NASA Astrophysics Data System (ADS)
Qin, W.; Yin, J.; Yao, H.
2013-12-01
On May 24th 2013 a Mw 8.3 normal faulting earthquake occurred at a depth of approximately 600 km beneath the sea of Okhotsk, Russia. It is a rare mega earthquake that ever occurred at such a great depth. We use the time-domain iterative backprojection (IBP) method [1] and also the frequency-domain compressive sensing (CS) technique[2] to investigate the rupture process and energy radiation of this mega earthquake. We currently use the teleseismic P-wave data from about 350 stations of USArray. IBP is an improved method of the traditional backprojection method, which more accurately locates subevents (energy burst) during earthquake rupture and determines the rupture speeds. The total rupture duration of this earthquake is about 35 s with a nearly N-S rupture direction. We find that the rupture is bilateral in the beginning 15 seconds with slow rupture speeds: about 2.5km/s for the northward rupture and about 2 km/s for the southward rupture. After that, the northward rupture stopped while the rupture towards south continued. The average southward rupture speed between 20-35 s is approximately 5 km/s, lower than the shear wave speed (about 5.5 km/s) at the hypocenter depth. The total rupture length is about 140km, in a nearly N-S direction, with a southward rupture length about 100 km and a northward rupture length about 40 km. We also use the CS method, a sparse source inversion technique, to study the frequency-dependent seismic radiation of this mega earthquake. We observe clear along-strike frequency dependence of the spatial and temporal distribution of seismic radiation and rupture process. The results from both methods are generally similar. In the next step, we'll use data from dense arrays in southwest China and also global stations for further analysis in order to more comprehensively study the rupture process of this deep mega earthquake. Reference [1] Yao H, Shearer P M, Gerstoft P. Subevent location and rupture imaging using iterative backprojection for the 2011 Tohoku Mw 9.0 earthquake. Geophysical Journal International, 2012, 190(2): 1152-1168. [2]Yao H, Gerstoft P, Shearer P M, et al. Compressive sensing of the Tohoku-Oki Mw 9.0 earthquake: Frequency-dependent rupture modes. Geophysical Research Letters, 2011, 38(20).
Demonstration of improved seismic source inversion method of tele-seismic body wave
NASA Astrophysics Data System (ADS)
Yagi, Y.; Okuwaki, R.
2017-12-01
Seismic rupture inversion of tele-seismic body wave has been widely applied to studies of large earthquakes. In general, tele-seismic body wave contains information of overall rupture process of large earthquake, while the tele-seismic body wave is inappropriate for analyzing a detailed rupture process of M6 7 class earthquake. Recently, the quality and quantity of tele-seismic data and the inversion method has been greatly improved. Improved data and method enable us to study a detailed rupture process of M6 7 class earthquake even if we use only tele-seismic body wave. In this study, we demonstrate the ability of the improved data and method through analyses of the 2016 Rieti, Italy earthquake (Mw 6.2) and the 2016 Kumamoto, Japan earthquake (Mw 7.0) that have been well investigated by using the InSAR data set and the field observations. We assumed the rupture occurring on a single fault plane model inferred from the moment tensor solutions and the aftershock distribution. We constructed spatiotemporal discretized slip-rate functions with patches arranged as closely as possible. We performed inversions using several fault models and found that the spatiotemporal location of large slip-rate area was robust. In the 2016 Kumamoto, Japan earthquake, the slip-rate distribution shows that the rupture propagated to southwest during the first 5 s. At 5 s after the origin time, the main rupture started to propagate toward northeast. First episode and second episode correspond to rupture propagation along the Hinagu fault and the Futagawa fault, respectively. In the 2016 Rieti, Italy earthquake, the slip-rate distribution shows that the rupture propagated to up-dip direction during the first 2 s, and then rupture propagated toward northwest. From both analyses, we propose that the spatiotemporal slip-rate distribution estimated by improved inversion method of tele-seismic body wave has enough information to study a detailed rupture process of M6 7 class earthquake.
Wierzba, Waldemar; Sliwczynski, Andrzej; Pinkas, Jaroslaw; Jawien, Arkadiusz; Karnafel, Waldemar
2018-01-01
This publication is a commentary on the Letter to the Editor by Juliette Raffort and Fabien Lareyre. This article clarifies a number of concerns about the method of calculating the index of prevalence of ruptured abdominal aortic aneurysms (AAA). The method of qualifying patients for the study and the method of calculating the index of prevalence of ruptured AAA in cohorts of diabetic and non-diabetic patients was presented. Most researchers calculate the Index of Prevalence per 100,000 of the general population. This gives the misleading result that diabetes reduces the risk of AAA rupture.We used a method which calculated prevalence per 100,000 with diabetes mellitus and per 100,000 without diabetes mellitus. This method confirms that diabetes mellitus increases the risk of ruptured AAA.
Blood flow characteristics in a terminal basilar tip aneurysm prior to its fatal rupture
Sforza, D.M.; Putman, C.M.; Scrivano, E.; Lylyk, P.; Cebral, J.R.
2010-01-01
Background and Purpose The development and validation of methods to stratify the risk of rupture of cerebral aneurysms is highly desired since current treatment risks can exceed the natural risk of rupture. Because unruptured aneurysms are typically treated before they rupture, it is very difficult to connect the proposed risk indices to the rupture of an individual aneurysm. The purpose of this case study was to analyze the hemodynamic environment of a saccular aneurysm of the terminal morphology sub-type that was imaged just prior to its rupture and to test whether the hemodynamic characteristics would designate this particular aneurysm as at high risk. Methods A patient-specific computational fluid dynamics model was constructed from 3D rotational angiography images acquired just hours before the aneurysm ruptured. A pulsatile flow calculation was performed and hemodynamic characteristics previously connected to rupture were analyzed. Results It was found that the aneurysm had a concentrated inflow stream, small impingement region, complex intra-aneurysmal flow structure, asymmetric flow split from the parent vessel to the aneurysm and daughter branches, and high levels of aneurysmal wall shear stress near the impaction zone. Conclusions The hemodynamics characteristics observed in this aneurysm right before its rupture are consistent with previous studies correlating aneurysm rupture and hemodynamic patterns in saccular and terminal aneurysms. This study supports the notion that hemodynamic information may be used to help stratify the rupture risk of cerebral aneurysms. PMID:20150312
Three-dimensional curved grid finite-difference modelling for non-planar rupture dynamics
NASA Astrophysics Data System (ADS)
Zhang, Zhenguo; Zhang, Wei; Chen, Xiaofei
2014-11-01
In this study, we present a new method for simulating the 3-D dynamic rupture process occurring on a non-planar fault. The method is based on the curved-grid finite-difference method (CG-FDM) proposed by Zhang & Chen and Zhang et al. to simulate the propagation of seismic waves in media with arbitrary irregular surface topography. While keeping the advantages of conventional FDM, that is computational efficiency and easy implementation, the CG-FDM also is flexible in modelling the complex fault model by using general curvilinear grids, and thus is able to model the rupture dynamics of a fault with complex geometry, such as oblique dipping fault, non-planar fault, fault with step-over, fault branching, even if irregular topography exists. The accuracy and robustness of this new method have been validated by comparing with the previous results of Day et al., and benchmarks for rupture dynamics simulations. Finally, two simulations of rupture dynamics with complex fault geometry, that is a non-planar fault and a fault rupturing a free surface with topography, are presented. A very interesting phenomenon was observed that topography can weaken the tendency for supershear transition to occur when rupture breaks out at a free surface. Undoubtedly, this new method provides an effective, at least an alternative, tool to simulate the rupture dynamics of a complex non-planar fault, and can be applied to model the rupture dynamics of a real earthquake with complex geometry.
Comparison of Frequency-Domain Array Methods for Studying Earthquake Rupture Process
NASA Astrophysics Data System (ADS)
Sheng, Y.; Yin, J.; Yao, H.
2014-12-01
Seismic array methods, in both time- and frequency- domains, have been widely used to study the rupture process and energy radiation of earthquakes. With better spatial resolution, the high-resolution frequency-domain methods, such as Multiple Signal Classification (MUSIC) (Schimdt, 1986; Meng et al., 2011) and the recently developed Compressive Sensing (CS) technique (Yao et al., 2011, 2013), are revealing new features of earthquake rupture processes. We have performed various tests on the methods of MUSIC, CS, minimum-variance distortionless response (MVDR) Beamforming and conventional Beamforming in order to better understand the advantages and features of these methods for studying earthquake rupture processes. We use the ricker wavelet to synthesize seismograms and use these frequency-domain techniques to relocate the synthetic sources we set, for instance, two sources separated in space but, their waveforms completely overlapping in the time domain. We also test the effects of the sliding window scheme on the recovery of a series of input sources, in particular, some artifacts that are caused by the sliding window scheme. Based on our tests, we find that CS, which is developed from the theory of sparsity inversion, has relatively high spatial resolution than the other frequency-domain methods and has better performance at lower frequencies. In high-frequency bands, MUSIC, as well as MVDR Beamforming, is more stable, especially in the multi-source situation. Meanwhile, CS tends to produce more artifacts when data have poor signal-to-noise ratio. Although these techniques can distinctly improve the spatial resolution, they still produce some artifacts along with the sliding of the time window. Furthermore, we propose a new method, which combines both the time-domain and frequency-domain techniques, to suppress these artifacts and obtain more reliable earthquake rupture images. Finally, we apply this new technique to study the 2013 Okhotsk deep mega earthquake in order to better capture the rupture characteristics (e.g., rupture area and velocity) of this earthquake.
A comparison of pre-dropout and temporary rupture sessions in psychotherapy.
Gülüm, I Volkan; Soygüt, Gonca; Safran, Jeremy D
2016-11-15
Although numerous studies have investigated the relationship between the therapeutic alliance and dropout, most have focused on the relationship between alliance quality and psychotherapy outcomes. To compare sessions with therapeutic alliance ruptures and two sessions prior to treatment dropout (pre-dropout) in terms of rupture subtypes, psychotherapists' behavior, attitudes, and session content. We implemented quantitative methods to select the sessions and qualitative methods to analyze them. We analyzed 16 temporary rupture sessions from 12 therapist-patient dyads and 16 pre-dropout sessions from 8 different therapist-patient dyads. The sessions originate from clinical psychology Master's or Doctoral students under supervision in either cognitive behavioral or schema therapy. Pre-dropout sessions were considered unrepaired rupture sessions while rupture sessions were subsequently repaired. Results revealed apparent differences and similarities between the session types in positive and negative psychotherapist behaviors, content intensity, and the type and frequency of ruptures. We explored three new rupture subtypes: attributing positive developments to other sources, indirect speech, and sarcastic hostility. A striking implication is that the frequency of positive and negative psychotherapist behaviors, ruptures, and session content is more likely to decrease in the pre-dropout sessions than in the temporary rupture sessions.
Significance of ultrasound in the diagnosis and treatment of achilles tendon rupture.
Poposka, A; Georgieva, D; Dzoleva-Tolevska, R
2012-01-01
The aim of this study is to show the importance of ultrasound method in the diagnosis of Achilles tendon rupture, the choice of method of treatment and monitoring of treatment using the same method. Between 1999 and 2009, 134 patients with Achilles tendon rupture were referred to our Clinic. 66 patients (with a mean age of 38 years) were treated with surgical suture followed by plaster immobilization for a period of 8 weeks. 68 patients (with a mean age of 42 years) were treated conservatively with plaster immobilization for a period of 8 weeks. The follow-up in both groups of patients was 2 years. During the clinical and ultrasound monitoring of the patients it was proved that repeated rupture of the same tendon occurs on average within 12 months. Return to sports activities showed in 57% of the conservatively treated patients and in 55% of surgically treated patients. The patients with Achilles tendon rupture were treated at our Clinic with previously standardized protocol which, besides the clinical examination, used the ultrasound method. Ultrasound examination is a very important method in the diagnosis and the choice of the method of treatment, as well as in the evaluation of results in patients with Achilles tendon rupture, either in operative or conservative treatment.
Stochastic Earthquake Rupture Modeling Using Nonparametric Co-Regionalization
NASA Astrophysics Data System (ADS)
Lee, Kyungbook; Song, Seok Goo
2017-09-01
Accurate predictions of the intensity and variability of ground motions are essential in simulation-based seismic hazard assessment. Advanced simulation-based ground motion prediction methods have been proposed to complement the empirical approach, which suffers from the lack of observed ground motion data, especially in the near-source region for large events. It is important to quantify the variability of the earthquake rupture process for future events and to produce a number of rupture scenario models to capture the variability in simulation-based ground motion predictions. In this study, we improved the previously developed stochastic earthquake rupture modeling method by applying the nonparametric co-regionalization, which was proposed in geostatistics, to the correlation models estimated from dynamically derived earthquake rupture models. The nonparametric approach adopted in this study is computationally efficient and, therefore, enables us to simulate numerous rupture scenarios, including large events ( M > 7.0). It also gives us an opportunity to check the shape of true input correlation models in stochastic modeling after being deformed for permissibility. We expect that this type of modeling will improve our ability to simulate a wide range of rupture scenario models and thereby predict ground motions and perform seismic hazard assessment more accurately.
A retrospective study of eyeball rupture in patients with or without orbital fracture
Chen, Xiang; Yao, Yi; Wang, Fengxiang; Liu, Tiecheng; Zhao, Xiao
2017-01-01
Abstract To summarize the clinical features of eyeball rupture with or without orbital fracture and explore the differences between them. In all, 197 patients were observed, and the following data were recorded: sex, age, time of injury, place of injury, cause of trauma, zone of eye injury, intraocular content prolapse, surgical methods and the therapeutic process, visual acuity after injury, and the final best corrected visual acuity. The results were analyzed for statistically significant differences. There was no significant difference (P > .05) in the age, sex, or cause of injury. Patients with eyeball rupture with fracture had poorer vision than did those in the simple eyeball rupture group; eyeball rupture with fracture also had a higher probability of enucleation. In this study, the clinical results show that prognosis of eyeball rupture with orbital fracture is worse than that of eyeball rupture without orbital fracture. PMID:28614230
A retrospective study of eyeball rupture in patients with or without orbital fracture.
Chen, Xiang; Yao, Yi; Wang, Fengxiang; Liu, Tiecheng; Zhao, Xiao
2017-06-01
To summarize the clinical features of eyeball rupture with or without orbital fracture and explore the differences between them.In all, 197 patients were observed, and the following data were recorded: sex, age, time of injury, place of injury, cause of trauma, zone of eye injury, intraocular content prolapse, surgical methods and the therapeutic process, visual acuity after injury, and the final best corrected visual acuity. The results were analyzed for statistically significant differences.There was no significant difference (P > .05) in the age, sex, or cause of injury. Patients with eyeball rupture with fracture had poorer vision than did those in the simple eyeball rupture group; eyeball rupture with fracture also had a higher probability of enucleation.In this study, the clinical results show that prognosis of eyeball rupture with orbital fracture is worse than that of eyeball rupture without orbital fracture.
NASA Astrophysics Data System (ADS)
Gabriel, Alice; Pelties, Christian
2014-05-01
In this presentation we will demonstrate the benefits of using modern numerical methods to support physic-based ground motion modeling and research. For this purpose, we utilize SeisSol an arbitrary high-order derivative Discontinuous Galerkin (ADER-DG) scheme to solve the spontaneous rupture problem with high-order accuracy in space and time using three-dimensional unstructured tetrahedral meshes. We recently verified the method in various advanced test cases of the 'SCEC/USGS Dynamic Earthquake Rupture Code Verification Exercise' benchmark suite, including branching and dipping fault systems, heterogeneous background stresses, bi-material faults and rate-and-state friction constitutive formulations. Now, we study the dynamic rupture process using 3D meshes of fault systems constructed from geological and geophysical constraints, such as high-resolution topography, 3D velocity models and fault geometries. Our starting point is a large scale earthquake dynamic rupture scenario based on the 1994 Northridge blind thrust event in Southern California. Starting from this well documented and extensively studied event, we intend to understand the ground-motion, including the relevant high frequency content, generated from complex fault systems and its variation arising from various physical constraints. For example, our results imply that the Northridge fault geometry favors a pulse-like rupture behavior.
The Modulus of Rupture from a Mathematical Point of View
NASA Astrophysics Data System (ADS)
Quintela, P.; Sánchez, M. T.
2007-04-01
The goal of this work is to present a complete mathematical study about the three-point bending experiments and the modulus of rupture of brittle materials. We will present the mathematical model associated to three-point bending experiments and we will use the asymptotic expansion method to obtain a new formula to calculate the modulus of rupture. We will compare the modulus of rupture of porcelain obtained with the previous formula with that obtained by using the classic theoretical formula. Finally, we will also present one and three-dimensional numerical simulations to compute the modulus of rupture.
NASA Astrophysics Data System (ADS)
Kubo, H.; Asano, K.; Iwata, T.; Aoi, S.
2014-12-01
Previous studies for the period-dependent source characteristics of the 2011 Tohoku earthquake (e.g., Koper et al., 2011; Lay et al., 2012) were based on the short and long period source models using different method. Kubo et al. (2013) obtained source models of the 2011 Tohoku earthquake using multi period-bands waveform data by a common inversion method and discussed its period-dependent source characteristics. In this study, to achieve more in detail spatiotemporal source rupture behavior of this event, we introduce a new fault surface model having finer sub-fault size and estimate the source models in multi period-bands using a Bayesian inversion method combined with a multi-time-window method. Three components of velocity waveforms at 25 stations of K-NET, KiK-net, and F-net of NIED are used in this analysis. The target period band is 10-100 s. We divide this period band into three period bands (10-25 s, 25-50 s, and 50-100 s) and estimate a kinematic source model in each period band using a Bayesian inversion method with MCMC sampling (e.g., Fukuda & Johnson, 2008; Minson et al., 2013, 2014). The parameterization of spatiotemporal slip distribution follows the multi-time-window method (Hartzell & Heaton, 1983). The Green's functions are calculated by the 3D FDM (GMS; Aoi & Fujiwara, 1999) using a 3D velocity structure model (JIVSM; Koketsu et al., 2012). The assumed fault surface model is based on the Pacific plate boundary of JIVSM and is divided into 384 subfaults of about 16 * 16 km^2. The estimated source models in multi period-bands show the following source image: (1) First deep rupture off Miyagi at 0-60 s toward down-dip mostly radiating relatively short period (10-25 s) seismic waves. (2) Shallow rupture off Miyagi at 45-90 s toward up-dip with long duration radiating long period (50-100 s) seismic wave. (3) Second deep rupture off Miyagi at 60-105 s toward down-dip radiating longer period seismic waves then that of the first deep rupture. (4) Deep rupture off Fukushima at 90-135 s. The dominant-period difference of the seismic-wave radiation between two deep ruptures off Miyagi may result from the mechanism that small-scale heterogeneities on the fault are removed by the first rupture. This difference can be also interpreted by the concept of multi-scale dynamic rupture (Ide & Aochi, 2005).
Creep rupture testing of carbon fiber-reinforced epoxy composites
NASA Astrophysics Data System (ADS)
Burton, Kathryn Anne
Carbon fiber is becoming more prevalent in everyday life. As such, it is necessary to have a thorough understanding of, not solely general mechanical properties, but of long-term material behavior. Creep rupture testing of carbon fiber is very difficult due to high strength and low strain to rupture properties. Past efforts have included testing upon strands, single tows and overwrapped pressure vessels. In this study, 1 inch wide, [0°/90°]s laminated composite specimens were constructed from fabric supplied by T.D. Williamson Inc. Specimen fabrication methods and gripping techniques were investigated and a method was developed to collect long term creep rupture behavior data. An Instron 1321 servo-hydraulic material testing machine was used to execute static strength and short term creep rupture tests. A hanging dead-weight apparatus was designed to perform long-term creep rupture testing. The testing apparatus, specimens, and specimen grips functioned well. Collected data exhibited a power law distribution and therefore, a linear trend upon a log strength-log time plot. Statistical analysis indicated the material exhibited slow degradation behavior, similar to previous studies, and could maintain a 50 year carrying capacity at 62% of static strength, approximately 45.7 ksi.
Dynamic rupture modeling of thrust faults with parallel surface traces.
NASA Astrophysics Data System (ADS)
Peshette, P.; Lozos, J.; Yule, D.
2017-12-01
Fold and thrust belts (such as those found in the Himalaya or California Transverse Ranges) consist of many neighboring thrust faults in a variety of geometries. Active thrusts within these belts individually contribute to regional seismic hazard, but further investigation is needed regarding the possibility of multi-fault rupture in a single event. Past analyses of historic thrust surface traces suggest that rupture within a single event can jump up to 12 km. There is also observational precedent for long distance triggering between subparallel thrusts (e.g. the 1997 Harnai, Pakistan events, separated by 50 km). However, previous modeling studies find a maximum jumping rupture distance between thrust faults of merely 200 m. Here, we present a new dynamic rupture modeling parameter study that attempts to reconcile these differences and determine which geometrical and stress conditions promote jumping rupture. We use a community verified 3D finite element method to model rupture on pairs of thrust faults with parallel surface traces. We vary stress drop and fault strength to determine which conditions produce jumping rupture at different dip angles and different separations between surface traces. This parameter study may help to understand the likelihood of jumping rupture in real-world thrust systems, and may thereby improve earthquake hazard assessment.
Ruptured thought: rupture as a critical attitude to nursing research.
Beedholm, Kirsten; Lomborg, Kirsten; Frederiksen, Kirsten
2014-04-01
In this paper, we introduce the notion of ‘rupture’ from the French philosopher Michel Foucault, whose studies of discourse and governmentality have become prominent within nursing research during the last 25 years. We argue that a rupture perspective can be helpful for identifying and maintaining a critical potential within nursing research. The paper begins by introducing rupture as an inheritance from the French epistemological tradition. It then describes how rupture appears in Foucault's works, as both an overall philosophical approach and as an analytic tool in his historical studies. Two examples of analytical applications of rupture are elaborated. In the first example, rupture has inspired us to make an effort to seek alternatives to mainstream conceptions of the phenomenon under study. In the second example, inspired by Foucault's work on discontinuity, we construct a framework for historical epochs in nursing history. The paper concludes by discussing the potential of the notion of rupture as a response to the methodological concerns regarding the use of Foucault-inspired discourse analysis within nursing research. We agree with the critique of Cheek that the critical potential of discourse analysis is at risk of being undermined by research that tends to convert the approach into a fixed method.
Characterize kinematic rupture history of large earthquakes with Multiple Haskell sources
NASA Astrophysics Data System (ADS)
Jia, Z.; Zhan, Z.
2017-12-01
Earthquakes are often regarded as continuous rupture along a single fault, but the occurrence of complex large events involving multiple faults and dynamic triggering challenges this view. Such rupture complexities cause difficulties in existing finite fault inversion algorithms, because they rely on specific parameterizations and regularizations to obtain physically meaningful solutions. Furthermore, it is difficult to assess reliability and uncertainty of obtained rupture models. Here we develop a Multi-Haskell Source (MHS) method to estimate rupture process of large earthquakes as a series of sub-events of varying location, timing and directivity. Each sub-event is characterized by a Haskell rupture model with uniform dislocation and constant unilateral rupture velocity. This flexible yet simple source parameterization allows us to constrain first-order rupture complexity of large earthquakes robustly. Additionally, relatively few parameters in the inverse problem yields improved uncertainty analysis based on Markov chain Monte Carlo sampling in a Bayesian framework. Synthetic tests and application of MHS method on real earthquakes show that our method can capture major features of large earthquake rupture process, and provide information for more detailed rupture history analysis.
Pectoralis major ruptures in professional American football players.
Tarity, T David; Garrigues, Grant E; Ciccotti, Michael G; Zooker, Chad C; Cohen, Steven B; Frederick, Robert W; Williams, Gerald R; DeLuca, Peter F; Dodson, Christopher C
2014-09-01
Pectoralis major injuries are an infrequent shoulder injury that can result in pain, weakness, and deformity. These injuries may occur during the course of an athletic competition, including football. The purpose of this study was to determine the incidence of pectoralis major ruptures in professional football players and time lost from the sport following injury. We hypothesized that ruptures most frequently occur during bench-press strength training. The National Football League Injury Surveillance System was reviewed for all pectoralis major injuries in all players from 2000 to 2010. Details regarding injury setting, player demographics, method of treatment, and time lost were recorded. A total of 10 injuries-complete ruptures-were identified during this period. Five of the 10 were sustained in defensive players, generally while tackling. Nine occurred during game situations, and 1 occurred during practice. Specific data pertinent to the practice injury was not available. No rupture occurred during weight lifting. Eight ruptures were treated operatively, and 2 cases did not report the method of definitive treatment. The average days lost was 111 days (range, 42-189). The incidence was 0.004 pectoralis major ruptures during the 11-year study period. Pectoralis major injuries are uncommon while playing football. In the National Football League, these injuries primarily occur not during practice or while bench pressing but rather during games. When pectoralis major ruptures do occur, they are successfully treated operatively. Surgery may allow for return to full sports participation. IV, case series.
Secular pattern of aneurismal rupture with the lunar cycle and season.
Banfield, Jillian C; Abdolell, Mohamed; Shankar, Jai S
2017-02-01
Background The lunar cycle and seasons may be associated with rates of rupture of intracranial aneurysms, but the literature is mixed. Studies of the association between the lunar cycle and rates of aneurysm rupture used the eight qualitative moon phases. The purpose of this study was to assess any association of aneurysm rupture with the lunar cycle and with the season. Materials and methods We retrospectively reviewed all cases of subarachnoid haemorrhage secondary to ruptured intracranial aneurysm treated with endovascular coiling in our institution over a 10-year period. We included only cases with a known rupture date. We used the degree of illumination of the moon to quantitatively code the lunar cycle. Results A total of 212 cases were included in our analyses. The odds of aneurysm rupture were significantly greater ( p < 0.001) when the moon was least (new moon) and most (full moon) illuminated, as compared to the middle of the lunar cycle. The odds of rupture tended to be higher ( p = 0.059) in the summer, compared to autumn. Conclusions The odds of aneurysm rupture were greater when the moon was least illuminated (new moon) and most illuminated (full moon), compared to the middle of the lunar cycle.
NASA Astrophysics Data System (ADS)
Zhu, D.; Zhu, H.; Luo, Y.; Chen, X.
2008-12-01
We use a new finite difference method (FDM) and the slip-weakening law to model the rupture dynamics of a non-planar fault embedded in a 3-D elastic media with free surface. The new FDM, based on boundary- conforming grid, sets up the mapping equations between the curvilinear coordinate and the Cartesian coordinate and transforms irregular physical space to regular computational space; it also employs a higher- order non-staggered DRP/opt MacCormack scheme which is of low dispersion and low dissipation so that the high accuracy and stability of our rupture modeling are guaranteed. Compared with the previous methods, not only we can compute the spontaneous rupture of an arbitrarily shaped fault, but also can model the influence of the surface topography on the rupture process of earthquake. In order to verify the feasibility of this method, we compared our results and other previous results, and found out they matched perfectly. Thanks to the boundary-conforming FDM, problems such as dynamic rupture with arbitrary dip, strike and rake over an arbitrary curved plane can be handled; and supershear or subshear rupture can be simulated with different parameters such as the initial stresses and the critical slip displacement Dc. Besides, our rupture modeling is economical to be implemented owing to its high efficiency and does not suffer from displacement leakage. With the help of inversion data of rupture by field observations, this method is convenient to model rupture processes and seismograms of natural earthquakes.
Solving the dynamic rupture problem with different numerical approaches and constitutive laws
Bizzarri, A.; Cocco, M.; Andrews, D.J.; Boschi, Enzo
2001-01-01
We study the dynamic initiation, propagation and arrest of a 2-D in-plane shear rupture by solving the elastodynamic equation by using both a boundary integral equation method and a finite difference approach. For both methods we adopt different constitutive laws: a slip-weakening (SW) law, with constant weakening rate, and rate- and state-dependent friction laws (Dieterich-Ruina). Our numerical procedures allow the use of heterogeneous distributions of constitutive parameters along the fault for both formulations. We first compare the two solution methods with an SW law, emphasizing the required stability conditions to achieve a good resolution of the cohesive zone and to avoid artificial complexity in the solutions. Our modelling results show that the two methods provide very similar time histories of dynamic source parameters. We point out that, if a careful control of resolution and stability is performed, the two methods yield identical solutions. We have also compared the rupture evolution resulting from an SW and a rate- and state-dependent friction law. This comparison shows that despite the different constitutive formulations, a similar behaviour is simulated during the rupture propagation and arrest. We also observe a crack tip bifurcation and a jump in rupture velocity (approaching the P-wave speed) with the Dieterich-Ruina (DR) law. The rupture arrest at a barrier (high strength zone) and the barrier-healing mechanism are also reproduced by this law. However, this constitutive formulation allows the simulation of a more general and complex variety of rupture behaviours. By assuming different heterogeneous distributions of the initial constitutive parameters, we are able to model a barrier-healing as well as a self-healing process. This result suggests that if the heterogeneity of the constitutive parameters is taken into account, the different healing mechanisms can be simulated. We also study the nucleation phase duration Tn, defined as the time necessary for the crack to reach the half-length Ic. We compare the Tn values resulting from distinct simulations calculated using different constitutive laws and different sets of constitutive parameters. Our results confirm that the DR law provides a different description of the nucleation process than the SW law adopted in this study. We emphasize that the DR law yields a complete description of the rupture process, which includes the most prominent features of SW.
Rupture rate and patterns of shell failure with the McGhan Style 153 double-lumen breast implant.
Neaman, Keith C; Albert, Mark; Hammond, Dennis C
2011-01-01
In 2005, the McGhan Style 153 double-lumen breast implant was removed from the market secondary to a higher rupture rate when contrasted with other implants in the Core Study group. The high rupture rate was attributed to the development of a posterior tear in the shell where the inner implant is bonded to the posterior wall of the device. The purpose of this study was to report the existing rupture rate and describe the apparent mechanism of failure in the Style 153 double-lumen breast implant. Ninety-seven patients (157 implants) who received the McGhan Style 153 double-lumen breast implant by the senior author were reviewed. Intraoperative observations and photographic images of ruptured implants were reviewed and characterized based on severity and location of implant rupture. With a mean length of follow-up of greater than 6 years (82 months), the rupture rate was 19.1 percent per implant. Physical examination (60 percent) was the most common method of rupture detection. Ruptures tended to occur in the marginal aspect (63 percent) of the implant. Only three ruptures occurred secondary to a disruption of the inner bladder from the posterior portion of the implant. The rupture rate of the Style 153 double-lumen breast implant is higher than previously thought, with a rate of 19.1 percent. A majority of ruptures occurred in the peripheral aspects of the implant. It is postulated that these ruptures were likely secondary to fold flaws that led to failure of the implant shell.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Pitarka, A.
In this project we developed GEN_SRF4 a computer program for generating kinematic rupture models, compatible with the SRF format, using Irikura and Miyake (2011) asperity-based earthquake rupture model (IM2011, hereafter). IM2011, also known as Irkura’s recipe, has been widely used to model and simulate ground motion from earthquakes in Japan. An essential part of the method is its kinematic rupture generation technique, which is based on a deterministic rupture asperity modeling approach. The source model simplicity and efficiency of IM2011 at reproducing ground motion from earthquakes recorded in Japan makes it attractive to developers and users of the Southern Californiamore » Earthquake Center Broadband Platform (SCEC BB platform). Besides writing the code the objective of our study was to test the transportability of IM2011 to broadband simulation methods used by the SCEC BB platform. Here we test it using the Graves and Pitarka (2010) method, implemented in the platform. We performed broadband (0.1- -10 Hz) ground motion simulations for a M6.7 scenario earthquake using rupture models produced with both GEN_SRF4 and rupture generator of Graves and Pitarka (2016), (GP2016 hereafter). In the simulations we used the same Green’s functions, and same high frequency approach for calculating the low-frequency and high-frequency parts of ground motion, respectively.« less
Multi-scale Slip Inversion Based on Simultaneous Spatial and Temporal Domain Wavelet Transform
NASA Astrophysics Data System (ADS)
Liu, W.; Yao, H.; Yang, H. Y.
2017-12-01
Finite fault inversion is a widely used method to study earthquake rupture processes. Some previous studies have proposed different methods to implement finite fault inversion, including time-domain, frequency-domain, and wavelet-domain methods. Many previous studies have found that different frequency bands show different characteristics of the seismic rupture (e.g., Wang and Mori, 2011; Yao et al., 2011, 2013; Uchide et al., 2013; Yin et al., 2017). Generally, lower frequency waveforms correspond to larger-scale rupture characteristics while higher frequency data are representative of smaller-scale ones. Therefore, multi-scale analysis can help us understand the earthquake rupture process thoroughly from larger scale to smaller scale. By the use of wavelet transform, the wavelet-domain methods can analyze both the time and frequency information of signals in different scales. Traditional wavelet-domain methods (e.g., Ji et al., 2002) implement finite fault inversion with both lower and higher frequency signals together to recover larger-scale and smaller-scale characteristics of the rupture process simultaneously. Here we propose an alternative strategy with a two-step procedure, i.e., firstly constraining the larger-scale characteristics with lower frequency signals, and then resolving the smaller-scale ones with higher frequency signals. We have designed some synthetic tests to testify our strategy and compare it with the traditional one. We also have applied our strategy to study the 2015 Gorkha Nepal earthquake using tele-seismic waveforms. Both the traditional method and our two-step strategy only analyze the data in different temporal scales (i.e., different frequency bands), while the spatial distribution of model parameters also shows multi-scale characteristics. A more sophisticated strategy is to transfer the slip model into different spatial scales, and then analyze the smooth slip distribution (larger scales) with lower frequency data firstly and more detailed slip distribution (smaller scales) with higher frequency data subsequently. We are now implementing the slip inversion using both spatial and temporal domain wavelets. This multi-scale analysis can help us better understand frequency-dependent rupture characteristics of large earthquakes.
Ruptured Tendons in Anabolic-Androgenic Steroid Users: A Cross-Sectional Cohort Study
Kanayama, Gen; DeLuca, James; Meehan, William P.; Hudson, James I.; Isaacs, Stephanie; Baggish, Aaron; Weiner, Rory; Micheli, Lyle; Pope, Harrison G.
2016-01-01
Background Accumulating case reports have described tendon rupture in men using anabolic-androgenic steroids (AAS). However no controlled study, to our knowledge, has assessed history of tendon rupture in a large cohort of AAS users and comparison nonusers. Hypothesis We hypothesized that men reporting long-term AAS abuse would report an elevated lifetime incidence of tendon rupture as compared to non-AAS-using bodybuilders. Study Design Cross-sectional cohort study. Methods We obtained medical histories from 142 experienced male bodybuilders age 35–55, recruited in the course of two studies. Of these men, 88 reported at least two years of cumulative lifetime AAS use and 54 reported no history of AAS use. In men reporting a history of tendon rupture, we recorded circumstances of the injury, prodromal symptoms, concomitant drug or alcohol use, and details of current and lifetime AAS use if applicable. We also obtained surgical records for most participants. Results Nineteen (22%) of the AAS users, but only 3 (6%) of the nonusers reported at least one lifetime tendon rupture. The hazard ratio (95% confidence interval) for a first ruptured tendon in AAS users versus nonusers was 9.0 (2.5, 32.3); P <.001. Several men reported two or more independent lifetime tendon ruptures. Interestingly, upper body tendon ruptures occurred exclusively in the AAS group (15 [17%] of the AAS users versus 0 non-users; risk difference 0.17 (0.09, 0.25); P < 0.001 [hazard ratio not estimable]), whereas we found no significant difference between users and nonusers in risk for lower body ruptures (6 [7%] AAS users, 3 [6%] nonusers; hazard ratio 3.1 (0.7, 13.8), P = 0.13). Of 31 individual tendon ruptures that we assessed, only 6 (19%) occurred while weightlifting, with the majority occurring during other sports activities. Eight (26%) ruptures followed prodromal symptoms of nonspecific pain in the region. Virtually all ruptures were treated surgically with complete or near-complete ultimate restoration of function. Conclusions AAS abusers, as compared to otherwise similar bodybuilders, showed a markedly increased risk of tendon ruptures, particularly upper body tendon rupture. Clinical relevance Tendon rupture represents a major adverse consequence of AAS abuse and a substantial public health problem. PMID:26362436
Creep-rupture of polymer-matrix composites. [graphite-epoxy laminates
NASA Technical Reports Server (NTRS)
Brinson, H. F.; Griffith, W. I.; Morris, D. H.
1980-01-01
An accelerated characterization method for resin matrix composites is reviewed. Methods for determining modulus and strength master curves are given. Creep rupture analytical models are discussed as applied to polymers and polymer matrix composites. Comparisons between creep rupture experiments and analytical models are presented. The time dependent creep rupture process in graphite epoxy laminates is examined as a function of temperature and stress level.
Experimental study of Siphon breaker about size effect in real scale reactor design
DOE Office of Scientific and Technical Information (OSTI.GOV)
Kang, S. H.; Ahn, H. S.; Kim, J. M.
2012-07-01
Rupture accident within the pipe of a nuclear reactor is one of the main causes of a loss of coolant accident (LOCA). Siphon-breaking is a passive method that can prevent a LOCA. In this study, either a line or a hole is used as a siphon-breaker, and the effect of various parameters, such as the siphon-breaker size, pipe rupture point, pipe rupture size, and the presence of an orifice, are investigated using an experimental facility similar in size to a full-scale reactor. (authors)
Deng, Yajun; Hu, Hongbing; Yu, Bo; Sun, Dongliang; Hou, Lei; Liang, Yongtu
2018-01-15
The rupture of a high-pressure natural gas pipeline can pose a serious threat to human life and environment. In this research, a method has been proposed to simulate the release of natural gas from the rupture of high-pressure pipelines in any terrain. The process of gas releases from the rupture of a high-pressure pipeline is divided into three stages, namely the discharge, jet, and dispersion stages. Firstly, a discharge model is established to calculate the release rate of the orifice. Secondly, an improved jet model is proposed to obtain the parameters of the pseudo source. Thirdly, a fast-modeling method applicable to any terrain is introduced. Finally, based upon these three steps, a dispersion model, which can take any terrain into account, is established. Then, the dispersion scenarios of released gas in four different terrains are studied. Moreover, the effects of pipeline pressure, pipeline diameter, wind speed and concentration of hydrogen sulfide on the dispersion scenario in real terrain are systematically analyzed. The results provide significant guidance for risk assessment and contingency planning of a ruptured natural gas pipeline. Copyright © 2017. Published by Elsevier B.V.
Numerical study of liquid film rupture after droplet spreading on a superhydrophilic surface
NASA Astrophysics Data System (ADS)
Guo, Yisen; Lian, Yongsheng
2017-11-01
When a droplet impacts onto a solid surface, different outcomes can be observed, such as rebound, spreading and splashing. We present numerical simulation results on liquid film rupture after spreading of a droplet impact on a smooth superhydrophilic surface. The Navier-Stokes equations are solved using the variable density pressure projection method and the moment-of-fluid method is used to track the droplet interface. A superhydrophilic or superwetting surface has strong affinity to liquid and we assume the contact angle between solid and liquid is almost zero degree. The droplet spreading and film rupture process occurs in two stages: the droplet first spreads onto the surface and flattens into a thin film as it reaches the maximum diameter, then the film rim becomes unstable and the film rupture initiates from the rim toward the center gradually until the entire film breaks up into secondary droplets. The duration of the film rupture stage is much shorter than the spreading stage. The simulation result is compared with experiment and good agreement is achieved. We investigate the film thickness evolution during spreading and the effect of surface wettability on film rupture.
