Sample records for obstruction buoys

  1. 33 CFR 74.20-1 - Buoy and vessel use costs.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 7310 (series) which is available from the District Budget Office of the appropriate Coast Guard District Commander. (b) Buoy and vessel use charges under this part are made for the cost or value of time... obstruction. No charge for time and expense of Coast Guard vessels is made when the marking of the obstruction...

  2. 33 CFR 74.20-1 - Buoy and vessel use costs.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 7310 (series) which is available from the District Budget Office of the appropriate Coast Guard District Commander. (b) Buoy and vessel use charges under this part are made for the cost or value of time... obstruction. No charge for time and expense of Coast Guard vessels is made when the marking of the obstruction...

  3. Controllable Buoys and Networked Buoy Systems

    NASA Technical Reports Server (NTRS)

    Davoudi, Farhooman (Inventor); Davoodi, Faranak (Inventor)

    2017-01-01

    Buoyant sensor networks are described, comprising floating buoys with sensors and energy harvesting capabilities. The buoys can control their buoyancy and motion, and can organize communication in a distributed fashion. Some buoys may have tethered underwater vehicles with a smart spooling system that allows the vehicles to dive deep underwater while remaining in communication and connection with the buoys.

  4. Borrow the Buoys: DOE’s Lidar Buoy Loan Program

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    None

    2017-02-27

    After a 19-month deployment off the coast of Virginia, one of PNNL’s research buoys has returned to shore where researchers can analyze the data recorded by the buoy. The data revealed a few major takeaways that will inform future buoy deployments, including the times and conditions when data measurement is most accurate. Through the Department of Energy's Wind Energy Technologies Office's Lidar Buoy Loan Program, managed by PNNL, interested parties can borrow the buoys for year and contribute invaluable data to the wind energy community.

  5. Free Drifting Buoys

    NASA Technical Reports Server (NTRS)

    1974-01-01

    Information was exchanged between people directly involved with the development, use, and/or potential use of free drifting buoys. Tracking systems and techniques, where methods and accuracy of optical, radio, radar, satellite, and sonic tracking of free-drifting buoys were discussed. Deployment and retrieval covering methods currently used or planned in the deployment and retrieval of free-drifting buoys from boats, ships, helicopters, fixed platforms, and fixed-wing aircraft were reported. Simulation, sensors, and data emphasizing the status of water circulation modeling, and sensors useful on free-drifting buoys, and data display and analysis were described.

  6. Buoy Technology survey USCG Buoy Development Review

    DTIC Science & Technology

    1990-10-01

    by the United States Coadst Guard, IALA Conference, No. 3.1.5, Tokyo, 1980 . 3P.H. Glage, Design, Procurement and Testing of Plastic Fast Water Buoys on...may include published reports, unpublished reports, and USCG files. 23 PROJECT SUMMARY NO. 1 ARTICULATED BEACON DEVELOPMENT DATES: 1980 to Present...PROJECT DATE’%: 1980 to Present OBJECTIVE: The purpose of this project is to design a special buoy for use in exposed offshore locations where high

  7. Buoy monitors ocean acidification

    NASA Astrophysics Data System (ADS)

    Zielinski, Sarah

    2007-06-01

    A new Gulf of Alaska buoy installed on 7 June is the first to provide data that will help scientists study ocean acidification caused by the absorption of atmospheric carbon dioxide. Sensors attached to the buoy are measuring key climate indicators in the atmosphere and ocean, including surface acidity and the air-sea exchange of carbon dioxide. The buoy was installed in collaboration with the Line P program, which has provided decades of continuous measurements from a series of oceanographic stations along line P which extends from the mouth of the Juan de Fuca Strait south of Vancouver Island to Pacific Ocean Station Papa, where the new buoy was installed.The buoy is part of a project conducted by scientists from NOAAs Pacific Marine Environmental Laboratory; the University of Washington, Seattle; Fisheries and Oceans Canada; and the Institute of Ocean Sciences in Sydney, British Columbia.

  8. The O-Buoy Chemical Network

    NASA Astrophysics Data System (ADS)

    Matrai, P. A.; Williams, C. R.; Rauschenberg, C. D.

    2012-12-01

    Autonomous, sea ice-tethered buoys ("O-Buoys") are being deployed across the Arctic sea ice for long-term atmospheric measurements, with several O-Buoys having been deployed within the Hudson Bay, Beaufort Sea, and the North Pole. These buoys provide in-situ measurements of ozone, CO_{2} and BrO, as well as meteorological parameters, over the frozen ocean. O-Buoys were designed to transmit daily data over a period of 2 years while deployed in sea ice, as part of automated ice-drifting stations. Due to the logistical challenges of measurements over the Arctic Ocean region, most long term,in-situ observations of atmospheric chemistry have been made at coastal sites or islands near the coast, leaving large spatial and temporal gaps that O-Buoys can overcome. The significant uncertainty that remains in our understanding of the temporal and spatial variability in these parameters as well as the magnitude and/or frequency of long (CO_{2}) and short (ozone depletion) patterns can be overcome. Advances in floatation, communications, power management, and sensor hardware have been made to the original design to overcome the challenges of diminished Arctic sea ice which have resulted in our longest deployments into the summer so far.

  9. 46 CFR 117.70 - Ring life buoys.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Ring life buoys. 117.70 Section 117.70 Shipping COAST... Ring Life Buoys and Life Jackets § 117.70 Ring life buoys. (a) A vessel must have one or more ring life... one life buoy of not less than 510 millimeters (20 inches) in diameter; (2) A vessel of more than 7.9...

  10. 46 CFR 28.115 - Ring life buoys.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Ring life buoys. 28.115 Section 28.115 Shipping COAST... VESSELS Requirements for All Vessels § 28.115 Ring life buoys. (a) Except as provided in paragraph (b) of... life buoy as specified in table 28.115. If the vessel is equipped with a ring life buoy, at least one...

  11. 46 CFR 117.70 - Ring life buoys.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Ring life buoys. 117.70 Section 117.70 Shipping COAST... Ring Life Buoys and Life Jackets § 117.70 Ring life buoys. (a) A vessel must have one or more ring life... one life buoy of not less than 510 millimeters (20 inches) in diameter; (2) A vessel of more than 7.9...

  12. 46 CFR 180.70 - Ring life buoys.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 7 2011-10-01 2011-10-01 false Ring life buoys. 180.70 Section 180.70 Shipping COAST...) LIFESAVING EQUIPMENT AND ARRANGEMENTS Ring Life Buoys and Life Jackets § 180.70 Ring life buoys. (a) A vessel must have one or more ring life buoys as follows: (1) A vessel of not more than 7.9 meters (26 feet) in...

  13. 46 CFR 180.70 - Ring life buoys.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Ring life buoys. 180.70 Section 180.70 Shipping COAST...) LIFESAVING EQUIPMENT AND ARRANGEMENTS Ring Life Buoys and Life Jackets § 180.70 Ring life buoys. (a) A vessel must have one or more ring life buoys as follows: (1) A vessel of not more than 7.9 meters (26 feet) in...

  14. 46 CFR 28.115 - Ring life buoys.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 1 2011-10-01 2011-10-01 false Ring life buoys. 28.115 Section 28.115 Shipping COAST... VESSELS Requirements for All Vessels § 28.115 Ring life buoys. (a) Except as provided in paragraph (b) of... life buoy as specified in table 28.115. If the vessel is equipped with a ring life buoy, at least one...

  15. 46 CFR 28.115 - Ring life buoys.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 1 2012-10-01 2012-10-01 false Ring life buoys. 28.115 Section 28.115 Shipping COAST... VESSELS Requirements for All Vessels § 28.115 Ring life buoys. (a) Except as provided in paragraph (b) of... life buoy as specified in table 28.115. If the vessel is equipped with a ring life buoy, at least one...

  16. 46 CFR 180.70 - Ring life buoys.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 7 2012-10-01 2012-10-01 false Ring life buoys. 180.70 Section 180.70 Shipping COAST...) LIFESAVING EQUIPMENT AND ARRANGEMENTS Ring Life Buoys and Life Jackets § 180.70 Ring life buoys. (a) A vessel must have one or more ring life buoys as follows: (1) A vessel of not more than 7.9 meters (26 feet) in...

  17. 46 CFR 117.70 - Ring life buoys.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Ring life buoys. 117.70 Section 117.70 Shipping COAST... Ring Life Buoys and Life Jackets § 117.70 Ring life buoys. (a) A vessel must have one or more ring life... one life buoy of not less than 510 millimeters (20 inches) in diameter; (2) A vessel of more than 7.9...

  18. 46 CFR 117.70 - Ring life buoys.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Ring life buoys. 117.70 Section 117.70 Shipping COAST... Ring Life Buoys and Life Jackets § 117.70 Ring life buoys. (a) A vessel must have one or more ring life... one life buoy of not less than 510 millimeters (20 inches) in diameter; (2) A vessel of more than 7.9...

  19. 46 CFR 180.70 - Ring life buoys.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 7 2013-10-01 2013-10-01 false Ring life buoys. 180.70 Section 180.70 Shipping COAST...) LIFESAVING EQUIPMENT AND ARRANGEMENTS Ring Life Buoys and Life Jackets § 180.70 Ring life buoys. (a) A vessel must have one or more ring life buoys as follows: (1) A vessel of not more than 7.9 meters (26 feet) in...

  20. 46 CFR 28.115 - Ring life buoys.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 1 2014-10-01 2014-10-01 false Ring life buoys. 28.115 Section 28.115 Shipping COAST... VESSELS Requirements for All Vessels § 28.115 Ring life buoys. (a) Except as provided in paragraph (b) of... life buoy as specified in table 28.115. If the vessel is equipped with a ring life buoy, at least one...

  1. 46 CFR 117.70 - Ring life buoys.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 false Ring life buoys. 117.70 Section 117.70 Shipping COAST... Ring Life Buoys and Life Jackets § 117.70 Ring life buoys. (a) A vessel must have one or more ring life... one life buoy of not less than 510 millimeters (20 inches) in diameter; (2) A vessel of more than 7.9...

  2. 46 CFR 28.115 - Ring life buoys.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 1 2013-10-01 2013-10-01 false Ring life buoys. 28.115 Section 28.115 Shipping COAST... VESSELS Requirements for All Vessels § 28.115 Ring life buoys. (a) Except as provided in paragraph (b) of... life buoy as specified in table 28.115. If the vessel is equipped with a ring life buoy, at least one...

  3. 46 CFR 180.70 - Ring life buoys.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 7 2014-10-01 2014-10-01 false Ring life buoys. 180.70 Section 180.70 Shipping COAST...) LIFESAVING EQUIPMENT AND ARRANGEMENTS Ring Life Buoys and Life Jackets § 180.70 Ring life buoys. (a) A vessel must have one or more ring life buoys as follows: (1) A vessel of not more than 7.9 meters (26 feet) in...

  4. LCOE Baseline for OE Buoy

    DOE Data Explorer

    Previsic, Mirko; Karthikeyan, Anantha; Lewis, Tony; McCarthy, John

    2017-07-26

    Capex numbers are in $/kW, Opex numbers in $/kW-yr. Cost Estimates provided herein are based on concept design and basic engineering data and have high levels of uncertainties embedded. This reference economic scenario was done for a very large device version of the OE Buoy technology, which is not presently on Ocean Energy's technology development pathway but will be considered in future business plan development. The DOE reference site condition is considered a low power-density site, compared with many of the planned initial deployment locations for the OE Buoy. Many of the sites considered for the initial commercial deployment of the OE buoy feature much higher wave power densities and shorter period waves. Both of these characteristics will improve the OE buoy's commercial viability.

  5. 50 CFR 622.31 - Buoy gear identification.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... ADMINISTRATION, DEPARTMENT OF COMMERCE FISHERIES OF THE CARIBBEAN, GULF OF MEXICO, AND SOUTH ATLANTIC Reef Fish Resources of the Gulf of Mexico § 622.31 Buoy gear identification. (a) Buoy gear. In the Gulf EEZ, if buoy...

  6. An array effect of wave energy farm buoys

    NASA Astrophysics Data System (ADS)

    Kweon, Hyuck-Min; Lee, Jung-Lyul

    2012-12-01

    An ocean buoy energy farm is considered for Green energy generation and delivery to small towns along the Korean coast. The present studypresents that the floating buoy-type energy farm appears to be sufficiently feasible fortrapping more energy compared to afixed cylinder duck array. It is also seen from the numerical resultsthat the resonated waves between spaced buoys are further trapped by floating buoy motion.Our numerical study is analyzed by a plane-wave approximation, in which evanescent mode effects are included in a modified mild-slope equation based on the scattering characteristics for a single buoy.

  7. Dynamics of anchor last deployment of submersible buoy system

    NASA Astrophysics Data System (ADS)

    Zheng, Zhongqiang; Xu, Jianpeng; Huang, Peng; Wang, Lei; Yang, Xiaoguang; Chang, Zongyu

    2016-02-01

    Submersible buoy systems are widely used for oceanographic research, ocean engineering and coastal defense. Severe sea environment has obvious effects on the dynamics of submersible buoy systems. Huge tension can occur and may cause the snap of cables, especially during the deployment period. This paper studies the deployment dynamics of submersible buoy systems with numerical and experimental methods. By applying the lumped mass approach, a three-dimensional multi-body model of submersible buoy system is developed considering the hydrodynamic force, tension force and impact force between components of submersible buoy system and seabed. Numerical integration method is used to solve the differential equations. The simulation output includes tension force, trajectory, profile and dropping location and impact force of submersible buoys. In addition, the deployment experiment of a simplified submersible buoy model was carried out. The profile and different nodes' velocities of the submersible buoy are obtained. By comparing the results of the two methods, it is found that the numerical model well simulates the actual process and conditions of the experiment. The simulation results agree well with the results of the experiment such as gravity anchor's location and velocities of different nodes of the submersible buoy. The study results will help to understand the conditions of submersible buoy's deployment, operation and recovery, and can be used to guide the design and optimization of the system.

  8. Advanced Approach of Multiagent Based Buoy Communication

    PubMed Central

    Gricius, Gediminas; Drungilas, Darius; Dzemydiene, Dale

    2015-01-01

    Usually, a hydrometeorological information system is faced with great data flows, but the data levels are often excessive, depending on the observed region of the water. The paper presents advanced buoy communication technologies based on multiagent interaction and data exchange between several monitoring system nodes. The proposed management of buoy communication is based on a clustering algorithm, which enables the performance of the hydrometeorological information system to be enhanced. The experiment is based on the design and analysis of the inexpensive but reliable Baltic Sea autonomous monitoring network (buoys), which would be able to continuously monitor and collect temperature, waviness, and other required data. The proposed approach of multiagent based buoy communication enables all the data from the costal-based station to be monitored with limited transition speed by setting different tasks for the agent-based buoy system according to the clustering information. PMID:26345197

  9. 33 CFR 144.01-25 - Ring life buoys.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Ring life buoys. 144.01-25...) OUTER CONTINENTAL SHELF ACTIVITIES LIFESAVING APPLIANCES Manned Platforms § 144.01-25 Ring life buoys. (a) Each manned platform must have at least four approved ring life buoys constructed in accordance...

  10. 33 CFR 144.01-25 - Ring life buoys.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Ring life buoys. 144.01-25...) OUTER CONTINENTAL SHELF ACTIVITIES LIFESAVING APPLIANCES Manned Platforms § 144.01-25 Ring life buoys. (a) Each manned platform must have at least four approved ring life buoys constructed in accordance...

  11. 33 CFR 144.01-25 - Ring life buoys.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false Ring life buoys. 144.01-25...) OUTER CONTINENTAL SHELF ACTIVITIES LIFESAVING APPLIANCES Manned Platforms § 144.01-25 Ring life buoys. (a) Each manned platform must have at least four approved ring life buoys constructed in accordance...

  12. 33 CFR 144.01-25 - Ring life buoys.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false Ring life buoys. 144.01-25...) OUTER CONTINENTAL SHELF ACTIVITIES LIFESAVING APPLIANCES Manned Platforms § 144.01-25 Ring life buoys. (a) Each manned platform must have at least four approved ring life buoys constructed in accordance...

  13. 33 CFR 144.01-25 - Ring life buoys.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false Ring life buoys. 144.01-25...) OUTER CONTINENTAL SHELF ACTIVITIES LIFESAVING APPLIANCES Manned Platforms § 144.01-25 Ring life buoys. (a) Each manned platform must have at least four approved ring life buoys constructed in accordance...

  14. [Design and experimentation of marine optical buoy].

    PubMed

    Yang, Yue-Zhong; Sun, Zhao-Hua; Cao, Wen-Xi; Li, Cai; Zhao, Jun; Zhou, Wen; Lu, Gui-Xin; Ke, Tian-Cun; Guo, Chao-Ying

    2009-02-01

    Marine optical buoy is of important value in terms of calibration and validation of ocean color remote sensing, scientific observation, coastal environment monitoring, etc. A marine optical buoy system was designed which consists of a main and a slave buoy. The system can measure the distribution of irradiance and radiance over the sea surface, in the layer near sea surface and in the euphotic zone synchronously, during which some other parameters are also acquired such as spectral absorption and scattering coefficients of the water column, the velocity and direction of the wind, and so on. The buoy was positioned by GPS. The low-power integrated PC104 computer was used as the control core to collect data automatically. The data and commands were real-timely transmitted by CDMA/GPRS wireless networks or by the maritime satellite. The coastal marine experimentation demonstrated that the buoy has small pitch and roll rates in high sea state conditions and thus can meet the needs of underwater radiometric measurements, the data collection and remote transmission are reliable, and the auto-operated anti-biofouling devices can ensure that the optical sensors work effectively for a period of several months.

  15. Forecast skill impact of drifting buoys in the Southern Hemisphere

    NASA Technical Reports Server (NTRS)

    Kalnay, E.; Atlas, R.; Baker, W.; Halem, M.

    1984-01-01

    Two analyses are performed to evaluate the effect of drift buoys and the FGGE's special observing system (SOS) on forecasting. The FGGE analysis utilizes all level II-b conventional and special data, and the Nosat analysis employs only surface and conventional upper air data. Twelve five-day forecasts are produced from these data. An additional experiment utilizing the FGGE data base minus buoys data, and the Nosat data base including buoys data is being conducted. The forecasts are compared and synoptic evaluation of the effect of buoys data is described. The results reveal that the FGGE data base with the SOS significantly improves forecasting in the Southern Hemisphere and the loss of buoys data does not have a great effect on forecasting. The Nosat data has less impact on forecasting; however, the addition of buoys data provides an improvement in forecast skills.

  16. Evaluating the Effectiveness of DART® Buoy Networks Based on Forecast Accuracy

    NASA Astrophysics Data System (ADS)

    Percival, Donald B.; Denbo, Donald W.; Gica, Edison; Huang, Paul Y.; Mofjeld, Harold O.; Spillane, Michael C.; Titov, Vasily V.

    2018-04-01

    A performance measure for a DART® tsunami buoy network has been developed. DART® buoys are used to detect tsunamis, but the full potential of the data they collect is realized through accurate forecasts of inundations caused by the tsunamis. The performance measure assesses how well the network achieves its full potential through a statistical analysis of simulated forecasts of wave amplitudes outside an impact site and a consideration of how much the forecasts are degraded in accuracy when one or more buoys are inoperative. The analysis uses simulated tsunami amplitude time series collected at each buoy from selected source segments in the Short-term Inundation Forecast for Tsunamis database and involves a set for 1000 forecasts for each buoy/segment pair at sites just offshore of selected impact communities. Random error-producing scatter in the time series is induced by uncertainties in the source location, addition of real oceanic noise, and imperfect tidal removal. Comparison with an error-free standard leads to root-mean-square errors (RMSEs) for DART® buoys located near a subduction zone. The RMSEs indicate which buoy provides the best forecast (lowest RMSE) for sections of the zone, under a warning-time constraint for the forecasts of 3 h. The analysis also shows how the forecasts are degraded (larger minimum RMSE among the remaining buoys) when one or more buoys become inoperative. The RMSEs provide a way to assess array augmentation or redesign such as moving buoys to more optimal locations. Examples are shown for buoys off the Aleutian Islands and off the West Coast of South America for impact sites at Hilo HI and along the US West Coast (Crescent City CA and Port San Luis CA, USA). A simple measure (coded green, yellow or red) of the current status of the network's ability to deliver accurate forecasts is proposed to flag the urgency of buoy repair.

  17. Evaluating the Effectiveness of DART® Buoy Networks Based on Forecast Accuracy

    NASA Astrophysics Data System (ADS)

    Percival, Donald B.; Denbo, Donald W.; Gica, Edison; Huang, Paul Y.; Mofjeld, Harold O.; Spillane, Michael C.; Titov, Vasily V.

    2018-03-01

    A performance measure for a DART® tsunami buoy network has been developed. DART® buoys are used to detect tsunamis, but the full potential of the data they collect is realized through accurate forecasts of inundations caused by the tsunamis. The performance measure assesses how well the network achieves its full potential through a statistical analysis of simulated forecasts of wave amplitudes outside an impact site and a consideration of how much the forecasts are degraded in accuracy when one or more buoys are inoperative. The analysis uses simulated tsunami amplitude time series collected at each buoy from selected source segments in the Short-term Inundation Forecast for Tsunamis database and involves a set for 1000 forecasts for each buoy/segment pair at sites just offshore of selected impact communities. Random error-producing scatter in the time series is induced by uncertainties in the source location, addition of real oceanic noise, and imperfect tidal removal. Comparison with an error-free standard leads to root-mean-square errors (RMSEs) for DART® buoys located near a subduction zone. The RMSEs indicate which buoy provides the best forecast (lowest RMSE) for sections of the zone, under a warning-time constraint for the forecasts of 3 h. The analysis also shows how the forecasts are degraded (larger minimum RMSE among the remaining buoys) when one or more buoys become inoperative. The RMSEs provide a way to assess array augmentation or redesign such as moving buoys to more optimal locations. Examples are shown for buoys off the Aleutian Islands and off the West Coast of South America for impact sites at Hilo HI and along the US West Coast (Crescent City CA and Port San Luis CA, USA). A simple measure (coded green, yellow or red) of the current status of the network's ability to deliver accurate forecasts is proposed to flag the urgency of buoy repair.

  18. Shallow Water Optical Water Quality Buoy

    NASA Technical Reports Server (NTRS)

    Bostater, Charles

    1998-01-01

    This NASA grant was funded as a result of an unsolicited proposal submission to Kennedy Space Center. The proposal proposed the development and testing of a shallow water optical water quality buoy. The buoy is meant to work in shallow aquatic systems (ponds, rivers, lagoons, and semi-enclosed water areas where strong wind wave action is not a major environmental During the project period of three years, a demonstration of the buoy was conducted. The last demonstration during the project period was held in November, 1996 when the buoy was demonstrated as being totally operational with no tethered communications line. During the last year of the project the buoy was made to be solar operated by large gel cell batteries. Fund limitations did not permit the batteries in metal enclosures as hoped for higher wind conditions, however the system used to date has worked continuously for in- situ operation of over 18 months continuous deployment. The system needs to have maintenance and somewhat continuous operational attention since various components have limited lifetime ages. For example, within the last six months the onboard computer has had to be repaired as it did approximately 6 months after deployment. The spectrograph had to be repaired and costs for repairs was covered by KB Science since no ftmds were available for this purpose after the grant expired. Most recently the computer web page server failed and it is currently being repaired by KB Science. In addition, the cell phone operation is currently being ftmded by Dr. Bostater in order to maintain the system's operation. The above points need to be made to allow NASA to understand that like any sophisticated measuring system in a lab or in the field, necessary funding and maintenance is needed to insure the system's operational state and to obtain quality factor. The proposal stated that the project was based upon the integration of a proprietary and confidential sensor and probe design that was developed by

  19. Loran-Based Buoy Position Auditing Systems - Analytical Evaluation

    DOT National Transportation Integrated Search

    1980-02-01

    An analytic evaluation and comparison of the following candidate Buoy Position Auditing System (BPAS) configurations is presented in this report: transmission of digital Time Difference (TD) data from a Loran-C receiver on the buoy, retransmission of...

  20. Experimental design for drifting buoy Lagrangian test

    NASA Technical Reports Server (NTRS)

    Saunders, P. M.

    1975-01-01

    A test of instrumentation fabricated to measure the performance of a free drifting buoy as a (Lagrangian) current meter is described. Specifically it is proposed to distinguish between the trajectory of a drogued buoy and the trajectory of the water at the level of the drogue by measuring the flow relative to the drogue.

  1. 33 CFR 62.23 - Beacons and buoys.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... navigation. The primary components of the U.S. Aids to Navigation System are beacons and buoys. (b) Beacons are aids to navigation structures which are permanently fixed to the earth's surface. They range from... UNITED STATES AIDS TO NAVIGATION SYSTEM The U.S. Aids to Navigation System § 62.23 Beacons and buoys. (a...

  2. 33 CFR 62.23 - Beacons and buoys.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... navigation. The primary components of the U.S. Aids to Navigation System are beacons and buoys. (b) Beacons are aids to navigation structures which are permanently fixed to the earth's surface. They range from... UNITED STATES AIDS TO NAVIGATION SYSTEM The U.S. Aids to Navigation System § 62.23 Beacons and buoys. (a...

  3. 33 CFR 62.23 - Beacons and buoys.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... navigation. The primary components of the U.S. Aids to Navigation System are beacons and buoys. (b) Beacons are aids to navigation structures which are permanently fixed to the earth's surface. They range from... UNITED STATES AIDS TO NAVIGATION SYSTEM The U.S. Aids to Navigation System § 62.23 Beacons and buoys. (a...

  4. 33 CFR 62.23 - Beacons and buoys.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... navigation. The primary components of the U.S. Aids to Navigation System are beacons and buoys. (b) Beacons are aids to navigation structures which are permanently fixed to the earth's surface. They range from... UNITED STATES AIDS TO NAVIGATION SYSTEM The U.S. Aids to Navigation System § 62.23 Beacons and buoys. (a...

  5. 33 CFR 62.23 - Beacons and buoys.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... navigation. The primary components of the U.S. Aids to Navigation System are beacons and buoys. (b) Beacons are aids to navigation structures which are permanently fixed to the earth's surface. They range from... UNITED STATES AIDS TO NAVIGATION SYSTEM The U.S. Aids to Navigation System § 62.23 Beacons and buoys. (a...

  6. 46 CFR 131.875 - Lifejackets, immersion suits, and ring buoys.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Lifejackets, immersion suits, and ring buoys. 131.875... OPERATIONS Markings for Fire Equipment and Emergency Equipment § 131.875 Lifejackets, immersion suits, and ring buoys. (a) Each lifejacket, immersion suit, and ring life buoy must be marked in block capital...

  7. 46 CFR 131.875 - Lifejackets, immersion suits, and ring buoys.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 false Lifejackets, immersion suits, and ring buoys. 131.875... OPERATIONS Markings for Fire Equipment and Emergency Equipment § 131.875 Lifejackets, immersion suits, and ring buoys. (a) Each lifejacket, immersion suit, and ring life buoy must be marked in block capital...

  8. 46 CFR 131.875 - Lifejackets, immersion suits, and ring buoys.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Lifejackets, immersion suits, and ring buoys. 131.875... OPERATIONS Markings for Fire Equipment and Emergency Equipment § 131.875 Lifejackets, immersion suits, and ring buoys. (a) Each lifejacket, immersion suit, and ring life buoy must be marked in block capital...

  9. 46 CFR 131.875 - Lifejackets, immersion suits, and ring buoys.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Lifejackets, immersion suits, and ring buoys. 131.875... OPERATIONS Markings for Fire Equipment and Emergency Equipment § 131.875 Lifejackets, immersion suits, and ring buoys. (a) Each lifejacket, immersion suit, and ring life buoy must be marked in block capital...

  10. 46 CFR 131.875 - Lifejackets, immersion suits, and ring buoys.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Lifejackets, immersion suits, and ring buoys. 131.875... OPERATIONS Markings for Fire Equipment and Emergency Equipment § 131.875 Lifejackets, immersion suits, and ring buoys. (a) Each lifejacket, immersion suit, and ring life buoy must be marked in block capital...

  11. Numerical study of hydrodynamic behavior and conversion efficiency of a two-buoy wave energy converter

    NASA Astrophysics Data System (ADS)

    Yang, Cen; Zhang, Yong-liang

    2018-04-01

    In this paper we propose a two-buoy wave energy converter composed of a heaving semi-submerged cylindrical buoy, a fixed submerged cylindrical buoy and a power take-off (PTO) system, and investigate the effect of the fixed submerged buoy on the hydrodynamics of the heaving semi-submerged buoy based on the three-dimensional potential theory. And the dynamic response of the semi-submerged buoy and the wave energy conversion efficiency of the converter are analyzed. The difference of the hydrodynamics and the wave energy conversion efficiency of a semi-submerged buoy converter with and without a fixed submerged buoy is discussed. It is revealed that the influence of the fixed submerged buoy on the exciting wave force, the added mass, the radiation damping coefficient and the wave energy conversion efficiency can be significant with a considerable variation, depending on the vertical distance between the heaving semi-submerged buoy and the fixed submerged buoy, the diameter ratio of the fixed submerged buoy to the heaving semi-submerged buoy and the water depth.

  12. GNSS Buoy Array in the Ocean for Natural Hazard Mitigation

    NASA Astrophysics Data System (ADS)

    Kato, T.; Terada, Y.; Yamamoto, S. I.; Iwakiri, N.; Toyoshima, M.; Koshikawa, N.; Motohashi, O.; Hashimoto, G.; Wada, A.

    2015-12-01

    The GNSS buoy system for tsunami early warning has been developed in Japan. The system has been implemented as a national wave monitoring system and its record was used to update the tsunami warning at the 3.11 Tohoku-oki earthquake. The lessons learned in this experience was that the buoys are placed only less than 20km from the coast, which was not far enough for effective evacuation of people. We thus tried to improve the system for putting the buoy much farther from the coast. First, we tried to implement, different from current baseline mode RTK-GPS, a real-time PPP analysis strategy for positioning. In addition, we tried to use a two-way satellite data transmission in contrast with current surface radio system. We have made a series of experiments for this purpose in 2013 and 2014. A buoy of about 40km south of Shikoku, southwest Japan, was used for this purpose. GEONET data were used to obtain precise orbits and clocks of satellites. Then, the information was transferred to the GNSS buoy using LEX signal of QZSS satellite system. The received information on the buoy were used for real-time PPP analysis for every second. The obtained buoy position was then transmitted to the ground base, through an engineering test satellite, ETS-VIII. The received data was then disseminated to public through the internet. Both filtered short-term and long-term waves, were separately shown on the webpage. The success of these experiments indicates that the GNSS buoy can be placed at least more than 1,500 km from the ground based tracking network. Given this success, we would now be able to deploy a new GNSS buoy array system in the wide ocean. An array in the ocean can be used for ionospheric and atmospheric research in the same region as well as tsunami or ocean bottom crustal deformation monitoring through an application to the GNSS-acoustic system. We are now designing a regional GNSS buoy array in the western Pacific as a synthetic natural hazard mitigation system.

  13. UpTempO Buoys for Understanding and Prediction

    DTIC Science & Technology

    2014-09-30

    between the Delrin plastic pod housing and the thermistor epoxy potting. (b) Buoy ship deployment. Three Metocean-manufactured UpTempO buoys were ship...2 and 3). The box is held together with only glue and paper tape. The sensor cable is housed in an inner cardboard box that eventually separates

  14. Counter-narcotic acoustic buoy (CNAB)

    NASA Astrophysics Data System (ADS)

    Bailey, Mark E.

    2004-09-01

    As a means to detect drug trafficking in a maritime environment, the Counter Narcotic Acoustic Buoy is part of an inexpensive system designed to detect "Go Fast" boats and report via satellite to a designated location. A go fast boat for this evaluation is defined as any boat with twin 200 horsepower outboard engines. The buoy is designed for deployment in salt water at depths ranging from 50 to 600 feet and can be easily deployed by one or two persons. Detections are based on noise energy exceeding a preset level within a frequency band associated with the go fast boat's acoustic signature. Detection ranges have been demonstrated to greater than three nautical miles.

  15. 33 CFR 149.320 - What are the requirements for ring life buoys?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... length. The light must be mounted on a bracket near the ring life buoy so that, when the ring life buoy is cast loose, the light will be pulled free of the bracket. (c) To each ring life buoy, there must...

  16. Design of a Low-cost Oil Spill Tracking Buoy

    NASA Astrophysics Data System (ADS)

    Zhao, Y.; Hu, X.; Yu, F.; Dong, S.; Chen, G.

    2017-12-01

    As the rapid development of oil exploitation and transportation, oil spill accidents, such as Prestige oil spill, Gulf of Mexico oil spill accident and so on, happened frequently in recent years which would result in long-term damage to the environment and human life. It would be helpful for rescue operation if we can locate the oil slick diffusion area in real time. Equipped with GNSS system, current tracking buoys(CTB), such as Lagrangian drifting buoy, Surface Velocity Program (SVP) drifter, iSLDMB (Iridium self locating datum marker buoy) and Argosphere buoy, have been used as oil tracking buoy in oil slick observation and as validation tools for oil spill simulation. However, surface wind could affect the movement of oil slick, which couldn't be reflected by CTB, thus the oil spill tracking performance is limited. Here, we proposed an novel oil spill tracking buoy (OSTB) which has a low cost of less than $140 and is equipped with Beidou positioning module and sails to track oil slick. Based on hydrodynamic equilibrium model and ocean dynamic analysis, the wind sails and water sails are designed to be adjustable according to different marine conditions to improve tracking efficiency. Quick release device is designed to assure easy deployment from air or ship. Sea experiment was carried out in Jiaozhou Bay, Northern China. OSTB, SVP, iSLDMB, Argosphere buoy and a piece of oil-simulated rubber sheet were deployed at the same time. Meanwhile, oil spill simulation model GNOME (general NOAA operational modeling environment) was configured with the wind and current field, which were collected by an unmanned surface vehicle (USV) mounted with acoustic Doppler current profilers (ADCP) and wind speed and direction sensors. Experimental results show that the OSTB has better relevance with rubber sheet and GNOME simulation results, which validate the oil tracking ability of OSTB. With low cost and easy deployment, OSTB provides an effective way for oil spill numerical

  17. 47 CFR 90.248 - Wildlife and ocean buoy tracking.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 5 2014-10-01 2014-10-01 false Wildlife and ocean buoy tracking. 90.248... SERVICES PRIVATE LAND MOBILE RADIO SERVICES Non-Voice and Other Specialized Operations § 90.248 Wildlife... tracking of, and the telemetry of scientific data from, ocean buoys and animal wildlife. (b) Transmitters...

  18. 47 CFR 90.248 - Wildlife and ocean buoy tracking.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 5 2011-10-01 2011-10-01 false Wildlife and ocean buoy tracking. 90.248... SERVICES PRIVATE LAND MOBILE RADIO SERVICES Non-Voice and Other Specialized Operations § 90.248 Wildlife... tracking of, and the telemetry of scientific data from, ocean buoys and animal wildlife. (b) Transmitters...

  19. 47 CFR 90.248 - Wildlife and ocean buoy tracking.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 5 2010-10-01 2010-10-01 false Wildlife and ocean buoy tracking. 90.248... SERVICES PRIVATE LAND MOBILE RADIO SERVICES Non-Voice and Other Specialized Operations § 90.248 Wildlife... tracking of, and the telemetry of scientific data from, ocean buoys and animal wildlife. (b) Transmitters...

  20. 47 CFR 90.248 - Wildlife and ocean buoy tracking.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 5 2012-10-01 2012-10-01 false Wildlife and ocean buoy tracking. 90.248... SERVICES PRIVATE LAND MOBILE RADIO SERVICES Non-Voice and Other Specialized Operations § 90.248 Wildlife... tracking of, and the telemetry of scientific data from, ocean buoys and animal wildlife. (b) Transmitters...

  1. 47 CFR 90.248 - Wildlife and ocean buoy tracking.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 5 2013-10-01 2013-10-01 false Wildlife and ocean buoy tracking. 90.248... SERVICES PRIVATE LAND MOBILE RADIO SERVICES Non-Voice and Other Specialized Operations § 90.248 Wildlife... tracking of, and the telemetry of scientific data from, ocean buoys and animal wildlife. (b) Transmitters...

  2. New buoy observation system for tsunami and crustal deformation

    NASA Astrophysics Data System (ADS)

    Takahashi, Narumi; Ishihara, Yasuhisa; Ochi, Hiroshi; Fukuda, Tatsuya; Tahara, Jun'ichiro; Maeda, Yosaku; Kido, Motoyuki; Ohta, Yusaku; Mutoh, Katsuhiko; Hashimoto, Gosei; Kogure, Satoshi; Kaneda, Yoshiyuki

    2014-09-01

    We have developed a new system for real-time observation of tsunamis and crustal deformation using a seafloor pressure sensor, an array of seafloor transponders and a Precise Point Positioning (PPP ) system on a buoy. The seafloor pressure sensor and the PPP system detect tsunamis, and the pressure sensor and the transponder array measure crustal deformation. The system is designed to be capable of detecting tsunami and vertical crustal deformation of ±8 m with a resolution of less than 5 mm. A noteworthy innovation in our system is its resistance to disturbance by strong ocean currents. Seismogenic zones near Japan lie in areas of strong currents like the Kuroshio, which reaches speeds of approximately 5.5 kt (2.8 m/s) around the Nankai Trough. Our techniques include slack mooring and new acoustic transmission methods using double pulses for sending tsunami data. The slack ratio can be specified for the environment of the deployment location. We can adjust slack ratios, rope lengths, anchor weights and buoy sizes to control the ability of the buoy system to maintain freeboard. The measured pressure data is converted to time difference of a double pulse and this simple method is effective to save battery to transmit data. The time difference of the double pulse has error due to move of the buoy and fluctuation of the seawater environment. We set a wire-end station 1,000 m beneath the buoy to minimize the error. The crustal deformation data is measured by acoustic ranging between the buoy and six transponders on the seafloor. All pressure and crustal deformation data are sent to land station in real-time using iridium communication.

  3. Texas Automated Buoy System 1995-2005 and Beyond

    NASA Astrophysics Data System (ADS)

    Guinasso, N. L.; Bender, L. C.; Walpert, J. N.; Lee, L. L.; Campbell, L.; Hetland, R. D.; Howard, M. K.; Martin, R. D.

    2005-05-01

    TABS was established in l995 to provide data to assess oil spill movement along Texas coast for the Texas General Land Office Oil Spill Prevention and Response Program. A system of nine automated buoys provide wind and current data in near real time. Two of these buoys are supported by the Flower Garden Banks Joint Industry Program. A TABS web site provides a public interface to view and download the data. A real time data analysis web page presents a wide variety of useful data products derived from the field measurements. Integration efforts now underway include transfer of buoy data to the National Data Buoy Center for quality control and incorporation into the Global Telecommunications Stream. The TGLO ocean circulation nowcast/forecast modeling system has been in continuous operation since 1998. Two models, POM and ROMS, are used to produce forecasts of near-surface wind driven currents up to 48 hours into the future. Both models are driven using wind fields obtained from the NAM (formerly Eta) forecast models operated by NOAA NCEP. Wind and current fields are displayed on websites in both static and animated forms and are updated four times per day. Under funding from the SURA/SCOOP program we are; 1) revamping the system to conform with the evolving Data Management and Communications (DMAC) framework adopted by the NSF Orion and OCEAN.US IOOS programs, 2) producing model-data comparisons, and 3) integrating the wind and current fields into the GNOME oil trajectory model used by NOAA/Hazmat. Academic research is planned to assimilate near real-time observations from TABS buoys and some 30-40 ADCP instruments scheduled to be mounted on offshore oil platforms in early 2005. Texas Automated Buoy System (TABS) and its associated modeling efforts provide a reliable source of accurate, up-to-date information on currents along the Texas coast. As the nation embarks on the development of an Integrated Ocean Observing System (IOOS), TABS will be an active participant

  4. A Wave Power Device with Pendulum Based on Ocean Monitoring Buoy

    NASA Astrophysics Data System (ADS)

    Chai, Hui; Guan, Wanchun; Wan, Xiaozheng; Li, Xuanqun; Zhao, Qiang; Liu, Shixuan

    2018-01-01

    The ocean monitoring buoy usually exploits solar energy for power supply. In order to improve power supply capacity, this paper proposes a wave power device according to the structure and moving character of buoy. The wave power device composes of pendulum mechanism that converts wave energy into mechanical energy and energy storage mechanism where the mechanical energy is transferred quantitatively to generator. The hydrodynamic equation for the motion of buoy system with generator devise is established based on the potential flow theory, and then the characteristics of pendulum motion and energy conversion properties are analysed. The results of this research show that the proposed wave power devise is able to efficiently and periodically convert wave energy into power, and increasing the stiffness of energy storage spring is benefit for enhancing the power supply capacity of the buoy. This study provides a theory reference for the development of technology on wave power generator for ocean monitoring buoy.

  5. A Buoy for Continuous Monitoring of Suspended Sediment Dynamics

    PubMed Central

    Mueller, Philip; Thoss, Heiko; Kaempf, Lucas; Güntner, Andreas

    2013-01-01

    Knowledge of Suspended Sediments Dynamics (SSD) across spatial scales is relevant for several fields of hydrology, such as eco-hydrological processes, the operation of hydrotechnical facilities and research on varved lake sediments as geoarchives. Understanding the connectivity of sediment flux between source areas in a catchment and sink areas in lakes or reservoirs is of primary importance to these fields. Lacustrine sediments may serve as a valuable expansion of instrumental hydrological records for flood frequencies and magnitudes, but depositional processes and detrital layer formation in lakes are not yet fully understood. This study presents a novel buoy system designed to continuously measure suspended sediment concentration and relevant boundary conditions at a high spatial and temporal resolution in surface water bodies. The buoy sensors continuously record turbidity as an indirect measure of suspended sediment concentrations, water temperature and electrical conductivity at up to nine different water depths. Acoustic Doppler current meters and profilers measure current velocities along a vertical profile from the water surface to the lake bottom. Meteorological sensors capture the atmospheric boundary conditions as main drivers of lake dynamics. It is the high spatial resolution of multi-point turbidity measurements, the dual-sensor velocity measurements and the temporally synchronous recording of all sensors along the water column that sets the system apart from existing buoy systems. Buoy data collected during a 4-month field campaign in Lake Mondsee demonstrate the potential and effectiveness of the system in monitoring suspended sediment dynamics. Observations were related to stratification and mixing processes in the lake and increased turbidity close to a catchment outlet during flood events. The rugged buoy design assures continuous operation in terms of stability, energy management and sensor logging throughout the study period. We conclude that

  6. Typhoon generated surface gravity waves measured by NOMAD-type buoys

    NASA Astrophysics Data System (ADS)

    Collins, Clarence O., III

    This study examines wind-generated ocean surface waves as measured by NOMAD-type buoys during the ONR-sponsored Impact of Typhoons on the Ocean in the Pacific (ITOP) field experiment in 2010. 1-D measurements from two new Extreme Air-Sea Interaction (EASI) NOMAD-type buoys were validated against measurements from established Air-Sea Interaction Spar (ASIS) buoys. Also, during ITOP, 3 drifting Miniature Wave Buoys, a wave measuring marine radar on the R/V Roger Revelle, and several overpasses of JASON-1 (C- and Ku-band) and -2 (Ku-band) satellite altimeters were within 100 km of either EASI buoy. These additional measurements were compared against both EASI buoys. Findings are in line with previous wave parameter inter-comparisons. A corroborated measurement of mean wave direction and direction at the peak of the spectrum from the EASI buoy is presented. Consequently, this study is the first published account of directional wave information which has been successfully gathered from a buoy with a 6 m NOMAD-type hull. This result may be applied to improve operational coverage of wave direction. In addition, details for giving a consistent estimate of sea surface elevation from buoys using strapped down accelerometers are given. This was found to be particularly important for accurate measurement of extreme waves. These technical studies established a high level of confidence in the ITOP wave measurements. Detailed frequency-direction spectra were analyzed. Structures in the wave field were described during the close passages of 4 major tropical cyclones (TC) including: severe tropical storm Dianmu, Typhoon Fanapi, Super Typhoon Megi, and Typhoon Chaba. In addition, significant swell was measured from a distant 5th TC, Typhoon Malakas. Changes in storm direction and intensity are found to have a profound impact on the wave field. Measurements of extreme waves were explored. More extreme waves were measured during TCs which coincided with times of increased wave

  7. Development of a GNSS Buoy for Monitoring Water Surface Elevations in Estuaries and Coastal Areas.

    PubMed

    Lin, Yen-Pin; Huang, Ching-Jer; Chen, Sheng-Hsueh; Doong, Dong-Jiing; Kao, Chia Chuen

    2017-01-18

    In this work, a Global Navigation Satellite System (GNSS) buoy that utilizes a Virtual Base Station (VBS) combined with the Real-Time Kinematic (RTK) positioning technology was developed to monitor water surface elevations in estuaries and coastal areas. The GNSS buoy includes a buoy hull, a RTK GNSS receiver, data-transmission devices, a data logger, and General Purpose Radio Service (GPRS) modems for transmitting data to the desired land locations. Laboratory and field tests were conducted to test the capability of the buoy and verify the accuracy of the monitored water surface elevations. For the field tests, the GNSS buoy was deployed in the waters of Suao (northeastern part of Taiwan). Tide data obtained from the GNSS buoy were consistent with those obtained from the neighboring tide station. Significant wave heights, zero-crossing periods, and peak wave directions obtained from the GNSS buoy were generally consistent with those obtained from an accelerometer-tilt-compass (ATC) sensor. The field tests demonstrate that the developed GNSS buoy can be used to obtain accurate real-time tide and wave data in estuaries and coastal areas.

  8. Seafloor horizontal positioning from a continuously operating buoy-based GPS-acoustic array

    NASA Astrophysics Data System (ADS)

    Chadwell, C. D.; Brown, K. M.; Tryon, M. D.; Send, U.

    2009-12-01

    Seafloor horizontal positions in a global frame were estimated daily from an autonomous buoy operating continuously over several months. The buoy (GEOCE) was moored offshore San Diego in 100-m-deep waters above an array of 4 seafloor transponders. Dual-frequency GPS data were collected at 1-Hz at a main antenna on the buoy and at 3 shore stations to provide continuous 2-3 cm positions of the buoy main antenna. Two single-frequency antennas on the buoy along with the main antenna were used to estimate the buoy attitude and short-term velocity. At one minute intervals the two-way acoustic travel time was measured between the buoy and transponders. During this few second span when transmitting and receiving acoustic signals, 10-Hz attitude and velocity were collected to locate the position of the transducer mounted approximately 2 m below the water line. The GPS and acoustic data were recorded internally and transmitted to shore over a cell-phone link and/or a wireless Ethernet. GPS data were combined with the acoustic data to estimate the array location at 1 minute intervals. The 1-minute positions are combined to provide a daily estimate of the array position. The buoy is autonomous, solar-powered and in addition to the GPS and acoustic data collects air pressure, temperature, wind speed/direction as well as water level at the surface and conductivity and temperature along the mooring line from near the sea surface to just above the sea floor. Here we report results from the horizontal positioning effort from Phase I of the project in shallow waters. The project also includes a vertical deformation sensor and physical oceanographic monitoring. A deep water (nominally 1000 m) test is planned for 2010. This work is supported by NSF-OCE-0551363 of the Ocean Technology and Interdisciplinary Coordination Program.

  9. Design of Buoys for Mounting Wind Turbines at Exposed Sites

    NASA Astrophysics Data System (ADS)

    Erdoğan, Beytullah; Çelıkkol, Barbaros; Swift, Robinson

    2018-04-01

    In this study, two designs for a buoy capable of supporting a 10 kW wind turbine and its tower were developed to operate at the University of New Hampshire's Center of Ocean Renewable Energy testing site located off the Isles of Shoals, New Hampshire. The buoys are to be moored by a catenary chain system. To evaluate wave response, two Froude-scaled models were constructed, tested, and compared at the Ocean Engineering wave tank at the University of New Hampshire. These buoys have been implemented and compared with wave tank measurements of the spar displacement at a reference elevation 2.44 m above the mean water level.

  10. Coordination, Data Management and Enhancement of the International Arctic Buoy Programme (IABP), A US Interagency Arctic Buoy Programme (USIABP) Contribution to the IABP

    DTIC Science & Technology

    2012-09-30

    International Arctic Buoy Programme ( IABP ) A US Interagency Arctic Buoy Programme (USIABP) contribution to the IABP Dr. Ignatius G. Rigor Polar...observations of surface meteorology and ice motion. These observations are assimilated into Numerical Weather Prediction (NWP) models that are used to...distribution of sea ice. Over the Arctic Ocean, this fundamental observing network is maintained by the IABP , and is a critical component of the

  11. Development of a GNSS Buoy for Monitoring Water Surface Elevations in Estuaries and Coastal Areas

    PubMed Central

    Lin, Yen-Pin; Huang, Ching-Jer; Chen, Sheng-Hsueh; Doong, Dong-Jiing; Kao, Chia Chuen

    2017-01-01

    In this work, a Global Navigation Satellite System (GNSS) buoy that utilizes a Virtual Base Station (VBS) combined with the Real-Time Kinematic (RTK) positioning technology was developed to monitor water surface elevations in estuaries and coastal areas. The GNSS buoy includes a buoy hull, a RTK GNSS receiver, data-transmission devices, a data logger, and General Purpose Radio Service (GPRS) modems for transmitting data to the desired land locations. Laboratory and field tests were conducted to test the capability of the buoy and verify the accuracy of the monitored water surface elevations. For the field tests, the GNSS buoy was deployed in the waters of Suao (northeastern part of Taiwan). Tide data obtained from the GNSS buoy were consistent with those obtained from the neighboring tide station. Significant wave heights, zero-crossing periods, and peak wave directions obtained from the GNSS buoy were generally consistent with those obtained from an accelerometer-tilt-compass (ATC) sensor. The field tests demonstrate that the developed GNSS buoy can be used to obtain accurate real-time tide and wave data in estuaries and coastal areas. PMID:28106763

  12. 33 CFR 74.20-1 - Buoy and vessel use costs.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 1 2013-07-01 2013-07-01 false Buoy and vessel use costs. 74.20-1 Section 74.20-1 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY AIDS TO NAVIGATION CHARGES FOR COAST GUARD AIDS TO NAVIGATION WORK Aids to Navigation Costs § 74.20-1 Buoy...

  13. 33 CFR 74.20-1 - Buoy and vessel use costs.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 1 2014-07-01 2014-07-01 false Buoy and vessel use costs. 74.20-1 Section 74.20-1 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY AIDS TO NAVIGATION CHARGES FOR COAST GUARD AIDS TO NAVIGATION WORK Aids to Navigation Costs § 74.20-1 Buoy...

  14. 33 CFR 74.20-1 - Buoy and vessel use costs.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 1 2011-07-01 2011-07-01 false Buoy and vessel use costs. 74.20-1 Section 74.20-1 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY AIDS TO NAVIGATION CHARGES FOR COAST GUARD AIDS TO NAVIGATION WORK Aids to Navigation Costs § 74.20-1 Buoy...

  15. Development of a new tubular buoy for seafloor geodetic observation with cabled system

    NASA Astrophysics Data System (ADS)

    Kido, M.; Osada, Y.; Fujimoto, H.; Kaneda, Y.

    2008-12-01

    Seafloor geodetic observation using the GPS/acoustic technique is now a practical tool to monitor crustal movement beneath the ocean. The DONET project, which plans to install a seafloor cable system and is promoted by MEXT, Japan is a promising candidate to achieve semi-realtime and long-term seafloor observation. However there still remain some technical problem for the system. One of the largest problem is the stability and safety of a mooring buoy for long-term. A box-type small buoy as a surface platform, which is out present system, heavily oscillates with ocean swells especially for short waves and has large friction against ocean current within water. To overcome this problem, we have developed a new buoy as a prototype of long-term mooring system. Since the new buoy is tubular in shape and more than 4 m height, its attitude at the sea surface is quite stable. A typical oscillating period is improved from 2 sec for the box-type buoy into more than 6 sec for the new tubular buoy. Further more, effect of multiple reflection against sea surface or bottom of the buoy is almost disappear due to its acoustic transducer locates at greater depth (around 3 m). We have confirmed that observed acoustic signals of the reply from seafloor transponders are quite clear and has small and symmetric siderobes in the correlogram, which is important for proper traveltime detection. The new buoy is designed as low power and remote controlled system, which is also suitable for future cable connection. Using this new system, we have conducted a test survey for several hours in Kumano-nada, along Nankai trough, where the seafloor cable is planed to be laid. At this site we have placed a seafloor transponders' array with five instruments rather than usual three transponders. This will help to estimate lateral gradient of sound speed structure in the ocean, which degrade positioning accuracy in the past survey and analytic styles. In this talk, we present the initial result of the

  16. Gulf of Mexico Monitoring Via The Remotely Controlled CMR SailBuoy

    NASA Astrophysics Data System (ADS)

    Wienders, N.; Hole, L. R.; Peddie, D.

    2013-12-01

    The CMR SailBuoy is an unmanned ocean vessel capable of traveling the oceans for extended periods of time. It navigates the oceans autonomously - transmitting data at regular intervals using the Iridium network for two way communication. The SailBuoy can be used for a wide variety of ocean applications from measuring ocean and atmospheric parameters to tracking oil spills or acting as a communication relay station for subsea instrumentation. As part of the Deep-C project(Deep Sea to Coast Connectivity in the Eastern Gulf of Mexico), a two month campaign was carried out from March to May 2013 with the purpose of collecting sea surface data (temperature, salinity and oxygen) during the spring bloom. The campaign was unique in that the SailBouy was remotely controlled from Norway after being deployed from the RV Apalachee. The SailBuoy was deployed approximately 11 nautical miles (nm) south of Cape San Blas. During its mission she sailed approximately 840nm on a cruise track across the Gulf coast, from the Florida Panhandle to Louisiana. The SailBuoy project is part of Deep-C's physical oceanography research which seeks to, among other things, understand how particles and dissolved substances (such as oil) travel from the deep sea to the Louisiana, Mississippi, Alabama and Florida shorelines. This involves cross-shelf transport and upwelling mechanisms, which the SailBuoy is capable of measuring. An other focus was the sampling of the Mississippi river plume, which has been shown to influence the distribution of particles, oil, dissolved substances in the water, at least at the surface level. Sea surface salinity measurement via satellite do not provide, at the moment, sufficient resolution and accuracy and instead, the SailBuoy seems to be a very convenient instrument to track river plumes. In this presentation we describe the collected data and include comparisons with high resolution ocean model outputs. We also present further plans for SailBuoy campaigns.

  17. An atlas of GEOS-3 radar altimeter data for data buoy comparison studies

    NASA Technical Reports Server (NTRS)

    Stanley, H. R.; Taylor, R. L.

    1978-01-01

    An atlas is compiled to identify times and dates when GEOS-3 altimeter data was taken in the vicinity of data buoys. The time period covered is from GEOS launch to April 9, 1978. Two buffer areas are considered for each of the various buoy locations to determine the simultaneity of GEOS and buoy data. The two buffer areas are ? or - 0.25 degrees and ? or - 1 degree.

  18. United States Naval Academy Polar Science Program's Visual Arctic Observing Buoys; The IceGoat

    NASA Astrophysics Data System (ADS)

    Woods, J. E.; Clemente-Colon, P.; Nghiem, S. V.; Rigor, I.; Valentic, T. A.

    2012-12-01

    The U.S. Naval Academy Oceanography Department currently has a curriculum based Polar Science Program (USNA PSP). Within the PSP there is an Arctic Buoy Program (ABP) student research component that will include the design, build, testing and deployment of Arctic Buoys. Establishing an active, field-research program in Polar Science will greatly enhance Midshipman education and research, as well as introduce future Naval Officers to the Arctic environment. The Oceanography Department has engaged the USNA Ocean Engineering, Systems Engineering, Aerospace Engineering, and Computer Science Departments and developed a USNA Visual Arctic Observing Buoy, IceGoat1, which was designed, built, and deployed by midshipmen. The experience gained through Polar field studies and data derived from these buoys will be used to enhance course materials and laboratories and will also be used directly in Midshipman independent research projects. The USNA PSP successfully deployed IceGoat1 during the BROMEX 2012 field campaign out of Barrow, AK in March 2012. This buoy reports near real-time observation of Air Temperature, Sea Temperature, Atmospheric Pressure, Position and Images from 2 mounted webcams. The importance of this unique type of buoy being inserted into the U.S. Interagency Arctic Buoy Program and the International Arctic Buoy Programme (USIABP/IABP) array is cross validating satellite observations of sea ice cover in the Arctic with the buoys webcams. We also propose to develop multiple sensor packages for the IceGoat to include a more robust weather suite, and a passive acoustic hydrophone. Remote cameras on buoys have provided crucial qualitative information that complements the quantitative measurements of geophysical parameters. For example, the mechanical anemometers on the IABP Polar Arctic Weather Station at the North Pole Environmental Observatory (NPEO) have at times reported zero winds speeds, and inspection of the images from the NPEO cameras have showed

  19. System Identification and Control of a Joint-Actuated Buoy

    DTIC Science & Technology

    2014-05-09

    14 Figure 9: Green and Orange Colored Stripes of Craft Foam on the Buoy Payload ........... 15 Figure 10: Buoy Step...circuit board. The copper and blue paper were then heated in a press-n-peel press for just over one minute to allow the printer toner to bond with the...equidistant to each other running along the length of the payload, as shown in Figure 9. Figure 9: Green and Orange Colored Stripes of Craft Foam

  20. The International Arctic Buoy Programme (IABP) - An International Polar Year Every Year

    NASA Astrophysics Data System (ADS)

    Hanna, M.; Rigor, I.; Ortmeyer, M.; Haas, C.

    2004-12-01

    A network of automatic data buoys to monitor synoptic-scale fields of sea level pressure (SLP), surface air temperature (SAT), and ice motion throughout the Arctic Ocean was recommended by the U.S. National Academy of Sciences in 1974. Based on the Academy's recommendation, the Arctic Ocean Buoy Program was established by the Polar Science Center, Applied Physics Laboratory (APL), University of Washington, in 1978 to support the Global Weather Experiment. Operations began in early 1979, and the program continued through 1990 under funding from various agencies. In 1991, the International Arctic Buoy Programme (IABP) succeeded the Arctic Ocean Buoy Program, but the basic objective remains - to maintain a network of drifting buoys on the Arctic Ocean to provide meteorological and oceanographic data for real-time operational requirements and research purposes including support to the World Climate Research Programme and the World Weather Watch Programme. The IABP currently has 37 buoys deployed on the Arctic Ocean. Most of the buoys measure SLP and SAT, but many buoys are enhanced to measure other geophysical variables such as sea ice thickness, ocean temperature and salinity. This observational array is maintained by the 20 Participants from 10 different countries, who support the program through contributions of buoys, deployment logistics, and other services. The observations from the IABP are posted on the Global Telecommunications System for operational use, are archived at the World Data Center for Glaciology at the National Snow and Ice Data Center (http://nsidc.org), and can also be obtained from the IABP web server for research (http://iabp.apl.washington.edu). The observations from the IABP have been essential for: 1.) Monitoring Arctic and global climate change; 2.) Forecasting weather and sea ice conditions; 3.) Forcing, assimilation and validation of global weather and climate models; 4.) Validation of satellite data; etc. As of 2003, over 450 papers have

  1. Coordination, Data Management and Enhancement of the International Arctic Buoy Programme (IABP) a US Interagency Arctic Buoy Programme \\201USIABP\\202 contribution to the IABP

    DTIC Science & Technology

    2013-09-30

    data from the IABP ); 2.) Forecasting weather and sea ice conditions; 3.) Forcing, assimilation and validation of global weather and climate models ...International Arctic Buoy Programme ( IABP ) A US Interagency Arctic Buoy Programme (USIABP) contribution to the IABP Dr. Ignatius G. Rigor Polar...ice motion. These observations are assimilated into Numerical Weather Prediction (NWP) models that are used to forecast weather on synoptic time

  2. Real-time and on-demand buoy observation system for tsunami and crustal displacement

    NASA Astrophysics Data System (ADS)

    Takahashi, N.; Imai, K.; Ishihara, Y.; Fukuda, T.; Ochi, H.; Suzuki, K.; Kido, M.; Ohta, Y.; Imano, M.; Hino, R.

    2017-12-01

    We develop real-time and on-demand buoy observation system for tsunami and crustal displacement. It is indispensable for observation of crustal displacement to understand changes of stress field related to future large earthquakes. The current status of the observation is carried out by using a vessel with an interval of a few times per a year. When a large earthquake occurs, however, we need dense or on-demand observation of the crustal displacement to grasp nature of the slow slip after the rupture. Therefore, we constructed buoy system with a buoy station, wire-end station, seafloor unit and acoustic transponders for crustal displacement, and we installed a pressure sensor on the seafloor unit and GNSS system on the buoy in addition to measurement of e distance between the buoy and the seafloor acoustic transponders. Tsunami is evaluated using GNSS data and pressure data sent from seafloor. Observation error of the GNSS is about 10 cm. The crustal displacement is estimated using pressure sensor for vertical and acoustic measurement for horizontal. Using current slack ratio of 1.58, the observation error for the measurement of the crustal displacement is about 10 cm. We repeated three times sea trials and confirmed the data acquisition with high data quality, mooring without dredging anchor in the strong sea current with a speed of 5.5 knots. Current issues to be resolved we face are removing noises on the acoustic data transmission, data transmission between the buoy and wire-end stations, electrical consumption on the buoy station and large observation error on the crustal displacement due to large slack ratio. We consider the change of the acoustic transmission for pressure data, replace of a GNSS data logger with large electrical consumption, and reduce of the slack ratio, and search method to reduce resistance of the buoy on the sea water. In this presentation, we introduce the current status of the technical development and tsunami waveforms recorded on our

  3. 33 CFR 62.35 - Mooring buoys.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ....35 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY AIDS TO NAVIGATION UNITED STATES AIDS TO NAVIGATION SYSTEM The U.S. Aids to Navigation System § 62.35 Mooring buoys. Mooring... identification and to avoid confusion with aids to navigation. ...

  4. 33 CFR 62.35 - Mooring buoys.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ....35 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY AIDS TO NAVIGATION UNITED STATES AIDS TO NAVIGATION SYSTEM The U.S. Aids to Navigation System § 62.35 Mooring buoys. Mooring... identification and to avoid confusion with aids to navigation. ...

  5. 33 CFR 62.35 - Mooring buoys.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ....35 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY AIDS TO NAVIGATION UNITED STATES AIDS TO NAVIGATION SYSTEM The U.S. Aids to Navigation System § 62.35 Mooring buoys. Mooring... identification and to avoid confusion with aids to navigation. ...

  6. 33 CFR 62.35 - Mooring buoys.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ....35 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY AIDS TO NAVIGATION UNITED STATES AIDS TO NAVIGATION SYSTEM The U.S. Aids to Navigation System § 62.35 Mooring buoys. Mooring... identification and to avoid confusion with aids to navigation. ...

  7. 33 CFR 62.35 - Mooring buoys.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ....35 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY AIDS TO NAVIGATION UNITED STATES AIDS TO NAVIGATION SYSTEM The U.S. Aids to Navigation System § 62.35 Mooring buoys. Mooring... identification and to avoid confusion with aids to navigation. ...

