics Data System (ADS)

    Panja, Debabrata; Molineux, Ian J.

    2010-12-01

    Bacteriophages, phages for short, are viruses of bacteria. The majority of phages contain a double-stranded DNA genome packaged in a capsid at a density of ~500 mg ml-1. This high density requires substantial compression of the normal B-form helix, leading to the conjecture that DNA in mature phage virions is under significant pressure, and that pressure is used to eject the DNA during infection. A large number of theoretical, computer simulation and in vitro experimental studies surrounding this conjecture have revealed many—though often isolated and/or contradictory—aspects of packaged DNA. This prompts us to present a unified view of the statistical physics and thermodynamics of DNA packaged in phage capsids. We argue that the DNA in a mature phage is in a (meta)stable state, wherein electrostatic self-repulsion is balanced by curvature stress due to confinement in the capsid. We show that in addition to the osmotic pressure associated with the packaged DNA and its counterions, there are four different pressures within the capsid: pressure on the DNA, hydrostatic pressure, the pressure experienced by the capsid and the pressure associated with the chemical potential of DNA ejection. Significantly, we analyze the mechanism of force transmission in the packaged DNA and demonstrate that the pressure on DNA is not important for ejection. We derive equations showing a strong hydrostatic pressure difference across the capsid shell. We propose that when a phage is triggered to eject by interaction with its receptor in vitro, the (thermodynamic) incentive of water molecules to enter the phage capsid flushes the DNA out of the capsid. In vivo, the difference between the osmotic pressures in the bacterial cell cytoplasm and the culture medium similarly results in a water flow that drags the DNA out of the capsid and into the bacterial cell.

  12. Associations between coronal mass ejections and interplanetary shocks

    NASA Technical Reports Server (NTRS)

    Sheeley, N. R., Jr.; Howard, R. A.; Koomen, M. J.; Michels, D. J.; Schwenn, R.; Muhlhauser, K. H.; Rosenbauer, H.

    1983-01-01

    Nearly continuous complementary coronal observations and interplanetary plasma measurements for the years 1979-1982 are compared. It is shown that almost all low latitude high speed coronal mass ejections (CME's) were associated with shocks at HELIOS 1. Some suitably directed low speed CME's were clearly associated with shocks while others may have been associated with disturbed plasma (such as NCDE's) without shocks. A few opposite hemisphere CME's associated with great flares seem to be associated with shocks at HELIOS.

  13. Characterization of Boulders Ejected from Small Impact Craters

    NASA Astrophysics Data System (ADS)

    Bart, G. D.; Melosh, H. J.; Strom, R. G.

    2004-11-01

    When an asteroid or comet impacts the surface of a solid body, some of the surface material is often ejected from the crater in the form of blocks. We are characterizing the size and location of such blocks around craters on the Moon and Mars. The lunar craters were observed in Lunar Orbiter III images from P-12 and S-18. The Mars crater was observed in Mars Global Surveyor (MGS) Mars Orbiter Camera (MOC) Release No. MOC2-712. The craters range in size from 300 m to 3 km diameter. We measured the diameters of boulders observed around the craters, and also measured the distance between the boulder and the crater center. We then calculate the ejection velocity of each boulder based on how far the block was from the crater. The data indicate that larger boulders are more frequently found close to the crater rim rather than far away. The size of the ejecta drops off as a power law with distance from the crater. Our results are consistent with studies by Vickery (1986, 1987), which indirectly found the distribution of ejecta sizes from large craters by analyzing the size and distribution of their secondary craters. Our work characterizes the other end of the ejecta spectrum --- low velocity boulders ejected from small craters. We have also constructed R-plots of the boulder diameters for each crater. We found that the R-plot for the boulders has a dependence remarkably similar to an R-plot of the diameters of secondary craters. This similarity supports the already accepted idea that the impactors that produce secondaries are blocks ejected from larger craters. It is also consistent with the interpretation that the upturn of the cratering curve at small diameters on the terrestrial planets is due to secondary impacts rather than a primary population as some have proposed.

  14. Determining the full halo coronal mass ejection characteristics

    NASA Astrophysics Data System (ADS)

    Fainshtein, V. G.

    2009-03-01

    In this paper we determined the parameters of 45 full halo coronal mass ejections (HCMEs) for various modifications of their cone forms (“ice cream cone models”). We show that the CME determined characteristics depend significantly on the CME chosen form. We show that, regardless of the CME chosen form, the trajectory of practically all the considered HCMEs deviate from the radial direction to the Sun-to-Earth axis at the initial stage of their movement.

  15. Multinucleon Ejection Model for Two Body Current Neutrino Interactions

    SciTech Connect

    Sobczyk, Jan T.; /Fermilab

    2012-06-01

    A model is proposed to describe nucleons ejected from a nucleus as a result of two-body-current neutrino interactions. The model can be easily implemented in Monte Carlo neutrino event generators. Various possibilities to measure the two-body-current contribution are discussed. The model can help identify genuine charge current quasielastic events and allow for a better determination of the systematic error on neutrino energy reconstruction in neutrino oscillation experiments.

  16. The impact ejection of living organisms into space

    NASA Technical Reports Server (NTRS)

    Melosh, H. J.

    1985-01-01

    The possibility of natural processes to blast living organisms into space was examined. It is suggested that rocks ejected from the Earth by a giant meteorite or comet impact can carry microorganisms into space. Such microscopic Earth life would have an opportunity to colonize the other planets if it can survive the rigors of space until it falls into the atmosphere of a hospitable planet.

  17. Evolving Magnetic Structures and Their Relation to Coronal Mass Ejections

    NASA Technical Reports Server (NTRS)

    Feynman, J.

    1996-01-01

    Solar activity regions are frequently concentrated into cluster which persist for many solar rotations. These activity complexes are associated with weak dispersed magnetic fields which are most apparent after the activity itself has ceased. We call this combination of persistent activity and dispersed Evolving Magnetic Structures (EMS). Here we show examples of EMSs and describe the evolution of an EMS associated with major Coronal Mass Ejections (CME) and other solar and magnetic disturbances.

  18. Dynamic Supersonic Base Store Ejection Simulation Using Beggar

    DTIC Science & Technology

    2008-12-01

    models employ nonlinear and complex second order relationships to determine the Reynolds Stresses • first-order closure models express the Reynolds...during an aft store ejection. Beggar allows the use of the algebraic Baldwin-Lomax (B-L) turbu- lence model , the Spalart-Allmaras ( S -A) one-equation... model , and Detached-Eddy Simulation (DES) (where S -A is implemented as the RANS model ). In his work, Simko [29] found that the S -A turbulence model on

  19. Ejection behavior characteristics in experimental cratering in sandstone targets

    NASA Astrophysics Data System (ADS)

    Sommer, Frank; Reiser, Fiona; Dufresne, Anja; Poelchau, Michael H.; Hoerth, Tobias; Deutsch, Alex; Kenkmann, Thomas; Thoma, Klaus

    2013-01-01

    Within the frame of the MEMIN research unit (Multidisciplinary Experimental and Numerical Impact Research Network), impact experiments on sandstone targets were carried out to systematically study the influence of projectile mass, velocity, and target water saturation on the cratering and ejection processes. The projectiles were accelerated with two-stage light-gas guns (Ernst-Mach-Institute) onto fine-grained targets (Seeberger sandstone) with about 23% porosity. Collection of the ejecta on custom-designed catchers allowed determination of particle shape, size distribution, ejection angle, and microstructures. Mapping of the ejecta imprints on the catcher surface enabled linking of the different patterns to ejection stages observed on high-speed videos. The increase in projectile mass from 0.067 to 7.1 g correlates with an increase in the total ejected mass; ejecta angles, however, are similar in range for all experiments. The increase in projectile velocity from 2.5 to 5.1 km s-1 correlates with a total ejecta mass increase as well as in an increase in comminution efficiency, and a widening of the ejecta cone. A higher degree of water saturation of the target yields an increase in total ejecta mass up to 400% with respect to dry targets, higher ejecta velocity, and a steeper cone. These data, in turn, suggest that the reduced impedance contrast between the quartz grains of the target and the pores plays a primary role in the ejecta mass increase, while vaporization of water determines the ejecta behavior concerning ejecta velocity and particle distribution.

  20. Comparison Between Ultrasound-Guided Supraclavicular and Interscalene Brachial Plexus Blocks in Patients Undergoing Arthroscopic Shoulder Surgery

    PubMed Central

    Ryu, Taeha; Kil, Byung Tae; Kim, Jong Hae

    2015-01-01

    Abstract Although supraclavicular brachial plexus block (SCBPB) was repopularized by the introduction of ultrasound, its usefulness in shoulder surgery has not been widely reported. The objective of this study was to compare motor and sensory blockades, the incidence of side effects, and intraoperative opioid analgesic requirements between SCBPB and interscalene brachial plexus block (ISBPB) in patients undergoing arthroscopic shoulder surgery. Patients were randomly assigned to 1 of 2 groups (ISBPB group: n = 47; SCBPB group: n = 46). The side effects of the brachial plexus block (Horner's syndrome, hoarseness, and subjective dyspnea), the sensory block score (graded from 0 [no cold sensation] to 100 [intact sensation] using an alcohol swab) for each of the 5 dermatomes (C5–C8 and T1), and the motor block score (graded from 0 [complete paralysis] to 6 [normal muscle force]) for muscle forces corresponding to the radial, ulnar, median, and musculocutaneous nerves were evaluated 20 min after the brachial plexus block. Fentanyl was administered in 50 μg increments when the patients complained of pain that was not relieved by the brachial plexus block. There were no conversions to general anesthesia due to a failed brachial plexus block. The sensory block scores for the C5 to C8 dermatomes were significantly lower in the ISBPB group. However, the percentage of patients who received fentanyl was comparable between the 2 groups (27.7% [ISBPB group] and 30.4% [SCBPB group], P = 0.77). SCBPB produced significantly lower motor block scores for the radial, ulnar, and median nerves than did ISBPB. A significantly higher incidence of Horner's syndrome was observed in the ISBPB group (59.6% [ISBPB group] and 19.6% [SCBPB group], P < 0.001). No patient complained of subjective dyspnea. Despite the weaker degree of sensory blockade provided by SCBPB in comparison to ISBPB, opioid analgesic requirements are similar during arthroscopic shoulder surgery under

  1. A Historic View of Solar Coronal Mass Ejections (CMEs)

    NASA Technical Reports Server (NTRS)

    SaintCyr, Orville C.

    2010-01-01

    We present a historic overview of CME observations, ending with concepts for future measurement capabilities. One of the first detections of what we now call a CME was provided by instrumentation on OSO-7 and reported by Tousey (1973); but the phrase "corona) mass ejection" was coined after the Skylab/ATM coronagraph detected dozens of the transients over its nine month observing run (e.g., Munro et al., 1979). Pre-discovery identification of likely CMEs were then reported in historic eclipse photographs and drawings (e.g., Eddy, 1974; Cliver, 1989). Multi-year observations followed with groundbased MLSO MK3/4 coronagraph (1980-present), and spacebased missions: Solwind (1979-1985), SMM (1980-1989), SOHO LASCO/EIT (1996-present), SMEI (2003-present), and STEREO SECCHI (2006-present). The Spartan 201 coronagraph flew in space multiple times. The influential Gosling (1993) "solar flare myth" manuscript identified CMEs as the cause of the most severe geomagnetic storms, thus cementing their importance in Sun-Earth connection studies. A new window into CMEs was opened with the launch of SOHO in 1995 when the UVCS spectrometer began returning plasma diagnostics of a significant number of events (e.g., Ciaravella et al., 2006). What about the future for CME research? Statistical properties of the UVCS CME observations are forthcoming; the STEREO mission should continue to return views of CMEs from unique vantage points; and the recent launch of SDO should provide new insights into the small spatial scale dynamics of activity associated with CMEs. Several new observing techniques have been demonstrated at total eclipses, and inclusion on spacebased platforms in the future could also prove valuable for understanding CMEs. A common element of several recent proposals is to image the white-light corona with extremely high spatial resolution. The momentary glimpses of the corona during total solar eclipses have shown fine structure that is not captured by global models, and

  2. Investigation of a clamshell roll-out ejection concept

    NASA Technical Reports Server (NTRS)

    Hatakeyama, L. F.

    1971-01-01

    The equations for the motion, forces, and couples generated by clamshells released from spinning sounding rockets in accordance with a roll-out ejection concept are presented. The application of these equations to a study of a system for the Javelin rocket vehicle is discussed. The roll-out ejection concept advocated requires that each deploying clamshell be pivoted about an axis at its trailing edge located in the system sectioning plane. Clamshell despinning is a consequence of this deployment since the pivotal rate is in opposition to the rocket vehicle spin. The energy required by the deployment is derived largely from the rotational energy of the clamshell. Thus, the rocket vehicle will not be significantly despun by this kind of clamshell deployment. This ejection concept also permits a system design which makes it possible to limit clamshell angular motion to rotation about that one of its centroidal principal axes which is brought into parallelism with the rocket vehicle longitudinal axis. Also, by equalizing the moments of inertia about the other centroidal principal axes, the roll-out motion can be decoupled from any extraneous angular motion about these axes.

  3. Pathfinder landing sites at candidate SNC impact ejection sites

    NASA Technical Reports Server (NTRS)

    Golombek, Matthew P.

    1994-01-01

    If Mars Pathfinder were able to land at a site on Mars from which the SNC meteorites were ejected by impact, the Pathfinder mission would essentially represent a very inexpensive sample return mission. Geologic units that contain four potential impact craters from which SNC meteorites could have been ejected from Mars are accessible to the Mars Pathfinder lander. Determining that SNC meteorites came from a particular spot on Mars raises the intriguing possibility of using Pathfinder as a sample return mission and providing a radiometric age for the considerably uncertain martian crater-age timescale. Pathfinder instruments are capable of determining if the rock type at the landing site is similar to that of one or more of the SNC meteorites, which would strengthen the hypothesis that the SNC meteorites did, in fact, come from Mars. Unfortunately, instrument observations from Pathfinder are probably not capable of determining if the geologic unit sampled by the lander is definitively the unit from which a SNC meteorite came from as opposed to Mars in general or perhaps a particular region on Mars. This abstract evaluates the possibility of landing at potential SNC ejection sites and the ability of Pathfinder to identify the landing site as the place from which an SNC meteorite came.