Retrieving rupture history using waveform inversions in time sequence
NASA Astrophysics Data System (ADS)
Yi, L.; Xu, C.; Zhang, X.
2017-12-01
The rupture history of large earthquakes is generally regenerated using the waveform inversion through utilizing seismological waveform records. In the waveform inversion, based on the superposition principle, the rupture process is linearly parameterized. After discretizing the fault plane into sub-faults, the local source time function of each sub-fault is usually parameterized using the multi-time window method, e.g., mutual overlapped triangular functions. Then the forward waveform of each sub-fault is synthesized through convoluting the source time function with its Green function. According to the superposition principle, these forward waveforms generated from the fault plane are summarized in the recorded waveforms after aligning the arrival times. Then the slip history is retrieved using the waveform inversion method after the superposing of all forward waveforms for each correspond seismological waveform records. Apart from the isolation of these forward waveforms generated from each sub-fault, we also realize that these waveforms are gradually and sequentially superimposed in the recorded waveforms. Thus we proposed a idea that the rupture model is possibly detachable in sequent rupture times. According to the constrained waveform length method emphasized in our previous work, the length of inverted waveforms used in the waveform inversion is objectively constrained by the rupture velocity and rise time. And one essential prior condition is the predetermined fault plane that limits the duration of rupture time, which means the waveform inversion is restricted in a pre-set rupture duration time. Therefore, we proposed a strategy to inverse the rupture process sequentially using the progressively shift rupture times as the rupture front expanding in the fault plane. And we have designed a simulation inversion to test the feasibility of the method. Our test result shows the prospect of this idea that requiring furthermore investigation.
Multimodality Imaging-based Evaluation of Single-Lumen Silicone Breast Implants for Rupture.
Seiler, Stephen J; Sharma, Pooja B; Hayes, Jody C; Ganti, Ramapriya; Mootz, Ann R; Eads, Emily D; Teotia, Sumeet S; Evans, W Phil
2017-01-01
Breast implants are frequently encountered on breast imaging studies, and it is essential for any radiologist interpreting these studies to be able to correctly assess implant integrity. Ruptures of silicone gel-filled implants often occur without becoming clinically obvious and are incidentally detected at imaging. Early diagnosis of implant rupture is important because surgical removal of extracapsular silicone in the breast parenchyma and lymphatics is difficult. Conversely, misdiagnosis of rupture may prompt a patient to undergo unnecessary additional surgery to remove the implant. Mammography is the most common breast imaging examination performed and can readily depict extracapsular free silicone, although it is insensitive for detection of intracapsular implant rupture. Ultrasonography (US) can be used to assess the internal structure of the implant and may provide an economical method for initial implant assessment. Common US signs of intracapsular rupture include the "keyhole" or "noose" sign, subcapsular line sign, and "stepladder" sign; extracapsular silicone has a distinctive "snowstorm" or echogenic noise appearance. Magnetic resonance (MR) imaging is the most accurate and reliable means for assessment of implant rupture and is highly sensitive for detection of both intracapsular and extracapsular rupture. MR imaging findings of intracapsular rupture include the keyhole or noose sign, subcapsular line sign, and "linguine" sign, and silicone-selective MR imaging sequences are highly sensitive to small amounts of extracapsular silicone. © RSNA, 2017.
A support-operator method for 3-D rupture dynamics
NASA Astrophysics Data System (ADS)
Ely, Geoffrey P.; Day, Steven M.; Minster, Jean-Bernard
2009-06-01
We present a numerical method to simulate spontaneous shear crack propagation within a heterogeneous, 3-D, viscoelastic medium. Wave motions are computed on a logically rectangular hexahedral mesh, using the generalized finite-difference method of Support Operators (SOM). This approach enables modelling of non-planar surfaces and non-planar fault ruptures. Our implementation, the Support Operator Rupture Dynamics (SORD) code, is highly scalable, enabling large-scale, multiprocessors calculations. The fault surface is modelled by coupled double nodes, where rupture occurs as dictated by the local stress conditions and a frictional failure law. The method successfully performs test problems developed for the Southern California Earthquake Center (SCEC)/U.S. Geological Survey (USGS) dynamic earthquake rupture code validation exercise, showing good agreement with semi-analytical boundary integral method results. We undertake further dynamic rupture tests to quantify numerical errors introduced by shear deformations to the hexahedral mesh. We generate a family of meshes distorted by simple shearing, in the along-strike direction, up to a maximum of 73°. For SCEC/USGS validation problem number 3, grid-induced errors increase with mesh shear angle, with the logarithm of error approximately proportional to angle over the range tested. At 73°, rms misfits are about 10 per cent for peak slip rate, and 0.5 per cent for both rupture time and total slip, indicating that the method (which, up to now, we have applied mainly to near-vertical strike-slip faulting) is also capable of handling geometries appropriate to low-angle surface-rupturing thrust earthquakes. Additionally, we demonstrate non-planar rupture effects, by modifying the test geometry to include, respectively, cylindrical curvature and sharp kinks.
Spiby, Helen; Borrelli, Sara; Hughes, Anita J
2017-12-01
To explore first-time mothers' expectations and experiences regarding rupture of membranes at term and their views on the potential use of reagent pads that detect amniotic fluid. There is little information available on women's experiences of spontaneous rupture of membranes, or interest in using methods to confirm rupture of membranes (e.g. reagent pads). Descriptive qualitative study, using focus groups and telephone interviews with women during pregnancy and after the birth of their first baby. Thematic analysis was undertaken to analyse women's responses. Ethics committee approval was obtained. Twenty-five women participated in the study of whom 13 contributed both during pregnancy and postpartum between October 2015-March 2016. Three overarching themes were identified from the data from women's expectations and experiences: uncertainty in how, when and where membranes may rupture; information which was felt to be limited and confirmation of rupture of membranes. The potential use of reagent pads met with varied responses. Women were interested in having facts and figures regarding rupture of membranes, such as characteristics of liquor; volume and probability of membranes rupturing spontaneously at term. Use of a pad as a means of confirmation was viewed as helpful, although the potential for increasing anxiety was raised. © 2017 John Wiley & Sons Ltd.
Karmonik, Christof; Fang, Yibin; Xu, Jinyu; Yu, Ying; Cao, Wei; Liu, Jianmin; Huang, Qinghai
2016-01-01
Background and Purpose The conflicting findings of previous morphological and hemodynamic studies on intracranial aneurysm rupture may be caused by the relatively small sample sizes and the variation in location of the patient-specific aneurysm models. We aimed to determine the discriminators for aneurysm rupture status by focusing on only posterior communicating artery (PCoA) aneurysms. Materials and Methods In 129 PCoA aneurysms (85 ruptured, 44 unruptured), clinical, morphological and hemodynamic characteristics were compared between the ruptured and unruptured cases. Multivariate logistic regression analysis was performed to determine the discriminators for rupture status of PCoA aneurysms. Results While univariate analyses showed that the size of aneurysm dome, aspect ratio (AR), size ratio (SR), dome-to-neck ratio (DN), inflow angle (IA), normalized wall shear stress (NWSS) and percentage of low wall shear stress area (LSA) were significantly associated with PCoA aneurysm rupture status. With multivariate analyses, significance was only retained for higher IA (OR = 1.539, p < 0.001) and LSA (OR = 1.393, p = 0.041). Conclusions Hemodynamics and morphology were related to rupture status of intracranial aneurysms. Higher IA and LSA were identified as discriminators for rupture status of PCoA aneurysms. PMID:26910518
Zhuang, Jinda; Ju, Y Sungtaek
2015-09-22
The deformation and rupture of axisymmetric liquid bridges being stretched between two fully wetted coaxial disks are studied experimentally and theoretically. We numerically solve the time-dependent Navier-Stokes equations while tracking the deformation of the liquid-air interface using the arbitrary Lagrangian-Eulerian (ALE) moving mesh method to fully account for the effects of inertia and viscous forces on bridge dynamics. The effects of the stretching velocity, liquid properties, and liquid volume on the dynamics of liquid bridges are systematically investigated to provide direct experimental validation of our numerical model for stretching velocities as high as 3 m/s. The Ohnesorge number (Oh) of liquid bridges is a primary factor governing the dynamics of liquid bridge rupture, especially the dependence of the rupture distance on the stretching velocity. The rupture distance generally increases with the stretching velocity, far in excess of the static stability limit. For bridges with low Ohnesorge numbers, however, the rupture distance stay nearly constant or decreases with the stretching velocity within certain velocity windows due to the relative rupture position switching and the thread shape change. Our work provides an experimentally validated modeling approach and experimental data to help establish foundation for systematic further studies and applications of liquid bridges.
Earthquake Source Inversion Blindtest: Initial Results and Further Developments
NASA Astrophysics Data System (ADS)
Mai, P.; Burjanek, J.; Delouis, B.; Festa, G.; Francois-Holden, C.; Monelli, D.; Uchide, T.; Zahradnik, J.
2007-12-01
Images of earthquake ruptures, obtained from modelling/inverting seismic and/or geodetic data exhibit a high degree in spatial complexity. This earthquake source heterogeneity controls seismic radiation, and is determined by the details of the dynamic rupture process. In turn, such rupture models are used for studying source dynamics and for ground-motion prediction. But how reliable and trustworthy are these earthquake source inversions? Rupture models for a given earthquake, obtained by different research teams, often display striking disparities (see http://www.seismo.ethz.ch/srcmod) However, well resolved, robust, and hence reliable source-rupture models are an integral part to better understand earthquake source physics and to improve seismic hazard assessment. Therefore it is timely to conduct a large-scale validation exercise for comparing the methods, parameterization and data-handling in earthquake source inversions.We recently started a blind test in which several research groups derive a kinematic rupture model from synthetic seismograms calculated for an input model unknown to the source modelers. The first results, for an input rupture model with heterogeneous slip but constant rise time and rupture velocity, reveal large differences between the input and inverted model in some cases, while a few studies achieve high correlation between the input and inferred model. Here we report on the statistical assessment of the set of inverted rupture models to quantitatively investigate their degree of (dis-)similarity. We briefly discuss the different inversion approaches, their possible strength and weaknesses, and the use of appropriate misfit criteria. Finally we present new blind-test models, with increasing source complexity and ambient noise on the synthetics. The goal is to attract a large group of source modelers to join this source-inversion blindtest in order to conduct a large-scale validation exercise to rigorously asses the performance and reliability of current inversion methods and to discuss future developments.
Hudnutt, K.W.; Borsa, A.; Glennie, C.; Minster, J.-B.
2002-01-01
In order to document surface rupture associated with the Hector Mine earthquake, in particular, the area of maximum slip and the deformed surface of Lavic Lake playa, we acquired high-resolution data using relatively new topographic-mapping methods. We performed a raster-laser scan of the main surface breaks along the entire rupture zone, as well as along an unruptured portion of the Bullion fault. The image of the ground surface produced by this method is highly detailed, comparable to that obtained when geologists make particularly detailed site maps for geomorphic or paleoseismic studies. In this case, however, for the first time after a surface-rupturing earthquake, the detailed mapping is along the entire fault zone rather than being confined to selected sites. These data are geodetically referenced, using the Global Positioning System, thus enabling more accurate mapping of the rupture traces. In addition, digital photographs taken along the same flight lines can be overlaid onto the precise topographic data, improving terrain visualization. We demonstrate the potential of these techniques for measuring fault-slip vectors.
NASA Astrophysics Data System (ADS)
Buforn, E.; Pro, C.; del Fresno, C.; Cantavella, J.; Sanz de Galdeano, C.; Udias, A.
2016-12-01
We have studied the rupture process of the 25 January 2016 earthquake (Mw =6.4) occurred in South Spain in the Alboran Sea. Main shock, foreshock and largest aftershocks (Mw =4.5) have been relocated using the NonLinLoc algorithm. Results obtained show a NE-SW distribution of foci at shallow depth (less than 15 km). For main shock, focal mechanism has been obtained from slip inversion over the rupture plane of teleseismic data, corresponding to left-lateral strike-slip motion. The rupture starts at 7 km depth and it propagates upward with a complex source time function. In order to obtain a more detailed source time function and to validate the results obtained from teleseismic data, we have used the Empirical Green Functions method (EGF) at regional distances. Finally, results of the directivity effect from teleseismic Rayleigh waves and the EGF method, are consistent with a rupture propagation to the NE. These results are interpreted in terms of the main geological features in the region.
Eubanks-Carter, Catherine; Gorman, Bernard S; Muran, J Christopher
2012-01-01
Analysis of change points in psychotherapy process could increase our understanding of mechanisms of change. In particular, naturalistic change point detection methods that identify turning points or breakpoints in time series data could enhance our ability to identify and study alliance ruptures and resolutions. This paper presents four categories of statistical methods for detecting change points in psychotherapy process: criterion-based methods, control chart methods, partitioning methods, and regression methods. Each method's utility for identifying shifts in the alliance is illustrated using a case example from the Beth Israel Psychotherapy Research program. Advantages and disadvantages of the various methods are discussed.
Meta-analysis of peak wall stress in ruptured, symptomatic and intact abdominal aortic aneurysms.
Khosla, S; Morris, D R; Moxon, J V; Walker, P J; Gasser, T C; Golledge, J
2014-10-01
Abdominal aortic aneurysm (AAA) is an important cause of sudden death; however, there are currently incomplete means to predict the risk of AAA rupture. AAA peak wall stress (PWS) can be estimated using finite element analysis (FEA) methods from computed tomography (CT) scans. The question is whether AAA PWS can predict AAA rupture. The aim of this systematic review was to compare PWS in patients with ruptured and intact AAA. The MEDLINE database was searched on 25 May 2013. Case-control studies assessing PWS in asymptomatic intact, and acutely symptomatic or ruptured AAA from CT scans using FEA were included. Data were extracted independently. A random-effects model was used to calculate standard mean differences (SMDs) for PWS measurements. Nine studies assessing 348 individuals were identified and used in the meta-analysis. Results from 204 asymptomatic intact and 144 symptomatic or ruptured AAAs showed that PWS was significantly greater in the symptomatic/ ruptured AAAs compared with the asymptomatic intact AAAs (SMD 0·95, 95 per cent confidence interval 0·71 to 1·18; P < 0·001). The findings remained significant after adjustment for mean systolic blood pressure, standardized at 120 mmHg (SMD 0·68, 0·39 to 0·96; P < 0·001). Minimal heterogeneity between studies was noted (I(2) = 0 per cent). This study suggests that PWS is greater in symptomatic or ruptured AAA than in asymptomatic intact AAA. © 2014 BJS Society Ltd. Published by John Wiley & Sons Ltd.
Risk Factors for the Rupture of Intracranial Aneurysms Using Computed Tomography Angiography.
Wang, Guang-Xian; Wen, Li; Yang, Liu; Zhang, Qi-Chuang; Yin, Jin-Bo; Duan, Chun-Mei; Zhang, Dong
2018-02-01
To study the clinical and morphologic characteristics associated with risk factors for the rupture of intracranial aneurysms (IAs). A total of 1115 consecutive patients with 1282 IAs were reviewed from August 2011 to February 2016. The patients and IAs were divided into ruptured and unruptured groups. Based on the clinical and morphologic findings, the risk factors for IA rupture were assessed using statistical methods. Age, hypertension, diabetes mellitus, and cerebral atherosclerosis were associated with ruptured IAs. IAs located in the anterior cerebral artery, the anterior communicating artery, the posterior communicating artery, and the internal carotid artery were associated with ruptured IAs. Ruptures were also associated with arterial bifurcations, irregular aneurysm shapes, and all continuous data, except neck width. Binary logistic regression showed that IAs located at bifurcations (odds ratio [OR], 1.804), with irregular shapes (OR, 4.677), with high aspect ratios (ARs) (OR, 5.037) or with small mean diameters (MDs) (OR, 0.495) are more prone to rupture. Receiver operating characteristic analysis showed that the threshold values of the AR and MD were 1 and 3.70 mm, respectively. Morphologic characteristics, such as being located at bifurcations, being irregularly shaped, having a high AR (>1), and having a small MD (<3.70 mm), were better predictors of rupture. Copyright © 2017 Elsevier Inc. All rights reserved.
Tang, Kang-lai; Thermann, Hajo; Dai, Gang; Chen, Guang-xing; Guo, Lin; Yang, Liu
2007-04-01
Achilles tendon ruptures are difficult to repair, and the healing rate is low due to this structure's anatomic and physiological characteristics. It is essential to develop new techniques to increase the healing rate and decrease the rate of complications. To propose and evaluate a new percutaneous method of repairing fresh closed Achilles tendon ruptures by Kessler's suture under arthroscopy. Case series; Level of evidence, 4. Twenty patients were followed at least 12 months in this study. First, the torn ends of the Achilles tendon were debrided during arthroscopy. Then percutaneous repair of the Achilles tendon was performed using Kessler's suture by an inside-out technique. All cases were followed up for an average range of 21 months (range, 12-36 months). All patients were evaluated by clinical examination, magnetic resonance imaging, and the Lindholm scale. The torn ends were well aligned and sutured after the debridement under arthroscopy. According to the Lindholm scale, excellent results were seen in 15 cases and good in 5 cases. No patients had complications such as nerve injury, infection, or re-rupture at follow-up. Magnetic resonance imaging results showed that the ruptured Achilles tendons were repaired and remodeled very well in all patients. The present method is an effective surgical technique for repair of a closed rupture of the Achilles tendon. The short-term follow-up results were good, and recovery time was short. Few complications were found in our study cases.
A Three Year Clinicopathological Study of Cases of Rupture Uterus
Rathod, Setu; Swain, Sujata
2015-01-01
Introduction Rupture uterus is a life threatening obstetric complication with serious maternal and fetal side-effects. We report a 3 year (2010-2013) retrospective clinical study of pregnancy with rupture uterus cases attending a tertiary care hospital. Aim The aim of the study was to evaluate the incidence of rupture uterus, incidence as per age, parity, clinical presentations, risk factors, complications and management. Materials and Methods Retrospective data of 74 cases of rupture uterus in SCB Medical college, Cuttack was collected from case records of 26,547 deliveries during a 3 year span (2010-2013). Parameters like cause of rupture, type, site of rupture and outcome were recorded. The collected data was analysed by SPSS software v19. Results Out of 26,547 deliveries during the three year period, there were 74 cases of rupture uterus with an incidence of rupture 1 in 359 (0.28%). The mean age of rupture uterus was 27.4 years. 95.8% were multigravida and majority were referred cases from low socioeconomic status. Only 40.5% had the required minimum of four antenatal visits as recommended by WHO (World Health Organisation). A total of 48.6% of cases with rupture uterus had history of previous Caesarean section. Prolonged labour was present in 75.6% of the cases. Only 12.2% of the cases had history of oxytocin use whereas 9.5% had undergone an operative vaginal delivery. Obstructed labour was the cause in 24.3% of cases, 85.1% had complete rupture. Majority had a rupture in the anterior wall (69%) and 81.1% had rupture in lower segment of uterus. Only 17.6% had broad ligament haematoma, 10.8% colporrhexis and 6.8% had associated bladder injury. Repair was possible in only 39.2% of cases, whereas majority landed up in hysterectomy. Internal iliac ligation was done in 2.7% of cases. Perinatal mortality was 90.5% whereas maternal death was seen in 13.5% cases. One patient developed VVF (vesicovaginal fistula). Duration of hospital stay was upto 14 days in 81.1% cases. Conclusion Education and proper care especially of high risk patients like previous caesarean by competent personnal, proper use of oxytocin and early referral may help to reduce the incidence of “rupture uterus”. PMID:26673858
Muslimov, R Sh; Sharifullin, F A; Chernaia, N R; Novruzbekov, M S; Kokov, L S
2015-01-01
Acute traumatic aortic rupture is associated with extremely high mortality rates and requires emergency diagnosis and treatment. This clinical example shows the role of multislice spiral computed tomography in the emergency diagnosis of rupture of two large arterial vessels in severe concomitant injury. It presents the benefits of this rapid and noninvasive imaging technique, an algorithm of the study and the semiotics of injuries in patients with suspected traumatic aortic rupture. The paper also shows the importance of this method in defining treatment policy and then in the assessment of the results of the performed correction.
Bargellini, Paolo; Orlandi, Riccardo; Paloni, Chiara; Rubini, Giuseppe; Fonti, Paolo; Peterson, Mark E; Rishniw, Mark; Boiti, Cristiano
2016-11-01
Gall bladder necrosis and rupture are life-threatening conditions in dogs requiring surgical intervention and early diagnosis is essential. Human patients with suspected gall bladder necrosis/rupture are commonly evaluated with contrast-enhanced ultrasonography (CEUS), however this procedure has not been described in dogs with suspected gall bladder necrosis/rupture. In a prospective diagnostic cohort study, CEUS (using SonoVue contrast medium) was performed in 93 dogs with gallbladder lesions identified by abdominal conventional ultrasonography. Necrosis/rupture was identified by CEUS as a focal lack of enhancement of the gallbladder wall. Dogs with positive CEUS finding for necrosis/rupture (complete lack of regional wall enhancement) underwent immediate surgery as did dogs with other biliary disorders requiring surgery. Dogs with negative CEUS findings or those not requiring surgery were managed medically. In cases undergoing surgery, necrosis/rupture was confirmed intraoperatively (and via histopathology). Absence of necrosis/rupture was confirmed either intraoperatively (via histopathology) or was assumed to be absent by complete recovery with medical management. Forty-nine dogs underwent surgery and cholecystectomy: 24 had necrosis/rupture. CEUS was more accurate (100% sensitive and specific) in diagnosing gallbladder wall necrosis/rupture than conventional ultrasonography (75% sensitive and 81% specific) (P < 0.03). In conclusion, CEUS provides accurate characterization of gallbladder wall integrity that can impact decisions regarding clinical management, either surgical or medical. © 2016 American College of Veterinary Radiology.
Numerical simulation of the 1976 Ms7.8 Tangshan Earthquake
NASA Astrophysics Data System (ADS)
Li, Zhengbo; Chen, Xiaofei
2017-04-01
An Ms 7.8 earthquake happened in Tangshan in 1976, causing more than 240000 people death and almost destroying the whole city. Numerous studies indicated that the surface rupture zone extends 8 to 11 km in the south of Tangshan City. The fault system is composed with more than ten NE-trending right-lateral strike-slip left-stepping echelon faults, with a general strike direction of N30°E. However, recent scholars proposed that the surface ruptures appeared in a larger area. To simulate the rupture process closer to the real situation, the curvilinear grid finite difference method presented by Zhang et al. (2006, 2014) which can handle the free surface and the complex geometry were implemented to investigate the dynamic rupture and ground motion of Tangshan earthquake. With the data from field survey, seismic section, borehole and trenching results given by different studies, several fault geometry models were established. The intensity, the seismic waveform and the displacement resulted from the simulation of different models were compared with the observed data. The comparison of these models shows details of the rupture process of the Tangshan earthquake and implies super-shear may occur during the rupture, which is important for better understanding of this complicated rupture process and seismic hazard distributions of this earthquake.
Greater Rupture Risk for Familial as Compared to Sporadic Unruptured Intracranial Aneurysms
Broderick, Joseph P.; Brown, Robert D.; Sauerbeck, Laura; Hornung, Richard; Huston, John; Woo, Daniel; Anderson, Craig; Rouleau, Guy; Kleindorfer, Dawn; Flaherty, Matthew L.; Meissner, Irene; Foroud, Tatiana; Moomaw, E. Charles J.; Connolly, E. Sander
2009-01-01
Background The risk of intracranial aneurysm (IA) rupture in asymptomatic members of families who have multiple affected individuals is not known. Methods First-degree unaffected relatives of those with a familial history of IA who had a history of smoking or hypertension but no known IA were offered cerebral magnetic resonance angiography (MRA) and followed yearly as part of an NINDS-funded study of familial IA (FIA Study). Results 2874 subjects from 542 FIA families were enrolled. After study enrollment, MRAs were performed in 548 FIA family members with no known history of IA. Of these 548 subjects, 113 subjects (20.6%) had 148 IAs by MRA of whom 5 subjects had IA >= 7 mm. Two subjects with an unruptured IA by MRA/CTA (3 mm and 4mm ACOM) subsequently had rupture of their IA. This represents an annual rate of 1.2 ruptures per 100 subjects (1.2% per year, 95% CI of 0.14% to 4.3% per year). None of the 435 subjects with a negative MRA have had a ruptured IA. Survival curves between the MRA positive and negative cohorts were significantly different (p = 0.004). This rupture rate of unruptured IA in the FIA cohort of 1.2% per year is approximately 17 times higher than the rupture rate for subjects with an unruptured IA in the International Study of Unruptured Aneurysm Study with a matched distribution of IA size and location - 0.069% per year. Conclusions Small unruptured IAs in patients from FIA families may have a higher risk of rupture than sporadic unruptured IAs of similar size, which should be considered in the management of these patients. PMID:19228834
Kinematic Seismic Rupture Parameters from a Doppler Analysis
NASA Astrophysics Data System (ADS)
Caldeira, Bento; Bezzeghoud, Mourad; Borges, José F.
2010-05-01
The radiation emitted from extended seismic sources, mainly when the rupture spreads in preferred directions, presents spectral deviations as a function of the observation location. This aspect, unobserved to point sources, and named as directivity, are manifested by an increase in the frequency and amplitude of seismic waves when the rupture occurs in the direction of the seismic station and a decrease in the frequency and amplitude if it occurs in the opposite direction. The model of directivity that supports the method is a Doppler analysis based on a kinematic source model of rupture and wave propagation through a structural medium with spherical symmetry [1]. A unilateral rupture can be viewed as a sequence of shocks produced along certain paths on the fault. According this model, the seismic record at any point on the Earth's surface contains a signature of the rupture process that originated the recorded waveform. Calculating the rupture direction and velocity by a general Doppler equation, - the goal of this work - using a dataset of common time-delays read from waveforms recorded at different distances around the epicenter, requires the normalization of measures to a standard value of slowness. This normalization involves a non-linear inversion that we solve numerically using an iterative least-squares approach. The evaluation of the performance of this technique was done through a set of synthetic and real applications. We present the application of the method at four real case studies, the following earthquakes: Arequipa, Peru (Mw = 8.4, June 23, 2001); Denali, AK, USA (Mw = 7.8; November 3, 2002); Zemmouri-Boumerdes, Algeria (Mw = 6.8, May 21, 2003); and Sumatra, Indonesia (Mw = 9.3, December 26, 2004). The results obtained from the dataset of the four earthquakes agreed, in general, with the values presented by other authors using different methods and data. [1] Caldeira B., Bezzeghoud M, Borges JF, 2009; DIRDOP: a directivity approach to determining the seismic rupture velocity vector. J Seismology, DOI 10.1007/s10950-009-9183-x
Maijers, Maria C; Niessen, Francisus B
2013-03-01
Recently, Poly Implant Prothèse silicone breast implants were recalled from the European market. The authors studied 112 women and previously published data on rupture prevalence. Women are presenting with symptoms they feel may be a result of ruptured implants. The authors' aim was to study the clinical consequences of Poly Implant Prothèse implants. One hundred twelve women with 224 proven Poly Implant Prothèse implants after 10 years of implantation were enrolled in this study. All women underwent physical examination and magnetic resonance imaging and were interviewed regarding symptoms. Details of the explantations of 35 women with at least one ruptured implant were documented. Tissue from 10 women was sent for pathologic investigation. Of 112 women, 34 (30.4 percent) had symptoms attributable to their implants. Physical examination showed that 12 of the 121 women (10.7 percent) had findings suggestive of rupture, most commonly pain. Three had lymphadenopathy that seemed to correlate with implant rupture or excessive "gel bleed." Pathologic findings showed no malignancies. Eight women who underwent explantation had no implant rupture. Excessive gel bleed was documented in half of them. Clinical consequences of women with Poly Implant Prothèse implants are comparable to those reported in the literature of other manufacturers. Neither complaints nor findings at physical examination had a significant correlation with implant rupture at explantation. Magnetic resonance imaging is still the preferred method compared with physical examination for diagnosing rupture. The low specificity was probably caused by the difficulty in differentiating between rupture and excessive gel bleed in these implants.
NASA Astrophysics Data System (ADS)
Pelties, C.; Käser, M.
2010-12-01
We will present recent developments concerning the extensions of the ADER-DG method to solve three dimensional dynamic rupture problems on unstructured tetrahedral meshes. The simulation of earthquake rupture dynamics and seismic wave propagation using a discontinuous Galerkin (DG) method in 2D was recently presented by J. de la Puente et al. (2009). A considerable feature of this study regarding spontaneous rupture problems was the combination of the DG scheme and a time integration method using Arbitrarily high-order DERivatives (ADER) to provide high accuracy in space and time with the discretization on unstructured meshes. In the resulting discrete velocity-stress formulation of the elastic wave equations variables are naturally discontinuous at the interfaces between elements. The so-called Riemann problem can then be solved to obtain well defined values of the variables at the discontinuity itself. This is in particular valid for the fault at which a certain friction law has to be evaluated. Hence, the fault’s geometry is honored by the computational mesh. This way, complex fault planes can be modeled adequately with small elements while fast mesh coarsening is possible with increasing distance from the fault. Due to the strict locality of the scheme using only direct neighbor communication, excellent parallel behavior can be observed. A further advantage of the scheme is that it avoids spurious high-frequency contributions in the slip rate spectra and therefore does not require artificial Kelvin-Voigt damping or filtering of synthetic seismograms. In order to test the accuracy of the ADER-DG method the Southern California Earthquake Center (SCEC) benchmark for spontaneous rupture simulations was employed. Reference: J. de la Puente, J.-P. Ampuero, and M. Käser (2009), Dynamic rupture modeling on unstructured meshes using a discontinuous Galerkin method, JOURNAL OF GEOPHYSICAL RESEARCH, VOL. 114, B10302, doi:10.1029/2008JB006271
Dynamic Rupture Benchmarking of the ADER-DG Method
NASA Astrophysics Data System (ADS)
Gabriel, Alice; Pelties, Christian
2013-04-01
We will verify the arbitrary high-order derivative Discontinuous Galerkin (ADER-DG) method in various test cases of the 'SCEC/USGS Dynamic Earthquake Rupture Code Verification Exercise' benchmark suite (Harris et al. 2009). The ADER-DG scheme is able to solve the spontaneous rupture problem with high-order accuracy in space and time on three-dimensional unstructured tetrahedral meshes. Strong mesh coarsening or refinement at areas of interest can be applied to keep the computational costs feasible. Moreover, the method does not generate spurious high-frequency contributions in the slip rate spectra and therefore does not require any artificial damping as demonstrated in previous presentations and publications (Pelties et al. 2010 and 2012). We will show that the mentioned features hold also for more advanced setups as e.g. a branching fault system, heterogeneous background stresses and bimaterial faults. The advanced geometrical flexibility combined with an enhanced accuracy will make the ADER-DG method a useful tool to study earthquake dynamics on complex fault systems in realistic rheologies. References: Harris, R.A., M. Barall, R. Archuleta, B. Aagaard, J.-P. Ampuero, H. Bhat, V. Cruz-Atienza, L. Dalguer, P. Dawson, S. Day, B. Duan, E. Dunham, G. Ely, Y. Kaneko, Y. Kase, N. Lapusta, Y. Liu, S. Ma, D. Oglesby, K. Olsen, A. Pitarka, S. Song, and E. Templeton, The SCEC/USGS Dynamic Earthquake Rupture Code Verification Exercise, Seismological Research Letters, vol. 80, no. 1, pages 119-126, 2009 Pelties, C., J. de la Puente, and M. Kaeser, Dynamic Rupture Modeling in Three Dimensions on Unstructured Meshes Using a Discontinuous Galerkin Method, AGU 2010 Fall Meeting, abstract #S21C-2068 Pelties, C., J. de la Puente, J.-P. Ampuero, G. Brietzke, and M. Kaeser, Three-Dimensional Dynamic Rupture Simulation with a High-order Discontinuous Galerkin Method on Unstructured Tetrahedral Meshes, JGR. - Solid Earth, VOL. 117, B02309, 2012
Dynamic Rupture Benchmarking of the ADER-DG Method
NASA Astrophysics Data System (ADS)
Pelties, C.; Gabriel, A.
2012-12-01
We will verify the arbitrary high-order derivative Discontinuous Galerkin (ADER-DG) method in various test cases of the 'SCEC/USGS Dynamic Earthquake Rupture Code Verification Exercise' benchmark suite (Harris et al. 2009). The ADER-DG scheme is able to solve the spontaneous rupture problem with high-order accuracy in space and time on three-dimensional unstructured tetrahedral meshes. Strong mesh coarsening or refinement at areas of interest can be applied to keep the computational costs feasible. Moreover, the method does not generate spurious high-frequency contributions in the slip rate spectra and therefore does not require any artificial damping as demonstrated in previous presentations and publications (Pelties et al. 2010 and 2012). We will show that the mentioned features hold also for more advanced setups as e.g. a branching fault system, heterogeneous background stresses and bimaterial faults. The advanced geometrical flexibility combined with an enhanced accuracy will make the ADER-DG method a useful tool to study earthquake dynamics on complex fault systems in realistic rheologies. References: Harris, R.A., M. Barall, R. Archuleta, B. Aagaard, J.-P. Ampuero, H. Bhat, V. Cruz-Atienza, L. Dalguer, P. Dawson, S. Day, B. Duan, E. Dunham, G. Ely, Y. Kaneko, Y. Kase, N. Lapusta, Y. Liu, S. Ma, D. Oglesby, K. Olsen, A. Pitarka, S. Song, and E. Templeton, The SCEC/USGS Dynamic Earthquake Rupture Code Verification Exercise, Seismological Research Letters, vol. 80, no. 1, pages 119-126, 2009 Pelties, C., J. de la Puente, and M. Kaeser, Dynamic Rupture Modeling in Three Dimensions on Unstructured Meshes Using a Discontinuous Galerkin Method, AGU 2010 Fall Meeting, abstract #S21C-2068 Pelties, C., J. de la Puente, J.-P. Ampuero, G. Brietzke, and M. Kaeser, Three-Dimensional Dynamic Rupture Simulation with a High-order Discontinuous Galerkin Method on Unstructured Tetrahedral Meshes, JGR. - Solid Earth, VOL. 117, B02309, 2012
An Analysis of Surgical Treatment for the Spontaneous Rupture of Hepatocellular Carcinoma.
Sada, Haruki; Ohira, Masahiro; Kobayashi, Tsuyoshi; Tashiro, Hirotaka; Chayama, Kazuaki; Ohdan, Hideki
2016-01-01
The prognosis of spontaneous rupture of hepatocellular carcinoma (HCC) remains unclear. We investigated the prognosis of patients with ruptured HCC based on the treatments and prognostic factors associated with long-term survival. The prognoses of 64 consecutive patients treated for ruptured HCC from 1986 to 2013 were analyzed according to their methods of treatment. The prognostic factors of 16 surgical patients were identified, and their overall survival (OS) and recurrence rates were compared to 1,157 surgical patients who underwent surgery for non-ruptured HCC. The surgical outcomes were also compared using a propensity score matching method. Surgery was associated with a better OS. Curative resection was the only independent prognostic factor in surgical patients with ruptured HCC (p = 0.040). Although the OS of surgical patients with non-ruptured HCC was found to be significantly better than that of the patients with ruptured HCC, no significant difference in OS was observed after propensity score matching. A curative resection should be the objective of treatment, assuming the suitability of the patient's clinical condition. When the liver function reserve and tumor extension of patients with ruptured and non-ruptured HCC are similar, then their surgical outcomes may not be significantly different. © 2015 S. Karger AG, Basel.
English, Sean J.; Piert, Morand R.; Diaz, Jose A.; Gordon, David; Ghosh, Abhijit; D'Alecy, Louis G.; Whitesall, Steven E.; Sharma, Ashish K.; DeRoo, Elise P.; Watt, Tessa; Su, Gang; Henke, Peter K.; Eliason, Jonathan L.; Ailawadi, Gorav; Upchurch, Gilbert R.
2015-01-01
Objective To determine whether 18F-fluorodeoxyglucose (18F-FDG) micro–positron emission tomography (micro-PET) can predict abdominal aortic aneurysm (AAA) rupture. Background An infrarenal AAA model is needed to study inflammatory mechanisms that drive rupture. 18F-FDG PET can detect vascular inflammation in animal models and patients. Methods After exposing Sprague-Dawley rats to intra-aortic porcine pancreatic elastase (PPE) (12 U/mL), AAA rupture was induced by daily, subcutaneous, β-aminopropionitrile (BAPN, 300 mg/kg, N = 24) administration. Negative control AAA animals (N = 15) underwent daily saline subcutaneous injection after PPE exposure. BAPN-exposed animals that did not rupture served as positive controls [nonruptured AAA (NRAAA) 14d, N = 9]. Rupture was witnessed using radiotelemetry. Maximum standard uptakes for 18F-FDG micro-PET studies were determined. Aortic wall PAI-1, uPA, and tPA concentrations were determined by western blot analyses. Interleukin (IL)-1β, IL-6, IL-10, and MIP-2 were determined by Bio-Plex bead array. Neutrophil and macrophage populations per high-power field were quantified. Matrix metalloproteinase (MMP) activities were determined by zymography. Results When comparing ruptured AAA (RAAA) to NRAAA 14d animals, increased focal 18F-FDG uptakes were detected at subsequent sites of rupture (P = 0.03). PAI-1 expression was significantly less in RAAA tissue (P = 0.01), with comparable uPA and decreased tPA levels (P = 0.02). IL-1β (P = 0.04), IL-6 (P = 0.001), IL-10 (P = 0.04), and MIP-2 (P = 0.02)expression, neutrophil (P = 0.02) and macrophage presence (P = 0.002), and MMP9 (P < 0.0001) activity were increased in RAAA tissue. Conclusions With this AAA rupture model, increased prerupture 18F-FDG uptake on micro-PET imaging was associated with increased inflammation in the ruptured AAA wall. 18F-FDG PET imaging may be used to monitor inflammatory changes before AAA rupture. PMID:24651130
Aetiology and pathogenesis of cranial cruciate ligament rupture in cats by histological examination.
Wessely, Marlis; Reese, Sven; Schnabl-Feichter, Eva
2017-06-01
Objectives The aim of this study was to examine histologically intact and ruptured cranial cruciate ligaments in cats, in order to evaluate whether degeneration is a prerequisite for rupture. Methods We performed a histological examination of 50 intact and 19 ruptured cranial cruciate ligaments in cadaver or client-owned cats, respectively, using light microscopy. Cats with stifle pathology were further divided into five age groups in order to investigate the relationship of changes in the ligament with lifespan. Cats with ruptured cranial cruciate ligaments were divided into two groups according to medical history (with presumed history of trauma or without any known history of trauma) in order to investigate the relationship of ligament rupture with a traumatic event. Data from 200 healthy cats were selected randomly and reviewed to make a statistical comparison of cats with and without cranial cruciate ligament rupture (reference group). Results On histological examination, the intact cranial cruciate ligaments showed basic parallel arrangement of the collagen fibres, with no relation to age. While cats of a more advanced age showed fibrocartilage in the middle of the cranial cruciate ligament - a likely physiological reaction to compression forces over the lifespan - degenerative changes within the fibrocartilage were absent in all cases, regardless of age or rupture status. Cats suffering from cranial cruciate ligament rupture without history of trauma were significantly older than cats in the reference group. Conclusions and relevance This study showed that differentiation of fibrocartilage in the middle of the cranial cruciate ligament is likely a physiological reaction to compressive forces and not a degenerative change associated with greater risk of rupture in advanced age. This finding in cats is distinct from the known decrease in differentiation of fibrocartilage in dogs with cranial cruciate ligament rupture. Furthermore, the histological examination of cats revealed no other signs of degeneration in the cranial cruciate ligaments. Thus, degeneration is likely not an aetiological factor for cranial cruciate ligament rupture in cats.
