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Sample records for left radial approaches

  1. Randomized comparison of transradial coronary angiography via right or left radial artery approaches.

    PubMed

    Kanei, Yumiko; Nakra, Navin C; Liou, Michael; Vales, Lori L; Gowda, Ramesh; Rosero, Hugo; Kwan, Tak; Fox, John T

    2011-01-15

    Previous studies have shown that the right radial approach encounters more tortuosity than the left radial approach during transradial coronary angiography. The objective of this study was to compare the procedural difficulty of the right and left radial approaches in the modern era with dedicated transradial catheters. One hundred ninety-three patients scheduled for transradial coronary angiography with normal Allen test results and without histories of coronary artery bypass grafting were randomized to the right or left radial approach. The choice of catheter was left to the discretion of the operator, with the preferred catheter being a dedicated transradial Optitorque catheter. The primary end point was procedural difficulty, defined as (1) hydrophilic or coronary wire use for tortuosity, (2) stiff wire use for the coronary engagement, (3) multiple catheters used, or (4) nonselective injection. The clinical characteristics were similar between the 2 groups. Procedural success was achieved in 98 of 101 (98%) in the right radial group and 91 of 92 (99%) in the left radial group. Procedural difficulty, fluoroscopy time, and contrast use were similar between the 2 groups. The use of a single catheter was more common in the right radial group (73% vs 18%, p <0.001). In conclusion, procedural success and difficulty were similar in the comparison groups. The right and left radial approaches are feasible and effective to perform coronary angiography and intervention.

  2. [Right versus left radial artery approach for coronary angiography. Differences observed and the learning curve].

    PubMed

    Fernández-Portales, Javier; Valdesuso, Raúl; Carreras, Raúl; Jiménez-Candil, Javier; Serrador, Ana; Romaní, Sebastián

    2006-10-01

    There are anatomical differences between right and left radial artery approaches for coronary catheterization that could influence application of the technique. We present the results of a randomized study that compared the effectiveness of the two approaches and identified factors associated with failure of the procedure. The study involved 351 consecutive patients: a left radial approach was used in 180, and a right radial approach, in 171. The procedure could not be completed using the initial approach selected in 15 patients (11 right radial vs. 4 left radial; P=.007). Use of a right radial approach, lack of catheterization experience, patient age >70 years, and the absence of hypertension were found to be independently associated with prolonged fluoroscopy duration and failure using the initial approach. Use of the right radial approach in patients aged over 70 years was associated with a 6-fold increase in the risk of an adverse event. Consequently, use of the right radial approach should be avoided in patients aged over 70 years when trainee practitioners are on the learning curve.

  3. Comparison of the feasibility and effectiveness of transradial coronary angiography via right versus left radial artery approaches (from the PREVAIL Study).

    PubMed

    Pelliccia, Francesco; Trani, Carlo; Biondi-Zoccai, Giuseppe G L; Nazzaro, Marco; Berni, Andrea; Patti, Giuseppe; Patrizi, Roberto; Pironi, Bruno; Mazzarotto, Pietro; Gioffrè, Gaetano; Speciale, Giulio; Pristipino, Christian

    2012-09-15

    It remains undefined if transradial coronary angiography from a right or left radial arterial approach differs in real-world practice. To address this issue, we performed a subanalysis of the PREVAIL study. The PREVAIL study was a prospective, multicenter, observational survey of unselected consecutive patients undergoing invasive cardiovascular procedures over a 1-month observation period, specifically aimed at assessing the outcomes of radial approach in the contemporary real world. The choice of arterial approach was left to the discretion of the operator. Prespecified end points of this subanalysis were procedural characteristics. Of 1,052 patients consecutively enrolled, 509 patients underwent transradial catheterization, 304 with a right radial and 205 with a left radial approach. Procedural success rates were similar between the 2 groups. Compared to the left radial group, the right radial group had longer procedure duration (46 ± 29 vs 33 ± 24 minutes, p <0.0001) and fluoroscopy time (765 ± 787 vs 533 ± 502, p <0.0001). At multivariate analysis, including a parsimonious propensity score for the choice of left radial approach, duration of procedure (beta coefficient 11.38, p <0.001) and total dose-area product (beta coefficient 11.38, p <0.001) were independently associated with the choice of the left radial artery approach. The operator's proficiency in right/left radial approach did not influence study results. In conclusion, right and left radial approaches are feasible and effective to perform percutaneous procedures. In the contemporary real world, however, the left radial route is associated with shorter procedures and lower radiologic exposure than the right radial approach, independently of an operator's proficiency.

  4. Comparative efficacy and safety of the left versus right radial approach for percutaneous coronary procedures: a meta-analysis including 6870 patients.

    PubMed

    Xia, S L; Zhang, X B; Zhou, J S; Gao, X

    2015-08-01

    The radial approach is widely used in the treatment of patients with coronary artery disease. We conducted a meta-analysis of published results on the efficacy and safety of the left and right radial approaches in patients undergoing percutaneous coronary procedures. A systematic search of reference databases was conducted, and data from 14 randomized controlled trials involving 6870 participants were analyzed. The left radial approach was associated with significant reductions in fluoroscopy time [standardized mean difference (SMD)=-0.14, 95% confidence interval (CI)=-0.19 to -0.09; P<0.00001] and contrast volume (SMD=-0.07, 95%CI=-0.12 to -0.02; P=0.009). There were no significant differences in rate of procedural failure of the left and the right radial approaches [risk ratios (RR)=0.98; 95%CI=0.77-1.25; P=0.88] or procedural time (SMD=-0.05, 95%CI=0.17-0.06; P=0.38). Tortuosity of the subclavian artery (RR=0.27, 95%CI=0.14-0.50; P<0.0001) was reported more frequently with the right radial approach. A greater number of catheters were used with the left than with the right radial approach (SMD=0.25, 95%CI=0.04-0.46; P=0.02). We conclude that the left radial approach is as safe as the right radial approach, and that the left radial approach should be recommended for use in percutaneous coronary procedures, especially in percutaneous coronary angiograms.

  5. Risk of brain injury during diagnostic coronary angiography: comparison between right and left radial approach.

    PubMed

    Pacchioni, Andrea; Versaci, Francesco; Mugnolo, Antonio; Penzo, Carlo; Nikas, Dimitrios; Saccà, Salvatore; Favero, Luca; Agostoni, Pier Francesco; Garami, Zsolt; Prati, Francesco; Reimers, Bernhard

    2013-09-10

    To assess the incidence of silent cerebral embolization when using the transradial approach for diagnostic coronary angiography (DCA). Compared to other vascular access sites, the right transradial approach (RTA) could reduce the amount of brain emboli by avoiding mechanical trauma to the aortic wall caused by catheters and wire, whereas it increases manipulation of catheters in the ascending aorta and has a higher risk of direct embolization into the right common carotid artery. A recent study showed an increased incidence of microembolic signals (MES) in RTA compared to femoral. However, left transradial approach (LTA) has never been assessed. 40 patients with suspected coronary artery disease were randomized to DCA via RTA (n=20) or LTA (n=20) with contemporaneous bilateral transcranial Doppler monitoring. MES were detected in all patients, with a significantly higher rate in the RTA group (median 61, interquartile range (IQR) 47-105, vs 48, IQR 31-60, p=0.035). MES generated during procedures needing >2 catheters (n=8), are higher than those detected during procedures performed with 2 catheters (n=32, 102, IQR 70-108, vs 48, IQR 33-60, p=0.001). At multivariate analysis increasing number of catheters was the only independent predictor of high incidence of MES (OR 16.4, 95% CI 1.23-219.9, p=0.034, -2LL=26.7). LTA has a lower risk of brain embolization because of the lower number of catheter exchange maneuvers. Since the degree of brain embolism depends on the magnitude of mechanical manipulation, catheter changes should be minimized to reduce the risk of cerebral embolization. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  6. RADIAL DRIVE, WITH FLAT MARKERS IN SECTION 12 AT LEFT ...

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

    RADIAL DRIVE, WITH FLAT MARKERS IN SECTION 12 AT LEFT AND UPRIGHT HEADSTONES IN SECTION 8 AT RIGHT. VIEW TO SOUTHEAST. - Danville National Cemetery, 1900 East Main Street, Danville, Vermilion County, IL

  7. Current approach to radial nerve paralysis.

    PubMed

    Lowe, James B; Sen, Subhro K; Mackinnon, Susan E

    2002-09-15

    After studying this article, the participant should be able to: 1. Identify all potential points of radial nerve compression and other likely causes of radial nerve injury. 2. Accurately diagnose both surgical and nonsurgical causes of radial nerve paralysis. 3. Define a safe and effective approach to the surgical release and reconstruction of the radial nerve. Radial nerve paralysis, which can result from a complex humerus fracture, direct nerve trauma, compressive neuropathies, neuritis, or (rarely) from malignant tumor formation, has been reported throughout the literature, with some controversy regarding its diagnosis and management. The appropriate management of any radial nerve palsy depends primarily on an accurate determination of its cause, severity, duration, and level of involvement. The radial nerve can be injured as proximally as the brachial plexus or as distally as the posterior interosseous or radial sensory nerve. This article reviews the etiology, prognosis, and various treatments available for radial nerve paralysis. It also provides a new classification system and treatment algorithm to assist in the management of patients with radial nerve palsies, and it offers a simple, five-step approach to radial nerve release in the forearm.

  8. Left Radial Versus Femoral Access for Coronary Angiography in Post-Coronary Artery Bypass Graft Surgery Patients.

    PubMed

    Pasley, Thomas F; Khan, Ali; Yen, Lu-Yin; Newcombe, Ruth; Humphreys, Hayley; El-Jack, Seif

    2016-03-01

    It has been recently demonstrated that coronary angiography of native coronary arteries via the radial artery results in reduced morbidity and mortality, when compared with a femoral approach. However, the efficacy and safety of the transradial approach in patients with coronary grafts is relatively unknown. We performed a retrospective audit of all patients with a history of previous coronary artery bypass graft (CABG) surgery who underwent diagnostic angiography at our institution from 2008-2012. The primary efficacy endpoint was procedure time (minutes), while the secondary efficacy measure was patient radiation exposure (μGy/m²). There were 326 post-CABG patients studied during the defined period, with 254 via femoral approach and 72 via left radial artery. There was no significant difference between the two approaches in procedure time (37 minutes in radial group vs 35 minutes in femoral group; t-test, P=.43). There was also no difference in radiation exposure (7855 μGy/m² in femoral group vs 6825 μGy/m² in radial group; Satterthwaite t-test, P=.08). This study shows the validity of a left radial approach in patients who have undergone angiography post CABG. It suggests that transradial angiography can be safely performed in these patients, without significant increase in procedural time or radiation exposure.

  9. Three-dimensional late gadolinium enhancement imaging of the left atrium with a hybrid radial acquisition and compressed sensing.

    PubMed

    Adluru, Ganesh; Chen, Liyong; Kim, Seong-Eun; Burgon, Nathan; Kholmovski, Eugene G; Marrouche, Nassir F; Dibella, Edward V R

    2011-12-01

    To develop and test a hybrid radial (stack of stars) acquisition and compressed sensing reconstruction for efficient late gadolinium enhancement (LGE) imaging of the left atrium. Two hybrid radial acquisition schemes, kx-ky-first and kz-first, are tested using the signal equation for an inversion recovery sequence with simulated data. Undersampled data reconstructions are then performed using a compressed sensing approach with a three-dimensional total variation constraint. The data acquisition and reconstruction framework is tested on five atrial fibrillation patients after treatment by radio-frequency ablation. The hybrid radial data are acquired with free breathing without respiratory navigation. The kz-first radial acquisition gave improved image quality as compared to a kx-ky-first scheme. Compressed sensing reconstructions improved the overall quality of undersampled radial LGE images. An image quality metric that takes into account the signal, noise, artifact, and blur for the radial images was 35% (±17%) higher than the corresponding Cartesian acquisitions. Total acquisition time for 36 slices with 1.25 × 1.25 × 2.5 mm(3) resolution was under 3 min for the proposed scheme. Hybrid radial LGE imaging of the LA with compressed sensing is a promising approach for obtaining images efficiently and offers more robust image quality than Cartesian acquisitions that were acquired without a respiratory navigator signal. Copyright © 2011 Wiley Periodicals, Inc.

  10. Analysis of radial basis function interpolation approach

    NASA Astrophysics Data System (ADS)

    Zou, You-Long; Hu, Fa-Long; Zhou, Can-Can; Li, Chao-Liu; Dunn, Keh-Jim

    2013-12-01

    The radial basis function (RBF) interpolation approach proposed by Freedman is used to solve inverse problems encountered in well-logging and other petrophysical issues. The approach is to predict petrophysical properties in the laboratory on the basis of physical rock datasets, which include the formation factor, viscosity, permeability, and molecular composition. However, this approach does not consider the effect of spatial distribution of the calibration data on the interpolation result. This study proposes a new RBF interpolation approach based on the Freedman's RBF interpolation approach, by which the unit basis functions are uniformly populated in the space domain. The inverse results of the two approaches are comparatively analyzed by using our datasets. We determine that although the interpolation effects of the two approaches are equivalent, the new approach is more flexible and beneficial for reducing the number of basis functions when the database is large, resulting in simplification of the interpolation function expression. However, the predicted results of the central data are not sufficiently satisfied when the data clusters are far apart.

  11. Surgery Averted Using a Novel, Minimally Invasive Approach to Treat Very Severe Radial Artery Spasm.

    PubMed

    Cochet, Anthony A; Bellin, Daniel A

    2017-01-01

    A 42-year-old male admitted with a non-ST elevation myocardial infarction was referred for invasive angiographic assessment. Based on preprocedural assessment, the right radial artery approach was selected. Despite possessing none of the consensus risk factors for radial artery spasm, in addition to receiving standard arterial spasm prophylaxis and conscious sedation, the patient suffered very severe radial artery spasm with initial catheter placement, resulting in entrapment of a 5 Fr pigtail catheter within the left ventricle. After exhausting traditional methods for resolution of radial artery spasm, surgical intervention appeared to be the only remaining option for removal of the entrapped catheter. Prior to committing to surgery, use of an axillary nerve block to hinder sympathetic vascular tone was suggested and attempted. This intervention resulted in atraumatic catheter removal. We present a case of very severe radial artery spasm refractory to customary interventions, alleviated with a novel, minimally invasive technique, which spared surgical intervention.

  12. Right and left heart catheterization via an antecubital fossa vein and the radial artery--a prospective study.

    PubMed

    Williams, Paul D; Palmer, Sonny; Judkins, Chris; Gutman, Jack; Whitbourn, Rob; MacIsaac, Andrew; Xu, Bo; Burns, Andrew; Wilson, Andrew

    2014-12-01

    Right heart catheterization has been described via the arm but previous reports have been retrospective, performed for limited indications, and may not give an accurate assessment of the success rate or safety of this technique. We sought to prospectively examine the feasibility and safety of left and right heart catheterization entirely via the arm using the radial artery and an antecubital fossa vein for a broad range of indications. Fifty-eight consecutive procedures were included. Transradial arterial access was successful in 57 patients (98%), right heart catheterization via the antecubital fossa vein was successful in 54 patients (93%) and bilateral catheterization from the arm was achieved in 53 patients (91%). Standard diagnostic catheterization was the most frequent procedure (59%), although thermodilution (6.9%), percutaneous coronary intervention (33%), and coronary sinus sampling (16%) were also performed in selected cases. Compared to a historical cohort of patients undergoing right and left heart catheterization via femoral access, mean procedural time (38 vs 47 minutes; P=.03) and screening time (8.1 vs 11.2 minutes; P<.001) were significantly reduced. There was 1 venous forearm hematoma that was managed conservatively. Right and left heart catheterization can be performed routinely via the arm in a broad range of patients and is associated with reduced procedural and fluoroscopy time as compared to femoral access. This approach can be considered for all patients in whom right and left heart catheterization is planned.

  13. Comparison of procedural times, success rates, and safety between left versus right radial arterial access in primary percutaneous coronary intervention for acute ST-segment elevation myocardial infarction.

    PubMed

    Larsen, Peter; Shah, Saumil; Waxman, Sergio; Freilich, Mark; Riskalla, Nabila; Piemonte, Thomas; Jeon, Cathy; Pyne, Christopher

    2011-07-01

    To evaluate if there are differences in procedural times, success rates, and safety between left and right radial approach (LRA and RRA, respectively) in primary percutaneous coronary intervention (PCI) for ST-elevation myocardial infarction (STEMI). Given conflicting reports of different procedural success with LRA vs. RRA, it is unclear if the side of radial access impacts in-room procedural times and success rates in primary PCI. At our institution the LRA has been commonly used in certain STEMI patients. Our clinical database was reviewed to see if routine use of the LRA could generate favorable technical success and reperfusion times as compared to the RRA. We retrospectively analyzed 135 consecutive STEMI patients treated with primary PCI performed via the left and right radial approach at our institution. There were 50 cases in the LRA group and 85 in the RRA group. There was no difference in median procedural times including total procedure time (LRA 53.5 mins vs. RRA 52 mins, P = 0.95), room-to-cannulation (LRA 12 min vs. RRA 13 min, P = 0.40) or room-to-balloon times (LRA 30 min vs. RRA 31 min, P = 0.74). There were no significant differences in procedural success rates (LRA 100% vs. RRA 97.6%, P = 0.27), or procedure-related complications or death between the two groups. Left and right trans-radial approach for primary PCI have similar in room procedural times, success rates, and comparable safety. Trans-radial PCI through either arm is a feasible and safe approach in patients with STEMI. Copyright © 2010 Wiley-Liss, Inc.

  14. Radial Artery Approach to Salvage Nonmaturing Radiocephalic Arteriovenous Fistulas

    SciTech Connect

    Hsieh, Mu-Yang; Lin, Lin; Tsai, Kuei-Chin; Wu, Chih-Cheng

    2013-08-01

    PurposeTo evaluate the usefulness of an approach through the radial artery distal to the arteriovenous anastomosis for salvaging nonmaturing radiocephalic arteriovenous fistulas.MethodsProcedures that fulfilled the following criteria were retrospectively reviewed: (1) autogenous radiocephalic fistulas, (2) fistulas less than 3 months old, (3) distal radial artery approach for salvage. From 2005 to 2011, a total of 51 patients fulfilling the above criteria were enrolled. Outcome variables were obtained from angiographic, clinical and hemodialysis records, including the success, complication, and primary and secondary patency rates.ResultsThe overall anatomical and clinical success rates for the distal radial artery approach were 96 and 94 %, respectively. The average procedure time was 36 {+-} 19 min. Six patients (12 %) experienced minor complications as a result of extravasations. No arterial complication or puncture site complication was noted. The postinterventional 6-month primary patency rate was 51 %, and the 6-month secondary patency rate was 90 %. When the patients were divided into a stenosed group (20 patients) and an occluded group (31 patients), there were no differences in the success rate, complication rate, or primary and secondary patency rates.ConclusionAn approach through the radial artery distal to the arteriovenous anastomosis is an effective and safe alternative for the salvage of nonmaturing radiocephalic arteriovenous fistulas, even for occluded fistulas.

  15. A new approach to radial and axial gauges

    NASA Astrophysics Data System (ADS)

    Weigert, Heribert; Heinz, Ulrich

    1992-03-01

    We develop a new path integral formulation of QCD in radial and axial gauges. This formalism yields free propagators which are free of gauge poles. We find that radial gauges are ghost free. In axial gauges ghosts cannot generally be excluded from the formalism due to the need to fix the residual gauge freedom.

  16. Renal Stenting from the Radial Artery: A Novel Approach

    SciTech Connect

    Kessel, David O.; Robertson, Iain; Taylor, Edward J.; Patel, Jai V.

    2003-04-15

    Purpose: To describe the technique and feasibility of renal artery angioplasty and stenting from the radial artery. Methods: A series of 19 patients were evaluated for transradial renal artery intervention. Procedures were performed using carbon dioxide gas (CO{sub 2}) as the preferred angiographic contrast agent. Intervention was performed through a 5 Fr radial artery sheath using low-profile balloons and balloon-expandable stents. Results: Nineteen patients with 26 stenosed renal arteries were considered for treatment via the radial route. A negative Allen's test precluded radial puncture in two (11%). In one patient the descending aorta could not be catheterized. Stenting from the radial route was successful in 22 renal arteries in 16 patients. On an intention-to-treat basis 16 of the 19 (84%) were treatable from the radial route. In the 17 patients with radial access technical success was 94% (16 of 17) patients and 91% (21 of 23) of renal arteries. One patient experienced a cerebrovascular event during intervention. Conclusion: Transradial renal artery intervention is technically feasible using low-profile angioplasty balloons and stents.This route offers advantages in renal arteries with a caudal angulation and in patients with diseases or tortuous iliac arteries.

  17. Fantasy Door Approach: Merging the Left-Right Hemispheres.

    ERIC Educational Resources Information Center

    Gunnison, Hugh

    1982-01-01

    Describes a specific fantasy technique. In several client examples, speculates on the technique's effectiveness and suggests that techniques such as the Fantasy Door Approach serve as correcting and connecting bridges between right and left hemisphere brain functioning. (Author)

  18. A strategic approach for cardiac MR left ventricle segmentation.

    PubMed

    Dakua, Sarada Prasad; Sahambi, J S

    2010-09-01

    Quantitative evaluation of cardiac function from cardiac magnetic resonance (CMR) images requires the identification of the myocardial walls. This generally requires the clinician to view the image and interactively trace the contours. Especially, detection of myocardial walls of left ventricle is a difficult task in CMR images that are obtained from subjects having serious diseases. An approach to automated outlining the left ventricular contour is proposed. In order to segment the left ventricle, in this paper, a combination of two approaches is suggested. Difference of Gaussian weighting function (DoG) is newly introduced in random walk approach for blood pool (inner contour) extraction. The myocardial wall (outer contour) is segmented out by a modified active contour method that takes blood pool boundary as the initial contour. Promising experimental results in CMR images demonstrate the potentials of our approach.

  19. Effect of Preload Alterations on Left Ventricular Systolic Parameters Including Speckle-Tracking Echocardiography Radial Strain During General Anesthesia.

    PubMed

    Weber, Ulrike; Base, Eva; Ristl, Robin; Mora, Bruno

    2015-08-01

    Frequently used parameters for evaluation of left ventricular systolic function are load-sensitive. However, the impact of preload alterations on speckle-tracking echocardiographic parameters during anesthesia has not been validated. Therefore, two-dimensional (2D) speckle-tracking echocardiography radial strain (RS) was assessed during general anesthesia, simulating 3 different preload conditions. Single-center prospective observational study. University hospital. Thirty-three patients with normal left ventricular systolic function undergoing major surgery. Transgastric views of the midpapillary level of the left ventricle were acquired at 3 different positions. Fractional shortening (FS), fractional area change (FAC), and 2D speckle-tracking echocardiography RS were analyzed in the transgastric midpapillary view. Considerable correlation above 0.5 was found for FAC and FS in the zero and Trendelenburg positions (r = 0.629, r = 0.587), and for RS and FAC in the anti-Trendelenburg position (r = 0.518). In the repeated-measures analysis, significant differences among the values measured at the 3 positions were found for FAC and FS. For FAC, there were differences up to 2.8 percentage points between the anti-Trendelenburg position and the other 2 positions. For FS, only the difference between position zero and anti-Trendelenburg was significant, with an observed change of 1.66. Two-dimensional RS was not significantly different at all positions, with observed changes below 1 percentage point. Alterations in preload did not result in clinically relevant changes of RS, FS, or FAC. Observed changes for RS were smallest; however, the variation of RS was larger than that of FS or FAC. Copyright © 2015 Elsevier Inc. All rights reserved.

  20. Direction-dependent learning approach for radial basis function networks.

    PubMed

    Singla, Puneet; Subbarao, Kamesh; Junkins, John L

    2007-01-01

    Direction-dependent scaling, shaping, and rotation of Gaussian basis functions are introduced for maximal trend sensing with minimal parameter representations for input output approximation. It is shown that shaping and rotation of the radial basis functions helps in reducing the total number of function units required to approximate any given input-output data, while improving accuracy. Several alternate formulations that enforce minimal parameterization of the most general radial basis functions are presented. A novel "directed graph" based algorithm is introduced to facilitate intelligent direction based learning and adaptation of the parameters appearing in the radial basis function network. Further, a parameter estimation algorithm is incorporated to establish starting estimates for the model parameters using multiple windows of the input-output data. The efficacy of direction-dependent shaping and rotation in function approximation is evaluated by modifying the minimal resource allocating network and considering different test examples. The examples are drawn from recent literature to benchmark the new algorithm versus existing methods.

  1. Emergency Percutaneous Coronary Intervention Through the Left Radial Artery is Associated with Less Vascular Complications than Emergency Percutaneous Coronary Intervention Through the Femoral Artery.

    PubMed

    Qi, Guoqing; Sun, Qi; Xia, Yue; Wei, Liye

    2017-01-01

    To compare the advantages and disadvantages of emergency percutaneous coronary intervention through the left radial artery with those of emergency percutaneous coronary intervention through the femoral artery. A total of 206 patients with acute myocardial infarction who required emergency percutaneous coronary intervention and were admitted to our hospital between January 2011 and August 2013 were divided into the following two groups: a group that underwent percutaneous coronary intervention through the left radial artery and a group that underwent percutaneous coronary intervention through the femoral artery. The times required for angiographic catheter and guiding catheter placement, the success rate of the procedure and the incidence of vascular complications in the two groups were observed. There was no significant difference in catheter placement time or the ultimate success rate of the procedure between the two groups. However, the left radial artery group showed a significantly lower incidence of vascular complications than the femoral artery group (p<0.05). Emergency percutaneous coronary intervention through the left radial artery is associated with less vascular complications than emergency percutaneous coronary intervention through the femoral artery and is thus potentially advantageous for patients.

  2. Emergency Percutaneous Coronary Intervention Through the Left Radial Artery is Associated with Less Vascular Complications than Emergency Percutaneous Coronary Intervention Through the Femoral Artery

    PubMed Central

    Qi, Guoqing; Sun, Qi; Xia, Yue; Wei, Liye

    2017-01-01

    OBJECTIVE: To compare the advantages and disadvantages of emergency percutaneous coronary intervention through the left radial artery with those of emergency percutaneous coronary intervention through the femoral artery. METHODS: A total of 206 patients with acute myocardial infarction who required emergency percutaneous coronary intervention and were admitted to our hospital between January 2011 and August 2013 were divided into the following two groups: a group that underwent percutaneous coronary intervention through the left radial artery and a group that underwent percutaneous coronary intervention through the femoral artery. The times required for angiographic catheter and guiding catheter placement, the success rate of the procedure and the incidence of vascular complications in the two groups were observed. RESULTS: There was no significant difference in catheter placement time or the ultimate success rate of the procedure between the two groups. However, the left radial artery group showed a significantly lower incidence of vascular complications than the femoral artery group (p<0.05). CONCLUSION: Emergency percutaneous coronary intervention through the left radial artery is associated with less vascular complications than emergency percutaneous coronary intervention through the femoral artery and is thus potentially advantageous for patients. PMID:28226025

  3. Systematic comparison of the effectiveness of radial artery and saphenous vein or right internal thoracic artery coronary bypass grafts in non-left anterior descending coronary arteries

    PubMed Central

    Hu, Xiang; Zhao, Qiang

    2011-01-01

    Coronary artery bypass grafting surgery is increasingly being carried out on patients with multi-vessel coronary artery disease, but the best grafting candidate for non-left anterior descending coronary arteries is unclear. This research sought to systematically compare the efficacies and safeties of coronary bypass with radial artery and other available grafts. A systematic literature retrieval was performed for all clinical trials comparing the outcomes of coronary artery bypass surgery with radial artery and other grafts in PubMed, EMBASE, and the Cochrane Library. Seven eligible clinical studies, comparing radial artery and great saphenous vein grafts, were found between 1966 and 2010: one prospective non-randomized and six prospective randomized trials. The pooling analysis obtained a relative risk of 0.507 (P<0.05) of graft occlusion in radial arteries compared with great saphenous veins. There was a significantly lower infection rate in arms (i.e., harvest sites for radial arteries) relative to legs (harvest sites for veins), with a pooled relative risk of 0.140 (P<0.05). From the reports on mortality after follow-up ranging from one year to six years, there was no significant difference in mortality between the two graft types (P=0.927). In addition, four cohort controlled trials for radial and right internal thoracic artery grafts were included. The radial graft was associated with less cardiac related events relative to the right internal thoracic artery graft (P=0.014), but with comparable mortality and comparable rates of repeat percutaneous transluminal coronary angioplasty. Subjects with radial arteries seemed to have a lower occlusion rate and a lower graft harvest site infection rate than those with great saphenous veins. Moreover there were fewer cardiac related events with radial arteries relative to the right internal thoracic artery grafts. More studies are needed to confirm these findings concerning the favorable outcomes of coronary artery

  4. Case report: congenital dislocation of the radial head –a two-in-one approach

    PubMed Central

    Karuppal, Raju; Marthya, Anwar; Raman, Rajendran V; Somasundaran, Sandhya

    2014-01-01

    Background: Congenital dislocation of the radial head of the elbow is rare. It is genetically transmitted in some cases and is often associated with syndromes, such as Nail-Patella syndrome, antecubital pterygium and ulnar dysplasia. About two thirds are posterior, with the remainder being either anterior (15%) or lateral (15%). The natural history of the condition is that symptoms are relatively benign, with only some limitation of motion and deformity. Treatment either involves early attempts at reconstruction or delayed intervention at skeletal maturity with radial head excision. We evaluated the radiographic and functional results of a two-in-one procedure (radial shortening and open reduction) in the treatment of congenital dislocation of the radial head of an eight year old girl. Objective: To describe a technique for easy reduction and maintenance of normal radiocapitellar joint anatomy in cases of congenital dislocation of the radial head. Method: We have introduced one modification to the Sachar’s method of open reduction by adding radial shortening. This can be described as a ‘two incision approach’ with the first incision for the radial shortening and the second for the open reduction of the radiocapitellar joint. The radial shaft was osteotomised first before we performed the radial head relocation. Then the overlapping part of radial shaft was trimmed. It was stabilized with a transarticular K wire fixation. Results: At one year follow up, the elbow is stable with no valgus or fixed flexion deformity. Supination has increased to 40 degrees from zero degrees. An X-ray showed reformation of the radial head with good congruity of the radiocapitellar joint and correction of the radial bow. Conclusion: As far as the authors are aware, this is the first report of congenital dislocation of the radial head being treated by radial shortening and open reduction of radiocapitellar joint through a two incision approach (two-in-one approach). This paper

  5. Lateral approach to laparoscopic repair of left diaphragmatic ruptures.

    PubMed

    Goudet, P; Cheynel, N; Ferrand, L; Peschaud, F; Steinmetz, J P; Letourneau, B; Isnardon, J P; Noirot, M T; Poli, L; Freysz, M; Cougard, P

    2001-09-01

    Video-assisted repairs of traumatic diaphragmatic ruptures have been described where thoracoscopy or laparoscopy in the supine position were used. This study aims to validate a new lateral laparoscopic approach for left diaphragmatic repairs. Six consecutive patients were operated on for left diaphragmatic rupture using a lateral approach (Gagner's position). A series of 362 consecutive patients presenting with abdominal or thoracic trauma with or without diaphragmatic rupture over a 2-year period were reviewed retrospectively. Contraindications for immediate or delayed lateral laparoscopic approach were studied. The lateral approach provided complete visibility of the subdiaphragmatic space, easy reduction of herniated organs, easy thoracic inspection and cleaning, the use of low peritoneal pressure, full range of instrumental motion, and rapid diaphragmatic repair. No operative mortality or morbidity was noted. Altogether, 14% to 50% of the patients with diaphragmatic ruptures were candidates for immediate lateral laparoscopic repair. Associated spleen injury in 50% of the cases was the main contraindication. The lateral laparoscopic approach provides better exposure of the diaphragm on the left side and facilitates the diaphragmatic repair especially with a large herniation. Immediate repair is possible in selected cases (14-50%). There is no contraindication in case of delayed diagnosis.

  6. Radial Optic Neurotomy: A New Surgical Approach for Glaucoma Treatment?

    PubMed Central

    E. Rosenstein, Ruth; Belforte, Nicolás

    2012-01-01

    Glaucoma is a leading cause of blindness worldwide, characterised by specific visual field defects due to the degeneration of retinal ganglion cells and damage to the optic nerve head (ONH). Elevated intraocular pressure (IOP) is the most important risk factor for glaucoma development. One of the clinical hallmarks of glaucomatous optic neuropathy is the excavation of the ONH, which consists of a progressive posterior displacement of the ONH surface and excavation of the pre-laminar tissues beneath the anterior-most aspect of the scleral canal, known as the anterior scleral ring. Radial optic neurotomy (RON) is a surgical technique that has been proposed for treating central retinal vein occlusion. While the original rationale of RON was the relief of increased tissue pressure within the optic nerve that results from occlusion of the central retinal vein, recent results are discussed here which suggest that by relaxing of the scleral ring of the prelaminar and laminar regions of the ONH, RON may alleviate the IOP-related connective tissue stress, and in turn, prevent the onset and reduce the progression of glaucomatous neuropathy. PMID:24600623

  7. Robotic left lateral sectionectomy as stepwise approach for cirrhotic liver.

    PubMed

    Araujo, Raphael L C; de Castro, Luís Antônio; Fellipe, Fernando E C; Burgardt, Diego; Wohnrath, Durval R

    2017-07-21

    Laparoscopy is considered the gold standard approach to perform left lateral sectionectomy (LLS). Furthermore, laparoscopy for cirrhotic patients can reduce intraoperative bleeding and postoperative morbidity when compared to open surgery. Although robotic surgery is feasible for both minor and major liver resections, it remains a work in progress and only few series reported this approach for cirrhotic patients. We reported two cases of 62-year-old men, both with hepatitis C virus and alcoholic cirrhosis, but with compensated liver functions (MELD 9-10 and Child-Pugh A5-A6). The patients were diagnosed with a single lesion in the left lobe. Robotic LLS was performed using intraoperative ultrasound to confirm findings of pre-operative image, and linear staplers were used to control left lobe inflow and outflow. The specimens were removed through Pfannenstiel incision in both patients. Both procedures followed the same standardization. The total operative time was 250 and 151 min with estimated blood loss of 100 and 70 ml, respectively, for cases 1 and 2. The procedures were made without Pringle maneuver and postoperative course was uneventful with hospital discharge at third and fourth postoperative day, respectively. The pathology examination confirmed a 2.5- and 4.5-cm hepatocellular carcinoma, respectively; both presented negative margins and cirrhosis. Robotic LLS seems to be as feasible as conventional laparoscopic approach as a stepwise procedure in a robotic learning curve for liver resection. Its benefits can also be offered to selected cirrhotic patients.

  8. How to perform distal anchoring technique by 6French radial approach in complex coronary procedures.

    PubMed

    Fiocca, Luigi; Bernelli, Chiara; Sirbu, Vasile; Musumeci, Giuseppe; Guagliumi, Giulio; Vassileva, Angelina; Borghesi, Marco; Valsecchi, Orazio

    2016-01-01

    Despite remarkable advances in the interventional landscape, device delivery during percutaneous coronary intervention (PCI) can still present technical challenges especially when performed in complex anatomical settings and through radial approach. To overcome difficult coronary stent delivery, several strategies have been developed. A niche option in such complex cases is the anchoring balloon technique, which involves inflation of a balloon non-coaxially in a side branch or distally to the target lesion in a coaxial fashion, to facilitate stent delivery. However, the main limitation of this technique is the requirement of a large guide catheter (≥7French) which may preclude the use of radial approach. We describe, step-by-step, the distal anchoring ballooning technique performed by a 6Fr radial approach to overcome the stent delivery failure in complex anatomical scenarios and to safely and successfully carry out the PCI procedures. Copyright © 2016 Elsevier Inc. All rights reserved.

  9. Robotic Left Ventricular Assist Device Implantation Using Left Thoracotomy Approach in Patients with Previous Sternotomies.

    PubMed

    Khalpey, Zain; Bin Riaz, Irbaz; Marsh, Katherine M; Ansari, Muhammad Zubair Ahmad; Bilal, Jawad; Cooper, Anthony; Paidy, Samata; Schmitto, Jan D; Smith, Richard; Friedman, Mark; Slepian, Marvin J; Poston, Robert

    2015-01-01

    Left ventricular assist devices (LVADs) are commonly used as either a bridge-to-transplant or a destination therapy. The traditional approach for LVAD implantation is via median sternotomy, but many candidates for this procedure have a history of failed cardiac surgeries and previous sternotomy. Redo sternotomy increases the risk of heart surgery, particularly in the setting of advanced heart failure. Robotics facilitates a less invasive approach to LVAD implantation that circumvents some of the morbidity associated with a redo sternotomy. We compared the outcomes of all patients at our institution who underwent LVAD implantation via either a traditional sternotomy or using robotic assistance. The robotic cohort showed reduced resource utilization including length of hospital stay and use of blood products. As the appropriate candidates become elucidated, robotic assistance may improve the safety and cost-effectiveness of reoperative LVAD surgery.

  10. A Novel Thermal Management Approach for Radial Foil Air Bearings

    DTIC Science & Technology

    2010-07-01

    temperature, journal foil air bearing test rig . 3. Procedure Test preparation began by placing the bearing on the journal, attaching the air delivery...Lastly, foil thrust bearings use a number of individual, sector-shaped pads spaced evenly around a circular plate. With ample space between the...pads foil thrust bearings would likely benefit from this type of thermal management approach. 17 6. References 1. Blok, H.; van Rossum, J. J

  11. A Radial Basis Function Approach to Financial Time Series Analysis

    DTIC Science & Technology

    1993-12-01

    Massachusetts Institute of Technology Artificial Intelligence Laboratory AI-TR 1457 545 Technology Square Cambridge, Massachusetts 02139 9. SPONSORING...Function Approach to Financial Time Series Analysis Ihy James M. Hutchinson Master of Science in EE(S. Massachusetts Institute of Technology (1986...Philosophy 0e r . at tilt NTiS CRA&IDTIC TAB Massachusetts Institute of Technology Unannoun•ea February. I9-1 Justific.igo,, . @1991 Massachusetts Institut

  12. Radial left ventricular dyssynchrony by speckle tracking in apical versus non apical right ventricular pacing- evidence of dyssynchrony on medium term follow up.

    PubMed

    Choudhary, Dinesh; Chaurasia, Amit Kumar; Kumar, S Mahesh; Arulkumar, Ajeet; Thajudeen, Anees; Namboodiri, Narayanan; Sanjay, G; Abhilash, S P; Ajitkumar, V K; Ja, Tharakan

    2016-01-01

    To study effects of various sites of right ventricular pacing lead implantation on left ventricular function by 2-dimensional (2D) speckle tracking for radial strain and LV dyssynchrony. This was retrospective prospective study. Fifteen patients each with right ventricular (RV) apical (RV apex and apical septum) and non-apical (mid septal and low right ventricular outflow tract [RVOT]) were programmed to obtain 100% ventricular pacing for evaluation by echo. Location and orientation of lead tip was noted and archived by fluoroscopy. Electrocardiography (ECG) was archived and 2D echo radial dyssynchrony was calculated. The baseline data was similar between two groups. Intraventricular dyssynchrony was significantly more in apical location as compared to non-apical location (radial dyssynchrony: 108.2 ± 50.2 vs. 50.5 ± 24, P < 0.001; septal to posterior wall delay [SLWD] 63.5 ± 27.5 vs. 34 ± 10.7, P < 0.001, SPWD 112.5 ± 58.1 vs. 62.7 ± 12.1, P = 0.003). The left ventricular ejection fraction was decreased more in apical location than non apical location. Interventricular dyssynchrony was more in apical group but was not statistically significant. The QRS duration, QTc and lead thresholds were higher in apical group but not statistically significant. Pacing in non apical location (RV mid septum or low RVOT) is associated with less dyssynchrony by specific measures like 2D radial strain and correlates with better ventricular function in long term.

  13. Transcatheter occlusion of left atrial appendage with persistent thrombus using a trans-radial embolic protection device.

    PubMed

    Cammalleri, Valeria; Ussia, Gian Paolo; Muscoli, Saverio; De Vico, Pasquale; Romeo, Francesco

    2016-12-01

    : The image describes a case of left atrial appendage occlusion in a patient with atrial fibrillation, previous haemorrhagic stroke, and left atrial appendage thrombosis. A cerebral vascular filter was used during the device implantation. The use of cerebral embolic protection device can increase the safety of left atrial appendage occlusion, in selected high-risk patients.

  14. Retrograde approach to an ostial left anterior descending chronic total occlusion through a left internal mammary artery graft.

    PubMed

    Hari, Pawan; Kirtane, Ajay J; Bangalore, Sripal

    2016-05-01

    Retrograde approach to chronic total occlusions (CTO) has been described via saphenous vein grafts, septal and epicardial collaterals. We report for the first time a successful retrograde approach to an ostial left anterior descending (LAD) artery CTO through a failed left internal mammary artery (LIMA) to LAD anastamosis. This case demonstrates the technical aspects of using a LIMA conduit as a retrograde approach to CTO. © 2015 Wiley Periodicals, Inc.

  15. Radial left ventricular dyssynchrony by speckle tracking in apical versus non apical right ventricular pacing- evidence of dyssynchrony on medium term follow up

    PubMed Central

    Choudhary, Dinesh; Chaurasia, Amit Kumar; Kumar, S Mahesh; Arulkumar, Ajeet; Thajudeen, Anees; Namboodiri, Narayanan; Sanjay, G; Abhilash, SP; Ajitkumar, VK; JA, Tharakan

    2016-01-01

    Introduction: To study effects of various sites of right ventricular pacing lead implantation on left ventricular function by 2-dimensional (2D) speckle tracking for radial strain and LV dyssynchrony. Methods: This was retrospective prospective study. Fifteen patients each with right ventricular (RV) apical (RV apex and apical septum) and non-apical (mid septal and low right ventricular outflow tract [RVOT]) were programmed to obtain 100% ventricular pacing for evaluation by echo. Location and orientation of lead tip was noted and archived by fluoroscopy. Electrocardiography (ECG) was archived and 2D echo radial dyssynchrony was calculated. Results: The baseline data was similar between two groups. Intraventricular dyssynchrony was significantly more in apical location as compared to non-apical location (radial dyssynchrony: 108.2 ± 50.2 vs. 50.5 ± 24, P < 0.001; septal to posterior wall delay [SLWD] 63.5 ± 27.5 vs. 34 ± 10.7, P < 0.001, SPWD 112.5 ± 58.1 vs. 62.7 ± 12.1, P = 0.003). The left ventricular ejection fraction was decreased more in apical location than non apical location. Interventricular dyssynchrony was more in apical group but was not statistically significant. The QRS duration, QTc and lead thresholds were higher in apical group but not statistically significant. Conclusion: Pacing in non apical location (RV mid septum or low RVOT) is associated with less dyssynchrony by specific measures like 2D radial strain and correlates with better ventricular function in long term. PMID:27069563

  16. Feasibility of trans-radial approach in percutaneous intervention for upper arm dialysis access.

    PubMed

    Lin, Yu-Sheng; Lin, Pi-Chi; Hsu, Jen-Te; Chang, Shih-Tai; Yang, Teng-Yao; Cheng, Hui-Wen; Chung, Chang-Min

    2008-01-01

    This retrospective study evaluated the feasibility and efficacy of trans-radial intervention for upper arm dialysis access. This study retrospectively reviewed 165 trans-radial interventions performed for upper arm dialysis access in 101 patients. Sixty-nine patients had arteriovenous graft (AVG), and 32 had arteriovenous fistula (AVF). Balloon angioplasty was performed in 66 stenotic dialysis accesses and 99 thrombosed dialysis accesses. Thrombosed dialysis access was further managed by additional balloon thrombectomy with or without urokinase injection. Procedural time was 46.7 +/- 25.5 minutes. Anatomic and clinical success rates were 89.7% and 84.2%, respectively. The rate of complications, most of which involved lesion rupture with contrast-media extravasation and distal embolism, was 9.7%. Pretreatment stenosis was more severe (p = 0.01) and the prevalence of total occlusion was higher (p < 0.01) in the AVG group than the AVF group. The success rate and complication rate did not statistically differ (p = 0.59). Additionally, the thrombosed group had a lower success rate (p = 0.02), a higher complication rate (p < 0.01) and a longer procedural time (p < 0.01) than the stenotic group. Comparison with previous studies employing the traditional approach reveals that trans-radial intervention has a comparable success rate, procedural time and complication rate for upper arm dialysis access. Therefore, trans-radial intervention is a safe and feasible technique for upper arm dialysis access.

  17. Radial dyssynchrony assessed by cardiovascular magnetic resonance in relation to left ventricular function, myocardial scarring and QRS duration in patients with heart failure

    PubMed Central

    2009-01-01

    Background Intuitively, cardiac dyssynchrony is the inevitable result of myocardial injury. We hypothezised that radial dyssynchrony reflects left ventricular remodeling, myocardial scarring, QRS duration and impaired LV function and that, accordingly, it is detectable in all patients with heart failure. Methods 225 patients with heart failure, grouped according to QRS duration of <120 ms (A, n = 75), between 120-149 ms (B, n = 75) or ≥150 ms (C, n = 75), and 50 healthy controls underwent assessment of radial dyssynchrony using the cardiovascular magnetic resonance tissue synchronization index (CMR-TSI = SD of time to peak inward endocardial motion in up to 60 myocardial segments). Results Compared to 50 healthy controls (21.8 ± 6.3 ms [mean ± SD]), CMR-TSI was higher in A (74.8 ± 34.6 ms), B (92.4 ± 39.5 ms) and C (104.6 ± 45.6 ms) (all p < 0.0001). Adopting a cut-off CMR-TSI of 34.4 ms (21.8 plus 2xSD for controls) for the definition of dyssynchrony, it was present in 91% in A, 95% in B and 99% in C. Amongst patients in NYHA class III or IV, with a LVEF<35% and a QRS>120 ms, 99% had dyssynchrony. Amongst those with a QRS<120 ms, 91% had dyssynchrony. Across the study sample, CMR-TSI was related positively to left ventricular volumes (p < 0.0001) and inversely to LVEF (CMR-TSI = 178.3 e (-0.033 LVEF) ms, p < 0.0001). Conclusion Radial dyssynchrony is almost universal in patients with heart failure. This vies against the notion that a lack of response to CRT is related to a lack of dyssynchrony. PMID:19930713

  18. Left ventricular radial colour and longitudinal pulsed-wave tissue Doppler echocardiography in 39 healthy domestic pet rabbits.

    PubMed

    Casamian-Sorrosal, Domingo; Saunders, Richard; Browne, William; Elliot, Sarah; Fonfara, Sonja

    2014-10-01

    This paper reports radial colour and longitudinal mitral annulus pulsed-wave tissue Doppler findings in a large cohort of healthy, adult pet rabbits. Thirty-nine rabbits (22 Dwarf Lops, 14 French Lops and three Alaskans) underwent conscious echocardiography. The median age of the rabbits was 22 months and the median weight was 2.8 kg (Dwarf Lop 2.4 kg/French Lop 6.0 kg). Adequate radial colour and longitudinal pulsed-wave tissue Doppler traces were obtained in 100% and 85% of cases, respectively. Most systolic tissue Doppler parameters were significantly higher in French Lops than in Dwarf Lops. Separation of mitral inflow diastolic waves was present in 40% of cases using conventional spectral Doppler and in >60% of cases using pulsed-wave tissue Doppler which could be beneficial when evaluating diastolic function in rabbits. This study can be used as a reference for normal echocardiographic tissue Doppler values for adult rabbits undergoing conscious echocardiography in clinical practice.

  19. Relationship of multidirectional myocardial strain with radial thickening and ejection fraction and impact of left ventricular hypertrophy: a study in a community-based cohort.

    PubMed

    Russo, Cesare; Jin, Zhezhen; Homma, Shunichi; Rundek, Tatjana; Elkind, Mitchell S V; Sacco, Ralph L; Di Tullio, Marco R

    2013-08-01

    Left ventricular (LV) systolic strain provides additional prognostic value to LV ejection fraction (LVEF) and wall motion analysis. However, the relationship between myocardial multidirectional strain and LVEF, and the effect of LV hypertrophy on this relationship, are not completely understood especially in unselected populations. LV global longitudinal (εL ) and circumferential (εC ) systolic strain analysis was performed by two-dimensional speckle tracking echocardiography in 215 participants from a community-based study. LV radial wall thickening was measured as global radial strain (εR ), and LVEF was assessed by biplane Simpson's method. εR was significantly associated with εC (β = -0.56, P < 0.01) and with εL (β = -0.18, P < 0.01). The contribution of εL to εR was especially evident in subjects with lower εC and in presence of LV hypertrophy (β = -0.30, P < 0.01). εL and εC were significantly associated with LVEF (β = -0.36 and β = -0.49, both P < 0.01) independent of LV mass and other confounders, and their interaction significantly improved the prediction of LVEF (R(2) -change = 0.14) but not of εR (R(2) -change = 0.002). εR is mainly related to εC with a smaller contribution of εL , which becomes especially evident in subjects with lower εC and in presence of LV hypertrophy. Therefore, radial thickening may not detect subclinical LV longitudinal function reduction in normal ventricles and when εC is preserved. While a reduction in εL has a limited impact on εR , it exerts a greater effect on global LVEF, therefore for a more accurate LVEF prediction both εL and εC need to be considered. © 2013, Wiley Periodicals, Inc.

  20. Evaluation of longitudinal and radial left ventricular functions using two- and three-dimensional echocardiography before and after intravenous immunoglobulin administration in patients with acute Kawasaki disease.

    PubMed

    Hashimoto, Ikuo; Saitou, Yu; Sakata, Nao; Shibata, Ko

    2017-09-11

    The relationship between left ventricular (LV) function and longitudinal or radial contraction has not yet been elucidated in patients with acute Kawasaki disease (KD), especially before and after intravenous immunoglobulin (IVIG) administration. We studied 28 KD patients without coronary aneurysms (average 3.2 years). The LV end-diastolic volume (LVEDV), end-systolic volume (LVESV), stroke volume (LVSV), and ejection fraction (LVEF) were assessed using three-dimensional echocardiography before IVIG, after IVIG administration, and in the convalescent phase. LV fractional shortening (LVFS) and the mitral annular systolic excursion (MAPSE) z-score were measured as surrogates for radial and longitudinal LV wall motions, respectively. Serum brain natriuretic peptide (BNP) was also assessed as a heart failure indicator in acute KD patients. In all KD patients, the LVEDV decreased in the acute phase with preservation of the LVESV. Both the LVSV and the MAPSE z-score were lowest before IVIG and increased after IVIG. The MAPSE z-score was highly correlated with LVEF before and after IVIG administration. Although there was a good correlation between the Log BNP and LVEF before IVIG, it was lost after IVIG. the LVEDV decreased longitudinally during the acute phase of KD with preservation of the LVESV, reducing both the LVSV and LVEF. The serum BNP level is a useful marker for evaluating LV function only prior to IVIG administration. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  1. pSnakes: a new radial active contour model and its application in the segmentation of the left ventricle from echocardiographic images.

    PubMed

    de Alexandria, Auzuir Ripardo; Cortez, Paulo César; Bessa, Jessyca Almeida; da Silva Félix, John Hebert; de Abreu, José Sebastião; de Albuquerque, Victor Hugo C

    2014-10-01

    Active contours are image segmentation methods that minimize the total energy of the contour to be segmented. Among the active contour methods, the radial methods have lower computational complexity and can be applied in real time. This work aims to present a new radial active contour technique, called pSnakes, using the 1D Hilbert transform as external energy. The pSnakes method is based on the fact that the beams in ultrasound equipment diverge from a single point of the probe, thus enabling the use of polar coordinates in the segmentation. The control points or nodes of the active contour are obtained in pairs and are called twin nodes. The internal energies as well as the external one, Hilbertian energy, are redefined. The results showed that pSnakes can be used in image segmentation of short-axis echocardiogram images and that they were effective in image segmentation of the left ventricle. The echo-cardiologist's golden standard showed that the pSnakes was the best method when compared with other methods. The main contributions of this work are the use of pSnakes and Hilbertian energy, as the external energy, in image segmentation. The Hilbertian energy is calculated by the 1D Hilbert transform. Compared with traditional methods, the pSnakes method is more suitable for ultrasound images because it is not affected by variations in image contrast, such as noise. The experimental results obtained by the left ventricle segmentation of echocardiographic images demonstrated the advantages of the proposed model. The results presented in this paper are justified due to an improved performance of the Hilbert energy in the presence of speckle noise.

  2. Transmesocolic Approach for Left Side Laparoscopic Pyeloplasty: Comparison with Laterocolic Approach in the Initial Learning Period

    PubMed Central

    Han, Hyun Ho; Ham, Won Sik; Kim, Jang Hwan; Choi, Young Deuk; Han, Sang Won; Chung, Byung Ha

    2013-01-01

    Purpose To evaluate the outcome of transmesocolic (TMC) laparoscopic pyeloplasty compared with conventional laterocolic procedure for surgeons with limited experience. Materials and Methods We started laparoscopic pyeloplasty for ureteropelvic junction obstruction in 2009. Since then, 21 patients of left side disease have undergone this surgery in our institution. To access the left ureteropelvic junction, we used the conventional laterocolic approach in 9 patients, while the transmesocolic approach was used in the remaining 12 patients, and perioperative results and follow-up data were then compared. Results The mean operative time using the transmesocolic approach was significantly shorter than the conventional laterocolic approach (242 vs. 308 min, p=0.022). Furthermore, there was no complication or open conversion. Postoperative pain was significantly decreased in the TMC group (2.8 vs. 4.0 points, measured using the visual analogue scale on the first postoperative day, p=0.009). Postoperative complications were encountered in two patients. All patients were symptom-free after 1 year of follow-up, and radiologic success rates for each group were 92 and 89%, respectively. Conclusion Direct exposure of the ureteropelvic junction via the mesocolon saves time during the colon mobilization procedure. The approach is safe and feasible even for surgeons with limited experience, and has success rates similar to those of the conventional laterocolic approach. PMID:23225819

  3. Incremental approach for radial basis functions mesh deformation with greedy algorithm

    NASA Astrophysics Data System (ADS)

    Selim, Mohamed M.; Koomullil, Roy P.; Shehata, Ahmed S.

    2017-07-01

    Mesh Deformation is an important element of any fluid-structure interaction simulation. In this article, a new methodology is presented for the deformation of volume meshes using incremental radial basis function (RBF) based interpolation. A greedy algorithm is used to select a small subset of the surface nodes iteratively. Two incremental approaches are introduced to solve the RBF system of equations: 1) block matrix inversion based approach and 2) modified LU decomposition approach. The use of incremental approach decreased the computational complexity of solving the system of equations within each greedy algorithm's iteration from O (n3) to O (n2). Results are presented from an accuracy study using specified deformations on a 2D surface. Mesh deformations for bending and twisting of a 3D rectangular supercritical wing have been demonstrated. Outcomes showed the incremental approaches reduce the CPU time up to 67% as compared to a traditional RBF matrix solver. Finally, the proposed mesh deformation approach was integrated within a fluid-structure interaction solver for investigating a flow induced cantilever beam vibration.

  4. Ovariectomy by left flank approach in prepubertal Nelore (Bos indicus) heifers

    PubMed Central

    Peiró, Juliana R.; Nogueira, Geison M.; Nogueira, Guilherme P.; Perri, Silvia H.V.; Cardoso, Daniel

    2009-01-01

    The main objective of this study was to evaluate a recumbent left flank approach to bilateral ovariectomy in prepubertal heifers and to develop an optimal surgical technique for this procedure. Both ovaries were removed from 6 Nelore heifers by left flank approach without any complications, except in 1 heifer, which was believed to have had only 1 ovary based on ultrasound and exploration during surgery, but was later found to have a remaining functional ovary. Ovariectomy via left flank approach in recumbent prepubertal heifers is feasible and technically easy. This procedure does not involve special instrumentation and, despite the invasive approach, it allows optimal visualization of the ovaries and uterus. PMID:19794897

  5. Passive-ocean radial basis function approach to improve temporal gravity recovery from GRACE observations

    NASA Astrophysics Data System (ADS)

    Yang, Fan; Kusche, Jürgen; Forootan, Ehsan; Rietbroek, Roelof

    2017-08-01

    We present a state-of-the-art approach of passive-ocean modified radial basis functions (MRBFs) that improves the recovery of time-variable gravity fields from Gravity Recovery and Climate Experiment (GRACE). As is well known, spherical harmonics (SHs), which are commonly used to recover gravity fields, are orthogonal basis functions with global coverage. However, the chosen SH truncation involves a global compromise between data coverage and obtainable resolution, and strong localized signals may not be fully captured. Radial basis functions (RBFs) provide another representation, which has been proposed in earlier works to be better suited to retrieve regional gravity signals. In this paper, we propose a MRBF approach by embedding the known coastal geometries in the RBF parameterization and imposing global mass conservation and equilibrium behavior of the oceans. Our hypothesis is that with this physically justified constraint, the GRACE-derived gravity signals can be more realistically partitioned into the land and ocean contributions along the coastlines. We test this new technique to invert monthly gravity fields from GRACE level-1b observations covering 2005-2010, for which the numerical results indicate that (1) MRBF-based solutions reduce the number of parameters by approximately 10% and allow for more flexible regularization when compared to ordinary RBF solutions and (2) the MRBF-derived mass flux is better confined along coastal areas. The latter is particularly tested in the southern Greenland, and our results indicate that the trend of mass loss from the MRBF solutions is approximately 11% larger than that from the SH solutions and approximately 4%-6% larger than that of RBF solutions.

  6. Comparison of a vascular closure device versus the radial approach to reduce access site complications in non-ST-segment elevation acute coronary syndrome patients: The angio-seal versus the radial approach in acute coronary syndrome trial.

    PubMed

    Andrade, Pedro B; Mattos, Luiz A; Rinaldi, Fábio S; Bienert, Igor C; Barbosa, Robson A; Labrunie, André; Tebet, Marden; Esteves, Vinícius; Abizaid, Alexandre; Sousa, Amanda R

    2017-05-01

    To compare the radial versus femoral approach using Angio-Seal for the incidence of access site complications among non-ST-segment elevation acute coronary syndrome patients undergoing invasive strategy. Arterial access is a major site of complications after invasive coronary procedures. Vascular closure devices provide more comfort to patients decreasing time to hemostasis and need for bed rest. However, the inconsistency of data proving their safety limits their routine adoption as a strategy to prevent vascular complications. Single-center non-inferiority trial where 240 patients were randomized to radial or femoral access using Angio-Seal. The primary objective was the occurrence of complications at the arterial puncture site until 30 days after the procedure. There were no baseline clinical differences between groups, except for a greater prevalence of female patients in the radial group (33.3 vs. 20.0%, P = 0.020). Hemostasis was achieved in the entire radial group with the use of TR Band and in 95% of the procedures in the femoral group with Angio-Seal (P = 0.029). Except for a higher incidence of asymptomatic arterial occlusion in the radial group, there were no differences among the other analyzed outcomes. According to the noninferiority test, the use of Angio-Seal was noninferior to the radial approach, considering the margin of 15% (12.5 vs. 13.3%, difference -0.83%, 95% CI -9.31 - 7.65, P for noninferiority <0.001). Angio-Seal seems noninferior in the incidence of access site complications at 30 days when compared with the radial approach. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  7. Infraclavicular coracoid approach brachial plexus block for radial club hand repair.

    PubMed

    Ponde, Vrushali; Athani, B; Thruppal, Shreedhar

    2007-09-01

    Radial club hand is a congenital deformity in which the radius is absent, the metacarpophylangeal and interphalayngeal joints are fused and muscles arising from the radius are absent. This can alter the motor response to peripheral nerve stimulation. The classical motor response to median nerve stimulation (contractions of the fingers) cannot be elicited, hence fine twitches in the hand, at the wrist or in the surgical area or pronation-supination at a current of 0.5 mA were taken as endpoints. The aim of this study was to assess the feasibility of achieving successful infraclavicular coracoid approach block in the intra- and postoperative periods when ideal responses to electrical nerve stimulation are absent because of congenital anomalies. Thirty-five patients aged 8 months to 2 years, weighing 7-12 kg were selected and the blocks were performed under light general anesthesia. Fentanyl 2 microg.kg(-1) was used as rescue analgesic in case of block failure. Postoperatively CHEOPS pain score was recorded at h1, h4 h6, h8, and h10 postoperatively. Tramadol 2 mg.kg(-1) was given in case of inadequate pain relief (CHEOPS>4). In no patient could we elicit the finger flexion response which is typical of median nerve stimulation. Intraoperatively, one out of 35 children (3.3%) showed reaction to pain. In the postoperative period two out of 35 (6%) children had high pain scores and were given tramadol. Analgesia lasted for 6.5+/-1.50 h. Despite the limitation of absence of an ideal response to nerve stimulation in radial club hand, endpoints such as fine twitches in the hand, at the wrist or in the surgical area or pronation-supination were sufficient to achieve a successful block. This block gives satisfactory intra- and postoperative analgesia.

  8. A multi-method approach to radial-velocity measurement for single-object spectra

    NASA Astrophysics Data System (ADS)

    David, M.; Blomme, R.; Frémat, Y.; Damerdji, Y.; Delle Luche, C.; Gosset, E.; Katz, D.; Viala, Y.

    2014-02-01

    Context. The derivation of radial velocities from large numbers of spectra that typically result from survey work, requires automation. However, except for the classical cases of slowly rotating late-type spectra, existing methods of measuring Doppler shifts require fine-tuning to avoid a loss of accuracy due to the idiosyncrasies of individual spectra. The radial velocity spectrometer (RVS) on the Gaia mission, which will start operating very soon, prompted a new attempt at creating a measurement pipeline to handle a wide variety of spectral types. Aims: The present paper describes the theoretical background on which this software is based. However, apart from the assumption that only synthetic templates are used, we do not rely on any of the characteristics of this instrument, so our results should be relevant for most telescope-detector combinations. Methods: We propose an approach based on the simultaneous use of several alternative measurement methods, each having its own merits and drawbacks, and conveying the spectral information in a different way, leading to different values for the measurement. A comparison or a combination of the various results either leads to a "best estimate" or indicates to the user that the observed spectrum is problematic and should be analysed manually. Results: We selected three methods and analysed the relationships and differences between them from a unified point of view; with each method an appropriate estimator for the individual random error is chosen. We also develop a procedure for tackling the problem of template mismatch in a systematic way. Furthermore, we propose several tests for studying and comparing the performance of the various methods as a function of the atmospheric parameters of the observed objects. Finally, we describe a procedure for obtaining a knowledge-based combination of the various Doppler-shift measurements.

  9. Left ventricular volume measurements with free breathing respiratory self-gated 3-dimensional golden angle radial whole-heart cine imaging - Feasibility and reproducibility.

    PubMed

    Holst, Karen; Ugander, Martin; Sigfridsson, Andreas

    2017-11-01

    To develop and evaluate a free breathing respiratory self-gated isotropic resolution technique for left ventricular (LV) volume measurements. A 3D radial trajectory with double golden-angle ordering was used for free-running data acquisition during free breathing in 9 healthy volunteers. A respiratory self-gating signal was extracted from the center of k-space and used with the electrocardiogram to bin all data into 3 respiratory and 25 cardiac phases. 3D image volumes were reconstructed and the LV endocardial border was segmented. LV volume measurements and reproducibility from 3D free breathing cine were compared to conventional 2D breath-held cine. No difference was found between 3D free breathing cine and 2D breath-held cine with regards to LV ejection fraction, stroke volume, end-systolic volume and end-diastolic volume (P<0.05 for all). The test-retest differences did not differ between 3D free breathing cine and 2D breath-held cine (P<0.05 for all). 3D free breathing cine and conventional 2D breath-held cine showed similar values and test-retest repeatability for LV volumes in healthy volunteers. 3D free breathing cine enabled retrospective sorting and arbitrary angulation of isotropic data, and could correctly measure LV volumes during free breathing acquisition. Copyright © 2017 Elsevier Inc. All rights reserved.

  10. The Current Approach to Diagnosis and Management of Left Ventricular Noncompaction Cardiomyopathy: Review of the Literature

    PubMed Central

    Bennett, Courtney E.; Freudenberger, Ronald

    2016-01-01

    Isolated left ventricular noncompaction (LVNC) is a genetic cardiomyopathy characterized by prominent ventricular trabeculations and deep intertrabecular recesses, or sinusoids, in communication with the left ventricular cavity. The low prevalence of patients with this cardiomyopathy presents a unique challenge for large, prospective trials to assess its pathogenesis, management, and outcomes. In this paper we review the embryology and genetics of LVNC, the diagnostic approach, and propose a management approach based on the current literature available. PMID:26881173

  11. Left distal transradial access in the anatomical snuffbox for coronary angiography (ldTRA) and interventions (ldTRI).

    PubMed

    Kiemeneij, Ferdinand

    2017-09-20

    The aim of this technical report is to demonstrate the feasibility of the left distal transradial approach for patients in whom left radial access is preferred over right radial access for coronary angiography and interventions. This procedure is more convenient for the operator. For the right-handed patient, the left radial access is more convenient because of the free use of the right hand after the procedure. In addition, this technique reduces the chance of radial artery occlusion at the site of the distal forearm. Coronary access via the left distal radial artery at the anatomical snuffbox allows comfortable positioning of the dorsal side of the patient's left hand near the right groin. The operator can puncture the artery and perform the coronary cannulation at a safe distance from the radiation source and without the need to bend over the patient. This technique will be described in detail. Procedural and clinical results in the first 70 patients are described. Out of 118 consecutive patients assigned to the author's operation programme, 70 patients were considered suitable for left distal radial access. There were eight procedural failures, requiring crossover to traditional right radial or left radial approach. All other procedures were successful, without major discomfort for the patient and operator. No radial artery occlusions at the site of the forearm were encountered. Left distal transradial coronary access via the anatomical snuffbox, as default technique for patients who need or prefer left radial access over right radial access, deserves further exploration.

  12. Meshless Local Petrov-Galerkin Euler-Bernoulli Beam Problems: A Radial Basis Function Approach

    NASA Technical Reports Server (NTRS)

    Raju, I. S.; Phillips, D. R.; Krishnamurthy, T.

    2003-01-01

    A radial basis function implementation of the meshless local Petrov-Galerkin (MLPG) method is presented to study Euler-Bernoulli beam problems. Radial basis functions, rather than generalized moving least squares (GMLS) interpolations, are used to develop the trial functions. This choice yields a computationally simpler method as fewer matrix inversions and multiplications are required than when GMLS interpolations are used. Test functions are chosen as simple weight functions as in the conventional MLPG method. Compactly and noncompactly supported radial basis functions are considered. The non-compactly supported cubic radial basis function is found to perform very well. Results obtained from the radial basis MLPG method are comparable to those obtained using the conventional MLPG method for mixed boundary value problems and problems with discontinuous loading conditions.

  13. The radial basis function finite collocation approach for capturing sharp fronts in time dependent advection problems

    NASA Astrophysics Data System (ADS)

    Stevens, D.; Power, H.

    2015-10-01

    We propose a node-based local meshless method for advective transport problems that is capable of operating on centrally defined stencils and is suitable for shock-capturing purposes. High spatial convergence rates can be achieved; in excess of eighth-order in some cases. Strongly-varying smooth profiles may be captured at infinite Péclet number without instability, and for discontinuous profiles the solution exhibits neutrally stable oscillations that can be damped by introducing a small artificial diffusion parameter, allowing a good approximation to the shock-front to be maintained for long travel times without introducing spurious oscillations. The proposed method is based on local collocation with radial basis functions (RBFs) in a "finite collocation" configuration. In this approach the PDE governing and boundary equations are enforced directly within the local RBF collocation systems, rather than being reconstructed from fixed interpolating functions as is typical of finite difference, finite volume or finite element methods. In this way the interpolating basis functions naturally incorporate information from the governing PDE, including the strength and direction of the convective velocity field. By using these PDE-enhanced interpolating functions an "implicit upwinding" effect is achieved, whereby the flow of information naturally respects the specifics of the local convective field. This implicit upwinding effect allows high-convergence solutions to be obtained on centred stencils for advection problems. The method is formulated using a high-convergence implicit timestepping algorithm based on Richardson extrapolation. The spatial and temporal convergence of the proposed approach is demonstrated using smooth functions with large gradients. The capture of discontinuities is then investigated, showing how the addition of a dynamic stabilisation parameter can damp the neutrally stable oscillations with limited smearing of the shock front.