  4. Droplet ejection and sliding on a flapping film

    NASA Astrophysics Data System (ADS)

    Chen, Xi; Doughramaji, Nicole; Betz, Amy Rachel; Derby, Melanie M.

    2017-03-01

    Water recovery and subsequent reuse are required for human consumption as well as industrial, and agriculture applications. Moist air streams, such as cooling tower plumes and fog, represent opportunities for water harvesting. In this work, we investigate a flapping mechanism to increase droplet shedding on thin, hydrophobic films for two vibrational cases (e.g., ± 9 mm and 11 Hz; ± 2 mm and 100 Hz). Two main mechanisms removed water droplets from the flapping film: vibrational-induced coalescence/sliding and droplet ejection from the surface. Vibrations mobilized droplets on the flapping film, increasing the probability of coalescence with neighboring droplets leading to faster droplet growth. Droplet departure sizes of 1-2 mm were observed for flapping films, compared to 3-4 mm on stationary films, which solely relied on gravity for droplet removal. Additionally, flapping films exhibited lower percentage area coverage by water after a few seconds. The second removal mechanism, droplet ejection was analyzed with respect to surface wave formation and inertia. Smaller droplets (e.g., 1-mm diameter) were ejected at a higher frequency which is associated with a higher acceleration. Kinetic energy of the water was the largest contributor to energy required to flap the film, and low energy inputs (i.e., 3.3 W/m2) were possible. Additionally, self-flapping films could enable novel water collection and condensation with minimal energy input.

  5. Pharmacotherapy of heart failure with preserved ejection fraction.

    PubMed

    Basaraba, Jade E; Barry, Arden R

    2015-04-01

    Heart failure with preserved ejection fraction (HFpEF) constitutes ~50% of all heart failure diagnoses and is associated with considerable morbidity and mortality. The treatment of HFpEF can be challenging due to a lack of evidence supporting the benefit of various drug therapies. In practice, treatment can be divided into acute and chronic management. Acute therapy for decompensated heart failure is similar for both HFpEF and heart failure with reduced ejection fraction. The mainstay of treatment is diuretics to reduce volume overload and improve dyspnea. Patients with an acute exacerbation of HFpEF and rapid atrial fibrillation (AF) should be rate controlled with negative chronotropic agents. For chronic therapy, patients with HFpEF should not be treated like patients with heart failure with reduced ejection fraction. Chronic management of HFpEF can be simplified by using three strategies based on applicability: treat precipitating conditions (e.g., hypertension, AF), control symptoms by maintaining euvolemia with diuretics, and avoid therapies that have been shown not to be beneficial unless another compelling indication exists. Nondrug interventions for HFpEF include salt and fluid restriction, regular physical activity, and referral to a heart function clinic, if appropriate.

  6. The Formation of Brown Dwarfs as Ejected Stellar Embryos

    NASA Astrophysics Data System (ADS)

    Reipurth, Bo; Clarke, Cathie

    2001-07-01

    We conjecture that brown dwarfs are substellar objects because they have been ejected from small newborn multiple systems that have decayed in dynamical interactions. In this view, brown dwarfs are stellar embryos for which the star formation process was aborted before the hydrostatic cores could build up enough mass to eventually start hydrogen burning. The disintegration of a small multiple system is a stochastic process, which can be described only in terms of the half-life of the decay. A stellar embryo competes with its siblings in order to accrete infalling matter, and the one that grows slowest is most likely to be ejected. With better luck, a brown dwarf would therefore have become a normal star. This interpretation of brown dwarfs readily explains the rarity of brown dwarfs as close companions to normal stars, the absence of wide brown dwarf binaries, and the flattening of the low-mass end of the initial mass function. Possible observational tests of this scenario include statistics of brown dwarfs near Class 0 sources and the kinematics of brown dwarfs in star-forming regions, while they still retain a kinematic signature of their expulsion. Because the ejection process limits the amount of gas brought along in a disk, it is predicted that substellar equivalents to the classical T Tauri stars should be rather short-lived.

  7. Latitudinal structure of a Coronal Mass Ejection inferred from Ulysses and Geotail observations

    NASA Technical Reports Server (NTRS)

    Hammond, C. M.; Crawford, G. K.; Gosling, J. T.; Kojima, H.; Phillips, J. L.; Matsumoto, H.; Balogh, A.; Frank, L. A.; Kokubun, S.; Yamamoto, T.

    1995-01-01

    We present the first observations of a Coronal Mass Ejection (CME) by two spacecraft separated substantially in heliographic latitude. Ulysses and Geotail both see similar features in the plasma and magnetic field parameters during an interval in which Geotail is located in the deep magnetosheath (greater than 150 Earth radii) and Ulysses is located in the solar wind at 5 AU, approximately 20 S of Geotail, and approximately 51 W (in the direction of solar rotation) of Geotail. Based on the similarity in plasma and magnetic field parameters and similar inferred ejection times from the Sun for both features we argue that the same CME is observed by both spacecraft. The portion of the CME observed by Ulysses is traveling much faster than the portion observed by Geotail. Thus the CME has significant latitudinal structure since at any given time the high latitude portion of the CME extends much further out in radial distance. Furthermore, this implies that a simple calculation of the arrival time of a CME at the Earth may not be done if the observing spacecraft is located substantially away from the ecliptic plane.

  8. [A case of subacute necrotizing lymphadenitis complicated with brachial plexus neuritis].

    PubMed

    Sugiyama, A; Araki, E; Arakawa, K; Kikuchi, H; Iwaki, T; Yamada, T; Kira, J

    1998-01-01

    A 22-year-old female noted a low grade fever and swelling of the cervical lymph nodes in May 1997, and later developed a dry cough. She was diagnosed to have interstitial pneumonitis, and then administration of corticosteroids alleviated her symptoms. On February 6, 1998, however, a high fever recurred and her swollen cervical lymph node on the right side was biopsied on February 9, 1998. A histological examination revealed an increased number of histiocytes and karyorrhexis of the lymphocytes in the paracortical areas, and she was therefore diagnosed to have histiocytic necrotizing lymphadenitis. She could not fully elevate her arm on February 16, 1998. On admission, her cervical lymph node was swollen on the left side. A neurological examination revealed a marked weakness of the right deltoid muscle, moderate weakness of the right latissimus dorsi, triceps and brachioradialis muscles and also a mild weakness of the serratus anterior, supra- and infra-spinatus, and biceps brachii muscles. The muscle power of the other muscles were normal and no muscle atrophy was evident. Winging of the right scapula was observed. The deep tendon reflexes were normal in all four limbs, and her sensation was also normal. No cerebellar sign was found. The Jackson, Spurling, Allen, Morley and Adson tests were all negative. ESR was mildly elevated to 18 mm/hr, but CRP was negative. RF, ANA and anti-SS-A and SS-B antibodies were positive, whereas LE-test, direct and indirect Coombs tests and other autoantibodies were negative. Needle EMG disclosed fasciculation potentials in the right triceps muscle and polyphasic waves in the right deltoid muscle. MRI showed gadolinium-enhancement of the right brachial plexus. Although an abnormal accumulation of gallium was detected in the right parotid and bilateral submandibular glands, no sicca symptoms were found and the Schirmer test findings were normal. Oral prednisolone (50 mg/day with gradual tapering) alleviated both her symptoms and the

  9. Reduced First-Phase Ejection Fraction and Sustained Myocardial Wall Stress in Hypertensive Patients With Diastolic Dysfunction

    PubMed Central

    Gu, Haotian; Li, Ye; Fok, Henry; Simpson, John; Kentish, Jonathan C.; Shah, Ajay M.

    2017-01-01

    Impaired shortening deactivation of cardiac myocytes could sustain myocardial contraction, preserving ejection fraction at the expense of diastolic dysfunction. We examined the relationship between first-phase ejection fraction (EF1), the fraction of left ventricular volume ejected from the start of systole to the time of the first peak in left ventricular pressure (corresponding to the time of maximal ventricular shortening) to the duration of myocardial contraction and diastolic function in patients with hypertension (n=163), and varying degrees of diastolic dysfunction. Left ventricular systolic pressure was estimated by carotid tonometry; time-resolved left ventricular cavity and wall volume were obtained by echocardiography with speckle wall tracking. Measurements were repeated after nitroglycerin, a drug known to influence ventricular dynamics, in a subsample (n=18) of patients. EF1 and time of onset of ventricular relaxation (as determined from the temporal pattern of myocardial wall stress) were independently correlated with diastolic relaxation as measured by tissue Doppler early diastolic mitral annular velocity (E′, standardized regression coefficients 0.48 and −0.34 for EF1 and time of onset of ventricular relaxation, respectively, each P<0.001, irrespective of adjustment for age, sex, antihypertensive treatment, measures of afterload, and ventricular geometry) and with diastolic function measured by the ratio of transmitral Doppler early filling velocity (E) to E′ (E/E′, regression coefficients −0.34 and 0.34, respectively, each P<0.001). Nitroglycerin increased EF1, decreased time of onset of ventricular relaxation, and improved diastolic function (each P<0.05). Hypertensive patients with diastolic dysfunction exhibit reduced EF1 which may sustain myocardial contraction, preserving systolic ejection fraction at the expense of impaired diastolic function. PMID:28223475

  10. MAGNETOHYDRODYNAMIC MODELING FOR A FORMATION PROCESS OF CORONAL MASS EJECTIONS: INTERACTION BETWEEN AN EJECTING FLUX ROPE AND AN AMBIENT FIELD

    SciTech Connect

    Shiota, Daikou; Kusano, Kanya; Miyoshi, Takahiro; Shibata, Kazunari

    2010-08-01

    We performed a magnetohydrodynamic simulation of a formation process of coronal mass ejections (CMEs), focusing on the interaction (reconnection) between an ejecting flux rope and its ambient field. We examined three cases with different ambient fields: one had no ambient field, while the other two had dipole fields with opposite directions, parallel and anti-parallel to that of the flux rope surface. We found that while the flux rope disappears in the anti-parallel case, in the other cases the flux ropes can evolve to CMEs and show different amounts of flux rope rotation. The results imply that the interaction between an ejecting flux rope and its ambient field is an important process for determining CME formation and CME orientation, and also show that the amount and direction of the magnetic flux within the flux rope and the ambient field are key parameters for CME formation. The interaction (reconnection) plays a significant role in the rotation of the flux rope especially with a process similar to 'tilting instability' in a spheromak-type experiment of laboratory plasma.

  11. The effect of coronal mass ejections on the structure of the heliospheric current sheet

    NASA Technical Reports Server (NTRS)

    Zhao, Xuepu; Hoeksema, J. Todd

    1994-01-01

    The existence of a stable heliospheric current sheet (HCS) structure near solar cycle maximum was questioned since the recognition that coronal mass ejections (CME's) occur in coronal helmet streamers. Evidence is presented suggesting that pre-existing helmet streamers disrupted or blown out by CME's reform in a time interval much shorter than the life time of the HCS, and that the concept of the HCS has a meaning at any time of thesolar cycle. It appears that the HCS, the current layer that separates adjacent interplanetary magnetic field regions with opposite magnetic polarity, exists throughout the solar cycle, though not always as a thin disk-like sheet. The sheet may be thickened by embedded magnetic ropes formed by CME's, especially near sunspot maximum. The HCS may be used as timing mark in identifying or predicting CME's in the interplanetary medium.

  12. Deflections of Fast Coronal Mass Ejections and the Properties of Associated Solar Energetic Particle Events

    NASA Technical Reports Server (NTRS)

    Kahler, S. W.; Akiyama, S.; Gopalswamy, N.

    2012-01-01

    The onset times and peak intensities of solar energetic particle (SEP) events at Earth have long been thought to be influenced by the open magnetic fields of coronal holes (CHs). The original idea was that a CH lying between the solar SEP source region and the magnetic footpoint of the 1 AU observer would result in a delay in onset and/or a decrease in the peak intensity of that SEP event. Recently, Gopalswamy et al. showed that CHs near coronal mass ejection (CME) source regions can deflect fast CMEs from their expected trajectories in space, explaining the appearance of driverless shocks at 1 AU from CMEs ejected near solar central meridian (CM). This suggests that SEP events originating in CME-driven shocks may show variations attributable to CH deflections of the CME trajectories. Here, we use a CH magnetic force parameter to examine possible effects of CHs on the timing and intensities of 41 observed gradual E approx 20 MeV SEP events with CME source regions within 20 deg. of CM. We find no systematic CH effects on SEP event intensity profiles. Furthermore, we find no correlation between the CME leading-edge measured position angles and SEP event properties, suggesting that the widths of CME-driven shock sources of the SEPs are much larger than the CMEs. Independently of the SEP event properties, we do find evidence for significant CME deflections by CH fields in these events

  13. OBSERVATION OF HEATING BY FLARE-ACCELERATED ELECTRONS IN A SOLAR CORONAL MASS EJECTION

    SciTech Connect

    Glesener, Lindsay; Bain, Hazel M.; Krucker, Säm; Lin, Robert P.

    2013-12-20

    We report a Reuven Ramaty High Energy Solar Spectroscopic Imager (RHESSI) observation of flare-accelerated electrons in the core of a coronal mass ejection (CME) and examine their role in heating the CME. Previous CME observations have revealed remarkably high thermal energies that can far surpass the CME's kinetic energy. A joint observation by RHESSI and the Atmospheric Imaging Assembly of a partly occulted flare on 2010 November 3 allows us to test the hypothesis that this excess energy is collisionally deposited by flare-accelerated electrons. Extreme ultraviolet (EUV) images show an ejection forming the CME core and sheath, with isothermal multifilter analysis revealing temperatures of ∼11 MK in the core. RHESSI images reveal a large (∼100 × 50 arcsec{sup 2}) hard X-ray (HXR) source matching the location, shape, and evolution of the EUV plasma, indicating that the emerging CME is filled with flare-accelerated electrons. The time derivative of the EUV emission matches the HXR light curve (similar to the Neupert effect observed in soft and HXR time profiles), directly linking the CME temperature increase with the nonthermal electron energy loss, while HXR spectroscopy demonstrates that the nonthermal electrons contain enough energy to heat the CME. This is the most direct observation to date of flare-accelerated electrons heating a CME, emphasizing the close relationship of the two in solar eruptive events.

