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Sample records for hiro oyobi sono

  1. Hiro and Evans currents in Vertical Disruption Event

    NASA Astrophysics Data System (ADS)

    Zakharov, Leonid; Xujing Li Team; Sergei Galkin Team

    2014-10-01

    The notion of Tokamak Magneto-Hydrodynamics (TMHD), which explicitly reflects the anisotropy of a high temperature tokamak plasma is introduced. The set of TMHD equations is formulated for simulations of macroscopic plasma dynamics and disruptions in tokamaks. Free from the Courant restriction on the time step, this set of equations is appropriate for high performance plasmas and does not require any extension of the MHD plasma model. At the same time, TMHD requires the use of magnetic field aligned numerical grids. The TMHD model was used for creation of theory of the Wall Touching Kink and Vertical Modes (WTKM and WTVM), prediction of Hiro and Evans currents, design of an innovative diagnostics for Hiro current measurements, installed on EAST device. While Hiro currents have explained the toroidal asymmetry in the plasma current measurements in JET disruptions, the Evans currents explain the tile current measurements in tokamaks. The recently developed Vertical Disruption Code (VDE) have demonstrated 5 regimes of VDE and confirmed the generation of both Hiro and Evans currents. The results challenge the 24 years long misinterpretation of the tile currents in tokamaks as ``halo'' currents, which were a product of misuse of equilibrium reconstruction for VDE. This work is supported by US DoE Contract No. DE-AC02-09-CH1146.

  2. First measurements of Hiro currents in vertical displacement event in tokamaks

    SciTech Connect

    Xiong, Hao; Xu, Guosheng; Wang, Huiqian; Zakharov, Leonid E.; Li, Xujing

    2015-06-15

    Specially designed tiles were setup in the 2012 campaign of the Experimental Advanced Superconducting Tokamak (EAST), to directly measure the toroidal surface currents during the disruptions. Hiro currents with direction opposite to the plasma currents have been observed, confirming the sign prediction by the Wall Touching Vertical Mode (WTVM) theory and numerical simulations. During the initial phase of the disruption, when the plasma begins to touch the wall, the surface currents can be excited by WTVM along the plasma facing tile surface, varying with the mode magnitude. The currents are not observed in the cases when the plasma moves away from the tile surface. This discovery addresses the importance of the plasma motion into the wall in vertical disruptions. WTVM, acting as a current generator, forces the Hiro currents to flow through the gaps between tiles. This effect, being overlooked so far in disruption analysis, may damage the edges of the tiles and is important for the ITER device.

  3. Non-linear dynamics of the wall touching kink mode and Hiro current simulation with DSC

    NASA Astrophysics Data System (ADS)

    Galkin, S. A.; Svidzinski, V. A.; Evstatiev, E. G.; Zakharov, L. E.

    2011-10-01

    The Disruption Simulation Code (DSC) was initially implemented in 2D (single helicity) with all basic MHD components of the full 3D version. It performs adaptive, meshless free-boundary ideal one-fluid MHD simulations of plasma separated from conducting in-vessel structures by a vacuum region. Vacuum fields, the plasma surface and wall currents are calculated using both Green's functions and Poisson equation methods. Two non-linear regimes of the wall touching kink mode were simulated for the first time: (a) a fast ideal MHD regime till the saturation due to excitation of the Hiro currents in a tile covered plasma facing surface, and (b) a slower regime of the current quench due to resistive decay of the Hiro currents. Corresponding sideways forces applied to the plasma facing components and to the vacuum vessel were calculated. Progress on the 3D DSC extension of ideal one fluid MHD is presented. Implementation of the full 3D resistive MHD will be outlined. Together with realistic wall model this will enable DSC to address the MHD issues of the entire disruption problem and to move forward for understanding opportunities for mitigation and prediction of disruptions in ITER. Work is supported by the US DOE SBIR grant.

  4. Separation of Evans and Hiro currents in VDE of tokamak plasma

    NASA Astrophysics Data System (ADS)

    Galkin, Sergei A.; Svidzinski, V. A.; Zakharov, L. E.

    2014-10-01

    Progress on the Disruption Simulation Code (DSC-3D) development and benchmarking will be presented. The DSC-3D is one-fluid nonlinear time-dependent MHD code, which utilizes fully 3D toroidal geometry for the first wall, pure vacuum and plasma itself, with adaptation to the moving plasma boundary and accurate resolution of the plasma surface current. Suppression of fast magnetosonic scale by the plasma inertia neglecting will be demonstrated. Due to code adaptive nature, self-consistent plasma surface current modeling during non-linear dynamics of the Vertical Displacement Event (VDE) is accurately provided. Separation of the plasma surface current on Evans and Hiro currents during simulation of fully developed VDE, then the plasma touches in-vessel tiles, will be discussed. Work is supported by the US DOE SBIR Grant # DE-SC0004487.

  5. SONOS Nonvolatile Memory Cell Programming Characteristics

    NASA Technical Reports Server (NTRS)

    MacLeod, Todd C.; Phillips, Thomas A.; Ho, Fat D.

    2010-01-01

    Silicon-oxide-nitride-oxide-silicon (SONOS) nonvolatile memory is gaining favor over conventional EEPROM FLASH memory technology. This paper characterizes the SONOS write operation using a nonquasi-static MOSFET model. This includes floating gate charge and voltage characteristics as well as tunneling current, voltage threshold and drain current characterization. The characterization of the SONOS memory cell predicted by the model closely agrees with experimental data obtained from actual SONOS memory cells. The tunnel current, drain current, threshold voltage and read drain current all closely agreed with empirical data.

  6. Modeling of Sonos Memory Cell Erase Cycle

    NASA Technical Reports Server (NTRS)

    Phillips, Thomas A.; MacLeond, Todd C.; Ho, Fat D.

    2010-01-01

    Silicon-oxide-nitride-oxide-silicon (SONOS) nonvolatile semiconductor memories (NVSMS) have many advantages. These memories are electrically erasable programmable read-only memories (EEPROMs). They utilize low programming voltages, endure extended erase/write cycles, are inherently resistant to radiation, and are compatible with high-density scaled CMOS for low power, portable electronics. The SONOS memory cell erase cycle was investigated using a nonquasi-static (NQS) MOSFET model. The SONOS floating gate charge and voltage, tunneling current, threshold voltage, and drain current were characterized during an erase cycle. Comparisons were made between the model predictions and experimental device data.

  7. Modeling of SONOS Memory Cell Erase Cycle

    NASA Technical Reports Server (NTRS)

    Phillips, Thomas A.; MacLeod, Todd C.; Ho, Fat H.

    2011-01-01

    Utilization of Silicon-Oxide-Nitride-Oxide-Silicon (SONOS) nonvolatile semiconductor memories as a flash memory has many advantages. These electrically erasable programmable read-only memories (EEPROMs) utilize low programming voltages, have a high erase/write cycle lifetime, are radiation hardened, and are compatible with high-density scaled CMOS for low power, portable electronics. In this paper, the SONOS memory cell erase cycle was investigated using a nonquasi-static (NQS) MOSFET model. Comparisons were made between the model predictions and experimental data.

  8. Removal of dinitrotoluenes in wastewater by sono-activated persulfate.

    PubMed

    Chen, Wen-Shing; Su, Yi-Chang

    2012-07-01

    Oxidative degradation of dinitrotoluenes (DNTs) in wastewater was performed using persulfate anions combined with ultrasonic irradiation, wherein a synergistic effect is observed. The batch-wise experiments were carried out to elucidate the influence of various operating parameters on sono-activated persulfate oxidation, including ultrasonic power intensity, persulfate anion concentration, reaction temperature and acidity of wastewater. It is noteworthy that the nitrotoluene contaminants could be almost completely eliminated by virtue of sono-activated persulfate oxidation, wherein sulfate radicals serve as principal oxidants, of which amounts are significantly enhanced via addition of sodium sulfate. Based on the results given by gas chromatograph-mass spectrometer (GC-MS), it is postulated that the methyl group of DNTs preliminarily underwent oxidation pathway into dinitrobenzoic acid, followed by decarboxylation to form 1,3-dinitrobenzene (DNB). In sum, the sono-activated persulfate oxidation is a promising method for treatment of nitrotoluenes in wastewater.

  9. Manufacturing of 1-3 piezocomposite SonoPanel transducers

    NASA Astrophysics Data System (ADS)

    Gentilman, Richard L.; Fiore, Daniel; Pham-Nguyen, Hong; Serwatka, William J.; Bowen, Leslie J.

    1995-05-01

    A manufacturing capability has been established for 1-3 PZT-polymer composite materials and transducers. Uniform arrays of identical PZT rods are formed by a cost-effective ceramic injection molding process. Sintered and poled 1-3 ceramic preforms, containing 361 PZT rods 1.1 mm diameter on a 50 mm square base plate, are arranged to produce 15 or 30 PZT volume percent composite materials with a hard or soft polymeric matrix. More than 2000 identical PZT preforms were produced and more than thirty 250 mm square SonoPanel transducers have been manufactured. The transducers have been found to be well suited for a variety of underwater acoustic applications. Fifteen SonoPanels have been incorporated into a 3 X 5 array as part of a Navy system demonstration.

  10. Long term charge retention dynamics of SONOS cells

    NASA Astrophysics Data System (ADS)

    Arreghini, A.; Akil, N.; Driussi, F.; Esseni, D.; Selmi, L.; van Duuren, M. J.

    2008-09-01

    We present a model for charge retention dynamics in SONOS non volatile memory cells which accounts for the space and energy distributions of the trapped charge in the silicon nitride, self consistently with the potential. Long term retention measurements (beyond 106 s) versus temperature allowed us to decouple two charge loss mechanisms, to calibrate the model parameters and then to reproduce a large set of measurements on devices featuring different gate stacks, initial threshold voltages (including negative ones) and operation temperatures. A detailed analysis has been also carried out to compare the retention dynamics of cells featuring thin or thick tunnel oxide barriers.

  11. Sono-photodynamic combination therapy: a review on sensitizers.

    PubMed

    Sadanala, Krishna Chaitanya; Chaturvedi, Pankaj Kumar; Seo, You Mi; Kim, Jeung Mo; Jo, Yong Sam; Lee, Yang Koo; Ahn, Woong Shick

    2014-09-01

    Cancer is characterized by the dysregulation of cell signaling pathways at several steps. The majority of current anticancer therapies involve the modulation of a single target. A tumor-targeting drug-delivery system consists of a tumor detection moiety and a cytotoxic material joined directly or through a suitable linker to form a conjugate. Photodynamic therapy has been used for more than 100 years to treat tumors. One of the present goals of photodynamic therapy research is to enhance the selective targeting of tumor cells in order to reduce the risk and extension of unwanted side-effects, caused by normal cell damage. Sonodynamic therapy is a promising new treatment for patients with cancer. It treats cancer with ultrasound and sonosensitive agents. Porphyrin compounds often serve as photosensitive and sonosensitive agents. The combination of these two methods makes cancer treatment more effective. The present review provides an overview of photodynamic therapy, sonodynamic therapy, sono-photodynamic therapy and the four sensitizers which are suitable candidates for combined sono-photodynamic therapy. Copyright© 2014 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved.

  12. 2K nonvolatile shadow RAM and 265K EEPROM SONOS nonvolatile memory development

    SciTech Connect

    Nasby, R.D.; Murray, J.R.; Habermehl, S.D.; Bennett, R.S.; Tafoya-Porras, B.C.; Mahl, P.R.; Rodriguez, J.L.; Jones, R.V.; Knoll, M.G.

    1998-07-01

    This paper describes Silicon Oxide Nitride Oxide Semiconductor (SONOS) nonvolatile memory development at Sandia National Laboratories. A 256K EEPROM nonvolatile memory and a 2K nonvolatile shadow RAM are under development using an n-channel SONOS memory technology. The technology has 1.2 {micro}m minimum features in a twin well design using shallow trench isolation.

  13. Fin-type SONOS flash memory with different trapping layer

    NASA Astrophysics Data System (ADS)

    Park, J. G.; OH, J. S.; Yang, S. D.; Jeong, K. S.; Kim, Y. M.; Lee, G. W.

    2011-12-01

    In this paper, the electrical characteristics of Fin-type flash memory device are analyzed in depth with different trapping layer. Compared to the Planar-type device, Fin-type flash memory device shows good short-channel effect immunity and high punch-through margin. We fabricated the Fin-type SOHOS (Silicon-Oxide-High-K-Oxide-Silicon) flash memory device with hafnium oxide (HfO2) trapping layer and compared with the Fin-type SONOS flash memory device. The fabricated Fin-type SOHOS device shows superior program/erase speed and exhibits poorer retention characteristic. The inferior data retention in the SOHOS device may be attributed to tunneling leakage current induced by interface trap states. This expectation is supported by the charge pumping technique and low frequency noise characteristics.

  14. Hydrogen-induced program threshold voltage degradation analysis in SONOS wafer

    NASA Astrophysics Data System (ADS)

    Lin, Qing; Zhao, Crystal; Sheng, Nan

    2016-02-01

    This paper studies the hydrogen-induced program state threshold voltage degradation in SONOS wafers, which ultimately impacts wafer sort test yield. During wafer sort step, all individual integrated circuits noted as die are tested for functional defects by applying special test patterns to them. The proportion between the passing die (good die) and the non-passing die (bad die) is sort yield. The different N2/H2 ratio in IMD1 alloy process yields differently at flash checkerboard test. And the SIMS curves were also obtained to depict the distribution profile of H+ in SONOS ONO stack structure. It is found that, the H+ accumulated in the interface between the Tunnel oxide and Si layer, contributes the charge loss in Oxynitride layer, which leads to the program threshold voltage degradation and even fall below lower specification limit, and then impacts the sort yield of SONOS wafers.

  15. Ultrasound images of implanted tumors in nude mice using Sono-CT correlated with MRI appearance

    NASA Astrophysics Data System (ADS)

    Freedman, Matthew T.; Sarcone, Anita; Pirollo, Kathleen F.; Lin, Chin-Shoou; Chang, Esther

    2001-05-01

    Monitoring the effect of novel cancer chemotherapeutic agents in nude mice is now commonly done by external direct measurement and by autopsy. The development of small animal imaging has focused on micro-MRI, micro-CT and micro-PET -- each a highly expensive and highly valuable method. Far less work has been done with ultrasound imaging. We wish to demonstrate a new method of ultrasound imaging of living mice named Sono-CTR, Sono-CTR provides a compound image by combining the images obtained by electronically directing the transducer to scan from multiple angles.

  16. Sono assisted electrocoagulation process for the removal of pollutant from pulp and paper industry effluent.

    PubMed

    Asaithambi, P; Aziz, Abdul Raman Abdul; Sajjadi, Baharak; Daud, Wan Mohd Ashri Bin Wan

    2017-02-01

    In the present work, the efficiency of the sonication, electrocoagulation, and sono-electrocoagulation process for removal of pollutants from the industrial effluent of the pulp and paper industry was compared. The experimental results showed that the sono-electrocoagulation process yielded higher pollutant removal percentage compared to the sonication and electrocoagulation process alone. The effect of the operating parameters in the sono-electrocoagulation process such as electrolyte concentration (1-5 g/L), current density (1-5 A/dm(2)), effluent pH (3-11), COD concentration (1500-6000 mg/L), inter-electrode distance (1-3 cm), and electrode combination (Fe and Al) on the color removal, COD removal, and power consumption were studied. The maximum color and COD removal percentages of 100 and 95 %, respectively, were obtained at the current density of 4 A/dm(2), electrolyte concentration of 4 g/L, effluent pH of 7, COD concentration of 3000 mg/L, electrode combination of Fe/Fe, inter-electrode distance of 1 cm, and reaction time of 4 h, respectively. The color and COD removal percentages were analyzed by using an UV/Vis spectrophotometer and closed reflux method. The results showed that the sono-electrocoagulation process could be used as an efficient and environmental friendly technique for complete pollutant removal.

  17. Sono-thermal pre-treatment of waste activated sludge before anaerobic digestion.

    PubMed

    Şahinkaya, Serkan; Sevimli, Mehmet Faik

    2013-01-01

    Sonication and thermalization can be applied successfully to disrupt the complex waste activated sludge (WAS) floc structure and to release extra and intra cellular polymeric substances into soluble phase along with solubilization of particulate organic matters, before sludge digestion. In this study, sonication has been combined with thermalization to improve its disintegration efficiency. It was aimed that rise in temperature occurring during the sonication of sludge was used to be as an advantage for the following thermalization in the combined pre-treatment. Thus, the effects of sonication, thermalization and sono-thermalization on physical and chemical properties of sludge were investigated separately under different pre-treatment conditions. The disintegration efficiencies of these methods were in the following descending order: sono-thermalization > sonication > thermalization. The optimum operating conditions for sono-thermalization were determined as the combination of 1-min sonication at 1.0 W/mL and thermalization at 80 °C for 1h. The influences of sludge pre-treatment on biodegradability of WAS were experienced with biochemical methane potential assay in batch anaerobic reactors. Relative to the control reactor, total methane production in the sono-thermalized reactor increased by 13.6% and it was more than the sum of relative increases achieved in the sonicated and thermalized reactors. Besides, the volatile solids and total chemical oxygen demand reductions in the sono-thermalized reactor were enhanced as well. However, it was determined that sludge pre-treatment techniques applied in this study was not feasible due to their high energy requirements.

  18. Conductive diamond sono-electrochemical disinfection (CDSED) for municipal wastewater reclamation.

    PubMed

    Llanos, Javier; Cotillas, Salvador; Cañizares, Pablo; Rodrigo, Manuel A

    2015-01-01

    In the present work, the disinfection of actual effluents from a municipal wastewater treatment plant (WWTP) by a conductive diamond sono-electrochemical process was assessed. First, efficiency of single electrodisinfection process with diamond anodes (without the contribution of ultrasounds) was studied, finding that the total disinfection can be attained at current charges applied below 0.02kAhm(-3). It was also found that the main disinfection mechanism is the attack of Escherichia coli (E. coli) by the disinfectants produced in the electrochemical cell and that the production of chlorates is avoided when working at current densities not higher than 1.27Am(-2). Next, a marked synergistic effect was found when coupling ultrasound (US) irradiation to the electrochemical system (sono-electrochemical disinfection). This increase in the disinfection rate was found to be related to the suppression of the agglomeration of E. coli cells and the enhancement in the production of disinfectant species.

  19. SonoPanel(TM) 1-3 Piezocomposite Panels for Active Surface Control

    NASA Technical Reports Server (NTRS)

    Gentilman, R.; Bowen, L.; Fiore, D.; Pham, H.; Serwatka, W.

    1996-01-01

    Materials Systems Inc. has developed a cost-effective technology for producing 1-3 piezoelectric ceramic/polymer composites for use in active surface control. MSI's 103 piezocomposite SonoPanel(TM) transducers consist of an array of piezoelectric ceramic rods arranged in a compliant polymer matrix. The standard SonoPanel(TM) composite consists of 15 volume percent PZT-5H rods 1.1 mm diameter x 6.3 mm long in a matrix of soft polyurethane. Stiff face plates are then bonded to the 1-3 composite sheet for stress amplification when used as a sensor and to enhance the surface response uniformity when used as an actuator. Many variations on this composite design have been produced for specific application requirements.

  20. Management of calcified thoracic disc herniation using ultrasonic bone curette SONO-PET®: technical description.

    PubMed

    Landi, A; Marotta, N; Mancarella, C; Dugoni, D E; Delfini, R

    2011-09-01

    This paper describes the surgical management of a post-traumatic calcified thoracic disc herniation treated using ultrasonic bone curette SONO-PET®. The case described concerns a young man with a symptomatic calcified thoracic disc herniation, who underwent posterolateral approach and transversoarthropediculectomy. Patient underwent posterolateral approach with excellent postoperative results. Neurophysiological monitoring somato-sensory evoked potential (SSEP) and muscle motor evoked potentials (MMEP), inclination of 30° toward the unaffected side of the operating table, the use of Ultrasonic Bone-Curette SONO-PET® and proper reconstruction of the three floors of the back muscles allows the removal of the disc herniation safer and risk's free, and less invasive for the patient.

  1. Effect of acoustic parameters on the cavitation behavior of SonoVue microbubbles induced by pulsed ultrasound.

    PubMed

    Lin, Yutong; Lin, Lizhou; Cheng, Mouwen; Jin, Lifang; Du, Lianfang; Han, Tao; Xu, Lin; Yu, Alfred C H; Qin, Peng

    2017-03-01

    SonoVue microbubbles could serve as artificial nuclei for ultrasound-triggered stable and inertial cavitation, resulting in beneficial biological effects for future therapeutic applications. To optimize and control the use of the cavitation of SonoVue bubbles in therapy while ensuring safety, it is important to comprehensively understand the relationship between the acoustic parameters and the cavitation behavior of the SonoVue bubbles. An agarose-gel tissue phantom was fabricated to hold the SonoVue bubble suspension. 1-MHz transmitting transducer calibrated by a hydrophone was used to trigger the cavitation of SonoVue bubbles under different ultrasonic parameters (i.e., peak rarefactional pressure (PRP), pulse repetition frequency (PRF), and pulse duration (PD)). Another 7.5-MHz focused transducer was employed to passively receive acoustic signals from the exposed bubbles. The ultraharmonics and broadband intensities in the acoustic emission spectra were measured to quantify the extent of stable and inertial cavitation of SonoVue bubbles, respectively. We found that the onset of both stable and inertial cavitation exhibited a strong dependence on the PRP and PD and a relatively weak dependence on the PRF. Approximate 0.25MPa PRP with more than 20μs PD was considered to be necessary for ultraharmonics emission of SonoVue bubbles, and obvious broadband signals started to appear when the PRP exceeded 0.40MPa. Moreover, the doses of stable and inertial cavitation varied with the PRP. The stable cavitation dose initially increased with increasing PRP, and then decreased rapidly after 0.5MPa. By contrast, the inertial cavitation dose continuously increased with increasing PRP. Finally, the doses of both stable and inertial cavitation were positively correlated with PRF and PD. These results could provide instructive information for optimizing future therapeutic applications of SonoVue bubbles.

  2. SonoKnife: Feasibility of a line-focused ultrasound device for thermal ablation therapy

    PubMed Central

    Chen, Duo; Xia, Rongmin; Chen, Xin; Shafirstein, Gal; Corry, Peter M.; Griffin, Robert J.; Penagaricano, Jose A.; Tulunay-Ugur, Ozlem E.; Moros, Eduardo G.

    2011-01-01

    Purpose: To evaluate the feasibility of line-focused ultrasound for thermal ablation of superficially located tumors. Methods: A SonoKnife is a cylindrical-section ultrasound transducer designed to radiate from its concave surface. This geometry generates a line-focus or acoustic edge. The motivation for this approach was the noninvasive thermal ablation of advanced head and neck tumors and positive neck nodes in reasonable treatment times. Line-focusing may offer advantages over the common point-focusing of spherically curved radiators such as faster coverage of a target volume by scanning of the acoustic edge. In this paper, The authors report studies using numerical models and phantom and ex vivo experiments using a SonoKnife prototype. Results: Acoustic edges were generated by cylindrical-section single-element ultrasound transducers numerically, and by the prototype experimentally. Numerically, simulations were performed to characterize the acoustic edge for basic design parameters: transducer dimensions, line-focus depth, frequency, and coupling thickness. The dimensions of the acoustic edge as a function of these parameters were determined. In addition, a step-scanning simulation produced a large thermal lesion in a reasonable treatment time. Experimentally, pressure distributions measured in degassed water agreed well with acoustic simulations, and sonication experiments in gel phantoms and ex vivo porcine liver samples produced lesions similar to those predicted with acoustic and thermal models. Conclusions: Results support the feasibility of noninvasive thermal ablation with a SonoKnife. PMID:21859038

  3. Investigation and process optimization of SONOS cell's drain disturb in 2-transistor structure flash arrays

    NASA Astrophysics Data System (ADS)

    Xu, Zhaozhao; Qian, Wensheng; Chen, Hualun; Xiong, Wei; Hu, Jun; Liu, Donghua; Duan, Wenting; Kong, Weiran; Na, Wei; Zou, Shichang

    2017-03-01

    The mechanism and distribution of drain disturb (DD) are investigated in silicon-oxide-nitride-oxide-silicon (SONOS) flash cells. It is shown that DD is the only concern in this paper. First, the distribution of trapped charge in nitride layer is found to be non-localized (trapped in entire nitride layer along the channel) after programming. Likewise, the erase is also non-localized. Then, the main disturb mechanism: Fowler Nordheim tunneling (FNT) has been confirmed in this paper with negligible disturb effect from hot-hole injection (HHI). And then, distribution of DD is confirmed to be non-localized similarly, which denotes that DD exists in entire tunneling oxide (Oxide for short). Next, four process optimization ways are proposed for minimization of DD, and VTH shift is measured. It reveals that optimized lightly doped drain (LDD), halo, and channel implant are required for the fabrication of a robust SONOS cell. Finally, data retention and endurance of the optimized SONOS are demonstrated.

  4. Estimating the shell parameters of SonoVue® microbubbles using light scattering

    PubMed Central

    Tu, Juan; Guan, Jingfeng; Qiu, Yuanyuan; Matula, Thomas J.

    2009-01-01

    Experiments were performed to measure the dynamical response of individual SonoVue® microbubbles subjected to pulsed ultrasound. Three commonly used bubble dynamic models (i.e., Hoff’s, Sarkar’s, and linearized Marmottant’s models) were compared to determine the most appropriate model for fitting to the experimental data. The models were evaluated against published optical microscopy data. The comparison suggests that it is difficult to rank these models for lipid-shelled microbubbles undergoing small-amplitude oscillations, because under these conditions the shell parameters in these models are closely related. A linearized version of the Marmottant model was used to estimate the shell parameters (i.e., shear modulus and shear viscosity) of SonoVue® microbubbles from the experimental light scattering data, as a function of ambient microbubble radius. The SonoVue® microbubble shell elasticity and dilatational viscosity increase with ambient bubble radius, in agreement with previously published data. The results suggest that light scattering, used in conjunction with one of several popular bubble dynamics models, is effective at characterizing microbubble response and evaluating shell parameters. PMID:20000908

  5. Memristive device based on a depletion-type SONOS field effect transistor

    NASA Astrophysics Data System (ADS)

    Himmel, N.; Ziegler, M.; Mähne, H.; Thiem, S.; Winterfeld, H.; Kohlstedt, H.

    2017-06-01

    State-of-the-art SONOS (silicon-oxide-nitride-oxide-polysilicon) field effect transistors were operated in a memristive switching mode. The circuit design is a variation of the MemFlash concept and the particular properties of depletion type SONOS-transistors were taken into account. The transistor was externally wired with a resistively shunted pn-diode. Experimental current-voltage curves show analog bipolar switching characteristics within a bias voltage range of ±10 V, exhibiting a pronounced asymmetric hysteresis loop. The experimental data are confirmed by SPICE simulations. The underlying memristive mechanism is purely electronic, which eliminates an initial forming step of the as-fabricated cells. This fact, together with reasonable design flexibility, in particular to adjust the maximum R ON/R OFF ratio, makes these cells attractive for neuromorphic applications. The relative large set and reset voltage around ±10 V might be decreased by using thinner gate-oxides. The all-electric operation principle, in combination with an established silicon manufacturing process of SONOS devices at the Semiconductor Foundry X-FAB, promise reliable operation, low parameter spread and high integration density.

  6. Treating soil-washing fluids polluted with oxyfluorfen by sono-electrolysis with diamond anodes.

    PubMed

    Vieira Dos Santos, E; Sáez, C; Cañizares, P; Martínez-Huitle, C A; Rodrigo, M A

    2017-01-01

    This works is focused on the treatment by sono-electrolysis of the liquid effluents produced during the Surfactant-Aided Soil-Washing (SASW) of soils spiked with herbicide oxyfluorfen. Results show that this combined technology is very efficient and attains the complete mineralization of the waste, regardless of the surfactant/soil radio applied in the SASW process (which is the main parameter of the soil remediation process and leads to very different wastes). Both the surfactant and the herbicide are completely degraded, even when single electrolysis is used; and only two intermediates are detected by HPLC in very low concentrations. Conversely, the efficiency of single sonolysis approach, for the oxidation of pollutant, is very low and just small changes in the herbicides and surfactant concentrations are observed during the tests carried out. Sono-electrolysis with diamond electrodes achieved higher degradation rates than those obtained by single sonolysis and/or single electrolysis with diamond anodes. A key role of sulfate is developed, when it is released after the electrochemical degradation of surfactant. The efficient catalytic effect observed which can be explained by the anodic formation of persulfate and the later, a sono-activation is attained to produce highly efficient sulfate radicals. The effect of irradiating US is more importantly observed in the pesticide than in the surfactant, in agreement with the well-known behavior of these radicals which are known to oxidize more efficiently aromatic compounds than aliphatic species. Copyright © 2016 Elsevier B.V. All rights reserved.

  7. FEM simulation of a sono-reactor accounting for vibrations of the boundaries.

    PubMed

    Louisnard, O; Gonzalez-Garcia, J; Tudela, I; Klima, J; Saez, V; Vargas-Hernandez, Y

    2009-02-01

    The chemical effects of acoustic cavitation are obtained in sono-reactors built-up from a vessel and an ultrasonic source. In this paper, simulations of an existing sono-reactor are carried out, using a linear acoustics model, accounting for the vibrations of the solid walls. The available frequency range of the generator (19-21 kHz) is systematically scanned. Global quantities are plotted as a function of frequency in order to obtain response curves, exhibiting several resonance peaks. In absence of the precise knowledge of the bubbles size distribution and spatial location, the attenuation coefficient of the wave is taken as a variable, but spatially uniform parameter, and its influence is studied. The concepts of acoustic energy, intensity, active power, and source impedance are recalled, along with the general balance equation for acoustic energy, which is used as a convergence check of the simulations. It is shown that the interface between the liquid and the solid walls cannot be correctly represented by the simple approximations of either infinitely soft, or infinitely hard boundaries. Moreover, the liquid-solid coupling allows the cooling jacket to receive a noticeable part of the input power, although it is not in direct contact with the sonotrode. It may therefore undergo cavitation and this feature opens the perspective to design sono-reactors which avoid direct contact between the working liquid and the sonotrode. Besides, the possibility to shift the main pressure antinode far from the sonotrode area by exciting a resonance of the system is examined.

  8. Sono-photo-Fenton oxidation of bisphenol-A over a LaFeO3 perovskite catalyst.

    PubMed

    Dükkancı, Meral

    2017-05-05

    In this study, oxidation of bisphenol-A (IUPAC name - 2,2-(4,4-dihydroxyphenyl, BPA), which is an endocrine disrupting phenolic compound used in the polycarbonate plastic and epoxy resin industry, was investigated using sono-photo-Fenton process under visible light irradiation in the presence of an iron containing perovskite catalyst, LaFeO3. The catalyst prepared by sol-gel method, calcined at 500°C showed a catalytic activity in BPA oxidation using sono-photo-Fenton process with a degradation degree and a chemical oxygen demand (COD) reduction of 21.8% and 11.2%, respectively. Degradation of BPA was studied by using individual and combined advanced oxidation techniques including sonication, heterogeneous Fenton reaction and photo oxidation over this catalyst to understand the effect of each process on degradation of BPA. It was seen, the role of sonication was very important in hybrid sono-photo-Fenton process due to the pyrolysis and sonoluminescence effects caused by ultrasonic irradiation. The prepared LaFeO3 perovskite catalyst was a good sonocatalyst rather than a photocatalyst. Sonication was not only the effective process to degrade BPA but also it was the cost effective process in terms of energy consumption. The studies show that the energy consumption is lower in the sono-Fenton process than those in the photo-Fenton and sono-photo- Fenton processes. Copyright © 2017 Elsevier B.V. All rights reserved.

  9. Sono-bromination of aromatic compounds based on the ultrasonic advanced oxidation processes.

    PubMed

    Fujita, Mitsue; Lévêque, Jean-Marc; Komatsu, Naoki; Kimura, Takahide

    2015-11-01

    A novel, mild "sono-halogenation" of various aromatic compounds with potassium halide was investigated under ultrasound in a biphasic carbon tetrachloride/water medium. The feasibility study was first undertaken with the potassium bromide and then extended to chloride and iodide analogues. This methodology could be considered as a new expansion of the ultrasonic advanced oxidation processes (UAOPs) into a synthetic aspect as the developed methodology is linked to the sonolytic disappearance of carbon tetrachloride. Advantages of the present method are not only that the manipulation of the bromination is simple and green, but also that the halogenating agents used are readily available, inexpensive, and easy-handling.

  10. Combining COMSOL modeling with acoustic pressure maps to design sono-reactors.

    PubMed

    Wei, Zongsu; Weavers, Linda K

    2016-07-01

    Scaled-up and economically viable sonochemical systems are critical for increased use of ultrasound in environmental and chemical processing applications. In this study, computational simulations and acoustic pressure maps were used to design a larger-scale sono-reactor containing a multi-stepped ultrasonic horn. Simulations in COMSOL Multiphysics showed ultrasonic waves emitted from the horn neck and tip, generating multiple regions of high acoustic pressure. The volume of these regions surrounding the horn neck were larger compared with those below the horn tip. The simulated acoustic field was verified by acoustic pressure contour maps generated from hydrophone measurements in a plexiglass box filled with water. These acoustic pressure contour maps revealed an asymmetric and discrete distribution of acoustic pressure due to acoustic cavitation, wave interaction, and water movement by ultrasonic irradiation. The acoustic pressure contour maps were consistent with simulation results in terms of the effective scale of cavitation zones (∼ 10 cm and <5 cm above and below horn tip, respectively). With the mapped acoustic field and identified cavitation location, a cylindrically-shaped sono-reactor with a conical bottom was designed to evaluate the treatment capacity (∼ 5 L) for the multi-stepped horn using COMSOL simulations. In this study, verification of simulation results with experiments demonstrates that coupling of COMSOL simulations with hydrophone measurements is a simple, effective and reliable scientific method to evaluate reactor designs of ultrasonic systems.

  11. Sono-assisted TEMPO oxidation of oil palm lignocellulosic biomass for isolation of nanocrystalline cellulose.

    PubMed

    Rohaizu, R; Wanrosli, W D

    2017-01-01

    Highly stable and dispersible nanocrystalline cellulose (NCC) was successfully isolated from oil palm empty fruit bunch microcrystalline cellulose (OPEFB-MCC), with yields of 93% via a sono-assisted TEMPO-oxidation and a subsequent sonication process. The sono-assisted treatment has a remarkable effect, resulting in an increase of more than 100% in the carboxylate content and a significant increase of approximately 39% in yield compared with the non-assisted process. TEM images reveal the OPEFB-NCC to have rod-like crystalline morphology with an average length and width of 122 and 6nm, respectively. FTIR and solid-state (13)C-NMR analyses suggest that oxidation of cellulose chain hydroxyl groups occurs at C6. XRD analysis shows that OPEFB-NCC consists primarily of a crystalline cellulose I structure. Both XRD and (13)C-NMR indicate that the OPEFB-NCC has a lower crystallinity than the OPEFB-MCC starting material. Thermogravimetric analysis illustrates that OPEFB-NCC is less thermally stable than OPEFB-MCC but has a char content of 46% compared with 7% for the latter, which signifies that the carboxylate functionality acts as a flame retardant. Copyright © 2016 Elsevier B.V. All rights reserved.

  12. Synthesis mechanism of sono-chemically prepared mesoporous ZnS nanoparticles

    NASA Astrophysics Data System (ADS)

    Motejadded Emrooz, H. B.; Jalaly, M.

    2017-03-01

    The mechanism of sono-chemically synthesized mesoporous ZnS nanoparticles has been investigated. ZnS nanoparticles were synthesized with a facile and quick method. The sonication process was carried out for several times up to 60 min. The synthesized particles have been characterized with scanning electron microscopy, transmission electron microscopy, high resolution x-ray diffraction, UV-visible technique, diffuse reflectance spectroscopy, Brunauer-Emmett-Teller and Fourier transformation infrared spectroscopy. Based on x-ray diffraction patterns, crystallite size and lattice strain increase with sonication time. Adsorption-desorption results showed that applying the sono-chemistry synthesizing method in the aqueous atmosphere will cause a mesoporous structure. The obtained specific surface area of the synthesized mesoporous ZnS nanoparticles varied from 53 to 58 m2 · g-1. Also the surface areas created from the porosity of the particles varied from 27 to 29 m2 · g-1. Regarding these results, the mechanism of porosity formation during synthesis of nanoparticles has been explained. Photocatalytic behavior of the synthesized particles has been investigated for degradation of methylene blue from aqueous solution. Factors affecting this behavior have been discussed and it was found that interaction between opposing factors caused the specimen synthesized with 40 min sonication time has the best methylene blue degradation efficiency.

  13. Sonolysis and sono-Fenton oxidation for removal of ibuprofen in (waste)water.

    PubMed

    Adityosulindro, Sandyanto; Barthe, Laurie; González-Labrada, Katia; Jáuregui Haza, Ulises Javier; Delmas, Henri; Julcour, Carine

    2017-11-01

    Two sonochemical processes were compared for the removal of ibuprofen in different water matrixes (distilled water and effluent from wastewater treatment plant). The effect of various operating parameters, such as pH (2.6-8.0), ultrasound power density (25-100W/L), sonication frequency (12-862kHz), addition of radical promoters (H2O2 and Fenton's reagent) or scavengers (n-butanol and acetic acid), was evaluated. Sono-degradation of ibuprofen followed a first-order kinetic trend, whose rate constant increased with ultrasound density and frequency. For this hydrophobic and low volatile molecule, a free-radical mechanism at the bubble interface was established. Coupling ultrasound with Fenton reaction showed a positive synergy, especially in terms of mineralization yield, while adding H2O2 alone had no significant beneficial effect. Dedicated experiments proved this synergy to be due to the enhanced regeneration of ferrous ions by ultrasound. Efficacy of the sonolysis process was hampered in wastewater matrix, mainly as the consequence of higher pH increasing the molecule solubility. However, after convenient acidification, sono-Fenton oxidation results remained almost unchanged, indicating no significant radical scavenging effects from the effluent compounds. Copyright © 2017 Elsevier B.V. All rights reserved.

  14. Sono-assisted adsorption of a textile dye on milk vetch-derived charcoal supported by silica nanopowder.

    PubMed

    Jorfi, Sahand; Darvishi Cheshmeh Soltani, Reza; Ahmadi, Mehdi; Khataee, Alireza; Safari, Mahdi

    2017-02-01

    This study was performed to assess the efficiency of silica nanopowder (SNP)/milk vetch-derived charcoal (MVDC) nanocomposite coupled with the ultrasonic irradiation named sono-adsorption process for treating water-contained Basic Red 46 (BR46) dye. Field emission scanning electron microscopy (FE-SEM), X-ray diffraction (XRD), Brunauer-Emmett-Teller (BET) and Fourier transform infrared spectroscopy (FT-IR) were performed for the characterization of as-prepared adsorbent. The sono-assisted adsorption process was optimized using response surface optimization on the basis of central composite design by the application of quadratic model. Accordingly, the color removal can be retained more than 93% by an initial BR46 concentration of 8 mg/L, sonication time of 31 min, adsorbent dosage of 1.2 g/L and initial pH of 9. The pseudo-second order kinetic model described the sono-assisted adsorption of BR46 reasonably well (R(2) > 0.99). The intra-particular diffusion kinetic model pointed out that the sono-assisted adsorption of BR46 onto SNP/MVDC nanocomposite was diffusion controlled as well as that ultrasonication enhanced the diffusion rate.

  15. Effect of various sono-oxidation parameters on the removal of aqueous 2,4-dinitrophenol.

    PubMed

    Guo, Zhaobing; Zheng, Zheng; Zheng, Shourong; Hu, Wenyong; Feng, Ruo

    2005-08-01

    The influences of ultrasonic output intensity, solution pH, H2O2 concentration and the addition of Fenton reagent on the degradation of 2,4-dinitrophenol (DNP) under ultrasonic irradiation were investigated. It was observed that the degradation of DNP fitted pseudo-first-order dynamics under our experimental conditions. Increasing the ultrasonic output intensity increased the degradation efficiency of DNP and low pH favored the ultrasonic degradation of DNP. The addition of H2O2 enhanced the ultrasonic degradation efficiency of DNP. The further addition of Cu2+, however, hindered the degradation of DNP. In contrast, sono-oxidation treatment in combination with FeSO4/H2O2 showed a synergistic effect for DNP degradation.

  16. A novel sono-assisted acid pretreatment of chili post harvest residue for bioethanol production.

    PubMed

    Sindhu, Raveendran; Binod, Parameswaran; Pandey, Ashok

    2016-08-01

    The objective of the present study was to develop a sono-assisted acid pretreatment strategy for the effective removal of lignin and hemicelluloses and to improve the sugar yield from chili post harvest residue. Operational parameters that affect the pretreatment efficiency were studied and optimized. Inhibitor analysis of the hydrolyzate revealed that major fermentation inhibitors like furfural, hydroxymethyl furfural and organic acids like citric acid, succinic acid and propionic acid were absent. Changes in structural properties of the biomass were studied in relation to the pretreatment process using scanning electron microscopy (SEM), X-ray diffraction (XRD) and Fourier Transform Infrared (FTIR) analysis, and the changes in chemical composition was also monitored. The biomass pretreated with the optimized novel method yielded 0.465g/g of reducing sugars on enzymatic hydrolysis. Fermentation of the non-detoxified hydrolysate yielded 2.14% of bioethanol with a fermentation efficiency of 71.03%.

  17. One pot sono-chemical synthesis of 2D layered MoS{sub 2} nanosheets

    SciTech Connect

    Kapatel, Sanni; Sumesh, C. K.

    2016-05-06

    Two-dimensional nanocrystals and monolayer of transition metal dichalcogenides show fascinating changes in its properties such as transition from direct to the indirect bandgap material. Due to light interaction with these monolayers optical absorption is enhanced in visible range a lot. Here, we report the synthesis of molybdenum disulphide (MoS{sub 2}) nanocrystals through a time dependent sono-chemical liquid exfoliation method and its structural and optical analysis. The prepared nanocrystals of MoS{sub 2} have exhibited high crystalline quality with strong diffraction to the (002) plane at 14.44° in the X-ray diffractrogram. It was observed that the concentration of nanocrystals in the dispersion inclined by increasing the sonication time. The optical absorption study revealed an optical band gap of 1.84 eV.

  18. Sono-photoacoustic imaging of gold nanoemulsions: Part I. Exposure thresholds

    PubMed Central

    Arnal, Bastien; Perez, Camilo; Wei, Chen-Wei; Xia, Jinjun; Lombardo, Michael; Pelivanov, Ivan; Matula, Thomas J.; Pozzo, Lilo D.; O’Donnell, Matthew

    2015-01-01

    Integrating high contrast bubbles from ultrasound imaging with plasmonic absorbers from photoacoustic imaging is investigated. Nanoemulsion beads coated with gold nanopsheres (NEB-GNS) are excited with simultaneous light (transient heat at the GNS's) and ultrasound (rarefactional pressure) resulting in a phase transition achievable under different scenarios, enhancing laser-induced acoustic signals and enabling specific detection of nanoprobes at lower concentration. An automated platform allowed dual parameter scans of both pressure and laser fluence while recording broadband acoustic signals. Two types of NEB-GNS and individual GNS were investigated and showed the great potential of this technique to enhance photoacoustic/acoustic signals. The NEB-GNS size distribution influences vaporization thresholds which can be reached at both permissible ultrasound and light exposures at deep penetration and at low concentrations of targets. This technique, called sono-photoacoustics, has great potential for targeted molecular imaging and therapy using compact nanoprobes with potentially high-penetrability into tissue. PMID:25893169

  19. Relationship of ultrasound signal intensity with SonoVue concentration at body temperature in vitro

    NASA Astrophysics Data System (ADS)

    Yang, Xin; Li, Jing; He, Xiaoling; Wu, Kaizhi; Yuan, Yun; Ding, Mingyue

    2014-04-01

    In this paper, the relationship between image intensity and ultrasound contrast agent (UCA) concentration is investigated. Experiments are conducted in water bath using a silicon tube filled with UCA (SonoVue) at different concentrations (100μl/l to 6000μl/l) at around 37 °C to simulate the temperature in human body. The mean gray-scale intensity within the region of interest (ROI) is calculated to obtain the plot of signal intensity to UCA concentration. The results show that the intensity firstly exhibits a linear increase to the peak at approximately 1500μl/l then appears a downward trend due to the multiple scattering (MS) effects.

  20. Synthesis of novel amorphous calcium carbonate by sono atomization for reactive mixing.

    PubMed

    Kojima, Yoshiyuki; Kanai, Makoto; Nishimiya, Nobuyuki

    2012-03-01

    Droplets of several micrometers in size can be formed in aqueous solution by atomization under ultrasonic irradiation at 2 MHz. This phenomenon, known as atomization, is capable of forming fine droplets for use as a reaction field. This synthetic method is called SARM (sono atomization for reactive mixing). This paper reports on the synthesis of a novel amorphous calcium carbonate formed by SARM. The amorphous calcium carbonate, obtained at a solution concentration of 0.8 mol/dm(3), had a specific surface area of 65 m(2)/g and a composition of CaCO(3)•0.5H(2)O as determined using thermogravimetric/differential thermal analysis (TG-DTA). Because the ACC had a lower hydrate composition than conventional amorphous calcium carbonate (ACC), the ACC synthesized in this paper was very stable at room temperature. Crown Copyright © 2011. Published by Elsevier B.V. All rights reserved.

  1. Sono-photoacoustic imaging of gold nanoemulsions: Part II. Real time imaging

    PubMed Central

    Arnal, Bastien; Wei, Chen-Wei; Perez, Camilo; Nguyen, Thu-Mai; Lombardo, Michael; Pelivanov, Ivan; Pozzo, Lilo D.; O’Donnell, Matthew

    2015-01-01

    Photoacoustic (PA) imaging using exogenous agents can be limited by degraded specificity due to strong background signals. This paper introduces a technique called sono-photoacoustics (SPA) applied to perfluorohexane nanodroplets coated with gold nanospheres. Pulsed laser and ultrasound (US) excitations are applied simultaneously to the contrast agent to induce a phase-transition ultimately creating a transient microbubble. The US field present during the phase transition combined with the large thermal expansion of the bubble leads to 20–30 dB signal enhancement. Aqueous solutions and phantoms with very low concentrations of this agent were probed using pulsed laser radiation at diagnostic exposures and a conventional US array used both for excitation and imaging. Contrast specificity of the agent was demonstrated with a coherent differential scheme to suppress US and linear PA background signals. SPA shows great potential for molecular imaging with ultrasensitive detection of targeted gold coated nanoemulsions and cavitation-assisted theranostic approaches. PMID:25893170

  2. Sono-photoacoustic imaging of gold nanoemulsions: Part I. Exposure thresholds.

    PubMed

    Arnal, Bastien; Perez, Camilo; Wei, Chen-Wei; Xia, Jinjun; Lombardo, Michael; Pelivanov, Ivan; Matula, Thomas J; Pozzo, Lilo D; O'Donnell, Matthew

    2015-03-01

    Integrating high contrast bubbles from ultrasound imaging with plasmonic absorbers from photoacoustic imaging is investigated. Nanoemulsion beads coated with gold nanopsheres (NEB-GNS) are excited with simultaneous light (transient heat at the GNS's) and ultrasound (rarefactional pressure) resulting in a phase transition achievable under different scenarios, enhancing laser-induced acoustic signals and enabling specific detection of nanoprobes at lower concentration. An automated platform allowed dual parameter scans of both pressure and laser fluence while recording broadband acoustic signals. Two types of NEB-GNS and individual GNS were investigated and showed the great potential of this technique to enhance photoacoustic/acoustic signals. The NEB-GNS size distribution influences vaporization thresholds which can be reached at both permissible ultrasound and light exposures at deep penetration and at low concentrations of targets. This technique, called sono-photoacoustics, has great potential for targeted molecular imaging and therapy using compact nanoprobes with potentially high-penetrability into tissue.

  3. Enhanced photo-, sono- and sonophotocatalysis of methylene blue via SnO2 nanoparticle supported on nanographene platelets (NGP)

    NASA Astrophysics Data System (ADS)

    Paramarta, V.; Taufik, A.; Saleh, R.

    2017-07-01

    In our previous study, we have reported the catalytic (photo- and sono-) performance of SnO2 nanoparticles in methylene blue (MB) removal from aqueous solution. In this study, SnO2/nanographene platelets (NGP) composites were fabricated by depositing SnO2 nanoparticle onto nanographene platelets surface to develop photo-, sono-, and sonophotocatalysts, SnO2 nanoparticle, and SnO2/NGP composites were successfully synthesized using the sol-gel and coprecipitation method, respectively. The nanographene platelets (NGP) content was varied from 5, 10, and 15 weight percentages (wt.%). The optical properties and thermal stability of the samples were characterized using X-ray Diffraction (XRD), Fourier Transform Infrared (FTIR), and Thermal Gravimetric Analysis (TGA). The catalytic ability of the samples was investigated using photo-, sono-, and sonophoto degradation of MB which was observed when nanographene platelets (NGP) were added into SnO2 nanocomposite. The photo-, sono- and sonophotocatalytic activities of SnO2/NGP composites on dyes were analyzed by measuring the change in absorbance of dyes under UV-spectrophotometer. The degradation of the organic dyes has been calculated by monitoring the degradation in concentration of the dyes before and after irradiation of UV light, ultrasound, and both of them respectively. The influence of other parameters such as catalyst dosage, pH, and scavenger have also been investigated. The results showed that SnO2/NGP composite with 10 weight percent (wt.%) has better catalytic performance than pure SnO2 nanoparticle. The reusability tests have also been done to ensure the stability of the used catalysts.

  4. Integrated heterogeneous sono-photo Fenton processes for the degradation of phenolic aqueous solutions.

    PubMed

    Segura, Y; Molina, R; Martínez, F; Melero, J A

    2009-03-01

    The removal of organic compounds from aqueous solutions has been tackled by a novel integrated heterogeneous system. The efficacy of the different systems has been assessed using Fenton-like processes (H2O2/Fe2O3-SBA-15) and phenol as model pollutant. Sono- and photo-Fenton processes separately applied as well as combined systems were studied in order to evaluate of possible beneficial effects on the use of coupled systems. The sequential system evidences an enhancement in terms of phenol and TOC conversions compared to the ultrasound or UV-light irradiation processes. A total phenol degradation and ca. 90% TOC reduction are achieved by sequentially ultrasound followed by UV-visible light irradiation. These effects are ascribed cavitation effect of ultrasound producing a reduction of particle size that provides a higher amount of available active sites due to an increased surface area for the subsequent photo-Fenton system. These encouraging results open new paths for the existing oxidation technologies for potable water and wastewater treatment.

  5. A new sono-electrochemical method for enhanced detoxification of hydrophilic chloroorganic pollutants in water.

    PubMed

    Yasman, Yakov; Bulatov, Valery; Gridin, Vladimir V; Agur, Sabina; Galil, Noah; Armon, Robert; Schechter, Israel

    2004-09-01

    A new method for detoxification of hydrophilic chloroorganic pollutants in effluent water was developed, using a combination of ultrasound waves, electrochemistry and Fenton's reagent. The advantages of the method are exemplified using two target compounds: the common herbicide 2,4-dichlorophenoxyacetic acid (2,4-D) and its derivative 2,4-dichlorophenol (2,4-DCP). The high degradation power of this process is due to the large production of oxidizing hydroxyl radicals and high mass transfer due to sonication. Application of this sono-electrochemical Fenton process (SEF) treatment (at 20 kHz) with quite a small current density, accomplished almost 50% oxidation of 2,4-D solution (300 ppm, 1.2 mM) in just 60 s. Similar treatments ran for 600 s resulted in practically full degradation of the herbicide; sizable oxidation of 2,4-DCP also occurs. The main intermediate compounds produced in the SEF process were identified. Their kinetic profile was measured and a chemical reaction scheme was suggested. The efficiency of the SEF process is tentatively much higher than the reference degradation methods and the time required for full degradation is considerably shorter. The SEF process maintains high performance up to concentrations which are higher than reference methods. The optimum concentration of Fe2+ ions required for this process was found to be of about 2 mM, which is lower than that in reference techniques. These findings indicate that SEF process may be an effective method for detoxification of environmental water.

  6. Modeling the oxidation kinetics of sono-activated persulfate's process on the degradation of humic acid.

    PubMed

    Songlin, Wang; Ning, Zhou; Si, Wu; Qi, Zhang; Zhi, Yang

    2015-03-01

    Ultrasound degradation of humic acid has been investigated in the presence of persulfate anions at ultrasonic frequency of 40 kHz. The effects of persulfate anion concentration, ultrasonic power input, humic acid concentration, reaction time, solution pH and temperature on humic acid removal efficiency were studied. It is found that up to 90% humic acid removal efficiency was achieved after 2 h reaction. In this system, sulfate radicals (SO₄⁻·) were considered to be the mainly oxidant to mineralize humic acid while persulfate anion can hardly react with humic acid directly. A novel kinetic model based on sulfate radicals (SO₄⁻·) oxidation was established to describe the humic acid mineralization process mathematically and chemically in sono-activated persulfate system. According to the new model, ultrasound power, persulfate dosage, solution pH and reaction temperature have great influence on humic acid degradation. Different initial concentration of persulfate anions and humic acid, ultrasonic power, initial pH and reaction temperature have been discussed to valid the effectiveness of the model, and the simulated data showed new model had good agreement with the experiments data.

  7. Polypyrrole coated phase-change contrast agents for sono-photoacoustic imaging (Conference Presentation)

    NASA Astrophysics Data System (ADS)

    Li, David S.; Yoon, Soon Joon; Matula, Thomas J.; O'Donnell, Matthew; Pozzo, Lilo D.

    2017-03-01

    A new light and sound sensitive nanoemulsion contrast agent is presented. The agents feature a low boiling point liquid perfluorocarbon core and a broad light spectrum absorbing polypyrrole (PPy) polymer shell. The PPy coated nanoemulsions can reversibly convert from liquid to gas phase upon cavitation of the liquid perfluorocarbon core. Cavitation can be initiated using a sufficiently high intensity acoustic pulse or from heat generation due to light absorption from a laser pulse. The emulsions can be made between 150 and 350 nm in diameter and PPy has a broad optical absorption covering both the visible spectrum and extending into the near-infrared spectrum (peak absorption 1053 nm). The size, structure, and optical absorption properties of the PPy coated nanoemulsions were characterized and compared to PPy nanoparticles (no liquid core) using dynamic light scattering, ultraviolet-visible spectrophotometry, transmission electron microscopy, and small angle X-ray scattering. The cavitation threshold and signal intensity were measured as a function of both acoustic pressure and laser fluence. Overlapping simultaneous transmission of an acoustic and laser pulse can significantly reduce the activation energy of the contrast agents to levels lower than optical or acoustic activation alone. We also demonstrate that simultaneous light and sound cavitation of the agents can be used in a new sono-photoacoustic imaging method, which enables greater sensitivity than traditional photoacoustic imaging.

  8. Cycling Endurance of SONOS Non-Volatile Memory Stacks Prepared with Nitrided SiO(2)/Si(100) Intefaces

    SciTech Connect

    Habermehl, S.; Nasby, R.D.; Rightley, M.J.

    1999-01-11

    The effects of nitrided SiO{sub 2}/Si(100) interfaces upon cycling endurance in silicon-oxide-nitride-oxide-silicon (SONOS) non-volatile memory transistors are investigated. Analysis of MOSFET sub-threshold characteristics indicate cycling degradation to be a manifestation of interface state (D{sub it}) generation at the tunnel oxide/silicon interface. After 10{sup 6} write/erase cycles, SONOS film stacks prepared with nitrided tunnel oxides exhibit enhanced cycling endurance with {Delta}D{sub it}=3x10{sup 12} V{sup -1}cm{sup -2}, compared to {Delta}D{sub it}=2x10{sup 13} V{sup -l}cm{sup -2} for non-nitrided tunnel oxides. Additionally, if the capping oxide is formed by steam oxidation, rather than by deposition, SONOS stacks prepared with non-nitrided tunnel oxides exhibit endurance characteristics similar to stacks with nitrided tunnel oxides. From this observation it is concluded that latent nitridation of the tunnel oxidehilicon interface occurs during steam oxide cap formation.

  9. Surface Charge Measurement of SonoVue, Definity and Optison: A Comparison of Laser Doppler Electrophoresis and Micro-Electrophoresis.

    PubMed

    Ja'afar, Fairuzeta; Leow, Chee Hau; Garbin, Valeria; Sennoga, Charles A; Tang, Meng-Xing; Seddon, John M

    2015-11-01

    Microbubble (MB) contrast-enhanced ultrasonography is a promising tool for targeted molecular imaging. It is important to determine the MB surface charge accurately as it affects the MB interactions with cell membranes. In this article, we report the surface charge measurement of SonoVue, Definity and Optison. We compare the performance of the widely used laser Doppler electrophoresis with an in-house micro-electrophoresis system. By optically tracking MB electrophoretic velocity in a microchannel, we determined the zeta potentials of MB samples. Using micro-electrophoresis, we obtained zeta potential values for SonoVue, Definity and Optison of -28.3, -4.2 and -9.5 mV, with relative standard deviations of 5%, 48% and 8%, respectively. In comparison, laser Doppler electrophoresis gave -8.7, +0.7 and +15.8 mV with relative standard deviations of 330%, 29,000% and 130%, respectively. We found that the reliability of laser Doppler electrophoresis is compromised by MB buoyancy. Micro-electrophoresis determined zeta potential values with a 10-fold improvement in relative standard deviation.

  10. Sono- and photocatalytic activities of SnO2 nanoparticles for degradation of cationic and anionic dyes

    NASA Astrophysics Data System (ADS)

    Paramarta, Valentinus; Taufik, Ardiansyah; Munisa, Lusitra; Saleh, Rosari

    2017-01-01

    The current research work focuses on the catalytic activity of SnO2 nanoparticles (NPs) against degradation of both cationic dye (methylene blue) and anionic dye (Congo-red). SnO2 NPs were synthesized under the sol-gel method and were characterized by performing X-ray diffraction, Fourier Transform Infrared Spectroscopy (FT-IR), Transmission Electron Microscopy (TEM) Brunauer-Emmet-Teller (BET) surface area analysis and UV-Vis spectroscopy. The results demonstrate that SnO2 NPs has well crystalline structure with the crystallite size of 44 nm. The degradation of dyes was studied under ambient temperature using ultrasonicator and UV light, respectively. The sono- and photocatalytic activities of SnO2 NPs on dyes were analyzed by measuring the change in absorbance of dyes under UV-spectrophotometer. The degradation of the organic dyes has been calculated by monitoring the degradation in the concentration of the dyes before and after irradiation of ultrasonic and light, respectively. The influence of other parameters such as catalyst dosage, pH and scavenger have also been investigated. The catalytic activity is enhanced in the presence of ultrasonic irradiation. The degradation of both dyes follows pseudo-first order kinetics. The reusability tests have also been done to ensure the stability of the used catalysts. A reasonable mechanism of sono- and photocatalysis with SnO2 NPs has been proposed by correlating the active radical species involved with the physical properties of the as-synthesized samples.

  11. Thermoluminescence and photoluminescence properties of NaCl:Mn, NaCL:Cu nano-particles produced using co-precipitation and sono-chemistry methods

    NASA Astrophysics Data System (ADS)

    Mehrabi, M.; Zahedifar, M.; Saeidi-Sogh, Z.; Ramazani-Moghaddam-Arani, A.; Sadeghi, E.; Harooni, S.

    2017-02-01

    The NaCl: Cu and NaCl: Mn nanoparticles (NPs) were produced by co-precipitation and sono-chemistry methods and their thermoluminescence (TL) and photoluminescence (PL) properties were studied. By decreasing the particles size a considerable increase in sensitivity of the samples to high dose gamma radiation was observed. The NPs produced by sono-chemistry method have smaller size, homogeneous structure, more sensitivity to high gamma radiation and less fading than of those produced by co-precipitation method.

  12. The effect of SonoPrep® on EMLA® cream application for pain relief prior to intravenous cannulation.

    PubMed

    Kim, Do Kyun; Choi, Sae Won; Kwak, Young Ho

    2012-06-01

    The aim the study was to determine the effect of SonoPrep® on the delivery and analgesic effects of EMLA® cream prior to intravenous (iv) cannulation in a tertiary pediatric emergency department. Children aged between 5 and 10 years were enrolled. Patients were randomized to receive either sonophoresis with SonoPrep® or sham sonophoresis followed by application of EMLA® cream for 5 min prior to iv cannulation. The primary outcome measurement was the child's rating of pain immediately after iv placement, using a 10-cm visual analog scale (VAS). Parents or guardians and blinded researchers were additionally asked to rate their perception of the child's pain using the 10-cm VAS and the Wong-Baker Face scale. A total of 42 patients completed the study (21 in the study group, 21 in the control group). The baseline characteristics between the groups were similar. The VAS pain score was significantly lower in children treated with sonophoresis compared with the sham sonophoresis (median (percentiles 25th-75th), 20.0 (10.0-22.5) vs. 60.0 (31.0-87.5); p < 0.001). The parent's perception of the child's pain was significantly lower in the study group vs. the control group by the VAS (median (percentiles 25th-75th), 10.0 (10.0-20.0) vs. 50.0 (15.0-80.0); p < 0.001) and Wong-Baker Face scale (median (percentiles 25th-75th), 2.0 (2.0-2.0) vs. 4.0 (2.5-4.5); p < 0.001). The researcher's evaluation of the child's discomfort was also significantly lower in the study group (2.0 (1.0-3.0) vs. 4.0 (2.5-4.5); p < 0.001). The application of sonophoresis using SonoPrep® followed by the 5-min application of EMLA® cream showed significant benefit in young children in terms of pain reduction and patient satisfaction.

  13. Preparation of zeolite nanorods by corona discharge plasma for degradation of phenazopyridine by heterogeneous sono-Fenton-like process.

    PubMed

    Khataee, Alireza; Rad, Tannaz Sadeghi; Vahid, Behrouz; Khorram, Sirous

    2016-11-01

    The plasma-modified clinoptilolite (PMC) nanorods were prepared from natural clinoptilolite (NC) utilizing environmentally-friendly corona discharge plasma. The PMC and NC were characterized by XRD, FT-IR, SEM, EDX, XPS and BET, which confirmed the nanocatalyst formation. The catalytic performance of the PMC in the heterogeneous sono-Fenton-like process was greater than the NC for treatment of phenazopyridine (PhP). The desired amounts were obtained for experimental parameters including initial pH (5), PMC dosage (2g/L), K2S2O8 concentration (2mmol/L), ultrasonic power (300W) and PhP concentration (10mg/L). Reactive oxygen species scavengers decreased the removal efficiency of the PhP. The treatment process followed pseudo-first order kinetic and seven degradation intermediates were identified by the GC-MS technique.

  14. Effects of RNA interference combined with ultrasonic irradiation and SonoVue microbubbles on expression of STAT3 gene in keratinocytes of psoriatic lesions.

    PubMed

    Ran, Li-Wei; Wang, Hao; Lan, Dong; Jia, Hong-Xia; Yu, Si-Si

    2017-04-01

    The most effective sequence of small interfering RNA (siRNA) silencing STAT3 of psoriatic keratinocytes (KCs) was screened out, and the effects of the most effective siRNA combined with ultrasonic irradiation and SonoVue microbubbles on the expression of STAT3 of KCs and the dose- and time-response were investigated. Three chemically-synthetic siRNAs targeting STAT3 carried by Lipofectamine 3000 were transfected into KCs, and the effects on STAT3 expression were detected, then the most effective siRNA was selected for the subsequent experiments. The negative controls of siRNA (siRNA-NC) labeled with Cy3 carried by Lipofectamine 3000 combined with ultrasonic irradiation and SonoVue microbubbles were transfected into KCs, then the optimal parameters of ultrasonic irradiation were determined. The most effective siRNA carried by Li-pofectamine 3000 combined with ultrasonic irradiation at the optimal parameters and SonoVue microbubbles was transfected into KCs, and the dose- and time-response of RNA interference was determined. The effect of RNA interference by the most effective siRNA at the optimal time and dose carried by Lipofectamine 3000 combined with ultrasonic irradiation and SonoVue microbubbles (LUS group) was compared with that only carried by Li-pofectamine 3000 (L group). The results showed that siRNA-3 achieved the highest silencing efficacy. 0.5 W/cm2 and 30 s were selected as the parameters of ultrasonic irradiation. The siRNA-3 carried by Lipofectamine 3000 combined with ultrasonic irradiation and SonoVue microbubbles could effectively knock down the STAT3 expression at mRNA and protein levels in dose- and time-dependent manners determined at 100 nmol/L with maximum downregulation on mRNA at 48 h, and on protein at 72 h after transfection. The LUS group achieved the highest silencing efficacy. It was concluded that siRNA-3 carried by Lipofectamine 3000 combined with ultrasonic irradiation and SonoVue microbubbles could effectively knock down the STAT3

  15. High-efficiency sono-solar-induced degradation of organic dye by the piezophototronic/photocatalytic coupling effect of FeS/ZnO nanoarrays

    NASA Astrophysics Data System (ADS)

    Guo, Xiao; Fu, Yongming; Hong, Deyi; Yu, Binwei; He, Haoxuan; Wang, Qiang; Xing, Lili; Xue, Xinyu

    2016-09-01

    Highly-efficient sono-solar-induced degradation of organic dye by the piezophototronic/photocatalytic coupling effect of FeS/ZnO nanoarrays was achieved. A steel screen was used as the substrate for supporting FeS/ZnO nanoarrays, and the nanoarrays were vertically and uniformly grown on the substrate via a wet-chemical route. Under ultrasonic and solar irradiation, FeS/ZnO nanoarrays have high sono-photocatalytic activity for degrading methylene blue in water. The photogenerated carriers can be separated by a piezoelectric field and a built-in electric field, resulting in a low recombination rate and high photocatalytic efficiency. The piezophototronic and photocatalytic effects were coupled together. The experimental/theoretical data indicate that this novel wastewater treatment can co-use mechanical and solar energy in nature, and so is a promising technology for environment improvement.

  16. Comparison of the synergistic effect of lipid nanobubbles and SonoVue microbubbles for high intensity focused ultrasound thermal ablation of tumors.

    PubMed

    Yao, Yuanzhi; Yang, Ke; Cao, Yang; Zhou, Xuan; Xu, Jinshun; Liu, Jianxin; Wang, Qi; Wang, Zhigang; Wang, Dong

    2016-01-01

    Microbubbles (MBs) are considered as an important enhancer for high intensity focused ultrasound (HIFU) treatment of benign or malignant tumors. Recently, different sizes of gas-filled bubbles have been investigated to improve the therapeutic efficiency of HIFU thermal ablation and reduce side effects associated with ultrasound power and irradiation time. However, nanobubbles (NBs) as an ultrasound contrast agent for synergistic therapy of HIFU thermal ablation remain controversial due to their small nano-size in diameter. In this study, phospholipid-shell and gas-core NBs with a narrow size range of 500-600 nm were developed. The synergistic effect of NBs for HIFU thermal ablation was carefully studied both in excised bovine livers and in breast tumor models of rabbits, and made a critical comparison with that of commercial SonoVue microbubbles (SonoVue MBs). In addition, the pathological changes of the targeted area in tumor tissue after HIFU ablation were further investigated. Phosphate buffer saline (PBS) was used as the control. Under the same HIFU parameters, the quantitative echo intensity of B-mode ultrasound image and the volume of coagulative necrosis in lipid NBs groups were significantly higher and larger than that in PBS groups, but could not be demonstrated a difference to that in SonoVue MBs groups both ex vivo and in vivo. These results showed that the synergistic effect of lipid NBs for HIFU thermal ablation were similar with that of SonoVue MBs, and further indicate that lipid NBs could potentially become an enhancer for HIFU thermal ablation of tumors.

  17. Comparison of the synergistic effect of lipid nanobubbles and SonoVue microbubbles for high intensity focused ultrasound thermal ablation of tumors

    PubMed Central

    Yao, Yuanzhi; Yang, Ke; Cao, Yang; Zhou, Xuan; Xu, Jinshun; Liu, Jianxin; Wang, Qi

    2016-01-01

    Microbubbles (MBs) are considered as an important enhancer for high intensity focused ultrasound (HIFU) treatment of benign or malignant tumors. Recently, different sizes of gas-filled bubbles have been investigated to improve the therapeutic efficiency of HIFU thermal ablation and reduce side effects associated with ultrasound power and irradiation time. However, nanobubbles (NBs) as an ultrasound contrast agent for synergistic therapy of HIFU thermal ablation remain controversial due to their small nano-size in diameter. In this study, phospholipid-shell and gas-core NBs with a narrow size range of 500–600 nm were developed. The synergistic effect of NBs for HIFU thermal ablation was carefully studied both in excised bovine livers and in breast tumor models of rabbits, and made a critical comparison with that of commercial SonoVue microbubbles (SonoVue MBs). In addition, the pathological changes of the targeted area in tumor tissue after HIFU ablation were further investigated. Phosphate buffer saline (PBS) was used as the control. Under the same HIFU parameters, the quantitative echo intensity of B-mode ultrasound image and the volume of coagulative necrosis in lipid NBs groups were significantly higher and larger than that in PBS groups, but could not be demonstrated a difference to that in SonoVue MBs groups both ex vivo and in vivo. These results showed that the synergistic effect of lipid NBs for HIFU thermal ablation were similar with that of SonoVue MBs, and further indicate that lipid NBs could potentially become an enhancer for HIFU thermal ablation of tumors. PMID:26925336

  18. Binary metal oxide nanoparticle incorporated composite multilayer thin films for sono-photocatalytic degradation of organic pollutants

    NASA Astrophysics Data System (ADS)

    Gokul, Paramasivam; Vinoth, Ramalingam; Neppolian, Bernaurdshaw; Anandhakumar, Sundaramurthy

    2017-10-01

    We report reduced graphene oxide (rGO) supported binary metal oxide (CuO-TiO2/rGO) nanoparticle (NP) incorporated multilayer thin films based on Layer-by-Layer (LbL) assembly for enhanced sono-photocatalytic degradation of methyl orange under exposure to UV radiation. Multilayer thin films were fabricated on glass and quartz slides, and investigated using scanning electron microscopy and UV-vis spectroscopy. The loading of catalyst NPs on the film resulted in the change of morphology of the film from smooth to rough with uniformly distributed NPs on the surface. The growth of the control and NP incorporated films followed a linear regime as a function of number of layers. The%degradation of methyl orange as a function of time was investigated by UV-vis spectroscopy and total organic carbon (TOC) measurements. Complete degradation of methyl orange was achieved within 13 h. The amount of NP loading in the film significantly influenced the%degradation of methyl orange. Catalyst reusability studies revealed that the catalyst thin films could be repeatedly used for up to five times without any change in photocatalytic activity of the films. The findings of the present study support that the binary metal oxide catalyst films reported here are very useful for continuous systems, and thus, making it an option for scale up.

  19. Sono-photo-degradation of carbamazepine in a thin falling film reactor: Operation costs in pilot plant.

    PubMed

    Expósito, A J; Patterson, D A; Monteagudo, J M; Durán, A

    2017-01-01

    The photo-Fenton degradation of carbamazepine (CBZ) assisted with ultrasound radiation (US/UV/H2O2/Fe) was tested in a lab thin film reactor allowing high TOC removals (89% in 35min). The synergism between the UV process and the sonolytic one was quantified as 55.2%. To test the applicability of this reactor for industrial purposes, the sono-photo-degradation of CBZ was also tested in a thin film pilot plant reactor and compared with a 28L UV-C conventional pilot plant and with a solar Collector Parabolic Compound (CPC). At a pilot plant scale, a US/UV/H2O2/Fe process reaching 60% of mineralization would cost 2.1 and 3.8€/m(3) for the conventional and thin film plant respectively. The use of ultrasound (US) produces an extra generation of hydroxyl radicals, thus increasing the mineralization rate. In the solar process, electric consumption accounts for a maximum of 33% of total costs. Thus, for a TOC removal of 80%, the cost of this treatment is about 1.36€/m(3). However, the efficiency of the solar installation decreases in cloudy days and cannot be used during night, so that a limited flow rate can be treated. Copyright © 2016 Elsevier B.V. All rights reserved.

  20. Dynamic behavior of hydroxyl radical in sono-photo-Fenton mineralization of synthetic municipal wastewater effluent containing antipyrine.

    PubMed

    Expósito, A J; Monteagudo, J M; Durán, A; Fernández, A

    2017-03-01

    The aim of this study was to examine the kinetics of the different mechanisms (radical pathway, photolysis, molecular reaction with H2O2 and reaction with ultrasonically generated oxidative species) involved in the homogeneous sono-photoFenton (US/UV/H2O2/Fe) mineralization of antipyrine present in a synthetic municipal wastewater effluent (ASMWE). The dynamic behavior of hydroxyl (HO) radical generation and consumption in mineralization reaction under different systems was investigated by measuring hydroxyl radical concentration during the reaction. The overall mineralization process was optimized using a Central-Composite Experimental Design (CCED) with four variables (initial concentrations of H2O2 and Fe(II), amplitude and pulse length). The response functions (pseudo-first order mineralization kinetic rate constants) were fitted using neural networks (NNs). Under the optimal conditions ([H2O2]o=500mgL(-1), [Fe(II)]o=27mgL(-1), Amplitude (%)=20andPulse length=1), the TOC removal was 79% in 50min. The radical reaction in the bulk solution was found be the primary mineralization pathway (94.8%), followed by photolysis (3.65%), direct reaction with H2O2 (0.86%), and reaction by ultrasonically generated oxidative species (0.64%). The role of the Fe catalyst on the radical reaction and the presence of refractory intermediates towards hydroxyl radical were also studied. Copyright © 2016 Elsevier B.V. All rights reserved.

  1. The degradation of Direct Blue 71 by sono, photo and sonophotocatalytic oxidation in the presence of ZnO nanocatalyst

    NASA Astrophysics Data System (ADS)

    Ertugay, Nese; Acar, Filiz Nuran

    2014-11-01

    The sono, photo and sonophotacatalytic degradation of Direct Blue 71 (DB71) accompanied by heterogeneous ZnO catalysts were studied by using the ultrasonic power of 95 W at 20 kHz and aqueous temperature of 20 °C within 20 min. The effects of various experimental parameters such as the dye concentration, pH and amount of catalyst on the sonochemical degradation were also investigated. Sonochemical degradation of DB71 was strongly affected by initial substrate concentration, amount of catalyst and pH. Acidic pH was favored for the sonocatalytic degradation of DB71 using catalyst. The ultrasonic degradation of dye was enhanced by the addition of catalyst. In addition, the effects of H2O2 on sonolysis and sonocatalytic oxidation were studied, and it was found that H2O2 enhanced the degradation of dye. Then, the effect of ZnO on photo and sonophotocatalytic oxidation was also investigated, and it was found that UV/ZnO combination was a more effective treatment on DB71 dyestuff. The structure and morphology of the catalyst were investigated using scanning election microscopy (SEM) and XRD pattern.

  2. Multi-centre clinical study evaluating the efficacy of SonoVue (BR1), a new ultrasound contrast agent in Doppler investigation of focal hepatic lesions.

    PubMed

    Leen, E; Angerson, W J; Yarmenitis, S; Bongartz, G; Blomley, M; Del Maschio, A; Summaria, V; Maresca, G; Pezzoli, C; Llull, J B

    2002-03-01

    SonoVue is a new ultrasound contrast agent, which consists of stabilised microbubbles of a sulphur hexafluoride gas. The aim of the study was to assess its efficacy in the Doppler investigation of focal hepatic lesions. Seventy patients with focal liver tumours were studied. Four doses (0.3, 0.6, 1.2 and 2.4 ml) of SonoVue were administered intravenously with at least 10 min delay between each injection. A complete colour/power and spectral Doppler imaging investigation of the lesions was performed at baseline pre-dosing and after each SonoVue injection. All examinations were recorded on SVHS videotapes. Baseline and post contrast videotapes were reviewed by the on-site (un-blinded) investigators and by two off-site blinded readers (a) to grade the global quality of the Doppler scans of the focal lesions vascularity and the normal parenchymal vessels (b) to measure the duration of clinically useful Doppler signal enhancement and (c) to determine the diagnostic accuracy and performance of the enhanced versus unenhanced scans using histopathology, tumour markers, CT and/or MR as the reference standard. A statistically significant improvement was observed at all four SonoVue doses in the off site assessment of global quality of the Doppler examination of tumoral and normal parenchymal vessels in comparison with the baseline (P < 0.05). The median duration of clinically useful enhancement was significantly increased with increasing doses (P < 0.001), ranging between 1.4-2.2 min for the lowest dose and 3.2-3.8 min for the highest dose for the off-site readers. On-site assessment of diagnostic accuracy showed a significant increase in the specificity of the Doppler diagnoses (P < 0.0016) with an increase in the positive and negative predictive values and in the likelihood ratio in differentiating between benign and malignant lesions. Off-site evaluation showed a significant increase in the accuracy of enhanced Doppler diagnosis in comparison with the baseline performance

  3. Heterogeneous sono-Fenton process using pyrite nanorods prepared by non-thermal plasma for degradation of an anthraquinone dye.

    PubMed

    Khataee, Alireza; Gholami, Peyman; Vahid, Behrouz; Joo, Sang Woo

    2016-09-01

    Natural pyrite (NP) was treated using oxygen and nitrogen non-thermal plasmas to form modified catalysts. Cleaning effect of the O2 plasma by chemical etching leads to removal of impurities from catalyst surface and sputtering effect of the N2 plasma results in formation of pyrite nanorods. The mentioned plasmas were applied separately or in the order of first O2 and then N2, respectively. The catalytic performance of the plasma-modified pyrites (PMPs) is better than the NP for treatment of Reactive Blue 69 (RB69) in heterogeneous sono-Fenton process (US/H2O2/PMP). The NP and the most effective modified pyrite (PMP4) samples were characterized by XRD, FT-IR, SEM, EDX, XPS and BET analyses. The desired amounts were chosen for operational parameters including initial pH (5), H2O2 concentration (1mM), PMP4 dosage (0.6g/L), dye concentration (20mg/L), and ultrasonic power (300W). Moreover, the effects of peroxydisulfate and inorganic salts on the degradation efficiency were investigated. Gas chromatography-mass spectrometry (GC-MS) method was applied to identify the generated intermediates and a plausible pathway was proposed for RB69 degradation. Environmentally-friendly modification of the NP, low amount of leached iron and repeated reusability at milder pH are the significant privileges of the PMP4. The phytotoxicity test using Spirodela polyrrhiza verified the remarkable toxicity removal of the RB69 solution after the treatment process.

  4. Ablation of high-intensity focused ultrasound assisted with SonoVue on Rabbit VX2 liver tumors: sequential findings with histopathology, immunohistochemistry, and enzyme histochemistry.

    PubMed

    Luo, Wen; Zhou, Xiaodong; Yu, Ming; He, Guangbin; Zheng, Xiaoying; Li, Qiuyang; Liu, Qing; Han, Zenghui; Zhang, Jun; Qian, Yunqiu

    2009-08-01

    We investigated sequential effects of HIFU ablation combined with contrast agent SonoVue by using histopathology examination, immunohistochemistry, and enzyme histochemistry. Forty rabbits with VX2 liver tumors were subjected to HIFU ablation. Before ablation, a bolus injection of 0.2 mL SonoVue was administrated in group II (n = 20), and normal saline solution was injected in group I (n = 20). On day 0, 3, 7, and 14 after ablation, 5 animals in each group were sacrificed. The tissue in ablated zone, transient zone (within 3 mm around ablated area), and surrounding zone (beyond 3 mm around ablated area) were collected. Coagulated volume measurement, hematoxylin-eosin staining, immunohistochemistry of Ki 67, Bcl-2, CD54, and MMP-2 to determine cell proliferation and tissue repair, and nicotinamide adenine dinucleotide phosphate-diaphorase (NADPH-d) and succinic dehydrogenase (SDH) staining to evaluate tissue viability were performed. The coagulated volume in group II at each time point was larger than that in group I (P < .05). After day 3, hematoxylin-eosin staining demonstrated necrosis in ablated zones and increasing surrounding fibra bands in group I and group II, while increasing expression of Ki 67, Bcl-2, CD54, and MMP-2 in transient zones was detected using immunohistochemistry in both groups (P > .05). NADPH-d and SDH staining showed dramatic decrease of enzyme activities in ablated zones immediately after ablation, while residual viable tissues in ablated zones of group II were less than those of group I (P < .05). Contrast agent SonoVue enables improvement of HIFU ablation on rabbit VX2 liver tumors.

  5. Influence of Diamond Sono-Abrasion, Air-Abrasion and Er:YAG Laser Irradiation on Bonding of Different Adhesive Systems to Dentin.

    PubMed

    de Oliveira, Marcelo Tavares; de Freitas, Patrícia Moreira; de Paula Eduardo, Carlos; Ambrosano, Glaucia Maria Bovi; Giannini, Marcelo

    2007-07-01

    Different surface treatments may affect bonding performance of adhesive systems to dentin. This study evaluated the influence of different methods of surface treatment on adhesion of bonding agents to dentin. Dentin surfaces abraded with #600-grit SiC paper were used as control. Three methods of surface treatment (sono-abrasion, air-abrasion and Er:YAG laser irradiation) were used under specific parameters. Four adhesive systems (Tyrian, Clearfil SE Bond, Unifil Bond and Single Bond) were applied to treated surfaces, according to the manufacturers' instructions. Composite blocks were built on bonded surfaces, then restored teeth were vertically and serially sectioned to obtain bonded slices for interfacial micromorphologic analysis or to produce beam specimens for mu-TBS bond test. Data were analyzed with two-way ANOVA and Tukey test at a significance level of 5%. The results indicated that the preparation of dentin with sono-abrasion or laser did not affect the bond strength, while the preparation of dentin with SiC paper and air-abrasion influenced the bond strength for some systems. A clear difference of the preparation of dentin surfaces and formation of hybrid layer and resin tags were noted. Bonding effectiveness of both the etch-and-rinse and the self-etch adhesives can be influenced by different methods of dentin preparation.

  6. Heterogeneous sono-Fenton-like process using martite nanocatalyst prepared by high energy planetary ball milling for treatment of a textile dye.

    PubMed

    Dindarsafa, Mahsa; Khataee, Alireza; Kaymak, Baris; Vahid, Behrouz; Karimi, Atefeh; Rahmani, Amir

    2017-01-01

    High energy planetary ball milling was applied to prepare sono-Fenton nanocatalyst from natural martite (NM). The NM samples were milled for 2-6h at the speed of 320rpm for production of various ball milled martite (BMM) samples. The catalytic performance of the BMMs was greater than the NM for treatment of Acid Blue 92 (AB92) in heterogeneous sono-Fenton-like process. The NM and the BMM samples were characterized by XRD, FT-IR, SEM, EDX and BET analyses. The particle size distribution of the 6h-milled martite (BMM3) was in the range of 10-90nm, which had the highest surface area compared to the other samples. Then, the impact of main operational parameters was investigated on the process. Complete removal of the dye was obtained at the desired conditions including initial pH 7, 2.5g/L BMM3 dosage, 10mg/L AB92 concentration, and 150W ultrasonic power after 30min of treatment. The treatment process followed pseudo-first order kinetic. Environmentally-friendly modification of the NM, low leached iron amount and repeated application at milder pH were the significant benefits of the BMM3. The GC-MS was successfully used to identify the generated intermediates. Eventually, an artificial neural network (ANN) was applied to predict the AB92 removal efficiency based upon the experimental data with a proper correlation coefficient (R(2)=0.9836).

  7. Influence of Diamond Sono-Abrasion, Air-Abrasion and Er:YAG Laser Irradiation on Bonding of Different Adhesive Systems to Dentin

    PubMed Central

    de Oliveira, Marcelo Tavares; de Freitas, Patrícia Moreira; de Paula Eduardo, Carlos; Ambrosano, Glaucia Maria Bovi; Giannini, Marcelo

    2007-01-01

    Objectives Different surface treatments may affect bonding performance of adhesive systems to dentin. This study evaluated the influence of different methods of surface treatment on adhesion of bonding agents to dentin. Methods Dentin surfaces abraded with #600-grit SiC paper were used as control. Three methods of surface treatment (sono-abrasion, air-abrasion and Er:YAG laser irradiation) were used under specific parameters. Four adhesive systems (Tyrian, Clearfil SE Bond, Unifil Bond and Single Bond) were applied to treated surfaces, according to the manufacturers’ instructions. Composite blocks were built on bonded surfaces, then restored teeth were vertically and serially sectioned to obtain bonded slices for interfacial micromorphologic analysis or to produce beam specimens for μ-TBS bond test. Data were analyzed with two-way ANOVA and Tukey test at a significance level of 5%. Results The results indicated that the preparation of dentin with sono-abrasion or laser did not affect the bond strength, while the preparation of dentin with SiC paper and air-abrasion influenced the bond strength for some systems. A clear difference of the preparation of dentin surfaces and formation of hybrid layer and resin tags were noted. Conclusion Bonding effectiveness of both the etch-and-rinse and the self-etch adhesives can be influenced by different methods of dentin preparation. PMID:19212560

  8. Comparison of sulfur hexafluoride microbubble (SonoVue)-enhanced myocardial contrast echocardiography with gated single-photon emission computed tomography for detection of significant coronary artery disease: a large European multicenter study.

    PubMed

    Senior, Roxy; Moreo, Antonella; Gaibazzi, Nicola; Agati, Luciano; Tiemann, Klaus; Shivalkar, Bharati; von Bardeleben, Stephan; Galiuto, Leonarda; Lardoux, Hervé; Trocino, Giuseppe; Carrió, Ignasi; Le Guludec, Dominique; Sambuceti, Gianmario; Becher, Harald; Colonna, Paolo; Ten Cate, Folkert; Bramucci, Ezio; Cohen, Ariel; Bezante, Gianpaolo; Aggeli, Costantina; Kasprzak, Jaroslaw D

    2013-10-08

    The purpose of this study was to compare sulfur hexafluoride microbubble (SonoVue)-enhanced myocardial contrast echocardiography (MCE) with single-photon emission computed tomography (SPECT) relative to coronary angiography (CA) for assessment of coronary artery disease (CAD). Small-scale studies have shown that myocardial perfusion assessed by SonoVue-enhanced MCE is a viable alternative to SPECT for CAD assessment. However, large multicenter studies are lacking. Patients referred for myocardial ischemia testing at 34 centers underwent rest/vasodilator SonoVue-enhanced flash-replenishment MCE, standard (99m)Tc-labeled electrocardiography-gated SPECT, and quantitative CA within 1 month. Myocardial ischemia assessments by 3 independent, blinded readers for MCE and 3 readers for SPECT were collapsed into 1 diagnosis per patient per technique and were compared to CA (reference standard) read by 1 independent blinded reader. Of 628 enrolled patients who received SonoVue (71% males; mean age: 64 years; >1 cardiovascular [CV] risk factor in 99% of patients) 516 patients underwent all 3 examinations, of whom 161 (31.2%) had ≥70% stenosis (131 had single-vessel disease [SVD]; 30 had multivessel disease), and 310 (60.1%) had ≥50% stenosis. Higher sensitivity was obtained with MCE than with SPECT (75.2% vs. 49.1%, respectively; p < 0.0001), although specificity was lower (52.4% vs. 80.6%, respectively; p < 0.0001) for ≥70% stenosis. Similar findings were obtained for patients with ≥50% stenosis. Sensitivity levels for detection of SVD and proximal disease for ≥70% stenosis were higher for MCE (72.5% vs. 42.7%, respectively; p < 0.0001; 80% vs. 58%, respectively; p = 0.005, respectively). SonoVue-enhanced MCE demonstrated superior sensitivity but lower specificity for detection of CAD compared to SPECT in a population with a high incidence of CV risk factors and intermediate-high prevalence of CAD. (A phase III study to compare SonoVue® enhanced myocardial

  9. Sono-cathodic stripping voltammetry of manganese at a polished boron-doped diamond electrode: application to the determination of manganese in instant tea.

    PubMed

    Saterlay, A J; Foord, J S; Compton, R G

    1999-12-01

    Ultrasonically assisted cathodic stripping voltammetry at a boron-doped diamond electrode was developed for the detection of manganese. Differential-pulse voltammetry was used to give the analytical signal from a cathodic strip of electrodeposited MnO2; linearity was observed from 10(-11) M to at least 3 x 10(-7) M, with 10(-11) M being the detection limit for a 2 min deposition. The procedure involves both ultrasonic-anodic deposition of MnO2 and ultrasonic-cathodic stripping. This novel analytical tool is robust, reproducible, mercury free, oxygen insensitive and highly specific towards manganese. The differential-pulse sono-cathodic stripping voltammetric technique was used to determine successfully the manganese content of two instant tea samples, giving excellent agreement with independent AAS analyses.