  8. Pacific Ocean buoy temperature date

    EPA Pesticide Factsheets

    Pacific Ocean buoy temperature dataThis dataset is associated with the following publication:Carbone, F., M. Landis, C.N. Gencarelli, A. Naccarato, F. Sprovieri, F. De Simone, I.M. Hedgecock, and N. Pirrone. Sea surface temperature variation linked to elemental mercury concentrations measured on Mauna Loa. GEOPHYSICAL RESEARCH LETTERS. American Geophysical Union, Washington, DC, USA, online, (2016).

  9. East Spar development: NCC buoy--The vertical submarine

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Boyle, E.C.

    1998-02-01

    The remote East Spar gas/condensate field has been developed using a subsea production system operated by an unmanned navigation, communication, and control (NCC) buoy. The use of this type of system allows control of the field from any convenient location, with the command-response time and the cost of the facility almost completely independent of the distance to the shore or host facility. Successes during the project (such as using model tests to prove the concept and using a tension-leg mooring system to reduce the motion response of the buoy) are discussed and compared to failures, like the weight and sizemore » growth of the structure, caused as the design requirements were finalized and external factors changed. The operation and layout of this facility is summarized, showing why it was described as a vertical submarine. Conclusions are drawn about the use of an NCC buoy to develop this field, showing that the main objectives have been achieved. The limited operating experience to date is also considered in the review of the design objectives. The paper concludes with the possibilities for the future of this type of concept.« less

  10. Analysis and prediction of ocean swell using instrumented buoys

    NASA Technical Reports Server (NTRS)

    Mettlach, Theodore; Wang, David; Wittmann, Paul

    1994-01-01

    During the period 20-23 September 1990, the remnants of Supertyphoon Flo moved into the central North Pacific Ocean with sustained wind speeds of 28 m/s. The strong wind and large fetch area associated with this storm generated long-period swell that propagated to the west coast of North America. National Data Buoy Center moored-buoy stations, located in a network that ranged from the Gulf of Alaska to the California Bight, provided wave spectral estimates of the swell from this storm. The greatest dominant wave periods measured were approximately 20-25 s, and significant wave heights measured ranged from 3 to 8 m. Wave spectra from an array of three nondirectional buoys are used to find the source of the long-period swell. Directional wave spectra from a heave-pitch-roll buoy are also used to make an independent estimate of the source of the swell. The ridge-line method, using time-frequency contour plots of wave spectral energy density, is used to determine the time of swell generation, which is used with the appropriate surface pressure analysis to infer the swell generation area. The diagnosed sources of the swell are also compared with nowcasts from the Global Spectral Ocean Wave Model of the Fleet Numerical Oceanography Center. A simple method of predicting the propagation of ocean swell, by applying a simple kinematic model of wave propagation to the estimated point and time source, is demonstrated.

  11. Rip current monitoring using GPS buoy system

    NASA Astrophysics Data System (ADS)

    Song, DongSeob; Kim, InHo; Kang, DongSoo

    2014-05-01

    The occurrence of rip current in the Haeundae beach, which is one of the most famous beaches in South Korea, has been threatening beach-goers security in summer season annually. Many coastal scientists have been investigating rip currents by using field observations and measurements, laboratory measurements and wave tank experiments, and computer and numerical modeling. Rip current velocity is intermittent and may rapidly increase within minutes due to larger incoming wave groups or nearshore circulation instabilities. It is important to understand that changes in rip current velocity occur in response to changes in incoming wave height and period as well as changes in water level. GPS buoys have been used to acquire sea level change data, atmospheric parameters and other oceanic variables in sea for the purposes of vertical datum determination, tide correction, radar altimeter calibration, ocean environment and marine pollution monitoring. Therefore, we adopted GPS buoy system for an experiment which is to investigate rip current velocity; it is sporadic and may quickly upsurge within minutes due to larger arriving wave groups or nearshore flow uncertainties. In this study, for high accurate positioning of buy equipment, a Satellite Based Argumentation System DGPS data logger was deployed to investigate within floating object, and it can be acquired three-dimensional coordinate or geodetic position of buoy with continuous NMEA-0183 protocol during 24 hours. The wave height measured by in-situ hydrometer in a cross-shore array clearly increased before and after occurrence of rip current, and wave period also was lengthened around an event. These results show that wave height and period correlate reasonably well with long-shore current interaction in the Haeundae beach. Additionally, current meter data and GPS buoy data showed that rip current velocities, about 0.2 m/s, may become dangerously strong under specific conditions. Acknowledgement This research was

  12. The VIMS CBOS Observing System Buoy, an Initial Scientific Analysis

    NASA Astrophysics Data System (ADS)

    Brasseur, L. H.; Brubaker, J. M.; Friedrichs, C. T.; Wright, L. D.

    2004-12-01

    The Virginia Institute of Marine Science (VIMS) has recently deployed a data buoy at Gloucester Point, York River, Virginia as part of the Chesapeake Bay Observing System (CBOS). The data streams collected by the buoy and its associated sensors are wind speed and direction, incoming solar radiation, air temperature, water temperature, salinity, turbidity, fluorescence, and dissolved oxygen. In addition, water velocities throughout the water column are recorded every 5 minutes and wave statistics including directional wave spectra are calculated every hour from an upward looking RD Instruments Acoustic Doppler Current Profiler (ADCP) in 8 meters of water in conjunction with the data buoy. All data are collected in real time and are available to scientists with a 15 minute to 1 hour time lag. These data are used in conjunction with other long tem data sets in the York River and lower Chesapeake Bay such as the Chesapeake Bay National Estuarine Research Reserve (CBNERR) sites' water quality data in the York River and USGS stream flow data to investigate several questions of scientific interest. One of these questions is the observed reverse salinity gradient in the York River during spring flood tides. It was previously thought that this was caused by a temporal mismatch in the phase of flood tide between the lower Chesapeake Bay and the mouth of the York River subestuary only during spring tides when the currents are strongest and the tidal range is large. In 2004, however, this effect can be seen during both spring and neap tides on several occasions in the spring and summer. This phenomenon and others are evaluated in the context of the VIMS observing system buoy and the initial data collected from the buoy are also evaluated in terms of instrument accuracy, ease of data retrieval, and possible uses for this information.

  13. Worldwide Buoy Technology Survey. Volume 2. Appendix B. Buoy Records. Book 2. Germany - USA

    DTIC Science & Technology

    1991-02-01

    arrangement and effectiveness of the complete system could not be addressed in detail within the constraints of this project. In an overall evaluation of...the SRA system , such considerations should also be addressed. The USCG’s Waterway Analysis and Management System (WAMS) is considering this matter as...project. The task includes the screening of worldwide engineering and technical information on buoy systems , approaches to problem solving (particularly

  14. US program in anchored data buoy and the other fixed observation platforms

    NASA Astrophysics Data System (ADS)

    McCall, J. C.

    The NOAA Data Buoy Office (NOBO) develops and operates moored buoys in all U.S. coastal and offshore waters from New England to Hawaii (including the Great Lakes) to provide real-time environmental measurements in data-sparse areas for the National Weather Service and other public and private users. The NOBO also has a program for development, deployment, and operation of drifting buoys, which provide environmental measurements in the South Atlantic and Pacific from Chili to Australia and in the Northern Hemisphere. In addition, NOBO develops, deploys, and operates special purpose environmental measuring systems for other government agencies, particularly for petroleum-related purposes, and has an engineering development effort in procuring new and improved sensor and communications systems.

  15. Outfall siting with dye-buoy remote sensing of coastal circulation

    NASA Technical Reports Server (NTRS)

    Munday, J. C., Jr.; Welch, C. S.; Gordon, H. H.

    1978-01-01

    A dye-buoy remote sensing technique has been applied to estuarine siting problems that involve fine-scale circulation. Small hard cakes of sodium fluorescein and polyvinyl alcohol, in anchored buoys and low-windage current followers, dissolve to produce dye marks resolvable in 1:60,000 scale color and color infrared imagery. Lagrangian current vectors are determined from sequential photo coverage. Careful buoy placement reveals surface currents and submergence near fronts and convergence zones. The technique has been used in siting two sewage outfalls in Hampton Roads, Virginia: In case one, the outfall region during flood tide gathered floating materials in a convergence zone, which then acted as a secondary source during ebb; for better dispersion during ebb, the proposed outfall site was moved further offshore. In case two, flow during late flood was found to divide, with one half passing over shellfish beds; the proposed outfall site was consequently moved to keep effluent in the other half.

  16. Design, fabrication and systems integration of a satellite tracked, free-drifting ocean data buoy

    NASA Technical Reports Server (NTRS)

    Wallace, J. W.; Cox, J. W.

    1976-01-01

    Engineering details are presented of a small free-drifting buoy configuration designed for use in the study of continental shelf water circulation patterns in the Chesapeake Bight of the Western North Atlantic Ocean. The buoy incoporated French instrumentation and was interrogated by the French EOLE satellite to provide position and four channels of temperature data. The buoy design included a variable depth drogue and a power supply sufficient for six weeks of continuous operations. Proof tests of the configuration indicated an adequate design and subsequent field experiments verified the proper functioning of the system.

  17. The Great Build-a-Buoy Challenge

    ERIC Educational Resources Information Center

    Dickerson, Daniel; Hathcock, Stephanie; Stonier, Frank; Levin, Doug

    2012-01-01

    As Science, Technology, Engineering, and Mathematics (STEM) Education continues to become more visible in elementary school curricula, the need for activities that address STEM content is growing. Build-A-Buoy is one such activity. This activity was developed by Doug Levin in 2008 when he was an education coordinator for the NOAA Chesapeake Bay…

  18. Snow depth evolution on sea ice from Snow Buoy measurement

    NASA Astrophysics Data System (ADS)

    Nicolaus, M.; Arndt, S.; Hendricks, S.; Hoppmann, M.; Katlein, C.; König-Langlo, G.; Nicolaus, A.; Rossmann, H. L.; Schiller, M.; Schwegmann, S.; Langevin, D.

    2016-12-01

    Snow cover is an Essential Climate Variable. On sea ice, snow dominates the energy and momentum exchanges across the atmosphere-ice-ocean interfaces, and actively contributes to sea ice mass balance. Yet, snow depth on sea ice is one of the least known and most difficult to observe parameters of the Arctic and Antarctic; mainly due to its exceptionally high spatial and temporal variability. In this study; we present a unique time series dataset of snow depth and air temperature evolution on Arctic and Antarctic sea ice recorded by autonomous instruments. Snow Buoys record snow depth with four independent ultrasonic sensors, increasing the reliability of the measurements and allowing for additional analyses. Auxiliary measurements include surface and air temperature, barometric pressure and GPS position. 39 deployments of such Snow Buoys were achieved over the last three years either on drifting pack ice, on landfast sea ice or on an ice shelf. Here we highlight results from two pairs of Snow Buoys installed on drifting pack ice in the Weddell Sea. The data reveals large regional differences in the annual cycle of snow depth. Almost no reduction in snow depth (snow melt) was observed in the inner and southern part of the Weddell Sea, allowing a net snow accumulation of 0.2 to 0.9 m per year. In contrast, summer snow melt close to the ice edge resulted in a decrease of about 0.5 m during the summer 2015/16. Another array of eight Snow Buoys was installed on central Arctic sea ice in September 2015. Their air temperature record revealed exceptionally high air temperatures in the subsequent winter, even exceeding the melting point but with almost no impact on snow depth at that time. Future applications of Snow Buoys on Arctic and Antarctic sea ice will allow additional inter-annual studies of snow depth and snow processes, e.g. to support the development of snow depth data products from airborne and satellite data or though assimilation in numerical models.

  19. An intelligent subsurface buoy design for measuring ocean ambient noise

    NASA Astrophysics Data System (ADS)

    Li, Bing; Wang, Lei

    2012-11-01

    A type of ultra-low power subsurface buoy system is designed to measure and record ocean ambient noise data. The buoy utilizes a vector hydrophone (pass band 20Hz-1.2kHz) and a 6-element vertical hydrophone array (pass band 20Hz-2kHz) to measure ocean ambient noise. The acoustic signals are passed through an automatically modified gain, a band pass filter, and an analog-to-digital (A/D) conversion module. They are then stored in high-capacity flash memory. In order to identify the direction of noise source, the vector sensor measuring system has integrated an electric-magnetic compass. The system provides a low-rate underwater acoustic communication system which is used to report the buoy state information and a high-speed USB interface which is used to retrieve the recorded data on deck. The whole system weighs about 125kg and can operate autonomously for more than 72 hours. The system's main architecture and the sea-trial test results are provided in this paper.

  20. An improvement of the GPS buoy system for detecting tsunami at far offshore

    NASA Astrophysics Data System (ADS)

    Kato, T.; Terada, Y.; Nagai, T.; Kawaguchi, K.; Koshimura, S.; Matsushita, Y.

    2012-12-01

    We have developed a GPS buoy system for detecting a tsunami before its arrival at coasts and thereby mitigating tsunami disaster. The system was first deployed in 1997 for a short period in the Sagami bay, south of Tokyo, for basic experiments, and then deployed off Ofunato city, northeastern part of Japan, for the period 2001-2004. The system was then established at about 13km south of Cape Muroto, southwestern part of Japan, since 2004. Five tsunamis of about 10cm have been observed in these systems, including 2001 Peru earthquake (Mw8.3), 2003 Tokachi-oki earthquake (Mw8.3), 2004 Off Kii Peninsula earthquake (Mw7.4), 2010 Chile earthquake (Mw8.8), and 2011 Tohoku-Oki earthquake (Mw9.0). These experiments clearly showed that GPS buoy is capable of detecting tsunami with a few centimeter accuracy and can be monitored in near real time by applying an appropriate filter, real-time data transmission using radio and dissemination of obtained records of sea surface height changes through internet. Considering that the system is a powerful tool to monitor sea surface variations due to wind as well as tsunami, the Ministry of Land, Infrastructure, Transport and Tourism implemented the system in a part of the Nationwide Ocean Wave information network for Ports and HArbourS (NOWPHAS) system and deployed the system at 15 sites along the coasts around the Japanese Islands. The system detected the tsunami due to the 11th March 2011 Tohoku-Oki earthquake with higher than 6m of tsunami height at the site Off South Iwate (Kamaishi). The Japan Meteorological Agency that was monitoring the record updated the level of the tsunami warning to the greatest value due to the result. Currently, the GPS buoy system uses a RTK-GPS which requires a land base for obtaining precise location of the buoy by a baseline analysis. This algorithm limits the distance of the buoy to, at most, 20km from the coast as the accuracy of positioning gets much worse as the baseline distance becomes longer

  1. Implementation of PLUTO Buoy for Monitoring Water Quality in Indonesia, Reflection and Future Plans

    NASA Astrophysics Data System (ADS)

    Chandra, H.; Krismono, K.; Kusumaningrum, P. D.; Sianturi, D.; Firdaus, Y.; Taukhid, I.; Borneo, B. B.

    2016-02-01

    Research and development of PLUTO (Perairan Selalu Termonitor/Waters Always Monitored) buoy has reached its fourth year in 2015. Try out has been done in coastal waters, fishponds, fishing port ponds, and reservoirs. In the first year (2010) try out has been performed on coastal waters with off line measurement system. The buoy used temperature, salinity, DO and pH sensors. In the second year (2013) try out was carried out on fishponds and fishing port ponds using telemetry measurement system. In the third year (2014) try out was carried out on water reservoir with telemetry measurement system. In the fourth year (2015) android application is developed to monitor 4 water reservoirs and 1 lake. Beside that, observation point is added to 3 point depth for one buoy. Parameters used are temperature, DO, and turbidity. Three PLUTO buoys are placed in each reservoir, at inlet, outlet, and at center of fish cultivation. Through Ocean Science Meeting in New Orleans it is hoped that there will be input and suggestion from the experts for future development of the monitoring system for public inland waters (especially reservoir and lake) in Indonesia. Keywords: buoy PLUTO, salinity, temperature, Dissolved Oxygen (DO), pH, turbidity, telemetry

  2. 33 CFR 149.565 - What are the required characteristics and intensity of lights on buoys used to define traffic lanes?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... define traffic lanes? (a) The buoy's light color that defines the lateral boundaries of a traffic lane must comply with the buoy color schemes in § 62.25 of this chapter. (b) The buoy light may be fixed or... characteristics and intensity of lights on buoys used to define traffic lanes? 149.565 Section 149.565 Navigation...

  3. 33 CFR 149.565 - What are the required characteristics and intensity of lights on buoys used to define traffic lanes?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... define traffic lanes? (a) The buoy's light color that defines the lateral boundaries of a traffic lane must comply with the buoy color schemes in § 62.25 of this chapter. (b) The buoy light may be fixed or... characteristics and intensity of lights on buoys used to define traffic lanes? 149.565 Section 149.565 Navigation...

  4. 33 CFR 149.565 - What are the required characteristics and intensity of lights on buoys used to define traffic lanes?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... define traffic lanes? (a) The buoy's light color that defines the lateral boundaries of a traffic lane must comply with the buoy color schemes in § 62.25 of this chapter. (b) The buoy light may be fixed or... characteristics and intensity of lights on buoys used to define traffic lanes? 149.565 Section 149.565 Navigation...

  5. 33 CFR 149.565 - What are the required characteristics and intensity of lights on buoys used to define traffic lanes?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... define traffic lanes? (a) The buoy's light color that defines the lateral boundaries of a traffic lane must comply with the buoy color schemes in § 62.25 of this chapter. (b) The buoy light may be fixed or... characteristics and intensity of lights on buoys used to define traffic lanes? 149.565 Section 149.565 Navigation...

  6. 33 CFR 149.565 - What are the required characteristics and intensity of lights on buoys used to define traffic lanes?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... define traffic lanes? (a) The buoy's light color that defines the lateral boundaries of a traffic lane must comply with the buoy color schemes in § 62.25 of this chapter. (b) The buoy light may be fixed or... characteristics and intensity of lights on buoys used to define traffic lanes? 149.565 Section 149.565 Navigation...

  7. Meteorological buoy measurements in the Iceland Sea, 2007-2009

    NASA Astrophysics Data System (ADS)

    Nína Petersen, Guðrún

    2017-10-01

    The Icelandic Meteorological Office (IMO) conducted meteorological buoy measurements in the central Iceland Sea in the time period 2007-2009, specifically in the northern Dreki area on the southern segment of the Jan Mayen Ridge. Due to difficulties in deployment and operations, in situ measurements in this region are sparse. Here the buoy, deployment and measurements are described with the aim of giving a future user of the data set information that is as comprehensive as possible. The data set has been quality-checked, suspect data removed and the data set made publicly available from PANGAEA Data Publisher (https://doi.org/10.1594/PANGAEA.876206).

  8. “Open Hatch” Tour of Offshore Wind Buoy

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Zayas, Jose

    2015-09-18

    Wind and Water Power Technologies Office Director, Jose Zayas gives a behind the scenes tour of the AXYS WindSentinel research buoy, which uses high-tech instruments to measure conditions for potential offshore wind energy development.

  9. Visualization of drifting buoy deployments on upper Detroit River within the Great Lakes Waterway from August 28-30, 2001

    USGS Publications Warehouse

    Holtschlag, David J.; Aichele, Steve A.

    2002-01-01

    Detroit River is a connecting channel on the Great Lakes waterway that joins Lake St. Clair with Lake Erie. The river forms part of the international boundary between the United States and Canada in southeastern Michigan and southern Ontario. Drifting buoys were deployed on Detroit River to help investigate flow characteristics of four selected reaches as part of a source water assessment study of public water intakes. The drifting buoys contained global positioning system (GPS) receivers to help track their movements following their deployment. In some deployments, buoys were released across a transect at approximately uniform intervals to better understand flow patterns. In other deployments, buoys were released in clusters to investigate turbulent dispersion characteristics. Computer animations of buoy movements, which can be viewed through the Internet, are developed to help visualize the results of the buoy deployments.

  10. Tracking buoys research for oil spilling with the wireless charging equipment

    NASA Astrophysics Data System (ADS)

    Cui, Di; Zhao, Ping

    2018-03-01

    This paper describes thewirelesscharging equipment for achieving oil spill tracking buoys detection in satellite images acquired after tanker accidents or ship oil spill accidents. This information could allow the evolution of residues dumped at sea to be tracked. The validity of this process is demonstrated using several experiment acquired over several regions (Dalian and Tianjin coasts in China), in which a tanker accident has occurred and as a consequence oil spillage has taken place. Thus, this purpose of paper is developed for the active surveillance and rapid response to marine oil spills tracking buoys with wirelesscharging equipmentis important and essential to environment protection. It may appears of leak places for the Wire Charging Equipment for marine oil spills tracking buoys monitoring needs, and achieved instant alarm technology and equipment, guarantees leak occurred timely obtained alarm information. In order toproviding oil spill accidents emergency quickly reaction time and prepared. The maximum degree reduce oil leak and accidents caused influences are ensured.

  11. Buoy observation for typhoon in southeast of Taiwan during summers of 2015 and 2016

    NASA Astrophysics Data System (ADS)

    Hsieh, C. Y.; Yang, Y. J.; Chang, M. H.; Chang, H. I.; Jan, S.; Wei, C. L.

    2016-12-01

    The western North Pacific is the most active area for the typhoon in the world, and typhoon caused disasters in this area. The marine observations are very important for the typhoon prediction. National Taiwan University (NTU) was developed a real-time data buoy system for typhoon observation. This buoy not only collected meteorological data, but also measured the temperature and salinity profiles of ocean's upper 500 m. The buoys, NTU1 and NTU2, were moored about 375 km and 175 km, respectively, from the southernmost tip of Taiwan. In summer of 2015, NTU1 buoy equipped with temperature and humidity probes, wind sensor, pyranometer, barometer, conductivity-temperature-depth (CTD) recorders, and temperature-pressure recorders. In summer of 2016, NTU1 and NTU2 buoys installed more instruments, such as rain gauge, net radiometer, and current meter, etc. During the observation period, there were three typhoons (Chan-hom, Soudler, and Goni) in 2015 and one typhoon (Nepartak) in 2016 approached buoy. Goni passed south and west side of NTU1 and the air pressure dropped around 25 hPa. Nepartak passed north side of NTU1 and south side of NTU2. The minimum distance between center of typhoon and NTU1 and NTU2 were about 11.48 km and 4.85 km, respectively. The NTU2 buoy recorded a maximum wind gust of 44 m/s, thickness of mixed layer increased to 120 m, and sea-surface temperature dropped 3 °C. In addition, the typhoon induced the near inertial internal motion for a couple of days. Applied the in-situ data to derive the net heat flux and its variations were from 600 W/m2 to -1000W/m2 during typhoon period. It indicate that the ocean provide energy to typhoon around this area. Moreover, the sum of sensible and latent heat flux calculated from observation data was 4.5 times than satellite-based products.

  12. Scaling properties of sea ice deformation from buoy dispersion analysis

    NASA Astrophysics Data System (ADS)

    Rampal, P.; Weiss, J.; Marsan, D.; Lindsay, R.; Stern, H.

    2008-03-01

    A temporal and spatial scaling analysis of Arctic sea ice deformation is performed over timescales from 3 h to 3 months and over spatial scales from 300 m to 300 km. The deformation is derived from the dispersion of pairs of drifting buoys, using the IABP (International Arctic Buoy Program) buoy data sets. This study characterizes the deformation of a very large solid plate (the Arctic sea ice cover) stressed by heterogeneous forcing terms like winds and ocean currents. It shows that the sea ice deformation rate depends on the scales of observation following specific space and time scaling laws. These scaling properties share similarities with those observed for turbulent fluids, especially for the ocean and the atmosphere. However, in our case, the time scaling exponent depends on the spatial scale, and the spatial exponent on the temporal scale, which implies a time/space coupling. An analysis of the exponent values shows that Arctic sea ice deformation is very heterogeneous and intermittent whatever the scales, i.e., it cannot be considered as viscous-like, even at very large time and/or spatial scales. Instead, it suggests a deformation accommodated by a multiscale fracturing/faulting processes.

  13. A SHALLOW WATER ISOBARIC BUOY.

    DTIC Science & Technology

    The genesis, development, and testing of an instrument for following currents in shallow waters is described. The volume of the ’shallow water ...isobaric buoy’ (SWIB) varies in response to pressure signals derived from the depth of the water in which the instrument floats. Mechanisms for auto...indicate the feasibility of the system. The instrument can hover in a relatively restricted horizontal layer. The instrument may find application as a water stability indicator as well as a shallow water current tag. (Author)

  14. Calibration of the TOPEX altimeter using a GPS buoy

    NASA Technical Reports Server (NTRS)

    Born, G. H.; Parke, Michael E.; Axelrad, P.; Gold, K. L.; Johnson, James; Key, K.; Kubitschek, Daniel G.; Christensen, Edward J.

    1994-01-01

    The use of a spar buoy equipped with a Global Positioning System (GPS) antenna to calibrate the height measurement of the TOPEX radar altimeter is described. In order to determine the height of the GPS antenna phase center above the ocean surface, the buoy was also equipped with instrumentation to measure the instantaneous location of the waterline, and tilt of the bouy from vertical. The experiment was conducted off the California coast near the Texaco offshore oil platform, Harvest, during cycle 34 of the TOPEX/POSEIDON observational period. GPS solutions were computed for the bouy position using two different software packages, K&RS and GIPSY-OASIS II. These solutions were combined with estimates of the waterline location on the bouy to yield the height of the ocean surface. The ocean surface height in an absolute coordinate system combined with knowledge of the spacecraft height from tracking data provides a computed altimeter range measurement. By comparing this computed value to the actual altimeter measurement, the altimeter bias can be calibrated. The altimeter height bias obtained with the buoy using K&RS was -14.6 +/- 4 cm, while with GIPSY-OASIS II it was -13.1 +/- 4 cm. These are 0.1 cm and 1.6 cm different from the -14.7 +/- 4 cm result obtained for this flight overflight with the tide gauge instruments located on Platform Harvest.

  15. High frequency monitoring of the coastal marine environment using the MAREL buoy.

    PubMed

    Blain, S; Guillou, J; Tréguer, P; Woerther, P; Delauney, L; Follenfant, E; Gontier, O; Hamon, M; Leilde, B; Masson, A; Tartu, C; Vuillemin, R

    2004-06-01

    The MAREL Iroise data buoy provides physico-chemical measurements acquired in surface marine water in continuous and autonomous mode. The water is pumped 1.5 m from below the surface through a sampling pipe and flows through the measuring cell located in the floating structure. Technological innovations implemented inside the measuring cell atop the buoy allow a continuous cleaning of the sensor, while injection of chloride ions into the circuit prevents biological fouling. Specific sensors for temperature, salinity, oxygen and fluorescence investigated in this paper have been evaluated to guarantee measurement precision over a 3 month period. A bi-directional link under Internet TCP-IP protocols is used for data, alarms and remote-control transmissions with the land-based data centre. Herein, we present a 29 month record for 4 parameters measured using a MAREL buoy moored in a coastal environment (Iroise Sea, Brest, France). The accuracy of the data provided by the buoy is assessed by comparison with measurements of sea water weekly sampled at the same site as part of SOMLIT (Service d'Observation du Milieu LIToral), the French network for monitoring of the coastal environment. Some particular events (impact of intensive fresh water discharges, dynamics of a fast phytoplankton bloom) are also presented, demonstrating the worth of monitoring a highly variable environment with a high frequency continuous reliable system.

  16. The Moored Acoustic Buoy System (MABS)

    DTIC Science & Technology

    1975-04-04

    STAQOG, Ocean Sciences & Technology Department Indirect. REVIEWED AND APPROY 4 April lq75 A)R. Hse Associate Director for Sonar Retsearch The authors...It consists of a subsurface instrumentation buoy in conjunction with a family of lightweight hydrophone arrays designed to measure a variety of...vertical to horizontal in the water column. Recent de- velopments in lightweight synthetic-cable technology have been incorporated into the design to make

  17. Port Planning for Seagoing Buoy Tender (WLB) Attrition

    DOT National Transportation Integrated Search

    1988-07-01

    The Coast Guard operates a diverse complement of servicing vessels to service aids to navigation. Of these, the fleet of 28 WLB's (seagoing buoy tenders) is the largest and oldest. Over 40 years old, these vessels are well beyond the end of their eco...

  18. Scale model testing of drogues for free drifting buoys

    NASA Technical Reports Server (NTRS)

    Vachon, W. A.

    1973-01-01

    Instrumented model drogue tests were conducted in a ship model towing tank. The purpose of the tests was to observe and measure deployment and drag characteristics of such shapes as parachutes, crossed vanes, and window shades which may be employed in conjunction with free drifting buoys. Both Froude and Reynolds scaling laws were applied while scaling to full scale relative velocities of from 0 to 0.2 knots. A weighted window shade drogue is recommended because of its performance, high drag coefficient, simplicity, and low cost. Detailed theoretical performance curves are presented for parachutes, crossed vanes, and window shade drogues. Theoretical estimates of depth locking accuracy and buoy-induced dynamic loads pertinent to window shade drogues are presented as a design aid. An example of a window shade drogue design is presented.

  19. Development of real-time mobile-buoy observation system for tsunami and crustal movement

    NASA Astrophysics Data System (ADS)

    Takahashi, N.; Ishihara, Y.; Fukuda, T.; Tahara, J.; Ochi, H.; Mori, T.; Deguchi, M.; Kido, M.; Ohta, Y.; Hino, R.; Mutoh, K.; Hashimoto, G.; Motohashi, O.; Kaneda, Y.

    2014-12-01

    We have developed real-time buoy system for tsunami and crustal movement since 2012. Our motivations are needs of the crustal movement data of not only for vertical component but horizontal, real-time data transmission for future prediction of the next large earthquake, and needs of relatively easily system comparing with the seafloor cable network system. Therefore, we are developing the above system using a buoy system, considering long term observation of approximately two years. Our system's characteristics are real-time observation, separation between tsunami and crustal movement, mobility, and environmental compatibility. Tsunami and crustal movement data are sent with intervals of an hour and a week respectively in real-time, and we can also get them on-demand via satellite transmission from the land station. We are going to observe tsunami using a pressure sensor and a PPP (precise point positioning) navigation system on the buoy, therefore, tsunami and vertical crustal deformation are separated in real-time. And the horizontal component of the crustal deformation is also measured by acoustic signals between the buoy and six seafloor transponders. Our system can be used under severe strong sea current with a speed of 5.5 knots due to adaption of slack mooring. Therefore, we can deploy it without consideration of sea current. In addition, the geometry including the size of the buoy, lengths of some ropes, and capacity of the electric battery and so on is tuned considering an environment of deployment location. Through twice sea trials, we are confirming each function. In this presentation, we introduce the outline and results of the sea trials.

  20. The International Arctic Buoy Programme (IABP): A Cornerstone of the Arctic Observing Network

    DTIC Science & Technology

    2008-09-01

    SEP 2008 2. REPORT TYPE 3. DATES COVERED 00-00-2008 to 00-00-2008 4. TITLE AND SUBTITLE The International Arctic Buoy Programme ( IABP ): A...Prescribed by ANSI Std Z39-18 The International Arctic Buoy Programme ( IABP ): A Cornerstone of the Arctic Observing Network Ignatius G. Rigor...changes in weather, climate and environment. It should be noted that many of these changes were first observed and studied using data from the IABP (http

  1. 33 CFR 149.321 - How many ring life buoys must be on each deepwater port?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false How many ring life buoys must be on each deepwater port? 149.321 Section 149.321 Navigation and Navigable Waters COAST GUARD... EQUIPMENT Lifesaving Equipment Manned Deepwater Port Requirements § 149.321 How many ring life buoys must be...

  2. A Low-Cost Sensor Buoy System for Monitoring Shallow Marine Environments

    PubMed Central

    Albaladejo, Cristina; Soto, Fulgencio; Torres, Roque; Sánchez, Pedro; López, Juan A.

    2012-01-01

    Monitoring of marine ecosystems is essential to identify the parameters that determine their condition. The data derived from the sensors used to monitor them are a fundamental source for the development of mathematical models with which to predict the behaviour of conditions of the water, the sea bed and the living creatures inhabiting it. This paper is intended to explain and illustrate a design and implementation for a new multisensor monitoring buoy system. The system design is based on a number of fundamental requirements that set it apart from other recent proposals: low cost of implementation, the possibility of application in coastal shallow-water marine environments, suitable dimensions for deployment and stability of the sensor system in a shifting environment like the sea bed, and total autonomy of power supply and data recording. The buoy system has successfully performed remote monitoring of temperature and marine pressure (SBE 39 sensor), temperature (MCP9700 sensor) and atmospheric pressure (YOUNG 61302L sensor). The above requirements have been satisfactorily validated by operational trials in a marine environment. The proposed buoy sensor system thus seems to offer a broad range of applications. PMID:23012562

  3. Storm wave buoy equipped with micromechanical inertial unit: Results of development and testing

    NASA Astrophysics Data System (ADS)

    Gryazin, D. G.; Staroselcev, L. P.; Belova, O. O.; Gleb, K. A.

    2017-07-01

    The article describes the results of developing a wave buoy to measure the statistical characteristics of waves and the characteristics of directional spectra of three-dimensional waves. The device is designed for long-term measurements lasting up to a season, which can help solve problems in forecasting waves and preventing emergencies from wave impact on offshore platforms, hydraulic structures, and other marine facilities. The measuring unit involves triads of micromechanical gyroscopes, accelerometers, and a three-component magnetometer. A description of the device, results of laboratory research of its characteristics, and bench and full-scale tests are offered. It is noted that to assess the performance characteristics, comparative tests of the Storm wave buoy were conducted with a standard string wave probe installed on an offshore platform. It is shown that the characteristics and capabilities of the wave buoy make it possible to oust foreign devices from the domestic market.

  4. Design of the dual-buoy wave energy converter based on actual wave data of East Sea

    NASA Astrophysics Data System (ADS)

    Kim, Jeongrok; Kweon, Hyuck-Min; Jeong, Weon-Mu; Cho, Il-Hyoung; Cho, Hong-Yeon

    2015-07-01

    A new conceptual dual-buoy Wave Energy Converter (WEC) for the enhancement of energy extraction efficiency is suggested. Based on actual wave data, the design process for the suggested WEC is conducted in such a way as to ensure that it is suitable in real sea. Actual wave data measured in Korea's East Sea (position: 36.404 N° and 129.274 E°) from May 1, 2002 to March 29, 2005 were used as the input wave spectrum for the performance estimation of the dual-buoy WEC. The suggested WEC, a point absorber type, consists of two concentric floating circular cylinders (an inner and a hollow outer buoy). Multiple resonant frequencies in proposed WEC affect the Power Ttake-off (PTO) performance of the WEC. Based on the numerical results, several design strategies are proposed to further enhance the extraction efficiency, including intentional mismatching among the heave natural frequencies of dual buoys, the natural frequency of the internal fluid, and the peak frequency of the input wave spectrum.

  5. Numerical modeling of a spherical buoy moored by a cable in three dimensions

    NASA Astrophysics Data System (ADS)

    Zhu, Xiangqian; Yoo, Wan-Suk

    2016-05-01

    Floating facilities have been studied based on the static analysis of mooring cables over the past decades. To analyze the floating system of a spherical buoy moored by a cable with a higher accuracy than before, the dynamics of the cables are considered in the construction of the numerical modeling. The cable modeling is established based on a new element frame through which the hydrodynamic loads are expressed efficiently. The accuracy of the cable modeling is verified with an experiment that is conducted by a catenary chain moving in a water tank. In addition, the modeling of a spherical buoy is established with respect to a spherical coordinate in three dimensions, which can suffers the gravity, the variable buoyancy and Froude-Krylov loads. Finally, the numerical modeling for the system of a spherical buoy moored by a cable is established, and a virtual simulation is proceeded with the X- and Y-directional linear waves and the X-directional current. The comparison with the commercial simulation code ProteusDS indicates that the system is accurately analyzed by the numerical modeling. The tensions within the cable, the motions of the system, and the relationship between the motions and waves are illustrated according to the defined sea state. The dynamics of the cables should be considered in analyzing the floating system of a spherical buoy moored by a cable.

  6. 33 CFR 149.322 - Where must ring life buoys be located and how must they be stowed?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... both these requirements. (b) Each ring life buoy must be stowed on or in a rack that is readily accessible in an emergency. The ring life buoy must not be permanently secured in any way to the rack or the...

  7. A maximum power point tracking algorithm for buoy-rope-drum wave energy converters

    NASA Astrophysics Data System (ADS)

    Wang, J. Q.; Zhang, X. C.; Zhou, Y.; Cui, Z. C.; Zhu, L. S.

    2016-08-01

    The maximum power point tracking control is the key link to improve the energy conversion efficiency of wave energy converters (WEC). This paper presents a novel variable step size Perturb and Observe maximum power point tracking algorithm with a power classification standard for control of a buoy-rope-drum WEC. The algorithm and simulation model of the buoy-rope-drum WEC are presented in details, as well as simulation experiment results. The results show that the algorithm tracks the maximum power point of the WEC fast and accurately.

  8. Dynamic analysis of propulsion mechanism directly driven by wave energy for marine mobile buoy

    NASA Astrophysics Data System (ADS)

    Yu, Zhenjiang; Zheng, Zhongqiang; Yang, Xiaoguang; Chang, Zongyu

    2016-07-01

    Marine mobile buoy(MMB) have many potential applications in the maritime industry and ocean science. Great progress has been made, however the technology in this area is far from maturity in theory and faced with many difficulties in application. A dynamic model of the propulsion mechanism is very necessary for optimizing the parameters of the MMB, especially with consideration of hydrodynamic force. The principle of wave-driven propulsion mechanism is briefly introduced. To set a theory foundation for study on the MMB, a dynamic model of the propulsion mechanism of the MMB is obtained. The responses of the motion of the platform and the hydrofoil are obtained by using a numerical integration method to solve the ordinary differential equations. A simplified form of the motion equations is reached by omitting terms with high order small values. The relationship among the heave motion of the buoy, stiffness of the elastic components, and the forward speed can be obtained by using these simplified equations. The dynamic analysis show the following: The angle of displacement of foil is fairly small with the biggest value around 0.3 rad; The speed of mobile buoy and the angle of hydrofoil increased gradually with the increase of heave motion of buoy; The relationship among heaven motion, stiffness and attack angle is that heave motion leads to the angle change of foil whereas the item of speed or push function is determined by vertical velocity and angle, therefore, the heave motion and stiffness can affect the motion of buoy significantly if the size of hydrofoil is kept constant. The proposed model is provided to optimize the parameters of the MMB and a foundation is laid for improving the performance of the MMB.

  9. Scaling properties of the Arctic sea ice Deformation from Buoy Dispersion Analysis

    NASA Astrophysics Data System (ADS)

    Weiss, J.; Rampal, P.; Marsan, D.; Lindsay, R.; Stern, H.

    2007-12-01

    A temporal and spatial scaling analysis of Arctic sea ice deformation is performed over time scales from 3 hours to 3 months and over spatial scales from 300 m to 300 km. The deformation is derived from the dispersion of pairs of drifting buoys, using the IABP (International Arctic Buoy Program) buoy data sets. This study characterizes the deformation of a very large solid plate -the Arctic sea ice cover- stressed by heterogeneous forcing terms like winds and ocean currents. It shows that the sea ice deformation rate depends on the scales of observation following specific space and time scaling laws. These scaling properties share similarities with those observed for turbulent fluids, especially for the ocean and the atmosphere. However, in our case, the time scaling exponent depends on the spatial scale, and the spatial exponent on the temporal scale, which implies a time/space coupling. An analysis of the exponent values shows that Arctic sea ice deformation is very heterogeneous and intermittent whatever the scales, i.e. it cannot be considered as viscous-like, even at very large time and/or spatial scales. Instead, it suggests a deformation accommodated by a multi-scale fracturing/faulting processes.

  10. Using Buoy and Radar Data to Study Sudden Wind Gusts Over Coastal Regions

    NASA Technical Reports Server (NTRS)

    Priftis, Georgios; Chronis, Themis; Lang, Timothy J.

    2017-01-01

    Significant sudden wind gusts can pose a threat to aviation near the coastline, as well as small (sailing) boats and commercial ships approaching the ports. Such cases can result in wind speed changes of more than an order of magnitude within 5 minutes, which can then last up to 20 minutes or more. Although the constellation of scatterometers is a good means of studying maritime convection, those sudden gusts are not easily captured because of the low time resolution. The National Data Buoy Center (NDBC) provides continuous measurements of wind speed and direction along the US coastal regions every 6 minutes. Buoys are platforms placed at specific places on the seas, especially along coastlines, providing data for atmospheric and oceanic studies. Next Generation Radars (NEXRADs), after the recent upgrade of the network to dual-pol systems, offer enhanced capabilities to study atmospheric phenomena. NEXRADs provide continuous full-volume scans approximately every 5 minutes and therefore are close to the time resolution of the buoy measurements. Use of single- Doppler retrievals might also provide a means of further validation.

  11. NREL Deploys Wave and Tidal Measurement Buoys | News | NREL

    Science.gov Websites

    various wave and tidal models, and in turn, reduce risks for developers. These buoys allow researchers to "better understand the limitations and errors in existing global wave models," says Kilcher using NREL, laboratory, and U.S. Department of Energy published models, the team identified likely

  12. Observing the advection of sea ice in the Weddell Sea using buoy and satellite passive microwave data

    NASA Technical Reports Server (NTRS)

    Massom, Robert A.

    1992-01-01

    Data from four buoys tracked by Nimbus 6 and concurrent ice concentrations retrieved from Nimbus 7 scanning multichannel microwave radiometer data are used to investigate the progress and behavior of an area of sea ice as it drifts from the southwestern Weddell Sea. The overall drift characteristics and their relationship to ice edge displacement are examined within the framework of four zones. Three phases are identified in the large-scale behavior of the Weddell Sea ice cover, namely, a rapid equatorward and eastward advance, a quasi-equilibrium phase, and a period of rapid recession. Outbreaks of cold continental air alternate with incursions of relatively warm air from the north; warm conditions are recorded as far as 1200 km in from the ice edge in winter. Closed loops in the buoy trajectories, which are clockwise to the south of 63 deg S, reverse to become anticlockwise to the north. A coherence is observed in the response of the buoys to the passage of storms, even though the buoys separated by a distance of over 100 km.

  13. 11. BUOY DECK, NEAR PILOT HOUSE SUPERSTRUCTURE, LOOKING TOWARDS HATCH ...

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

    11. BUOY DECK, NEAR PILOT HOUSE SUPERSTRUCTURE, LOOKING TOWARDS HATCH DOOR INTO WINCH ROOM IN THE SUPERSTRUCTURE (LABELED AT PASSAGE & HYDRAULIC MACHINERY ON PLAN). - U.S. Coast Guard Cutter WHITE HEATH, USGS Integrated Support Command Boston, 427 Commercial Street, Boston, Suffolk County, MA

  14. Validation and Interpretation of a New Sea Ice Globice Dataset Using Buoys and the Cice Sea Ice Model

    NASA Astrophysics Data System (ADS)

    Flocco, D.; Laxon, S. W.; Feltham, D. L.; Haas, C.

    2011-12-01

    The GlobIce project has provided high resolution sea ice product datasets over the Arctic derived from SAR data in the ESA archive. The products are validated sea ice motion, deformation and fluxes through straits. GlobIce sea ice velocities, deformation data and sea ice concentration have been validated using buoy data provided by the International Arctic Buoy Program (IABP). Over 95% of the GlobIce and buoy data analysed fell within 5 km of each other. The GlobIce Eulerian image pair product showed a high correlation with buoy data. The sea ice concentration product was compared to SSM/I data. An evaluation of the validity of the GlobICE data will be presented in this work. GlobICE sea ice velocity and deformation were compared with runs of the CICE sea ice model: in particular the mass fluxes through the straits were used to investigate the correlation between the winter behaviour of sea ice and the sea ice state in the following summer.

  15. Visualization of a drifting buoy deployment on Lake St. Clair within the Great Lakes Waterway from August 12-15, 2002

    USGS Publications Warehouse

    Holtschlag, David J.; Syed, Atiq U.; Kennedy, Gregory W.

    2002-01-01

    Lake St. Clair is a 430 square mile lake between the state of Michigan and the province of Ontario, which forms part of the international boundary between the United States and Canada in the Great Lakes Basin. Lake St. Clair receives most of its inflow from Lake Huron through St. Clair River, which has an average flow of 182,000 cubic feet per second. The lake discharges to Detroit River, where it flows 32 miles to Lake Erie. Twelve drifting buoys were deployed on Lake St. Clair for 74 hours between August 12-15, 2002 to help investigate flow circulation patterns as part of a source water assessment study of the susceptibility of public water intakes. The buoys contained global positioning system (GPS) receivers to track their movements. Buoys were released in a transect between tethered buoys marking an 800-foot wide navigational channel in the north-central part of the lake just downstream of St. Clair River, and about 15.5 miles northeast of Detroit River. In addition, an acoustic Doppler current profiler (ADCP) was used to measure velocity profiles in a grid of 41 points that spanned the area through which the buoys drifted. Computer animations, which can be viewed through the Internet, were developed to help visualize the results of the buoy deployments and ADCP measurements.

  16. Earth resources technology satellite /ERTS/ data collection and transmission buoys for inland, neritic and oceanic waters

    NASA Technical Reports Server (NTRS)

    Chapman, W. S.; Yen, H. H.

    1974-01-01

    As a result of a consortium of several industries and organizations, an economical, versatile, and stable data collection and transmission buoy has been designed, developed, and deployed to gather and transmit water quality data to a ground receiving station at three-minute intervals and to the earth resources technology satellite (ERTS) as it passes over the deployed buoy every 12 hours. The buoy system, designed for both fresh and salt water application, gathers data inclusive of temperature measurement, conductivity, relative acidity, dissolved oxygen, current speed, and direction. The mechanical design philosophy used to determine and satisfy boundary conditions involving stability, ease of deployment, servicing and maintenance, minimal manufacturing costs, and fresh and salt water installation capability is discussed. The development of peripheral handling equipment and anchoring systems is described.

  17. Development and testing of a novel subsea production system and control buoy

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    NONE

    1997-04-01

    The remoteness of Australia`s northwest shelf presents challenges for the economic viability of offshore resource-development projects. Accordingly, the East Spar development has been designed to minimize capital and life-cycle costs to ensure the long-term viability of this offshore gas field. The offshore facilities are made up of a novel unmanned navigation, communication, and control (NCC) buoy linked to a subsea-production system that includes heat exchangers, insert-retrievable choke valves, multiphase flow-meters, and an on-line pipeline-corrosion monitoring system. The technological building blocks for field development are industry proved. However, the novel arrangement of this proven technology into a remotely controlled, self-contained, minimum-maintenancemore » unmanned facility is unique and has led to many challenges during the design and testing of the NCC buoy and subsea facilities. Among these challenges has been the formulation of an integration test program of the NCC buoy and subsea hardware that proves, as far as reasonably possible, the complete functionality of each equipment item and interface, subject to constraints imposed by schedule, cost, and logistics. Integration testing is particularly important to confirm that the offshore facilities will operate as designed with sufficient reliability and system redundancy to ensure continuous operation throughout the 20-year field life.« less

  18. Modeling long period swell in Southern California: Practical boundary conditions from buoy observations and global wave model predictions

    NASA Astrophysics Data System (ADS)

    Crosby, S. C.; O'Reilly, W. C.; Guza, R. T.

    2016-02-01

    Accurate, unbiased, high-resolution (in space and time) nearshore wave predictions are needed to drive models of beach erosion, coastal flooding, and alongshore transport of sediment, biota and pollutants. On highly sheltered shorelines, wave predictions are sensitive to the directions of onshore propagating waves, and nearshore model prediction error is often dominated by uncertainty in offshore boundary conditions. Offshore islands and shoals, and coastline curvature, create complex sheltering patterns over the 250km span of southern California (SC) shoreline. Here, regional wave model skill in SC was compared for different offshore boundary conditions created using offshore buoy observations and global wave model hindcasts (National Oceanographic and Atmospheric Administration Wave Watch 3, WW3). Spectral ray-tracing methods were used to transform incident offshore swell (0.04-0.09Hz) energy at high directional resolution (1-deg). Model skill is assessed for predictions (wave height, direction, and alongshore radiation stress) at 16 nearshore buoy sites between 2000 and 2009. Model skill using buoy-derived boundary conditions is higher than with WW3-derived boundary conditions. Buoy-driven nearshore model results are similar with various assumptions about the true offshore directional distribution (maximum entropy, Bayesian direct, and 2nd derivative smoothness). Two methods combining offshore buoy observations with WW3 predictions in the offshore boundary condition did not improve nearshore skill above buoy-only methods. A case example at Oceanside harbor shows strong sensitivity of alongshore sediment transport predictions to different offshore boundary conditions. Despite this uncertainty in alongshore transport magnitude, alongshore gradients in transport (e.g. the location of model accretion and erosion zones) are determined by the local bathymetry, and are similar for all predictions.

  19. Snow depth on Arctic and Antarctic sea ice derived from autonomous (Snow Buoy) measurements

    NASA Astrophysics Data System (ADS)

    Nicolaus, Marcel; Arndt, Stefanie; Hendricks, Stefan; Heygster, Georg; Huntemann, Marcus; Katlein, Christian; Langevin, Danielle; Rossmann, Leonard; Schwegmann, Sandra

    2016-04-01

    The snow cover on sea ice received more and more attention in recent sea ice studies and model simulations, because its physical properties dominate many sea ice and upper ocean processes. In particular; the temporal and spatial distribution of snow depth is of crucial importance for the energy and mass budgets of sea ice, as well as for the interaction with the atmosphere and the oceanic freshwater budget. Snow depth is also a crucial parameter for sea ice thickness retrieval algorithms from satellite altimetry data. Recent time series of Arctic sea ice volume only use monthly snow depth climatology, which cannot take into account annual changes of the snow depth and its properties. For Antarctic sea ice, no such climatology is available. With a few exceptions, snow depth on sea ice is determined from manual in-situ measurements with very limited coverage of space and time. Hence the need for more consistent observational data sets of snow depth on sea ice is frequently highlighted. Here, we present time series measurements of snow depths on Antarctic and Arctic sea ice, recorded by an innovative and affordable platform. This Snow Buoy is optimized to autonomously monitor the evolution of snow depth on sea ice and will allow new insights into its seasonality. In addition, the instruments report air temperature and atmospheric pressure directly into different international networks, e.g. the Global Telecommunication System (GTS) and the International Arctic Buoy Programme (IABP). We introduce the Snow Buoy concept together with technical specifications and results on data quality, reliability, and performance of the units. We highlight the findings from four buoys, which simultaneously drifted through the Weddell Sea for more than 1.5 years, revealing unique information on characteristic regional and seasonal differences. Finally, results from seven snow buoys co-deployed on Arctic sea ice throughout the winter season 2015/16 suggest the great importance of local

  20. Simultaneous Ocean Wave Measurements by the Jason and Topex Satellites, With Buoy and Model Comparisons

    NASA Technical Reports Server (NTRS)

    Ray, Richard D.; Beckley, B. D.

    2003-01-01

    The verification phase of the Jason-1 satellite altimeter mission presents a unique opportunity for comparing near-simultaneous, independent satellite measurements. We here examine simultaneous significant wave height measurements by the Jason-1 and Topex/Poseidon altimeters. These data are also compared with in-situ measurements from deep-ocean buoys and with predicted wave heights from the Wave Watch 111 operational model. The rms difference between Jason and Topex wave heights is 21 cm, and this can be further lowered by application of median filters to reduce high-frequency noise. This noise is slightly larger in the Jason dataset, amounting to about 7 cm rms for frequencies above 0.05 Hz, which is the frequency at which the coherence between Topex and Jason measurements drops to zero. The probability density function for Jason shows a dearth of small waves relative to Topex. Buoy comparisons confirm that this problem lies with the Jason measurements. The buoy comparisons confirm previous reports that Topex wave heights are roughly 5% smaller than buoy measurements for waves between 2 and 5m; Jason heights in general are 2.7% smaller than Topex. Spurious dips in the Topex density function for 3- and 6-meter waves, a problem that has existed since the beginning of the mission, can be solved by waveform retracking..

  1. Mobile data buoy system. [water quality measurements in watersheds and Mobile Bay, Alabama

    NASA Technical Reports Server (NTRS)

    Morton, R. A.

    1975-01-01

    The Mobile Data Buoy System was conceived to serve the users requirement for obtaining water quality parameters from two separate watershed systems. In view of the cost constraints of the ERTS program it was obvious that the network of 10 sampling stations required could not be of the fixed installation type; therefore, it was decided to go to a system of battery powered buoys of a size that could be used in one watershed system for a period of time and then moved to another by use of a relatively small 6.7 m (22 foot) boat. The basic idea of the water quality measurement program was to establish the water quality pattern of change from the headwaters of the watersheds to and through the Mobile Bay. This would allow the investigator to develop a good picture of the state's major water resources and the pressures from pollution that are being imposed. At this point in deployment of this mobile system of buoys, it is too early to put a quantitative value on the system, however it appears less expensive than known fixed installations as to first cost. It has a basic advantage in that it can be moved, at very little expense, to alternate sites where it is desired to obtain water quality data. It is to be noted this buoy system which covers a 80 Km (50 mile) stretch of the Black Warrior River and then skips down 483 Km (300 miles) to Mobile Bay for the next measurements would not be feasible unless there is a satellite to collect and relay the data.

  2. Accuracy of data buoys for measurement of cyanobacteria, chlorophyll, and turbidity in a large lake (Lake Erie, North America): implications for estimation of cyanobacterial bloom parameters from water quality sonde measurements.

    PubMed

    Chaffin, Justin D; Kane, Douglas D; Stanislawczyk, Keara; Parker, Eric M

    2018-06-25

    Microcystin (MCY)-producing harmful cyanobacterial blooms (cHABs) are an annual occurrence in Lake Erie, and buoys equipped with water quality sondes have been deployed to help researchers and resource managers track cHABs. The objective of this study was to determine how well water quality sondes attached to buoys measure total algae and cyanobacterial biomass and water turbidity. Water samples were collected next to two data buoys in western Lake Erie (near Gibraltar Island and in the Sandusky subbasin) throughout summers 2015, 2016, and 2017 to determine correlations between buoy sonde data and water sample data. MCY and nutrient concentrations were also measured. Significant (P < 0.001) linear relationships (R 2  > 0.75) occurred between cyanobacteria buoy and water sample data at the Gibraltar buoy, but not at the Sandusky buoy; however, the coefficients at the Gibraltar buoy differed significantly across years. There was a significant correlation between buoy and water sample total chlorophyll data at both buoys, but the coefficient varied considerably between buoys and among years. Total MCY concentrations at the Gibraltar buoy followed similar temporal patterns as buoy and water sample cyanobacterial biomass data, and the ratio of MCY to cyanobacteria-chlorophyll decreased with decreased ambient nitrate concentrations. These results suggest that buoy data are difficult to compare across time and space. Additionally, the inclusion of nitrate concentration data can lead to more robust predictions on the relative toxicity of blooms. Overall, deployed buoys with sondes that are routinely cleaned and calibrated can track relative cyanobacteria abundance and be used as an early warning system for potentially toxic blooms.

  3. Validation and Interpretation of a new sea ice GlobIce dataset using buoys and the CICE sea ice model

    NASA Astrophysics Data System (ADS)

    Flocco, D.; Laxon, S. W.; Feltham, D. L.; Haas, C.

    2012-04-01

    The GlobIce project has provided high resolution sea ice product datasets over the Arctic derived from SAR data in the ESA archive. The products are validated sea ice motion, deformation and fluxes through straits. GlobIce sea ice velocities, deformation data and sea ice concentration have been validated using buoy data provided by the International Arctic Buoy Program (IABP). Over 95% of the GlobIce and buoy data analysed fell within 5 km of each other. The GlobIce Eulerian image pair product showed a high correlation with buoy data. The sea ice concentration product was compared to SSM/I data. An evaluation of the validity of the GlobICE data will be presented in this work. GlobICE sea ice velocity and deformation were compared with runs of the CICE sea ice model: in particular the mass fluxes through the straits were used to investigate the correlation between the winter behaviour of sea ice and the sea ice state in the following summer.

  4. Data report of six free-drifting buoys tracked by the Eole satellite in the western North Atlantic Ocean in the autumn of 1972

    NASA Technical Reports Server (NTRS)

    Usry, J. W.; Wallace, J. W.

    1972-01-01

    The buoys were deployed on the Continental Shelf east of the Chesapeake Light and were tracked by the French EOLE satellite. Two buoys drifted for 11 days during the first mission and four buoys drifted for 14 days during the second mission. Trajectory and water temperature data are presented in tabular and graphical from with a discussion of the accuracy.

  5. An Autonomous Ozone Instrument for Atmospheric Measurements from Ocean Buoys

    NASA Astrophysics Data System (ADS)

    Hintsa, E. J.; Rawlins, W. T.; Sholkovitz, E. R.; Hosom, D. S.; Allsup, G. P.; Purcell, M. J.; Scott, D. R.; Mulhall, P.

    2002-05-01

    Tropospheric ozone is an oxidant, a greenhouse gas, and a pollutant. Because of its adverse health effects, there are numerous monitoring stations on land but none over the oceans. We have built an ozone instrument for deployment anywhere at sea from ocean buoys, to study ozone chemistry over the oceans, intercontinental transport of pollution, diurnal and seasonal cycles of ozone, and to make baseline and long-term time series measurements of ozone in remote locations. The instrument uses direct (Beer's Law) absorption of UV radiation in a dual-path cell, with ambient and ozone-free air alternately switched between the two paths, to measure ozone. Ozone can be measured at a rate of 1 Hz, with a precision of about 1 ppb at sea level. The air inlet and outlet have valves which close automatically under high wind conditions or rain to protect the ozone sensor. The instrument has been packaged for deployment at sea, and tested on a 3-meter discus buoy with other instruments in coastal waters in fall 2001. It can operate autonomously or be controlled via line-of-sight modem or a satellite link. We will present the details of the instrument, and laboratory and buoy test data from its first deployment, including a comparison with a nearby ozone monitoring station on land. We will also present an evaluation of the instrument's performance and describe plans for improvements. In summer 2002, the ozone measurement system will be operated at the Martha's Vineyard Coastal Observatory; in the future we anticipate deploying on the Bermuda Testbed Mooring, followed by use on the open ocean to measure long-range transport of ozone.

  6. Continuous Wavelet Transform Analysis of Acceleration Signals Measured from a Wave Buoy

    PubMed Central

    Chuang, Laurence Zsu-Hsin; Wu, Li-Chung; Wang, Jong-Hao

    2013-01-01

    Accelerometers, which can be installed inside a floating platform on the sea, are among the most commonly used sensors for operational ocean wave measurements. To examine the non-stationary features of ocean waves, this study was conducted to derive a wavelet spectrum of ocean waves and to synthesize sea surface elevations from vertical acceleration signals of a wave buoy through the continuous wavelet transform theory. The short-time wave features can be revealed by simultaneously examining the wavelet spectrum and the synthetic sea surface elevations. The in situ wave signals were applied to verify the practicality of the wavelet-based algorithm. We confirm that the spectral leakage and the noise at very-low-frequency bins influenced the accuracies of the estimated wavelet spectrum and the synthetic sea surface elevations. The appropriate thresholds of these two factors were explored. To study the short-time wave features from the wave records, the acceleration signals recorded from an accelerometer inside a discus wave buoy are analysed. The results from the wavelet spectrum show the evidence of short-time nonlinear wave events. Our study also reveals that more surface profiles with higher vertical asymmetry can be found from short-time nonlinear wave with stronger harmonic spectral peak. Finally, we conclude that the algorithms of continuous wavelet transform are practical for revealing the short-time wave features of the buoy acceleration signals. PMID:23966188

  7. UpTempO Buoys for Understanding and Predictions

    DTIC Science & Technology

    2016-02-28

    fall cooling, and interannually as sea ice retreats and the warming season lengthens. The effort was a contribution to the multi-investigator ONR...relationships between sea ice retreat and upper ocean warming. ACCOMPLISHED I. Buoy deployments and data: We worked with the Pacific Gyre (PG...have for the first time investigated the daily variation in ice edge retreat speed from a pan-arctic perspective. We have found that the pace of ice

  8. JAMSTEC Compact Arctic Drifter (J-CAD): A new Generation drifting buoy to observe the Arctic Ocean

    NASA Astrophysics Data System (ADS)

    Hatakeyama, Kiyoshi; Hosono, Masuo; Shimada, Koji; Kikuchi, Takashi; Nishino, Shigeto

    The Arctic Ocean is one of the most sensitive regions to the earth environment changes. Japan Marine Science and Technology Center developed a new drift buoy to observe the Arctic Ocean. The name of the buoy is J-CAD (JAMSTEC Compact Arctic Drifter). From 1991 to 1993, JAMSTEC developed Ice-Ocean Environmental Buoy (IOEB) as a buoy to observe the Arctic Ocean in cooperation with Woods Hole Oceanographic Institution. The J-CAD is the buoy, which adopted the latest technology based on the knowledge and experience of IOEB development. The J-CAD was designed and developed by JAMSTEC and made by a Canadian Company MetOcean. JAMSTEC did design and development, and a Canadian company Met-Ocean made the J-CAD. It acquires meteorological and oceanographic data of the Arctic Ocean, and transmits the data that it measured via satellite. It dose also store the data inside its memory. An Inductive Modem system, which was developed by Sea-Bird Electronics, Inc. in the United States, was adopted in the underwater transmission system that data on each ocean sensor were collected. An ORBCOMM communication system was adopted for the satellite data transmission. J-CAD-1 was installed at 89°41'N 130°20'W on April 24, 2000, and the observation was started. August 1st was the day when 100 days have passed since the J-CAD-1 was installed on the North Pole. And now, the distance J-CAD-1 has covered exceeds 400 km, and it has transmitted data more than 500 k byte. A part of the data is introduced to the public in the homepage (http://w3.jamstec.go.jp: 8338) of the Arctic research group of JAMSTEC.

  9. A drifting GPS buoy for retrieving effective riverbed bathymetry

    NASA Astrophysics Data System (ADS)

    Hostache, R.; Matgen, P.; Giustarini, L.; Teferle, F. N.; Tailliez, C.; Iffly, J.-F.; Corato, G.

    2015-01-01

    Spatially distributed riverbed bathymetry information are rarely available but mandatory for accurate hydrodynamic modeling. This study aims at evaluating the potential of the Global Navigation Satellite System (GNSS), like for instance Global Positioning System (GPS), for retrieving such data. Drifting buoys equipped with navigation systems such as GPS enable the quasi-continuous measurement of water surface elevation, from virtually any point in the world. The present study investigates the potential of assimilating GNSS-derived water surface elevation measurements into hydraulic models in order to retrieve effective riverbed bathymetry. First tests with a GPS dual-frequency receiver show that the root mean squared error (RMSE) on the elevation measurement equals 30 cm provided that a differential post processing is performed. Next, synthetic observations of a drifting buoy were generated assuming a 30 cm average error of Water Surface Elevation (WSE) measurements. By assimilating the synthetic observation into a 1D-Hydrodynamic model, we show that the riverbed bathymetry can be retrieved with an accuracy of 36 cm. Moreover, the WSEs simulated by the hydrodynamic model using the retrieved bathymetry are in good agreement with the synthetic "truth", exhibiting an RMSE of 27 cm.

  10. 11. BUOY DECK, NEAR PILOT HOUSE SUPERSTRUCTURE, LOOKING TOWARDS HATCH ...

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

    11. BUOY DECK, NEAR PILOT HOUSE SUPERSTRUCTURE, LOOKING TOWARDS HATCH DOOR INTO WINCH ROOM IN THE SUPERSTRUCTURE (LABELED AS FASSAGE & HYDRAULIC MACHINERY ON PLAN), SHOWING UNDERSIDE OF GEARED WHEEL OF BOOM. - U.S. Coast Guard Cutter WHITE LUPINE, U.S. Coast Guard Station Rockland, east end of Tillson Avenue, Rockland, Knox County, ME

  11. Simple and effective method to lock buoy position to ocean currents

    NASA Technical Reports Server (NTRS)

    Vachon, W. A.; Dahlen, J. M.