  14. Left lower sleeve lobectomy by uniportal video-assisted thoracoscopic approach.

    PubMed

    Gonzalez-Rivas, Diego; Delgado, Maria; Fieira, Eva; Pato, Oscar

    2014-02-01

    Endobronchial tumours requiring sleeve resection have been usually considered a contraindication for video-assisted thoracoscopic surgery (VATS). However, with new technical advances and the experience gained in VATS, sleeve lobectomy has been performed by thoracoscopy in experienced VATS centres. Right-sided sleeve anastomoses are easier to perform by VATS than left-sided ones because of the presence of the pulmonary artery and aortic arch on the left side. Most surgeons use a 3 to 4 incision VATS technique for sleeve anastomosis but the surgery can be performed by using only one incision. This is the first report of a left-sided sleeve lobectomy by uniportal approach.

  15. Feasibility and Safety of Right and Left Heart Catheterization Via an Antecubital Fossa Vein and the Radial Artery in Patients With Heart Failure.

    PubMed

    D'Amario, Domenico; Burzotta, Francesco; Leone, Antonio M; Porto, Italo; Niccoli, Giampaolo; Aurigemma, Cristina; Ruggio, Aureliano; Borovac, Josip A; Massetti, Massimo; Trani, Carlo; Crea, Filippo

    2017-09-01

    Heart failure is the leading cause of hospitalization among patients older than 65 years of age. A significant proportion of patients require heart catheterization for diagnostic, therapeutic, and prognostic purposes. To determine the feasibility and safety of full arm-arm catheterization access, we aimed to compare this approach with other established catheterization approaches. In this retrospective cohort study, a total of 493 consecutive patients with heart failure requiring right and left heart catheterization were studied and analyzed. Subsequently, all patients were divided into three groups based on the catheterization approach used: arm-arm, hybrid femoral-arm, and femoral-femoral access. The three groups did not significantly differ in their baseline clinical, demographic, or risk factor characteristics. The full arm-arm catheterization procedures were significantly longer when compared with hybrid femoral-arm and femoral-femoral approach (73 min vs 68 min vs 67 min, respectively; P=.04), but remarkably provided significantly less fluoroscopy radiation dose (40,337 ± 64,799 cG/cm² vs 62,270 ± 120,420 cG/cm² vs 156077 ± 566495 cG/cm², respectively; P=.04). Procedural complications were rare and occurred in 0.9% of the arm-arm group, 4.8% of the femoral-arm group, and 3.3% of the femoral-femoral group (P=.45). Finally, in arm-arm patients, a significantly earlier ambulation was achieved compared with the others groups (P=.02). Full arm-arm access for bilateral heart catheterization in patients with heart failure proved to be a safe and feasible approach, and was associated with lower radiation burden and early ambulation time when compared with hybrid arm-leg and full femoral catheterization approaches.

  16. Successful Angioplasty of Left Vertebral Artery and Right Subclavian Artery Via Retrograde Approach

    PubMed Central

    Namazi, Mohammad Hasan; Momenizadeh, Amir; Dousti, Amir; Naderian, Mohammadreza

    2017-01-01

    We describe a 77-year-old male who had right upper limb ischemic symptoms and history of unsuccessful right subclavian artery angioplasty. According to ultrasound findings, upper limb angiography was performed which confirmed stenosis of the left vertebral and right subclavian arteries. Percutaneous angioplasty and stenting of left vertebral and right subclavian arteries were performed in two separate sessions. Retrograde approach was scheduled for right subclavian artery angioplasty which is challenging due to potential risks to adjacent vertebral artery. This case reports underscores that percutaneous approaches may be preferential given their confirmed long-term efficacy and lower morbidity.

  17. Proximal radial artery ligation after distalization of a high flow brachio-cephalic fistula. A novel approach to inflow reduction.

    PubMed

    Smith, J B; Calder, F R

    2008-01-01

    High flow fistulae present a common challenge to vascular access (VA) surgeons and many strategies have been described, each with their benefits and limitations. There are no NK-DOQI guidelines for the management of high flow fistulae or indeed the management of those refractory to more conventional approaches. We discuss a novel technique to inflow reduction in a previously distalized brachiocephalic fistula and recommend the technique of proximal radial artery ligation.

  18. [Artificial Inversion of the Left-Right Visceral Asymmetry in Vertebrates: Conceptual Approaches and Experimental Solutions].

    PubMed

    Truleva, A S; Malashichev, E B; Ermakov, A S

    2015-01-01

    Externally, vertebrates are bilaterally symmetrical; however, left-right asymmetry is observed in the structure of their internal organs and systems of organs (circulatory, digestive, and respiratory). In addition to the asymmetry of internal organs (visceral), there is also functional (i.e., asymmetrical functioning of organs on the left and right sides of the body) and behavioral asymmetry. The question of a possible association between different types of asymmetry is still open. The study of the mechanisms of such association, in addition to the fundamental interest, has important applications for biomedicine, primarily for the understanding of the brain functioning in health and disease and for the development of methods of treatment of certain mental diseases, such as schizophrenia and autism, for which the disturbance of left-right asymmetry of the brain was shown. To study the deep association between different types of asymmetry, it is necessary to obtain adequate animal models (primarily animals with inverted visceral organs, situs inversus totalis). There are two main possible approaches to obtaining such model organisms: mutagenesis followed by selection of mutant strains with mutations in the genes that affect the formation of the left-right visceral asymmetry and experimental obtaining of animals with inverted internal organs. This review focuses on the second approach. We describe the theoretical models for establishing left-right asymmetry and possible experimental approaches to obtaining animals with inverted internal organs.

  19. Simultaneous resection of left atrial myxoma and esophageal carcinoma via right thoraco-abdominal approach

    PubMed Central

    Ni, Buqing; Lu, Xiaohu; Gong, Qixing

    2016-01-01

    Concomitant occurrence of atrial myxoma and esophageal carcinoma is an extremely rare entity. Here we present two cases of synchronously suffered left atrial myxoma and esophageal carcinoma. Both patients underwent simultaneous resection of two tumors via the right thoraco-abdominal approach and recovered well. PMID:27499990

  20. Breakdown of Burton Prim Slichter approach and lateral solute segregation in radially converging flows

    NASA Astrophysics Data System (ADS)

    Priede, J.; Gerbeth, G.

    2005-11-01

    A theoretical study is presented of the effect of a radially converging melt flow, which is directed away from the solidification front, on the radial solute segregation in simple solidification models. We show that the classical Burton-Prim-Slichter (BPS) solution describing the effect of a diverging flow on the solute incorporation into the solidifying material breaks down for the flows converging along the solidification front. The breakdown is caused by a divergence of the integral defining the effective boundary layer thickness which is the basic concept of the BPS theory. Although such a divergence can formally be avoided by restricting the axial extension of the melt to a layer of finite height, radially uniform solute distributions are possible only for weak melt flows with an axial velocity away from the solidification front comparable to the growth rate. There is a critical melt velocity for each growth rate at which the solution passes through a singularity and becomes physically inconsistent for stronger melt flows. To resolve these inconsistencies we consider a solidification front presented by a disk of finite radius R0 subject to a strong converging melt flow and obtain an analytic solution showing that the radial solute concentration depends on the radius r as ˜ln(R0/r) and ˜ln(R0/r) close to the rim and at large distances from it. The logarithmic increase of concentration is limited in the vicinity of the symmetry axis by the diffusion becoming effective at a distance comparable to the characteristic thickness of the solute boundary layer. The converging flow causes a solute pile-up forming a logarithmic concentration peak at the symmetry axis which might be an undesirable feature for crystal growth processes.

  1. Zinc uptake and radial transport in roots of Arabidopsis thaliana: a modelling approach to understand accumulation

    PubMed Central

    Claus, Juliane; Bohmann, Ansgar; Chavarría-Krauser, Andrés

    2013-01-01

    Background and Aims Zinc uptake in roots is believed to be mediated by ZIP (ZRT-, IRT-like proteins) transporters. Once inside the symplast, zinc is transported to the pericycle, where it exits by means of HMA (heavy metal ATPase) transporters. The combination of symplastic transport and spatial separation of influx and efflux produces a pattern in which zinc accumulates in the pericycle. Here, mathematical modelling was employed to study the importance of ZIP regulation, HMA abundance and symplastic transport in creation of the radial pattern of zinc in primary roots of Arabidopsis thaliana. Methods A comprehensive one-dimensional dynamic model of radial zinc transport in roots was developed and used to conduct simulations. The model accounts for the structure of the root consisting of symplast and apoplast and includes effects of water flow, diffusion and cross-membrane transport via transporters. It also incorporates the radial geometry and varying porosity of root tissues, as well as regulation of ZIP transporters. Key Results Steady-state patterns were calculated for various zinc concentrations in the medium, water influx and HMA abundance. The experimentally observed zinc gradient was reproduced very well. An increase of HMA or decrease in water influx led to loss of the gradient. The dynamic behaviour for a change in medium concentration and water influx was also simulated showing short adaptation times in the range of seconds to minutes. Slowing down regulation led to oscillations in expression levels, suggesting the need for rapid regulation and existence of buffering agents. Conclusions The model captures the experimental findings very well and confirms the hypothesis that low abundance of HMA4 produces a radial gradient in zinc concentration. Surprisingly, transpiration was found also to be a key parameter. The model suggests that ZIP regulation takes place on a comparable timescale as symplastic transport. PMID:23258417

  2. Influence of radial and tangential anisotropy components in single wall magnetic nanotubes. A Monte Carlo approach

    NASA Astrophysics Data System (ADS)

    Agudelo-Giraldo, J. D.; Morales-Rojas, S.; Hurtado-Marín, V. A.; Restrepo-Parra, E.

    2017-01-01

    Magnetic behaviour of nanotubes with square cell has been studied by the Monte Carlo Method, under the Metropolis algorithm and Heisenberg model. The Hamiltonian used includes nearest neighbour exchange interaction and radial and tangential direction for uniaxial anisotropy. Periodic boundary conditions were implemented at the sample's edges. Simulations were carried out varying the nanotube's diameter by changing the number of magnetic moments per ring and anisotropy values. Two transition temperatures were identified corresponding to states where moments were aligned as either ferromagnetic type or anisotropy direction. At low temperatures and low anisotropy values, the system exhibited a ferromagnetic alignment; as the anisotropy was increased, and continued in the low temperature range, spins were aligned in the anisotropy (radial or tangential) direction. As the temperature was increased, spins were reoriented in the ferromagnetic direction, generating a radial (tangential) anisotropy to ferromagnetic transition temperature. When the temperature continued increasing, the system transited toward the paramagnetic phase, appearing a ferromagnetic to paramagnetic transition phase temperature. In several cases studied here, between these two transition temperatures (anisotropy to ferromagnetic and ferromagnetic to paramagnetic transition phases), the magnetization of the system exhibited instabilities. These instabilities are caused because of the influence of the anisotropy values and the diameter of the nanotubes on the magnetic domains formation. As a consequence, there exist anisotropy values and diameters where metastable states were formed.

  3. Behavioral Approach System Sensitivity and Risk Taking Interact to Predict Left-Frontal EEG Asymmetry

    PubMed Central

    Black, Chelsea L.; Goldstein, Kim E.; LaBelle, Denise R.; Brown, Christopher W.; Harmon-Jones, Eddie; Abramson, Lyn Y.; Alloy, Lauren B.

    2014-01-01

    The Behavioral Approach System (BAS) hypersensitivity theory of bipolar disorder (BD; Alloy & Abramson, 2010; Depue & Iacono, 1989) suggests that hyperreactivity in the BAS results in the extreme fluctuations of mood characteristic of BD. In addition to risk conferred by BAS hypersensitivity, cognitive and personality variables may play a role in determining risk. We evaluated relationships among BAS sensitivity, risk taking, and an electrophysiological correlate of approach motivation, relative left-frontal electroencephalography (EEG) asymmetry. BAS sensitivity moderated the relationship between risk taking and EEG asymmetry. More specifically, individuals who were high in BAS sensitivity showed left-frontal EEG asymmetry regardless of their level of risk-taking behavior. However, among individuals who were moderate in BAS sensitivity, risk taking was positively associated with asymmetry. These findings suggest that cognitive and personality correlates of bipolar risk may evidence unique contributions to a neural measure of trait-approach motivation. Clinical implications of these findings are discussed. PMID:25022775

  4. Optimization of global model composed of radial basis functions using the term-ranking approach

    SciTech Connect

    Cai, Peng; Tao, Chao Liu, Xiao-Jun

    2014-03-15

    A term-ranking method is put forward to optimize the global model composed of radial basis functions to improve the predictability of the model. The effectiveness of the proposed method is examined by numerical simulation and experimental data. Numerical simulations indicate that this method can significantly lengthen the prediction time and decrease the Bayesian information criterion of the model. The application to real voice signal shows that the optimized global model can capture more predictable component in chaos-like voice data and simultaneously reduce the predictable component (periodic pitch) in the residual signal.

  5. Optimization of global model composed of radial basis functions using the term-ranking approach

    SciTech Connect

    Cai, Peng; Tao, Chao Liu, Xiao-Jun

    2014-03-15

    A term-ranking method is put forward to optimize the global model composed of radial basis functions to improve the predictability of the model. The effectiveness of the proposed method is examined by numerical simulation and experimental data. Numerical simulations indicate that this method can significantly lengthen the prediction time and decrease the Bayesian information criterion of the model. The application to real voice signal shows that the optimized global model can capture more predictable component in chaos-like voice data and simultaneously reduce the predictable component (periodic pitch) in the residual signal.

  6. Balloon-Assisted Tracking to Overcome Radial Spasm during Transradial Coronary Angiography: A Case Report

    PubMed Central

    Verouden, N. J. W.; Kiemeneij, F.

    2014-01-01

    Spasm of the radial artery is the most important cause of failure to perform coronary angiography via the transradial approach. Spasmolytic cocktail may prevent radial artery spasm but is relatively contraindicated in patients with aortic stenosis or diminished left ventricular function. In this case report we describe a recently published technique to overcome severe radial spasm during transradial coronary angiography in a patient with moderate aortic valve stenosis. PMID:24826306

  7. Balloon-Assisted Tracking to Overcome Radial Spasm during Transradial Coronary Angiography: A Case Report.

    PubMed

    Verouden, N J W; Kiemeneij, F

    2014-01-01

    Spasm of the radial artery is the most important cause of failure to perform coronary angiography via the transradial approach. Spasmolytic cocktail may prevent radial artery spasm but is relatively contraindicated in patients with aortic stenosis or diminished left ventricular function. In this case report we describe a recently published technique to overcome severe radial spasm during transradial coronary angiography in a patient with moderate aortic valve stenosis.

  8. Advantages of a workbench reshaped AR1 mod catheter for right coronary angiography by right radial approach.

    PubMed

    Baldi, Cesare; Mirra, Marco; Di Maio, Marco; Attisano, Tiziana; Di Muro, Michele Roberto; Vigorito, Francesco; Farina, Rosario; Polito, Maria Vincenza; Giudice, Pietro; Piscione, Federico

    2014-03-01

    Transradial approach in cardiac catheterization is increasing. In daily practice, coronary angiography via radial artery is usually performed by using catheters designed for femoral approach. The aim of this study was to evaluate advantages in the use of a workbench reshaped AR1 mod catheter, in terms of procedural duration time, number of catheters per procedure, fluoroscopy time, contrast agent administered volume, images quality and costs. Two hundred patients, submitted to coronary angiography via right radial artery in our institution, have been retrospectively reviewed. Patients have been divided in two groups, depending on whether a workbench reshaped Cordis Amplatz AR1 mod catheter (rAR1 mod), or catheters in their original shape (OC) have been employed. In the rAR1 mod group (100 patients) a lower number of catheters per procedure (1.07 ± 0.25 vs. 1.47 ± 1.65; p < 0.001), a more frequent right coronary selective engagement (76.76% vs. 53.12%; p < 0.001), a smaller amount of contrast agent (63.02 ± 27.77 vs. 80.85 ± 29.22 ml, p < 0.001), a reduced fluoroscopy and global procedural time (4.19 ± 2.91 vs. 5.69 ± 3.85 min, p = 0.004; and 34.58 ± 17.05 vs. 42.58 ± 17.26 min, p = 0.001, respectively) were observed. According to our experience, when right coronary angiography via right radial approach is performed, the utilization of rAR1 mod catheter correlates with multiple advantages in terms of procedural parameters.

  9. Radial Erosion

    NASA Technical Reports Server (NTRS)

    2005-01-01

    [figure removed for brevity, see original site]

    The ejecta surrounding the crater (off image to the left) in this image has undergone significant erosion by the wind. The wind has stripped the surface features from the ejecta and has started to winnow away the ejecta blanket. Near the margin of the ejecta the wind is eroding along a radial pattern -- taking advantage of radial emplacement. Note the steep margin of the ejecta blanket. Most, if not all, of the fine ejecta material has been removed and the wind in now working on the more massive continuous ejecta blanket.

    Image information: VIS instrument. Latitude 12.5, Longitude 197.4 East (162.6 West). 37 meter/pixel resolution.

    Note: this THEMIS visual image has not been radiometrically nor geometrically calibrated for this preliminary release. An empirical correction has been performed to remove instrumental effects. A linear shift has been applied in the cross-track and down-track direction to approximate spacecraft and planetary motion. Fully calibrated and geometrically projected images will be released through the Planetary Data System in accordance with Project policies at a later time.

    NASA's Jet Propulsion Laboratory manages the 2001 Mars Odyssey mission for NASA's Office of Space Science, Washington, D.C. The Thermal Emission Imaging System (THEMIS) was developed by Arizona State University, Tempe, in collaboration with Raytheon Santa Barbara Remote Sensing. The THEMIS investigation is led by Dr. Philip Christensen at Arizona State University. Lockheed Martin Astronautics, Denver, is the prime contractor for the Odyssey project, and developed and built the orbiter. Mission operations are conducted jointly from Lockheed Martin and from JPL, a division of the California Institute of Technology in Pasadena.

  10. On the applicability of the standard approaches for evaluating a neoclassical radial electric field in a tokamak edge region

    DOE PAGES

    Dorf, M. A.; Cohen, R. H.; Simakov, A. N.; ...

    2013-08-27

    The use of the standard approaches for evaluating a neoclassical radial electric field Er, i.e., the Ampere (or gyro-Poisson) equation, requires accurate calculation of the difference between the gyroaveraged electron and ion particle fluxes (or densities). In the core of a tokamak, the nontrivial difference appears only in high-order corrections to a local Maxwellian distribution due to the intrinsic ambipolarity of particle transport. The evaluation of such high-order corrections may be inconsistent with the accuracy of the standard long wavelength gyrokinetic equation (GKE), thus imposing limitations on the applicability of the standard approaches. However, in the edge of a tokamak,more » charge-exchange collisions with neutrals and prompt ion orbit losses can drive non-intrinsically ambipolar particle fluxes for which a nontrivial (Er-dependent) difference between the electron and ion fluxes appears already in a low order and can be accurately predicted by the long wavelength GKE. As a result, the parameter regimes where the radial electric field dynamics in the tokamak edge region is dominated by the non-intrinsically ambipolar processes, thus allowing for the use of the standard approaches, are discussed.« less

  11. On the applicability of the standard approaches for evaluating a neoclassical radial electric field in a tokamak edge region

    SciTech Connect

    Dorf, M. A.; Cohen, R. H.; Simakov, A. N.; Joseph, I.

    2013-08-27

    The use of the standard approaches for evaluating a neoclassical radial electric field Er, i.e., the Ampere (or gyro-Poisson) equation, requires accurate calculation of the difference between the gyroaveraged electron and ion particle fluxes (or densities). In the core of a tokamak, the nontrivial difference appears only in high-order corrections to a local Maxwellian distribution due to the intrinsic ambipolarity of particle transport. The evaluation of such high-order corrections may be inconsistent with the accuracy of the standard long wavelength gyrokinetic equation (GKE), thus imposing limitations on the applicability of the standard approaches. However, in the edge of a tokamak, charge-exchange collisions with neutrals and prompt ion orbit losses can drive non-intrinsically ambipolar particle fluxes for which a nontrivial (Er-dependent) difference between the electron and ion fluxes appears already in a low order and can be accurately predicted by the long wavelength GKE. As a result, the parameter regimes where the radial electric field dynamics in the tokamak edge region is dominated by the non-intrinsically ambipolar processes, thus allowing for the use of the standard approaches, are discussed.

  12. Assessing assay agreement estimation for multiple left-censored data: a multiple imputation approach.

    PubMed

    Lapidus, Nathanael; Chevret, Sylvie; Resche-Rigon, Matthieu

    2014-12-30

    Agreement between two assays is usually based on the concordance correlation coefficient (CCC), estimated from the means, standard deviations, and correlation coefficient of these assays. However, such data will often suffer from left-censoring because of lower limits of detection of these assays. To handle such data, we propose to extend a multiple imputation approach by chained equations (MICE) developed in a close setting of one left-censored assay. The performance of this two-step approach is compared with that of a previously published maximum likelihood estimation through a simulation study. Results show close estimates of the CCC by both methods, although the coverage is improved by our MICE proposal. An application to cytomegalovirus quantification data is provided.

  13. KANTBP 2.0: New version of a program for computing energy levels, reaction matrix and radial wave functions in the coupled-channel hyperspherical adiabatic approach

    NASA Astrophysics Data System (ADS)

    Chuluunbaatar, O.; Gusev, A. A.; Vinitsky, S. I.; Abrashkevich, A. G.

    2008-11-01

    A FORTRAN 77 program for calculating energy values, reaction matrix and corresponding radial wave functions in a coupled-channel approximation of the hyperspherical adiabatic approach is presented. In this approach, a multi-dimensional Schrödinger equation is reduced to a system of the coupled second-order ordinary differential equations on a finite interval with homogeneous boundary conditions: (i) the Dirichlet, Neumann and third type at the left and right boundary points for continuous spectrum problem, (ii) the Dirichlet and Neumann type conditions at left boundary point and Dirichlet, Neumann and third type at the right boundary point for the discrete spectrum problem. The resulting system of radial equations containing the potential matrix elements and first-derivative coupling terms is solved using high-order accuracy approximations of the finite element method. As a test desk, the program is applied to the calculation of the reaction matrix and radial wave functions for 3D-model of a hydrogen-like atom in a homogeneous magnetic field. This version extends the previous version 1.0 of the KANTBP program [O. Chuluunbaatar, A.A. Gusev, A.G. Abrashkevich, A. Amaya-Tapia, M.S. Kaschiev, S.Y. Larsen, S.I. Vinitsky, Comput. Phys. Commun. 177 (2007) 649-675]. Program summaryProgram title: KANTBP Catalogue identifier: ADZH_v2_0 Program summary URL:http://cpc.cs.qub.ac.uk/summaries/ADZH_v2_0.html Program obtainable from: CPC Program Library, Queen's University, Belfast, N. Ireland Licensing provisions: Standard CPC licence, http://cpc.cs.qub.ac.uk/licence/licence.html No. of lines in distributed program, including test data, etc.: 20 403 No. of bytes in distributed program, including test data, etc.: 147 563 Distribution format: tar.gz Programming language: FORTRAN 77 Computer: Intel Xeon EM64T, Alpha 21264A, AMD Athlon MP, Pentium IV Xeon, Opteron 248, Intel Pentium IV Operating system: OC Linux, Unix AIX 5.3, SunOS 5.8, Solaris, Windows XP RAM: This depends on the

  14. An alternative approach to explantation and exchange of the HeartWare left ventricular assist device.

    PubMed

    Sajjad, Mohammad; Butt, Tanveer; Oezalp, Faruk; Siddique, Aleem; Wrightson, Neil; Crawford, David; Pillay, Thasee; Schueler, Stephan

    2013-06-01

    Left ventricular assist device (LVAD) explantation and exchange is a relatively infrequent but potentially complex procedure. Patients requiring such procedures have multisystem suboptimal physiological reserve due to end-stage heart failure and are prone to complications. Less-invasive procedures are believed to facilitate postoperative recovery and early mobilization. We describe an alternative approach to explantation and exchange of the HeartWare LVAD through left thoracotomy. Six patients (M = 4, F = 2, mean age = 49.16 years) underwent device explant/exchange or initial implant (explant = 2, exchange = 3, initial implant = 1) through left thoracotomy utilizing cardiopulmonary bypass and induced ventricular fibrillation (VF). The mean bypass time and mean VF arrest time were 82 and 3 min, respectively. A new outflow graft was anastomosed to the previous outflow graft in 3 cases of device exchange and to the descending aorta in 1 case of initial implant. One patient died in the intensive care unit due to unrelated causes (gram-negative sepsis) after device exchange. All others were discharged alive and currently remain on follow-up. The mean length of hospital stay was 40.66 days. On-pump approach through single thoracotomy incision is safe and equally suitable for device explant, exchange and initial implant. However, structural heart defects requiring surgical correction and the requirement of simultaneous right ventricular assist device are the limitations of this approach.

  15. Short and long-term outcomes of alcohol septal ablation with the trans-radial versus the trans-femoral approach: A single center-experience.

    PubMed

    Sawaya, Fadi J; Louvard, Yves; Spaziano, Marco; Morice, Marie-Claude; Hage, Fouad; El-Khoury, Carlos; Roy, Andrew; Garot, Philippe; Hovasse, Thomas; Benamer, Hakim; Unterseeh, Thierry; Chevalier, Bernard; Champagne, Stéphane; Piechaud, Jean-François; Blanchard, Didier; Cormier, Bertrand; Lefèvre, Thierry

    2016-10-01

    Although the trans-radial approach (TR) has been applied to various subsets of patients in percutaneous coronary intervention, the feasibility, efficacy, acute procedural and long-term outcomes of TR versus trans-femoral approach (TF) for alcohol septal ablation (ASA) have not yet been determined. The aim of this study was to compare the short and long-term outcomes of ASA with the TR approach compared to the TF approach. We retrospectively analyzed 240 patients who underwent an ASA procedure at our institution from November 1999 to November 2015. The TR approach was performed in 172 cases and the TF approach in the remaining 68 cases. The use of TR approach progressively increased from 62% in 1999-2005 to 91% in 2011-2015 (p=0.0001). The TF and TR group had similar age, baseline NYHA class (NYHA 3 or 4) and mean left ventricular outflow tract peak gradient before ASA. Total contrast used (TR: 73.2±47.2ml; TF: 88.7±49.3ml, p=0.11), total radiation Air kerma area product (TR: 43.7±48.0Gycm(-2); TF: 55.9±48.2Gycm(-2); p=0.39) and peak left ventricular outflow tract gradient immediately after ASA (TR: 19.1±19.6mmHg; TF: 20.4±18.0mmHg, p=0.63) were similar in both groups. Procedural success was 91.9% and 91.2% in the TR and TF groups, respectively (p=0.53). At 30days, there was 2 intra-hospital death (1 in TF and 1 in TR), 1 major stroke in the TF group and 1 coronary artery dissection in the TR group. Vascular complications were less frequent in the TR group (0.58% vs. 7.3%; p=0.002). The mean length of follow-up was 4.56±4.34years (IQR 0.69-8.2; median 2.92years; maximum: 15.5years). By Kaplan-Meier estimate, the observed survival in the overall cohort was comparable to the expected survival for a sex and age-matched comparable general French population at 10years (86.9 vs. 83.6%, p=0.88). Survival was similar between the TR and TF group (92.1% vs. 89.7% at 6years, respectively; p=0.71). Alcohol septal ablation from the radial approach can be performed with

  16. Initial Comparison of Direct and Legacy Modeling Approaches for Radial Core Expansion Analysis

    SciTech Connect

    Shemon, Emily R.

    2016-10-10

    Radial core expansion in sodium-cooled fast reactors provides an important reactivity feedback effect. As the reactor power increases due to normal start up conditions or accident scenarios, the core and surrounding materials heat up, causing both grid plate expansion and bowing of the assembly ducts. When the core restraint system is designed correctly, the resulting structural deformations introduce negative reactivity which decreases the reactor power. Historically, an indirect procedure has been used to estimate the reactivity feedback due to structural deformation which relies upon perturbation theory and coupling legacy physics codes with limited geometry capabilities. With advancements in modeling and simulation, radial core expansion phenomena can now be modeled directly, providing an assessment of the accuracy of the reactivity feedback coefficients generated by indirect legacy methods. Recently a new capability was added to the PROTEUS-SN unstructured geometry neutron transport solver to analyze deformed meshes quickly and directly. By supplying the deformed mesh in addition to the base configuration input files, PROTEUS-SN automatically processes material adjustments including calculation of region densities to conserve mass, calculation of isotopic densities according to material models (for example, sodium density as a function of temperature), and subsequent re-homogenization of materials. To verify the new capability of directly simulating deformed meshes, PROTEUS-SN was used to compute reactivity feedback for a series of contrived yet representative deformed configurations for the Advanced Burner Test Reactor design. The indirect legacy procedure was also performed to generate reactivity feedback coefficients for the same deformed configurations. Interestingly, the legacy procedure consistently overestimated reactivity feedbacks by 35% compared to direct simulations by PROTEUS-SN. This overestimation indicates that the legacy procedures are in fact

  17. Total lower lip and chin reconstruction with radial forearm free flap: A novel approach.

    PubMed

    Dewey, Eliza H; Roche, Ansley M; Lazarus, Cathy L; Urken, Mark L

    The management of large chin and lower lip defects is challenging due to this facial subunit's tremendous functional and aesthetic importance. Specific methods for total lower lip and mentum reconstruction are not well chronicled. Aesthetic and functional goals of this reconstruction include restoration of oral competence by maintaining lower lip height, vermilion reestablishment, color-matched skin introduction to the chin, sensation restoration, and ideally restoration of dynamic activity to the lower lip. Literature review performed. Presentation of novel, two-stage technique for lower lip and chin reconstruction with a submental flap and a radial forearm free flap, suspension of the lower lip and chin with a tensor fascia lata graft, and vermilion reconstruction with a buccal mucosal flap. This procedure meets all goals of total lower lip reconstruction with the exception of the introduction of dynamic tissue and represents a novel solution to a challenging reconstructive problem. Copyright © 2017 Elsevier Inc. All rights reserved.

  18. Distributed Generators Allocation in Radial Distribution Systems with Load Growth using Loss Sensitivity Approach

    NASA Astrophysics Data System (ADS)

    Kumar, Ashwani; Vijay Babu, P.; Murty, V. V. S. N.

    2016-07-01

    Rapidly increasing electricity demands and capacity shortage of transmission and distribution facilities are the main driving forces for the growth of distributed generation (DG) integration in power grids. One of the reasons for choosing a DG is its ability to support voltage in a distribution system. Selection of effective DG characteristics and DG parameters is a significant concern of distribution system planners to obtain maximum potential benefits from the DG unit. The objective of the paper is to reduce the power losses and improve the voltage profile of the radial distribution system with optimal allocation of the multiple DG in the system. The main contribution in this paper is (i) combined power loss sensitivity (CPLS) based method for multiple DG locations, (ii) determination of optimal sizes for multiple DG units at unity and lagging power factor, (iii) impact of DG installed at optimal, that is, combined load power factor on the system performance, (iv) impact of load growth on optimal DG planning, (v) Impact of DG integration in distribution systems on voltage stability index, (vi) Economic and technical Impact of DG integration in the distribution systems. The load growth factor has been considered in the study which is essential for planning and expansion of the existing systems. The technical and economic aspects are investigated in terms of improvement in voltage profile, reduction in total power losses, cost of energy loss, cost of power obtained from DG, cost of power intake from the substation, and savings in cost of energy loss. The results are obtained on IEEE 69-bus radial distribution systems and also compared with other existing methods.

  19. Distributed Generators Allocation in Radial Distribution Systems with Load Growth using Loss Sensitivity Approach

    NASA Astrophysics Data System (ADS)

    Kumar, Ashwani; Vijay Babu, P.; Murty, V. V. S. N.

    2017-06-01

    Rapidly increasing electricity demands and capacity shortage of transmission and distribution facilities are the main driving forces for the growth of distributed generation (DG) integration in power grids. One of the reasons for choosing a DG is its ability to support voltage in a distribution system. Selection of effective DG characteristics and DG parameters is a significant concern of distribution system planners to obtain maximum potential benefits from the DG unit. The objective of the paper is to reduce the power losses and improve the voltage profile of the radial distribution system with optimal allocation of the multiple DG in the system. The main contribution in this paper is (i) combined power loss sensitivity (CPLS) based method for multiple DG locations, (ii) determination of optimal sizes for multiple DG units at unity and lagging power factor, (iii) impact of DG installed at optimal, that is, combined load power factor on the system performance, (iv) impact of load growth on optimal DG planning, (v) Impact of DG integration in distribution systems on voltage stability index, (vi) Economic and technical Impact of DG integration in the distribution systems. The load growth factor has been considered in the study which is essential for planning and expansion of the existing systems. The technical and economic aspects are investigated in terms of improvement in voltage profile, reduction in total power losses, cost of energy loss, cost of power obtained from DG, cost of power intake from the substation, and savings in cost of energy loss. The results are obtained on IEEE 69-bus radial distribution systems and also compared with other existing methods.

  20. Management of left main coronary artery obstruction after transcatheter aortic valve replacement utilizing a periscope approach.

    PubMed

    Drexel, Todd; Helmer, Gregory; Garcia, Santiago; Raveendran, Ganesh

    2017-09-20

    Coronary obstruction is a rare but potentially fatal complication of transcatheter aortic valve replacement (TAVR). It can result from native leaflet or stent frame obstruction of the coronary ostia. There are reports detailing the difficulty of percutaneous coronary intervention following TAVR, but none that describe a periscope approach to access the left main ostia in the presence of a braided nitinol frame. This report describes an alternative approach to access a coronary artery when the valve stent struts are prohibitive to equipment delivery. © 2017 Wiley Periodicals, Inc.

  1. Simultaneous Median-Radial Nerve Electrical Stimulation Revisited: An Accurate Approach to Carpal Tunnel Syndrome Diagnosis and Severity.

    PubMed

    Rodrigues, Thaís; Winckler, Pablo B; Félix-Torres, Vitor; Schestatsky, Pedro

    2016-12-01

    To assess the accuracy of an unusual test for CTS investigation and correlate it with clinical symptoms. Initially, we applied a visual analog scale for CTS discomfort (CTS-VAS) and performed a standard electrophysiologic test for CTS diagnosis (median-ulnar velocity comparison). Posteriorly, a blinded neurophysiologist performed the orthodromic simultaneous median-radial nerve stimulation (SMRS) at the thumb, with recording of both action potentials over the lateral aspect of the wrist. All hands (106) showed median-radial action potential splitting using the SMRS technique, in which was possible to measure the interpeak latencies (IPLs) between action potentials. The IPL and median nerve conduction velocity were different according to CTS intensity (Bonferroni; P < 0.001). There was significant correlation between IPL and median nerve conduction velocity (Spearman; r = -0.51; P < 0.01). In the same way, there was a significant correlation between IPL and median nerve conduction velocity with CTS-VAS (r = 0.6 and r = -0.3, respectively). The duration and unpleasantness of the SMRS procedure were lower when compared with standard approach (t Student < 0.001 for both comparisons). Twenty-nine symptomatic patients (39 hands) who did not fulfill criteria for CTS based on standard approach showed abnormal IPLs. The SMRS technique is a simple, sensitive, and tolerable approach for CTS diagnosis. Apart from that, the data from SMRS correlated better with clinical impact of CTS in comparison with the standard approach. Therefore, this method might be useful as adjunct to standard electrophysiologic approaches in clinical practice.

  2. Left atrial appendage exclusion for prevention of stroke in atrial fibrillation: review of minimally invasive approaches.

    PubMed

    Moss, Joshua D

    2014-02-01

    Stroke prevention is of vital importance in the management of atrial fibrillation (AF), though the proven strategy of systemic anticoagulation for thromboembolic prophylaxis is underutilized for a variety of reasons. The left atrial appendage (LAA) has long been suspected as the principal source of arterial emboli, particularly in nonvalvular AF, and a variety of techniques for its exclusion from the circulation have been developed. This review highlights the history of the LAA as a target of intervention, and the parallel advances in three minimally invasive strategies for its exclusion: percutaneous occlusion of the LAA orifice from within the left atrium, closed-chest ligation via a percutaneous pericardial approach, and minimally invasive thoracoscopic surgery. While further study is necessary, available evidence suggests that effective LAA exclusion is becoming a viable alternative to anticoagulation for stroke prevention in nonvalvular AF.

  3. Energy efficiency in Spanish wastewater treatment plants: a non-radial DEA approach.

    PubMed

    Hernández-Sancho, F; Molinos-Senante, M; Sala-Garrido, R

    2011-06-15

    Wastewater treatment plants (WWTPs) are energy-intensive facilities. Thus, reducing their carbon footprint is particularly important, both economically and environmentally. Knowing the real operating energy efficiency of WWTPs is the starting point for any energy-saving initiative. In this article, we applied a non-radial Data Envelopment Analysis (DEA) methodology to calculate energy efficiency indices for sampling of WWTPs located in Spain. In a second stage analysis, we examined the operating variables contributing to differences in energy efficiency among plants. It is verified that energy efficiencies of the analyzed WWTPs were quite low, with only 10% of them being efficient. We found that plant size, quantity of organic matter removed, and type of bioreactor aeration were significant variables in explaining energy efficiency differences. In contrast, age of the plant was not a determining factor in energy consumption. Lastly, we quantified the potential savings, both in economic terms and in terms of CO(2) emissions, that could be expected from an improvement in energy efficiency of WWTPs.

  4. Longitudinal gradient coils with enhanced radial uniformity in restricted diameter: Single-current and multiple-current approaches.

    PubMed

    Romero, Javier A; Domínguez, Gabriela A; Anoardo, Esteban

    2017-03-01

    An important requirement for a gradient coil is that the uniformity of the generated magnetic field gradient should be maximal within the active volume of the coil. For a cylindrical geometry, the radial uniformity of the gradient turns critic, particularly in cases where the gradient-unit has to be designed to fit into the inner bore of a compact magnet of reduced dimensions, like those typically used in fast-field-cycling NMR. In this paper we present two practical solutions aimed to fulfill this requirement. We propose a matrix-inversion optimization algorithm based on the Biot-Savart law, that using a proper cost function, allows maximizing the uniformity of the gradient and power efficiency. The used methodology and the simulation code were validated in a single-current design, by comparing the computer simulated field map with the experimental data measured in a real prototype. After comparing the obtained results with the target field approach, a multiple-element coil driven by independent current sources is discussed, and a real prototype evaluated. Opposed equispaced independent windings are connected in pairs conforming an arrangement of independent anti-Helmholtz units. This last coil seizes 80% of its radial dimension with a gradient uniformity better than 5%. The design also provides an adaptable region of uniformity along with adjustable coil efficiency.

  5. Longitudinal gradient coils with enhanced radial uniformity in restricted diameter: Single-current and multiple-current approaches

    NASA Astrophysics Data System (ADS)

    Romero, Javier A.; Domínguez, Gabriela A.; Anoardo, Esteban

    2017-03-01

    An important requirement for a gradient coil is that the uniformity of the generated magnetic field gradient should be maximal within the active volume of the coil. For a cylindrical geometry, the radial uniformity of the gradient turns critic, particularly in cases where the gradient-unit has to be designed to fit into the inner bore of a compact magnet of reduced dimensions, like those typically used in fast-field-cycling NMR. In this paper we present two practical solutions aimed to fulfill this requirement. We propose a matrix-inversion optimization algorithm based on the Biot-Savart law, that using a proper cost function, allows maximizing the uniformity of the gradient and power efficiency. The used methodology and the simulation code were validated in a single-current design, by comparing the computer simulated field map with the experimental data measured in a real prototype. After comparing the obtained results with the target field approach, a multiple-element coil driven by independent current sources is discussed, and a real prototype evaluated. Opposed equispaced independent windings are connected in pairs conforming an arrangement of independent anti-Helmholtz units. This last coil seizes 80% of its radial dimension with a gradient uniformity better than 5%. The design also provides an adaptable region of uniformity along with adjustable coil efficiency.

  6. Discrimination of Venezuelan spirituous beverages by a trace element-radial basis neural network approach.

    PubMed

    Hernández-Caraballo, Edwin A; Avila de Hernández, Rita M; Rivas-Echeverría, Francklin; Capote-Luna, Tarcisio

    2008-01-15

    Radial basis neural networks (RBNNs) were developed and evaluated for discrimination of specimens of 'aguardiente de Cocuy', a spirituous beverage produced in the northwestern region of Venezuela. The beverage is distilled from the must of Agave cocui Trelease in an artisanship fashion with little quality control. Forty specimens, with known concentrations of copper, iron, and zinc, were used in this study. The specimens were previously collected in various locations around Sucre Municipality (Falcón State) and Urdaneta Municipality (Lara State). The normalized concentrations of these elements served as indirect descriptors of origin (input data). They were presented to the neural networks through 1-3 input nodes in seven different combinations. In addition, two categories (two collection sites) and four categories (two collection sites+two manufacturing conditions) were designated as output data, in order to assess the impact of such selection on the discrimination performance. The overall performance of the four-category RBNNs was as follows (the input data is indicated in parentheses): (Cu-Fe)>(Cu-Zn)>(Cu)>(Zn)>(Fe-Zn)>(Cu-Fe-Zn)>(Fe). In this case, the highest percentage of correct hits was 82.5%. For the two-category RBNNs, the performance decreased as indicated below: (Cu)>(Cu-Fe)>(Cu-Zn)>(Fe-Zn)>(Zn) approximately (Cu-Fe-Zn)>(Fe). The reduction in the number of categories led to an increase in the discrimination performance of all the RBNNs, the best of which was 90.0%. The possibility of discriminating specimens of 'aguardiente de Cocuy' with such an accuracy, based on a single-element determination, is particularly attractive as it would result in a reduction of analysis' costs and laboratory's response time.

  7. Single-port laparoscopic approach of the left liver: initial experience.

    PubMed

    Camps Lasa, Judith; Cugat Andorrà, Esteban; Herrero Fonollosa, Eric; García Domingo, María Isabel; Sánchez Martínez, Raquel; Vargas Pierola, Harold; Rodríguez Campos, Aurora

    2014-11-01

    New technological advances have enabled the development of single-port laparoscopic surgery. This approach began with cholecystectomy and subsequently with other abdominal surgeries. However, few publications on laparoscopic liver surgery have described the use of complete single-port access. We present our initial experience of a single-port laparoscopic hepatectomy. Between May 2012 and December 2013, 5 single-port laparoscopic hepatectomies were performed: one for benign disease and four for colorectal liver metastases. The lesions were approached through a 3-5 cm right supraumbilical incision using a single-port access device. All the lesions were located in hepatic segments II or III. Four left lateral sectorectomies and one left hepatectomy were performed. Median operative time was 135 min. No cases were converted to conventional laparoscopic or open surgery. The oral intake began at 18 h. There were no postoperative complications and no patients required blood transfusion. The median hospital stay was 3 days. The degree of satisfaction was very good in 4 cases and good in one. Patients resumed their normal daily activities at 8 days. Single-port laparoscopic hepatectomy is safe and feasible in selected cases and may reduce surgical aggression and offer better cosmetic results. Comparative studies are needed to determine the real advantages of this approach. Copyright © 2014 AEC. Published by Elsevier Espana. All rights reserved.

  8. Electrophysiologic testing guided risk stratification approach for sudden cardiac death beyond the left ventricular ejection fraction.

    PubMed

    Gatzoulis, Konstantinos A; Tsiachris, Dimitris; Arsenos, Petros; Tousoulis, Dimitris

    2016-01-26

    Sudden cardiac death threats ischaemic and dilated cardiomyopathy patients. Anti- arrhythmic protection may be provided to these patients with implanted cardiac defibrillators (ICD), after an efficient risk stratification approach. The proposed risk stratifier of an impaired left ventricular ejection fraction has limited sensitivity meaning that a significant number of victims will remain undetectable by this risk stratification approach because they have a preserved left ventricular systolic function. Current risk stratification strategies focus on combinations of non invasive methods like T wave alternans, late potentials, heart rate turbulence, deceleration capacity and others, with invasive methods like the electrophysiologic study. In the presence of an electrically impaired substrate with formed post myocardial infarction fibrotic zones, programmed ventricular stimulation provides important prognostic information for the selection of the patients expected to benefit from an ICD implantation, while due to its high negative predictive value, patients at low risk level may also be detected. Clustering evidence from different research groups and electrophysiologic labs support an electrophysiologic testing guided risk stratification approach for sudden cardiac death.

  9. [Evaluation of superior transseptal approach for the removal of left atrial myxoma].

    PubMed

    Kunitomo, R; Okamoto, K; Utoh, J; Nishimura, K; Muranaka, T; Tsurusaki, S; Hagio, K; Kitamura, N

    2001-03-01

    We compared the operative outcomes among 14 patients who underwent the removal of left atrial myxoma with four different approaches; right lateral (n = 2), transseptal bi-atrial (Dubost, n = 4), conventional transseptal (n = 4) and superior transseptal approach (STA, n = 4). Concomitant operations were performed in 4 cases (CABG, two; aortic valvuloplasty, one; mitral valve replacement, one), and two out of 4 cases were in the STA group. The mean operation, cardiopulmonary bypass and aortic cross-clamp times were shorter in the STA group compared to the other three group. The total amount of postoperative drain discharge and the peak value of creatine kinase were also lower in the STA group compared to the other three groups. Among the patients in sinus rhythm before operation, the use of STA was associated with a greater incidence (100%) of postoperative atrial fibrillation or junctional rhythm. These rhythm disturbances were temporary, and all returned to sinus rhythms during hospital stay. We conclude that STA is an excellent approach with a nice surgical view to expose and remove the left atrial myxoma.

  10. Comparing estimation approaches for the illness-death model under left truncation and right censoring.

    PubMed

    Vakulenko-Lagun, Bella; Mandel, Micha

    2016-04-30

    Left-truncated data arise when lifetimes are observed only if they are larger than independent truncation times. For example, in a cross-sectional sampling, only individuals who live long enough to be present on the sampling day are observed. There are several ways to perform statistical inference under this setting. One can do the following: (i) use an unconditional approach, (ii) condition on the value of the truncation variable, or (iii) condition on all the history up to the time of truncation. The latter two approaches are equivalent when analyzing univariate survival outcomes but differ under the multi-state framework. In this paper, we consider the illness-death model and compare between the three estimation approaches in a parametric regression framework. We show that approach (ii) is more efficient than the standard approach (iii), although it requires more computational effort. Approach (i) is the most efficient approach, but it requires knowledge on the distribution of the truncation variable and hence is less robust. The methods are compared using a theoretical example and simulations and are applied to intensive care units data collected in a cross-sectional design, where the illness state corresponds to a bloodstream infection.

  11. Left molar approach improves laryngeal view in patients with simulated limitation of cervical movements.

    PubMed

    Saini, S; Bala, R; Singh, R

    2008-07-01

    Immobilized cervical spine, because of either diseases or stabilizing devices, poses considerable difficulties with endotracheal intubation due to poor laryngoscopic view. The left molar (LM) approach has been shown to be useful in difficult sporadic intubation cases. We evaluated efficacy of this approach of laryngoscopy to improve laryngeal view in patients with simulated limitation of cervical movements. Thirty patients of American Society of Anesthesiologists grade I/II, who were scheduled to undergo routine surgical procedures under general anaesthesia and endotracheal intubation, were studied. A two-piece semi-rigid cervical collar was used to immobilize the cervical spine. Under standardized anaesthesia and neuromuscular blocking agent, conventional laryngoscopy using a curved Macintosh blade was performed and glottic view was recorded with and without optimal external laryngeal manipulation (OELM). Subsequently, in the same subjects the laryngoscope blade was withdrawn and re-inserted through the LM approach and glottic view was recorded with and without OELM followed by tracheal intubation. With the conventional approach, laryngeal view was recorded as grade II in five patients, grade III in 24 patients, and grade IV in one patient. However, with the LM approach, laryngeal view was grade I in 25 patients, grade II in five patients, and grade III or IV in none (P<0.001). Tracheal intubation with the LM approach required the use of a flexible stylet to guide the tube tip into the larynx. The laryngeal view is improved by the LM approach in patients with simulated limited cervical movements with a high success rate of tracheal intubation, but requires orientation for negotiation of the tube through the narrow oropharyngeal space available.

  12. A semi-analytical approach for calculating the equilibrium structure and radial breathing mode frequency of single-walled carbon nanotubes

    NASA Astrophysics Data System (ADS)

    Gong, J.; Thompson, L.; Li, G.

    2016-12-01

    A semi-analytical model for determining the equilibrium configuration and the radial breathing mode (RBM) frequency of single-wall carbon nanotubes (CNTs) is presented. By taking advantage of the symmetry characteristics, a CNT structure is represented by five independent variables. A line search optimization procedure is employed to determine the equilibrium values of these variables by minimizing the potential energy. With the equilibrium configuration obtained, the semi-analytical model enables an efficient calculation of the RBM frequency of the CNTs. The radius and radial breathing mode frequency results obtained from the semi-analytical approach are compared with those from molecular dynamics (MD) and ab initio calculations. The results demonstrate that the semi-analytical approach offers an efficient and accurate way to determine the equilibrium structure and radial breathing mode frequency of CNTs.

  13. Multiscale approaches to protein-mediated interactions between membranes—relating microscopic and macroscopic dynamics in radially growing adhesions

    NASA Astrophysics Data System (ADS)

    Bihr, Timo; Seifert, Udo; Smith, Ana-Sunčana

    2015-08-01

    Macromolecular complexation leading to coupling of two or more cellular membranes is a crucial step in a number of biological functions of the cell. While other mechanisms may also play a role, adhesion always involves the fluctuations of deformable membranes, the diffusion of proteins and the molecular binding and unbinding. Because these stochastic processes couple over a multitude of time and length scales, theoretical modeling of membrane adhesion has been a major challenge. Here we present an effective Monte Carlo scheme within which the effects of the membrane are integrated into local rates for molecular recognition. The latter step in the Monte Carlo approach enables us to simulate the nucleation and growth of adhesion domains within a system of the size of a cell for tens of seconds without loss of accuracy, as shown by comparison to 106 times more expensive Langevin simulations. To perform this validation, the Langevin approach was augmented to simulate diffusion of proteins explicitly, together with reaction kinetics and membrane dynamics. We use the Monte Carlo scheme to gain deeper insight to the experimentally observed radial growth of micron sized adhesion domains, and connect the effective rate with which the domain is growing to the underlying microscopic events. We thus demonstrate that our technique yields detailed information about protein transport and complexation in membranes, which is a fundamental step toward understanding even more complex membrane interactions in the cellular context.

  14. A bio-inspired approach for the reduction of left ventricular workload.

    PubMed

    Pahlevan, Niema M; Gharib, Morteza

    2014-01-01

    Previous studies have demonstrated the existence of optimization criteria in the design and development of mammalians cardiovascular systems. Similarities in mammalian arterial wave reflection suggest there are certain design criteria for the optimization of arterial wave dynamics. Inspired by these natural optimization criteria, we investigated the feasibility of optimizing the aortic waves by modifying wave reflection sites. A hydraulic model that has physical and dynamical properties similar to a human aorta and left ventricle was used for a series of in-vitro experiments. The results indicate that placing an artificial reflection site (a ring) at a specific location along the aorta may create a constructive wave dynamic that could reduce LV pulsatile workload. This simple bio-inspired approach may have important implications for the future of treatment strategies for diseased aorta.

  15. A Bio-Inspired Approach for the Reduction of Left Ventricular Workload

    PubMed Central

    Pahlevan, Niema M.; Gharib, Morteza

    2014-01-01

    Previous studies have demonstrated the existence of optimization criteria in the design and development of mammalians cardiovascular systems. Similarities in mammalian arterial wave reflection suggest there are certain design criteria for the optimization of arterial wave dynamics. Inspired by these natural optimization criteria, we investigated the feasibility of optimizing the aortic waves by modifying wave reflection sites. A hydraulic model that has physical and dynamical properties similar to a human aorta and left ventricle was used for a series of in-vitro experiments. The results indicate that placing an artificial reflection site (a ring) at a specific location along the aorta may create a constructive wave dynamic that could reduce LV pulsatile workload. This simple bio-inspired approach may have important implications for the future of treatment strategies for diseased aorta. PMID:24475239

  16. Electrical approach to improve left ventricular activation during right ventricle stimulation.

    PubMed

    Bonomini, María Paula; Ortega, Daniel F; Barja, Luis D; Mangani, Nicolasa; Paolucci, Analía; Logarzo, Emilio

    2017-01-01

    Coronary sinus mapping is commonly used to evaluate left atrial activation. Herein, we propose to use it to assess which right ventricular pacing modality produces the shortest left ventricular activation times (R-LVtime) and the narrowest QRS widths. Three study groups were defined: 54 controls without intraventricular conduction disturbances; 15 patients with left bundle branch block, and other 15 with right bundle branch block. Left ventricular activation times and QRS widths were evaluated among groups under sinus rhythm, right ventricular apex, right ventricular outflow tract and high output septal zone (SEPHO). Left ventricular activation time was measured as the time elapsed from the surface QRS onset to the most distal left ventricular deflection recorded at coronary sinus. During the above stimulation modalities, coronary sinus mapping reproduced electrical differences that followed mechanical differences measured by tissue doppler imaging. Surprisingly, 33% of the patients with left bundle branch block displayed an early left ventricular activation time, suggesting that these patients would not benefit from resynchronization therapy. SEPHO improved QRS widths and left ventricular activation times in all groups, especially in patients with left bundle branch block, in whom these variables became similar to controls. Left ventricular activation time could be useful to search the optimum pacing site and would also enable detection of non-responders to cardiac resynchronization therapy. Finally, SEPHO resulted the best pacing modality, because it narrowed QRS-complexes and shortened left ventricular activations of patients with left bundle branch block and preserved the physiological depolarization of controls.

  17. A Bayesian Approach for Summarizing and Modeling Time-Series Exposure Data with Left Censoring.

    PubMed

    Houseman, E Andres; Virji, M Abbas

    2017-08-01

    Direct reading instruments are valuable tools for measuring exposure as they provide real-time measurements for rapid decision making. However, their use is limited to general survey applications in part due to issues related to their performance. Moreover, statistical analysis of real-time data is complicated by autocorrelation among successive measurements, non-stationary time series, and the presence of left-censoring due to limit-of-detection (LOD). A Bayesian framework is proposed that accounts for non-stationary autocorrelation and LOD issues in exposure time-series data in order to model workplace factors that affect exposure and estimate summary statistics for tasks or other covariates of interest. A spline-based approach is used to model non-stationary autocorrelation with relatively few assumptions about autocorrelation structure. Left-censoring is addressed by integrating over the left tail of the distribution. The model is fit using Markov-Chain Monte Carlo within a Bayesian paradigm. The method can flexibly account for hierarchical relationships, random effects and fixed effects of covariates. The method is implemented using the rjags package in R, and is illustrated by applying it to real-time exposure data. Estimates for task means and covariates from the Bayesian model are compared to those from conventional frequentist models including linear regression, mixed-effects, and time-series models with different autocorrelation structures. Simulations studies are also conducted to evaluate method performance. Simulation studies with percent of measurements below the LOD ranging from 0 to 50% showed lowest root mean squared errors for task means and the least biased standard deviations from the Bayesian model compared to the frequentist models across all levels of LOD. In the application, task means from the Bayesian model were similar to means from the frequentist models, while the standard deviations were different. Parameter estimates for covariates

  18. Radial engine

    SciTech Connect

    Kmicikiewicz, M.A.

    1988-03-01

    A radial engine is described comprising: a housing; equally spaced openings disposed in ring-like arrangement on the periphery of the housing; a piston and cylinder arrangement in each of the opening, a piston rod for each arrangement fixed to and extending radially inwardly from its respective piston and through its respective opening; shoe means pivotally attached at the other end of each of the piston rod; radial guide means extending in the housing in line with each of the piston rods, and the shoe means provided with guide means followers to ensure radial reciprocal movement of the piston rods and shoe means; and a connecting ring journaled on a crankshaft for circular translation motion in the housing, the ring including a circular rim. Each shoe means includes an arcuate follower member being slidably connected to the rim of the connecting ring.

  19. A restricted branch and bound approach for setting the left turn phase sequences in signalized networks

    SciTech Connect

    Pillai, R.S.; Rathi, A.K.; Cohen, S.

    1994-07-01

    The main objective of synchronized signal timing is to keep traffic moving along arterial in platoons throughout the signal system by proper setting of left turn phase sequence at signals along the arterials/networks. The synchronization of traffic signals located along the urban/suburban arterials in metropolitan areas is perhaps one of the most cost-effective method for improving traffic flow along these streets. The popular technique for solving this problem formulates it as a mixed integer linear program and used Land and Powell branch and bound search to arrive at the optimal solution. The computation time tends to be excessive for realistic multiarterial network problems due to the exhaustive nature of the branch and bound search technique. Furthermore, the Land and Powell branch and bound code is known to be numerically unstable, which results in suboptimal solutions for network problems with a range on the cycle time variable. This paper presents the development of a fast and numerically stable heuristic, developed using MINOS linear programming solver. The new heuristic can generate optimal/near-optimal solutions in a fraction of the time needed to compute the optimal solution by Land and Powell code. The solution technique is based on restricted search using branch and bound technique. The efficiency of the heuristic approach is demonstrated by numerical results for a set of test problems.

  20. Left-colon antegrade enema (LACE): Long-term experience with the Macedo-Malone approach.

    PubMed

    Anselmo, Christophe B; do Amaral, Rafael D R; Oliveira, Diego E G; da Cruz, Marcela Leal; Liguori, Riberto; Garrone, Gilmar; Leslie, Bruno; Ottoni, Sérgio L; Ortiz, Valdemar; Macedo, Antonio

    2017-01-01

    We evaluated the long-term results with a left antegrade continence enema (LACE) approach: "Macedo-Malone (MM) procedure" to define parameters such as clinical durability of the technique and patients' compliance with the method. We reviewed the medical records of all patients that underwent the MM procedure in our institution since 2001 and conducted a telephonic interview to investigate the use of the enema and satisfaction with the procedure. Thirty-five MM procedures were performed, but eight patients lost to follow-up were excluded. Fifteen patients (55%) were female. Myelomeningocele was the clinical diagnoses in 25 (93%). Mean age at surgery was 9 years (3-27 years) and mean follow-up was 75 months (median: 56 months). The indication for LACE was clinically intractable constipation with fecal leakage. Most patients still used the stoma regularly to do the enema (74%). Mean washout time was 27 min (2-90 min). The revision rate due to stenosis was 22.2% (6/27) and all underwent suprafascial revision. We performed one classical MACE by infrafascial approach as a salvage procedure. Overall reoperation rate was 25.8% and fecal continence was 89%. There were no reports of leakage through the stoma. Among patients who still used the stoma, 74% were satisfied with surgery and would strongly recommend the procedure to another patient. The MM procedure is a straightforward procedure, which can be performed in 15-20 min, avoids additional entero-entero anastomosis, precludes the use of the appendix, and has shown comparable results to either "classical" MACE or other LACE variants. Neurourol. Urodynam. 36:111-115, 2017. © 2015 Wiley Periodicals, Inc. © 2015 Wiley Periodicals, Inc.

  1. Obstructive membrane at the base of the left atrial appendage, a multi-imaging approach.

    PubMed

    Chejtman, Demián; Failo, Matías; Richarte Rueda, Valeria; Logarzo, Emilio; Barja, Luis; Benticuaga, Alejandro; Ayerdi, Maria Laura; Turri, Domingo; Baratta, Sergio; Aguirre, Pablo; Hita, Alejandro

    2015-05-01

    The left atrial appendage (LAA) is a small muscular extension that grows from the anterolateral wall of the left atrium, in the proximity of the left pulmonary veins. The presence of a membrane in the LAA is a rare clinical entity whose origin is not known. Its clinical implication in the genesis of atrial arrhythmias and thromboembolic risk remains unknown. We report a case of an obstructive membrane located at the base of the LAA, found incidentally in a young patient who was initially undergoing a transesophageal echocardiogram prior to an invasive treatment for atrial fibrillation.

  2. Current practice of transradial approach for coronary procedures: A survey by the Italian Society of Interventional Cardiology (SICI-GISE) and the Italian Radial Club.

    PubMed

    Rigattieri, Stefano; Valsecchi, Orazio; Sciahbasi, Alessandro; Tomassini, Francesco; Limbruno, Ugo; Marchese, Alfredo; La Manna, Alessio; Mauro, Ciro; Varbella, Ferdinando; Berti, Segio; Tarantino, Fabio F; Musumeci, Giuseppe

    Transradial approach (TRA) for percutaneous coronary procedures is associated with improved patient outcome and is being increasingly adopted worldwide. We surveyed Italian interventional cardiologists in order to take a snapshot of the current practice of TRA. A web-based questionnaire was emailed to all members of the Italian Society of Interventional Cardiology. The survey was taken by 508 respondents. Cardiogenic shock and chronic total occlusions represented the principal limitations to TRA. Right TRA was the default approach for 81% of respondents. Both diagnostic and interventional procedures were routinely performed through 6 Fr sheaths (83% and 93%, respectively); dedicated TRA curves were used in 11% of diagnostic and in about 3% of interventional procedures. Almost 70% of the operators did not assess dual hand circulation. In case of crossover, the contralateral radial artery was the preferred site (57%). Radial artery hemostasis was mostly achieved by pneumatic bracelet (64%) and patency of the radial artery during hemostasis was ensured in 60% of cases. Pre-discharge patency of the radial artery was routinely assessed by almost 60% of respondents. For diagnostic procedures, adequate heparin anticoagulation (5000IU) was only given by 45% of operators. Most respondents believed that TRA is associated with greater radiation exposure for both the patient (82%) and the operator (98%) as compared to transfemoral approach. This survey provides contemporary data about the adoption of TRA in Italy and gives interesting insights about several technical and clinical issues related to the practice of this vascular approach for coronary procedures. Copyright © 2017 Elsevier Inc. All rights reserved.

  3. An Intelligent Approach to Educational Data: Performance Comparison of the Multilayer Perceptron and the Radial Basis Function Artificial Neural Networks

    ERIC Educational Resources Information Center

    Kayri, Murat

    2015-01-01

    The objective of this study is twofold: (1) to investigate the factors that affect the success of university students by employing two artificial neural network methods (i.e., multilayer perceptron [MLP] and radial basis function [RBF]); and (2) to compare the effects of these methods on educational data in terms of predictive ability. The…

  4. Morphologic expression of the left coronary artery in pigs. An approach in relation to human heart

    PubMed Central

    Gómez, Fabian Alejandro; Ballesteros, Luis Ernesto

    2014-01-01

    Introduction In spite of its importance as an experimental model, the information on the left coronary artery in pigs is sparse. Objective To determine the morphologic features of the left coronary artery in pigs. Methods We evaluated 158 pig hearts. The left coronary artery was perfused with synthetic resin after their ostia had been catheterized. Diameters and courses of the vascular beds were measured with an electronic caliper (Mitutoyo®). Results The diameter of left coronary artery was 6.98 ± 1.56 mm and its length was 3.51±0.99 mm. It was found to end up by bifurcating itself into the anterior interventricular artery and the circumflex artery in 79% of the cases, and by trifurcating in 21% of the cases, with the presence of the diagonal artery. The anterior interventricular artery ended up at the apex in 79.7% of the cases, and the circumflex artery at the posterior aspect of the left ventricle in 64% of the case, this artery never reached the posterior interventricular sulcus. An anastomosis between the terminal branches of the anterior interventricular artery and the posterior interventricular artery was found in 7.6% of the specimens. The antero-superior branch of the anterior interventricular artery occurred in 89.9% of the hearts. A left marginal branch was observed in 87.9% of the cases with a diameter of 2.25±0.55 mm. Conclusion Compared with humans, pigs have shorter left coronary artery trunks and branches; even the circumflex artery never reaches the posterior interventricular sulcus. Our findings are useful for the design of experimental hemodynamic and procedural models. PMID:25140471

  5. Comparison of the morphometric features of the left and right horse kidneys: a stereological approach.

    PubMed

    Bolat, D; Bahar, S; Tipirdamaz, S; Selcuk, M L

    2013-12-01

    The aims of this study were to determine the total volume of the horse kidney and volume fractions of its functional subcomponents (cortex, medulla, renal pelvis) using stereological methods and investigate any possible difference in the functional subcomponents of the right and left kidneys that may arise from differences in shape. The study was carried out on the kidneys of 5 horses of different breed and sex. The weight of the kidneys was measured by a digital scale, and kidney volume was calculated by Archimedes' principle. Total kidney volume and volume fractions of subcomponents of the right and left kidneys were estimated by the Cavalieri's principle. The weights of the right and left kidneys were 550 ± 25 g and 585 ± 23 g, respectively. The volumes of the right and left kidneys estimated using the Cavalieri method were 542 ± 46 ml and 581 ± 29 ml. The relative organ weight of the kidneys was calculated as 1:330. The densities of the right and left kidneys were determined to be 1.01 and 1.00, respectively. The mean volume fractions of the cortex, medulla and renal pelvis were determined as 55.6, 42.7 and 1.7 in both kidneys. No statistically significant difference existed between morphometric data pertaining to the right and left kidneys (P > 0.05). To determine precisely whether differences in shape cause any difference in the functional subcomponents of the right and left kidneys requires further investigation of differences in the number of microscopically functional unit of the kidney such as renal glomeruli and nephrons. © 2013 Blackwell Verlag GmbH.

  6. Efficacy of an Anatomical Approach in Radiofrequency Catheter Ablation of Idiopathic Ventricular Arrhythmias Originating From the Left Ventricular Outflow Tract.

    PubMed

    Yamada, Takumi; Yoshida, Naoki; Doppalapudi, Harish; Litovsky, Silvio H; McElderry, H Thomas; Kay, G Neal

    2017-05-01

    When anatomic obstacles preclude radiofrequency catheter ablation of idiopathic ventricular arrhythmias (VAs) originating from the left ventricular outflow tract (LVOT), an alternative approach from the anatomically opposite side (endocardial versus epicardial or above versus below the aortic valve) may be considered (anatomic ablation). The purpose of this study was to investigate the efficacy of an anatomic ablation in idiopathic LVOT VAs. We studied 229 consecutive patients with idiopathic LVOT VAs. Radiofrequency ablation from the first suitable site was successful in 190 patients, and in the remaining 39 patients, it was unsuccessful or had to be abandoned because of anatomic obstacles. In 22 of these 39 patients, an anatomic ablation was successful, and the VA origins were located in the intramural LVOT in 17 patients, basal left ventricular summit in 4, and LVOT septum near the His bundle in 1. The anatomic ablation was highly successful for idiopathic VAs originating from the intramural LVOT (>75%) and lateral LVOT, whereas it was unlikely to be successful for idiopathic VAs originating from the basal left ventricular summit (25%) and sepal LVOT. When a standard catheter ablation targeting the best electrophysiological measure of idiopathic LVOT VAs was unsuccessful or had to be abandoned because of anatomic obstacles, an anatomic ablation was moderately successful. These idiopathic LVOT VAs with a successful anatomic ablation commonly arose from the intramural LVOT among the left coronary cusp, aortomitral continuity, and epicardium, occasionally the basal left ventricular summit, and rarely the LVOT septum near the His bundle. © 2017 American Heart Association, Inc.