Clinical recovery of two hip adductor longus ruptures: a case-report of a soccer player
2013-01-01
Background Non-operative treatment of acute hip adductor longus ruptures in athletes has been described in the literature. However, very limited information concerning the recovery of this type of injury exists. This case represented a unique possibility to study the recovery of two acute adductor longus ruptures, using novel, reliable and validated assessment methods. Case presentation A 22-year old male soccer player (Caucasian) sustained two subsequent acute adductor longus ruptures, one in each leg. The injuries occurred 10 months apart, and were treated non-surgically in both situations. He was evaluated using hip-strength assessments, self-report and ultrasonography until complete muscle-strength recovery of the hip adductors had occurred. The player was able to participate in a full soccer training session without experiencing pain 15 weeks after the first rupture, and 12 weeks after the second rupture. Full hip adductor muscle-strength recovery was obtained 52 weeks after the first rupture and 10 weeks after the second rupture. The adductor longus injuries, as verified by initial ultrasonography (10 days post-injury), showed evidence of a complete tendon rupture in both cases, with an almost identical imaging appearance. It was only at 6 and 10 weeks ultrasonographic follow-up that the first rupture was found to include a larger anatomical area than the second rupture. Conclusion From this case we can conclude that two apparently similar hip adductor longus ruptures, verified by initial ultrasonography (10 days post-injury), can have very different hip adductor strength recovery times. Assessment of adductor strength recovery may therefore in the future be a useful and important additional measure for determining when soccer players with hip adductor longus ruptures can return safely to play. PMID:23693119
Vortex dynamics in ruptured and unruptured intracranial aneurysms
NASA Astrophysics Data System (ADS)
Trylesinski, Gabriel
Intracranial aneurysms (IAs) are a potentially devastating pathological dilation of brain arteries that affect 1.5-5 % of the population. Causing around 500 000 deaths per year worldwide, their detection and treatment to prevent rupture is critical. Multiple recent studies have tried to find a hemodynamics predictor of aneurysm rupture, but concluded with distinct opposite trends using Wall Shear Stress (WSS) based parameters in different clinical datasets. Nevertheless, several research groups tend to converge for now on the fact that the flow patterns and flow dynamics of the ruptured aneurysms are complex and unstable. Following this idea, we investigated the vortex properties of both unruptured and ruptured cerebral aneurysms. A brief comparison of two Eulerian vortex visualization methods (Q-criterion and lambda 2 method) showed that these approaches gave similar results in our complex aneurysm geometries. We were then able to apply either one of them to a large dataset of 74 patient specific cases of intracranial aneurysms. Those real cases were obtained by 3D angiography, numerical reconstruction of the geometry, and then pulsatile CFD simulation before post-processing with the mentioned vortex visualization tools. First we tested the two Eulerian methods on a few cases to verify their implementation we made as well as compare them with each other. After that, the Q-criterion was selected as method of choice for its more obvious physical meaning (it shows the balance between two characteristics of the flow, its swirling and deformation). Using iso-surfaces of Q, we started by categorizing the patient-specific aneurysms based on the gross topology of the aneurysmal vortices. This approach being unfruitful, we found a new vortex-based characteristic property of ruptured aneurysms to stratify the rupture risk of IAs that we called the Wall-Kissing Vortices, or WKV. We observed that most ruptured aneurysms had a large amount of WKV, which appears to agree with the current hypothesized biological triggers of pathological remodeling of the artery walls. Having a good natural ratio of statuses in our IA cohort (55 unruptured vs. 19 ruptured), we were able to test the statistical significance of our predictor to fortify our findings. We also performed a distribution analysis of our cohort with respect to the number of WKV to strengthen the encouraging statistical analysis result; both analyses provided a clear good separation of the status of the aneurysms based on our predictor. Lastly, we constructed a receiver operating characteristic (ROC) curve to analyze the power different thresholds of WKV had in splitting the data in a binary way (unruptured/ruptured). The number of WKV was efficaciously able to stratify the rupture status, identifying 84.21 % of the ruptured aneurysms (with 25.45 % of false positives, i.e. unruptured IAs tagged as ruptured) when using a threshold value of 2. Our novel work undertaken to study the vortex structures in IAs brought to light interesting characteristics of the flow in the aneurysmal sac. We found that there are several distinct categories in which the aneurysm vortex topologies can be put in without relationship to the aneurysm rupture status. This first finding was in contradiction with available already-published results. Nonetheless, ruptured IAs had a statistically significant larger amount of WKV as opposed to unruptured aneurysms. This new predictor we propose to the community could very well clear a new path among the currently controversial WSS-based parameters. Although it needs to be improved to be more resilient, the first results obtained by the WKV-based parameter are promising when applied to a large dataset of 74 IAs patient-specific transient CFD simulations.
Wu, Zheyang; Yang, Chun; Tang, Dalin
2011-06-01
It has been hypothesized that mechanical risk factors may be used to predict future atherosclerotic plaque rupture. Truly predictive methods for plaque rupture and methods to identify the best predictor(s) from all the candidates are lacking in the literature. A novel combination of computational and statistical models based on serial magnetic resonance imaging (MRI) was introduced to quantify sensitivity and specificity of mechanical predictors to identify the best candidate for plaque rupture site prediction. Serial in vivo MRI data of carotid plaque from one patient was acquired with follow-up scan showing ulceration. 3D computational fluid-structure interaction (FSI) models using both baseline and follow-up data were constructed and plaque wall stress (PWS) and strain (PWSn) and flow maximum shear stress (FSS) were extracted from all 600 matched nodal points (100 points per matched slice, baseline matching follow-up) on the lumen surface for analysis. Each of the 600 points was marked "ulcer" or "nonulcer" using follow-up scan. Predictive statistical models for each of the seven combinations of PWS, PWSn, and FSS were trained using the follow-up data and applied to the baseline data to assess their sensitivity and specificity using the 600 data points for ulcer predictions. Sensitivity of prediction is defined as the proportion of the true positive outcomes that are predicted to be positive. Specificity of prediction is defined as the proportion of the true negative outcomes that are correctly predicted to be negative. Using probability 0.3 as a threshold to infer ulcer occurrence at the prediction stage, the combination of PWS and PWSn provided the best predictive accuracy with (sensitivity, specificity) = (0.97, 0.958). Sensitivity and specificity given by PWS, PWSn, and FSS individually were (0.788, 0.968), (0.515, 0.968), and (0.758, 0.928), respectively. The proposed computational-statistical process provides a novel method and a framework to assess the sensitivity and specificity of various risk indicators and offers the potential to identify the optimized predictor for plaque rupture using serial MRI with follow-up scan showing ulceration as the gold standard for method validation. While serial MRI data with actual rupture are hard to acquire, this single-case study suggests that combination of multiple predictors may provide potential improvement to existing plaque assessment schemes. With large-scale patient studies, this predictive modeling process may provide more solid ground for rupture predictor selection strategies and methods for image-based plaque vulnerability assessment.
Metrics for comparing dynamic earthquake rupture simulations
Barall, Michael; Harris, Ruth A.
2014-01-01
Earthquakes are complex events that involve a myriad of interactions among multiple geologic features and processes. One of the tools that is available to assist with their study is computer simulation, particularly dynamic rupture simulation. A dynamic rupture simulation is a numerical model of the physical processes that occur during an earthquake. Starting with the fault geometry, friction constitutive law, initial stress conditions, and assumptions about the condition and response of the near‐fault rocks, a dynamic earthquake rupture simulation calculates the evolution of fault slip and stress over time as part of the elastodynamic numerical solution (Ⓔ see the simulation description in the electronic supplement to this article). The complexity of the computations in a dynamic rupture simulation make it challenging to verify that the computer code is operating as intended, because there are no exact analytic solutions against which these codes’ results can be directly compared. One approach for checking if dynamic rupture computer codes are working satisfactorily is to compare each code’s results with the results of other dynamic rupture codes running the same earthquake simulation benchmark. To perform such a comparison consistently, it is necessary to have quantitative metrics. In this paper, we present a new method for quantitatively comparing the results of dynamic earthquake rupture computer simulation codes.
NASA Astrophysics Data System (ADS)
Kuriyama, M.; Kumamoto, T.; Fujita, M.
2005-12-01
The 1995 Hyogo-ken Nambu Earthquake (1995) near Kobe, Japan, spurred research on strong motion prediction. To mitigate damage caused by large earthquakes, a highly precise method of predicting future strong motion waveforms is required. In this study, we applied empirical Green's function method to forward modeling in order to simulate strong ground motion in the Noubi Fault zone and examine issues related to strong motion prediction for large faults. Source models for the scenario earthquakes were constructed using the recipe of strong motion prediction (Irikura and Miyake, 2001; Irikura et al., 2003). To calculate the asperity area ratio of a large fault zone, the results of a scaling model, a scaling model with 22% asperity by area, and a cascade model were compared, and several rupture points and segmentation parameters were examined for certain cases. A small earthquake (Mw: 4.6) that occurred in northern Fukui Prefecture in 2004 were examined as empirical Green's function, and the source spectrum of this small event was found to agree with the omega-square scaling law. The Nukumi, Neodani, and Umehara segments of the 1891 Noubi Earthquake were targeted in the present study. The positions of the asperity area and rupture starting points were based on the horizontal displacement distributions reported by Matsuda (1974) and the fault branching pattern and rupture direction model proposed by Nakata and Goto (1998). Asymmetry in the damage maps for the Noubi Earthquake was then examined. We compared the maximum horizontal velocities for each case that had a different rupture starting point. In the case, rupture started at the center of the Nukumi Fault, while in another case, rupture started on the southeastern edge of the Umehara Fault; the scaling model showed an approximately 2.1-fold difference between these cases at observation point FKI005 of K-Net. This difference is considered to relate to the directivity effect associated with the direction of rupture propagation. Moreover, it was clarified that the horizontal velocities by assuming the cascade model was underestimated more than one standard deviation of empirical relation by Si and Midorikawa (1999). The scaling and cascade models showed an approximately 6.4-fold difference for the case, in which the rupture started along the southeastern edge of the Umehara Fault at observation point GIF020. This difference is significantly large in comparison with the effect of different rupture starting points, and shows that it is important to base scenario earthquake assumptions on active fault datasets before establishing the source characterization model. The distribution map of seismic intensity for the 1891 Noubi Earthquake also suggests that the synthetic waveforms in the southeastern Noubi Fault zone may be underestimated. Our results indicate that outer fault parameters (e.g., earthquake moment) related to the construction of scenario earthquakes influence strong motion prediction, rather than inner fault parameters such as the rupture starting point. Based on these methods, we will predict strong motion for approximately 140 to 150 km of the Itoigawa-Shizuoka Tectonic Line.
Poly Implant Prothèse (PIP) incidence of rupture: a retrospective MR analysis in 64 patients
Scotto di Santolo, Mariella; Cusati, Bianca; Ragozzino, Alfonso; Dell’Aprovitola, Nicoletta; Acquaviva, Alessandra; Altiero, Michele; Accurso, Antonello; Riccardi, Albina
2014-01-01
Aim of the study The purpose of this retrospective study was to describe the magnetic resonance imaging (MRI) features of Poly Implant Prothèse (PIP) hydrogel implants in a group of 64 patients and to assess the incidence of rupture, compared to other clinical trials. Material and methods In this double-center study, we retrospectively reviewed the data sets of 64 consecutive patients (mean age, 43±9 years, age range, 27-65 years), who underwent breast MRI examinations, between January 2008 and October 2013, with suspected implant rupture on the basis of clinical assessment or after conventional imaging examination (either mammography or ultrasound). All patients had undergone breast operation with bilateral textured cohesive gel PIP implant insertion for aesthetic reasons. The mean time after operation was 8 years (range, 6-14 years). No patients reported history of direct trauma to their implants. Results At the time of clinical examination, 41 patients were asymptomatic, 16 complained of breast tenderness and 7 had clinical evidence of rupture. Normal findings were observed in 15 patients. In 26 patients there were signs of mild collapse, with associated not significant peri-capsular fluid collections and no evidence of implant rupture; in 23 patients there was suggestion of implant rupture, according to breast MRI leading to an indication for surgery. In particular, 14 patients showed intra-capsular rupture, with associated evidence of the linguine sign in all cases; the keyhole sign and the droplet signs were observed in 6 cases. In 9 patients there was evidence of extra-capsular rupture, with presence of axillary collections (siliconomas) in 7 cases and peri-prosthetic and mediastinal cavity siliconomas, in 5 cases. Conclusions The results of this double center retrospective study, confirm the higher incidence (36%) of prosthesis rupture observed with the PIP implants, compared to other breast implants. PMID:25525578
NASA Astrophysics Data System (ADS)
Ma, S.
2011-12-01
Low-velocity fault zones have long been recognized for crustal earthquakes by using fault-zone trapped waves and geodetic observations on land. However, the most pronounced low-velocity fault zones are probably in the subduction zones where sediments on the seafloor are being continuously subducted. In this study I focus on shallow subduction zone earthquakes; these earthquakes pose a serious threat to human society in their ability in generating large tsunamis. Numerous observations indicate that these earthquakes have unusually long rupture durations, low rupture velocities, and/or small stress drops near the trench. However, the underlying physics is unclear. I will use dynamic rupture simulations with a finite-element method to investigate the dynamic stress evolution on faults induced by both sediments and free surface, and its relations with rupture velocity and slip. I will also explore the effect of off-fault yielding of sediments on the rupture characteristics and seafloor deformation. As shown in Ma and Beroza (2008), the more compliant hanging wall combined with free surface greatly increases the strength drop and slip near the trench. Sediments in the subduction zone likely have a significant role in the rupture dynamics of shallow subduction zone earthquakes and tsunami generation.
Numerical comparisons of ground motion predictions with kinematic rupture modeling
NASA Astrophysics Data System (ADS)
Yuan, Y. O.; Zurek, B.; Liu, F.; deMartin, B.; Lacasse, M. D.
2017-12-01
Recent advances in large-scale wave simulators allow for the computation of seismograms at unprecedented levels of detail and for areas sufficiently large to be relevant to small regional studies. In some instances, detailed information of the mechanical properties of the subsurface has been obtained from seismic exploration surveys, well data, and core analysis. Using kinematic rupture modeling, this information can be used with a wave propagation simulator to predict the ground motion that would result from an assumed fault rupture. The purpose of this work is to explore the limits of wave propagation simulators for modeling ground motion in different settings, and in particular, to explore the numerical accuracy of different methods in the presence of features that are challenging to simulate such as topography, low-velocity surface layers, and shallow sources. In the main part of this work, we use a variety of synthetic three-dimensional models and compare the relative costs and benefits of different numerical discretization methods in computing the seismograms of realistic-size models. The finite-difference method, the discontinuous-Galerkin method, and the spectral-element method are compared for a range of synthetic models having different levels of complexity such as topography, large subsurface features, low-velocity surface layers, and the location and characteristics of fault ruptures represented as an array of seismic sources. While some previous studies have already demonstrated that unstructured-mesh methods can sometimes tackle complex problems (Moczo et al.), we investigate the trade-off between unstructured-mesh methods and regular-grid methods for a broad range of models and source configurations. Finally, for comparison, our direct simulation results are briefly contrasted with those predicted by a few phenomenological ground-motion prediction equations, and a workflow for accurately predicting ground motion is proposed.
Radionuclide diagnosis of splenic rupture in infectious mononucleosis
DOE Office of Scientific and Technical Information (OSTI.GOV)
Vezina, W.C.; Nicholson, R.L.; Cohen, P.
1984-06-01
Spontaneous splenic rupture is a rare but serious complication of infectious mononucleosis. Although radionuclide spleen imaging is a well accepted method for diagnosis of traumatic rupture, interpretation can be difficult in the setting of mononucleosis, as tears may be ill-defined and diagnosis hampered by inhomogeneous splenic uptake. Four proven cases of spontaneous rupture are presented, three of which illustrate these diagnostic problems.
NASA Astrophysics Data System (ADS)
Kao, H.; Shan, S.
2004-12-01
Determination of the rupture propagation of large earthquakes is important and of wide interest to the seismological research community. The conventional inversion method determines the distribution of slip at a grid of subfaults whose orientations are predefined. As a result, difference choices of fault geometry and dimensions often result in different solutions. In this study, we try to reconstruct the rupture history of an earthquake using the newly developed Source-Scanning Algorithm (SSA) without imposing any a priori constraints on the fault's orientation and dimension. The SSA identifies the distribution of seismic sources in two steps. First, it calculates the theoretical arrival times from all grid points inside the model space to all seismic stations by assuming an origin time. Then, the absolute amplitudes of the observed waveforms at the predicted arrival times are added to give the "brightness" of each time-space pair, and the brightest spots mark the locations of sources. The propagation of the rupture is depicted by the migration of the brightest spots throughout a prescribed time window. A series of experiments are conducted to test the resolution of the SSA inversion. Contrary to the conventional wisdom that seismometers should be placed as close as possible to the fault trace to give the best resolution in delineating rupture details, we found that the best results are obtained if the seismograms are recorded at a distance about half of the total rupture length away from the fault trace. This is especially true when the rupture duration is longer than ~10 s. A possible explanation is that the geometric spreading effects for waveforms from different segments of the rupture are about the same if the stations are sufficiently away from the fault trace, thus giving a uniform resolution to the entire rupture history.
Diagnosis of Complex Pulley Ruptures Using Ultrasound in Cadaver Models.
Schöffl, Isabelle; Hugel, Arnica; Schöffl, Volker; Rascher, Wolfgang; Jüngert, Jörg
2017-03-01
Pulley ruptures are common in climbing athletes. The purposes of this study were to determine the specific positioning of each pulley with regards to the joint, and to evaluate the ultrasound diagnostics of various pulley rupture combinations. For this, 34 cadaver fingers were analyzed via ultrasound, the results of which were compared to anatomic measurements. Different pulley ruptures were then simulated and evaluated using ultrasound in standardized dynamic forced flexion. Visualization of the A2 and A4 pulleys was achieved 100% of the time, while the A3 pulley was visible in 74% of cases. Similarly, injuries to the A2 and A4 pulleys were readily observable, while A3 pulley injuries were more challenging to identify (sensitivity of 0.2 for singular A3 pulley, 0.5 for A2/A4 pulley and 0.33 for A3/A4 pulley ruptures). Receiver operating characteristic analysis was used to evaluate the optimal tendon-bone distance for pulley rupture diagnosis, a threshold which was determined to be 1.9 mm for A2 pulley ruptures and 1.85 for A4 pulley ruptures. This study was the first to carry out a cadaver ultrasound examination of a wide variety of pulley ruptures. Ultrasound is a highly accurate tool for visualizing the A2 and A4 pulleys in a cadaver model. This method of pathology diagnosis was determined to be suitable for injuries to the A2 and A4 pulleys, but inadequate for A3 pulley injuries. Copyright © 2016 World Federation for Ultrasound in Medicine & Biology. Published by Elsevier Inc. All rights reserved.
Huf, Wolfgang; Rettl, Gregor; Dahm, Falko; Meznik, Alexander; Muschitz, Gabriela; Kitzinger, Hugo; Bukaty, Adam; Fialka, Christian; Vierhapper, Martin
2017-01-01
Purpose and hypothesis Although sex- and gender-specific analyses have been gaining more attention during the last years they have rarely been performed in orthopaedic literature. The primary purpose of this study was to investigate whether for injuries of the UCL the specific location of the rupture is influenced by sex. A secondary study question addressed the sex-independent effect of trauma intensity on the rupture site of the UCL. Methods This study is a retrospective analysis of all patients with either a proximal or distal bony avulsion or with a mid-substance tear or ligament avulsion of the UCL treated surgically between 1992 and 2015 at two level-I trauma centres. Trauma mechanisms leading to the UCL injury were classified into the following categories: (1) blunt trauma (i.e., strains), (2) low-velocity injuries (e.g., fall from standing height, assaults), and (3) high-velocity injuries (e.g., sports injuries, motor vehicle accidents). After reviewing the surgical records, patients were divided into three groups, depending upon the ligament rupture site: (1) mid-substance tears, (2) proximal ligament or bony avulsions and (3) distal ligament or bony avulsions. Dependencies between the specific rupture site and the explanatory variables (sex, age, and trauma intensity) were evaluated using χ2 test and logistic regression analysis. Results In total, 1582 patients (1094 males, 488 females) met the inclusion criteria. Mean age was 41 years (range: 9–90 years). Taking into account the effects of sex on trauma intensity (p<0.001) and of trauma intensity on rupture site (p<0.001), mid-substance tears occurred more frequently in women, whereas men were more prone to distal ligament or bony avulsions (p<0.001). In other words, sex and rupture site correlated due to the effects of sex on trauma intensity and of trauma intensity on rupture site, but taking into account those effects there still was a significant effect of sex on rupture site. Conclusions The results of this study demonstrate that with regression analysis both sex and trauma intensity allow to predict rupture site in UCL injuries. PMID:28738083
Surgical management of complicated hydatid cysts of the liver
Malik, Ajaz A; Bari, Shams UL; Amin, Ruquia; Jan, Masooda
2010-01-01
AIM: To review the clinical presentation and surgical management of complicated hydatid cysts of the liver and to assess whether conservative surgery is adequate in the management of complicated hydatid cysts of liver. METHODS: The study was carried out at Sher-i-Kashmir Institute of Medical Science, Srinagar, Kashmir, India. Sixty nine patients with hydatid disease of the liver were surgically managed from April 2004 to October 2005 with a follow up period of three years. It included 27 men and 42 women with a median age of 35 years. An abdominal ultrasound, computed tomography and serology established diagnosis. Patients with jaundice and high suspicion of intrabiliary rupture were subjected to preoperative endoscopic retrograde cholangiography. Cysts with infection, rupture into the biliary tract and peritoneal cavity were categorized as complicated cysts. Eighteen patients (26%) had complicated cysts and formed the basis for this study. RESULTS: Common complications were infection (14%), intrabiliary rupture (9%) and intraperitoneal rupture (3%). All the patients with infected cysts presented with pain and fever. All the patients with intrabiliary rupture had jaundice, while only four with intrabiliary rupture had pain and only two had fever. Surgical procedures performed in complicated cysts were: infection-omentoplasty in three and external drainage in seven; intrabiliary rupture-omentoplasty in two and internal drainage in four patients. Two patients with intraperitoneal rupture underwent external drainage. There was no mortality. The postoperative morbidity was 50% in complicated cysts and 16% in uncomplicated cysts. CONCLUSION: Complicated hydatid cyst of the liver can be successfully managed surgically with good long term results. PMID:21160854
NASA Astrophysics Data System (ADS)
Wollherr, Stephanie; Gabriel, Alice-Agnes; Uphoff, Carsten
2018-05-01
The dynamics and potential size of earthquakes depend crucially on rupture transfers between adjacent fault segments. To accurately describe earthquake source dynamics, numerical models can account for realistic fault geometries and rheologies such as nonlinear inelastic processes off the slip interface. We present implementation, verification, and application of off-fault Drucker-Prager plasticity in the open source software SeisSol (www.seissol.org). SeisSol is based on an arbitrary high-order derivative modal Discontinuous Galerkin (ADER-DG) method using unstructured, tetrahedral meshes specifically suited for complex geometries. Two implementation approaches are detailed, modelling plastic failure either employing sub-elemental quadrature points or switching to nodal basis coefficients. At fine fault discretizations the nodal basis approach is up to 6 times more efficient in terms of computational costs while yielding comparable accuracy. Both methods are verified in community benchmark problems and by three dimensional numerical h- and p-refinement studies with heterogeneous initial stresses. We observe no spectral convergence for on-fault quantities with respect to a given reference solution, but rather discuss a limitation to low-order convergence for heterogeneous 3D dynamic rupture problems. For simulations including plasticity, a high fault resolution may be less crucial than commonly assumed, due to the regularization of peak slip rate and an increase of the minimum cohesive zone width. In large-scale dynamic rupture simulations based on the 1992 Landers earthquake, we observe high rupture complexity including reverse slip, direct branching, and dynamic triggering. The spatio-temporal distribution of rupture transfers are altered distinctively by plastic energy absorption, correlated with locations of geometrical fault complexity. Computational cost increases by 7% when accounting for off-fault plasticity in the demonstrating application. Our results imply that the combination of fully 3D dynamic modelling, complex fault geometries, and off-fault plastic yielding is important to realistically capture dynamic rupture transfers in natural fault systems.
NASA Astrophysics Data System (ADS)
Chounet, Agnès; Vallée, Martin; Causse, Mathieu; Courboulex, Françoise
2018-05-01
Application of the SCARDEC method provides the apparent source time functions together with seismic moment, depth, and focal mechanism, for most of the recent earthquakes with magnitude larger than 5.6-6. Using this large dataset, we have developed a method to systematically invert for the rupture direction and average rupture velocity Vr, when unilateral rupture propagation dominates. The approach is applied to all the shallow (z < 120 km) earthquakes of the catalog over the 1992-2015 time period. After a careful validation process, rupture properties for a catalog of 96 earthquakes are obtained. The subsequent analysis of this catalog provides several insights about the seismic rupture process. We first report that up-dip ruptures are more abundant than down-dip ruptures for shallow subduction interface earthquakes, which can be understood as a consequence of the material contrast between the slab and the overriding crust. Rupture velocities, which are searched without any a-priori up to the maximal P wave velocity (6000-8000 m/s), are found between 1200 m/s and 4500 m/s. This observation indicates that no earthquakes propagate over long distances with rupture velocity approaching the P wave velocity. Among the 23 ruptures faster than 3100 m/s, we observe both documented supershear ruptures (e.g. the 2001 Kunlun earthquake), and undocumented ruptures that very likely include a supershear phase. We also find that the correlation of Vr with the source duration scaled to the seismic moment (Ts) is very weak. This directly implies that both Ts and Vr are anticorrelated with the stress drop Δσ. This result has implications for the assessment of the peak ground acceleration (PGA) variability. As shown by Causse and Song (2015), an anticorrelation between Δσ and Vr significantly reduces the predicted PGA variability, and brings it closer to the observed variability.
Epidemiology of Achilles tendon ruptures: increasing incidence over a 33-year period.
Lantto, I; Heikkinen, J; Flinkkilä, T; Ohtonen, P; Leppilahti, J
2015-02-01
We investigated the epidemiology of total Achilles tendon ruptures and complication rates after operative and nonoperative treatments over a 33-year period in Oulu, Finland. Patients with Achilles tendon ruptures from 1979 to 2011 in Oulu were identified from hospital patient records. Demographic data, treatment method, and complications were collected retrospectively from medical records. Overall and sex- and age-specific incidence rates were calculated with 95% confidence intervals (CIs). The overall incidence per 100,000 person-years increased from 2.1 (95% CI 0.3-7.7) in 1979 to 21.5 (95% CI 14.6-30.6) in 2011. The incidence increased in all age groups. The mean annual increase in incidence was 2.4% (95% CI 1.3-4.7) higher for non-sports-related ruptures than for sports-related ruptures (P = 0.036). The incidence of sports-related ruptures increased during the second 11-year period whereas the incidence of non-sports-related ruptures increased steadily over the entire study period. Infection was four times more common after operative treatment compared with nonoperative treatment, re-rupture rates were similar. The incidence of Achilles tendon ruptures increased in all age groups over a 33-year period. Increases were mainly due to sports-related injuries in the second 11-year period and non-sports-related injuries in the last 11-year period. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Modelling earthquake ruptures with dynamic off-fault damage
NASA Astrophysics Data System (ADS)
Okubo, Kurama; Bhat, Harsha S.; Klinger, Yann; Rougier, Esteban
2017-04-01
Earthquake rupture modelling has been developed for producing scenario earthquakes. This includes understanding the source mechanisms and estimating far-field ground motion with given a priori constraints like fault geometry, constitutive law of the medium and friction law operating on the fault. It is necessary to consider all of the above complexities of a fault systems to conduct realistic earthquake rupture modelling. In addition to the complexity of the fault geometry in nature, coseismic off-fault damage, which is observed by a variety of geological and seismological methods, plays a considerable role on the resultant ground motion and its spectrum compared to a model with simple planer fault surrounded by purely elastic media. Ideally all of these complexities should be considered in earthquake modelling. State of the art techniques developed so far, however, cannot treat all of them simultaneously due to a variety of computational restrictions. Therefore, we adopt the combined finite-discrete element method (FDEM), which can effectively deal with pre-existing complex fault geometry such as fault branches and kinks and can describe coseismic off-fault damage generated during the dynamic rupture. The advantage of FDEM is that it can handle a wide range of length scales, from metric to kilometric scale, corresponding to the off-fault damage and complex fault geometry respectively. We used the FDEM-based software tool called HOSSedu (Hybrid Optimization Software Suite - Educational Version) for the earthquake rupture modelling, which was developed by Los Alamos National Laboratory. We firstly conducted the cross-validation of this new methodology against other conventional numerical schemes such as the finite difference method (FDM), the spectral element method (SEM) and the boundary integral equation method (BIEM), to evaluate the accuracy with various element sizes and artificial viscous damping values. We demonstrate the capability of the FDEM tool for modelling earthquake ruptures. We then modelled earthquake ruptures allowing for coseismic off-fault damage with appropriate fracture nucleation and growth criteria. We studied the effect of different conditions such as rupture speed (sub-Rayleigh or supershear), the orientation of the initial maximum principal stress with respect to the fault and the magnitude of the initial stress (to mimic depth). The comparison between the sub-Rayleigh and supershear case shows that the coseismic off-fault damage is enhanced in the supershear case when compared with the sub-Rayleigh case. The orientation of the maximum principal stress also has significant difference such that the dynamic off-fault cracking is more likely to occur on the extensional side of the fault for high principal stress orientation. It is found that the coseismic off-fault damage reduces the rupture speed due to the dissipation of the energy by dynamic off-fault cracking generated in the vicinity of the rupture front. In terms of the ground motion amplitude spectra it is shown that the high-frequency radiation is enhanced by the coseismic off-fault damage though it is quickly attenuated. This is caused by the intricate superposition of the radiation generated by the off-fault damage and the perturbation of the rupture speed on the main fault.
Gasser, T C; Nchimi, A; Swedenborg, J; Roy, J; Sakalihasan, N; Böckler, D; Hyhlik-Dürr, A
2014-03-01
To translate the individual abdominal aortic aneurysm (AAA) patient's biomechanical rupture risk profile to risk-equivalent diameters, and to retrospectively test their predictability in ruptured and non-ruptured aneurysms. Biomechanical parameters of ruptured and non-ruptured AAAs were retrospectively evaluated in a multicenter study. General patient data and high resolution computer tomography angiography (CTA) images from 203 non-ruptured and 40 ruptured aneurysmal infrarenal aortas. Three-dimensional AAA geometries were semi-automatically derived from CTA images. Finite element (FE) models were used to predict peak wall stress (PWS) and peak wall rupture index (PWRI) according to the individual anatomy, gender, blood pressure, intra-luminal thrombus (ILT) morphology, and relative aneurysm expansion. Average PWS diameter and PWRI diameter responses were evaluated, which allowed for the PWS equivalent and PWRI equivalent diameters for any individual aneurysm to be defined. PWS increased linearly and PWRI exponentially with respect to maximum AAA diameter. A size-adjusted analysis showed that PWS equivalent and PWRI equivalent diameters were increased by 7.5 mm (p = .013) and 14.0 mm (p < .001) in ruptured cases when compared to non-ruptured controls, respectively. In non-ruptured cases the PWRI equivalent diameters were increased by 13.2 mm (p < .001) in females when compared with males. Biomechanical parameters like PWS and PWRI allow for a highly individualized analysis by integrating factors that influence the risk of AAA rupture like geometry (degree of asymmetry, ILT morphology, etc.) and patient characteristics (gender, family history, blood pressure, etc.). PWRI and the reported annual risk of rupture increase similarly with the diameter. PWRI equivalent diameter expresses the PWRI through the diameter of the average AAA that has the same PWRI, i.e. is at the same biomechanical risk of rupture. Consequently, PWRI equivalent diameter facilitates a straightforward interpretation of biomechanical analysis and connects to diameter-based guidelines for AAA repair indication. PWRI equivalent diameter reflects an additional diagnostic parameter that may provide more accurate clinical data for AAA repair indication. Copyright © 2013 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.
Lv, Nan; Yu, Ying; Xu, Jinyu; Karmonik, Christof; Liu, Jianmin; Huang, Qinghai
2016-08-01
OBJECT Unruptured posterior communicating artery (PCoA) aneurysms with oculomotor nerve palsy (ONP) have a very high risk of rupture. This study investigated the hemodynamic and morphological characteristics of intracranial aneurysms with high rupture risk by analyzing PCoA aneurysms with ONP. METHODS Fourteen unruptured PCoA aneurysms with ONP, 33 ruptured PCoA aneurysms, and 21 asymptomatic unruptured PCoA aneurysms were included in this study. The clinical, morphological, and hemodynamic characteristics were compared among the different groups. RESULTS The clinical characteristics did not differ among the 3 groups (p > 0.05), whereas the morphological and hemodynamic analyses showed that size, aspect ratio, size ratio, undulation index, nonsphericity index, ellipticity index, normalized wall shear stress (WSS), and percentage of low WSS area differed significantly (p < 0.05) among the 3 groups. Furthermore, multiple comparisons revealed that these parameters differed significantly between the ONP group and the asymptomatic unruptured group and between the ruptured group and the asymptomatic unruptured group, except for size, which differed significantly only between the ONP group and the asymptomatic unruptured group (p = 0.0005). No morphological or hemodynamic parameters differed between the ONP group and the ruptured group. CONCLUSIONS Unruptured PCoA aneurysms with ONP demonstrated a distinctive morphological-hemodynamic pattern that was significantly different compared with asymptomatic unruptured PCoA aneurysms and was similar to ruptured PCoA aneurysms. The larger size, more irregular shape, and lower WSS might be related to the high rupture risk of PCoA aneurysms.
Sagittal band, boutonniere, and pulley injuries in the athlete.
Grandizio, Louis Christopher; Klena, Joel Christian
2017-03-01
While hand injuries occur frequently in the athletic population, sagittal band ruptures, boutonniere deformities, and pulley ruptures are infrequently encountered. These injuries represent diagnostic challenges and can result in significant impairment. Early recognition with appropriate treatment is necessary to maximize recovery and minimize return to athletic competition. This review will focus on the underlying mechanism, pathophysiology of injury, diagnosis, and treatment of each of these injuries. With respect to sagittal band ruptures, boutonniere deformities, and pulley ruptures, the recent literature has been limited in scope. For sagittal band injuries, current efforts have focused on alternative techniques for sagittal band reconstruction. Little progress has been made in recent years with respect to boutonniere injuries in the athletic population; prevention of fixed deformities remains the backbone of treatment. The exact contribution from individual and combined pulley injuries in the creation of bowstringing remains controversial. Recent anatomical studies have failed to definitively answer the question of what degree of rupture is necessary to create symptomatic bowstringing. Favorable outcomes, with respect to both preventing bowstringing and returning to full athletic participation, have been newly reported following pulley reconstruction in rock climbers. Due to the infrequent nature of sagittal band ruptures, boutonniere deformities, and pulley ruptures, current treatment is mostly guided by historically established methods, limited case series, and case reports. Nonsurgical treatment remains the mainstay for most injuries and, if employed early, often precludes the need for surgery. Further anatomical and clinical research, including outcome studies, is necessary in guiding treatment algorithms.
Rim, Yonghoon; Laing, Susan T.; McPherson, David D.; Kim, Hyunggun
2013-01-01
Mitral valve repair using expanded polytetrafluoroethylene (ePTFE) sutures is an established and preferred interventional method to resolve the complex pathophysiologic problems associated with chordal rupture. We developed a novel computational evaluation protocol to determine the effect of the artificial sutures on restoring mitral valve function following valve repair. A virtual mitral valve was created using three-dimensional echocardiographic data in a patient with ruptured mitral chordae tendineae. Virtual repairs were designed by adding artificial sutures between the papillary muscles and the posterior leaflet where the native chordae were ruptured. Dynamic finite element simulations were performed to evaluate pre- and post-repair mitral valve function. Abnormal posterior leaflet prolapse and mitral regurgitation was clearly demonstrated in the mitral valve with ruptured chordae. Following virtual repair to reconstruct ruptured chordae, the severity of the posterior leaflet prolapse decreased and stress concentration was markedly reduced both in the leaflet tissue and the intact native chordae. Complete leaflet coaptation was restored when four or six sutures were utilized. Computational simulations provided quantitative information of functional improvement following mitral valve repair. This novel simulation strategy may provide a powerful tool for evaluation and prediction of interventional treatment for ruptured mitral chordae tendineae. PMID:24072489
NASA Astrophysics Data System (ADS)
Hirano, S.
2017-12-01
For some great earthquakes, dynamic rupture propagates unilaterally along a horizontal direction of very-long reverse faults (e.g., the Mw9.1 Sumatra earthquake in 2004, the Mw8.0 Wenchuan earthquake in 2008, and the Mw8.8 Maule earthquake in 2010, etc.). It seems that barriers or creeping sections may not lay along the opposite region of the co-seismically ruptured direction. In fact, in the case of Sumatra, the Mw8.6 earthquake occurred in the opposite region only three months after the mainshock. Mechanism of unilateral mode-II rupture along a material interface has been investigated theoretically and numerically. For mode-II rupture propagating along a material interface, an analytical solution implies that co-seismic stress perturbation depends on the rupture direction (Weertman, 1980 JGR; Hirano & Yamashita, 2016 BSSA), and numerical modeling of plastic yielding contributes to simulating the unilateral rupture (DeDonteny et al., 2011 JGR). However, mode-III rupture may dominate for the very-long reverse faults, and it can be shown that stress perturbation due to mode-III rupture does not depend on the rupture direction. Hence, an effect of the material interface is insufficient to understand the mechanism of unilateral rupture along the very-long reverse faults. In this study, I consider a two-dimensional bimaterial system with interfacial dynamic mode-III rupture under an obliquely pre-stressed configuration (i.e., the maximum shear direction of the background stress is inclined from the interfacial fault). First, I derived an analytical solution of regularized elastic stress field around a steady-state interfacial slip pulse using the method of Rice et al. (2005 BSSA). Then I found that the total stress, which is the sum of the background stress and co-seismic stress perturbation, depends on the rupture direction even in the mode-III case. Second, I executed a finite difference numerical simulation with a plastic yielding model of Andrews (1978 JGR; 2005 JGR) and succeeded in a simulation of unilateral rupture propagation in some parameter ranges (see figure). This unilateral rupture might be caused by energy dissipation due to the plastic yielding process that concentrates in the vicinity of only one rupture tip depending on the rupture direction.
Merenda, Lisa A.; Rutter, Laure; Curran, Kimberly; Kozin, Scott H.