  14. Use of Sudden Ionospheric Disturbance Monitors to Detect Coronal Mass Ejections

    NASA Astrophysics Data System (ADS)

    Campagna, A.; Amador, J.; Marchese, A. K.; Espinosa, M.

    2015-12-01

    The purpose of this research is to study the effect of Earth directed coronal mass ejections (CMEs) on the ionosphere in 2011, and to see if sudden ionospheric disturbance (SID) monitors could be used to predict whether a CME was geoeffective. A CME is a cloud of highly energized particles ejected from the Sun. It is hypothesized that a strong CME will affect the ionosphere, and this might be observed in certain data sets. Data was taken from two SID monitors in Vienna receiving transmissions from Norway and France from February through July, 2011. This data was then analyzed relative to the kinetic energy of Earth directed CMEs that occurred during the same time period. The Earth directed CME data was taken from the Large Angle and Spectrometric Coronagraph (LASCO) device on NASA's Solar and Heliospheric Observatory (SOHO). A correlation was found between CME kinetic energy and SID energy, with the maximum correlation at a 6 day lag of the SID data. The 6 day delay accounts for the travel time for the CME to reach Earth. Though the impact of the CME on the ionosphere was observed retrospectively, the research indicates that CMEs may be identified using SID monitors alone.

  15. DEFLECTIONS OF FAST CORONAL MASS EJECTIONS AND THE PROPERTIES OF ASSOCIATED SOLAR ENERGETIC PARTICLE EVENTS

    SciTech Connect

    Kahler, S. W.; Akiyama, S.; Gopalswamy, N.

    2012-08-01

    The onset times and peak intensities of solar energetic particle (SEP) events at Earth have long been thought to be influenced by the open magnetic fields of coronal holes (CHs). The original idea was that a CH lying between the solar SEP source region and the magnetic footpoint of the 1 AU observer would result in a delay in onset and/or a decrease in the peak intensity of that SEP event. Recently, Gopalswamy et al. showed that CHs near coronal mass ejection (CME) source regions can deflect fast CMEs from their expected trajectories in space, explaining the appearance of driverless shocks at 1 AU from CMEs ejected near solar central meridian (CM). This suggests that SEP events originating in CME-driven shocks may show variations attributable to CH deflections of the CME trajectories. Here, we use a CH magnetic force parameter to examine possible effects of CHs on the timing and intensities of 41 observed gradual E {approx} 20 MeV SEP events with CME source regions within 20 Degree-Sign of CM. We find no systematic CH effects on SEP event intensity profiles. Furthermore, we find no correlation between the CME leading-edge measured position angles and SEP event properties, suggesting that the widths of CME-driven shock sources of the SEPs are much larger than the CMEs. Independently of the SEP event properties, we do find evidence for significant CME deflections by CH fields in these events.

  16. Assessment of Left Ventricular Pre-Ejection Period in the Fetus Using Simultaneous Magnetocardiography and Echocardiography

    PubMed Central

    Mensah-Brown, Nana Aba; Wakai, Ronald T.; Cheulkar, Bageshree; Srinivasan, Shardha; Strasburger, Janette F.

    2010-01-01

    Introduction Fetal magnetocardiography (fMCG) is a promising new technique for assessing fetal rhythm; however, no prior studies have utilized fMCG to evaluate human fetal electromechanical physiology. Pre-ejection period (PEP) is an important measure of the electromechanical activation of the heart, and is altered by disease states and arrhythmias. Materials and Methods A novel technique was used to assess fetal PEP and its relationship to other fetal systolic time intervals, RR interval, and gestational age (GA). 25 normal human fetuses between 19 and 38 weeks' gestation were studied using simultaneous pulsed Doppler ultrasound and fMCG. Correlations among PEP, ejection time, QRS width and RR interval were assessed using linear regression. Results Across all subjects, PEP was found to correlate with GA (R = 0.57, p < 0.0001), QRS width (R = 0.35, p = 0.026), and RR interval (R = 0.37, p = 0.018). In individual sessions, PEP negatively correlated beat-to-beat with the preceding RR interval. Conclusion PEP exhibits developmental trends that provide a better understanding of the normal development of the human fetal heart. PMID:20975278

  17. Brachial neuritis or Parsonage-Turner syndrome: A problem of liability. A presentation of 3 cases.

    PubMed

    Rodríguez-Hornillo, M; de la Riva, M C; Ojeda, R

    2016-01-01

    Neuralgic amyotrophy, brachial neuritis or Parsonage-Turner syndrome is a rare neuromuscular involvement of unknown aetiology. When it onsets in connection with a health care act, such as childbirth or surgery, a malpractice argument is often used as a cause of adverse outcome, usually due to an incorrect position of the patient on the operating table, a circumstance which directly involves the anesthesia area. Three cases are presented of Parsonage-Turner syndrome following very different surgery, with different results as regards prognosis. A review and discussion of bibliography is presented on the possibility that such circumstances are the subject of malpractice claims. Special emphasis is placed on the most currently accepted aetiopathogenic theories, and the relationship of this syndrome with the surgical act as a determining medico-legal aspect. Valuation parameters are proposed.

  18. Clinical Assessment of the Infant and Child Following Perinatal Brachial Plexus Injury

    PubMed Central

    Duff, Susan V.; DeMatteo, Carol

    2015-01-01

    STUDY DESIGN Literature review INTRODUCTION After perinatal brachial plexus injury (PBPI), clinicians play an important role in injury classification as well as the assessment of recovery and secondary conditions. Early assessment guides the initial plan of care and influences follow-up and long-term outcome. PURPOSE To review methods used to assess, classify and monitor the extent and influence of PBPI with an emphasis on guidelines for clinicians. METHODS We use The International Classification of Functioning, Disability, and Health (ICF) model to provide a guide to assessment after PBPI for rehabilitation clinicians. DISCUSSION With information gained from targeted assessments, clinicians can design interventions to increase the opportunities infants and children have for optimal recovery and to attain skills that allow participation in areas of interest. PMID:25840493

  19. Correlation between ankle brachial index and coronary artery disease severity in elderly Egyptians.

    PubMed

    Amer, Moatasem S; Tawfik, Heba Mohamed; Elmoteleb, Ayman M Abd; Maamoun, Manar M A

    2014-11-01

    We investigated the association between ankle brachial index (ABI) and coronary heart disease (CHD) severity in elderly Egyptians using different measures. We conducted a case-control study from November 2010 to June 2012 including 200 male and female patients with ischemia≥60 years who were divided into 100 cases and 100 controls according to ABI and redivided according to age. They underwent coronary angiography followed by ABI measurement using a hand-held Doppler. The CHD severity was estimated using the SYNTAX and Jeopardy scores and number of diseased vessels, which increased significantly in patients with peripheral artery disease (P<.001) for all. All 3 measures had strong negative correlation with ABI (P≤.001 for Jeopardy, <.001 for SYNTAX scores, and .004 for number of diseased vessels) and were correlated with each other. We concluded that ABI can reflect CHD severity in elderly Egyptians.

  20. [Brachial plexus compression from supraclavicular encapsulated fat necrosis. A case report].

    PubMed

    Domínguez-Páez, Miguel; de Miguel-Pueyo, Luis; Marín-Salido, Esteban José; Carrasco-Brenes, Antonio; Martín-Gallego, Alvaro; Arráez-Sánchez, Miguel Ángel

    2014-01-01

    We report the case of a 44-year-old male, lacking clinical history of previous illness, who had surgery at our hospital to treat a mass in the supraclavicular space. The patient presented with a 1-month progressive distal paresis of the left arm. The histo-pathological examination of the mass revealed an encapsulated fat necrosis. Fat necrosis is characterised by cystic architecture, encapsulation with fat necrosis within, and inflammatory infiltration of its walls. Neural structure compression secondary to this tumour mass is very rare. Fat necrosis is more frequent in the lower limbs, in areas exposed to trauma. This article is the first report of brachial plexus compression due to supraclavicular fat necrosis.

  1. Hypotensive bradycardic events during shoulder arthroscopic surgery under interscalene brachial plexus blocks

    PubMed Central

    Song, Seok Young

    2012-01-01

    Sudden, profound hypotensive and bradycardic events (HBEs) have been reported in more than 20% of patients undergoing shoulder arthroscopy in the sitting position. Although HBEs may be associated with the adverse effects of interscalene brachial plexus block (ISBPB) in the sitting position, the underlying mechanisms responsible for HBEs during the course of shoulder surgery are not well understood. The basic mechanisms of HBEs may be associated with the underlying mechanisms responsible for vasovagal syncope, carotid sinus hypersensitivity or orthostatic syncope. In this review, we discussed the possible mechanisms of HBEs during shoulder arthroscopic surgery, in the sitting position, under ISBPB. In particular, we focused on the relationship between HBEs and various types of syncopal reactions, the relationship between HBEs and the Bezold-Jarisch reflex, and the new contributing factors for the occurrence of HBEs, such as stellate ganglion block or the intraoperative administration of intravenous fentanyl. PMID:22474545

  2. Unrecognized high brachial artery bifurcation is associated with higher rate of dialysis access failure.

    PubMed

    Kirksey, Lee

    2011-01-01

    A thorough consideration of all factors contributing to successful dialysis access creation is necessary to achieve optimal outcomes. A high bifurcation of the brachial artery (brachioradial variant) occurs in greater than 20% of patients. Dialysis access was created in 22 limbs with this variant--15 fistula, and 7 prosthetic grafts. Nonmaturation occurred in 33% of fistula. Early thromboses occurred in 29% of prosthetic bridge grafts. In this experience, the brachioradial variant is associated with a relatively higher rate of fistula nonmaturation and prosthetic graft thromboses. These findings reinforce the critical role of preoperative imaging studies in dialysis access creation. A sound algorithm for the surgical management of the brachioradial variation facilitates decision making and will improve dialysis access outcomes.

  3. Radiological Imaging Findings of a Case with Vertebral Osteoid Osteoma Leading to Brachial Neuralgia

    PubMed Central

    Gokce, Erkan; Ayan, Erdoğan; Çelikyay, Fatih; Acu, Berat

    2013-01-01

    Osteoid osteoma is a small, benign osteoblastic tumor consisting of a highly vascularized nidus of connective tissue surrounded by sclerotic bone. Three-quarters of osteoid osteomas are located in the long bones, and only 7-12% in the vertebral column. The classical clinical presentation of spinal osteoid osteoma is that of painful scoliosis. Other clinical features include nerve root irritation and night pain. Osteoid osteoma has characteristic computed tomography (CT) findings. Because magnetic resonance imaging (MRI) findings of the osteoid osteomas causing intense perinidal edema can be confusing, these patients should be evaluated with clinical findings and other imaging techniques. In this study, we present X-ray, CT, and MRI findings of a case with osteoid osteoma located in thoracic 1 vertebra left lamina and transverse process junction leading to brachial neuralgia symptoms. PMID:24404413

  4. Multimodality imaging of peripheral neuropathies of the upper limb and brachial plexus.

    PubMed

    Linda, Dorota Dominika; Harish, Srinivasan; Stewart, Brian G; Finlay, Karen; Parasu, Naveen; Rebello, Ryan Paul

    2010-09-01

    The peripheral nerves of the upper limb are affected by a number of entrapment and compression neuropathies. These discrete syndromes involve the brachial plexus as well as the musculocutaneous, axillary, suprascapular, ulnar, radial, and median nerves. Clinical examination and electrophysiologic studies are the traditional mainstay of diagnostic work-up; however, ultrasonography and magnetic resonance imaging provide spatial information regarding the affected nerve and its surroundings, often assisting in narrowing the differential diagnosis and guiding treatment. Imaging is particularly valuable in complex cases with discrepant nerve function test results. Familiarity with the clinical features of various peripheral neuropathies of the upper extremity, the relevant anatomy, and the most common sites and causes of nerve entrapment assists in diagnosis and treatment.

  5. Attenuation of brain grey matter volume in brachial plexus injury patients.

    PubMed

    Lu, Yechen; Liu, Hanqiu; Hua, Xuyun; Xu, Jian-Guang; Gu, Yu-Dong; Shen, Yundong

    2016-01-01

    Brachial plexus injury (BPI) causes functional changes in the brain, but the structural changes resulting from BPI remain unknown. In this study, we compared grey matter volume between nine BPI patients and ten healthy controls by means of voxel-based morphometry. This was the first study of cortical morphology in BPI. We found that brain regions including the cerebellum, anterior cingulate cortex, bilateral inferior, medial, superior frontal lobe, and bilateral insula had less grey matter in BPI patients. Most of the affected brain regions of BPI patients are closely related to motor function. We speculate that the loss of grey matter in multiple regions might be the neural basis of the difficulties in the motor rehabilitation of BPI patients. The mapping result might provide new target regions for interventions of motor rehabilitation.

  6. Radiological imaging findings of a case with vertebral osteoid osteoma leading to brachial neuralgia.

    PubMed

    Gokce, Erkan; Ayan, Erdoğan; Celikyay, Fatih; Acu, Berat

    2013-01-01

    Osteoid osteoma is a small, benign osteoblastic tumor consisting of a highly vascularized nidus of connective tissue surrounded by sclerotic bone. Three-quarters of osteoid osteomas are located in the long bones, and only 7-12% in the vertebral column. The classical clinical presentation of spinal osteoid osteoma is that of painful scoliosis. Other clinical features include nerve root irritation and night pain. Osteoid osteoma has characteristic computed tomography (CT) findings. Because magnetic resonance imaging (MRI) findings of the osteoid osteomas causing intense perinidal edema can be confusing, these patients should be evaluated with clinical findings and other imaging techniques. In this study, we present X-ray, CT, and MRI findings of a case with osteoid osteoma located in thoracic 1 vertebra left lamina and transverse process junction leading to brachial neuralgia symptoms.