    1975-01-01

    Window-shade drogue, used with drifting buoys to keep them moving with current at speed as close to that of current as possible, has drag coefficient of 1.93 compared to maximum of 1.52 for previous drogues. It is remarkably simple to construct, use, and store.

  12. 64. Photocopy of Buoy Derrick Arrangement, WAGL 543 and WAGL ...

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

    64. Photocopy of Buoy Derrick Arrangement, WAGL 543 and WAGL 542. Puget Sound Naval Shipyard, Bremerton, Washington, Coast Guard Headquarters Drawing No. 540-WAGL-1701-20, dated April 1948. Original drawing property of the U.S. Coast Guard. - U.S. Coast Guard Cutter WHITE HEATH, USGS Integrated Support Command Boston, 427 Commercial Street, Boston, Suffolk County, MA

  13. 33 CFR 165.812 - Security Zones; Lower Mississippi River, Southwest Pass Sea Buoy to Mile Marker 96.0, New Orleans...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... River, Southwest Pass Sea Buoy to Mile Marker 96.0, New Orleans, LA. 165.812 Section 165.812 Navigation..., Southwest Pass Sea Buoy to Mile Marker 96.0, New Orleans, LA. (a) Location. Within the Lower Mississippi... Lower Mississippi River mile marker 96.0 in New Orleans, Louisiana. These moving security zones...

  14. Development of a GPS buoy system for monitoring tsunami, sea waves, ocean bottom crustal deformation and atmospheric water vapor

    NASA Astrophysics Data System (ADS)

    Kato, Teruyuki; Terada, Yukihiro; Nagai, Toshihiko; Koshimura, Shun'ichi

    2010-05-01

    We have developed a GPS buoy system for monitoring tsunami for over 12 years. The idea was that a buoy equipped with a GPS antenna and placed offshore may be an effective way of monitoring tsunami before its arrival to the coast and to give warning to the coastal residents. The key technology for the system is real-time kinematic (RTK) GPS technology. We have successfully developed the system; we have detected tsunamis of about 10cm in height for three large earthquakes, namely, the 23 June 2001 Peru earthquake (Mw8.4), the 26 September 2003 Tokachi earthquake (Mw8.3) and the 5 September 2004 earthquake (Mw7.4). The developed GPS buoy system is also capable of monitoring sea waves that are mainly caused by winds. Only the difference between tsunami and sea waves is their frequency range and can be segregated each other by a simple filtering technique. Given the success of GPS buoy experiments, the system has been adopted as a part of the Nationwide Ocean Wave information system for Port and HArborS (NOWPHAS) by the Ministry of Land, Infrastructure, Transport and Tourism of Japan. They have established more than eight GPS buoys along the Japanese coasts and the system has been operated by the Port and Airport Research Institute. As a future scope, we are now planning to implement some other additional facilities for the GPS buoy system. The first application is a so-called GPS/Acoustic system for monitoring ocean bottom crustal deformation. The system requires acoustic waves to detect ocean bottom reference position, which is the geometrical center of an array of transponders, by measuring distances between a position at the sea surface (vessel) and ocean bottom equipments to return the received sonic wave. The position of the vessel is measured using GPS. The system was first proposed by a research group at the Scripps Institution of Oceanography in early 1980's. The system was extensively developed by Japanese researchers and is now capable of detecting ocean

  15. Automated calculation of surface energy fluxes with high-frequency lake buoy data

    USGS Publications Warehouse

    Woolway, R. Iestyn; Jones, Ian D; Hamilton, David P.; Maberly, Stephen C; Muroaka, Kohji; Read, Jordan S.; Smyth, Robyn L; Winslow, Luke A.

    2015-01-01

    Lake Heat Flux Analyzer is a program used for calculating the surface energy fluxes in lakes according to established literature methodologies. The program was developed in MATLAB for the rapid analysis of high-frequency data from instrumented lake buoys in support of the emerging field of aquatic sensor network science. To calculate the surface energy fluxes, the program requires a number of input variables, such as air and water temperature, relative humidity, wind speed, and short-wave radiation. Available outputs for Lake Heat Flux Analyzer include the surface fluxes of momentum, sensible heat and latent heat and their corresponding transfer coefficients, incoming and outgoing long-wave radiation. Lake Heat Flux Analyzer is open source and can be used to process data from multiple lakes rapidly. It provides a means of calculating the surface fluxes using a consistent method, thereby facilitating global comparisons of high-frequency data from lake buoys.

  16. “Open Hatch” Tour of Offshore Wind Buoy

    ScienceCinema

    Zayas, Jose

    2018-01-16

    Wind and Water Power Technologies Office Director, Jose Zayas gives a behind the scenes tour of the AXYS WindSentinel research buoy, which uses high-tech instruments to measure conditions for potential offshore wind energy development.

  17. Comparison of heaving buoy and oscillating flap wave energy converters

    NASA Astrophysics Data System (ADS)

    Abu Bakar, Mohd Aftar; Green, David A.; Metcalfe, Andrew V.; Najafian, G.

    2013-04-01

    Waves offer an attractive source of renewable energy, with relatively low environmental impact, for communities reasonably close to the sea. Two types of simple wave energy converters (WEC), the heaving buoy WEC and the oscillating flap WEC, are studied. Both WECs are considered as simple energy converters because they can be modelled, to a first approximation, as single degree of freedom linear dynamic systems. In this study, we estimate the response of both WECs to typical wave inputs; wave height for the buoy and corresponding wave surge for the flap, using spectral methods. A nonlinear model of the oscillating flap WEC that includes the drag force, modelled by the Morison equation is also considered. The response to a surge input is estimated by discrete time simulation (DTS), using central difference approximations to derivatives. This is compared with the response of the linear model obtained by DTS and also validated using the spectral method. Bendat's nonlinear system identification (BNLSI) technique was used to analyze the nonlinear dynamic system since the spectral analysis was only suitable for linear dynamic system. The effects of including the nonlinear term are quantified.

  18. Time Lapse Photography From Arctic Buoys

    NASA Astrophysics Data System (ADS)

    Valentic, T. A.; Matrai, P.; Woods, J. E.

    2013-12-01

    We have equipped a number of buoys with cameras that have been deployed throughout the Arctic. These systems need to be simple, reliable and low power. The images are transmitted over an Iridium satellite link and assembled into long running movies. We have captured a number of interesting events, observed the ice dynamics through the year and visits by local wildlife. Each of the systems have been deployed for periods of up to a year, with images every hour. The cameras have proved to be a great outreach tool and are routinely watched by number of people on our websites. This talk will present the techniques used in developing these camera systems, the methods used for reliably transmitting the images and the process for generating the movies.

  19. Long-Term Observations of Atmospheric CO2, O3 and BrO over the Transitioning Arctic Ocean Pack-ice: The O-Buoy Chemical Network

    NASA Astrophysics Data System (ADS)

    Matrai, P.

    2016-02-01

    Autonomous, sea ice-tethered O-Buoys have been deployed (2009-2016) across the Arctic sea ice for long-term atmospheric measurements (http://www.o-buoy.org). O-Buoys (15) provide in-situ concentrations of three sentinel atmospheric chemicals, ozone, CO2 and BrO, as well as meteorological parameters and imagery, over the frozen ocean. O-Buoys were designed to transmit daily data over a period of 2 years while deployed in sea ice, as part of automated ice-drifting stations that include snow/ice measurement systems (e.g. Ice Mass Balance buoys) and oceanographic measurements (e.g. Ice Tethered Profilers). Seasonal changes in Arctic atmospheric chemistry are influenced by changes in the characteristics and presence of the sea ice vs. open water as well as air mass trajectories, especially during the winter-spring and summer-fall transitions when sea ice is melting and freezing, respectively. The O-Buoy Chemical Network provides the unique opportunity to observe these transition periods in real-time with high temporal resolution, and to compare them with those collected on land-based monitoring stations located. Due to the logistical challenges of measurements over the Arctic Ocean region, most long term, in-situ observations of atmospheric chemistry have been made at coastal or island sites around the periphery of the Arctic Ocean, leaving large spatial and temporal gaps that O-Buoys overcome. Advances in floatation, communications, power management, and sensor hardware have been made to overcome the challenges of diminished Arctic sea ice. O-Buoy data provide insights into enhanced seasonal, interannual and spatial variability in atmospheric composition, atmospheric boundary layer control on the amount of halogen activation, enhancement of the atmospheric CO2 signal over the more variable and porous pack ice, and to develop an integrated picture of the coupled ocean/ice/atmosphere system. As part of the Arctic Observing Network, we provide data to the community (www.aoncadis.org).

  20. Downwelling radiation at the sea surface in the central Mediterranean: one year of shortwave and longwave irradiance measurements on the Lampedusa buoy

    NASA Astrophysics Data System (ADS)

    di Sarra, Alcide; Bommarito, Carlo; Anello, Fabrizio; Di Iorio, Tatiana; Meloni, Daniela; Monteleone, Francesco; Pace, Giandomenico; Piacentino, Salvatore; Sferlazzo, Damiano

    2017-04-01

    An oceanographic buoy has been developed and deployed in August 2015 about 3.3 miles South West of the island of Lampedusa, at 35.49°N, 12.47°E, in the central Mediterranean Sea. The buoy was developed within the Italian RITMARE flagship project, and contributes to the Italian fixed-point oceanographic observation network. The buoy is an elastic beacon type and is intended to study air-sea interactions, propagation of radiation underwater, and oceanographic properties. The buoy measurements complement the atmospheric observations carried out at the long-term Station for Climate Observations on the island of Lampedusa (www.lampedusa.enea.it; 35.52°N, 12.63°E), which is located about 15 km E-NE of the buoy. Underwater instruments and part of the atmospheric sensors are presently being installed on the buoy. Measurements of downwelling shortwave, SW, and longwave, LW, irradiance, have been made since September 2015 with a Kipp and Zonen CMP21 pyranometer and a Kipp and Zonen CGR4 pyrgeometer, respectively. The radiometers are mounted on a small platform at about 7 m above sea level, on an arm protruding southward of the buoy. High time resolution data, at 1 Hz, have been acquired since December 2015, together with the sensors' attitude. Data from the period December 2015-December 2016 are analyzed and compared with measurements made on land at the Station for Climate Observations at 50 m above mean sea level. This study aims at deriving high quality determinations of the downwelling radiation over sea in the central Mediterranean. The following aspects will be discussed: - representativeness of time averaging of irradiance measurements over moving platforms; - comparison of downwelling irradiance measurements made over land and over ocean, and identification of possible correction strategies to infer irradiances over the ocean from close by measurements made over land; - influence of dome cleaning on the quality of measurements; - envisaging possible corrections

  1. Measurement of shallow sea floor motion with GPS on a rigid buoy: system design and synthetic analysis

    NASA Astrophysics Data System (ADS)

    Dixon, T. H.; Xie, S.; Malservisi, R.; Lembke, C.; Iannaccone, G.; Law, J.; Rodgers, M.; Russell, R.; Voss, N. K.

    2017-12-01

    A GPS-buoy system has been built and is currently undergoing test to measure precise 3D sea floor motion in the shallow (less than 200 m) continental shelf environment. Offshore deformation is undersampled in most subduction zones. In Cascadia, the shallow shelf environment constitutes roughly 20%-25% of the offshore area between the coastline and the trench. In the system being tested, the GPS receiver at the top of the buoy is connected to the sea floor through a rigid structure supported by a float. A similar design has been used by INGV (Italy) to measure vertical deformation on the sea floor near the Campi Flegrei caldera. Synthetic analysis shows that by adding a 3-axis digital compass to measure heading and tilt, along with kinematic GPS measurements, position of the anchor can be recovered to an accuracy of several centimeters or better, depending on water depth and GPS baseline length. Synthetic resolution tests show that our ability to detect shallow slow slip events on subduction plate boundaries can be greatly improved by adding offshore GPS-buoy sites.

  2. Coordination and Data Management of the International Arctic Buoy Programme (IABP)

    DTIC Science & Technology

    2002-09-30

    for forcing, validation and assimilation into numerical climate models , and for forecasting weather and ice conditions. TRANSITIONS Using IABP ...Coordination and Data Management of the International Arctic Buoy Programme ( IABP ) Ignatius G. Rigor 1013 NE 40th Street Polar Science Center...analyzed geophysical fields. APPROACH The IABP is a collaboration between 25 different institutions from 8 different countries, which work together

  3. Coordination and Data Management of the International Arctic Buoy Programme (IABP)

    DTIC Science & Technology

    1998-01-01

    estimate the mean surface wind, which can drive sea ice models , and for input into climate change studies. Recent research using the IABP databases includes...Coordination and Data Management of the International Arctic Buoy Programme ( IABP ) Ignatius G. Rigor Polar Science Center, Applied Physics Laboratory...the National Center for Environmental Projection underlayed. APPROACH Coordination of the IABP involves distribution of information, resource

  4. Quantifying Electromagnetic Wave Propagation Environment Using Measurements From A Small Buoy

    DTIC Science & Technology

    2017-06-01

    ELECTROMAGNETIC WAVE PROPAGATION ENVIRONMENT USING MEASUREMENTS FROM A SMALL BUOY by Andrew E. Sweeney June 2017 Thesis Advisor: Qing Wang...TYPE AND DATES COVERED Master’s thesis 4. TITLE AND SUBTITLE QUANTIFYING ELECTROMAGNETIC WAVE PROPAGATION ENVIRONMENT USING MEASUREMENTS FROM A...the Coupled Air Sea Processes and Electromagnetic (EM) ducting Research (CASPER), to understand air-sea interaction processes and their representation

  5. Wave and Current Observations in a Tidal Inlet Using GPS Drifter Buoys

    DTIC Science & Technology

    2013-03-01

    right panel). ............17  Figure 10.  DWR-G external sensor configuration (left panel). GT-31 GPS receiver is visible on the bottom left. Two GoPro ...receiver is visible on the bottom left. Two GoPro cameras are attached to the top of the buoy. DWR-G internal sensor configuration (right panel

  6. Air Deployable Underwater Glider and Buoy Development for Arctic and Oceanographic Sensing

    NASA Astrophysics Data System (ADS)

    Legnos, P. J.

    2013-12-01

    LBI developed under a NOAA SBIR the AXIB (Airborne eXpendable Ice Buoy). The initial buoy was developed to collect barometric pressure, air temperature two meters above the surface and sea surface or ice temperature. A number of these AXIBs have been successfully deployed in the Arctic and Antarctic. Currently we are in the process of integrating additional sensors to include an anemometer, thermistor chain and hydrophones. Further development is in process for the integration of solar and wind recharging systems and lower power sensors and processing LBI developed under an ONR SBIR Grant two Air Deployable Underwater Gliders. They are primarily designed for air deployment from Navy P-3 or P-8 Aircraft though easily deployed from other aircraft or helicopters. The A-size (4 7/8'dia. X 36' long) and the 12 ¾ (12 ¾' dia. X 9' 9' long). On the development side we are in the process of integrating sensors and enhancing the battery storage capacity. We anticipate a broad range of Oceanographic sensing missions for these Gliders.

  7. Coordination and Data Management of the International Arctic Buoy Programme (IABP)

    DTIC Science & Technology

    2001-09-30

    Coordination and Data Management of the International Arctic Buoy Programme ( IABP ) Ignatius G. Rigor 1013 NE 40th Street Polar Science Center...analyzed geophysical fields. APPROACH Coordination of the IABP falls into the categories of information, resource management, and meeting...the Polar Science Center (PSC) via anonymous ftp. These data and other research products of the IABP are available on the World Wide Web at http

  8. Fort Morgan and the Battle of Mobile Bay. Teaching with Historic Places.

    ERIC Educational Resources Information Center

    Blankenship, Blanton; Rambo, Bill

    Under the light of dawn, Union Admiral David Farragut began his attack on Mobile Bay, Alabama. Aware of the danger near Fort Morgan (Alabama), Farragut ordered his captains to stay to the eastward of the easternmost buoy because it was understood there were obstructions between the buoys. The ironclad USS Tecumseh, unable to avoid the danger,…

  9. Calibration of Sea Ice Motion from QuikSCAT with those from SSM/I and Buoy

    NASA Technical Reports Server (NTRS)

    Liu, Antony K.; Zhao, Yun-He; Zukor, Dorothy J. (Technical Monitor)

    2001-01-01

    QuikSCAT backscatter and DMSP SSM/I radiance data are used to derive sea ice motion for both the Arctic and Antarctic region using wavelet analysis method. This technique provides improved spatial coverage over the existing array of Arctic Ocean buoys and better temporal resolution over techniques utilizing satellite data from Synthetic Aperture Radar (SAR). Sea ice motion of the Arctic for the period from October 1999 to March 2000 derived from QuikSCAT and SSM/I data agrees well with that derived from ocean buoys quantitatively. Thus the ice tracking results from QuikSCAT and SSM/I are complement to each other, Then, three sea-ice drift daily results from QuikSCAT, SSM/I, and buoy data can be merged to generate composite maps with more complete coverage of sea ice motion than those from single data source. A series of composite sea ice motion maps for December 1999 show that the major circulation patterns of sea ice motion are changing and shifting significantly within every four days and they are dominated by wind forcing. Sea-ice drift in the summer can not be derived from NSCAT and SSM/I data. In later summer of 1999 (in September), however, QuikSCAT data can provide good sea ice motion information in the Arctic. QuiksCAT can also provide at least partial sea ice motion information until June 15 in early summer 1999. For the Antarctic, case study shows that sea ice motion derived from QuikSCAT data is predominantly forced by and is consistent with wind field derived from QuikSCAT around the polar region. These calibrated/validated results indicate that QuikSCAT, SSM/I, and buoy merged daily ice motion are suitably accurate to identify and closely locate sea ice processes, and to improve our current knowledge of sea ice drift and related processes through the data assimilation of ocean-ice numerical model.

  10. Accuracy in GPS/Acoustic positioning on a moored buoy moving around far from the optimal position

    NASA Astrophysics Data System (ADS)

    Imano, M.; Kido, M.; Ohta, Y.; Takahashi, N.; Fukuda, T.; Ochi, H.; Hino, R.

    2015-12-01

    For detecting the seafloor crustal deformation and Tsunami associated with large earthquakes in real-time, it is necessary to monitor them just above the possible source region. For this purpose, we have been dedicated in developing a real-time continuous observation system using a multi-purpose moored buoy. Sea-trials of the system have been carried out near the Nanakai trough in 2013 and 2014 (Takahashi et al., 2014). We especially focused on the GPS/Acoustic measurement (GPS/A) in the system for horizontal crustal movement. The GPS/A on a moored buoy has a critical drawback compared to the traditional ones, in which the data can be stacked over ranging points fixed at an optimal position. Accuracy in positioning with a single ranging from an arbitrary point is the subject to be improved in this study. Here, we report the positioning results in the buoy system using data in the 2014 sea-trial and demonstrate the improvement of the result. We also address the potential resolving power in the positioning using synthetic tests. The target GPS/A site consists of six seafloor transponders (PXPs) forming a small inner- and a large outer-triangles. The bottom of the moored cable is anchored nearly the center of the triangles. In the sea-trial, 11 times successive ranging was scheduled once a week, and we plotted positioning results from different buoy position. We confirmed that scatter in positioning using six PXPs simultaneously is ten times smaller than that using individual triangle separately. Next, we modified the definition of the PXP array geometry using data obtained in a campaign observation. Definition of an array geometry is insensitive as far as ranging is made in the same position, however, severely affects the positioning when ranging is made from various positions like the moored buoy. The modified PXP array is slightly smaller and 2m deeper than the original one. We found that the scatter of positioning results in the sea-trial is reduced from 4m to 1

  11. Moball-Buoy Network: A Near-Real-Time Ground-Truth Distributed Monitoring System to Map Ice, Weather, Chemical Species, and Radiations, in the Arctic

    NASA Astrophysics Data System (ADS)

    Davoodi, F.; Shahabi, C.; Burdick, J.; Rais-Zadeh, M.; Menemenlis, D.

    2014-12-01

    The work had been funded by NASA HQ's office of Cryospheric Sciences Program. Recent observations of the Arctic have shown that sea ice has diminished drastically, consequently impacting the environment in the Arctic and beyond. Certain factors such as atmospheric anomalies, wind forces, temperature increase, and change in the distribution of cold and warm waters contribute to the sea ice reduction. However current measurement capabilities lack the accuracy, temporal sampling, and spatial coverage required to effectively quantify each contributing factor and to identify other missing factors. Addressing the need for new measurement capabilities for the new Arctic regime, we propose a game-changing in-situ Arctic-wide Distributed Mobile Monitoring system called Moball-buoy Network. Moball-buoy Network consists of a number of wind-propelled self-powered inflatable spheres referred to as Moball-buoys. The Moball-buoys are self-powered. They use their novel mechanical control and energy harvesting system to use the abundance of wind in the Arctic for their controlled mobility and energy harvesting. They are equipped with an array of low-power low-mass sensors and micro devices able to measure a wide range of environmental factors such as the ice conditions, chemical species wind vector patterns, cloud coverage, air temperature and pressure, electromagnetic fields, surface and subsurface water conditions, short- and long-wave radiations, bathymetry, and anthropogenic factors such as pollutions. The stop-and-go motion capability, using their novel mechanics, and the heads up cooperation control strategy at the core of the proposed distributed system enable the sensor network to be reconfigured dynamically according to the priority of the parameters to be monitored. The large number of Moball-buoys with their ground-based, sea-based, satellite and peer-to-peer communication capabilities would constitute a wireless mesh network that provides an interface for a global

  12. Satellite-based virtual buoy system to monitor coastal water quality

    NASA Astrophysics Data System (ADS)

    Hu, Chuanmin; Barnes, Brian B.; Murch, Brock; Carlson, Paul

    2014-05-01

    There is a pressing need to assess coastal and estuarine water quality state and anomaly events to facilitate coastal management, but such a need is hindered by lack of resources to conduct frequent ship-based or buoy-based measurements. Here, we established a virtual buoy system (VBS) to facilitate satellite data visualization and interpretation of water quality assessment. The VBS is based on a virtual antenna system (VAS) that obtains low-level satellite data and generates higher-level data products using both National Aeronautics and Space Administration standard algorithms and regionally customized algorithms in near real time. The VB stations are predefined and carefully chosen to cover water quality gradients in estuaries and coastal waters, where multiyear time series at monthly and weekly intervals are extracted for the following parameters: sea surface temperature (°C), chlorophyll-a concentration (mg m-3), turbidity (NTU), diffuse light attenuation at 490 nm [Kd(490), m-1] or secchi disk depth (m), absorption coefficient of colored dissolved organic matter (m-1), and bottom available light (%). The time-series data are updated routinely and provided in both ASCII and graphical formats via a user-friendly web interface where all information is available to the user through a simple click. The VAS and VBS also provide necessary infrastructure to implement peer-reviewed regional algorithms to generate and share improved water quality data products with the user community.

  13. Design and first results of CytoBuoy: a wireless flow cytometer for in situ analysis of marine and fresh waters.

    PubMed

    Dubelaar, G B; Gerritzen, P L; Beeker, A E; Jonker, R R; Tangen, K

    1999-12-01

    The high costs of microscopical determination and counting of phytoplankton often limit sampling frequencies below an acceptable level for the monitoring of dynamic ecosystems. Although having a limited discrimination power, flow cytometry allows the analysis of large numbers of samples to a level that is sufficient for many basic monitoring jobs. For this purpose, flow cytometers should not be restricted to research laboratories. We report here on the development of an in situ flow cytometer for autonomous operation inside a small moored buoy or on other platforms. Operational specifications served a wide range of applications in the aquatic field. Specific conditions had to be met with respect to the operation platform and autonomy. A small, battery-operated flow cytometer resulted, requiring no external sheath fluid supply. Because it was designed to operate in a buoy, we call it CytoBuoy. Sampling, analysis, and radio transmission of the data proceed automatically at user-defined intervals. A powerful feature is the acquisition and radio transmission of full detector pulse shapes of each particle. This provides valuable morphological information for particles larger than the 5-microm laser focus. CytoBuoy allows on-line in situ particle analysis, estimation of phytoplankton biomass, and discrimination between different phytoplankton groups. This will increase the applicability of flow cytometry in the field of environmental monitoring. Copyright 1999 Wiley-Liss, Inc.

  14. Coordination and Data Management of the International Arctic Buoy Programme (IABP)

    DTIC Science & Technology

    1999-09-30

    Coordination and Data Management of the International Arctic Buoy Programme ( IABP ) Ignatius G. Rigor 1013 NE 40th Street Polar Science Center...Coordination of the IABP falls into the categories of information, resource management, and meeting planning. Information is primarily distributed via a...These data and other research products of the IABP are available on the World Wide Web at http://iabp.apl.washington.edu/. WORK COMPLETED Our recent

  15. Coordination and Data Management of the International Arctic Buoy Programme (IABP)

    DTIC Science & Technology

    2000-09-30

    Coordination and Data Management of the International Arctic Buoy Programme ( IABP ) Ignatius G. Rigor 1013 NE 40th Street Polar Science Center...Coordination of the IABP falls into the categories of information, resource management, and meeting planning. Information is primarily distributed via a monthly...data and other research products of the IABP are available on the World Wide Web at http://iabp.apl.washington.edu/. Report Documentation Page Form

  16. The Feasibility of Sodar Wind Profile Measurements from an Oceanographic Buoy

    DTIC Science & Technology

    2006-09-01

    Brown and Hwang ,1997; Graber et. al., 2000). Waves can be measured from the ASIS buoy using a six-element array of capacitance wave staffs...turbine wakes measured by sodar. Journal of Atmospheric and Oceanic Technology., 20, 466-477. Brown , Robert G. and Patrick Y.C. Hwang (1997...Introduction to random signals and applied Kalman filtering, 3rd ed., J. Wiley. Clay, Clarence S., Herman Medwin (1977): Acoustical Oceanography, J. Wiley

  17. Multi-level obstruction in obstructive sleep apnoea: prevalence, severity and predictive factors.

    PubMed

    Phua, C Q; Yeo, W X; Su, C; Mok, P K H

    2017-11-01

    To characterise multi-level obstruction in terms of prevalence, obstructive sleep apnoea severity and predictive factors, and to collect epidemiological data on upper airway morphology in obstructive sleep apnoea patients. Retrospective review of 250 obstructive sleep apnoea patients. On clinical examination, 171 patients (68.4 per cent) had multi-level obstruction, 49 (19.6 per cent) had single-level obstruction and 30 (12 per cent) showed no obstruction. Within each category of obstructive sleep apnoea severity, multi-level obstruction was more prevalent. Multi-level obstruction was associated with severe obstructive sleep apnoea (more than 30 events per hour) (p = 0.001). Obstructive sleep apnoea severity increased with the number of obstruction sites (correlation coefficient = 0.303, p < 0.001). Multi-level obstruction was more likely in younger (p = 0.042), male (p = 0.045) patients, with high body mass index (more than 30 kg/m2) (p < 0.001). Palatal (p = 0.004), tongue (p = 0.026) and lateral pharyngeal wall obstructions (p = 0.006) were associated with severe obstructive sleep apnoea. Multi-level obstruction is more prevalent in obstructive sleep apnoea and is associated with increased severity. Obstruction at certain anatomical levels contributes more towards obstructive sleep apnoea severity.

  18. The ODAS Italia 1 buoy: More than forty years of activity in the Ligurian Sea

    NASA Astrophysics Data System (ADS)

    Canepa, Elisa; Pensieri, Sara; Bozzano, Roberto; Faimali, Marco; Traverso, Pierluigi; Cavaleri, Luigi

    2015-06-01

    The Ligurian Sea plays a relevant role in driving both the circulation of the Western Mediterranean Sea and the weather and climate of the area. In order to better understand the peculiarities of this basin, the Oceanographic Data Acquisition System (ODAS) Italia 1 buoy was developed and deployed in the early '70s. Throughout the years, the buoy has been fitted with updated measuring and data acquiring systems. Since 2003 the buoy has been part of the Mediterranean Moored Multi-sensor Array network of fixed open ocean observatories with the W1-M3A identifier and presently constitutes one of the Mediterranean sites of the European FixO3 network. Recently, a deep-ocean sub-surface mooring line was, and is, deployed close to it in relation to specific projects. This multidisciplinary observing system is able to perform both long-term operational and ad-hoc monitoring from the lower atmosphere to the deep ocean. It is used for analysis of air-sea interaction processes, study of the physical proprieties of the water column, bio-geo-chemical monitoring of the sea, meteorological and oceanographic model evaluation, calibration of remotely sensed measurements, and development of innovative marine monitoring technologies. After reporting some historical notes and the description of the observing system, this paper summarises and reviews the main oceanographic and atmospheric studies performed during the last 15 years using the data acquired on board.

  19. Saildrone fleet could help replace aging buoys

    NASA Astrophysics Data System (ADS)

    Voosen, Paul

    2018-03-01

    In April, two semiautonomous drones, developed by Saildrone, a marine tech startup based in Alameda, California, in close collaboration with the National Oceanic and Atmospheric Administration in Washington, D.C., are set to return from an 8-month tour of the Pacific Ocean. This the first scientific test for the drones, which are powered only by the wind and sun, in the Pacific Ocean. The voyage is an important step in showing that such drones, carrying 15 different sensors, could help replace an aging and expensive array of buoys that are the main way scientists sniff out signs of climate-disrupting El Niño events. If successful, scientists envision fleets of similar drones spreading across the ocean, inviting thoughts of what it could be like to do oceanography without a ship.

  20. Measurement of Near-Surface Salinity, Temperature and Directional Wave Spectra using a Novel Wave-Following, Lagrangian Surface Contact Buoy

    NASA Astrophysics Data System (ADS)

    Boyle, J. P.

    2016-02-01

    Results from a surface contact drifter buoy which measures near-surface conductivity ( 10 cm depth), sea state characteristics and near-surface water temperature ( 2 cm depth) are described. This light (< 750 gram), wave-following discus buoy platform has a hull diameter of 25 cm and a thickness of approximately 3 cm. The buoy is designed to allow for capsize events, but remains top up because it is ballasted for self-righting. It has a small above-surface profile and low windage, resulting in near-Lagrangian drift characteristics. It is autonomous, with low power requirements and solar panel battery recharging. Onboard sensors include an inductive toroidal conductivity probe for salinity measurement, a nine-degrees-of-freedom motion package for derivation of directional wave spectra and a thermocouple for water temperature measurement. Data retrieval for expendable, ocean-going operation uses an onboard Argos transmitter. Scientific results as well as data processing algorithms are presented from laboratory and field experiments which support qualification of buoy platform measurements. These include sensor calibration experiments, longer-term dock-side biofouling experiments during 2013-2014 and a series of short-duration ocean deployments in the Gulf Stream in 2014. In addition, a treatment method will be described which appears to minimize the effects of biofouling on the inductive conductivity probe when in coastal surface waters. Due to its low cost and ease of deployment, scores, perhaps hundreds of these novel instruments could be deployed from ships or aircraft during process studies or to provide surface validation for satellite-based measurements, particularly in high precipitation regions.

  1. Wave and Current Measurements From the Coastal Storms Program (CSP) Buoy 41012 off St. Augustine, FL

    NASA Astrophysics Data System (ADS)

    Crout, R. L.

    2008-05-01

    The Coastal Storms Program (CSP) is a NOAA program that involves several different branches within NOAA. Components of the National Ocean Service, the National Weather Service, the National Marine Fisheries Service, and the Office of Oceanic and Atmospheric Research participate in CSP, which is administered by the Coastal Services Center. CSP selects an area where an impact in support of the NOAA Societal Goals can be made. The first area selected was the northeast coast of Florida in 2002. In addition to coastal water level stations and modeling efforts, a 3-meter discuss buoy (WMO 41012) was deployed off the coast of St. Augustine, FL in approximately 38 meters of water. In addition to the normal complement of meteorological sensors, Buoy 41012 contained a sensor to measure directional waves at hourly intervals, a temperature-conductivity sensor to measure near-surface temperature and salinity, and a current profiler to obtain near-surface to near-bottom currents at hourly intervals. These data on the continental shelf provide a view of the oceanography on the inner margin of the Gulf Stream. The data are served over the National Data Buoy Center's web page and over the Global Telecommunications System. The waves and currents during the period from September 2005 through December 2007 are related to coastal storms, hurricanes, tides, and Gulf Stream intrusions. During several late fall and winter periods the waves exceeded 4.5 meters. The on-offshore component of the currents appears to be tidally driven, however, predominant on- and off-shore flows are observed in response to storms and Gulf Stream intrusions. The primary component of the flow is aligned alongshore and although the tidal influence is obvious, extended periods of northward and southward currents are observed. Currents approaching 2 knots are observed at various times during the period that the buoy has been active. The high currents appear to be in response to strong wind events (atmospheric

  2. The International Arctic Buoy Programme (IABP)

    NASA Astrophysics Data System (ADS)

    Rigor, I. G.; Ortmeyer, M.

    2003-12-01

    The Arctic has undergone dramatic changes in weather, climate and environment. It should be noted that many of these changes were first observed and studied using data from the International Arctic Buoy Programme (IABP). For example, IABP data were fundamental to Walsh et al. (1996) showing that atmospheric pressure has decreased, Rigor et al. (2000) showing that air temperatures have increased, and to Proshutinsky and Johnson (1997); Steele and Boyd, (1998); Kwok, (2000); and Rigor et al. (2002) showing that the clockwise circulation of sea ice and the ocean has weakened. All these results relied heavily on data from the IABP. In addition to supporting these studies of climate change, the IABP observations are also used to forecast weather and ice conditions, validate satellite retrievals of environmental variables, to force, validate and initialize numerical models. Over 350 papers have been written using data from the IABP. The observations and datasets of the IABP data are one of the cornerstones for environmental forecasting and research in the Arctic.

  3. Sensor Buoy System for Monitoring Renewable Marine Energy Resources.

    PubMed

    García, Emilio; Quiles, Eduardo; Correcher, Antonio; Morant, Francisco

    2018-03-22

    In this paper we present a multi-sensor floating system designed to monitor marine energy parameters, in order to sample wind, wave, and marine current energy resources. For this purpose, a set of dedicated sensors to measure the height and period of the waves, wind, and marine current intensity and direction have been selected and installed in the system. The floating device incorporates wind and marine current turbines for renewable energy self-consumption and to carry out complementary studies on the stability of such a system. The feasibility, safety, sensor communications, and buoy stability of the floating device have been successfully checked in real operating conditions.

  4. Sensor Buoy System for Monitoring Renewable Marine Energy Resources

    PubMed Central

    García, Emilio; Morant, Francisco

    2018-01-01

    In this paper we present a multi-sensor floating system designed to monitor marine energy parameters, in order to sample wind, wave, and marine current energy resources. For this purpose, a set of dedicated sensors to measure the height and period of the waves, wind, and marine current intensity and direction have been selected and installed in the system. The floating device incorporates wind and marine current turbines for renewable energy self-consumption and to carry out complementary studies on the stability of such a system. The feasibility, safety, sensor communications, and buoy stability of the floating device have been successfully checked in real operating conditions. PMID:29565823

  5. Wave parameters comparisons between High Frequency (HF) radar system and an in situ buoy: a case study

    NASA Astrophysics Data System (ADS)

    Fernandes, Maria; Alonso-Martirena, Andrés; Agostinho, Pedro; Sanchez, Jorge; Ferrer, Macu; Fernandes, Carlos

    2015-04-01

    The coastal zone is an important area for the development of maritime countries, either in terms of recreation, energy exploitation, weather forecasting or national security. Field measurements are in the basis of understanding how coastal and oceanic processes occur. Most processes occur over long timescales and over large spatial ranges, like the variation of mean sea level. These processes also involve a variety of factors such as waves, winds, tides, storm surges, currents, etc., that cause huge interference on such phenomena. Measurement of waves have been carried out using different techniques. The instruments used to measure wave parameters can be very different, i.e. buoys, ship base equipment like sonar and satellites. Each equipment has its own advantage and disadvantage depending on the study subject. The purpose of this study is to evaluate the behaviour of a different technology available and presently adopted in wave measurement. In the past few years the measurement of waves using High Frequency (HF) Radars has had several developments. Such a method is already established as a powerful tool for measuring the pattern of surface current, but its use in wave measurements, especially in the dual arrangement is recent. Measurement of the backscatter of HF radar wave provides the raw dataset which is analyzed to give directional data of surface elevation at each range cell. Buoys and radars have advantages, disadvantages and its accuracy is discussed in this presentation. A major advantage with HF radar systems is that they are unaffected by weather, clouds or changing ocean conditions. The HF radar system is a very useful tool for the measurement of waves over a wide area with real-time observation, but it still lacks a method to check its accuracy. The primary goal of this study was to show how the HF radar system responds to high energetic variations when compared to wave buoy data. The bulk wave parameters used (significant wave height, period and

  6. Directional wave navigation radar measurements compared with pitch-roll buoy data

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    A.-Munoyerro, M.A.; Borge, J.C.N.

    1997-02-01

    The knowledge of the spectral behavior of a specific sea region is complete when one knows surface elevations and directional wave movements. Usually, sea directional descriptions have been made using pitch-roll buoys, which can provide one with several wave characteristic time series. Alternatively, there are other measure systems, which belong to remote sensing technics, such as shipboard navigation radars. The aim of the present work is to compare results obtained from pitch-roll data and ship radar wave measurements obtained during a campaign in the Cantabric Sea.

  7. Analysis of USCG replacement stern-loading buoy boat requirements for the aids to navigation mission : final report

    DOT National Transportation Integrated Search

    1993-08-01

    The report documents the results of the Volpe Center's analysis of the number of replacement stern-loading buoy boats (BUSLRs) required for the U.S. Coast Guard's Aids to Navigation (ATON) mission. At present, 19 Coast Guard Aids to Navigation Teams ...

  8. A global atlas of GEOS-3 significant waveheight data and comparison of the data with national buoy data

    NASA Technical Reports Server (NTRS)

    Mcmillan, J. D.

    1981-01-01

    The accuracy of the GEOS-3 significant waveheight estimates compared with buoy measurements of significant waveheight were determined. A global atlas of the GEOS-3 significant waveheight estimates gathered is presented. The GEOS-3 significant waveheight estimation algorithm is derived by analyzing the return waveform characteristics of the altimeter. Convergence considerations are examined, the rationale for a smoothing technique is presented and the convergence characteristics of the smoothed estimate are discussed. The GEOS-3 data are selected for comparison with buoy measurements. The GEOS-3 significant waveheight estimates are assembled in the form of a global atlas of contour maps. Both high and low sea state contour maps are presented, and the data are displayed both by seasons and for the entire duration of the GEOS-3 mission.

  9. Improvement of tsunami detection in timeseries data of GPS buoys with the Continuous Wavelet Transform

    NASA Astrophysics Data System (ADS)

    Chida, Y.; Takagawa, T.

    2017-12-01

    The observation data of GPS buoys which are installed in the offshore of Japan are used for monitoring not only waves but also tsunamis in Japan. The real-time data was successfully used to upgrade the tsunami warnings just after the 2011 Tohoku earthquake. Huge tsunamis can be easily detected because the signal-noise ratio is high enough, but moderate tsunami is not. GPS data sometimes include the error waveforms like tsunamis because of changing accuracy by the number and the position of GPS satellites. To distinguish the true tsunami waveforms from pseudo-tsunami ones is important for tsunami detection. In this research, a method to reduce misdetections of tsunami in the observation data of GPS buoys and to increase the efficiency of tsunami detection was developed.Firstly, the error waveforms were extracted by using the indexes of position dilution of precision, reliability of GPS satellite positioning and satellite number for calculation. Then, the output from this procedure was used for the Continuous Wavelet Transform (CWT) to analyze the time-frequency characteristics of error waveforms and real tsunami waveforms.We found that the error waveforms tended to appear when the accuracy of GPS buoys positioning was low. By extracting these waveforms, it was possible to decrease about 43% error waveforms without the reduction of the tsunami detection rate. Moreover, we found that the amplitudes of power spectra obtained from the error waveforms and real tsunamis were similar in the component of long period (4-65 minutes), on the other hand, the amplitude in the component of short period (< 1 minute) obtained from the error waveforms was significantly larger than that of the real tsunami waveforms. By thresholding of the short-period component, further extraction of error waveforms became possible without a significant reduction of tsunami detection rate.

  10. The first demonstration of a microbial fuel cell as a viable power supply: Powering a meteorological buoy

    NASA Astrophysics Data System (ADS)

    Tender, Leonard M.; Gray, Sam A.; Groveman, Ethan; Lowy, Daniel A.; Kauffman, Peter; Melhado, Julio; Tyce, Robert C.; Flynn, Darren; Petrecca, Rose; Dobarro, Joe

    2008-05-01

    Here we describe the first demonstration of a microbial fuel cell (MFC) as a practical alternative to batteries for a low-power consuming application. The specific application reported is a meteorological buoy (ca. 18-mW average consumption) that measures air temperature, pressure, relative humidity, and water temperature, and that is configured for real-time line-of-sight RF telemetry of data. The specific type of MFC utilized in this demonstration is the benthic microbial fuel cell (BMFC). The BMFC operates on the bottom of marine environments, where it oxidizes organic matter residing in oxygen depleted sediment with oxygen in overlying water. It is maintenance free, does not deplete (i.e., will run indefinitely), and is sufficiently powerful to operate a wide range of low-power marine-deployed scientific instruments normally powered by batteries. Two prototype BMFCs used to power the buoy are described. The first was deployed in the Potomac River in Washington, DC, USA. It had a mass of 230 kg, a volume of 1.3 m3, and sustained 24 mW (energy equivalent of ca. 16 alkaline D-cells per year at 25 °C). Although not practical due to high cost and extensive in-water manipulation required to deploy, it established the precedence that a fully functional scientific instrument could derive all of its power from a BMFC. It also provided valuable lessons for developing a second, more practical BMFC that was subsequently used to power the buoy in a salt marsh near Tuckerton, NJ, USA. The second version BMFC has a mass of 16 kg, a volume of 0.03 m3, sustains ca. 36 mW (energy equivalent of ca. 26 alkaline D-cells per year at 25 °C), and can be deployed by a single person from a small craft with minimum or no in-water manipulation. This BMFC is being further developed to reduce cost and enable greater power output by electrically connecting multiple units in parallel. Use of this BMFC powering the meteorological buoy highlights the potential impact of BMFCs to enable long

  11. Obstructed labour.

    PubMed

    Neilson, J P; Lavender, T; Quenby, S; Wray, S

    2003-01-01

    Obstructed labour is an important cause of maternal deaths in communities in which undernutrition in childhood is common resulting in small pelves in women, and in which there is no easy access to functioning health facilities with the capability of carrying out operative deliveries. Obstructed labour also causes significant maternal morbidity in the short term (notably infection) and long term (notably obstetric fistulas). Fetal death from asphyxia is also common. There are differences in the behaviour of the uterus during obstructed labour, depending on whether the woman has delivered previously. The pattern in primigravid women (typically diminishing contractility with risk of infection and fistula) may result from tissue acidosis, whereas in parous women, contractility may be maintained with the risk of uterine rupture. Ultimately, tackling the problem of obstructed labour will require universal adequate nutritional intake from childhood and the ability to access adequately equipped and staffed clinical facilities when problems arise in labour. These seem still rather distant aspirations. In the meantime, strategies should be implemented to encourage early recognition of prolonged labour and appropriate clinical responses. The sequelae of obstructed labour can be an enormous source of human misery and the prevention of obstetric fistulas, and skilled treatment if they do occur, are important priorities in regions where obstructed labour is still common.

  12. Analysis of obstruction site in obstructive sleep apnea syndrome patients by drug induced sleep endoscopy.

    PubMed

    Koo, Soo Kweon; Choi, Jang Won; Myung, Nam Suk; Lee, Hyoung Ju; Kim, Yang Jae; Kim, Young Joong

    2013-01-01

    We analyzed site, pattern and degree of obstruction in Korean male obstructive sleep apnea syndrome (OSAS) patients by drug-induced sleep endoscopy (DISE). We also investigated possible links between BMI, AHI and DISE findings. Sixty-nine male patients underwent DISE. DISE findings were reported using our classification system in which modified 'VOTE classification' - obstruction type, site of obstruction, degree of obstruction and anatomical site contributing obstruction - was reported. Associations were analyzed among the results of the polysomnography, patients' characteristics and DISE finding. Multilevel airway obstruction was found in 84.06% of patients and 15.94% had a unilevel obstruction. Among those with unilevel obstruction, 90.90% had retropalatal level obstruction and 9.10% had retrolingual level obstruction. Palate with lateral pharyngeal wall obstruction (49.28%) is the most common obstruction type of the retropalatal level and tongue with lateral pharyngeal wall (37.68%) is the most common obstruction type of the retrolingual level. Examining the relation between obstruction site according to body mass index (BMI) and severity of OSAS (apnea hypopnea index, AHI), the lateral pharyngeal wall had an increasing tendency associated with higher BMI and higher AHI. But the lateral pharyngeal wall of both levels was statistically significant associated with higher AHI. The majority of the Korean male OSAS patients have multilevel obstruction and according to BMI and AHI, the DISE findings indicate that the lateral pharyngeal wall is the most important anatomical site contributing to obstruction regardless of the level at which the obstruction lies. © 2013 Elsevier Inc. All rights reserved.

  13. A User's Guide to the Tsunami Datasets at NOAA's National Data Buoy Center

    NASA Astrophysics Data System (ADS)

    Bouchard, R. H.; O'Neil, K.; Grissom, K.; Garcia, M.; Bernard, L. J.; Kern, K. J.

    2013-12-01

    The National Data Buoy Center (NDBC) has maintained and operated the National Oceanic and Atmospheric Administration's (NOAA) tsunameter network since 2003. The tsunameters employ the NOAA-developed Deep-ocean Assessment and Reporting of Tsunamis (DART) technology. The technology measures the pressure and temperature every 15 seconds on the ocean floor and transforms them into equivalent water-column height observations. A complex series of subsampled observations are transmitted acoustically in real-time to a moored buoy or marine autonomous vehicle (MAV) at the ocean surface. The surface platform uses its satellite communications to relay the observations to NDBC. NDBC places the observations onto the Global Telecommunication System (GTS) for relay to NOAA's Tsunami Warning Centers (TWC) in Hawai'i and Alaska and to the international community. It takes less than three minutes to speed the observations from the ocean floor to the TWCs. NDBC can retrieve limited amounts of the 15-s measurements from the instrumentation on the ocean floor using the technology's two-way communications. NDBC recovers the full resolution 15-s measurements about every 2 years and forwards the datasets and metadata to the National Geophysical Data Center for permanent archive. Meanwhile, NDBC retains the real-time observations on its website. The type of real-time observation depends on the operating mode of the tsunameter. NDBC provides the observations in a variety of traditional and innovative methods and formats that include descriptors of the operating mode. Datasets, organized by station, are available from the NDBC website as text files and from the NDBC THREDDS server in netCDF format. The website provides alerts and lists of events that allow users to focus on the information relevant for tsunami hazard analysis. In addition, NDBC developed a basic web service to query station information and observations to support the Short-term Inundation Forecasting for Tsunamis (SIFT

  14. Adaption of egg and larvae sampling techniques for lake sturgeon and broadcast spawning fishes in a deep river

    USGS Publications Warehouse

    Roseman, Edward F.; Kennedy, Gregory W.; Craig, Jaquelyn; Boase, James; Soper, Karen

    2011-01-01

    In this report we describe how we adapted two techniques for sampling lake sturgeon (Acipenser fulvescens) and other fish early life history stages to meet our research needs in the Detroit River, a deep, flowing Great Lakes connecting channel. First, we developed a buoy-less method for sampling fish eggs and spawning activity using egg mats deployed on the river bottom. The buoy-less method allowed us to fish gear in areas frequented by boaters and recreational anglers, thus eliminating surface obstructions that interfered with recreational and boating activities. The buoy-less method also reduced gear loss due to drift when masses of floating aquatic vegetation would accumulate on buoys and lines, increasing the drag on the gear and pulling it downstream. Second, we adapted a D-frame drift net system formerly employed in shallow streams to assess larval lake sturgeon dispersal for use in the deeper (>8 m) Detroit River using an anchor and buoy system.

  15. Adaption of egg and larvae sampling techniques for lake sturgeon and broadcast spawning fishes in a deep river

    USGS Publications Warehouse

    Roseman, E.F.; Boase, J.; Kennedy, G.; Craig, J.; Soper, K.

    2011-01-01

    In this report we describe how we adapted two techniques for sampling lake sturgeon (Acipenser fulvescens) and other fish early life history stages to meet our research needs in the Detroit River, a deep, flowing Great Lakes connecting channel. First, we developed a buoy-less method for sampling fish eggs and spawning activity using egg mats deployed on the river bottom. The buoy-less method allowed us to fish gear in areas frequented by boaters and recreational anglers, thus eliminating surface obstructions that interfered with recreational and boating activities. The buoy-less method also reduced gear loss due to drift when masses of floating aquatic vegetation would accumulate on buoys and lines, increasing the drag on the gear and pulling it downstream. Second, we adapted a D-frame drift net system formerly employed in shallow streams to assess larval lake sturgeon dispersal for use in the deeper (>8m) Detroit River using an anchor and buoy system. ?? 2011 Blackwell Verlag, Berlin.

  16. Observations of vertical tidal motions of a floating iceberg in front of Shirase Glacier, East Antarctica, using a geodetic-mode GPS buoy

    NASA Astrophysics Data System (ADS)

    Aoyama, Yuichi; Kim, Tae-Hee; Doi, Koichiro; Hayakawa, Hideaki; Higashi, Toshihiro; Ohsono, Shingo; Shibuya, Kazuo

    2016-06-01

    A dual-frequency GPS receiver was deployed on a floating iceberg downstream of the calving front of Shirase Glacier, East Antarctica, on 28 December 2011 for utilizing as floating buoy. The three-dimensional position of the buoy was obtained by GPS every 30 s with a 4-5-cm precision for ca. 25 days. The height uncertainty of the 1-h averaged vertical position was ∼0.5 cm, even considering the uncertainties of un-modeled ocean loading effects. The daily evolution of north-south (NS), east-west (EW), and up-down (UD) motions shows periodic UD variations sometimes attaining an amplitude of 1 m. Observed amplitudes of tidal harmonics of major constituents were 88%-93% (O1) and 85%-88% (M2) of values observed in the global ocean tide models FES2004 and TPXO-8 Atlas. The basal melting rate of the iceberg is estimated to be ∼0.6 m/day, based on a firn densification model and using a quasi-linear sinking rate of the iceberg surface. The 30-s sampling frequency geodetic-mode GPS buoy helps to reveal ice-ocean dynamics around the calving front of Antarctic glaciers.

  17. Fall Freeze-up of Sea Ice in the Beaufort-Chukchi Seas Using ERS-1 SAR and Buoy Data

    NASA Technical Reports Server (NTRS)

    Holt, B.; Winebrenner, B.; D., Nelson E.

    1993-01-01

    The lowering of air temperatures below freezing in the fall indicates the end of summer melt and the onset of steady sea ice growth. The thickness and condition of ice that remains at the end of summer has ramifications for the thickness that that ice will attain at the end of the following winter. This period also designates a shifting of key fluxes from upper ocean freshening from ice melt to increased salinity from brine extraction during ice growth. This transitional period has been examined in the Beaufort and Chukchi Seas using ERS-1 SAR imagery and air temperatures from drifting buoys during 1991 and 1992. The SAR imagery is used to examine the condition and types of ice present in this period. Much of the surface melt water has drained off at this time. Air temperatures from drifting buoys coincident in time and within 100 km radius of the SAR imagery have been obtained...

  18. Comparison Between Sea Surface Wind Speed Estimates From Reflected GPS Signals and Buoy Measurements

    NASA Technical Reports Server (NTRS)

    Garrison, James L.; Katzberg, Steven J.; Zavorotny, Valery U.

    2000-01-01

    Reflected signals from the Global Positioning System (GPS) have been collected from an aircraft at approximately 3.7 km altitude on 5 different days. Estimation of surface wind speed by matching the shape of the reflected signal correlation function against analytical models was demonstrated. Wind speed obtained from this method agreed with that recorded from buoys to with a bias of less than 0.1 m/s, and with a standard derivation of 1.3 meters per second.

  19. Acute GI obstruction.

    PubMed

    Hucl, Tomas

    2013-10-01

    Acute gastrointestinal obstruction occurs when the normal flow of intestinal contents is interrupted. The blockage can occur at any level throughout the gastrointestinal tract. The clinical symptoms depend on the level and extent of obstruction. Various benign and malignant processes can produce acute gastrointestinal obstruction, which often represents a medical emergency because of the potential for bowel ischemia leading to perforation and peritonitis. Early recognition and appropriate treatment are thus essential. The typical clinical symptoms associated with obstruction include nausea, vomiting, dysphagia, abdominal pain and failure to pass bowel movements. Abdominal distention, tympany due to an air-filled stomach and high-pitched bowel sounds suggest the diagnosis. The diagnostic process involves imaging including radiography, ultrasonography, contrast fluoroscopy and computer tomography in less certain cases. In patients with uncomplicated obstruction, management is conservative, including fluid resuscitation, electrolyte replacement, intestinal decompression and bowel rest. In many cases, endoscopy may aid in both the diagnostic process and in therapy. Endoscopy can be used for bowel decompression, dilation of strictures or placement of self-expandable metal stents to restore the luminal flow either as a final treatment or to allow for a delay until elective surgical therapy. When gastrointestinal obstruction results in ischemia, perforation or peritonitis, emergency surgery is required. Copyright © 2013. Published by Elsevier Ltd.

  20. Within-breath respiratory impedance and airway obstruction in patients with chronic obstructive pulmonary disease.

    PubMed

    Silva, Karla Kristine Dames da; Faria, Alvaro Camilo Dias; Lopes, Agnaldo José; Melo, Pedro Lopes de

    2015-07-01

    Recent work has suggested that within-breath respiratory impedance measurements performed using the forced oscillation technique may help to noninvasively evaluate respiratory mechanics. We investigated the influence of airway obstruction on the within-breath forced oscillation technique in smokers and chronic obstructive pulmonary disease patients and evaluated the contribution of this analysis to the diagnosis of chronic obstructive pulmonary disease. Twenty healthy individuals and 20 smokers were assessed. The study also included 74 patients with stable chronic obstructive pulmonary disease. We evaluated the mean respiratory impedance (Zm) as well as values for the inspiration (Zi) and expiration cycles (Ze) at the beginning of inspiration (Zbi) and expiration (Zbe), respectively. The peak-to-peak impedance (Zpp=Zbe-Zbi) and the respiratory cycle dependence (ΔZrs=Ze-Zi) were also analyzed. The diagnostic utility was evaluated by investigating the sensitivity, the specificity and the area under the receiver operating characteristic curve. ClinicalTrials.gov: NCT01888705. Airway obstruction increased the within-breath respiratory impedance parameters that were significantly correlated with the spirometric indices of airway obstruction (R=-0.65, p<0.0001). In contrast to the control subjects and the smokers, the chronic obstructive pulmonary disease patients presented significant expiratory-inspiratory differences (p<0.002). The adverse effects of moderate airway obstruction were detected based on the Zpp with an accuracy of 83%. Additionally, abnormal effects in severe and very severe patients were detected based on the Zm, Zi, Ze, Zbe, Zpp and ΔZrs with a high degree of accuracy (>90%). We conclude the following: (1) chronic obstructive pulmonary disease introduces higher respiratory cycle dependence, (2) this increase is proportional to airway obstruction, and (3) the within-breath forced oscillation technique may provide novel parameters that facilitate the

  1. Intestinal Pseudo-Obstruction

    MedlinePlus

    ... condition as adults. Intestinal pseudo-obstruction may be acute, occurring suddenly and lasting a short time, or it may be chronic, or long lasting. Acute colonic pseudo-obstruction, also called Ogilvie syndrome or ...

  2. Toward detection of marine vehicles on horizon from buoy camera

    NASA Astrophysics Data System (ADS)

    Fefilatyev, Sergiy; Goldgof, Dmitry B.; Langebrake, Lawrence

    2007-10-01

    This paper presents a new technique for automatic detection of marine vehicles in open sea from a buoy camera system using computer vision approach. Users of such system include border guards, military, port safety and flow management, sanctuary protection personnel. The system is intended to work autonomously, taking images of the surrounding ocean surface and analyzing them on the subject of presence of marine vehicles. The goal of the system is to detect an approximate window around the ship and prepare the small image for transmission and human evaluation. The proposed computer vision-based algorithm combines horizon detection method with edge detection and post-processing. The dataset of 100 images is used to evaluate the performance of proposed technique. We discuss promising results of ship detection and suggest necessary improvements for achieving better performance.

  3. 77 FR 65816 - Safety Zone; Large Cruise Ships; Lower Mississippi River, Southwest Pass Sea Buoy to Mile Marker...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-31

    ... Marker 96.0; New Orleans, LA AGENCY: Coast Guard, DHS. ACTION: Final rule. SUMMARY: The Coast Guard is... the Port of New Orleans Cruise Ship Terminal, mile marker 96.0, and the Southwest Pass Sea Buoy. The... Commander (LCDR) Brandon Sullivan, Sector New Orleans, U.S. Coast Guard; telephone 504-365-2280, email...

  4. Heaving buoys, point absorbers and arrays.

    PubMed

    Falnes, Johannes; Hals, Jørgen

    2012-01-28

    Absorption of wave energy may be considered as a phenomenon of interference between incident and radiated waves generated by an oscillating object; a wave-energy converter (WEC) that displaces water. If a WEC is very small in comparison with one wavelength, it is classified as a point absorber (PA); otherwise, as a 'quasi-point absorber'. The latter may be a dipole-mode radiator, for instance an immersed body oscillating in the surge mode or pitch mode, while a PA is so small that it should preferably be a source-mode radiator, for instance a heaving semi-submerged buoy. The power take-off capacity, the WEC's maximum swept volume and preferably also its full physical volume should be reasonably matched to the wave climate. To discuss this matter, two different upper bounds for absorbed power are applied in a 'Budal diagram'. It appears that, for a single WEC unit, a power capacity of only about 0.3 MW matches well to a typical offshore wave climate, and the full physical volume has, unfortunately, to be significantly larger than the swept volume, unless phase control is used. An example of a phase-controlled PA is presented. For a sizeable wave-power plant, an array consisting of hundreds, or even thousands, of mass-produced WEC units is required.

  5. Integration of Ground, Buoys, Satellite and Model data to map the Changes in Meteorological Parameters Associated with Harvey Hurricane

    NASA Astrophysics Data System (ADS)

    Chauhan, A.; Sarkar, S.; Singh, R. P.

    2017-12-01

    The coastal areas have dense onshore and marine observation network and are also routinely monitored by constellation of satellites. The monitoring of ocean, land and atmosphere through a range of meteorological parameters, provides information about the land and ocean surface. Satellite data also provide information at different pressure levels that help to access the development of tropical storms and formation of hurricanes at different categories. Integration of ground, buoys, satellite and model data showing the changes in meteorological parameters during the landfall stages of hurricane Harvey will be discussed. Hurricane Harvey was one of the deadliest hurricanes at the Gulf coast which caused intense flooding from the precipitation. The various observation networks helped city administrators to evacuate the coastal areas, that minimized the loss of lives compared to the Galveston hurricane of 1900 which took 10,000 lives. Comparison of meteorological parameters derived from buoys, ground stations and satellites associated with Harvey and 2005 Katrina hurricane present some of the interesting features of the two hurricanes.

  6. Evaluating the Effects of Clouds on Solar and Longwave Radiation From Moored Buoys in the North Pacific

    NASA Astrophysics Data System (ADS)

    Balmes, K.; Cronin, M. F.

    2014-12-01

    Clouds play a critical role in the ocean surface radiation balance, along with the solar zenith angle and the atmospheric moisture and aerosol content. Two moored buoys in the North Pacific - KEO (32.3°N, 144.6°E) and Papa (50°N, 145°W) - continuously measure solar and longwave radiation and other atmospheric and oceanic variables through two redundant systems. After identifying the primary system and constructing daily clear sky solar and longwave radiation values, the seasonal and regional clouds effects are quantified for the two locations. Situated south of the Kuroshio Extension, significant moisture content variability, associated with the Asian monsoon, affects solar and longwave radiation and cloud effects at KEO. Less seasonal variability is observed at buoy Papa located in the Gulf of Alaska. At KEO, the negative solar radiation cloud forcing outweigh the positive longwave radiation cloud forcing leading to ocean cooling, particularly in the summer. At Papa, the longwave radiation cloud forcing counteracts the solar cloud forcing during the winter, subsequently warming the ocean. The regional and seasonal variability of clouds represents a difficult aspect of climate modeling and an area for further research.

  7. Levelized cost of energy for a Backward Bent Duct Buoy

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Bull, Diana; Jenne, D. Scott; Smith, Christopher S.

    2016-12-01

    The Reference Model Project, supported by the U.S. Department of Energy, was developed to provide publically available technical and economic benchmarks for a variety of marine energy converters. The methodology to achieve these benchmarks is to develop public domain designs that incorporate power performance estimates, structural models, anchor and mooring designs, power conversion chain designs, and estimates of the operations and maintenance, installation, and environmental permitting required. The reference model designs are intended to be conservative, robust, and experimentally verified. The Backward Bent Duct Buoy (BBDB) presented in this paper is one of three wave energy conversion devices studied withinmore » the Reference Model Project. Comprehensive modeling of the BBDB in a Northern California climate has enabled a full levelized cost of energy (LCOE) analysis to be completed on this device.« less

  8. Levelized cost of energy for a Backward Bent Duct Buoy

    DOE PAGES

    Bull, Diana; Jenne, D. Scott; Smith, Christopher S.; ...

    2016-07-18

    The Reference Model Project, supported by the U.S. Department of Energy, was developed to provide publicly available technical and economic benchmarks for a variety of marine energy converters. The methodology to achieve these benchmarks is to develop public domain designs that incorporate power performance estimates, structural models, anchor and mooring designs, power conversion chain designs, and estimates of the operations and maintenance, installation, and environmental permitting required. The reference model designs are intended to be conservative, robust, and experimentally verified. The Backward Bent Duct Buoy (BBDB) presented in this paper is one of three wave energy conversion devices studied withinmore » the Reference Model Project. Furthermore, comprehensive modeling of the BBDB in a Northern California climate has enabled a full levelized cost of energy (LCOE) analysis to be completed on this device.« less

  9. Reduced upper obstructions in N3 and increased lower obstructions in REM sleep stage detected with manometry.

    PubMed

    Wirth, Markus; Schramm, Juliane; Bautz, Maximilian; Hofauer, Benedikt; Edenharter, Günther; Ott, Armin; Heiser, Clemens

    2018-01-01

    In obstructive sleep apnea (OSA), airway obstruction occurs at different anatomic levels. The frequency and location of obstructions play a crucial role in the planning of surgical treatment. The aim of this study was to evaluate the pharyngeal obstruction levels in different sleep stages with manometry in OSA patients. In addition, the manometry results were compared with drug-induced sleep endoscopy (DISE). Forty-one patients with OSA received manometry measurements during one night of sleep. All patients were simultaneously evaluated with polysomnography. The frequency of obstructions in different sleep stages was assessed. Twenty patients were additionally studied with DISE. Obstruction levels detected with manometry were compared with DISE. The frequency of upper and to a lesser extent lower obstructions decreased in sleep stage N3. In rapid eye movement (REM) sleep, lower obstructions increased. The overall proportion of upper and lower obstructions detected with manometry corresponded with DISE in 13 of 20 cases. A significant change in the obstruction levels was detected with manometry in N3 and REM sleep. The reduction of both upper and to a lesser extent lower obstructions in N3 suggests more stable airways in slow-wave sleep. Relevant lower obstructions were not detected in DISE compared to manometry in 5 out of 20 examinations. This could be a potential reason for treatment failure of site-specific surgical OSA treatment when only performing DISE preoperatively. Therefore, manometry could be a useful complementary tool in the preoperative evaluation for OSA.