2012-01-01
Background: Tendon transfer surgery can restore elbow extension in approximately 70% of persons with tetraplegia and often results in antigravity elbow extension strength. However, we have noted an almost 15% rupture/attenuation rate. Objective: This investigation was conducted to analyze potential causes in adolescents/young adults with spinal cord injury (SCI) who experienced tendon rupture or attenuation after biceps-to-triceps transfer. Methods: Medical charts of young adults with SCI who underwent biceps-to-triceps transfer and experienced tendon rupture or attenuation were reviewed. Data collected by retrospective chart review included general demographics, surgical procedure(s), use and duration of antibiotic treatment, time from tendon transfer surgery to rupture/attenuation, and method of diagnosis. Results: Twelve subjects with tetraplegia (mean age, 19 years) who underwent biceps-to-triceps reconstruction with subsequent tendon rupture or attenuation were evaluated. Mean age at time of tendon transfer was 18 years (range, 14-21 years). A fluoroquinolone was prescribed for 42% (n=5) of subjects. Tendon rupture was noted in 67% (n=8), and attenuation was noted in 33% (n=4). Average length of time from surgery to tendon rupture/attenuation was 5.7 months (range, 3-10 months). Conclusion: Potential contributing causes of tendon rupture/attenuation after transfer include surgical technique, rehabilitation, co-contraction of the transfer, poor patient compliance, and medications. In this cohort, 5 subjects were prescribed fluoroquinolones that have a US Food and Drug Administration black box concerning tendon ruptures. Currently, all candidates for upper extremity tendon transfer reconstruction are counseled on the effects of fluoroquinolones and the potential risk for tendon rupture. PMID:23459326
NASA Astrophysics Data System (ADS)
Yi, Lei; Xu, Caijun; Wen, Yangmao; Zhang, Xu; Jiang, Guoyan
2018-01-01
The 2016 Ecuador earthquake ruptured the Ecuador-Colombia subduction interface where several historic megathrust earthquakes had occurred. In order to determine a detailed rupture model, Interferometric Synthetic Aperture Radar (InSAR) images and teleseismic data sets were objectively weighted by using a modified Akaika's Bayesian Information Criterion (ABIC) method to jointly invert for the rupture process of the earthquake. In modeling the rupture process, a constrained waveform length method, unlike the traditional subjective selected waveform length method, was used since the lengths of inverted waveforms were strictly constrained by the rupture velocity and rise time (the slip duration time). The optimal rupture velocity and rise time of the earthquake were estimated from grid search, which were determined to be 2.0 km/s and 20 s, respectively. The inverted model shows that the event is dominated by thrust movement and the released moment is 5.75 × 1020 Nm (Mw 7.77). The slip distribution extends southward along the Ecuador coast line in an elongated stripe at a depth between 10 and 25 km. The slip model is composed of two asperities and slipped over 4 m. The source time function is approximate 80 s that separated into two segments corresponding to the two asperities. The small magnitude of the slip occurred in the updip section of the fault plane resulted in small tsunami waves that were verified by observations near the coast. We suggest a possible situation that the rupture zone of the 2016 earthquake is likely not overlapped with that of the 1942 earthquake.
A Retrospective Analysis of Ruptured Breast Implants
Baek, Woo Yeol; Lew, Dae Hyun
2014-01-01
Background Rupture is an important complication of breast implants. Before cohesive gel silicone implants, rupture rates of both saline and silicone breast implants were over 10%. Through an analysis of ruptured implants, we can determine the various factors related to ruptured implants. Methods We performed a retrospective review of 72 implants that were removed for implant rupture between 2005 and 2014 at a single institution. The following data were collected: type of implants (saline or silicone), duration of implantation, type of implant shell, degree of capsular contracture, associated symptoms, cause of rupture, diagnostic tools, and management. Results Forty-five Saline implants and 27 silicone implants were used. Rupture was diagnosed at a mean of 5.6 and 12 years after insertion of saline and silicone implants, respectively. There was no association between shell type and risk of rupture. Spontaneous was the most common reason for the rupture. Rupture management was implant change (39 case), microfat graft (2 case), removal only (14 case), and follow-up loss (17 case). Conclusions Saline implants have a shorter average duration of rupture, but diagnosis is easier and safer, leading to fewer complications. Previous-generation silicone implants required frequent follow-up observation, and it is recommended that they be changed to a cohesive gel implant before hidden rupture occurs. PMID:25396188
Laboratory investigations of earthquake dynamics
NASA Astrophysics Data System (ADS)
Xia, Kaiwen
In this thesis this will be attempted through controlled laboratory experiments that are designed to mimic natural earthquake scenarios. The earthquake dynamic rupturing process itself is a complicated phenomenon, involving dynamic friction, wave propagation, and heat production. Because controlled experiments can produce results without assumptions needed in theoretical and numerical analysis, the experimental method is thus advantageous over theoretical and numerical methods. Our laboratory fault is composed of carefully cut photoelastic polymer plates (Homahte-100, Polycarbonate) held together by uniaxial compression. As a unique unit of the experimental design, a controlled exploding wire technique provides the triggering mechanism of laboratory earthquakes. Three important components of real earthquakes (i.e., pre-existing fault, tectonic loading, and triggering mechanism) correspond to and are simulated by frictional contact, uniaxial compression, and the exploding wire technique. Dynamic rupturing processes are visualized using the photoelastic method and are recorded via a high-speed camera. Our experimental methodology, which is full-field, in situ, and non-intrusive, has better control and diagnostic capacity compared to other existing experimental methods. Using this experimental approach, we have investigated several problems: dynamics of earthquake faulting occurring along homogeneous faults separating identical materials, earthquake faulting along inhomogeneous faults separating materials with different wave speeds, and earthquake faulting along faults with a finite low wave speed fault core. We have observed supershear ruptures, subRayleigh to supershear rupture transition, crack-like to pulse-like rupture transition, self-healing (Heaton) pulse, and rupture directionality.
NASA Astrophysics Data System (ADS)
Fan, Wenyuan; McGuire, Jeffrey J.
2018-05-01
An earthquake rupture process can be kinematically described by rupture velocity, duration and spatial extent. These key kinematic source parameters provide important constraints on earthquake physics and rupture dynamics. In particular, core questions in earthquake science can be addressed once these properties of small earthquakes are well resolved. However, these parameters of small earthquakes are poorly understood, often limited by available datasets and methodologies. The IRIS Community Wavefield Experiment in Oklahoma deployed ˜350 three component nodal stations within 40 km2 for a month, offering an unprecedented opportunity to test new methodologies for resolving small earthquake finite source properties in high resolution. In this study, we demonstrate the power of the nodal dataset to resolve the variations in the seismic wavefield over the focal sphere due to the finite source attributes of a M2 earthquake within the array. The dense coverage allows us to tightly constrain rupture area using the second moment method even for such a small earthquake. The M2 earthquake was a strike-slip event and unilaterally propagated towards the surface at 90 per cent local S- wave speed (2.93 km s-1). The earthquake lasted ˜0.019 s and ruptured Lc ˜70 m by Wc ˜45 m. With the resolved rupture area, the stress-drop of the earthquake is estimated as 7.3 MPa for Mw 2.3. We demonstrate that the maximum and minimum bounds on rupture area are within a factor of two, much lower than typical stress drop uncertainty, despite a suboptimal station distribution. The rupture properties suggest that there is little difference between the M2 Oklahoma earthquake and typical large earthquakes. The new three component nodal systems have great potential for improving the resolution of studies of earthquake source properties.
El-Maradny, Hoda A
2007-11-01
Diclofenac sodium tablets consisting of core coated with two layers of swelling and rupturable coatings were prepared and evaluated as a pulsatile drug delivery system. Cores containing the drug were prepared by direct compression using microcrystalline cellulose and Ludipress as hydrophilic excipients with the ratio of 1:1. Cores were then coated sequentially with an inner swelling layer of different swellable materials; either Explotab, Croscarmellose sodium, or Starch RX 1500, and an outer rupturable layer of different levels of ethylcellulose. The effect of the nature of the swelling layer and the level of the rupturable coating on the lag time and the water uptake were investigated. Drug release rate studies were performed using USP paddle method. Results showed the dependence of the lag time and water uptake prior to tablet rupture on the nature of the swelling layer and the coating levels. Explotab showed a significant decrease in the lag time, followed by Croscarmellose sodium and finally by Starch RX 1500. Increasing the level of ethylcellulose coating retarded the diffusion of the release medium to the swelling layer and the rupture of the coat, thus prolonging the lag time.
Rim, Yonghoon; Laing, Susan T; McPherson, David D; Kim, Hyunggun
2014-01-01
Mitral valve (MV) repair using expanded polytetrafluoroethylene sutures is an established and preferred interventional method to resolve the complex pathophysiologic problems associated with chordal rupture. We developed a novel computational evaluation protocol to determine the effect of the artificial sutures on restoring MV function following valve repair. A virtual MV was created using three-dimensional echocardiographic data in a patient with ruptured mitral chordae tendineae (RMCT). Virtual repairs were designed by adding artificial sutures between the papillary muscles and the posterior leaflet where the native chordae were ruptured. Dynamic finite element simulations were performed to evaluate pre- and post-repair MV function. Abnormal posterior leaflet prolapse and mitral regurgitation was clearly demonstrated in the MV with ruptured chordae. Following virtual repair to reconstruct ruptured chordae, the severity of the posterior leaflet prolapse decreased and stress concentration was markedly reduced both in the leaflet tissue and the intact native chordae. Complete leaflet coaptation was restored when four or six sutures were utilized. Computational simulations provided quantitative information of functional improvement following MV repair. This novel simulation strategy may provide a powerful tool for evaluation and prediction of interventional treatment for RMCT.
Quartz crystal microbalance as a sensing active element for rupture scanning within frequency band.
Dultsev, F N; Kolosovsky, E A
2011-02-14
A new method based on the use of quartz crystal microbalance (QCM) as an active sensing element is developed, optimized and tested in a model system to measure the rupture force and deduce size distribution of nanoparticles. As suggested by model predictions, the QCM is shaped as a strip. The ratio of rupture signals at the second and the third harmonics versus the geometric position of a body on QCM surface is investigated theoretically. Recommendations concerning the use of the method for measuring the nanoparticle size distribution are presented. It is shown experimentally for an ensemble of test particles with a characteristic size within 20-30 nm that the proposed method allows one to determine particle size distribution. On the basis of the position and value of the measured rupture signal, a histogram of particle size distribution and percentage of each size fraction were determined. The main merits of the bond-rupture method are its rapid response, simplicity and the ability to discriminate between specific and non-specific interactions. The method is highly sensitive with respect to mass (the sensitivity is generally dependent on the chemical nature of receptor and analyte and may reach 8×10(-14) g mm(-2)) and applicable to measuring rupture forces either for weak bonds, for example hydrogen bonds, or for strong covalent bonds (10(-11)-10(-9) N). This procedure may become a good alternative for the existing methods, such as AFM or optical methods of determining biological objects, and win a broad range of applications both in laboratory research and in biosensing for various purposes. Possible applications include medicine, diagnostics, environmental or agricultural monitoring. Copyright © 2010 Elsevier B.V. All rights reserved.
Estimating the Maximum Magnitude of Induced Earthquakes With Dynamic Rupture Simulations
NASA Astrophysics Data System (ADS)
Gilmour, E.; Daub, E. G.
2017-12-01
Seismicity in Oklahoma has been sharply increasing as the result of wastewater injection. The earthquakes, thought to be induced from changes in pore pressure due to fluid injection, nucleate along existing faults. Induced earthquakes currently dominate central and eastern United States seismicity (Keranen et al. 2016). Induced earthquakes have only been occurring in the central US for a short time; therefore, too few induced earthquakes have been observed in this region to know their maximum magnitude. The lack of knowledge regarding the maximum magnitude of induced earthquakes means that large uncertainties exist in the seismic hazard for the central United States. While induced earthquakes follow the Gutenberg-Richter relation (van der Elst et al. 2016), it is unclear if there are limits to their magnitudes. An estimate of the maximum magnitude of the induced earthquakes is crucial for understanding their impact on seismic hazard. While other estimates of the maximum magnitude exist, those estimates are observational or statistical, and cannot take into account the possibility of larger events that have not yet been observed. Here, we take a physical approach to studying the maximum magnitude based on dynamic ruptures simulations. We run a suite of two-dimensional ruptures simulations to physically determine how ruptures propagate. The simulations use the known parameters of principle stress orientation and rupture locations. We vary the other unknown parameters of the ruptures simulations to obtain a large number of rupture simulation results reflecting different possible sets of parameters, and use these results to train a neural network to complete the ruptures simulations. Then using a Markov Chain Monte Carlo method to check different combinations of parameters, the trained neural network is used to create synthetic magnitude-frequency distributions to compare to the real earthquake catalog. This method allows us to find sets of parameters that are consistent with earthquakes observed in Oklahoma and find which parameters effect the rupture propagation. Our results show that the stress orientation and magnitude, pore pressure, and friction properties combine to determine the final magnitude of the simulated event.
Determine Earthquake Rupture Directivity Using Taiwan TSMIP Strong Motion Waveforms
NASA Astrophysics Data System (ADS)
Chang, Kaiwen; Chi, Wu-Cheng; Lai, Ying-Ju; Gung, YuanCheng
2013-04-01
Inverting seismic waveforms for the finite fault source parameters is important for studying the physics of earthquake rupture processes. It is also significant to image seismogenic structures in urban areas. Here we analyze the finite-source process and test for the causative fault plane using the accelerograms recorded by the Taiwan Strong-Motion Instrumentation Program (TSMIP) stations. The point source parameters for the mainshock and aftershocks were first obtained by complete waveform moment tensor inversions. We then use the seismograms generated by the aftershocks as empirical Green's functions (EGFs) to retrieve the apparent source time functions (ASTFs) of near-field stations using projected Landweber deconvolution approach. The method for identifying the fault plane relies on the spatial patterns of the apparent source time function durations which depend on the angle between rupture direction and the take-off angle and azimuth of the ray. These derived duration patterns then are compared with the theoretical patterns, which are functions of the following parameters, including focal depth, epicentral distance, average crustal 1D velocity, fault plane attitude, and rupture direction on the fault plane. As a result, the ASTFs derived from EGFs can be used to infer the ruptured fault plane and the rupture direction. Finally we used part of the catalogs to study important seismogenic structures in the area near Chiayi, Taiwan, where a damaging earthquake has occurred about a century ago. The preliminary results show a strike-slip earthquake on 22 October 1999 (Mw 5.6) has ruptured unilaterally toward SSW on a sub-vertical fault. The procedure developed from this study can be applied to other strong motion waveforms recorded from other earthquakes to better understand their kinematic source parameters.
Phenytoin accelerates tendon healing in a rat model of Achilles tendon rupture.
Hajipour, B; Navali, A M; Mohammad, S Ali; Mousavi, G; Akbari, M Gahvechi; Miyandoab, T Maleki; Roshangar, L; Saleh, B Mohammadi; Kermani, T Asvadi; Laleh, F Moutab; Ghabili, M
2016-01-01
Tendons are vulnerable to various types of acute or chronic injures. Different methods have been investigated to achieve better healing. Phenytoin is a drug which could stimulate fibroblasts to produce collagen. This experimental study was performed to assess the effect of phenytoin on tendon healing in a rat model of tendon rupture. Thirty healthy rats were divided into 3 groups, 1) Sham group; 2) Tendon rupture; 3) Tendon rupture+phenytoin (100 mg/kg intraperitoneally) for 21 days. On 21st day after tendon injury, the rats were anesthetized and tendon tissue was sampled for studying by light and electron microscopy. Qualitative and quantitative microscopic comparisons of the repair tissues of both groups were made on the 21st day. The results obtained from light and electron microscopy studies showed that tendon tissue healing was significantly better in phenytoin group compared to the control group (p < 0.05). Systemic administration of phenytoin may have a positive effect on tendon healing by increasing fibroblast quantity, fibrillar collagen synthesis, vascularity, and suppressing inflammation (Tab. 2, Ref. 25).
NASA Astrophysics Data System (ADS)
Folesky, J.; Kummerow, J.; Shapiro, S. A.; Asanuma, H.; Häring, M. O.
2015-12-01
The Emprirical Green's Function (EGF) method uses pairs of events of high wave form similarity and adjacent hypocenters to decompose the influences of source time function, ray path, instrument site, and instrument response. The seismogram of the smaller event is considered as the Green's Function which then can be deconvolved from the other seismogram. The result provides a reconstructed relative source time function (RSTF) of the larger event of that event pair. The comparison of the RSTFs at different stations of the observation systems produces information on the rupture process of the larger event based on the observation of the directivity effect and on changing RSTFs complexities.The Basel EGS dataset of 2006-2007 consists of about 2800 localized events of magnitudes between 0.0
Wu, Jie; Zhang, Hui; Feng, Yan; Zhang, Xiao; Yao, Tongjie; Lian, Yongfu
2017-12-01
Compared with integrated capsules, ruptured ones have better mass diffusion and transport properties due to large gaps in the shells. However, most studies focus on integrated capsules, whereas little attention has been paid to the ruptured counterparts. Herein, an explosive bomb-inspired method was employed to prepare collapsed and ruptured Fe 2 O 3 /nitrogen-doped carbon (CR-Fe 2 O 3 /NC) capsules by using polystyrene (PS) nanoparticles (NPs) as a hard template, and polypyrrole (PPy) with embedded Prussian blue (PB) NPs as the shell. During pyrolysis, PB is converted into Fe 2 O 3 , and PPy is carbonized to form NC. Importantly, the PS core decomposes into gas molecules, leading to high pressure inside of the capsule, which explodes the thin shell into pieces. The roles of shell thickness and amount of Fe 2 O 3 on determining the spherical or collapsed, and integrated or ruptured morphology were revealed. Taking advantage of structural merits, including large gaps, thin shells, low density, and high surface area, CR-Fe 2 O 3 /NC capsules were used as supports for Pd NPs. These capsules exhibited better catalytic activity than that of integrated ones. Due to the magnetic properties, they could be reused at least five times. © 2017 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim.
Effect of thermal pressurization on dynamic rupture propagation under depth-dependent stress
NASA Astrophysics Data System (ADS)
Urata, Y.; Kuge, K.; Kase, Y.
2009-12-01
Fluid and pore pressure evolution can affect dynamic propagation of earthquake ruptures owing to thermal pressurization (e.g., Mase and Smith, 1985). We investigate dynamic rupture propagation with thermal pressurization on a fault subjected to depth-dependent stress, on the basis of 3-D numerical simulations for spontaneous dynamic ruptures. We put a vertical strike-slip rectangular fault in a semi-infinite, homogenous, and elastic medium. The length and width of the fault are 8 and 3 km, respectively. We assume a depth-dependent stress estimated by Yamashita et al. (2004). The numerical algorithm is based on the finite-difference method by Kase and Kuge (2001). A rupture is initiated by increasing shear stress in a small patch at the bottom of the fault, and then proceeds spontaneously, governed by a slip-weakening law with the Coulomb failure criteria. Coefficients of friction and Dc are homogeneous on the fault. On a fault with thermal pressurization, we allow effective normal stress to vary with pore pressure change due to frictional heating by the formulation of Bizzarri and Cocco (2006). When thermal pressurization does not work, tractions drop in the same way everywhere and rupture velocity is subshear except near the free surface. Due to thermal pressurization, dynamic friction on the fault decreases and is heterogeneous not only vertically but horizontally, slip increases, and rupture velocity along the strike direction becomes supershear. As a result, plural peaks of final slip appear, as observed in the case of undrained dip-slip fault by Urata et al. (2008). We found in this study that the early stage of rupture growth under the depth-dependent stress is affected by the location of an initial crack. When a rupture is initiated at the center of the fault without thermal pressurization, the rupture cannot propagate and terminates. Thermal pressurization can help such a powerless rupture to keep propagating.
Yamada, E; Imayama, Y; Katano, S; Nagashima, F; Shibata, T
1996-06-01
A new extracapsular technique for repair of canine cranial cruciate ligament rupture using an ethylene tetrafluoroethylene (ETFE) tie was presented. Eighteen dogs (body weight: 6.0-46 kg) with this problem were used for this study. The advantages of this method were 1) the operation was easily performed. 2) Joint could be stabilized by proper fixation with microadjustment during operation. 3) This method presented less surgical invasion than the intracapsular one, since wide incision was not conducted over peripheral tissue of the stifle joint.
NASA Astrophysics Data System (ADS)
Ulrich, T.; Gabriel, A. A.
2016-12-01
The geometry of faults is subject to a large degree of uncertainty. As buried structures being not directly observable, their complex shapes may only be inferred from surface traces, if available, or through geophysical methods, such as reflection seismology. As a consequence, most studies aiming at assessing the potential hazard of faults rely on idealized fault models, based on observable large-scale features. Yet, real faults are known to be wavy at all scales, their geometric features presenting similar statistical properties from the micro to the regional scale. The influence of roughness on the earthquake rupture process is currently a driving topic in the computational seismology community. From the numerical point of view, rough faults problems are challenging problems that require optimized codes able to run efficiently on high-performance computing infrastructure and simultaneously handle complex geometries. Physically, simulated ruptures hosted by rough faults appear to be much closer to source models inverted from observation in terms of complexity. Incorporating fault geometry on all scales may thus be crucial to model realistic earthquake source processes and to estimate more accurately seismic hazard. In this study, we use the software package SeisSol, based on an ADER-Discontinuous Galerkin scheme, to run our numerical simulations. SeisSol allows solving the spontaneous dynamic earthquake rupture problem and the wave propagation problem with high-order accuracy in space and time efficiently on large-scale machines. In this study, the influence of fault roughness on dynamic rupture style (e.g. onset of supershear transition, rupture front coherence, propagation of self-healing pulses, etc) at different length scales is investigated by analyzing ruptures on faults of varying roughness spectral content. In particular, we investigate the existence of a minimum roughness length scale in terms of rupture inherent length scales below which the rupture ceases to be sensible. Finally, the effect of fault geometry on ground-motions, in the near-field, is considered. Our simulations feature a classical linear slip weakening on the fault and a viscoplastic constitutive model off the fault. The benefits of using a more elaborate fast velocity-weakening friction law will also be considered.
A penalty-based nodal discontinuous Galerkin method for spontaneous rupture dynamics
NASA Astrophysics Data System (ADS)
Ye, R.; De Hoop, M. V.; Kumar, K.
2017-12-01
Numerical simulation of the dynamic rupture processes with slip is critical to understand the earthquake source process and the generation of ground motions. However, it can be challenging due to the nonlinear friction laws interacting with seismicity, coupled with the discontinuous boundary conditions across the rupture plane. In practice, the inhomogeneities in topography, fault geometry, elastic parameters and permiability add extra complexity. We develop a nodal discontinuous Galerkin method to simulate seismic wave phenomenon with slipping boundary conditions, including the fluid-solid boundaries and ruptures. By introducing a novel penalty flux, we avoid solving Riemann problems on interfaces, which makes our method capable for general anisotropic and poro-elastic materials. Based on unstructured tetrahedral meshes in 3D, the code can capture various geometries in geological model, and use polynomial expansion to achieve high-order accuracy. We consider the rate and state friction law, in the spontaneous rupture dynamics, as part of a nonlinear transmitting boundary condition, which is weakly enforced across the fault surface as numerical flux. An iterative coupling scheme is developed based on implicit time stepping, containing a constrained optimization process that accounts for the nonlinear part. To validate the method, we proof the convergence of the coupled system with error estimates. We test our algorithm on a well-established numerical example (TPV102) of the SCEC/USGS Spontaneous Rupture Code Verification Project, and benchmark with the simulation of PyLith and SPECFEM3D with agreeable results.
Andrews, D.J.
1985-01-01
A numerical boundary integral method, relating slip and traction on a plane in an elastic medium by convolution with a discretized Green function, can be linked to a slip-dependent friction law on the fault plane. Such a method is developed here in two-dimensional plane-strain geometry. Spontaneous plane-strain shear ruptures can make a transition from sub-Rayleigh to near-P propagation velocity. Results from the boundary integral method agree with earlier results from a finite difference method on the location of this transition in parameter space. The methods differ in their prediction of rupture velocity following the transition. The trailing edge of the cohesive zone propagates at the P-wave velocity after the transition in the boundary integral calculations. Refs.
NASA Astrophysics Data System (ADS)
Okubo, K.; Bhat, H. S.; Rougier, E.; Lei, Z.; Knight, E. E.; Klinger, Y.
2017-12-01
Numerous studies have suggested that spontaneous earthquake ruptures can dynamically induce failure in secondary fracture network, regarded as damage zone around faults. The feedbacks of such fracture network play a crucial role in earthquake rupture, its radiated wave field and the total energy budget. A novel numerical modeling tool based on the combined finite-discrete element method (FDEM), which accounts for the main rupture propagation and nucleation/propagation of secondary cracks, was used to quantify the evolution of the fracture network and evaluate its effects on the main rupture and its associated radiation. The simulations were performed with the FDEM-based software tool, Hybrid Optimization Software Suite (HOSSedu) developed by Los Alamos National Laboratory. We first modeled an earthquake rupture on a planar strike-slip fault surrounded by a brittle medium where secondary cracks can be nucleated/activated by the earthquake rupture. We show that the secondary cracks are dynamically generated dominantly on the extensional side of the fault, mainly behind the rupture front, and it forms an intricate network of fractures in the damage zone. The rupture velocity thereby significantly decreases, by 10 to 20 percent, while the supershear transition length increases in comparison to the one with purely elastic medium. It is also observed that the high-frequency component (10 to 100 Hz) of the near-field ground acceleration is enhanced by the dynamically activated fracture network, consistent with field observations. We then conducted the case study in depth with various sets of initial stress state, and friction properties, to investigate the evolution of damage zone. We show that the width of damage zone decreases in depth, forming "flower-like" structure as the characteristic slip distance in linear slip-weakening law, or the fracture energy on the fault, is kept constant with depth. Finally, we compared the fracture energy on the fault to the energy absorbed by the secondary fracture network to better understand the earthquake energy budget. We conclude that the secondary fracture network plays an important role on the dynamic earthquake rupture, its radiated wave field and the overall energy budget.
Zhang, Ying; Yang, Xinjian; Wang, Yang; Liu, Jian; Li, Chuanhui; Jing, Linkai; Wang, Shengzhang; Li, Haiyun
2014-12-31
The authors evaluated the impact of morphological and hemodynamic factors on the rupture of matched-pairs of ruptured-unruptured intracranial aneurysms on one patient's ipsilateral anterior circulation with 3D reconstruction model and computational fluid dynamic method simulation. 20 patients with intracranial aneurysms pairs on the same-side of anterior circulation but with different rupture status were retrospectively collected. Each pair was divided into ruptured-unruptured group. Patient-specific models based on their 3D-DSA images were constructed and analyzed. The relative locations, morphologic and hemodynamic factors of these two groups were compared. There was no significant difference in the relative bleeding location. The morphological factors analysis found that the ruptured aneurysms more often had irregular shape and had significantly higher maximum height and aspect ratio. The hemodynamic factors analysis found lower minimum wall shear stress (WSSmin) and more low-wall shear stress-area (LSA) in the ruptured aneurysms than that of the unruptured ones. The ruptured aneurysms more often had WSSmin on the dome. Intracranial aneurysms pairs with different rupture status on unilateral side of anterior circulation may be a good disease model to investigate possible characteristics linked to rupture independent of patient characteristics. Irregular shape, larger size, higher aspect ratio, lower WSSmin and more LSA may indicate a higher risk for their rupture.
NASA Astrophysics Data System (ADS)
Lin, T. C.; Hu, F.; Chen, X.; Lee, S. J.; Hung, S. H.
2017-12-01
Kinematic source model is widely used for the simulation of an earthquake, because of its simplicity and ease of application. On the other hand, dynamic source model is a more complex but important tool that can help us to understand the physics of earthquake initiation, propagation, and healing. In this study, we focus on the southernmost Ryukyu Trench which is extremely close to northern Taiwan. Interseismic GPS data in northeast Taiwan shows a pattern of strain accumulation, which suggests the maximum magnitude of a potential future earthquake in this area is probably about magnitude 8.7. We develop dynamic rupture models for the hazard estimation of the potential megathrust event based on the kinematic rupture scenarios which are inverted using the interseismic GPS data. Besides, several kinematic source rupture scenarios with different characterized slip patterns are also considered to constrain the dynamic rupture process better. The initial stresses and friction properties are tested using the trial-and-error method, together with the plate coupling and tectonic features. An analysis of the dynamic stress field associated with the slip prescribed in the kinematic models can indicate possible inconsistencies with physics of faulting. Furthermore, the dynamic and kinematic rupture models are considered to simulate the ground shaking from based on 3-D spectral-element method. We analyze ShakeMap and ShakeMovie from the simulation results to evaluate the influence over the island between different source models. A dispersive tsunami-propagation simulation is also carried out to evaluate the maximum tsunami wave height along the coastal areas of Taiwan due to coseismic seafloor deformation of different source models. The results of this numerical simulation study can provide a physically-based information of megathrust earthquake scenario for the emergency response agency to take the appropriate action before the really big one happens.
Lindenblatt, Nicole; El-Rabadi, Karem; Helbich, Thomas H; Czembirek, Heinrich; Deutinger, Maria; Benditte-Klepetko, Heike
2014-01-01
Background Silicone gel breast implants may silently rupture without detection. This has been the main reason for magnetic resonance imaging (MRI) of the augmented or reconstructed breast. The aim of the present study was to investigate the accuracy of MRI for implant rupture. Methods Fifty consecutive patients with 85 silicone gel implants were included in the study. The mean age of the patients was 51 (range 21–72) years, with a mean duration of implantation of 3.8 (range 1–28) years. All patients underwent clinical examination and breast MRI. Intraoperative implant rupture was diagnosed by the operating surgeon. Results Nineteen of the 50 patients suffered from clinical symptoms. An implant rupture was diagnosed by MRI in 22 of 85 implants (26%). In seven of 17 removed implants (41%), the intraoperative diagnosis corresponded with the positive MRI result. However, only 57% of these patients were symptomatic. Ultrasound imaging of the harvested implants showed signs of interrupted inner layers of the implant despite integrity of the outer shell. By microsurgical separation of the different layers of the implant shell, we were able to reproduce this phenomenon and to produce signs of implant rupture on MRI. Conclusion Our results show that rupture of only the inner layers of the implant shell with integrity of the outer shell leads to a misdiagnosis on MRI. Correlation with clinical symptoms and the specific wishes of the patient should guide the indication for implant removal. PMID:25114595
Ji, Chengdong; Guo, Xuan; Li, Zhen; Qian, Shuwen; Zheng, Feng; Qin, Haiqing
2013-01-01
Many studies have been conducted on colorectal anastomotic leakage to reduce the incidence of anastomotic leakage. However, how to precisely determine if the bowel can withstand the pressure of a colorectal anastomosis experiment, which is called anastomotic bursting pressure, has not been determined. A task force developed the experimental animal hollow organ mechanical testing system to provide precise measurement of the maximum pressure that an anastomotic colon can withstand, and to compare it with the commonly used method such as the mercury and air bag pressure manometer in a rat colon rupture pressure test. Forty-five male Sprague-Dawley rats were randomly divided into the manual ball manometry (H) group, the tracing machine manometry pressure gauge head (MP) group, and the experimental animal hollow organ mechanical testing system (ME) group. The rats in each group were subjected to a cut colon rupture pressure test after injecting anesthesia in the tail vein. Colonic end-to-end anastomosis was performed, and the rats were rested for 1 week before anastomotic bursting pressure was determined by one of the three methods. No differences were observed between the normal colon rupture pressure and colonic anastomotic bursting pressure, which were determined using the three manometry methods. However, several advantages, such as reduction in errors, were identified in the ME group. Different types of manometry methods can be applied to the normal rat colon, but the colonic anastomotic bursting pressure test using the experimental animal hollow organ mechanical testing system is superior to traditional methods. Copyright © 2013 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.
The transition of dynamic rupture styles in elastic media under velocity-weakening friction
NASA Astrophysics Data System (ADS)
Gabriel, A.-A.; Ampuero, J.-P.; Dalguer, L. A.; Mai, P. M.
2012-09-01
Although kinematic earthquake source inversions show dominantly pulse-like subshear rupture behavior, seismological observations, laboratory experiments and theoretical models indicate that earthquakes can operate with different rupture styles: either as pulses or cracks, that propagate at subshear or supershear speeds. The determination of rupture style and speed has important implications for ground motions and may inform about the state of stress and strength of active fault zones. We conduct 2D in-plane dynamic rupture simulations with a spectral element method to investigate the diversity of rupture styles on faults governed by velocity-and-state-dependent friction with dramatic velocity-weakening at high slip rate. Our rupture models are governed by uniform initial stresses, and are artificially initiated. We identify the conditions that lead to different rupture styles by investigating the transitions between decaying, steady state and growing pulses, cracks, sub-shear and super-shear ruptures as a function of background stress, nucleation size and characteristic velocity at the onset of severe weakening. Our models show that small changes of background stress or nucleation size may lead to dramatic changes of rupture style. We characterize the asymptotic properties of steady state and self-similar pulses as a function of background stress. We show that an earthquake may not be restricted to a single rupture style, but that complex rupture patterns may emerge that consist of multiple rupture fronts, possibly involving different styles and back-propagating fronts. We also demonstrate the possibility of a super-shear transition for pulse-like ruptures. Finally, we draw connections between our findings and recent seismological observations.
NASA Astrophysics Data System (ADS)
Folesky, Jonas; Kummerow, Jörn
2015-04-01
The Empirical Green's Function (EGF) method uses pairs of events of high wave form similarity and adjacent hypocenters to decompose the influences of source time function, ray path, instrument site, and instrument response. The seismogram of the smaller event is considered as the Green's function which then can be deconvolved from the other seismogram. The result provides a reconstructed relative source time function (RSTF) of the larger event of that event pair. The comparison of the RSTFs at all stations of the observation systems produces information on the rupture process of the event based on an apparent directivity effect and possible changes in the RSTFs complexities. The Basel EGS dataset of 2006-2007 consists of about 2800 localized events of magnitudes between 0.0 < ML < 3.5 with event pairs of adequate magnitude difference for EGF analysis. The data has sufficient quality to analyse events with magnitudes down to ML = 0.0 for an apparent directivity effect although the approximate rupture duration for those events is of only a few milliseconds. The dataset shows a number of multiplets where fault plane solutions are known from earlier studies. Using the EGF method we compute rupture orientations for about 190 event pairs and compare them to the fault plane solutions of the multiplets. For the majority of events we observe a good consistency between the rupture direction found there and one of the previously determined nodal planes from fault plane solutions. In combination this resolves the fault plane ambiguity. Furthermore the rupture direction fitting yields estimates for projections of the rupture velocity on the horizontal plane. They seem to vary between the multiplets in the reservoir from 0.3 to 0.7 times the S-wave velocity. To our knowledge source characterization by EGF analysis has not yet been introduced to microseismic reservoirs with the data quality found in Basel. Our results show that EGF analysis can provide valuable additional insights on the distribution of rupture properties within the reservoir.
Estimating Rupture Directivity of Aftershocks of the 2014 Mw8.1 Iquique Earthquake, Northern Chile
NASA Astrophysics Data System (ADS)
Folesky, Jonas; Kummerow, Jörn; Timann, Frederik; Shapiro, Serge
2017-04-01
The 2014 Mw8.1 Iquique earthquake was accompanied by numerous fore- and aftershocks of magnitudes up to M ˜ 7.6. While the rupture processes of the main event and its largest aftershock were already analysed in great detail, this study focusses on the rupture processes of about 230 smaller aftershocks that occurred during the first two days after the main event. Since the events are of magnitudes 4.0 ≤ M ≤ 6.5 it is not trivial which method is most suitable. Thus we apply and compare here three different approaches attempting to extract a possible rupture directivity for each single event. The seismic broadband recordings of the Integrated Plate Boundary Observatory Chile (IPOC) provide an excellent database for our analysis. Their high sampling rate (100 Hz) and a well distributed station selection that cover an aperture of about 180 ° are a great advantage for a thorough directivity analysis. First, we apply a P wave polarization analysis (PPA) where we reconstruct the direction of the incoming wave-field by covariance analysis of the first particle motions. Combined with a sliding time window the results from different stations are capable of identifying first the hypocentre of the events and also a migration of the rupture front, if the event is of unilateral character. A second approach is the back projection imaging (BPI) technique, which illuminates the rupture path by back-projecting the recorded seismic energy to its source. A propagating rupture front would be reconstructed from the migration of the zone of high constructive amplitude stacks. In a third step we apply the empirical Green's function (EGF) method, where events of high waveform similarity, hence co-located and of similar mechanisms, are selected in order to use the smaller event as the Green's function of the larger event. This approach results in an estimated source time function, which is compared station wise and whose azimuthal variations are analysed for complexities and directivity.
NASA Astrophysics Data System (ADS)
Arai, H.; Ando, R.; Aoki, Y.
2017-12-01
The 2016 Kumamoto earthquake sequence hit the SW Japan, from April 14th to 16th and its sequence includes two M6-class foreshocks and the main shock (Mw 7.0). Importantly, the detailed surface displacement caused solely by the two foreshocks could be captured by a SAR observation isolated from the mainshock deformation. The foreshocks ruptured the previously mapped Hinagu fault and their hypocentral locations and the aftershock distribution indicates the involvement of two different subparallel faults. Therefore we assumed that the 1st and the 2nd foreshocks respectively ruptured each of the subparallel faults (faults A and B). One of the interesting points of this earthquake is that the two major foreshocks had a temporal gap of 2.5 hours even though the fault A and B are quite close by each other. This suggests that the stress perturbation due to the 1st foreshock is not large enough to trigger the 2nd one right away but that it's large enough to bring about the following earthquake after a delay time.We aim to reproduce the foreshock sequence such as rupture jumping over the subparallel faults by using dynamic rupture simulations. We employed a spatiotemporal-boundary integral equation method accelerated by the Fast Domain Partitioning Method (Ando, 2016, GJI) since this method allows us to construct a complex fault geometry in 3D media. Our model has two faults and a free ground surface. We conducted rupture simulation with various sets of parameters to identify the optimal condition describing the observation.Our simulation results are roughly categorized into 3 cases with regard to the criticality for the rupture jumping. The case 1 (supercritical case) shows the fault A and B ruptured consecutively without any temporal gap. In the case 2 (nearly critical), the rupture on the fault B started with a temporal gap after the fault A finished rupturing, which is what we expected as a reproduction. In the case 3 (subcritical), only the fault A ruptured and its rupture did not transfer to the fault B. We succeed in reproducing rupture jumping over two faults with a temporal gap due to the nucleation by taking account of a velocity strengthening (direct) effect. With a detailed analysis of the case 2, we can constrain ranges of parameters strictly, and this gives us deeper insights into the physics underlying the delayed foreshock activity.
NASA Astrophysics Data System (ADS)
Pischiutta, M.; Akinci, A.; Spagnuolo, E.; Taroni, M.; Herrero, A.; Aochi, H.
2016-12-01
We have simulated strong ground motions for two Mw>7.0 rupture scenarios on the North Anatolian Fault, in the Marmara Sea within 10-20 km from Istanbul. This city is characterized by one of the highest levels of seismic risk in Europe and the Mediterranean region. The increased risk in Istanbul is due to eight destructive earthquakes that ruptured the fault system and left a seismic gap at the western portion of the 1000km-long North Anatolian Fault Zone. To estimate the ground motion characteristics and its variability in the region we have simulated physics-based rupture scenarios, producing hybrid broadband time histories. We have merged two simulation techniques: a full 3D wave propagation method to generate low-frequency seismograms (Aochi and Ulrich, 2015) and the stochastic finite-fault model approach based on a dynamic corner frequency (Motazedian and Atkinson, 2005) to simulate high-frequency seismograms (Akinci et al., 2016, submitted to BSSA, 2016). They are merged to compute realistic broadband hybrid time histories. The comparison of ground motion intensity measures (PGA, PGV, SA) resulting from our simulations with those predicted by the recent Ground Motion Prediction Equations (GMPEs) in the region (Boore & Atkinson, 2008; Chiou & Young, 2008; Akkar & Bommer, 2010; Akkar & Cagnan, 2010) seems to indicate that rupture directivity and super-shear rupture effects affect the ground motion in the Marmara Sea region. In order to account for the rupture directivity we improve the comparison using the directivity predictor proposed by Spudich & Chiu (2008). This study highlights the importance of the rupture directivity for the hazard estimation in the Marmara Sea region, especially for the city of Istanbul.
