Science.gov

Sample records for rotating treatment tables

  1. Isocentric rotational performance of the Elekta Precise Table studied using a USB-microscope.

    PubMed

    Riis, Hans L; Zimmermann, Sune J; Riis, Poul

    2010-12-21

    The isocentric three-dimensional performance of the Elekta Precise Table was investigated. A pointer was attached to the radiation head of the accelerator and positioned at the geometric rotational axis of the head. A USB-microscope was mounted on the treatment tabletop to measure the table position relative to the pointer tip. The table performance was mapped in terms of USB-microscope images of the pointer tip at different table angles and load configurations. The USB-microscope was used as a detector to measure the pointer tip positions with a resolution down to 0.01 mm. A new elastic model of the treatment table was developed. This model describes the performance of the treatment table quite well except from some deviations due to backlash effects. Geometric and elastic features are described through six parameters. These parameters are calculated using the linear least squares fitting technique. A new method to ensure optimal positioning of the table relative to the accelerator is presented. This method cannot eliminate systematic errors completely. To eliminate systematic errors we suggest that geometric and elastic models of the table and accelerator gantry arm are incorporated in the dose planning system.

  2. Isocentric rotational performance of the Elekta Precise Table studied using a USB-microscope

    NASA Astrophysics Data System (ADS)

    Riis, Hans L.; Zimmermann, Sune J.; Riis, Poul

    2010-12-01

    The isocentric three-dimensional performance of the Elekta Precise Table was investigated. A pointer was attached to the radiation head of the accelerator and positioned at the geometric rotational axis of the head. A USB-microscope was mounted on the treatment tabletop to measure the table position relative to the pointer tip. The table performance was mapped in terms of USB-microscope images of the pointer tip at different table angles and load configurations. The USB-microscope was used as a detector to measure the pointer tip positions with a resolution down to 0.01 mm. A new elastic model of the treatment table was developed. This model describes the performance of the treatment table quite well except from some deviations due to backlash effects. Geometric and elastic features are described through six parameters. These parameters are calculated using the linear least squares fitting technique. A new method to ensure optimal positioning of the table relative to the accelerator is presented. This method cannot eliminate systematic errors completely. To eliminate systematic errors we suggest that geometric and elastic models of the table and accelerator gantry arm are incorporated in the dose planning system.

  3. Design and Construction of an Affordable Rotating Table for Classroom Demonstrations of Geophysical Fluid Dynamics Principles.

    NASA Astrophysics Data System (ADS)

    McNoldy, Brian D.; Cheng, Anning; Eitzen, Zachary A.; Moore, Richard W.; Persing, John; Schaefer, Kevin; Schubert, Wayne H.

    2003-12-01

    Rotating tables have been in use for many years because of their ability to demonstrate fluid dynamical phenomena, shedding insight on the sometimes complicated or esoteric mathematics used to describe such processes. A small team of students at the Colorado State University (CSU) Department of Atmospheric Science constructed a rotating table, or “spin tank,” assembly that is simple and affordable, yet instructive.The apparatus is designed to be easy to maintain and operate. The number of moving parts is kept at a minimum, and the electrical components chosen are of high quality. With the aid of a brief instruction manual or tutorial, students and faculty can operate the rotating table and easily perform many demonstrations, with the freedom to vary fluid depth, rotation rate, and acceleration. The entire design and construction process was conducted on a limited budget of &;3,000.A spin tank such as this has practical applications for the qualitative study of fluid dynamics. Fundamental concepts in rotating flow dynamics can be demonstrated to supplement the more rigorous mathematical treatment typically given in oceanography or atmospheric physics graduate-level courses. Topics that have been explored thus far are Ekman pumping, Taylor columns, and barotropic instability, but could be broadened to include subjects such as Rossby waves, baroclinic instability, vortex merger, and thermal convection.

  4. Rotating Cylinder Treatment System Demonstration

    EPA Science Inventory

    In August 2008, a rotating cylinder treatment system (RCTSTM) demonstration was conducted near Gladstone, CO. The RCTSTM is a novel technology developed to replace the aeration/oxidation and mixing components of a conventional lime precipitation treatment s...

  5. Rotating Cylinder Treatment System Demonstration

    EPA Science Inventory

    In August 2008, a rotating cylinder treatment system (RCTSTM) demonstration was conducted near Gladstone, CO. The RCTSTM is a novel technology developed to replace the aeration/oxidation and mixing components of a conventional lime precipitation treatment s...

  6. Non-contact method for characterization of a rotational table

    NASA Astrophysics Data System (ADS)

    La Moure Shattuck, Judson, III; Parisi, Vincent M.; Smerdon, Arryn J.

    2007-04-01

    The United States Air Force (USAF) uses and evaluates a variety of helmet-mounted trackers for incorporation into their high performance aircraft. The primary head tracker technologies commercially available are magnetic trackers, inertial trackers, and optical trackers. Each head tracker has a unique method of determining the pilot's head position within the cockpit of the aircraft. Magnetic trackers generally have a small head mounted size and minimal head weight. Because they sense a generated magnetic field, their accuracy can be affected by other magnetic fields or ferrous components within the cockpit. Inertial trackers cover the entire head motion box but require constant motion in order to accommodate drifting of the inertial sensors or a secondary system that updates the inertial system, often referred to as a hybrid system. Although optical head trackers (OHT) are immune to magnetic fields some of their limitations may be daylight/night vision goggle (NVG) compatibility issues and, depending on system configuration, may require numerous emitters and/or receivers to cover a large head motion box and provide a wide field of regard. The Dynamic Tracker Test Fixture (DTTF) was designed by the Helmet Mounted Sensory Technology (HMST) laboratory to accurately measure azimuth rotation in both static and dynamic conditions for the purpose of determining the accuracy of a variety of head trackers. Before the DTTF could be used as an evaluation tool, it required characterization to determine the amount and location of any induced elevation or roll as the table rotated in azimuth. Optimally, the characterization method would not affect the DTTF's movement so a non-contact method was devised. This paper describes the characterization process and its results.

  7. 360-degree table-top display with rotating transmissive screen

    NASA Astrophysics Data System (ADS)

    Kim, Kwang-Soo; Jeon, Hosung; Lee, Sang Kil; Kim, Hwi; Hahn, Joonku

    2015-03-01

    Three-dimensional (3D) display usually provides binocular disparity to observer. To construct 360degree table-top display, lots of views are required. In order to display a large amount of views to observer, time-multiplexing technique is applied. We suggest a new structure for view-sequential 360-degree table-top display system. In my system, a transmissive screen is used and digital micromirror device (DMD) image is projected on it. This system defines the direction of bundle of rays to configure the sequential view. It has some advantages resulting from the transmissive flat screen. When the transmissive screen is used instead of the reflective one, the light power efficiency is improved. Moreover, the arrangement of the pixel is more uniform when the screen is flat instead of a static conic screen. We construct a table-top display with about 288views around 360degree and its feasibilities are confirmed.

  8. Conservative treatment of rotator cuff injuries.

    PubMed

    Bytomski, Jeffrey R; Black, Douglass

    2006-01-01

    Across all ages and activity levels, rotator cuff injuries are one of the most common causes of shoulder pain. The anatomy and biomechanics of the shoulder guide the history and physical exam toward the appropriate treatment of rotator cuff injuries. Rotator cuff tears are rare under the age of 40 unless accompanied by acute trauma. Throwing athletes are prone to rotator cuff injury from various causes of impingement (subacromial, internal, or secondary) and flexibility deficits, strength deficits, or both along the kinetic chain. Most rotator cuff injuries may be treated conservatively by using regimens of nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroid injections, and functional rehabilitation therapy. Injury prevention programs are essential for the long-term care of patients with rotator cuff disease, for primary prevention, and for prevention of recurrent injuries, unless a traumatically torn rotator cuff is present. Surgical management is reserved for refractory cases that have exhausted conservative measures.

  9. Evaluation and treatment of rotator cuff tears.

    PubMed

    Lansdown, Drew A; Feeley, Brian T

    2012-05-01

    Rotator cuff injuries are common problems and a frequent reason for patients to present to primary care physicians. These injuries are seen more frequently now with the aging population. These muscles allow for movement of the arm in overhead activities and controlled movements through space. A thorough physical examination can lead to the diagnosis of rotator cuff pathology. Radiographic imaging may offer some insight into the underlying pathology, and magnetic resonance imaging provides for excellent visualization of the rotator cuff. Many rotator cuff tears, especially partial tears, will symptomatically improve with conservative management. Surgical treatment may offer improved pain relief and function in those patients for whom nonoperative care is insufficient. In cases in which rotator cuff repair is not possible, the reverse total shoulder arthroplasty is a possibility. New technologies are also under investigation that allow for biological augmentation of rotator cuff tears.

  10. Novel Hybrid Operating Table for Neuroendovascular Treatment.

    PubMed

    Jong-Hyun, Park; Jonghyeon, Mun; Dong-Seung, Shin; Bum-Tae, Kim

    2017-03-25

    The integration of interventional and surgical techniques is requiring the development of a new working environment equipped for the needs of an interdisciplinary neurovascular team. However, conventional surgical and interventional tables have only a limited ability to provide for these needs. We have developed a concept mobile hybrid operating table that provides the ability for such a team to conduct both endovascular and surgical procedures in a single session. We developed methods that provide surgeons with angiography-guided surgery techniques for use in a conventional operating room environment. In order to design a convenient device ideal for practical use, we consulted with mechanical engineers. The mobile hybrid operating table consists of two modules: a floating tabletop and a mobile module. In brief, the basic principle of the mobile hybrid operating table is as follows: firstly, the length of the mobile hybrid operating table is longer than that of a conventional surgical table and yet shorter than a conventional interventional table. It was designed with the goal of exhaustively meeting the intensive requirements of both endovascular and surgical procedures. Its mobile module allows for the floating tabletop to be moved quickly and precisely. It is important that during a procedure, a patient can be moved without being repositioned, particularly with a catheter in situ. Secondly, a slim-profile headrest facilitates the mounting of a radiolucent head cramp system for cranial stabilization and fixation. We have introduced a novel invention, a mobile hybrid operating table for use in an operating suite.

  11. Rotating Cylinder Treatment System Demonstration (Presentation)

    EPA Science Inventory

    In August 2008, a rotating cylinder treatment system (RCTSTM) demonstration was conducted near Gladstone, CO. The RCTSTM is a novel technology developed to replace the aeration/oxidation and mixing components of a conventional lime precipitation treatment s...

  12. Rotating Cylinder Treatment System Demonstration (Presentation)

    EPA Science Inventory

    In August 2008, a rotating cylinder treatment system (RCTSTM) demonstration was conducted near Gladstone, CO. The RCTSTM is a novel technology developed to replace the aeration/oxidation and mixing components of a conventional lime precipitation treatment s...

  13. New probability table treatment in MCNP for unresolved resonances

    SciTech Connect

    Carter, L.L.; Little, R.C.; Hendricks, J.S.; MacFarlane, R.E.

    1998-04-01

    An upgrade for MCNP has been implemented to sample the neutron cross sections in the unresolved resonance range using probability tables. These probability tables are generated with the cross section processor code NJOY, by using the evaluated statistical information about the resonances to calculate cumulative probability distribution functions for the microscopic total cross section. The elastic, fission, and radiative capture cross sections are also tabulated as the average values of each of these partials conditional upon the value of the total. This paper summarizes how the probability tables are utilized in this MCNP upgrade and compares this treatment with the approximate smooth treatment for some example problems.

  14. Massive rotator cuff tears: definition and treatment.

    PubMed

    Lädermann, Alexandre; Denard, Patrick J; Collin, Philippe

    2015-12-01

    The aim of this review is to summarise tear pattern classification and management options for massive rotator cuff tears (MRCT), as well as to propose a treatment paradigm for patients with a MRCT. Data from 70 significant papers were reviewed in order to define the character of reparability and the possibility of alternative techniques in the management of MRCT. Massive rotator cuff tears (MRCT) include a wide panoply of lesions in terms of tear pattern, functional impairment, and reparability. Pre-operative evaluation is critical to successful treatment. With the advancement of medical technology, arthroscopy has become a frequently used method of treatment, even in cases of pseudoparalytic shoulders. Tendon transfer is limited to young patients with an irreparable MRCT and loss of active rotation. Arthroplasty can be considered for the treatment of a MRCT with associated arthritis. There is insufficient evidence to establish an evidence-based treatment algorithm for MRCTs. Treatment is based on patient factors and associated pathology, and includes personal experience and data from case series.

  15. Contributions of upper limb rotations to racket velocity in table tennis backhands against topspin and backspin.

    PubMed

    Iino, Yoichi; Mori, Teruaki; Kojima, Takeji

    2008-02-01

    The purpose of this study was to assess the contributions of racket arm joint rotations to the racket tip velocity at ball impact in table tennis topspin backhands against topspin and backspin using the method of Sprigings et al. (1994). Two cine cameras were used to determine three-dimensional motions of the racket arm and racket, and the contributions of the rotations for 11 male advanced table tennis players. The racket upward velocity at impact was significantly higher in the backhand against backspin than against topspin, while the forward velocity was not significantly different between the two types of backhands. The negative contribution of elbow extension to the upward velocity was significantly less against backspin than against topspin. The contribution of wrist dorsiflexion to the upward velocity was significantly greater against backspin than against topspin. The magnitudes of the angular velocities of elbow extension and wrist dorsiflexion at impact were both similar between the two types of backhands. Our results suggest that the differences in contributions of elbow extension and wrist dorsiflexion to the upward velocity were associated with the difference in upper limb configuration rather than in magnitudes of their angular velocities.

  16. [Arthroscopic treatment of rotator cuff calcifying tendinitis].

    PubMed

    Ozkoç, Gürkan; Akpinar, Sercan; Hersekli, Murat Ali; Ozalay, Metin; Tandoğan, Reha N

    2002-01-01

    We evaluated the effectiveness of arthroscopic treatment in patients with rotator cuff calcifying tendinitis unresponsive to conservative treatment. Arthroscopic treatment was performed in 10 patients (6 females, 4 males; mean age 46 years; range 34 to 53 years) in whom pain and functional disability persisted for more than a year despite conservative therapy for rotator cuff calcifying tendinitis. Arthroscopic bursectomy was also carried out. One patient underwent repair for rotator cuff tear. The patients were evaluated before and after surgery with the use of Constant scores and direct radiographs. The mean follow-up period was 12 months (range 6 to 19 months). The mean Constant scores were 66 (range 45 to 70) and 93 (range 89 to 96) before surgery and on final examinations, respectively. Postoperative radiographs demonstrated incomplete removal of calcifications in four patients; however, complaints of pain disappeared in these patients and radiologic controls showed that residual deposits underwent spontaneous resorption. Arthroscopic removal of calcium deposits together with bursectomy seems to be effective and reliable in patients with chronic calcifying tendinitis unresponsive to conservative treatment.

  17. Treatment of lesions of the rotator cuff.

    PubMed

    Saggini, R; Cavezza, T; Di Pancrazio, L; Pisciella, V; Saladino, G; Zuccaro, M C; Bellomo, R G

    2010-01-01

    The impingement syndrome and tendinopathy of the rotator cuff are the most common causes (complaints) of pain and disability of the shoulder. The aim of this study is to evaluate the efficacy of a specific rehabilitative protocol, integrated with the administration of a nutritional supplement, in the conservative rehabilitative treatment, as well as in post-surgery, of patients with lesions of the rotator cuff. Two groups with syndrome of the rotator cuff were formed to follow different therapeutic courses, in relation to the choice of each subject to undergo the conservative treatment (Arm A) or the surgical one (Arm B). In Arm A the study included the association of therapy with ESWT (shock waves) with the proprioceptive Multi Joint System, for rehabilitating joint movement and muscle strength of the shoulder, and a specific nutritional supplement to reduce the pain and conserve the cartilage tissue. Between February 2009 and June 2009, we enrolled 30 subjects (randomized into three homogenous groups A1, A2, A3), average age 45±10 years, with rotator cuff syndrome with calcification of the shoulder, diagnosed through clinical examination and investigative instruments (X-ray, echography or NMR). In Arm B, from September 2009 to January 2010, we enrolled 50 patients (randomized into two groups, B1 and B2), 24 male (average age 58.4: min 28 and max 78) and 26 females (average age 59.5: min 30 and max 80), who had undergone rotator cuff operations and acromionplasty for non-massive lesions without important gleno-humeral instability, with either open or arthroscopic procedures. The analysis of the results of Arm A highlights that in terms of reducing pain the main benefits were found in Group A1 where the supplement was given. From the analysis of the data of Arm B, in both groups an improvement of the first 4 items evaluated was evident. In Group B1, 84 percent of the patients declared to be satisfied and improved and 16 percent were dissatisfied; in Group B2

  18. Rotating water table for the determination of non-steady forces in a turbine stage through modified hydraulic analogy

    NASA Astrophysics Data System (ADS)

    Rao, J. S.; Raghavacharyulu, E.; Seshadri, V.; Rao, V. V. R.

    1983-10-01

    Determination of non-steady forces in a real turbine stage is difficult due to the local flow conditions, for example high pressures, high temperatures and in-accessibility to the region etc. Experimentation in a real turbine is also prohibitive due to the costs involved. An alternate method of arriving at these non-steady forces through the use of modified hydraulic analogy is discussed. A rotating water table facility, developed and fabricated based on the principles of modified hydraulic analogy is described. A flat plate stage is simulated on the rotating water table, and the results obtained are presented.

  19. Arthroscopic treatment of rotator cuff disease.

    PubMed

    Jarrett, Claudius D; Schmidt, Christopher C

    2011-09-01

    The goal of this article is to summarize the current concepts on rotator cuff disease with an emphasis on arthroscopic treatment. Most rotator cuff tears are the result of an ongoing attritional process. Once present, a tear is likely to gradually increase in size. Partial-thickness and subscapularis tears can both be successfully treated arthroscopically if conservative management fails. Partial tears involving greater than 50% of tendon thickness should be repaired. Articular-sided partial tears involving less than 50% of the rotator cuff can reliably be treated with debridement. A more aggressive approach should be considered for low-grade tears (<50%) if they occur on the bursal side. Biomechanical and anatomic studies have shown clear superiority with dual-row fixation compared with single-row techniques. However, current studies have yet to show clear clinical advantage with dual-row over single-row repairs. Biceps tenotomy or tenodesis can reliably provide symptomatic improvement in patients with irreparable massive tears. True pseudoparalysis of the shoulder is a contraindication to this procedure alone and other alternatives should be considered.

  20. Two-View Gravity Stress Imaging Protocol for Nondisplaced Type II Supination External Rotation Ankle Fractures: Introducing the Gravity Stress Cross-Table Lateral View.

    PubMed

    Boffeli, Troy J; Collier, Rachel C; Gervais, Samuel J

    Assessing ankle stability in nondisplaced Lauge-Hansen supination external rotation type II injuries requires stress imaging. Gravity stress mortise imaging is routinely used as an alternative to manual stress imaging to assess deltoid integrity with the goal of differentiating type II from type IV injuries in cases without a posterior or medial fracture. A type II injury with a nondisplaced fibula fracture is typically treated with cast immobilization, and a type IV injury is considered unstable and often requires operative repair. The present case series (two patients) highlights a standardized 2-view gravity stress imaging protocol and introduces the gravity stress cross-table lateral view. The gravity stress cross-table lateral view provides a more thorough evaluation of the posterior malleolus owing to the slight external rotation and posteriorly directed stress. External rotation also creates less bony overlap between the tibia and fibula, allowing for better visualization of the fibula fracture. Gravity stress imaging confirmed medial-sided injury in both cases, confirming the presence of supination external rotation type IV or bimalleolar equivalent fractures. Open reduction and internal fixation was performed, and both patients achieved radiographic union. No further treatment was required at 21 and 33 months postoperatively. Copyright © 2017 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

  1. Arthroscopic treatment of rotator cuff disease.

    PubMed

    Gartsman, G M

    1995-01-01

    Rotator cuff disease represents a spectrum of tendon lesions including inflammation of an intrinsically normal tendon, tendon fibrosis, partial-thickness tears, complete tears, and cuff tear arthropathy. An in-depth analysis of the entire subject is beyond the scope of this article. This article will focus on the arthroscopic management of the spectrum of rotator cuff disease in an attempt to provide a timely summary of the present state of knowledge. Five stages of rotator cuff disease will be reviewed: stage 2 impingement, partial-thickness cuff tears, complete-thickness rotator cuff tears, irreparable rotator cuff tears, and cuff tear arthropathy. In preparing this article I have assumed that the reader is familiar with the diagnosis of rotator cuff lesions through the use of appropriate patient history, physical examination, and radiologic studies.

  2. A phenomenological treatment of rotating turbulence

    NASA Technical Reports Server (NTRS)

    Zhou, YE

    1995-01-01

    The strong similarity between the magnetohydrodynamic (MHD) turbulence and initially isotropic turbulence subject to rotation is noted. We then apply the MHD phenomenologies of Kraichnan and Matthaeus & Zhou to rotating turbulence. When the turbulence is subject to a strong rotation, the energy spectrum is found to scale as E(k) = C(sub Omega)(Omega(sub epsilon))(sup 1/2)k(sup -2), where Omega is the rotation rate, k is the wavenumber, and epsilon is the dissipation rate. This spectral form is consistent with a recent letter by Zeman. However, here the constant C(sub Omega) is found to be related to the Kolmogorov constant and is estimated in the range 1.22 - 1.87 for the typical values of the latter constant. A 'rule' that relates spectral transfer times to the eddy turnover time and the time scale for decay of the triple correlations is deduced. A hypothesis for the triple correlation decay rate leads to the spectral law which varies between the '-5/3' (without rotation) and '-2' laws (with strong rotation). For intermediate rotation rates, the spectrum varies according to the value of a dimensionless parameter that measures the strength of the rotation wavenumber k(sub Omega) = (Omega(sup 3)/epsiolon)(sup 1/2) relative to the wavenumber k. An eddy viscosity is derived with an explicit dependence on the rotation rate.

  3. Assessment and treatment strategies for rotator cuff tears

    PubMed Central

    Al-Hakim, Wisam; Noorani, Ali

    2014-01-01

    Tears of the rotator cuff are common and becoming an increasingly frequent problem. There is a vast amount of literature on the merits and limitations of the various methods of clinical and radiological assessment of rotator cuff tears. This is also the case with regard to treatment strategies. Certain popular beliefs and principles practiced widely and the basis upon which they are derived may be prone to inaccuracy. We provide an overview of the historical management of rotator cuff tears, as well as an explanation for how and why rotator cuff tears should be managed, and propose a structured methodology for their assessment and treatment. PMID:27582960

  4. An On-Line Algorithm for Measuring the Translational and Rotational Velocities of a Table Tennis Ball

    NASA Astrophysics Data System (ADS)

    Liu, Chunfang; Hayakawa, Yoshikazu; Nakashima, Akira

    This paper proposes an on-line method for estimating both translational and rotational velocities of a table tennis ball by using only a few consecutive frames of image data which are sensed by two high speed cameras. In order to estimate the translational velocity, three-dimensional (3D) position of the ball's center at each instant of camera frame is obtained, where the on-line method of reconstructing the 3D position from the two-dimensional (2D) image data of two cameras is proposed without the pattern matching process. The proposed method of estimating the rotational velocity belongs to the image registration methods, where in order to avoid the pattern matching process too, a rotation model of the ball is used to make an estimated image data from an image data sensed at the previous instant of camera frame and then the estimated image data are compared with the image data sensed at the next instant of camera frame to obtain the most plausible rotational velocity by using the least square and the conjugate gradient method. The effectiveness of the proposed method is shown by some experimental results in the case of a ball rotated by a rotation machine as well as in the case of a flying ball shot from a catapult machine.

  5. Improved accuracy for noncoplanar radiotherapy: an EPID-based method for submillimeter alignment of linear accelerator table rotation with MV isocenter.

    PubMed

    Nyflot, Matthew J; Cao, Ning; Meyer, Juergen; Ford, Eric C

    2014-03-06

    Accurate alignment of linear accelerator table rotational axis with radiation isocenter is critical for noncoplanar radiotherapy applications. The purpose of the present study is to develop a method to align the table rotation axis and the MV isocenter to submillimeter accuracy. We developed a computerized method using electronic portal imaging device (EPID) and measured alignment stability over time. Mechanical and radiation isocenter coincidence was measured by placing a steel ball bearing at radiation isocenter using existing EPID techniques. Then, EPID images were acquired over the range of table rotation. A MATLAB script was developed to calculate the center of rotation, as well as the necessary adjustment to move the table rotational axis to MV isocenter. Adjustment was applied via torque to screws at the base of the linac table. Stability of rotational alignment was measured with 49 measurements over 363 days on four linacs. Initial rotational misalignment from radiation isocenter ranged from 0.91-2.11 mm on the four tested linacs. Linac-A had greatest error (> 2 mm) and was adjusted with the described method. After adjustment, the error was significantly decreased to 0.40 ± 0.12 mm. The adjustment was stable over the course of 15 measurements over 231 days. Linac-B was not adjusted, but tracked from time of commissioning with 27 measurements over 363 days. No discernible shift in couch characteristics was observed (mean error 1.40 ± 0.22 mm). The greater variability for Linac-B may relate to the interchangeable two-piece couch, which allows more lateral movement than the one-piece Linac-A couch. Submillimeter isocenter alignment was achieved by applying a precision correction to the linac table base. Table rotational characteristics were shown to be stable over the course of twelve months. The accuracy and efficiency of this method may make it suitable for acceptance testing, annual quality assurance, or commissioning of highly-conformal noncoplanar

  6. Rotating Biological Contractors (RBC's). Instructor's Guide. Biological Treatment Process Control.

    ERIC Educational Resources Information Center

    Zickefoose, Charles S.

    This two-lesson unit on rotating biological contactors (RBC's) is designed to be used with students who have had some experience in wastewater treatment and a basic understanding of biological treatment. The first lesson provides information on the concepts and components of RBC treatment systems. The second lesson focuses on design operation and…

  7. [Diagnostics and treatment of anterosuperior rotator cuff tears].

    PubMed

    Wellmann, M

    2016-02-01

    Anterosuperior rotator cuff lesions are defined as combined tears of the subscapularis and the supraspinatus tendon and are usually accompanied by an associated lesion of the rotator interval. There are three different types of lesion: extended lesions of the biceps pulley, transmural tears of the supraspinatus with an associated partial lesion of the subscapularis tendon, and massive anterosuperior rotator cuff tears. None of these lesions responds well to physiotherapy because of biceps tendon instability. Therefore, surgical treatment is required, including tenodesis or tenotomy of the biceps tendon and additional repair of the rotator cuff. Deep partial tears of the subscapularis or the supraspinatus tendon (≥ 6 mm) should be refixed as well. Massive anterosuperior rotator cuff tears should be treated immediately because of the high retraction tendency of the subscapularis tendon.

  8. Rotator cuff tear: physical examination and conservative treatment.

    PubMed

    Itoi, Eiji

    2013-03-01

    Rotator cuff tear is one of the most common shoulder diseases. It is interesting that some rotator cuff tears are symptomatic, whereas others are asymptomatic. Pain is the most common symptom of patients with a tear. Even in patients with an asymptomatic tear, it may become symptomatic with an increase in tear size. Physical examination is extremely important to evaluate the presence, location, and extent of a tear. It also helps us to understand the mechanism of pain. Conservative treatment often works. Patients with well-preserved function of the supraspinatus and infraspinatus are the best candidates for conservative treatment. After a successful conservative treatment, the symptom once disappeared may come back again. This recurrence of symptoms is related to tear expansion. Those with high risk of tear expansion and those with less functional rotator cuff muscles are less likely to respond to conservative treatment. They may need a surgical treatment.

  9. Impact of MCNP unresolved resonance probability-table treatment on uranium and plutonium benchmarks

    SciTech Connect

    Mosteller, R.D.; Little, R.C.

    1998-12-31

    Versions of MCNP up through and including 4B have not accurately modeled neutron self-shielding effects in the unresolved resonance energy region. Recently, a probability-table treatment has been incorporated into a developmental version of MCNP. This paper presents MCNP results for a variety of uranium and plutonium critical benchmarks, calculated with and without the probability-table treatment.

  10. Pyrimethanil residues on table grapes Italia after field treatment.

    PubMed

    Angioni, Alberto; Sarais, Giorgia; Dedola, Fabrizio; Caboni, Pierluigi

    2006-01-01

    Residues of the pyrimidine fungicide pyrimethanil [N-(4,6-dimethylpyrimidin-2yl)aniline] were determined in table grapes "Italia" by gas chromatography nitrogen-phosphorus detector (GC-NPD). Pesticides were extracted from grapes with ethyl acetate and hexane solution (1:1 v/v), and were analyzed without any further clean up. Pyrimethanil was confirmed by high-performance liquid chromatography (HPLC) fitted with a diode array detector (DAD) and electrospray ionization mass spectrometry (ESI-MS) in the select ion-monitoring mode (SIM). The residue of pyrimethanil was under the legal limit immediately after treatment, and showed a half-life time, calculated as a reaction of pseudo first order, of 12 days, with a regression coefficient of 0.9954. Recoveries from fortified grapes ranged between 90 and 113% with a maximum coefficient of variation (CV) of 11%. The calculated limits of detection and quantitation for pyrimethanil were 0.005 and 0.01 mg/kg, respectively.

  11. Rotator Cuff Damage: Reexamining the Causes and Treatments.

    ERIC Educational Resources Information Center

    Nash, Heyward L.

    1988-01-01

    Sports medicine specialists are beginning to reexamine the causes and treatments of rotator cuff problems, questioning the role of primary impingement in a deficient or torn cuff and trying new surgical procedures as alternatives to the traditional open acromioplasty. (Author/CB)

  12. Rotator Cuff Damage: Reexamining the Causes and Treatments.

    ERIC Educational Resources Information Center

    Nash, Heyward L.

    1988-01-01

    Sports medicine specialists are beginning to reexamine the causes and treatments of rotator cuff problems, questioning the role of primary impingement in a deficient or torn cuff and trying new surgical procedures as alternatives to the traditional open acromioplasty. (Author/CB)

  13. Impact of MCNP Unresolved Resonance Probability-Table Treatment on Uranium and Plutonium Benchmarks

    SciTech Connect

    Mosteller, R.D.; Little, R.C.

    1999-09-20

    A probability-table treatment recently has been incorporated into an intermediate version of the MCNP Monte Carlo code named MCNP4XS. This paper presents MCNP4XS results for a variety of uranium and plutonium criticality benchmarks, calculated with and without the probability-table treatment. It is shown that the probability-table treatment can produce small but significant reactivity changes for plutonium and {sup 233}U systems with intermediate spectra. More importantly, it can produce substantial reactivity increases for systems with large amounts of {sup 238}U and intermediate spectra.

  14. [Surgical treatment of ruptures of the rotator cuff].

    PubMed

    Franceschi, J P; Curvale, G; Acquaviva, P; Lafforgue, P; Mattei, J P; Roux, H

    1991-06-01

    This study analyses the results of 30 surgical repairs of the rotator cuff. The basic problem was degenerative pathology in which medical treatment had been tried previously in all cases. The type of treatment was based upon preoperative evaluation and arthro-CT scan in particular. Results were invariably good, with regression of pain and recovery of activity. Muscle power was significantly correlated with the value of the tendon repaired, this being reflected overall by incomplete recovery.

  15. [Arthroscopic treatment of calcifying tendinitis of the rotator cuff].

    PubMed

    Boyer, T

    2006-11-01

    The treatment of symptomatic calcifying tendinitis of the rotator cuff is usally medical. Whereas, chronic and painfull features can beneficiate of a surgical treatment. With shoulder arthroscopy it's possible to remove the type A and B calcifications and to perform a bursectomy and acromioplasty in type C uncollected. The clinical and radiological results with one year of follow-up upgrate 90% of good and excellent results. Calcifying tendinitis reatment appear like one of the best indications of the shoulder arthroscopy.

  16. Treatment of table olive washing water using trickling filters, constructed wetlands and electrooxidation.

    PubMed

    Tatoulis, Triantafyllos; Stefanakis, Alexandros; Frontistis, Zacharias; Akratos, Christos S; Tekerlekopoulou, Athanasia G; Mantzavinos, Dionissios; Vayenas, Dimitrios V

    2017-01-01

    The production of table olives is a significant economic activity in Mediterranean countries. Table olive processing generates large volumes of rinsing water that are characterized by high organic matter and phenol contents. Due to these characteristics, a combination of more than one technology is imperative to ensure efficient treatment with low operational cost. Previously, biological filters were combined with electrooxidation to treat table olive washing water. Although this combination was successful in reducing pollutant loads, its cost could be further reduced. Constructed wetlands could be an eligible treatment method for integrated table olive washing water treatment as they have proved tolerant to high organic matter and phenol loads. Two pilot-scale horizontal subsurface constructed wetlands, one planted and one unplanted, were combined with a biological filter and electrooxidation over a boron-doped diamond anode to treat table olive washing water. In the biological filter inlet, chemical oxygen demand (COD) concentrations ranged from 5500 to 15,000 mg/L, while mean COD influent concentration in the constructed wetlands was 2800 mg/L. The wetlands proved to be an efficient intermediate treatment stage, since COD removal levels for the planted unit reached 99 % (mean 70 %), while the unplanted unit presented removal rates of around 65 %. Moreover, the concentration of phenols in the effluent was typically below 100 mg/L. The integrated trickling filter-constructed wetland-electrooxidation treatment system examined here could mineralize and decolorize table olive washing water and fully remove its phenolic content.

  17. New method to test the gantry, collimator, and table rotation angles of a linear accelerator used in radiation therapy

    NASA Astrophysics Data System (ADS)

    Beaumont, Stéphane; Torfeh, Tarraf; Latreille, Romain; Ben Hdech, Yassine; Guedon, Jeanpierre

    2011-03-01

    The precision of a medical LINear ACcelerator (LINAC) gantry rotation angle is crucial for the radiation therapy process, especially in stereotactic radio surgery, given the expected precision of the treatment and in Image Guided Radiation Therapy (IGRT) where the mechanical stability is disturbed due to the additional weight of the kV x-ray tube and detector. We present in this paper an extension of the Winston and Lutz test initially dedicated to control the size and the position of the isocenter of the LINAC and here adapted to test the gantry rotation angle with no additional portal images. This new method uses a test-object patented by QualiFormeD5 and is integrated in the QUALIMAGIQ software platform developed to automatically analyze images acquired for quality control of medical devices.

  18. Positioning accuracy of cone-beam computed tomography in combination with a HexaPOD robot treatment table.

    PubMed

    Meyer, Jürgen; Wilbert, Jürgen; Baier, Kurt; Guckenberger, Matthias; Richter, Anne; Sauer, Otto; Flentje, Michael

    2007-03-15

    To scrutinize the positioning accuracy and reproducibility of a commercial hexapod robot treatment table (HRTT) in combination with a commercial cone-beam computed tomography system for image-guided radiotherapy (IGRT). The mechanical stability of the X-ray volume imaging (XVI) system was tested in terms of reproducibility and with a focus on the moveable parts, i.e., the influence of kV panel and the source arm on the reproducibility and accuracy of both bone and gray value registration using a head-and-neck phantom. In consecutive measurements the accuracy of the HRTT for translational, rotational, and a combination of translational and rotational corrections was investigated. The operational range of the HRTT was also determined and analyzed. The system performance of the XVI system alone was very stable with mean translational and rotational errors of below 0.2 mm and below 0.2 degrees , respectively. The mean positioning accuracy of the HRTT in combination with the XVI system summarized over all measurements was below 0.3 mm and below 0.3 degrees for translational and rotational corrections, respectively. The gray value match was more accurate than the bone match. The XVI image acquisition and registration procedure were highly reproducible. Both translational and rotational positioning errors can be corrected very precisely with the HRTT. The HRTT is therefore well suited to complement cone-beam computed tomography to take full advantage of position correction in six degrees of freedom for IGRT. The combination of XVI and the HRTT has the potential to improve the accuracy of high-precision treatments.

  19. Spherical tensor gradient operator method for integral rotation: a simple, efficient, and extendable alternative to Slater-Koster tables.

    PubMed

    Giese, Timothy J; York, Darrin M

    2008-07-07

    We present a novel alternative to the use of Slater-Koster tables for the efficient rotation and gradient evaluation of two-center integrals used in tight-binding Hamiltonian models. The method recasts the problem into an exact, yet implicit, basis representation through which the properties of the spherical tensor gradient operator are exploited. These properties provide a factor of 3 to 4 speedup in the evaluation of the integral gradients and afford a compact code structure that easily extends to high angular momentum without loss in efficiency. Thus, the present work is important in improving the performance of tight-binding models in molecular dynamics simulations and has particular use for methods that require the evaluation of two-center integrals that involve high angular momentum basis functions. These advances have a potential impact for the design of new tight-binding models that incorporate polarization or transition metal basis functions and methods based on electron density fitting of molecular fragments.

  20. A new concept in traction tables kaltenborn three dimensional treatment table.

    PubMed

    Atkinson, B W

    1978-12-01

    The structure and use of the Kaltenborn Three Dimensional Couch is described. The couch is of particular value to therapists practising mobilization and manipulation of the spine but would be a valuable adjunct to any physiotherapist. Use of the couch has reduced treatment time and increased efficiency. Copyright © 1978 Australian Physiotherapy Association. Published by . All rights reserved.

  1. 40 CFR Table 36 to Subpart G of... - Compound Lists Used for Compliance Demonstrations for Enhanced Biological Treatment Processes...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Demonstrations for Enhanced Biological Treatment Processes (See § 63.145(h)) 36 Table 36 to Subpart G of Part 63... Vents, Storage Vessels, Transfer Operations, and Wastewater Pt. 63, Subpt. G, Table 36 Table 36 to Subpart G of Part 63—Compound Lists Used for Compliance Demonstrations for Enhanced Biological...

  2. 40 CFR Table 36 to Subpart G of... - Compound Lists Used for Compliance Demonstrations for Enhanced Biological Treatment Processes...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Demonstrations for Enhanced Biological Treatment Processes (See § 63.145(h)) 36 Table 36 to Subpart G of Part 63... Vents, Storage Vessels, Transfer Operations, and Wastewater Pt. 63, Subpt. G, Table 36 Table 36 to Subpart G of Part 63—Compound Lists Used for Compliance Demonstrations for Enhanced Biological...

  3. Rotations

    Treesearch

    John R. Jones; Wayne D. Shepperd

    1985-01-01

    The rotation, in forestry, is the planned number of years between formation of a crop or stand and its final harvest at a specified stage of maturity (Ford-Robertson 1971). The rotation used for many species is the age of culmination of mean usable volume growth [net mean annual increment (MAI)]. At that age, usable volume divided by age reaches its highest level. That...

  4. 40 CFR Table 12 to Subpart G of... - Monitoring Requirements for Treatment Processes

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 9 2011-07-01 2011-07-01 false Monitoring Requirements for Treatment Processes 12 Table 12 to Subpart G of Part 63 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... Chemical Manufacturing Industry for Process Vents, Storage Vessels, Transfer Operations, and Wastewater Pt...

  5. 40 CFR Table 12 to Subpart G of... - Monitoring Requirements for Treatment Processes

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 9 2010-07-01 2010-07-01 false Monitoring Requirements for Treatment Processes 12 Table 12 to Subpart G of Part 63 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... Chemical Manufacturing Industry for Process Vents, Storage Vessels, Transfer Operations, and Wastewater Pt...

  6. 40 CFR Table 12 to Subpart G of... - Monitoring Requirements for Treatment Processes

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 10 2012-07-01 2012-07-01 false Monitoring Requirements for Treatment Processes 12 Table 12 to Subpart G of Part 63 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... Chemical Manufacturing Industry for Process Vents, Storage Vessels, Transfer Operations, and Wastewater Pt...

  7. 40 CFR Table 12 to Subpart G of... - Monitoring Requirements for Treatment Processes

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 10 2013-07-01 2013-07-01 false Monitoring Requirements for Treatment Processes 12 Table 12 to Subpart G of Part 63 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... Chemical Manufacturing Industry for Process Vents, Storage Vessels, Transfer Operations, and Wastewater Pt...

  8. 40 CFR Table 12 to Subpart G of... - Monitoring Requirements for Treatment Processes

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 10 2014-07-01 2014-07-01 false Monitoring Requirements for Treatment Processes 12 Table 12 to Subpart G of Part 63 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... Chemical Manufacturing Industry for Process Vents, Storage Vessels, Transfer Operations, and Wastewater Pt...

  9. Rotational Distraction for the Treatment of Severe Mandibular Retrognathia

    PubMed Central

    Mitsugi, Masaharu; Alcalde, Rafael E.; Yano, Tomoyuki; Uemura, Noriko; Okazaki, Mutsumi

    2015-01-01

    Backgrounds: The main problem with intraoral distraction of the mandible is the inability to achieve the three-dimensional mandibular correction as planned preoperatively. We developed a technique that allows spontaneous changes in the direction of mandibular elongation using an intraoral distractor. Methods: After mandibular osteotomy, the distractor is fixed to the distal segment of the mandible using a single bicortical screw, allowing anterior-posterior, vertical and limited lateromedial changes in the vector of distraction. Mandibular lengthening is performed while keeping the maxilla and mandible in class I occlusion with intermaxillary fixation. Results: As the distraction device is activated allowing mandibular elongation, the proximal segment, guided by the surrounding soft tissues, moves and rotates posterosuperiorly. Mandibular lengthening is continued until the condylar head reaches an adequate position in the mandibular fossa as confirmed clinically and radiographically. Conclusion Thirty-three patients with mandibular retrognathia received this treatment and good results were obtained. PMID:26301156

  10. Hot cell examination table

    DOEpatents

    Gaal, Peter S.; Ebejer, Lino P.; Kareis, James H.; Schlegel, Gary L.

    1991-01-01

    A table for use in a hot cell or similar controlled environment for use in examining specimens. The table has a movable table top that can be moved relative to a table frame. A shaft is fixedly mounted to the frame for axial rotation. A shaft traveler having a plurality of tilted rollers biased against the shaft is connected to the table top such that rotation of the shaft causes the shaft traveler to roll along the shaft. An electromagnetic drive is connected to the shaft and the frame for controllably rotating the shaft.

  11. ARTHROSCOPIC TREATMENT OF CALCIFYING TENDINITIS OF THE ROTATOR CUFF

    PubMed Central

    Neto, Arnaldo Amado Ferreira; Trevizani, Cassio Silva; Benegas, Eduardo; Malavolta, Eduardo Angeli; Gracitelli, Mauro Emílio Conforto; Bitar, Alexandre Carneiro; Neto, Francisco José dos Santos

    2015-01-01

    To evaluate the clinical and radiographic results from arthroscopic surgical treatment of the rotator cuff in patients with calcifying tendinitis. Method: A retrospective study was conducted on twenty patients who underwent arthroscopic treatment for calcifying tendinitis of the shoulder between March 1999 and November 2005. Six patients were excluded due to loss of follow-up. The average follow-up period was 41.4 months. Eight patients (57%) were female and six (43%) were male. The right side was affected in 10 cases (71%) and the left in four cases (29%). Nine cases (64%) had calcification in the supraspinatus tendon, two (14%) in the infraspinatus tendon, and three (21%) in both tendons. Results: In all cases, resection of the calcium deposits was performed by means of a needle (Jelco® No. 14) in combination with curettage (mini-curette). Two shoulders (14%) underwent subacromial decompression, and one (7%) underwent excision of the distal clavicle. A tendon-tendon suture was performed in three shoulders (21%). None of the patients underwent tendon-bone reinsertion. The mean score obtained on the UCLA scale was 33 points (26-35), thus indicating that a majority of patients had good results. In the final radiographic evaluation, none of the patients showed signs of calcification. Conclusion: Arthroscopic treatment of calcifying tendinitis of the shoulder safely allows excision of the calcification, leading to good results in relation to shoulder pain and function. PMID:27022591

  12. ARTHROSCOPIC TREATMENT OF CALCIFYING TENDINITIS OF THE ROTATOR CUFF.

    PubMed

    Neto, Arnaldo Amado Ferreira; Trevizani, Cassio Silva; Benegas, Eduardo; Malavolta, Eduardo Angeli; Gracitelli, Mauro Emílio Conforto; Bitar, Alexandre Carneiro; Neto, Francisco José Dos Santos

    2010-01-01

    To evaluate the clinical and radiographic results from arthroscopic surgical treatment of the rotator cuff in patients with calcifying tendinitis. A retrospective study was conducted on twenty patients who underwent arthroscopic treatment for calcifying tendinitis of the shoulder between March 1999 and November 2005. Six patients were excluded due to loss of follow-up. The average follow-up period was 41.4 months. Eight patients (57%) were female and six (43%) were male. The right side was affected in 10 cases (71%) and the left in four cases (29%). Nine cases (64%) had calcification in the supraspinatus tendon, two (14%) in the infraspinatus tendon, and three (21%) in both tendons. In all cases, resection of the calcium deposits was performed by means of a needle (Jelco® No. 14) in combination with curettage (mini-curette). Two shoulders (14%) underwent subacromial decompression, and one (7%) underwent excision of the distal clavicle. A tendon-tendon suture was performed in three shoulders (21%). None of the patients underwent tendon-bone reinsertion. The mean score obtained on the UCLA scale was 33 points (26-35), thus indicating that a majority of patients had good results. In the final radiographic evaluation, none of the patients showed signs of calcification. Arthroscopic treatment of calcifying tendinitis of the shoulder safely allows excision of the calcification, leading to good results in relation to shoulder pain and function.

  13. Pulmonary Effects of U.S. Navy Treatment Table 6 Hyperbaric Exposure

    DTIC Science & Technology

    2008-03-01

    gas used to measure DLCO contained 0.3% CO and 0.3% methane. A CO oximeter (Instrumentation Laboratory; Lexington, MA) determined carboxyhemoglobin ...MK 25, LAR V 19. ABSTRACT: Eighteen healthy subjects underwent pulmonary function measurements after single experimental Treatment Table 6 (TT6...breathe this much oxygen. Because measurement of pulmonary function would delay treatment, the effects have not been documented in patients. However, an

  14. Effect of Treatment Table Height on Shoulder Muscles during Ultrasound Therapy Work.

    PubMed

    Kim, Chung Yoo; Kim, In Bae; Kang, Jong Ho; Kim, Eun Kyung

    2014-10-01

    [Purpose] The purpose of this study was to propose a table height that can reduce shoulder muscle fatigue by analyzing and comparing median frequencies of shoulder muscles at different table heights when performing therapeutic ultrasounds work. [Subjects and Methods] The subjects were 63 healthy male adults who were equally and randomly assigned to a standard height group (SHG), a high height group (HHG), and a low height group (LHG). The standard table height was set at the level of the elbow joint when the subjects flexed their elbow while in a sitting position. High height and low height were set 10 cm higher and 10 cm lower, respectively, than the standard height. Muscle fatigue of the upper trapezius, middle deltoid, rhomboid, and infraspinatus of the subjects was measured during ultrasound treatment work at each table height. [Results] Median frequencies of the upper trapezius, middle deltoid, rhomboid, and infraspinatus muscles were significantly lower in the HHG than in to the LHG. [Conclusion] When therapeutic ultrasound is performed using a table that has a height lower than that of the elbow joint, the median frequency of the shoulder muscle increases, hence decreasing muscle fatigue. This way, musculoskeletal pain as a result of performing therapeutic ultrasound can be prevented.

  15. Rotator cuff tear arthropathy: evaluation, diagnosis, and treatment: AAOS exhibit selection.

    PubMed

    Nam, Denis; Maak, Travis G; Raphael, Bradley S; Kepler, Christopher K; Cross, Michael B; Warren, Russell F

    2012-03-21

    Rotator cuff tear arthropathy encompasses a broad spectrum of pathology, but it involves at least three critical features: rotator cuff insufficiency, degenerative changes of the glenohumeral joint, and superior migration of the humeral head. Although many patients possess altered biomechanics of the glenohumeral joint secondary to rotator cuff pathology, not all patients develop rotator cuff tear arthropathy, and thus the exact etiology of rotator cuff tear arthropathy remains unclear. The objectives of this manuscript are to (1) review the biomechanical properties of the rotator cuff and the glenohumeral joint, (2) discuss the proposed causes of rotator cuff tear arthropathy, (3) provide a brief review of the historically used surgical options to treat rotator cuff tear arthropathy, and (4) present a treatment algorithm for rotator cuff tear arthropathy based on a patient's clinical presentation, functional goals, and anatomic integrity.

  16. Impact of Rotation Correction after Brace Treatment on Prognosis in Adolescent Idiopathic Scoliosis

    PubMed Central

    Takigawa, Tomoyuki; Tanaka, Masato; Sugimoto, Yoshihisa; Arataki, Shinya; Ozaki, Toshifumi

    2016-01-01

    Study Design Level 4 retrospective review. Purpose Brace treatment is the standard nonoperative treatment for adolescent idiopathic scoliosis (AIS). Rotation correction is also important, because AIS involves a rotation deformity. The purpose of this study was to evaluate the impact of rotation correction after Osaka Medical College (OMC) brace treatment on clinical outcomes in AIS. Overview of Literature Brace treatment has a significant effect on the progression of AIS. However, few reports have examined rotation correction after brace treatment. Methods A total of 46 patients who wore the OMC brace were retrospectively reviewed. The curve magnitude was determined according to the Cobb method, and the rotation angle of the apical vertebrae was measured by the modified Nash-Moe method. Based on the difference in the rotation angle before and after the initial brace treatment, patients were divided into two groups. Group A (n=33) was defined as no change or improvement of the rotation angle; group B (n=13) was defined as deterioration of the rotation angle. If the patients had curve or rotation progression of 5° or more at skeletal maturity, or had undergone surgery, the treatment was considered a failure. Results Differences of rotation angle between before and after the initial brace treatment were 2°±2° in group A and –3°±2° in group B (p<0.001). The rates of treatment failure were 42% in group A and 77% in group B (p<0.05). This study included 25 patients with Lenke type 1 (54%). Group A (24%) with Lenke type 1 also had a significantly better success rate of brace treatment than group B (75%) (p<0.05). Conclusions Insufficient rotation correction increased brace treatment failure. Better rotation correction resulted in a higher success rate of brace treatment in patients with Lenke type 1. PMID:27790317

  17. Effect of acetic acid repeated treatments on post-harvest quality of "Taloppo" table grape.

    PubMed

    Venditti, T; Dore, A; Molinu, M G; D'Hallewin, G

    2012-01-01

    The most important pathogen for table grapes is Botrytis cinerea which causes a rapid deterioration of fruit. Postharvest losses are controlled with SO2 fumigations carried out every 7 or 10 days, but the use of this gas is becoming more difficult to justify because of undesirable effects on the fruit and the increasing concern for human health. Acetic acid, classified as a GRAS compound, can be employed with no restriction as preservative and represents a possible substitute to sulphur dioxide. The aims of the present work were: (1) to evaluate if repeated treatments with AAC during storage preserve table grapes fruit quality; (2) to verify the effectiveness of 3 different concentrations and time intervals between each treatment and compare the effects with SO2 treatment; The amounts of AAC used in each fumigation, performed for 15 minutes, were 30, 50 and 75 microL/L, and treatments were carried out 5, 3 and 2 times respectively during storage, in order to have the same final concentration (150 microL/L). Table grapes were also fumigated with SO2. Fruit was stored for 8 weeks at 5 degrees C and 95% of RH, followed by 4 days of a simulated shelf-life (SSL) at 20 degrees C and 85% RH. At the end of experiment decay, weight loss and visual assessment were evaluated. After eight weeks of storage the incidence of grey mould, with respect to untreated fruit, was reduced in all treatments. The comparison among the different treatments did not show significant differences between the fumigations performed 3 and 2 times, with 24.9% and 27.2% of rots respectively. A better decay control was achieved with 5 fumigations carried out every 2 weeks, (18.1% of rots), while decay in fruit treated with SO2 was 26.2%. During the SSL period no particular differences were observed among all treatments. None of the treatments affected weight loss, as well as no differences were found in the score attributed for the external quality (rachis browning and berries appearance). The results

  18. Result from arthroscopic surgical treatment of renewed tearing of the rotator cuff of the shoulder☆

    PubMed Central

    Godinho, Glaydson Gomes; França, Flávio de Oliveira; Freitas, José Márcio Alves; Santos, Flávio Márcio Lago; Prandini, Alexandre; Godinho, André Couto; Costa, Rafael Patrocínio de Paula

    2015-01-01

    Objectives To evaluate function among patients with postoperative recurrence of rotator cuff injuries that was treated arthroscopically (case series) and compare this with function in patients without recurrence (control group); and to compare function among patients with recurrence of rotator cuff injuries that were greater than and smaller than 3 cm. Methods This was a retrospective evaluation of patients who underwent arthroscopic revision of rotator cuff injuries using the ASES, Constant & Murley and UCLA scores and a visual analog pain scale, in comparison with patients in a control group who underwent primary rotator cuff repair. Results The size of the rotator cuff injury recurrence had a statistically significant influence on the result from the arthroscopic surgical treatment. The functional scores showed worse results than those from the first procedure. Conclusion Arthroscopic surgical treatment of renewed tearing of rotator cuff injuries showed worse functional scores than those from primary repair of the injury. PMID:26229900

  19. [Controversies in the therapy of rotator cuff tears. Operative or nonoperative treatment, open or arthroscopic repair?].

    PubMed

    Lorbach, O

    2016-02-01

    Rotator cuff tears are a common cause of shoulder pain that may lead to severe impairment of shoulder function with significant limitation of the quality of life. Furthermore, they are associated with high direct and indirect costs.Conservative therapy and various surgical procedures for rotator cuff repair are all possible treatment options. Therefore, the correct treatment for a symptomatic rotator cuff tear is important.The conservative therapy may be considered as an alternative treatment option for a symptomatic rotator cuff tear in patients with small or incomplete tears with no fatty atrophy or tendon retraction, with only slight pain, and in older patients with few functional demands. Surgical treatment is recommended after failed conservative treatment lasting 3-6 months, with the corresponding psychological strain. Moreover, surgical treatment should be considered as a primary treatment option for a symptomatic rotator cuff tear in young patients with high functional demands, patients with a high level of physical strain in their jobs, large tears, and tears where there is already significant muscle atrophy or tendon retraction.Arthroscopic treatment is considered to be the gold standard because of the better cosmetic results and treatment of concomitant pathological conditions, the lower levels of postoperative pain, the potentially lower risk of shoulder stiffness, and more focused adhesiolysis. However, arthroscopy does not improve clinical results. Because of the current financial situation, however, open rotator cuff repair is still a viable alternative.

  20. Use of rotation scalp flaps for treatment of occipital baldness.

    PubMed

    Juri, J; Juri, C; Arufe, H N

    1978-01-01

    We have used 25 rotation scalp flaps to treat occipital baldness associated with fronto-parietal baldness (the third flap), and 35 such flaps for the correction of isolated occipital baldness. We have not had any flap necrosis, and our patients have been well satisfied with the results of this surgery.

  1. Rotating Biological Contactors (RBC's). Student Manual. Biological Treatment Process Control.

    ERIC Educational Resources Information Center

    Zickefoose, Charles S.

    This student manual provides the textual material for a unit on rotating biological contactors (RBC's). Topic areas considered include: (1) flow patterns of water through RBC installations; (2) basic concepts (shaft and stage); (3) characteristics of biomass; (4) mechanical features (bearings, mechanical drive systems, and air drive systems); (5)…

  2. 40 CFR Table 17 to Subpart G of... - Information for Treatment Processes To Be Submitted With Notification of Compliance Status a,b

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Status a,b Treatment process identification c Description d Wastewater stream(s) treated e Monitoring... Vents, Storage Vessels, Transfer Operations, and Wastewater Pt. 63, Subpt. G, Table 17 Table 17 to... listed in Table 15. d Description of treatment process. e Stream identification code for each...

  3. Atlas and wavenumber tables for the visible part of the electronic-vibro-rotational D2 spectrum emitted by low-temperature plasma

    NASA Astrophysics Data System (ADS)

    Lavrov, Boris P.; Umrikhin, Ivan S.

    2016-10-01

    The visible part (≈ 419-696 nm) of the multiline electronic-vibro-rotational (rovibronic) emission spectrum of the D2 molecule was recorded with a moderate resolution mainly determined by Doppler broadening of spectral lines (the observed line widths are equal to 0.0122(4) nm throughout the wavelength range under study). After the numerical deconvolution of the recorded intensity distributions and proper spectrometer calibrations, the new set of wavenumber values for rovibronic spectral lines has been obtained. It is shown that these new data are significantly more precise than experimental wavenumber values currently published for the visible part of the D2 spectrum, except for the fragmentary results of our high-resolution experiments (Phys. Rev. A, 2012). The assignments of the triplet rovibronic lines are verified by means of the optimizational technique based on two general principles: Rydberg-Ritz and maximum likelihood (J. Phys. B, 2008). Final results (reported in the on-line supplement material) include an atlas and accompanying tables. The atlas is divided into 158 sections (each section covers about 1.5 nm) containing images of the focal plane of the spectrometer and intensity distributions in linear and logarithmic scales. The tables contain wavenumber and relative intensity values for 11 941 spectral lines together with the available and new line assignments for the D2 and HD molecules.

  4. Use of the kinetic treatment table to prevent the pulmonary complications of multiple trauma.

    PubMed Central

    Demarest, G B; Schmidt-Nowara, W W; Vance, L W; Altman, A R

    1989-01-01

    The kinetic treatment table (KTT) has been developed to prevent and treat complications of immobility. Because atelectasis and pneumonia may be related to immobility, we studied the effect of the KTT on the prevention and treatment of pulmonary complications in a prospective randomized study of 30 patients with severe traumatic injuries. All were receiving mechanical ventilation and were randomly assigned to treatment with a KTT or a conventional bed. Both groups received conventional medical-surgical therapy while pulmonary function, chest roentgenograms, and the presence or absence of lung infection were monitored for one week. In the patients who began the study with a clear chest roentgenogram, atelectasis and pneumonia were significantly less frequent in those treated with a KTT (P less than .05). Thus, the KTT can reduce pulmonary complications in selected patients with multiple trauma. The effect of this benefit on overall outcome is uncertain. PMID:2735022

  5. Optimization of the rounded leaf offset table in modeling the multileaf collimator leaf edge in a commercial treatment planning system.

    PubMed

    Rice, John R

    2014-11-08

    An editable rounded leaf offset (RLO) table is provided in the Pinnacle3 treatment planning software. Default tables are provided for major linear accelerator manu- facturers, but it is not clear how the default table values should be adjusted by the user to optimize agreement between the calculated leaf tip value and the actual measured value. Since we wish for the calculated MLC-defined field edge to closely match the actual delivered field edge, optimal RLO table values are crucial. This is especially true for IMRT fields containing a large number of segments, since any errors would add together. A method based on the calculated MLC-defined field edge was developed for optimizing and modifying the default RLO table values. Modified RLO tables were developed and evaluated for both dosimetric and light field-based MLC leaf calibrations. It was shown, using a Picket Fence type test, that the optimized RLO table better modeled the calculated leaf tip than the Pinnacle3 default table. This was demonstrated for both an Elekta Synergy 80-leaf and a Varian 120-leaf MLC. 

  6. Analysis, design, fabrication and testing of the mini-Brayton rotating unit (Mini-BRU). Volume 1: Text and tables

    NASA Technical Reports Server (NTRS)

    Dobler, F. X.

    1978-01-01

    A 500 to 2100 watt power output Mini-Brayton Rotating Unit (Mini-BRU)was analyzed, designed, fabricated and tested. Performance and test data for the various components is included. Components tested include the 2.12 in. diameter compressor, the 2.86 in. diameter turbine, the Rice alternator and the cantilevered foil-type journal and thrust bearings. Also included are results on the fabrication of a C-103 turbine plenum/nozzle assembly and on offgassing of the organic materials in the alternator stator.

  7. Biological Treatment of Composition B Wastewaters. 1. Rotating Biological Contactor

    DTIC Science & Technology

    1986-09-01

    Hazardous Materials Agency ATTN: AMXTH-TE-D Aberdeen Proving Ground, MD 21010-5401 2 Commander Holston Army Ammunition Plant ATTN: SMCHO-EN Kingsport ...NA pilot-scale rotating biological contactor (RBC) was used to treat wastewaters from explosives production at Holston Army Ammunition Plant . At...waters will be similar to those from Holston Army kimunition Plant (HSAAP), presently the sole domestic source of RDX and S...... Aithoiigh more than

  8. Effect of classification-specific treatment on lumbopelvic motion during hip rotation in people with low back pain

    PubMed Central

    Hoffman, Shannon L; Johnson, Molly B; Zou, Dequan; Harris-Hayes, Marcie; Van Dillen, Linda R

    2010-01-01

    Increased and early lumbopelvic motion during trunk and limb movements is thought to contribute to low back pain (LBP). Therefore, reducing lumbopelvic motion could be an important component of physical therapy treatment. Our purpose was to examine the effects of classification-specific physical therapy treatment (Specific) based on the Movement System Impairment (MSI) model and non-specific treatment (Non-Specific) on lumbopelvic movement patterns during hip rotation in people with chronic LBP. We hypothesized that following treatment people in the Specific group would display decreased lumbopelvic rotation and achieve more hip rotation before lumbopelvic rotation began. We hypothesized that people in the Non-Specific group would display no change in these variables. Kinematic data collected before and after treatment for hip lateral and medial rotation in prone were analyzed. The Specific group (N=16) demonstrated significantly decreased lumbopelvic rotation and achieved greater hip rotation before the onset of lumbopelvic rotation after treatment with both hip lateral and medial rotation. The Non-Specific group (N=16) demonstrated significantly increased lumbopelvic rotation and no change in hip rotation achieved before the onset of lumbopelvic rotation. People who received treatment specific to their MSI LBP classification displayed decreased and later lumbopelvic motion with hip rotation, whereas people who received generalized non-specific treatment did not. PMID:21256073

  9. Effect of classification-specific treatment on lumbopelvic motion during hip rotation in people with low back pain.

    PubMed

    Hoffman, Shannon L; Johnson, Molly B; Zou, Dequan; Harris-Hayes, Marcie; Van Dillen, Linda R

    2011-08-01

    Increased and early lumbopelvic motion during trunk and limb movements is thought to contribute to low back pain (LBP). Therefore, reducing lumbopelvic motion could be an important component of physical therapy treatment. Our purpose was to examine the effects of classification-specific physical therapy treatment (Specific) based on the Movement System Impairment (MSI) model and non-specific treatment (Non-Specific) on lumbopelvic movement patterns during hip rotation in people with chronic LBP. We hypothesized that following treatment people in the Specific group would display decreased lumbopelvic rotation and achieve more hip rotation before lumbopelvic rotation began. We hypothesized that people in the Non-Specific group would display no change in these variables. Kinematic data collected before and after treatment for hip lateral and medial rotation in prone were analyzed. The Specific group (N = 16) demonstrated significantly decreased lumbopelvic rotation and achieved greater hip rotation before the onset of lumbopelvic rotation after treatment with both hip lateral and medial rotation. The Non-Specific group (N = 16) demonstrated significantly increased lumbopelvic rotation and no change in hip rotation achieved before the onset of lumbopelvic rotation. People who received treatment specific to their MSI LBP classification displayed decreased and later lumbopelvic motion with hip rotation, whereas people who received generalized non-specific treatment did not. Copyright © 2010 Elsevier Ltd. All rights reserved.

  10. Loblolly pine growth response to mid-rotational treatments in an Eastern Texas plantation

    Treesearch

    Mohammad M. Bataineh; Amanda L. Bataineh; Brian P. Oswald; Kenneth W. Farrish; Hans M. Williams

    2006-01-01

    The effects of mid-rotational treatments (herbicide, prescribed burn, combination of herbicide and burn, and fertilization) on growth of loblolly pine were evaluated. Five replicates were established in a split-plot experimental design with fertilizer treatments as the whole-plot factor and competition control treatments as the sub-plot factor. Growth response was...

  11. Acetic acid treatments to keep postharvest quality of "Regina" and "Taloppo" table grapes.

    PubMed

    Venditti, T; D'Hallewin, G; Dore, A; Molinu, M G; Fiori, P; Angiolino, C; Agabbio, M

    2008-01-01

    The most important postharvest pathogen for table grape is Botrytis cinerea (gray mold), which cause a rapid deterioration of fruit. An effective control of the disease during storage is difficult and remains an unsolved problem since no pesticide treatments are allowed by European legislation. GRAS compounds, employed with no restriction as preservatives in Europe and North America, are possible candidates to fulfil this gap. The aim of this work is to study the efficacy of Acetic Acid (AAC), used as postharvest treatment to control Botrytis cinerea on "Regina" and "Taloppo" table grapes, by Laboratory and storage tests. The activity of this compound was first assessed with laboratory tests, treating at different concentrations (0, 5, 10, 20, 50, 75 and 100 microl/L) of AAC vapors, for 15 minutes, single berries inoculated with B. cinerea. After treatments fruit was incubated at 20 degrees C for one week. The in vivo experiment took place by using the most promising AAC concentrations (50, 75 and 100 microl/L) followed by eight weeks of storage at 5 degrees C and 95% of relative humidity (RH) and four days at 20 degrees C and 85% RH (simulated shelf-life conditions). At the end of the in vivo experiment decay, weight loss and visual assessment were evaluated. Almost all treatments, after eight weeks of storage, reduced the incidence of gray mould. The best results were achieved by using 50 ppm of AAC, gaining a reduction of decay, compared to untreated "Taloppo" and "Regina" grapes of 61.0% and 41.4%, respectively. Following the simulated shelf-life period differences between treated and untreated (control) became no significant for "Taloppo" grape, while the lowest decay percentage was reached with 50 microl/L of AAC for "Regina" grape (52% of reduction if compared to control). Regarding fruit weight loss all treatments did not affect significantly this parameter that ranged between 8.2% and 11.5% after eight weeks of storage and 13.5% and 18.2% after shelf

  12. Surgery or conservative treatment for rotator cuff tear: a meta-analysis.

    PubMed

    Ryösä, Anssi; Laimi, Katri; Äärimaa, Ville; Lehtimäki, Kaisa; Kukkonen, Juha; Saltychev, Mikhail

    2017-07-01

    Comparative evidence on treating rotator cuff tear is inconclusive. The objective of this review was to evaluate the evidence on effectiveness of tendon repair in reducing pain and improving function of the shoulder when compared with conservative treatment of symptomatic rotator cuff tear. Search on CENTRAL, MEDLINE, EMBASE, CINAHL, Web of Science and Pedro databases. Randomised controlled trials (RCT) comparing surgery and conservative treatment of rotator cuff tear. Study selection and extraction based on the Cochrane Handbook for Systematic reviews of Interventions. Random effects meta-analysis. Three identified RCTs involved 252 participants (123 cases and 129 controls). The risk of bias was considered low for all three RCTs. For Constant score, statistically insignificant effect size was 5.6 (95% CI -0.41 to 11.62) points in 1-year follow up favouring surgery and below the level of minimal clinically important difference. The respective difference in pain reduction was -0.93 (95% CI -1.65 to -0.21) cm on a 0-10 pain visual analogue scale favouring surgery. The difference was statistically significant (p = 0.012) in 1-year follow up but below the level of minimal clinically important difference. There is limited evidence that surgery is not more effective in treating rotator cuff tear than conservative treatment alone. Thus, a conservative approach is advocated as the initial treatment modality. Implications for Rehabilitation There is limited evidence that surgery is not more effective in treating rotator cuff tear than conservative treatment alone. There was no clinically significant difference between surgery and active physiotherapy in 1-year follow-up in improving Constant score or reducing pain caused by rotator cuff tear. As physiotherapy is less proneness to complications and less expensive than surgery, a conservative approach is advocated as the initial treatment modality to rotator cuff tears.