  10. The pre-Argo ocean reanalyses may be seriously affected by the spatial coverage of moored buoys

    PubMed Central

    Sivareddy, S.; Paul, Arya; Sluka, Travis; Ravichandran, M.; Kalnay, Eugenia

    2017-01-01

    Assimilation methods, meant to constrain divergence of model trajectory from reality using observations, do not exactly satisfy the physical laws governing the model state variables. This allows mismatches in the analysis in the vicinity of observation locations where the effect of assimilation is most prominent. These mismatches are usually mitigated either by the model dynamics in between the analysis cycles and/or by assimilation at the next analysis cycle. However, if the observations coverage is limited in space, as it was in the ocean before the Argo era, these mechanisms may be insufficient to dampen the mismatches, which we call shocks, and they may remain and grow. Here we show through controlled experiments, using real and simulated observations in two different ocean models and assimilation systems, that such shocks are generated in the ocean at the lateral boundaries of the moored buoy network. They thrive and propagate westward as Rossby waves along these boundaries. However, these shocks are essentially eliminated by the assimilation of near-homogenous global Argo distribution. These findings question the fidelity of ocean reanalysis products in the pre-Argo era. For example, a reanalysis that ignores Argo floats and assimilates only moored buoys, wrongly represents 2008 as a negative Indian Ocean Dipole year. PMID:28429748

  11. Severity of Airflow Obstruction in Chronic Obstructive Pulmonary Disease (COPD): Proposal for a New Classification.

    PubMed

    Coton, Sonia; Vollmer, William M; Bateman, Eric; Marks, Guy B; Tan, Wan; Mejza, Filip; Juvekar, Sanjay; Janson, Christer; Mortimer, Kevin; P A, Mahesh; Buist, A Sonia; Burney, Peter G J

    2017-10-01

    Current classifications of Chronic Obstructive Pulmonary Disease (COPD) severity are complex and do not grade levels of obstruction. Obstruction is a simpler construct and independent of ethnicity. We constructed an index of obstruction severity based on the FEV 1 /FVC ratio, with cut-points dividing the Burden of Obstructive Lung Disease (BOLD) study population into four similarly sized strata to those created by the GOLD criteria that uses FEV 1 . We measured the agreement between classifications and the validity of the FEV 1 -based classification in identifying the level of obstruction as defined by the new groupings. We compared the strengths of association of each classification with quality of life (QoL), MRC dyspnoea score and the self-reported exacerbation rate. Agreement between classifications was only fair. FEV 1 -based criteria for moderate COPD identified only 79% of those with moderate obstruction and misclassified half of the participants with mild obstruction as having more severe COPD. Both scales were equally strongly associated with QoL, exertional dyspnoea and respiratory exacerbations. Severity assessed using the FEV 1 /FVC ratio is only in moderate agreement with the severity assessed using FEV 1 but is equally strongly associated with other outcomes. Severity assessed using the FEV 1 /FVC ratio is likely to be independent of ethnicity.

  12. Nasal obstruction and human communication.

    PubMed

    Malinoff, R; Moreno, C

    1989-04-01

    Nasal obstruction may cause a variety of communication disorders, particularly in children. The effects of nasal obstruction on hearing, speech, language, and voice are examined. Methods for assessing the effects of nasal obstruction are delineated, and recommendations for therapeutic interventions are described.

  13. Primary obstructive megaureter.

    PubMed

    Sripathi, V; King, P A; Thomson, M R; Bogle, M S

    1991-07-01

    Twenty-three children with primary obstructive megaureters presented between 1978 and 1988 to the Princess Margaret Hospital for Children in Perth. Twenty-eight ureters were treated. Urinary infections were the presenting feature in 14 children. The obstructive segment was transvesically excised. Histopathologic examination of the distal, intramural ureter showed fibromuscular disarray with a relative increase in fibrous tissue and reduction of musculature in all specimens. Twenty-two ureters were tapered by excision and all 28 were reimplanted using an antireflux technique. Seventeen children were followed for an average of 3 years. Seven children showed renal growth, reduction in ureteric size by greater than 2 cm, improvement in glomerular filtration rate by more than 10%, no obstruction on reflux, and no infections in postoperative period. Four children showed all the above but suffered one or more infections after the operation. Of the remaining 6 children, 3 had postoperative obstruction and 3 had vesicoureteric reflux.

  14. 33 CFR 165.839 - Safety Zone; Large Cruise Ships; Lower Mississippi River, Southwest Pass Sea Buoy to Mile Marker...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false Safety Zone; Large Cruise Ships... Areas and Limited Access Areas Eighth Coast Guard District § 165.839 Safety Zone; Large Cruise Ships; Lower Mississippi River, Southwest Pass Sea Buoy to Mile Marker 96.0, New Orleans, LA. (a) Location...

  15. 33 CFR 165.839 - Safety Zone; Large Cruise Ships; Lower Mississippi River, Southwest Pass Sea Buoy to Mile Marker...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false Safety Zone; Large Cruise Ships... Areas and Limited Access Areas Eighth Coast Guard District § 165.839 Safety Zone; Large Cruise Ships; Lower Mississippi River, Southwest Pass Sea Buoy to Mile Marker 96.0, New Orleans, LA. (a) Location...

  16. The accuracy of SST retrievals from AATSR: An initial assessment through geophysical validation against in situ radiometers, buoys and other SST data sets

    NASA Astrophysics Data System (ADS)

    Corlett, G. K.; Barton, I. J.; Donlon, C. J.; Edwards, M. C.; Good, S. A.; Horrocks, L. A.; Llewellyn-Jones, D. T.; Merchant, C. J.; Minnett, P. J.; Nightingale, T. J.; Noyes, E. J.; O'Carroll, A. G.; Remedios, J. J.; Robinson, I. S.; Saunders, R. W.; Watts, J. G.

    The Advanced Along-Track Scanning Radiometer (AATSR) was launched on Envisat in March 2002. The AATSR instrument is designed to retrieve precise and accurate global sea surface temperature (SST) that, combined with the large data set collected from its predecessors, ATSR and ATSR-2, will provide a long term record of SST data that is greater than 15 years. This record can be used for independent monitoring and detection of climate change. The AATSR validation programme has successfully completed its initial phase. The programme involves validation of the AATSR derived SST values using in situ radiometers, in situ buoys and global SST fields from other data sets. The results of the initial programme presented here will demonstrate that the AATSR instrument is currently close to meeting its scientific objectives of determining global SST to an accuracy of 0.3 K (one sigma). For night time data, the analysis gives a warm bias of between +0.04 K (0.28 K) for buoys to +0.06 K (0.20 K) for radiometers, with slightly higher errors observed for day time data, showing warm biases of between +0.02 (0.39 K) for buoys to +0.11 K (0.33 K) for radiometers. They show that the ATSR series of instruments continues to be the world leader in delivering accurate space-based observations of SST, which is a key climate parameter.

  17. An experimental study of the effect of mooring systems on the dynamics of a SPAR buoy-type floating offshore wind turbine

    NASA Astrophysics Data System (ADS)

    Hong, Sinpyo; Lee, Inwon; Park, Seong Hyeon; Lee, Cheolmin; Chun, Ho-Hwan; Lim, Hee Chang

    2015-09-01

    An experimental study of the effect of mooring systems on the dynamics of a SPAR buoy-type floating offshore wind turbine is presented. The effects of the Center of Gravity (COG), mooring line spring constant, and fair-lead location on the turbine's motion in response to regular waves are investigated. Experimental results show that for a typical mooring system of a SPAR buoy-type Floating Offshore Wind Turbine (FOWT), the effect of mooring systems on the dynamics of the turbine can be considered negligible. However, the pitch decreases notably as the COG increases. The COG and spring constant of the mooring line have a negligible effect on the fairlead displacement. Numerical simulation and sensitivity analysis show that the wind turbine motion and its sensitivity to changes in the mooring system and COG are very large near resonant frequencies. The test results can be used to validate numerical simulation tools for FOWTs.

  18. Development of A Tsunami Magnitude Scale Based on DART Buoy Data

    NASA Astrophysics Data System (ADS)

    Leiva, J.; Polet, J.

    2016-12-01

    The quantification of tsunami energy has evolved through time, with a number of magnitude and intensity scales employed in the past century. Most of these scales rely on coastal measurements, which may be affected by complexities due to near-shore bathymetric effects and coastal geometries. Moreover, these datasets are generated by tsunami inundation, and thus cannot serve as a means of assessing potential tsunami impact prior to coastal arrival. With the introduction of a network of ocean buoys provided through the Deep-ocean Assessment and Reporting of Tsunamis (DART) project, a dataset has become available that can be exploited to further our current understanding of tsunamis and the earthquakes that excite them. The DART network consists of 39 stations that have produced estimates of sea-surface height as a function of time since 2003, and are able to detect deep ocean tsunami waves. Data collected at these buoys for the past decade reveals that at least nine major tsunami events, such as the 2011 Tohoku and 2013 Solomon Islands events, produced substantial wave amplitudes across a large distance range that can be implemented in a DART data based tsunami magnitude scale. We present preliminary results from the development of a tsunami magnitude scale that follows the methods used in the development of the local magnitude scale by Charles Richter. Analogous to the use of seismic ground motion amplitudes in the calculation of local magnitude, maximum ocean height displacements due to the passage of tsunami waves will be related to distance from the source in a least-squares exponential regression analysis. The regression produces attenuation curves based on the DART data, a site correction term, attenuation parameters, and an amplification factor. Initially, single event based regressions are used to constrain the attenuation parameters. Additional iterations use the parameters of these event-based fits as a starting point to obtain a stable solution, and include

  19. Evaluation of two techniques of partial urethral obstruction in the male rat model of bladder outlet obstruction.

    PubMed

    Melman, Arnold; Tar, Moses; Boczko, Judd; Christ, George; Leung, Albert C; Zhao, Weixin; Russell, Robert G

    2005-11-01

    To perform a comparison to determine which of two methods of partial urethral ligation produces the most consistent outcome and fewest side effects. Such a study has not been previously reported. Partial urethral ligation is a means of causing reproducible bladder outlet obstruction. In the male rat model, partial urethral obstruction can be performed either by perineal incision and bulbous urethral ligation or retropubic incision and midprostatic obstruction. Fifteen male Sprague-Dawley rats were studied. Five were selected for bulbous urethral obstruction through a perineal incision, five for midprostatic obstruction using a retropubic approach, and five for a sham operation through a perineal incision. The operative time was shorter and morbidity lower with the perineal approach compared with the retropubic approach. Inflammation or infection, or both, were seen in the prostate, bladder, proximal urethra, ureters, and kidneys in the rats in which a midprostatic obstruction was performed. The proximal urethra and prostate were mildly inflamed in those rats that underwent bulbous obstruction. Sham-operated rats exhibited mild prostatitis only. The perineal approach to the bulbous urethra is the method of choice for creating a partial urethral obstruction model of bladder outlet obstruction in the male rat.

  20. Research Applications of Data from Arctic Ocean Drifting Platforms: The Arctic Buoy Program and the Environmental Working Group CD's.

    NASA Astrophysics Data System (ADS)

    Moritz, R. E.; Rigor, I.

    2006-12-01

    ABSTRACT: The Arctic Buoy Program was initiated in 1978 to measure surface air pressure, surface temperature and sea-ice motion in the Arctic Ocean, on the space and time scales of synoptic weather systems, and to make the data available for research, forecasting and operations. The program, subsequently renamed the International Arctic Buoy Programme (IABP), has endured and expanded over the past 28 years. A hallmark of the IABP is the production, dissemination and archival of research-quality datasets and analyses. These datasets have been used by the authors of over 500 papers on meteorolgy, sea-ice physics, oceanography, air-sea interactions, climate, remote sensing and other topics. Elements of the IABP are described briefly, including measurements, analysis, data dissemination and data archival. Selected highlights of the research applications are reviewed, including ice dynamics, ocean-ice modeling, low-frequency variability of Arctic air-sea-ice circulation, and recent changes in the age, thickness and extent of Arctic Sea-ice. The extended temporal coverage of the data disseminated on the Environmental Working Group CD's is important for interpreting results in the context of climate.

  1. Determining slack tide with a GPS receiver on an anchored buoy

    NASA Astrophysics Data System (ADS)

    Valk, M.; Savenije, H. H. G.; Tiberius, C. C. J. M.; Luxemburg, W. M. J.

    2014-07-01

    In this paper we present a novel method to determine the time of occurrence of tidal slack with a GPS receiver mounted on an anchored buoy commonly used to delineate shipping lanes in estuaries and tidal channels. Slack tide occurs when the tide changes direction from ebb to flood flow or from flood to ebb. The determination of this point in time is not only useful for shipping and salvaging, it is also important information for calibrating tidal models, for determining the maximum salt intrusion and for the further refinement of the theory on tidal propagation. The accuracy of the timing is well within 10 min and the method - able to operate in real time - is relatively cheap and easy to implement on a permanent basis or in short field campaigns.

  2. Determining slack tide with a GPS receiver on an anchored buoy

    NASA Astrophysics Data System (ADS)

    Valk, M.; Savenije, H. H. G.; Tiberius, C. C. J. M.; Luxemburg, W. M. J.

    2013-11-01

    In this paper we present a novel method to determine the time of occurrence of tidal slack with a GPS receiver mounted on an anchored buoy commonly used to delineate shipping lanes in estuaries and tidal channels. Slack tide occurs when the tide changes direction from ebb to flood flow, or from flood to ebb. The determination of this point in time is not only useful for shipping and salvaging, it is also important information for calibrating tidal models, for determining the maximum salt intrusion and for the further refinement of the theory on tidal propagation. The accuracy of the timing is well within 10 min and the method - able to operate in real-time - is relatively cheap and easy to implement on a permanent basis or in short field campaigns.

  3. 33 CFR 165.812 - Security Zones; Lower Mississippi River, Southwest Pass Sea Buoy to Mile Marker 96.0, New Orleans...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ..., Southwest Pass Sea Buoy to Mile Marker 96.0, New Orleans, LA. (a) Location. Within the Lower Mississippi River and Southwest Pass, moving security zones are established around all cruise ships between the... encompass all waters within 500 yards of a cruise ship. These zones remain in effect during the entire...

  4. 33 CFR 165.812 - Security Zones; Lower Mississippi River, Southwest Pass Sea Buoy to Mile Marker 96.0, New Orleans...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ..., Southwest Pass Sea Buoy to Mile Marker 96.0, New Orleans, LA. (a) Location. Within the Lower Mississippi River and Southwest Pass, moving security zones are established around all cruise ships between the... encompass all waters within 500 yards of a cruise ship. These zones remain in effect during the entire...

  5. 33 CFR 165.812 - Security Zones; Lower Mississippi River, Southwest Pass Sea Buoy to Mile Marker 96.0, New Orleans...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ..., Southwest Pass Sea Buoy to Mile Marker 96.0, New Orleans, LA. (a) Location. Within the Lower Mississippi River and Southwest Pass, moving security zones are established around all cruise ships between the... encompass all waters within 500 yards of a cruise ship. These zones remain in effect during the entire...

  6. 33 CFR 165.812 - Security Zones; Lower Mississippi River, Southwest Pass Sea Buoy to Mile Marker 96.0, New Orleans...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ..., Southwest Pass Sea Buoy to Mile Marker 96.0, New Orleans, LA. (a) Location. Within the Lower Mississippi River and Southwest Pass, moving security zones are established around all cruise ships between the... encompass all waters within 500 yards of a cruise ship. These zones remain in effect during the entire...

  7. Correlation of soft palate length with velum obstruction and severity of obstructive sleep apnea syndrome.

    PubMed

    Lim, Ju-Shin; Lee, Jae Woo; Han, Chun; Kwon, Jang-Woo

    2018-06-01

    Our aim in this study was to analyze whether soft palate length and velum obstruction during sleep are correlated and to determine the effects of related parameters on obstructive sleep apnea syndrome (OSAS) severity. We used computed tomography to measure soft palate length and drug-induced sleep endoscopy (DISE) to evaluate velum obstruction severity. Patients also underwent polysomnography (PSG) for evaluation of OSAS severity. A retrospective cohort of 67 patients with OSAS treated between May 1st, 2013 and July 31st, 2016 was analyzed. Each patient underwent DISE, PSG, and computed tomography. Using DISE, velum obstruction was categorized by the VOTE classification method. Using computed tomography, soft palate length was measured as the length of the posterior nasal spine to the uvula. Correlations of velum obstruction in DISE and PSG parameters (obstructive apnea, hypopnea, apnea hypopnea index (AHI), respiratory effort related arousal (RERA), respiratory disturbance index (RDI), baseline SaO 2 , and minimum SaO 2 ) with soft palate length were also analyzed. Among the 67 patients, the average PNS-U length was 39.90±4.19mm. Length was significantly different by age but not by other demographic characteristics such as sex, past history, or BMI. DISE revealed a statistically significant difference of velum obstruction degree; the cutoff value for PNS-U was 39.47mm. The PSG results, obstructive apnea, AHI, RDI, baseline SaO 2 , and minimum SaO 2 were correlated with PNS-U length, while other results such as hypopnea and RERA showed no correlation. Analysis of soft palate length showed that increased PNS-U length was associated with higher rates of obstructive apnea, AHI, and RDI as assessed by PSG. In contrast, lower baseline SaO 2 and minimum SaO 2 values were seen by PSG; more severe velum obstruction was seen by DISE. We propose that when a soft palate is suspected in OSAS, computed tomography measurement of soft palate length is a valid method for

  8. Variability in the CO2-carbonic Acid System Parameters Across Coral Reef Settings in Hawaii: Perspectives from Multi-year Records from NOAA/PMEL MAPCO2 Buoys

    NASA Astrophysics Data System (ADS)

    De Carlo, E. H.; Drupp, P. S.; Thompson, R. W.; Mackenzie, F. T.; Muscielewicz, S.; Jones, S. M.; Feely, R. A.; Sabine, C. L.

    2012-12-01

    A series of MAP-CO2 buoys deployed in the coastal waters of Hawaii have produced multiyear high temporal resolution CO2 records in four different coral reef environments of the island of Oahu, Hawaii. This study is part of an integrated effort to understand the factors that influence the dynamics of CO2-carbonic acid system parameters in waters bathing Pacific high island coral reef ecosystems and subject to differing natural and anthropogenic stresses. The MAP-CO2 buoys are located in backreef, lagoonal, and fringing reef sites, and measure CO2 and O2 in seawater and in the atmosphere. Other sensors on the buoys record physical and biogeochemical parameters (CTD, chl-a, turbidity, pH, nitrate). The buoy records, when combined with data from synoptic spatial sampling, have allowed us to examine the interplay between biological cycles of productivity/respiration and calcification/dissolution and biogeochemical and physical forcing on hourly to inter-annual time scales, including those of land runoff. Our data demonstrate that coral reefs are subject to a wide range of pCO2, both on short and long time scales, and significant differences in the CO2-carbonic acid system dynamics across these various settings. We report that coral communities currently thrive in areas where the concentrations of CO2 can range from extremes as low as 200 ppm to as high as 1000 ppm and can fluctuate by ~500 ppm on any given day. The data provide evidence that net ecosystem calcification currently occurs in the presence of levels of CO2 predicted to occur well into the next century, although these coral reef ecosystems are only exposed to the extremes for short periods of time each day.

  9. Chronic intestinal pseudo-obstruction.

    PubMed

    Gabbard, Scott L; Lacy, Brian E

    2013-06-01

    Chronic intestinal pseudo-obstruction (CIP) is a rare and serious disorder of the gastrointestinal (GI) tract characterized as a motility disorder with the primary defect of impaired peristalsis; symptoms are consistent with a bowel obstruction, although mechanical obstruction cannot be identified. CIP is classified as a neuropathy, myopathy, or mesenchymopathy; it is a neuropathic process in the majority of patients. The natural history of CIP is generally that of a progressive disorder, although occasional patients with secondary CIP note significant symptomatic improvement when the underlying disorder is identified and treated. Symptoms vary from patient to patient depending on the location of the luminal GI tract involved and the degree of involvement; however, the small intestine is nearly always involved. Common symptoms include dysphagia, gastroesophageal reflux, abdominal pain, nausea, vomiting, bloating, abdominal distension, constipation or diarrhea, and involuntary weight loss. Unfortunately, these symptoms are nonspecific, which can contribute to misdiagnosis or a delay in diagnosis and treatment. Since many of the symptoms and signs suggest a mechanical bowel obstruction, diagnostic tests typically focus on uncovering a mechanical obstruction, although routine tests do not identify an obstructive process. Nutrition supplementation is required for many patients with CIP due to symptoms of dysphagia, nausea, vomiting, and weight loss. This review discusses the epidemiology, etiology, pathogenesis, diagnosis, and treatment of patients with CIP, with an emphasis on nutrition assessment and treatment options for patients with nutrition compromise.

  10. Gallbladder Polyp Mimicking an Obstructive Calculus

    PubMed Central

    Bass, James; Fegelman, Ronald H.

    1978-01-01

    The second documented case of obstructing polyp of the gallbladder—an extremely rare lesion—is presented. Symptoms were indistinguishable from those of acute obstructive cholecystitis. The mechanism of obstruction is hypothesized. ImagesFigure 1 PMID:702555

  11. Assessing the role of solar radiation in heating, photosynthesis, and photo-oxidation in upper Arctic Ocean waters via autonomous buoys

    NASA Astrophysics Data System (ADS)

    Hill, V. J.; Steele, M.; Light, B.

    2016-02-01

    As part of the Arctic Observing Network, a new ice-tethered buoy has been developed for monitoring the role of sunlight in regulating ocean temperature, phytoplankton growth, and carbon cycling. A 20 or 50 m string (depending on local bathymetry) supports sensors both within and below the ice for the hourly measurement of downwelling irradiance, temperature, Chlorophyll a, light backscattering, and dissolved organic material (DOM). Two buoys were deployed in March 2014 and two in March 2015. Because the buoys are engineered to survive melting out of first year ice, they have successfully provided complete seasonal records of water column warming, phytoplankton abundance and photo-oxidation patterns in the Pacific Arctic Region. The data collected will be used to determine whether reduced ice extent and thinner ice are driving increases in under ice warming, accelerating bottom ice ablation, increasing available photosynthetic radiation to support large under ice blooms, and to quantify photo-oxidation of the DOM pool. Observations so far have revealed strong under ice daily warming as high as ±0.5 °C driven by local solar radiation. Water column absorption was dominated by colored dissolved organic material which served to trap solar radiation in the upper water column. Chlorophyll concentrations observed in June and July indicated high phytoplankton abundance beneath the ice. Light intensity at this time was not sufficient to support growth rates high enough to produce the 8 to 10 mg m-3 of chlorophyll observed. We hypothesize that phytoplankton were advected under the ice from the ice edge. However, once there phytoplankton were able to sustain low growth rates leading to nutrient limitation before open water status was reached. Strong daily cycles of photo-oxidation have also been observed in the late summer that indicate the fast cycling of highly labile DOM in the open waters of the Pacific Arctic Region.

  12. Post-obstructive pulmonary edema from aspirated nuts.

    PubMed

    Bashir, Ahsan; Ahmad, Sabina Qureshi; Silverman, Joshua; Concepcion, Emily; Lee, Haesoon

    2017-01-01

    Post-obstructive pulmonary edema is thought to occur from hemodynamic changes secondary to forced inspiration against the closed airway due to acute or chronic airway obstruction. We report a case of a 13 month-old boy who developed pulmonary edema from aspirated foreign body, nuts. He underwent emergency bronchoscopy to confirm the clinical diagnosis of aspirated nuts in the trachea and nuts were removed endoscopically. His trachea was then intubated and he was mechanically ventilated with oxygen. He developed florid pulmonary edema early in the course with tracheal obstruction and during endoscopic removal of nuts. After removal of obstruction he was ventilated mechanically and pulmonary edema cleared rapidly. Aspirated nuts obstructing trachea can induce obstructive pulmonary edema. Early recognition of foreign body obstruction based on clinical history and its removal resolved pulmonary edema.

  13. The Fate of Nephrons in Congenital Obstructive Nephropathy: Adult Recovery is Limited by Nephron Number Despite Early Release of Obstruction.

    PubMed

    Sergio, Maria; Galarreta, Carolina I; Thornhill, Barbara A; Forbes, Michael S; Chevalier, Robert L

    2015-11-01

    Urinary tract obstruction and reduced nephron number often occur together as a result of maldevelopment of the kidneys and the urinary tract. We determined the role of nephron number on adaptation of the remaining nephrons of mice subjected to neonatal partial unilateral ureteral obstruction followed through adulthood. Wild-type and Os/+ mice (the latter with 50% fewer nephrons) underwent sham operation or partial unilateral ureteral obstruction in the first 2 days of life. Additional mice underwent release of unilateral ureteral obstruction at 7 days. All kidneys were harvested at 3 weeks (weaning) or 6 weeks (adulthood). Glomerular number and area, glomerulotubular junction integrity, proximal tubular volume fraction and interstitial fibrosis were measured by histomorphometry. In the obstructed kidney unilateral ureteral obstruction caused additional nephron loss in Os/+ but not in wild-type mice. Glomerular growth from 3 to 6 weeks was impaired by ipsilateral obstruction and not preserved by release in wild-type or Os/+ mice. Proximal tubular growth was impaired and interstitial collagen was increased by ipsilateral obstruction in all mice. These conditions were attenuated by release of unilateral ureteral obstruction in wild-type mice but were not restored in Os/+ mice. Unilateral ureteral obstruction increased interstitial collagen in the contralateral kidney while release of obstruction enhanced tubular growth and reduced interstitial collagen. Unilateral ureteral obstruction in early postnatal development impairs adaptation to reduced nephron number and induces additional nephron loss despite release of obstruction. Premature and low birth weight infants with congenital obstructive nephropathy are likely at increased risk for progression of chronic kidney disease. Copyright © 2015 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  14. Postradiation ureteral obstruction: a reappraisal

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Muram, D.; Oxorn, H.; Curry, R.H.

    1981-02-01

    Thirty-four patients who received radiation therapy for carcinoma of the cervix developed hydronephrosis. Twelve of 34 (35%) had no evidence of pelvic malignancy, and the obstruction was caused by periureteral fibrosis. The incidence of obstructive uropathy due to periureteral fibrosis not associated with recurrent tumor increased when the obstructing lesion was unilateral, the clinical staging of the cervical carcinoma prior to therapy was Stage IB or Stage II rather than Stage III or Stage IV, and the obstructing lesion appeared 2 or more years after the completion of radiation therapy. The appearance of hydronephrosis in association with ipsilateral leg edema,more » and sciatic pain in these patients strongly suggest a recurrent tumor. The diagnosis of periureteral fibrosis should be considered in all patients who develop obstruction of the urinary tract after radiation therapy for carcinoma of the cervix. Laparotomy is indicated if all other methods of investigation fail to confirm the presence of a malignant lesion.« less

  15. Surgical management of nasal obstruction.

    PubMed

    Moche, Jason A; Palmer, Orville

    2012-05-01

    The proper evaluation of the patient with nasal obstruction relies on a comprehensive history and physical examination. Once the site of obstruction is accurately identified, the patient may benefit from a trial of medical management. At times however, the definitive treatment of nasal obstruction relies on surgical management. Recognizing the nasal septum, nasal valve, and turbinates as possible sites of obstruction and addressing them accordingly can dramatically improve a patient's nasal breathing. Conservative resection of septal cartilage, submucous reduction of the inferior turbinate, and structural grafting of the nasal valve when appropriate will provide the optimal improvement in nasal airflow and allow for the most stable results. Copyright © 2012. Published by Elsevier Inc.

  16. Central Airway Obstruction: Benign Strictures, Tracheobronchomalacia, and Malignancy-related Obstruction.

    PubMed

    Murgu, Septimiu Dan; Egressy, Katarine; Laxmanan, Balaji; Doblare, Guillermo; Ortiz-Comino, Rosamaria; Hogarth, D Kyle

    2016-08-01

    The purpose of this article is to provide an update on methods for palliating symptoms in patients with histologically benign and malignant central airway obstruction. We review the published literature within the past decade on postintubation, posttracheostomy, and TB- and transplant-related airway strictures; tracheobronchomalacia; and malignant airway obstruction. We review terminology, classification systems, and parameters that impact treatment decisions. The focus is on how airway stent insertion fits into the best algorithm of care. Several case series and cohort studies demonstrate that airway stents improve dyspnea, lung function, and quality of life in patients with airway obstruction. Airway stenting, however, is associated with high rates of adverse events and should be used only when curative open surgical interventions are not feasible or are contraindicated. Copyright © 2016 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

  17. Microscopic hematuria and calculus-related ureteral obstruction.

    PubMed

    Stewart, D P; Kowalski, R; Wong, P; Krome, R

    1990-01-01

    The evaluation of patients with ureteral calculi in the emergency department has historically included urinalysis (UA) and intravenous pyelograms (IVP). This retrospective study was done to determine if a statistically significant relationship existed between the degree of calculus-related ureteral obstruction, proven by IVP, and the presence or absence of microscopic hematuria. Urine red blood cells were recorded as less than 3 rbc/hpf (negative) or greater than or equal to 3 rbc/hpf (positive). IVPs were recorded as nonsevere or severe. IVP criteria were based on the presence or absence of extravasation, greater than 2-hour ureteral filling times, and a numerical scoring system of 1 to 4 for ureteral or calyceal dilatation and nephrogenic effect. Eighty-nine men (72%) had non-severe obstructions and 34 (28%) had severe obstructions. Twenty-five women (68%) had nonsevere obstructions and 12 (32%) had severe obstructions. Of the 28 patients with normal UAs, 11 had severe ureteral obstructions and 17 had nonsevere ureteral obstructions. There were no statistically significant differences between the presence or absence of significant microscopic hematuria and the presence or absence of severe ureteral obstruction. Microscopic hematuria is neither sensitive nor specific in determining the degree of calculus-related ureteral obstruction.

  18. Snoring Sounds Predict Obstruction Sites and Surgical Response in Patients with Obstructive Sleep Apnea Hypopnea Syndrome

    PubMed Central

    Lee, Li-Ang; Lo, Yu-Lun; Yu, Jen-Fang; Lee, Gui-She; Ni, Yung-Lun; Chen, Ning-Hung; Fang, Tuan-Jen; Huang, Chung-Guei; Cheng, Wen-Nuan; Li, Hsueh-Yu

    2016-01-01

    Snoring sounds generated by different vibrators of the upper airway may be useful indicators of obstruction sites in patients with obstructive sleep apnea hypopnea syndrome (OSAHS). This study aimed to investigate associations between snoring sounds, obstruction sites, and surgical responses (≥50% reduction in the apnea-hypopnea index [AHI] and <10 events/hour) in patients with OSAHS. This prospective cohort study recruited 36 OSAHS patients for 6-hour snoring sound recordings during in-lab full-night polysomnography, drug-induced sleep endoscopy (DISE), and relocation pharyngoplasty. All patients received follow-up polysomnography after 6 months. Fifteen (42%) patients with at least two complete obstruction sites defined by DISE were significantly, positively associated with maximal snoring sound intensity (40–300 Hz; odds ratio [OR], 1.25, 95% confidence interval [CI] 1.05–1.49) and body mass index (OR, 1.48, 95% CI 1.02–2.15) after logistic regression analysis. Tonsil obstruction was significantly, inversely correlated with mean snoring sound intensity (301–850 Hz; OR, 0.84, 95% CI 0.74–0.96). Moreover, baseline tonsil obstruction detected by either DISE or mean snoring sound intensity (301–850 Hz), and AHI could significantly predict the surgical response. Our findings suggest that snoring sound detection may be helpful in determining obstruction sites and predict surgical responses. PMID:27471038

  19. [A case of gastric outlet obstruction and rectal obstruction due to metastases from breast cancer treated by gastroduodenal and colon stenting].

    PubMed

    Morimoto, Yoshihiro; Egawa, Chiyomi; Ishida, Tomo; Sato, Yasufumi; Kusama, Hiroki; Hashimoto, Tadayoshi; Matsushita, Katsunori; Kimura, Kei; Katsura, Yoshiteru; Nitta, Kanae; Kagawa, Yoshinori; Okishiro, Masatsugu; Takeno, Atsushi; Nakahira, Shin; Sakisaka, Hideki; Taniguchi, Hirokazu; Takeda, Yutaka; Kato, Takeshi; Tamura, Shigeyuki; Takatsuka, Yuichi

    2014-11-01

    Malignant bowel obstruction often causes oral intake difficulties and decreases quality of life. In Japan, gastroduodenal stenting for malignant gastric outlet obstruction has been covered by health insurance since 2010, while colon stenting has been covered since 2012. Both approaches are useful treatments for malignant bowel obstruction. Here we report the case of a woman with gastric outlet obstruction and rectal obstruction due to breast cancer metastases who was able to eat solid food after duodenal and colon stenting. When choosing whether to perform endoscopic stenting or surgical intervention such as gastrojejunostomy, ileostomy, and colostomy for treating malignant bowel obstruction, it is important to assess the patient's general condition and prognosis as well as the obstruction position.

  20. Hydrodynamic observations in support of Moored Autonomous pCO2 buoy efforts at La Parguera Marine Reserve

    NASA Astrophysics Data System (ADS)

    Rodriguez-Abudo, S.; Melendez, M.; Morell, J. M.; Padilla, A.; Salisbury, J.

    2016-02-01

    Time series of near-reef carbonate chemistry obtained through the National Coral Reef Monitoring Program (NCRMP) at La Parguera Marine Reserve, Puerto Rico exhibit seasonal and diurnal variations modulated by diverse processes including coral community metabolism, thermodynamics and hydrodynamics. While surface CO2 dynamics have been fairly well characterized with moored pCO2 efforts, detailed hydrodynamic information resulting from La Parguera's complex morphological, meteorological, and oceanographic processes is currently lacking. This project focuses on a one-month-long hydrodynamic assessment near a fore reef site located within 100 m of the NCRMP pCO2 buoy. Current profiles spanning 12 m of depth were resolved with a bottom-mounted ADCP. Preliminary results show that under no wind conditions, dominant currents are tidally driven and aligned with the reef channel. Depth-averaged currents exhibit diurnal and semidiurnal peaks, not inconsistent with tidal and wind forcing. The analysis also shows that at times surface current direction can differ from near-reef currents by as much as 200 degrees, suggesting a possible mismatch between carbonate chemistry resolved at the surface and that felt by the reef structure. Moreover, buoy measurements are potentially resolving carbonate chemistry from both, oceanic and inshore water masses. Our findings suggest that monitoring and potentially predicting near-reef CO2 dynamics require interdisciplinary expertise and integrated approaches. This project provides new insights into the effects of tidal and meteorological forcing on the carbonate chemistry of near-reef coral ecosystems.

  1. Palliation double stenting for malignant biliary and duodenal obstruction

    PubMed Central

    ZHAO, LIANG; XU, HAITAO; ZHANG, YUBAO

    2016-01-01

    The surgical management of patients with malignant biliary and duodenal obstruction is complex. Tumor excision is no longer possible in the majority of patients with malignant obstructive jaundice and duodenal obstruction. The aim of the present study was to evaluate the effectiveness of intraluminal dual stent placement in malignant biliary and duodenal obstruction. In total, 20 patients with malignant obstructive jaundice and duodenal obstruction, including 6 with pancreatic carcinoma, 11 with cholangiocarcinoma, 1 with duodenal carcinoma and 2 with abdominal lymph node metastasis, were treated with intraluminal stent placement. Bile duct obstruction with late occurrence of duodenal obstruction was observed in 16 cases, and duodenal obstruction followed by a late occurrence of bile duct obstruction was observed in 3 cases, while, in 1 case, bile duct obstruction and duodenal obstruction occurred simultaneously. After X-ray fluoroscopy revealed obstruction in the bile duct and duodenum, stents were placed into the respective lumens. Percutaneous transhepatic placement was employed for the biliary stent, while the duodenal stent was placed perioraly. The clinical outcomes, including complications associated with the procedures and patency of the stents, were evaluated. The biliary and duodenal stents were successfully implanted in 18 patients and the technical success rate was 90% (18/20). A total of 39 stents were implanted in 20 patients. In 2 cases, duodenal stent placement failed following biliary stent placement. Duodenal obstruction remitted in 15 patients, and 1 patient succumbed to aspiration pneumonia 5 days after the procedure. No severe complications were observed in any other patient. The survival time of the 18 patients was 5–21 months (median, 9.6 months), and 6 of those patients survived for >12 months. The present study suggests that X-ray fluoroscopy-guided intraluminal stent implantation is an effective procedure for the treatment of malignant

  2. Is ursodeoxycholic acid detrimental in obstructive cholestasis? A propos of a case of malignant biliary obstruction.

    PubMed

    Bessone, Fernando; Roma, Marcelo Gabriel

    2016-01-01

    Ursodeoxycholic acid (UDCA) is the first choice medication for most cholestatic hepatopathies, due to its capability to counteract inflammation and bile-acid-induced liver damage, two common features in cholestasis. However, UDCA is usually contraindicated in obstructive cholestasis, due to the alleged risk of biliary integrity disruption due to its choleretic effect. We report on an 83-year-old man with an unsuspected malignant biliary obstruction who received moderate doses of UDCA (8-12 mg/kg/day) for 5 weeks, because the preliminary evidence suggested he had chemotherapy-induced cholestasis. Liver integrity was extensively protected by UDCA, as indicated by a marked decrease in serum liver enzymes, despite a steady increase in the levels of bilirubin and serum bile acids due to the obstructive process. In conclusion, this report shows, for the first time in humans, that moderate UDCA doses can reduce liver injury associated with complete biliary obstruction. This may contribute to a better understanding of the risk-benefit ratio of the use of UDCA in obstructive cholangiopathies.

  3. Obstructive uropathy

    MedlinePlus

    ... the kidney and causes it to become swollen ( hydronephrosis ). Obstructive uropathy can affect one or both kidneys. ... occurs during pregnancy. This condition is called idiopathic hydronephrosis of pregnancy.

  4. Studies of Arctic Tropospheric Ozone Depletion Events Through Buoy-Borne Observations and Laboratory Studies

    NASA Astrophysics Data System (ADS)

    Halfacre, John W.

    The photochemically-induced destruction of ground-level Arctic ozone in the Arctic occurs at the onset of spring, in concert with polar sunrise. Solar radiation is believed to stimulate a series of reactions that cause the production and release of molecular halogens from frozen, salty surfaces, though this mechanism is not yet well understood. The subsequent photolysis of molecular halogens produces reactive halogen atoms that remove ozone from the atmosphere in these so-called "Ozone Depletion Events" (ODEs). Given that much of the Arctic region is sunlit, meteorologically stable, and covered by saline ice and snow, it is expected that ODEs could be a phenomenon that occurs across the entire Arctic region. Indeed, an ever-growing body of evidence from coastal sites indicates that Arctic air masses devoid of O3 most often pass over sea ice-covered regions before arriving at an observation site, suggesting ODE chemistry occurs upwind over the frozen Arctic Ocean. However, outside of coastal observations, there exist very few long-term observations from the Arctic Ocean from which quantitative assessments of basic ODE characteristics can be made. This work presents the interpretation of ODEs through unique chemical and meteorological observations from several ice-tethered buoys deployed around the Arctic Ocean. These observations include detection of ozone, bromine monoxide, and measurements of temperature, relative humidity, atmospheric pressure, wind speed, and wind direction. To assess whether the O-Buoys were observing locally based depletion chemistry or the transport of ozone-poor air masses, periods of ozone decay were interpreted based on current understanding of ozone depletion kinetics, which are believed to follow a pseudo-first order rate law. In addition, the spatial extents of ODEs were estimated using air mass trajectory modeling to assess whether they are a localized or synoptic phenomenon. Results indicate that current understanding of the

  5. Trichophytobezoar duodenal obstruction in New World camelids.

    PubMed

    Sullivan, Eileen K; Callan, Robert J; Holt, Timothy N; Van Metre, David C

    2005-01-01

    To describe clinical findings, surgical treatment, and outcome associated with trichophytobezoar duodenal obstruction in New World camelids. Retrospective study. Alpacas (7) and 1 llama. Historical and clinical data were obtained from the medical records of New World camelids with a diagnosis of trichophytobezoar duodenal obstruction confirmed by surgical exploration or necropsy. Seven camelids were <1 year old. Abnormal clinical findings included anorexia, reduced fecal output, recumbency, colic, abdominal distension, regurgitation, decreased serum chloride concentration, increased serum bicarbonate concentration, and/or elevated first gastric compartment chloride concentration. Survey abdominal radiographs obtained (4 animals) revealed gastric distension (4) and/or visualization of the obstruction (2). Diagnosis was confirmed at necropsy (1) or surgery (7). Right paracostal celiotomy was performed on all animals and duodenotomy (3) or retropulsion of the trichophytobezoar combined with third compartment gastrotomy (4) was used to remove the obstruction. Six animals survived to discharge and 5 were healthy at follow-up, 8-20 months later. The remaining discharged alpaca was healthy at 12 months but subsequently died of unrelated causes. Diagnosis of trichophytobezoar duodenal obstruction should be considered in juvenile New World camelids with abdominal distension and hypochloremic metabolic alkalosis. Right paracostal celiotomy can be used for access to the descending duodenum and third gastric compartment for surgical relief of obstruction. Duodenal obstruction from bezoars should be considered in New World camelids <1year of age with abdominal distension and hypochloremic metabolic alkalosis. Surgical relief of the obstruction by right paracostal celiotomy has a good prognosis.

  6. 49 CFR 236.382 - Switch obstruction test.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Switch obstruction test. 236.382 Section 236.382... and Tests § 236.382 Switch obstruction test. Switch obstruction test of lock rod of each power-operated switch and lock rod of each hand-operated switch equipped with switch-and-lock-movement shall be...

  7. 49 CFR 236.382 - Switch obstruction test.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 4 2014-10-01 2014-10-01 false Switch obstruction test. 236.382 Section 236.382... and Tests § 236.382 Switch obstruction test. Switch obstruction test of lock rod of each power-operated switch and lock rod of each hand-operated switch equipped with switch-and-lock-movement shall be...

  8. 49 CFR 236.382 - Switch obstruction test.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 4 2012-10-01 2012-10-01 false Switch obstruction test. 236.382 Section 236.382... and Tests § 236.382 Switch obstruction test. Switch obstruction test of lock rod of each power-operated switch and lock rod of each hand-operated switch equipped with switch-and-lock-movement shall be...

  9. 49 CFR 236.382 - Switch obstruction test.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 4 2011-10-01 2011-10-01 false Switch obstruction test. 236.382 Section 236.382... and Tests § 236.382 Switch obstruction test. Switch obstruction test of lock rod of each power-operated switch and lock rod of each hand-operated switch equipped with switch-and-lock-movement shall be...

  10. 49 CFR 236.382 - Switch obstruction test.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 4 2013-10-01 2013-10-01 false Switch obstruction test. 236.382 Section 236.382... and Tests § 236.382 Switch obstruction test. Switch obstruction test of lock rod of each power-operated switch and lock rod of each hand-operated switch equipped with switch-and-lock-movement shall be...

  11. Hypertrophic obstructive cardiomyopathy: the Mayo Clinic experience.

    PubMed

    Kotkar, Kunal D; Said, Sameh M; Dearani, Joseph A; Schaff, Hartzell V

    2017-07-01

    Hypertrophic cardiomyopathy (HCM) is a primary myocardial disease characterized by left ventricular hypertrophy in the absence of other etiologies. Clinical presentation may vary from asymptomatic to sudden cardiac death. Medical treatment is the first-line therapy for symptomatic patients. Extended left ventricular septal myectomy is the procedure of choice if medical treatment is unsuccessful or intolerable. More than 3,000 patients have had septal myectomy for HCM at the Mayo Clinic (MN, USA) from 1993 to 2016. Risk of hospital death after isolated septal myectomy for obstructive HCM is <1% and is similar to the risk of operation for elective mitral valve repair. Complications, such as complete heart block requiring permanent pacemaker, are uncommon (2%), although partial or complete left bundle branch block is a frequent finding on the postoperative ECG. Relief of left ventricular outflow tract (LVOT) obstruction with septal myectomy dramatically improves symptoms and exercise capacity in symptomatic patients with obstructive HCM. More than 90% of severely symptomatic patients have improvement by at least two functional classes, and reduction of outflow gradients by myectomy decreases or eliminates symptoms of dyspnea, angina and/or syncope. Basal obstruction with systolic anterior motion (SAM) is treated by transaortic myectomy. The transapical approach was applied in 115 patients with obstructive midventricular and apical variants of HCM between 1993 and 2012. All patients with midventricular obstruction had gradient relief and none developed an apical aneurysm or ventricular septal defect. Recurrent obstruction after satisfactory myectomy was rare. Septal myectomy effectively and definitively relieves LVOT obstruction and cardiac symptoms in patients with obstructive HCM. In experienced centers, early mortality for isolated septal myectomy is less than 1%, and overall results are excellent and continue to improve in the current era.

  12. 33 CFR 67.20-5 - Obstruction lights.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Obstruction lights. 67.20-5... Obstruction lights. The obstruction lights shall be white lights as prescribed in Subpart 67.05 of this part. The lights shall be of sufficient candlepower as to be visible at a distance of at least five nautical...

  13. 33 CFR 67.20-5 - Obstruction lights.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 1 2014-07-01 2014-07-01 false Obstruction lights. 67.20-5... Obstruction lights. The obstruction lights shall be white lights as prescribed in Subpart 67.05 of this part. The lights shall be of sufficient candlepower as to be visible at a distance of at least five nautical...

  14. 33 CFR 67.20-5 - Obstruction lights.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 1 2012-07-01 2012-07-01 false Obstruction lights. 67.20-5... Obstruction lights. The obstruction lights shall be white lights as prescribed in Subpart 67.05 of this part. The lights shall be of sufficient candlepower as to be visible at a distance of at least five nautical...

  15. 33 CFR 67.20-5 - Obstruction lights.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 1 2013-07-01 2013-07-01 false Obstruction lights. 67.20-5... Obstruction lights. The obstruction lights shall be white lights as prescribed in Subpart 67.05 of this part. The lights shall be of sufficient candlepower as to be visible at a distance of at least five nautical...

  16. 33 CFR 67.20-5 - Obstruction lights.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 1 2011-07-01 2011-07-01 false Obstruction lights. 67.20-5... Obstruction lights. The obstruction lights shall be white lights as prescribed in Subpart 67.05 of this part. The lights shall be of sufficient candlepower as to be visible at a distance of at least five nautical...

  17. Tuberculosis associated chronic obstructive pulmonary disease.

    PubMed

    Sarkar, Malay; Srinivasa; Madabhavi, Irappa; Kumar, Kushal

    2017-05-01

    Reviewed the epidemiology, clinical characteristics, mechanisms, and treatment of tuberculosis associated chronic obstructive pulmonary disease. We searched PubMed, EMBASE, and the CINAHL from inception to June 2016. We used the following search terms: Tuberculosis, COPD, Tuberculosis associated COPD, and so forth. All types of study were chosen. Chronic obstructive pulmonary disease (COPD) and tuberculosis are significant public health problems, particularly in developing countries. Although, smoking is the conventional risk factor for COPD, nonsmoking related risk factors such as biomass fuel exposure, childhood lower-respiratory tract infections, chronic asthma, outdoor air pollution, and prior history of pulmonary tuberculosis have become important risk factors of COPD, particularly in developing countries. Past history of tuberculosis as a risk factor of chronic airflow obstruction has been reported in several studies. It may develop during the course of tuberculosis or after completion of tuberculosis treatment. Developing countries with large burden of tuberculosis can contribute significantly to the burden of chronic airflow obstruction. Prompt diagnosis and treatment of tuberculosis should be emphasized to lessen the future burden of chronic airflow obstruction. © 2017 John Wiley & Sons Ltd.

  18. Stenting in Malignant Biliary Obstruction.

    PubMed

    Almadi, Majid A; Barkun, Jeffrey S; Barkun, Alan N

    2015-10-01

    Decompression of the biliary system in patients with malignant biliary obstruction has been widely accepted and implemented as part of the care. Despite a wealth of literature, there remains a significant amount of uncertainty as to which approach would be most appropriate in different clinical settings. This review covers stenting of the biliary system in cases of resectable or palliative malignant biliary obstruction, potential candidates for biliary drainage, technical aspects of the procedure, as well as management of biliary stent dysfunction. Furthermore, periprocedural considerations including proper mapping of the location of obstruction and the use of antibiotics are addressed. Copyright © 2015 Elsevier Inc. All rights reserved.

  19. 33 CFR 67.30-5 - Obstruction lights.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Obstruction lights. 67.30-5... Obstruction lights. (a) The obstruction lights shall be white or red lights as prescribed in Subpart 67.05 of... nautical mile 90 percent of the nights of the year. The lights shall be displayed at such height, above...

  20. 33 CFR 67.25-5 - Obstruction lights.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 1 2012-07-01 2012-07-01 false Obstruction lights. 67.25-5... Obstruction lights. (a) The obstruction lights shall be white lights as prescribed in Subpart 67.05 of this... miles 90 percent of the nights of the year. The lights shall be displayed not less than 20 feet above...

  1. 33 CFR 67.30-5 - Obstruction lights.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 1 2012-07-01 2012-07-01 false Obstruction lights. 67.30-5... Obstruction lights. (a) The obstruction lights shall be white or red lights as prescribed in Subpart 67.05 of... nautical mile 90 percent of the nights of the year. The lights shall be displayed at such height, above...

  2. 33 CFR 67.30-5 - Obstruction lights.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 1 2011-07-01 2011-07-01 false Obstruction lights. 67.30-5... Obstruction lights. (a) The obstruction lights shall be white or red lights as prescribed in Subpart 67.05 of... nautical mile 90 percent of the nights of the year. The lights shall be displayed at such height, above...

  3. 33 CFR 67.25-5 - Obstruction lights.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 1 2014-07-01 2014-07-01 false Obstruction lights. 67.25-5... Obstruction lights. (a) The obstruction lights shall be white lights as prescribed in Subpart 67.05 of this... miles 90 percent of the nights of the year. The lights shall be displayed not less than 20 feet above...

  4. 33 CFR 67.30-5 - Obstruction lights.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 1 2013-07-01 2013-07-01 false Obstruction lights. 67.30-5... Obstruction lights. (a) The obstruction lights shall be white or red lights as prescribed in Subpart 67.05 of... nautical mile 90 percent of the nights of the year. The lights shall be displayed at such height, above...

  5. 33 CFR 67.30-5 - Obstruction lights.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 1 2014-07-01 2014-07-01 false Obstruction lights. 67.30-5... Obstruction lights. (a) The obstruction lights shall be white or red lights as prescribed in Subpart 67.05 of... nautical mile 90 percent of the nights of the year. The lights shall be displayed at such height, above...

  6. 33 CFR 67.25-5 - Obstruction lights.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 1 2013-07-01 2013-07-01 false Obstruction lights. 67.25-5... Obstruction lights. (a) The obstruction lights shall be white lights as prescribed in Subpart 67.05 of this... miles 90 percent of the nights of the year. The lights shall be displayed not less than 20 feet above...

  7. Bowel obstruction complicated by ischemia: analysis of CT findings.

    PubMed

    Cox, Veronica L; Tahvildari, Ali M; Johnson, Benjamin; Wei, Wei; Jeffrey, R Brooke

    2018-06-01

    To analyze CT signs of bowel ischemia in patients with surgical bowel obstruction, and thereby improve CT diagnosis in this common clinical scenario. Surgical and histopathological findings were used as the reference standard. We retrospectively analyzed CT findings in patients brought to surgery for bowel obstruction over 13 years. Etiology of obstruction (adhesion, hernia, etc.) was recorded. Specific CT features of acute mesenteric ischemia (AMI) were analyzed, including bowel wall thickening, mucosal hypoenhancement, and others. 173 cases were eligible for analysis. 21% of cases were positive for bowel ischemia. Volvulus, internal hernia, and closed-loop obstructions showed ischemia rates of 60%, 43%, and 43%; ischemia rate in obstruction from simple adhesion was 21%. Patients with bowel obstruction related to malignancy were never ischemic. Sensitivities and specificities for CT features predicting ischemia were calculated, with wall thickening, hypoenhancement, and pneumatosis showing high specificity for ischemia (86%-100%). Wall thickening, hypoenhancement, and pneumatosis are highly specific CT signs of ischemia in the setting of obstruction. None of the evaluated CT signs were found to be highly sensitive. Overall frequency of ischemia in surgical bowel obstruction is 21%, and 2-3 times that for complex obstructions (volvulus, closed loop, etc.). Obstructions related to malignancy virtually never become ischemic.

  8. Localization of glossopharyngeal obstruction using nasopharyngeal tube versus Friedman tongue position classification in obstructive sleep apnea hypopnea syndrome.

    PubMed

    Li, Shuhua; Hei, Renyi; Wu, Dahai; Shi, Hongjin

    2014-08-01

    Assessing the severity of glossopharyngeal obstruction is important for the diagnosis and therapy of obstructive sleep apnea hypopnea syndrome (OSAHS). The polysomnography (PSG) with nasopharyngeal tube insertion (NPT-PSG) has shown good results in assessing glossopharyngeal obstruction. The objective of this study was to compare NPT-PSG with Friedman tongue position (FTP) classification which was also used to evaluate the glossopharyngeal obstruction. One hundred and five patients with OSAHS diagnosed by PSG were included in the study. All the patients were successfully examined by NPT-PSG. Based on the grade of FTP classification, 105 patients were divided into four groups. The differences of the general clinical data, PSG and NPT-PSG results were analyzed among the four groups. And the coincidence of diagnosing glossopharyngeal obstruction of two methods was calculated. There was no significant difference among the four groups in general clinical data and PSG results. However, NPT-PSG results were significantly different among the four groups. Following with the increasing FTP, apnea hypopnea index increased and lowest saturation of blood oxygen decreased. There were 38 patients with and other 38 patients without glossopharyngeal obstruction diagnosed by both methods. The coincidence of two methods was 72.4 %. NPT-PSG is an easy and effective method in assessing the severity of glossopharyngeal obstruction. The coincidence between the NPT-PSG and FTP classification is good. But in some special OSAHS patients such as glossoptosis, unsuccessful uvulopalatopharyngoplasty or suspicious pachyglossia, NPT-PSG is better than FTP classification.

  9. Validation of Aquarius sea surface salinity with in situ measurements from Argo floats and moored buoys

    NASA Astrophysics Data System (ADS)

    Tang, Wenqing; Yueh, Simon H.; Fore, Alexander G.; Hayashi, Akiko

    2014-09-01

    We validate sea surface salinity (SSS) retrieved from Aquarius instrument on SAC-D satellite with in situ measurements by Argo floats and moored buoy arrays. We assess the error structure of three Aquarius SSS products: the standard product processed by Aquarius Data Processing System (ADPS) and two data sets produced at the Jet Propulsion Laboratory (JPL): the Combined Active-Passive algorithm with and without rain correction, CAP and CAP_RC, respectively. We examine the effect of various filters to prevent unreliable point retrievals from entering Level 3 averaging, such as land or ice contamination, radio frequency interference (RFI), and cold water. Our analyses show that Aquarius SSS agrees well with Argo in a monthly average sense between 40°S and 40°N except in the Eastern Pacific Fresh Pool and Amazon River outflow. Buoy data within these regions show excellent agreement with Aquarius but have discrepancies with the Argo gridded products. Possible reasons include strong near-surface stratification and sampling problems in Argo in regions with significant western boundary currents. We observe large root-mean-square (RMS) difference and systematic negative bias between ADPS and Argo in the tropical Indian Ocean and along the Southern Pacific Convergence Zone. Excluding these regions removes the suspicious seasonal peak in the monthly RMS difference between the Aquarius SSS products and Argo. Between 40°S and 40°N, the RMS difference for CAP is less than 0.22 PSU for all 28 months, CAP_RC has essentially met the monthly 0.2 PSU accuracy requirement, while that for ADPS fluctuates between 0.22 and 0.3 PSU.

  10. Intestinal obstruction

    MedlinePlus

    ... of the bowel may be due to: A mechanical cause, which means something is in the way ... lung disease Use of certain medicines, especially narcotics Mechanical causes of intestinal obstruction may include: Adhesions or ...

  11. Stray-Light Correction of the Marine Optical Buoy

    NASA Technical Reports Server (NTRS)

    Brown, Steven W.; Johnson, B. Carol; Flora, Stephanie J.; Feinholz, Michael E.; Yarbrough, Mark A.; Barnes, Robert A.; Kim, Yong Sung; Lykke, Keith R.; Clark, Dennis K.

    2003-01-01

    In ocean-color remote sensing, approximately 90% of the flux at the sensor originates from atmospheric scattering, with the water-leaving radiance contributing the remaining 10% of the total flux. Consequently, errors in the measured top-of-the atmosphere radiance are magnified a factor of 10 in the determination of water-leaving radiance. Proper characterization of the atmosphere is thus a critical part of the analysis of ocean-color remote sensing data. It has always been necessary to calibrate the ocean-color satellite sensor vicariously, using in situ, ground-based results, independent of the status of the pre-flight radiometric calibration or the utility of on-board calibration strategies. Because the atmosphere contributes significantly to the measured flux at the instrument sensor, both the instrument and the atmospheric correction algorithm are simultaneously calibrated vicariously. The Marine Optical Buoy (MOBY), deployed in support of the Earth Observing System (EOS) since 1996, serves as the primary calibration station for a variety of ocean-color satellite instruments, including the Sea-viewing Wide Field-of-view Sensor (SeaWiFS), the Moderate Resolution Imaging Spectroradiometer (MODIS), the Japanese Ocean Color Temperature Scanner (OCTS) , and the French Polarization and Directionality of the Earth's Reflectances (POLDER). MOBY is located off the coast of Lanai, Hawaii. The site was selected to simplify the application of the atmospheric correction algorithms. Vicarious calibration using MOBY data allows for a thorough comparison and merger of ocean-color data from these multiple sensors.

  12. Measuring precise sea level from a buoy using the Global Positioning System

    NASA Technical Reports Server (NTRS)

    Rocken, Christian; Kelecy, Thomas M.; Born, George H.; Young, Larry E.; Purcell, George H., Jr.; Wolf, Susan Kornreich

    1990-01-01

    The feasibility of using the Global Positioning System (GPS) for accurate sea surface positioning was examined. An experiment was conducted on the Scripps pier at La Jolla, California from December 13-15, 1989. A GPS-equipped buoy was deployed about 100 m off the pier. Two fixed reference GPS receivers, located on the pier and about 80 km away on Monument Peak, were used to estimate the relative position of the floater. Kinematic GPS processing software, developed at the National Geodetic Survey, and the Jet Propulsion Laboratory's GPS Infrared Processing System software were used to determine the floater position relative to land-fixing receivers. Calculations were made of sea level and ocean wave spectra from GPS measurements. It is found that the GPS sea level for the short 100 m baseline agrees with the PPT sea level at the 1 cm level and has an rms variation of 5 mm over a period of 4 hours.

  13. Congenital Urinary Tract Obstruction: The Long View

    PubMed Central

    Chevalier, Robert L.

    2015-01-01

    Maldevelopment of the collecting system resulting in urinary tract obstruction (UTO) is the leading identifiable cause of CKD in children. Specific etiologies are unknown; most cases are suspected by discovering hydronephrosis on prenatal ultrasonography. Congenital UTO can reduce nephron number and cause bladder dysfunction, which contribute to ongoing injury. Severe UTO can impair kidney growth in utero, and animal models of unilateral ureteral obstruction show that ischemia and oxidative stress cause proximal tubular cell death, with later development of interstitial fibrosis. Congenital obstructive nephropathy therefore results from combined developmental and obstructive renal injury. Due to inadequacy of available biomarkers, criteria for surgical correction of upper tract obstruction are poorly established. Lower tract obstruction requires fetal or immediate postnatal intervention, and the rate of progression of CKD is highly variable. New biomarkers based on proteomics and determination of glomerular number by MRI should improve future care. Angiotensin inhibitors have not been effective in slowing progression, although avoidance of nephrotoxins and timely treatment of hypertension are important. Because congenital UTO begins in fetal life, smooth transfer of care from perinatologist to pediatric and adult urology and nephrology teams should optimize quality of life and ultimate outcomes for these patients. PMID:26088076

  14. Bladder outlet obstruction in women: definition and characteristics.

    PubMed

    Groutz, A; Blaivas, J G; Chaikin, D C

    2000-01-01

    The prevalence of bladder outlet obstruction in women is unknown and most probably has been underestimated. Moreover, there are no standard definitions for the diagnosis of bladder outlet obstruction in women. Our study was conducted to define as well as to examine the clinical and urodynamic characteristics of bladder outlet obstruction among women referred for evaluation of voiding symptoms. Bladder outlet obstruction was defined as a persistent, low, maximum "free" flow rate of <12 mL/s in repeated non-invasive uroflow studies, combined with high detrusor pressure at a maximum flow (p(det.Q)(max) >20 cm H(2)O) during detrusor pressure-uroflow studies. A urodynamic database of 587 consecutive women identified 38 (6.5%) women with bladder outlet obstruction. The mean age of the patients was 63.9 +/- 17.5 years. The mean maximum "free" flow, voided volume, and residual urinary volume were 9.4 +/-3.9 mL/s, 144. 9 +/- 72.7 mL, and 86.1 +/- 98.8 mL, respectively. The mean p(det. Q)(max) was 37.2 +/- 19.2 cm H(2)O. Previous anti-incontinence surgery and severe genital prolapse were the most common etiologies, accounting for half of the cases. Other, less common, etiologies included urethral stricture (13%), primary bladder neck obstruction (8%), learned voiding dysfunction (5%), and detrusor external sphincter dyssynergia (5%). Symptomatology was defined as mixed obstructive and irritative in 63% of the patients, isolated irritative in 29%, and isolated obstructive in other 8%. In conclusion, bladder outlet obstruction in women appears to be more common than was previously recognized, occurring in 6.5% of our patients. Micturition symptoms relevant to bladder outlet obstruction are non-specific, and a full urodynamic evaluation is essential in making the correct diagnosis and formulating a treatment plan.

  15. Drug-induced sleep endoscopy in the identification of obstruction sites in patients with obstructive sleep apnea: a systematic review.

    PubMed

    Viana, Alonço da Cunha; Thuler, Luiz Claudio Santos; Araújo-Melo, Maria Helena de

    2015-01-01

    Obstructive sleep apnea syndrome has multifactorial causes. Although indications for surgery are evaluated by well-known diagnostic tests in the awake state, these do not always correlate with satisfactory surgical results. To undertake a systematic review on endoscopy during sleep, as one element of the diagnosis routine, aiming to identify upper airway obstruction sites in adult patients with OSAS. By means of electronic databases, a systematic review was performed of studies using drug-induced sleep endoscopy to identify obstruction sites in patients with OSAS. Ten articles were selected that demonstrated the importance of identifying multilevel obstruction, especially in relation to retrolingual and laryngeal collapse in OSAS. DISE is an additional method to reveal obstruction sites that have not been detected in awake patients. Copyright © 2015 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights reserved.