  7. Physiopathological approach to infective endocarditis in chronic hemodialysis patients: left heart versus right heart involvement.

    PubMed

    Bentata, Yassamine

    2017-11-01

    Infectious endocarditis (IE), a complication that is both cardiac and infectious, occurs frequently and is associated with a heavy burden of morbidity and mortality in chronic hemodialysis patients (CHD). About 2-6% of chronic hemodialysis patients develop IE and the incidence is 50-60 times higher among CHD patients than in the general population. The left heart is the most frequent location of IE in CHD and the different published series report a prevalence of left valve involvement varying from 80% to 100%. Valvular and perivalvular abnormalities, alteration of the immune system, and bacteremia associated with repeated manipulation of the vascular access, particularly central venous catheters, comprise the main factors explaining the left heart IE in CHD patients. While left-sided IE develops in altered valves in a high-pressure system, right-sided IE on the contrary, generally develops in healthy valves in a low-pressure system. Right-sided IE is rare, with its incidence varying from 0% to 26% depending on the study, and the tricuspid valve is the main location. Might the massive influx of pathogenic and virulent germs via the central venous catheter to the right heart, with the tricuspid being the first contact valve, have a role in the physiopathology of IE in CHD, thus facilitating bacterial adhesion? While the physiopathology of left-sided IE entails multiple and convincing mechanisms, it is not the case for right-sided IE, for which the physiopathological mechanism is only partially understood and remains shrouded in mystery.

  8. Comparison of interatomic potentials of water via structure factors reconstructed from simulated partial radial distribution functions: a reverse Monte Carlo based approach

    NASA Astrophysics Data System (ADS)

    Steinczinger, Zsuzsanna; Jóvári, Pál; Pusztai, László

    2017-01-01

    Neutron- and x-ray weighted total structure factors of liquid water have been calculated on the basis of the intermolecular parts of partial radial distribution functions resulting from various computer simulations. The approach includes reverse Monte Carlo (RMC) modelling of these partials, using realistic flexible molecules, and the calculation of experimental diffraction data, including the intramolecular contributions, from the RMC particle configurations. The procedure has been applied to ten sets of intermolecular partial radial distribution functions obtained from various computer simulations, including one set from an ab initio molecular dynamics, of water. It is found that modern polarizable water potentials, such as SWM4-DP and BK3 are the most successful in reproducing measured diffraction data.

  9. Creation of partial fascicular block: an approach to ablation of idiopathic left ventricular tachycardia in the pediatric population.

    PubMed

    Fishberger, Steven B; Olen, Melissa M; Rollinson, Nancy L; Rossi, Anthony F

    2015-02-01

    Catheter ablation of idiopathic left ventricular tachycardia in the pediatric population remains challenging. A recent multicenter study reported limited success with 14% not undergoing ablation due to inability to induce ventricular tachycardia (VT) or blood pressure instability during tachycardia. Creating complete or partial fascicular block with radiofrequency catheter ablation is a technique that may eliminate VT. This approach is performed during sinus rhythm, enabling atrioventricular conduction monitoring and maintaining stable hemodynamics. Importantly, induction of VT is not necessary for mapping or assessing efficacy of the procedure. A retrospective review of pediatric patients (3-17 years) with recurrent, documented idiopathic left ventricular tachycardia by electrocardiogram who received catheter ablation by creating fascicular block as a therapeutic endpoint was performed. All had ablation at the site of an identified Purkinje potential. There were six patients with idiopathic left ventricular tachycardia, five originating from the posterior fascicle and one from the anterior fascicle. VT was not induced or spontaneous in four patients using programmed stimulation and isoproterenol infusion. All patients had a QRS axis shift following ablation, though none met criteria for fascicular block. At follow up (7-49 months, mean 27 months), all patients had persistence of this shift. There were no recurrences of VT and none of the patients were taking antiarrhythmic medication. The technique of creating partial fascicular block appears to be a safe and effective approach to ablation of idiopathic left ventricular tachycardia in children. © 2014 Wiley Periodicals, Inc.

  10. Lateral left ventricular wall rupture following acute myocardial infarction: pathophysiological interpretation by multimodality imaging approach.

    PubMed

    Avegliano, Gustavo; Conde, Diego; González Ruiz, María Isabel; Kuschnir, Paola; Sciancalepore, Agustina; Castro, Florencia; Ronderos, Ricardo

    2014-11-01

    Lateral left ventricular wall rupture (LVWR) is a rare complication following acute myocardial infarction (AMI) less than 1%. After cardiogenic shock, LVWR constitutes the most common cause of in-hospital death in AMI patients. Around 40% of all LVWR occurred during the first 24 hours and 85% within the first week. In the present case, 76 hours following the intervention, LVWR was observed likely due to a small infarction at the lateral left ventricular wall possibly due to the marginal lesion. Our patient refused surgery and was followed clinically. Eighteen months later, real time three-dimensional echocardiography showed a pseudoaneurysm.

  11. A Change Management, Systems Thinking, or Organizational Development Approach to the No Child Left Behind Act

    ERIC Educational Resources Information Center

    Galloway, Dominique L.

    2007-01-01

    Problems with implementation of the No Child Left Behind Act (NCLB) can be assessed in light of change management theory. Viewing stakeholders collectively as a corporate entity supports employing change management strategies to make the NCLB work. Examining ways that organizational controls and change management can work together points to…

  12. A Change Management, Systems Thinking, or Organizational Development Approach to the No Child Left Behind Act

    ERIC Educational Resources Information Center

    Galloway, Dominique L.

    2007-01-01

    Problems with implementation of the No Child Left Behind Act (NCLB) can be assessed in light of change management theory. Viewing stakeholders collectively as a corporate entity supports employing change management strategies to make the NCLB work. Examining ways that organizational controls and change management can work together points to…

  13. In-hospital outcomes of a minimally invasive off-pump left thoracotomy approach using a centrifugal continuous-flow left ventricular assist device.

    PubMed

    Sileshi, Bantayehu; Haglund, Nicholas A; Davis, Mary E; Tricarico, Nicole M; Stulak, John M; Khalpey, Zain; Danter, Matthew R; Deegan, Robert; Kennedy, Jason; Keebler, Mary E; Maltais, Simon

    2015-01-01

    Minimally invasive left thoracotomy (MILT) and off-pump implantation strategies have been anecdotally reported for implantation of the HeartWare ventricular assist device (HVAD). We analyzed our experience with off-pump MILT implantation techniques and compared early in-hospital outcomes with conventional on-pump sternotomy (CS) implantation strategy. Between January 2013 and February 2014, 51 patients underwent HVAD implantation and were included in this study. Thirty-three patients had CS, whereas 18 patients underwent off-pump MILT. To compare outcomes of these techniques, a multivariate analysis using propensity score modeling was performed after adjusting for age, INTERMACS, Kormos and Leitz-Miller (LM) scores. Mean age at implant was 57 (range 18 to 69) years, and overall in-hospital mortality was 8%. Univariate analysis revealed a statistically significant reduction in days on inotropes (p = 0.04), and a trend toward reduced intra-operative blood product administration (p = 0.08) in the MILT group. There was no difference in intensive-care-unit length of stay (p = 0.5), total length of stay (p = 0.76), post-operative blood product administration (p = 0.34) and total time on mechanical ventilation (p = 0.32). After adjusting for age, INTERMACS profile and Kormos and LM scores, no statistically significant differences were observed between the MILT and CS groups. An off-pump MILT implantation strategy can be utilized as a safe surgical approach for patients undergoing HVAD implantation. Further large collaborative studies are needed to identify advantages of the MILT approach. Published by Elsevier Inc.

  14. Radial-radial single rotor turbine

    SciTech Connect

    Platts, David A.

    2006-05-16

    A rotor for use in turbine applications has a radial compressor/pump having radially disposed spaced apart fins forming passages and a radial turbine having hollow turbine blades interleaved with the fins and through which fluid from the radial compressor/pump flows. The rotor can, in some applications, be used to produce electrical power.

  15. Quantification and validation of left ventricular wall thickening by a three-dimensional volume element magnetic resonance imaging approach.

    PubMed

    Beyar, R; Shapiro, E P; Graves, W L; Rogers, W J; Guier, W H; Carey, G A; Soulen, R L; Zerhouni, E A; Weisfeldt, M L; Weiss, J L

    1990-01-01

    We have developed a method to quantify and map regional wall thickening throughout the left ventricle (LV) with magnetic resonance imaging. In contrast to methods that measure planar wall thickness and thickening, this method uses the three-dimensional (3D) geometry of the left ventricle to calculate the perpendicular thickness of the wall. We tested this method at three levels of increasing complexity using 1) phantom studies, 2) in vivo experiments in dogs with normal cardiac function, and 3) in vivo studies in dogs during acute ischemia. Experiments were conducted in 15 open-chest dogs imaged by a 0.38 T iron core magnet. Five short-axis images at end diastole and end systole were obtained with the spin echo technique by use of the QRS as a trigger for end diastole and the second heart sound, S2, to time end systole. After acquisition of preischemic images, acute ischemia was induced by either coronary artery ligation (n = 5) or intracoronary dental rubber injection (n = 5), which produced severe transmural ischemia. By use of computer-aided contouring of the endocardial and epicardial borders, each image was divided into 16 segments with radial lines originating from the midwall centroid. A 3D volume element was defined as that generated by connecting two matched planar segments in two adjacent image planes. This defined 64 volume elements comprising the entire left ventricle. Thickness and thickening before and during ischemia were then calculated by using the planar segments and the 3D volume elements. In phantom studies, the 3D method was accurate, independent of the angle of inclination of the image plane to the phantom wall, whereas the planar method showed considerable overestimation of thickness when the image plane was oblique to the phantom wall. In the dogs before induction of ischemia, the 3D method demonstrated the well-established normal taper in end-diastolic wall thickness from 1.10 +/- 0.02 cm at the base to 1.05 +/- 0.11 cm at the apex (p less

  16. Feasibility and Safety of Transradial Arterial Approach for Simultaneous Right and Left Vertebral Artery Angiographic Studies and Stenting

    SciTech Connect

    Yip, H.-K.; Youssef, Ali A.; Chang, W.-N.; Lu, C.-H.; Yang, C.-H.; Chen, S.-M.; Wu, C.-J.

    2007-09-15

    Objectives. This study investigated whether the transradial artery (TRA) approach using a 6-French (F) Kimny guiding catheter for right vertebral artery (VA) angiographic study and stenting is safe and effective for patients with significant VA stenosis. Background. The TRA approach is commonly performed worldwide for both diagnostic cardiac catheterization and catheter-based coronary intervention. However, to our knowledge, the safety and feasibility of left and right VA angiographic study and stenting, in the same procedure, using the TRA approach for patients with brain ischemia have not been reported. Methods. The study included 24 consecutive patients (22 male, 2 female; age, 63-78 years). Indications for VA angiographic study and stenting were (1) prior stroke or symptoms related to vertebrobasilar ischemia and (2) an asymptomatic but vertebral angiographic finding of severe stenosis (>70%). A combination of the ipsilateral and retrograde-engagement technique, which involved a looping 6-F Kimny guiding catheter, was utilized for VA angiographic study. For VA stenting, an ipsilateral TRA approach with either a Kimny guiding catheter or a left internal mammary artery guiding catheter was utilized in 22 patients and retrograde-engagement technique in 2 patients. Results. A technically successful procedure was achieved in all patients, including left VA stenting in 15 patients and right VA stenting in 9 patients. The mean time for stenting (from engagement to stent deployment) was 12.7 min. There were no vascular complications or mortality. However, one patient suffered from a transient ischemic attack that resolved within 3 h. Conclusion. We conclude that TRA access for both VA angiographic study and VA stenting is safe and effective, and provides a simple and useful clinical tool for patients unsuited for femoral arterial access.

  17. Pelvic congestion syndrome and left renal compression syndrome - clinical features and therapeutic approaches.

    PubMed

    Jeanneret, Christina; Beier, Konstantin; von Weymarn, Alexander; Traber, Jürg

    2016-01-01

    Knowledge of the anatomy of the pelvic, gonadal and renal veins is important to understand pelvic congestion syndrome (PCS) and left renal vein compression syndrome (LRCS), which is also known as the nutcracker syndrome. LRCS is related to PCS and to the presence of vulvar, vaginal and pudendal varicose veins. The diagnosis of the two syndromes is difficult, and usually achieved with CT- or phlebography. The gold standard is the intravenous pressure measurement using conventional phlebography. The definition of PCS is described as pelvic pain, aggravated in the standing position and lasting for more than 6 months. Pain in the left flank and microhaematuria is seen in patients with LRCS. Women with multiple pregnancies are at increased risk of developing varicose vein recurrences with pelvic drainage and ovarian vein reflux after crossectomy and stripping of the great saphenous vein. The therapeutic options are: conservative treatment (medroxyprogesteron) or interventional (coiling of the ovarian vein) or operative treatment (clipping of the ovarian vein). Controlled prospective trials are needed to find the best treatment.

  18. Radial expansion of the tail current disruption during substorms - A new approach to the substorm onset region

    NASA Technical Reports Server (NTRS)

    Ohtani, S.; Kokubun, S.; Russell, C. T.

    1992-01-01

    A new method is used to examine the radial expansion of the tail current disruption and the substorm onset region. The expansion of the disruption region is specified by examining the time sequence (phase relationship) between the north-south component and the sun-earth component. This method is tested by applying it to the March 6, 1979, event. The phase relationship indicates that the current disruption started on the earthward side of the spacecraft, and expanded tailward past the spacecraft. The method was used for 13 events selected from the ISEE magnetometer data. The results indicate that the current disruption usually starts in the near-earth magnetotail and often within 15 RE from the earth.

  19. SU(1 , 1) and SU(2) approaches to the radial oscillator: Generalized coherent states and squeezing of variances

    NASA Astrophysics Data System (ADS)

    Rosas-Ortiz, Oscar; Cruz y Cruz, Sara; Enríquez, Marco

    2016-10-01

    It is shown that each one of the Lie algebras su(1 , 1) and su(2) determine the spectrum of the radial oscillator. States that share the same orbital angular momentum are used to construct the representation spaces of the non-compact Lie group SU(1 , 1) . In addition, three different forms of obtaining the representation spaces of the compact Lie group SU(2) are introduced, they are based on the accidental degeneracies associated with the spherical symmetry of the system as well as on the selection rules that govern the transitions between different energy levels. In all cases the corresponding generalized coherent states are constructed and the conditions to squeeze the involved quadratures are analyzed.

  20. A Bayesian approach to infer radial models of temperature and anisotropy in the transition zone from surface wave dispersion curves

    NASA Astrophysics Data System (ADS)

    Drilleau, M.; Beucler, É.; Mocquet, A.; Verhoeven, O.; Moebs, G.; Burgos, G.; Montagner, J.-P.; Vacher, P.

    2013-11-01

    Mineralogical transformations and material transfers within the Earth's mantle make the 350-1000 km depth range (referred here as the mantle transition zone) highly heterogeneous and anisotropic. Most of the 3-D global tomographic models are anchored on small perturbations from 1-D models such as PREM, and are secondly interpreted in terms of temperature and composition distributions. However, the degree of heterogeneity in the transition zone can be strong enough so that the concept of a 1-D reference seismic model must be addressed. To avoid the use of any seismic reference model, we present in this paper a Markov chain Monte Carlo algorithm to directly interpret surface wave dispersion curves in terms of temperature and radial anisotropy distributions, here considering a given composition of the mantle. These interpretations are based on laboratory measurements of elastic moduli and Birch-Murnaghan equation of state. An originality of the algorithm is its ability to explore both smoothly varying models and first-order discontinuities, using C1-Bézier curves, which interpolate the randomly chosen values for depth, temperature and radial anisotropy. This parametrization is able to generate a self-adapting parameter space exploration while reducing the computing time. Thanks to a Bayesian exploration, the probability distributions on temperature and anisotropy are governed by uncertainties on the data set. The method is applied to both synthetic data and real dispersion curves. Though surface wave data are weakly sensitive to the sharpness of the of the mid-mantle seismic discontinuities, the interpretation of the temperature distribution is highly related to the chosen composition and to the modelling of mineralogical phase transformations. Surface wave measurements along the Vanuatu-California path suggest a strong anisotropy above 400 km depth, which decreases below, and a monotonous temperature distribution between 350 and 1000 km depth.

  1. Isolated AA Amyloidosis of the Radial Nerve.

    PubMed

    Pérez-de la Fuente, Teresa; Fernández-Jara, Javier; Rodríguez-Urcelay, Pilar; Jiménez-Heffernan, Jose; Juárez, Ángel

    2017-09-01

    Amyloidosis affecting peripheral nerve is usually seen in primary amyloidosis. We are reporting on the case of a 74-year-old man with a 16-month history of progressive left radial nerve paralysis. Perioperative imaging detected an enlarged radial nerve in the middle-distal part of the arm. The patient had an antecedent of amyloid deposits in the lung. A radial nerve amyloidosis was suspected and confirmed with a biopsy assisted by ultrasonography, resulting in a secondary amyloidosis form. Isolated radial nerve palsy due to nerve damage by amyloidosis has been reported before, but not in AA or secondary amyloidosis.

  2. A Phase-Conjugate-Mirror Inspired Approach for Building Cloaking Structures with Left-handed Materials

    PubMed Central

    Zheng, Guoan; Heng, Xin; Yang, Changhuei

    2009-01-01

    A phase conjugate mirror (PCM) has a remarkable property of cancellation the back-scattering wave of the lossless scatterers. The similarity of a phase conjugate mirror to the interface of a matched RHM (right-handed material) and a LHM (left-handed material) prompts us to explore the potentials of using the RHM-LHM structure to achieve the anti-scattering property of the PCM. In this paper, we present two such structures. The first one is a RHM-LHM cloaking structure with a lossless arbitrary-shape scatterer imbedded in the RHM and its left-handed duplicate imbedded in the matched LHM. It is shown that such a structure is transparent to the incident electromagnetic (EM) field. As a special case of this structure, we proposed an EM tunnel that allows EM waves to spatially transport to another location in space without significant distortion and reflection. The second one is an RHM-PEC (perfect electric conductor)-LHM cloaking structure, which is composed of a symmetric conducting shell embedded in the interface junction of an RHM and the matched LHM layer. Such a structure presents an anomalously small scattering cross-section to an incident propagating EM field, and the interior of the shell can be used to shield small objects (size comparable to the wavelength) from interrogation. We report the results of 2D finite-element-method (FEM) simulations that were performed to verify our idea, and discuss the unique properties of the proposed structures as well as their limitations. PMID:20126415

  3. Laparoscopic left and right adrenalectomy from an anterior approach – is there any difference? Outcomes in 176 consecutive patients

    PubMed Central

    Kokorak, Lukas; Vladovic, Peter; Marko, Lubomir

    2016-01-01

    Introduction Traditionally, in open surgery, right adrenalectomy is considered technically more demanding than its left-sided counterpart. This belief is supposed to be attributable mainly to different anatomic characteristics of the adrenal veins. Whether this opinion is also correct for laparoscopic adrenalectomy remains elusive. Aim To compare the outcomes of left versus right laparoscopic adrenalectomy from an anterior approach. Material and methods Retrospective statistical analysis of a prospectively compiled database of consecutive patients undergoing laparoscopic adrenalectomy in a single center with focus on potential differences in the left- versus right-sided procedure in terms of demographic parameters, tumor size, operating time, occurrence of serious intraoperative complications, conversion, length of hospital stay and re-operation rate. Results One hundred seventy-six patients underwent elective laparoscopic adrenalectomy – 80 left-sided (45.45%) and 96 right-sided (54.55%). No significant difference was found between the groups in terms of age (54.09 ±11.2 vs. 56.27 ±11.6; p = 0.2), tumor size (3.39 ±1.86 vs. 3.26 ±1.66; p = 0.64), operating time (71.84 ±22.33 vs. 72.06 ±30.99; p = 0.95), occurrence of serious intraoperative complications (7.5% vs. 10.4%; p = 0.5), conversion (1.25% vs. 1.04%; p = 0.9), length of hospital stay (4.52 ±1.30 vs. 4.37 ±1.91; p = 0.55) or reoperation rate (5% vs. 1%; p = 0.11). There was no mortality. Conclusions No significant difference was found between the left and right laparoscopic adrenalectomy in terms of operating time, occurrence of serious intraoperative complications, conversion rate or postoperative outcome. Therefore, the opinion that the right-sided procedure is more difficult does not seem to be justified for laparoscopic adrenalectomy from the anterior approach. PMID:28194247

  4. A Bayesian approach to infer the radial distribution of temperature and anisotropy in the transition zone from seismic data

    NASA Astrophysics Data System (ADS)

    Drilleau, M.; Beucler, E.; Mocquet, A.; Verhoeven, O.; Moebs, G.; Burgos, G.; Montagner, J.

    2013-12-01

    Mineralogical transformations and matter transfers within the Earth's mantle make the 350-1000 km depth range (considered here as the mantle transition zone) highly heterogeneous and anisotropic. Most of the 3-D global tomographic models are anchored on small perturbations from 1-D models such as PREM, and are secondly interpreted in terms of temperature and composition distributions. However, the degree of heterogeneity in the transition zone can be strong enough so that the concept of a 1-D reference seismic model may be addressed. To avoid the use of any seismic reference model, we developed a Markov chain Monte Carlo algorithm to directly interpret surface wave dispersion curves in terms of temperature and radial anisotropy distributions, considering a given composition of the mantle. These interpretations are based on laboratory measurements of elastic moduli and Birch-Murnaghan equation of state. An originality of the algorithm is its ability to explore both smoothly varying models and first-order discontinuities, using C1-Bézier curves, which interpolate the randomly chosen values for depth, temperature and radial anisotropy. This parameterization is able to generate a self-adapting parameter space exploration while reducing the computing time. Using a Bayesian exploration, the probability distributions on temperature and anisotropy are governed by uncertainties on the data set. The method was successfully applied to both synthetic data and real dispersion curves. Surface wave measurements along the Vanuatu- California path suggest a strong anisotropy above 400 km depth which decreases below, and a monotonous temperature distribution between 350 and 1000 km depth. On the contrary, a negative shear wave anisotropy of about 2 % is found at the top of the transition zone below Eurasia. Considering compositions ranging from piclogite to pyrolite, the overall temperature profile and temperature gradient are higher for the continental path than for the oceanic

  5. Consensus document on the radial approach in percutaneous cardiovascular interventions: position paper by the European Association of Percutaneous Cardiovascular Interventions and Working Groups on Acute Cardiac Care** and Thrombosis of the European Society of Cardiology.

    PubMed

    Hamon, Martial; Pristipino, Christian; Di Mario, Carlo; Nolan, James; Ludwig, Josef; Tubaro, Marco; Sabate, Manel; Mauri-Ferré, Josepa; Huber, Kurt; Niemelä, Kari; Haude, Michael; Wijns, William; Dudek, Dariusz; Fajadet, Jean; Kiemeneij, Ferdinand

    2013-03-01

    Radial access use has been growing steadily but, despite encouraging results, still varies greatly among operators, hospitals, countries and continents. Twenty years from its introduction, it was felt that the time had come to develop a common evidence-based view on the technical, clinical and organisational implications of using the radial approach for coronary angiography and interventions. The European Association of Percutaneous Cardiovascular Interventions (EAPCI) has, therefore, appointed a core group of European and non-European experts, including pioneers of radial angioplasty and operators with different practices in vascular access supported by experts nominated by the Working Groups on Acute Cardiac Care and Thrombosis of the European Society of Cardiology (ESC). Their goal was to define the role of the radial approach in modern interventional practice and give advice on technique, training needs, and optimal clinical indications.

  6. Subject-specific left ventricular dysfunction modeling using composite material mechanics approach

    NASA Astrophysics Data System (ADS)

    Haddad, Seyed Mohammad Hassan; Karami, Elham; Samani, Abbas

    2017-03-01

    Diverse cardiac conditions such as myocardial infarction and hypertension can lead to diastolic dysfunction as a prevalent cardiac condition. Diastolic dysfunctions can be diagnosed through different adverse mechanisms such as abnormal left ventricle (LV) relaxation, filling, and diastolic stiffness. This paper is geared towards evaluating diastolic stiffness and measuring the LV blood pressure non-invasively. Diastolic stiffness is an important parameter which can be exploited for more accurate diagnosis of diastolic dysfunction. For this purpose, a finite element (FE) LV mechanical model, which works based on a novel composite material model of the cardiac tissue, was utilized. Here, this model was tested for inversion-based applications where it was applied for estimating the cardiac tissue passive stiffness mechanical properties as well as diastolic LV blood pressure. To this end, the model was applied to simulate diastolic inflation of the human LV. The start-diastolic LV geometry was obtained from MR image data segmentation of a healthy human volunteer. The obtained LV geometry was discretized into a FE mesh before FE simulation was conducted. The LV tissue stiffness and diastolic LV blood pressure were adjusted through optimization to achieve the best match between the calculated LV geometry and the one obtained from imaging data. The performance of the LV mechanical simulations using the optimal values of tissue stiffness and blood pressure was validated by comparing the geometrical parameters of the dilated LV model as well as the stress and strain distributions through the LV model with available measurements reported on the LV dilation.

  7. Left atrial appendage occlusion with the AMPLATZER Amulet device: an expert consensus step-by-step approach.

    PubMed

    Tzikas, Apostolos; Gafoor, Sameer; Meerkin, David; Freixa, Xavier; Cruz-Gonzalez, Ignacio; Lewalter, Thorsten; Saw, Jacqueline; Berti, Sergio; Nielsen-Kudsk, Jens Erik; Ibrahim, Reda; Lakkireddy, Dhanunjaya; Paul, Vincent; Arzamendi, Dabit; Nietlispach, Fabian; Worthley, Stephen G; Hildick-Smith, David; Thambo, Jean Benoit; Tondo, Claudio; Aminian, Adel; Kalarus, Zbigniew; Schmidt, Boris; Sondergaard, Lars; Kefer, Joelle; Meier, Bernhard; Park, Jai-Wun; Sievert, Horst; Omran, Heyder

    2016-04-20

    This document aims to describe a standardised methodology for performing left atrial appendage occlusion (LAAO) using the AMPLATZER Amulet device, and to provide useful tips and tricks for operators with different levels of experience. Physicians who are experts in LAAO and had personal clinical experience with the AMPLATZER Amulet device were asked to contribute in the preparation of this consensus document. Twenty-seven physicians (20 interventional cardiologists and 7 electrophysiologists) from 14 different countries reviewed the manuscript. A step-by-step approach, simulating a real case, was followed. Starting with patient selection and planning, related cardiac imaging is discussed, followed by vascular access - transseptal puncture optimisation. Then, angiographic calibration/sizing and the required fluoroscopy views are explained and a device sizing strategy is proposed. Device preparation and de-airing is briefly described, followed by sheath exchange, device deployment steps, evaluation of device stability and decision for final release. The way to recapture and change a device is then shown, together with some additional tips on how to deal with challenging anatomies like "chicken wing" left atrial appendage. Finally, for operators who are switching from AMPLATZER Cardiac Plug to Amulet, the main differences between the two devices with respect to implantation technique are presented. In conclusion, this document reflects a consensus approach by expert implanters on the steps of LAAO technique and best practices for implantation of the AMPLATZER Amulet device, along with some practical tips to minimise the complication rate.

  8. [Early surgical treatment of a septal perforation complicating a posterior infarct. Value of the diaphragmatic left ventricular approach].

    PubMed

    Bareiss, P; Eisenmann, B; Class, J J; Pasquali, J L; Sauder, P; Kieny, R; Warter, J

    1978-02-01

    The authors report the case of a 53 year old patient who required operation on the 5th day after postero-inferior myocardical infarction for a poorly tolerated perforation of the ventricular septum. In discussing this case, they recall that the results for surgical repair of septal perforations complicating myocardial infarction are poorer when the infarction is posterior than when it is anterior. They suggest that this difference in prognosis is in large part due to the customary use in postero-inferior infarcts, of the right transventricular approach, which does not allow the infarct to be resected at the same time as the septum is closed. They finish by recommending the systematic use of a diaphragmatic approach to the left ventricle, including resection of the infarct, for all cases of septal perforations with posterior infarction in which surgery is necessary.

  9. Common ground: exploring policy approaches to addressing racial disparities from the left and the right.

    PubMed

    Gibbons, M C

    2006-01-01

    Although the existence of racial and ethnic disparities is increasingly recognized, a complete understanding of the causes and solutions to these problems remains elusive. Part One of this paper provides a historical overview of the origins of these disparities. Part Two outlines fundamental challenges to achieving a clear understanding of the problem and briefly discusses current policy strategies espoused by conservative and liberal proponents. Finally, Part Three provides an in-depth discussion of one promising approach with significant bipartisan support.

  10. Radial Halbach Magnetic Bearings

    NASA Technical Reports Server (NTRS)

    Eichenberg, Dennis J.; Gallo, Christopher A.; Thompson, William K.

    2009-01-01

    minimizing it on the opposite side. The advantage of this configuration is that it makes it possible to approach the theoretical maximum force per unit area that could be exerted by a given amount of permanent-magnet material. The configuration is named after physicist Klaus Halbach, who conceived it for use in particle accelerators. Halbach arrays have also been studied for use in magnetic-levitation ("maglev") railroad trains. In a radial Halbach magnetic bearing, the basic Halbach arrangement is modified into a symmetrical arrangement of sector-shaped permanent magnets mounted on the outer cylindrical surface of a drum rotor (see Figure 2). The magnets are oriented to concentrate the magnetic field on their radially outermost surface. The stator coils are mounted in a stator shell surrounding the rotor.

  11. Radial inflow combustor

    SciTech Connect

    Shekleton, J.R.

    1991-12-03

    This paper describes a gas turbine engine. It comprises: radial compressor means for compressing air entering through a compressor inlet opening; axial turbine means in axially spaced relation to the radial compressor means; the radial compressor means being operatively associated with the axial turbine means; radial combustor means intermediate the radial compressor means and axial turbine means; turbine nozzle means proximate the axial turbine means for directing gases of combustion thereto; the radial combustor means including a pair of axially spaced radially extending walls joined at radially outward extremes by a generally cylindrical wall, the walls defining a radial combustion space in communication with both the radial compressor means and the turbine nozzle means, and including means for introducing compressed air into the radial combustion space in a manner avoiding formation of an air film on the generally cylindrical wall.

  12. Quantum state estimation when qubits are lost: a no-data-left-behind approach

    DOE PAGES

    Williams, Brian P.; Lougovski, Pavel

    2017-04-06

    We present an approach to Bayesian mean estimation of quantum states using hyperspherical parametrization and an experiment-specific likelihood which allows utilization of all available data, even when qubits are lost. With this method, we report the first closed-form Bayesian mean and maximum likelihood estimates for the ideal single qubit. Due to computational constraints, we utilize numerical sampling to determine the Bayesian mean estimate for a photonic two-qubit experiment in which our novel analysis reduces burdens associated with experimental asymmetries and inefficiencies. This method can be applied to quantum states of any dimension and experimental complexity.

  13. Harvesting the radial artery

    PubMed Central

    Osterday, Robert M.; Brodman, Richard F.

    2013-01-01

    The radial artery (RA) has emerged as an important arterial graft for coronary bypass surgery. With improving five-year patency rates and increasing uptake, great attention has been focused on the optimal conduit harvesting technique. We herein present our approach to RA harvesting. Prerequisites of a successful harvest include adherence to important anatomical landmarks, protection of the sensory innervation to the volar forearm, and meticulous handling of the RA branches. Regardless of the harvesting methodology chosen, adherence to a “no-touch” technique will optimize the patency and durability of the RA conduit. PMID:23977633

  14. A level set approach for left ventricle detection in CT images using shape segmentation and optical flow

    NASA Astrophysics Data System (ADS)

    Brieva, Jorge; Moya-Albor, Ernesto; Escalante-Ramírez, Boris

    2015-01-01

    The left ventricle (LV) segmentation plays an important role in a subsequent process for the functional analysis of the LV. Typical segmentation of the endocardium wall in the ventricle excludes papillary muscles which leads to an incorrect measure of the ejected volume in the LV. In this paper we present a new variational strategy using a 2D level set framework that includes a local term for enhancing the low contrast structures and a 2D shape model. The shape model in the level set method is propagated to all image sequences corresponding to the cardiac cycles through the optical flow approach using the Hermite transform. To evaluate our strategy we use the Dice index and the Hausdorff distance to compare the segmentation results with the manual segmentation carried out by the physician.

  15. Radial access - be prepared!

    PubMed

    Stathopoulos, Ioannis

    2008-10-01

    We present the case of a 46-year-old female patient that experienced recurrent stent thrombosis and underwent attempted primary PCI via the radial artery. Although radial artery cannulation with a 6 Fr sheath and the diagnostic angiography were successfully performed, the PCI could not be achieved because of failure to advance the 6 Fr guide through the radial artery, due to severe angulation of a high take-off radial artery, combined with a proximal radial artery stenosis.

  16. Impact of radial artery cannulation for coronary angiography and angioplasty on radial artery function.

    PubMed

    Burstein, Jason M; Gidrewicz, Dominica; Hutchison, Stuart J; Holmes, Kate; Jolly, Sanjit; Cantor, Warren J

    2007-02-15

    The radial artery is commonly used as a conduit in coronary artery bypass grafting. No data exist on the effects of radial sheath insertion on radial artery function. Because many patients considered for coronary artery bypass grafting have had previous radial procedures, it is important to understand any effects radial sheath insertion may have on radial artery function. Twenty-two patients who underwent elective coronary angiography or angioplasty with a 6Fr sheath through the right radial artery were studied. Radial artery function was assessed using ultrasound to measure flow-mediated dilation (FMD). Reactive hyperemia was produced by 5-minute cuff inflation on the arm to suprasystolic pressures. Radial artery diameter was measured at rest and 1 minute after cuff deflation. FMD was expressed as percent change in radial diameter compared with at rest. In all cases, the left radial artery was studied as a control. Patients were studied before sheath insertion, immediately after sheath insertion, and 6 weeks after sheath insertion. The FMD of the cannulated arm was 13.2% before sheath insertion versus 3.6% immediately after sheath insertion (p <0.01) and 0.2% (p <0.01) 9 weeks after sheath insertion. In contrast, there were no significant changes in the noncannulated arm at either time point. In conclusion, radial artery sheath insertion for coronary angiography or angioplasty results in immediate and persistent blunting of FMD, suggesting severe vasomotor dysfunction. Radial artery sheath insertion has important effects on radial artery function that must be considered when selecting radial conduits for coronary artery bypass grafting.

  17. Post-mortem computed tomography angiography using left ventricle cardiac puncture: A whole-body, angiographic approach.

    PubMed

    Shao, Yu; Wan, Lei; Zhang, Jianhua; Li, Zhengdong; Liu, Ningguo; Huang, Ping; Zou, Donghua; Chen, Yijiu

    2017-01-01

    Post-mortem computed tomography (PMCT) and PMCT angiography (PMCTA) are rapidly becoming effective and practical methods in forensic medicine. In this article, the authors introduce a whole-body PMCTA approach involving left ventricle cardiac puncture. This procedure was performed in 9 males and 3 females. PMCT was performed first. Then a biopsy core needle was used for a percutaneous puncture into the left ventricle through the intercostal area under CT guidance. 1000 mL of contrast media (diatrizoate meglumine and normal saline [0.9%] at 1:2 ratio) was injected at a rate of 50 mL/8 s, followed by CT scan. Visualization of systemic arteries was achieved in 11 cases, while only partial visualization was achieved in 1 case, which may have been related to incomplete thawing of the cadaver. PMCTA results revealed no vascular diseases and abnormalities in 10 victims. Among the 10 victims, 4 post-scan autopsies were performed and found no vascular abnormalities, consistent with the PMCTA results. Autopsy of the other 6 victims were refused by the relatives. PMCTA revealed signs of internal carotid artery aneurysm inside the sphenoid sinus in one victim, which was confirmed by autopsy. PMCTA results of another victim showed signs of stenosis and blockage of the distal part of the right vertebral artery and basilar artery. Thromboembolism of those arteries was found during autopsy. Compared with other existing PMCTA methods for examination of vascular injuries and diseases, this technique involves simple procedures, is less time consuming, has lower associated costs, does not require specialized equipment, provides adequate imaging quality, and is suitable for centres not equipped with cardiopulmonary bypass machines or other specialized equipment.

  18. Post-mortem computed tomography angiography using left ventricle cardiac puncture: A whole-body, angiographic approach

    PubMed Central

    Li, Zhengdong; Liu, Ningguo; Huang, Ping; Zou, Donghua

    2017-01-01

    Post-mortem computed tomography (PMCT) and PMCT angiography (PMCTA) are rapidly becoming effective and practical methods in forensic medicine. In this article, the authors introduce a whole-body PMCTA approach involving left ventricle cardiac puncture. This procedure was performed in 9 males and 3 females. PMCT was performed first. Then a biopsy core needle was used for a percutaneous puncture into the left ventricle through the intercostal area under CT guidance. 1000 mL of contrast media (diatrizoate meglumine and normal saline [0.9%] at 1:2 ratio) was injected at a rate of 50 mL/8 s, followed by CT scan. Visualization of systemic arteries was achieved in 11 cases, while only partial visualization was achieved in 1 case, which may have been related to incomplete thawing of the cadaver. PMCTA results revealed no vascular diseases and abnormalities in 10 victims. Among the 10 victims, 4 post-scan autopsies were performed and found no vascular abnormalities, consistent with the PMCTA results. Autopsy of the other 6 victims were refused by the relatives. PMCTA revealed signs of internal carotid artery aneurysm inside the sphenoid sinus in one victim, which was confirmed by autopsy. PMCTA results of another victim showed signs of stenosis and blockage of the distal part of the right vertebral artery and basilar artery. Thromboembolism of those arteries was found during autopsy. Compared with other existing PMCTA methods for examination of vascular injuries and diseases, this technique involves simple procedures, is less time consuming, has lower associated costs, does not require specialized equipment, provides adequate imaging quality, and is suitable for centres not equipped with cardiopulmonary bypass machines or other specialized equipment. PMID:28827844

  19. Frequency of radial artery anatomic variations in patients undergoing transradial heart catheterization.

    PubMed

    Ostojić, Zvonimir; Bulum, Joško; Ernst, Aleksander; Strozzi, Maja; Marić-Bešić, Kristina

    2015-03-01

    Over the last ten years, transradial cardiac catheterization has been increasingly applied, primarily because of its lower incidence of complications compared to the femoral approach. However, one of the greatest flaws of the transradial approach is a relatively high incidence of catheterization failure (1%-5%). Anatomic variations of radial artery are ranked second among the reasons for this. Previous studies have not provided unambiguous data on the frequency of these anomalies. It was therefore the aim of this study to determine the frequency of anatomic variations using routine angiographies of radial artery during left heart catheterization. This was a retrospective study involving examination of 602 images of routine angiographies of radial artery performed during cardiac catheterization. The frequency of anatomic variations of radial artery was 8.8%, exclusive of tortuosities with a frequency of 12.7%. The most frequent anatomic variation was the high origin of radial artery, found in 31 (5.1%) subjects. Radioulnar loops, being one of the potential contraindications for the procedure, were reported in 2% of cases. Regression analysis revealed that age (p < 0.001), female sex (p = 0.015) and high origin (p = 0.034) considerably contributed to the development of tortuosity. The results indicated the incidence of tortuosity to increase linearly with age. Although it is not a contraindication for continuing with the procedure, we recommend that elderly patients have angiography of radial artery performed at the beginning of the procedure due to the higher frequency of tortuosity.

  20. Transradial versus transfemoral approach for percutaneous coronary intervention in cardiogenic shock: A radial-first centre experience and meta-analysis of published studies.

    PubMed

    Roule, Vincent; Lemaitre, Adrien; Sabatier, Rémi; Lognoné, Thérèse; Dahdouh, Ziad; Berger, Ludovic; Milliez, Paul; Grollier, Gilles; Montalescot, Gilles; Beygui, Farzin

    2015-11-01

    The transradial approach for percutaneous coronary intervention (PCI) is associated with a better outcome in myocardial infarction (MI), but patients with cardiogenic shock (CS) were excluded from most trials. To compare outcomes of PCI for MI-related CS via the transradial versus transfemoral approach. A prospective cohort of 101 consecutive patients admitted for PCI for MI-related CS were treated via the transradial (n=74) or transfemoral (n=27) approach. Cox proportional hazards models adjusted for prespecified variables and a propensity score for approach were used to compare mortality, death/MI/stroke and bleeding between the two groups. A complementary meta-analysis of six studies was also performed. Patients in the transradial group were younger (P=0.039), more often male (P=0.002) and had lower GRACE and CRUSADE scores (P=0.003 and 0.001, respectively) and rates of cardiac arrest before PCI (P=0.009) and mechanical ventilation (P=0.006). Rates of PCI success were similar. At a mean follow-up of 756 days, death occurred in 40 (54.1%) patients in the transradial group versus 22 (81.5%) in the transfemoral group (adjusted hazard ratio [HR]: 0.49, 95% confidence interval [CI] 0.28-0.84; P=0.012). The transradial approach was associated with reduced rates of death/MI/stroke (adjusted HR: 0.53, 95%CI: 0.31-0.91; P=0.02) and major bleeding (adjusted HR: 0.34, 95%CI: 0.13-0.87; P=0.02). The meta-analysis confirmed the benefit of transradial access in terms of mortality (relative risk [RR]: 0.63, 95%CI: 0.58-0.68) and major bleeding (RR: 0.43, 95%CI: 0.32-0.59). The transradial approach in the setting of PCI for ischaemic CS is associated with a dramatic reduction in mortality, ischaemic and bleeding events, and should be preferred to the transfemoral approach in radial expert centres. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  1. Left ventricular diastolic dysfunction in obstructive sleep apnoea syndrome by an echocardiographic standardized approach: An observational study.

    PubMed

    Bodez, Diane; Lang, Sylvie; Meuleman, Catherine; Boyer-Châtenet, Louise; Nguyen, Xuan-Lan; Soulat-Dufour, Laurie; Boccara, Franck; Fleury, Bernard; Cohen, Ariel

    2015-10-01

    The association between obstructive sleep apnoea syndrome (OSAS), left ventricular (LV) diastolic dysfunction and LV geometry remains controversial because of coexisting disorders. To evaluate LV diastolic dysfunction and its independent predictors in a real-life cohort of OSAS patients, by a standardized approach. We consecutively included 188 OSAS patients after an overnight polysomnography to undergo clinical evaluation, ambulatory blood pressure measurement and complete echocardiography, combining M-mode, two-dimensional Doppler and tissue Doppler imaging modes. Correlations between OSAS severity and clinical and echocardiographical variables were assessed, and logistic regression models were used to identify possible determining factors of LV diastolic dysfunction. Most patients were hypertensive (n=148, 78.7%) and already receiving treatment by continuous positive airway pressure (n=158, 84.5%). The prevalence of LV hypertrophy, defined by LV mass index (LVMi) normalized by height (2.7), was 12.4%, with a significant correlation with hypertension (P=0.004). The apnoea-hypopnoea index was correlated with body mass index (P<0.0001), 24-hour systolic blood pressure (P=0.01) and LVMi normalized by height (2.7) (P=0.03). Diastolic function assessed by a global approach was impaired for 70 patients (37.2%) and none of the OSAS severity variables was a determining factor after multivariable analysis with adjustment for age and sex. Diastolic dysfunction assessed by a standardized approach is common in OSAS and should be routinely evaluated; it is independently predicted by none of the respiratory severity variables. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  2. Radial Artery Catheterization

    MedlinePlus

    ... of the radial artery for cardiac catheterization procedures. Advantages of Radial Artery Catheterization Any catheter placement into ... walk, and eat immediately. This is a particular advantage for patients with back problems because there is ...

  3. Asymptotic screened hydrogenic radial integrals

    NASA Technical Reports Server (NTRS)

    Olsgaard, D. A.; Khan, F.; Khandelwal, G. S.

    1988-01-01

    The usefulness of the screened hydrogenic model for the transitions of the helium sequence is studied. The screened hydrogenic radial dipole integral for discrete-discrete transitions from the initial state to the final state is asymptotically expanded to the lowest order such that the final quantum number n approaches infinity. The analytical expression obtained is in terms of confluent hypergeometric functions.

  4. A Combined Random Forests and Active Contour Model Approach for Fully Automatic Segmentation of the Left Atrium in Volumetric MRI

    PubMed Central

    Luo, Gongning

    2017-01-01

    Segmentation of the left atrium (LA) from cardiac magnetic resonance imaging (MRI) datasets is of great importance for image guided atrial fibrillation ablation, LA fibrosis quantification, and cardiac biophysical modelling. However, automated LA segmentation from cardiac MRI is challenging due to limited image resolution, considerable variability in anatomical structures across subjects, and dynamic motion of the heart. In this work, we propose a combined random forests (RFs) and active contour model (ACM) approach for fully automatic segmentation of the LA from cardiac volumetric MRI. Specifically, we employ the RFs within an autocontext scheme to effectively integrate contextual and appearance information from multisource images together for LA shape inferring. The inferred shape is then incorporated into a volume-scalable ACM for further improving the segmentation accuracy. We validated the proposed method on the cardiac volumetric MRI datasets from the STACOM 2013 and HVSMR 2016 databases and showed that it outperforms other latest automated LA segmentation methods. Validation metrics, average Dice coefficient (DC) and average surface-to-surface distance (S2S), were computed as 0.9227 ± 0.0598 and 1.14 ± 1.205 mm, versus those of 0.6222–0.878 and 1.34–8.72 mm, obtained by other methods, respectively. PMID:28316992

  5. Real-time tracking of the left ventricle in 3D echocardiography using a state estimation approach.

    PubMed

    Orderud, Fredrik; Hansgård, Jøger; Rabben, Stein I

    2007-01-01

    In this paper we present a framework for real-time tracking of deformable contours in volumetric datasets. The framework supports composite deformation models, controlled by parameters for contour shape in addition to global pose. Tracking is performed in a sequential state estimation fashion, using an extended Kalman filter, with measurement processing in information space to effectively predict and update contour deformations in real-time. A deformable B-spline surface coupled with a global pose transform is used to model shape changes of the left ventricle of the heart. Successful tracking of global motion and local shape changes without user intervention is demonstrated on a dataset consisting of 21 3D echocardiography recordings. Real-time tracking using the proposed approach requires a modest CPU load of 13% on a modern computer. The segmented volumes compare to a semi-automatic segmentation tool with 95% limits of agreement in the interval 4.1 +/- 24.6 ml (r = 0.92).

  6. Flow-volume loops derived from three-dimensional echocardiography: a novel approach to the assessment of left ventricular hemodynamics

    PubMed Central

    Shahgaldi, Kambiz; Söderqvist, Emil; Gudmundsson, Petri; Winter, Reidar; Nowak, Jacek; Brodin, Lars-Åke

    2008-01-01

    Background This study explores the feasibility of non-invasive evaluation of left ventricular (LV) flow-volume dynamics using 3-dimensional (3D) echocardiography, and the capacity of such an approach to identify altered LV hemodynamic states caused by valvular abnormalities. Methods Thirty-one patients with moderate-severe aortic (AS) and mitral (MS) stenoses (21 and 10 patients, respectively) and 10 healthy volunteers underwent 3D echocardiography with full volume acquisition using Philips Sonos 7500 equipment. The digital 3D data were post- processed using TomTec software. LV flow-volume loops were subsequently constructed for each subject by plotting instantaneous LV volume data sampled throughout the cardiac cycle vs. their first derivative representing LV flow. After correction for body surface area, an average flow-volume loop was calculated for each subject group. Results Flow-volume loops were obtainable in all subjects, except 3 patients with AS. The flow-volume diagrams displayed clear differences in the form and position of the loops between normal individuals and the respective patient groups. In patients with AS, an "obstructive" pattern was observed, with lower flow values during early systole and larger end-systolic volume. On the other hand, patients with MS displayed a "restrictive" flow-volume pattern, with reduced diastolic filling and smaller end-diastolic volume. Conclusion Non-invasive evaluation of LV flow-volume dynamics using 3D-echocardiographic data is technically possible and the approach has a capacity to identify certain specific types of alteration of LV flow-volume pattern caused by valvular abnormalities, thus reflecting underlying hemodynamic states specific for these abnormalities. PMID:18394157

  7. "Happy Days Are Here Again": A Left and Right Brain 4MAT Approach to Teaching Depression-Era Presidential Elections.

    ERIC Educational Resources Information Center

    Cantu, D. Antonio

    2001-01-01

    Provides a lesson plan that focuses on the 1932, 1936, and 1940 presidential election campaigns. Illustrates the use of the left and right brain 4MAT teaching model that considers individual learning styles associated with right and left hemisphere dominance. Includes a bibliography and eight handouts. (CMK)

  8. A Mixed Method Approach to Understanding Teacher Empowerment in Georgia Schools after Implementation of the No Child Left Behind Legislation

    ERIC Educational Resources Information Center

    Coble, Barbara S.

    2010-01-01

    The purpose of this study was to examine teachers' current and retrospective perceptions of empowerment within the context of the No Child Left Behind Legislation. Much of the empowerment research to date was conducted prior to the No Child Left Behind (NCLB) Act which was signed into law in January, 2002. The legislation mandates that K-12 public…

  9. Focal myositis presenting with radial nerve palsy.

    PubMed

    Alzagatiti, B I; Bertorini, T E; Horner, L H; Maccarino, V S; O'Brien, T

    1999-07-01

    Focal myositis is a rare inflammatory pseudotumor of skeletal muscle which usually has a benign course. We report a 56-year-old woman with a painful mass in the left arm with a radial nerve palsy. Magnetic resonance imaging (MRI) of the left arm showed a mass in the triceps muscle that was suggestive of a soft-tissue sarcoma. Electromyography showed a severe radial neuropathy involving both motor and sensory axons. An open biopsy showed focal myositis. Treatment with corticosteroids resulted in complete disappearance of the mass clinically and by MRI, without recurrence for more than 2 years. Radial nerve function also recovered completely. As a treatable cause of focal neuropathy, focal myositis should be included in the differential diagnosis of a muscle mass. Copyright 1999 John Wiley & Sons, Inc.

  10. RADIAL STABILITY IN STRATIFIED STARS

    SciTech Connect

    Pereira, Jonas P.; Rueda, Jorge A. E-mail: jorge.rueda@icra.it

    2015-03-01

    We formulate within a generalized distributional approach the treatment of the stability against radial perturbations for both neutral and charged stratified stars in Newtonian and Einstein's gravity. We obtain from this approach the boundary conditions connecting any two phases within a star and underline its relevance for realistic models of compact stars with phase transitions, owing to the modification of the star's set of eigenmodes with respect to the continuous case.

  11. KANTBP: A program for computing energy levels, reaction matrix and radial wave functions in the coupled-channel hyperspherical adiabatic approach

    NASA Astrophysics Data System (ADS)

    Chuluunbaatar, O.; Gusev, A. A.; Abrashkevich, A. G.; Amaya-Tapia, A.; Kaschiev, M. S.; Larsen, S. Y.; Vinitsky, S. I.

    2007-10-01

    A FORTRAN 77 program is presented which calculates energy values, reaction matrix and corresponding radial wave functions in a coupled-channel approximation of the hyperspherical adiabatic approach. In this approach, a multi-dimensional Schrödinger equation is reduced to a system of the coupled second-order ordinary differential equations on the finite interval with homogeneous boundary conditions of the third type. The resulting system of radial equations which contains the potential matrix elements and first-derivative coupling terms is solved using high-order accuracy approximations of the finite-element method. As a test desk, the program is applied to the calculation of the energy values and reaction matrix for an exactly solvable 2D-model of three identical particles on a line with pair zero-range potentials. Program summaryProgram title: KANTBP Catalogue identifier: ADZH_v1_0 Program summary URL:http://cpc.cs.qub.ac.uk/summaries/ADZH_v1_0.html Program obtainable from: CPC Program Library, Queen's University, Belfast, N. Ireland Licensing provisions: Standard CPC licence, http://cpc.cs.qub.ac.uk/licence/licence.html No. of lines in distributed program, including test data, etc.: 4224 No. of bytes in distributed program, including test data, etc.: 31 232 Distribution format: tar.gz Programming language: FORTRAN 77 Computer: Intel Xeon EM64T, Alpha 21264A, AMD Athlon MP, Pentium IV Xeon, Opteron 248, Intel Pentium IV Operating system: OC Linux, Unix AIX 5.3, SunOS 5.8, Solaris, Windows XP RAM: depends on (a) the number of differential equations; (b) the number and order of finite-elements; (c) the number of hyperradial points; and (d) the number of eigensolutions required. Test run requires 30 MB Classification: 2.1, 2.4 External routines: GAULEG and GAUSSJ [W.H. Press, B.F. Flanery, S.A. Teukolsky, W.T. Vetterley, Numerical Recipes: The Art of Scientific Computing, Cambridge University Press, Cambridge, 1986] Nature of problem: In the hyperspherical adiabatic

  12. Potential Molecular Mechanism of Retrograde Aortic Arch Stenosis in the Hybrid Approach to Hypoplastic Left Heart Syndrome

    PubMed Central

    Hibino, Narutoshi; Cismowski, Mary J.; Lilly, Brenda J.; McConnell, Patrick I.; Shinoka, Toshiharu; Cheatham, John P.; Lucchesi, Pamela A.; Galantowicz, Mark E.; Trask, Aaron J.

    2015-01-01

    Background The hybrid palliation for hypoplastic left heart syndrome (HLHS) has emerged as an alternative approach to the Norwood procedure. The development of patent ductus arteriosus (PDA) in-stent stenosis can cause retrograde aortic arch stenosis (RAAS), leading to significant morbidity. This study aimed to identify potential mechanisms of PDA in-stent stenosis contributing to RAAS. METHODS Tissues from stented PDA were collected from 17 patients undergoing comprehensive stage 2 repair between 2009 and 2014. Patients requiring RAAS intervention based on cardiology–surgery consensus were defined as RAAS (+) (n=10), whereas patients without any RAAS intervention were defined as RAAS (−) (n=7). Tissues were examined by qPCR analysis for vascular smooth muscle cell (VSMC) differentiation and proliferation markers. RESULTS Patient characteristics were: HLHS with aortic atresia: 6; HLHS with aortic stenosis: 3; unbalanced AVC: 3; DILV/TGA: 3; DORV: 2. VSMC differentiation markers (β–actin, SM22, and calponin) and signaling pathways for VSMC modulation (TGFβ1, Notch, and PDGF-BB) were significantly higher in the RAAS (+) than in RAAS (−). The proliferation marker Ki67 was increased in RAAS (+). Cell cycle markers were comparable in both groups. CONCLUSION Increased VSMC differentiation and proliferation markers suggest a mechanism for inward neointima formation of the PDA in RAAS. The apparent lack of change in cell cycle markers is contrary to coronary artery in-stent stenosis, suggesting further targets should be examined. Combined primary in vitro PDA cell culture and proteomics can be strong tools to elucidate targets to reduce PDA in-stent stenosis for RAAS in the future. PMID:26163359

  13. Bilateral high radial nerve compressions: a case report.

    PubMed

    Chuangsuwanich, A; Muangsombut, S; Sangruchi, T

    2000-06-01

    A 40-year-old woman with bilateral high radial nerve compressions by non-traumatic cause was reported. It occurred first at the right radial nerve which was explored after a period of investigation and conservative treatment. Two constricted sites 2.0 cm apart of the right radial nerve crossed by branches of the radial collateral artery beneath the lateral head of the triceps were found. The constricted sites including tissue in between was resected and replaced with a sural nerve graft. One year later the patient had the same episode on the left side. The operative finding was the same as the previous one. Sural nerve graft was performed after neurolysis had failed. The patient's normal radial nerve function returned in one year. This is the first reported case in the literature of bilateral high radial nerve compressions by branches of the radial collateral artery.

  14. Differences between left- and right-handers in approach/avoidance motivation: influence of consistency of handedness measures

    PubMed Central

    Hardie, Scott M.; Wright, Lynn

    2014-01-01

    Hand preference is often viewed as a troublesome variable in psychological research, with left-handers routinely excluded from studies. Contrary to this, a body of evidence has shown hand preference to be a useful variable when examining human behavior. A recent review argues that the most effective way of using handedness as a variable, is a comparison between individuals who use their dominant hand for virtually all manual activities (consistent handers) versus those who use their other hand for at least one activity (inconsistent handers). The authors contend that researchers should only focus on degree of handedness rather than direction of preference (left versus right). However, we argue that the field suffers from a number of methodological and empirical issues. These include a lack of consensus in choice of cut-off point to divide consistent and inconsistent categories and importantly a paucity of data from left-handers. Consequentially, researchers predominantly compare inconsistent versus consistent right-handers, largely linked to memory, cognition and language. Other research on response style and personality measures shows robust direction of handedness effects. The present study examines both strength and direction of handedness on self-reported behavioral inhibition system (BIS) and behavioral activation system (BAS) scores, using evidence from a large (N = 689) dataset including more than 200 left-handers. There were degree of handedness effects on BIS and BAS-Fun Seeking, but effects are largely driven by differences between consistent left-handers and other groups. Choice of cut-off point substantively influenced results, and suggests that unless a suitable sample of left-handers is included, researchers clarify that their degree of handedness effects are applicable only to right-handers. We concur that strength of hand preference is an important variable but caution that differences related to consistency may not be identical in right and left

  15. Differences between left- and right-handers in approach/avoidance motivation: influence of consistency of handedness measures.

    PubMed

    Hardie, Scott M; Wright, Lynn

    2014-01-01

    Hand preference is often viewed as a troublesome variable in psychological research, with left-handers routinely excluded from studies. Contrary to this, a body of evidence has shown hand preference to be a useful variable when examining human behavior. A recent review argues that the most effective way of using handedness as a variable, is a comparison between individuals who use their dominant hand for virtually all manual activities (consistent handers) versus those who use their other hand for at least one activity (inconsistent handers). The authors contend that researchers should only focus on degree of handedness rather than direction of preference (left versus right). However, we argue that the field suffers from a number of methodological and empirical issues. These include a lack of consensus in choice of cut-off point to divide consistent and inconsistent categories and importantly a paucity of data from left-handers. Consequentially, researchers predominantly compare inconsistent versus consistent right-handers, largely linked to memory, cognition and language. Other research on response style and personality measures shows robust direction of handedness effects. The present study examines both strength and direction of handedness on self-reported behavioral inhibition system (BIS) and behavioral activation system (BAS) scores, using evidence from a large (N = 689) dataset including more than 200 left-handers. There were degree of handedness effects on BIS and BAS-Fun Seeking, but effects are largely driven by differences between consistent left-handers and other groups. Choice of cut-off point substantively influenced results, and suggests that unless a suitable sample of left-handers is included, researchers clarify that their degree of handedness effects are applicable only to right-handers. We concur that strength of hand preference is an important variable but caution that differences related to consistency may not be identical in right and left-handers.

  16. Radial arm strike rail

    DOEpatents

    McKeown, Mark H.; Beason, Steven C.

    1991-01-01

    The radial arm strike rail assembly is a system for measurement of bearings, directions, and stereophotography for geologic mapping, particularly where magnetic compasses are not appropriate. The radial arm, pivoting around a shaft axis, provides a reference direction determination for geologic mapping and bearing or direction determination. The centerable and levelable pedestal provide a base for the radial arm strike rail and the telescoping camera pedestal. The telescoping feature of the radial arm strike rail allows positioning the end of the rail for strike direction or bearing measurement with a goniometer.

  17. Aortic arch origin of the left vertebral artery: An Anatomical and Radiological Study with Significance for Avoiding Complications with Anterior Approaches to the Cervical Spine.

    PubMed

    Tardieu, Gabrielle G; Edwards, Bryan; Alonso, Fernando; Watanabe, Koichi; Saga, Tsuyoshi; Nakamura, Moriyoshi; Motomura, Mayuko; Sampath, Raghuram; Iwanaga, Joe; Goren, Oded; Monteith, Stephen; Oskouian, Rod J; Loukas, Marios; Tubbs, R Shane

    2017-09-01

    Complications from anterior approaches to the cervical spine are uncommon with normal anatomy. However, variant anatomy might predispose one to an increased incidence of injury during such procedures. We hypothesized that left vertebral arteries that arise from the aortic arch instead of the subclavian artery might take a more medial path in their ascent making them more susceptible to iatrogenic injury. Fifty human adult cadavers were examined for left vertebral arteries having an aortic arch origin and these were dissected along their entire cervical course. Additionally, two radiological databases of CTA and arteriography procedures were retrospectively examined for cases of aberrant left vertebral artery origin from the aortic arch over a two-year period. Two cadaveric specimens (4%) were found to have a left vertebral artery arising from the aortic arch. The retrospective radiological database analysis identified 13 cases (0.87%) of left vertebral artery origin from the aortic arch. Of all cases, vertebral arteries that arose from the aortic arch were much more likely to not only have a more medial course (especially their preforaminal segment) over the cervical vertebral bodies but also to enter a transverse foramen that was more cranially located than the normal C6 entrance of the vertebral artery. Spine surgeons who approach the anterior cervical spine should be aware that an aortic origin of the left vertebral artery is likely to be closer to the midline and less protected above the C6 vertebral level. Clin. Anat. 30:811-816, 2017. © 2017Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

  18. Radial Basis Functions for Combining Shape and Speckle Tracking in 4D Echocardiography

    PubMed Central

    Compas, Colin B.; Wong, Emily Y.; Huang, Xiaojie; Sampath, Smita; Lin, Ben A.; Pal, Prasanta; Papademetris, Xenophon; Thiele, Karl; Dione, Donald P.; Stacy, Mitchel; Staib, Lawrence H.; Sinusas, Albert J.; O'Donnell, Matthew; Duncan, James S.

    2014-01-01

    Quantitative analysis of left ventricular deformation can provide valuable information about the extent of disease as well as the efficacy of treatment. In this work, we develop an adaptive multi-level compactly supported radial basis approach for deformation analysis in 3D+time echocardiography. Our method combines displacement information from shape tracking of myocardial boundaries (derived from B-mode data) with mid-wall displacements from radio-frequency-based ultrasound speckle tracking. We evaluate our methods on open-chest canines (N=8) and show that our combined approach is better correlated to magnetic resonance tagging-derived strains than either individual method. We also are able to identify regions of myocardial infarction (confirmed by postmortem analysis) using radial strain values obtained with our approach. PMID:24893257

  19. Triple acting radial seal

    DOEpatents

    Ebert, Todd A [West Palm Beach, FL; Carella, John A [Jupiter, FL

    2012-03-13

    A triple acting radial seal used as an interstage seal assembly in a gas turbine engine, where the seal assembly includes an interstage seal support extending from a stationary inner shroud of a vane ring, the interstage seal support includes a larger annular radial inward facing groove in which an outer annular floating seal assembly is secured for radial displacement, and the outer annular floating seal assembly includes a smaller annular radial inward facing groove in which an inner annular floating seal assembly is secured also for radial displacement. A compliant seal is secured to the inner annular floating seal assembly. The outer annular floating seal assembly encapsulates the inner annular floating seal assembly which is made from a very low alpha material in order to reduce thermal stress.

  20. Searching for Radial Symmetry.

    PubMed

    Jennings, Ben J; Kingdom, Frederick A A

    2017-01-01

    Symmetry is ubiquitous in the natural world. Numerous investigations, dating back over one hundred years, have explored the visual processing of symmetry. However, these studies have been concerned with mirror symmetry, overlooking radial (or rotational) symmetry, which is also prevalent in nature. Using a visual search paradigm, which approximates the everyday task of searching for an object embedded in background clutter, we have measured how quickly and how accurately human observers detect radially symmetric dot patterns. Performance was compared with mirror symmetry. We found that with orders of radial symmetry greater than 5, radial symmetry can be detected more easily than mirror symmetry, revealing for the first time that radial symmetry is a salient property of objects for human vision.

  1. Searching for Radial Symmetry

    PubMed Central

    Kingdom, Frederick A. A.

    2017-01-01

    Symmetry is ubiquitous in the natural world. Numerous investigations, dating back over one hundred years, have explored the visual processing of symmetry. However, these studies have been concerned with mirror symmetry, overlooking radial (or rotational) symmetry, which is also prevalent in nature. Using a visual search paradigm, which approximates the everyday task of searching for an object embedded in background clutter, we have measured how quickly and how accurately human observers detect radially symmetric dot patterns. Performance was compared with mirror symmetry. We found that with orders of radial symmetry greater than 5, radial symmetry can be detected more easily than mirror symmetry, revealing for the first time that radial symmetry is a salient property of objects for human vision. PMID:28855979

  2. Right-Left Approach and Reaching Arm Movements of 4-Month Infants in Free and Constrained Conditions

    ERIC Educational Resources Information Center

    Morange-Majoux, Francoise; Dellatolas, Georges

    2010-01-01

    Recent theories on the evolution of language (e.g. Corballis, 2009) emphazise the interest of early manifestations of manual laterality and manual specialization in human infants. In the present study, left- and right-hand movements towards a midline object were observed in 24 infants aged 4 months in a constrained condition, in which the hands…

  3. Right-Left Approach and Reaching Arm Movements of 4-Month Infants in Free and Constrained Conditions

    ERIC Educational Resources Information Center

    Morange-Majoux, Francoise; Dellatolas, Georges

    2010-01-01

    Recent theories on the evolution of language (e.g. Corballis, 2009) emphazise the interest of early manifestations of manual laterality and manual specialization in human infants. In the present study, left- and right-hand movements towards a midline object were observed in 24 infants aged 4 months in a constrained condition, in which the hands…

  4. Many States Have Taken a "Backloaded" Approach to No Child Left Behind Goal of All Students Scoring "Proficient"

    ERIC Educational Resources Information Center

    Chudowsky, Naomi; Chudowsky, Vic

    2008-01-01

    This report examines the interim objectives for student achievement established by states in their accountability plans for the No Child Left Behind Act. These objectives lay out the percentages of students that must score at or above the proficient level on state tests each year, on the way toward meeting the law's ultimate goal of 100% of…

  5. Novel Integration Radial and Axial Magnetic Bearing

    NASA Technical Reports Server (NTRS)

    Blumenstock, Kenneth; Brown, Gary

    2000-01-01

    Typically, fully active magnetically suspended systems require one axial and two radial magnetic bearings. Combining radial and axial functions into a single device allows for more compact and elegant packaging. Furthermore, in the case of high-speed devices such as energy storage flywheels, it is beneficial to minimize shaft length to keep rotor mode frequencies as high as possible. Attempts have been made to combine radial and axial functionality, but with certain drawbacks. One approach requires magnetic control flux to flow through a bias magnet reducing control effectiveness, thus resulting in increased resistive losses. This approach also requires axial force producing magnetic flux to flow in a direction into the rotor laminate that is undesirable for minimizing eddy-current losses resulting in rotational losses. Another approach applies a conical rotor shape to what otherwise would be a radial heteropolar magnetic bearing configuration. However, positional non-linear effects are introduced with this scheme and the same windings are used for bias, radial, and axial control adding complexity to the controller and electronics. For this approach, the amount of axial capability must be limited. It would be desirable for an integrated radial and axial magnetic bearing to have the following characteristics; separate inputs for radial and axial control for electronics and control simplicity, all magnetic control fluxes should only flow through their respective air gaps and should not flow through any bias magnets for minimal resistive losses, be of a homopolar design to minimize rotational losses, position related non-linear effects should be minimized, and dependent upon the design parameters, be able to achieve any radial/axial force or power ratio as desired. The integrated radial and axial magnetic bearing described in this paper exhibits all these characteristics. Magnetic circuit design, design equations, and magnetic field modeling results will be presented.