  10. Minimal intervention dentistry II: part 4. Minimal intervention techniques of preparation and adhesive restorations. The contribution of the sono-abrasive techniques.

    PubMed

    Decup, F; Lasfargues, J-J

    2014-04-01

    The concept of minimal intervention in oral medicine is based on advances in biological sciences applied to the dental organ. Many cultural barriers, economic as well as technical, have thwarted the application of micro-invasive conservative techniques by the general practitioner. Emerging technologies do not remove all obstacles but promote the integration of less invasive techniques in daily practice. Sono-abrasion is a technique for the selective preparation of enamel and dentine offering excellent efficacy, quality and safety. The authors describe the therapeutic principles, the choice of instrumentation and its mode of action and discuss its interest in adhesive restorative dentistry. The illustrated clinical situations focus on the preservation and optimisation of tissue bonding for both initial lesions and advanced lesions.

  11. Combined effect of ultrasound/SonoVue microbubble on CD4(+)CD25(+) regulatory T cells viability and optimized parameters for its transfection.

    PubMed

    Shi, Chunying; Zhang, Yu; Yang, Haichao; Dong, Tianxiu; Chen, Yaodong; Xu, Yutong; Yang, Xiuhua

    2015-09-01

    The purpose of this study was to investigate the combined effect of ultrasound and SonoVue microbubble on CD4(+)CD25(+) regulatory T cells (Tregs) viability and to explore the appropriate parameters for Tregs transfection. Tregs were separated from peripheral venous blood of patients with hepatocellular carcinoma and seeded in 96-well plates. The optimal ultrasound exposure time and optimal SonoVue microbubble concentration for Tregs were measured by mechanical index (MI) of 1.2 or 1.4, exposure time of 0, 30, 60, 90, 120, 150, 180s, and 0, 10, 20, 30, 40, 50μL/100μL microbubble per well, respectively. In addition, the combined effect of ultrasound and microbubble on Tregs viability was evaluated according to the following parameters: MI 1.2/1.4+exposure time of 120, 150, 180s+0, 10, 20, 30, 40, 50μL/100μL microbubble per well. Tregs viability investigations were performed in order to explore the optimal transfection condition. The efficiency of plasmid transfer was determined by detection of luciferase activity on the microscopic examinations. The proliferation of Tregs could be promoted by ultrasound exposures, while being decreased with the increasing concentration of microbubbles. Under the current experimental conditions, the optimal ultrasound parameters were MI=1.4 and exposure time=150/180s. The optimal microbubble concentration was 10μL/100μL. Compared with treatment with ultrasound or microbubbles alone, the transfection efficiency of Tregs improved 50% by combining ultrasound and microbubble. The results indicate that both ultrasound and microbubble could affect the Tregs proliferation and the optimal Treg transfection rate was obtained by treating with 10% microbubbles and ultrasound exposure for 150/180s under ultrasound MI of 1.4.

  12. Potentiating intra-arterial sonothrombolysis for acute ischemic stroke by the addition of the ultrasound contrast agents (Optison™ & SonoVue®)

    PubMed Central

    Singhal, Ruchi; Obtera, Melissa; Roy, Ronald A.; Clark, Wayne M.; Hansmann, Douglas R.

    2010-01-01

    Transcranial ultrasound in combination with intravenously administered ultrasound contrast agents (UCA) in the presence or absence of recombinant tissue plasminogen activator (rt-PA) has been widely evaluated as a new modality for treatment of ischemic stroke. Despite the successful demonstration of accelerated clot lysis there are inherent limitations associated with this modality such as inconsistency in temporal window thickness and/or potential serious cardiopulmonary reactions to intravenous administration of UCA that prevent broad application to ischemic stroke populations. As a complementary modality, we evaluated potential lysis enhancement by intraarterial ultrasound with concurrent intra-clot delivery of UCA and rt-PA. To this end, clots were formed with average pore diameter similar to clinically retracted clots by adjusting the thrombin concentration. Physical characteristic and retention of UCA after delivery through the catheter as a function of clinically relevant flow rates of 6, 12, 18 ml/h were determined using a microscopic method. The ability of the UCA employed in this study, Optison and SonoVue, to penetrate into the clot was verified using ultrasound B-mode imaging. Clot lysis as a function of rt-PA concentration, 0.009 through 0.5 mg/ml, in the presence and absence of UCA diluted to 1:10, 1:100, and 1:200 v/v at two Peak rarefaction acoustic pressures of 1.3 and 2.1 MPa were evaluated using a weighing method. The study results suggest the addition of only 0.02 ml of 1:100 diluted UCA to rt-PA of 0.009, 0.05, 0.3, and 0.5 mg/ml can enhance the lysis rate by 3.9, 2.6, 1.9 and 1.8 fold in the presence of peak rarefaction acoustic pressure of 1.3 MPa and by 5.1, 3.4, 2.6, 3.1 in the presence of peak rarefaction acoustic pressure of 2.1 MPa, respectively. In addition, Optison and SonoVue demonstrated comparable effectiveness in enhancing the clot lysis rate. Addition of UCA to intra-arterial sonothrombolysis could be considered as a viable

  13. Presurgical functional transcranial Doppler sonography (fTCD) with intravenous echo enhancing agent SonoVue enables determination of language lateralization in epilepsy patients with poor temporal bone windows.

    PubMed

    House, Patrick M; Brückner, Katja E; Lohmann, Hubertus H

    2011-03-01

    Presurgical determination of language lateralization is important for planning and outcome estimation of neurosurgical interventions in patients with drug-refractory epilepsy. Functional transcranial Doppler sonography (fTCD) provides an established measure for language lateralization using the temporal bone windows for continuous recording of the cerebral blood flow velocity (CBFV) in both middle cerebral arteries (MCAs). However, because of insufficient temporal bone windows, fTCD cannot be applied properly in every patient. Here, we established stable and sufficient CBFV signals in both MCAs using continuous intravenous application of echo-enhancing agent SonoVue in 7 of 10 patients with poor temporal bone windows and were thus able to determine language lateralization. We conclude that the application of SonoVue can solve one principal disadvantage of fTCD and improves the applicability of the technique as a presurgical functional language lateralization procedure.

  14. Study of charge trapping characteristics of SONOS with various trapping layers using gate-sensing and channel-sensing (GSCS) method

    NASA Astrophysics Data System (ADS)

    Liao, Jeng-Hwa; Lin, Hsing-Ju; Lue, Hang-Ting; Du, Pei-Ying; Hsieh, Jung-Yu; Yang, Ling-Wu; Yang, Tahone; Chen, Kuang-Chao; Lu, Chih-Yuan

    2013-03-01

    This study explores the detailed charge-trapping behaviors of silicon-oxide-nitride-oxide-silicon (SONOS) type devices with various charge trapping layers, including silicon oxy-nitride (SiON), nitrogen-rich silicon nitride (N-rich SIN), typical SIN (STD SIN), and silicon-rich SIN (Si-rich SIN) by using our recently developed gate-sensing and channel-sensing (GSCS) transient analysis method. Our results clearly demonstrate that the charge trap efficiency, electron hopping capability, and the movement of electron centroid inside the SIN decrease with reducing the Si content from Si-rich to N-rich SIN while SiON shows the worst performances among these trapping layers, which is strongly correlated to material itself and independent of external factors. Negative gate voltage (-Vg) stressing test also displays the same phenomenon and suggests that the charges mainly trapped at the bottom portion for SiON, and move to the top portion as increasing the Si content from N-rich to Si-rich SIN.

  15. Influence of ultrasound power on acoustic streaming and micro-bubbles formations in a low frequency sono-reactor: mathematical and 3D computational simulation.

    PubMed

    Sajjadi, Baharak; Raman, Abdul Aziz Abdul; Ibrahim, Shaliza

    2015-05-01

    This paper aims at investigating the influence of ultrasound power amplitude on liquid behaviour in a low-frequency (24 kHz) sono-reactor. Three types of analysis were employed: (i) mechanical analysis of micro-bubbles formation and their activities/characteristics using mathematical modelling. (ii) Numerical analysis of acoustic streaming, fluid flow pattern, volume fraction of micro-bubbles and turbulence using 3D CFD simulation. (iii) Practical analysis of fluid flow pattern and acoustic streaming under ultrasound irradiation using Particle Image Velocimetry (PIV). In mathematical modelling, a lone micro bubble generated under power ultrasound irradiation was mechanistically analysed. Its characteristics were illustrated as a function of bubble radius, internal temperature and pressure (hot spot conditions) and oscillation (pulsation) velocity. The results showed that ultrasound power significantly affected the conditions of hotspots and bubbles oscillation velocity. From the CFD results, it was observed that the total volume of the micro-bubbles increased by about 4.95% with each 100 W-increase in power amplitude. Furthermore, velocity of acoustic streaming increased from 29 to 119 cm/s as power increased, which was in good agreement with the PIV analysis. Copyright © 2014 Elsevier B.V. All rights reserved.

  16. Superior performance of asymmetric supercapacitor based on reduced graphene oxide-manganese carbonate as positive and sono-chemically reduced graphene oxide as negative electrode materials

    NASA Astrophysics Data System (ADS)

    Jana, Milan; Kumar, J. Sharath; Khanra, Partha; Samanta, Pranab; Koo, Hyeyoung; Murmu, Naresh Chandra; Kuila, Tapas

    2016-01-01

    A novel strategy to synthesize hierarchical rod like MnCO3 on the reduced graphene oxide (RGO) sheets by a facile and cost-effective hydrothermal method is demonstrated. The chelating action of citric acid facilitates the formation a complex intermediate of Mn2+ and citrate ions, which finally results a 3D MnCO3/RGO (MRGO) composite with high electrical conductivity (∼1056 S m-1), good surface area (59 m2 g-1) and high pore volume (0.3 cm3 g-1). The specific capacitance (SC) of the MRGO composite is ∼1120 F g-1 at a current density of 2 A g-1 in three electrode system. An asymmetric device has been designed with MRGO as positive and sono-chemically reduced RGO (SRGO) as negative electrode material. The asymmetric device (MRGO//SRGO) shows the SC of ∼318 F g-1 (at 2 A g-1) and energy density of ∼113 W h kg-1 (at 1600 W kg-1). The true energy density (1.7 W h kg-1) has been calculated considering the total weight of the device. The MRGO//SRGO device can power a wall clock for ∼13 min after full charging. The Nyquist plot of the asymmetric cell has been simulated with Z-View software to measure the solution resistance, charge-transfer resistance and Warburg elements.

  17. Sono-sulfated zirconia nanocatalyst supported on MCM-41 for biodiesel production from sunflower oil: Influence of ultrasound irradiation power on catalytic properties and performance.

    PubMed

    Dehghani, Sahar; Haghighi, Mohammad

    2017-03-01

    Sono-sulfated zirconia nanocatalyst supported on MCM-41 was prepared by an ultrasound-assisted impregnation/hydrothermal hybrid method. The effect of irradiation power was studied by changing power of the sonication (30, 60 and 90W) during the synthesis which led to different physiochemical properties of the nanocatalyst. XRD, FESEM, EDX, FTIR and BET analyses exhibited smaller particles with higher surface area and less population of particle aggregates at highly irradiated nanocatalysts. The nanocatalyst irradiated at 90W for 30min showed a very narrow particle size distribution. About 59% of nanocatalyst particles were in the range of 1-30nm. The performance of investigated nanocatalysts in biodiesel production from sunflower oil showed ultrasound-assisted synthesized nanocatalysts had higher conversion in comparison to non-sonicated catalyst. Biodiesel conversion in catalyst with 90W and 30min ultrasonic irradiation exceeded 96.9% under constant condition at 60°C reaction temperature, methanol/oil molar ratio of 9:1 and 5% catalyst concentration. After five cycles, biodiesel conversion of non-sonicated catalyst was well maintained in a high extend (71.4%) while biodiesel conversion of non-sonicated catalyst barely reached to 43.5%. Among sonicated nanocatalysts, with increasing power of irradiation, the nanocatalyst represented higher conversion and reusability.

  18. Heterogeneous sono-Fenton-like process using nanostructured pyrite prepared by Ar glow discharge plasma for treatment of a textile dye.

    PubMed

    Khataee, Alireza; Gholami, Peyman; Vahid, Behrouz

    2016-03-01

    The plasma-treated pyrite (PTP) nanostructures were prepared from natural pyrite (NP) utilizing argon plasma due to its sputtering and cleaning effects resulting in more active surface area. The NP and PTP were characterized using X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FT-IR), Brunauer-Emmett-Teller (BET) and scanning electron microscopy (SEM) methods. The performance of the PTP was greater than NP for treatment of Reactive Red 84 (RR84) by the heterogeneous sono-Fenton process. The optimum amounts of main operational parameters were obtained as PTP of 4 g/L, initial dye concentration of 10 mg/L, pH of 5, and ultrasonic power of 300 W after 120 min of reaction time. Also, the effects of enhancers, and inorganic salts and t-butanol as hydroxyl radical scavengers on the degradation efficiency were investigated. Gas chromatography-mass spectroscopy analysis (GC-MS) was applied for detection of some degradation intermediates. Environmentally friendly plasma modification of the NP, in situ production of H2O2 and OH radicals, low leached iron concentration and repeated reusability at the milder pH are the significant benefits of the PTP utilization.

  19. Perovskite phase formation of monosized lead zirconate (PbZrO3) nanoparticles prepared by the sono-assisted co-precipitation method.

    PubMed

    Charoonsuk, Piyanut; Vittayakorn, Naratip

    2013-05-01

    The chemical reaction and phase evolution of perovskite lead zirconate (PbZrO3; PZ) nanoparticles, synthesized by the sono-assisted co-precipitation method, have been investigated. The nanopowders were characterized using the X-ray diffraction technique (XRD), Fourier transform infrared (FT-IR) spectroscopy, Raman spectroscopy, transmission electron microscope (TEM) and differential scanning calorimetry (DSC). The perovskite phase, PbZrO3, begins to form at 600 degrees C and was completed at 900 degrees C. During the reaction of PbZrO3, only the tetragonal zirconia (t-ZrO2) phase was formed as an intermediate phase with low temperature range. Only Raman spectroscopy can identify the intermediate tetragonal zirconia (t-ZrO2) phase in PbZrO3 powders during calcinations process. The change in amount of the t-ZrO2 phase in PbZrO3 powders was estimated from Raman spectra as a function of the calcination temperature. Observations by transmission electron microscopy revealed that the PbZrO3 powders have a uniform spherical shape with nanosized particles. The average size of the particles is about 10.60 +/- 2 nm with narrow size distribution.

  20. A modified method using the SonoPrep ultrasonic skin permeation system for sampling human interstitial fluid is compatible with proteomic techniques.

    PubMed

    Lecomte, Marie M J; Atkinson, Kelly R; Kay, Daniel P; Simons, Joanne L; Ingram, John R

    2013-02-01

    The use of biomarkers in skin is a novel diagnostic tool. Interstitial fluid (ISF) from skin provides a snapshot of proteins secreted at the time of sampling giving insights into the patient's health status. A minimally invasive technique for the transdermal collection of human ISF proteins. A low frequency ultrasonic skin permeation device (SonoPrep ultrasonic skin permeation system) was used to produce micropores in the stratum corneum through which ISF was extracted using a portable pulsed vacuum ISF collection device. On average, protein concentrations recovered ranged between 0.064 and 4.792 μg/μL (mean 1.258 μg/μL). Two-dimensional gel electrophoresis revealed that this sample type was amenable to this type of analysis. Gel images indicated that both highly abundant proteins and lower abundance proteins were isolated from the skin. Western blot analysis confirmed the presence of proteins commonly found in plasma and the epidermis. A minimally invasive method for the transdermal recovery of ISF proteins has been developed. We have demonstrated that ISF samples obtained using this approach can be analysed with proteomic techniques, such as two-dimensional gel electrophoresis and western blots, providing another tool for the identification of disease specific protein biomarkers. © 2012 John Wiley & Sons A/S.

  1. Sono-synthesis and characterization of bimetallic Ni-Co/Al2O3-MgO nanocatalyst: Effects of metal content on catalytic properties and activity for hydrogen production via CO2 reforming of CH4.

    PubMed

    Abdollahifar, Mozaffar; Haghighi, Mohammad; Babaluo, Ali Akbar; Talkhoncheh, Saeed Khajeh

    2016-07-01

    Sono-dispersion of Ni, Co and Ni-Co over Al2O3-MgO with Al/Mg ratio of 1.5 was prepared and tested for dry reforming of methane. The samples were characterized by XRD, FESEM, PSD, EDX, TEM, BET and FTIR analyses. In order to assess the effect of ultrasound irradiation, Ni-Co/Al2O3-MgO with Co content of 8% prepared via sonochemistry and impregnation methods. The sono-synthesized sample showed better textural properties and higher activity than that of impregnated one. Comparison of XRD patterns indicated that the NiO peaks became broader by increasing Co content over the support. The FESEM images displayed the particles are small and well-dispersed as a result of sonochemistry method. Also, EDX analysis demonstrated better dispersion of Ni and Co as a result of sonochemistry method in confirmation of XRD analysis. The sono-synthesized Ni-Co/Al2O3-MgO as a superior nanocatalyst with Co content of 3% illustrates much higher conversions (97.5% and 99% for CH4 and CO2 at 850 °C), yields (94% and 96% for H2 and CO at 850 °C) and 0.97 of H2/CO molar ratio in all samples using an equimolar feed ratio at 850 °C. During the 1200 min stability test, H2/CO molar ratio remained constant for the superior nanocatalyst.

  2. Graphene quantum dots from a facile sono-Fenton reaction and its hybrid with a polythiophene graft copolymer toward photovoltaic application.

    PubMed

    Routh, Parimal; Das, Sandip; Shit, Arnab; Bairi, Partha; Das, Pradip; Nandi, Arun K

    2013-12-11

    A new and facile approach for synthesizing graphene quantum dots (GQDs) using sono-Fenton reaction in an aqueous dispersion of graphene oxide (GO) is reported. The transmission electron microscopy (TEM) micrographs of GQDs indicate its average diameter as ∼5.6 ± 1.4 nm having a lattice parameter of 0.24 nm. GQDs are used to fabricate composites (PG) with a water-soluble polymer, polythiophene-g-poly[(diethylene glycol methyl ether methacrylate)-co-poly(N,N-dimethylaminoethyl methacrylate)] [PT-g-P(MeO2MA-co-DMAEMA), P]. TEM micrographs indicate that both P and PG possess distinct core-shell morphology and the average particle size of P (0.16 ± 0.08 μm) increases in PG (0.95 ± 0.45 μm). Fourier transform infrared and X-ray photoelectron spectrometry spectra suggest an interaction between -OH and -COOH groups of GQDs and -NMe2 groups of P. A decrease of the intensity ratio of Raman D and G bands (ID/IG) is noticed during GQD and PG formation. In contrast to GO, GQDs do not exhibit any absorption peak for its smaller-sized sp(2) domain, and in PG, the π-π* absorption of polythiophene (430 nm) of P disappears. The photoluminescence (PL) peak of GQD shifts from 450 to 580 nm upon a change in excitation from 270 to 540 nm. PL emission of PG at 537 nm is quenched, and it shifts toward lower wavelength (∼430 nm) with increasing aging time for energy transfer from P to GQDs followed by up-converted emission of GQDs. Both P and PG exhibit semiconducting behavior, and PG produces an almost reproducible photocurrent. Dye-sensitized solar cells (DSSCs) fabricated with an indium-titanium oxide/PG/graphite device using the N719 dye exhibit a short-circuit current (Jsc) of 4.36 mA/cm(2), an open-circuit voltage (Voc) of 0.78 V, a fill factor of 0.52, and a power conversion efficiency (PCE, η) of 1.76%. Extending the use of GQDs to fabricate DSSCs with polypyrrole, both Voc and Jsc increase with increasing GQD concentration, showing a maximum PCE of 2.09%. The PG

  3. Liver Rapid Reference Set Application: Hiro Yamada - Wako (2011) — EDRN Public Portal

    Cancer.gov

    Measure clinical effectiveness of AFP-L3 and DCP for early detection of HCC in patient samples collected prospectively during surveillance. However since such samples are not readily available in the USA the reference set samples are well characterized and studied, gaining access to these samples will allow Wako to quickly measure clinical effectiveness of AFP-L3 and DCP in detecting early HCC.

  4. Liver Full Reference Set Application: Hiro Yamada - Wako (2011) — EDRN Public Portal

    Cancer.gov

    Wako has received new 510(k) clearance for Lens culinaris agglutinin-reactive fraction of alpha-fetoprotein (AFP-L3) and Des-gamma-carboxy prothrombin (DCP) tests on an innovative μTASWako i30 analyzer from FDA. The AFP-L3 and DCP assayed on an older platform LiBASys have been cleared with indication of use for risk assessment of hepatocellular carcinoma (HCC) in patient at risk for the liver malignancy. Wako believes that early detection of HCC is critical for improving HCC patient outcome. Therefore, Wako is currently seeking collaborative opportunities to retrospectively measure clinical samples using the AFP-L3 and DCP for further determining of effectiveness of the HCC biomarkers in early detection which are collected prospectively during HCC surveillance. The Reference Sample Set in the EDRN biorepository are well characterized and studied. Access to these samples would allow Wako to quickly determine the clinical effectiveness of AFP-L3 and DCP in detecting early HCC

  5. Sono-precipitation of Ag2CrO4-C composite enhanced by carbon-based materials (AC, GO, CNT and C3N4) and its activity in photocatalytic degradation of acid orange 7 in water.

    PubMed

    Azami, Mina; Haghighi, Mohammad; Allahyari, Somaiyeh

    2018-01-01

    Enhancing the photocatalytic activity of Ag2CrO4 with coupled carbon-based materials like activated carbon, graphene oxide, carbon nanotubes and carbon nitride has been investigated in removal of Acid Orange 7 from wastewater. Sono precipitated Ag2CrO4-C composite based photocatalysts were characterized by XRD, BET, FESEM, FTIR and UV-vis DRS and the photocatalytic activity of theses samples was evaluated in terms of degradation amount of acid orange 7 under visible light irradiations. BET analysis showed that with addition of carbon based materials, the specific surface area of the Ag2CrO4-C composite increased. XRD analysis indicated that the crystallinity of Ag2CrO4 peaks decreased after addition of all studied carbon-based materials and C3N4 has lowered the crystallinity of Ag2CrO4 less than others. Higher crystallinity has the positive effect of higher photocatalytic activity because among above mentioned composites, Ag2CrO4-C3N4 photocatalyst exhibited higher photocatalytic activity and stability under visible light irradiations. DRS analysis confirmed good match of electronic structures of Ag2CrO4 and C3N4. On the other hand Ag2CrO4 and C3N4 formed heterojunction which separates photo-generated electron-hole pairs effectively. Also evaluation of photocatalytic reaction in various operating parameters showed Ag2CrO4-C3N4 had the highest photocatalytic activity in neutral pH and 1g/L of catalyst loading. Copyright © 2017 Elsevier B.V. All rights reserved.

  6. Intravenous contrast ultrasound examination using contrast-tuned imaging (CnTI) and the contrast medium SonoVue for discrimination between benign and malignant adnexal masses with solid components.

    PubMed

    Testa, A C; Timmerman, D; Van Belle, V; Fruscella, E; Van Holsbeke, C; Savelli, L; Ferrazzi, E; Leone, F P G; Marret, H; Tranquart, F; Exacoustos, C; Nazzaro, G; Bokor, D; Magri, F; Van Huffel, S; Ferrandina, G; Valentin, L

    2009-12-01

    To determine whether intravenous contrast ultrasound examination is superior to gray-scale or power Doppler ultrasound for discrimination between benign and malignant adnexal masses with complex ultrasound morphology. In an international multicenter study, 134 patients with an ovarian mass with solid components or a multilocular cyst with more than 10 cyst locules, underwent a standardized transvaginal ultrasound examination followed by contrast examination using the contrast-tuned imaging technique and intravenous injection of the contrast medium SonoVue(R). Time intensity curves were constructed, and peak intensity, area under the intensity curve, time to peak, sharpness and half wash-out time were calculated. The sensitivity and specificity with regard to malignancy were calculated and receiver-operating characteristics (ROC) curves were drawn for gray-scale, power Doppler and contrast variables and for pattern recognition (subjective assignment of a certainly benign, probably benign, uncertain or malignant diagnosis, using gray-scale and power Doppler ultrasound findings). The gold standard was the histological diagnosis of the surgically removed tumors. After exclusions (surgical removal of the mass > 3 months after the ultrasound examination, technical problems), 72 adnexal masses with solid components were used in our statistical analyses. The values for peak contrast signal intensity and area under the contrast signal intensity curve in malignant tumors were significantly higher than those in borderline tumors and benign tumors, while those for the benign and borderline tumors were similar. The area under the ROC curve of the best contrast variable with regard to diagnosing borderline or invasive malignancy (0.84) was larger than that of the best gray-scale (0.75) and power Doppler ultrasound variable (0.79) but smaller than that of pattern recognition (0.93). Findings on ultrasound contrast examination differed between benign and malignant tumors but there

  7. Contrast-enhanced ultrasound using SonoVue® (sulphur hexafluoride microbubbles) compared with contrast-enhanced computed tomography and contrast-enhanced magnetic resonance imaging for the characterisation of focal liver lesions and detection of liver metastases: a systematic review and cost-effectiveness analysis.

    PubMed

    Westwood, M; Joore, M; Grutters, J; Redekop, K; Armstrong, N; Lee, K; Gloy, V; Raatz, H; Misso, K; Severens, J; Kleijnen, J

    2013-04-01

    Medical imaging techniques are important in the management of many patients with liver disease. Unenhanced ultrasound examinations sometimes identify focal abnormalities in the liver that may require further investigation, primarily to distinguish liver cancers from benign abnormalities. One important factor in selecting an imaging test is the ability to provide a rapid diagnosis. Options for additional imaging investigations include computed tomography (CT) and/or magnetic resonance imaging (MRI) and biopsy when the diagnosis remains uncertain. CT and MRI usually require referral with associated waiting time and are sometimes contraindicated. The use of contrast agents may improve the ability of ultrasound to distinguish between liver cancer and benign abnormalities and, because it can be performed at the same appointment as unenhanced ultrasound, more rapid diagnoses may be possible. To compare the clinical effectiveness and cost-effectiveness of contrast-enhanced ultrasound (CEUS) using SonoVue(®) with that of contrast-enhanced computed tomography (CECT) and contrast-enhanced magnetic resonance imaging (CEMRI) for the assessment of adults with focal liver lesions (FLLs) in whom previous liver imaging is inconclusive. Eight bibliographic databases including MEDLINE, EMBASE, Cochrane Database of Systematic Reviews and Database of Abstracts of Reviews of Effects were searched from 2000 to September/October 2011. Research registers and conference proceedings were also searched. Systematic review methods followed published guidance. Risk of bias was assessed using a modified version of the QUADAS-2 tool. Results were stratified by clinical indication for imaging (characterisation of FLLs detected on ultrasound surveillance of cirrhosis patients, detection of liver metastases, characterisation of incidentally detected FLLs, assessment of treatment response). For incidental FLLs, pooled estimates of sensitivity and specificity, with 95% CIs, were calculated using a

  8. FE Yurchikhin poses for a photo with SonoCard

    NASA Image and Video Library

    2010-06-25

    ISS024-E-006664 (25 June 2010) --- With most of his body tucked away in a sleeping bag, Russian cosmonaut Fyodor Yurchikhin, Expedition 24 flight engineer, is pictured in his crew quarters compartment in the Zvezda Service Module of the International Space Station.

  9. Real-time sono-photoacoustic imaging of gold nanoemulsions

    NASA Astrophysics Data System (ADS)

    Arnal, Bastien; Wei, Chen-Wei; Perez, Camilo; Lombardo, Michael; Pelivanov, Ivan M.; Pozzo, Danilo; O'Donnell, Matthew

    2015-03-01

    Phase transition contrast agents were first introduced in ultrasound (US) in the form of perfluorocarbon droplets. When their size is reduced to the nanoscale, surface tension dominates their stability and high pressure is required to vaporize them using long US emissions at high frequencies. Our group recently showed that nanoemulsion beads (100-300 nm) coated with gold nanopsheres could be used as non-linear contrast agents. Beads can be vaporized with light only, inducing stronger photoacoustic signals by increasing thermal expansion. A photoacoustic cavitation threshold study (US: 1.2 MHz, Laser 750 nm and 10-ns pulse) shows that the vaporization thresholds of NEB-GNS can be greatly reduced using simultaneous light and US excitations. The resulting signal is driven only by the pressure amplitude for a fluence higher than 2.4 mJ/cm2. At diagnostic exposures, it is possible to capture very high signals from the vaporized beads at concentrations reduced to 10 pM with optical absorption smaller than 0.01 cm-1. A real-time imaging mode selectively isolating vaporization signals was implemented on a Verasonics system. A linear US probe (L74, 3 MHz) launched short US bursts before light was emitted from the laser. Vaporization of NEB-GNS resulted in a persistent 30-dB signal enhancement compared to a dye with the same absorption. Specific vaporization signals were retrieved in phantom experiments with US scatterers. This technique, called sonophotoacoustics, has great potential for targeted molecular imaging and therapy using compact nanoprobes with potentially high-penetrability into tissue.

  10. Sono-enzymatic peptide synthesis in organic solvent.

    PubMed

    Fulcrand-Rolland, V; Duc Hua, T; Lazaro, R; Viallefont, P

    1991-01-01

    Copolymerized compounds of acrylated derivatives of alpha-chymotrypsin and polyethylene glycol (P.E.G.) have been prepared and used as biocatalysts for peptide synthesis in organic solvent containing low quantity of water. In order to increase the velocity of the coupling reactions, without loss of enzyme activity, we have used the principle of sonication. Some results and future projects are presented.

  11. Proper Angle of Sono-guided Central Venous Line Insertion

    PubMed Central

    Barzegari, Hassan; Forouzan, Arash; Fahimi, Mohammad Ali; Zohrevandi, Behzad; Ghanavati, Mandana

    2016-01-01

    Introduction: Determining the proper angle for inserting central venous catheter (CV line) is of great importance for decreasing the complications and increasing success rate. The present study was designed to determine the proper angle of needle insertion for internal jugular vein catheterization. Methods: In the present case series study, candidate patients for catheterization of the right internal jugular vein under guidance of ultrasonography were studied. At the time of proper placing of the catheter, photograph was taken and Auto Cad 2014 software was used to measure the angles of the needle in the sagittal and axial planes, as well as patient’s head rotation. Result: 114 patients with the mean age of 56.96 ± 14.71 years were evaluated (68.4% male). The most common indications of catheterization were hemodialysis (55.3%) and shock state (24.6%). The mean angles of needle insertion were 102.15 ± 6.80 for axial plane, 36.21 ± 3.12 for sagittal plane and the mean head rotation angle was 40.49 ± 5.09. Conclusion: Based on the results of the present study it seems that CV line insertion under the angles 102.15 ± 6.80 degrees in the axial plane, 36.21 ± 3.12 in the sagittal plane and 40.49 ± 5.09 head rotation yield satisfactory results. PMID:27299146

  12. Electrically Modifiable Nonvolatile SONOS Synapses for Electronic Neural Networks

    DTIC Science & Technology

    1991-03-01

    Analog Nonvolatile Eletricaily Modifiabie Synaptic Element for VLSI Neural Network Implementation’, 11th IEEE Nonvoiat ile Semiconduc:or Memory Workshop... analog synaptic strength (weight) in a small chip area, the weight is temporary and requires periodic refresh similar to a DRAM. Thus, this dynamic ...addresses the implementation of an electronic element, which emulates the biological synaptic interconnection, in an artificial electronic neural system

  13. Electrically Modifiable Nonvolatile SONOS Synapses for Electronic Neural Networks.

    DTIC Science & Technology

    1992-09-30

    for the electrically reprogrammable analog conductance in an artificial neural network. We have demonstrated the attractive featuies of this synaptic ...Electrically Modifiable Synaptic Element for VLSI Neural Network Implementation", Proceedings of the 1991 IEEE Nonvolatile Semiconductor Memory Workshop...Nonvolatile Eletrically Modifiable Synaptic Element for VLSI Neural Network Implementation", 11th IEEE Nonvolatile Semiconductor Memory Workshop, 1991. 19. A

  14. The Role of Community Studies in the Makiguchian Pedagogy

    ERIC Educational Resources Information Center

    Gebert, Andrew

    2009-01-01

    This article focuses on two of the earlier works in the Makiguchi corpus, "Kyoju no togo chushin toshiteno kyodoka kenkyu" ("Research into Community Studies as the Integrating Focus of Instruction," 1912/1987; hereafter "Community Studies"), and "Chiri kyoju no hoho oyobi naiyo no kenkyu" ("Research…

  15. Sono-assisted extraction of alcohol-insoluble extract from Althaea rosea: purification and chemical analysis.

    PubMed

    Eskandari, Meghdad; Samavati, Vahid

    2015-01-01

    A Box-Behnken design (BBD) was used to evaluate the effects of ultrasonic power, extraction time, extraction temperature, and water to raw material ratio on extraction yield of alcohol-insoluble polysaccharide of Althaea rosea leaf (ARLP). Purification was carried out by dialysis method. Chemical analysis of ARLP revealed contained 12.69 ± 0.48% moisture, 79.33 ± 0.51% total sugar, 3.82 ± 0.21% protein, 11.25 ± 0.37% uronic acid and 3.77 ± 0.15% ash. The response surface methodology (RSM) showed that the significant quadratic regression equation with high R(2) (=0.9997) was successfully fitted for extraction yield of ARLP as function of independent variables. The overall optimum region was found to be at the combined level of ultrasonic power 91.85 W, extraction time 29.94 min, extraction temperature 89.78 °C, and the ratio of water to raw material 28.77 (mL/g). At this optimum point, extraction yield of ARLP was 19.47 ± 0.41%. No significant (p>0.05) difference was found between the actual and predicted (19.30 ± 0.075%) values. The results demonstrated that ARLP had strong scavenging activities on DPPH and hydroxyl radicals.

  16. A junctionless SONOS nonvolatile memory device constructed with in situ-doped polycrystalline silicon nanowires

    PubMed Central

    2012-01-01

    In this paper, a silicon-oxide-nitride-silicon nonvolatile memory constructed on an n+-poly-Si nanowire [NW] structure featuring a junctionless [JL] configuration is presented. The JL structure is fulfilled by employing only one in situ heavily phosphorous-doped poly-Si layer to simultaneously serve as source/drain regions and NW channels, thus greatly simplifying the manufacturing process and alleviating the requirement of precise control of the doping profile. Owing to the higher carrier concentration in the channel, the developed JL NW device exhibits significantly enhanced programming speed and larger memory window than its counterpart with conventional undoped-NW-channel. Moreover, it also displays acceptable erase and data retention properties. Hence, the desirable memory characteristics along with the much simplified fabrication process make the JL NW memory structure a promising candidate for future system-on-panel and three-dimensional ultrahigh density memory applications. PMID:22373446

  17. A junctionless SONOS nonvolatile memory device constructed with in situ-doped polycrystalline silicon nanowires.

    PubMed

    Su, Chun-Jung; Su, Tuan-Kai; Tsai, Tzu-I; Lin, Horng-Chih; Huang, Tiao-Yuan

    2012-02-29

    In this paper, a silicon-oxide-nitride-silicon nonvolatile memory constructed on an n+-poly-Si nanowire [NW] structure featuring a junctionless [JL] configuration is presented. The JL structure is fulfilled by employing only one in situ heavily phosphorous-doped poly-Si layer to simultaneously serve as source/drain regions and NW channels, thus greatly simplifying the manufacturing process and alleviating the requirement of precise control of the doping profile. Owing to the higher carrier concentration in the channel, the developed JL NW device exhibits significantly enhanced programming speed and larger memory window than its counterpart with conventional undoped-NW-channel. Moreover, it also displays acceptable erase and data retention properties. Hence, the desirable memory characteristics along with the much simplified fabrication process make the JL NW memory structure a promising candidate for future system-on-panel and three-dimensional ultrahigh density memory applications.

  18. Chitosan-lignosulfonates sono-chemically prepared nanoparticles: characterisation and potential applications.

    PubMed

    Kim, Suyeon; Fernandes, Margarida M; Matamá, Teresa; Loureiro, Ana; Gomes, Andreia C; Cavaco-Paulo, Artur

    2013-03-01

    Due to their recognised properties of biocompatibility, biodegradability and sustainability, chitosan nanocarriers have been successfully used as new delivery systems. In this work, nanoparticles combining chitosan and lignosulfonates were developed for the first time for cosmetic and biomedical applications. The ability of lignosulfonates to act as a counter polyion for stabilisation of chitosan particles, generated using high intensity ultrasound, was investigated. Several conditions for particles preparation were tested and optimised and the resulting nanoparticles were comprehensively characterised by measuring particle size, zeta potential and polydispersity index. The pH of chitosan solution, sonication time and the presence of an adequate surfactant, poloxamer 407, were determinant factors on the development of smaller particles with low polydispersity index (an average particle size of 230 nm was obtained at pH 5 after 8 min of sonication). The beneficial effects of lignosulfonates complex on chitosan nanoparticles were further characterised. Greater stability to lysozyme degradation, biocompatibility with human cells and antimicrobial activity was found upon lignosulfonates incorporation into chitosan nanoparticles. Furthermore, these particles were able to incorporate a hydrophilic model protein - RNase A. A burst release was observed when nanoparticles were loaded with low amount of protein while with high protein content, a sustained release was found, suggesting that the protein cargo maybe loaded both at the surface as in the bulk of the particle, depending on the concentration of drug incorporated.

  19. Merging microfluidics and sonochemistry: towards greener and more efficient micro-sono-reactors.

    PubMed

    Fernandez Rivas, David; Cintas, Pedro; Gardeniers, Han J G E

    2012-11-18

    Microfluidics enable the manipulation of chemical reactions using very small amounts of fluid, in channels with dimensions of tens to hundreds of micrometers; so-called microstructured devices, from which the iconic image of chips emerges. The immediate attraction of microfluidics lies in its greenness: use of small quantities of reagents and solvents, and hence less waste, a precise control of reaction conditions, integration of functionality for process intensification, safer and often faster protocols, reliable scale-up, and possibility of performing multiphase reactions. Among the limitations found in microfluidics the facile formation of precipitating products should be highlighted, and in this context, the search for efficient mass and energy transfers is a must. Such limitations have been partially overcome with the aid of ultrasound in conventional flow systems, and can now be successfully used in microreactors, which provide new capabilities. Novel applications and a better understanding of the physical and chemical aspects of sonochemistry can certainly be achieved by combining microfluidics and ultrasound. We will review this nascent area of research, paying attention to the latest developments and showing future directions, which benefit both from the existing microfluidic technology and sonochemistry itself.

  20. Sono-assembly of highly biocompatible polysaccharide capsules for hydrophobic drug delivery.

    PubMed

    Wang, Hongqiang; Yan, Xuehai; Li, Guo Liang; Pilz-Allen, Christine; Möhwald, Helmuth; Shchukin, Dmitry

    2014-06-01

    Cells like sugar. General synthesis and potential of intracellular hydrophobic drug delivery of single-component polysaccharide capsules are pursued. The capsules can be generally assembled through hydrogen bonding networks but show striking shell robustness. The evidenced cell internalization, stimuli-responsiveness to local pH changes and high biocompatibilities of the capsules specifically favor their potential intracellular drug delivery. © 2013 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  1. Sono-synthesis of core-shell nanocrystal (CdS/TiO2) without surfactant.

    PubMed

    Ghows, Narjes; Entezari, Mohammad H

    2012-09-01

    A core-shell nanocomposite (CdS/TiO(2)) was synthesized at relatively low temperature (70°C) with small particle sizes (~11 nm). First, CdS nanoparticles were prepared by a combination of ultrasound and new micro-emulsion (O/W) without surfactant. Then the synthesized CdS was easily combined with TiO(2) under sonication. The formation of uniform surface layer of TiO(2) with depths of 0.75-1.1 nm on the CdS led to an increase of particle size. Ultrasonic irradiation can control the hydrolysis and condensation of titanium tetra-isopropoxide (TTIP) and the formation of TiO(2) shell around the CdS core. This technique avoids some of the problems that exist in conventional microemulsion synthesis such as the presence of different additives and calcinations. It was found that nanocomposite particles extend the optical absorption spectrum into the visible region in comparison with pure TiO(2) and pure CdS. In addition, a larger depth of TiO(2) led to a red-shift of the absorption band in nanocomposite. The characterization of nanocomposites has been studied by HRTEM, TEM, XRD, EDAX, BET and, UV-vis.

  2. Improved extraction of avocado oil by application of sono-physical processes.

    PubMed

    Martínez-Padilla, Laura Patricia; Franke, Lisa; Xu, Xin-Qing; Juliano, Pablo

    2018-01-01

    Ultrasound treatment is known to increase the oil extractability in olive and palm oil processes. This work examined the effect of ultrasound conditioning of avocado puree on oil extractability and quality, at low (18+40kHz) and high (2MHz) frequencies, at litre-scale. Other ultrasound parameters evaluated included high frequency effect (0.4, 0.6, and 2MHz; 5min; 90kJ/kg) and sonication time (2.5-10min at 2MHz), without malaxation. Finally, a megasonic post-malaxation intervention was assessed at selected malaxation times (15, 30, and 60min). Both low and high frequency ultrasound treatments of the non-malaxed avocado puree improved extractability by 15-24% additional oil recovery, with the highest extractability achieved after 2MHz treatments, depending on the fruit maturity and oil content. There was no preferential improvement on oil extractability observed across high frequencies, even though extractability increased with sonication time. Ultrasound treatment also showed a positive effect after puree malaxation. Oils obtained from sonicated purees showed peroxide and free fatty acid values below the industrial specification levels and an increase in total phenolic compounds after 2MHz treatment. High frequency ultrasound conditioning of avocado puree can enhance oil separation and potentially decrease the malaxation time in industrial processes without impacting on oil quality. Copyright © 2017 Elsevier B.V. All rights reserved.

  3. Applicability of nano zero valent iron (nZVI) in sono - Fenton process

    NASA Astrophysics Data System (ADS)

    Taha, M. R.; Ibrahim, A. H.; Amat, R. C.; Azhari, A. W.

    2014-04-01

    Fenton process is one of the advanced oxidation processes (AOPs) used to remove complex organic pollutants in wastewater. In this study, instead of iron sulfate (FeSO4), nano zero valent iron (nZVI) was used as a major source of ferrous iron (Fe2+). In order to enhance the process, ultrasound was utilized in this study. Results show that, with the aid of ultrasound, nZVI produced more Fe2+ compared to FeSO4 at pH 2. Furthermore, combination of higher intensity and longer sonication time in Fenton process acceleratde the chemical oxygen demand (COD) removal from palm oil mill effluent (POME). Through the process, 80% of COD content was removed within 2 hours instead of 24 hours of silent degradation.

  4. Sono-crystallization of ZnSO4 ṡ 7H20

    NASA Astrophysics Data System (ADS)

    Harzali, Hassen; Espitalier, Fabienne; Louisnard, Olivier; Mgaidi, Arbi

    2010-01-01

    Power ultrasound are known to enhance crystals nucleation, and nucleation times can be reduced by one up to three orders of magnitude for several organic or inorganic crystals. The precise mechanism of this phenomenon is yet unclear, but various theoretical explanations involve the action of inertial cavitation bubbles: cooling effect, pressure effect, segregation effect and evaporation effect. All these effects sound reasonable and may in fact act in a complementary fashion. The pressure effect is mediated by the high pressures appearing near the bubble as the latter collapses. The increase in pressure shifts the thermodynamical equilibrium. Zinc sulphate (ZnSO4ṡ7H2O) has the interesting property that its solubility is not sensitive to pressure. We therefore carried out experiments of ZnSO4ṡ7H2O crystallization by cooling in a 0.5 L crystallizer, both under silent conditions and by 20 W/cm2 insonification with a horn transducer. The induction time is found almost independent of supersaturation under ultrasound, and much lower than the one obtained in silent conditions for low supersaturation (0.021 g of ZnSO4ṡ7H2O/g solution). These experimental results question the generality of the pressure effect.

  5. Hydrodynamic sono-voltammetry of ferrocene in [Tf2N]- based ionic liquid media.

    PubMed

    Costa, Cédric; Doche, Marie-Laure; Hihn, Jean-Yves; Bisel, Isabelle; Moisy, Philippe; Lévêque, Jean-Marc

    2010-02-01

    The present work deals with the hydrodynamic behavior of several room-temperature ionic liquids presenting the same bis(trifluoromethanesulfonyles)imide anion, associated with four different cations: 1-butyl-3-methylimidazolium, 1-octyl-3-methylimidazolium, N-trimethyl-N-propylammonium and 1-butyl-1-methylpyrrolidinium cations. Steady state voltammetry was used as an electrochemical technique to characterize mass transfer in both silent and sonicated conditions, using a rotating disk electrode. Results obtained in RTILs media are compared to those acquired in synthetic solutions of controlled viscosity, in order to develop a better understanding of the phenomena involved in such media.

  6. Ponderomotive Potential Near Gyroresonance,

    DTIC Science & Technology

    1981-11-01

    Gary and A. N. Kaufman, Phys. Fluids 24, 1238 (1981). 5. S. Hidekuma, S. H-iroe, T. Watari , T. Shoji, T. Sato, and K. Takayana, Phys. Rev. Lett. 33, 1537...1974). 6. E. S. Weibel, Phys. Rev. Lett. 44, 377 (1980). 7. S. Hiroe, S. Hidekuma, T. Watari , T. Shoji, T. Sato, and K. Takayama, Nuclear Fusion 15...769 (1975). 8. T. Watari , T. Hatori, R. Kumazawa, S. Hidekama, T. Aoki, T. Kawainoto, M. Inutake, S. Hiroe, A. Nishizawa, K. Adati, T. Sato, T

  7. Research imaging in an academic medical center.

    PubMed

    Armato, Samuel G; Gruszauskas, Nicholas P; Macmahon, Heber; Torno, Michael D; Li, Feng; Engelmann, Roger M; Starkey, Adam; Pudela, Caileigh L; Marino, Jonathan S; Santiago, Faustino; Chang, Paul J; Giger, Maryellen L

    2012-06-01

    Managing and supervising the complex imaging examinations performed for clinical research in an academic medical center can be a daunting task. Coordinating with both radiology and research staff to ensure that the necessary imaging is performed, analyzed, and delivered in accordance with the research protocol is nontrivial. The purpose of this communication is to report on the establishment of a new Human Imaging Research Office (HIRO) at our institution that provides a dedicated infrastructure to assist with these issues and improve collaborations between radiology and research staff. The HIRO was created with three primary responsibilities: 1) coordinate the acquisition of images for clinical research per the study protocol, 2) facilitate reliable and consistent assessment of disease response for clinical research, and 3) manage and distribute clinical research images in a compliant manner. The HIRO currently provides assistance for 191 clinical research studies from 14 sections and departments within our medical center and performs quality assessment of image-based measurements for six clinical research studies. The HIRO has fulfilled 1806 requests for medical images, delivering 81,712 imaging examinations (more than 44.1 million images) and related reports to investigators for research purposes. The ultimate goal of the HIRO is to increase the level of satisfaction and interaction among investigators, research subjects, radiologists, and other imaging professionals. Clinical research studies that use the HIRO benefit from a more efficient and accurate imaging process. The HIRO model could be adopted by other academic medical centers to support their clinical research activities; the details of implementation may differ among institutions, but the need to support imaging in clinical research through a dedicated, centralized initiative should apply to most academic medical centers. Copyright © 2012 AUR. Published by Elsevier Inc. All rights reserved.

  8. High stable suspension of magnetite nanoparticles in ethanol by using sono-synthesized nanomagnetite in polyol medium

    SciTech Connect

    Bastami, Tahereh Rohani; Entezari, Mohammad H.

    2013-09-01

    Graphical abstract: - Highlights: • The sonochemical synthesis of magnetite nanoparticles was carried out in EG without any surfactant. • The nanoparticles with sizes ∼24 nm were composed of small building blocks with sizes ∼2 nm. • The hydrophilic magnetite nanoparticles were stable in ethanol even after 8 months. • Ultrasonic intensity showed a crucial role on the obtained high stable magnetite nanoparticles in ethanol. - Abstract: The sonochemical synthesis of magnetite nanoparticles was carried out at relatively low temperature (80 °C) in ethylene glycol (EG) as a polyol solvent. The particle size was determined by transmission electron microscopy (TEM). The magnetite nanoparticles with an average size of 24 nm were composed of small building blocks with an average size of 2–3 nm and the particles exhibited nearly spherical shape. The surface characterization was investigated by using Fourier transform infrared (FTIR) spectroscopy, X-ray photoelectron spectroscopy (XPS), and thermogravimetric analysis (TGA). The stability of magnetite nanoparticles was studied in ethanol as a polar solvent. The nanoparticles showed an enhanced stability in ethanol which is due to the hydrophilic surface of the particles. The colloidal stability of magnetite nanoparticles in ethanol was monitored by UV–visible spectrophotometer. According to the results, the nanoparticles synthesized in 30 min of sonication with intensity of 35 W/cm{sup 2} (50%) led to a maximum stability in ethanol as a polar solvent with respect to the other applied intensities. The obtained magnetite nanoparticles were stable for more than12 months.

  9. Sonochemical effectiveness factor (e(US)) in the reactors for wastewater treatment by sono-Fenton oxidation: novel considerations.

    PubMed

    Grčić, Ivana; Papić, Sanja; Koprivanac, Natalija

    2013-07-01

    A comprehensive algorithm was recently proposed for calculation of the sonochemical effectiveness factor and wastewater treatment modeling. The presented approach implies that ultrasound is an auxiliary source of free radicals in Fenton type reactions; introduction of ultrasound represents an enhancement of pollutant degradation rates. The sonochemical effectiveness factor was introduced in kinetic models as the eUS factor (Grčić et al., 2012 [1]). As a substantial follow-up, this study presents novel considerations. The eUS factor was modeled as a function of employed frequency, actual cavitation-related power intensity of ultrasound and a portion of the cavitationally active zone, i.e. dimensionless active volume. The effect of temperature was disregarded in the present model considerations. Cavitationally active zone in reactors was determined based on the erosion of aluminum foil, resulting in cone-shaped space arising from transducer. In the present study, sonochemical treatment of industrial wastewater containing HCOONa as organic pollutant was performed using different equipment: ultrasonic baths (UB1, UB2 and UB3), cylindrical reactor with homogenizer (HCR) and three-frequency hexagonal cell, i.e. ultrasonic pilot reactor prototype (PP). Explored frequency range was from 20 to 120 kHz. Homogeneous and heterogeneous Fenton-type sonochemical processes, US/Fe(II)(FeSO4,aq.)/H2O2 and US/Fe(II)(steel-plate)/H2O2, respectively, applied to industrial wastewater were investigated in terms of mineralization kinetics. Newly modeled eUS factor was introduced in corresponding kinetic models and the overall model was validated. Kinetic parameters of Fenton process were treated as independent of ultrasound, since eUS factor consists of cavitation-related phenomena responsible for the mineralization rate enhancement. In average, a 21% increase of mineralization efficiency was achieved using a single frequency, while more than 70% increase can be achieved by combining 20, 68 and 120 kHz in PP. Copyright © 2013 Elsevier B.V. All rights reserved.

  10. Global parameter of ultrasound exploitation (GPUE) in the reactors for wastewater treatment by sono-Fenton oxidation.

    PubMed

    Grčić, Ivana; Šipić, Ana; Koprivanac, Natalija; Vrsaljko, Domagoj

    2012-03-01

    Modeling of the sonochemical reactors presents a great challenge due to issues related to the experimental investigation and description of the primary effects of the ultrasound. The main idea proposed in this work was to establish an algorithm consisting of the viable laboratory analyses and basic elements of chemical reaction engineering. In this paper, a novel modeling approach is presented. Proposed approach is characterized by the following; ultrasound was investigated as an auxiliary source of energy and the kinetic constants determined for the basic oxidation reactions, i.e. Fenton type oxidation were treated as independent of the ultrasound. Sonochemical effectiveness factor is expressed as a global parameter of the ultrasound exploitation (GPUE) that was introduced in the kinetic model as the e(US) factor. Factor e(US) is modeled as a function of employed frequency, actual power of the transducer, portion of the cavitationally active zone, i.e. dimensionless active volume and the average temperature in the reactor. Lumped system has been assumed. In order to obtain all the necessary data, the experimental study included different sets of experiments. The kinetics of the sonochemical processes, e.g. US/Fe(2+)/H(2)O(2), US/Fe(2+)/S(2)O(8)(2-), US/Fe(2+)/HSO(5)(-) was investigated in the term of mineralization of model wastewaters containing different types of organic pollutants. The Weissler dosimetry and peroxodisulfate decomposition upon sonication, were used to facilitate the determination of e(US). They follow zero order kinetics, thus can be used as a model reaction to reflect all the primary effects of ultrasound and to establish the empirical correlation for e(US) calculation. Finally, GPUE has been introduced in the adequate kinetic models and the overall model was validated. Copyright © 2011 Elsevier B.V. All rights reserved.

  11. Photo-, sono- and sonophotocatalytic degradation of methylene blue using Fe3O4/ZrO2 composites catalysts

    NASA Astrophysics Data System (ADS)

    Kristianto, Y.; Taufik, A.; Saleh, R.

    2017-07-01

    In the present work, magnetite material Fe3O4/ZrO2 with various molar ratios was prepared by the two-step method (sol-gel followed by the ultrasonic-assisted method). The as-prepared samples were fairly characterized by various characterization methods, such as X-ray Diffraction (XRD), Vibrating Sample Magnetometer (VSM), Fourier Transform Infrared (FT-IR) and Thermal Gravimetric Analysis (TGA). The catalytic performance of the as-prepared samples was evaluated based on the degradation of methylene blue under UV light, ultrasound and combination of UV and ultrasound irradiation. The results revealed that the sample with Fe3O4:ZrO2 molar ratio of 0.5:1 showed the best catalytic performance under UV, ultrasound and UV + ultrasound irradiation. The degradation of methylene blue follows the order: sonophotocatalytic > sonocatalytic > photocatalytic. In addition, the effect of various scavengers has also been studied. Furthermore, all prepared samples could be used as a convenient recyclable catalyst.

  12. Transrectal ultrasound guided biopsy of the prostate: random sextant versus biopsies of sono-morphologically suspicious lesions.

    PubMed

    Loch, Tillmann; Eppelmann, Ursula; Lehmann, Jan; Wullich, Bernd; Loch, Annemie; Stöckle, Michael

    2004-11-01

    Transrectal ultrasound (TRUS) guided multiple systematic random biopsies are presently the method of choice for determining the presence or absence of prostate cancer. TRUS image information is only used to guide the biopsy needle into the prostate, but not to localize and target cancerous lesions. Our aim in this study was to evaluated the possible predictive value of tumor suspicious endosonographic lesions of the prostate for prostate biopsies. We prospectively compared six systematic biopsies with lesion guided biopsies in a consecutive series of 217 patients. All patients had a prostate specific antigen (PSA) level of >4 ng/ml without a history of prostate disease. In a subgroup of 145 men with sonomorphologic lesions suggestive for prostate cancer (hypoechoic areas or asymmetries predominantly in the peripheral zone), lesion-guided biopsies were taken in addition to the systematic biopsies. We evaluated the number of tumors which were diagnosed or missed by both of the biopsy strategies. Of the 217 evaluated patients, 64 (29%) had histology confirmed cancer. Four patients with negative sextant biopsies had a positive TRUS guided biopsy. Out of 145 patients with a normal TRUS, three were cancer positive by sextant biopsy. A total of 1,387 individual biopsy cores were evaluated. Of the 1,304 systematic biopsy cores, 182 (14%) were positive and 1,122 (86%) negative. Of the 329 TRUS lesion guided biopsy cores 139 (42%) were positive and 190 (58%) negative. Patients with tumor suggestive TRUS lesions have a considerably higher risk of being diagnosed with prostate cancer compared to patients without such lesions. Both systematic sextant and TRUS lesion guided biopsies missed detectable prostate cancer in a minority of patients. Taking the endosonographic morphology of the prostate gland into consideration for biopsy strategies may improve the quality of the biopsy and avoid unnecessary invasive procedures in selected cases.

  13. Electrically modifiable nonvolatile sonos synapses for electronic neural networks. Semiannual technical report, 1 Mar-1 Sep 91

    SciTech Connect

    White, M.H.; Chen, C.Y.M.; French, M.

    1991-09-01

    The current surge of enthusiasm for neural network aims to construct systems that can learn or modify their behavior according to the environment. There are many similarities which exist between this new class of machine and human beings. One of these similarities is the massive parallelism in processing information. Parallel processing concepts are in stark contrast to the operations of modern digital computers that perform large numbers of sequential operations very rapidly and accurately. Researchers believe the synaptic junctions in a neutral system are the local memory sites and provide the physiological basis for the distributed parallel systems. These synapses are not only modifiable but also serve the functions of storing and transmitting information from neuron to neuron. To reduce the complex modelling required for the synaptic interconnection, the representation of the synapse has been simplified to a single ideal junction between the output of neurons (axons) and the inputs to neurons (dendrites). Synaptic modifications requires information from the input and the output of the neuron in order to perform complex recognition. Therefore, the nature of the synaptic junction and the principle or algorithm which controls local organization at the neuron level become two central issues pertaining to neural networks research.

  14. Contrast-enhanced ultrasound with SonoVue in the evaluation of postoperative complications in pediatric liver transplant recipients

    PubMed Central

    Bonini, G.; Pezzotta, G.; Morzenti, C.; Agazzi, R.; Nani, R.

    2007-01-01

    Purpose To evaluate the utility of contrast-enhanced sonography in the study of pediatric liver transplant recipients and its potential impact in reducing the need for invasive diagnostic procedures. Materials and methods From October 2002 to December 2003 we performed routine color Doppler ultrasound and contrast-enhanced ultrasound studies on 30 pediatric patients who had undergone liver transplantation. Findings indicative of complications were confirmed with invasive studies (angiography, computed tomography, and PTC). Results Contrast-enhanced sonography correctly identified four of the five cases of hepatic artery thrombosis and all those involving the portal (n = 6) and hepatic vein (n = 3) thrombosis. It failed to identify one case of hepatic artery thrombosis characterized by collateral circulation arising from the phrenic artery and the single case of hepatic artery stenosis. The latter was more evident on color Doppler, which revealed a typical tardus parvus waveform. The use of contrast offered no significant advantages in the study of biliary complications although it did provide better visualization of bile leaks. Conclusions Contrast-enhanced sonography improves diagnostic confidence and reduces the need for more invasive imaging studies in the postoperative follow-up of pediatric liver transplant recipients. PMID:23396596

  15. Hall field-induced resistance oscillations in a tunable-density GaAs quantum well

    NASA Astrophysics Data System (ADS)

    Zudov, M. A.; Dmitriev, I. A.; Friess, B.; Shi, Q.; Umansky, V.; von Klitzing, K.; Smet, J.

    2017-09-01

    We report on Hall field-induced resistance oscillations (HIROs) in a 60-nm-wide GaAs/AlGaAs quantum well with an in situ grown back gate, which allows tuning the carrier density n . At low n , when all electrons are confined to the lowest subband (SB1), the HIRO frequency, proportional to the product of the cyclotron diameter and the Hall field, scales with n-1 /2 as expected. Remarkably, the population of the second subband (SB2) significantly enhances the HIROs, whereas their frequency now scales as n-1. We demonstrate that in this two-subband regime HIROs still originate solely from backscattering of SB1 electrons. The unusual density dependence occurs because the population of SB2 steadily increases, whereas that of SB1 remains essentially unchanged. The enhancement of the HIROs manifests an unexpected steplike increase in the quantum lifetime of SB1 electrons, which reaches a record value of 52 ps in the two-subband regime.

  16. Hall field-induced resistance oscillations in MgZnO/ZnO heterostructures

    NASA Astrophysics Data System (ADS)

    Shi, Q.; Zudov, M. A.; Falson, J.; Kozuka, Y.; Tsukazaki, A.; Kawasaki, M.; von Klitzing, K.; Smet, J.

    2017-01-01

    We report on nonlinear magnetotransport in a two-dimensional electron gas hosted in a MgZnO/ZnO heterostructure. Upon application of a direct current, we observe pronounced Hall field-induced resistance oscillations (HIRO), which are well known from experiments on high-mobility GaAs/AlGaAs quantum wells. The unique sensitivity of HIRO to the short-range component of the disorder potential allows us to unambiguously establish that the mobility of our MgZnO/ZnO heterostructure is limited by impurities residing within or near the two-dimensional (2D) channel. This demonstration that HIRO can be realized in a system with a much lower mobility, much higher density, and much larger effective mass than in previously studied systems highlights the remarkable universality of the phenomenon and its great promise for use in studies of a wide variety of emerging 2D materials.

  17. A Hybrid Interval–Robust Optimization Model for Water Quality Management

    PubMed Central

    Xu, Jieyu; Li, Yongping; Huang, Guohe

    2013-01-01

    Abstract In water quality management problems, uncertainties may exist in many system components and pollution-related processes (i.e., random nature of hydrodynamic conditions, variability in physicochemical processes, dynamic interactions between pollutant loading and receiving water bodies, and indeterminacy of available water and treated wastewater). These complexities lead to difficulties in formulating and solving the resulting nonlinear optimization problems. In this study, a hybrid interval–robust optimization (HIRO) method was developed through coupling stochastic robust optimization and interval linear programming. HIRO can effectively reflect the complex system features under uncertainty, where implications of water quality/quantity restrictions for achieving regional economic development objectives are studied. By delimiting the uncertain decision space through dimensional enlargement of the original chemical oxygen demand (COD) discharge constraints, HIRO enhances the robustness of the optimization processes and resulting solutions. This method was applied to planning of industry development in association with river-water pollution concern in New Binhai District of Tianjin, China. Results demonstrated that the proposed optimization model can effectively communicate uncertainties into the optimization process and generate a spectrum of potential inexact solutions supporting local decision makers in managing benefit-effective water quality management schemes. HIRO is helpful for analysis of policy scenarios related to different levels of economic penalties, while also providing insight into the tradeoff between system benefits and environmental requirements. PMID:23922495

  18. A Hybrid Interval-Robust Optimization Model for Water Quality Management.

    PubMed

    Xu, Jieyu; Li, Yongping; Huang, Guohe

    2013-05-01

    In water quality management problems, uncertainties may exist in many system components and pollution-related processes (i.e., random nature of hydrodynamic conditions, variability in physicochemical processes, dynamic interactions between pollutant loading and receiving water bodies, and indeterminacy of available water and treated wastewater). These complexities lead to difficulties in formulating and solving the resulting nonlinear optimization problems. In this study, a hybrid interval-robust optimization (HIRO) method was developed through coupling stochastic robust optimization and interval linear programming. HIRO can effectively reflect the complex system features under uncertainty, where implications of water quality/quantity restrictions for achieving regional economic development objectives are studied. By delimiting the uncertain decision space through dimensional enlargement of the original chemical oxygen demand (COD) discharge constraints, HIRO enhances the robustness of the optimization processes and resulting solutions. This method was applied to planning of industry development in association with river-water pollution concern in New Binhai District of Tianjin, China. Results demonstrated that the proposed optimization model can effectively communicate uncertainties into the optimization process and generate a spectrum of potential inexact solutions supporting local decision makers in managing benefit-effective water quality management schemes. HIRO is helpful for analysis of policy scenarios related to different levels of economic penalties, while also providing insight into the tradeoff between system benefits and environmental requirements.

  19. Sono-synthesis of biodiesel from soybean oil by KF/γ-Al₂O₃ as a nano-solid-base catalyst.

    PubMed

    Shahraki, H; Entezari, M H; Goharshadi, E K

    2015-03-01

    In this work, biodiesel has successfully prepared via ultrasonic method in a short time and low temperature by nano-solid-base catalyst (KF/γ-Al₂O₃). The catalyst was obtained by calcination of a mixture of KF and γ-Al₂O₃ m(KF)/m(γ-Al₂O₃) at 500 °C for 3 h. Nano-solid-base catalyst was characterized with scanning electron microscopy (SEM), transmission electron microscope (TEM), X-ray diffraction (XRD), Fourier transform infrared (FT-IR), thermal gravimetry (TG) and the Hammett indicator methods. The TEM image depicted nanoparticles and uniform dispersion of active phase over alumina. The XRD analysis confirmed the formation of potassium aluminum fluoride (K₃AlF₆) and potassium oxide, active catalyst for transesterification. The transesterification of soybean oil with methanol was performed by using both low frequency ultrasonic reactor (20 kHz) and mechanical stirring in the presence of KF/γ-Al₂O₃. The influence of various parameters such as ultrasonic power, oil/methanol molar ratio, catalyst concentration, time, and temperature were studied on the biodiesel formation. The maximum yield (95%) was achieved by applying 45 W acoustic power, molar ratio of alcohol to oil at 12:1, catalyst concentration of 2.0 wt%, 40 min sonication, and temperature of 50 °C. The transesterification was performed in 360 min using mechanical stirring with 76% yield. The results confirm that ultrasound significantly accelerates the transesterification reaction in comparison with the mechanical stirring. Copyright © 2014 Elsevier B.V. All rights reserved.

  20. Sono-leather technology with ultrasound: a boon for unit operations in leather processing - review of our research work at Central Leather Research Institute (CLRI), India.

    PubMed

    Sivakumar, Venkatasubramanian; Swaminathan, Gopalaraman; Rao, Paruchuri Gangadhar; Ramasami, Thirumalachari

    2009-01-01

    Ultrasound is a sound wave with a frequency above the human audible range of 16 Hz to 16 kHz. In recent years, numerous unit operations involving physical as well as chemical processes are reported to have been enhanced by ultrasonic irradiation. There have been benefits such as improvement in process efficiency, process time reduction, performing the processes under milder conditions and avoiding the use of some toxic chemicals to achieve cleaner processing. These could be a better way of augmentation for the processes as an advanced technique. The important point here is that ultrasonic irradiation is physical method activation rather than using chemical entities. Detailed studies have been made in the unit operations related to leather such as diffusion rate enhancement through porous leather matrix, cleaning, degreasing, tanning, dyeing, fatliquoring, oil-water emulsification process and solid-liquid tannin extraction from vegetable tanning materials as well as in precipitation reaction in wastewater treatment. The fundamental mechanism involved in these processes is ultrasonic cavitation in liquid media. In addition to this there also exist some process specific mechanisms for the enhancement of the processes. For instance, possible real-time reversible pore-size changes during ultrasound propagation through skin/leather matrix could be a reason for diffusion rate enhancement in leather processing as reported for the first time. Exhaustive scientific research work has been carried out in this area by our group working in Chemical Engineering Division of CLRI and most of these benefits have been proven with publications in valued peer-reviewed international journals. The overall results indicate that about 2-5-fold increase in the process efficiency due to ultrasound under the given process conditions for various unit operations with additional benefits. Scale-up studies are underway for converting these concepts in to a real viable larger scale operation. In the present paper, summary of our research findings from employing this technique in various unit operations such as cleaning, diffusion, emulsification, particle-size reduction, solid-liquid leaching (tannin and natural dye extraction) as well as precipitation has been presented.

  1. Sono-dispersion of TiO2 nanoparticles over clinoptilolite used in photocatalytic hydrogen production: Effect of ultrasound irradiation during conventional synthesis methods.

    PubMed

    Akbari Sene, Rojiar; Moradi, G R; Sharifnia, S

    2017-07-01

    Hydrogen evolution via water splitting was investigated over the sonochemically synthesized TiO2-clinoptilolite photocomposites. To this aim, a series of photocatalysts containing 10wt% titania were prepared by impregnation and solid state dispersion (SSD) methods in the presence and absence of ultrasound irradiation. The samples were characterized by XRD, FESEM, EDX, BET, FTIR, PL and UV-vis techniques and tested for the water splitting. The characterization results indicated that ultrasound irradiation endowed the photocatalysts with uniform morphology, higher surface area and more homogenous dispersion. In addition, the analyses also exhibited less population of particle aggregates, a strong titania-support interaction and lower electron-hole pairs recombination rate. These features were more prominent when ultrasound was employed during SSD method. The TiO2/Clinoptilolite photocatalyst prepared by the ultrasound assisted SSD method (TiO2/CLT(US)), had more uniform active sites dispersion, high separation efficiency of electron-hole pairs and as a consequence, high surface density of active sites. The highest photocatalytic activity, 569.88 [Formula: see text] , was obtained for the TiO2/CLT(US) sample which was about 8 times more than that of P-25 as a reference sample. Furthermore, the TiO2/CLT(US) photocomposite as optimal photocatalyst showed sufficient reusability, making it a good choice for photocatalytic water splitting applications. Copyright © 2017 Elsevier B.V. All rights reserved.

  2. Mercury-free sono-electroanalytical detection of lead in human blood by use of bismuth-film-modified boron-doped diamond electrodes.

    PubMed

    Kruusma, Jaanus; Banks, Craig E; Compton, Richard G

    2004-06-01

    We report the electroanalytical determination of lead by anodic stripping voltammetry at in-situ-formed, bismuth-film-modified, boron-doped diamond electrodes. Detection limits in 0.1 mol L(-1) nitric acid solution of 9.6 x 10(-8) mol L(-1) (0.2 ppb) and 1.1 x 10(-8) mol L(-1) (2.3 ppb) were obtained after 60 and 300 s deposition times, respectively. An acoustically assisted deposition procedure was also investigated and found to result in improved limits of detection of 2.6 x 10(-8) mol L(-1) (5.4 ppb) and 8.5 x 10(-10) mol L(-1) (0.18 ppb) for 60 and 300 s accumulation times, respectively. Furthermore, the sensitivity obtained under quiescent and insonated conditions increased from 5.5 (quiescent) to 76.7 A mol(-1) L (insonated) for 60 s accumulation and from 25.8 (quiescent) to 317.6 A mol(-1) L (insonated) for 300 s accumulation. Investigation of the use of ultrasound with diluted blood revealed detection limits of the order of 10(-8) mol L(-1) were achievable with excellent inter- and intra-reproducibility and sensitivity of 411.9 A mol(-1) L. For the first time, electroanalytical detection of lead in diluted blood is shown to be possible by use of insonated in-situ-formed bismuth-film-modified boron-doped diamond electrodes. This method is a rapid, sensitive, and non-toxic means of clinical sensing of lead in whole human blood.

  3. Photo-, sono-, and sonophotocatalytic activity of metal oxide nanocomposites TiO2/CeO2 for degradation of dye

    NASA Astrophysics Data System (ADS)

    Tju, H.; Muzakki, A. T.; Taufik, A.; Saleh, R.

    2017-07-01

    In present study, TiO2 nanoparticles was modified by the addition of CeO2 to increase efficiency and improve catalytic activity under visible light, ultrasonic irradiation, and combination of both irradiation. The as-prepared CeO2 nanoparticles have been incorporated to mixture of TiO2 with various molar ratio (x)TiO2:(1-x)CeO2 = 0.25:0.75 ; 0.5:0.5 and 0.75:0.25). Then the pristine TiO2, CeO2 and TiO2/CeO2 nanocomposites were identified by X-ray Diffraction (XRD) and the surface area was measured using Brunner-Emett teller (BET) measurement. The XRD results indicated that the CeO2 was a face centered cubic structure and the TiO2 was anatas structures. The as-prepared samples exhibit a good catalytic for the decolorization of methylene blue (MB) under visible light, ultrasonic irradiation, and combination of visible light and ultrasonic irradiation. The enhanced performance might be due to the lower recombination of charge carriers and surface properties of TiO2/CeO2. To further studies the catalytic mechanism the scavenger and initial solution experiment were also tested. Moreover, TiO2/CeO2 nanocomposites shows good cycle stability toward continuous four cycles runs of catalytic experiment for the degradation of MB.

  4. Sono-assisted preparation of highly-efficient peroxidase-like Fe(3)O(4) magnetic nanoparticles for catalytic removal of organic pollutants with H(2)O(2).

    PubMed

    Wang, Nan; Zhu, Lihua; Wang, Dali; Wang, Mingqiong; Lin, Zhifen; Tang, Heqing

    2010-03-01

    Fe(3)O(4) magnetic nanoparticles (Fe(3)O(4) MNPs) with much improved peroxidase-like activity were successfully prepared through an advanced reverse co-precipitation method under the assistance of ultrasound irradiation. The characterizations with XRD, BET and SEM indicated that the ultrasound irradiation in the preparation induced the production of Fe(3)O(4) MNPs possessing smaller particle sizes (16.5nm), greater BET surface area (82.5m(2)g(-1)) and much higher dispersibility in water. The particle sizes, BET surface area, chemical composition and then catalytic property of the Fe(3)O(4) MNPs could be tailored by adjusting the initial concentration of ammonia water and the molar ratio of Fe(2+)/Fe(3+) during the preparation process. The H(2)O(2)-activating ability of Fe(3)O(4) MNPs was evaluated by using Rhodamine B (RhB) as a model compound of organic pollutants to be degraded. At pH 5.4 and temperature 40 degrees C, the sonochemically synthesized Fe(3)O(4) MNPs were observed to be able to activate H(2)O(2) and remove ca. 90% of RhB (0.02mmolL(-1)) in 60min with a apparent rate constant of 0.034min(-1) for the RhB degradation, being 12.6 folds of that (0.0027min(-1)) over the Fe(3)O(4) MNPs prepared via a conventional reverse co-precipitation method. The mechanisms of the peroxidase-like catalysis with Fe(3)O(4) MNPs were discussed to develop more efficient novel catalysts.

  5. Kinetic modeling and determination role of sono/photo nanocatalyst-generated radical species on degradation of hydroquinone in aqueous solution.

    PubMed

    Rahimi, Sajad; Ayati, Bita; Rezaee, Abbas

    2016-06-01

    Experimental findings of sonophotocatalytic process were used in degradation of hydroquinone to assess kinetic modeling and determine the effect of various active radical species. First, the effects of three photocatalytic, sonocatalytic, and sonophotocatalytic processes were studied for hydroquinone removal to determine kinetic constants and calculate the activation energy of reactions, and then the selected process was evaluated to determine active radical species. The reactor was composed of two parts, one included ultrasonic probe (sonocatalytic part) with powers 22, 80, and 176 W and the second part was the location of UV lamp (photocatalytic part) with tubular flow and power 15 W. After three systems were examined and the efficient system was selected, the role of different active species such as hydroxyl radical (OH(·)), superoxide radical (O2 (·-)), hole (h(+)), electrons (e (-)), and single oxygen molecule ((1)O2) and contribution of each of them were determined in hydroquinone degradation. According to tests, the results of this study showed that sonophotocatalytic integrated method as selected system among three systems studied followed the first-order equation for hydroquinone degradation and active hydroxyl species with 45 % and electron and hole with 15 and 10 %, respectively, had the highest and lowest contributions to conversion of hydroquinone. The findings showed that dissolved oxygen increases the capability of active radical formation so that 28.2 % of hydroquinone removal was increased under aeration compared to without aeration. Also, removal efficiency decreased 62 % with N2 injection due to the withdrawal of oxygen from the sample. By adding 25 Mm of sodium azide (NaN3) to stock solution, 46.5 % reduction was developed because single oxygen ((1)O2) played the role of an active species. The advantages of integrated sonocatalytic and photocatalytic method are the generation of active radical species with more variety and ultimately the formation of higher amounts of powerful hydroxyl radical that increases degradation rates of refractory compounds and low-risk internal and final products. It has an appropriate performance in the degradation of refractory compounds by optimizing effective operational factors.

  6. Experimental study of sono-crystallisation of ZnSO4·7H2O, and interpretation by the segregation theory.

    PubMed

    Harzali, H; Baillon, F; Louisnard, O; Espitalier, F; Mgaidi, A

    2011-09-01

    Power ultrasound is known to enhance crystals nucleation, and nucleation times can be reduced by one up to three orders of magnitude for several organic or inorganic crystals. The precise physics involved in this phenomenon still remains unclear, and various mechanisms involving the action of inertial cavitation bubbles have been proposed. In this paper, two of these mechanisms, pressure and segregation effects, are examined. The first one concerns the variations of supersaturation induced by the high pressures appearing in the neighbourhood of a collapsing bubble, and the second one results from the modification of clusters distribution in the vicinity of bubble. Crystallisation experiments were performed on zinc sulphate heptahydrate ZnSO(4)·7H(2)O, which has been chosen for its pressure-independent solubility, so that pressure variations have no effect on supersaturation. As observed in past studies on other species, induction times were found lower under insonification than under silent conditions at low supersaturations, which casts some doubts on a pure pressure effect. The interfacial energy between the solid and the solution was estimated from induction times obtained in silent conditions, and, using classical nucleation theory, the steady-state distribution of the clusters was calculated. Segregation theory was then applied to calculate the over-concentrations of n-sized clusters at the end of the collapse of a 4 μm bubble driven at 20 kHz by different acoustic pressures. The over-concentration of clusters close to the critical size near a collapsing bubble was found to reach more than one order of magnitude, which may favour the direct attachment process between such clusters, and enhance the global nucleation kinetics. Copyright © 2011 Elsevier B.V. All rights reserved.

  7. Using Strategic Communication More Effectively in the Global War on Terror

    DTIC Science & Technology

    2006-03-13

    through jihad.41 These were the formative years which shaped the worldview for the religion of Islam. Dilip Hiro writes : Islam . . . created from...who cooperated with them even further.51 The remnants of the religious establishment sometimes justified state policies. Mohammed Ayoob writes that...and themes associated with the strategic communications campaign plan. Developing a new NSPD for strategic communication and writing a strategic

  8. Records of Australian Fouling Organisms: Sessile Barnacles (Crustacea, Cirripedia),

    DTIC Science & Technology

    1981-04-01

    4a-d; Broch 1931:116. Specific features: Parietes longitudinally ribbed, white or pinkish with summits tinged greenish blue (Plate le, f). Articular...1921). Later authors describe the presence of the spines ( Broch 1931; Rosell, 1972). A. zuiho Hiro (1936:632), figs. 8, 9), collected near Darwin...at MRL. 11 6. BIBLIOGRAPHY Bishop, M.W.H. (1951), Distribution of barnacles by ships. Nature, Lond. 167, 531. Broch , H. (1931), Indomalayan Cirripedia

  9. Piezocomposites for Active Surface Control

    DTIC Science & Technology

    1999-01-19

    section of 100 mm single layer SmartPanel 3 Figure 4. Preliminary design for 2-layer SmartPanel 3 Figure 5. Baseline SonoPanel configuration 4 Figure 6...baseline SonoPanel design 10 Figure 12. TVR of 100 x 100 mm baseline SonoPanel design 10 Figure 13. FFVS of 250 x 250 mm baseline SonoPanel design ...12 Figure 14. TVR of 250 x 250 mm baseline SonoPanel design 12 Figure15. 100 mm, 250 mm, and 750 mm SonoPanel transducers 13 Figure 16

  10. Sono-incorporation of CuO nanoparticles on the surface and into the mesoporous hexatitanate layers: Enhanced Fenton-like activity in degradation of orange-G at its neutral pH

    NASA Astrophysics Data System (ADS)

    Sehati, S.; Entezari, M. H.

    2017-03-01

    In this work, for the first time, CuO/Ti6O13 mesoporous nanocomposite was synthesized by direct intercalation of CuO nanoparticles into hexatitanate layers in the presence of ultrasound. In fact mesoporous potassium hexatitanate with high pore size (44.94 nm) was used as a support. CuO nanoparticles were grown into the titanate pores which caused formation of ultra small CuO with uniform size and high surface area. In fact, titanate is considered as a substrate for better dispersion and nucleation of the CuO nanoparticles which prevented the agglomeration and overgrowth of guest molecules. The prepared sample was characterized by XRD, FE-SEM, TEM, UV-vis spectra, N2 adsorption-desorption, Raman spectra and FT-IR techniques. The product was used as a heterogeneous Fenton-like catalyst for the degradation of Orang G (OG). The effect of important parameters, including pH, H2O2 addition rate and catalyst loading on the decolorization of OG were investigated. Based on the results, CuO/Ti6O13 catalyst exhibited high catalytic activity for OG degradation in aqueous solution at neutral pH of the dye. Moreover, breaking of H2O2 during the catalytic reaction was monitored by spectroscopic method. The results confirmed the decomposition of H2O2 to produce rad OH which is the main active species for the degradation of OG.

  11. Parametri, Variabili e altro: Un ripensamento su come questi concetti sono presentati in classe (Variable Parameters and Other Issues: A Review of How These Concepts Are Presented in Class).

    ERIC Educational Resources Information Center

    Chiarugi, Ivana; And Others

    1995-01-01

    This paper considers the problem of variables, in particular parameters, analyzes how these concepts are presented in textbooks, comments on paradigms of exercises in which parameters intervene, and points out difficulties encountered by students. Discusses results of teacher interviews concerning their dealing with parameters in class.…

  12. Sono-synthesis of solar light responsive S-N-C-tri doped TiO2 photo-catalyst under optimized conditions for degradation and mineralization of Diclofenac.

    PubMed

    Ramandi, Sara; Entezari, Mohammad H; Ghows, Narjes

    2017-09-01

    C-N-S-tri doped TiO2 anatase phase was synthesized using a facile, effective and novel sonochemical method at low frequency (20kHz) and at room temperature. Titanium butoxide as the titanium precursor and thiourea as the dopant source were used in the synthesis of the photo-catalyst. The effects of important parameters such as thiourea/Ti molar ratio, ultrasound intensity, sonication time and temperature were studied on the synthesis of tri-doped TiO2. The XPS results confirmed the presence of N, S, and C in the photo-catalyst. The photo-catalytic efficiency of the synthesized catalyst was studied toward the removal of Diclofenac as a model pharmaceutical organic pollutant. The results confirmed that the photo-catalyst synthesized with narrower band gap energy, shorter sonication time and higher ultrasound intensity leads to a rapid removal of Diclofenac. The effect of operational variables on the photo-catalytic activity of C-N-S tri doped TiO2 nanoparticles was studied and optimized using the Taguchi method as a statistical technique. Additionally, the degradation process followed the pseudo-first-order kinetics model and the highest apparent rate constant of 0.0632min(-1) achieved in 90min. Chemical oxygen demand (COD) analysis confirmed that the mineralization took place completely (100%) under the optimized conditions in 180min. Different scavengers were applied during the degradation process and active species such as OH and O2(-) had key roles in the photo-catalytic process. Copyright © 2017 Elsevier B.V. All rights reserved.

  13. Modification of the ultrasound induced activity by the presence of an electrode in a sono-reactor working at two low frequencies (20 and 40 kHz). Part II: Mapping flow velocities by particle image velocimetry (PIV).

    PubMed

    Mandroyan, A; Doche, M L; Hihn, J Y; Viennet, R; Bailly, Y; Simonin, L

    2009-01-01

    Sonoelectrochemical experiments differ from sonochemical ones by the introduction of electrodes in the sonicated reaction vessel. The aim of the study is to characterize the changes in the ultrasonic activity induced by the presence of an electrode located in front of the transducer. The scope of our investigations concerns two low frequency vibration modes: 20 and 40 kHz. For this purpose, two laser visualization techniques have been used. The first part of the study, described in a previous paper (Part I), deals with the laser tomography technique which provides an accurate picture of the reactor active zones, related to numerous cavitation events. The second part of the paper (Part II) will describe the particle image velocimetry (PIV) technique used to measure the velocity vector field in the fluid portion between the horn and the electrode. As for the previous study, two parameters were studied: the electrical power supplied to the transducer and the electrode/transducer distance. The velocity vector fields show a main flow in the reactor axis. This flow seems to correspond to the conical cavitation bubbles structure which is observed on the laser tomography pictures. When an electrode is introduced into the reactor, two additional symmetric transversal flows can be quantified on both sides of the electrode.

  14. Parametri, Variabili e altro: Un ripensamento su come questi concetti sono presentati in classe (Variable Parameters and Other Issues: A Review of How These Concepts Are Presented in Class).

    ERIC Educational Resources Information Center

    Chiarugi, Ivana; And Others

    1995-01-01

    This paper considers the problem of variables, in particular parameters, analyzes how these concepts are presented in textbooks, comments on paradigms of exercises in which parameters intervene, and points out difficulties encountered by students. Discusses results of teacher interviews concerning their dealing with parameters in class.…

  15. Effect of Ni doping on structural and optical properties of Zn{sub 1−x}Ni{sub x}O nanopowder synthesized via low cost sono-chemical method

    SciTech Connect

    Singh, Budhendra; Kaushal, Ajay; Bdikin, Igor; Venkata Saravanan, K.; Ferreira, J.M.F.

    2015-10-15

    Highlights: • Pure and Ni doped ZnO nanopowders were synthesized by low cost sonochemical method. • The optical properties of Zn{sub 1−x}Ni{sub x}O nanopowders can be tuned by varying Ni content. • The results reveal the solubility limit of Ni into ZnO matrix as below 8%. - Abstract: Zn{sub 1−x}Ni{sub x}O nanopowders with different Ni contents of x = 0.0, 0.04 and 0.08 were synthesized via cost effective sonochemical reaction method. X-ray diffraction (XRD) pattern reveals pure wurtzite phase of prepared nanostructures with no additional impurity peaks. The morphology and dimensions of nanoparticles were investigated using scanning electron microscope (SEM). A sharp and strong peak for first order optical mode for wurtzite zinc oxide (ZnO) structure was observed at ∼438 cm{sup −1} in Raman spectra. The calculated optical band gap (E{sub g}) from UV–vis transmission data was found to decrease with increase in Ni content. The observed red shift in E{sub g} with increasing Ni content in ZnO nanopowders were in agreement with band gap behaviours found in their photoluminescence (PL) spectra. The synthesised ZnO nanopowders with controlled band gap on Ni doping reveals their potential for use in various electronic and optical device applications. The results were discussed in detail.

  16. Understanding disruptions in tokamaks

    NASA Astrophysics Data System (ADS)

    Zakharov, Leonid

    2011-10-01

    Disruptions in tokamaks are known since 1963 but even now some aspects of them remain a mystery. This talk describes progress made recently in understanding disruptions. A major step forward occurred in 2007 when the importance of galvanic contact of the plasma with the wall in plasma dynamics was pointed out. The toroidal asymmetry of plasma current, observed in JET vertical disruptions, was explained by the theory of the wall touching kink mode. The currents shared by the plasma with the wall and responsible for the asymmetry were identified as generated by the kink mode. Such currents are referred to as Hiro currents. They have shown exceptional consistency with the entire JET disruption data base (more than 5500 cases) and ruled out the long lasting interpretation based on ``halo currents,'' which contradict experiments even in the sign of the measured asymmetry. Accordingly, the sideways forces are understood and their scaling from JET to ITER was justified. Hiro currents provide also a plausible explanation of the current spike at the beginning of the disruptions. The important role of the plasma edge and its interaction with the wall was revealed. Based on this new understanding of disruptions, dedicated experiments on the current spike (J-TEXT, Wuhan, China) and runaway prevention by the repetitive triggering of kink modes (T-10, AUG, Tore Supra) were motivated and are in progress. Accordingly, the need for new, adaptive grid approaches to numerical simulations of disruptions became evident. In addition to the core MHD, simulations of realistic wall geometry, disruption specific plasma edge physics, plasma-wall interaction, and energetic particles need be developed. The first results of simulations of the fast MHD regime, Hiro current generation, and slower plasma decay due to a wall touching kink mode made with the new DSC code are presented. This work is supported by US DoE contract No. DE-AC02-09-CH11466.

  17. 3D MHD Simulations of Tokamak Disruptions

    NASA Astrophysics Data System (ADS)

    Woodruff, Simon; Stuber, James

    2014-10-01

    Two disruption scenarios are modeled numerically by use of the CORSICA 2D equilibrium and NIMROD 3D MHD codes. The work follows the simulations of pressure-driven modes in DIII-D and VDEs in ITER. The aim of the work is to provide starting points for simulation of tokamak disruption mitigation techniques currently in the CDR phase for ITER. Pressure-driven instability growth rates previously observed in simulations of DIIID are verified; Halo and Hiro currents produced during vertical displacements are observed in simulations of ITER with implementation of resistive walls in NIMROD. We discuss plans to exercise new code capabilities and validation.

  18. Perception and Haptic Rendering of Friction Moments.

    PubMed

    Kawasaki, H; Ohtuka, Y; Koide, S; Mouri, T

    2011-01-01

    This paper considers moments due to friction forces on the human fingertip. A computational technique called the friction moment arc method is presented. The method computes the static and/or dynamic friction moment independent of a friction force calculation. In addition, a new finger holder to display friction moment is presented. This device incorporates a small brushless motor and disk, and connects the human's finger to an interface finger of the five-fingered haptic interface robot HIRO II. Subjects' perception of friction moment while wearing the finger holder, as well as perceptions during object manipulation in a virtual reality environment, were evaluated experimentally.