  16. Avoiding Obstructions in Aiming a High-Gain Antenna

    NASA Technical Reports Server (NTRS)

    Edmonds, Karina

    2006-01-01

    The High Gain Antenna Pointing and Obstruction Avoidance software performs computations for pointing a Mars Rover high-gain antenna for communication with Earth while (1) avoiding line-of-sight obstructions (the Martian terrain and other parts of the Rover) that would block communication and (2) taking account of limits in ranges of motion of antenna gimbals and of kinematic singularities in gimbal mechanisms. The software uses simplified geometric models of obstructions and of the trajectory of the Earth in the Martian sky(see figure). It treats all obstructions according to a generalized approach, computing and continually updating the time remaining before interception of each obstruction. In cases in which the gimbal-mechanism design allows two aiming solutions, the algorithm chooses the solution that provides the longest obstruction-free Earth-tracking time. If the communication session continues until an obstruction is encountered in the current pointing solution and the other solution is now unobstructed, then the algorithm automatically switches to the other position. This software also notifies communication- managing software to cease transmission during the switch to the unobstructed position, resuming it when the switch is complete.

  17. 36 CFR 4.13 - Obstructing traffic.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... interfere with the normal flow of traffic. ... 36 Parks, Forests, and Public Property 1 2012-07-01 2012-07-01 false Obstructing traffic. 4.13... VEHICLES AND TRAFFIC SAFETY § 4.13 Obstructing traffic. The following are prohibited: (a) Stopping or...

  18. 36 CFR 4.13 - Obstructing traffic.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... interfere with the normal flow of traffic. ... 36 Parks, Forests, and Public Property 1 2014-07-01 2014-07-01 false Obstructing traffic. 4.13... VEHICLES AND TRAFFIC SAFETY § 4.13 Obstructing traffic. The following are prohibited: (a) Stopping or...

  19. 36 CFR 4.13 - Obstructing traffic.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... interfere with the normal flow of traffic. ... 36 Parks, Forests, and Public Property 1 2013-07-01 2013-07-01 false Obstructing traffic. 4.13... VEHICLES AND TRAFFIC SAFETY § 4.13 Obstructing traffic. The following are prohibited: (a) Stopping or...

  20. Effect of bilastine upon nasal obstruction.

    PubMed

    Dávila, I; Sastre, J; Mullol, J; Montoro, J; Jáuregui, I; Ferrer, M; del Cuvillo, A; Bartra, J; Valero, A

    2011-01-01

    H1 antihistamines constitute one of the main references for the treatment of allergic rhinitis. Classically, these drugs have been considered effective in controlling sneezing, rhinorrhea and itching, though they have not been regarded as particularly effective in application to nasal obstruction. The most recent studies, involving second-generation H1 antihistamines (desloratadine, fexofenadine, levocetirizine, rupatadine), have shown these drugs to offer effects upon nasal obstruction significantly superior to those of placebo. The present review examines the effect of bilastine, a new, potent and highly specific H1 antihistamine without sedative effects or cardiac toxicity, upon nasal obstruction. The analysis of the data from the different clinical trials indicates that in patients with allergic rhinitis, the effect of bilastine upon nasal obstruction is superior to that of placebo and similar to that of other second-generation H1 antihistamines, manifesting within 24 hours after the start of treatment.

  1. Autonomous Ice Mass Balance Buoys for Seasonal Sea Ice

    NASA Astrophysics Data System (ADS)

    Whitlock, J. D.; Planck, C.; Perovich, D. K.; Parno, J. T.; Elder, B. C.; Richter-Menge, J.; Polashenski, C. M.

    2017-12-01

    The ice mass-balance represents the integration of all surface and ocean heat fluxes and attributing the impact of these forcing fluxes on the ice cover can be accomplished by increasing temporal and spatial measurements. Mass balance information can be used to understand the ongoing changes in the Arctic sea ice cover and to improve predictions of future ice conditions. Thinner seasonal ice in the Arctic necessitates the deployment of Autonomous Ice Mass Balance buoys (IMB's) capable of long-term, in situ data collection in both ice and open ocean. Seasonal IMB's (SIMB's) are free floating IMB's that allow data collection in thick ice, thin ice, during times of transition, and even open water. The newest generation of SIMB aims to increase the number of reliable IMB's in the Arctic by leveraging inexpensive commercial-grade instrumentation when combined with specially developed monitoring hardware. Monitoring tasks are handled by a custom, expandable data logger that provides low-cost flexibility for integrating a large range of instrumentation. The SIMB features ultrasonic sensors for direct measurement of both snow depth and ice thickness and a digital temperature chain (DTC) for temperature measurements every 2cm through both snow and ice. Air temperature and pressure, along with GPS data complete the Arctic picture. Additionally, the new SIMB is more compact to maximize deployment opportunities from multiple types of platforms.

  2. 33 CFR 67.05-5 - Multiple obstruction lights.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Multiple obstruction lights. 67... for Lights § 67.05-5 Multiple obstruction lights. When more than one obstruction light is required by this part to mark a structure, all such lights shall be operated to flash in unison. ...

  3. 33 CFR 67.05-5 - Multiple obstruction lights.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 1 2011-07-01 2011-07-01 false Multiple obstruction lights. 67... for Lights § 67.05-5 Multiple obstruction lights. When more than one obstruction light is required by this part to mark a structure, all such lights shall be operated to flash in unison. ...

  4. 33 CFR 67.05-5 - Multiple obstruction lights.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 1 2013-07-01 2013-07-01 false Multiple obstruction lights. 67... for Lights § 67.05-5 Multiple obstruction lights. When more than one obstruction light is required by this part to mark a structure, all such lights shall be operated to flash in unison. ...

  5. 33 CFR 67.05-5 - Multiple obstruction lights.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 1 2012-07-01 2012-07-01 false Multiple obstruction lights. 67... for Lights § 67.05-5 Multiple obstruction lights. When more than one obstruction light is required by this part to mark a structure, all such lights shall be operated to flash in unison. ...

  6. 33 CFR 67.05-5 - Multiple obstruction lights.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 1 2014-07-01 2014-07-01 false Multiple obstruction lights. 67... for Lights § 67.05-5 Multiple obstruction lights. When more than one obstruction light is required by this part to mark a structure, all such lights shall be operated to flash in unison. ...

  7. Influence of obstructive jaundice on pharmacodynamics of rocuronium.

    PubMed

    Wang, Zhen-Meng; Zhang, Peng; Lin, Mi-Jia; Tan, Bo; Qiu, Hai-Bo; Yu, Wei-Feng

    2013-01-01

    Anesthetics are variable in patients with obstructive jaundice. The minimum alveolar concentration awake of desflurane is reduced in patients with obstructive jaundice, while it has no effect on pharmacodynamics and pharmacokinetics of propofol. In this study, we investigated the influence of obstructive jaundice on the pharmacodynamics and blood concentration of rocuronium. Included in this study were 26 control patients and 27 patients with obstructive jaundice. Neuromuscular block of rocuronium was monitored by acceleromyography. Onset time, spontaneous recovery of the height of twitch first (T1) to 25% of the final T1 value (Duration 25%, Dur 25%), recovery index (RI), and spontaneous recovery of train-of-four (TOF) ratios to 70% were measured. The plasma rocuronium concentrations were determined by high performance liquid chromatography using berberine as an internal standard. There was no significant difference in onset time between the two groups. The Dur 25%, the recovery index and the time of recovery of the TOF ratios to 70% were all prolonged in the obstructive jaundice group compared with the control group. The plasma concentration of rocuronium at 60, 90 and 120 min after bolus administration was significantly higher in the obstructive jaundice group. The neuromuscular blockade by rocuronium is prolonged in obstructive jaundice patients, and therefore precautions should be taken in case of postoperative residual neuromuscular block. The possible reason is impedance of rocuronium excretion due to biliary obstruction and increased plasma unbound rocuronium because of free bilirubin competing with it for albumin binding.

  8. Accuracy of abdominal auscultation for bowel obstruction.

    PubMed

    Breum, Birger Michael; Rud, Bo; Kirkegaard, Thomas; Nordentoft, Tyge

    2015-09-14

    To investigate the accuracy and inter-observer variation of bowel sound assessment in patients with clinically suspected bowel obstruction. Bowel sounds were recorded in patients with suspected bowel obstruction using a Littmann(®) Electronic Stethoscope. The recordings were processed to yield 25-s sound sequences in random order on PCs. Observers, recruited from doctors within the department, classified the sound sequences as either normal or pathological. The reference tests for bowel obstruction were intraoperative and endoscopic findings and clinical follow up. Sensitivity and specificity were calculated for each observer and compared between junior and senior doctors. Interobserver variation was measured using the Kappa statistic. Bowel sound sequences from 98 patients were assessed by 53 (33 junior and 20 senior) doctors. Laparotomy was performed in 47 patients, 35 of whom had bowel obstruction. Two patients underwent colorectal stenting due to large bowel obstruction. The median sensitivity and specificity was 0.42 (range: 0.19-0.64) and 0.78 (range: 0.35-0.98), respectively. There was no significant difference in accuracy between junior and senior doctors. The median frequency with which doctors classified bowel sounds as abnormal did not differ significantly between patients with and without bowel obstruction (26% vs 23%, P = 0.08). The 53 doctors made up 1378 unique pairs and the median Kappa value was 0.29 (range: -0.15-0.66). Accuracy and inter-observer agreement was generally low. Clinical decisions in patients with possible bowel obstruction should not be based on auscultatory assessment of bowel sounds.

  9. Accuracy of abdominal auscultation for bowel obstruction

    PubMed Central

    Breum, Birger Michael; Rud, Bo; Kirkegaard, Thomas; Nordentoft, Tyge

    2015-01-01

    AIM: To investigate the accuracy and inter-observer variation of bowel sound assessment in patients with clinically suspected bowel obstruction. METHODS: Bowel sounds were recorded in patients with suspected bowel obstruction using a Littmann® Electronic Stethoscope. The recordings were processed to yield 25-s sound sequences in random order on PCs. Observers, recruited from doctors within the department, classified the sound sequences as either normal or pathological. The reference tests for bowel obstruction were intraoperative and endoscopic findings and clinical follow up. Sensitivity and specificity were calculated for each observer and compared between junior and senior doctors. Interobserver variation was measured using the Kappa statistic. RESULTS: Bowel sound sequences from 98 patients were assessed by 53 (33 junior and 20 senior) doctors. Laparotomy was performed in 47 patients, 35 of whom had bowel obstruction. Two patients underwent colorectal stenting due to large bowel obstruction. The median sensitivity and specificity was 0.42 (range: 0.19-0.64) and 0.78 (range: 0.35-0.98), respectively. There was no significant difference in accuracy between junior and senior doctors. The median frequency with which doctors classified bowel sounds as abnormal did not differ significantly between patients with and without bowel obstruction (26% vs 23%, P = 0.08). The 53 doctors made up 1378 unique pairs and the median Kappa value was 0.29 (range: -0.15-0.66). CONCLUSION: Accuracy and inter-observer agreement was generally low. Clinical decisions in patients with possible bowel obstruction should not be based on auscultatory assessment of bowel sounds. PMID:26379407

  10. Evaluation of SARAL/AltiKa performance using GNSS/IMU equipped buoy in Sajafi, Imam Hassan and Kangan Ports

    NASA Astrophysics Data System (ADS)

    Ardalan, Alireza A.; Jazireeyan, Iraj; Abdi, Naser; Rezvani, Mohammad-Hadi

    2018-03-01

    Performance of SARAL/AltiKa mission has been evaluated within 2016 altimeter calibration/validation framework in Persian Gulf through three campaigns conducted in the offshore waters of Sajafi, Imam Hassan and Kangan Ports, while the altimeter overflew the passes 470, 111 and 25 on 13 Feb, 7 March and 17 June 2016, respectively. As the preparation, a lightweight buoy was equipped with a GNSS receiver/choke-ring antenna and a MEMS-based IMU to measure independent datasets in the field operations. To obtain accurate sea surface height (SSH) time series, the offset of the onboard antenna from the equilibrium sea level was predetermined through surveying operations as the buoy was deploying in the onshore waters of Kangan Port. Accordingly, the double-difference carrier phase observations have been processed via the Bernese GPS Software v. 5.0 so as to provide the GNSS-derived time series at the comparison points of the calibration campaigns, once the disturbing effects due to the platform tilt and heave have been eliminated. Owing to comparing of the SSH time series and the associating altimetry 1 Hz GDR-T datasets, the calibration/validation of the SARAL/AltiKa has been performed in the both cases of radiometer and ECMWF wet troposphere corrections so as to identify potential land contamination. An agreement of the present findings in comparison with those attained in other international calibrations sites confirms the promising feasibility of Persian Gulf as a new dedicated site for calibration/validation of ongoing and future altimetry missions.

  11. Influence of Obstructive Jaundice on Pharmacodynamics of Rocuronium

    PubMed Central

    Lin, Mi-Jia; Tan, Bo; Qiu, Hai-Bo; Yu, Wei-Feng

    2013-01-01

    Background Anesthetics are variable in patients with obstructive jaundice. The minimum alveolar concentration awake of desflurane is reduced in patients with obstructive jaundice, while it has no effect on pharmacodynamics and pharmacokinetics of propofol. In this study, we investigated the influence of obstructive jaundice on the pharmacodynamics and blood concentration of rocuronium. Methods Included in this study were 26 control patients and 27 patients with obstructive jaundice. Neuromuscular block of rocuronium was monitored by acceleromyography. Onset time, spontaneous recovery of the height of twitch first (T1) to 25% of the final T1 value (Duration 25%, Dur 25%), recovery index (RI), and spontaneous recovery of train-of-four (TOF) ratios to 70% were measured. The plasma rocuronium concentrations were determined by high performance liquid chromatography using berberine as an internal standard. Results There was no significant difference in onset time between the two groups. The Dur 25%, the recovery index and the time of recovery of the TOF ratios to 70% were all prolonged in the obstructive jaundice group compared with the control group. The plasma concentration of rocuronium at 60, 90 and 120 min after bolus administration was significantly higher in the obstructive jaundice group. Conclusions The neuromuscular blockade by rocuronium is prolonged in obstructive jaundice patients, and therefore precautions should be taken in case of postoperative residual neuromuscular block. The possible reason is impedance of rocuronium excretion due to biliary obstruction and increased plasma unbound rocuronium because of free bilirubin competing with it for albumin binding. PMID:24147111

  12. Small-airway obstruction and emphysema in chronic obstructive pulmonary disease.

    PubMed

    McDonough, John E; Yuan, Ren; Suzuki, Masaru; Seyednejad, Nazgol; Elliott, W Mark; Sanchez, Pablo G; Wright, Alexander C; Gefter, Warren B; Litzky, Leslie; Coxson, Harvey O; Paré, Peter D; Sin, Don D; Pierce, Richard A; Woods, Jason C; McWilliams, Annette M; Mayo, John R; Lam, Stephen C; Cooper, Joel D; Hogg, James C

    2011-10-27

    The major sites of obstruction in chronic obstructive pulmonary disease (COPD) are small airways (<2 mm in diameter). We wanted to determine whether there was a relationship between small-airway obstruction and emphysematous destruction in COPD. We used multidetector computed tomography (CT) to compare the number of airways measuring 2.0 to 2.5 mm in 78 patients who had various stages of COPD, as judged by scoring on the Global Initiative for Chronic Obstructive Lung Disease (GOLD) scale, in isolated lungs removed from patients with COPD who underwent lung transplantation, and in donor (control) lungs. MicroCT was used to measure the extent of emphysema (mean linear intercept), the number of terminal bronchioles per milliliter of lung volume, and the minimum diameters and cross-sectional areas of terminal bronchioles. On multidetector CT, in samples from patients with COPD, as compared with control samples, the number of airways measuring 2.0 to 2.5 mm in diameter was reduced in patients with GOLD stage 1 disease (P=0.001), GOLD stage 2 disease (P=0.02), and GOLD stage 3 or 4 disease (P<0.001). MicroCT of isolated samples of lungs removed from patients with GOLD stage 4 disease showed a reduction of 81 to 99.7% in the total cross-sectional area of terminal bronchioles and a reduction of 72 to 89% in the number of terminal bronchioles (P<0.001). A comparison of the number of terminal bronchioles and dimensions at different levels of emphysematous destruction (i.e., an increasing value for the mean linear intercept) showed that the narrowing and loss of terminal bronchioles preceded emphysematous destruction in COPD (P<0.001). These results show that narrowing and disappearance of small conducting airways before the onset of emphysematous destruction can explain the increased peripheral airway resistance reported in COPD. (Funded by the National Heart, Lung, and Blood Institute and others.).

  13. Biomechanical remodeling of obstructed guinea pig jejunum

    PubMed Central

    Zhao, Jingbo; Liao, Donghua; Yang, Jian; Gregersen, Hans

    2010-01-01

    Data on morphological and biomechanical remodeling are needed to understand the mechanisms behind intestinal obstruction. The effect of partial obstruction on mechanical properties with reference to the zero-stress state and on the histomorphological properties of the guinea pig small intestine was determined in this study. Partial obstruction and sham operation were surgically created in mid-jejunum of guinea pigs. The animals survived 2, 4, 7, and 14 days respectively. The age-matched guinea pigs that were not operated served as normal controls. The segment proximal to the obstruction site was used for histological analysis, no-load state and zero-stress state data, and distension test. The segment for distension was immersed in an organ bath and inflated to 10 cmH20. The outer diameter change during the inflation was monitored using a microscope with CCD camera. Circumferential stresses and strains were computed from the diameter, pressure and the zero-stress state data. The opening angle and absolute value of residual strain decreased (P<0.01 and P<0.001) whereas the wall thickness, wall cross-sectional area, and the wall stiffness increased after 7 days obstruction (P<0.05, P<0.01). Histologically, the muscle and submucosa layers, especially the circumferential muscle layer increased in thickness after obstruction. The opening angle and residual strain mainly depended on the thickness of the muscle layer whereas the wall stiffness mainly depended on the thickness of the submucosa layer. In conclusion, the histomorphological and biomechanical properties of small intestine (referenced for the first time to the zero-stress state) remodel proximal to the obstruction site in a time-dependent manner. PMID:20189575

  14. Variations in return value estimate of ocean surface waves - a study based on measured buoy data and ERA-Interim reanalysis data

    NASA Astrophysics Data System (ADS)

    Muhammed Naseef, T.; Sanil Kumar, V.

    2017-10-01

    An assessment of extreme wave characteristics during the design of marine facilities not only helps to ensure their safety but also assess the economic aspects. In this study, return levels of significant wave height (Hs) for different periods are estimated using the generalized extreme value distribution (GEV) and generalized Pareto distribution (GPD) based on the Waverider buoy data spanning 8 years and the ERA-Interim reanalysis data spanning 38 years. The analysis is carried out for wind-sea, swell and total Hs separately for buoy data. Seasonality of the prevailing wave climate is also considered in the analysis to provide return levels for short-term activities in the location. The study shows that the initial distribution method (IDM) underestimates return levels compared to GPD. The maximum return levels estimated by the GPD corresponding to 100 years are 5.10 m for the monsoon season (JJAS), 2.66 m for the pre-monsoon season (FMAM) and 4.28 m for the post-monsoon season (ONDJ). The intercomparison of return levels by block maxima (annual, seasonal and monthly maxima) and the r-largest method for GEV theory shows that the maximum return level for 100 years is 7.20 m in the r-largest series followed by monthly maxima (6.02 m) and annual maxima (AM) (5.66 m) series. The analysis is also carried out to understand the sensitivity of the number of observations for the GEV annual maxima estimates. It indicates that the variations in the standard deviation of the series caused by changes in the number of observations are positively correlated with the return level estimates. The 100-year return level results of Hs using the GEV method are comparable for short-term (2008 to 2016) buoy data (4.18 m) and long-term (1979 to 2016) ERA-Interim shallow data (4.39 m). The 6 h interval data tend to miss high values of Hs, and hence there is a significant difference in the 100-year return level Hs obtained using 6 h interval data compared to data at 0.5 h interval. The

  15. Preoperative Obstructive Sleep Apnea Screening in Gynecologic Oncology Patients.

    PubMed

    Harrison, Ross F; Medlin, Erin E; Petersen, Chase B; Rose, Stephen L; Hartenbach, Ellen M; Kushner, David M; Spencer, Ryan J; Rice, Laurel W; Al-Niaimi, Ahmed N

    2018-05-21

    Women with a gynecologic cancer tend to be older, obese, and postmenopausal, characteristics that are associated with an increased risk for obstructive sleep apnea. However, there is limited investigation regarding the condition's prevalence in this population or its impact on postoperative outcomes. In other surgical populations, patients with obstructive sleep apnea have been observed to be at increased risk for adverse postoperative events. To estimate the prevalence of obstructive sleep apnea among gynecologic oncology patients undergoing elective surgery and to investigate for a relationship between obstructive sleep apnea and postoperative outcomes. Patients referred to an academic gynecologic oncology practice were approached for enrollment in this prospective, observational study. Patients were considered eligible for study enrollment if they were scheduled for a non-emergent inpatient surgery and could provide informed consent. Enrolled patients were evaluated for a preexisting diagnosis of obstructive sleep apnea. Those without a prior diagnosis were screened using the validated, 4-item STOP [i.e. Snore loudly, daytime Tiredness, Observed apnea, elevated blood Pressure] questionnaire. All patients who screened positive for obstructive sleep apnea were referred for polysomnography. The primary outcome was the prevalence of women with obstructive sleep apnea or those who screened at high risk for the condition. Secondary outcomes examined the correlation between body mass index (kg/m 2 ) with obstructive sleep apnea and assessed for a relationship between obstructive sleep apnea and postoperative outcomes. Over a 22-month accrual period, 383 eligible patients were consecutively approached to participate in the study. A cohort of 260 patients were enrolled. A total of 33/260 patients (13%) were identified as having a previous diagnosis of obstructive sleep apnea. An additional 66/260 (25%) screened at risk for the condition using the STOP questionnaire. Of

  16. Drug-eluting stent in malignant biliary obstruction

    NASA Astrophysics Data System (ADS)

    Lee, Dong-Ki; Jang, Sung Ill

    2012-10-01

    Endoscopic stent insertion is the treatment of choice for patients with malignant biliary obstruction. However, conventional stents enable only mechanical palliation of the obstruction, without any anti-tumor effects. Drugeluting stent (DES), which was first introduced in coronary artery disease, are currently under investigation for sustaining stent patency and prolonging patient survival by inhibiting tumor ingrowth in malignant biliary obstruction. Many factors affecting efficient drug delivery have been studied to determine how drugs with antitumor effects suppress tumor ingrowth, including the specific drugs incorporated, means of incorporating the drugs, mode of drug release, and stent structure. Advances have resulted in the construction of more effective non-vascular DES and ongoing clinical research. Non-vascular DES is expected to play a vital role in prolonging the survival of patients with malignant biliary obstruction.

  17. 33 CFR 329.10 - Existence of obstructions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... DEFENSE DEFINITION OF NAVIGABLE WATERS OF THE UNITED STATES § 329.10 Existence of obstructions. A stream... obstruction by means of artificial chutes. However, the question is ultimately a matter of degree, and it must...

  18. [Treatment of a patient with obstructive sleep apnea syndrome superimposed on chronic obstructive pulmonary disease].

    PubMed

    Mańkowski, M; Tulibacki, M; Koziej, M; Adach, W; Zieliński, J

    1995-01-01

    History of a middle aged obese male, presenting with severe obstructive sleep apnea (OSA) and chronic obstructive pulmonary disease (COPD) is described. Provisionally patient was started on CPAP and long-term domiciliary oxygen therapy (LTOT). OSA was successfully treated by surgical repair of nasal patency and partial uvulectomy. There was also remarkable improvement in ventilatory indices after steroid therapy. There was no further need for CPAP and LTOT.

  19. Clinical Outcomes of Self-Expandable Metal Stents for Malignant Rectal Obstruction.

    PubMed

    Lee, Hyun Jung; Hong, Sung Pil; Cheon, Jae Hee; Kim, Tae Il; Kim, Won Ho; Park, Soo Jung

    2018-01-01

    Self-expandable metal stents are widely used to treat malignant colorectal obstruction. However, data on clinical outcomes of stent placement for rectal obstruction specifically are lacking. We aimed to investigate the clinical outcomes of self-expandable metal stents in malignant rectal obstruction in comparison with those in left colonic obstruction and to identify factors associated with clinical failure and complication. This was a retrospective study. The study was conducted at a tertiary care center. Between January 2005 and December 2013, medical charts of patients who underwent stent placement for malignant rectal or left colonic obstruction were reviewed retrospectively. Study intervention included self-expandable metal stent placement. Technical success, clinical success, and complications were measured. Technical success rates for the 2 study groups (rectum vs left colon, 93.5% vs 93.1%; p = 0.86) did not differ significantly; however, the clinical success rate was lower in patients with rectal obstruction (85.4% vs 92.1%; p = 0.02). In addition, the complication rate was higher in patients with rectal obstruction (37.4% vs 25.1%; p = 0.01). Patients with rectal obstruction showed higher rates of obstruction because of extracolonic malignancy (33.8% vs 15.8%; p < 0.001) and stent use for palliation (78.6% vs 56.3%; p < 0.001). Multivariate analysis indicated obstruction attributed to extracolonic malignancy and covered stent usage to be independent risk factors for clinical failure. Factors predictive of complications in the palliative group were total obstruction, obstruction because of extracolonic malignancy, and covered stent usage. This was a retrospective, single-center study. The efficacy and safety of stent placement for malignant rectal obstruction were comparable with those for left colonic obstruction. However, obstruction attributed to extracolonic malignancy, use of covered stents, and total obstruction negatively impacted clinical outcomes

  20. Biliary obstruction - slideshow

    MedlinePlus

    ... ency/presentations/100199.htm Biliary obstruction - series—Normal anatomy To use the sharing ... Overview Bile is a digestive fluid secreted by the liver and stored in the gallbladder which normally is ...

  1. Congenital ureteropelvic junction obstruction: human disease and animal models

    PubMed Central

    Klein, Julie; Gonzalez, Julien; Miravete, Mathieu; Caubet, Cécile; Chaaya, Rana; Decramer, Stéphane; Bandin, Flavio; Bascands, Jean-Loup; Buffin-Meyer, Bénédicte; Schanstra, Joost P

    2011-01-01

    Ureteropelvic junction (UPJ) obstruction is the most frequently observed cause of obstructive nephropathy in children. Neonatal and foetal animal models have been developed that mimic closely what is observed in human disease. The purpose of this review is to discuss how obstructive nephropathy alters kidney histology and function and describe the molecular mechanisms involved in the progression of the lesions, including inflammation, proliferation/apoptosis, renin–angiotensin system activation and fibrosis, based on both human and animal data. Also we propose that during obstructive nephropathy, hydrodynamic modifications are early inducers of the tubular lesions, which are potentially at the origin of the pathology. Finally, an important observation in animal models is that relief of obstruction during kidney development has important effects on renal function later in adult life. A major short-coming is the absence of data on the impact of UPJ obstruction on long-term adult renal function to elucidate whether these animal data are also valid in humans. PMID:20681980

  2. Small Bowel Obstruction Caused by Aloe vera Bezoars: A Case Report.

    PubMed

    Hong, In Taik; Cha, Jae Myung; Ki, Hye Jin; Kwak, Min Seob; Yoon, Jin Young; Shin, Hyun Phil; Jeoun, Jung Won; Choi, Sung Il

    2017-05-25

    Small bowel obstruction is a clinical condition commonly caused by postoperative adhesion, volvulus, intussusceptions, and hernia. Small bowel obstruction due to bezoars is clinically uncommon, accounting for approximately 2-4% of all obstructions. Computed tomography (CT) is a useful method in diagnosing the cause of small bowel obstruction. However, small bowel obstruction caused by bezoars may not be detected by an abdominal CT examination. Herein, we report a rare case of small bowel obstruction by Aloe vera bezoars, which were undetected by an abdominal CT. Phytobezoars should be included in the differential diagnosis of small bowel obstruction in patients with predisposing factors, such as excessive consumption of high-fiber food and diabetes.

  3. Obstructive Sleep Apnea Due To Extrathoracic Tracheomalacia

    PubMed Central

    Muzumdar, Hiren; Nandalike, K.; Bent, J.; Arens, Raanan

    2013-01-01

    We report obstructive sleep apnea in a 3-year-old boy with tracheomalacia secondary to tracheotomy that resolved after placement of a metallic stent in the region of tracheomalacia. The tracheal location of obstruction during sleep in this case contrasts with the usual location in the pharynx or, less often, the larynx. This case also demonstrates the utility of polysomnography in managing decannulation of tracheostomies. Citation: Muzumdar H; Nandalike K; Bent J; Arens R. Obstructive sleep apnea due to extrathoracic tracheomalacia. J Clin Sleep Med 2013;9(2):163–164. PMID:23372471

  4. [Helium-Oxigen (Heliox) mixture in airway obstruction

    PubMed

    Ulhôa, C A; Larner, L

    2000-01-01

    OBJECTIVE: Demonstrate the effectiveness and the good outcome of the patients treated with helium-oxygen (Heliox) mixture. This mixture (Heliox) has been used in patients with airway obstruction, from different ethiologies, who did not respond to a conventional treatment with oxygen. METHODS: Case report of five patients that received Heliox as treatment for airway obstruction. All of them had good results without side effects during the treatment. CONCLUSION: Heliox is a promising treatment for severe airway obstruction with good results in a short period of time, until the final treatment is established.

  5. Spectral analysis of bowel sounds in intestinal obstruction using an electronic stethoscope.

    PubMed

    Ching, Siok Siong; Tan, Yih Kai

    2012-09-07

    To determine the value of bowel sounds analysis using an electronic stethoscope to support a clinical diagnosis of intestinal obstruction. Subjects were patients who presented with a diagnosis of possible intestinal obstruction based on symptoms, signs, and radiological findings. A 3M™ Littmann(®) Model 4100 electronic stethoscope was used in this study. With the patients lying supine, six 8-second recordings of bowel sounds were taken from each patient from the lower abdomen. The recordings were analysed for sound duration, sound-to-sound interval, dominant frequency, and peak frequency. Clinical and radiological data were reviewed and the patients were classified as having either acute, subacute, or no bowel obstruction. Comparison of bowel sound characteristics was made between these subgroups of patients. In the presence of an obstruction, the site of obstruction was identified and bowel calibre was also measured to correlate with bowel sounds. A total of 71 patients were studied during the period July 2009 to January 2011. Forty patients had acute bowel obstruction (27 small bowel obstruction and 13 large bowel obstruction), 11 had subacute bowel obstruction (eight in the small bowel and three in large bowel) and 20 had no bowel obstruction (diagnoses of other conditions were made). Twenty-five patients received surgical intervention (35.2%) during the same admission for acute abdominal conditions. A total of 426 recordings were made and 420 recordings were used for analysis. There was no significant difference in sound-to-sound interval, dominant frequency, and peak frequency among patients with acute bowel obstruction, subacute bowel obstruction, and no bowel obstruction. In acute large bowel obstruction, the sound duration was significantly longer (median 0.81 s vs 0.55 s, P = 0.021) and the dominant frequency was significantly higher (median 440 Hz vs 288 Hz, P = 0.003) when compared to acute small bowel obstruction. No significant difference was seen

  6. Spectral analysis of bowel sounds in intestinal obstruction using an electronic stethoscope

    PubMed Central

    Ching, Siok Siong; Tan, Yih Kai

    2012-01-01

    AIM: To determine the value of bowel sounds analysis using an electronic stethoscope to support a clinical diagnosis of intestinal obstruction. METHODS: Subjects were patients who presented with a diagnosis of possible intestinal obstruction based on symptoms, signs, and radiological findings. A 3M™ Littmann® Model 4100 electronic stethoscope was used in this study. With the patients lying supine, six 8-second recordings of bowel sounds were taken from each patient from the lower abdomen. The recordings were analysed for sound duration, sound-to-sound interval, dominant frequency, and peak frequency. Clinical and radiological data were reviewed and the patients were classified as having either acute, subacute, or no bowel obstruction. Comparison of bowel sound characteristics was made between these subgroups of patients. In the presence of an obstruction, the site of obstruction was identified and bowel calibre was also measured to correlate with bowel sounds. RESULTS: A total of 71 patients were studied during the period July 2009 to January 2011. Forty patients had acute bowel obstruction (27 small bowel obstruction and 13 large bowel obstruction), 11 had subacute bowel obstruction (eight in the small bowel and three in large bowel) and 20 had no bowel obstruction (diagnoses of other conditions were made). Twenty-five patients received surgical intervention (35.2%) during the same admission for acute abdominal conditions. A total of 426 recordings were made and 420 recordings were used for analysis. There was no significant difference in sound-to-sound interval, dominant frequency, and peak frequency among patients with acute bowel obstruction, subacute bowel obstruction, and no bowel obstruction. In acute large bowel obstruction, the sound duration was significantly longer (median 0.81 s vs 0.55 s, P = 0.021) and the dominant frequency was significantly higher (median 440 Hz vs 288 Hz, P = 0.003) when compared to acute small bowel obstruction. No significant

  7. Obstructive sleep apnea and sedation in the endoscopy suite.

    PubMed

    Moos, Daniel D

    2006-01-01

    Patients with obstructive sleep apnea are at risk of mortality and morbidity related to the administration of sedatives, anesthetics, and opioids. Commonly employed sedatives and analgesics promote pharyngeal collapse and alter normal respiratory responses to obstruction and apnea. Literature concerning patients with obstructive sleep apnea undergoing moderate and deep sedation in the endoscopy suite is lacking. The purpose of this article is to provide the reader with a review of normal airway patency, the effects of obstructive sleep apnea on airway patency, and the impact that analgesics and sedatives may impart on the airway of patients with obstructive sleep apnea. The goal of this article is to increase awareness, stimulate discussions within the gastroenterological community, and encourage research regarding sedation in this at-risk population.

  8. Chronic obstructive pulmonary disease: knowing what we mean, meaning what we say.

    PubMed

    Joshi, J M

    2008-01-01

    Chronic obstructive pulmonary disease (COPD) is defined in several different ways using different criteria based on symptoms, physiological impairment and pathological abnormalities. While some use COPD to mean smoking related chronic airway disease, others include all disorders causing chronic airway obstruction. When COPD is used as a broad descriptive term, specific disorders that cause chronic airway obstruction remain under-diagnosed and the prevalence estimates vary considerably. The lack of agreement over the precise terminology and classification of COPD has resulted in widespread confusion. Terminology includes definition, diagnostic criteria, and a system for staging severity. Recently, COPD is defined more clearly and diagnosed using precise criteria that include tobacco smoking greater than 10 pack years, symptoms and airway obstruction on spirometry. A multi-dimensional severity grading system, the BODE (body mass index, obstruction, dyspnoea, and exercise tolerance) index has been designed to assess the respiratory and systemic expressions of COPD. This review proposes that the broad group of chronic disorders of the airways (with or without airway obstruction) be called chronic airway disease (CAD). The term COPD should be used exclusively for tobacco smoking related chronic airway disease. Chronic airway obstruction or obstructive lung disease may be used to define those conditions with airways obstruction caused by factors other than tobacco smoking. The aetiology may be appended to the label, for example, chronic airway obstruction/obstructive lung disease associated with bronchiectasis, chronic airway obstruction/obstructive lung disease associated with obliterative bronchiolitis or chronic airway obstruction/obstructive lung disease due to biomass fuel/occupational exposure.

  9. Obstructive Sleep Apnea

    MedlinePlus Videos and Cool Tools

    ... Apnea (OSA) Download Download the ebook for further information Obstructive sleep apnea (OSA) is a serious and ... that can create the necessary air passageway. The information provided here is not intended as a substitute ...

  10. Obstructive Sleep Apnea

    MedlinePlus

    ... more each hour, all night long. These disruptions impair your ability to reach the desired deep, restful ... with obstructive sleep apnea may also complain of memory problems, morning headaches, mood swings or feelings of ...

  11. The Adopt-A-Buoy Project: A Firsthand Experience for Students in Collecting, Processing and Analyzing Environmental Data

    NASA Astrophysics Data System (ADS)

    Richter-Menge, J.; Stott, G.; Harriman, C.; Perovich, D. K.; Elder, B. C.; Polashenski, C.

    2013-12-01

    Over the past 4 school years, our team of Arctic sea ice researchers and middle school teachers has collaborated in an educational outreach activity to develop a series of earth science classes aimed at 8th grade science students. Central to the effort is an environmental observation site installed at the school, designed to closely mimic sea ice mass balance buoys deployed as part of an NSF-sponsored Arctic Observing Network (AON) project. The site located at the school collects data on air temperature, barometric pressure, snow depth, and snow and ground temperatures. Working directly with the research team over the course of the school year, students learn to collect, process, and analyze the local environmental data. Key to the experience is the students' opportunity to pose and address open-ended questions about a set of scientific data that is inherently familiar to them, since it reflects the seasonal conditions they are witnessing (e.g. the 2011-12 New England winter with no snow). During the series of classes, students are also exposed to the similar set of environmental data collected in the Arctic, via a sea ice mass balance buoy they ';adopt.' The arctic data set opens the door to discussions about climate change and its particularly dramatic affect on the arctic environment. Efforts are underway to transform this outreach project into an expanded earth science classroom module for use at other schools. Portability will require an approach that makes connections to the Arctic without a reliance on the multiple visits to the classroom by the research team (e.g. forming and facilitating partnerships with Arctic schools and field researchers via the internet). We are also evaluating the possibility of constructing low cost, portable weather stations to be used with the module.

  12. Mitral stenosis and hypertrophic obstructive cardiomyopathy: An unusual combination.

    PubMed

    Hong, Joonhwa; Schaff, Hartzell V; Ommen, Steve R; Abel, Martin D; Dearani, Joseph A; Nishimura, Rick A

    2016-04-01

    Systolic anterior motion of mitral valve (MV) leaflets is a main pathophysiologic feature of left ventricular outflow tract (LVOT) obstruction in hypertrophic obstructive cardiomyopathy. Thus, restricted leaflet motion that occurs with MV stenosis might be expected to minimize outflow tract obstruction related to systolic anterior motion. From January 1993 through February 2015, we performed MV replacement and septal myectomy in 12 patients with mitral stenosis and hypertrophic obstructive cardiomyopathy at Mayo Clinic Hospital in Rochester, Minn. Preoperative data, echocardiographic images, operative records, and postoperative outcomes were reviewed. Mean (standard deviation) age was 70 (7.6) years. Preoperative mean (standard deviation) maximal LVOT pressure gradient was 75.0 (35.0) mm Hg; MV gradient was 13.7 (2.8) mm Hg. From echocardiographic images, 4 mechanisms of outflow tract obstruction were identified: systolic anterior motion without severe limitation in MV leaflet excursion, severe limitation in MV leaflet mobility with systolic anterior motion at the tip of the MV anterior leaflet, septal encroachment toward the LVOT, and MV displacement toward the LVOT by calcification. Mitral valve replacement and extended septal myectomy relieved outflow gradients in all patients, with no death or serious morbidity. Patients with mitral stenosis and hypertrophic obstructive cardiomyopathy have multiple LVOT obstruction mechanisms, and MV replacement may not be adequate treatment. We favor septal myectomy and MV replacement in this complex subset of hypertrophic obstructive cardiomyopathy. Copyright © 2016 The American Association for Thoracic Surgery. Published by Elsevier Inc. All rights reserved.

  13. Infectious mononucleosis presenting as upper airway obstruction.

    PubMed

    Jain, Vivek; Singhi, Sunit; Desai, Ravi V

    2003-01-01

    Upper airway obstruction though a common complication of infectious mononucleosis is rarely considered in differential diagnosis of stridor. We report a three-year-old child who had upper airway obstruction due to infectious mononucleosis, managed conservatively with oxygen, intravenous fluids and steroids.

  14. Wave propagation in the marginal ice zone - Model predictions and comparisons with buoy and synthetic aperture radar data

    NASA Technical Reports Server (NTRS)

    Liu, Antony K.; Holt, Benjamin; Vachon, Paris W.

    1991-01-01

    Ocean wave dispersion relation and viscous attenuation by a sea ice cover are studied for waves propagating into the marginal ice zone (MIZ). The Labrador ice margin experiment (LIMEX), conducted on the MIZ off the east coast of Newfoundland, Canada in March 1987, provided aircraft SAR imagery, ice property and wave buoy data. Wave energy attenuation rates are estimated from SAR data and the ice motion package data that were deployed at the ice edge and into the ice pack, and compared with a model. It is shown that the model data comparisons are quite good for the ice conditions observed during LIMEX 1987.

  15. A FORTRAN IV Computer Program for the Time Domain Analysis of the Two- Dimensional Dynamic Motions of General Buoy-Cable-Body Systems

    DTIC Science & Technology

    1977-06-01

    SPHEROIDAL BUOYS As mentioned previously, for the limiting case of zero ; educed frequency where tile free surface behaves as a rigid plane, the...4P ) -4 -4 ft O D - % Cdd :# P) fy ou Cd 1d Cd’. . 6 - C3 ’o .. eg S w Cd *g.4C~dI~**II~.a Ký 0 4 : 10 In H-C IV ..4 _ C) bu 0 40 la W C2C W cc lp lqa

  16. Obstructive sleep apnea, seizures, and childhood apraxia of speech.

    PubMed

    Caspari, Susan S; Strand, Edythe A; Kotagal, Suresh; Bergqvist, Christina

    2008-06-01

    Associations between obstructive sleep apnea and motor speech disorders in adults have been suggested, though little has been written about possible effects of sleep apnea on speech acquisition in children with motor speech disorders. This report details the medical and speech history of a nonverbal child with seizures and severe apraxia of speech. For 6 years, he made no functional gains in speech production, despite intensive speech therapy. After tonsillectomy for obstructive sleep apnea at age 6 years, he experienced a reduction in seizures and rapid growth in speech production. The findings support a relationship between obstructive sleep apnea and childhood apraxia of speech. The rather late diagnosis and treatment of obstructive sleep apnea, especially in light of what was such a life-altering outcome (gaining functional speech), has significant implications. Most speech sounds develop during ages 2-5 years, which is also the peak time of occurrence of adenotonsillar hypertrophy and childhood obstructive sleep apnea. Hence it is important to establish definitive diagnoses, and to consider early and more aggressive treatments for obstructive sleep apnea, in children with motor speech disorders.

  17. Systematic review: the influence of nasal obstruction on sleep apnea.

    PubMed

    Migueis, Debora Petrungaro; Thuler, Luiz Claudio Santos; Lemes, Lucas Neves de Andrade; Moreira, Chirlene Santos Souza; Joffily, Lucia; Araujo-Melo, Maria Helena de

    2016-01-01

    Obstructive sleep apnea syndrome (OSAS) is a common disorder that can lead to cardiovascular morbidity and mortality, as well as to metabolic, neurological, and behavioral consequences. It is currently believed that nasal obstruction compromises the quality of sleep when it results in breathing disorders and fragmentation of sleep. However, recent studies have failed to objectively associate sleep quality and nasal obstruction. The aim of this systematic review is to evaluate the influence of nasal obstruction on OSAS and polysomnographic indices associated with respiratory events. Eleven original articles published from 2003 to 2013 were selected, which addressed surgical and non-surgical treatment for nasal obstruction, performing polysomnography type 1 before and after the intervention. In most trials, nasal obstruction was not related to the apnea-hypopnea index (AHI), indicating no improvement in OSAS with reduction in nasal resistance. However, few researchers evaluated other polysomnography indices, such as the arousal index and rapid eye movement (REM) sleep percentage. These could change with nasal obstruction, since it is possible that the nasal obstruction does not completely block the upper airways, but can increase negative intrathoracic pressure, leading to sleep fragmentation. Copyright © 2015 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights reserved.

  18. Removal of obstructing T-tube and stabilization of the airway.

    PubMed

    Athavale, Sanjay M; Dang, Jennifer; Rangarajan, Sanjeet; Garrett, Gaelyn

    2011-05-01

    Although they are extremely effective in maintaining tracheal and subglottic patency, T-tubes themselves can result in airway obstruction from plugging. Many practitioners educate patients on placing a small (5.0) endotracheal tube (ETT) through the tracheal limb of the T-tube if they develop airway obstruction. Unfortunately, this can be a difficult task to complete during acute airway obstruction. In this article, we describe a simple set of steps for rapid relief of airway obstruction and stabilization of the airway in the event of T-tube obstruction. This method requires removal of the T-tube with a Kelly clamp and stabilization of the airway with a tracheostomy tube. Although it is simple, we hope that this technique will prevent morbidity and mortality from acute airway obstructions related to T-tubes. Copyright © 2011 The American Laryngological, Rhinological, and Otological Society, Inc.

  19. 14 CFR 151.91 - Removal of obstructions.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 3 2012-01-01 2012-01-01 false Removal of obstructions. 151.91 Section 151.91 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIRPORTS FEDERAL AID TO AIRPORTS Project Programming Standards § 151.91 Removal of obstructions. (a) The...

  20. 14 CFR 151.91 - Removal of obstructions.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 3 2013-01-01 2013-01-01 false Removal of obstructions. 151.91 Section 151.91 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIRPORTS FEDERAL AID TO AIRPORTS Project Programming Standards § 151.91 Removal of obstructions. (a) The...

  1. 14 CFR 151.91 - Removal of obstructions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Removal of obstructions. 151.91 Section 151.91 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIRPORTS FEDERAL AID TO AIRPORTS Project Programming Standards § 151.91 Removal of obstructions. (a) The...

  2. 14 CFR 151.91 - Removal of obstructions.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 3 2011-01-01 2011-01-01 false Removal of obstructions. 151.91 Section 151.91 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIRPORTS FEDERAL AID TO AIRPORTS Project Programming Standards § 151.91 Removal of obstructions. (a) The...

  3. Pulmonary distribution of an inhaled radioaerosol in obstructive pulmonary disease

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Lin, M.S.; Goodwin, D.A.

    1976-03-01

    Pulmonary distribution of an inhaled radioaerosol was analyzed in 20 cases of chronic obstructive pulmonary disease (COPD) and 8 of other OPD. Nonciliary/ciliary partition of the distribution correlated with the severity of airway obstruction and approximated 3 : 1 in mild and 1 : 3 in very severe obstruction. In nuclear images, the distribution featured contrast abnormalities of hyperdeposition and hypodeposition. Intense hyperdeposition most commonly occurred in hilar and perihilar large airways. In isolated instances, hyperdeposition almost certainly occurred focally at sites of partial bronchial obstruction and diffusely by expiratory trapping; hypodeposition occurred distally to bronchial obstruction and in areasmore » of parenchymal loss. (auth)« less

  4. Obstructive ureteropathy following radiation therapy for carcinoma of the cervix

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Parliament, M.; Genest, P.; Girard, A.

    1989-05-01

    Between January 1959 and December 1986, 10 of 328 patients (3%) treated with curative intent using primary radiation therapy for carcinoma of the cervix developed obstructive ureteropathy due to fibrosis. The mean age of the patients with obstructive ureteropathy was 45 years and the median time to obstruction was 26 months. The obstruction was unilateral in 8 cases and involved the parametrial portion of the ureter in at least 5 cases. No predisposing risk factor was found to be associated with the development of obstructive ureteropathy. After corrective surgery, renal function remained normal in 8 patients, and resolution of themore » hydronephrosis occurred in 4 patients.« less

  5. [Correlation between obstructive apnea syndrome and difficult airway in ENT surgery].

    PubMed

    Pera, Marcia Hiray; Tardelli, Maria Angela; Novo, Neil Ferreira; Juliano, Yara; Silva, Helga Cristina Almeida da

    2017-12-21

    ENT patients with obstructive sleep apnea syndrome have a tendency of collapsing the upper airways in addition to anatomical obstacles. Obstructive sleep apnea syndrome is related to the increased risk of difficult airway and also increased perioperative complications. In order to identify these patients in the preoperative period, the STOP Bang questionnaire has been highlighted because it is summarized and easy to apply. Evaluate through the STOP Bang questionnaire whether patients undergoing ENT surgery with a diagnosis of obstructive sleep apnea syndrome have a higher risk of complications, particularly the occurrence of difficult airway. Measurements of anatomical parameters for difficult airway and questionnaire application for clinical prediction of obstructive sleep apnea syndrome were performed in 48 patients with a previous polysomnographic study. The sample detected difficult airway in about 18.7% of patients, all of them with obstructive sleep apnea syndrome. This group had older age, cervical circumference > 40cm, ASA II and Cormack III/IV. Patients with obstructive sleep apnea syndrome had higher body mass index, cervical circumference, and frequent apnea. In subgroup analysis, the group with severe obstructive sleep apnea syndrome showed a significantly higher SB score compared to patients without this syndrome or with a mild/moderate obstructive sleep apnea syndrome. The STOP Bang questionnaire was not able to predict difficult airway and mild obstructive sleep apnea syndrome, but it identified marked obstructive sleep apnea syndrome. All patients with difficult airway had moderate and marked obstructive sleep apnea syndrome, although this syndrome did not involve difficult airway. The variables Cormack III/IV and BMI greater than 35 Kg.m -2 were able to predict difficult airway and obstructive sleep apnea syndrome, respectively. Copyright © 2017 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved.

  6. Greater effect of stroke thrombolysis in the presence of arterial obstruction.

    PubMed

    De Silva, Deidre A; Churilov, Leonid; Olivot, Jean-Marc; Christensen, Soren; Lansberg, Maarten G; Mlynash, Michael; Campbell, Bruce C V; Desmond, Patricia; Straka, Matus; Bammer, Roland; Albers, Gregory W; Davis, Stephen M; Donnan, Geoffrey A

    2011-10-01

    Recanalization of arterial obstruction is associated with improved clinical outcomes. There are no controlled data demonstrating whether arterial obstruction status predicts the treatment effect of intravenous (IV) tissue plasminogen activator (tPA). We aimed to determine if the presence of arterial obstruction improves the treatment effect of IV tPA over placebo in attenuating infarct growth. We analyzed 175 ischemic stroke patients treated in the 3-6 hour time window from the Echoplanar Imaging Thrombolytic Evaluation Trial (EPITHET) trial (randomized to IV tPA or placebo) and Diffusion and perfusion imaging Evaluation For Understanding Stroke Evolution (DEFUSE) study (all treated with IV tPA). Infarct growth was calculated as the difference between baseline diffusion-weighted imaging (DWI) and final T2 lesion volumes. Baseline arterial obstruction of large intracranial arteries was graded on magnetic resonance angiography (MRA). Among the 116 patients with adequate baseline MRA and final lesion assessment, 72 had arterial obstruction (48 tPA, 24 placebo) and 44 no arterial obstruction (33 tPA, 11 placebo). Infarct growth was lower in the tPA than placebo group (median difference 26ml, 95% confidence interval [CI], 1-50) in patients with arterial obstruction, but was similar in patients with no arterial obstruction (median difference 5ml, 95%CI, -3 to 9). Infarct growth attenuation with tPA over placebo treatment was greater among patients with arterial obstruction than those without arterial obstruction by a median of 32ml (95%CI, 21-43, p < 0.001). The treatment effect of IV tPA over placebo was greater with baseline arterial obstruction, supporting arterial obstruction status as a consideration in selecting patients more likely to benefit from IV thrombolysis. Copyright © 2011 American Neurological Association.

  7. Timing Matters: Circadian Rhythm in Sepsis, Obstructive Lung Disease, Obstructive Sleep Apnea, and Cancer

    PubMed Central

    Truong, Kimberly K.; Lam, Michael T.; Grandner, Michael A.; Sassoon, Catherine S.

    2016-01-01

    Physiological and cellular functions operate in a 24-hour cyclical pattern orchestrated by an endogenous process known as the circadian rhythm. Circadian rhythms represent intrinsic oscillations of biological functions that allow for adaptation to cyclic environmental changes. Key clock genes that affect the persistence and periodicity of circadian rhythms include BMAL1/CLOCK, Period 1, Period 2, and Cryptochrome. Remarkable progress has been made in our understanding of circadian rhythms and their role in common medical conditions. A critical review of the literature supports the association between circadian misalignment and adverse health consequences in sepsis, obstructive lung disease, obstructive sleep apnea, and malignancy. Circadian misalignment plays an important role in these disease processes and can affect disease severity, treatment response, and survivorship. Normal inflammatory response to acute infections, airway resistance, upper airway collapsibility, and mitosis regulation follows a robust circadian pattern. Disruption of normal circadian rhythm at the molecular level affects severity of inflammation in sepsis, contributes to inflammatory responses in obstructive lung diseases, affects apnea length in obstructive sleep apnea, and increases risk for cancer. Chronotherapy is an underused practice of delivering therapy at optimal times to maximize efficacy and minimize toxicity. This approach has been shown to be advantageous in asthma and cancer management. In asthma, appropriate timing of medication administration improves treatment effectiveness. Properly timed chemotherapy may reduce treatment toxicities and maximize efficacy. Future research should focus on circadian rhythm disorders, role of circadian rhythm in other diseases, and modalities to restore and prevent circadian disruption. PMID:27104378

  8. Timing Matters: Circadian Rhythm in Sepsis, Obstructive Lung Disease, Obstructive Sleep Apnea, and Cancer.

    PubMed

    Truong, Kimberly K; Lam, Michael T; Grandner, Michael A; Sassoon, Catherine S; Malhotra, Atul

    2016-07-01

    Physiological and cellular functions operate in a 24-hour cyclical pattern orchestrated by an endogenous process known as the circadian rhythm. Circadian rhythms represent intrinsic oscillations of biological functions that allow for adaptation to cyclic environmental changes. Key clock genes that affect the persistence and periodicity of circadian rhythms include BMAL1/CLOCK, Period 1, Period 2, and Cryptochrome. Remarkable progress has been made in our understanding of circadian rhythms and their role in common medical conditions. A critical review of the literature supports the association between circadian misalignment and adverse health consequences in sepsis, obstructive lung disease, obstructive sleep apnea, and malignancy. Circadian misalignment plays an important role in these disease processes and can affect disease severity, treatment response, and survivorship. Normal inflammatory response to acute infections, airway resistance, upper airway collapsibility, and mitosis regulation follows a robust circadian pattern. Disruption of normal circadian rhythm at the molecular level affects severity of inflammation in sepsis, contributes to inflammatory responses in obstructive lung diseases, affects apnea length in obstructive sleep apnea, and increases risk for cancer. Chronotherapy is an underused practice of delivering therapy at optimal times to maximize efficacy and minimize toxicity. This approach has been shown to be advantageous in asthma and cancer management. In asthma, appropriate timing of medication administration improves treatment effectiveness. Properly timed chemotherapy may reduce treatment toxicities and maximize efficacy. Future research should focus on circadian rhythm disorders, role of circadian rhythm in other diseases, and modalities to restore and prevent circadian disruption.

  9. Usefulness of Ultrasonography and Cortical Transit Time to Differentiate Nonobstructive From Obstructive Dilatation in the Management of Prenatally Detected Pelvic Ureteric Junction Like Obstruction.

    PubMed

    Sharma, Gyanendra; Sharma, Anshu

    2017-12-01

    To differentiate a nonobstructive dilatation from an obstructive dilatation in prenatally detected presumed pelvi-ureteric junction obstruction so that intervention can be planned before irreversible damage can occur to the renal unit. From January 2012 to December 2016, all patients with prenatally detected or asymptomatic incidentally detected presumed pelvi-ureteric junction obstruction were evaluated by ultrasonography and renogram. The anteroposterior diameter of the renal pelvis was measured in supine and prone position. Presence of calyceal dilatation in prone position was noted. They were categorized into obstructed, nonobstructed, and equivocal groups based on sonography findings. The differential renal function and the cortical transit time (CTT) was calculated and compared with the sonography groups. Of the 98 patients, 72 were in the obstructed, 18 were in the nonobstructed, and 8 were in the equivocal category. All except 1 in the nonobstructed category had a function of >40% with CTT of <3 minutes. Seventy patients in the obstructed category had a CTT of >3 minutes, whereas 61 had function <40% on initial evaluation. Eleven patients in the obstructed category with an initial function of >40% had CTT of >3 minutes. All of them showed increasing hydronephrosis and deterioration of function during follow-up, necessitating pyeloplasty. All patients in the equivocal group had function >40% and CTT <3 minutes. Ultrasonography along with CTT can help to differentiate nonobstructive from obstructive dilatation. Copyright © 2017 Elsevier Inc. All rights reserved.

  10. Subtotal obstruction of the male reproductive tract.

    PubMed

    Dohle, G R; van Roijen, J H; Pierik, F H; Vreeburg, J T M; Weber, R F A

    2003-03-01

    Bilateral obstruction of the male reproductive tract is suspected in men with azoospermia, normal testicular volume and normal FSH. A testicular biopsy is required to differentiate between an obstruction and a testicular insufficiency. Unilateral or subtotal bilateral obstructions and epididymal dysfunction may cause severe oligozoospermia in men with a normal spermatogenesis. However, information on spermatogenesis in oligozoospermic men is lacking, since testicular biopsy is not routinely performed. Men with a sperm concentration of <1 x 10(6) spermatozoa/ml were investigated for possible partial obstruction by performing a testicular biopsy under local anaesthesia. Spermatogenesis was determined by the Johnsen scoring method. A testicular biopsy was performed in 78 men with severe oligozoospermia. The medical history showed male accessory gland infection in 12.8%, previous hernia repair in 14.1% and a history of cryptorchidism in 12.8%. A normal or slightly disturbed spermatogenesis (Johnsen score >8) was present in 39/78 (50%) of the men. Hernia repair occurred more often in men with normal spermatogenesis. A varicocele was predominantly seen in men with a disturbed spermatogenesis. FSH was significantly lower ( P<0.0001) in men with normal spermatogenesis. Subtotal obstruction of the male reproductive tract is a frequent cause of severe oligozoospermia in men with a normal testicular volume and a normal FSH. In other cases, an epididymal dysfunction might explain the oligozoospermia in men with a normal testicular biopsy score.

  11. A chaotic micromixer using obstruction-pairs

    NASA Astrophysics Data System (ADS)

    Park, Jang Min; Duck Seo, Kyoung; Kwon, Tai Hun

    2010-01-01

    A micromixer is one of the most important components for a chemical and/or diagnostic analysis in microfluidic devices such as a micro-total-analysis-system and a lab-on-a-chip. In this paper, a novel chaotic micromixer is developed in a simple design by introducing obstruction-pairs on the bottom of a microchannel. An obstruction-pair, which is composed of two hexahedron blocks arranged in an asymmetric manner, can induce a rotational flow along the down-channel direction due to the anisotropy of flow resistance. By utilizing this characteristic of the obstruction-pair, four mixing units are designed in such a way that three obstruction-pairs induce three rotational flows which result in a down-welling and a hyperbolic point in the channel cross-section. There can be a variety of micromixer geometries by arranging the mixing units in various sequences along the microchannel, and their mixing performances will differ from each other due to different flow characteristics. In this regard, numerical investigations are carried out to predict and characterize the mixing performances of various micromixers. Also experimental verifications are carried out by a flow visualization technique using phenolphthalein and sodium hydroxide solutions in a polydimethylsiloxane-based micromixer.

  12. Analysis of electrocardiogram in chronic obstructive pulmonary disease patients.

    PubMed

    Lazović, Biljana; Svenda, Mirjana Zlatković; Mazić, Sanja; Stajić, Zoran; Delić, Marina

    2013-01-01

    Chronic obstructive pulmonary disease is the fourth leading cause of mortality worldwide. It is defined as a persistent airflow limitation usually progressive and not fully reversible to treatment. The diagnosis of chronic obstructive pulmonary disease and severity of disease is confirmed by spirometry. Chronic obstructive pulmonary disease produces electrical changes in the heart which shows characteristic electrocardiogram pattern. The aim of this study was to observe and evaluate diagnostic values of electrocardiogram changes in chronic obstructive pulmonary disease patients with no other comorbidity. We analyzed 110 electrocardiogram findings in clinically stable chronic obstructive pulmonary disease patients and evaluated the forced expiratory volume in the first second, ratio of forces expiratory volume in the first second to the fixed vital capacity, chest radiographs and electrocardiogram changes such as p wave height, QRS axis and voltage, right bundle branch block, left bundle branch block, right ventricular hypertrophy, T wave inversion in leads V1-V3, S1S2S3 syndrome, transition zone in praecordial lead and QT interval. We found electrocardiogram changes in 64% patients, while 36% had normal electrocardiogram. The most frequent electrocardiogram changes observed were transition zone (76.36%) low QRS (50%) and p pulmonale (14.54%). Left axis deviation was observed in 27.27% patients. Diagnostic values of electrocardiogram in patients with chronic obstructive pulmonary disease suggest that chronic obstructive pulmonary disease patients should be screened electrocardiographically in addition to other clinical investigations.

  13. Video Altimeter and Obstruction Detector for an Aircraft

    NASA Technical Reports Server (NTRS)

    Delgado, Frank J.; Abernathy, Michael F.; White, Janis; Dolson, William R.

    2013-01-01

    Video-based altimetric and obstruction detection systems for aircraft have been partially developed. The hardware of a system of this type includes a downward-looking video camera, a video digitizer, a Global Positioning System receiver or other means of measuring the aircraft velocity relative to the ground, a gyroscope based or other attitude-determination subsystem, and a computer running altimetric and/or obstruction-detection software. From the digitized video data, the altimetric software computes the pixel velocity in an appropriate part of the video image and the corresponding angular relative motion of the ground within the field of view of the camera. Then by use of trigonometric relationships among the aircraft velocity, the attitude of the camera, the angular relative motion, and the altitude, the software computes the altitude. The obstruction-detection software performs somewhat similar calculations as part of a larger task in which it uses the pixel velocity data from the entire video image to compute a depth map, which can be correlated with a terrain map, showing locations of potential obstructions. The depth map can be used as real-time hazard display and/or to update an obstruction database.

  14. Migrating gallstone: from Bouveret's syndrome to distal small bowel obstruction.

    PubMed

    Yau, Kwok-Kay; Siu, Wing-Tai; Tsui, Ka-Kin

    2006-06-01

    Gallstone ileus is an uncommon cause of small bowel obstruction. When the gallstone lodges inside the duodenum and causes gastric outlet obstruction, it is termed Bouveret's syndrome. However, it is rather unusual to seen the evolution of a migrating gallstone (from duodenum to distal small bowel) in a patient during the same hospital admission. We report a case of gallstone ileus from the initial presentation of gastric outlet obstruction to the development of distal small bowel obstruction within the same hospital admission, and its total laparoscopic treatment.

  15. The Effect of Slipstream Obstructions on Air Propellers

    NASA Technical Reports Server (NTRS)

    Lesley, E P; Woods, B M

    1924-01-01

    The screw propeller on airplanes is usually placed near other objects, and hence its performance may be modified by them. Results of tests on propellers free from slip stream obstructions, both fore and aft, are therefore subject to correction, for the effect of such obstructions and the purpose of the investigation was to determine the effect upon the thrust and torque coefficients and efficiency, for previously tested air propellers, of obstructions placed in the slip stream, it being realized that such previous tests had been conducted under somewhat ideal conditions that are impracticable of realization in flight. Simple geometrical forms were used for the initial investigation. Such forms offered the advantage of easy, exact reproduction at another time or in other laboratories, and it was believed that the effects of obstructions usually encountered might be deduced or surmise from those chosen.

  16. 33 CFR 67.25-5 - Obstruction lights.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... NAVIGATION AIDS TO NAVIGATION ON ARTIFICIAL ISLANDS AND FIXED STRUCTURES Class âBâ Requirements § 67.25-5 Obstruction lights. (a) The obstruction lights shall be white lights as prescribed in Subpart 67.05 of this part and shall be of sufficient candlepower as to be visible at a distance of at least three nautical...