  6. Novel Integrated Radial and Axial Magnetic Bearing

    NASA Technical Reports Server (NTRS)

    Blumenstock, Kenneth A.; Brown, Gary L.; Powers, Edward I. (Technical Monitor)

    2000-01-01

    Typically, fully active magnetically suspended systems require one axial and two radial magnetic bearings. Combining radial and axial functions into a single device allows for more compact and elegant packaging. Furthermore, in the case of high-speed devices such as energy storage flywheels, it is beneficial to minimize shaft length to keep rotor mode frequencies as high as possible. Attempts have been made to combine radial and axial functionality, but with certain drawbacks. One approach requires magnetic control flux to flow through a bias magnet reducing control effectiveness, thus resulting in increased resistive losses. This approach also requires axial force producing magnetic flux to flow in a direction into the rotor laminate that is undesirable for minimizing eddy-current losses resulting in rotational losses. Another approach applies a conical rotor shape to what otherwise would be a radial heteropolar magnetic bearing configuration. However, positional non-linear effects are introduced with this scheme and the same windings are used for bias, radial, and axial control adding complexity to the controller and electronics. For this approach, the amount of axial capability must be limited. It would be desirable for an integrated radial and axial magnetic bearing to have the following characteristics, separate inputs for radial and axial control for electronics and control simplicity, all magnetic control fluxes should only flow through their respective air gaps and should not flow through any bias magnets for minimal resistive losses, be of a homopolar design to minimize rotational losses, position related non-linear effects should be minimized, and dependent upon the design parameters, be able to achieve any radial/axial force or power ratio as desired. The integrated radial and axial magnetic bearing described in this paper exhibits all these characteristics. Magnetic circuit design, design equations, and analysis results will be presented.

  7. A novel hydrodynamic approach of drag-reducing polymers to improve left ventricular hypertrophy and aortic remodeling in spontaneously hypertensive rats

    PubMed Central

    Zhang, Xinlu; Wang, Xu; Hu, Feng; Zhou, Boda; Chen, Hai-Bin; Zha, Daogang; Liu, Yili; Guo, Yansong; Zheng, Lemin; Xiu, Jiancheng

    2016-01-01

    Drag-reducing polymers (DRPs), when added in minute concentrations, have been shown to decrease peripheral vascular resistance. In this study, the effect of DRPs on the hypertension-induced left ventricular hypertrophy and aortic remodeling was evaluated in spontaneously hypertensive rats (SHR). Male SHR and age-matched Wistar rats were divided into four groups and received intravenous injection of normal saline (NS) or DRPs. Body weight (BW), heart rate (HR) and systolic blood pressure (SBP) were measured. Echocardiography was used to evaluate the changes in left ventricle (LV) function and global wall motion. The LV and aorta were stained by hematoxylin and eosin. Cell size of cardiomyocytes and aortic medial thickness were evaluated for each section. The expression of endothelin-1 (ET-1) of LV and aorta was examined by quantitative reverse transcription polymerase chain reaction (qRT-PCR) and immunohistochemistry. There was no significant difference in the increase of SBP among SHR + NS, SHR + 10DRP and SHR + 20DRP groups. SHR + NS group had markedly smaller left ventricular end-systolic diameter and left ventricular end-diastolic diameter but bigger anterior and posterior systolic wall thicknesses, while there was no significant difference in fractional shortening and ejection fraction. The cross-sectional areas (CSAs) of cardiomyocytes and the medial thickness of the aorta in SHR + 10 (ppm) DRP and SHR + 20 (ppm) DRP groups were significantly reduced compared with SHR + NS group. The expression of ET-1 in SHR + 10DRP and SHR + 20DRP groups was significantly attenuated. These results suggest that chronic treatment with DRPs can protect against left ventricular hypertrophy and aortic remodeling. DRPs may offer a new approach to the treatment of left ventricular hypertrophy and aortic remodeling caused by hypertension. PMID:28008249

  8. A novel hydrodynamic approach of drag-reducing polymers to improve left ventricular hypertrophy and aortic remodeling in spontaneously hypertensive rats.

    PubMed

    Zhang, Xinlu; Wang, Xu; Hu, Feng; Zhou, Boda; Chen, Hai-Bin; Zha, Daogang; Liu, Yili; Guo, Yansong; Zheng, Lemin; Xiu, Jiancheng

    Drag-reducing polymers (DRPs), when added in minute concentrations, have been shown to decrease peripheral vascular resistance. In this study, the effect of DRPs on the hypertension-induced left ventricular hypertrophy and aortic remodeling was evaluated in spontaneously hypertensive rats (SHR). Male SHR and age-matched Wistar rats were divided into four groups and received intravenous injection of normal saline (NS) or DRPs. Body weight (BW), heart rate (HR) and systolic blood pressure (SBP) were measured. Echocardiography was used to evaluate the changes in left ventricle (LV) function and global wall motion. The LV and aorta were stained by hematoxylin and eosin. Cell size of cardiomyocytes and aortic medial thickness were evaluated for each section. The expression of endothelin-1 (ET-1) of LV and aorta was examined by quantitative reverse transcription polymerase chain reaction (qRT-PCR) and immunohistochemistry. There was no significant difference in the increase of SBP among SHR + NS, SHR + 10DRP and SHR + 20DRP groups. SHR + NS group had markedly smaller left ventricular end-systolic diameter and left ventricular end-diastolic diameter but bigger anterior and posterior systolic wall thicknesses, while there was no significant difference in fractional shortening and ejection fraction. The cross-sectional areas (CSAs) of cardiomyocytes and the medial thickness of the aorta in SHR + 10 (ppm) DRP and SHR + 20 (ppm) DRP groups were significantly reduced compared with SHR + NS group. The expression of ET-1 in SHR + 10DRP and SHR + 20DRP groups was significantly attenuated. These results suggest that chronic treatment with DRPs can protect against left ventricular hypertrophy and aortic remodeling. DRPs may offer a new approach to the treatment of left ventricular hypertrophy and aortic remodeling caused by hypertension.

  9. Improved dark blood imaging of the heart using radial balanced steady-state free precession.

    PubMed

    Edelman, Robert R; Botelho, Marcos; Pursnani, Amit; Giri, Shivraman; Koktzoglou, Ioannis

    2016-10-19

    Dark blood imaging of the heart is conventionally performed using a breath-hold, dual-inversion Cartesian fast spin-echo pulse sequence. Our aim was to develop a faster, more flexible approach that would be less motion-sensitive and provide better image quality. For this purpose, we implemented a prototype radial balanced steady-state free precession (bSSFP) pulse sequence. The study was approved by the institutional review board. Six healthy volunteers and 27 subjects undergoing clinically-indicated cardiovascular magnetic resonance (CMR) were imaged using dark blood Cartesian fast spin-echo and radial bSSFP. For patient studies, overall image quality, fat suppression and blood nulling were scored on a 5-point Likert scale. The quality of visualization of the right and left ventricular free walls and septum were individually scored. Streaking and ghosting artifacts were noted, as well as signal dropout in the free wall of the left ventricle. In volunteer studies, radial bSSFP showed less degradation by cardiac or respiratory motion than fast spin-echo as indicated by visual analysis and calculation of the temporal signal-to-noise ratio. The least motion sensitivity and maximal imaging efficiency were achieved with a single-shot radial bSSFP acquisition using only 35 views (temporal resolution = 95 ms). In patient studies, radial bSSFP images showed fewer motion artifacts and were judged to provide better myocardial visibility, including depiction of the right ventricular free wall, than fast spin-echo. Dual-inversion radial bSSFP provides the benefits of diminished sensitivity to image artifacts from respiratory or cardiac motion, better myocardial visibility, and improved imaging efficiency compared with standard-of-care Cartesian fast spin-echo for dark blood imaging of the heart.

  10. Internal low energy cardioversion of atrial fibrillation using a single lead system: comparison of a left and right pulmonary artery catheter approach.

    PubMed

    Schmieder, S; Schneider, M A; Karch, M R; Schmitt, C

    2001-07-01

    Internal cardioversion (ICV) has been demonstrated as an effective and safe method for restoring sinus rhythm in patients with AF. Recently, a new single lead system with a balloon-guided cardioversion catheter was introduced. ICV was performed after advancing a 7.5 Fr catheter flow-directed into the left or right pulmonary artery (PA, distal array, cathode). The proximal array (anode) was placed at the lateral RA wall. Synchronized shocks (3/3 ms biphasic impulse) were applied using a stepwise protocol (0.5, 3, 6, 9, 12, 15 J) until sinus rhythm was restored or maximum energy (15 J) was reached. Sixty-five patients (mean age 58 +/- 13 years) with acute and chronic AF were included. Sinus rhythm could be restored in 59 (91%) patients. Cardioversion success was 93% in the left PA compared to 86% in right PA. DFTs for the left and right PA approaches were 7.1 +/- 4.0 J and 10.2 +/- 4.0 J, respectively (P < 0.0001). It was significantly higher in patients with an AF history > 7 days (7.2 +/- 4.1 J) than for those with a recent onset of AF (5.6 +/- 4.1 J), P = 0.0012. Shock impedance differed for the left and right PA lead configuration (53 +/- 11 vs 49 +/- 13 omega, P < 0.05). A right PA lead configuration is as effective compared to a left PA catheter approach when performing ICV for AF. ICV with a single lead system is safe and cardioversion success is comparable to other internal and external cardioversion techniques. In combination with hemodynamic monitoring, flow-directed nonfluoroscopic catheter positioning is feasible and may serve as a valuable therapeutic and diagnostic tool in intensive care units.

  11. Radial heat flux transformer

    NASA Technical Reports Server (NTRS)

    Basiulis, A.; Buzzard, R. J.

    1971-01-01

    Unit moves heat radially from small diameter shell to larger diameter shell, or vice versa, with negligible temperature drop, making device useful wherever heating or cooling of concentrically arranged materials, substances, and structures is desired.

  12. Left septal atrial tachycardia after open-heart surgery: relevance to surgical approach, anatomical and electrophysiological characteristics associated with catheter ablation, and procedural outcomes.

    PubMed

    Adachi, Toru; Yoshida, Kentaro; Takeyasu, Noriyuki; Masuda, Keita; Sekiguchi, Yukio; Sato, Akira; Tada, Hiroshi; Nogami, Akihiko; Aonuma, Kazutaka

    2015-02-01

    Septal atrial tachycardia (AT) can occur in patients without structural heart disease and in patients with previous catheter ablation of atrial fibrillation. We aimed to assess septal AT that occurs after open-heart surgery. This study comprised 20 consecutive patients undergoing catheter ablation of macroreentrant AT after open-heart surgery. Relevance to surgical approach, mechanisms, anatomic and electrophysiological characteristics, and outcomes were assessed. Septal AT was identified in 7 patients who had all undergone mitral valve surgery. All septal ATs were localized in the left atrial septum, whereas 10 of 13 nonseptal ATs originated from the right atrium. Patients with left septal AT had a thicker fossa ovalis (median, 4.0; 25th-75th percentile, 3.6-4.2 versus 2.3; 1.6-2.6 mm; P=0.006) and broader area of low voltage (<0.3 mV) in the septum than patients with nonseptal AT (82; 76-89 versus 31; 28%-36%; P=0.02). Repeated gradual prolongations of the tachycardia cycle length without change of the septal circuit were observed in all patients with septal AT (70; 63-100 versus 15; 10-40 ms; P=0.0008). Although ablation terminated all ATs, recurrence of targeted ATs was more frequent in patients with left septal AT during 30-month follow-up (71 versus 0%; P=0.001). Left septal AT after open-heart surgery was characterized by a thicker septum, more scar burden in the septum, and repeated prolongations of the tachycardia cycle length during ablation. Such an arrhythmogenic substrate may interfere with transmural lesion formation by ablation and may account for higher likelihood of recurrence of left septal AT. © 2014 American Heart Association, Inc.

  13. Mathematical interpretation of radial shearing interferometers.

    PubMed

    Malacara, D

    1974-08-01

    The procedure for computing a radial shearing interferometric pattern is given. The interferometric pattern is analyzed to obtain the wavefront shape. Restricting the discussion to wavefronts having rotational symmetry, we give two different methods of finding the wavefront. One approach is to scan along a diameter of the interferometric pattern and the other is to examine the shape of the fringes. The relative sensitivity of a radial shearing interferometer with respect to that of a Twyman-Green interferometer is also analyzed.

  14. Novel anaesthetic approach for surgical access and haemodynamic management during off-pump coronary artery bypass through a left thoracotomy.

    PubMed

    Maddali, Madan Mohan; Al-Jadidi, Abdullah M; Zacharias, Sunny

    2012-01-01

    For myocardial revascularization on a beating heart through a thoracotomy, a properly deployed endobronchial blocker (EBB) provides ideal conditions for surgical access. In addition, adequate volume replacement to achieve optimal cardiac performance is a primary goal of haemodynamic management in patients undergoing off-pump coronary artery bypass grafting. To achieve both these ends, this case report describes the combined use of a left-sided EBB along with a volumetric pulmonary artery catheter in a patient who underwent a successful off-pump coronary artery bypass surgery through an anterolateral thoracotomy.

  15. Left-ventricle segmentation in real-time 3D echocardiography using a hybrid active shape model and optimal graph search approach

    NASA Astrophysics Data System (ADS)

    Zhang, Honghai; Abiose, Ademola K.; Campbell, Dwayne N.; Sonka, Milan; Martins, James B.; Wahle, Andreas

    2010-03-01

    Quantitative analysis of the left ventricular shape and motion patterns associated with left ventricular mechanical dyssynchrony (LVMD) is essential for diagnosis and treatment planning in congestive heart failure. Real-time 3D echocardiography (RT3DE) used for LVMD analysis is frequently limited by heavy speckle noise or partially incomplete data, thus a segmentation method utilizing learned global shape knowledge is beneficial. In this study, the endocardial surface of the left ventricle (LV) is segmented using a hybrid approach combining active shape model (ASM) with optimal graph search. The latter is used to achieve landmark refinement in the ASM framework. Optimal graph search translates the 3D segmentation into the detection of a minimum-cost closed set in a graph and can produce a globally optimal result. Various information-gradient, intensity distributions, and regional-property terms-are used to define the costs for the graph search. The developed method was tested on 44 RT3DE datasets acquired from 26 LVMD patients. The segmentation accuracy was assessed by surface positioning error and volume overlap measured for the whole LV as well as 16 standard LV regions. The segmentation produced very good results that were not achievable using ASM or graph search alone.

  16. Automatic left-atrial segmentation from cardiac 3D ultrasound: a dual-chamber model-based approach

    NASA Astrophysics Data System (ADS)

    Almeida, Nuno; Sarvari, Sebastian I.; Orderud, Fredrik; Gérard, Olivier; D'hooge, Jan; Samset, Eigil

    2016-04-01

    In this paper, we present an automatic solution for segmentation and quantification of the left atrium (LA) from 3D cardiac ultrasound. A model-based framework is applied, making use of (deformable) active surfaces to model the endocardial surfaces of cardiac chambers, allowing incorporation of a priori anatomical information in a simple fashion. A dual-chamber model (LA and left ventricle) is used to detect and track the atrio-ventricular (AV) plane, without any user input. Both chambers are represented by parametric surfaces and a Kalman filter is used to fit the model to the position of the endocardial walls detected in the image, providing accurate detection and tracking during the whole cardiac cycle. This framework was tested in 20 transthoracic cardiac ultrasound volumetric recordings of healthy volunteers, and evaluated using manual traces of a clinical expert as a reference. The 3D meshes obtained with the automatic method were close to the reference contours at all cardiac phases (mean distance of 0.03+/-0.6 mm). The AV plane was detected with an accuracy of -0.6+/-1.0 mm. The LA volumes assessed automatically were also in agreement with the reference (mean +/-1.96 SD): 0.4+/-5.3 ml, 2.1+/-12.6 ml, and 1.5+/-7.8 ml at end-diastolic, end-systolic and pre-atrial-contraction frames, respectively. This study shows that the proposed method can be used for automatic volumetric assessment of the LA, considerably reducing the analysis time and effort when compared to manual analysis.

  17. Radial turbine cooling

    NASA Technical Reports Server (NTRS)

    Roelke, Richard J.

    1992-01-01

    Radial turbines have been used extensively in many applications including small ground based electrical power generators, automotive engine turbochargers and aircraft auxiliary power units. In all of these applications the turbine inlet temperature is limited to a value commensurate with the material strength limitations and life requirements of uncooled metal rotors. To take advantage of all the benefits that higher temperatures offer, such as increased turbine specific power output or higher cycle thermal efficiency, requires improved high temperature materials and/or blade cooling. Extensive research is on-going to advance the material properties of high temperature superalloys as well as composite materials including ceramics. The use of ceramics with their high temperature potential and low cost is particularly appealing for radial turbines. However until these programs reach fruition the only way to make significant step increases beyond the present material temperature barriers is to cool the radial blading.

  18. [Delayed radial paralysis after Monteggia fracture--a case report].

    PubMed

    Hackl, W; Gabl, M; Gadner, K; Zimmermann, R; Sailer, R

    2002-06-01

    Concomittant lesions of neural structures represent a rare type of complications in Monteggia's fractures. In acute fractures spontaneous neurological remission usually occurs after reduction of the dislocated radial head. In the presented case a 33-year old man experienced a trady palsy of the posterior interosseus nerve 27 years after a Monteggia's fracture with the radial head left dislocated. Following a minimal trauma in badminton a neurological deficiency probably caused by distraction occurred and resulted in impairment of wrist extension and extension of the fingers. Initiated conservative treatment including intensive physiotherapy and electrotherapy for 4 months was unsuccessful. Consecutively the radial nerve was surgically exposed and released from an entrapping and thickened arcade of Frohse. The radial head was left dislocated. Full neurological recovery was obtained 9 months after surgery.

  19. Elbow dislocation with irreparable fracture radial head

    PubMed Central

    Tanna, Dilip

    2013-01-01

    Background: Treatment of elbow dislocation with irreparable radial head fracture needs replacement of radial head to achieve stability of elbow. An alternate method in cases of elbow dislocation with radial head fracture can be resection of radial head with repair of medial collateral ligament. We report a retrospective analysis of cases of elbow dislocation with irreparable radial head treated by excision head of radius and repair of MCL. Materials and Methods: Nine patients of elbow dislocation with associated irreparable fractures of the head of the radius were included in this analysis (6 F:3 M, Age: 35-47 years). Radial head excision was done through the lateral approach and MCL was sutured using no 3 Ethibond using medial approach. Above elbow plaster was given for 6 weeks and gradual mobilization was done thereafter. All patients were assessed at final followup using Mayo elbow performance score (MEPS). Results: Mean followup was 19.55 ± 7.12 months (range 14-36 months). There was no extension deficit when compared to opposite side with mean range of flexion of 138.8° ± 6.97° (range 130 -145°). Mean pronation was 87.7° ± 4.4° (range 80-90°) and mean supination was 87.7 ± 4.62° (range 80-90°). The mean MEPS was 98.8 ± 3.33 (range 90-100). No patient had pain, sensory complaints, subluxation or redislocation. All were able to carry out their daily activities without disability. Conclusion: Radial head excision with MCL repair is an acceptable option for treatment of patients with elbow dislocation and irreparable radial head fracture. PMID:23798760

  20. Radial plant growth.

    PubMed

    Tonn, Nina; Greb, Thomas

    2017-09-11

    One of the extraordinary features of plants is their growth capacity. Depending on the species and the environment, body forms are manifold and, at the same time, constantly reshaped. An important basis of this plastic variation and life-long accumulation of biomass is radial growth. Here, we use this term to describe the ability to grow in girth by the formation of wood, bast and cork. The more technical term for radial growth is secondary growth, which distinguishes the process from primary growth taking place at the tips of stems and roots during plant elongation. Copyright © 2017 Elsevier Ltd. All rights reserved.

  1. Radial wedge flange clamp

    DOEpatents

    Smith, Karl H.

    2002-01-01

    A radial wedge flange clamp comprising a pair of flanges each comprising a plurality of peripheral flat wedge facets having flat wedge surfaces and opposed and mating flat surfaces attached to or otherwise engaged with two elements to be joined and including a series of generally U-shaped wedge clamps each having flat wedge interior surfaces and engaging one pair of said peripheral flat wedge facets. Each of said generally U-shaped wedge clamps has in its opposing extremities apertures for the tangential insertion of bolts to apply uniform radial force to said wedge clamps when assembled about said wedge segments.

  2. Radially uniform electron source

    NASA Technical Reports Server (NTRS)

    Mccomas, D.; Bame, S. J.

    1982-01-01

    A thermionic electron source capable of producing uniform count rates in a number of channel electron multipliers simultaneously was required for conditioning multipliers for an extended space mission. It was found that a straight tungsten filament in the center of a cylindrically symmetric geometry surrounded by an array of multipliers emits a radially asymmetric distribution of electrons that changes with time. A source was developed which successfully produces a time-independent radially uniform distribution of electrons by moving the filament out of the direct line of sight and replacing it with a centrally located electron 'cloud.'

  3. Support vector analysis of color-Doppler images: a new approach for estimating indices of left ventricular function.

    PubMed

    Rojo-Alvarez, J L; Bermejo, J; Juárez-Caballero, V M; Yotti, R; Cortina, C; García-Fernández, M A; Antoranz, J C

    2006-08-01

    Reliable noninvasive estimators of global left ventricular (LV) chamber function remain unavailable. We have previously demonstrated a potential relationship between color-Doppler M-mode (CDMM) images and two basic indices of LV function: peak-systolic elastance (Emax) and the time-constant of LV relaxation (tau). Thus, we hypothesized that these two indices could be estimated noninvasively by adequate postprocessing of CDMM recordings. A semiparametric regression (SR) version of support vector machine (SVM) is here proposed for building a blind model, capable of analyzing CDMM images automatically, as well as complementary clinical information. Simultaneous invasive and Doppler tracings were obtained in nine mini-pigs in a high-fidelity experimental setup. The model was developed using a test and validation leave-one-out design. Reasonably acceptable prediction accuracy was obtained for both Emax (intraclass correlation coefficient Ric, = 0.81) and tau (Ric, = 0.61). For the first time, a quantitative, noninvasive estimation of cardiovascular indices is addressed by processing Doppler-echocardiography recordings using a learning-from-samples method.

  4. Comparison of different segmentation approaches without using gold standard. Application to the estimation of the left ventricle ejection fraction from cardiac cine MRI sequences

    PubMed Central

    Lebenberg, Jessica; Buvat, Irène; Garreau, Mireille; Casta, Christopher; Constantinidès, Constantin; Cousty, Jean; Cochet, Alexandre; Jehan-Besson, Stéphanie; Tilmant, Christophe; Lefort, Muriel; Roullot, Elodie; Najman, Laurent; Sarry, Laurent; Clarysse, Patrick; De Cesare, Alain; Lalande, Alain; Frouin, Frédérique

    2011-01-01

    A statistical method is proposed to compare several estimates of a relevant clinical parameter when no gold standard is available. The method is illustrated by considering the left ventricle ejection fraction derived from cardiac magnetic resonance images and computed using seven approaches with different degrees of automation. The proposed method did not use any a priori regarding with the reliability of each method and its degree of automation. The results showed that the most accurate estimates of the ejection fraction were obtained using manual segmentations, followed by the semi-automatic methods, while the methods with the least user input yielded the least accurate ejection fraction estimates. These results were consistent with the expected performance of the estimation methods, suggesting that the proposed statistical approach might be helpful to assess the performance of estimation methods on clinical data for which no gold standard is available. PMID:22254889

  5. Radial bisection of words and lines in right-brain-damaged patients with spatial neglect.

    PubMed

    Veronelli, Laura; Arduino, Lisa S; Girelli, Luisa; Vallar, Giuseppe

    2015-11-27

    The bisection of lines positioned radially (with the two ends of the line close and far, with respect to the participant's body) has been less investigated than that of lines placed horizontally (with their two ends left and right, with respect to the body's midsagittal plane). In horizontal bisection, patients with left neglect typically show a rightward bias for both lines and words, greater with longer stimuli. As for radial bisection, available data indicate that neurologically unimpaired participants make a distal error, while results from right-brain-damaged patients with left spatial neglect are contradictory. We investigated the bisection of radially oriented words, with the prediction that, during bisection, linguistic material would be recoded to its canonical left-to-right format in reading, with the performance of neglect patients being similar to that for horizontal words. Thirteen right-brain-damaged patients (seven with left spatial neglect) and fourteen healthy controls were asked to manually bisect 40 radial and 40 horizontal words (5-10 letters), and 80 lines, 40 radial and 40 horizontal, of comparable length. Right-brain-damaged patients with spatial neglect exhibited a proximal bias in the bisection of short radial words, with the proximal part corresponding to the final right part of horizontally oriented words. This proximal error was not found in patients without neglect and healthy controls. For bisection, short radial words may be recoded to the canonical orthographic horizontal format, unveiling the impact of left neglect on radially oriented stimuli.

  6. MAXBAND Version 3.1: Heuristic and optimal approach for setting the left turn phase sequences in signalized networks

    SciTech Connect

    Pillai, R.S.; Rathi, A.K.

    1995-02-01

    The main objective of synchronized signal timing is to keep traffic moving along arterials in platoons throughout the signal system by proper setting of left turn phase sequence at signals along the arterials/networks. The synchronization of traffic signals located along the urban/suburban arterials in metropolitan areas is perhaps one of the most cost-effective methods for improving traffic flow along these streets. MAXBAND Version 2.1 (formerly known as MAXBAND-86), a progression-based optimization model, is used for generating signal timing plan for urban networks. This model formulates the problem as a mixed integer linear program and uses Land and Powell branch and bound search to arrive at the optimal solution. The computation time of MAXBAND Version 2.1 tends to be excessive for realistic multiarterial network problems due to the exhaustive nature of the branch and bound search technique. Furthermore, the Land and Powell branch and bound code is known to be numerically unstable, which results in suboptimal solutions for network problems with a range on the cycle time variable. This report presents the development of a new version of MAXBAND called MAXBAND Version 3.1. This new version has a fast heuristic algorithm and a fast optimal algorithm for generating signal timing plan for arterials and networks. MAXBAND 3.1 can generate optimal/near-optimal solutions in fraction of the time needed to compute the optimal solution by Version 2.1. The heuristic algorithm in the new model is based on restricted search using branch and bound technique. The algorithm for generating the optimal solution is faster and more efficient than version 2.1 algorithm. Furthermore, the new version is numerically stable. The efficiency of the new model is demonstrated by numerical results for a set of test problems.

  7. Size of radial and ulnar artery in local population.

    PubMed

    Ashraf, Tariq; Panhwar, Ziauddin; Habib, Sultana; Memon, Muhammad Anis; Shamsi, Fahad; Arif, Javed

    2010-10-01

    To evaluate radial and ulnar artery diameter in patients undergoing diagnostic coronary angiography. This was a cross-sectional study in which we measured the inner diameter of radial and ulnar artery by using two dimensional ultrasound and Doppler examination in 251 patients visiting our hospital for diagnostic coronary angiography between February to September 2008. The mean diameter of right and left radial artery was 2.3 +/- 0.4 mm and 2.2 +/- 0.4 mm respectively. The mean diameter of right and left ulnar artery was 2.4 +/- 0.4 mm and 2.3 +/- 0.3 mm respectively. The factors found to positively influence the size of radial artery included male sex, diabetes mellitus and smoking. There was no relationship of the size of the radial and ulnar artery with body size parameters (height, weight, Body Surface Area (BSA) & Body Mass Index (BMI). We conclude that ulnar artery diameter is larger than the radial artery in our population. Knowing the size will guide the interventional cardiologist in using appropriate size sheaths and guide catheters. Cardiac surgeons can utilize ulnar artery for bypass grafting when it is deemed unsafe to harvest the radial artery.

  8. Aortic Dissection Presenting as Acute Subtotal Left Main Coronary Artery Occlusion: A Case Approach and Review of the Literature

    PubMed Central

    Ruisi, Michael; Fallahi, Arzhang; Lala, Moinakhtar; Kanei, Yumiko

    2015-01-01

    Aortic dissection is the most common fatal condition of the aorta, yet it is often missed on initial clinical presentation. Aortic dissection associated with acute coronary syndrome (ACS) is relatively rare, but if it occurs, it can be diagnostically challenging, and the condition can be fatal. Here we describe a case of aortic dissection presenting as ST-segment elevation myocardial infarction (STEMI) managed via the transradial approach. We describe the current literature on the subject. PMID:25780485

  9. Silent cerebral infarct after cardiac catheterization as detected by diffusion weighted Magnetic Resonance Imaging: a randomized comparison of radial and femoral arterial approaches

    PubMed Central

    Hamon, Michèle; Burzotta, Francesco; Oppenheim, Catherine; Morello, Rémy; Viader, Fausto; Hamon, Martial

    2007-01-01

    Background and objective Cerebral microembolism detected by transcranial Doppler (TCD) occurs systematically during cardiac catheterization, but its clinical relevance, remains unknown. Studies suggest that asymptomatic embolic cerebral infarction detectable by diffusion-weighted (DW) MRI might exist after percutaneous cardiac interventions with a frequency as high as 15 to 22% of cases. We have set up, for the first time, a prospective multicenter trial to assess the rate of silent cerebral infarction after cardiac catheterization and to compare the impact of the arterial access site, comparing radial and femoral access, on this phenomenon. Study design This prospective study will be performed in patients with severe aortic valve stenosis. To assess the occurrence of cerebral infarction, all patients will undergo cerebral DW-MRI and neurological assessment within 24 hours before, and 48 hours after cardiac catheterization and retrograde catheterization of the aortic valve. Randomization for the access site will be performed before coronary angiography. A subgroup will be monitored by transcranial power M-mode Doppler during cardiac catheterization to observe cerebral blood flow and track emboli. Neuropsychological tests will also be recorded in a subgroup of patients before and after the interventional procedures to assess the impact of silent brain injury on potential cognitive decline. The primary end-point of the study is a direct comparison of ischemic cerebral lesions as detected by serial cerebral DW-MRI between patients explored by radial access and patients explored by femoral access. Secondary end-points include comparison of neuropsychological test performance and number of microembolism signals observed in the two groups. Implications Using serial DW-MRI, silent cerebral infarction rate will be defined and the potential influence of vascular access site will be evaluated. Silent cerebral infarction might be a major concern during cardiac catheterization

  10. Left atrial approach to close the atrial septal defect type II in case of right lung agenesis with extreme dextroversion.

    PubMed

    Pietrzykowski, Witold D; Moll, Maciej; Kobielski, Artur; Moll, Jacek J

    2007-02-01

    This paper presents a case of a rare combination of right lung agenesis and atrial septal defect type II (ASD II). Successful surgical repair of ASD II was performed at the age of six years with total circulatory arrest (TCA) and deep hypothermia, because of difficult approach. Computed tomography and intraoperative findings are described. From patho-embryological consideration, defects in the primitive respiratory apparatus in embryo stages were presumably responsible for agenesis of the lung. The patient was found to have a very short stump of the right pulmonary artery, but this malformation seems to be secondary.

  11. Extruder scale-up assessment in the process of extrusion-spheronization: comparison of radial and axial systems by a design of experiments approach.

    PubMed

    Désiré, Amélie; Paillard, Bruno; Bougaret, Joël; Baron, Michel; Couarraze, Guy

    2013-02-01

    Scaling-up the extrusion-spheronization process involves the separate scale-up of each of the five process steps: dry mixing, granulation, extrusion, spheronization, and drying. The aim of the study was to compare two screw extrusion systems regarding their suitability for scaling-up. Two drug substances of high- and low-solubility in water were retained at different concentrations as formulation variables. Different spheronization times were tested. The productivity of the process was followed up using the extrusion rate and yield. Pellets were characterized by their size and shape, and by their structural and mechanical properties. A response surface design of experiments was built to evaluate the influence of the different variables and their interactions on each response, and to select the type of extrusion which provides the best results in terms of product quality, the one which shows less influence on the product after scale-up ("scalability") and when the formula used changes ("robustness"), and the one which allows the possibility to adjust pellet properties with spheronization variables ("flexibility"). Axial system showed the best characteristics in terms of product quality at lab and industrial scales, the best robustness at industrial scale, and the best scalability, by comparison with radial system. Axial system thus appeared as the easiest scaled-up system. Compared to lab scale, the conclusions observed at industrial scale were the same in terms of product quality, but different for robustness and flexibility, which confirmed the importance to test the systems at industrial scale before acquiring the equipment.

  12. Variable stator radial turbine

    NASA Technical Reports Server (NTRS)

    Rogo, C.; Hajek, T.; Chen, A. G.

    1984-01-01

    A radial turbine stage with a variable area nozzle was investigated. A high work capacity turbine design with a known high performance base was modified to accept a fixed vane stagger angle moveable sidewall nozzle. The nozzle area was varied by moving the forward and rearward sidewalls. Diffusing and accelerating rotor inlet ramps were evaluated in combinations with hub and shroud rotor exit rings. Performance of contoured sidewalls and the location of the sidewall split line with respect to the rotor inlet was compared to the baseline. Performance and rotor exit survey data are presented for 31 different geometries. Detail survey data at the nozzle exit are given in contour plot format for five configurations. A data base is provided for a variable geometry concept that is a viable alternative to the more common pivoted vane variable geometry radial turbine.

  13. Balanced radial engine

    SciTech Connect

    Goldowsky, M.P.

    1991-04-02

    This patent describes an internal combustion radial engine composed of an even number of identical and fully functional single cylinder slider crank 2-cycle or 4-cycle engines. It comprises a piston, linkage means, carburetor means, and shaft, the engines being positioned in pairs in a common plane, the pistons are in line and diametrally opposed, the engine shafts are parallel to one another and to a central output shaft and having synchronized means positioned on the engine shafts for coupling the engine shafts to the output shaft whereby diametrally opposite pistons and linkage means inertial forces, the output shaft projections from the synchronizing means past a front of the radial engine and the engine shafts project from the engines to the synchronizing means opposite in direction to the output shaft.

  14. Radial Inflow Turboexpander Redesign

    SciTech Connect

    William G. Price

    2001-09-24

    Steamboat Envirosystems, LLC (SELC) was awarded a grant in accordance with the DOE Enhanced Geothermal Systems Project Development. Atlas-Copco Rotoflow (ACR), a radial expansion turbine manufacturer, was responsible for the manufacturing of the turbine and the creation of the new computer program. SB Geo, Inc. (SBG), the facility operator, monitored and assisted ACR's activities as well as provided installation and startup assistance. The primary scope of the project is the redesign of an axial flow turbine to a radial inflow turboexpander to provide increased efficiency and reliability at an existing facility. In addition to the increased efficiency and reliability, the redesign includes an improved reduction gear design, and improved shaft seal design, and upgraded control system and a greater flexibility of application

  15. Radial pressure flange seal

    DOEpatents

    Batzer, Thomas H.; Call, Wayne R.

    1989-01-01

    This invention provides an all metal seal for vacuum or pressure vessels or systems. This invention does not use gaskets. The invention uses a flange which fits into a matching groove. Fluid pressure is applied in a chamber in the flange causing at least one of the flange walls to radially press against a side of the groove creating the seal between the flange wall and the groove side.

  16. Radial pressure flange seal

    DOEpatents

    Batzer, T.H.; Call, W.R.

    1989-01-24

    This invention provides an all metal seal for vacuum or pressure vessels or systems. This invention does not use gaskets. The invention uses a flange which fits into a matching groove. Fluid pressure is applied in a chamber in the flange causing at least one of the flange walls to radially press against a side of the groove creating the seal between the flange wall and the groove side. 5 figs.

  17. Radial localization of odors by human newborns.

    PubMed

    Rieser, J; Yonas, A; Wikner, K

    1976-09-01

    To study sensitivity to radial location of an odor source, 20 human newborns, ranging from 16 to 130 hours of age, were presented with a small amount of ammonium hydroxide. The odor source was placed near the nose slightly to the left or right of midline, with its position randomized over repeated trails. Direction of headturn with respect to the odor location and diffuse motor activity were scored from the videotape recordings of the newborns' behavior. It was found that as a group, the newborns turned away from the odor source more frequently than they turned toward it. The tendency to turn away from the odor was stronger in infants who displayed less motor activity after the response. Newborns also exhibited a right bias in the direction of the head movements. It is concluded that a spatially appropriate avoidance response is present in the neonate and that the newborn is innately sensitive to the radial location of an odor.

  18. Radially inhomogeneous bounded plasmas

    NASA Astrophysics Data System (ADS)

    Zakeri-Khatir, H.; Aghamir, F. M.

    2016-07-01

    On the basis of kinetic theory along with self-consistent field equations, the expressions for dielectric tensor of radially inhomogeneous magnetized plasma columns are obtained. The study of dielectric tensor characteristics allows the accurate analysis of the inhomogeneous properties, beyond limitations that exist in the conventional method. Through the Bessel-Fourier transformation, the localized form of material equations in a radially inhomogeneous medium are obtained. In order to verify the integrity of the model and reveal the effect of inhomogeneity, a special case of a cylindrical plasma waveguide completely filled with inhomogeneous magnetized cold plasma was considered. The dispersion relation curves for four families of electromagnetic (EH and HE) and electrostatic (SC and C) modes are obtained and compared with the findings of the conventional model. The numerical analysis indicates that the inhomogeneity effect leads to coupling of electromagnetic and electrostatic modes each having different radial eigen numbers. The study also reveals that the electrostatic modes are more sensitive to inhomogeneous effects than the electromagnetic modes.

  19. Radial nerve palsy

    PubMed Central

    Bumbasirevic, Marko; Palibrk, Tomislav; Lesic, Aleksandar; Atkinson, Henry DE

    2016-01-01

    As a result of its proximity to the humeral shaft, as well as its long and tortuous course, the radial nerve is the most frequently injured major nerve in the upper limb, with its close proximity to the bone making it vulnerable when fractures occur. Injury is most frequently sustained during humeral fracture and gunshot injuries, but iatrogenic injuries are not unusual following surgical treatment of various other pathologies. Treatment is usually non-operative, but surgery is sometimes necessary, using a variety of often imaginative procedures. Because radial nerve injuries are the least debilitating of the upper limb nerve injuries, results are usually satisfactory. Conservative treatment certainly has a role, and one of the most important aspects of this treatment is to maintain a full passive range of motion in all the affected joints. Surgical treatment is indicated in cases when nerve transection is obvious, as in open injuries or when there is no clinical improvement after a period of conservative treatment. Different techniques are used including direct suture or nerve grafting, vascularised nerve grafts, direct nerve transfer, tendon transfer, functional muscle transfer or the promising, newer treatment of biological therapy. Cite this article: Bumbasirevic M, Palibrk T, Lesic A, Atkinson HDE. Radial nerve palsy. EFORT Open Rev 2016;1:286-294. DOI: 10.1302/2058-5241.1.000028. PMID:28461960

  20. Radial Field Piezoelectric Diaphragms

    NASA Technical Reports Server (NTRS)

    Bryant, R. G.; Effinger, R. T., IV; Copeland, B. M., Jr.

    2002-01-01

    A series of active piezoelectric diaphragms were fabricated and patterned with several geometrically defined Inter-Circulating Electrodes "ICE" and Interdigitated Ring Electrodes "ICE". When a voltage potential is applied to the electrodes, the result is a radially distributed electric field that mechanically strains the piezoceramic along the Z-axis (perpendicular to the applied electric field). Unlike other piezoelectric bender actuators, these Radial Field Diaphragms (RFDs) strain concentrically yet afford high displacements (several times that of the equivalent Unimorph) while maintaining a constant circumference. One of the more intriguing aspects is that the radial strain field reverses itself along the radius of the RFD while the tangential strain remains relatively constant. The result is a Z-deflection that has a conical profile. This paper covers the fabrication and characterization of the 5 cm. (2 in.) diaphragms as a function of poling field strength, ceramic thickness, electrode type and line spacing, as well as the surface topography, the resulting strain field and displacement as a function of applied voltage at low frequencies. The unique features of these RFDs include the ability to be clamped about their perimeter with little or no change in displacement, the environmentally insulated packaging, and a highly repeatable fabrication process that uses commodity materials.

  1. The application of SHERPA (Systematic Human Error Reduction and Prediction Approach) in the development of compensatory cognitive rehabilitation strategies for stroke patients with left and right brain damage.

    PubMed

    Hughes, Charmayne M L; Baber, Chris; Bienkiewicz, Marta; Worthington, Andrew; Hazell, Alexa; Hermsdörfer, Joachim

    2015-01-01

    Approximately 33% of stroke patients have difficulty performing activities of daily living, often committing errors during the planning and execution of such activities. The objective of this study was to evaluate the ability of the human error identification (HEI) technique SHERPA (Systematic Human Error Reduction and Prediction Approach) to predict errors during the performance of daily activities in stroke patients with left and right hemisphere lesions. Using SHERPA we successfully predicted 36 of the 38 observed errors, with analysis indicating that the proportion of predicted and observed errors was similar for all sub-tasks and severity levels. HEI results were used to develop compensatory cognitive strategies that clinicians could employ to reduce or prevent errors from occurring. This study provides evidence for the reliability and validity of SHERPA in the design of cognitive rehabilitation strategies in stroke populations.

  2. Antiproton compression and radial measurements

    SciTech Connect

    Andresen, G. B.; Bowe, P. D.; Hangst, J. S.; Bertsche, W.; Butler, E.; Charlton, M.; Humphries, A. J.; Jenkins, M. J.; Joergensen, L. V.; Madsen, N.; Werf, D. P. van der; Bray, C. C.; Chapman, S.; Fajans, J.; Povilus, A.; Wurtele, J. S.; Cesar, C. L.; Lambo, R.; Silveira, D. M.; Fujiwara, M. C.

    2008-08-08

    Control of the radial profile of trapped antiproton clouds is critical to trapping antihydrogen. We report detailed measurements of the radial manipulation of antiproton clouds, including areal density compressions by factors as large as ten, achieved by manipulating spatially overlapped electron plasmas. We show detailed measurements of the near-axis antiproton radial profile, and its relation to that of the electron plasma. We also measure the outer radial profile by ejecting antiprotons to the trap wall using an octupole magnet.

  3. Antiproton compression and radial measurements

    NASA Astrophysics Data System (ADS)

    Andresen, G. B.; Bertsche, W.; Bowe, P. D.; Bray, C. C.; Butler, E.; Cesar, C. L.; Chapman, S.; Charlton, M.; Fajans, J.; Fujiwara, M. C.; Funakoshi, R.; Gill, D. R.; Hangst, J. S.; Hardy, W. N.; Hayano, R. S.; Hayden, M. E.; Humphries, A. J.; Hydomako, R.; Jenkins, M. J.; Jørgensen, L. V.; Kurchaninov, L.; Lambo, R.; Madsen, N.; Nolan, P.; Olchanski, K.; Olin, A.; Page, R. D.; Povilus, A.; Pusa, P.; Robicheaux, F.; Sarid, E.; El Nasr, S. Seif; Silveira, D. M.; Storey, J. W.; Thompson, R. I.; van der Werf, D. P.; Wurtele, J. S.; Yamazaki, Y.

    2008-08-01

    Control of the radial profile of trapped antiproton clouds is critical to trapping antihydrogen. We report detailed measurements of the radial manipulation of antiproton clouds, including areal density compressions by factors as large as ten, achieved by manipulating spatially overlapped electron plasmas. We show detailed measurements of the near-axis antiproton radial profile, and its relation to that of the electron plasma. We also measure the outer radial profile by ejecting antiprotons to the trap wall using an octupole magnet.

  4. Geometric Derivation of Radial Acceleration Magnitude.

    ERIC Educational Resources Information Center

    Kraft, David W.; Motz, Lloyd

    1995-01-01

    Standard treatments of uniform circular motion generally employ a combination of geometric and kinematic arguments to obtain the magnitude of radial acceleration. Presents a novel approach to the geometric portion of the derivation that uses the property that vectors can be translated parallel to themselves. (JRH)

  5. Novel Approach to the Detection of Left Ventricular Hypertrophy Using Body Mass Index-Corrected Electrocardiographic Voltage Criteria in a Group of African Ancestry.

    PubMed

    Robinson, Chanel; Woodiwiss, Angela J; Libhaber, Carlos D; Norton, Gavin R

    2016-09-01

    Electrocardiographic (ECG) QRS voltages used to generate criteria for left ventricular hypertrophy (LVH) detection are considerably attenuated by obesity. This effect renders the utility of ECG criteria to detect LVH in obese individuals of African ancestry to be of limited value. A novel approach to correcting QRS voltages for the attenuating effect of body mass index (BMI) will improve the ability of ECG criteria to detect LVH in a group of African descent. Left ventricular mass was determined from echocardiography in 661 randomly selected participants (43.0% obese) of black African ancestry in South Africa. As compared with Cornell and Sokolow-Lyon voltage criteria, BMI best correlated with RaVL , Gubner-Ungerleider, and Lewis QRS complex voltages, but these relations were noted only in those with BMI <29 kg/m(2) . Correcting RaVL and Lewis voltages by the difference in the slope of BMI-voltage relations in those with BMI <29 kg/m(2) vs those with BMI ≥29 kg/m(2) showed the greatest performance for LVH detection (uncorrected RaVL : 0.695 ± 0.025, corrected RaVL : 0.733 ± 0.022; P < 0.0001), and also increased the sensitivity (uncorrected RaVL : 30.6%, corrected RaVL : 42.4%; P < 0.0005) with no significant change in specificity (uncorrected RaVL : 86.3%, corrected RaVL : 83.0%; P = 0.28). We offer a novel approach to correcting ECG voltages for the attenuating effects of obesity in individuals of African ancestry, and this improves the performance and sensitivity for LVH detection. © 2016 Wiley Periodicals, Inc.

  6. Temporary left ventricular assist device through an axillary access is a promising approach to improve outcomes in refractory cardiogenic shock patients.

    PubMed

    Doersch, Karen M; Tong, Carl W; Gongora, Enrique; Konda, Subbareddy; Sareyyupoglu, Basar

    2015-01-01

    Cardiogenic shock (CS) causes significant morbidity and mortality and such patients can deteriorate rapidly. Temporary left ventricular assist devices (LVADs) are a promising approach to manage these patients. The following is a case series in which patients stabilized with a temporary LVAD for CS improvement were analyzed retrospectively. Between June 2011 and January 2014, 15 patients received temporary devices through an axillary approach (mean age: 53 ± 15, 93% male). Mean survival time was 317.8 ± 359.5 days (range: 6-936 days). During support there were no major bleeding events, infectious complications at the axillary access site, upper extremity edema, or emboli. The most of the patients recovered from CS (93%) were mobilized (67%) and were extubated (73%) while on temporary device support. Median times to extubation, intensive care unit discharge, and discontinuation of inotropic medications were: 1.63, 18, and 15 days, respectively. Four patients recovered to no device support and five received a long-term LVAD, all of whom remain alive. Therefore, implantation of a temporary LVAD through an axillary approach is a promising therapy for improving outcomes in patients needing mechanical circulatory support as a bridge to recovery or a definitive LVAD.

  7. A case of secondary somatosensory epilepsy with a left deep parietal opercular lesion: successful tumor resection using a transsubcentral gyral approach during awake surgery.

    PubMed

    Maesawa, Satoshi; Fujii, Masazumi; Futamura, Miyako; Hayashi, Yuichiro; Iijima, Kentaro; Wakabayashi, Toshihiko

    2016-03-01

    Few studies have examined the clinical characteristics of patients with lesions in the deep parietal operculum facing the sylvian fissure, the region recognized as the secondary somatosensory area (SII). Moreover, surgical approaches in this region are challenging. In this paper the authors report on a patient presenting with SII epilepsy with a tumor in the left deep parietal operculum. The patient was a 24-year-old man who suffered daily partial seizures with extremely uncomfortable dysesthesia and/or occasional pain on his right side. MRI revealed a tumor in the medial aspect of the anterior transverse parietal gyrus, surrounding the posterior insular point. Long-term video electroencephalography monitoring with scalp electrodes failed to show relevant changes to seizures. Resection with cortical and subcortical mapping under awake conditions was performed. A negative response to stimulation was observed at the subcentral gyrus during language and somatosensory tasks; thus, the transcortical approach (specifically, a transsubcentral gyral approach) was used through this region. Subcortical stimulation at the medial aspect of the anterior parietal gyrus and the posterior insula around the posterior insular point elicited strong dysesthesia and pain in his right side, similar to manifestation of his seizure. The tumor was completely removed and pathologically diagnosed as pleomorphic xanthoastrocytoma. His epilepsy disappeared without neurological deterioration postoperatively. In this case study, 3 points are clinically significant. First, the clinical manifestation of this case was quite rare, although still representative of SII epilepsy. Second, the location of the lesion made surgical removal challenging, and the transsubcentral gyral approach was useful when intraoperative mapping was performed during awake surgery. Third, intraoperative mapping demonstrated that the patient experienced pain with electrical stimulation around the posterior insular point

  8. Non-radial modes in AGB stars

    NASA Astrophysics Data System (ADS)

    Montalbán, Josefina; Trabucchi, Michele; Marigo, Paola; Wood, Peter R.; Pastorelli, Giada

    2017-09-01

    The success of asteroseismology in characterising G-K giants has motivated the extension of the same techniques to stars after the central He-burning and M-giants. The latter have been usually studied only as radial pulsators; the presence, however, of fine-structure in the period-luminosity diagram of red variables in the Magellanic Clouds could result from the presence of non-radial oscillations, offering the potential of observational indexes based on non-radial oscillations also for luminous red giants. We present here the results of a first approach aiming to identify the origin of the sub-ridges in the sequence A of the LMC red variables.

  9. Fast radial flows in transition disk holes

    SciTech Connect

    Rosenfeld, Katherine A.; Andrews, Sean M.; Chiang, Eugene

    2014-02-20

    Protoplanetary 'transition' disks have large, mass-depleted central cavities, yet also deliver gas onto their host stars at rates comparable to disks without holes. The paradox of simultaneous transparency and accretion can be explained if gas flows inward at much higher radial speeds inside the cavity than outside the cavity, since surface density (and by extension optical depth) varies inversely with inflow velocity at fixed accretion rate. Radial speeds within the cavity might even have to approach free-fall values to explain the huge surface density contrasts inferred for transition disks. We identify observational diagnostics of fast radial inflow in channel maps made in optically thick spectral lines. Signatures include (1) twisted isophotes in maps made at low systemic velocities and (2) rotation of structures observed between maps made in high-velocity line wings. As a test case, we apply our new diagnostic tools to archival Atacama Large Millimeter Array data on the transition disk HD 142527 and uncover evidence for free-fall radial velocities inside its cavity. Although the observed kinematics are also consistent with a disk warp, the radial inflow scenario is preferred because it predicts low surface densities that appear consistent with recent observations of optically thin CO isotopologues in this disk. How material in the disk cavity sheds its angular momentum wholesale to fall freely onto the star is an unsolved problem; gravitational torques exerted by giant planets or brown dwarfs are briefly discussed as a candidate mechanism.

  10. Radial cutting torch

    SciTech Connect

    Robertson, M.C.

    1997-01-08

    The project`s aim is to complete development of the Radial Cutting Torch, a pyrotechnic cutter, for use in all downhole tubular cutting operations in the petroleum industry. Project objectives are to redesign and pressure test nozzle seals to increase product quality, reliability, and manufacturability; improve the mechanical anchor to increase its temperature tolerance and its ability to function in a wider variety of wellbore fluids; and redesign and pressure test the RCT nozzle for operation at pressures from 10 to 20 ksi. The proposal work statement is included in the statement of work for the grant via this reference.

  11. Radial retroiridal linear pigmentation.

    PubMed Central

    Rieger, G

    1981-01-01

    Radial retroiridal pigmented lines found on the peripheral anterior capsule of the lens have been interpreted since their description by Vogt as remnants of the tunica vasculosa retroiridalis (membrana capsulopupillaris). They were found in nearly 5% of adults. A control examination of 1108 children and juveniles failed to reveal a single example. They are therefore thought to be caused by pigment released from the posterior layers of the iris, particularly near the pupillary border in old age, as a result of constant abrasive movements of the iris on the anterior surface of the lens. Images PMID:7326223

  12. Radial Reflection diffraction tomorgraphy

    DOEpatents

    Lehman, Sean K

    2013-11-19

    A wave-based tomographic imaging method and apparatus based upon one or more rotating radially outward oriented transmitting and receiving elements have been developed for non-destructive evaluation. At successive angular locations at a fixed radius, a predetermined transmitting element can launch a primary field and one or more predetermined receiving elements can collect the backscattered field in a "pitch/catch" operation. A Hilbert space inverse wave (HSIW) algorithm can construct images of the received scattered energy waves using operating modes chosen for a particular application. Applications include, improved intravascular imaging, bore hole tomography, and non-destructive evaluation (NDE) of parts having existing access holes.

  13. Radial reflection diffraction tomography

    DOEpatents

    Lehman, Sean K.

    2012-12-18

    A wave-based tomographic imaging method and apparatus based upon one or more rotating radially outward oriented transmitting and receiving elements have been developed for non-destructive evaluation. At successive angular locations at a fixed radius, a predetermined transmitting element can launch a primary field and one or more predetermined receiving elements can collect the backscattered field in a "pitch/catch" operation. A Hilbert space inverse wave (HSIW) algorithm can construct images of the received scattered energy waves using operating modes chosen for a particular application. Applications include, improved intravascular imaging, bore hole tomography, and non-destructive evaluation (NDE) of parts having existing access holes.

  14. Perioperative and long-term results after left pancreatectomy: a single-institution, non-randomized, comparative study between open and laparoscopic approach.

    PubMed

    Butturini, Giovanni; Partelli, Stefano; Crippa, Stefano; Malleo, Giuseppe; Rossini, Roberto; Casetti, Luca; Melotti, Gian Luigi; Piccoli, Micaela; Pederzoli, Paolo; Bassi, Claudio

    2011-09-01

    Laparoscopic left pancreatic resections are being increasingly performed. In this study, we provide a nonrandomized comparison between laparoscopic and open left pancreatectomy (OLP) for benign and borderline tumors, focusing on both perioperative and long-term results. Demographic, pathologic, and perioperative details from patients who underwent laparoscopic and OLP between 1999 and 2006 were retrieved from our database and analyzed. Long-term results, including resume to full-time work, occurrence of incisional hernias, and incidence of exocrine and endocrine insufficiency also were evaluated. A total of 116 patients were included in the analysis; 43 (37.1%) were managed laparoscopically and 73 (62.9%) underwent the open procedure. There were no significant differences regarding clinical and pathological data. All of the resections attempted laparoscopically were completed. The rate of splenic preservation was significantly higher in the laparoscopic group (P = 0.0001). Postoperative outcomes were similar between the two groups. Longitudinal comparison between two time periods (1999-June 2004 vs. July 2004-2006) showed that pancreatic fistula and hospital stay significantly diminished over time in the laparoscopic group (P = 0.04 and P = 0.004, respectively). Median follow-up was 53 months. The incidence of exocrine insufficiency and incisional hernias was significantly higher after open resections (both P = 0.05). After hospital discharge, median time to resume full-time work was 6 weeks in the open group and 3 weeks after laparoscopic resections (P < 0.0001). Laparoscopy also resulted as an independent factor for an early resume to full-time activities in the multivariate analysis (P < 0.0001). Laparoscopic left pancreatectomy is a safe procedure for benign and borderline tumors, with similar perioperative outcomes compared with the open procedure. In the long term, the laparoscopic approach is likely to be superior thanks to a more rapid resume

  15. Radial Velocities with PARAS

    NASA Astrophysics Data System (ADS)

    Roy, Arpita; Mahadevan, S.; Chakraborty, A.; Pathan, F. M.; Anandarao, B. G.

    2010-01-01

    The Physical Research Laboratory Advanced Radial-velocity All-sky Search (PARAS) is an efficient fiber-fed cross-dispersed high-resolution echelle spectrograph that will see first light in early 2010. This instrument is being built at the Physical Research laboratory (PRL) and will be attached to the 1.2m telescope at Gurushikhar Observatory at Mt. Abu, India. PARAS has a single-shot wavelength coverage of 370nm to 850nm at a spectral resolution of R 70000 and will be housed in a vacuum chamber (at 1x10-2 mbar pressure) in a highly temperature controlled environment. This renders the spectrograph extremely suitable for exoplanet searches with high velocity precision using the simultaneous Thorium-Argon wavelength calibration method. We are in the process of developing an automated data analysis pipeline for echelle data reduction and precise radial velocity extraction based on the REDUCE package of Piskunov & Valenti (2002), which is especially careful in dealing with CCD defects, extraneous noise, and cosmic ray spikes. Here we discuss the current status of the PARAS project and details and tests of the data analysis procedure, as well as results from ongoing PARAS commissioning activities.

  16. Radial reflection diffraction tomography

    NASA Astrophysics Data System (ADS)

    Lehman, Sean K.; Norton, Stephen J.

    2004-10-01

    A wave-based tomographic imaging algorithm based upon a single rotating radially outward oriented transducer is developed. At successive angular locations at a fixed radius, the transducer launches a primary field and collects the backscattered field in a ``pitch/catch'' operation. The hardware configuration, operating mode, and data collection method are identical to that of most medical intravascular ultrasound (IVUS) systems. IVUS systems form images of the medium surrounding the probe based upon ultrasonic B scans, using a straight-ray model of sound propagation. The goal of this research is to develop a wave-based imaging algorithm using diffraction tomography techniques. Given the hardware configuration and the imaging method, this system is referred to as ``radial reflection diffraction tomography.'' Two hardware configurations are considered: a multimonostatic mode using a single transducer as described above, and a multistatic mode consisting of a single transmitter and an aperture formed by multiple receivers. In this latter case, the entire source/receiver aperture rotates about the fixed radius. Practically, such a probe is mounted at the end of a catheter or snaking tube that can be inserted into a part or medium with the goal of forming images of the plane perpendicular to the axis of rotation. An analytic expression for the multimonostatic inverse is derived, but ultimately the new Hilbert space inverse wave (HSIW) algorithm is used to construct images using both operating modes. Applications include improved IVUS imaging, bore hole tomography, and nondestructive evaluation (NDE) of parts with existing access holes. .

  17. Radial Reflection Diffraction Tomography

    SciTech Connect

    Lehman, S K; Norton, S J

    2003-10-10

    We develop a wave-based tomographic imaging algorithm based upon a single rotating radially outward oriented transducer. At successive angular locations at a fixed radius, the transducer launches a primary field and collects the backscattered field in a ''pitch/catch'' operation. The hardware configuration, operating mode, and data collection method is identical to that of most medical intravascular ultrasound (IVUS) systems. IVUS systems form images of the medium surrounding the probe based upon ultrasonic B-scans, using a straight-ray model of sound propagation. Our goal is to develop a wave-based imaging algorithm using diffraction tomography techniques. Given the hardware configuration and the imaging method, we refer to this system as ''radial reflection diffraction tomography.'' We consider two hardware configurations: a multimonostatic mode using a single transducer as described above, and a multistatic mode consisting of a single transmitter and an aperture formed by multiple receivers. In this latter case, the entire source/receiver aperture rotates about the fixed radius. Practically, such a probe is mounted at the end of a catheter or snaking tube that can be inserted into a part or medium with the goal of forming images of the plane perpendicular to the axis of rotation. We derive an analytic expression for the multimonostatic inverse but ultimately use the new Hilbert space inverse wave (HSIW) algorithm to construct images using both operating modes. Applications include improved IVUS imaging, bore hole tomography, and non-destructive evaluation (NDE) of parts with existing access holes.

  18. Fifteen-year single center experience with the "Giessen Hybrid" approach for hypoplastic left heart and variants: current strategies and outcomes.

    PubMed

    Schranz, Dietmar; Bauer, Anna; Reich, Bettina; Steinbrenner, Blanka; Recla, Sabine; Schmidt, Dorle; Apitz, Christian; Thul, Josef; Valeske, Klaus; Bauer, Jürgen; Müller, Matthias; Jux, Christian; Michel-Behnke, Ina; Akintürk, Hakan

    2015-02-01

    Presented is a retrospective outcome study of a 15-year single institutional experience with a contemporary cohort of patients with hypoplastic left heart syndrome and complex that underwent a "Giessen Hybrid" stage I as initial palliation. Hybrid approach consisting of surgical bilateral pulmonary artery banding and percutaneous duct stenting with or without atrial septum manipulation was developed from a rescue approach to a first-line procedure. Comprehensive Aristotle score defined pre-operative condition. Fifteen-year follow-up mortality is reported as occurring within the staged univentricular palliation or before and after biventricular repair. Hybrid stage I was performed in 154 patients; 107 should be treated by single ventricle palliation, 33 by biventricular repair (BVR), 7 received heart transplantation, and 7 were treated by comfort care, respectively. Overall 34 children died. The Aristotle score (mean value 18.2 ± 3) classified for univentricular circulations in newborns did not have statistical impact on the outcome. Two patients died during stage I (1.2%), and the interstage I mortality was 6.7%, and stage II mortality 9%, respectively. Stage III was up to now performed in 57 patients without mortality. At 1 year, the overall unadjusted survival of HLHS and variants was 84% and following BVR 89%, respectively. The Fifteen-year survival rate for HLHS and variants was 77%, with no significant impact of birth weight of less than 2.5 kg. In conclusion, Hybrid stage I fulfilled the criteria of life-saving approach. In our institution, Hybrid procedure replaced Norwood-staged palliation with a considerable mid- and long-term survival rate. Considering interstage mortality close surveillance is mandatory.

  19. Radial access for cerebrovascular procedures: Case report and technical note

    PubMed Central

    Vance, Ansar Z; Sivapatham, Thinesh

    2015-01-01

    Background Advantages of radial access over brachial/axillary or femoral access have been well described for several decades and include decreased cost, patient preference, and decreased major access site complications. Despite these advantages, radial access is rarely employed or even considered for neurointerventional procedures. This attitude should be reconsidered given several recent large, randomized, controlled trials from the cardiovascular literature proving that radial access is associated with statistically lower costs, decreased incidence of myocardial infarctions, strokes, and even decreased mortality. Radial access is now considered the standard of care for percutaneous coronary interventions in most US centers. Although radial access has been described for neurovascular procedures in the past, overall experience is limited. The two major challenges are the unique anatomy required to access the cerebral vasculature given very acute angles between the arm and craniocervical vessels and limitations in available technology. Methods We present a simplified approach to radial access for cerebrovascular procedures and provide a concise step-by-step approach for patient selection, ultrasound-guided single-wall access, recommended catheters/wires, and review of patent hemostasis. Additionally, we present a complex cerebrovascular intervention in which standard femoral access was unsuccessful, while radial access was quickly achieved to highlight the importance of familiarity with the radial approach for all neurointerventionalists. Results We have found that the learning curve is not too steep and that the radial access approach can be adopted smoothly for a large percentage of diagnostic and interventional neuroradiologic procedures. Conclusions Radial access should be considered in all patients undergoing a cerebrovascular procedure. PMID:26659807

  20. Radial cold trap

    DOEpatents

    Grundy, B.R.

    1981-09-29

    The radial cold trap comprises a housing having a plurality of mesh bands disposed therein. The mesh bands comprise concentrically arranged bands of mesh with the mesh specific surface area of each band increasing from the outermost mesh band to the innermost mesh band. An inlet nozzle is attached to the outside section of the housing while an outlet nozzle is attached to the inner portion of the housing so as to be concentrically connected to the innermost mesh band. An inlet baffle having orifices therein may be disposed around the outermost mesh band and within the housing for directing the flow of the fluid from the inlet nozzle to the outermost mesh band in a uniform manner. The flow of fluid passes through each consecutive mesh band and into the outlet nozzle. The circular pattern of the symmetrically arranged mesh packing allows for better utilization of the entire cold trap volume. 2 figs.

  1. Radial cold trap

    DOEpatents

    Grundy, Brian R.

    1981-01-01

    The radial cold trap comprises a housing having a plurality of mesh bands disposed therein. The mesh bands comprise concentrically arranged bands of mesh with the mesh specific surface area of each band increasing from the outermost mesh band to the innermost mesh band. An inlet nozzle is attached to the outside section of the housing while an outlet nozzle is attached to the inner portion of the housing so as to be concentrically connected to the innermost mesh band. An inlet baffle having orifices therein may be disposed around the outermost mesh band and within the housing for directing the flow of the fluid from the inlet nozzle to the outermost mesh band in a uniform manner. The flow of fluid passes through each consecutive mesh band and into the outlet nozzle. The circular pattern of the symmetrically arranged mesh packing allows for better utilization of the entire cold trap volume.

  2. A fully relativistic radial fall

    NASA Astrophysics Data System (ADS)

    Spallicci, Alessandro D. A. M.; Ritter, Patxi

    2014-10-01

    Radial fall has historically played a momentous role. It is one of the most classical problems, the solutions of which represent the level of understanding of gravitation in a given epoch. A gedankenexperiment in a modern frame is given by a small body, like a compact star or a solar mass black hole, captured by a supermassive black hole. The mass of the small body itself and the emission of gravitational radiation cause the departure from the geodesic path due to the back-action, that is the self-force. For radial fall, as any other non-adiabatic motion, the instantaneous identity of the radiated energy and the loss of orbital energy cannot be imposed and provide the perturbed trajectory. In the first part of this paper, we present the effects due to the self-force computed on the geodesic trajectory in the background field. Compared to the latter trajectory, in the Regge-Wheeler, harmonic and all others smoothly related gauges, a far observer concludes that the self-force pushes inward (not outward) the falling body, with a strength proportional to the mass of the small body for a given large mass; further, the same observer notes a higher value of the maximal coordinate velocity, this value being reached earlier during infall. In the second part of this paper, we implement a self-consistent approach for which the trajectory is iteratively corrected by the self-force, this time computed on osculating geodesics. Finally, we compare the motion driven by the self-force without and with self-consistent orbital evolution. Subtle differences are noticeable, even if self-force effects have hardly the time to accumulate in such a short orbit.

  3. A Genetic-Based Feature Selection Approach in the Identification of Left/Right Hand Motor Imagery for a Brain-Computer Interface.

    PubMed

    Yaacoub, Charles; Mhanna, Georges; Rihana, Sandy

    2017-01-23

    Electroencephalography is a non-invasive measure of the brain electrical activity generated by millions of neurons. Feature extraction in electroencephalography analysis is a core issue that may lead to accurate brain mental state classification. This paper presents a new feature selection method that improves left/right hand movement identification of a motor imagery brain-computer interface, based on genetic algorithms and artificial neural networks used as classifiers. Raw electroencephalography signals are first preprocessed using appropriate filtering. Feature extraction is carried out afterwards, based on spectral and temporal signal components, and thus a feature vector is constructed. As various features might be inaccurate and mislead the classifier, thus degrading the overall system performance, the proposed approach identifies a subset of features from a large feature space, such that the classifier error rate is reduced. Experimental results show that the proposed method is able to reduce the number of features to as low as 0.5% (i.e., the number of ignored features can reach 99.5%) while improving the accuracy, sensitivity, specificity, and precision of the classifier.

  4. Novel echocardiographic approach to the accurate measurement of pulmonary vascular resistance based on a theoretical formula in patients with left heart failure -- pilot study.

    PubMed

    Kanda, Takashi; Fujita, Masashi; Iida, Osamu; Masuda, Masaharu; Okamoto, Shin; Ishihara, Takayuki; Nanto, Kiyonori; Shiraki, Tatsuya; Takahara, Mitsuyoshi; Sakata, Yasushi; Uematsu, Masaaki

    2015-01-01

    Several non-invasive methods for measuring pulmonary vascular resistance (PVR) have been proposed to date, but they remain empirical, lacking sufficient accuracy to be used in clinical practice. The aims of this study were to propose a novel echocardiographic measurement of PVR based on a theoretical formula and investigate the feasibilty and accuracy of this method in patients with heart failure. Echocardiography was performed in 27 patients before right heart catheterization. Peak tricuspid regurgitation pressure gradient (TRPG), pulmonary regurgitation pressure gradient in end-diastole (PRPGed), and cardiac output derived from the time-velocity integral and the diameter in the left ventricular outflow tract (COLVOT) were measured. PVR based on a theoretical formula (PVRtheo) was calculated as (TRPG-PRPGed)/3COLVOTin Wood units (WU). The results were compared with PVR obtained by right heart catheterization (PVRcath) using linear regression and Bland-Altman analysis. Mean PVRcathwas 2.4±1.4 WU. PVRtheocorrelated well with PVRcath(r=0.83, P<0.001). On Bland-Altman analysis the mean difference was 0.1±0.7 WU. The limits of agreements were smaller than for other non-invasive estimations previously reported. The new echocardiographic approach based on a theoretical formula provides a non-invasive and accurate assessment of PVR in patients with heart failure.