  13. Rotator cuff preservation in arthroscopic treatment of calcific tendinitis.

    PubMed

    Maier, Dirk; Jaeger, Martin; Izadpanah, Kaywan; Bornebusch, Lutz; Suedkamp, Norbert Paul; Ogon, Peter

    2013-05-01

    We sought to evaluate (1) clinical and radiologic results after arthroscopic calcific deposit (CD) removal and (2) the relevance of remnant calcifications (RCs). The study included 102 patients undergoing arthroscopic CD removal, preserving integrity of the rotator cuff. Postoperatively, we divided patients into 2 groups according to the extent of CD removal achieved. Group 1 consisted of patients with complete CD removal. Group 2 included patients showing minor RCs. Ninety-three patients (99 shoulders) completed follow-up. The mean patient age was 50.6 years (31 to 68 years), and the mean follow-up period was 37.3 months (24 to 83 months). We obtained anteroposterior (AP) and outlet radiographs before surgery, postoperatively, and at follow-up. We used the absolute and age- and sex-related Constant scores (CSabs, CSrel) as outcome measures. We compared both groups statistically (Mann-Whitney U test; P < .05). Complete CD removal was achieved in 82 of 99 (82.8%) shoulders (group 1). Postoperatively, minor RCs were found in 17 of 99 (17.2%) shoulders (group 2), an average of 58.6% (± 26.2) of the mean preoperative size. All RCs showed complete (14 of 17) or virtually complete (3 of 17) resolution at follow-up. Overall mean CSabs and CSrel were 88.8 points (± 10.4) and 99.0% (± 3.7), respectively. Mean values of CSabs and CSrel in group 1 (89.5 points ± 9.5 and 99.1% ± 3.7, respectively) and group 2 (86.1 points ± 12.9 and 98.7% ± 4.2, respectively) did not differ. Arthroscopic CD removal, preserving integrity of the rotator cuff yielded good to excellent results in 90% of patients and avoided iatrogenic tendon defects in all patients. Minor RCs did not impair clinical outcome and spontaneously resolved at follow-up. Level IV, therapeutic case series. Copyright © 2013 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

  14. Rotating belt sieves for primary treatment, chemically enhanced primary treatment and secondary solids separation.

    PubMed

    Rusten, B; Rathnaweera, S S; Rismyhr, E; Sahu, A K; Ntiako, J

    2017-06-01

    Fine mesh rotating belt sieves (RBS) offer a very compact solution for removal of particles from wastewater. This paper shows examples from pilot-scale testing of primary treatment, chemically enhanced primary treatment (CEPT) and secondary solids separation of biofilm solids from moving bed biofilm reactors (MBBRs). Primary treatment using a 350 microns belt showed more than 40% removal of total suspended solids (TSS) and 30% removal of chemical oxygen demand (COD) at sieve rates as high as 160 m³/m²-h. Maximum sieve rate tested was 288 m³/m²-h and maximum particle load was 80 kg TSS/m²-h. When the filter mat on the belt increased from 10 to 55 g TSS/m², the removal efficiency for TSS increased from about 35 to 60%. CEPT is a simple and effective way of increasing the removal efficiency of RBS. Adding about 1 mg/L of cationic polymer and about 2 min of flocculation time, the removal of TSS typically increased from 40-50% without polymer to 60-70% with polymer. Using coagulation and flocculation ahead of the RBS, separation of biofilm solids was successful. Removal efficiencies of 90% TSS, 83% total P and 84% total COD were achieved with a 90 microns belt at a sieve rate of 41 m³/m²-h.

  15. Groundwater treatment in a field pilot methanotrophic rotating biological contactor

    SciTech Connect

    Belcher, D.M.; Vira, A.; Dooley, M.A.; Johnson, J.C.

    1995-12-31

    A pilot-scale rotating biological contactor (RBC) was operated under field conditions for approximately 1 month to remove chlorinated and nonchlorinated organic compounds from groundwater. Methanotrophic conditions were successfully established and maintained in the RBC during the field program. Results of the pilot program indicated that low concentrations of cis-1,2-dichloroethene (cis-DCE) and vinyl chloride could be treated to below the maximum contaminant levels (MCLs) of 70 ad 2 {micro}g/L, respectively. Maximum removal rates for cis-DCE and vinyl chloride measured during the pilot study were 2.14 {micro}g cis-DCE/ft{sup 2} disc media-minute (952 {micro}g cis-DCE/mg volatile solids [VS]-day) and 0.3 {micro}g vinyl chloride/ft{sup 2}-minute (143 {micro}g vinyl chloride/mg VS-day), respectively. Chlorinated ethene removal efficiencies decreased after the first 2 weeks of operation. Low concentrations of toluene, ethylbenzene, and total xylenes (TEX) were effectively removed from groundwater throughout the course of the pilot study. The maximum observed TEX removal rate was 3.0 {micro}g TEX/ft{sup 2}-minute.

  16. Evaluation of Rotational Errors in Treatment Setup of Stereotactic Body Radiation Therapy of Liver Cancer

    SciTech Connect

    Cao Minsong; Lasley, Foster D.; Das, Indra J.; DesRosiers, Colleen M.; Slessinger, Eric D.; Cardenes, Higinia R.

    2012-11-01

    Purpose: To evaluate the dosimetric impact of rotational setup errors in stereotactic body radiotherapy (SBRT) treatment of liver tumors and to investigate whether translational shifts can compensate for rotation. Methods and Materials: The positioning accuracy in 20 patients with liver malignancies treated with SBRT was reevaluated offline by matching the patients' cone-beam computed tomography (CT) scans (n=75) to the planning CT scans and adjusting the 3 rotational angles (pitch, roll, and yaw). Systematic and random setup errors were calculated. The dosimetric changes caused by rotational setup errors were quantified for both simulated and observed patient rotations. Dose distributions recalculated on the rotated CT scans were compared with the original planned doses. Translational corrections were simulated based on manual translational registration of the rotated images to the original CT scans. The correction efficacy was evaluated by comparing the recalculated plans with the original plans. Results: The systematic rotational setup errors were -0.06 Degree-Sign {+-} 0.68 Degree-Sign , -0.29 Degree-Sign {+-} 0.62 Degree-Sign , and -0.24 Degree-Sign {+-} 0.61 Degree-Sign ; the random setup errors were 0.80 Degree-Sign , 1.05 Degree-Sign , and 0.61 Degree-Sign for pitch, roll, and yaw, respectively. Analysis of CBCT images showed that 56.0%, 14.7%, and 1.3% of treated fractions had rotational errors of >1 Degree-Sign , >2 Degree-Sign , and >3 Degree-Sign , respectively, in any one of the rotational axes. Rotational simulations demonstrated that the reduction of gross tumor volume (GTV) coverage was <2% when rotation was <3 Degree-Sign . Recalculated plans using actual patient roll motions showed similar reduction (<2%) in GTV coverage. Translational corrections improved the GTV coverage to within 3% of the original values. For organs at risk (OAR), the dosimetric impact varied case by case. Conclusion: Actual rotational setup errors in SBRT for liver tumors are

  17. Epidemiology, natural history, and indications for treatment of rotator cuff tears.

    PubMed

    Tashjian, Robert Z

    2012-10-01

    The etiology of rotator cuff disease is likely multifactorial, including age-related degeneration and microtrauma and macrotrauma. The incidence of rotator cuff tears increases with aging with more than half of individuals in their 80s having a rotator cuff tear. Smoking, hypercholesterolemia, and genetics have all been shown to influence the development of rotator cuff tearing. Substantial full-thickness rotator cuff tears, in general, progress and enlarge with time. Pain, or worsening pain, usually signals tear progression in both asymptomatic and symptomatic tears and should warrant further investigation if the tear is treated conservatively. Larger (>1-1.5 cm) symptomatic full-thickness cuff tears have a high rate of tear progression and, therefore, should be considered for earlier surgical repair in younger patients if the tear is reparable and there is limited muscle degeneration to avoid irreversible changes to the cuff, including tear enlargement and degenerative muscle changes. Smaller symptomatic full-thickness tears have been shown to have a slower rate of progression, similar to partial-thickness tears, and can be considered for initial nonoperative treatment due to the limited risk for rapid tear progression. In both small full-thickness tears and partial-thickness tears, increasing pain should alert physicians to obtain further imaging as it can signal tear progression. Natural history data, along with information on factors affecting healing after rotator cuff repair, can help guide surgeons in making appropriate decisions regarding the treatment of rotator cuff tears. The management of rotator cuff tears should be considered in the context of the risks and benefits of operative versus nonoperative treatment. Tear size and acuity, the presence of irreparable changes to the rotator cuff or glenohumeral joint, and patient age should all be considered in making this decision. Initial nonoperative care can be safely undertaken in older patients (>70

  18. Dosimetric effects of patient rotational setup errors on prostate IMRT treatments

    NASA Astrophysics Data System (ADS)

    Fu, Weihua; Yang, Yong; Li, Xiang; Heron, Dwight E.; Saiful Huq, M.; Yue, Ning J.

    2006-10-01

    The purpose of this work is to determine dose delivery errors that could result from systematic rotational setup errors (ΔΦ) for prostate cancer patients treated with three-phase sequential boost IMRT. In order to implement this, different rotational setup errors around three Cartesian axes were simulated for five prostate patients and dosimetric indices, such as dose-volume histogram (DVH), tumour control probability (TCP), normal tissue complication probability (NTCP) and equivalent uniform dose (EUD), were employed to evaluate the corresponding dosimetric influences. Rotational setup errors were simulated by adjusting the gantry, collimator and horizontal couch angles of treatment beams and the dosimetric effects were evaluated by recomputing the dose distributions in the treatment planning system. Our results indicated that, for prostate cancer treatment with the three-phase sequential boost IMRT technique, the rotational setup errors do not have significant dosimetric impacts on the cumulative plan. Even in the worst-case scenario with ΔΦ = 3°, the prostate EUD varied within 1.5% and TCP decreased about 1%. For seminal vesicle, slightly larger influences were observed. However, EUD and TCP changes were still within 2%. The influence on sensitive structures, such as rectum and bladder, is also negligible. This study demonstrates that the rotational setup error degrades the dosimetric coverage of target volume in prostate cancer treatment to a certain degree. However, the degradation was not significant for the three-phase sequential boost prostate IMRT technique and for the margin sizes used in our institution.

  19. Bioelectrochemical treatment of table olive brine processing wastewater for biogas production and phenolic compounds removal.

    PubMed

    Marone, A; Carmona-Martínez, A A; Sire, Y; Meudec, E; Steyer, J P; Bernet, N; Trably, E

    2016-09-01

    Industry of table olives is widely distributed over the Mediterranean countries and generates large volumes of processing wastewaters (TOPWs). TOPWs contain high levels of organic matter, salt, and phenolic compounds that are recalcitrant to microbial degradation. This work aims to evaluate the potential of bioelectrochemical systems to simultaneously treat real TOPWs and recover energy. The experiments were performed in potentiostatically-controlled single-chamber systems fed with real TOPW and using a moderate halophilic consortium as biocatalyst. In conventional anaerobic digestion (AD) treatment, ie. where no potential was applied, no CH4 was produced. In comparison, Bio-Electrochemical Systems (BES) showed a maximum CH4 yield of 701 ± 13 NmL CH4·LTOPW(-1) under a current density of 7.1 ± 0.4 A m(-2) and with a coulombic efficiency of 30%. Interestingly, up to 80% of the phenolic compounds found in the raw TOPW (i.e. hydroxytyrosol and tyrosol) were removed. A new theoretical degradation pathway was proposed after identification of the metabolic by-products. Consistently, microbial community analysis at the anode revealed a clear and specific enrichment in anode-respiring bacteria (ARB) from the genera Desulfuromonas and Geoalkalibacter, supporting the key role of these electroactive microorganisms. As a conclusion, bioelectrochemical systems represent a promising bioprocess alternative for the treatment and energy recovery of recalcitrant TOPWs. Copyright © 2016 Elsevier Ltd. All rights reserved.

  20. Calcific tendinitis of the rotator cuff: state of the art in diagnosis and treatment.

    PubMed

    Merolla, Giovanni; Singh, Sanjay; Paladini, Paolo; Porcellini, Giuseppe

    2016-03-01

    Calcific tendinitis is a painful shoulder disorder characterised by either single or multiple deposits in the rotator cuff tendon. Although the disease subsides spontaneously in most cases, a subpopulation of patients continue to complain of pain and shoulder dysfunction and the deposits do not show any signs of resolution. Although several treatment options have been proposed, clinical results are controversial and often the indication for a given therapy remains a matter of clinician choice. Herein, we report on the current state of the art in the pathogenesis, diagnosis and treatment of calcific tendinitis of the rotator cuff.

  1. Controlled Atmosphere Treatment for Control of Grape mealybug, Pseudococcus maritimus (Ehrhorn) (Hemiptera: Pseudococcidae), on Harvested Table Grapes.

    USDA-ARS?s Scientific Manuscript database

    Controlled atmosphere (CA) treatments with ultralow oxygen (ULO) alone and in combinations with 50% carbon dioxide were studied to control grape mealybug, Pseudococcus maritimus (Ehrhorn) on harvested table grapes. Two ultralow oxygen levels, ˜30 ppm and <1 ppm, were tested in both ULO and ULO+50% ...

  2. Arthroscopic treatment options for irreparable rotator cuff tears of the shoulder

    PubMed Central

    Anley, Cameron M; Chan, Samuel KL; Snow, Martyn

    2014-01-01

    The management of patients with irreparable rotator cuff tears remains a challenge for orthopaedic surgeons with the final treatment option in many algorithms being either a reverse shoulder arthroplasty or a tendon transfer. The long term results of these procedures are however still widely debated, especially in younger patients. A variety of arthroscopic treatment options have been proposed for patients with an irreparable rotator cuff tear without the presence of arthritis of the glenohumeral joint. These include a simple debridement with or without a biceps tenotomy, partial rotator cuff repair with or without an interval slide, tuberplasty, graft interposition of the rotator cuff, suprascapular nerve ablation, superior capsule reconstruction and insertion of a biodegradable spacer (Inspace) to depress the humeral head. These options should be considered as part of the treatment algorithm in patients with an irreparable rotator cuff and could be used as either as an interim procedure, delaying the need for more invasive surgery in the physiologically young and active, or as potential definitive procedures in the medically unfit. The aim of this review is to highlight and summarise arthroscopic procedures and the results thereof currently utilised in the management of these challenging patients. PMID:25405083

  3. Continuous table acquisition MRI for radiotherapy treatment planning: Distortion assessment with a new extended 3D volumetric phantom

    SciTech Connect

    Walker, Amy Metcalfe, Peter; Liney, Gary; Holloway, Lois; Dowling, Jason; Rivest-Henault, David

    2015-04-15

    Purpose: Accurate geometry is required for radiotherapy treatment planning (RTP). When considering the use of magnetic resonance imaging (MRI) for RTP, geometric distortions observed in the acquired images should be considered. While scanner technology and vendor supplied correction algorithms provide some correction, large distortions are still present in images, even when considering considerably smaller scan lengths than those typically acquired with CT in conventional RTP. This study investigates MRI acquisition with a moving table compared with static scans for potential geometric benefits for RTP. Methods: A full field of view (FOV) phantom (diameter 500 mm; length 513 mm) was developed for measuring geometric distortions in MR images over volumes pertinent to RTP. The phantom consisted of layers of refined plastic within which vitamin E capsules were inserted. The phantom was scanned on CT to provide the geometric gold standard and on MRI, with differences in capsule location determining the distortion. MRI images were acquired with two techniques. For the first method, standard static table acquisitions were considered. Both 2D and 3D acquisition techniques were investigated. With the second technique, images were acquired with a moving table. The same sequence was acquired with a static table and then with table speeds of 1.1 mm/s and 2 mm/s. All of the MR images acquired were registered to the CT dataset using a deformable B-spline registration with the resulting deformation fields providing the distortion information for each acquisition. Results: MR images acquired with the moving table enabled imaging of the whole phantom length while images acquired with a static table were only able to image 50%–70% of the phantom length of 513 mm. Maximum distortion values were reduced across a larger volume when imaging with a moving table. Increased table speed resulted in a larger contribution of distortion from gradient nonlinearities in the through

  4. Continuous table acquisition MRI for radiotherapy treatment planning: distortion assessment with a new extended 3D volumetric phantom.

    PubMed

    Walker, Amy; Liney, Gary; Holloway, Lois; Dowling, Jason; Rivest-Henault, David; Metcalfe, Peter

    2015-04-01

    Accurate geometry is required for radiotherapy treatment planning (RTP). When considering the use of magnetic resonance imaging (MRI) for RTP, geometric distortions observed in the acquired images should be considered. While scanner technology and vendor supplied correction algorithms provide some correction, large distortions are still present in images, even when considering considerably smaller scan lengths than those typically acquired with CT in conventional RTP. This study investigates MRI acquisition with a moving table compared with static scans for potential geometric benefits for RTP. A full field of view (FOV) phantom (diameter 500 mm; length 513 mm) was developed for measuring geometric distortions in MR images over volumes pertinent to RTP. The phantom consisted of layers of refined plastic within which vitamin E capsules were inserted. The phantom was scanned on CT to provide the geometric gold standard and on MRI, with differences in capsule location determining the distortion. MRI images were acquired with two techniques. For the first method, standard static table acquisitions were considered. Both 2D and 3D acquisition techniques were investigated. With the second technique, images were acquired with a moving table. The same sequence was acquired with a static table and then with table speeds of 1.1 mm/s and 2 mm/s. All of the MR images acquired were registered to the CT dataset using a deformable B-spline registration with the resulting deformation fields providing the distortion information for each acquisition. MR images acquired with the moving table enabled imaging of the whole phantom length while images acquired with a static table were only able to image 50%-70% of the phantom length of 513 mm. Maximum distortion values were reduced across a larger volume when imaging with a moving table. Increased table speed resulted in a larger contribution of distortion from gradient nonlinearities in the through-plane direction and an increased

  5. Comparing surgical repair with conservative treatment for degenerative rotator cuff tears: a randomized controlled trial.

    PubMed

    Lambers Heerspink, Frederik O; van Raay, Jos J A M; Koorevaar, Rinco C T; van Eerden, Pepijn J M; Westerbeek, Robin E; van 't Riet, Esther; van den Akker-Scheek, Inge; Diercks, Ronald L

    2015-08-01

    Good clinical results have been reported for both surgical and conservative treatment of rotator cuff tears. The primary aim of this randomized controlled trial was to compare functional and radiologic improvement after surgical and conservative treatment of degenerative rotator cuff tears. We conducted a randomized controlled trial that included 56 patients with a degenerative full-thickness rotator cuff tear between January 2009 and December 2012; 31 patients were treated conservatively, and rotator cuff repair was performed in 25 patients. Outcome measures, including the Constant-Murley score (CMS), visual analog scale (VAS) pain and VAS disability scores, were assessed preoperatively and after 6 weeks and 3, 6, and 12 months. Magnetic resonance imaging was performed preoperatively and at 12 months postoperatively. At 12 months postoperatively, the mean CMS was 81.9 (standard deviation [SD], 15.6) in the surgery group vs 73.7 (SD, 18.4) in the conservative group (P = .08). VAS pain (P = .04) and VAS disability (P = .02) were significantly lower in the surgery group at the 12-month follow-up. A subgroup analysis showed postoperative CMS results were significantly better in surgically treated patients without a retear compared with conservatively treated patients (88.5 [SD, 6.2] vs 73.7 [SD, 18.4]). In our population of patients with degenerative rotator cuff tears who were randomly treated by surgery or conservative protocol, we did not observe differences in functional outcome as measured with the CMS 1 year after treatment. However, significant differences in pain and disabilities were observed in favor of surgical treatment. The best outcomes in function and pain were seen in patients with an intact rotator cuff postoperatively. Copyright © 2015 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

  6. Sclerostin Antibody Treatment Enhances Rotator Cuff Tendon-to-Bone Healing in an Animal Model.

    PubMed

    Shah, Shivam A; Kormpakis, Ioannis; Havlioglu, Necat; Ominsky, Michael S; Galatz, Leesa M; Thomopoulos, Stavros

    2017-05-17

    Rotator cuff tears are a common source of pain and disability, and poor healing after repair leads to high retear rates. Bone loss in the humeral head before and after repair has been associated with poor healing. The purpose of the current study was to mitigate bone loss near the repaired cuff and improve healing outcomes. Sclerostin antibody (Scl-Ab) treatment, previously shown to increase bone formation and strength in the setting of osteoporosis, was used in the current study to address bone loss and enhance rotator cuff healing in an animal model. Scl-Ab was administered subcutaneously at the time of rotator cuff repair and every 2 weeks until the animals were sacrificed. The effect of Scl-Ab treatment was evaluated after 2, 4, and 8 weeks of healing, using bone morphometric analysis, biomechanical evaluation, histological analysis, and gene expression outcomes. Injury and repair led to a reduction in bone mineral density after 2 and 4 weeks of healing in the control and Scl-Ab treatment groups. After 8 weeks of healing, animals receiving Scl-Ab treatment had 30% greater bone mineral density than the controls. A decrease in biomechanical properties was observed in both groups after 4 weeks of healing compared with healthy tendon-to-bone attachments. After 8 weeks of healing, Scl-Ab-treated animals had improved strength (38%) and stiffness (43%) compared with control animals. Histological assessment showed that Scl-Ab promoted better integration of tendon and bone by 8 weeks of healing. Scl-Ab had significant effects on gene expression in bone, indicative of enhanced bone formation, and no effect on the expression of genes in tendon. This study provides evidence that Scl-Ab treatment improves tendon-to-bone healing at the rotator cuff by increasing attachment-site bone mineral density, leading to improved biomechanical properties. Scl-Ab treatment may improve outcomes after rotator cuff repair.

  7. Rotating biological contactors: Wastewater treatment. (Latest citations from the NTIS bibliographic database). Published Search

    SciTech Connect

    1995-10-01

    The bibliography contains citations concerning wastewater treatment using rotating biological contactors (RBC). Citations focus on reaction kinetics, operational modeling, and removal efficiencies. Biological oxygen demand (BOD) and nitrogen removal are discussed. Citations examine performance of RBCs in industrial and municipal applications. (Contains 50-250 citations and includes a subject term index and title list.) (Copyright NERAC, Inc. 1995)

  8. Extensor coxae brevis: treatment strategies for the deep lateral rotators in pelvic tilt.

    PubMed

    Myers, Thomas

    2010-07-01

    The group of myofascial units known as the deep lateral rotators are considered in light of their role as postural hip extensors, resulting functional and palpatory assessments of pelvic neutral are presented, and treatment strategies for anterior and posterior pelvic tilt are discussed. (c) 2009 Elsevier Ltd. All rights reserved.

  9. Initial treatment of complete rotator cuff tear and transition to surgical treatment: systematic review of the evidence

    PubMed Central

    Abdul-Wahab, Taiceer A.; Betancourt, Jean P.; Hassan, Fadi; Thani, Saeed Al.; Choueiri, Hened; Jain, Nitin B.; Malanga, Gerard A.; Murrell, William D.; Prasad, Anil; Verborgt, Olivier

    2016-01-01

    Summary Background rotator cuff tear affects many people. Natural history, and evidence for non-operative treatment remains limited. Our objective is to assess evidence available for the efficacy and morbidity of commonly used systemic medications, physiotherapy, and injections alongside evaluating any negative long-term effects. Methods a systematic search was performed of PubMed, Cochrane, EMBASE and CINAHL dates (1 January 1960 – 1 December 2014), search terms: ‘rotator cuff tear’, ‘natural history’, ‘atraumatic’, ‘injection’, ‘physiotherapy’ or ‘physical therapy’, ‘injection’, ‘corticosteroid’, ‘PRP‘, ‘MSC’, risk of conservative treatment’, and ‘surgical indication’. Results eleven studies were included. The mean Coleman Methodology Score modified for conservative therapy is 69.21 (range 88–44) (SD 12.31). This included 2 RCTs, 7 prospective, and 2 retrospective studies. Evidence suggests it is safe to monitor symptomatic rotator cuff tears, as tear size and symptoms are not correlated with pain, function, and/or ultimate outcome. Conclusions complete rotator cuff tears may be effectively treated with injections, exercise in the short and intermediate terms respectively. Negative effect of corticosteroids on rotator cuff tissue has not been demonstrated. Timing to end conservative treatment is unknown, but likely indicated when a patient demonstrates increased weakness and loss of function not recoverable by physiotherapy. PMID:27331030

  10. Treatment of multiple lumbar disk herniations in an adolescent athlete utilizing flexion distraction and rotational manipulation.

    PubMed

    Hession, E F; Donald, G D

    1993-01-01

    An acute case of low back pain in a high school athlete is described. Onset of nonradicular back pain was related to "squat-type" weightlifting in preparation for high school football. Magnetic resonance images demonstrated central posterior disk herniations with thecal sac effacement of the lower three disk levels. Clinical and electrophysiological evaluation revealed no neurological deficits. Flexion distraction and rotational manipulation with adjunctive paraspinal muscle stimulation resulted in early improvement and apparent long-term resolution of this patient's symptoms. The effectiveness of flexion distraction and rotational manipulation in reducing subjective symptoms are compared utilizing visual analog pain scales. Literature review of the conservative treatment of lumbar disk herniations is discussed.

  11. A novel, nonsurgical method for the treatment of tibiotarsal rotation in houbara bustard (Chlamydotis macqueenii) chicks.

    PubMed

    Stiévenart, Corinne

    2008-03-01

    Rotational limb deformity due to tibiotarsal rotation can affect captive-bred houbara bustard chicks (Chlamydotis macqueenii) from an early age. If not completely corrected, the affected birds can neither be released into the wild nor used in captive-breeding projects. A nonsurgical orthopedic method was developed to correct this deformity before growth is completed. The method consists of hobbling digits III and the distal part of the tarsometatarsus of each leg with a self-adhesive conforming bandage that keeps digits III parallel with enough freedom of movement to allow walking. The tibiotarsal bones are left free. This treatment was successful when it was implemented for 20 days on 10-day-old houbara bustard chicks presenting with 60 degrees to 90 degrees unilateral tibiotarsal rotation. Implementing the same corrective method at an older age was not successful. This cheap, accessible, and noninvasive technique may be applicable to other avian species.

  12. Lower rotation speed stimulates sympathetic activation during continuous-flow left ventricular assist device treatment.

    PubMed

    Imamura, Teruhiko; Kinugawa, Koichiro; Nitta, Daisuke; Fujino, Takeo; Inaba, Toshiro; Maki, Hisataka; Hatano, Masaru; Kinoshita, Osamu; Nawata, Kan; Kyo, Shunei; Ono, Minoru

    2015-03-01

    Although the suppression of sympathetic activity is an essential mission for the current heart failure treatment strategy, little is known about the relationship between the rotation speed setting and autonomic nervous activity during continuous-flow left ventricular assist device (LVAD) treatment. We evaluated 23 adult patients with sinus rhythm (36 ± 13 years) who had received continuous-flow LVAD and been followed at our institute between March 2013 and August 2014. Heart rate variability measurement was executed along with hemodynamic study at 3 rotation speeds (low, middle, and high) at 5 weeks after LVAD implantation. Lower rotation speed was associated with higher ratio of low-frequency over high-frequency spectral level (LF/HF), representing enhanced sympathetic activation (p < 0.05 by repeated analyses of variance). Among hemodynamic parameters, cardiac index was exclusively associated with LFNU = LF/(LF + HF), representing relative sympathetic activity over parasympathetic one (p < 0.05). After 6 months LVAD support at middle rotation speed, 19 patients with higher LFNU eventually had higher plasma levels of B-type natriuretic peptide and achieved less LV reverse remodeling. A logistic regression analysis demonstrated that lower LFNU was significantly associated with improvement of LV reverse remodeling (p = 0.021, odds ratio 0.903) with a cut-off level of 55 % calculated by the ROC analysis (AUC 0.869). In conclusion, autonomic activity can vary in various rotation speeds. Patients with higher LFNU may better be controlled at higher rotation speed with the view point to suppress sympathetic activity and achieve LV reverse remodeling.

  13. Arthroscopic rotator cuff debridement without decompression for the treatment of tendinosis.

    PubMed

    Budoff, Jeffrey E; Rodin, Dennis; Ochiai, Derek; Nirschl, Robert P

    2005-09-01

    The treatment of rotator cuff injury in the absence of a full-thickness tear has traditionally consisted of acromioplasty. However, this disorder may also be treated by arthroscopic rotator cuff debridement without acromioplasty. Our previous study of 79 shoulders so treated reported 87% good or excellent results at an average 53-month follow-up. The purpose of this article is to report the long-term, average 9.5-year follow-up of this cohort. Long-term follow-up of case series. We retrospectively reviewed the records of 62 shoulders in 60 patients who had undergone arthroscopic rotator cuff debridement for partial-thickness rotator cuff tears. Demographic criteria, residual pain, and the ability to return to recreational athletics were noted. The UCLA Shoulder Score and the Simple Shoulder Test scores were determined and statistical analysis performed. Using the UCLA Shoulder Score, there were 79% excellent or good results at an average 114 months of follow-up. Patients with Workers' Compensation claims had significantly worse results, with only 40% rated good or excellent. Of the 60 patients, 77% had no or only minimal pain, 57% were still able to perform recreational athletics without difficulty, and 20% could participate at a lower level of intensity. Arthroscopic debridement of rotator cuff injury in the absence of a full-thickness tear has good long-term results and minimizes additional surgical trauma. Level IV, case series.

  14. Comparative study between lateral decubitus and traction table for treatment of pertrochanteric fractures with cephalomedullary nails.

    PubMed

    Souza, Eric Fernando de; Hungria, José Octávio Soares; Rezende, Lucas Romano Sampaio; Bellan, Davi Gabriel; Borracini, Jonas Aparecido

    2017-01-01

    To perform a retrospective radiographic assessment of the reduction and implant position in the femoral head in patients with pertrochanteric fractures treated with cephalomedullary nailing in the lateral position versus traction table. Radiographs of patients with pertrochanteric fracture of the femur treated with cephalomedullary nailing in the lateral position and traction table were retrospectively evaluated. For the evaluation we used the anteroposterior radiographic view of the pelvis and the lateral view of the affected side. The cervicodiaphyseal angle, the tip-apex distance (TAD), and the spatial position of the cephalic component in the head were measured. Two patient groups were created, one group operated on the traction table and another group operated in the lateral position. Regarding the cervicodiaphyseal angle observed in the traction table group, the results of 11 patients (61.1%) were outside the acceptable parameters proposed in the present study. Both groups were equivalent regarding TAD and the position of the cephalic component in the head. A difference in the cervicodiaphyseal angle was observed; the group operated on the traction table had 11 patients (61.1%) whose measurements were outside the acceptable parameters.

  15. SU-E-P-45: An Analytical Formula for Deriving Mechanical Iso-Center of Rotational Gantry Treatment Unit Rotational Gantry Treatment Unit

    SciTech Connect

    Ding, X; Bues, M

    2015-06-15

    Purpose: To present an analytical formula for deriving mechanical isocenter (MIC) of a rotational gantry treatment unit. The input data to the formula is obtained by a custom-made device. The formula has been implemented and used in an operational proton therapy facility since 2005. Methods: The custom made device consisted of 3 mutually perpendicular dial indicators and 5 clinometers, to obtain displacement data and gantry angle data simultaneously. During measurement, a steel sphere was affixed to the patient couch, and the device was attached to the snout rotating with the gantry. The displacement data and angle data were obtained simultaneously at angular increments of less than 1 degree. The analytical formula took the displacement and angle as input and derived the positions of dial indicator tips (DIT) position in room-fixed coordinate system. The formula derivation presupposes trigonometry and 3-dimentional coordinate transformations. Due to the symmetry properties of the defining equations, the DIT position can be solved for analytically without using mathematical approximations. We define the mean of all points in the DIT trajectory as the MIC. The formula was implemented in computer code, which has been employed during acceptance test, commissioning, as well as routine QA practice in an operational proton facility since 2005. Results: It took one minute for the custom-made device to acquire the measurement data for a full gantry rotation. The DIT trajectory and MIS are instantaneously available after the measurement. The MIC Result agrees well with vendor’s Result, which came from a different measurement setup, as well as different data analysis algorithm. Conclusion: An analytical formula for deriving mechanical isocenter was developed and validated. The formula is considered to be absolutely accurate mathematically. Be analyzing measured data of radial displacements as function of gantry angle, the formula calculates the MI position in room

  16. Treatment strategies for frontal sinus anterior table fractures and contour deformities.

    PubMed

    Delaney, Sean W

    2016-08-01

    Anterior table frontal sinus fractures can result in aesthetically displeasing contour deformities. Acute anterior table frontal sinus fractures that are depressed may be reduced with an open, closed, or endoscope-assisted approach. Delayed contour deformity camouflage can be achieved using bone grafts, titanium meshes, methyl methacrylate, hydroxyapatite cement, and polyether ether ketone implants. The selection of surgical approach to repair a frontal sinus contour deformity depends on the fracture severity, chronicity, complexity, patient comorbidities, and surgeon preference and experience. Advancement in endoscopic technology and expertise has created a paradigm shift toward a less invasive approach to the frontal region, with considerably less morbidity than conventional open techniques.

  17. RESULTS OF SURGICAL TREATMENT OF DENERATIVE ARTHROPATHY OF THE ROTATOR CUFF USING HEMIARTHROPLASTY- CTA®

    PubMed Central

    Filho, Rômulo Brasil; Ribeiro, Fabiano Rebouças; Tenor, Antonio Carlos; Filho, Cantidio Salvador Filardi; da Costa, Guilherme Barbieri Leme; Storti, Thiago Medeiros; da Costa Garcia, André; Lutfi, Hilton Vargas

    2015-01-01

    Objective: To assess results of CTA® partial shoulder arthroplasty for treatment of degenerative arthropathy of the rotator cuff. Methods: Between December 2006 and June 2009, 23 shoulders of 23 patients were submitted to CTA® type partial shoulder arthroplasty for treatment of arthropathy secondary to rotator cuff injury. Post-operative follow up time ranged from 6 to 35 months. Mean age was 74.1 years. Patients were predominantly female, representing 78.3% of cases. The right limb was affected in 18 patients. All patients had undergone at least 6 months of physiotherapy without improvement of the algetic picture, and being submitted to surgery by the same surgical team. None of the patients had history of surgery on the affected shoulder. The method elected for assessing patients during post-operative follow up was based on UCLA scoring criteria. Results: Improvement in pain was observed in all patients after arthroplasty. Mean UCLA pain score was 9.22 (ranging from 10 to 8). Mean function was 6 (10 to 2). Active frontal flexion was 2.39 (highest score 4 and lowest 0). Mean frontal flexion force was 4.09, maximum was 5 and minimum 3. Mean score on the UCLA was 26.52. 95% were satisfied with the surgery. Conclusion: CTA® type partial shoulder arthroplasty produced satisfactory results in the treatment of degenerative arthropathy of the rotator cuff and had a low rate of complications. PMID:27028431

  18. [Operative treatment of abduction and lateral rotation limitation of shoulder in obstetric brachial plexus palsy].

    PubMed

    Jin, Guoqiang; Shi, Qilin

    2010-04-01

    To study the treatment method and effect of abduction and lateral rotation limitation of the shoulder in obstetric brachial plexus palsy (OBPP). From February 2005 to August 2008, 11 patients with abduction and lateral rotation limitation of the shoulder in OBPP were treated with dissection of the origin of subscapular muscle, transfer of the tendons of latissimus dorsi and teres major muscle to the tendons of supraspinous and infraspinous muscles. Among them, there were 6 males and 5 females with a mean age of 6 years (1-15 years). The main clinical manifestations showed adduction, internal rotation contracture deformity of shoulder, limited active and passive external rotation and severely restricted active abduction of shoulder. The passive abduction was more than 90 degrees. According to Gilbert grading, there were 7 cases of grade 1 and 4 cases of grade 2. Based on Mallet score systems, the scores were 5 points in 3 cases, 6 points in 3 cases, and 7 points in 5 cases. The muscle strength of deltoid, supraspinatus, infraspinatus, teres major muscle and latissimus dorsi all reached 3-4 grades. One patient developed postoperative hematoma, wound healed after symptomatic management. Other patients achieved incision healing by first intention. All patients were followed up for 12 to 37 months (17 months on average). The active abduction and external rotation of the shoulder joints recovered obviously. The Gilbert grading were grade 2 in 1 case, grade 3 in 1 case, and grade 4 in 9 cases; the Mallet scores were 10 points in 1 case, 11 points in 2 cases, 12 points in 4 cases, 13 points in 3 cases, and 14 points in 1 case; showing significant differences when compared with those before operation (P < 0.01). The muscle strength of deltoid, supraspinatus, infraspinatus, teres major muscle and latissimus dorsi increased to 4-5 grades. The dissection of the origin of subscapular muscle, transfer of the tendons of latissimus dorsi and teres major muscle to the tendons of

  19. Effectiveness of prolotherapy in the treatment of chronic rotator cuff lesions.

    PubMed

    Seven, M M; Ersen, O; Akpancar, S; Ozkan, H; Turkkan, S; Yıldız, Y; Koca, K

    2017-05-01

    Rotator cuff lesions are one of the major causes of shoulder pain and dysfunction. Numerous non-surgical treatment modalities have been described for chronic rotator cuff lesions, but the debate continues over the optimal procedure. The aim of this report is to present the results of prolotherapy in the treatment of chronic refractory rotator cuff lesions. Dextrose prolotherapy will reduce pain and improve shoulder function and patient satisfaction. We recruited 120 patients with chronic rotator cuff lesions and symptoms that persisted for longer than 6 months. Patients were divided into two groups: one treated with exercise (control group; n=60) and the other treated with prolotherapy injection (prolotherapy group; n=60). In the latter, ultrasound-guided prolotherapy injections were applied under aseptic conditions. In the former, patients received a physiotherapy protocol three sessions weekly for 12 weeks. Both groups were instructed to carry out a home exercise program. Clinical assessment of shoulder function was performed using a visual analog scale (VAS) for pain, Shoulder Pain and Disability Index (SPADI), Western Ontario Rotatory Cuff (WORC) Index, patient satisfaction, and shoulder range of motion. Patients were examined at baseline, weeks 3, 6, and 12, and last follow-up (minimum of one year). A total of 101 patients (44 controls and 57 in the prolotherapy group) completed all study protocols and were included in the study. Using a within-group comparison, both groups achieved significant improvements over baseline, as measured by the VAS, SPADI, WORC index, and shoulder range of motion (P<0.001). Using a between-group comparison, a significant difference was found in the VAS scores at baseline, weeks 3, 6, and 12, and last follow-up. In addition, significant differences were found in the SPADIs and WORC indices at weeks 6 and 12 and the last follow-up. Significant differences were found in shoulder abduction and flexion at week 12 and last follow

  20. Electrocoagulation using a rotated anode: A novel reactor design for textile wastewater treatment.

    PubMed

    Naje, Ahmed Samir; Chelliapan, Shreeshivadasan; Zakaria, Zuriati; Abbas, Saad A

    2016-07-01

    This paper investigates the optimum operational conditions of a novel rotated bed electrocoagulation (EC) reactor for the treatment of textile wastewater. The effect of various operational parameters such as rotational speed, current density (CD), operational time (RT), pH, temperature, and inter-electrode distance (IED) on the pollutant removal efficiency were examined. In addition, the consumption of aluminum (Al) and electrical energy, as well as operating costs at optimum conditions were also calculated. The results indicated that the optimum conditions for the treatment of textile wastewater were achieved at CD = 4 mA/cm(2), RT = 10 min, rotational speed = 150 rpm, pH = 4.57, temperature = 25 °C, and IED = 1 cm. The electrode consumption, energy consumption, and operating costs were 0.038 kg/m(3), 4.66 kWh/m(3) and 0.44 US$/m(3), respectively. The removal efficiencies of chemical oxygen demand (COD), biological oxygen demand (BOD), total suspended solid (TSS), turbidity and color were 97.10%, 95.55%, 98%, 96% and 98.50%, respectively, at the first 10 min of reaction time, while the phenol compound of the wastewater was almost entirely removed (99.99%). The experimental results confirm that the new reactor design with rotated anode impellers and cathode rings provided high treatment efficiency at a reduced reaction time and with lower energy consumption. Copyright © 2016 Elsevier Ltd. All rights reserved.

  1. Incidence and treatment of postoperative stiffness following arthroscopic rotator cuff repair.

    PubMed

    Huberty, David P; Schoolfield, John D; Brady, Paul C; Vadala, Antonio P; Arrigoni, Paolo; Burkhart, Stephen S

    2009-08-01

    The purpose of this study was to determine the incidence of clinically significant postoperative stiffness following arthroscopic rotator cuff repair. This study also sought to determine the clinical and surgical factors that were associated with higher rates of postoperative stiffness. Finally, we analyzed the result of arthroscopic lysis of adhesions and capsular release for treatment of patients who developed refractory postoperative stiffness 4 to 19 months (median, 8 months) following arthroscopic rotator cuff repair. A retrospective review of a consecutive series of arthroscopic rotator cuff repairs was conducted. During a 3-year time period, the senior author (S.S.B.) performed 489 arthroscopic rotator cuff repairs. The operative indications, technique of the rotator cuff repair, and the rehabilitation protocol were essentially unchanged during this time period. Demographic data, comorbid medical conditions, rotator cuff tear description, technique of repair, and concomitant surgical procedures were evaluated for their effect on stiffness. All office evaluations were reviewed to determine the pre- and postoperative motion, pain scores, functional strength, and patient satisfaction. Patients who were dissatisfied because of the development of postoperative stiffness underwent secondary arthroscopic lysis of adhesions. The final result of the secondary lysis of adhesions and capsular release were analyzed. In total, 24 patients (4.9%) were dissatisfied with the result of their procedure because of the development of postoperative stiffness, which was more likely (P < .05) to develop in patients with Workers' Compensation insurance (8.6%), patients younger than 50 years of age (8.6%), those with a coexisting diagnosis of calcific tendonitis (16.7%) or adhesive capsulitis (15.0%) requiring additional postoperative therapy, partial articular-sided tendon avulsion (PASTA) type rotator cuff tear (13.5%), or concomitant labral repair (11.0%). Patients with

  2. [Outcome of operative treatment for supination-external rotation Lauge-Hansen stage IV ankle fractures].

    PubMed

    Kołodziej, Łukasz; Boczar, Tomasz; Bohatyrewicz, Andrzej; Zietek, Paweł

    2010-01-01

    Ankle fractures are among the most common musculoskeletal injures. These fractures occur with an overall age- and sex-adjusted incidence rate around 180 per 100 000 person-years. The most frequent mechanism is considered to be supination-external rotation (60 to 80% of all ankle fractures) consisting of pathologic external rotation of the foot initially placed in some degree of supination. According to Lauge-Hansen classification, ankle joint structures are damaged in a sequence where the final, stage IV injuries, represents transverse fracture of the medial malleolus or its equivalent-rupture of the deltoid ligament. The aim of this study is to compare the results of two subtypes of supination-external rotation stage IV fractures. 43 patients treated surgically in 2006 to 2007 at Authors institution because of stage IV supination-external rotation ankle fracture were submitted to retrospective analysis. There were 25 patients with bimalleolar fracture (type 1) and in 18 patients with lateral malleolar fracture with accompanying rupture of the deltoid ligament (type 2). The mean age was 46 years (from 20 to 82 years). Average follow up period was 37 months (from 24 to 46 months). For the evaluation of treatment AOFAS hind-foot score (American Orthopedic Foot and Ankle Society) was used. The mean AOFAS score scale for Type 1 fractures was 85 points and for type 2 was significantly higher and amounted to 91 points (p < 0.05). Supination-external rotation stage IV ankle fractures with medial malleolar fracture, requires the implementation of additional diagnostic and therapeutic strategies and procedures in order to improve the outcome of results.

  3. Arthroscopic treatment for pigmented villonodular synovitis of the shoulder associated with massive rotator cuff tear.

    PubMed

    Chiang, En-Rung; Ma, Hsiao-Li; Wang, Shih-Tien; Hung, Shih-Chieh; Chen, Tain-Hsiung

    2009-07-01

    Our purpose was to investigate arthroscopic treatment of patients diagnosed with pigmented villonodular synovitis (PVNS) of the shoulder and massive rotator cuff tear with the initial presentation of large, recurrent joint effusion. From December 2005 to June 2007, 5 patients (3 males and 2 females) diagnosed with PVNS of the shoulder and massive rotator cuff tear were treated with arthroscopic synovectomy, partial cuff repair, or debridement if the cuff was irreparable. All 5 patients were followed-up for a mean of 22.4 months (range, 12 to 33 months). Outcomes were measured with use of the American Shoulder and Elbow Surgeons (ASES) and University of California at Los Angeles (UCLA) scoring systems. Two patients received partial rotator cuff repair by suture anchors and another 2 received suture repairs only. All of the patients had residual tear with variable sizes. With a mean follow-up of 22.4 months (range, 12 to 33 months), the mean ASES and UCLA scores improved from preoperative values of 48.2 and 7.8 to 80.0 and 29.6 points, respectively (P < .05). All patients were satisfied with the procedure, and no signs of recurrence were noted during the follow-up period. Five cases of PVNS of the shoulder and massive rotator cuff tears with the initial symptoms of shoulder effusion and function limitation were reported. After arthroscopic synovectomy and partial rotator cuff repair or debridement, all patients gained symptomatic and limited functional improvement at an average follow-up of 22 months. Level IV, therapeutic case series.

  4. Arthroscopic treatment of chronic calcific tendinitis with complete removal and rotator cuff tendon repair.

    PubMed

    Yoo, Jae Chul; Park, Won Hah; Koh, Kyoung Hwan; Kim, Sang Min

    2010-12-01

    Relatively large calcific materials on radiographs of shoulders with persistent symptoms after extended periods of conservative treatment are candidates for operative treatment. But complete removal of calcific materials sometimes leaves a large defect in the rotator cuff tendon, and tendon repair might be essential if defects are large. We evaluated the clinical results of complete removal of calcific deposits with or without repair of the rotator cuff tendon in 35 consecutive patients. Eighteen patients underwent calcific material removal, which resulted in a complete tear in the rotator cuff tendon, and suture anchor repair. And the other 17 patients received either side-to-side repair or simple debridement. Clinical outcomes improved at a median 31 (range 24-45) months after surgery, and pain relief was achieved within 6 months of surgery in 30 of 35. However, ten patients developed a secondary stiff shoulder. Repair with or without suture anchor after complete removal of calcific material provides good clinical results and earlier pain relief when it was compared to previous literatures of minimal removal technique.

  5. Combined distal tibial rotational osteotomy and proximal growth plate modulation for treatment of infantile Blount's disease.

    PubMed

    Abdelgawad, Amr A

    2013-04-18

    Infantile Blount's disease is a condition that causes genu varum and internal tibial torsion. Treatment options include observation, orthotics, corrective osteotomy, elevation of the medial tibial plateau, resection of a physeal bar, lateral hemi-epiphysiodesis, and guided growth of the proximal tibial physis. Each of these treatment options has its disadvantages. Treating the coronal deformity alone (genu varum) will result in persistence of the internal tibial torsion (the axial deformity). In this report, we describe the combination of lateral growth modulation and distal tibial external rotation osteotomy to correct all the elements of the disease. This has not been described before for treatment of Blount's disease. Both coronal and axial deformities were corrected in this patient. We propose this combination (rather than the lateral growth modulation alone) as the method of treatment for early stages of Blount's disease as it corrects both elements of the disease and in the same time avoids the complications of proximal tibial osteotomy.

  6. Stromal vascular stem cell treatment decreases muscle fibrosis following chronic rotator cuff tear.

    PubMed

    Gumucio, Jonathan P; Flood, Michael D; Roche, Stuart M; Sugg, Kristoffer B; Momoh, Adeyiza O; Kosnik, Paul E; Bedi, Asheesh; Mendias, Christopher L

    2016-04-01

    Rotator cuff injuries are associated with atrophy and fat infiltration into the muscle, commonly referred to as "fatty degeneration." As the poor function of chronically torn muscles may limit recovery after surgical repair, there is considerable interest in finding therapies to enhance muscle regeneration. Stromal vascular fraction stem cells (SVFCs) can improve muscle regeneration in other chronic injury states, and our objective was to evaluate the ability of SVFCs to reduce fibrosis and fat accumulation, and enhance muscle fibre specific force production after chronic rotator cuff tear. Chronic supraspinatus tears were induced in adult immunodeficient rats, and repaired one month following tear. Rats received vehicle control, or injections of 3 × 10(5) or 3 × 10(6) human SVFCs into supraspinatus muscles. Two weeks following repair, we detected donor human DNA and protein in SVFC treated muscles. There was a 40 % reduction in fibrosis in the treated groups compared to controls (p = 0.03 for 3 × 10(5), p = 0.04 for 3 × 10(6)), and no differences between groups for lipid content or force production were observed. As there has been much interest in the use of stem cell-based therapies in musculoskeletal regenerative medicine, the reduction in fibrosis and trend towards an improvement in single fiber contractility suggest that SVFCs may be beneficial to enhance the treatment and recovery of patients with chronic rotator cuff tears.

  7. Two-stage double-level rotational osteotomy in the treatment of congenital radioulnar synostosis.

    PubMed

    El-Adl, Wael

    2007-12-01

    Congenital proximal radioulnar synostosis is a rare congenital anomaly that can be extremely disabling, especially when it occurs bilaterally or if there is severe hyperpronation. Currently, osteotomy to achieve a neutral or slightly pronated position is widely accepted for the management of patients who have severe pronation. The present study evaluates the result of two-stage double-level rotational osteotomy of both the radius and ulna in the treatment of severe congenital radioulnar synostosis. Nine children with severe congenital radioulnar synostosis underwent two-stage double-level rotational osteotomy of both the radius and ulna at Mansoura University Hospital. There were seven boys and two girls with a mean age of 5.6 years who were followed up for a mean of 26 months. The position of the forearm was improved from a mean pronation deformity of 76 degrees (60 degrees to 85 degrees) to 30 degrees of pronation in the affected dominant extremities and 20 degrees of supination in non-dominant extremities in all cases. Bony union was achieved by 5.9 weeks with no loss of correction. The advantages of this technique are that it is easy, safe, with absence of severe postoperative complications and requires a small surgical scar. A drawback of the technique is that the rotation correction depends only on a cast, so that a correction loss might occur if the plaster cast loosens.

  8. Reduced local perfusion after shock wave treatment of rotator cuff tendinopathy.

    PubMed

    Notarnicola, Angela; Moretti, Lorenzo; Tafuri, Silvio; Forcignanò, Maria; Pesce, Vito; Moretti, Biagio

    2011-03-01

    A marked neovascularity has been demonstrated in tendinopathies, due to the inflammatory-degenerative process. The aim of this study was to assess the effect of extracorporeal shock wave therapy (ESWT) on tissue perfusion in the treatment of tendinopathy. An observational clinical study was made of 30 patients undergoing ESWT for tendinopathy of the rotator cuff. A clinical improvement was obtained in 65.6% of patients at 2 and 6 months. This was associated with a statistically significant reduction in the oxygen tissue saturation, measured by oxymetry that was apparent already during treatment, as well as at subsequent follow-up visits. The reduced perfusion achieved with ESWT supports the hypothesis that this treatment can regulate the inflammatory process and offset increased vascularization, restoring physiologic tendon conditions. Copyright © 2011 World Federation for Ultrasound in Medicine & Biology. Published by Elsevier Inc. All rights reserved.

  9. A Photocatalytic Rotating Disc Reactor with TiO₂ Nanowire Arrays Deposited for Industrial Wastewater Treatment.

    PubMed

    Li, Fang; Szeto, Wai; Huang, Haibao; Li, Jiantao; Leung, Dennis Y C

    2017-02-22

    A photocatalytic rotating disc reactor (PRD-reactor) with TiO₂ nanowire arrays deposited on a thin Ti plate is fabricated and tested for industrial wastewater treatment. Results indicate that the PRD-reactor shows excellent decolorization capability when tested with methyl orange (>97.5%). Advanced oxidation processes (AOP), including photocatalytic oxidation and photolytic reaction, occurred during the processing. Efficiency of the AOP increases with reduction in light absorption pathlength, which enhanced the photocatalytic reaction, as well as by increasing oxygen exposure of the wastewater thin film due to the rotating disc design. It is found that, with a small dosage of hydrogen peroxide, the mineralization efficiency of industrial biodegraded wastewater can be enhanced, with a superior mineralization of >75% total organic carbon (TOC) removal. This is due to the fact that the TiO₂ photocatalysis and hydrogen peroxide processes generate powerful oxidants (hydroxyl radicals) that can strongly improve photocatalytic oxidation efficiency. Application of this industrial wastewater treatment system is benefited from the TiO₂ nanowire arrays, which can be fabricated by a mild solvothermal method at 80 °C and under atmospheric pressure. Similar morphologies and microstructures are found for the TiO₂ nanowire arrays deposited on a large metal Ti disc, which makes the wastewater treatment process more practical and economical.

  10. Tables of Optimal Allocations of Observations for Comparing Treatments with a Control.

    DTIC Science & Technology

    1981-01-01

    N1, N2 = N3 = 25. These calculations give an indication of the sensitivity of the 2 allocations and sample sizes to rather large changes in a0 and the... indicate large relative savings by optimal allocation over equal allocation.) 2 2 We now determine RE for the important special case a. = a (0 < i < P...One Degree of Freedom," Trabajos Estadistica , 16, 91-96. Krishnaiah, P.R. and Armitage, J.V. (1966), "Tables for Multivariate t-distri- bution

  11. Double-needle ultrasound-guided percutaneous treatment of rotator cuff calcific tendinitis: tips & tricks.

    PubMed

    Sconfienza, Luca Maria; Viganò, Sara; Martini, Chiara; Aliprandi, Alberto; Randelli, Pietro; Serafini, Giovanni; Sardanelli, Francesco

    2013-01-01

    Rotator cuff calcific tendinitis is a very common disease and may result in a very painful shoulder. Aetiology of this disease is still poorly understood. When symptoms are mild, this disease may be treated conservatively. Several treatment options have been proposed. Among them, ultrasound-guided procedures have been recently described. All procedures use one or two needles to inject a fluid, to dissolve calcium and to aspirate it. In the present article, we review some tips and tricks that may be useful to improve performance of an ultrasound-guided double-needle procedure.

  12. Septic bursitis after ultrasound-guided percutaneous treatment of rotator cuff calcific tendinopathy.

    PubMed

    Sconfienza, Luca Maria; Randelli, Filippo; Sdao, Silvana; Sardanelli, Francesco; Randelli, Pietro

    2014-08-01

    Calcific tendinopathy of the rotator cuff is a common condition. Ultrasound-guided percutaneous aspiration is one of several options to treat this condition. The main advantages of this procedure are short duration, good outcome, and low cost. Furthermore, only minor complications have been reported in the literature, namely, vagal reactions during the procedure and mild postprocedural pain. We report the first case of septic bursitis after ultrasound-guided percutaneous treatment of calcific tendinopathy. Although this is generally considered a very safe procedure, a risk of infection should be taken into account. Copyright © 2014 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.

  13. [Postoperative results after arthroscopic treatment of rotator cuff calcifying tendonitis, with or without associated glenohumeral exploration].

    PubMed

    Sirveaux, F; Gosselin, O; Roche, O; Turell, P; Molé, D

    2005-06-01

    Arthroscopic treatment of calcifying tendonitis usually includes a glenohumeral exploration first, followed by deposit removal via a bursal approach. The aim of this study was to analyze the relevance of a systematic glenohumeral exploration during arthroscopic treatment of calcified tendonitis of the rotator cuff. Sixty-four consecutive patients treated by arthroscopic removal of calcific deposits in the rotator cuff were studied retrospectively. All patients had had at least six months of medical treatment. The treatment involved a glenohumeral approach in 32 patients (group GH) and an isolated bursal approach in 32 (group B). Both groups were similar with regard to epidemiological data and deposit aspect. In all cases, the deposit was removed from the bursal side and the cuff was not sutured. Assessment included duration of pain after surgery, Constant score, and x-ray aspect at six months follow-up and the delay for return to work. In the GH group, degenerative changes were noted on the labrum in three cases and a partial tear of the supraspinatus in two. No lesions noted in the glenohumeral joint required specific treatment. Postoperatively, the average duration of pain was significantly higher in group GH than in group B (11 weeks versus 6 weeks, p < 0.05) with a significant latency in return-to-work (12 weeks versus 5 weeks, p < 0.05). At six months follow-up, there was no difference between the groups for Constant score and deposit disappearance. Systematic exploration of the glenohumeral joint is not relevant in the arthroscopic treatment of calcified tendonitis and has a negative effect. Considering these results and those previously published in the literature, we recommend using an isolated bursal approach for arthroscopic calcifying tendonitis removal.

  14. Quality and enhancement of bioactive phenolics in cv. Napoleon table grapes exposed to different postharvest gaseous treatments.

    PubMed

    Artés-Hernández, Francisco; Artés, Francisco; Tomás-Barberán, Francisco A

    2003-08-27

    Ten different gaseous treatments were evaluated for their efficacy in the keeping quality of cv. Napoleon table grapes during 38 days of storage at 0 degrees C followed by 6 days of shelf life at 15 degrees C in air. These storage methods included modified atmosphere packaging (MAP) with and without SO(2) or natural fungicides (hexanal and hexenal), two controlled atmospheres (CA), and intermittent and continuous applications of O(3). As a control, air atmosphere during cold storage was used. Most of the treatments applied kept the postharvest quality of the grapes, although the best results were obtained by the use of a MAP with 5 kPa of O(2) plus 15 kPa of CO(2) plus 80 kPa of N(2). The total anthocyanin content at harvest was 170 +/- 19 microg/g of fresh weight (fw) of grapes, which declined in most of the treatments applied and was reflected in the loss of red color. Peonidin 3-glucoside was detected at all sampling times as the major anthocyanin (always >50% from the total content). Treatments applied kept or decreased the total flavonol content from that measured at harvest (17 +/- 1.4 microg/g of fw of berries). However, an increase of up to 2-fold in total stilbenoid content after shelf life for CA and O(3) treatments was observed. At all sampling times for almost every treatment piceid concentration remained unaltered or slightly changed, whereas large increases were observed after shelf life for resveratrol (1.2 +/- 0.6 microg/g of fw of grapes sampled at harvest), even up to 3- and 4-fold for O(3)-treated grapes and 2-fold for CA-treated ones. Therefore, improved techniques for the keeping quality of cv. Napoleon table grapes during long-term storage seem to maintain or enhance their antioxidant compound content.

  15. Advanced Wastewater Treatment Engineering—Investigating Membrane Fouling in both Rotational and Static Membrane Bioreactor Systems Using Empirical Modelling

    PubMed Central

    Paul, Parneet; Jones, Franck Anderson

    2016-01-01

    Advanced wastewater treatment using membranes are popular environmental system processes since they allow reuse and recycling. However, fouling is a key limiting factor and so proprietary systems such as Avanti’s RPU-185 Flexidisks membrane bioreactor (MBR) use novel rotating membranes to assist in ameliorating it. In earlier research, this rotating process was studied by creating a simulation model based on first principles and traditional fouling mechanisms. In order to directly compare the potential benefits of this rotational system, this follow-up study was carried out using Avanti’s newly developed static (non-rotating) Flexidisks MBR system. The results from operating the static pilot unit were simulated and modelled using the rotational fouling model developed earlier however with rotational switching functions turned off and rotational parameters set to a static mode. The study concluded that a rotating MBR system could increase flux throughput when compared against a similar static system. It is thought that although the slowly rotating spindle induces a weak crossflow shear, it is still able to even out cake build up across the membrane surface, thus reducing the likelihood of localised critical flux being exceeded at the micro level and lessening the potential of rapid trans-membrane pressure increases at the macro level. PMID:26742053

  16. Advanced Wastewater Treatment Engineering-Investigating Membrane Fouling in both Rotational and Static Membrane Bioreactor Systems Using Empirical Modelling.

    PubMed

    Paul, Parneet; Jones, Franck Anderson

    2016-01-05

    Advanced wastewater treatment using membranes are popular environmental system processes since they allow reuse and recycling. However, fouling is a key limiting factor and so proprietary systems such as Avanti's RPU-185 Flexidisks membrane bioreactor (MBR) use novel rotating membranes to assist in ameliorating it. In earlier research, this rotating process was studied by creating a simulation model based on first principles and traditional fouling mechanisms. In order to directly compare the potential benefits of this rotational system, this follow-up study was carried out using Avanti's newly developed static (non-rotating) Flexidisks MBR system. The results from operating the static pilot unit were simulated and modelled using the rotational fouling model developed earlier however with rotational switching functions turned off and rotational parameters set to a static mode. The study concluded that a rotating MBR system could increase flux throughput when compared against a similar static system. It is thought that although the slowly rotating spindle induces a weak crossflow shear, it is still able to even out cake build up across the membrane surface, thus reducing the likelihood of localised critical flux being exceeded at the micro level and lessening the potential of rapid trans-membrane pressure increases at the macro level.

  17. Performance After Rotator Cuff Tear and Operative Treatment: A Case-Control Study of Major League Baseball Pitchers

    PubMed Central

    Namdari, Surena; Baldwin, Keith; Ahn, Albert; Huffman, G. Russell; Sennett, Brian J.

    2011-01-01

    Context: Little is known about pitching performance or lack of it among Major League Baseball (MLB) pitchers who undergo operative treatment of rotator cuff tears. Objective: To assess pitching performance outcomes in MLB players who needed operative treatment of rotator cuff tears and to compare performance in these athletes with that in a control group of MLB players. Design: Case-control study. Setting: Publicly available player profiles, press releases, and team injury reports. Patients or Other Participants: Thirty-three MLB pitchers with documented surgery to treat rotator cuff tears and 117 control pitchers who did not have documented rotator cuff tears were identified. Main Outcome Measure(s): Major League Baseball pitching attrition and performance variables. Results: Players who underwent rotator cuff surgery were no more likely not to play than control players. Performance variables of players who underwent surgery improved after surgery but never returned to baseline preoperative status. Players who needed rotator cuff surgery typically were more experienced and had better earned run averages than control players. Conclusions: Pitchers who had symptomatic rotator cuff tears that necessitated operative treatment tended to decline gradually in performance leading up to their operations and to improve gradually over the next 3 seasons. In contrast to what we expected, they did not have a greater attrition rate than their control counterparts; however, their performances did not return to preoperative levels over the course of the study. PMID:21669100

  18. Hypoxemia with air breathing periods in U.S. NAVY Treatment Table 6.

    PubMed

    Weaver, L K; Churchill, S K

    2006-01-01

    Air breathing is used to lessen hyperbaric oxygen (HBO2) toxicity. Hypoxemia could occur during hyperbaric air breathing in patients with lung dysfunction, although this has not been previously reported. We report two cases of hypoxemia during air breathing with two patients treated with the US Navy Table 6. Patient 1 was an 11-year-old male with cerebral gas embolism (during cardiac transplantation), patient 2 was a 66-year-old female with cerebral gas embolism from a central venous catheter accident. Both were mechanically ventilated. We monitored arterial blood gas (ABG) during therapy. In both patients, ABG measurements showed hypoxia during the first air breathing period at 1.9 atm abs (192.5 kPa). If patients require > or = 40% inspired oxygen before HBO2 therapy, oxygenation monitoring is advisable during air breathing periods, especially at lower chamber pressures (< or = 2.0 atm abs).

  19. Arthroscopic subacromial decompression in the treatment of full thickness rotator cuff tears: a 3- to 6-year follow-up.

    PubMed

    Zvijac, J E; Levy, H J; Lemak, L J

    1994-10-01

    Arthroscopic subacromial decompression has become an accepted treatment for patients with impingement syndrome; however, its use for full thickness rotator cuff tears continues to be controversial. The purpose of this study is to determine if the results of arthroscopic subacromial decompression alone for full thickness rotator cuff tears deteriorate at long-term follow-up. We reevaluated all 25 patients with full thickness rotator cuff tears who underwent arthroscopic subacromial decompression from our original study group. Based on the University of California at Los Angeles shoulder rating, 68% of patients were rated as excellent or good at the present mean follow-up of 45.8 months (range 36-72 months). This represents a significant decrease from our initial report of 84% satisfactory results at a mean follow-up of 24.6 months. There was a significant decrease in ratings with regard to pain and function; however, no significant deterioration was noted with regard to motion and strength. Two additional patients required open rotator cuff repair since the time of initial follow-up for a total of six. Large and massive rotator cuff tears fared worse over time as compared with small and moderate size tears. Although 1- to 3-year results of arthroscopic subacromial decompression and rotator cuff debridement were favorable, the long-term follow-up demonstrates deterioration of results. We therefore cannot support the use of decompression and debridement alone in the treatment of repairable full thickness rotator cuff tears.