  19. Comparative hypoglycemic activities of aqueous and ethanolic extracts of four medicinal plants (Acanthus montanus, Asystasia gangetica, Emilia coccinea and Hibiscus rosasinensis) in Type I diabetic rats

    PubMed Central

    Ojiako, Okey Alphonsus; Chikezie, Paul Chidoka; Ogbuji, Agomuo Chizaramoku

    2015-01-01

    Background: The present study ascertained the capacities of crude aqueous and ethanolic leaf extracts of Acanthus montanus (ACMO), Asystasia gangetica (ASGA), Emilia coccinea (EMCO), and Hibiscus rosasinensis (HIRO), as well as their combinatorial formulations to ameliorate hyperglycemia in Type I diabetic rats. Materials and Methods: Hyperglycemia was induced by single intraperitoneal injection of alloxan monohydrate in phosphate buffer saline (PBS) solution (pH = 7.4) dosage = 120 mg/kg; bw. Individual hyperglycemic rats (HyGR) received separate doses of either 20 mg/kg bw/24 h of ACMO, ASGA, EMCO or HIRO, as well as their combinatorial formulations (AAEH) for 14 days. Preparation of aqueous extracts (AQx) and ethanolic extracts (ETHx) of the four herbal samples was according to standard methods. Blood samples were drawn from 12 h post-fasted rats at regular intervals of 24 h for 14 days and measured for fasting blood glucose concentration (FBGC) using the glucose oxidase spectrophotometric method. Results: Cumulatively, ETHx of the herbal samples exhibited the greater capacity to lower FBGC in HyGR than that of the AQx. ETHx of AAEH exhibited the highest capacity to lower FBGC in HyGR by 53.55 ± 1.04%, whereas AQx of EMCO exhibited the lowest capacity to lower FBGC, which corresponded to 36.19 ± 0.88%. Conclusion: The study showed that ETHx of the herbal samples were comparatively more potent than the corresponding AQx as agents of glycemic control and for the management of hyperglycemia. Furthermore, the combination of the herbal extracts synergistically improved the therapeutic potentials of the individual herbal extracts. PMID:26401413

  20. Comparative hypoglycemic activities of aqueous and ethanolic extracts of four medicinal plants (Acanthus montanus, Asystasia gangetica, Emilia coccinea and Hibiscus rosasinensis) in Type I diabetic rats.

    PubMed

    Ojiako, Okey Alphonsus; Chikezie, Paul Chidoka; Ogbuji, Agomuo Chizaramoku

    2015-01-01

    The present study ascertained the capacities of crude aqueous and ethanolic leaf extracts of Acanthus montanus (ACMO), Asystasia gangetica (ASGA), Emilia coccinea (EMCO), and Hibiscus rosasinensis (HIRO), as well as their combinatorial formulations to ameliorate hyperglycemia in Type I diabetic rats. Hyperglycemia was induced by single intraperitoneal injection of alloxan monohydrate in phosphate buffer saline (PBS) solution (pH = 7.4) dosage = 120 mg/kg; bw. Individual hyperglycemic rats (HyGR) received separate doses of either 20 mg/kg bw/24 h of ACMO, ASGA, EMCO or HIRO, as well as their combinatorial formulations (AAEH) for 14 days. Preparation of aqueous extracts (AQx) and ethanolic extracts (ETHx) of the four herbal samples was according to standard methods. Blood samples were drawn from 12 h post-fasted rats at regular intervals of 24 h for 14 days and measured for fasting blood glucose concentration (FBGC) using the glucose oxidase spectrophotometric method. Cumulatively, ETHx of the herbal samples exhibited the greater capacity to lower FBGC in HyGR than that of the AQx. ETHx of AAEH exhibited the highest capacity to lower FBGC in HyGR by 53.55 ± 1.04%, whereas AQx of EMCO exhibited the lowest capacity to lower FBGC, which corresponded to 36.19 ± 0.88%. The study showed that ETHx of the herbal samples were comparatively more potent than the corresponding AQx as agents of glycemic control and for the management of hyperglycemia. Furthermore, the combination of the herbal extracts synergistically improved the therapeutic potentials of the individual herbal extracts.

  1. Effects of Acute Sleep Deprivation Resulting from Night Shift Work on Young Doctors.

    PubMed

    Sanches, Inês; Teixeira, Fátima; dos Santos, José Moutinho; Ferreira, António Jorge

    2015-01-01

    Introdução: Avaliar a privação do sono e seus efeitos sobre os jovens médicos relativamente à capacidade de concentração e desempenho psicomotor. Material e Métodos: Dezoito médicos, com idades entre 26 - 33 anos, divididos em dois grupos: grupo sem privação de sono (sem trabalho nocturno) e grupo com privação de sono (no mínimo 12 horas de trabalho nocturno / semana). Aplicámos o Índice de Qualidade de Sono de Pittsburgh para rastrear a presença de patologia do sono e a Escala de Sonolência Epworth para avaliar subjectivamente a sonolência diurna; usamos actigrafia e o diário de sono para avaliar a higiene do sono e os ciclos de sono-vigília. Para demonstrar os efeitos da privação do sono, foi aplicado o teste de Toulouse-Piéron (teste de concentração) e uma bateria de trêstestes de tempo de reação após o período de trabalho nocturno. Resultados: O grupo com privação de sono apresentou maior sonolência diurna na Escala de Sonolência Epworth (p < 0,05) e durante a semana a privação de sono foi maior (p < 0,010). A duração média do sono durante o período de trabalho nocturno foi de 184,2 minutos para o grupo com privação de sono e 397,7 minutos para grupo sem privação de sono (p < 0,001). No teste Toulouse-Piéron o grupo com privação de sono apresentou maior número de omissões (p < 0,05) com um pior resultado no índice de concentração (p < 0,05). Os testes psicomotores que avaliaram a resposta a estímulos simples revelaram maior latência na resposta (p < 0,05) e mais erros (p < 0,05) no grupo com privação de sono; no teste de reacção a instrução o e grupo com privação de sono apresentou pior índice de perfeição (p < 0,05); no teste de movimentos finos não houve diferença estatisticamente significativa entre os grupos. Discussão: A privação de sono aguda resultante do trabalho nocturno em profissões médicas está associada a uma diminuição da atenção e concentração e no atraso de resposta

  2. Femtomolar sensitivity of a NO sensor from Clostridium botulinum.

    PubMed

    Nioche, Pierre; Berka, Vladimir; Vipond, Julia; Minton, Nigel; Tsai, Ah-Lim; Raman, C S

    2004-11-26

    Nitric oxide (NO) is extremely toxic to Clostridium botulinum, but its molecular targets are unknown. Here, we identify a heme protein sensor (SONO) that displays femtomolar affinity for NO. The crystal structure of the SONO heme domain reveals a previously undescribed fold and a strategically placed tyrosine residue that modulates heme-nitrosyl coordination. Furthermore, the domain architecture of a SONO ortholog cloned from Chlamydomonas reinhardtii indicates that NO signaling through cyclic guanosine monophosphate arose before the origin of multicellular eukaryotes. Our findings have broad implications for understanding bacterial responses to NO, as well as for the activation of mammalian NO-sensitive guanylyl cyclase.

  3. Enhancing ablation effects of a microbubble contrast agent on high-intensity focused ultrasound: an experimental and clinical study.

    PubMed

    Cheng, C; Xiao, Z; Huang, G; Zhang, L; Bai, J

    2017-08-01

    To investigate the relationship between SonoVue ablation enhancement effects on high-intensity focused ultrasound (HIFU) and the concentration of SonoVue and timing of HIFU. Two randomised controlled trials. An animal centre in a university and a gynaecological department in a university hospital in China. 63 rabbits and 143 patients with a solitary uterine fibroid. Among the 63 rabbits, three were assigned to the control group. The other 60 were evenly assigned to three study groups pretreated with 0.03, 0.05 or 0.07 ml/kg of SonoVue before HIFU treatment. Two points in each liver were selected to be treated with HIFU and sonication started at 10, 30, 60, 90, 120, 150, 180, 210, 250 or 300 seconds after the administration of SonoVue, respectively. The 143 patients with solitary uterine fibroids were assigned to four groups: 30 patients were treated using only HIFU; the other patients were pretreated with same dosage of SonoVue and 32, 38 and 43 were treated with HIFU at 1-, 3-, and 5-minutes after administration of SonoVue, respectively. The relation between SonoVue ablation enhancement effects on HIFU and the concentration of SonoVue and timing of HIFU. In the experimental study, the highest temperature and the largest necrotic volume in the liver were observed when HIFU sonication started at 60 seconds after administration of SonoVue. In the clinical study, the rate of significant grey-scale changes in the 1-minute SonoVue group was significantly greater than in the other three groups. The sonication time to reach massive grey-scale changes measured in the 1-minute SonoVue group was significantly shorter than in in the other three groups. The sonication time for ablating 1 cm(3) of fibroid volume in the 1-minute SonoVue group was significantly shorter than in the other three groups. The acoustic energy used in treating 1 mm(3) of uterine fibroid in the 1-minute SonoVue group was significantly less than that used in the other three groups. No major

  4. Nitric oxide synthase in the nervous system and ink gland of the cuttlefish Sepia officinalis: molecular cloning and expression.

    PubMed

    Scheinker, Vladimir; Fiore, Gabriella; Di Cristo, Carlo; Di Cosmo, Anna; d'Ischia, Marco; Enikolopov, Grigori; Palumbo, Anna

    2005-12-16

    Nitric oxide (NO) signaling is involved in numerous physiological processes in mollusks, e.g., learning and memory, feeding behavior, neural development, and defence response. We report the first molecular cloning of NOS mRNA from a cephalopod, the cuttlefish Sepia officinalis (SoNOS). SoNOS was cloned using a strategy that involves hybridization of degenerate PCR primers to highly conserved NOS regions, combined with RACE procedure. Two splicing variants of SoNOS, differing by 18 nucleotides, were found in the nervous system and the ink gland of Sepia. In situ hybridization shows that SoNOS is expressed in the immature and mature cells of the ink gland and in the regions of the nervous system that are related to the ink defence system.

  5. The effects of lauromacrogol on thyroid tissue in rabbits. Is this a safe option for the treatment of nodular thyroid disease?

    PubMed

    Idiz, Ufuk Oguz; Aysan, Erhan; Can, Ismail; Buyukpinarbasili, Nur; Yardimci, Erkan Yardimci; Bektasoglu, Huseyin

    2016-01-01

    Lo studio è finalizzato al rilevamento degli effetti del lauromacroglo, un agente sclerosante, sul tessuto tiroideo del coniglio, utilizzando 12 conigli divisi in due gruppi di sei ciascuno. Nel gruppo di studio è stato iniettato nel tessuto tiorideo 0,1 ml di lauromacrogolo, ed in quello di controllo lo stesso volume di soluzione fisiologica. Al controllo postoperatorio sono stati valutati il tasso di FT3, FT4, TSH, la presenza di aderenze e le differenze istopatologiche dei tessuti tiroidei. Non sono risultate differenza significative nel livelli di FT3, FT4, TSH (p>0,05) ma i livelli di , la presenza di aderenze e le differenze istopatologiche dei tessuti tiroidei. Ai controlli i valori di FT3, FT4 ed TSH non sono risultati significativamente differenti (p>0,05), mentre i livelli di FT3 sono stati significativamente differenti all’interno dei due gruppi (p=0,20). Non sono state riscontrate differenze macroscopicamente significative delle aderenze postoperatorie (p>0,05), ma flogosi e fibrosi sono risultate istologicamente più elevate nel gruppo di studio (p=0,003). Due sono i risultati importanti dello studio: la differenza non signifcativa dei test di funzione tiroidea tra i due gruppi, suggerendo che il lauromacrogol può essere usato con sicurezza senza rischi di ipo- o ipertiroidismo; la valutazione istopatologica su modello Erlich-Hunt ha dimostrato che flogosi e fibrosi sono significativamente accresciute nel gruppo di studio, indicando che il lauromacrogol più essere usato efficacemente e con sicurezza per il trattamento dei noduli tiroidei per provocare fibrosi, senza significative aderenze peritiroidee e differenze della funzione.

  6. Intraoperative Ultrasound to Assess for Pancreatic Duct Injuries

    DTIC Science & Technology

    2015-04-01

    cholecystocholangiopancreatography is often nondiagnostic, gastroenterologists may not be available for endoscopic retrograde cholangiopancreatography (ERCP...10MHz.We use the SonoSite MicroMaxx SLT 10-5 MHz 52mm broadband linear array intraoperative US probe ( FUJIFILM SonoSite, Inc., Bothell, WA). The duct...Intraoperative US Availability Is gastroenterology available? Is the fluoroscopic and endoscopic equipment available? Is MRCP available? Is a

  7. Characteristics and Echogenicity of Clinical Ultrasound Contrast Agents: An In Vitro and In Vivo Comparison Study.

    PubMed

    Hyvelin, Jean-Marc; Gaud, Emmanuel; Costa, Maria; Helbert, Alexandre; Bussat, Philippe; Bettinger, Thierry; Frinking, Peter

    2017-05-01

    To compare physicochemical characteristics and in vitro and in vivo contrast-enhanced ultrasound imaging performance of 3 commercially available ultrasound contrast agents: SonoVue (Bracco Imaging SpA, Colleretto Giacosa, Italy; also marketed as Lumason in the USA), Definity (Lantheus Medical Imaging, North Billerica, MA) and Optison (GE Healthcare AS, Oslo, Norway). Physicochemical characteristics were measured with a Multisizer Coulter Counter (Beckman Coulter, Fullerton, CA). Two ultrasound systems (Aplio 500; Toshiba Medical Systems Corp, Tochigi-ken, Japan; and Logiq E9; GE Healthcare, Little Chalfont, England) were used with different transducers. Contrast enhancement was measured in vitro by dose-ranging measurements using a custom-built beaker setup; in vivo imaging performances were compared in pigs (heart and liver) and rabbits (liver). Quantitative analyses were performed with VueBox quantification software (Bracco Suisse SA, Plan-les-Ouates, Switzerland). Measured physicochemical characteristics were in agreement with those provided by the manufacturers. In vitro data demonstrated that the performance of SonoVue was similar to or better than that of Definity but superior to Optison (normalized scattered power 2- to 10-fold higher with SonoVue). Similar results were obtained in vivo, although the duration of enhancement in the pig heart was longer for SonoVue compared to Definity, and quantitative analysis revealed higher enhancement for SonoVue (1.5-fold increase). For liver imaging, SonoVue and Definity showed similar contrast enhancement and duration of enhancement, but compared to Optison, both peak enhancement and duration of enhancement were superior for SonoVue (up to 2-fold increase). Imaging performance of SonoVue was similar to or slightly better than that of Definity, but it was superior to Optison for the conditions used in this study. © 2017 by the American Institute of Ultrasound in Medicine.

  8. Nursing diagnoses and theoretical frameworks in neonatal units: a literature review.

    PubMed

    Di Sarra, Luca; D'Agostino, Fabio; Cocchieri, Antonello; Vellone, Ercole; Zega, Maurizio; Alvaro, Rosaria

    2016-01-01

    Obiettivo: Identificare le diagnosi infermieristiche ed i quadri teorici utilizzati nelle unità neonatali attraverso una revisione della letteratura. Metodo: Per effettuare questo studio sono stati usati database come Cinahl, Medline e Lilacs. I descrittori usati sono: "Diagnosi infermieristica" AND "Modelli, Infermieristici" OR "Teoria infermieristica" AND "Infante" OR "Neonato". La ricerca era limitata agli arti- coli pubblicati dal 2000 al novembre 2013. Venivano selezionati soltanto gli studi scritti in inglese, spagnolo, portoghese e italiano. Risultati: Nella revisione della letteratura sono state identificate due tassonomie e sei impor- tanti quadri teorici. Le diagnosi infermieristiche più frequentemente individuate sono: intol- leranza alle attività, ridotta ventilazione spontanea, modello di respirazione inefficace, rischio di aspirazione, ritardo nella crescita e nello sviluppo, allattamento al seno inefficace, modello di alimentazione infantile inefficace, ipertermia/ipotermia, rischio di infezione, alterazione dell’integrità cutanea, interruzione dei processi familiari, rischio di compromissione della genitorialità, rischio di riduzione dell’attaccamento. Sono state identificate diagnosi appli- cabili alla sfera psico-sociale genitoriale che consentivano una valutazione integrale del neonato, compresa la famiglia. Conclusioni: Le diagnosi infermieristiche consentono agli infermieri che lavorano nelle unità neonatali l’opportunità di gestire efficacemente il processo assistenziale, nonché la disponibilità dei dati necessari per il continuo miglioramento della qualità nella cura infer- mieristica. L'utilizzo di un unico modello o di più modelli di riferimento costituisce un modo per aiutare l'agire professionale.

  9. Design of Unique Four-Bit/Cell Polycrystalline Silicon-Oxide-Silicon Nitride-Oxide-Silicon Devices Utilizing Vertical Channel of Silicon Pillar

    NASA Astrophysics Data System (ADS)

    Mun, Kyung Sik; Kim, Jae-Ho; Kim, Tae Whan; Kwack, Kae Dal

    2007-11-01

    Unique four-bit/cell polycrystalline silicon-oxide-silicon nitride-oxide-silicon (SONOS) devices with separated ONOs utilizing the vertical channel of a silicon pillar, denoted as silicon pillar vertical-channel SONOS (SPVC-SONOS) devices, were designed to increase memory density. A narrow charge distribution and improved data retention were achieved owing to the separation of the storage nitride layers. An analytical model of the transient characteristics for investigating the effects of the dielectric composition and the erase speed, which was dependent on the erase voltage, was developed. Floating nodes acting as a trap site were added in the nitride layer to simulate the program characteristics using the conventional device simulator medici. The channel hot-electron-injection program, Fowler-Nordheim tunneling erase, and reverse mode read characteristics were estimated to verify the operation of the novel four-bit/cell SPVC-SONOS devices. The proposed unique four-bit/cell SPVC-SONOS devices can be used to increase memory density.

  10. The Value of Automated Follicle Volume Measurements in IVF/ICSI

    PubMed Central

    Vandekerckhove, Frank; Bracke, Victoria; De Sutter, Petra

    2014-01-01

    Background/Aims: The objective of this literature study is to investigate the place of recent software technology sonography-based automated volume count (SonoAVC) for the automatic measurement of follicular volumes in IVF/ICSI. Its advantages and disadvantages and potential future developments are evaluated. Methods: A total of 74 articles were read via a PubMed literature study. The literature study included 53 articles, 32 of which for the systematic review. Results: The SonoAVC software shows excellent accuracy. Comparing the technology with the “golden standard” two-dimensional (2D) manual follicle measurements, SonoAVC leads to a significantly lower intra- and inter-observer variability. However, there is no significant difference in clinical outcome (pregnancy rate). We noted a significant advantage in the time gained, both for doctor and patient. By storing the images, the technology offers the possibility of including a quality control and continuous training and further standardization of follicular monitoring can be expected. Ovarian reserve testing by measuring the antral follicle count with SonoAVC is highly reliable. Conclusion: This overview of previously published literature shows how SonoAVC offers advantages for clinical practice, without losing any accuracy or reliability. Doctors should be motivated to the general use of follicular volumes instead of follicular diameters. PMID:25593942

  11. Tailoring Summer Research Experiences to Diverse Student Cohorts: Lessons Learned from Teaching Scientific Communication to Summer Interns

    NASA Astrophysics Data System (ADS)

    Batchelor, R. L.; Haacker, R.

    2014-12-01

    Scientific posters, presentations and papers are frequently assigned outputs for students participating in summer research experiences, yet previous exposure to any form of scientific communication is not a given. Providing training in scientific communication in some form is thus a necessity for many internship programs, especially those aimed towards academically younger students. In this presentation, we will share some of the experiences we've gained from teaching scientific communication workshops to summer interns who range from high school to graduate school. Building on the many years of experience learned through the Significant Opportunities in Atmospheric Research Science (SOARS) program, course material has been adapted and tailored to students participating in the National Center for Atmospheric Research High-School Internship Research Opportunity (HIRO, now the NCAR PreCollege Internship) and Research Experiences for Community College Students (RECCS, based with Colorado University's Cooperative Institute for Research in Environmental Science). SOARS also has experience supporting graduate students towards publication. Weekly communications workshops have served not only to provide necessary scientific skills, but also as a place to gather, reflect, discuss and build community. The unique opportunities and challenges in working with each of these groups will be discussed as part of the larger community discussion of how we can increase diversity in STEM through providing genuine research experiences to diverse and academically young students.

  12. An Orchestra's Guide to the Universe

    NASA Astrophysics Data System (ADS)

    Harrus, I.; RIME Arthur Bloom Collaboration

    2005-12-01

    We describe here an interdisciplinary program that combines astronomy and music in a unique and unprecedented fashion. This is an intensive program in which students prepare for and perform with a professional orchestra. For many of its participants, it is a life-changing experience. For us, it is a conduit for developing, implementing and disseminating truly innovative and interdisciplinary science education and outreach. The team, headed by composer Arthur Bloom, who created the original and highly successful music program, includes astronomers, teachers, educators, and evaluators. We are working in collaboration with a school in Berwins Heights and with graduate students in astronomy from the University of Maryland in College Park under the supervision of Cole Miller. The evaluation of the program is done under the supervision of Hiro Yoshikawa (Harvard University). The program received seed funding from an IDEAS grant awarded to Arthur Bloom in 2003. This unique collaboration provides an opportunity to develop innovative and interdisciplinary educational and outreach materials, leverage investment and broadly disseminate our results, share costs, link with school systems, target underserved and underrepresented populations, cultivate new sources of media attention, and enhance interest and learning in astronomy.

  13. Real-time Metadata Capture Implementations

    NASA Astrophysics Data System (ADS)

    Chayes, D. N.; Arko, R. A.

    2002-12-01

    The current rate of data acquisition in the ocean sciences precludes the manual generation of appropriate metadata after the fact. Recognizing this fact, we have begun to implement methods for creating metadata and inserting them into relational databases in real-time. We have also created web-based tools for watchstanders and maintenance personnel to enter logbook data in real-time. Several examples will be addressed in this poster. Enhancements to the Hudson Interactive River Observatory (HIRO) real-time data logging system have been made that create metadata records and insert them (as SQL transactions over a secure wireless TCP/IP connection) into a relational database in real-time. These records document the start and stop time of individual data files, of sensor-specific data streams and of the logging system as a whole. An interactive watchstanders logbook has been developed and used on the R/V Maurice Ewing to create and log metadata records associated with upgrades to the Hydrosweep DS2 multibeam system. A similar version of this tool is being used to capture the maintenance and update records associated with the HRIO system.

  14. Changes in cell migration due to the combined effects of sonodynamic therapy and photodynamic therapy on MDA-MB-231 cells

    NASA Astrophysics Data System (ADS)

    Wang, Haiping; Wang, Pan; Zhang, Kun; Wang, Xiaobing; Liu, Quanhong

    2015-03-01

    Sono-photodynamic therapy is an emerging method with an increasing amount of research having demonstrated its anti-cancer efficacy. However, the impacts of cell migration ability after sono-photodynamic therapy have seldom been reported. In this study, we identified cell migration by wound healing and transwell assays. Significant inability of cell migration was observed in combined groups accompanied by the decline of cell adhesion. Cells in combined treatment groups showed serious microfilament network collapse as well as decreased expression of matrix metalloproteinases-9. These results suggested that sono-photodynamic therapy could inhibit MDA-MB-231 cell migration and that the microfilament and matrix metalloproteinases-9 disorder might be involved.

  15. Comparison of automated and manual follicle monitoring in an unrestricted population of 100 women undergoing controlled ovarian stimulation for IVF.

    PubMed

    Ata, Baris; Seyhan, Ayse; Reinblatt, Shauna Leigh; Shalom-Paz, Einat; Krishnamurthy, Srinivasan; Tan, Seang Lin

    2011-01-01

    Ovarian response to gonadotrophin stimulation is monitored with serial ultrasound (US) examinations. Sonography-based Automated Volume Count (SonoAVC) is a relatively new three-dimensional (3D) US technology, which automatically generates a set of measurements including the mean follicular diameter (MFD) and a volume-based diameter (d(V)) for each follicle in the ovaries. The present study aimed to assess the applicability and reproducibility of this automated follicle measurement method in an IVF programme. For this prospective method comparison study, 100 women undergoing US monitoring of a controlled ovarian stimulation cycle were recruited. Each follicle was manually measured by taking the mean of maximal diameters on three orthogonal planes with two-dimensional (2D) US. A 3D volume of each ovary was then captured. The ovarian volumes were later analysed using SonoAVC. The agreement between the two methods for the numbers of follicles and the size of the leading follicle was assessed with the Bland-Altman method. The reproducibility of SonoAVC measurements was assessed with the intraclass correlation coefficient (ICC). Both SonoAVC-generated MFD and d(V)-based follicle counts, as well as the leading follicle diameter, had good agreement with conventional 2D US measurements. SonoAVC measurements had very good reproducibility, with ICC ≥0.8 for most evaluations. Automated follicle monitoring with SonoAVC can replace or be used interchangeably with conventional 2D measurements. Automated follicle monitoring can save time, provide a method of quality control and create opportunities for developing HCG criteria based on follicular volume or for monitoring patients from a distance.

  16. Ultrasound in developmental dysplasia of the hip: A screening study in Sardinian newborns.

    PubMed

    Dessì, A; Crisafulli, M; Vannelli, E; Fanos, V

    2009-06-01

    Sommario INTRODUZIONE: La displasia evolutiva dell'anca (DDH) costituisce la deformità più frequente dell'apparato locomotore. Lo screening ecografico è la metodica più utilizzata nell'identificazione della DDH, considerando la brevità del periodo in cui la diagnosi è possibile prima della comparsa dei sintomi clinici. Un intervento terapeutico appropriato precoce può avere un effetto positivo in relazione all'evoluzione di tale patologia. METODI: L'esame ecografico, la sua valutazione, la classificazione e la tipizzazione delle anche sono stati effettuati secondo il metodo descritto dal Graf. I pazienti sono stati valutati per mezzo di un'analisi retrospettiva volta a identificare i casi di DDH. Tutti i casi sono stati classificati e in base a ciò si è deciso il tipo di trattamento da attuare. RISULTATI: Complessivamente sono state osservate 145 anche in 122 bambini che presentavano un certo grado di displasia. L'età alla diagnosi variava da 14 a 90 giorni con una media di 52 giorni di vita. Un mese dopo la diagnosi ecografica le anche di tipo 2a, sia bilaterali che unilaterali, sono risultate normali nel 94%. Il restante 6% così come i tipi 2b, 2c, D e 3 sono stati trattati con un divaricatore e la guarigione completa è stata ottenuta dopo due mesi di trattamento. Il tipo 4 è stato monitorato esclusivamente da un chirurgo ortopedico per un trattamento specialistico. CONCLUSIONI: Una volta effettuata l'indagine ecografica da operatori esperti si può decidere il tipo di trattamento più adeguato. L'ottima prognosi osservata a seguito del trattamento iniziale della DDH sottolinea la necessità di eseguire uno screening dell'anca allo scopo di effettuare una diagnosi e un trattamento precoce in questa patologia.

  17. Sonographic examination of epiaortic vessels in patients with peripheral vertigo.

    PubMed

    Salvaggio, G; Gargano, R; Campisi, A; Cantisani, V; Ricci, P; Gallina, S; Midiri, M; Caruso, G

    2010-09-01

    Sommario INTRODUZIONE: Valutare l’utilità dell’eco-color Doppler (CDU) dei vasi epiaortici nei pazienti con vertigine periferica da causa sconosciuta. MATERAILI E METODI: Centocinquantasei pazienti (gruppo studio; 42 uomini e 114 donne; età media 61,86 ± 14,14) e 161 pazienti (gruppo controllo; 80 uomini e 81 donne; età media 62,31 ± 13,69) sono stati sottoposti a CDU dei vasi epiaortici. Sono stati valutati i seguenti parametri: presenza di placche ateromasiche a livello dell’arteria carotide (CA) comune e/o interna; spessore medio intimale (IMT) della CA comune; picco di velocità sistolica (PSV) e indice di resistenza (RI) a livello delle arterie vertebrali (VA).Sono stati utilizzati test parametrici (T-test) e non parametrici (Mann–Whitney U-test e Kolmogorov–Smirnov test). È stata eseguita un’analisi di regressione logistica per fornire un odds ratio indice di grandezza del rischio di vertigine. Sono state considerate variabili indipendenti (età, sesso), fattori di rischio vascolare (ipercolesterolemia, diabete, ipertensione) e variabili CDU (IMT, placche, PSV e RI). RISULTATI: Placche ed IMT > 1 mm sono stati trovati in 31 (19,8%) e 98 (62,8%) pazienti del gruppo di studio e in 43 (26,7%) e 125 (77,6%) pazienti del gruppo controllo. I test statistici, applicati a PSV e RI, non hanno dimostrato differenze significative (p-valore > 0,05). Alla regressione logistica le vertigini sono risultate associate ad età, sesso, ipercolesterolemia, diabete, ipertensione e IMT (p < 0,01), mentre placche, PSV ed RI non erano fattori significativi (p > 0,05). DISCUSSIONE: IMT è la sola variabile CDU significativamente associata alla vertigine, specialmente nelle classi di età inferiore (35-45 e 45-55) del gruppo studio.

  18. Phonon-coupled trap-assisted charge injection in metal-nitride-oxide-silicon/silicon-oxide-nitride-oxide-silicon structures

    NASA Astrophysics Data System (ADS)

    Nasyrov, K. A.; Shaimeev, S. S.; Gritsenko, V. A.; Han, J. H.

    2009-06-01

    A phonon-coupled trap model is proposed for trap-assisted injection mechanism in silicon-oxide-nitride-oxide-silicon (SONOS)/metal-nitride-oxide-silicon (MNOS) structures at low voltages. On the basis of this model, a theory of charge injection in SONOS/MNOS has been developed. Charge injection experimental data was fitted by this theory. Obtained trap parameters are close to those previously reported [K. A. Nasyrov et al., J. Appl. Phys. 96, 4293 (2004)], where the current dependence on temperature and electric field was investigated in MNOS.

  19. [Electronic apex localizers: useful instruments or inconvenient gadgets?].

    PubMed

    Callis, P D

    1992-01-01

    Apex locators offer definite advantages for certain patients over conventional radiographic methods of root canal length measurement. Current instruments do not appear to differ significantly in accuracy. The choice of locator has to be made therefore on cost and convenience in use. The current best buys seem to be the Evident RCM and NeoSono MC. Both offer good value for money, the Evident is the less expensive but lacks some of the additional features of the NeoSono. The decision to buy an apex locator should only be made after a period of testing in clinical practice.

  20. Enhanced sonochemical degradation of azure B dye by the electroFenton process.

    PubMed

    Martínez, Susana Silva; Uribe, Edgar Velasco

    2012-01-01

    The degradation of azure B dye (C15H16ClN3S; AB) has been studied by Fenton, sonolysis and sono-electroFenton processes employing ultrasound at 23 kHz and the electrogeneration of H2O2 at the reticulated vitreous carbon electrode. It was found that the dye degradation followed apparent first-order kinetics in all the degradation processes tested. The rate constant was affected by both the pH of the solution and initial concentration of Fe2+, with the highest degradation obtained at pH between 2.6 and 3. The first-order rate constant decreased in the following order: sono-electroFenton>Fenton>sonolysis. The rate constant for AB degradation by sono-electroFenton is ∼10-fold that of sonolysis and ∼2-fold the one obtained by Fenton under silent conditions. The chemical oxygen demand was abated ∼68% and ∼85% by Fenton and sono-electroFenton respectively, achieving AB concentration removal over 90% with both processes.

  1. High-performance bottom-gate poly-Si polysilicon-oxide-nitride-oxide-silicon thin film transistors crystallized by excimer laser irradiation for two-bit nonvolatile memory applications.

    PubMed

    Lee, I-Che; Kuo, Hsu-Hang; Tsai, Chun-Chien; Wang, Chao-Lung; Yang, Po-Yu; Wang, Jyh-Liang; Cheng, Huang-Chung

    2012-07-01

    High-performance bottom-gate (BG) poly-Si polysilicon-oxide-nitride-oxide-silicon (SONOS) TFTs with single grain boundary perpendicular to the channel direction have been demonstrated via simple excimer-laser-crystallization (ELC) method. Under an appropriate laser irradiation energy density, the silicon grain growth started from the thicker sidewalls intrinsically caused by the bottom-gate structure and impinged in the center of the channel. Therefore, the proposed ELC BG SONOS TFTs exhibited superior transistor characteristics than the conventional solid-phase-crystallized ones, such as higher field effect mobility of 393 cm2/V-s and steeper subthreshold swing of 0.296 V/dec. Due to the high field effect mobility, the electron velocity, impact ionization, and conduction current density could be enhanced effectively, thus improving the memory performance. Based on this mobility-enhanced scheme, the proposed ELC BG SONOS TFTs exhibited better performance in terms of relatively large memory window, high program/erase speed, long retention time, and 2-bit operation. Such an ELC BG SONOS TFT with single-grain boundary in the channel is compatible with the conventional a-Si TFT process and therefore very promising for the embedded memory in the system-on-panel applications.

  2. Low Power Resistive Oxygen Sensor Based on Sonochemical SrTi0.6Fe0.4O2.8 (STFO40)

    PubMed Central

    Stratulat, Alisa; Serban, Bogdan-Catalin; de Luca, Andrea; Avramescu, Viorel; Cobianu, Cornel; Brezeanu, Mihai; Buiu, Octavian; Diamandescu, Lucian; Feder, Marcel; Ali, Syed Zeeshan; Udrea, Florin

    2015-01-01

    The current paper reports on a sonochemical synthesis method for manufacturing nanostructured (typical grain size of 50 nm) SrTi0.6Fe0.4O2.8 (Sono-STFO40) powder. This powder is characterized using X ray-diffraction (XRD), Mössbauer spectroscopy and Scanning Electron Microscopy (SEM), and results are compared with commercially available SrTi0.4Fe0.6O2.8 (STFO60) powder. In order to manufacture resistive oxygen sensors, both Sono-STFO40 and STFO60 are deposited, by dip-pen nanolithography (DPN) method, on an SOI (Silicon-on-Insulator) micro-hotplate, employing a tungsten heater embedded within a dielectric membrane. Oxygen detection tests are performed in both dry (RH = 0%) and humid (RH = 60%) nitrogen atmosphere, varying oxygen concentrations between 1% and 16% (v/v), at a constant heater temperature of 650 °C. The oxygen sensor, based on the Sono-STFO40 sensing layer, shows good sensitivity, low power consumption (80 mW), and short response time (25 s). These performance are comparable to those exhibited by state-of-the-art O2 sensors based on STFO60, thus proving Sono-STFO40 to be a material suitable for oxygen detection in harsh environments. PMID:26205267

  3. Use of ultrasonography to identify late-stage maturity in rainbow trout Oncorhynchus mykiss

    USDA-ARS?s Scientific Manuscript database

    Morphometric measurements by ultrasonography has been used to determine gonad and follicle size in many species of fish for purposes of identifying sex and estimating stage of maturation. We have been using a portable ultrasound system (SonoSite MicroMaxx, L25e/13-6 MHz transducer) to identify fem...

  4. Heterogeneous Catalysis Applied To Advanced Oxidation Processes (AOPs) For Degradation of Organic Pollutants

    NASA Astrophysics Data System (ADS)

    Cotto-Maldonado, Maria del Carmen

    Water is an essencial resource for humankind and biomes. Actually, the pollution of the water resources, specially the contamination of the fresh water is great concern in our society. Develop of new and more efficient method for degradation of pollutant in water increase the research in this area, especially in the AOPs. During this investigation a comparison between different AOPs methods (photocatalysis, sono-Fenton and photo-Fenton) to determine the most efficient process of them was done. To reach our goal, different catalysts, namely TiO2 nanowires, TiO2 CNTs, ZnO nanoparticles, Fe2O3 nanowires and magnetite nanoparticles were synthesized and characterized by different techniques including FE-SEM, TGA, specific surface area (BET), XRD, Raman spectroscopy, XPS and magnetic susceptibility. Commercial and synthesized catalysts were used in photocatalysis, sono-Fenton and photo-Fenton processes for the degradation of model organic compounds (Methylene Blue, Rhodamine B, Methyl Orange, Gential Violet, Methyl Violet and p-aminobenzoic acid). According with the experimental results, no significant differences were observed between the photo-Fenton and sono-Fenton processes when the same catalysts were used. For the photocatalytic process, the more effective catalyst was TiO2NWs and for the sono-Fenton and photo-Fenton processes, the more effective catalyst was FeCl2.

  5. 1-3 piezocomposite smart panels for active surface control

    NASA Astrophysics Data System (ADS)

    Gentilman, Richard L.; Fiore, Daniel; Pham-Nguyen, Hong; Serwatka, William J.; Pazol, Brian G.; Near, Craig D.; McGuire, Patrick T.; Bowen, Leslie J.

    1996-05-01

    A cost-effective technology has been developed for producing 1-3 piezoelectric ceramic/polymer composites for active surface control. SonoPanelTM 1-3 piezocomposite transducers consist of an array of piezoelectric ceramic rods in a polymer matrix. Stiff face plates are bonded to the composite for stress amplification when used as a sensor and to enhance surface response uniformity when used as an actuator. Many piezocomposite design variations have been produced for specific applications. The key technology in SonoPanelTM manufacturing is the PZT ceramic injection molding process. Using this process, an entire array of piezoelectric ceramic rods are molded in one operation using specially designed tooling. Injection molded PZT preforms are formed at a rate of one per minute. Several thousand components with excellent piezoelectric properties and part-to-part reproducibility have been manufactured to date. The piezocomposite fabrication process has been scaled up for low volume manufacturing. More than thirty 250 X 250 mm SonoPanelTM transducers have been produced and evaluated. The transducers show high receiving voltage sensitivity and transmitting voltage response as well as symmetrical beam patterns. Next generation SonoPanelTM transducers, with materials and designs optimized for Navy systems, are under development, including advanced panels for active surface control. The devices incorporate actuators, pressure sensors, and velocity sensors--all made from 1-3 composite materials--into an autonomous smart panel.

  6. Enhancement of programming speed on gate-all-around poly-silicon nanowire nonvolatile memory using self-aligned NiSi Schottky barrier source/drain

    NASA Astrophysics Data System (ADS)

    Ho, Ching-Yuan; Chang, Yaw-Jen; Chiou, Y. L.

    2013-08-01

    The programming characteristics of gate-all-around silicon-oxide-nitride-oxide silicon (SONOS) nonvolatile memories are presented using NiSi/poly-Si nanowires (SiNW) Schottky barrier (SB) heterojunctions. The non-uniform thermal stress distribution on SiNW channels due to joule heating affected the carrier transport behavior. Under a high drain voltage, impact ionization was found as a large lateral field enhances carrier velocity. As gate voltage (Vg) increased, the difference in the drain current within a range of various temperature conditions can be mitigated because a high gate field lowers the SB height of a NiSi source/SiNW/NiSi drain junction to ensure efficient hot-carrier generation. By applying the Fowler-Nordheim programming voltage to the SONOS nanowire memory, the SB height (Φn = 0.34 eV) could be reduced by image force; thus, hot electrons could be injected from SB source/drain electrodes into the SiN storage node. To compare both SiNW and Si nanocrystal SONOS devices, the SB SiNW SONOS device was characterized experimentally to propose a wider threshold-voltage window, exhibiting efficient programming characteristics.

  7. 77 FR 32938 - Narrow Woven Ribbons With Woven Selvedge From Taiwan: Preliminary Results of Antidumping Duty...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-04

    ...-made fibers (whether artificial or synthetic, including but not limited to nylon, polyester, rayon... , fringes, embroidery, buttons, glitter, sequins, laminates, and/or adhesive backing; Have wire and/or... by merrowing, lamination, sono-bonding, fusing, gumming or waxing), and with or without wire running...

  8. Contralateral botulinum injections in patients with residual facial asymmetry and contralateral hyperkinesis after primary facial palsy surgery.

    PubMed

    Bartoli, Davina; Battisti, Andrea; Cassoni, Andrea; Terenzi, Valentina; Della Monaca, Marco; Pagnoni, Mario; Valentini, Valentino; Priore, Paolo

    2015-01-01

    Ogni trattamento, medico e chirurgico, della paralisi facciale è finalizzato al recupero della simmetria facciale statica e dinamica. La tossina botulinica di tipo A può essere utilizzata nei pazienti affetti da paralisi del nervo facciale, sottoposti in precedenza a chirurgia primaria, al fine di ridurre la residua asimmetria facciale e le progressive ipercinesie controlaterali al lato affetto, che caratterizzano tali soggetti. Sono stati inclusi nel nostro studio sei pazienti (1 maschio e 5 femmine) affetti da paralisi del nervo facciale monolaterale secondaria a diverse cause, classificata secondo la scala di House-Brackmann in grado III e IV. I pazienti inclusi nello studio sono stati sottoposti in precedenza a trattamento chirurgico riabilitativo specifico per la paralisi facciale stessa; successivamente ciascuno di essi è stato trattato con 50 unità di tossina botulinica di tipo A a livello del lato non affetto del volto, al fine di ridurre le ipercinesie muscolari ed aumentare l’asimmetria e l’abilità muscolare del volto. L’età media dei soggetti era di 44,5 anni. I pazienti sono stati esaminati a 7, 14, 30, 60, 90 e 120 giorni dopo il trattamento con tossina botulinica. Lo studio dimostra la riduzione delle ipercinesie controlaterali alla paralisi facciale ed il miglioramento della simmetria del volto nei pazienti sottoposti precedentemente a trattamento chirurgico primario per la riabilitazione del nervo facciale stesso. Tutti i pazienti si sono dimostrati soddisfatti del trattamento con tossina botulinica di tipo A.

  9. [Population health surveillance of the general population living near Turin (Northern Italy) incinerator (SPoTT): methodology of the study].

    PubMed

    Bena, Antonella; Chiusolo, Monica; Orengia, Manuela; Cadum, Ennio; Farina, Elena; Musmeci, Loredana; Procopio, Enrico; Salamina, Giuseppe

    2016-01-01

    Si intende qui descrivere il sistema di sorveglianza sugli effetti sulla salute (SpoTT) dell'inquinamento ambientale nelle aree circostanti l'inceneritore di Torino. SPoTT ha 3 linee di attività: 1. monitoraggio epidemiologico degli effetti a breve termine attraverso analisi temporali e misura della correlazione tra livelli giornalieri di emissioni dell'impianto e andamento degli eventi individuati dagli archivi dei dimessi (SDO), di pronto soccorso e di mortalità; sono coinvolti coloro che nel 2013-2018 risiedevano nell'area di ricaduta delle emissioni; 2. sorveglianza epidemiologica degli effetti a lungo termine, stimando tassi standardizzati di mortalità e morbosità; a ogni soggetto è attribuito il valore stimato di esposizione cumulato nel tempo caratteristico della residenza anagrafica; le informazioni sulla salute sono reperite dagli archivi SDO, di mortalità e dai certificati di assistenza al parto; sono studiati due decenni pre-post l'avvio dell'impianto: 2003-2012 e 2013-2022; 3. monitoraggio biologico con misurazione pre-post di metalli, PCDD/F, PCB, OH-IPA; sono coinvolti 196 residenti esposti e 196 di controllo di 35-69 anni, campionati a caso dalle anagrafi comunali; sono effettuate misure di funzionalità endocrina e respiratoria, pressione arteriosa, rischio cardiovascolare; l'esposizione cumulativa sarà stimata per ciascuna persona campionata integrando l'indirizzo di residenza, il tempo di permanenza in ciascun indirizzo e i dati ricavati dai modelli di ricaduta; sarà costituita una biobanca per future indagini di laboratorio; sono coinvolti anche 20 allevatori e i lavoratori dell'impianto. Una quarta linea di attività, non descritta in questo articolo, riguarda il monitoraggio della salute dei lavoratori addetti all'impianto. SPoTT è il primo studio in Italia su inceneritori e salute che adotta un disegno di studio longitudinale di adeguata potenza sia per i residenti sia per i lavoratori. I primi risultati sono attesi nel corso del 2016.

  10. Liposome-mediated transfection of wild-type P53 DNA into human prostate cancer cells is improved by low-frequency ultrasound combined with microbubbles

    PubMed Central

    BAI, WEN-KUN; ZHANG, WEI; HU, BING; YING, TAO

    2016-01-01

    Prostate cancer is a common type of cancer in elderly men. The aim of the present study was to evaluate the effects of ultrasound exposure in combination with SonoVue microbubbles on liposome-mediated transfection of wild-type P53 genes into human prostate cancer cells. PC-3 human prostate cancer cells were exposed to ultrasound; duty cycle was controlled at 20% (2 sec on, 8 sec off) for 5 min with and without SonoVue microbubble echo-contrast agent using a digital sonifier (frequency, 21 kHz; intensity, 46 mW/cm2). The cells were divided into eight groups, as follows: Group A (SonoVue + wild-type P53), group B (ultrasound + wild-type P53), group C (SonoVue + ultrasound + wild-type P53), group D (liposome + wild-type P53), group E (liposome + SonoVue + wild-type P53), group F (liposome + wild-type P53 + ultrasound), group G (liposome + wild-type P53 + ultrasound + SonoVue) and the control group (wild-type P53). Following treatment, a hemocytometer was used to measure cell lysis, reverse transcription-quantitative polymerase chain reaction and western blotting were performed to detect P53 gene transfection efficiency, Cell Counting Kit-8 was employed to reveal cell proliferation and Annexin V/propidium iodide staining was used to determine cell apoptosis. Cell lysis was minimal in each group. Wild-type P53 gene and protein expression were significantly increased in the PC-3 cells in group G compared with the control and all other groups (P<0.01). Cell proliferation was significantly suppressed in group G compared with the control group and all other groups (P<0.01). Cell apoptosis levels in group G were significantly improved compared with the control group and all other groups (P<0.01). Thus, the results of the present study indicate that the use of low-frequency and low-energy ultrasound in combination with SonoVue microbubbles may be a potent physical method for increasing liposome gene delivery efficiency. PMID:27313702

  11. [Effectiveness of school-based interventions to prevent traffic accidents: an overview of secondary literature].

    PubMed

    Guerriero, Chiara; Verdina, Federico; Ferri, Chiara; Pizzaguerra, Martina; Silvestri, Silvia; Tober, Nastassja; Ristagno, Quenya; Costa, Alessandro; Cerasuolo, Michele; Faggiano, Fabrizio; Allara, Elias

    2016-01-01

    INTRODUZIONE: gli incidenti stradali sono l'ottava causa di morte al mondo e la prima tra i giovani di 15-29 anni. In Italia il Piano nazionale sicurezza stradale raccomanda l'educazione scolastica per la prevenzione degli incidenti stradali; ad oggi non esistono documenti che raccolgano evidenze di efficacia sugli interventi educativi stradali e le rapportino al contesto italiano. OBIETTIVI: riassumere e discutere ciò che è noto in letteratura riguardo agli interventi scolastici per la prevenzione degli incidenti stradali. METODI: sono state ricercate linee guida e revisioni sistematiche usando i seguenti criteri di inclusione: popolazione di età inferiore ai 25 anni di entrambi i sessi; interventi scolastici di educazione stradale; effetti su indicatori primari di esito come riduzione degli incidenti stradali, astinenza dalla guida sotto l'effetto di alcol e dall'accettare passaggi in macchina da guidatori che sono sotto l'effetto di alcol; effetti su indicatori secondari di esito come conoscenze e competenze sui comportamenti di guida sicura. RISULTATI: sono state identificate due revisioni sistematiche. L'educazione stradale nelle scuole non mostra evidenza di efficacia (rischio relativo 1,03; IC95% 0,98-1,08) nel ridurre gli incidenti. Programmi scolastici più specifici mostrano risultati solo in parte convincenti per l'adozione di comportamenti sicuri come l'astinenza dal guidare sotto l'effetto di alcol e dall'accettare passaggi in macchina da guidatori che sono sotto l'effetto di alcol. DISCUSSIONE: le revisioni incluse non hanno trovato programmi efficaci nella riduzione degli incidenti stradali o dei fattori che possano determinarli. Nell'attesa di studi più recenti, appare opportuno promuovere l'implementazione di interventi misti, scolastici e di comunità, che hanno mostrato maggiori prove di efficacia.

  12. A giant inguinoscrotal hernia associated with other abdominal wall defects A case report.

    PubMed

    Iovino, Francesco; Auriemma, Pasquale Pio; Dani, Luca; Giordano, Giovanni; Barbarisi, Alfonso

    2016-04-29

    Le ernie giganti sono rare nei Paesi sviluppati ed ancora più raramente sono associate ad altre ernie della parete addominale, come un’ernia inguinale controlaterale o un’ernia ombelicale. La presenza di più difetti di parete facilità il riposizionamento in addome del contenuto di una voluminosa ernia inguinale senza compromettere la funzionalità cardiorespiratoria, ma il rischio di intasamento o strozzamento intestinale negli altri orifizi erniari aumenta. In letteratura non esistono opinioni convergenti se riparare simultaneamente o in maniera sequenziale, cioè in maniera distanziata nel tempo, le diverse ernie di parete, quando sono associate ad un’ernia gigante. Riportiamo in questo lavoro il caso clinico di un uomo di 60 anni, italiano, che si recò nel nostro ambulatorio di chirurgia lamentando da molti anni la presenza di un’ernia inguinale gigante associata ad un’ernia inguinale controlaterale ed un’ernia ombelicale. Il paziente alla visita presentava difficoltà di deambulazione, ma non riferiva disturbi di canalizzazione. Aveva diverse comorbidità e tra queste quella più importante era una insufficienza respiratoria severa. Dopo un accurato studio cardiologico, respiratorio e metabolico il paziente fu sottoposto a riparazione delle ernie a partire da quella gigante, in maniera sequenziale ed in anestesia spinale secondo la tecnica di Lichtenstein. L’ernia ombelicale fu riparata per ultima con tecnica diretta, senza protesi, ed anch’essa in anestesia spinale. Il decorso operatorio fu regolare dopo i tre interventi e non si ebbe alcuna complicanza respiratoria, cardiologica né di canalizzazione. In conclusione riteniamo che nei pazienti con importanti comorbidità la riparazione di un’ernia gigante associata ad altre ernie di parete debba avvenire in maniera sequenziale, monitorando con attenzione la canalizzazione e soprattutto il progressivo adattamento dei visceri in addome attraverso la palpazione degli orifizi erniari. I dati

  13. Microbubble-enhanced ultrasound exposure improves gene transfer in vascular endothelial cells

    PubMed Central

    Nie, Fang; Xu, Hui-Xiong; Tang, Qing; Lu, Ming-De

    2006-01-01

    AIM: To explore the effects of ultrasound exposure combined with microbubble contrast agent (SonoVue) on the permeability of the cellular membrane and on the expression of plasmid DNA encoding enhanced green fluorescent protein (pEGFP) transfer into human umbilical vein endothelial cells (HUVECs). METHODS: HUVECs with fluorescein isothiocyanate-dextran (FD500) and HUVECs with pEGFP were exposed to continuous wave (1.9 MHz, 80.0 mW/cm2) for 5 min, with or without a SonoVue. The percentage of FD500 taken by the HUVECs and the transient expression rate of pEGFP in the HUVECs were examined by fluorescence microscopy and flow cytometry, respectively. RESULTS: The percentage of FD500-positive HUVECs in the group of ultrasound exposure combined with SonoVue was significantly higher than that of the group of ultrasound exposure alone (24.0% ± 5.5% vs 66.6% ± 4.1%, P < 0.001). Compared with the group of ultrasound exposure alone, the transfection expression rate of pEGFP in HUVECs was markedly increased with the addition of SonoVue (16.1% ± 1.9% vs 1.5% ± 0.2%, P < 0.001). No statistical significant difference was observed in the HUVECs survival rates between the ultrasound group with and without the addition of SonoVue (94.1% ± 2.3% vs 91.1% ± 4.1%). CONCLUSION: The cell membrane permeability of HUVECs and the transfection efficiency of pEGFP into HUVECs exposed to ultrasound are significantly increased after addition of an ultrasound contrast agent without obvious damage to the survival of HUVECs. This non-invasive gene transfer method may be a useful tool for clinical gene therapy of hepatic tumors. PMID:17167842

  14. Prolidase activity and oxidative stress in patients with breast carcinoma A prospective randomized case-controlled study.

    PubMed

    Bayhan, Zulfu; Zeren, Sezgin; Kocak, Cengiz; Kocak, Fatma Emel; Duzgun, Sukru Aydin; Algin, Mustafa Cem; Taskoylu, Burcu Yapar; Yaylak, Faik

    2016-09-19

    Lo stress ossidativo gioca un ruolo importante nella patogenesi delle malattie neoplastiche. La prolidasi è un costituente della matrice metalloproteinasica, gioca un ruolo maggiore nel metabolismo del collagene, nell’accrescimento cellulare e nel rimodellamento strutturale. Una elevata attività prolidasica è stata dimostrata in molti casi di carcinomi. Lo scopo del presente studio è quello di indagare sull’attività sierica della prolidasi, dello stato ossidativo (TOS) ed antiossidativo (TAS) totale, e di valutare il loro rapporto con lo stadio del tumore, delle metastasi linfonodali e della massa neoplastica in pazienti con carcinoma mammario. Per lo studio sono state arruolate 35 pazienti con carcinoma della mammella e 40 soggetti di controllo. Sono stati rilevati i livelli di TAS, TOS e dell’attività prolidasica, calcolando gli indici di stress ossidativo (OSI). Come risultato i livelli di TOS, di OSI e dell’attività prolidasica sono risultati significativamente più elevati nelle pazienti con carcinoma mammario rispetto al gruppo di controllo (rispettivamente (P < 0.001, P < 0.001, P = 0.002). I livelli di TAS sono risultati significativamente inferiori nelle pazienti con carcinoma mammario rispetto al gruppo di controllo (P = 0,016). Sono stati rilevate correlazioni positive tra attività prolidasica, ed i livelli di TOS e di OSI con lo stadio tumorale, le metastasi linfoniodali e le dimensioni del tumore. Negativa è risultata la correlazione tra i livelli di TAS e le dimensioni del tunore, ma nessuna correlazione tra i livelli di TAS e lo stadio del tumore, come pure con l’infiltrazione linfonodale. Si conclude che l’elevata attività prolidasica del siero e lo stress ossidativo possono associarsi col carcinoma mammario. L’accresciuta attività prolidasica può essere messa in relazione con lo stadio e la prognosi del carcinoma mammario.

  15. The prognostic value of sentinel lymph node micrometastases in patients with invasive breast carcinoma.

    PubMed

    Cipolla, Calogero; Graceffa, Giuseppa; La Mendola, Roberta; Fricano, Salvatore; Fricano, Martina; Vieni, Salvatore

    2015-01-01

    Il significato prognostico delle micrometastasi nel linfonodo sentinella nelle pazienti affette da carcinoma della mammella è ancora ampiamente dibattuto. Anche se, in assenza di univoche linee guida, nella pratica clinica la linfadenectomia ascellare in queste pazienti non viene più eseguita di routine. Abbiamo condotto uno studio retrospettivo su 746 patienti affette da carcinoma invasivo della mammella con linfonodi ascellari negativi, sottoposte a chirurgia conservativa o a mastectomia totale con biopsia del linfonodo sentinella. Le pazienti in cui è stata diagnostica la presenza di micrometastasi del linfonodo sentinella sono state considerate in due diversi gruppi. In un primo gruppo, trattato con linfadenectomia ascellare totale è stata valutata l’incidenza di metastasi a carico dei rimanenti linfonodi ascellari. Un secondo gruppo non ha ricevuto alcun trattamento aggiuntivo dell’ascella e le pazienti sono state seguite con controlli periodici clinico strumentali. In entrambi i gruppi è stata valutata l’incidenza di eventuali recidive ascellari. All’esame istologico estemporaneo ed al successivo esame istologico definitivo del linfonodo sentinella, in 51 pazienti (6,83%) sono state evidenziate micrometastasi, in 8 pazienti (1,07%) erano presenti cellule tumorali isolate. Quindici di queste pazienti sono state sottoposte a linfadenectomia ascellare totale. Solo in 2 casi (13,33%) sono state ritrovate metastasi a carico dei rimanenti linfonodi ascellari. Quarantaquattro pazienti non hanno ricevuto alcun trattamento aggiuntivo dell’ascella. In queste pazienti nessuna recidiva ascellare è stata registrata durante un follow-up medio di 65,3±9,65 mesi (range 42-78 mesi). Sulla base dei risultati ottenuti in questo studio ed in linea con alcuni recenti trials randomizzati si ci sentiamo di concludere che la linfadenectomia ascellare può essere evitata nei casi con micrometastasi nel linfonodo sentinella. Una sua eventuale indicazione può essere

  16. Fine mapping of qGW1, a major QTL for grain weight in sorghum.

    PubMed

    Han, Lijie; Chen, Jun; Mace, Emma S; Liu, Yishan; Zhu, Mengjiao; Yuyama, Nana; Jordan, David R; Cai, Hongwei

    2015-09-01

    We detected seven QTLs for 100-grain weight in sorghum using an F 2 population, and delimited qGW1 to a 101-kb region on the short arm of chromosome 1, which contained 13 putative genes. Sorghum is one of the most important cereal crops. Breeding high-yielding sorghum varieties will have a profound impact on global food security. Grain weight is an important component of grain yield. It is a quantitative trait controlled by multiple quantitative trait loci (QTLs); however, the genetic basis of grain weight in sorghum is not well understood. In the present study, using an F2 population derived from a cross between the grain sorghum variety SA2313 (Sorghum bicolor) and the Sudan-grass variety Hiro-1 (S. bicolor), we detected seven QTLs for 100-grain weight. One of them, qGW1, was detected consistently over 2 years and contributed between 20 and 40 % of the phenotypic variation across multiple genetic backgrounds. Using extreme recombinants from a fine-mapping F3 population, we delimited qGW1 to a 101-kb region on the short arm of chromosome 1, containing 13 predicted gene models, one of which was found to be under purifying selection during domestication. However, none of the grain size candidate genes shared sequence similarity with previously cloned grain weight-related genes from rice. This study will facilitate isolation of the gene underlying qGW1 and advance our understanding of the regulatory mechanisms of grain weight. SSR markers linked to the qGW1 locus can be used for improving sorghum grain yield through marker-assisted selection.

  17. [Comparative study of sleep patterns in nurses working day and night shifts].

    PubMed

    De Martino, Milva Maria Figueiredo

    2002-08-01

    To compare sleep patterns in nurses working day and night shifts in a hospital in Campinas (SP), Brazil. Fifty-nine nurses between 23 and 59 years of age participated in the study. For day shift workers, the pattern of nocturnal sleep was examined; for night shift workers, nocturnal and diurnal sleep patterns were examined. During 1 week, participants filled out a sleep diary right after waking up. The following items were assessed: time going to bed, falling asleep, and waking up; sleep latency; duration in hours of nocturnal and diurnal sleep; naps; quality of sleep; mode of waking up; and comparison between the sleep recorded in the diary with the usual sleep. Personal and professional information was also collected. Day shift workers went to bed at 23h36min, and night workers at 23h52min (P > 0.05). The nurses working a day schedule woke up earlier (7h3min) than those working a night schedule when they slept at night (8h30min) (P sono de enfermeiros dos turnos diurno e noturno em um hospital de Campinas (SP

  18. Combined steam and ultrasound treatment of broilers at slaughter: a promising intervention to significantly reduce numbers of naturally occurring campylobacters on carcasses.

    PubMed

    Musavian, Hanieh S; Krebs, Niels H; Nonboe, Ulf; Corry, Janet E L; Purnell, Graham

    2014-04-17

    Steam or hot water decontamination treatment of broiler carcasses is hampered by process limitations due to prolonged treatment times and adverse changes to the epidermis. In this study, a combination of steam with ultrasound (SonoSteam®) was investigated on naturally contaminated broilers that were processed at conventional slaughter speeds of 8,500 birds per hour in a Danish broiler plant. Industrial-scale SonoSteam equipment was installed in the evisceration room, before the inside/outside carcass washer. The SonoSteam treatment was evaluated in two separate trials performed on two different dates. Numbers of naturally occurring Campylobacter spp. and TVC were determined from paired samples of skin excised from opposite sides of the breast of the same carcass, before and after treatments. Sampling was performed at two different points on the line: i) before and after the SonoSteam treatment and ii) before the SonoSteam treatment and after 80 min of air chilling. A total of 44 carcasses were examined in the two trials. Results from the first trial showed that the mean initial Campylobacter contamination level of 2.35 log₁₀ CFU was significantly reduced (n=12, p<0.001) to 1.40 log₁₀ CFU after treatment. A significant reduction (n=11, p<0.001) was also observed with samples analyzed before SonoSteam treatment (2.64 log₁₀ CFU) and after air chilling (1.44 log₁₀ CFU). In the second trial, significant reductions (n=10, p<0.05) were obtained for carcasses analyzed before (mean level of 2.23 log₁₀ CFU) and after the treatment (mean level of 1.36 log₁₀ CFU). Significant reductions (n=11, p<0.01) were also found for Campylobacter numbers analyzed before the SonoSteam treatment (2.02 log₁₀ CFU) and after the air chilling treatment (1.37 log₁₀ CFU). The effect of air chilling without SonoSteam treatment was determined using 12 carcasses pre- and postchill. Results showed insignificant reductions of 0.09 log₁₀ from a mean initial level of

  19. Introduzione Nuove tecnologie in urologia.

    PubMed

    Bianchi, Giampaolo

    2011-03-30

    Negli ultimi anni sono state introdotte in urologia nuove tecniche chirurgiche alcune già applicabili nella pratica clinica, altre ancora in corso di sperimentazione. Quella che ha trovato attualmente applicazione è la LESS (Laparo Endoscopic Single-site Surgery); essa riguarda tutte le metodiche che utilizzano una sola porta (multiaccesso) per eseguire interventi laparoscopici. I vantaggi apparenti di questa metodica rispetto alla laparoscopia tradizionale sono soltanto un dimostrato miglior risultato estetico. Mancano studi prospettici randomizzati. NOTES (Natural Orifices Transluminal Endoscopic Surgery) È una metodica ancor più nuova che sfrutta gli orifizi naturali (bocca, retto, vagina, vescica per accedere alla cavità addominale. Rispetto alla LESS questa tecnica utilizza prevalentemente i gastroscopi e lo strumentario dei gastoenterologi per eseguire interventi demolitivi. In urologia l'impiego di questa metodica è puramente sperimentale, comunque piccoli passi sono stati fatti nel migliorare lo strumentario. I chirurghi stanno consolidando questa metodica sull'uomo riguardo alla colecistectomia, ma i risultati sono scarsi, discordanti sulla via d'accesso e limitati a case reports. Oggi i risultati più incoraggianti li ha descritti Estevao Lima, un ingegnoso portoghese che utilizzando una tecnica NOTES di terza generazione (accesso combinato trans-vescicale e trans-gastrico) è riuscito ad eseguire una serie di nefrectomie sul maiale. Tanto si sa e si è speculato riguardo al robot da Vinci®, che oggi la prostatectomia senza di lui non è più competitiva. Moltissimi sono i centri che lo hanno, molti quelli che lo usano, tanti quelli che hanno risultati migliori rispetto alla tecnica laparoscopica classica. Ancora ad oggi però non esistono studi prospettici randomizzati che dimostrino la sua superiorità; inoltre una spina nel fianco sono i costi. Un ulteriore sviluppo futuro di da Vinci® forse potrebbe vedersi nell'assistere le nuove tecniche

  20. L'eliosismologia: onde sismiche per studiare l'interno del Sole

    NASA Astrophysics Data System (ADS)

    Di Mauro, M. P.

    2014-12-01

    Negli ultimi cinquanta anni siamo stati testimoni di una straordinaria rivoluzione della conoscenza e comprensione della nostra stella grazie alla nascita dell'Eliosismologia, lo studio delle oscillazioni solari. Analogamente a ciò che accade nella Terra durante i terremoti, anche l'interno del Sole è pervaso continuamente da onde sismiche che provocano piccole oscillazioni, ovvero deformazioni della fotosfera. Le oscillazioni sono la manifestazione di diversi processi che avvengono all'interno della struttura del Sole e le frequenze sismiche dei modi osservati e misurati sulla superficie sono legate direttamente ai parametri fisici degli strati interni attraversati dalle onde sismiche. Lo studio delle oscillazioni rappresenta, quindi, l'unico metodo diretto per studiare la struttura e la dinamica interna del Sole. In questo articolo verranno illustrate le caratteristiche generali delle oscillazioni solari e verranno presentati i risultati importanti e i progressi notevoli raggiunti grazie all'Eliosismologia.

  1. A scanning electron microscopic study of different caries removal techniques on human dentin.

    PubMed

    Yazici, A Rüya; Ozgünaltay, Gül; Dayangaç, Berrin

    2002-01-01

    Scanning electron microscopy (SEM) evaluated the effect of different caries removal techniques on human dentin topography. Thirty-six extracted human carious mandibular molars were randomly assigned to six groups according to caries removal technique. Carious tissue was removed by hand excavation, bur excavation, air-abrasion, laser ablation, chemomechanical methods and sono-abrasion. The remaining dentin surfaces were replicated and gold-coated. The surfaces were examined using SEM and distinct differences in appearance were observed among specimens treated with different caries removal techniques. While hand-excavated, bur-excavated and air-abraded carious dentin surfaces were covered with a residual smear layer, sono-abrasion with patent dentinal tubules completely removed the smear layer. A few patent orifices of dentinal tubules were observed in dentin subjected to laser ablation and chemo-mechanical caries removal.

  2. Il ruolo svolto dall’attività lavorativa sull’ipertensione arteriosa

    PubMed Central

    Barbini, N.; Gorini, G.; Ferrucci, L.; Biggeri, A.

    2009-01-01

    RIASSUNTO Introduzione I parametri di pressione arteriosa, sistolica (PAS) o diastolica (PAD) hanno costituito I’oggetto di numerosi studi, alcuni dei quali stabiliscono un’associazione tra I’aumnto di tali parametri e la mortalità, in particolare alle età medie. I fattori di rischio di ipertensione più frequentemente studiati sono il consumo di alcol, il fumo e I’origine etnica in riferimento sia alle differenze genetiche che nella condotta alimentare, mentre i fattori di origine professionale sono stati presi in considerazione più raramente e in maniera poco approfondita, inoltre sono state riferite notevoli differenze nelle pressioni arteriose medie di individui che svolgono professioni diverse. Sembra infatti che i “colletti blu” siano più a rischio dei “colletti bianchi”. Obiettivi Il nostro scopo è valutare se determinati rischi o vincoli connessi con l’attività professionale o determinati stili di vita rappresentano un fattore di rischio per l’ipertensione arteriosa in considerazioni dell’aumentare dell’età. Elementi specifici che rendano conto di questa relazione non sono stati ancora completamente chiariti e soprattutto i dati sulla popolazione italiana sono molto limitati. Metodi La metodologia di ricerca utilizzata è stata quella dell’indagine francese ESTEV (Derriennic, Touranchet, Volkoff) - VISAT (Marquie, Janson), studio epidemiologico longitudinale su oltre 23000 lavoratori attivata in Francia nel 1990 al fine di indagare gli effetti a lungo termine delle condizioni di lavoro, riferite all’intera vita professionale, sia sull’invecchiamento sia sulla salute dei lavoratori. Analoga indagine è stata avviata in Italia, nel 2000, in 6 Regioni, prendendo in esame i lavoratori dipendenti di diversi settori produttivi appartenenti a 5 coorti di età: da 32 a 52 anni con intervallo di 5 anni. Le rilevazioni sono state effettuate dai medici del lavoro di azienda attraverso 3 questionari: 1. sulle condizioni

  3. The Role of Ultrasound on Advanced Oxidation Processes.

    PubMed

    Babu, Sundaram Ganesh; Ashokkumar, Muthupandian; Neppolian, Bernaurdshaw

    2016-10-01

    This chapter describes the use of ultrasound in remediation of wastewater contaminated with organic pollutants in the absence and presence of other advanced oxidation processes (AOPs) such as sonolysis, sono-ozone process, sonophotocatalysis, sonoFenton systems and sonophoto-Fenton methods in detail. All these methods are explained with the suitable literature illustrations. In most of the cases, hybrid AOPs (combination of ultrasound with one or more AOPs) resulted in superior efficacy to that of individual AOP. The advantageous effects such as additive and synergistic effects obtained by operating the hybrid AOPs are highlighted with appropriate examples. It is worth to mention here that the utilization of ultrasound is not only restricted in preparation of modern active catalysts but also extensively used for the wastewater treatment. Interestingly, ultrasound coupled AOPs are operationally simple, efficient, and environmentally benign, and can be readily applied for large scale industrial processes which make them economically viable.

  4. Wastewater sludges pretreated by different oxidation systems at mild conditions to promote the biogas formation in anaerobic processes.

    PubMed

    Segura, Y; Puyol, D; Ballesteros, L; Martínez, F; Melero, J A

    2016-12-01

    The effect of different oxidation processes at mild conditions including the coupled-Fenton (sono-Fenton, photo-Fenton, and sono-photo-Fenton) and their blank systems (ultrasound, ultraviolet, zero valent iron, and Fenton) on anaerobic digestion of the sludge for biogas production was investigated. Ultrasounds led to the highest organic matter solubilization (3.8 up to 5.2 g chemical oxygen demand (COD)/L, for the raw and treated sludge, respectively), while for the rest, organic matter transformation was observed resulting in an almost soluble COD net balance. Results indicated that for the most oxidative processes, the released organic matter was probably mineralized by the hydroxyl radicals produced during the treatments. It is interesting to remark that even if the biochemical methane potential was barely enhanced by the different methods applied, all the methods demonstrated to enhance the overall kinetics of the biomethanation processes, increasing the rapidly biodegradable fraction of the sludge.

  5. Application of lingual tonsillectomy to sleep apnea syndrome involving lingual tonsils.

    PubMed

    Suzuki, Kenji; Kawakatsu, Kenji; Hattori, Chikaya; Hattori, Hirokazu; Nishimura, Yoichi; Yonekura, Arata; Yagisawa, Mikio; Nishimura, Tadao

    2003-01-01

    In sleep apnea syndrome, surgical treatment is applied in obstructive-type cases and some mixed-type cases. If the obstructive part is in the root of the tongue, forward transfer of the tongue, lingual tonsillectomy and laser midline glossectomy are applied. In this study, we demonstrate the surgical technique of lingual tonsillectomy using an ultrasonic coagulating dissector (SonoSurg) with a blade tip shape developed in our department. We conclude that lingual tonsillectomy using SonoSurg, which we have frequently used, should be the first choice of treatment for snoring and sleep apnea caused by hypertrophy of the lingual tonsils from the viewpoints of effectiveness, prevention of hemorrhage, safety and handling.

  6. Degradation of phenol under combined irradiation of microwaves and ultrasound.

    PubMed

    Wu, Zhi-Lin; Ondruschka, Bernd; Cravotto, Giancarlo

    2008-11-01

    A novel combined system of irradiation by microwaves and ultrasound is used to efficiently destroy phenol in aqueous solutions via sono-generated hydroxyl radicals and H2O2, in conjunction with the rapid thermal effect of microwaves on polar chemicals. Microwave irradiation enhances the sono-degradation of phenol without any additional catalyst although the effect is more marked when H2O2 is added. The degradation of phenol by MW or US alone or by combined irradiation of MW-US follows zero order kinetics. Degradation rate constants and yields of the main intermediates, catechol and hydroquinone, follow the order of MW-US > MW > US. The degradation rate also increases with higher reaction temperature in the MW reactor. The synergistic effects of MW and US were observed at 93 degrees C without addition of H2O2 and at 60 degrees C with addition of H2O2.

  7. Engineering design and prototype development of a full scale ultrasound system for virgin olive oil by means of numerical and experimental analysis.

    PubMed

    Clodoveo, Maria Lisa; Moramarco, Vito; Paduano, Antonello; Sacchi, Raffaele; Di Palmo, Tiziana; Crupi, Pasquale; Corbo, Filomena; Pesce, Vito; Distaso, Elia; Tamburrano, Paolo; Amirante, Riccardo

    2017-07-01

    The aim of the virgin olive oil extraction process is mainly to obtain the best quality oil from fruits, by only applying mechanical actions while guaranteeing the highest overall efficiency. Currently, the mechanical methods used to extract virgin oils from olives are basically of two types: the discontinuous system (obsolete) and the continuous one. Anyway the system defined as "continuous" is composed of several steps which are not all completely continuous, due to the presence of the malaxer, a device that works in batch. The aim of the paper was to design, realize and test the first full scale sono-exchanger for the virgin olive oil industry, to be placed immediately after the crusher and before the malaxer. The innovative device is mainly composed of a triple concentric pipe heat exchanger combined with three ultrasound probes. This mechanical solution allows both the cell walls (which release the oil droplets) along with the minor compounds to be destroyed more effectively and the heat exchange between the olive paste and the process water to be accelerated. This strategy represents the first step towards the transformation of the malaxing step from a batch operation into a real continuous process, thus improving the working capacity of the industrial plants. Considering the heterogeneity of the olive paste, which is composed of different tissues, the design of the sono-exchanger required a thorough fluid dynamic analysis. The thermal effects of the sono-exchanger were monitored by measuring the temperature of the product at the inlet and the outlet of the device; in addition, the measurement of the pigments concentration in the product allowed monitoring the mechanical effects of the sono-exchanger. The effects of the innovative process were also evaluated in terms of extra virgin olive oil yields and quality, evaluating the main legal parameters, the polyphenol and tocopherol content. Moreover, the activity of the polyphenol oxidase enzyme in the olive

  8. Minimal effective dose of povidone-iodine in abdominal surgery Our clinical experience.

    PubMed

    Gozeneli, Orhan; Yucel, Yusuf; Akal, Ali; Terzi, Alpaslan; Ozgonul, Abdullah; Tatli, Faik; Ciftci, Resit; Gumer, Mehmet; Uzunkoy, Ali

    2016-01-01

    Scopo di questo studio è quello di valutare i test di funzione tiroidea per indagare se una soluzione di Povidone- Iodine (PI) al 10%, che usiamo nella diluizione 1/5 con 0,9% NaCl in area addominale durante interventi puliti- contaminati, contaminati e sporchi in caso di idatidosi in organi parenchimatosi, al fine di evitare la formazione di ascessi e la disseminazione, raggiunge la circolazione sistemica. In questo studio sono stati inclusi 7 uomini e 6 donne in maniera prospettica. L’età media era di 33,69 (± 13.49). Preoperatoriamente ed al terzo giorno postoperatorio sono stati dosati i livelli ormonali di TSH, T3 libero (FT3) e T4 libero (FT4). È stata presa nota della quantità di PI usata per ogni paziente. Dall’analisi statistica non sono risultati valori significativamente differenti tra il preoperatorio ed il postoperatorio relativamente al livello degli ormoni tiroidei (preTSH vs postTSH: p= 0.984; preFT3 vs postFT3: p= 0.101; preFT4 vs postFT4: p=0.146). Così si è dimostrato che la dose di PI usata è efficace e non entra, o quanto meno a livello piuttosto basso, nella circolazione sistemica. I pazienti in cui tale procedura è stata usata non sono andati incontro in questa nostra esperienza ad ascessi addominali o aderenze intestinali. Raccomnadiamo dunque l’uso di queste dosi suggerite di PI in caso di perforazioni intestinali o ascessi, o in caso di possibile rischio di disseminazione in area intraaddominale di cisti idatidee.

  9. [National epidemiological surveillance systems of mesothelioma cases].

    PubMed

    Ferrante, Pierpaolo; Binazzi, Alessandra; Branchi, Claudia; Marinaccio, Alessandro

    2016-01-01

    INTRODUZIONE: sebbene la relazione causale tra esposizione ad amianto e malattie neoplastiche sia ben nota, in molti Paesi il consumo del materiale è ancora rilevante e crescente. A causa della lunga latenza, nei Paesi dove è stato bandito (come in Italia) è oggi in corso un'epidemia di malattie correlate ad amianto. OBIETTIVI: descrivere i sistemi di sorveglianza dei mesoteliomi attivi nel mondo mediante un'analisi comparativa. è stata condotta una revisione bibliografica della letteratura disponibile sui sistemi di sorveglianza epidemiologica dei mesoteliomi attivi nel mondo, comparando metodi e risultati disponibili. RISULTATI: sistemi di ricerca dei casi incidenti e di analisi anamnestica dei soggetti ammalati sono attivi solo in Italia, Francia e Corea del Sud. I Paesi presso i quali sono attivi sistemi di rilevazione e controllo dei casi incidenti di mesotelioma sono quelli in cui vige il bando dell'amianto e che hanno sperimentato consumi rilevanti in passato. Non sono stati istituiti sistemi epidemiologici di sorveglianza in molti Paesi dove il consumo di amianto è ancora importante (inclusi Russia, Cina, India e Brasile). CONCLUSIONI: si conferma l'importanza dei sistemi di sorveglianza epidemiologica dei mesoteliomi per la sanità pubblica, il sostegno alle politiche di welfare e la prevenzione dei rischi. Lo sviluppo di progetti per tendere a una maggiore uniformità nei metodi di ricerca dei casi, di classificazione delle diagnosi e dell'esposizione e nelle tecniche di analisi dei dati potrebbe consentire una maggiore fruibilità dei dati aggregati. La disponibilità di dati internazionali confrontabili può essere di stimolo all'adozione di provvedimenti di bando internazionale.

  10. [Nursing students' satisfaction and perception of their first clinical placement: observational study].

    PubMed

    Comparcini, Dania; Simonetti, Valentina; Tomietto, Marco; Galli, Francesco; Fiorani, Catia; Di Labio, Luisa; Cicolini, Giancarlo

    2014-01-01

    Background. Gli ambienti di apprendimento clinico sono definiti come una rete di fattori interagenti nel contesto, in grado di influenzare gli esiti dell’apprendimento degli studenti. La soddisfazione degli studenti è considerata un indicatore del raggiungimento degli esiti dell’apprendimento ed è determinante a partire dalla prima esperienza di tirocinio. Scopo. Analizzare l’esperienza di apprendimento clinico degli studenti infermieri del primo anno di corso dopo il primo tirocinio clinico ed identificare i principali determinanti della soddisfazione degli studenti. Metodo. Lo studio osservazionale è stato realizzato in cinque sedi universitarie italiane del Corso di Laurea in Infermieristica. 420 studenti hanno compilato la versione italiana della “Clinical Learning Environment, Supervision and plus Nurse Teacher (CLES+T) scale” al termine del primo tirocinio clinico. Risultati. I punteggi medi assegnati alle dimensioni della scala variano da 4.02 (clima di apprendimento) a 3.30 (relazione di tutorato). La maggior parte degli studenti è soddisfatto della propria esperienza di tirocinio (75.6%), ma sono emerse differenze in relazione alle diverse sedi di tirocinio clinico. Discussione. I principali determinanti della soddisfazione sono lo stile di leadership del coordinatore infermieristico e l’integrazione teoria-pratica nella relazione fra tutor clinico, universitario e studente. Conclusioni. I risultati dello studio contribuiscono alla comprensione della prima esperienza di tirocinio degli studenti. Tuttavia, sono necessarie ulteriori ricerche per determinare le variabili organizzative specifiche e i modelli tutoriali in grado di aumentare la soddisfazione degli studenti, per sviluppare strategie formative basate sull’integrazione tra tutor universitari e guide di tirocinio.

  11. Noble Gas Plasmas with Metallic Conductivity: A New Light Source from a New State of Matter

    DTIC Science & Technology

    2015-11-01

    Noble Gas Plasmas with Metallic Conductivity: A New Light Source from a New State of Matter Dense plasmas form a non-ideal, correlated state. We...New Light Source from a New State of Matter Report Title Dense plasmas form a non-ideal, correlated state. We have recreated the plasma inside sono...light, Applied Physics Letters, (12 2014): 223501. doi: A. Bataller, B. Kappus, C. Camara, S. Putterman. Collision Time Measurements in a

  12. Impact of acoustic cavitation on food emulsions.

    PubMed

    Krasulya, Olga; Bogush, Vladimir; Trishina, Victoria; Potoroko, Irina; Khmelev, Sergey; Sivashanmugam, Palani; Anandan, Sambandam

    2016-05-01

    The work explores the experimental and theoretical aspects of emulsification capability of ultrasound to deliver stable emulsions of sunflower oil in water and meat sausages. In order to determine optimal parameters for direct ultrasonic emulsification of food emulsions, a model was developed based on the stability of emulsion droplets in acoustic cavitation field. The study is further extended to investigate the ultrasound induced changes to the inherent properties of raw materials under the experimental conditions of sono-emulsification.

  13. Liver dysplasia: US molecular imaging with targeted contrast agent enables early assessment.

    PubMed

    Grouls, Christoph; Hatting, Maximillian; Rix, Anne; Pochon, Sibylle; Lederle, Wiltrud; Tardy, Isabelle; Kuhl, Christiane K; Trautwein, Christian; Kiessling, Fabian; Palmowski, Moritz

    2013-05-01

    To investigate the ability of vascular endothelial growth factor receptor type 2 (VEGFR2)-targeted ultrasonographic (US) microbubbles for the assessment of liver dysplasia in transgenic mice. Animal experiments were approved by the governmental review committee. Nuclear factor-κB essential modulator knock-out mice with liver dysplasia and wild-type mice underwent liver imaging by using a clinical US system. Two types of contrast agents were investigated: nontargeted, commercially available, second-generation microbubbles (SonoVue) and clinically translatable PEGylated VEGFR2-targeted microbubbles (BR55). Microbubble kinetics was investigated over the course of 4 minutes. Targeted contrast material-enhanced US signal was quantified 5 minutes after injection. Competitive in vivo binding experiments with BR55 were performed in knock-out mice. Immunohistochemical and hematoxylin-eosin staining of liver sections was performed to validate the in vivo US results. Groups were compared by using the Mann-Whitney test. Peak enhancement after injection of SonoVue and BR55 did not differ in healthy and dysplastic livers (SonoVue, P = .46; BR55, P = .43). Accordingly, immunohistochemical findings revealed comparable vessel densities in both groups. The specificity of BR55 to VEGFR2 was proved by in vivo competition (P = .0262). While the SonoVue signal decreased similarly in healthy and dysplastic livers during the 4 minutes, there was an accumulation of BR55 in dysplastic livers compared with healthy ones. Furthermore, targeted contrast-enhanced US signal indicated a significantly higher site-specific binding of BR55 in dysplastic than healthy livers (P = .005). Quantitative immunohistologic findings confirmed significantly higher VEGFR2 levels in dysplastic livers (P = .02). BR55 enables the distinction of early stages of liver dysplasia from normal liver. © RSNA, 2013.

  14. Telemedicine Based Ultrasound for Detecting Neonatal Heart Disease in Babies at Remote Military or Native American Health Care Facilities

    DTIC Science & Technology

    2005-03-01

    year. Dr. Wells used the SonoSite system he had in Fairbanks to correctly diagnose a truncus arteriosus type 2 abnormality . He described his findings by...Patent ductus arteriosus ,Pulmonary artery - pulmonary hypertension Anomalous Left coronary artery !. Anomalous pulmonary venous return - partial...septal defect - patent foramem ovale,Patent ductus arteriosus ,Pulmonary artery - pulmonarTy hypertension Anomalous left coronary artery Anomalous

  15. Study and Characterization of Subharmonic Emissions by Using Shaped Ultrasonic Driving Pulse

    NASA Astrophysics Data System (ADS)

    Masotti, L.; Biagi, E.; Breschi, L.; Vannacci, E.

    Subharmonic emissions from Ultrasound Contrast Agents (UCAs) were studied by a Pulse Inversion method in order to assess the feasibility of implementation of this technique to subharmonic imaging. Interesting results concerning the dependence of the subharmonic emission with respect to initial pulse shape are presented. The experimentation was performed also by varying the acoustic pressure and concentration of the contrast agent (SonoVue®)

  16. Three-dimensional sonohysterography for examination of the uterine cavity in women with abnormal uterine bleeding: Preliminary findings.

    PubMed

    Sconfienza, L M; Lacelli, F; Caldiera, V; Perrone, N; Piscopo, F; Gandolfo, N; Serafini, G

    2010-03-01

    Sommario INTRODUZIONE: Valutare l'impatto diagnostico della Isterosonografia Tridimensionale (ISG 3D) nello studio della cavità uterina in donne con sanguinamento anomalo (SUA) rispetto all'ecografia transvaginale (ETV) e all'isterosonografia bidimensionale (ISG 2D), particolarmente per l'identificazione di neoformazioni a sviluppo endocavitario della superficie endometriale e della parete uterina. MATERIALI E METODI: Ventiquattro pazienti affette da SUA sono state incluse nello studio. Ciascuna di esse é stata sottoposta ad ETV, ISG e ISG 3D durante la medesima seduta. Le acquisizioni 3D sono state ottenute con tecnica free-hand in fase di massima replezione idrica della cavità. Tutte le pazienti sono state valutate con isteroscopia entro 10 giorni dall'ecografia. Considerando l'esame isteroscopico come reference standard, sono stati calcolati i valori di sensibilità, specificità, valore predittivo positivo (VPP), valore predittivo negativo (VPN) ed accuratezza delle tre metodiche. RISULTATI: L'isteroscopia ha dimostrato la presenza di lesioni endocavitarie in 21/24 pazienti (87,5%). Nelle restanti pazienti l'esame isteroscopico è risultato negativo. ETV, ISG 2D ed ISG 3D hanno mostrato rispettivamente sensibilità del 76% (16/21), 90% (19/21), 100% (21/21); specificità del 100% (3/3), 100% (19/19), 100% (21/21); VPP del 100%, 100%, 100%; VPN del 37%, 60%, 100%; accuratezza 76%, 90%, 100%. L'ISG 3D ha consentito una completa identificazione dei rapporti delle lesioni con la cavità uterina e con la parete endometriale. CONCLUSIONI: L'ISG 3D è una metodica con maggiore sensibilità nella definizione delle lesioni della cavità uterina rispetto all'ISG 2D ed all'ETV. Se questi dati preliminari saranno confermati da studi piú ampi, ISG 3D potrebbe essere proposta come alternativa all'isteroscopia eseguita a soli fini diagnostici.

  17. Pre and postoperative evaluation of transcranial Doppler pulsatility index of the middle cerebral artery in patients with severe carotid artery stenosis.

    PubMed

    Bracale, Umberto Marcello; Spalla, Flavia; Caioni, Federica; Solari, Domenico; Narese, Donatella; Pecoraro, Felice; Del Guercio, Luca

    2016-01-01

    Il Doppler transcranico (TCD) viene frequentemente utilizzato per la valutazione delle resistenze periferiche cerebrali e del flusso cerebrale a livello dell’arteria cerebrale media sia prima che durante chirurgia carotidea. Nella gestione della stenosi carotidea severa particolare importanza deve essere data alla valutazione del rischio di eventi ischemici cerebrali intraoperatori. Il nostro studio ha analizzato la possibile relazione tra l’indice di Gosling dell’arteria cerebrale media, calcolato mediante TCD preoperatorio e la Stump Pressure (SP) intra-operatoria, al fine di identificare i pazienti con elevato rischio di eventi ischemici. Inoltre, abbiamo registrato l’indice di Gosling pre e post operatorio correlandolo con possibili eventi durante il follow-up. In un lasso di tempo di un anno 47 pazienti sono stati sottoposti ad endoarterectomia carotidea (CEA) o stenting carotideo (CAS) con sistema di protezione embolica prossimale. Tutti i pazienti sono stati sottoposti a TCD pre e post-operatorio con calcolo dell’Indice Gosling e SP intra-operatoria. Abbiamo osservato che l’aumento di valori pre-operatori dell’Indice di Gosling sono associati a più bassi valori intra-operatori di SP, elementi che rappresentano un rischio più elevato di incidenti ischemici cerebrovascolari; Questo risultato è particolarmente evidente quando si osserva la sotto-popolazione di pazienti diabetici. Non vi e’ stata alcuna differenza statisticamente significativa, per quanto concerne eventi ischemici perioperatori, tra i pazienti sottoposti a CEA o CAS. Il TCD e la SP sono esami validi e semplici che possono aiutare a identificare precocemente i pazienti con un rischio più elevato di incidenti cerebro-vascolari correlati al trattamento chirurgico o endovascolare.

  18. Education in children's sleep hygiene: which approaches are effective? A systematic review.

    PubMed

    Halal, Camila S E; Nunes, Magda L

    2014-01-01

    To analyze the interventions aimed at the practice of sleep hygiene, as well as their applicability and effectiveness in the clinical scenario, so that they may be used by pediatricians and family physicians for parental advice. A search of the PubMed database was performed using the following descriptors: sleep hygiene OR sleep education AND children or school-aged. In the LILACS and SciELO databases, the descriptors in Portuguese were: higiene E sono, educação E sono, educação E sono E crianças, e higiene E sono E infância, with no limitations of the publication period. In total, ten articles were reviewed, in which the main objectives were to analyze the effectiveness of behavioral approaches and sleep hygiene techniques on children's sleep quality and parents' quality of life. The techniques used were one or more of the following: positive routines; controlled comforting and gradual extinction or sleep remodeling; as well as written diaries to monitor children's sleep patterns. All of the approaches yielded positive results. Although behavioral approaches to pediatric sleep hygiene are easy to apply and adhere to, there have been very few studies evaluating the effectiveness of the available techniques. This review demonstrated that these methods are effective in providing sleep hygiene for children, thus reflecting on parents' improved quality of life. It is of utmost importance that pediatricians and family physicians are aware of such methods in order to adequately advise patients and their families. Copyright © 2014 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.