  5. A Genetic-Based Feature Selection Approach in the Identification of Left/Right Hand Motor Imagery for a Brain-Computer Interface

    PubMed Central

    Yaacoub, Charles; Mhanna, Georges; Rihana, Sandy

    2017-01-01

    Electroencephalography is a non-invasive measure of the brain electrical activity generated by millions of neurons. Feature extraction in electroencephalography analysis is a core issue that may lead to accurate brain mental state classification. This paper presents a new feature selection method that improves left/right hand movement identification of a motor imagery brain-computer interface, based on genetic algorithms and artificial neural networks used as classifiers. Raw electroencephalography signals are first preprocessed using appropriate filtering. Feature extraction is carried out afterwards, based on spectral and temporal signal components, and thus a feature vector is constructed. As various features might be inaccurate and mislead the classifier, thus degrading the overall system performance, the proposed approach identifies a subset of features from a large feature space, such that the classifier error rate is reduced. Experimental results show that the proposed method is able to reduce the number of features to as low as 0.5% (i.e., the number of ignored features can reach 99.5%) while improving the accuracy, sensitivity, specificity, and precision of the classifier. PMID:28124985

  6. Long-Term Follow-Up of Isolated Epicardial Left Ventricular Lead Implant Using a Minithoracotomy Approach for Cardiac Resynchronization Therapy.

    PubMed

    McALOON, Christopher J; Anderson, Benjamin M; Dimitri, Wadih; Panting, Jonathan; Yusuf, Shamil; Bhudia, Sunil K; Osman, Faizel

    2016-10-01

    Transvenous left ventricular (LV) lead placement for cardiac resynchronization therapy is unsuccessful in 5-10% of reported cases. These patients may benefit from isolated surgical placement of an epicardial LV lead via minithoracotomy approach. To evaluate the success of this approach at long-term follow-up. Retrospective evaluation of all consecutive patients undergoing isolated epicardial LV lead placement after failed transvenous attempt over a 6-year period. Data collected on baseline parameters, procedural details, and outcome at follow-up (hospital stay, complications, mortality, and clinical response). Forty-two patients underwent epicardial lead implant. Five died within 1 year (11.9%): two (4.8%) died within 30-days post op (one from intraoperative hemorrhage, the other from multiple organ failure); 39 (95.1%) were admitted to the high dependency unit and transferred to the ward <24 hours. Median hospital stay was 3.4 ± 1.9 days. The overall complication rate was 17.5% (n = 7): 15.0% (n = 6) short term and 2.5% (n = 1) long term; these included three (7.5%) LV noncapture events all treated with reprogramming. There were two (5.0%) wound infections requiring oral antibiotics and two (5.0%) device infections requiring intravenous antibiotics (one had device resiting, the other developed septic shock requiring intensive care admission). Assessment of clinical response was possible in 34 (81.0%) at follow-up: 21 (61.8%) were responders and 13 (28.2%) nonresponders with no significant differences between these groups; no clinical predictors of response were identified. Isolated epicardial LV lead implant using minithoracotomy is relatively safe and effective at successful LV pacing. Response rate and postoperative recovery at long-term follow-up are reasonable in these high-risk patients. © 2016 Wiley Periodicals, Inc.

  7. Turbine with radial acting seal

    DOEpatents

    Eng, Darryl S; Ebert, Todd A

    2016-11-22

    A floating brush seal in a rim cavity of a turbine in a gas turbine engine, where the floating brush seal includes a seal holder in which the floating brush seal floats, and a expandable seal that fits within two radial extending seal slots that maintains a seal with radial displacement of the floating brush seal and the seal holder.

  8. Radial flow heat exchanger

    DOEpatents

    Valenzuela, Javier

    2001-01-01

    A radial flow heat exchanger (20) having a plurality of first passages (24) for transporting a first fluid (25) and a plurality of second passages (26) for transporting a second fluid (27). The first and second passages are arranged in stacked, alternating relationship, are separated from one another by relatively thin plates (30) and (32), and surround a central axis (22). The thickness of the first and second passages are selected so that the first and second fluids, respectively, are transported with laminar flow through the passages. To enhance thermal energy transfer between first and second passages, the latter are arranged so each first passage is in thermal communication with an associated second passage along substantially its entire length, and vice versa with respect to the second passages. The heat exchangers may be stacked to achieve a modular heat exchange assembly (300). Certain heat exchangers in the assembly may be designed slightly differently than other heat exchangers to address changes in fluid properties during transport through the heat exchanger, so as to enhance overall thermal effectiveness of the assembly.

  9. Radial systems of dark globules

    SciTech Connect

    Gyul'budagyn, A.L.

    1986-03-01

    The author gives examples of radial systems consisting of dark globules and ''elephant trunks''. Besides already known systems, which contain hot stars at their center, data are given on three radial systems of a new kind, at the center of which there are stars of spectral types later than B. Data are given on 32 globules of radial systems of the association Cep OB2. On the basis of the observational data, it is concluded that at least some of the isolated Bok globules derive from elephant trunks and dark globules forming radial systems around hot stars. It is also suggested that the two molecular clouds situated near the Rosette nebula and possessing velocities differing by ca 20 km/sec from the velocity of the nebula could have been ejected in opposite directions from the center of the nebula. One of these clouds consists of dark globules forming the radial system of the Rosette nebula.

  10. Optimized linear prediction for radial sampled multidimensional NMR experiments

    NASA Astrophysics Data System (ADS)

    Gledhill, John M.; Kasinath, Vignesh; Wand, A. Joshua

    2011-09-01

    Radial sampling in multidimensional NMR experiments offers greatly decreased acquisition times while also providing an avenue for increased sensitivity. Digital resolution remains a concern and depends strongly upon the extent of sampling of individual radial angles. Truncated time domain data leads to spurious peaks (artifacts) upon FT and 2D FT. Linear prediction is commonly employed to improve resolution in Cartesian sampled NMR experiments. Here, we adapt the linear prediction method to radial sampling. Significantly more accurate estimates of linear prediction coefficients are obtained by combining quadrature frequency components from the multiple angle spectra. This approach results in significant improvement in both resolution and removal of spurious peaks as compared to traditional linear prediction methods applied to radial sampled data. The 'averaging linear prediction' (ALP) method is demonstrated as a general tool for resolution improvement in multidimensional radial sampled experiments.

  11. Metallic radial head arthroplasty improves valgus stability of the elbow.

    PubMed

    King, G J; Zarzour, Z D; Rath, D A; Dunning, C E; Patterson, S D; Johnson, J A

    1999-11-01

    The stabilizing influence of radial head arthroplasty was studied in eight medial collateral ligament deficient anatomic specimen elbows. An elbow testing apparatus, which used computer controlled pneumatic actuators to apply tendon loading, was used to simulate active elbow flexion. The motion pathways of the elbow were measured using an electromagnetic tracking device, with the forearm in supination and pronation. As a measure of stability, the maximum varus to valgus laxity over the range of elbow flexion was determined from the difference between varus and valgus gravity loaded motion pathways. After transection of the medial collateral ligament, the radial head was excised and replaced with either a silicone or one of three metallic radial head prostheses. Medial collateral ligament transection caused a significant increase in the maximum varus to valgus laxity to 18.0 degrees +/- 3.2 degrees. After radial head excision, this laxity increased to 35.6 degrees +/- 10.3 degrees. The silicone implant conferred no increase in elbow stability, with a maximum varus to valgus laxity of 32.5 degrees +/- 15.5 degrees. All three metallic implants improved the valgus stability of the medial collateral ligament deficient elbow, providing stability similar to the intact radial head. The use of silicone arthroplasty to replace the radial head in the medial collateral ligament deficient elbow must be questioned. Metallic radial head arthroplasty provides improved valgus stability, approaching that of an intact radial head.

  12. Anatomically corrected malposition of the great arteries {S, D, L} with left juxtaposition of the atrial appendages in DORV: influence on surgical approach.

    PubMed

    Awasthy, Neeraj; Radhakrishnan, S; Sharma, Rajesh

    2013-04-01

    The case of an infant with double outlet right ventricle with anatomically corrected malposition of the great arteries, bilateral infundibulum, and an echocardiographically routable ventricular septal defect (VSD) is presented. After numerous efforts to visualize the margins of the VSD, the best surgical exposure of the VSD was through the aorta. We believe this to be the first report of this phenomenon, which results from the left-sided position of the aorta and the presence of left juxtaposition of the atrial appendages.

  13. Radial keratotomy enhancements for residual myopia.

    PubMed

    Gayton, J L; Van der Karr, M; Sanders, V

    1997-01-01

    A systematic method of performing radial keratotomy enhancements in undercorrected eyes may increase accuracy and predictability and decrease the number of procedures required. A consecutive series of 372 radial keratotomy procedures, including 110 eyes that received enhancements under a systematic protocol, was evaluated. Radial keratotomy was performed using the Reliable Keratotomy software, which uses the Thornton nomogram for primary radial keratotomy and provides a systematic method of performing enhancements. Ninety eyes (24%) received one enhancement, 16 eyes (4%) received two enhancements, and four eyes (1%) received three enhancements. Mean final spherical equivalent refraction was -0.44 D (-4.00 to +1.875 D, SD 0.86) for eyes that did not receive enhancements and -0.44 D (-2.50 to +1.00 D, SD 0.61) for eyes that had enhancements. Mean final residual myopia for the entire cohort was -0.44 D (-4.00 to +1.875 D, SD 0.79). At final examination, 242 (65%) eyes had a refraction within +/- 0.5 D and 298 (80%) within +/- 1.00. Among eyes that received enhancements, 75 (68%) had a refraction within +/- 0.50 D, and 89 (81%) within +/- 1.00 D; 40 eyes (36%) had uncorrected visual acuity of 20/20 or better, 99 eyes (90%) 20/40 or better, and all but one eye (99%) 20/80 or better at the final postoperative examination. Among the entire cohort, 130 eyes (35%) had uncorrected visual acuity of 20/20 or better, 312 (84%) had 20/40 or better, and 350 (94%) had 20/80 or better. No eye lost more than one line of spectacle-corrected visual acuity. A systematic approach to enhancement of undercorrected eyes after radial keratotomy, combined with accurate surgery, may reduce the need for multiple enhancements as well as the overcorrection rate, and provide improved uncorrected visual acuity.

  14. Radially sandwiched cylindrical piezoelectric transducer

    NASA Astrophysics Data System (ADS)

    Lin, Shuyu; Fu, Zhiqiang; Zhang, Xiaoli; Wang, Yong; Hu, Jing

    2013-01-01

    A new type of radially sandwiched piezoelectric short cylindrical transducer is developed and its radial vibration is studied. The transducer is composed of a solid metal disk, a radially polarized piezoelectric ceramic short tube and a metal tube. The radial vibrations of the solid metal disk, the radially polarized piezoelectric tube and the metal tube are analyzed and their electromechanical equivalent circuits are introduced. Based on the mechanical boundary conditions among the metal disk, the piezoelectric tube and the metal tube, a three-port electromechanical equivalent circuit for the radially sandwiched transducer is obtained and the frequency equation is given. The theoretical relationship of the resonance and anti-resonance frequencies and the effective electromechanical coupling coefficient with the geometrical dimensions is analyzed. The radial vibration of the sandwiched transducer is simulated by using two different numerical methods. It is shown that the analytical resonance and anti-resonance frequencies are in good agreement with the numerically simulated results. The transducer is expected to be used in piezoelectric resonators, actuators and ultrasonic radiators in ultrasonic and underwater sound applications.

  15. Computer Simulation of Radial Immunodiffusion

    PubMed Central

    Trautman, Rodes

    1972-01-01

    Theories of diffusion with chemical reaction are reviewed as to their contributions toward developing an algorithm needed for computer simulation of immunodiffusion. The Spiers-Augustin moving sink and the Engelberg stationary sink theories show how the antibody-antigen reaction can be incorporated into boundary conditions of the free diffusion differential equations. For this, a stoichiometric precipitate was assumed and the location of precipitin lines could be predicted. The Hill simultaneous linear adsorption theory provides a mathematical device for including another special type of antibody-antigen reaction in antigen excess regions of the gel. It permits an explanation for the lowered antigen diffusion coefficient, observed in the Oudin arrangement of single linear diffusion, but does not enable prediction of the location of precipitin lines. The most promising mathematical approach for a general solution is implied in the Augustin alternating cycle theory. This assumes the immunodiffusion process can be evaluated by alternating computation cycles: free diffusion without chemical reaction and chemical reaction without diffusion. The algorithm for the free diffusion update cycle, extended to both linear and radial geometries, is given in detail since it was based on gross flow rather than more conventional expressions in terms of net flow. Limitations on the numerical integration process using this algorithm are illustrated for free diffusion from a cylindrical well. PMID:4629869

  16. Hypoplastic left heart syndrome

    MedlinePlus

    HLHS; Congenital heart - hypoplastic left heart; Cyanotic heart disease - hypoplastic left heart ... Hypoplastic left heart is a rare type of congenital heart disease. It is more common in males than in females. As ...

  17. Asymptotics of radial wave equations

    SciTech Connect

    Morehead, J.J.

    1995-10-01

    The Langer modification is an improvement in the WKB analysis of the radial Schroedinger equation. We derive a generalization of the Langer modification to any radial operator. For differential operators we write the modified classical symbols explicitly and show that the WKB wavefunctions with the modification have the exact limiting behavior for small radius. Unlike in the Schroedinger case, generally the modified radial analysis is not equivalent to the WKB analysis of the full problem before reduction by the spherical symmetry. {copyright} {ital 1995} {ital American} {ital Institute} {ital of} {ital Physics}.

  18. Prototyping of radial plates for fusion relevant superconducting magnets

    NASA Astrophysics Data System (ADS)

    Ghate, M.; Bhavasar, D.; Panchal, A.; Udgata, S.; Pradhan, S.

    2017-04-01

    The fabrication trials for prototype radial plate to support its conceptual design and development for fusion relevant superconducting magnet have been discussed in this paper. The simulation approach with CAD has been presented for prototyping of radial plates. Extensive trials have been done on SS316LN plates to estimate and establish machining sequences, machine parameters, machining tools to achieve required tolerances. The critical machining operation and parameters has been discussed in this paper. Inspection procedures with articulated arm coordinate measuring machine for prototype radial plate has been conceptualized and verified.

  19. Regeneration of the radial nerve in a dog influenced by electrical stimulation.

    PubMed

    Rozman, J; Zorko, B; Seliskar, A

    2000-01-01

    The effect of biphasic electric fields on nerve regeneration that follows injury to the left radial nerve of a dog was examined using electromyography (EMG). The left and right radial nerves were crushed with a serrated hemostat and the stimulating electrodes were positioned proximally and distally relative to the site of the injury. The left nerves received rectangular, biphasic current pulses (30 microA, 0.5 Hz) through the lesion for two months. The right radial nerves were treated as controls and regenerated without electrical stimulation. EMG activity was recorded intramuscularly from left and right musculus extensor digitorum (from Medical dictionary) communis (MEDC). Results obtained at the end of the two-month stimulation period showed a significant difference between the EMG activity of the stimulated and the unstimulated MEDC suggesting that the electrical treatment enhanced the nerve regeneration.

  20. Regeneration of the radial nerve in a dog influenced by electrical stimulation.

    PubMed

    Rozman, J; Zorko, B; Seliškar, A

    2000-01-01

    The effect of biphasic electric fields on nerve regeneration that follows injury to the left radial nerve of a dog was examined using electromyography (EMG). The left and right radial nerves were crushed with a serrated hemostat and the stimulating electrodes were positioned proximally and distally relative to the site of the injury. The left nerves received rectangular, biphasic current pulses (30μA, 0.5Hz) through the lesion for two months. The right radial nerves were treated as controls and regenerated without electrical stimulation. EMG activity was recorded intramuscularly from left and right musculus extensor digitorum (from Medical dictionary) communis (MEDC). Results obtained at the end of the two-month stimulation period showed a significant difference between the EMG activity of the stimulated and the unstimulated MEDC suggesting that the electrical treatment enhanced the nerve regeneration.

  1. Combined radial-tibial access strategy and radial-tibial reverse CART in a patient with aortobifemoral graft and complex superficial femoral artery occlusion.

    PubMed

    Hanna, Elias B; Prout, Davey L

    2017-09-01

    We present the case of a patient with a history of aortobifemoral grafting who presented with left lower extremity ischemic rest pain. Aortofemoral angiography was performed through a left radial access and showed a long, calcified total occlusion of the left superficial femoral artery (SFA) and a subtotal popliteal occlusion. The popliteal artery and SFA were crossed retrogradely through a 4-Fr anterior tibial access; the retrograde devices went subintimally and did not reenter at the common femoral level. Subsequently, the radial access was used for antegrade subintimal crossing and dilatation of the SFA, which allowed reentry of the retrograde devices (radial-tibial reverse controlled antegrade-retrograde tracking [CART]). The SFA was then successfully treated retrogradely with orbital atherectomy and drug-coated balloon angioplasty, through a 4-Fr equivalent tibial sheath. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

  2. Postoperative normalization of left ventricular noncompaction and new echocardiographic signs in aorta to left ventricular tunnel.

    PubMed

    Malakan Rad, Elaheh; Zeinaloo, Ali Akbar

    2013-04-01

    We report postoperative normalization of left ventricular noncompaction in a neonate undergoing successful neonatal surgery for type II aorta to left ventricular tunnel (ALVT) associated with a large patent ductus arteriosus, floppy and extremely redundant anterior mitral leaflet, right coronary artery arising directly from the tunnel, and severe left ventricular noncompaction. We also described 2 novel echocardiographic findings in ALVT including "triple wavy line sign" on M-mode echocardiography which disappeared 1 month after operation and "abnormally increased left ventricular posterior wall motion" on M-mode of standard parasternal long-axis view on color tissue Doppler imaging (TDI) that also normalized postoperatively. We showed that proper definition of endocardial border is extremely important in strain and strain rate imaging in the context of left ventricular noncompaction. Preoperative longitudinal strain and strain rate were significantly decreased in comparison to radial strain and strain rate. Circumferential strain and strain rate were normal. © 2013, Wiley Periodicals, Inc.

  3. Spontaneous Reduction of a Chronic Radial Head Subluxation after open Reduction and Percutaneous Pin Fixation of a Radial Neck Fracture: A Case Report and Review of the Literature

    PubMed Central

    Illingworth, Kenneth David; Thompson, Kirk; Lovell, Matthew; McGinty, Jasmin

    2013-01-01

    Background Fractures of the radial neck in children have shown to account for 5-10% of traumatic elbow injuries in the pediatric population. Chronic dislocation of the radial head with concomitant fracture has been shown to result in progressive deformity and unacceptable loss of motion. Methods In this case report, we describe a patient who sustained a type 2 radial neck fracture with 100% displacement. The patient’s clinical and surgical management will be discussed and a review of the literature is provided as it relates to this particular case. Results The patient underwent open reduction and percutaneous pin fixation of her displaced, dislocated left radial neck fracture in the operating room after multiple failed attempts at closed reduction due to interposition of the annular ligament. Three months after her operation radiographs revealed a well-healed radial neck with no signs of avascular necrosis with an anterior dislocation of her radial head, which was a new finding from her previous radiographs. Fourteen months after her initial injury and operation, radiographs taken at this visit revealed a radial neck fracture that was completely remodeled and had spontaneous relocated and was now aligned with the capitellum without any reduction attempt. Conclusion Closed reduction of displaced radial neck fractures may be unsuccessful and open reduction may be warranted. Excess callus formation post-operatively may have resulted in the radial head subluxation; however there was spontaneous reduction with conservative treatment without a reduction attempt, most likely related to remodeling of the excel callus formation. PMID:24027488

  4. Radial Clearance of Antifriction Bearings,

    DTIC Science & Technology

    The article concerns in detail the radial clearance of different antifriction bearings which belong to important parameters which influence the...longevity of the bearing to a certain extent. The effect of the influence of assembly and the wear on the radial clearance of different bearings, the...antifriction bearings operate and their respect in clearance and assembly can contribute substantially to decreasing the daily disproportionate bearing consumption for the repair and maintenance of different machines. (Author)

  5. Spontaneous radial nerve palsy subsequent to non-traumatic neuroma.

    PubMed

    Ebrahimpour, Adel; Nazerani, Shahram; Tavakoli Darestani, Reza; Khani, Salim

    2013-09-01

    Spontaneous radial palsy is a not rare finding in hand clinics. The anatomy of the radial nerve renders it prone to pressure paralysis as often called "Saturday night palsy". This problem is a transient nerve lesion and an acute one but the case presented here is very unusual in that it seems this entity can also occur as an acute on chronic situation with neuroma formation. A 61 year-old man presented with the chief complaint of inability to extend the wrist and the fingers of the left hand which began suddenly the night before admission, following a three-week history of pain, numbness and tingling sensation of the affected extremity. He had no history of trauma to the extremity. Electromyography revealed a severe conductive defect of the left radial nerve with significant axonal loss at the upper arm. Surgical exploration identified a neuroma of the radial nerve measuring 1.5 cm in length as the cause of the paralysis. The neuroma was removed and an end-to-end nerve coaption was performed. Complete recovery of the hand and finger extension was achieved in nine months.

  6. Attributing selected costs to intimate partner violence in a sample of women who have left abusive partners: a social determinants of health approach.

    PubMed

    Varcoe, Colleen; Hankivsky, Olena; Ford-Gilboe, Marilyn; Wuest, Judith; Wilk, Piotr; Hammerton, Joanne; Campbell, Jacquelyn

    2011-01-01

    Selected costs associated with intimate partner violence were estimated for a community sample of 309 Canadian women who left abusive male partners on average 20 months previously. Total annual estimated costs of selected public- and private-sector expenditures attributable to violence were $13,162.39 per woman. This translates to a national annual cost of $6.9 billion for women aged 19–65 who have left abusive partners; $3.1 billion for those experiencing violence within the past three years. Results indicate that costs continue long after leaving, and call for recognition in policy that leaving does not coincide with ending violence.

  7. Angiologic observations following radial artery flap elevation: a case report.

    PubMed

    Ciria-Lloréns, G; Gómez-Cía, T; Talegón-Meléndez, A

    1998-01-01

    Since the introduction of the radial forearm flap in 1981, its inherent vascular morbidity in sacrificing the radial artery has been strongly criticized. In the present paper, a case report is presented where postoperative angiography showed an important contribution of the anterior interosseous artery to hand vascularity two years after raising a reverse flow distally based pedicle radial forearm flap for dorsal hand resurfacing. In order to analyze this finding, further vascular investigations using Color Duplex Imaging examinations for quantitative flow measurements comparing blood flow rates in both right and left forearm arteries were carried out in this patient. Contrary to expectations, results from vascular examinations revealed that overall blood flow in donor forearm arteries was greater than in the contralateral forearm, the anterior interosseous artery showing the greatest difference in blood flow. These data seem to indicate that another major vascular axis based on the anterior interosseous artery develops after removing the radial artery when harvesting the radial forearm flap and that global arterial inflow to the hand is not impaired.

  8. Management of radial artery perforation during transradial catheterization using a polytetrafluoroethylene-covered coronary stent.

    PubMed

    Chatterjee, Arka; White, Jeremy S; Leesar, Massoud A

    2017-03-01

    An 88-year-old woman underwent attempted percutaneous coronary intervention (PCI) through a right radial approach. Catheterization was complicated by radial artery perforation. Conservative therapeutic options including external compression, advancement of a diagnostic catheter distal to the perforation, and balloon tamponade failed to control the bleeding requiring deployment of a Polytetrafluoroethylene (PTFE)-covered stent to seal the perforation. We describe the stepwise approach advocated for managing a radial perforation and summarize relevant literature available for the same.

  9. Radial lean direct injection burner

    DOEpatents

    Khan, Abdul Rafey; Kraemer, Gilbert Otto; Stevenson, Christian Xavier

    2012-09-04

    A burner for use in a gas turbine engine includes a burner tube having an inlet end and an outlet end; a plurality of air passages extending axially in the burner tube configured to convey air flows from the inlet end to the outlet end; a plurality of fuel passages extending axially along the burner tube and spaced around the plurality of air passage configured to convey fuel from the inlet end to the outlet end; and a radial air swirler provided at the outlet end configured to direct the air flows radially toward the outlet end and impart swirl to the air flows. The radial air swirler includes a plurality of vanes to direct and swirl the air flows and an end plate. The end plate includes a plurality of fuel injection holes to inject the fuel radially into the swirling air flows. A method of mixing air and fuel in a burner of a gas turbine is also provided. The burner includes a burner tube including an inlet end, an outlet end, a plurality of axial air passages, and a plurality of axial fuel passages. The method includes introducing an air flow into the air passages at the inlet end; introducing a fuel into fuel passages; swirling the air flow at the outlet end; and radially injecting the fuel into the swirling air flow.

  10. An alternative percutaneous interventional approach for post-anastomatic left anterior descending artery stenosis in patients with markedly tortuous LIMA graft.

    PubMed

    Tengiz, Istemihan; Aliyev, Emil; Ercan, Ertugrul

    2005-10-01

    Percutaneous coronary intervention through a tortuous left internal mammary artery (LIMA) graft, especially with redundancy in length is a challenge in spite of availability of different types of coated guidewires and low-profile balloons. Various modifications of the interventional technique are required in order to negotiate the tortuosity of the LIMA graft. We describe an alternative technique that overcomes this problem in patient with a markedly tortuous LIMA graft.

  11. Losses in radial inflow turbines

    NASA Technical Reports Server (NTRS)

    Khalil, I. M.; Tabakoff, W.; Hamed, A.

    1976-01-01

    A study was conducted to determine experimentally and theoretically the losses in radial inflow turbine nozzles. Extensive experimental data was obtained to investigate the flow behavior in a full-scale radial turbine stator annulus. A theoretical model to predict the losses in both the vaned and vaneless regions of the nozzle was developed. In this analysis, the interaction effects between the stator and the rotor are not considered. It was found that the losses incurred due to the end wall boundary layers can be significant, especially if they are characterized by a strong crossflow. The losses estimated using the analytical study are compared with the experimentally determined values.

  12. Dependence of radiation belt simulations to assumed radial diffusion rates tested for two empirical models of radial transport

    NASA Astrophysics Data System (ADS)

    Drozdov, Alexander; Shprits, Yuri; Aseev, Nikita; Kellerman, Adam; Reeves, Geoffrey

    2017-04-01

    Radial diffusion is one of the dominant physical mechanisms that drives acceleration and loss of the radiation belt electrons, which makes it very important for nowcasting and forecasting space weather models. We investigate the sensitivity of the two parameterizations of the radial diffusion of Brautigam and Albert [2000] and Ozeke et al. [2014] on long-term radiation belt modeling using the Versatile Electron Radiation Belt (VERB). Following Brautigam and Albert [2000] and Ozeke et al. [2014], we first perform 1-D radial diffusion simulations. Comparison of the simulation results with observations shows that the difference between simulations with either radial diffusion parameterization is small. To take into account effects of local acceleration and loss, we perform 3-D simulations, including pitch-angle, energy and mixed diffusion. We found that the results of 3-D simulations are even less sensitive to the choice of parameterization of radial diffusion rates than the results of 1-D simulations at various energies (from 0.59 to 1.80 MeV). This result demonstrates that the inclusion of local acceleration and pitch-angle diffusion can provide a negative feedback effect, such that the result is largely indistinguishable simulations conducted with different radial diffusion parameterizations. We also perform a number of sensitivity tests by multiplying radial diffusion rates by constant factors and show that such an approach leads to unrealistic predictions of radiation belt dynamics. References Brautigam, D. H., and J. M. Albert (2000), Radial diffusion analysis of outer radiation belt electrons during the October 9, 1990, magnetic storm, J. Geophys. Res., 105(A1), 291-309, doi:10.1029/1999ja900344. Ozeke, L. G., I. R. Mann, K. R. Murphy, I. Jonathan Rae, and D. K. Milling (2014), Analytic expressions for ULF wave radiation belt radial diffusion coefficients, J. Geophys. Res. [Space Phys.], 119(3), 1587-1605, doi:10.1002/2013JA019204.

  13. Left ventricular bronchogenic cyst.

    PubMed

    Wei, Xiang; Omo, Alfred; Pan, Tiecheng; Li, Jun; Liu, Ligang; Hu, Min

    2006-04-01

    Bronchogenic cysts occurring in the left ventricle are a medical rarity. One successfully operated case is reported herein. The location of the cyst was just between the epicardium and myocardium of the inferior left ventricular wall, adjacent to the apex of the heart. Complete excision was achieved through a left anterolateral thoracotomy without extracorporeal circulation.

  14. Perceived radial translation during centrifugation.

    PubMed

    Bos, Jelte E; Correia Grácio, Bruno J

    2015-01-01

    Linear acceleration generally gives rise to translation perception. Centripetal acceleration during centrifugation, however, has never been reported giving rise to a radial, inward translation perception. To study whether centrifugation can induce a radial translation perception in the absence of visual cues. To that end, we exposed 12 subjects to a centripetal acceleration with eyes closed. To avoid confounding with angular motion perception, subjects were fist rotated on-axis, and were shifted out fast and slow only after rotation sensation had vanished. They were asked for translation direction and velocity right after the shift-out, as well as after about 60 seconds of constant centrifugation. Independent of fast or slow shift-out, the vast statistically significant majority of trials yielded an inward radial translation perception, which velocity was constant after 60 seconds of constant centrifugation. We therefore conclude that during centrifugation, an inward radial translation perception does exist in humans, which perception reaches a constant, non-zero value during constant rotation, lasting for at least one minute. These results can be understood by high-pass filtering of otolith afferents to make a distinction between inertial and gravitational acceleration, followed by a mere integration over time to reach a constant velocity perception.

  15. Parachute drag and radial force

    SciTech Connect

    Purvis, J.W.

    1986-01-01

    This paper presents a combination of old and new wind tunnel data in a format which illustrates the effects of inflated diameter, geometric porosity, reefing line length, suspension line length, number of gores, and number of ribbons on parachute drag. A new definition of radial force coefficient is presented, as well as a universal drag curve for flat circular and conical parachutes.

  16. Flipped versions of the universal 3-3-1 and the left-right symmetric models in [S U (3 )]3 : A comprehensive approach

    NASA Astrophysics Data System (ADS)

    Rodríguez, Oscar; Benavides, Richard H.; Ponce, William A.; Rojas, Eduardo

    2017-01-01

    By considering the 3-3-1 and the left-right symmetric models as low-energy effective theories of the S U (3 )C⊗S U (3 )L⊗S U (3 )R (for short [S U (3 )]3 ) gauge group, alternative versions of these models are found. The new neutral gauge bosons of the universal 3-3-1 model and its flipped versions are presented; also, the left-right symmetric model and its flipped variants are studied. Our analysis shows that there are two flipped versions of the universal 3-3-1 model, with the particularity that both of them have the same weak charges. For the left-right symmetric model, we also found two flipped versions; one of them is new in the literature and, unlike those of the 3-3-1, requires a dedicated study of its electroweak properties. For all the models analyzed, the couplings of the Z' bosons to the standard model fermions are reported. The explicit form of the null space of the vector boson mass matrix for an arbitrary Higgs tensor and gauge group is also presented. In the general framework of the [S U (3 )]3 gauge group, and by using the LHC experimental results and EW precision data, limits on the Z' mass and the mixing angle between Z and the new gauge bosons Z' are obtained. The general results call for very small mixing angles in the range 1 0-3 radians and MZ'>2.5 TeV .

  17. Causes of Secondary Radial Nerve Palsy and Results of Treatment

    PubMed Central

    Reichert, Paweł; Wnukiewicz, Witold; Witkowski, Jarosław; Bocheńska, Aneta; Mizia, Sylwia; Gosk, Jerzy; Zimmer, Krzysztof

    2016-01-01

    Background The aim of this study was to analyze the causes that lead to secondary damage of the radial nerve and to discuss the results of reconstructive treatment. Material/Methods The study group consisted of 33 patients treated for radial nerve palsy after humeral fractures. Patients were diagnosed based on clinical examinations, ultrasonography, electromyography, or nerve conduction velocity. During each operation, the location and type of nerve damage were analyzed. During the reconstructive treatment, neurolysis, direct neurorrhaphy, or reconstruction with a sural nerve graft was used. The outcomes were evaluated using the Medical Research Council (MRC) scales and the quick DASH score. Results Secondary radial nerve palsy occurs after open reduction and internal fixation (ORIF) by plate, as well as by closed reduction and internal fixation (CRIF) by nail. In the case of ORIF, it most often occurs when the lateral approach is used, as in the case of CRIF with an insertion interlocking screws. The results of the surgical treatment were statistically significant and depended on the time between nerve injury and revision (reconstruction) surgery, type of damage to the radial nerve, surgery treatment, and type of fixation. Treatment results were not statistically significant, depending on the type of fracture or location of the nerve injury. Conclusions The potential risk of radial nerve neurotmesis justifies an operative intervention to treat neurological complications after a humeral fracture. Adequate surgical treatment in many of these cases allows for functional recovery of the radial nerve. PMID:26895570

  18. Combining Transit and Radial Velocity Data

    NASA Astrophysics Data System (ADS)

    Rogers, Leslie A.

    2016-10-01

    The Kepler Mission, combined with ground based radial velocity (RV) follow-up, has revolutionized the observational constraints on sub-Neptune-size planet compositions. Kepler's unprecedentedly large and homogeneous samples of planets with both mass and radius constraints open the possibility of statistical studies of the underlying planet composition distribution. This presentation describes the application of hierarchical Bayesian models to constrain the underlying planet composition distribution from a sample of noisy mass-radius measurements. This approach represents a promising avenue toward a quantitative measurement of the amount of physical scatter in small planet compositions, the identification of planet sub-populations that may be tied to distinct formation pathways, and empirical constraints on the dominant compositional trends in the planet sample. Both the transit and radial velocity techniques are subject to selection effects, and approaches to mitigate the resulting biases will be addressed. In addition to distilling composition-distribution insights from the current sample of Kepler planets with RV masses, this framework may be used to optimize the target selection for future transiting planet RV follow-up surveys.

  19. Radial Velocity Eclipse Mapping of Exoplanets

    NASA Astrophysics Data System (ADS)

    Nikolov, Nikolay; Sainsbury-Martinez, Felix

    2015-07-01

    Planetary rotation rates and obliquities provide information regarding the history of planet formation, but have not yet been measured for evolved extrasolar planets. Here we investigate the theoretical and observational perspective of the Rossiter-McLaughlin effect during secondary eclipse (RMse) ingress and egress for transiting exoplanets. Near secondary eclipse, when the planet passes behind the parent star, the star sequentially obscures light from the approaching and receding parts of the rotating planetary surface. The temporal block of light emerging from the approaching (blueshifted) or receding (redshifted) parts of the planet causes a temporal distortion in the planet’s spectral line profiles resulting in an anomaly in the planet’s radial velocity curve. We demonstrate that the shape and the ratio of the ingress-to-egress radial velocity amplitudes depends on the planetary rotational rate, axial tilt, and impact factor (i.e., sky-projected planet spin-orbital alignment). In addition, line asymmetries originating from different layers in the atmosphere of the planet could provide information regarding zonal atmospheric winds and constraints on the hot spot shape for giant irradiated exoplanets. The effect is expected to be most-pronounced at near-infrared wavelengths, where the planet-to-star contrasts are large. We create synthetic near-infrared, high-dispersion spectroscopic data and demonstrate how the sky-projected spin axis orientation and equatorial velocity of the planet can be estimated. We conclude that the RMse effect could be a powerful method to measure exoplanet spins.

  20. RADIAL VELOCITY ECLIPSE MAPPING OF EXOPLANETS

    SciTech Connect

    Nikolov, Nikolay; Sainsbury-Martinez, Felix

    2015-07-20

    Planetary rotation rates and obliquities provide information regarding the history of planet formation, but have not yet been measured for evolved extrasolar planets. Here we investigate the theoretical and observational perspective of the Rossiter–McLaughlin effect during secondary eclipse (RMse) ingress and egress for transiting exoplanets. Near secondary eclipse, when the planet passes behind the parent star, the star sequentially obscures light from the approaching and receding parts of the rotating planetary surface. The temporal block of light emerging from the approaching (blueshifted) or receding (redshifted) parts of the planet causes a temporal distortion in the planet’s spectral line profiles resulting in an anomaly in the planet’s radial velocity curve. We demonstrate that the shape and the ratio of the ingress-to-egress radial velocity amplitudes depends on the planetary rotational rate, axial tilt, and impact factor (i.e., sky-projected planet spin–orbital alignment). In addition, line asymmetries originating from different layers in the atmosphere of the planet could provide information regarding zonal atmospheric winds and constraints on the hot spot shape for giant irradiated exoplanets. The effect is expected to be most-pronounced at near-infrared wavelengths, where the planet-to-star contrasts are large. We create synthetic near-infrared, high-dispersion spectroscopic data and demonstrate how the sky-projected spin axis orientation and equatorial velocity of the planet can be estimated. We conclude that the RMse effect could be a powerful method to measure exoplanet spins.

  1. Optimal design of radial Bragg cavities and lasers.

    PubMed

    Ben-Bassat, Eyal; Scheuer, Jacob

    2015-07-01

    We present a new and optimal design approach for obtaining maximal confinement of the field in radial Bragg cavities and lasers for TM polarization. The presented approach outperforms substantially the previously employed periodic and semi-periodic design schemes of such lasers. We show that in order to obtain maximal confinement, it is essential to consider the complete reflection properties (amplitude and phase) of the propagating radial waves at the interfaces between Bragg layers. When these properties are taken into account, we find that it is necessary to introduce a wider ("half-wavelength") layer at a specific radius in the "quarter-wavelength" radial Bragg stack. It is shown that this radius corresponds to the cylindrical equivalent of Brewster's angle. The confinement and field profile are calculated numerically by means of transfer matrix method.

  2. Graft placement with an omental flap for ruptured infective common iliac aneurysm in a patient with a continuous flow left ventricular assist device: alternative surgical approach avoiding driveline injury and pathogen identification by 16S ribosomal DNA gene analysis.

    PubMed

    Akiyama, Masatoshi; Hayatsu, Yukihiro; Sakatsume, Ko; Fujiwara, Hidenori; Shimizu, Takuya; Akamatsu, Daijirou; Kakuta, Risako; Gu, Yoshiaki; Kaku, Mitsuo; Kumagai, Kiichiro; Kawamoto, Shunsuke; Goto, Hitoshi; Ohuchi, Noriaki; Saiki, Yoshikatsu

    2016-12-01

    Patients supported by mechanical circulatory support have to wait for longer periods for heart transplantation in Japan. Infective events are a major complication and influence survival. Here, we present the case of a patient with an implantable left ventricular assist device for 6 months who had the complication of ruptured infective common iliac aneurysm. Graft placement with an omental flap was successfully performed via the alternative surgical approach to avoid percutaneous driveline injury. In samples of aortic specimens, 16S ribosomal DNA gene analysis identified Helicobacter cinaedi. Complete removal of the infected tissue and correct pathogen identification may have been relevant to the good clinical course.

  3. Optimized angle selection for radial sampled NMR experiments

    NASA Astrophysics Data System (ADS)

    Gledhill, John M.; Joshua Wand, A.

    2008-12-01

    Sparse sampling offers tremendous potential for overcoming the time limitations imposed by traditional Cartesian sampling of indirectly detected dimensions of multidimensional NMR data. Unfortunately, several otherwise appealing implementations are accompanied by spectral artifacts that have the potential to contaminate the spectrum with false peak intensity. In radial sampling of linked time evolution periods, the artifacts are easily identified and removed from the spectrum if a sufficient set of radial sampling angles is employed. Robust implementation of the radial sampling approach therefore requires optimization of the set of radial sampling angles collected. Here we describe several methods for such optimization. The approaches described take advantage of various aspects of the general simultaneous multidimensional Fourier transform in the analysis of multidimensional NMR data. Radially sampled data are primarily contaminated by ridges extending from authentic peaks. Numerical methods are described that definitively identify artifactual intensity and the optimal set of sampling angles necessary to eliminate it under a variety of scenarios. The algorithms are tested with both simulated and experimentally obtained triple resonance data.

  4. Severity grading in radial dysplasia.

    PubMed

    Vilkki, S K

    2014-11-01

    A functional scoring method to grade the usefulness and quality of the upper limbs in congenital radial dysplasia is presented. It is based on the author's examinations of 44 arms with congenital deficiency of the radius. The hand (H), wrist (W) and proximal parts (P) of the extremity are each scored from 0 to 10 points for severity. The scoring is expressed similarly to the TNM (tumour, nodes, metastasis) tumour classification, for example as H5W4P2. The maximum severity index is 30 points. A severity grade of mild is between 1 and 8 points, moderate between 9 and 16 points and severe 17 points and over. In the author's series, the grades were mild in eight, moderate in 21 and severe in 15 cases. The functional severity grading should allow better comparison of radially deficient limbs and the results of treatment between groups of patients. © The Author(s) 2014.

  5. Velocidades radiales en Collinder 121

    NASA Astrophysics Data System (ADS)

    Arnal, M.; Morrell, N.

    Se han llevado a cabo observaciones espectroscópicas de unas treinta estrellas que son posibles miembros del cúmulo abierto Collinder 121. Las mismas fueron realizadas con el telescopio de 2.15m del Complejo Astronómico El Leoncito (CASLEO). El análisis de las velocidades radiales derivadas del material obtenido, confirma la realidad de Collinder 121, al menos desde el punto de vista cinemático. La velocidad radial baricentral (LSR) del cúmulo es de +17 ± 3 km.s-1. Esta velocidad coincide, dentro de los errores, con la velocidad radial (LSR) de la nebulosa anillo S308, la cual es de ~20 ± 10 km.s-1. Como S308 se encuentra físicamente asociada a la estrella Wolf-Rayet HD~50896, es muy probable que esta última sea un miembro de Collinder 121. Desde un punto de vista cinemático, la supergigante roja HD~50877 (K3Iab) también pertenecería a Collinder 121. Basándonos en la pertenencia de HD~50896 a Collinder 121, y en la interacción encontrada entre el viento de esta estrella y el medio interestelar circundante a la misma, se estima para este cúmulo una distancia del orden de 1 kpc.

  6. Radiation Dose Reduction during Radial Cardiac Catheterization: Evaluation of a Dedicated Radial Angiography Absorption Shielding Drape.

    PubMed

    Ertel, Andrew; Nadelson, Jeffrey; Shroff, Adhir R; Sweis, Ranya; Ferrera, Dean; Vidovich, Mladen I

    2012-01-01

    Objectives. Radiation scatter protection shield drapes have been designed with the goal of decreasing radiation dose to the operators during transfemoral catheterization. We sought to investigate the impact on operator radiation exposure of various shielding drapes specifically designed for the radial approach. Background. Radial access for cardiac catheterization has increased due to improved patient comfort and decreased bleeding complications. There are concerns for increased radiation exposure to patients and operators. Methods. Radiation doses to a simulated operator were measured with a RadCal Dosimeter in the cardiac catheterization laboratory. The mock patient was a 97.5 kg fission product phantom. Three lead-free drape designs were studied. The drapes were placed just proximal to the right wrist and extended medially to phantom's trunk. Simulated diagnostic coronary angiography included 6 minutes of fluoroscopy time and 32 seconds of cineangiography time at 4 standard angulated views (8 s each), both 15 frames/s. ANOVA with Bonferroni correction was used for statistical analysis. Results. All drape designs led to substantial reductions in operator radiation exposure compared to control (P < 0.0001). The greatest decrease in radiation exposure (72%) was with the L-shaped design. Conclusions. Dedicated radial shielding drapes decrease radiation exposure to the operator by up to 72% during simulated cardiac catheterization.

  7. Topographical anatomy of the radial nerve and its muscular branches related to surface landmarks.

    PubMed

    Cho, Hyejin; Lee, Hye-Yeon; Gil, Young-Chun; Choi, Yun-Rak; Yang, Hee-Jun

    2013-10-01

    Understanding of the anatomy of the radial nerve and its branches is vital to the treatment of humeral fracture or the restoration of upper extremity function. In this study, we dissected 40 upper extremities from adult cadavers to locate the course of the radial nerve and the origins and insertions of the branches of the radial nerve using surface landmarks. The radial nerve reached and left the radial groove and pierced the lateral intermuscular septum, at the levels of 46.7, 60.5, and 66.8% from the acromion to the transepicondylar line, respectively. Branches to the long head of the triceps brachii originated in the axilla, and branches to the medial and lateral heads originated in the axilla or in the arm. The muscular attachments to the long, medial, and lateral heads were on average 34.0 mm proximal, 16.4 mm distal, and 19.3 mm proximal to the level of inferior end of the deltoid muscle, respectively. The radial nerve innervated 65.0% of the brachialis muscles. Branches to the brachioradialis and those to the extensor carpi radialis longus arose from the radial nerve above the transepicondylar line. Branches to the extensor carpi radialis brevis usually arose from the deep branch of radial nerve (67.5%); however, in some cases, branches to the extensor carpi radialis brevis arose from either the radial nerve (20.0%) or the superficial branch of the radial nerve (12.5%). Using these data, the course of the radial nerve can be estimated by observing the surface of the arm.

  8. Dropwise Condensation on a Radial Gradient Surface

    NASA Astrophysics Data System (ADS)

    Macner, Ashley; Daniel, Susan; Steen, Paul

    2013-11-01

    In transient dropwise condensation from steam onto a cool surface, distributions of drops evolve by nucleation, growth, and coalescence. This study examines how surface functionalization affects drop growth and coalescence. Surfaces are treated by silanization to deliver either a spatially uniform contact-angle (hydrophilic, neutral, and hydrophobic) or a radial gradient of contact-angles. The time evolution of number-density and associated drop-size distributions are reported. For a typical condensation experiment on a uniform angle surface, the number-density curves show two regimes: an initial increase in number-density as a result of nucleation and a subsequent decrease in number-density as a result of larger scale coalescence events. Without a removal mechanism, the fractional coverage, regardless of treatment, approaches unity. For the same angle-surface, the associated drop-size distributions progress through four different shapes along the growth curve. In contrast, for a radial gradient surface where removal by sweeping occurs, the number-density increases and then levels off to a value close to the maximum number-density that is well below unity coverage and only two shapes of distributions are observed. Implications for heat transfer will be discussed. This work was supported by a NASA Office of the Chief Technologist's Space Technology Research Fellowship.

  9. Asymmetry of Radial and Symmetry of Tangential Neuronal Migration Pathways in Developing Human Fetal Brains.

    PubMed

    Miyazaki, Yuta; Song, Jae W; Takahashi, Emi

    2016-01-01

    The radial and tangential neural migration pathways are two major neuronal migration streams in humans that are critical during corticogenesis. Corticogenesis is a complex process of neuronal proliferation that is followed by neuronal migration and the formation of axonal connections. Existing histological assessments of these two neuronal migration pathways have limitations inherent to microscopic studies and are confined to small anatomic regions of interest (ROIs). Thus, little evidence is available about their three-dimensional (3-D) fiber pathways and development throughout the entire brain. In this study, we imaged and analyzed radial and tangential migration pathways in the whole human brain using high-angular resolution diffusion MR imaging (HARDI) tractography. We imaged ten fixed, postmortem fetal (17 gestational weeks (GW), 18 GW, 19 GW, three 20 GW, three 21 GW and 22 GW) and eight in vivo newborn (two 30 GW, 34 GW, 35 GW and four 40 GW) brains with no neurological/pathological conditions. We statistically compared the volume of the left and right radial and tangential migration pathways, and the volume of the radial migration pathways of the anterior and posterior regions of the brain. In specimens 22 GW or younger, the volume of radial migration pathways of the left hemisphere was significantly larger than that of the right hemisphere. The volume of posterior radial migration pathways was also larger when compared to the anterior pathways in specimens 22 GW or younger. In contrast, no significant differences were observed in the radial migration pathways of brains older than 22 GW. Moreover, our study did not identify any significant differences in volumetric laterality in the tangential migration pathways. These results suggest that these two neuronal migration pathways develop and regress differently, and radial neuronal migration varies regionally based on hemispheric and anterior-posterior laterality, potentially explaining regional differences in

  10. A combined deep-learning and deformable-model approach to fully automatic segmentation of the left ventricle in cardiac MRI.

    PubMed

    Avendi, M R; Kheradvar, Arash; Jafarkhani, Hamid

    2016-05-01

    Segmentation of the left ventricle (LV) from cardiac magnetic resonance imaging (MRI) datasets is an essential step for calculation of clinical indices such as ventricular volume and ejection fraction. In this work, we employ deep learning algorithms combined with deformable models to develop and evaluate a fully automatic LV segmentation tool from short-axis cardiac MRI datasets. The method employs deep learning algorithms to learn the segmentation task from the ground true data. Convolutional networks are employed to automatically detect the LV chamber in MRI dataset. Stacked autoencoders are used to infer the LV shape. The inferred shape is incorporated into deformable models to improve the accuracy and robustness of the segmentation. We validated our method using 45 cardiac MR datasets from the MICCAI 2009 LV segmentation challenge and showed that it outperforms the state-of-the art methods. Excellent agreement with the ground truth was achieved. Validation metrics, percentage of good contours, Dice metric, average perpendicular distance and conformity, were computed as 96.69%, 0.94, 1.81 mm and 0.86, versus those of 79.2-95.62%, 0.87-0.9, 1.76-2.97 mm and 0.67-0.78, obtained by other methods, respectively.

  11. Computational modelling of the hybrid procedure in hypoplastic left heart syndrome: a comparison of zero-dimensional and three-dimensional approach.

    PubMed

    Young, Andrew; Gourlay, Terry; McKee, Sean; Danton, Mark H D

    2014-11-01

    Previous studies have employed generic 3D-multiscale models to predict haemodynamic effects of the hybrid procedure in hypoplastic left heart syndrome. Patient-specific models, derived from image data, may allow a more clinically relevant model. However, such models require long computation times and employ internal pulmonary artery band [dint] dimension, which limits clinical application. Simpler, zero-dimensional models utilize external PAB diameters [dext] and provide rapid analysis, which may better guide intervention. This study compared 0-D and 3-D modelling from a single patient dataset and investigated the relationship dint versus dext and hemodynamic outputs of the two models. Optimum oxygen delivery defined at dint=2mm corresponded to dext=3.1 mm and 3.4 mm when models were matched for cardiac output or systemic pressure, respectively. 0-D and 3-D models when matched for PAB dimension produced close equivalence of hemodynamics and ventricular energetics. From this study we conclude that 0-D model can provide a valid alternative to 3D-multiscale in the hybrid-HLHS circulation. Copyright © 2014. Published by Elsevier Ltd.

  12. Applied anatomy of the superficial branch of the radial nerve.

    PubMed

    Robson, A J; See, M S; Ellis, H

    2008-01-01

    The superficial branch of the radial nerve (SBRN) is highly vulnerable to trauma and iatrogenic injury. This study aimed to map the course of the SBRN in the context of surgical approaches and identify a safe area of incision for de Quervain's tenosynovitis. Twenty-five forearms were dissected. The SBRN emerged from under brachioradialis by a mean of 8.31 cm proximal to the radial styloid (RS), and remained radial to the dorsal tubercle of the radius by a mean of 1.49 cm. The nerve divided into a median of four branches. The first branch arose a mean of 4.92 cm proximal to the RS, traveling 0.49 cm radial to the first compartment of the extensor retinaculum, while the main nerve remained ulnar to it by 0.64 cm. All specimens had branches underlying the traditional transverse incision for de Quervain's release. A 2.5-cm longitudinal incision proximal from the RS avoided the SBRN in 17/25 cases (68%). In 20/25 specimens (80%), the SBRN underlay the cephalic vein. In 18/25 (72%), the radial artery was closely associated with a sensory nerve branch near the level of the RS (SBRN 12/25, lateral cutaneous nerve of the forearm (LCNF) 6/25.) A longitudinal incision in de Quervain's surgery may be preferable. Cannulation of the cephalic vein in the distal third of the forearm is best avoided. The close association between the radial artery and first branch of the SBRN or the LCNF may explain the pain often experienced during arterial puncture. Particular care should be taken during radial artery harvest to avoid nerve injury.

  13. Radial tears of the menisci: MR findings.

    PubMed

    Tuckman, G A; Miller, W J; Remo, J W; Fritts, H M; Rozansky, M I

    1994-08-01

    Radial meniscal tears have a plane of cleavage oriented across the short axis of the meniscus in the same plane in which radial images are oriented. These tears are important to recognize, because they have clinical implications different from those of other meniscal tears with respect to meniscal function, orthopedic treatment, and clinical course. Depending on their size, location, and orientation, radial tears can have different appearances on standard MR images. Certain types can be fairly subtle to diagnose. The purpose of this essay is to illustrate the varied appearances of radial tears on MR images and the findings commonly associated with radial tears.

  14. Radial evolution of power spectra of interplanetary Alfvenic turbulence

    NASA Technical Reports Server (NTRS)

    Bavassano, B.; Dobrowolny, M.; Mariani, F.; Ness, N. F.

    1981-01-01

    The radial evolution of the power spectra of the MHD turbulence within the trailing edge of high speed streams in the solar wind was investigated with the magnetic field data of Helios 1 and 2 for heliocentric distance between 0.3 and 0.9 AU. In the analyzed frequency range (.00028 Hz to .0083 Hz) the computed spectra have, near the Earth, values of the spectral index close to that predicted for an incompressible hydromagnetic turbulence in a stationary state. Approaching the Sun the spectral slope remains unchanged for frequencies f or approximately .00 Hz, whereas at lower frequencies, a clear evolution toward a less steep fall off with frequency is found. The radial gradient of the power in Alfvenic fluctuations depends on frequency and it increases upon increasing frequency. For frequencies f or approximately .00 Hz, however, the radial gradient remains approximately the same. Possible theoretical implications of the observational features are discussed.

  15. Lynch syndrome-associated colorectal carcinoma: frequent involvement of the left colon and rectum and late-onset presentation supports a universal screening approach.

    PubMed

    Hartman, Douglas J; Brand, Randall E; Hu, Huankai; Bahary, Nathan; Dudley, Beth; Chiosea, Simon I; Nikiforova, Marina N; Pai, Reetesh K

    2013-11-01

    The optimal strategy for screening patients with colorectal carcinoma for Lynch syndrome (LS) is a subject of continued debate in the literature with some advocating universal screening while others arguing for selective screening. We evaluated 1292 colorectal carcinomas for DNA mismatch repair protein abnormalities and identified 150 (11.6%) tumors demonstrating high-levels of microsatellite instability (MSI-H). MSI-H colorectal carcinomas were divided into sporadic (112/1292, 8.7%) and LS/probable LS-associated (38/1292, 2.9%) groups based on BRAF V600E mutation, MLH1 promoter hypermethylation, cancer history, and germline mismatch repair gene mutation. All MSI-H colorectal carcinomas were analyzed for grade, location, and tumor histology. The utility of the revised Bethesda guidelines and published predictive pathology models for MSI-H colorectal carcinomas (PREDICT and MSPath) were evaluated. Left-sided MSI-H colorectal carcinomas were more frequently associated with LS compared with right-sided MSI-H colorectal carcinomas (12/21, 57% versus 26/129, 20%, P = .0008). There was no significant difference in histology between sporadic MSI-H and LS/probable LS-associated colorectal carcinomas except for a slightly higher proportion of sporadic MSI-H tumors demonstrating tumor-infiltrating lymphocytes (81% versus 61%, P = .015). Neither pathology predictive model identified all LS-associated colorectal carcinomas (PREDICT: 33/38, 87%; MSPath: 35/38, 92%). 12/117 (10%) MSI-H colorectal carcinomas identified in patients >60 years were LS/probable LS-associated. Our results demonstrate that models of predicting MSI-H fail to identify LS-associated colorectal carcinoma given their reliance on right-sided location. A significant proportion (32%) of LS-associated colorectal carcinoma is identified in patients >60 years. Finally, our results demonstrate similar morphologic features between LS-associated and sporadic MSI-H colorectal carcinomas.

  16. Fundamental studies of radial wave thermoacoustic engines

    NASA Astrophysics Data System (ADS)

    Arnott, W. P.

    1995-06-01

    Our research is about arbitrary geometry thermoacoustic engines. The specific geometry studied in detail is the radial wave arrangement. Formal theory and the short stack approximation were derived for this geometry and were used to pursue an answer to the following question: Radial or plane wave thermoacoustic refrigerators? To date, the plane wave refrigerator appears to be the best overall compromise refrigerator, though the radial wave refrigerator has a higher cooling capacity. An evolving numerical design program has been enhanced to include radial or plane wave engines with variable plate spacing and both plane and radial wave resonators simultaneously with application to driving radial wave refrigerators with heat driven plane wave sound sources. Our experiments have mainly been aimed at radial wave prime movers for the purposes of validating the theory and investigating the large amplitude behavior. Heat exchanger design is a critical issue.

  17. Radial propagation of geodesic acoustic modes

    SciTech Connect

    Hager, Robert; Hallatschek, Klaus

    2009-07-15

    The GAM group velocity is estimated from the ratio of the radial free energy flux to the total free energy applying gyrokinetic and two-fluid theory. This method is much more robust than approaches that calculate the group velocity directly and can be generalized to include additional physics, e.g., magnetic geometry. The results are verified with the gyrokinetic code GYRO[J. Candy and R. E. Waltz, J. Comput. Phys. 186, 545 (2003)], the two-fluid code NLET[K. Hallatschek and A. Zeiler, Phys. Plasmas 7, 2554 (2000)], and analytical calculations. GAM propagation must be kept in mind when discussing the windows of GAM activity observed experimentally and the match between linear theory and experimental GAM frequencies.

  18. Radially dependent angular acceleration of twisted light.

    PubMed

    Webster, Jason; Rosales-Guzmán, Carmelo; Forbes, Andrew

    2017-02-15

    While photons travel in a straight line at constant velocity in free space, the intensity profile of structured light may be tailored for acceleration in any degree of freedom. Here we propose a simple approach to control the angular acceleration of light. Using Laguerre-Gaussian modes as our twisted beams carrying orbital angular momentum, we show that superpositions of opposite handedness result in a radially dependent angular acceleration as they pass through a focus (waist plane). Due to conservation of orbital angular momentum, we find that propagation dynamics are complex despite the free-space medium: the outer part of the beam (rings) rotates in an opposite direction to the inner part (petals), and while the outer part accelerates, the inner part decelerates. We outline the concepts theoretically and confirm them experimentally. Such exotic structured light beams are topical due to their many applications, for instance in optical trapping and tweezing, metrology, and fundamental studies in optics.

  19. Radial vibrations of BPS skyrmions

    NASA Astrophysics Data System (ADS)

    Adam, C.; Haberichter, M.; Romanczukiewicz, T.; Wereszczynski, A.

    2016-11-01

    We study radial vibrations of spherically symmetric Skyrmions in the Bogomol'nyi-Prasad-Sommerfield Skyrme model. Concretely, we numerically solve the linearized field equations for small fluctuations in a Skyrmion background, both for linearly stable oscillations and for (unstable) resonances. This is complemented by numerical solutions of the full nonlinear system, which confirm all the results of the linear analysis. In all cases, the resulting fundamental excitation provides a rather accurate value for the Roper resonance, supporting the hypothesis that the Bogomol'nyi-Prasad-Sommerfield Skyrme model already gives a reasonable approximate description of this resonance. Furthermore, for many potentials additional higher resonances appear, again in agreement with known experimental results.

  20. PRECISION RADIAL VELOCITIES WITH CSHELL

    SciTech Connect

    Crockett, Christopher J.; Prato, L.; Mahmud, Naved I.; Johns-Krull, Christopher M.; Jaffe, Daniel T.; Beichman, Charles A. E-mail: lprato@lowell.edu E-mail: cmj@rice.edu

    2011-07-10

    Radial velocity (RV) identification of extrasolar planets has historically been dominated by optical surveys. Interest in expanding exoplanet searches to M dwarfs and young stars, however, has motivated a push to improve the precision of near-infrared RV techniques. We present our methodology for achieving 58 m s{sup -1} precision in the K band on the M0 dwarf GJ 281 using the CSHELL spectrograph at the 3 m NASA Infrared Telescope Facility. We also demonstrate our ability to recover the known 4 M{sub JUP} exoplanet Gl 86 b and discuss the implications for success in detecting planets around 1-3 Myr old T Tauri stars.

  1. Auricle reconstruction with a radial forearm flap prelaminated with porous polyethylene (Medpor®) implant.

    PubMed

    Simsek, Tekin; Eroglu, Lutfi

    2012-11-01

    Severe auricular traumas with extensive involvement of the surrounding structures present with a serious defect necessitating free tissue transfers for reconstruction. In this case report, we present a case of whole left auricle reconstruction with a radial forearm flap prelaminated with porous polyethylene (Medpor®) implant in a 17-year-old female patient. First, a subdermal pouch was fashioned on the volar aspect of the left forearm along the projection of the radial artery and the Medpor implant was placed in this pouch. Four weeks later, the prelaminated radial forearm flap containing the Medpor implant was transferred to the recipient site. Resultant construct had a pliable skin cover, and the patient was pleased with the esthetic outcome even though revisions such as external auditory meatus widening, conchal cup deepening, and lobule defining were planned as further interventions. We believe that this method is a pertinent reconstructive option for extensive defects of the auricular region. Copyright © 2012 Wiley Periodicals, Inc.

  2. Radial deformation of the earth by oceanic tidal loading

    NASA Technical Reports Server (NTRS)

    Ray, R. D.; Sanchez, B. V.

    1989-01-01

    A high-degree spherical harmonic series is used to compute the radial deformation of the Earth by oceanic tidal loading. By exploiting fast numerical transforms, this approach is found to be much more efficient, but no less accurate, than the traditional Green's function approach. The method is used to derive an atlas of load tide maps for 10 constitutents of the NSWC ocean tide model.

  3. Socket stars: UBVRJIK radial profiles

    NASA Astrophysics Data System (ADS)

    Schaefer, Bradley E.

    1995-05-01

    Visual inspectin of stars embedded in H II nebulae has shown a significant fraction to be surrounded by nearly symmetric extended regions within which the nebular brightness is apparently significantly fainter than is typical for the surrounding area. These 'socket stars' might be caused by a bubble in the nebula blown out by a stellar wind or they might be caused by a circumstellar envelope of dust hiding the emission behind the star. As such, the sockets could be the first manifestation of a previously unknown component of pre-main-sequence stars. Unfortunately, no quantitative proof of the existence of sockets has been presented. To fill this need, I have imaged 10 socket stars and six background stars with CCD cameras and infrared array cameras. From these images, I have constructed radial plots which should reveal dips in brightness immediately outside the seeing disk. The radial plots do not show any evidence for the existence of sockets. A detailed examination of the photographs orginally used to identify the sockets show that the causes of these reports are (1) artifacts resulting from the photographic process of dodging and (2) random coincidence of stars with local minima in nebular brightness. Thus, I conclude that 'socket stars' do not exist.

  4. Planar radial weakly dissipative diffeomorphisms.

    PubMed

    Simó, C; Vieiro, A

    2010-12-01

    We study the effect of a small dissipative radial perturbation acting on a one parameter family of area preserving diffeomorphisms. This is a specific type of dissipative perturbation. The interest is on the global effect of the dissipation on a fixed domain around an elliptic fixed/periodic point of the family, rather than on the effects around a single resonance. We describe the local/global bifurcations observed in the transition from the conservative to a weakly dissipative case: the location of the resonant islands, the changes in the domains of attraction of the foci inside these islands, how the resonances disappear, etc. The possible ω-limits are determined in each case. This topological description gives rise to three different dynamical regimes according to the size of dissipative perturbation. Moreover, we determine the conservative limit of the probability of capture in a generic resonance from the interpolating flow approximation, hence assuming no homoclinics in the resonance. As a paradigm of weakly dissipative radial maps, we use a dissipative version of the Hénon map. © 2010 American Institute of Physics.

  5. Radial velocities from automated telescopes

    NASA Astrophysics Data System (ADS)

    Pepe, F.; Mayor, M.

    2004-10-01

    During the past years, precise radial-velocity measurements have been the fundamental tool for the discovery and characterization of almost all the presently known extra-solar planets. The increasing precision and efficiency of this technique has also opened new possibilities for the follow-up of planetary transit candidates, as well as for other fields of astronomy, such as asteroseismology and stellar physics. The example of extra-solar planets illustrates quite clearly the strong need for large observational surveys: 1) In order to get a complete view of the planet "zoo", many stars of various types must be measured and followed up. 2) The detection efficiency increases enormously with the quality and the quantity of data points. Time sampling is a critical parameter. 3) The great diversity of known planetary systems requires covering observation time-scales from one night to several years and even decades. A direct consequence of these factors is that survey programmes require a large amount of telescope time and a continuous follow-up of the observations. In a context of limited resources and large amounts of data, automated telescopes will be of great help, or even required, to carry out these programmes. Based on our experience with CORALIE and HARPS, we shall try to define a series of "requirements" towards automated telescopes for precise radial-velocity measurements.

  6. Critical Hand Ischemia After Radial Access for Coronary Angiography – Case Report

    PubMed Central

    Bojakowski, Krzysztof; Zawadzki, Michał; Mruk, Bartosz; Andziak, Piotr; Walecki, Jerzy

    2017-01-01

    Summary Background Radial artery is now the most frequent access for coronary angiography and intervention. Despite the common opinion that it is safer than femoral access, it has the potential for serious complications. One of them is upper limb ischemia caused by radial artery thrombosis. Case Report We are presenting a case of critical hand ischemia after coronary angiography performed through radial access despite existing risk factors, which may be considered as relative contraindications. Conclusions In the presented case, decision was made to use radial access despite several risk factors of upper limb ischemia – diabetes, end-stage renal failure, hyperparathyroidism, or even symptoms of left upper limb ischemia. Furthermore, for diagnostic coronary angiography 5F instead of 4F introducer was used. PMID:28144386

  7. Superficial radial neuropathy and brachioradial motor nerve palsy associated with proximal radius osteochondroma.

    PubMed

    Oz, Oğuzhan; Yücel, Mehmet; Ulaş, Umit; Eroğlu, Erdal; Odabaşi, Zeki

    2010-01-01

    The cutaneous branch of the radial nerve (superficial radial nerve, SRN) might be compressed or injured at various anatomical sites along its course in the forearm. Compression of the SRN occurring at the proximal third of the forearm is unusual. A 22-year-old man was admitted with pain and paraesthesia over the lateral aspect of his right wrist and thumb and pain at the elbow for six months. In electrodiagnostic testing, a sensory nerve action potential from the right SRN could not be recorded, while it was normal on the left. In a needle electromyography study, denervation potentials have been seen in the right brachioradial muscle and a decrease in interference pattern signals was also found. An exophytic lesion of the proximal radius was observed in radiographs. Computed tomography evaluation revealed an osteochondroma of the proximal radius. Neuropathies of the SRN and the brachioradial motor branch of the radial nerve are thought to be associated with proximal radial osteochondroma.

  8. En bloc aortic and mitral valve replacement and left ventricular outflow tract enlargement using a combined transaortic and trans-septal atrial approach.

    PubMed

    Hassan, Mohammed; Windsor, Jimmy; Ricci, Marco

    2015-12-01

    Aortic and mitral valve replacement with division and reconstruction of the inter-valvular fibrous body has been described in clinical situations involving infective endocarditis, extensive annular calcifications and diminutive valve annuli. Herein, we describe a combined transaortic and trans-septal approach with division of the inter-valvular fibrosa for combined aortic and mitral valve replacement. The reconstruction of the inter-valvular fibrous body, atrial walls and aortic root was carried out using a 'three-patch' technique with bovine pericardium.