  20. IAU Poles and Rotation Rates

    NASA Technical Reports Server (NTRS)

    Simon, J. L.

    1997-01-01

    Every three years the IAU/IAG/COSPAR Working Group on Cartographic Coordinates and Rotational Elements of the Planets and Satellites revises tables giving the directions of the north poles rotation and the prime meridians of the planets, satellites, and asteriods and also tables of their sizes and shapes.

  1. MRI-compatible transurethral ultrasound system for the treatment of localized prostate cancer using rotational control.

    PubMed

    Chopra, Rajiv; Baker, Nicole; Choy, Vanessa; Boyes, Aaron; Tang, Kee; Bradwell, David; Bronskill, Michael J

    2008-04-01

    Magnetic resonance imaging (MRI)-guided transurethral ultrasound therapy is a potential minimally invasive treatment for localized prostate cancer offering precise targeting of tissue within the gland, short treatment times, and the capability to quantify the spatial heating pattern delivered during therapy. A significant challenge in MRI-guided ultrasound therapy is the design and construction of MRI-compatible equipment capable of operation in a closed-bore MR imager. We describe a prototype system developed for MRI-guided transurethral ultrasound therapy and characterize the performance of the different components including the heating applicator design, rotational motor, and radio frequency electronics. The ultrasound heating applicator described in this study incorporates a planar transducer and is capable of producing high intensity ultrasound energy in a localized region of tissue. Results demonstrated that the heating applicator exhibits excellent MRI-compatibility, enabling precise MR temperature measurements to be acquired as close as 6 mm from the device. Simultaneous imaging and rotational motion was also possible during treatment using a motor based on piezoelectric actuators. Heating experiments performed in both phantoms and in a canine model with the prototype system verified the capability to perform simultaneous MR imaging and therapy delivery with this system. Real-time control over therapy using MR temperature measurements acquired during heating can be implemented to achieve precise patterns of thermal damage within the prostate gland. The technical feasibility of using the system developed in this study for MRI-guided transurethral ultrasound therapy in a closed-bore MR imager has been demonstrated.

  2. Extracorporeal shock wave therapy in the treatment of calcific tendinitis of the rotator cuff.

    PubMed

    Sabeti-Aschraf, Manuel; Dorotka, Ronald; Goll, Alexandra; Trieb, Klemens

    2005-09-01

    Low-energy extracorporeal shock wave therapy is an alternative treatment, with limited evidence for effectiveness, for calcific tendinitis of the rotator cuff. Objective localization of the calcium deposit by 3-dimensional, computer-assisted navigation reveals superior clinical and radiographic outcomes compared to localization through patient-to-therapist feedback. Randomized controlled clinical trial; Level of evidence, 1. A prospective, randomized, single-blind study was carried out on 50 patients. The population was divided into 2 groups of equal numbers (navigation group and feedback group). In all patients, treatment-resistant pain was evident for longer than 6 months. A total of 3 therapy sessions of constant low-energy focused shock wave therapy was administered in weekly intervals in both groups. Local anesthesia was not applied. Radiographs and clinical assessment, including the Constant and Murley shoulder scoring system and the visual analog scale for pain, were performed both before therapy and after 12 weeks. In the navigation group, the calcium deposit was localized using a radiographically guided, 3-dimensional, computer-assisted device. The feedback group was treated after locating the point of maximum tenderness through palpation by the therapist with feedback from the patient. Both groups had significant improvements in the Constant and Murley score and the visual analog scale after 12 weeks. The results from the navigation group were statistically significantly superior to those of the feedback group. In the navigation group, 6 calcium deposits disappeared and 9 altered, compared to 1 disappearance and 12 alterations in the feedback group. No severe complications occurred. Three-dimensional, computer-assisted navigation reveals significantly better results and is therefore recommended when extracorporeal shock wave therapy is used in the treatment of calcific tendinitis of the rotator cuff.

  3. Kinetics of the biodegradation of green table olive wastewaters by aerobic and anaerobic treatments.

    PubMed

    Beltran, J; Gonzalez, T; Garcia, J

    2008-06-15

    The biodegradation of the organic pollutant matter present in green table olive wastewater (GTOW) is studied in batch reactors by an aerobic biodegradation and by an anaerobic digestion. In the aerobic biodegradation, the evolution of the substrate (in terms of chemical and biochemical oxygen demand), biomass, and total polyphenolic compounds present in the wastewater are followed during the process, and a kinetic study is performed using Contois' model, which when applied to the experimental results provides the kinetic parameter of this model, resulting in a modified Contois' equation (q=3.3S/(0.31S(0)X+X), gCOD/gVSS d(-1)). Other kinetic parameters were determined: the cellular yield coefficient (YX/S=5.7x10(-2) gVSS/gCOD) and the kinetic constant of cellular death phase (kd=0.16 d(-1)). Similarly, in the anaerobic digestion, the evolution of the substrate digested and the methane produced are followed, and the kinetic study is conducted using a modified Monod model combined with the Levenspiel model, due to the presence of inhibition effects. This model leads to the determination of the kinetic parameters: kinetic constant when no inhibitory substance is present (kM0=8.4x10(-2) h(-1)), critical substrate concentration of inhibition (TP*=0.34 g/L) and inhibitory parameter (n=2.25).

  4. TU-CD-304-01: FEATURED PRESENTATION and BEST IN PHYSICS (THERAPY): Trajectory Modulated Arc Therapy: Development of Novel Arc Delivery Techniques Integrating Dynamic Table Motion for Extended Volume Treatments

    SciTech Connect

    Chin, E; Hoppe, R; Million, L; Loo, B; Koong, A; Xing, L; Hsu, A; Fahimian, B; Otto, K

    2015-06-15

    Purpose: Integration of coordinated robotic table motion with inversely-planned arc delivery has the potential to resolve table-top delivery limitations of large-field treatments such as Total Body Irradiation (TBI), Total Lymphoid Irradiation (TLI), and Cranial-Spinal Irradiation (CSI). We formulate the foundation for Trajectory Modulated Arc Therapy (TMAT), and using Varian Developer Mode capabilities, experimentally investigate its practical implementation for such techniques. Methods: A MATLAB algorithm was developed for inverse planning optimization of the table motion, MLC positions, and gantry motion under extended-SSD geometry. To maximize the effective field size, delivery trajectories for TMAT TBI were formed with the table rotated at 270° IEC and dropped vertically to 152.5cm SSD. Preliminary testing of algorithm parameters was done through retrospective planning analysis. Robotic delivery was programmed using custom XML scripting on the TrueBeam Developer Mode platform. Final dose was calculated using the Eclipse AAA algorithm. Initial verification of delivery accuracy was measured using OSLDs on a solid water phantom of varying thickness. Results: A comparison of DVH curves demonstrated that dynamic couch motion irradiation was sufficiently approximated by static control points spaced in intervals of less than 2cm. Optimized MLC motion decreased the average lung dose to 68.5% of the prescription dose. The programmed irradiation integrating coordinated table motion was deliverable on a TrueBeam STx linac in 6.7 min. With the couch translating under an open 10cmx20cm field angled at 10°, OSLD measurements along the midline of a solid water phantom at depths of 3, 5, and 9cm were within 3% of the TPS AAA algorithm with an average deviation of 1.2%. Conclusion: A treatment planning and delivery system for Trajectory Modulated Arc Therapy of extended volumes has been established and experimentally demonstrated for TBI. Extension to other treatment

  5. Cicatricial ectropion due to essential skin shrinkage: treatment with rotational upper-lid pedicle flaps.

    PubMed

    Hurwitz, J J; Lichter, M; Rodgers, J

    1983-10-01

    Ectropion is sometimes due to a shortage of skin of the lower lid (cicatricial) and may result from previous surgery, trauma, burns, skin diseases etc. Excessive exposure to the sun has also been incriminated. Vertical traction lines in the skin of the lower lid, accentuated by gazing up or by opening the mouth, suggest this condition. This paper describes the use of pedicle skin flaps rotated from the upper lid to treat cicatricial ectropion occurring in the absence of any predisposing factor and not responding to conservative treatment--that is, due to essential skin shrinkage. All 10 patients had an improved appearance, and epiphora persisted in only 1 patient, who subsequently underwent a punctum-enlarging procedure. In an 11th patient there was insufficient redundant upper-lid skin, so a free skin graft was used instead.

  6. Influence of number of dental autoclave treatment cycles on rotational performance of commercially available air-turbine handpieces.

    PubMed

    Nagai, Masahiro; Takakuda, Kazuo

    2006-06-01

    The influence of number of autoclave treatment cycles (N) on rotational speed and total indicated run-out of commercially available air-turbine handpieces from five manufacturers was investigated at N=0, 50, 100, 150, 200, 250 and 300 cycles, and the significance in the test results was assessed by Dunnett's multiple comparison test. Some air-turbine handpieces showed the significant differences in rotational speed at N=300 cycles, however, the decreases of the rotational speeds were only 1 to 3.5 percent. Some air-turbine handpieces showed the significant differences in total indicated run-out, however, the respective values were smaller than that at N=0 cycle. Accordingly, it can be considered that the ball bearing in the air-turbine handpieces is not affected significantly by autoclave. To further evaluate rotational performance, this study focused on the rotational vibration of the ball bearing components of the air-turbine, as measured by Fast Fourier Transform (FFT) analysis; the power spectra of frequency of the ball's revolution, frequency of the cage's rotation and frequency of the ball's rotation were comparatively investigated at N=0, 150 and 300 cycles, and the influence of autoclave was evaluated qualitatively. No abnormalities in the ball bearings were recognized.

  7. The use of the rotating electromagnetic field for hardening treatment of details

    NASA Astrophysics Data System (ADS)

    Lebedev, V. A.; Kochubey, A. A.; Kiricheck, A. V.

    2017-02-01

    The article discusses energy aspects of details’ hardening with convective flows of freely moving indenters under the conditions of the rotating electromagnetic field. Results of theoretical studies of the kinetics of the movement of the ferromagnetic indenters are presented and the energy model of the state of the rotating magnetic liquefied layer is proposed, formed under the influence of the rotating electromagnetic field.

  8. Rod rotation and differential rod contouring followed by direct vertebral rotation for treatment of adolescent idiopathic scoliosis: effect on thoracic and thoracolumbar or lumbar curves assessed with intraoperative computed tomography.

    PubMed

    Seki, Shoji; Kawaguchi, Yoshiharu; Nakano, Masato; Makino, Hiroto; Mine, Hayato; Kimura, Tomoatsu

    2016-03-01

    Although direct vertebral rotation (DVR) is now used worldwide for the surgical treatment of adolescent idiopathic scoliosis (AIS), the benefit of DVR in reducing vertebral body rotation in these patients has not been determined. We investigated a possible additive effect of DVR on further reduction of vertebral body rotation in the axial plane following intraoperative rod rotation or differential rod contouring in patients undergoing surgical treatment for AIS. The study was a prospective computed tomography (CT) image analysis. We analyzed the results of the two intraoperative procedures in 30 consecutive patients undergoing surgery for AIS (Lenke type I or II: 15; Lenke type V: 15). The angle of reduction of vertebral body rotation taken by intraoperative CT scan was measured and analyzed. Pre- and postoperative responses to the Scoliosis Research Society 22 Questionnaire (SRS-22) were also analyzed. To analyze the reduction of vertebral body rotation with rod rotation or DVR, intraoperative cone-beam CT scans of the three apical vertebrae of the major curve of the scoliosis (90 vertebrae) were taken pre-rod rotation (baseline), post-rod rotation with differential rod contouring, and post-DVR in all patients. The angle of vertebral body rotation in these apical vertebrae was measured and analyzed for statistical significance. Additionally, differences between thoracic curve scoliosis (Lenke type I or II; 45 vertebrae) and thoracolumbar or lumbar curve scoliosis (Lenke type V; 45 vertebrae) were analyzed. Pre- and postoperative SRS-22 scores were evaluated in all patients. The mean (90 vertebrae) vertebral body rotation angles at baseline, post-rod rotation or differential rod contouring, and post-rod rotation or differential rod contouring or post-DVR were 17.3°, 11.1°, and 6.9°, respectively. The mean reduction in vertebral body rotation with the rod rotation technique was 6.8° for thoracic curves and 5.7° for thoracolumbar or lumbar curves (p<.00005). The

  9. [EFFECTIVENESS OF UC ULTRA-CONGRUENT ROTATING PLATFORM PROSTHESIS IN TREATMENT OF KNEE OSTEOARTHRITIS].

    PubMed

    Huo, Shaochuan; Wang, Haibin; Zhou, Chi; Chen, Qunqun; Dong, Lujue; Tang, Hongyu; Guo, Cheng; Chen, Jianfa; Liu, Yong

    2015-11-01

    To explore the effectiveness of UC ultra-congruent rotating platform prosthesis in the treatment of knee osteoarthritis by comparing with fixed-bearing implant. The clinical data were retrospectively analyzed, from 98 patients (98 knees) with knee osteoarthritis undergoing primary total knee arthroplasty between January 2011 and December 2012. The UC ultra-congruent rotating platform prosthesis was used in 56 cases (mobile-bearing group) and fixed-bearing implant was used in 42 cases (fixed-bearing group). There was no significant difference in gender, age, side, weight, disease duration, grading of arthritis, the number of varus and valgus malformation, preoperative range of motion of the knee, the Knee Society Score (KSS) score, the visual analogue scale (VAS) score, femorotibial angle, tibial angle, and articular surface angle between 2 groups (P > 0.05). The operation time (including anesthetic time), intraoperative blood loss, hospitalization time, total hospitalization expenses, postoperative range of motion of the knee, the KSS score, and the VAS score were compared. The femorotibial angle, tibial angle, and articular surface angle were measured on the basis of anteroposterior and lateral X-ray films, and prosthesis loosening was observed. There was no significant difference in the operation time, intraoperative blood loss, and hospitalization time between 2 groups (P > 0.05), while the total hospitalization expenses of fixed-bearing group were significantly lower than those of the mobile-bearing group (t = 8.506, P = 0.000). The patients were followed up 16-30 months in the mobile-bearing group, and for 16-38 months in the fixed-bearing group. Postoperative complications occurred in 3 cases (7.14%) of the fixed-bearing group (1 case of fat liquefaction of incision, 1 case of joint stiff, and 1 case of anterior knee pain), and in 3 cases (5.36%) of the mobile-bearing group (1 case of delayed wound healing, and 2 cases of anterior knee pain); there was no

  10. Infrared photoconversion of rotational isomers: Theoretical treatment and isometric group selection rules

    NASA Astrophysics Data System (ADS)

    Günthard, H. H.

    1989-10-01

    A treatment of the dynamical problem of molecules featuring both infinitesimal internal modes ("vibrations") and finite internal modes (e.g., internal rotations) is presented, which might serve as a theoretical basis of the interconversion by infrared radiation of conformers of molecules isolated in matrices. Basing on definitions for nuclear configurations of semirigid and quasi semirigid molecular models (SRMs and QSRMs) and the isometric groups associated with these models the internal classical kinetic and potential energy functions for systems characterized by inf infinitesimal and fin finite internal coordinates are formulated to various degrees of approximation. By the use of the isometric group X(gx) and procedures for construction of symmetrized infinitesimal internal coordinates derived in a foregoing paper a number of general Wigner-Eckart type theorems for subblocks of the kinetic and potential energy matrix are proven. For SRMs whose covering group X(ξ) is nontrivial, it is shown that the dynamical problem to lowest order decomposes into two problems which belong to engendered and nonengendered irreducible representations of X(ξ) respectively. Subjecting the symmetrized infinitesimal coordinates to Mathieu transformations the classical energy function is transformed to a standard form which resembles closely that commonly used for quasi rigid molecules (QRMs) and which can be transcribed into the quantum mechanical energy operator in a straightforward way. The energy eigenvalue problem for general QSRMs is discussed in terms of a solution by diagonalization of (truncated) infinite matrices. All matrix elements of the energy operator to lowest order will be calculated; their dependence on isometric symmetry closely parallels that of the classical system, in particular decomposition into parts belonging to engendered and nonengendered irreducible representations is the dominant structural aspect of the quantum mechanical treatment. This decomposition

  11. Return to Sports After Arthroscopic Treatment of Rotator Cuff Calcifications in Athletes

    PubMed Central

    Ranalletta, Maximiliano; Rossi, Luciano A.; Sirio, Adrian; Bruchmann, Guillermina; Maignon, Gastón D.; Bongiovanni, Santiago L.

    2016-01-01

    Background: Arthroscopic treatment of calcific deposits of rotator cuff tears has been described with successful results in the general population. However, despite the high frequency of this condition, there is no information in the literature regarding arthroscopic treatment of rotator cuff calcifications in athletes. Purpose: To analyze the time to return to sport, clinical outcomes, and complications of complete arthroscopic removal of intratendinous calcific deposits and repair of the tendon lesion without acromioplasty in athletes. Study Design: Case series; Level of evidence, 4. Methods: This study retrospectively evaluated 24 consecutive patients with a mean age of 36.2 years. The mean follow-up was 59 months (range, 24-108 months). Patients completed a questionnaire focused on the time to return to sport and treatment course. Pre- and postoperative functional assessment was performed using the Constant score and University of California Los Angeles (UCLA) score. Pain was assessed by visual analog scale (VAS). Radiographs and magnetic resonance imaging (MRI) were performed to evaluate the recurrence of calcifications and the indemnity of the supraspinatus tendon repair. Results: Of the 24 patients, 23 (95.8%) were able to return to sports; 91.3% returned to the same level. The mean time to return to play was 5.3 months (range, 3-9 months): 26% of patients (6/23) returned to sports in less than 4 months, 61% (14/24) returned between 4 and 6 months, and 13% (3/24) returned after the sixth month. The mean Constant score increased from 26.9 preoperatively to 89.7 postoperatively (P < .001), and the UCLA score increased from 17.3 preoperatively to 33.2 postoperatively (P < .001). Significant improvement was obtained for pain (mean VAS, 8.4 [before surgery] vs 0.6 [after]; P < .001). The overall majority (91.6%) of patients were satisfied with their result. MRI examination at last follow-up (79% of patients) showed no tendon tears. Conclusion: In athletes with

  12. f- and r-modes of slowly rotating stars: New results in the linear treatment

    NASA Astrophysics Data System (ADS)

    Chirenti, C.; Skákala, J.; Yoshida, S.

    2014-09-01

    Newly born neutron stars can present differential rotation, even if later it should be suppressed by viscosity or a sufficiently strong magnetic field. In this early stage of its life, a neutron star is expected to have a strong emission of gravitational waves, which could be influenced by the differential rotation. We present here a new formalism for modelling differentially rotating neutron stars, working on the slow rotation approximation and assuming a small degree of differential rotation. After we establish our equilibrium model, we explore the influence of the differential rotation on the f and r-modes of oscillation of the neutron star in the Cowling approximation, and we also analyze an effect of the differential rotation on the emission of gravitational radiation from the f-modes. Based on results presented in Chirenti, C., Skákala, J., & Yoshida, S. 2013, Phys. Rev.D, 87, 044043.

  13. Rotation of the corpora cavernosa for the treatment of congenital penile curvature.

    PubMed

    Molina-Escudero, R; Crespo-Martínez, L; Dorado-Valentín, M; Rodríguez-Sánchez, L; Páez-Borda, Á

    2015-06-01

    Congenital penile curvature (CPC) is caused by a disorder in the embryonic development of the urethra and corpora cavernosa. The condition causes difficulty for penetration, requiring surgical correction when it prevents intercourse. We present the cases of 2 men in their 40s who had ventral curvature greater than 60° of 2 years of evolution, with maintained erections. The patients underwent surgery for rotation of the corpora cavernosa. After the complete denudation of the penis, athermal release of the neurovascular bundle of the penis from the ventral side to the dorsal was performed. Once the curvature was verified using artificial erection, an incision was performed in the tunica albuginea of both corpora cavernosa, continuously suturing both internal and external margins with resorbable monofilament. The rectification of the curvature was then checked, and the mucocutaneous plane was reconstructed. The surgical time was 120minutes and there were no intraoperative complications. Both patients were discharged 24h after the surgery. At 1 week, the patients experienced spontaneous night-time erections and were able to maintain sexual relations 1 month after the surgery. At 6 months, the residual curvature was less than 20°, the penile shortening was less than 1 centimeter and the International Index of Erectile Function-5 was 25 for both cases. Surgery for rotation of the corpora cavernosa helps correct CPC without significant penile shortening or erectile dysfunction. In our opinion, the procedure is an appropriate treatment for patients with CPC but requires studies with long-term follow-up in order to consider it the technique of choice. Copyright © 2014 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

  14. The assessment of the coke wastewater treatment efficacy in rotating biological contractor.

    PubMed

    Cema, G; Żabczyński, S; Ziembińska-Buczyńska, A

    2016-01-01

    Coke wastewater is known to be relatively difficult for biological treatment. Nonetheless, biofilm-based systems seem to be promising tool for such treatment. That is why a rotating biological contactor (RBC) system focused on the Anammox process was used in this study. The experiment was divided into two parts with synthetic and then real wastewater. It was proven that it is possible to treat coke wastewater with RBC but such a procedure requires a very long start-up period for the nitritation (190 days), as well as for the Anammox process, where stable nitrogen removal over 70% was achieved after 400 days of experiment. Interestingly, it was possible at a relatively low (20.2 ± 2.2 °C) temperature. The polymerase chain reaction-denaturing gradient gel electrophoresis (PCR-DGGE) based monitoring of the bacterial community showed that its biodiversity decreased when the real wastewater was treated and it was composed mainly of GC-rich genotypes, probably because of the modeling influence of this wastewater and the genotypes specialization.

  15. A prospective randomized controlled trial comparing occupational therapy with home-based exercises in conservative treatment of rotator cuff tears.

    PubMed

    Krischak, Gert; Gebhard, Florian; Reichel, Heiko; Friemert, Benedikt; Schneider, Florian; Fisser, Christoph; Kaluscha, Rainer; Kraus, Michael

    2013-09-01

    This pilot study evaluates the outcome after occupational therapy, compared to home-based exercises in the conservative treatment of patients with full thickness rotator cuff tears. Forty-three adult subjects (range, 18-75 years), who had a full thickness rupture of the rotator cuff which was verified by magnetic imaging tomography, with clinical signs of a chronic rotator cuff impingement, and who were available for follow-up, were randomized to occupational therapy or to independent home-based exercises using a booklet. After drop-out, 38 patients were available for full examination at follow-up. Before therapy and after 2 months of conservative treatment, pain intensity, the Constant-Murley score, isokinetic strength testing in abduction and external rotation, functional limitation, clinical shoulder tests and health-related quality of life (EQ-5D) were evaluated. Two-thirds of the patients improved in clinical shoulder tests, regardless of the therapy group. There were no significant differences between the groups with reference to pain, range of motion, maximum peak force (abduction, external rotation), the Constant-Murley score, and the EQ-5D index. The only significant difference observed was the improvement in the self-assessed health- related quality of life (EQ-5D VAS) favoring home-based exercises. Home-based exercise, on the basis of an illustrated booklet with exercises twice a day, supplies comparable results to formal occupational therapy in the conservative treatment of rotator cuff tears. The results of this pilot study suggest some potential advantages related to psychological benefits using home-based treatment. Copyright © 2013 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved.

  16. Long-term treatment of rheumatoid arthritis with sulphasalazine, gold, or penicillamine: a comparison using life-table methods.

    PubMed Central

    Situnayake, R D; Grindulis, K A; McConkey, B

    1987-01-01

    Life-table analysis was applied to the records of 317 patients with rheumatoid arthritis (RA) treated with sulphasalazine (SAS), 201 treated with sodium aurothiomalate (gold), and 163 with penicillamine. They comprised all those treated in our department with these drugs between January 1973 and July 1984. Risks of treatment termination for all reasons were similar for each drug at five years (gold 92%, penicillamine 83%, SAS 81%). The risk of treatment termination due to inefficacy was less for gold (29.5%) than for penicillamine (38.1%) or sulphasalazine (41.2%). Adverse effects, however, led to withdrawal of gold in 57%, penicillamine in 41.2%, and SAS in 37%; the most effective drugs appeared most toxic. Serious adverse effects were much more common in association with gold (17.4%) and penicillamine (12.3%) than with SAS (1.6%). Sulphasalazine appears as well tolerated over long periods in RA as gold or penicillamine and is associated with fewer serious adverse effects; of these drugs, it might therefore be considered the agent of first choice. PMID:2883939

  17. Cortical activation during mental rotation in male-to-female and female-to-male transsexuals under hormonal treatment.

    PubMed

    Carrillo, Beatriz; Gómez-Gil, Esther; Rametti, Giuseppina; Junque, Carme; Gomez, Angel; Karadi, Kazmer; Segovia, Santiago; Guillamon, Antonio

    2010-09-01

    There is strong evidence of sex differences in mental rotation tasks. Transsexualism is an extreme gender identity disorder in which individuals seek cross-gender treatment to change their sex. The aim of our study was to investigate if male-to-female (MF) and female-to-male (FM) transsexuals receiving cross-sex hormonal treatment have different patterns of cortical activation during a three-dimensional (3D) mental rotation task. An fMRI study was performed using a 3-T scan in a sample of 18 MF and 19 FM under chronic cross-sex hormonal treatment. Twenty-three males and 19 females served as controls. The general pattern of cerebral activation seen while visualizing the rotated and non-rotated figures was similar for all four groups showing strong occipito-parieto-frontal brain activation. However, compared to control males, the activation of MF transsexuals during the task was lower in the superior parietal lobe. Compared to control females, MF transsexuals showed higher activation in orbital and right dorsolateral prefrontal regions and lower activation in the left prefrontal gyrus. FM transsexuals did not differ from either the MF transsexual or control groups. Regression analyses between cerebral activation and the number of months of hormonal treatment showed a significant negative correlation in parietal, occipital and temporal regions in the MF transsexuals. No significant correlations with time were seen in the FM transsexuals. In conclusion, although we did not find a specific pattern of cerebral activation in the FM transsexuals, we have identified a specific pattern of cerebral activation during a mental 3D rotation task in MF transsexuals under cross-sex hormonal treatment that differed from control males in the parietal region and from control females in the orbital prefrontal region. The hypoactivation in MF transsexuals in the parietal region could be due to the hormonal treatment or could reflect a priori cerebral differences between MF transsexual

  18. [External rotation osteotomy of the humerus for the treatment of shoulder problems secondary to obstetric brachial plexus palsy].

    PubMed

    Akinci, Metin; Ay, Sadan; Kamiloğlu, Sinan; Erçetin, Omer

    2005-01-01

    We evaluated the results of external rotation osteotomy of the humerus for the treatment of shoulder problems secondary to obstetric brachial plexus palsy. Forty children (24 boys, 16 girls; mean age 7.5 years; range 23 months to 14.8 years) underwent external rotation osteotomy of the humerus. Involvement was at the C5-6 roots in 11 patients, C5-6-7 roots in 19 patients, and at all the roots in 10 patients. Twenty-six patients had humeral head deformity and eight patients had posterior subluxation. The shoulder was ankylosed in one patient. Zancolli and Putti signs were positive in six and eight patients, respectively. The mean active shoulder abduction was 80 degrees (range 0 to 170 degrees ) and the mean internal rotation contracture was 27 degrees (range 10 degrees to 50 degrees ). Fourteen patients, all of whom were beyond five years of age, had an abduction contracture. Preoperative and postoperative functional evaluations were made with the use of the Mallet scale. Preoperatively, 35 shoulders had a score of II, five had a score of III. Osteotomies were performed in the proximal humerus in patients older than five years and in the mid-humerus in those without a contracture or younger than five years. The mean postoperative shoulder abduction was 95.7 degrees (range 30 degrees to 170 degrees ). Internal rotation contractures improved in all the patients. Abduction contractures did not resolve in two patients in whom a mid-humeral osteotomy was performed. Postoperative Mallet scores ranged from II to V in five, six, 15, and 14 shoulders, respectively. Rotation provided by the osteotomy was lost in one patient because of a humerus fracture that occurred in a traffic accident. Passive total shoulder rotation remained unchanged following surgery. Patients having better preoperative range of motion and who were at younger ages benefited the most from surgical treatment. External rotation osteotomy of the humerus must be performed at early ages before the shoulder

  19. 40 CFR Table 17 to Subpart G of... - Information for Treatment Processes To Be Submitted With Notification of Compliance Status a,b

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 9 2010-07-01 2010-07-01 false Information for Treatment Processes To Be Submitted With Notification of Compliance Status a,b 17 Table 17 to Subpart G of Part 63 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS...

  20. Rotational path removable partial denture (RPD): conservative esthetic treatment option for the edentulous mandibular anterior region: a case report.

    PubMed

    Suh, Jennifer S; Billy, Edward J

    2008-01-01

    It can be esthetically and financially daunting for patients to lose teeth in an anterior region of the mouth. For these patients, traditional treatment options presented in the past have included fixed partial denture, implants, and conventional removable partial denture (RPD). For patients faced with financial, anatomical, and/or esthetic limitations, the edentulous region can be restored successfully with a rotational path RPD. Rotational path RPD designs have often been overlooked by the dental profession due to its complex concepts involving the prosthetic design and sensitive laboratory techniques. With better understanding of the concepts and design, the dental clinician can deliver the highest esthetic outcome in compromised areas in which other treatment options may often face limitations. This paper reviews the method used to esthetically design and plan a posterior-anterior rotational path RPD in an edentulous mandibular anterior region for a patient missing the mandibular incisors. Due to inadequate understanding of the mechanics of rotational path RPDs, many clinicians have not adapted the application of this advantageous prosthesis. When correctly designed and fabricated, the rotational path RPD provides improved esthetics, cleanliness, and retention for patients who may not be suitable candidates for implants or fixed partial dentures in tooth-supported edentulous regions.

  1. Rotating algal biofilm reactor and spool harvester for wastewater treatment with biofuels by-products.

    PubMed

    Christenson, Logan B; Sims, Ronald C

    2012-07-01

    Maximizing algae production in a wastewater treatment process can aid in the reduction of soluble nitrogen and phosphorus concentrations in the wastewater. If harvested, the algae-based biomass offers the added benefit as feedstock for the production of biofuels and bioproducts. However, difficulties in harvesting, concentrating, and dewatering the algae-based biomass have limited the development of an economically feasible treatment and production process. When algae-based biomass is grown as a surface attached biofilm as opposed to a suspended culture, the biomass is naturally concentrated and more easily harvested. This can lead to less expensive removal of the biomass from wastewater, and less expensive downstream processing in the production of biofuels and bioproducts. In this study, a novel rotating algal biofilm reactor (RABR) was designed, built, and tested at bench (8 L), medium (535 L), and pilot (8,000 L) scales. The RABR was designed to operate in the photoautotrophic conditions of open tertiary wastewater treatment, producing mixed culture biofilms made up of algae and bacteria. Growth substrata were evaluated for attachment and biofilm formation, and an effective substratum was discovered. The RABR achieved effective nutrient reduction, with average removal rates of 2.1 and 14.1 g m(-2) day(-1) for total dissolved phosphorus and total dissolved nitrogen, respectively. Biomass production ranged from 5.5 g m(-2) day(-1) at bench scale to as high as 31 g m(-2) day(-1) at pilot scale. An efficient spool harvesting technique was also developed at bench and medium scales to obtain a concentrated product (12-16% solids) suitable for further processing in the production of biofuels and bioproducts.

  2. Usefulness of rehabilitation in patients with rotator cuff calcific tendinopathy after ultrasound-guided percutaneous treatment.

    PubMed

    Abate, Michele; Schiavone, Cosima; Salini, Vincenzo

    2015-01-01

    To evaluate the efficacy of a specific rehabilitation program for patients in whom ultrasound-guided percutaneous treatment (UGPT) was performed for rotator cuff calcific tendinopathy (RCCT). In this prospective observational study, 86 patients (22 males and 64 females) with shoulder calcific tendinopathy treated with UGPT were enrolled. At the end of the procedure, a corticosteroid injection into the subacromial-subdeltoid bursa was performed. The patients were then asked to follow a specific rehabilitation protocol (2 times/week for 5 weeks) that focused on mobility, strength and function. At baseline and after 6 weeks, clinical parameters, visual analog scale (VAS) and Constant-Murley scale (CMS) scores and ultrasound (US) features were collected. The mean age of the patients was 48.9 ± 8.4 years and their mean BMI was 22.7 ± 2.1. Considering the whole cohort, the treatment was effective, with a significant decrease in the VAS score and an improvement in the CMS score. Thereafter, on the basis of the compliance to the rehabilitation program (by self-report), 53 and 33 patients were included in the rehabilitation group (Rehab group; performed exercises ≥2 times/week) and the No Rehab group (performed exercises <2 times/week), respectively. The comparison between the groups showed that the subjects who performed the exercises regularly had better results in terms of pain and functional recovery, and less associated diseases (e.g. adhesive bursitis and tenosynovitis of the long head of the biceps) than those who were less compliant with the program. UGPT, followed by a specific postprocedure rehabilitation program, was an effective treatment for RCCT. © 2014 S. Karger AG, Basel.

  3. Glycoalkaloid and calystegine levels in table potato cultivars subjected to wounding, light, and heat treatments.

    PubMed

    Petersson, Erik V; Arif, Usman; Schulzova, Vera; Krtková, Veronika; Hajšlová, Jana; Meijer, Johan; Andersson, Hans Christer; Jonsson, Lisbeth; Sitbon, Folke

    2013-06-19

    Potato tubers naturally contain a number of defense substances, some of which are of major concern for food safety. Among these substances are the glycoalkaloids and calystegines. We have here analyzed levels of glycoalkaloids (α-chaconine and α-solanine) and calystegines (A₃, B₂, and B₄) in potato tubers subjected to mechanical wounding, light exposure, or elevated temperature: stress treatments that are known or anticipated to induce glycoalkaloid levels. Basal glycoalkaloid levels in tubers varied between potato cultivars. Wounding and light exposure, but not heat, increased tuber glycoalkaloid levels, and the relative response differed among the cultivars. Also, calystegine levels varied between cultivars, with calystegine B4 showing the most marked variation. However, the total calystegine level was not affected by wounding or light exposure. The results demonstrate a strong variation among potato cultivars with regard to postharvest glycoalkaloid increases, and they suggest that the biosynthesis of glycoalkaloids and calystegines occurs independently of each other.

  4. Noise generator for tinnitus treatment based on look-up tables

    NASA Astrophysics Data System (ADS)

    Uriz, Alejandro J.; Agüero, Pablo; Tulli, Juan C.; Castiñeira Moreira, Jorge; González, Esteban; Hidalgo, Roberto; Casadei, Manuel

    2016-04-01

    Treatment of tinnitus by means of masking sounds allows to obtain a significant improve of the quality of life of the individual that suffer that condition. In view of that, it is possible to develop noise synthesizers based on random number generators in digital signal processors (DSP), which are used in almost any digital hearing aid devices. DSP architecture have limitations to implement a pseudo random number generator, due to it, the noise statistics can be not as good as expectations. In this paper, a technique to generate additive white gaussian noise (AWGN) or other types of filtered noise using coefficients stored in program memory of the DSP is proposed. Also, an implementation of the technique is carried out on a dsPIC from Microchip®. Objective experiments and experimental measurements are performed to analyze the proposed technique.

  5. SU-E-T-348: Effect of Treatment Table and Immobilization Devices On Surface Dose When Using a GRID Technique

    SciTech Connect

    Gajdos, S; Donaghue, J

    2015-06-15

    Purpose: To determine the increase of surface dose of MLC-designed GRID therapy in the presence of immobilization devices and treatment table. Methods: To create a GRID field, our facility utilizes an MLC consisting of four millimeter wide leaves. The field is designed to have aperture sizes of 0.8 cm X 0.8 cm with inter-aperture distance of 3.2 cm. Gafchromic EBT3 film was placed between the surface of a solid water phantom and the immobilization device. The treatment table was also present within the beam path. The devices consist of carbon fiber exterior shell. A piece of film was also placed at maximal depth for the photon energy of 10 MV. Image files were converted to dose per a calibration curve based on the selected red channel. The surface dose to maximum dose was established by comparing the ratio of seven centrally located aperture regions-of-interest and four adjacent inter-aperture regions-of-interest were measured with the available software tools. Results: With no devices present in beam path, the ratio of surface dose to maximum dose was 11.5% ± 0.3% for aperture region and 7.0% ± 0.1% for inter-aperture region. When devices are present, the ratio of surface dose to maximum dose was 45.2% ± 0.5% and 33.8% ± 1.1%, respectively. Due to the presence of devices, the surface dose increases in aperture region by 3.8 times or in the inter-aperture region by 4.7 times. Conclusion: The purpose of using GRID technique is to deliver a single fractional dose in range of 15–20 Gy to a bulky lesion while also preserving skin tolerance. The increase of surface dose due to devices placed in beam path may increase the chance of skin toxicity in GRID therapy. Care should be used to determine best manageable patient immobilization while considering skin dose especially for posteriorly located lesions.

  6. Helium tables.

    NASA Technical Reports Server (NTRS)

    Havill, Clinton H

    1928-01-01

    These tables are intended to provide a standard method and to facilitate the calculation of the quantity of "Standard Helium" in high pressure containers. The research data and the formulas used in the preparation of the tables were furnished by the Research Laboratory of Physical Chemistry, of the Massachusetts Institute of Technology.

  7. Spontaneous AC Field Induced Mechanical Rotation in Magnetostrictive FeSiB-Based Wires Subjected to Thermal Treatments

    DTIC Science & Technology

    2001-04-01

    MAGNETOSTRICTIVE FeSiB-BASED WIRES SUBJECTED TO THERMAL TREATMENTS V.Raposo1 2, A.Mitra1," 3 and M.Vizquez 1 1 Instituto de Ciencia de Materiales de Madrid...INTRODUCTION The mechanical rotation of Fe base amorphous wires with bistable magnetic behavior when subjected to an alternating AC field of several kHz...The aim of this work has been to study the AC field induced rotation of Feyy.5 Si7 .5B 15 and Fe 73.5 Si]3.5B9Cu1 Nb3 amorphous wires exhibiting large

  8. Ultrasound guided platelet-rich plasma injection for the treatment of rotator cuff tendinopathy

    PubMed Central

    Tahririan, Mohammad Ali; Moezi, Mehdi; Motififard, Mahdi; Nemati, Mahdi; Nemati, Amin

    2016-01-01

    Background: Degenerative changes and inflammation in the rotator cuff (RC) are the most important causes of shoulder pain. The aim of the present study was to determine the effectiveness of platelet-rich plasma (PRP) in patients with chronic RC tendinopathy. Materials and Methods: This study was an open-label study performed at Kashani Hospital between April 2012 and June 2014. Patients with a <1 cm partial tearing of the bursal side of RC with no or little response to conservative management were included. PRP injection was done using ultrasonography guide via posterior subacromial approach. Demographic data were obtained in all patient before the study, and shoulder function was evaluated using Constant shoulder score (CSS) before and 3 months after PRP injection. Results: A total number of 17 patients were enrolled. The mean of CSS before and after intervention was 37.05 ± 11.03 and 61.76 ± 14.75, respectively (P < 0.001). There was no statistically significant correlation between the pain score before the study and the improvement in CSS (P = 0.45, r = 0.03). Significant relation was observed between the individuals’ age and improvement of CSS (P = 0.02, r = −0.49). There was no significant difference in CSS improvement between genders (P = 0.23). Conclusion: Single injection of PRP is effective to reduce pain and improve range of motion in patients with bursal side partial tearing of RC who failed to respond to conservative treatments. PMID:28217638

  9. Continuous treatment of coloured industry wastewater using immobilized Phanerochaete chrysosporium in a rotating biological contactor reactor.

    PubMed

    Pakshirajan, Kannan; Kheria, Sumeet

    2012-06-30

    Coloured industry wastewaters often contain dyes and other toxic ingredients, and, therefore, pose serious threat to the receiving environment. Among the available methods the eco-friendly biological method has gained maximum attention due to its many advantages over the traditional methods. In the present study, continuous biological treatment of coloured wastewater from a textile dyeing industry was investigated using the white rot fungus Phanerochaete chrysosporium in a rotating biological contactor (RBC) reactor. The raw wastewater was diluted with an equal volume of either distilled water or media containing glucose at varying concentrations to study its effect on the decolourization process. Results revealed that the wastewater could be decolourized to an extent of more than 64% when diluted with media containing glucose; and, a maximum decolourization efficiency of 83% was obtained with 10 g/l glucose concentration. COD removal efficiencies were also found to be consistent with the decolourization efficiencies of the wastewaters. Further, the results were correlated with the enzyme activities of manganese peroxidase (MnP) and lignin peroxidase (LiP) by the fungus, which were found to play some significant role in decolourization of the wastewater. Results of replacing the costly carbon source glucose in the decolourization media with the more cheap molasses, however, revealed very high COD removal efficiency, but low decolourization efficiency of the industry wastewater. Copyright © 2012 Elsevier Ltd. All rights reserved.

  10. Ultrasound guided platelet-rich plasma injection for the treatment of rotator cuff tendinopathy.

    PubMed

    Tahririan, Mohammad Ali; Moezi, Mehdi; Motififard, Mahdi; Nemati, Mahdi; Nemati, Amin

    2016-01-01

    Degenerative changes and inflammation in the rotator cuff (RC) are the most important causes of shoulder pain. The aim of the present study was to determine the effectiveness of platelet-rich plasma (PRP) in patients with chronic RC tendinopathy. This study was an open-label study performed at Kashani Hospital between April 2012 and June 2014. Patients with a <1 cm partial tearing of the bursal side of RC with no or little response to conservative management were included. PRP injection was done using ultrasonography guide via posterior subacromial approach. Demographic data were obtained in all patient before the study, and shoulder function was evaluated using Constant shoulder score (CSS) before and 3 months after PRP injection. A total number of 17 patients were enrolled. The mean of CSS before and after intervention was 37.05 ± 11.03 and 61.76 ± 14.75, respectively (P < 0.001). There was no statistically significant correlation between the pain score before the study and the improvement in CSS (P = 0.45, r = 0.03). Significant relation was observed between the individuals' age and improvement of CSS (P = 0.02, r = -0.49). There was no significant difference in CSS improvement between genders (P = 0.23). Single injection of PRP is effective to reduce pain and improve range of motion in patients with bursal side partial tearing of RC who failed to respond to conservative treatments.

  11. Low-dose irradiation can be used as a phytosanitary treatment for fresh table grapes.

    PubMed

    Kim, Gina C; Rakovski, Cyril; Caporaso, Fred; Prakash, Anuradha

    2014-01-01

    Grapes (Vitis vinifera var. Sugraone and Vitis labrusca var. Crimson Seedless) were treated with 400, 600, and 800 Gy and the effects on physicochemical factors were measured alongside sensory testing during 3 wk of storage. Significant changes in texture and color with irradiation and age were measured but little visual difference was seen between control and irradiated grapes. However, age had a greater effect on firmness than irradiation for Sugraone grapes. Irradiation did not significantly (P ≤ 0.05) affect the SSC/TA ratio, which increased during storage. The trained panel detected significant changes in the berry texture and rachis color but rated sweetness and flavor significantly higher (P ≤ 0.05) for irradiated Sugraone as compared to the control. Consumers liked both the untreated and 800 Gy treated Sugraone grapes, but liked the untreated grapes more for texture (P ≤ 0.05). However, there was no difference in liking between irradiated (600 Gy or 800 Gy) and control samples of Crimson Seedless for any attribute. The results show that there are varietal differences in response to irradiation but the overall maintenance in quality of irradiated grapes during 3 wk of storage indicates that irradiation can serve as a viable phytosanitary treatment.

  12. A Table! (At the Table).

    ERIC Educational Resources Information Center

    Terry, Robert M.

    A review of French dining habits and table manners outlines: elements of the place setting, courtesies used at the table, serving conventions, restaurant tipping, the size and content of the different meals of the day, subtle differences in common foods, restaurant types, menu types, general wine and cheese choices, waiter-client communication,…

  13. Arthroscopic Changes of the Biceps Pulley in Rotator Cuff Tear and Its Clinical Significance in Relation to Treatment.

    PubMed

    Choi, Chang Hyuk; Kim, Se Sik; Kim, Seok Jun; Lee, Ju Hwan

    2015-09-01

    In the case of rotator cuff tears, the biceps pulley can be stressed by the unstable biceps tendon, and this can subsequently affect the stability of the subscapularis tendon. Therefore, it is important to distinguish between normal variations and lesions of the biceps pulley that affect anterosuperior lesions in cases of rotator cuff tears. From January 2002 through November 2010, we observed biceps pulley and associated anterosuperior lesions in 589 of 634 cases (93%) of arthroscopic rotator cuff repair, including 72 cases (12.2%) of small tears, 219 cases (37.2%) of medium tears, 134 cases (22.8%) of large tears, and 164 cases (27.8%) of massive tears. We classified normal stretched biceps pulleys as type I, stretched biceps pulleys with mild changes as type II, those with a partial tear as type III, and torn pulleys as type IV. We were able to classify 589 cases of biceps pulleys as type I, II, III, or IV associated lesions in rotator cuff tears. Type I was seen in 91 cases (15.4%), type II in 216 cases (36.7%), type III in 157 cases (26.7%), and type IV in 101 cases (17.1%); unidentified cases numbered 24 (4.1%). Nearly three-quarters, 73.3%, of the cases (432/589) had associated anterosuperior lesions, and combined treatment for the associated lesions was administered in 29.2% (172/589) of cases. Biceps pulley lesions with more than partial tears were identified in 48% of rotator cuff tear cases. The incidence and severity of pulley lesions were related to the rotator cuff tear size, the status of the long head of the biceps tendon and subscapularis tendon lesion, and the treatment methods.

  14. Assessment of 180° rotation of the choroid as a novel surgical treatment for age-related macular degeneration.

    PubMed

    Lee, Edward; Singh, Mandeep S; Jones, Helen E; Ahmed, Bashir; Andolina, Ian M; Clements, Jake T C; Luong, Vy; Munro, Peter M; Lawton, Martin P; Grieve, Kenneth L; Aylward, George W; Sillito, Adam M; MacLaren, Robert E

    2012-05-04

    Our objective was to examine the feasibility of rotating choriocapillaris, Bruch's membrane (BM), and retinal pigment epithelium (RPE) through 180° on a vascular pedicle and to assess revascularization and tissue preservation postoperatively. Such an approach could be used in the treatment of age-related macular degeneration where there is focal disease at the macula with healthy tissues located peripherally. Successful surgery was performed in six rhesus macaque monkeys, which have a very similar choroidal blood supply to humans. After inducing a retinal detachment, the recurrent branch of the long posterior ciliary artery was used as a pedicle around which a graft stretching to the temporal equator was rotated. Retina was reattached over the rotated graft and eyes were followed up for up to 6 months with repeated angiography and optical coherence tomography (OCT). The morphology of retinal cells and BM were assessed by immunohistochemistry and electron microscopy. Revascularization of the choroid was limited, with reestablishment of drainage to the vortex veins seen in only one case. There was a secondary loss of the RPE and outer retina evident on histological analysis three months after surgery. The underlying BM however remained intact. Pedicled choroidal rotation surgery is technically feasible in vivo with intraoperative control of bleeding. However, lack of graft revascularization with the technique in its current form leads to neuroretinal and RPE tissue loss, and graft shrinkage. We found no evidence that rotational grafts are likely to improve the outcomes presently achieved with free graft techniques.

  15. Effect of capsular release in the treatment of shoulder stiffness concomitant with rotator cuff repair: diabetes as a predisposing factor associated with treatment outcome.

    PubMed

    Park, Jin-Young; Chung, Seok Won; Hassan, Zulkifli; Bang, Jin-Young; Oh, Kyung-Soo

    2014-04-01

    In spite of the high prevalence of shoulder stiffness during rotator cuff repair, optimal management remains unclear. To identify the effect of capsular release during rotator cuff repair on the outcomes of patients with both shoulder stiffness and a rotator cuff tear, based on subgroup analyses. Cohort study; Level of evidence, 3. Forty-nine consecutive patients (mean age, 61.5 ± 8.3 years) were enrolled who underwent arthroscopic repair of a small- to large-sized full-thickness rotator cuff tear and manipulation for concomitant shoulder stiffness (passive forward flexion ≤120°, external rotation at the side ≤45°). The first 21 consecutive patients underwent manipulation alone to treat stiffness; the second 28 consecutive patients underwent capsular release with manipulation. Among the 49 patients, 25 showed severe stiffness (forward flexion ≤100°, external rotation at the side ≤30°; 11 in the first series and 14 in the second series), and 15 had diabetes mellitus (30.6%; 6 in the first series and 9 in the second series). Shoulder range of motion was measured 6 weeks, 3 months, 6 months, and 1 year postoperatively and at final follow-up visit. Simultaneously, functional outcome was evaluated by visual analog scale for pain, American Shoulder and Elbow Surgeons score, Constant score, and muscle strength ratio (involved/uninvolved), and cuff integrity was assessed ultrasonographically at least 1 year postoperatively. All range of motion measurements, functional scores, and muscle strength ratios significantly improved postoperatively regardless of the treatment method of stiffness. No outcome measure differed significantly between patients who did and did not undergo capsular release, regardless of the severity of stiffness, except for a temporary improvement in external rotation at side 3 months postoperatively in favor of those who underwent capsular release in cases with severe stiffness. Among patients with diabetes mellitus however, those who

  16. Management of degenerative rotator cuff tears: a review and treatment strategy

    PubMed Central

    2012-01-01

    The aim of this review was to present an over view of degenerative rotator cuff tears and a suggested management protocol based upon current evidence. Degenerative rotator cuff tears are common and are a major cause of pain and shoulder dysfunction. The management of these tears is controversial, as to whether they should be managed non-operatively or operatively. In addition when operative intervention is undertaken, there is question as to what technique of repair should be used. This review describes the epidemiology and natural history of degenerative rotator cuff tears. The management options, and the evidence to support these, are reviewed. We also present our preferred management protocol and method, if applicable, for surgical fixation of degenerative rotator cuff tears. PMID:23241147

  17. Screening and Treatment of Intestinal Rotational Abnormalities in Heterotaxy: A Systematic Review and Meta-Analysis.

    PubMed

    Tan, Yew-Wei; Khalil, Asma; Kakade, Madhavi; Carvalho, Julene S; Bradley, Sarah; Cleeve, Stewart; Giuliani, Stefano

    2016-04-01

    To assess the role of screening and prophylactic surgery for intestinal rotational abnormalities (IRAs) in asymptomatic patients with heterotaxy. PubMed, Embase, and Cinahl were searched electronically to determine the overall incidence of IRAs in heterotaxy; the detection rate of IRAs associated with screening; the incidence of midgut volvulus in patients without screening; and the incidence of morbidity and mortality after prophylactic and emergency Ladd procedures. Relevant data were computed with a meta-analysis of proportions. Between-study heterogeneity was assessed with the I(2) statistic. From 276 papers identified, 24 studies with a total of 1433 patients with heterotaxy were included for systematic review. No randomized study was identified. True incidence of IRA in heterotaxy could not be ascertained through meta-analysis. In patients who underwent screening, the incidence of IRA was 58%. Acute midgut volvulus occurred in 5.8% of those who did not undergo screening. Postoperative mortality after Ladd procedure mainly was associated with cardiac insufficiency, and overall it was significantly greater in the emergency group compared with the prophylactic group (18% vs 5.6%). The complication rate also was greater in case of emergency vs prophylactic abdominal surgery (27% vs 16%); adhesional small bowel obstruction was the most common complication overall (6%). The screen-detected incidences of IRA and acute midgut volvulus were significantly greater in heterotaxy than the normal population. Prophylactic Ladd procedure was associated with less morbidity and mortality compared with emergency surgery. A long-term prospective randomized trial is needed to define the indication for screening and prophylactic treatment of IRA in heterotaxy. Copyright © 2016 Elsevier Inc. All rights reserved.

  18. Dentists' treatment of underserved populations following participation in community-based clinical rotations as dental students.

    PubMed

    McQuistan, Michelle R; Kuthy, Raymond A; Qian, Fang; Riniker-Pins, Katharine J; Heller, Keith E

    2010-01-01

    The purpose of this study was to identify which underserved populations are being treated by dentists after participation in community-based clinical rotations as dental students and to determine which predictor variables are associated with dentists' treatment of these populations. A 25-item written survey was developed and mailed to University of Iowa College of Dentistry alumni (1992-2002; N = 745) to assess what percentage of their current total patient population was composed of each of the twelve identified populations. Separate statistical analyses (descriptive, bivariate, and generalized logistic regression) were performed for each underserved population. Three-hundred seventy-two dentists responded for an adjusted response rate of 50 percent. Respondents were most likely to treat "other ethnic groups" and low income populations. In contrast, 70 percent or more of all respondents said they never treat the homebound, homeless, and incarcerated. Additionally, over 40 percent of respondents said they never treat HIV+/AIDS patients and Medicaid patients. Logistic regression models showed that comfort in treating a population, treating more than seven populations, and having the total percentage of underserved populations treated within a practice total more than 50 percent were the most frequently associated (P < 0.05) and strongest predictors of treating the listed underserved populations. Although respondents reported treating most populations, community leaders and dentists should identify at-risk populations and develop protocols to help ensure that these populations are able to obtain, at a minimum, emergency care. Additionally, dental schools should develop educational curricula to help increase students' comfort in treating underserved populations.

  19. A new tear pattern of the rotator cuff and its treatment: Fosbury flop tears

    PubMed Central

    Lädermann, Alexandre; Denard, Patrick J.; Kolo, Frank C.

    2015-01-01

    Purpose: The purpose of this report is to describe a new full-thickness tear pattern of the posterosuperior rotator cuff with reversal healing. We describe the specific radiologic signs associated with this tear pattern and the arthroscopic rotator cuff repair technique. Materials and Methods: A prospective radiologic and clinical study collected all patients with a magnetic resonance imaging arthrogram that underwent an arthroscopic rotator cuff repair over a 1 year period. Results: Among 97 patients, five demonstrated a tear of the posterosuperior rotator cuff with reversal healing. Characteristic radiographic findings included a thicker tendon than normal, the presence of a stump and accumulation of liquid in the superior-medial part of the subacromial bursa, and adhesions between the supraspinatus tendon and the wall of the subacromial bursa. Conclusion: Avulsion of the posterosuperior rotator cuff with reversal healing on its bursal-side is a less common condition. This type of lesion and distinct radiographic signs that can be recognized to facilitate anatomic repair of the rotator cuff. Level of evidence: Level IV. PMID:25709239

  20. SU-E-T-521: Feasibility Study of a Rotational Step-And-Shoot IMRT Treatment Planning Approach

    SciTech Connect

    Zhu, X; Chang, S; Cullip, T; Yuan, L; Zhang, X; Lian, J; Tang, X; Tracton, G; Dooley, J

    2014-06-01

    Purpose: Rotational step-and-shot IMRT (r-IMRT) could improve delivery efficiency with good dose conformity, especially if it can leverage the burst mode of the accelerator where radiation is turned on/off momentarily while the gantry rotates continuously. The challenge for the r-IMRT planning is to minimize the number of beams to achieve a fast and smooth rotational delivery. Methods: Treatment plans for r-IMRT were created using an in-house treatment planning system. To generate the plan using a very few beams, gantry angle was optimized by weighting the beam monitoring unit (MU), and beam shape optimization was a combination of column search with k-means clustering. A prostate case and a head and neck case were planned using r-IMRT. The dosimetry is compared to s-IMRT planned with Varian Eclipse treatment planning system. Results: With the same PTV dose coverage D95=100%, the r-IMRT plans shows comparable sparing as the s-IMRT plans in the prostate for the rectum D10cc and the bladder Dmean, and in the head and neck for the spinal cord Dmax, the brain stem Dmax, the left/right parotid Dmean, the larynx Dmean, and the mandible Dmean. Both plans meet the established institutional clinical dosimetric criteria. The r-IMRT plan uses 19 beam/405 MU for the prostate, and 68 beam/880 MU for the head and neck, while the s-IMRT uses 7 beam/724 MU and 9 beam/1812 MU, respectively. Compared to the corresponding s-IMRT, r-IMRT has a reduction of MUs of 44% for the prostate case and 41% for the head and neck case. Conclusions: We have demonstrated the feasibility of a rotational step and shoot IMRT treatment planning approach that significantly shortens the conventional IMRT treatment beam-on time without degrading the dose comformity.

  1. Algorithm for the treatment of calcific tendinitis in the rotator cuff: indications for arthroscopy and results in our experience.

    PubMed

    Rotini, R; Bungaro, P; Antonioli, D; Katusic, D; Marinelli, A

    2005-01-01

    Calcific tendinitis of the rotator cuff is a relatively frequent pathology and at times, in some phases, it is a disabling one: for this reason, numerous therapeutic options have been proposed. The authors propose an algorithm for the classification and treatment of calcific tendinitis and report their experience with arthroscopic treatment over a three-year period from 2001 to 2004. Based on the algorithm proposed, out of a total of 126 shoulders affected with calcific tendinitis of the rotator cuff for which debridement was indicated, 106 us-guided percutaneous surgeries (EPT), and only 20 arthroscopies were performed. Arthroscopy is indicated, on the basis of the algorithm that we followed, in patients affected by chronic and persistent calcific tendinitis who did not benefit from the execution of previous types of non-surgical treatment for a period of at least 6 to 12 months. Shoulder instability was found to be present in 8 patients out of 20 treated arthroscopically. After arthroscopy, short- and medium-term results were always positive with the exception of one case that evolved into adhesive capsulitis. Based on an analysis of this series, we were able to confirm the usefulness and clinical applicability of an algorithm to classify and treat calcific tendinitis of the rotator cuff; we also confirmed the role of arthroscopic treatment that in cases which did not respond to conservative procedures proved to be effective in resolving symptoms.

  2. [Surgical treatment of the impingement syndrome and of the rotator cuff tears: personal experience in 134 cases].

    PubMed

    Candiotto, S; Majoni, A; Londei, L; Rioda, A; Ostuni, P

    2002-01-01

    The time-course covered by the original definition of scapulo-humeral periarthritis suggested by Duplay through the more recent term of subacromial impingement syndrome coined by Neer, follows the identification of the pathogenetic mechanisms leading to chronic subacromial impingement and degenerative tears of the rotator cuff. The Authors recall the functional-anatomic development evolution of the shoulder and the disequilibrium between the depressor and the elevator muscles which may promote the chronic friction against the acromion. However, the actual pathogenesis of the impingement still remains controversial. We evaluated 134 patients (81F, 53M, mean age 56.4 years) with chronic subacromial impingement syndrome. In 92 cases (69%) non traumatic tears of the rotator cuff were also present as confirmed by ultrasonography in 94 cases, CT in18 cases and magnetic resonance in 102 cases. The different tear patterns of the rotator cuff were classified as suggested by Ellman (L shaped, L reverse, triangular, trapezoidal and massive with retraction) and clinical results were analyzed following Sahlstrand clinical criteria and Costant numerical scale. According to the anatomical damage, patients were divided into those with impingement without severe cuff tendinopathy (42 cases), those with rotator cuff tears without loss of motion of the shoulder (32 cases) and those with cuff tears and loss of active motion (60 cases). The different surgical techniques and rehabilitation procedures after surgery are also reported. After a mean follow-up of 1.3 years (range 8 months - 2 years), good or excellent results were obtained in 91% of the patients without rotator cuff tears, in 87% of the patients with tears but without loss of motion and in 75% of the cases with loss of active motion. Our data demonstrate that in the majority of patients with chronic impingement syndrome and rotator cuff tears, surgical treatment shows high success rates. When surgery is associated with a

  3. Integration of Three-Dimensional Rotational Angiography in Radiosurgical Treatment Planning of Cerebral Arteriovenous Malformations

    SciTech Connect

    Conti, Alfredo; Pontoriero, Antonio; Farago, Giuseppe; Midili, Federica; Siragusa, Carmelo; Granata, Francesca; Pitrone, Antonio; De Renzis, Costantino; Longo, Marcello; Tomasello, Francesco

    2011-11-01

    Purpose: Accuracy in delineating the target volume is a major issue for successful stereotactic radiosurgery for arteriovenous malformations. The aim of the present study was to describe a method to integrate three-dimensional (3D) rotational angiography ( (3DRA)) into CyberKnife treatment planning and to investigate its potential advantages compared with computed tomography angiography (CTA) and magnetic resonance angiography. Methods and Materials: A total of 20 patients with a diagnosis of cerebral arteriovenous malformation were included in the present study. All patients underwent multislice computed tomography and 3D-volumetric CTA, (3DRA), and 3D magnetic resonance angiography. The contouring of the target and critical volumes was done separately using CTA and thereafter directly using (3DRA). The composite, conjoint, and disjoint volumes were measured. Results: The use of CTA or (3DRA) resulted in significant differences in the target and critical volumes. The target volume averaged 3.49 {+-} 3.01 mL measured using CTA and 3.26 {+-} 2.93 mL measured using (3DRA), for a difference of 8% (p < .05). The conjoint and disjoint volume analysis showed an 88% volume overlap. The qualitative evaluation showed that the excess volume obtained using CTA was mostly tissue surrounding the nidus and venous structures. The mean contoured venous volume was 0.67 mL measured using CTA and 0.88 mL (range, 0.1-2.7) measured using (3DRA) (p < .05). Conclusions: (3DRA) is a volumetric angiographic study that can be integrated into computer-based treatment planning. Although whether (3DRA) provides superior accuracy has not yet been proved, its high spatial resolution is attractive and offers a superior 3D view. This allows a better 3D understanding of the target volume and distribution of the radiation doses within the volume. Additional technical efforts to improve the temporal resolution and the development of software tools aimed at improving the performance of 3D contouring

  4. Exercise in the treatment of rotator cuff impingement: a systematic review and a synthesized evidence-based rehabilitation protocol.

    PubMed

    Kuhn, John E

    2009-01-01

    A systematic review of the literature was performed to evaluate the role of exercise in treating rotator cuff impingement and to synthesize a standard evidence-based rehabilitation protocol. Eleven randomized, controlled trials (level 1 and 2) evaluating the effect of exercise in the treatment of impingement were identified. Data regarding demographics, methodology, and outcomes of pain, range of motion, strength, and function were recorded. Individual components of each rehabilitation program were catalogued. Effectiveness was determined by statistical and clinical significance. Although many articles had methodologic concerns, the data demonstrate that exercise has statistically and clinically significant effects on pain reduction and improving function, but not on range of motion or strength. Manual therapy augments the effects of exercise, yet supervised exercise was not different than home exercise programs. Information regarding specific components of the exercise programs was synthesized into a gold standard rehabilitation protocol for future studies on the nonoperative treatment of rotator cuff impingement.

  5. Autologous tenocyte implantation, a novel treatment for partial-thickness rotator cuff tear and tendinopathy in an elite athlete.

    PubMed

    Wang, Allan W; Bauer, Stefan; Goonatillake, Matthew; Breidahl, William; Zheng, Ming-Hao

    2013-01-11

    Tendinopathy and small partial-thickness tears of the rotator cuff tendon are common presentations in sports medicine. No promising treatment has yet been established. Corticosteroid injections may improve symptoms in the short term but do not primarily treat the tendon pathology. Ultrasound-guided autologous tenocyte implantation (ATI) is a novel bioengineered treatment approach for treating tendinopathy. We report the first clinical case of ATI in a 20-year-old elite gymnast with a rotator cuff tendon injury. The patient presented with 12 months of increasing pain during gymnastics being unable to perform most skills. At 1 year after ATI the patient reported substantial improvement of clinical symptoms. Pretreatment and follow-up MRIs were reported and scored independently by two experienced musculoskeletal radiologists. Tendinopathy was improved and the partial-thickness tear healed on 3 T MRI. The patient was able to return to national-level competition.

  6. Autologous tenocyte implantation, a novel treatment for partial-thickness rotator cuff tear and tendinopathy in an elite athlete

    PubMed Central

    Wang, Allan W; Bauer, Stefan; Goonatillake, Matthew; Breidahl, William; Zheng, Ming-Hao

    2013-01-01

    Tendinopathy and small partial-thickness tears of the rotator cuff tendon are common presentations in sports medicine. No promising treatment has yet been established. Corticosteroid injections may improve symptoms in the short term but do not primarily treat the tendon pathology. Ultrasound-guided autologous tenocyte implantation (ATI) is a novel bioengineered treatment approach for treating tendinopathy. We report the first clinical case of ATI in a 20-year-old elite gymnast with a rotator cuff tendon injury. The patient presented with 12 months of increasing pain during gymnastics being unable to perform most skills. At 1 year after ATI the patient reported substantial improvement of clinical symptoms. Pretreatment and follow-up MRIs were reported and scored independently by two experienced musculoskeletal radiologists. Tendinopathy was improved and the partial-thickness tear healed on 3 T MRI. The patient was able to return to national-level competition. PMID:23314880

  7. The effect of tear size on the treatment outcome of operatively treated rotator cuff tears.

    PubMed

    Kukkonen, Juha; Kauko, Tommi; Virolainen, Petri; Äärimaa, Ville

    2015-02-01

    The aim of this study was to evaluate the relationship between the tear size and the short-term clinical outcome of rotator cuff reconstruction. The hypothesis was that the size of the rotator cuff tear has a direct negative correlation with post-operative clinical outcome. Five hundred and seventy-six consecutive shoulders with a primarily arthroscopically treated full-thickness rotator cuff tear were followed up. Rotator cuff tear size (anteroposterior dimension) was measured intraoperatively with an arthroscopic measuring probe. The Constant score was used as an outcome measure and was measured pre-operatively and 1-year post-operatively. Five hundred and sixty-nine patients (99 %) were available for 1-year follow-up. The mean age of patients was 59.6 (SD 9.6) years. There were 225 (40 %) female and 344 (60 %) male patients. The mean size of the rotator cuff tear was 25 mm (SD 18). The mean pre- and post-operative Constant score was 52.3 (SD 17.4) and 74.2 (SD 15.5), respectively (p < 0.0001). The intraoperatively detected tear size correlated significantly with the pre-operative Constant score (r = -0.20, p < 0.0001). Furthermore, there was even stronger and significant correlation between the tear size and the final post-operative Constant score (r = -0.36, p < 0.0001). The correlation was similar between the genders, but the Constant scores were significantly lower in women (p < 0.0001). The lowest scores were detected in tears with infraspinatus tendon involvement. The size of the rotator cuff tear linearly correlates with the Constant scores both pre- and post-operatively. The outcome of rotator cuff reconstruction is strongly related to the intraoperatively detected tear size. Retrospective comparative register study, Level III.