Insight into the rupture process of a rare tsunami earthquake from near-field high-rate GPS
NASA Astrophysics Data System (ADS)
Macpherson, K. A.; Hill, E. M.; Elosegui, P.; Banerjee, P.; Sieh, K. E.
2011-12-01
We investigated the rupture duration and velocity of the October 25, 2010 Mentawai earthquake by examining high-rate GPS displacement data. This Mw=7.8 earthquake appears to have ruptured either an up-dip part of the Sumatran megathrust or a fore-arc splay fault, and produced tsunami run-ups on nearby islands that were out of proportion with its magnitude. It has been described as a so-called "slow tsunami earthquake", characterised by a dearth of high-frequency signal and long rupture duration in low-strength, near-surface media. The event was recorded by the Sumatran GPS Array (SuGAr), a network of high-rate (1 sec) GPS sensors located on the nearby islands of the Sumatran fore-arc. For this study, the 1 sec time series from 8 SuGAr stations were selected for analysis due to their proximity to the source and high-quality recordings of both static displacements and dynamic waveforms induced by surface waves. The stations are located at epicentral distances of between 50 and 210 km, providing a unique opportunity to observe the dynamic source processes of a tsunami earthquake from near-source, high-rate GPS. We estimated the rupture duration and velocity by simulating the rupture using the spectral finite-element method SPECFEM and comparing the synthetic time series to the observed surface waves. A slip model from a previous study, derived from the inversion of GPS static offsets and tsunami data, and the CRUST2.0 3D velocity model were used as inputs for the simulations. Rupture duration and velocity were varied for a suite of simulations in order to determine the parameters that produce the best-fitting waveforms.
Was The 01.09.2001 Etarpas Rockfall Detectable? Answer Using A Gis Approach
NASA Astrophysics Data System (ADS)
Baillifard, F.; Jaboyedoff, M.; Rouiller, J.-D.; Sartori, M.
As a general rule, "a posteriori" studies of rock slope instabilities show that rock- falls don't occur in casual locations. First, many geomorphologic arguments allow to identify the rupture zone as sensitive; secondly, external factors such as groundwa- ter circulations, freezing and thaw cycles, etc., induce long-term solicitations of the rock mass, and thus the diminution of the resistance along the discontinuities and the probably progressive rupture of the thrust. Once the sensitive zones are detected, the global activity induced by the external factors must be assessed, and the probability of rupture may be evaluated. Taking the opportunity of a 2'000 m3 rockfall that occurred on January, 9th, 2001, along a mountain road near Sion (Switzerland), a simple method to detect rock slope instabilities was tested. In order to locate sensitive areas, a set of five criterions was chosen, using available GIS formatted data such as vectorized topographic and geological maps, and a 25 m grid DTM. The chosen criterions are: the presence of faults and screes within a short distance, the presence of a rock face, a steep slope and a road. This scaling leads to a linear rating from 0 to 5. The location of the 01.09.01 rockfall obtains a score of 5. Once applied to the entire length of the road (4 km), the present method indicates two others areas which are highly sensitive to rupture, allowing to detect the main instabilities along this road. Such methods based on rough available parameters have now to be applied to larger areas. They also must be calibrated using a survey of past events. The studied rockfall area is affected by a high probability of rupture, as far as some necessary criteria are respected: first, the structural pattern has to be unfavorable; sec- ondly, the morphological conditions have to be favorable to the action of external factors.
NASA Astrophysics Data System (ADS)
Galis, M.; Pelties, C.; Kristek, J.; Moczo, P.
2012-04-01
Artificial procedures are used to initiate spontaneous rupture on faults with the linear slip-weakening (LSW) friction law. Probably the most frequent technique is the stress asperity. It is important to minimize effects of the artificial initialization on the phase of the spontaneous rupture propagation. The effects may strongly depend on the geometry and size of the asperity, spatial distribution of the stress in and around the asperity, and a maximum stress-overshoot value. A square initialization zone with the stress discontinuously falling down at the asperity border to the level of the initial stress has been frequently applied (e.g., in the SCEC verification exercise). Galis et al. (2010) and Bizzarri (2010) independently introduced the elliptical asperity with a smooth spatial stress distribution in and around the asperity. In both papers the width of smoothing/tapering zone was only ad-hoc defined. Numerical simulations indicate that the ADER-DG method can account for a discontinuous-stress initialization more accurately than the FE method. Considering the ADER-DG solution a reference we performed numerical simulations in order to define the width of the smoothing/tapering zone to be used in the FE and FD-FE hybrid methods for spontaneous rupture propagation. We considered different sizes of initialization zone, different shapes of the initialization zone (square, circle, ellipse), different spatial distributions of stress (smooth, discontinuous), and different stress-overshoot values to investigate conditions of the spontaneous rupture propagation. We compare our numerical results with the 2D and 3D estimates by Andrews (1976a,b), Day (1982), Campillo & Ionescu (1997), Favreau at al. (1999) and Uenishi & Rice (2003, 2004). Results of our study may help modelers to better setup the initialization zone in order to avoid, e.g., a too large initialization zone and reduce numerical artifacts.
Robinson, William P
2017-12-01
Ruptured abdominal aortic aneurysm is one of the most difficult clinical problems in surgical practice, with extraordinarily high morbidity and mortality. During the past 23 years, the literature has become replete with reports regarding ruptured endovascular aneurysm repair. A variety of study designs and databases have been utilized to compare ruptured endovascular aneurysm repair and open surgical repair for ruptured abdominal aortic aneurysm and studies of various designs from different databases have yielded vastly different conclusions. It therefore remains controversial whether ruptured endovascular aneurysm repair improves outcomes after ruptured abdominal aortic aneurysm in comparison to open surgical repair. The purpose of this article is to review the best available evidence comparing ruptured endovascular aneurysm repair and open surgical repair of ruptured abdominal aortic aneurysm, including single institution and multi-institutional retrospective observational studies, large national population-based studies, large national registries of prospectively collected data, and randomized controlled clinical trials. This article will analyze the study designs and databases utilized with their attendant strengths and weaknesses to understand the sometimes vastly different conclusions the studies have reached. This article will attempt to integrate the data to distill some of the lessons that have been learned regarding ruptured endovascular aneurysm repair and identify ongoing needs in this field. Copyright © 2017 Elsevier Inc. All rights reserved.
Mocco, J; Brown, Robert D; Torner, James C; Capuano, Ana W; Fargen, Kyle M; Raghavan, Madhavan L; Piepgras, David G; Meissner, Irene; Huston, John
2018-04-01
There are conflicting data between natural history studies suggesting a very low risk of rupture for small, unruptured intracranial aneurysms and retrospective studies that have identified a much higher frequency of small, ruptured aneurysms than expected. To use the prospective International Study of Unruptured Intracranial Aneurysms cohort to identify morphological characteristics predictive of unruptured intracranial aneurysm rupture. A case-control design was used to analyze morphological characteristics associated with aneurysm rupture in the International Study of Unruptured Intracranial Aneurysms database. Fifty-seven patients with ruptured aneurysms during follow-up were matched (by size and location) with 198 patients with unruptured intracranial aneurysms without rupture during follow-up. Twelve morphological metrics were measured from cerebral angiograms in a blinded fashion. Perpendicular height (P = .008) and size ratio (ratio of maximum diameter to the parent vessel diameter; P = .01) were predictors of aneurysm rupture on univariate analysis. Aspect ratio, daughter sacs, multiple lobes, aneurysm angle, neck diameter, parent vessel diameter, and calculated aneurysm volume were not statistically significant predictors of rupture. On multivariate analysis, perpendicular height was the only significant predictor of rupture (Chi-square 7.1, P-value .008). This study underscores the importance of other morphological factors, such as perpendicular height and size ratio, that may influence unruptured intracranial aneurysm rupture risk in addition to greatest diameter and anterior vs posterior location.
Rupture Dynamics Simulation for Non-Planar fault by a Curved Grid Finite Difference Method
NASA Astrophysics Data System (ADS)
Zhang, Z.; Zhu, G.; Chen, X.
2011-12-01
We first implement the non-staggered finite difference method to solve the dynamic rupture problem, with split-node, for non-planar fault. Split-node method for dynamic simulation has been used widely, because of that it's more precise to represent the fault plane than other methods, for example, thick fault, stress glut and so on. The finite difference method is also a popular numeric method to solve kinematic and dynamic problem in seismology. However, previous works focus most of theirs eyes on the staggered-grid method, because of its simplicity and computational efficiency. However this method has its own disadvantage comparing to non-staggered finite difference method at some fact for example describing the boundary condition, especially the irregular boundary, or non-planar fault. Zhang and Chen (2006) proposed the MacCormack high order non-staggered finite difference method based on curved grids to precisely solve irregular boundary problem. Based upon on this non-staggered grid method, we make success of simulating the spontaneous rupture problem. The fault plane is a kind of boundary condition, which could be irregular of course. So it's convinced that we could simulate rupture process in the case of any kind of bending fault plane. We will prove this method is valid in the case of Cartesian coordinate first. In the case of bending fault, the curvilinear grids will be used.
The ADER-DG method for seismic wave propagation and earthquake rupture dynamics
NASA Astrophysics Data System (ADS)
Pelties, Christian; Gabriel, Alice; Ampuero, Jean-Paul; de la Puente, Josep; Käser, Martin
2013-04-01
We will present the Arbitrary high-order DERivatives Discontinuous Galerkin (ADER-DG) method for solving the combined elastodynamic wave propagation and dynamic rupture problem. The ADER-DG method enables high-order accuracy in space and time while being implemented on unstructured tetrahedral meshes. A tetrahedral element discretization provides rapid and automatized mesh generation as well as geometrical flexibility. Features as mesh coarsening and local time stepping schemes can be applied to reduce computational efforts without introducing numerical artifacts. The method is well suited for parallelization and large scale high-performance computing since only directly neighboring elements exchange information via numerical fluxes. The concept of fluxes is a key ingredient of the numerical scheme as it governs the numerical dispersion and diffusion properties and allows to accommodate for boundary conditions, empirical friction laws of dynamic rupture processes, or the combination of different element types and non-conforming mesh transitions. After introducing fault dynamics into the ADER-DG framework, we will demonstrate its specific advantages in benchmarking test scenarios provided by the SCEC/USGS Spontaneous Rupture Code Verification Exercise. An important result of the benchmark is that the ADER-DG method avoids spurious high-frequency contributions in the slip rate spectra and therefore does not require artificial Kelvin-Voigt damping, filtering or other modifications of the produced synthetic seismograms. To demonstrate the capabilities of the proposed scheme we simulate an earthquake scenario, inspired by the 1992 Landers earthquake, that includes branching and curved fault segments. Furthermore, topography is respected in the discretized model to capture the surface waves correctly. The advanced geometrical flexibility combined with an enhanced accuracy will make the ADER-DG method a useful tool to study earthquake dynamics on complex fault systems in realistic rheologies.
Real-time Estimation of Fault Rupture Extent for Recent Large Earthquakes
NASA Astrophysics Data System (ADS)
Yamada, M.; Mori, J. J.
2009-12-01
Current earthquake early warning systems assume point source models for the rupture. However, for large earthquakes, the fault rupture length can be of the order of tens to hundreds of kilometers, and the prediction of ground motion at a site requires the approximated knowledge of the rupture geometry. Early warning information based on a point source model may underestimate the ground motion at a site, if a station is close to the fault but distant from the epicenter. We developed an empirical function to classify seismic records into near-source (NS) or far-source (FS) records based on the past strong motion records (Yamada et al., 2007). Here, we defined the near-source region as an area with a fault rupture distance less than 10km. If we have ground motion records at a station, the probability that the station is located in the near-source region is; P = 1/(1+exp(-f)) f = 6.046log10(Za) + 7.885log10(Hv) - 27.091 where Za and Hv denote the peak values of the vertical acceleration and horizontal velocity, respectively. Each observation provides the probability that the station is located in near-source region, so the resolution of the proposed method depends on the station density. The information of the fault rupture location is a group of points where the stations are located. However, for practical purposes, the 2-dimensional configuration of the fault is required to compute the ground motion at a site. In this study, we extend the methodology of NS/FS classification to characterize 2-dimensional fault geometries and apply them to strong motion data observed in recent large earthquakes. We apply a cosine-shaped smoothing function to the probability distribution of near-source stations, and convert the point fault location to 2-dimensional fault information. The estimated rupture geometry for the 2007 Niigata-ken Chuetsu-oki earthquake 10 seconds after the origin time is shown in Figure 1. Furthermore, we illustrate our method with strong motion data of the 2007 Noto-hanto earthquake, 2008 Iwate-Miyagi earthquake, and 2008 Wenchuan earthquake. The on-going rupture extent can be estimated for all datasets as the rupture propagates. For earthquakes with magnitude about 7.0, the determination of the fault parameters converges to the final geometry within 10 seconds.
An Experimental and Numerical Comparison of the Rupture Locations of an Abdominal Aortic Aneurysm
Doyle, Barry J.; Corbett, Timothy J.; Callanan, Anthony; Walsh, Michael T.; Vorp, David A.; McGloughlin, Timothy M.
2009-01-01
Purpose: To identify the rupture locations of idealized physical models of abdominal aortic aneurysm (AAA) using an in-vitro setup and to compare the findings to those predicted numerically. Methods: Five idealized AAAs were manufactured using Sylgard 184 silicone rubber, which had been mechanically characterized from tensile tests, tear tests, and finite element analysis. The models were then inflated to the point of rupture and recorded using a high-speed camera. Numerical modeling attempted to confirm these rupture locations. Regional variations in wall thickness of the silicone models was also quantified and applied to numerical models. Results: Four of the 5 models tested ruptured at inflection points in the proximal and distal regions of the aneurysm sac and not at regions of maximum diameter. These findings agree with high stress regions computed numerically. Wall stress appears to be independent of wall thickness, with high stress occurring at regions of inflection regardless of wall thickness variations. Conclusion: According to these experimental and numerical findings, AAAs experience higher stresses at regions of inflection compared to regions of maximum diameter. Ruptures of the idealized silicone models occurred predominantly at the inflection points, as numerically predicted. Regions of inflection can be easily identified from basic 3-dimensional reconstruction; as ruptures appear to occur at inflection points, these findings may provide a useful insight into the clinical significance of inflection regions. This approach will be applied to patient-specific models in a future study. PMID:19642790
Soden, Peter A.; Zettervall, Sara L.; Ultee, Klaas H.J.; Darling, Jeremy D.; Buck, Dominique B.; Hile, Chantel N.; Hamdan, Allen D.; Schermerhorn, Marc L.
2016-01-01
Introduction Historically symptomatic AAAs were found to have intermediate mortality compared to asymptomatic and ruptured AAAs but, with wider EVAR use, a more recent study suggested mortality of symptomatic aneurysms were similar to asymptomatic AAAs. These prior studies were limited by small numbers. The purpose of this study is to evaluate the mortality and morbidity associated with symptomatic AAA repair in a large contemporary population. Methods All patients undergoing infrarenal AAA repair were identified in the 2011–2013 ACS-NSQIP, Vascular Surgery targeted module. We excluded acute conversions to open repair and those for whom the surgical indication was embolization, dissection, thrombosis, or not documented. We compared 30-day mortality and major adverse events (MAE) for asymptomatic, symptomatic, and ruptured AAA repair, stratified by EVAR and open repair, with univariate analysis and multivariable logistic regression. Results 5502 infrarenal AAAs were identified, 4495 asymptomatic (830 open repair, 3665 [82%] EVAR), 455 symptomatic (143 open, 312 [69%] EVAR), and 552 ruptured aneurysms (263 open, 289 [52%] EVAR). Aneurysm diameter was similar between asymptomatic and symptomatic AAAs, when stratified by procedure type, but larger for ruptured aneurysms (EVAR symptomatic 5.8cm ±1.6 vs. ruptured 7.5cm ±2.0, P<.001; open repair symptomatic 6.4cm ±1.9 vs. ruptured 8.0cm ±1.9, P<.001). The proportion of females was similar in symptomatic and ruptured AAA (27% vs. 23%, P=.14, respectively), but lower in asymptomatic AAA (20%, P<.001). Symptomatic AAAs had intermediate 30-day mortality compared to asymptomatic and ruptured aneurysms after both EVAR (asymptomatic 1.4% vs. symptomatic 3.8%, P=.001; symptomatic vs. 22% ruptured, P<.001) and open repair (asymptomatic 4.3% vs. symptomatic 7.7% , P=.08; symptomatic vs. 57% ruptured, P<.001). After adjustment for age, gender, repair type, dialysis dependence, and history of severe COPD, patients undergoing repair of symptomatic AAAs were twice as likely to die within 30-days compared to those with asymptomatic aneurysms (OR 2.1, 95%CI 1.3–3.5). When stratified by repair type the effect size and direction of the odds ratios were similar (EVAR OR 2.4, CI 1.2–4.7; open repair OR 1.8, CI 0.86–3.9), although not significant for open repair. Patients with ruptured aneurysms had a sevenfold increased risk of 30-day mortality compared to symptomatic patients (OR 6.5, CI 4.1–10.6). Conclusion Patients with symptomatic AAAs had a two-fold increased risk of perioperative mortality, compared to asymptomatic aneurysms undergoing repair. Furthermore, patients with ruptured aneurysms have a seven-fold increased risk of mortality compared to symptomatic aneurysms. PMID:27146791
Strong nonlinear rupture theory of thin free liquid films
NASA Astrophysics Data System (ADS)
Chi-Chuan, Hwang; Jun-Liang, Chen; Li-Fu, Shen; Cheng-I, Weng
1996-02-01
A simplified governing equation with high-order effects is formulated after a procedure of evaluating the order of magnitude. Furthermore, the nonlinear evolution equations are derived by the Kármán-Polhausen integral method with a specified velocity profile. Particularly, the effects of surface tension, van der Waals potential, inertia and high-order viscous dissipation are taken into consideration in these equation. The numerical results reveal that the rupture time of free film is much shorter than that of a film on a flat plate. It is shown that because of a more complete high-order viscous dissipation effect discussed in the present study, the rupture process of present model is slower than is predicted by the high-order long wave theory.
Dynamic modeling of normal faults of the 2016 Central Italy earthquake sequence
NASA Astrophysics Data System (ADS)
Aochi, Hideo
2017-04-01
The earthquake sequence of the Central Italy in 2016 are characterized mainly by the Mw6.0 24th August, Mw5.9 26th October and Mw6.4 30th October as well as two Mw5.4 earthquakes (24th August, 26th October) (catalogue INGV). They all show normal faulting mechanisms corresponding to the Apennines's tectonics. They are aligned briefly along NNW-SSE axis, and they may not be on a single continuous fault plane. Therefore, dynamic rupture modeling of sequences should be carried out supposing co-planar normal multiple segments. We apply a Boundary Domain Method (BDM, Goto and Bielak, GJI, 2008) coupling a boundary integral equation method and a domain-based method, namely a finite difference method in this study. The Mw6.0 24th August earthquake is modeled. We use the basic information of hypocenter position, focal mechanism and potential ruptured dimension from the INGV catalogue and Tinti et al., GRL, 2016), and begin with a simple condition (homogeneous boundary condition). From our preliminary simulations, it is shown that a uniformly extended rupture model does not fit the near-field ground motions and localized heterogeneity would be required.
Song, Jae W.; Kim, Hyungjin Myra; Bellfi, Lillian T.; Chung, Kevin C.
2010-01-01
Background All silicone breast implant recipients are recommended by the US Food and Drug Administration to undergo serial screening to detect implant rupture with magnetic resonance imaging (MRI). We performed a systematic review of the literature to assess the quality of diagnostic accuracy studies utilizing MRI or ultrasound to detect silicone breast implant rupture and conducted a meta-analysis to examine the effect of study design biases on the estimation of MRI diagnostic accuracy measures. Method Studies investigating the diagnostic accuracy of MRI and ultrasound in evaluating ruptured silicone breast implants were identified using MEDLINE, EMBASE, ISI Web of Science, and Cochrane library databases. Two reviewers independently screened potential studies for inclusion and extracted data. Study design biases were assessed using the QUADAS tool and the STARDS checklist. Meta-analyses estimated the influence of biases on diagnostic odds ratios. Results Among 1175 identified articles, 21 met the inclusion criteria. Most studies using MRI (n= 10 of 16) and ultrasound (n=10 of 13) examined symptomatic subjects. Meta-analyses revealed that MRI studies evaluating symptomatic subjects had 14-fold higher diagnostic accuracy estimates compared to studies using an asymptomatic sample (RDOR 13.8; 95% CI 1.83–104.6) and 2-fold higher diagnostic accuracy estimates compared to studies using a screening sample (RDOR 1.89; 95% CI 0.05–75.7). Conclusion Many of the published studies utilizing MRI or ultrasound to detect silicone breast implant rupture are flawed with methodological biases. These methodological shortcomings may result in overestimated MRI diagnostic accuracy measures and should be interpreted with caution when applying the data to a screening population. PMID:21364405
NASA Astrophysics Data System (ADS)
LI, B.; Ghosh, A.
2016-12-01
The 2015 Mw 7.8 Gorkha earthquake provides a good opportunity to study the tectonics and earthquake hazards in the Himalayas, one of the most seismically active plate boundaries. Details of the seismicity patterns and associated structures in the Himalayas are poorly understood mainly due to limited instrumentation. Here, we apply a back-projection method to study the mainshock rupture and the following aftershock sequence using four large aperture global seismic arrays. All the arrays show eastward rupture propagation of about 130 km and reveal similar evolution of seismic energy radiation, with strong high-frequency energy burst about 50 km north of Kathmandu. Each single array, however, is typically limited by large azimuthal gap, low resolution, and artifacts due to unmodeled velocity structures. Therefore, we use a self-consistent empirical calibration method to combine four different arrays to image the Gorkha event. It greatly improves the resolution, can better track rupture and reveal details that cannot be resolved by any individual array. In addition, we also use the same arrays at teleseismic distances and apply a back-projection technique to detect and locate the aftershocks immediately following the Gorkha earthquake. We detect about 2.5 times the aftershocks recorded by the Advance National Seismic System comprehensive earthquake catalog during the 19 days following the mainshock. The aftershocks detected by the arrays show an east-west trend in general, with majority of the aftershocks located at the eastern part of the rupture patch and surrounding the rupture zone of the largest Mw 7.3 aftershock. Overall spatiotemporal aftershock pattern agrees well with global catalog, with our catalog showing more details relative to the standard global catalog. The improved aftershock catalog enables us to better study the aftershock dynamics, stress evolution in this region. Moreover, rapid and better imaging of aftershock distribution may aid rapid response and hazard assessment after destructive large earthquakes. Existing multiple global seismic arrays, when properly calibrated and used in combinations, provide a high resolution image of rupture of large earthquakes and spatiotemporal distribution of aftershocks.
NASA Astrophysics Data System (ADS)
Moyer, P. A.; Boettcher, M. S.; McGuire, J. J.; Collins, J. A.
2015-12-01
On Gofar transform fault on the East Pacific Rise (EPR), Mw ~6.0 earthquakes occur every ~5 years and repeatedly rupture the same asperity (rupture patch), while the intervening fault segments (rupture barriers to the largest events) only produce small earthquakes. In 2008, an ocean bottom seismometer (OBS) deployment successfully captured the end of a seismic cycle, including an extensive foreshock sequence localized within a 10 km rupture barrier, the Mw 6.0 mainshock and its aftershocks that occurred in a ~10 km rupture patch, and an earthquake swarm located in a second rupture barrier. Here we investigate whether the inferred variations in frictional behavior along strike affect the rupture processes of 3.0 < M < 4.5 earthquakes by determining source parameters for 100 earthquakes recorded during the OBS deployment.Using waveforms with a 50 Hz sample rate from OBS accelerometers, we calculate stress drop using an omega-squared source model, where the weighted average corner frequency is derived from an empirical Green's function (EGF) method. We obtain seismic moment by fitting the omega-squared source model to the low frequency amplitude of individual spectra and account for attenuation using Q obtained from a velocity model through the foreshock zone. To ensure well-constrained corner frequencies, we require that the Brune [1970] model provides a statistically better fit to each spectral ratio than a linear model and that the variance is low between the data and model. To further ensure that the fit to the corner frequency is not influenced by resonance of the OBSs, we require a low variance close to the modeled corner frequency. Error bars on corner frequency were obtained through a grid search method where variance is within 10% of the best-fit value. Without imposing restrictive selection criteria, slight variations in corner frequencies from rupture patches and rupture barriers are not discernable. Using well-constrained source parameters, we find an average stress drop of 5.7 MPa in the aftershock zone compared to values of 2.4 and 2.9 MPa in the foreshock and swarm zones respectively. The higher stress drops in the rupture patch compared to the rupture barriers reflect systematic differences in along strike fault zone properties on Gofar transform fault.
Ojima, H; Kuwano, H; Sasaki, S; Fujisawa, T; Ishibashi, Y
2001-08-01
Spontaneous esophageal rupture is extremely rare, and early symptoms of the disease are similar to those of emergency diseases of the chest and abdomen. The diagnosis and treatments are often delayed, resulting in an unfavorable outcome in some cases. We performed improved T-tube drainage for spontaneous esophageal rupture in 5 patients between 1995 and 1999. Our improved method was a modified procedure of the reported method of Abbott et al, as follows: a T-tube was inserted into the esophagus. A separate stab incision was made in the abdominal wall, and the long limb of the T-tube was brought out through this incision ensuring that the course of the T-tube intra-abdominally was short and straight, with some slack to allow for postoperative abdominal distension. An advantage of this method was that it facilitated healing of the fistula after removal of the T-tube. All patients were treated with a satisfactory outcome. This improved T-tube drainage was technically very easy and safe method for spontaneous esophageal rupture in severe cases.
Dynamic rupture simulations of the 2016 Mw7.8 Kaikōura earthquake: a cascading multi-fault event
NASA Astrophysics Data System (ADS)
Ulrich, T.; Gabriel, A. A.; Ampuero, J. P.; Xu, W.; Feng, G.
2017-12-01
The Mw7.8 Kaikōura earthquake struck the Northern part of New Zealand's South Island roughly one year ago. It ruptured multiple segments of the contractional North Canterbury fault zone and of the Marlborough fault system. Field observations combined with satellite data suggest a rupture path involving partly unmapped faults separated by large stepover distances larger than 5 km, the maximum distance usually considered by the latest seismic hazard assessment methods. This might imply distant rupture transfer mechanisms generally not considered in seismic hazard assessment. We present high-resolution 3D dynamic rupture simulations of the Kaikōura earthquake under physically self-consistent initial stress and strength conditions. Our simulations are based on recent finite-fault slip inversions that constrain fault system geometry and final slip distribution from remote sensing, surface rupture and geodetic data (Xu et al., 2017). We assume a uniform background stress field, without lateral fault stress or strength heterogeneity. We use the open-source software SeisSol (www.seissol.org) which is based on an arbitrary high-order accurate DERivative Discontinuous Galerkin method (ADER-DG). Our method can account for complex fault geometries, high resolution topography and bathymetry, 3D subsurface structure, off-fault plasticity and modern friction laws. It enables the simulation of seismic wave propagation with high-order accuracy in space and time in complex media. We show that a cascading rupture driven by dynamic triggering can break all fault segments that were involved in this earthquake without mechanically requiring an underlying thrust fault. Our prefered fault geometry connects most fault segments: it does not features stepover larger than 2 km. The best scenario matches the main macroscopic characteristics of the earthquake, including its apparently slow rupture propagation caused by zigzag cascading, the moment magnitude and the overall inferred slip distribution. We observe a high sensitivity of cascading dynamics on fault-step over distance and off-fault energy dissipation.
Hartzell, S.; Liu, P.
1996-01-01
A method is presented for the simultaneous calculation of slip amplitudes and rupture times for a finite fault using a hybrid global search algorithm. The method we use combines simulated annealing with the downhill simplex method to produce a more efficient search algorithm then either of the two constituent parts. This formulation has advantages over traditional iterative or linearized approaches to the problem because it is able to escape local minima in its search through model space for the global optimum. We apply this global search method to the calculation of the rupture history for the Landers, California, earthquake. The rupture is modeled using three separate finite-fault planes to represent the three main fault segments that failed during this earthquake. Both the slip amplitude and the time of slip are calculated for a grid work of subfaults. The data used consist of digital, teleseismic P and SH body waves. Long-period, broadband, and short-period records are utilized to obtain a wideband characterization of the source. The results of the global search inversion are compared with a more traditional linear-least-squares inversion for only slip amplitudes. We use a multi-time-window linear analysis to relax the constraints on rupture time and rise time in the least-squares inversion. Both inversions produce similar slip distributions, although the linear-least-squares solution has a 10% larger moment (7.3 ?? 1026 dyne-cm compared with 6.6 ?? 1026 dyne-cm). Both inversions fit the data equally well and point out the importance of (1) using a parameterization with sufficient spatial and temporal flexibility to encompass likely complexities in the rupture process, (2) including suitable physically based constraints on the inversion to reduce instabilities in the solution, and (3) focusing on those robust rupture characteristics that rise above the details of the parameterization and data set.
Chronic inflammation is a feature of Achilles tendinopathy and rupture
Newton, Julia; Martinez, Fernando O; Hedley, Robert; Gwilym, Stephen; Jones, Natasha; Reid, Hamish A B; Wood, Simon; Wells, Graham; Appleton, Louise; Wheway, Kim; Watkins, Bridget; Carr, Andrew Jonathan
2018-01-01
Background Recent investigation of human tissue and cells from positional tendons such as the rotator cuff has clarified the importance of inflammation in the development and progression of tendon disease. These mechanisms remain poorly understood in disease of energy-storing tendons such as the Achilles. Using tissue biopsies from patients, we investigated if inflammation is a feature of Achilles tendinopathy and rupture. Methods We studied Achilles tendon biopsies from symptomatic patients with either mid-portion tendinopathy or rupture for evidence of abnormal inflammatory signatures. Tendon-derived stromal cells from healthy hamstring and diseased Achilles were cultured to determine the effects of cytokine treatment on expression of inflammatory markers. Results Tendinopathic and ruptured Achilles highly expressed CD14+ and CD68+ cells and showed a complex inflammation signature, involving NF-κB, interferon and STAT-6 activation pathways. Interferon markers IRF1 and IRF5 were highly expressed in tendinopathic samples. Achilles ruptures showed increased PTGS2 and interleukin-8 expression. Tendinopathic and ruptured Achilles tissues expressed stromal fibroblast activation markers podoplanin and CD106. Tendon cells isolated from diseased Achilles showed increased expression of pro-inflammatory and stromal fibroblast activation markers after cytokine stimulation compared with healthy hamstring tendon cells. Conclusions Tissue and cells derived from tendinopathic and ruptured Achilles tendons show evidence of chronic (non-resolving) inflammation. The energy-storing Achilles shares common cellular and molecular inflammatory mechanisms with functionally distinct rotator cuff positional tendons. Differences seen in the profile of ruptured Achilles are likely to be attributable to a superimposed phase of acute inflammation and neo-vascularisation. Strategies that target chronic inflammation are of potential therapeutic benefit for patients with Achilles tendon disease. PMID:29118051
Endoscopic management of intrabiliary-ruptured hepatic hydatid cyst.
Singh, Virendra; Reddy, Deevaguntla Chandrasekhar; Verma, Ganga Ram; Singh, Gurpreet
2006-06-01
Intrabiliary rupture of hepatic hydatid cyst causes serious morbidity and mortality. These patients are usually managed surgically. We evaluated the feasibility and outcome of an alternative method of treatment of these patients. Seven patients with ruptured hepatic hydatid into the biliary tract underwent endoscopic treatment consisting of endoscopic sphincterotomy, cyst material extraction and hypertonic saline lavage via nasocystic catheter. Median age of patients was 40 years (range 17-50 years) with a male:female ratio of 2:5. Abdominal pain, jaundice and fever were seen in all patients. Six out of seven patients were positive for hydatid serology. All patients were successfully treated by endoscopic sphincterotomy, clearance of cyst material and hypertonic saline lavage. On a follow-up of 6 months to 4 years (median, 3.5 years), ultrasonography, computed tomography of the abdomen and magnetic resonance imaging of the abdomen showed a complete cure. There were no complications related to procedure. This study demonstrates endoscopic treatment as one of the therapeutic options of ruptured hepatic hydatid cyst into the biliary tract.
Direct measurement of the breakdown slip from near-fault strong motion data
NASA Astrophysics Data System (ADS)
Cruz-Atienza, V. M.; Olsen, K. B.; Dalguer, L. A.
2007-12-01
Obtaining reliable estimates of the frictional behaviour on earthquake faults is a fundamental task, particularly the breakdown slip Dc, which has an important role on rupture propagation through the earthquake energy budget. Several studies have attempted to estimate Dc indirectly from kinematical analysis of fault ruptures (e.g., Ide and Takeo, JGR, 1997). However, such estimates are complicated because of both the limited band-width of the observed seismograms used to image the rupture process and the rapid decay of high frequencies with distance from the fault. Mikumo et al. (BSSA, 2003) proposed a method to estimate Dc on the fault plane as the slip at the time of the peak sliprate function (Dc'). Fukuyama and Mikumo (GRL, 2007) proposed to extend this method beyond the fault plane, by estimating Dc as twice the rake-parallel particle displacement at the time of the peak particle velocity. The factor of two arises from an equal amount of opposite displacement on either side of the fault. They concluded that such method allows reliable Dc' estimates with negligible dependence on the perpendicular distance from the fault, and used it to obtain Dc' estimates for the 2000 M6.6 Tottori (0.3 m) and the 2002 M7.9 Denali (2.5 m) earthquakes. The study by Fukuyama and Mikumo was based on simple two-dimensional Green's functions in a homogeneous full space for an anti-plane kinematic crack, and suffers from three fundamental omissions: 1) the free surface and heterogeneous structure, 2) the finiteness of the rupture surface and 3) the dynamic rupture complexity of real 3D earthquakes. Here, we re-examine the methodology proposed by Fukuyama and Mikumo by means of a more realistic approach. We use spontaneous rupture propagation simulated by a recently developed and highly accurate approach, namely the staggered-grid split-node (SGSN) method in a fourth-order staggered- grid finite difference method (Dalguer and Day, JGR, 2007). We assume a vertical strike-slip fault governed by both linear and non-linear slip-weakening friction laws. Our results show that both the free surface and the stopping phases strongly affect Dc estimates. The particle motion recorded by surface instruments is amplified roughly by a factor of two due to the presence of the free surface. As a consequence, the method by Fukuyama and Mikumo over-estimates Dc when applied to strong motion data recorded on the earth's surface. Moreover, contrary to the results by Fukuyama and Mikumo, we observe a strong distance-dependence of the Dc estimates perpendicular to the fault. This variation includes a minimum near the fault, increasing up to about 140% of the target Dc value at a distance 2-3 km from the fault. At further distances from the fault the Dc estimate decreases to about 60% of the target value 10 km away. This distance dependence of the Dc estimate is presumably caused mainly by stopping phases propagating from the fault boundaries. Simulations in heterogeneous media including a low-velocity layer, intrinsic attenuation (Q) and stochastic initial stress conditions allow us to asses the reliability and uncertainty involved in the method proposed by Fukuyama and Mikumo. Dc estimates under these realistic conditions are important but remain below a factor of two in most of the cases we have analyzed. In summary, the accuracy of the method is strongly affected by the presence of the free surface, finite fault extent, and likely by complexity in the velocity structure and rupture propagation.
Management of hepatocellular adenoma: Solitary-uncomplicated, multiple and ruptured tumors
Toso, Christian; Majno, Pietro; Andres, Axel; Rubbia-Brandt, Laura; Berney, Thierry; Buhler, Léo; Morel, Philippe; Mentha, Gilles
2005-01-01
AIM: While hepatocellular adenomas (HAs) have often been studied as a unique entity, we aimed to better define current management of the various forms of HAs. METHODS: Twenty-five consecutive patients operated for solitary-uncomplicated (9), multiple (6), and ruptured (10) HAs were reviewed according to management strategies and outcomes. RESULTS: All solitary-uncomplicated HAs (ranged 2.2-14 cm in size) were removed. Out of 25 HAs, 2 (8%) included foci of carcinoma. In the multiple HA group, previously undiagnosed tumors were identified during surgery in 5/6 cases. In three cases with multiple spread HA, several lesions had to be left unresected. They remained unmodified after 4-, 6-, and 6-year radiological follow-up. Patients with ruptured HA (ranged 1.7-10 cm in size) were initially managed with hemodynamic support and angiography, allowing the embolization of actively bleeding tumors in two patients. All ruptured tumors were subsequently removed 5.5 d (range 4-70 d) after admission. CONCLUSION: Tumors suspected of HA, regardless of the size, should be resected, because of high chances of rupture causing bleeding, and/or containing malignant foci. Although it is desirable to remove all lesions of multiple HA, this may not be possible in some patients, for whom long-term radiological follow-up is advised. Ruptured HA can be managed by hemodynamic support and angiography, allowing scheduled surgery. PMID:16237767
Spontaneous ruptured pheochromocytoma: an unusual case report and literature review.
Jee, Ye Seob
2017-09-01
Ruptured pheochromocytoma is a rare disease. Its mortality rate is up to 31%-50%. Proper management of ruptured pheochromocytoma remains unclear. A 44-year-old male patient visited our Emergency Department and presented with abrupt onset of left flank pain. His blood pressure was 190/140 mmHg with purse rate of 130 beats/min. CT scan showed 8.1 × 5.6-cm-sized heterogeneously mass with rupture on the left retroperitoneal space and active bleeding. His symptom of abdominal pain was aggravated. Follow-up laboratory analysis revealed elevated WBC count and decreased hemoglobin 2 hours after admission. Emergency laparotomy was performed. We resected the ruptured left retroperitoneal mass and hemostasis. Pathologic exams revealed adrenal pheochromocytoma with rupture. Although our patient was alive, according to literature review, mortality rate of emergency operation without medical management is higher than elective operation after blood pressure control with either medical or interventional methods such as transcatheter arterial embolization.
Variation in Death Rate After Abdominal Aortic Aneurysmectomy in the United States
Dimick, Justin B.; Stanley, James C.; Axelrod, David A.; Kazmers, Andris; Henke, Peter K.; Jacobs, Lloyd A.; Wakefield, Thomas W.; Greenfield, Lazar J.; Upchurch, Gilbert R.
2002-01-01
Objective To determine whether high-volume hospitals (HVHs) have lower in-hospital death rates after abdominal aortic aneurysm (AAA) repair compared with low-volume hospitals (LVHs). Summary Background Data Select statewide studies have shown that HVHs have superior outcomes compared with LVHs for AAA repair, but they may not be representative of the true volume–outcome relationship for the entire United States. Methods Patients undergoing repair of intact or ruptured AAAs in the Nationwide Inpatient Sample (NIS) for 1996 and 1997 were included (n = 13,887) for study. The NIS represents a 20% stratified random sample representative of all U.S. hospitals. Unadjusted and case mix-adjusted analyses were performed. Results The overall death rate was 3.8% for intact AAA repair and 47% for ruptured AAA repair. For repair of intact AAAs, HVHs had a lower death rate than LVHs. The death rate after repair of ruptured AAA was also slightly lower at HVHs. In a multivariate analysis adjusting for case mix, having surgery at an LVH was associated with a 56% increased risk of in-hospital death. Other independent risk factors for in-hospital death included female gender, age older than 65 years, aneurysm rupture, urgent or emergent admission, and comorbid disease. Conclusions This study from a representative national database documents that HVHs have a significantly lower death rate than LVHs for repair of both intact and ruptured AAA. These data support the regionalization of patients to HVHs for AAA repair. PMID:11923615
A new conservative-dynamic treatment for the acute ruptured Achilles tendon.