  9. Functional connectivity of the left and right hippocampi: Evidence for functional lateralization along the long-axis using meta-analytic approaches and ultra-high field functional neuroimaging.

    PubMed

    Robinson, Jennifer L; Salibi, Nouha; Deshpande, Gopikrishna

    2016-07-15

    Theories regarding the functional specialization of the hippocampus date back to over a century ago. Two main theories have dominated the field. First, evidence has supported the notion of hemispheric specialization, which appears to be preserved across species. Second, an emergent and mounting set of data has suggested an anterior-posterior neurofunctional gradient. However, no study has examined these theories, and their potential interaction, using objective, robust methodological approaches. Here, we employed an established meta-analytic technique and use ultra-high field, high-resolution functional and structural neuroimaging to examine hippocampal lateralization with consideration for a long-axis differentiation. Data revealed strong support for an evolutionarily preserved hemispheric specialization. Specifically, we found intra- and interhemispheric differences with regard to anterior and posterior functional and structural connectivity, between the right and left hippocampi. For task-independent functional connectivity, we found the right anterior hippocampus to have functional connectivity with a large, distributed network, whereas the left anterior hippocampus demonstrated primarily fronto-limbic connectivity. These patterns were reversed for the posterior segmentations. Not surprisingly, for task-dependent connectivity, we found interhemispheric differences within key ipsilateral structures (i.e., parahippocampal gyrus) for both anterior and posterior segmentations. Furthermore, we identified pivotal neural hubs that share connectivity across behavioral domains, and are supported by structural connectivity (i.e., posterior cingulate cortex). Thus, our data provide evidence for a hemisphere-specific, anterior-posterior specialization of the hippocampal formation.

  10. The results of radial artery Y-graft for complete arterial revascularization.

    PubMed

    Yilmaz, Ahmet Turan; Ozal, Ertugrul; Barindik, Nadir; Günay, Celalettin; Tatar, Harun

    2002-05-01

    Harvesting of multiple arterial grafts is commonly associated with prolonged operating times and increased trauma in complete arterial coronary artery bypass grafting (CABG). Using sequential grafting techniques, CABG is possible with only two arterial grafts in multi-vessel coronary artery disease (CAD). However, sequential grafting may not be convenient for all circumstances and sometimes surgical technique may be challenging. We present our experience in the use of radial artery (RA) Y-graft on a routine basis. Between January 1996 and November 2001, 127 patients (aged 63+/-8 years) with the diagnosis of multi-vessel disease underwent complete arterial revascularization using left internal mammarian artery (LIMA) and RA. Left ventricular ejection fraction ranged from 23 to 65% (mean 51+/-11%). Triple-vessel disease was present in 73.2% of patients. We used the division technique of RA during harvesting and formation of one or more composite Y-grafts of the RA itself to allow end-side rather than sequential anastomoses without any significant decrease the usable conduit length. The results of this technique were compared with the data of patients (n=109) who underwent completely arterial CABG with the use of the multiple arterial grafts in the same period. LIMA was anastomosed to the left anterior descending coronary artery (LAD) system in all patients. Two to four (mean 2.8+/-0.6) anastomoses were performed with RA Y-graft per patient. Proximal end of the radial graft was anastomosed to LIMA (60.6%) or aorta (39.4%). Mean operating time was 185 (45 min; bypass time, 68+/-23 min; and cross-clamp time, 49+/-17 min). Perioperative intraaortic balloon pump was necessary in five patients (3.9%). There was no operative mortality or morbidity. During the follow-up period of 2-30 months, none of the patients had any complication. Postoperative coronary angiography in 54 patients (42.5%) documented excellent early patency rates (LIMA 100%, and RA 98.1%). We believe that

  11. An Exact Formula for Calculating Inverse Radial Lens Distortions

    PubMed Central

    Drap, Pierre; Lefèvre, Julien

    2016-01-01

    This article presents a new approach to calculating the inverse of radial distortions. The method presented here provides a model of reverse radial distortion, currently modeled by a polynomial expression, that proposes another polynomial expression where the new coefficients are a function of the original ones. After describing the state of the art, the proposed method is developed. It is based on a formal calculus involving a power series used to deduce a recursive formula for the new coefficients. We present several implementations of this method and describe the experiments conducted to assess the validity of the new approach. Such an approach, non-iterative, using another polynomial expression, able to be deduced from the first one, can actually be interesting in terms of performance, reuse of existing software, or bridging between different existing software tools that do not consider distortion from the same point of view. PMID:27258288

  12. Left-Handed Connections.

    ERIC Educational Resources Information Center

    Lipson, Alice M.

    1984-01-01

    The following aspects of left-handedness are discussed: etiology and associated learning and developmental disorders; right-brain dominance and how to detect it; adaptations to the physical learning environment; behavior patterns; and teaching techniques. (JW)

  13. Left heart catheterization

    MedlinePlus

    Catheterization - left heart ... to help guide the catheters up into your heart and arteries. Dye (sometimes called "contrast") will be ... in the blood vessels that lead to your heart. The catheter is then moved through the aortic ...

  14. Left Ventricular Hypertrophy

    MedlinePlus

    ... than are white people with similar blood pressure measurements. Sex. Women with hypertension are at higher risk ... hypertrophy than are men with similar blood pressure measurements. Left ventricular hypertrophy changes the structure and working ...

  15. Left Atrial Myxoma

    DTIC Science & Technology

    2006-09-01

    enhanced pulmonary CT angiogram demonstrated normal pulmonary arteries (i.e. no pulmonary embolus) and confirmed the presence of left-sided pulmonary ... arteries without evidence for pulmonary embolism but note of patchy airspace disease within the left upper and lower lobes (Figure 1C), which...1A) and lateral (Figure 1B) chest radiographs were obtained and the patient also underwent a contrast-enhanced pulmonary CT angiogram (CTA; Figure

  16. Evaluation of Allen's test in both arms and arteries of left and right-handed people.

    PubMed

    Oettlé, A C; van Niekerk, A; Boon, J M; Meiring, J H

    2006-03-01

    The Allen's test as described in 1929 by Edgar V. Allen has been modified, adapted and complemented by other newer modalities but remains a first line standard test to evaluate the arterial supply of the hand. In this study an attempt has been made to add more information regarding the arterial supply of the hand, in left- and right-handed individuals, left and right hands and the ulnar and radial arteries, when doing the Allen's test. A modified Allen's test using an oxygen saturation monitor was used. The sample group consisted of 80 (30 left-handed and 50 right-handed) students. No significant differences between the Allen's test of the left and right hands in the left and right-handed individuals were found. There was a marginal but not significant difference between the two arteries. The ulnar artery took slightly longer to reach baseline values as compared to the radial artery. The results suggest that a positive Allen's test can be found in both left and right-handed people, with regard to the left and right hands and both radial and ulnar arteries may be implicated. This information should be kept in mind when selecting either the radial or ulnar artery for grafting purposes (e.g. coronary angiosurgery) and forearm artery cannulation.

  17. Formulas for Radial Transport in Protoplanetary Disks

    NASA Astrophysics Data System (ADS)

    Desch, Steven J.; Estrada, Paul R.; Kalyaan, Anusha; Cuzzi, Jeffrey N.

    2017-05-01

    The quantification of the radial transport of gaseous species and solid particles is important to many applications in protoplanetary disk evolution. An especially important example is determining the location of the water snow lines in a disk, which requires computing the rates of outward radial diffusion of water vapor and the inward radial drift of icy particles; however, the application is generalized to evaporation fronts of all volatiles. We review the relevant formulas using a uniform formalism. This uniform treatment is necessary because the literature currently contains at least six mutually exclusive treatments of radial diffusion of gas, only one of which is correct. We derive the radial diffusion equations from first principles using Fick's law. For completeness, we also present the equations for radial transport of particles. These equations may be applied to studies of diffusion of gases and particles in protoplanetary and other accretion disks.

  18. Radial flow pulse jet mixer

    DOEpatents

    VanOsdol, John G.

    2013-06-25

    The disclosure provides a pulse jet mixing vessel for mixing a plurality of solid particles. The pulse jet mixing vessel is comprised of a sludge basin, a flow surface surrounding the sludge basin, and a downcoming flow annulus between the flow surface and an inner shroud. The pulse jet mixing vessel is additionally comprised of an upper vessel pressurization volume in fluid communication with the downcoming flow annulus, and an inner shroud surge volume separated from the downcoming flow annulus by the inner shroud. When the solid particles are resting on the sludge basin and a fluid such as water is atop the particles and extending into the downcoming flow annulus and the inner shroud surge volume, mixing occurs by pressurization of the upper vessel pressurization volume, generating an inward radial flow over the flow surface and an upwash jet at the center of the sludge basin.

  19. Irreducible dislocation of the radial head with undisplaced olecranon fracture in a child: a case report.

    PubMed

    Takase, Katsumi; Mizuochi, Jun

    2011-09-01

    Irreducible isolated dislocation of the radial head is a rare injury. In this study, we describe a patient with irreducible dislocation of the radial head associated with an undisplaced fracture of the olecranon. A 6-year-old girl fell down while walking and suffered injury to the posterior aspect of the proximal ulnar shaft with the right elbow in a slightly flexed position. Plain radiographs of the elbow revealed an anterior-medial dislocation of the radial head and an undisplaced fracture of the olecranon. However, the attempted closed reduction was not successful. An open reduction was then performed through a lateral approach. The radial head was found to be protruding through a buttonhole tear of the anterior joint capsule, causing the joint to become interposed between the articular surfaces of the joint, precluding closed reduction. Once the interposed capsule was extricated from the joint, the radial head could be easily reduced. At this point, no tear of the annular ligament was observed. Six months after the surgery, the patient was able to use her elbow fully and without pain. The range of motion was 0-140° for both extension and flexion and 90° for pronation and supination. Plain radiographs revealed a united bone of the olecranon and good reduction of the radial head. The radial head pushed through the tear of the anterior joint capsule. This buttonhole effect on the radial head prevented closed reduction of the radial head.

  20. Radial orbit instability in systems of highly eccentric orbits: Antonov problem reviewed

    NASA Astrophysics Data System (ADS)

    Polyachenko, E. V.; Shukhman, I. G.

    2017-09-01

    Stationary stellar systems with radially elongated orbits are subject to radial orbit instability - an important phenomenon that structures galaxies. Antonov presented a formal proof of the instability for spherical systems in the limit of purely radial orbits. However, such spheres have highly inhomogeneous density distributions with singularity ∼1/r2, resulting in an inconsistency in the proof. The proof can be refined, if one considers an orbital distribution close to purely radial, but not entirely radial, which allows to avoid the central singularity. For this purpose we employ non-singular analogues of generalized polytropes elaborated recently in our work in order to derive and solve new integral equations adopted for calculation of unstable eigenmodes in systems with nearly radial orbits. In addition, we establish a link between our and Antonov's approaches and uncover the meaning of infinite entities in the purely radial case. Maximum growth rates tend to infinity as the system becomes more and more radially anisotropic. The instability takes place both for even and odd spherical harmonics, with all unstable modes developing rapidly, i.e. having eigenfrequencies comparable to or greater than typical orbital frequencies. This invalidates orbital approximation in the case of systems with all orbits very close to purely radial.

  1. Stirling Engine With Radial Flow Heat Exchangers

    NASA Technical Reports Server (NTRS)

    Vitale, N.; Yarr, George

    1993-01-01

    Conflict between thermodynamical and structural requirements resolved. In Stirling engine of new cylindrical configuration, regenerator and acceptor and rejector heat exchangers channel flow of working gas in radial direction. Isotherms in regenerator ideally concentric cylinders, and gradient of temperature across regenerator radial rather than axial. Acceptor and rejector heat exchangers located radially inward and outward of regenerator, respectively. Enables substantial increase in power of engine without corresponding increase in diameter of pressure vessel.

  2. Tolerancing a radial velocity spectrometer within Zemax

    NASA Astrophysics Data System (ADS)

    Gibson, Steven R.

    2016-08-01

    Techniques are described for tolerancing a radial velocity spectrometer system within Zemax, including: how to set up and verify the tolerancing model, performance metrics and tolerance operands used, as well as post- Zemax analysis methods. Use of the tolerancing model for various analyses will be discussed, such as: alignment sensitivity, radial velocity sensitivity, and sensitivity of the optical system to temperature changes. Tolerance results from the Keck Planet Finder project (a precision radial velocity spectrometer of asymmetric white pupil design) will be shown.

  3. Hollow Cathode With Multiple Radial Orifices

    NASA Technical Reports Server (NTRS)

    Brophy, John R.

    1992-01-01

    Improved hollow cathode serving as source of electrons has multiple radial orifices instead of single axial orifice. Distributes ion current more smoothly, over larger area. Prototype of high-current cathodes for ion engines in spacecraft. On Earth, cathodes used in large-diameter ion sources for industrial processing of materials. Radial orientation of orifices in new design causes current to be dispersed radially in vicinity of cathode. Advantageous where desireable to produce plasma more nearly uniform over wider region around cathode.

  4. Weighing Rocky Exoplanets with Improved Radial Velocimetry

    NASA Astrophysics Data System (ADS)

    Xuesong Wang, Sharon; Wright, Jason; California Planet Survey Consortium

    2016-01-01

    The synergy between Kepler and the ground-based radial velocity (RV) surveys have made numerous discoveries of small and rocky exoplanets, opening the age of Earth analogs. However, most (29/33) of the RV-detected exoplanets that are smaller than 3 Earth radii do not have their masses constrained to better than 20% - limited by the current RV precision (1-2 m/s). Our work improves the RV precision of the Keck telescope, which is responsible for most of the mass measurements for small Kepler exoplanets. We have discovered and verified, for the first time, two of the dominant terms in Keck's RV systematic error budget: modeling errors (mostly in deconvolution) and telluric contamination. These two terms contribute 1 m/s and 0.6 m/s, respectively, to the RV error budget (RMS in quadrature), and they create spurious signals at periods of one sidereal year and its harmonics with amplitudes of 0.2-1 m/s. Left untreated, these errors can mimic the signals of Earth-like or Super-Earth planets in the Habitable Zone. Removing these errors will bring better precision to ten-year worth of Keck data and better constraints on the masses and compositions of small Kepler planets. As more precise RV instruments coming online, we need advanced data analysis tools to overcome issues like these in order to detect the Earth twin (RV amplitude 8 cm/s). We are developing a new, open-source RV data analysis tool in Python, which uses Bayesian MCMC and Gaussian processes, to fully exploit the hardware improvements brought by new instruments like MINERVA and NASA's WIYN/EPDS.

  5. Left colectomy with intracoporeal anastomosis: technical aspects

    PubMed Central

    Araujo, Sérgio Eduardo Alonso; Seid, Victor Edmond; Klajner, Sidney; Bertoncini, Alexandre Bruno

    2014-01-01

    Oncologic laparoscopic colectomy represents a fully validated surgical approach to the management of colorectal cancer. However, laparoscopic surgery for distal transverse and descending colon lesions remains a challenging procedure. A total laparoscopic approach to the left colectomy is an interesting option for critically ill patients although reports in the literature on this subject are scarce and its approach still not standardized because of its selective nature for indication. There are several advantages associated with conduction of totally laparoscopic approach to the left colon. Intracorporeal vessel sealing ensures an adequate lymph node dissection. Moreover, it enables the construction of a well-vascularized anastomosis. Ultimately, the occurrence of late wound complications are possibly reduced for the placement of a low abdominal incision exclusively used for specimen extraction. This paper aimed at describing our technique for a totally laparoscopic left colectomy for distal transverse and descending colon lesions. PMID:25295460

  6. [Left temporal arachnoid cyst and specific learning disorders associated with Pervasive Developmental Disorders - Not Otherwise Specified (PDD-NOS): contributions of an integrative neuropsychomotor, neuropsychological, psychopathological and neurosurgical approach about a case report in a child (François)].

    PubMed

    Vaivre-Douret, L; Boschi, A; Cuny, M L; Clouard, C; Mosser, A; Golse, B; Philippe, A; Bourgeois, M; Boddaert, N; Puget, S

    2016-12-01

    Left temporal arachnoid cyst and specific learning disorders associated with pervasive developmental disorders - not otherwise specified (PDD-NOS): contributions of an integrative neuro-psychomotor, neuropsychological, psychopathological and neurosurgical approach about a case report in a child (François). With DSM-IV and DSM-IV-TR, the terminology of pervasive developmental disorders (PDD) covers two main categories of infantile disorders: disorders of "strictly" autistic nature and pervasive developmental disorders - not otherwise specified (PDD-NOS). Under the terminology of multiple complex developmental disorder (MCDD), it is proposed to classify children presenting symptoms approaching the psychotic disharmonies and usually diagnosed as PDD-NOS. Such a category of developmental disorders is now included without nosographic distinction in the autistic spectrum in the Diagnostic and Statistical Manual of mental disorders (DSM-V). We are reporting a case report of a 6-year-old boy which shows a PDD-NoS/MCDD complex symptomatology type. This child presents multiple disorders: minor neurological signs (soft signs), neuro-psychomotor disorders, developmental coordination disorder (DCD), communication, thought, and regulation of emotions disorders, attention deficit disorders (ADD); in the presence of a high verbal intellectual potential, which makes it difficult to establish a clear diagnosis. A cerebral magnetic resonance imaging (MRI) was carried out due to the presence of minor neurological signs (soft signs) and of neurodevelopmental multiple disorders. The MRI revealed a voluminous arachnoid temporo-polar left cyst with a marked mass effect on the left temporal lobe. A neurosurgical intervention allowed to observe the gradual disappearance of the specific symptomatology (in particular soft signs, neuro-psychomotor functions and autistic symptoms) secondary to the interference of the cyst's pressure with intracranial areas involving neurological and

  7. Fundamentals studies of radial wave thermoacoustic engines

    NASA Astrophysics Data System (ADS)

    Arnott, W. Patrick

    1994-06-01

    Research on radial wave thermoacoustic sound sources and refrigerators is described. Theoretical analysis and a computer program to implement it, were developed for acoustic quantities such as pressure, particle velocity, etc, and energy fluxes for thermoacoustic engines in the lowest radial mode of a cylindrical resonator. The program is currently most useful for computing prime mover operation both below, at, and beyond onset of oscillation. A short stack approximation was derived to compare the theoretical promise of thermoacoustic engines in the longitudinal and radial standing waves of cylindrical resonators. Results to date indicate radial wave engines are worth pursuing.

  8. Are axial and radial flow chromatography different?

    PubMed

    Besselink, Tamara; van der Padt, Albert; Janssen, Anja E M; Boom, Remko M

    2013-01-04

    Radial flow chromatography can be a solution for scaling up a packed bed chromatographic process to larger processing volumes. In this study we compared axial and radial flow affinity chromatography both experimentally and theoretically. We used an axial flow column and a miniaturized radial flow column with a ratio of 1.8 between outer and inner surface area, both with a bed height of 5 cm. The columns were packed with affinity resin to adsorb BSA. The average velocity in the columns was set equal. No difference in performance between the two columns could be observed. To gain more insight into the design of a radial flow column, the velocity profile and resin distribution in the radial flow column were calculated. Using mathematical models we found that the breakthrough performance of radial flow chromatography is very similar to axial flow when the ratio between outer and inner radius of the radial flow column is around 2. When this ratio is increased, differences become more apparent, but remain small. However, the ratio does have a significant influence on the velocity profile inside the resin bed, which directly influences the pressure drop and potentially resin compression, especially at higher values for this ratio. The choice between axial and radial flow will be based on cost price, footprint and packing characteristics. For small-scale processes, axial flow chromatography is probably the best choice, for resin volumes of at least several tens of litres, radial flow chromatography may be preferable.

  9. An Unusual Left Ventricular Apical Mass

    PubMed Central

    Cavallero, Erika; Curzi, Mirko; Cioccarelli, Sara Anna; Papalia, Giulio; Ornaghi, Diego; Bragato, Renato Maria

    2014-01-01

    Left ventricular apical masses constitute a rare finding. Imaging properties together with the clinical history of the patient usually allow an etiologic definition. We report a challenging case of an ambiguous left ventricular apical mass of uncertain nature till histological examination. Points of interest were singular clinical history and echocardiographic findings, although not conclusive in hypothesis generating. Furthermore to the best of our knowledge, this is one of the rare attempt to excise a deep left ventricular mass with a mini-invasive surgical approach. PMID:28465915

  10. Convolutional neural network regression for short-axis left ventricle segmentation in cardiac cine MR sequences.

    PubMed

    Tan, Li Kuo; Liew, Yih Miin; Lim, Einly; McLaughlin, Robert A

    2017-07-01

    Automated left ventricular (LV) segmentation is crucial for efficient quantification of cardiac function and morphology to aid subsequent management of cardiac pathologies. In this paper, we parameterize the complete (all short axis slices and phases) LV segmentation task in terms of the radial distances between the LV centerpoint and the endo- and epicardial contours in polar space. We then utilize convolutional neural network regression to infer these parameters. Utilizing parameter regression, as opposed to conventional pixel classification, allows the network to inherently reflect domain-specific physical constraints. We have benchmarked our approach primarily against the publicly-available left ventricle segmentation challenge (LVSC) dataset, which consists of 100 training and 100 validation cardiac MRI cases representing a heterogeneous mix of cardiac pathologies and imaging parameters across multiple centers. Our approach attained a .77 Jaccard index, which is the highest published overall result in comparison to other automated algorithms. To test general applicability, we also evaluated against the Kaggle Second Annual Data Science Bowl, where the evaluation metric was the indirect clinical measures of LV volume rather than direct myocardial contours. Our approach attained a Continuous Ranked Probability Score (CRPS) of .0124, which would have ranked tenth in the original challenge. With this we demonstrate the effectiveness of convolutional neural network regression paired with domain-specific features in clinical segmentation. Copyright © 2017 Elsevier B.V. All rights reserved.

  11. Identification and Management of Pump Thrombus in the HeartWare Left Ventricular Assist Device System: A Novel Approach Using Log File Analysis.

    PubMed

    Jorde, Ulrich P; Aaronson, Keith D; Najjar, Samer S; Pagani, Francis D; Hayward, Christopher; Zimpfer, Daniel; Schlöglhofer, Thomas; Pham, Duc T; Goldstein, Daniel J; Leadley, Katrin; Chow, Ming-Jay; Brown, Michael C; Uriel, Nir

    2015-11-01

    The study sought to characterize patterns in the HeartWare (HeartWare Inc., Framingham, Massachusetts) ventricular assist device (HVAD) log files associated with successful medical treatment of device thrombosis. Device thrombosis is a serious adverse event for mechanical circulatory support devices and is often preceded by increased power consumption. Log files of the pump power are easily accessible on the bedside monitor of HVAD patients and may allow early diagnosis of device thrombosis. Furthermore, analysis of the log files may be able to predict the success rate of thrombolysis or the need for pump exchange. The log files of 15 ADVANCE trial patients (algorithm derivation cohort) with 16 pump thrombus events treated with tissue plasminogen activator (tPA) were assessed for changes in the absolute and rate of increase in power consumption. Successful thrombolysis was defined as a clinical resolution of pump thrombus including normalization of power consumption and improvement in biochemical markers of hemolysis. Significant differences in log file patterns between successful and unsuccessful thrombolysis treatments were verified in 43 patients with 53 pump thrombus events implanted outside of clinical trials (validation cohort). The overall success rate of tPA therapy was 57%. Successful treatments had significantly lower measures of percent of expected power (130.9% vs. 196.1%, p = 0.016) and rate of increase in power (0.61 vs. 2.87, p < 0.0001). Medical therapy was successful in 77.7% of the algorithm development cohort and 81.3% of the validation cohort when the rate of power increase and percent of expected power values were <1.25% and 200%, respectively. Log file parameters can potentially predict the likelihood of successful tPA treatments and if validated prospectively, could substantially alter the approach to thrombus management. Copyright © 2015 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  12. Hypoplastic left heart syndrome (image)

    MedlinePlus

    Hypoplastic left heart syndrome is a congenital heart condition that occurs during the development of the heart in the ... womb. During the heart's development, parts of the left side of the heart (mitral valve, left ventricle ...

  13. The Expansion and Radial Speeds of Coronal Mass Ejections

    NASA Astrophysics Data System (ADS)

    Gopalswamy, N.; Dal Lago, A.; Yashiro, S.; Akiyama, S.

    We show the relation between radial (V_{rad}) and expansion (V_{exp}) speeds of coronal mass ejections (CMEs) depends on the CME width. As CME width increases, {V_{rad}/V_{exp}} decreases from a value >1 to <1. For widths approaching 180°, the ratio approaches 0 if the cone has a flat base, while it approaches 0.5 if the base has a bulge (ice cream cone). The speed difference between the limb and disk halos and the spherical expansion of super fast CMEs can be explained by the width dependence.

  14. Surface interpolation with radial basis functions for medical imaging

    SciTech Connect

    Carr, J.C.; Beatson, R.K.; Fright, W.R.

    1997-02-01

    Radial basis functions are presented as a practical solution to the problem of interpolating incomplete surfaces derived from three-dimensional (3-D) medical graphics. The specific application considered is the design of cranial implants for the repair of defects, usually holes, in the skull. Radial basis functions impose few restrictions on the geometry of the interpolation centers and are suited to problems where interpolation centers do not form a regular grid. However, their high computational requirements have previously limited their use to problems where the number of interpolation centers is small (<300). Recently developed fast evaluation techniques have overcome these limitations and made radial basis interpolation a practical approach for larger data sets. In this paper radial basis functions are fitted to depth-maps of the skull`s surface, obtained from X-ray computed tomography (CT) data using ray-tracing techniques. They are used to smoothly interpolate the surface of the skull across defect regions. The resulting mathematical description of the skull`s surface can be evaluated at any desired resolution to be rendered on a graphics workstation or to generate instructions for operating a computer numerically controlled (CNC) mill.

  15. Giant left ventricular pseudoaneurysm.

    PubMed

    Prakash, Sumi; Garg, Nadish; Xie, Gong-Yuan; Dellsperger, Kevin C

    2010-01-01

    Left ventricular (LV) pseudoaneurysm (PS) is an uncommon, often fatal complication associated with myocardial infarction, cardiothoracic surgery, trauma, and, rarely, infective endocarditis. A 28-year-old man with prior history of bioprosthetic mitral valve replacement presented with congestive heart failure and bacteremia with Abiotrophia granulitica. Transesophageal echocardiogram showed bioprosthesis dysfunction, large vegetations, mitral regurgitation, and probable PS. Cardiac and chest CT confirmed a PS communicating with the left ventricle Patient had pulseless electrical activity and died. Autopsy showed a giant PS with layered thrombus and pseudo-endothelialized cavity. Our case highlights the importance of multimodality imaging as an important tool in management of PS.

  16. Radial q-space sampling for DSI.

    PubMed

    Baete, Steven H; Yutzy, Stephen; Boada, Fernando E

    2016-09-01

    Diffusion spectrum imaging (DSI) has been shown to be an effective tool for noninvasively depicting the anatomical details of brain microstructure. Existing implementations of DSI sample the diffusion encoding space using a rectangular grid. Here we present a different implementation of DSI whereby a radially symmetric q-space sampling scheme for DSI is used to improve the angular resolution and accuracy of the reconstructed orientation distribution functions. Q-space is sampled by acquiring several q-space samples along a number of radial lines. Each of these radial lines in q-space is analytically connected to a value of the orientation distribution functions at the same angular location by the Fourier slice theorem. Computer simulations and in vivo brain results demonstrate that radial diffusion spectrum imaging correctly estimates the orientation distribution functions when moderately high b-values (4000 s/mm2) and number of q-space samples (236) are used. The nominal angular resolution of radial diffusion spectrum imaging depends on the number of radial lines used in the sampling scheme, and only weakly on the maximum b-value. In addition, the radial analytical reconstruction reduces truncation artifacts which affect Cartesian reconstructions. Hence, a radial acquisition of q-space can be favorable for DSI. Magn Reson Med 76:769-780, 2016. © 2015 Wiley Periodicals, Inc. © 2015 Wiley Periodicals, Inc.

  17. Differentiating common causes of radial wrist pain.

    PubMed

    Shuaib, Waqas; Mohiuddin, Zia; Swain, Freddie R; Khosa, Faisal

    2014-09-01

    Radial wrist pain is a common patient complaint with a broad differential. Because treatment and prognosis differ, determining the underlying cause is key. This article reviews a case of intersection syndrome and compares it to other causes of radial wrist pain.

  18. pyaneti: Multi-planet radial velocity and transit fitting

    NASA Astrophysics Data System (ADS)

    Barragán, Oscar; Gandolfi, Davide; Antoniciello, Giuliano

    2017-07-01

    Pyaneti is a multi-planet radial velocity and transit fit software. The code uses Markov chain Monte Carlo (MCMC) methods with a Bayesian approach and a parallelized ensemble sampler algorithm in Fortran which makes the code fast. It creates posteriors, correlations, and ready-to-publish plots automatically, and handles circular and eccentric orbits. It is capable of multi-planet fitting and handles stellar limb darkening, systemic velocities for multiple instruments, and short and long cadence data, and offers additional capabilities.

  19. Radial Correlations Between Two Quarks

    NASA Astrophysics Data System (ADS)

    Green, A. M.; Koponen, J.; Pennanen, P.; Michael, C.

    2002-04-01

    In nuclear many-body problems the short-range correlation between two nucleons is well described by the corresponding correlation in the two-body problem. Therefore, as a first step in any attempt at an analogous description of many-quark systems, it is necessary to know the two-quark correlation. With this in mind, we study the light quark distribution in a heavy-light meson with a static heavy quark. The charge and matter radial distributions of these heavy-light mesons are measured on a lattice with a light quark mass about that of the strange quark. Both distributions can be well fitted upto r ≈ 0.7 fm with the exponential form wi2 (r), where Wi(r) = A exp(-r/ri). For the charge(c) and matter(m) distributions rc ≈ 0.32(2)fm and rm ≈ 0.24(2)fm. We also discuss the normalisation of the total charge (defined to be unity in the continuum limit) and matter integrated over all space, finding 1.30(5) and 0.4(1) respectively for a lattice spacing ≈ 0.17 fm.

  20. Radial keratotomy associated endothelial degeneration

    PubMed Central

    Moshirfar, Majid; Ollerton, Andrew; Semnani, Rodmehr T; Hsu, Maylon

    2012-01-01

    Purpose To describe the presentation and clinical course of eyes with a history of radial keratotomy (RK) and varying degrees of endothelial degeneration. Methods Retrospective case series were used. Results Thirteen eyes (seven patients) were identified with clinical findings of significant guttata and a prior history of RK. The mean age of presentation for cornea evaluation was 54.3 years (range: 38–72 years), averaging 18.7 years (range: 11–33 years) after RK. The presentation of guttata varied in degree from moderate to severe. Best corrected visual acuity (BCVA) ranged from 20/25 to 20/80. All patients had a history of bilateral RK, except one patient who did not develop any guttata in the eye without prior RK. No patients reported a family history of Fuch’s Dystrophy. One patient underwent a penetrating keratoplasty in one eye and a Descemet’s stripping automated endothelial keratoplasty (DSAEK) in the other eye. Conclusions RK may induce a spectrum of endothelial degeneration. In elderly patients, the findings of guttata may signify comorbid Fuch’s dystrophy in which RK incisions could potentially hasten endothelial decomposition. In these select patients with stable cornea topography and prior RK, DSAEK may successfully treat RK endothelial degeneration. PMID:22347792

  1. Radial keratotomy associated endothelial degeneration.

    PubMed

    Moshirfar, Majid; Ollerton, Andrew; Semnani, Rodmehr T; Hsu, Maylon

    2012-01-01

    To describe the presentation and clinical course of eyes with a history of radial keratotomy (RK) and varying degrees of endothelial degeneration. Retrospective case series were used. Thirteen eyes (seven patients) were identified with clinical findings of significant guttata and a prior history of RK. The mean age of presentation for cornea evaluation was 54.3 years (range: 38-72 years), averaging 18.7 years (range: 11-33 years) after RK. The presentation of guttata varied in degree from moderate to severe. Best corrected visual acuity (BCVA) ranged from 20/25 to 20/80. All patients had a history of bilateral RK, except one patient who did not develop any guttata in the eye without prior RK. No patients reported a family history of Fuch's Dystrophy. One patient underwent a penetrating keratoplasty in one eye and a Descemet's stripping automated endothelial keratoplasty (DSAEK) in the other eye. RK may induce a spectrum of endothelial degeneration. In elderly patients, the findings of guttata may signify comorbid Fuch's dystrophy in which RK incisions could potentially hasten endothelial decomposition. In these select patients with stable cornea topography and prior RK, DSAEK may successfully treat RK endothelial degeneration.

  2. Combination radial and thrust magnetic bearing

    NASA Technical Reports Server (NTRS)

    Blumenstock, Kenneth A. (Inventor)

    2002-01-01

    A combination radial and thrust magnetic bearing is disclosed that allows for both radial and thrust axes control of an associated shaft. The combination radial and thrust magnetic bearing comprises a rotor and a stator. The rotor comprises a shaft, and first and second rotor pairs each having respective rotor elements. The stator comprises first and second stator elements and a magnet-sensor disk. In one embodiment, each stator element has a plurality of split-poles and a corresponding plurality of radial force coils and, in another embodiment, each stator element does not require thrust force coils, and radial force coils are replaced by double the plurality of coils serving as an outer member of each split-pole half.

  3. The radial plasma structure of 1E 0102.2-7219

    NASA Astrophysics Data System (ADS)

    Flanagan, K. A.; Canizares, C. R.; Houck, J. C.; Fredericks, A. C.

    Chandra High Energy Transmission Grating Spectrometer observations of 1E 0102 2-7219 have revealed marked radial dependence in its ionization structure Flanagan it et al 2004 In order to explore intrinsic radial variations of temperature or other plasma parameters line ratios may provide useful diagnostics if projection effects are taken into account We have approached this problem using a spatial model of the emission including orientation angular and radial distribution We use MARX to simulate observations of a 3D SNR emissivity distribution and compare these simulations with the actual X-ray line image to fit radial distributions of key diagnostic lines Plasma parameters are derived by forming ratios from the best-fit radial models for each X-ray line We find that ionization age and electron temperature increase smoothly with radius We examine the implications with regard to electron density shock velocity and electron-ion equilibration

  4. Enhanced radial transport and energization of radiation belt electrons due to drift orbit bifurcations.

    PubMed

    Ukhorskiy, A Y; Sitnov, M I; Millan, R M; Kress, B T; Smith, D C

    2014-01-01

    [1]Relativistic electron intensities in Earth's outer radiation belt can vary by multiple orders of magnitude on the time scales ranging from minutes to days. One fundamental process contributing to dynamic variability of radiation belt intensities is the radial transport of relativistic electrons across their drift shells. In this paper we analyze the properties of three-dimensional radial transport in a global magnetic field model driven by variations in the solar wind dynamic pressure. We use a test particle approach which captures anomalous effects such as drift orbit bifurcations. We show that the bifurcations lead to an order of magnitude increase in radial transport rates and enhance the energization at large equatorial pitch angles. Even at quiet time fluctuations in dynamic pressure, radial transport at large pitch angles exhibits strong deviations from the diffusion approximation. The radial transport rates are much lower at small pitch angle values which results in a better agreement with the diffusion approximation.

  5. Segmental Analysis of Cardiac Short-Axis Views Using Lagrangian Radial and Circumferential Strain.

    PubMed

    Ma, Chi; Wang, Xiao; Varghese, Tomy

    2016-11-01

    Accurate description of myocardial deformation in the left ventricle is a three-dimensional problem, requiring three normal strain components along its natural axis, that is, longitudinal, radial, and circumferential strains. Although longitudinal strains are best estimated from long-axis views, radial and circumferential strains are best depicted in short-axis views. An algorithm that utilizes a polar grid for short-axis views previously developed in our laboratory for a Lagrangian description of tissue deformation is utilized for radial and circumferential displacement and strain estimation. Deformation of the myocardial wall, utilizing numerical simulations with ANSYS, and a finite-element analysis-based canine heart model were adapted as the input to a frequency-domain ultrasound simulation program to generate radiofrequency echo signals. Clinical in vivo data were also acquired from a healthy volunteer. Local displacements estimated along and perpendicular to the ultrasound beam propagation direction are then transformed into radial and circumferential displacements and strains using the polar grid based on a pre-determined centroid location. Lagrangian strain variations demonstrate good agreement with the ideal strain when compared with Eulerian results. Lagrangian radial and circumferential strain estimation results are also demonstrated for experimental data on a healthy volunteer. Lagrangian radial and circumferential strain tracking provide accurate results with the assistance of the polar grid, as demonstrated using both numerical simulations and in vivo study.

  6. No Baby Left behind

    ERIC Educational Resources Information Center

    Blanton, Dorothy

    2007-01-01

    "No Baby Left Behind" was created to have an impact on the school readiness of children in the community today and in the future. Each year, there are an increasing number of students who have learning difficulties. Many of these problems are preventable. Accidents, poor nutrition (of the mother and/or child), drug use, alcohol use, and lack of…

  7. No Cow Left Behind

    ERIC Educational Resources Information Center

    Remsen, Kenneth A.

    2004-01-01

    As a principal facing the task of figuring out all the complexities of the No Child Left Behind legislation, Kenneth Remsen, has concluded there is a strong belief that testing students is the answer to bringing about improvements in student performance. Because testing seems to be a cornerstone to improving performance, he doesn't understand why…

  8. No Cow Left Behind

    ERIC Educational Resources Information Center

    Remsen, Kenneth A.

    2004-01-01

    As a principal facing the task of figuring out all the complexities of the No Child Left Behind legislation, Kenneth Remsen, has concluded there is a strong belief that testing students is the answer to bringing about improvements in student performance. Because testing seems to be a cornerstone to improving performance, he doesn't understand why…

  9. Accountability Left Behind

    ERIC Educational Resources Information Center

    Testani, Rocco E.; Mayes, Joshua A.

    2008-01-01

    This article describes the reversal of the dismissal of an "unfunded-mandates" challenge to the No Child Left Behind Act (NCLB) brought by the National Education Association (NEA), several of its affiliates, and a number of school districts by the United States Court of Appeals for the Sixth Circuit. The decision in "School District…

  10. No Baby Left behind

    ERIC Educational Resources Information Center

    Blanton, Dorothy

    2007-01-01

    "No Baby Left Behind" was created to have an impact on the school readiness of children in the community today and in the future. Each year, there are an increasing number of students who have learning difficulties. Many of these problems are preventable. Accidents, poor nutrition (of the mother and/or child), drug use, alcohol use, and lack of…

  11. Copy-left and Copy-right

    NASA Astrophysics Data System (ADS)

    VanderPlas, Jacob

    2015-01-01

    Any discussion of open licensing almost invariably devolves into a debate between copy-left licenses and permissive licenses, both sides defending their views with a nearly religious fervor. Copy-left licenses, typified by the GPL family of licenses, require all derived products to maintain the open, GPL license. Permissive licenses, typified by the BSD family of licenses, do not impose such requirements. I'll briefly explore the common arguments put forth in favor of either approach, and discuss some concrete examples of where these approaches have helped or hindered the software packages that used them.

  12. Gas turbine annular combustor with radial dilution air injection

    SciTech Connect

    Shekelton, J.R.; Johnson, D.C.

    1991-10-22

    This patent describes a radial flow gas turbine. It comprises: a rotor including turbine blades and a nozzle adjacent the turbine blades, the nozzle being adapted to direct hot gases at the turbine blades to cause rotation of the rotor; an annular combustor about the rotor and having a combustor outlet leading to the nozzle, the annular combustor having spaced inner and outer walls connected by a generally radially extending wall, the annular combustor including a combustion annulus defined by the inner, outer and radially extending walls upstream of the outlet; a dilution air annulus disposed downstream of the combustion annulus and immediately radially outwardly of the nozzle axially adjacent to and immediately downstream of the combustor outlet of the annular combustion; and a housing substantially surrounding the annular combustor in spaced relation to the inner, outer and radially extending walls thereof, the housing and walls together defining at least a portion of a dilution air flow path having a compressed air inlet in communication with a compressor for supplying dilution air at one end thereof, a turbine nozzle shroud and the inner wall defining the remainder of the dilution air flow path, the compressed air outlet injecting dilution air directly across the combustor outlet toward the compressed air inlet, the illusion air being injected into the hot gases at generally a right angle thereto assist hot gases approach the combustor outlet, the compressed air outlet being in communication with the dilution air annulus directly through the combustor outlet of the annular combustor downstream of the combustion annulus.

  13. New constraints on Earth's radial conductivity structure

    NASA Astrophysics Data System (ADS)

    Püthe, Christoph; Kuvshinov, Alexey; Olsen, Nils; Sabaka, Terence

    2014-05-01

    We present a new model of Earth's radial (1-D) conductivity structure at depths between 10 km and the core-mantle boundary. It is based on CM5, the latest version in the Comprehensive Model series that has been derived using 13 years (September 2000 to September 2013) of magnetic data collected by the three satellites Oersted, CHAMP and SAC-C and at the global network of geomagnetic observatories. CM5 describes contributions due to sources in core, lithosphere, ionosphere and magnetosphere (and corresponding induced parts) in form of spherical harmonic expansion (SHE) coefficients. Removing predictions of the core, lithospheric and ionospheric field contributions as given by CM5 from the observations, we determine time series of the dominating external and induced SHE coefficients of the magnetic potential due to the magnetospheric ring current. Scalar Q-responses are estimated from these coefficients. An iterative approach is used to correct the estimated responses for 3-D effects arising from lateral heterogeneities in the top 10 km. The corrected Q-responses are converted to C-responses; the latter are subsequently inverted for the layered 1-D mantle conductivity profile with the Newton method. The Hessian matrix of the misfit function, which is derived analytically, is used to estimate confidence limits for the conductivity of each layer. The resulting conductivity-depth profile is compared to 1-D conductivity models of Earth's mantle recovered in previous studies.

  14. A method to localize the radial nerve using the 'apex of triceps aponeurosis' as a landmark.

    PubMed

    Arora, Sumit; Goel, Navneet; Cheema, Gursimrat Singh; Batra, Sumit; Maini, Lalit

    2011-09-01

    The relationship of the radial nerve is described with various osseous landmarks, but such relationships may be disturbed in the setting of humerus shaft fractures. Alternative landmarks would be helpful to more consistently and reliably allow the surgeon to locate the radial nerve during the posterior approach to the arm. We investigated the relationship of the radial nerve with the apex of triceps aponeurosis, and describe a technique to locate the nerve. We performed dissections of 10 cadavers and gathered surgical details of 60 patients (30 patients and 30 control patients) during the posterior approach of the humerus. We measured the distance of the radial nerve from the apex of the triceps aponeurosis along the long axis of the humerus in cadaveric dissections and patients. This distance was correlated with the height and arm length. For all patients, we recorded time until first observation of the radial nerve, blood loss, and postoperative radial nerve function. The mean distance of the radial nerve from the apex of the triceps aponeurosis was 2.5 cm, which correlated with the patients' height and arm length. The mean time until the first observation of the radial nerve from beginning the skin incision was 6 minutes, as compared with 16 minutes in the control group. Mean blood loss was 188 mL and 237 mL, respectively. With the numbers available, we observed no difference in the incidence of patients with postoperative nerve palsy: none in the study group and three in the control group. The apex of the triceps aponeurosis appears to be a useful anatomic landmark for localization of the radial nerve during the posterior approach to the humerus.

  15. Radial Head and Neck Allograft for Comminute Irreparable Fracture-Dislocations of the Elbow.

    PubMed

    Bisicchia, Salvatore; Tudisco, Cosimo

    2016-11-01

    Fracture-dislocations of the elbow can be difficult to treat, with unsatisfactory results in some cases. In general, it is preferable to preserve the fractured radial head when possible, but some patients present a unique treatment challenge because of extremely comminuted fractures and bone loss. In these cases, the only options available are radial head prosthesis or allograft. The authors present a case of a 45-year-old man with a fracture-dislocation of the left elbow that was treated with an allograft of the radial head and neck because of extreme comminution of the fracture. There have been a few reports about osteochondral allograft transplantation of the radial head, and they all included traumatic or posttraumatic cases treated with a frozen allograft. To the best of the authors' knowledge, this is the first report on the use of osteochondral allograft in the acute setting for the treatment of a comminuted fracture of the radius involving the whole head and neck. The clinical results were satisfactory at the final follow-up, although mild degenerative changes were present, the screws were coming loose, and the radial head had a slight valgus deformity. Radial head allograft can be an option in selected cases of acute fractures with severe comminution and bone loss that are not amenable to a stable internal fixation; for the young and active patient, who is not the best candidate for radial head resection; or in cases in which radial head arthroplasty is not feasible because of severe bone loss. [Orthopedics. 2016; 39(6):e1205-e1208.].

  16. Superscattering pattern shaping for radially anisotropic nanowires

    NASA Astrophysics Data System (ADS)

    Liu, Wei

    2017-08-01

    We achieve efficient shaping of superscattering by radially anisotropic nanowires relying on resonant multipolar interferences. It is shown that the radial anisotropy of refractive index can be employed to resonantly overlap electric and magnetic multipoles of various orders, and as a result, effective superscattering with different engineered angular patterns can be obtained. We further demonstrate that such superscattering shaping relying on unusual radial anisotropy parameters can be directly realized with isotropic multilayered nanowires, which may shed new light on much fundamental research and various applications related to scattering particles.

  17. Left ventricular mural thrombus

    SciTech Connect

    Nixon, J.V.

    1983-08-01

    The identification of mural thrombus in patients with left ventricular aneurysm and mural thrombus probably warrants consideration of long-term anticoagulation. In patients with acute, large, anterior or anteroapical, transmural myocardial infarctions, serial noninvasive examinations are warranted to define a group of patients at high risk for the development of left ventricular aneurysm and/or mural thrombus. Anticoagulants should be considered in patients in whom mural thrombi develop as a complication of their infarction. Patients with congestive cardiomyopathy should be considered for long-term anticoagulation. These recommendations are all tempered by the realization that the use of anticoagulant therapy is not without its own risks. The decision to anticoagulate must be balanced against each individual patient's suitability for such therapy and the individual likelihood of the development of side effects.

  18. Hand-eye and radial distortion calibration for rigid endoscopes.

    PubMed

    Malti, Abed; Barreto, Joao Pedro

    2013-12-01

    In this paper, we propose a non-linear calibration method for hand-eye system equipped with a camera undergoing radial distortion as the rigid endoscope. Whereas classic methods propose either a separated estimation of the camera intrinsics and the hand-eye transform or a mixed non-linear estimation of both hand-eye and camera intrinsics assuming a pin-hole model, the proposed approach enables a simultaneous refinement of the hand-eye and the camera parameters including the distortion factor with only three frames of the calibrated pattern. Our approach relies on three steps: (i) linear initial estimates of hand-eye and radial distortion with minimum number of frames: one single image to estimate the radial distortion and three frames to estimate the initial hand-eye transform, (ii) we propose to express the camera extrinsic with respect to hand-eye and world-grid transforms and (iii) we run bundle adjustment on the reprojection error with respect to the distortion parameters, the camera intrinsics and the hand-eye transform. Our method is quantitatively compared with state-of-the-art linear and non-linear methods. We show that our method provides a 3D reconstruction error of approximately 5% of the size of the 3D shape. Our experimental results show the effectiveness of simultaneously estimating hand-eye and distortion parameters for 3D reconstruction. Copyright © 2013 John Wiley & Sons, Ltd.

  19. Left musculus sternalis.

    PubMed

    Arráez-Aybar, L A; Sobrado-Perez, J; Merida-Velasco, J R

    2003-07-01

    During routine dissection in the Morphological Sciences Department II of the Universidad Complutense de Madrid, the presence of a sternalis muscle was observed in the left hemithorax of a 70-year-old male cadaver. We report on its position, relationships, and innervation, as well as its clinical relevance, indicating some guidelines for its physical examination. We also present a brief overview of the existing literature regarding the nomenclature, historical reports, and incidence of this muscle.

  20. Study on the radial composite piezoelectric ceramic transducer in radial vibration.

    PubMed

    Lin, Shuyu

    2007-03-01

    A new type of radial composite piezoelectric transducer in radial vibration is developed and analyzed. The radial composite transducer consists of a piezoelectric ceramic thin ring polarized in the thickness direction and a metal thin circular ring. They are connected together and excited to vibrate in the radial direction. The radial vibrations of a piezoelectric ceramic thin ring and a metal thin circular ring are analyzed, respectively. Their radial electro-mechanical equivalent circuits are obtained. Based on the electro-mechanical equivalent circuits and using the boundary conditions between the piezoelectric ceramic thin ring and the metal thin circular ring in the radial direction, the electro-mechanical equivalent circuit of the radial composite piezoelectric transducer is derived out and the resonance frequency equation is obtained. The relationship between the resonance frequency and the geometrical dimensions of the transducer is analyzed. Some radial composite piezoelectric transducers are designed and manufactured. The resonance frequencies and the anti-resonance frequencies, the electro-mechanical equivalent circuit parameters are measured. The effective electro-mechanical coupling coefficient and the mechanical quality factor are calculated. It is illustrated that the measured radial resonance frequencies are in good agreement with the theoretical results from the resonance frequency equation.

  1. Radial displacement sensor for non-contact bearings

    NASA Technical Reports Server (NTRS)

    McCormick, John A. (Inventor); Sixsmith, Herbert (Inventor)

    1998-01-01

    A radial position sensor includes four capacitive electrodes oriented about a shaft, arranged in two diametrically opposite pairs. Sensor circuitry generates an output signal in proportion to the capacitance between the electrodes and the shaft; the capacitance between an electrode and the shaft increases as the shaft approaches the electrode and decreases as the shaft recedes from the electrode. The sensor circuitry applies an alternating voltage to one electrode of a pair and a 180 degree out of phase alternating voltage to the other electrode of the pair. The electrical responses of the two electrodes to their respective input signals are summed to form a radial deviation signal which is relatively free from the alternating voltage and accurately represents the position of the shaft relative to the electrodes of the pair.

  2. Radial velocity data analysis with compressed sensing techniques

    NASA Astrophysics Data System (ADS)

    Hara, Nathan C.; Boué, G.; Laskar, J.; Correia, A. C. M.

    2017-01-01

    We present a novel approach for analysing radial velocity data that combines two features: all the planets are searched at once and the algorithm is fast. This is achieved by utilizing compressed sensing techniques, which are modified to be compatible with the Gaussian process framework. The resulting tool can be used like a Lomb-Scargle periodogram and has the same aspect but with much fewer peaks due to aliasing. The method is applied to five systems with published radial velocity data sets: HD 69830, HD 10180, 55 Cnc, GJ 876 and a simulated very active star. The results are fully compatible with previous analysis, though obtained more straightforwardly. We further show that 55 Cnc e and f could have been respectively detected and suspected in early measurements from the Lick Observatory and Hobby-Eberly Telescope available in 2004, and that frequencies due to dynamical interactions in GJ 876 can be seen.

  3. An efficient method for ectopic beats cancellation based on radial basis function.

    PubMed

    Mateo, Jorge; Torres, Ana; Rieta, José J

    2011-01-01

    The analysis of the surface Electrocardiogram (ECG) is the most extended noninvasive technique in cardiological diagnosis. In order to properly use the ECG, we need to cancel out ectopic beats. These beats may occur in both normal subjects and patients with heart disease, and their presence represents an important source of error which must be handled before any other analysis. This paper presents a method for electrocardiogram ectopic beat cancellation based on Radial Basis Function Neural Network (RBFNN). A train-able neural network ensemble approach to develop customized electrocardiogram beat classifier in an effort to further improve the performance of ECG processing and to offer individualized health care is presented. Six types of beats including: Normal Beats (NB); Premature Ventricular Contractions (PVC); Left Bundle Branch Blocks (LBBB); Right Bundle Branch Blocks (RBBB); Paced Beats (PB) and Ectopic Beats (EB) are obtained from the MIT-BIH arrhythmia database. Four morphological features are extracted from each beat after the preprocessing of the selected records. Average Results for the RBFNN based method provided an ectopic beat reduction (EBR) of (mean ± std) EBR = 7, 23 ± 2.18 in contrast to traditional compared methods that, for the best case, yielded EBR = 4.05 ± 2.13. The results prove that RBFNN based methods are able to obtain a very accurate reduction of ectopic beats together with low distortion of the QRST complex.

  4. Ion radial transport induced by ICRF waves in tokamaks

    SciTech Connect

    Chen, L.; Vaclavik, J.; Hammett, G.W.

    1987-05-01

    The wave-induced fluxes of energetic-trapped ions during ICRF heating of tokamak plasmas are calculated using quasilinear equations. A simple single particle model of this transport mechanism is also given. Both a convective flux proportional to k/sub phi/vertical bar E/sub +/vertical bar/sup 2/ and a diffusive flux proportional to k/sub phi//sup 2/vertical bar E/sub +/vertical bar/sup 2/ are found. Here, k/sub phi/ is the toroidal wave number and E/sub +/ is the left-hand polarized wave field. The convective flux may become significant for large k/sub phi/ if the wave spectrum is asymmetric in k/sub phi/. But for the conditions of most previous experiments, these calculations indicate that radial transport driven directly by the ICRF wave is unimportant.

  5. Radial gate evaluation: Olympus Dam, Colorado

    SciTech Connect

    1997-06-01

    The report presents a structural analysis of the radial gates of Olympus Dam in eastern Colorado. Five 20-foot wide by 17-foot high radial gates are used to control flow through the spillway at Olympus Dam. The spillway gates were designed in 1947. The gate arm assemblies consist of two separate wide flange beams, with a single brace between the arms. The arms pivot about a 4.0-inch diameter pin and bronze graphite-insert bushing. The pin is cantilevered from the pier anchor girder. The radial gates are supported by a pin bearing on a pier anchor birder bolted to the end of the concrete pier. The gates are operated by two-part wire rope 15,000-pound capacity hoise. Stoplog slots upstream of the radial gates are provided in the concrete piers. Selected drawings of the gates and hoists are located in appendix A.

  6. Radial Velocity Fluctuations of RZ Psc

    NASA Astrophysics Data System (ADS)

    Potravnov, I. S.; Gorynya, N. A.; Grinin, V. P.; Minikulov, N. Kh.

    2014-12-01

    The behavior of the radial velocity of the UX Ori type star RZ Psc is studied. The existence of an inner cavity with a radius of about 0.7 a.u. in the circumstellar disk of this star allows to suggest the presence of a companion. A study of the radial velocity of RZ Psc based on our own measurements and published data yields no periodic component in its variability. The two most accurate measurements of V r , based on high resolution spectra obtained over a period of three months, show that the radial velocity is constant over this time interval to within 0.5 km/s. This imposes a limit of M p ≤10 M Jup on the mass of the hypothetical companion. Possible reasons for the observed strong fluctuations in the radial velocity of this star are discussed.

  7. Radial construction of an arterial wall.

    PubMed

    Greif, Daniel M; Kumar, Maya; Lighthouse, Janet K; Hum, Justine; An, Andrew; Ding, Ling; Red-Horse, Kristy; Espinoza, F Hernan; Olson, Lorin; Offermanns, Stefan; Krasnow, Mark A

    2012-09-11

    Some of the most serious diseases involve altered size and structure of the arterial wall. Elucidating how arterial walls are built could aid understanding of these diseases, but little is known about how concentric layers of muscle cells and the outer adventitial layer are assembled and patterned around endothelial tubes. Using histochemical, clonal, and genetic analysis in mice, here we show that the pulmonary artery wall is constructed radially, from the inside out, by two separate but coordinated processes. One is sequential induction of successive cell layers from surrounding mesenchyme. The other is controlled invasion of outer layers by inner layer cells through developmentally regulated cell reorientation and radial migration. We propose that a radial signal gradient controls these processes and provide evidence that PDGF-B and at least one other signal contribute. Modulation of such radial signaling pathways may underlie vessel-specific differences and pathological changes in arterial wall size and structure.

  8. The fundamental definition of ``radial velocity''

    NASA Astrophysics Data System (ADS)

    Lindegren, Lennart; Dravins, Dainis

    2003-04-01

    Accuracy levels of metres per second require the fundamental concept of ``radial velocity'' for stars and other distant objects to be examined, both as a physical velocity, and as measured by spectroscopic and astrometric techniques. Already in a classical (non-relativistic) framework the line-of-sight velocity component is an ambiguous concept, depending on whether, e.g., the time of light emission (at the object) or that of light detection (by the observer) is used for recording the time coordinate. Relativistic velocity effects and spectroscopic measurements made inside gravitational fields add further complications, causing wavelength shifts to depend, e.g., on the transverse velocity of the object and the gravitational potential at the source. Aiming at definitions that are unambiguous at accuracy levels of 1 m s-1, we analyse different concepts of radial velocity and their interrelations. At this accuracy level, a strict separation must be made between the purely geometric concepts on one hand, and the spectroscopic measurement on the other. Among the geometric concepts we define kinematic radial velocity, which corresponds most closely to the ``textbook definition'' of radial velocity as the line-of-sight component of space velocity; and astrometric radial velocity, which can be derived from astrometric observations. Consistent with these definitions, we propose strict definitions also of the complementary kinematic and astrometric quantities, namely transverse velocity and proper motion. The kinematic and astrometric radial velocities depend on the chosen spacetime metric, and are accurately related by simple coordinate transformations. On the other hand, the observational quantity that should result from accurate spectroscopic measurements is the barycentric radial-velocity measure. This is independent of the metric, and to first order equals the line-of-sight velocity. However, it is not a physical velocity, and cannot be accurately transformed to a

  9. Radial averages of astigmatic TEM images.

    PubMed

    Fernando, K Vince

    2008-10-01

    The Contrast Transfer Function (CTF) of an image, which modulates images taken from a Transmission Electron Microscope (TEM), is usually determined from the radial average of the power spectrum of the image (Frank, J., Three-dimensional Electron Microscopy of Macromolecular Assemblies, Oxford University Press, Oxford, 2006). The CTF is primarily defined by the defocus. If the defocus estimate is accurate enough then it is possible to demodulate the image, which is popularly known as the CTF correction. However, it is known that the radial average is somewhat attenuated if the image is astigmatic (see Fernando, K.V., Fuller, S.D., 2007. Determination of astigmatism in TEM images. Journal of Structural Biology 157, 189-200) but this distortion due to astigmatism has not been fully studied or understood up to now. We have discovered the exact mathematical relationship between the radial averages of TEM images with and without astigmatism. This relationship is determined by a zeroth order Bessel function of the first kind and hence we can exactly quantify this distortion in the radial averages of signal and power spectra of astigmatic images. The argument to this Bessel function is similar to an aberration function (without the spherical aberration term) except that the defocus parameter is replaced by the differences of the defoci in the major and minor axes of astigmatism. The ill effects due this Bessel function are twofold. Since the zeroth order Bessel function is a decaying oscillatory function, it introduces additional zeros to the radial average and it also attenuates the CTF signal in the radial averages. Using our analysis, it is possible to simulate the effects of astigmatism in radial averages by imposing Bessel functions on idealized radial averages of images which are not astigmatic. We validate our theory using astigmatic TEM images.

  10. Characteristics of radial ion-plasma accelerators

    NASA Astrophysics Data System (ADS)

    Bondarenko, S. M.; Korolev, C. V.; Movsesyants, Yu B.; Tyuryukanov, P. M.

    2017-07-01

    The characteristics of two-stage ion-plasma accelerators are presented. These accelerators are based on a discharge in a transverse highly-inhomogeneous magnetic field and can form radially converging and divergent flows. It is shown that for a radially convergent flow the width of the ion acceleration zone is limited by the condition of a transition through the ion sound point in the vicinity of the plasma ion emitting boundary.

  11. Radial transport with perturbed magnetic field

    SciTech Connect

    Hazeltine, R. D.

    2015-05-15

    It is pointed out that the viscosity coefficient describing radial transport of toroidal angular momentum is proportional to the second power of the gyro-radius—like the corresponding coefficients for particle and heat transport—regardless of any geometrical symmetry. The observation is widely appreciated, but worth emphasizing because some literature gives the misleading impression that asymmetry can allow radial moment transport in first-order.

  12. Close view looking to left side of statue showing left ...

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

    Close view looking to left side of statue showing left hand, shield, and laurel wreath - U.S. Capitol, Statue of Freedom, Intersection of North, South, & East Capitol Streets & Capitol Mall, Washington, District of Columbia, DC

  13. Analytical design of an advanced radial turbine

    SciTech Connect

    Large, G.D.; Finger, D.G.; Linder, C.G.

    1981-02-01

    The analytical design of an advanced radial turbine, which is part of an optimum ceramic radial inflow, single-stage turbine system for an advanced automotive gas turbine engine is reported. The turbine study program is based on an advanced gas turbine cycle, 100.67-kW (135-shp) engine for use in a 1588-kg (3500-lb) automobile, with a specific fuel consumption of 0.227 kg/kW-hr (0.373 lb/hp-hr). Utilization of high turbine cycle temperatures of 1370/sup 0/C and ceramic materials are prime features of this study. The program objective was to investigate the effects of tip speed, non-radial rotor blading, inducer-to-exducer work split, and deswirl vanes on the system efficiency and mechanical reliability of a single-stage, ceramic, radial turbine designed to meet the performance requirements of an advanced automotive gas turbine cycle. Analysis results indicate that, based on projected 1983 aerodynamic performance and ceramic material properties, radial blade rotor configurations with a tip speed of 701 m/sec (2300 fps) are feasible and satisfy the goals of 87.0% system efficiency and 0.9999 cumulative probability of success mechanically. As compared with the blade stress complications of nonradial rotor configurations, from aerodynamic, mechanical, and off-design considerations, the radial-blade rotor appears to offer the lowest overall risk and is the optimum configuration considered in this study.

  14. Radial pulsations in DB white dwarfs?

    NASA Technical Reports Server (NTRS)

    Kawaler, Steven D.

    1993-01-01

    Theoretical models of DB white dwarfs are unstable against radial pulsation at effective temperatures near 20,000-30,000 K. Many high-overtone modes are unstable, with periods ranging from 12 s down to the acoustic cutoff period of approximately 0.1 s. The blue edge for radial instability lies at slightly higher effective temperatures than for nonradial pulsations, with the temperature of the blue edge dependent on the assumed efficiency of convection. Models with increased convective efficiency have radial blue edges that are increasingly closer to the nonradial blue edge; in all models the instability persists into the nonradial instability strip. Radial pulsations therefore may exist in the hottest DB stars that lie below the DB gap; the greatest chance for detection would be observations in the ultraviolet. These models also explain why searches for radial pulsations in DA white dwarfs have failed: the efficient convection needed to explain the blue edge for nonradial DA pulsation means that the radial instability strip is 1000 K cooler than found in previous investigations. The multiperiodic nature of the expected pulsations can be used to advantage to identify very low amplitude modes using the uniform spacing of the modes in frequency. This frequency spacing is a direct indicator of the mass of the star.

  15. Radial polar histogram: obstacle avoidance and path planning for robotic cognition and motion control

    NASA Astrophysics Data System (ADS)

    Wang, Po-Jen; Keyawa, Nicholas R.; Euler, Craig

    2012-01-01

    In order to achieve highly accurate motion control and path planning for a mobile robot, an obstacle avoidance algorithm that provided a desired instantaneous turning radius and velocity was generated. This type of obstacle avoidance algorithm, which has been implemented in California State University Northridge's Intelligent Ground Vehicle (IGV), is known as Radial Polar Histogram (RPH). The RPH algorithm utilizes raw data in the form of a polar histogram that is read from a Laser Range Finder (LRF) and a camera. A desired open block is determined from the raw data utilizing a navigational heading and an elliptical approximation. The left and right most radii are determined from the calculated edges of the open block and provide the range of possible radial paths the IGV can travel through. In addition, the calculated obstacle edge positions allow the IGV to recognize complex obstacle arrangements and to slow down accordingly. A radial path optimization function calculates the best radial path between the left and right most radii and is sent to motion control for speed determination. Overall, the RPH algorithm allows the IGV to autonomously travel at average speeds of 3mph while avoiding all obstacles, with a processing time of approximately 10ms.

  16. Radial glia and somal translocation of radial neurons in the developing cerebral cortex.

    PubMed

    Nadarajah, Bagirathy

    2003-07-01

    A series of recent studies have demonstrated that radial glia are neural precursors in the developing cerebral cortex. These studies have further implied that these cells are the sole precursor constituents of the dorsal forebrain ventricular zone that generate the projection neurons of the cortex. In view of these new findings, this review discusses radial neurons, a progeny of cortical neurons that are generated by radial glia and adopt somal translocation as the mode of migration.

  17. Left ventricular pseudoaneurysm perceived as a left lung mass

    PubMed Central

    Yaliniz, Hafize; Gocen, Ugur; Atalay, Atakan; Salih, Orhan Kemal

    2016-01-01

    Left ventricular pseudoaneurysm is a rare complication of aneurysmectomy. We present a case of a surgically treated left ventricular pseudoaneurysm, which was diagnosed three years after coronary artery bypass grafting and left ventricular aneurysmectomy. The presenting symptoms, diagnostic evaluation, and surgical repair are described. PMID:27516793

  18. Left Atrial Appendage Closure Devices

    PubMed Central

    Romero, Jorge; Perez, Irving E; Krumerman, Andrew; Garcia, Mario J; Lucariello, Richard J

    2014-01-01

    Atrial fibrillation (AF) increases the risk for thromboembolic stroke five-fold. The left atrial appendage (LAA) has been shown to be the main source of thrombus formation in the majority of strokes associated with AF. Oral anticoagulation with warfarin and novel anticoagulants remains the standard of care; however, it has several limitations, including bleeding and poor compliance. Occlusion of the LAA has been shown to be an alternative therapeutic approach to drug therapy. The purpose of this article is to review the different techniques and devices that have emerged for the purpose of occluding this structure, with a particular emphasis on the efficacy and safety studies published to date in the medical literature. PMID:24963274

  19. [Elbow dislocation with ipsilateral proximal radial shaft fracture and radial head dislocation].

    PubMed

    Köhn, N; Mendel, T; Ullrich, B W

    2015-11-01

    Elbow dislocation with ipsilateral proximal radial shaft fracture and dislocated radial head is a rarely described injury. In this article we present the case of a 23-year-old man with this injury. After the initial diagnostics, the radial shaft fracture was osteosynthetically fixed, whereby the anatomical positions of all parts of the elbow joint were correctly aligned and the medial collateral ligament was reconstructed. After 4.5 months the radial shaft fracture was healed with nearly complete functional recovery of the upper extremity. Thus, a good outcome can be expected when all aspects of bony and ligamentous injuries are accurately addressed.