  17. 33 CFR 67.25-5 - Obstruction lights.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... NAVIGATION AIDS TO NAVIGATION ON ARTIFICIAL ISLANDS AND FIXED STRUCTURES Class âBâ Requirements § 67.25-5 Obstruction lights. (a) The obstruction lights shall be white lights as prescribed in Subpart 67.05 of this part and shall be of sufficient candlepower as to be visible at a distance of at least three nautical...

  18. Obstructive sleep apnea - adults

    MedlinePlus

    ... SM. Obstructive sleep apnea: clinical features, evaluation, and principles of management. In: Kryger M, Roth T, Dement WC, eds. Principles and Practice of Sleep Medicine . 6th ed. Philadelphia, ...

  19. Sharp metric obstructions for quasi-Einstein metrics

    NASA Astrophysics Data System (ADS)

    Case, Jeffrey S.

    2013-02-01

    Using the tractor calculus to study smooth metric measure spaces, we adapt results of Gover and Nurowski to give sharp metric obstructions to the existence of quasi-Einstein metrics on suitably generic manifolds. We do this by introducing an analogue of the Weyl tractor W to the setting of smooth metric measure spaces. The obstructions we obtain can be realized as tensorial invariants which are polynomial in the Riemann curvature tensor and its divergence. By taking suitable limits of their tensorial forms, we then find obstructions to the existence of static potentials, generalizing to higher dimensions a result of Bartnik and Tod, and to the existence of potentials for gradient Ricci solitons.

  20. Obstructive sleep apnea syndrome and growth failure.

    PubMed

    Esteller, E; Villatoro, J C; Agüero, A; Lopez, R; Matiñó, E; Argemi, J; Girabent-Farrés, M

    2018-05-01

    Obstructive sleep apnea syndrome is a common problem among children and is recognized as a cause of significant medical morbidity. Since the 1980s, it has been suggested that obstructive sleep apnea syndrome is a risk factor for growth failure in children. In many cases, it has been shown that growth failure is reversible once the obstructive sleep apnea syndrome is resolved. The objectives of this study were to analyze and compare growth failure prevalence in a Mediterranean population of children with obstructive sleep apnea syndrome and healthy children matched in age and sex, and to assess the effectiveness of tonsillectomy and adenoidectomy in resolving growth retardation. We compared 172 children with obstructive sleep apnea syndrome (apnea-hypopnea index ≥ 3) who had undergone tonsillectomy and adenoidectomy with 172 healthy controls in terms of key anthropometric parameters. Most of the criteria used for growth failure were higher to a statistically significant degree in the study group vs the control group: height-for-age ≤ 3rd percentile (7.56% vs 2.91%; p = 0.044), weight-for-age ≤ 5th percentile (9.30% vs 2.33%; p = 0.005), weight-for-age ≤ 3rd percentile (8.14% vs 2.33%; p = 0.013) and height and/or weight for-age ≤ 5th percentile (13.95% vs 5.81%; p = 0.009). The height-for-age ≤ 5th percentile was almost at the limit of statistical significance (8.72% for the study group vs 4.65% for the control group; p = 0.097). At one-year post-surgery follow-up, 10 of 15 children with height-for-age ≤ 5th percentile had achieved catch-up growth (66.6%), and 14 of 24 children with height- and/or weight-for-age ≤ 5th percentile had normalized growth (58.33%). For children with failure to thrive or who have growth failure, physicians should consider the possibility of obstructive sleep apnea. A significant number of children with obstructive sleep apnea concurrent with growth failure could benefit from

  1. Positive predictive value of cholescintigraphy in common bile duct obstruction

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Lecklitner, M.L.; Austin, A.R.; Benedetto, A.R.

    1986-09-01

    Technetium-99m DISIDA imaging was employed in 400 patients to differentiate obstruction of the common bile duct from medical and other surgical causes of hyperbilirubinemia. Sequential anterior images demonstrated variable degrees of liver uptake, yet there was no evidence of intrabiliary or extrabiliary radioactivity for at least 4 hr after injection in 25 patients. Twenty-three patients were surgically documented to have complete obstruction of the common bile duct. One patient had hepatitis, and another had sickle cell crisis without bile duct obstruction. The remaining patients had either partial or no obstruction of the common bile duct. We conclude that the presencemore » of liver uptake without evident biliary excretion by 4 hr on cholescintigraphy is highly sensitive and predictive of total obstruction of the common bile duct.« less

  2. Radiological interventions in malignant biliary obstruction

    PubMed Central

    Madhusudhan, Kumble Seetharama; Gamanagatti, Shivanand; Srivastava, Deep Narayan; Gupta, Arun Kumar

    2016-01-01

    Malignant biliary obstruction is commonly caused by gall bladder carcinoma, cholangiocarcinoma and metastatic nodes. Percutaneous interventions play an important role in managing these patients. Biliary drainage, which forms the major bulk of radiological interventions, can be palliative in inoperable patients or pre-operative to improve liver function prior to surgery. Other interventions include cholecystostomy and radiofrequency ablation. We present here the indications, contraindications, technique and complications of the radiological interventions performed in patients with malignant biliary obstruction. PMID:27247718

  3. Forced oscillometry track sites of airway obstruction in bronchial asthma.

    PubMed

    Hafez, Manal Refaat; Abu-Bakr, Samiha Mohamed; Mohamed, Alyaa Abdelnaser

    2015-07-01

    Spirometry is the most commonly used method for assessment of airway function in bronchial asthma but has several limitations. Forced oscillometry was developed as a patient-friendly test that requires passive cooperation of the patient breathing normally through the mouth. To compare spirometry with forced oscillometry to assess the role of forced oscillometry in the detection of the site of airway obstruction. This case-and-control study included 50 patients with known stable asthma and 50 age- and sex-matched healthy subjects. All participants underwent spirometry (ratio of force expiration volume in 1 second to forced vital capacity, percentage predicted for forced expiration volume in 1 second, percentage predicted for forced vital capacity, percentage predicted for vital capacity, and forced expiratory flow at 25-75%) and forced oscillometry (resistance at 5, 20, and 5-20 Hz). By spirometry, all patients with asthma had airway obstruction, 8% had isolated small airway obstruction, 10% had isolated large airway obstruction, and 82% had large and small airway obstruction. By forced oscillometry, 12% had normal airway resistance, 50% had isolated small airway obstruction with frequency-dependent resistance, and 38% had large and small airway obstruction with frequency-independent resistance. There was significant difference between techniques for the detection of the site of airway obstruction (P = .012). Forced oscillometry indices were negatively correlated with spirometric indices (P < .01). Forced oscillometry as an effortless test, conducted during quiet tidal breathing, and does not alter airway caliber; thus, it can detect normal airway function better than spirometry in patients with asthma. Forced oscillometry detects isolated small airway obstruction better than spirometry in bronchial asthma. Copyright © 2015 American College of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

  4. Bowel obstruction: Differential diagnosis and clinical management

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Welch, J.P.

    1987-01-01

    This book presents a practical guide to the diagnosis and management of obstruction, both mechanical and organic, of the large and small bowel. Obstruction is a common problem for surgeons, and this text emphasizes differential diagnosis and the use of all radiologic modalities. It presents the surgical and medical considerations involved with gallstones, bezoars, parasites, tumors, inflammation, trauma, intussusception, more.

  5. Giant colonic volvulus due to colonic pseudo-obstruction

    PubMed Central

    Karaman, Kerem; Tanoglu, Alpaslan; Beyazit, Yavuz; Han, Ismet

    2015-01-01

    Acute colonic pseudo-obstruction (ACPO), also known as Ogilvie’s syndrome, is a clinical syndrome characterised by gross dilation of the caecum and right hemicolon, which sometimes extends to the sigmoid colon and rectum in the absence of an anatomic lesion in the intestinal lumen. It is characterised by impaired propulsion of contents of the gastrointestinal tract, which results in a clinical picture of intestinal obstruction. A careful examination of the markedly distended colon can exclude several colonic pathologies, including mechanical obstruction and other causes of toxic megacolon. ACPO can sometimes predispose or mimic colonic volvulus, especially in geriatric patients. PMID:25716038

  6. A Case of Polyarteritis Nodosa with Bilateral Ureteral Obstruction

    PubMed Central

    Yoo, Bin; Kim, Hong Kyu; Choi, Seung Won; Moon, Hee Bom

    1996-01-01

    We report a case of bilateral ureteral obstruction most likely caused by polyarteritis nodosa. The diagnosis was based upon muscle biopsy which showed typical necrotizing vasculitis in medium size artery in conjunction with microaneurysms in renal angiography. Ureteral obstruction is a rare manifestation of polyarteritis nodosa. This condition is thought to result from vasculitis of periureteral vessels. The patient was managed with prednisolone alone, which resulted in complete resolution of ureteral obstruction on both sides. PMID:8854655

  7. Airway Obstruction Among Latino Poultry Processing Workers in North Carolina

    PubMed Central

    MIRABELLI, MARIA C.; CHATTERJEE, ARJUN B.; MORA, DANA C.; ARCURY, THOMAS A.; BLOCKER, JILL N.; CHEN, HAIYING; GRZYWACZ, JOSEPH G.; MARÍN, ANTONIO J.; SCHULZ, MARK R.; QUANDT, SARA A.

    2015-01-01

    This analysis was conducted to evaluate the prevalence of airway obstruction among Latino poultry processing workers. Data were collected from 279 poultry processing workers and 222 other manual laborers via spirometry and interviewer-administered questionnaires. Participants employed in poultry processing reported the activities they perform at work. Participants with forced expiratory volume in 1 second (FEV1) or FEV1/forced expiratory volume (FVC) below the lower limits of normal were categorized as having airway obstruction. Airway obstruction was identified in 13% of poultry processing workers and 12% of the comparison population. Among poultry processing workers, the highest prevalence of airway obstruction (21%) occurred among workers deboning chickens (prevalence ratio: 1.75; 95% confidence interval: 0.97, 3.15). These findings identify variations in the prevalence of airway obstruction across categories of work activities. PMID:24965321

  8. Chronic Obstructive Pulmonary Disease: Diagnosis and Management.

    PubMed

    Gentry, Shari; Gentry, Barry

    2017-04-01

    The diagnosis of chronic obstructive pulmonary disease (COPD) should be suspected in patients with risk factors (primarily a history of smoking) who report dyspnea at rest or with exertion, chronic cough with or without sputum production, or a history of wheezing. COPD may be suspected based on findings from the history and physical examination, but must be confirmed by spirometry to detect airflow obstruction. Findings that are most helpful to rule in COPD include a smoking history of more than 40 pack-years, a self-reported history of COPD, maximal laryngeal height, and age older than 45 years. The combination of three clinical variables-peak flow rate less than 350 L per minute, diminished breath sounds, and a smoking history of 30 pack-years or more-is another good clinical predictor, whereas the absence of all three of these signs essentially rules out airflow obstruction. Pharmacotherapy and smoking cessation are the mainstays of treatment, and pulmonary rehabilitation, long-term oxygen therapy, and surgery may be considered in select patients. Current guidelines recommend starting monotherapy with an inhaled bronchodilator, stepping up to combination therapy as needed, and/or adding inhaled corticosteroids as symptom severity and airflow obstruction progress.

  9. Probing of congenital nasolacrimal duct obstruction with dacryoendoscope

    PubMed Central

    Kato, Kumiko; Matsunaga, Koichi; Takashima, Yuko; Kondo, Mineo

    2014-01-01

    Background A congenital nasolacrimal duct obstruction (CNLDO) is a relatively common disease in infants. We evaluated the results of probing three patients with CNLDO, under direct view, with a dacryoendoscope. Methods Three cases of CNLDO were examined and treated by probing with a dacryoendoscope, under intravenous anesthesia. The diameter of the dacryoendoscope probe was 0.7 mm, and we were able to observe the inner walls of the lacrimal duct and able to guide the probe through the duct. Results In all cases, the site of obstruction was detected, and the probe was used to remove the obstruction. At 2 weeks after the removal of the obstruction, there was no epiphora or mucopurulent discharge in any of the cases. No complications were detected intra- and postoperatively. Conclusion Although only three cases were studied, we believe that probing with a dacryoendoscope is a safe and effective method of treating a CNLDO. More cases need to be studied. PMID:24876765

  10. A Computational Study of the Respiratory Airflow Characteristics in Normal and Obstructed Human Airways

    DTIC Science & Technology

    2014-01-01

    normal and three different obstructed airway geometries, consisting of symmetric, asym- metric, and random obstructions. Fig. 2 shows the geometric ...normal and obstructed airways Airway resistance is a measure of the opposition to the airflow caused by geometric properties, such as airway obstruction...pressure drops. Resistance values were dependent on the degree and geometric distribution of the obstruction sites. In the symmetric obstruction model

  11. Caecal volvulus in a patient with chronic intestinal pseudo-obstruction

    PubMed Central

    El-Khatib, C

    2011-01-01

    Chronic intestinal pseudo-obstruction (CIPO) is a rare disorder characterised by recurrent symptoms and signs of intestinal obstruction without an underlying mechanical cause. Caecal volvulus remains a rare cause of intestinal obstruction that often requires operative intervention. We describe the previously unreported case of caecal volvulus occurring in an adult patient with CIPO, together with his subsequent management. PMID:22004621

  12. Murine model of long term obstructive jaundice

    PubMed Central

    Aoki, Hiroaki; Aoki, Masayo; Yang, Jing; Katsuta, Eriko; Mukhopadhyay, Partha; Ramanathan, Rajesh; Woelfel, Ingrid A.; Wang, Xuan; Spiegel, Sarah; Zhou, Huiping; Takabe, Kazuaki

    2016-01-01

    Background With the recent emergence of conjugated bile acids as signaling molecules in cancer, a murine model of obstructive jaundice by cholestasis with long-term survival is in need. Here, we investigated the characteristics of 3 murine models of obstructive jaundice. Methods C57BL/6J mice were used for total ligation of the common bile duct (tCL), partial common bile duct ligation (pCL), and ligation of left and median hepatic bile duct with gallbladder removal (LMHL) models. Survival was assessed by Kaplan-Meier method. Fibrotic change was determined by Masson-Trichrome staining and Collagen expression. Results 70% (7/10) of tCL mice died by Day 7, whereas majority 67% (10/15) of pCL mice survived with loss of jaundice. 19% (3/16) of LMHL mice died; however, jaundice continued beyond Day 14, with survival of more than a month. Compensatory enlargement of the right lobe was observed in both pCL and LMHL models. The pCL model demonstrated acute inflammation due to obstructive jaundice 3 days after ligation but jaundice rapidly decreased by Day 7. The LHML group developed portal hypertension as well as severe fibrosis by Day 14 in addition to prolonged jaundice. Conclusion The standard tCL model is too unstable with high mortality for long-term studies. pCL may be an appropriate model for acute inflammation with obstructive jaundice but long term survivors are no longer jaundiced. The LHML model was identified to be the most feasible model to study the effect of long-term obstructive jaundice. PMID:27916350

  13. Characterization Of Ocean Wind Vector Retrievals Using ERS-2 High-Resolution Long-Term Dataset And Buoy Measurements

    NASA Astrophysics Data System (ADS)

    Polverari, F.; Talone, M.; Crapolicchio, R. Levy, G.; Marzano, F.

    2013-12-01

    The European Remote-sensing Satellite (ERS)-2 scatterometer provides wind retrievals over Ocean. To satisfy the needs of high quality and homogeneous set of scatterometer measurements, the European Space Agency (ESA) has developed the project Advanced Scatterometer Processing System (ASPS) with which a long-term dataset of new ERS-2 wind products, with an enhanced resolution of 25km square, has been generated by the reprocessing of the entire ERS mission. This paper presents the main results of the validation work of such new dataset using in situ measurements provided by the Prediction and Research Moored Array in the Tropical Atlantic (PIRATA). The comparison indicates that, on average, the scatterometer data agree well with buoys measurements, however the scatterometer tends to overestimates lower winds and underestimates higher winds.

  14. Obstructive sleep apnea due to extrathoracic tracheomalacia.

    PubMed

    Muzumdar, Hiren; Nandalike, K; Bent, J; Arens, Raanan

    2013-02-01

    We report obstructive sleep apnea in a 3-year-old boy with tracheomalacia secondary to tracheotomy that resolved after placement of a metallic stent in the region of tracheomalacia. The tracheal location of obstruction during sleep in this case contrasts with the usual location in the pharynx or, less often, the larynx. This case also demonstrates the utility of polysomnography in managing decannulation of tracheostomies.

  15. Congenital ureteropelvic junction obstruction: physiopathology, decoupling of tout court pelvic dilatation-obstruction semantic connection, biomarkers to predict renal damage evolution.

    PubMed

    Alberti, C

    2012-02-01

    The widespread use of fetal ultrasonography results in a frequent antenatally observation of hydronephrosis, ureteropelvic junction obstruction (UPJO) accounting for the greatest fraction of congenital obstructive nephropathy. UPJO may be considered, in most cases, as a functional obstructive condition, depending on defective fetal smooth muscle/nerve development at this level, with lack of peristaltic wave propagation--aperistaltic segment--and, therefore, poor urine ejection from the renal pelvis into the ureter. The UPJO-related physiopathologic events are, at first, the compliant dilatation of renal pelvis that, acting as hydraulic buffer, protects the renal parenchyma from the rising intrapelvic pressure-related potential damages, and, subsequently, beyond such phase of dynamic balance, the tubular cell stretch-stress induced by increased intratubular pressure and following parenchymal inflammatory lesions: inflammatory infiltrates, fibroblast proliferation, activation of myofibroblasts, tubulo-interstitial fibrosis. Reactive oxygen species (ROS), nitric oxide (NO), several chemo- and cytokines, growth factors, prostaglandins and eicosanoids, angiotensin-II are the main pathogenetic mediators of the obstructive nephropathy. Apoptosis of tubular cells is the major cause of the tubular atrophy, together with epithelial-mesenchymal transdifferentiation. Some criticisms on tout court semantic renal pelvis dilatation-obstruction connection have been raised considering that the renal pelvis expansion isn't, in any case, linked to an ostructive condition, as it may be verified by diuretic (furosemide) renogram together with scintiscan-based evaluation of differential renal function. In this regard, rather than repetitive invasive nuclear procedures that expose the children to ionizing radiations, an intriguing noninvasive strategy, based on the evaluation of urinary biomarkers and urinary proteome, can define the UPJO-related possible progress of parenchymal lesions

  16. The Contribution of Small Airway Obstruction to the Pathogenesis of Chronic Obstructive Pulmonary Disease.

    PubMed

    Hogg, James C; Paré, Peter D; Hackett, Tillie-Louise

    2017-04-01

    The hypothesis that the small conducting airways were the major site of obstruction to airflow in normal lungs was introduced by Rohrer in 1915 and prevailed until Weibel introduced a quantitative method of studying lung anatomy in 1963. Green repeated Rohrer's calculations using Weibels new data in 1965 and found that the smaller conducting airways offered very little resistance to airflow. This conflict was resolved by seminal experiments conducted by Macklem and Mead in 1967, which confirmed that a small proportion of the total lower airways resistance is attributable to small airways <2 mm in diameter. Shortly thereafter, Hogg, Macklem, and Thurlbeck used this technique to show that small airways become the major site of obstruction in lungs affected by emphysema. These and other observations led Mead to write a seminal editorial in 1970 that postulated the small airways are a silent zone within normal lungs where disease can accumulate over many years without being noticed. This review provides a progress report since the 1970s on methods for detecting chronic obstructive pulmonary disease, the structural nature of small airways' disease, and the cellular and molecular mechanisms that are thought to underlie its pathogenesis. Copyright © 2017 the American Physiological Society.

  17. Exposure to PM10 as a risk factor for the development of nasal obstruction and chronic obstructive pulmonary disease

    PubMed Central

    Sichletidis, Lazaros; Spyratos, Dionisios; Tsiotsios, Anastasios; Haidich, Anna-Bettina; Chloros, Diamantis; Ganidis, Ioannis; Michailidis, Dimitrios; Triantafyllou, Georgios; Kottakis, George; Melas, Dimitrios

    2014-01-01

    Objectives: To investigate whether air pollution is a potential risk factor for airways obstruction. Methods: A prospective cohort study (11.3±2.9 years) that took place in two areas (Eordea where concentration of PM10 was high and Grevena, Greece). We used the MRC questionnaire, spirometry, and anterior rhinomanometry at both visits. Results: Initially we examined 3046 subjects. After excluding chronic obstructive pulmonary disease (COPD) patients, we re-examined 872 subjects and 168 of them had developed COPD (Grevena: 24.3%, Eordea: 18.5%). Multivariable logistic regression analysis showed that the area of residence and thus exposure to air pollution was not a risk factor for the development of COPD (OR: 0.51, 95% CI: 0.18–1.46, P = 0.21). On the other hand, residence in Eordea was strongly related to the development of severe nasal obstruction (OR: 11.47, 95% CI: 6.15–21.40, P<0.001). Similar results were found after excluding patients with COPD stage I as well as in the subgroup of never smokers. Conclusion: Air pollution was associated with severe nasal obstruction but not with COPD development. PMID:24804336

  18. Using the Pathophysiology of Obstructive Sleep Apnea to Teach Cardiopulmonary Integration

    ERIC Educational Resources Information Center

    Levitzky, Michael G.

    2008-01-01

    Obstructive sleep apnea (OSA) is a common disorder of upper airway obstruction during sleep. The effects of intermittent upper airway obstruction include alveolar hypoventilation, altered arterial blood gases and acid-base status, and stimulation of the arterial chemoreceptors, which leads to frequent arousals. These arousals disturb sleep…

  19. Airway obstruction in children with infectious mononucleosis.

    PubMed

    Wohl, D L; Isaacson, J E

    1995-09-01

    Epstein-Barr Virus (EBV) infection generally has a benign clinical course. Upper airway obstruction is a known complication requiring the otolaryngologist's attention. EBV is usually associated with adolescence but has been increasingly documented in younger children. We review 36 pediatric admissions for infectious mononucleosis over a 12-year period at our institution, 11 of which required consultation for airway obstruction. Airway management was based on clinical severity and ranged from monitored observation, with or without nasopharyngeal stenting, to prolonged intubation or emergent tonsilloadenoidectomy. A rare case of a four-year-old with near total upper airway obstruction secondary to panpharyngeal and transglottic inflammatory edema prompted this review and is reported. The otolaryngologist must recognize the potential severity of EBV-related airway compromise and be prepared to manage it.

  20. Obstructive sleep apnoea syndrome in patients with primary open-angle glaucoma.

    PubMed

    Balbay, Ege G; Balbay, Oner; Annakkaya, Ali N; Suner, Kezban O; Yuksel, Harun; Tunç, Murat; Arbak, Peri

    2014-10-01

    To investigate the prevalence of obstructive sleep apnoea syndrome in patients with primary open-angle glaucoma. Case series. School of Medicine, Düzce University, Turkey. Twenty-one consecutive primary open-angle glaucoma patients (12 females and 9 males) who attended the out-patient clinic of the Department of Ophthalmology between July 2007 and February 2008 were included in this study. All patients underwent polysomnographic examination. The prevalence of obstructive sleep apnoea syndrome was 33.3% in patients with primary open-angle glaucoma; the severity of the condition was mild in 14.3% and moderate in 19.0% of the subjects. The age (P=0.047) and neck circumference (P=0.024) in patients with obstructive sleep apnoea syndrome were significantly greater than those without the syndrome. Triceps skinfold thickness in glaucomatous obstructive sleep apnoea syndrome patients reached near significance versus those without the syndrome (P=0.078). Snoring was observed in all glaucoma cases with obstructive sleep apnoea syndrome. The intra-ocular pressure of patients with primary open-angle glaucoma with obstructive sleep apnoea syndrome was significantly lower than those without obstructive sleep apnoea syndrome (P=0.006 and P=0.035 for the right and left eyes, respectively). There was no significant difference in the cup/disc ratio and visual acuity, except visual field defect, between primary open-angle glaucoma patients with and without obstructive sleep apnoea syndrome. Although it does not provide evidence for a cause-effect relationship, high prevalence of obstructive sleep apnoea syndrome in patients with primary open-angle glaucoma in this study suggests the need to explore the long-term results of coincidence, relationship, and cross-interaction of these two common disorders.

  1. Hypertension, Snoring, and Obstructive Sleep Apnea During Pregnancy: A Cohort Study

    PubMed Central

    O’Brien, Louise M.; Bullough, Alexandra S.; Chames, Mark C.; Shelgikar, Anita V.; Armitage, Roseanne; Guilleminualt, Christian; Sullivan, Colin E.; Johnson, Timothy R. B.; Chervin, Ronald D.

    2014-01-01

    Objective To assess the frequency of obstructive sleep apnea among women with and without hypertensive disorders of pregnancy. Design Cohort study. Setting Obstetric clinics at an academic medical center. Population Pregnant women with hypertensive disorders (chronic hypertension, gestational hypertension, or pre-eclampsia) and normotensive women. Methods Women completed a questionnaire about habitual snoring and underwent overnight ambulatory polysomnography. Main Outcome Measures The presence and severity of obstructive sleep apnea. Results Obstructive sleep apnoea was found among 21 of 51 women with hypertensive disorders (41%), but in only three of 16 women who were normotensive (19%, chi-square test, P = 0.005). Non-snoring hypertensive women typically had mild obstructive sleep apnea but >25% of snoring hypertensive women had moderate-to-severe obstructive sleep apnea. Among the hypertensive women, the mean apnea/hypopnea index was substantially higher in snorers than non-snorers (19.9±34.1 vs. 3.4±3.1, p=0.013) and the oxyhemoglobin saturation nadir was significantly lower (86.4±6.6 vs. 90.2±3.5, p=0.021). Among hypertensive women, after stratification by obesity the pooled relative risk for obstructive sleep apnea in snoring women with hypertension compared to non-snoring hypertension was 2.0 [95%CI 1.4–2.8]. Conclusions Pregnant women with hypertension are at high risk for unrecognised obstructive sleep apnea. While longitudinal and intervention studies are urgently needed, it would seem pertinent given the known relationship between obstructive sleep apnea and hypertension in the general population, that hypertensive pregnant women who snore should be tested for obstructive sleep apnea, a condition believed to cause or promote hypertension. PMID:24888772

  2. Design of multi-modal obstruction to control tonal fan noise using modulation principles

    NASA Astrophysics Data System (ADS)

    Gérard, Anthony; Moreau, Stéphane; Berry, Alain; Masson, Patrice

    2015-11-01

    The approach presented in this paper uses a combination of obstructions in the upstream flow of subsonic axial fans with B blades to destructively interfere with the primary tonal noise at the blade passage frequency. The first step of the proposed experimental method consists in identifying the independent radiation of B - 1 and B lobed obstructions at the control microphones. During this identification step, rotating obstructions allow for the frequencies of primary and secondary tonal noise to be slightly shifted in the spectrum due to modulation principles. The magnitude of the secondary tonal noise generated by each obstruction can be adjusted by varying the size of the lobes of the obstruction, and the phase of the secondary tonal noise is related to the angular position of the obstruction. The control obstructions are then optimized by combining the B - 1 and B lobed obstructions to significantly reduce the acoustic power at blade passage frequency.

  3. Utility of CT in the diagnosis and management of small-bowel obstruction in children.

    PubMed

    Wang, Qiuyan; Chavhan, Govind B; Babyn, Paul S; Tomlinson, George; Langer, Jacob C

    2012-12-01

    CT is often used in the diagnosis and management of small-bowel obstruction in children. To determine sensitivity of CT in delineating presence, site and cause of small-bowel obstruction in children. We retrospectively reviewed the CT scans of 47 children with surgically proven small-bowel obstruction. We noted any findings of obstruction and the site and cause of obstruction. Presence, absence or equivocal findings of bowel obstruction on abdominal radiographs performed prior to CT were also noted. We reviewed patient charts for clinical details and surgical findings, including bowel resection. Statistical analysis was performed using Fisher exact test to determine which CT findings might predict bowel resection. CT correctly diagnosed small-bowel obstruction in 43/47 (91.5%) cases. CT correctly indicated site of obstruction in 37/47 (78.7%) cases and cause of obstruction in 32/47 (68.1%) cases. Small-bowel feces sign was significantly associated with bowel resection at surgery (P = 0.0091). No other CT finding was predictive of bowel resection. Out of 41 children who had abdominal radiographs before CT, 29 (70.7%) showed unequivocal obstruction, six (14.6%) showed equivocal findings and six (14.6%) were unremarkable. CT is highly sensitive in diagnosing small-bowel obstruction in children and is helpful in determining the presence of small-bowel obstruction in many clinically suspected cases with equivocal or normal plain radiographs. CT also helps to determine the site and cause of the obstruction with good sensitivity.

  4. Eucapnic voluntary hyperventilation in diagnosing exercise-induced laryngeal obstructions.

    PubMed

    Christensen, Pernille M; Rasmussen, Niels

    2013-11-01

    Exercise-induced laryngeal obstructions (EILOs) cause exercise-related respiratory symptoms (ERRS) and are important differential diagnoses to exercise-induced asthma. The diagnostic method for EILOs includes provocation to induce the obstruction followed by a verification of the obstruction and the degree thereof. The objective of the present study was to examine if a eucapnic voluntary hyperventilation (EVH) test could induce laryngeal obstructions laryngoscopically identical in subtypes and development as seen during an exercise test. EVH and exercise testing with continuous laryngoscopy were performed during a screening of two national athletic teams (n = 67). The laryngoscopic recordings were examined for usability, abnormalities and maximal supraglottic and glottic obstruction using two currently available methods (Eilomea and CLE-score). The participants were asked questions on ERRS, and whether the symptoms experienced during each provocation matched those experienced during regular training. A total of 39 completed both tests. There were no significant differences in subtypes and development thereof, the experience of symptoms, and specificity and sensitivity between the methods. Significantly more recordings obtained during the exercise test were usable for evaluation primarily due to resilient mucus on the tip of the fiber-laryngoscope in the EVH test. Only recordings of six athletes from both provocation methods were usable for evaluation using the Eilomea method (high-quality demand). Amongst these, a linear correlation was found for the glottic obstruction. EVH tests can induce EILOs. However, the present test protocol needs adjustments to secure better visualisation of the larynx during provocation.

  5. [Severe upper airway obstruction in infectious mononucleosis: a life emergency].

    PubMed

    Salazard, B; Paut, O; Nicollas, R; Zandotti, C; Chrestian, M A; Thuret, I; Camboulives, J

    2001-09-01

    Upper airway obstruction can represent a severe, life-threatening complication of infectious mononucleosis. We report a rare case of airway obstruction in a child with infectious mononucleosis associated with herpes virus infection, and we discuss management strategy that can be proposed in such cases. A 9-year-old girl was hospitalised in intensive care unit for obstructive dyspnea during infectious mononucleosis. Despite five days of corticosteroids and tracheal intubation, persistent pharyngo-tonsillar tumefaction led us to perform a surgical adenotonsillectomy. This latter treatment allowed immediate tracheal extubation and a rapid recovery. Histology showed a herpes virus infection associated with infectious mononucleosis. Maintaining airway opening in infectious mononucleosis needs sometimes to use instrumental interventions: nasal trumpet, endotracheal intubation, even tracheostomy. Early tonsilloadenoidectomy may relieve airway obstruction and allow a rapid recovery in the most severe cases. Airway obstruction in infectious mononucleosis may be aggravated by concomitant herpes virus infection that should be searched for in this situation, in order to adapt the treatment.

  6. Paediatric obstructive sleep apnoea: is our operative management evidence-based?

    PubMed

    Pabla, L; Duffin, J; Flood, L; Blackmore, K

    2018-04-01

    Despite the plethora of publications on the subject of paediatric obstructive sleep apnoea, there seems to be wide variability in the literature and in practice, regarding recourse to surgery, the operation chosen, the benefits gained and post-operative management. This may reflect a lack of high-level evidence. A systematic review of four significant controversies in paediatric ENT was conducted from the available literature: tonsillectomy versus tonsillotomy, focusing on the evidence base for each; anaesthetic considerations in paediatric obstructive sleep apnoea surgery; the objective evidence for the benefits of surgical treatment for obstructive sleep apnoea; and the medical treatment options for residual obstructive sleep apnoea after surgical treatment. There are many gaps in the evidence base for the surgical correction of obstructive sleep apnoea. There is emerging evidence favouring subtotal tonsillectomy. There is continuing uncertainty around the prediction of the level of post-operative care that any individual child might require. The long-term benefit of surgical correction is a particularly fertile ground for further research.

  7. Endoscopic Stent Placement in the Palliation of Malignant Biliary Obstruction

    PubMed Central

    2011-01-01

    Biliary drainage with biliary stent placement is the treatment of choice for palliation in patients with malignant biliary obstruction caused by unresectable neoplasms. In such patients, the endoscopic approach can be initially used with percutaneous radiological intervention. In patients with unresectable malignant distal bile duct obstructions, endoscopic biliary drainage with biliary stent placement has now become the main and least invasive palliative modality, which has been proven to be more effective in >80% of cases with lower morbidity than surgery, and perhaps may provide a survival benefit. In patients with unresectable malignant hilar obstruction, the endoscopic approach for biliary drainage with biliary stent placement has also been considered as the treatment of choice. There is still a lack of clear consensus on the use of covered versus uncovered metal stents in malignant distal bile duct obstructions and plastic versus metal stents and unilateral versus bilateral drainage in malignant hilar obstructions. PMID:22741117

  8. ''Sandwich'' treatment for diospyrobezoar intestinal obstruction: A case report

    PubMed Central

    Zheng, Yi-Xiong; Prasoon, Pankaj; Chen, Yan; Hu, Liang; Chen, Li

    2014-01-01

    Intestinal obstruction is a common clinical entity encountered in surgical practice. The objective of this report is to corroborate an atypical scenario of intestinal obstruction in a Chinese patient and to focus on the diagnosis and treatment. A 27-year-old male presented with a history of gastric pain combined with nausea and abdominal distension that had been present for 5 d. The presence of a foreign body was detected by computed tomography and observed as an abnormal density within the stomach. A diospyrobezoar was revealed during gastroscopy, the extraction of which was prevented due to its size and firmness. An endoscopic holmium laser joined with a snare was used to fragment the obstruction, which was followed by management with a conservative “sandwich” treatment strategy involving intestinal decompression with an ileus tube and Coca-Cola lavage between endoscopic lithotripsy fragmentation procedures. This strategy resulted in the successful removal of the diospyrobezoar along with multiple small bowel obstructions. The patient was discharged after abatement of symptoms. The case presented here demonstrates the implementation of a conservative, yet successful, treatment as an alternative to conventional surgical removal of intestinal obstructions. PMID:25561823

  9. Castleman disease presenting as obstructive jaundice.

    PubMed

    Al-Salamah, Saleh M; Khan, Iftikhar A; Khalid, Kamran; Al-Shakweer, Wafaa A

    2005-01-01

    A 48-year-old Saudi male was admitted with features of obstructive jaundice. Endoscopic retrograde cholangiopancreatography showed stricture in distal common bile duct CBD. Computed tomography scan revealed lymphadenopathy along CBD and in porta hepatis. Cholangiocarcinoma, lymphoma or metastatic deposits were suspected but no definite preoperative diagnosis could be established. Laparotomy disclosed lymph node enlargement in porta hepatis and along the CBD and lesser curvature of the stomach. Triple bypass procedure was performed to relieve the obstruction. Pathological examination of the lymph nodes showed Castleman disease of hyaline vascular type.

  10. The Patient Burden of Bladder Outlet Obstruction after Prostate Cancer Treatment.

    PubMed

    Liberman, Daniel; Jarosek, Stephanie; Virnig, Beth A; Chu, Haitao; Elliott, Sean P

    2016-05-01

    Bladder outlet obstruction after prostate cancer therapy imposes a significant burden on health and quality of life in men. Our objective was to describe the burden of bladder outlet obstruction after prostate cancer therapy by detailing the type of procedures performed and how often those procedures were repeated in men with recurrent bladder outlet obstruction. Using SEER (Surveillance, Epidemiology and End Results)-Medicare linked data from 1992 to 2007 with followup through 2009 we identified 12,676 men who underwent at least 1 bladder outlet obstruction procedure after prostate cancer therapy, including external beam radiotherapy in 3,994, brachytherapy in 1,485, brachytherapy plus external beam radiotherapy in 1,847, radical prostatectomy in 4,736, radical prostatectomy plus external beam radiotherapy in 369 and cryotherapy in 245. Histogram, incidence rates and Cox proportional hazards models with repeat events analysis were done to describe the burden of repeat bladder outlet obstruction treatments stratified by prostate cancer therapy type. We describe the type of bladder outlet obstruction surgery grouped by level of invasiveness. At a median followup of 8.8 years 44.6% of men underwent 2 or more bladder outlet obstruction procedures. Compared to men who underwent radical prostatectomy those treated with brachytherapy and brachytherapy plus external beam radiotherapy were at increased adjusted risk for repeat bladder outlet obstruction treatment (HR 1.2 and 1.32, respectively, each p <0.05). After stricture incision the men treated with radical prostatectomy or radical prostatectomy plus external beam radiotherapy were most likely to undergo dilation at a rate of 34.7% to 35.0%. Stricture resection/ablation was more common after brachytherapy, external beam radiotherapy or brachytherapy plus external beam radiotherapy at a rate of 28.9% to 41.2%. Almost half of the men with bladder outlet obstruction after prostate cancer therapy undergo more than 1

  11. Danazol in the management of ureteral obstruction secondary to endometriosis

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Rivlin, M.E.; Krueger, R.P.; Wiser, W.L.

    1985-08-01

    A case is reported in which a woman was diagnosed with ureteral obstruction secondary to endometriosis after cystourethrogram, retrograde pyelogram and a renal scan. After unsuccessful treatment with danazol, a retroperitoneal ureteroneocystotomy was performed. The ureter was found to be obstructed by dense fibrous tissue that contained endometrial glands. It was concluded that danazol is unlikely to relieve endometriotic ureteric obstruction once dense fibrosis has occurred. 8 references, 2 figures.

  12. Arterially Delivered Mesenchymal Stem Cells Prevent Obstruction-Induced Renal Fibrosis

    PubMed Central

    Asanuma, Hiroshi; Vanderbrink, Brian A.; Campbell, Matthew T.; Hile, Karen L.; Zhang, Hongji; Meldrum, Daniel R.; Meldrum, Kirstan K.

    2010-01-01

    Purpose Mesenchymal stem cells (MSCs) hold promise for the treatment of renal disease. While MSCs have been shown to accelerate recovery and prevent acute renal failure in multiple disease models, the effect of MSC therapy on chronic obstruction-induced renal fibrosis has not previously been evaluated. Materials and Methods Male Sprague-Dawley rats underwent renal artery injection of vehicle or fluorescent-labeled human bone marrow-derived MSCs immediately prior to sham operation or induction of left ureteral obstruction (UUO). One or 4 weeks later, the kidneys were harvested and the renal cortex analyzed for evidence of stem cell infiltration, epithelial-mesenchymal transition (EMT) as evidenced by E-cadherin/α-smooth muscle actin (α-SMA) expression and fibroblast specific protein (FSP+) staining, renal fibrosis (collagen content, Masson’s trichrome staining), and cytokine and growth factor activity (ELISA and real time RT-PCR). Results Fluorescent-labeled MSCs were detected in the interstitium of the kidney up to 4 weeks post-obstruction. Arterially delivered MSCs significantly reduced obstruction-induced α-SMA expression, FSP+ cell accumulation, total collagen content, and tubulointerstitial fibrosis, while simultaneously preserving E-cadherin expression, suggesting that MSCs prevent obstruction-induced EMT and renal fibrosis. Exogenous MSCs reduced obstruction-induced tumor necrosis factor-α (TNF-α) levels, but did not alter transforming growth factor-β1 (TGF-β1), vascular endothelial growth factor (VEGF), interleukin-10 (IL-10), fibroblast growth factor (FGF), or hepatocyte growth factor (HGF) expression. Conclusions Human bone marrow-derived MSCs remain viable several weeks after delivery into the kidney and provide protection against obstruction-induced EMT and chronic renal fibrosis. While the mechanism of MSCs-induced renal protection during obstruction remains unclear, our results demonstrate that alterations in TNF-α production may be involved

  13. Murine model of long-term obstructive jaundice.

    PubMed

    Aoki, Hiroaki; Aoki, Masayo; Yang, Jing; Katsuta, Eriko; Mukhopadhyay, Partha; Ramanathan, Rajesh; Woelfel, Ingrid A; Wang, Xuan; Spiegel, Sarah; Zhou, Huiping; Takabe, Kazuaki

    2016-11-01

    With the recent emergence of conjugated bile acids as signaling molecules in cancer, a murine model of obstructive jaundice by cholestasis with long-term survival is in need. Here, we investigated the characteristics of three murine models of obstructive jaundice. C57BL/6J mice were used for total ligation of the common bile duct (tCL), partial common bile duct ligation (pCL), and ligation of left and median hepatic bile duct with gallbladder removal (LMHL) models. Survival was assessed by Kaplan-Meier method. Fibrotic change was determined by Masson-Trichrome staining and Collagen expression. Overall, 70% (7 of 10) of tCL mice died by day 7, whereas majority 67% (10 of 15) of pCL mice survived with loss of jaundice. A total of 19% (3 of 16) of LMHL mice died; however, jaundice continued beyond day 14, with survival of more than a month. Compensatory enlargement of the right lobe was observed in both pCL and LMHL models. The pCL model demonstrated acute inflammation due to obstructive jaundice 3 d after ligation but jaundice rapidly decreased by day 7. The LHML group developed portal hypertension and severe fibrosis by day 14 in addition to prolonged jaundice. The standard tCL model is too unstable with high mortality for long-term studies. pCL may be an appropriate model for acute inflammation with obstructive jaundice, but long-term survivors are no longer jaundiced. The LHML model was identified to be the most feasible model to study the effect of long-term obstructive jaundice. Copyright © 2016 Elsevier Inc. All rights reserved.

  14. Double obstruction of ureter: A diagnostic challenge.

    PubMed

    Halder, Pankaj; Shukla, Ram Mohan; Mandal, Kartik Chandra; Mukhopadhyay, Biswanath; Barman, Shibsankar

    2014-07-01

    Isolated obstruction of the ureteropelvic junction and the vesico-ureteric junction are the two most common causes of hydronephrosis in a pediatric population.[1] They do not pose diagnostic difficulties when are present alone but when together can be difficult to diagnose. Here, we discuss the problems we faced when we encountered these two anomalies in the same ureter and the way in which we managed them. To assess the difficulties in diagnosis of pediatric patients who present with both ureteropelvic junction obstruction (UPJO) and vesico-ureteric junction obstruction (VUJO) in the ipsilateral ureter and their management protocol. This is a retrospective study. The study period is from 1 January 2004 to 31 December 2011. Out of 254 children who were diagnosed to have hydronephrosis due to UPJO in our institute, 5 patients (in the age range of 5 to 10 years) had both UPJO and VUJO in the ipsilateral ureter. The problems we faced in diagnosing the two conditions are mentioned with a literature review. Operative intervention was used in four out of five patients; none of the patients had an accurate diagnosis before surgery. All patients were suspected of having double obstruction during pyeloplasty when appropriate size double J stent could not be negotiated through the vesicoureteric junction into the bladder. Postoperative nephrostogram confirmed the diagnosis in all patients. Children with double obstruction of the ipsilateral ureter present as a diagnostic dilemma. Because of the rarity of this condition it can escape the eye of even an astute clinician. Early diagnosis can be made if this condition is kept in mind while treating any hydronephrosis due to UPJO or UVJO.

  15. Clinical presentation and outcome of cats with circumcaval ureters associated with a ureteral obstruction.

    PubMed

    Steinhaus, J; Berent, A C; Weisse, C; Eatroff, A; Donovan, T; Haddad, J; Bagley, D

    2015-01-01

    Circumcaval ureters (CU) are a rare embryological malformation resulting in ventral displacement of the caudal vena cava, which crosses the ureter, potentially causing a ureteral stricture. To evaluate cats with obstructed CU(s) and report the presenting signs, diagnostics, treatment(s), and outcomes. Cats with obstructed CU(s) were compared to ureterally obstructed cats without CU(s). 193 cats; 22 circumcaval obstructed (Group 1); 106 non-circumcaval obstructed (Group 2); 65 non-obstructed necropsy cases (Group 3). Retrospective study, review of medical records for cats treated for benign ureteral obstructions from AMC and University of Pennsylvania between 2009 and 2013. surgical treatment of benign ureteral obstruction, complete medical record including radiographic, ultrasonographic, biochemistry, and surgical findings. Seventeen percent (22/128) of obstructed cats had a CU (80% right-sided) compared to 14% (9/65) non-obstructed necropsy cats (89% right-sided). Clinical presentation, radiographic findings, and creatinine were not statistically different between Groups 1 and 2. Strictures were a statistically more common (40%) cause of ureteral obstruction in Group 1 compared to Group 2 (17%) (P = .01). The MST for Groups 1 and 2 after ureteral decompression was 923 and 762 days, respectively (P = .62), with the MST for death secondary to kidney disease in both groups being >1,442 days. Re-obstruction was the most common complication in Group 1 (24%) occurring more commonly in ureters of cats treated with a ureteral stent(s) (44%) compared to the subcutaneous ureteral bypass (SUB) device (8%) (P = .01). Ureteral obstructions in cats with a CU(s) have a similar outcome to those cats with a ureteral obstruction and normal ureteral anatomy. Long-term prognosis is good for benign ureteral obstructions treated with a double pigtail stent or a SUB device. The SUB device re-obstructed less commonly than the ureteral stent, especially when a ureteral stricture was

  16. Unexplained Obstruction of an Integrated Cardiotomy Filter During Cardiopulmonary Bypass.

    PubMed

    Alwardt, Cory M; Wilson, Donald S; Pajaro, Octavio E

    2017-03-01

    Cardiopulmonary bypass (CPB) is considered relatively safe in most cases, yet is not complication free. We present a case of an integrated cardiotomy filter obstruction during CPB, requiring circuit reconfiguration. Approximately an hour after uneventful initiation of CPB the integrated cardiotomy filter became obstructed over several minutes, requiring circuit reconfiguration using an external cardiotomy filter to maintain functionality. Following reconfiguration, CPB was maintained with a fully functional circuit allowing safe patient support throughout the remainder of CPB. Postoperatively, there was no sign of thrombus or mechanical obstruction of the filter, which was sent to the manufacturer for analysis. The cause of the obstruction was unclear even after chemical analysis, visual inspection, and a review of all techniques and products to which the patient was exposed. The patient had a generally routine hospital stay, with no signs or symptoms related to the incident. To our knowledge, this is the first report describing an obstructed integrated cardiotomy filter. An appropriate readiness plan for such an incident includes proper venting of the filter chamber, a method for detecting an obstruction, and a plan for circuit reconfiguration. This case illustrates the need for a formal reporting structure for incidents or "near miss" incidents during CPB.

  17. Tuberculosis associates with both airflow obstruction and low lung function: BOLD results.

    PubMed

    Amaral, André F S; Coton, Sonia; Kato, Bernet; Tan, Wan C; Studnicka, Michael; Janson, Christer; Gislason, Thorarinn; Mannino, David; Bateman, Eric D; Buist, Sonia; Burney, Peter G J

    2015-10-01

    In small studies and cases series, a history of tuberculosis has been associated with both airflow obstruction, which is characteristic of chronic obstructive pulmonary disease, and restrictive patterns on spirometry. The objective of the present study was to assess the association between a history of tuberculosis and airflow obstruction and spirometric abnormalities in adults.The study was performed in adults, aged 40 years and above, who took part in the multicentre, cross-sectional, general population-based Burden of Obstructive Lung Disease study, and had provided acceptable post-bronchodilator spirometry measurements and information on a history of tuberculosis. The associations between a history of tuberculosis and airflow obstruction and spirometric restriction were assessed within each participating centre, and estimates combined using meta-analysis. These estimates were stratified by high- and low/middle-income countries, according to gross national income.A self-reported history of tuberculosis was associated with airflow obstruction (adjusted odds ratio 2.51, 95% CI 1.83-3.42) and spirometric restriction (adjusted odds ratio 2.13, 95% CI 1.42-3.19).A history of tuberculosis was associated with both airflow obstruction and spirometric restriction, and should be considered as a potentially important cause of obstructive disease and low lung function, particularly where tuberculosis is common. Copyright ©ERS 2015.

  18. Tuberculosis associates with both airflow obstruction and low lung function: BOLD results

    PubMed Central

    Amaral, André F. S.; Coton, Sonia; Kato, Bernet; Tan, Wan C.; Studnicka, Michael; Janson, Christer; Gislason, Thorarinn; Mannino, David; Bateman, Eric D.; Buist, Sonia; Burney, Peter G. J.

    2015-01-01

    Background In small studies and cases series, a history of tuberculosis has been associated with both airflow obstruction, which is characteristic of chronic obstructive pulmonary disease, and restrictive patterns on spirometry. Objective To assess the association between a history of tuberculosis and airflow obstruction and spirometric abnormalities in adults. Methods The study was performed in adults, aged 40 and above, who took part in the multicentre cross-sectional, general population-based, Burden of Obstructive Lung Disease study, had provided acceptable post-bronchodilator spirometry measurements and information on a history of tuberculosis. The associations between a history of tuberculosis and airflow obstruction and spirometric restriction were assessed within each participating centre, and estimates combined using meta-analysis. These estimates were stratified by high and low/middle income countries, according to gross national income. Results A self-reported history of tuberculosis was associated with airflow obstruction (adjusted odds ratio = 2.51, 95% confidence interval 1.83-3.42) and spirometric restriction (adjusted odds ratio = 2.13, 95% confidence interval 1.42-3.19). Conclusion A history of tuberculosis was associated with both airflow obstruction and spirometric restriction, and should be considered as a potentially important cause of obstructive disease and low lung function, particularly where tuberculosis is common. PMID:26113680

  19. Laparoscopic gastropexy relieves symptoms of obstructed gastric volvulus in highoperative risk patients.

    PubMed

    Yates, Robert B; Hinojosa, Marcelo W; Wright, Andrew S; Pellegrini, Carlos A; Oelschlager, Brant K

    2015-05-01

    Operative repair of obstructive gastric volvulus is challenging. In high-operative risk patients with obstructive gastric volvulus, we perform laparoscopic reduction of gastric volvulus and anterior abdominal wall sutured gastropexy. This case series reports our experience with this operation. We reviewed the charts of all patients who presented with obstructive gastric volvulus and underwent laparoscopic gastropexy between 2007 and 2013. Eleven patients underwent laparoscopic gastropexy. Median age was 83 years (50 to 92). Six patients presented with chronic obstruction; 5 presented with acute obstruction. Median postoperative hospitalization was 2 days (1 to 39). Two patients required reoperation for displaced gastrostomy tubes. At median follow-up of 3 months (2 weeks to 57 months), all patients remained free of gastric obstructive symptoms and recurrent episodes of volvulus. Only 1 patient received nutrition via gastrostomy tube. Laparoscopic gastropexy can treat obstructed gastric volvulus in highoperative risk patients. Because of associated morbidity, gastrostomy tubes should be placed selectively. Copyright © 2015 Elsevier Inc. All rights reserved.

  20. Hypertension, snoring, and obstructive sleep apnoea during pregnancy: a cohort study.

    PubMed

    O'Brien, L M; Bullough, A S; Chames, M C; Shelgikar, A V; Armitage, R; Guilleminualt, C; Sullivan, C E; Johnson, T R B; Chervin, R D

    2014-12-01

    To assess the frequency of obstructive sleep apnoea among women with and without hypertensive disorders of pregnancy. Cohort study. Obstetric clinics at an academic medical centre. Pregnant women with hypertensive disorders (chronic hypertension, gestational hypertension, or pre-eclampsia) and women who were normotensive. Women completed a questionnaire about habitual snoring and underwent overnight ambulatory polysomnography. The presence and severity of obstructive sleep apnoea. Obstructive sleep apnoea was found among 21 of 51 women with hypertensive disorders (41%), but in only three of 16 women who were normotensive (19%, chi-square test, P=0.005). [Author correction added on 16 June 2014, after first online publication: Results mentioned in the abstract were amended.] Non-snoring women with hypertensive disorders typically had mild obstructive sleep apnoea, but >25% of snoring women with hypertensive disorders had moderate to severe obstructive sleep apnoea. Among women with hypertensive disorders, the mean apnoea/hypopnoea index was substantially higher in snorers than in non-snorers (19.9±34.1 versus 3.4±3.1, P=0.013), and the oxyhaemoglobin saturation nadir was significantly lower (86.4±6.6 versus 90.2±3.5, P=0.021). Among women with hypertensive disorders, after stratification by obesity, the pooled relative risk for obstructive sleep apnoea in snoring women with hypertension compared with non-snoring women with hypertension was 2.0 (95% CI 1.4-2.8). Pregnant women with hypertension are at high risk for unrecognised obstructive sleep apnoea. Although longitudinal and intervention studies are urgently needed, given the known relationship between obstructive sleep apnoea and hypertension in the general population, it would seem pertinent that hypertensive pregnant women who snore should be tested for obstructive sleep apnoea, a condition believed to cause or promote hypertension. © 2014 Royal College of Obstetricians and Gynaecologists.

  1. Fetal tracheolaryngeal airway obstruction: prenatal evaluation by sonography and MRI

    PubMed Central

    Courtier, Jesse; Poder, Liina; Wang, Zhen J.; Westphalen, Antonio C.; Yeh, Benjamin M.

    2010-01-01

    We reviewed the sonographic and MRI findings of tracheolaryngeal obstruction in the fetus. Conditions that can cause tracheolaryngeal obstruction include extrinsic causes such as lymphatic malformation, cervical teratoma and vascular rings and intrinsic causes such as congenital high airway obstruction syndrome (CHAOS). Accurate distinction of these conditions by sonography or MRI can help facilitate parental counseling and management, including the decision to utilize the ex utero intrapartum treatment (EXIT) procedure. PMID:20737145

  2. Intestinal obstruction caused by Taenia taeniaeformis infection in a cat.

    PubMed

    Wilcox, Rebbecca S; Bowman, Dwight D; Barr, Stephen C; Euclid, James M

    2009-01-01

    An adult domestic shorthair (DSH) cat was presented with acute vomiting, anorexia, lethargy, and dyspnea. The cat's clinical status worsened over 24 hours with conservative medical management. An exploratory celiotomy was performed. Acute intestinal obstruction resulting from infection with Taenia (T.) taeniaeformis was diagnosed. Surgical removal of the cestodes via multiple enterotomies resolved the obstruction. This paper reports, for the first time, small intestinal obstruction caused by T. taeniaeformis infection in a cat.

  3. 47 CFR 17.23 - Aviation Red Obstruction Lighting [Reserved

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 1 2014-10-01 2014-10-01 false Aviation Red Obstruction Lighting [Reserved] 17.23 Section 17.23 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL CONSTRUCTION, MARKING... Commission. Aviation Red Obstruction Lighting [Reserved] Effective Date Note: At 79 FR 56986, Sept. 24, 2014...

  4. EDUCATIONAL SERIES IN CONGENITAL HEART DISEASE: Congenital left-sided heart obstruction

    PubMed Central

    Carr, Michelle; Curtis, Stephanie; Marek, Jan

    2018-01-01

    Congenital obstruction of the left ventricular outflow tract remains a significant problem and multilevel obstruction can often coexist. Obstruction can take several morphological forms and may involve the subvalvar, valvar or supravalvar portion of the aortic valve complex. Congenital valvar stenosis presenting in the neonatal period represents a spectrum of disorders ranging from the hypoplastic left heart syndrome to almost normal hearts. Treatment options vary dependent on the severity of the left ventricular outflow tract obstruction (LVOTO) and the variable degree of left ventricular hypoplasia as well as the associated lesions such as arch hypoplasia and coarctation. PMID:29681546

  5. The Fate of Nephrons in Congenital Obstructive Nephropathy: Adult Recovery is Limited by Nephron Number Despite Early Release of Obstruction

    PubMed Central

    Sergio, Maria; Galarreta, Carolina I.; Thornhill, Barbara A.; Forbes, Michael S.; Chevalier, Robert L.

    2015-01-01

    Purpose Urinary tract obstruction and reduced nephron number often occur together as a result of maldevelopment of kidneys and urinary tract. We wished to determine the role of nephron number on the adaptation of remaining nephrons of mice subjected to neonatal partial unilateral ureteral obstruction (UUO) and followed through adulthood. Materials and Methods Wild-type (WT) and Os/+ mice (with 50% fewer nephrons) were subjected to sham operation or partial UUO in the first 2 days of life. Additional mice underwent release of UUO at 7 days. All kidneys were harvested at 3 weeks (weaning) or 6 weeks (adulthood). Glomerular number and area, glomerulotubular junction integrity, proximal tubular volume fraction, and interstitial fibrosis were measured by histomorphometry. Results In the obstructed kidney, UUO caused additional nephron loss in Os/+ but not WT mice. Glomerular growth from 3 to 6 weeks was impaired by ipsilateral UUO and was not preserved by release in WT or Os/+. Proximal tubular growth was impaired and interstitial collagen was increased by ipsilateral UUO in all mice. These were attenuated by release of UUO in WT mice, but were not restored in Os/+ mice. UUO increased interstitial collagen in the contralateral kidney; release of UUO enhanced tubular growth and reduced interstitial collagen. Conclusions We conclude that UUO in early postnatal development impairs adaptation to reduced nephron number and induces additional nephron loss despite release of obstruction. Premature and low birth weight infants with congenital obstructive nephropathy are likely at increased risk for progression of chronic kidney disease. PMID:25912494

  6. Arterial stiffness in people with Type 2 diabetes and obstructive sleep apnoea.

    PubMed

    Hvelplund Kristiansen, M; Banghøj, A M; Laugesen, E; Tarnow, L

    2018-05-15

    To examine whether people with Type 2 diabetes with concurrent obstructive sleep apnoea have increased arterial stiffness as compared with people with Type 2 diabetes without obstructive sleep apnoea. In a study with a case-control design, 40 people with Type 2 diabetes and treatment-naïve moderate to severe obstructive sleep apnoea (Apnoea-Hypopnoea Index ≥15) and a control group of 31 people with Type 2 diabetes without obstructive sleep apnoea (Apnoea-Hypopnoea Index <5) were examined. Obstructive sleep apnoea status was evaluated using the ApneaLink ® + home-monitoring device (Resmed Inc., San Diego, CA, USA), providing the Apnoea-Hypopnoea Index scores. Arterial stiffness was assessed according to carotid-femoral pulse wave velocity using the Sphygmocor device and the oscillometric Mobil-O-Graph ® (I.E.M. GmbH, Stolberg, Germany). Carotid-femoral pulse wave velocity was not significantly different between participants with Type 2 diabetes with obstructive sleep apnoea and those without obstructive sleep apnoea (10.7±2.2 m/s vs 10.3±2.1 m/s; P=0.513), whereas oscillometric pulse wave velocity was significantly higher in participants with Type 2 diabetes with obstructive sleep apnoea than in those without obstructive sleep apnoea (9.5±1.0 m/s vs 8.6±1.4 m/s; P=0.002). In multiple regression analysis, age (P=0.002), gender (men; P=0.018) and HbA 1c (P=0.027) were associated with carotid-femoral pulse wave velocity, and systolic blood pressure (P=0.004) and age (P<0.001) were associated with oscillometric pulse wave velocity. After adjustment, presence of obstructive sleep apnoea was not independently associated with pulse wave velocity whether assessed by tonometry or oscillometry. In conclusion, the present study did not find an age- and blood pressure-independent association between moderate to severe obstructive sleep apnoea and arterial stiffness in non-sleepy people with Type 2 diabetes. (Clinical trial registration number: NCT02482584). © 2018

  7. Obstructive sleep apnoea in obese adolescents and cardiometabolic risk markers.

    PubMed

    Watson, S E; Li, Z; Tu, W; Jalou, H; Brubaker, J L; Gupta, S; Huber, J N; Carroll, A; Hannon, T S

    2014-12-01

    In paediatric patients, obstructive sleep apnoea is associated with adiposity, especially visceral adiposity. In adults, obstructive sleep apnoea is also associated with a higher prevalence of cardiovascular disease and type 2 diabetes. There are limited and conflicting paediatric studies examining the association between obstructive sleep apnoea and biomarkers of risk for cardiovascular disease and type 2 diabetes in youth. Obstructive sleep apnoea is linked with greater cardiometabolic risk markers in obese adolescents. Fasting insulin and homeostasis model assessment-insulin resistance may be especially linked with obstructive sleep apnoea among obese male Hispanic adolescents. The relationship between obstructive sleep apnoea and cardiometabolic abnormalities in obese adolescents should be considered when evaluating patients found to have obstructive sleep apnoea. Paediatric studies examining the association between obstructive sleep apnoea (OSA) and insulin sensitivity/cardiometabolic risk are limited and conflicting. This study aims to determine if cardiometabolic risk markers are increased among obese youth with obstructive sleep apnoea as compared with their equally obese peers without OSA. We performed a retrospective analysis of 96 patients (age 14.2 ± 1.4 years) who underwent polysomnography for suspected OSA. Fasting lipids, glucose, insulin and haemoglobin A1 c (HbA1 c) were performed as part of routine clinical evaluation. Patients were categorized into two groups by degree of OSA as measured by the apnoea-hypopnoea index (AHI): none or mild OSA (AHI < 5) and moderate or severe OSA (AHI ≥ 5). Despite the similar degrees of obesity, patients with moderate or severe OSA had higher fasting insulin (P = 0.037) and homeostasis model assessment-insulin resistance (HOMA-IR [P = 0.0497]) as compared with those with mild or no OSA. After controlling for body mass index, there was a positive association between the AHI and log

  8. Assessing Urinary Tract Junction Obstruction Defects by Methylene Blue Dye Injection.

    PubMed

    Yun, Kangsun

    2017-10-12

    Urinary tract junction obstruction defects are congenital anomalies inducing hydronephrosis and hydroureter. Murine urinary tract junction obstruction defects can be assessed by tracking methylene blue dye flow within the urinary system. Methylene blue dye is injected into the renal pelvis of perinatal embryonic kidneys and dye flow is monitored from the renal pelvis of the kidney through the ureter and into the bladder lumen after applying hydrostatic pressure. Dye accumulation will be evident in the bladder lumen of the normal perinatal urinary tract, but will be constrained between the renal pelvis and the end point of an abnormal ureter, if urinary tract obstructions occur. This method facilitates the confirmation of urinary tract junction obstructions and visualization of hydronephrosis and hydroureter. This manuscript describes a protocol for methylene blue dye injection into the renal pelvis to confirm urinary tract junction obstructions.