  8. Measurement of table feed speed in modern CT.

    PubMed

    Fukuda, Atsushi; Lin, Pei-Jan P; Matsubara, Kosuke; Miyati, Tosiaki

    2014-05-08

    The purpose of this study was to develop and evaluate a noninvasive method to assess table feed speed (mm/s) in modern commercial computed tomography (CT) systems. The table feed (mm/rotation) was measured at selected nominal table feed speeds, given as low (26.67 mm/s), intermediate (48.00 mm/s), and high (64.00 mm/s), by utilizing a computed radiography (CR) cassette installed with a photostimulable phosphor plate. The cassette was placed on the examination table to travel through the isocenter longitudinally, with a total scan length of over 430 mm. The distance travelled was employed to determine the total table feed length. To calculate the table feed speed, gantry rotation time was measured concurrently at a preselected nominal rotation time of 750 ms. Upon completion of data acquisition, the table feed and gantry rotation time were analyzed and used to calculate the actual table feed speed (mm/s). Under the low table feed speed setting, the table feed speed was found to be 26.67 mm/s. Similarly, under the intermediate and high table feed speed settings, the table feed speed was found to be 48.10 and 64.07 mm/s, respectively. Measurements of the table feed speed can be accomplished with a CR system and solid-state detector, and the table feed speed results were in excellent agreement with the nominal preset values.

  9. Self-managed loaded exercise versus usual physiotherapy treatment for rotator cuff tendinopathy: a pilot randomised controlled trial.

    PubMed

    Littlewood, Chris; Malliaras, Peter; Mawson, Sue; May, Stephen; Walters, Stephen J

    2014-03-01

    Rotator cuff tendinopathy is a common source of shoulder pain characterised by persistent and/or recurrent problems for a proportion of sufferers. The aim of this study was to pilot the methods proposed to conduct a substantive study to evaluate the effectiveness of a self-managed loaded exercise programme versus usual physiotherapy treatment for rotator cuff tendinopathy. A single-centre pragmatic unblinded parallel group pilot randomised controlled trial. One private physiotherapy clinic, northern England. Twenty-four participants with rotator cuff tendinopathy. The intervention was a programme of self-managed loaded exercise. The control group received usual physiotherapy treatment. Baseline assessment comprised the Shoulder Pain and Disability Index (SPADI) and the Short-Form 36, repeated three months post randomisation. The recruitment target was met and the majority of participants (98%) were willing to be randomised. 100% retention was attained with all participants completing the SPADI at three months. Exercise adherence rates were excellent (90%). The mean change in SPADI score was -23.7 (95% CI -14.4 to -33.3) points for the self-managed exercise group and -19.0 (95% CI -6.0 to -31.9) points for the usual physiotherapy treatment group. The difference in three month SPADI scores was 0.1 (95% CI -16.6 to 16.9) points in favour of the usual physiotherapy treatment group. In keeping with previous research which indicates the need for further evaluation of self-managed loaded exercise for rotator cuff tendinopathy, these methods and the preliminary evaluation of outcome offer a foundation and stimulus to conduct a substantive study. Copyright © 2013 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.

  10. Interposition Dermal Matrix Xenografts: A Successful Alternative to Traditional Treatment of Massive Rotator Cuff Tears.

    PubMed

    Neumann, Julie A; Zgonis, Miltiadis H; Rickert, Kathleen D; Bradley, Kendall E; Kremen, Thomas J; Boggess, Blake R; Toth, Alison P

    2017-05-01

    Management of massive rotator cuff tears in shoulders without glenohumeral arthritis remains problematic for surgeons. Repairs of massive rotator cuff tears have failure rates of 20% to 94% at 1 to 2 years postoperatively as demonstrated with arthrography, ultrasound, and magnetic resonance imaging. Additionally, inconsistent outcomes have been reported with debridement alone of massive rotator cuff tears, and limitations have been seen with other current methods of operative intervention, including arthroplasty and tendon transfers. The use of interposition porcine acellular dermal matrix xenograft in patients with massive rotator cuff tears will result in improved subjective outcomes, postoperative pain, function, range of motion, and strength. Case series; Level of evidence, 4. Sixty patients (61 shoulders) were prospectively observed for a mean of 50.3 months (range, 24-63 months) after repair of massive rotator cuff tears with porcine acellular dermal matrix xenograft as an interposition graft. Subjective outcome data were obtained with visual analog scale for pain score (0-10, 0 = no pain) and Modified American Shoulder and Elbow Surgeons (MASES) score. Active range of motion in flexion, external rotation, and internal rotation were recorded. Strength in the supraspinatus and infraspinatus muscles was assessed manually on a 10-point scale and by handheld dynamometer. Ultrasound was used to assess the integrity of the repair during latest follow-up. Mean visual analog scale pain score decreased from 4.0 preoperatively to 1.0 postoperatively ( P < .001). Mean active forward flexion improved from 140.7° to 160.4° ( P < .001), external rotation at 0° of abduction from 55.6° to 70.1° ( P = .001), and internal rotation at 90° of abduction from 52.0° to 76.2° ( P < .001). Supraspinatus manual strength increased from 7.7 to 8.8 ( P < .001) and infraspinatus manual strength from 7.7 to 9.3 ( P < .001). Mean dynamometric strength in forward flexion was 77.7 N

  11. Clinical evidence in the treatment of rotator cuff tears with hyaluronic acid

    PubMed Central

    Osti, Leonardo; Buda, Matteo; Buono, Angelo Del; Osti, Raffaella; Massari, Leo

    2015-01-01

    Summary Purpose the aim of this quantitative review is to document potential benefit and adverse effects of hyaluronic acid (HA) injection into the shoulder with rotator cuff tears. Methods a systematic literature search was performed in english PubMed, Medline, Ovid, Google Scholar and Embase databases using the combined key words “hyaluronic acid”, “rotator cuff tear”, “hyaluronate”, “shoulder”, “viscosupplementation”, with no limit regarding the year of publication. Articles were included if they reported data on clinical and functional outcomes, complications in series of patients who had undergone HA injection for management of rotator cuff tears. Two Authors screened the selected articles for title, abstract and full text in accordance with predefined inclusion and exclusion criteria. The papers were accurately analyzed focusing on objective rating scores reported. Results a total of 11 studies, prospective, 7 were randomized were included by full text. A total of 1102 patients were evaluated clinically after different HA injection compare with corticosteroid injection, physically therapies, saline solution injection and control groups. The use of HA in patients with rotator cuff tears improve VAS and functional score in all trials that we have analyzed. Conclusion intra-articular injection with HA is effective in reducing pain and improving function in shoulder with rotator cuff tears and without severe adverse reaction. Level of evidence Level I. PMID:26958534

  12. Clinical evidence in the treatment of rotator cuff tears with hyaluronic acid.

    PubMed

    Osti, Leonardo; Buda, Matteo; Buono, Angelo Del; Osti, Raffaella; Massari, Leo

    2015-01-01

    the aim of this quantitative review is to document potential benefit and adverse effects of hyaluronic acid (HA) injection into the shoulder with rotator cuff tears. a systematic literature search was performed in english PubMed, Medline, Ovid, Google Scholar and Embase databases using the combined key words "hyaluronic acid", "rotator cuff tear", "hyaluronate", "shoulder", "viscosupplementation", with no limit regarding the year of publication. Articles were included if they reported data on clinical and functional outcomes, complications in series of patients who had undergone HA injection for management of rotator cuff tears. Two Authors screened the selected articles for title, abstract and full text in accordance with predefined inclusion and exclusion criteria. The papers were accurately analyzed focusing on objective rating scores reported. a total of 11 studies, prospective, 7 were randomized were included by full text. A total of 1102 patients were evaluated clinically after different HA injection compare with corticosteroid injection, physically therapies, saline solution injection and control groups. The use of HA in patients with rotator cuff tears improve VAS and functional score in all trials that we have analyzed. intra-articular injection with HA is effective in reducing pain and improving function in shoulder with rotator cuff tears and without severe adverse reaction. Level I.

  13. Multi-objective optimization of an active constrained layer damping treatment for vibration control of a rotating flexible arm

    NASA Astrophysics Data System (ADS)

    Hau, L. C.; Fung, E. H. K.; Yau, D. T. W.

    2006-12-01

    This paper describes the use of the multi-objective genetic algorithm (MOGA) to solve an integrated optimization problem of a rotating flexible arm with active constrained layer damping (ACLD) treatment. The arm is rotating in a horizontal plane with triangular velocity profiles. The ACLD patch is placed at the clamped end of the arm. The design objectives are to minimize the total treatment weight, the control voltage and the tip displacement of the arm, as well as to maximize the passive damping characteristic of the arm. Design variables include the control gains, the maximum angular velocity, the shear modulus of the viscoelastic layer, the thickness of the piezoelectric constraining and viscoelastic layers, and the length of the ACLD patch. In order to evaluate the effect of different combinations of design variables on the system, the finite element method, in conjunction with the Golla-Hughes-McTavish (GHM) method, is employed to model the flexible arm with ACLD treatment to predict its dynamic behavior, in which the effects of centrifugal stiffening due to the rotation of flexible arm are taken into account. As a result of optimization, reasonable Pareto solutions are successfully obtained. It is shown that the MOGA is applicable to the present integrated optimization problem.

  14. Use of platelet-rich plasma in the treatment of rotator cuff pathology. What has been scientifically proven?

    PubMed

    Miranda, I; Sánchez-Alepuz, E; Lucas, F J; Carratalá, V; González-Jofre, C A

    To analyze the current scientific and/or clinical evidence supporting the use of platelet-rich plasma (PRP) in the treatment of rotator cuff pathology. After a systematic review in PubMed, studies assessing PRP efficacy in the treatment of rotator cuff pathology published since 2013 to date were identified. Data were grouped based on type of study (laboratory, clinical or meta-analysis); accordingly study design, pathology treated and clinical outcomes were summarized. Thirty five articles have been analyzed: 10 laboratory studies, 17 clinical assays and 8 meta-analyses. While laboratory studies report positive or partially positive results for the use of PRP, 70.6% of clinical studies and 75% of meta-analysis found no statistically significant differences between the PRP group and the control group. The positive results of laboratory studies do not translate well to clinical practice. There is no concordance among the few positive results reported in the clinical studies, and even some contradictory effects have been reported. There is no solid scientific and/or clinical evidence supporting the use of PRP in the treatment of rotator cuff pathology in routine clinical practice. Copyright © 2017 SECOT. Publicado por Elsevier España, S.L.U. All rights reserved.

  15. A systematic review of cost-effective treatment of postoperative rotator cuff repairs.

    PubMed

    Dickinson, Rebecca N; Kuhn, John E; Bergner, Jamie L; Rizzone, Katherine H

    2017-05-01

    The Bundled Payments for Care Improvement initiative combines payment of multiple services for episodes of care into 1 bundle. Rotator cuff repair is a likely candidate for future inclusion. The objective of this study was to determine cost-effective, high-quality postoperative rehabilitation dosing and cryotherapy for patients undergoing rotator cuff repair based on systematic review of the literature. Systematic review of level I and level II articles was performed in PubMed, Cochrane Databases, and PEDro. Conference references and bibliographies were also reviewed. For postoperative therapy, keywords included rotator cuff, rotator cuff repair, exercise therapy, exercise, unsupervised, self-care, postoperative period, physical therapy, and physiotherapy; for cryotherapy, keywords included rotator cuff repair, shoulder, cryotherapy, and ice. Five studies compared postoperative outcomes in participants assigned to supervised therapy vs. unsupervised therapy. Three found no difference between groups. One found improved outcomes in supervised therapy. Limitations included that therapies were not consistently defined and significant methodologic issues were present, decreasing the applicability and validity of the results. Five articles examined cryotherapy outcomes in the postoperative shoulder. Two studies showed improved patient outcomes with cryotherapy vs. no cryotherapy; 2 studies showed no decrease in joint space temperatures at 90 minutes but decrease in temperature at 4 to 23 hours postoperatively. One study indicated that an ice bag and Ace bandage might be as effective as continuous, compressive cryotherapy units using patient-reported outcomes. Further studies are needed to determine effective dosing of physical therapy after rotator cuff repair. Cryotherapy is favorable and cost-effective using simple methods for delivery. Copyright © 2017 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

  16. Energy-efficient treatment of organic wastewater streams using a rotatable bioelectrochemical contactor (RBEC).

    PubMed

    Cheng, Ka Yu; Ho, Goen; Cord-Ruwisch, Ralf

    2012-12-01

    A membraneless bioelectrochemical system - rotatable bio-electrochemical contactor (RBEC) consists of an array of rotatable electrode disks was developed to convert the chemical energy from wastewater organics (acetate) directly into electricity. Each rotatable electrode disk had an upper-air exposing and a lower-water submerging halves. Intermittent rotation (180°) enabled each halve to alternately serve as anode and cathode. Removal of chemical oxygen demand (COD) was increased by 15% (from 0.79 to 0.91 kg COD m(-3) d(-1)) by allowing electron flow from the lower to the upper disk halves. Coupling with a potentiostat could alleviate cathodic limitation and increased COD removal to 1.32 kg COD m(-3) day(-1) (HRT 5h). About 40% of the COD removed was via current, indicating that the biofilm could use the lower half disk as electron acceptor. The RBEC removed COD more energy-efficiently than conventional activated sludge processes as active aeration is not required (0.47 vs. 0.7-2.0 kW h kg COD(-1)).

  17. Soil, Maize Crop, and Kernel Composition Responses to Rotation and N Fertilizer Treatments

    USDA-ARS?s Scientific Manuscript database

    Maize can utilize nitrogen (N) from inorganic fertilizers as well as from mineralized organic sources. We were interested in how maize responds to rotations that contain legumes. The objective of this 2-yr field investigation conducted on a long-term field study (started in 1990) was to measure effe...

  18. Low-cost alternative external rotation shoulder brace and review of treatment in acute shoulder dislocations.

    PubMed

    Lacy, Kyle; Cooke, Chris; Cooke, Pat; Schupbach, Justin; Vaidya, Rahul

    2015-01-01

    Traumatic dislocations of the shoulder commonly present to emergency departments (EDs). Immediate closed reduction of both anterior and posterior glenohumeral dislocations is recommended and is frequently performed in the ED. Recurrence of dislocation is common, as anteroinferior labral tears (Bankart lesions) are present in many anterior shoulder dislocations.14,15,18,23 Immobilization of the shoulder following closed reduction is therefore recommended; previous studies support the use of immobilization with the shoulder in a position of external rotation, for both anterior and posterior shoulder dislocations.7-11,19 In this study, we present a technique for assembling a low-cost external rotation shoulder brace using materials found in most hospitals: cotton roll, stockinette, and shoulder immobilizers. This brace is particularly suited for the uninsured patient, who lacks the financial resources to pay for a pre-fabricated brace out of pocket. We also performed a cost analysis for our low-cost external rotation shoulder brace, and a cost comparison with pre-fabricated brand name braces. At our institution, the total materials cost for our brace was $19.15. The cost of a pre-fabricated shoulder brace at our institution is $150 with markup, which is reimbursed on average at $50.40 according to our hospital billing data. The low-cost external rotation shoulder brace is therefore a more affordable option for the uninsured patient presenting with acute shoulder dislocation.

  19. MO-F-CAMPUS-T-03: Data Driven Approaches for Determination of Treatment Table Tolerance Values for Record and Verification Systems

    SciTech Connect

    Gupta, N; DiCostanzo, D; Fullenkamp, M

    2015-06-15

    Purpose: To determine appropriate couch tolerance values for modern radiotherapy linac R&V systems with indexed patient setup. Methods: Treatment table tolerance values have been the most difficult to lower, due to many factors including variations in patient positioning and differences in table tops between machines. We recently installed nine linacs with similar tables and started indexing every patient in our clinic. In this study we queried our R&V database and analyzed the deviation of couch position values from the acquired values at verification simulation for all patients treated with indexed positioning. Mean and standard deviations of daily setup deviations were computed in the longitudinal, lateral and vertical direction for 343 patient plans. The mean, median and standard error of the standard deviations across the whole patient population and for some disease sites were computed to determine tolerance values. Results: The plot of our couch deviation values showed a gaussian distribution, with some small deviations, corresponding to setup uncertainties on non-imaging days, and SRS/SRT/SBRT patients, as well as some large deviations which were spot checked and found to be corresponding to indexing errors that were overriden. Setting our tolerance values based on the median + 1 standard error resulted in tolerance values of 1cm lateral and longitudinal, and 0.5 cm vertical for all non- SRS/SRT/SBRT cases. Re-analizing the data, we found that about 92% of the treated fractions would be within these tolerance values (ignoring the mis-indexed patients). We also analyzed data for disease site based subpopulations and found no difference in the tolerance values that needed to be used. Conclusion: With the use of automation, auto-setup and other workflow efficiency tools being introduced into radiotherapy workflow, it is very essential to set table tolerances that allow safe treatments, but flag setup errors that need to be reassessed before treatments.

  20. Development of a novel treatment planning test for credentialing rotational intensity-modulated radiotherapy techniques in the UK

    PubMed Central

    Ciurlionis, L; Clark, C; Venables, K

    2013-01-01

    Objective: The increasing use of tomotherapy and volumetric-modulated arc therapy in UK centres will result in more centres choosing to use this technology in a clinical trial setting. The Radiotherapy Trials Quality Assurance (RTTQA) group has developed a new procedure to integrate into the UK intensity-modulated radiotherapy (IMRT) credentialing programme to cover rotational IMRT delivery techniques. Methods: A planning test [three-dimensional treatment planning system (3DTPS)] was designed specifically for rotational IMRT techniques. The feasibility of using this test in the credentialing programme for rotational IMRT was validated by 10 experienced UK centres. The study included five centres using Varian RapidArc™ (RA) (Varian Medical Systems, Milpitas, CA), two using Elekta VMAT™ (VMAT) (Elekta Inc., Norcross, GA) and three using helical tomotherapy (HT) plans. Centres were asked to carry out their own in-house quality assurance (QA) for the plans submitted for this study. A survey was sent out to centres aiming to gather information on their experience in undertaking the exercise and their QA results. Results: All centres fulfilled the primary goal by achieving the dose constraints of the primary planning target volume and organ at risk. Seven centres (three RA, one VMAT and three HT plans) were able to fulfil the secondary goal. Among those seven centres, three centres (two RA and one VMAT plans) achieved the tertiary goal. The results of the survey indicated that the 3DTPS test is a clinically relevant and practical planning test to be used. Conclusion: A planning test for rotational therapy techniques was developed for the RTTQA IMRT credentialing programme. Advances in knowledge: This study validated the feasibility of a 3DTPS test to be used as part of a credentialing programme for rotational IMRT techniques in the UK. PMID:23385993

  1. Effects of post-harvest treatment using chitosan from Mucor circinelloides on fungal pathogenicity and quality of table grapes during storage.

    PubMed

    de Oliveira, Carlos Eduardo Vasconcelos; Magnani, Marciane; de Sales, Camila Veríssimo; Pontes, Alline Lima de Souza; Campos-Takaki, Galba Maria; Stamford, Thayza Christina Montenegro; de Souza, Evandro Leite

    2014-12-01

    The aim of this study was to extract chitosan (CHI) from Mucor circinelloides UCP 050 grown in a corn steep liquor (CSL)-based medium under optimized conditions and to assess the efficacy of the obtained CHI to inhibit the post-harvest pathogenic fungi Aspergillus niger URM 5162 and Rhizopus stolonifer URM 3482 in laboratory media and as a coating on table grapes (Vitis labrusca L.). The effect of CHI coating on some physical, physicochemical and sensory characteristics of the fruits during storage was assessed. The greatest amount of CHI was extracted from M. circinelloides UCP 050 grown in medium containing 7 g of CSL per 100 mL at pH 5.5 with rotation at 180 rpm. CHI from M. circinelloides UCP 050 caused morphological changes in the spores of the fungal strains tested and inhibited mycelial growth and spore germination. CHI coating delayed the growth of the assayed fungal strains in artificially infected grapes, as well as autochthonous mycoflora during storage. CHI coating preserved the quality of grapes during storage, as measured by their physical, physicochemical and sensory attributes. These results demonstrate that edible coatings derived from M. circinelloides CHI could be a useful alternative for controlling pathogenic fungi and maintaining the post-harvest quality of table grapes. Copyright © 2014 Elsevier Ltd. All rights reserved.

  2. SU-E-J-72: Dosimetric Study of Cone-Beam CT-Based Radiation Treatment Planning Using a Patient-Specific Stepwise CT-Density Table

    SciTech Connect

    Chen, S; Le, Q; Mutaf, Y; Yi, B; D’Souza, W

    2015-06-15

    Purpose: To assess dose calculation accuracy of cone-beam CT (CBCT) based treatment plans using a patient-specific stepwise CT-density conversion table in comparison to conventional CT-based treatment plans. Methods: Unlike CT-based treatment planning which use fixed CT-density table, this study used patient-specific CT-density table to minimize the errors in reconstructed mass densities due to the effects of CBCT Hounsfield unit (HU) uncertainties. The patient-specific CT-density table was a stepwise function which maps HUs to only 6 classes of materials with different mass densities: air (0.00121g/cm3), lung (0.26g/cm3), adipose (0.95g/cm3), tissue (1.05 g/cm3), cartilage/bone (1.6g/cm3), and other (3g/cm3). HU thresholds to define different materials were adjusted for each CBCT via best match with the known tissue types in these images. Dose distributions were compared between CT-based plans and CBCT-based plans (IMRT/VMAT) for four types of treatment sites: head and neck (HN), lung, pancreas, and pelvis. For dosimetric comparison, PTV mean dose in both plans were compared. A gamma analysis was also performed to directly compare dosimetry in the two plans. Results: Compared to CT-based plans, the differences for PTV mean dose were 0.1% for pelvis, 1.1% for pancreas, 1.8% for lung, and −2.5% for HN in CBCT-based plans. The gamma passing rate was 99.8% for pelvis, 99.6% for pancreas, and 99.3% for lung with 3%/3mm criteria, and 80.5% for head and neck with 5%/3mm criteria. Different dosimetry accuracy level was observed: 1% for pelvis, 3% for lung and pancreas, and 5% for head and neck. Conclusion: By converting CBCT data to 6 classes of materials for dose calculation, 3% of dose calculation accuracy can be achieved for anatomical sites studied here, except HN which had a 5% accuracy. CBCT-based treatment planning using a patient-specific stepwise CT-density table can facilitate the evaluation of dosimetry changes resulting from variation in patient anatomy.

  3. Enrollment Tables.

    ERIC Educational Resources Information Center

    University System of Georgia, Atlanta.

    A set of tables is provided summarizing fall enrollment from 1979 through 1988 in the university system of Georgia. The following types of data are provided: headcount enrollment; joint enrollment; developmental studies, freshmen, sophomores, juniors, seniors, graduate students, professional enrollment, transients, others, EFT enrollment, entering…

  4. Enrollment Tables.

    ERIC Educational Resources Information Center

    University System of Georgia, Atlanta.

    A set of tables is provided summarizing fall enrollment from 1979 through 1988 in the university system of Georgia. The following types of data are provided: headcount enrollment; joint enrollment; developmental studies, freshmen, sophomores, juniors, seniors, graduate students, professional enrollment, transients, others, EFT enrollment, entering…

  5. The treatment of idiopathic scoliosis in adolescents: rotation or in situ bending?

    PubMed

    Gennari, J M; Tallet, J M; Hornung, H; Bergoin, M

    1997-12-01

    Rotation alone is not fully efficient in order to correct all types of scoliotic curvatures. We report a series of 30 cases instrumented with the EUROS spine system and analyse reductions obtained with in situ rotation or bending alone or with combined maneuvres. The average age of surgery is 17 years for this series composed of 24 female and 6 male patients. The average follow-up is 2.3 years. The curve patterns are displayed with 6 major thoracic, 5 genuine double major, 4 double major thoracic predominant, 6 double major lumbar predominant and 9 double thoracic curves. Combination of both reduction techniques is advisable and is to be made according to the type of curvature and its reducibility in situ bending is made easier with this system without lockers and by reduced diameter of the rod.

  6. Calcifying tendinitis of the rotator cuff: functional outcome after arthroscopic treatment.

    PubMed

    Jacobs, Ruben; Debeer, Philippe

    2006-06-01

    In this study, we assessed the functional results after arthroscopic excision of rotator cuff calcifications. Sixty-one shoulders in 57 patients with chronic calcifying tendinitis of the rotator cuff were treated with arthroscopic excision, subacromial bursa debridement and shaving. In patients with fraying or roughness of the coracoacromial ligament, an acromioplasty was also performed. Patients were evaluated after a mean follow-up of 15 months. The modified Constant score and DASH score significantly improved from 33.4 to 66.8 and from 49.7 to 17.3 respectively. Performing an acromioplasty did not influence the final outcome. Frozen shoulder was a frequent complication (18%) without significant effect on the final DASH or Constant score. The presence of residual calcifications after arthroscopic needling did not influence the final outcome. We therefore believe that the presence of residual calcifications can be accepted if this is deemed necessary to preserve the integrity of the tendon.

  7. Rotating Rake Mode Measurements Over Passive Treatment in a Ducted Fan

    NASA Technical Reports Server (NTRS)

    Sutliff, Daniel L.

    2006-01-01

    The NASA Glenn Research Center s Rotating Rake mode measurement system has been successful in measuring the modal content propagating in hardwall ducts. This paper proposes an extension of the Rotating Rake measurement and analysis technique to treated sections by developing basis functions based on wall impedance boundary conditions for flow conditions (i.e., constant duct area and Mach number) where the closed form analytical solution exists. Analytical equations developed to estimate mode power are incorporated. This method is verified by decomposing and analyzing radial pressure profiles generated numerically by the Eversman propagation code. Several modes, frequencies and impedances are evaluated. Data from a low-speed ducted fan with several different impedance conditions was acquired and reduced to determine the best fit to the data. Using the impedance boundary conditions result in better mode measurement solutions.

  8. Treatment of adolescent idiopathic scoliosis with quantified trunk rotational strength training: a pilot study.

    PubMed

    McIntire, Kevin L; Asher, Marc A; Burton, Douglas C; Liu, Wen

    2008-07-01

    Prospective clinical trial. To test the hypothesis that quantified trunk rotational strength training will equalize any strength asymmetry, increase strength overall, and stabilize adolescent idiopathic scoliosis. Bracing, the only generally accepted form of adolescent idiopathic scoliosis nonoperative therapy, has many shortcomings. Paraspinal muscle abnormalities, which have been extensively documented in these patients, are generally considered to be secondary. A normal female's trunk strength in flexion and extension decreases from her juvenile to adolescent years, whereas a male's increases. Patients received a 4-month supervised followed by a 4-month home trunk rotational strength training program. Trunk rotational strength was measured in both directions at 5 positions at baseline, 4 months, and 8 months. The patients were followed clinically. Fifteen patients (12 females and 3 males), with an average age of 13.9 years and an average main Cobb of 33 degrees were enrolled. At baseline there was no significant asymmetry. After 4 months of supervised strength training, involving an average of 32 training sessions, each lasting about 25 minutes, their strength had significantly increased by 28% to 50% (P<0.005 to P<0.001). After 4 months of unsupervised home strength training their strengths were unchanged. The 3 patients with baseline curves of 50 to 60 degrees all had main or compensatory curve progression and 2 had surgery. For patients with 20 to 40-degree curves, survivorship from main curve progression of >or=6 degrees was 100% at 8 months, but decreased to 64% at 24 months. Quantified trunk rotational strength training significantly increased strength. It was not effective for curves measuring 50 to 60 degrees. It appeared to help stabilize curves in the 20 to 40-degree ranges for 8 months, but not for 24 months. Periodic additional supervised strength training may help the technique to remain effective, although additional experimentation will be

  9. [Surgical treatment for posterior malleolus in complicated external rotation ankle fracture].

    PubMed

    Tang, Yang; Zhang, Chun-Cai; Zhang, Yun-Tong; Li, Shi-Huo; Zhang, Xin; Fu, Qing-ge

    2012-05-01

    To evaluate the indications, surgical techniques and clinical effects of the fixation of posterior malleolus in complicated external rotation ankle fractures and illuminate the importance of anatomical reduction and rigid internal fixation of posterior malleolar fracture. From July 2007 to June 2009, 32 patients were treated with open reduction and internal fixation,involving 21 males and 11 females with an average age of 36 years old (ranged from 19 to 68 years old). According to Lauge-Hansen classification: 13 cases of pronation-external rotation type (IV), 7 and 12 cases of supination-external rotation type (III and IV). Postoperative functional exercise and regular follow-up were done and outcomes were assessed. All the patients were followed up,and the duration ranged from 7 to 20 months,with an average of 14.5 months. According to Ankle Hindfoot Clinical Rating System of the American Orthopaedic Foot & Ankle Society (AOFAS), 23 patients got an excellent result, 7 good, 2 fair, 0 poor. Anatomical reduction and rigid internal fixation of posterior malleolar fracture as well as early functional exercise have significance in restoring ankle joint function and reducing the incidence of traumatic arthritis.

  10. Lattisimus Dorsi Transfer assisted by arthroscopy for the treatment of irreparable posterolateral Rotator Cuff Tears

    PubMed Central

    Muiño, José María Silberberg; Gimenez, Martín Alejandro; Salvucci, Mauro Gabriel Maroa; Ferro, Diego; Rullan, Ramón Muiña

    2017-01-01

    Objective: To evaluate subjective and functional mid term results of patients treated by a lattisimus dorsi tendón transfer arthroscopically assisted for massive irreparable posterolateral injuries of the Rotator Cuff. Methods: Between 2009 and 2012, 17 Lattisimus Dorsi transfers (Paribelli technique) for irreparable posterolateral rotator cuff tears were performed. Distribution by sex: 12 men and 5 women with a mean age of 53 years old (range, 40-63). Thirteen right shoulders and 4 left shoulders. Average duration of symptoms prior to surgery was 8 months (range, 6-13 months). Mean follow-up was 28 months (range, 18-44). Patients were evaluated by the VAS, satisfaction rate, the Constant Modified Scale, postoperative range of motion and strength. Postoperative radiological studies included simple AP radiographs and MRI in order to measure AC distance and asses the integrity of the plasty. Results: Postoperative Constant Modified score averaged 63.54 points. (average increase of 13 points compared to preoperative score. (P ..05)). Active Mobility: a) Mean elevation: 142° postop vs. 119° preop (p <.001). b) Mean abduction: 138.24º postop vs. 112.35º preop (p <.001). c) Mean external rotation 40° postop vs. 20.29º preop (p <.004). Insert text. Conclusion: Lattisimus Dorsi transfer in patients with posterolateral massive irreparable injuries of the RC, is a highly demanding and palliative procedure for those cases with loss of active mobility, especially lifting and shoulder abduction.

  11. Simultaneously photocatalytic treatment of hexavalent chromium (Cr(VI)) and endocrine disrupting compounds (EDCs) using rotating reactor under solar irradiation.

    PubMed

    Kim, Youngji; Joo, Hyunku; Her, Namguk; Yoon, Yeomin; Sohn, Jinsik; Kim, Sungpyo; Yoon, Jaekyung

    2015-05-15

    In this study, simultaneous treatments, reduction of hexavalent chromium (Cr(VI)) and oxidation of endocrine disrupting compounds (EDCs), such as bisphenol A (BPA), 17α-ethinyl estradiol (EE2) and 17β-estradiol (E2), were investigated with a rotating photocatalytic reactor including TiO₂ nanotubes formed on titanium mesh substrates under solar UV irradiation. In the laboratory tests with a rotating type I reactor, synergy effects of the simultaneous photocatalytic reduction and oxidation of inorganic (Cr(VI)) and organic (BPA) pollutants were achieved. Particularly, the concurrent photocatalytic reduction of Cr(VI) and oxidation of BPA was higher under acidic conditions. The enhanced reaction efficiency of both pollutants was attributed to a stronger charge interaction between TiO₂ nanotubes (positive charge) and the anionic form of Cr(VI) (negative charge), which are prevented recombination (electron-hole pair) by the hole scavenging effect of BPA. In the extended outdoor tests with a rotating type II reactor under solar irradiation, the experiment was extended to examine the simultaneous reduction of Cr(VI) in the presence of additional EDCs, such as EE2 and E2 as well as BPA. The findings showed that synergic effect of both photocatalytic reduction and oxidation was confirmed with single-component (Cr(VI) only), two-components (Cr(VI)/BPA, Cr(VI)/EE2, and Cr(VI)/E2), and four-components (Cr(VI)/BPA/EE2/E2) under various solar irradiation conditions.

  12. Landfill leachate treatment using a rotating biological contactor and an upward-flow anaerobic sludge bed reactor

    SciTech Connect

    Castillo, E. Vergara, M.; Moreno, Y.

    2007-07-01

    This paper describes the feasibility of an aerobic system (rotating biological contactor, RBC) and a biological anaerobic system (upward-flow anaerobic sludge bed reactor) at small scale for the treatment of a landfill leachate. In the first phase of the aerobic system study, a cyclic-batch RBC system was used to select perforated acetate discs among three different acetate disc configurations. These discs were chosen on the basis of high COD removal (65%) and biological stability. In the second phase, the RBC system (using four stages) was operated continuously at different hydraulic retention times (HRT), at different rotational speeds, and with varying organic concentrations of the influent leachate (2500-9000 mg L{sup -1}). Forty percent of the total surface area of each perforated disc was submerged in the leachate. A COD removal of about 52% was obtained at an HRT of 24 h and a rotational speed of 6 rpm. For the anaerobic system, the reactor was evaluated with a volumetric organic load of 3273 g-COD m{sup -3} day{sup -1} at an HRT of 54, 44, 39, 24 and 17 h. At these conditions, the system reached COD removal efficiencies of 62%, 61%, 59%, 44% and 24%, respectively.

  13. Metacarpal rotational osteotomy.

    PubMed

    Gross, M S; Gelberman, R H

    1985-01-01

    Maximum metacarpal rotation and corresponding phalangeal correction were measured in 80 fingers of 40 cadaver hands. Total metacarpal rotation averaged 50 degrees to 52 degrees in the index, long, and ring fingers and 69 degrees in the small finger. Phalangeal correction averaged 36 degrees to 37 degrees in the index, long, and ring fingers and 50 degrees in the small finger (70% of rotation in the metacarpal). The orientation of the metacarpophalangeal joint was not a significant limiting factor. However, the deep transverse metacarpal ligament did limit maximum rotation at the metacarpal and the phalanx. The advantages of basal metacarpal osteotomy make this technique the procedure of choice for correcting malrotation of up to an average of 18 degrees to 19 degrees for the index, long, and ring fingers. For the small finger, 20 degrees to 30 degrees of correction is possible, depending on the direction of rotation. A table has been devised to predict the correction for individual digits.

  14. Treatment of C2 body fracture with unusual distractive and rotational components resulting in gross instability.

    PubMed

    Lau, Darryl; Shin, Samuel S; Patel, Rakesh; Park, Paul

    2013-01-01

    Cervical fractures can result in severe neurological compromise and even death. One of the most commonly injured segments is the C2 vertebrae, which most frequently involves the odontoid process. In this report, we present the unusual case of a 28-year-old female who sustained a C2 vertebral body fracture (comminuted transverse fracture through the body and both transverse processes) that had both a significant distractive and rotational component, causing the fracture to be highly unstable. Application of halo bracing was unsuccessful. The patient subsequently required a C1-C4 posterior spinal fusion. Follow-up computer tomography imaging confirmed fusion and the patient did well clinically thereafter.

  15. Apparatus for Teaching Physics: Air Table Experiments Without an Air Table.

    ERIC Educational Resources Information Center

    Minnix, Richard B.; Carpenter, D. Rae, Jr.

    1985-01-01

    Describes a new method and apparatus (consisting of a steel sheet, electromagnet, base, balls, and carbon paper) used to perform mechanics experiments which, until now, required use of an air table. Also compares the apparatus to an air table, explores its range of uses, and examines rotational dynamics. (DH)

  16. Apparatus for Teaching Physics: Air Table Experiments Without an Air Table.

    ERIC Educational Resources Information Center

    Minnix, Richard B.; Carpenter, D. Rae, Jr.

    1985-01-01

    Describes a new method and apparatus (consisting of a steel sheet, electromagnet, base, balls, and carbon paper) used to perform mechanics experiments which, until now, required use of an air table. Also compares the apparatus to an air table, explores its range of uses, and examines rotational dynamics. (DH)

  17. Treatment of amoxicillin by O3/Fenton process in a rotating packed bed.

    PubMed

    Li, Mo; Zeng, Zequan; Li, Yingwen; Arowo, Moses; Chen, Jianfeng; Meng, Hong; Shao, Lei

    2015-03-01

    In this study, simulated amoxicillin wastewater was treated by the O3/Fenton process in a rotating packed bed (RPB) and the results were compared with the Fenton process and the O3 followed by Fenton (O3 + Fenton) process. The chemical oxygen demand (COD) removal rate and the ratio of 5-day biological oxygen demand to chemical oxygen demand (BOD5/COD) in the O3/Fenton process were approximately 17% and 26%, respectively, higher than those in the O3 + Fenton process with an initial pH of 3. The COD removal rate of the amoxicillin solution reached maximum at the Fe(II) concentration of 0.6 mM, temperature of 25 °C, rotation speed of 800 rpm and initial pH of 3. The BOD5/COD of the amoxicillin solution increased from 0 to 0.38 after the solution was treated by the O3/Fenton process. Analysis of the intermediates indicated that the pathway of amoxicillin degradation in the O3/Fenton process was similar to that in the O3 + Fenton process. Contrast experiment results showed that amoxicillin degradation was significantly intensified in the RPB. Copyright © 2014 Elsevier Ltd. All rights reserved.

  18. Envelope analysis of rotating machine vibrations in variable speed conditions: A comprehensive treatment

    NASA Astrophysics Data System (ADS)

    Abboud, D.; Antoni, J.; Sieg-Zieba, S.; Eltabach, M.

    2017-02-01

    Nowadays, the vibration analysis of rotating machine signals is a well-established methodology, rooted on powerful tools offered, in particular, by the theory of cyclostationary (CS) processes. Among them, the squared envelope spectrum (SES) is probably the most popular to detect random CS components which are typical symptoms, for instance, of rolling element bearing faults. Recent researches are shifted towards the extension of existing CS tools - originally devised in constant speed conditions - to the case of variable speed conditions. Many of these works combine the SES with computed order tracking after some preprocessing steps. The principal object of this paper is to organize these dispersed researches into a structured comprehensive framework. Three original features are furnished. First, a model of rotating machine signals is introduced which sheds light on the various components to be expected in the SES. Second, a critical comparison is made of three sophisticated methods, namely, the improved synchronous average, the cepstrum prewhitening, and the generalized synchronous average, used for suppressing the deterministic part. Also, a general envelope enhancement methodology which combines the latter two techniques with a time-domain filtering operation is revisited. All theoretical findings are experimentally validated on simulated and real-world vibration signals.

  19. A normal mode treatment of semi-diurnal body tides on an aspherical, rotating and anelastic Earth

    NASA Astrophysics Data System (ADS)

    Lau, Harriet C. P.; Yang, Hsin-Ying; Tromp, Jeroen; Mitrovica, Jerry X.; Latychev, Konstantin; Al-Attar, David

    2015-08-01

    Normal mode treatments of the Earth's body tide response were developed in the 1980s to account for the effects of Earth rotation, ellipticity, anelasticity and resonant excitation within the diurnal band. Recent space-geodetic measurements of the Earth's crustal displacement in response to luni-solar tidal forcings have revealed geographical variations that are indicative of aspherical deep mantle structure, thus providing a novel data set for constraining deep mantle elastic and density structure. In light of this, we make use of advances in seismic free oscillation literature to develop a new, generalized normal mode theory for the tidal response within the semi-diurnal and long-period tidal band. Our theory involves a perturbation method that permits an efficient calculation of the impact of aspherical structure on the tidal response. In addition, we introduce a normal mode treatment of anelasticity that is distinct from both earlier work in body tides and the approach adopted in free oscillation seismology. We present several simple numerical applications of the new theory. First, we compute the tidal response of a spherically symmetric, non-rotating, elastic and isotropic Earth model and demonstrate that our predictions match those based on standard Love number theory. Second, we compute perturbations to this response associated with mantle anelasticity and demonstrate that the usual set of seismic modes adopted for this purpose must be augmented by a family of relaxation modes to accurately capture the full effect of anelasticity on the body tide response. Finally, we explore aspherical effects including rotation and we benchmark results from several illustrative case studies of aspherical Earth structure against independent finite-volume numerical calculations of the semi-diurnal body tide response. These tests confirm the accuracy of the normal mode methodology to at least the level of numerical error in the finite-volume predictions. They also demonstrate

  20. Impact of preharvest and postharvest alginate treatments enriched with vanillin on postharvest decay, biochemical properties, quality and sensory attributes of table grapes.

    PubMed

    Konuk Takma, Dilara; Korel, Figen

    2017-04-15

    Alginate solution enriched with vanillin as a bioactive compound was investigated for improving preharvest and postharvest quality and safety of table grapes. Alginate treatments with or without vanillin as preharvest spray and postharvest coating were implemented on table grapes of Alphonse Lavalleé and Razaki cultivars. Fungal decay, biochemical properties, quality and sensory attributes were evaluated at day of preharvest treatment, at harvesting and during 35days of storage at 4±2°C. Alginate treatments with or without vanillin were effective in preventing weight and firmness losses. Total soluble solids, titratable acidity, and color of grapes coated with alginate coatings with or without vanillin showed minor changes compared to control grapes. Alginate coating incorporating vanillin provided significant reduction (1.73log CFU/g) in yeast-mold growth. Moreover, the coatings maintained greater total phenolic content and antioxidant activity compared to others during postharvest storage. In terms of sensory attributes, appearance was ranked as the highest for alginate coating without vanillin due to glossiness of alginate.

  1. Achieving a table-like magnetocaloric effect and large refrigerant capacity in in situ multiphase Gd65Mn25Si10 alloys obtained by crystallization treatment

    NASA Astrophysics Data System (ADS)

    Shen, X. Y.; Zhong, X. C.; Huang, X. W.; Mo, H. Y.; Feng, X. L.; Liu, Z. W.; Jiao, D. L.

    2017-01-01

    In situ multiphase structure Gd65Mn25Si10 alloys were fabricated by melt spinning and subsequent crystallization treatment. In the process of crystallization, the α-Gd, GdMn2 and Gd5Si3 phases precipitate in the amorphous matrix in turn. The Curie temperature (T C) values for the α-Gd crystallization phase and amorphous matrix can be tailored by tuning the crystallization treatment time. All three multiphase alloys obtained by crystallization treatment at 637 K for 20, 30 and 40 min, respectively, undergo multiple successive magnetic phase transitions. A table-like magnetic entropy change over a wide temperature range (~90-120 K) and a large full width at half maximum (ΔT FWHM) magnetic entropy change (~230 K) were achieved in the above-mentioned crystallized alloys, resulting in large refrigerant capacities (RCs). The enhanced RCs of the three crystallized alloys for a magnetic field change of 0-5 T are in the range of 541-614 J kg-1. Large ΔT FWHM and RC values and a table-like (-ΔS M)max feature obtained in in situ multiphase Gd65Mn25Si10 crystallized alloys make them suitable for potential application in efficient Ericsson-cycle magnetic refrigeration working in a temperature range from 74 to 310 K.

  2. Biological waste gas treatment with a modified rotating biological contactor. Iota. Control of biofilm growth and long-term performance.

    PubMed

    Vinage, I; von Rohr, P Rudolf

    2003-11-01

    In this work, we introduce a modified rotating biological contactor (RBC) system and demonstrate its feasibility by applying the newly devised process to the biological treatment of artificial waste gas. In the proposed system, the waste gas is introduced to the bioreactor in the spacings between the rotating discs through a hollow shaft, thus allowing for intimate gas-liquid contact. A 91-l modified RBC containing 20 biofilm support discs 40 cm in diameter was used in the experiments. Toluene was used as the model pollutant, and the system was operated under standard operating conditions for more than one year in order to investigate its long-term performance and assess its ability to control the growth of the biofilm. It was demonstrated that the proposed system allows to efficiently control the growth of the biofilm, thus overcoming the clogging problem inherent in most conventional methods for the biological treatment of waste gas. Moreover, the system was shown to exhibit stationary long-term performance for a period of more than one year, hence indicating its feasibility for industrial application.

  3. Late treatment of obstetrical brachial plexus palsy by humeral rotational osteotomy and lengthening with an intramedullary elongation nail.

    PubMed

    Acan, Ahmet Emrah; Gursan, Onur; Demirkiran, Nihat Demirhan; Havitcioglu, Hasan

    2017-05-08

    To date, all the authors who have recommended external rotation osteotomy (ERO) in the late treatment of obstetrical brachial plexus palsy (OBPP), have neglected upper limb length discrepancy, which is an another sequelae of OBPP. In this paper, a new technique is reported for the late treatment of OBPP patients with upper limb length discrepancy, in which both humeral external rotation osteotomy (ERO) and lengthening are applied with an intramedullary elongation nail. With this technique, upper limb function is improved through re-orientation of the shoulder arc to a more functional range, and further improvements will be seen in the appearance of the upper limb with the elimination of length discrepancy. It is also advocated that there is a potentiating effect of the humeral lengthening on shoulder movements gained by ERO when the osteotomy is applied above the deltoid insertion, as this allows more lateralized placement of the deltoid insertion. Copyright © 2017 Turkish Association of Orthopaedics and Traumatology. Production and hosting by Elsevier B.V. All rights reserved.

  4. Treatment of penile strangulation by the rotating saw and 4-needle aspiration method: two case reports.

    PubMed

    Talib, Raidh A; Canguven, Onder; Al Ansari, Abdulla; Shamsodini, Ahmad

    2014-06-30

    The aim of this article was to describe our experience in using rotating saw and also combination of the instrument with 4-needle aspiration. A comprehensive review of the literature was performed using PubMed. "Penile strangulation, -constriction, -incarceration, -entrapment" were used as search terms, and a manual bibliographic review of cross referenced items was performed. Search results yielded nearly 70 cases of penile strangulation caused by a variety of objects. Various instruments have been described in the literature for their safe removal, each with its own pros and cons. Penile strangulation should be accepted as a self-induced priapism and managed as an emergency in order to preserve erectile function and to prevent penile necrosis. Surgical creativity and patience are necessary in order to have a successful outcome.

  5. Treatment of the calcific tendinopathy of the rotator cuff by ultrasound-guided percutaneous needle lavage. Two years prospective study

    PubMed Central

    Del Castillo-González, Federico; Ramos-Álvarez, Juan José; Rodríguez-Fabián, Guillermo; González-Pérez, José; Calderón-Montero, Javier

    2014-01-01

    Summary Purpose: to evaluate the short and long term effectiveness of ultrasonography (US)-guided percutaneous needle lavage in calcific tendinopathy of the rotator cuff. To study the evolution of the size of calcifications and pain in the two years after treatment. Methods: a 2 year longitudinal prospective study is carried out after applying the UGPL technique on a number of patients diagnosed with calcific tendinitis of the rotator cuff. Clinical, ultrasound and radiology follow-up controls were performed, 3 months, 6 months, one year and two years after the treatment. The Visual Analog Scale (VAS) was used to assess the pain. The degree and point of pain is selected on a 10cm line, arranged horizontally or vertically. The “0” represents no pain and “10” represents worst pain. The population studied was made up of 121 patients that required our service as a result of suffering from a painful shoulder. Results: the pain (VAS) and the size of the calcification significantly decreased with the application of the technique (p< 0,001 in both cases) and regardless of the sex (p: 0.384 for pain and p: 0.578 for the size of the calcification). This occurred from the first check-up (3 months) and was maintained for two year. Conclusion: we consider this technique to be a valid alternative as a first-choice treatment of calcific tendinitis of the shoulder. The intervention is simple, cost-effective, does not require hospitalization, involves no complications, rehabilitation treatment is not required and it shows very few side effects without sequelae, significantly reducing the size of the calcification and pain in the majority of patients. PMID:25767776

  6. Extracorporeal shockwaves versus ultrasound-guided percutaneous lavage for the treatment of rotator cuff calcific tendinopathy: a randomized controlled trial.

    PubMed

    Del Castillo-González, Federico; Ramos-Alvarez, Juan J; Rodríguez-Fabián, Guillermo; González-Pérez, José; Jiménez-Herranz, Elena; Varela, Enrique

    2016-04-01

    Extracorporeal shockwave treatment (ESWT) and ultrasound-guided percutaneous lavage (UGPL) are two effective ways of treating rotator cuff calcific tendinopathy (RCCT). The aim of the present study was to compare the effectiveness of these techniques in the treatment of RCCT. Prospective, randomized, controlled trial. Patients treated in our sports medicine and rehabilitation center (Centro Médico Deyre, Madrid. Spain) between January 2007 and December 2013. This randomized study compares the results achieved with these techniques over one year following their use to treat the above condition. Eighty patients received ESWT and 121 received UGPL. A visual analogue scale was used to measure pain, and ultrasound to determine the extent of calcification, at 3, 6, and 12 months after treatment. Pain and the amount of calcification were significantly reduced by both techniques at 3, 6 and 12 months (P<0.001 for each), but significantly more so by UGPL (P<0.001). Both techniques are valid for the treatment of RCCT, although UGPL is associated with a greater reduction of calcification and greater reduction in pain. The results obtained applying UGPL, the low cost and the lack of complications should therefore make the treatment of choice in centers that are appropriately equipped and staffed.

  7. Continuous Arc Rotation of the Couch Therapy for the Delivery of Accelerated Partial Breast Irradiation: A Treatment Planning Analysis

    SciTech Connect

    Shaitelman, Simona F.; Kim, Leonard H.; Yan Di; Martinez, Alvaro A.; Vicini, Frank A.; Grills, Inga S.

    2011-07-01

    Purpose: We present a novel form of arc therapy: continuous arc rotation of the couch (C-ARC) and compare its dosimetry with three-dimensional conformal radiotherapy (3D-CRT), intensity-modulated radiotherapy (IMRT), and volumetric-modulated arc therapy (VMAT) for accelerated partial breast irradiation (APBI). C-ARC, like VMAT, uses a modulated beam aperture and dose rate, but with the couch, not the gantry, rotating. Methods and Materials: Twelve patients previously treated with APBI using 3D-CRT were replanned with (1) C-ARC, (2) IMRT, and (3) VMAT. C-ARC plans were designed with one medial and one lateral arc through which the couch rotated while the gantry was held stationary at a tangent angle. Target dose coverage was normalized to the 3D-CRT plan. Comparative endpoints were dose to normal breast tissue, lungs, and heart and monitor units prescribed. Results: Compared with 3D-CRT, C-ARC, IMRT, and VMAT all significantly reduced the ipsilateral breast V50% by the same amount (mean, 7.8%). Only C-ARC and IMRT plans significantly reduced the contralateral breast maximum dose, the ipsilateral lung V5Gy, and the heart V5%. C-ARC used on average 40%, 30%, and 10% fewer monitor units compared with 3D-CRT, IMRT, and VMAT, respectively. Conclusions: C-ARC provides improved dosimetry and treatment efficiency, which should reduce the risks of toxicity and secondary malignancy. Its tangent geometry avoids irradiation of critical structures that is unavoidable using the en face geometry of VMAT.

  8. Evaluation of the results from arthroscopic surgical treatment of rotator cuff injuries in patients aged 65 years and over☆

    PubMed Central

    Miyazaki, Alberto Naoki; da Silva, Luciana Andrade; Santos, Pedro Doenux; Checchia, Sergio Luiz; Cohen, Carina; Giora, Taís Stedile Busin

    2015-01-01

    Objectives To evaluate the results from arthroscopic surgical treatment of rotator cuff injuries in patients aged 65 years and over. Methods Between 1998 and 2009, 168 patients underwent operations. Five cases were excluded. The remaining 163 patients were stratified according to their age group: 65–69 years (49.1%), 70–74 (26.4%) and 75 years and over (24.5%). Their mean age was 71 years (range: 65–83). There were 63 male patients (38.7%). The mean length of time with pain, from the onset of symptoms to the surgery, was 23 months (range: 2 days to 240 months). Sixty-two patients (38%) reported histories of trauma and 26 (16%) reported that their pain worsened through exertion. Results From the UCLA criteria, 80.4% of the results were excellent, 16% good, 1.8% fair and 1.8% poor. Complications occurred in 11%. The final clinical result did not show any correlation with age progression, injury size or tendons affected. However, there was a significant association (p < 0.001) between the presence of trauma and larger injuries. The length of time between the onset of symptoms and the surgical procedure had a significant relationship (p < 0.027) with the postoperative results: the longer this time was, the worse the results were. Conclusion Arthroscopic treatment of rotator cuff injuries in patients aged 65 years and over presented excellent and good results in 96.4% of the cases, according to the UCLA assessment, with a low complication rate. Advanced age did not show any influence on the postoperative clinical evolution, but the earlier the surgical treatment was instituted, the better the results were. PMID:26229935

  9. Low Temperature and Short-Term High-CO2 Treatment in Postharvest Storage of Table Grapes at Two Maturity Stages: Effects on Transcriptome Profiling

    PubMed Central

    Rosales, Raquel; Romero, Irene; Fernandez-Caballero, Carlos; Escribano, M. Isabel; Merodio, Carmen; Sanchez-Ballesta, M. Teresa

    2016-01-01

    Table grapes (Vitis vinifera cv. Cardinal) are highly perishable and their quality deteriorates during postharvest storage at low temperature mainly because of sensitivity to fungal decay and senescence of rachis. The application of a 3-day CO2 treatment (20 kPa CO2 + 20 kPa O2 + 60 kPa N2) at 0°C reduced total decay and retained fruit quality in early and late-harvested table grapes during postharvest storage. In order to study the transcriptional responsiveness of table grapes to low temperature and high CO2 levels in the first stage of storage and how the maturity stage affect these changes, we have performed a comparative large-scale transcriptional analysis using the custom-made GrapeGen GeneChip®. In the first stage of storage, low temperature led to a significantly intense change in grape skin transcriptome irrespective of fruit maturity, although there were different changes within each stage. In the case of CO2 treated samples, in comparison to fruit at time zero, only slight differences were observed. Functional enrichment analysis revealed that major modifications in the transcriptome profile of early- and late-harvested grapes stored at 0°C are linked to biotic and abiotic stress-responsive terms. However, in both cases there is a specific reprogramming of the transcriptome during the first stage of storage at 0°C in order to withstand the cold stress. Thus, genes involved in gluconeogenesis, photosynthesis, mRNA translation and lipid transport were up-regulated in the case of early-harvested grapes, and genes related to protein folding stability and intracellular membrane trafficking in late-harvested grapes. The beneficial effect of high CO2 treatment maintaining table grape quality seems to be an active process requiring the induction of several transcription factors and kinases in early-harvested grapes, and the activation of processes associated to the maintenance of energy in late-harvested grapes. PMID:27468290

  10. Low Temperature and Short-Term High-CO2 Treatment in Postharvest Storage of Table Grapes at Two Maturity Stages: Effects on Transcriptome Profiling.

    PubMed

    Rosales, Raquel; Romero, Irene; Fernandez-Caballero, Carlos; Escribano, M Isabel; Merodio, Carmen; Sanchez-Ballesta, M Teresa

    2016-01-01

    Table grapes (Vitis vinifera cv. Cardinal) are highly perishable and their quality deteriorates during postharvest storage at low temperature mainly because of sensitivity to fungal decay and senescence of rachis. The application of a 3-day CO2 treatment (20 kPa CO2 + 20 kPa O2 + 60 kPa N2) at 0°C reduced total decay and retained fruit quality in early and late-harvested table grapes during postharvest storage. In order to study the transcriptional responsiveness of table grapes to low temperature and high CO2 levels in the first stage of storage and how the maturity stage affect these changes, we have performed a comparative large-scale transcriptional analysis using the custom-made GrapeGen GeneChip®. In the first stage of storage, low temperature led to a significantly intense change in grape skin transcriptome irrespective of fruit maturity, although there were different changes within each stage. In the case of CO2 treated samples, in comparison to fruit at time zero, only slight differences were observed. Functional enrichment analysis revealed that major modifications in the transcriptome profile of early- and late-harvested grapes stored at 0°C are linked to biotic and abiotic stress-responsive terms. However, in both cases there is a specific reprogramming of the transcriptome during the first stage of storage at 0°C in order to withstand the cold stress. Thus, genes involved in gluconeogenesis, photosynthesis, mRNA translation and lipid transport were up-regulated in the case of early-harvested grapes, and genes related to protein folding stability and intracellular membrane trafficking in late-harvested grapes. The beneficial effect of high CO2 treatment maintaining table grape quality seems to be an active process requiring the induction of several transcription factors and kinases in early-harvested grapes, and the activation of processes associated to the maintenance of energy in late-harvested grapes.

  11. Endovascular treatment of acute limb ischemia and proximal deep vein thrombosis using rotational thrombectomy: A review of published literature.

    PubMed

    Lichtenberg, Michael; Stahlhoff, Friedrich-Wilhelm; Boese, Dirk

    2013-01-01

    Acute and subacute ischemia of the lower extremity is still a common reason for amputation. The treatment of this condition includes the well known procedure of local thrombolysis, surgical thrombectomy and, in recent times, percutaneous mechanical thrombectomy procedures such as rotational thrombectomy. However, in randomized studies Fogarty's procedure of surgical thrombectomy was associated with a high rate of perioperative complications and, in part, low technical success rates. On the other hand, local thrombolysis is associated with hemorrhage as well as high costs because of measures requiring substantial resources, such as intensive care monitoring or repeat angiographies. In several studies, the endovascular therapy options of Straub Rotarex® and Aspirex® systems, both products of technical advancements in the field, were shown to be successful in terms of amputation-free survival. Their use was also associated with low complication rates. The majority of studies were focused on arterial blood flow in the femur. However, in the meantime several registers and studies have shown that the systems can also be effectively used to treat proximal deep vein thrombosis. In the present report we review the current study-based value of rotational thrombectomy in the venous and arterial system.

  12. Rotating biological contactor reactor with biofilm promoting mats for treatment of benzene and xylene containing wastewater.

    PubMed

    Sarayu, K; Sandhya, S

    2012-12-01

    A novel rotating biological contactor (RBC) bioreactor immobilized with microorganisms was designed to remove volatile organic compounds (VOC), such as benzene and xylene from emissions, and its performance was investigated. Gas-phase VOCs stripped by air injection were 98 % removed in the RBC when the superficial air flow rate was 375 ml/h (1,193 and 1,226 mg/l of benzene and xylene, respectively). The maximum removal rate was observed to be 1,007 and 1,872 mg/m(3)/day for benzene and xylene, respectively. The concentration profile of benzene and xylene along the RBC was dependent on the air flow rate and the degree of microbial adaptation. Air flow rate and residence time were found to be the most important operational parameters for the RBC reactor. By manipulating these operational parameters, the removal efficiency and capacity of the bioreactor could be enhanced. The kinetic constant K (s) demonstrated a linear relationship that indicated the maximum removal of benzene and xylene in RBC reactor. The phylogenic profile shows the presence of bacterium like Pseudomonas sp., Bacillus sp., and Enterococcus sp., which belonged to the phylum Firmicutes, and Proteobacteria that were responsible for the 98 % organic removal in the RBC.

  13. Treatment of acute embolic occlusions of the subclavian and axillary arteries using a rotational thrombectomy device.

    PubMed

    Zeller, T; Frank, U; Bürgelin, K; Sinn, L; Horn, B; Schwarzwälder, U; Roskamm, H; Neumann, F J

    2003-05-01

    Acute embolic or local thrombotic ischaemia of the upper limbs can be treated by embolectomy or by endovascular techniques. We report here on the endovascular thrombectomy of acute embolic occlusions of subclavian and axillary arteries in two patients using a rotational thrombectomy device and give an overview about the actual literature. Two female patients, each with a history of multivessel coronary disease and intermittent atrial fibrillation, complained of sudden onset of pain at rest and paleness of the left and right arm, respectively. Duplex ultrasound showed a localized embolic occlusion of the left subclavian artery and the bifurcation of the brachial artery in the first patient and a localized embolic occlusion of the distal right subclavian and axillary artery in the second patient. In the first patient, the left subclavian artery was reopened using a 8F-Rotarex device via the femoral access, while the bifurcation of the brachial artery was reopened by local thrombolysis using 25 mg rt-PA because of the insufficient length of the thrombectomy device of 80 cm. In the second patient, the right subclavian and axillary arteries were reopened using a 6F-Rotarex device. Follow-up examinations before discharge and after 6 months showed normalized perfusion of the arms of both patients.

  14. Combined distal tibial rotational osteotomy and proximal growth plate modulation for treatment of infantile Blount’s disease

    PubMed Central

    Abdelgawad, Amr A

    2013-01-01

    Infantile Blount’s disease is a condition that causes genu varum and internal tibial torsion. Treatment options include observation, orthotics, corrective osteotomy, elevation of the medial tibial plateau, resection of a physeal bar, lateral hemi-epiphysiodesis, and guided growth of the proximal tibial physis. Each of these treatment options has its disadvantages. Treating the coronal deformity alone (genu varum) will result in persistence of the internal tibial torsion (the axial deformity). In this report, we describe the combination of lateral growth modulation and distal tibial external rotation osteotomy to correct all the elements of the disease. This has not been described before for treatment of Blount’s disease. Both coronal and axial deformities were corrected in this patient. We propose this combination (rather than the lateral growth modulation alone) as the method of treatment for early stages of Blount’s disease as it corrects both elements of the disease and in the same time avoids the complications of proximal tibial osteotomy. PMID:23610758

  15. Mesa = Table

    NASA Technical Reports Server (NTRS)

    2006-01-01

    10 August 2006 This Mars Global Surveyor (MGS) Mars Orbiter Camera (MOC) image shows two mesas on the northern plains of Mars. 'Mesa' is the Spanish word for 'table,' and that is a very good description of the two elliptical features captured in this MOC image. In both cases, the mesa tops and the material beneath them, down to the level of the surrounding, rugged plain, are remnants of a once more extensive layer (or layers) of material that has been largely eroded away. The circular feature near the center of the larger mesa is the site of a filled and buried impact crater.

    Location near: 53.5oN, 153.5oW Image width: 3 km (1.9 mi) Illumination from: lower left Season: Northern Spring

  16. Mesa = Table

    NASA Technical Reports Server (NTRS)

    2006-01-01

    10 August 2006 This Mars Global Surveyor (MGS) Mars Orbiter Camera (MOC) image shows two mesas on the northern plains of Mars. 'Mesa' is the Spanish word for 'table,' and that is a very good description of the two elliptical features captured in this MOC image. In both cases, the mesa tops and the material beneath them, down to the level of the surrounding, rugged plain, are remnants of a once more extensive layer (or layers) of material that has been largely eroded away. The circular feature near the center of the larger mesa is the site of a filled and buried impact crater.

    Location near: 53.5oN, 153.5oW Image width: 3 km (1.9 mi) Illumination from: lower left Season: Northern Spring

  17. Initial medical management of rotator cuff tears: a demographic analysis of surgical and nonsurgical treatment in the United States Medicare population.

    PubMed

    Varkey, Dax T; Patterson, Brendan M; Creighton, R Alexander; Spang, Jeffrey T; Kamath, Ganesh V

    2016-12-01

    Rotator cuff tears have a lifetime incidence between 25% and 40% in the United States, but optimum treatment strategies and protocol have not yet been widely accepted. This study evaluated the proportions of patients treated with nonoperative and operative modalities and how this proportion has changed during an 8-year period (2005-2012) among patients with Medicare. Using the PearlDiver patient record database, we identified Medicare patients having been diagnosed with a rotator cuff tear. These patients were then stratified on the basis of treatment with physical therapy, subacromial/glenohumeral injection, or rotator cuff repair. We analyzed the data in regard to standard demographic information, comorbidities, and the Charlson Comorbidity Index. During the study period, 878,049 patients were identified and 397,116 patients had rotator cuff repair. The proportion of patients treated initially with physical therapy dropped from 30.0% in 2005 to 13.2% in 2012, and the subacromial/glenohumeral injection proportion decreased from 6.00% to 4.19% (P < .001). The proportion of patients who had rotator cuff repair increased from 33.8% to 40.4% from 2005 to 2012 (P < .001). Charlson Comorbidity Indexes were significantly lower in operative patients compared with each nonoperative treatment examined. This analysis demonstrates a significant decrease in the initial trial of nonoperative treatment and an increase in the rate of surgery. Patients undergoing rotator cuff repair had fewer comorbidities than those undergoing nonoperative treatments. It also demonstrates that patients who had a trial of injection had a higher incidence of eventual rotator cuff repair compared with the patients with an initial trial of physical therapy. Copyright © 2016 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

  18. Packed cage rotating biological contactor system for treatment of cyanide wastewater.

    PubMed

    Sirianuntapiboon, Suntud; Chuamkaew, Chollada

    2007-01-01

    The aim of this work was to study the efficiency of the packed cage rotating biological contactor (RBC) system with synthetic wastewater (SWW) containing 800 mg/l BOD(5) with various cyanide residue concentrations and hydraulic loading time. The results showed that cyanide had a negative effect to both the system's efficiency and bio-film quality. An increase in cyanide concentration led to a decrease in bio-film growth and the consequent reduction in the removal efficiency of the system. Also, the effluent suspended solids (SS) of the system was increased with increasing cyanide concentrations because the bio-film detached from the media due to the toxicity of the cyanide residue. The system showed the highest COD, BOD(5), TKN and cyanide removal efficiencies of 94.0 +/- 1.6%, 94.8 +/- 0.9%, 59.1 +/- 2.8% and 95.5 +/- 0.6%, respectively, with SWW containing 5 mg/l cyanide under HRT of 8 days, while they were only 88.8 +/- 0.7%, 89.5 +/- 0.5%, 40.3 +/- 1.1% and 93.60 +/- 0.09%, respectively, with SWW containing 40 mg/l cyanide. In addition, the effluent ammonia, nitrite and nitrate were increased with increases in cyanide concentration or loading. However, the system with SWW containing the highest cyanide concentration of 40 mg/l showed almost constant COD and BOD(5) removal efficiencies of 89% and 90%, even when the system was controlled under the lowest HRT of 8 h.