Neumayer, Felix; Mouhsine, Elyazid; Arlettaz, Yvan; Gremion, Gérald; Wettstein, Michael; Crevoisier, Xavier
2010-03-01
There is a trend towards surgical treatment of acute ruptured Achilles tendon. While classical open surgical procedures have been shown to restore good functional capacity, they are potentially associated with significant complications like wound infection and paresthesia. Modern mini-invasive surgical techniques significantly reduce these complications and are also associated with good functional results so that they can be considered as the surgical treatment of choice. Nevertheless, there is still a need for conservative alternative and recent studies report good results with conservative treatment in rigid casts or braces. We report the use of a dynamic ankle brace in the conservative treatment of Achilles tendon rupture in a prospective non-randomised study of 57 consecutive patients. Patients were evaluated at an average follow-up time of 5 years using the modified Leppilahti Ankle Score, and the first 30 patients additionally underwent a clinical examination and muscular testing with a Cybex isokinetic dynamometer at 6 and 12 months. We found good and excellent results in most cases. We observed five complete re-ruptures, almost exclusively in case of poor patient's compliance, two partial re-ruptures and one deep venous thrombosis complicated by pulmonary embolism. Although prospective comparison with other modern treatment options is still required, the functional outcome after early ankle mobilisation in a dynamic cast is good enough to ethically propose this method as an alternative to surgical treatment.
NASA Astrophysics Data System (ADS)
Festa, Gaetano; Vilotte, Jean-Pierre; Raous, Michel; Henninger, Carole
2010-05-01
Propagation and radiation of an earthquake rupture is commonly considered as a friction dominated process on fault surfaces. Friction laws, such as the slip weakening and the rate-and-state laws are widely used in the modeling of the earthquake rupture process. These laws prescribe the traction evolution versus slip, slip rate and potentially other internal variables. They introduce a finite cohesive length scale over which the fracture energy is released. However faults are finite-width interfaces with complex internal structures, characterized by highly damaged zones embedding a very thin principal slip interface where most of the dynamic slip localizes. Even though the rupture process is generally investigated at wavelengths larger than the fault zone thickness, which should justify a formulation based upon surface energy, a consistent homogeneization, a very challenging problem, is still missing. Such homogeneization is however be required to derive the consistent form of an effective interface law, as well as the appropriate physical variables and length scales, to correctly describe the coarse-grained dissipation resulting from surface and volumetric contributions at the scale of the fault zone. In this study, we investigate a scale-dependent law, introduced by Raous et al. (1999) in the context of adhesive material interfaces, that takes into account the transition between a damage dominated and a friction dominated state. Such a phase-field formalism describes this transition through an order parameter. We first compare this law to standard slip weakening friction law in terms of the rupture nucleation. The problem is analyzed through the representation of the solution of the quasi-static elastic problem onto the Chebyshev polynomial basis, generalizing the Uenishi-Rice solution. The nucleation solutions, at the onset of instability, are then introduced as initial conditions for the study of the dynamic rupture propagation, in the case of in-plane rupture, using high-order Spectral Element Methods and non-smooth contact mechanics. In particular, we investigate the implications of this new interface law in terms of the rupture propagation and arrest. Special attention is focused on radiation and supershear transition. Comparison with the classical slip weakening friction law is provided. Finally, first results toward a dynamic consistent homogeneization of damaged fault zones will be discussed. Raous, M., Cangémi, L. and Cocou, M. (1999). A consistent model coupling adhesion, friction and unilateral contact', Computer Methods in Applied Mechanics and Engineering, Vol. 177, pp.383-399.
NASA Technical Reports Server (NTRS)
Mendelson, A.; Manson, S. S.
1960-01-01
A method using finite-difference recurrence relations is presented for direct extrapolation of families of curves. The method is illustrated by applications to creep-rupture data for several materials and it is shown that good results can be obtained without the necessity for any of the usual parameter concepts.
The Application of Stress-Relaxation Test to Life Assessment of T911/T22 Weld Metal
NASA Astrophysics Data System (ADS)
Cao, Tieshan; Zhao, Jie; Cheng, Congqian; Li, Huifang
2016-03-01
A dissimilar weld metal was obtained through submerged arc welding of a T911 steel to a T22 steel, and its creep property was explored by stress-relaxation test assisted by some conventional creep tests. The creep rate information of the stress-relaxation test was compared to the minimum and the average creep rates of the conventional creep test. Log-log graph showed that the creep rate of the stress-relaxation test was in a linear relationship with the minimum creep rate of the conventional creep test. Thus, the creep rate of stress-relaxation test could be used in the Monkman-Grant relation to calculate the rupture life. The creep rate of the stress-relaxation test was similar to the average creep rate, and thereby the rupture life could be evaluated by a method of "time to rupture strain." The results also showed that rupture life which was assessed by the Monkman-Grant relation was more accurate than that obtained through the method of "time to rupture strain."
Rupture Complexities of Fluid Induced Microseismic Events at the Basel EGS Project
NASA Astrophysics Data System (ADS)
Folesky, Jonas; Kummerow, Jörn; Shapiro, Serge A.; Häring, Markus; Asanuma, Hiroshi
2016-04-01
Microseismic data sets of excellent quality, such as the seismicity recorded in the Basel-1 enhanced geothermal system, Switzerland, in 2006-2007, provide the opportunity to analyse induced seismic events in great detail. It is important to understand in how far seismological insights on e.g. source and rupture processes are scale dependent and how they can be transferred to fluid induced micro-seismicity. We applied the empirical Green's function (EGF) method in order to reconstruct the relative source time functions of 195 suitable microseismic events from the Basel-1 reservoir. We found 93 solutions with a clear and consistent directivity pattern. The remaining events display either no measurable directivity, are unfavourably oriented or exhibit non consistent or complex relative source time functions. In this work we focus on selected events of M ˜ 1 which show possible rupture complexities. It is demonstrated that the EGF method allows to resolve complex rupture behaviour even if it is not directly identifiable in the seismograms. We find clear evidence of rupture directivity and multi-phase rupturing in the analysed relative source time functions. The time delays between consecutive subevents lies in the order of 10ms. Amplitudes of the relative source time functions of the subevents do not always show the same azimuthal dependence, indicating dissimilarity in the rupture directivity of the subevents. Our observations support the assumption that heterogeneity on fault surfaces persists down to small scale (few tens of meters).
Zhu, Li-Zhen; Liu, Liang-Le; Cai, Chun-Yuan; Yang, Guo-Jing; Zhang, Li-Cheng; Zhu, Qi
2012-08-01
To explore selection and efficacy assessment for membranous urethral trauma caused by pelvic fracture. From June 2000 to August 2010, 72 patients with membranous urethral trauma caused by pelvic fracture were selected. There were 46 males and 26 females,ranging age from 26 to 62 years (averaged 35.2 years). The time from injury to hospitalization time was 1 to 3 hours. According to Tile pelvic fracture classification, there were 8 patients with type A, 45 patients with type B, 19 patients with type C. Thirty of the 35 patients with partial rupture of posterior urethral were treated by catheterization,5 patients treated by rupture anastomosis on the stage I combined with cystostomy; 25 of the 37 patients with complete rupture of posterior urethra were treated by early realignment, and 12 patients were treated by cystostomy. Urinary incontinence, impotence and urethrostenosis were evaluated. All patients were followed up for 5 to 10 years (mean 7.7 years). Incidence of urethrostenosis, impotence and urinary incontinence in patients treated by cystostomy were significantly higher than rupture anastomosis on the stage I and early realignment (P < 0.05); while incidence in patients treated by catheterization was significantly lower than other groups (P < 0.05). For patients with partial rupture of posterior urethral, catheterization and rupture anastomosis on the stage I are preferred methods; while patients with complete rupture of posterior urethra, early realignment is a preferred method with advantages of simple operation and less complications.
Pitarka, Arben; Graves, Robert; Irikura, Kojiro; Miyake, Hiroe; Rodgers, Arthur
2017-01-01
We analyzed the performance of the Irikura and Miyake (Pure and Applied Geophysics 168(2011):85–104, 2011) (IM2011) asperity-based kinematic rupture model generator, as implemented in the hybrid broadband ground motion simulation methodology of Graves and Pitarka (Bulletin of the Seismological Society of America 100(5A):2095–2123, 2010), for simulating ground motion from crustal earthquakes of intermediate size. The primary objective of our study is to investigate the transportability of IM2011 into the framework used by the Southern California Earthquake Center broadband simulation platform. In our analysis, we performed broadband (0–20 Hz) ground motion simulations for a suite of M6.7 crustal scenario earthquakes in a hard rock seismic velocity structure using rupture models produced with both IM2011 and the rupture generation method of Graves and Pitarka (Bulletin of the Seismological Society of America, 2016) (GP2016). The level of simulated ground motions for the two approaches compare favorably with median estimates obtained from the 2014 Next Generation Attenuation-West2 Project (NGA-West2) ground motion prediction equations (GMPEs) over the frequency band 0.1–10 Hz and for distances out to 22 km from the fault. We also found that, compared to GP2016, IM2011 generates ground motion with larger variability, particularly at near-fault distances (<12 km) and at long periods (>1 s). For this specific scenario, the largest systematic difference in ground motion level for the two approaches occurs in the period band 1–3 s where the IM2011 motions are about 20–30% lower than those for GP2016. We found that increasing the rupture speed by 20% on the asperities in IM2011 produced ground motions in the 1–3 s bandwidth that are in much closer agreement with the GMPE medians and similar to those obtained with GP2016. The potential implications of this modification for other rupture mechanisms and magnitudes are not yet fully understood, and this topic is the subject of ongoing study. We concluded that IM2011 rupture generator performs well in ground motion simulations using Graves and Pitarka hybrid method. Therefore, we recommend it to be considered for inclusion into the framework used by the Southern California Earthquake Center broadband simulation platform.
NASA Astrophysics Data System (ADS)
Pitarka, Arben; Graves, Robert; Irikura, Kojiro; Miyake, Hiroe; Rodgers, Arthur
2017-09-01
We analyzed the performance of the Irikura and Miyake (Pure and Applied Geophysics 168(2011):85-104, 2011) (IM2011) asperity-based kinematic rupture model generator, as implemented in the hybrid broadband ground motion simulation methodology of Graves and Pitarka (Bulletin of the Seismological Society of America 100(5A):2095-2123, 2010), for simulating ground motion from crustal earthquakes of intermediate size. The primary objective of our study is to investigate the transportability of IM2011 into the framework used by the Southern California Earthquake Center broadband simulation platform. In our analysis, we performed broadband (0-20 Hz) ground motion simulations for a suite of M6.7 crustal scenario earthquakes in a hard rock seismic velocity structure using rupture models produced with both IM2011 and the rupture generation method of Graves and Pitarka (Bulletin of the Seismological Society of America, 2016) (GP2016). The level of simulated ground motions for the two approaches compare favorably with median estimates obtained from the 2014 Next Generation Attenuation-West2 Project (NGA-West2) ground motion prediction equations (GMPEs) over the frequency band 0.1-10 Hz and for distances out to 22 km from the fault. We also found that, compared to GP2016, IM2011 generates ground motion with larger variability, particularly at near-fault distances (<12 km) and at long periods (>1 s). For this specific scenario, the largest systematic difference in ground motion level for the two approaches occurs in the period band 1-3 s where the IM2011 motions are about 20-30% lower than those for GP2016. We found that increasing the rupture speed by 20% on the asperities in IM2011 produced ground motions in the 1-3 s bandwidth that are in much closer agreement with the GMPE medians and similar to those obtained with GP2016. The potential implications of this modification for other rupture mechanisms and magnitudes are not yet fully understood, and this topic is the subject of ongoing study. We concluded that IM2011 rupture generator performs well in ground motion simulations using Graves and Pitarka hybrid method. Therefore, we recommend it to be considered for inclusion into the framework used by the Southern California Earthquake Center broadband simulation platform.
Source and Aftershock Analysis of a Large Deep Earthquake in the Tonga Flat Slab
NASA Astrophysics Data System (ADS)
Cai, C.; Wiens, D. A.; Warren, L. M.
2013-12-01
The 9 November 2009 (Mw 7.3) deep focus earthquake (depth = 591 km) occurred in the Tonga flat slab region, which is characterized by limited seismicity but has been imaged as a flat slab in tomographic imaging studies. In addition, this earthquake occurred immediately beneath the largest of the Fiji Islands and was well recorded by a temporary array of 16 broadband seismographs installed in Fiji and Tonga, providing an excellent opportunity to study the source mechanism of a deep earthquake in a partially aseismic flat slab region. We determine the positions of main shock hypocenter, its aftershocks and moment release subevents relative to the background seismicity using a hypocentroidal decomposition relative relocation method. We also investigate the rupture directivity by measuring the variation of rupture durations at different azimuth [e.g., Warren and Silver, 2006]. Arrival times picked from the local seismic stations together with teleseismic arrival times from the International Seismological Centre (ISC) are used for the relocation. Teleseismic waveforms are used for directivity study. Preliminary results show this entire region is relatively aseismic, with diffuse background seismicity distributed between 550-670 km. The main shock happened in a previously aseismic region, with only 1 small earthquake within 50 km during 1980-2012. 11 aftershocks large enough for good locations all occurred within the first 24 hours following the earthquake. The aftershock zone extends about 80 km from NW to SE, covering a much larger area than the mainshock rupture. The aftershock distribution does not correspond to the main shock fault plane, unlike the 1994 March 9 (Mw 7.6) Fiji-Tonga earthquake in the steeply dipping, highly seismic part of the Tonga slab. Mainshock subevent locations suggest a sub-horizontal SE-NW rupture direction. However, the directivity study shows a complicated rupture process which could not be solved with simple rupture assumption. We will present the result of this example earthquake and some other deep earthquakes at the fall meeting. Warren, L. M., and P. G. Silver (2006), Measurement of differential rupture durations as constraints on the source finiteness of deep earthquakes, J. Geophys. Res., 111, B06304, doi:10.1029/2005JB004001.
NASA Astrophysics Data System (ADS)
Gallovic, Frantisek; Cirella, Antonella; Plicka, Vladimir; Piatanesi, Alessio
2013-04-01
On 14 June 2008, UTC 23:43, the border of Iwate and Miyagi prefectures was hit by an Mw7 reverse-fault type crustal earthquake. The event is known to have the largest ground acceleration observed to date (~4g), which was recorded at station IWTH25. We analyze observed strong motion data with the objective to image the event rupture process and the associated uncertainties. Two different slip inversion approaches are used, the difference between the two methods being only in the parameterization of the source model. To minimize mismodeling of the propagation effects we use crustal model obtained by full waveform inversion of aftershock records in the frequency range between 0.05-0.3 Hz. In the first method, based on linear formulation, the parameters are represented by samples of slip velocity functions along the (finely discretized) fault in a time window spanning the whole rupture duration. Such a source description is very general with no prior constraint on the nucleation point, rupture velocity, shape of the velocity function. Thus the inversion could resolve very general (unexpected) features of the rupture evolution, such as multiple rupturing, rupture-propagation reversals, etc. On the other hand, due to the relatively large number of model parameters, the inversion result is highly non-unique, with possibility of obtaining a biased solution. The second method is a non-linear global inversion technique, where each point on the fault can slip only once, following a prescribed functional form of the source time function. We invert simultaneously for peak slip velocity, slip angle, rise time and rupture time by allowing a given range of variability for each kinematic model parameter. For this reason, unlike to the linear inversion approach, the rupture process needs a smaller number of parameters to be retrieved, and is more constrained with a proper control on the allowed range of parameter values. In order to test the resolution and reliability of the retrieved models, we present a thorough analysis of the performance of the two inversion approaches. In fact, depending on the inversion strategy and the intrinsic 'non-uniqueness' of the inverse problem, the final slip maps and distribution of rupture onset times are generally different, sometimes even incompatible with each other. Great emphasis is devoted to the uncertainty estimate of both techniques. Thus we do not compare only the best fitting models, but their 'compatibility' in terms of the uncertainty limits.
Acute Iliac Artery Rupture: Endovascular Treatment
DOE Office of Scientific and Technical Information (OSTI.GOV)
Chatziioannou, A.; Mourikis, D.; Katsimilis, J.
The authors present 7 patients who suffered iliac artery rupture over a 2 year period. In 5 patients, the rupture was iatrogenic: 4 cases were secondary to balloon angioplasty for iliac artery stenosis and 1 occurred during coronary angioplasty. In the last 2 patients, the rupture was secondary to iliac artery mycotic aneurysm. Direct placement of a stent-graft was performed in all cases, which was dilated until extravasation was controlled. Placement of the stent-graft was successful in all the cases, without any complications. The techniques used, results, and mid-term follow-up are presented. In conclusion, endovascular placement of a stent-graft ismore » a quick, minimally invasive, efficient, and safe method for emergency treatment of acute iliac artery rupture, with satisfactory short- and mid-term results.« less
Using a pseudo-dynamic source inversion approach to improve earthquake source imaging
NASA Astrophysics Data System (ADS)
Zhang, Y.; Song, S. G.; Dalguer, L. A.; Clinton, J. F.
2014-12-01
Imaging a high-resolution spatio-temporal slip distribution of an earthquake rupture is a core research goal in seismology. In general we expect to obtain a higher quality source image by improving the observational input data (e.g. using more higher quality near-source stations). However, recent studies show that increasing the surface station density alone does not significantly improve source inversion results (Custodio et al. 2005; Zhang et al. 2014). We introduce correlation structures between the kinematic source parameters: slip, rupture velocity, and peak slip velocity (Song et al. 2009; Song and Dalguer 2013) in the non-linear source inversion. The correlation structures are physical constraints derived from rupture dynamics that effectively regularize the model space and may improve source imaging. We name this approach pseudo-dynamic source inversion. We investigate the effectiveness of this pseudo-dynamic source inversion method by inverting low frequency velocity waveforms from a synthetic dynamic rupture model of a buried vertical strike-slip event (Mw 6.5) in a homogeneous half space. In the inversion, we use a genetic algorithm in a Bayesian framework (Moneli et al. 2008), and a dynamically consistent regularized Yoffe function (Tinti, et al. 2005) was used for a single-window slip velocity function. We search for local rupture velocity directly in the inversion, and calculate the rupture time using a ray-tracing technique. We implement both auto- and cross-correlation of slip, rupture velocity, and peak slip velocity in the prior distribution. Our results suggest that kinematic source model estimates capture the major features of the target dynamic model. The estimated rupture velocity closely matches the target distribution from the dynamic rupture model, and the derived rupture time is smoother than the one we searched directly. By implementing both auto- and cross-correlation of kinematic source parameters, in comparison to traditional smoothing constraints, we are in effect regularizing the model space in a more physics-based manner without loosing resolution of the source image. Further investigation is needed to tune the related parameters of pseudo-dynamic source inversion and relative weighting between the prior and the likelihood function in the Bayesian inversion.
Observations of the rupture development process from source time functions
NASA Astrophysics Data System (ADS)
Renou, Julien; Vallée, Martin
2017-04-01
The mechanisms governing the seismic rupture expansion and leading to earthquakes of very different magnitudes are still under debate. In the cascade model, the rupture starts from a very small patch, which size is undetectable by seismological investigation. Then rupture grows in a self-similar way, implying that no clues about the earthquake magnitude can be found before rupture starts declining. However dependencies between early phases of the rupture process and final magnitude have also been proposed, which can be explained if an earthquake is more likely to be a big one when its start and early development occur in rupture-prone areas. Here, the analysis of the early phases of the seismic rupture is achieved from an observational point of view using the SCARDEC database, a global catalog containing more than 3000 Source Time Functions (STFs) of earthquakes with magnitude larger than 5.7. This dataset is theoretically very suitable to investigate the initial phase, because STFs directly describe the seismic moment rate released over time, giving access to the rupture growth behavior. As several studies already showed that deep earthquakes tend to have a specific signature of short duration with respect to magnitude (implying a quicker rupture growth than superficial events), only shallow events (depths < 70km) are analyzed here. Our method consists in computing the STFs slope, i.e. the seismic moment acceleration, at several prescribed moment rates. In order to ensure that the chosen moment rates intersect the growth phase of the STF, its value must be high enough to avoid the very beginning of the signal -not well constrained in the deconvolution process-, and low enough to avoid the proximity of the peak moment rate. This approach does not use any rupture time information, which is interesting as (1) the exact hypocentral time can be uncertain and (2) the real rupture expansion can be delayed compared to origin time. If any magnitude-dependent signal exists, the average or median value of the slope should vary with the magnitude of the events, despite the intrinsic variability of the STFs. The preliminary results from the SCARDEC dataset seem to only exhibit a weak dependence of the slope with magnitude, in the magnitude domain where the chosen moment rate value crosses most of the STFs onsets. In addition, our results point out that slope values gradually increase with the moment rate. These findings will be discussed in the frame of the existing models of seismic rupture expansion.
Thermography based diagnosis of ruptured anterior cruciate ligament (ACL) in canines
NASA Astrophysics Data System (ADS)
Lama, Norsang; Umbaugh, Scott E.; Mishra, Deependra; Dahal, Rohini; Marino, Dominic J.; Sackman, Joseph
2016-09-01
Anterior cruciate ligament (ACL) rupture in canines is a common orthopedic injury in veterinary medicine. Veterinarians use both imaging and non-imaging methods to diagnose the disease. Common imaging methods such as radiography, computed tomography (CT scan) and magnetic resonance imaging (MRI) have some disadvantages: expensive setup, high dose of radiation, and time-consuming. In this paper, we present an alternative diagnostic method based on feature extraction and pattern classification (FEPC) to diagnose abnormal patterns in ACL thermograms. The proposed method was experimented with a total of 30 thermograms for each camera view (anterior, lateral and posterior) including 14 disease and 16 non-disease cases provided from Long Island Veterinary Specialists. The normal and abnormal patterns in thermograms are analyzed in two steps: feature extraction and pattern classification. Texture features based on gray level co-occurrence matrices (GLCM), histogram features and spectral features are extracted from the color normalized thermograms and the computed feature vectors are applied to Nearest Neighbor (NN) classifier, K-Nearest Neighbor (KNN) classifier and Support Vector Machine (SVM) classifier with leave-one-out validation method. The algorithm gives the best classification success rate of 86.67% with a sensitivity of 85.71% and a specificity of 87.5% in ACL rupture detection using NN classifier for the lateral view and Norm-RGB-Lum color normalization method. Our results show that the proposed method has the potential to detect ACL rupture in canines.
Instability, rupture and fluctuations in thin liquid films: Theory and computations
NASA Astrophysics Data System (ADS)
Gvalani, Rishabh; Duran-Olivencia, Miguel; Kalliadasis, Serafim; Pavliotis, Grigorios
2017-11-01
Thin liquid films are ubiquitous in natural phenomena and technological applications. They are commonly studied via deterministic hydrodynamic equations, but thermal fluctuations often play a crucial role that still needs to be understood. An example of this is dewetting, which involves the rupture of a thin liquid film and the formation of droplets. Such a process is thermally activated and requires fluctuations to be taken into account self-consistently. Here we present an analytical and numerical study of a stochastic thin-film equation derived from first principles. We scrutinise the behaviour of the stochastic thin film equation in the limit of perfectly correlated noise along the wall-normal direction. We also perform Monte Carlo simulations of the stochastic equation by adopting a numerical scheme based on a spectral collocation method. The numerical scheme allows us to explore the fluctuating dynamics of the thin film and the behaviour of the system's free energy close to rupture. Finally, we also study the effect of the noise intensity on the rupture time, which is in good agreement with previous works. Imperial College London (ICL) President's PhD Scholarship; European Research Council Advanced Grant No. 247031; EPSRC Grants EP/L025159, EP/L020564, EP/P031587, EP/L024926, and EP/L016230/1.
Vaginal delivery after Misgav-Ladach cesarean section--is the risk of uterine rupture acceptable?
Hudić, Igor; Fatusić, Zlatan; Kamerić, Lejla; Misić, Mladen; Serak, Indira; Latifagić, Anela
2010-10-01
To evaluate whether the single-layer closure as is a routine by the Misgav-Ladach method compared to the double-layer closure as used by the Dörfler cesarean method is associated with an increased risk of uterine rupture in the subsequent pregnancy and delivery. The analysis is retrospective and is based on medical documentation of the Clinic for Gynecology and Obstetrics, University Clinical Centre, Tuzla, Bosnia and Herzegovina. All patients with one previous cesarean section who attempted vaginal birth following cesarean section were managed from 1 January 2002 to 31 December 2008. Exclusion criteria included multiple gestation, greater than one previous cesarean section, previous incision other than low transverse, gestational age at delivery less than 37 weeks and induction of delivery. We identified 448 patients who met inclusion criteria. We found that 303 patients had a single-layer closure (Misgav-Ladach) and 145 had a double-layer closure (Dörffler) of the previous uterine incision. There were 35 cases of uterine rupture. Of those patients with previous single-layer closure, 5.28% (16/303) had a uterine rupture compared to 13.11% (19/145) in the double-layer closure group (p<0.05). We have not found that a Misgav-Ladach cesarean section method (single-layer uterine closure) might be more likely to result in uterine rupture in women who attempted a vaginal birth after a previous cesarean delivery. This cesarean section method should find its confirmation in everyday clinical practice.
Rosendahl, Pia; Hippler, Joerg; Schmitz, Oliver J; Hoffmann, Oliver; Rusch, Peter
2016-05-01
The replacement of medical-grade silicone with industrial-grade silicone material in some silicone gel-filled breast implants (SBI) manufactured by Poly Implant Prothèse and Rofil Medical Nederland B.V., reported in 2010, which resulted in a higher rupture tendency of these SBI, demonstrates the need for non-invasive, sensitive monitoring and screening methods. Therefore a sensitive method based on large volume injection-gas chromatography coupled to mass spectrometry (LVI-GC/MS) was developed to determine octamethylcyclotetrasiloxane (D4), decamethylcyclopentasiloxane (D5), and dodecamethylcyclo-hexasiloxane (D6) in blood samples from women with intact (n = 13) and ruptured SBI (n = 11). With dichloromethane extraction, sample cooling during preparation, and analysis extraction efficiencies up to 100 % and limits of detection of 0.03-0.05 ng D4-D6/g blood were achieved. Blood samples from women with SBI were investigated. In contrast to women with intact SBI, in blood from women with ruptured SBI higher D4 and D6 concentrations up to 0.57 ng D4/g blood and 0.16 ng D6/g blood were detected. With concentrations above 0.18 D4 ng/blood and 0.10 ng D6/g blood as significant criteria for ruptured SBI, this developed analytical preoperative diagnostic method shows a significant increase of the recognition rate. Finally a higher precision (error rate 17%) than the commonly used clinical diagnostic method, mamma sonography (error rate 46%), was achieved.
Strong Ground Motion Analysis and Afterslip Modeling of Earthquakes near Mendocino Triple Junction
NASA Astrophysics Data System (ADS)
Gong, J.; McGuire, J. J.
2017-12-01
The Mendocino Triple Junction (MTJ) is one of the most seismically active regions in North America in response to the ongoing motions between North America, Pacific and Gorda plates. Earthquakes near the MTJ come from multiple types of faults due to the interaction boundaries between the three plates and the strong internal deformation within them. Understanding the stress levels that drive the earthquake rupture on the various types of faults and estimating the locking state of the subduction interface are especially important for earthquake hazard assessment. However due to lack of direct offshore seismic and geodetic records, only a few earthquakes' rupture processes have been well studied and the locking state of the subducted slab is not well constrained. In this study we first use the second moment inversion method to study the rupture process of the January 28, 2015 Mw 5.7 strike slip earthquake on Mendocino transform fault using strong ground motion records from Cascadia Initiative community experiment as well as onshore seismic networks. We estimate the rupture dimension to be of 6 km by 3 km and a stress drop of 7 MPa on the transform fault. Next we investigate the frictional locking state on the subduction interface through afterslip simulation based on coseismic rupture models of this 2015 earthquake and a Mw 6.5 intraplate eathquake inside Gorda plate whose slip distribution is inverted using onshore geodetic network in previous study. Different depths for velocity strengthening frictional properties to start at the downdip of the locked zone are used to simulate afterslip scenarios and predict the corresponding surface deformation (GPS) movements onshore. Our simulations indicate that locking depth on the slab surface is at least 14 km, which confirms that the next M8 earthquake rupture will likely reach the coastline and strong shaking should be expected near the coast.
Analysis of 30 breast implant rupture cases.
Tark, Kwan Chul; Jeong, Hii Sun; Roh, Tae Suk; Choi, Jong Woo
2005-01-01
Breast implants used for augmentation mammoplasty or breast reconstruction could rupture from various causes such as trauma or spontaneous failure. The objectives of this study were to investigate the relationships between the causes of implant rupture and the degree of capsular contracture, and then to evaluate the relative efficacies of specific signs on magnetic resonance imaging (MRI) known to be beneficial for diagnosing the rupture. A retrospective review identified patients with prosthetic implant rupture or impending rupture treated by the senior author. The 30 cases of implant rupture available for review were classified into two groups: intracapsular and extracapsular ruptures. The 30 cases of breast implant ruptures were analyzed with respect to the clinical symptoms and signs, the causes of rupture, the degree of capsular contracture, and therapeutic plans. Among the 30 cases, 14 patients who had undergone MRI during the diagnostic period were analyzed with respect to the relationships between MRI readings and operative findings. Spontaneous rupture of membranes was most common (80%), followed by failure because of trauma (7%) and valve or implant base (4%). The symptoms during implant rupture were contour deformity, palpated mass-like lesions, pain, and focal inflammation. According to the analysis of specific MRI signs, the sensitivity and specificity of the linguine sign were 87% and 100%, respectively, for intracapsular rupture. For extracapsular rupture, the sensitivity and specificity of the linguine sign were, respectively, 67% and 75%. The sensitivity and specificity of the rat-tail sign and tear drop sign were 14% and 50%, respectively. Breast implant rupture was correlated with the degree of capsular contracture in our study. Among the various specific MRI signs used in diagnosing the rupture, the linguine sign was reliable and had a high sensitivity and specificity, especially in cases of intracapsular rupture. On the other hand, the rat-tail and tear drop signs were nonspecific signs for diagnosing the rupture of breast implant.
Ruptured Tendons in Anabolic-Androgenic Steroid Users: A Cross-Sectional Cohort Study.
Kanayama, Gen; DeLuca, James; Meehan, William P; Hudson, James I; Isaacs, Stephanie; Baggish, Aaron; Weiner, Rory; Micheli, Lyle; Pope, Harrison G
2015-11-01
Accumulating case reports have described tendon rupture in men who use anabolic-androgenic steroids (AAS). However, no controlled study has assessed the history of tendon rupture in a large cohort of AAS users and comparison nonusers. Men reporting long-term AAS abuse would report an elevated lifetime incidence of tendon rupture compared with non-AAS-using bodybuilders. Cohort study; Level of evidence, 3. Medical histories were obtained from 142 experienced male bodybuilders aged 35 to 55 years recruited in the course of 2 studies. Of these men, 88 reported at least 2 years of cumulative lifetime AAS use, and 54 reported no history of AAS use. In men reporting a history of tendon rupture, the circumstances of the injury, prodromal symptoms, concomitant drug or alcohol use, and details of current and lifetime AAS use (if applicable) were recorded. Surgical records were obtained for most participants. Nineteen (22%) of the AAS users, but only 3 (6%) of the nonusers, reported at least 1 lifetime tendon rupture. The hazard ratio for a first ruptured tendon in AAS users versus nonusers was 9.0 (95% CI, 2.5-32.3; P < .001). Several men reported 2 or more independent lifetime tendon ruptures. Interestingly, upper-body tendon ruptures occurred exclusively in the AAS group (15 [17%] AAS users vs 0 nonusers; risk difference, 0.17 [95% CI, 0.09-0.25]; P < .001 [hazard ratio not estimable]), whereas there was no significant difference between users and nonusers in risk for lower-body ruptures (6 [7%] AAS users, 3 [6%] nonusers; hazard ratio, 3.1 [95% CI, 0.7-13.8]; P = .13). Of 31 individual tendon ruptures assessed, only 6 (19%) occurred while weightlifting, with the majority occurring during other sports activities. Eight (26%) ruptures followed prodromal symptoms of nonspecific pain in the region. Virtually all ruptures were treated surgically, with complete or near-complete ultimate restoration of function. AAS abusers, compared with otherwise similar bodybuilders, showed a markedly increased risk of tendon ruptures, particularly upper-body tendon rupture. © 2015 The Author(s).
NASA Astrophysics Data System (ADS)
Saunders, J. K.; Haase, J. S.
2017-12-01
The rupture location of a Mw 8 megathrust earthquake can dramatically change the near-source tsunami impact, where a shallow earthquake can produce a disproportionally large tsunami for its magnitude. Because the locking pattern of the shallow Cascadia megathrust is unconstrained due to the lack of widespread seafloor geodetic observations, near-source tsunami early warning systems need to be able to identify shallow, near-trench earthquakes. Onshore GPS displacements provide low frequency ground motions and coseismic offsets for characterizing tsunamigenic earthquakes, however the one-sided distribution of data may not be able to uniquely determine the rupture region. We examine how augmenting the current real-time GPS network in Cascadia with different offshore station configurations improves static slip inversion solutions for Mw 8 earthquakes at different rupture depths. Two offshore coseismic data types are tested in this study: vertical-only, which would be available using existing technology for bottom pressure sensors, and all-component, which could be achieved by combining pressure sensors with real-time GPS-Acoustic observations. We find that both types of offshore data better constrain the rupture region for a shallow earthquake compared to onshore data alone when offshore stations are located above the rupture. However, inversions using vertical-only offshore data tend to underestimate the amount of slip for a shallow rupture, which we show underestimates the tsunami impact. Including offshore horizontal coseismic data into the inversions improves the slip solutions for a given offshore station configuration, especially in terms of maximum slip. This suggests that while real-time GPS-Acoustic sensors may have a long development timeline, they will have more impact for inversion-based tsunami early warning systems than bottom pressure sensors. We also conduct sensitivity studies using kinematic models with varying rupture speeds and rise times as a proxy for expected rigidity changes with depth along the megathrust. We find distinguishing features in displacement waveforms that can be used to infer primary rupture region. We discuss how kinematic inversion methods that use these characteristics in high-rate GPS data could be applied to the Cascadia subduction zone.
NASA Astrophysics Data System (ADS)
Wollherr, Stephanie; Gabriel, Alice-Agnes; Igel, Heiner
2015-04-01
In dynamic rupture models, high stress concentrations at rupture fronts have to to be accommodated by off-fault inelastic processes such as plastic deformation. As presented in (Roten et al., 2014), incorporating plastic yielding can significantly reduce earlier predictions of ground motions in the Los Angeles Basin. Further, an inelastic response of materials surrounding a fault potentially has a strong impact on surface displacement and is therefore a key aspect in understanding the triggering of tsunamis through floor uplifting. We present an implementation of off-fault-plasticity and its verification for the software package SeisSol, an arbitrary high-order derivative discontinuous Galerkin (ADER-DG) method. The software recently reached multi-petaflop/s performance on some of the largest supercomputers worldwide and was a Gordon Bell prize finalist application in 2014 (Heinecke et al., 2014). For the nonelastic calculations we impose a Drucker-Prager yield criterion in shear stress with a viscous regularization following (Andrews, 2005). It permits the smooth relaxation of high stress concentrations induced in the dynamic rupture process. We verify the implementation by comparison to the SCEC/USGS Spontaneous Rupture Code Verification Benchmarks. The results of test problem TPV13 with a 60-degree dipping normal fault show that SeisSol is in good accordance with other codes. Additionally we aim to explore the numerical characteristics of the off-fault plasticity implementation by performing convergence tests for the 2D code. The ADER-DG method is especially suited for complex geometries by using unstructured tetrahedral meshes. Local adaptation of the mesh resolution enables a fine sampling of the cohesive zone on the fault while simultaneously satisfying the dispersion requirements of wave propagation away from the fault. In this context we will investigate the influence of off-fault-plasticity on geometrically complex fault zone structures like subduction zones or branched faults. Studying the interplay of stress conditions and angle dependence of neighbouring branches including inelastic material behaviour and its effects on rupture jumps and seismic activation helps to advance our understanding of earthquake source processes. An application is the simulation of a real large-scale subduction zone scenario including plasticity to validate the coupling of our dynamic rupture calculations to a tsunami model in the framework of the ASCETE project (http://www.ascete.de/). Andrews, D. J. (2005): Rupture dynamics with energy loss outside the slip zone, J. Geophys. Res., 110, B01307. Heinecke, A. (2014), A. Breuer, S. Rettenberger, M. Bader, A.-A. Gabriel, C. Pelties, A. Bode, W. Barth, K. Vaidyanathan, M. Smelyanskiy and P. Dubey: Petascale High Order Dynamic Rupture Earthquake Simulations on Heterogeneous Supercomputers. In Supercomputing 2014, The International Conference for High Performance Computing, Networking, Storage and Analysis. IEEE, New Orleans, LA, USA, November 2014. Roten, D. (2014), K. B. Olsen, S.M. Day, Y. Cui, and D. Fäh: Expected seismic shaking in Los Angeles reduced by San Andreas fault zone plasticity, Geophys. Res. Lett., 41, 2769-2777.
Different Sutures in the Surgical Treatment of Acute Closed Achilles Tendon Rupture.
Ji, Yunhan; Ma, Xin; Wang, Xu; Huang, Jiazhang; Zhang, Chao; Chen, Li
2015-12-01
The aim was to compare the postoperative efficacy of the PDS II and Ethibond W4843 sutures in fresh, closed Achilles tendon rupture. With methods of random grouping (level of evidence II b), a total of 128 patients with fresh Achilles tendon rupture were operated on with PDS II or Ethibond W4843 suture. Postoperative objective examination and the American Orthopaedic Foot & Ankle Society (AOFAS) scoring system were used for the evaluation. Group A underwent 12-39 months of follow-up, for an average of 22 months. Group B underwent 12-37 months of follow-up, for an average of 23 months. The postoperative AOFAS score of group A within 3 months was 93 ± 9.6 points. One case exhibited re-rupture, five cases exhibited incision infection, one case manifested deep infection, and seven cases exhibited Achilles tendon adhesion. The postoperative AOFAS score of group B within 3 months was 97 ± 7.8 points. Eleven cases had incision infection, and 13 cases manifested Achilles tendon adhesion. Minimal differences were observed in the incision infection, re-rupture rate, and Achilles tendon adhesion in the study of the PDS II and Ethibond W4843 sutures. But, based on the AOFAS score and pain score, the Ethibond suture performed better.