  9. Adult obstructive sleep apnoea

    PubMed Central

    Jordan, Amy S.; McSharry, David G.; Malhotra, Atul

    2013-01-01

    Obstructive sleep apnoea is an increasingly common disorder of repeated upper airway collapse during sleep, which leads to oxygen desaturation and disrupted sleep. Symptoms include snoring, witnessed apnoeas, and sleepiness. Pathogenesis varies; predisposing factors include small upper airway lumen, unstable respiratory control, low arousal threshold, small lung volume, and dysfunctional upper airway dilator muscles. Risk factors include obesity, male sex, age, menopause, fluid retention, adenotonsillar hypertrophy, and smoking. Obstructive sleep apnoea causes sleepiness, road traffic accidents, and probably systemic hypertension. It has also been linked to myocardial infarction, congestive heart failure, stroke, and diabetes mellitus though not definitively. Continuous positive airway pressure is the treatment of choice, with adherence of 60–70%. Bi-level positive airway pressure or adaptive servo-ventilation can be used for patients who are intolerant to continuous positive airway pressure. Other treatments include dental devices, surgery, and weight loss. PMID:23910433

  10. Adult obstructive sleep apnoea.

    PubMed

    Jordan, Amy S; McSharry, David G; Malhotra, Atul

    2014-02-22

    Obstructive sleep apnoea is an increasingly common disorder of repeated upper airway collapse during sleep, leading to oxygen desaturation and disrupted sleep. Features include snoring, witnessed apnoeas, and sleepiness. Pathogenesis varies; predisposing factors include small upper airway lumen, unstable respiratory control, low arousal threshold, small lung volume, and dysfunctional upper airway dilator muscles. Risk factors include obesity, male sex, age, menopause, fluid retention, adenotonsillar hypertrophy, and smoking. Obstructive sleep apnoea causes sleepiness, road traffic accidents, and probably systemic hypertension. It has also been linked to myocardial infarction, congestive heart failure, stroke, and diabetes mellitus though not definitively. Continuous positive airway pressure is the treatment of choice, with adherence of 60-70%. Bi-level positive airway pressure or adaptive servo-ventilation can be used for patients who are intolerant to continuous positive airway pressure. Other treatments include dental devices, surgery, and weight loss. Copyright © 2014 Elsevier Ltd. All rights reserved.

  11. 47 CFR 17.23 - Aviation Red Obstruction Lighting [Reserved

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 1 2012-10-01 2012-10-01 false Aviation Red Obstruction Lighting [Reserved] 17.23 Section 17.23 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL CONSTRUCTION, MARKING..., May 20, 1999, as amended at 69 FR 18803, Apr. 9, 2004] Aviation Red Obstruction Lighting [Reserved] ...

  12. 47 CFR 17.23 - Aviation Red Obstruction Lighting [Reserved

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 1 2011-10-01 2011-10-01 false Aviation Red Obstruction Lighting [Reserved] 17.23 Section 17.23 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL CONSTRUCTION, MARKING..., May 20, 1999, as amended at 69 FR 18803, Apr. 9, 2004] Aviation Red Obstruction Lighting [Reserved] ...

  13. 47 CFR 17.23 - Aviation Red Obstruction Lighting [Reserved

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 1 2013-10-01 2013-10-01 false Aviation Red Obstruction Lighting [Reserved] 17.23 Section 17.23 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL CONSTRUCTION, MARKING..., May 20, 1999, as amended at 69 FR 18803, Apr. 9, 2004] Aviation Red Obstruction Lighting [Reserved] ...

  14. 47 CFR 17.23 - Aviation Red Obstruction Lighting [Reserved

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false Aviation Red Obstruction Lighting [Reserved] 17.23 Section 17.23 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL CONSTRUCTION, MARKING..., May 20, 1999, as amended at 69 FR 18803, Apr. 9, 2004] Aviation Red Obstruction Lighting [Reserved] ...

  15. [Use of Gastrografin(®) in the management of adhesion intestinal obstruction].

    PubMed

    Mora López, Laura; Serra-Aracil, Xavier; Llaquet Bayo, Heura; Navarro Soto, Salvador

    2013-01-01

    Adhesions are the most important cause of intestinal obstruction. Approximately 25% of surgical admissions for acute abdominal conditions are due to intestinal obstruction. Better diagnostic and treatment methods of intestinal obstruction could potentially reduce mortality rate to 5-10%. Gastrografin(®) could contribute to this achieve this. To present a protocol to treat adhesion intestinal obstruction with Gastrografin(®) that is safe, and allows shorter hospital stays and shorter time between admission and surgery. All patients with adhesion intestinal obstruction without symptoms of strangulation were treated with Gastrografin(®), intravenous fluids and nasogastric tube. Those in whom contrast reach the colon in 8, 12 or 24hours were considered to have partial obstruction, and were fed orally. If Gastrografin(®) failed in the following 24hours, a laparotomy was performed. Out of a total of 211 episodes (164 patients), 170 episodes received contrast and in 142 cases Gastrografin(®) reached the colon (104 episodes at 8h, 11 at 12h, and 27 at 24h). A laparotomy was required in 28 patients because of failed treatment, and in another 5 for other causes. A management protocol for adhesion intestinal obstruction with Gastrografin(®) is safe, reduces morbidity and mortality, and leads to a shorter hospital stay. Copyright © 2012 AEC. Published by Elsevier Espana. All rights reserved.

  16. Chronic obstructive pulmonary disease and glucose metabolism: a bitter sweet symphony

    PubMed Central

    2012-01-01

    Chronic obstructive pulmonary disease, metabolic syndrome and diabetes mellitus are common and underdiagnosed medical conditions. It was predicted that chronic obstructive pulmonary disease will be the third leading cause of death worldwide by 2020. The healthcare burden of this disease is even greater if we consider the significant impact of chronic obstructive pulmonary disease on the cardiovascular morbidity and mortality. Chronic obstructive pulmonary disease may be considered as a novel risk factor for new onset type 2 diabetes mellitus via multiple pathophysiological alterations such as: inflammation and oxidative stress, insulin resistance, weight gain and alterations in metabolism of adipokines. On the other hand, diabetes may act as an independent factor, negatively affecting pulmonary structure and function. Diabetes is associated with an increased risk of pulmonary infections, disease exacerbations and worsened COPD outcomes. On the top of that, coexistent OSA may increase the risk for type 2 DM in some individuals. The current scientific data necessitate a greater outlook on chronic obstructive pulmonary disease and chronic obstructive pulmonary disease may be viewed as a risk factor for the new onset type 2 diabetes mellitus. Conversely, both types of diabetes mellitus should be viewed as strong contributing factors for the development of obstructive lung disease. Such approach can potentially improve the outcomes and medical control for both conditions, and, thus, decrease the healthcare burden of these major medical problems. PMID:23101436

  17. Use of percutaneous nephrostomy and ureteral stenting in management of ureteral obstruction

    PubMed Central

    Hsu, Linda; Li, Hanhan; Pucheril, Daniel; Hansen, Moritz; Littleton, Raymond; Peabody, James; Sammon, Jesse

    2016-01-01

    The management options for ureteral obstruction are diverse, including retrograde ureteral stent insertion or antegrade nephrostomy placement, with or without eventual antegrade stent insertion. There is currently no consensus on the ideal treatment or treatment pathway for ureteral obstruction owing, in part, to the varied etiologies of obstruction and diversity of institutional practices. Additionally, different clinicians such as internists, urologists, oncologists and radiologists are often involved in the care of patients with ureteral obstruction and may have differing opinions concerning the best management strategy. The purpose of this manuscript was to review available literature that compares percutaneous nephrostomy placement vs ureteral stenting in the management of ureteral obstruction from both benign and malignant etiologies. PMID:26981442

  18. Obstructive apnea during sleep is associated with peripheral vasoconstriction

    NASA Technical Reports Server (NTRS)

    Imadojemu, Virginia A.; Gleeson, Kevin; Gray, Kristen S.; Sinoway, Lawrence I.; Leuenberger, Urs A.

    2002-01-01

    Obstructive apnea during sleep is associated with a substantial transient blood pressure elevation. The mechanism of this pressor response is unclear. In this study we measured muscle sympathetic nerve activity (MSNA), mean arterial pressure (Psa), and mean limb blood velocity as an index of blood flow (MBV, Doppler) and calculated changes in limb vascular resistance during and after apneas during both wakefulness and sleep in patients with the obstructive sleep apnea syndrome. Immediately postapnea during sleep Psa increased significantly compared with the earlier stages of apnea and this was preceded by a rise of MSNA (n = 5). In contrast to blood pressure, MBV remained unchanged. Because resistance = blood pressure/blood flow, limb vascular resistance increased by 29 +/- 8% from late apnea to postapnea (n = 7, p < 0.002). Voluntary breathhold maneuvers during room air exposure evoked similar responses (n = 10). Supplemental oxygen administered via nonrebreather face mask attenuated the MSNA and vasoconstrictor responses to obstructive (n = 2) and voluntary apneas (n = 10). Our data suggest that obstructive apneas in patients with the obstructive apnea syndrome are accompanied by transient limb vasoconstriction. This vasoconstrictor response appears to be, at least in part, mediated by the sympathetic nervous system and may be linked to hypoxia.

  19. Iliocaval Confluence Stenting for Chronic Venous Obstructions

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Graaf, Rick de, E-mail: r.de.graaf@mumc.nl; Wolf, Mark de, E-mail: markthewolf@gmail.com; Sailer, Anna M., E-mail: anni.sailer@mumc.nl

    PurposeDifferent techniques have been described for stenting of venous obstructions. We report our experience with two different confluence stenting techniques to treat chronic bi-iliocaval obstructions.Materials and MethodsBetween 11/2009 and 08/2014 we treated 40 patients for chronic total bi-iliocaval obstructions. Pre-operative magnetic resonance venography showed bilateral extensive post-thrombotic scarring in common and external iliac veins as well as obstruction of the inferior vena cava (IVC). Stenting of the IVC was performed with large self-expandable stents down to the level of the iliocaval confluence. To bridge the confluence, either self-expandable stents were placed inside the IVC stent (24 patients, SECS group) ormore » high radial force balloon-expandable stents were placed at the same level (16 patients, BECS group). In both cases, bilateral iliac extensions were performed using nitinol stents.ResultsRecanalization was achieved for all patients. In 15 (38 %) patients, a hybrid procedure with endophlebectomy and arteriovenous fistula creation needed to be performed because of significant involvement of inflow vessels below the inguinal ligament. Mean follow-up was 443 ± 438 days (range 7–1683 days). For all patients, primary, assisted-primary, and secondary patency rate at 36 months were 70, 73, and 78 %, respectively. Twelve-month patency rates in the SECS group were 85, 85, and 95 % for primary, assisted-primary, and secondary patency. In the BECS group, primary patency was 100 % during a mean follow-up period of 134 ± 118 (range 29–337) days.ConclusionStenting of chronic bi-iliocaval obstruction shows relatively high patency rates at medium follow-up. Short-term patency seems to favor confluence stenting with balloon-expandable stents.« less

  20. MR pyelography and conventional MR imaging in urinary tract obstruction.

    PubMed

    Catalano, C; Pavone, P; Laghi, A; Scipioni, A; Panebianco, V; Brillo, R; Fraioli, F; Passariello, R

    1999-03-01

    To evaluate the possible role of MR imaging in the assessment of patients with urinary tract obstruction by combining conventional MR imaging and MR pyelography (MRP). Forty-three patients with dilated upper urinary tract were studied with a high gradient strength 0.5 T magnet. Respiratory compensated T1-weighted, SE and T2-weighted TSE sequences were acquired in all patients. MRP images were obtained by using a respiratory compensated 3D T2-weighted TSE sequence. MRP images were reconstructed with a MIP algorithm. In all cases, urography and/or ascending pyelography were also performed. Images were independently evaluated by two radiologists. The dilated tract ureter and the level of the obstruction could be correctly demonstrated in all cases. The cause of the obstruction was correctly demonstrated by examiner 1 in 90% and by examiner 2 in 88%. The interobserver agreement was high with a kappa-value of 0.96. In cases of obstructive hydroureteronephrosis MR imaging, combining MRP and conventional sequences, can be proposed as an accurate technique in the assessment of level and cause of obstruction.

  1. Obstructive Sleep Apnea, Posttraumatic Stress Disorder, and Health in Immigrants

    PubMed Central

    Arnetz, Bengt B.; Templin, Thomas; Saudi, Waleed; Jamil, Hikmet

    2013-01-01

    Objective To determine whether obstructive sleep apnea mediates the relationship between posttraumatic stress disorder (PTSD) and psychosomatic and somatic disorders and its implications for self-rated health (SRH) among Iraqi immigrants in the United States. Methods A random sample of immigrants who had left Iraq before the 1991 Gulf War (n = 145) or after (n = 205) and are residing in metropolitan Detroit responded to a structured interview covering questions on sociodemographics, premigration trauma, SRH, physician-diagnosed and -treated obstructive sleep apnea, somatic disorders, and psychosomatic disorders. Structural equation modeling was used to evaluate the relationship between premigration trauma scores and health, as well as to explore mediating pathways between PTSD, obstructive sleep apnea, and health. Results The prevalence of obstructive sleep apnea among post-Gulf War immigrants (30.2%) was significantly higher than among pre-Gulf War immigrants (0.7%; p < .001). Premigration trauma scores were positively associated with depression and PTSD. Structural equation modeling supported a model in which obstructive sleep apnea mediated the relationship between PTSD and psychosomatic and somatic disorders. Premigration trauma also related directly to SRH. Conclusions Part of the PTSD-associated adverse health effects observed in Iraqi immigrants is mediated by obstructive sleep apnea. Because sleep apnea in the current study is based on medical history and current treatment, there is a need for future confirmatory polysomnographic studies. PMID:23023679

  2. Prospective evaluation of oral gastrografin in postoperative small bowel obstruction.

    PubMed

    Kapoor, Sorabh; Jain, Gaurav; Sewkani, Ajit; Sharma, Sandesh; Patel, Kailash; Varshney, Subodh

    2006-04-01

    Orally administered gastrografin has been used for early resolution of postoperative small bowel obstruction (POSBO) and to reduce the need for surgery in various studies. However the studies have reported conflicting results as patients with complete obstruction and equivocal diagnosis of bowel strangulation were also included. We carried out a prospective study to evaluate the efficacy of gastrografin in patients with partial adhesive small bowel obstruction. Patients with suspected strangulation, complete obstruction, obstructed hernia, bowel malignancy, and radiation enteritis were excluded. Sixty-two patients with partial adhesive small bowel obstruction were given an initial trial of conservative management of 48 h. Thirty-eight patients improved within 48 h and the other 24 were given 100 ml of undiluted gastrografin through the nasogastric tube. In 22 patients the contrast reached the colon within 24 h. In the remaining two patients the contrast failed to reach the colon and these underwent surgery. The use of gastrografin avoided surgical intervention in 91.3% (22 of 24) patients who failed conservative management of POSBO. Gastrografin also decreased the overall requirement for surgical management of POSBO from the reported rate of 25 to 30% to 3.2% (2 of 62). Use of gastrografin in patients with partial POSBO helps in resolution of symptoms and avoids the need for surgical management in the majority of patients.

  3. Severe obstructive sleep apnea in a child with osteopetrosis.

    PubMed

    Carter, M; Stokes, D; Wang, W

    1988-02-01

    The clinical features of a 5-year-old patient with osteopetrosis and severe obstructive sleep apnea are presented. The patient responded to tonsillectomy, adenoidectomy, uvulectomy, and tracheostomy. The tracheostomy was later removed. Osteopetrosis, while rare, may be added to the list of causes of obstructive sleep apnea.

  4. Emergency management of acute colonic cancer obstruction.

    PubMed

    Gainant, A

    2012-02-01

    Emergency management of obstructing colonic cancer depends on both tumor location and stage, general condition of the patient and surgeon's experience. Right sided or transverse colon obstructing cancers are usually treated by right hemicolectomy-extended if necessary to the transverse colon-with primary anastomosis. For left-sided obstructing cancer, in patients with low surgical risk, primary resection and anastomosis associated with on-table irrigation or manual decompression can be performed. It prevents the confection of a loop colostomy but presents the risk of anastomotic leakage. Subtotal or total colectomy allows the surgeon to encompass distended and fecal-loaded colon, and to perform one-stage resection and anastomosis. Its disadvantage is an increased daily frequency of stools. It must be performed only in cases of diastatic colon perforation or synchronous right colonic cancer. In patients with high surgical risk, Hartmann procedure must be preferred. It allows the treatment of both obstruction and cancer, and prevents anastomotic leakage but needs a second operation to reverse the colostomy. Colonic stenting is clinically successful in up to 90% in specialized groups. It is used as palliation in patients with disseminated disease or bridge to surgery in the others. If stent insertion is not possible, loop colostomy is still indicated in patients at high surgical risk. Copyright © 2011 Elsevier Masson SAS. All rights reserved.

  5. Fatal Airway Obstruction in a Man With a Cystic Hygroma.

    PubMed

    Wygant, Cassandra Maria; Cohle, Stephen D

    2018-05-03

    We describe a 24-year-old man with a cystic hygroma of the left side of the lower neck that led to sudden death. Cystic hygroma (cystic lymphangioma) is a congenital malformation of the lymphatic system. The patient, who had a tracheostomy because of airway obstruction from the cystic hygroma, was found dead with his tracheostomy tube on the floor next to him. Complications of cystic hygroma include infiltration of the neck causing airway obstruction, dysphagia, pain, and obstructive sleep apnea.

  6. Infectious mononucleosis and bilateral peritonsillar abscesses resulting in airway obstruction.

    PubMed

    Burstin, P P; Marshall, C L

    1998-12-01

    Upper airway obstruction is an uncommon but recognized complication of infectious mononucleosis. The management depends upon the degree of airway compromise. In the case described, severe airway obstruction was treated by securing the airway with awake fibre-optic endoscopic intubation and then proceeding to tonsillectomy. Bilateral inferiorly loculated quinsies were encountered unexpectedly and drained. This is the first report of 'bilateral' quinsies, associated with infectious mononucleosis and severe airway obstruction. The association, pathogenesis and significance of this finding are also discussed.

  7. Automatic Diagnosis of Obstructive Sleep Apnea/Hypopnea Events Using Respiratory Signals.

    PubMed

    Aydoğan, Osman; Öter, Ali; Güney, Kerim; Kıymık, M Kemal; Tuncel, Deniz

    2016-12-01

    Obstructive sleep apnea is a sleep disorder which may lead to various results. While some studies used real-time systems, there are also numerous studies which focus on diagnosing Obstructive Sleep Apnea via signals obtained by polysomnography from apnea patients who spend the night in sleep laboratory. The mean, frequency and power of signals obtained from patients are frequently used. Obstructive Sleep Apnea of 74 patients were scored in this study. A visual-scoring based algorithm and a morphological filter via Artificial Neural Networks were used in order to diagnose Obstructive Sleep Apnea. After total accuracy of scoring was calculated via both methods, it was compared with visual scoring performed by the doctor. The algorithm used in the diagnosis of obstructive sleep apnea reached an average accuracy of 88.33 %, while Artificial Neural Networks and morphological filter method reached a success of 87.28 %. Scoring success was analyzed after it was grouped based on apnea/hypopnea. It is considered that both methods enable doctors to reduce time and costs in the diagnosis of Obstructive Sleep Apnea as well as ease of use.

  8. A Novel Approach to Brachycephalic Syndrome. 1. Evaluation of Anatomical Intranasal Airway Obstruction.

    PubMed

    Oechtering, Gerhard U; Pohl, Sabine; Schlueter, Claudia; Lippert, Johanna P; Alef, Michaele; Kiefer, Ingmar; Ludewig, Eberhard; Schuenemann, Riccarda

    2016-02-01

    To evaluate airway obstruction due to abnormal intranasal anatomy in 3 brachycephalic dog breeds using computed tomography and rhinoscopy. Prospective clinical study. A total of 132 brachycephalic dogs (66 Pugs, 55 French Bulldogs, and 11 English Bulldogs) with severe respiratory distress due to brachycephalic syndrome. Computed tomography and anterior and posterior rhinoscopy were performed to evaluate endonasal obstruction. All dogs had abnormal conchal growth that obstructed the intranasal airways. Rostral aberrant turbinates (RAT) were common in Pugs (90.9%) but less frequent in French (56.4%) and English (36.4%) Bulldogs. Caudal aberrant turbinates (CAT) obstructing the nasopharyngeal meatus were commonly found in all breeds (66.7%). Deviation of the nasal septum was an almost consistent finding in Pugs (98.5%) but was less common in bulldogs. Obstructing turbinates had multiple points of mucosal contact responsible for obstruction of the intranasal airway. Interconchal and intraconchal mucosal contacts were evident in 91.7% of dogs. Selective breeding for short head conformation reduces the size of the nasal cavities to such an extent that intranasal structures grow aberrantly and malformed, leading to obstructed air conducting spaces. Intranasal airway obstruction of brachycephalic dogs may contribute to their exercise and heat intolerance because of impaired pulmonary ventilation and compromised thermoregulatory functions of the canine nose. Failure to address intranasal obstruction might be an explanation for lack of therapeutic success after conventional surgery for brachycephalic syndrome. Future consideration should be given to the diagnosis, management, and treatment of this newly described aspect of airway obstruction. © Copyright 2016 by The American College of Veterinary Surgeons.

  9. Acute intestinal obstruction due to metastatic lung cancer—case report

    PubMed Central

    2017-01-01

    Abstract We present a case of male patient, who was referred to our department because of acute intestinal obstruction, which was the initial clinical symptom of primary lung cancer. The abdominal computed tomography (CT) prior to the emergency operation showed small intestinal obstruction and metastases to both adrenal glands. The patient underwent an emergency abdominal exploratory laparotomy, that confirmed small bowel obstruction and diffuse metastatic lesions along the entire small bowel length. During the operation we took a sample of one metastasis for pathological examination and we created an intestinal bypass to relieve small bowel obstruction. The pathologist suspected to primary lung cancer according to the immunohistochemical staining. The chest CT after the emergency operation showed a large primary tumor in the left upper pulmonary lobe. PMID:28458837

  10. Evaluation of peripheral auditory pathways and brainstem in obstructive sleep apnea.

    PubMed

    Matsumura, Erika; Matas, Carla Gentile; Magliaro, Fernanda Cristina Leite; Pedreño, Raquel Meirelles; Lorenzi-Filho, Geraldo; Sanches, Seisse Gabriela Gandolfi; Carvallo, Renata Mota Mamede

    2016-11-25

    Obstructive sleep apnea causes changes in normal sleep architecture, fragmenting it chronically with intermittent hypoxia, leading to serious health consequences in the long term. It is believed that the occurrence of respiratory events during sleep, such as apnea and hypopnea, can impair the transmission of nerve impulses along the auditory pathway that are highly dependent on the supply of oxygen. However, this association is not well established in the literature. To compare the evaluation of peripheral auditory pathway and brainstem among individuals with and without obstructive sleep apnea. The sample consisted of 38 adult males, mean age of 35.8 (±7.2), divided into four groups matched for age and Body Mass Index. The groups were classified based on polysomnography in: control (n=10), mild obstructive sleep apnea (n=11) moderate obstructive sleep apnea (n=8) and severe obstructive sleep apnea (n=9). All study subjects denied a history of risk for hearing loss and underwent audiometry, tympanometry, acoustic reflex and Brainstem Auditory Evoked Response. Statistical analyses were performed using three-factor ANOVA, 2-factor ANOVA, chi-square test, and Fisher's exact test. The significance level for all tests was 5%. There was no difference between the groups for hearing thresholds, tympanometry and evaluated Brainstem Auditory Evoked Response parameters. An association was observed between the presence of obstructive sleep apnea and changes in absolute latency of wave V (p=0.03). There was an association between moderate obstructive sleep apnea and change of the latency of wave V (p=0.01). The presence of obstructive sleep apnea is associated with changes in nerve conduction of acoustic stimuli in the auditory pathway in the brainstem. The increase in obstructive sleep apnea severity does not promote worsening of responses assessed by audiometry, tympanometry and Brainstem Auditory Evoked Response. Copyright © 2016 Associação Brasileira de

  11. Prevalence, causes and management outcome of intestinal obstruction in Adama Hospital, Ethiopia.

    PubMed

    Soressa, Urgessa; Mamo, Abebe; Hiko, Desta; Fentahun, Netsanet

    2016-06-04

    In Africa, acute intestinal obstruction accounts for a great proportion of morbidity and mortality. Ethiopia is one of the countries where intestinal obstruction is a major cause of morbidity and mortality. This study aims to determine prevalence, causes and management outcome of intestinal obstruction in Adama Hospital in Oromia region, Ethiopia. A hospital based cross-sectional study design was used. Data covering the past three years were collected from hospital medical records of sampled patients. The collected data were checked for any inconsistency, coded and entered into SPSS version 16.0 for data processing and analysis. Descriptive and logistic regression analyses were used. Statistical significance was based on confidence interval (CI) of 95 % at a p-value of < 0.05. 262 patients were admitted with intestinal obstruction. The prevalence of intestinal obstruction was 21.8 % and 4.8 % among patients admitted for acute abdomen surgery and total surgical admissions, respectively. The mortality rate was 2.5 % (6 of 262). The most common cause of small bowel obstruction was intussusceptions in 48 patients (30.9 %), followed by small bowel volvulus in 47 patients (30.3 %). Large bowel obstruction was caused by sigmoid volvulus in 60 patients (69.0 %) followed by colonic tumor in 12 patients (13.8 %). After controlling for possible confounding factors, the major predictors of management outcome of intestinal obstruction were: duration of illness before surgical intervention (adjusted odds ratio (AOR) = 0.49, 95 % CI: 0.25-0.97); intra-operative findings [Viable small bowel volvulus (SBV) (AOR = 0.08, 95 % CI: 0.01-0.95) and viable (AOR = 0.17, 95 % CI: 0.03-0.88)]; completion of intra-operative procedures (bowel resection & anastomosis (AOR = 3.05, 95 % CI: 1.04-8.94); and length of hospital stay (AOR = 0.05, 95 % CI: 0.01-0.16). Small bowel obstruction was more prevalent than large bowel obstruction. Intussusceptions and

  12. Bile Cast Nephropathy Caused by Obstructive Cholestasis.

    PubMed

    Aniort, Julien; Poyet, Anaïs; Kemeny, Jean-Louis; Philipponnet, Carole; Heng, Anne-Elisabeth

    2017-01-01

    Acute kidney injury (AKI) is a major complication in patients with liver disease. Although hepatorenal syndrome is frequently involved, bile cast nephropathy, characterized by tubular bile cast formation, has been scarcely described in the setting of severe liver failure. Few renal histology studies are available in these patients. We describe a case of bile cast nephropathy in a patient with obstructive cholestasis caused by stones in the common bile duct. The kidney biopsy confirmed this diagnosis, with several green casts in tubular lumens, tubular injury, and bilirubin composition of the tubular casts with Hall stain. The patient had no confounding cause of kidney failure, and complete kidney recovery followed removal of the bile duct obstruction. This case shows that severe cholestasis is sufficient to cause AKI, and that AKI can be reversible after treatment of the biliary obstruction. Copyright © 2016 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.

  13. Large bowel obstruction due to gallstones: an endoscopic problem?

    PubMed Central

    Waterland, Peter; Khan, Faisal Shehzaad; Durkin, Damien

    2014-01-01

    A 73-year-old man was admitted with symptoms of large bowel obstruction. An emergency CT scan revealed pneumobilia and large bowel obstruction at the level of the rectosigmoid due to a 4×4 cm impacted gallstone. Flexible sigmoidoscopy confirmed the diagnosis but initial attempts to drag the stone into the rectum failed. An endoscopic mechanical lithotripter was employed to repeatedly fracture the gallstone into smaller fragments, which were passed spontaneously the next day. The patient made a complete recovery avoiding the potential dangers of surgery. This case report discusses cholecystoenteric fistula and a novel minimally invasive treatment for large bowel obstruction due to gallstones. PMID:24390966

  14. Large bowel obstruction due to gallstones: an endoscopic problem?

    PubMed

    Waterland, Peter; Khan, Faisal Shehzaad; Durkin, Damien

    2014-01-03

    A 73-year-old man was admitted with symptoms of large bowel obstruction. An emergency CT scan revealed pneumobilia and large bowel obstruction at the level of the rectosigmoid due to a 4×4 cm impacted gallstone. Flexible sigmoidoscopy confirmed the diagnosis but initial attempts to drag the stone into the rectum failed. An endoscopic mechanical lithotripter was employed to repeatedly fracture the gallstone into smaller fragments, which were passed spontaneously the next day. The patient made a complete recovery avoiding the potential dangers of surgery. This case report discusses cholecystoenteric fistula and a novel minimally invasive treatment for large bowel obstruction due to gallstones.

  15. Obstructive sleep apnea and neurodegenerative diseases: A bidirectional relation

    PubMed Central

    Bahia, Christianne Martins Corrêa da Silva; Pereira, João Santos

    2015-01-01

    Sleep disorders are common during the clinical course of the main neurodegenerative diseases. Among these disorders, obstructive sleep apnea has been extensively studied in the last decade and recent knowledge regarding its relationship with the neurodegenerative process points a bidirectional relationship. Neurodegenerative diseases can lead to functional changes in the respiratory system that facilitate the emergence of apnea. On the other hand, obstructive sleep apnea itself can lead to acceleration of neuronal death due to intermittent hypoxia. Considering that obstructive sleep apnea is a potentially treatable condition, its early identification and intervention could have a positive impact on the management of patients with neurodegenerative diseases. PMID:29213936

  16. 33 CFR 67.05-10 - Characteristics of obstruction lights.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... lights. 67.05-10 Section 67.05-10 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... Requirements for Lights § 67.05-10 Characteristics of obstruction lights. All obstruction lights required by... marking Class “C” structures. In determining whether white or red lights shall be authorized, the District...

  17. 33 CFR 67.05-10 - Characteristics of obstruction lights.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... lights. 67.05-10 Section 67.05-10 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... Requirements for Lights § 67.05-10 Characteristics of obstruction lights. All obstruction lights required by... marking Class “C” structures. In determining whether white or red lights shall be authorized, the District...

  18. 33 CFR 67.05-10 - Characteristics of obstruction lights.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... lights. 67.05-10 Section 67.05-10 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... Requirements for Lights § 67.05-10 Characteristics of obstruction lights. All obstruction lights required by... marking Class “C” structures. In determining whether white or red lights shall be authorized, the District...

  19. 33 CFR 67.05-10 - Characteristics of obstruction lights.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... lights. 67.05-10 Section 67.05-10 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... Requirements for Lights § 67.05-10 Characteristics of obstruction lights. All obstruction lights required by... marking Class “C” structures. In determining whether white or red lights shall be authorized, the District...

  20. 33 CFR 67.05-10 - Characteristics of obstruction lights.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... lights. 67.05-10 Section 67.05-10 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... Requirements for Lights § 67.05-10 Characteristics of obstruction lights. All obstruction lights required by... marking Class “C” structures. In determining whether white or red lights shall be authorized, the District...

  1. Expiratory timing in obstructive sleep apnoeas.

    PubMed

    Cibella, F; Marrone, O; Sanci, S; Bellia, V; Bonsignore, G

    1990-03-01

    Diaphragmatic electromyogram was recorded during NREM sleep in 4 patients affected by obstructive sleep apnoea (OSA) syndrome in order to evaluate the behaviour of expiratory time (TE) in the course of the obstructive apnoea-ventilation cycle. The two components of TE, i.e. time of post-inspiratory inspiratory activity (TPIIA) and time of expiratory phase 2 (TE2) were separately analysed. TPIIA showed a short duration, with only minor variations, within the apnoea, while its duration was more variable and longer in the interapnoeic periods: the longest TPIIA values were associated with the highest inspiratory volumes in the same breaths. This behaviour seemed regulated according to the need of a more or less effective expiratory flow braking, probably as a result of pulmonary stretch receptors discharge. Conversely TE2 showed a continuous gradual modulation, progressively increasing in the pre-apnoeic period, decreasing during the apnoea and increasing in the post-apnoeic period: these TE2 variations seemed related to oscillations in chemical drive. These data show that TE in the obstructive apnoea-ventilation cycle results from a different modulation in its two components and suggest that both mechanical and chemical influences play a role in its overall duration.

  2. Managing central venous obstruction in cystic fibrosis recipients--lung transplant considerations.

    PubMed

    Otani, Shinji; Westall, Glen P; Levvey, Bronwyn J; Marasco, Silvana; Lyon, Stuart; Snell, Gregory I

    2015-03-01

    The superior vena cava (SVC) syndrome in cystic fibrosis (CF) patients is rare, but presents unique challenges in the peri-transplant period. We reviewed our experience of SVC syndrome in CF recipients undergoing lung transplantation. This is a retrospective case series from a single center chart-review. SVC obstruction is defined by clinically significant stenosis or obstruction of the SVC as detected by contrast studies. We identified SVC obstruction in seven post-transplant cases and one pre-transplant case. All eight patients had previous or current history of indwelling central venous catheters. Three recipients experienced operative complications. Five of the seven recipients suffered at least one episode of post-operative SVC obstruction or bleeding despite prophylactic anticoagulation. At a median follow-up of 29 months, six of the seven patients transplanted are well. Strategies are available to minimize the risks of intra/peri-operative acute life-threatening SVC obstruction in CF patients. Copyright © 2014 European Cystic Fibrosis Society. Published by Elsevier B.V. All rights reserved.

  3. Obstructions in Vascular Networks: Relation Between Network Morphology and Blood Supply

    PubMed Central

    Torres Rojas, Aimee M.; Meza Romero, Alejandro; Pagonabarraga, Ignacio; Travasso, Rui D. M.; Corvera Poiré, Eugenia

    2015-01-01

    We relate vascular network structure to hemodynamics after vessel obstructions. We consider tree-like networks with a viscoelastic fluid with the rheological characteristics of blood. We analyze the network hemodynamic response, which is a function of the frequencies involved in the driving, and a measurement of the resistance to flow. This response function allows the study of the hemodynamics of the system, without the knowledge of a particular pressure gradient. We find analytical expressions for the network response, which explicitly show the roles played by the network structure, the degree of obstruction, and the geometrical place in which obstructions occur. Notably, we find that the sequence of resistances of the network without occlusions strongly determines the tendencies that the response function has with the anatomical place where obstructions are located. We identify anatomical sites in a network that are critical for its overall capacity to supply blood to a tissue after obstructions. We demonstrate that relatively small obstructions in such critical sites are able to cause a much larger decrease on flow than larger obstructions placed in non-critical sites. Our results indicate that, to a large extent, the response of the network is determined locally. That is, it depends on the structure that the vasculature has around the place where occlusions are found. This result is manifest in a network that follows Murray’s law, which is in reasonable agreement with several mammalian vasculatures. For this one, occlusions in early generation vessels have a radically different effect than occlusions in late generation vessels occluding the same percentage of area available to flow. This locality implies that whenever there is a tissue irrigated by a tree-like in vivo vasculature, our model is able to interpret how important obstructions are for the irrigation of such tissue. PMID:26086774

  4. Dynamic upper airway changes during sleep in patients with obstructive sleep apnea syndrome.

    PubMed

    Chuang, Li-Pang; Chen, Ning-Hung; Li, Hsueh-Yu; Lin, Shih-Wei; Chou, Yu-Ting; Wang, Chao-Jan; Liao, Yu-Fang; Tsai, Ying-Huang

    2009-12-01

    The narrowing pattern of the upper airway in obstructive sleep apnea patients may be different in sleep as compared with awake. Three different types of obstruction were observed in these subjects during drug-induced sleep. The different obstruction pattern during drug-induced sleep suggests that different strategies should be selected in upper airway management. To identify the sites of narrowing and evaluate dynamic upper airway movement in patients with obstructive sleep apnea syndrome (OSAS) while awake and asleep. This study included 10 patients treated for OSAS between August 2003 and June 2004. Overnight polysomnography was performed on all patients. Parameters including gender, age, neck circumference, and body mass index were recorded. Ultra-fast MRI during awake and drug-induced sleep was arranged to evaluate the dynamic motion of the upper airway. The narrowing pattern of the upper airway during awake differed from the narrowing pattern during drug-induced sleep in 3 of 10 subjects. Three different types, palatal obstruction, combined upper and lower pharyngeal obstruction, and circumferential obstruction of the upper airway, were observed in these patients during drug-induced sleep.

  5. Value of gastrografin in adhesive small bowel obstruction after unsuccessful conservative treatment: a prospective evaluation.

    PubMed

    Choi, Hok-Kwok; Law, Wai-Lun; Ho, Judy-Wai-Chu; Chu, Kin-Wah

    2005-06-28

    Gastrografin is a hyperosmolar water-soluble contrast medium. Besides its predictive value for the need for operative treatment, a potential therapeutic role of this agent in adhesive small bowel obstruction has been suggested. This study aimed at evaluating the effectiveness of gastrografin in adhesive small bowel obstruction when conservative treatment failed. Patients with adhesive small bowel obstruction were given trial conservative treatment unless there was fear of bowel strangulation. Those responded in the initial 48 h had conservative treatment continued. Patients who showed no improvement in the initial 48 h were given 100 mL of gastrografin through nasogastric tube followed by serial abdominal radiographs. Patients with the contrast appeared in large bowel within 24 h were regarded as having partial obstruction and conservative treatment was continued. Patients in which the contrast failed to reach large bowel within 24 h were considered to have complete obstruction and laparotomy was performed. Two hundred and twelve patients with 245 episodes of adhesive obstruction were included. Fifteen patients were operated on soon after admission due to fear of strangulation. One hundred and eighty-six episodes of obstruction showed improvement in the initial 48 h and conservative treatment was continued. Two patients had subsequent operations because of persistent obstruction. Forty-four episodes of obstruction showed no improvement within 48 h and gastrografin was administered. Seven patients underwent complete obstruction surgery. Partial obstruction was demonstrated in 37 other cases, obstruction resolved subsequently in all of them except one patient who required laparotomy because of persistent obstruction. The overall operative rate in this study was 10%. There was no complication that could be attributed to the use of gastrografin. The use of gastrografin in adhesive small bowel obstruction after unsuccessful conservative treatment is safe and reduces the

  6. Value of gastrografin in adhesive small bowel obstruction after unsuccessful conservative treatment: A prospective evaluation

    PubMed Central

    Choi, Hok-Kwok; Law, Wai-Lun; Ho, Judy Wai-Chu; Chu, Kin-Wah

    2005-01-01

    AIM: Gastrografin is a hyperosmolar water-soluble contrast medium. Besides its predictive value for the need for operative treatment, a potential therapeutic role of this agent in adhesive small bowel obstruction has been suggested. This study aimed at evaluating the effectiveness of gastrografin in adhesive small bowel obstruction when conservative treatment failed. METHODS: Patients with adhesive small bowel obstruction were given trial conservative treatment unless there was fear of bowel strangulation. Those responded in the initial 48 h had conservative treatment continued. Patients who showed no improvement in the initial 48 h were given 100 mL of gastrografin through nasogastric tube followed by serial abdominal radiographs. Patients with the contrast appeared in large bowel within 24 h were regarded as having partial obstruction and conservative treatment was continued. Patients in which the contrast failed to reach large bowel within 24 h were considered to have complete obstruction and laparotomy was performed. RESULTS: Two hundred and twelve patients with 245 episodes of adhesive obstruction were included. Fifteen patients were operated on soon after admission due to fear of strangulation. One hundred and eighty-six episodes of obstruction showed improvement in the initial 48 h and conservative treatment was continued. Two patients had subsequent operations because of persistent obstruction. Forty-four episodes of obstruction showed no improvement within 48 h and gastrografin was administered. Seven patients underwent complete obstruction surgery. Partial obstruction was demonstrated in 37 other cases, obstruction resolved subsequently in all of them except one patient who required laparotomy because of persistent obstruction. The overall operative rate in this study was 10%. There was no complication that could be attributed to the use of gastrografin. CONCLUSION: The use of gastrografin in adhesive small bowel obstruction after unsuccessful

  7. 33 CFR 67.05-1 - Arrangement of obstruction lights.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Arrangement of obstruction lights... for Lights § 67.05-1 Arrangement of obstruction lights. (a) Structures having a maximum horizontal... light visible for 360°. (b) Structures having a maximum horizontal dimension of over 30 feet, but not in...

  8. 33 CFR 67.05-1 - Arrangement of obstruction lights.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 1 2013-07-01 2013-07-01 false Arrangement of obstruction lights... for Lights § 67.05-1 Arrangement of obstruction lights. (a) Structures having a maximum horizontal... light visible for 360°. (b) Structures having a maximum horizontal dimension of over 30 feet, but not in...

  9. 33 CFR 67.05-1 - Arrangement of obstruction lights.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 1 2011-07-01 2011-07-01 false Arrangement of obstruction lights... for Lights § 67.05-1 Arrangement of obstruction lights. (a) Structures having a maximum horizontal... light visible for 360°. (b) Structures having a maximum horizontal dimension of over 30 feet, but not in...

  10. 33 CFR 67.05-1 - Arrangement of obstruction lights.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 1 2014-07-01 2014-07-01 false Arrangement of obstruction lights... for Lights § 67.05-1 Arrangement of obstruction lights. (a) Structures having a maximum horizontal... light visible for 360°. (b) Structures having a maximum horizontal dimension of over 30 feet, but not in...

  11. 33 CFR 67.05-1 - Arrangement of obstruction lights.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 1 2012-07-01 2012-07-01 false Arrangement of obstruction lights... for Lights § 67.05-1 Arrangement of obstruction lights. (a) Structures having a maximum horizontal... light visible for 360°. (b) Structures having a maximum horizontal dimension of over 30 feet, but not in...

  12. VAMONOS (Veterans Affairs' Metabolism, Obstructed and Non-Obstructed Sleep) Study: Effects of CPAP Therapy on Glucose Metabolism in Patients with Obstructive Sleep Apnea

    PubMed Central

    Ioachimescu, Octavian C.; Anthony, Jeremy; Constantin, Tina; Ciavatta, Mary-Margaret; McCarver, Kandace; Sweeney, Mary Ellen

    2017-01-01

    Study Objectives: Obstructive sleep apnea (OSA) and type 2 diabetes mellitus (T2DM) are prevalent disorders that pose increased risk of cardiovascular disease and death. The objective of this study was to clarify if continuous positive airway pressure (CPAP) therapy for OSA affects T2DM control and emergence. Methods: Point-of-care, comparative effectiveness study; cross-sectional and longitudinal analyses. Results: Our cohort included 928 consecutive patients; 13% were women; 36% were Caucasians and 61% African-Americans. OSA was diagnosed in approximately 738 patients and CPAP was initiated in 718 patients; median duration of therapy was 5 mo (25% to 75% interquartile range [IQR] 3–14). Patients with OSA used CPAP therapy for a median duration of 4.8 h, 34.5% of the nights. Adherence to CPAP was prespecified as follows: good (≥ 70% nights and ≥ 4 h/night), excellent (≥ 80% nights and ≥ 6 h/night) or outstanding (≥ 90% of nights and 8 h/night). Based on objective data, good, excellent, and outstanding compliance were found in only 30%, 20%, and 6%, respectively. Three percent of subjects without CPAP follow-up and less than 4% of those nonadherent to CPAP therapy (based on the established criteria) developed incident T2DM. Incident T2DM developed in only 0.8% of those with good compliance and in none (0%) of those in the excellent and outstanding groups. During follow-up, median weight change was +0.3 kg (IQR −1.8 to 2.7). Conclusions: We found that an outstanding compliance to CPAP reduced fasting blood glucose in patients with OSA. Longitudinally, higher levels of therapeutic adherence may affect the rate of incident impaired fasting glucose, prediabetes, and T2DM, despite the observed weight gains. Commentary: A commentary on this article appears in this issue on page 365. Citation: Ioachimescu OC, Anthony Jr J, Constantin T, Ciavatta MM, McCarver K, Sweeney ME. VAMONOS (Veterans Affairs' Metabolism, Obstructed and Non-Obstructed Sleep) study

  13. Management of Gastric Obstruction Caused by Adjustable Gastric Band.

    PubMed

    Czeiger, David; Abu-Swis, Shadi; Shaked, Gad; Ovnat, Amnon; Sebbag, Gilbert

    2016-12-01

    Optimal adjustment of the filling volume of laparoscopic adjustable gastric banding is challenging and commonly performed empirically. Patients with band over-inflation and gastric obstruction arrive at the emergency department complaining of recurrent vomiting. In cases of gastric obstruction, intra-band pressure measurement may assist in determining the amount of fluid that should be removed from the band; however, our investigations have determined that intra-band pressure assessment need not play a role in the treatment of gastric band obstruction. In patients coming to the emergency department with gastric band obstruction, we measured intra-band pressure at arrival and following stepped removal of fluid, comparing the initial pressure with post-deflation pressure and measuring the volume of fluid removed. Forty-eight patients participated in the study. Forty-five patients had a low-pressure/high-volume band. Their mean baseline pressure was 54.6 ± 22.3 mmHg. The mean volume of fluid removed from the band was 1.3 ± 0.8 ml. The mean post-deflation pressure was 22.5 ± 16.3 mmHg. Nearly 30 % of patients required as little as 0.5 ml of fluid removal, and 60 % of them were free of symptoms with removal of 1 ml. Our results indicate that intra-band pressure measurement is of little value for determining the amount of fluid that should be removed for treatment of band obstruction. We suggest the removal of fluid in volumes of 0.5 ml until symptoms are relieved. Only in complicated cases, such as in patients having recurrent obstructions, should additional modalities be employed for further management guidance.

  14. Endoscopic examination of obstructive sleep apnea syndrome patients during drug-induced sleep.

    PubMed

    Iwanaga, Koichi; Hasegawa, Kiyokazu; Shibata, Nobuhiro; Kawakatsu, Kenji; Akita, Yasutaka; Suzuki, Kenji; Yagisawa, Mikio; Nishimura, Tadao

    2003-01-01

    Sixty patients diagnosed with obstructive sleep apnea syndrome (OSAS) underwent uvulopalatopharyngoplasty (UPPP). The effects of surgery were studied based on endoscopic findings during drug-induced sleep and determination of the apnea-hypopnea index (AHI) before and after the operation. Changes in the form of the airway during sleep in the recumbent position were observed, and the role of upper airway endoscopy in the diagnosis and surgical treatment of OSAS was determined. The site of airway obstruction during sleep induced by i.v. injection of 10 mg of diazepam was classified into five types, and changes in AHI and the site of airway obstruction were compared before and after surgery. Changes in airway morphology during sleep in the supine and recumbent positions were also compared before surgery. The postoperative improvement rate was 74.4% for the soft palatal type of obstruction, 76.2% for the tonsillar type, 53.3% for the circumferential palatal type and 34.0% for the mixed type. Treatment produced excellent or good effects for the soft palatal and tonsillar types of obstruction. However, many patients with the circumferential palatal and mixed types of obstruction showed only some improvement or no change. Good airway morphology was maintained in the recumbent position by patients with the soft palatal type of obstruction. With the circumferential palatal and mixed types of obstruction, improvement can be expected from operations which include surgical treatment of the posterior pharyngeal wall or lateral funiculus, or with midline laser glossectomy. A good operative outcome can be predicted in patients showing improvement of apnea in the recumbent position preoperatively.

  15. Therapeutic Value of Gastrografin in Adhesive Small Bowel Obstruction After Unsuccessful Conservative Treatment

    PubMed Central

    Choi, Hok-Kwok; Chu, Kin-Wah; Law, Wai-Lun

    2002-01-01

    Objective To assess the therapeutic value of Gastrografin in the management of adhesive small bowel obstruction after unsuccessful conservative treatment. Summary Background Data Gastrografin is a hyperosmolar water-soluble contrast medium. Besides its predictive value for the need for surgery, there is probably a therapeutic role of this contrast medium in adhesive small bowel obstruction. Methods Patients with clinical evidence of adhesive small bowel obstruction were given trial conservative treatment unless there was suspicion of strangulation. Those who responded in the initial 48 hours had conservative treatment continued. Patients showing no clinical and radiologic improvement in the initial 48 hours were randomized to undergo either Gastrografin meal and follow-through study or surgery. Contrast that appeared in the large bowel within 24 hours was regarded as a partial obstruction, and conservative treatment was continued. Patients in whom contrast failed to reach the large bowel within 24 hours were considered to have complete obstruction, and laparotomy was performed. For patients who had conservative treatment for more than 48 hours with or without Gastrografin, surgery was performed when there was no continuing improvement. Results One hundred twenty-four patients with a total of 139 episodes of adhesive obstruction were included. Three patients underwent surgery soon after admission for suspected bowel strangulation. Strangulating obstruction was confirmed in two patients. One hundred one obstructive episodes showed improvement in the initial 48 hours and conservative treatment was continued. Only one patient required surgical treatment subsequently after conservative treatment for 6 days. Thirty-five patients showed no improvement within 48 hours. Nineteen patients were randomized to undergo Gastrografin meal and follow-through study and 16 patients to surgery. Gastrografin study revealed partial obstruction in 14 patients. Obstruction resolved

  16. Pancreatic Calculus Causing Biliary Obstruction: Endoscopic Therapy for a Rare Initial Presentation of Chronic Pancreatitis.

    PubMed

    Shetty, Anurag J; Pai, C Ganesh; Shetty, Shiran; Balaraju, Girisha

    2015-09-01

    Biliary obstruction in chronic calcific pancreatitis (CCP) is often caused by inflammatory or fibrotic strictures of the bile duct, carcinoma of head of pancreas or less commonly by compression from pseudocysts. Pancreatic calculi causing ampullary obstruction and leading to obstructive jaundice is extremely rare. The medical records of all patients with CCP or biliary obstruction who underwent endoscopic retrograde cholangiopancreatography (ERCP) over 4 years between 2010-2014 at Kasturba Medical College, Manipal were analyzed. Five patients of CCP with impacted pancreatic calculi at the ampulla demonstrated during ERCP were identified. All 5 presented with biliary obstruction and were incidentally detected to have CCP when evaluated for the same; 3 patients had features of cholangitis. All the patients were managed successfully by endoscopic papillotomy and extraction of pancreatic calculi from the ampulla with resolution of biliary obstruction. Pancreatic calculus causing ampullary obstruction, though very rare, should be considered as a possibility in patients with CCP complicated by biliary obstruction. Endoscopic therapy is affective in the resolution of biliary obstruction in such patients.

  17. Proof-of-Concept Trajectory Designs for a Multi-Spacecraft, Low-Thrust Heliocentric Solar Weather Buoy Mission

    NASA Technical Reports Server (NTRS)

    Muller, Ronald; Franz, Heather; Roberts, Craig; Folta, Dave

    2005-01-01

    A new solar weather mission has been proposed, involving a dozen or more small spacecraft spaced at regular, constant intervals in a mutual heliocentric circular orbit between the orbits of Earth and Venus. These solar weather buoys (SWBs) would carry instrumentation to detect and measure the material in solar flares, solar energetic particle events, and coronal mass ejections as they flowed past the buoys, serving both as science probes and as a radiation early warning system for the Earth and interplanetary travelers to Mars. The baseline concept involves placing a mothercraft carrying the SWBs into a staging orbit at the Sun-Earth L1 libration point. The mothercraft departs the L1 orbit at the proper time to execute a trailing-edge lunar flyby near New Moon, injecting it into a heliocentric orbit with its perihelion interior to Earth s orbit. An alternative approach would involve the use of a Double Lunar Swingby (DLS) orbit, rather than the L1 orbit, for staging prior to this flyby. After injection into heliocentric orbit, the mothercraft releases the SWBs-all equipped with low-thrust pulsed plasma thrusters (PPTs)-whereupon each SWB executes a multi-day low-thrust finite bum around perihelion, lowering aphelion such that each achieves an elliptical phasing orbit of different orbital period from its companions. The resulting differences in angular rates of motion cause the spacecraft to separate. While the lead SWB achieves the mission orbit following an insertion burn at its second perihelion passage, the remaining SWBs must complete several revolutions in their respective phasing orbits to establish them in the mission orbit with the desired longitudinal spacing. The complete configuration for a 14 SWB scenario using a single mothercraft is achieved in about 8 years, and the spacing remains stable for at least a further 6 years. Flight operations can be simplified, and mission risk reduced, by employing two mothercraft instead of one. In this scenario: the

  18. A brief review of chronic obstructive pulmonary disease.

    PubMed

    Hogg, James C

    2012-01-01

    A recent study, based on a combination of multidetector computed tomography scanning of an intact specimen with microcomputed tomography and histological analysis of lung tissue samples, reported that the number of terminal bronchioles were reduced from approximately 44,500/lung pair in control (donor) lungs to approximately 4800/lung pair in lungs donated by individuals with very severe (Global initiative for chronic Obstructive Lung Disease stage 4) chronic obstructive pulmonary disease (COPD) treated by lung transplantation. The present short review discusses the hypothesis that a rapid rate of terminal bronchiolar destruction causes the rapid decline in lung function leading to advanced COPD. With respect to why the terminal bronchioles are targeted for destruction, the postulated mechanisms of this destruction and the possibility that new treatments are able to either prevent or reverse the underlying cause of airway obstruction in COPD are addressed.

  19. Does night-shift work induce apnea events in obstructive sleep apnea patients?

    PubMed

    Laudencka, A; Klawe, J J; Tafil-Klawe, M; Złomańczuk, P

    2007-11-01

    The aim of the present study was to determine the direct effect of night-work on the occurrence of obstructive apneas during sleep after a night shift in fast-rotating shift workers with sleep-related breathing disorders. Eight obstructive sleep apnea patients were examined with the use of a polysomnograph during sleep under two conditions: after day-shift work and after night-shift work. Both sleep studies were conducted within 2 to 3 weeks of each other. In four of the 8 subjects, during sleep after a night-shift, an increase in apnea/hypopnea index was found. Night work significantly increased several breathing variables: total duration of obstructive apneas during REM sleep, mean duration of obstructive apneas during arousal, and apnea index during arousal. We conclude that in a subpopulation of sleep apnea patients, acute sleep deprivation may worsen obstructive sleep apnea index.

  20. Distal intestinal obstruction syndrome and colonic pathologies in cystic fibrosis.

    PubMed

    Canny, J D; Brookes, A; Bowley, D B

    2017-01-02

    The management of abdominal pain in cystic fibrosis can be complicated. Distal intestinal obstruction syndrome is a common cause of pain and obstruction in these patients. Knowledge of the diagnosis and management and of similar presenting symptoms is essential for the hospital doctor.

  1. Tear-Duct Obstruction and Surgery

    MedlinePlus

    ... Staying Safe Videos for Educators Search English Español Tear-Duct Obstruction and Surgery KidsHealth / For Parents / Tear- ... year old with little or no treatment. About Tear Ducts Our eyes are continually exposed to dust, ...

  2. Angiotensin converting enzyme inhibitors and aortic arch obstructive malformations.

    PubMed

    Maliheh, Kadivar; Abdorrazagh, Kiani; Armen, Kocharian; Reza, Shabanian

    2006-10-01

    We describe two newborn infants with aortic arch obstructive malformations who became anuric after initiation of captopril. Since angiotensin converting enzyme inhibitors can alter renal blood flow by reduction in angiotensin II and blocking autoregulation phenomenon, it is important to use them with great caution in neonates with aortic arch obstructive malformations, while monitoring their renal function closely.

  3. Correlation between hepatobiliary scintigraphy and surgery or postmortem examination findings in dogs and cats with extrahepatic biliary obstruction, partial obstruction, or patency of the biliary system: 18 cases (1995-2004).

    PubMed

    Head, Laurie L; Daniel, Gregory B

    2005-11-15

    To evaluate the usefulness of serum biochemical variables and scintigraphic study results for differentiating between dogs and cats with complete extrahepatic biliary obstruction (EHO) and those with partial EHO or patent bile ducts. Retrospective case series. 17 dogs and 1 cat. Animals that underwent hepatobiliary scintigraphy and had either surgical or postmortem confirmation of the degree of bile duct patency were included. Scintigraphic images were evaluated and biliary tracts were classified as patent, partially obstructed but patent, or obstructed. Surgery or postmortem examination was considered the gold standard for diagnosis, and compared with those findings, sensitivity and specificity of scintigraphy were calculated. With absence of radioactivity in the intestinal tract as the diagnostic criterion for EHO, the sensitivity and specificity of scintigraphic diagnosis were both 83% when final images were acquired at 19 to 24 hours, compared with 100% and 33%, respectively, when 180 minutes was used as the cutoff time. Animals with partial biliary obstruction had less intestinal radioactivity that arrived later than that observed in animals with patent biliary tracts. Animals in which intestinal radioactivity has not been observed after the standard 3 to 4 hours should undergo additional scintigraphic imaging. Findings in animals with partial biliary obstruction include delayed arrival of radioactivity and less radioactivity in the intestine. Distinguishing between complete and partial biliary tract obstruction is important because animals with partial obstruction may respond favorably to medical management and should not be given an erroneous diagnosis of complete obstruction.

  4. Comparison of radiography and ultrasonography for diagnosing small-intestinal mechanical obstruction in vomiting dogs.

    PubMed

    Sharma, Ajay; Thompson, Margret S; Scrivani, Peter V; Dykes, Nathan L; Yeager, Amy E; Freer, Sean R; Erb, Hollis N

    2011-01-01

    A cross-sectional study was performed on acutely vomiting dogs to compare the accuracy of radiography and ultrasonography for the diagnosis of small-intestinal mechanical obstruction and to describe several radiographic and ultrasonographic signs to identify their contribution to the final diagnosis. The sample population consisted of 82 adult dogs and small-intestinal obstruction by foreign body was confirmed in 27/82 (33%) dogs by surgery or necropsy. Radiography produced a definitive result (obstructed or not obstructed) in 58/82 (70%) of dogs; ultrasonography produced a definitive result in 80/82 (97%) of dogs. On radiographs, a diagnosis of obstruction was based on detection of segmental small-intestinal dilatation, plication, or detection of a foreign body. Approximately 30% (8/27) of obstructed dogs did not have radiographic signs of segmental small-intestinal dilatation, of which 50% (4/8) were due to linear foreign bodies. The ultrasonographic diagnosis of small-intestinal obstruction was based on detection of an obstructive lesion, sonographic signs of plication or segmental, small-intestinal dilatation. The ultrasonographic presence or absence of moderate-to-severe intestinal diameter enlargement (due to lumen dilatation) of the jejunum (>1.5 cm) was a useful discriminatory finding and, when present, should prompt a thorough search for a cause of small-intestinal obstruction. In conclusion, both abdominal radiography and abdominal ultrasonography are accurate for diagnosing small-intestinal obstruction in vomiting dogs and either may be used depending on availability and examiner choice. Abdominal ultrasonography had greater accuracy, fewer equivocal results and provided greater diagnostic confidence compared with radiography. © 2010 Veterinary Radiology & Ultrasound.

  5. Obstructive Sleep Apnea: A Cluster Analysis at Time of Diagnosis

    PubMed Central

    Grillet, Yves; Richard, Philippe; Stach, Bruno; Vivodtzev, Isabelle; Timsit, Jean-Francois; Lévy, Patrick; Tamisier, Renaud; Pépin, Jean-Louis

    2016-01-01

    Background The classification of obstructive sleep apnea is on the basis of sleep study criteria that may not adequately capture disease heterogeneity. Improved phenotyping may improve prognosis prediction and help select therapeutic strategies. Objectives: This study used cluster analysis to investigate the clinical clusters of obstructive sleep apnea. Methods An ascending hierarchical cluster analysis was performed on baseline symptoms, physical examination, risk factor exposure and co-morbidities from 18,263 participants in the OSFP (French national registry of sleep apnea). The probability for criteria to be associated with a given cluster was assessed using odds ratios, determined by univariate logistic regression. Results: Six clusters were identified, in which patients varied considerably in age, sex, symptoms, obesity, co-morbidities and environmental risk factors. The main significant differences between clusters were minimally symptomatic versus sleepy obstructive sleep apnea patients, lean versus obese, and among obese patients different combinations of co-morbidities and environmental risk factors. Conclusions Our cluster analysis identified six distinct clusters of obstructive sleep apnea. Our findings underscore the high degree of heterogeneity that exists within obstructive sleep apnea patients regarding clinical presentation, risk factors and consequences. This may help in both research and clinical practice for validating new prevention programs, in diagnosis and in decisions regarding therapeutic strategies. PMID:27314230

  6. Sleep Architecture Linked to Airway Obstruction and Intracranial Hypertension in Children with Syndromic Craniosynostosis.

    PubMed

    Spruijt, Bart; Mathijssen, Irene M J; Bredero-Boelhouwer, Hansje H; Cherian, Perumpillichira J; Corel, Linda J A; van Veelen, Marie-Lise; Hayward, Richard D; Tasker, Robert C; Joosten, Koen F M

    2016-12-01

    Children with syndromic craniosynostosis often have obstructive sleep apnea and intracranial hypertension. The authors aimed to evaluate (1) sleep architecture, and determine whether this is influenced by the presence of obstructive sleep apnea and/or intracranial hypertension; and (2) the effect of treatment on sleep architecture. This study included patients with syndromic craniosynostosis treated at a national referral center, undergoing screening for obstructive sleep apnea and intracranial hypertension. Obstructive sleep apnea was identified by polysomnography, and categorized into no, mild, moderate, or severe. Intracranial hypertension was identified by the presence of papilledema on funduscopy, supplemented by optical coherence tomography and/or intracranial pressure monitoring. Regarding sleep architecture, sleep was divided into rapid eye movement or non-rapid eye movement sleep; respiratory effort-related arousals and sleep efficiency were scored. The authors included 39 patients (median age, 5.9 years): 19 with neither obstructive sleep apnea nor intracranial hypertension, 11 with obstructive sleep apnea (four moderate/severe), six with intracranial hypertension, and three with obstructive sleep apnea and intracranial hypertension. Patients with syndromic craniosynostosis, independent of the presence of mild obstructive sleep apnea and/or intracranial hypertension, have normal sleep architecture compared with age-matched controls. Patients with moderate/severe obstructive sleep apnea have a higher respiratory effort-related arousal index (p < 0.01), lower sleep efficiency (p = 0.01), and less rapid eye movement sleep (p = 0.04). An improvement in sleep architecture was observed following monobloc surgery (n = 5; rapid eye movement sleep, 5.3 percent; p = 0.04). Children with syndromic craniosynostosis have in principle normal sleep architecture. However, moderate/severe obstructive sleep apnea does lead to disturbed sleep architecture, which fits within

  7. Hydrocephalus secondary to obstruction of the lateral apertures in two dogs.

    PubMed

    Kent, M; Glass, E N; Haley, A C; Shaikh, L S; Sequel, M; Blas-Machado, U; Bishop, T M; Holmes, S P; Platt, S R

    2016-11-01

    Traditionally, hydrocephalus is divided into communicating or non-communicating (obstructive) based on the identification of a blockage of cerebrospinal fluid (CSF) flow through the ventricular system. Hydrocephalus ex vacuo refers to ventricular enlargement as a consequence of neuroparenchymal loss. Hydrocephalus related to obstruction of the lateral apertures of the fourth ventricles has rarely been described. The clinicopathologic findings in two dogs with hydrocephalus secondary to obstruction of the lateral apertures of the fourth ventricle are reported. Signs were associated with a caudal cervical spinal cord lesion in one dog and a caudal brain stem lesion in the other dog. Magnetic resonance imaging (MRI) disclosed dilation of the ventricular system, including the lateral recesses of the fourth ventricle. In one dog, postmortem ventriculography confirmed obstruction of the lateral apertures. Microscopic changes were identified in the choroid plexus in both dogs, yet a definitive cause of the obstructions was not identified. The MRI findings in both dogs are similar to membranous occlusion of the lateral and median apertures in human patients. MRI detection of dilation of the entire ventricular system in the absence of an identifiable cause should prompt consideration of an obstruction of the lateral apertures. In future cases, therapeutic interventions aimed at re-establishing CSF flow or ventriculoperitoneal catheterisation should be considered. © 2016 Australian Veterinary Association.

  8. [Anaesthesia for patients with obstructive airway diseases].