  19. Hyperspectral remote sensing analysis of short rotation woody crops grown with controlled nutrient and irrigation treatments

    Treesearch

    Jungho Im; John R. Jensen; Mark Coleman; Eric. Nelson

    2009-01-01

    Hyperspectral remote sensing research was conducted to document the biophysical and biochemical characteristics of controlled forest plots subjected to various nutrient and irrigation treatments. The experimental plots were located on the Savannah River Site near Aiken, SC. AISA hyperspectral imagery were analysed using three approaches, including: (1) normalized...

  20. Arthroscopic decompression not recommended in the treatment of rotator cuff tendinopathy: a final review of a randomised controlled trial at a minimum follow-up of ten years.

    PubMed

    Ketola, S; Lehtinen, J T; Arnala, I

    2017-06-01

    Rotator cuff tendinopathy has a multifactorial origin. Rejecting the mechanistic theory has also led to abandoning operative treatment at initial presentation in the first line. Physiotherapy exercise programmes are the accepted first line treatment. The aim of this study was to assess the long-term additional benefits of subacromial decompression in the treatment of rotator cuff tendinopathy. This randomised controlled trial of 140 patients (52 men, 88 women, mean age 47.1 years; 18 to 60) with rotator cuff tendinopathy extended previous work up to a maximum of 13 years. The patients were randomised into two treatment groups: arthroscopic acromioplasty and a supervised exercise treatment and a similar supervised exercise treatment alone. Self-reported pain on a visual analogue scale (VAS) was the primary outcome measure. Secondary measures were disability, working ability, pain at night, Shoulder Disability Questionnaire score and the number of painful days during the three months preceding the final assessment. A total of 90 patients (64%) returned questionnaires at a mean 12 years after randomisation. On an intention-to-treat basis, both treatment groups reached statistically significant improvement compared with the initial VAS for pain, but there was no significant difference between groups. The same was true in the secondary outcome measures. Due to group changes, the results were also analysed per protocol: operated or not. No significant differences between the groups were found. The natural history of rotator cuff tendinopathy probably plays a significant role in the results in the long-term. Even though the patients who underwent operative treatment had a stronger belief in recovery, which is likely to be surgical and the effect of placebo, the exercise group obtained similar results. In the future, an optimum exercise regime should be searched for, as the most clinically and cost-effective conservative treatment for rotator cuff tendinopathy. Cite this

  1. Static and Rotational IMRT Treatment Plans for the Prostate: A Dosimetric and Risk Comparison Study

    NASA Astrophysics Data System (ADS)

    Blais, Adam

    It has been reported that for certain clinical applications, Rotational Intensity Modulated Radiation Therapy (R-IMRT) techniques such as Volumetric Modulated Arc Therapy are capable of improved target dose coverage and shorter delivery time when compared to static, step-and-shoot IMRT. We study the merits of the two methods. Ten similar early stage prostate cases were used to generate R-IMRT and static IMRT plans. The R-IMRT plans consisted of 72 single-segmented 6MV beams, equally spaced with beam angle separations of 5 degrees. The static IMRT plans employed 7 multi-segmented 6MV beams. Both types of plans were optimized with the Direct Machine Parameter Optimization (DMPO) algorithm using the same set of optimization objectives. Dose volume histograms were obtained for both types of plans and were comparatively evaluated based on target coverage and dose to organs at risk. The R-IMRT plan had a much longer delivery time due to lack of dynamic MLC capabilities of the Primus linac. In addition, it had a longer computation and showed poorer critical structure sparing to organs inside the CT volume. However, the dose uniformity to the planning target volume was greatly improved when compared to the static IMRT plan. In addition, both techniques were compared in terms of long term risk of secondary malignancy. Plans were generated using both techniques for a RANDO phantom, and the dose to various organs throughout the body was measured using thermoluminescent diode measurements. The R-IMRT technique had a risk of 1.25 % when compared to the IMRT risk of 1.55 %. The lower risk was due to increased efficiency in terms of monitor unit delivery, which resulted in a lower overall peripheral dose to organs at risk. While showing promise, the static R-IMRT plan is not feasible in a clinical setting on a Siemens Primus linear accelerator due to lengthy delivery time as a result of static MLC's. However, if delivered using dynamic MLC's, it may prove more beneficial in

  2. A prospective multi-site registry study of a specific protocol of autologous bone marrow concentrate for the treatment of shoulder rotator cuff tears and osteoarthritis.

    PubMed

    Centeno, Christopher J; Al-Sayegh, Hasan; Bashir, Jamil; Goodyear, Shaun; Freeman, Michael D

    2015-01-01

    Shoulder pain is a common musculoskeletal complaint in the general population. Bone marrow concentrate (BMC) injections offer promising potential as a minimally invasive approach for treatment of shoulder pain in degenerative disease. In this study, we investigated the clinical outcomes of the BMC injections for treatment of shoulder pain and disability due to osteoarthritis (OA) and rotator cuff tears in a treatment registry population. A total of 115 shoulders in 102 patients were treated with autologous BMC injections for symptomatic OA at the glenohumeral joint and/or rotator cuff tears. Data were collected for factors potentially influencing outcome, including age, sex, body mass index, and the type of condition treated (ie, OA or rotator cuff tear). Clinical outcomes were assessed serially over time using the disabilities of the arm, shoulder and hand score (DASH), the numeric pain scale (NPS), and a subjective improvement rating scale. Baseline scores were compared to the most recent outcome scores at the time of the analysis and adjusted for demographic differences. We reported comparisons of pre- and post-treatment scores, the differences between osteoarthritis and rotator cuff groups, and the predictive effects on the clinical outcomes. At the most current follow-up assessment after treatment, the average DASH score decreased (improved) from 36.1 to 17.1 (P<0.001) and the average numeric pain scale value decreased (improved) from 4.3 to 2.4 (P<0.001). These changes were associated with an average subjective improvement of 48.8%. No differences were observed between outcomes among the shoulders treated for OA versus rotator cuff tears, nor did age, sex, or body mass index influence pain or functional outcomes. There were no significant treatment-related adverse events reported. We observed preliminarily encouraging results following BMC injections for shoulder OA and rotator cuff tears. These results serve as basis for the design of an adequately powered

  3. A prospective multi-site registry study of a specific protocol of autologous bone marrow concentrate for the treatment of shoulder rotator cuff tears and osteoarthritis

    PubMed Central

    Centeno, Christopher J; Al-Sayegh, Hasan; Bashir, Jamil; Goodyear, Shaun; Freeman, Michael D

    2015-01-01

    Introduction Shoulder pain is a common musculoskeletal complaint in the general population. Bone marrow concentrate (BMC) injections offer promising potential as a minimally invasive approach for treatment of shoulder pain in degenerative disease. In this study, we investigated the clinical outcomes of the BMC injections for treatment of shoulder pain and disability due to osteoarthritis (OA) and rotator cuff tears in a treatment registry population. Methods A total of 115 shoulders in 102 patients were treated with autologous BMC injections for symptomatic OA at the glenohumeral joint and/or rotator cuff tears. Data were collected for factors potentially influencing outcome, including age, sex, body mass index, and the type of condition treated (ie, OA or rotator cuff tear). Clinical outcomes were assessed serially over time using the disabilities of the arm, shoulder and hand score (DASH), the numeric pain scale (NPS), and a subjective improvement rating scale. Baseline scores were compared to the most recent outcome scores at the time of the analysis and adjusted for demographic differences. We reported comparisons of pre- and post-treatment scores, the differences between osteoarthritis and rotator cuff groups, and the predictive effects on the clinical outcomes. Results At the most current follow-up assessment after treatment, the average DASH score decreased (improved) from 36.1 to 17.1 (P<0.001) and the average numeric pain scale value decreased (improved) from 4.3 to 2.4 (P<0.001). These changes were associated with an average subjective improvement of 48.8%. No differences were observed between outcomes among the shoulders treated for OA versus rotator cuff tears, nor did age, sex, or body mass index influence pain or functional outcomes. There were no significant treatment-related adverse events reported. Discussion We observed preliminarily encouraging results following BMC injections for shoulder OA and rotator cuff tears. These results serve as basis

  4. Hyperspectral remote sensing analysis of short rotation woody crops grown with controlled nutrient and irrigation treatments

    SciTech Connect

    Im, Jungho; Jensen, John R.; Coleman, Mark; Nelson, Eric

    2009-08-01

    Abstract - Hyperspectral remote sensing research was conducted to document the biophysical and biochemical characteristics of controlled forest plots subjected to various nutrient and irrigation treatments. The experimental plots were located on the Savannah River Site near Aiken, SC. AISA hyperspectral imagery were analysed using three approaches, including: (1) normalized difference vegetation index based simple linear regression (NSLR), (2) partial least squares regression (PLSR) and (3) machine-learning regression trees (MLRT) to predict the biophysical and biochemical characteristics of the crops (leaf area index, stem biomass and five leaf nutrients concentrations). The calibration and cross-validation results were compared between the three techniques. The PLSR approach generally resulted in good predictive performance. The MLRT approach appeared to be a useful method to predict characteristics in a complex environment (i.e. many tree species and numerous fertilization and/or irrigation treatments) due to its powerful adaptability.

  5. League tables for orthodontists

    PubMed Central

    Richmond, Stephen; Phillips, Ceri; Durning, Peter

    2008-01-01

    The aim of this study was to explore the complexities in constructing league tables purporting to measure orthodontic clinical outcomes. Eighteen orthodontists were invited to participate in a cost-effectiveness study. Each orthodontist was asked to provide information on 100 consecutively treated patients. The Index of Complexity, Outcome, and Need (ICON) was used to assess treatment need, complexity, and outcome prior to, and on completion of, orthodontic treatment. The 18 orthodontists were ranked based on achieving a successful orthodontic outcome (ICON score less than or equal to 30) and the uncertainty in both the success rates and rankings was also quantified using confidence intervals. Successful outcomes were achieved in 62 per cent of the sample (range 19–94 per cent); four of the 18 orthodontists failed to achieve more than a 50 per cent success rate. In developing league tables, it is imperative that factors such as case mix are identified and accounted for in producing rankings. Bayesian hierarchical modelling was used to achieve this and to quantify uncertainty in the rankings produced. When case mix was taken into account, the four with low success rates were clearly not as good as the top four performing orthodontists. League tables can be valuable for the individual orthodontist, groups of orthodontists, payment/insurance agencies, and the public to enable informed choice for orthodontic provision but must be correctly constructed so that users can have confidence in them. PMID:18687990

  6. Remarks on Viewing Situation in a Rotating Frame

    ERIC Educational Resources Information Center

    Kobayashi, Yukio

    2008-01-01

    Representations of centrifugal forces are derived in a variety of rotating frames. Although the rotating angle of a point mass relative to an inertial frame is often confused with the rotating angle of a rotating frame relative to the inertial frame, they should be differentiated. (Contains 4 figures and 1 table.)

  7. Remarks on Viewing Situation in a Rotating Frame

    ERIC Educational Resources Information Center

    Kobayashi, Yukio

    2008-01-01

    Representations of centrifugal forces are derived in a variety of rotating frames. Although the rotating angle of a point mass relative to an inertial frame is often confused with the rotating angle of a rotating frame relative to the inertial frame, they should be differentiated. (Contains 4 figures and 1 table.)

  8. Application of automated thermal disinfection instead of sterilisation procedures for treatment of rotating dental instruments: efficacy against viruses?

    PubMed

    Rabenau, H F; Nentwig, G H; Doerr, H W

    1997-08-01

    In dentistry it is of primary importance to take into consideration microbial transfer due to the nature of the construction of rotating dental instruments. This aspect was the starting point for our research with the question whether or not sterilisation is fundamentally necessary for slow and high speed hand pieces to make them "safe" out of a virological point of view, or whether a thermal disinfection could also possibly be adequate for this purpose. In this context, we tested the efficiency of the cleaning and disinfection capacity of an automated steam disinfection and sterilisation unit (Sirona Hygiene Center, Siemens, AG, Bensheim) intended to the hygienic treatment of dental instruments with respect to viruses. In model tests the corresponding instruments were experimentally infected with herpes simplex virus type 1 (HSV) and simian vacuoling virus (SV40). As indicator systems we used for both cell cultures (measurement of the degree of infectiosity) and (for HSV) polymerase chain reactions (PCR; determination of viral nucleic acids). In the tests for (residual) infectiosity after thermal disinfection (as an isolated step of the Hygienic Centre) and also for a combination of cleaning and subsequent thermal disinfection (also after protein application), no infectious virus could be found in the interior of the slow handpieces and turbines tested. In opposite to this, infectious HSV and SV40 could be found after completion of every isolated cleaning program in the turbine (in all three ducts) and in the slow handpiece (only in the gearbox duct in the case of HSV, and in the case of SV40 also in the water and air ducts in very small amounts). The PCR analyses showed that no nucleic acids could be found in both instruments (in the air and water ducts) following a practice-relevant combination of cleaning and disinfection, but that PCR-positive signals were obtained for the larger-volume gearbox and drive and return air ducts in 1 or 2 of 3 test samples. The

  9. Treatment of non-traumatic rotator cuff tears: A randomised controlled trial with one-year clinical results.

    PubMed

    Kukkonen, J; Joukainen, A; Lehtinen, J; Mattila, K T; Tuominen, E K J; Kauko, T; Aärimaa, V

    2014-01-01

    We have compared three different methods of treating symptomatic non-traumatic tears of the supraspinatus tendon in patients above 55 years of age. A total of 180 shoulders (173 patients) with supraspinatus tendon tears were randomly allocated into one of three groups (each of 60 shoulders); physiotherapy (group 1), acromioplasty and physiotherapy (group 2) and rotator cuff repair, acromioplasty and physiotherapy (group 3). The Constant score was assessed and followed up by an independent observer pre-operatively and at three, six and twelve months after the intervention. Of these, 167 shoulders were available for assessment at one year (follow-up rate of 92.8%). There were 55 shoulders in group 1 (24 in males and 31 in females, mean age 65 years (55 to 79)), 57 in group 2 (29 male and 28 female, mean age 65 years (55 to 79)) and 55 shoulders in group 3 (26 male and 29 female, mean age 65 years (55 to 81)). There were no between-group differences in the Constant score at final follow-up: 74.1 (sd 14.2), 77.2 (sd 13.0) and 77.9 (sd 12.1) in groups 1, 2 and 3, respectively (p = 0.34). The mean change in the Constant score was 17.0, 17.5, and 19.8, respectively (p = 0.34). These results suggest that at one-year follow-up, operative treatment is no better than conservative treatment with regard to non-traumatic supraspinatus tears, and that conservative treatment should be considered as the primary method of treatment for this condition.

  10. Low-ammonia niche of ammonia-oxidizing archaea in rotating biological contactors of a municipal wastewater treatment plant

    PubMed Central

    Sauder, Laura A; Peterse, Francien; Schouten, Stefan; Neufeld, Josh D

    2012-01-01

    The first step of nitrification is catalysed by both ammonia-oxidizing bacteria (AOB) and archaea (AOA), but physicochemical controls on the relative abundance and function of these two groups are not yet fully understood, especially in freshwater environments. This study investigated ammonia-oxidizing populations in nitrifying rotating biological contactors (RBCs) from a municipal wastewater treatment plant. Individual RBC stages are arranged in series, with nitrification at each stage creating an ammonia gradient along the flowpath. This RBC system provides a valuable experimental system for testing the hypothesis that ammonia concentration determines the relative abundance of AOA and AOB. The results demonstrate that AOA increased as ammonium decreased across the RBC flowpath, as indicated by qPCR for thaumarchaeal amoA and 16S rRNA genes, and core lipid (CL) and intact polar lipid (IPL) crenarchaeol abundances. Overall, there was a negative logarithmic relationship (R2 = 0.51) between ammonium concentration and the relative abundance of AOA amoA genes. A single AOA population was detected in the RBC biofilms; this phylotype shared low amoA and 16S rRNA gene homology with existing AOA cultures and enrichments. These results provide evidence that ammonia availability influences the relative abundances of AOA and AOB, and that AOA are abundant in some municipal wastewater treatment systems. PMID:22639927

  11. Ultrasound imaging-guided percutaneous treatment of rotator cuff calcific tendinitis: success in short-term outcome.

    PubMed

    Bazzocchi, Alberto; Pelotti, Patrizia; Serraino, Salvatore; Battaglia, Milva; Bettelli, Graziano; Fusaro, Isabella; Guglielmi, Giuseppe; Rotini, Roberto; Albisinni, Ugo

    2016-01-01

    Rotator cuff calcific tendinitis (RCCT) is a common cause of shoulder pain in adults and typically presents as activity-related shoulder pain. Between non-surgical and surgical treatment options, today a few minimal invasive techniques are available to remove the calcific deposit, and they represent a cornerstone in the management of this painful clinical condition. The aim of the work was a retrospective evaluation of double-needle ultrasound-guided percutaneous fragmentation and lavage (DNL), focused on understanding the factors which are of major importance in determining a quick and good response at 1 month. A series of 147 patients affected by RCCT and suitable for DNL were evaluated. A systematic review of anamnestic, clinical and imaging data was performed in 144 shoulders treated in a single-centre setting. Clinical reports and imaging examinations were revisited. The inclusion criteria were submission to DNL, therefore fitness for the percutaneous procedure, and following 1-month follow-up. There was no exclusion owing to risk of bias. The treatment was defined as successful for constant shoulder modified score (CSS) improvement of >50% at 1 month. In 70% of shoulders, the treatment resulted in a quick and significant reduction of symptoms (successful). On the whole, CSS increase at 1 month was estimated at 91.5 ± 69.1%. CSS variations were significantly related to age of patients (better results between 30 and 40 years old), calcification size (more relevant improvement for middle-sized calcifications, 12-17 mm), sonographic and radiographic features of calcific deposits (softer calcifications) and thickening of subacromial/subdeltoid bursa walls. In the final model of stepwise regression for CSS variation, ultrasound score pre-treatment and post-treatment, the distance between bursa and calcification before treatment and the size of post-treatment calcification area were shown to be independently correlated to success. Numeric rating scale score

  12. Ultrasound imaging-guided percutaneous treatment of rotator cuff calcific tendinitis: success in short-term outcome

    PubMed Central

    Pelotti, Patrizia; Serraino, Salvatore; Battaglia, Milva; Bettelli, Graziano; Fusaro, Isabella; Guglielmi, Giuseppe; Rotini, Roberto; Albisinni, Ugo

    2016-01-01

    Objective: Rotator cuff calcific tendinitis (RCCT) is a common cause of shoulder pain in adults and typically presents as activity-related shoulder pain. Between non-surgical and surgical treatment options, today a few minimal invasive techniques are available to remove the calcific deposit, and they represent a cornerstone in the management of this painful clinical condition. The aim of the work was a retrospective evaluation of double-needle ultrasound-guided percutaneous fragmentation and lavage (DNL), focused on understanding the factors which are of major importance in determining a quick and good response at 1 month. Methods: A series of 147 patients affected by RCCT and suitable for DNL were evaluated. A systematic review of anamnestic, clinical and imaging data was performed in 144 shoulders treated in a single-centre setting. Clinical reports and imaging examinations were revisited. The inclusion criteria were submission to DNL, therefore fitness for the percutaneous procedure, and following 1-month follow-up. There was no exclusion owing to risk of bias. The treatment was defined as successful for constant shoulder modified score (CSS) improvement of >50% at 1 month. Results: In 70% of shoulders, the treatment resulted in a quick and significant reduction of symptoms (successful). On the whole, CSS increase at 1 month was estimated at 91.5 ± 69.1%. CSS variations were significantly related to age of patients (better results between 30 and 40 years old), calcification size (more relevant improvement for middle-sized calcifications, 12–17 mm), sonographic and radiographic features of calcific deposits (softer calcifications) and thickening of subacromial/subdeltoid bursa walls. In the final model of stepwise regression for CSS variation, ultrasound score pre-treatment and post-treatment, the distance between bursa and calcification before treatment and the size of post-treatment calcification area were shown to be independently correlated to

  13. Treatment of green table olive solutions with ozone. Effect on their polyphenol content and on Lactobacillus pentosus and Saccharomyces cerevisiae growth.

    PubMed

    Segovia Bravo, K A; Arroyo López, F N; García García, P; Durán Quintana, M C; Garrido Fernández, A

    2007-02-28

    Disposition of green table olives alkaline solutions (GTOS) remains a major task for the industry with serious environmental implications. The presence of high concentrations of polyphenols in olives also presents a problem for direct brining and successful fermentation step. In this study we evaluated the effect of ozone treated GTOS on the growth of Saccharomyces cerevisiae and Lactobacillus pentosus. GTOS were treated with ozone for 24 and 72 h. The treatment caused a rapid destruction of polyphenols but did not affect sugar concentration. S. cerevisiae grew in the original and treated liquids, although its maximum specific growth rate (mu(m)) and its population size increased as the ozone treatment was longer. L. pentosus was completely inhibited in the original and 24 h ozone treated GTOS, but grew in 72 h treated solutions. Co-culture with S. cerevisiae improved L. pentosus performance. Diluting the original GTOS with distilled water in several ratios, and adding MRS medium (50 g/L) to ensure nutrient availability, showed that a complete inhibition on L. pentosus did never occur; however, its mu(m) progressively increased, and the lag phase period (lambda) decreased linearly, with increasing dilutions levels. The inhibition effect was lower in 24 h ozone treated GTOS and disappeared completely in those treated for 72 h. Furthermore, treatment of GTOS with ozone always improved microbial growth.

  14. Idaho National Engineering Laboratory Conceptual Site Treatment Plan. Tables 8.1 and 8.2, Appendices A, B, C

    SciTech Connect

    Eaton, D.

    1993-10-01

    The US Department of Energy (DOE) is required by Section 3021(b) of the Resource Conservation and Recovery Act (RCRA), as amended by the Federal Facility Compliance Act (FFCAct), to prepare plans describing the development of treatment capacities and technologies for treating mixed waste. The FFCAct requires site treatment plans (STPs or plans) to be developed for each site at which DOE generates or stores mixed waste and submitted to the host state or the US Environmental Protection Agency (EPA) for either approval, approval with modification, or disapproval. The Idaho National Engineering Laboratory (INEL) Conceptual Site Treatment Plan (CSTP) is the preliminary version of the plan required by the FFCAct and is being provided to the State of Idaho, the EPA, and others for review. A list of the other DOE sites preparing CSTPs is included in Appendix A of this document. In addition to aiding the INEL in formulating its Final Proposed STP, this CSTP will also provide information to other DOE sites for use in identifying common technology needs and potential options for treating their wastes. The INEL CSTP is also intended to be used in conjunction with CSTPs from other sites as a basis for nationwide discussions among state regulators, the EPA, and other interested parties on treatment strategies and options, and on technical and equity issues associated with DOE`s mixed waste.

  15. Tables for technical writers

    Treesearch

    E. vH. Larson

    1947-01-01

    Practically every publication we issue contains tables of some sort. Tables offer a convenient way of presenting many kinds of information. And tables are badly abused. There are few places a writer can go to find out how to construct clear, compact, easy-to-read tables, and how to use them.

  16. Biologic Treatments for Sports Injuries II Think Tank-Current Concepts, Future Research, and Barriers to Advancement, Part 2: Rotator Cuff.

    PubMed

    Murray, Iain R; LaPrade, Robert F; Musahl, Volker; Geeslin, Andrew G; Zlotnicki, Jason P; Mann, Barton J; Petrigliano, Frank A

    2016-03-01

    Rotator cuff tears are common and result in considerable morbidity. Tears within the tendon substance or at its insertion into the humeral head represent a considerable clinical challenge because of the hostile local environment that precludes healing. Tears often progress without intervention, and current surgical treatments are inadequate. Although surgical implants, instrumentation, and techniques have improved, healing rates have not improved, and a high failure rate remains for large and massive rotator cuff tears. The use of biologic adjuvants that contribute to a regenerative microenvironment have great potential for improving healing rates and function after surgery. This article presents a review of current and emerging biologic approaches to augment rotator cuff tendon and muscle regeneration focusing on the scientific rationale, preclinical, and clinical evidence for efficacy, areas for future research, and current barriers to advancement and implementation.

  17. The Advantage of Cyclosporine A and Methotrexate Rotational Therapy in Long-Term Systemic Treatment for Chronic Plaque Psoriasis in a Real World Practice

    PubMed Central

    Choi, Chong Won; Kim, Bo Ri; Ohn, Jungyoon

    2017-01-01

    Background Psoriasis is a chronic inflammatory disease. In the treatment of psoriasis, cyclosporine is commonly prescribed systemic agents. However, long-term use of cyclosporine is not recommended because of side effects such as nephrotoxicity or hypertension. Objective To ascertain the improved safety of rotational therapy using cyclosporine and methotrexate, we investigated the frequency of abnormal results in laboratory test after long term rotational therapy using cyclosporine and methotrexate. Methods From January 2009 to June 2014, patients who were treated with cyclosporine or methotrexate were enrolled. The clinical data and usage of medications were reviewed. Laboratory tests were conducted before starting the treatment and regularly follow-up. The occurrences of any laboratory abnormalities during the treatments were investigated. Results A total of 21 psoriatic patients were enrolled. The mean of medication period and cumulative dose of cyclosporine and methotrexate were 497.81±512.06 days and 115.68±184.34 g in cyclosporine and 264.19±264.71 days and 448.71±448.63 mg in methotrexate. Laboratory abnormalities were found in total two patients after rotational therapy: two patients (9.5%) in aspartate aminotransferase/alanine aminotransferase and one patient (4.8%) in uric acid. No laboratory abnormalities were found in renal function test. Conclusion We found that the rotational approaches using cyclosporine and methotrexate reduced the possibility of the development of nephrotoxicity. In addition to other advantage such as quick switching from one agent to another, the rotational therapy using cyclosporine and methotrexate can minimize the adverse events during the systemic treatment of chronic plaque psoriasis. PMID:28223747

  18. Rotational moulding.

    PubMed

    Crawford, R J; Kearns, M P

    2003-10-01

    Rotational moulding promises designers attractive economics and a low-pressure process. The benefits of rotational moulding are compared here with other manufacturing methods such as injection and blow moulding.

  19. Rotating Vesta

    NASA Image and Video Library

    Astronomers combined 146 exposures taken by NASA's Hubble SpaceTelescope to make this 73-frame movie of the asteroid Vesta's rotation.Vesta completes a rotation every 5.34 hours.› Asteroid and...

  20. Are Pulley Exercises Initiated 6 Weeks After Rotator Cuff Repair a Safe and Effective Rehabilitative Treatment? A Randomized Controlled Trial.

    PubMed

    Baumgarten, Keith M; Osborn, Roy; Schweinle, Will E; Zens, Matthew J; Helsper, Elizabeth A

    2016-07-01

    There are few level 1 or 2 evidence studies that examine rehabilitation after rotator cuff repair. Pulleys have been used in postoperative shoulder rehabilitation with the intention of improving range of motion and developing strength. There is a concern that the use of pulleys in rehabilitation of rotator cuff repairs may contribute to excessive scapular motion (scapular substitution) and potentially inferior outcomes. Rotator cuff repair patients treated with pulley exercises would have increased scapular substitution and inferior patient-determined outcome scores, range of motion, and strength compared with patients treated with an alternative rehabilitation program without pulleys. Randomized controlled trial; Level of evidence, 1. A total of 27 patients who underwent rotator cuff repair were randomized to a rehabilitation group that used pulleys initiated 6 weeks postoperatively, and 26 patients followed a rehabilitation protocol without pulleys. Inclusion criteria were patients undergoing arthroscopic rotator cuff repair. Exclusion criteria were large to massive rotator cuff tears, revision rotator cuff repair, glenohumeral osteoarthritis, adhesive capsulitis, and a symptomatic contralateral shoulder. Outcomes of intervention were patient-determined outcome scores (Western Ontario Rotator Cuff Index [WORC], American Shoulder and Elbow Surgeons [ASES] Shoulder Score, Single Assessment Numeric Evaluation [SANE], Shoulder Activity Level, and Simple Shoulder Test [SST]), range of motion, scapular substitution, and strength. Outcomes were determined at 6, 12, 18, 26, and 52 weeks. A power analysis determined that 22 patients were needed per group to have a power of 0.80, α = 0.05, and effect size of f = 0.5. Both groups had statistically significant improvements in WORC, ASES Shoulder Score, SST, and SANE scores over time after rotator cuff repair (P < .0001). There were no differences between the interventions for WORC (P = .18), ASES Shoulder Score (P = .73

  1. SU-C-19A-06: A Robust and Affordable Table Indexing Approach for Total Lymphoid Irradiation Treatment

    SciTech Connect

    Yu, S; Fahimian, B; Kenyon, M; Hsu, A

    2014-06-15

    Purpose: Total lymphoid irradiation (TLI) is conventionally delivered through the dosimetric matching of mantle, spleen, and pelvis fields, necessitating multiple isocenters delivered through a combination of couch shifts and sliding of patients relative to the couch rendering the technique susceptible to shifting errors. To address this challenge, a novel technique for the couch indexing of TLI treatments is developed and evaluated through a multi-patient pilot trial. Methods: An immobilization device was designed consisting of a movable indexed slide board with an Exact Lok-Bar drilled into it. A Timo headrests were used fixate the head of the patient relative to the slide board. For the Varian Exact Couch™, the immobilization board was connected to the H3 notch to avoid the metal infrastructure of the couch for the delivery of the mantle and spleen fields. For tall patients the required shift for the pelvis isocenter reaches the shifting limit and the board was slid from H3 to H4 (a fixed distance of 14 cm). A total 22 patients were stratified in two groups of 11, one consisting of the conventional setup, and one group with the proposed immobilization technique. Results: The standard deviations (SD) of the couch positions in lateral, longitudinal, and vertical directions for 10 fractions for each patient in both groups were calculated. In the non-indexed group, the positioning SD ranged from 0.9 to 4.7 cm. Using our device, the positioning SD was reduced to a range of 0.2 to 0.9 cm, with the longitudinal direction showing the largest improvement. Conclusion: Matched field TLI remains error prone to geometrical misses. The feasibility of full indexing TLI treatments was validated and shown to result in a significant reduction of positioning errors.

  2. Comparison of three types of exercise in the treatment of rotator cuff tendinopathy/shoulder impingement syndrome: A randomized controlled trial.

    PubMed

    Heron, Stuart R; Woby, Steve R; Thompson, Dave P

    2017-06-01

    To assess the efficacy of three different exercise programmes in treating rotator cuff tendinopathy/shoulder impingement syndrome. Parallel group randomised clinical trial. Two out-patient NHS physiotherapy departments in Manchester, United Kingdom. 120 patients with shoulder pain of at least three months duration. Pain was reproduced on stressing the rotator cuff and participants had full passive range of movement at the shoulder. Three dynamic rotator cuff loading programmes; open chain resisted band exercises (OC) closed chain exercises (CC) and minimally loaded range of movement exercises (ROM). Change in Shoulder Pain and Disability Index (SPADI) score and the proportion of patients making a Minimally Clinically Important Change (MCIC) in symptoms 6 weeks after commencing treatment. All three programmes resulted in significant decreases in SPADI score, however there were no significant differences between the groups. Participants making a MCIC in symptoms were similar across all groups, however more participants deteriorated in the ROM group. Dropout rate was higher in the CC group, but when only patients completing treatment were considered more patients in the CC group made a meaningful reduction in pain and disability. Open chain, closed chain and range of movement exercises all seem to be effective in bringing about short term changes in pain and disability in patients with rotator cuff tendinopathy. ISRCTN76701121. Crown Copyright © 2016. Published by Elsevier Ltd. All rights reserved.

  3. Effects of high- and low-energy radial shock waves therapy combined with physiotherapy in the treatment of rotator cuff tendinopathy: a retrospective study.

    PubMed

    Su, Xiangzheng; Li, Zhongli; Liu, Zhengsheng; Shi, Teng; Xue, Chao

    2017-06-09

    The aim of this study was to investigate the efficacy of high- and low-energy radial shock waves combined with physiotherapy for rotator cuff tendinopathy patients. Data from rotator cuff tendinopathy patients received high- or low-energy radial shock waves combined with physiotherapy or physiotherapy alone were collected. The Constant and Murley score and visual analog scale score were collected to assess the effectiveness of treatment in three groups at 4, 8, 12, and 24 weeks. In total, 94 patients were involved for our retrospective study. All groups showed remarkable improvement in the visual analog scale and Constant and Murley score compared to baseline at 24 weeks. The high-energy radial shock waves group had more marked improvement in the Constant and Murley score compared to the physiotherapy group at 4 and 8 weeks and at 4 weeks when compared with low-energy group. Furthermore, high-energy radial shock waves group had superior results on the visual analog scale at 4, 8, and 12 weeks compared to low-energy and physiotherapy groups. This retrospective study supported the usage of high-energy radial shock waves as a supplementary therapy over physiotherapy alone for rotator cuff tendinopathy by relieving the symptoms rapidly and maintaining symptoms at a satisfactory level for 24 weeks. Implications for Rehabilitation High-energy radial shock waves can be a supplemental therapy to physiotherapy for rotator cuff tendinopathy. We recommend the usage of high-energy radial shock waves during the first 5 weeks, at an interval of 7 days, of physiotherapy treatment. High-energy radial shock waves treatment combined with physiotherapy can benefit rotator cuff tendinopathy by relieving symptoms rapidly and maintain these improvements at a satisfactory level for quite a long time.

  4. Report of the European Society of Cardiology Cardiovascular Round Table regulatory workshop update of the evaluation of new agents for the treatment of acute coronary syndrome: Executive summary.

    PubMed

    Bueno, Héctor; de Graeff, Pieter; Richard-Lordereau, Isabelle; Emmerich, Joseph; Fox, Keith Aa; Friedman, Carola P; Gaudin, Christophe; El-Gazayerly, Amany; Goldman, Samantha; Hemmrich, Melanie; Henderson, Robert A; Himmelmann, Anders; Irs, Alar; Jackson, Neville; James, Stefan K; Katus, Hugo A; Laslop, Andrea; Laws, Ian; Mehran, Roxana; Ong, Seleen; Prasad, Krishna; Roffi, Marco; Rosano, Giuseppe Mc; Rose, Martin; Sinnaeve, Peter R; Stough, Wendy Gattis; Thygesen, Kristian; Van de Werf, Frans; Varin, Claire; Verheugt, Freek Wa; de Los Angeles Alonso García, Maria

    2016-06-29

    Regulatory authorities interpret the results of randomized controlled trials according to published principles. The European Medicines Agency (EMA) is planning a revision of the 2000 and 2003 guidance documents on clinical investigation of new medicinal products for the treatment of acute coronary syndrome (ACS) to achieve consistency with current knowledge in the field. This manuscript summarizes the key output from a collaborative workshop, organized by the Cardiovascular Round Table and the European Affairs Committee of the European Society of Cardiology, involving clinicians, academic researchers, trialists, European and US regulators, and pharmaceutical industry researchers. Specific questions in four key areas were selected as priorities for changes in regulatory guidance: patient selection, endpoints, methodologic issues and issues related to the research for novel agents. Patients with ST-segment elevation myocardial infarction (STEMI) and non-STEMI (NSTEMI) should be studied separately for therapies aimed at the specific pathophysiology of either condition, particularly for treatment of the acute phase, but can be studied together for other treatments, especially long-term therapy. Unstable angina patients should be excluded from acute phase ACS trials. In general, cardiovascular death and reinfarction are recommended for primary efficacy endpoints; other endpoints may be considered if specifically relevant for the therapy under study. New agents or interventions should be tested against a background of evidence-based therapy with expanded follow-up for safety assessment. In conclusion, new guidance documents for randomized controlled trials in ACS should consider changes regarding patient and endpoint selection and definitions, and trial designs. Specific requirements for the evaluation of novel pharmacological therapies need further clarification. © The European Society of Cardiology 2016.

  5. Preharvest salicylic acid treatments to improve quality and postharvest life of table grapes (Vitis vinifera L.) cv. Flame Seedless.

    PubMed

    Champa, W A Harindra; Gill, M I S; Mahajan, B V C; Arora, N K

    2015-06-01

    Significance of preharvest salicylic acid (SA) treatments on maturity, quality and postharvest life of grape cv. Flame Seedless were studied during two years. The experiment was performed on 12-year old own rooted, grapevines planted at 3 m × 3 m spacing trained on overhead system. Vines were treated with aqueous solutions of SA (0.0, 1.0, 1.5 and 2.0 mM) at pea stage and at veraison. After harvesting, clusters were divided into two lots in which one was subjected to initial quality evaluation, while the other was stored in cold room (3-4 °C, 90-95 % RH) for evaluation of postharvest quality. SA at the dose of 1.5 and 2.0 mM hastened berry maturity by 3 to 5 days, produced less compact bunches alongside larger berries in contrast to control and the lowest dose. The same doses effectively maintained peel colour, higher firmness, lower pectin methyl esterase activity and electrolyte leakage alongside suppressing degradation of TSS and TA during cold storage. These two doses also exhibited higher efficacy on maintaining anthocyanins, phenols and organoleptic properties while reducing weight loss, rachis browning and decay incidence. Correlation analysis demonstrated that many quality parameters are interdependent. In conclusion, preharvest spray of 1.5 mM SA proved to be an effective means of improving quality and extending postharvest life of grape cv. Flame Seedless.

  6. SU-E-T-312: Dosimetric Consideration for the Agility MLC When Planning Rotational SRT/SBRT Treatments

    SciTech Connect

    Kong, X; Harris, J; Spitznagel, D; Walker, J

    2015-06-15

    Purpose: To analyze the radiation transmission of the Agility MLC and make recommendation based on the MLC dosimetric characteristics for SRT, SBRT and VMAT planning Method and Materials: Agility MLC is the newest model from Elekta and has no back up diaphragm behind leaves for this generation. Leaves are single focused with rounded end; composed of leafs each 0.5cm wide, 9cm thick, constructed from tungsten alloy and provide low transmission <0.5%. Total radiation transmission from leaves and diaphragm is <0.13%. A 360degree arc was generated using iCom tools; leaves were programmed closed while keeping the diaphragm fully open to maximize the MLC transmission effect. Gafchromic EBT films were sandwiched between 4cm of solid water and situated at midplane to take dose measurement. 5000MU was delivered using 6MV VersaHD, various collimator angles, and a 5cm central axis offset was tested also. Films were scanned with Epson 10000XL scanner and analyzed using DoseLab Pro. Results: Due to the rounded leaf end and nature of rotation therapy, dose accumulation through the leaf gap is significant. By offsetting the leaf gap from central axis, this accumulation can be greatly reduced. There are dark bands showing accumulation of interleaf transmission which is improved by increasing collimator angle from 0 to 45dgree. However for 45 degree, in most cases, there are larger volumes sweeping under MLC alone, which needs considered planning. Conclusions: While inter-leaf leakage is minimized by using collimator angles greater than 0 degrees, the location of the leaf gap must also be managed. The leaf gap position becomes critically important when the treatment area is off axis such is the case when more than one PTV is being treated. With VMAT for SRT, SBRT becoming a more popular planning technique, special attention needs to be paid when initially setting up the field geometry.

  7. Optimized dynamic rotation with wedges.

    PubMed

    Rosen, I I; Morrill, S M; Lane, R G

    1992-01-01

    Dynamic rotation is a computer-controlled therapy technique utilizing an automated multileaf collimator in which the radiation beam shape changes dynamically as the treatment machine rotates about the patient so that at each instant the beam shape matches the projected shape of the target volume. In simple dynamic rotation, the dose rate remains constant during rotation. For optimized dynamic rotation, the dose rate is varied as a function of gantry angle. Optimum dose rate at each gantry angle is computed by linear programming. Wedges can be included in the optimized dynamic rotation therapy by using additional rotations. Simple and optimized dynamic rotation treatment plans, with and without wedges, for a pancreatic tumor have been compared using optimization cost function values, normal tissue complication probabilities, and positive difference statistic values. For planning purposes, a continuous rotation is approximated by static beams at a number of gantry angles equally spaced about the patient. In theory, the quality of optimized treatment planning solutions should improve as the number of static beams increases. The addition of wedges should further improve dose distributions. For the case studied, no significant improvements were seen for more than 36 beam angles. Open and wedged optimized dynamic rotations were better than simple dynamic rotation, but wedged optimized dynamic rotation showed no definitive improvement over open beam optimized dynamic rotation.

  8. Percutaneous transluminal rotational atherectomy in the treatment of peripheral vascular disease using a transluminal endatherectomy catheter (TEC): Initial results and angiographic follow-up

    SciTech Connect

    Rilinger, Norbert; Goerich, Johannes; Scharrer-Pamler, Reinhard; Vogel, Jochen; Tomczak, Reinhard; Merkle, Elmar; Sokiranski, Roman; Brambs, Hans-Juergen

    1997-07-15

    Purpose. To evaluate the clinical results of percutaneous transluminal rotational atherectomy in the treatment of peripheral vascular disease. Methods. Rotational atherectomy was performed in 39 patients aged 39-87 years (mean 66.6 years). A total of 71 lesions (43 stenoses and 28 occlusions) were treated in 40 limbs. Additional balloon angioplasty was required in 54% of lesions. Fifteen patients (37.5%) presented in Fontaine stage II, 10 patients (25%) in Fontaine stage III and 15 patients (37.5%) in Fontaine stage IV. Rotational atherectomy at 750 rpm was carried out over a 0.014-inch guidewire with continuous aspiration into a vacuum, bottle. Follow-up angiography and color flow Doppler examinations were performed in 22 patients (23 limbs) after a mean period of 6 months (range 2-14 months). Results. There was one primary technical failure. In 36 of 40 lesions there was a good angiographic result with residual stenoses in less than 30%. In 70 lesions treated by rotational atherectomy, however, 54% showed residual stenoses of 30%-50% and these cases required additional balloon angioplasty. The mean ankle-brachial index improved significantly (p<0.001), from 0.49 before the procedure to 1.01 after the procedure. A single distal embolus, related to primary recanalization, occurred and there were two large inguinal hematomas. Cumulative clinical patency after 6 months was 83.8% and cumulative angiographic patency after 6 months was 79.1%. Conclusion. Percutaneous rotational atherectomy is a promising approach for the treatment of chronic peripheral vascular disease. Further prospective, randomized studies are necessary to compare percutaneous transluminal angioplasty with this new technical approach.

  9. Tabled Execution in Scheme

    SciTech Connect

    Willcock, J J; Lumsdaine, A; Quinlan, D J

    2008-08-19

    Tabled execution is a generalization of memorization developed by the logic programming community. It not only saves results from tabled predicates, but also stores the set of currently active calls to them; tabled execution can thus provide meaningful semantics for programs that seemingly contain infinite recursions with the same arguments. In logic programming, tabled execution is used for many purposes, both for improving the efficiency of programs, and making tasks simpler and more direct to express than with normal logic programs. However, tabled execution is only infrequently applied in mainstream functional languages such as Scheme. We demonstrate an elegant implementation of tabled execution in Scheme, using a mix of continuation-passing style and mutable data. We also show the use of tabled execution in Scheme for a problem in formal language and automata theory, demonstrating that tabled execution can be a valuable tool for Scheme users.

  10. Rotational testing.

    PubMed

    Furman, J M

    2016-01-01

    The natural stimulus for the semicircular canals is rotation of the head, which also might stimulate the otolith organs. Vestibular stimulation usually induces eye movements via the vestibulo-ocular reflex (VOR). The orientation of the subject with respect to the axis of rotation and the orientation of the axis of rotation with respect to gravity together determine which labyrinthine receptors are stimulated for particular motion trajectories. Rotational testing usually includes the measurement of eye movements via a video system but might use a subject's perception of motion. The most common types of rotational testing are whole-body computer-controlled sinusoidal or trapezoidal stimuli during earth-vertical axis rotation (EVAR), which stimulates primarily the horizontal semicircular canals bilaterally. Recently, manual impulsive rotations, known as head impulse testing (HIT), have been developed to assess individual horizontal semicircular canals. Most types of rotational stimuli are not used routinely in the clinical setting but may be used in selected research environments. This chapter will discuss clinically relevant rotational stimuli and several types of rotational testing that are used primarily in research settings.

  11. Periodic Table of Students.

    ERIC Educational Resources Information Center

    Johnson, Mike

    1998-01-01

    Presents an exercise in which an eighth-grade science teacher decorated the classroom with a periodic table of students. Student photographs were arranged according to similarities into vertical columns. Students were each assigned an atomic number according to their placement in the table. The table is then used to teach students about…

  12. Periodic Table of Students.

    ERIC Educational Resources Information Center

    Johnson, Mike

    1998-01-01

    Presents an exercise in which an eighth-grade science teacher decorated the classroom with a periodic table of students. Student photographs were arranged according to similarities into vertical columns. Students were each assigned an atomic number according to their placement in the table. The table is then used to teach students about…

  13. Parameter estimation of an air-bearing suspended test table

    NASA Astrophysics Data System (ADS)

    Fu, Zhenxian; Lin, Yurong; Liu, Yang; Chen, Xinglin; Chen, Fang

    2015-02-01

    A parameter estimation approach is proposed for parameter determination of a 3-axis air-bearing suspended test table. The table is to provide a balanced and frictionless environment for spacecraft ground test. To balance the suspension, the mechanical parameters of the table, including its angular inertias and centroid deviation from its rotating center, have to be determined first. Then sliding masses on the table can be adjusted by stepper motors to relocate the centroid of the table to its rotating center. Using the angular momentum theorem and the coriolis theorem, dynamic equations are derived describing the rotation of the table under the influence of gravity imbalance torque and activating torques. To generate the actuating torques, use of momentum wheels is proposed, whose virtue is that no active control is required to the momentum wheels, which merely have to spin at constant rates, thus avoiding the singularity problem and the difficulty of precisely adjusting the output torques, issues associated with control moment gyros. The gyroscopic torques generated by the momentum wheels, as they are forced by the table to precess, are sufficient to activate the table for parameter estimation. Then least-square estimation is be employed to calculate the desired parameters. The effectiveness of the method is validated by simulation.

  14. Symmetry, Point Groups, and Character Tables, Part 3, Character Tables and Their Significance

    ERIC Educational Resources Information Center

    Orchin, Milton; Jaffe, H. H.

    1970-01-01

    Presents the third of a series of articles on symmetry. Describes the symmetry properties of molecules in translatiional and rotational motion. Presents these dynamic symmetry properties in character tables for five point groups. Supplements the article with more rigorous material involving spectroscopic states, degenerate point groups and…

  15. Uniformly Rotating Single Substance Bodies

    NASA Astrophysics Data System (ADS)

    Leonard, Charles Michael Leo

    This dissertation explicitly and in detail solves the extended rotator problem in the uncharged relativistic classical cases of most physical interest. It shows that no plausible relativistic solutions exist in the literature of the extended rotator and that the point rotator solutions sometimes ballyhooed are not to be taken seriously. Explicit energy speedratio functions, angular momentum speedratio functions, Hamiltonian, Lagrangian, and other important characteristic functions of the state of uniform rotation of the extended body are detailed. This dissertation does not retreat to an 'analysis' of just the point rotator --which so many others have done and done incorrectly, or at best misleadingly, by hiding implausible assumptions in manifestly covariant formats. Assumptions in the model are not hidden but are brought out and analyzed as to their relevance for highlighting the core of the uniform rotation physics. Neither does the author hide any ignorance of the internal holding field for the rotator. Formulae for the characteristic Minimum Holding Field are explicitly given and their relativistic relevance is shown. The demonstration that such fields can be ignored in the energy and angular momentum expressions is completely detailed. The explicit Stress-Energy Tensor for the entire closed rotator system is given with all that entails as to the inescapability of the results from out of that mathematics. The generality of the finiteness of the extreme relativistic rotational limit is detailed and explained with its stark essential contrast to the infinite limit in the case of extreme relativistic translation of a body. The rotator is shown to possess a rich mathematical structure. Many elegant interconnection formulae are found as well as new Hamiltonian formulae --sometimes of considerable complexity. Exact rotator formulae as well as graphs, tables, and even interesting approximations are provided. New nonlinear differential equations are discovered and

  16. Mortality table construction

    NASA Astrophysics Data System (ADS)

    Sutawanir

    2015-12-01

    Mortality tables play important role in actuarial studies such as life annuities, premium determination, premium reserve, valuation pension plan, pension funding. Some known mortality tables are CSO mortality table, Indonesian Mortality Table, Bowers mortality table, Japan Mortality table. For actuary applications some tables are constructed with different environment such as single decrement, double decrement, and multiple decrement. There exist two approaches in mortality table construction : mathematics approach and statistical approach. Distribution model and estimation theory are the statistical concepts that are used in mortality table construction. This article aims to discuss the statistical approach in mortality table construction. The distributional assumptions are uniform death distribution (UDD) and constant force (exponential). Moment estimation and maximum likelihood are used to estimate the mortality parameter. Moment estimation methods are easier to manipulate compared to maximum likelihood estimation (mle). However, the complete mortality data are not used in moment estimation method. Maximum likelihood exploited all available information in mortality estimation. Some mle equations are complicated and solved using numerical methods. The article focus on single decrement estimation using moment and maximum likelihood estimation. Some extension to double decrement will introduced. Simple dataset will be used to illustrated the mortality estimation, and mortality table.

  17. Competency of Psychiatric Residents in the Treatment of People with Severe Mental Illness before and after a Community Psychiatry Rotation

    ERIC Educational Resources Information Center

    Randall, Melinda; Romero-Gonzalez, Mauricio; Gonzalez, Gerardo; Klee, Anne; Kirwin, Paul

    2011-01-01

    Objective: Psychiatric rehabilitation is an evidence-based service with the goal of recovery for people with severe mental illness. Psychiatric residents should understand the services and learn the principles of psychiatric rehabilitation. This study assessed whether a 3-month rotation in a psychiatric rehabilitation center changes the competency…

  18. Efficacy of hyaluronic acid or steroid injections for the treatment of a rat model of rotator cuff injury.

    PubMed

    Yamaguchi, Takeshi; Ochiai, Nobuyasu; Sasaki, Yu; Kijima, Takehiro; Hashimoto, Eiko; Sasaki, Yasuhito; Kenmoku, Tomonori; Yamazaki, Hironori; Miyagi, Masayuki; Ohtori, Seiji; Takahashi, Kazuhisa

    2015-12-01

    This study evaluated dorsal root ganglia from C3-C7, analyzed gait, and compared the expression of calcitonin gene-related peptide (CGRP) which was a marker of inflammatory pain in a rat rotator cuff tear model in which the supraspinatus and infraspinatus tendons were detached; comparisons were made to a sham group in which only the tendons were exposed. Fluorogold was injected into the glenohumeral joint 21 days after surgery in both groups, and saline, steroids, or hyaluronic acid was injected into the glenohumeral joint in the rotator cuff tear group 26 days after surgery. The proportions of CGRP-immunoreactive neurons were higher and the gait parameters were impaired in the rotator cuff tear group compared to in the sham group. However, the CGRP expression was reduced and the gait was improved with steroid or hyaluronic acid injection compared to saline, suggesting that both hyaluronic acid and steroid injections suppressed of inflammation which thought to be provided pain relief. While there were no significant differences, the suppression of CGRP expression and the improved gait after hyaluronic acid and steroid injections suggested that both methods were effective for rat rotator cuff tear model.

  19. Competency of Psychiatric Residents in the Treatment of People with Severe Mental Illness before and after a Community Psychiatry Rotation

    ERIC Educational Resources Information Center

    Randall, Melinda; Romero-Gonzalez, Mauricio; Gonzalez, Gerardo; Klee, Anne; Kirwin, Paul

    2011-01-01

    Objective: Psychiatric rehabilitation is an evidence-based service with the goal of recovery for people with severe mental illness. Psychiatric residents should understand the services and learn the principles of psychiatric rehabilitation. This study assessed whether a 3-month rotation in a psychiatric rehabilitation center changes the competency…

  20. Exercise therapy for treatment of supraspinatus tears does not alter glenohumeral kinematics during internal/external rotation with the arm at the side.

    PubMed

    Ferrer, Gerald A; Miller, R Matthew; Zlotnicki, Jason P; Tashman, Scott; Irrgang, James J; Musahl, Volker; Debski, Richard E

    2017-09-01

    Rotator cuff tears are a significant clinical problem, with exercise therapy being a common treatment option for patients. Failure rates of exercise therapy may be due to the failure to improve glenohumeral kinematics. Tears involving the supraspinatus may result in altered glenohumeral kinematics and joint instability for internal/external rotation with the arm at the side because not all muscles used to stabilize the glenohumeral joint are functioning normally. The objective of the study is to assess in vivo glenohumeral kinematic changes for internal/external rotation motions with the arm at the side of patients with a symptomatic full-thickness supraspinatus tear before and after a 12-week exercise therapy programme. Five patients underwent dynamic stereoradiography analysis before and after a 12-week exercise therapy protocol to measure changes in glenohumeral kinematics during transverse plane internal/external rotation with the arm at the side. Patient-reported outcomes and shoulder strength were also evaluated. No patient sought surgery immediately following exercise therapy. Significant improvements in isometric shoulder strength and patient-reported outcomes were observed (p < 0.05). No significant changes in glenohumeral kinematics following physical therapy were found. Isolated supraspinatus tears resulted in increased joint translations compared to healthy controls from the previous literature for internal/external rotation with the arm at the side. Despite satisfactory clinical outcomes following exercise therapy, glenohumeral kinematics did not change. The lack of changes may be due to the motion studied or the focus of current exercise therapy protocols being increasing shoulder strength and restoring range of motion. Current exercise therapy protocols should be adapted to also focus on restoring glenohumeral kinematics to improve joint stability since exercise therapy may have different effects depending on the motions of daily living. Prognostic

  1. Rotator cuff injuries.

    PubMed

    Crusher, R H

    2000-07-01

    Different types of rotator cuff injuries frequently present to Accident and Emergency departments and minor injury units but can be difficult to differentiate clinically. This brief case study describes the examination and diagnosis of related shoulder injuries, specifically rotator cuff tears/disruption and calcifying supraspinatus tendinitis. The relevant anatomy and current therapies for these injuries is also discussed to enable the emergency nurse practitioner to have a greater understanding of the theory surrounding their diagnosis and treatments.

  2. Rotating Wavepackets

    ERIC Educational Resources Information Center

    Lekner, John

    2008-01-01

    Any free-particle wavepacket solution of Schrodinger's equation can be converted by differentiations to wavepackets rotating about the original direction of motion. The angular momentum component along the motion associated with this rotation is an integral multiple of [h-bar]. It is an "intrinsic" angular momentum: independent of origin and…

  3. Rotating Wavepackets

    ERIC Educational Resources Information Center

    Lekner, John

    2008-01-01

    Any free-particle wavepacket solution of Schrodinger's equation can be converted by differentiations to wavepackets rotating about the original direction of motion. The angular momentum component along the motion associated with this rotation is an integral multiple of [h-bar]. It is an "intrinsic" angular momentum: independent of origin and…

  4. Rotational elasticity

    NASA Astrophysics Data System (ADS)

    Vassiliev, Dmitri

    2017-04-01

    We consider an infinite three-dimensional elastic continuum whose material points experience no displacements, only rotations. This framework is a special case of the Cosserat theory of elasticity. Rotations of material points are described mathematically by attaching to each geometric point an orthonormal basis that gives a field of orthonormal bases called the coframe. As the dynamical variables (unknowns) of our theory, we choose the coframe and a density. We write down the general dynamic variational functional for our rotational theory of elasticity, assuming our material to be physically linear but the kinematic model geometrically nonlinear. Allowing geometric nonlinearity is natural when dealing with rotations because rotations in dimension three are inherently nonlinear (rotations about different axes do not commute) and because there is no reason to exclude from our study large rotations such as full turns. The main result of the talk is an explicit construction of a class of time-dependent solutions that we call plane wave solutions; these are travelling waves of rotations. The existence of such explicit closed-form solutions is a non-trivial fact given that our system of Euler-Lagrange equations is highly nonlinear. We also consider a special case of our rotational theory of elasticity which in the stationary setting (harmonic time dependence and arbitrary dependence on spatial coordinates) turns out to be equivalent to a pair of massless Dirac equations. The talk is based on the paper [1]. [1] C.G.Boehmer, R.J.Downes and D.Vassiliev, Rotational elasticity, Quarterly Journal of Mechanics and Applied Mathematics, 2011, vol. 64, p. 415-439. The paper is a heavily revised version of preprint https://arxiv.org/abs/1008.3833

  5. Spot Scanning Proton Beam Therapy for Prostate Cancer: Treatment Planning Technique and Analysis of Consequences of Rotational and Translational Alignment Errors

    SciTech Connect

    Meyer, Jeff; Bluett, Jaques; Amos, Richard

    2010-10-01

    Purpose: Conventional proton therapy with passively scattered beams is used to treat a number of tumor sites, including prostate cancer. Spot scanning proton therapy is a treatment delivery means that improves conformal coverage of the clinical target volume (CTV). Placement of individual spots within a target is dependent on traversed tissue density. Errors in patient alignment perturb dose distributions. Moreover, there is a need for a rational planning approach that can mitigate the dosimetric effect of random alignment errors. We propose a treatment planning approach and then analyze the consequences of various simulated alignment errors on prostate treatments. Methods and Materials: Ten control patients with localized prostate cancer underwent treatment planning for spot scanning proton therapy. After delineation of the clinical target volume, a scanning target volume (STV) was created to guide dose coverage. Errors in patient alignment in two axes (rotational and yaw) as well as translational errors in the anteroposterior direction were then simulated, and dose to the CTV and normal tissues were reanalyzed. Results: Coverage of the CTV remained high even in the setting of extreme rotational and yaw misalignments. Changes in the rectum and bladder V45 and V70 were similarly minimal, except in the case of translational errors, where, as a result of opposed lateral beam arrangements, much larger dosimetric perturbations were observed. Conclusions: The concept of the STV as applied to spot scanning radiation therapy and as presented in this report leads to robust coverage of the CTV even in the setting of extreme patient misalignments.

  6. [Missed diagnosis of hiding posterior marginal fracture of ankle with pronation-external rotation type and its treatment].

    PubMed

    Wang, Jia; Zhang, Yun-Tong; Zhang, Chun-Cai; Tang, Yang

    2014-01-01

    To analyze causes of missed diagnosis of hiding post-malleolar fractures in treating ankle joint fractures of pronation-external rotation type according to Lauge-Hansen classification and assess its medium-term outcomes. Among 103 patients with ankle joint fracture of pronation-external rotation type treated from March 2002 to June 2010,9 patients were missed diagnosis,including 6 males and 3 females,with a mean age of 35.2 years old (ranged, 18 to 55 years old) . Four patients were diagnosed during operation, 2 patients were diagnosed 2 or 3 days after first surgery and 3 patients came from other hospital. All the patients were treated remedially with lag screws and lock plates internal fixation. After operation,ankle joint function was evaluated according to American Orthopaedic Foot and Ankle Society (AOFAS). All the 9 patients were followed up, and the duration ranged from 14 to 30 months (averaged, 17 months). No incision infection was found, and all incision healed at the first stage. At the latest follow-up, AOFAS was 83.0 +/- 4.4, the score of 4 patients diagnosed during operation was 85.0 +/- 2.9, and the score of 5 patients treated by secondary operation was 81.0 +/- 5.3. All the patients got fracture union observed by X-ray at a mean time of 2.2 months after operation. There were no complications such as internal fixation loosing, broken and vascular or nerve injuries. Ankle joint fracture of pronation-external rotation type may be combined with hiding post-malleolar fractures. So to patients with ankle joint fracture of pronation-external rotation type, lateral X-ray should be read carefully, and if necessary, CT or MRI examination should be performed. If adding lateral X-ray examination after reduction of exterior and interior ankle joint fixation, the missed diagnosis may be avoided.

  7. Numerical Technique for Analyzing Rotating Rake Mode Measurements in a Duct With Passive Treatment and Shear Flow

    NASA Technical Reports Server (NTRS)

    Dahl, Milo D.; Sutliff, Daniel L.

    2007-01-01

    A technique is presented for the analysis of measured data obtained from a rotating microphone rake system. The system is designed to measure the interaction modes of ducted fans. A Fourier analysis of the data from the rotating system results in a set of circumferential mode levels at each radial location of a microphone inside the duct. Radial basis functions are then least-squares fit to this data to obtain the radial mode amplitudes. For ducts with soft walls and mean flow, the radial basis functions must be numerically computed. The linear companion matrix method is used to obtain both the eigenvalues of interest, without an initial guess, and the radial basis functions. The governing equations allow for the mean flow to have a boundary layer at the wall. In addition, a nonlinear least-squares method is used to adjust the wall impedance to best fit the data in an attempt to use the rotating system as an in-duct wall impedance measurement tool. Simulated and measured data are used to show the effects of wall impedance and mean flow on the computed results.

  8. Supergranulation rotation

    NASA Astrophysics Data System (ADS)

    Schou, Jesper; Beck, John G.

    2001-01-01

    Simple convection models estimate the depth of supergranulation at approximately 15,000 km which suggests that supergranules should rotate at the rate of the plasma in the outer 2% of the Sun by radius. Previous measurements (Snodgrass & Ulrich, 1990; Beck & Schou, 2000) found that supergranules rotate significantly faster than this, with a size-dependent rotation rate. We expand on previous work and show that the torsional oscillation signal seen in the supergranules tracks that obtained for normal modes. We also find that the amplitudes and lifetimes of the supergranulation are size dependent.

  9. Table of radioactive elements

    SciTech Connect

    Holden, N.E.

    1985-01-01

    As has been the custom in the past, the Commission publishes a table of relative atomic masses and halflives of selected radionuclides. The information contained in this table will enable the user to calculate the atomic weight for radioactive materials with a variety of isotopic compositions. The atomic masses have been taken from the 1984 Atomic Mass Table. Some of the halflives have already been documented.

  10. The Periodic Round Table (by Gary Katz)

    NASA Astrophysics Data System (ADS)

    Rodgers, Reviewed By Glen E.

    2000-02-01

    Unwrapping and lifting the Periodic Round Table out of its colorful box is an exciting experience for a professional chemist or a chemistry student. Touted as a "new way of looking at the elements", it is certainly thatat least at first blush. The "table" consists of four sets of two finely finished hardwood discs each with the following elemental symbols and their corresponding atomic numbers pleasingly and symmetrically wood-burned into their faces. The four sets of two discs are 1 1/2, 3, 4 1/2, and 6 in. in diameter, each disc is 3/4 in. thick, and therefore the entire "round table" stands 6 in. high and is 6 in. in diameter at its base. The eight beautifully polished discs (represented below) are held together by center dowels that allow each to be rotated separately.

  11. Rotational Energy.

    ERIC Educational Resources Information Center

    Lockett, Keith

    1988-01-01

    Demonstrates several objects rolling down a slope to explain the energy transition among potential energy, translational kinetic energy, and rotational kinetic energy. Contains a problem from Galileo's rolling ball experiment. (YP)

  12. Rotational Energy.

    ERIC Educational Resources Information Center

    Lockett, Keith

    1988-01-01

    Demonstrates several objects rolling down a slope to explain the energy transition among potential energy, translational kinetic energy, and rotational kinetic energy. Contains a problem from Galileo's rolling ball experiment. (YP)

  13. Solar rotation.

    NASA Astrophysics Data System (ADS)

    Dziembowski, W.

    Sunspot observations made by Johannes Hevelius in 1642 - 1644 are the first ones providing significant information about the solar differential rotation. In modern astronomy the determination of the rotation rate is done in a routine way by measuring positions of various structures on the solar surface as well as by studying the Doppler shifts of spectral lines. In recent years a progress in helioseismology enabled determination of the rotation rate in the layers inaccessible for direct observations. There are still uncertainties concerning, especially, the temporal variations of the rotation rate and its behaviour in the radiative interior. We are far from understanding the observations. Theoretical works have not yet resulted in a satisfactory model for the angular momentum transport in the convective zone.

  14. Subacromial injection of autologous platelet-rich plasma versus corticosteroid for the treatment of symptomatic partial rotator cuff tears.

    PubMed

    Shams, Ahmed; El-Sayed, Mohamed; Gamal, Osama; Ewes, Waled

    2016-12-01

    Rotator cuff tears are one of the most common causes of chronic shoulder pain and disability. They significantly affect the quality of life. Reduced pain and improved function are the goals of conventional therapy, which includes relative rest, pain therapy, physical therapy, corticosteroid injections and surgical intervention. Tendons have a relative avascular nature; hence, their regenerative potential is limited. There is some clinical evidence that the application of autologous platelets may help to revascularize the area of injury in rotator cuff pathologies. This prospective randomized controlled study was done to evaluate the results of subacromial injection of platelet-rich plasma (PRP) versus corticosteroid injection therapy in 40 patients with symptomatic partial rotator cuff tears. All patients were assessed before injection, 6 weeks, 3 and 6 months after injection, using the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES), the Constant-Murley Score (CMS), the Simple Shoulder Test (SST) and a Visual Analog Scale (VAS) for pain. An MRI was performed before and 6 months after the injection for all the included patients and was graded on 0-5 scale. Both injection groups showed statistically significantly better clinical outcomes over time compared with those before injection. There was a statistically significant difference between RPP group and corticosteroid group 12 weeks after injection, regarding VAS, ASES, CMS and SST in favor of the RPP group. MRI showed an overall slight nonsignificant improvement in grades of tendinopathy/tear in both groups, however, without statistically significant differences between the two groups. PRP injections showed earlier better results as compared to corticosteroid injections, although statistically significant better results after 6 months could not be found. Therefore, subacromial RPP injection could be considered as a good alternative to corticosteroid injection, especially in

  15. The use of low-level laser therapy (LLLT) in the treatment of trigger points that are associated with rotator cuff tendonitis

    NASA Astrophysics Data System (ADS)

    Al-Shenqiti, A.; Oldham, J.