  20. Radial artery access for peripheral endovascular procedures.

    PubMed

    Kumar, Avnee J; Jones, Lauren E; Kollmeyer, Kenneth R; Feldtman, Robert W; Ferrara, Craig A; Moe, Michelle N; Chen, Julia F; Richmond, Jasmine L; Ahn, Sam S

    2017-09-01

    The radial artery is often used for coronary angiography, with a demonstrated decrease in local complications and an increase in postoperative mobility of the patient. Data on radial artery access for peripheral endovascular procedures, however, are limited. We describe our experience with radial artery access for diagnostic and endovascular interventions. Between February 2012 and March 2015, there were 95 endovascular procedures performed using radial artery access in 80 unique patients. Demographic and clinical data were recorded. Perioperative, postoperative, and 30-day follow-up data were evaluated retrospectively for major and minor complications. Major adverse events included any immediate hospitalization admission, stroke, hand amputation, bleeding requiring transfusion, hematoma requiring surgery, and death. Minor complications included superficial bleeding and hematoma. The patients (52.6% male, 47.4% female) had a mean age of 72.1 ± 9.4 years. Radial artery access was used for diagnostic purposes in 15.8% of all procedures and for therapeutic intervention, including angioplasty and stenting, in 84.2%. The radial artery was the only access point in 80% of patients and was accessed in conjunction with other sites in 20%. Percutaneous access was achieved in 100% of patients with a 100% technical success rate. Hemostasis after catheterization was achieved by manual compression (22.1%) and TR band (Terumo Medical, Tokyo, Japan; 77.9%). Major adverse events occurred in three cases (3.2%) and were unrelated to radial artery access. Radial artery access site-related complications occurred in three cases (3.2%), all of which were minor hematomas that required no treatment. The risk of radial artery complication was not associated with procedure type, vessels treated, or use of heparin. The incidence of stroke, hand ischemia, and upper extremity limb or finger loss was 0%. Radial artery access for peripheral endovascular procedures appears to be safe and

  1. Assessment of radial torsion using computed tomography in dogs with and without antebrachial limb deformity.

    PubMed

    Kroner, Kevin; Cooley, Katie; Hoey, Seamus; Hetzel, Scott J; Bleedorn, Jason A

    2017-01-01

    To evaluate the reliability of radial torsion assessment in dogs using computed tomography (CT). Cadaveric and retrospective observational clinical study. Thoracic limbs (n = 40) from bilateral normal cadaveric canine specimens (10 pairs) and unilateral antebrachial angular limb deformity (ALD) dogs (10 uniapical and 10 biapical deformities). Limbs were evaluated using CT. Frontal, sagittal, and axial plane (torsion) values were obtained using published guidelines and compared between groups and limbs. Radial torsion reliability was assessed among 3 observers using intraclass correlation coefficients (ICC). The mean (±SD) radial torsion of normal dogs was 3.6° ± 6.4° and contained a significant right to left limb variation of 2.6°. Mean radial torsion in uniapical ALD limbs (3.6° ± 18.7°) was not significantly different from biapical ALD limbs (8.9° ± 17.9°). There was a wide range of torsion values in normal and ALD limbs. The interobserver reliability was excellent (ICC > 0.8) for normal dogs, good (0.73) for uniapical, and excellent (0.89) for biapical ALD limbs. The intraobserver reliability was excellent (>0.8) for all groups. There was a small side-to-side variation of radial torsion in normal dogs. With directed training, torsion assessment using CT is reliable in dogs with and without antebrachial bone deformity. © 2016 The American College of Veterinary Surgeons.

  2. Statistics of interfacial fluctuations of radially growing clusters.

    PubMed

    Escudero, Carlos

    2011-09-01

    The dynamics of fluctuating radially growing interfaces is approached using the formalism of stochastic growth equations on growing domains. This framework reveals a number of dynamic features arising during surface growth. For fast growth, dilution, which spatially reorders the incoming matter, is responsible for the transmission of correlations. Its effects include the erasing of memory with respect to the initial condition, a partial attenuation of geometrically originated instabilities, and the restoration of universality in some special cases in which the critical exponents depend on the parameters of the equation of motion. In this sense, dilution rends the dynamics more similar to the usual one of planar systems. This fast growth regime is also characterized by the spatial decorrelation of the interface, which, in the case of radially growing interfaces, naturally originates rapid roughening and scale-dependent fractality, and suggests the advent of a self-similar fractal dimension. The center-of-mass fluctuations of growing clusters are also studied, and our analysis suggests the possible nonapplicability of usual scalings to the long-range surface fluctuations of the radial Eden model. In fact, our study points to the fact that this model belongs to a dilution-free universality class.

  3. Radial distribution of charged particles in a magnetic field

    SciTech Connect

    Sjue, S. K. L. Broussard, L. J.; Makela, M.; McGaughey, P. L.; Young, A. R.; Zeck, B. A.

    2015-02-15

    The radial spread of charged particles emitted from a point source in a magnetic field is a potential source of systematic error for any experiment where magnetic fields guide charged particles to detectors with finite size. Assuming uniform probability as a function of the phase along the particle’s helical trajectory, an analytic solution for the radial probability distribution function follows which applies to experiments in which particles are generated throughout a volume that spans a sufficient length along the axis of a homogeneous magnetic field. This approach leads to the same result as a different derivation given by Dubbers et al., Nucl. Instrum. Methods Phys. Res., Sect. A 763, 112–119 (2014). But the constant phase approximation does not strictly apply to finite source volumes or fixed positions, which lead to local maxima in the radial distribution of emitted particles at the plane of the detector. A simple method is given to calculate such distributions, then the effect is demonstrated with data from a {sup 207}Bi electron-conversion source in the superconducting solenoid magnet spectrometer of the Ultracold Neutron facility at the Los Alamos Neutron Science Center. Implications for neutron beta decay spectroscopy are discussed.

  4. Radial transport in the Earth's radiation belts (Invited)

    NASA Astrophysics Data System (ADS)

    Kress, B. T.; Ukhorskiy, A. Y.; Hudson, M. K.

    2010-12-01

    For over forty years the standard approach to modeling the dynamics of the Earth's radiation belts has been based on a diffusion equation, which can be derived from the Vlasov equation using a quasilinear approximation. The radiation belt diffusion equation describes the evolution of a particle distribution function in a space of one or several of the three adiabatic invariants associated with the motions of a charged particle in a dipole magnetic field. Increasingly, observations and theoretical studies suggest that fully nonlinear transport, not modeled by quasilinear diffusion, plays an important role in radiation belt dynamics, e.g., the shock-drift mechanism modeled by Li et al. [1993]. This presentation will focus on radiation belt particle transport across magnetic L-shells (loosely called radial transport). Radial transport is thought to be one of the primary drivers of radiation belt dynamics. A comprehensive review of the known mechanisms of radial transport and some of their effects will be given, including those that can be modeled with a diffusion equation and those requiring a fully nonlinear treatment. Li, X., I. Roth, M. Temerin, J. R. Wygant, M. K. Hudson, and J. B. Blake, (1993), Simulations of the prompt energization and transport of radiation belt particles during the March 24, 1991 SSC, Geophys. Res. Lett., 20, 2423.

  5. Radial distribution of charged particles in a magnetic field

    NASA Astrophysics Data System (ADS)

    Sjue, S. K. L.; Broussard, L. J.; Makela, M.; McGaughey, P. L.; Young, A. R.; Zeck, B. A.

    2015-02-01

    The radial spread of charged particles emitted from a point source in a magnetic field is a potential source of systematic error for any experiment where magnetic fields guide charged particles to detectors with finite size. Assuming uniform probability as a function of the phase along the particle's helical trajectory, an analytic solution for the radial probability distribution function follows which applies to experiments in which particles are generated throughout a volume that spans a sufficient length along the axis of a homogeneous magnetic field. This approach leads to the same result as a different derivation given by Dubbers et al., Nucl. Instrum. Methods Phys. Res., Sect. A 763, 112-119 (2014). But the constant phase approximation does not strictly apply to finite source volumes or fixed positions, which lead to local maxima in the radial distribution of emitted particles at the plane of the detector. A simple method is given to calculate such distributions, then the effect is demonstrated with data from a 207Bi electron-conversion source in the superconducting solenoid magnet spectrometer of the Ultracold Neutron facility at the Los Alamos Neutron Science Center. Implications for neutron beta decay spectroscopy are discussed.

  6. [Open posterior dislocation of the elbow with fractures of the radial head and coronoid process and multiple diaphyseal fractures of the ulna].

    PubMed

    Visna, P; Kalvach, J; Beitl, E; Pilný, J; Cizmár, I

    2008-03-01

    A healthy, right-handed 34-year-old man was injured by repeated direct blows delivered to his left upper arm with a baseball bat. These blows led to a posterior dislocation of the elbow joint, associated with fractures of the radial head and the coronoid process. There was bone loss on the fractured joint surface of the olecranon, with simultaneous ipsilateral trauma to the ulna. The correct surgical approach in the case of such fractures is still the subject of some controversy. The treatment can have serious complications. The results of treatment are often poor, especially because of persisting instability and stiffness of the elbow following a long period of immobilisation. Few studies have been concentrated on this topic up to now. We report on the functional and radiological results 24 months after the treatment of this rare, open "shock triad in the elbow."

  7. Radial Tunnel Syndrome, Diagnostic and Treatment Dilemma

    PubMed Central

    Moradi, Ali; Ebrahimzadeh, Mohammad H; Jupiter, Jess B

    2015-01-01

    Radial tunnel syndrome is a disease which we should consider it in elbow and forearm pains. It is diagnosed with lateral elbow and dorsal forearm pain may radiate to the wrist and dorsum of the fingers. The disease is more prevalent in women with the age of 30 to 50 years old. It occurs by intermittent compression on the radial nerve from the radial head to the inferior border of the supinator muscle, without obvious extensor muscle weakness. Compression could happen in five different sites but the arcade of Frose is the most common area that radial nerve is compressed. To diagnosis radial tunnel syndrome, clinical examination is more important than paraclinic tests such as electrodiagnsic test and imaging studies. The exact site of the pain which can more specified by rule of nine test and weakness of the third finger and wrist extension are valuable physical exams to diagnosis. MRI studies my show muscle edema or atrophy along the distribution of the posterior interosseous nerve. Although non-surgical treatments such as rest, NSAIDs, injections and physiotherapy do not believe to have permanent relief, but it is justify undergoing them before surgery. Surgery could diminish pain and symptoms in 67 to 93 percents of patients completely. PMID:26213698

  8. Radial velocity studies of cool stars.

    PubMed

    Jones, Hugh R A; Barnes, John; Tuomi, Mikko; Jenkins, James S; Anglada-Escude, Guillem

    2014-04-28

    Our current view of exoplanets is one derived primarily from solar-like stars with a strong focus on understanding our Solar System. Our knowledge about the properties of exoplanets around the dominant stellar population by number, the so-called low-mass stars or M dwarfs, is much more cursory. Based on radial velocity discoveries, we find that the semi-major axis distribution of M dwarf planets appears to be broadly similar to those around more massive stars and thus formation and migration processes might be similar to heavier stars. However, we find that the mass of M dwarf planets is relatively much lower than the expected mass dependency based on stellar mass and thus infer that planet formation efficiency around low-mass stars is relatively impaired. We consider techniques to overcome the practical issue of obtaining good quality radial velocity data for M dwarfs despite their faintness and sustained activity and emphasize (i) the wavelength sensitivity of radial velocity signals, (ii) the combination of radial velocity data from different experiments for robust detection of small amplitude signals, and (iii) the selection of targets and radial velocity interpretation of late-type M dwarfs should consider Hα behaviour.

  9. Radial spoke proteins of Chlamydomonas flagella

    PubMed Central

    Yang, Pinfen; Diener, Dennis R.; Yang, Chun; Kohno, Takahiro; Pazour, Gregory J.; Dienes, Jennifer M.; Agrin, Nathan S.; King, Stephen M.; Sale, Winfield S.; Kamiya, Ritsu; Rosenbaum, Joel L.; Witman, George B.

    2007-01-01

    Summary The radial spoke is a ubiquitous component of ‘9+2’ cilia and flagella, and plays an essential role in the control of dynein arm activity by relaying signals from the central pair of microtubules to the arms. The Chlamydomonas reinhardtii radial spoke contains at least 23 proteins, only 8 of which have been characterized at the molecular level. Here, we use mass spectrometry to identify 10 additional radial spoke proteins. Many of the newly identified proteins in the spoke stalk are predicted to contain domains associated with signal transduction, including Ca2+-, AKAP- and nucleotide-binding domains. This suggests that the spoke stalk is both a scaffold for signaling molecules and itself a transducer of signals. Moreover, in addition to the recently described HSP40 family member, a second spoke stalk protein is predicted to be a molecular chaperone, implying that there is a sophisticated mechanism for the assembly of this large complex. Among the 18 spoke proteins identified to date, at least 12 have apparent homologs in humans, indicating that the radial spoke has been conserved throughout evolution. The human genes encoding these proteins are candidates for causing primary ciliary dyskinesia, a severe inherited disease involving missing or defective axonemal structures, including the radial spokes. PMID:16507594

  10. The usefulness of proximal radial motor conduction in acute compressive radial neuropathy.

    PubMed

    Kim, Kun Hyun; Park, Kee Duk; Chung, Pil Wook; Moon, Heui Soo; Kim, Yong Bum; Yoon, Won Tae; Park, Hyung Jun; Suh, Bum Chun

    2015-04-01

    The objective of this study was to determine diagnostic and prognostic values of proximal radial motor conduction in acute compressive radial neuropathy. Thirty-nine consecutive cases of acute compressive radial neuropathy with radial conduction studies-including stimulation at Erb's point-performed within 14 days from clinical onset were reviewed. The radial conduction data of 39 control subjects were used as reference data. Thirty-one men and eight women (age, 45.2±12.7 years, mean±SD) were enrolled. All 33 patients in whom clinical follow-up data were available experienced complete recovery, with a recovery time of 46.8±34.3 days. Partial conduction block was found frequently (17 patients) on radial conduction studies. The decrease in the compound muscle action potential area between the arm and Erb's point was an independent predictor for recovery time. Proximal radial motor conduction appears to be a useful method for the early detection and prediction of prognosis of acute compressive radial neuropathy.

  11. Detecting exoplanets: jointly modeling radial velocity and stellar activity time series

    NASA Astrophysics Data System (ADS)

    Jones, David Edward; Stenning, David; Ford, Eric B.; Wolpert, Robert L.; Loredo, Thomas J.

    2017-06-01

    The radial velocity method is one of the most successful techniques for detecting exoplanets, but stellar activity often corrupts the radial velocity signal. This corruption can make it difficult to detect low mass planets and planets orbiting more active stars. A principled approach to recovering planet radial velocity signals in the presence of stellar activity was proposed by Rajpaul et al. (2015) and involves the use of dependent Gaussian processes to jointly model the corrupted radial velocity signal and multiple proxies for stellar activity. We build on this work in two ways: (i) we propose using dimension reduction techniques to construct more informative stellar activity proxies; (ii) we extend the Rajpaul et al. (2015) model to a larger class of models and use a model comparison procedure to select the best model for the particular stellar activity proxies at hand. Our framework enables us to compare the performance of various proxies in terms of the resulting statistical power for planet detection.

  12. Annular Ligament Reconstruction With Triceps Autograft for Chronic Radial Head Instability.

    PubMed

    Marinello, Patrick G; Wagner, Timothy; Styron, Joseph; Maschke, Steven; Evans, Peter J

    2016-03-01

    We present a modification and revisit of the Bell Tawse technique for annular ligament reconstruction with triceps autograft for chronic radial head instability. In patients with instability stemming from an incompetent annular ligament, this technique has proved successful to restore stability to the proximal radial capitellar joint as an augment after ensuring normal boney anatomy. Through a lateral Kocher approach, an approximately 10 cm × 4 mm strip of lateral triceps tendon is harvested as a free graft for the reconstruction. Following passing of the triceps autograft around the radial neck, it is sutured to a mini-Mitek suture anchor and is placed into a decorticated portion of the proximal ulna to recreate the annular ligament. Finally, we present 2 case illustrations where this technique was successfully used for chronic radial head instability.

  13. Left ventricular apical diseases.

    PubMed

    Cisneros, Silvia; Duarte, Ricardo; Fernandez-Perez, Gabriel C; Castellon, Daniel; Calatayud, Julia; Lecumberri, Iñigo; Larrazabal, Eneritz; Ruiz, Berta Irene

    2011-08-01

    There are many disorders that may involve the left ventricular (LV) apex; however, they are sometimes difficult to differentiate. In this setting cardiac imaging methods can provide the clue to obtaining the diagnosis. The purpose of this review is to illustrate the spectrum of diseases that most frequently affect the apex of the LV including Tako-Tsubo cardiomyopathy, LV aneurysms and pseudoaneurysms, apical diverticula, apical ventricular remodelling, apical hypertrophic cardiomyopathy, LV non-compaction, arrhythmogenic right ventricular dysplasia with LV involvement and LV false tendons, with an emphasis on the diagnostic criteria and imaging features. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s13244-011-0091-6) contains supplementary material, which is available to authorized users.

  14. Radial head fracture associated with posterior interosseous nerve injury.

    PubMed

    Terra, Bernardo Barcellos; Sassine, Tannus Jorge; Lima, Guilherme de Freitas; Rodrigues, Leandro Marano; Padua, David Victoria Hoffmann; Nadai, Anderson de

    2016-01-01

    Fractures of the radial head and radial neck correspond to 1.7-5.4% of all fractures and approximately 30% may present associated injuries. In the literature, there are few reports of radial head fracture with posterior interosseous nerve injury. This study aimed to report a case of radial head fracture associated with posterior interosseous nerve injury.

  15. Radial artery occlusion after percutaneous coronary interventions – an underestimated issue

    PubMed Central

    Kubler, Piotr; Szczepański, Andrzej; Piątek, Joanna; Stępkowski, Michał; Reczuch, Krzysztof

    2013-01-01

    The femoral approach is the most common arterial access for percutaneous coronary artery interventions. Despite the convenience and simplicity of this approach, it is burdened with a high risk of arterial puncture bleeding, which worsens the prognosis of the patient. An alternative approach through the radial artery has been gaining more and more popularity in recent years. This is due to a significant reduction of local bleeding complications as compared with the femoral artery approach. The use of the radial approach in patients with ST-segment elevation myocardial infarction improves outcome, reducing the risk of death, subsequent myocardial infarction and stroke, and is the preferred approach according to the latest ESC guidelines. In addition to improving safety, it is beneficial for improving patient comfort, with a shorter recovery after the procedure, shorter hospitalization and lower medical costs. One of the major complications of procedures performed through the radial approach is radial artery occlusion (RAO). Although it usually has an asymptomatic course, RAO eliminates the ability to use the radial artery as an access in the future. A number of factors that contribute to the occurrence of RAO have been identified, such as the size of the sheath and the catheter, diameter ratio of the sheath to the diameter of the radial artery, insufficient anticoagulation and, above all, the way of obtaining hemostasis at the puncture site: the duration of artery compression after sheath removal and the preservation of artery patency during compression (so-called patent hemostasis). This paper presents the current state of the art about the factors that contribute to the occurrence of RAO and methods for preventing this complication. PMID:24570753

  16. Precise Near-Infrared Radial Velocities

    NASA Astrophysics Data System (ADS)

    Plavchan, Peter; Gao, P.; Bottom, M.; Davison, C.; Mills, S.; Ciardi, D. R.; Brinkworth, C.; Tanner, A. M.; Beichman, C. A.; Catanzarite, J.; Crawford, S.; Wallace, J.; Mennesson, B.; Johnson, J. A.; White, R. J.; Anglada-Escudé, G.; von Braun, K.; Walp, B.; Vasisht, G.; Kane, S. R.; Prato, L. A.; NIRRVs

    2014-01-01

    We present precise radial velocity time-series from a 2.3 micron pilot survey to detect exoplanets around red, low mass, and young stars. We use the CSHELL spectrograph with an isotopic methane absorption gas cell for common optical path relative wavelength calibration at the NASA InfraRed Telescope Facility. We present an overview of our Nelder-Mead simplex optimization pipeline for extracting radial velocities. We will also present first light data at 1.6 microns from a near-infrared fiber scrambler used in tandem with our gas cell and CSHELL at IRTF. The fiber scrambler makes use of non-circular core fibers to stabilize the illumination of the slit and echelle grating against changes in seeing, focus, guiding and other sources of systematic radial velocity noise, complementing the wavelength calibration of a gas cell.

  17. Radial flow nuclear thermal rocket (RFNTR)

    DOEpatents

    Leyse, Carl F.

    1995-11-07

    A radial flow nuclear thermal rocket fuel assembly includes a substantially conical fuel element having an inlet side and an outlet side. An annular channel is disposed in the element for receiving a nuclear propellant, and a second, conical, channel is disposed in the element for discharging the propellant. The first channel is located radially outward from the second channel, and separated from the second channel by an annular fuel bed volume. This fuel bed volume can include a packed bed of loose fuel beads confined by a cold porous inlet frit and a hot porous exit frit. The loose fuel beads include ZrC coated ZrC-UC beads. In this manner, nuclear propellant enters the fuel assembly axially into the first channel at the inlet side of the element, flows axially across the fuel bed volume, and is discharged from the assembly by flowing radially outward from the second channel at the outlet side of the element.

  18. Radial flow nuclear thermal rocket (RFNTR)

    DOEpatents

    Leyse, Carl F.

    1995-01-01

    A radial flow nuclear thermal rocket fuel assembly includes a substantially conical fuel element having an inlet side and an outlet side. An annular channel is disposed in the element for receiving a nuclear propellant, and a second, conical, channel is disposed in the element for discharging the propellant. The first channel is located radially outward from the second channel, and separated from the second channel by an annular fuel bed volume. This fuel bed volume can include a packed bed of loose fuel beads confined by a cold porous inlet frit and a hot porous exit frit. The loose fuel beads include ZrC coated ZrC-UC beads. In this manner, nuclear propellant enters the fuel assembly axially into the first channel at the inlet side of the element, flows axially across the fuel bed volume, and is discharged from the assembly by flowing radially outward from the second channel at the outlet side of the element.

  19. Radial anisotropy ambient noise tomography of volcanoes

    NASA Astrophysics Data System (ADS)

    Mordret, Aurélien; Rivet, Diane; Shapiro, Nikolai; Jaxybulatov, Kairly; Landès, Matthieu; Koulakov, Ivan; Sens-Schönfelder, Christoph

    2016-04-01

    The use of ambient seismic noise allows us to perform surface-wave tomography of targets which could hardly be imaged by other means. The frequencies involved (~ 0.5 - 20 s), somewhere in between active seismic and regular teleseismic frequency band, make possible the high resolution imaging of intermediate-size targets like volcanic edifices. Moreover, the joint inversion of Rayleigh and Love waves dispersion curves extracted from noise correlations allows us to invert for crustal radial anisotropy. We present here the two first studies of radial anisotropy on volcanoes by showing results from Lake Toba Caldera, a super-volcano in Indonesia, and from Piton de la Fournaise volcano, a hot-spot effusive volcano on the Réunion Island (Indian Ocean). We will see how radial anisotropy can be used to infer the main fabric within a magmatic system and, consequently, its dominant type of intrusion.

  20. Dispersion-free radial transmission lines

    DOEpatents

    Caporaso, George J [Livermore, CA; Nelson, Scott D [Patterson, CA

    2011-04-12

    A dispersion-free radial transmission line ("DFRTL") preferably for linear accelerators, having two plane conductors each with a central hole, and an electromagnetically permeable material ("EPM") between the two conductors and surrounding a channel connecting the two holes. At least one of the material parameters of relative magnetic permeability, relative dielectric permittivity, and axial width of the EPM is varied as a function of radius, so that the characteristic impedance of the DFRTL is held substantially constant, and pulse transmission therethrough is substantially dispersion-free. Preferably, the EPM is divided into concentric radial sections, with the varied material parameters held constant in each respective section but stepwise varied between sections as a step function of the radius. The radial widths of the concentric sections are selected so that pulse traversal time across each section is the same, and the varied material parameters of the concentric sections are selected to minimize traversal error.

  1. Manufacturing of Precision Forgings by Radial Forging

    NASA Astrophysics Data System (ADS)

    Wallner, S.; Harrer, O.; Buchmayr, B.; Hofer, F.

    2011-01-01

    Radial forging is a multi purpose incremental forging process using four tools on the same plane. It is widely used for the forming of tool steels, super alloys as well as titanium- and refractory metals. The range of application goes from reducing the diameters of shafts, tubes, stepped shafts and axels, as well as for creating internal profiles for tubes in Near-Net-Shape and Net-Shape quality. Based on actual development of a weight optimized transmission input shaft, the specific features of radial forging technology is demonstrated. Also a Finite Element Model for the simulation of the process is shown which leads to reduced pre-processing effort and reduced computing time compared to other published simulation methods for radial forging. The finite element model can be applied to quantify the effects of different forging strategies.

  2. Image scanning microscopy with radially polarized light

    NASA Astrophysics Data System (ADS)

    Xiao, Yun; Zhang, Yunhai; Wei, Tongda; Huang, Wei; Shi, Yaqin

    2017-03-01

    In order to improve the resolution of image scanning microscopy, we present a method based on image scanning microscopy and radially polarized light. According to the theory of image scanning microscopy, we get the effective point spread function of image scanning microscopy with the longitudinal component of radially polarized light and a 1 AU detection area, and obtain imaging results of the analyzed samples using this method. Results show that the resolution can be enhanced by 7% compared with that in image scanning microscopy with circularly polarized light, and is 1.54-fold higher than that in confocal microscopy with a pinhole of 1 AU. Additionally, the peak intensity of ISM is 1.54-fold higher than that of a confocal microscopy with a pinhole of 1 AU. In conclusion, the combination of the image scanning microscopy and the radially polarized light could improve the resolution, and it could realize high-resolution and high SNR imaging at the same time.

  3. Measurement of returns to scale in radial DEA models

    NASA Astrophysics Data System (ADS)

    Krivonozhko, V. E.; Lychev, A. V.; Førsund, F. R.

    2017-01-01

    A general approach is proposed in order to measure returns to scale and scale elasticity at projections points in the radial data envelopment analysis (DEA) models. In the first stage, a relative interior point belonging to the optimal face is found using a special, elaborated method. In previous work it was proved that any relative interior point of a face has the same returns to scale as any other interior point of this face. In the second stage, we propose to determine the returns to scale at the relative interior point found in the first stage.

  4. Off-axis radial properties of undulator light

    NASA Astrophysics Data System (ADS)

    Tatchyn, Roman; Lindau, Ingolf

    The spatial and polarization properties of light from a transverse sinusoidal undulator are investigated analytically by means of numerical simulations for the single-electron case. The terminology used in the analysis is introduced; formulations for the off-axis intensity patterns, the rest-frame analysis, and radial harmonic maxima are derived; and numerical results are presented in extensive tables and graphs and briefly characterized. It is suggested that the present approach can be extended to treat higher rings and harmonics, coherent interaction among electrons (as in beam bunching and FELs), and random imperfections in undulators.

  5. Mapping radial features in Saturn's rings

    NASA Astrophysics Data System (ADS)

    Tiscareno, Matthew S.; Harris, B. E.

    2013-10-01

    We have carried out a comprehensive survey of the best Cassini ISS data of Saturn's main rings for the purpose of cataloguing all observed spiral density waves, spiral bending waves, and other radial and quasi-radial ring structure. Our survey has revealed a number of new features, including the first known resonant waves raised by Enceladus and Hyperion, thus increasing the number of points at which the local surface density and viscosity of the rings can be measured (cf. Tiscareno et al. 2007, Icarus). We also catalogue several wave-like features whose cause is unknown. Although images of the rings taken by the Imaging Science Subsystem (ISS) are not nominally as high-resolution as the best stellar and radio occultations, they are capable of superior signal-to-noise because of the co-adding inherent in converting a 2-D image into a 1-D "radial scan." In this common technique, as many as a thousand pixels at a given radial distance from Saturn are combined to produce a single characteristic brightness for each radial location. This process suppresses local structure, azimuthal structure, and random noise, all of which commonly decrease the sensitivity of high-resolution occultations, and causes ISS to be the optimal Cassini instrument for detecting a certain class of low-amplitude features. Finally, we employ wavelet techniques (cf. Tiscareno et al. 2007, Icarus) to elucidate subtle periodic and quasi-periodic features in the radial scan data. We will present our results in the context of a ranking of known perturbations in the rings by their resonant torque (updating Lissauer and Cuzzi 1982, AJ). We will identify the strongest expected perturbations that do not appear, and discuss whether the absence is likely to reflect a real limit of ring responsiveness, or (as with previous observations) to reflect sensitivity limits.

  6. Impaired Verbal Associative Learning after Resection of Left Perirhinal Cortex

    ERIC Educational Resources Information Center

    Weintrob, David L.; Saling, Michael M.; Berkovic, Samuel F.; Reutens, David C.

    2007-01-01

    Some patients considered for left temporal lobectomy for epilepsy present with normal verbal learning and no MRI evidence of hippocampal pathology. In order to preserve learning function, the surgical approach in these cases often aims at sparing the hippocampus. Parahippocampal structures, including the left perirhinal region, however, also…

  7. Impaired Verbal Associative Learning after Resection of Left Perirhinal Cortex

    ERIC Educational Resources Information Center

    Weintrob, David L.; Saling, Michael M.; Berkovic, Samuel F.; Reutens, David C.

    2007-01-01

    Some patients considered for left temporal lobectomy for epilepsy present with normal verbal learning and no MRI evidence of hippocampal pathology. In order to preserve learning function, the surgical approach in these cases often aims at sparing the hippocampus. Parahippocampal structures, including the left perirhinal region, however, also…

  8. Radial excitations of current-carrying vortices

    NASA Astrophysics Data System (ADS)

    Hartmann, Betti; Michel, Florent; Peter, Patrick

    2017-04-01

    We report on the existence of a new type of cosmic string solutions in the Witten model with U (1) × U (1) symmetry. These solutions are superconducting with radially excited condensates that exist for both gauged and ungauged currents. Our results suggest that these new configurations can be macroscopically stable, but microscopically unstable to radial perturbations. Nevertheless, they might have important consequences for the network evolution and particle emission. We discuss these effects and their possible signatures. We also comment on analogies with non-relativistic condensed matter systems where these solutions may be observable.

  9. Rotary phased radial thrust variable drive transmission

    SciTech Connect

    Shook, W.B.

    1991-09-17

    This patent describes a rotary phased radial thrust variable drive transmission located between a rotable input driving member and an output driven member which are mounted for relative rotation on a common axis. It includes radial thrust linkages carried by one of the members, and a cam unit surrounding the axis and having a selected profile, the thrust linkages carrying cam-followers for engaging the cam profile during relative rotation of the members and thrust means for engaging a mating surface on the other of the members to supply torque thereto so as to result in rotation thereof, and adjustable means for varying the profile of the cam unit.

  10. Radial Velocity Challenge at the AIUC

    NASA Astrophysics Data System (ADS)

    Zapata, Abner; Vanzi, L.; Jones, M.; Brahms, R.

    2017-09-01

    "PUCHEROS (2012, UC observatory) and FIDEOS (2016, ESO-1m La Silla Observatory), are optical echelle high-resolution spectrographs developed in the AIUC, Chile. A thorium-argon hollow-cathode emission-line lamp is used as wavelength calibration method in the two spectrographs. We show the results of the study in radial velocity stability of the instruments. Additionally, we identify the main factors that limit the performance of these spectrographs, and how we deal with them in order to achieve a better stability and precision in radial velocity measures."

  11. Radial Acceleration Relation in Rotationally Supported Galaxies

    NASA Astrophysics Data System (ADS)

    McGaugh, Stacy S.; Lelli, Federico; Schombert, James M.

    2016-11-01

    We report a correlation between the radial acceleration traced by rotation curves and that predicted by the observed distribution of baryons. The same relation is followed by 2693 points in 153 galaxies with very different morphologies, masses, sizes, and gas fractions. The correlation persists even when dark matter dominates. Consequently, the dark matter contribution is fully specified by that of the baryons. The observed scatter is small and largely dominated by observational uncertainties. This radial acceleration relation is tantamount to a natural law for rotating galaxies.

  12. Plasma Signatures of Radial Field Power Dropouts

    SciTech Connect

    Lucek, E.A.; Horbury, T.S.; Balogh, A.; McComas, D.J.

    1998-10-04

    A class of small scale structures, with a near-radial magnetic field and a drop in magnetic field fluctuation power, have recently been identified in the polar solar wind. An earlier study of 24 events, each lasting for 6 hours or more, identified no clear plasma signature. In an extension of that work, radial intervals lasting for 4 hours or more (89 in total), have been used to search for a statistically significant plasma signature. It was found that, despite considerable variations between intervals, there was a small but significant drop, on average, in plasma temperature, density and {beta} during these events.

  13. Plasma signatures of radial field power dropouts

    SciTech Connect

    Lucek, E.A.; Balogh, A.; Horbury, T.S.; McComas, D.J.

    1999-06-01

    A class of small scale structures, with a near-radial magnetic field and a drop in magnetic field fluctuation power, have recently been identified in the polar solar wind. An earlier study of 24 events, each lasting for 6 hours or more, identified no clear plasma signature. In an extension of that work, radial intervals lasting for 4 hours or more (89 in total), have been used to search for a statistically significant plasma signature. It was found that, despite considerable variations between intervals, there was a small but significant drop, on average, in plasma temperature, density and {beta} during these events. {copyright} {ital 1999 American Institute of Physics.}

  14. Radial Acceleration Relation in Rotationally Supported Galaxies.

    PubMed

    McGaugh, Stacy S; Lelli, Federico; Schombert, James M

    2016-11-11

    We report a correlation between the radial acceleration traced by rotation curves and that predicted by the observed distribution of baryons. The same relation is followed by 2693 points in 153 galaxies with very different morphologies, masses, sizes, and gas fractions. The correlation persists even when dark matter dominates. Consequently, the dark matter contribution is fully specified by that of the baryons. The observed scatter is small and largely dominated by observational uncertainties. This radial acceleration relation is tantamount to a natural law for rotating galaxies.

  15. Aircraft radial-belted tire evaluation

    NASA Technical Reports Server (NTRS)

    Yager, Thomas J.; Stubbs, Sandy M.; Davis, Pamela A.

    1990-01-01

    An overview is given of the ongoing joint NASA/FAA/Industry Surface Traction And Radial Tire (START) Program being conducted at NASA Langley's Aircraft Landing Dynamics Facility (ALDF). The START Program involves tests using three different tire sizes to evaluate tire rolling resistance, braking, and cornering performance throughout the aircraft ground operational speed range for both dry and wet runway surfaces. Preliminary results from recent 40 x 14 size bias-ply, radial-belted, and H-type aircraft tire tests are discussed. The paper concludes with a summary of the current program status and planned ALDF test schedule.

  16. Reconstruction for Type IV Radial Polydactyly.

    PubMed

    Wall, Lindley B; Goldfarb, Charles A

    2015-09-01

    Type IV radial polydactyly represents a thumb with an extra proximal and distal phalanx. Assessment of the thumb for surgical reconstruction includes observing thumb function, evaluating thumb size and stability, and assessing the first web space. Reconstruction includes excision of the smaller thumb, typically the radial thumb, and re-creating thumb stability and alignment by addressing tendon insertion and joint orientation. Although surgical results are satisfying and complications are uncommon, additional surgical intervention may be required over time owing to thumb malalignment or instability.

  17. Left Atrial Appendage Exclusion for Atrial Fibrillation

    PubMed Central

    Syed, Faisal F.; DeSimone, Christopher V.; Friedman, Paul A.; Asirvatham, Samuel J.

    2015-01-01

    SYNOPSIS Percutaneous left atrial appendage (LAA) closure is increasingly being used as a treatment strategy to prevent stroke in patients with atrial fibrillation (AF) who have contraindications to anticoagulants. A number of approaches and devices have been developed in the last few years, each with their own unique set of advantages and disadvantages. We review the published studies on surgical and percutaneous approaches to LAA closure; focusing on stroke mechanisms in AF, LAA structure and function relevant to stroke prevention, practical differences in procedural approach, and clinical considerations surrounding management. PMID:25443240

  18. Anatomical variation of radial wrist extensor muscles: a study in cadavers.

    PubMed

    Nayak, Soubhagya Ranjan; Krishnamurthy, Ashwin; Prabhu, Latha Venkatraya; Rai, Rajalakshmi; Ranade, Anu Vinod; Madhyastha, Sampath

    2008-02-01

    The tendons of the extensor carpi radialis longus and brevis muscles are quite useful in tendon transfer, such as in correction of finger clawing and restoration of thumb opposition. Knowledge of additional radial wrist extensor muscle bellies with independent tendons is useful in the above-mentioned surgical procedures. The skin, subcutaneous tissue, and antebrachial fascia of 48 (24 on the right side and 24 on left side) male upper limb forearms were dissected. The following aspects were then analyzed: (a) the presence of additional muscle bellies of radial wrist extensors, (b) the origin and insertion of the additional muscle, and (c) measurements of the muscle bellies and their tendons. Five out of 48 upper limbs (10.41%) had additional radial wrist extensors; this occurred in 3 out of 24 left upper limbs (12.5%) and 2 out of 24 right upper limbs (8.3%). In one of the right upper limbs, two additional muscles were found. The length and width of each additional muscle belly and its tendon ranged between 2 - 15 cm by 0.35 - 6.4 cm and 2.8 - 20.8 cm by 0.2 0.5 cm, respectively. The additional radial wrist extensor tendons in our study basically originated either from the extensor carpi radialis longus or brevis muscles and were inserted at the base of the 2nd or 3rd metacarpal bone. The present study will inform surgeons about the different varieties of additional radial wrist extensors and the frequency of their occurrence.

  19. [Left-handedness and health].

    PubMed

    Milenković, Sanja; Belojević, Goran; Kocijancić, Radojka

    2010-01-01

    Hand dominance is defined as a proneness to use one hand rather than another in performing the majority of activities and this is the most obvious example of cerebral lateralization and an exclusive human characteristic. Left-handed people comprise 6-14% of the total population, while in Serbia, this percentage is 5-10%, moving from undeveloped to developed environments, where a socio-cultural pressure is less present. There is no agreement between investigators who in fact may be considered a left-handed person, about the percentage of left-handers in the population and about the etiology of left-handedness. In the scientific literature left-handedness has been related to health disorders (spine deformities, immunological disorders, migraine, neurosis, depressive psychosis, schizophrenia, insomnia, homosexuality, diabetes mellitus, arterial hypertension, sleep apnea, enuresis nocturna and Down Syndrome), developmental disorders (autism, dislexia and sttutering) and traumatism. The most reliable scientific evidences have been published about the relationship between left-handedness and spinal deformities in school children in puberty and with traumatism in general population. The controversy of other results in up-to-now investigations of health aspects of left-handedness may partly be explained by a scientific disagreement whether writing with the left hand is a sufficient criterium for left-handedness, or is it necessary to investigate other parameters for laterality assessment. Explanation of health aspects of left-handedness is dominantly based on Geschwind-Galaburda model about "anomalous" cerebral domination, as a consequence of hormonal disbalance.

  20. [What is a "left"?].

    PubMed

    Morin, C; Taillefer, C; Vallat, C; Helsly, N; Thibierge, S; Pradat-Diehl, P

    2001-05-01

    Patients with right hemisphere syndrome may be labeled as "gauche" by the rehabilitation staff. This term corresponds to a variety of oddities in behavior or discourse. The aim of this study is to understand the coherence of these oddities with the classical elements of right hemisphere syndrome. In this article, we present a detailed study of the discourse and the relation with others of a patient with severe left hemineglect, who was followed up for twelve months and did not exhibited any significant change in his symptomatology. This study relies on the data from neuropsychological examination, on notes written after rehabilitation session by the therapists and on data from weekly non-directive interviews. This follow-up revealed disturbances of time sense, reduplication for places, misidentification of therapists, pseudo hallucinations, and showed that the transferential relation was "floating". The non-directive interviews permitted the patient to express his own interpretation of his troubles. He described them in terms of gaps in his body "carapace" and disorganization of the oral drive. We propose to consider the symptomatology of this patient in relation with the subjective effects of the breaking up of his body image and the concomitant intrusion of the oral object (in the psychoanalytic sense of this term) in his psychic reality.

  1. Understanding left-handedness.

    PubMed

    Gutwinski, Stefan; Löscher, Anna; Mahler, Lieselotte; Kalbitzer, Jan; Heinz, Andreas; Bermpohl, Felix

    2011-12-01

    The human cerebrum is asymmetrical, consisting of two hemispheres with differing functions. Recent epidemiological and neurobiological research has shed new light on the development of the cerebral lateralization of motor processes, including handedness. In this article, we present these findings from a medical perspective. We selectively searched the PubMed online database for articles including the terms "handedness," "left handedness," "right handedness," and "cerebral lateralization." Highly ranked and commonly cited articles were included in our analysis. The emergence of handedness has been explained by physiological and pathological models. Handedness arose early in evolution and has probably been constitutive for the development of higher cognitive functions. For instance, handedness may have provided the basis for the development of speech and fine motor skills, both of which have played a critical role in the evolution of mankind. The disadvantages of certain types of handedness are discussed, as some cases seem to be associated with disease. The consideration of handedness from the epidemiological, neurobiological, and medical points of view provides insight into cerebral lateralization.

  2. Generalized radial flow in synthetic flow systems.

    PubMed

    Bowman, Dale O; Roberts, Randall M; Holt, Robert M

    2013-01-01

    Traditional analysis methods used to determine hydraulic properties from pumping tests work well in many porous media aquifers, but they often do not work in heterogeneous and fractured-rock aquifers, producing non-plausible and erroneous results. The generalized radial flow model developed by Barker (1988) can reveal information about heterogeneity characteristics and aquifer geometry from pumping test data by way of a flow dimension parameter. The physical meaning of non-integer flow dimensions has long been a subject of debate and research. We focus on understanding and interpreting non-radial flow through high permeability conduits within fractured aquifers. We develop and simulate flow within idealized non-radial flow conduits and expand on this concept by simulating pumping in non-fractal random fields with specific properties that mimic persistent sub-radial flow responses. Our results demonstrate that non-integer flow dimensions can arise from non-fractal geometries within aquifers. We expand on these geometric concepts and successfully simulate pumping in random fields that mimic well-test responses seen in the Culebra Dolomite above the Waste Isolation Pilot Plant. © 2012, The Author(s). Groundwater © 2012, National Ground Water Association.

  3. GCFR radial blanket and shield experiment

    SciTech Connect

    Muckenthaler, F.J.; Hull, J.L.; Manning, J.J.

    1980-12-01

    This report presents integral neutron flux, energy spectra, and gamma-ray heating measurements made for the Radial Blanket and Shield Experiment at the ORNL Tower Shielding Facility as part of a continuing Gas Cooled Fast Breeder Reactor program. The experimental configurations were divided into four basic segments: a spectrum modifier inserted into the Tower Shielding Reactor II beam; blanket slabs consisting of either ThO/sub 2/ or UO/sub 2/ placed directly behind the spectrum modifier; an inner radial shield behind the blankets; and an outer radial shield to complete the mockup. The segments were added in sequence, with selected measurements made within and beyond each segment. The integral experiment was performed to provide verification of calculational methods and nuclear data used in designing a radial shield for the GCFR and determining the effectiveness of the design. The ThO/sub 2/ blanket measurements were needed to bracket the uncertainties in the nuclear cross sections for calculating both the neutron transmission through the blanket and the gamma-ray heating rates within the blanket. Measurements with a UO/sub 2/ blanket were included both as a reference for the ThO/sub 2/ analysis, neutron transmission through UO/sub 2/ having been successfully calculated in previous experiments, and to provide comparison information for other breeder reactor designs.

  4. Radial velocities of Planetary Nebulae revisited

    NASA Astrophysics Data System (ADS)

    Vázquez, Roberto; Ayala, Sandra A.; Wendolyn Blanco Cárdenas, Mónica; Contreras, María E.; Gómez-Muñoz, Marco Antonio; Guillén, Pedro F.; Olguín, Lorenzo; Ramos-Larios, Gerardo; Sabin, Laurence; Zavala, Saúl A.

    2015-08-01

    We present a new determination of radial velocities of a sample of Galactic Planetary Nebulae (PNe) using a systematic method and the same instrumental setting: the long-slit high-dispersion Manchester Echelle Spectrograph (MES) on the 2.1-m telescope at the San Pedro Mártir Observatory (OAN-SPM; Mexico). This project was inspired by the work of Schneider et al. (1983, A&AS, 52, 399), which has been an important reference during the last decades. Radial velocities of gaseous nebulae can be obtained using the central wavelength of a Gaussian fit, even when there is an expansion velocity, as expected in PNe, but with not enough resolution to see a spectral line splitting. We have used the software SHAPE, a morpho-kinematic modeling and reconstruction tool for astrophysical objects (Steffen et al. 2011, IEEE Trans. Vis. Comput. Graphics, 17, 454), to prove that non-uniform density or brightness, on an expanding shell, can lead to mistaken conclusions about the radial velocity. To determine radial velocities, we only use the spectral data in which a spectral line-splitting is seen, avoiding thus the problem of the possible biased one-Gaussian fit. Cases when this method is not recommended are discussed.This project has been supported by grant PAPIIT-DGAPA-UNAM IN107914. MWB is in grateful receipt of a DGAPA-UNAM postdoctoral scholarship. MAG acknowledges CONACYT for his graduate scholarship.

  5. MMICs with Radial Probe Transitions to Waveguides

    NASA Technical Reports Server (NTRS)

    Samoska, Lorene; Chattopadhyay, Goutam; Pukala, David; Soria, Mary; Fung, King Man; Gaier, Todd; Radisic, Vesna; Lai, Richard

    2009-01-01

    A document presents an update on the innovation reported in Integrated Radial Probe Transition From MMIC to Waveguide (NPO-43957), NASA Tech Briefs Vol. 31, No. 5 (May 2007), page 38. To recapitulate: To enable operation or testing of a monolithic microwave integrated circuit (MMIC), it is necessary to mount the MMIC in a waveguide package that typically has cross-sectional waveguide dimensions of the order of a few hundred microns. A radial probe transition between an MMIC operating at 340 GHz and a waveguide had been designed (but not yet built and tested) to be fabricated as part of a monolithic unit that would include the MMIC. The radial probe could readily be integrated with an MMIC amplifier because the design provided for fabrication of the transition on a substrate of the same material (InP) and thickness (50 m) typical of substrates of MMICs that can operate above 300 GHz. As illustrated in the updated document by drawings, photographs, and plots of test data, the concept has now been realized by designing, fabricating, and testing several MMIC/radial- probe integrated-circuit chips and designing and fabricating a waveguide package to contain each chip.

  6. Determining Enzyme Activity by Radial Diffusion

    ERIC Educational Resources Information Center

    Davis, Bill D.

    1977-01-01

    Discusses advantages of radial diffusion assay in determining presence of enzyme and/or rough approximation of amount of enzyme activities. Procedures are included for the preparation of starch-agar plates, and the application and determination of enzyme. Techniques using plant materials (homogenates, tissues, ungerminated embryos, and seedlings)…

  7. Determining Enzyme Activity by Radial Diffusion

    ERIC Educational Resources Information Center

    Davis, Bill D.

    1977-01-01

    Discusses advantages of radial diffusion assay in determining presence of enzyme and/or rough approximation of amount of enzyme activities. Procedures are included for the preparation of starch-agar plates, and the application and determination of enzyme. Techniques using plant materials (homogenates, tissues, ungerminated embryos, and seedlings)…

  8. Radial Distance Estimation with Tapered Whisker Sensors.

    PubMed

    Ahn, Sejoon; Kim, DaeEun

    2017-07-19

    Rats use their whiskers as tactile sensors to sense their environment. Active whisking, moving whiskers back and forth continuously, is one of prominent features observed in rodents. They can discriminate different textures or extract features of a nearby object such as size, shape and distance through active whisking. There have been studies to localize objects with artificial whiskers inspired by rat whiskers. The linear whisker model based on beam theory has been used to estimate the radial distance, that is, the distance between the base of the whisker and a target object. In this paper, we investigate deflection angle measurements instead of forces or moments, based on a linear tapered whisker model to see the role of tapered whiskers found in real animals. We analyze how accurately this model estimates the radial distance, and quantify the estimation errors and noise sensitivity. We also compare the linear model simulation and nonlinear numerical solutions. It is shown that the radial distance can be estimated using deflection angles at two different positions on the tapered whisker. We argue that the tapered whisker has an advantage of estimating the radial distance better, as compared to an untapered whisker, and active sensing allows that estimation without the whisker's material property and thickness or the moment at base. In addition, we investigate the potential of passive sensing for tactile localization.

  9. Dual-radial cell thermionic fuel element

    NASA Astrophysics Data System (ADS)

    Terrell, Charles W.

    A dual-radial cell thermionic fuel element (TFE) has been proposed and partially evaluated. The cell has the capacity to produce considerably more power per gram of fuel than does a single-cell TFE, with a total electrical power in a fast reactor system of several hundred kWs, conservatively operated.

  10. Extended foil capacitor with radially spoked electrodes

    DOEpatents

    Foster, James C.

    1990-01-01

    An extended foil capacitor has a conductive disk electrically connected in oncrushing contact to the extended foil. A conductive paste is placed through spaces between radial spokes on the disk to electrically and mechanically connect the extended foil to the disk.

  11. Radial-Gap Motor for Ship Propulsion

    NASA Astrophysics Data System (ADS)

    Yanamoto, Toshiyuki; Yokoyama, Minoru

    The KHI team has developed radial gap high-temperature superconducting (HTS) motors of three sizes, 1 MW-class, 3 MW, and 20 MW, to be used for electric propulsion systems for ships. The volumetric torque density of the assembled 3 MW HTS motor was recorded at 40 kNm/m3 in the load test; the world's highest in the class.

  12. Radial Distance Estimation with Tapered Whisker Sensors

    PubMed Central

    Ahn, Sejoon; Kim, DaeEun

    2017-01-01

    Rats use their whiskers as tactile sensors to sense their environment. Active whisking, moving whiskers back and forth continuously, is one of prominent features observed in rodents. They can discriminate different textures or extract features of a nearby object such as size, shape and distance through active whisking. There have been studies to localize objects with artificial whiskers inspired by rat whiskers. The linear whisker model based on beam theory has been used to estimate the radial distance, that is, the distance between the base of the whisker and a target object. In this paper, we investigate deflection angle measurements instead of forces or moments, based on a linear tapered whisker model to see the role of tapered whiskers found in real animals. We analyze how accurately this model estimates the radial distance, and quantify the estimation errors and noise sensitivity. We also compare the linear model simulation and nonlinear numerical solutions. It is shown that the radial distance can be estimated using deflection angles at two different positions on the tapered whisker. We argue that the tapered whisker has an advantage of estimating the radial distance better, as compared to an untapered whisker, and active sensing allows that estimation without the whisker’s material property and thickness or the moment at base. In addition, we investigate the potential of passive sensing for tactile localization. PMID:28753949

  13. Osteopathic treatment in a patient with left-ventricular assist device with left brachialgia: a case report

    PubMed Central

    Bordoni, Bruno; Marelli, Fabiola; Morabito, Bruno; Sacconi, Beatrice

    2017-01-01

    This study deals with an osteopathic approach used for a patient with left-ventricular assist device (L-VAD) affected by left brachialgia. Clinical examination revealed the presence of thoracic outlet syndrome and pectoralis minor syndrome, with compression of the left proximal ulnar nerve, related to the surgical sternotomy performed. The osteopathic techniques used can be classified as indirect and direct, addressed to the pectoralis minor and the first left rib, respectively. To our knowledge, this is the first text in literature with an osteopathic treatment in a patient with L-VAD. PMID:28144166

  14. Radial forces analysis and rotational speed test of radial permanent magnetic bearing for horizontal axis wind turbine applications

    NASA Astrophysics Data System (ADS)

    Kriswanto, Jamari

    2016-04-01

    Permanent magnet bearings (PMB) are contact free bearings which utilize the forces generated by the magnets. PMB in this work is a type of radial PMB, which functions as the radial bearings of the Horizontal Axis Wind Turbine (HAWT) rotor shaft. Radial PMB should have a greater radial force than the radial force HAWT rotor shaft (bearing load). This paper presents a modeling and experiments to calculate the radial force of the radial PMB. This paper also presents rotational speed test of the radial PMB compared to conventional bearings for HAWT applications. Modeling using COMSOL Multiphysics 4.3b with the magnetic fields physics models. Experiments were conducted by measuring the displacement of the rotor to the stator for a given load variation. Results of the two methods showed that the large displacement then the radial force would be greater. Radial forces of radial PMB is greater than radial forces of HAWT rotor shaft. The rotational speed test results of HAWT that used radial PMB produced higher rotary than conventional bearings with an average increase of 87.4%. Increasing rotational speed occured because radial PMB had no friction. HAWT that used radial PMB rotated at very low wind speeds are 1.4 m/s with a torque of 0.043 Nm, while the HAWT which uses conventional bearing started rotating at a wind speed of 4.4 m/s and required higher torque of 0.104 N.

  15. Radial wave crystals: radially periodic structures from anisotropic metamaterials for engineering acoustic or electromagnetic waves.

    PubMed

    Torrent, Daniel; Sánchez-Dehesa, José

    2009-08-07

    We demonstrate that metamaterials with anisotropic properties can be used to develop a new class of periodic structures that has been named radial wave crystals. They can be sonic or photonic, and wave propagation along the radial directions is obtained through Bloch states like in usual sonic or photonic crystals. The band structure of the proposed structures can be tailored in a large amount to get exciting novel wave phenomena. For example, it is shown that acoustical cavities based on radial sonic crystals can be employed as passive devices for beam forming or dynamically orientated antennas for sound localization.

  16. Neovascularization in Left Atrial Myxoma

    PubMed Central

    Dubey, Laxman; Chaurasia, Amit Kumar

    2012-01-01

    Abstract We report a case with a left atrial mass who underwent coronary angiography to rule out coronary artery disease. Coronary angiography revealed an anomalous tortuous vascular structure originating from the left circumflex coronary artery to the left atrial tumor suggestive of neovascularization. Preoperative coronary angiography is useful for coronary artery evaluation and also provides additional information regarding the feeding vessel supplying the mass. PMID:24757609

  17. Robotic left hepatectomy with revision of hepaticojejunostomy.

    PubMed

    Chen, Kuo-Hsin; Chen, Shian-Dian; Chen, Ying-Da; Chang, Yin-Jen; Lin, Tzu-Chao; Siow, Tiing-Foong; Chio, U-Chon; Huang, Shu-Yi; Wu, Jiann-Ming; Jeng, Kuo-Shyang

    2014-04-01

    Laparoscopic hepatectomy and hepaticojejunostomy remain a surgical challenge despite the recent advances in minimally invasive surgery. A robotic surgical system has been developed to overcome the inherent limitations of the traditional laparoscopic approach. However, techniques of robotic hepatectomy have not been well described, and a description of robotic major hepatectomy with bilioenteric anastomosis can be found only in two previous reports. Here, we report a 33-year-old man with a history of choledochocyst resection. The patient experienced repeat cholangitis with left hepatolithiasis during follow-up. Robotic left hepatectomy and revision of hepaticojejunostomy were performed smoothly. The patient recovered uneventfully and remained symptoms-free at a follow-up of 20 months. The robotic approach is beneficial in the fine dissection of the hepatic hilum and revision of hepaticojejunostomy in this particular patient. Copyright © 2014. Published by Elsevier B.V.

  18. Assessment of left ventricular mechanical dyssynchrony in left bundle branch block canine model: Comparison between cine and tagged MRI.

    PubMed

    Saporito, Salvatore; van Assen, Hans C; Houthuizen, Patrick; Aben, Jean-Paul M M; Strik, Marc; van Middendorp, Lars B; Prinzen, Frits W; Mischi, Massimo

    2016-10-01

    To compare cine and tagged magnetic resonance imaging (MRI) for left ventricular dyssynchrony assessment in left bundle branch block (LBBB), using the time-to-peak contraction timing, and a novel approach based on cross-correlation. We evaluated a canine model dataset (n = 10) before (pre-LBBB) and after induction of isolated LBBB (post-LBBB). Multislice short-axis tagged and cine MRI images were acquired using a 1.5 T scanner. We computed contraction time maps by cross-correlation, based on the timing of radial wall motion and of circumferential strain. Finally, we estimated dyssynchrony as the standard deviation of the contraction time over the different regions of the myocardium. Induction of LBBB resulted in a significant increase in dyssynchrony (cine: 13.0 ± 3.9 msec for pre-LBBB, and 26.4 ± 5.0 msec for post-LBBB, P = 0.005; tagged: 17.1 ± 5.0 msec at for pre-LBBB, and 27.9 ± 9.8 msec for post-LBBB, P = 0.007). Dyssynchrony assessed by cine and tagged MRI were in agreement (r = 0.73, P = 0.0003); differences were in the order of time difference between successive frames of 20 msec (bias: -2.9 msec; limit of agreement: 10.1 msec). Contraction time maps were derived; agreement was found in the contraction patterns derived from cine and tagged MRI (mean difference in contraction time per segment: 3.6 ± 13.7 msec). This study shows that the proposed method is able to quantify dyssynchrony after induced LBBB in an animal model. Cine-assessed dyssynchrony agreed with tagged-derived dyssynchrony, in terms of magnitude and spatial direction. J. MAGN. RESON. IMAGING 2016;44:956-963. © 2016 International Society for Magnetic Resonance in Medicine.

  19. Minilaparotomy left iliac fossa skin crease incision vs. midline incision for left-sided colorectal cancer.

    PubMed

    Kam, M H; Seow-Choen, F; Peng, X H; Eu, K W; Tang, C L; Heah, S M; Ooi, B S

    2004-08-01

    Midline laparotomies offer excellent exposure but are associated with increased postoperative pain and longer recovery. A minilaparotomy resection of leftsided colorectal cancers was studied as an alternative approach. We performed a case-control retrospective review of 280 randomly selected patients (140 midline incisions; 140 left skin crease incisions) who underwent elective, curative resection of left-sided colorectal cancers. Patients in both groups were of comparable age and sex. The left skin crease incision was shorter (median length, 13.5 cm) than the midline incision (median length, 20.0 cm). Median operation time was less in the left skin crease group (75 min) than in the midline incision group (105 min). Similar types of operations were performed, including left hemicolectomies, sigmoid colectomies, anterior resections and ultra-low anterior resections. Adequacy of resection was confirmed by histological analysis, with no involvement of margins. The median numbers of lymph nodes removed were comparable: 10 for the skin crease incision group and 12 for the midline incision group. Postoperative parameters for the skin crease incision group showed that feeding, ambulation, narcotic use and hospital stay were significantly better than the parameters in the midline group. Complications of intestinal obstruction were also reduced in the skin crease incision group. The limited left skin crease incision provides adequate margins of clearance in colorectal cancers when compared to the midline incision, but has advantages of shorter operation time, earlier feeding and ambulation, and earlier discharge from hospital.

  20. Algebraic reconstruction technique for parallel imaging reconstruction of undersampled radial data: application to cardiac cine.

    PubMed

    Li, Shu; Chan, Cheong; Stockmann, Jason P; Tagare, Hemant; Adluru, Ganesh; Tam, Leo K; Galiana, Gigi; Constable, R Todd; Kozerke, Sebastian; Peters, Dana C

    2015-04-01

    To investigate algebraic reconstruction technique (ART) for parallel imaging reconstruction of radial data, applied to accelerated cardiac cine. A graphics processing unit (GPU)-accelerated ART reconstruction was implemented and applied to simulations, point spread functions and in 12 subjects imaged with radial cardiac cine acquisitions. Cine images were reconstructed with radial ART at multiple undersampling levels (192 Nr × Np  = 96 to 16). Images were qualitatively and quantitatively analyzed for sharpness and artifacts, and compared to filtered back-projection, and conjugate gradient SENSE. Radial ART provided reduced artifacts and mainly preserved spatial resolution, for both simulations and in vivo data. Artifacts were qualitatively and quantitatively less with ART than filtered back-projection using 48, 32, and 24 Np , although filtered back-projection provided quantitatively sharper images at undersampling levels of 48-24 Np (all P < 0.05). Use of undersampled radial data for generating auto-calibrated coil-sensitivity profiles resulted in slightly reduced quality. ART was comparable to conjugate gradient SENSE. GPU-acceleration increased ART reconstruction speed 15-fold, with little impact on the images. GPU-accelerated ART is an alternative approach to image reconstruction for parallel radial MR imaging, providing reduced artifacts while mainly maintaining sharpness compared to filtered back-projection, as shown by its first application in cardiac studies. © 2014 Wiley Periodicals, Inc.

  1. Photo-z optimization for measurements of the BAO radial scale

    SciTech Connect

    Roig, Daniel; Verde, Licia; Miralda-Escude, Jordi; Jimenez, Raul; Pena-Garay, Carlos E-mail: lverde@astro.princeton.edu E-mail: miralda@ieec.uab.es

    2009-04-15

    Baryon Acoustic Oscillations (BAO) in the radial direction offer a method to directly measure the Universe expansion history, and to set limits to space curvature when combined to the angular BAO signal. In addition to spectroscopic surveys, radial BAO might be measured from accurate enough photometric redshifts obtained with narrow-band filters. We explore the requirements for a photometric survey using Luminous Red Galaxies (LRG) to competitively measure the radial BAO signal and discuss the possible systematic errors of this approach. Using the LRG spectra obtained from SDSS, we find that the optimal system consists of {approx} 30 filters of width {Delta}{lambda}/{lambda} {approx} 0.02. A S/N>20 is generally necessary at the filters on the red side of the Balmer-break to reach the target photometric accuracy {sigma}{sub z} = 0.003(1+z) for measuring radial BAO. The presence of outliers can significantly degrade this: in any practical application, being able to efficiently remove outliers may require ancillary observations. We estimate that a 5-year survey in a dedicated telescope with etendue in excess of 60 m{sup 2} deg{sup 2} would be necessary to obtain a high enough density of galaxies to measure the radial BAO with shot noise smaller than cosmic variance up to z = 0.85. We conclude that spectroscopic surveys have a superior performance than photometric ones for measuring BAO in the radial direction.

  2. Algebraic Reconstruction Technique (ART) for parallel imaging reconstruction of undersampled radial data: Application to cardiac cine

    PubMed Central

    Li, Shu; Chan, Cheong; Stockmann, Jason P.; Tagare, Hemant; Adluru, Ganesh; Tam, Leo K.; Galiana, Gigi; Constable, R. Todd; Kozerke, Sebastian; Peters, Dana C.

    2014-01-01

    Purpose To investigate algebraic reconstruction technique (ART) for parallel imaging reconstruction of radial data, applied to accelerated cardiac cine. Methods A GPU-accelerated ART reconstruction was implemented and applied to simulations, point spread functions (PSF) and in twelve subjects imaged with radial cardiac cine acquisitions. Cine images were reconstructed with radial ART at multiple undersampling levels (192 Nr x Np = 96 to 16). Images were qualitatively and quantitatively analyzed for sharpness and artifacts, and compared to filtered back-projection (FBP), and conjugate gradient SENSE (CG SENSE). Results Radial ART provided reduced artifacts and mainly preserved spatial resolution, for both simulations and in vivo data. Artifacts were qualitatively and quantitatively less with ART than FBP using 48, 32, and 24 Np, although FBP provided quantitatively sharper images at undersampling levels of 48-24 Np (all p<0.05). Use of undersampled radial data for generating auto-calibrated coil-sensitivity profiles resulted in slightly reduced quality. ART was comparable to CG SENSE. GPU-acceleration increased ART reconstruction speed 15-fold, with little impact on the images. Conclusion GPU-accelerated ART is an alternative approach to image reconstruction for parallel radial MR imaging, providing reduced artifacts while mainly maintaining sharpness compared to FBP, as shown by its first application in cardiac studies. PMID:24753213

  3. Left ventricle to left atrium shunt via a paravalvular abscess.

    PubMed

    Gasparovic, H; Smalcelj, A; Brida, M

    2009-10-01

    Intracardiac fistulas are rare complications of infective endocarditis that contribute to the complexity of surgical management, and impose an additional hemodynamic burden on the already challenged heart. We report on a case of successful surgical management of a paravalvular communication between the left ventricle and the left atrium via an abscess cavity. Georg Thieme Verlag KG Stuttgart. New York.

  4. 1. Postandbeam garage (far left), oneroom log cabin (left of ...

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

    1. Post-and-beam garage (far left), one-room log cabin (left of center), house (right of center), garden shed and outhouse (far right). View to west-southwest. - William & Lucina Bowe Ranch, County Road 44, 0.1 mile northeast of Big Hole River Bridge, Melrose, Silver Bow County, MT

  5. 6. Livestock barn (far left), log drafthorse barn (left of ...

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

    6. Livestock barn (far left), log draft-horse barn (left of center), loafing shed (center), log calving barn (right of center). View to west-northwest. - William & Lucina Bowe Ranch, County Road 44, 0.1 mile northeast of Big Hole River Bridge, Melrose, Silver Bow County, MT

  6. 3. Log bunkhouse (far left), log chicken house (left of ...

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

    3. Log bunkhouse (far left), log chicken house (left of center), equipment shed (center), and workshop (far right). View to northwest. - William & Lucina Bowe Ranch, County Road 44, 0.1 mile northeast of Big Hole River Bridge, Melrose, Silver Bow County, MT

  7. Optimum Location of Voltage Regulators in the Radial Distribution Systems

    NASA Astrophysics Data System (ADS)

    Salkuti, Surender Reddy; Lho, Young Hwan

    2016-06-01

    In this paper, a new heuristic algorithm is proposed for the optimum voltage control, which is applicable for the large Radial Distribution Systems (RDSs). In the RDSs, voltage levels at different buses can be maintained within the specified limits using the conductor grading or placing the Voltage Regulators (VRs) and capacitors at suitable locations. The proposed Back Tracking Algorithm (BTA) proposes the optimal location, number and tap positions of VRs to maintain the voltage profile within the desired limits and decreases losses in the system, which in turn maximizes the net savings in the operation of distribution system. In addition to BTA, an approach using the fuzzy logic called Fuzzy Expert System (FES) is also proposed, and the results of FES are compared with the results of BTA. This heuristic algorithm proposes the optimal location and tap setting of VRs, which contributes a smooth voltage profile along the network. It also used to access the minimum number of initially considered VRs, by moving them in such way as to control the network voltage at minimum possible cost. It is concluded that the FES also gives the optimal placement and the number along with the tap settings of VRs. The proposed FES contributes good voltage regulation, and decreases the power loss which in turn increases the net savings when compared to the BTA. The effectiveness of the proposed heuristic approaches are examined on practical 47 bus and 69 bus Radial Distribution Systems (RDSs).

  8. Robotic-Assisted Left Ventricular Lead Placement.

    PubMed

    Bhatt, Advay G; Steinberg, Jonathan S

    2015-12-01

    Robot-assisted left ventricular lead implantation for cardiac resynchronization therapy is a feasible and safe technique with superior visualization, dexterity, and precision to target the optimal pacing site. The technique has been associated with clinical response and beneficial reverse remodeling comparable with the conventional approach via the coronary sinus. The lack of clinical superiority and a residual high nonresponder rate suggest that the appropriate clinical role for the technique remains as rescue therapy. Copyright © 2015 Elsevier Inc. All rights reserved.

  9. Modified endoscopic left inguinal lymphadenectomy.

    PubMed

    Alvarez-Maestro, M; Rios Gonzalez, E; Martinez-Piñeiro, L; Sanchez Gomez, F J

    2013-01-01

    Endoscopic Inguinal Lymphadenectomy is an evolution of laparoscopic surgery thanks to background in these techniques. This is a new technique and the indications in the field of penile tumors today are expanding. The technique aims at reducing the morbidity of the procedure without compromising the cancer control or reducing the template of the dissection. We present the modified endoscopic inguinal lymphadenectomy in a 70 years-old male patient with penile melanoma and positive sentinel lymph node in left inguinal limb. Intraoperative data, pathology, post operatory evolution and oncological follow-up is described Operative time was 120 min. Nine lymph nodes were retrieved and none of then showed positivity at pathology. There were no complications. The drain was kept for five days. After 12 months of follow up, no signs of disease progression were noted. The endoscopic inguinal lymphadenectomy is feasible in clinical practice. New studies with a greater number of patients and long-term follow-up may confirm the oncological efficacy and possible lower morbidity of these new approach. Copyright © 2012 AEU. Published by Elsevier Espana. All rights reserved.