Tempel, Michael B.; Harrison, Shannon; Zhu, Xiang
2013-01-01
Objective: When someone plans a vacation, one of the last things taken into consideration is the possibility of contracting an illness while away. Unfortunately, if people develop abdominal pain while planning for a vacation, they usually proceed with the vacation and do not consider getting medical attention for their pain. The purpose of this study was to examine the effect of being on vacation and its association with ruptured appendicitis. Methods: From January 1, 2007 to December 31, 2008, the incidence of ruptured appendicitis cases at Florida Hospital–Celebration Health, located 5 miles from Walt Disney World, was compared with that of Florida Hospital–Orlando, approximately 30 miles away from Walt Disney World. We evaluated whether patients “on vacation” versus residents of Orlando have an increased incidence of ruptured appendicitis. Results: Of patients treated for presumed appendicitis, 60.59% at Florida Hospital–Celebration Health had ruptured appendicitis during this time versus 20.42% at Florida Hospital–Orlando. Of those 266 patients seen at Florida Hospital–Celebration Health, 155 were on vacation versus only 21 at Florida Hospital–Orlando. Conclusion: Although there is not a direct cause and effect, it is clear that there is a higher incidence of ruptured appendicitis in patients on vacation versus in the regular community in the Orlando, Florida area. PMID:23743367
Self-healing slip pulses in dynamic rupture models due to velocity-dependent strength
Beeler, N.M.; Tullis, T.E.
1996-01-01
Seismological observations of short slip duration on faults (short rise time on seismograms) during earthquakes are not consistent with conventional crack models of dynamic rupture and fault slip. In these models, the leading edge of rupture stops only when a strong region is encountered, and slip at an interior point ceases only when waves from the stopped edge of slip propagate back to that point. In contrast, some seismological evidence suggests that the duration of slip is too short for waves to propagate from the nearest edge of the ruptured surface, perhaps even if the distance used is an asperity size instead of the entire rupture dimension. What controls slip duration, if not dimensions of the fault or of asperities? In this study, dynamic earthquake rupture and slip are represented by a propagating shear crack. For all propagating shear cracks, slip velocity is highest near the rupture front, and at a small distance behind the rupture front, the slip velocity decreases. As pointed out by Heaton (1990), if the crack obeys a negative slip-rate-dependent strength relation, the lower slip velocity behind the rupture front will lead to strengthening that further reduces the velocity, and under certain circumstances, healing of slip can occur. The boundary element method of Hamano (1974) is used in a program adapted from Andrews (1985) for numerical simulations of mode II rupture with two different velocity-dependent strength functions. For the first function, after a slip-weakening displacement, the crack follows an exponential velocity-weakening relation. The characteristic velocity V0 of the exponential determines the magnitude of the velocity-dependence at dynamic velocities. The velocity-dependence at high velocity is essentially zero when V0 is small and the resulting slip velocity distribution is similar to slip weakening. If V0 is larger, rupture propagation initially resembles slip-weakening, but spontaneous healing occurs behind the rupture front. The rise time and rupture propagation velocity depend on the choice of constitutive parameters. The second strength function is a natural log velocity-dependent form similar to constitutive laws that fit experimental rock friction data at lower velocities. Slip pulses also arise with this function. For a reasonable choice of constitutive parameters, slip pulses with this function do not propagate at speeds greater than the Raleighwave velocity. The calculated slip pulses are similar in many aspects to seismic observations of short rise time. In all cases of self-healing slip pulses, the residual stress increases with distance behind the trailing edge of the pulse so that the final stress drop is much less than the dynamic stress drop, in agreement with the model of Brune (1976) and some recent seismological observations of rupture.
Update on the prevention of death from ruptured abdominal aortic aneurysm.
Jacomelli, Jo; Summers, Lisa; Stevenson, Anne; Lees, Tim; Earnshaw, Jonothan J
2017-09-01
Objectives To monitor the early effect of a national population screening programme for abdominal aortic aneurysm in 65-year-old men. Setting The study used national statistics for death rates from abdominal aortic aneurysm (Office of National Statistics) and hospital admission data in England (Hospital Episode Statistics). Methods Information concerning deaths from abdominal aortic aneurysm (ruptured and non-ruptured) (1999-2014) and hospital admissions for ruptured abdominal aortic aneurysm (2000-2015) was examined. Results The absolute number of deaths from abdominal aortic aneurysm in men and women aged 65 and over has decreased by around 30% from 2001 to 2014, but as the population has increased, the relative reduction was 45.6% and 40.0%, respectively. Some 65% of all abdominal aortic aneurysm deaths are in men aged over 65; women aged 65 and over account for around 31%. Deaths from ruptured abdominal aortic aneurysm in men aged 60-74 (the screened group) appear to be declining at the same rate as in men aged 75 and over. The relative decline in admissions to hospital with ruptured abdominal aortic aneurysm may be greater in men and women aged 60-74 (which contains the screened group of men), than those older, giving the first possible evidence that abdominal aortic aneurysm screening is having an effect. Conclusion The death rate from abdominal aortic aneurysm is declining rapidly in England. There is the first evidence that screening may be contributing to this reduction.
The relevance and applicability of oocyst prevalence as a read-out for mosquito feeding assays
NASA Astrophysics Data System (ADS)
Stone, Will J. R.; Eldering, Maarten; van Gemert, Geert-Jan; Lanke, Kjerstin H. W.; Grignard, Lynn; van de Vegte-Bolmer, Marga G.; Siebelink-Stoter, Rianne; Graumans, Wouter; Roeffen, Will F. G.; Drakeley, Chris J.; Sauerwein, Robert W.; Bousema, Teun
2013-12-01
Mosquito feeding assays are important in evaluations of malaria transmission-reducing interventions. The proportion of mosquitoes with midgut oocysts is commonly used as an outcome measure, but in natural low intensity infections the effect of oocyst non-rupture on mosquito infectivity is unclear. By identifying ruptured as well as intact oocysts, we show that in low intensity P. falciparum infections i) 66.7-96.7% of infected mosquitoes experienced oocyst rupture between 11-21 days post-infection, ii) oocyst rupture led invariably to sporozoite release, iii) oocyst rupture led to salivary gland infections in 97.8% of mosquitoes, and iv) 1250 (IQR 313-2400) salivary gland sporozoites were found per ruptured oocyst. These data show that infectivity can be predicted with reasonable certainty from oocyst prevalence in low intensity infections. High throughput methods for detecting infection in whole mosquitoes showed that 18s PCR but not circumsporozoite ELISA gave a reliable approximation of mosquito infection rates on day 7 post-infection.
Dynamic mortar finite element method for modeling of shear rupture on frictional rough surfaces
NASA Astrophysics Data System (ADS)
Tal, Yuval; Hager, Bradford H.
2017-09-01
This paper presents a mortar-based finite element formulation for modeling the dynamics of shear rupture on rough interfaces governed by slip-weakening and rate and state (RS) friction laws, focusing on the dynamics of earthquakes. The method utilizes the dual Lagrange multipliers and the primal-dual active set strategy concepts, together with a consistent discretization and linearization of the contact forces and constraints, and the friction laws to obtain a semi-smooth Newton method. The discretization of the RS friction law involves a procedure to condense out the state variables, thus eliminating the addition of another set of unknowns into the system. Several numerical examples of shear rupture on frictional rough interfaces demonstrate the efficiency of the method and examine the effects of the different time discretization schemes on the convergence, energy conservation, and the time evolution of shear traction and slip rate.
Treatment of acute and closed Achilles tendon ruptures by minimally invasive tenocutaneous suturing.
Ding, Wenge; Yan, Weihong; Zhu, Yaping; Liu, Zhiwei
2012-09-01
Achilles tendon rupture is a common injury, and its complications can impair function. Numerous operations have been described for reconstructing the ruptured tendon, but these methods can compromise microcirculation in the tendon and can seriously impair its healing. Suturing with a minimally invasive tenocutaneous technique soon after the rupture and systematic functional exercise can greatly reduce the possibility of complications. Between June 1996 and February 2009, we treated 88 patients (54 males; age range, 21-66 years) with this method. After follow-up ranging from 1-7 years, the mean American Orthopedic Foot and Ankle Society ankle-hind foot score was 95 (range, 90-98), and the maximum length of postoperative scarring was 3 cm. One patient re-ruptured his Achilles tendon one year after surgery in an accident, but after 10 months, the repaired tendon was still intact. In another patient, the nervus suralis was damaged during surgery by piercing the tension suture at the near end, causing postoperative numbness and swelling. The tension suture was quickly removed, and the patient recovered well with conservative treatment. No large irregular scars, such as those sustained during immobilization, were present over the Achilles tendon. Minimally invasive percutaneous suturing can restore the original length and continuity of the Achilles tendon, is minimally invasive, and has fewer postoperative complications than other methods.
Wan, Jun; Gu, Weijin; Zhang, Xiaolong; Geng, Daoying; Lu, Gang; Huang, Lei; Zhang, Lei; Ge, Liang; Ji, Lihua
2014-01-01
Background Ruptured intracranial aneurysm (ICA) with bleb formation (RICABF) is a special type of ruptured ICA. However, the exact role and effectiveness of endovascular coil embolization (ECE) in RICABF is unknown. We aimed to investigate the effectiveness and safety of ECE of aneurysm neck for RICABF treatment. Material/Methods We retrospectively assessed consecutive patients who were hospitalized in our endovascular intervention center between October 2004 and May 2012. Overall, 86 patients underwent ECE of aneurysm neck for 86 RICABF. Treatments outcomes included secondary rupture/bleeding rate, aneurysm neck embolization rate, residual/recurrent aneurysm, intraoperative incidents, and post-embolization complications, as well as improvements in the Glasgow outcome scale (extended) (GOS-E). Results Complete occlusion was achieved in 72 aneurysms (72/86, 83.7%), while 12 aneurysms (12/86, 14.0%) had a residual neck, and 2 aneurysms (2/86, 2.3%) had a residual aneurysm. The postoperative GOS-E was 3 in 3 patients (3.5%), 4 in 10 patients (11.6%), and 5 in 73 patients (84.9%). Follow-up angiography was performed in all patients (mean 9.0 months, interquartile range of 9.0). Recurrence was found in 3 patients (3/86, 3.5%). No aneurysm rupture or bleeding was reported. Conclusions Our mid-term follow-up study showed that ECE of aneurysm neck was an effective and safe treatment modality for RICABF. The long-term effectiveness and safety of this interventional radiology technique need to be investigated in prospective and comparative studies. PMID:24986761
Creep rupture of polymer-matrix composites
NASA Technical Reports Server (NTRS)
Brinson, H. F.; Morris, D. H.; Griffith, W. I.
1981-01-01
The time-dependent creep-rupture process in graphite-epoxy laminates is examined as a function of temperature and stress level. Moisture effects are not considered. An accelerated characterization method of composite-laminate viscoelastic modulus and strength properties is reviewed. It is shown that lamina-modulus master curves can be obtained using a minimum of normally performed quality-control-type testing. Lamina-strength master curves, obtained by assuming a constant-strain-failure criterion, are presented along with experimental data, and reasonably good agreement is shown to exist between the two. Various phenomenological delayed failure models are reviewed and two (the modified rate equation and the Larson-Miller parameter method) are compared to creep-rupture data with poor results.
In silico synchronization reveals regulators of nuclear ruptures in lamin A/C deficient model cells
NASA Astrophysics Data System (ADS)
Robijns, J.; Molenberghs, F.; Sieprath, T.; Corne, T. D. J.; Verschuuren, M.; de Vos, W. H.
2016-07-01
The nuclear lamina is a critical regulator of nuclear structure and function. Nuclei from laminopathy patient cells experience repetitive disruptions of the nuclear envelope, causing transient intermingling of nuclear and cytoplasmic components. The exact causes and consequences of these events are not fully understood, but their stochastic occurrence complicates in-depth analyses. To resolve this, we have established a method that enables quantitative investigation of spontaneous nuclear ruptures, based on co-expression of a firmly bound nuclear reference marker and a fluorescent protein that shuttles between the nucleus and cytoplasm during ruptures. Minimally invasive imaging of both reporters, combined with automated tracking and in silico synchronization of individual rupture events, allowed extracting information on rupture frequency and recovery kinetics. Using this approach, we found that rupture frequency correlates inversely with lamin A/C levels, and can be reduced in genome-edited LMNA knockout cells by blocking actomyosin contractility or inhibiting the acetyl-transferase protein NAT10. Nuclear signal recovery followed a kinetic that is co-determined by the severity of the rupture event, and could be prolonged by knockdown of the ESCRT-III complex component CHMP4B. In conclusion, our approach reveals regulators of nuclear rupture induction and repair, which may have critical roles in disease development.
2014-01-01
Background Maternal mortality is a major public health challenge in Uganda. Whereas uterine rupture remains a major cause of maternal morbidity and mortality, there is limited research into what happens to women who survive such severe obstetric complications. Understanding their experiences might delineate strategies to support survivors. Methods This qualitative study used a phenomenological approach to explore lived experiences of women who developed uterine rupture following obstructed labor. In-depth interviews initially conducted during their hospitalization were repeated 3–6 months after the childbirth event to explore their health and meanings they attached to the traumatic events and their outcomes. Data were analyzed using thematic analysis. Results The resultant themes included barriers to access healthcare, multiple “losses” and enduring physical, psychosocial and economic consequences. Many women who develop uterine rupture fail to access critical care needed due to failure to recognise danger signs of obstructed labor, late decision making for accessing care, geographical barriers to health facilities, late or failure to diagnose obstructed labor at health facilities, and failure to promptly perform caesarean section. Secondly, the sequel of uterine rupture includes several losses (loss of lives, loss of fertility, loss of body image, poor quality of life and disrupted marital relationships). Thirdly, uterine rupture has grim economic consequences for the survivors (with financial loss and loss of income during and after the calamitous events). Conclusion Uterine rupture is associated with poor quality of care due to factors that operate at personal, household, family, community and society levels, and results in dire physical, psychosocial and financial consequences for survivors. There is need to improve access to and provision of emergency obstetric care in order to prevent uterine rupture consequent to obstructed labor. There is also critical need to provide counselling and support to survivors to enable them cope with physical, social, psychological and economic consequences. PMID:24758354
NASA Astrophysics Data System (ADS)
Geersen, J.; Ranero, C. R.; Kopp, H.; Behrmann, J. H.; Lange, D.; Klaucke, I.; Barrientos, S.; Diaz-Naveas, J.; Barckhausen, U.; Reichert, C.
2018-05-01
Seismic rupture of the shallow plate-boundary can result in large tsunamis with tragic socio-economic consequences, as exemplified by the 2011 Tohoku-Oki earthquake. To better understand the processes involved in shallow earthquake rupture in seismic gaps (where megathrust earthquakes are expected), and investigate the tsunami hazard, it is important to assess whether the region experienced shallow earthquake rupture in the past. However, there are currently no established methods to elucidate whether a margin segment has repeatedly experienced shallow earthquake rupture, with the exception of mechanical studies on subducted fault-rocks. Here we combine new swath bathymetric data, unpublished seismic reflection images, and inter-seismic seismicity to evaluate if the pattern of permanent deformation in the marine forearc of the Northern Chile seismic gap allows inferences on past earthquake behavior. While the tectonic configuration of the middle and upper slope remains similar over hundreds of kilometers along the North Chilean margin, we document permanent extensional deformation of the lower slope localized to the region 20.8°S-22°S. Critical taper analyses, the comparison of permanent deformation to inter-seismic seismicity and plate-coupling models, as well as recent observations from other subduction-zones, including the area that ruptured during the 2011 Tohoku-Oki earthquake, suggest that the normal faults at the lower slope may have resulted from shallow, possibly near-trench breaking earthquake ruptures in the past. In the adjacent margin segments, the 1995 Antofagasta, 2007 Tocopilla, and 2014 Iquique earthquakes were limited to the middle and upper-slope and the terrestrial forearc, and so are upper-plate normal faults. Our findings suggest a seismo-tectonic segmentation of the North Chilean margin that seems to be stable over multiple earthquake cycles. If our interpretations are correct, they indicate a high tsunami hazard posed by the yet un-ruptured southern segment of the seismic gap.
Wirth, Erin A.; Frankel, Arthur; Vidale, John E.
2017-01-01
We compare broadband synthetic seismograms with recordings of the 2003 Mw">MwMw 8.3 Tokachi‐Oki earthquake to evaluate a compound rupture model, in which slip on the fault consists of multiple high‐stress‐drop asperities superimposed on a background slip distribution with longer rise times. Low‐frequency synthetics (<1 Hz"><1 Hz<1 Hz) are calculated using deterministic, 3D finite‐difference simulations and are combined with high‐frequency (>1 Hz">>1 Hz>1 Hz) stochastic synthetics using a matched filter at 1 Hz. We show that this compound rupture model and overall approach accurately reproduces waveform envelopes and observed response spectral accelerations (SAs) from the Tokachi‐Oki event. We find that sufficiently short subfault rise times (i.e., <∼1–2 s"><∼1–2 s<∼1–2 s) are necessary to reproduce energy ∼1 Hz">∼1 Hz∼1 Hz. This is achieved by either (1) including distinct subevents with short rise times, as may be suggested by the Tokachi‐Oki data, or (2) imposing a fast‐slip velocity over the entire rupture area. We also include a systematic study on the effects of varying several kinematic rupture parameters. We find that simulated strong ground motions are sensitive to the average rupture velocity and coherence of the rupture front, with more coherent ruptures yielding higher response SAs. We also assess the effects of varying the average slip velocity and the character (i.e., area, magnitude, and location) of high‐stress‐drop subevents. Even in the absence of precise constraints on these kinematic rupture parameters, our simulations still reproduce major features in the Tokachi‐Oki earthquake data, supporting its accuracy in modeling future large earthquakes.
NASA Astrophysics Data System (ADS)
Moyer, P. A.; Boettcher, M. S.; McGuire, J. J.; Collins, J. A.
2017-12-01
During the last five seismic cycles on Gofar transform fault on the East Pacific Rise, the largest earthquakes (6.0 ≤ Mw ≤ 6.2) have repeatedly ruptured the same fault segment (rupture asperity), while intervening fault segments host swarms of microearthquakes. Previous studies on Gofar have shown that these segments of low (≤10%) seismic coupling contain diffuse zones of seismicity and P-wave velocity reduction compared with the rupture asperity; suggesting heterogeneous fault properties control earthquake behavior. We investigate the role systematic differences in material properties have on earthquake rupture along Gofar using waveforms from ocean bottom seismometers that recorded the end of the 2008 Mw 6.0 seismic cycle.We determine stress drop for 117 earthquakes (2.4 ≤ Mw ≤ 4.2) that occurred in and between rupture asperities from corner frequency derived using an empirical Green's function spectral ratio method and seismic moment obtained by fitting the omega-square source model to the low frequency amplitude of earthquake spectra. We find stress drops from 0.03 to 2.7 MPa with significant spatial variation, including 2 times higher average stress drop in the rupture asperity compared to fault segments with low seismic coupling. We interpret an inverse correlation between stress drop and P-wave velocity reduction as the effect of damage on earthquake rupture. Earthquakes with higher stress drops occur in more intact crust of the rupture asperity, while earthquakes with lower stress drops occur in regions of low seismic coupling and reflect lower strength, highly fractured fault zone material. We also observe a temporal control on stress drop consistent with log-time healing following the Mw 6.0 mainshock, suggesting a decrease in stress drop as a result of fault zone damage caused by the large earthquake.
NASA Astrophysics Data System (ADS)
Lui, S. K. Y.; Huang, Y.
2017-12-01
A clear understanding of the source physics of induced seismicity is the key to effective seismic hazard mitigation. In particular, resolving their rupture processes can shed lights on the stress state prior to the main shock, as well as ground motion response. Recent numerical models suggest that, compared to their tectonic counterpart, induced earthquake rupture is more prone to propagate unilaterally toward the injection well where fluid pressure is high. However, this is also dependent on the location of the injection relative to the fault and yet to be compared with field data. In this study, we utilize the rich pool of seismic data in the central US to constrain the rupture processes of major induced earthquakes. By implementing a forward-modeling method, we take smaller earthquake recordings as empirical Green's functions (eGf) to simulate the rupture direction of the beginning motion generated by large events. One advantage of the empirical approach is to bypass the fundamental difficulty in resolving path and site effects. We selected eGf events that are close to the target events both in space and time. For example, we use a Mw 3.6 aftershock approximately 3 km from the 2011 Mw 5.7 earthquake in Prague, OK as its eGf event. Preliminary results indicate a southwest rupture for the Prague main shock, which possibly implies a higher fluid pressure concentration on the northeast end of the fault prior to the rupture. We will present further results on other Mw > 4.5 earthquakes in the States of Oklahoma and Kansas. With additional seismic stations installed in the past few years, events such as the 2014 Mw 4.9 Milan earthquake and the 2016 Mw 5.8 Pawnee earthquake are potential candidates with useful eGfs, as they both have good data coverage and a substantial number of aftershocks nearby. We will discuss the implication of our findings for the causative relationships between the injection operations and the induced rupture process.
Simulation and evaluation of rupturable coated capsules by finite element method.
Yang, Yan; Fang, Jie; Shen, Lian; Shan, Weiguang
2017-03-15
The objective of this study was to simulate and evaluate the burst behavior of rupturable coated capsules by finite element method (FEM). Film and coated capsules were prepared by dip-coating method and their dimensions were determined by stereomicroscope. Mechanical properties of the film were measured by tensile test and used as material properties of FEM models. Swelling pressure was determined by restrained expansion method and applied to the internal surface of FEM models. Water uptake of coated capsules was determined to study the formation of internal pressure. Burst test and in vitro dissolution was used to verify the FEM models, which were used to study and predict the coating burst behavior. Simulated results of coating burst behavior were well agreed with the experiment results. Swelling pressure, material properties and dimensions of coating had influence on the maximum stress. Burst pressure and critical L-HPC content were calculated for burst prediction and formulation optimization. FEM simulation was a feasible way to simulate and evaluate the burst behavior of coated capsules. Copyright © 2017 Elsevier B.V. All rights reserved.
Multiple tendon ruptures of unknown etiology.
Axibal, Derek P; Anderson, John G
2013-10-01
Tendon ruptures are common findings in foot and ankle practice. The etiology of tendon ruptures tends to be multifactorial-usually due to a combination of trauma, effects of systemic diseases, adverse effects of medications, and obesity. We present an unusual case of right Achilles tendinitis, left Achilles tendon rupture, bilateral peroneus longus tendon rupture, and left peroneus brevis tendon rupture of unknown etiology. This case report highlights the need for research for other possible, lesser known etiologies of tendon pathology. Therapeutic, Level IV, Case Study.
Bunevicius, Adomas; Gendvilaite, Agne; Deltuva, Vytenis Pranas; Tamasauskas, Arimantas
2017-05-19
It is a common belief in medical community that lunar phases have an impact on human health. A growing body of evidence indicates that lunar phases can predict the risk to develop acute neurological and vascular disorders. The goal of present report was to present our institution data and to perform systematic review of studies examining the association of intracranial aneurysm rupture with moon phases. We identified all patients admitted to our department for ruptured intracranial aneurysms in a period between November, 2011 and December, 2014. Patients with a known aneurysm rupture date were included. Lunar phases were determined by dividing lunar month (29.5 days) into eight equal parts, i.e., new moon, waxing crescent, first quarter, waxing gibbous, full moon, waning gibbous, last quarter and waning crescent. A systematic literature review was undertaken to identify studies that evaluated the association of lunar phases with the incident of intracranial aneurysm rupture. One hundred and eighty-six patients (62 men and 124 women, median age 56 years) were admitted to our department for treatment of ruptured intracranial aneurysms. The rate of intracranial aneurysm rupture was equally distributed across all phases of the lunar cycle (X 2 [7; 185] = 12.280, p = 0.092). We identified three studies that evaluated the association between incident intracranial aneurysm rupture and lunar phases with a total of 1483 patients. One study from Lebanon found that the incidence rate of intracranial aneurysm rupture was statistically significantly greater during the new moon phase (25% cases), relative to the other seven lunar phases (p < 0.001). Two subsequent studies from Austria and Germany in larger patient samples (n = 717 and n = 655, respectively) did not find an association between lunar phases and intracranial aneurysm rupture (p-values of 0.84 and 0.97, respectively). When analyzing all four studies together, we did not find an association between lunar phases and incidence of intracranial aneurysm rupture (X 2 [1668; 7] = 2.080, p = 0.955). Moon phases are not associated with incidence of intracranial aneurysm rupture. Studies investigating the association of intracranial aneurysm rupture with lunar illumination defined using more sensitive approaches are encouraged.
NASA Technical Reports Server (NTRS)
Rummler, D. R.
1976-01-01
The results are presented of investigations to apply regression techniques to the development of methodology for creep-rupture data analysis. Regression analysis techniques are applied to the explicit description of the creep behavior of materials for space shuttle thermal protection systems. A regression analysis technique is compared with five parametric methods for analyzing three simulated and twenty real data sets, and a computer program for the evaluation of creep-rupture data is presented.
Composite Overwrapped Pressure Vessel (COPV) Stress Rupture Testing
NASA Technical Reports Server (NTRS)
Greene, Nathanael J.; Saulsberry, Regor L.; Leifeste, Mark R.; Yoder, Tommy B.; Keddy, Chris P.; Forth, Scott C.; Russell, Rick W.
2010-01-01
This paper reports stress rupture testing of Kevlar(TradeMark) composite overwrapped pressure vessels (COPVs) at NASA White Sands Test Facility. This 6-year test program was part of the larger effort to predict and extend the lifetime of flight vessels. Tests were performed to characterize control parameters for stress rupture testing, and vessel life was predicted by statistical modeling. One highly instrumented 102-cm (40-in.) diameter Kevlar(TradeMark) COPV was tested to failure (burst) as a single-point model verification. Significant data were generated that will enhance development of improved NDE methods and predictive modeling techniques, and thus better address stress rupture and other composite durability concerns that affect pressure vessel safety, reliability and mission assurance.
Chiang, Po-Chieh; Tanady, Kevin; Huang, Ling-Ting; Chao, Ling
2017-11-09
Being able to directly obtain micron-sized cell blebs, giant plasma membrane vesicles (GPMVs), with native membrane proteins and deposit them on a planar support to form supported plasma membranes could allow the membrane proteins to be studied by various surface analytical tools in native-like bilayer environments. However, GPMVs do not easily rupture on conventional supports because of their high protein and cholesterol contents. Here, we demonstrate the possibility of using compression generated by the air-water interface to efficiently rupture GPMVs to form micron-sized supported membranes with native plasma membrane proteins. We demonstrated that not only lipid but also a native transmembrane protein in HeLa cells, Aquaporin 3 (AQP3), is mobile in the supported membrane platform. This convenient method for generating micron-sized supported membrane patches with mobile native transmembrane proteins could not only facilitate the study of membrane proteins by surface analytical tools, but could also enable us to use native membrane proteins for bio-sensing applications.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Jadaan, O.M.; Tressler, R.E.
1993-04-01
The methodology to predict the lifetime of sintered [alpha]-silicon carbide (SASC) tubes subjected to slow crack growth (SCG) conditions involved the experimental determination of the SCG parameters of that material and the scaling analysis to project the stress rupture data from small specimens to large components. Dynamic fatigue testing, taking into account the effect of threshold stress intensity factor, of O-ring and compressed C-ring specimens was used to obtain the SCG parameters. These SCG parameters were in excellent agreement with those published in the literature and extracted from stress rupture tests of tensile and bend specimens. Two methods were usedmore » to predict the lifetimes of internally heated and pressurized SASC tubes. The first is a fracture mechanics approach that is well known in the literature. The second method used a scaling analysis in which the stress rupture distribution (lifetime) of any specimen configuration can be predicted from stress rupture data of another.« less
The improved oval forceps suture-guiding method for minimally invasive Achilles tendon repair.
Liu, Yang; Lin, Lixiang; Lin, Chuanlu; Weng, Qihao; Hong, Jianjun
2018-06-01
To discuss the effect and advantage of the improved oval forceps suture-guiding method combined with anchor nail in the treatment of acute Achilles tendon rupture. A retrospective research was performed on 35 cases of acute Achilles tendon rupture treated with the improved oval forceps suture-guiding method from January 2013 to October 2016. Instead of the Achillon device, we perform the Achillon technique with the use of simple oval forceps, combined with absorbable anchor nail, percutaneously to repair the acute Achilles tendon rupture. All patients were followed up for at least 12 months (range, 12-19 months), and all the patients underwent successful repair of their acute Achilles tendon rupture using the improved oval forceps suture-guiding method without any major intra- or postoperative complications. All the patients returned to work with pre-injury levels of activity at a mean of 12.51 ± 0.76 weeks. Mean AOFAS ankle-hindfoot scores improved from 63.95 (range, 51-78) preoperatively to 98.59 (range, 91-100) at last follow-up. This was statistically significant difference (P < 0.001). Mean Achilles Tendon Total Rupture Score (ATRS) at final follow-up was 94.87 (range, 90-100). The improved oval forceps suture-guiding method could make the advantage of minimally invasive repair with less complications, reduced surgical time and similar functional outcomes compared with the traditional open surgery. In addition, our new technique could save the cost of surgery with the compare of the Achillon device. At the same time for the cases which the remote broken tendon ends were within 2 cm from the calcaneal nodules, because of the less tendon tissue was left in the remote side, traditional percutaneous methods are incapable to ensure the reconstruction strength. By using the anchor nail, the improved technique has better repair capacity and expands the operation indication of oval forceps method. Copyright © 2018 Elsevier Ltd. All rights reserved.
Macroscopic Asymmetry of Dynamic Rupture on a Bimaterial Interface With Velocity- Weakening Friction
NASA Astrophysics Data System (ADS)
Ampuero, J.; Ben-Zion, Y.
2006-12-01
Large faults typically separate rocks of different elastic properties. In-plane ruptures on bimaterial interfaces have remarkable dynamic properties that may be relevant to many issues of basic and applied science (e.g., Ben-Zion, 2001). In contrast to slip between similar media, slip along a bimaterial interface generates dynamic changes of normal stress that modify the local fault strength (e.g., Weertman, 1980). One important issue is whether rupture on a bimaterial interface evolves toward a unilateral wrinkle-like pulse in the direction of motion of the compliant medium (the "preferred" direction), or whether it propagates as a symmetric bilateral crack. Some field data suggest that bimaterial interfaces in natural fault zones produce macroscopic rupture asymmetry (Dor et al., 2006; Lewis et al., 2005, 2006); however, this is a subject of ongoing debate. Rubin and Ampuero (2006) performed numerical simulations of bimaterial ruptures under pure slip-weakening friction. They found bilateral crack-like ruptures without significant asymmetry of slip. For ruptures that stopped in low stress areas, there was asymmetry in the final stress distribution, induced by a small scale pulse that detaches from the crack when it stops. This may provide a mechanism for the observed asymmetry of microearthquakes on segments of the San Andreas fault (Rubin and Gillard, 2000). In addition, the results included very prominent asymmetry of slip velocities at the opposite rupture fronts. In calculations with slip-weakening friction the strong asymmetry of slip velocities can not manifest itself into macroscopic rupture asymmetry. However, incorporating in the simulations rate-dependent friction may produce larger stress drop in the preferred direction, leading to macroscopically asymmetric rupture (Ben-Zion, 2006). In this work we study the effect of velocity-weakening friction on rupture along a bimaterial interface, using 2D in-plane simulations with a spectral boundary integral method and a rate-and-state dependent friction law with strong velocity dependence. The law contains slip-weakening or velocity-weakening as limit cases, depending on the length scale in the state evolution law. The steady-state friction coefficient is inversely proportional to slip-rate, mimicking the weakening mechanisms thought to operate on natural faults at high velocities. We examine the behavior of ruptures triggered by a slightly overstressed nucleation zone of size larger than a critical size derived by linear stability analysis. We characterize the range of friction parameters and initial stress values for which ruptures behave as cracks or pulses, decaying or sustained, with subshear or super-shear speeds. All sustained ruptures are initially bilateral. In the range where sub-shear pulse-like rupture is observed, the ruptures develop strong macroscopic asymmetry with continuing propagation along the bimaterial interface. This is manifested by significantly larger seismic potency and propagation distance in the preferred direction, similar to what was found by Shi and Ben-Zion (2006) with strong nucleation phases and slip-weakening friction. The stress asymmetry mechanism described by Rubin and Ampuero (2006) remains in our velocity-weakening simulations as a super-imposed small-scale feature.
Definitive diagnosis of breast implant rupture using magnetic resonance imaging.
Ahn, C Y; Shaw, W W; Narayanan, K; Gorczyca, D P; Sinha, S; Debruhl, N D; Bassett, L W
1993-09-01
Breast implant rupture is an important complication of augmented and reconstructed breasts. Although several techniques such as mammography, xeromammography, ultrasound, thermography, and computed tomographic (CT) scanning have been proven to be useful to detect implant rupture, they have several disadvantages and lack specificity. In the current study, we have established magnetic resonance imaging (MRI) as a definitive, reliable, and reproducible technique to diagnose both intracapsular and extracapsular ruptures. The study was conducted in 100 symptomatic patients. Our imaging parameters were able to identify ruptures in implants with silicone shells. All the ruptures showed the presence of wavy lines, free-floating silicone shell within the gel ("free-floating loose-thread sign" or "linguine sign"). We had a 3.75 percent incidence of false-positive and false-negative results. The sensitivity for detection of silicone implant rupture was 76 percent, with a specificity of 97 percent. In addition, we also were able to identify the artifacts that may interfere with the definitive diagnosis of implant rupture.
Interseismic Coupling-Based Earthquake and Tsunami Scenarios for the Nankai Trough
NASA Astrophysics Data System (ADS)
Baranes, H.; Woodruff, J. D.; Loveless, J. P.; Hyodo, M.
2018-04-01
Theoretical modeling and investigations of recent subduction zone earthquakes show that geodetic estimates of interseismic coupling and the spatial distribution of coseismic rupture are correlated. However, the utility of contemporary coupling in guiding construction of rupture scenarios has not been evaluated on the world's most hazardous faults. Here we demonstrate methods for scaling coupling to slip to create rupture models for southwestern Japan's Nankai Trough. Results show that coupling-based models produce distributions of ground surface deformation and tsunami inundation that are similar to historical and geologic records of the largest known Nankai earthquake in CE 1707 and to an independent, quasi-dynamic rupture model. Notably, these models and records all support focused subsidence around western Shikoku that makes the region particularly vulnerable to flooding. Results imply that contemporary coupling mirrors the slip distribution of a full-margin, 1707-type rupture, and Global Positioning System measurements of surface motion are connected with the trough's physical characteristics.
Doral, Mahmut Nedim; Bozkurt, Murat; Turhan, Egemen; Dönmez, Gürhan; Demirel, Murat; Kaya, Defne; Ateşok, Kıvanç; Atay, Özgür Ahmet; Maffulli, Nicola
2010-01-01
Although the Achilles tendon (AT) is the strongest tendon in the human body, rupture of this tendon is one of the most common sports injuries in the athletic population. Despite numerous nonoperative and operative methods that have been described, there is no universal agreement about the optimal management strategy of acute total AT ruptures. The management of AT ruptures should aim to minimize the morbidity of the injury, optimize rapid return to full function, and prevent complications. Since endoscopy-assisted percutaneous AT repair allows direct visualization of the synovia and protects the paratenon that is important in biological healing of the AT, this technique becomes a reasonable treatment option in AT ruptures. Furthermore, Achilles tendoscopy technique may decrease the complications about the sural nerve. Also, early functional postoperative physiotherapy following surgery may improve the surgical outcomes. PMID:24198562
Majd, Payman; Ahmad, Wael; Luebke, Thomas; Brunkwall, Jan Sigge
2017-07-01
This study aims to examine the relationship between weather changes (atmospheric pressure and temperature) and incidence of rupture of abdominal aortic aneurysm (AAA). All patients with ruptured infrarenal AAA and who were referred to our institution between August 1998 and August 2015 were prospectively entered into a database of which a retrospective review of a ruptured AAA was performed. The needed information about the daily atmospheric pressure and air temperature could be extracted from the meteorological unit in Cologne. During the study period (6,225 days), a total number of 154 patients with confirmed ruptured AAA were identified. Basic patients' characteristics are tabulated. The mean daily atmospheric pressure during the study was 1,004.04 ± 8.79 mBar ranging from 965.40-1031.80 mBar. The mean atmospheric pressure on the days of rupture was 1,004.03 vs. 1,004.68 on those days when no rupture occurred (P = 0.34). The mean atmospheric pressure on the day of rupture and that on the preceding day was not significantly different (1,004.78 vs. 1,005.44 with P = 0.13). The air temperature (10.62 ± 6.25 vs. 10.77 ± 6.83°C, P = 0.787) was equally distributed between days of rupture events and control days. The present study could not show a significant association between the monthly and seasonal difference in atmospheric pressure and the prevalence of AAA rupture as it has been supposed by previous studies. Copyright © 2017 Elsevier Inc. All rights reserved.
Hartzell, S.; Liu, P.; Mendoza, C.
1996-01-01
A hybrid global search algorithm is used to solve the nonlinear problem of calculating slip amplitude, rake, risetime, and rupture time on a finite fault. Thirty-five strong motion velocity records are inverted by this method over the frequency band from 0.1 to 1.0 Hz for the Northridge earthquake. Four regions of larger-amplitude slip are identified: one near the hypocenter at a depth of 17 km, a second west of the hypocenter at about the same depth, a third updip from the hypocenter at a depth of 10 km, and a fourth updip from the hypocenter and to the northwest. The results further show an initial fast rupture with a velocity of 2.8 to 3.0 km/s followed by a slow termination of the rupture with velocities of 2.0 to 2.5 km/s. The initial energetic rupture phase lasts for 3 s, extending out 10 km from the hypocenter. Slip near the hypocenter has a short risetime of 0.5 s, which increases to 1.5 s for the major slip areas removed from the hypocentral region. The energetic rupture phase is also shown to be the primary source of high-frequency radiation (1-15 Hz) by an inversion of acceleration envelopes. The same global search algorithm is used in the envelope inversion to calculate high-frequency radiation intensity on the fault and rupture time. The rupture timing from the low- and high-frequency inversions is similar, indicating that the high frequencies are produced primarily at the mainshock rupture front. Two major sources of high-frequency radiation are identified within the energetic rupture phase, one at the hypocenter and another deep source to the west of the hypocenter. The source at the hypocenter is associated with the initiation of rupture and the breaking of a high-stress-drop asperity and the second is associated with stopping of the rupture in a westerly direction.
Watson, Rachael; Thomas, Stuart; Daffern, Michael
2017-10-01
The therapeutic relationship is a critical component of psychological treatment. Strain can occur in the relationship, particularly when working with offenders, and more specifically, those offenders with interpersonal difficulties; strain can lead to a rupture, which may affect treatment participation and performance. This study examined ruptures in the therapeutic relationship in sexual offenders participating in offense-focused group treatment. Fifty-four sex offenders rated the therapeutic alliance at the commencement and completion of treatment; at the completion of treatment, they also reported on the occurrence of ruptures and whether they believed these ruptures were repaired. Ruptures were separated by type, according to severity-Each relationship was therefore characterized as experiencing no rupture, a minor rupture, or a major rupture. Offender characteristics including interpersonal style (IPS) and psychopathy were assessed at the commencement of treatment; their relationship with ruptures was examined. Results revealed that more than half of the offenders (approximately 55%) experienced a rupture in the therapeutic alliance, with one in four of these ruptures remaining unresolved. Offenders who did not report a rupture rated the therapeutic alliance significantly higher at the end of treatment compared with those offenders who reported a rupture that was not repaired. Offenders who reported a major rupture in the therapeutic relationship were higher in interpersonal hostility and hostile-dominance. No interpersonal or offense-specific factors affected the likelihood of a rupture repair.