    2003-12-01

    The purpose of this study was to investigate the efficacy of LLLT in the treatment of trigger points (TrPs) that are associated with rotator cuff tendonitis. A double-blind randomized controlled trail was conducted. Sixty patients were randomly allocated to one of two groups: sham or laser therapy. The laser (Excel, Omega Universal Technologies Ltd, London, UK) parameters used were a wavelength of 820 nm, a power output of 100 mW, a frequency of 5000 Hz (modulated) and energy density of 32 J/cm2. The two groups received a course of 12 treatment sessions for four weeks (3 sessions per week). Pain, functional activities (as measured using the Shoulder Pain and Disability Index, SPADI), pressure pain threshold (PPT) and range of motion (ROM) were assessed pre and post treatment, with a three month follow-up assessment. Significant improvements in pain (p < 0.001) were observed for the laser group (6 cm median improvement on a 10 cm VAS) compared to the sham group (2 cm median improvement) immediately post treatment. The improvements in the laser group continued post treatment with a 7 cm median improvement observed at three month follow-up. Similar between group differences were observed for ROM (p < 0.01), functional activities (p <= 0.001) and PPT (p <= 0.05). The findings of the current study suggested that LLLT is effective in treating patients with TrPs associated with rotator cuff tendonitis, when using the parameters described. However, the mechanism of its action is not yet clear, and will require further investigation.

  16. Use of cuff tear arthroplasty head prosthesis for rotator cuff arthropathy treatment in elderly patients with comorbidities

    PubMed Central

    Carvalho, Cassiano Diniz; Andreoli, Carlos Vicente; Pochini, Alberto de Castro; Ejnisman, Benno

    2016-01-01

    ABSTRACT Objective To evaluate the clinical and functional behavior of patients undergoing cuff tear arthroplasty at different stages of the disease. Methods Cuff tear arthroplasty hemiarthroplasties were performed in 34 patients with rotator cuff arthropathy and associated comorbidities, classified according to Seebauer. The mean age was 76.3 years, and the sample comprised 23 females (67.6%) and 11 males (32.4%). The mean follow-up period was 21.7 months, and evaluations were performed using the Visual Analog Scale for pain and the Constant scale. Results There were no statistically significant differences in the mean reduction in the Visual Analog Scale or in the Constant scale increase between the female and male groups. The variation between the pre- and postoperative Visual Analog Scale and Constant scale evaluations was significant. There was also no statistically significant difference between the Seebauer classification groups regarding the mean Visual Analog Scale reduction, or the mean Constant scale increase. Conclusion Cuff tear arthroplasty shoulder hemiarthroplasty is a good option for rotator cuff arthropathy in patients with comorbidities. PMID:28076600

  17. The Ratio Table.

    ERIC Educational Resources Information Center

    Middleton, James A.; Heuvel-Panhuizen, Marja van den

    1995-01-01

    Examines the use of a ratio table for developing students' conceptual understanding of rational number. The ratio table is an alternative to cross-multiplication and can utilize both additive and multiplicative strategies. It organizes numbers and keeps track of operations and results, which aids the teacher in assessment. (MLB)

  18. The Living Periodic Table

    ERIC Educational Resources Information Center

    Nahlik, Mary Schrodt

    2005-01-01

    To help make the abstract world of chemistry more concrete eighth-grade students, the author has them create a living periodic table that can be displayed in the classroom or hallway. This display includes information about the elements arranged in the traditional periodic table format, but also includes visual real-world representations of the…

  19. The Living Periodic Table

    ERIC Educational Resources Information Center

    Nahlik, Mary Schrodt

    2005-01-01

    To help make the abstract world of chemistry more concrete eighth-grade students, the author has them create a living periodic table that can be displayed in the classroom or hallway. This display includes information about the elements arranged in the traditional periodic table format, but also includes visual real-world representations of the…

  20. 1992 tubing tables

    SciTech Connect

    Not Available

    1992-01-01

    This paper is helpful to those designing oil well completions or purchasing tubing with proprietary or premium connections. Tables contain specifications and application data for over 100 different tubing joints, including those used with fiberglass pipe. The tables this year contain dimensional and performance data for coiled tubing.

  1. Influence of Tool Rotational Speed and Post-Weld Heat Treatments on Friction Stir Welded Reduced Activation Ferritic-Martensitic Steel

    NASA Astrophysics Data System (ADS)

    Manugula, Vijaya L.; Rajulapati, Koteswararao V.; Reddy, G. Madhusudhan; Mythili, R.; Bhanu Sankara Rao, K.

    2017-08-01

    The effects of tool rotational speed (200 and 700 rpm) on evolving microstructure during friction stir welding (FSW) of a reduced activation ferritic-martensitic steel (RAFMS) in the stir zone (SZ), thermo-mechanically affected zone (TMAZ), and heat-affected zone (HAZ) have been explored in detail. The influence of post-weld direct tempering (PWDT: 1033 K (760 °C)/ 90 minutes + air cooling) and post-weld normalizing and tempering (PWNT: 1253 K (980 °C)/30 minutes + air cooling + tempering 1033 K (760 °C)/90 minutes + air cooling) treatments on microstructure and mechanical properties has also been assessed. The base metal (BM) microstructure was tempered martensite comprising Cr-rich M23C6 on prior austenite grain and lath boundaries with intra-lath precipitation of V- and Ta-rich MC precipitates. The tool rotational speed exerted profound influence on evolving microstructure in SZ, TMAZ, and HAZ in the as-welded and post-weld heat-treated states. Very high proportion of prior austenitic grains and martensite lath boundaries in SZ and TMAZ in the as-welded state showed lack of strengthening precipitates, though very high hardness was recorded in SZ irrespective of the tool speed. Very fine-needle-like Fe3C precipitates were found at both the rotational speeds in SZ. The Fe3C was dissolved and fresh precipitation of strengthening precipitates occurred on both prior austenite grain and sub-grain boundaries in SZ during PWNT and PWDT. The post-weld direct tempering caused coarsening and coalescence of strengthening precipitates, in both matrix and grain boundary regions of TMAZ and HAZ, which led to inhomogeneous distribution of hardness across the weld joint. The PWNT heat treatment has shown fresh precipitation of M23C6 on lath and grain boundaries and very fine V-rich MC precipitates in the intragranular regions, which is very much similar to that prevailed in BM prior to FSW. Both the PWDT and PWNT treatments caused considerable reduction in the hardness of SZ

  2. Differential rotation in rapidly rotating F-stars

    NASA Astrophysics Data System (ADS)

    Reiners, A.; Schmitt, J. H. M. M.

    2003-12-01

    We obtained high quality spectra of 135 stars of spectral types F and later and derived ``overall'' broadening functions in selected wavelength regions utilizing a Least Squares Deconvolution (LSD) procedure. Precision values of the projected rotational velocity v \\sini were derived from the first zero of the Fourier transformed profiles and the shapes of the profiles were analyzed for effects of differential rotation. The broadening profiles of 70 stars rotating faster than v \\sini = 45 km s-1 show no indications of multiplicity nor of spottedness. In those profiles we used the ratio of the first two zeros of the Fourier transform q_2/q_1 to search for deviations from rigid rotation. In the vast majority the profiles were found to be consistent with rigid rotation. Five stars were found to have flat profiles probably due to cool polar caps, in three stars cuspy profiles were found. Two out of those three cases may be due to extremely rapid rotation seen pole on, only in one case (v \\sini = 52 km s-1) is solar-like differential rotation the most plausible explanation for the observed profile. These results indicate that the strength of differential rotation diminishes in stars rotating as rapidly as v \\sini >~ 50 km s-1. Table A.1 is only available at the CDS via anonymous ftp to cdsarc.u-strasbg.fr (130.79.125.5) or via http://cdsweb.u-strasbg.fr/cgi-bin/qcat?J/A+A/412/813 Based on observations collected at the European Southern Observatory, La Silla, 69.D-0015(B).

  3. PARot--assessing platelet-rich plasma plus arthroscopic subacromial decompression in the treatment of rotator cuff tendinopathy: study protocol for a randomized controlled trial.

    PubMed

    Carr, Andrew; Cooper, Cushla; Murphy, Richard; Watkins, Bridget; Wheway, Kim; Rombach, Ines; Beard, David

    2013-06-11

    Platelet-rich plasma (PRP) is an autologous platelet concentrate. It is prepared by separating the platelet fraction of whole blood from patients and mixing it with an agent to activate the platelets. In a clinical setting, PRP may be reapplied to the patient to improve and hasten the healing of tissue. The therapeutic effect is based on the presence of growth factors stored in the platelets. Current evidence in orthopedics shows that PRP applications can be used to accelerate bone and soft tissue regeneration following tendon injuries and arthroplasty. Outcomes include decreased inflammation, reduced blood loss and post-treatment pain relief. Recent shoulder research indicates there is poor vascularization present in the area around tendinopathies and this possibly prevents full healing capacity post surgery (Am J Sports Med36(6):1171-1178, 2008). Although it is becoming popular in other areas of orthopedics there is little evidence regarding the use of PRP for shoulder pathologies. The application of PRP may help to revascularize the area and consequently promote tendon healing. Such evidence highlights an opportunity to explore the efficacy of PRP use during arthroscopic shoulder surgery for rotator cuff pathologies. PARot is a single center, blinded superiority-type randomized controlled trial assessing the clinical outcomes of PRP applications in patients who undergo shoulder surgery for rotator cuff disease. Patients will be randomized to one of the following treatment groups: arthroscopic subacromial decompression surgery or arthroscopic subacromial decompression surgery with application of PRP. Current Controlled Trials: ISRCTN10464365.

  4. A self-managed single exercise programme versus usual physiotherapy treatment for rotator cuff tendinopathy: a randomised controlled trial (the SELF study).

    PubMed

    Littlewood, Chris; Bateman, Marcus; Brown, Kim; Bury, Julie; Mawson, Sue; May, Stephen; Walters, Stephen J

    2016-07-01

    To evaluate the clinical effectiveness of a self-managed single exercise programme versus usual physiotherapy treatment for rotator cuff tendinopathy. Multi-centre pragmatic unblinded parallel group randomised controlled trial. UK National Health Service. Patients with a clinical diagnosis of rotator cuff tendinopathy. The intervention was a programme of self-managed exercise prescribed by a physiotherapist in relation to the most symptomatic shoulder movement. The control group received usual physiotherapy treatment. The primary outcome measure was the Shoulder Pain & Disability Index (SPADI) at three months. Secondary outcomes included the SPADI at six and twelve months. A total of 86 patients (self-managed loaded exercise n=42; usual physiotherapy n=44) were randomised. Twenty-six patients were excluded from the analysis because of lack of primary outcome data at the 3 months follow-up, leaving 60 (n=27; n=33) patients for intention to treat analysis. For the primary outcome, the mean SPADI score at three months was 32.4 (SD 20.2) for the self-managed group, and 30.7 (SD 19.7) for the usual physiotherapy treatment group; mean difference adjusted for baseline score: 3.2 (95% Confidence interval -6.0 to +12.4 P = 0.49).By six and twelve months there remained no significant difference between the groups. This study does not provide sufficient evidence of superiority of one intervention over the other in the short-, mid- or long-term and hence a self-management programme based around a single exercise appears comparable to usual physiotherapy treatment. © The Author(s) 2015.

  5. The effect of subacromial injections of autologous conditioned plasma versus cortisone for the treatment of symptomatic partial rotator cuff tears.

    PubMed

    von Wehren, Lutz; Blanke, Fabian; Todorov, Atanas; Heisterbach, Patricia; Sailer, Jannis; Majewski, Martin

    2016-12-01

    Rotator cuff tears are one of the most common causes of shoulder malfunction and pain, which lead to a significant reduction in the quality of life. This present study investigated the effects of subacromial platelet-rich plasma injections [i.e. autologous conditioned plasma (ACP) injections] as compared to standard subacromial cortisone injection therapy in 50 patients with partial rotator cuff tears. Before injection, and 6 weeks, 12 weeks and 6 months thereafter, the patients were assessed by the Constant-Murley score (CMS), the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES), the simple shoulder test (SST) and a pain visual analogue scale (VAS). An MRI was also performed before and 6 months after injection. Both patient groups had statistically significant better shoulder score outcomes over time. ASES, SST and CMS outcomes after 12 versus 6 weeks were better in the ACP group as compared to the cortisone group. VAS, ASES and CMS outcomes after 12 weeks versus baseline in the ACP group were better as compared to the cortisone group. There was a statistically significant difference between ACP group and cortisone group 12 weeks after injection regarding VAS, ASES, SST and CMS in favour of the ACP group. The MRI showed an improvement in grade of tendinopathy in both groups, however, without statistically significant differences between the two groups. Compared with cortisone injections, ACP injections show earlier benefit as compared to cortisone injections although a statistically significant difference after 6 months could not be found. Therefore, subacromial ACP injections are a good alternative to subacromial cortisone injections, especially in patients with contraindication to cortisone. Therapeutic study, Level III.

  6. Earth Rotation

    NASA Technical Reports Server (NTRS)

    Dickey, Jean O.

    1995-01-01

    The study of the Earth's rotation in space (encompassing Universal Time (UT1), length of day, polar motion, and the phenomena of precession and nutation) addresses the complex nature of Earth orientation changes, the mechanisms of excitation of these changes and their geophysical implications in a broad variety of areas. In the absence of internal sources of energy or interactions with astronomical objects, the Earth would move as a rigid body with its various parts (the crust, mantle, inner and outer cores, atmosphere and oceans) rotating together at a constant fixed rate. In reality, the world is considerably more complicated, as is schematically illustrated. The rotation rate of the Earth's crust is not constant, but exhibits complicated fluctuations in speed amounting to several parts in 10(exp 8) [corresponding to a variation of several milliseconds (ms) in the Length Of the Day (LOD) and about one part in 10(exp 6) in the orientation of the rotation axis relative to the solid Earth's axis of figure (polar motion). These changes occur over a broad spectrum of time scales, ranging from hours to centuries and longer, reflecting the fact that they are produced by a wide variety of geophysical and astronomical processes. Geodetic observations of Earth rotation changes thus provide insights into the geophysical processes illustrated, which are often difficult to obtain by other means. In addition, these measurements are required for engineering purposes. Theoretical studies of Earth rotation variations are based on the application of Euler's dynamical equations to the problem of finding the response of slightly deformable solid Earth to variety of surface and internal stresses.

  7. Rotator Cuff Injuries.

    ERIC Educational Resources Information Center

    Connors, G. Patrick

    Many baseball players suffer from shoulder injuries related to the rotator cuff muscles. These injuries may be classified as muscular strain, tendonitis or tenosynovitis, and impingement syndrome. Treatment varies from simple rest to surgery, so it is important to be seen by a physician as soon as possible. In order to prevent these injuries, the…

  8. Rotator Cuff Injuries.

    ERIC Educational Resources Information Center

    Connors, G. Patrick

    Many baseball players suffer from shoulder injuries related to the rotator cuff muscles. These injuries may be classified as muscular strain, tendonitis or tenosynovitis, and impingement syndrome. Treatment varies from simple rest to surgery, so it is important to be seen by a physician as soon as possible. In order to prevent these injuries, the…

  9. Empirical field tables for Michigan.

    Treesearch

    Jerold T. Hahn; Joan M. Stelman

    1984-01-01

    Describes the tables derived from the 1980 Forest Survey of Michigan and presents ways the tables can be used. These tables are broken down according to Michigan's four Forest Survey Units, 14 forest types, and 5 site-index classes.

  10. Visualizing rotations and composition of rotations with the Rodrigues vector

    NASA Astrophysics Data System (ADS)

    Valdenebro, Angel G.

    2016-11-01

    The purpose of this paper is to show that the mathematical treatment of three-dimensional rotations can be simplified, and its geometrical understanding improved, using the Rodrigues vector representation. We present a novel geometrical interpretation of the Rodrigues vector. Based on this interpretation and simple geometrical considerations, we derive the Euler-Rodrigues formula, Cayley’s rotation formula and the composition law for finite rotations. The level of this discussion should be suitable for undergraduate physics or engineering courses where rotations are discussed.

  11. On-line quality assurance of rotational radiotherapy treatment delivery by means of a 2D ion chamber array and the Octavius phantom

    SciTech Connect

    Esch, Ann van; Clermont, Christian; Devillers, Magali; Iori, Mauro; Huyskens, Dominique P.

    2007-10-15

    For routine pretreatment verification of innovative treatment techniques such as (intensity modulated) dynamic arc therapy and helical TomoTherapy, an on-line and reliable method would be highly desirable. The present solution proposed by TomoTherapy, Inc. (Madison, WI) relies on film dosimetry in combination with up to two simultaneous ion chamber point dose measurements. A new method is proposed using a 2D ion chamber array (Seven29, PTW, Freiburg, Germany) inserted in a dedicated octagonal phantom, called Octavius. The octagonal shape allows easy positioning for measurements in multiple planes. The directional dependence of the response of the detector was primarily investigated on a dual energy (6 and 18 MV) Clinac 21EX (Varian Medical Systems, Palo Alto, CA) as no fixed angle incidences can be calculated in the Hi-Art TPS of TomoTherapy. The array was irradiated from different gantry angles and with different arc deliveries, and the dose distributions at the level of the detector were calculated with the AAA (Analytical Anisotropic Algorithm) photon dose calculation algorithm implemented in Eclipse (Varian). For validation on the 6 MV TomoTherapy unit, rotational treatments were generated, and dose distributions were calculated with the Hi-Art TPS. Multiple cylindrical ion chamber measurements were used to cross-check the dose calculation and dose delivery in Octavius in the absence of the 2D array. To compensate for the directional dependence of the 2D array, additional prototypes of Octavius were manufactured with built-in cylindrically symmetric compensation cavities. When using the Octavius phantom with a 2 cm compensation cavity, measurements with an accuracy comparable to that of single ion chambers can be achieved. The complete Octavius solution for quality assurance of rotational treatments consists of: The 2D array, two octagonal phantoms (with and without compensation layer), an insert for nine cylindrical ion chambers, and a set of inserts of

  12. On-line quality assurance of rotational radiotherapy treatment delivery by means of a 2D ion chamber array and the Octavius phantom.

    PubMed

    Van Esch, Ann; Clermont, Christian; Devillers, Magali; Iori, Mauro; Huyskens, Dominique P

    2007-10-01

    For routine pretreatment verification of innovative treatment techniques such as (intensity modulated) dynamic arc therapy and helical TomoTherapy, an on-line and reliable method would be highly desirable. The present solution proposed by TomoTherapy, Inc. (Madison, WI) relies on film dosimetry in combination with up to two simultaneous ion chamber point dose measurements. A new method is proposed using a 2D ion chamber array (Seven29, PTW, Freiburg, Germany) inserted in a dedicated octagonal phantom, called Octavius. The octagonal shape allows easy positioning for measurements in multiple planes. The directional dependence of the response of the detector was primarily investigated on a dual energy (6 and 18 MV) Clinac 21EX (Varian Medical Systems, Palo Alto, CA) as no fixed angle incidences can be calculated in the Hi-Art TPS of TomoTherapy. The array was irradiated from different gantry angles and with different arc deliveries, and the dose distributions at the level of the detector were calculated with the AAA (Analytical Anisotropic Algorithm) photon dose calculation algorithm implemented in Eclipse (Varian). For validation on the 6 MV TomoTherapy unit, rotational treatments were generated, and dose distributions were calculated with the Hi-Art TPS. Multiple cylindrical ion chamber measurements were used to cross-check the dose calculation and dose delivery in Octavius in the absence of the 2D array. To compensate for the directional dependence of the 2D array, additional prototypes of Octavius were manufactured with built-in cylindrically symmetric compensation cavities. When using the Octavius phantom with a 2 cm compensation cavity, measurements with an accuracy comparable to that of single ion chambers can be achieved. The complete Octavius solution for quality assurance of rotational treatments consists of: The 2D array, two octagonal phantoms (with and without compensation layer), an insert for nine cylindrical ion chambers, and a set of inserts of

  13. Increased adhesion of polydimethylsiloxane (PDMS) to acrylic adhesive tape for medical use by surface treatment with an atmospheric pressure rotating plasma jet

    NASA Astrophysics Data System (ADS)

    Jofre-Reche, José Antonio; Pulpytel, Jérôme; Arefi-Khonsari, Farzaneh; Martín-Martínez, José Miguel

    2016-08-01

    The surface properties of polydimethylsiloxane (PDMS) were modified by treatment with an atmospheric pressure rotating plasma jet (APPJ) and the surface modifications were studied to assess its hydrophilicity and adhesion to acrylic adhesive tape intended for medical applications. Furthermore, the extent of hydrophobic recovery under different storage conditions was studied. The surface treatment of PDMS with the APPJ under optimal conditions noticeably increased the oxygen content and most of the surface silicon species were fully oxidized. A brittle silica-like layer on the outermost surface was created showing changes in topography due to the formation of grooves and cracks. A huge improvement in T-peel and the shear adhesive strength of the APPJ-treated PDMS surface/acrylic tape joints was obtained. On the other hand, the hydrophilicity of the PDMS surface increased noticeably after the APPJ treatment, but 24 h after treatment almost 80% hydrophobicity was recovered and the adhesive strength was markedly reduced with time after the APPJ treatment. However, the application of an acrylic adhesive layer on the just-APPJ-treated PDMS surface retained the adhesive strength, limiting the extent of hydrophobic recovery.

  14. Intra-pulp temperature increase of equine cheek teeth during treatment with motorized grinding systems: influence of grinding head position and rotational speed

    PubMed Central

    2014-01-01

    Background In equine practice, teeth corrections by means of motorized grinding systems are standard procedure. The heat resulting from that treatment may cause irreparable damage to the dental pulp. It has been shown that a 5.5°C temperature rise may cause severe destruction in pulp cells. Hence, the capability to continuously form secondary dentine is lost, and may lead, due to equine-typical occlusal tooth abrasion, to an opening of the pulp cavity. To obtain reliable data on the intra-pulp increase in temperature during corrective treatments, equine cheek teeth (CT) were modified in a way (occlusal surface smoothed, apical parts detached, pulp horns standardized) that had been qualified in own former published studies. All parameters influencing the grinding process were standardized (force applied, initial temperatures, dimensions of pulp horns, positioning of grinding disk, rotational speed). During grinding experiments, imitating real dental treatments, the time span for an intra-pulp temperature increase of 5.5°C was determined. Results The minimum time recorded for an intra-pulp temperature increase of 5.5°C was 38 s in mandibular CT (buccal grinding, 12,000 rpm) and 70 s in maxillary CT (flat occlusal grinding, 12,000 rpm). The data obtained showed that doubling the rotational speed of the disk results in halving the time span after which the critical intra-pulp temperature increase in maxillary CT is reached. For mandibular CT, the time span even drops by two thirds. Conclusion The use of standardized hypsodont CT enabled comparative studies of intra-pulp heating during the grinding of occlusal tooth surfaces using different tools and techniques. The anatomical structure of the natural vital hypsodont tooth must be kept in mind, so that the findings of this study do not create a deceptive sense of security with regard to the time-dependent heating of the native pulp. PMID:24559121

  15. The effects of burning and sheep-grazing on water table depth and soil water quality in a upland peat

    NASA Astrophysics Data System (ADS)

    Worrall, F.; Armstrong, A.; Adamson, J. K.

    2007-06-01

    SummaryRotational burning of heather to improve grazing and grouse breeding is a common management practice for upland catchments in the UK. However, the effects of such practices on hydrology and water quality are not well understood because the timescale of burning rotation is typically between 7 and 20 years thus requiring long-term experiments in order to resolve the effects. Furthermore, land management, such as changes in burning or grazing practices, has been proposed as a possible strategy for the remediation of the widespread increases in dissolved organic carbon (DOC) observed across the northern hemisphere. This study is based on a long-term experiment on the effect of different rotational burning cycles and grazing intensities on upland vegetation and aims to understand the effects of these management strategies on hydrology and water quality. The main outcomes are: The depth to water table in the soil showed significant differences between different burning rotations and grazing intensities. Depth to water table was greatest on plots where burning did not occur or for longer burning cycles where livestock had been excluded. The pH and conductivity of sampled soil water showed no significant difference between grazing treatments, with the presence of burning being the most important factor (frequency of the burning cycle was not important). The DOC content showed no significant difference between grazing treatments but showed a significant decrease with the presence of burning, though no direct relationship with the depth to water table could be found. Burn management explains only a small proportion of the variance in the composition of the DOC, rather the variation is dominated by the differences between days of sampling and seasonal variation. Therefore, this study suggests that land management controls hydrology and water quality through controlling the development of vegetation.

  16. Setting the Periodic Table.

    ERIC Educational Resources Information Center

    Saturnelli, Annette

    1985-01-01

    Examines problems resulting from different forms of the periodic table, indicating that New York State schools use a form reflecting the International Union of Pure and Applied Chemistry's 1984 recommendations. Other formats used and reasons for standardization are discussed. (DH)

  17. The Periodic Table CD.

    ERIC Educational Resources Information Center

    Banks, Alton J.; Holmes, Jon L.

    1995-01-01

    Describes the characteristics of the digitized version of The Periodic Table Videodisc. Provides details about the organization of information and access to the data via Macintosh and Windows computers. (DDR)

  18. The Periodic Table CD.

    ERIC Educational Resources Information Center

    Banks, Alton J.; Holmes, Jon L.

    1995-01-01

    Describes the characteristics of the digitized version of The Periodic Table Videodisc. Provides details about the organization of information and access to the data via Macintosh and Windows computers. (DDR)

  19. Setting the Periodic Table.

    ERIC Educational Resources Information Center

    Saturnelli, Annette

    1985-01-01

    Examines problems resulting from different forms of the periodic table, indicating that New York State schools use a form reflecting the International Union of Pure and Applied Chemistry's 1984 recommendations. Other formats used and reasons for standardization are discussed. (DH)

  20. Building Materials Property Table

    SciTech Connect

    2010-04-16

    This information sheet describes a table of some of the key technical properties of many of the most common building materials taken from ASHRAE Fundamentals - 2001, Moisture Control in Buildings, CMHC, NRC/IRC, IEA Annex 24, and manufacturer data.

  1. Fee Reduction Tables

    EPA Pesticide Factsheets

    Under PRIA 3, refunds for a portion of the registration service fee are provided following the withdrawal of a PRIA covered application and at the request of an applicant. These tables provide the information for each registering division.

  2. Comparison of Treatments for Superior Labrum-Biceps Complex Lesions With Concomitant Rotator Cuff Repair: A Prospective, Randomized, Comparative Analysis of Debridement, Biceps Tenotomy, and Biceps Tenodesis.

    PubMed

    Oh, Joo Han; Lee, Ye Hyun; Kim, Sae Hoon; Park, Ji Soon; Seo, Hyuk Jun; Kim, Woo; Park, Hae Bong

    2016-06-01

    To compare the clinical outcomes in patients with concomitant superior labrum-biceps complex (SLBC) lesions and rotator cuff tears who underwent arthroscopic rotator cuff repair, according to 3 different treatment methods (simple debridement, biceps tenotomy, or biceps tenodesis) for the SLBC lesions. One hundred twenty patients who underwent arthroscopic rotator cuff repair with SLBC lesions (biceps partial tears <50%, partial pulley lesions, and type II SLAP lesions) were enrolled in this prospective comparative study and randomly assigned to 1 of 3 treatment groups (simple debridement [Deb], biceps tenotomy only [BTo], or biceps tenodesis with one suture anchor [BTd]). Patients with isolated subscapularis tears or osteoarthritis were excluded. Finally, 86 patients (Deb in 28, BTo in 27, and BTd in 31) were analyzed (mean follow-up, 22.1 ± 7.72 months; mean age, 58.98 ± 7.8 years). Pain; functional, clinical, and radiologic outcomes; and the strength index of elbow flexion and forearm supination were analyzed. Pain, range of motion, and functional scores significantly improved postoperatively in all 3 groups, with no significant differences across groups. At the 6-month follow-up, 8 patients reported cramping pain (5 Deb patients, 2 BTo patients, and 1 BTd patient), but the pain improved in most patients over time (with cramping pain reported by zero Deb patients, 1 BTo patient, and 1 BTd patient at final follow-up). Bicipital groove tenderness significantly improved in the BTo group postoperatively (P = .006). The Popeye deformity was noted in 10 patients (37.0%) in the BTo group, 8 (25.8%) in the BTd group, and only 2 (7.1%) in the Deb group (P = .029). On radiologic examination, the presence of tenodesis of the biceps tendons on the bicipital groove showed low agreement with the presence of the Popeye deformity (observed in 13 of 20 patients with the deformity, 65%). On strength index analysis, the BTo group showed lower forearm supination strength (0

  3. Tendon repair compared with physiotherapy in the treatment of rotator cuff tears: a randomized controlled study in 103 cases with a five-year follow-up.

    PubMed

    Moosmayer, Stefan; Lund, Gerty; Seljom, Unni S; Haldorsen, Benjamin; Svege, Ida C; Hennig, Toril; Pripp, Are H; Smith, Hans-Jørgen

    2014-09-17

    There is limited Level-I evidence that compares operative and nonoperative treatment of rotator cuff tears. We compared outcomes of patients treated with primary tendon repair with outcomes of those treated with physiotherapy and optional secondary tendon repair if needed. A single-center, pragmatic, randomized controlled study with follow-ups after six months and one, two, and five years was conducted in a secondary-care institution. One hundred and three patients with a rotator cuff tear not exceeding 3 cm were randomized to primary tendon repair (n = 52) or physiotherapy (n = 51). The primary outcome measure was the Constant score. Secondary outcome measures included the self-report section of the American Shoulder and Elbow Surgeons score; the physical component summary measure of the Short Form 36 Health Survey; the measurement of pain, strength, and shoulder motion; patient satisfaction; and findings from magnetic resonance imaging and sonography. Analysis was by intention to treat. The five-year follow-up rate was 98%. Twelve of the fifty-one patients in the physiotherapy group were treated with secondary tendon repair. The results from primary tendon repair were superior to those from physiotherapy plus secondary repair, with between-group mean differences of 5.3 points on the Constant score (p = 0.05), 9.0 points on the American Shoulder and Elbow Surgeons score (p < 0.001), 1.1 cm on a 10-cm visual analog scale for pain (p < 0.001), and 1.0 cm on a 10-cm visual analog scale for patient satisfaction (p = 0.03). In 37% of tears treated with physiotherapy only, there were increasing tear sizes on ultrasound of >5 mm, over five years, associated with an inferior outcome. Although primary repair of small and medium-sized rotator cuff tears was associated with better outcome than physiotherapy treatment, the differences were small and may be below clinical importance. In the physiotherapy treatment group, there were increasing tear sizes and inferior outcomes

  4. Treatment of axillary web syndrome using instrument assisted soft tissue mobilization and thoracic manipulation for associated thoracic rotation dysfunction: A case report.

    PubMed

    Crane, Patricia; Ladden, Jaclyn; Monica, Danielle

    2017-08-30

    There is a paucity of research that investigates physical therapy management for patients with axillary web syndrome (AWS) and thoracic rotation dysfunction. The purpose of this case report is to describe the management of a patient with AWS and thoracic rotation dysfunction using an impairment-based approach that includes instrument assisted soft tissue mobilization (IASTM), thoracic manipulation, and stretching. The patient was a 48-year-old female with a past medical history of bilateral breast cancer with a bilateral latissimus dorsi flap reconstruction. The patient was referred to physical therapy with chief complaints of right shoulder pain with reaching and an inability to resume running due to right shoulder and scapula pain. The patient was seen in outpatient physical therapy for four visits over four weeks. Treatment consisted of IASTM, thoracic manipulation, stretching exercises, and home exercise program instruction. Upon discharge, the patient had improved right shoulder and thoracic range of motion, decreased pain, and improved function on the patient specific functional scale (PSFS). Utilization of an impairment-based physical therapy approach to treat a patient with AWS and thoracic dysfunction yielded positive outcomes. Further research on the efficacy of IASTM and physical therapy management of AWS is warranted.

  5. Food table on ISS

    NASA Image and Video Library

    2015-04-08

    ISS043E091650 (04/08/2015) --- A view of the food table located in the Russian Zvezda service module on the International Space Station taken by Expedition 43 Flight Engineer Scott Kelly. Assorted food, drink and condiment packets are visible. Kelly tweeted this image along with the comment: ""Looks messy, but it's functional. Our #food table on the @space station. What's for breakfast? #YearInSpace".

  6. Use of cuff tear arthroplasty head prosthesis for rotator cuff arthropathy treatment in elderly patients with comorbidities.

    PubMed

    Carvalho, Cassiano Diniz; Andreoli, Carlos Vicente; Pochini, Alberto de Castro; Ejnisman, Benno

    2016-01-01

    To evaluate the clinical and functional behavior of patients undergoing cuff tear arthroplasty at different stages of the disease. Cuff tear arthroplasty hemiarthroplasties were performed in 34 patients with rotator cuff arthropathy and associated comorbidities, classified according to Seebauer. The mean age was 76.3 years, and the sample comprised 23 females (67.6%) and 11 males (32.4%). The mean follow-up period was 21.7 months, and evaluations were performed using the Visual Analog Scale for pain and the Constant scale. There were no statistically significant differences in the mean reduction in the Visual Analog Scale or in the Constant scale increase between the female and male groups. The variation between the pre- and postoperative Visual Analog Scale and Constant scale evaluations was significant. There was also no statistically significant difference between the Seebauer classification groups regarding the mean Visual Analog Scale reduction, or the mean Constant scale increase. Cuff tear arthroplasty shoulder hemiarthroplasty is a good option for rotator cuff arthropathy in patients with comorbidities. Avaliar o comportamento clínico e funcional dos pacientes submetidos à artroplastia do tipo cuff tear arthroplasty para o tratamento da artropatia do manguito rotador em diferentes estágios da afecção. Foram realizadas 34 hemiartroplastias do tipo cuff tear arthroplasty em 34 pacientes com artropatia do manguito rotador e comorbidades associadas, classificadas de acordo com Seebauer. A média de idade foi de 76,3 anos, sendo 23 pacientes do sexo feminino (67,6%) e 11 do sexo masculino (32,4%). O seguimento médio foi de 21,7 meses e a avaliação foi realizada por meio da Escala Visual Analógica da dor e pela escala de Constant. Não houve diferença estatisticamente significante entre os grupos feminino e masculino, tanto nas médias de redução na Escala Visual Analógica quanto nas de aumento na escala de Constant. A variação entre as avalia

  7. Study of casing treatment stall margin improvement phenomena. [for compressor rotor blade tips compressor blades rotating stalls

    NASA Technical Reports Server (NTRS)

    Prince, D. C., Jr.; Wisler, D. C.; Hilvers, D. E.

    1974-01-01

    The results of a program of experimental and analytical research in casing treatments over axial compressor rotor blade tips are presented. Circumferential groove, axial-skewed slot, and blade angle slot treatments were tested. These yielded, for reduction in stalling flow and loss in peak efficiency, 5.8% and 0 points, 15.3% and 2.0 points, and 15.0% and 1.2 points, respectively. These values are consistent with other experience. The favorable stalling flow situations correlated well with observations of higher-then-normal surface pressures on the rotor blade pressure surfaces in the tip region, and with increased maximum diffusions on the suction surfaces. Annular wall pressure gradients, especially in the 50-75% chord region, are also increased and blade surface pressure loadings are shifted toward the trailing edge for treated configurations. Rotor blade wakes may be somewhat thinner in the presence of good treatments, particularly under operating conditions close to the baseline stall.

  8. Rotating Biological Contactor Process for Secondary Treatment and Recarbonation Following Low-Level Lime Addition for Phosphorus Removal.

    DTIC Science & Technology

    1980-04-01

    buffering system results in the destruction of alkalinity at a rate of 7.1 mg (as CaCO 3 ) per mg of ammonia oxidized. 12 -1 4 As the nitrification ...Inf. Eff. Eff. Inf. Eff. Eff. Progression of Treatment Figure 4 . Nitrification by fll -N Conversion to NO2 -N + N 3 -N With Respect to the Amount of...Ammonia Concentrations with Respect to the Progression of Treatment . . . 14 4 . kitrification by 14H 3 -N Conversion to N02-N + N03-N with Respect to the

  9. PARot – assessing platelet-rich plasma plus arthroscopic subacromial decompression in the treatment of rotator cuff tendinopathy: study protocol for a randomized controlled trial

    PubMed Central

    2013-01-01

    Background Platelet-rich plasma (PRP) is an autologous platelet concentrate. It is prepared by separating the platelet fraction of whole blood from patients and mixing it with an agent to activate the platelets. In a clinical setting, PRP may be reapplied to the patient to improve and hasten the healing of tissue. The therapeutic effect is based on the presence of growth factors stored in the platelets. Current evidence in orthopedics shows that PRP applications can be used to accelerate bone and soft tissue regeneration following tendon injuries and arthroplasty. Outcomes include decreased inflammation, reduced blood loss and post-treatment pain relief. Recent shoulder research indicates there is poor vascularization present in the area around tendinopathies and this possibly prevents full healing capacity post surgery (Am J Sports Med36(6):1171–1178, 2008). Although it is becoming popular in other areas of orthopedics there is little evidence regarding the use of PRP for shoulder pathologies. The application of PRP may help to revascularize the area and consequently promote tendon healing. Such evidence highlights an opportunity to explore the efficacy of PRP use during arthroscopic shoulder surgery for rotator cuff pathologies. Methods/Design PARot is a single center, blinded superiority-type randomized controlled trial assessing the clinical outcomes of PRP applications in patients who undergo shoulder surgery for rotator cuff disease. Patients will be randomized to one of the following treatment groups: arthroscopic subacromial decompression surgery or arthroscopic subacromial decompression surgery with application of PRP. The study will run for 3 years and aims to randomize 40 patients. Recruitment will be for 24 months with final follow-up at 1 year post surgery. The third year will also involve collation and analysis of the data. This study will be funded through the NIHR Biomedical Research Unit at the Oxford University Hospitals NHS Trust. Trial

  10. Opioid equianalgesic tables: are they all equally dangerous?

    PubMed

    Shaheen, Philip E; Walsh, Declan; Lasheen, Wael; Davis, Mellar P; Lagman, Ruth L

    2009-09-01

    Pain is one of the most common symptoms in cancer patients. Opioids are widely prescribed for this and other purposes. Properly used, they are safe, but they have serious and potentially lethal side effects. Successful use of opioids to manage cancer pain requires adequate knowledge about opioid pharmacology and equianalgesia for the purpose of both drug rotation and route conversion. The aim of this study was to demonstrate variations in equianalgesic ratios, as quoted in equianalgesic tables and various educational materials widely available to practicing physicians. We surveyed commercially available educational materials in package inserts, teaching materials provided by pharmaceutical companies, and the Physicians' Desk Reference for equianalgesic tables of commonly used opioids. We found inconsistent and variable equianalgesic ratios recommended for both opioid rotation and conversion. Multiple factors like inter- and intraindividual differences in opioid pharmacology may influence the accuracy of dose calculations, as does the heterogeneity of study design used to derive equianalgesic ratios. Equianalgesic tables should only serve as a general guideline to estimate equivalent opioid doses. Clinical judgment should be used and individual patient characteristics considered when applying any table. Professional organizations and regulators should establish a rotation and conversion consensus concerning opioid equianalgesic ratios. Systematic research on equianalgesic opioid dose calculation is recommended to avoid adverse public health consequences of incorrect or inappropriate dosing. Current information in equianalgesic tables is confusing for physicians, and dangerous to the public.

  11. 40 CFR Appendix A to Subpart A of... - Tables

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 2 2010-07-01 2010-07-01 false Tables A Appendix A to Subpart A of... Pt. 51, Subpt. A, App. A Appendix A to Subpart A of Part 51—Tables Table 1 to Appendix A of Subpart A—Emission Thresholds by Pollutant (tpy1) for Treatment of Point Sources as Type A Under 40 CFR 51.30...

  12. 40 CFR Appendix A to Subpart A of... - Tables

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 2 2013-07-01 2013-07-01 false Tables A Appendix A to Subpart A of... Pt. 51, Subpt. A, App. A Appendix A to Subpart A of Part 51—Tables Table 1 to Appendix A of Subpart A—Emission Thresholds by Pollutant (tpy1) for Treatment of Point Sources as Type A Under 40 CFR...

  13. 40 CFR Appendix A to Subpart A of... - Tables

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 2 2012-07-01 2012-07-01 false Tables A Appendix A to Subpart A of... Pt. 51, Subpt. A, App. A Appendix A to Subpart A of Part 51—Tables Table 1 to Appendix A of Subpart A—Emission Thresholds by Pollutant (tpy1) for Treatment of Point Sources as Type A Under 40 CFR...

  14. 40 CFR Appendix A to Subpart A of... - Tables

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 2 2011-07-01 2011-07-01 false Tables A Appendix A to Subpart A of... Pt. 51, Subpt. A, App. A Appendix A to Subpart A of Part 51—Tables Table 1 to Appendix A of Subpart A—Emission Thresholds by Pollutant (tpy1) for Treatment of Point Sources as Type A Under 40 CFR...

  15. Space station wardroom table

    NASA Technical Reports Server (NTRS)

    Cohen, Marc M. (Inventor); Kaplicky, Jan (Inventor); Nixon, David A. (Inventor)

    1989-01-01

    A table top for use in constricted areas has a plurality of support arms abutting at one end to form a hub. The support arms are arranged in equidistant, spaced-apart relation to each other at the ends distal to the hub. A plurality of work surface leaf sections mounted between the support arms are individually pivotable through 360 degrees about their longitudinal axes. The table top additionally has a plurality of distal leaves, each distal leaf being attached to the distal end of one of the arms. The distal leaves are pivotable between an upright position level with the support arms and a stored position below the support arms.

  16. Rotation, differential rotation, and gyrochronology of active Kepler stars

    NASA Astrophysics Data System (ADS)

    Reinhold, Timo; Gizon, Laurent

    2015-11-01

    most reliable. Explaining the bimodality in the age distribution is challenging, and limits accurate stellar age predictions. The relation between activity and age is interesting, and requires further investigation. The existence of cool stars with almost constant rotation period over more than three years of observation might be explained by synchronization with stellar companions, or a dynamo mechanism keeping the spot configurations extremely stable. Full Tables 2 and 4 are only available at the CDS via anonymous ftp to http://cdsarc.u-strasbg.fr (ftp://130.79.128.5) or via http://cdsarc.u-strasbg.fr/viz-bin/qcat?J/A+A/583/A65

  17. Rotation of vertically oriented objects during earthquakes

    NASA Astrophysics Data System (ADS)

    Hinzen, Klaus-G.

    2012-10-01

    Vertically oriented objects, such as tombstones, monuments, columns, and stone lanterns, are often observed to shift and rotate during earthquake ground motion. Such observations are usually limited to the mesoseismal zone. Whether near-field rotational ground motion components are necessary in addition to pure translational movements to explain the observed rotations is an open question. We summarize rotation data from seven earthquakes between 1925 and 2009 and perform analog and numeric rotation testing with vertically oriented objects. The free-rocking motion of a marble block on a sliding table is disturbed by a pulse in the direction orthogonal to the rocking motion. When the impulse is sufficiently strong and occurs at the `right' moment, it induces significant rotation of the block. Numeric experiments of a free-rocking block show that the initiation of vertical block rotation by a cycloidal acceleration pulse applied orthogonal to the rocking axis depends on the amplitude of the pulse and its phase relation to the rocking cycle. Rotation occurs when the pulse acceleration exceeds the threshold necessary to provoke rocking of a resting block, and the rocking block approaches its equilibrium position. Experiments with blocks subjected to full 3D strong motion signals measured during the 2009 L'Aquila earthquake confirm the observations from the tests with analytic ground motions. Significant differences in the rotational behavior of a monolithic block and two stacked blocks exist.

  18. Transnasal endoscopic repair of posterior table fractures.

    PubMed

    Chaaban, Mohamad R; Conger, Bryant; Riley, Kristen O; Woodworth, Bradford A

    2012-12-01

    Conventional treatment of frontal sinus posterior table fractures has included osteoplastic flap or cranialization procedures despite considerable advances in endoscopic technique and experience. The objective of the current study was to evaluate outcomes of frontal sinus fractures involving the posterior table managed using endoscopic approaches. Prospective cohort. Tertiary care, academic university hospital. Prospective evaluation of patients with posterior table fractures was performed. Data were collected regarding demographics, etiology, technique, operative site, length involving the posterior table, size of the skull base defect, complications, and clinical follow-up. Thirteen patients (average age 37 years) with posterior table fractures were treated using endoscopic techniques from 2008 to 2012. Mean follow-up time was 68 weeks (range, 2-206 weeks). Patients were primarily managed using Draf IIb frontal sinusotomies with 1 individual requiring a concomitant trephine. A Draf III procedure was performed in 1 patient. Average fracture defect (length vs width) was 13 × 4.5 mm, and average length involving the posterior table was 9.7 mm (1-30 mm). Skull base defects were covered with a septal flap and/or free tissue grafts. Although 1 individual required a revision frontal sinusotomy and follow-up was short in several patients, all sinuses remained patent on last clinical examination. Management of frontal sinus posterior table fractures using minimally invasive endoscopic techniques provides excellent outcomes in selected cases. Fractures of up to 30 mm in length were adequately managed in this series and indicate this approach can be a viable alternative in the treatment of these fractures.

  19. Optimal technique for maximal forward rotating vaults in men's gymnastics.

    PubMed

    Hiley, Michael J; Jackson, Monique I; Yeadon, Maurice R

    2015-08-01

    In vaulting a gymnast must generate sufficient linear and angular momentum during the approach and table contact to complete the rotational requirements in the post-flight phase. This study investigated the optimization of table touchdown conditions and table contact technique for the maximization of rotation potential for forwards rotating vaults. A planar seven-segment torque-driven computer simulation model of the contact phase in vaulting was evaluated by varying joint torque activation time histories to match three performances of a handspring double somersault vault by an elite gymnast. The closest matching simulation was used as a starting point to maximize post-flight rotation potential (the product of angular momentum and flight time) for a forwards rotating vault. It was found that the maximized rotation potential was sufficient to produce a handspring double piked somersault vault. The corresponding optimal touchdown configuration exhibited hip flexion in contrast to the hyperextended configuration required for maximal height. Increasing touchdown velocity and angular momentum lead to additional post-flight rotation potential. By increasing the horizontal velocity at table touchdown, within limits obtained from recorded performances, the handspring double somersault tucked with one and a half twists, and the handspring triple somersault tucked became theoretically possible.

  20. The Dynamic Force Table

    ERIC Educational Resources Information Center

    Geddes, John B.; Black, Kelly

    2008-01-01

    We examine an experimental apparatus that is used to motivate the connections between the basic properties of vectors, potential functions, systems of nonlinear equations, and Newton's method for nonlinear systems of equations. The apparatus is an adaptation of a force table where we remove the center-pin and allow the center-ring to move freely.…

  1. NEW APPROACHES: Pool table

    NASA Astrophysics Data System (ADS)

    Parry, Malcolm

    1998-05-01

    This article explains a novel way of demonstrating the principle of conservation of energy. This can be difficult to demonstrate in the laboratory, but if students have been convinced of the conservation of momentum, two-dimensional collisions on a pool table may be used.

  2. A Modern Periodic Table.

    ERIC Educational Resources Information Center

    Herrenden-Harker, B. D.

    1997-01-01

    Presents a modern Periodic Table based on the electron distribution in the outermost shell and the order of filling of the sublevels within the shells. Enables a student to read off directly the electronic configuration of the element and the order in which filling occurs. (JRH)

  3. Guide to the Table

    ERIC Educational Resources Information Center

    Occupational Outlook Quarterly, 2010

    2010-01-01

    This article presents a table that provides a snapshot of how employment is expected to change in 289 occupations. For each occupation, it shows estimated employment in 2008, the projected numeric change in employment (that is, how many jobs are expected to be gained or lost) over the 2008-18 decade, and the projected percent change in employment…

  4. A Modern Periodic Table.

    ERIC Educational Resources Information Center

    Herrenden-Harker, B. D.

    1997-01-01

    Presents a modern Periodic Table based on the electron distribution in the outermost shell and the order of filling of the sublevels within the shells. Enables a student to read off directly the electronic configuration of the element and the order in which filling occurs. (JRH)

  5. The Aerodynamic Plane Table

    NASA Technical Reports Server (NTRS)

    Zahm, A F

    1924-01-01

    This report gives the description and the use of a specially designed aerodynamic plane table. For the accurate and expeditious geometrical measurement of models in an aerodynamic laboratory, and for miscellaneous truing operations, there is frequent need for a specially equipped plan table. For example, one may have to measure truly to 0.001 inch the offsets of an airfoil at many parts of its surface. Or the offsets of a strut, airship hull, or other carefully formed figure may require exact calipering. Again, a complete airplane model may have to be adjusted for correct incidence at all parts of its surfaces or verified in those parts for conformance to specifications. Such work, if but occasional, may be done on a planing or milling machine; but if frequent, justifies the provision of a special table. For this reason it was found desirable in 1918 to make the table described in this report and to equip it with such gauges and measures as the work should require.

  6. The Dynamic Force Table

    ERIC Educational Resources Information Center

    Geddes, John B.; Black, Kelly

    2008-01-01

    We examine an experimental apparatus that is used to motivate the connections between the basic properties of vectors, potential functions, systems of nonlinear equations, and Newton's method for nonlinear systems of equations. The apparatus is an adaptation of a force table where we remove the center-pin and allow the center-ring to move freely.…

  7. Partial rotator cuff repair and biceps tenotomy for the treatment of patients with massive cuff tears and retained overhead elevation: midterm outcomes with a minimum 5 years of follow-up.

    PubMed

    Cuff, Derek J; Pupello, Derek R; Santoni, Brandon G

    2016-11-01

    A subset of patients with massive irreparable rotator cuff tears present with retained overhead elevation and pain as their primary complaint. Our aim was to evaluate the outcomes of partial arthroscopic rotator cuff repair with biceps tenotomy and to report the failure rate of this procedure for patients with >5 years of follow-up. Thirty-four patients underwent partial rotator cuff repair and biceps tenotomy for treatment of a massive rotator cuff tear. Patients had preoperative active forward elevation >120° and no radiographic evidence of glenohumeral arthritis. Patients were followed up clinically and radiographically, and 28 patients had a minimum of 5 years of follow-up. Failure was defined as an American Shoulder and Elbow Surgeons score of <70, loss of active elevation >90°, or revision to reverse shoulder arthroplasty during the study period. Patients demonstrated improvements in average preoperative to postoperative American Shoulder and Elbow Surgeons scores (46.6 to 79.3 [P < .001]) and Simple Shoulder Test scores (5.7 to 9.1 [P < .001]) along with decrease in visual analog scale for pain scores (6.9 to 1.9 [P < .001]). No significant change in forward elevation (168° to 154° [P = .07]), external rotation (38° to 39° [P = 1.0]), or internal rotation (84% to 80% [P = 1.0]) was identified; 36% of patients had progression of the Hamada stage. The failure rate was 29%; 75% of patients were satisfied with their index procedure. Partial rotator cuff repair and biceps tenotomy for patients with massive irreparable rotator cuff tears with retained overhead elevation and pain as the primary complaint produced reasonable outcomes at midterm follow-up of at least 5 years. Copyright © 2016 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

  8. A periodic table for cancer.

    PubMed

    Epstein, Richard J

    2015-01-01

    Cancers exhibit differences in metastatic behavior and drug sensitivity that correlate with certain tumor-specific variables such as differentiation grade, growth rate/extent and molecular regulatory aberrations. In practice, patient management is based on the past results of clinical trials adjusted for these biomarkers. Here, it is proposed that treatment strategies could be fine-tuned upfront simply by quantifying tumorigenic spatial (cell growth) and temporal (genetic stability) control losses, as predicted by genetic defects of cell-cycle-regulatory gatekeeper and genome-stabilizing caretaker tumor suppressor genes, respectively. These differential quantifications of tumor dysfunction may in turn be used to create a tumor-specific 'periodic table' that guides rational formulation of survival-enhancing anticancer treatment strategies.

  9. The classical electrostatic periodic table, capacitance of few electron dielectric spheres and a novel treatment of one- and two-electron finite quantum wells

    NASA Astrophysics Data System (ADS)

    Lafave, Tim, Jr.

    The centerpiece of this dissertation is the discovery of the classical electrostatic periodic table of elements through non-linear ground state energies coincident with atomic shell-filling resulting from symmetry properties of discrete electrons constrained by a spherically-symmetric system. The time-independent electrostatic equilibrium configuration of few electrons confined to a large classical dielectric sphere is obtained by minimization of the total interaction energy. The interactions model yields more than twice the energy predicted by the classical Gauss model. Each N-electron system is proposed as a unique phase characterized by its symmetry properties. A new mono-phasic capacitance definition of dielectric spheres is derived from the fundamental relation Q=CV. Large differences from the Gauss model are obtained for few-electron systems, but convergence is found in the metallic limit. Of particular significance is the means by which symmetry-dependent properties of atomic-scale devices may be exploited by controlling the internal architecture of charge distributions. This work will be useful to modeling of many-electron chemical and biological systems, such as macromolecules, owing largely to symmetry differences between the Gauss model and the interactions model. The foundation upon which all Nature rests is the symmetry of fundamental particles.

  10. Rotating Bioreactor

    NASA Technical Reports Server (NTRS)

    1988-01-01

    The NASA Bioreactor provides a low turbulence culture environment which promotes the formation of large, three-dimensional cell clusters. Due to their high level of cellular organization and specialization, samples constructed in the bioreactor more closely resemble the original tumor or tissue found in the body. NASA-sponsored bioreactor research has been instrumental in helping scientists to better understand normal and cancerous tissue development. In cooperation with the medical community, the bioreactor design is being used to prepare better models of human colon, prostate, breast and ovarian tumors. Cartilage, bone marrow, heart muscle, skeletal muscle, pancreatic islet cells, liver and kidney are just a few of the normal tissues currently being cultured in rotating bioreactors by investigators.

  11. Treatment of nasal microcystic adnexal carcinoma with an expanded rotational forehead skin flap: A case report and review of the literature.

    PubMed

    Zhou, Rong-Rong; Zhao, Qi-Ming; Zhang, Xu-Dong; Gan, Jing-Bing

    2015-09-01

    Microcystic adnexal carcinoma (MAC) is a rare and locally aggressive adenocarcinoma with low-grade malignancy. The present study describes the first reported case and treatment of a Chinese male with a MAC located on the nasal dorsum and nosewing. A 44-year-old man presented with a nasal deformity caused by local repeated infections following an accidental injury to the nose 20 years previously. The nose had been injured by a brick, and treatment at a local hospital 12 years previously had resulted in a nasal scar and a gradually enlarging mass. A physical examination revealed a hypertrophic deformity of the nose and an indurated scar plaque, measuring 2.0×2.0 cm, on the nasal dorsum and nosewing. Microscopic examination revealed a tumor consisting of solid cell nests and a cystic structure with a capsular space. In addition, ductal cells of an adnexal cell origin were visible in the outer epithelium. The medial portion exhibited a microductal structure and invasion of deeper tissues without evident atypia. The tumor cells presented normal nuclear to cytoplasmic ratios and minimal mitotic activity. Pathological examination verified that the tumor was a MAC of low-grade malignancy. A complete surgical resection was performed via Mohs micrographic surgery (MMS), and reconstruction was achieved using an expanded rotational forehead skin flap. No tumor recurrence was detected after a three-year follow-up period. Therefore, for effective treatment of similar MAC cases, complete surgical resection using MMS is recommended, and successful reconstruction may be achieved using an expanded skin flap.

  12. Treatment of nasal microcystic adnexal carcinoma with an expanded rotational forehead skin flap: A case report and review of the literature

    PubMed Central

    ZHOU, RONG-RONG; ZHAO, QI-MING; ZHANG, XU-DONG; GAN, JING-BING

    2015-01-01

    Microcystic adnexal carcinoma (MAC) is a rare and locally aggressive adenocarcinoma with low-grade malignancy. The present study describes the first reported case and treatment of a Chinese male with a MAC located on the nasal dorsum and nosewing. A 44-year-old man presented with a nasal deformity caused by local repeated infections following an accidental injury to the nose 20 years previously. The nose had been injured by a brick, and treatment at a local hospital 12 years previously had resulted in a nasal scar and a gradually enlarging mass. A physical examination revealed a hypertrophic deformity of the nose and an indurated scar plaque, measuring 2.0×2.0 cm, on the nasal dorsum and nosewing. Microscopic examination revealed a tumor consisting of solid cell nests and a cystic structure with a capsular space. In addition, ductal cells of an adnexal cell origin were visible in the outer epithelium. The medial portion exhibited a microductal structure and invasion of deeper tissues without evident atypia. The tumor cells presented normal nuclear to cytoplasmic ratios and minimal mitotic activity. Pathological examination verified that the tumor was a MAC of low-grade malignancy. A complete surgical resection was performed via Mohs micrographic surgery (MMS), and reconstruction was achieved using an expanded rotational forehead skin flap. No tumor recurrence was detected after a three-year follow-up period. Therefore, for effective treatment of similar MAC cases, complete surgical resection using MMS is recommended, and successful reconstruction may be achieved using an expanded skin flap. PMID:26622465

  13. Table Clinics: A Valuable Learning Experience for Allied Health Students.

    ERIC Educational Resources Information Center

    Melton, Jimmie H.

    Table clinics, or short oral presentations on techniques related to some phase of research, diagnosis, or treatment, can be used to enrich allied health education. To present a table clinic, students must choose a topic which lends itself to a 5- to 7-minute presentation and which imparts knowledge that participants can take back to their…

  14. 40 CFR Table 17 to Subpart G of... - Information for Treatment Processes To Be Submitted With Notification of Compliance Status a b

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 10 2014-07-01 2014-07-01 false Information for Treatment Processes To... Subpart G of Part 63—Information for Treatment Processes To Be Submitted With Notification of Compliance... Organic Hazardous Air Pollutants From the Synthetic Organic Chemical Manufacturing Industry for Process...

  15. 40 CFR Table 17 to Subpart G of... - Information for Treatment Processes To Be Submitted With Notification of Compliance Status a,b

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 10 2013-07-01 2013-07-01 false Information for Treatment Processes To... Subpart G of Part 63—Information for Treatment Processes To Be Submitted With Notification of Compliance... Organic Hazardous Air Pollutants From the Synthetic Organic Chemical Manufacturing Industry for Process...

  16. 40 CFR Table 17 to Subpart G of... - Information for Treatment Processes To Be Submitted With Notification of Compliance Status a,b

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 10 2012-07-01 2012-07-01 false Information for Treatment Processes To... Subpart G of Part 63—Information for Treatment Processes To Be Submitted With Notification of Compliance... Organic Hazardous Air Pollutants From the Synthetic Organic Chemical Manufacturing Industry for Process...

  17. SU-E-J-170: Dosimetric Consequences of Uncorrected Rotational Setup Errors During Stereotactic Body Radiation Therapy (SBRT) Treatment of Pancreatic Cancers

    SciTech Connect

    Di Maso, L; Forbang, R Teboh; Zhang, Y; Herman, J; Lee, J

    2015-06-15

    Purpose: To explore the dosimetric consequences of uncorrected rotational setup errors during SBRT for pancreatic cancer patients. Methods: This was a retrospective study utilizing data from ten (n=10) previously treated SBRT pancreas patients. For each original planning CT, we applied rotational transformations to derive additional CT images representative of possible rotational setup errors. This resulted in 6 different sets of rotational combinations, creating a total of 60 CT planning images. The patients’ clinical dosimetric plans were then applied to their corresponding rotated CT images. The 6 rotation sets encompassed a 3, 2 and 1-degree rotation in each rotational direction and a 3-degree in just the pitch, a 3-degree in just the yaw and a 3-degree in just the roll. After the dosimetric plan was applied to the rotated CT images, the resulting plan was then evaluated and compared with the clinical plan for tumor coverage and normal tissue sparing. Results: PTV coverage, defined here by V33 throughout all of the patients’ clinical plans, ranged from 92–98%. After an n degree rotation in each rotational direction that range decreased to 68–87%, 85–92%, and 88– 94% for n=3, 2 and 1 respectively. Normal tissue sparing defined here by the proximal stomach V15 throughout all of the patients’ clinical plans ranged from 0–8.9 cc. After an n degree rotation in each rotational direction that range increased to 0–17 cc, 0–12 cc, and 0–10 cc for n=3, 2, and 1 respectively. Conclusion: For pancreatic SBRT, small rotational setup errors in the pitch, yaw and roll direction on average caused under dosage to PTV and over dosage to proximal normal tissue. The 1-degree rotation was on average the least detrimental to the normal tissue and the coverage of the PTV. The 3-degree yaw created on average the lowest increase in volume coverage to normal tissue. This research was sponsored by the AAPM Education Council through the AAPM Education and Research

  18. Taper tables for western hemlock.

    Treesearch

    Floyd A. Johnson; Wilbur. Engstrom

    1949-01-01

    In 1947 the West Coast Forestry procedures Committee recommended several mensuration projects, one of which called for the construction of taper tables for Western hemlock. In response the present tables were prepared. Basic data for these tables consist of measurements of 912 trees taken a number of years ago by members of the Pacific Northwest Forest & Range...

  19. A survey on table tolerances and couch overrides in radiotherapy.

    PubMed

    Chinsky, Bonnie; Patel, Rakesh; Panfil, Joshua; Surucu, Murat; Roeske, John C

    2016-11-08

    The purpose of this study was to survey current departmental policies on treatment couch overrides and the values of table tolerances used clinically. A 25-question electronic survey on couch overrides and tolerances was sent to full members of the American Association of Physicists in Medicine (AAPM). The first part of the survey asked participants if table overrides were allowed at their institution, who was allowed to perform these overrides, and if imaging was required with overrides. The second part of the survey asked individuals to provide table tolerance data for the following treatment sites: brain/head and neck (H&N), lung, breast, abdo-men/pelvis and prostate. Each site was further divided into IMRT/VMAT and 3D conformal techniques. Spaces for free-text were provided, allowing respondents to enter any table tolerance data they were unable to specify under the treatment sites listed. A total of 361 individuals responded, of which approximately half partici-pated in the couch tolerances portion of the survey. Overall, 86% of respondents' institutions allow couch tolerance overrides at treatment. Therapists were the most common staff members permitted to perform overrides, followed by physicists, dosimetrists, and physicians, respectively. Of the institutions allowing overrides, 34% reported overriding daily. More than half of the centers document the over-ride and/or require a setup image to radiographically verify the treatment site. With respect to table tolerances, SRS/SBRT table tolerances were the tightest, while clinical setup table tolerances were the largest. There were minimal statistically significant differences between IMRT/VMAT and 3D conformal table tolerances. Our results demonstrated that table overrides are relatively common in radiotherapy despite being a potential safety concern. Institutions should review their override policy and table tolerance values in light of the practices of other institutions. Careful attention to these

  20. ENGINEERING BULLETIN: ROTATING BIOLOGICAL CONTACTORS

    EPA Science Inventory

    Rotating biological contactors employ aerobic fixed-film treatment to degrade either organic and/or nitrogenous (ammonia-nitrogen) constituents present in aqueous waste streams. ixed-film systems provide a surface to which the biomass can adhere. Treatment is achieved as the wast...

  1. Platelet-rich plasma injections in the treatment of chronic rotator cuff tendinopathy: a randomized controlled trial with 1-year follow-up.

    PubMed

    Kesikburun, Serdar; Tan, Arif Kenan; Yilmaz, Bilge; Yaşar, Evren; Yazicioğlu, Kamil

    2013-11-01

    Rotator cuff tendinopathy (RCT) is a significant source of disability and loss of work. Platelet-rich plasma (PRP) has been suggested to be beneficial in the treatment of RCT. To investigate the effect of PRP injections on pain and shoulder functions in patients with chronic RCT. Randomized controlled trial; Level of evidence, 1. A total of 40 patients, 18 to 70 years of age, with (1) a history of shoulder pain for >3 months during overhead-throwing activities, (2) MRI findings of RCT or partial tendon ruptures, and (3) a minimum 50% reduction in shoulder pain with subacromial injections of an anesthetic were included in this placebo-controlled, double-blind randomized clinical trial. Patients were randomized into a PRP group (n = 20) or placebo group (n = 20). Patients received an ultrasound-guided injection into the subacromial space that contained either 5 mL of PRP prepared from autologous venous blood or 5 mL of saline solution. All patients underwent a 6-week standard exercise program. Outcome measures (Western Ontario Rotator Cuff Index [WORC], Shoulder Pain and Disability Index [SPADI], 100-mm visual analog scale [VAS] of shoulder pain with the Neer test, and shoulder range of motion) were assessed at baseline and at 3, 6, 12, and 24 weeks and 1 year after injection. Comparison of the patients revealed no significant difference between the groups in WORC, SPADI, and VAS scores at 1-year follow-up (P = .174, P = .314, and P = .904, respectively). Similar results were found at other assessment points. Within each group, the WORC, SPADI, and VAS scores showed significant improvements compared with baseline at all time points (P < .001). In the range of motion measures, there were no significant group × time interactions. At 1-year follow-up, a PRP injection was found to be no more effective in improving quality of life, pain, disability, and shoulder range of motion than placebo in patients with chronic RCT who were treated with an exercise program.