  19. Technical and social evaluation of arsenic mitigation in rural Bangladesh.

    PubMed

    Shafiquzzaman, Md; Azam, Md Shafiul; Mishima, Iori; Nakajima, Jun

    2009-10-01

    Technical and social performances of an arsenic-removal technology--the sono arsenic filter--in rural areas of Bangladesh were investigated. Results of arsenic field-test showed that filtered water met the Bangladesh standard (< 50 microg/L) after two years of continuous use. A questionnaire was administrated among 198 sono arsenic filter-user and 230 non-user families. Seventy-two percent of filters (n = 198) were working at the time of the survey. Another 28% of the filters were abandoned due to breakage. The abandonment percentage (28%) was lower than other mitigation options currently implemented in Bangladesh. Households were reluctant to repair the broken filters on their own. High cost, problems with maintenance of filters, weak sludge-disposal guidance, and slow flow rate were the other demerits of the filter. These results indicate that the implementation approaches of the sono arsenic filter suffered from lack of ownership and long-term sustainability. Continuous use of arsenic-contaminated tubewells by the non-user households demonstrated the lack of alternative water supply in the survey area. Willingness of households to pay (about 30%) and preference of household filter (50%) suggest the need to develop a low-cost household arsenic filter. Development of community-based organization would be also necessary to implement a long-term, sustainable plan for household-based technology.

  20. Clinical competence in nursing: A concept analysis.

    PubMed

    Notarnicola, Ippolito; Petrucci, Cristina; De Jesus Barbosa, Maria Rosimar; Giorgi, Fabio; Stievano, Alessandro; Lancia, Loreto

    2016-01-01

    Introduzione. In campo infermieristico la ‘competenza clinica’ è una questione centrale per l’assistenza al paziente e è fondamentale una chiara comprensione del concetto sia per la formazione che per la disciplina infermieristiche. Scopo. Effettuare un analisi del concetto di ‘competenza clinica’ in campo infermieristico. Metodo: E’ stato utilizzato il metodo descritto da Walker e Avant. È stata effettuata una revisione sistematica della letteratura su database internazionali ( PubMed, CINAHL, Scopus, Cochrane, Ovid, Open Grey ) dal 1993 al 2015. Negli articoli reperiti è stata esaminata l’utilizzazione del concetto in esame. Risultati. Sono stati descritti tutti gli 8 step previsti dal modello di Walker e Avant sulla base dei risultati della revisione sistematica della letteratura. Sono stati identificati e discussi gli attributi, gli antecedenti, le conseguenze e i riferimenti empirici della competenza clinica in campo infermieristico e sono stati costruiti i casi modello, limite e contrario. E’ stata discussa anche la rilevanza del concetto sia per la formazione che per lo sviluppo professionale in campo infermieristico. Conclusioni. Questa analisi di concetto ha portato a definire la ‘competenza clinica’ in campo infermieristico come ‘un insieme di capacità, conoscenze, attitudini e abilità che ciascun infermiere deve possedere per effettuare in maniera accettabile tutte quelle attività direttamente correlate all’assistenza al paziente, in uno specifico contesto clinico e in specifiche circostanze allo scopo di promuovere, mantenere e ristabilire la salute dei pazienti’.

  1. Real-time detection of hydrogen peroxide using microelectrodes in an ultrasonic enhanced heterogeneous Fenton process catalyzed by ferrocene.

    PubMed

    Lin, Jun; Xin, Qing; Gao, Xiumin

    2015-07-01

    Microelectrodes were used for real-time detection of hydrogen peroxide (H2O2) in a heterogeneous sono-Fenton system with ferrocene as the catalyst. The working mechanism of reactive blue 13 decolorization in a heterogeneous sono-Fenton system was investigated. Ultrasonic irradiation showed no effect on decolorization when used alone and did not enhance decolorization in the H2O2 system (43.0 % for H2O2 vs. 48.1 % for US+H2O2). However, a system with the presence of Fenton-like reagents achieved complete decolorization. Decolorization was greatly accelerated by the addition of ultrasonic irradiation. Thorough decolorization was achieved in 20 min in the heterogeneous sono-Fenton system, which was 30 min faster than in the heterogeneous Fenton system. Based on the data collected by microelectrodes, accelerated decomposition of H2O2 was also observed. Ultrasonic irradiation aided the ferrocene catalyst in liberating more •OH from Fenton reactions, leading to the faster decolorization.

  2. Technical and Social Evaluation of Arsenic Mitigation in Rural Bangladesh

    PubMed Central

    Azam, Md. Shafiul; Mishima, Iori; Nakajima, Jun

    2009-01-01

    Technical and social performances of an arsenic-removal technology—the sono arsenic filter—in rural areas of Bangladesh were investigated. Results of arsenic field-test showed that filtered water met the Bangladesh standard (<50 µg/L) after two years of continuous use. A questionnaire was administrated among 198 sono arsenic filter-user and 230 non-user families. Seventy-two percent of filters (n=198) were working at the time of the survey. Another 28% of the filters were abandoned due to breakage. The abandonment percentage (28%) was lower than other mitigation options currently implemented in Bangladesh. Households were reluctant to repair the broken filters on their own. High cost, problems with maintenance of filters, weak sludge-disposal guidance, and slow flow rate were the other demerits of the filter. These results indicate that the implementation approaches of the sono arsenic filter suffered from lack of ownership and long-term sustainability. Continuous use of arsenic-contaminated tubewells by the non-user households demonstrated the lack of alternative water supply in the survey area. Willingness of households to pay (about 30%) and preference of household filter (50%) suggest the need to develop a low-cost household arsenic filter. Development of community-based organization would be also necessary to implement a long-term, sustainable plan for household-based technology. PMID:19902804

  3. Diagnosis of CCSVI in Meniere syndrome.

    PubMed

    Bruno, Aldo; Quarto, Gennaro; Califano, Luigi; Mastrangelo, Diego; De Vizia, Marcella; Salafia, Francesca; Bernardo, Benedetto

    In questo lavoro gli autori hanno valutato la possibilità di diagnosticare l’insufficienza venosa cronica cerebro-spinale (CCSVI) nei pazienti affetti da sindrome di Meniére resistente alle terapie mediche. Da aprile 2013 al luglio 2014 sono stati valutati 140 pazienti, 85 femmine, 55 maschi di età compresa tra 32 a 68 anni, con un’età media di 46 aa, affetti da sindrome di Meniere clinicamente definita secondo i criteri AAO 1995. I pazienti sono stati sottoposti ad un esame eco-colordoppler delle vene del collo e dei vasi venosi intracranici secondo il metodo di Zamboni. L’esame è stato eseguito anche in 100 pazienti sani, non affetti da malattia neurologica o audiovestibolare, di età simile a quella dei pazienti arruolati nello studio. L’incidenza della CCSVI, diagnosticata secondo il protocollo sviluppato dal Prof. Zamboni, nei pazienti con sindrome di Meniere è stata del 90%, con una presenza di lesioni più gravi sul lato interessato in casi unilaterali. Nella popolazione di controllo sono state rilevate anomalie compatibili con la CCSVI in soli tre pazienti (3%) comunque asintomatici. Vi è un’alta incidenza di CCSVI nei pazienti con malattia di Meniere clinicamente definita, in una percentuale tale da mettere in dubbio un evento casuale, soprattutto data la bassa prevalenza nel gruppo di controllo.

  4. Intermittent pneumatic compression in laparoscopic surgery for prevention of deep vein thrombosis and cellular damage from iatrogenic compartment syndrome.

    PubMed

    Sederino, Maria Grazia; Casamassima, Giulia; Laforgia, Rita; Balducci, Giovanni; Carbotta, Giuseppe; Tromba, Antonella

    In chirurgia laparoscopica l’induzione del pneumoperitoneo (PNP) realizza una sindrome compartimentale iatrogena con ripercussioni sul circolo venoso profondo degli arti inferiori. In questo studio abbiamo voluto valutare l’incidenza di Trombosi Venosa Profonda (TVP) postoperatoria e del danno cellulare da sindrome compartimentale iatrogena analizzando due gruppi di pazienti, ad uno dei quali è stato applicato un dispositivo Sequential Compression Device (SCD). I pazienti selezionati sono stati suddivisi in due gruppi e sono stati sottoposti a chirurgia laparoscopica con durata non inferiore a 90’. È stato rilevato con metodo ECOCOLOR-DOPPLER il flusso venoso degli arti inferiori e soltanto ad uno dei due gruppi è stato applicato un dispositivo SCD. Da novembre 2006 a ottobre 2007 sono stati valutati 35 pz, 21 pz con dispositivo SCD e 14 pz utilizzati come gruppo controllo, con follow-up a 7 gg, 14 gg, 30 gg, a 3 e 5 anni. L’utilizzo di un dispositivo SCD applicato agli arti inferiori consente un aumento del ritorno venoso dagli arti inferiori diminuendone il rischio di TVP.

  5. Laparoscopic cholecystectomy and concomitant diseases Effectiveness of the single step treatment.

    PubMed

    Caglià, Pietro; Tracia, Angelo; Amodeo, Luca; Tracia, Lucio; Amodeo, Corrado; Veroux, Massimiliano

    2015-01-01

    Con il diffondersi della chirurgia video-laparoscopica si è posto in maniera crescente il problema di dover affrontare più patologie addominali coesistenti. La colecistectomia laparoscopica, in particolare, è stata spesso associata ad altre procedure laparoscopiche quali appendicectomia, splenectomia, ernioplastica o laparoplastica, interventi ginecologici ed altri. Sono stati esaminati retrospettivamente i dati relativi a 23 pazienti sottoposti a colecistectomia video-laparoscopica simultaneamente ad altri interventi. Solo di 19 pazienti è stato possibile raccogliere tutte le notizie cliniche necessarie alla valutazione. La colelitiasi rappresentava la prima patologia in 11 pazienti. La colecistectomia laparoscopica è stata associata a 1 fundoplicatio sec. Nissen, 1 adrenalectomia destra, 6 ernioplasiche inguinali, 2 laparoplastiche, 1 asportazione di cisti ovarica. In altre 8 pazienti (4 appendiciti sub-acute o croniche, 1 cisti endometrioide ovarica, 1 dermoide ovarico, 2 varicoceli sx) la calcolosi della colecisti è stata diagnosticata come patologia concomitante e trattata simultaneamente con il consenso del paziente. Tutti gli interventi sono stati eseguiti in anestesia generale e dallo stesso team. Nonostante il limitato numero di pazienti inclusi nella nostra serie, i risultati sono simili a quelli riportati da altri Autori. Il lieve aumento dei tempi operatori, rilevato durante le procedure chirurgiche associate, viene compensato dall’innegabile vantaggio di una singola esposizione all’anestesia e di una unica degenza ospedaliera. Particolare attenzione va comunque riservata alla valutazione dei fattori di rischio relativi ai singoli pazienti.

  6. Innovative technique for large septal perforation repair and radiological evaluation.

    PubMed

    Mocella, S; Muia, F; Giacomini, P G; Bertossi, D; Residori, E; Sgroi, S

    2013-06-01

    La perforazione del setto nasale ha cause molteplici: traumatiche, iatrogene, infettive, degenerative, da abuso di vasocostrittori, da uso di cocaina e di recente anche da chemioterapici antineoplastici. Le perforazioni sono altresì classificate in funzione delle dimensioni e della tipologia del deficit cartilagineo o osteocartilagineo e della sede anteriore, mediana e posteriore. Molteplici tecniche di riparazione chirurgica del danno sono state proposte nel tempo e vengono riassunte nel presente lavoro per tipologia di approccio; i risultati conseguiti, sono soddisfacenti per le perforazioni di piccole e medie dimensioni, ma nelle grandi perforazioni non garantiscono sempre la permanente obliterazione del difetto. Spesso si rende necessario l'utilizzo di tessuti prelevati all'interno delle fosse nasali come i turbinati o il prelievo di cartilagine da altre sedi donatrici come l'orecchio o la costa; le varie tecniche vengono illustrate alla luce della più recente letteratura. Gli Autori hanno valutato i pazienti osservati negli ultimi 8 anni e i risultati chirurgici conseguiti in particolare considerando, gli approcci chirurgici effettuati in approccio aperto o chiuso, endoscopico ed i materiali impiegati. Gli autori propongono tra le varie tecniche impiegate in questa serie di pazienti, una tecnica innovativa utilizzabile con successo in molti dei casi considerati di perforazione settale iatrogena che prevede l'utilizzo del gibbo osteocartilagineo quale sede donatrice, nonché la rinosettoplastica riduttiva quale scelta mirata per ottenere agevolmente lembi di scorrimento mucopericondrale e talora produrre anche un miglioramento estetico morfologico.

  7. Assessment of hepatic VX2 tumors with combined percutaneous transhepatic lymphosonography and contrast-enhanced ultrasonographic imaging

    PubMed Central

    Liu, Cun; Liang, Ping; Wang, Yang; Zhou, Pei; Li, Xin; Han, Zhi-Yu; Liu, Shao-Ping

    2008-01-01

    AIM: To evaluate the feasibility and efficacy of percutaneous transhepatic lymphosonography (PTL) as a novel method for the detection of tumor lymphangiogenesis in hepatic VX2 of rabbits and to evaluate combined PTL and routine contrast-enhanced ultrasonographic imaging for the diagnosis of liver cancer. METHODS: Ten rabbits with VX2 tumor were included in this study. SonoVue (0.1 mL/kg) was injected into each rabbit via an ear vein for contrast-enhanced ultrasonographic imaging, and 0.5 mL SonoVue was injected into the normal liver parenchyma near the VX2 tumor for PTL. Images and/or movie clips were stored for further analysis. RESULTS: Ultrasonographic imaging showed VX2 tumors ranging 5-19 mm in the liver of rabbits. The VX2 tumor was hyperechoic and hypoechoic to liver parenchyma at the early and later phase, respectively. The hepatic lymph vessels were visualized immediately after injection of contrast medium and continuously visualized with SonoVue® during PTL. The boundaries of VX2 tumors were hyperechoic to liver parenchyma and the tumors. There was a significant difference in the values for the boundaries of VX2 tumors after injection compared with the liver normal parenchyma and the tumor parenchyma during PTL. CONCLUSION: PTL is a novel method for the detection of tumor lymphangiogenesis in hepatic VX2 of rabbits. Combined PTL and contrast-enhanced ultrasonographic imaging can improve the diagnosis of liver cancer. PMID:18609718

  8. Rare extra-adrenal paraganglioma mimicking a painful Schwannoma: case report.

    PubMed

    Picchetto, Andrea; M Paganini, Alessandro; Balla, Andrea; Quaresima, Silvia; Cantisani, Vito; D'Ambrosio, Giancarlo; Lezoche, Emanuele

    2014-09-26

    I paragangliomi hanno un’incidenza annuale di circa 1/100000; essi originano dai tessuti cromaffini dei corpi di Zurckerkandl. In questo case report riportiamo il caso di un uomo di 53 anni, già trattato e seguito per un precedente limfoma di Hodkin che è stato sottoposta a RMN dell’addome per una lombalgia cronica che durava da due anni e che non riusciva ad alleviare con i FANS. La RMN ha rivelato un’incidentaloma: una massa in regione para-aortica, a livello della loggia surrenalica sinistra con le caratteristiche di una massa nodulare solida (29*25mm), che non sembrava originare direttamente dal surrene. Il pz ha inoltre eseguito un TC dell’addome che ha mostrato una massa localizzata di fronte al surrene di sinistra; il collega radiologo ha definito questa massa come un tumore maligno delle guaine nervose periferiche (Schwannoma) o come un linfonodo colliquato (essendo nota la patologia linfomatosa già descritta in anamnesi). Il paziente non riferiva cefalea, palpitazioni, picchi ipertensivi ne’ altri sintomi sistemici. Durante il suo ricovero, sono stati dosati i marker tumorali cromogranina e l’enolasi neurono-specifica che sono risultati essere rispettivamente 187.00 ng/mL and 7.7 ng/mL. La lombalgia è stata trattata inizialmente con Ketorolac, senza beneficio alcuno, quindi con Ketorolac più Tramadolo in pompa elastomerica, nuovamente senza beneficio per il paziente, infine con infusione continua di Morfina. Dato che l’esatta natura della neoformazione non era nota e che l’esecuzione di una biopsia TC guidata non era tecnicamente possibile, è stata eseguita un’escissione per via laparoscopica della massa, con approccio anteriore submesocolico trans peritoneale, così come gli Autori sono soliti eseguire per la surrenalectomia sinistra. Sin dai primi giorni postoperatori il paziente non ha più necessitato della morfina. Il decorso postoperatorio è stato del tutto regolare. L’esame istologico è risultato essere paraganglioma. I

  9. Cochlea size variability and implications in clinical practice.

    PubMed

    Pelliccia, P; Venail, F; Bonafé, A; Makeieff, M; Iannetti, G; Bartolomeo, M; Mondain, M

    2014-02-01

    Gli obbiettivi di questo studio sono stati: 1) lo studio della variabilità delle dimensioni cocleari in relazione all'età e al grado di ipoacusia; 2) calcolare la lunghezza dell'elettrodo dell'impianto cocleare richiesta per ottenere l'angolo ideale d'inserzione profonda di 270°. Per raccogliere i dati riguardanti le ossa temporali sono stati inclusi nello studio 241 pazienti (482 ossa temporali) che hanno ricevuto una Tomografia Computerizzata a alta risoluzione (HRCT) dell'orecchio nel nostro Policlinico Universitario tra il 2003 e il 2008; i pazienti sono stati divisi in 3 Gruppi: 97 (194 orecchie) aventi una ipoacusia neurosensoriale severa o profonda bilaterale (Gruppo A), 70 (140 orecchie) aventi una ipoacusia neurosensoriale moderata bilaterale (Gruppo B), 74 pazienti (148 orecchie) senza ipoacusia neurosensoriale o mista (gruppo C). In ciascuno dei 3 gruppi, sono stati identificati 5 sottogruppi in base all'età: 1) sottogruppo 1: soggetti ≤ 5 anni, 2) sottogruppo 2: soggetti da 6 a 10 anni; 3) sottogruppo 3: pazienti da 11 a 15 anni, 4) sottogruppo 4: pazienti da 16 a 20 anni, 5) sottogruppo 5: soggetti >; 20 anni. Sono stati misurati la lunghezza della coclea (L), l'altezza della coclea (H), il diametro del lume del giro basale (BTLD) e il Volume della coclea (V). Il Test di Mann-Whitney è stato utilizzato per verificare l'ipotesi alternativa che a livello di queste dimensioni esiste una differenza statisticamente significativa tra i differenti gruppi e sottogruppi. La seguente equazione è stata adottata per calcolare la Lunghezza di un elettrodo rettilineo che segue la parete esterna della scala timpani necessaria per ottenere l'angolo ideale di inserzione profonda di 270° (LIC): [Formula: see text]. Secondo i nostri risultati alla nascita la coclea è completamente sviluppata e ha già raggiunto le dimensioni dell'adulto. Il Grado di ipoacusia non influenza la Lunghezza (L) e il Volume (V) della coclea, mentre può influenzare la sua altezza (H

  10. An approach to complicated diverticular disease. A retrospective study in an Acute Care Surgery service recently established.

    PubMed

    Occhionorelli, Savino; Zese, Monica; Tartarini, Daniela; Lacavalla, Domenica; Maccatrozzo, Stefano; Groppo, Giacomo; Sibilla, Maria Grazia; Stano, Rocco; Cappellari, Lorenzo; Vasquez, Giorgio

    2016-01-01

    Obiettivo: La patologia diverticolare acuta è attualmente molto frequente nei paesi occidentalizzati. L’aumento costante del numero dei pazienti ricoverati nelle Unità operative di Chirurgia per il trattamento d’Urgenza sta portando alla necessità di individuare nuove Classificazioni e Scores per il corretto e razionale trattamento medico e chirurgico, anche in relazione all’assenza di linee guida ufficiali. Metodi: Si tratta di uno studio retrospettivo che prende in considerazione tutti i pazienti ricoverati presso il nostro Dipartimento, con diagnosi di diverticolite acuta perforata, nel periodo di tempo compreso tra giugno 2010 e marzo 2015. Risultati: Nel nostro studio 41 pazienti sono stati trattati conservativamente. I restanti 58 pazienti sono stati sottoposti ad intervento chirurgico: 25 con procedura di Hartmann, 29 con intervento di resezione e consensuale confezionamento di anastomosi senza ileostomia di protezione, 3 pazienti sono stati sottoposti a riparazione diretta della lesione diverticolare (rafia) e 2 a lavaggio peritoneale laparoscopico con posizionamento di drenaggio. Di questi ultimi due pazienti, uno è stato dimesso dopo 7 giorni in buone condizioni cliniche generali ed uno è stato poi sottoposto a resezione e confezionamento di anastomosi. Abbiamo correlato i pazienti suddividendoli nei vari gruppi Hinchey modificati e sovragruppi, associandoli ai diversi trattamenti, identificandone i fattori di rischio, l’ASA score e le complicanze. Discussione: L’utilizzo di nuove tecnologie, come la TC, si sta rivelando molto utile per la diagnosi delle diverticoliti perforate. Il loro trattamento è invece ancora piuttosto dibattuto: per i pazienti Hinchey I e II è, tendenzialmente conservativo, a meno di fattori concomitanti che ne pregiudichino l’andamento clinico. I pazienti Hinchey III e IV sono di competenza chirurgica. Il trattamento preferenziale è la procedura di Hartmann ma negli ultimi anni la resezione con consensuale

  11. Risk stratification systems for surgically treated localized primary Gastrointestinal Stromal Tumors (GIST). Review of literature and comparison of the three prognostic criteria: MSKCC Nomogramm, NIH-Fletcher and AFIP-Miettinen.

    PubMed

    Belfiori, Giulio; Sartelli, Massimo; Cardinali, Luca; Tranà, Cristian; Bracci, Raffaella; Gesuita, Rosaria; Marmorale, Cristina

    2015-01-01

    L’avvento dell’Imatinib mesilato (glivec) ha rivoluzionato la terapia dei GIST, apportando un aumento della sopravvivenza libera da malattia dopo resezione chirurgica completa di un GIST a localizzazione primitiva (RFS: Recurrence Free Survival). La definizione di un sistema prognostico accurato è fondamentale per decidere quali pazienti sottoporre a tale trattamento. In letteratura, esistono attualmente vari sistemi prognostici di riferimento in grado di predire la probabilità di recidiva, tra cui: NIH-FLETCHER, AFIP-MIETTINEN standard e modificato. A questi che sono i più diffusamente utilizzati, di recente si sono aggiunti altri metodi che utilizzano modelli matematici o no, come il Nomogramma del MSKCC, Nomogramma di Rossi ed il Joensuu high hotline Degjun. Nonostante tutti questi tentativi la storia naturale dei GIST rimane ancora non completamente nota e controversa e non è ancora possibile predire le recidive con una accuratezza assoluta. Lo scopo del nostro studio è stato quello di trovare quale sistema è più accurato e pratico per essere utilizzato nella nostra pratica clinica. Particolare attenzione è stata posta al Nomogamma del MSKCC, che è stato pertanto confrontato con i NIH-Fletcher ed AFIPMiettinen. Sono stati analizzati retrospettivamente i dati riguardanti 37 GIST operati presso il nostro istituto dal 2002 al 2012 e da questi sono stati selezionati 27 GIST a localizzazione primitiva, completamente resecati c non trattati con l’imatinib ne prima ne dopo l’intervento, sui quali è stato eseguito il confronto. Le conclusioni sono state che il nomogramma MSKCC è un metodo prognostico pratico, sicuro e valido, probabilmente più del NIH e AFIP e può essere utilizzato nella pratica clinica per predire il rischio di recidiva, specialmente nella pianificazione della strategia terapeutica, anche se non è un metodo ottimale per calcolare il tempo di sopravvivenza libera da recidiva. Il limite del Nomogramma del MSKCC sta nel valutare il

  12. Late surgical complications of subtotal colectomy with antiperistaltic caeco-rectal anastomosis for slow transit constipation A critical analysis.

    PubMed

    Marchesi, Federico; Rapacchi, Chiara; Cecchini, Stefano; Sarli, Leopoldo; Tartamella, Francesco; Roncoroni, Luigi

    2016-01-01

    La stipsi grave da rallentato transito è stata negli ultimi anni definitivamente riconosciuta come una condizione potenzialmente chirurgica, e nuove varianti tecniche sono state proposte in alternativa alla colectomia totale con ileo-retto anastomosi con l’obiettivo di minimizzare il rapporto rischi-benefici per il paziente. In quest’ottica la colectomia subtotale con anastomosi ceco-rettale (SCCRA) rappresenta nella nostra esperienza una valida alternativa, riducendo, a parità di efficacia, l’incontinenza e l’urgency postoperatoria, grazie alla preservazione della valvola ileo-cecale e del reservoir cecale. Tuttavia, a fronte di una buona percentuale di successi, legati soprattutto al miglioramento della selezione dei pazienti, la chirurgia della stipsi da rallentato transito presenta tuttora un non trascurabile numero di insuccessi e di complicanze tardive, spesso imprevedibili, e correlate alle varianti tecniche adottate. Nello specifico caso della SCCRA, la preservazione di un segmento colico verosimilmente malfunzionante (il ceco) è stata imputata come possibile causa di recidiva di stipsi cosiccome origine di complicanze chirurgiche tardive (distensione cecale, volvolo). L’obiettivo di questo studio è di analizzare in maniera critica le complicanze tardive di SCCRA, esaminando i rischi specifici della procedura per identificare possibili misure di prevenzione. A tal fine sono stati valutati i dati di 43 pazienti aderenti al follow-up sottoposti a SCCRA presso il nostro Istituto. Sono stati inclusi i pazienti sottoposti a re-intervento per complicanza tardiva chiaramente correlata a SCCRA presso il nostro centro. Sono state identificate 3 complicanze tardive (7%): una distensione cecale, un volvolo ileo-cecale, un volvolo ileale. Tutti i pazienti sono stati trattati chirurgicamente con successo. Solo nel primo caso è stata identificata una evidente condizione predisponente: la presenza di una defecazione ostruita non risolta associata ad un

  13. A 16-year experience of carotid artery stenting for carotid artery stenosis.

    PubMed

    Nano, Giovanni; Stegher, Silvia; Occhiuto, Maria Teresa; Muzzarelli, Lorenzo; Malacrida, Giovanni; Mazzaccaro, Daniela P

    2016-01-01

    Da più di 50 anni l’endoarteriectomia carotidea (CEA) è stata considerata il trattamento standard per le stenosi carotidee gravi asintomatiche e sintomatiche. Lo stenting carotideo (CAS) è progressivamente emerso negli ultimi 15 anni come alternativa alla chirurgia, specialmente nei pazienti ad alto rischio. Da allora, molti studi clinici randomizzati sono stati pubblicati per valutare la superiorità di un metodo rispetto all’altro, tuttavia i risultati dei trials hanno generato più dubbi che certezze nell’interpretazione dei loro risultati, gravati come sono da diverse limitazioni: la principale riguarda la ridotta competenza endovascolare richiesta per gli operatori che hanno eseguito lo stenting carotideo e partecipato ai trials. Inoltre questi trials sono stati eseguiti circa 10 anni fa, con materiali e farmaci differenti rispetto a quelli usati attualmente. Attualmente i registri su larga scala e le casistiche che riportano risultati a lungo termine sono maggiormente rappresentativi di una esperienza reale, che riflette ciò che accade di routine nella pratica clinica. Nella nostra Unità Operativa di Chirurgia Vascolare, il CAS è stato offerto dal 1999 come alternativa alla CEA per il trattamento delle stenosi carotidee sintomatiche e asintomatiche nei pazienti a rischio moderato-alto. Scopo del nostro lavoro è di riportare la nostra esperienza retrospettiva, con alcuni consigli e suggerimenti che derivano da ciò che abbiamo imparato in più di 16 anni. Abbiamo pertanto raccolto e analizzato retrospettivamente i dati di tutti i pazienti consecutivi che sono venuti per una stenosi carotidea significativa dal 1 ° gennaio 1999 al 31 agosto 2015. I risultati basilari sono stati la mortalità e la morbilità cerebrovascolare maggiore (MCE) sia a 30 giorni che a lungo termine. Lo studio è stato condotto su 1017 pazienti (677 maschi, 66.6%, età media 74 anni, IQR 69-79 anni) trattati sia per stenosi carotidea sintomatica (n=392, 38.5%) che

  14. Influence of fear of movement on total knee arthroplasty outcome.

    PubMed

    Kocic, Mirjana; Stankovic, Anita; Lazovic, Milica; Dimitrijevic, Lidija; Stankovic, Ivona; Spalevic, Marija; Stojiljkovic, Predrag; Milenkovic, Marina; Stojanovic, Zorica; Nikolic, Dejan

    2015-01-01

    RiassuntoLo scopo dello studio è quello di verificare l’incidenza del timore postoperatorio ai movimenti nei pazienti sottoposti ad artroplastica totale del ginocchio (TKA) e di determinare l’associazione di questo timore con i provvedimenti da adottare. Lo studio prospettico riguarda 78 pazienti sottoposti ad TKA primaria per osteoartrite. L’incidenza di timore al movimento è stata detenninata con l’uso della Tampa Scale of Kinesiophobia (TSK). I pazienti sono stati valutati in tre fasi temporali: 2 settimane. 4 settimane e 6 mesi dopo l’intervento chirurgico. In tutte e tre le fasi sono stati valutati il dolore e l’entità della flessione, mentre l’aspetto funzionale è stato preso in considerazione soltanto sei mesi dopo l’intervento, secondo la Oxford knee score 1. Il timore al movimento è stato registrato in 17 pazienti (21,8%). Quelli con maggiore entità di timore hanno dimostrato di conseguire risultati significativamente meno buoni in termini di dolore, grado di flessione e funzionalità rispetto a quelli con limitata paura. Miglioramento del dolore e della flessione sono stati progressivamente conseguiti nel tempo in entrambi i gruppi, ma i risultati migliori vengono raggiunti nel gruppo con minore paura al movimento. Lo studio ha dimostrato che la paura postoperatoria alla motilità si associa significativamente con il dolore, l’entità della flessione e la funzionalità del ginocchio. Altri Autori haImo rilevato che il timore preoperatorio alla motilità del ginocchio fa prevedere limitazioni funzionali postoperatorie. In conclusione il timore della motilità si rileva in una significativa proporzione dei pazienti dopo TKA e si associa con gonalgia, e minore flessione e funzionalità, e dunaue questa paura rappresenta un richio di scarsi risultati dopo artroplastica totale del ginocchio.

  15. [Waiting time between acute event and rehabilitation: continuity of nursing care and rehabilitation. Analysis and suggestions for a Service of Protected Discharge].

    PubMed

    D'Ilio, Ilaria; Raimondi, Anna Maria; Radice, Laura; Di Mauro, Stefania

    2014-01-01

    INTRODUZIONE. In Italia negli ultimi anni l’aumento della sopravvivenza della popolazione ha comportato il cambiamento dello stato di salute, che vede l’incremento nella prevalenza delle patologie croniche (Osservatorio, 2011). L’ospedale, riservato alla fase acuta delle patologie, si integra necessariamente con le cure primarie. La continuità assume particolare rilevanza per la cura, assistenza e riabilitazione della persona assistita, così come l’appropriato utilizzo delle diverse tipologie di offerta socio sanitaria assistenziale e riabilitativa. OBIETTIVO. Al San Gerardo di Monza, nell’ambito della riabilitazione del paziente post-acuto, si analizza la fase che intercorre tra la dimissione prevista dall’ospedale e la data di accettazione presso gli istituti di riabilitazione. E’ possibile quantificare i tempi di attesa? L’ allocazione delle persone assistite è appropriata? Scopo dello studio osservazionale descrittivo è accertare la distribuzione dei giorni di attesa. Inoltre si ipotizza il ricorso all’Assistenza Domiciliare Integrata e a soluzioni innovative. Obiettivi sono la diminuzione delle giornate di degenza inappropriate e l’utilizzo delle risorse in modo congruo. RISULTATI. Delle 1083 persone in attesa di riabilitazione il 55% (652), a cui sono associate 4505 giornate “inappropriate”, è stato dimesso dall’ospedale oltre i tempi previsti. CONCLUSIONI. L’utilizzo dell’assistenza domiciliare, vantaggiosa per l’ospedale, può essere utilizzata solo per una minoranza di pazienti e in modo diseconomico. Per abbattere la totalità delle giornate, una soluzione innovativa può essere l’istituzione di posti letto a basso costo. E dato che la maggioranza dei casi sono solo ad alta complessità assistenziale ma a bassa intensità clinica potrebbero essere letti gestiti da infermieri.

  16. Improving ovarian cancer imaging with LHRH-NBs: an experimental study.

    PubMed

    Li, Wenjuan; Zhang, Lingping; Zhu, Yuanfang; Zhang, Jinyi; Shen, Li; Huang, Shuying; Fang, Shanyu

    2016-09-01

    Our previous study used freeze-drying and biotin-avidin binding methods and obtained nontargeted nanobubbles (N-NBs) and ovarian cancer-targeting nanobubbles (LHRH-NBs, luteinizing hormone-releasing hormone nanobubbles). Our study also identified the physical and chemical properties of these two contrast agents, and validated the targeting ability and underlying mechanisms of LHRH-NBs in vitro. The present study investigated the imaging of N-NBs and LHRH-NBs in nude mice and their binding with tissues. The nude mice models of xenografts were divided into three groups, N-NB, LHRH-NB, and SonoVue. These contrast agents were injected via the caudal vein to observe the imaging of ovarian cancer. Fluorescence microscope was used to observe the penetration of N-NBs and LHRH-NBs through the vascular endothelial gaps. Immunofluorescence was used to observe the penetration of N-NBs and LHRH-NBs through vascular endothelial gaps and binding to the tumor cells. The imaging intensity and duration were not significantly different between N-NBs and LHRH-NBs. The imaging intensity in the N-NB and LHRH-NB groups was not significantly different compared with the SonoVue group; however, the imaging duration in the N-NB and LHRH-NB groups was significantly longer than in the SonoVue group (P < 0.001). Both N-NBs and LHRH-NBs penetrated through the vascular endothelial gaps. After penetrating through the vascular endothelial gapes, LHRH-NBs could target and bind to the tumor cells. N-NBs and LHRH-NBs are of good imaging effectiveness and relatively long imaging duration. LHRH-NB is a potent contrast agent for imaging ovarian cancer, while achieving targeted delivery of drugs to the site of ovarian cancer.

  17. [Valutazione del carico gestionale in un centro diurno psichiatrico: gravosità e recovery style].

    PubMed

    Callegari, Camilla; Caselli, Ivano; Bertù, Lorenza; Berto, Emanuela; Vender, Simone

    2016-01-01

    RIASSUNTO. Scopo. Nella riabilitazione psichiatrica il piano di trattamento individuale può essere formulato a partire da strumenti che offrano una valutazione multidimensionale del paziente. Il lavoro si propone di analizzare il rapporto tra gravosità (distress degli operatori) e stile di recupero (integration e sealing over) dalla patologia psicotica. Ipotizzando che esso influenzi il carico gestionale, lo studio si pone l'ulteriore obiettivo di acquisire maggiori elementi che indirizzino la formulazione di piani terapeutico-riabilitativi più efficaci. Metodi. Lo studio è stato condotto presso un centro diurno psichiatrico, struttura semi-residenziale dei servizi psichiatrici del Sistema Sanitario Nazionale in Italia. 45 pazienti reclutati sono stati valutati mediante la Neuropsychiatric Inventory (NPI - versione italiana) e la Integration/Sealing Over Scale (ISOS - versione italiana), nell'arco di tre mesi (marzo-giugno 2014). Risultati. Nel campione esaminato è emerso che la disinibizione, l'irritabilità e l'apatia sono i sintomi che provocano maggiore distress negli operatori, in senso assoluto. Inoltre, i risultati indicano che depressione e ansia recano un grado maggiore di distress nei pazienti sealer. Discussione e conclusione. Gli aspetti della disinibizione, dell'irritabilità e dell'apatia sono risultati più gravosi per gli operatori in quanto richiedono maggiore coinvolgimento nella relazione terapeutica. Sintomi ansiosi e depressivi risultano più gravosi nel gruppo dei sealer, segnalando minore tenuta della negazione della psicosi. I dati osservati sembrano provare che conoscere, differenziare e approfondire i diversi aspetti dello stile di recupero di ciascun paziente consente di stimare l'impegno gestionale fin dalla presa in carico e di ridurre il distress e il rischio di burnout degli operatori.

  18. Integrated clinical-ultrasonographic diagnosis in acute appendicitis.

    PubMed

    Summa, M; Perrone, F; Priora, F; Testa, S; Quarati, R; Spinoglio, G

    2007-12-01

    Sommario SCOPO: L'appendicite acuta è una delle urgenze chirurgiche addominali più comuni. Se non trattata, può rapidamente progredire verso complicanze severe, quali la perforazione e la peritonite. Spesso i chirurghi optano per un intervento chirurgico precoce anche in caso di diagnosi solo probabile, con il rischio di eseguire una quota importante di appendicectomie inutili. Lo scopo dello studio è di analizzare la nostra esperienza con la diagnosi integrata clinico-ultrasonografica dell'appendicite acuta. MATERIALI E METODI: Durante il periodo gennaio 1999-dicembre 2006 1447 pazienti sono stati sottoposti a valutazione clinica, a conta leucocitaria, dosaggio della proteina C reattiva ed ecografia addominale. È stata utilizzata la tecnica ecografia di compressione graduale, con sonda ad alta frequenza. RISULTATI: È stata formulata diagnosi ecografica di appendicite acuta in 368 pazienti (25%). Ulteriori 8 pazienti sono stati operati sulla base del solo giudizio clinico. Abbiamo osservato 7 casi di falsi positivi ecografici. In 1079 (75% del totale) pazienti è stato espresso un giudizio diagnostico negativo per appendicite acuta: in 173 di essi (12%) è stata formulata una diagnosi diversa. I restanti 906 pazienti sono stati sottoposti a controllo clinico fino alla risoluzione della sintomatologia, senza alcuna complicanza. I nostri risultati hanno dimostrato una sensibilità dell'ecografia del 98%, una specificità del 99%, un valore predittivo positivo del 98% e un valore predittivo negativo del 99%. L'accuratezza diagnostica globale è stata del 99%. CONCLUSIONI: La diagnosi integrata (clinica, di laboratorio ed ecografica) dell'appendicite acuta consente una diagnosi sicura, con risparmio di risorse evitando il ricorso ad appendicectomie inutili.

  19. Assessment of metastatic liver disease in patients with primary extrahepatic tumors by contrast-enhanced sonography versus CT and MRI

    PubMed Central

    Dietrich, Christoph F; Kratzer, Wolfgang; Strobel, Deike; Danse, Etienne; Fessl, Robert; Bunk, Alfred; Vossas, Udo; Hauenstein, Karlheinz; Koch, Wilhelm; Blank, Wolfgang; Oudkerk, Matthijs; Hahn, Dietbert; Greis, Christian

    2006-01-01

    AIM: To evaluate contrast-enhanced ultrasonography (CEUS) using SonoVue® in the detection of liver metastases in patients with known extrahepatic primary tumors versus the combined gold standard comprising CT, MRI and clinical/histological data. METHODS: It is an international multicenter study, and there were 12 centres and 125 patients (64 males, 61 females, aged 59 ± 11 years) involved, with 102 patients per protocol. Primary tumors were colorectal in 35 %, breast in 27 %, pancreatic in 17 % and others in 21 %. CEUS using SonoVue® was employed with a low-mechanical-index technique and contrast-specific software using Siemens Elegra, Philips HDI 5000 and Acuson Sequoia; continuous scanning for at least five minutes. RESULTS: CEUS with SonoVue® increased significantly the number of focal liver lesions detected versus unenhanced sonography. In 31.4 % of the patients, more lesions were found after contrast enhancement. The total numbers of lesions detected were comparable with CEUS (55), triple-phase spiral CT (61) and MRI with a liver-specific contrast agent (53). Accuracy of detection of metastatic disease (i.e. at least one metastatic lesion) was significantly higher for CEUS (91.2 %) than for unenhanced sonography (81.4 %) and was similar to that of triple-phase spiral CT (89.2 %). In 53 patients whose CEUS examination was negative, a follow-up examination 3-6 mo later confirmed the absence of metastatic lesions in 50 patients (94.4 %). CONCLUSION: CEUS is proved to be reliable in the detection of liver metastases in patients with known extrahepatic primary tumors and suspected liver lesions. PMID:16586537

  20. Assessment of metastatic liver disease in patients with primary extrahepatic tumors by contrast-enhanced sonography versus CT and MRI.

    PubMed

    Dietrich, Christoph F; Kratzer, Wolfgang; Strobe, Deike; Danse, Etienne; Fessl, Robert; Bunk, Alfred; Vossas, Udo; Hauenstein, Karlheinz; Koch, Wilhelm; Blank, Wolfgang; Oudkerk, Matthijs; Hahn, Dietbert; Greis, Christian

    2006-03-21

    To evaluate contrast-enhanced ultrasonography (CEUS) using SonoVue in the detection of liver metastases in patients with known extrahepatic primary tumors versus the combined gold standard comprising CT, MRI and clinical/histological data. It is an international multicenter study, and there were 12 centres and 125 patients (64 males, 61 females, aged 59+/-11 years) involved, with 102 patients per protocol. Primary tumors were colorectal in 35%, breast in 27%, pancreatic in 17% and others in 21%. CEUS using SonoVue was employed with a low-mechanical-index technique and contrast-specific software using Siemens Elegra, Philips HDI 5000 and Acuson Sequoia; continuous scanning for at least five minutes. CEUS with SonoVue increased significantly the number of focal liver lesions detected versus unenhanced sonography. In 31.4% of the patients, more lesions were found after contrast enhancement. The total numbers of lesions detected were comparable with CEUS (55), triple-phase spiral CT (61) and MRI with a liver-specific contrast agent (53). Accuracy of detection of metastatic disease (i.e. at least one metastatic lesion) was significantly higher for CEUS (91.2%) than for unenhanced sonography (81.4%) and was similar to that of triple-phase spiral CT (89.2%). In 53 patients whose CEUS examination was negative, a follow-up examination 3-6 mo later confirmed the absence of metastatic lesions in 50 patients (94.4%). CEUS is proved to be reliable in the detection of liver metastases in patients with known extrahepatic primary tumors and suspected liver lesions.

  1. Percutaneous ultrasound-guided treatment of shoulder tendon calcifications: Clinical and radiological follow-up at 6 months().

    PubMed

    De Conti, G; Marchioro, U; Dorigo, A; Boscolo, N; Vio, S; Trevisan, M; Meneghini, A; Baldo, V; Angelini, F

    2010-12-01

    Sommario INTRODUZIONE: La tendinopatia calcifica di spalla è una condizione relativamente frequente caratterizzata, quando sintomatica, da dolore cronico e da fasi di dolore acuto molto intenso. MATERIALI E METODI: Da ottobre 2006 a marzo 2008 abbiamo trattato 126 spalle di 125 pazienti consecutivi. Tutti hanno eseguito Rx ed ecografia prima del trattamento ed il test di Constant prima del trattamento e a 6 mesi di distanza. 55 pazienti su 123 (42%) sono stati trattati due o più volte con infiltrazione intrabursale di corticosteroide. Tre pazienti hanno rifiutato altri trattamenti dopo il primo. Sono stati quindi raccolti i dati complessivamente di 123 spalle. È stata eseguita RM di controllo a sei mesi. RISULTATI: Incremento del Constant Score dopo la procedura in tutti i pazienti trattati una sola volta ed in quasi tutti i pazienti trattati due volte; i pazienti sono stati divisi in due classi, rispettivamente trattati una o due (o più) volte. In ciascuna delle due classi c’è stato un significativo incremento (p < 0,0001)delle medie dei Cs pre e post trattamento; nella classe dei pazienti trattati due volte significatività statistica (p < 0,0001) tra le medie dei Cs rispettivamente prima del trattamento iniziale e dopo il primo trattamento, e tra la media Cs di quest’ultimo e quella dopo 6 mesi dal primo trattamento. Il Cs dopo il trattamento è significativamente diverso nei pazienti con impingement (p < 0,001). CONCLUSION: Incremento del Cs, in più del 95% dei pazienti. Non lesioni tendinee ai controlli ecografici/RM. L’impingement è risultato un fattore di rischio per il risultato finale.

  2. [Baseline and contrast-enhanced ultrasound of the liver in tumor patients].

    PubMed

    Oldenburg, A; Albrecht, T

    2008-10-01

    In patients with known malignancy, correct detection and characterization of liver lesions has important therapeutic consequences. Conventional sonography is the most commonly used modality for liver imaging in tumor patients. However, it has a lower sensitivity for the detection of liver metastases compared to contrast-enhanced computed tomography (CT) and magnetic resonance imaging (MRI). The majority of liver metastases are hypoechoic and well defined in baseline ultrasound (US), while detection of isoechoic or small liver metastases <1 cm is difficult and the differentiation of liver metastases from benign liver lesions and other malignant liver tumors can be impossible with baseline US. The use of microbubble-based ultrasound contrast agents and contrast-specific imaging techniques advanced the accuracy of ultrasound in liver imaging. Levovist and SonoVue are the US contrast agents approved for liver imaging in Europe. Compared to Levovist, SonoVue allows continuous imaging of the liver in real-time over a period of up to 5 minutes. As a result, SonoVue became the preferred contrast agent for liver imaging in the recent years, while Levovist became less important. Important for the detection of liver metastases are the portal venous and late phases in which metastases show a wash-out and can be detected as hypoechoic lesions in homogeneous enhanced liver parenchyma. The detection of hepatic metastases is substantially improved by CEUS compared to conventional B-mode sonography. Several studies showed sensitivity in detecting liver metastases comparable to that of contrast-enhanced CT and MRI. Furthermore, the typical enhancement patterns of the different benign and malignant liver lesions allow reliable characterization and differentiation from liver metastases in the majority of cases. This paper provides information about the advantages and expedient application of contrast-enhanced ultrasound (CEUS) in tumor patients.

  3. Bio-Engineering tissue and V.A.C. therapy: A new method for the treatment of extensive necrotizing infection in the diabetic foot.

    PubMed

    Armenio, Andrea; Cutrignelli, Daniela Anna; Nardulli, Maria Luisa; Maggio, Giulio; Memeo, Giuseppe; De Santis, Valerio; Giudice, Giuseppe; Ressa, Cosmo Maurizio

    2016-12-06

    La prevalenza mondiale del diabete nel 2000 è stata stimata essere del 2.8% con una previsione del 4.4% nel 2030. A causa della neuropatia e dei processi ischemici che ne derivano, i pazienti diabetici sono purtroppo predisposti all’insorgenza di infezioni a carico del piede con un rischio di amputazione molto elevato. A tal proposito, un trattamento rapido ed efficace del processo necrotizzante impedirebbe complicanze maggiori e la stessa amputazione. Il nostro studio consiste in un’analisi retrospettiva condotta su 20 pazienti atta a valutare l’efficacia del sostituto dermico autologo bioingegnerizzato (Hyalograft 3D Autograft) in associazione alla V.A.C (vacuum assisted closure) Therapy per il trattamento delle ulcere diabetiche, rispetto ai metodi sinora impiegati. I pazienti selezionati, a seconda del trattamento eseguito, sono stati suddivisi in due gruppi omogenei di dieci pazienti ciascuno. Il gruppo controllo è stato trattato con il metodo standard, ovvero con debridment chirurgico e innesti cutanei autologhi, mentre il gruppo studio è stato trattato con il metodo in analisi. La raccolta dei dati ha suggerito come l’impiego combinato del sostituto dermico bioingegnerizzato e della pressione negativa determini, rispetto al gruppo controllo, un aumento della percentuale di guarigione, una riduzione del tasso di recidiva di lesioni anche estese e una maggiore ripresa della deambulazione autonoma. In conclusione, la nostra analisi ha evidenziato un metodo sicuro, affidabile e competitivo per il trattamento di ampie lesioni necrotizzanti del piede diabetico. Anche se ulteriori valutazioni sono necessarie, crediamo fortemente che l’associazione del derma bioingegnerizzato e della pressione negativa possa condurre ad una rapida ed efficace guarigione delle ulcere, migliorando la qualità della vita del paziente diabetico.

  4. [Assessing the effectiveness of Gelclair® in the prevention and therapy of stomatitis in patients undergoing hematopoietic stem-cell transplantation: a randomized trial].

    PubMed

    Rasero, Laura; Marsullo, Mauro; Dal Molin, Alberto

    2014-01-01

    Introduzione: La stomatite da farmaci chemioterapici è un importante effetto collaterale del trattamento. I protocolli per la cura del cavo orale, si basano su due livelli di intervento: senza e con uso di medicamenti . La letteratura descrive numerosi interventi di profilassi e terapia ma ad oggi non esiste ancora un intervento considerato gold standard. Obiettivo: Valutare l’efficacia del Gelclair® nella prevenzione e trattamento di pazienti sottoposti a trapianto di cellule staminali emopoietiche. Materiale metodi: 57 pazienti (28 gruppo di controllo e 29 gruppo sperimentale ) hanno utilizzato i colluttori 3 volte al giorno, la valutazione è stata effettuata con i seguenti strumenti: scala di valutazione della stomatite (WHO), scala VAS per dolore e Likert per gradimento. I pazienti sono stati osservati mediamente per 17 giorni. Risultati: 38/57 pazienti osservati (61%) hanno manifestato stomatiti .Non è stata rilevata differenza tra i due gruppi in termine di grado di stomatite p= 0.75 in tutto il periodo di osservazione. Il dolore è stato registrato in 31 soggetti su 57 (54%). Non si sono registrate differenze tra i due gruppi per quanto riguarda il valore medio di dolore riferito prima dell’utilizzo dei colluttori per tutti i giorni di osservazione p=0,06, gli utenti del gruppo sperimentale hanno dimostrato una riduzione del grado di dolore dopo l’utilizzo del collutorio p=0,04. Conclusioni: Gelclair® non influenza i tempi di insorgenza e l’andamento della stomatite. E’ in grado di ridurre il dolore, sono necessari però ulteriori studi multicentrici per confermare la reale utilità di utilizzo nei pazienti sottoposti a Trapianto.

  5. [Mortality from respiratory diseases in the provinces of Apulia Region (Southern Italy) from 1933 to 2010].

    PubMed

    Montinari, Maria Rosa; Gianicolo, Emilio Antonio Luca; Vigotti, Maria Angela

    2016-01-01

    OBIETTIVI: valutare l'andamento temporale della mortalità per patologie respiratorie nelle province pugliesi utilizzando dati omogenei per fonte e metodologia di calcolo. DISEGNO: analisi ecologica storica degli andamenti temporali di mortalità per tumori e patologie dell'apparato respiratorio nelle province pugliesi, in Puglia e nelle ripartizioni geografiche italiane dal 1933 al 2010. SETTING E PARTECIPANTI: i dati di mortalità e le popolazioni residenti sono di fonte Istat. Sono state esaminate tutte le cause di decesso, il tumore della laringe, il tumore del polmone, l'insieme dei tumori respiratori, la bronchite, la polmonite e la broncopolmonite considerate congiuntamente, e l'insieme delle patologie respiratorie. Le analisi sono disaggregate per sesso dal 1969. PRINCIPALI MISURE DI OUTCOME: rapporti standardizzati di mortalità (SMR%) in riferimento all'Italia, con intervalli di confidenza al 95%, e tassi di mortalità standardizzati col metodo diretto (TSD ) in riferimento alla popolazione standard europea. RISULTATI: dal 1933 al 2010, i TSD per tumori respiratori e per bronchiti diminuiscono in tutte le aree analizzate. Tuttavia, nelle province di Taranto, Brindisi e Lecce, l'SMR% per tumori respiratori, inferiore al riferimento nazionale fino agli anni Sessanta, si allinea (a Brindisi) e supera (a Lecce e Taranto) il riferimento negli anni successivi. Nelle province di Foggia e Bari il numero dei decessi per tumore del polmone è costantemente inferiore all'atteso. CONCLUSIONI: la ricostruzione storica e l'analisi dei trend temporali di mortalità dal 1933 al 2010 mostrano alcune criticità sanitarie in periodi specifici. L'elaborazione dei dati di mortalità per un arco temporale di circa 80 anni ha messo in evidenza la maggiore rilevanza di queste criticità con l'avvio dello sviluppo industriale.

  6. The ultrasound contrast imaging properties of lipid microbubbles loaded with urokinase in dog livers and their thrombolytic effects when combined with low-frequency ultrasound in vitro.

    PubMed

    Ren, Shu-Ting; Kang, Xiao-Ning; Liao, Yi-Ran; Wang, Wei; Ai, Hong; Chen, Li-Na; Luo, Hui-Ting; Fu, Rong-Guo; Tan, Li-Fang; Shen, Xin-Liang; Wang, Bing

    2014-04-01

    A new microbubble loaded with urokinase (uPA-MB) was explored in a previous study. However, its zeta potential and ultrasound contrast imaging properties and its thrombolytic effects when combined with low-frequency ultrasound (LFUS) were unclear. The zeta potential and ultrasound contrast imaging property of 5 uPA-MBs loading with 50,000 IU uPA was respectively detected using a Malvern laser particle analyzer and a Logiq 9 digital premium ultrasound system. Its ultrasound contrast imaging property was performed on the livers of two healthy dogs to compare with SonoVue. And the clot mass loss rate, D-dimer concentration and surface morphology of the clot residues were measured to evaluate the thrombolytic effect after treatment with three doses of 5 uPA-MBs combined with LFUS in vitro. The zeta potential of 5 uPA-MBs (-27.0 ± 2.40 mV) was higher than that of normal microbubbles (-36.95 ± 1.77 mV). Contrast-enhanced imaging of the hepatic vessels using 5 uPA-MBs was similar to SonoVue, while the imaging duration of 5 uPA-MBs (10 min) was longer than SonoVue (6 min). The thrombolytic effect of three doses of uPA-MBs combined with LFUS was significantly better than that of the control group and showed dose dependence. The 5 uPA-MBs have a negative charge on their surface and good echogenicity as ultrasound contrast agents. The 5 uPA-MBs combined with LFUS can promote thrombolysis in a dose-dependent manner.

  7. Plasma viscosity: a potential predictor of both medical treatment response and clinical stage of ulcerative colitis.

    PubMed

    Tolga, Yakar; Mansur, Cosar Arif; Savas, Gokturk Hu Seyin; Gulhan, Unler Kanat Ayse; Alper, Parlakgumus; Ilknur, Kozanoglu; Ender, Serin

    2016-01-01

    La colite ulcerosa (UC) è una delle maggiori forme di colonpatia infiammatoria cronica recidivante. La capacità di identificare tipo, gravità e sensibilità alla terapia su parametri di laboratorio è da tempo oggetto di ricerca degli studi clinici. Lo scopo di questo studio è quello di accertare la relazione tra la viscosità del plasma (PV), l’attività della malattia e la risposta al trattamento medico. Lo studio si è svolto su 105 pazienti con UC e 42 volontari sani. I prelievi di sangue sono stati utilizzati per valutare la viscosità del plasma (PV), la velocità di eritrosedimentazione (ESR), la proteina C-reattiva ultrasensibile (hs-CRP), il D-dimero e il fibrinogeno. I pazienti con UC sono stati raggruppati in relazione al grado di attività flogistica (cioè 59 attivi e 46 in remissione). La PV è risultata più elevata in quelli con UC attiva rispetto a quella dei soggetti in remissione o nei soggetti sani. È risultata significativamente più elevata sia nei casi di UC refrattaria al trattamento steroideo rispetto a quelli sensibili (p< 0.001), e nelle UC rafrattarie alla ciclosrporina rispetto a quelli sensibili (p= 0.003). Con l’aumento della PV nei pazienti affetti da UC sono risultati significativamente associati il punteggio del SCCAI (Increased Simple Clinical Colitis Activity Index), dell’EGS (Endoscopic Grading Scale) e del HAD (Histological Disease Activity (HAD). Si conclude che la PV è un marker utile per la previsione di sensibilità al trattamento sterorideo e con ciclosporina nei pazienti con UC attiva. Potrebbe essere rimpiazzata dalla ESR e dalla hs-CRP come misura della risposta in fase acuta in quanto sufficientemente sensibile. Questi risultati possono essere utili per l’identificazione dei pazienti con UC attiva da destinare alla colectomia.

  8. [Attenzione per i dettagli in genitori di nazionalità italiana di donne affette da anoressia nervosa: uno studio comparativo].

    PubMed

    Chinello, Alessandro; Zappa, Luigi; Pastori, Miriam; Crocamo, Cristina; Ricciardelli, Paola; Clerici, Massimo; Carrà, Giuseppe

    2017-01-01

    RIASSUNTO. Scopo. È noto come l'anoressia nervosa (AN) e il disturbo dello spetto autistico (ASD) condividano alcuni tratti, come la rigidità mentale e l'attenzione per i dettagli, che potrebbero essere diffusi a livello familiare. Questo studio ha lo scopo di confrontare la distribuzione di tratti autistici in genitori con figlie affette da disturbo alimentare ED (anoressia - AN o bulimia nervosa - BN) con genitori appartenenti a un gruppo di controllo. Metodi. Sono stati coinvolti 40 genitori con figlie affette da disturbo alimentare (60% con anoressia, 40% con bulimia nervosa) e 33 genitori di controllo. Tutti i genitori hanno compilato questionari specifici riguardanti il quoziente di spettro autistico (AQ) e le stime cognitive (CET). Inoltre, sono stati somministrati EAT-26 e SCL-90-R al fine di escludere la presenza di disturbi psichiatrici o alimentari nel gruppo sperimentale. Risultati. Le analisi su AQ mostrano una differenza tra i due gruppi per un tratto autistico specifico, evidenziando una riduzione significativa dell'attenzione per i dettagli nel gruppo sperimentale (ED), in particolare nei genitori di figlie affette da AN. Discussione. Questi dati suggeriscono una preferenza per un'elaborazione globale delle informazioni nei genitori AN in contrasto a quanto trovato in pazienti con AN. La presenza di aspetti depressivi, ansiosi e di disturbi alimentari è stata esclusa nei genitori nel gruppo sperimentale tramite SCL-90-R e EAT-26. Infine, la capacità di prendere decisioni, misurata dal CET, è stata esclusa dalle nostre analisi. Conclusione. Nei genitori con figlie affette da AN emerge una peculiare preferenza per un'elaborazione cognitiva globale, suggerendo il ruolo dell'attenzione per i dettagli come nuovo fattore da considerare nelle valutazione cliniche di pazienti con AN e nei loro familiari. Considerando i limiti dello studio, ulteriori approfondimenti in merito sono necessari.

  9. Investigation on the inertial cavitation threshold and shell properties of commercialized ultrasound contrast agent microbubbles.

    PubMed

    Guo, Xiasheng; Li, Qian; Zhang, Zhe; Zhang, Dong; Tu, Juan

    2013-08-01

    The inertial cavitation (IC) activity of ultrasound contrast agents (UCAs) plays an important role in the development and improvement of ultrasound diagnostic and therapeutic applications. However, various diagnostic and therapeutic applications have different requirements for IC characteristics. Here through IC dose quantifications based on passive cavitation detection, IC thresholds were measured for two commercialized UCAs, albumin-shelled KangRun(®) and lipid-shelled SonoVue(®) microbubbles, at varied UCA volume concentrations (viz., 0.125 and 0.25 vol. %) and acoustic pulse lengths (viz., 5, 10, 20, 50, and 100 cycles). Shell elastic and viscous coefficients of UCAs were estimated by fitting measured acoustic attenuation spectra with Sarkar's model. The influences of sonication condition (viz., acoustic pulse length) and UCA shell properties on IC threshold were discussed based on numerical simulations. Both experimental measurements and numerical simulations indicate that IC thresholds of UCAs decrease with increasing UCA volume concentration and acoustic pulse length. The shell interfacial tension and dilatational viscosity estimated for SonoVue (0.7 ± 0.11 N/m, 6.5 ± 1.01 × 10(-8) kg/s) are smaller than those of KangRun (1.05 ± 0.18 N/m, 1.66 ± 0.38 × 10(-7) kg/s); this might result in lower IC threshold for SonoVue. The current results will be helpful for selecting and utilizing commercialized UCAs for specific clinical applications, while minimizing undesired IC-induced bioeffects.

  10. Theme-based teaching of point-of-care ultrasound in undergraduate medical education.

    PubMed

    Amini, Richard; Stolz, Lori Ann; Gross, Austin; O'Brien, Kathleen; Panchal, Ashish Raman; Reilly, Kevin; Chan, Lisa; Drummond, Brian Scott; Sanders, Arthur; Adhikari, Srikar

    2015-08-01

    A handful of medical schools have developed formal curricula to teach medical students point-of-care ultrasound; however, no ideal method has been proposed. The purpose of this study was to assess an innovative theme-based ultrasound educational model for undergraduate medical education. This was a single-center cross-sectional study conducted at an academic medical center. The study participants were 95 medical students with minimal or no ultrasound experience during their third year of training. The educational theme for the ultrasound session was "The evaluation of patients involved in motor vehicle collisions." This educational theme was carried out during all components of the 1-day event called SonoCamp: asynchronous learning, the didactic lecture, the skills stations, the team case challenge and the individual challenge stations. Assessment consisted of a questionnaire, team case challenge, and individual challenges. A total of 89 of 95 (94 %) students who participated in SonoCamp responded, and 92 % (87 of 95) completed the entire questionnaire before and after the completion of SonoCamp. Ninety-nine percent (95 % CI, 97-100 %) agreed that training at skill stations helped solidify understanding of point-of-care ultrasound. Ninety-two percent (95 % CI, 86-98 %) agreed that theme-based learning is an engaging learning style for point-of-care ultrasound. All students agreed that having a team exercise is an engaging way to learn point-of-care ultrasound; and of the 16 groups, the average score on the case-based questions was 82 % (SD + 28). The 1-day, theme-based ultrasound educational event was an engaging learning technique at our institution which lacks undergraduate medical education ultrasound curriculum.

  11. Laparoscopic surgery in pregnant patients with acute abdomen.

    PubMed

    Kocael, Pinar Cigdem; Simsek, Osman; Saribeyoglu, Kaya; Pekmezci, Salih; Goksoy, Ertugrul

    2015-01-01

    Nonostante i significativi vantaggi della chirurgia laparoscopica rispetto a quella laparotomica, essa era considerata controindicata per le donne gestanti. Attualmente si confrontano opinioni contrastanti riguardo alla sicurezza durante la gestazione della chirurgia laparoscopica, specie se nell’ultimo trimestre. Lo scopo di questo studio è quello di valutare la fattibilità della chirurgia laparoscopica in donne gestanti in caso di addome acuto analizzando retrospettivamente la casistica della pazienti ricoverate tra il gennaio 1995 ed il gennaio 2013 presso l’Emergency Department della Cerrahpasa Medical Faculty. Sono stati pertanto analizzati tutti i dati clinici riguardanti le gestanti sottoposte a chirurgia laparoscopica, comprese le cartelle cliniche, gli interventi eseguiti, i reperti anatomopatologici, e le informazioni riguardanti il parto. Nella casistica sono rientrate 14 donne gravide (in media alla 19,2° settimana di gestazione, distribuite tra 9 e 33 settimane), di cui 11 sottoposte ad appendicectomia laparoscopica, 2 a colecistectomia laparoscopica ed 1 per scopi diagnostici. In media il parto si è espletato alla 37,4° settimana di gestazione (tra la 35° e la 40° settimana). Due pazienti hanno avuto un parto prematuro, ma in nessune dei casi si sono verificate complicazioni durante le manovre laparoscopiche, e cioè danni all’utero, morti fetali o mortalità materna. Si conclude che la chirurgia laparoscopica può essere effettuata nel corso di tutti i trimestri della gravidanza, con il possibile vantaggio di una utile diagnosi differenziale in caso di dolori addominali acuti durante la gravidanza, e diminuzioni delle morti fetali dovute a ritardi diagnostici, e che tempi chirurgici più brevi riducono gli effetti negativi sulla madre e sul feto.

  12. Course of acute pancreatitis in diabetic patients.

    PubMed

    Koziel, Dorota; Gluszek, Stanislaw; Osuch, Martyna Gluszek

    2016-01-01

    Negli anni recenti in molti paesi europei si è dimostrata una crescente incidenza della pancreatite acuta (AP), ed alcuni studi indicano un aumento di rischio di AP nei pazienti diabetici. Questo studio è pertanto finalizzato a valutare il decorso clinico della AP nei pazienti diabetici. Sono stati studiati tutti i pazienti curati in reparto chirurgico per una diagnosi di AP identificando come pazienti diabetici quelli che all’anamnesi hanno confermato essere affetti da diabete di tipo 1 o di tipo 2 prima di essere ricoverati per AP. I pazienti ricoverati per AP, ed arruolati nello studio sono stati 963, e tra essi vi erano 87 (9%) diabetici. Tra questi ultimi erano più numerosi quelli portatori di calcolosi biliare quale causa della pancreatite (46% vs 32%). Nella maggioranza dei casi il decorso della AP è stato di gravità moderata, ma comunque nel 10,3% dei pazienti con diabete il decorso della malattia è stato moderatamente grave, e nel 12,7% decisamente grave. Non sono state osservate differenze nella mortalità da AP in entrambi i gruppi. Insufficienza sistemica è stata osservata più frequentemente nel gruppo dei diabetici di tipo 2 (5,4%) e 23,1% in quelli di tipo 2, a fronte del 5,1% dei pazienti non diabetici, con differenze statisticamente non significative. In conclusione l’incidenza della AP nei pazienti diabetici aumenta con l’età, ed è più spesso correlata con la calcolosi biliare. In questo gruppo di pazienti in decorso clinico è èiù frequentemente grave, con insufficienza sistemica nei diabetici di tipo 1.

  13. Septic complications involving hand and wrist in patients with pre-existing rheumatoid arthritis: The role of magnetic resonance imaging and sonography.

    PubMed

    Bortolotto, C; Gregoli, B; Coscia, D R; Draghi, F

    2012-06-01

    Sommario SCOPO DEL LAVORO: L'artrite settica (SA), che spesso coinvolge mano e polso, è comune nei pazienti con artrite reumatoide (AR) a causa dell'eziologia immunomediata della AR e dell'uso di farmaci immunosoppressivi. Le caratteristiche cliniche e di laboratorio possono non essere utili per distinguere tra recidiva di AR e sovrapposizione di SA. Il ruolo della risonanza magnetica (RM) è stata descritto in diversi studi. Il nostro obiettivo è quello di valutare il ruolo della ecografia (US). Materiali e Metodi. Negli ultimi 4 anni sono stati eseguiti 31 esami di risonanza magnetica della mano e del polso nel sospetto di SA come complicanza di AR. È stata utilizzata una risonanza magnetica da 1.5 T (Siemens Symphony, Erlangen, Germania) con protocollo standardizzato, che comprendeva la somministrazione di mezzo di contrasto; è stata eseguita anche un'ecografia con power Doppler utilizzando un ecografo Philips IU22. RISULTATI: Sono stati analizzati undici punti (secondo lo studio di Graif) per ogni esame di RM e di US. Alla RM il versamento articolare (37,5% di recidiva AR vs 100% sovrapposizioni di SA) e l'edema dei tessuti molli (25% vs 100%) erano indicativi di SA. Anche ecograficamente il versamento articolare (31.3% di AR recidiva 73,3% vs sovrapposizione di SA) e l'edema dei tessuti molli (12,5% vs 60%) erano indicativi di SA. CONCLUSIONE: I nostri risultati confermano che il versamento articolare e l'edema dei tessuti molli sono suggestivi per sovrapposizione di SA e che la RM è più sensibile nella loro valutazione. Anche se l'US è meno sensibile della RM, essa è importante nel guidare procedure invasive e nella valutazione dei pazienti che non possono essere sottoposti a RM.

  14. Elaborazione dei dati sperimentali

    NASA Astrophysics Data System (ADS)

    Dapor, M.; Ropele, M.

    L'analisi statistica dei dati sperimentali, la loro elaborazione ed una corretta stima degli errori sono conoscenze necessarie agli studenti di fisica, biologia, chimica, ingegneria e dei corsi di specializzazione tecnico-scientifici in cui a di laboratorio. Chi si occupa di problemi tecnici e di misure, per studio o per lavoro, deve possedere gli strumenti matematici di calcolo e di analisi necessari ad una corretta interpretazione dei dati sperimentali. Il testo fornisce in modo sintetico, chiaro ed esaustivo, tutte le nozioni e le conoscenze utili allo scopo.

  15. Minilaparoscopic cholecystectomy a one year record.

    PubMed

    Di Bartolomeo, Nicola; Mascioli, Federico; Ciampaglia, Franco

    2015-01-01

    Negli ultimi anni, alcuni chirurghi hanno cercato di rendere sempre meno invasiva la procedura della colecistectomia videolaparoscopica, riducendo il calibro degli strumenti. Nel nostro studio si vogliono dimostrare i vantaggi nell’utilizzo di strumenti miniaturizzati (con diametro di 3mm), comparandoli con la colecistectomia laparoscopica realizzata con strumenti da 5mm. I parametri analizzati nello studio sono: la durata dell’intervento, la durata della degenza, il dolore postoperatorio, le complicanze ed il risultato estetico. Lo studio si basa su una casistica personale di 114 pazienti trattati in un periodo di 12 mesi. Tutti i pazienti sono stati trattati per calcolosi sintomatica della colecisti o per poliposi della colecisti. In 102 pazienti si è trattato di colecistectomia minilaparoscopica e in 12 colecistectomia laparoscopica con strumenti da 5mm o perchè presentavano un eccessivo spessore delle pareti della colecisti che rendeva difficoltosa la presa sull’organo con strumenti di 3mm, o perchè presentavano calcoli lungo la via biliare principale e si rendeva quindi necessario eseguire una colangiografia intraoperatoria. L’esecuzione della tecnica minilaparoscopica richiede particolari accorgimenti per superare piccole difficoltà tecniche in rapporto alla maggiore flessibilità degli stumenti di ridotto calibro e all’impossibilità di applicare clips metalliche con i trocars da 3mm. E’ necessario legare con filo di sutura il dotto cistico mediante nodi intracorporei e coagulare l’arteria cistica con corrente monopolare. La durata dell’intervento risulta in media di 47 minuti per la colecistectomia con strumenti da 5mm e di 50 minuti per la colecistectomia minilaparoscopica. La degenza media è stata di 49 ore per la colecistectomia con strumenti da 5mm e di 18 ore per la colecistectomia minilaparoscopica; 73 pazienti sono stati dimessi lo stesso giorno dell’intervento. Il dolore post operatorio è risultato inferiore nei pazienti

  16. Comparison of Catalytic Activities for Sonocatalytic, Photocatalytic and Sonophotocatalytic Degradation of Methylene Blue in the Presence of Magnetic Fe3O4/CuO/ZnO Nanocomposites

    NASA Astrophysics Data System (ADS)

    Taufik, Ardiansyah; Tju, Hendry; Saleh, Rosari

    2016-04-01

    Fe3O4/CuO/ZnO nanocomposites with different molar ratio were synthesized using sol-gel method. The as-synthesized samples were characterized by X-ray diffraction (XRD), UV-visible spectroscopy, BET surface area analyszer, and Electron Spin Resonance (ESR). The sonocatalytic-photocatalytic-sonophotocatalytic activity of as-synthesized samples was investigated based on methylene blue degradation. Moreover, the role of active species was investigated using scavenger technique. The results showed that hole plays an important key role in sono-photo-sonophotocatalytic degradation of methylene blue.

  17. Perceived quality in Day Surgery Units Proposal of an enquiry postoperative questionnaire.

    PubMed

    Palumbo, Piergaspare; Perotti, Bruno; Amatucci, Chiara; Pangrazi, Maria Pia; Leuzzi, Barbara; Vietri, Francesco; Illuminati, Giulio

    2016-01-01

    La soddisfazione dei pazienti assume particolare importanza nell’attività chirurgica in Day Surgery, al fine di mantenere ed incrementare la domanda di prestazioni da parte dell’utenza ed inoltre di valutare le abilità e le competenze dello staff clinico dedicato. Sono stati valutati i risultati di un questionario somministrato dal 2007 al 2012, divisi in due gruppi, alla dimissione e a 30 giorni dall’intervento. Tali risultati hanno permesso di valutare i principali vantaggi e limiti del questionario in termini di comprensibilità, di corretto timing di somministrazione, e di utilità per lo staff clinico.

  18. The protective effect of melatonin on remote organ liver ischemia and reperfusion injury following aortic clamping.

    PubMed

    Ozsoy, Mustafa; Gonul, Yucel; Ozkececi, Ziya Taner; Bali, Ahmet; Celep, Ruchan Bahadir; Koçak, Ahmet; Adali, Fahri; Tosun, Murat; Celik, Sefa

    2016-01-01

    Dopo il ripristino della circolazione sanguigna e dell’ossigenazione possono verificarsi gravi danni locali e sistemici ai tessuti temporaneamente ischemici, noti come danni da riperfusione. Lo scopo di questo studio è stato quello di indagare sui possibili effetti protettivi della melatonina nei confronti dei danni sistemici da riperfuzione nel tessuto epatico a seguito dell’occlusione dell’aorta sottorenale. Per questo studio sono stati impiegati un totale di 21 ratti Wistar-albini di sesso maschile, suddivisi in tre gruppi: I gruppo – laparotomia e contemporanea dissezione dell’aorta infrarenale; II gruppo – somministrazione intraperitoneale di circa 1 ml di fisiologica al 0,9% di NaCl 30’ prima e dopo l’operazione di occlusione. Dopo la laparotomia e sua dissezione, l’aorta sottorenale è clampata per 30’ e quindi riabitata al circolo di riperfusione per 2 ore; III gruppo – 30’ prima del clampaggio dell’aorta sottorenale è stata somministrata la malatonina, seguita dal clampaggio aortico per 30’ e un periodo di riperfusione di 2 ore. Sono stati quindi dosati i tassi sierici di aspartate aminotransferasi, alanine aminotransferasi, and lattato dehydrogenase, risultati significativamente più elevate nei gruppi II e III rispetto al gruppo I di controllo. Gli esami di laboratorio sono tornati ai livelli normali nel III gruppo dopo il trattamento. Sebbene si sia avuto un decremento del tasso sierico di IL-1β, IL-6, IL-18, TNF-α, e IFN- γ nel gruppo trattato con melatonina, questo decremento ha assunto valore statisticamente significativo per i livelli sierici di IL- 18, TNF-α, e IFN- γ in paragone con quanto osservato nel II gruppo. I tassi sierici dello stato totale di antiossidanti tissutali (TOC) e dell’indice di stress ossidativo dei tessuti (OSI) sono risultati diminuiti e quelli della capacità antiossidante (TAC) risultano accresciuti dalla melatonina. Il risultato di questo studio suggerisce effetti antiossidanti della

  19. Post-ERCP pancreatitis. A single center experience and an update on prevention strategies.

    PubMed

    D'Arpa, Francesco; Tutino, Roberta; Battaglia, Emanuele Onofrio; Orlando, Giuseppina; Salamone, Giuseppe; Licari, Leo; Gulotta, Gaspare

    2015-01-01

    La pancreatite rimane ad oggi la maggiore complicanza dell’ERCP nonostante numerose misure tese alla sua prevenzione siano state proposte negli anni. La sua incidenza è del 3.5% e raggiunge in alcune serie di casi anche il 25%; solitamente è lieve-moderata nel 90%. La stratificazione dei pazienti in base al grado di rischio è necessaria per destinare i casi più complessi a centri di terzo livello presenti nel territorio; per far questo, un’analisi dei possibili fattori di rischio è stata originariamente proposta da Freeman ed è poi stata modificata dall’ESGE sulla base dei contributi dei singoli centri, con importanti modifiche. Il presente studio analizza l’incidenza di pancreatite post- ERCP in un centro di terzo livello analizzando, sulla scorta dei fattori di rischio proposti, l’aderenza dei dati. Negli anni 2012-2013, 492 pazienti sono stati sottoposti ad ERCP da due esperti endoscopisti. Secondo le classificazioni di Freeman e Cotton sono state osservate 14 PEP (2.8%), di cui 6 lievi, 4 moderate e 4 severe. È stata condotta un’analisi multivariata che ha evidenziato come fattori di rischio l’elevato numero di tentativi di incannulamento della via biliare e l’iniezione di mezzo di contrasto nel dotto pancreatico; sono risultati fattori protettivi l’early pre-cut e il fallimento della procedura con la sua interruzione. Nella discussione sono state inoltre brevemente analizzate le varie misure profilattiche, quali il posizionamento di protesi pancreatiche e l’utilizzo dei FANS. È interessante notare come i nostri risultati rafforzino gli ultimi orientamenti nel management dell’ERCP, circa l’utilizzo della tecnica di incannulamento filo-guidato e del pre-cut; questi infatti riducono il numero di tentativi di incannulamento ed il conseguente trauma alla papilla promuovendo un incannulamento biliare selettivo e prevenendo l’iniezione di mezzo di contrasto nel dotto pancreatico. Nonostante la pancreatite sia un

  20. Ultrasound molecular imaging of VEGFR2 in a rat prostate tumor model using BR55.

    PubMed

    Tardy, Isabelle; Pochon, Sibylle; Theraulaz, Martine; Emmel, Patricia; Passantino, Lisa; Tranquart, François; Schneider, Michel

    2010-10-01

    To evaluate BR55, a new VEGFR2-specific ultrasound contrast agent, for imaging prostate tumors in an orthotopic model in the rat. Rat prostate adenocarcinoma were established by injection of G Dunning R-3327 tumor cells in one lobe of the prostate of Copenhagen rats. Imaging experiments were performed with BR55, SonoVue, and streptavidin-functionalized microbubbles coupled with an anti-vascular endothelial growth factor receptor 2 (VEGFR2) antibody using a clinical ultrasound scanner. Contrast enhancement in the tumor and healthy prostate was followed over time by intermittent imaging at low acoustic power. Signal quantification and statistical analysis were performed in the tumor and healthy tissue to compare the behavior of the 3 contrast agents. Immunohistochemistry was performed on the prostate and tumor specimen to determine the expression of VEGFR2. Comparable contrast enhancement was observed in tumors at peak intensity for BR55 and SonoVue. Then, once unbound microbubbles had cleared from the circulation, a strong enhancement of the tumor was obtained with BR55, whereas no significant microbubble accumulation was detected in the healthy prostate tissue. SonoVue microbubbles were rapidly eliminated, and no significant binding was observed in the tumor. The tumor to prostate ratio calculated after signal quantification was about 20 for the 3 doses of BR55 tested. The enhancement obtained with BR55 in the tumor was not significantly different from the one observed with antibody-coupled streptavidin microbubbles. Intense staining for VEGFR2 was detected in the tumor vessels by immunohistochemistry. This study showed that BR55 binding to prostate tumors resulted in a strong enhancement of the lesions as early as a few minutes after contrast injection, whereas minimal nonspecific accumulation occurred in the healthy part of the gland. BR55, like SonoVue, provide information on tissue perfusion during the early vascular phase, but BR55 binding to the tumoral

  1. Our experience in the management of obstructing colorectal cancer.

    PubMed

    Formisano, Vincenzo; Di Muria, Antonio; Connola, Giorgio; Cione, Gianpiero; Falco, Luigina; De Angelis, Carlo Paolo; Angrisani, Luigi

    2014-01-01

    Riportiamo la nostra esperienza retrospettiva sulle occlusioni intestinali da cancro colorettale. Negli ultimi 6 anni, abbiamo operato 238 pazienti affetti da cancro colorettale. I tumori complicati sono stati 136 (56%), 115 dei quali stenosanti (86%) e 19 perforati (14%). In 23 pazienti (20%) il tumore stenosante del colon era a destra ed in 92 (80%) a sinistra. Questi ultimi sono stati suddivisi retrospettivamente in 4 gruppi, in relazione all’intervento chirurgico eseguito: 18 (19%) colostomie decompressive; 32 (35%) procedure in due stadi: 25 operazioni di Hartmann e 7 colectomie totali con ileostomia terminale; 7 (8%) procedure in uno stadio, con ileostomia di protezione: 4 colectomie totali e 3 resezioni del colon con wash-out; 35 (38%) procedure in uno stadio con anastomosi primaria + wash-out o milking. I decessi sono stati 8/115, con un tasso di mortalità operatoria globale del 7%. Il tasso di fistola anastomotica è stato del 10%, riguardando 6/58 pazienti con anastomosi, 5 dei quali hanno richiesto un reintervento chirurgico. Complessivamente, circa 2/3 dei decessi perioperatori sono avvenuti per complicanze generali ed un terzo per deiscenza dell’anastomosi. L’occlusione intestinale da cancro colorettale è associata ad un’elevata mortalità operatoria ed una prognosi peggiore, in termini di recidiva e di sopravvivenza. La colostomia decompressiva può essere considerata come un’opzione valida solo nella malattia avanzata o nel paziente in condizioni generali scadute. La resezione anastomosi primaria rappresenta il gold-standard in pazienti selezionati con un basso rischio anestesiologico, sia sotto forma di resezione tipica con washout, sia come colectomia subtotale. Una colostomia o ileostomia temporanea di protezione può essere proposta per i pazienti con un rischio anestesiologico intermedio. Nei casi ad alto rischio o in avanzato stato occlusivo, oppure in presenza di simultanea perforazione del colon o di malattia metastatica o

  2. Squamous cell carcinoma and pilonidal cyst disease.

    PubMed

    Esposito, Francesco; Lauro, Mario; Tirone, Lucio Pasquale; Festa, Rosa Maria; Peluso, Gaia; Mazzoni, Giada; Scognamiglio, Marco; Grimaldi, Simona; Fresini, Antonio

    2015-02-20

    Il carcinoma a cellule squamose insorgente su malattia del seno pilonidale è una patologia abbastanza rara che sopraggiunge in presenza di malattia con decorso decennale. È caratterizzato da una crescita lenta ma da un’elevata invasività locale. Gli autori riportano il caso di un paziente di 63 anni con storia pluridecennale di malattia del seno pilonidale con ascessualizzazioni ricorrenti trattato chirurgicamente con resezione ampia e ricostruzione mediante uso di lembi. A distanza di 30 mesi non sono state osservate complicanze o recidive locali.

  3. Ultrasound in the evaluation of interstitial pneumonia.

    PubMed

    Lo Giudice, V; Bruni, A; Corcioni, E; Corcioni, B

    2008-03-01

    Sommario PREMESSA: L'ecografia del torace soltanto di recente ha assunto una sua completa dignità di metodica diagnostica: esperti ecografisti, con esperienza pneumologica, hanno, infatti, dimostrato la possibilità di una applicazione degli ultrasuoni in ambito toraco-polmonare, soprattutto in situazioni critiche, quali quelle emergenti in urgenza, in terapia intensiva o in ambito pediatrico o in corso di gravidanze. SCOPO: Da queste premesse si origina il lavoro, che si propone di individuare, se esistenti, gli aspetti ultrasonografici delle polmoniti interstiziali a genesi infettiva, e il ruolo di supporto (alla radiologia) degli ultrasuoni anche in questo ambito. MATERIALI E METODI: Sono stati studiati 55 soggetti afferiti, nel quinqennio 2001–2006, alla UOS di Ecografia toracica (UOC Pneumologia I) dell'Ospedale M. Santo e dell'UOS di Ecografia Internistica (UOC di Medicina Generale) dell'Ospedale di Rogliano dell'AO di Cosenza, perché affetti da sospetta patologia infettiva respiratoria virale o simil-virale. Tali pazienti sono stati valutati con indagini clinico-funzionali e strumentali (anamnesi + es. obiettivo + esami ematochimici + prove di funzionalità respiratoria + broncoscopia + Rx e HRTC del torace) e con esame ecografico, in cieco, del torace. RISULTATI: Dalla valutazione comparativa tra dati clinico-laboratoristico-strumentali e dati ecografici è emerso che i 55 soggetti studiati sono risultati affetti da polmonite interstiziale. In tali soggetti la diagnosi è stata formulata con l'ausilio delle comuni tecniche di studio, ma anche l'esame US ha permesso la individuazione di segni considerati diagnostici (Lichtenstein) di patologia interstiziale. Dei soggetti esaminati, infatti, 31 (56,36%) hanno mostrato all'ecografia la presenza di artefatti a coda di cometa (>5 per lato) nelle regioni anteriore e laterale del polmone (dato patognomico di patologia interstiziale) e 24 (46,64%) di “quadri misti” (aree di addensamento

  4. Restless legs syndrome: a qualitative analysis of psychosocial suffering and interdisciplinary attention.

    PubMed

    Varela, Maria José V; Coin-Carvalho, João E; Carvalho, Luciane B C; Varela, Maite V; Potasz, Clarisse; Prado, Lucila B F; do Prado, Gilmar F

    2013-10-01

    The aim of this study is to investigate psychosocial factors related to the diagnosis and treatment of patients with restless legs syndrome. Fifteen patients were interviewed at the Neuro-Sono Outpatient Clinic, Universidade Federal de São Paulo. The results were submitted to a qualitative analysis. We identified four content categories: illness description, illness history, illness experience, and relationships. Lack of control over the body and lack of recognition by professionals produce stigma and lead patients to suffering. The research underscores the relevance of psychosocial factors to the diagnosis and treatment of patients with restless legs syndrome and the importance of having interdisciplinary teams when attending patients with restless legs syndrome.