  7. Maximum Velocity of a Boulder Ejected From an Impact Crater Formed on a Regolith Covered Surface

    NASA Astrophysics Data System (ADS)

    Bart, G. D.; Melosh, H. J.

    2007-12-01

    We investigate the effect of regolith depth on boulder ejection velocity. A "boulder" refers to an apparently intact rock or rock fragment lying on a planetary surface, regardless of emplacement mechanism. Boulders appear in planetary images as positive relief features --- bright, sun-facing pixels adjacent to dark, shadowed pixels. We studied 12 lunar craters in high resolution (1~m) photographs from Lunar Orbiter III and V. Local regolith depth was measured using the method of small crater morphology. Ejection velocities of boulders were calculated assuming a ballistic trajectory to the final boulder location. A plot of regolith depth/crater diameter vs. maximum boulder ejection velocity shows that craters formed in deeper regolith (with respect to crater size) eject boulders at lower velocities. When ejection velocity (EjV) is in m/s, and regolith depth (Dr) and crater diameter (Dc) are in meters, the data fit the relation Dr / Dc = 1053 × EjVmax-2.823. To explain the data, we turn to impact cratering theory. An ejected particle will follow a streamline from its place of origin to its ejection point (the Z-model), and then follow a ballistic trajectory. Material ejected along more shallow streamlines is ejected at greater velocities. If shallow regolith covers the surface, the most shallow (greatest velocity) streamlines will travel only through the regolith. Boulders, however, must be ejected from the bedrock below the regolith. Thus, the boulder ejected with the greatest velocity originates just below the regolith, along the most shallow streamline through the bedrock. If the regolith is deeper, the most shallow streamline through the bedrock will be deeper, and the maximum velocity of an ejected boulder will be lower. Hence, the regolith depth and maximum ejection velocity of a boulder are correlated: greater boulder ejection velocities correspond to thinner regolith. We observe this correlation in the data.

  8. Extended Long-Term (5 Years) Outcomes of Triangle Tilt Surgery in Obstetric Brachial Plexus Injury

    PubMed Central

    Nath, Rahul K; Somasundaram, Chandra

    2013-01-01

    Objective: We evaluated the "extended" long-term (5 years) functional outcomes in obstetric brachial plexus injury (OBPI) patients, who underwent triangle tilt surgery between February 2005 and January 2008. Methods: Twenty two children (9 girls and 13 boys, mean age at surgery was 5.8 years; ranging 2.1-11.8 years old), who initially presented with medial rotation contracture and scapula deformity secondary to obstetric brachial plexus injury were included in this study. Functional movements were evaluated pre-operatively, and 5 years following triangle tilt surgery by modified Mallet scale. Results: Here, we report long-term (5 years) follow-up of triangle tilt surgery for 22 OBPI patients. Upper extremity functional movements such as, external rotation (2.5±0.6 to 4.1±0.8, p<0.0001), hand-to-spine (2.6±0.6 to 3.4±1.1, p<0.005), hand-to-neck (2.7±0.7 to 4.3±0.7, p<0.0001), hand-to-mouth (2.3±0.9 (92º±33) to 4.2±0.5 (21º±16), p<0.0001), and supination (2.6±1.1 (-8.2º ±51) to 4.1±0.7 (61±32)) were significantly improved (p<0.0001), and maintained over the extended long-term (5 years). Total modified Mallet functional score was also shown to improve from 14.1±2.7 to 20.3±2.5. Conclusions: The triangle tilt surgery improved all shoulder functions significantly, and maintained over the extended long-term (5 years) in these patients. PMID:23730369

  9. Associations of Depressive Symptoms and Brachial Artery Reactivity among Police Officers

    PubMed Central

    Charles, Luenda E; Gu, Ja K; Burchfiel, Cecil M; Andrew, Michael E; Joseph, Parveen N; Dorn, Joan M

    2013-01-01

    Objectives Mental health has been shown to be linked with certain underlying physiological mechanisms. The objective of this cross sectional study was to investigate the relationship between depressive symptoms and brachial artery reactivity (BAR) in an understudied population: police officers. Methods Participants were 351 police officers who were clinically examined in the Buffalo Cardio-Metabolic Police Stress (BCOPS) study. BAR was performed using standard B-Mode ultrasound procedures. Depressive symptoms were measured using the Center for Epidemiological Studies Depression (CES-D) scale. Mean values of the difference between the baseline and maximum diameters of the brachial artery were determined across three categories of CES-D score using the analysis of variance and the analysis of covariance. p-values for linear trends were obtained from linear regression models. Results The mean age (± standard deviation) of all officers was 40.9 ± 7.2 years. Women had a slightly higher mean CES-D score than men (8.9 ± 8.9 vs. 7.4 ± 6.4) and a slightly higher percentage increase of BAR than men (6.90 vs. 5.26%). Smoking status significantly modified the associations between depressive symptoms and BAR. Among current smokers, mean absolute values of BAR significantly decreased as depressive symptoms increased after adjustment for age, gender, race/ethnicity, hypertension, and diabetes; the multivariate-adjusted p-values were 0.033 (absolute) and 0.040 (%). Associations between depressive symptoms and BAR were not statistically significant among former smokers or never smokers. Conclusion Depressive symptoms were inversely associated with BAR among police officers who were current smokers and together may be considered a risk factor for cardiovascular disease among police officers. Further prospective research is warranted. PMID:23516114

  10. Polycyclic aromatic hydrocarbons, brachial artery distensibility and blood pressure among children residing near an oil refinery

    PubMed Central

    Trasande, Leonardo; Urbina, Elaine M.; Khoder, Mamdouh; Alghamdi, Mansour; Shabaj, Ibrahim; Alam, Mohammed S.; Harrison, Roy M.; Shamy, Magdy

    2017-01-01

    Background Polycyclic aromatic hydrocarbons (PAH) are produced by the burning and processing of fuel oils, and have been associated with oxidant stress, insulin resistance and hypertension in adults. Few studies have examined whether adolescents are susceptible to cardiovascular effects of PAHs. Objective To study associations of PAH exposure with blood pressure (BP) and brachial artery distensibility (BAD), an early marker of arterial wall stiffness, in young boys attending three schools in Jeddah, Saudi Arabia in varying proximity to an oil refinery. Methods Air samples collected from the three schools were analyzed for PAHs. PAH metabolites (total hydroxyphenanthrenes and 1-hydroxypyrene) were measured in urine samples from 184 adolescent males, in whom anthropometrics, heart rate, pulse pressure, brachial artery distensibility and blood pressure were measured. Descriptive, bivariate and multivariable analyses were performed to assess relationships of school location and urinary PAH metabolites with cardiovascular measures. Results Total suspended matter was significantly higher (444 ± 143 µg/m3) at the school near the refinery compared to a school located near a ring road (395 ± 65 µg/m3) and a school located away from vehicle traffic (232 ± 137 µg/m3), as were PAHs. Systolic (0.47 SD units, p = 0.006) and diastolic (0.53 SD units, p < 0.001) BP Z-scores were highest at the school near the refinery, with a 4.36-fold increase in prehypertension (p = 0.001), controlling for confounders. No differences in pulse pressure, BAD and heart rate were noted in relationship to school location. Urinary total hydroxyphenanthrenes and 1-hydroxypyrene were not associated with cardiovascular outcomes. Conclusions Proximity to an oil refinery in Saudi Arabia is associated with prehypertension and increases in PAH and particulate matter exposures. Further study including insulin resistance measurements, better control for confounding, and longitudinal measurement is

  11. Characterizing Methods of Measuring Flow-Mediated Dilation in the Brachial Artery

    NASA Technical Reports Server (NTRS)

    Callender, Ariane R.

    2010-01-01

    Regulation of vascular tone is one of the many important functions of the vascular endothelium. Endothelial dysfunction is a critical early event in the pathogenesis of atherosclerosis and occurs in the absence of angiographic disease. Flow-Mediated Dilation (FMD) is a noninvasive technique commonly used to evaluate endothelium-dependent vasodilation in humans and gauge the health of the cardiovascular system. Reductions in brachial artery FMD have been strongly correlated with disease progression and are predictive of future cardiac events. The flow stimulus for brachial artery FMD occurs as a result of the increased shear stress following deflation of an occlusion cuff around the upper arm. Using 2-dimensional ultrasound, changes in arterial diameter up to 5-minutes following cuff deflation are calculated from baseline image measurements. Along with pulsed Doppler measures of flow velocity through the artery, flow-mediated, endothelium-dependent vasodilation can be assessed. There is debate among investigators, however, about the proper positioning of the occlusion cuff during FMD testing. It is thought that placement of the cuff around the upper arm may not accurately reflect the impact of nitric oxide, a critically important molecule released as a result of the increased shear stress created by the FMD technique. Data suggest that the production of other endogenous metabolites may also contribute to FMD-related changes when positioning the cuff around the upper arm. To overcome the potential influence of such molecules, researchers now suggest that the occlusion cuff be placed below the elbow allowing a more precise estimate of nitric oxide mediated dilation. The purpose of this study is to compare the differences in FMD between the two methodologies of occlusion cuff placement. In addition, this study will determine the method that is easier for ultrasound technicians to perform and will produce a low coefficient of variance between technicians. Ultimately

  12. Comparative evaluation of ropivacaine and ropivacaine with dexamethasone in supraclavicular brachial plexus block for postoperative analgesia

    PubMed Central

    Kumar, Santosh; Palaria, Urmila; Sinha, Ajay K.; Punera, D. C.; Pandey, Vijita

    2014-01-01

    Background: Mixing of various adjuvants has been tried with local anesthetics in an attempt to prolong anesthesia from peripheral nerve blocks but have met with inconclusive success. More recent studies indicate that 8 mg dexamethasone added to perineural local anesthetic injections augment the duration of peripheral nerve block analgesia. Aims: Evaluating the hypothesis that adding dexamethasone to ropivacaine significantly prolongs the duration of analgesia in supraclavicular brachial plexus block compared with ropivacaine alone. Patients and Methods: It was a randomized, prospective, and double-blind clinical trial. Eighty patients of ASA I and II of either sex, aged 16-60 years, undergoing elective upper limb surgeries were equally divided into two groups and given supraclavicular nerve block. Group R patients (n = 40) received 30 ml of 0.5% ropivacaine with distilled water (2 ml)-control group whereas Group D patients (n = 40) received 30 ml of 0.5% ropivacaine with 8 mg dexamethasone (2 ml)-study group. The primary outcome was measured as duration of analgesia that was defined as the interval between the onset of sensory block and the first request for analgesia by the patient. The secondary outcome included maximum visual analogue scale (VAS), total analgesia consumption, surgeon satisfaction, and side effects. Results: Group R patients required first rescue analgesia earlier (557 ± 58.99 min) than those of Group D patients (1179.4 ± 108.60 min), which was found statistically significant in Group D (P < 0.000). The total dose of rescue analgesia was higher in Group R as compared to Group D, which was statistically significant (P < 0.00). Conclusion: Addition of dexamethasone (8 mg) to ropivacaine in supraclavicular brachial plexus approach significantly and safely prolongs motor blockade and postoperative analgesia (sensory) that lasted much longer than that produced by local anesthetic alone. PMID:25886227

  13. Brachial artery peak velocity variation to predict fluid responsiveness in mechanically ventilated patients

    PubMed Central

    2009-01-01

    Introduction Although several parameters have been proposed to predict the hemodynamic response to fluid expansion in critically ill patients, most of them are invasive or require the use of special monitoring devices. The aim of this study is to determine whether noninvasive evaluation of respiratory variation of brachial artery peak velocity flow measured using Doppler ultrasound could predict fluid responsiveness in mechanically ventilated patients. Methods We conducted a prospective clinical research in a 17-bed multidisciplinary ICU and included 38 mechanically ventilated patients for whom fluid administration was planned due to the presence of acute circulatory failure. Volume expansion (VE) was performed with 500 mL of a synthetic colloid. Patients were classified as responders if stroke volume index (SVi) increased ≥ 15% after VE. The respiratory variation in Vpeakbrach (ΔVpeakbrach) was calculated as the difference between maximum and minimum values of Vpeakbrach over a single respiratory cycle, divided by the mean of the two values and expressed as a percentage. Radial arterial pressure variation (ΔPPrad) and stroke volume variation measured using the FloTrac/Vigileo system (ΔSVVigileo), were also calculated. Results VE increased SVi by ≥ 15% in 19 patients (responders). At baseline, ΔVpeakbrach, ΔPPrad and ΔSVVigileo were significantly higher in responder than nonresponder patients [14 vs 8%; 18 vs. 5%; 13 vs 8%; P < 0.0001, respectively). A ΔVpeakbrach value >10% predicted fluid responsiveness with a sensitivity of 74% and a specificity of 95%. A ΔPPrad value >10% and a ΔSVVigileo >11% predicted volume responsiveness with a sensitivity of 95% and 79%, and a specificity of 95% and 89%, respectively. Conclusions Respiratory variations in brachial artery peak velocity could be a feasible tool for the noninvasive assessment of fluid responsiveness in patients with mechanical ventilatory support and acute circulatory failure. Trial Registration

  14. Impaired handgrip exercise-induced brachial artery flow-mediated dilation in young obese males.

    PubMed

    Slattery, David J; Stuckless, Troy J R; King, Trevor J; Pyke, Kyra E

    2016-05-01

    Flow mediated dilation (FMD) stimulated by different shear stress stimulus profiles may recruit distinct transduction mechanisms, and provide distinct information regarding endothelial function. The purpose of this study was to determine whether obesity influences brachial artery FMD differently depending on the shear stress profile used for FMD assessment. The FMD response to a brief, intermediate, and sustained shear stress profile was assessed in obese (n = 9) and lean (n = 19) young men as follows: brief stimulus, standard reactive hyperemia (RH) following a 5 min forearm occlusion (5 min RH); intermediate stimulus, RH following a 15 min forearm occlusion (15 min RH); sustained stimulus, 10 min of handgrip exercise (HGEX). Brachial artery diameter and mean shear stress were assessed using echo and Doppler ultrasound, respectively, during each FMD test. There was no group difference in HGEX shear stress (p = 0.390); however, the obese group had a lower HGEX-FMD (5.2 ± 3.0% versus 11.5 ± 4.4%, p < 0.001). There was no group difference in 5 min RH-FMD (p = 0.466) or 15 min RH-FMD (p = 0.181); however, the shear stress stimulus was larger in the obese group. After normalization to the stimulus the 15 min RH-FMD (p = 0.002), but not the 5 min RH-FMD (p = 0.118) was lower in the obese group. These data suggest that obesity may have a more pronounced impact on the endothelium's ability to respond to prolonged increases in shear stress.