  2. Pyrolysis of Table Sugar

    PubMed Central

    Karagöz, Selhan

    2013-01-01

    Table sugars were pyrolyzed at different temperatures (300, 400, and 500°C) in a fixed-bed reactor. The effect of pyrolysis temperature on yields of liquid, solid, and gaseous products was investigated. As expected the yield of liquid products gradually increased and the yield of solid products gradually decreased when the pyrolysis temperature was raised. The yield of liquid products was greatest (52 wt%) at 500°C. The composition of bio-oils extracted with diethyl ether was identified by means of gas chromatography mass spectrometry (GC-MS), nuclear magnetic resonance (1H-NMR), and Fourier transform infrared spectroscopy (FTIR). The following compounds were observed in bio-oils produced from the pyrolysis of table sugar at 500°C: 1,4:3,6-dianhydro-α-d-glucopyranose, 5-(hydroxymethyl) furfural, 5-acetoxymethyl-2-furaldehyde, and cyclotetradecane liquid product. The relative concentration of 5-(hydroxymethyl) furfural was the highest in bio-oils obtained from pyrolysis of table sugars at 500°C. PMID:24223500

  3. Pyrolysis of table sugar.

    PubMed

    Bulut, Adnan; Karagöz, Selhan

    2013-01-01

    Table sugars were pyrolyzed at different temperatures (300, 400, and 500°C) in a fixed-bed reactor. The effect of pyrolysis temperature on yields of liquid, solid, and gaseous products was investigated. As expected the yield of liquid products gradually increased and the yield of solid products gradually decreased when the pyrolysis temperature was raised. The yield of liquid products was greatest (52 wt%) at 500°C. The composition of bio-oils extracted with diethyl ether was identified by means of gas chromatography mass spectrometry (GC-MS), nuclear magnetic resonance ((1)H-NMR), and Fourier transform infrared spectroscopy (FTIR). The following compounds were observed in bio-oils produced from the pyrolysis of table sugar at 500°C: 1,4:3,6-dianhydro- α -d-glucopyranose, 5-(hydroxymethyl) furfural, 5-acetoxymethyl-2-furaldehyde, and cyclotetradecane liquid product. The relative concentration of 5-(hydroxymethyl) furfural was the highest in bio-oils obtained from pyrolysis of table sugars at 500°C.

  4. Idaho National Engineering Laboratory Conceptual Site Treatment Plan. Sections 1 through 8, Tables 2-1 through 6-1, Figures 1 and 2

    SciTech Connect

    Eaton, D.

    1993-10-01

    The US Department of Energy (DOE) is required by Section 3021(b) of the Resource Conservation and Recovery Act (RCRA), as amended by the Federal Facility Compliance Act (FFCAct), to prepare plans describing the development of treatment capacities and technologies for treating mixed waste. The FFCAct requires site treatment plans (STPs or plans) to be developed for each site at which DOE generates or stores mixed waste and submitted to the host state or the US Environmental Protection Agency (EPA) for either approval, approval with modification, or disapproval. The Idaho National Engineering Laboratory (INEL) Conceptual Site Treatment Plan (CSTP) is the preliminary version of the plan required by the FFCAct and is being provided to the State of Idaho, the EPA, and others for review. A list of the other DOE sites preparing CSTPs is included in Appendix A of this document. In addition to aiding the INEL in formulating its Final Proposed STP, this CSTP will also provide information to other DOE sites for use in identifying common technology needs and potential options for treating their wastes. The INEL CSTP is also intended to be used in conjunction with CSTPs from other sites as a basis for nationwide discussions among state regulators, the EPA, and other interested parties on treatment strategies and options, and on technical and equity issues associated with DOE`s mixed waste.

  5. Kepler Certified False Positive Table

    NASA Technical Reports Server (NTRS)

    Bryson, Stephen T.; Batalha, Natalie Marie; Colon, Knicole Dawn; Coughlin, Jeffrey Langer; Haas, Michael R.; Henze, Chris; Huber, Daniel; Morton, Tim; Rowe, Jason Frank; Mullally, Susan Elizabeth; hide

    2017-01-01

    This document describes the Kepler Certied False Positive table hosted at the Exoplanet Archive1, herein referred to as the CFP table. This table is the result of detailed examination by the Kepler False Positive Working Group (FPWG) of declared false positives in the Kepler Object of Interest (KOI) tables (see, for example, Batalha et al. (2012); Burke et al.(2014); Rowe et al. (2015); Mullally et al. (2015); Coughlin et al. (2015b)) at the Exoplanet Archive. A KOI is considered a false positive if it is not due to a planet orbiting the KOI's target star. The CFP table contains all KOIs in the Exoplanet Archive cumulative KOI table. The purpose of the CFP table is to provide a list of certified false positive KOIs. A KOI is certified as a false positive when, in the judgement of the FPWG, there is no plausible planetary interpretation of the observational evidence, which we summarize by saying that the evidence for a false positive is compelling. This certification process involves detailed examination using all available data for each KOI, establishing a high-reliability ground truth set. The CFP table can be used to estimate the reliability of, for example, the KOI tables which are created using only Kepler photometric data, so the disposition of individual KOIs may differ in the KOI and CFP tables. Follow-up observers may find the CFP table useful to avoid observing false positives.

  6. Alzheimer's Treatment

    MedlinePlus

    ... page please turn JavaScript on. Feature: Alzheimer's Disease Alzheimer's Treatment Past Issues / Winter 2015 Table of Contents Currently, ... to develop and test a variety of possible treatments for Alzheimer's. Current treatments: These focus on ways to slow ...

  7. A randomised controlled feasibility study investigating the use of eccentric and concentric strengthening exercises in the treatment of rotator cuff tendinopathy.

    PubMed

    Bateman, Marcus; Adams, Nicola

    2014-01-01

    To conduct a feasibility study to compare concentric and eccentric rotator cuff strengthening exercises for rotator cuff tendinopathy. A total of 11 patients with rotator cuff tendinopathy who were on the waiting list for arthroscopic subacromial decompression surgery were randomised to perform eccentric rotator cuff strengthening exercises, concentric strengthening exercises or no exercises. Patients were evaluated in terms of levels of pain and function using the Oxford Shoulder Score and a Visual Analogue Scale initially, at 4 weeks and at 8 weeks. The study design was found to be acceptable to patients and achieved a high level of 86% compliance. The drop-out rate was 0%. Two patients performing eccentric strengthening exercises improved sufficiently to cancel their planned surgery. Further research in this area is recommended. The study design was feasible and power calculations have been conducted to aid future research planning.

  8. The use of xylazine hydrochloride in an analgesic protocol for claw treatment of lame dairy cows in lateral recumbency on a surgical tipping table.

    PubMed

    Rizk, Awad; Herdtweck, Sarah; Offinger, Jennifer; Meyer, Henning; Zaghloul, Adel; Rehage, Juergen

    2012-05-01

    The objective of this study was to investigate the effect of xylazine on the stress and pain response of lame cows undergoing claw treatment in lateral recumbency (LR). Twenty-four lame, German Holstein-Friesian cows were included in a prospective, blinded, placebo-controlled clinical case study. Cows were randomly allocated to two groups (n=12) and either treated with xylazine (0.05 mg/kg BW, i.m.) or an equal volume of saline (controls) 15 min before placing them in LR. Before surgical treatment, each cow received retrograde intravenous local anaesthesia (LA). Over a period of 6h, heart rate (HR), respiratory rate (RR), plasma concentrations of cortisol, glucose, lactate and non-esterified fatty acids (NEFA) were determined at preset time intervals and the animals' behaviour was recorded via video recording and pedometer. All xylazine-treated cows showed signs of mild sedation, a reduced pain response on insertion of the needle for LA, reduced ear flicking during surgery, reduced lameness score and longer standing periods as well as improved appetite in the first hour postoperatively. Mean HR and RR, as well as plasma concentrations of NEFA were significantly reduced after xylazine treatment. Cortisol concentrations were significantly lower in xylazine-treated cows after being placed in LR but were similar to controls during surgery. The use of a low dose of xylazine in the analgesic protocol for the treatment of lame cows in LR alleviates stress and potentiates the analgesic effects of LA. Copyright © 2011 Elsevier Ltd. All rights reserved.

  9. Outcome and structural integrity of rotator cuff after arthroscopic treatment of large and massive tears with double row technique: a 2-year followup.

    PubMed

    Carbonel, Ignacio; Martínez, Angel A; Aldea, Elisa; Ripalda, Jorge; Herrera, Antonio

    2013-01-01

    Purpose. The purpose of this study was to evaluate the functional outcome and the tendon healing after arthroscopic double row rotator cuff repair of large and massive rotator cuff tears. Methods. 82 patients with a full-thickness large and massive rotator cuff tear underwent arthroscopic repair with double row technique. Results were evaluated by use of the UCLA, ASES, and Constant questionnaires, the Shoulder Strength Index (SSI), and range of motion. Follow-up time was 2 years. Magnetic resonance imaging (MRI) studies were performed on each shoulder preoperatively and 2 years after repair. Results. 100% of the patients were followed up. UCLA, ASES, and Constant questionnaires showed significant improvement compared with preoperatively (P < 0.001). Range of motion and SSI in flexion, abduction, and internal and external rotation also showed significant improvement (P < 0.001). MRI studies showed 24 cases of tear after repair (29%). Only 8 cases were a full-thickness tear. Conclusions. At two years of followup, in large and massive rotator cuff tears, an arthroscopic double row rotator cuff repair technique produces an excellent functional outcome and structural integrity.

  10. Outcome and Structural Integrity of Rotator Cuff after Arthroscopic Treatment of Large and Massive Tears with Double Row Technique: A 2-Year Followup

    PubMed Central

    Carbonel, Ignacio; Martínez, Angel A.; Aldea, Elisa; Ripalda, Jorge

    2013-01-01

    Purpose. The purpose of this study was to evaluate the functional outcome and the tendon healing after arthroscopic double row rotator cuff repair of large and massive rotator cuff tears. Methods. 82 patients with a full-thickness large and massive rotator cuff tear underwent arthroscopic repair with double row technique. Results were evaluated by use of the UCLA, ASES, and Constant questionnaires, the Shoulder Strength Index (SSI), and range of motion. Follow-up time was 2 years. Magnetic resonance imaging (MRI) studies were performed on each shoulder preoperatively and 2 years after repair. Results. 100% of the patients were followed up. UCLA, ASES, and Constant questionnaires showed significant improvement compared with preoperatively (P < 0.001). Range of motion and SSI in flexion, abduction, and internal and external rotation also showed significant improvement (P < 0.001). MRI studies showed 24 cases of tear after repair (29%). Only 8 cases were a full-thickness tear. Conclusions. At two years of followup, in large and massive rotator cuff tears, an arthroscopic double row rotator cuff repair technique produces an excellent functional outcome and structural integrity. PMID:23533788

  11. Rotation and differential rotation of active Kepler stars

    NASA Astrophysics Data System (ADS)

    Reinhold, Timo; Reiners, Ansgar; Basri, Gibor

    2013-12-01

    temperature. The absolute shear ΔΩ slightly increases from ΔΩ = 0.079 rad d-1 at Teff = 3500 K to ΔΩ = 0.096 rad d-1 at Teff = 6000 K. Above 6000 K, ΔΩ shows much larger scatter. The dependence of ΔΩ on rotation period is weak over a large period range. Conclusions: Latitudinal differential rotation measured for the first time in more than 18 000 stars provides a comprehensive picture of stellar surface shear. This picture is consistent with major predictions from mean-field theory, and seems to support these models. To what extent our observations are prone to false positives and selection bias has not been fully explored, and needs to be addressed using other data, including the full Kepler time coverage. Appendix A is available in electronic form at http://www.aanda.orgA table with rotation periods is only available at the CDS via anonymous ftp to http://cdsarc.u-strasbg.fr (ftp://130.79.128.5) or via http://cdsarc.u-strasbg.fr/viz-bin/qcat?J/A+A/560/A4

  12. Surgical treatment of lesions of the long head of the biceps brachii tendon with rotator cuff tear: a prospective randomized clinical trial comparing the clinical results of tenotomy and tenodesis.

    PubMed

    Lee, Hyo-Jin; Jeong, Jin-Young; Kim, Chul-Kyu; Kim, Yang-Soo

    2016-07-01

    Tenotomy and tenodesis are common treatments for lesions in the long head of biceps tendon (LHBT); however, which treatment is superior is still controversial. This study compared the outcomes of tenotomy with outcomes of tenodesis for treatment of LHBT lesions with rotator cuff tears. The study enrolled 128 patients with LHBT lesions and small- to medium-sized rotator cuff tear. Arthroscopic LHBT tenotomy was done in 56 patients (group I), and LHBT tenodesis was done for 72 patients (group II) with rotator cuff repair. American Shoulder and Elbow Surgeons Score, simple shoulder test, pain visual analog scale, range of motion, and cosmetic changes were assessed initially, at 3, 6, and 12 months postoperatively, and the last visit. The elbow motor power and magnetic resonance imaging were evaluated at 12 months. Both groups showed improvement in functional scores after treatments, but no significant difference was found between the 2 groups at each assessment. The rate of Popeye deformity was 3 times higher in group I (P = .04). Group II showed greater forearm supination power than group I (P = .02). On magnetic resonance imaging, 45 patients (80.4%) in group I showed maintenance of the LHBT cut end within the bicipital groove, whereas 65 patients (90.3%) in group II showed maintenance of fixated LHBT. For the treatment of LHBT lesions with rotator cuff tear, patients with tenotomy and tenodesis both showed significant improvements in functional scores. The incidence of Popeye deformity was about 3-times higher in tenotomy group. No significant differences in elbow motor power were observed except greater forearm supination power in the tenodesis group. Copyright © 2016 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

  13. Simultaneous couch and gantry dynamic arc rotation (CG-Darc) in the treatment of breast cancer with accelerated partial breast irradiation (APBI): a feasibility study.

    PubMed

    Popescu, Carmen C; Beckham, Wayne A; Patenaude, Veronica V; Olivotto, Ivo A; Vlachaki, Maria T

    2013-01-07

    The purpose of this study was to compare the dosimetry of CG-Darc with three-dimensional conformal radiation therapy (3D CRT) and volumetric-modulated arc therapy (RapidArc) in the treatment of breast cancer with APBI. CG-Darc plans were generated using two tangential couch arcs combined with a simultaneous noncoplanar gantry arc. The dynamic couch arc was modeled by consecutive IMRT fields at 10° intervals. RapidArc plans used a single partial arc with an avoidance sector, preventing direct beam exit into the thorax. CG-Darc and RapidArc plans were compared with 3D CRT in 20 patients previously treated with 3D CRT (group A), and in 15 additional patients who failed the dosimetric constraints of the Canadian trial and of NSABP B-39/RTOG 0413 for APBI (group B). CG-Darc resulted in superior target coverage compared to 3D CRT and RapidArc (V95%: 98.2% vs. 97.1% and 95.7%). For outer breast lesions, CG-Darc and RapidArc significantly reduced the ipsilateral breast V50% by 8% in group A and 15% in group B (p < 0.05) as compared with 3D CRT. For inner and centrally located lesions, CG-Darc resulted in significant ipsilateral lung V10% reduction when compared to 3D CRT and RapidArc (10.7% vs. 12.6% and 20.7% for group A, and 15.1% vs. 25.2% and 27.3% for group B). Similar advantage was observed in the dosimetry of contralateral breast where the percent maximum dose for CG-Darc, 3D CRT, and RapidArc were 3.9%, 6.3%, and 5.8% for group A and 4.3%, 9.2%, and 6.3% for group B, respectively (p < 0.05). CG-Darc achieved superior target coverage while decreasing normal tissue dose even in patients failing APBI dose constraints. Consequently, this technique has the potential of expanding the use of APBI to patients currently ineligible for such treatment. Modification of the RapidArc algorithm will be necessary to link couch and gantry rotation with variable dose rate and, therefore, enable the use of CG-Darc in clinical practice.

  14. Deployable video conference table

    NASA Technical Reports Server (NTRS)

    Cohen, Marc M. (Inventor); Lissol, Peter (Inventor)

    1993-01-01

    A deployable table is presented. The table is stowed in and deployed from a storage compartment based upon a non-self rigidizing, 4-hinge, arch support structure that folds upon itself to stow and that expands to deploy. The work surfaces bypass each other above and below to allow the deployment mechanism to operate. This assembly includes the following: first and second primary pivot hinges placed at the opposite ends of the storage compartment; first and second lateral frame members with proximal ends connected to the first and second pivot hinges; a medial frame member offset from and pivotally connected to distal ends of the first and second members through third and fourth medial pivot hinges; and left-side, right-side, and middle trays connected respectively to the first, second, and third frame members and being foldable into and out of the storage compartment by articulation of the first, second, third, and fourth joints. At least one of the third and fourth joints are locked to set the first, second, and third frame members in a desired angular orientation with respect to each other.

  15. Deriving Extensional Spatial Composition Tables

    NASA Astrophysics Data System (ADS)

    El-Geresy, Baher; Abdelmoty, Alia I.; Ware, Andrew J.

    Spatial composition tables are fundamental tools for the realisation of qualitative spatial reasoning techniques. Studying the properties of these tables in relation to the spatial calculi they are based on is essential for understanding the applicability of these calculi and how they can be extended and generalised. An extensional interpretation of a spatial composition table is an important property that has been studied in the literature and is used to determine the validity of the table for the models it is proposed for. It provides means for consistency checking of ground sets of relations and for addressing spatial constraint satisfaction problems. Furthermore, two general conditions that can be used to test for extensionality of spatial composition tables are proposed and applied to the RCC8 composition table to verify the allowable models in this calculus.

  16. A retrospective analysis of the InterTan nail and proximal femoral nail anti-rotation-Asia in the treatment of unstable intertrochanteric femur fractures in the elderly.

    PubMed

    Yu, Weiguang; Zhang, Xinchao; Zhu, Xingfei; Hu, Jun; Liu, Yunjiang

    2016-01-15

    The purpose of this study was to compare the clinical outcomes of elderly patients undergoing surgery for treatment of unstable trochanteric fractures receiving either proximal femoral nails anti-rotation-Asia (PFNA-IIs) or InterTan nails (ITs). Between January 1, 2012, and June 31, 2015, 168 elderly patients with unstable intertrochanteric femur fractures enrolled in this study. The only intervention was ITs or PFNA-IIs of the unstable trochanteric femur fractures. Follow-up was at 1, 3, 6, and 12 months postoperatively and yearly thereafter. Intraoperative variables and postoperative complications were compared between the two groups. Eight patients died, six were too infirmed for follow-up, and seven were lost during follow-up, leaving 147 patients meeting the criteria were evaluated at a mean follow-up of 20 months (range 16-26 months). Significant differences were observed between the two groups regarding local complications (IT, n = 10 vs. PFNA-II, n = 20), varus collapse of the head/neck or femoral shaft fractures at the tip of the nail (IT, n = 1 vs. PFNA-II, n = 8), femoral neck shortening (IT, 4.4 ± 1.1 mm vs. PFNA-II, 7.4 ± 2.4 mm), fracture healing time (IT, 14.7 ± 2.1 weeks vs. PFNA-II, 15.7 ± 2.4 weeks), femoral shaft fractures (IT, n = 0 vs. PFNA-II, n = 4), rotational loss of reduction (IT, n = 0 vs. PFNA-II, n = 9), lateral cortex fractures of the proximal femur or lateral greater trochanter fractures (IT, n = 8 vs. PFNA-II, n = 1), operative time (IT, 71.9 ± 6.8 min vs. PFNA-II, 52.3 ± 4.0 min), intraoperative blood loss (IT, 190.6 ± 6.0 mL vs. PFNA-II, 180.9 ± 10.8 mL), fluoroscopy time (IT, 5.0 ± 0.48 min vs. PFNA-II, 2.8 ± 0.33 min), hospital stay (IT, 9.65 ± 0.95 days vs. PFNA-II, 8.58 ± 0.93 days), cut-out (IT, n = 0 vs. PFNA-II, n = 6), and tip-apex distance (IT, 26.7 ± 0.91 mm vs. PFNA-II, 23.2 ± 1.22 mm). No significant differences existed for the other observation indexes (p > 0.05). The IT nail may have more advantage for

  17. Sandia Unstructured Triangle Table Generator

    SciTech Connect

    2013-09-16

    The software generates data tables for thermodynamic and transport properties of materials as described by a set of input models. For each input model parameterization, an associated table is created on an unstructured triangular grid. These grids all conform to the same topology. A statistical accuracy guarantee is provided for the tabular representation of the model. Details of the model and table specification are given in a XML input deck.

  18. TableSeer: Automatic Table Extraction, Search, and Understanding

    ERIC Educational Resources Information Center

    Liu, Ying

    2009-01-01

    Tables are ubiquitous with a history that pre-dates that of sentential text. Authors often report a summary of their most important findings using tabular structure in documents. For example, scientists widely use tables to present the latest experimental results or statistical data in a condensed fashion. Along with the explosive development of…

  19. Symbol Tables and Branch Tables: Linking Applications Together

    NASA Technical Reports Server (NTRS)

    Handler, Louis M.

    2011-01-01

    This document explores the computer techniques used to execute software whose parts are compiled and linked separately. The computer techniques include using a branch table or indirect address table to connect the parts. Methods of storing the information in data structures are discussed as well as differences between C and C++.

  20. TableSeer: Automatic Table Extraction, Search, and Understanding

    ERIC Educational Resources Information Center

    Liu, Ying

    2009-01-01

    Tables are ubiquitous with a history that pre-dates that of sentential text. Authors often report a summary of their most important findings using tabular structure in documents. For example, scientists widely use tables to present the latest experimental results or statistical data in a condensed fashion. Along with the explosive development of…

  1. Non-contact measurement of rotation angle with solo camera

    NASA Astrophysics Data System (ADS)

    Gan, Xiaochuan; Sun, Anbin; Ye, Xin; Ma, Liqun

    2015-02-01

    For the purpose to measure a rotation angle around the axis of an object, a non-contact rotation angle measurement method based on solo camera was promoted. The intrinsic parameters of camera were calibrated using chessboard on principle of plane calibration theory. The translation matrix and rotation matrix between the object coordinate and the camera coordinate were calculated according to the relationship between the corners' position on object and their coordinates on image. Then the rotation angle between the measured object and the camera could be resolved from the rotation matrix. A precise angle dividing table (PADT) was chosen as the reference to verify the angle measurement error of this method. Test results indicated that the rotation angle measurement error of this method did not exceed +/- 0.01 degree.

  2. INTRODUCTION Outline of Round Tables Outline of Round Tables

    NASA Astrophysics Data System (ADS)

    Abarzhi, Snezhana I.; Sreenivasan, Katepalli R.

    2010-12-01

    -canonical" turbulent processes, identified problems which are most appealing to a broad international and interdisciplinary TMB community, focused on selecting quantitative criteria for the estimation of the quality and information capacity of experimental and numerical data sets, and outlined the needs and requirements for the TMB cyber-infrastructure. Upon intense discussions, participants of the Round Table agreed that it is still unclear if Kolmogorov turbulence is an observable physical phenomenon. Even for canonical (e.g. local, isotropic and homogeneous) turbulent flows the corrections to Kolmogorov theory are essential to incorporate. Several definitions of canonical turbulence were considered. It was noted that in a vast variety of realistic problems (under high and low energy density conditions from microscopic to astrophysical scales) the flow conditions depart from the assumptions of Kolmogorov theory. It is uncertain whether these distinctions can be completely accounted for with some higher-order corrections to Kolmogorov theory, whether such corrections are "continuous" or "singular", and whether their quantitative influence on the values of observables in a given parameter regime is small. It was stressed that in experiments on canonical turbulence the conditions of isotropy, locality and homogeneity are hard to achieve. Numerical simulations can open exciting avenues for accurate studies of fundamental theoretical issues provided their accuracy and dynamic range, requiring computations of peta-scale and higher levels, are satisfactory. Participants of the Round Table stressed that realistic turbulent processes depart from classical scenarios. They are characterized by sharp gradients of pressure and density, and may be subject to spatially varying and time-dependent acceleration, rotation and shocks, and are often influenced by diffusion of species, heat release and changes in chemical composition. Their sensitivity to details and transient character of the dynamics

  3. VizieR Online Data Catalog: CH3NHCHO rotational spectroscopy (Belloche+,

    NASA Astrophysics Data System (ADS)

    Belloche, A.; Meshcheryakov, A. A.; Garrod, R. T.; Ilyushin, V. V.; Alekseev, E. A.; Motiyenko, R. A.; Margules, L.; Mueller, H. S. P.; Menten, K. M.

    2017-01-01

    Table 2 contains the final data set of fitted transitions of the N-methylformamide trans conformer. Table 3 predictions of rotational transitions of trans N-methylformamide in the vt = 0, 1, and 2 torsionally excited states resulting from the fit. The predictions are calculated for the frequency range up to 650GHz and for the transitions with J<=65. (2 data files).

  4. Table saw injuries: epidemiology and a proposal for preventive measures.

    PubMed

    Chung, Kevin C; Shauver, Melissa J

    2013-11-01

    Table saws are ubiquitous devices in professional, home, and school woodshops that have the potential to cause severe injuries. Many of these injuries results in finger and thumb tendon, nerve, and vascular damage or amputation. Long-term outcomes of these injuries can include functional and sensory deficits. Table saw manufacturers are required to equip saws with blade guards to prevent blade contact; nevertheless, treatment of table saw injuries is a common occurrence in U.S. emergency departments. The authors performed a literature search using PubMed and the Cumulative Index to Nursing and Allied Health Literature to compile epidemiology data relevant to table saw injuries. The authors also reviewed the U.S. Consumer Product Safety Commission's briefing package on table saw blade contact injuries. Over 30,000 table saw injuries occur annually. Fingers and hands are the most frequently injured body parts, and lacerations are the most common injuries. Individuals suffering from occupational injuries tend to be younger than those injured during amateur woodworking. A small but important minority of injuries are to students participating in school shop classes. Medical costs for the treatment of table saw injuries are estimated at more than $2 billion every year. SawStop technology stops the saw blade when contact with skin is made, resulting in a small cut rather than a more complicated laceration or amputation. The application of this novel technology in saw designs can prevent serious injuries that deleteriously affect lives at the personal and societal levels.

  5. Differential rotation in rapidly rotating early-type stars. I. Motivations for combined spectroscopic and interferometric studies

    NASA Astrophysics Data System (ADS)

    Zorec, J.; Frémat, Y.; Domiciano de Souza, A.; Delaa, O.; Stee, P.; Mourard, D.; Cidale, L.; Martayan, C.; Georgy, C.; Ekström, S.

    2011-02-01

    Context. Since the external regions of the envelopes of rapidly rotating early-type stars are unstable to convection, a coupling may exist between the convection and the internal rotation. Aims: We explore what can be learned from spectroscopic and interferometric observations about the properties of the rotation law in the external layers of these objects. Methods: Using simple relations between the entropy and specific rotational quantities, some of which are found to be efficient at accounting for the solar differential rotation in the convective region, we derived analytical solutions that represent possible differential rotations in the envelope of early-type stars. A surface latitudinal differential rotation may not only be an external imprint of the inner rotation, but induces changes in the stellar geometry, the gravitational darkening, the aspect of spectral line profiles, and the emitted spectral energy distribution. Results: By studying the equation of the surface of stars with non-conservative rotation laws, we conclude that objects undergo geometrical deformations that are a function of the latitudinal differential rotation able to be scrutinized both spectroscopically and by interferometry. The combination of Fourier analysis of spectral lines with model atmospheres provides independent estimates of the surface latitudinal differential rotation and the inclination angle. Models of stars at different evolutionary stages rotating with internal conservative rotation laws were calculated to show that the Roche approximation can be safely used to account for the gravitational potential. The surface temperature gradient in rapid rotators induce an acceleration to the surface angular velocity. Although a non-zero differential rotation parameter may indicate that the rotation is neither rigid nor shellular underneath the stellar surface, still further information, perhaps non-radial pulsations, is needed to determine its characteristics as a function of depth

  6. Information tables with neighborhood semantics

    NASA Astrophysics Data System (ADS)

    Yao, Yiyu

    2000-04-01

    Information tables provide a convenient and useful tool for representing a set of objects using a group of attributes. This notion is enriched by introducing neighborhood systems on attribute values. The neighborhood systems represent the semantics relationships between, and knowledge about, attribute values. With added semantics, neighborhood based information tables may provide a more general framework for knowledge discovery, data mining, and information retrieval.

  7. Volume tables for red alder.

    Treesearch

    Floyd A. Johnson; R. M. Kallander; Paul G. Lauterbach

    1949-01-01

    The increasing importance of red alder as a commercial species in the Pacific Northwest has prompted the three agencies listed above to pool their tree measurement data for the construction of standard regional red alder volume tables. The tables included here were based on trees from a variety of sites and form classes. Approximately one quarter of the total number of...

  8. Constructing aerial photo volume tables.

    Treesearch

    Robert B. Pope

    1962-01-01

    Although most foresters are familiar with the use of aerial photo volume tables, little has been written on how to make them. Certain pitfalls in the construction process have either been ignored or only casually mentioned in the existing literature. The forester tackling his first photo volume table is likely to bypass some of the important considerations without...

  9. Interaction of learner characteristics with learning from three models of the periodic table

    NASA Astrophysics Data System (ADS)

    Lehman, Jeffrey R.; Koran, John J., Jr.; Koran, Mary Lou

    This study was designed to explore the effects on learning of: (1) structural modifications to the periodic table, (2) the location of a periodic table within instructional materials, and (3) the presence of a two-page schema showing relationships between the topics explained in the written materials and the periodic table. One hundred and sixty high school students were randomly assigned to one of eight treatments. A 28-item posttest (KR -; 21 = 0.72), consisting of multiple choice and constructed answer items, was designed to measure subjects' ability to use their periodic tables to obtain factual information and to solve qualitative chemistry problems. Regression analyses using the multiple choice portion of the posttest as a dependent variable and table type as an independent variable revealed that for subjects with minimal experience with the periodic table, those who received the table with added visual data performed significantly better than subjects who received either of the other two tables (df 3,93; F = 2.72; p < 0.05). For subjects familiar with the periodic table, significant vocabulary X table (df 3,49; F = 3.22; p < 0.05) and vocabulary X location (df 1,49; F = 4.46; p < 0.05) interactions were detected. Subjects high in verbal comprehension tended to take advantage of the modified tables, while those low in verbal comprehension processed the traditional table with less information most effectively. These latter students also benefited more from having the periodic table alongside their written materials.

  10. Volume and taper tables for red alder.

    Treesearch

    Robert O. Curtis; David Bruce; Caryanne. VanCoevering

    1968-01-01

    Red alder is a species of increasing importance in the Pacific Northwest. Interest in improved volume tables for the species resulted in publication of the 1949 volume tables. More recently, Browne (1962) published cubic-foot-volume tables for red alder in British Columbia, and Hoyer (1966) presented tarif access tables, based on the 1949 tables, for use with the...

  11. MCNPX Model/Table Comparison

    SciTech Connect

    J.S. Hendricks

    2003-03-03

    MCNPX is a Monte Carlo N-Particle radiation transport code extending the capabilities of MCNP4C. As with MCNP, MCNPX uses nuclear data tables to transport neutrons, photons, and electrons. Unlike MCNP, MCNPX also uses (1) nuclear data tables to transport protons; (2) physics models to transport 30 additional particle types (deuterons, tritons, alphas, pions, muons, etc.); and (3) physics models to transport neutrons and protons when no tabular data are available or when the data are above the energy range (20 to 150 MeV) where the data tables end. MCNPX can mix and match data tables and physics models throughout a problem. For example, MCNPX can model neutron transport in a bismuth germinate (BGO) particle detector by using data tables for bismuth and oxygen and using physics models for germanium. Also, MCNPX can model neutron transport in UO{sub 2}, making the best use of physics models and data tables: below 20 MeV, data tables are used; above 150 MeV, physics models are used; between 20 and 150 MeV, data tables are used for oxygen and models are used for uranium. The mix-and-match capability became available with MCNPX2.5.b (November 2002). For the first time, we present here comparisons that calculate radiation transport in materials with various combinations of data charts and model physics. The physics models are poor at low energies (<150 MeV); thus, data tables should be used when available. Our comparisons demonstrate the importance of the mix-and-match capability and indicate how well physics models work in the absence of data tables.

  12. The kinematics of table tennis racquet: differences between topspin strokes.

    PubMed

    Bańkosz, Ziemowit; Winiarski, Sławomir

    2017-03-01

    Studies of shot kinematics in table tennis have not been sufficiently described in the literature. The assessment of the racquet trajectory, its speed and time characteristics makes it possible to emphasize on certain technical elements in the training process in order, for example, to increase strength, speed of rotation or speed of the shot while maintaining its accuracy. The aim of this work was to measure selected kinematic parameters of table tennis racquet during forehand and backhand topspin shots, while considering the differences between these strokes in table tennis. The measurements took place in a certified biomechanical laboratory using a motion analysis system. The study involved 12 female table tennis players in high-level sports training and performance. Each subject had to complete series of six tasks, presenting different varieties of topspin shots. The longest racquet trajectory was related to forehand shots, shots played against a ball with backspin and winner shots. The maximum racquet velocity was precisely in the moment of impact with the ball. The individual of velocity and distance were larger in the direction of the acting force, depending on the individual shot. Changing the type of topspin shot requires changes of time, velocity and primarily distance parameters as well as the direction of the playing racquet. The maximum speed of the racquet occurring at the moment of the impact is probably the most important principle in playing technique. The results can be directly used in improving training of table tennis techniques, especially in the application and use of topspin shots.

  13. Medium- to long-term results of a randomized controlled trial to assess the efficacy of arthoscopic-subacromial decompression versus mini-open repair for the treatment of medium-sized rotator cuff tears.

    PubMed

    Bidwai, Amit Sharad Chandra; Birch, Ann; Temperley, David; Odak, Saurabh; Walton, Michael J; Haines, John F; Trail, Ian

    2016-04-01

    We report on the medium- to long-term results of a randomized controlled trial (RCT) aiming to determine whether rotator cuff repair confers any advantage over arthroscopic sub-acromial decompression (ASAD) alone in the management of medium-sized rotator cuff tears. Ethical approval was sought to follow-up patients previously enrolled in a completed and previously published RCT comparing the outcome of ASAD with mini-open cuff repair for the treatment of rotator cuff tear. Forty-two patients were enrolled in the original study, with a mean of 64 years (range 54 years to 77 years). Fifteen of the original 17 patients randomized to ASAD alone and 18 of the original 25 patients randomized to cuff repair were available for follow-up. Each patient underwent American Shoulder and Elbow Surgeons (ASES), Disabilities of the Arm, Shoulder and Hand (DASH) and Constant scoring, and clinical and ultrasound examination. Mean duration of follow-up was 7 years (range 5 years to 11 years). There was no statistically significant difference in terms of ASES, DASH and Constant scores at follow-up between the two groups. Some 33% of patients in the cuff-repair group had a proven re-rupture on ultrasound. This patient subgroup had significantly worse Constant scores compared to patients where the repair remained intact. None of the patients from either group developed cuff-tear arthropathy requiring arthroplasty surgery. In this medium- to longer-term study, there is no demonstrable significant benefit of cuff repair over decompression alone for the treatment of medium-sized rotator cuff tears, in terms of ASES, DASH and Constant scores for pain, function and strength modules. The presence of cuff tear does not necessitate surgical repair. This conclusion should drive surgical strategies and shared decision-making between patients and surgeons.

  14. Medium- to long-term results of a randomized controlled trial to assess the efficacy of arthoscopic-subacromial decompression versus mini-open repair for the treatment of medium-sized rotator cuff tears

    PubMed Central

    Birch, Ann; Temperley, David; Odak, Saurabh; Walton, Michael J; Haines, John F; Trail, Ian

    2015-01-01

    Background We report on the medium- to long-term results of a randomized controlled trial (RCT) aiming to determine whether rotator cuff repair confers any advantage over arthroscopic sub-acromial decompression (ASAD) alone in the management of medium-sized rotator cuff tears. Methods Ethical approval was sought to follow-up patients previously enrolled in a completed and previously published RCT comparing the outcome of ASAD with mini-open cuff repair for the treatment of rotator cuff tear. Forty-two patients were enrolled in the original study, with a mean of 64 years (range 54 years to 77 years). Results Fifteen of the original 17 patients randomized to ASAD alone and 18 of the original 25 patients randomized to cuff repair were available for follow-up. Each patient underwent American Shoulder and Elbow Surgeons (ASES), Disabilities of the Arm, Shoulder and Hand (DASH) and Constant scoring, and clinical and ultrasound examination. Mean duration of follow-up was 7 years (range 5 years to 11 years). There was no statistically significant difference in terms of ASES, DASH and Constant scores at follow-up between the two groups. Some 33% of patients in the cuff-repair group had a proven re-rupture on ultrasound. This patient subgroup had significantly worse Constant scores compared to patients where the repair remained intact. None of the patients from either group developed cuff-tear arthropathy requiring arthroplasty surgery. Conclusions In this medium- to longer-term study, there is no demonstrable significant benefit of cuff repair over decompression alone for the treatment of medium-sized rotator cuff tears, in terms of ASES, DASH and Constant scores for pain, function and strength modules. The presence of cuff tear does not necessitate surgical repair. This conclusion should drive surgical strategies and shared decision-making between patients and surgeons. PMID:27583006

  15. Track Level Compensation Look-up Table Improves Antenna Pointing Precision

    NASA Technical Reports Server (NTRS)

    Gawronski, Wodek; Baher, Farrokh; Gama, Eric

    2006-01-01

    The pointing accuracy of the NASA Deep Space Network antennas is significantly impacted by the unevenness of the antenna azimuth track. The track unevenness causes repeatable antenna rotations, and repeatable pointing errors. The paper presents the improvement of the pointing accuracy of the antennas by implementing the track-level-compensation look-up table. The table consists of three axis rotations of the alidade as a function of the azimuth position. The paper presents the development of the table, based on the measurements of the inclinometer tilts, processing the measurement data, and determination of the three-axis alidade rotations from the tilt data. It also presents the determination of the elevation and cross-elevation errors of the antenna as a function of the alidade rotations. The pointing accuracy of the antenna with and without a table was measured using various radio beam pointing techniques. The pointing error decreased when the table was used, from 1.5 mdeg to 1.2 mdeg in elevation, and from 20.4 mdeg to 2.2 mdeg in cross-elevation.

  16. Track Level Compensation Look-up Table Improves Antenna Pointing Precision

    NASA Technical Reports Server (NTRS)

    Gawronski, Wodek; Baher, Farrokh; Gama, Eric

    2006-01-01

    The pointing accuracy of the NASA Deep Space Network antennas is significantly impacted by the unevenness of the antenna azimuth track. The track unevenness causes repeatable antenna rotations, and repeatable pointing errors. The paper presents the improvement of the pointing accuracy of the antennas by implementing the track-level-compensation look-up table. The table consists of three axis rotations of the alidade as a function of the azimuth position. The paper presents the development of the table, based on the measurements of the inclinometer tilts, processing the measurement data, and determination of the three-axis alidade rotations from the tilt data. It also presents the determination of the elevation and cross-elevation errors of the antenna as a function of the alidade rotations. The pointing accuracy of the antenna with and without a table was measured using various radio beam pointing techniques. The pointing error decreased when the table was used, from 1.5 mdeg to 1.2 mdeg in elevation, and from 20.4 mdeg to 2.2 mdeg in cross-elevation.

  17. Cryogenic cooling with cryocooler on a rotating system.

    PubMed

    Oguri, S; Choi, J; Kawai, M; Tajima, O

    2013-05-01

    We developed a system that continuously maintains a cryocooler for long periods on a rotating table. A cryostat that holds the cryocooler is set on the table. A compressor is located on the ground and supplies high-purity (>99.999%) and high-pressure (1.7 MPa) helium gas and electricity to the cryocooler. The operation of the cryocooler and other instruments requires the development of interface components between the ground and rotating table. A combination of access holes at the center of the table and two rotary joints allows simultaneous circulation of electricity and helium gas. The developed system provides two innovative functions under the rotating condition, cooling from room temperature and the maintenance of a cold condition for long periods. We have confirmed these abilities as well as temperature stability under a condition of continuous rotation at 20 rpm. The developed system can be applied in various fields, e.g., in tests of Lorentz invariance, searches for axion, radio astronomy, and cosmology, and application of radar systems. In particular, there is a plan to use this system for a radio telescope observing cosmic microwave background radiation.

  18. Table tennis dystonia.

    PubMed

    Le Floch, Anne; Vidailhet, Marie; Flamand-Rouvière, Constance; Grabli, David; Mayer, Jean-Michel; Gonce, Michel; Broussolle, Emmanuel; Roze, Emmanuel

    2010-02-15

    Focal task-specific dystonia (FTSD) occurs exclusively during a specific activity that usually involves a highly skilled movement. Classical FTSD dystonias include writer's cramp and musician's dystonia. Few cases of sport-related dystonia have been reported. We describe the first four cases of FTSD related to table tennis (TT), two involving professional international competitors. We also systematically analyzed the literature for reports of sport-related dystonia including detailed clinical descriptions. We collected a total of 13 cases of sport-related dystonia, including our four TT players. Before onset, all the patients had trained for many years, for a large number of hours per week. Practice time had frequently increased significantly in the year preceding onset. As TT is characterized by highly skilled hand/forearm movements acquired through repetitive exercises, it may carry a higher risk of FTSD than other sports. Intensive training may result in maladaptive responses and overwhelm homeostatic mechanisms that regulate cortical plasticity in vulnerable individuals. Our findings support the importance of environmental risk factors in sport-related FTSD, as also suggested in classical FTSD, and have important implications for clinical practice. (c) 2010 Movement Disorder Society.

  19. Ethanol induces rotational behavior in 6-hydroxydopamine lesioned mice

    SciTech Connect

    Silverman, P.B.

    1987-03-09

    Mice with unilateal striatal lesions created by 6-hydroxydopamine (6HDA) injection were screened for rotational (circling) behavior in response to injection of amphetamine and apomorphine. Those that rotated ipsilaterally in response to amphetamine and contralaterally in response to apomorphine were subsequently challenged with 1 to 3 g/kg (i.p.) ethanol. Surprisingly, ethanol induced dose related contralateral (apomorphine-like) rotation which, despite gross intoxication, was quite marked in most animals. No significant correlation was found between the number of turns made following ethanol and made after apomorphine or amphetamine. 14 references, 2 figures, 1 table.

  20. Rehabilitation after Rotator Cuff Repair

    PubMed Central

    Nikolaidou, Ourania; Migkou, Stefania; Karampalis, Christos

    2017-01-01

    Background: Rotator cuff tears are a very common condition that is often incapacitating. Whether non-surgical or surgical, successful management of rotator cuff disease is dependent on appropriate rehabilitation. If conservative management is insufficient, surgical repair is often indicated. Postsurgical outcomes for patients having had rotator cuff repair can be quite good. A successful outcome is much dependent on surgical technique as it is on rehabilitation. Numerous rehabilitation protocols for the management of rotator cuff disease are based primarily on clinical experience and expert opinion. This article describes the different rehabilitation protocols that aim to protect the repair in the immediate postoperative period, minimize postoperative stiffness and muscle atrophy. Methods: A review of currently available literature on rehabilitation after arthroscopic rotator cuff tear repair was performed to illustrate the available evidence behind various postoperative treatment modalities. Results: There were no statistically significant differences between a conservative and an accelerated rehabilitation protocol . Early passive range of motion (ROM) following arthroscopic cuff repair is thought to decrease postoperative stiffness and improve functionality. However, early aggressive rehabilitation may compromise repair integrity. Conclusion: The currently available literature did not identify any significant differences in functional outcomes and relative risks of re-tears between delayed and early motion in patients undergoing arthroscopic rotator cuff repairs. A gentle rehabilitation protocol with limits in range of motion and exercise times after arthroscopic rotator cuff repair would be better for tendon healing without taking any substantial risks. A close communication between the surgeon, the patient and the physical therapy team is important and should continue throughout the whole recovery process. PMID:28400883

  1. Rehabilitation after Rotator Cuff Repair.

    PubMed

    Nikolaidou, Ourania; Migkou, Stefania; Karampalis, Christos

    2017-01-01

    Rotator cuff tears are a very common condition that is often incapacitating. Whether non-surgical or surgical, successful management of rotator cuff disease is dependent on appropriate rehabilitation. If conservative management is insufficient, surgical repair is often indicated. Postsurgical outcomes for patients having had rotator cuff repair can be quite good. A successful outcome is much dependent on surgical technique as it is on rehabilitation. Numerous rehabilitation protocols for the management of rotator cuff disease are based primarily on clinical experience and expert opinion. This article describes the different rehabilitation protocols that aim to protect the repair in the immediate postoperative period, minimize postoperative stiffness and muscle atrophy. A review of currently available literature on rehabilitation after arthroscopic rotator cuff tear repair was performed to illustrate the available evidence behind various postoperative treatment modalities. There were no statistically significant differences between a conservative and an accelerated rehabilitation protocol . Early passive range of motion (ROM) following arthroscopic cuff repair is thought to decrease postoperative stiffness and improve functionality. However, early aggressive rehabilitation may compromise repair integrity. The currently available literature did not identify any significant differences in functional outcomes and relative risks of re-tears between delayed and early motion in patients undergoing arthroscopic rotator cuff repairs. A gentle rehabilitation protocol with limits in range of motion and exercise times after arthroscopic rotator cuff repair would be better for tendon healing without taking any substantial risks. A close communication between the surgeon, the patient and the physical therapy team is important and should continue throughout the whole recovery process.

  2. Surface rotation of Kepler red giant stars

    NASA Astrophysics Data System (ADS)

    Ceillier, T.; Tayar, J.; Mathur, S.; Salabert, D.; García, R. A.; Stello, D.; Pinsonneault, M. H.; van Saders, J.; Beck, P. G.; Bloemen, S.

    2017-09-01

    Kepler allows the measurement of starspot variability in a large sample of field red giants for the first time. With a new method that combines autocorrelation and wavelet decomposition, we measure 361 rotation periods from the full set of 17 377 oscillating red giants in our sample. This represents 2.08% of the stars, consistent with the fraction of spectroscopically detected rapidly rotating giants in the field. The remaining stars do not show enough variability to allow us to measure a reliable surface rotation period. Because the stars with detected rotation periods have measured oscillations, we can infer their global properties, e.g. mass and radius, and quantitatively evaluate the predictions of standard stellar evolution models as a function of mass. Consistent with results for cluster giants when we consider only the 4881 intermediate-mass stars, M > 2.0 M⊙ from our full red giant sample, we do not find the enhanced rates of rapid rotation expected from angular momentum conservation. We therefore suggest that either enhanced angular momentum loss or radial differential rotation must be occurring in these stars. Finally, when we examine the 575 low-mass (M< 1.1 M⊙) red clump stars in our sample, which were expected to exhibit slow (non-detectable) rotation, 15% of them actually have detectable rotation. This suggests a high rate of interactions and stellar mergers on the red giant branch. Full Tables 1 and 2 are only available at the CDS via anonymous ftp to http://cdsarc.u-strasbg.fr (http://130.79.128.5) or via http://cdsarc.u-strasbg.fr/viz-bin/qcat?J/A+A/605/A111

  3. Treatment Summary Tables | Cancer Trends Progress Report

    Cancer.gov

    The Cancer Trends Progress Report, first issued in 2001, summarizes our nation's advances against cancer in relation to Healthy People targets set forth by the Department of Health and Human Services.

  4. Let Us Make the Table Periodic.

    ERIC Educational Resources Information Center

    Campbell, J. Arthur

    1989-01-01

    An approach to teaching the properties of the elements and their arrangement in the periodic table is suggested. Discussed are symbols for the elements, format of the table, and coding the properties of the elements on the table. (CW)

  5. Let Us Make the Table Periodic.

    ERIC Educational Resources Information Center

    Campbell, J. Arthur

    1989-01-01

    An approach to teaching the properties of the elements and their arrangement in the periodic table is suggested. Discussed are symbols for the elements, format of the table, and coding the properties of the elements on the table. (CW)

  6. Rotator cuff exercises

    MedlinePlus

    ... stretch (anterior shoulder stretch) Anterior shoulder stretch - towel Pendulum exercise Wall stretches Exercises to strengthen your shoulder: ... rotation with band Internal rotation with band Isometric Pendulum exercise Shoulder blade retraction with tubing Shoulder blade ...

  7. Power Harvesting from Rotation?

    ERIC Educational Resources Information Center

    Chicone, Carmen; Feng, Z. C.

    2008-01-01

    We show the impossibility of harvesting power from rotational motions by devices attached to the rotating object. The presentation is suitable for students who have studied Lagrangian mechanics. (Contains 2 figures.)

  8. Shear rotation numbers

    NASA Astrophysics Data System (ADS)

    Doeff, E.; Misiurewicz, M.

    1997-11-01

    This paper presents results on rotation numbers for orientation-preserving torus homeomorphisms homotopic to a Dehn twist. Rotation numbers and the rotation set for such homeomorphisms have been defined and initially investigated by the first author in a previous paper. Here we prove that each rotation number 0951-7715/10/6/017/img5 in the interior of the rotation set is realized by some compact invariant set, and that there is an ergodic measure on that set with mean rotation number 0951-7715/10/6/017/img5. It is also proved that the function which assigns its rotation set to such a homeomorphism is continuous. Finally, a counterexample is presented that shows that rational extremal points of the shear rotation set do not necessarily correspond to any periodic orbits.

  9. Rapidly rotating neutron star progenitors

    NASA Astrophysics Data System (ADS)

    Postnov, K. A.; Kuranov, A. G.; Kolesnikov, D. A.; Popov, S. B.; Porayko, N. K.

    2016-12-01

    Rotating proto-neutron stars can be important sources of gravitational waves to be searched for by present-day and future interferometric detectors. It was demonstrated by Imshennik that in extreme cases the rapid rotation of a collapsing stellar core may lead to fission and formation of a binary proto-neutron star which subsequently merges due to gravitational wave emission. In this paper, we show that such dynamically unstable collapsing stellar cores may be the product of a former merger process of two stellar cores in a common envelope. We applied population synthesis calculations to assess the expected fraction of such rapidly rotating stellar cores which may lead to fission and formation of a pair of proto-neutron stars. We have used the BSE (Binary Star Evolution) population synthesis code supplemented with a new treatment of stellar core rotation during the evolution via effective core-envelope coupling, characterized by the coupling time, τc. The validity of this approach is checked by direct MESA calculations of the evolution of a rotating 15 M⊙ star. From comparison of the calculated spin distribution of young neutron stars with the observed one, reported by Popov and Turolla, we infer the value τc ≃ 5 × 105 yr. We show that merging of stellar cores in common envelopes can lead to collapses with dynamically unstable proto-neutron stars, with their formation rate being ˜0.1-1 per cent of the total core collapses, depending on the common envelope efficiency.

  10. Simple Verification of the Parabolic Shape of a Rotating Liquid and a Boat on Its Surface

    ERIC Educational Resources Information Center

    Sabatka, Z.; Dvorak, L.

    2010-01-01

    This article describes a simple and inexpensive way to create and to verify the parabolic surface of a rotating liquid. The liquid is water. The second part of the article deals with the problem of a boat on the surface of a rotating liquid. (Contains 1 table, 10 figures and 5 footnotes.)

  11. Simple Verification of the Parabolic Shape of a Rotating Liquid and a Boat on Its Surface

    ERIC Educational Resources Information Center

    Sabatka, Z.; Dvorak, L.

    2010-01-01

    This article describes a simple and inexpensive way to create and to verify the parabolic surface of a rotating liquid. The liquid is water. The second part of the article deals with the problem of a boat on the surface of a rotating liquid. (Contains 1 table, 10 figures and 5 footnotes.)

  12. Alfonsine Tables of Toledo and later Alfonsine tables

    NASA Astrophysics Data System (ADS)

    Swerdlow, N. M.

    2004-11-01

    Including a book review: The Alfonsine Tables of Toledo / Authors: José Chabás and Bernard R. Goldstein, Archimedes, viii; Kluwer Academic Publishers, Dordrecht, Boston and London, xiv + 342 pp., 2003, ISBN 1-4020-1572-0.

  13. Annual Energy Outlook (AEO) 2006 - Supplemental Tables - All Tables

    SciTech Connect

    2009-01-18

    Tables describing regional energy consumption and prices by sector; residential, commercial, and industrial demand sector data; transportation demand sector; electricity and renewable fuel; and petroleum, natural gas, and coal data.

  14. [Nonoperative management of rotator cuff defects].

    PubMed

    Heers, H; Heers, G

    2007-09-01

    Rotator cuff defects are common disorders of the shoulder. Although the outcome of surgical treatment of rotator cuff tears is well documented in the literature, less is known about the efficacy of physical therapy for symptomatic rotator cuff tears. Clear therapeutic standards are still missing. This article presents the nonoperative treatment options as well as a literature review. The results of most studies show that patients with rotator cuff defects do benefit from both physical therapy and simple home exercises independent from the size of the defect. However, due to the heterogeneity of outcome measures used, it is difficult to compare the results published. There is still a need for well-planned randomised controlled studies investigating the efficacy of exercise in the management of rotator cuff tears.

  15. Partial Thickness Rotator Cuff Tears: Current Concepts

    PubMed Central

    Matthewson, Graeme; Beach, Cara J.; Nelson, Atiba A.; Woodmass, Jarret M.; Ono, Yohei; Boorman, Richard S.; Lo, Ian K. Y.; Thornton, Gail M.

    2015-01-01

    Partial thickness rotator cuff tears are a common cause of pain in the adult shoulder. Despite their high prevalence, the diagnosis and treatment of partial thickness rotator cuff tears remains controversial. While recent studies have helped to elucidate the anatomy and natural history of disease progression, the optimal treatment, both nonoperative and operative, is unclear. Although the advent of arthroscopy has improved the accuracy of the diagnosis of partial thickness rotator cuff tears, the number of surgical techniques used to repair these tears has also increased. While multiple repair techniques have been described, there is currently no significant clinical evidence supporting more complex surgical techniques over standard rotator cuff repair. Further research is required to determine the clinical indications for surgical and nonsurgical management, when formal rotator cuff repair is specifically indicated and when biologic adjunctive therapy may be utilized. PMID:26171251

  16. Shaft-Rotation Detector

    NASA Technical Reports Server (NTRS)

    Randall, Richard L.

    1990-01-01

    Signal-processing subsystem generates signal indicative of rotation of shaft from output of accelerometer mounted on housing of bearing supporting shaft. Output of subsystem binary signal at frequency of rotation of shaft. Part of assembly of electronic equipment measuring vibrations in rotating machinery. Accelerometer mounted in such way sensitive to vibrations of shaft perpendicular to axis. Output of accelerometer includes noise and components of vibration at frequencies higher than rotational frequency of shaft.

  17. Absolute rotation detection by Coriolis force measurement using optomechanics

    NASA Astrophysics Data System (ADS)

    Davuluri, Sankar; Li, Yong

    2016-10-01

    In this article, we present an application of the optomechanical cavities for absolute rotation detection. Two optomechanical cavities, one in each arm, are placed in a Michelson interferometer. The interferometer is placed on a rotating table and is moved with a uniform velocity of \\dot{\\bar{y}} with respect to the rotating table. The Coriolis force acting on the interferometer changes the length of the optomechanical cavity in one arm, while the length of the optomechanical cavity in the other arm is not changed. The phase shift corresponding to the change in the optomechanical cavity length is measured at the interferometer output to estimate the angular velocity of the absolute rotation. An analytic expression for the minimum detectable rotation rate corresponding to the standard quantum limit of measurable Coriolis force in the interferometer is derived. Squeezing technique is discussed to improve the rotation detection sensitivity by a factor of \\sqrt{{γ }m/{ω }m} at 0 K temperature, where {γ }m and {ω }m are the damping rate and angular frequency of the mechanical oscillator. The temperature dependence of the rotation detection sensitivity is studied.

  18. Rotations with Rodrigues' Vector

    ERIC Educational Resources Information Center

    Pina, E.

    2011-01-01

    The rotational dynamics was studied from the point of view of Rodrigues' vector. This vector is defined here by its connection with other forms of parametrization of the rotation matrix. The rotation matrix was expressed in terms of this vector. The angular velocity was computed using the components of Rodrigues' vector as coordinates. It appears…

  19. Rotations with Rodrigues' Vector

    ERIC Educational Resources Information Center

    Pina, E.

    2011-01-01

    The rotational dynamics was studied from the point of view of Rodrigues' vector. This vector is defined here by its connection with other forms of parametrization of the rotation matrix. The rotation matrix was expressed in terms of this vector. The angular velocity was computed using the components of Rodrigues' vector as coordinates. It appears…

  20. Table of tables: A database design tool for SYBASE

    SciTech Connect

    Brown, B.C.; Coulter, K.; Glass, H.D.; Glosson, R.; Hanft, R.W.; Harding, D.J.; Trombly-Freytag, K.; Walbridge, D.G.C.; Wallis, D.B. ); Allen, M.E. )

    1991-01-04

    The Table of Tables' application system captures in a set of SYBASE tables the basic design specification for a database schema. Specification of tables, columns (including the related defaults and rules for the stored values) and keys is provided. The feature which makes this application specifically useful for SYBASE is the ability to automatically generate SYBASE triggers. A description field is provided for each database object. Based on the data stored, SQL scripts for creating complete schema including the tables, their defaults and rules, their indexes, and their SYBASE triggers, are written by TOT. Insert, update and delete triggers are generated from TOT to guarantee integrity of data relations when tables are connected by single column foreign keys. The application is written in SYBASE's APT-SQL and includes a forms based data entry system. Using the features of TOT we can create a complete database schema for which the data integrity specified by our design is guaranteed by the SYBASE triggers generated by TOT. 3 refs.

  1. Development of a suspension type sliding planar motion table using magnetic fluid lubrication

    NASA Astrophysics Data System (ADS)

    Li, Xinghui; Shinshi, Tadahiko; Hijikata, Wataru; Morimoto, Yoshihiro

    2016-06-01

    A sliding planar motion table system that can be used for the lens driving actuator of a laser cutting machine was developed. The system uses magnetic fluid as the lubricant to avoid the leakage of lubricating oil under the table and reduce environmental pollution. The motion table is suspended from the guide surface by an attractive force generated by electromagnets to reduce the contact and frictional forces between the table and the guide surface. The table is capable of movement in one rotational and two translational directions over the guide surface using six electromagnets and three non-contact displacement sensors. Experimental results showed that the magnetic suspension of the table reduced the friction by 82.1% compared to the friction that would otherwise be generated by the dead weight of the table. Circular motion within a diameter of 2 mm was achieved with resolutions of 5 μm and 20 μrad in the translational and rotational directions, respectively. A bandwidth of higher than 100 Hz was also achieved in the three movement directions.

  2. Development of a suspension type sliding planar motion table using magnetic fluid lubrication.

    PubMed

    Li, Xinghui; Shinshi, Tadahiko; Hijikata, Wataru; Morimoto, Yoshihiro

    2016-06-01

    A sliding planar motion table system that can be used for the lens driving actuator of a laser cutting machine was developed. The system uses magnetic fluid as the lubricant to avoid the leakage of lubricating oil under the table and reduce environmental pollution. The motion table is suspended from the guide surface by an attractive force generated by electromagnets to reduce the contact and frictional forces between the table and the guide surface. The table is capable of movement in one rotational and two translational directions over the guide surface using six electromagnets and three non-contact displacement sensors. Experimental results showed that the magnetic suspension of the table reduced the friction by 82.1% compared to the friction that would otherwise be generated by the dead weight of the table. Circular motion within a diameter of 2 mm was achieved with resolutions of 5 μm and 20 μrad in the translational and rotational directions, respectively. A bandwidth of higher than 100 Hz was also achieved in the three movement directions.

  3. Effect of water table on willows grown in amended mine tailing.

    PubMed

    Bourret, M M; Brummer, J E; Leininger, W C; Heil, D M

    2005-01-01

    Survival and growth characteristics of two montane riparian willow species, Geyer willow (Salix geyeriana Andersson) and mountain willow (Salix monticola Bebb), grown in amended fluvial mine tailing were investigated in a greenhouse study. Willow stem cuttings were planted in lysimeters that simulated a 60-cm amended tailing profile with three static water depths (20, 40, and 60 cm) and a fluctuating water table for a total of four water table treatments. Species and water table treatments affected plant biomass and chemical composition of the soil and plant tissue. Mountain willow leaf, stem, and root biomass were 62, 95, and 164% greater, respectively, than for Geyer willow. Averaging across species, the fluctuating water table negatively affected leaf and stem biomass compared with the 20- and 60-cm water table treatments. Manganese was the only metal in plant tissue to strongly respond to water table treatments. Manganese concentrations in mountain willow leaf tissue were approximately twofold higher in the two most saturated water table treatments (20 cm and fluctuating) than in the least saturated water table treatment (60 cm). This trend was consistent with chemical analyses of the growth media, which reflected higher bioavailable Mn in the saturated tailing profile compared with the unsaturated profile. Results from this study indicate that mountain willow is a more vigorous and possibly more metal-tolerant species than Geyer willow when grown in amended mine tailing and that a fluctuating water table negatively affects willow growth.

  4. Galaxy cluster's rotation

    NASA Astrophysics Data System (ADS)

    Manolopoulou, M.; Plionis, M.

    2017-03-01

    We study the possible rotation of cluster galaxies, developing, testing, and applying a novel algorithm which identifies rotation, if such does exist, as well as its rotational centre, its axis orientation, rotational velocity amplitude, and, finally, the clockwise or counterclockwise direction of rotation on the plane of the sky. To validate our algorithms we construct realistic Monte Carlo mock rotating clusters and confirm that our method provides robust indications of rotation. We then apply our methodology on a sample of Abell clusters with z ≲ 0.1 with member galaxies selected from the Sloan Digital Sky Survey DR10 spectroscopic data base. After excluding a number of substructured clusters, which could provide erroneous indications of rotation, and taking into account the expected fraction of misidentified coherent substructure velocities for rotation, provided by our Monte Carlo simulation analysis, we find that ∼23 per cent of our clusters are rotating under a set of strict criteria. Loosening the strictness of the criteria, on the expense of introducing spurious rotation indications, we find this fraction increasing to ∼28 per cent. We correlate our rotation indicators with the cluster dynamical state, provided either by their Bautz-Morgan type or by their X-ray isophotal shape and find for those clusters showing rotation within 1.5 h^{-1}_{70} Mpc that the significance of their rotation is related to the dynamically younger phases of cluster formation but after the initial anisotropic accretion and merging has been completed. Finally, finding rotational modes in galaxy clusters could lead to the necessity of correcting the dynamical cluster mass calculations.

  5. Implication of CT table sag on geometrical accuracy during virtual simulation.

    PubMed

    Zullo, John R; Kudchadker, Rajat; Wu, Richard; Lee, Andrew; Prado, Karl

    2007-01-01

    Computed tomography (CT) scanners are used in hospitals worldwide for radiation oncology treatment simulation. It is critical that the process very accurately represents the patient positioning to be used during the administration of radiation therapy to minimize the dose delivery to normal tissue. Unfortunately, this is not always the case. One problem is that some degree of vertical displacement, or sag, occurs when the table is extended from its base when under a clinical weight load, a problem resulting from mechanical limitations of the CT table. In an effort to determine the extent of the problem, we measured and compared the degree of table sag for various CT scanner tables at our institution. A clinically representative weight load was placed on each table, and the amount of table sag was measured for varying degrees of table extension from its base. Results indicated that the amount of table sag varied from approximately 0.7 to 6.6 mm and that the amount of table sag varied not only between tables from different manufacturers but also between tables of the same model from the same manufacturer. Failure to recognize and prevent this problem could lead to incorrectly derived isocenter localization and subsequent patient positioning errors. Treatment site-specific and scanner-based laser offset correction should be implemented for each patient's virtual simulation procedure. In addition, the amount of sag should be measured under a clinically representative weight load upon CT-simulator commissioning.

  6. Implication of CT Table Sag on Geometrical Accuracy During Virtual Simulation

    SciTech Connect

    Zullo, John R. Kudchadker, Rajat; Wu, Richard; Lee, Andrew; Prado, Karl

    2007-01-01

    Computed tomography (CT) scanners are used in hospitals worldwide for radiation oncology treatment simulation. It is critical that the process very accurately represents the patient positioning to be used during the administration of radiation therapy to minimize the dose delivery to normal tissue. Unfortunately, this is not always the case. One problem is that some degree of vertical displacement, or sag, occurs when the table is extended from its base when under a clinical weight load, a problem resulting from mechanical limitations of the CT table. In an effort to determine the extent of the problem, we measured and compared the degree of table sag for various CT scanner tables at our institution. A clinically representative weight load was placed on each table, and the amount of table sag was measured for varying degrees of table extension from its base. Results indicated that the amount of table sag varied from approximately 0.7 to 6.6 mm and that the amount of table sag varied not only between tables from different manufacturers but also between tables of the same model from the same manufacturer. Failure to recognize and prevent this problem could lead to incorrectly derived isocenter localization and subsequent patient positioning errors. Treatment site-specific and scanner-based laser offset correction should be implemented for each patient's virtual simulation procedure. In addition, the amount of sag should be measured under a clinically representative weight load upon CT-simulator commissioning.

  7. Some economic tables for airships

    NASA Technical Reports Server (NTRS)

    Neumann, R. D.

    1975-01-01

    During the course of the Southern California Aviation Council study on lighter than air it was determined that some form of economic base must be developed for estimation of costs of the airship. The tables are presented.

  8. The redoubtable ecological periodic table

    EPA Science Inventory

    Ecological periodic tables are repositories of reliable information on quantitative, predictably recurring (periodic) habitat–community patterns and their uncertainty, scaling and transferability. Their reliability derives from their grounding in sound ecological principle...

  9. Tables and conversions for microclimatology.

    Treesearch

    James M. Brown

    1973-01-01

    A series of tables, charts, and conversion factors have been prepared for use in microclimatic and ecological studies. Included are: the solution to various equations of radiant energy exchange; solar radiation diagrams; psychometric and precipitation data; and unit conversion factors.

  10. The redoubtable ecological periodic table

    EPA Science Inventory

    Ecological periodic tables are repositories of reliable information on quantitative, predictably recurring (periodic) habitat–community patterns and their uncertainty, scaling and transferability. Their reliability derives from their grounding in sound ecological principle...

  11. Visualizing molecular unidirectional rotation

    NASA Astrophysics Data System (ADS)

    Lin, Kang; Song, Qiying; Gong, Xiaochun; Ji, Qinying; Pan, Haifeng; Ding, Jingxin; Zeng, Heping; Wu, Jian

    2015-07-01

    We directly visualize the spatiotemporal evolution of a unidirectional rotating molecular rotational wave packet. Excited by two time-delayed polarization-skewed ultrashort laser pulses, the cigar- or disk-shaped rotational wave packet is impulsively kicked to unidirectionally rotate as a quantum rotor which afterwards disperses and exhibits field-free revivals. The rich dynamics can be coherently controlled by varying the timing or polarization of the excitation laser pulses. The numerical simulations very well reproduce the experimental observations and intuitively revivify the thoroughgoing evolution of the molecular rotational wave packet of unidirectional spin.