  10. Left hemisphere dominance for movement.

    PubMed

    Haaland, Kathleen Y

    2006-12-01

    Clinical neuropsychology's dependence upon a core scientific background in clinical neuropsychology, and clinical psychology, neurology, and neuroanatomy, as well as biopsychology, cognitive neuroscience, and cognitive science is the basis of its designation as an APA-approved clinical specialty. This dependence highlights the importance of these scientific underpinnings and the scientist-practitioner model of training, detailed in the Houston Guidelines. This presentation is meant to demonstrate that cognitive neuroscience research should influence our conception of brain behavior relationships, which, in turn, should influence our clinical work. In addition, I want to illustrate how the utilization of converging methods, which is an increasingly popular approach to research, can ensure more valid conclusions about the neuroanatomical substrates for complex skills. Limb apraxia will be used as an example of a deficit that has functional implications and whose cognitive mechanisms and neuroanatomical correlates are better understood as a result of research that combines neuroanatomical imaging of brain damaged patients, functional imaging, and cognitive paradigms. This work demonstrates that left frontoparietal circuits control limb praxis and motor sequencing, suggesting that these complex motor skills should be examined in patients with such damage.

  11. Radial Forearm Osteocutaneous Free Flap for Reconstruction of Hard Palate With Alveolar Defect.

    PubMed

    Jeong, Euicheol C; Yoon, Sehoon; Jung, Young Ho

    2017-07-01

    The radial forearm free flap is beneficial for reconstruction of large palatal defect with oronasal fistula.A 51-year-old male patient who had anterior palate defect including alveolus after the radiation therapy of malignant cancer on the nasopharyngeal area undertook the radial forearm osteocutaneous free flap to close the oronasal fisula and restore the alveolar arch. The small radial bone segment was fixed in the alveolar defect and vascular anastomoses were performed with facial vessels in neck. The donor site was closed with split thickness skin graft. All suture wounds in the oral and nasal side had healed primarily with no complication within 1 month. The patient was able to swallow soluble foods in the 3 weeks postoperatively without the leakage phenomena in the nose and decreased hypernasality nature in his speech. Grafted bone union at alveolus was confirmed by follow-up computed tomography scan. There was no complication at left forearm donor site with intact musculoskeletal function.Radial forearm osteocutaneous free flap is a versatile option for its capability of reconstruction in complicated defect of soft and hard plate with alveolar defect.

  12. Radial forearm free flap morbidity: A rare case of a normal preoperative arteriogram and acute intraoperative hand ischemia.

    PubMed

    Bruner, Terrence W; Hanasono, Matthew M; Skoracki, Roman J

    2011-01-01

    Since its first description in 1981, the radial forearm free flap has become a valuable tool for reconstructive microsurgery. However, there are potential complications associated with the flap - the most feared being hand ischemia from sacrifice of the radial artery. Fortunately, acute ischemic complications are exceedingly rare, with only two cases reported in the literature. Options for preoperative evaluation of the donor extremity include the Allen's test, ultrasonography and angiography. A preoperative arteriogram is considered to be the definitive method to evaluate arterial anatomy, patency, and collateralization between the radial and ulnar arteries. The current article presents the authors' experience with a patient who had a delayed Allen's test and a normal arteriogram of his left upper extremity, and who developed acute intraoperative hand ischemia, requiring reconstruction of his radial artery, after elevation of a radial forearm free flap.Although exceedingly rare, the occurrence of acute vascular insufficiency is always a possibility and must be kept in mind when harvesting a radial forearm free flap. The surgeon should be prepared to perform an interposition vein graft reconstruction to avoid any potential complications. Clinical examination and judgment may be more important than radiological studies in certain cases.

  13. Radial forces within muscle fibers in rigor.

    PubMed

    Maughan, D W; Godt, R E

    1981-01-01

    Considering the widely accepted cross-bridge model of muscle contraction (Huxley. 1969. Science [Wash. D. C.]. 164:1356-1366), one would expect that attachment of angled cross-bridges would give rise to radial as well as longitudinal forces in the muscle fiber. These forces would tend, in most instances, to draw the myofilaments together and to cause the fiber to decrease in width. Using optical techniques, we have observed significant changes in the width of mechanically skinned frog muscle fibers when the fibers are put into rigor by deleting ATP from the bathing medium. Using a high molecular weight polymer polyvinylpyrrolidone (PVP-40; number average mol. wt. (Mn) = 40,000) in the bathing solution, we were able to estimate the magnitude of the radial forces by shrinking the relaxed fiber to the width observed with rigor induction. With rigor, fiber widths decreased up to approximately 10%, with shrinking being greater at shorter sarcomere spacing and at lower PVP concentrations. At higher PVP concentrations, some fibers actually swelled slightly. Radial pressures seen with rigor in 2 and 4% PVP ranged up to 8.9 x 10(3) N/m2. Upon rigor induction, fibers exerted a longitudinal force of approximately 1 x 10(5) N/m2 that was inhibited by high PVP concentrations (greater than or equal to 13%). In very high PVP concentrations (greater than or equal to 20%), fibers exerted an anomalous force, independent of ATP, which ranged up to 6 x 10(4) N/m2 at 60% PVP. Assuming that all the radial force is the result of cross-bridge attachment, we calculated that rigor cross-bridges exert a radial force of 0.2 x 1.2 x 10(-9) N per thick filament in sarcomeres near rest length. This force is of roughly the same order of magnitude as the longitudinal force per thick filament in rigor contraction or in maximal (calcium-activated) contraction of skinned fibers in ATP-containing solutions. Inasmuch as widths of fibers stretched well beyond overlap of thick and thin filaments

  14. New Measurements of Radial Mode Eigenfrequencies

    NASA Astrophysics Data System (ADS)

    Laske, G.; Masters, G.; Dziewonski, A. M.

    2001-12-01

    Radial mode eigenfrequencies are commonly thought to be measured with great ease and precision. The reason for this is that these modes have no geographic pattern so one should be able to measure frequencies from a spectrum observed at any station in the world. Yet, radial modes often seem inconsistent with spherical Earth models that fit all other mode frequencies. It turns out that radial modes are sometimes strongly coupled. The strongest coupling is predicted to be with l=2 modes which is caused by the Earth's hydrostatic ellipticity and aspherical structure of harmonic degree 2. In such cases, mode-coupling due to ellipticity alone can cause a frequency shift for the radial modes by more than 4 microHz. Given that mode frequencies can be measured to within 0.1 microHz, this shift is significant, and some singlets of l=2 modes have indeed been misidentified as the radial mode in the past. Including the spectra of the June 23, 2001 Southern Peru Earthquake we have re-analyzed radial mode eigenfrequencies and present a mode dataset that is internally more consistent than previous ones. We construct spherical Earth models that are consistent with our new data, the Earth's mass and moment of inertia and the current best estimates of ``Reference Normal Mode Data'' (available on the Reference Earth Model web site: //mahi.ucsd.edu/Gabi/rem.html). We seek the smallest perturbation to PREM but update the Q-structure as well as the depths of the upper mantle discontinuities (418~km and 660~km as first order discontinuities; 520~km as change in gradient). The best fitting 1D model is transversely isotropic but we also show isotropic models that fit the data to within their errors. We show that the 220~km discontinuity is not required in the isotropic model but that there exists a trade-off between high shear-velocities in the lid and a low-density zone beneath it. We also investigate ways of truncating transverse isotropy without the 220.

  15. Mechanisms governing radial heat fluxes in tokamak plasma

    SciTech Connect

    Razumova, K. A. Timchenko, N. N.; Dnestrovskij, A. Yu.; Lysenko, S. E.

    2016-09-15

    A method for analyzing the characteristics of turbulence responsible for radial heat transport is proposed. The method is based on the previously proposed hypotheses (to a great extent, confirmed experimentally) concerning the consistency of normalized pressure profiles in tokamak plasmas and the mechanism of internal transport barrier formation. Using the proposed approach, it is shown that, under an external action on the plasma, when the plasma heat flux onto the wall grows, the spectrum of turbulent modes broadens due to the excitation of modes with lower poloidal numbers m. Thus, in contrast to the conventional diffusion approach, the transport coefficient depends on the flux intensity. A mechanism of formation of internal transport barriers is proposed.

  16. Median to radial nerve transfer for treatment of radial nerve palsy. Case report.

    PubMed

    Mackinnon, Susan E; Roque, Brandon; Tung, Thomas H

    2007-09-01

    The purpose of this study is to report a surgical technique of nerve transfer to restore radial nerve function after a complete palsy due to a proximal injury to the radial nerve. The authors report the case of a patient who underwent direct nerve transfer of redundant or expendable motor branches of the median nerve in the proximal forearm to the extensor carpi radialis brevis and the posterior interosseous branches of the radial nerve. Assessment included degree of recovery of wrist and finger extension, and median nerve function including pinch and grip strength. Clinical evidence of reinnervation was noted at 6 months postoperatively. The follow-up period was 18 months. Recovery of finger and wrist extension was almost complete with Grade 4/5 strength. Pinch and grip strength were improved postoperatively. No motor or sensory deficits related to the median nerve were noted, and the patient is very satisfied with her degree of functional restoration. Transfer of redundant synergistic motor branches of the median nerve can successfully reinnervate the finger and wrist extensor muscles to restore radial nerve function. This median to radial nerve transfer offers an alternative to nerve repair, graft, or tendon transfer for the treatment of radial nerve palsy.

  17. Left ventricular assist device outflow graft: alternative sites.

    PubMed

    El-Sayed Ahmed, Magdy M; Aftab, Muhammad; Singh, Steve K; Mallidi, Hari R; Frazier, Oscar H

    2014-09-01

    We describe three alternative approaches for the left ventricular assist device (LVAD) outflow graft during implantation of the LVAD. The supraceliac abdominal aorta, innominate artery and left axillary artery were employed as alternative sites for the LVAD outflow graft in the setting of a heavily calcified ascending aorta or a hostile chest wall and mediastinum. The first approach involved the use of the supraceliac abdominal aorta. Given that the patient had a history of multiple previous breast surgeries and chest wall radiation for breast cancer treatment, a left subcostal incision was employed as a sternotomy-sparing approach. The second approach was the use of the innominate artery in a patient with a porcelain ascending aorta. The patient underwent pulmonary valve replacement, right ventricle outflow tract reconstruction and tricuspid valve annuloplasty in addition to the LVAD implantation. The third approach was the use of the left axillary artery. This patient had a history of LVAD implantation and subsequently developed infection with pseudoaneurysm formation at the aortic anastomosis of the outflow graft. We conclude that the supraceliac abdominal aorta, the innominate artery and the left axillary artery are potential alternative routes for the LVAD outflow graft in the settings of heavily calcified ascending aorta or a hostile chest wall and mediastinum. Although the described alternative approaches are safe and viable options, we highly recommend utilizing these approaches only in selected patients with significantly higher risks and hazards to the standard surgical approach.

  18. Laparoscopic versus open left lateral segmentectomy

    PubMed Central

    Carswell, Kirstin A; Sagias, Filippos G; Murgatroyd, Beth; Rela, Mohamed; Heaton, Nigel; Patel, Ameet G

    2009-01-01

    Background Laparoscopic liver surgery is becoming increasingly common. This cohort study was designed to directly compare perioperative outcomes of the left lateral segmentectomy via laparoscopic and open approach. Methods Between 2002 and 2006 43 left lateral segmentectomies were performed at King's College Hospital. Those excluded from analysis included previous liver resections, polycystic liver disease, liver cirrhosis and synchronous operations. Of 20 patients analysed, laparoscopic (n = 10) were compared with open left lateral segmentectomy (n = 10). Both groups had similar patient characteristics. Results Morbidity rates were similar with no wound or chest infection in either group. The conversion rate was 10% (1/10). There was no difference in operating time between the groups (median time 220 minutes versus 179 minutes, p = 0.315). Surgical margins for all lesions were clear. Less postoperative opiate analgesics were required in the laparoscopic group (median 2 days versus 5 days, p = 0.005). The median postoperative in-hospital stay was less in the laparoscopic group (6 days vs 9 days, p = 0.005). There was no mortality. Conclusion Laparoscopic left lateral segmentectomy is safe and feasible. Laparoscopic patients may benefit from requiring less postoperative opiate analgesia and a shorter post-operative in-hospital stay. PMID:19735573

  19. Multifractal structures in radial velocity measurements for exoplanets

    NASA Astrophysics Data System (ADS)

    Del Sordo, Fabio; Sahil Agarwal, Debra A. Fischer, John S. Wettlaufer

    2015-01-01

    The radial velocity method is a powerful way to search for exoplanetary systems and it led to many discoveries of exoplanets in the last 20 years.Nevertheless, in order observe Earth-like planets, such method needs to be refined, i.e. one needs to improve the signal-to-noise ratio.On one hand this can be achieved by building spectrographs with better performances, but on the other hand it is also central to understand the noise present in the data.Radial-velocity data are time-series which contains the effect of planets as well as of stellar disturbances. Therefore, they are the result of different physical processes which operate on different time-scales, acting in a not always periodic fashionI present here a possible approach to such problem, which consists in looking for multifractal structures in the time-series coming from radial velocity measurements, identifying the underlying long-range correlations and fractal scaling properties, and connecting them to the underlying physical processes, like stellar oscillation, granulation, rotation, and magnetic activity.This method has been previously applied to satellite data related to Arctic sea albedo, relevant for identify trends and noise in the Arctic sea ice (Agarwal, Moon and Wettlaufer, Proc. R. Soc., 2012).Here we use such analysis for exoplanetary data related to possible Earth-like planets.Moreover, we apply the same procedure to synthetic data from numerical simulation of stellar dynamos, which give insight on the mechanism responsible for the noise. In such way we can therefore raise the signal-to-noise ratio in the data using the synthetic data as predicted noise to be subtracted from the observations.

  20. Left ventricular wall stress compendium.

    PubMed

    Zhong, L; Ghista, D N; Tan, R S

    2012-01-01

    Left ventricular (LV) wall stress has intrigued scientists and cardiologists since the time of Lame and Laplace in 1800s. The left ventricle is an intriguing organ structure, whose intrinsic design enables it to fill and contract. The development of wall stress is intriguing to cardiologists and biomedical engineers. The role of left ventricle wall stress in cardiac perfusion and pumping as well as in cardiac pathophysiology is a relatively unexplored phenomenon. But even for us to assess this role, we first need accurate determination of in vivo wall stress. However, at this point, 150 years after Lame estimated left ventricle wall stress using the elasticity theory, we are still in the exploratory stage of (i) developing left ventricle models that properly represent left ventricle anatomy and physiology and (ii) obtaining data on left ventricle dynamics. In this paper, we are responding to the need for a comprehensive survey of left ventricle wall stress models, their mechanics, stress computation and results. We have provided herein a compendium of major type of wall stress models: thin-wall models based on the Laplace law, thick-wall shell models, elasticity theory model, thick-wall large deformation models and finite element models. We have compared the mean stress values of these models as well as the variation of stress across the wall. All of the thin-wall and thick-wall shell models are based on idealised ellipsoidal and spherical geometries. However, the elasticity model's shape can vary through the cycle, to simulate the more ellipsoidal shape of the left ventricle in the systolic phase. The finite element models have more representative geometries, but are generally based on animal data, which limits their medical relevance. This paper can enable readers to obtain a comprehensive perspective of left ventricle wall stress models, of how to employ them to determine wall stresses, and be cognizant of the assumptions involved in the use of specific models.

  1. Left Ventricular Thrombus Formation After Repair of Anomalous Left Coronary Artery From the Pulmonary Artery

    PubMed Central

    Freud, Lindsay R.; Koenig, Peter R.; Russell, Hyde M.; Patel, Angira

    2014-01-01

    Although thrombus formation following myocardial infarction in adults is well known, intracardiac thrombosis in children is uncommon. We report the case of a large left ventricular thrombus in an infant with ischemic cardiomyopathy secondary to anomalous origin of the left coronary artery from the pulmonary artery. Given its mobility and protrusion across the aortic valve, the patient underwent urgent thrombus removal through a transaortic approach. There were no embolic or neurologic complications. This case highlights that thrombectomy may be performed safely and successfully in critically ill pediatric patients. PMID:24668990

  2. Si Radial p-i-n Junction Photovoltaic Arrays with Built-In Light Concentrators.

    PubMed

    Yoo, Jinkyoung; Nguyen, Binh-Minh; Campbell, Ian H; Dayeh, Shadi A; Schuele, Paul; Evans, David; Picraux, S Tom

    2015-05-26

    High-performance photovoltaic (PV) devices require strong light absorption, low reflection and efficient photogenerated carrier collection for high quantum efficiency. Previous optical studies of vertical wires arrays have revealed that extremely efficient light absorption in the visible wavelengths is achievable. Photovoltaic studies have further advanced the wire approach by employing radial p-n junction architectures to achieve more efficient carrier collection. While radial p-n junction formation and optimized light absorption have independently been considered, PV efficiencies have further opportunities for enhancement by exploiting the radial p-n junction fabrication procedures to form arrays that simultaneously enhance both light absorption and carrier collection efficiency. Here we report a concept of morphology control to improve PV performance, light absorption and quantum efficiency of silicon radial p-i-n junction arrays. Surface energy minimization during vapor phase epitaxy is exploited to form match-head structures at the tips of the wires. The match-head structure acts as a built-in light concentrator and enhances optical absorptance and external quantum efficiencies by 30 to 40%, and PV efficiency under AM 1.5G illumination by 20% compared to cylindrical structures without match-heads. The design rules for these improvements with match-head arrays are systematically studied. This approach of process-enhanced control of three-dimensional Si morphologies provides a fab-compatible way to enhance the PV performance of Si radial p-n junction wire arrays.

  3. Lattice radial quantization: 3D Ising

    NASA Astrophysics Data System (ADS)

    Brower, R. C.; Fleming, G. T.; Neuberger, H.

    2013-04-01

    Lattice radial quantization is introduced as a nonperturbative method intended to numerically solve Euclidean conformal field theories that can be realized as fixed points of known Lagrangians. As an example, we employ a lattice shaped as a cylinder with a 2D Icosahedral cross-section to discretize dilatations in the 3D Ising model. Using the integer spacing of the anomalous dimensions of the first two descendants (l = 1, 2), we obtain an estimate for η = 0.034 (10). We also observed small deviations from integer spacing for the 3rd descendant, which suggests that a further improvement of our radial lattice action will be required to guarantee conformal symmetry at the Wilson-Fisher fixed point in the continuum limit.

  4. New radial engine technology from Kongsburg

    SciTech Connect

    Mowill, R.J.; Strom, S.

    1983-01-01

    The first engine of a new family of high performance, rugged radial turbines is presented. The new single shaft 1500 kW site rated KG3 is built upon extensive experience from the field proven KG2 of the same nominal power. The KG3 is being developed both as a simple cycle and recuperated engine providing specific fuel consumptions in the range of 0.29 to 0.19 kg/kW-hr (0.47 to 0.32 lbs/hp-hr). The new Kongsberg engine makes use of a high specific speed high pressure ratio centrifugal compressor combined with a very high tip speed uncooled radial turbine to obtain optimized aerodynamic matching. Several novel design features ar described.

  5. SpicyNodes Radial Map Engine

    NASA Astrophysics Data System (ADS)

    Douma, M.; Ligierko, G.; Angelov, I.

    2008-10-01

    The need for information has increased exponentially over the past decades. The current systems for constructing, exploring, classifying, organizing, and searching information face the growing challenge of enabling their users to operate efficiently and intuitively in knowledge-heavy environments. This paper presents SpicyNodes, an advanced user interface for difficult interaction contexts. It is based on an underlying structure known as a radial map, which allows users to manipulate and interact in a natural manner with entities called nodes. This technology overcomes certain limitations of existing solutions and solves the problem of browsing complex sets of linked information. SpicyNodes is also an organic system that projects users into a living space, stimulating exploratory behavior and fostering creative thought. Our interactive radial layout is used for educational purposes and has the potential for numerous other applications.

  6. Development of large radial turbine turbochargers

    SciTech Connect

    Winn, K.R.; Hirst, P.; Kay, P.

    1996-12-31

    The use of fully radial turbochargers for medium speed diesel engines have largely been restricted to distillate fuel operation at relatively modest pressure ratios. Pressures on costs per kW have forced the industry to push for increases in rating and range of operation for these machines. The development of a high pressure ratio radial turbocharger with the capability to operate reliably on heavy fuel has become a high priority. This paper discusses the development of a range of such machines to cover engine output of between 500 kW and 1.6 MW. The original design of the first turbocharger in the range, the NAPIER 047, is reviewed together with the development and operational experiences gained to date. These have been incorporated into the latest two turbochargers in the range, the NAPIER 057 and 067. The paper includes descriptions of the means taken to achieve minimum time to market and low cost of manufacture.

  7. Linear radial pulsation theory. Lecture 5

    SciTech Connect

    Cox, A.N.

    1983-01-01

    We describe a method for getting an equilibrium stellar envelope model using as input the total mass, the envelope mass, the surface effective temperature, the total surface luminosity, and the composition of the envelope. Then wih the structure of the envelope model known, we present a method for obtaining the raidal pulsation periods and growth rates for low order modes. The large amplitude pulsations observed for the yellow and red giants and supergiants are always these radial models, but for the stars nearer the main sequence, as for all of our stars and for the white dwarfs, there frequently are nonradial modes occuring also. Application of linear theory radial pulsation theory is made to the giant star sigma Scuti variables, while the linear nonradial theory will be used for the B stars in later lectures.

  8. Radial spline assembly for antifriction bearings

    NASA Technical Reports Server (NTRS)

    Moore, Jerry H. (Inventor)

    1993-01-01

    An outer race carrier is constructed for receiving an outer race of an antifriction bearing assembly. The carrier in turn is slidably fitted in an opening of a support wall to accommodate slight axial movements of a shaft. A plurality of longitudinal splines on the carrier are disposed to be fitted into matching slots in the opening. A deadband gap is provided between sides of the splines and slots, with a radial gap at ends of the splines and slots and a gap between the splines and slots sized larger than the deadband gap. With this construction, operational distortions (slope) of the support wall are accommodated by the larger radial gaps while the deadband gaps maintain a relatively high springrate of the housing. Additionally, side loads applied to the shaft are distributed between sides of the splines and slots, distributing such loads over a larger surface area than a race carrier of the prior art.

  9. Precise Near-Infrared Radial Velocities

    NASA Astrophysics Data System (ADS)

    Plavchan, Peter; Gao, Peter; Gagne, Jonathan; Furlan, Elise; Brinkworth, Carolyn; Bottom, Michael; Tanner, Angelle; Anglada-Escude, Guillem; White, Russel; Davison, Cassy; Mills, Sean; Beichman, Chas; Johnson, John Asher; Ciardi, David; Wallace, Kent; Mennesson, Bertrand; Vasisht, Gautam; Prato, Lisa; Kane, Stephen; Crawford, Sam; Crawford, Tim; Sung, Keeyoon; Drouin, Brian; Lin, Sean; Leifer, Stephanie; Catanzarite, Joe; Henry, Todd; von Braun, Kaspar; Walp, Bernie; Geneser, Claire; Ogden, Nick; Stufflebeam, Andrew; Pohl, Garrett; Regan, Joe

    2016-01-01

    We present the results of two 2.3 μm near-infrared (NIR) radial velocity (RV) surveys to detect exoplanets around 36 nearby and young M dwarfs. We use the CSHELL spectrograph (R ~ 46,000) at the NASA InfraRed Telescope Facility (IRTF), combined with an isotopic methane absorption gas cell for common optical path relative wavelength calibration. We have developed a sophisticated RV forward modeling code that accounts for fringing and other instrumental artifacts present in the spectra. With a spectral grasp of only 5 nm, we are able to reach long-term radial velocity dispersions of ~20-30 m s-1 on our survey targets.

  10. Simple proposal for radial 3D needlets

    NASA Astrophysics Data System (ADS)

    Durastanti, C.; Fantaye, Y.; Hansen, F.; Marinucci, D.; Pesenson, I. Z.

    2014-11-01

    We present here a simple construction of a wavelet system for the three-dimensional ball, which we label radial 3D needlets. The construction envisages a data collection environment in which an observer located at the center of the ball is surrounded by concentric spheres with the same pixelization at different radial distances, for any given resolution. The system is then obtained by weighting the projector operator built on the corresponding set of eigenfunctions and performing a discretization step which turns out to be computationally very convenient. The resulting wavelets can be shown to have very good localization properties in the real and harmonic domain; their implementation is computationally very convenient, and they allow for exact reconstruction as they form a tight frame system. Our theoretical results are supported by an extensive numerical analysis.

  11. Direct Measurement of Left Atrial Pressure during Routine Transradial Catheterization

    PubMed Central

    Fa'ak, Faisal; Younis, George

    2016-01-01

    Left atrial pressure indicates the left ventricular filling pressure in patients who have systolic or diastolic left ventricular dysfunction or valvular heart disease. The use of indirect surrogate methods to determine left atrial pressure has been essential in the modern evaluation and treatment of cardiovascular disease because of the difficulty and inherent risks associated with direct methods (typically the transseptal approach). One method that has been widely used to determine left atrial pressure indirectly is Swan-Ganz catheterization, in which a balloon-flotation technique is applied to measure pulmonary capillary wedge pressure; however, this approach has been associated with several limitations and potential risks. Measuring left ventricular end-diastolic pressure has also been widely used as a simple means to estimate filling pressures but remains a surrogate for the gold standard of directly measuring left atrial pressure. We describe a simple, low-risk method to directly measure left atrial pressure that involves the use of standard coronary catheterization techniques during a transradial procedure. PMID:28100968

  12. Radial rib antenna surface deviation analysis program

    NASA Technical Reports Server (NTRS)

    Coyner, J. V., Jr.

    1971-01-01

    A digital computer program was developed which analyzes any radial rib antenna with ribs radiating from a central hub. The program has the capability for calculating the antenna surface contour (reversed pillowing effect), the optimum rib shape for minimizing the rms surface error, and the actual rms surface error. Rib deflection due to mesh tension and catenary cable tension can also be compensated for, and the pattern from which the mesh gores are cut can be determined.

  13. Radial SI latches vibration test data review

    NASA Technical Reports Server (NTRS)

    Harrison, P. M.; Smith, J. L.

    1984-01-01

    Dynamic testing of the Space Telescope Scientific Instrument Radial Latches was performed as specified by the designated test criteria. No structural failures were observed during the test. The alignment stability of the instrument simulator was within required tolerances after testing. Particulates were discovered around the latch bases, after testing, due to wearing at the B and C latch interface surfaces. This report covers criteria derivation, testing, and test results.

  14. Radial Evolution of the Solar Wind

    NASA Astrophysics Data System (ADS)

    Elliott, H. A.; Delamere, P. A.

    2016-12-01

    New Horizons now provides another radial slice of solar wind measurements in the ecliptic in the 11 to 36 AU distance range. We extend our prior analysis of the radial evolution of the solar wind by including recent New Horizon observations and analyzing Ulysses, and Voyagers 1 & 2 observations using the same techniques. Most of the Ulysses observations between 3 and 5.4 AU were out of the ecliptic, but the Voyager observations were close to the ecliptic from 1 to 40 AU. Another key difference between is that the Voyager and Ulysses measurements were collected in more active solar cycles than the New Horizons ones. We examine how the dynamic interaction of the fast and slow wind, which creates compressions and rarefactions, impacts the radial evolution of the temperature-speed relationship. No clear signatures of slowing and heating of the solar wind owing to interaction with the interstellar material is observed, when one collectively analyzes the radial profiles of the solar wind parameters inside of 40 AU using data from one of these missions. However, comparisons of 1 AU and outer heliospheric wind observations reveals that solar wind structures are significantly worn down and/or merge together with increasing distance from the Sun. We speculate that compression regions may have additional slowing and heating of the wind compared to rarefactions since the compressions are more dense and have elevated levels of interstellar pickup. Such a difference would not be obvious if the solar wind observations were collectively analyzed without first sorting the compressions and rarefactions. We perform such sorting and use hybrid simulations of dense compression regions (in the 20-36 AU distance range) to assess if there is enhanced slowing or heating owing to interaction of the solar wind with interstellar material in the compression regions.

  15. Wavelets, Fractals, and Radial Basis Functions

    DTIC Science & Technology

    2007-11-02

    of Signal Processing. San Diego, CA: Aca- demic, 1998. [13] G. Strang and T. Q. Nguyen, Wavelets and Filter Banks . Cambridge, MA: Wellesley-Cambridge...localization, multiresolution, radial basis functions, re- finement filter , scaling functions, self-similarity, splines, tempered distributions, two-scale...one linear constraint per basis function, and the corresponding linear system of equations is invertible under relatively mild conditions [11]. The

  16. [Radial nerve paralysis in congenital angioleiomyoma].

    PubMed

    Sünram, F; Hippe, P

    1979-01-01

    An isolated paralysis of the radial nerve in a newborn was reported. The displaced growth of the histologically proved angioleiomyoma caused a circumferential compression with subsequent atrophy of the nerve (Fig. 4). During operative treatment of the tumor, the damaged part of the nerve was resected, too. In a second stage the defect in the nerve was closed by suralis grafts. Possibly due to scar adhesions a good result was not obtained.

  17. Approximate theory for radial filtration/consolidation

    SciTech Connect

    Tiller, F.M.; Kirby, J.M.; Nguyen, H.L.

    1996-10-01

    Approximate solutions are developed for filtration and subsequent consolidation of compactible cakes on a cylindrical filter element. Darcy`s flow equation is coupled with equations for equilibrium stress under the conditions of plane strain and axial symmetry for radial flow inwards. The solutions are based on power function forms involving the relationships of the solidosity {epsilon}{sub s} (volume fraction of solids) and the permeability K to the solids effective stress p{sub s}. The solutions allow determination of the various parameters in the power functions and the ratio k{sub 0} of the lateral to radial effective stress (earth stress ratio). Measurements were made of liquid and effective pressures, flow rates, and cake thickness versus time. Experimental data are presented for a series of tests in a radial filtration cell with a central filter element. Slurries prepared from two materials (Microwate, which is mainly SrSO{sub 4}, and kaolin) were used in the experiments. Transient deposition of filter cakes was followed by static (i.e., no flow) conditions in the cake. The no-flow condition was accomplished by introducing bentonite which produced a nearly impermeable layer with negligible flow. Measurement of the pressure at the cake surface and the transmitted pressure on the central element permitted calculation of k{sub 0}.

  18. Radial forearm free flap pharyngoesophageal reconstruction.

    PubMed

    Azizzadeh, B; Yafai, S; Rawnsley, J D; Abemayor, E; Sercarz, J A; Calcaterra, T C; Berke, G S; Blackwell, K E

    2001-05-01

    This study evaluates the outcome of pharyngoesophageal reconstruction using radial forearm free flaps with regard to primary wound healing, speech, and swallowing in patients requiring laryngopharyngectomy. Retrospective review in the setting of a tertiary, referral, and academic center. Twenty patients underwent reconstruction of the pharyngoesophageal segment using fasciocutaneous radial forearm free flaps. All free flap transfers were successful. An oral diet was resumed in 85% of the patients after surgery. Postoperative pharyngocutaneous fistulas occurred in 4 patients (20%) with 3 resolving spontaneously. Distal strictures also occurred in 20% of the patients. Five patients who underwent tracheoesophageal puncture achieved useful speech. Advantages of radial forearm free flaps for microvascular pharyngoesophageal function include high flap reliability, limited donor site morbidity, larger vascular pedicle caliber, and the ability to achieve good quality tracheoesophageal speech. The swallowing outcome is similar to that achieved after jejunal flap pharyngoesophageal reconstruction. The main disadvantage of this technique relates to a moderately high incidence of pharyngocutaneous fistulas, which contributes to delayed oral intake in affected patients.

  19. Development of a Radial Deconsolidation Method

    SciTech Connect

    Helmreich, Grant W.; Montgomery, Fred C.; Hunn, John D.

    2015-12-01

    A series of experiments have been initiated to determine the retention or mobility of fission products* in AGR fuel compacts [Petti, et al. 2010]. This information is needed to refine fission product transport models. The AGR-3/4 irradiation test involved half-inch-long compacts that each contained twenty designed-to-fail (DTF) particles, with 20-μm thick carbon-coated kernels whose coatings were deliberately fabricated such that they would crack under irradiation, providing a known source of post-irradiation isotopes. The DTF particles in these compacts were axially distributed along the compact centerline so that the diffusion of fission products released from the DTF kernels would be radially symmetric [Hunn, et al. 2012; Hunn et al. 2011; Kercher, et al. 2011; Hunn, et al. 2007]. Compacts containing DTF particles were irradiated at Idaho National Laboratory (INL) at the Advanced Test Reactor (ATR) [Collin, 2015]. Analysis of the diffusion of these various post-irradiation isotopes through the compact requires a method to radially deconsolidate the compacts so that nested-annular volumes may be analyzed for post-irradiation isotope inventory in the compact matrix, TRISO outer pyrolytic carbon (OPyC), and DTF kernels. An effective radial deconsolidation method and apparatus appropriate to this application has been developed and parametrically characterized.

  20. Pulmonary hypertension due to left heart disease.

    PubMed

    Berthelot, Emmanuelle; Bailly, Minh Tam; Hatimi, Safwane El; Robard, Ingrid; Rezgui, Hatem; Bouchachi, Amir; Montani, David; Sitbon, Olivier; Chemla, Denis; Assayag, Patrick

    Pulmonary hypertension due to left heart disease, also known as group 2 pulmonary hypertension according to the European Society of Cardiology/European Respiratory Society classification, is the most common cause of pulmonary hypertension. In patients with left heart disease, the development of pulmonary hypertension favours right heart dysfunction, which has a major impact on disease severity and outcome. Over the past few years, this condition has been considered more frequently. However, epidemiological studies of group 2 pulmonary hypertension are less exhaustive than studies of other causes of pulmonary hypertension. In group 2 patients, pulmonary hypertension may be caused by an isolated increase in left-sided filling pressures or by a combination of this condition with increased pulmonary vascular resistance, with an abnormally high pressure gradient between arteries and pulmonary veins. A better understanding of the conditions underlying pulmonary hypertension is of key importance to establish a comprehensive diagnosis, leading to an adapted treatment to reduce heart failure morbidity and mortality. In this review, epidemiology, mechanisms and diagnostic approaches are reviewed; then, treatment options and future approaches are considered. Copyright © 2017. Published by Elsevier Masson SAS.

  1. Onset of radial flow in p+p collisions

    DOE PAGES

    Jiang, Kun; Zhu, Yinying; Liu, Weitao; ...

    2015-02-23

    It has been debated for decades whether hadrons emerging from p+p collisions exhibit collective expansion. The signal of the collective motion in p+p collisions is not as clear as in heavy-ion collisions because of the low multiplicity and large fluctuation in p+p collisions. Tsallis Blast-Wave (TBW) model is a thermodynamic approach, introduced to handle the overwhelming correlation and fluctuation in the hadronic processes. We have systematically studied the identified particle spectra in p+p collisions from RHIC to LHC using TBW and found no appreciable radial flow in p+p collisions below √s = 900 GeV. At LHC higher energy of 7more » TeV in p+p collisions, the radial flow velocity achieves an average of (β) = 0.320 ± 0.005. This flow velocity is comparable to that in peripheral (40-60%) Au+Au collisions at RHIC. In addition, breaking of the identified particle spectra mT scaling was also observed at LHC from a model independent test.« less

  2. Total Lip Reconstruction with Tendinofasciocutaneous Radial Forearm Flap

    PubMed Central

    Silberstein, Eldad; Krieger, Yuval; Shoham, Yaron; Arnon, Ofer; Sagi, Amiram; Bogdanov-Berezovsky, Alexander

    2014-01-01

    Introduction. Squamous cell carcinoma is a common tumour of lower lip. Small defects created by surgical resection may be readily reconstructed by linear closure or with local flaps. However, large tumours resection often results with microstomia and oral incompetence, drooling, and speech incomprehension. The goal of this study is to describe our experience with composite free radial forearm-palmaris longus tendon flap for total or near total lower lip reconstruction. Patients and Methods. This procedure was used in 5 patients with 80–100% lip defect resulting from Squamous cell carcinoma. Patients' age ranged from 46 to 82 years. They are three male patients and two female. In 3 cases chin skin was reconstructed as well and in one case a 5 cm segment of mandible was reconstructed using radius bone. In one case where palmaris longus was missing hemi-flexor carpi radialis tendon was used instead. All patients tolerated the procedure well. Results. All flaps totally survived. No patient suffered from drooling. All patients regained normal diet and normal speech. Cosmetic result was fair to good in all patients accept one. Conclusion. We conclude that tendino-fasciocutaneous radial forearm flap for total lower lip reconstruction is safe. Functional and aesthetic result approaches reconstructive goals. PMID:24672301

  3. The Radial Velocity Precision of Fiber-fed Spectrographs

    NASA Astrophysics Data System (ADS)

    Walker, Gordon A. H.; Shkolnik, Evgenya; Bohlender, David A.; Yang, Stephenson

    2003-06-01

    We have measured the radial velocities of five 51 Peg-type stars and one star known to be constant in velocity. Our measurements, on 20 Å centered at 3947 Å, were conventional, using Th/Ar comparison spectra taken every 20 or 40 minutes between the stellar exposures. Existing IRAF routines were used for the reduction. We find σRV<=20 m s-1, provided that four measurements (out of 72) with residuals greater than 5 σRV are neglected. The observations were made on five nights with the CFHT Gecko spectrograph (R~110,000), fiber-fed by the CAFE system; σRV<=10 m s-1 seems possible with additional care. This study was incidental to the main observing program and is certainly not exhaustive, but the small value of σRV implies that the fiber feed/image slicer system on Gecko+CAFE essentially eliminates the long-standing problem of guiding errors in radial velocity measurements. We are not promoting this conventional approach for serious Doppler planet searches (especially with Gecko, which has such a small multiplex gain), but the precision is valuable for observations made in spectral regions remote from telluric lines or captive-gas fiducials. Instrument builders might consider the advantages of the CAFE optics, which incorporate agitation and invert the object and pupil to illuminate the slit and grating, respectively, in future spectrograph designs.

  4. A Goldilocks principle for modelling radial velocity noise

    NASA Astrophysics Data System (ADS)

    Feng, F.; Tuomi, M.; Jones, H. R. A.; Butler, R. P.; Vogt, S.

    2016-09-01

    The Doppler measurements of stars are diluted and distorted by stellar activity noise. Different choices of noise models and statistical methods have led to much controversy in the confirmation of exoplanet candidates obtained through analysing radial velocity data. To quantify the limitation of various models and methods, we compare different noise models and signal detection criteria for various simulated and real data sets in the Bayesian framework. According to our analyses, the white noise model tend to interpret noise as signal, leading to false positives. On the other hand, the red noise models are likely to interpret signal as noise, resulting in false negatives. We find that the Bayesian information criterion combined with a Bayes factor threshold of 150 can efficiently rule out false positives and confirm true detections. We further propose a Goldilocks principle aimed at modelling radial velocity noise to avoid too many false positives and too many false negatives. We propose that the noise model with RHK-dependent jitter is used in combination with the moving average model to detect planetary signals for M dwarfs. Our work may also shed light on the noise modelling for hotter stars, and provide a valid approach for finding similar principles in other disciplines.

  5. Calculation of transonic flow in radial turbine blade cascade

    NASA Astrophysics Data System (ADS)

    Petr, Straka

    2017-09-01

    Numerical modeling of transonic centripetal turbulent flow in radial blade cascade is described in this paper. Attention is paid to effect of the outlet confusor on flow through the radial blade cascade. Parameters of presented radial blade cascade are compared with its linear representation

  6. 14 CFR 71.7 - Bearings, radials, and mileages.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Bearings, radials, and mileages. 71.7 Section 71.7 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION... REPORTING POINTS § 71.7 Bearings, radials, and mileages. All bearings and radials in this part are true and...

  7. 14 CFR 73.5 - Bearings; radials; miles.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Bearings; radials; miles. 73.5 Section 73.5 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIRSPACE SPECIAL USE AIRSPACE General § 73.5 Bearings; radials; miles. (a) All bearings and radials in this part...

  8. 14 CFR 73.5 - Bearings; radials; miles.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 2 2013-01-01 2013-01-01 false Bearings; radials; miles. 73.5 Section 73.5 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIRSPACE SPECIAL USE AIRSPACE General § 73.5 Bearings; radials; miles. (a) All bearings and radials in this...

  9. 14 CFR 71.7 - Bearings, radials, and mileages.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 2 2013-01-01 2013-01-01 false Bearings, radials, and mileages. 71.7 Section 71.7 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION... REPORTING POINTS § 71.7 Bearings, radials, and mileages. All bearings and radials in this part are true...

  10. 14 CFR 71.7 - Bearings, radials, and mileages.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 2 2014-01-01 2014-01-01 false Bearings, radials, and mileages. 71.7 Section 71.7 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION... REPORTING POINTS § 71.7 Bearings, radials, and mileages. All bearings and radials in this part are true...

  11. 14 CFR 73.5 - Bearings; radials; miles.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 2 2011-01-01 2011-01-01 false Bearings; radials; miles. 73.5 Section 73.5 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIRSPACE SPECIAL USE AIRSPACE General § 73.5 Bearings; radials; miles. (a) All bearings and radials in this...

  12. 14 CFR 71.7 - Bearings, radials, and mileages.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 2 2012-01-01 2012-01-01 false Bearings, radials, and mileages. 71.7 Section 71.7 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION... REPORTING POINTS § 71.7 Bearings, radials, and mileages. All bearings and radials in this part are true...

  13. 14 CFR 73.5 - Bearings; radials; miles.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 2 2012-01-01 2012-01-01 false Bearings; radials; miles. 73.5 Section 73.5 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIRSPACE SPECIAL USE AIRSPACE General § 73.5 Bearings; radials; miles. (a) All bearings and radials in this...

  14. 14 CFR 73.5 - Bearings; radials; miles.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 2 2014-01-01 2014-01-01 false Bearings; radials; miles. 73.5 Section 73.5 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIRSPACE SPECIAL USE AIRSPACE General § 73.5 Bearings; radials; miles. (a) All bearings and radials in this...

  15. 14 CFR 71.7 - Bearings, radials, and mileages.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 2 2011-01-01 2011-01-01 false Bearings, radials, and mileages. 71.7 Section 71.7 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION... REPORTING POINTS § 71.7 Bearings, radials, and mileages. All bearings and radials in this part are true...

  16. Linear theory radial and nonradial pulsations of DA dwarf stars

    SciTech Connect

    Starrfield, S.; Cox, A.N.; Hodson, S.; Pesnell, W.D.

    1982-07-28

    The Los Alamos stellar envelope and radial linear non-adiabatic computer code, along with a new Los Alamos non-radial code are used to investigate the total hydrogen mass necessary to produce the non-radial instability of DA dwarfs. (GHT)

  17. Intraoperative in situ radial artery conduit flow assessment.

    PubMed

    Canver, Charles C; Yousafzai, Sajjad M

    2008-01-01

    A technique is described for simple flow assessment of the in situ radial artery conduit during coronary bypass via a small incision. This technique allows morphologic and physiologic direct intraoperative assessment of radial artery quality and expands the use of radial artery during coronary artery surgery.

  18. Global existence and boundedness of radial solutions to a two dimensional fully parabolic chemotaxis system with general sensitivity

    NASA Astrophysics Data System (ADS)

    Fujie, Kentarou; Senba, Takasi

    2016-08-01

    This paper deals with positive radially symmetric solutions of the Neumann boundary value problem for the fully parabolic chemotaxis system, {ut=Δu-∇ṡ(u∇χ(v))in Ω×(0,∞),τvt=Δv-v+uin Ω×(0,∞), in a ball Ω \\subset {{{R}}2} with general sensitivity function χ (v) satisfying {χ\\prime}>0 and decaying property {χ\\prime}(s)\\to 0 (s\\to ∞ ), parameter τ \\in ≤ft(0,1\\right] and nonnegative radially symmetric initial data. It is shown that if τ \\in ≤ft(0,1\\right] is sufficiently small, then the problem has a unique classical radially symmetric solution, which exists globally and remains uniformly bounded in time. Especially, this result establishes global existence of solutions in the case χ (v)={χ0}log v for all {χ0}>0 , which has been left as an open problem.

  19. Experimental feasibility study of radial injection cooling of three-pad radial air foil bearings

    NASA Astrophysics Data System (ADS)

    Shrestha, Suman K.

    Air foil bearings use ambient air as a lubricant allowing environment-friendly operation. When they are designed, installed, and operated properly, air foil bearings are very cost effective and reliable solution to oil-free turbomachinery. Because air is used as a lubricant, there are no mechanical contacts between the rotor and bearings and when the rotor is lifted off the bearing, near frictionless quiet operation is possible. However, due to the high speed operation, thermal management is one of the very important design factors to consider. Most widely accepted practice of the cooling method is axial cooling, which uses cooling air passing through heat exchange channels formed underneath the bearing pad. Advantage is no hardware modification to implement the axial cooling because elastic foundation structure of foil bearing serves as a heat exchange channels. Disadvantage is axial temperature gradient on the journal shaft and bearing. This work presents the experimental feasibility study of alternative cooling method using radial injection of cooling air directly on the rotor shaft. The injection speeds, number of nozzles, location of nozzles, total air flow rate are important factors determining the effectiveness of the radial injection cooling method. Effectiveness of the radial injection cooling was compared with traditional axial cooling method. A previously constructed test rig was modified to accommodate a new motor with higher torque and radial injection cooling. The radial injection cooling utilizes the direct air injection to the inlet region of air film from three locations at 120° from one another with each location having three axially separated holes. In axial cooling, a certain axial pressure gradient is applied across the bearing to induce axial cooling air through bump foil channels. For the comparison of the two methods, the same amount of cooling air flow rate was used for both axial cooling and radial injection. Cooling air flow rate was

  20. Minimal Left-Right Symmetric Dark Matter.

    PubMed

    Heeck, Julian; Patra, Sudhanwa

    2015-09-18

    We show that left-right symmetric models can easily accommodate stable TeV-scale dark matter particles without the need for an ad hoc stabilizing symmetry. The stability of a newly introduced multiplet either arises accidentally as in the minimal dark matter framework or comes courtesy of the remaining unbroken Z_{2} subgroup of B-L. Only one new parameter is introduced: the mass of the new multiplet. As minimal examples, we study left-right fermion triplets and quintuplets and show that they can form viable two-component dark matter. This approach is, in particular, valid for SU(2)×SU(2)×U(1) models that explain the recent diboson excess at ATLAS in terms of a new charged gauge boson of mass 2 TeV.

  1. A demonstration device to simulate the radial velocity method for exoplanet detection

    NASA Astrophysics Data System (ADS)

    Choopan, W.; Liewrian, W.; Ketpichainarong, W.; Panijpan, B.

    2016-07-01

    A device for simulating exoplanet detection by the radial method based on the Doppler principle has been constructed. The spectral shift of light from a distant star, mutually revolving with the exoplanet, is simulated by the spectral shift of the sound wave emitted by the device’s star approaching and receding relative to the static frequency detector. The detected sound frequency shift reflects the relative velocity of the ‘star’ very well. Both teachers and students benefit from the radial velocity method and the transit method (published by us previously) provided by this device.

  2. Radial weak solutions for the Perona-Malik equation as a differential inclusion

    NASA Astrophysics Data System (ADS)

    Kim, Seonghak; Yan, Baisheng

    2015-03-01

    The Perona-Malik equation is an ill-posed forward-backward parabolic equation with some application in image processing. In this paper, we study the Perona-Malik type equation on a ball in an arbitrary dimension n and show that there exist infinitely many radial weak solutions to the homogeneous Neumann boundary problem for smooth nonconstant radially symmetric initial data. Our approach is to reformulate the n-dimensional equation into a one-dimensional equation, to convert the one-dimensional problem into an inhomogeneous partial differential inclusion problem, and to apply a Baire's category method to the differential inclusion to generate infinitely many solutions.

  3. Cladding-pumped ytterbium-doped fiber laser with radially polarized output.

    PubMed

    Lin, Di; Daniel, J M O; Gecevičius, M; Beresna, M; Kazansky, P G; Clarkson, W A

    2014-09-15

    A simple technique for directly generating a radially polarized output beam from a cladding-pumped ytterbium-doped fiber laser is reported. Our approach is based on the use of a nanograting spatially variant waveplate as an intracavity polarization-controlling element. The laser yielded ~32 W of output power (limited by available pump power) with a radially polarized TM (01)-mode output beam at 1040 nm with a corresponding slope efficiency of 66% and a polarization purity of 95%. The beam-propagation factor (M(2)) was measured to be ~1.9-2.1.

  4. Tight Focusing Properties of Phase Modulated Radially Polarized Laguerre Bessel Gaussian Beam

    NASA Astrophysics Data System (ADS)

    Prabakaran, K.; Sangeetha, P.; Karthik, V.; Rajesh, K. B.; Musthafa, A. M.

    2017-05-01

    We propose a new approach for generating a multiple focal spot segment of subwavelength size, by tight focusing of a phase modulated radially polarized Laguerre Bessel Gaussian beam. The focusing properties are investigated theoretically by vector diffraction theory. We observe that the focal segment with multiple focal structures is separated with different axial distances and a super long dark channel can be generated by properly tuning the phase of the incident radially polarized Laguerre Bessel Gaussian beam. We presume that such multiple focal patterns and high intense beam may find applications in atom optics, optical manipulations and multiple optical trapping.

  5. [Myocardial revascularization surgery via a left minithoracotomy].

    PubMed

    da Silveira, W L; Leite, A F; Artiaga, E P; Queiroz, F C; Ferreira, K A; de Carvalho, M C; da Silva, M A; Abdulmassih del Papa, M; Costa, L H; da Cunha, O M; Nazzeta, H; de Oliveira, V G

    1998-12-01

    There is, today, a global tendency towards a surgical approach privileging very small incisions, the so-called minimally invasive intervention, which results in a less aggressive action. The introduction of this new technique makes it possible to dissect the left internal thoracic artery (LITA) and to perform in the anastomosis with the anterior interventricular artery (AIA) through a left minithoracotomy. From May of 1996 to october of 1997, 11 patients with ischemic heart disease and a single proximal lesion of the AIA were submitted to a myocardial revascularization (MR). The surgical approach consisted of a left anterolateral thoracotomy through the 4th left intercostal space, of approximately 10 cm, and in the last 6 cases, resection of part of the cartilage of the 4th and 5th ribs, dissection of the LITA, as well as opening and repair of the pericardium adjacent to the AIA was done. All patients received a single bypass to the AIA with a graft of the LITA, without extracorporeal circulation. The patients' age varied between 46 and 76 years (mean = 58.55). Ten patients (90.90%) were males and 1 (9.09%) was a female. Hospital stay ranged from 4 to 8 days, with the average of 5.2 days. None of the patients presented any electrocardiographic change in the immediate post-operatory period. During the control period one patient developed a clot in the distal LITA, with important compromise of the flow. In another patient the stenosis was at the level of the anastomosis. Both were successfully submitted to angioplasty. There were no deaths in the groups studied. The absence of deaths suggests to us that MR surgery carried out with this minimally invasive technique, in selected groups and is an excellent alternative to the revascularization of the AIA.

  6. Apraxia in left-handers.

    PubMed

    Goldenberg, Georg

    2013-08-01

    In typical right-handed patients both apraxia and aphasia are caused by damage to the left hemisphere, which also controls the dominant right hand. In left-handed subjects the lateralities of language and of control of the dominant hand can dissociate. This permits disentangling the association of apraxia with aphasia from that with handedness. Pantomime of tool use, actual tool use and imitation of meaningless hand and finger postures were examined in 50 consecutive left-handed subjects with unilateral hemisphere lesions. There were three aphasic patients with pervasive apraxia caused by left-sided lesions. As the dominant hand is controlled by the right hemisphere, they constitute dissociations of apraxia from handedness. Conversely there were also three patients with pervasive apraxia caused by right brain lesions without aphasia. They constitute dissociations of apraxia from aphasia. Across the whole group of patients dissociations from handedness and from aphasia were observed for all manifestations of apraxia, but their frequency depended on the type of apraxia. Defective pantomime and defective tool use occurred rarely without aphasia, whereas defective imitation of hand, but not finger, postures was more frequent after right than left brain damage. The higher incidence of defective imitation of hand postures in right brain damage was mainly due to patients who had also hemi-neglect. This interaction alerts to the possibility that the association of right hemisphere damage with apraxia has to do with spatial aptitudes of the right hemisphere rather than with its control of the dominant left hand. Comparison with data from right-handed patients showed no differences between the severity of apraxia for imitation of hand or finger postures, but impairment on pantomime of tool use was milder in apraxic left-handers than in apraxic right-handers. This alleviation of the severity of apraxia corresponded with a similar alleviation of the severity of aphasia as

  7. Right colon cancer: Left behind.

    PubMed

    Gervaz, P; Usel, M; Rapiti, E; Chappuis, P; Neyroud-Kaspar, I; Bouchardy, C

    2016-09-01

    Prognosis of colon cancer (CC) has steadily improved during the past three decades. This trend, however, may vary according to proximal (right) or distal (left) tumor location. We studied if improvement in survival was greater for left than for right CC. We included all CC recorded at the Geneva population-based registry between 1980 and 2006. We compared patients, tumor and treatment characteristics between left and right CC by logistic regression and compared CC specific survival by Cox models taking into account putative confounders. We also compared changes in survival between CC location in early and late years of observation. Among the 3396 CC patients, 1334 (39%) had right-sided and 2062 (61%) left-sided tumors. In the early 1980s, 5-year specific survival was identical for right and left CCs (49% vs. 48%). During the study period, a dramatic improvement in survival was observed for patients with left-sided cancers (Hazard ratio [HR]: 0.42, 95% confidence interval [CI]: 0.29-0.62, p < 0.001) but not for right CC patients (HR: 0.76, 95% CI: 0.50-1.14, p = 0.69). As a consequence, patients with distal CC have a better outcome than patients with proximal CC (HR for left vs. right CC: 0.81, 95% CI: 0.72-0.90, p < 0.001). Our data indicate that, contrary to left CC, survival of patients with right CC did not improve since 1980. Of all colon cancer patients, those with right-sided lesions have by far the worse prognosis. Change of strategic management in this subgroup is warranted. Copyright © 2016 Elsevier Ltd. All rights reserved.

  8. Left Main Coronary Artery Aneurysm

    PubMed Central

    Doustkami, Hossein; Maleki, Nasrollah; Tavosi, Zahra

    2016-01-01

    Aneurysms of the left main coronary artery are exceedingly rare clinical entities, encountered incidentally in approximately 0.1% of patients who undergo routine angiography. The most common cause of coronary artery aneurysms is atherosclerosis. Angiography is the gold standard for diagnosis and treatment. Depending on the severity of the coexisting coronary stenosis, patients with left main coronary artery aneurysms can be effectively managed either surgically or pharmacologically. We herein report a case of left main coronary artery aneurysm in a 72-year-old man with a prior history of hypertension presenting to our hospital because of unstable angina. The electrocardiogram showed ST-segment depression and T-wave inversion in the precordial leads. All the data of blood chemistry were normal. Echocardiography showed akinetic anterior wall, septum, and apex, mild mitral regurgitation and ejection fraction of 45%. Coronary angiography revealed a saccular aneurysm of the left main coronary artery with significant stenosis in the left anterior descending, left circumflex, and right coronary artery. The patient immediately underwent coronary artery bypass grafting and ligation of the aneurysm. At six months’ follow-up, he remained asymptomatic. PMID:27403190

  9. Methods and apparatus for radially compliant component mounting

    SciTech Connect

    Bulman, David Edward; Darkins, Jr., Toby George; Stumpf, James Anthony; Schroder, Mark S; Lipinski, John Joseph

    2012-03-27

    Methods and apparatus for a mounting assembly for a liner of a gas turbine engine combustor are provided. The combustor includes a combustor liner and a radially outer annular flow sleeve. The mounting assembly includes an inner ring surrounding a radially outer surface of the liner and including a plurality of axially extending fingers. The mounting assembly also includes a radially outer ring coupled to the inner ring through a plurality of spacers that extend radially from a radially outer surface of the inner ring to the outer ring.

  10. New technique for treatment of postcatheterization radial artery pseudoaneurysm

    PubMed Central

    Pancholy, Samir B.; Kartashov, Dmitriy S.

    2016-01-01

    We report a new technique for treatment of radial artery pseudoaneurysm (RAP) caused by transradial access (TRA) for coronary angiography. Traditional extrinsic compression with radial flow cessation leads to a local milieu likely associated with an increase in probability of radial artery occlusion (RAO). Our technique involves obtaining ipsilateral radial artery access distal to the neck of the RAP followed by a prolonged sheath dwell time covering the neck of the RAP which allows the RAP sac to thrombose and maintains radial artery lumen patency. © 2016 The Authors. Catheterization and Cardiovascular Interventions Published by Wiley Periodicals, Inc. PMID:27527608

  11. Retrograde air embolization during routine radial artery catheter flushing in adult cardiac surgical patients: an ultrasound study.

    PubMed

    Murphy, Glenn S; Szokol, Joseph W; Marymont, Jesse H; Avram, Michael J; Vender, Jeffery S

    2004-09-01

    Rapid flushing of radial artery catheters may result in retrograde embolization of air into the cerebral circulation. This study examined the incidence of central air embolization during and after flushing of an arterial pressure monitoring system. One hundred adult patients undergoing cardiac surgical procedures were enrolled in this study. Ten ml of saline and blood were withdrawn into a syringe in the arterial flushing-sampling pressure system and then readministered to the patient through a 20-gauge radial artery catheter over 3-12 s. The right carotid artery, left carotid artery, and aortic arch were visualized using ultrasound imaging techniques during three manual flushes of the system. The left and right common carotid arteries were examined for the presence of macrobubbles or microbubbles using a linear array ultrasound transducer. The aortic arch was imaged using transesophageal echocardiography to detect retrograde air emboli. The severity of air embolization was quantified using a modification of an established grading system. A total of 298 ultrasound studies in 100 patients were recorded and analyzed after radial artery catheter flushing. Two aortic arch images were not obtained because of an inability to place the probe. Most clinicians (54%) returned flush solution to patients at near-maximal injection rates (2-3 ml per second). No air emboli (macrobubbles or microbubbles) were detected in the carotid arteries or aortic arch of any subject. Retrograde air embolization is a rare event after routine radial artery catheter flushing in adult patients with stable hemodynamic conditions.

  12. Unusual Presentation of Radial Nerve Entrapment with Lateral Humeral Condyle Fracture – A Case Report

    PubMed Central

    Muthulingam, Manoharan

    2016-01-01

    Lateral humeral condyle fracture is the second most common fracture around the elbow in pediatric age group. Acute neurological deficit as a consequence of nerve injury associated with lateral humeral condyle fractures is very uncommon. We report a rare presentation of a case of lateral humeral condyle fracture in a 13-year-old boy with acute radial nerve palsy. Patient was operated through a modified anterolateral approach to the elbow with, exploration of the radial nerve and internal fixation of the fracture. Complete fracture union at 6 weeks with good range of movements and full neurological recovery at 12 weeks was seen. We report this case due to rare combination of radial nerve injury and lateral humeral condyle fracture. Importance should be given to a thorough neurological examination during initial clinical examination and proper pre-operative planning. PMID:27891411

  13. An Energy-Based Method for Computing Radial Stiffness of Single Archimedes Spiral Plane Supporting Spring

    NASA Astrophysics Data System (ADS)

    Zheng, Enlai; Jia, Fang; Lu, Changhui; Chen, He; Ji, Xin

    With space-based adaptive performance of lower stiffness and greater deformation energy, the plane supporting spring finds its wide application in fields like aeronautics, astronautics, etc. In the current study, the radial stiffness formula of a single Archimedes spiral plane supporting spring is derived by means of energy approach, with three key parameters of the supporting spring as independent variables. A series of the supporting spring FEA models are established via APDL speedy modeling. According to the isolation requirements of electronic equipment for a fighter, an example is presented in the form of finite element analysis. The theoretical calculation and analysis data are studied and fitted by MATLAB using the least-square method to obtain the discipline of the radial stiffness of single spiral plane supporting spring with the changes of its three key parameters. The validity of energy-based radial stiffness formula of the spring is confirmed by the comparison between the theoretical calculation and finite element analysis results.

  14. Radial stiffness improvement of a flywheel system using multi-surface superconducting levitation

    NASA Astrophysics Data System (ADS)

    Basaran, Sinan; Sivrioglu, Selim

    2017-03-01

    The goal of this research study is the maximization of the levitation force in a flywheel system by the use of more than one permanent magnet with a single ring-shaped HTS material. An analytical model for the radial stiffness of the ring HTS-PM is derived using the frozen image approach. The experimental works are carried out for different polarizations of the permanent magnets, and radial stiffness values are obtained from the radial force measurements. The rotational test of the flywheel system is also realized for different cases. Finally, natural frequencies of the flywheel superconducting magnetic bearing system are experimentally obtained for different combinations of the permanent magnets using a frequency analyzer.

  15. Evaluation of Previously Cannulated Radial Arteries as Patent Coronary Artery Bypass Conduits.

    PubMed

    Watson, Timothy; Pope, Adele; van Pelt, Niels; Ruygrok, Peter N

    2015-10-01

    In coronary artery bypass grafting, good-quality conduits are needed to maximize the potential for long-term patency. Revascularization has traditionally been achieved with use of the saphenous vein and the internal thoracic arteries. In recent years, total arterial revascularization with use of the radial arteries has been promoted. Meanwhile, use of the transradial approach for coronary angiography has also increased. The long-term effects of previous cannulation in radial artery bypass grafts are not known. Therefore, we used multidetector computed tomographic angiography to investigate radial-artery graft patency in a small series of patients who had undergone transradial angiography. We found a high patency rate, and we discuss those findings here.

  16. RADIALLY MAGNETIZED PROTOPLANETARY DISK: VERTICAL PROFILE

    SciTech Connect

    Russo, Matthew; Thompson, Christopher

    2015-11-10

    This paper studies the response of a thin accretion disk to an external radial magnetic field. Our focus is on protoplanetary disks (PPDs), which are exposed during their later evolution to an intense, magnetized wind from the central star. A radial magnetic field is mixed into a thin surface layer, wound up by the disk shear, and pushed downward by a combination of turbulent mixing and ambipolar and ohmic drift. The toroidal field reaches much greater strengths than the seed vertical field that is usually invoked in PPD models, even becoming superthermal. Linear stability analysis indicates that the disk experiences the magnetorotational instability (MRI) at a higher magnetization than a vertically magnetized disk when both the effects of ambipolar and Hall drift are taken into account. Steady vertical profiles of density and magnetic field are obtained at several radii between 0.06 and 1 AU in response to a wind magnetic field B{sub r} ∼ (10{sup −4}–10{sup −2})(r/ AU){sup −2} G. Careful attention is given to the radial and vertical ionization structure resulting from irradiation by stellar X-rays. The disk is more strongly magnetized closer to the star, where it can support a higher rate of mass transfer. As a result, the inner ∼1 AU of a PPD is found to evolve toward lower surface density. Mass transfer rates around 10{sup −8} M{sub ⊙} yr{sup −1} are obtained under conservative assumptions about the MRI-generated stress. The evolution of the disk and the implications for planet migration are investigated in the accompanying paper.

  17. Radially Magnetized Protoplanetary Disk: Vertical Profile

    NASA Astrophysics Data System (ADS)

    Russo, Matthew; Thompson, Christopher

    2015-11-01

    This paper studies the response of a thin accretion disk to an external radial magnetic field. Our focus is on protoplanetary disks (PPDs), which are exposed during their later evolution to an intense, magnetized wind from the central star. A radial magnetic field is mixed into a thin surface layer, wound up by the disk shear, and pushed downward by a combination of turbulent mixing and ambipolar and ohmic drift. The toroidal field reaches much greater strengths than the seed vertical field that is usually invoked in PPD models, even becoming superthermal. Linear stability analysis indicates that the disk experiences the magnetorotational instability (MRI) at a higher magnetization than a vertically magnetized disk when both the effects of ambipolar and Hall drift are taken into account. Steady vertical profiles of density and magnetic field are obtained at several radii between 0.06 and 1 AU in response to a wind magnetic field Br ˜ (10-4-10-2)(r/ AU)-2 G. Careful attention is given to the radial and vertical ionization structure resulting from irradiation by stellar X-rays. The disk is more strongly magnetized closer to the star, where it can support a higher rate of mass transfer. As a result, the inner ˜1 AU of a PPD is found to evolve toward lower surface density. Mass transfer rates around 10-8 M⊙ yr-1 are obtained under conservative assumptions about the MRI-generated stress. The evolution of the disk and the implications for planet migration are investigated in the accompanying paper.

  18. Real-time star identification using synthetic radial pattern and its hardware implementation

    NASA Astrophysics Data System (ADS)

    Zhao, Yang; Wei, Xinguo; Wang, Gangyi; Li, Jian

    2017-02-01

    Star identification algorithm has always been the core strategy of star sensors. For the time being, the identification speed is becoming the bottleneck of satisfying real-time requirements (e.g. high-speed maneuvering applications, power breakdown and so on) on the premise of the robustness. To solve this problem, this paper proposes a novel lost-in-space star identification algorithm based on the synthetic radial pattern, which is dedicated to the pipelined parallel architecture of FPGAs (Field Programmable Gate Arrays). The synthetic radial pattern consists of two single radial patterns connected by their two respective polestars. In the algorithm, the polestar-pair is firstly matched and optimum identification results can be obtained after the follow-up radial pattern filtering. Then, the number of spurious matches can be reduced to a much less level and a mathematical model is also developed to demonstrate the efficiency compared with conventional radial algorithms. Simulations show that the approach is very robust towards various noise conditions and the quantified identification time is less than 1 ms at a low resource cost when it is implemented on FPGA platforms.

  19. Physiotherapy intervention practice patterns used in rehabilitation after distal radial fracture.

    PubMed

    Bruder, Andrea M; Taylor, Nicholas F; Dodd, Karen J; Shields, Nora

    2013-09-01

    To identify the type and frequency of interventions used by physiotherapists in rehabilitating patients after a distal radial fracture; and, to examine whether any patient or therapist characteristics had an effect on the frequency of interventions administered. Observational study. Four metropolitan outpatient physiotherapy departments. 14 physiotherapists reported on 160 distal radial fracture consultations. Physiotherapists recorded the type of interventions and time spent administering interventions during each distal radial fracture consultation. A combined site response rate of 70% was achieved (160/204). The most common interventions were exercise (155/160), advice (144/160), passive joint mobilisation (88/160) and massage (60/160). Patient characteristics and physiotherapist experience had little impact on the type and frequency of interventions reported by physiotherapists. Exercise and advice were the most frequently administered interventions for patients after a distal radial fracture irrespective of physiotherapist or patient factors. During rehabilitation, these interventions aim to restore wrist mobility and are consistent with both fracture management principles and a self management approach. Due to the routine use of exercise and advice there is a need for further research to provide high quality evidence that these interventions improve outcomes in patients after a distal radial fracture. Copyright © 2012 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.

  20. Low-frequency ultrasonic Bessel-like collimated beam generation from radial modes of piezoelectric transducers

    NASA Astrophysics Data System (ADS)

    Chillara, Vamshi Krishna; Pantea, Cristian; Sinha, Dipen N.

    2017-02-01

    We present a very simple approach to generate a collimated ultrasonic beam that exploits the natural Bessel-like vibration pattern of the radial modes of a piezoelectric disc with lateral clamping. This eliminates the need for the conventional annular Bessel pattern of the electrodes with individual electrode excitation on the piezo-disc, thus simplifying the transducer design. Numerical and experimental studies are carried out to investigate the Bessel-like vibration patterns of these radial modes showing an excellent agreement between these two studies. Measured ultrasonic beam-profiles in water from the radial modes confirm the profile to be a Bessel beam. Collimated beam generation from radial modes is investigated using a coupled electromechanical finite-element model. It is found that clamping the lateral edges of piezoelectric transducers results in a high-degree of collimation with practically no side-lobes similar to a parametric array beam. Ultrasonic beam-profile measurements in water with both free and clamped piezoelectric transducer are presented. The collimated beam generation using the present technique of using the laterally clamped radial modes finds significant applications in low-frequency imaging through highly attenuating materials.