  15. Observation on the Radio Telescope Uran-4 Of Radio Sources, Connected with the Coronal Mass Ejection on the Sun

    NASA Astrophysics Data System (ADS)

    Galanin, V. V.; Derevjagin, V. G.; Kravetz, R. O.

    In 2012 and 2013 the observations of radio sources covering by the solar corona was conducted on the radio telescope URAN-4. In obtained data there was fixed the records of the strong radio sources, which had flow level comparable with the 3c461 source. As a result of information analysis from miscellaneous observatories about the solar activity conditions there is done the conclusion that they are connected with the coronal mass ejections which was took place that time.

  16. Reconnection in the lower solar atmosphere and coronal mass ejections

    NASA Astrophysics Data System (ADS)

    Wang, Jingxiu

    2006-01-01

    In 1985, a phenomenon in the solar photosphere, called magnetic flux cancellation, was first described in detail by Livi et al. (1985) [The cancellation of magnetic flux. I On the quiet sun, Aust. J. Phys. 38, 855 873, 1985] and Martin et al. (1985) [The cancellation of magnetic flux. II In a decaying active region, Aust. J. Phys. 38, 929 959, 1985]. Since then, it has been revealed that flux cancellation is intrinsically correlated to most, if not all, types of solar activity, such as flare, filament formation and eruption, and ubiquitous small-scale activity, e.g., X-ray bright point, explosive event, mini-filament eruption and so on. Only recently, it was discovered that flux cancellation appeared to be a key part of magnetic evolution leading to the initiation of coronal mass ejections (CMEs) [Zhang et al., Magnetic flux cancellation associated withthe major solar event on 2000 July 14. Astrophys. J. 548, L99 102, 2001; Zhang et al., 2001b. Filament-associated halo coronal mass ejection, Chin. J. Astron. Astrophys., 1, 85 98, 2001; Zhang and Wang, Filament eruptions and halo coronal mass ejections, Astrophys. J. 554, 474 487, 2001]. On the other hand, the nature of flux cancellation has been a topic of persistent interest and debate. We review the observational properties of magnetic flux cancellation and the relevant theoretical studies, describe the vector magnetic field changes in flux cancellation in CME-associated active regions (ARs), and demonstrate that the well-observed flux cancellations fit nicely the scenario of magnetic reconnection in the lower solar atmosphere. It is suggested that magnetic reconnection in the lower solar atmosphere is a ubiquitous process on the Sun. It is a key element in the magnetic evolution of CMEs.

  17. Solwind observations of coronal mass ejections during 1979-1985

    NASA Technical Reports Server (NTRS)

    Sheeley, N. R., Jr.; Howard, R. A.; Koomen, M. J.; Michels, D. J.

    1986-01-01

    Coronal observations have been processed for parts of each year during the interval 1979-1985. Around sunspot maximum, coronal mass ejections (CMEs) occurred at the rate of approximately 2 per day, and had a wide range of physical and morphological properties. During the recent years of relatively low sunspot number, CMEs occurred at the rate of only 0.2 per day, and were dominated by the class of so-called streamer blowout. These special CMEs maintained a nearly constant occurrence rate of roughly 0.1 per day during the entire interval.

  18. Flux-Rope Structure of Coronal Mass Ejections

    NASA Technical Reports Server (NTRS)

    Gopalswamy, N.; Nieves-Chinchilla, T.; Hidalgo, M.; Zhang, J.; Riley, P.; van Driel-Gesztelyi, L.; Mandrini, C. H.

    2013-01-01

    This Topical Issue (TI) of Solar Physics, devoted to the study of flux-rope structure in coronal mass ejections (CMEs), is based on two Coordinated Data Analysis Workshops (CDAWs) held in 2010 (20-23 September in Dan Diego, California, USA) and 2011 (5-9 September in Alcala, Spain). The primary purpose of the CDAWs was to address the question whether all CMEs have a flux rope structure. Each CDAW was attended by about 50 scientists interested in the origin, propagation, and interplanetary manifestation of CME phenomena.

  19. The Solar Mass Ejection Imager (SMEI) Space Experiment

    DTIC Science & Technology

    2015-01-30

    SoloHI for Solar Orbiter [84] and WISPR for Solar Probe Plus [85]) that are scheduled for launch near the end of the decade. In addition, other more...Halain, J- P., and Lamy, P. L., “The Solar and Heliospheric Imager (SoloHI) Instrument for the Solar Orbiter Mission,” Proc. SPIE, 8862, Sep 2013...AFRL-RV-PS- AFRL-RV-PS- TR-2014-0197 TR-2014-0197 THE SOLAR MASS EJECTION IMAGER (SMEI) SPACE EXPERIMENT Richard R. Radick 30 January 2015

  20. Associations between coronal mass ejections and solar energetic proton events

    NASA Technical Reports Server (NTRS)

    Kahler, S. W.; Sheeley, N. R., Jr.; Howard, R. A.; Michels, D. J.; Koomen, M. J.; Mcguire, R. E.; Von Rosenvinge, T. T.; Reames, D. V.

    1984-01-01

    A comparison between proton events and coronal mass ejections (CMEs) based on nearly three years of observations around the recent maximum of solar activity is presented. Peak proton fluxes are found to correlate with both the speeds and the angular sizes of the associated CMEs. It is shown that CME speeds do not significantly correlate with CME angular sizes, so that peak proton fluxes are correlated with two independent CME parameters. With larger angular sizes, CMEs are more likely to be loops and fans rather than jets and spikes and are more likely to intersect the ecliptic.

  1. Exercise physiology in heart failure and preserved ejection fraction.

    PubMed

    Haykowsky, Mark J; Kitzman, Dalane W

    2014-07-01

    Recent advances in the pathophysiology of exercise intolerance in patients with heart failure with preserved ejection fraction (HFPEF) suggest that noncardiac peripheral factors contribute to the reduced peak V(o2) (peak exercise oxygen uptake) and to its improvement after endurance exercise training. A greater understanding of the peripheral skeletal muscle vascular adaptations that occur with physical conditioning may allow for tailored exercise rehabilitation programs. The identification of specific mechanisms that improve whole body and peripheral skeletal muscle oxygen uptake could establish potential therapeutic targets for medical therapies and a means to follow therapeutic response.

  2. Degeneracy effects of neutrino mass ejection in supernovae

    NASA Technical Reports Server (NTRS)

    Mazurek, T. J.

    1974-01-01

    A neutrino mechanism is discussed in order to explain supernovae in massive stars. An argument is presented for supernova mass ejection through leptonic neutrino transport characteristics suppressed by the arbitrary zero chemical potential condition. Results show that lepton conservation effects may be important in supernova neutrino transport. At low temperature and density the diffusion approximation becomes less precise because of the long mean free paths of low energy neutrinos. The amount of equilibrium neutrino spectrum affected here is small over most of the collapsing supernova structure.

  3. The Expansion and Radial Speeds of Coronal Mass Ejections

    NASA Astrophysics Data System (ADS)

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

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

  4. COMPREHENSIVE ANALYSIS OF CORONAL MASS EJECTION MASS AND ENERGY PROPERTIES OVER A FULL SOLAR CYCLE

    SciTech Connect

    Vourlidas, A.; Howard, R. A.; Esfandiari, E.; Patsourakos, S.; Yashiro, S.; Michalek, G.

    2010-10-20

    The LASCO coronagraphs, in continuous operation since 1995, have observed the evolution of the solar corona and coronal mass ejections (CMEs) over a full solar cycle with high-quality images and regular cadence. This is the first time that such a data set becomes available and constitutes a unique resource for the study of CMEs. In this paper, we present a comprehensive investigation of the solar cycle dependence on the CME mass and energy over a full solar cycle (1996-2009) including the first in-depth discussion of the mass and energy analysis methods and their associated errors. Our analysis provides several results worthy of further studies. It demonstrates the possible existence of two event classes: 'normal' CMEs reaching constant mass for >10 R{sub sun} and {sup p}seudo{sup -}CMEs which disappear in the C3 field of view. It shows that the mass and energy properties of CME reach constant levels and therefore should be measured only above {approx}10 R{sub sun}. The mass density (g/R {sup 2}{sub sun}) of CMEs varies relatively little (< order of magnitude) suggesting that the majority of the mass originates from a small range in coronal heights. We find a sudden reduction in the CME mass in mid-2003 which may be related to a change in the electron content of the large-scale corona and we uncover the presence of a 6 month periodicity in the ejected mass from 2003 onward.

  5. On the autonomous detection of coronal mass ejections in heliospheric imager data

    NASA Astrophysics Data System (ADS)

    Tappin, S. J.; Howard, T. A.; Hampson, M. M.; Thompson, R. N.; Burns, C. E.

    2012-05-01

    We report on the development of an Automatic Coronal Mass Ejection (CME) Detection tool (AICMED) for the Solar Mass Ejection Imager (SMEI). CMEs observed with heliospheric imagers are much more difficult to detect than those observed by coronagraphs as they have a lower contrast compared with the background light, have a larger range of intensity variation and are easily confused with other transient activity. CMEs appear in SMEI images as very faint often-fragmented arcs amongst a much brighter and often variable background. AICMED operates along the same lines as Computer Aided CME Tracking (CACTus), using the Hough Transform on elongation-time J-maps to extract straight lines from the data set. We compare AICMED results with manually measured CMEs on almost three years of data from early in SMEI operations. AICMED identified 83 verifiable events. Of these 46 could be matched with manually identified events, the majority of the non-detections can be explained. The remaining 37 AICMED events were newly discovered CMEs. The proportion of false identification was high, at 71% of the autonomously detected events. We find that AICMED is very effective as a region of interest highlighter, and is a promising first step in autonomous heliospheric imager CME detection, but the SMEI data are too noisy for the tool to be completely automated.

  6. Puddle jumping: Spontaneous ejection of large liquid droplets from hydrophobic surfaces during drop tower tests

    NASA Astrophysics Data System (ADS)

    Attari, B.; Weislogel, M.; Wollman, A.; Chen, Y.; Snyder, T.

    2016-10-01

    Large droplets and puddles jump spontaneously from sufficiently hydrophobic surfaces during routine drop tower tests. The simple low-cost passive mechanism can in turn be used as an experimental device to investigate dynamic droplet phenomena for drops up to 104 times larger than their normal terrestrial counterparts. We provide and/or confirm quick and qualitative design guides for such "drop shooters" as employed in drop tower tests including relationships to predict droplet ejection durations and velocities as functions of drop volume, surface texture, surface contour, wettability pattern, and fluid properties including contact angle. The latter is determined via profile image comparisons with numerical equilibrium interface computations. Water drop volumes of 0.04-400 ml at ejection speeds of -0.007-0.12 m/s are demonstrated herein. A sample application of the drop jump method is made to the classic problem of low-gravity phase change heat transfer for large impinging drops. Many other candidate problems might be identified by the reader.

  7. The luminous red nova M101-OT2015-1: a candidate for common envelope ejection

    NASA Astrophysics Data System (ADS)

    Blagorodnova, Nadejda; Kasliwal, Mansi M.; Kotak, Rubina

    2017-01-01

    Binary interaction is an important phase in the study of stellar evolution. Approximately 50% of O star population live in close binary systems as to allow interaction with the companion. Although massive binary progenitors have been associated with thermonuclear supernovae, stripped core collapse supernovae, cataclysmic variables, X-ray binaries, or the mind blowing massive binary black holes recently detected by LIGO, the exact evolutionary path followed by the system is still under debate. One of the critical phases is the common envelope (CE) phase, required to bring a long period binary into a much shorter orbit. Currently, this phase also represents a challenge for the current stellar evolution models. Given the uncertainty, observational constraints are valuable input to advance in this field. One particular class of transient objects, called Luminous Red Novae (LRNe), has been associated with the termination of the CE phase, when a total or partial ejection of the least bound layers of the primary star are expelled at the expense of decreasing the orbital energy of the system. In my talk I will discuss the results of 16 years of observations of M101-OT2015-1, a LRN in M101 galaxy. I will describe the progenitor star (system) and the main characteristics of the outburst. Finally, I will present the results of the evolution of its remnant in infrared wavelengths. Given the long time span of our observations, this event represents one of the best studied CE ejection candidate at extragalactic distances.

  8. Solar Radio Emission as a Prediction Technique for Coronal Mass Ejections' registration

    NASA Astrophysics Data System (ADS)

    Sheiner, Olga; Fridman, Vladimir

    2016-07-01

    The concept of solar Coronal Mass Ejections (CMEs) as global phenomenon of solar activity caused by the global magnetohydrodynamic processes is considered commonly accepted. These processes occur in different ranges of emission, primarily in the optical and the microwave emission being generated near the surface of the sun from a total of several thousand kilometers. The usage of radio-astronomical data for CMEs prediction is convenient and promising. Actually, spectral measurements of solar radio emission cover all heights of solar atmosphere, sensitivity and accuracy of measurements make it possible to record even small energy changes. Registration of the radio emission is provided by virtually all-weather ground-based observations, and there is the relative cheapness to obtain the corresponding information due to a developed system of monitoring observations. On the large statistical material there are established regularities of the existence of sporadic radio emission at the initial stage of CMEs' formation and propagation in the lower layers of the solar atmosphere during the time interval from 2-3 days to 2 hours before registration of CMEs on coronagraph. In this report we present the prediction algorithm and scheme of short-term forecasting developed on the base of statistical analysis regularities of solar radio emission data prior to "isolated" solar Coronal Mass Ejections registered in 1998, 2003, 2009-2013.