  12. SEAL FOR ROTATING SHAFT

    DOEpatents

    Coffman, R.T.

    1957-12-10

    A seal is described for a rotatable shaft that must highly effective when the shaft is not rotating but may be less effective while the shaft is rotating. Weights distributed about a sealing disk secured to the shaft press the sealing disk against a tubular section into which the shiilt extends, and whem the shaft rotates, the centrifugal forces on the weights relieve the pressurc of the sealing disk against the tubular section. This action has the very desirible result of minimizing the wear of the rotating disk due to contact with the tubular section, while affording maximum sealing action when it is needed.

  13. A survey on table tolerances and couch overrides in radiotherapy.

    PubMed

    Chinsky, Bonnie; Patel, Rakesh; Panfil, Joshua; Surucu, Murat; Roeske, John C

    2016-11-01

    The purpose of this study was to survey current departmental policies on treatment couch overrides and the values of table tolerances used clinically. A 25-question electronic survey on couch overrides and tolerances was sent to full members of the American Association of Physicists in Medicine (AAPM). The first part of the survey asked participants if table overrides were allowed at their institution, who was allowed to perform these overrides, and if imaging was required with overrides. The second part of the survey asked individuals to provide table tolerance data for the following treatment sites: brain/head and neck (H&N), lung, breast, abdomen/pelvis and prostate. Each site was further divided into IMRT/VMAT and 3D conformal techniques. Spaces for free-text were provided, allowing respondents to enter any table tolerance data they were unable to specify under the treatment sites listed. A total of 361 individuals responded, of which approximately half participated in the couch tolerances portion of the survey. Overall, 86% of respondents' institutions allow couch tolerance overrides at treatment. Therapists were the most common staff members permitted to perform overrides, followed by physicists, dosimetrists, and physicians, respectively. Of the institutions allowing overrides, 34% reported overriding daily. More than half of the centers document the override and/or require a setup image to radiographically verify the treatment site. With respect to table tolerances, SRS/SBRT table tolerances were the tightest, while clinical setup table tolerances were the largest. There were minimal statistically significant differences between IMRT/VMAT and 3D conformal table tolerances. Our results demonstrated that table overrides are relatively common in radiotherapy despite being a potential safety concern. Institutions should review their override policy and table tolerance values in light of the practices of other institutions. Careful attention to these matters is

  14. Predictors of human rotation.

    PubMed

    Stochl, Jan; Croudace, Tim

    2013-01-01

    Why some humans prefer to rotate clockwise rather than anticlockwise is not well understood. This study aims to identify the predictors of the preferred rotation direction in humans. The variables hypothesised to influence rotation preference include handedness, footedness, sex, brain hemisphere lateralisation, and the Coriolis effect (which results from geospatial location on the Earth). An online questionnaire allowed us to analyse data from 1526 respondents in 97 countries. Factor analysis showed that the direction of rotation should be studied separately for local and global movements. Handedness, footedness, and the item hypothesised to measure brain hemisphere lateralisation are predictors of rotation direction for both global and local movements. Sex is a predictor of the direction of global rotation movements but not local ones, and both sexes tend to rotate clockwise. Geospatial location does not predict the preferred direction of rotation. Our study confirms previous findings concerning the influence of handedness, footedness, and sex on human rotation; our study also provides new insight into the underlying structure of human rotation movements and excludes the Coriolis effect as a predictor of rotation.

  15. STIL - Starlink Tables Infrastructure Library

    NASA Astrophysics Data System (ADS)

    Taylor, Mark

    STIL is a set of Java class libraries which allow input, manipulation and output of tabular data and metadata. Among its key features are support for many tabular formats (including VOTable, FITS, CDF, text-based formats and SQL databases) and support for dealing with very large tables in limited memory. As well as an abstract and format-independent definition of what constitutes a table, and an extensible framework for "pull-model" table processing, it provides a number of format-specific handlers which know how to serialize/deserialize tables. The framework for interaction between the core table manipulation facilities and the format-specific handlers is open and pluggable, so that handlers for new formats can easily be added, programmatically or at run-time. The VOTable handling in particular is provided by classes which perform efficient XML parsing and can read and write VOTables in any of the defined formats (TABLEDATA, BINARY or FITS). It supports table-aware SAX- or DOM-mode processing and may be used on its own for VOTable I/O without much reference to the format-independent parts of the library.

  16. Arthroscopic treatment of rotator cuff tear in the over-60s: repair is preferable to isolated acromioplasty-tenotomy in the short term.

    PubMed

    Dezaly, C; Sirveaux, F; Philippe, R; Wein-Remy, F; Sedaghatian, J; Roche, O; Molé, D

    2011-10-01

    The principal study objective was to compare clinical results for arthroscopic repair of rotator cuff tear and acromioplasty-tenotomy in patients aged over 60 years. Repair provides better clinical results than isolated acromioplasty-tenotomy. Shoulder function is improved when healing is obtained. One hundred and forty-two patients aged over 60 years (mean age, 67 years) presenting with reparable supraspinatus tear, extending to a greater or lesser degree to the infraspinatus, agreed to take part in a randomized prospective study. Fifteen were excluded from statistical analysis. All underwent acromioplasty and biceps tenotomy. They were randomly assigned to arthroscopic rotator-cuff repair (CR group) or not (AT group). The principal evaluation criterion was mean weighted Constant score at one year's follow-up. Healing in the CR group was assessed on ultrasound at one year. The complications rate was 7.9%. Mean weighted Constant score was significantly better in group CR: 75.8%, versus 68.8% in AT. In the CR group, the 1-year healing rate was 67.6%. Healing significantly impacted mean weighted Constant score: 80% with healing, versus 66.9% in iterative tearing. Whatever the size of the tear, mean weighted Constant score was significantly better in patients with than without (no repair or iterative tear) tendon healing. The study demonstrated the interest of arthroscopic rotator cuff repair in patients aged over 60 years. The benefit of repair compared to isolated acromioplasty-tenotomy depended on tendon healing. Randomized prospective study, level II. Copyright © 2011 Elsevier Masson SAS. All rights reserved.

  17. Changes in soil C-isotopic composition in an agroecosystem under Free Air Carbon dioxide Enrichment (FACE) treatment during a crop rotation period.

    PubMed

    Giesemann, Anette

    2005-01-01

    FACE (Free Air Carbon dioxide Enrichment) has been used since 1999 to evaluate the effects of future atmospheric CO(2) concentrations on an arable crop agroecosystem. The experiment conducted at the Institute of Agroecology at the Federal Research Centre in Braunschweig consists of a typical local crop rotation of winter barley, a cover crop, sugar beet and winter wheat. The atmospheric CO2 concentration of ambient air is about 375 ppm with a delta13C value of -7 to -9 per thousand, and 550 ppm (delta13C value = -20.2 per thousand) during daylight hours in the rings fumigated with additional CO2. Thus, the surplus C can be traced in the agricultural system. Over the course of the first experimental period (3-year crop rotation period), the C-isotopic composition and the C concentration in soil were monitored monthly. Plant samples were analysed according to the relevant developmental stages of the crop under cultivation. A 13C depletion was observed in plant parts, as well as in soil samples from the FACE rings under CO2 enrichment, indicating that labelled C has reached both respective ecosystem compartments. Albeit farming management practice (especially ploughing) leads to a mixing of 'old' and 'new' C compounds throughout all soil horizons down to the end of the ploughing layer and resulted in a heterogeneous distribution of newly formed C compounds in the soil, isotope analysis of soil C reflected where the surplus C went.

  18. Tables of the coefficients A

    NASA Technical Reports Server (NTRS)

    Chandra, N.

    1974-01-01

    Numerical coefficients required to express the angular distribution for the rotationally elastic or inelastic scattering of electrons from a diatomic molecule were tabulated for the case of nitrogen and in the energy range from 0.20 eV to 10.0 eV. Five different rotational states are considered.

  19. Cylindrical rotating triboelectric nanogenerator.

    PubMed

    Bai, Peng; Zhu, Guang; Liu, Ying; Chen, Jun; Jing, Qingshen; Yang, Weiqing; Ma, Jusheng; Zhang, Gong; Wang, Zhong Lin

    2013-07-23

    We demonstrate a cylindrical rotating triboelectric nanogenerator (TENG) based on sliding electrification for harvesting mechanical energy from rotational motion. The rotating TENG is based on a core-shell structure that is made of distinctly different triboelectric materials with alternative strip structures on the surface. The charge transfer is strengthened with the formation of polymer nanoparticles on surfaces. During coaxial rotation, a contact-induced electrification and the relative sliding between the contact surfaces of the core and the shell result in an "in-plane" lateral polarization, which drives the flow of electrons in the external load. A power density of 36.9 W/m(2) (short-circuit current of 90 μA and open-circuit voltage of 410 V) has been achieved by a rotating TENG with 8 strip units at a linear rotational velocity of 1.33 m/s (a rotation rate of 1000 r/min). The output can be further enhanced by integrating more strip units and/or applying larger linear rotational velocity. This rotating TENG can be used as a direct power source to drive small electronics, such as LED bulbs. This study proves the possibility to harvest mechanical energy by TENGs from rotational motion, demonstrating its potential for harvesting the flow energy of air or water for applications such as self-powered environmental sensors and wildlife tracking devices.

  20. Management of massive and irreparable rotator cuff tears.

    PubMed

    Neri, Brian R; Chan, Keith W; Kwon, Young W

    2009-01-01

    Massive rotator cuff tears pose a distinct clinical challenge for the orthopaedist. In this review, we will discuss the classification, diagnosis, and evaluation of massive rotator cuff tears before discussing various treatment options for this problem. Nonoperative treatment has had inconsistent results and proven unsuccessful for chronic symptoms while operative treatment including debridement and partial and complete repairs have had varying degrees of success. For rotator cuff tears that are deemed irreparable, treatment options are limited. The use of tendon transfers in younger patients to reconstruct rotator cuff function and restore shoulder kinematics can be useful in salvaging this difficult problem.

  1. 30 CFR 250.1401 - Index table.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... OPERATIONS IN THE OUTER CONTINENTAL SHELF Outer Continental Shelf (OCS) Civil Penalties § 250.1401 Index table. The following table is an index of the sections in this subpart: § 250.1401Table Definitions... 30 Mineral Resources 2 2010-07-01 2010-07-01 false Index table. 250.1401 Section 250.1401 Mineral...

  2. A multiplet table for Mn I

    NASA Technical Reports Server (NTRS)

    Adelman, S. J.; Svatek, G. F.; Van Winkler, K.; Warren, W. H., Jr.

    1989-01-01

    A mulitplet table of the atomic spectral lines of Mn I has been prepared. All of the known lines and many predicted lines of Mn I are included in the table. The methodology used to prepare the table is outlined and a sample page of the table is given.

  3. 47 CFR 73.698 - Tables.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 4 2010-10-01 2010-10-01 false Tables. 73.698 Section 73.698 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) BROADCAST RADIO SERVICES RADIO BROADCAST SERVICES Television Broadcast Stations § 73.698 Tables. Table I Table II (1)—Channel (2)—31.4 kilometers (19.5 miles) If beat (3...

  4. Introducing Rotational Motion with EXIF Data

    NASA Astrophysics Data System (ADS)

    Peterson, James

    2011-10-01

    In their article "Measuring the Flight Speed of Fire Bombers from Photos: An In-Class Exercise in Introductory Kinematics," Greg W. Lowe and Eric Ayars remind us that photographs have always had physics hidden in them if you look hard enough. Since digital photos are embedded with EXIF data, vastly more physics can be explored with them. EXIF stands for "exchangeable image file format" and is data that are recorded into a photo when it is taken with a digital camera. Table I shows various methods for finding the EXIF data of a photo. I use one piece of this data to begin my unit on rotational motion.

  5. 40 CFR Table 15 to Subpart G of... - Wastewater-Information on Table 8 and/or Table 9 Compounds To Be Submitted With Notification of...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Group 2 g Compliance approach h Treatment process(es) identification i Waste management unit(s) identification Intended control device a The information specified in this table must be submitted; however, it... Process Units at New and/or Existing Sources a,b Process unit identification code c Stream identification...

  6. SU-F-P-18: Development of the Technical Training System for Patient Set-Up Considering Rotational Correction in the Virtual Environment Using Three-Dimensional Computer Graphic Engine

    SciTech Connect

    Imura, K; Fujibuchi, T; Hirata, H; Kaneko, K; Hamada, E

    2016-06-15

    Purpose: Patient set-up skills in radiotherapy treatment room have a great influence on treatment effect for image guided radiotherapy. In this study, we have developed the training system for improving practical set-up skills considering rotational correction in the virtual environment away from the pressure of actual treatment room by using three-dimensional computer graphic (3DCG) engine. Methods: The treatment room for external beam radiotherapy was reproduced in the virtual environment by using 3DCG engine (Unity). The viewpoints to perform patient set-up in the virtual treatment room were arranged in both sides of the virtual operable treatment couch to assume actual performance by two clinical staffs. The position errors to mechanical isocenter considering alignment between skin marker and laser on the virtual patient model were displayed by utilizing numerical values expressed in SI units and the directions of arrow marks. The rotational errors calculated with a point on the virtual body axis as the center of each rotation axis for the virtual environment were corrected by adjusting rotational position of the body phantom wound the belt with gyroscope preparing on table in a real space. These rotational errors were evaluated by describing vector outer product operations and trigonometric functions in the script for patient set-up technique. Results: The viewpoints in the virtual environment allowed individual user to visually recognize the position discrepancy to mechanical isocenter until eliminating the positional errors of several millimeters. The rotational errors between the two points calculated with the center point could be efficiently corrected to display the minimum technique mathematically by utilizing the script. Conclusion: By utilizing the script to correct the rotational errors as well as accurate positional recognition for patient set-up technique, the training system developed for improving patient set-up skills enabled individual user to

  7. Treatment outcomes of single- versus double-row repair for larger than medium-sized rotator cuff tears: the effect of preoperative remnant tendon length.

    PubMed

    Kim, Young Kyu; Moon, Sung Hoon; Cho, Seung Hyun

    2013-10-01

    In rotator cuff repair, no practical guidelines exist for deciding which technique is the most beneficial to outcomes. To determine which of 2 repair techniques, the single-row (SR) and double-row suture bridge (DR-SB) methods, leads to better therapeutic outcomes in terms of remnant tendon length in patients with larger than medium-sized cuff tears. Cohort study; Level of evidence, 3. Remnant tendon length, muscle atrophy, and fatty degeneration were measured on preoperative magnetic resonance imaging (MRI) in 78 patients with larger than medium-sized rotator cuff tears who were available for follow-up MRI. There were 30 patients with remnant tendons <10 mm in length (group 1) and 48 with remnant tendons ≥10 mm in length (group 2). In group 1, the SR technique was performed on 17 patients and the DR-SB technique on 13 patients. In group 2, the SR technique was performed on 16 patients and the DR-SB technique on 32 patients. The mean follow-up period for all patients was 26.6 months (range, 24-42 months). Clinical outcomes were evaluated using the University of California, Los Angeles (UCLA), Constant, and American Shoulder and Elbow Surgeons (ASES) scores. In group 1, there was 1 retear (6%) with the SR repair and 6 (46%) with the DR-SB repair. In group 2, there were 3 retears (19%) with the SR repair and 2 (6%) with the DR-SB repair. The retear rate was significantly higher in patients with the DR-SB repair in group 1 (P = .025), while there was no significant difference between the 2 techniques in group 2 (P = .316). The UCLA and Constant scores were significantly higher in patients with the SR repair in group 1 (P = .02 and P = .029, respectively), and the UCLA and ASES scores were significantly higher in patients with the DR-SB repair in group 2 (P < .001 and P = .001, respectively). Remnant tendon length should be considered to improve repair integrity. The SR technique may provide superior rotator cuff integrity when remnant tendons are <10 mm in length.

  8. Influence of Continuous Table Motion on Patient Breathing Patterns

    SciTech Connect

    Wilbert, Juergen; Baier, Kurt; Richter, Anne; Herrmann, Christian; Ma Lei; Flentje, Michael; Guckenberger, Matthias

    2010-06-01

    Purpose: To investigate the influence of continuous table motion on patient breathing patterns for compensation of moving targets by a robotic treatment couch. Methods and Materials: Fifteen volunteers were placed on a robotic treatment couch, and the couch was moved on different breathing-correlated and -uncorrelated trajectories. External abdominal breathing motion of the patients was measured using an infrared camera system. The influence of table motion on breathing range and pattern was analyzed. Results: Continuous table motion was tolerated well by all test persons. Volunteers reacted differently to table motion. Four test persons showed no change of breathing range and pattern. Increased irregular breathing was observed in 4 patients; however, irregularity was not correlated with table motion. Only 4 test persons showed an increase in mean breathing amplitude of more than 2mm during motion of the couch. The mean cycle period decreased by more than 1 s for 2 test persons only. No abrupt changes in amplitude or cycle period could be observed. Conclusions: The observed small changes in breathing patterns support the application of motion compensation by a robotic treatment couch.

  9. The rotation of Ganymede

    NASA Astrophysics Data System (ADS)

    Van Hoolst, Tim; Baland, Rose-Marie; Trinh, Antony; Coyette, Alexis; Yseboodt, Marie

    2017-04-01

    The rotation rate of Ganymede, the largest satellite of Jupiter, is on average equal to its orbital mean motion but cannot be constant on orbital time scale as a result of the gravitational torque exerted by Jupiter on the moon. Here we discuss small deviations from the average rotation rate, evaluate polar motion, and discuss Ganymede's obliquity. We examine different time scales and assess the potential of using rotation as probes of the interior structure. The ESA JUICE (JUpiter ICy moons Explorer) mission will accurately measure the rotation of Ganymede during its orbital phase around the satellite starting in 2032. We report on different theoretical aspects of the rotation for realistic models of the interior of Ganymede, include tidal deformations and take into account the low-degree gravity field and topography of Ganymede. We assess the advantages of a joint use of rotation and tides to constrain the satellite's interior structure, in particular its ice shell and ocean.

  10. Rotating cooloing flows

    NASA Technical Reports Server (NTRS)

    Kley, Wilhelm; Mathews, William G.

    1995-01-01

    We describe the evolution of the hot interstellar medium in a large, slowly rotating elliptical galaxy. Although the rotation assumed is a small fraction of the circular velocity, in accordance with recent observations, it is sufficient to have a profound influence on the X-ray emission and cooling geometry of the interstellar gas. The hot gas cools into a disk that extends out to approximately 10 kpc. The cool, dusty disks observed in the majority of elliptical galaxies may arise naturally from internal cooling rather than from mergers with gas-rich companions. As a result of angular momentum conservation in the cooling flow, the soft X-ray isophotes are quite noticeably flatter than those of the stellar image. The gas temperature is higer along the rotation axis. The rotational velocity of the gas several kiloparcsecs above the central disk far exceeds the local stellar rotation and approaches the local circular velocity as it flows toward the galactic core. The detailed appearance of the X-ray image and velocity field of the X-ray gas provide information about the global rotational properties of giant ellipticals at radii too distant for optical observations. The overall pattern of rotation in these galaxies retains information about the origin of ellipticals, particularly of their merging history. In ellipticals having radio jets, if the jets are aligned with the rotation axis of the inner cooling flow, rotation within the jet could be sustained by the rotating environment. Since most large ellipticals have modest rotation, the X-ray observations at low spatial resolution, when interpreted with spherical theoretical models, give the impression that hot gas undergoes localized cooling to very low temperatures many kiloparcsecs from the galactic core. We suggest that such apparent cooling can result in a natural way as gas cools onto a rotating disk.

  11. The choice of locking plate in the treatment of peri-implant femoral fracture eight years after trans-trochanteric rotational osteotomy: A case report.

    PubMed

    Utsunomiya, Takeshi; Yamamoto, Takuaki; Motomura, Goro; Karasuyama, Kazuyuki; Sonoda, Kazuhiko; Kubo, Yusuke; Hatanaka, Hiroyuki; Iwamoto, Yukihide

    2016-01-01

    Transtrochanteric anterior rotational osteotomy of the femoral head (TRO) was developed as a joint preserving surgery for osteonecrosis of the femoral head. To the best of our knowledge, peri-implant fractures after femoral osteotomy have rarely been reported. We report a 58-year-old female who suffered a peri-implant femoral shaft fracture following a fall from a stepladder eight years after TRO. Fracture union was achieved six months after a preferred proximal femoral locking plate. The entry point of the ante-grade femoral nail would have been very close to the new position of the nutrient artery of the femoral head occasioned by the TRO and to avoid injury, we chose proximal femoral locking plate. It is important to consider the new position of the nutrient artery of the femoral head in the surgical planning of peri-implant fracture after TRO. Copyright © 2016 The Author(s). Published by Elsevier Ltd.. All rights reserved.

  12. 14 CFR Table A to Part 117 - Maximum Flight Time Limits for Unaugmented Operations Table

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... Operations Table A Table A to Part 117 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF... FLIGHT AND DUTY LIMITATIONS AND REST REQUIREMENTS: FLIGHTCREW MEMBERS (EFF. 1-4-14) Pt. 117, Table A Table A to Part 117—Maximum Flight Time Limits for Unaugmented Operations Table Time of report...

  13. 14 CFR Table A to Part 117 - Maximum Flight Time Limits for Unaugmented Operations Table

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... Operations Table A Table A to Part 117 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF... FLIGHT AND DUTY LIMITATIONS AND REST REQUIREMENTS: FLIGHTCREW MEMBERS Pt. 117, Table A Table A to Part 117—Maximum Flight Time Limits for Unaugmented Operations Table Time of report(acclimated...

  14. FIRST NEW SOLAR MODELS WITH OPAS OPACITY TABLES

    SciTech Connect

    Le Pennec, M.; Turck-Chièze, S.; Salmon, S.

    2015-11-10

    Stellar seismology appears more and more as a powerful tool for a better determination of the fundamental properties of solar-type stars. However, the particular case of the Sun is still challenging. For about a decade now, the helioseismic sound-speed determination has continued to disagree with the standard solar model (SSM) prediction, questioning the reliability of this model. One of the sources of uncertainty could be in the treatment of the transport of radiation from the solar core to the surface. In this Letter, we use the new OPAS opacity tables, recently available for solar modeling, to address this issue. We discuss first the peculiarities of these tables, then we quantify their impact on the solar sound-speed and density profiles using the reduced OPAS tables taken on the grids of the OPAL ones. We use the two evolution codes, Modules for Experiments in Stellar Astrophysics and Code Liégeois d’Evolution Stellaire, that led to similar conclusions in the solar radiative zone. In comparison to commonly used OPAL opacity tables, the new solar models are computed for the most recent photospheric composition with OPAS tables and present improvements to the location of the base of the convective zone and to the description of the solar radiative zone in comparison to the helioseismic observations, even if the differences in the Rosseland mean opacity do not exceed 6%. We finally carry out a comparison to a solar model computed with the OP opacity tables.

  15. First New Solar Models with OPAS Opacity Tables

    NASA Astrophysics Data System (ADS)

    Le Pennec, M.; Turck-Chièze, S.; Salmon, S.; Blancard, C.; Cossé, P.; Faussurier, G.; Mondet, G.

    2015-11-01

    Stellar seismology appears more and more as a powerful tool for a better determination of the fundamental properties of solar-type stars. However, the particular case of the Sun is still challenging. For about a decade now, the helioseismic sound-speed determination has continued to disagree with the standard solar model (SSM) prediction, questioning the reliability of this model. One of the sources of uncertainty could be in the treatment of the transport of radiation from the solar core to the surface. In this Letter, we use the new OPAS opacity tables, recently available for solar modeling, to address this issue. We discuss first the peculiarities of these tables, then we quantify their impact on the solar sound-speed and density profiles using the reduced OPAS tables taken on the grids of the OPAL ones. We use the two evolution codes, Modules for Experiments in Stellar Astrophysics and Code Liégeois d’Evolution Stellaire, that led to similar conclusions in the solar radiative zone. In comparison to commonly used OPAL opacity tables, the new solar models are computed for the most recent photospheric composition with OPAS tables and present improvements to the location of the base of the convective zone and to the description of the solar radiative zone in comparison to the helioseismic observations, even if the differences in the Rosseland mean opacity do not exceed 6%. We finally carry out a comparison to a solar model computed with the OP opacity tables.

  16. Analytical and phenomenological studies of rotating turbulence

    NASA Technical Reports Server (NTRS)

    Mahalov, Alex; Zhou, YE

    1995-01-01

    A framework, which combines mathematical analysis, closure theory, and phenomenological treatment, is developed to study the spectral transfer process and reduction of dimensionality in turbulent flows that are subject to rotation. First, we outline a mathematical procedure that is particularly appropriate for problems with two disparate time scales. The approach which is based on the Green's method leads to the Poincare velocity variables and the Poincare transformation when applied to rotating turbulence. The effects of the rotation are now reflected in the modifications to the convolution of a nonlinear term. The Poincare transformed equations are used to obtain a time-dependent analog of the Taylor-Proudman theorem valid in the asymptotic limit when the non-dimensional parameter mu is identical to Omega(t) approaches infinity (Omega is the rotation rate and t is the time). The 'split' of the energy transfer in both direct and inverse directions is established. Secondly, we apply the Eddy-Damped-Quasinormal-Markovian (EDQNM) closure to the Poincare transformed Euler/Navier-Stokes equations. This closure leads to expressions for the spectral energy transfer. In particular, an unique triple velocity decorrelation time is derived with an explicit dependence on the rotation rate. This provides an important input for applying the phenomenological treatment of Zhou. In order to characterize the relative strength of rotation, another non-dimensional number, a spectral Rossby number, which is defined as the ratio of rotation and turbulence time scales, is introduced. Finally, the energy spectrum and the spectral eddy viscosity are deduced.

  17. Rotating Reverse-Osmosis for Water Purification

    NASA Technical Reports Server (NTRS)

    Lueptow, RIchard M.

    2004-01-01

    A new design for a water-filtering device combines rotating filtration with reverse osmosis to create a rotating reverse- osmosis system. Rotating filtration has been used for separating plasma from whole blood, while reverse osmosis has been used in purification of water and in some chemical processes. Reverse- osmosis membranes are vulnerable to concentration polarization a type of fouling in which the chemicals meant not to pass through the reverse-osmosis membranes accumulate very near the surfaces of the membranes. The combination of rotating filtration and reverse osmosis is intended to prevent concentration polarization and thereby increase the desired flux of filtered water while decreasing the likelihood of passage of undesired chemical species through the filter. Devices based on this concept could be useful in a variety of commercial applications, including purification and desalination of drinking water, purification of pharmaceutical process water, treatment of household and industrial wastewater, and treatment of industrial process water. A rotating filter consists of a cylindrical porous microfilter rotating within a stationary concentric cylindrical outer shell (see figure). The aqueous suspension enters one end of the annulus between the inner and outer cylinders. Filtrate passes through the rotating cylindrical microfilter and is removed via a hollow shaft. The concentrated suspension is removed at the end of the annulus opposite the end where the suspension entered.

  18. General purpose steam table library :

    SciTech Connect

    Carpenter, John H.; Belcourt, Kenneth Noel; Nourgaliev, Robert

    2013-08-01

    Completion of the CASL L3 milestone THM.CFD.P7.04 provides a general purpose tabular interpolation library for material properties to support, in particular, standardized models for steam properties. The software consists of three parts, implementations of analytic steam models, a code to generate tables from those models, and an interpolation package to interface the tables to CFD codes such as Hydra-TH. Verification of the standard model is maintained through the entire train of routines. The performance of interpolation package exceeds that of freely available analytic implementation of the steam properties by over an order of magnitude.

  19. Adiabatic rotation of effective spin. II. Spin-rotational relaxation

    NASA Astrophysics Data System (ADS)

    Serebrennikov, Yu. A.; Steiner, U. E.

    1994-05-01

    The theory of electron spin-rotational (SR) relaxation in systems with an effective spin Seff=1/2 is formulated in terms of the adiabatic rotation of effective spin (ARES) approach. It is shown that SR relaxation results from the orientational random walk of the axes of the intramolecular electric field potential (ligand field) to which a spin-bearing atomic center is exposed. The validity of the stochastic treatment presented here is not limited by the Redfield conditions. The general expression obtained for the time constant of electron spin relaxation in liquid phase reproduces the well-known result of Hubbard-Atkins-Kivelson theory if it is specialized to the case of systems with weak spin-orbit coupling.

  20. Enhancing Table Interpretation Skills via Training in Table Creation

    ERIC Educational Resources Information Center

    Karazsia, Bryan T.

    2013-01-01

    Quantitative and statistical literacy are core domains in the undergraduate psychology curriculum. An important component of such literacy includes interpretation of visual aids, such as tables containing results from statistical analyses. This article presents a new technique for enhancing student interpretation of American Psychological…

  1. Rotational Energy Transfer in N2

    NASA Technical Reports Server (NTRS)

    Huo, Winifred M.

    1994-01-01

    Using the N2-N2 intermolecular potential of van der Avoird et al. rotational energy transfer cross sections have been calculated using both the coupled state (CS) and infinite order sudden (IOS) approximations. The rotational energy transfer rate constants at 300 K, calculated in the CS approximation, are in reasonable agreement with the measurements of Sitz and Farrow. The IOS approximation qualitatively reproduces the dependence of the rate constants on the rotational quantum numbers, but consistently overestimates their magnitudes. The treatment of exchange symmetry will be discussed.

  2. Rotational Energy Transfer in N2

    NASA Technical Reports Server (NTRS)

    Huo, Winifred M.

    1994-01-01

    Using the N2-N2 intermolecular potential of van der Avoird et al. rotational energy transfer cross sections have been calculated using both the coupled state (CS) and infinite order sudden (IOS) approximations. The rotational energy transfer rate constants at 300 K, calculated in the CS approximation, are in reasonable agreement with the measurements of Sitz and Farrow. The IOS approximation qualitatively reproduces the dependence of the rate constants on the rotational quantum numbers, but consistently overestimates their magnitudes. The treatment of exchange symmetry will be discussed.

  3. On-farm experiments over 5 years in a grain maize/winter wheat rotation: effect of maize residue treatments on Fusarium graminearum infection and deoxynivalenol contamination in wheat.

    PubMed

    Vogelgsang, Susanne; Hecker, Andreas; Musa, Tomke; Dorn, Brigitte; Forrer, Hans-Rudolf

    2011-05-01

    maize/winter wheat rotation, the DON content in wheat grains frequently exceeded the European maximum limit, even with a thorough treatment of maize residues and less susceptible wheat varieties. Hence, in order to reduce the contamination risk in a zero tillage system, the crop rotation needs to be modified.

  4. Wideband rotating junctions

    NASA Astrophysics Data System (ADS)

    Pochernyaev, V. N.

    1993-06-01

    Rotating junctions of coaxial-waveguide and waveguide type with a traveling wave coefficient exceeding 0.8 in a wide frequency range are considered. The design of these junctions is based on a method of the theory of electrodynamic circuits. Numerical results are obtained for rotating junctions of partially filled rectangular waveguide type and their particular cases.

  5. Short-rotation plantations

    Treesearch

    Philip E. Pope; Jeffery O. Dawson

    1989-01-01

    Short-rotation plantations offer several advantages over longer, more traditional rotations. They enhance the natural productivity of better sites and of tree species with rapid juvenile growth. Returns on investment are realized in a shorter period and the risk of loss is reduced compared with long term investments. Production of wood and fiber can be maximized by...

  6. Diamagnetism of rotating plasma

    SciTech Connect

    Young, W. C.; Hassam, A. B.; Romero-Talamas, C. A.; Ellis, R. F.; Teodorescu, C.

    2011-11-15

    Diamagnetism and magnetic measurements of a supersonically rotating plasma in a shaped magnetic field demonstrate confinement of plasma pressure along the magnetic field resulting from centrifugal force. The Grad-Shafranov equation of ideal magnetohydrodynamic force balance, including supersonic rotation, is solved to confirm that the predicted angular velocity is in agreement with spectroscopic measurements of the Doppler shifts.

  7. Rotatable shear plate interferometer

    DOEpatents

    Duffus, Richard C.

    1988-01-01

    A rotatable shear plate interferometer comprises a transparent shear plate mounted obliquely in a tubular supporting member at 45.degree. with respect to its horizontal center axis. This tubular supporting member is supported rotatably around its center axis and a collimated laser beam is made incident on the shear plate along this center axis such that defocus in different directions can be easily measured.

  8. SMAP Faraday Rotation

    NASA Technical Reports Server (NTRS)

    Le Vine, David

    2016-01-01

    Faraday rotation is a change in the polarization as signal propagates through the ionosphere. At L-band it is necessary to correct for this change and measurements are made on the spacecraft of the rotation angle. These figures show that there is good agreement between the SMAP measurements (blue) and predictions based on models (red).

  9. The Weighted Oblimin Rotation.

    ERIC Educational Resources Information Center

    Lorenzo-Seva, Urbano

    2000-01-01

    Demonstrates that the weighting procedure proposed by E. Cureton and S. Mulaik (1975) can be applied to the Direct Oblimin approach of D. Clarkson and R. Jennrich (1988) to provide good results. The rotation method obtained is called Weighted Oblimin. Compared this method to other rotation methods with favorable results. (SLD)

  10. Modeling rapidly rotating stars

    NASA Astrophysics Data System (ADS)

    Rieutord, M.

    2006-06-01

    We review the quest of modeling rapidly rotating stars during the past 40 years and detail the challenges to be taken up by models facing new data from interferometry, seismology, spectroscopy... We then present the progress of the ESTER project aimed at giving a physically self-consistent model for the structure and evolution of rapidly rotating stars.

  11. Rotation sensor switch

    DOEpatents

    Sevec, John B.

    1978-01-01

    A protective device to provide a warning if a piece of rotating machinery slows or stops comprises a pair of hinged weights disposed to rotate on a rotating shaft of the equipment. When the equipment is rotating, the weights remain in a plane essentially perpendicular to the shaft and constitute part of an electrical circuit that is open. When the shaft slows or stops, the weights are attracted to a pair of concentric electrically conducting disks disposed in a plane perpendicular to the shaft and parallel to the plane of the weights when rotating. A disk magnet attracts the weights to the electrically conducting plates and maintains the electrical contact at the plates to complete an electrical circuit that can then provide an alarm signal.

  12. Sand and Water Table Play

    ERIC Educational Resources Information Center

    Wallace, Ann H.; White, Mary J.; Stone, Ryan

    2010-01-01

    The authors observed preschoolers engaged at the sand and water table to determine if math could be found within their play. Wanting to understand how children interact with provided materials and what kinds of math ideas they explore during these interactions, the authors offer practical examples of how such play can promote mathematical…

  13. ALSED Round Table. Final Report.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific, and Cultural Organization, Paris (France).

    A report of a round table meeting on Anthropology and Language Science in Educational Development (ALSED) of the United Nations Educational, Scientific and Cultural Organization is presented. The purpose of the discussions was to develop national strategies to take advantage of the resources of anthropology and language science to improve the…

  14. 50 CFR Table 4 - [Reserved

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 50 Wildlife and Fisheries 9 2011-10-01 2011-10-01 false 4 Table 4 Wildlife and Fisheries NATIONAL MARINE FISHERIES SERVICE, NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE MARINE MAMMALS DESIGNATED CRITICAL HABITAT Critical habitat for the Cook Inlet beluga whale (Delphinapterus...

  15. 50 CFR Table 4 - [Reserved

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 50 Wildlife and Fisheries 10 2013-10-01 2013-10-01 false 4 Table 4 Wildlife and Fisheries NATIONAL MARINE FISHERIES SERVICE, NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE MARINE MAMMALS DESIGNATED CRITICAL HABITAT Critical habitat for the southern Distinct Population Segment of...

  16. 50 CFR Table 4 - [Reserved

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 50 Wildlife and Fisheries 10 2012-10-01 2012-10-01 false 4 Table 4 Wildlife and Fisheries NATIONAL MARINE FISHERIES SERVICE, NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE MARINE MAMMALS DESIGNATED CRITICAL HABITAT Critical habitat for the southern Distinct Population Segment of...

  17. 50 CFR Table 4 - [Reserved

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 50 Wildlife and Fisheries 7 2010-10-01 2010-10-01 false 4 Table 4 Wildlife and Fisheries NATIONAL MARINE FISHERIES SERVICE, NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE MARINE MAMMALS DESIGNATED CRITICAL HABITAT Critical habitat for the Southern Distinct Population Segment of North...

  18. Are They Learning Their Tables?

    ERIC Educational Resources Information Center

    Sugarman, Ian

    2010-01-01

    It is a pity that for so many people not involved in Teaching, and for a surprising number who are, mathematics in schools is "chiefly" all about the ability to know a set of facts, multiplication tables and addition bonds in particular, rather than the capacity to reason and explore patterns and relationships in Number and Shape.…

  19. Sand and Water Table Play

    ERIC Educational Resources Information Center

    Wallace, Ann H.; White, Mary J.; Stone, Ryan

    2010-01-01

    The authors observed preschoolers engaged at the sand and water table to determine if math could be found within their play. Wanting to understand how children interact with provided materials and what kinds of math ideas they explore during these interactions, the authors offer practical examples of how such play can promote mathematical…

  20. Compressible Flow Tables for Air

    NASA Technical Reports Server (NTRS)

    Burcher, Marie A.

    1947-01-01

    This paper contains a tabulation of functions of the Mach number which are frequently used in high-speed aerodynamics. The tables extend from M = 0 to M = 10.0 in increments of 0.01 and are based on the assumption that air is a perfect gas having a specific heat ratio of 1.400.

  1. What Price Statistical Tables Now?

    ERIC Educational Resources Information Center

    Hunt, Neville

    1997-01-01

    Describes the generation of all the tables required for school-level study of statistics using Microsoft's Excel spreadsheet package. Highlights cumulative binomial probabilities, cumulative Poisson probabilities, normal distribution, t-distribution, chi-squared distribution, F-distribution, random numbers, and accuracy. (JRH)

  2. Phase-locked servo system. [for synchronizing the rotation of slip ring assembly

    NASA Technical Reports Server (NTRS)

    Burdin, C. (Inventor)

    1974-01-01

    A phase lock servo system is described for synchronizing the rotation of a slip ring assembly with the rotation of an air bearing table so that a minimum of torque will be imparted through cables extending from the slip ring assembly to the air bearing table as such is rotated. The system includes two servo loops. The first servo loop includes a rate gyroscope carried on the air bearing table which generates a signal through a summing junction to be compared with a signal coming from a tachometer coupled to the slip ring assembly. The corrective signal is applied to a torque motor for rotating the slip ring assembly. The second servo loop includes a pair of photo detector cells which generate pulses responsive to the rotation of the air bearing table and slip ring assembly which are fed through a phase detector, and a variable gain amplifier to the summing junction circuit to provide a fine adjustment for rotating the slip ring assembly.

  3. Man Made Elements Periodic Table, Astronomical Periodic Table, Geographic Periodic Table-Dimitri Mendeleev Imitation in the 21st Century

    NASA Astrophysics Data System (ADS)

    Struck, J.-T.

    2013-11-01

    A man made elements periodic table, including every single current element not just synthetic elements can be built differently than the naturally occurring element periodic table. Implications for knowing producible elements in space travel.

  4. Periodic Burning In Table Mountain-Pitch Pine Stands

    Treesearch

    Russell B. Randles; David H. van Lear; Thomas A. Waldrop; Dean M. Simon

    2002-01-01

    Abstract - The effects of multiple, low intensity burns on vegetation and wildlife habitat in Table Mountain (Pinus pungens Lamb.)-pitch (Pinus rigida Mill.) pine communities were studied in the Blue Ridge Mountains of North Carolina. Treatments consisted of areas burned from one to four times at 3-4 year...

  5. 29 CFR 1910.122 - Table of contents.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR OCCUPATIONAL SAFETY AND HEALTH STANDARDS Hazardous Materials Dipping and Coating Operations § 1910.122 Table of... procedures must my employees know? (g) What hygiene facilities must I provide? (h) What treatment and first...

  6. Response of anaerobic carbon cycling to water table manipulation in an Alaskan rich fen

    Treesearch

    E.S. Kane; M.R. Chivers; M.S. Turetsky; C.C. Treat; D.G. Petersen; M. Waldrop; J.W. Harden; A.D. McGuire

    2013-01-01

    To test the effects of altered hydrology on organic soil decomposition, we investigated CO2 and CH4 production potential of rich-fen peat (mean surface pH = 6.3) collected from a field water table manipulation experiment including control, raised and lowered water table treatments. Mean anaerobic CO2...

  7. 40 CFR Table II-1 to Subpart II of... - Emission Factors

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 22 2013-07-01 2013-07-01 false Emission Factors II Table II-1 to Subpart II of Part 98 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Industrial Wastewater Treatment Pt. 98, Subpt. II, Table II-1...

  8. 40 CFR Table II-1 to Subpart II of... - Emission Factors

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 21 2014-07-01 2014-07-01 false Emission Factors II Table II-1 to Subpart II of Part 98 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Industrial Wastewater Treatment Pt. 98, Subpt. II, Table II-1...

  9. Challenges and Controversies in Treating Massive Rotator Cuff Tears.

    PubMed

    Burkhart, Stephen S; Ricchetti, Eric T; Levine, William N; Galatz, Leesa M

    2016-01-01

    Massive rotator cuff tears present several challenges for orthopaedic surgeons. Many rotator cuff tears can be repaired; however, some chronic rotator cuff tears require advanced reconstructive techniques. Repair, if possible, is the optimal treatment for rotator cuff tears. In general, muscle transfers are an option for patients younger than 60 years who do not have pseudoparalysis. Arthroplasty is an option for older patients who have concomitant arthritis and for patients who have pseudoparalysis. Biologic augmentation in the setting of rotator cuff tears continues to evolve, and the application of biologic products should be guided by sound evidence and cost-benefit considerations.

  10. Magnetorotational Instability in a Rotating Liquid Metal Annulus

    SciTech Connect

    Hantao Ji; Jeremy Goodman; Akira Kageyama

    2001-03-10

    Although the magnetorotational instability (MRI) has been widely accepted as a powerful accretion mechanism in magnetized accretion disks, it has not been realized in the laboratory. The possibility of studying MRI in a rotating liquid-metal annulus (Couette flow) is explored by local and global stability analysis and magnetohydrodynamic (MHD) simulations. Stability diagrams are drawn in dimensionless parameters, and also in terms of the angular velocities at the inner and outer cylinders. It is shown that MRI can be triggered in a moderately rapidly rotating table-top apparatus, using easy-to-handle metals such as gallium. Practical issues of this proposed experiment are discussed.

  11. Evaluating the impacts of re-vegetation of bare peat on blanket peat water tables

    NASA Astrophysics Data System (ADS)

    Shuttleworth, Emma; Richards, Rebecca; Evans, Martin; Agnew, Clive; Pilkington, Mike; Maskill, Rachael; Allott, Tim

    2015-04-01

    Studies of the hydrological impacts of peat restoration in blanket peat systems have focused on the impacts of drain and gully blocking on water tables. However, in the South Pennines of the UK large areas of previously bare blanket peat have been restored by re-vegetation. The effects of this restoration treatment on water table behaviour have not been fully evaluated. Preliminary data from space-for-time studies indicate that re-vegetation leads to significant rises in water tables and decreases in water table variability. Here we present additional data from a before-after-control-intervention (BACI) study to validate these preliminary observations. We also present meteorological, net radiation and evapotranspiration data to test the hypothesis that water table changes associated with re-vegetation are driven by changing evapotranspiration rates as bare peat surfaces re-vegetate. The wider ecosystem service benefits of water table increases associated with re-vegetation of bare peat are discussed.

  12. Rotating reactor studies

    NASA Technical Reports Server (NTRS)

    Roberts, Glyn O.

    1991-01-01

    Undesired gravitational effects such as convection or sedimentation in a fluid can sometimes be avoided or decreased by the use of a closed chamber uniformly rotated about a horizontal axis. In a previous study, the spiral orbits of a heavy or buoyant particle in a uniformly rotating fluid were determined. The particles move in circles, and spiral in or out under the combined effects of the centrifugal force and centrifugal buoyancy. A optimization problem for the rotation rate of a cylindrical reactor rotated about its axis and containing distributed particles was formulated and solved. Related studies in several areas are addressed. A computer program based on the analysis was upgraded by correcting some minor errors, adding a sophisticated screen-and-printer graphics capability and other output options, and by improving the automation. The design, performance, and analysis of a series of experiments with monodisperse polystyrene latex microspheres in water were supported to test the theory and its limitations. The theory was amply confirmed at high rotation rates. However, at low rotation rates (1 rpm or less) the assumption of uniform solid-body rotation of the fluid became invalid, and there were increasingly strong secondary motions driven by variations in the mean fluid density due to variations in the particle concentration. In these tests the increase in the mean fluid density due to the particles was of order 0.015 percent. To a first approximation, these flows are driven by the buoyancy in a thin crescent-shaped depleted layer on the descending side of the rotating reactor. This buoyancy distribution is balanced by viscosity near the walls, and by the Coriolis force in the interior. A full analysis is beyond the scope of this study. Secondary flows are likely to be stronger for buoyant particles, which spiral in towards the neutral point near the rotation axis under the influence of their centrifugal buoyancy. This is because the depleted layer is

  13. Why bigger may in fact be better... in the context of table tennis

    NASA Astrophysics Data System (ADS)

    Truscott, Tadd; Pan, Zhao; Belden, Jesse

    2014-11-01

    We submit that table tennis is too fast. Because of the high ball velocities relative to the small table size, players are required to act extremely quickly, often exceeding the limits of human reaction time. Additionally, the Magnus effect resulting from large rotation rates introduces dramatically curved paths and causes rapid direction changes after striking the table or paddle, which effectively reduces reaction time further. Moreover, watching a professional game is often uninteresting and even tiring because the ball is moving too quickly to follow with the naked eye and the action of the players is too subtle to resolve from a distance. These facts isolate table tennis from our quantitatively defined ``fun game club,'' and make it less widely appealing than sports like baseball and soccer. Over the past 100 years, the rules of table tennis have changed several times in an effort to make the game more attractive to players and spectators alike, but the game continues to lose popularity. Here, we experimentally quantify the historic landmark equipment changes of table tennis from a fluid dynamics perspective. Based on theory and observation, we suggest a larger diameter ball for table tennis to make the game more appealing to both spectators and amateur players.

  14. Rotatable seal assembly. [Patent application; rotating targets

    DOEpatents

    Logan, C.M.; Garibaldi, J.L.

    1980-11-12

    An assembly is provided for rotatably supporting a rotor on a stator so that vacuum chambers in the rotor and stator remain in communication while the chambers are sealed from ambient air, which enables the use of a ball bearing or the like to support most of the weight of the rotor. The apparatus includes a seal device mounted on the rotor to rotate therewith, but shiftable in position on the rotor while being sealed to the rotor as by an O-ring. The seal device has a flat face that is biased towards a flat face on the stator, and pressurized air is pumped between the faces to prevent contact between them while spacing them a small distance apart to avoid the inflow of large amounts of air between the faces and into the vacuum chambers.

  15. Parallel manipulator robot assisted femoral fracture reduction on traction table.

    PubMed

    Lin, H; Wang, J Q; Han, W

    2013-01-01

    The principle of femoral shaft fracture reduction is to restore its pre-fractured limb length and mechanical axis. The current documented treatment method with traction table reduction does not conform to the quantitative alignment and reduction. There is also a great amount of X-Ray radiation exposure to both surgeon and patient during the procedure. For this reason, we introduced an innovated Parallel Manipulator Robot (PMR) application: A Femoral Shaft Fracture Reduction with Parallel Manipulator Robot on Traction Table. With this application, the quantitative control on fracture reduction and alignment can be achieved and the radiation exposure to both surgeons and patients can be greatly reduced.

  16. Method for Design Rotation

    DTIC Science & Technology

    1993-08-01

    desirability of a rotation as a function of the set of planar angles. Criteria for the symmetry of the design (such as the same set of factor levels for...P is -1. Hence there is no theoretical problem in obtaining rotations of a design; there are only the practical questions Why rotate a design? And...star points, which can be represented in a shorthand notation by the permutations of (±1,0, "’" , 0), and (c) factorial points, which are a two- level

  17. Chaotic rotation of Hyperion?

    NASA Technical Reports Server (NTRS)

    Binzel, R. P.; Green, J. R.; Opal, C. B.

    1986-01-01

    Thomas et al. (1984) analyzed 14 Voyager 2 images of Saturn's satellite Hyperion and interpreted them to be consistent with a coherent (nonchaotic) rotation period of 13.1 days. This interpretation was criticized by Peale and Wisdom (1984), who argued that the low sampling frequency of Voyager data does not allow chaotic or nonchaotic rotation to be distinguished. New observations obtained with a higher sampling frequency are reported here which conclusively show that the 13.1 day period found by Thomas et al. was not due to coherent rotation.

  18. Solar cell efficiency tables (version 30)

    SciTech Connect

    Green, Martin A.; Emery, Keith; Hisikawa, Yoshihiro; Warta, Wilhelm

    2007-01-01

    Consolidated tables showing an extensive listing of the highest independently confirmed efficiencies for solar cells and modules are presented. Guidelines for inclusion of results into these tables are outlined and new entries since January 2007 are reviewed.

  19. Stream Tables and Watershed Geomorphology Education.

    ERIC Educational Resources Information Center

    Lillquist, Karl D.; Kinner, Patricia W.

    2002-01-01

    Reviews copious stream tables and provides a watershed approach to stream table exercises. Results suggest that this approach to learning the concepts of fluvial geomorphology is effective. (Contains 39 references.) (DDR)

  20. Improved water table dynamics in MODFLOW.

    PubMed

    Clemo, Tom

    2005-01-01

    The standard formulation of a block-centered finite-difference model, such as MODFLOW, uses the center of the cell as the location of a cell node. Simulations of a dynamic water table can be improved if the node of a cell containing the water table is located at the water table rather than at the center of the cell. The LPF package of MOD-FLOW-2000 was changed to position a cell's node at the water table in convertible cells with a water table. Improved accuracy in the upper regions of an unconfined aquifer is demonstrated for pumping from a partially penetrating well. The change introduces a nonlinearity into the solution of the flow equations that results in slightly slower convergence of the flow solution, 7% slower in the presented demonstration. Accuracy of simulations is improved where vertical flow is dominated by a moving water table, but not when a large water table gradient dominates over the water table movement.

  1. Solar Cell Efficiency Tables (Version 34)

    SciTech Connect

    Green, M. A.; Emery, K.; Hishikawa, Y.; Warta, W.

    2009-01-01

    Consolidated tables showing an extensive listing of the highest independently confirmed efficiencies for solar cells and modules are presented. Guidelines for inclusion of results into these tables are outlined and new entries since January, 2009 are reviewed.

  2. Using Generation Tables in Population Biology

    ERIC Educational Resources Information Center

    Stanley, Melissa

    1974-01-01

    Discusses the use of "generation tables" to demonstrate the effect of age on the size of a population in a biology course for nonscience majors. Included are specified assumptions and conditions for table construction. (CC)

  3. Use of an Acid-Base Table.

    ERIC Educational Resources Information Center

    Willis, Grover; And Others

    1986-01-01

    Identifies several ways in which an acid-base table can provide students with information about chemical reactions. Cites examples of the chart's use and includes a table which indicates the strengths of some common acids and bases. (ML)

  4. Stream Tables and Watershed Geomorphology Education.

    ERIC Educational Resources Information Center

    Lillquist, Karl D.; Kinner, Patricia W.

    2002-01-01

    Reviews copious stream tables and provides a watershed approach to stream table exercises. Results suggest that this approach to learning the concepts of fluvial geomorphology is effective. (Contains 39 references.) (DDR)

  5. The origins of Ptolemy's astronomical tables.

    NASA Astrophysics Data System (ADS)

    Newton, R. R.

    Following the line set by his earlier book 'The crime of Claudius Ptolemy' the author discusses here the numerous astronomical tables in Ptolemy's work that have been calculated with the aid of trigonometric tables, as well as a few that are nonlinear but that do not involve trigonometry. The purpose in this study is to determine, if possible, whether Ptolemy calculated these tables or whether he copied them from now-lost original works. The conclusion isthat Ptolemy made few if any original contributions to astronomy, either observational or computational.Contents: 1. Introduction; thetable of chords. 2. The tables of the latitude and of gnomon shadows.3. Tables of the Sun. 4. Astronomical geography. 5. The tables of theMoon. 6. Eclipse tables. 7. Tables of the planets. 8. The empirical basis for Hipparchus's mean motions of the Moon. 9. Summary and conclusions.

  6. Impact of using different SCORE tables for estimating cardiovascular risk.

    PubMed

    Brotons, Carlos; Moral, Irene; Soriano, Núria; Cuixart, Lluís; Osorio, Dimelza; Bottaro, David; Puig, Mireia; Joaniquet, Xavier; Marcos, Albert; Casasa, Albert

    2014-02-01

    In Spain, various SCORE tables are available to estimate cardiovascular risk: tables for low-risk countries, tables calibrated for the Spanish population, and tables that include high-density lipoprotein values. The aim of this study is to assess the impact of using one or another SCORE table in clinical practice. In a cross-sectional study carried out in two primary health care centers, individuals aged 40 to 65 years in whom blood pressure and total cholesterol levels were recorded between March 2010 and March 2012 were selected. Patients with diabetes or a history of cardiovascular disease were excluded. Cardiovascular risk was calculated using SCORE for low-risk countries, SCORE with high-density lipoprotein cholesterol, and the calibrated SCORE. Cardiovascular risk was estimated in 3716 patients. The percentage of patients at high or very high risk was 1.24% with SCORE with high-density lipoprotein cholesterol, 4.73% with the low-risk SCORE, and 15.44% with the calibrated SCORE (P<.01). Treatment with lipid-lowering drugs would be recommended in 10.23% of patients using the calibrated SCORE, 3.12% of patients using the low-risk SCORE, and 0.67% of patients using SCORE with high-density lipoprotein cholesterol. The calibrated SCORE table classifies a larger number of patients at high or very high risk than the SCORE for low-risk countries or the SCORE with high-density lipoprotein cholesterol. Therefore, its use would imply treating more patients with lipid-lowering medication. Validation studies are needed to assess the most appropriate SCORE table for use in our setting. Copyright © 2013 Sociedad Española de Cardiología. Published by Elsevier Espana. All rights reserved.

  7. Management of full-thickness rotator cuff tears: appropriate use criteria.

    PubMed

    Schmidt, Christopher C; Morrey, Bernard F

    2015-12-01

    The appropriate use criteria (AUC) were developed for full-thickness rotator cuff tears to determine when it is reasonable to recommend nonoperative care, partial repair/débridement, repair, reconstruction, or arthroplasty. The goal of this report was to interpret and summarize the results of the AUC process into clinically relevant terms. Using the results of the AUC methodology, we systematically interpreted the clinical importance attributed to the various patient and pathologic variables. We then assessed the combination of considerations that would justify the various treatment options using "preference tables." A nonoperative program was appropriate if the patient had a positive response to conservative care. However, a repair could be maybe appropriate was also accepted. Rotator cuff repair was appropriate when conservative treatment failed in symptomatic patients. Reconstructive measures were recognized primarily in those with chronic massive tears. Most found arthroplasty maybe appropriate only in healthy patients, pseudoparalysis, and chronic massive tears. Surprisingly, neither factors that decreased healing nor adversely affected outcome had a strong influence on the panel's treatment recommendations. The AUC process accounts for clinical experience and considers individual patient and pathologic characteristics of the condition. Overall, the outcome of this exercise does support the current practice for the management of rotator cuff tears (ie, repair of symptomatic tears). However, the minimal importance given to patient and pathologic considerations, well documented to influence outcome, prompts an ongoing effort to refine this important and clinically relevant process. Copyright © 2015 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

  8. Paraspinal stimulation combined with trigger point needling and needle rotation for the treatment of myofascial pain: a randomized sham-controlled clinical trial.

    PubMed

    Couto, Cláudio; de Souza, Izabel Cristina C; Torres, Iraci L S; Fregni, Felipe; Caumo, Wolnei

    2014-03-01

    There are different types and parameters of dry needling (DN) that can affect its efficacy in the treatment of pain that have not been assessed properly. To test the hypothesis that either multiple deep intramuscular stimulation therapy multiple deep intramuscular stimulation therapy (MDIMST) or TrP lidocaine injection (LTrP-I) is more effective than a placebo-sham for the treatment of myofascial pain syndrome (MPS) and that MDIMST is more effective than LTrP-I for improving pain relief, sleep quality, and the physical and mental state of the patient. Seventy-eight females aged 20 to 40 who were limited in their ability to perform active and routine activities due to MPS in the previous 3 months were recruited. The participants were randomized into 1 of the 3 groups as follows: placebo-sham, LTrP-I, or MDIMST. The treatments were provided twice weekly over 4 weeks using standardized MDIMST and LTrP-I protocols. There was a significant interaction (time vs. group) for the main outcomes. Compared with the sham-treated group, MDIMST and LTrP-I administration improved pain scores based on a visual analog scale, the pain pressure threshold (P<0.001 for all analyses), and analgesic use (P<0.01 for all analyses). In addition, when comparing the active groups for these outcomes, MDIMST resulted in better improvement than LTrP-I (P<0.01 for all analyses). In addition, both active treatments had a clinical effect, as assessed by a sleep diary and by the SF-12 physical and mental health scores. This study highlighted the greater efficacy of MDIMST over the placebo-sham and LTrP-I and indicated that both active treatments are more effective than placebo-sham for MPS associated with limitations in active and routine activities.

  9. US-guided percutaneous treatment and physical therapy in rotator cuff calcific tendinopathy of the shoulder: outcome at 3 and 12 months.

    PubMed

    Pasquotti, Giulio; Faccinetto, Alex; Marchioro, Umberto; Todisco, Matteo; Baldo, Vincenzo; Cocchio, Silvia; De Conti, Giorgio

    2016-08-01

    To monitor the results of ultrasound (US)-guided percutaneous treatment of calcific tendinopathy of the shoulder at 12 months (T12) after treatment (T0). To verify the possible relations between some pre- and post-procedural variables with the clinical outcome at T12. Forty-seven patients (26 female and 21 male) were enrolled in the study. Patients' approval and written informed consent were obtained. Symptoms were assessed by Constant Shoulder Score (CSS) at T0 and T12. Thirty of these also underwent a CSS control at 3 months (T3). The treatment efficacy was statistically tested for relation with location and type of calcification, characteristics of the tendon and subdeltoid bursa, impingement, and rehabilitation treatments. There was a significant increase in the average CSS value between T0 and T12 (40.7 vs. 75.3). The variables analysed did not show a statistically significant effect on the outcome at T12. A link was noticed only between patients' increasing age and score improvement, particularly among female subjects. US-guided treatment of calcific tendonitis is a viable therapeutic option. No pre- or intra-procedural parameters emerged which might help in predicting the outcome, apart from patients' needs in everyday life. • US-guided tcreatment of shoulder calcific tendinopathy is an excellent therapeutic option • Long-term results seem greatly affected by patients' features and needs in everyday life • No proven pre- or intra-procedural parameters emerged that might predict the outcome.

  10. What does physical rotation reveal about mental rotation?

    PubMed

    Gardony, Aaron L; Taylor, Holly A; Brunyé, Tad T

    2014-02-01

    In a classic psychological science experiment, Shepard and Metzler (1971) discovered that the time participants took to judge whether two rotated abstract block figures were identical increased monotonically with the figures' relative angular disparity. They posited that participants rotate mental images to achieve a match and that mental rotation recruits motor processes. This interpretation has become central in the literature, but until now, surprisingly few researchers have compared mental and physical rotation. We had participants rotate virtual Shepard and Metzler figures mentally and physically; response time, accuracy, and real-time rotation data were collected. Results suggest that mental and physical rotation processes overlap and also reveal novel conclusions about physical rotation that have implications for mental rotation. Notably, participants did not rotate figures to achieve a match, but rather until they reached an off-axis canonical difference, and rotational strategies markedly differed for judgments of whether the figures were the same or different.

  11. Lift crisis of a spinning table tennis ball

    NASA Astrophysics Data System (ADS)

    Miyazaki, T.; Sakai, W.; Komatsu, T.; Takahashi, N.; Himeno, R.

    2017-03-01

    The aerodynamic properties of a spinning table tennis ball were investigated using flight experiments. Using high-speed video cameras, the trajectory and rotation of an official ball (Nittaku 3-Star Premium), which was launched by a three rotor machine, were recorded. The drag and lift coefficients (C D and C L) were determined by analysing the video images. The measurements covered the speed and rotation range of typical table tennis shots in the form of the Reynolds number (Re) and dimensionless spin rate (SP), i.e. 3.0 × 104 < Re < 9.0 × 104 and 0 < SP < 1.0, and C D and C L were obtained as functions of Re and SP. We determined that the lift coefficient C L is not a monotonically increasing function of SP. A deep valley of C L was found around SP = 0.5, and the lift force exerted on a spinning ball almost vanished at Re = 9.0 × 104 and 0.48 < SP < 0.5. These results qualitatively agree with the results from recent wind tunnel tests, but quantitative differences owing to the unsteady nature of the flight experiments remain. This anomaly in the lift coefficient should be called the ‘lift crisis’.

  12. Work and energy in rotating systems

    NASA Astrophysics Data System (ADS)

    Manjarres, Diego A.; Herrera, William J.; Diaz, Rodolfo A.

    2013-08-01

    The way in which forces transform from an inertial reference frame to a non-inertial rotating frame is well studied in the literature. However, the treatment of the work-energy theorem in rotating systems is not considered in textbooks. In this paper, we show that the work-energy theorem can still be applied to a closed system of particles in a rotating reference frame, as long as the work of fictitious forces is properly included in the formalism. The Coriolis force does not contribute to the work coming from fictitious forces. It is remarkable that real forces that do no work in an inertial reference frame can do work in the rotating reference frame and vice versa.

  13. Rotating Skyrmion in 2+1 dimensions

    SciTech Connect

    Betz, M.; Rodrigues, H.B.; Kodama, T.

    1996-07-01

    The collective rotation of the Skyrmion in two-dimensional space is considered. In contradistinction to the three-dimensional case, inertial effects do not spoil the hedgehog form and can, therefore, be investigated consistently without great computational difficulty. The energy, the moment of inertia, and the mean radius of the rotating soliton are calculated for a wide range of model parameters. It is found that the {open_quote}{open_quote}frozen hedgehog{close_quote}{close_quote} treatment{emdash}commonly assumed adequate in the Skyrme model on the basis of large {ital N}{sub {ital C}} (number of colors) arguments{emdash}is invalid in a sizable portion of parameter space. The phase shifts associated with radial fluctuations of the rotating soliton are also investigated and are found to be significantly affected by the rotation. {copyright} {ital 1996 The American Physical Society.}

  14. An infant surgical table for laser photocoagulation: ergonomic improvement analysis.

    PubMed

    Ryland, K A; Nelson, C A; Hejkal, T W

    2010-02-01

    Current methods of treatment for retinopathy of prematurity, using laser photocoagulation, require surgeons to assume awkward standing positions, which can result in occupational injury. A new infant surgical table was designed for improving this surgical procedure. To quantify its benefits, an ergonomic comparison of the standard and modified procedures was carried out, using specialized checklists, Nordic Musculoskeletal Questionnaires, and analysis of videotaped procedures using an Ovako Working Posture Analysing System method. Analysis of the typical laser photocoagulation procedure revealed a high risk for cumulative trauma disorders. The majority of the risk factors were lowered considerably with use of the new table. Improvement was largely due to the new table allowing seated postures during surgery, relieving muscular stress on the back, shoulders and legs. This study demonstrates risk reduction through engineering design of new medical devices, and illustrates how combining different assessment approaches can help evaluate ergonomic impact of medical technologies.

  15. Rotator cuff problems

    MedlinePlus

    Miller RH III, Azar FM, Throckmorton TW. Shoulder and elbow injuries. In: Canale ST, Beaty JH, eds. ... Krishnan SG. Rotator cuff and impingement lesions. In: Miller MD, Thompson SR, eds. DeLee and Drez's Orthopaedic ...

  16. Rotator Cuff Injuries

    MedlinePlus

    ... cuff are common. They include tendinitis, bursitis, and injuries such as tears. Rotator cuff tendons can become ... cuff depends on age, health, how severe the injury is, and how long you've had the ...

  17. Rotating mobile launcher

    NASA Technical Reports Server (NTRS)

    Gregory, T. J.

    1977-01-01

    Apparatus holds remotely piloted arm that accelerates until launching speed is reached. Then vehicle and counterweight at other end of arm are released simultaneously to avoid structural damage from unbalanced rotating forces.

  18. The Rotating Mirror.

    ERIC Educational Resources Information Center

    Greenslade, Thomas B., Jr.

    1981-01-01

    Discusses theory of the rotating mirror, its use in measuring the velocity of the electrical signal in wires, and the velocity of light. Concludes with a description of the manometric flame apparatus developed for analyzing sound waves. (SK)

  19. The rotation of Uranus

    NASA Technical Reports Server (NTRS)

    Goody, R. M.

    1982-01-01

    The determination of the rotation rate of Uranus based on available observational evidence is discussed. Previous determinations of the rotation rate since the work of Lowell and Slipher (1912), which tended to converge on a period of 10.8 days until the mid 1970s, most likely due to mutual reinforcement between unreliable results, are reviewed. Recent independent determinations based on (1) the use of theoretical interior models together with observations of oblateness and the gravitational moment J2; (2) periodic brightness fluctuations; and (3) spectrographic measurements of Doppler shifts are then presented which yield a weighted mean value of 16.31 + or - 0.27 h for the rotational period of Uranus. It is noted that the detection of the motion of surface features across the disk by future high-resolution imaging and Voyager 2 observations may allow a direct determination of the rotational period of Uranus.

  20. Rotator cuff repair - slideshow

    MedlinePlus

    ... presentations/100229.htm Rotator cuff repair - series—Normal anatomy To use the sharing features on this page, ... Bethesda, MD 20894 U.S. Department of Health and Human Services National Institutes of Health Page last updated: ...