  5. Varicose veins: new trends in treatment in a Vascular Surgery Unit.

    PubMed

    Mazzaccaro, Daniela P; Stegher, Silvia; Occhiuto, Maria Teresa; Muzzarelli, Lorenzo; Malacrida, Giovanni; Nano, Giovanni

    2016-01-01

    La recente introduzione di tecniche meno invasive in alternativa al tradizionale stripping safenico ha rivoluzionato il trattamento delle vene varicose (VV), soprattutto nelle Unità Operative a prevalente indirizzo flebologico, ove la scleroterapia con mousse, il laser o la termoablazione con radiofrequenza (RFA) vengono applicate sempre più frequentemente con parallela riduzione del ricorso alle tecniche di chirurgia open. Nella nostra Unità Operativa Complessa di Chirurgia Vascolare, la patologia venosa viene affrontata da sempre, parallelamente a quella arteriosa; in particolare dal 2013, superata la prima fase di apprendimento, anche nella nostra Unità Operativa è stato introdotto l’uso sistematico della RFA per il trattamento dell’incontinenza della vena grande safena (VGS). Abbiamo dunque retrospettivamente esaminato la nostra esperienza nel trattamento delle VV con particolare analisi del modo in cui il nostro approccio terapeutico è cambiato nel corso degli ultimi anni. I dati di tutti i pazienti trattati consecutivamente dal 1 settembre 2013 al 31 Luglio 2015 per VV essenziali e recidive sono stati pertanto retrospettivamente raccolti e analizzati. L’analisi statistica è stata effettuata utilizzando il software JMP 5.1.2 (SAS Institute). Sono state trattate in totale 409 gambe in 378 pazienti. La percentuale di stripping della VGS per VV essenziali è diminuita nel corso degli anni (67% nel 2013 contro il 15.2% nel 2015), a differenza di quello che è successo alla percentuale della RFA della VGS (14.3% vs. 31.5% rispettivamente nel 2013 e nel 2015) e alla percentuale di gambe trattate con la tecnica ASVAL (8.7% vs 31.5%, rispettivamente, nel 2013 e nel 2015). Analogamente, nel 2013 la maggior parte delle procedure è stata eseguita utilizzando l’anestesia spinale (77.5%), mentre nel 2015 le tecniche anestesiologiche più utilizzate sono state l’anestesia locale e l’anestesia locale con sedazione (rispettivamente 35.9% e 29.3%). Il

  6. Surgical approach for ulcerated locally advanced breast cancer. A single Center experience: a retrospective study.

    PubMed

    Laforgia, Rita; Punzo, Clelia; Panebianco, Annunziata; Volpi, Annalisa; Minafra, Marina; Sederino, Maria Grazia

    2017-01-12

    L’obiettivo del nostro studio è la valutazione della strategia chirurgica più idonea nei casi di LABC (Locally Advanced Breast Cancer) in condizioni di ulcerazione e sanguinamento. La diagnosi clinica del LABC prevede nella maggior parte dei casi una massa mammaria estesa associata ad edema, eritema, retrazione e sanguinamento, dolore, superficie cutanea irregolare e coinvolgimento linfonodale. L’intervento chirurgico di scelta per le forme T3-T4 è la mastectomia radicale che rappresenta un trattamento adeguato per il controllo locale della patologia. In caso di forme localmente avanzate e ulcerate, pur essendo forme inoperabili, l’exeresi chirurgica si rende necessaria per una bonifica locale. La presenza di fenomeni di ulcerazione e sanguinamento non rende possibile avviare un trattamento chemioterapico neoadiuvante ed è necessario eseguire interventi chirurgici palliativi. Il trattamento chirurgico stesso richiede mutilazioni ampie ed associate procedure di chirurgia plastica. Spesso per l’estensione della malattia ed il sovvertimento del corpus mammae durante l’exeresi chirurgica della mammella, la sezione su zone esenti da neoplasia non consente la chiusura immediata dei lembi. Abbiamo considerato, su un campione di 288 pazienti affette da carcinoma mammario, 11 donne con forme avanzate fra T4a e T4c (3.8%). E’ stata posta indicazione a trattamento chirurgico perché pazienti provenienti dal Pronto Soccorso con anemizzazione per neoplasie avanzate ulcerate e sanguinanti, non candidabili in prima istanza a chemioterapia neoadiuvante citoriduttiva. Le procedure adoperate per la ricostruzione della mammella sono state in 2 pazienti la rotazione di un lembo muscolo cutaneo, in 4 casi un innesto cutaneo prelevato dalla coscia, in 4 casi è stata utilizzata una matrice dermica biologica - sostituto cutaneo (INTEGRA) che è stata poi sostituita con un successivo innesto cutaneo a distanza di circa 20-30 giorni. Sono state osservate recidive in 2 casi

  7. Sleep-disordered breathing in patients with COPD and mild hypoxemia: prevalence and predictive variables.

    PubMed

    Silva, José Laerte Rodrigues; Conde, Marcus Barreto; Corrêa, Krislainy de Sousa; Rabahi, Helena; Rocha, Arthur Alves; Rabahi, Marcelo Fouad

    2017-01-01

    To infer the prevalence and variables predictive of isolated nocturnal hypoxemia and obstructive sleep apnea (OSA) in patients with COPD and mild hypoxemia. This was a cross-sectional study involving clinically stable COPD outpatients with mild hypoxemia (oxygen saturation = 90-94%) at a clinical center specializing in respiratory diseases, located in the city of Goiânia, Brazil. The patients underwent clinical evaluation, spirometry, polysomnography, echocardiography, arterial blood gas analysis, six-minute walk test assessment, and chest X-ray. The sample included 64 patients with COPD and mild hypoxemia; 39 (61%) were diagnosed with sleep-disordered breathing (OSA, in 14; and isolated nocturnal hypoxemia, in 25). Correlation analysis showed that PaO2 correlated moderately with mean sleep oxygen saturation (r = 0.45; p = 0.0002), mean rapid eye movement (REM) sleep oxygen saturation (r = 0.43; p = 0.001), and mean non-REM sleep oxygen saturation (r = 0.42; p = 0.001). A cut-off point of PaO2 ≤ 70 mmHg in the arterial blood gas analysis was significantly associated with sleep-disordered breathing (OR = 4.59; 95% CI: 1.54-13.67; p = 0.01). The model showed that, for identifying sleep-disordered breathing, the cut-off point had a specificity of 73.9% (95% CI: 51.6-89.8%), a sensitivity of 63.4% (95% CI: 46.9-77.9%), a positive predictive value of 81.3% (95% CI: 67.7-90.0%), and a negative predictive value of 53.1% (95% CI: 41.4-64.4%), with an area under the ROC curve of 0.69 (95% CI: 0.57-0.80), correctly classifying the observations in 67.2% of the cases. In our sample of patients with COPD and mild hypoxemia, the prevalence of sleep-disordered breathing was high (61%), suggesting that such patients would benefit from sleep studies. Inferir a prevalência e as variáveis preditivas de hipoxemia noturna e apneia obstrutiva do sono (AOS) em pacientes portadores de DPOC com hipoxemia leve. Estudo transversal realizado em pacientes ambulatoriais, clinicamente est

  8. Delivery of dopamine transporter tracer (PE2I) through blood brain barrier with ultrasound and microbubbles

    NASA Astrophysics Data System (ADS)

    Serrière, Sophie; Escoffre, Jean-Michel; Bodard, Sylvie; Novell, Anthony; Vergote, Jackie; Vercouillie, Johnny; Thiéry, Jean-Claude; Chalon, Sylvie; Bouakaz, Ayache

    2012-10-01

    The blood-brain barrier plays a major role in controlling the delivery of therapeutic and imaging agents to the brain. The aim of this study was to investigate the use of ultrasound and microbubbles to increase its delivery through the BBB and by determining the optimal experimental conditions that achieve a transient and safe BBB disruption. First, we established the ultrasound conditions that achieved a transient BBB disruption in rats using a non-permeant marker, Evans blue. Hence SonoVue® (450 μL/kg) and Evans blue (100 mg/kg) were intravenously administered. BBB leakage was obtained using ultrasound insonation through the rat skull at 1.6 MPa, PRF 1 Hz, duty cycle 12%, burst 10 ms during 120 sec. BBB disruption was observed in all treated animals (N=4) by histological analysis. The same experimental conditions were applied to enhance brain uptake of PE2I. Biological samples were analyzed using a scintillation counter apparatus. The results showed 50% and 20% increase of 125I-PE2I uptake in the striatum and cerebral cortex, respectively, in the treated rats (N=5) versus control (N=4). Similar enhancements were observed using SonoVue® at half concentration. This innovative method provides a great potential for intracerebral delivery of molecular ligands that could be used for the therapy of brain diseases.

  9. Comparison microbial killing efficacy between sonodynamic therapy and photodynamic therapy

    NASA Astrophysics Data System (ADS)

    Drantantiyas, Nike Dwi Grevika; Astuti, Suryani Dyah; Nasution, Aulia M. T.

    2016-11-01

    Biofilm is a way used by bacteria to survive from their environmental conditions by forming colony of bacteria. Specific characteristic in biofilm formation is the availability of matrix layer, known as extracellular polymer substance. Treatment using antibiotics may lead bacteria to be to resistant. Other treatments to reduce microbial, like biofilm, can be performed by using photodynamic therapy. Successful of this kind of therapy is induced by penetration of light and photosensitizer into target cells. The sonodynamic therapy offers greater penetrating capability into tissues. This research aimed to use sonodynamic therapy in reducing biofilm. Moreover, it compares also the killing efficacy of photodynamic therapy, sonodynamic therapy, and the combination of both therapeutic schemes (known as sono-photodynamic) to achieve higher microbial killing efficacy. Samples used are Staphylococcus aureus biofilm. Treatments were divided into 4 groups, i.e. group under ultrasound treatment with variation of 5 power levels, group of light treatment with exposure of 75s, group of combined ultrasound-light with variation of ultrasound power levels, and group of combined lightultrasound with variation of ultrasound power levels. Results obtained for each treatment, expressed in % efficacy of log CFU/mL, showed that the treatment of photo-sonodynamic provides greater killing efficacy in comparison to either sonodynamic and sono-photodynamic. The photo-sonodynamic shows also greater efficacy to photodynamic. So combination of light-ultrasound (photo-sonodynamic) can effectively kill microbial biofilm. The combined therapy will provide even better efficacy using exogenous photosensitizer.

  10. Investigation of Microbubble Cavitation-Induced Calcein Release from Cells In Vitro.

    PubMed

    Maciulevičius, Martynas; Tamošiūnas, Mindaugas; Jakštys, Baltramiejus; Jurkonis, Rytis; Venslauskas, Mindaugas Saulius; Šatkauskas, Saulius

    2016-12-01

    In the present study, microbubble (MB) cavitation signal analysis was performed together with calcein release evaluation in both pressure and exposure duration domains of the acoustic field. A passive cavitation detection system was used to simultaneously measure MB scattering and attenuation signals for subsequent extraction efficiency relative to MB cavitation activity. The results indicate that the decrease in the efficiency of extraction of calcein molecules from Chinese hamster ovary cells, as well as cell viability, is associated with MB cavitation activity and can be accurately predicted using inertial cavitation doses up to 0.18 V × s (R(2) > 0.9, p < 0.0001). No decrease in additional calcein release or cell viability was observed after complete MB sonodestruction was achieved. This indicates that the optimal exposure duration within which maximal sono-extraction efficiency is obtained coincides with the time necessary to achieve complete MB destruction. These results illustrate the importance of MB inertial cavitation in the sono-extraction process. To our knowledge, this study is the first to (i) investigate small molecule extraction from cells via sonoporation and (ii) relate the extraction process to the quantitative characteristics of MB cavitation acoustic spectra.

  11. Thermal dependence of ultrasound contrast agents scattering efficiency for echographic imaging techniques

    NASA Astrophysics Data System (ADS)

    Biagioni, Angelo; Bettucci, Andrea; Passeri, Daniele; Alippi, Adriano

    2015-06-01

    Ultrasound contrast agents are used in echographic imaging techniques to enhance image contrast. In addition, they may represent an interesting solution to the problem of non-invasive temperature monitoring inside the human body, based on some thermal variations of their physical properties. Contrast agents, indeed, are inserted into blood circulation and they reach the most important organs inside the human body; consequently, any thermometric property that they may possess, could be exploited for realizing a non-invasive thermometer. They essentially are a suspension of microbubbles containing a gas enclosed in a phospholipid membrane; temperature variations induce structural modifications of the microbubble phospholipid shell, thus causing thermal dependence of contrast agent's elastic characteristics. In this paper, the acoustic scattering efficiency of a bulk suspension of of SonoVue® (Bracco SpA Milan, Italy) has been studied using a pulse-echo technique in the frequency range 1-17 MHz, as it depends upon temperatures between 25 and 65°C. Experimental data confirm that the ultrasonic attenuation coefficient of SonoVue® depends on temperature between 25 and 60°C. Chemical composition of the bubble shell seem to support the hypothesis that a phase transition in the microstructure of lipid-coated microbubbles could play a key role in explaining such effect.

  12. Sonographic tomography for the preoperative staging of breast cancer prior to surgery.

    PubMed

    Grady, I; Gorsuch-Rafferty, H; Hansen, P

    2010-06-01

    Sommario INTRODUZIONE: Scopo del presente lavoro è effettuare un’analisi preliminare retrospettiva di una nuova tecnica ad immagini, la TC ad ultrasuoni, utilizzata per determinare l’estensione della massa neoplastica mammaria, prima di decidere un’eventuale asportazione chirurgica. MATERIALI E METODI: Nel periodo compreso tra agosto 2007 e giugno 2008, 41 donne con diagnosi di tumore mammario hanno avuto una stadiazione della neoplasia usando la TC ad ultrasuoni. In seguito le pazienti sono state sottoposte a risonanza magnetica con mezzo di contrasto del seno per evidenziare ulteriori aree di estensione tumorale, la presenza di linfoadenopatie del cavo ascellare, di multifocalità e di bilateralità, che avrebbero potuto compromettere l’intervento chirurgico. Entrambe le tecniche sono state poi comparate per confrontarne l’accuratezza. RISULTATI: L’accuratezza della nuova tecnica, la TC ad ultrasuoni è stata del 68%, mentre quella della risonanza magnetica del 54%. L’incremento dell’accuratezza della diagnosi che ne è derivato è stato del 14% (2–28%). La TC ad ultrasuoni non appare, pertanto, inferiore alla risonanza magnetica. CONCLUSIONI: È necessario un ulteriore studio per meglio valutare la capacità e le prospettive di questa nuova tecnica nella fase pre-operatoria.

  13. Transanal endoscopic video-assisted (TEVA) resection of early rectal lesions using a SILS port A single center experience.

    PubMed

    Cipolla, Calogero; Ferro, Giuseppina; Graceffa, Giuseppa; Morini, Lorenzo; Guercio, Giuseppina; Vieni, Salvatore; Pantuso, Gianni

    2016-01-01

    L’escissione chirurgica endoscopica transanale video-assistita (TEVA) mediante SILSTM– Port (Single Incision Laparoscopic Surgery) si è affermata come una tecnica valida per la rimozione completa di lesioni benigne del retto non trattabili endoscopicamente e per le neoplasie maligne del retto in fase precoce. La TEVA rappresenta una valida alternativa alla escissione microchirurgica transanale (TEM), alla chirurgia transanale convenzionale ed alla resezione transaddominale. Nella nostra Unità Operativa sono state effettuate con successo 8 resezioni di voluminosi adenomi del retto impiegando la tecnica TEVA con con il SILSTM–Port. L’età media dei pazienti è stata di 51,1 anni, il BMI medio è stato di 23. Non sono state registrate complicanze post-operatorie né conversioni verso interventi resettivi maggiori per via trans-addominale. Il decorso post-operatorio dei pazienti è stato regolare. Il tempo medio di ospedalizzazione è stato di 3 giorni. I risultati della nostra esperienza, sia pure poco numerosa, in ci consentono di valutare la tecnica TEVA con SILSTM– Port più semplice da realizzare rispetto alla TEM. La metodica infatti non richiede lunghi periodi di apprendimento né l’impiego di materiale costoso come quello impiegato nella TEM.

  14. Transanal endoscopic video-assisted (TEVA) resection of early rectal lesions using a SILS port A single center experience.

    PubMed

    Cipolla, Calogero; Ferro, Giuseppina; Graceffa, Giuseppa; Morini, Lorenzo; Guercio, Giuseppina; Vieni, Salvatore; Pantuso, Gianni

    2015-11-30

    L’escissione chirurgica endoscopica transanale video-assistita (TEVA) mediante SILSTM– Port (Single Incision Laparoscopic Surgery) si è affermata come una tecnica valida per la rimozione completa di lesioni benigne del retto non trattabili endoscopicamente e per le neoplasie maligne del retto in fase precoce. La TEVA rappresenta una valida alternativa alla escissione microchirurgica transanale (TEM), alla chirurgia transanale convenzionale ed alla resezione transaddominale. Nella nostra Unità Operativa sono state effettuate con successo 8 resezioni di voluminosi adenomi del retto impiegando la tecnica TEVA con con il SILSTM–Port. L’età media dei pazienti è stata di 51,1 anni, il BMI medio è stato di 23. Non sono state registrate complicanze post-operatorie né conversioni verso interventi resettivi maggiori per via trans-addominale. Il decorso post-operatorio dei pazienti è stato regolare. Il tempo medio di ospedalizzazione è stato di 3 giorni. I risultati della nostra esperienza, sia pure poco numerosa, in ci consentono di valutare la tecnica TEVA con SILSTM– Port più semplice da realizzare rispetto alla TEM. La metodica infatti non richiede lunghi periodi di apprendimento né l’impiego di materiale costoso come quello impiegato nella TEM.

  15. Effects of nonlinear propagation in ultrasound contrast agent imaging.

    PubMed

    Tang, Meng-Xing; Kamiyama, Naohisa; Eckersley, Robert J

    2010-03-01

    This paper investigates two types of nonlinear propagation and their effects on image intensity and contrast-to-tissue ratio (CTR) in contrast ultrasound images. Previous studies have shown that nonlinear propagation can occur when ultrasound travels through tissue and microbubble clouds, making tissue farther down the acoustic path appear brighter in pulse inversion (PI) images, thus reducing CTR. In this study, the effect of nonlinear propagation through tissue or microbubbles on PI image intensity and CTR are compared at low mechanical index. A combination of simulation and experiment with SonoVue microbubbles were performed using a microbubble dynamics model, a laboratory ultrasound system and a clinical prototype scanner. The results show that, close to the bubble resonance frequency, nonlinear propagation through a bubble cloud of a few centimeter thickness with a modest concentration (1:10000 dilution of SonoVue microbubbles) is much more significant than through tissue-mimicking material. Consequently, CTR in regions distal to the imaging probe is greatly reduced for nonlinear propagation through the bubble cloud, with as much as a 12-dB reduction compared with nonlinear propagation through tissue-mimicking material. Both types of nonlinear propagation cause only a small change in bubble PI signals at the bubble resonance frequency. When the driving frequency increases beyond bubble resonance, nonlinear propagation through bubbles is greatly reduced in absolute values. However because of a greater reduction in nonlinear scattering from bubbles at higher frequencies, the corresponding CTR is much lower than that at bubble resonance frequency.

  16. Rapid reversion of Loeffler's endocarditis by imatinib in early stage clonal hypereosinophilic syndrome.

    PubMed

    Rotoli, Bruno; Catalano, Lucio; Galderisi, Maurizio; Luciano, Luigia; Pollio, Giuditta; Guerriero, Anna; D'Errico, Arcangelo; Mecucci, Cristina; La Starza, Roberta; Frigeri, Ferdinando; Di Francia, Raffaele; Pinto, Antonio

    2004-12-01

    Endomyocardial fibrosis (Loeffler's endocarditis) is the main cause of poor outcome in Hyper Eosinophilic Syndrome (HES) and Eosinophilic Leukemia (EL). Reversion of the cardiac damage has been seldom reported, and thrombi can superimpose on infiltrated walls, originating oembolic complications. The tyrosine kynase inhibitor imatinib has been recently employed in patients affected by HES or EL, with impressive results. We have treated with imatinib a young patient affected by Loeffler's endocarditis during EL. Loeffler's endocarditis was studied by transthoracic Doppler echocardiography with and without the contrast agent SonoVue. Cytogenetics, FISH and molecular analysis showed the presence of the FIP1L1/PDGFRA fusion gene, recently detected in a majority of HES patients. Standard echocardiography revealed a large infiltration of the apical region, with apparently pedunculate corpora floating in the LV chamber; after SonoVue injection, a thick endo-myocardial infiltration involving papillary muscles and tendinous chords appeared, which simulated mobile thrombi at standard echography. Treatment with low dose imatinib caused rapid regression of both eosinophilic proliferation and endomyocardiopathy. The fusion gene FIP1L1-PDGFRA was found significantly decreased after a few months of treatment. Using a contrast echocardiographic approach, we demonstrated the non-thrombotic origin of the "in plus" image in our patient and its rapid resolution following imatinib treatment. Imatinib is an excellent candidate for first line treatment of Loeffler's endocarditis, especially when the FIP1L1/PDGFA fusion gene is detected.

  17. Clinical exam and electrovibratography detecting articular disk displacement: a comparative study.

    PubMed

    Abrão, André Felipe; Paiva, Guiovaldo; Weffort, Soo Young Kim; de Fantini, Solange Mongelli

    2011-10-01

    The complete evaluation of the stomatognathic system is essential for orthodontic diagnosis and treatment planning. The evaluation should not only include the occlusal static aspects, but also the functional aspects. This is because the latter could be altered and one or more components of the stomatognathic system could be involved, including the temporomandibular joint (TMJ). The most usual alteration found is articular disk displacement, which can affect the prognosis, and eventually the result in the need for orthodontic treatment. In order to add to the literature on recognition of these alterations, the purpose of this study was to compare the findings of two calibrated examiners on disk displacement clinical diagnosis, and the possible matching between the clinical examination and the electrovibratography (EVG) as methods of disk displacement detection. The sample was composed of 60 patients, divided equally into four groups of 15 participants each, depending on the presence or absence of disk displacement determined by a clinical examination performed by two trained examiners and according to gender. One of the trained operators used EVG and SonoPAK (BioResearch, Inc., Brown Deer, WI) software. The results of the two examiners' findings, one using clinical examination and the other using EVG and SonoPak software. The results were analyzed by applying the kappa coefficient. The findings of the two examiners were very close, resulting in an excellent agreement, and the comparison between the clinical examination and EVG findings resulted in satisfactory agreement between the methods.

  18. Inertial cavitation to non-invasively trigger and monitor intratumoral release of drug from intravenously delivered liposomes.

    PubMed

    Graham, Susan M; Carlisle, Robert; Choi, James J; Stevenson, Mark; Shah, Apurva R; Myers, Rachel S; Fisher, Kerry; Peregrino, Miriam-Bazan; Seymour, Len; Coussios, Constantin C

    2014-03-28

    The encapsulation of cytotoxic drugs within liposomes enhances pharmacokinetics and allows passive accumulation within tumors. However, liposomes designed to achieve good stability during the delivery phase often have compromised activity at the target site. This problem of inefficient and unpredictable drug release is compounded by the present lack of low-cost, non-invasive methods to measure such release. Here we show that focused ultrasound, used at pressures similar to those applied during diagnostic ultrasound scanning, can be utilised to both trigger and monitor release of payload from liposomes. Notably, drug release was influenced by liposome composition and the presence of SonoVue® microbubbles, which provided the nuclei for the initiation of an event known as inertial cavitation. In vitro studies demonstrated that liposomes formulated with a high proportion of 1,2 distearoyl-sn-glycero-3-phosphoethanolamine (DSPE) released up to 30% of payload following ultrasound exposure in the presence of SonoVue®, provided that the exposure created sufficient inertial cavitation events, as characterised by violent bubble collapse and the generation of broadband acoustic emissions. In contrast a 'Doxil'-like liposome formulation gave no such triggered release. In pre-clinical studies, ultrasound was used as a non-invasive, targeted stimulus to trigger a 16-fold increase in the level of payload release within tumors following intravenous delivery. The inertial cavitation events driving this release could be measured remotely in real-time and were a reliable predictor of drug release.

  19. Comparison of catalytic activities for photocatalytic and sonocatalytic degradation of organic dye in the presence of ternary Fe3O4/ZnO/CuO magnetic heteregenous nanocatalyst

    NASA Astrophysics Data System (ADS)

    Taufik, Ardiansyah; Saleh, Rosari

    2016-04-01

    The Fe3O4/ZnO/CuO nanocatalyst with various CuO loading were synthesized by sol-gel method and were characterized by powder X-ray diffraction, field emission scanning electron microscopy, energy-dispersive X-ray spectroscopy, UV-Vis spectroscopy, and vibrating sample magnetometry. The findings demonstrate that all samples exhibit ferromagnetic behavior at room temperatureand containa well-crystalline ternary oxide nanocatalyst. Methylene blue was taken as the model of organic dye to evaluate its photocatalytic and sonocatalytic degradation in the presence of Fe3O4/ZnO/CuO nanocatalyst. The observed degradation activity indicate that the order of degradation of methylene blue issonocatalysis> photocatalysis. Fe3O4/ZnO/CuO nanocatalyst with the lowest CuO loading exhibit the highest rate of degradation of methylene blue during the sono- and photocatalytic processes. The experimental data shows that holes are the predominant oxidative species involved in the sono- and photodegradation of methylene blue.

  20. Comparison of catalytic activities for photocatalytic and sonocatalytic degradation of organic dye in the presence of ternary Fe{sub 3}O{sub 4}/ZnO/CuO magnetic heteregenous nanocatalyst

    SciTech Connect

    Taufik, Ardiansyah; Saleh, Rosari E-mail: rosari.saleh@ui.ac.id

    2016-04-19

    The Fe{sub 3}O{sub 4}/ZnO/CuO nanocatalyst with various CuO loading were synthesized by sol-gel method and were characterized by powder X-ray diffraction, field emission scanning electron microscopy, energy-dispersive X-ray spectroscopy, UV-Vis spectroscopy, and vibrating sample magnetometry. The findings demonstrate that all samples exhibit ferromagnetic behavior at room temperatureand containa well-crystalline ternary oxide nanocatalyst. Methylene blue was taken as the model of organic dye to evaluate its photocatalytic and sonocatalytic degradation in the presence of Fe{sub 3}O{sub 4}/ZnO/CuO nanocatalyst. The observed degradation activity indicate that the order of degradation of methylene blue issonocatalysis> photocatalysis. Fe{sub 3}O{sub 4}/ZnO/CuO nanocatalyst with the lowest CuO loading exhibit the highest rate of degradation of methylene blue during the sono- and photocatalytic processes. The experimental data shows that holes are the predominant oxidative species involved in the sono- and photodegradation of methylene blue.

  1. Functional properties of ultrasonically generated flaxseed oil-dairy emulsions.

    PubMed

    Shanmugam, Akalya; Ashokkumar, Muthupandian

    2014-09-01

    This study reports on the functional properties of 7% flaxseed oil/milk emulsion obtained by sonication (OM) using 20 kHz ultrasound (US) at 176 W for 1-8 min in two different delivery formulae, viz., ready-to-drink (RTD) and lactic acid gel. The RTD emulsions showed no change in viscosity after sonication for up to 8 min followed by storage up to a minimum of 9 days at 4±2 °C. Similarly, the oxidative stability of the RTD emulsion was studied by measuring the conjugated diene hydroperoxides (CD). The CD was unaffected after 8 min of ultrasonic processing. The safety aspect of US processing was evaluated by measuring the formation of CD at different power levels. The functional properties of OM gels were evaluated by small and large scale deformation studies. The sonication process improved the gelation characteristics, viz., decreased gelation time, increased elastic nature, decreased syneresis and increased gel strength. The presence of finer sono-emulsified oil globules, stabilized by partially denatured whey proteins, contributed to the improvements in the gel structure in comparison to sonicated and unsonicated pasteurized homogenized skim milk (PHSM) gels. A sono-emulsification process of 5 min followed by gelation for about 11 min can produce gels of highest textural attibutes.

  2. Disegno dello studio genomico, ambientale, microbiomico e metabolomico sulla celiachia: un approccio al futuro della prevenzione personalizzata della celiachia

    PubMed Central

    SERENA, GLORIA; LEONARD, MAUREEN M.; CAMHI, STEPHANIE; HUEDO-MEDINA, TANIA B.; FASANO, ALESSIO

    2017-01-01

    Riassunto Negli ultimi anni abbiamo assistito a un fiorire di novità cliniche e scientifiche sulla celiachia (CE), ma forse la novità più importante che influenzerà il futuro della ricerca e della clinica in questo campo riguarda la storia naturale della malattia. Per molti anni si è creduto che la predisposizione genetica e l’esposizione al glutine fossero necessarie e sufficienti allo sviluppo della CE. Studi recenti, però suggeriscono che la perdita di tolleranza al glutine possa apparire in qualsiasi momento della vita a seguito di altri elementi. Inoltre, diversi fattori ambientali conosciuti per il loro ruolo nell’influenzare la composizione della microflora intestinale sono anche stati considerati legati allo sviluppo della CE. Tra questi fattori sono inclusi la modalità di parto, la dieta dell’infante e l’uso di antibiotici. A tutt’oggi, nessuno studio longitudinale di ampia scala ha determinato se e come la composizione del microbioma e il suo profilo metabolomico possano influenzare la perdita di tolleranza al glutine e il successivo sviluppo della CE in soggetti geneticamente predisposti. In questo articolo descriviamo uno studio prospettico, multicentrico e longitudinale su infanti a rischio per la CE che utilizzerà diverse tecniche per approfondire il ruolo che il microbioma intestinale ha durante i primi passaggi dello sviluppo della malattia autoimmune. PMID:27362724

  3. Effect of the ultrasonic insertion technique on the seating of composite inlays.

    PubMed

    Peutzfeldt, A

    1994-02-01

    The seating of MOD composite inlays was determined before and after cementation with one of three cements of different viscosities. The seating was determined by measuring the axial discrepancy. Inlays were seated by strong finger pressure or by the ultrasonic insertion (USI) technique. The axial discrepancy of luted inlays varied between 115 microns and 472 microns. The axial discrepancy of inlays luted with finger pressure increased with the viscosity of the cement (Duo Cement < Twinlook < Sono-Cem). Inlays luted with the cement of lowest viscosity (Duo Cement) had seating values of similar magnitude irrespective of seating procedure. As compared with luting by finger pressure, use of the USI technique improved the seating of inlays luted with Twinlook and Sono-Cem (the cement of highest viscosity) to such an extent that the values of seating were of the same magnitude as those of inlays luted with Duo Cement. Consequently, the seating of inlays cemented with the USI technique did not depend on the viscosity of the cement.

  4. Sonothrombolysis with BR38 Microbubbles Improves Microvascular Patency in a Rat Model of Stroke

    PubMed Central

    Kampschulte, Marian; Hyvelin, Jean-Marc; Botteron, Catherine; Juenemann, Martin; Yeniguen, Mesut; Krombach, Gabriele A.; Kaps, Manfred; Spratt, Neil J.; Gerriets, Tibo; Nedelmann, Max

    2016-01-01

    Background Early recanalization of large cerebral vessels in ischemic stroke is associated with improved clinical outcome, however persisting hypoperfusion leads to poor clinical recovery despite large vessel recanalization. Limited experimental sonothrombolysis studies have shown that addition of microbubbles during treatment can improve microvascular patency. We aimed to determine the effect of two different microbubble formulations on microvascular patency in a rat stroke model. Methods We tested BR38 and SonoVue® microbubble-enhanced sonothrombolysis in Wistar rats submitted to 90-minute filament occlusion of the middle cerebral artery. Rats were randomized to treatment (n = 6/group): control, rt-PA, or rt-PA+3-MHz ultrasound insonation with BR38 or SonoVue® at full or 1/3 dose. Treatment duration was 60 minutes, beginning after withdrawal of the filament, and sacrifice was immediately after treatment. Vascular volumes were evaluated with microcomputed tomography. Results Total vascular volume of the ipsilateral hemisphere was reduced in control and rt-PA groups (p<0.05), but was not significantly different from the contralateral hemisphere in all microbubble-treated groups (p>0.1). Conclusions Microbubble-enhanced sonothrombolysis improves microvascular patency. This effect is not dose- or microbubble formulation-dependent suggesting a class effect of microbubbles promoting microvascular reopening. This study demonstrates that microbubble-enhanced sonothrombolysis may be a therapeutic strategy for patients with persistent hypoperfusion of the ischemic territory. PMID:27077372

  5. Successful Treatment of Caesarean Scar Pregnancies by Local Treatment Only

    PubMed Central

    Nagata, Chie; Ueno, Kazunori; Ozawa, Nobuaki; Nagaoka, Shinichi; Tanaka, Kei; Sago, Haruhiko; Iwashita, Mitsutoshi

    2017-01-01

    Background. Caesarean scar pregnancy (CSP) is a rare ectopic pregnancy associated with life-threatening complications. To date, no therapeutic protocols have been established. Sono-guided local methotrexate (MTX) injection is a relatively easy and low-invasive treatment. Additional systemic MTX is sometimes needed for CSP cases, especially when β-subunit human chorionic gonadotropin (β-hCG) levels are >20,000 mIU/ml at diagnosis. We report on six cases of CSP treated with local MTX injection, five of which received combined local treatment. Methods. Under intravenous anesthesia, six CSPs including a case with β-hCG levels >20,000 mIU/ml received MTX injection to the gestational sac. Five cases received gestational sac aspiration. Three cases had additional local potassium chloride injection and one case had a saline injection aiming at the fetal heart beat concurrent with MTX injection. MTX was administered weekly if β-hCG levels stayed beyond the expected values. Outcomes. All cases achieved β-hCG normalization without additional systemic MTX, with one case having a successful pregnancy after treatment. Conclusion. Sono-guided local MTX injection with concurrent local treatment might be a potentially effective approach for CSP cases. The accumulation of further cases is necessary to confirm this. PMID:28396687

  6. Comprehensive study of hole injection in non-overlapped implantation n-type MOSFETs

    NASA Astrophysics Data System (ADS)

    Jeng, Erik S.; Fan, Chen-Chia; Peng, Kang-Ming; Chou, Shang-Wei; Chen, Hong-Xiu; Tung, Wei-Jun; Chiang, Kuang-Hao

    2014-09-01

    The promising use of non-overlapped implantation (NOI) n-type MOSFETs as nonvolatile memory (NVM) devices has received considerable interest owing to their simple device structure and compatibility with logic CMOS processing. In NOI n-type MOSFETs, the charge distribution by channel hot electron injection (CHEI) programming markedly differs from that in other charge trapping devices in terms of electron injection distribution. In this study, hot hole injection (HHI) in NOI NVM devices is investigated using Technology Computer Aided Design (TCAD) simulations, measured program/erase speeds, and charge pumping (CP) techniques. Furthermore, HHI efficiency is theoretically deduced and compared with that of silicon-oxide-nitride-oxide-silicon (SONOS) devices. Similar to the results for SONOS device, the lateral fields by VD biases significantly enhance HHI for erasing NOI devices. However, preprogrammed electrons are also dominant in erasing NOI devices. On the basis of the CP results, the hole distribution by HHI in NOI NVM devices strongly correlates with the distribution of preprogrammed electrons.

  7. Introducing ultrasound-guided vein catheterization into clinical practice: A step-by-step guide for organizing a hands-on training program with inexpensive handmade models.

    PubMed

    Di Domenico, S; Licausi, M; Porcile, E; Piaggio, F; Troilo, B; Centanaro, M; Valente, U

    2008-12-01

    Sommario INTRODUZIONE: Il catetererismo venoso centrale (CVC) riveste un ruolo fondamentale nella gestione del paziente ospedalizzato. La tecnica eco-guidata è la metodica che assicura una più elevata percentuale di successo e permette un più sicuro e rapido posizionamento di CVC rispetto alla tecnica tradizionale. Tuttavia, la diffusione di tale metodica è ostacolata dall'assenza di uno specifico training durante i corsi di specializzazione in anestesia e chirurgia. Al fine di introdurre la tecnica eco-guidata, abbiamo organizzato un training producendo e utilizzando modelli in agar. METODI: Sono stati costruiti tre differenti modelli utilizzando contenitori per alimenti, segmenti di laccio emostatico, tubo in silicone e gelatina a base di agar. RISULTATI: Un training specifico per la puntura ecoguidata è stato effettuato utilizzando i modelli prodotti. Il training ha consentito una rapida acquisizione delle basi tecniche per effettuare il posizionamento di CVC eco-guidato. Il costo medio di ogni modello è risultato inferiore a 5 euro. DISCUSSIONE: I modelli prodotti in agar si sono rivelati un utile strumento per acquisire la coordinazione di base necessaria per la puntura eco-guidata. Il loro basso costo ne può permettere una ampia diffusione e può incentivare la realizzazione di nuovi percorsi educativi al fine di introdurre tale tecnica nella pratica clinica.

  8. Renal arteriovenous fistula simulating hydronephrosis: A case report.

    PubMed

    Lusenti, T; Fiorini, F; Barozzi, L

    2011-12-01

    Sommario INTRODUZIONE: Tra le fistole arterovenose (FAV) acquisite vi sono quelle che si formano quale complicanza dell’esecuzione di una biopsia renale. CASO CLINICO: Gli autori riportano il caso di una paziente giunta in ambulatorio di ecografia nefrologica per l’esecuzione di un’ecografia dei reni e delle vie urinarie per un’ipertensione sistolica di I grado di recente insorgenza. Negli esami di laboratorio era presente microematuria con proteinuria <0.5 g/24 ore. La funzionalità renale risultava ai limiti inferiori della norma (FG 58 mL/min secondo la formula MDRD). L’esame ecografico evidenziava una formazione anecogena “arboriforme” centropielica a livello del rene sinistro suggestiva per idronefrosi. Il color Doppler mostrava viceversa presenza di flusso turbolento all’interno dell’area anecogena stessa, con flusso arterioso elevato e arterializzazione del flusso venoso all’analisi spettrale. La successiva angiografia renale selettiva confermava il sospetto ecografico di FAV mediorenale sinistra con pseudoaneurisma, conseguente ad una biopsia renale effettuata più di 10 anni prima presso altro Centro. Essendo la paziente in pieno benessere veniva consigliato un più stretto follow-up clinico-ecografico. DISCUSSIONE: Tra le malformazioni vascolari renali di non rara osservazione sono le FAV. Il caso descritto ribadisce l’importanza dell’impiego dell’eco color Doppler (ECD) nel sospetto di uropatia ostruttiva, per diagnosticare una FAV, specialmente nei pazienti già sottoposti a biopsia renale.

  9. SPITZER observations of luminous obscured Quasars

    NASA Astrophysics Data System (ADS)

    Bellocchi, E.; Pozzi, F.; Fritz, J.; Comastri, A.; Vignali, C.; Mignoli, M.

    2008-10-01

    Si presentano i risultati di uno studio della distribuzione di energia spettrale (SED) di un campione di sorgenti a z = 0.7-2 selezionate in banda 2-10 keV dalla survey HELLAS2XMM, caratterizzate da luminosita` L_(2-10) keV ~ 10^44 erg/sec e densita` di colonna N_H > 10^22 cm^-2 che le distingue come quasar di tipo II (oscurati). Si sono analizzati i dati ottenuti da Spitzer (4 bande IRAC e MIPS a 24 micron). Le SED sono state modellate utilizzando sia templates empirici di quasar di tipo I (Elvis et al. 1994; Richards et al. 2006) con diversi livelli di estinzione, sia un modello teorico (Fritz et al. 2006) in grado di vincolare i parametri fisici piu` importanti del toro stesso (ad esempio, lo spessore ottico del toro, l'angolo con cui viene osservata la sorgente e il covering factor). Per ciascuna sorgente del campione si e` stimata la luminosita` bolometrica nucleare (10^45-10^47 erg/s) e la correzione bolometrica k_(bol,2-10 keV), definita come il rapporto tra la luminosita` bolometrica e la luminosita` misurata in banda 2-10 keV. Infine, si evidenzia come l'utilizzo dei dati MIPS a 70 e 160 micron sia importante nel vincolare ulteriormente il modello di toro e, di conseguenza, nel fornire una migliore stima della luminosita` infrarossa e bolometrica.

  10. A comparison of two questionnaires on Informed Consent for extended criteria liver donors.

    PubMed

    Bruzzone, Paolo; Giannarelli, Diana

    2015-01-01

    Un questionario riguardante il consenso informato del ricevente per i cosiddetti donatori marginali di fegato (“extended criteria donors”-ECD) è stato inviato, previa approvazione del Comitato Etico, via e-mail ai membri di 2 società scientifiche, ELPAT(Ethical,Legal and Psychologic Aspects of Organ Transplantation) ed ELITA (European Liver and Intestine Transplant Association)-ELTR(European Liver Transplant Registry). I risultati sono stati pubblicati in diversi lavori apparsi su Transplantation Proceedings. Analizzando statisticamente le tabelle negli articoli 2011 ELPAT e 2013 ELITA, nel lavoro più recente meno Centri Trapianto di fegato (LTC) hanno considerato l’età fino a 80 anni (p<.002) e SGOT>90 IU (p<.02), o tutti i criteri insieme (p<.0001), come indicatori di donatore marginale. Ciò potrebbe riflettere il fatto che nel tempo i LTC sono divenuti meno selettivi, a causa della crescente mortalità dei pazienti in lista di attesa. Considerando che in tutti i nostri studi abbiamo riscontrato un notevole ricorso agli ECD, è necessario che i pazienti ricevano tutte le informazioni che vogliano richiedere sia al momento dell’iscrizione in lista di attesa, sia quando il fegato di un donatore venga effettivamente loro proposto. E’ anche possibile creare una lista di attesa separata, per pazienti che non accettano ECD: tale scelta però ritarda in modo inevitabile il trapianto e quindi, potenzialmente, aumenta la mortalità in lista di attesa.

  11. [Valutazione delle guardie di sicurezza privata attraverso la Suicide Probability Scale e la Brief Symptom Inventory].

    PubMed

    Dogan, Bulent; Canturk, Gurol; Canturk, Nergis; Guney, Sevgi; Özcan, Ebru

    2016-01-01

    RIASSUNTO. Scopo. Lo scopo di questo studio è stato quello di investigare l'influenza della probabilità di suicidio, con le sue caratteristiche sociodemografiche, e di procurare i dati per la prevenzione del suicidio tra le guardie di sicurezza privata che lavorano in condizioni di stress, essendo a contatto ininterrottamente con eventi negativi e traumatici di vita durante il loro lavoro. Metodi. Hanno partecipato allo studio 200 guardie di sicurezza privata e 200 persone dell'Università di Ankara. Per raccogliere i dati sono stati utilizzati un questionario riguardante le condizioni sociodemografiche dei partecipanti, la Suicide Probability Scale (SPS) e la Brief Symptom Inventory (BSI). Risultati. Genere, stato civile, stipendio, credenze religiose, vivere una situazione di pericolo di vita, passato di tentativi di suicidio, fumare e non avere una malattia cronica hanno causato statisticamente una differenza significativa sui punteggi di SPS tra il gruppo di guardie di sicurezza privata e quello di controllo. In aggiunta, c'è stata una correlazione positiva statisticamente significativa tra i punteggi totali delle sottoscale di SPS e quelli di BSI. Conclusioni. Allo stesso modo degli agenti di polizia e dei gendarmi, le guardie di sicurezza privata sono ad alto rischio di commettere e tentare il suicidio trovandosi in condizioni stressanti di lavoro e anche soffrendo del trauma secondario. È necessario che essi siano consapevoli della propria tendenza al suicidio e avere controlli psichiatrici regolari.

  12. Appendix stump closure with endoloop in laparoscopic appendectomy.

    PubMed

    Caglià, Pietro; Tracia, Angelo; Spataro, Daniele; Borzì, Laura; Lucifora, Bibiana; Tracia, Luciano; Amodeo, Corrado

    2014-01-01

    L’appendicite acuta rappresenta la più comune patologia infiammatoria della cavità adddominale. Mc Burney ne ha per primo descritto il trattamento chirurgico utilizzando la classica incisione nel quadrante addominale inferiore destro. Tale approccio è stato considerato il trattamento standard della patologia appendicolare per più di un secolo, fino all’inizio dell’era video laparoscopica. I rapidi cambiamenti tecnici e gli innegabili vantaggi della procedura videolaparoscopica ha portato ad una ampia diffusione della metodica in ambito clinico. La chiusura del moncone appendicolare, durante l’appendicectomia video laparoscopica, rappresenta uno degli aspetti tecnici fondamentali della procedura per le gravi potenziali complicanze che possono derivare da un suo non appropriato trattamento. Gravi complicanze sono infatti rappresentate da deiscenza, fistole stercoracee e peritonite. La chiusura con endostapler, hem-o-look e legatura intracorporea rappresentano le metodiche più comunemente utilizzate. Tutte le alternative descritte presentano vantaggi e svantaggi e vanno rapportate ai diversi stadi clinici della patologia appendicolare. Va inoltre notato che le differenti metodiche di trattamento del moncone appendicolare non sono state testate in studi randomizzati. In base alla nostra esperienza si può affermare che il trattamento del moncone appendicolare con endoloop può essere utilizzato con sicurezza e dovrebbe essere considerata la metodica di scelta anche in relazione al rapporto costo-beneficio. Metodi alternativi di chiusura del moncone appendicolare andrebbero utilizzati in caso di appendicite flemmonosa o gangrenosa, ascesso peritiflitico e/o contemporaneo trattamento di diverticolo di Meckel.

  13. On sizing and counting of microbubbles using optical microscopy.

    PubMed

    Sennoga, Charles A; Mahue, Veronique; Loughran, Jonathan; Casey, Jonathan; Seddon, John M; Tang, Mengxing; Eckersley, Robert J

    2010-12-01

    Intra- and interobserver (n = 3) variability of sizing and counting microbubbles using optical microscopy (OM) was assessed. The system was calibrated using standardised mono-disperse and poly-disperse microspheres. Results of the calibration show intraobserver variations of number count (C) = 13.0% and arithmetic mean size (MS) = 0.2%, and interobserver variations of C = 18.4% and MS = 0.6%, for the mono-disperse microspheres. For the poly-disperse microspheres, intraobserver variations were: C = 6.9% and MS = 0.8%, and interobserver: C = 10.5% and MS = 0.3%. For SonoVue™ the intraobserver variations were: C = 23.3% and MS = 8.0%, and interobserver C = 6.8% and MS = 3.8%. The results suggest that the higher values of the intraobserver variation for SonoVue™ arise from the natural decay of microbubbles over time. This article presents a detailed protocol and outlines potential pitfalls in our approach. These results are in general agreement with those previously reported and compare well with known size distributions. Copyright © 2010 World Federation for Ultrasound in Medicine & Biology. Published by Elsevier Inc. All rights reserved.

  14. Technical and social challenges of laparoscopic appendectomy performed in a rural setting.

    PubMed

    Kucuk, Gultekin Ozan

    2015-01-01

    Lo studio illustra i dettagli tecnici e sociali delle difficoltà da affrontare nell’adozione dell’appendicectomia laparoscopica in un ospedale periferico in ambiente rurale, e suggerisce le soluzioni, includendo la casistica nell’intervallo tra aprile 2009 e dicembre 2010, di cui sono analizzati le caratteristiche demografiche, i reperti operatori ed i risultati. La casistica si riferisce a 51 pazienti (28 uomini e 23 donne) sottoposti ad appendicectomia laparoscopica, di età media di 23 anni (tra 13 e 74 anni). In media l’intervento ha richiesto 45 minuti (tra 20 e 75 minuti). La base appendicolare è stata trattata con endoloop in 4 casi (7,8%) o per nodo intracorporeo in 46 casi (90,2%); in un caso la base è stata suturata. In 20 casi (39,2%) si sono dovute fronteggiare difficoltà tecniche, ed in un paziente (2%) si è fatto ricorso alla conversione al trattamento laparotomico. La degenza postoperatoria è stata di 2.4 ± 0.8 giorni, ed in un paziente (2%) si è sviluppato un ascesso intra-addominale. In conclusione la appendicectomia laparoscopica può essere adottata con sicurezza in ambiente rurale, anche se si tratta di casi complicati. Si discutono alcune difficoltà tecniche e sociali da affrontare, e le soluzioni adottate.

  15. Improving the sludge disintegration efficiency of sonication by combining with alkalization and thermal pre-treatment methods.

    PubMed

    Şahinkaya, S; Sevimli, M F; Aygün, A

    2012-01-01

    One of the most serious problems encountered in biological wastewater treatment processes is the production of waste activated sludge (WAS). Sonication, which is an energy-intensive process, is the most powerful sludge pre-treatment method. Due to lack of information about the combined pre-treatment methods of sonication, the combined pre-treatment methods were investigated and it was aimed to improve the disintegration efficiency of sonication by combining sonication with alkalization and thermal pre-treatment methods in this study. The process performances were evaluated based on the quantities of increases in soluble chemical oxygen demand (COD), protein and carbohydrate. The releases of soluble COD, carbohydrate and protein by the combined methods were higher than those by sonication, alkalization and thermal pre-treatment alone. Degrees of sludge disintegration in various options of sonication were in the following descending order: sono-alkalization > sono-thermal pre-treatment > sonication. Therefore, it was determined that combining sonication with alkalization significantly improved the sludge disintegration and decreased the required energy to reach the same yield by sonication. In addition, effects on sludge settleability and dewaterability and kinetic mathematical modelling of pre-treatment performances of these methods were investigated. It was proven that the proposed model accurately predicted the efficiencies of ultrasonic pre-treatment methods.

  16. [Ecological study on the mortality of residents in Manfredonia (Apulia Region, Southern Italy) from 1970 to 2013].

    PubMed

    Gianicolo, Emilio Antonio Luca; Mangia, Cristina; Cervino, Marco; Bruni, Antonella; De Marchi, Bruna; Biggeri, Annibale; Porcu, Rosa; Vigotti, Maria Angela

    2016-01-01

    OBIETTIVI: valutare lo stato di salute della popolazione residente nel comune di Manfredonia dal 1970 al 2013. DISEGNO: analisi descrittiva dell'andamento temporale della mortalità generale, per gruppi di cause, dal 1970 al 2013. SETTING E PARTECIPANTI: i dati di mortalità e le popolazioni residenti sono di fonte Istat. Sono state esaminate 55 cause di decesso. Le analisi sono disaggregate per sesso e periodo. PRINCIPALI MISURE DI OUTCOME: sono stati elaborati i rapporti standardizzati di mortalità (SMR%), con i rispettivi intervalli di confidenza al 90% (IC90%), e i tassi di mortalità standardizzati col metodo diretto (TSD ). RISULTATI: lo stato di salute misurato dal tasso di mortalità per tutte le cause migliora nel tempo: i TSD passano da 92 x10.000 negli anni 1970-1974 a 52 x10.000 nel biennio 2012-2013 negli uomini, da 70 x10.000 a 39 x10.000 nelle donne. Tuttavia, rispetto alla media regionale Manfredonia perde progressivamente il suo vantaggio, passando da -20% a -10% negli uomini, e da -20% a +1,5% nelle donne. Questo andamento è molto evidente per il complesso delle cause cardiovascolari, mentre i tumori maligni sono in generale nella media regionale. Nell'ultimo periodo disponibile per causa di decesso (2006-2011), la mortalità per infarto miocardico è stata più alta della media regionale (uomini: +35%; donne: +54%). I rapporti standardizzati di mortalità (SMR) mostrano tra gli uomini valori in crescita, in particolar modo rispetto al riferimento provinciale, con un eccesso a cominciare dal periodo 2006-2011 (22 decessi/anno e 19 attesi; SMR%: 117,2; IC90% 101,1-135,2; riferimento: provincia di Foggia). Anche tra le donne gli SMR% superano i riferimenti provinciali negli ultimi periodi esaminati (nel 2012-2013: 7 decessi/ anno e 4,2 attesi; SMR%: 116,4; IC90% 97,0-260,7; riferimento: provincia di Foggia). CONCLUSIONI: la mortalità a Manfredonia è diminuita in misura minore rispetto a quella osservata nei riferimenti provinciali e regionali

  17. Polypoid anal melanoma. A case report and review of the literature.

    PubMed

    Tutino, Roberta; Clerico, Giuseppe; Luc, Alberto Realis; Gallo, Gaetano; Trompetto, Mario

    2016-11-12

    Il melanoma ano-rettale è una patologia rara, rappresentando l’1% dei tumori anali e lo 0.4-1.6% dei melanomi. I suoi sintomi sono simili a quelli delle più comuni malattie benigne della regione anorettale, portando spesso a diagnosi in stadi avanzati, in particolare se la sede del tumore è a livello del canale anale. In ogni caso la prognosi del melanoma anorettale rimane severa con una sopravvivenza a 5 anni che non supera il 22% negli stadi più precoci. La letteratura presenta saltuarie serie monocentriche ed alcuni case report e a tutt’oggi non vi sono linee-guida per il suo management. La classificazione più usata divide la malattia in tre stadi a seconda del coinvolgimento o meno dei linfonodi regionali e della presenza di metastasi a distanza. Un’analisi di popolazione ha mostrato una sopravvivenza a 5 anni del 17%, 18% e 5% rispettivamente per i tre stadi di malattia dopo chirurgia e dello 0%, 0% e 4% in assenza di trattamento. La risonanza magnetica e l’ecoendoscopia sono utili per la valutazione di operabilità locale mentre la TAC e la PET sono indicati per la valutazione di eventuali metastasi a distanza. I fattori di rischio per recidiva sono l’invasione perineurale, la necrosi tumorale, dimensioni superiori a 2 cm ed un’istologia con cellule fusate o miste. I protocolli poli-chemioterapici utilizzati sinora per il melanoma anorettale hanno purtroppo portato a risultati meno soddisfacenti di quelli ottenuti nel trattamento del melanoma cutaneo. La mutazione del c-KIT ed i trattamenti con i suoi inibitori sembrano dimostrare risultati promettenti mentre la radioterapia non sembra attualmente rivestire alcun ruolo terapeutico rilevante. Abbiamo riportato il caso di una donna di 55 anni visitata presso un ambulatorio di coloproctologia per rettorragia saltuaria ed un dolore anale che ha reso impossibile la valutazione clinica locale. La valutazione in anestesia ha rivelato la presenza di una massa polipoide di colorito brunastro del

  18. Factors associated with poor sleep quality in women with cancer.

    PubMed

    Mansano-Schlosser, Thalyta Cristina; Ceolim, Maria Filomena

    2017-03-02

    Ecuaciones de Estimación Generalizada. la depresión y el dolor contribuyeron para el aumento del puntaje del Índice de Calidad del Sueño de Pittsburgh y la esperanza para la reducción del puntaje, de manera independiente, a lo largo del seguimiento. Los trastornos del sueño fueron el componente con puntuación más elevada, a lo largo del seguimiento. la presencia de la depresión y del dolor, previos a la cirugía, contribuyeron para el aumento del puntaje global del Índice de Calidad del Sueño de Pittsburgh, lo que indica peor calidad del sueño, a lo largo del seguimiento y, la mayor esperanza, a su vez, influenció en la reducción del puntaje del Índice de Calidad del Sueño de Pittsburgh. analisar os fatores associados à má qualidade do sono, suas características e componentes em mulheres com câncer de mama antes da cirurgia de retirada do tumor e ao longo do seguimento. estudo longitudinal, em hospital universitário com amostra de 102 mulheres. Foram utilizados: questionário de caracterização sociodemográfica e clínica, Índice de Qualidade do Sono de Pittsburgh; Inventário de Depressão de Beck; Escala de Esperança de Herth. Coleta compreendeu antes da cirurgia de retirada do tumor (T0) em T1, em média 3,2 meses; T2, em média 6,1 meses; T3, em média 12,4 meses. Utilizou-se estatística descritiva e o modelo de Equações de Estimação Generalizada. a depressão e a dor contribuíram para o aumento do escore do Índice de Qualidade de Sono de Pittsburgh, e a esperança, para a redução do escore, de maneira independente, ao longo do seguimento. Os transtornos do sono foram o componente com pontuação mais elevada, ao longo do seguimento. a presença de depressão e de dor, previamente à cirurgia, contribuiu para o aumento do escore global do Índice de Qualidade do Sono de Pittsburgh, o que indica pior qualidade do sono, ao longo do seguimento e, a maior esperança, por sua vez, influenciou na redução do escore do Índice de Qualidade do

  19. Calibrazioni a terra e prestazioni in volo di spettrometri ad immagine nel visibile e nel vicino infrarosso per l'esplorazione planetaria

    NASA Astrophysics Data System (ADS)

    Filacchione, Gianrico

    2006-10-01

    Nel corso dell’ultimo decennio l’esplorazione planetaria ha potuto beneficiare dei dati prodotti dagli spettrometri ad immagine: grazie a questa nuova classe di strumenti, realizzati per l’osservazione in remoto di superfici ed atmosfere planetarie, è possibile acquisire dati iperspettrali con elevati poteri risolutivi spaziali e spettrali. Il principale vantaggio offerto dagli spettrometri ad immagine, rispetto alle camere ed agli spettrometri puntuali, è rappresentato dalla capacità di misurare, identificare e mappare le unità composizionali delle superfici planetarie; queste informazioni permettono di investigare sia l’evoluzione geochimica delle superfici sia la dinamica e la composizione delle atmosfere. Sebbene i primi spettrometri ad immagine siano stati francesi (Phobos/ISM, Imaging Spectrometer for Mars) e statunitensi (Galileo/NIMS, Near Infrared Mapping Spectrometer), il nostro paese nel corso degli ultimi anni è stato in grado di proporre alla com unità spaziale internazionale degli strumenti dalle elevate prestazioni che sono stati infatti accettati come payload scientifici su diverse missioni interplanetarie: dai canali visibili di VIMS (Visual and Infrared Mapping Spectrometer) su Cassini (Nasa, JPL, ESA, ASI) e di OMEGA (Observatoire pour la Minéralogie, l’Eau, les Glacies et l’Activitè de Mars) su MarsExpress (ESA) ai due VIRTIS (Visible and Infrared Thermal Imaging Spectrometer) su Rosetta (ESA) e VenusExpress (ESA) fino a VIR-MS (Visible and Infrared Mapping Spectrometer) su Dawn (Nasa). In questo momento inoltre altri due spettrometri sono in avanzata fase di studio: JIRAM (Jovian InfraRed Auroral Mapper) su Juno (missione New Discovery Nasa) e VIHI (Visible and Infrared Hyperspectral Imager) integrato nel payload italiano di remote sensing SIMBIO-SYS di BepiColombo (missione cornerstone ESA). La realizzazione di uno spettrometro ad immagini da utilizzare su una missione interplanetaria richiede un’accurata analisi in fase

  20. PPH vs Milligan-Morgan: early and late complications in the treatment of haemorrhoidal disease with circumferential prolapse.

    PubMed

    Sammarco, Giuseppe; Ferrari, Francesco; Carpino, Antonio; Russo, Emilio; Vescio, Giuseppina; Ammendola, Michele; Sacco, Rosario

    2013-07-23

    In questo studio osservazionale retrospettivo abbiamo confrontato le complicanze post-operatorie tardive e precoci di pazienti affetti da malattia emorroidaria con prolasso circonferenziale (P4-E4 secondo la classificazione PATE 2000) sottoposti ad intervento chirurgico con tecnica Milligan-Morgan (variante laser a fibre ottiche) e con tecnica PPH-Stapler. Nello studio sono stati inclusi 160 pazienti sottoposti a trattamento chirurgico tra gli anni 2001 e 2007. Il gruppo A è composto da 80 pazienti (50 maschi; 30 femmine; età media di 39; range 23-57 anni) trattati con tecnica Milligan-Morgan (variante laser a fibre ottiche); il gruppo B composto da 80 pazienti (58 maschi; 22 femmine; età media di 40; range 23-60 anni) trattati con tecnica PPH-Stapler. Le complicanze precoci sono state eventi trombotici (6 casi in M-M vs 1 in PPH) e ritenzione urinaria (13 MM vs 5 PPH) senza casi di sepsi. Le complicanze tardive invece sono state: sanguinamento occasionale del 13.5 % nel gruppo M-M vs 10 % nel gruppo PPH; incontinenza alla defecazione 2.5 % (M-M-group) vs 5% (PPH-group) con p < 0.1; dolore persistente 2.5 % (MM) vs 5 % (PPH) con p < 0.1; soiling 18.75 % (MM) vs 0 % (PPH) con p < 0.001; eventi ricorrenti 5 % nel gruppo PPH vs 0 % in M-M (p < 0.05); residuo di malattia 7.5 % nel gruppo M-M vs 0 % in PPH con p < 0.01. In conclusione, dai nostri dati osservati, la tecnica PPHStapler risulta essere più indicata della tecnica Milligan- Morgan per il trattamento chirurgico del prolasso emorroidario nonostante possa essere seguita da gravi complicanze con una specifica indicazione però nella malattia emorroidaria con prolasso circonferenziale tipo P4- E4. Nella malattia emorroidaria con uno o più noduli invece, crediamo sia più indicato un trattamento chirurgico con tecnica Milligan-Morgan (variante laser a fibre ottiche).

  1. [Health expenditure for prevention in Italy (2006-2013): descriptive analysis, regional trends and international comparisons].

    PubMed

    Signorelli, Carlo; Odone, Anna; Bianco, Daniela; Di Vivo, Natalia; Bevere, Francesco

    2016-01-01

    Il dato dell'Organizzazione per la cooperazione e lo sviluppo economico (OCSE) del 2012, che indicava l'Italia come il Paese con la più bassa spesa in prevenzione sanitaria, ha dato lo spunto per una raccolta sistematica e un'analisi critica dei flussi disponibili sulla spesa per le attività di prevenzione in Italia. Le statistiche correnti di spesa sanitaria sono raccolte centralmente dall'Agenzia nazionale per i servizi sanitari regionali (Agenas) attraverso i modelli di rilevazione dei costi dei livelli essenziali di assistenza (LEA) delle aziende USL. Le tre macroaree dei LEA sono: assistenza distrettuale, assistenza ospedaliera e assistenza sanitaria collettiva in ambiente di vita e di lavoro. Le spese per la prevenzione rientrano in quest'ultima e sono ripartite nelle seguenti voci: attività di prevenzione rivolte alle persone, igiene degli alimenti e della nutrizione, igiene e sanità pubblica, prevenzione e sicurezza negli ambienti di lavoro, sanità pubblica veterinaria, attività medico-legale per finalità pubblica. Tra il 2006 e il 2013, ultimo dato disponibile, la spesa per le attività di prevenzione del Servizio sanitario nazionale (SSN) è rimasta costante in rapporto alla spesa sanitaria totale (4,2%), pari a 4,9 miliardi nel 2013. Nel periodo di studio considerato (2006-2013) appaiono in aumento le spese per le attività rivolte alle persone (+8,7%), attribuibili soprattutto a vaccinazioni e screening, e in diminuzione le attività di igiene pubblica (-5,7%) e quelle della sanità pubblica veterinaria (-3,8%). I confronti internazionali indicano una spesa per la prevenzione del 2,9% rispetto alla spesa sanitaria totale, costante negli anni e nella media dei Paesi OCSE. Per la prevenzione, l'Italia spende tanto quanto i Paesi che non possiedono un servizio sanitario pubblico; il dato risulta inferiore del 5% rispetto alla programmazione nazionale, con poche eccezioni e molta variabilità regionale all'interno delle componenti delle voci di spesa

  2. The lifetime and attenuation properties measurements of a US/MR multimodality molecular probe.

    PubMed

    Liao, Ai-Ho; Shen, Che-Chou; Cheng, Chih-Hao; Chuang, Ho-Chiao; Lin, Chin-Hsiang

    2013-01-01

    In our previous studies we explored the potential of using a combined US/magnetic resonance (MR) multimodality contrast agent, albumin-gadolinium-diethylenetriaminepentacetate (Gd-DTPA) MBs, to induce BBB opening and for distinguishing between FUS-induced BBB opening and intracerebral hemorrhage in MR T1-weighted contrast imaging. According to the previous study in the literature, 1-2 µm bubbles have more pronounced acoustic activity at frequencies above 10 MHz. The present study developed a new targeted US/MR multimodality MB and the acoustic properties were compared with two commercial MBs, SonoVue and Targestar SA. The acoustic activities of these 1.15-2.78 µm MBs with different shells at 10 MHz were investigated. The feasibility of designing a new targeted US/MR multimodality MB was investigated. The lifetime (survival of MBs in the liquid suspension) and attenuation properties of lipid MBs (SonoVue and Targestar SA), albumin-(Gd-DTPA) MBs, and avidin-conjugated albumin (avidin-albumin)-(Gd-DTPA) MBs at 10 MHz were investigated with the pulse-echo substitution method. It was found that incorporating avidin into the albumin MBs and avidin-albumin-(Gd-DTPA) MBs affects the size distribution but does not affect the concentration of MBs produced. The avidin-albumin-shelled MBs had more significant nonlinear activity at 4-18 MHz (p=0.025), while the nonlinear activity of the other MBs peaked at 6-24 MHz (p=0.003-0.044). Moreover, the incorporation of paramagnetic metal ions into the MB shells increased their attenuation coefficients. With regard to the lifetime of these agents, the attenuations of the SonoVue and Targestar SA lipid MBs were 87.96% and 8.74%, respectively, while those of albumin MBs, avidin-albumin MBs, albumin-(Gd-DTPA) MBs, and avidin-albumin-(Gd-DTPA) MBs were 49.52%, 41.38%, 74.69%, and 100%, respectively. Avidin conjugation decreased the lifetime of the albumin MBs, but not that of the lipid MBs. The incorporation of paramagnetic metal ions

  3. Evaluation of surgery risk factor associated to antithrombotic therapy in patients who underwent colorectal surgery.

    PubMed

    Del Rio, Paolo; Sozzi, Francesco; Bertocchi, Elisa; Dell'Abate, Paolo; Perrone, Gennaro; Arcuri, Maria Francesca; Sianesi, Mario

    2016-01-01

    I trattamenti antipiastrinici sono comuni nel mondo occidentale ed il rischio di sanguinamento correlato a procedure chirurgiche o comunque invasive è di conseguenza elevato e pertanto abbiamo volute analizzare la correlazione tra la chirurgia del colon.retto ,la terapia antipiastrinica e le complicanze chirurgiche postoperatorie. Sono stati studiati 176 pazienti operati per tumori del colon-retto considerando i seguenti dati:tipo di intervento xchirurgico,l’indice di massa corporea (BMI), il valore dell’emoglobina (Hb); PT preoperatorio e le trasfusioni di sangue pre epost-operatorie e durante lo stesso intervento chirurgico. L’analisi si è concentrata su due gruppi :pazienti sottoposti a trattamento antipiastrinico (ATterapia antiaggregante) e pazienti non trattati ( NAT: non terapia antiaggregante piastrinica). Nei gruppi di pazienti sottoposti a emicolectomia destra, i valori di emoglobina erano più bassi neri pazienti che hanno ricevuto la terapia antitrombotica rispetto ai pazienti che non hanno ricevuto questa terapia, con una significatività statistica (p <0,05); dati analoghi sono stati osservati nei pazienti sottoposti a emicolectomia sinistra. I pazienti dipeso normale trattati con terapia antiaggregante avevano valori più bassi di emoglobina senza significatività statistica (valore di p non significativo). I pazienti in sovrappeso sottoposti a trattamento antiaggregante hanno presentato valori di Hb inferiori a quelli non trattati (p < 0,05). La percentuale di emotrasfusioneè risultata maggiore nei pazienti sottoposti a trattamento antiaggregante (AT) a prescindere dal tipo di interveno chirurgico rispetto al secondo gruppo con significatività statistica. Tra i pazienti normopeso si è registrata una diversa incidenza di trasfusione di sangue nei pazienti trattati con AT (50%) e quelli non trattati (29%) con un significato statistico (p <0,05), mentre i pazienti in sovrappeso non hanno presenato questa significativa differenza. È stata

  4. Introduction of a treatment algorithm can improve the early management of emergency patients in the resuscitation room.

    PubMed

    Bernhard, Michael; Becker, Torben K; Nowe, Tim; Mohorovicic, Marko; Sikinger, Marcus; Brenner, Thorsten; Richter, Goetz M; Radeleff, Boris; Meeder, Peter-Jürgen; Büchler, Markus W; Böttiger, Bernd W; Martin, Eike; Gries, André

    2007-06-01

    Successful management of emergency patients with multiple trauma in the hospital resuscitation room depends on the immediate diagnosis and rapid treatment of the most life-threatening injuries. In order to reduce the time spent in the resuscitation room, an in-hospital algorithm was developed in an interdisciplinary team approach with respect to local structures. The aim of the study was to analyse whether this algorithm affects the interval between hospital admission and the completion of diagnostic procedures and the start of life-saving interventions. Moreover, in-hospital mortality was investigated before and after the algorithm was introduced. In this prospective study, all consecutive trauma patients in the resuscitation room were investigated before (group I, 01/04-10/04) and after (group II, 01/05-11/05) introduction of the algorithm. The times between hospital admission and the end of the diagnostic procedures (ultrasound [sono], chest X-ray [CF], and cranial computed tomography [CCT]), and between hospital admission and the start of life-saving interventions were registered and in-hospital mortality analysed. In the study period, 170 patients in group I and 199 patients in group II were investigated. Injury severity score (ISS) were comparable between the two groups. The intervals between admission and completion of diagnostic procedures were significantly lower after the algorithm was introduced (mean+/-S.D.): sono (11 +/- 10 min versus 7 +/- 6 min, p < 0.05), CF (21 +/- 12 min versus 12 +/- 9 min, p < 0.01), and CCT (55 +/- 27 min versus 32 +/- 14 min, p < 0.01). Moreover, the interval to the start of life-saving interventions was significantly shorter (126 +/- 90 min versus 51 +/- 20 min, p < 0.01). After introducing the algorithm, in-hospital mortality was reduced significantly from 33.3% to 16.7% (p < 0.05) in the most severely injured patients (ISS>or=25). The introduction of an algorithm for early management of emergency patients significantly

  5. Aortic valve replacement in a patient with ostegenesis imperfecta A case report.

    PubMed

    Concistrè, Giovanni; Casali, Giovanni; Della Monica, Paola Lilla; Montalto, Andrea; Ranocchi, Federeico; Fiorani, Brenno; Musumeci, Francesco

    2014-01-01

    L’Osteogenesi Imperfecta (OI) è un’alterazione ereditaria del tessuto connettivo in cui l’estrema fragilità ossea causa fratture. La dilatazione aneurismatica della radice aortica, l’insufficienza valvolare aortica ed il prolasso mitralico sono rare manifestazioni cardiovascolari di OI. L’intervento cardiochirurgico in questi pazienti può presentare importanti complicanze legate alla incrementata fragilità tissutale e capillare. Noi riportiamo un caso di chirurgia a cuore aperto in una donna con insufficienza valvolare aortica isolata secondaria ad OI. Il decorso postoperatorio è stato privo di complicanze maggiori e la paziente è stata dimessa presso propria abitazione in ottava giornata postoperatoria. È stata seguita con controlli frequenti per un anno. Nonostante la fragilità tissutale non abbia avuto impatto sul decorso postoperatorio, bisogna sempre tenere in considerazione la possibilità di eventi avversi nei pazienti con tale disordine connettivale. È necessario pertanto una meticolosa tecnica chirurgica che possa anticipare possibili complicanze postoperatorie.

  6. New Polysilicon-Oxide-Nitride-Oxide-Silicon Electrically Erasable Programmable Read-only Memory Device Approach for Eliminating Off-Cell Leakage Current

    NASA Astrophysics Data System (ADS)

    Lin, Jyh-Kuang; Chang, Chun-Yen; Huang, Heng-Sheng; Chen, Kun-Luh; Kuo, Dah-Chih

    1994-05-01

    A new polysilicon-oxide-nitride-oxide-silicon (SONOS) electrically erasable programmable read-only memory (EEPROM) device, which eliminated off-cell leakage current, has been described and fabricated. The leakage current is easily encountered in metal-nitride-oxide-silicon (MNOS)-type EEPROMs. Two parasitic transistors, which are in parallel with the desired variable V t cell, are responsible for the leakage current. We demonstrated that the parasitic transistors are caused either by the nearly constant-threshold-voltage parasitic transistors surrounding the active region or by the “fringing effect” in poly-Si gate edges. The on-state and off-state I-V curves of the cell are shown and compared with those of two other different devices. The results reveal that the off-cell leakage current, which is observed in the other two devices, is completely eliminated in the proposed cell.

  7. Application of fluorescence spectroscopy and multispectral imaging for non-invasive estimation of GFP transfection efficiency

    NASA Astrophysics Data System (ADS)

    Tamošiūnas, M.; Jakovels, D.; Lihačovs, A.; Kilikevičius, A.; Baltušnikas, J.; Kadikis, R.; Šatkauskas, S.

    2014-10-01

    Electroporation and ultrasound induced sonoporation has been showed to induce plasmid DNA transfection to the mice tibialis cranialis muscle. It offers new prospects for gene therapy and cancer treatment. However, numerous experimental data are still needed to deliver the plausible explanation of the mechanisms governing DNA electro- or sono-transfection, as well as to provide the updates on transfection protocols for transfection efficiency increase. In this study we aimed to apply non-invasive optical diagnostic methods for the real time evaluation of GFP transfection levels at the reduced costs for experimental apparatus and animal consumption. Our experimental set-up allowed monitoring of GFP levels in live mice tibialis cranialis muscle and provided the parameters for DNA transfection efficiency determination.

  8. [Cross-sectional study on the determinants of work stress for nurses and intention of leaving the profession].

    PubMed

    Romano, Marina; Festini, Filippo; Bronner, Leonardo

    2015-01-01

    INTRODUZIONE. Lo stress occupazionale è una delle principali cause di malattie professionali e di assenze da lavoro e genera costi sanitari e sociali molto elevati; la comprensione del problema è stata l'obiet- tivo di numerosi studi. Monitorare lo stress negli infermieri può essere uno strumento per chi ha la responsabilità della gestione delle risorse umane nel sistema sanitario. La ricerca infermieristica italiana si è occupata solo marginalmente di stress lavorativo infermieristico. Gli obiettivi di questo studio sono dunque: stimare la prevalenza di stress tra gli infermieri di tre ospedali, in modo da disporre di dati epidemiologici per valutare la necessità di interventi di prevenzione e di trattamento del fenomeno; analizzare eventuali fattori di rischio e fattori protettivi in modo da progettare interventi preventivi mirati.

  9. Sonocatalytic and sonophotocatalytic activity of ternary Fe3O4/CeO2/ZnO for waste water removal

    NASA Astrophysics Data System (ADS)

    Harno, F. F.; Taufik, A.; Saleh, R.

    2017-07-01

    In this study, CeO2 nanoparticles were modified by Fe3O4 and ZnO to enhance their sono- and sonophotocatalytic activity for degrading Methylene Blue dye pollutant. The molar ratio between Fe3O4, CeO2, and ZnO was 0.05:1:1, 0.1:1:1, 0.3:1:1, 0.5:1:1. The ternary Fe3O4/CeO2/ZnO nanocomposites with various molar ratios were fabricated by the sol-gel method. The structure of ternary Fe3O4/CeO2/ZnO nanocomposites was investigated by XRD Diffraction, while the surface area was investigated by Brunauer-Emmett-Teller (BET). The conditions such as the molar ratio, catalyst dosage, and scavengers were investigated to see the degradation of Methylene Blue under ultrasonic and combination of ultrasonic and ultraviolet irradiations, simultaneously.

  10. BIOCOMPATIBLE FLUORESCENT MICROSPHERES: SAFE PARTICLES FOR MATERIAL PENETRATION STUDIES

    SciTech Connect

    Farquar, G; Leif, R

    2009-07-15

    Biocompatible polymers with hydrolyzable chemical bonds have been used to produce safe, non-toxic fluorescent microspheres for material penetration studies. The selection of polymeric materials depends on both biocompatibility and processability, with tailored fluorescent properties depending on specific applications. Microspheres are composed of USFDA-approved biodegradable polymers and non-toxic fluorophores and are therefore suitable for tests where human exposure is possible. Micropheres were produced which contain unique fluorophores to enable discrimination from background aerosol particles. Characteristics that affect dispersion and adhesion can be modified depending on use. Several different microsphere preparation methods are possible, including the use of a vibrating orifice aerosol generator (VOAG), a Sono-Tek atomizer, an emulsion technique, and inkjet printhead. Applications for the fluorescent microspheres include challenges for biodefense system testing, calibrants for biofluorescence sensors, and particles for air dispersion model validation studies.

  11. Sleep, quality of life and mood of nursing professionals of pediatric intensive care units.

    PubMed

    Guerra, Priscilla Caetano; Oliveira, Nilton Ferraro; Terreri, Maria Teresa de Sande E Lemos Ramos Ascensão; Len, Claudio Arnaldo

    2016-04-01

    To assess sleep, quality of life and mood of nursing professionals of pediatric intensive care units. Quantitative, cross-sectional and descriptive study. Professionals grouped by morning, afternoon and evening shifts were assessed by means of the instruments: Morningness-Eveningness Questionnaire; Pittsburgh Sleep Quality Index; Epworth Sleepiness Scale; Generic questionnaire for the assessment of quality of life (SF-36); Beck Depression Inventory; Beck Anxiety Inventory; State-Trait Anxiety Inventory. Sample consisted of 168 professionals, with prevalence of neutral typology (57.49%). There was no statistical significance regarding sleep, despite scores showing a poor quality of sleep and excessive daytime sleepiness for the three shifts. Quality of life did not reveal any statistical significance, but in the field "social role functioning" of the evening shift, a lower score was observed (p<0.007). There was no statistical significance regarding levels of anxiety and depression. The results suggest that these professionals may present sleeping problems, but they do not have lower scores of quality of life or mood disorders. Likely explanations for these findings may include an adaptation to their work type over time and the fact that working with children is rewarding. Avaliar sono, qualidade de vida e humor em profissionais de enfermagem em Unidades de Terapia Intensiva Infantil. Estudo quantitativo, transversal e descritivo. Profissionais agrupados por turnos matutino, vespertino e noturno foram avaliados pelos instrumentos: Questionário de identificação Matutinidade-Vespertinidade; Índice de qualidade do sono de Pittsburgh; Escala de sonolência Epworth; Questionário genérico de avaliação de qualidade de vida - SF-36; Inventário de depressão de Beck; Inventário de ansiedade de Beck; Inventário de ansiedade Traço-Estado. Amostra composta por 168 profissionais, predominando tipologia neutra, 57,49%. Não houve significância estatística quanto ao

  12. Results from On-Orbit Testing of the Fram Memory Test Experiment on the Fastsat Micro-Satellite

    NASA Technical Reports Server (NTRS)

    MacLeod, Todd C.; Sims, W. Herb; Varnavas, Kosta A.; Ho, Fat D.

    2011-01-01

    NASA is planning on going beyond Low Earth orbit with manned exploration missions. The radiation environment for most Low Earth orbit missions is harsher than at the Earth's surface but much less harsh than deep space. Development of new electronics is needed to meet the requirements of high performance, radiation tolerance, and reliability. The need for both Volatile and Non-volatile memory has been identified. Emerging Non-volatile memory technologies (FRAM, C-RAM,M-RAM, R-RAM, Radiation Tolerant FLASH, SONOS, etc.) need to be investigated for use in Space missions. An opportunity arose to fly a small memory experiment on a high inclination satellite (FASTSAT). An off-the-shelf 512K Ramtron FRAM was chosen to be tested in the experiment.

  13. Sub-Saharan Africa Report No. 2639.

    DTIC Science & Technology

    2007-11-02

    iieny smpuIP with th w vies AA. *A de ilb ,4~nIIm behSeIagf the ebe.oakumese of the .GE I ~ev .Aso n6 th mesmems adE td ~ pazedpet~aa is tbe ’A"’sa...Iitete" * t book m end PON Noweve the DO Wi" td iv be Ieiuloe Rowd a owad thus ma wslabe the7oi bweawss was of after a 0#146M. * Je objec- tarbir Mr...sono st 7h 0% "Wastion aged to nush td when societs is appels of of -tb conr ria thnthat "ue amain" " wowth board I sohea Ip -o.ot both be-sadta Ma l

  14. Variation of Threshold Voltage and ON-Cell Current Caused by Cell Gate Length Fluctuation in Virtual Source/Drain NAND Flash Memory

    NASA Astrophysics Data System (ADS)

    Kim, Wandong; Kim, Yoon; Park, Se Hwan; Seo, Joo Yun; Kim, Do Bin; Park, Byung-Gook

    2012-07-01

    In this study, we investigate the variation of threshold voltage and ON-cell current caused by cell gate length fluctuation in silicon-oxide-nitride-oxide-silicon (SONOS) NAND flash memory with virtual source and drain (VSD). The fluctuation in cell gate length caused by process errors such as line edge roughness, etch slope variation, and lithography resolution-induced error affects threshold voltage and ON-cell current considerably. Our results show that three-dimensional (3D) structures have robust immunity to the cell gate length fluctuation effect. From the viewpoint of array design, threshold voltage and ON-cell current variation due to cell gate length fluctuation can be reasonably mitigated by enlarging the cell gate length in a word line (WL) pitch and reducing the body doping concentration. In addition, the tendency of the variation by technology node scaling and the comparison with the junctionless NAND flash memory structure are also investigated.

  15. The Rotator Interval – A Link Between Anatomy and Ultrasound

    PubMed Central

    Tamborrini, Giorgio; Möller, Ingrid; Bong, David; Miguel, Maribel; Marx, Christian; Müller, Andreas Marc; Müller-Gerbl, Magdalena

    2017-01-01

    Shoulder pathologies of the rotator cuff of the shoulder are common in clinical practice. The focus of this pictorial essay is to discuss the anatomical details of the rotator interval of the shoulder, correlate the anatomy with normal ultrasound images and present selected pathologies. We focus on the imaging of the rotator interval that is actually the anterosuperior aspect of the glenohumeral joint capsule that is reinforced externally by the coracohumeral ligament, internally by the superior glenohumeral ligament and capsular fibers which blend together and insert medially and laterally to the bicipital groove. In this article we demonstrate the capability of high-resolution musculoskeletal ultrasound to visualize the detailed anatomy of the rotator interval. MSUS has a higher spatial resolution than other imaging techniques and the ability to examine these structures dynamically and to utilize the probe for precise anatomic localization of the patient’s pain by sono-palpation. PMID:28845477

  16. Ultrasound-mediated intracellular drug delivery using microbubbles and temperature-sensitive liposomes.

    PubMed

    Yudina, A; de Smet, M; Lepetit-Coiffé, M; Langereis, S; Van Ruijssevelt, L; Smirnov, P; Bouchaud, V; Voisin, P; Grüll, H; Moonen, C T W

    2011-11-07

    A novel two-step protocol for intracellular drug delivery has been evaluated in vitro. As a first step TO-PRO-3 (a cell-impermeable dye that displays a strong fluorescence enhancement upon binding to nucleic acids) encapsulated in thermosensitive liposomes was released after heating to 42°C. A second step consisted of ultrasound-mediated local permeabilization of cell membrane allowing TO-PRO-3 internalization observable as nuclear staining. Only the combination of two consecutive steps - heating and sonication in the presence of SonoVue microbubbles led to the model drug TO-PRO-3 release from the thermosensitive liposomes and its intracellular uptake. This protocol is potentially beneficial for the intracellular delivery of cell impermeable drugs that suffer from rapid clearance and/or degradation in blood and are not intrinsically taken up by cells.

  17. Using iPads to Teach Communication Skills of Students with Autism.

    PubMed

    Xin, Joy F; Leonard, Deborah A

    2015-12-01

    The purpose of this study was to examine the effects of using an iPad to assist students with autism in learning communication skills. Three, 10 years old learners diagnosed with autism who present little or no functional speech, participated in the study. A multiple baseline design with AB phases across academic and social settings was used. During the baseline, students were given access to an iPad with the SonoFlex speech-generating device application, while no communicative attempts were observed. During the intervention, the students were taught to use the iPad to communicate with their teacher and peers for 6 weeks. With a least-to-most prompting hierarchy, all students increased initiating requests, responding to questions and making social comments in both class and recess settings.

  18. An FPGA-Based Test-Bed for Reliability and Endurance Characterization of Non-Volatile Memory

    NASA Technical Reports Server (NTRS)

    Rao, Vikram; Patel, Jagdish; Patel, Janak; Namkung, Jeffrey

    2001-01-01

    Memory technologies are divided into two categories. The first category, nonvolatile memories, are traditionally used in read-only or read-mostly applications because of limited write endurance and slow write speed. These memories are derivatives of read only memory (ROM) technology, which includes erasable programmable ROM (EPROM), electrically-erasable programmable ROM (EEPROM), Flash, and more recent ferroelectric non-volatile memory technology. Nonvolatile memories are able to retain data in the absence of power. The second category, volatile memories, are random access memory (RAM) devices including SRAM and DRAM. Writing to these memories is fast and write endurance is unlimited, so they are most often used to store data that change frequently, but they cannot store data in the absence of power. Nonvolatile memory technologies with better future potential are FRAM, Chalcogenide, GMRAM, Tunneling MRAM, and Silicon-Oxide-Nitride-Oxide-Silicon (SONOS) EEPROM.

  19. Association of subclinical inflammation, glycated hemoglobin and risk for obstructive sleep apnea syndrome.

    PubMed

    D'Aurea, Carolina Vicaria Rodrigues; Cerazi, Bruno Gion de Andrade; Laurinavicius, Antonio Gabriele; Janovsky, Carolina Castro Porto Silva; Conceição, Raquel Dilguerian de Oliveira; Santos, Raul D; Bittencourt, Márcio Sommer

    2017-01-01

    To investigate the inter-relation between high sensitivity C-reactive protein and glycated hemoglobin in prediction of risk of obstructive sleep apnea. We included all individuals participating in a check-up program at the Preventive Medicine Center of Hospital Israelita Albert Einstein in 2014. The Berlin questionnaire for risk of obstructive sleep apnea was used, and the high sensitivity C-reactive protein and glycated hemoglobin levels were evaluated. The sample included 7,115 participants (age 43.4±9.6 years, 24.4% women). The Berlin questionnaire showed changes in 434 (6.1%) individuals. This finding was associated with high sensitivity C-reactive protein and glycated hemoglobin levels (p<0.001). However, only the association between the Berlin questionnaire result and glycated hemoglobin remained significant in the adjusted multivariate analysis, for the traditional risk factors and for an additional model, including high-density lipoprotein cholesterol and triglycerides. The glycated hemoglobin, even below the threshold for diagnosis of diabetes, is independently associated with obstructive sleep apnea syndrome, even after adjustment for obesity and C-reactive protein. These findings suggest a possible pathophysiological link between changes in insulin resistance and obstructive sleep apnea syndrome, independently from obesity or low-grade inflammation. Investigar a inter-relação entre proteína C-reativa de alta sensibilidade e hemoglobina glicada na predição do risco de apneia obstrutiva do sono. Foram incluídos todos os indivíduos participantes do programa de check-up do Centro de Medicina Preventiva Hospital Israelita Albert Einstein em 2014. Foi aplicado o questionário de Berlin sobre risco de apneia do sono, e avaliadas as dosagens de hemoglobina glicada e proteína C-reativa de alta sensibilidade. Foram incluídos 7.115 participantes (idade 43,4±9,6 anos, 24,4% mulheres). A prevalência de alteração no questionário de Berlin foi de 434 (6

  20. Zinc-oxide charge trapping memory cell with ultra-thin chromium-oxide trapping layer

    SciTech Connect

    El-Atab, Nazek; Rizk, Ayman; Nayfeh, Ammar; Okyay, Ali K.

    2013-11-15

    A functional zinc-oxide based SONOS memory cell with ultra-thin chromium oxide trapping layer was fabricated. A 5 nm CrO{sub 2} layer is deposited between Atomic Layer Deposition (ALD) steps. A threshold voltage (V{sub t}) shift of 2.6V was achieved with a 10V programming voltage. Also for a 2V V{sub t} shift, the memory with CrO{sub 2} layer has a low programming voltage of 7.2V. Moreover, the deep trapping levels in CrO{sub 2} layer allows for additional scaling of the tunnel oxide due to an increase in the retention time. In addition, the structure was simulated using Physics Based TCAD. The results of the simulation fit very well with the experimental results providing an understanding of the charge trapping and tunneling physics.

  1. Public health and tropical modernity: the combat against sleeping sickness in Portuguese Guinea, 1945-1974.

    PubMed

    Havik, Philip Jan

    2014-01-01

    Until the establishment of the "Commission for the study of and combat against sleeping sickness" (Missão de estudo e combate à doença do sono) in 1945, underfunded and understaffed health services had not been a priority for the colonial administration in Portuguese Guinea. The Commission not only implemented endemic disease control in the territory under the auspices of metropolitan institutions, but also provided preventive public healthcare to the local population. Its relative success in reducing the negative impact of Human African Trypanosomiasis turned the colony into an apparent model of tropical modernity. In the process, the local evolution of the disease was marginalized, despite the tacit but contested recognition by some health professionals of the role of popular healthcare.

  2. Accessory parotid gland with ectopic fistulous duct - Diagnosis by ultrasonography, digital fistulography, digital sialography and CT fistulography. A case report and review of current literature

    PubMed Central

    Kulkarni, Chaitanya Dattatray; Mittal, Shireesh Kumar; Katiyar, Vikas; Pathak, Ojaswi; Sood, Shashank

    2011-01-01

    Accessory parotid glands are a common clinical occurrence and usually drain into the main Stenson's duct by small ductules and thereby, into the buccal cavity. Presence of an accessory parotid gland with an ectopic fistulous duct is a rare occurrence. We present the imaging findings in a case of right accessory parotid gland with ectopic fistulous duct associated with bilateral pre-aural appendages. Diagnostic workup was done by ultrasonography, sono-fistulography, contrast digital fistulography, contrast digital sialography and computed tomography fistulography. Imaging showed a right accessory parotid gland lying anterior to and separate from the main parotid gland draining via an ectopic fistulous duct opening over the right cheek. The child was managed surgically by internalisation of the duct to open into the buccal mucosa and excision of pre-aural appendages. PMID:22470802

  3. Accessory parotid gland with ectopic fistulous duct--diagnosis by ultrasonography, digital fistulography, digital sialography and CT fistulography. A case report and review of current literature.

    PubMed

    Kulkarni, Chaitanya Dattatray; Mittal, Shireesh Kumar; Katiyar, Vikas; Pathak, Ojaswi; Sood, Shashank

    2011-01-01

    Accessory parotid glands are a common clinical occurrence and usually drain into the main Stenson's duct by small ductules and thereby, into the buccal cavity. Presence of an accessory parotid gland with an ectopic fistulous duct is a rare occurrence. We present the imaging findings in a case of right accessory parotid gland with ectopic fistulous duct associated with bilateral pre-aural appendages. Diagnostic workup was done by ultrasonography, sono-fistulography, contrast digital fistulography, contrast digital sialography and computed tomography fistulography. Imaging showed a right accessory parotid gland lying anterior to and separate from the main parotid gland draining via an ectopic fistulous duct opening over the right cheek. The child was managed surgically by internalisation of the duct to open into the buccal mucosa and excision of pre-aural appendages.