  9. Numerical study of the propagation characteristics of coronal mass ejections in a structured ambient solar wind

    NASA Astrophysics Data System (ADS)

    Zhou, Yufen; Feng, Xueshang

    2017-02-01

    Using a three-dimensional (3-D) magnetohydrodynamics (MHD) model, we analyze and study the propagation characteristics of coronal mass ejections (CMEs) launched at different positions in a realistic structured ambient solar wind. Here the ambient solar wind structure during the Carrington rotation 2095 is selected, which is the characteristics of activity rising phase. CMEs with a simple spherical plasmoid structure are initiated at different solar latitudes with respect to the heliospheric current sheet (HCS) and the Earth in the same ambient solar wind. Then, we numerically obtained the evolution process of the CMEs from the Sun to the interplanetary space. When the Earth and the CME launch position are located on the same side of the HCS, the arrival time of the shock at the Earth is faster than that when the Earth and the CME launch position are located on the opposite side of the HCS. The disturbance amplitudes for the same side event are also larger than those for the opposite side event. This may be due to the fact that the HCS between the CME and the Earth for the opposite side event hinders its propagation and weaken it. The CMEs tend to deflect toward the HCS in the latitudinal direction near the corona and then propagate almost parallel to the HCS in the interplanetary space. This deflecting tendency may be caused by the dynamic action of near-Sun magnetic pressure gradient force on the ejected coronal plasma.

  10. Coronal Mass Ejections: a Summary of Recent Results

    NASA Technical Reports Server (NTRS)

    Gopalswamy, Nat; Davila, J. M.

    2010-01-01

    Coronal mass ejections (CMEs) have been recognized as the most energetic phenomenon in the heliosphere, deriving their energy from the stressed magnetic fields on the Sun. This paper highlights some of the recent results on CMEs obtained from the Solar and Heliospheric Observatory (SOHO) and the Solar Terrestrial Relations Observatory (STEREO) missions. The summary of the talk follows. SOHO observations revealed that the CME rate is almost a factor of two larger than previously thought and varied with the solar activity cycle in a complex way (e.g., high-latitude CMEs occurred in great abundance during the solar maximum years). CMEs were found to interact with other CMEs as well as with other large-scale structures (coronal holes), resulting in deflections and additional particle acceleration. STEREO observations have confirmed the three-dimensional nature of CMEs and the shocks surrounding them. The EUV signatures (flare arcades, corona) dimming, filament eruption, and EUV waves) associated with CMEs have become vital in the identification of solar sources from which CMEs erupt. CMEs with speeds exceeding the characteristic speeds of the corona and the interplanetary medium drive shocks, which produce type II radio bursts. The wavelength range of type II bursts depends on the CME kinetic energy: type II bursts with emission components at all wavelengths (metric to kilometric) are due to CMEs of the highest kinetic energy. Some CMEs, as fast as 1600 km/s do not produce type II bursts, while slow CMEs (400 km/s) occasionally produce type II bursts. These observations can be explained as the variation in the ambient flow speed (solar wind) and the Alfven speed. Not all CME-driven shocks produce type II bursts because either they are subcritical or do not have the appropriate geometry. The same shocks that produce type II bursts also produce solar energetic particles (SEPs), whose release near the Sun seems to be delayed with respect to the onset of type II bursts

  11. Anomalous high-velocity outbursts ejected from the surface of tungsten microdroplets in a flow of argon-air plasma

    NASA Astrophysics Data System (ADS)

    Gulyaev, I. P.; Dolmatov, A. V.; Gulyaev, P. Yu; Iordan, V. I.; Kharlamov, M. Yu; Krivtsun, I. V.

    2016-02-01

    For the first time, a phenomenon of high-velocity outbursts ejected from the surface of liquid tungsten microparticles in a flow of argon-air plasma under atmospheric pressure was observed. As tungsten particles sized 50 to 200 μm moved in a plasma flow, stratified radiating spheres up to 9 mm in diameter formed around such particles. The spheres were sources of high-velocity outbursts whose ejection direction coincided with the direction of the plasma flow. The velocity of the anomalous outbursts amounted to 3-20 km/s. In the outburst images, the distribution of glow intensity along outburst tracks exhibited a wavy decaying behavior with a wavelength of 5-15 mm. Possible physical factors that could be the cause of the phenomenon are discussed.

  12. Initiation of Coronal Mass Ejections by Tether-Cutting Reconnection

    NASA Technical Reports Server (NTRS)

    Moore, Ronald L.; Sterling, Alphonse C.; Falconer, David A.; Six, N. Frank (Technical Monitor)

    2002-01-01

    We present and interpret examples of the eruptive motion and flare brightening observed in the onset of magnetic explosions that produce coronal mass ejections. The observations are photospheric magnetograms and sequences of coronal and/or chromospheric images. In our examples, the explosion is apparently driven by the ejective eruption of a sigmoidal sheared-field flux rope from the core of an initially closed bipole. This eruption is initiated (triggered and unleashed) by reconnection located either (1) internally, low in the sheared core field, or (2) externally, at a magnetic null above the closed bipole. The internal reconnection is commonly called 'tether-cutting" reconnection, and the external reconnection is commonly called "break-out' reconnection. We point out that break-out reconnection amounts to external tether cutting. In one example, the eruptive motion of the sheared core field starts several minutes prior to any detectable brightening in the coronal images. We suggest that in this case the eruption is triggered by internal tether-cutting reconnection that at first is too slow and/or too localized to produce detectable heating in the coronal images. This work is supported by NASA's Office of Space Science through its Solar & Heliospheric Physics Supporting Research & Technology program and its Sun-Earth Connection Guest Investigator program.

  13. Active region helicity evolution and related coronal mass ejection activity.

    NASA Astrophysics Data System (ADS)

    Green, L.; Mandrini, C.; van Driel-Gesztelyi, L.; Demoulin, P.

    The computation of magnetic helicity has become increasingly important in the studies of solar activity. Observations of helical structures in the solar atmosphere, and their subsequent ejection into the interplanetary medium, have resulted in considerable interest to find the link between the amount of helicity in the coronal magnetic field and the origin of coronal mass ejections (CMEs). This is reinforced by theory which shows magnetic helicity to be a well preserved quantity (Berger, 1984), and so with a continued injection into the corona an endless accumulation will occur. CMEs therefore provide a natural method to remove helicity from the corona. Recent works (DeVore, 2000, Chae, 2001, Chae et al., 2001, Demoulin et al., 2002, Green et al., 2002) have endeavoured to find the source of helicity in the corona to explain the observed CME activity in specific cases. The main candidates being differential rotation, shear motions or a transfer of helicity from below the photosphere into the corona. In order to establish a confident relation between CMEs and helicity, these works needs to be expanded to include CME source regions with different characteristics. A study of a very different active region will be presented and the relationship between helicity content and CME activity will be discussed in the framework of the previous studies.

  14. Physical properties of erupting plasma associated with coronal mass ejections

    NASA Astrophysics Data System (ADS)

    Lee, J.; Raymond, J. C.; Reeves, K. K.; Moon, Y.; Kim, K.

    2013-12-01

    We investigate the physical properties (temperature, density, and mass) of erupting plasma observed in X-rays and EUV, which are all associated with coronal mass ejections observed by SOHO/LASCO. The erupting plasmas are observed as absorption or emission features in the low corona. The absorption feature provides a lower limit to the cold mass while the emission feature provides an upper limit to the mass of observed plasma in X-ray and EUV. We compare the mass constraints for each temperature response and find that the mass estimates in EUV and XRT are smaller than the total mass in the coronagraph. Several events were observed by a few passbands in the X-rays, which allows us to determine the temperature of the eruptive plasma using a filter ratio method. The temperature of one event is estimated at about 8.6 MK near the top of the erupting plasma. This measurement is possibly an average temperature for higher temperature plasma because the XRT is more sensitive at higher temperatures. In addition, a few events show that the absorption features of a prominence or a loop change to emission features with the beginning of their eruptions in all EUV wavelengths of SDO/AIA, which indicates the heating of the plasma. By estimating the physical properties of the erupting plasmas, we discuss the heating of the plasmas associated with coronal mass ejections in the low corona.

  15. The interval ejection fraction: a cineangiographic and radionuclide study

    SciTech Connect

    Kemper, A.J.; Bianco, J.A.; Shulman, R.M.; Folland, E.D.; Parisi, A.F.; Tow, D.E.

    1982-06-01

    To evaluate the clinical usefulness of the first-third ejection fraction (1/3 EF) for detecting patients with coronary artery disease (CAD), resting contrast ventriculography and first-pass radionuclide angiography with a high-count-rate, multicrystal camera system were performed in 47 subjects: 22 normal controls and 25 patients with clinically stable angina pectoris and severe CAD without and with resting wall motion abnormalities. By contrast angiography, only group 3 had depressed global EF or 1/3 EF compared with control. Whereas 11 of 25 CAD patients had global EF outside the normal range, only two of 25 had depressed 1/3 EF. Both had left ventricular asynergy and a depressed global EF. Studies performed using first-pass radionuclide angiography revealed similar results. A wide range of 1/3 EF values was found in normal subjects by both techniques. Thus, the ejection fraction during the first third of systole at rest is of limited value for detecting patients with CAD.

  16. Simulating the Fate of an Ionospheric Mass Ejection

    NASA Technical Reports Server (NTRS)

    Moore, Thomas E.; Fok, Mei-Ching H.; Shinker, Steven P.; Fedder Joel A.

    2008-01-01

    We report global ion kinetic (GIK) simulations of the 24-25 Sep 1988 storm, with all relevant ionospheric outflows including polar, auroral, and plasmaspheric winds. This storm included substantial periods of northward interplanetary magnetic field, but did develop a Dst of -200nT at its peak. The solar disturbance resulted from a coronal mass ejection that reached a peak dynamic pressure at the magnetosphere of 6.2 nPa, and produced a substantial enhancement of auroral wind oxygen outflow from the dayside, which has been termed an "ionospheric mass ejection" in an earlier paper. We use the LFM global simulation model to produce electric and magnetic fields in the outer magnetosphere, the Strangeway-Zheng outflow scalings with Delcourt ion trajectories to include ionospheric outflows, and the Fok-Obner inner magnetospheric model for the plasmaspheric and ring current response to all particle populations. We assess the combined contributions of heliospheric and geospheric plasmas to the ring current for this event.

  17. Analysis of bolus formation from the micropipette ejection systems

    NASA Astrophysics Data System (ADS)

    Meng, Diwen; Mirbod, Parisa

    2013-11-01

    Ejection of drugs from micropipettes has significant applications in biomedical research and clinical studies, however little is known about the dynamics of the process involved. The experimental results show that micropipette ejection systems operate in a tip Reynolds number (Ret). A series of experiments was performed from a micropipette to visualize the shape of the droplet. The observations led to the following conclusions: a) A nearly spherical bolus, closely corresponding to Sampson flow through a circular orifice, could be achieved provided at Ret <0.05 b) Pear-like bolus distortions are observed at a Ret as small as 0.1. (d) Large distortions are observed at Ret = 0.5 and (e) for Ret > 1 an axial jet develops. Consequently, the transition point between the flow domains represents an important operating point. In this research, laminar is demarcated from turbulent regime by studying the influence of the various material and process parameters on the transition point. Three-dimensional numerical simulations on bolus formation and growth with different tip diameter were investigated and the results were validated with the experimental observations. Effects of fluid physical properties, operation conditions and tip exit size on bolus behavior were also analyzed.

  18. Dynamical mass ejection from black hole-neutron star binaries

    NASA Astrophysics Data System (ADS)

    Kyutoku, Koutarou; Ioka, Kunihito; Okawa, Hirotada; Shibata, Masaru; Taniguchi, Keisuke

    2015-08-01

    We investigate properties of material ejected dynamically in the merger of black hole-neutron star binaries by numerical-relativity simulations. We systematically study the dependence of ejecta properties on the mass ratio of the binary, spin of the black hole, and equation of state of the neutron-star matter. Dynamical mass ejection is driven primarily by tidal torque, and the ejecta is much more anisotropic than that from binary neutron star mergers. In particular, the dynamical ejecta is concentrated around the orbital plane with a half opening angle of 10°-20° and often sweeps out only a half of the plane. The ejecta mass can be as large as ˜0.1 M⊙, and the velocity is subrelativistic with ˜0.2 - 0.3 c for typical cases. The ratio of the ejecta mass to the bound mass (disk and fallback components) is larger, and the ejecta velocity is larger, for larger values of the binary mass ratio, i.e., for larger values of the black-hole mass. The remnant black hole-disk system receives a kick velocity of O (100 ) km s-1 due to the ejecta linear momentum, and this easily dominates the kick velocity due to gravitational radiation. Structures of postmerger material, velocity distribution of the dynamical ejecta, fallback rates, and gravitational waves are also investigated. We also discuss the effect of ejecta anisotropy on electromagnetic counterparts, specifically a macronova/kilonova and synchrotron radio emission, developing analytic models.

  19. Non-Equilibrium Ionization Modeling of Coronal Mass Ejections

    NASA Astrophysics Data System (ADS)

    Rimple, Remington; Murphy, Nicholas Arnold; Shen, Chengcai

    2017-01-01

    Coronal Mass Ejections, or CMEs, are solar events that eject plasma and magnetic flux into interplanetary space. Contemporary sources have noted that the onset of CMEs are caused by some instability of the coronal magnetic field, and further allows heating of plasma upon expansion. Additionally, plasma that leaves the lower solar corona does not remain in ionization equilibrium due to the rapid expansion of plasma. We investigate the evolution of charge states of CME plasma using non-equilibrium ionization (NEI) modeling. These NEI models include radiative cooling and serve as baseline studies for special cases where no heat is being added to the plasma. Each of the simulated CMEs have initial conditions characteristic of active regions. Various function inputs, such as initial temperature, density and final velocity, allow us to examine the influence of certain parameters on the charge state evolution. The results of our project show that plasma originating from active regions display charge state evolutions substantially dependent on initial density and temperature. The CMEs starting with higher plasma density often show an abundance of lower charge states above the freeze-in height. Simulations starting from higher temperatures often show abundance peaks at charge states with closed electron shells.