    PubMed

    Groeben, H; Keller, V; Silvanus, M T

    2014-01-01

    Obstructive lung diseases like asthma or chronic obstructive lung diseases have a high prevalence and are one of the four most frequent causes of death. Obstructive lung diseases can be significantly influenced by the choice of anesthetic techniques and anesthetic agents. Basically, the severity of the COPD and the degree of bronchial hyperreactivity will determine the perioperative anesthetic risk. This risk has to be assessed by a thorough preoperative evaluation and will give the rationale on which to decide for the adequate anaesthetic technique. In particular, airway instrumentation can cause severe reflex bronchoconstriction. The use of regional anaesthesia alone or in combination with general anaesthesia can help to avoid airway irritation and leads to reduced postoperative complications. Prophylactic antiobstructive treatment, volatile anesthetics, propofol, opioids, and an adequate choice of muscle relaxants minimize the anesthetic risk, when general anesthesia is required In case, despite all precautions intra-operative bronchospasm occurs, deepening of anaesthesia, repeated administration of beta2-adrenergic agents and parasympatholytics, and a single systemic dose of corticosteroids represent the main treatment options.

  9. Asymptomatic peripheral artery disease can limit maximal exercise capacity in chronic obstructive pulmonary disease patients regardless of airflow obstruction and lung hyperinflation.

    PubMed

    Crisafulli, Ernesto; Scelfo, Chiara; Tzani, Panagiota; Aiello, Marina; Bertorelli, Giuseppina; Chetta, Alfredo

    2017-06-01

    Background Silent/asymptomatic peripheral artery disease may occur in patients with chronic obstructive pulmonary disease, but it is poorly investigated. The primary aim of this study was to evaluate in chronic obstructive pulmonary disease patients the impact of asymptomatic/silent peripheral artery disease on maximal exercise capacity; the secondary aim was to search for predictors of peripheral artery disease. Methods We prospectively enrolled chronic obstructive pulmonary disease outpatients. Data on anthropometric characteristics, lung function, cardiopulmonary exercise test and ankle-brachial index were recorded. The cut-off of ankle-brachial index used to define patients with peripheral artery disease was ≤0.90. Results We studied 47 patients and found 24 patients (51%) who showed peripheral artery disease. As compared to patients without peripheral artery disease, patients with peripheral artery disease had lower values of peak oxygen uptake, peak workload, energy expenditure (metabolic equivalents) and heart rate recovery, but showed the same degree of airflow obstruction and static and dynamic hyperinflation. In a multivariate linear regression model performed to identify variables predicting metabolic equivalents, ankle-brachial index (β 2.59; 95% confidence interval 0.51-4.67; p = 0.016) was an independent variable. In the search for predictors of peripheral artery disease, heart rate recovery (odds ratio 8.80; 95% confidence interval 1.30-59.35; p = 0.026) increased the risk of peripheral artery disease, whereas metabolic equivalents (odds ratio 0.50; 95% confidence interval 0.26-0.94, p = 0.033) and inhaled corticosteroids+long-acting β 2 agonists (odds ratio 0.13; 95% confidence interval 0.02-0.83; p = 0.030) reduced this risk. Conclusions In chronic obstructive pulmonary disease outpatients, asymptomatic/silent peripheral artery disease affects the maximal exercise capacity regardless of airflow obstruction and lung

  10. Internal stenting in malignant biliary obstruction.

    PubMed

    Cowling, M G; Adam, A N

    2001-03-01

    Internal stenting in inoperable malignant biliary obstruction plays an important role in patient management. Surgical bypass may still be undertaken where there is also duodenal obstruction, though the need for gastroenterostomy may be reduced with the increasing use of metallic stents for the relief of malignant gastric outlet obstruction. Stents may be placed endoscopically or percutaneously, though in most centers the endoscopic route is usually tried first, with the percutaneous route being reserved for endoscopic failures. Plastic and self-expanding metallic biliary stents are available, each with its own advantages and disadvantages. In general, longer periods of patency are observed with metallic stents, though they are more expensive. Plastic stents can be changed endoscopically relatively easily when they have blocked, and in practice it is common for plastic stents to be inserted via this route for initial biliary drainage. If there is prolonged survival thereafter, many workers insert a metallic stent in an attempt to reduce the number of interventions required. If the percutaneous route is being employed, the histologic diagnosis has been confirmed, and the malignancy is inoperable, our practice is to use a self-expanding metallic stent, as the delivery system is relatively small and subsequent occlusion less likely.

  11. Premenarchal, recurrent vaginal discharge associated with an incomplete obstructing longitudinal vaginal septum.

    PubMed

    Hansen, Keith A; DeWitt, Jason

    2005-12-01

    To describe an unusual, premenarchal presentation of an obstructive vaginal anomaly. Case Report. University Medical Center. Premenarchal subject Vaginogram, vaginal septum resection. Vaginal septum resection with resolution of vaginal discharge. This case demonstrates some of the typical features of uterus didelphys bicollis with incomplete obstructing hemivagina, but had a unique presentation with premenarchal, recurrent vaginal discharge. Typically, patients with an obstructing mullerian anomaly present after menarche with pelvic pain and a mass. The vaginogram assists in the preoperative definition of abnormal anatomy which allows the surgeon to develop the most appropriate surgical approach. Resection of this incompletely obstructing vaginal septum resulted in resolution of the recurrent vaginal discharge.

  12. Elongated uvula and diagnostic utility of spirometry in upper airway obstruction

    PubMed Central

    Paliwal, Rajiv; Patel, Satish; Patel, Purvesh; Soni, Hiren

    2010-01-01

    Elongated uvula is relatively an uncommon condition. Upper airway obstruction is often a missed complication of such a rare condition. Clinical presentations of upper airway obstruction often mimic asthma. Hence it is very easily mis-diagnosed as asthma. Spirometry offers a very simple test to diagnose upper airway obstruction very early and easily. Once diagnosed, the management of elongated uvula, almost exclusively, is surgical excision leading to total cure. Here is a case report of such a rare condition. PMID:20539769

  13. Diagnostic Instability and Reversals of Chronic Obstructive Pulmonary Disease Diagnosis in Individuals with Mild to Moderate Airflow Obstruction.

    PubMed

    Aaron, Shawn D; Tan, Wan C; Bourbeau, Jean; Sin, Don D; Loves, Robyn H; MacNeil, Jenna; Whitmore, George A

    2017-08-01

    Chronic obstructive pulmonary disease (COPD) is a chronic, progressive disease, and reversal of COPD diagnosis is thought to be uncommon. To determine whether a spirometric diagnosis of mild or moderate COPD is subject to variability and potential error. We examined two prospective cohort studies that enrolled subjects with mild to moderate post-bronchodilator airflow obstruction. The Lung Health Study (n = 5,861 subjects; study duration, 5 yr) and the Canadian Cohort of Obstructive Lung Disease (CanCOLD) study (n = 1,551 subjects; study duration, 4 yr) were examined to determine frequencies of (1) diagnostic instability, represented by how often patients initially met criteria for a spirometric diagnosis of COPD but then crossed the diagnostic threshold to normal and then crossed back to COPD over a series of annual visits, or vice versa; and (2) diagnostic reversals, defined as how often an individual's COPD diagnosis at the study outset reversed to normal by the end of the study. Diagnostic instability was common and occurred in 19.5% of the Lung Health Study subjects and 6.4% of the CanCOLD subjects. Diagnostic reversals of COPD from the beginning to the end of the study period occurred in 12.6% and 27.2% of subjects in the Lung Health Study and CanCOLD study, respectively. The risk of diagnostic instability was greatest for subjects whose baseline FEV 1 /FVC value was closest to the diagnostic threshold, and the risk of diagnostic reversal was greatest for subjects who quit smoking during the study. A single post-bronchodilator spirometric assessment may not be reliable for diagnosing COPD in patients with mild to moderate airflow obstruction at baseline.

  14. Fibroepithelial ureteral polyps presenting as ureteropelvic obstruction

    PubMed Central

    Cusano, Antonio; Abarzua-Cabezas, Fernando; Kesler, Stuart

    2014-01-01

    A 57-year-old woman presented with bilateral abdominal pain and flank discomfort. Imaging studies, consisting of CT scan, diethylene triamine pentaacetic acid renal scan with Lasix and a retrograde pyelogram, indicated an obstruction at the uteropelvic junction (UPJ), possibly due to fibroepithelial polyps within the ureter. A robotic pyeloplasty revealed a ureteral diverticulum and a thin, still-attached fibroepithelial polyp of approximately 2 cm in length. The patient tolerated the procedure well and was discharged one day postpyeloplasty with no reported complications. This rare clinical scenario should be considered when formulating a diagnosis for a UPJ obstruction. PMID:24759168

  15. Endourologic management of malignant ureteral obstruction: indications, results, and quality-of-life issues.

    PubMed

    Sountoulides, Petros; Pardalidis, Nikolaos; Sofikitis, Nikolaos

    2010-01-01

    Obstruction of the upper urinary tract is a problem commonly faced by practicing urologists. The constant evolution in endourology has effectively facilitated minimally invasive management of upper-tract obstruction. In a case in which malignancy is the cause of obstruction, however, the situation significantly changes. Questions arise regarding the need for relieving the obstruction, the means to accomplish this, and the benefits and drawbacks of each technique regarding both their efficacy and their impact on the patients well-being and the crucial issue of quality of life in the face of malignancy.

  16. Repeated Small Bowel Obstruction Caused by Chestnut Ingestion without the Formation of Phytobezoars.

    PubMed

    Satake, Ryu; Chinda, Daisuke; Shimoyama, Tadashi; Satake, Miwa; Oota, Rie; Sato, Satoshi; Yamai, Kiyonori; Hachimori, Hisashi; Okamoto, Yutaka; Yamada, Kyogo; Matsuura, Osamu; Hashizume, Tadashi; Soma, Yasushi; Fukuda, Shinsaku

    2016-01-01

    A small number of cases of small bowel obstruction caused by foods without the formation of phytobezoars have been reported. Repeated small bowel obstruction due to the ingestion of the same food is extremely rare. We present the case of 63-year-old woman who developed small bowel obstruction twice due to the ingestion of chestnuts without the formation of phytobezoars. This is the first reported case of repeated small bowel obstruction caused by chestnut ingestion. Careful interviews are necessary to determine the meal history of elderly patients and psychiatric patients.

  17. Acute surgical abdomen due to phytobezoar-induced ileal obstruction.

    PubMed

    Salemis, Nikolaos S; Panagiotopoulos, Nikolaos; Sdoukos, Nikolaos; Niakas, Evangelos

    2013-01-01

    Phytobezoar-induced small bowel obstruction is an uncommon clinical entity accounting for 2-4.8% of all mechanical intestinal obstructions. In addition, presentation with features of acute surgical abdomen is extremely rare, accounting for only 1% of the patients. The aim of this report is to present a very rare case of a phytobezoar-induced small bowel obstruction in a male patient who presented with acute surgical abdomen. A correct preoperative diagnosis was made based on the patient's history and characteristic imaging features on the emergency computed tomography (CT) scan. A 55-year-old man with previous gastrectomy presented with typical manifestations of acute abdomen. CT scan demonstrated dilatated small bowel loops and an intraluminal ileal mass with a mottled appearance. At exploratory laparotomy, a phytobezoar was found impacted in the terminal ileum and was removed through an enterotomy. Phytobezoar should be considered in patients with previous gastric outlet surgery who present with bowel obstruction and features of acute surgical abdomen. The presence of a well-defined intraluminal mass with a mottled gas pattern on emergency CT scan is suggestive of an intestinal phytobezoar. Copyright © 2013 Elsevier Inc. All rights reserved.

  18. DNA damage in children with obstructive adenotonsillar hypertrophy.

    PubMed

    Yoruk, Ozgur; Alp, Hakan; Yuksel, Sancak; Bakan, Ebubekir

    2014-11-01

    The objective of this prospective, controlled study was to evaluate oxidative DNA damage in children with obstructive adenotonsillar hypertrophy. This study included 30 patients with obstructive adenotonsillar hypertrophy (male/female ratio, 3:2; age range, 3-9 y) scheduled to undergo tonsillectomy and adenoidectomy and 25 control subjects of similar age and sex with no adenotonsillar disease or airway obstruction. Urine and blood samples were obtained from each child for 8-hydroxy 2-deoxyguanosine (8-OhdG) and malondialdehyde (MDA) concentrations. There were significant differences in leukocyte (3.28 [0.69/10] vs 0.70 [0.15/10] dG) and urine 8-OhdG (8.22 [2.27/10] vs 5.26 [1.3/10] dG) levels in patients with obstructive adenotonsillar hypertrophy and healthy subjects (P < 0.001 for both). Plasma (2.98 [1.31] vs 1.14 [0.64] μM) and urine (1.77 [0.84] vs 0.56 [0.32] μM) MDA levels were also different (P < 0.001 for both). There were positive correlations between 8-OhdG in leukocyte DNA and plasma MDA (r = 0.648, P < 0.001) and between levels of urine 8-OhdG excretion and urine MDA (r = 0.588, P < 0.001). The DNA damage in children with adenotonsillar hypertrophy should be kept in mind, but further studies must be done with larger patient groups.

  19. Bowel obstruction caused by broad ligament hernia sucessfully repaired by laparoscopy.

    PubMed

    Toolabi, K; Zamanian, A; Parsaei, R

    2018-04-01

    Internal hernais are rare bowel obstructions. We present a case of small bowel obstruction in a 37-year-old woman caused by internal herniation through a defect in broad ligament, which was managed by laparoscopic surgery.

  20. Measuring precise sea level from a buoy using the global positioning system

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Rocken, C.; Kelecy, T.M.; Born, G.H.

    1990-11-01

    High-accuracy sea surface positioning is required for sea floor geodesy, satellite altimeter verification, and the study of sea level. An experiment to study the feasibility of using the Global Positioning System (GPS) for accurate sea surface positioning was conducted. A GPS-equipped buoy (floater) was deployed off the Scripps pier at La Jolla, California during December 13-15, 1989. Two reference GPS receivers were placed on land, one within {approximately}100 m of the floater, and the other about 80 km inland at the laser ranging site on Monument Peak. The position of the floater was determined relative to the land-fixed receivers using:more » (a) kinematic GPS processing software developed at the National Geodetic Survey (NGS), and (b) the Jet Propulsion Laboratory's GIPSY (GPS Inferred Positioning SYstem) software. Sea level and ocean wave spectra were calculated from GPPS measurements. These results were compared to measurements made with a NOAA tide gauge and a Paros{trademark} pressure transducer (PPT). GPS sea level for the short 100-m baseline agrees with the PPT sea level at the 1-cm level and has an rms variation of 5 mm over a period of 4 hours. Agreement between results with the two independent GPS analyses is on the order of a few millimeters. Processing of the longer Monument Peak - floater baseline is in progress and will require orbit adjustments and tropospheric modeling to obtain results comparable to the short baseline.« less

  1. An unusual cause of small bowel obstruction in children: lentil soup bezoar

    PubMed Central

    Plataras, Christos; Sardianos, Nektarios; Vlatakis, Stephanos; Nikas, Konstantinos

    2014-01-01

    Bezoars are an unusual cause of acute intestinal obstruction in children. Most cases are trichobezoars in adolescent girls who swallow their hair. Lactobezoars are another unusual but occasionally reported cause of intestinal obstruction in neonates. Phytobezoars and food bolus bezoars are the least common types of intestinal obstruction that have been reported in children. Of the few paediatric cases that have been described, the majority involve persimmons. Moreover, all of these cases involve the ingestion of raw fibres or fruit that have not been cooked. We report a case of a girl who presented with acute ileal obstruction because of lentil soup bezoar. Given the wide use of this otherwise nutritional foodstuff, we highlight the danger from its inappropriate preparation to the health of children. This is the first reported case of intestinal obstruction caused by lentils in children and we hope to raise concern among paediatricians regarding this matter. PMID:24692381

  2. Oral water soluble contrast for the management of adhesive small bowel obstruction.

    PubMed

    Abbas, S; Bissett, I P; Parry, B R

    2007-07-18

    Adhesions are the leading cause of small bowel obstruction. Gastrografin transit time may allow for the selection of appropriate patients for non-operative management. Some studies have shown when the contrast does not reach the colon after a designated time it indicates complete intestinal obstruction that is unlikely to resolve with conservative treatment. When the contrast does reach the large bowel, it indicates partial obstruction and patients are likely to respond to conservative treatment. Other studies have suggested that the administration of water-soluble contrast is therapeutic in resolving the obstruction. To determine the reliability of water-soluble contrast media and serial abdominal radiographs in predicting the success of conservative treatment in patients admitted with adhesive small bowel obstruction.Furthermore, to determine the efficacy and safety of water-soluble contrast media in reducing the need for surgical intervention and reducing hospital stay in adhesive small bowel obstruction. The search was conducted using MESH terms: ''Intestinal obstruction'', ''water-soluble contrast'', "Adhesions" and "Gastrografin". The later combined with the Cochrane Collaboration highly sensitive search strategy for identifying randomised controlled trials and controlled clinical trials. 1. Prospective studies were included to evaluate the diagnostic potential of water-soluble contrast in adhesive small bowel obstruction.2. Randomised clinical trials were selected to evaluate the therapeutic role. 1. Studies that addressed the diagnostic role of water-soluble contrast were critically appraised and data presented as sensitivities, specificities and positive and negative likelihood ratios. Results were pooled and summary ROC curve was constructed.2. A meta-analysis of the data from therapeutic studies was performed using the Mantel -Henszel test using both the fixed effect and random effect models. The appearance of water-soluble contrast in the colon on an

  3. Oral water soluble contrast for the management of adhesive small bowel obstruction.

    PubMed

    Abbas, S; Bissett, I P; Parry, B R

    2005-01-25

    Adhesions are the leading cause of small bowel obstruction. Most adhesive small bowel obstructions resolve following conservative treatment but there is no consensus as to when conservative treatment should be considered unsuccessful and the patient should undergo surgery. Studies have shown that failure of an oral water-soluble contrast to reach the colon after a designated time indicates complete intestinal obstruction that is unlikely to resolve with conservative treatment. Other studies have suggested that the administration of water-soluble contrast is therapeutic in resolving the obstruction. The aims of this review are:1. To determine the reliability of water-soluble contrast media and serial abdominal radiographs in predicting the success of conservative treatment in patients admitted with adhesive small bowel obstruction.2. To determine the efficacy and safety of water-soluble contrast media in reducing the need for surgical intervention and reducing hospital stay in adhesive small bowel obstruction. The search was conducted using MeSH terms: ''Intestinal obstruction'', ''water-soluble contrast'', "Adhesions" and "Gastrografin", and combined with the Cochrane Collaboration highly sensitive search strategy for identifying randomised controlled trials and controlled clinical trials. 1. Prospective studies (to evaluate the diagnostic potential of water-soluble contrast in adhesive small bowel obstruction);2. Randomised clinical trials (to evaluate the therapeutic role). 1. Studies addressing the diagnostic role of water-soluble contrast were critically appraised and data presented as sensitivities, specificities and positive and negative likelihood ratios. Results were pooled and summary receiver operating characteristic (ROC) curve was constructed. 2. A meta-analysis of the data from therapeutic studies was performed using the Mantel -Haenszel test using both the fixed effect and random effects model. The appearance of water-soluble contrast in the caecum on

  4. Craniofacial skeletal pattern: is it really correlated with the degree of adenoid obstruction?

    PubMed Central

    Feres, Murilo Fernando Neuppmann; Muniz, Tomas Salomão; de Andrade, Saulo Henrique; Lemos, Maurilo de Mello; Pignatari, Shirley Shizue Nagata

    2015-01-01

    OBJECTIVE: The aim of this study was to compare the cephalometric pattern of children with and without adenoid obstruction. METHODS: The sample comprised 100 children aged between four and 14 years old, both males and females, subjected to cephalometric examination for sagittal and vertical skeletal analysis. The sample also underwent nasofiberendoscopic examination intended to objectively assess the degree of adenoid obstruction. RESULTS: The individuals presented tendencies towards vertical craniofacial growth, convex profile and mandibular retrusion. However, there were no differences between obstructive and non-obstructive patients concerning all cephalometric variables. Correlations between skeletal parameters and the percentage of adenoid obstruction were either low or not significant. CONCLUSIONS: Results suggest that specific craniofacial patterns, such as Class II and hyperdivergency, might not be associated with adenoid hypertrophy. PMID:26352848

  5. On the cutting edge of obstructive sleep apnoea: where next?

    PubMed Central

    Malhotra, Atul; Orr, Jeremy E; Owens, Robert L

    2015-01-01

    Obstructive sleep apnoea is a common disease that is now more widely recognised because of the rise in prevalence and the increasingly compelling data that shows major neurocognitive and cardiovascular sequelae. At the same time, the clinical practice of sleep medicine is changing rapidly, with novel diagnostics and treatments that have established a home-based (rather than laboratory-based) management approach. We review the most recent insights and discoveries in obstructive sleep apnoea, with a focus on diagnostics and therapeutics. As will be discussed, management of obstructive sleep apnoea could soon transition from a so-called one size fits all approach to an individualised approach. PMID:25887980

  6. Obstructive sleep apnea and asthma*

    PubMed Central

    Salles, Cristina; Terse-Ramos, Regina; Souza-Machado, Adelmir; Cruz, Álvaro A

    2013-01-01

    Symptoms of sleep-disordered breathing, especially obstructive sleep apnea syndrome (OSAS), are common in asthma patients and have been associated with asthma severity. It is known that asthma symptoms tend to be more severe at night and that asthma-related deaths are most likely to occur during the night or early morning. Nocturnal symptoms occur in 60-74% of asthma patients and are markers of inadequate control of the disease. Various pathophysiological mechanisms are related to the worsening of asthma symptoms, OSAS being one of the most important factors. In patients with asthma, OSAS should be investigated whenever there is inadequate control of symptoms of nocturnal asthma despite the treatment recommended by guidelines having been administered. There is evidence in the literature that the use of continuous positive airway pressure contributes to asthma control in asthma patients with obstructive sleep apnea and uncontrolled asthma. PMID:24310634

  7. An overview of the literature on congenital lower urinary tract obstruction and introduction to the PLUTO trial: percutaneous shunting in lower urinary tract obstruction.

    PubMed

    Morris, R Katie; Kilby, Mark D

    2009-02-01

    Congenital lower urinary tract obstruction (LUTO) comprises a heterogeneous group of pathologies causing obstruction to the urethra, the most common being posterior urethral valves. Such pathology is often associated with high perinatal mortality and varying degrees of perinatal and infant morbidity. A high proportion of LUTO may be visualised during routine second trimester (and first trimester) ultrasound giving rise to the possibility of determining individual fetal prognosis and treatments such as vesico-amniotic shunting, with a view to altering pathogenesis. The aims of the percutaneous shunting in low urinary tract obstruction (PLUTO) trial are to determine the effectiveness of these treatments and accuracy of the investigations with the primary outcome measures being perinatal mortality and postnatal renal function.

  8. Arginase activity and nitric oxide levels in patients with obstructive sleep apnea syndrome

    PubMed Central

    Yüksel, Meral; Okur, Hacer Kuzu; Pelin, Zerrin; Öğünç, Ayliz Velioğlu; Öztürk, Levent

    2014-01-01

    OBJECTIVE: Obstructive sleep apnea syndrome is characterized by repetitive obstruction of the upper airways, and it is a risk factor for cardiovascular diseases. There have been several studies demonstrating low levels of nitric oxide in patients with obstructive sleep apnea syndrome compared with healthy controls. In this study, we hypothesized that reduced nitric oxide levels would result in high arginase activity. Arginase reacts with L-arginine and produces urea and L-ornithine, whereas L-arginine is a substrate for nitric oxide synthase, which produces nitric oxide. METHODS: The study group consisted of 51 obstructive sleep apnea syndrome patients (M/F: 43/8; mean age 49±10 years of age) and 15 healthy control subjects (M/F: 13/3; mean age 46±14 years of age). Obstructive sleep apnea syndrome patients were divided into two subgroups based on the presence or absence of cardiovascular disease. Nitric oxide levels and arginase activity were measured via an enzyme-linked immunosorbent assay of serum samples. RESULTS: Serum nitric oxide levels in the control subjects were higher than in the obstructive sleep apnea patients with and without cardiovascular diseases (p<0.05). Arginase activity was significantly higher (p<0.01) in obstructive sleep apnea syndrome patients without cardiovascular diseases compared with the control group. Obstructive sleep apnea syndrome patients with cardiovascular diseases had higher arginase activity than the controls (p<0.001) and the obstructive sleep apnea syndrome patients without cardiovascular diseases (p<0.05). CONCLUSION: Low nitric oxide levels are associated with high arginase activity. The mechanism of nitric oxide depletion in sleep apnea patients suggests that increased arginase activity might reduce the substrate availability of nitric oxide synthase and thus could reduce nitric oxide levels. PMID:24714832

  9. Metallic Full-Length Ureteral Stents: Does Urinary Tract Infection Cause Obstruction?

    PubMed Central

    Brown, James A.; Powell, Christopher L.; Carlson, Kristopher R.

    2010-01-01

    Metallic ureteral stents promise to offer superior upper urinary tract drainage with extended exchange intervals and freedom from extrinsic compression in patients with advanced malignancy or other significant obstructing retroperitoneal or pelvic processes. Existing literature indicates a variable experience with these relatively new devices, with some investigators reporting excellent results and long problem-free intervals, and others reporting less enthusiastic outcomes. We report a retrospective review of a series of five sequential patients undergoing placement of Resonance® (Cook Medical, Bloomington, IN) metallic ureteral stents for extrinsic ureteral compression refractory to placement of traditional (polymer) ureteral stents. Of five patients reviewed, three (60%) required additional operative intervention for stent migration or malposition. Four patients (80%) died of their primary malignancy <12 months after metallic stent placement. Four (80%) of five patients had obstruction of their stents demonstrated with nuclear renography and/or other imaging, and three (60%) required removal and alternative means of urinary tract drainage within 4 months of placement due to obstruction, intractable pain, or migration. Four patients (80%) had urinary tract infections (UTIs) within 4 months of stent placement. No obstruction was seen due to extrinsic ureteral compression after stent placement. Metallic ureteral stents may have utility for patients with pathological processes causing extrinsic ureteral compression refractory to the use of traditional polymer ureteral stents. However, metallic ureteral stents are not immune to obstruction, migration, and associated discomfort. Stent obstruction appears to be increased in patients with postoperative UTI. PMID:20730376

  10. Metallic full-length ureteral stents: does urinary tract infection cause obstruction?

    PubMed

    Brown, James A; Powell, Christopher L; Carlson, Kristopher R

    2010-08-17

    Metallic ureteral stents promise to offer superior upper urinary tract drainage with extended exchange intervals and freedom from extrinsic compression in patients with advanced malignancy or other significant obstructing retroperitoneal or pelvic processes. Existing literature indicates a variable experience with these relatively new devices, with some investigators reporting excellent results and long problem-free intervals, and others reporting less enthusiastic outcomes. We report a retrospective review of a series of five sequential patients undergoing placement of Resonance (Cook Medical, Bloomington, IN) metallic ureteral stents for extrinsic ureteral compression refractory to placement of traditional (polymer) ureteral stents. Of five patients reviewed, three (60%) required additional operative intervention for stent migration or malposition. Four patients (80%) died of their primary malignancy <12 months after metallic stent placement. Four (80%) of five patients had obstruction of their stents demonstrated with nuclear renography and/or other imaging, and three (60%) required removal and alternative means of urinary tract drainage within 4 months of placement due to obstruction, intractable pain, or migration. Four patients (80%) had urinary tract infections (UTIs) within 4 months of stent placement. No obstruction was seen due to extrinsic ureteral compression after stent placement. Metallic ureteral stents may have utility for patients with pathological processes causing extrinsic ureteral compression refractory to the use of traditional polymer ureteral stents. However, metallic ureteral stents are not immune to obstruction, migration, and associated discomfort. Stent obstruction appears to be increased in patients with postoperative UTI.

  11. Acquired urethral obstruction in New World camelids: 34 cases (1995-2008).

    PubMed

    Duesterdieck-Zellmer, K F; Van Metre, D C; Cardenas, A; Cebra, C K

    2014-08-01

    Document the clinical features, short- and long-term outcomes and prognostic factors in New World camelids with acquired urethral obstruction. Retrospective case study. Case data from medical records of 34 New World camelids presenting with acquired urethral obstruction were collected and follow-up information on discharged patients was obtained. Associations with short- and long-term survival were evaluated using Wilcoxon rank-sum tests, exact-logistic regressions and Kaplan-Meier survival curves. Of the 34 New World camelids 23 were intact males and 11 were castrated; 4 animals were euthanased upon presentation, 7 were treated medically and 23 surgically, including urethrotomy, bladder marsupialisation, tube cystostomy alone or combined with urethrotomy, urethrostomy or penile reefing. Necrosis of the distal penis was found in 4 animals and all were short-term non-survivors. Short-term survival for surgical cases was 65%, and 57% for medical cases. Incomplete urethral obstruction at admission and surgical treatment were associated with increased odds of short-term survival. Of 14 records available for long-term follow-up, 6 animals were alive and 8 were dead (median follow-up 4.5 years, median survival time 2.5 years). Recurrence of urethral obstruction was associated with long-term non-survival. Surgically treated New World camelids with incomplete urethral obstruction have the best odds of short-term survival and those with recurrence of urethral obstruction have a poor prognosis for long-term survival. © 2014 Australian Veterinary Association.

  12. Artificial intelligence in diagnosis of obstructive lung disease: current status and future potential.

    PubMed

    Das, Nilakash; Topalovic, Marko; Janssens, Wim

    2018-03-01

    The application of artificial intelligence in the diagnosis of obstructive lung diseases is an exciting phenomenon. Artificial intelligence algorithms work by finding patterns in data obtained from diagnostic tests, which can be used to predict clinical outcomes or to detect obstructive phenotypes. The purpose of this review is to describe the latest trends and to discuss the future potential of artificial intelligence in the diagnosis of obstructive lung diseases. Machine learning has been successfully used in automated interpretation of pulmonary function tests for differential diagnosis of obstructive lung diseases. Deep learning models such as convolutional neural network are state-of-the art for obstructive pattern recognition in computed tomography. Machine learning has also been applied in other diagnostic approaches such as forced oscillation test, breath analysis, lung sound analysis and telemedicine with promising results in small-scale studies. Overall, the application of artificial intelligence has produced encouraging results in the diagnosis of obstructive lung diseases. However, large-scale studies are still required to validate current findings and to boost its adoption by the medical community.

  13. Effect of dai-kenchu-to on obstructive bowel disease in children.

    PubMed

    Ohya, Toshiki; Usui, Yoshiko; Arii, Shigeki; Iwai, Takehisa; Susumu, Tsunoda

    2003-01-01

    The aim of this study was to evaluate the effects of a traditional Chinese herbal medicine, dai-kenchu-to (DKT), on obstructive bowel diseases in children. We have treated 46 pediatric patients with various obstructive bowel diseases with DKT: six patients with postoperative ileus, 12 with large abdominal surgery (including three neonates), one with ano-rectal anomaly, three with Hirschsprung's disease, two with functional bowel obstructions, one with SMA syndrome, and 21 patients with chronic constipation. DKT (0.1-0.15 g/kg) was mixed with 5-10 ml of warm water, and was given orally two to three times a day. DKT was effective for 39 patients (85%) and their clinical symptoms improved. DKT was ineffective in seven patients: two with postoperative ileus, two with Hirschsprung's disease, and three with chronic constipation. DKT had mild but significant effects for various obstructive bowel diseases in children, while no side effects were encountered. Our current strategy for pediatric patients with obstructive bowel disease is to use DKT first and then test its efficacy. If DKT is effective, the regimen is continued. However, in cases where DKT is not effective, we will consider laparotomy or will further investigate the illness.

  14. Ventilation inhomogeneity in obstructive lung diseases measured by electrical impedance tomography: a simulation study.

    PubMed

    Schullcke, B; Krueger-Ziolek, S; Gong, B; Jörres, R A; Mueller-Lisse, U; Moeller, K

    2017-10-10

    Electrical impedance tomography (EIT) has mostly been used in the Intensive Care Unit (ICU) to monitor ventilation distribution but is also promising for the diagnosis in spontaneously breathing patients with obstructive lung diseases. Beside tomographic images, several numerical measures have been proposed to quantitatively assess the lung state. In this study two common measures, the 'Global Inhomogeneity Index' and the 'Coefficient of Variation' were compared regarding their capability to reflect the severity of lung obstruction. A three-dimensional simulation model was used to simulate obstructed lungs, whereby images were reconstructed on a two-dimensional domain. Simulations revealed that minor obstructions are not adequately recognized in the reconstructed images and that obstruction above and below the electrode plane may result in misleading values of inhomogeneity measures. EIT measurements on several electrode planes are necessary to apply these measures in patients with obstructive lung diseases in a promising manner.

  15. Clinical strategies for the management of intestinal obstruction and pseudo-obstruction. A Delphi Consensus study of SICUT (Società Italiana di Chirurgia d'Urgenza e del Trauma).

    PubMed

    Costa, Gianluca; Ruscelli, Paolo; Balducci, Genoveffa; Buccoliero, Francesco; Lorenzon, Laura; Frezza, Barbara; Chirletti, Piero; Stagnitti, Franco; Miniello, Stefano; Stella, Francesco

    2016-01-01

    Intestinal obstructions/pseudo-obstruction of the small/large bowel are frequent conditions but their management could be challenging. Moreover, a general agreement in this field is currently lacking, thus SICUT Society designed a consensus study aimed to define their optimal workout. The Delphi methodology was used to reach consensus among 47 Italian surgical experts in two study rounds. Consensus was defined as an agreement of 75.0% or greater. Four main topic areas included nosology, diagnosis, management and treatment. A bowel obstruction was defined as an obstacle to the progression of intestinal contents and fluids generally beginning with a sudden onset. The panel identified four major criteria of diagnosis including absence of flatus, presence of >3.5 cm ileal levels or >6 cm colon dilatation and abdominal distension. Panel also recommended a surgical admission, a multidisciplinary approach, and a gastrografin swallow for patients presenting occlusions. Criteria for immediate surgery included: presence of strangulated hernia, a >10 cm cecal dilatation, signs of vascular pedicles obstructions and persistence of metabolic acidosis. Moreover, rules for non-operative management (to be conducted for maximum 72 hours) included a naso-gastric drainage placement and clinical and laboratory controls each 12 hours. Non-operative treatment should be suspended if any suspects of intra-abdominal complications, high level of lactates, leukocytosis (>18.000/mm3 or Neutrophils >85%) or a doubling of creatinine level comparing admission. Conversely, consensus was not reached regarding the exact timing of CT scan and the appropriateness of colonic stenting. This consensus is in line with current international strategies and guidelines, and it could be a useful tool in the safe basic daily management of these common and peculiar diseases. Delphi study, Intestinal obstruction, Large bowel obstruction, Pseudo-obstruction, Small bowel.

  16. Acute Duodenal Obstruction After Percutaneous Placement of Metallic Biliary Stents: Peroral Treatment with Enteral Stents

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Lopera, Jorge E.; Alvarez, Oscar A.; Perdigao, Joseph

    2003-09-15

    Three patients with malignant biliary obstruction were treated with placement of metallic biliary stents. Two patients had known partial duodenal stenosis but had no symptoms of gastrointestinal obstruction. The patients developed symptomatic duodenal obstruction early after biliary metallic stent placement. The symptomatic duodenal obstructions were successfully treated with peroral placement of duodenal stents, which obviated the need for surgical intervention.

  17. Urinary obstruction is an important complicating factor in patients with septic shock due to urinary infection.

    PubMed

    Reyner, Karina; Heffner, Alan C; Karvetski, Colleen H

    2016-04-01

    Urinary tract infection (UTI) is a common cause of severe sepsis, and anatomic urologic obstruction is a recognized factor for complicated disease. We aimed to identify the incidence of urinary obstruction complicating acute septic shock and determine the characteristics and outcomes of this group. Patients prospectively enrolled in a sepsis treatment pathway registry between October 2013 and July 2014 were reviewed for the diagnosis of UTI. Standardized medical record review was performed to confirm sepsis due to UTI and determine clinical variables including the presence of anatomic urinary obstruction. Patients with septic shock due to UTI with obstruction were compared with those without obstruction. The primary outcomes were incidence of urinary obstruction and hospital mortality. Among 1084 registry enrollees, 209 (19.2%) met inclusion criteria for the study. Acute anatomic obstruction was identified in 22 (10.5%) patients. Hospital mortality in patients with obstruction was 27.3% compared with 11.2% in patients without obstruction (absolute difference of 16.1%; P = .03; 95% confidence interval [CI], 1.2%-30.9%). Hospital length of stay among survivors was 12.8 days compared with 8.3 days (absolute difference of 4.5 days; P = .04; 95% CI, 0.2-8.8 days). History of urinary stone disease was independently associated with obstruction (odds ratio, 5.6; 95% CI, 2.2-14.3). Approximately 1 in 10 patients presenting with septic shock due to a urinary source is complicated by anatomic urinary obstruction. These patients have significantly higher mortality compared with patients without obstruction. Early imaging of patients with septic shock due to suspected urinary source should be considered to identify obstruction requiring emergency intervention. Copyright © 2015 Elsevier Inc. All rights reserved.

  18. The Energetic Transient Array ETA - A network of 'space buoys' in solar orbit for observations of gamma-ray bursts

    NASA Technical Reports Server (NTRS)

    Ricker, George R.

    1990-01-01

    The Energetic Transient Array (ETA) is a concept for a dedicated interplanetary network of about 40 microsatellites ('space buoys') deployed in an about 1 AU radius solar orbit for the observation of cosmic gamma ray bursts (GRBs). Such a network is essential for the determination of highly accurate (about 0.1 arcsec) error boxes for GRBs. For each of about 100 bursts which would be detectable per year of observation by such a network, high resolution spectra could be obtained through the use of passively-cooled Ge gamma-ray detectors. Stabilization of each microsatellite would be achieved by a novel technique based on the radiation pressure exerted on 'featherable' solar paddles. It should be possible to have a fully functional array of satellites in place before the end of the decade for a total cost of about $20M, exclusive of launcher fees.

  19. Validity of peak expiratory flow measurement in assessing reversibility of airflow obstruction.

    PubMed Central

    Dekker, F W; Schrier, A C; Sterk, P J; Dijkman, J H

    1992-01-01

    BACKGROUND: Assessing the reversibility of airflow obstruction by peak expiratory (PEF) measurements would be practicable in general practice, but its usefulness has not been investigated. METHODS: PEF measurements were performed (miniWright peak flow meter) in 73 general practice patients (aged 40 to 84) with a history of asthma or chronic obstructive lung disease before and after 400 micrograms inhaled sulbutamol. The change in PEF was compared with the change in forced expiratory volume in one second (FEV1). Reversible airflow obstruction was analysed in two ways according to previous criteria. When defined as a 9% or greater increase in FEV1 expressed as a percentage of predicted values reversibility was observed in 42% of patients. Relative operating characteristic analysis showed that an absolute improvement in PEF of 60 l/min or more gave optimal discrimination between patients with reversible and irreversible airflow obstruction (the sensitivity and specificity of an increase of 60 l/min in detecting a 9% or more increase in FEV1 as a percentage of predicted values were 68% and 93% respectively, with a positive predictive value of 87%). When defined as an increase of 190 ml or more in FEV1, reversible airflow obstruction was observed in 53% of patients. Again an absolute improvement in PEF of 60 l/min or more gave optimal discrimination between patients with reversible and irreversible airflow obstruction (sensitivity 56%, specificity 94%, and positive predictive value 92%). CONCLUSION: Absolute changes in PEF can be used as a simple technique to diagnose reversible airflow obstruction in patients from general practice. PMID:1519192

  20. Biliary tract obstruction secondary to cancer: management guidelines and selected literature review.

    PubMed

    Lokich, J J; Kane, R A; Harrison, D A; McDermott, W V

    1987-06-01

    Malignant biliary tract obstruction (MBTO) due to either primary biliary tract cancer or metastasis to the porta hepatis is a common clinical problem. The most common metastatic tumors causing MBTO in order of frequency are gastric, colon, breast, and lung cancers. Radiographic diagnostic procedures should proceed in a cost-effective sequence from ultrasonography, computerized tomography (CT), percutaneous transhepatic cholangiography (PTHC), and endoscopic retrograde pancreatography with the goal of establishing the site of the biliary tract obstruction. The identification of the site of obstruction could be established by ultrasound 70% to 80%, CT scan 80% to 90%, PTHC 100%, and endoscopic retrograde cholangiography (ERCP) 85%. Therapeutic intervention by radiographic decompression (PTHC or endoscopic prosthesis), surgical bypass, or radiation therapy with or without chemotherapy may be selectively used based on (1) the site of obstruction; (2) the type of primary tumor; and (3) the presence of specific symptoms related to the obstruction. ("Prophylactic" biliary tract decompression to prevent ascending cholangitis is not supported by the literature in that the frequency of sepsis in the face of malignant obstruction is small (in contrast to sepsis associated with stone disease). Furthermore, PTHC with drainage as a long-term procedure is associated with a substantial frequency of sepsis and is unnecessary and possibly problematic as a preoperative procedure simply to reduce the bilirubin level. The use of radiation therapy in conjunction with chemotherapy for patients not deemed suitable for a surgical bypass because of the presence of proximal obstruction is an important alternative to PTHC.

  1. Genetic associations with obstructive sleep apnea traits in Hispanic/Latino Americans

    USDA-ARS?s Scientific Manuscript database

    Obstructive sleep apnea is a common disorder associated with increased risk for cardiovascular disease, diabetes, and premature mortality. Although there is strong clinical and epidemiologic evidence supporting the importance of genetic factors in influencing obstructive sleep apnea, its genetic bas...

  2. Detection of high-grade small bowel obstruction on conventional radiography with convolutional neural networks.

    PubMed

    Cheng, Phillip M; Tejura, Tapas K; Tran, Khoa N; Whang, Gilbert

    2018-05-01

    The purpose of this pilot study is to determine whether a deep convolutional neural network can be trained with limited image data to detect high-grade small bowel obstruction patterns on supine abdominal radiographs. Grayscale images from 3663 clinical supine abdominal radiographs were categorized into obstructive and non-obstructive categories independently by three abdominal radiologists, and the majority classification was used as ground truth; 74 images were found to be consistent with small bowel obstruction. Images were rescaled and randomized, with 2210 images constituting the training set (39 with small bowel obstruction) and 1453 images constituting the test set (35 with small bowel obstruction). Weight parameters for the final classification layer of the Inception v3 convolutional neural network, previously trained on the 2014 Large Scale Visual Recognition Challenge dataset, were retrained on the training set. After training, the neural network achieved an AUC of 0.84 on the test set (95% CI 0.78-0.89). At the maximum Youden index (sensitivity + specificity-1), the sensitivity of the system for small bowel obstruction is 83.8%, with a specificity of 68.1%. The results demonstrate that transfer learning with convolutional neural networks, even with limited training data, may be used to train a detector for high-grade small bowel obstruction gas patterns on supine radiographs.

  3. Relevance of testicular histopathology on prediction of sperm retrieval rates in case of non-obstructive and obstructive azoospermia.

    PubMed

    Cito, Gianmartin; Coccia, Maria E; Dabizzi, Sara; Morselli, Simone; Della Camera, Pier A; Cocci, Andrea; Criscuoli, Luciana; Picone, Rita; De Carlo, Candida; Nesi, Gabriella; Micelli, Elisabetta; Serni, Sergio; Carini, Marco; Natali, Alessandro

    2018-03-01

    The aim of our research was to establish the relevance of testicular histopathology on sperm retrieval after testicular sperm extraction in patients with non-obstructive azoospermia and in patients with obstructive azoospermia, who already underwent a previous failure testicular fine needle aspiration. We evaluated a total of 82 azoospermic men, underwent testicular sperm extraction, referring to the Assisted Reproductive Technology Centre of the University of Florence, Italy between January 2008 and March 2017. A general and genital physical examination, scrotal and trans-rectal ultrasound, semen analysis, hormone measurements, including follicle-stimulating hormone, luteinizing hormone and total testosterone, were collected. Successful sperm retrieval was obtained in 36 men of total (43.9%). Successful sperm retrieval was 29.5% in non-obstructive azoospermia patients, while men with obstructive azoospermia, who, underwent a previous failure testicular fine needle aspiration, had sperm retrieval in 86% of cases. Mean luteinizing hormone was 6.55 IU/L, total testosterone 4.70 ng/mL, right testicular volume 13.7 mL and left testicular volume 13.6 mL. Mean Follicle-stimulating hormone was 13.45 IU/L in patients with negative sperm retrieval and 8.18 IU/L in men with successful sperm retrieval. According to histology, 20.7% had normal spermatogenesis, 35.3% hypospermatogenesis, 35.3% maturation arrest and 8.5% Sertoli cell-only syndrome. Successful sperm retrieval was 88.2% in patients with normal spermatogenesis, 24.1% in the maturation arrest group and 48.27% in patients with hypospermatogenesis, while negative sperm retrieval was reported in Sertoli cell-only syndrome patients. Seven cases with maturation arrest showed a successful sperm retrieval. Testicular histopathology after testicular sperm extraction offers important information on prediction of sperm retrieval and can guide the surgeon in choosing the more suitable therapeutic practice.

  4. Extrinsic cerebral venous sinus obstruction resulting in intracranial hypertension

    PubMed Central

    Goldsmith, P; Burn, D; Coulthard, A; Jenkins, A

    1999-01-01

    We report the case of a 70-year-old man reporting with headache and visual disturbances who was being treated for prostate cancer. Investigations showed him to have intracranial hypertension caused by venous sinus obstruction. Patients with metastatic disease and raised intracranial pressure in the absence of focal signs should be considered as possible cases of venous outflow obstruction.


Keywords: intracranial hypertension; venous sinus thrombosis; malignancy PMID:10616691

  5. Nasal Involvement in Obstructive Sleep Apnea Syndrome

    PubMed Central

    Michels, Daniel de Sousa; Rodrigues, Amanda da Mota Silveira; Nakanishi, Márcio; Sampaio, André Luiz Lopes; Venosa, Alessandra Ramos

    2014-01-01

    Numerous studies have reported an association between nasal obstruction and obstructive sleep apnea syndrome (OSAS), but the precise nature of this relationship remains to be clarified. This paper aimed to summarize data and theories on the role of the nose in the pathophysiology of sleep apnea as well as to discuss the benefits of surgical and medical nasal treatments. A number of pathophysiological mechanisms can potentially explain the role of nasal pathology in OSAS. These include the Starling resistor model, the unstable oral airway, the nasal ventilatory reflex, and the role of nitric oxide (NO). Pharmacological treatment presents some beneficial effects on the frequency of respiratory events and sleep architecture. Nonetheless, objective data assessing snoring and daytime sleepiness are still necessary. Nasal surgery can improve the quality of life and snoring in a select group of patients with mild OSAS and septal deviation but is not an effective treatment for OSA as such. Despite the conflicting results in the literature, it is important that patients who are not perfectly adapted to CPAP are evaluated in detail, in order to identify whether there are obstructive factors that could be surgically corrected. PMID:25548569

  6. The epidemiology of adult obstructive sleep apnea.

    PubMed

    Punjabi, Naresh M

    2008-02-15

    Obstructive sleep apnea is a chronic condition characterized by frequent episodes of upper airway collapse during sleep. Its effect on nocturnal sleep quality and ensuing daytime fatigue and sleepiness are widely acknowledged. Increasingly, obstructive sleep apnea is also being recognized as an independent risk factor for several clinical consequences, including systemic hypertension, cardiovascular disease, stroke, and abnormal glucose metabolism. Estimates of disease prevalence are in the range of 3% to 7%, with certain subgroups of the population bearing higher risk. Factors that increase vulnerability for the disorder include age, male sex, obesity, family history, menopause, craniofacial abnormalities, and certain health behaviors such as cigarette smoking and alcohol use. Despite the numerous advancements in our understanding of the pathogenesis and clinical consequences of the disorder, a majority of those affected remain undiagnosed. Simple queries of the patient or bed-partner for the symptoms and signs of the disorder, namely, loud snoring, observed apneas, and daytime sleepiness, would help identify those in need of further diagnostic evaluation. The primary objective of this article is to review some of the epidemiologic aspects of obstructive sleep apnea in adults.

  7. Laparoscopic jejunostomy for obstructing upper gastrointestinal malignancies

    PubMed Central

    TSUJIMOTO, HIRONORI; HIRAKI, SHUICHI; TAKAHATA, RISA; NOMURA, SHINSUKE; ITO, NOZOMI; KANEMATSU, KYOHEI; HORIGUCHI, HIROYUKI; AOSASA, SUEFUMI; YAMAMOTO, JUNJI; HASE, KAZUO

    2015-01-01

    The aim of this study was to describe a minimally invasive laparoscopic jejunostomy (Lap-J) technique for obstruction due to upper gastrointestinal malignancies and evaluate the nutritional benefit of Lap-J during neoadjuvant chemotherapy (NAC) in cases with obstructing esophageal cancer. Under general anesthesia, the jejunum 20–30 cm distant from the Treitz ligament was pulled out through an extended umbilical laparoscopic incision and a jejunal tube was inserted to 30 cm. The loop of bowel was gently returned to the abdomen and the feeding tube was drawn through the abdominal wall via the left lower incision. The jejunum was then laparoscopically sutured to the anterior abdominal wall. Lap-J was performed in 26 cases. The median operative time was 82 min. The postoperative course was uneventful. Lap-J prior to NAC was not associated with a decrease in body weight or serum total protein during NAC, compared with patients who received NAC without Lap-J. This minimally invasive jejunostomy technique may be particularly useful in patients in whom endoscopic therapy is not feasible due to obstruction from upper gastrointestinal malignancies. PMID:26807238

  8. Endoscopic stenting versus operative gastrojejunostomy for malignant gastric outlet obstruction.

    PubMed

    Chandrasegaram, Manju D; Eslick, Guy D; Mansfield, Clare O; Liem, Han; Richardson, Mark; Ahmed, Sulman; Cox, Michael R

    2012-02-01

    Malignant gastric outlet obstruction represents a terminal stage in pancreatic cancer. Between 5% and 25% of patients with pancreatic cancer ultimately experience malignant gastric outlet obstruction. The aim in palliating patients with malignant gastric outlet obstruction is to reestablish an oral intake by restoring gastrointestinal continuity. This ultimately improves their quality of life in the advanced stages of cancer. The main drawback to operative bypass is the high incidence of delayed gastric emptying, particularly in this group of patients with symptomatic obstruction. This study aimed to compare surgical gastrojejunostomy and endoscopic stenting in palliation of malignant gastric outlet obstruction, acknowledging the diversity and heterogeneity of patients with this presentation. This retrospective study investigated patients treated for malignant gastric outlet obstruction from December 1998 to November 2008 at Nepean Hospital, Sydney, Australia. Endoscopic duodenal stenting was performed under fluoroscopic guidance for placement of the stent. The operative patients underwent open surgical gastrojejunostomy. The outcomes assessed included time to diet, hospital length of stay (LOS), biliary drainage procedures, morbidity, and mortality. Of the 45 participants in this study, 26 underwent duodenal stenting and 19 had operative bypass. Comparing the stenting and operative patients, the median time to fluid intake was respectively 0 vs. 7 days (P < 0.001), and the time to intake of solids was 2 vs. 9 days (P = 0.004). The median total LOS was shorter in the stenting group (11 vs. 25 days; P < 0.001), as was the median postprocedure LOS (5 vs. 10 days; P = 0.07). Endoscopic stenting is preferable to operative gastrojejunostomy in terms of shorter LOS, faster return to fluids and solids, and reduced morbidity and in-hospital mortality for patients with a limited life span.

  9. Protocol for monitoring standing crop in grasslands using visual obstruction

    Treesearch

    Lakhdar Benkobi; Daniel W. Uresk; Greg Schenbeck; Rudy M. King

    2000-01-01

    Assessment of standing crop on grasslands using a visual obstruction technique provides valuable information to help plan livestock grazing management and indicate the status of wildlife habitat. The objectives of this study were to: (1) develop a simple regression model using easily measured visual obstruction to estimate standing crop on sandy lowland range sites in...

  10. An update on cardiovascular effects of obstructive sleep apnoea syndrome.

    PubMed

    Uyar, Meral; Davutoglu, Vedat

    2016-09-01

    Obstructive sleep apnoea syndrome is an important health problem which may cause or worsen systemic diseases. Chronic intermittent hypoxia during repetitive airflow cessations may cause endothelial dysfunction. Sleep apnoea is also shown to be associated with hypercoagulability which may be due to decreased nitric oxide levels and impaired vasodilatation. Endothelial dysfunction, increased systemic inflammation, sympathetic nervous system activation, increased oxidative stress and dysglycaemia may all contribute to cardiovascular processes such as hypertension, arrhythmia, stroke, heart failure and coronary artery disease in patients with obstructive sleep apnoea. Treatment approaches in patients with obstructive sleep apnoea mainly focus on maintaining upper airway patency either with positive airway pressure devices or upper airway appliances. Strategies involving positive airway pressure therapy are associated with decreased morbidity and mortality. Obstructive sleep apnoea should be suspected as an underlying mechanism in patients with cardiovascular disease and warrants appropriate treatment. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  11. Ventricular dysfunction in children with obstructive sleep apnea: radionuclide assessment

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Tal, A.; Leiberman, A.; Margulis, G.

    Ventricular function was evaluated using radionuclide ventriculography in 27 children with oropharyngeal obstruction and clinical features of obstructive sleep apnea. Their mean age was 3.5 years (9 months to 7.5 years). Conventional clinical assessment did not detect cardiac involvement in 25 of 27 children; however, reduced right ventricular ejection fraction (less than 35%) was found in 10 (37%) patients (mean: 19.5 +/- 2.3% SE, range: 8-28%). In 18 patients wall motion abnormality was detected. In 11 children in whom radionuclide ventriculography was performed before and after adenotonsillectomy, right ventricular ejection fraction rose from 24.4 +/- 3.6% to 46.7 +/- 3.4%more » (P less than 0.005), and in all cases wall motion showed a definite improvement. In five children, left ventricular ejection fraction rose greater than 10% after removal of oropharyngeal obstruction. It is concluded that right ventricular function may be compromised in children with obstructive sleep apnea secondary to adenotonsillar hypertrophy, even before clinical signs of cardiac involvement are present.« less

  12. Megabladder mouse model of congenital obstructive nephropathy: genetic etiology and renal adaptation.

    PubMed

    McHugh, Kirk M

    2014-04-01

    Congenital obstructive nephropathy remains one of the leading causes of chronic renal failure in children. The direct link between obstructed urine flow and abnormal renal development and subsequent dysfunction represents a central paradigm of urogenital pathogenesis that has far-reaching clinical implications. Even so, a number of diagnostic, prognostic, and therapeutic quandaries still exist in the management of congenital obstructive nephropathy. Studies in our laboratory have characterized a unique mutant mouse line that develops in utero megabladder, variable hydronephrosis, and progressive renal failure. Megabladder mice represent a valuable functional model for the study of congenital obstructive nephropathy. Recent studies have begun to shed light on the genetic etiology of mgb (-/-) mice as well as the molecular pathways controlling disease progression in these animals.

  13. Constructions with Obstructions Involving Arcs.

    ERIC Educational Resources Information Center

    Wood, Dick A.

    1993-01-01

    Presents six construction problems in which key parts of the figure are made inaccessible, that is, a lake or an obstruction is inserted. Encourages creative thinking while improving problem-solving skills. Students are to show the construction, describe the solution, and verify correctness of the solution. (LDR)

  14. Palliative Management of Malignant Bowel Obstruction in Terminally Ill Patient

    PubMed Central

    Thaker, Darshit A; Stafford, Bruce C; Gaffney, Luke S

    2010-01-01

    Mr. P was a 57-year-old man who presented with symptoms of bowel obstruction in the setting of a known metastatic pancreatic cancer. Diagnosis of malignant bowel obstruction was made clinically and radiologically and he was treated conservatively (non-operatively)with octreotide, metoclopromide and dexamethasone, which provided good control over symptoms and allowed him to have quality time with family until he died few weeks later with liver failure. Bowel obstruction in patients with abdominal malignancy requires careful assessment. The patient and family should always be involved in decision making. The ultimate goals of palliative care (symptom management, quality of life and dignity of death) should never be forgotten during decision making for any patient. PMID:21811356

  15. Pathogenesis of dysplastic kidney associated with urinary tract obstruction in utero.

    PubMed

    Nagata, Michio; Shibata, Sawako; Shu, Yujin

    2002-01-01

    Renal dysplasia is the major cause of chronic renal failure in children, and is commonly associated with urinary tract obstruction. There are two phenotypes of renal dysplasia associated with urinary tract abnormality, multicystic dysplastic kidney (MCDK) and obstructive dysplasia (ORD). Previous observations by Potter and co-workers suggested that cystic dilatation of the ureteric bud ampula was the cause of renal dysplasia. In this context, our recent investigation of human fetal dysplastic kidneys provided an alternative explanation for the evolution of renal dysplasia. We suggested that in utero urinary tract obstruction may cause urine retention in functioning nephrons and lead to glomerular cysts in the nephrogenic zone. The mechanism was common to MCDK and ORD, albeit at different sites of obstruction. Expansion of glomerular cysts with tubular dilatation (cysts) disturbs the subsequent nephron induction and may contribute to the abnormal development of fetal kidneys.

  16. Managing malignant biliary obstruction in pancreas cancer: Choosing the appropriate strategy

    PubMed Central

    Boulay, Brian R; Parepally, Mayur

    2014-01-01

    Most patients with pancreatic cancer develop malignant biliary obstruction. Treatment of obstruction is generally indicated to relieve symptoms and improve morbidity and mortality. First-line therapy consists of endoscopic biliary stent placement. Recent data comparing plastic stents to self-expanding metallic stents (SEMS) has shown improved patency with SEMS. The decision of whether to treat obstruction and the means for doing so depends on the clinical scenario. For patients with resectable disease, preoperative biliary decompression is only indicated when surgery will be delayed or complications of jaundice exist. For patients with locally advanced disease, self-expanding metal stents are superior to plastic stents for long-term patency. For patients with advanced disease, the choice of metallic or plastic stent depends on life expectancy. When endoscopic stent placement fails, percutaneous or surgical treatments are appropriate. Endoscopic therapy or surgical approach can be used to treat concomitant duodenal and biliary obstruction. PMID:25071329

  17. Severe post-renal acute kidney injury, post-obstructive diuresis and renal recovery.

    PubMed

    Hamdi, Aïcha; Hajage, David; Van Glabeke, Emmanuel; Belenfant, Xavier; Vincent, François; Gonzalez, Frédéric; Ciroldi, Magali; Obadia, Edouard; Chelha, Riad; Pallot, Jean-Louis; Das, Vincent

    2012-12-01

    Study Type--Therapy (case series) Level of Evidence 4. What's known on the subject? and What does the study add? The pathophysiology of post-renal acute kidney injury (PR-AKI), i.e. caused by urinary tract obstruction, has been extensively studied in animal models but clinical studies on this subject are outdated, and/or have focused on the mechanisms of 'post-obstructive diuresis' (POD), a potentially life-threatening polyuria that can develop after the release of obstruction. In severe PR-AKI, the risk of occurrence of POD is high. POD occurrence predicts renal recovery without the persistence of severe chronic kidney failure. In the present study, the occurrence of POD and the persistence of chronic renal sequelae could be predicted early from clinical variables at admission before the release of obstruction. • To identify predictors of post-obstructive diuresis (POD) occurrence or severe chronic renal failure (CRF) persistence after the release of urinary tract obstruction in the setting of post-renal acute kidney injury (PR-AKI). • Bi-centre retrospective observational study of all patients with PR-AKI treated in two intensive care units (ICUs) from 1998 to 2010. • Clinical, biological and imaging characteristics on admission and after the release of obstruction were analysed with univariate and, if possible, multivariate analysis to search for predictors of (i) occurrence of POD (diuresis >4 L/day) after the release of obstruction; (ii) persistence of severe CRF (estimated glomerular filtration rate <30 mL/min/1.73 m(2), including end-stage CRF) at 3 months. • On admission, median (range) serum creatinine was 866 (247-3119) µmol/L. • POD occurred in 34 (63%) of the 54 analysable patients. On admission, higher serum creatinine (Odds ratio [OR] 1.002 per 1 µmol/L, 95% confidence interval [CI] 1.000-1.004, P = 0.004), higher serum bicarbonate (OR 1.36 per 1 mmol/L, 95% CI 1.13-1.65, P < 0.001), and urinary retention (OR 6.96, 95% CI 1.34-36.23, P

  18. Crisis management during anaesthesia: obstruction of the natural airway.

    PubMed

    Visvanathan, T; Kluger, M T; Webb, R K; Westhorpe, R N

    2005-06-01

    Obstruction of the natural airway, while usually easily recognised and managed, may present simply as desaturation, have an unexpected cause, be very difficult to manage, and have serious consequences for the patient. To examine the role of a previously described core algorithm "COVER ABCD-A SWIFT CHECK", supplemented by a specific sub-algorithm for obstruction of the natural airway, in the management of acute airway obstruction occurring in association with anaesthesia. The potential performance for this structured approach for each of the relevant incidents among the first 4000 reported to the Australian Incident Monitoring Study (AIMS) was compared with the actual management as reported by the anaesthetists involved. There were 62 relevant incidents among the first 4000 reports to the AIMS. It was considered that the correct use of the structured approach would have led to earlier recognition of the problem and/or better management in 11% of cases. Airway management is a fundamental anaesthetic responsibility and skill. Airway obstruction demands a rapid and organised approach to its diagnosis and management and undue delay usually results in desaturation and a potential threat to life. An uncomplicated pre-learned sequence of airway rescue instructions is an essential part of every anaesthetist's clinical practice requirements.

  19. Swallowing and pharyngo-esophageal manometry in obstructive sleep apnea.

    PubMed

    Oliveira, Luciana Almeida Moreira da Paz; Fontes, Luiz Henrique de Souza; Cahali, Michel Burihan

    2015-01-01

    Upper airway nerve and muscle damage associated with obstructive sleep apnea may impair the strength and dynamics of pharyngeal and esophageal contractions during swallowing. To evaluate the presence of alterations in pharyngoesophageal manometry in patients with obstructive sleep apnea with and without oropharyngeal dysphagia. This study prospectively evaluated 22 patients with obstructive sleep apnea without spontaneous complaints of dysphagia, using a questionnaire, fiberoptic endoscopic evaluation of swallowing, and pharyngoesophageal manometry, including measurement of the upper and lower esophageal sphincter pressures and mean pharyngeal pressures at three levels during swallowing. The dysphagia group consisted of 17 patients (77.3%) in whom swallowing abnormalities were detected on fiberoptic endoscopic evaluation of swallowing (n=15; 68.2%) and/or in the questionnaire (n=7; 31.8%). The five remaining cases comprised a control group without oropharyngeal dysphagia. In all cases of abnormalities on fiberoptic endoscopic evaluation of swallowing, there was premature bolus leakage into the pharynx. There was no statistically significant difference between the groups regarding any of the pharyngoesophageal manometry measurements, age, or severity of obstructive sleep apnea. Pharyngoesophageal manometry detected no statistically significant difference between the groups with and without oropharyngeal dysphagia. Copyright © 2015 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights reserved.

  20. Long-acting beta 2-agonists in chronic obstructive pulmonary disease.

    PubMed

    Llewellyn-Jones, Carol

    2002-01-01

    Until recently, the use of long-acting beta 2-agonists in chronic obstructive pulmonary disease has been understated. There is now evidence that they may offer benefits beyond bronchodilation. This article reviews the management of chronic obstructive pulmonary disease and looks at the place of long-acting beta 2-agonists as a first-line treatment option.