  4. Deep burn of hand and forearm treated by abdominal wall flap. A case report.

    PubMed

    Chiummariello, Stefano; Del Torto, Giuseppe; Maffia, Romano; Pataia, Elisabetta; Alfano, Carmine

    2015-06-24

    Le ustioni della mano sono sempre state uno dei maggiori problemi per i chirurghi ricostruttori a causa della sua particolare anatomia e delle sue complesse funzioni. Una guarigione spontanea di lesioni profonde in queste aree può portare a risultati catastrofici: una copertura cutanea adeguata è fondamentale per tutte le funzioni. La copertura precoce dei tessuti molli residuanti è fondamentale al fine di evitare la formazione di contratture disabilitanti che con il tempo potrebbero determinare anchilosi articolare e retrazione tendinea. Escissione precoce e innesti cutanei rappresentano la terapia standard per le ustioni della mano; in alcuni casi quest’approccio è inapplicabile e, pertanto, il ricorso ai lembi diventa inevitabile. In questo articolo riportiamo un caso di ustione complessa del dorso della mano trattata in prima istanza con innesti cutanei e, quindi, con un lembo addominale, riuscendo ad ottenere un’ottima copertura ed un buon recupero delle funzioni.

  5. Videodensitometric Methods for Cardiac Output Measurements

    NASA Astrophysics Data System (ADS)

    Mischi, Massimo; Kalker, Ton; Korsten, Erik

    2003-12-01

    Cardiac output is often measured by indicator dilution techniques, usually based on dye or cold saline injections. Developments of more stable ultrasound contrast agents (UCA) are leading to new noninvasive indicator dilution methods. However, several problems concerning the interpretation of dilution curves as detected by ultrasound transducers have arisen. This paper presents a method for blood flow measurements based on UCA dilution. Dilution curves are determined by real-time densitometric analysis of the video output of an ultrasound scanner and are automatically fitted by the Local Density Random Walk model. A new fitting algorithm based on multiple linear regression is developed. Calibration, that is, the relation between videodensity and UCA concentration, is modelled by in vitro experimentation. The flow measurement system is validated by in vitro perfusion of SonoVue contrast agent. The results show an accurate dilution curve fit and flow estimation with determination coefficient larger than 0.95 and 0.99, respectively.

  6. Can 4-port laparoscopic cholecystectomy remain the gold standard for gallbladder surgery?

    PubMed

    Kartal, Kinyas; Uludag, Mehmet

    2016-01-01

    Fin dalla prima esecuzione di una colecistectomia laparoscopica (LC), questo approccio ha attratto l’attenzione di tutti i chirurghi per continuare quindi la sua rivoluzione tecnica. Con l’aumentare dell’esperienza chirurgica si è sviluppata la tendenza verso approcci sempre meno invasivi ed ha comportato innovazioni nel campo della chirurgia laparoscopica. Le procedure chirurgiche correnti sono: l’approccio con 4 port (4PLC) che rappresenta tutt’ora il gold standard, l’approccio con 3 port (3PLC), quello con 2 port (2PLC) ed infine quello con un solo port (SPLC). La colecistectomia robotica (RC) e la chirurgia eseguita endoscopicamente tramite orifici coporei naturali (NOTES) rappresentano le altre nuove tecniche per l’esecuzione dell’asportazione della colecisti. In questo articolo ci si propone di fare un confronto obiettivo tra i diversi tipi di colecistectomia laparoscopica sulla base della corrente letteratura medica del settore.

  7. Complete penile corporeal septation: evaluation with contrast enhanced US.

    PubMed

    Bertolotto, Michele; Bucci, Stefano; Quaia, Emilio; Coss, Matteo; Liguori, Giovanni

    2008-01-01

    Complete penile corporeal septation is a rare malformation in which the corpora cavernosa are completely isolated. We describe a new method to reach the diagnosis of this malformation using contrast enhanced US. Two patients with complete penile corporeal septation underwent color Doppler and contrast enhanced US after bilateral cavernosal injection of 10 microg prostaglandin E1. Contrast enhanced US was performed using a contrast specific software (Contrast-Tuned imaging, EsaOte, Genoa, Italy) and a linear transducer designed to evaluate superficial structures. Microbubbles of SonoVue (Bracco, Milan, Italy) were injected in one corpus cavernosum. After cavernosal injection of microbubbles no adverse events were observed. Contrast enhanced US showed unilateral enhancement of the corpus cavernosum in which microbubbles were injected. Cavernosography confirmed unilateral corporeal opacification. Contrast enhanced US can be used effectively to diagnose complete penile corporeal septation.

  8. Observation of Encapsulated Bubble Oscillations Driven by Ultrasound

    NASA Astrophysics Data System (ADS)

    Liang, Jin-Fu; Chen, Wei-Zhong; Shao, Wei-Hang; Zhou, Chao; Du, Lian-Fang; Jin, Li-Fang

    2013-12-01

    Using a long-distance microscope imaging system and a technique using a movable lock-in pulse laser, optical measurement demonstrated the behavior of a SonoVue® contrast agent microbubble exposed to a low-amplitude, 478 kHz ultrasound field. The microbubble consisted of the gas SF6 encapsulated by a polymer shell. Eighty-four frames of a microbubble oscillating in response to an ultrasound field were captured in one acoustic cycle. The experimental data on microbubble radius were fitted by the numerical calculations of the Hoff, Yasui, and Keller-Miksis models. The results showed good agreement between the data and the theoretical calculation of the Hoff model using our experimental parameters. In addition, the spectral analysis of the time-radius data indicated that the relative intensity of the second harmonic increased with the increase in acoustic pressure amplitude.

  9. Blood pressure variability in the elderly. Association between postprandial and sleeping periods.

    PubMed

    Garcia, Fernando Abrão; Fidale, Beatriz; Ferreira-Filho, Sebastião Rodrigues

    2017-04-27

    The variability of arterial blood pressure (BP) is considered an important cardiovascular risk factor. To verify the possible associations between the postprandial and the sleeping blood pressure variability. This study evaluated systolic, diastolic, mean, pulse pressures and heart variability in 69 elderly patients in preprandial, postprandial and sleeping periods. One 24 hours ambulatory blood pressure monitoring was used for measurements and the results were showed in the time-rate index. We observed a decrease in the systolic blood pressure values from preprandial to postprandial and to the sleeping periods (124.7 ± 14.6, 113.2 ± 15.3 and 108.5 ± 13.9mmHg, respectively; p = 0.003). Associations between BP variability of the postprandial and sleeping periods were obtained for systolic, diastolic and mean arterial pressure. The correlation between postprandial and sleeping BP variability has rarely been demonstrated in the literature. These correlations between BP changes after eating and during sleep might suggest that both events could coexist in other clinical situations. A variabilidade da Pressão Arterial Sistêmica (PAS) é considerada um importante fator de risco cardio vascular. Verificar as possíveis associações entre as variabilidades pressóricas nos períodos pós prandial e durante o sono. A variabilidade das pressões sistólica, diastólica, média, de pulso e frequência cardíaca foram avaliadas em 69 pacientes idosos nos períodos pós prandial e durante o sono. A Monitorização Ambulatorial da Pressão Arterial de 24 horas foi usada para o cálculo da variabilidade pressórica e os resultados apresentados no índice frequência tempo. Observamosuma redução nos níveis sistólicos pos prandiais em relação ao período pre prandial e durante o sono (124.7 ± 14.6, 113.2 ± 15.3 e 108.5 ± 13.9mmHg, respectivamente; p = 0.003). A associação das variabilidade das pressões sistólicas, diastólicas e média foram confirmadas (p < 0

  10. On the acoustic properties of vaporized submicron perfluorocarbon droplets.

    PubMed

    Reznik, Nikita; Lajoinie, Guillaume; Shpak, Oleksandr; Gelderblom, Erik C; Williams, Ross; de Jong, Nico; Versluis, Michel; Burns, Peter N

    2014-06-01

    The acoustic characteristics of microbubbles created from vaporized submicron perfluorocarbon droplets with fluorosurfactant coating are examined. Utilizing ultra-high-speed optical imaging, the acoustic response of individual microbubbles to low-intensity diagnostic ultrasound was observed on clinically relevant time scales of hundreds of milliseconds after vaporization. It was found that the vaporized droplets oscillate non-linearly and exhibit a resonant bubble size shift and increased damping relative to uncoated gas bubbles due to the presence of coating material. Unlike the commercially available lipid-coated ultrasound contrast agents, which may exhibit compression-only behavior, vaporized droplets may exhibit expansion-dominated oscillations. It was further observed that the non-linearity of the acoustic response of the bubbles was comparable to that of SonoVue microbubbles. These results suggest that vaporized submicron perfluorocarbon droplets possess the acoustic characteristics necessary for their potential use as ultrasound contrast agents in clinical practice.

  11. Highly compact and accurate circuit-level macro modeling of gate-all-around charge-trap flash memory

    NASA Astrophysics Data System (ADS)

    Kim, Seunghyun; Lee, Sang-Ho; Kim, Young-Goan; Cho, Seongjae; Park, Byung-Gook

    2017-01-01

    In this paper, a highly reliable circuit model of gate-all-around (GAA) charge-trap flash (CTF) memory cell is proposed, considering the transient behaviors for describing the program operations with improved accuracy. Although several compact models have been reported in the previous literature, time-dependent behaviors have not been precisely reflected and the failures tend to get worse as the operation time elapses. Furthermore, the developed SPICE models in this work have been verified by the measurement results of the fabricated flash memory cells having silicon-oxide-nitride-oxide-silicon (SONOS). This more realistic model would be beneficial in designing the system architectures and setting up the operation schemes for the leading three-dimensional (3D) stack CTF memory.

  12. GOSAT TANSO FTS TIR band calibration: a five year review

    NASA Astrophysics Data System (ADS)

    Gero, P. Jonathan; Knuteson, Robert O.; Shiomi, Kei; Kuze, Akihiko; Kataoka, Fumie; Revercomb, Henry E.; Tobin, David C.; Taylor, Joseph K.; Best, Frederick A.

    2014-11-01

    The GOSAT thermal infrared (TIR) band calibration is reviewed for the five-year time period from April 2009 through March 2014. Pre-launch characterization has been augmented by post-launch analysis of on-orbit data and comparison with coincident measurements from other satellite, airborne, and ground-based sensors. Successive refinements of the TIR band ground-processing software have incorporated corrections for detector non-linearity and polarization. Estimates of radiometric uncertainty have also been made. The comparison of GOSAT TIR band nadir and off-nadir comparisons (SNOs and SONOs) provide a quantitative spectral assessment of the radiometric bias relative to the NASA AIRS and EUMETSAT IASI sensors.

  13. Synthesis and Characterization of Microwave-Exfoliated Graphene Oxide-Wrapped Silicon Nanowire via Hydrosilylation.

    PubMed

    Shin, Donghee; Cho, Bomin; Ahn, Jihoon; Kim, Sungsoo; Ko, Young Chun; Sohn, Honglae

    2015-02-01

    Single-crystalline silicon nanowires (SiNWs) were fabricated by using an electroless metal-assisted etching of bulk silicon wafers with silver nanoparticles obtained by wet electroless deposition. The etching of SiNWs is based on sequential treatment in aqueous solutions of silver nitrate followed by hydrofluoric acid and hydrogen peroxide. Free-standing SiNWs were then obtained using ultra-sono method in toluene. Graphene oxide was prepared using the modified Hummers' process. Activated microwave-exfoliated graphite oxide (MEGO) was prepared and used for composition of silicon nanowires and graphene oxide via hydrosilylation. The silicon nanowire-graphene composite materials were characterized using XPS and FE-SEM.

  14. Association between poor clinical prognosis and sleep duration among breast cancer patients.

    PubMed

    Mansano-Schlosser, Thalyta Cristina; Ceolim, Maria Filomena

    2017-06-05

    to investigate the association between clinical progression and the quality and duration of sleep in women with breast cancer. longitudinal study, with 114 participants, conducted in a hospital in Brazil. The instruments used were: questionnaire for sociodemographic and clinical characterization, Pittsburgh Sleep Quality Index; Beck Depression Inventory and Herth Hope Scale. Data were analyzed through descriptive statistics and survival analyses (outcome: poor clinical progression), using the Kaplan-Meier curve, Log-rank test and Cox proportional model. a higher probability of poor clinical progression was verified in women with sleep durations of less than six hours or nine hours and over (p=.0173). the results suggest the importance of further studies that seek to verify whether the quantitative management of sleep disorders would have an impact on the progression of breast cancer. Women should be encouraged to report sleep problems to nurses. mensurar a associação entre evolução clínica e qualidade e duração do sono em mulheres com câncer de mama. estudo longitudinal, com 114 participantes, realizado em um hospital do Brasil. Os instrumentos utilizados foram: questionário para caracterização sociodemográfica e clínica, Índice de Qualidade do Sono de Pittsburgh; Inventário de Depressão de Beck e Escala de Esperança de Herth. Os dados foram analisados via análises descritivas e de sobrevivência (resultado: evolução clínica desfavorável), utilizando-se a curva de Kaplan-Meier, o teste log-rank e o modelo proporcional de Cox. verificou-se maior probabilidade de evolução clínica desfavorável em mulheres com duração de sono inferior a seis ou mais de nove horas (p = 0,0173). os resultados sugerem a importância de mais estudos que buscam verificar se a gestão quantitativa dos distúrbios do sono teria um impacto sobre a evolução do câncer de mama. As mulheres devem ser encorajadas a relatar isso espontaneamente aos enfermeiros. medir

  15. Impact of ultrasound application on oxidative desulphurization of diesel fuel and on treatment of resulting wastewater.

    PubMed

    Margeta, Dunja; Grčić, Ivana; Papić, Sanja; Sertić-Bionda, Katica; Foglar, Lucija

    2016-01-01

    The ultrasound-assisted oxidative desulphurization (UAOD) process of diesel fuel has gained growing attention due to the strict regulation of sulphur content in the fuel. The goal of the present study was to investigate the impact of ultrasound (US) application for oxidative desulphurization (ODS) of hydrocarbon fuels and for the subsequent treatment of produced wastewater, since sonochemical processes are a new and interesting area of research with wide application in the field of environmental engineering. For that purpose, the model diesel fuel with initial sulphur concentration of 1220-3976 mg l(-1) was used for ODS and UAOD tests, and hydrogen peroxide/acetic acid was applied as the oxidant/catalyst system, respectively. The comparison of the process performance revealed that US significantly reduced the oxidation reaction time. The conversions of dibenzothiophene during 30 min of ODS and UAOD tests were 36% and 87%, respectively. Moreover, subsequent extraction with acetonitrile resulted in the final sulphur removal of 96.5%. The obtained results clearly indicated that UAOD process is beneficial for effective sulphur removal from the model diesel fuel. Furthermore, subsequent experiments included the application of the sono-Fenton process for resulting wastewater treatment. Monitoring of dibenzothiophene sulphone concentration and total organic carbon during the sono-Fenton treatment of wastewater revealed the decrease of 70-75% and 53-66%, respectively. The hypothesis on the possibility of degradation of dibenzothiophene sulphone by •OH radicals was confirmed by observed generation of benzoic acid and aliphatic carboxylic acids during experiments. Accordingly, the wastewater was purified to a satisfactory degree, enabling the reuse of treated water.

  16. Thoracic ultrasonography: A new method for the work-up of patients with dyspnea().

    PubMed

    Vitturi, N; Soattin, M; Allemand, E; Simoni, F; Realdi, G

    2011-09-01

    SommarioLa diagnosi differenziale di dispnea è fondamentale per la gestione dell’insufficienza respiratoria in cui, ai parametri routinari, può essere ora affiancata l’ecografia toracica. L’obiettivo di questo studio è stato valutare la validità e l’accuratezza di questa metodica anche in un reparto di medicina interna. MATERIALI E METODI: 152 pazienti ricoverati conseguentemente con diagnosi di dispnea sono stati esaminati dopo valutazione clinica, radiografia del torace, dosaggi bioumorali (NT-proBNP) e terapia d’emergenza. L’esame ecografico polmonare è stato considerato positivo qualora il numero totale di linee B fosse superiore ad 8. L’esame ecografico e il dosaggio dell’NT-proBNP sono stati ripetuti dopo 48 ore. Il gold standard di riferimento è stato la diagnosi clinica di scompenso cardiaco fatta da medici esperti secondo le linee guida dell’AHA. RISULTATI: Il gruppo di pazienti che mostrava un esame ecografico positivo riceveva in percentuale maggiore la diagnosi finale di insufficienza cardiaca (X 92.5; p < 0.005) e valori significativamente più elevati di NT-proBNP (10,384 ng/l vs 3889 ng/l; p < 0.05). Inoltre la diminuzione delle linee B a 48 ore era significativamente maggiore (p < 0.005) nel gruppo di pazienti trattati per scompenso cardiaco mentre non vi erano cambiamenti significativi nei valori di NT-proBNP (p = 0.37). DISCUSSIONE: In conclusione abbiamo dimostrato che anche in un reparto di medicina interna l’ecografia polmonare è uno strumento diagnostico utile per le gestione dell’insufficienza respiratoria e il suo monitoraggio durante la terapia.

  17. Parameters predicting follicular carcinoma in thyroid nodules with indeterminate cytology.

    PubMed

    Kunt, Mevlüt; Cirit, Erkan; Eray, Ismail Cem; Yalay, Orçun; Parsak, Cem Kaan; Sakmann, Gürham

    2015-01-01

    La finalità dello studio è quella di cercare di determinare i parametri indicativi di malignità paragonando caratteristiche demografiche e aspetti di benignità o malignità dei loro noduli determinati sui referti anatomo-patologici dopo tiroidectomia in pazienti con citologia FNAB sospetta per neoplasia follicolare. Lo studio è stato condotto su 152 casi di sospetto carcinoma follicolare in base ai risultati della FNAB. Sono stati presi in considerazione l’età, l’eventuale esposizione a radiazioni, livelli sierici di TSH ed i dati ecografici riguardo al numero, diametro, struttura interna, ecogenicità, caratteristiche dei margini, eventuale presenza di alone e di micro calcificazioni interne. Sono stati anche considerati i rilievi scintigrafici dei noduli. L’età media dei pazienti era 48,14 anni (da 20 a 71); 25 (16,5%) di sesso maschile e 127 (83,5%) femminile. La natura maligna era prevalente tra i pazienti con TSH di livello superiore al normale, che non ai livelli normali o inferiori. La presenza di calcificazioni intranodulari [rapporto differenziale: 3,1; 95% di intervallo di confidenza: 1,3-7,4], aumento della vascolarizzazione intranodulare [rapporto differenziale: 14,7; 95% di intervallo di confidenza: 1,4-147,7], assenza di segni di alone [rapport differenziale: 0,1; 95% di intervallo di confidenza: 0,04-0,8], e margini non ben definiti [rapport differenziale: 0,1; 95% di intervallo di confidenza: 0,49-0,3] erano i dati statisticamente significativi più comuni nei casi di malignità. Su questi dati si può concludere che su basi cliniche e su parametri ecografici è possibile fare previsioni sulla malignità di noduli tiroidei di natura indeterminata, ricordando che l’indagine ecografica è un mezzo semplice, facile e di scarso costo nella diagnostica dei noduli tiroidei.

  18. Tension-free primary closure for the treatment of pilonidal disease.

    PubMed

    Arer, Ilker Murat; Yabanoglu, Hakan; Caliskan, Kenan

    2015-01-01

    Il sinus pilonidali (SP) è una patologia comune che colpisce in genere la popolazione giovane e localizzandosi nella regione intergflutea. Per la sua cura sono state utilizzate tecniche conservative e descritte diverse tecniche chirurgiche, queste ultime consistenti in chiusura primaria dell’escissione chirurgica, la marsupializzazione e le chiusura con flap della breccia chirurgica. Il presente studio si propone di valutare l’efficacia di un metodo chirurgico. La casistica si riferisce a 151 pazienti sottoposti a trattamento chirurgico tra Gennaio 2007 e Settembre 2014, che vengono suddivisi per età, sesso, durata dell’intervento e della degenza postoperatoria, oltre alle complicanze (deiscenze ed infezioni della ferita), recidive e domensioni pel pezzo operatorio. L’età media dei pazienti affetti da sinus pilonidalis si aggira tra i 14 ed i 66 anni (media 25,18). In 105 pazienti (69,5% del totale) si è proceduto a chiusura primaria della ferita, ed il 46 (30,5% del totale) si è adottata la tecnica tension-free. Non si sono osservate differenze statistiche tra i gruppi rispetto all’età, al sesso, alla durata dell’intervento ed a quella della degenza postoperatoria. Solo 9 pazienti operati con chiusura primaria (8,6%) e 3 pazienti (6,5%) operati con tecnica tension-free hanno presentato una recidiva postoperatoria. In 17 pazienti (7,9%) si è osservata la deiscenza della ferita, di cui 15 (14,3%) tra quelli trattati con chiusura primitive e 2 (4,3%) in quelli trattati con tecnica tension- free. Il 16 pazienti (10.6%) è stata osservata la formazione postoperatoria di sieroma o di infezione. In conclusione la tecnica tension free si dimostra metodo altrettanto efficace della chiusura primitiva.

  19. [The person inside the patient: a qualitative research on the dignity of people assisted in hospital].

    PubMed

    Giorgi, Sara; Bonfandini, Sara; Rossini, Silvia

    2016-01-01

    Scopo: la dignità della persona assistita e il rispetto per quest’ultima sono aspetti imprescindibili della professione infermieristica. Sviluppare un sapere esperto è possibile qualora il professionista sanitario interpreti il proprio ruolo come soggetto coinvolto in maniera empatica. Lo scopo di questo studio è capire cosa influenzi la dignità degli assistiti attraverso i loro vissuti al fine di comprendere come offrire assistenza umanizzante. Metodo: l’indagine è stata condotta nell’ospedale di Valcamonica, su un campione di 20 soggetti, qui ricoverati nell’agosto 2015, corrispondenti a predefiniti criteri d’inclusione. Come strumento è stata utilizzata un’intervista semistrutturata attraverso domande funzionali al quesito di ricerca. Risultati: la dignità è considerata una caratteristica intrinseca in ogni essere umano. La maggior parte degli intervistati percepisce la dignità come mantenuta, durante il ricovero ospedaliero. I fattori che possono influenzarla sono riassumibili in tre categorie: fattori legati al comportamento del personale sanitario, all’ambiente ospedaliero ed alle condizioni dell’assistito. Conclusioni: la dignità è un concetto ad oggi astratto e nebuloso; ciò nonostante è qualcosa di cui ogni essere umano ha consapevolezza e sa quanto sia importante salvaguardarla. L’ambiente ospedaliero di per sé alienante e le condizioni di fragilità e dipendenza che spesso accompagnano la malattia possono ledere la dignità. Un comportamento corretto e disponibile da parte di chi assiste è ciò che più aiuta a mantenerla; l’approccio clinico che tiene conto solo della malattia e non dell’individualità della persona è inadeguato per ogni tipologia di assistito.

  20. [Lo stile di attaccamento insicuro è un fattore di rischio di ridotta densità minerale ossea in donne in menopausa. Uno studio pilota].

    PubMed

    Niolu, Cinzia; Bianciardi, Emanuela; Di Lorenzo, Giorgio; Nicolai, Sara; Celi, Monica; Ribolsi, Michele; Pietropolli, Adalgisa; Ticconi, Carlo; Tarantino, Umberto; Siracusano, Alberto

    2016-01-01

    RIASSUNTO. Introduzione. La depressione maggiore (MD) e l'osteoporosi sono malattie ad alta prevalenza nel genere femminile, associate a morbosità e mortalità. Sebbene alcuni studi abbiano dimostrato un'associazione tra MD, ridotta densità minerale ossea (BMD) e osteoporosi, non sono stati chiariti i meccanismi causali. Lo stile di attaccamento insicuro è stato messo in relazione con la patogenesi e il decorso di malattie croniche come la MD e le malattie cardiovascolari. Obiettivo di questo studio pilota è esplorare la relazione tra MD e BMD. Si ipotizza che lo stile di attaccamento possa agire da mediatore. Metodi. Il campione è formato da 101 donne in menopausa, 49 con MD e 52 controlli sani. La diagnosi di MD è stata formulata con l'intervista clinica e la Beck Depression Inventory. Lo stile di attaccamento è stato esplorato usando il Relationship Questionnaire, la BMD con la Mineralometria Ossea Computerizzata con tecnica DXA (Dual energy X-ray Absorptiometry). Risultati. L'analisi univariata ha mostrato che le donne con MD avevano valori di BMD inferiori rispetto ai controlli sani. Nelle analisi di regressione multipla la MD non è emersa come predittore significativo di ridotta BMD. Lo stile di attaccamento insicuro "preoccupato" è risultato un predittore significativo di ridotta BMD in tutti i siti scheletrici misurati con la DXA: colonna vertebrale lombare (p=0,008) e segmenti femorali: "femoral neck" (p=0,011), "total hip" (p=0,002). Conclusioni. Questo è il primo studio che esplora il possibile ruolo di MD e stile di attaccamento sulla BMD. Lo stile di attaccamento è risultato un predittore di ridotta BMD, indipendentemente dalla MD. L'attaccamento insicuro potrebbe avere un ruolo nella patogenesi dell'osteoporosi anche indipendente dalla MD. Se questi risultati saranno confermati, gli interventi terapeutici focalizzati sullo stile di attaccamento potrebbero contribuire al miglioramento della comorbilità psichiatrica e medica legata all'osteoporosi.

  1. [L'ortoressia nervosa in un campione di popolazione universitaria italiana].

    PubMed

    Dell'Osso, Liliana; Abelli, Marianna; Carpita, Barbara; Massimetti, Gabriele; Pini, Stefano; Rivetti, Luigi; Gorrasi, Federica; Tognetti, Rosalba; Ricca, Valdo; Carmassi, Claudia

    2016-01-01

    RIASSUNTO. Scopo. Valutare la frequenza e le caratteristiche dei comportamenti ortoressici in una vasta popolazione universitaria. Metodi. Un totale di 2826 individui hanno volontariamente completato in forma anonima l'ORTO-15 presente online, questionario autosomministrabile disegnato e validato con lo scopo di valutare la sintomatologia ortoressica. Come già fatto in studi precedenti, un punteggio totale all'ORTO-15 inferiore a 35 è stato utilizzato come soglia ottimale per evidenziare una tendenza per l'ortoressia nervosa. Inoltre, è stata anche usata una scheda specifica per raccogliere le variabili socio-demografiche. Risultati. Sono stati valutati, nel complesso, 2130 studenti e 696 dipendenti universitari appartenenti all'Università di Pisa. I sintomi ortoressici si sono presentati con una frequenza del 32,7%. Le femmine presentavano una percentuale significativamente maggiore di punteggi sopra-soglia all'ORTO-15, un BMI minore, una maggiore presenza di condizione "sottopeso" e di stile di alimentazione vegano/vegetariano rispetto ai maschi. Discussione. L'ortoressia nervosa, definita come una "fissazione per il mangiare sano", non è inclusa formalmente nel DSM-5. L'emergere di questa condizione come un nuovo possibile prodromo di una sindrome psicologica è stato recentemente enfatizzato dal numero sempre crescente di articoli scientifici. Dal nostro campione di popolazione universitaria emerge che l'essere vegetariani o vegani, la condizione sottopeso, l'appartenere al sesso femminile, l'essere studenti e interessati al presente studio sia significativamente predittivo di un'inclinazione verso l'ortoressia. Conclusioni. I nostri dati contribuiscono a definire la nuova concettualizzazione dell'ortoressia nervosa. Saranno necessari sicuramente altri studi per esplorare i confine diagnostici di questa sindrome, il suo decorso, "l'outcome" e le possibili implicazioni cliniche.

  2. Early fetal heart ultrasonography as additional indicator for chromosomopathies.

    PubMed

    Dmitrovic, A; Jeremic, K; Babic, U M; Perovic, M; Mihailovic, T; Opric, D; Zecevic, N; Gojnić-Dugalić, M

    2016-01-01

    First trial of estimating values of scans of fetal heart structures (FHS) in first trimester of pregnancy, as more primary facts of possible chromosomopathies. The study included 2,643 fetuses that were examined in first trimester of pregnancy on Sono CT convex (C5-2MHz), endovaginal (ev 8-4MHz), and linear transducers (L12-5MHz) during a period of eight years. Fetal heart was evaluated using appropriate software with broad-band transducers and color Doppler, Sono CT, and HD ZOOM technologies. The scan was performed by three experienced physicians. FHS were based on: left and right ventricle morphology; AV valves (atrioventricular) position and existence of primal ostium; relationship of left ventricle outflow tract (LVOT) and right ventricle outflow tract (RVOT) and great vessels on three vessel view (3VV) and estimation of ductal and aortic arch. Several developments, one being the ability to identify fetuses at risk for cardiac defects combining nuchal translucency (NT), ductus venosus (DV) Doppler, and evaluation of tricuspid regurgitation, have prompted reconsideration of the role of the first trimester prognostic factor of fetal evaluation. In low-risk pregnancies group, 36 (1.8%) fetuses were found to have congenital heart disease (CHD), and in high-risk pregnancies the number of fetuses with CHD was 75 (12%). Genetic amniocentesis or chorionic villus sampling (CVS) was performed in all fetuses with CHD. Forty-two (37.8%) fetuses with CHD were found to have chromosomal anomalies. Out of 111 fetuses with CHD 39 (35.1%) had an nuchal translucency (NT) above three mm. Out of 42 fetuses with chromosomal anomalies and CHD, 29 (69%) had an increased NT. Using first trimester fetal echosonography constitutes a further step in the earlier recognition of chromosomopathies, even in low risk groups. Still further steps are necessary as all facts of good clinical practice. In order to offer further benefits during pregnancies, improvements in diagnostics are still

  3. Meningococco B: controllo di due focolai epidemici mediante vaccinazione

    PubMed Central

    2014-01-01

    Riassunto La problematica di un efficace approccio vaccinale nei confronti del Meningococco B (MenB) è stata superata identificando con la metodica della "reverse vaccinology" alcuni antigeni capaci di indurre una risposta verso la maggior parte dei ceppi di MenB circolanti nel mondo. Il nuovo vaccino MenB a 4 componenti (4CMenB) è stato autorizzato in Europa, Australia e Canada, ed è entrato nei calendari di immunizzazione pediatrica internazionali: Australia, Canada, UK. In Italia, le prime regioni che hanno raccomandato la vaccinazione contro il MenB sono state Basilicata e Puglia. La gestione di epidemie/focolai epidemici richiede la messa in atto di una risposta rapida da parte delle autorità sanitarie nei confronti di una emergenza sanitaria ad elevato impatto, anche emotivo, sulla popolazione, come recentemente dimostrato in due università americane. Alla dichiarazione di focolaio epidemico in atto, in entrambi i contesti si è attivata una procedura per l'uso del vaccino 4CMenB non ancora autorizzato negli USA. È stato così possibile organizzare gli interventi di profilassi attiva nei due campus universitari, adottando il primo impiego su larga scala del nuovo vaccino 4CMenB e conseguendo, in tempi relativamente brevi, elevati tassi di copertura vaccinale. A fronte di circa 14000 studenti immunizzati con almeno una dose, non è stata segnalata alcuna problematica di eventi avversi conseguenti all'immunizzazione; ad oggi non si sono verificati casi nei soggetti che hanno ricevuto il vaccino. Come conseguenza dei due focolai descritti, è oggi in corso la valutazione da parte dell'FDA per l'estensione dell'uso del vaccino 4CMenB negli Stati Uniti negli adolescenti e giovani adulti. PMID:25916017

  4. Trauma ultrasound feasibility during helicopter transport.

    PubMed

    Price, D D; Wilson, S R; Murphy, T G

    2000-01-01

    To evaluate the feasibility of performing a standard four-view focused abdominal sonography for trauma (FAST) examination during helicopter transport using a hand-carried ultrasound machine. In this prospective observational study, actual and simulated trauma patients were evaluated using the SonoSite 180 ultrasound machine by two air transport programs serving Level I trauma centers. FAST examinations were performed in flight by emergency medicine faculty, residents, flight nurses, and ultrasound technologists, who rated the difficulty posed by various factors using Likert scales (0 = not difficult to 5 = impossible). BK 117, Bell 230, and BO 105 medical helicopters flew in all aviating modes. Pilots were queried regarding avionics variations throughout the flights. Ten flight sonographers performed 21 FAST examinations on 14 patients (five actual, nine simulated). The median Likert value for each parameter was 0 except for patient position, which was 1 (somewhat difficult). Interquartile ranges were 0-0 for vibration, bedding, IV catheters, monitor cables, and ventilator; 0-0.5 for backboard straps; and 0-1 for sunlight, patient position, spider straps, gurney straps, and clothing. Mean examination duration, was 3.0 minutes (range 1.5 to 5.5 minutes, SD 1.3). Pilots reported no effects on avionics in any flight mode. The FAST examination using the SonoSite 180 in flight was rated by 10 evaluators to be performed easily. Examinations were conducted quickly and did not interfere with helicopter avionics. This digital ultrasound machine is the first one small enough to be used in most medical helicopters.

  5. [Levels of trace elements in the fruits and vegetables from the so-called Land of fires in Campania Region (Southern Italy)].

    PubMed

    Esposito, Mauro; Cavallo, Stefania; Rosato, Guido; Chiaravalle, Eugenio; Miedico, Oto; Pellicanò, Roberta; Soprano, Vittorio; Baldi, Loredana

    2016-01-01

    INTRODUZIONE: una vasta area compresa tra le province di Napoli e Caserta nella regione Campania ha negli ultimi anni attirato l'attenzione dei mass media a causa degli interramenti illeciti di rifiuti di varia origine nei campi o del loro abbandono lungo le strade. A tali pratiche illecite si aggiunge il fenomeno dei roghi incontrollati di questo materiale, motivo per il quale la zona è stata soprannominata "Terra dei fuochi". OBIETTIVI: ricerca di elementi in tracce presenti nei prodotti alimentari di origine vegetale prodotti nella Terra dei fuochi. DISEGNO E SETTING: piano di monitoraggio per il rilevamento dei livelli di alcuni metalli tossici ed essenziali nei vegetali coltivati in Campania nella Terra dei fuochi. La determinazione dei microelementi è stata effettuata dopo mineralizzazione della sostanza organica mediante microonde, utilizzando la spettrometria di massa a plasma induttivamente accoppiato (ICP-MS). RISULTATI: durante l'attività di monitoraggio sono stati raccolti 65 campioni di ortaggi e 49 campioni di frutta in 43 comuni rientranti nella Terra dei fuochi. Il contenuto medio di metalli tossici, cadmio e piombo nei prodotti ortofrutticoli è risultato ben lontano dai limiti massimi fissati dalla normativa europea. I valori delle concentrazioni sono significativamente inferiori rispetto a quanto riscontrato in zone ad alto impatto ambientale a causa della presenza di impianti industriali. CONCLUSIONI: la presenza di elementi tossici o potenzialmente tali nei campioni vegetali prodotti nella Terra dei fuochi è attribuibile a una varietà di fattori ambientali rilevanti (caratteristiche geologiche dell'area, inquinamento del suolo, dell'atmosfera e delle acque di irrigazione, pratiche illecite di smaltimento dei rifiuti industriali); non sembra, tuttavia, sussistere un rischio per la salute dei consumatori. Resta comunque l'allerta per la loro presenza nell'ambiente e la necessità che le attività di monitoraggio continuino.

  6. Outpatient Follicle Monitoring: A Plea for Standardization in Ultrasound Based Follicle Monitoring and Data Transfer

    PubMed Central

    Murtinger, Maximilian; Zech, Mathias H.; Spitzer, Dietmar; Zech, Nicolas H.

    2014-01-01

    Background The complexity of assisted reproductive technology (ART) increased during the last decades. New scientific and medical findings as well as the statutory requirements for improving the safety and the outcome of ART were the main impetus for its development. While therapy planning is done and ART is used by the IVF centers, the medical support and monitoring of patients is conducted by referring gynecologists. Reported follicle measurements by the gynecologist allow the adoption of the therapy plan. Most notably, the crucial aspect is processing and interpretation of ultrasound scan (US). The results of the received US, the transfer of data between IVF center(s) and referred physician(s) as well as the subjective interpretation often culminate in interpretation and logistical problems. This might increase the error probability with considerable detriments for the patients and ART outcome. Methods The follicle monitoring was performed using Voluson I ultrasound system combined with SonoAVC® software. Results were communicated via DICOM language to DynaMed® software, a medical program for managing an IVF center with seamless integration of all processes needed for an accurate and precise workflow. Results In this study, no loss of data was detected. All data were integrated by DynaMed® software and were recallable in a fast and easy manner. Conclusion The broad usage of Voluson I ultrasound SonoAVC® software and communication of the results via Picture Archiving and Communication System (PACS) server between the IVF center and local gynecologist would provide more assistance for the patients and consequently the ART outcomes can be improved. PMID:24918083

  7. Laparoscopic resection of tailgut cysts: the size is not the issue.

    PubMed

    Dalmonte, Giorgio; Tartamella, Francesco; Mita, Maria Teresa; De Sario, Giuseppina; Roncoroni, Luigi; Marchesi, Federico

    2016-11-03

    Gli amartomi cistici retrorettali (Tailgut cysts) sono rare lesioni dello spazio presacrale che avendo rischio intrinseco di trasformazione maligna e recidiva sono normalmente trattate mediante asportazione chirurgica anche nel caso in cui siano asintomatiche. Negli ultimi vent’anni si sta affermando il trattamento mediante accesso addominale laparoscopico per la sua migliore esposizione delle strutture della pelvi e la sua minore invasività. In questo caso clinico presentiamo il trattamento del più grande amartoma cistico retrorettale asportato laparoscopicamente fino ad ora riportato in letteratura. Essendo nella maggior parte dei casi asintomatici, la diagnosi degli amartomi cistici retrorettali è spesso incidentale durante una visita medica di routine. Nel successivo studio è particolarmente indicata la RM per orientare la scelta dell’approccio chirurgico data la sua maggiore risoluzione nei tessuti molli e nella determinazione dell’invasività locale. La trasformazione maligna di queste lesioni si stima possa avvenire nel 14,1% dei casi, per questo l’exeresi chirurgica è la terapia di scelta. Tra i differenti approcci la tecnica transaddominale laparoscopica, se eseguita da chirurghi esperti nella chirurgia pelvica laparoscopica, garantisce la migliore visualizzazione degli organi pelvici e una minore morbidità. A causa del rischio di rottura e insemenzamento l’approccio laparoscopico non dovrebbe essere utilizzato in caso di sospetta malignità della lesione cistica. Il nostro caso corrobora la validità del trattamento laparoscopico degli amartomi cistici retrorettali, anche quando possiedono dimensioni considerevoli. Lo studio preo-peratorio è quindi cruciale per determinare la possibile malignità della lesione ed eseguire in tal caso un approccio laparotomico.

  8. Combination of Sonodynamic and Photodynamic Therapy against Cancer Would Be Effective through Using a Regulated Size of Nanoparticles

    PubMed Central

    Miyoshi, N.; Kundu, S. K.; Tuziuti, T.; Yasui, K.; Shimada, I.; Ito, Y.

    2016-01-01

    Nanoparticles have been used for many functional materials in nano-sciences and photo-catalyzing surface chemistry. The titanium oxide nanoparticles will be useful for the treatment of tumor by laser and/or ultrasound as the sensitizers in nano-medicine. We have studied the combination therapy of photo- and sono-dynamic therapies in an animal tumor model. Oral-administration of two sensitizers titanium oxide, 0.2%-TiO2 nanoparticles for sono-dynamic and 1 mM 5-aminolevulinic acid for photodynamic therapies have resulted in the best combination therapeutic effects for the cancer treatment. Our light microscopic and Raman spectroscopic studies revealed that the titanium nanoparticles were distributed inside the blood vessel of the cancer tissue (1–3 μm sizes). Among these nanoparticles with a broad size distribution, only particular-sized particles could penetrate through the blood vessel of the cancer tissue, while other particles may only exhibit the side effects in the model mouse. Therefore, it may be necessary to separate the optimum size particles. For this purpose we have separated TiO2 nanoparticles by countercurrent chromatography with a flat coiled column (1.6 mm ID) immersed in an ultrasonic bath (42 KHz). Separation was performed with a two-phase solvent system composed of 1-butanol-acetic acid-water at a volume ratio of 4:1:5 at a flow rate of 0.1 ml/min. Countercurrent chromatographic separation yielded fractions containing particle aggregates at 31 and 4400 nm in diameter. PMID:27088115

  9. Contrast-enhanced ultrasonography in nodular splenomegaly associated with type B Niemann-Pick disease: an atypical hemangioma enhancement pattern.

    PubMed

    Benedetti, E; Proietti, A; Miccoli, P; Basolo, F; Ciancia, E; Erba, P A; Galimberti, S; Orsitto, E; Petrini, M

    2009-09-01

    Sommario INTRODUZIONE: La malattia di Niemann-Pick (NPD) tipo A e B è una patologia da accumulo di lipidi. Il tipo A è un disordine fatale dell'infanzia. Il tipo B è una forma non-neuronopatica ossevata sia nei bambini che negli adulti con possibile riscontro di epatomegalia e/o splenomegalia (nodulare) durante un esame ecografico. Il tipo C dipende da un difetto nel trasporto del colesterolo. METODI: Una donna di 21 anni si è presentata al Pronto Soccorso con febbre, faringodinia e dolore al quadrante addominale superiore sinistro. Gli esami ematochimici hanno evidenziato anemia, piastrinopenia, aumento delle AST, ALT, GGT, FA, LDH trigliceridi, colesterolo totale, e ridotto HDL. La PCR per CMV ed EBV era negativa. La radiografia del torace era negativa. L'ecografia transaddominale ha rilevato splenomegalia (>22 cm long axis) con una lesione ipoecogena irregolare subcapsulare al polo superiore compatibile con infarto splenico e la presenza di multiple lesioni nodulari iperecogene con diametro da 1 cm fino a 5. RISULTATI: È stata quindi eseguita una ecografia con mezzo di contrasto con SonoVue (Bracco) che ha confermato la presenza di un infarto splenico. Le lesioni nodulari mostravano un enhancement in fase arteriosa con wash out in fase parenchimatosa tardiva. La F-FDG-PET ha mostrato un uptake nodulare splenico. Nel sospetto di un processo linfoproliferativo è stata eseguita una splenectomia. La diagnosi è stata di NPD tipo B con infarto splenico e le lesioni nodulari sono risulate essere emangiomi. DISCUSSIONE: Concludendo, la CEUS ha confermato la diagnosi e l'estenzione dell'infarto splenico, ma l'enhancement nodulare atipico supportato dalle immagini F-FDG-PET è stato fuorviante, suggerendo l'ipotesi di lesioni linfomatose.

  10. [Intravenous contrast-enhanced ultrasound of metastatic lymph nodes in rabbit VX2 tongue carcinoma model].

    PubMed

    Zhang, Yu; Shi, Fang; Li, Shi-min; Jin, Yun-jie; Wu, Hai-tao

    2012-06-01

    To investigate the sonographic features of the cervical lymph nodes in rabbit VX2 tongue carcinoma model and hyperplasia cervical lymph nodes model using gray scale contrast-enhanced ultrasonography (CEUS) after intravenous administration of SonoVue (a sonographic contrast agent) and to evaluate the potential utility of CEUS in detecting early metastatic cervical lymph nodes in the rabbit VX2 tongue carcinoma model. Twenty New Zealand rabbits were placed into 2 groups, 12 for node metastasis and 18 for node hyperplasia. Cervical CEUS was performed in the rabbits of both groups before and after intravenous administration of SonoVue(0.6 ml). The phase, pattern, beginning area and echogenicity of enhancement of the lymph nodes on the right neck were observed and recorded. Dissection of the lymph nodes were guided by the marks made during CEUS and examined histopathologically. On the right side of each rabbit only one lymph node were detected in both groups. All 8 cases in the hyperplasia group showed homogeneous enhancement starting from central, while in the metastasis group one case showed homogeneous enhancement starting from the central, 3 cases showed inhomogeneous enhancement starting from periphery, and 8 cases showed inhomogeneous enhancement starting both from central and periphery. One lymph node was dissected on the right side of the neck in each rabbit in both groups. Pathological examination showed all 12 lymph nodes in the metastatic group were metastatic lymph nodes, and all 8 lymph nodes in the hyperplasia group were hyperplastic lymph nodes. After intravenous CEUS, metastatic lymph nodes show inhomogeneous enhancement starting from periphery/central or periphery area, while hyperplastic lymph nodes show homogeneous enhancement starting from central area. Metastatic lymph nodes can be characterized as being neoplastic or benign on the basis of the enhancement patterns evaluated by CEUS.

  11. [Use of a portable ultrasound system in the perisurgical assessment of head and neck patients].

    PubMed

    Angerer, F; Zenk, J; Iro, H; Bozzato, A

    2013-10-01

    The use of high resolution ultrasound is an established diagnostic method. A disadvantage of current high end systems is that transporting the device into the operating theatre or an intensive care unit requires time and logistic effort. We report results of an evaluation of a portable ultrasound system in the diagnosis and treatment of the head and neck area. Indications and value of a portable device in the clinical setting of an operation theatre and intensive care unit were assessed. Within a period of 5 months, 48 patients were included in this prospectively designed study using a portable ultrasound system with B-scan/color Doppler mode (SonoSite TITAN, Firma SonoSite® Germany) and an 7.5 MHz broadband linear array transducer. Two experienced physicians recorded the location and examination conditions, imaging mode, time expenditure, indication and diagnosis. The examiner also commented about whether the use of a portable laptop system considerably improved the therapy decision. The analysis included descriptive statistics for interpretation of the results. The most frequent use of the ultrasound system was the pre- or intrasurgical "pinpointing" of tumours in the soft tissues of the neck or in salivary glands. The average time for the examination was 6 min. In 79 % of the cases, the examiner stated a definite improvement of the therapy decision through the use of the portable ultrasound. We could demonstrate that a portable ultrasound system is a time-saving, economic and ubiquitously applicable method of imaging. Diagnosis and surgical planning are optimized. Thus, in larger hospitals and clinics, a portable ultrasound device is a logical complement to a stationary unit.

  12. EUS Needle Identification Comparison and Evaluation study (with videos).

    PubMed

    Tang, Shou-Jiang; Vilmann, Andreas S; Saftoiu, Adrian; Wang, Wanmei; Streba, Costin Teodor; Fink, Peter P; Griswold, Michael; Wu, Ruonan; Dietrich, Christoph F; Jenssen, Christian; Hocke, Michael; Kantowski, Marcus; Pohl, Jürgen; Fockens, Paul; Annema, Jouke T; van der Heijden, Erik H F M; Havre, Roald Flesland; Pham, Khanh Do-Cong; Kunda, Rastislav; Deprez, Pierre H; Mariana, Jinga; Vazquez-Sequeiros, Enrique; Larghi, Alberto; Buscarini, Elisabetta; Fusaroli, Pietro; Lahav, Maor; Puri, Rajesh; Garg, Pramod Kumar; Sharma, Malay; Maluf-Filho, Fauze; Sahai, Anand; Brugge, William R; Lee, Linda S; Aslanian, Harry R; Wang, Andrew Y; Shami, Vanessa M; Markowitz, Arnold; Siddiqui, Ali A; Mishra, Girish; Scheiman, James M; Isenberg, Gerard; Siddiqui, Uzma D; Shah, Raj J; Buxbaum, James; Watson, Rabindra R; Willingham, Field F; Bhutani, Manoop S; Levy, Michael J; Harris, Cynthia; Wallace, Michael B; Nolsøe, Christian Pállson; Lorentzen, Torben; Bang, Niels; Sørensen, Sten Mellerup; Gilja, Odd Helge; D'Onofrio, Mirko; Piscaglia, Fabio; Gritzmann, Norbert; Radzina, Maija; Sparchez, Zeno Adrian; Sidhu, Paul S; Freeman, Simon; McCowan, Timothy C; de Araujo, Cyrillo Rodrigues; Patel, Akash; Ali, Mohammad Adel; Campbell, Garth; Chen, Edward; Vilmann, Peter

    2016-09-01

    EUS-guided FNA or biopsy sampling is widely practiced. Optimal sonographic visualization of the needle is critical for image-guided interventions. Of the several commercially available needles, bench-top testing and direct comparison of these needles have not been done to reveal their inherent echogenicity. The aims are to provide bench-top data that can be used to guide clinical applications and to promote future device research and development. Descriptive bench-top testing and comparison of 8 commonly used EUS-FNA needles (all size 22 gauge): SonoTip Pro Control (Medi-Globe); Expect Slimline (Boston Scientific); EchoTip, EchoTip Ultra, EchoTip ProCore High Definition (Cook Medical); ClearView (Conmed); EZ Shot 2 (Olympus); and BNX (Beacon Endoscopic), and 2 new prototype needles, SonoCoat (Medi-Globe), coated by echogenic polymers made by Encapson. Blinded evaluation of standardized and unedited videos by 43 EUS endoscopists and 17 radiologists specialized in GI US examination who were unfamiliar with EUS needle devices. There was no significant difference in the ratings and rankings of these needles between endosonographers and radiologists. Overall, 1 prototype needle was rated as the best, ranking 10% to 40% higher than all other needles (P < .01). Among the commercially available needles, the EchoTip Ultra needle and the ClearView needle were top choices. The EZ Shot 2 needle was ranked statistically lower than other needles (30%-75% worse, P < .001). All FNA needles have their inherent and different echogenicities, and these differences are similarly recognized by EUS endoscopists and radiologists. Needles with polymeric coating from the entire shaft to the needle tip may offer better echogenicity. Copyright © 2016 American Society for Gastrointestinal Endoscopy. All rights reserved.

  13. [Compassionate nursing care: the experience of italian nurses].

    PubMed

    De Carlo, Paola; Guerra, Denise; Rega, Maria Luisa; Galletti, Caterina

    2016-01-01

    Scopo. Nella letteratura infermieristica internazionale compassion e compassionate care hanno assunto una notevole importanza e si rivelano essere un fenomeno in divenire. Il concetto di compassionate nursing care risulta poco descritto ed oggettivato nella pratica infermieris-tica nel nostro Paese. Scopo di questo studio è stato di descrivere le esperienze di un campione di infermieri italiani circa il significato di cure infermieristiche compassionevoli. Metodo. È stato condotto uno studio qualitativo. Per la raccolta dei dati sono stati utilizzati i focus group, per analizzare i dati trascritti è stata utilizzata l’analisi di contenuto. Per lo studio è stato individuato un campione propositivo di 21 infermieri, di questi 15 hanno dato la disponibilità a partecipare. Risultati e discussione. Tutti i partecipanti hanno espresso liberamente le loro opinioni. Dall’analisi dei dati relativi alle quattro aree indagate con i focus group: definizione, la propria esperienza, tipologie di pazienti e formazione alle cure infermieristiche compassionevoli sono emersi aspetti contrastanti che variano da accezioni negative e negazione dei termini stessi a significati positivi di amore, carità, empatia, supporto, sostegno, relazione. Interessante ed innovativo è stato l’attribuire l’insegnamento delle cure compassionevoli ai parenti. Conclusioni. E’ risultato difficile per i partecipanti dare una definizione precisa sul significato di cure infermieristiche compassionevoli. E’ emersa la necessità e il desiderio di approfondire questo tema che risulta essere originale e un punto di forza per migliorare l’assistenza infermieristica. Infatti, puntare al recupero di questi valori educando gli infermieri ad erogare cure infermieristiche compassionevoli può sicuramente rappresentare un’implicazione futura per la professione.

  14. Sonochemical coating of textile fabrics with antibacterial nanoparticles

    NASA Astrophysics Data System (ADS)

    Beddow, Jamie; Singh, Gagandeep; Blanes, María; Molla, Korina; Perelshtein, Ilana; Gedanken, Aharon; Joyce, Eadaoin; Mason, Timothy

    2012-05-01

    The high incidence of hospital-acquired infections places a huge financial burden on our healthcare systems. These infections are also responsible for many millions of deaths each year. Antibacterial fabrics for use in medical textiles, such as hospital uniforms, bedding and wound dressings, can provide a useful weapon in the on-going fight against these infections. The aim of this EU funded Framework 7 project is to develop a pilot line sonochemical coating machine for the production of antibacterial fabrics. The sonochemical coating technology under development is based on a lab scale process that was developed at Bar-Ilan University (BIU). It involves two processes that are driven by acoustic cavitation; the in situ generation of the metal oxide (MO) nanoparticles and the simultaneous high velocity propulsion of these nanoparticles onto a fabric leading to impregnation. Here we report on a comparison of 2 different MO nanoparticle coatings, ZnO and CuO, that were sonochemically applied on to a plain cotton fabric. Both of these coatings were prepared by BIU. In this work, the antibacterial efficacy of the coated fabrics was quantitatively assessed using the absorption method from BS EN ISO 20743:2007. Both types of metal oxide nanoparticle displayed antibacterial activity against all of the test bacteria with particularly high levels of bacterial reduction observed with the CuO coating. The results presented here are from an EU Framework 7 funded project (SONO, EU Project Number: 228730). The project is a collaboration between 17 partner organizations from 10 different European countries. Further details can be found on the project website at: www.fp7-sono.eu.

  15. Ultrasound (US), Ultraviolet light (UV) and combination (US+UV) assisted semiconductor catalysed degradation of organic pollutants in water: oscillation in the concentration of hydrogen peroxide formed in situ.

    PubMed

    Jyothi, K P; Yesodharan, Suguna; Yesodharan, E P

    2014-09-01

    Application of Advanced Oxidation Processes (AOP) such as sono, photo and sonophoto catalysis in the purification of polluted water under ambient conditions involve the formation and participation of Reactive Oxygen Species (ROS) like ·OH, HO2·, O2(-), H2O2 etc. Among these, H2O2 is the most stable and is also a precursor for the reactive free radicals. Current investigations on the ZnO mediated sono, photo and sonophoto catalytic degradation of phenol pollutant in water reveal that H2O2 formed in situ cannot be quantitatively correlated with the degradation of the pollutant. The concentration of H2O2 formed does not increase corresponding to phenol degradation and reaches a plateau or varies in a wave-like fashion (oscillation) with well defined crests and troughs, indicating concurrent formation and decomposition. The concentration at which decomposition overtakes formation or formation overtakes decomposition is sensitive to the reaction conditions. Direct photolysis of H2O2 in the absence of catalyst or the presence of pre-equilibrated (with the adsorption of H2O2) catalyst in the absence of light does not lead to the oscillation. The phenomenon is more pronounced in sonocatalysis, the intensity of oscillation being in the order sonocatalysis>photocatalysis⩾sonophotocatalysis while the degradation of phenol follows the order sonophotocatalysis>photocatalysis>sonocatalysis>sonolysis>photolysis. In the case of sonocatalysis, the oscillation continues for some more time after discontinuing the US irradiation indicating that the reactive free radicals as well as the trapped electrons and holes which interact with H2O2 have longer life time (memory effect).

  16. Aortopexy for the treatment of tracheomalacia in children: review of the literature

    PubMed Central

    2012-01-01

    delicate is represented by those with associated gastro-esophageal reflux, in whom a fundoplication should be performed. Other treatments of tracheomalacia, particularly tracheal stenting, were associated with a higher rate of failure, severe morbidity and mortality. Non english abstract La tracheomalacia severa rappresenta una sfida per Pediatri, Intensivisti, Pneumologi, Otorinolaringoiatri, Chirurghi Pediatri. Il trattamento della tracheomalacia è tuttora controverso. L’aortopessi è considerata da molti la migliore opzione terapeutica. Abbiamo condotto una revisione della letteratura di lingua inglese su tale argomento. Di 125 lavori, 40 sono stati inclusi nella revisione. Tra 758 pazienti (62% maschi) affetti da tracheomalacia, 581 sono stati sottoposti ad aortopessi tra il 1968 e il 2008. In 659 pazienti alcune comorbidità erano presenti. L’associazione più frequente era con l’atresia esofagea (44%), l’anello vascolare o un’anomalia dei grossi vasi (18%), la compressione da parte dell’arteria innominata (16%); nel 9% la tracheomalacia era idiopatica. I sintomi riportati sono stati variabili, ma l’indicazione più importante all’aortopessi sono stati eventi di ALTE, osservati nel 43% dei pazienti. Lo studio diagnostico preoperatorio principale è stato la broncoscopia. L’approccio chirurgico è avvenuto attraverso una toracotomia anteriore sinistra nel 72% dei pazienti, mentre un approccio mediano è stato scelto nel 14% e nell’1.3% dei casi è stato eseguito un approccio toracoscopico. Al follow-up (mediana di 47 mesi) la maggioranza dei pazienti sono migliorati significativamente, ma l’8% di essi non è migliorato, il 4% è peggiorato e il 6% è morto. Complicazioni sono state riportate nel 15% dei pazienti, nell’1% un nuovo intervento di aortopessi è stato necessario. In questa revisione abbiamo trovato che non c’è un consenso generale sulla valutazione e sulla descrizione dei sintomi, sulle indicazioni chirurgiche ed esami

  17. Management of colovesical and colovaginal diverticular fistulas Our experience and literature reviewed.

    PubMed

    Marcucci, Tommaso; Giannessi, Sandro; Giudici, Francesco; Riccadonna, Sara; Gori, Agnese; Tonelli, Francesco

    2014-10-03

    fistole enteriche. Il tasso d’incidenza delle fistole enteriche nella malattia diverticolare è di circa il 2-4% e può raggiungere il 20% nei pazienti sottoposti a chirurgia. La più comune fistola enterica è la colovescicale (60%) seguita dalla colovaginale (20%). Le fistole diverticolitiche colovescicali e colovaginali tendono a non chiudersi spontaneamente e un trattamento medico conservativo è spesso inefficace. Precedenti studi hanno evidenziato elevati tassi di mortalità (fino al 75%) in pazienti con fistole colovescicali non trattati chirurgicamente. Quando possibile, la chirurgia deve essere considerata il trattamento di scelta. Numerosi lavori hanno suggerito che la resezione del tratto di colon patologico è essenziale per ridurre il rischio di fistole recidive e rappresenta il “gold standard” della chirurgia. Le opzioni chirurgiche sono la procedura in one-stage, in two-stage e in three-stage. In elezione e nella maggior parte dei casi Hinchey I e II non c’è evidenza che le procedure in più tempi abbiano risultati migliori di quella in one-stage. La letteratura ha ampiamente dimostrato come la tecnica in onestage con resezione colica e anastomosi primaria è fattibile ed efficace nella maggioranza dei casi. L’uso di una stomia di protezione associata all’anastomosi primaria si è dimostrato utile nel prevenire l’anastomotic leakage. L’intervento di Hartmann o la procedura in three-stage sono indicati nei casi di diverticolite complicata in stadio III e IV di Hinchey. L’intervento in three-stage è raramente eseguito, grazie al miglioramento negli anni della tecnica chirurgica, dei devices usati e della terapia intensiva e antibiotica perioperatoria. Il trattamento dell’organo fistolizzato può variare in base alle dimensioni della fistola. In alcuni casi, il difetto può essere di dimensioni talmente piccole da non essere visibile. Per quanto riguarda il difetto vescicale, questo può essere, nella maggior parte dei casi

  18. Non-pharmacological interventions to promote the sleep of patients after cardiac surgery: a systematic review.

    PubMed

    Machado, Fernanda de Souza; Souza, Regina Claudia da Silva; Poveda, Vanessa Brito; Costa, Ana Lucia Siqueira

    2017-09-12

    to analyze evidence available in the literature concerning non-pharmacological interventions that are effective to treat altered sleep patterns among patients who underwent cardiac surgery. systematic review conducted in the National Library of Medicine-National Institutes of Health, Cochrane Central Register of Controlled Trials, Latin American and Caribbean Health Sciences Literature, Scopus, Embase, Cumulative Index to Nursing and Allied Health Literature and PsycINFO databases, and also grey literature. ten controlled, randomized clinical trials were included in this review. Non-pharmacological interventions were grouped into three main categories, namely: relaxation techniques, devices or equipment to minimize sleep interruptions and/or induce sleep, and educational strategies. Significant improvement was found in the scores assessing sleep quality among studies testing interventions such as earplugs, sleeping masks, muscle relaxation, posture and relaxation training, white noise, and educational strategies. In regard to the studies' methodological quality, high quality studies as established by Jadad scoring were not found. significant improvement was found among the scores assessing sleep in the studies testing interventions such as earplugs, sleeping masks, muscle relaxation, posture and relaxation training, white noise and music, and educational strategies. analisar as evidências disponíveis, na literatura, sobre as intervenções não farmacológicas, efetivas para o tratamento da alteração do padrão do sono em pacientes submetidos à cirurgia cardíaca. revisão sistemática realizada por meio de busca nas bases de dados National Library of Medicine National Institutes of Health, Cochrane Central Register of Controlled Trials, Literatura Latino-Americana e do Caribe em Ciências da Saúde, Scopus, Embase, Cumulative Index to Nursing and Allied Health Literature e PsycINFO, e na literatura cinzenta. dez ensaios clínicos controlados e randomizados

  19. A case of allergic contact dermatitis from propylene glycol in an ultrasonic gel, sensitized at a leakage skin injury due to transcatheter arterial chemoembolization for hepatocellular carcinoma.

    PubMed

    Horiguchi, Yuji; Honda, Tetsuya; Fujii, Shinobu; Matsushima, Satoko; Osaki, Yukio

    2005-08-01

    A 63-year-old man with hepatocellular carcinoma consequent to chronic viral hepatitis C presented with severe dermatitis on the lower right side of the back after transcatheter arterial chemoembolization (TACE) via the 10th intercostal artery, because his hepatic artery had already collapsed due to repeated usage for TACE. The regional skin showed redness and hardness with pustules. Histologically, there was epidermal and appendage necrosis, as well as exocytosis of red blood cells. With a diagnosis of skin injury due to leakage of lipiodol ultrafluid, mitomycin, and epirubicin, administered via the 10th intercostal artery, onto the skin tissue, topical application of 0.06% fluocinonide-containing cream was prescribed. After several weeks of conservative local treatment, the leakage skin injury improved significantly, leaving pigmentation, hardness, and a small necrotic mass, as reported elsewhere (Honda T, Matsushima S, Fujii S, et al. A case of skin injury following transcatheter arterial chemotherapy through intercostal artery for hepatocellular carcinoma. Skin Res 2003; 2: 18-22). Subsequently, the patient again consulted the Dermatology Department with further dermatitis in an almost identical skin region on the right side of the abdomen (irregularly spreading erythematous and edematous eruptions with itching; Fig. 1). As he had undergone an ultrasonic examination 2 days earlier, allergic contact dermatitis from the ultrasonic gel was suspected. The contact dermatitis was treated with a topical corticosteroid hormone-containing ointment. Patch testing was performed with Ultra Phonic Conductivity Gel (Pharmaceutical Innovations Inc., Newark, NJ, USA), with which the patient had undergone a series of ultrasonic examinations, and Sono Jelly (Toshiba Medical Supply Co., Ltd., Tokyo, Japan) as a reference, as well as white petroleum as a negative control. A positive result was obtained for Ultra Phonic Conductivity Gel, whereas Sono Jelly was negative (Fig. 2a

  20. Imaging detection of new HCCs in cirrhotic patients treated with different techniques: Comparison of conventional US, spiral CT, and 3-dimensional contrast-enhanced US with the Navigator technique (Nav 3D CEUS)().

    PubMed

    Giangregorio, F; Comparato, G; Marinone, M G; Di Stasi, M; Sbolli, G; Aragona, G; Tansini, P; Fornari, F

    2009-03-01

    Sommario INTRODUZIONE: Il sistema “Navigator” di Esaote consente di ottenere ricostruzioni 3-D di tutto il fegato (corrette volumetricamente da un sistema di guida) mediante singola acquisizione con CEUS (mediante scansione perpendicolare all'asse lungo del fegato, per una completa acquisizione 2-D del suo asse corto) e sovrappone tali ricostruzioni 3-D con quelle ottenute con la TC. SCOPO: valutare la capacità di tale sistema di diagnosticare nuovi HCC rispetto all'US e alla TC in una popolazione di HCC su cirrosi precedentemente trattati con varie metodiche. MATERIALI E METODI: Settantadue cirrotici con pregressi HCC (M/F: 38/34; tutti HCV +vi, Child A/B: 58/14, con detection di 49 nuovi noduli (N) in 34 pazienti; 10 nuovi HCC multinodulari (NMulti); 6 riprese locali di malattia (Ri) in 4 pazienti (3 riprese singole, in un paziente tre noduli con ripresa di malattia); 47 HCC trattati efficacemente (neg) in 22 pazienti + 2 pazienti con HCC multinodulare senza segni di ripresa (neg-Multi) sono stati sottoposti a 100 esami (1 esame: 48 pazienti; 2 esami: 20 pazienti; 3 esami: 4 pazienti) dal 1 novembre 2006 al novembre 2007. La Nav 3D CEUS è stata eseguita con SonoVue (BR1; Bracco) e con l'ecografo Esaote MPX collegato a un sistema “Navigator” con software di ricostruzione 3-D dedicato. La TC spirale di controllo è stata eseguita entro 30 giorni dall'esecuzione di Nav 3D CEUS. Sono stati valutati sensibilità, specificità, accuratezza diagnostica (ODA), valore predittivo positivo (PPV) e negativo (NPV). RISULTATI: La diagnosi finale fu: 34 pazienti con 49 nuove lesioni (N), 10 con HCC multiN e 6 recidive loco-regionali in 4 pazienti; 47 noduli in 24 pazienti senza nuove lesioni durante il follow-up. Gli US hanno ottenuto: 29 N (+5 multinodularN e 3 LR), 20 falsi negativi (+5 Nmulti e 3 LR) (sensibilità: 59,2, specificità: 100%; accuratezza diagnostica: 73;6; VPP: 100; VPN: 70, 1); la TC spirale ha ottenuto: 42 N (+9 multinodularN e 7 LR), 7 falsi

  1. How changes in nutrition have influenced the development of allergic diseases in childhood

    PubMed Central

    2012-01-01

    possono prevenire lo sviluppo di respiro sibilante (wheezing) attraverso i loro effetti antiossidanti contengono vitamina C e selenio; i livelli ematici di questi elementi sono correlati negativamente con il rischio di wheezing. Inoltre l'assunzione di vitamina E durante la gravidanza sembra essere correlato con un rischio ridotto di respiro sibilante per il nascituro. Allo stesso modo, basso apporto di zinco e di carotenoidi in donne in gravidanza è associata ad un aumentato rischio di wheezing e asma nell'infanzia. Anche le fibre hanno proprietà anti-infiammatorie ed effetti protettivi contro le malattie allergiche come la dermatite atopica e l’asma. Il consumo di grassi influenza lo sviluppo delle vie aeree. Le popolazioni dei paesi occidentali hanno aumentato il loro consumo di n-6 PUFA e, parallelamente, ridotto n-3 PUFA. Ciò ha portato alla diminuzione della produzione di PGE2, che si ritiene abbia un effetto protettivo contro l'infiammazione delle vie aeree. Ipotesi contrastanti riguardano la vitamina D, sia un eccesso che una carenza di vitamina D, infatti, sono stati associati ad un aumentato rischio di asma. Ulteriori studi sul ruolo di queste sostanze sono necessari prima di trarre conclusioni sul piano clinico. PMID:22651129

  2. Recent advancements in the sonophotocatalysis (SPC) and doped-sonophotocatalysis (DSPC) for the treatment of recalcitrant hazardous organic water pollutants.

    PubMed

    Panda, Debabrata; Manickam, Sivakumar

    2017-05-01

    Sonophotocatalysis (SPC) is considered to be one of the important wastewater treatment techniques and hence attracted the attention of researchers to eliminate recalcitrant hazardous organic pollutants from aqueous phase. In general, SPC refers to the integrated use of ultrasonic sound waves, ultraviolet radiation and the addition of a semiconductor material which functions as a photocatalyst. Current research has brought numerous improvements in the SPC based treatment by opting visible light irradiation, nanocomposite catalysts and numerous catalyst supports for better stability and performance. This review accomplishes a critical analysis with respect to the recent advancements. The efficiency of SPC based treatments has been analyzed by considering the individual methods i.e. sonolysis, photocatalysis, sonophotolysis, sono-ozone, photo-Fenton and sono-Fenton. Besides, the essential parameters such as solution temperature, concentrations of initial pollutant and catalyst, initial pH, dosages of Fenton's reagent and hydrogen peroxide (H2O2), ultrasonic power density, gas sparging, addition of radical scavenger, addition of carbon tetrachloride and methanol have been discussed with suggestions for the selection of optimum parameters. A higher synergistic pollutant removal rate has been reported during SPC treatment as compared to individual methods and the implementation of numerous doping materials and supports for the photocatalyst enhances the degradation rate of pollutants using DSPC under both visible and UV irradiation. Overall, SPC and DSPC based wastewater treatments are emerging as potential techniques as they provide effective solution in removing the recalcitrant organic pollutants and progressive research is expected to bring out superior treatment efficiency using these advanced technologies. The review has accomplished a thorough and a critical analysis of sonophotocatalysis (SPC) based on the recently published journals. Recent advancements in the

  3. Laparoscopic drainage of a recurrent psoas abscess.

    PubMed

    Neola, Benedetto; D'Ambra, Michele; Capasso, Stefano; Russo, Milena; Ferulano, Giuseppe Paolo

    2014-03-28

    Negli ultimi anni, gli ascessi del muscolo ileopsoas sono stati riportati in letteratura con crescente frequenza, probabilmente a causa del largo impiego della TC nella diagnostica differenziale delle algie lombari. Qui presentiamo il caso di una paziente che ha sviluppato un ascesso dell’ileopsoas post-traumatico. Una donna di 43 anni riferiva febbre da 4 settimane, anoressia, dolore al fianco destro e alla regione lombare e difficoltà alla deambulazione. Tale sintomatologia, insorta per la prima volta 20 anni prima in seguito ad una caduta da cavallo, si ripresentava ciclicamente. Per il controllo della febbre e del dolore, la paziente assumeva una terapia antibiotica empirica. Al momento del ricovero gli esami ematochimici mostravano una moderata leucocitosi. La TC dell’addome evidenziava un grosso ascesso multiloculato dello psoas destro ed una lesione ipodensa del sesto segmento epatico. Considerando la lunga storia di infezioni ricorrenti e l’indicazione ad investigare ulteriormente la lesione epatica, si optava per il drenaggio laparoscopico della lesione: aperta completamente la parete dell’ascesso, venivano drenati 550ml di liquido purulento la cui coltura evidenziava la presenza di Stafilococco aureo. Una ecografia del fegato intraoperatoria con sonda laparoscopica escludeva la presenza di una lesione resecabile del sesto segmento epatico e ne confermava la natura infiammatoria. La paziente veniva dimessa in terza giornata operatoria con terapia antibiotica mirata sull’antibiogramma. Nè febbre, nè dolore sono stati più riferiti ai successivi controlli a 1, 6, 12 e 24 mesi dall’intervento. Molti Autori ritengono che gli ascessi dell’ileopsoas possano essere controllati con terapia antibiotica ed eventualmente attraverso il drenaggio percutaneo, riservando il drenaggio chirurgico ai casi complessi o recidivanti. Tuttavia la letteratura non chiarisce se sia da preferire il drenaggio chirurgico con accesso open o laparoscopico. Nella nostra

  4. Arterial gas emboli in altitude-induced decompression sickness

    NASA Technical Reports Server (NTRS)

    Pilmanis, Andrew A.; Olson, Robert M.

    1993-01-01

    Exposure to high altitudes can result in the evolved-gas condition referred to as decompression sickness (DCS). Ultrasonic monitoring techniques have clearly demonstrated the presence of venous gas emboli (VGE) during decompression. Although important to DCS research and our understanding of the physiological mechanisms of this condition, Venus gas emboli have not been considered clinically hazardous, unless in extreme numbers. Arterial gas emboli (AGE), on the other hand, are generally viewed with great concern. Arterial gas emboli can enter the cerebral arterial circulation and arrest blood flow resulting in potentially serious injury. Left ventricular gas emboli were observed with echo imaging in five volunteer subjects during exposure to simulated altitude. These serendipitous findings occurred during altitude exposure under 3 separate research protocols involving 79 subject exposures. The voluntary, fully informed consent of the subjects used in this research was obtained as required by AFR 169-3. A Hewlett-Packard SONOS 1000 Echo Imaging System was used to monitor for precordial gas emboli. The improved resolution of the SONOS 1000 appears to account for these new findings. Four subjects had high incidence DCS and VGE during previous research flights. One subject only had one flight. The altitudes and AGE onset times for the five cases were: (1) 25,500 ft/2:23, (2) 29,000 ft/0:27, (3) 19,500 ft/3:49, (4) 29,500 ft/3:15, and (5) 29,500 ft/1:31. In all five cases, at the time of AGE onset, the VGE scores were high from all monitored locations. Four of the cases were symptomatic at the time of AGE onset (pain and skin mottling). No cerebral manifestations were observed. All subjects were immediately recompressed to ground level and successfully treated with 2 hours of post-breathing or with hyperbaric oxygen therapy. In conclusion, previously undetected AGE were demonstrated--with and without DCS symptoms--during exposure to altitude. It appears that this gas

  5. Three-port colectomy: reduced port laparoscopy for general surgeons. A single center experience.

    PubMed

    Cocorullo, Gianfranco; Tutino, Roberta; Falco, Nicolò; Salamone, Giuseppe; Gulotta, Gaspare

    Le resezioni coliche laparoscopiche sia per patologie benigne che maligne sono state investigate da importanti RCT che ne hanno dimostrato la sovrapponibilità alla tecnica open convenzionale. La laparoscopia con un numero ridotto di trocar ha da quel momento trovato ampio sviluppo nell’ottica di massimizzare i benefici della mini-invasività. Proponiamo un’analisi dei nostri risultati nell’utilizzo della tecnica three-port nella emicolectomia sinistra attraverso un confronto con la classica resezione laparoscopica con quattro/ cinque accessi. Come è noto i laparoceli si sviluppano maggiormente su incisioni mediane mentre non vi è differenza tra lo sviluppo di questi dopo tecnica open o laparoscopica. Nell’ottica della chirurgia a numero ridotto di accessi, la tecnica single-port sembra dare vantaggi di minor traumatismo ma ciò a costo di aumentate difficoltà di esecuzione, aumento dei tempi operatori e dell’utilizzo di strumenti per lo più dedicati, con incisioni ombelicali che possono superare i 5 cm. Le resezioni coliche three port consentono di ridurre il numero di accessi e dunque delle complicanze a questi correlate con l’utilizzo di strumentazione standard e la possibilità di esecuzione su larga scala da parte di ogni chirurgo. L’analisi che abbiamo eseguito ha dimostrato nella nostra serie una riduzione dei tempi operatori nella tecnica three port e ciò può essere dovuto all’inserimento dei trocar addizionali ed al loro controllo ma soprattutto alla possibilità/ necessità del chirurgo esperto di essere meno influenzato da fattori quali una equipe non dedicata. Non sono stati evidenziati vantaggi nella riduzione della degenza operatoria. Il tasso di conversione è stato maggiore nella tecnica a ridotto numero di accessi, questo è possibile sia un bias legato alle conversioni precoci prima del posizionamento di restanti trocar in casi particolarmente complessi. In conclusione, la tecnica three port appare comparabile alla

  6. Arterial gas emboli in altitude-induced decompression sickness

    NASA Technical Reports Server (NTRS)

    Pilmanis, Andrew A.; Olson, Robert M.

    1993-01-01

    Exposure to high altitudes can result in the evolved-gas condition referred to as decompression sickness (DCS). Ultrasonic monitoring techniques have clearly demonstrated the presence of venous gas emboli (VGE) during decompression. Although important to DCS research and our understanding of the physiological mechanisms of this condition, Venus gas emboli have not been considered clinically hazardous, unless in extreme numbers. Arterial gas emboli (AGE), on the other hand, are generally viewed with great concern. Arterial gas emboli can enter the cerebral arterial circulation and arrest blood flow resulting in potentially serious injury. Left ventricular gas emboli were observed with echo imaging in five volunteer subjects during exposure to simulated altitude. These serendipitous findings occurred during altitude exposure under 3 separate research protocols involving 79 subject exposures. The voluntary, fully informed consent of the subjects used in this research was obtained as required by AFR 169-3. A Hewlett-Packard SONOS 1000 Echo Imaging System was used to monitor for precordial gas emboli. The improved resolution of the SONOS 1000 appears to account for these new findings. Four subjects had high incidence DCS and VGE during previous research flights. One subject only had one flight. The altitudes and AGE onset times for the five cases were: (1) 25,500 ft/2:23, (2) 29,000 ft/0:27, (3) 19,500 ft/3:49, (4) 29,500 ft/3:15, and (5) 29,500 ft/1:31. In all five cases, at the time of AGE onset, the VGE scores were high from all monitored locations. Four of the cases were symptomatic at the time of AGE onset (pain and skin mottling). No cerebral manifestations were observed. All subjects were immediately recompressed to ground level and successfully treated with 2 hours of post-breathing or with hyperbaric oxygen therapy. In conclusion, previously undetected AGE were demonstrated--with and without DCS symptoms--during exposure to altitude. It appears that this gas

  7. Contrast-enhanced voiding urosonography with intravesical administration of a second-generation ultrasound contrast agent for diagnosis of vesicoureteral reflux: prospective evaluation of contrast safety in 1,010 children.

    PubMed

    Papadopoulou, Frederica; Ntoulia, Aikaterini; Siomou, Ekaterini; Darge, Kassa

    2014-06-01

    To evaluate the safety of intravesical administration of a second-generation ultrasound (US) contrast agent for the diagnosis of vesicoureteral reflux in children. One thousand and ten children (563 girls, 447 boys; mean age: 2.9 years, range: 15 days-17.6 years) with 2,043 pelvi-ureter-units underwent contrast-enhanced voiding urosonography (ce-VUS) to rule out vesicoureteral reflux. A second-generation US contrast agent (SonoVue®, Bracco, Milan) was administered intravesically through transurethral bladder catheterization at a dose of 0.5 ml/bladder filling. Possible adverse events were monitored during the examination and followed up for 7 days after ce-VUS by phone calls. Urine analysis and culture were performed 3-5 days before ce-VUS in all children and 24-48 h in any patient who reported with adverse events. No case of serious adverse event was recorded. Minor events were reported in 37 children (3.66% of the study population). These included dysuria (n = 26, 2.57%), urinary retention (n = 2, 0.2%), abdominal pain (n = 2, 0.2%), anxiety (n = 1, 0.1%) and crying (n = 1, 0.1%) during micturition, blood and mucous discharge (n = 1, 0.1%), increased frequency of micturition (n = 1, 0.1%), vomiting (n = 1, 0.1%), perineal irritation (n = 1, 0.1%), and an episode of urinary tract infection 10 days after ce-VUS (n = 1, 0.1%). Of these adverse events, 91.9% were subacute in onset and 8.1% were delayed. All events were self-limited and none required hospitalization. There were no serious adverse events. Only a few minor events were reported, most likely due to the catheterization process. Thus, ce-VUS with intravesical administration of the second-generation US contrast agent (SonoVue®) for vesicoureteral reflux detection or exclusion had a favorable safety profile in our study group.

  8. Coronary artery bypass grafting in the octogenarian. Is complete revascularization always necessary?

    PubMed

    Concistrè, Giovanni; Dell'Aquila, Angelo Maria; Gallo, Alina; Pansini, Stefano; Piccardo, Alessandro; Rapetto, Filippo; Passerone, Giancarlo; Regesta, Tommaso

    2015-01-01

    La rivascolarizzazione miocardica completa è importante nei pazienti giovani sottoposti ad intervento di bypass aortocoronarico (CABG), ma questo principio resta poco chiaro nei pazienti anziani. Lo scopo del nostro studio è valutare se la completezza della rivascolarizzazione influenzi gli outcomes negli ultraottantenni. Abbiamo analizzato retrospettivamente 130 pazienti ultraottantenni (età media: 82 ± 10 anni; range: 80-90 anni) sottoposti presso il nostro Istituto a CABG tra Gennaio 2003 e Settembre 2010. In accordo con la strategia operatoria utilizzata, i pazienti sono stati suddivisi in 2 gruppi: pazienti sottoposti a rivascolarizzazione completa (Gruppo RC) (96 pazienti) e pazienti sottoposti a rivascolarizzazione incompleta (Gruppo RI) (34 pazienti). Per rivascolarizzazione incompleta si è inteso l’assenza di bypass su un territorio miocardico vascolarizzato da una coronaria con una stenosi ≥ 50%. Il follow-up è stato completato al 98% (medio: 30 ± 25 mesi; range: 3 mesi – 7.5 anni). La mortalità intraospedaliera complessiva è stata del 13% ed è stata simile nei 2 gruppi (p=0.0553). L’analisi multivariata ha identificato la frazione di eiezione preoperatoria ≤ 40% (p=0.0060; OR=0.19) e la classe NYHA > II (p=0.0042; OR=0.17) fattori di rischio di mortalità intraospedaliera. L’analisi di Cox non ha identificato la rivascolarizzazione incompleta come fattore di rischio di mortalità precoce e tardiva (p=0.1381 e p=0.8865). Non sono state riscontrate differenze tra i 2 gruppi in termini di sopravvivenza a 5 anni e libertà da eventi cardiaci e cerebrovascolari maggiori (MACCE) (p=0.8865 e p=0.6283). Probabilmente i maggiori benefici di una rivascolarizzazione completa si hanno nei pazienti più giovani, che hanno un’aspettativa di vita maggiore. In conclusione il nostro studio mostra che, seppur con una limitata coorte di pazienti, negli ultraottantenni sottoposti a CABG la rivascolarizzazione incompleta non influenza la sopravvivenza

  9. Multimodality imaging of bilateral pheochromocytoma. A case report.

    PubMed

    Paladino, Nunzia Cinzia; Lowery, Aoife; Guérin, Carole; Taïeb, David; Sebag, Frédéric

    2015-06-22

    I feocromocitomi bilaterali sono rari; nella maggior parte dei casi presentano origine ereditaria e sono legati a mutazioni germinali relative ai geni RET, VHL o SDHx, tuttavia in altri casi non viene ritrovata alcuna eziologia. A tal proposito riportiamo il caso clinico di una donna di 76 anni, giunta alla nostra osservazione per malessere generale sopravvenuto in concomitanza di crisi ipertensive responsabili di ospedalizzazione. Il profilo ormonale realizzato in tale occasione, era suggestivo di feocromocitoma (metanefrine plasmatiche ed urinarie 10 volte superiori al range di normalità). Gli esami radiologici (TC e RMN) rivelavano due lesioni surrenaliche bilaterali di diametro rispettivamente a destra di 47 mm ed a sinistra di 26 mm. Mentre la TC definiva le dimensioni di queste lesioni, il loro carattere eterogeneo e la loro ipervascolarizzazione oltre ai rapporti con gli organi adiacenti, la RMN si esprimeva già in favore di feocromocitoma bilaterale. La scintigrafia alla MIBG mostrava una iperfissazione a carico della lesione surrenalica destra mentre sulla surrenale controlaterale evidenziava una fissazione limitata, relativa alla midollare normale. Tenuto conto del forte sospetto di feocromocitoma bilaterale, veniva eseguita una TEP alla 18F-FDOPA che mostrava un intenso ipermetabolismo a carico della massa surrenalica destra, mentre controlateralmente una fissazione simile a quella del fegato e pertanto non sospetta, nonostante molti studi sostengano una sensibilità uguale o addirittura superiore della TEP alla 18-FDOPA rispetto alla scintigrafia MIBG nei pazienti con feocromocitoma o paraganglioma. In un primo tempo veniva eseguita una surrenalectomia destra per via laparoscopica. In fase post-operatoria, in seguito alla constatazione del persistente incremento delle metanefrine plasmatiche ed urinarie, veniva realizzata una TEP alla 18 FDG che confermava la presenza di un’area di ipermetabolismo intenso a carico della lesione surrenalica sinistra

  10. Ambienti Circumstellari ed Interstellari di Supernovae di vario Tipo ed Applicazioni Astrofisiche

    NASA Astrophysics Data System (ADS)

    Boffi, Francesca R.

    extra-galattiche per via puramente geometrica (Sparks 1994; 1996). Osservazioni da terra, in imaging e polarimetria, sono state utilizzate per selezionare un numero promettente di candidati, che mostrano emissione visibile alla posizione della supernova. Tali candidati sono promettenti non solo per l' applicazione del metodo descritto ma anche per dedurre informazioni circa le supernovae medesime e le relative popolazioni stellari.

  11. Ultrasound examination using contrast agent and elastosonography in the evaluation of single thyroid nodules: Preliminary results.

    PubMed

    Ferrari, F S; Megliola, A; Scorzelli, A; Guarino, E; Pacini, F

    2008-06-01

    Sommario SCOPO: Valutare l'utilità dell'ecografia con ecoamplificatore e dell'elastosonografia nella caratterizzazione del nodulo tiroideo. MATERIALI E METODI: Periodo novembre 2006–luglio 2007, studiati 23 pazienti con nodulo solitario tiroideo, sottoposti a ecografia B-mode e power Doppler, ecografia con mezzo di contrasto, elastosonografia e FNAC (Fine Needle Aspiration Citology). Sedici pazienti sono stati sottoposti a tiroidectomia. RISULTATI: I 23 noduli studiati comprendevano 14 lesioni benigne e 9 maligne. Alla valutazione delle curve intensità/tempo le lesioni maligne presentavano un tempo di wash-in (8,8 ± 1,3 vs 12,1 ± 2,6 secondi; p = 0,002, t-test) e un tempo di picco (15,3 ± 4,6 vs 22,2 ± 3,9 secondi; p = 0,001, t-test) significativamente più precoci rispetto alle lesioni benigne. La fase di wash-out presentava andamento monofasico nel 70% dei noduli benigni e in nessuno dei maligni; polifasico nel 30% dei noduli benigni e nel 100% dei maligni. L'andamento polifasico è associato in maniera statisticamente significativa (p = 0,0007, χ) alla malignità. L'andamento polifasico ha mostrato sensibilità del 100%, specificità del 71%, VPP (valore predittivo positivo) del 69%, VPN (valore predittivo negativo) del 100% e accuratezza diagnostica dell'83%. Nel 78% (11/14) dei noduli benigni sono stati rilevati i pattern elastosonografici 1–2 (maggiore elasticità), nel 88% (8/9) dei noduli maligni i pattern 3–4 (minore elasticità). L'elastosonografia ha mostrato sensibilità dell'88%, specificità del 78%, VPP dell'72%, VPN del 91% e accuratezza diagnostica del 82%. Il pattern elastosonografico 3–4 è associato (p = 0,001, χ) alla malignità. CONCLUSIONI: L'ecografia con ecoamplificatore e l'elastosonografia possono rappresentare ausili diagnostici nella valutazione del nodulo tiroideo solitario, soprattutto quando la FNAC è non diagnostica, quando indica lesione follicolare e nei noduli <1 cm.

  12. [Assessment of a project for integrated management of care given to patients with type-2 diabetes in the Local Health Authority 21 of Legnago (Veneto Region, Northern Italy) in the period 2010-2012].