  20. Ejection Fraction and ESPVR. A study from a theoretical perspective.

    PubMed

    Shoucri, Rachad M

    2013-01-01

    A formula derived by using large elastic deformation for the contraction of the myocardium is used to describe the pressure-volume relation (PVR) in the heart left ventricle, it is also used to calculate a mathematical expression for the non-linear end-systolic pressure-volume relation (ESPVR) in the left ventricle. An important feature of the mathematical formalism used is the inclusion of the isovolumic pressure Piso (equal active pressure generated by the myocardium) in the formalism describing the PVR. Relations between the ejection fraction (EF) and parameters describing the non-linear ESPVR are presented. It is shown that the non-linear ESPVR offers a rich collection of parameters that can be used to study the performance of the ventricles, like the areas under the ESPVR (units of energy) or the ordinates of the ESPVR (units of pressure), slopes and intercepts of the curves involved. The mathematical procedure can be easily implemented in a non-invasive way in routine clinical work when ratios of variables are calculated, it necessitates only the non-invasive measurement of the dimensions of the ventricles. Applications to clinical data published in the literature are presented, and they give results that show the consistency of the mathematical formalism used. The implications of the results of this research work on the study of the problem of heart failure with normal or preserved ejection fraction (HFpEF) are discussed.

  1. New Approach for Studying Slow Fragmentation Kinetics in FT-ICR: Surface-Induced Dissociation Combined with Resonant Ejection

    SciTech Connect

    Laskin, Julia; Futrell, Jean H.

    2015-02-01

    We introduce a new approach for studying the kinetics of large ion fragmentation in the gas phase by coupling surface-induced dissociation (SID) in a Fourier transform ion cyclotron resonance mass spectrometer with resonant ejection of selected fragment ions using a relatively short (5 ms) ejection pulse. The approach is demonstrated for singly protonated angiotensin III ions excited by collisions with a self-assembled monolayer of alkylthiol on gold (HSAM). The overall decomposition rate and rate constants of individual reaction channels are controlled by varying the kinetic energy of the precursor ion in a range of 65–95 eV. The kinetics of peptide fragmentation are probed by varying the delay time between resonant ejection and fragment ion detection at a constant total reaction time. RRKM modeling indicates that the shape of the kinetics plots is strongly affected by the shape and position of the energy deposition function (EDF) describing the internal energy distribution of the ion following ion-surface collision. Modeling of the kinetics data provides detailed information on the shape of the EDF and energy and entropy effects of individual reaction channels.

  2. The brachial plexus branches to the pectoral muscles in adult rats: morphological aspects and morphometric normative data.

    PubMed

    Riva, Nilo; Domi, Teuta; Lopez, Ignazio Diego; Triolo, Daniela; Fossaghi, Andrea; Dina, Giorgia; Podini, Paola; Comi, Giancarlo; Quattrini, Angelo

    2012-01-01

    Animal models provide an important tool to investigate the pathogenesis of neuromuscular disorders. In the present study, we analyze fiber composition of the brachial plexus branches to the pectoral muscles: the medial anterior thoracic nerve (MATN) and the lateral anterior thoracic nerve (LATN). The morphological and morphometric characteristics and the percentage of motor fibers within each nerve are here reported, adding information to microscopic anatomy knowledge of the rat brachial plexus. As control, we employed the quadriceps nerve, commonly used for the evaluation of motor fibers at hindlimbs. We demonstrated that the MATN and the LATN are predominantly composed of large motor fibers and therefore could be employed to evaluate the peripheral nervous system (PNS) involvement at forelimbs in neurological diseases models, predominantly affecting the motor fiber compartment.

  3. The brachial plexus branches to the pectoral muscles in adult rats: morphological aspects and morphometric normative data

    PubMed Central

    Riva, Nilo; Domi, Teuta; Lopez, Ignazio Diego; Triolo, Daniela; Fossaghi, Andrea; Dina, Giorgia; Podini, Paola; Comi, Giancarlo; Quattrini, Angelo

    2012-01-01

    Animal models provide an important tool to investigate the pathogenesis of neuromuscular disorders. In the present study, we analyze fiber composition of the brachial plexus branches to the pectoral muscles: the medial anterior thoracic nerve (MATN) and the lateral anterior thoracic nerve (LATN). The morphological and morphometric characteristics and the percentage of motor fibers within each nerve are here reported, adding information to microscopic anatomy knowledge of the rat brachial plexus. As control, we employed the quadriceps nerve, commonly used for the evaluation of motor fibers at hindlimbs. We demonstrated that the MATN and the LATN are predominantly composed of large motor fibers and therefore could be employed to evaluate the peripheral nervous system (PNS) involvement at forelimbs in neurological diseases models, predominantly affecting the motor fiber compartment. PMID:23087618

  4. Bilateral variations of brachial plexus involving the median nerve and lateral cord: An anatomical case study with clinical implications.

    PubMed

    Butz, James J; Shiwlochan, Devina G; Brown, Kevin C; Prasad, Alathady M; Murlimanju, Bukkambudhi V; Viswanath, Srikanteswara

    2014-01-01

    During the routine dissection of upper limbs of a Caucasian male cadaver, variations were observed in the brachial plexus. In the right extremity, the lateral cord was piercing the coracobrachialis muscle. The musculocutaneous nerve and lateral root of the median nerve were observed to be branching inferior to the lower attachment of coracobrachialis muscle. The left extremity exhibited the passage of the median nerve through the flat tendon of the coracobrachialis muscle near its distal insertion into the medial surface of the body of humerus. A variation in the course and branching of the nerve might lead to variant or dual innervation of a muscle and, if inappropriately compressed, could result in a distal neuropathy. Identification of these variants of brachial plexus plays an especially important role in both clinical diagnosis and surgical practice.

  5. Low Solar Wind Density Causing the Fast Coronal Mass Ejection from 23 July 2012

    NASA Astrophysics Data System (ADS)

    Nitta, N.; Temmer, M.

    2015-12-01

    The fast coronal mass ejection (CME) from July 23, 2012 raised special attention due to its short propagation time of less than 21hrs from Sun to 1 AU. In-situ data from STEREO-A revealed the arrival of a fast forward shock having a velocity of more than 2200 km/s followed by a magnetic structure with a speed of almost 1900 km/s. We study the evolution of the CME in interplanetary (IP) space using the drag based model to reproduce the short propagation time and high impact speed as derived from in-situ data. We find that the ambient density must have been exceptionally low due to which the drag force is reduced such that the CME experienced almost no deceleration. The density is found to be rather low due to the weak solar activity and was lowered even more by a previous CME event.

  6. Tracking Nonradial Motions and Azimuthal Expansions of Interplanetary CMEs with the Solar Mass Ejection Imager

    SciTech Connect

    Kahler, Stephen

    2010-03-25

    The trajectories of interplanetary CMEs (ICMEs) are modified by their interactions with solar wind streams. These interactions can result in non-radial deflections of ICME trajectories and changes to their rates of azimuthal expansion. The Solar Mass Ejection Imager (SMEI), launched earlier in 2003 January, has provided heliospheric images of several hundred ICMEs during the declining portion of solar cycle 23. We selected three SMEI ICMEs, each traversing a range of solar elongation angles epsilon>20 deg. , and measured the time changes of their leading-edge profiles plotted against position angle, PA. The parabolic fits to those profiles yielded the propagation directions of the ICMEs as well as their leading-edge curvatures and time profiles. The selected ICMEs were associated with LASCO CMEs, so we tracked the PA variations in their propagation over 1 to 3-day periods. We found good fits for two of the ICMEs, but one yielded generally poor fits.

  7. Coronal mass ejections and the injection profiles of solar energetic particle events

    NASA Technical Reports Server (NTRS)

    Kahler, S. W.; Reames, D. V.; Sheeley, N. R., Jr.

    1990-01-01

    Previous studies using Skylab and Solwind coronagraph observations have shown that almost all E greater than 10 MeV solar energetic proton (SEP) events are associated with the occurrence of a coronal mass ejection (CME). These earlier studies did not address the relationship between the position of the associated CME and the timing of the injection of particles into the interplanetary medium. Ten cases are selected in which a SEP event observed with the GSFC detectors on the IMP 8 or ISEE 3 spacecraft was correlated to a CME well observed by the Solwind coronagraph. The height of the leading edge of the CME is compared with the particle injection profiles for several energy ranges using the solar release times for the particles. The derived injection profiles are found to be increasing and sometimes reaching maximum while the associated CMEs are at heights of 2-10 Ro.

  8. Automated Detection of Coronal Mass Ejections in STEREO Heliospheric Imager Data

    NASA Astrophysics Data System (ADS)

    Pant, V.; Willems, S.; Rodriguez, L.; Mierla, M.; Banerjee, D.; Davies, J. A.

    2016-12-01

    We have performed, for the first time, the successful automated detection of coronal mass ejections (CMEs) in data from the inner heliospheric imager (HI-1) cameras on the STEREO-A spacecraft. Detection of CMEs is done in time-height maps based on the application of the Hough transform, using a modified version of the CACTus software package, conventionally applied to coronagraph data. In this paper, we describe the method of detection. We present the results of the application of the technique to a few CMEs, which are well detected in the HI-1 imagery, and compare these results with those based on manual-cataloging methodologies. We discuss, in detail, the advantages and disadvantages of this method.

  9. Recovery from exercise at varying work loads - Time course of responses of heart rate and systolic intervals

    NASA Technical Reports Server (NTRS)

    Nandi, P. S.; Spodick, D. H.

    1977-01-01

    The time course of the recovery period was characterized by noninvasive measurements after 4 minute bicycle exercise at 3 separate work loads in volunteers with normal peak responses. Most responses started immediately to return toward resting control values. Left ventricular ejection time and stroke volume change are discussed. Changes in pre-ejection period were determined by changes in isovolume contraction time, and factors affecting the degree and rate of return are considered. The rates of change in the ejection time index and in the ratio pre-ejection period/left ventricular ejection time were virtually independent of load throughout most of recovery.

  10. Elective cesarean section to prevent anal incontinence and brachial plexus injuries associated with macrosomia--a decision analysis.

    PubMed

    Culligan, Patrick J; Myers, John A; Goldberg, Roger P; Blackwell, Linda; Gohmann, Stephan F; Abell, Troy D

    2005-01-01

    Our aim was to determine the cost-effectiveness of a policy of elective C-section for macrosomic infants to prevent maternal anal incontinence, urinary incontinence, and newborn brachial plexus injuries. We used a decision analytic model to compare the standard of care with a policy whereby all primigravid patients in the United States would undergo an ultrasound at 39 weeks gestation, followed by an elective C-section for any fetus estimated at > or =4500 g. The following clinical consequences were considered crucial to the analysis: brachial plexus injury to the newborn; maternal anal and urinary incontinence; emergency hysterectomy; hemorrhage requiring blood transfusion; and maternal mortality. Our outcome measures included (1) number of brachial plexus injuries or cases of incontinence averted, (2) incremental monetary cost per 100,000 deliveries, (3) expected quality of life of the mother and her child, and (4) "quality-adjusted life years" (QALY) associated with the two policies. For every 100,000 deliveries, the policy of elective C-section resulted in 16.6 fewer permanent brachial plexus injuries, 185.7 fewer cases of anal incontinence, and cost savings of $3,211,000. Therefore, this policy would prevent one case of anal incontinence for every 539 elective C-sections performed. The expected quality of life associated with the elective C-section policy was also greater (quality of life score 0.923 vs 0.917 on a scale from 0.0 to 1.0 and 53.6 QALY vs 53.2). A policy whereby primigravid patients in the United States have a 39 week ultrasound-estimated fetal weight followed by C-section for any fetuses > or =4500 g appears cost effective. However, the monetary costs in our analysis were sensitive to the probability estimates of urinary incontinence following C-section and vaginal delivery and the cost estimates for urinary incontinence, vaginal delivery, and C-section.

  11. Comparison of dexamethasone and clonidine as an adjuvant to 1.5% lignocaine with adrenaline in infraclavicular brachial plexus block for upper limb surgeries

    PubMed Central

    Shah, Dipal Mahendra; Arora, Mahesh; Trikha, Anjan; Prasad, Ganga; Sunder, Rani; Kotwal, Prakash; Singh, Preet Mohinder

    2015-01-01

    Background and Aims: The role of clonidine as an adjuvant to regional blocks to hasten the onset of the local anesthetics or prolong their duration of action is proven. The efficacy of dexamethasone compared to clonidine as an adjuvant is not known. We aimed to compare the efficacy of dexamethasone versus clonidine as an adjuvant to 1.5% lignocaine with adrenaline in infraclavicular brachial plexus block for upper limb surgeries. Material and Methods: Fifty three American Society of Anaesthesiologists-I and II patients aged 18-60 years scheduled for upper limb surgery were randomized to three groups to receive 1.5% lignocaine with 1:200,000 adrenaline and the study drugs. Group S (n = 13) received normal saline, group D (n = 20) received dexamethasone and group C (n = 20) received clonidine. The time to onset and peak effect, duration of the block (sensory and motor) and postoperative analgesia requirement were recorded. Chi-square and ANOVA test were used for categorical and continuous variables respectively and Bonferroni or post-hoc test for multiple comparisons. P < 0.05 was considered significant. Results: The three groups were comparable in terms of time to onset and peak action of motor and sensory block, postoperative analgesic requirements and pain scores. 90% of the blocks were successful in group C compared to only 60% in group D (P = 0.028). The duration of sensory and motor block in group S, D and C were 217.73 ± 61.41 min, 335.83 ± 97.18 min and 304.72 ± 139.79 min and 205.91 ± 70.1 min, 289.58 ± 78.37 min and 232.5 ± 74.2 min respectively. There was significant prolongation of sensory and motor block in group D as compared to group S (P < 0.5). Time to first analgesic requirement was significantly more in groups C and D as compared with group S (P < 0.5). Clinically significant complications were absent. Conclusions: We conclude that clonidine is more efficacious than dexamethasone as an adjuvant to 1.5% lignocaine in brachial plexus blocks

  12. Magnetic Field-Line Lengths in Interplanetary Coronal Mass Ejections Inferred From Energetic Electron Events (Postprint)

    DTIC Science & Technology

    2012-05-03

    AFRL-RV-PS- AFRL-RV-PS- TP-2012-0026 TP-2012-0026 MAGNETIC FIELD -LINE LENGTHS IN INTERPLANETARY CORONAL MASS EJECTIONS INFERRED FROM... Magnetic Field -Line Lengths in Interplanetary Coronal Mass Ejections Inferred 5a. CONTRACT NUMBER In-House From Energetic Electron Events... MAGNETIC FIELD -LINE LENGTHS IN INTERPLANETARY CORONAL MASS EJECTIONS INFERRED FROM ENERGETIC ELECTRON EVENTS S. W. Kahler1, D. K. Haggerty2, and I. G

  13. Crash Position Indicator/Crash Survivable Flight Data Recorder Ejectable versus Nonejectable

    DTIC Science & Technology

    1983-07-27

    I. REPORT NUMWER 2. GOVT ACCESSION NO. 3. RECIPIENT’S CATALOG NUMBER TM 83-1 SY ski - _ __ __ _ 4. TITLE (end Subtitle) S. TYPE OF REPORT & PERIOD...excellent except for the Mortar type (personal hazard if inadvertently ejected on the ground). The acquisition cost of ejectable systems are...States and foreign military air forces and air carriers use both ejectable and nonejectable type Crash Position Indicator/Crash Survivable Flight Data

  14. Magnetic resonance imaging characteristics of peripheral nerve sheath tumors of the canine brachial plexus in 18 dogs.

    PubMed

    Kraft, Susan; Ehrhart, E J; Gall, David; Klopp, Lisa; Gavin, Patrick; Tucker, Russ; Bagley, Rod; Kippenes, Hege; DeHaan, Constance; Pedroia, Vince; Partington, Beth; Olby, Natasha

    2007-01-01

    Magnetic resonance imaging (MRI) examinations from 18 dogs with a histologically confirmed peripheral nerve sheath tumor (PNST) of the brachial plexus were assessed retrospectively. Almost half (8/18) had a diffuse thickening of the brachial plexus nerve(s), six of which extended into the vertebral canal. The other 10/18 dogs had a nodule or mass in the axilla (1.2-338 cm3). Seven of those 10 masses also had diffuse nerve sheath thickening, three of which extended into the vertebral canal. The majority of tumors were hyperintense to muscle on T2-weighted images and isointense on T1-weighted images. Eight of 18 PNSTs had only minimal to mild contrast enhancement and many (13/18) enhanced heterogeneously following gadolinium DTPA administration. Transverse plane images with a large enough field of view (FOV) to include both axillae and the vertebral canal were essential, allowing in-slice comparison to detect lesions by asymmetry of structures. Higher resolution, smaller FOV, multiplanar examination of the cervicothoracic spine was important for appreciating nerve root and foraminal involvement. Short tau inversion recovery, T2-weighted, pre and postcontrast T1-weighted pulse sequences were all useful. Contrast enhancement was critical to detecting subtle diffuse nerve sheath involvement or small isointense nodules, and for accurately identifying the full extent of disease. Some canine brachial plexus tumors can be challenging to detect, requiring a rigorous multiplanar multi-pulse sequence MRI examination.

  15. Unusual and Unique Variant Branches of Lateral Cord of Brachial Plexus and its Clinical Implications- A Cadaveric Study

    PubMed Central

    Padur, Ashwini Aithal; Shanthakumar, Swamy Ravindra; Shetty, Surekha Devadas; Prabhu, Gayathri Sharath; Patil, Jyothsna

    2016-01-01

    Introduction Adequate knowledge on variant morphology of brachial plexus and its branches are important in clinical applications pertaining to trauma and surgical procedures of the upper extremity. Aim Current study was aimed to report variations of the branches of the lateral cord of brachial plexus in the axilla and their possible clinical complications. Materials and Methods Total number of 82 upper limbs from 41 formalin embalmed cadavers was dissected. Careful observation was made to note the formation and branching pattern of lateral cord. Meticulous inspection for absence of branches, presence of additional or variant branches and presence of abnormal communications between its branches or with branches of other cords was carried out. Results In the present study, we noted varied branching pattern of lateral cord in 6 out of 82 limbs (7%). In one of the limb, the median nerve was formed by three roots; two from lateral cord and one from medial cord. Two limbs had absence of lateral pectoral nerve supplemented by medial pectoral nerves. One of which had an atypical ansa pectoralis. In 2 upper limbs, musculocutaneous nerve was absent and in both cases it was supplemented by median nerve. In one of the limb, coracobrachialis had dual nerve supply by musculocutaneous nerve and by an additional branch from the lateral cord. Conclusion Variations of brachial plexus and its branches could pose both intraoperative and postoperative complications which eventually affect the normal sensory and motor functions of the upper limb. PMID:27190783

  16. Modeling of Coronal Mass Ejections That Caused Particularly Large Geomagnetic Storms Using ENLIL Heliosphere Cone Model

    NASA Astrophysics Data System (ADS)

    Taktakishvili, A.; Pulkkinen, A.; MacNeice, P. J.; Kuznetsova, M. M.; Hesse, M.; Odstrcil, D.

    2010-12-01

    The largest geomagnetic storms are caused by the solar coronal mass ejections (CMEs). In our previous paper (Taktakishvili et al., [2009]) we reported the results of modeling 14 selected well observed strong halo CME events using the WSA/ENLIL cone model combination. In that study the cone model input parameters were obtained from white-light coronagraph images of the CME events using the analytical method developed by Xie et al [ 2004 ]. This work verified that coronagraph input gives reasonably good results for the CME arrival time prediction. Recently Pulkkinen et al., [2009] developed a novel method for automatic determination of cone model parameters. This approach combines standard image processing techniques and a novel inversion routine to derive the cone parameters. The present work extends our previous studies by addressing more CME events. The approach in this paper is different from our previous study: we started from addressing 36 particularly strong geomagnetic storms, then tried to associate them with particular CMEs using SOHO/LASCO catalogue, and finally modeled these CMEs using WSA/ENLIL cone model. This approach is addressing space weather forecasting and operational needs. We employed both analytical and automatic methods to determine cone model input parameters. We examined the CME arrival times and magnitude of impact at 1 AU for both techniques. The results of the simulations were compared with the ACE satellite observations. This comparison demonstrated that WSA/ENLIL model combination with coronograph input gives reasonably good results for the CME arrival times for this set of "geo-effective" CME events as well. References: Taktakishvili, A., M. Kuznetsova, P. Macneice, M. Hesse, L. Rastaetter, A. Pulkkinen, A. Chulaki and D. Odstrci (2009), Validation of the coronal mass ejection predictions at the Earth orbit estimated by ENLIL heliosphere cone model, Space Weather,7, S03004,doi10.1029/2008SW000448. Xie, H., L. Ofman, and G. Lawrence

  17. Comprehensive Comparison of the Performance of Autogenous Brachial-Basilic Transposition Arteriovenous Fistula and Prosthetic Forearm Loop Arteriovenous Graft in a Multiethnic Asian Hemodialysis Population

    PubMed Central

    Chue, Koy Min; Thant, Kyi Zin; Luo, Hai Dong; Soh, Yu Hang Rodney

    2016-01-01

    Aim. For patients who have exhausted cephalic vein arteriovenous fistula (AVF) options, controversy exists on whether brachial-basilic AVF with transposition (BBTAVF) or a forearm arteriovenous graft (AVG) should be the next vascular access of choice. This study compared the outcomes of these two modalities. Methods. A retrospective study of 122 Asian multiethnic patients who underwent either a BBTAVF (81) or an AVG (41). Maturation time and intervention rates were analyzed. Functional primary, secondary, and overall patency rates were evaluated. Results. The maturation time for BBTAVFs was significantly longer than AVGs. There was also a longer deliberation time before surgeons abandon a failing BBTAVF compared to an AVG. Both functional primary and secondary patency rates were significantly higher in the BBTAVF group at 1-year follow-up: 73.2% versus 34.1% (p < 0.001) and 71.8% versus 54.3% (p = 0.022), respectively. AVGs also required more interventions to maintain patency. When maturation rates were considered, the overall patency of AVGs was initially superior in the first 25 weeks after creation and then became inferior afterwards. Conclusion. BBTAVFs had superior primary and functional patency and required less salvage interventions. The forearm AVG might have a role in patients who require early vascular access due to complications from central venous catheters or with limited life expectancy. PMID:27840832

  18. Isosorbide Mononitrate in Heart Failure with Preserved Ejection Fraction

    PubMed Central

    Redfield, Margaret M.; Anstrom, Kevin J.; Levine, James A.; Koepp, Gabe A.; Borlaug, Barry A.; Chen, Horng H.; LeWinter, Martin M.; Joseph, Susan M.; Shah, Sanjiv J.; Semigran, Marc J.; Felker, G. Michael; Cole, Robert T.; Reeves, Gordon R.; Tedford, Ryan J.; Tang, W.H. Wilson; McNulty, Steven E.; Velazquez, Eric J.; Shah, Monica R.; Braunwald, Eugene

    2015-01-01

    BACKGROUND Nitrates are commonly prescribed to enhance activity tolerance in patients with heart failure and a preserved ejection fraction. We compared the effect of isosorbide mononitrate or placebo on daily activity in such patients. METHODS In this multicenter, double-blind, crossover study, 110 patients with heart failure and a preserved ejection fraction were randomly assigned to a 6-week dose-escalation regimen of isosorbide mononitrate (from 30 mg to 60 mg to 120 mg once daily) or placebo, with subsequent crossover to the other group for 6 weeks. The primary end point was the daily activity level, quantified as the average daily accelerometer units during the 120-mg phase, as assessed by patient-worn accelerometers. Secondary end points included hours of activity per day during the 120-mg phase, daily accelerometer units during all three dose regimens, quality-of-life scores, 6-minute walk distance, and levels of N-terminal pro–brain natriuretic peptide (NT-proBNP). RESULTS In the group receiving the 120-mg dose of isosorbide mononitrate, as compared with the placebo group, there was a nonsignificant trend toward lower daily activity (−381 accelerometer units; 95% confidence interval [CI], −780 to 17; P = 0.06) and a significant decrease in hours of activity per day (−0.30 hours; 95% CI, −0.55 to −0.05; P = 0.02). During all dose regimens, activity in the isosorbide mononitrate group was lower than that in the placebo group (−439 accelerometer units; 95% CI, −792 to −86; P = 0.02). Activity levels decreased progressively and significantly with increased doses of isosorbide mononitrate (but not placebo). There were no significant between-group differences in the 6-minute walk distance, quality-of-life scores, or NT-proBNP levels. CONCLUSIONS Patients with heart failure and a preserved ejection fraction who received isosorbide mononitrate were less active and did not have better quality of life or submaximal exercise capacity than did

  19. INFLUENCE OF THE AMBIENT SOLAR WIND FLOW ON THE PROPAGATION BEHAVIOR OF INTERPLANETARY CORONAL MASS EJECTIONS

    SciTech Connect

    Temmer, Manuela; Rollett, Tanja; Moestl, Christian; Veronig, Astrid M.; Vrsnak, Bojan; Odstrcil, Dusan

    2011-12-20

    We study three coronal mass ejection (CME)/interplanetary coronal mass ejection (ICME) events (2008 June 1-6, 2009 February 13-18, and 2010 April 3-5) tracked from Sun to 1 AU in remote-sensing observations of Solar Terrestrial Relations Observatory Heliospheric Imagers and in situ plasma and magnetic field measurements. We focus on the ICME propagation in interplanetary (IP) space that is governed by two forces: the propelling Lorentz force and the drag force. We address the question: which heliospheric distance range does the drag become dominant and the CME adjust to the solar wind flow. To this end, we analyze speed differences between ICMEs and the ambient solar wind flow as a function of distance. The evolution of the ambient solar wind flow is derived from ENLIL three-dimensional MHD model runs using different solar wind models, namely, Wang-Sheeley-Arge and MHD-Around-A-Sphere. Comparing the measured CME kinematics with the solar wind models, we find that the CME speed becomes adjusted to the solar wind speed at very different heliospheric distances in the three events under study: from below 30 R{sub Sun }, to beyond 1 AU, depending on the CME and ambient solar wind characteristics. ENLIL can be used to derive important information about the overall structure of the background solar wind, providing more reliable results during times of low solar activity than during times of high solar activity. The results from this study enable us to obtain greater insight into the forces acting on CMEs over the IP space distance range, which is an important prerequisite for predicting their 1 AU transit times.

  20. Quantification of Left Ventricular Volumes, Mass and Ejection Fraction using Cine Displacement Encoding with Stimulated Echoes (DENSE) MRI

    PubMed Central

    Haggerty, Christopher M.; Kramer, Sage P.; Skrinjar, Oskar; Binkley, Cassi M.; Powell, David K.; Mattingly, Andrea C.; Epstein, Frederick H.; Fornwalt, Brandon K.

    2014-01-01

    Purpose To test the hypothesis that magnitude images from cine Displacement Encoding with Stimulated Echoes (DENSE) MRI can accurately quantify left ventricular (LV) volumes, mass, and ejection fraction. Materials and Methods Thirteen mice (C57BL/6J) were imaged using a 7T ClinScan MRI. A short-axis stack of cine T2-weighted black blood (BB) images was acquired for calculation of left ventricular volumes, mass, and ejection fraction (EF) using the gold standard sum-of-slices methodology. DENSE images were acquired during the same imaging session in three short-axis (basal, mid, apical) and two long-axis orientations. A custom surface fitting algorithm was applied to epicardial and endocardial borders from the DENSE magnitude images to calculate volumes, mass, and EF. Agreement between the DENSE-derived measures and BB-derived measures was assessed via coefficient of variation (CoV). Results 3D surface reconstruction was completed on the order of seconds from segmented images, and required fewer slices to be segmented. Volumes, mass, and EF from DENSE-derived surfaces matched well with BB data (CoVs ≤11%). Conclusion LV mass, volumes, and ejection fraction in mice can be quantified through sparse (5 slices) sampling with DENSE. This consolidation significantly reduces the time required to assess both mass/volume-based measures of cardiac function and advanced cardiac mechanics. PMID:24923710