    PubMed

    Marcon, Alessandro; Vaona, Alberto; Rigon, Giulio; Carazzolo, Marco; Del Zotti, Franco; Girotto, Sandro; Marafetti, Claudio

    2016-01-01

    OBIETTIVI: descrivere, nella ASL 21 di Legnago (VR), l'andamento di alcuni indicatori sanitari tra il 2009, anno precedente all'avvio di un progetto triennale per la gestione integrata dell'assistenza al paziente con diabete mellito di tipo 2, e il 2012, ultimo anno del progetto. DISEGNO: studio longitudinale trasversale ripetuto. SETTING E PARTECIPANTI: tutti i pazienti diabetici di tipo 2 della ASL 21, identificati nei database aziendali (in base a esenzioni per patologia, accessi al servizio diabetologico, consumo di farmaci antidiabetici e strisce per la determinazione della glicemia) e nelle cartelle cliniche dei medici di famiglia. PRINCIPALI MISURE DI OUTCOME: numero di test diagnostici e di follow-up erogati, consumo di farmaci, prestazioni specialistiche, accessi al pronto soccorso, ricoveri e mortalità. RISULTATI: nonostante un calo generalizzato (-3,1%) nei test erogati dalla ASL 21 ai suoi assistititi nel periodo 2009-2012, l'analisi ha documentato un marcato aumento per gli esami previsti nella gestione del diabete, quali curve da carico glicemico (+104,3%), emoglobina glicata (+19,0%) e microalbuminuria (+296,1%). I soggetti identificati come diabetici sono aumentati da 8.084 nel 2009 (5,2%) a 9.221 nel 2012 (5,9%). Sono stati osservati aumenti nella prevalenza di pazienti visitati presso un servizio diabetologico (dal 22,6% al 39,0%), nonché negli utilizzatori di metformina (dal 28,0% al 37,5%), insuline (dal 13,5% al 18,3%) e incretine (dall'1,4% al 9,0%). Il consumo di sulfaniluree è, invece, calato (dal 49,9% al 40,8%), come anche l'erogazione di alcune prestazioni specialistiche, gli accessi al pronto soccorso e i ricoveri, mentre il tasso di mortalità è rimasto stabile (29,6 decessi x1.000/anno). CONCLUSIONE: durante il periodo di implementazione del progetto sembra essersi verificato un aumento della sensibilità diagnostica e una maggiore presa in carico del paziente diabetico. Anche se la natura osservazionale dello studio non consente

  13. Gastric paraganglioma: a case report and a review of the literature.

    PubMed

    Pruiti, Vincenzo; Mazzeo, Francesca; Rossitto, Maurizio; Foti, Agata; Macrì, Antonio; Cucinotta, Eugenio

    2014-12-29

    I paragangliomi sono tumori neuroendocrini derivati dalla cresta neurale, provenienti dai paragangli, organi neuroendocrini dispersi e caratterizzati da cellule producenti catecolamine e peptidi. Presentano un’incidenza annuale stimata in 1 / 100.000, rappresentando il 10% dei tumori secernenti catecolamine. Riportiamo il caso di un uomo di 76 anni giunto alla nostra osservazione per la presenza di una lesione polipoide di 4 cm, vegetativaulcerata, tra il corpo e dell’antro gastrico rilevata durante una gastroscopia per la comparsa di anemia. Il paziente è stato sottoposto a gastrectomia subtotale con omentectomia e anastomosi gastrodigiunale. L’esame istologico ha rivelato un carcinoma gastrico polipoide ulcerato con cellule scarsamente aderenti con infiltrazione della parete gastrica muscolare e incidentalmente è stata identificata una lesione della parete gastrica posteriore incidentale che si rilevava essre un paraganglioma con la positività alle indagini di immunocitochimica per NSE e negatività per CD117, S100, CD34 e SMA. Con il termine di feocromocitoma si indica esclusivamente i tumori derivanti dalla midollare del surrene, mentre il paraganglioma extra-surrenalico suggerisce tumori delle cellule cromaffini con altre posizioni. La localizzazione gastrica o perigastrica, come nel nostro caso, è molto rara per queste neoplasie, e in letteratura vi sono solo pochi case report. La predisposizione genetica si osserva nel 30% di questi tumori e può essere responsabile della malattia ereditaria caratterizzata da differenze nella distribuzione del tumore, nella produzione di catecolamine, nel rischio di metastasi, e nell’associazione con altri tipi di tumori. In conclusione, nei pazienti con sintomi di tumore secernente cromaffini o in pazienti con una storia familiare di feocromocitoma-paraganglioma, che portano mutazioni e sottoposti a screening per il tumore asintomatico, la prima indagine diagnostica è determinare i livelli di metanefrina

  14. Working hours associated with unintentional sleep at work among airline pilots.

    PubMed

    Marqueze, Elaine Cristina; Nicola, Ana Carolina B; Diniz, Dag Hammarskjoeld M D; Fischer, Frida Marina

    2017-06-26

    Tto identify factors associated with unintentional sleep at work of airline pilots. This is a cross-sectional epidemiological study conducted with 1,235 Brazilian airline pilots, who work national or international flights. Data collection has been performed online. We carried out a bivariate and multiple logistic regression analysis, having as dependent variable unintentional sleep at work. The independent variables were related to biodemographic data, characteristics of the work, lifestyle, and aspects of sleep. The prevalence of unintentional sleep while flying the airplane was 57.8%. The factors associated with unintentional sleep at work were: flying for more than 65 hours a month, frequent technical delays, greater need for recovery after work, work ability below optimal, insufficient sleep, and excessive sleepiness. The occurrence of unintentional sleep at work of airline pilots is associated with factors related to the organization of the work and health. Identificar fatores associados aos cochilos não intencionais durante as jornadas de trabalho de pilotos da aviação regular. Estudo epidemiológico transversal conduzido com 1.235 pilotos brasileiros de avião do transporte aéreo regular, que realizavam voos nacionais ou internacionais, sendo a coleta de dados realizada on-line. Foi realizada análise de regressão logística bivariada e múltipla, tendo como variável dependente o cochilo não intencional durante o horário de trabalho. As variáveis independentes foram relacionadas a dados biodemográficos, características do trabalho, estilo de vida e aspectos do sono. A prevalência do cochilo não intencional enquanto pilotava o avião foi de 57,8%. Os fatores associados ao cochilo não intencional foram: voar por mais de 65 horas por mês, atrasos técnicos frequentes, maior necessidade de recuperação após o trabalho, capacidade para o trabalho inferior à ótima, sono insuficiente e sonolência excessiva. A ocorrência do cochilo n

  15. Comparison of conventional versus three-dimensional ultrasound in fetal renal pelvis measurement and their potential prediction of neonatal uropathies.

    PubMed

    Duin, L K; Nijhuis, J G; Scherjon, S A; Vossen, M; Willekes, C

    2016-01-01

    To establish a threshold value for fetal renal pelvis dilatation measured by automatic volume calculation (SonoAVC) in the third trimester of pregnancy to predict neonatal uropathies, and to compare these results with conventional antero-posterior (AP) measurement, fetal kidney 3D volume and renal parenchymal thickness. In a prospective cohort study, 125 fetuses with renal pelvis AP diameter of ≥5 mm both at 20 weeks of gestation and in the third trimester, underwent an additional 3D volume measurement of the fetal kidney in the third trimester. Receiver operating characteristic (ROC) curves for establishing threshold values for fetal renal pelvis volume, AP measurement, fetal kidney volume and renal parenchymal thickness to predict neonatal uropathies were analyzed. Also, sensitivity, specificity, area under the curve (AUC) and likelihood ratios were calculated. A cut-off point of 1.58 cm³ was identified in the third trimester of pregnancy (AUC 0.865 (95% CI 0.789-0.940), sensitivity 76.3%, specificity 87.4%, LR+ 6.06, LR- 0.27) for measurements with SonoAVC. A cut-off value of 11.5 mm was established in the third trimester of pregnancy (AUC 0.828 (95% CI 0.737-0.918), sensitivity 71.1%, specificity 85.1%, LR+ 4.77, LR- 0.34) for the conventional AP measurement. A cut-off point for fetal kidney volume was calculated at 13.29 cm³ (AUC 0.769 (95% CI 0.657-0.881), sensitivity 71%, specificity 66%, LR+ 2.09, LR- 0.44). For renal parenchymal thickness, a cut-off point of 8.4 mm was established (AUC 0.216 (95% CI 0.117-0.315), sensitivity 31.6%, specificity 32.6%, LR+ 0.47, LR- 2.10). This study demonstrates that 3D fetal renal pelvis volume measurements and AP measurements both have a good and comparable diagnostic performance, fetal renal volume a fair accuracy and renal parenchymal thickness a poor accuracy in predicting postnatal renal outcome.

  16. Intraductally applied contrast-enhanced ultrasound (IA-CEUS) for improved visualization of obstructive diseases of the salivary glands, primary results.

    PubMed

    Zengel, P; Siedek, V; Berghaus, A; Clevert, D A

    2010-01-01

    Obstructive diseases of the salivary glands are often based on Sialolithiasis; however, conventional radiological imaging or ultrasound does not provide a diagnosis in 5-10% of all cases. It was the aim of our study to examine the effectiveness and viability of an intraductal applied contrast-enhanced ultrasound (IA-CEUS) to improve the visualization of obstructive diseases of the salivary glands in comparison to conventional ultrasound and clinical symptoms. The study included fifteen patients with swelling of indeterminate cause and/or pain of one or more salivary glands. A high-end ultrasound machine (Siemens, ACUSON, S 2000, Germany) with a multi-frequency linear 9 MHz transducer was used to carry out contrast-enhanced ultrasound with SonoVue. All patients were examined using all diagnostic ultrasound tools of the study. The results show that the procedure is easy and convenient to perform, as well as efficient, but more significantly, that the intraductal contrast agent improved the diagnostic assessment capabilities of ultrasound for patients with obstructive salivary gland diseases, thereby helping to identify the best treatment. In comparison to conventional ultrasound, the use of an intraductal applied contract-enhanced ultrasound not only improved the visualization of the glandular duct system as a whole, but was less time-consuming as well as more reproducible. Thus, IA-CEUS with an intraductal applied contrast agent (IA-CEUS) is a promising tool that provides additional helpful information and an improvement for cases involving patients with unclear symptoms.

  17. New "all-in-one" device for mesh plug hernioplasty: the Trabucco repair.

    PubMed

    Gossetti, Francesco; Massa, Salvatore; Abbonante, Francesco; Calabria, Michele; Ceci, Francesca; Viarengo, Maria Antonietta; Manzi, Emy; D'Amore, Linda; Negro, Paolo

    2015-01-01

    Sebbene la tecnica Mesh Plug rappresenti una procedura di indubbia efficacia nel trattamento dell’ernia inguinale, tuttora permangono dubbi in relazione alla storia naturale del plug. In particolare, il plug può andare incontro a coartazione (shrinkage) con formazione di un “meshoma” responsabile di una sintomatologia dolorosa cronica. Più raramente, il plug può migrare e provocare erosione delle strutture anatomiche circostanti. Nel passato sono stati proposti alcuni devices per cercare di risolvere il problema della migrazione; nessuno di questi, tuttavia, ha raggiunto la popolarità dei plug conici o a forma di fiore. Il presente lavoro riporta i risultati di uno studio pilota condotto con l’impiego di un nuovo device tridimensionale, il NeT Plug & Patch. I risultati dopo 12 mesi di follow-up, hanno dimostrato una ridotta incidenza di dolore postoperatorio e cronico, senza rischio di migrazione. Inoltre è stata registrata una compliance soddisfacente sia dei pazienti che degli operatori. La protesi NeT Plug & Patch ha dimostrato di poter realizzare un’ernioplastica semplice ed efficace per la riparazione dell’ernia inguinale.

  18. Design and Production of an Articulating Needle Guide for Ultrasound-Guided Needle Block Manufactured With a Three-Dimensional Printer: Technical Communication.

    PubMed

    Bigeleisen, Paul E

    2017-05-15

    Needle guides may allow the practitioner to align the needle with the probe when ultrasound-guided nerve block is performed. The author's goal was to design and fabricate an inexpensive ($1.90), disposable, needle guide that could articulate over a range from 85 degrees to 0 degrees with a three-dimension printer. Three-dimensional representations of an L50, L25, and C 60 ultrasound probe (Sono Site, Bothell, WA) were created using a laser scanner. Computer-aided design software (Solid Works, Waltham, MA) was used to design a needle bracket and needle guide to attach to these probes. A three-dimensional printer was used to fabricate the needle bracket and guide with acrylonitrile polybutadiene polystyrene. An echogenic needle was held in plane with the needle guide. The author performed a supraclavicular block in a morbidly obese patient. The needle was easily visualized. Similar guides that are commercially available cost as much as $400. A knowledge of computer-aided design is necessary for this work.

  19. Clinical Applications of Contrast-Enhanced Ultrasound in the Pediatric Work-Up of Focal Liver Lesions and Blunt Abdominal Trauma: A Systematic Review.

    PubMed

    Laugesen, Nicolaj Grønbæk; Nolsoe, Christian Pallson; Rosenberg, Jacob

    2017-02-01

    In pediatrics ultrasound has long been viewed more favorably than imaging that exposes patients to radiation and iodinated contrast or requires sedation. It is child-friendly and diagnostic capabilities have been improved with the advent of contrast-enhanced ultrasound (CEUS). The application of CEUS is indeed promising. However, no ultrasound contrast agent manufactured today is registered for pediatric use in Europe. The contrast agent SonoVue(®) has recently been approved by the FDA under the name of Lumason(®) to be used in hepatic investigations in adults and children. This article reviews the literature with respect to 2 specific applications of CEUS in children: 1) identification of parenchymal injuries following blunt abdominal trauma, and 2) classification of focal liver lesions. Applications were chosen through the CEUS guidelines published by the European Federation of Societies for Ultrasound in Medicine and Biology and World Federation for Ultrasound in Medicine and Biology. Literature was obtained by searching Medline and Pubmed Central (using Pubmed), Scopus database and Embase. CEUS proved to be an effective investigation in the hemodynamically stable child for identifying parenchymal injuries and for the characterization of focal liver lesions. CEUS showed comparable performance to CT and MRI with a specificity of 98% for identifying benign lesions and a negative predictive value of 100%. For the applications reviewed here, CEUS holds promising perspectives and can help reduce radiation exposure and use of iodinated contrast agents in pediatrics, thereby potentially reducing complications in routine imaging.

  20. [What, how and why people fall in hospital? Study in a Northern Italian Hospital].

    PubMed

    Gonella, Silvia; Basso, Anna Maddalena; Scaffidi, Maria Carmela

    2014-01-01

    Introduzione. Secondo l'Organizzazione Mondiale della Sanità (OMS) le cadute e i danni ad esse correlati sono una problematica prioritaria per i sistemi sanitari e sociali in Europa e nel mondo, soprattutto tenendo conto del rapido accrescersi dell'aspettativa di vita. Scopo: Obiettivo del presente studio è descrivere incidenza, cause e modalità di caduta nell’Azienda Sanitaria Locale Cuneo 1 (ASL CN1) in seguito all’accorpamento del 2008. Metodo: L’indagine si articola in due fasi: 1. definizione dell'atteso sulla base di letteratura ed altre realtà comparabili; 2. analisi del contesto realizzata attraverso esame delle schede di segnalazione delle cadute compilate tra 1 Luglio 2010 - 30 Giugno 2011. Risultati: L’incidenza delle cadute nel periodo in esame è dello 0.8% e nel 69% dei casi la causa è rappresentata dai fattori intrinseci, seguiti da quelli estrinseci (7.4%), organizzativi (5.4%) e quelli legati a difficoltà comunicative interprofessionali (3.1%). Conclusioni: Data l'eziologia multifattoriale delle cadute, l'approccio più efficace per ridurne l'incidenza è quello multidimensionale; si comprende quindi l'importanza di un'azione simultanea su tre livelli: organizzativo, staff/comunicazione e paziente.

  1. Emergency real-time contrast-enhanced ultrasonography for detection of solid organ injuries.

    PubMed

    Thorelius, Lars

    2007-12-01

    There is no controversy about the use of CT for detection of internal injuries in patients with high-energy multitrauma. However, in most patients isolated blunt abdominal trauma is mild or moderate and the risk of injury to organs other than the liver, spleen or kidneys is minimal. CT scanning exposes patients to radiation, and may often be avoided if significant damage to these three organs can be visualized by contrast-enhanced ultrasonography (CEUS). In our series SonoVue (Bracco, Milan) and Siemens Acuson Sequoia ultrasound machines were used. Initially patients with injuries detected by CT were examined using CEUS. Subsequently CEUS was used as the first and only modality in patients with mild or moderate blunt abdominal trauma to one flank, provided that they were able to cooperate and were otherwise suitable for US examination. CEUS was able to sensitively detect lacerations and haematomas in the liver, spleen and kidneys in cooperative patients. CEUS also demonstrated very thin lacerations of the parenchyma of these organs. These results were also found in children. In our experience CEUS is an accurate and valuable tool for the detection or exclusion of parenchymal damage to the liver, spleen and kidneys. With the proper organization, standardized dynamic documentation and well-trained sonographers, CEUS may replace CT in many patients with mild to moderate blunt abdominal trauma, thus avoiding unnecessary exposure to radiation in this often young and healthy population.

  2. An Ionizing Radiation Sensor Using a Pre-Programmed MAHAOS Device

    PubMed Central

    Hsieh, Wen-Ching.; Lee, Hao-Tien Daniel.; Jong, Fuh-Cheng.

    2014-01-01

    Metal-aluminum oxide–hafnium aluminum oxide–silicon oxide–silicon (hereafter MAHAOS) devices can be candidates for ionizing radiation sensor applications. In this work, MAHAOS devices (SONOS-like structures with high k stack gate dielectric) were studied regarding the first known characterization of the ionization radiation sensing response. The change of threshold voltage VT for a MAHAOS device after gamma ray exposure had a strong correlation to the total ionization dose (TID) of gamma radiation up to at least 5 Mrad TID. In this paper, the gamma radiation response performances of the pre-programmed and virgin (non-pre-programmed) MAHAOS devices are presented. The experimental data show that the change of VT for the pre-programmed MAHAOS device with gamma irradiation is very significant. The data of pre-programmed MAHAOS devices written by 5 Mrad TID of gamma radiation was also stable for a long time with data storage. The sensing of gamma radiation by pre-programmed MAHAOS devices with high k stack gate dielectric reported in this study has demonstrated their potential application for non-volatile ionizing radiation sensing technology in the future. PMID:25116901

  3. Contrast enhanced ultrasound of sentinel lymph nodes.

    PubMed

    Cui, XinWu; Ignee, Andre; Nielsen, Michael Bachmann; Schreiber-Dietrich, Dagmar; De Molo, Chiara; Pirri, Clara; Jedrzejczyk, Maciej; Christoph, Dietrich F

    2013-03-01

    Sentinel lymph nodes are the first lymph nodes in the region that receive lymphatic drainage from a primary tumor. The detection or exclusion of sentinel lymph node micrometastases is critical in the staging of cancer, especially breast cancer and melanoma because it directly affects patient's prognosis and surgical management. Currently, intraoperative sentinel lymph node biopsies using blue dye and radioisotopes are the method of choice for the detection of sentinel lymph node with high identification rate. In contrast, conventional ultrasound is not capable of detecting sentinel lymph nodes in most cases. Contrast enhanced ultrasound with contrast specific imaging modes has been used for the evaluation and diagnostic work-up of peripherally located suspected lymphadenopathy. The method allows for real-time analysis of all vascular phases and the visualization of intranodal focal "avascular" areas that represent necrosis or deposits of neoplastic cells. In recent years, a number of animal and human studies showed that contrast enhanced ultrasound can be also used for the detection of sentinel lymph node, and may become a potential application in clinical routine. Several contrast agents have been used in those studies, including albumin solution, hydroxyethylated starch, SonoVue(®), Sonazoid(®) and Definity(®). This review summarizes the current knowledge about the use of ultrasound techniques in detection and evaluation of sentinel lymph node.

  4. PLGA Nanoparticles for Ultrasound-Mediated Gene Delivery to Solid Tumors

    PubMed Central

    Figueiredo, Marxa; Esenaliev, Rinat

    2012-01-01

    This paper focuses on novel approaches in the field of nanotechnology-based carriers utilizing ultrasound stimuli as a means to spatially target gene delivery in vivo, using nanoparticles made with either poly(lactic-co-glycolic acid) (PLGA) or other polymers. We specifically discuss the potential for gene delivery by particles that are echogenic (amenable to destruction by ultrasound) composed either of polymers (PLGA, polystyrene) or other contrast agent materials (Optison, SonoVue microbubbles). The use of ultrasound is an efficient tool to further enhance gene delivery by PLGA or other echogenic particles in vivo. Echogenic PLGA nanoparticles are an attractive strategy for ultrasound-mediated gene delivery since this polymer is currently approved by the US Food and Drug Administration for drug delivery and diagnostics in cancer, cardiovascular disease, and also other applications such as vaccines and tissue engineering. This paper will review recent successes and the potential of applying PLGA nanoparticles for gene delivery, which include (a) echogenic PLGA used with ultrasound to enhance local gene delivery in tumors or muscle and (b) PLGA nanoparticles currently under development, which could benefit in the future from ultrasound-enhanced tumor targeted gene delivery. PMID:22506124

  5. Objective diagnosis of arrested labor on transperineal ultrasound.

    PubMed

    Nishimura, Kazuaki; Yoshimura, Kazuaki; Kubo, Tatsuhiko; Hachisuga, Toru

    2016-07-01

    Recent developments in transperineal ultrasound imaging of the pelvis have prompted trials to objectively evaluate labor progression for labor management. We evaluated the accuracy of transperineal ultrasound in diagnosing arrest of labor. Transperineal ultrasound and digital pelvic examinations were performed simultaneously in 63 term laboring patients (singleton fetuses in cephalic presentation). We analyzed a total of 216 ultrasound images (Sonography Volume Computer Aided Display Labor [Sono VCAD Labor®] installed in Voluson E8 ultrasound). We examined the correlation between the three ultrasound parameters head direction (HD), progression distance (PD), and progression angle (PA), and digital pelvic examination findings during labor in a transvaginal delivery group and an arrested labor group. The coefficient of correlations between HD/PD/PA and cervical dilation/fetal station were 0.667/0.657/0.706 and 0.667/0.751/0.803, respectively. The three parameters had strong correlations with digital pelvic examination (P < 0.05). In the 11 cases (17%) of cesarean section due to arrested labor, the position of the fetal head was visually unchanged on sequential ultrasound images. According to receiver operating characteristic curves, the significant cut-offs for HD, PD, and PA for arrested labor were 105° (P = 0.048), 35 mm (P = 0.048), and 120° (P = 0.001), respectively. Transperineal ultrasound imaging is helpful for objective evaluation of labor progression and the diagnosis of arrested labor. © 2016 Japan Society of Obstetrics and Gynecology.

  6. [Infradiaphragmatic extralobar pulmonary sequestration].

    PubMed

    Riebel, T; Scheer, I; David, S; Kitzig, F

    2006-11-01

    To demonstrate characteristic imaging findings in infradiaphragmatic extralobar pulmonary sequestration (IEPS) with special emphasis on ultrasound (US). The imaging material (pre- and postnatal US in all cases, magnetic resonance imaging (MRI) in 2 cases) for 4 infants (3 girls, 1 boy) was reviewed. 2 patients underwent surgery (after birth and at 4 months of age, respectively) and the diagnosis of IEPS was confirmed. The other 2 patients were monitored conservatively using US for up to 15 months. All 4 left-side suprarenal masses exhibited the same characteristic sono-morphology, leading to the suspected diagnosis of IEPS. The masses were small (max. 10 ml), hyperechoic with cystic components and without calcifications, well demarcated and separate from the normal kidney and the suprarenal gland, and without any change in prenatal and directly postnatal size. Doppler US showed low-grade perfusion in all cases and an aberrant systemic artery originating from the abdominal aorta in 2 cases. MRI did not add any fundamental information. Despite the suspected imaging diagnosis of IEPS and negative urinalyses for neuroblastoma, 2 patients underwent surgery for histological confirmation. The lesions in the other 2 patients were monitored via US. A complete disappearance after 4 months in one patient and a continuous decrease in size over 15 months in the other patient were documented. Based on the characteristic findings of prenatal and postnatal US, IEPS can be diagnosed reliably. With the knowledge of its benign spontaneously regressing behavior, suspected suprarenal lesions should be treated conservatively via US monitoring.

  7. Ultrasound Assessment of the Rectus Femoris Cross-Sectional Area: Subject Position Implications.

    PubMed

    Hacker, Eileen Danaher; Peters, Tara; Garkova, Miglena

    2016-09-01

    Ultrasonic measurement of the rectus femoris (RF) is a novel, proxy measure for muscle strength. The impact of hip flexion/head of bed positioning on RF cross-sectional area (CSA) has not been fully explored. This study describes and compares differences in RF CSA across four degrees of hip flexion. This repeated-measures, comparative study enrolled healthy, pre-menopausal women (n = 20). RF CSA of the dominant leg was measured using the SonoSite M-Turbo ultrasound system with the head of bed at 0°, 20°, 30°, and 60°. One-way repeated measures indicated significant differences in RF CSA, F(3, 17) = 14.18, p < .001, with variation in hip flexion/head of bed elevation and significant RF CSA differences between: (a) 0° and 20°, (b) 0° and 30°, (c) 0° and 60°, and (d) 20° and 60°. Standardizing patient positioning when conducting ultrasonic measurement of RF CSA is vital for researchers who assess muscle mass. © The Author(s) 2016.

  8. Surgical strategies for cutaneous neoplasm of the scalp. State of art.

    PubMed

    Vitagliano, Tiziana; Greco, Manfredi; Dessy, Luca Andrea; Atzeni, Matteo; Ciriaco, Antonio Greto; Ribuffo, Diego

    2015-01-01

    La ricostruzione dello scalpo è sempre stato un compito arduo ed una sfida, in particolare dopo una demolizione oncologica, e questo articolo offre una visione globale dello stato dell’arte sulle strategie ricostruttive. A questo scopo abbiamo elaborato un algoritmo sistematico per la ricostruzione dello scalpo basato sulla sede e l’estensione del difetto, la presenza o meno del periostio, il coinvolgimento osseo, la qualità dello scalpo circostante, la presenza o meno dei capelli, la localizzazione della linea del capillifero, le comorbilità del paziente e le differenti procedure comunemente usate in chirurgia plastica. Come risultato il nostro algoritmo consente ai chirurghi plastici di procedere alla ricostruzione dello scalpo dopo i difetti più devastanti, ed il successo della ricostruzione richiede una attenta pianificazione preoperatoria ed un approfondita conoscenza dell’anatomia dello scalpo, la fisiologia dei capelli, la varietà dei tessuti localmente disponibili e le procedure di chirurgia plastica, come pure la conoscenza dei sostituiti sintetici e dei prodotti forniti dall’ingegneria tissutale. La sfida attuale è comunque quella di ottenere risultati cosmetici di eccellenza, di cui sono esempio i cinque casi dell’iconografia.

  9. A simple and effective arsenic filter based on composite iron matrix: development and deployment studies for groundwater of Bangladesh.

    PubMed

    Hussam, Abul; Munir, Abul K M

    2007-10-01

    Drinking groundwater contaminated with naturally occurring arsenic is a worldwide public health issue. This work describes the research, development and distribution of a filter used by thousands of people in Bangladesh to obtain arsenic-free safe water. The filter removes arsenic species primarily by surface complexation reactions: =FeOH + H(2)AsO(4)(-) --> =FeHAsO(4)(-) + H(2)O (K=10(24)) and =FeOH + HAsO(4)(2-) --> =FeAsO(4)(2-) + H(2)O (K=10(29)) on a specially manufactured composite iron matrix (CIM). The filter water meets WHO and Bangladesh standards, has no breakthrough, works without any chemical treatment (pre- or post-), without regeneration, and without producing toxic wastes. It costs about $40/5 years and produce 20-30 L/hour for daily drinking and cooking need of 1-2 families. The spent material is completely non toxic-solid self contained iron-arsenate cement that does not leach in rainwater. Approved by the Bangladesh Government, about 30,000 SONO filters were deployed all over Bangladesh and continue to provide more than a billion liters of safe drinking water. This innovative filter was also recognized by the National Academy of Engineering-Grainger Challenge Prize for sustainability with the highest award for its affordability, reliability, ease of maintenance, social acceptability, and environmental friendliness, which met or exceeded the local government's guidelines for arsenic removal.

  10. Characterization of Different Microbubbles in Assisting Focused Ultrasound-Induced Blood-Brain Barrier Opening

    NASA Astrophysics Data System (ADS)

    Wu, Sheng-Kai; Chu, Po-Chun; Chai, Wen-Yen; Kang, Shih-Tsung; Tsai, Chih-Hung; Fan, Ching-Hsiang; Yeh, Chih-Kuang; Liu, Hao-Li

    2017-04-01

    Microbubbles (MBs) serve as a critical catalyst to amplify local cavitation in CNS capillary lumen to facilitate focused ultrasound (FUS) to transiently open the blood-brain barrier (BBB). However, limited understanding is available regarding the effect of different microbubbles to induce BBB opening. The aim of this study is to characterize different MBs on their effect in FUS-induced BBB opening. Three MBs, SonoVue, Definity, and USphere, were tested, with 0.4-MHz FUS exposure at 0.62-1.38 of mechanical index (MI) on rats. Evans blue, dynamic contrast-enhanced (DCE) MRI and small-animal ultrasound imaging were used as surrogates to allow molecule-penetrated quantification, BBB-opened observation, and MBs circulation/persistence. Cavitation activity was measured via the passive cavitation detection (PCD) setup to correlate with the exposure level and the histological effect. Under given and identical MB concentrations, the three MBs induced similar and equivalent BBB-opening effects and persistence. In addition, a treatment paradigm by adapting exposure time is proposed to compensate MB decay to retain the persistence of BBB-opening efficiency in multiple FUS exposures. The results potentially improve understanding of the equivalence among MBs in focused ultrasound CNS drug delivery, and provide an effective strategy for securing persistence in this treatment modality.

  11. Homogeneous sonophotolysis of food processing industry wastewater: Study of synergistic effects, mineralization and toxicity removal.

    PubMed

    Durán, A; Monteagudo, J M; Sanmartín, I; Gómez, P

    2013-03-01

    The mineralization of industrial wastewater coming from food industry using an emerging homogeneous sonophotolytic oxidation process was evaluated as an alternative to or a rapid pretreatment step for conventional anaerobic digestion with the aim of considerably reducing the total treatment time. At the selected operation conditions ([H(2)O(2)]=11,750ppm, pH=8, amplitude=50%, pulse length (cycles)=1), 60% of TOC is removed after 60min and 98% after 180min when treating an industrial effluent with 2114ppm of total organic carbon (TOC). This process removed completely the toxicity generated during storing or due to intermediate compounds. An important synergistic effect between sonolysis and photolysis (H(2)O(2)/UV) was observed. Thus the sonophotolysis (ultrasound/H(2)O(2)/UV) technique significantly increases TOC removal when compared with each individual process. Finally, a preliminary economical analysis confirms that the sono-photolysis with H(2)O(2) and pretreated water is a profitable system when compared with the same process without using ultrasound waves and with no pretreatment.

  12. Current concepts and techniques for caries excavation and adhesion to residual dentin.

    PubMed

    de Almeida Neves, Aline; Coutinho, Eduardo; Cardoso, Marcio Vivan; Lambrechts, Paul; Van Meerbeek, Bart

    2011-02-01

    The advent of "Adhesive Dentistry" has simplified the guidelines for cavity preparation enormously. The design and extent of the current preparations are basically defined by the extent and shape of the caries lesion, potentially slightly extended by bevelling the cavity margins in order to meet the modern concept of minimally invasive dentistry. New caries excavation techniques have been introduced, such as the use of plastic and ceramic burs, improved caries-disclosing dyes, enzymatic caries-dissolving agents, caries-selective sono/air abrasion and laser ablation. They all aim to remove or help remove caries-infected tissue as selectively as possible, while being minimally invasive through maximum preservation of caries-affected tissue. Each technique entails a specific caries-removal endpoint and produces residual dentin substrates of different natures and thus different receptiveness for adhesive procedures. This paper reviews the newest developments in caries excavation techniques and their effect on the remaining dentin tissue with regard to its bonding receptiveness.

  13. Usefulness of ultrasound contrast for image enhancement during stress echocardiography.

    PubMed

    Ten Cate, Folkert J

    2002-10-01

    Although stress echocardiography has been established as a diagnostic technique for the detection and assessment of ischemia, there are still a number of limitations to the technique. These are related to suboptimal image quality with poor visualization of endocardial borders. Because assessment of wall motion is fundamental to the diagnostic value of stress echocardiography (both pharmacologic and exercise), endocardial border visualization is of utmost importance. Furthermore, interinstitutional observer agreement of 100% in highest image quality patients to a cumbersome 43% in low image quality patients is present. Therefore, improvements of image quality during stress are essential. One of the recent improvements is harmonic imaging, which improves visualization of endocardial borders at rest and during dobutamine stress. However, there is room for improvement. Since the introduction of ultrasound contrast agents, contrast has been increasingly used for better endocardial border visualization. Data from centers with a large number of stress echocardiography tests have shown that the addition of contrast agents decreases the number of more redundant diagnostic testing. Data obtained in our center in a subset of patients administered with SonoVue, a new generation contrast agent made of stabilized microbubbles containing sulfur hexafluoride, an inert gas, showed an improvement in the number of evaluable segments with fundamental and harmonic imaging and in the endocardial border detection during dobutamine stress echocardiography. Contrast also enables future quantitative analysis using acoustic quantification (AQ), and color kinesis. These studies should be carried out now that contrast has been approved for introduction to the market.

  14. Cardiac elastography: detecting pathological changes in myocardium tissues

    NASA Astrophysics Data System (ADS)

    Konofagou, Elisa E.; Harrigan, Timothy; Solomon, Scott

    2003-05-01

    Estimation of the mechanical properties of the cardiac muscle has been shown to play a crucial role in the detection of cardiovascular disease. Elastography was recently shown feasible on RF cardiac data in vivo. In this paper, the role of elastography in the detection of ischemia/infarct is explored with simulations and in vivo experiments. In finite-element simulations of a portion of the cardiac muscle containing an infarcted region, the cardiac cycle was simulated with successive compressive and tensile strains ranging between -30% and 20%. The incremental elastic modulus was also mapped uisng adaptive methods. We then demonstrated this technique utilizing envelope-detected sonographic data (Hewlett-Packard Sonos 5500) in a patient with a known myocardial infarction. In cine-loop and M-Mode elastograms from both normal and infarcted regions in simulations and experiments, the infarcted region was identifed by the up to one order of magnitude lower incremental axial displacements and strains, and higher modulus. Information on motion, deformation and mechanical property should constitute a unique tool for noninvasive cardiac diagnosis.

  15. Temperature-dependent differences in the nonlinear acoustic behavior of ultrasound contrast agents revealed by high-speed imaging and bulk acoustics.

    PubMed

    Mulvana, Helen; Stride, Eleanor; Tang, Mengxing; Hajnal, Jo V; Eckersley, Robert

    2011-09-01

    Previous work by the authors has established that increasing the temperature of the suspending liquid from 20°C to body temperature has a significant impact on the bulk acoustic properties and stability of an ultrasound contrast agent suspension (SonoVue, Bracco Suisse SA, Manno, Lugano, Switzerland). In this paper the influence of temperature on the nonlinear behavior of microbubbles is investigated, because this is one of the most important parameters in the context of diagnostic imaging. High-speed imaging showed that raising the temperature significantly influences the dynamic behavior of individual microbubbles. At body temperature, microbubbles exhibit greater radial excursion and oscillate less spherically, with a greater incidence of jetting and gas expulsion, and therefore collapse, than they do at room temperature. Bulk acoustics revealed an associated increase in the harmonic content of the scattered signals. These findings emphasize the importance of conducting laboratory studies at body temperature if the results are to be interpreted for in vivo applications. Copyright © 2011 World Federation for Ultrasound in Medicine & Biology. Published by Elsevier Inc. All rights reserved.

  16. Modeling complicated rheological behaviors in encapsulating shells of lipid-coated microbubbles accounting for nonlinear changes of both shell viscosity and elasticity.

    PubMed

    Li, Qian; Matula, Thomas J; Tu, Juan; Guo, Xiasheng; Zhang, Dong

    2013-02-21

    It has been accepted that the dynamic responses of ultrasound contrast agent (UCA) microbubbles will be significantly affected by the encapsulating shell properties (e.g., shell elasticity and viscosity). In this work, a new model is proposed to describe the complicated rheological behaviors in an encapsulating shell of UCA microbubbles by applying the nonlinear 'Cross law' to the shell viscous term in the Marmottant model. The proposed new model was verified by fitting the dynamic responses of UCAs measured with either a high-speed optical imaging system or a light scattering system. The comparison results between the measured radius-time curves and the numerical simulations demonstrate that the 'compression-only' behavior of UCAs can be successfully simulated with the new model. Then, the shell elastic and viscous coefficients of SonoVue microbubbles were evaluated based on the new model simulations, and compared to the results obtained from some existing UCA models. The results confirm the capability of the current model for reducing the dependence of bubble shell parameters on the initial bubble radius, which indicates that the current model might be more comprehensive to describe the complex rheological nature (e.g., 'shear-thinning' and 'strain-softening') in encapsulating shells of UCA microbubbles by taking into account the nonlinear changes of both shell elasticity and shell viscosity.

  17. Absolute measurement of ultrasonic backscatter from single microbubbles.

    PubMed

    Sboros, Vassilis; Pye, Stepher D; Macdonald, Calum A; Gomatam, Jaganathan; Moran, Carmel M; McDicken, William N

    2005-08-01

    Good quality acoustical experiments are needed to measure microbubble behavior. An absolute calibration of the transmitted ultrasound field is possible using a calibrated hydrophone, but characterization of the received ultrasound beam is a more elaborate process and is not described in the literature. A new system based on a hydrodynamically focused flow has been used to measure echoes from single microbubbles at well specified positions in the ultrasonic field. An experimental set-up was built around a commercial scanner (Sonos 5500, Philips Medical Systems) to measure the scatter from solid spheres with radii between 30 to 60 microm. The behavior of these linear scatterers is accurately predicted by theory and software was produced to incorporate a simulation of the experimental conditions. The calibration of a phased array transducer was achieved by quantifying the receiver's spectral sensitivity for the range of receive frequencies (1.2 to 4.5 MHz). Examples of echoes from the microbubble agent Definity are used to illustrate the implementation of the calibration technique.

  18. A comparative analysis between laparoscopy and open colectomy: assessment of perioperative and oncological outcomes.

    PubMed

    Farinetti, Alberto; Bonetti, Luca Reggiani; Migaldi, Mario; Mattioli, Anna Vittoria; Pennella, Sonia; Muratori, Simone; Rossi, Aldo

    2015-01-01

    Il presente studio raffronta due gruppi di pazienti affetti da adenocarcinoma dolo-rettale, sottoposti rispettivamente a colectomia con tecnica open e a videolaparoscopia, mettendone in luce benefici e svantaggi. Si tratta di un’analisi retrospettiva: dal gennaio 2003 e il dicembre 2006 sono stati reclutati 54 pazienti; di questi 26 operati in laparotomia e 28 in laparoscopia. Per la chirurgia laparotomica la durata media dell’intervento è stata di 177.9 minuti (tempo chirurgico) e di 280.4 minuti (tempo di sala operatoria con un minimo di 110 ed un massimo di 360 minuti, con significative differenze in rapporto al tipo di chirurgia effettuata e la storia clinica del paziente. Per la chirurgia laparoscopica la durata media è stata di 293 minuti (range 135-520), con significative differenze dipendenti dalla porzione di intestino asportata. Il raffronto delle due tecniche chirurgiche, laparotomica versus lapsroscopica, ha rivelato alcune differenze. La durata della resezione è stata maggiore per la laparoscopia se confrontata con la tecnica tradizionale. Entrambi gli approcci rappresentano tecniche convenienti, sicure ed oncologicamente corrette. La laparoscopia mostra maggiori vantaggi in termini di controllo del dolore, assenza di estese cicatrici, riscontro di laparoceli e di degenza post operatoria comparata con la tecnica laparotomica.

  19. Quiescent Volcano-Chest Wall Hemangioma.

    PubMed

    Saldanha, Elroy; Martis, John J S; Kumar, B Vinod; D'Cunha, Rithesh J; Vijin, V

    2017-08-01

    Chest wall hemangiomas are rare tumors that may originate within the soft tissue or from the ribs. Intramuscular hemangioma is infrequent, representing less than 1 % of all hemangiomas, and the localization in the chest wall is even less frequent. They are typically cutaneous in location, large, and poorly circumscribed and can be locally destructive. We present a case of a 34-year-old lady presented with firm lump 3 × 3 cm in left upper and inner quadrant of left breast well defined borders, non-pulsatile and restricted mobility. Sono-mammogram was suggestive of ill-defined lesion at 10 o'clock position. CT chest was conclusive of chest wall hemangioma. The patient underwent excision of the lump. HPE was suggestive of cavernous hemangioma. Cavernous hemangioma typically manifest at birth or before the age of 30 years. CT is more sensitive than plain radiography in detecting phleboliths, which are present in approximately 30 % of cavernous hemangiomas. Surgical excision would be treatment of choice. In this case, the site of the lesion was in the breast clinically mimicking that of a fibroadenoma which warrants hemangioma as a differential diagnosis.

  20. Use of sputtered zinc oxide film on aluminium foil substrate to produce a flexible and low profile ultrasonic transducer.

    PubMed

    Hou, Ruozhou; Fu, Yong Qing; Hutson, David; Zhao, Chao; Gimenez, Esteban; Kirk, Katherine J

    2016-05-01

    A flexible and low profile ultrasonic transducer was fabricated for non-destructive testing (NDT) applications by DC sputtering of 3 μm thick, c-axis oriented, ZnO film on 50 μm aluminium foil. Due to the thin foil-based construction, the transducer can be applied to curved objects and used in sites of restricted accessibility. The device has been used to demonstrate detection of simulated defects in a 45 mm diameter steel pipe, and for thickness measurement on a 3.1 mm thick flat carbon steel plate. Centre frequency measured on the flat plate was 24-29 MHz, with -6 dB bandwidth 4-7 MHz. The pulse duration depended on the couplant, at best 3 cycles or 0.12 μs using SONO Ultragel or epoxy couplant. Transducer performance was found to be comparable to a commercial 10 MHz piezoelectric ultrasonic transducer. Copyright © 2016 Elsevier B.V. All rights reserved.

  1. Evaluation of bias voltage modulation sequence for nonlinear contrast agent imaging using a capacitive micromachined ultrasonic transducer array.

    PubMed

    Novell, Anthony; Legros, Mathieu; Grégoire, Jean-Marc; Dayton, Paul A; Bouakaz, Ayache

    2014-09-07

    Many clinical diagnoses have now been improved thanks to the development of new techniques dedicated to contrast agent nonlinear imaging. Over the past few years, Capacitive Micromachined Ultrasonic Transducers (cMUTs) have emerged as a promising alternative to traditional piezoelectric transducers. One notable advantage of cMUTs is their wide frequency bandwidth. However, their use in nonlinear imaging approaches such as those used to detect contrast agents have been challenging due their intrinsic nonlinear character. We propose a new contrast imaging sequence, called bias voltage modulation (BVM), specifically developed for cMUTs to suppress their inherent nonlinear behavior. Theoretical and experimental results show that a complete cancellation of the nonlinear signal from the source can be reached when the BVM sequence is implemented. In-vitro validation of the sequence is performed using a cMUT probe connected to an open scanner and a flow phantom setup containing SonoVue microbubbles. Compared to the standard amplitude modulation imaging mode, a 6 dB increase of contrast-to-tissue ratio was achieved when the BVM sequence is applied. These results reveal that the problem of cMUT nonlinearity can be addressed, thus expanding the potential of this new transducer technology for nonlinear contrast agent detection and imaging.

  2. BIOCOMPATIBLE FLUORESCENT MICROSPHERES: SAFE PARTICLES FOR MATERIAL PENETRATION STUDIES

    SciTech Connect

    farquar, G; Leif, R

    2008-09-12

    Biocompatible polymers with hydrolyzable chemical bonds are being used to produce safe, non-toxic fluorescent microspheres for material penetration studies. The selection of polymeric materials depends on both biocompatibility and processability, with tailored fluorescent properties depending on specific applications. Microspheres are composed of USFDA-approved biodegradable polymers and non-toxic fluorophores and are therefore suitable for tests where human exposure is possible. Micropheres are being produced which contain unique fluorophores to enable discrimination from background aerosol particles. Characteristics that affect dispersion and adhesion can be modified depending on use. Several different microsphere preparation methods are possible, including the use of a vibrating orifice aerosol generator (VOAG), a Sono-Tek atomizer, an emulsion technique, and inkjet printhead. The advantages and disadvantages of each method will be presented and discussed in greater detail along with fluorescent and charge properties of the aerosols. Applications for the fluorescent microspheres include challenges for biodefense system testing, calibrants for biofluorescence sensors, and particles for air dispersion model validation studies.

  3. Effect of ultrasonic waves on the water turbidity during the oxidation of phenol. Formation of (hydro)peroxo complexes.

    PubMed

    Villota, Natalia; Lomas, Jose M; Camarero, Luis M

    2017-11-01

    Analysis of the kinetics of aqueous phenol oxidation by a sono-Fenton process reveals that the via involving ortho-substituted intermediates prevails: catechol (25.0%), hydroquinone (7.7%) and resorcinol (0.6%). During the oxidation, water rapidly acquires color that reaches its maximum intensity at the maximum concentration of p-benzoquinone. Turbidity formation occurs at a slower rate. Oxidant dosage determines the nature of the intermediates, being trihydroxylated benzenes (pyrogallol, hydroxyhydroquinone) and muconic acid the main precursors causing turbidity. It is found that the concentration of iron species and ultrasonic waves affects the intensity of the turbidity. The pathway of (hydro)peroxo-iron(II) complexes formation is proposed. Operating with 20.0-27.8mgFe(2+)/kW rates leads to formation of (hydro)peroxo-iron(II) complexes, which induce high turbidity levels. These species would dissociate into ZZ-muconic acid and ferrous ions. Applying relationships around 13.9mgFe(2+)/kW, the formation of (hydro)peroxo-iron(III) complexes would occur, which could react with carboxylic acids (2,5-dioxo-3-hexenedioic acid). That reaction induces turbidity slower. This is due to the organic substrate reacting with two molecules of the (hydro)peroxo complex. Therefore, it is necessary to accelerate the iron regeneration, intensifying the ultrasonic irradiation. Afterwards, this complex would dissociate into maleic acid and ferric ions. Copyright © 2017 Elsevier B.V. All rights reserved.

  4. Gait information flow indicates complex motor dysfunction.

    PubMed

    Hoyer, Dirk; Kletzin, Ulf; Adler, Daniela; Adler, Steffen; Meissner, Winfried; Blickhan, Reinhard

    2005-08-01

    Gait-related back movements require coordination of multiple extremities including the flexible trunk. Ageing and chronic back pain influence these adjustments. These complex coordinations can advantageously be quantified by information theoretically based communication measures such as the gait information flow (GIF). Nine back pain patients (aged 61+/-10 yr) and 12 controls (aged 38+/-10 yr) were investigated during normal walking across a distance of 300 m. The back movements were measured as distances between characteristic points (cervical spine CS, thoracic spine TS, lumbar spine LS) by the sonoSens Monitor, a system for mobile motion analysis. Gait information flow and regularity indices (RI1: short prediction horizon of 100 ms, RI2: longer prediction horizon of walking period) were assessed as communication characteristics. All indices were non-parametrically tested for group differences. Sensitivity and specificity were assessed by bivariate logistic regression models. We found regularity indices systematically dependent on measurement points, information flow horizon and groups. In the patients RI1 was increased, but RI2 was decreased in comparison to the control group. These results quantitatively characterize the altered complex communication in the patients. We conclude that ageing and/or chronic back pain related dysfunctions of gait can advantageously be monitored by gait information flow characteristics of back movements measured as distances between characteristics points at the back surface.

  5. Semi-automatic learning of simple diagnostic scores utilizing complexity measures.

    PubMed

    Atzmueller, Martin; Baumeister, Joachim; Puppe, Frank

    2006-05-01

    Knowledge acquisition and maintenance in medical domains with a large application domain ontology is a difficult task. To reduce knowledge elicitation costs, semi-automatic learning methods can be used to support the domain specialists. They are usually not only interested in the accuracy of the learned knowledge: the understandability and interpretability of the learned models is of prime importance as well. Then, often simple models are more favorable than complex ones. We propose diagnostic scores as a promising approach for the representation of simple diagnostic knowledge, and present a method for inductive learning of diagnostic scores. It can be incrementally refined by including background knowledge. We present complexity measures for determining the complexity of the learned scores. We give an evaluation of the presented approach using a case base from the fielded system SonoConsult. We further discuss that the user can easily balance between accuracy and complexity of the learned knowledge applying the presented measures. We argue that semi-automatic learning methods can support the domain specialist efficiently when building (diagnostic) knowledge systems from scratch. The presented complexity measures allow for an intuitive assessment of the learned patterns.

  6. Sonolytic, sonocatalytic and sonophotocatalytic degradation of chitosan in the presence of TiO2 nanoparticles.

    PubMed

    Taghizadeh, Mohammad Taghi; Abdollahi, Reza

    2011-01-01

    The degradation of chitosan by means of ultrasound irradiation and its combination with heterogeneous (TiO(2)) was investigated. Emphasis was given on the effect of additives on degradation rate constants. Ultrasound irradiation (24 kHz) was provided by a sonicator, while an ultraviolet source of 16 W was used for UV irradiation. The extent of sonolytic degradation increased with increasing ultrasound power (in the range 30-90 W), while the presence of TiO(2) in the dark generally had little effect on degradation. On the other hand, TiO(2) sono-photocatalysis led to complete chitosan degradation in 60 min with increasing catalyst loading. TiO(2) sonophotocatalysis was always faster than the respective individual processes due to the enhanced formation of reactive radicals as well as the possible ultrasound-induced increase of the active surface area of the catalyst. The degraded chitosans were characterized by X-ray diffraction (XRD), gel permeation chromatography (GPC) and Fourier transform infrared (FT-IR) spectroscopy and average molecular weight of ultrasonicated chitosan was determined by measurements of relative viscosity of samples. The results show that the total degree of deacetylation (DD) of chitosan did not change after degradation and the decrease of molecular weight led to transformation of crystal structure. A negative order for the dependence of the reaction rate on total molar concentration of chitosan solution within the degradation process was suggested. Copyright © 2010 Elsevier B.V. All rights reserved.

  7. Contrast harmonic imaging of the normal canine spleen.

    PubMed

    Ohlerth, Stefanie; Rüefli, Eva; Poirier, Valerie; Roos, Malgorzata; Kaser-Hotz, Barbara

    2007-01-01

    The purpose of this study was to assess the perfusion pattern and perfusion dynamics in the normal canine spleen using contrast harmonic imaging. Twenty-five dogs without clinical or ultrasonographic evidence of splenic disease were studied. Twenty-three dogs were scanned with only manual restraint; two dogs were sedated with buprenorphin. All dogs received an intravenous bolus of a microbubble contrast medium (SonoVue). The perfusion pattern during the blood pool phase represented a skewed bell-shaped curve. A tissue-specific late phase, similar to humans, was not observed. Time/intensity curves were generated for a selected region. Mean average-derived peak intensity (PI) was 6.6dB, mean time to peak intensity calculated from the initial rise (TTP) was 25.6 s and mean area under the curve (AUC) was 523.6 dBs. If dogs were divided into two body weight groups (< or =15 and >15 kg body weight), average derived peak intensity area, time to peak intensity, and area under the curve were lower for the smaller dogs than for the larger animals. However, differences were not statistically significant (P = 0.2, 0.05, and 0.08, respectively). No significant association was found between hematocrit, hemoglobin concentration, red blood cell count, blood pressure, heart rate, age, gender, and the perfusion variables. In conclusion, these baseline data may prove useful in the evaluation of dogs with diffuse or focal splenic disease.

  8. Experimental study of three-dimensional fin-channel charge trapping flash memories with titanium nitride and polycrystalline silicon gates

    NASA Astrophysics Data System (ADS)

    Liu, Yongxun; Matsukawa, Takashi; Endo, Kazuhiko; O'uchi, Shinichi; Tsukada, Junichi; Yamauchi, Hiromi; Ishikawa, Yuki; Mizubayashi, Wataru; Morita, Yukinori; Migita, Shinji; Ota, Hiroyuki; Masahara, Meishoku

    2014-01-01

    Three-dimensional (3D) fin-channel charge trapping (CT) flash memories with different gate materials of physical-vapor-deposited (PVD) titanium nitride (TiN) and n+-polycrystalline silicon (poly-Si) have successfully been fabricated by using (100)-oriented silicon-on-insulator (SOI) wafers and orientation-dependent wet etching. Electrical characteristics of the fabricated flash memories including statistical threshold voltage (Vt) variability, endurance, and data retention have been comparatively investigated. It was experimentally found that a larger memory window and a deeper erase are obtained in PVD-TiN-gated metal-oxide-nitride-oxide-silicon (MONOS)-type flash memories than in poly-Si-gated poly-Si-oxide-nitride-oxide-silicon (SONOS)-type memories. The larger memory window and deeper erase of MONOS-type flash memories are contributed by the higher work function of the PVD-TiN metal gate than of the n+-poly-Si gate, which is effective for suppressing electron back tunneling during erase operation. It was also found that the initial Vt roll-off due to the short-channel effect (SCE) is directly related to the memory window roll-off when the gate length (Lg) is scaled down to 46 nm or less.

  9. Contrast enhanced ultrasound with quantitative perfusion analysis for objective characterization of pancreatic ductal adenocarcinoma: A feasibility study.

    PubMed

    D'Onofrio, Mirko; Canestrini, Stefano; Crosara, Stefano; De Robertis, Riccardo; Pozzi Mucelli, Roberto

    2014-03-28

    The aim of this study was to determine whether contrast enhanced ultrasound (CEUS) quantitative perfusion analysis allows an objective characterization of ductal adenocarcinoma (ADK) of the pancreas. Patients with pancreatic ADK underwent CEUS. All examinations were performed on an Acuson S2000 system (Siemens, Erlangen, Germany) after the iv administration of 2.4 mL contrast agent (SonoVue(®), Bracco, Milan, Italy). All lesions were pathologically proved. An operator manually drew different regions of interest within the tumor and the adjacent parenchyma to allow the quantitative perfusion analysis. The mean values of peak of enhancement, time to peak and ascending curve were calculated and compared using the Student's t test. The quantitative perfusion analysis was possible in all lesions. The mean values of the peak of enhancement, time to peak and ascending curve were 17.19%, 7.97 s and 159.52% s within the tumor and 33.57%, 8.89 s and 355.29% s within the adjacent parenchyma. The peak of enhancement and the ascending curve values were significantly different within the tumor and the adjacent parenchyma. Thus, CEUS allows the quantitative perfusion analysis of pancreatic ductal adenocarcinoma.

  10. Biodegradable double-targeted PTX-mPEG-PLGA nanoparticles for ultrasound contrast enhanced imaging and antitumor therapy in vitro

    PubMed Central

    Sun, Ying; Duan, You Rong; Du, Lian Fang

    2016-01-01

    A porous-structure nano-scale ultrasound contrast agent (UCA) was made of monomethoxypoly (ethylene glycol)-poly (lactic-co-glycolic acid) (mPEG-PLGA), and modified by double-targeted antibody: anti-carcinoembryonic antigen (CEA) and anti-carbohydrate antigen 19-9 (CA19-9), as a double-targeted nanoparticles (NPs). Anti-tumor drug paclitaxel (PTX) was encapsulated in the double-targeted nanoparticles (NPs). The morphor and release curve were characterized. We verified a certain anticancer effect of PTX-NPs through cytotoxicity experiments. The cell uptake result showed much more NPs may be facilitated to ingress the cells or tissues with ultrasound (US) or ultrasound targeted microbubble destruction (UTMD) transient sonoporation in vitro. Ultrasound contrast-enhanced images in vitro and in vivo were investigated. Compared with SonoVue, the NPs prolonged imaging time in rabbit kidneys and tumor of nude mice, which make it possible to further enhance anti-tumor effects by extending retention time in the tumor region. The novel double-targeted NPs with the function of ultrasound contrast enhanced imaging and anti-tumor therapy can be a promising way in clinic. PMID:27835907

  11. Nitric oxide synthase expression in the central nervous system of Sepia officinalis: an in situ hybridization study.

    PubMed

    Di Cristo, Carlo; Fiore, Gabriella; Scheinker, Vladimir; Enikolopov, Grigori; d'Ischia, Marco; Palumbo, Anna; Di Cosmo, Anna

    2007-09-01

    We recently reported the molecular cloning of nitric oxide synthase (NOS) mRNA from Sepia officinalis (SoNOS) using a strategy that involves hybridization of degenerate PCR primers to highly conserved NOS regions, combined with a RACE procedure. Here, in situ hybridization study has been performed on serial sections of the cuttlefish central nervous system to reveal localized specific staining of cell bodies in several lobes of the brain. Staining was found in many lower motor centres, including cells of the inferior and superior buccal lobes (feeding centres); in some higher motor centres (anterior basal and peduncle lobes); in learning centres (vertical, subvertical and superior frontal lobes); and in the visual system [medulla and deep retina (optic lobe)]. Positive staining was also found in the olfactory lobe. NOS-expressing cells have been detected also in the interbasal lobe. Double labelling experiments, performed on consecutive sections, showed that neurons containing NOS immunoreactivity were also positive in in situ hybridization staining. All these data support the presence of NOS in several systems in the cuttlefish brain.

  12. Sonophoresis using ultrasound contrast agents for transdermal drug delivery: an in vivo experimental study.

    PubMed

    Park, Donghee; Ryu, Heungil; Kim, Han Sung; Kim, Young-Sun; Choi, Kyu-Sil; Park, Hyunjin; Seo, Jongbum

    2012-04-01

    Sonophoresis temporally increases skin permeability such that various medications can be delivered noninvasively. Previous sonophoresis studies have suggested that cavitation plays an important role in enhancing transdermal drug delivery (TDD). In this study, the feasibility of controlled cavitation using ultrasound contrast agents (UCAs) at high frequency was explored through in vivo experiments in a rat model. Two commercially available UCAs, SonoVue® and Definity®, were used at 2.47 MHz and 1.12 MHz, respectively. Fluorescein isothiocyanate (FITC)-dextran with 0.1% UCA was used as the drug to be delivered through the skin. Ultrasound with a 10 ms pulse and a 1% duty cycle at 1 MPa acoustic pressure for 30 min was applied in all sonication sessions. The efficacy of sonophoresis with UCAs was quantitatively analyzed using an optical imaging system that was used to count photons emitted from fluorescein. The results showed that the proposed sonophoresis method significantly improved drug penetration compared with the traditional sonophoresis method with 4 kD, 20 kD and 150 kD FITC-dextrans at 1.12 MHz, and with 4 kD and 20 kD FITC-dextrans at 2.47 MHz. Sonophoresis for TDD was performed more effectively with the aid of UCAs. Sonophoresis with UCAs has excellent potential for broad applications in drug delivery for diseases requiring the chronic administration of medications such as diabetes.

  13. Elettrodinamica classica

    NASA Astrophysics Data System (ADS)

    Lechner, Kurt

    Nella scoperta della Relatività Ristretta l'Elettrodinamica, rappresentando una teoria relativistica per eccellenza, ha giocato un ruolo fondamentale. Il principio di relativit` a einsteiniana, che afferma che tutte le leggi della fisica devono avere la stessa forma in tutti i sistemi di riferimento inerziali, è emerso con forza da questa teoria ed è andato consolidandosi sempre di più, man mano che le nostre conoscenze del mondo microscopico sono diventate più complete: tutte le interazioni fondamentali rispettano infatti tale principio. Il modo più semplice ed elegante per implementarlo — difatti l'unico di un'utilità concreta — è rappresentato dal paradigma della covarianza a vista nell'ambito del calcolo tensoriale. Questo paradigma è stato applicato con successo a tutte le teorie di carattere fondamentale, come le teorie che descrivono le quattro interazioni fondamentali e le più speculative teorie di superstringa, e mantiene la sua piena efficacia anche in teoria quantistica. La nostra esposizione dell'Elettrodinamica classica si baserà dunque a ragione su questo paradigma.

  14. The role of physical exercise in obstructive sleep apnea.

    PubMed

    Andrade, Flávio Maciel Dias de; Pedrosa, Rodrigo Pinto

    2016-01-01

    Obstructive sleep apnea (OSA) is a common clinical condition, with a variable and underestimated prevalence. OSA is the main condition associated with secondary systemic arterial hypertension, as well as with atrial fibrillation, stroke, and coronary artery disease, greatly increasing cardiovascular morbidity and mortality. Treatment with continuous positive airway pressure is not tolerated by all OSA patients and is often not suitable in cases of mild OSA. Hence, alternative methods to treat OSA and its cardiovascular consequences are needed. In OSA patients, regular physical exercise has beneficial effects other than weight loss, although the mechanisms of those effects remain unclear. In this population, physiological adaptations due to physical exercise include increases in upper airway dilator muscle tone and in slow-wave sleep time; and decreases in fluid accumulation in the neck, systemic inflammatory response, and body weight. The major benefits of exercise programs for OSA patients include reducing the severity of the condition and daytime sleepiness, as well as increasing sleep efficiency and maximum oxygen consumption. There are few studies that evaluated the role of physical exercise alone for OSA treatment, and their protocols are quite diverse. However, aerobic exercise, alone or combined with resistance training, is a common point among the studies. In this review, the major studies and mechanisms involved in OSA treatment by means of physical exercise are presented. In addition to systemic clinical benefits provided by physical exercise, OSA patients involved in a regular, predominantly aerobic, exercise program have shown a reduction in disease severity and in daytime sleepiness, as well as an increase in sleep efficiency and in peak oxygen consumption, regardless of weight loss. RESUMO A apneia obstrutiva do sono (AOS) é uma condição clínica comum, possuindo prevalência variável e subestimada. Principal condição associada à hipertens

  15. On-line assessment of regional ventricular wall motion by transesophageal echocardiography with color kinesis during minimally invasive coronary artery bypass grafting.

    PubMed

    Kotoh, K; Watanabe, G; Ueyama, K; Uozaki, M; Suzuki, M; Misaki, T; Wakasugi, M; Ito, Y

    1999-05-01

    Our objective was to determine the changes in regional ventricular wall motion during minimally invasive direct coronary artery bypass grafting by color kinesis using transesophageal echocardiography. Minimally invasive coronary artery bypass grafting was performed in 34 patients, during which transesophageal echocardiography was used. Thirteen patients had isolated disease of the left anterior descending artery. Regional ventricular wall motion was analyzed by color kinesis with the SONOS 2500 transesophageal echocardiograph (Hewlett-Packard Co, Andover, Mass). On-line assessment of regional wall motion was continued during the operation. Wall motion abnormalities during ischemia were present in 4 cases, left ventricular mid-anterior hypokinesis in 3 cases, and left ventricular apical-lateral hypokinesis in 1 case. In all cases, wall motion was maintained after bypass. In patients with total coronary occlusion, changes in wall motion did not occur during anastomosis. Color kinesis allowed us to evaluate the change in regional ventricular wall motion induced by myocardial ischemia during minimally invasive coronary artery bypass grafting both objectively and quantitatively.

  16. Floating Hydrogel with Self-Generating Micro-Bubbles for Intravesical Instillation

    PubMed Central

    Lin, Tingsheng; Zhao, Xiaozhi; Zhang, Yifan; Lian, Huibo; Zhuang, Junlong; Zhang, Qing; Chen, Wei; Wang, Wei; Liu, Guangxiang; Guo, Suhan; Wu, Jinhui; Hu, Yiqiao; Guo, Hongqian

    2016-01-01

    Intravesical instillation is the main therapy for bladder cancer and interstitial cystitis. However, most drug solutions are eliminated from bladder after the first voiding of urine. To solve this problem, we proposed a floating hydrogel with self-generating micro-bubbles as a new delivery system. It floated in urine, avoiding the urinary obstruction and bladder irritation that ordinary hydrogels caused. In this study, we abandoned traditional gas-producing method like chemical decomposition of NaHCO3, and used the foamability of Poloxamer 407 (P407) instead. Through simple shaking (just like shaking SonoVue for contrast-enhanced ultrasound in clinical), the P407 solution will “lock” many micro-bubbles and float in urine as quickly and steadily as other gas producing materials. In vivo release experiments showed that drug was released continually from hydrogel for 10 h during the erosion process. Thus, the residence time of drug in bladder was prolonged and drug efficacy was improved. In vivo efficacy study using rabbit acute bladder injury model showed that prolonged drug residence time in bladder increased the efficiency of heparin in the protection of bladder mucosal permeability. Therefore, our floating hydrogel system with self-generating micro-bubbles was single-component, simply prepared and efficacy enhancing, successfully exempting users from worries on safety and clinical efficiency from bench to bedside. PMID:28774123

  17. Sonoelectrochemical recovery of silver from photographic processing solutions

    PubMed

    Pollet; Lorimer; Phull; Hihn

    2000-04-01

    This paper describes the effect of ultrasound upon the electrochemical recovery of silver from photographic processing solutions using a newly designed electrochemical cell--SonoEcoCell. Rates of deposition of silver (obtained potentiostatically) were studied in the model 'fix' solutions (dilute aqueous Na2S2O3/NaHSO3 at a stainless steel cylinder electrode in both the absence and the presence of ultrasound. Under silent conditions, the magnitude of the cathodic potential is a major factor in the removal of silver. Under 20 kHz sonication, the rate of deposition of silver increases with increasing ultrasonic intensity. The cathode efficiency is also enhanced under insonation. The position of the ultrasonic probe with respect to the rotating cylinder electrode (RCE) was studied. It was found that for a 'face-on' geometry (probe parallel to the electrode) led to higher rate constants compared with a 'side-on' geometry (probe perpendicular to the electrode). The effect of coupling an RCE with ultrasound upon these rate constants employing the two geometry was also investigated. It was found that, employing either the face-on or the side-on geometry alone, improved rate constants were obtained below approximately 1500 and 2000 rpm, respectively.

  18. Short-term effects of oral dronedarone administration on cardiac function, blood pressure and electrocardiogram in conscious telemetry dogs

    PubMed Central

    SAENGKLUB, Nakkawee; YOUNGBLOOD, Brad; DEL RIO, Carlos; SAWANGKOON, Suwanakiet; HAMLIN, Robert L.; KIJTAWORNRAT, Anusak

    2016-01-01

    Dronedarone is a multichannel blocking antiarrhythmic drug that has been used for management of atrial fibrillation in humans, but the data in veterinary medicine are inadequate. The objective of this study was to determine the short-term effects of oral dronedarone on cardiac inotropy and lusitropy, blood pressure and electrocardiogram (ECG) in healthy dogs. A total of 6 beagle dogs were instrumented with telemetry units and sono-micrometry crystals to obtain left ventricular pressure-volume relationship, mean blood pressure (MBP) and ECG. Dogs were given orally dronedarone (20 mg/kg, twice per day) for 7 days. All parameters were obtained hourly at 4–8 hr after the first dose and at 12-, 96- (day 4) and 168-hr (day 7) after dosing. The results showed that dronedarone had no effect on inotropy and lusitropy, while it significantly lengthened PQ interval (P<0.001) and lowered MBP (P<0.05). Dronedarone also tended to reduce cardiac output (P=0.237) and heart rate (P=0.057). These results suggested that short-term effects of oral dronedarone administration at a dose of 20 mg/kg, twice per day, produced negative dromotropy with minimal effect on cardiac function in conscious dogs. PMID:26922916

  19. A Case of Common Bile Duct Cancer That Completely Responded to Combination Chemotherapy of Gemcitabine and TS-1.

    PubMed

    Lim, Joo Hyun; Ryu, Ji Kon; Choi, Yoon Jin; Kwon, Jieun; Kim, Ji Yeon; Lee, Yun Bin; Kim, Jae Hwan; Yoon, Won Jae; Kim, Yong Tae; Yoon, Yong Bum

    2013-05-01

    Common bile duct (CBD) cancer is a relatively rare malignancy that arises from the biliary epithelium and is associated with a poor prognosis. Here, we report a case of advanced metastatic CBD cancer successfully treated by chemotherapy with gemcitabine combined with S-1 (tegafur+gimeracil+oteracil). A 65-year-old male presented with pyogenic liver abscess. After antibiotic therapy and percutaneous drainage, follow-up computed tomography (CT) showed an enhanced nodule in the CBD. Biopsy was performed at the CBD via endoscopic retrograde cholangiopancreatography, which showed adenocarcinoma. Additional CT and magnetic resonance imaging showed multiple small nodules in the right hepatic lobe, which were confirmed as metastatic adenocarcinoma by sono-guided liver biopsy. The patient underwent combination chemotherapy with gemcitabine and S-1. After nine courses of chemotherapy, the hepatic lesion disappeared radiologically. Pylorus-preserving pancreaticoduodenectomy was performed, and no residual tumor was found in the resected specimen. Three weeks after the operation, the patient was discharged with no complications. Through 3 months of follow-up, no sign of recurrence was observed on CT scan. Gemcitabine combined with S-1 may be a highly effective treatment for advanced cholangiocarcinoma.

  20. Evaluation of the compressive mechanical properties of endoluminal metal stents.

    PubMed

    Schrader, S C; Beyar, R

    1998-06-01

    The mechanical properties of metal stents are important parameters in the consideration of stent design, matched to resist arterial recoil and vascular spasm. The purpose of this study was to develop a system for a standardized quantitative evaluation of the mechanical characteristics of various coronary stents. Several types of stents were compressed by external hydrostatic pressure. The stent diameter was assessed by placing a pair of small ultrasonic sono-crystals on the stent. From pressure-strain diagrams the ultimate strength and radial stiffness for each stent were determined. For all stents, except the MICRO-II and the Wiktor stent, the diameter decreased homogeneously until an ultimate compressive strength was exceeded, causing an abrupt collapse. Expanded to 3 mm, the mechanical behavior of the beStent, the Crown and the Palmaz-Schatz stent (PS153-series) were comparable. The spiral articulated Palmaz-Schatz stent showed twice the strength (1.26 atm) of the PS-153 (0.65 atm). The NIR stent yielded a maximum strength of 1.05 atm. The MICRO-II and the Wiktor stent did not collapse abruptly but rather showed a continuous decline of diameter with increasing external pressure. The Cardiocoil stent behaved in a fully elastic manner and showed the largest radial stiffness. Difference in mechanical properties between stents were documented using a new device specifically developed for that purpose. These mechanical stent parameters may have important clinical implications.

  1. Ultrasonographic assessment of the equine palmar tendons

    PubMed Central

    Padaliya, N. R.; Ranpariya, J. J.; Kumar, Dharmendra; Javia, C. B.; Barvalia, D. R.

    2015-01-01

    Aim: The present study was conducted to evaluate the equine palmar tendon by ultrasonography (USG) in standing the position. Materials and Methods: USG of palmar tendons was performed in 40 adult horses using linear transducer having frequency of 10-18 MHz (e-soate, My Lab FIVE) and L52 linear array transducer (Titan, SonoSite) with frequencies ranging from 8 to 10 MHz. Palmar tendon was divided into 7 levels from distal to accessory carpal bone up to ergot in transverse scanning and 3 levels in longitudinal scanning. Results: The USG evaluation was very useful for diagnosis of affections of the conditions such as chronic bowed tendon, suspensory ligament desmitis, carpal sheath tenosynovitis and digital sheath effusions. The mean cross-sectional area (cm2) of affected tendons was significantly increased in affected than normal tendons. The echogenicity was also found reduced in affected tendons and ligaments along with disorganization of fiber alignment depending on the severity of lesion and injury. Conclusion: USG proved ideal diagnostic tool for diagnosis and post-treatment healing assessment of tendon injuries in horses. PMID:27047074

  2. Novel operative treatment options.

    PubMed

    Ricketts, D N J; Pitts, N B

    2009-01-01

    There are an increasing number of more novel options available for operative intervention. This chapter outlines a series of operative treatment options which are available to the modern clinician to select from once a decision has been made to treat a carious lesion operatively. A series of novel methods of caries removal have been described; including chemomechanical caries removal, air abrasion, sono-abrasion, polymer rotary burs and lasers. There are also novel approaches to ensure complete caries removal and novel approaches for the management of deep caries. A novel question increasingly asked by clinicians is: does all the caries need to be removed? Operative management options here include: therapeutic fissure sealants, ultraconservative caries removal, stepwise excavation and the Hall technique. In conclusion, there is now a growing wealth of evidence that questions the traditional methods of caries removal and restoring the tooth. In parallel, there is a growing movement exploring the merits of therapeutically sealing caries into the tooth. This philosophy is alien to many of today's dentists and, until further randomized controlled trials are carried out in primary care, prudent caution must be exercised with this promising approach. Research is required into techniques which will allow monitoring of sealed caries to detect any rare, but insidious, failures. These novel techniques are an alternative way of managing the later stages of the caries process from a sounder biological basis and have marked potential benefits to patients from treatment, pain and outcome perspectives. Copyright 2009 S. Karger AG, Basel

  3. Use of A-scan for penetration control during dual-frequency ultrasound thermal therapy of superficial tissues overlaying bone and lung

    NASA Astrophysics Data System (ADS)

    Moros, Eduardo G.; Straube, William L.; Fan, Xiaobing

    1999-05-01

    An ultrasonic system capable of Lateral Power Conformability, Penetration Depth Control (PDC), and the ability to deliver hyperthermia concomitantly with external beam radiation is being developed. PDC is achieved by simultaneously insonating with beams of low (1 MHz) and high (5 MHz) frequency. This paper presents a sono-thermal numerical evaluation of the impact of PDC on thermal dose in the treatment of chest wall volumes. The main goal is to assess the potential advantages of impedance-mismatched interface depth-mapping, using therapy transducers in A-scan mode, to select optimal relative output intensities of the beams as a function of bone and lung depths. Simulation results for a representative chest wall anatomy showed that there exists a strong relationship between optimal relative output intensities and bone/lung depth for maximum thermal dose and minimum muscle-bone interface temperature. Consequently, interface depth-mapping prior to a dual- frequency ultrasound hyperthermia treatment would provide patient-specific data useful for selecting PDC parameters that maximize thermal dose and minimize bone heating.

  4. Physiologically persistent Corpora lutea in Eurasian lynx (Lynx lynx) - longitudinal ultrasound and endocrine examinations intra-vitam.

    PubMed

    Painer, Johanna; Jewgenow, Katarina; Dehnhard, Martin; Arnemo, Jon M; Linnell, John D C; Odden, John; Hildebrandt, Thomas B; Goeritz, Frank

    2014-01-01

    Felids generally follow a poly-estrous reproductive strategy. Eurasian lynx (Lynx lynx) display a different pattern of reproductive cyclicity where physiologically persistent corpora lutea (CLs) induce a mono-estrous condition which results in highly seasonal reproduction. The present study was based around a sono-morphological and endocrine study of captive Eurasian lynx, and a control-study on free-ranging lynx. We verified that CLs persist after pregnancy and pseudo-pregnancy for at least a two-year period. We could show that lynx are able to enter estrus in the following year, while CLs from the previous years persisted in structure and only temporarily reduced their function for the period of estrus onset or birth, which is unique among felids. The almost constant luteal progesterone secretion (average of 5 ng/ml serum) seems to prevent folliculogenesis outside the breeding season and has converted a poly-estrous general felid cycle into a mono-estrous cycle specific for lynx. The hormonal regulation mechanism which causes lynx to have the longest CL lifespan amongst mammals remains unclear. The described non-felid like ovarian physiology appears to be a remarkably non-plastic system. The lynx's reproductive ability to adapt to environmental and anthropogenic changes needs further investigation.

  5. Amino-functionalized silica magnetite nanoparticles for the simultaneous removal of pollutants from aqueous solution

    NASA Astrophysics Data System (ADS)

    Hozhabr Araghi, Samira; Entezari, Mohammad H.

    2015-04-01

    Amino-functionalized silica magnetite nanoparticles (A-S-MNPs) have been prepared through coating of sono-synthesized magnetite nanoparticles (MNPs) in a basic medium by SiO2. Then, the resultant silica magnetite nanoparticles (S-MNPs) were modified with 3-aminpropyltriethoxysilane (APTES). The modification was carried out by the organic solvent method in dry hexane to graft amine groups on the surface. The adsorption behavior of this novel magnetic sorbent was studied for the simultaneous removal of two organic pollutants containing the sulfonate group, e.g., Reactive Black 5 (RB5) and sodium dodecylbenzenesulfonate (SDBS) in aqueous solutions. The results show that a pseudo-second-order model fits well the experimental data and the rate constant of adsorption for SDBS is higher than for RB5. The adsorption capacity was obtained by the Langmuir isotherm. The qmax was 83.33 and 62.5 mg/g for RB5 and SDBS at pH 2 and 298 K, respectively. Furthermore, the loaded A-S-MNPs can be recovered easily from aqueous solution by magnetic separation and regenerated by simply washing with 0.1 M NaOH solution. Therefore, the synthesized novel magnetic sorbent can be used as an effective and recyclable adsorbent for the simultaneous removal of dye and surfactant from aqueous solutions.

  6. Geographical epidemiology of antibacterials in the preschool age

    PubMed Central

    2012-01-01

    activities. Moreover, the competent authorities should increasing their efforts to limit unnecessary prescriptions and increase appropriateness of prescribing. Riassunto Introduzione Le mappe tematiche consentono una più rapida ed immediata lettura delle differenze geografiche nella distribuzione di dati riferiti ad un territorio specifico. Lo scopo dello studio è mostrare, per la prima volta, l’applicazione di alcuni strumenti statistici e cartografici, nell’analisi dell’uso dei farmaci nella popolazione pediatrica di una regione italiana e valutare le differenze intra-regionali. Metodi Per valutare il tipo di distribuzione geografica delle prescrizioni, sono stati calcolati i tassi di prevalenza standardizzati (punteggi-z) a livello di ASL, Distretti Sanitari e Comuni. Per valutare la correlazione con le ospedalizzazioni è stato usato il coefficiente di correlazione di Pearson; per valutare l’esistenza di autocorrelazione spaziale è stato usato l’indice I di Moran. Tramite l’uso della statistica G di Getis-Ord sono stati identificati cluster di aree ad alto e basso livello di prevalenza. Infine con un modello di regressione logistica è stata stimata la probabilità di ricevere almeno una prescrizione nel corso dell’anno per tutti i pazienti inclusi nello studio. Risultati Con l’uso delle mappe è possibile vedere che le prescrizioni non sono correlate con lo stato di salute della popolazione, ma sono correlate con l’attitudine prescrittiva del pediatra. Questo è confermato anche dal modello di regressione logistica costruito per stimare la probabilità di ricevere almeno una prescrizione considerando come variabili indipendenti l’età, il sesso, la prevalenza di ricoveri nel distretto di residenza, l’attitudine prescrittiva del pediatra, la classe di età del pediatra e la durata della convenzione del pediatra con l’Azienda Sanitaria Locale (ASL). Conclusioni Gli interventi primari per razionalizzare l’uso degli antibiotici in et

  7. Precise spatial control of cavitation erosion in a vessel phantom by using an ultrasonic standing wave.

    PubMed

    Shi, Aiwei; Huang, Peixuan; Guo, Shifang; Zhao, Lu; Jia, Yingjie; Zong, Yujin; Wan, Mingxi

    2016-07-01

    In atherosclerotic inducement in animal models, the conventionally used balloon injury is invasive, produces excessive vessel injuries at unpredictable locations and is inconvenient in arterioles. Fortunately, cavitation erosion, which plays an important role in therapeutic ultrasound in blood vessels, has the potential to induce atherosclerosis noninvasively at predictable sites. In this study, precise spatial control of cavitation erosion for superficial lesions in a vessel phantom was realised by using an ultrasonic standing wave (USW) with the participation of cavitation nuclei and medium-intensity ultrasound pulses. The superficial vessel erosions were restricted between adjacent pressure nodes, which were 0.87 mm apart in the USW field of 1 MHz. The erosion positions could be shifted along the vessel by nodal modulation under a submillimetre-scale accuracy without moving the ultrasound transducers. Moreover, the cavitation erosion of the proximal or distal wall could be determined by the types of cavitation nuclei and their corresponding cavitation pulses, i.e., phase-change microbubbles with cavitation pulses of 5 MHz and SonoVue microbubbles with cavitation pulses of 1 MHz. Effects of acoustic parameters of the cavitation pulses on the cavitation erosions were investigated. The flow conditions in the experiments were considered and discussed. Compared to only using travelling waves, the proposed method in this paper improves the controllability of the cavitation erosion and reduces the erosion depth, providing a more suitable approach for vessel endothelial injury while avoiding haemorrhage. Copyright © 2015 Elsevier B.V. All rights reserved.

  8. The sonochemical decolourisation of textile azo dye Orange II: effects of Fenton type reagents and UV light.

    PubMed

    Dükkancı, Meral; Vinatoru, Mircea; Mason, Timothy J

    2014-03-01

    The removal of Orange II (O-II) from aqueous solution under irradiation at 850 kHz has been studied. The effects of both homogeneous (with FeSO4/H2O2), and heterogeneous (Fe containing ZSM-5 zeolite/H2O2) Fenton type reagents are reported together with the effect of UV irradiation in combination with ultrasound both alone and with homogeneous Fenton-type reagent. Degrees of decolourisation of 6.5% and 28.9% were observed using UV radiation and ultrasound, respectively, whereas under the simultaneous irradiation of ultrasound and UV light, the decolourisation degree reached 47.8%, indicating a synergetic effect of ultrasound and UV light. The decolourisation was increased with the addition of Fenton's reagent with an optimal Fenton molar reagent ratio, Fe(2+):H2O2 of 1:50. In the combined process of ultrasound and UV light with the homogeneous Fenton system 80.8% decolourisation could be achieved after 2h indicating that UV improves this type of Orange II degradation. The degree of decolourisation obtained using the heterogeneous sono-Fenton system (Fe containing ZSM-5 zeolite catalysts+H2O2+ultrasound) were consistently lower than the traditional homogeneous ultrasound Fenton system. This can be attributed to the greater difficulty of the reaction between Fe ions and hydrogen peroxide. In all cases the Orange II ultrasonic decolourisation was found to follow first order kinetics.

  9. The effect of polydeoxyribonucleotide prolotherapy on posterior tibial tendon dysfunction after ankle syndesmotic surgery

    PubMed Central

    Lim, Tae-Ha; Cho, Hyung Rae; Kang, Keum Nae; Rhyu, Chang Joon; Chon, Sung Won; Lim, Young Su; Yoo, Jee In; Kim, Jung-Won; Kim, Young Uk

    2016-01-01

    Abstract Rationale: Ankle syndesmotic injuries occasionally require long-term therapy for recovery and can result in tendon injury. Posterior tibial tendon dysfunction (PTTD) is an acquired deformity that can cause flatfoot deformity. The current nonoperative management of PTTD includes nonsteroidal antiinflammatory drugs (NSAIDs), orthopedic devices. Although various treatment options have been attempted, optimal treatments for each stage of the condition are debated. Polydeoxyribonucleotide (PDRN) is effective in healing of chronic wounds associated with tissue damage by attracting tissue growth factors. Patient concerns: A 67-year-old woman who presented at our pain clinic with pain on the inside of ankle. She had a syndesmotic screw fixation 3 years prior. Her ankle pain had persisted after the removal of screws and edema for about 1 month resulting from long-term NSAIDs administration. Diagnoses: The origin of the pain was possibly tibialis posterior muscle and posterior tibial tendon and she was diagnosed as PTTD after syndesmosis surgery. Interventions: Sono guided prolotherapy with PDRN was carried out. Outcomes: Patient showed improvement in the arch of the foot, experienced pain relief, and was able to wear regular shoes without any orthopedic device. Lessons: This case report highlights that PDRN prolotherapy is a safe and efficient therapeutic option for the treatment of PTTD. PMID:28002322

  10. The effect of polydeoxyribonucleotide prolotherapy on posterior tibial tendon dysfunction after ankle syndesmotic surgery: A case report.

    PubMed

    Lim, Tae-Ha; Cho, Hyung Rae; Kang, Keum Nae; Rhyu, Chang Joon; Chon, Sung Won; Lim, Young Su; Yoo, Jee In; Kim, Jung-Won; Kim, Young Uk

    2016-12-01

    Ankle syndesmotic injuries occasionally require long-term therapy for recovery and can result in tendon injury. Posterior tibial tendon dysfunction (PTTD) is an acquired deformity that can cause flatfoot deformity. The current nonoperative management of PTTD includes nonsteroidal antiinflammatory drugs (NSAIDs), orthopedic devices. Although various treatment options have been attempted, optimal treatments for each stage of the condition are debated. Polydeoxyribonucleotide (PDRN) is effective in healing of chronic wounds associated with tissue damage by attracting tissue growth factors. A 67-year-old woman who presented at our pain clinic with pain on the inside of ankle. She had a syndesmotic screw fixation 3 years prior. Her ankle pain had persisted after the removal of screws and edema for about 1 month resulting from long-term NSAIDs administration. The origin of the pain was possibly tibialis posterior muscle and posterior tibial tendon and she was diagnosed as PTTD after syndesmosis surgery. Sono guided prolotherapy with PDRN was carried out. Patient showed improvement in the arch of the foot, experienced pain relief, and was able to wear regular shoes without any orthopedic device. This case report highlights that PDRN prolotherapy is a safe and efficient therapeutic option for the treatment of PTTD.

  11. Filler content and gap width after luting of ceramic inlays, using the ultrasonic insertion technique and composite resin cements. An in vitro study.

    PubMed

    Sjögren, G; Hedlund, S O

    1997-12-01

    The effect of ultrasonic insertion on the filler content and the gap width for two brands of composite resin luting agents, intended for luting with the ultrasonic insertion technique, were studied after MOD ceramic inlays (Cerec) had been placed. In addition, the internal and marginal gap widths were determined after MOD ceramic inlays (Celay) bad been luted on extracted premolars with this technique. No statistically significant differences (P > 0.05) were observed for either brand between the filler content obtained from the internal surfaces, from the excess luting agent, or from the luting agent as delivered. There were no statistically significant differences (P > 0.05) between the final internal and marginal gap widths when the two brands of luting agent were compared with each other. Except for the final occlusal and internal gap widths obtained for the inlays luted with the Sono-Cem luting agent, no statistically significant differences (P > 0.05) were observed between the gap widths at the different locations determined. Thus, the ultrasonic insertion technique used did not significantly influence the filler ratio of the hybrid luting agents studied. Judged by the findings in this study, the properties of luting agents seem to greatly influence the final marginal and internal gap widths.

  12. [Validazione del Gambling Disorder Screening Questionnaire, un questionario diagnostico autosomministrato per il gioco d'azzardo patologico basato sui criteri del DSM-5].

    PubMed

    Villella, Corrado; Pascucci, Marco; de Waure, Chiara; Bellomo, Antonello; Conte, Gianluigi

    2016-01-01

    RIASSUNTO. Scopo. Il DSM-5 presenta delle modifiche nei criteri diagnostici per il gioco d'azzardo patologico, rispetto alla precedente edizione del manuale; è pertanto necessario sviluppare nuovi strumenti diagnostici. Questo studio ha valutato le caratteristiche psicometriche del Gambling Disorder Screening Questionnaire (GDSQ), un questionario sviluppato per l'autosomministrazione, basato sui criteri diagnostici del DSM-IV e del DSM-5 per il gioco d'azzardo patologico, misurandone la validità e la consistenza interna e sottoponendo il questionario all'analisi delle componenti principali. Metodi. 71 pazienti reclutati da un ambulatorio dedicato al gioco d'azzardo patologico e 70 controlli sono stati valutati con il GDSQ, con il South Oaks Gambling Screen (SOGS) e con valutazione psichiatrica. Risultati. Il test ha mostrato una buona sensibilità, specificità, consistenza interna, correlazione con il SOGS. L'esclusione del criterio degli atti illeciti e l'abbassamento del punteggio di cut-off a quattro criteri positivi, come suggerito dal DSM-5, migliora la sensibilità e consistenza interna del test. Discussione e conclusioni. Il GDSQ può essere considerato un utile test di screening per il gioco d'azzardo patologico. Inoltre, questo studio conferma il miglioramento nell'accuratezza diagnostica dei criteri elencati nella quinta edizione del Manuale Diagnostico e Statistico dei Disturbi Mentali rispetto alla precedente edizione.

  13. Multidisciplinary approach to follicular thyroid carcinoma with giant mandibular and multiple sites metastases Case report.

    PubMed

    De Pasquale, Loredana; Rabbiosi, Dimitri; Bardazzi, Alessandro; Autelitano, Luca; Moro, Giacomina Pierina; Ghilardi, Giorgio

    2014-01-01

    I tumori metastatici in genere hanno una cattiva prognosi, con sopravvivenza breve e raramente sono candidabili al trattamento chirurgico. Nel caso dei carcinomi differenziati della tiroide, la prognosi è solitamente migliore, grazie alla possibilità di un approcio multidisciplinare e soprattutto al trattamento radiometabolico dei secodarismi, dopo l’asportazione del tumore primitivo. Il caso presentato riguarda una donna di 65 anni, che è giunta alla nostra osservazione per una tumefazione mandibolare, risultata successivamente una metastasi da carcinoma follicolare della tiroide, a partenza da un voluminoso gozzo cervico-mediastinico normofunzionante, con ulteriori secondarismi a livello polmonare. Dopo un accurato studio pre-operatorio la Paziente è stata sottoposta a resezione della mandibola sinistra con ricostruzione mediante una protesi metallica e a tiroidectomia totale. Successivamente è stata trattata con quattro cicli di terapia radiometabolica con buona risposta. La Paziente è viva, senza ulteriore progressione di malattia a un follow-up di quarantasei mesi. Anche nei casi di tumori differnziati della tiroide in fase metastatica, l’opzione chirurgica va presa in considerazione per consentire alle terapie complementari di migliorare la prognosi in termini di sopravvivenza.

  14. Autologous bone grafting with platelet-rich plasma for alveolar cleft repair in patient with cleft and palate.

    PubMed

    Giudice, Giuseppe; Cutrignelli, Daniela Anna; Leuzzi, Sara; Robusto, Fabio; Sportelli, Pasquale; Nacchiero, Eleonora

    2016-01-01

    L’innesto osseo è essenziale nella terapia chirurgica della labiopalatoschisi (LPS), ma i tempi di osteogenesi ed integrazione ossea nella sede ricevente possono procrastinare i successivi interventi di ortodonzia. Nel nostro studio è stata valutata la capacità della PRP (platelet-rich plasma) associata al trapianto osseo nel diminuire il tempo d’attesa e la durata del trattamento ortodontico in una coorte di 8 bambini, confrontandola con 8 controlli sottoposti a semplice innesto osseo. I risultati hanno mostrato come i soggetti sottoposti a trapianto osseo + PRP abbiano avuto la possibilità di essere sottoposti ad un trattamento ortodontico più precoce (155 giorni vs 298) e più breve (295 giorni vs 356) rispetto al gruppo di controllo. Inoltre nel gruppo di controllo si sono verificate con maggiore frequenza complicanze post-chirurgiche (quali fistole oro-nasali, disturbi periodontali, malattie dentali, perdita di spessore, massa o trabecolatura ossea) rispetto al gruppo sottoposto a PRP. Perciò l’associazione della PRP (platelet-rich plasma) al trapianto osseo è una metodica che sembra associarsi ad una diminuzione statisticamente significativa dei tempi di integrazione ossea nei pazienti affetti da LPS, con conseguente anticipazione della ortodonzia e miglioramento degli outcome chirurgici.

  15. Use of intravital microscopy to study the microvascular behavior of microbubble-based ultrasound contrast agents.

    PubMed

    Schneider, Michel; Broillet, Anne; Tardy, Isabelle; Pochon, Sibylle; Bussat, Philippe; Bettinger, Thierry; Helbert, Alexandre; Costa, Maria; Tranquart, François

    2012-04-01

    The study describes the use of intravital microscopy (IVM) to assess the behavior of ultrasound contrast agents (UCAs), including targeted UCAs, in the microcirculation of rodents. IVM was performed on various exteriorized organs: hamster cheek pouch, rat mesentery, liver, spinotrapezius muscle, and mouse cremaster muscle. A dorsal skin-fold chamber with MatBIII tumor cells was also implanted in rats. Nontargeted UCAs (SonoVue(®) and BR14) and targeted UCAs (BR55 and P-selectin targeted microbubbles) were tested. IVM was used to measure microbubble size, determine their persistence, and observe their behavior in the blood circulation. Intravenous and intra-arterial injections of high doses of UCAs did not modify the local microvascular hemodynamics. No microbubble coalescence and no increased size were observed. Adhesion of some microbubbles to leukocytes was observed in various microcirculation models. Microbubbles are captured by Kupffer cells in the liver. Targeted microbubbles were shown to adhere specifically to endothelial receptors without compromising local blood flow. These results support the safety of both targeted and nontargeted UCAs as no microvascular flow alteration or plugging of microvessels were observed. They confirm that binding observed with targeted microbubbles are due to the binding of these microbubbles to specific endothelial receptors. © 2012 John Wiley & Sons Ltd.

  16. Grafting of abciximab to a microbubble-based ultrasound contrast agent for targeting to platelets expressing GP IIb/IIIa - characterization and in vitro testing.

    PubMed

    Della Martina, A; Allémann, E; Bettinger, T; Bussat, P; Lassus, A; Pochon, S; Schneider, M

    2008-03-01

    Abciximab-grafted ultrasound sensitive microbubbles were developed for the diagnosis of stroke. The antibody fragment abciximab, which binds to the GP IIb/IIIa and alpha v beta 3 receptors expressed by activated platelets, was chosen because most ischemic strokes are due to arterial thrombi that are mainly composed of platelets. The abciximab antibody fragment was activated by reduction of the disulfide bond for grafting on the microbubbles. The suspension was freeze-dried after the grafting was performed directly on the formed microbubbles. Quantification of the amounts of abciximab present on the surface of the microbubbles was assessed semi-quantitatively by flow cytometry, and quantitatively using radio-labeled abciximab. A protocol for human and rat platelets deposition and fixation was implemented and the expression of the GP IIb/IIIa receptor was validated by immunostaining. The abciximab-grafted microbubbles showed high static and dynamic binding to fixed platelets. Detection by ultrasonography of microbubbles bound on white and red clots gave higher signals compared to Sono Vue microbubbles.

  17. Sonochemical Degradation of Reactive Black 5 with a Composite Catalyst of TiO2/Single-Walled Carbon Nanotubes

    NASA Astrophysics Data System (ADS)

    Cho, Eunju; Choi, Jongbok; Lee, Yonghyeon; Park, Jeong Min; Khim, Jeehyeong

    2013-07-01

    In the sonocatalytic process, composites of TiO2-carbon were used because carbon provides more adsorption sites and acts like an electron sink to prevent the recombination of an electron/hole. Therefore, in the present study, the characteristics of a TiO2/single-walled carbon nanotubes catalyst (TiO2/SWCNTs) have been investigated, and the optimal weight ratio of SWCNTs and the dose for degradation of reactive black 5 (RB5) were also evaluated. TiO2/SWCNT composite was characterized using Brunauer-Emmett-Teller analysis, scanning electron microscopy, energy-dispersive X-ray diffraction microanalysis and spectra, and X-ray diffraction patterns. The degradation rate constants of RB5 with the ratio of SWCNTs were found to depend on the adsorption phenomenon of a surface catalyst, light absorbance, and the recombination of electrons and holes. As a result, the optimal ratio of carbon in the sono-TiO2/SWCNTs process for degradation of RB5 was TiO2:SWCNTs= 200:1. Additionally, the optimal dose of the catalyst was 0.5 g/L.

  18. Lo Gnomone Clementino Astronomia Meridiana in Basilica

    NASA Astrophysics Data System (ADS)

    Sigismondi, Costantino

    2014-05-01

    Costruito per chiara volontà del papa 70 anni dopo il caso Galileo, lo Gnomone Clementino è un grande telescopio solare che non fa uso di lenti a 92 anni dall’invenzione del cannocchiale. Queste due caratteristiche basterebbero da sole a giustificare l’interesse verso questo strumento. L’astronomia meridiana è alla base dell’astrometria e dell’astrofisica moderna. Lo Gnomone Clementino sta oggi all’astronomia, come il veliero “Amerigo Vespucci” sta alla Marina Italiana. E’ possibile svolgere ogni genere di osservazione e studio su questo strumento, e dal 2002 vi tengo lezioni teorico-pratiche del corso di Storia dell’Astronomia e La Terra nel Sistema Solare della Sapienza, Università di Roma, Facoltà di Lettere e Filosofia. Questo testo aggiunge alcuni tasselli alla ricerca storica sulla meridiana, appoggiandosi, com’è naturale, sulle spalle di giganti che mi hanno preceduto in questi studi. In particolare la misura dell’azimut della meridiana, ed il suo inquadramento tra gli strumenti simili ed alcuni studi di astrometria sui dati del 1701-1703 di Bianchini, che sono apparsi fin’ora soltanto su riviste specializzate ed in Inglese vengono qui proposti in Italiano e semplificati, per valorizzare sempre più questa straordinaria opera d’arte e di scienza.

  19. An ionizing radiation sensor using a pre-programmed MAHAOS device.

    PubMed

    Hsieh, Wen-Ching; Lee, Hao-Tien Daniel; Jong, Fuh-Cheng

    2014-08-11

    Metal-aluminum oxide-hafnium aluminum oxide-silicon oxide-silicon (hereafter MAHAOS) devices can be candidates for ionizing radiation sensor applications. In this work, MAHAOS devices (SONOS-like structures with high k stack gate dielectric) were studied regarding the first known characterization of the ionization radiation sensing response. The change of threshold voltage V(T) for a MAHAOS device after gamma ray exposure had a strong correlation to the total ionization dose (TID) of gamma radiation up to at least 5 Mrad TID. In this paper, the gamma radiation response performances of the pre-programmed and virgin (non-pre-programmed) MAHAOS devices are presented. The experimental data show that the change of VT for the pre-programmed MAHAOS device with gamma irradiation is very significant. The data of pre-programmed MAHAOS devices written by 5 Mrad TID of gamma radiation was also stable for a long time with data storage. The sensing of gamma radiation by pre-programmed MAHAOS devices with high k stack gate dielectric reported in this study has demonstrated their potential application for non-volatile ionizing radiation sensing technology in the future.

  20. Combined contrast-enhanced ultrasound and rt-PA treatment is safe and improves impaired microcirculation after reperfusion of middle cerebral artery occlusion

    PubMed Central

    Nedelmann, Max; Ritschel, Nouha; Doenges, Simone; Langheinrich, Alexander C; Acker, Till; Reuter, Peter; Yeniguen, Mesut; Pukropski, Jan; Kaps, Manfred; Mueller, Clemens; Bachmann, Georg; Gerriets, Tibo

    2010-01-01

    In monitoring of recanalization and in sonothrombolysis, contrast-enhanced ultrasound (CEUS) is applied in extended time protocols. As extended use may increase the probability of unwanted effects, careful safety evaluation is required. We investigated the safety profile and beneficial effects of CEUS in a reperfusion model. Wistar rats were subjected to filament occlusion of the right middle cerebral artery (MCA). Reperfusion was established after 90 minutes, followed by recombinant tissue-type plasminogen activator (rt-PA) treatment and randomization to additional CEUS (contrast agent: SonoVue; 60 minutes). Blinded outcome evaluation consisted of magnetic resonance imaging (MRI), neurologic assessment, and histology and, in separate experiments, quantitative 3D nano-computed tomography (CT) angiography (900 nm3 voxel size). Nano-CT revealed severely compromised microcirculation in untreated animals after MCA reperfusion. The rt-PA partially improved hemispheric perfusion. Impairment was completely reversed in animals receiving rt-PA and CEUS. This combination was more effective than treatment with either CEUS without rt-PA or rt-PA and ultrasound or ultrasound alone. In MRI experiments, CEUS and rt-PA treatment resulted in a significantly reduced ischemic lesion volume and edema formation. No unwanted effects were detected on MRI, histology, and intracranial temperature assessment. This study shows that CEUS and rt-PA is safe in the situation of reperfusion and displays beneficial effects on the level of the microvasculature. PMID:20531462

  1. Treatment of kidney diseases in the thermal springs of Pithecusa during the XVIII Century.

    PubMed

    Ricciardi, Elisabetta; Ricciardi, Carlo Alberto; Ricciardi, Biagio

    2016-02-01

    The island of Pithecusa (Ischia) is a volcanic island in the Tyrrhenian Sea in the north end of the Gulf of Naples at about 30 kilometers from the same city. Pithecusa is very popular for its hot springs which even the ancients used. This report aims to analyze the renal therapeutic benefits of the Pithacusa thermal mineral spring through a review of two different manuscripts: i) "Di Napoli il seno cratero"(The gulf of Naples) of Domenico Antonio Parrino (1642-1708) and ii) "De' rimedi naturali che sono nell'isola di Pithecusa oggi detta Ischia"(On the natural cures of the island of Pithecusa known today as Ischia)of Giulio Iasolino (1583-1622). These two manuscripts published during the 18th century and both manuscripts highlight the thermal virtues of the thermal springs of Pithecusa. In the past natural remedies were important in the treatment of different diseases including that of thermal springs dating back to ancient Rome. Thermal springs were used to treat spasms, skin diseases, hair loss and various renal ailments. Both manuscripts describe the thermal springs in Ischia and their therapeutic benefits in medical diseases.

  2. Contrast-enhanced ultrasound in ovarian tumors – diagnostic parameters: method presentation and initial experience

    PubMed Central

    MAXIM, ANITA-ROXANA; BADEA, RADU; TAMAS, ATILLA; TRAILA, ALEXANDRU

    2013-01-01

    The aim of this paper is to discuss and illustrate the use of contrast-enhanced ultrasound in evaluating ovarian tumors compared to conventional ultrasound, Doppler ultrasound and the histopathological analysis and suggest how this technique may best be used to distinguish benign from malignant ovarian masses. We present the method and initial experience of our center by analyzing the parameters used in contrast-enhanced ultrasound in 6 patients with ovarian tumors of uncertain etiology. For examination we used a Siemens ultrasound machine with dedicated contrast software and the contrast agent SonoVue, Bracco. The patients underwent conventional ultrasound, Doppler ultrasound and i.v. administration of the contrast agent. The parameters studied were: inflow of contrast (rise time), time to peak enhancement, mean transit time. The series of patients is part of an extensive prospective PhD study aimed at elaborating a differential diagnosis protocol for benign versus malignant ovarian tumors, by validating specific parameters for contrast-enhanced ultrasound. Although the method is currently used with great success in gastroenterology, urology and senology, its validation in gynecology is still in the early phases. Taking into consideration that the method is minimally invasive and much less costly that CT/MRI imaging, demonstrating its utility in oncologic gynecology would be a big step in preoperative evaluation of these cases. PMID:26527912

  3. Stump appendicitis: a rare and unusual complication after appendectomy. Case report and review of the literature.

    PubMed

    Papi, Simona; Pecchini, Francesca; Gelmini, Roberta

    2014-04-07

    L’appendicite del moncone rappresenta una rara ma importante complicanza che può fare seguito a un intervento di appendicectomia, sia laparoscopica che laparotomica, e rappresenta un’eventualità nosologica da tenere presente, e da includere nella diagnosi differenziale dell’addome acuto di un paziente già appendicectomizzato. I casi riportati in letteratura non sono numerosi, probabilmente però come risultato di una sottostima. Il caso clinico riportato riguarda un uomo di 43 anni operato tre mesi prima di appendicectomia laparoscopica e ricoverato con un tipico caso di addome acuto. L’ecografia si è dimostrata non efficace per la diagnosi, mentre la TC ha definito con sufficiente chiarezza la situazione, ponendo l’indicazione ad una laparotomia esplorativa, nel corso della quale si è proceduto all’asportazione del residuo appendicolare. L’esame istologico ha poi in seguito confermato la diagnosi di appendicite acuta perforata del moncone. A conclusione si è proceduto ad un’analisi di 87 casi analoghi presenti nella letteratura di lingua Inglese per evidenziare le caratteristiche anatomo-chirurgiche ed anatomo- patologiche dei diversi casi, e l’esperienza diagnostica nella definizione del singolo caso. Si conclude con i suggerimenti tecnici per prevenire l’evenienza di tali “appendiciti” ricorrenti sia con la tecnica laparoscopica che laparotomica, e stimolando la consapevolezza di tale eventualità.

  4. Comparative kinetic analysis of silent and ultrasound-assisted catalytic wet peroxide oxidation of phenol.

    PubMed

    Rokhina, Ekaterina V; Repo, Eveliina; Virkutyte, Jurate

    2010-03-01

    The kinetic study of silent and ultrasound-assisted catalytic wet peroxide oxidation of phenol in water was performed to qualitatively assess the effect of ultrasound on the process kinetics. Various kinetic parameters such as the apparent kinetic rate constants, the surface utilization coefficient and activation energy of phenol oxidation over RuI(3) catalyst were investigated. Comparative analysis revealed that the use of ultrasound irradiation reduced the energy barrier of the reaction but had no impact on the reaction pathway. The activation energy for the oxidation of phenol over RuI(3) catalyst in the presence of ultrasound was found to be 13kJmol(-1), which was four times smaller in comparison to the silent oxidation process (57kJmol(-1)). Finally, 'figures-of-merit' was utilized to assess different experimental strategies such as sonolysis alone, H(2)O(2)-enhanced sonolysis and sono-catalytic oxidation of phenol in order to estimate the electric energy consumption based on the kinetic rate constants of the oxidation process.

  5. Modeling complicated rheological behaviors in encapsulating shells of lipid-coated microbubbles accounting for nonlinear changes of both shell viscosity and elasticity

    NASA Astrophysics Data System (ADS)

    Li, Qian; Matula, Thomas J.; Tu, Juan; Guo, Xiasheng; Zhang, Dong

    2013-02-01

    It has been accepted that the dynamic responses of ultrasound contrast agent (UCA) microbubbles will be significantly affected by the encapsulating shell properties (e.g., shell elasticity and viscosity). In this work, a new model is proposed to describe the complicated rheological behaviors in an encapsulating shell of UCA microbubbles by applying the nonlinear ‘Cross law’ to the shell viscous term in the Marmottant model. The proposed new model was verified by fitting the dynamic responses of UCAs measured with either a high-speed optical imaging system or a light scattering system. The comparison results between the measured radius-time curves and the numerical simulations demonstrate that the ‘compression-only’ behavior of UCAs can be successfully simulated with the new model. Then, the shell elastic and viscous coefficients of SonoVue microbubbles were evaluated based on the new model simulations, and compared to the results obtained from some existing UCA models. The results confirm the capability of the current model for reducing the dependence of bubble shell parameters on the initial bubble radius, which indicates that the current model might be more comprehensive to describe the complex rheological nature (e.g., ‘shear-thinning’ and ‘strain-softening’) in encapsulating shells of UCA microbubbles by taking into account the nonlinear changes of both shell elasticity and shell viscosity.

  6. Functionalized multiwalled carbon nanotubes as ultrasound contrast agents

    PubMed Central

    Delogu, Lucia Gemma; Vidili, Gianpaolo; Venturelli, Enrica; Ménard-Moyon, Cécilia; Zoroddu, Maria Antonietta; Pilo, Giovannantonio; Nicolussi, Paola; Ligios, Ciriaco; Bedognetti, Davide; Sgarrella, Francesco; Manetti, Roberto; Bianco, Alberto

    2012-01-01

    Ultrasonography is a fundamental diagnostic imaging tool in everyday clinical practice. Here, we are unique in describing the use of functionalized multiwalled carbon nanotubes (MWCNTs) as hyperechogenic material, suggesting their potential application as ultrasound contrast agents. Initially, we carried out a thorough investigation to assess the echogenic property of the nanotubes in vitro. We demonstrated their long-lasting ultrasound contrast properties. We also showed that ultrasound signal of functionalized MWCNTs is higher than graphene oxide, pristine MWCNTs, and functionalized single-walled CNTs. Qualitatively, the ultrasound signal of CNTs was equal to that of sulfur hexafluoride (SonoVue), a commercially available contrast agent. Then, we found that MWCNTs were highly echogenic in liver and heart through ex vivo experiments using pig as an animal model. In contrast to the majority of ultrasound contrast agents, we observed in a phantom bladder that the tubes can be visualized within a wide variety of frequencies (i.e., 5.5–10 MHz) and 12.5 MHz using tissue harmonic imaging modality. Finally, we demonstrated in vivo in the pig bladder that MWCNTs can be observed at low frequencies, which are appropriate for abdominal organs. Importantly, we did not report any toxicity of CNTs after 7 d from the injection by animal autopsy, organ histology and immunostaining, blood count, and chemical profile. Our results reveal the enormous potential of CNTs as ultrasound contrast agents, giving support for their future applications as theranostic nanoparticles, combining diagnostic and therapeutic modalities. PMID:23012426

  7. Contrast-enhanced ultrasound for imaging of adrenal masses.

    PubMed

    Dietrich, C F; Ignee, A; Barreiros, A P; Schreiber-Dietrich, D; Sienz, M; Bojunga, J; Braden, B

    2010-04-01

    The number of incidentally discovered adrenal masses is growing due to the increased use of modern high-resolution imaging techniques. However, the characterization and differentiation of benign and malignant adrenal lesions is challenging. This study aimed to evaluate contrast-enhanced ultrasound for the characterization of adrenal masses. We studied 58 patients with adrenal masses detected with computed tomography, magnetic resonance imaging, or ultrasound. 7 patients had bilateral adrenal lesions. Contrast-enhanced ultrasound was performed using high-resolution ultrasound (3.5 - 7 MHz) and intravenous injection of 2.4 ml SonoVue. The contrast enhancement pattern of all adrenal lesions was documented. The 18 malignant adrenal tumors were significantly larger at the time of diagnosis compared to the 40 benign lesions (p < 0.03). The majority of benign adrenal lesions (37 / 40) had a nonspecific type of contrast enhancement (24 / 40) or a peripheral to central contrast filling (13 / 40) described as the iris phenomenon. Similar findings were observed in malignant adrenal tumors: most malignant lesions also showed nonspecific (6 / 18) or peripheral to central contrast filling (9 / 18). Peripheral to central contrast filling had 50 % sensitivity (26 - 74 %) and 68 % specificity (51 - 81 %) for indicating malignancy. Contrast-enhanced ultrasound facilitates the visualization of vascularization even in small adrenal masses, but it does not help to distinguish malignant and benign lesions. Georg Thieme Verlag KG Stuttgart . New York.

  8. An experimental system for the study of ultrasound exposure of isolated blood vessels

    NASA Astrophysics Data System (ADS)

    Tokarczyk, Anna; Rivens, Ian; van Bavel, E.; Symonds-Tayler, Richard; ter Haar, Gail

    2013-04-01

    An experimental system designed for the study of the effects of diagnostic or therapeutic ultrasound exposure on isolated blood vessels in the presence or absence of intraluminal contrast agent is described. The system comprised several components. A microscope was used to monitor vessel size (and thus vessel functionality), and potential leakage of intraluminal 70 kDa FITC-dextran fluorescence marker. A vessel chamber allowed the mounting of an isolated vessel whilst maintaining its viability, with pressure regulation for the control of intraluminal pressure and induction of flow for the infusion of contrast microbubbles. A fibre-optic hydrophone sensor mounted on the vessel chamber using a micromanipulator allowed pre-exposure targeting of the vessel to within 150 µm, and monitoring of acoustic cavitation emissions during exposures. Acoustic cavitation was also detected using changes in the ultrasound drive voltage and by detection of audible emissions using a submerged microphone. The suitability of this system for studying effects in the isolated vessel model has been demonstrated using a pilot study of 6 sham exposed and 18 high intensity focused ultrasound exposed vessels, with or without intraluminal contrast agent (SonoVue) within the vessels.

  9. Temperature dependent behavior of ultrasound contrast agents.

    PubMed

    Mulvana, Helen; Stride, Eleanor; Hajnal, Jo V; Eckersley, Robert J

    2010-06-01

    Recent interest in ultrasound contrast agents (UCAs) as tools for quantitative imaging and therapy has increased the need for accurate characterization. Laboratory investigations are frequently undertaken in a water bath at room temperature; however, implications for in vivo applications are not presented. Acoustic investigation of a bulk suspension of SonoVue (Bracco Research, Geneva, Switzerland) was made in a water bath at temperatures of 20-45 degrees C. UCA characteristics were significantly affected by temperature, particularly between 20 and 40 degrees C, leading to an increase in attenuation from 1.7-2.5 dB, respectively (p = 0.002) and a 2-dB increase in scattered signal over the same range (p = 0.05) at an insonation pressure of 100 kPa. Optical data supported the hypothesis that a temperature-mediated increase in diameter was the dominant cause, and revealed a decrease in bubble stability. In conclusion, measurements made at room temperature require careful interpretation with regard to behavior in vivo.

  10. Accuracy of the Endex with variations in canal irrigants and foramen size.

    PubMed

    Fouad, A F; Rivera, E M; Krell, K V

    1993-02-01

    Several electronic apex locators (EALs) are currently available. The manufacturer of a new device, the Endex, claims that it is accurate regardless of canal conditions. This study compared the accuracy of the Endex with that of the Exact-a-pex, the Sono-Explorer Mark III, and the Neosono-D SE as to the effects of fluids in the canal and variation in foramen size. Sixty extracted single-canaled teeth were divided into two groups (narrow and wide foramina), depending on whether the apical foramina permitted the tip of a #30 K file to pass through. An in vitro model was used, in which teeth were fitted in test tubes with the roots immersed in 1% agar in phosphate-buffered saline. Root canal lengths were measured in dry canals, then with ethanol, Xylocaine, and sodium hypochlorite in the canals by each electronic apex locator. These lengths were compared with those of the actual root canal lengths. No significant differences were noted among the instruments in dry canals regardless of the foramen size. The endex was generally superior to the other instruments examined in canals containing conductive fluids, especially where the apical foramen was widened.

  11. The correlation of contrast-enhanced ultrasound and MRI perfusion quantitative analysis in rabbit VX2 liver cancer.

    PubMed

    Xiang, Zhiming; Liang, Qianwen; Liang, Changhong; Zhong, Guimian

    2014-12-01

    Our objective is to explore the value of liver cancer contrast-enhanced ultrasound (CEUS) and MRI perfusion quantitative analysis in liver cancer and the correlation between these two analysis methods. Rabbit VX2 liver cancer model was established in this study. CEUS was applied. Sono Vue was applied in rabbits by ear vein to dynamically observe and record the blood perfusion and changes in the process of VX2 liver cancer and surrounding tissue. MRI perfusion quantitative analysis was used to analyze the mean enhancement time and change law of maximal slope increasing, which were further compared with the pathological examination results. Quantitative indicators of liver cancer CEUS and MRI perfusion quantitative analysis were compared, and the correlation between them was analyzed by correlation analysis. Rabbit VX2 liver cancer model was successfully established. CEUS showed that time-intensity curve of rabbit VX2 liver cancer showed "fast in, fast out" model while MRI perfusion quantitative analysis showed that quantitative parameter MTE of tumor tissue increased and MSI decreased: the difference was statistically significant (P < 0.01). The diagnostic results of CEUS and MRI perfusion quantitative analysis were not significantly different (P > 0.05). However, the quantitative parameter of them were significantly positively correlated (P < 0.05). CEUS and MRI perfusion quantitative analysis can both dynamically monitor the liver cancer lesion and surrounding liver parenchyma, and the quantitative parameters of them are correlated. The combined application of both is of importance in early diagnosis of liver cancer.

  12. Comparison of sand-based water filters for point-of-use arsenic removal in China.

    PubMed

    Smith, Kate; Li, Zhenyu; Chen, Bohan; Liang, Honggang; Zhang, Xinyi; Xu, Ruifei; Li, Zhilin; Dai, Huanfang; Wei, Caijie; Liu, Shuming

    2017-02-01

    Contamination of groundwater wells by arsenic is a major problem in China. This study compared arsenic removal efficiency of five sand-based point-of-use filters with the aim of selecting the most effective filter for use in a village in Shanxi province, where the main groundwater source had arsenic concentration >200 μg/L. A biosand filter, two arsenic biosand filters, a SONO-style filter and a version of the biosand filter with nails embedded in the sand were tested. The biosand filter with embedded nails was the most consistent and effective under the study conditions, likely due to increased contact time between water and nails and sustained corrosion. Effluent arsenic was below China's standard of 50 μg/L for more than six months after construction. The removal rate averaged 92% and was never below 86%. In comparison, arsenic removal for the nail-free biosand filter was never higher than 53% and declined with time. The arsenic biosand filter, in which nails sit in a diffuser basin above the sand, performed better but effluent arsenic almost always exceeded the standard. This highlights the positive impact on arsenic removal of embedding nails within the top layer of biosand filter sand and the promise of this low-cost filtration method for rural areas affected by arsenic contamination.

  13. Synthesis, characterization and electrocatalytic properties of delafossite CuGaO2

    NASA Astrophysics Data System (ADS)

    Ahmed, Jahangeer; Mao, Yuanbing

    2016-10-01

    Delafossite CuGaO2 has been employed as photocatalysts for solar cells, but their electrocatalytic properties have not been extensively studied, especially no comparison among samples made by different synthesis routes. Herein, we first reported the successful synthesis of delafossite CuGaO2 particles with three different morphologies, i.e. nanocrystalline hexagons, sub-micron sized plates and micron-sized particles by a modified hydrothermal method at 190 °C for 60 h [1-3], a sono-chemical method followed by firing at 850 °C for 48 h, and a solid state route at 1150 °C, respectively. Morphology, composition and phase purity of the synthesized samples was confirmed by powder X-ray diffraction and Raman spectroscopic studies, and then their electrocatalytic performance as active and cost effective electrode materials to the oxygen and hydrogen evolution reactions in 0.5 M KOH electrolyte versus Ag/AgCl was investigated and compared under the same conditions for the first time. The nanocrystalline CuGaO2 hexagons show enhanced electrocatalytic activity than the counterpart sub-micron sized plates and micron-sized particles.

  14. Spatiotemporal evolution of cavitation dynamics exhibited by flowing microbubbles during ultrasound exposure.

    PubMed

    Choi, James J; Coussios, Constantin-C

    2012-11-01

    Ultrasound and microbubble-based therapies utilize cavitation to generate bioeffects, yet cavitation dynamics during individual pulses and across consecutive pulses remain poorly understood under physiologically relevant flow conditions. SonoVue(®) microbubbles were made to flow (fluid velocity: 10-40 mm/s) through a vessel in a tissue-mimicking material and were exposed to ultrasound [frequency: 0.5 MHz, peak-rarefactional pressure (PRP): 150-1200 kPa, pulse length: 1-100,000 cycles, pulse repetition frequency (PRF): 1-50 Hz, number of pulses: 10-250]. Radiated emissions were captured on a linear array, and passive acoustic mapping was used to spatiotemporally resolve cavitation events. At low PRPs, stable cavitation was maintained throughout several pulses, thus generating a steady rise in energy with low upstream spatial bias within the focal volume. At high PRPs, inertial cavitation was concentrated in the first 6.3 ± 1.3 ms of a pulse, followed by an energy reduction and high upstream bias. Multiple pulses at PRFs below a flow-dependent critical rate (PRF(crit)) produced predictable and consistent cavitation dynamics. Above the PRF(crit), energy generated was unpredictable and spatially biased. In conclusion, key parameters in microbubble-seeded flow conditions were matched with specific types, magnitudes, distributions, and durations of cavitation; this may help in understanding empirically observed in vivo phenomena and guide future pulse sequence designs.

  15. Physiologically Persistent Corpora lutea in Eurasian Lynx (Lynx lynx) – Longitudinal Ultrasound and Endocrine Examinations Intra-Vitam

    PubMed Central

    Painer, Johanna; Jewgenow, Katarina; Dehnhard, Martin; Arnemo, Jon M.; Linnell, John D. C.; Odden, John; Hildebrandt, Thomas B.; Goeritz, Frank

    2014-01-01

    Felids generally follow a poly-estrous reproductive strategy. Eurasian lynx (Lynx lynx) display a different pattern of reproductive cyclicity where physiologically persistent corpora lutea (CLs) induce a mono-estrous condition which results in highly seasonal reproduction. The present study was based around a sono-morphological and endocrine study of captive Eurasian lynx, and a control-study on free-ranging lynx. We verified that CLs persist after pregnancy and pseudo-pregnancy for at least a two-year period. We could show that lynx are able to enter estrus in the following year, while CLs from the previous years persisted in structure and only temporarily reduced their function for the period of estrus onset or birth, which is unique among felids. The almost constant luteal progesterone secretion (average of 5 ng/ml serum) seems to prevent folliculogenesis outside the breeding season and has converted a poly-estrous general felid cycle into a mono-estrous cycle specific for lynx. The hormonal regulation mechanism which causes lynx to have the longest CL lifespan amongst mammals remains unclear. The described non-felid like ovarian physiology appears to be a remarkably non-plastic system. The lynx's reproductive ability to adapt to environmental and anthropogenic changes needs further investigation. PMID:24599348

  16. Screening Mammography: A Pilot Study on Its Pertinence in Indian Population by Means of a Camp.

    PubMed

    Kumar, Joish Upendra; Sreekanth, Vivek; Reddy, Harikiran R; Sridhar, Aishwarya B; Kodali, Niveditha; Prabhu, Anitha S

    2017-08-01

    Breast cancer incidence and related mortality is increasing in Indian women. Indian ladies hesitate to seek medical care for breast related issues. Screening mammography, proved to effectively reduce mortality, has been deemed not feasible in Indian context due to cost considerations. The suggested alternatives have not been proven to improve mortality rates. To find the relevance of screening mammography camp among Indian women. A week long screening mammography camp was organized in a tertiary care hospital. Clinical examination was done followed by bilateral mammography. Mammograms were reported as per American College of Radiology-Breast Imaging Reporting and Data Systems (ACR-BIRADS) 5(th) edition specifications. Lesions deemed BIRADS 4 and 5 were biopsied. BIRADS 3 category findings were suggested short interval follow up. A total of 118 women, ranging from 35 to 64 years of age with mean age of 49.6 years underwent mammography. Thirty ladies with dense breast compositions further underwent sono-mammography. Six (5.1%) new cases of breast carcinomas were detected during this study and 28 (23.7%) cases with probably benign findings were advised short interval follow up. Mammography, being a proven screening modality effective in reducing mortality, needs incorporation into the nationwide program for breast cancer detection, inspite of financial considerations. Organizing mammography camps will help create awareness and encourage public to utilize services.

  17. Screening Mammography: A Pilot Study on Its Pertinence in Indian Population by Means of a Camp

    PubMed Central

    Kumar, Joish Upendra; Reddy, Harikiran R; Sridhar, Aishwarya B; Kodali, Niveditha; Prabhu, Anitha S

    2017-01-01

    Introduction Breast cancer incidence and related mortality is increasing in Indian women. Indian ladies hesitate to seek medical care for breast related issues. Screening mammography, proved to effectively reduce mortality, has been deemed not feasible in Indian context due to cost considerations. The suggested alternatives have not been proven to improve mortality rates. Aim To find the relevance of screening mammography camp among Indian women. Materials and Methods A week long screening mammography camp was organized in a tertiary care hospital. Clinical examination was done followed by bilateral mammography. Mammograms were reported as per American College of Radiology-Breast Imaging Reporting and Data Systems (ACR-BIRADS) 5th edition specifications. Lesions deemed BIRADS 4 and 5 were biopsied. BIRADS 3 category findings were suggested short interval follow up. Results A total of 118 women, ranging from 35 to 64 years of age with mean age of 49.6 years underwent mammography. Thirty ladies with dense breast compositions further underwent sono-mammography. Six (5.1%) new cases of breast carcinomas were detected during this study and 28 (23.7%) cases with probably benign findings were advised short interval follow up. Conclusion Mammography, being a proven screening modality effective in reducing mortality, needs incorporation into the nationwide program for breast cancer detection, inspite of financial considerations. Organizing mammography camps will help create awareness and encourage public to utilize services. PMID:28969241

  18. The role of plastic surgeon in complex cephalic malformations. Our experience.

    PubMed

    Chiumariello, Stefano; Del Torto, Giuseppe; Guarro, Giuseppe; Alfano, Carmine

    2014-01-01

    Le malformazioni complesse del distretto cefalico comprendono tutta una serie di anomalie di sviluppo che oltre a presentare una notevole difficoltà classificativa e di inquadramento, comprendono forme che sono talora di stretta pertinenza specialistica. La correzione delle malformazioni craniofacciali fa ricorso ad una disciplina chirurgica particolarmente esigente, che deve associare una formazione chirurgica di base con un apprendimento delle tecniche specifiche per il territorio craniofacciale e una conoscenza della patologia malformativa. L’eziologia malformativa pone il chirurgo davanti a problemi specifici, dominati dallo sviluppo della tecnica chirurgica. Si stabilisce dunque un protocollo terapeutico dopo aver identificato la malformazione, stimato la gravità delle alterazioni tissutali e valutato la capacità di crescita dei territori interessati. E’ fondamentale, oltre che il rimodellamento della morfologia, il recupero delle funzioni ed il trattamento rieducativo. E’ quindi evidente che si tratta di una chirurgia di equipe che può portare risultati positivi solo se realizzata con fiducia reciproca tra i vari operatori.

  19. Rare case of isolated osteochondroma of the zygomatic bone: an endoscopic-assisted approach.

    PubMed

    Romano, Antonio; Dell'Aversana, Giovanni; Corvino, Raffaele; Abbate, Vincenzo; Iaconetta, Giorgio; Califano, Luigi

    2015-11-03

    L’osteocondroma è una neoplasia benigna che nel distretto cranio-facciale colpisce spesso il corpo ed il ramo mandibolare e soltanto di rado può interessare il processo coronoide e l’arco zygomatico. In questo articolo descriviamo un raro caso di osteocondroma isolato dell’osso zygomatico trattato mediante approccio chirurgico intraorale endoscopicamente assistito ed in letteratura non sono riportati altri casi di questa patologia trattati con procedure endoscopicamente assistite. Una donna caucasica di cinquantadue anni, è stata osservata nel nostro reparto nel mese di marzo del 2012, la paziente lamentava dolore in regione zygomatica destra. La tomografia computerizzata (TC) del distretto osseo interessato mostrava una lesione sessile non definita. Il sospetto diagnostico è stato di osteocondroma. L’intervento è stato realizzato in anestesia generale mediante approccio intraorale endoscopicamente assistito. All’esame istologico del campione operatorio è stata confermata la diagnosi di osteocondroma. Nell’immediato post operatorio la paziente non ha presentato edema, dolore o febbre. L’uso dell’endoscopia nel trattamento chirurgico di questa patologia quindi ha consentito di ottenere una maggiore precisione e una maggiore rispetto delle strutture anatomiche. L’approccio intraorale ci garantisce l’assenza di cicatrici visibili e l’ausilio dell’endoscopia ci consente di avere una migliore visione di tutte le strutture anatomiche, una buona gestione della patologia riducendo quindi il rischio di complicanze intraoperatorie quali: fratture patologiche e lesioni del VII nervo cranico.

  20. Sonoenzymatic decolourization of an azo dye employing immobilized horse radish peroxidase (HRP): a mechanistic study.

    PubMed

    Malani, Ritesh S; Khanna, Swati; Moholkar, Vijayanand S

    2013-07-15

    For degradation of biorefractory pollutants, enzymatic treatments and sonochemical treatments have shown high potential. A combined technique of sono-enzymatic treatment is of special interest as it has shown enhancement effect than the individual techniques. This work has attempted to give a mechanistic insight into the interaction of sonochemical and enzymatic treatments using immobilized horseradish peroxidase (HRP) enzyme on the decolourization of acid red dye (an azo dye). In order to segregate the effect of ultrasound and cavitation, experiments were conducted at elevated static pressure. The kinetic parameters of HRP, viz. Vmax and Km were marginally affected by immobilization. There was a minor change in pH optima and temperature optima for immobilized HRP (6.5, 25°C) from free HRP (7.0, 20-25°C). Though the specific activity of free enzyme (0.272U/mg) was found to be higher than the immobilized enzyme (0.104U/mg), immobilized enzyme exhibited higher stability (up to 3 cycles) and degradation potential than free enzyme in all experiments. The results revealed that the coupling of sonication and enzymatic treatment at high pressure in presence of polyethylene glycol (PEG) yielded the highest decolourization of acid red (61.2%). However, the total decolourization achieved with combined technique was lesser than the sum of individual techniques, indicating negative synergy between the sonochemical and enzymatic techniques.

  1. Assessment of skeletal muscle microcirculation in type 2 diabetes mellitus using dynamic contrast-enhanced ultrasound: a pilot study.

    PubMed

    Amarteifio, Erick; Wormsbecher, Stephanie; Demirel, Serdar; Krix, Martin; Braun, Simone; Rehnitz, Christoph; Delorme, Stefan; Kauczor, Hans-Ulrich; Weber, Marc-André

    2013-09-01

    To investigate muscular micro-perfusion by employing dynamic contrast-enhanced ultrasound (CEUS) and performing transient arterial occlusion in patients with type 2 diabetes mellitus (DM-2). Twenty DM-2 patients (mean age, 58 ± 8.6 years; duration of diabetes, 15.4 ± 12.1 years) and 20 healthy volunteers (mean age, 54 ± 5.4 years) participated. CEUS was applied to the calf, while 4.8 mL of SonoVue(®) was injected intravenously. At the thigh level, arterial occlusion (60 s) was performed. CEUS parameters (tmax, max, AUCpost and m) were evaluated and Pearson-product-moment correlation coefficients were computed. A moderate negative correlation of HbA1c and max was established (-0.53). Max in patients with DM-2 >10 years was 79.89 ± 37.4. Max in patients with DM-2 duration <10 years was 137.62 ± 71.72 (p = 0.04). AUCpost in patients with DM-2 duration >10 years was 3924.01 ± 1630.52. AUCpost in patients with DM-2 duration <10 years was 6453.59 ± 3206.23 (p = 0.04). Patients with long history of DM-2 present with impaired muscular perfusion. CEUS and transient arterial occlusion may provide appropriate methods for semi-quantitative evaluation of muscular micro-perfusion in patients with DM-2.

  2. TMJ vibrations in asymptomatic patients using old and new complete dentures.

    PubMed

    Goiato, Marcelo Coelho; Garcia, Alício Rosalino; dos Santos, Daniela Micheline; Pesqueira, Aldiéris Alves

    2010-08-01

    The aim of this study was to assess the presence of temporomandibular joint (TMJ) noises in subjects with severe bone resorption, who have worn the same complete dentures for over 10 years, and 5 months after treatment with increments of acrylic resin on the occlusal surface after having new dentures in place. After applying the research diagnostic criteria (RDC)/temporomandibular disorder (TMD) questionnaire, 20 asymptomatic subjects were assessed before and 5 months after the new dentures were put in place. Joint vibrations were assessed by the Sono Pak program by selecting the vibrations that occurred during the opening and closing cycle. The means of the results revealed a nonnormal distribution and were submitted to Kruskal-Wallis statistical analysis (p < 0.05). The vibration means were of low intensity (< or =9.96 Hz). After rehabilitation, there was a reduction in the vibrations (< or =5.2 Hz) statistically significant only at the end of mouth opening with the old dentures when compared with the other cycles. The intensity and number of occurrences of joint vibrations were reduced after 5 months of wearing new dentures.

  3. Diffused sunlight driven highly synergistic pathway for complete mineralization of organic contaminants using reduced graphene oxide supported photocatalyst.

    PubMed

    Babu, Sundaram Ganesh; Ramalingam Vinoth; Neppolian, Bernaurdshaw; Dionysiou, Dionysios D; Ashokkumar, Muthupandian

    2015-06-30

    Diffused sunlight is found to be an effective light source for the efficient degradation and mineralization of organic pollutant (methyl orange as a probe) by sono-photocatalytic degradation using reduced graphene oxide (rGO) supported CuO-TiO2 photocatalyst. The prepared catalysts are characterized by XRD, XPS, UV-vis DRS, PL, photoelectrochemical, SEM-EDS and TEM. A 10 fold synergy is achieved for the first time by combining sonochemical and photocatalytic degradation under diffused sunlight. rGO loading augments the activity of bare CuO-TiO2 more than two fold. The ability of rGO in storing, transferring, and shuttling electrons at the heterojunction between TiO2 and CuO facilitates the separation of photogenerated electron-hole pairs, as evidenced by the photoluminescence results. The complete mineralization of MO and the by-products within a short span of time is confirmed by TOC analysis. Further, hydroxyl radical mediated degradation under diffused sunlight is confirmed by LC-MS. This system shows similar activity for the degradation of methylene blue and 4-chlorophenol indicating the versatility of the catalyst for the degradation of various pollutants. This investigation is likely to open new possibilities for the development of highly efficient diffused sunlight driven TiO2 based photocatalysts for the complete mineralization of organic contaminants.

  4. Effects of simulation-based practice on focused assessment with sonography for trauma (FAST) window identification, acquisition, and diagnosis.

    PubMed

    Chung, Gregory K W K; Gyllenhammer, Ruth G; Baker, Eva L; Savitsky, Eric

    2013-10-01

    We compared the effects of simulator-based virtual ultrasound scanning practice with classroom-based ultrasound scanning practice on participants' knowledge of focused assessment with sonography for trauma (FAST) window quadrants and interpretation, and on participants' performance on live patient FAST examinations. Novices with little or no ultrasound training experience received simulation-based practice (n = 24) or classroom-based practice (n = 24). Participants who received simulation-based practice scored significantly higher on interpreting static images of FAST windows. On live patient examinations where participants scanned the right upper quadrant (RUQ), left upper quadrant (LUQ), and suprapubic quadrant of a normal patient and an ascites-positive patient, the classroom-based practice condition had a shorter scan time for the LUQ and a higher number of participants attaining high-quality window on the RUQ (normal patient only) and suprapubic quadrant (positive patient only) and correct window interpretation on the LUQ (normal patient only). Overall, classroom-based practice appeared to promote physical acquisition skills and simulator-based practice appeared to promote window interpretation skills. Accurate window interpretation is critical to identification of blunt abdominal trauma injuries. The simulator used (SonoSimulator) appears promising as a training tool to increase probe time and to increase exposure to FAST windows reflecting various anatomy and disease states.

  5. Energetic balance in an ultrasonic reactor using focused or flat high frequency transducers.

    PubMed

    Hallez, L; Touyeras, F; Hihn, J Y; Klima, J

    2007-09-01

    In order to undertake irradiation of polymer blocks or films by ultrasound, this paper deals with the measurements of ultrasonic power and its distribution within the cell by several methods. The electric power measured at the transducer input is compared to the ultrasonic power input to the cell evaluated by calorimetry and radiation force measurement for different generator settings. Results obtained in the specific case of new transducer types (composites and focused composites i.e., HIFU: high intensity focused ultrasound) provide an opportunity to conduct a discussion about measurement methods. It has thus been confirmed that these measurement techniques can be applied to HIFU transducers. For all cases, results underlined the fact that measurement of radiation pressure for power evaluation is more adapted to low powers (<15 W) and that measurement by calorimetry is a valid technique for global energy measurements. Composites and monocomponent transducers were compared and it appears that the presence of an adaptation glass plate reduces the efficiency of the monocomponent transducers. The distribution of ultrasonic intensity is qualitatively depicted by sono-chemiluminescence of luminol. Finally, the quantity of energy absorbed by samples placed in the sound field is determined and the temperature distribution monitored as a function of wall distance. This energetic balance allows us to understand the global behaviour of all experimental set-ups made up of a generator-transducer-liquid and sample.

  6. [Malattia di Marchiafava-Bignami con coinvolgimento della corteccia frontale e insorgenza tardiva di sintomi psichiatrici resistenti: un caso clinico].

    PubMed

    Gramaglia, Carla; Feggi, Alessandro; Vecchi, Camilla; Di Marco, Sarah; Venesia, Alessandra; Delicato, Claudia; Chieppa, Nunzia; De Marchi, Fabiola; Cantello, Roberto; Zeppegno, Patrizia

    2016-01-01

    RIASSUNTO. Scopo. Descrivere il management di un paziente con malattia di Marchiafava-Bignami (MBD) associata a lesioni frontali corticali, senza sintomi specifici al primo accesso in Pronto Soccorso, e insorgenza tardiva di sintomi psichiatrici atipici. Metodi. Descriviamo il caso di un paziente di 44 anni con storia di abuso cronico di alcol, a cui è stata diagnosticata la MBD. Risultati. La risonanza magnetica ha evidenziato lesioni nello splenio e corpo del corpo calloso e lesioni bilaterali della corteccia frontale. Il paziente ha sviluppato sintomi psichiatrici atipici a insorgenza tardiva, che sono risultati essere resistenti alle terapie farmacologiche impostate. Discussione. Il caso che descriviamo sembra supportare le attuali, ma ancora scarse evidenze che descrivono il coinvolgimento corticale nella MBD, suggerendone l'associazione con una prognosi peggiore. I sintomi psichiatrici possono risultare difficili da trattare a causa della resistenza alle terapie. Conclusione. Il coinvolgimento di psichiatri, radiologi e neurologi secondo un approccio di consultazione-liaison si è dimostrato di fondamentale importanza per la diagnosi e l'impostazione della terapia adeguata al paziente.

  7. An experimental system for the study of ultrasound exposure of isolated blood vessels.

    PubMed

    Tokarczyk, Anna; Rivens, Ian; van Bavel, E; Symonds-Tayler, Richard; ter Haar, Gail

    2013-04-07

    An experimental system designed for the study of the effects of diagnostic or therapeutic ultrasound exposure on isolated blood vessels in the presence or absence of intraluminal contrast agent is described. The system comprised several components. A microscope was used to monitor vessel size (and thus vessel functionality), and potential leakage of intraluminal 70 kDa FITC-dextran fluorescence marker. A vessel chamber allowed the mounting of an isolated vessel whilst maintaining its viability, with pressure regulation for the control of intraluminal pressure and induction of flow for the infusion of contrast microbubbles. A fibre-optic hydrophone sensor mounted on the vessel chamber using a micromanipulator allowed pre-exposure targeting of the vessel to within 150 µm, and monitoring of acoustic cavitation emissions during exposures. Acoustic cavitation was also detected using changes in the ultrasound drive voltage and by detection of audible emissions using a submerged microphone. The suitability of this system for studying effects in the isolated vessel model has been demonstrated using a pilot study of 6 sham exposed and 18 high intensity focused ultrasound exposed vessels, with or without intraluminal contrast agent (SonoVue) within the vessels.

  8. Experimental investigation of the penetration of ultrasound nanobubbles in a gastric cancer xenograft

    NASA Astrophysics Data System (ADS)

    Fan, Xiaozhou; Wang, Luofu; Guo, Yanli; Tong, Haipeng; Li, Lang; Ding, Jun; Huang, Haiyun

    2013-08-01

    Nanobubbles as a type of ultrasound contrast agent have attracted much interest in recent years due to their many advantages, such as strong penetrating power and high stability. However, there is still insufficient morphological evidence concerning gas-filled nanobubbles in tumor tissue spaces and tumor angiogenesis. We used a gastric cancer xenograft as an example to study this question. Nanobubbles with a particle size of 435.2 ± 60.53 nm were prepared and compared with SonoVue® microbubbles in vitro and in vivo, and they exhibited a superior contrast imaging effect. After excluding the impact of the nanobubbles in blood vessels through saline flush, we used an ultrasound burst and frozen sectioning to investigate the distribution of nanobubbles in the gastric cancer xenografts and confirmed this by transmission electron microscopy. Preliminary results showed that the nanobubbles were able to pass through the gaps between the endothelial cells in the tumor vascular system to enter the tissue space. These findings could provide morphological evidence for extravascular ultrasound imaging of tumors and serve as a foundation for the application of nanobubbles in extravascular tumor-targeted ultrasonic diagnostics and therapy.

  9. Perfusion CT and US of colorectal cancer liver metastases: a correlative study of two dynamic imaging modalities.

    PubMed

    Meijerink, Martijn R; van Waesberghe, Jan Hein T M; van Schaik, Cors; Boven, Epie; van der Veldt, Astrid A M; van den Tol, Petrousjka; Meijer, Sybren; van Kuijk, Cornelis

    2010-10-01

    The purpose of this study was to evaluate the correlation between dynamic-contrast-enhanced computed tomography (DCE-CT) and first-pass dynamic-contrast-enhanced ultrasound (DCE-US) of normal appearing liver parenchyma and of colorectal cancer liver metastases. Thirty patients with hepatic metastases from colorectal cancer underwent DCE-CT and DCE-US. To obtain DCE-US reproducibility measurements, double contrast-passages (2 × 2.4 mL SonoVue intravenous) were acquired. From several DCE-US-derived perfusion indices, the slope-value scored best with a reproducibility concordance correlation coefficient ranging from 0.75-0.93 and overall highest correlation to DCE-CT-derived variables (r = 0.52 to 0.73). The DCE-US-based tumor-to-liver perfusion gradient also showed a low test-retest variability and moderately correlated to DCE-CT (concordance correlation coefficient 0.87-0.92; r = 0.57 to 0.59). To conclude, DCE-US-based slope-value and tumor-to-liver perfusion gradient correlate best with DCE-CT perfusion values. However, both techniques cannot be used interchangeably. DCE-US should be restricted for studies in which a considerable change in perfusion is expected and for patients with a relatively high tumor blood flow at baseline.

  10. Does hepatic vein transit time performed with contrast-enhanced ultrasound predict the severity of hepatic fibrosis?

    PubMed

    Tang, An; Kim, Tae Kyoung; Heathcote, Jenny; Guindi, Maha; Jang, Hyun-Jung; Karshafian, Raffi; Burns, Peter N; Wilson, Stephanie R

    2011-12-01

    Previously published data suggest a hepatic vein transit time (HVTT) threshold of more than 24 s can distinguish mild to moderate from advanced fibrosis. In this study, we attempted to validate HVTT as a noninvasive index of hepatic fibrosis. Patients were scanned using real-time, pulse-inversion mode following bolus injections of the contrast agent Definity. HVTT was correlated with the degree of fibrosis obtained from contemporaneous liver biopsy. The study population included 40 patients with chronic liver disease and five healthy volunteers. Mean HVTT correlated with histologic grade as follows: absence/minimal fibrosis (n = 18), 25.6 ± 11.8 s; moderate fibrosis (n = 17), 21.5 ± 5.9 s; and severe fibrosis (n = 8), 20.9 ± 5.5 s, (p = .615). Poor sensitivity (57%) and specificity (43%) prevent validation of the previously published HVTT threshold as a surrogate marker of hepatic fibrosis. Further work investigating the different interaction of Definity, SonoVue and Levovist with the reticulo-endothelial system may help explain the discrepant results reported here.

  11. Light propagation in a turbid medium with insonified microbubbles

    NASA Astrophysics Data System (ADS)

    Leung, Terence S.; Honeysett, Jack E.; Stride, Eleanor; Deng, Jing

    2013-01-01

    Surfactant stabilized microbubbles are widely used clinical contrast agents for ultrasound imaging. In this work, the light propagation through a turbid medium in the presence of microbubbles has been investigated. Through a series of experiments, it has been found that the optical attenuation is increased when the microbubbles in a turbid medium are insonified by ultrasound. Such microbubble enhanced optical attenuation is a function of both applied ultrasound pressure and microbubble concentration. To understand the mechanisms involved, a Monte Carlo (MC) model has been developed. Under ultrasound exposure, the sizes of microbubbles vary in space and time, and their dynamics are modeled by the Rayleigh-Plesset equation. By using Mie theory, the spatially and temporally varying optical scattering and scattering efficiency of microbubbles are determined based on the bubble sizes and internal refractive indices. The MC model is shown to effectively describe a medium with rapidly changing optical scattering, and the results are validated against both computational results using an N-layered diffusion equation model and experimental results using a clinical microbubble contrast agent (SonoVue).

  12. Temporomandibular joint effusion and its relationship with perceived disability assessed using musculoskeletal ultrasound and a patient-reported disability index

    PubMed Central

    Bird, Lance; Bright, Phillip

    2015-01-01

    The relationship between effusion of the temporomandibular joint (TMJ) and patient-reported disability is poorly researched. This pilot study explored the link between TMJ inflammation as measured by ultrasound and patient disability assessed by the Steigerwald Maher TMD Disability Index (SMTDI). The study design used a prospective correlational approach involving a sample with TMJ dysfunction (TMD). Twenty-four patients were recruited from the European School of Osteopathy and a Kent dental practice. Participants completed the SMTDI to determine the level of TMD (symptomatic score >20). A SonoSite SLA “Hockey Stick” [13-6 MHz] musculo-skeletal transducer was placed over the TMJ in a transverse direction and effusion was calculated indirectly by measuring capsular width. An upper left quadrant protocol was used throughout. A regression analysis was run with participants’ gender, age and capsular width as predictor variables modelled against reported SMTDI. Larger capsular widths were found to be significant predictors of SMTDI scores (r = 0.803, p < 0.0001). The patient profile matched with the previous studies and the TMD sufferer population, indicating external validity. Results suggest that the SMTDI could be integrated into practice life as a quick, accessible and easy tool to monitor patients’ progress and assess levels of inflammation, without the need for repetitive imaging. The study design proved reproducible and a larger scale study is indicated. PMID:27433242

  13. [Evaluation of mercury exposure in populations living near the industrial Augusta Bay (Sicily Region, Southern Italy)].

    PubMed

    Bonsignore, Maria; Andolfi, Nunzia; Quinci, Enza Maria; Madeddu, Anselmo; Tisano, Francesco; Ingallinella, Vincenzo; Castorina, Maria; Sprovieri, Mario

    2016-01-01

    OBIETTIVI: valutare e quantificare l'esposizione umana al mercurio (Hg) ed esplorare i fattori chiave che influenzano la contaminazione nelle popolazioni residenti in prossimità della Rada di Augusta, un'area a elevato rischio ambientale a causa degli effetti degli sversamenti incontrollati di Hg da parte di uno dei più grandi impianti cloro-soda d'Europa. DISEGNO: un campione di residenti nei comuni di Augusta, Priolo e Melilli (Sicilia orientale) è stato selezionato per lo studio di biomonitoraggio umano. Un questionario dettagliato è stato somministrato a ogni partecipante per raccogliere informazioni anagrafiche sulle abitudini di vita e alimentari. I livelli di Hg in sangue e capelli, usati come traccianti di esposizione a metilmercurio, sono stati messi in relazione al consumo di pesce locale. Il contenuto di Hg nelle urine è stato utilizzato per esplorare eventuali esposizioni atmosferiche a Hg inorganico. Una regressione lineare multivariata è stata applicata con l'obiettivo di esplorare i fattori che influenzano l'esposizione umana al Hg. L'approccio tossicocinetico è stato impiegato al fine di calcolare la dose settimanale provvisoria tollerabile ( provisional tolerable weekly intake, PTWI) e di predire le concentrazioni di Hg attese nel sangue degli individui con una dieta alimentare basata esclusivamente su pesce locale.

  14. A 2-bit/Cell Gate-All-Around Flash Memory of Self-Assembled Silicon Nanocrystals

    NASA Astrophysics Data System (ADS)

    Chen, Hung-Bin; Chang, Chun-Yen; Hung, Min-Feng; Tang, Zih-Yun; Cheng, Ya-Chi; Wu, Yung-Chun

    2013-02-01

    This work presents gate-all-around (GAA) polycrystalline silicon (poly-Si) nanowires (NWs) channel poly-Si/SiO2/Si3N4/SiO2/poly-Si (SONOS) nonvolatile memory (NVM) with a self-assembled Si nanocrystal (Si-NC) embedded charge trapping (CT) layer. Fabrication of the Si-NCs is simple and compatible with the current flash process. The 2-bit operations based on channel hot electrons injection for programming and channel hot holes injection for erasing are clearly achieved by the localized discrete trap. In the programming and erasing characteristics studies, the GAA structure can effectively reduce operation voltage and shorten pulse time. One-bit programming or erasing does not affect the other bit. In the high-temperature retention characteristics studies, the cell embedded with Si-NCs shows excellent electrons confinement vertically and laterally. With respect to endurance characteristics, the memory window does not undergo closure after 104 program/erase (P/E) cycle stress. The 2-bit operation for GAA Si-NCs NVM provides scalability, reliability and flexibility in three-dimensional (3D) high-density flash memory applications.

  15. Highly Sensitive Nanostructured SnO2 Thin Films For Hydrogen Sensing

    NASA Astrophysics Data System (ADS)

    Patil, L. A.; Shinde, M. D.; Bari, A. R.; Deo, V. V.

    2010-10-01

    Nanostructured SnO2 thin films were prepared by ultrasonic spray pyrolysis technique. Aqueous solution (0.05 M) of SnCl4ṡ5H2O in double distilled water was chosen as the starting solution for the preparation of the films. The stock solution was delivered to nozzle with constant and uniform flow rate of 70 ml/h by Syringe pump SK5001. Sono-tek spray nozzle, driven by ultrasonic frequency of 120 kHz, converts the solution into fine spray. The aerosol produced by nozzle was sprayed on glass substrate heated at 150 °C. The sensing performance of the films was tested for various gases such as LPG, hydrogen, ethanol, carbon dioxide and ammonia. The sensor (30 min) showed high gas response (S = 3040 at 350 °C) on exposure of 1000 ppm of hydrogen and high selectivity against other gases. Its response time was short (2 s) and recovery was also fast (12 s). To understand reasons behind this uncommon gas sensing performance of the films, their structural, microstructural, and optical properties were studied using X-ray diffraction, electron microscopy (SEM and TEM) respectively. The results are interpreted

  16. Valence EELS below the limit of inelastic delocalization using conical dark field EFTEM or Bessel beams.

    PubMed

    Stöger-Pollach, Michael; Schachinger, Thomas; Biedermann, Kati; Beyer, Volkhard

    2017-02-01

    In this experimental work we present novel methods to increase the spatial resolution of valence electron energy loss spectrometry (VEELS) investigations below the limit given by the inelastic delocalization. For this purpose we analyse a layer stack consisting of silicon/silicon-oxide/silicon-nitride/silicon-oxide/silicon (SONOS) with varying layer thickness down to the 2nm level. Using a combination of a conical illumination and energy filtered transmission electron microscopy we are able to identify the layers by using low energy losses. Employing Bessel beams we demonstrate that VEELS can be performed in dark-field conditions while simultaneously the Bessel beam increases the spatial resolution of the elastic image due to less sensitivity to the spherical aberration of the condenser lens system. The dark-field conditions also guarantee that only electrons are collected that have neither undergone an energy loss being due to the Cˇerenkov effect, nor due to the excitation of transition radiation or light guiding modes. We consequently are able to measure the optical properties of a 2.5nm thin oxide being sandwiched by the silicon substrate and a silicon-nitride layer. Copyright © 2016 Elsevier B.V. All rights reserved.

  17. Clinical Applications of Contrast-Enhanced Ultrasound in the Pediatric Work-Up of Focal Liver Lesions and Blunt Abdominal Trauma: A Systematic Review

    PubMed Central

    Laugesen, Nicolaj Grønbæk; Nolsoe, Christian Pallson; Rosenberg, Jacob

    2017-01-01

    In pediatrics ultrasound has long been viewed more favorably than imaging that exposes patients to radiation and iodinated contrast or requires sedation. It is child-friendly and diagnostic capabilities have been improved with the advent of contrast-enhanced ultrasound (CEUS). The application of CEUS is indeed promising. However, no ultrasound contrast agent manufactured today is registered for pediatric use in Europe. The contrast agent SonoVue® has recently been approved by the FDA under the name of Lumason® to be used in hepatic investigations in adults and children. This article reviews the literature with respect to 2 specific applications of CEUS in children: 1) identification of parenchymal injuries following blunt abdominal trauma, and 2) classification of focal liver lesions. Applications were chosen through the CEUS guidelines published by the European Federation of Societies for Ultrasound in Medicine and Biology and World Federation for Ultrasound in Medicine and Biology. Literature was obtained by searching Medline and Pubmed Central (using Pubmed), Scopus database and Embase. CEUS proved to be an effective investigation in the hemodynamically stable child for identifying parenchymal injuries and for the characterization of focal liver lesions. CEUS showed comparable performance to CT and MRI with a specificity of 98% for identifying benign lesions and a negative predictive value of 100%. For the applications reviewed here, CEUS holds promising perspectives and can help reduce radiation exposure and use of iodinated contrast agents in pediatrics, thereby potentially reducing complications in routine imaging. PMID:28255580

  18. Light propagation in a turbid medium with insonified microbubbles.

    PubMed

    Leung, Terence S; Honeysett, Jack E; Stride, Eleanor; Deng, Jing

    2013-01-01

    Surfactant stabilized microbubbles are widely used clinical contrast agents for ultrasound imaging. In this work, the light propagation through a turbid medium in the presence of microbubbles has been investigated. Through a series of experiments, it has been found that the optical attenuation is increased when the microbubbles in a turbid medium are insonified by ultrasound. Such microbubble enhanced optical attenuation is a function of both applied ultrasound pressure and microbubble concentration. To understand the mechanisms involved, a Monte Carlo (MC) model has been developed. Under ultrasound exposure, the sizes of microbubbles vary in space and time, and their dynamics are modeled by the Rayleigh-Plesset equation. By using Mie theory, the spatially and temporally varying optical scattering and scattering efficiency of microbubbles are determined based on the bubble sizes and internal refractive indices. The MC model is shown to effectively describe a medium with rapidly changing optical scattering, and the results are validated against both computational results using an N-layered diffusion equation model and experimental results using a clinical microbubble contrast agent (SonoVue®).

  19. Typical and atypical lymphatic flows in breast carcinoma.

    PubMed

    Pasta, Vittorio; Monteleone, Francesco; D'Orazi, Valerio; Del Vecchio, Luca; Sottile, Daniela; Iacobelli, Silvia; Monti, Massimo

    2015-01-01

    La pratica, universalmente riconosciuta, della ricerca e biopsia del linfonodo sentinella nella stadiazione dei tumori ha evidenziato una serie di situazioni anatomiche e fisiologiche che hanno consentito una più approfondita conoscenza del comportamento del flusso linfatico nel soggetto sano e nel paziente affetto da neoplasia. In particolar modo abbiamo concentrato la nostra attenzione sulle pazienti sottoposte a ricerca linfoscintigrafica del linfonodo sentinella in vista di interventi chirurgici per carcinoma mammario; abbiamo valutato statisticamente la sede in cui è stato reperito il LS e nell’eventualità di drenaggio in sedi anomale il percorso del flusso linfatico. Si è fatto riferimento, per questo studio, alla casistica del Dipartimento di Scienze Chirurgiche dell’Università La Sapienza di Roma maturata negli ultimi 2 anni. Lo scopo del nostro studio è stato quello di valutare statisticamente la sede del linfonodo sentinella, le possibilità di flussi linfatici in direzione non usuale e in questi casi dove, quando e perché. Ne sono emersi riscontri degni di analisi critica e considerazioni oggetto del presente lavoro.

  20. Endomyocardial involvement in asymptomatic sub-Saharan immigrants with helminth-related eosinophilia.

    PubMed

    Carranza-Rodríguez, Cristina; San-Román-Sánchez, Daniel; Marrero-Santiago, Héctor; Hernández-Cabrera, Michele; Gil-Guillén, Carlos; Pisos-Álamo, Elena; Jaén-Sánchez, Nieves; Pérez-Arellano, José-Luis

    2017-02-01

    Among immigrants of sub-Saharan origin, parasitic infection is the leading cause of eosinophilia, which is generally interpreted as a defense mechanism. A side effect of the inflammatory mediators released by eosinophils is damage to host organs, especially the heart. The main objectives of this study were to i) assess cardiac involvement in asymptomatic sub-Saharan immigrants with eosinophilia, ii) relate the presence of lesions with the degree of eosinophilia, and iii) study the relationship between cardiac involvement and the type of causative parasite. In total, the study included 50 black immigrants (37 patients and 13 controls) from sub-Saharan Africa. In all subjects, heart structure and function were evaluated in a blinded manner using Sonos 5500 echocardiographic equipment. The findings were classified and described according to established criteria. The diagnostic criteria for helminthosis were those reported in the literature. Serum eosinophil-derived neurotoxin levels were measured using enzyme-linked immunosorbent assay. A significant association was found between the presence of eosinophilia and structural alterations (mitral valve thickening). However, the lack of an association between the degree of eosinophilia and heart valve disease and the absence of valve involvement in some patients with eosinophilia suggest the role of other factors in the appearance of endocardial lesions. There was also no association between the type of helminth and valve involvement. We, therefore, suggest that transthoracic echocardiography be performed in every sub-Saharan individual with eosinophilia in order to rule out early heart valve lesions.

  1. A Milestone: Approval of CEUS for Diagnostic Liver Imaging in Adults and Children in the USA.

    PubMed

    Seitz, K; Strobel, D

    2016-06-01

    The approval of microbubbles with the inert gas sulfur hexafluoride (SF6) and a palmitic acid shell (SonoVue(®), Bracco Geneva, CH) for the diagnostic imaging of liver tumors in adults and children by the FDA in the United States represents a milestone for contrast-enhanced ultrasound (CEUS).This warrants a look back at the history of the development of CEUS. The first publications based on echocardiographic observations of right ventricular contrast phenomena caused by tiny air bubbles following i. v. injection of indocyanine green appeared around 1970 1 2 3. A longer period of sporadic publications but no real progress then followed since, in contrast to X-ray methods, ultrasound works quite well without a contrast agent.It is noteworthy that the foundations for further development were primarily laid in Europe. The development and approval (1991) of the contrast agent Echovist(®) by a German contrast manufacturer for echocardiography unsuitable for passing through lungcapillaries 4 5 resulted in the first extracardiac indications, e. g. for detecting retrovesical reflux and tubal patency, in the mid-1980 s 6 7 8. The sensitivity of color Doppler was not able to compensate for the lack of an ultrasound contrast agent compared to CT with its obligatory contrast administration.Studies of SHU 508 - microbubbles of air moderately stabilized with galactose and palmitic acid - began in 1990 9 10 11 12 13 14 15 and the contrast agent was then introduced in 1995 in Germany as Levovist(®). The most important publications by Blomley, Cosgrove, Leen, and Albrecht are named here on a representative basis 16 17 18 19 20.SHU 508 along with other US contrast agents provided impressive proof of the superiority of CEUS for the diagnosis of liver metastases. However, practical application remained complicated and required skill and technical know-how because of a lack of suitable software on US units 21 22 23 24 25. The monograph regarding the use of contrast agent in

  2. PREFACE: XIV International Conference on Calorimetry in High Energy Physics

    NASA Astrophysics Data System (ADS)

    Wang, Yifang

    2011-03-01

    (Texas Tech University), Weidong Li (IHEP) 3) Readout techniques - Gerald Eigen (University of Bergen), Zheng Wang (IHEP) 4) Operating calorimeters and calibration - Marat Gataullin (CERN), Francesco Lanni (BNL) 5) Future calorimetry - Tohru Takeshita (Shinshu University), Lei Xia (Argonne National Laboratory) 6) Astrophysics and neutrino calorimetry - Giuliana Fiorillo (INFN), Hiro Tajima (SLAC) List of Participants AKCHURIN, NuralTexas Tech University AN, ZhenghuaIHEP AUFFRAY, EtiennetteCERN BANFI, DaniloUniversità degli Studi di Milano, INFN BASHARINA-FRESHVILLE, AnastasiaUniversity College London BEAUCHEMIN, Pierre-HuguesUniversity of Oxford BENAGLIA, Andrea DavideUniversity of Milano - Bicocca and INFN BIAN, JianminIHEP BIINO, CristinaINFN BILKI, BurakUniversity of Iowa BLAHA, JanLAPP BOUDRY, VincentLLR / CNRS-IN2P3 CAI, XiaoIHEP CAPONE, AntonioPhysics Department University "La Sapienza" and INFN CAVALLARI, FrancescaCERN and INFN Rome CECCHI, ClaudiaUniversity di Perugia e INFN CHANG, JinfanIHEP CHEN, HuchengBrookhaven National Laboratory CHILDERS, TaylorUniversität Heidelberg - Kirchhoff-Institut für Physik DAO, ValerioGeneva University - DPNC DE LA TAILLE, ChristopheIN2P3/OMEGA-LAL DIEMOZ, MarcellaINFN Roma DOTTI, AndreaCERN EIGEN, GeraldUniversity of Bergen EPIFANOV, DenisBudker Institute of Nuclear Physics FAIVRE, JulienLPSC Grenoble France FANG, JianIHEP FANG, ShuangshiIHEP FANTONI, AlessandraINFN - LNF FERRI, FedericoCEA/Saclay Irfu/SPP FERRONI, FernandoSapienza University & INFN Roma FISK, Henry EugeneFermilab GABALDON, CarolinaCERN GARUTTI, ErikaDESY GAUDIO, GabriellaIstituto Nazionale di Fisica Nucleare - Sezione di Pavia GILLBERG, DagCarleton University GIOVANNINI, PaolaMax-Planck-Institut für Physik GLAZOV, AlexanderDESY GRACHOV, OlegUniversity of Kansas HAPPACHER, FabioINFN HE, MiaoIHEP HORI, YasutoUniversity of Tokyo, CNS HU, TaoIHEP HULTH, Per-OlofStockholm University JUN, Soon YungCarnegie Mellon University JURK, StefanISEG Spezialelektronik gmb

  3. The Quebec Sleep Questionnaire on quality of life in patients with obstructive sleep apnea: translation into Portuguese and cross-cultural adaptation for use in Brazil.

    PubMed

    Melo, José Tavares de; Maurici, Rosemeri; Tavares, Michelle Gonçalves de Souza; Pizzichini, Marcia Margareth Menezes; Pizzichini, Emilio

    2017-07-31

    To translate the Quebec Sleep Questionnaire (QSQ), a specific instrument for the assessment of quality of life in patients with sleep obstructive apnea, into Portuguese and to create a version that is cross-culturally adapted for use in Brazil. The Portuguese-language version was developed according to a rigorous methodology, which included the following steps: preparation; translation from English into Portuguese in three versions; reconciliation to a single version; back-translation of that version into English; comparison and harmonization of the back-translation with the original version; review of the Portuguese-language version; cognitive debriefing; text review; and arrival at the final version. The Portuguese-language version of the QSQ for use in Brazil had a clarity score, as measured by cognitive debriefing, ranging from 0.81 to 0.99, demonstrating the consistency of translation and cross-cultural adaptation processes. The process of translating the QSQ into Portuguese and creating a version that is cross-culturally adapted for use in Brazil produced a valid instrument to assess the quality of life in patients with obstructive sleep apnea. Traduzir para a língua portuguesa e adaptar culturalmente para uso no Brasil o Quebec Sleep Questionnaire (QSQ), um instrumento específico para a avaliação da qualidade de vida em pacientes com apneia obstrutiva do sono. A versão em português foi desenvolvida obedecendo a uma criteriosa metodologia, que incluiu as seguintes fases: preparação; tradução do inglês para o português em três versões; conciliação para uma versão única em português; retradução da versão única para o inglês; comparação e harmonização da retradução com a versão original; revisão da versão em português; desdobramento cognitivo; revisão textual; e definição da versão final. A versão em português falado no Brasil do QSQ apresentou um índice de clareza, aferida pelo desdobramento cognitivo, que variou de 0

  4. Frequency and factors associated with falls in adults aged 55 years or more.

    PubMed

    Prato, Sabrina Canhada Ferrari; Andrade, Selma Maffei de; Cabrera, Marcos Aparecido Sarria; Dip, Renata Maciulis; Santos, Hellen Geremias Dos; Dellaroza, Mara Solange Gomes; Mesas, Arthur Eumann

    2017-04-27

    frequência de queda foi de 24,3%. Após ajustes, observaram-se chances maiores de queda entre mulheres (OR = 3,10; IC95% 1,79-5,38), entre pessoas com idade igual ou superior a 65 anos (OR = 2,39; IC95% 1,45-3,95), com qualidade do sono ruim (OR = 1,78; IC95% 1,08-2,93) e com baixa força de preensão palmar (OR = 2,31; IC95% 1,34-3,97). Qualidade ruim do sono e a baixa força muscular podem ser indicadores de maior risco de quedas e merecem avaliações e intervenções visando à prevenção desse agravo.

  5. Enhanced microwave absorption and magnetic phase transitions of nanoparticles of multiferroic LaFeO3 incorporated in multiwalled carbon nanotubes (MWCNTs)

    NASA Astrophysics Data System (ADS)

    Mitra, A.; Mahapatra, A. S.; Mallick, A.; Chakrabarti, P. K.

    2017-08-01

    Multiferroic nanoparticles of LaFeO3 (LFO) are prepared by a combination of sono-chemical and sol-gel auto combustion method. The as prepared sample is calcined at 500 °C for 5 h to get the desired crystallographic phase. To enhance the microwave absorption, nanoparticles of LFO are incorporated in the matrix of multi-walled carbon nanotubes (MWCNTs). Crystallographic phases of LFO and LFO-MWCNTs are confirmed by analyzing the X-ray diffractograms (XRD) using Rietveld method. The average size of nanoparticles, crystallographic phase, morphology, and incorporation of LFO nanoparticles in MWCNTs are also obtained by high-resolution transmission electron microscope (HRTEM). Micrographs, nanocrystalline fringe pattern and selected area electron diffraction pattern recorded during HRTEM observations confirmed the formation of the desired nanocomposite phase of LFO-MWCNTs. FTIR and Raman spectroscopy of LFO and LFO-MWCNTs are also recorded at room temperature (RT) which confirm the presence of the individual component in the nanocomposite sample. Hysteresis loops at different temperatures from 300 K down to 5 K, zero field cooled (ZFC) and field cooled (FC) magnetizations (M) as a function of temperature (T) of LFO-MWCNTs are recorded in SQUID magnetometer. Analysis of the observed magnetic data of LFO-MWCNTs suggests the presence of superparamagnetism above ∼298 K and a spin-glass like behavior is found below ∼50 K. The electromagnetic wave absorbing properties in X and Ku bands of microwave regions (8-12 GHz and 12-18 GHz) measured by a vector network analyzer (VNA) confirm the significant enhancement of microwave absorption (RL ∼ -34.88 dB at 10.53 GHz for 1 mm thickness) of LFO in LFO-MWCNTs, which is quite interesting for such multiferroic system.

  6. Three-dimensional segmentation of the heart muscle using image statistics

    NASA Astrophysics Data System (ADS)

    Nillesen, Maartje M.; Lopata, Richard G. P.; Gerrits, Inge H.; Kapusta, Livia; Huisman, Henkjan H.; Thijssen, Johan M.; de Korte, Chris L.

    2006-03-01

    Segmentation of the heart muscle in 3D echocardiographic images provides a tool for visualization of cardiac anatomy and assessment of heart function, and serves as an important pre-processing step for cardiac strain imaging. By incorporating spatial and temporal information of 3D ultrasound image sequences (4D), a fully automated method using image statistics was developed to perform 3D segmentation of the heart muscle. 3D rf-data were acquired with a Philips SONOS 7500 live 3D ultrasound system, and an X4 matrix array transducer (2-4 MHz). Left ventricular images of five healthy children were taken in transthoracial short/long axis view. As a first step, image statistics of blood and heart muscle were investigated. Next, based on these statistics, an adaptive mean squares filter was selected and applied to the images. Window size was related to speckle size (5x2 speckles). The degree of adaptive filtering was automatically steered by the local homogeneity of tissue. As a result, discrimination of heart muscle and blood was optimized, while sharpness of edges was preserved. After this pre-processing stage, homomorphic filtering and automatic thresholding were performed to obtain the inner borders of the heart muscle. Finally, a deformable contour algorithm was used to yield a closed contour of the left ventricular cavity in each elevational plane. Each contour was optimized using contours of the surrounding planes (spatial and temporal) as limiting condition to ensure spatial and temporal continuity. Better segmentation of the ventricle was obtained using 4D information than using information of each plane separately.

  7. HematoPorphyrin Monomethyl Ether polymer contrast agent for ultrasound/photoacoustic dual-modality imaging-guided synergistic high intensity focused ultrasound (HIFU) therapy

    NASA Astrophysics Data System (ADS)

    Yan, Sijing; Lu, Min; Ding, Xiaoya; Chen, Fei; He, Xuemei; Xu, Chunyan; Zhou, Hang; Wang, Qi; Hao, Lan; Zou, Jianzhong

    2016-08-01

    This study is to prepare a hematoporphyrin monomethyl ether (HMME)-loaded poly(lactic-co-glycolic acid) (PLGA) microcapsules (HMME/PLGA), which could not only function as efficient contrast agent for ultrasound (US)/photoacoustic (PA) imaging, but also as a synergistic agent for high intensity focused ultrasound (HIFU) ablation. Sonosensitizer HMME nanoparticles were integrated into PLGA microcapsules with the double emulsion evaporation method. After characterization, the cell-killing and cell proliferation-inhibiting effects of HMME/PLGA microcapsules on ovarian cancer SKOV3 cells were assessed. The US/PA imaging-enhancing effects and synergistic effects on HIFU were evaluated both in vitro and in vivo. HMME/PLGA microcapsules were highly dispersed with well-defined spherical morphology (357 ± 0.72 nm in diameter, PDI = 0.932). Encapsulation efficiency and drug-loading efficiency were 58.33 ± 0.95% and 4.73 ± 0.15%, respectively. The HMME/PLGA microcapsules remarkably killed the SKOV3 cells and inhibited the cell proliferation, significantly enhanced the US/PA imaging results and greatly enhanced the HIFU ablation effects on ovarian cancer in nude mice by the HMME-mediated sono-dynamic chemistry therapy (SDT). HMME/PLGA microcapsules represent a potential multifunctional contrast agent for HIFU diagnosis and treatment, which might provide a novel strategy for the highly efficient imaging-guided non-invasive HIFU synergistic therapy for cancers by SDT in clinic.

  8. Biological and clinical outcomes in the elderly with left ventricular dysfunction: Are there differences between on-pump and off-pump coronary artery bypass grafting?

    PubMed

    Concistrè, Giovanni; Dell'Aquila, Angelo Maria; Piccardo, Alessandro; Pansini, Stefano; Gargiulo, Raffaele; Gallo, Alina; Merlanti, Bruno; Passerone, Giancarlo; Regesta, Tommaso

    2015-01-01

    Il nostro studio ha lo scopo di confrontare gli eventi clinici ed i dati laboratoristici postoperatori di pazienti anziani coronaropatici con disfunzione ventricolare sinistra, sottoposti a rivascolarizzazione miocardica chirurgica eseguita con o senza ausilio della circolazione extracorporea. Studi recenti hanno evidenziato i vantaggi dell’intervento a cuore battente nei pazienti anziani, riportando una riduzione della morbidità postoperatoria e della disfunzione di organo. Tuttavia questi studi non analizzano l’impatto della disfunzione ventricolare sinistra sugli eventi postoperatori precoci e tardivi nei pazienti ad alto rischio. Abbiamo esaminato retrospettivamente 90 pazienti di età superiore ai 75 anni, con frazione di eiezione preoperatoria < 50%, sottoposti a bypass aortocoronarico, senza altre procedure cardiochirurgiche associate, tra Gennaio 2000 e Luglio 2009 presso il nostro Centro. I pazienti sono stati divisi in 2 gruppi: pazienti operati senza ausilio della circolazione extracorporea (a cuore battente) e pazienti operati con l’ausilio della circolazione extracorporea (a cuore fermo). Abbiamo confrontato I livelli sierici postoperatori degli enzimi CK, CK-MB e troponina T, indici di danno miocardico, e gli eventi cerebrovascolari. La mortalità intraospedaliera totale era del 2% (2 pazienti su 90) e simile in entrambi i gruppi (p=0.8336). I livelli medi di troponina T a 6, 24, 48 ore dopo l’intervento erano significativamente più bassi nei pazienti operati a cuore battente (p=0.0001; p=0.0021; p=0.0070). Non c’era una differenza statisticamente significativa nei 2 gruppi in termini di sopravvivenza (p=0.0764) e di eventi cerebrovascolari (p=0.3016) nell’immediato postoperatorio ed a 10 anni. I nostri risultati dunque mostrano che il non utilizzo della circolazione extracorporea nei pazienti ad alto rischio determinerebbe una più bassa incidenza di danno miocardico; tuttavia ciò sembra non influenzare a lungo termine la sopravvivenza

  9. Contrast-Enhanced Ultrasonography of Hepatocellular Carcinoma After Chemoembolisation Using Drug-Eluting Beads: A Pilot Study Focused on Sustained Tumor Necrosis

    SciTech Connect

    Moschouris, Hippocrates; Malagari, Katerina; Papadaki, Marina Georgiou; Kornezos, Ioannis Matsaidonis, Dimitrios

    2010-10-15

    The purpose of this study was to assess the use of contrast-enhanced ultrasonography (CEUS) and the sustained antitumor effect of drug-eluting beads used for transarterial chemoembolisation (TACE) of unresectable hepatocellular carcinoma (HCC). Ten patients with solitary, unresectable HCC underwent CEUS before, 2 days after, and 35 to 40 days after TACE using a standard dose (4 ml) of drug-eluting beads (DC Beads; Biocompatibles, Surrey, UK) preloaded with doxorubicin (25 mg doxorubicin/ml hydrated beads). For CEUS, a second-generation contrast agent (SonoVue, Bracco, Milan, Italy) and a low mechanical-index technique were used. A part of the tumor was characterized as necrotic if it showed complete lack of enhancement. The percentage of necrosis was calculated at the sonographic section that depicted the largest diameter of the tumor. Differences in the extent of early (2 days after TACE) and delayed (35 to 40 days after TACE) necrosis were quantitatively and subjectively assessed. Early post-TACE tumor necrosis ranged from 21% to 70% (mean 43.5% {+-} 19%). There was a statistically significant (p = 0.0012, paired Student t test) higher percentage of delayed tumor necrosis, which ranged from 24% to 88% (mean 52.3% {+-} 20.3%). Subjective evaluation showed a delayed obvious increase of the necrotic areas in 5 patients. In 2 patients, tumor vessels that initially remained patent disappeared on the delayed follow-up. A part of tumor necrosis after chemoembolisation of HCC with DEB seems to take place later than 2 days after TACE. CEUS may provide evidence for the sustained antitumor effect of DEB-TACE. Nevertheless, the ideal time for the imaging evaluation of tumor response remains to be defined.

  10. Randomized study of effectiveness of computerized ultrasound simulators for an introductory course for residents in Brazil

    PubMed Central

    2016-01-01

    Purpose: This study aimed to assess the impact of ultrasound simulation (SonoSim) on educational outcomes of an introductory point-of-care ultrasound course compared to hands-on training with live models alone. Methods: Fifty-three internal medicine residents without ultrasound experience were randomly assigned to control or experimental groups. They participated in an introductory point-of-care ultrasound course covering eight topics in eight sessions from June 23, 2014 until July 18, 2014. Both participated in lecture and hands-on training, but experimental group received an hour of computerized simulator training instead of a second hour of hands-on training. We assessed clinical knowledge and image acquisition with written multiple-choice and practical exams, respectively. Of the 53 enrolled, 40 participants (75.5%) completed the course and all testing. Results: For the 30-item written exam, mean score of the experimental group was 23.1±3.4 (n=21) vs. 21.8±4.8 (n=19), (P>0 .05). For the practical exam, mean score for both groups was 8.7 out of 16 (P>0 .05). Conclusion: The substitution of eight hours of ultrasound simulation training for live model scanning in a 24 hour training course did not enhance performance on written and image acquisition tests in an introductory ultrasound course for residents. This result suggests that ultrasound simulation technology used as a substitute for live model training on an hour-for-hour basis, did not improve learning outcomes. Further investigation into simulation as a total replacement for live model training will provide a clearer picture of the efficacy of ultrasound simulators in medical education. PMID:27044782

  11. Sentinel node radioguided biopsy in surgical management of the medullary thyroid carcinoma A case report.

    PubMed

    Boni, Giuseppe; Mazzarri, Sara; Grosso, Mariano; Manca, Giampiero; Biricotti, Marco; Ambrosini, Carlo Enrico; Fregoli, Lorenzo; Puccini, Marco; Caldarelli, Claudio; Spisni, Roberto

    2014-01-21

    Il carcinoma midollare della tiroide è raro. Il suo trattamento è chirurgico e consiste in una tiroidectomia totale associata a dissezione dei linfonodi centrali. L’opportunità della linfoadenectomia dei linfonodi cervicali laterali è argomento controverso. Per ridurre l’estensione della dissezione dei linfonodi laterocervicali ai casi in cui tale procedura sia effettivamente necessaria abbiamo eseguito la tecnica della biopsia del linfonodo sentinella, già praticata in altra patologia tumorale, in un caso di carcinoma midollare, sporadico, diagnosticato con ecografia, determinazione dei livelli di calcitonina serica e citologia dell’agoaspirato. All’ecografia non si evidenziavano linfonodi cervicali centrali o laterali. Abbiamo eseguito mappaggio preoperatorio dei linfonodi sentinella iniettando Tecnezio 99-m nel nodulo tiroideo. La paziente è stata poi sottoposta a tiroidectomia totale e biopsia radioguidata dei linfonodi sentinella. L’esame istologico ha confermato la presenza di un carcinoma midollare della tiroide e di micrometastasi in due linfonodi sentinella situati nel compartimento laterale destro. Dopo la tiroidectomia l’intervento è stato completato con dissezione dei compartimenti centrale e laterala destro. Al followup non sono stati rilevati livelli di calcitonina serica nè basali nè dopo stimolazione con pentagastrina. Si tratta del primo caso, riportato in letteratura, che dimostra l’utilità della biopsia radioguidata del linfonodo sentinella nella stadiazione linfonodale e del trattamento chirurgico del microcarcinoma midollare della tiroide. Tale biopsia può essere utile ad eseguire la dissezione linfonodale laterale solo nei pazienti con provato coinvolgimento dei linfonodi laterali del collo e quindi a ridurre l’entità della dissezione e delle relative complicanze.

  12. Study of the Transformations of Micro/Nano-crystalline Acetaminophen Polymorphs in Drug-Polymer Binary Mixtures.

    PubMed

    Maniruzzaman, Mohammed; Lam, Matthew; Molina, Carlos; Nokhodchi, Ali

    2016-08-10

    This study elucidates the physical properties of sono-crystallised micro/nano-sized acetaminophen/paracetamol (PMOL) and monitors its possible transformation from polymorphic form I (monoclinic) to form II (orthorhombic). Hydrophilic Plasdone® S630 copovidone (S630), N-vinyl-2-pyrrolidone and vinyl acetate copolymer, and methacrylate-based cationic copolymer, Eudragit® EPO (EPO), were used as polymeric carriers to prepare drug/polymer binary mixtures. Commercially available PMOL was crystallised under ultra sound sonication to produce micro/nano-sized (0.2-10 microns) crystals in monoclinic form. Homogeneous binary blends of drug-polymer mixtures at various drug concentrations were obtained via a thorough mixing. The analysis conducted via the single X-ray crystallography determined the detailed structure of the crystallised PMOL in its monoclinic form. The solid state and the morphology analyses of the PMOL in the binary blends evaluated via differential scanning calorimetry (DSC), modulated temperature DSC (MTDSC), scanning electron microscopy (SEM) and hot stage microscopy (HSM) revealed the crystalline existence of the drug within the amorphous polymeric matrices. The application of temperature controlled X-ray diffraction (VTXRPD) to study the polymorphism of PMOL showed that the most stable form I (monoclinic) was altered to its less stable form II (orthorhombic) at high temperature (>112°C) in the binary blends regardless of the drug amount. Thus, VTXRD was used as a useful tool