Ahn, C Y; DeBruhl, N D; Gorczyca, D P; Shaw, W W; Bassett, L W
1994-10-01
With the current controversy regarding the safety of silicone implants, the detection and evaluation of implant rupture are causing concern for both plastic surgeons and patients. Our study obtained comparative value analysis of mammography, sonography, and magnetic resonance imaging (MRI) in the detection of silicone implant rupture. Twenty-nine symptomatic patients (total of 59 silicone implants) were entered into the study. Intraoperative findings revealed 21 ruptured implants (36 percent). During physical examination, a positive "squeeze test" was highly suggestive of implant rupture. Mammograms were obtained of 51 implants (sensitivity 11 percent, specificity 89 percent). Sonography was performed on 57 implants (sensitivity 70 percent, specificity 92 percent). MRI was performed on 55 implants (sensitivity 81 percent, specificity 92 percent). Sonographically, implant rupture is demonstrated by the "stepladder sign." Double-lumen implants may appear as false-positive results for rupture on sonography. On MRI, the "linguine sign" represents disrupted fragments of a ruptured implant. The most reliable imaging modality for implant rupture detection is MRI, followed by sonogram. Mammogram is the least reliable. Our study supports the clinical indication and diagnostic value of sonogram and MRI in the evaluation of symptomatic breast implant patients.
NASA Astrophysics Data System (ADS)
McGuire, Jeffrey J.; Kaneko, Yoshihiro
2018-06-01
The key kinematic earthquake source parameters: rupture velocity, duration and area, shed light on earthquake dynamics, provide direct constraints on stress-drop, and have implications for seismic hazard. However, for moderate and small earthquakes, these parameters are usually poorly constrained due to limitations of the standard analysis methods. Numerical experiments by Kaneko and Shearer [2014,2015] demonstrated that standard spectral fitting techniques can lead to roughly 1 order of magnitude variation in stress-drop estimates that do not reflect the actual rupture properties even for simple crack models. We utilize these models to explore an alternative approach where we estimate the rupture area directly. For the suite of models, the area averaged static stress drop is nearly constant for models with the same underlying friction law, yet corner frequency based stress-drop estimates vary by a factor of 5-10 even for noise free data. Alternatively, we simulated inversions for the rupture area as parameterized by the second moments of the slip distribution. A natural estimate for the rupture area derived from the second moments is A=πLcWc, where Lc and Wc are the characteristic rupture length and width. This definition yields estimates of stress drop that vary by only 10% between the models but are slightly larger than the true area-averaged values. We simulate inversions for the second moments for the various models and find that the area can be estimated well when there are at least 15 available measurements of apparent duration at a variety of take-off angles. The improvement compared to azimuthally-averaged corner-frequency based approaches results from the second moments accounting for directivity and removing the assumption of a circular rupture area, both of which bias the standard approach. We also develop a new method that determines the minimum and maximum values of rupture area that are consistent with a particular dataset at the 95% confidence level. For the Kaneko and Shearer models with 20+ randomly distributed observations and ˜10% noise levels, we find that the maximum and minimum bounds on rupture area typically vary by a factor of two and that the minimum stress drop is often more tightly constrained than the maximum.
NASA Astrophysics Data System (ADS)
Mai, P. M.; Schorlemmer, D.; Page, M.
2012-04-01
Earthquake source inversions image the spatio-temporal rupture evolution on one or more fault planes using seismic and/or geodetic data. Such studies are critically important for earthquake seismology in general, and for advancing seismic hazard analysis in particular, as they reveal earthquake source complexity and help (i) to investigate earthquake mechanics; (ii) to develop spontaneous dynamic rupture models; (iii) to build models for generating rupture realizations for ground-motion simulations. In applications (i - iii), the underlying finite-fault source models are regarded as "data" (input information), but their uncertainties are essentially unknown. After all, source models are obtained from solving an inherently ill-posed inverse problem to which many a priori assumptions and uncertain observations are applied. The Source Inversion Validation (SIV) project is a collaborative effort to better understand the variability between rupture models for a single earthquake (as manifested in the finite-source rupture model database) and to develop robust uncertainty quantification for earthquake source inversions. The SIV project highlights the need to develop a long-standing and rigorous testing platform to examine the current state-of-the-art in earthquake source inversion, and to develop and test novel source inversion approaches. We will review the current status of the SIV project, and report the findings and conclusions of the recent workshops. We will briefly discuss several source-inversion methods, how they treat uncertainties in data, and assess the posterior model uncertainty. Case studies include initial forward-modeling tests on Green's function calculations, and inversion results for synthetic data from spontaneous dynamic crack-like strike-slip earthquake on steeply dipping fault, embedded in a layered crustal velocity-density structure.
[Successful correction with stent-graft of coronary artery rupture after angioplasty].
Demin, V V
2003-01-01
Rupture and perforation of coronary arteries complicate in average 0.5% of radiosurgical coronary interventions and often are accompanied by serious consequences and high mortality. According to-type of coronary perforation different methods of correction are used, ranging from conservative measures to urgent cardiosurgical interventions. Coronary stent-grafts with 'sandwich' type of construction ore composed from two metal stents and PTFE layer between them. Development of such stents enabled effective radioguided endovascular repair of coronary ruptures. The paper presents the first Russian experience of stout-graft implantation for coronary artery rupture occurred during direct stenting of proximal anterior descending artery and balloon angioplasty in distal segment. The rupture occurred probably because of wall fragility between affected segment and muscular bridge. Stent-graft JoStent 16 mm in length connected with 3-mm balloon was implanted with subsequent complete restitution of blood flow, resolution of pain syndrome and ECG normalization. Echocardiography in operative theatre and one day after surgery showed no intrapericardial fluid. Stent-graft devices for urgent implantation in cases of coronary rupture must be included into obligatory equipment of radiosurgical facilities.
Trial of labor after myomectomy and uterine rupture: a systematic review.
Gambacorti-Passerini, Zita; Gimovsky, Alexis C; Locatelli, Anna; Berghella, Vincenzo
2016-07-01
There is concern about the risk of uterine rupture in the subsequent pregnancy after myomectomy. This risk is reported in literature to be around 0.7-1%. The aim of this study was to evaluate the incidence of uterine rupture and associated risk factors in women who had a trial of labor after prior myomectomy. A systematic review of the literature was performed including all cohort studies with at least five cases reporting outcomes of pregnancies after prior myomectomy. The terms "myomectomy", "pregnancy", "trial of labor" and "uterine rupture" were used in PubMed and EMBASE searches for identification purposes. Every reference was reviewed for possible inclusion and all eligible cases of uterine rupture were considered. Twenty-three studies with at least five cases of pregnancy after myomectomy were identified, with an overall incidence of uterine rupture of 0.6% (0.3-1.1%) (n = 11/1825). Of these 23 studies, 11 studies reported detailed data about trial of labor after myomectomy and related pregnancy outcomes, including 1034 pregnancies and 756 viable (≥24 weeks) deliveries. The overall incidence of uterine rupture after myomectomy in the included studies was 0.93% (0.45-1.92%) (n = 7/756); specifically, it was 0.47% (0.13-1.70%) (n = 2/426) in women undergoing trial of labor after myomectomy, and 1.52% (0.65-3.51%) (n = 5/330) in women before the onset of labor. Of the seven uterine ruptures, five (71%) occurred within 36 weeks (range 24-40 weeks). Trial of labor after myomectomy is associated with a 0.47% risk of uterine rupture. There were no identified risk factors among the variables studied. The present systematic review of the literature revealed that uterine rupture after prior myomectomy occurred mainly before 36 weeks and before labor. © 2016 Nordic Federation of Societies of Obstetrics and Gynecology.
Size ratio correlates with intracranial aneurysm rupture status: a prospective study.
Rahman, Maryam; Smietana, Janel; Hauck, Erik; Hoh, Brian; Hopkins, Nick; Siddiqui, Adnan; Levy, Elad I; Meng, Hui; Mocco, J
2010-05-01
The prediction of intracranial aneurysm (IA) rupture risk has generated significant controversy. The findings of the International Study of Unruptured Intracranial Aneurysms (ISUIA) that small anterior circulation aneurysms (<7 mm) have a 0% risk of subarachnoid hemorrhage in 5 years is difficult to reconcile with other studies that reported a significant portion of ruptured IAs are small. These discrepancies have led to the search for better aneurysm parameters to predict rupture. We previously reported that size ratio (SR), IA size divided by parent vessel diameter, correlated strongly with IA rupture status (ruptured versus unruptured). These data were all collected retrospectively off 3-dimensional angiographic images. Therefore, we performed a blinded prospective collection and evaluation of SR data from 2-dimensional angiographic images for a consecutive series of patients with ruptured and unruptured IAs. We prospectively enrolled 40 consecutive patients presenting to a single institution with either ruptured IA or for first-time evaluation of an incidental IA. Blinded technologists acquired all measurements from 2-dimensional angiographic images. Aneurysm rupture status, location, IA maximum size, and parent vessel diameter were documented. The SR was calculated by dividing the aneurysm size (mm) by the average parent vessel size (mm). A 2-tailed Mann-Whitney test was performed to assess statistical significance between ruptured and unruptured groups. Fisher exact test was used to compare medical comorbidities between the ruptured and unruptured groups. Significant differences between the 2 groups were subsequently tested with logistic regression. SE and probability values are reported. Forty consecutive patients with 24 unruptured and 16 ruptured aneurysms met the inclusion criteria. No significant differences were found in age, gender, smoking status, or medical comorbidities between ruptured and unruptured groups. The average maximum size of the unruptured IAs (6.18 + or - 0.60 mm) was significantly smaller compared with the ruptured IAs (7.91 + or - 0.47 mm; P=0.03), and the unruptured group had significantly smaller SRs (2.57 + or - 0.24 mm) compared with the ruptured group (4.08 + or - 0.54 mm; P<0.01). Logistic regression was used to evaluate the independent predictive value of those variables that achieved significance in univariate analysis (IA maximum size and SR). Using stepwise selection, only SR remained in the final predictive model (OR, 2.12; 95% CI, 1.09 to 4.13). SR, the ratio between aneurysm size and parent artery diameter, can be easily calculated from 2-dimensional angiograms and correlates with IA rupture status on presentation in a blinded analysis. SR should be further studied in a large prospective observational cohort to predict true IA risk of rupture.
NASA Astrophysics Data System (ADS)
Thingbijam, Kiran Kumar; Galis, Martin; Vyas, Jagdish; Mai, P. Martin
2017-04-01
We examine the spatial interdependence between kinematic parameters of earthquake rupture, which include slip, rise-time (total duration of slip), acceleration time (time-to-peak slip velocity), peak slip velocity, and rupture velocity. These parameters were inferred from dynamic rupture models obtained by simulating spontaneous rupture on faults with varying degree of surface-roughness. We observe that the correlations between these parameters are better described by non-linear correlations (that is, on logarithm-logarithm scale) than by linear correlations. Slip and rise-time are positively correlated while these two parameters do not correlate with acceleration time, peak slip velocity, and rupture velocity. On the other hand, peak slip velocity correlates positively with rupture velocity but negatively with acceleration time. Acceleration time correlates negatively with rupture velocity. However, the observed correlations could be due to weak heterogeneity of the slip distributions given by the dynamic models. Therefore, the observed correlations may apply only to those parts of rupture plane with weak slip heterogeneity if earthquake-rupture associate highly heterogeneous slip distributions. Our findings will help to improve pseudo-dynamic rupture generators for efficient broadband ground-motion simulations for seismic hazard studies.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Kanematsu, Masayuki; Kato, Hiroki; Kondo, Hiroshi
Two cases of ruptured aneurysms in the posterior cervical regions associated with type-1 neurofibromatosis treated by transcatheter embolization are reported. Patients presented with acute onset of swelling and pain in the affected areas. Emergently performed contrast-enhanced CT demonstrated aneurysms and large hematomas widespread in the posterior cervical regions. Angiography revealed aneurysms and extravasations of the occipital artery. Patients were successfully treated by percutaneous transcatheter arterial microcoil embolization. Transcatheter arterial embolization therapy was found to be an effective method for treating aneurysmal rupture in the posterior cervical regions occurring in association with type-1 neurofibromatosis. A literature review revealed that rupture ofmore » an occipital arterial aneurysm, in the setting of neurofibromatosis type 1, has not been reported previously.« less
Xie, Yong; Mintz, Gary S; Yang, Junqing; Doi, Hiroshi; Iñiguez, Andrés; Dangas, George D; Serruys, Patrick W; McPherson, John A; Wennerblom, Bertil; Xu, Ke; Weisz, Giora; Stone, Gregg W; Maehara, Akiko
2014-04-01
The aim of this study was to report the frequency, patient and lesion-related characteristics, and outcomes of subclinical, nonculprit plaque ruptures in the PROSPECT (Providing Regional Observations to Study Predictors of Events in the Coronary Tree) study. Plaque rupture and subsequent thrombosis is the most common cause of acute coronary syndrome (ACS). Secondary, subclinical, nonculprit plaque ruptures have been seen in both stable patients and patients with ACS; however, reports of the natural history of these secondary plaque ruptures are limited. After successful stenting in 697 patients with ACS, 3-vessel grayscale and intravascular ultrasound virtual histology (IVUS-VH) was performed in the proximal-mid segments of all 3 coronary arteries as part of a prospective multicenter study. Among 660 patients with complete IVUS data, 128 plaque ruptures were identified in 105 nonculprit lesions in 100 arteries from 93 patients (14.1%). Although the minimum lumen area (MLA) was similar, the plaque burden was significantly greater in nonculprit lesions with a plaque rupture compared with nonculprit lesions without a plaque rupture (66.0% [95% confidence interval: 64.5% to 67.4%] vs. 56.0% [95% confidence interval: 55.6% to 56.4%]; p < 0.0001). IVUS-VH analysis revealed that a nonculprit lesion with a plaque rupture was more often classified as a fibroatheroma than a nonculprit lesion without a plaque rupture (77.1% vs. 51.4%; p < 0.0001). Independent predictors of a plaque rupture were lesion length (per 10 mm; odds ratio: 1.30; p < 0.0001), plaque burden at the MLA site (per 10%; odds ratio: 2.56; p < 0.0001), vessel area at the MLA site (per 1 mm(2); odds ratio: 1.13; p < 0.0001), and VH-thin-cap fibroatheroma (odds ratio: 1.80; p = 0.016). During 3 years of follow-up, the incidence of overall major adverse cardiac events did not differ significantly between the patients with and patients without subclinical, nonculprit plaque ruptures. Secondary, nonculprit plaque ruptures were seen in 14% of patients with ACS and were associated with a fibroatheroma phenotype with a residual necrotic core but not with adverse outcomes if patients were treated with optimal medical therapy as part of a multicenter study. (Providing Regional Observations to Study Predictors of Events in the Coronary Tree [PROSPECT]; NCT00180466). Copyright © 2014 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.
2012-01-01
Background The Achilles tendon Total Rupture Score was developed by a research group in 2007 in response to the need for a patient reported outcome measure for this patient population. Beyond this original development paper, no further validation studies have been published. Consequently the purpose of this study was to evaluate internal consistency, convergent validity and responsiveness of this newly developed patient reported outcome measure within patients who have sustained an isolated acute Achilles tendon rupture. Methods Sixty-four eligible patients with an acute rupture of their Achilles tendon completed the Achilles tendon Total Rupture Score alongside two further patient reported outcome measures (Disability Rating Index and EQ 5D). These were completed at baseline, six weeks, three months, six months and nine months post injury. The Achilles tendon Total Rupture Score was evaluated for internal consistency, using Cronbach's alpha, convergent validity, through correlation analysis and responsiveness, by analysing floor and ceiling effects and calculating its relative efficiency in comparison to the Disability Rating Index and EQ 5D scores. Results The Achilles tendon Total Rupture Score demonstrated high internal consistency (Cronbachs alpha > 0.8) and correlated significantly (p < 0.001) with the Disability Rating Index at five time points (pre-injury, six weeks, three, six and nine months) with correlation coefficients between -0.5 and -0.9. However, the confidence intervals were wide. Furthermore, the ability of the new score to detect clinically important changes over time (responsiveness) was shown to be greater than the Disability Rating Index and EQ 5D. Conclusions A universally accepted outcome measure is imperative to allow comparisons to be made across practice. This is the first study to evaluate aspects of validity of this newly developed outcome measure, outside of the developing centre. The ATRS demonstrated high internal consistency and responsiveness, with limited convergent validity. This research provides further support for the use of this outcome measure, however further research is required to advocate its universal use in patients with acute Achilles tendon ruptures. Such areas include inter-rater reliability and research to determine the minimally clinically important difference between scores. All authors have read and concur with the content of this manuscript. The material presented has not been and will not be submitted for publication elsewhere, except as an abstract. All authors have made substantial contributions to all of the following: (1) the conception and design of the study, or acquisition of data, or analysis and interpretation of data, (2) drafting the article or revising it critically for important intellectual content and (3) final approval of the submitted version. This research has been funded by Arthritis Research UK, no conflicts of interests have been declared by the authors. Kind Regards Rebecca Kearney (corresponding author) Research Physiotherapist PMID:22376047
Is Operative Treatment of Achilles Tendon Ruptures Superior to Nonoperative Treatment?
Erickson, Brandon J.; Mascarenhas, Randy; Saltzman, Bryan M.; Walton, David; Lee, Simon; Cole, Brian J.; Bach, Bernard R.
2015-01-01
Background: Multiple meta-analyses have been published in efforts to determine whether operative or nonoperative treatment of Achilles tendon ruptures affords superior outcomes. Purpose: To perform a systematic review of overlapping meta-analyses comparing operative and nonoperative treatment of Achilles tendon ruptures to determine which meta-analyses provide the highest level of evidence for treatment recommendations. Study Design: Systematic review; Level of evidence, 3. Methods: A systematic review of the literature was performed to identify meta-analyses that fit the study inclusion criteria. Data were extracted from these meta-analyses regarding patient outcomes and reruptures. Meta-analysis quality was assessed using the Oxman-Guyatt and QUOROM (Quality of Reporting of Meta-analyses) systems. The Jadad algorithm was applied to determine the meta-analyses with the highest level of evidence. Results: Nine meta-analyses met the eligibility criteria, with all but 1 study including level 1 evidence. A total of 5842 patients were included. Seven studies found a higher rate of rerupture in the nonoperative group but a higher rate of complications in the operative group. One study found no differences in rerupture or complication rates, and 1 study found surgery decreased rerupture rates only when compared with nonoperative treatment without a functional brace. Three studies also identified an earlier return to work in the operative group. Almost all (8 of 9) of the meta-analyses had Oxman-Guyatt scores >3, indicating no major flaws. Conclusion: Operative treatment of Achilles tendon ruptures decreases rerupture rates but increases the risk for minor complications when compared with nonoperative treatment. Additionally, surgical treatment may allow earlier return to work. PMID:26665055
Ruiz-Bailén, Manuel; Expósito-Ruiz, Manuela; Castillo-Rivera, Ana-María; Rucabado-Aguilar, Luis; Ruiz-García, María Isabel; Ramos-Cuadra, José-Angel; Ruiz-Valverde, Andrés; Gómez-Jiménez, Javier; Benitez-Parejo, José-Luis; Cuñat de la Hoz, José; Abat, Francisco Felices; Valenzuela, Jesús Pérez
2010-05-01
The aim was to evaluate factors associated with the development of heart rupture in a Spanish registry of acute myocardial infarction (AMI) patients. This was a retrospective study of cohorts, including all patients diagnosed with AMI included in the ARIAM Spanish multicenter registry. The study period was from June 1996 to December 2005. The follow-up period was limited to the time of stay in intensive care or coronary care units. Multivariate logistic regression was used to study the factors associated with the development of heart rupture. A propensity score analysis was also performed to determine the involvement of beta blockers, ACE inhibitors, and fibrinolytics in the development of heart rupture. 16,815 AMI patients were included. Heart rupture occurred in 477 (2.8%). Heart rupture was associated with female gender, older age, the absence of previous infarct, and the administration of thrombolysis, while ACE inhibitors and beta blockers acted as protective variables. The propensity score analysis showed that fibrinolysis was a variable associated with heart rupture except in the younger subgroup and in the subgroup with less delay in administration. It was also found that beta blockers and ACE inhibitors are variables providing protection against heart rupture. Heart rupture is associated with older age, female gender, absence of previous infarct, and the administration of thrombolysis, while ACE inhibitors and beta blockers seem to prevent this complication.
Rahman, Maryam; Ogilvy, Christopher S; Zipfel, Gregory J; Derdeyn, Colin P; Siddiqui, Adnan H; Bulsara, Ketan R; Kim, Louis J; Riina, Howard A; Mocco, J; Hoh, Brian L
2011-01-01
The International Study of Intracranial Aneurysms found that for patients with no previous history of subarachnoid hemorrhage, small (< 7 mm) anterior circulation and posterior circulation aneurysms had a 0% and 2.5% risk of subarachnoid hemorrhage over 5 years, respectively. To determine whether cerebral aneurysms shrink with rupture. The clinical databases of 7 sites were screened for patients with imaging of cerebral aneurysms before and after rupture. Inclusion criteria included documented subarachnoid hemorrhage by imaging or lumbar puncture and intracranial imaging before and after cerebral aneurysm rupture. The patients were evaluated for aneurysm maximal height, maximal width, neck diameter, and other measurement parameters. Only a change of ≥ 2 mm was considered a true change. Data on 13 patients who met inclusion criteria were collected. The median age was 60, and 11 of the 13 patients (84.6%) were female. Only 5 patients had posterior circulation aneurysms. None of the aneurysms had a significant decrease in size. One aneurysm decreased by 1.8 mm in maximum size after rupture (7.7%). Six aneurysms had an increase in maximum size of at least 2 mm after rupture (46.2%) with a mean increase of 3.5 mm (± 0.5 mm). Unruptured aneurysms do not shrink when they rupture. The large percentage of ruptured small aneurysms in previous studies were likely small before they ruptured.
[Indirect blast rupture of the pancreas with a primary unperforated blast injury of the duodenum].
Ignjatović, Dragan; Ignjatović, Mile; Jevtić, Miodrag
2006-02-01
To present a patient with an indirect blast rupture of the head of pancreas, as well as with a blast contusion of the duodenum following abdominal gunshot injury. A patient with the abdominal gunshot injury was submitted to the management of the injury of the liver, gaster and the right kidney in the field hospital. The revealed rupture of the head of the pancreas and the contusion of the duodenum were managed applying the method of Whipple. Indirect blast injuries require extensive surgical interventions, especially under war conditions.
Risk factors for achilles tendon rupture: A matched case control study.
Noback, Peter C; Jang, Eugene S; Cuellar, Derly O; Seetharaman, Mani; Malagoli, Emiliano; Greisberg, Justin K; Vosseller, J Turner
2017-10-01
The purpose of this study was to elucidate whether body mass index (BMI), activity level, and other risk factors predispose patients to Achilles tendon ruptures. A retrospective review of 279 subjects was performed (93 with Achilles tendon rupture, matched 1:2 with 186 age/sex matched controls with ankle sprains). Demographic variables and risk factors for rupture were tabulated and compared. The rupture group mean BMI was 27.77 (95% CI, 26.94-28.49), and the control group mean BMI was 26.66 (95% CI, 26.06-27.27). These populations were found to be statistically equivalent (p=0.047 and p<0.001 by two one-sided t-test). A significantly higher proportion of those suffering ruptures reported regular athletic activity at baseline (74%) versus controls (59%, p=0.013). There was no clinically significant difference found in BMI between patients with ruptures and controls. Furthermore, it was found that patients who sustained ruptures were also more likely to be active at baseline than their ankle sprain counterparts. Copyright © 2017 Elsevier Ltd. All rights reserved.
Rupture history of 2008 May 12 Mw 8.0 Wen-Chuan earthquake: Evidence of slip interaction
NASA Astrophysics Data System (ADS)
Ji, C.; Shao, G.; Lu, Z.; Hudnut, K.; Jiu, J.; Hayes, G.; Zeng, Y.
2008-12-01
We will present the rupture process of the May 12, 2008 Mw 8.0 Wenchuan earthquake using all available data. The current model, using both teleseismic body and surface waves and interferometric LOS displacements, reveals an unprecedented complex rupture process which can not be resolved using either of the datasets individually. Rupture of this earthquake involved both the low angle Pengguan fault and the high angle Beichuan fault, which intersect each other at depth and are separated approximately 5-15 km at the surface. Rupture initiated on the Pengguan fault and triggered rupture on the Beichuan fault 10 sec later. The two faults dynamically interacted and unilaterally ruptured over 270 km with an average rupture velocity of 3.0 km/sec. The total seismic moment is 1.1x1021 Nm (Mw 8.0), roughly equally partitioned between the two faults. However, the spatiotemporal evaluations of the two faults are very different. This study will focus on the evidence for fault interactions and will analyze the corresponding uncertainties, in preparation for future dynamic studies of the same detailed nature.
Earthquake Rupture Dynamics using Adaptive Mesh Refinement and High-Order Accurate Numerical Methods
NASA Astrophysics Data System (ADS)
Kozdon, J. E.; Wilcox, L.
2013-12-01
Our goal is to develop scalable and adaptive (spatial and temporal) numerical methods for coupled, multiphysics problems using high-order accurate numerical methods. To do so, we are developing an opensource, parallel library known as bfam (available at http://bfam.in). The first application to be developed on top of bfam is an earthquake rupture dynamics solver using high-order discontinuous Galerkin methods and summation-by-parts finite difference methods. In earthquake rupture dynamics, wave propagation in the Earth's crust is coupled to frictional sliding on fault interfaces. This coupling is two-way, required the simultaneous simulation of both processes. The use of laboratory-measured friction parameters requires near-fault resolution that is 4-5 orders of magnitude higher than that needed to resolve the frequencies of interest in the volume. This, along with earlier simulations using a low-order, finite volume based adaptive mesh refinement framework, suggest that adaptive mesh refinement is ideally suited for this problem. The use of high-order methods is motivated by the high level of resolution required off the fault in earlier the low-order finite volume simulations; we believe this need for resolution is a result of the excessive numerical dissipation of low-order methods. In bfam spatial adaptivity is handled using the p4est library and temporal adaptivity will be accomplished through local time stepping. In this presentation we will present the guiding principles behind the library as well as verification of code against the Southern California Earthquake Center dynamic rupture code validation test problems.
NASA Astrophysics Data System (ADS)
Abercrombie, Rachel E.; Poli, Piero; Bannister, Stephen
2017-12-01
We develop an approach to calculate earthquake source directivity and rupture velocity for small earthquakes, using the whole source time function rather than just an estimate of the duration. We apply the method to an aftershock sequence within the subducting plate beneath North Island, New Zealand, and investigate its resolution. We use closely located, highly correlated empirical Green's function (EGF) events to obtain source time functions (STFs) for this well-recorded sequence. We stack the STFs from multiple EGFs at each station, to improve the stability of the STFs. Eleven earthquakes (M 3.3-4.5) have sufficient azimuthal coverage, and both P and S STFs, to investigate directivity. The time axis of each STF in turn is stretched to find the maximum correlation between all pairs of stations. We then invert for the orientation and rupture velocity of both unilateral and bilateral line sources that best match the observations. We determine whether they are distinguishable and investigate the effects of limited frequency bandwidth. Rupture orientations are resolvable for eight earthquakes, seven of which are predominantly unilateral, and all are consistent with rupture on planes similar to the main shock fault plane. Purely unilateral rupture is rarely distinguishable from asymmetric bilateral rupture, despite a good station distribution. Synthetic testing shows that rupture velocity is the least well-resolved parameter; estimates decrease with loss of high-frequency energy, and measurements are best considered minimum values. We see no correlation between rupture velocity and stress drop, and spatial stress drop variation cannot be explained as an artifact of varying rupture velocity.
Penning de Vries, Bas B L; Kolkert, Joé L P; Meerwaldt, Robbert; Groenwold, Rolf H H
2017-10-01
Associations between atmospheric pressure and abdominal aortic aneurysm (AAA) rupture risk have been reported, but empirical evidence is inconclusive and largely derived from studies that did not account for possible nonlinearity, seasonality, and confounding by temperature. Associations between atmospheric pressure and AAA rupture risk were investigated using local meteorological data and a case series of 358 patients admitted to hospital for ruptured AAA during the study period, January 2002 to December 2012. Two analyses were performed-a time series analysis and a case-crossover study. Results from the 2 analyses were similar; neither the time series analysis nor the case-crossover study showed a significant association between atmospheric pressure ( P = .627 and P = .625, respectively, for mean daily atmospheric pressure) or atmospheric pressure variation ( P = .464 and P = .816, respectively, for 24-hour change in mean daily atmospheric pressure) and AAA rupture risk. This study failed to support claims that atmospheric pressure causally affects AAA rupture risk. In interpreting our results, one should be aware that the range of atmospheric pressure observed in this study is not representative of the atmospheric pressure to which patients with AAA may be exposed, for example, during air travel or travel to high altitudes in the mountains. Making firm claims regarding these conditions in relation to AAA rupture risk is difficult at best. Furthermore, despite the fact that we used one of the largest case series to date to investigate the effect of atmospheric pressure on AAA rupture risk, it is possible that this study is simply too small to demonstrate a causal link.
Vandenberghe, G; Bloemenkamp, K; Berlage, S; Colmorn, L; Deneux-Tharaux, C; Gissler, M; Knight, M; Langhoff-Roos, J; Lindqvist, P G; Oberaigner, W; Van Roosmalen, J; Zwart, J; Roelens, K
2018-05-04
International comparison of complete uterine rupture. Descriptive multi-country population-based study. International. International Network of Obstetric Survey Systems (INOSS). We merged individual data, collected prospectively in nine population-based studies, of women with complete uterine rupture, defined as complete disruption of the uterine muscle and the uterine serosa, regardless of symptoms and rupture of fetal membranes. Prevalence of complete uterine rupture, regional variation and correlation with rates of caesarean section (CS) and trial of labour after CS (TOLAC). Severe maternal and perinatal morbidity and mortality. We identified 864 complete uterine ruptures in 2 625 017 deliveries. Overall prevalence was 3.3 (95% CI 3.1-3.5) per 10 000 deliveries, 22 (95% CI 21-24) in women with and 0.6 (95% CI 0.5-0.7) in women without previous CS. Prevalence in women with previous CS was negatively correlated with previous CS rate (ρ = -0.917) and positively correlated with TOLAC rate of the background population (ρ = 0.600). Uterine rupture resulted in peripartum hysterectomy in 87 of 864 women (10%, 95% CI 8-12%) and in a perinatal death in 116 of 874 infants (13.3%, 95% CI 11.2-15.7) whose mother had uterine rupture. Overall rate of neonatal asphyxia was 28% in neonates who survived. Higher prevalence of complete uterine ruptures per TOLAC was observed in countries with low previous CS and high TOLAC rates. Rates of hysterectomy and perinatal death are about 10% following complete uterine rupture, but in women undergoing TOLAC the rates are extremely low (only 2.2 and 3.2 per 10 000 TOLACs, respectively.) TWEETABLE ABSTRACT: Prevalence of complete uterine rupture is higher in countries with low previous CS and high TOLAC rates. © 2018 Royal College of Obstetricians and Gynaecologists.
Shotar, Eimad; Debarre, Matthieu; Sourour, Nader-Antoine; Di Maria, Federico; Gabrieli, Joseph; Nouet, Aurélien; Chiras, Jacques; Degos, Vincent; Clarençon, Frédéric
2018-01-01
OBJECTIVE The authors aimed to design a score for stratifying patients with brain arteriovenous malformation (BAVM) rupture, based on the likelihood of a poor long-term neurological outcome. METHODS The records of consecutive patients with BAVM hemorrhagic events who had been admitted over a period of 11 years were retrospectively reviewed. Independent predictors of a poor long-term outcome (modified Rankin Scale score ≥ 3) beyond 1 year after admission were identified. A risk stratification scale was developed and compared with the intracranial hemorrhage (ICH) score to predict poor outcome and inpatient mortality. RESULTS One hundred thirty-five patients with 139 independent hemorrhagic events related to BAVM rupture were included in this analysis. Multivariate logistic regression followed by stepwise analysis showed that consciousness level according to the Glasgow Coma Scale (OR 6.5, 95% CI 3.1-13.7, p < 10 -3 ), hematoma volume (OR 1.8, 95% CI 1.2-2.8, p = 0.005), and intraventricular hemorrhage (OR 7.5, 95% CI 2.66-21, p < 10 -3 ) were independently associated with a poor outcome. A 12-point scale for ruptured BAVM prognostication was constructed combining these 3 factors. The score obtained using this new scale, the ruptured AVM prognostic (RAP) score, was a stronger predictor of a poor long-term outcome (area under the receiver operating characteristic curve [AUC] 0.87, 95% CI 0.8-0.92, p = 0.009) and inpatient mortality (AUC 0.91, 95% CI 0.85-0.95, p = 0.006) than the ICH score. For a RAP score ≥ 6, sensitivity and specificity for predicting poor outcome were 76.8% (95% CI 63.6-87) and 90.8% (95% CI 81.9-96.2), respectively. CONCLUSIONS The authors propose a new admission score, the RAP score, dedicated to stratifying the risk of poor long-term outcome after BAVM rupture. This easy-to-use scoring system may help to improve communication between health care providers and consistency in clinical research. Only external prospective cohorts and population-based studies will ensure full validation of the RAP scores' capacity to predict outcome after BAVM rupture.
NASA Technical Reports Server (NTRS)
Moore, T. J.
1972-01-01
Results of an exploratory study of the structure and properties of friction welds in Udimet 700 (U-700) and TD-nickel (TD-Ni) bar materials, as well as dissimilar U-700/TD-Ni friction welds. Butt welds were prepared by friction welding 12.7-mm-diam U-700 bars and TD-Ni bars. Specimens for elevated temperature tensile and stress rupture testing were machined after a postweld heat treatment. Friction welding of U-700 shows great potential because the welds were found to be as strong as the parent metal in stress rupture and tensile tests at 760 and 980 C. In addition, the weld line was not detectable by metallographic examination after postheating. Friction welds in TD-Ni or between U-700 and TD-Ni were extremely weak at elevated temperatures. The TD-Ni friction welds could support only 9% as much stress as the base metal for 10-hour stress rupture life at 1090 C. The U-700/TD-Ni weld could sustain only 15% as much stress as the TD-Ni parent metal for a 10-hour stress rupture life at 930 C. Thus friction welding is not a suitable joining method for obtaining high-strength TD-Ni or U-700/TD-Ni weldments.
NASA Astrophysics Data System (ADS)
Champenois, Johann; Klinger, Yann; Grandin, Raphaël; Satriano, Claudio; Baize, Stéphane; Delorme, Arthur; Scotti, Oona
2017-04-01
Remote sensing techniques, like optical satellite image correlation, are very efficient methods to localize and quantify surface displacements due to earthquakes. In this study, we use the french sub-pixel correlator MicMac (Multi Images Correspondances par Méthodes Automatiques de Corrélation). This free open-source software, developed by IGN, was recently adapted to process satellite images. This correlator uses regularization, and that provides good results especially in near-fault area with a high spatial resolution. We use co-seismic pair of ortho-images to measure the horizontal displacement field during the recent 2016 Mw7.8 Kaikoura earthquake. Optical satellite images from different satellites are processed (Sentinel-2A, Landsat8, etc.) to present a dense map of the surface ruptures and to analyze high density slip distribution along all major ruptures. We also provide a detail pattern of deformation along these main surface ruptures. Moreover, 2D displacement from optical correlation is compared to co-seismic measurements from GPS, static displacement from accelerometric records, geodetic marks and field investigations. Last but not least, we investigate the reconstruction of 3D displacement from combining InSAR, GPS and optic.
In situ fluidization for peat bed rupture, and preliminary economic analysis.
Niven, R K; Khalili, N
2002-11-01
This study concerns in situ fluidization (ISF), a new remediation method with potential application to the remediation of NAPL and heavy metal contaminants, by their release from the fluidized zone generated by a water jet. The present study examines the effect of ISF on layers of peat, of significance owing to its role as an important NAPL and metal contaminant trap. Once trapped, such contaminants are not readily accessible by most remedial methods, due to the low permeability and diffusivity of the peat. A simple tank experiment is used to demonstrate rupture of a peat layer by ISF, with removal of the peat as elutriated fines and segregated peat chunks. The application of ISF in the field is then examined by three field trials in uncontaminated sands, in both saturated and unsaturated conditions. Fluidized depths of up to 1.9 m in the saturated zone (with refusal on a peat layer) and 2.5 m in the unsaturated zone (no refusal) were attained, using a 1.9-m-long, 50 mm diameter jet operated at 5-13 1 s(-1). Pulses of dark turbidity and shell fragments in the effluent indicated the rupture of peat and shelly layers. The experiments demonstrate the hydraulic viability of ISF in the field, and its ability to remove peat-based contaminants. The issues of appropriate jet design and water generation during ISF are discussed, followed by a preliminary economic analysis of ISF relative to existing remediation methods.
NASA Astrophysics Data System (ADS)
Meng, L.; Ampuero, J. P.; Rendon, H.
2010-12-01
Back projection of teleseismic waves based on array processing has become a popular technique for earthquake source imaging,in particular to track the areas of the source that generate the strongest high frequency radiation. The technique has been previously applied to study the rupture process of the Sumatra earthquake and the supershear rupture of the Kunlun earthquakes. Here we attempt to image the Haiti earthquake using the data recorded by Venezuela National Seismic Network (VNSN). The network is composed of 22 broad-band stations with an East-West oriented geometry, and is located approximately 10 degrees away from Haiti in the perpendicular direction to the Enriquillo fault strike. This is the first opportunity to exploit the privileged position of the VNSN to study large earthquake ruptures in the Caribbean region. This is also a great opportunity to explore the back projection scheme of the crustal Pn phase at regional distances,which provides unique complementary insights to the teleseismic source inversions. The challenge in the analysis of the 2010 M7.0 Haiti earthquake is its very compact source region, possibly shorter than 30km, which is below the resolution limit of standard back projection techniques based on beamforming. Results of back projection analysis using the teleseismic USarray data reveal little details of the rupture process. To overcome the classical resolution limit we explored the Multiple Signal Classification method (MUSIC), a high-resolution array processing technique based on the signal-noise orthognality in the eigen space of the data covariance, which achieves both enhanced resolution and better ability to resolve closely spaced sources. We experiment with various synthetic earthquake scenarios to test the resolution. We find that MUSIC provides at least 3 times higher resolution than beamforming. We also study the inherent bias due to the interferences of coherent Green’s functions, which leads to a potential quantification of biased uncertainty of the back projection. Preliminary results from the Venezuela data set shows an East to West rupture propagation along the fault with sub-Rayleigh rupture speed, consistent with a compact source with two significant asperities which are confirmed by source time function obtained from Green’s function deconvolution and other source inversion results. These efforts could lead the Venezuela National Seismic Network to play a prominent role in the timely characterization of the rupture process of large earthquakes in the Caribbean, including the future ruptures along the yet unbroken segments of the Enriquillo fault system.
Microfluidic guillotine for single-cell wound repair studies
NASA Astrophysics Data System (ADS)
Blauch, Lucas R.; Gai, Ya; Khor, Jian Wei; Sood, Pranidhi; Marshall, Wallace F.; Tang, Sindy K. Y.
2017-07-01
Wound repair is a key feature distinguishing living from nonliving matter. Single cells are increasingly recognized to be capable of healing wounds. The lack of reproducible, high-throughput wounding methods has hindered single-cell wound repair studies. This work describes a microfluidic guillotine for bisecting single Stentor coeruleus cells in a continuous-flow manner. Stentor is used as a model due to its robust repair capacity and the ability to perform gene knockdown in a high-throughput manner. Local cutting dynamics reveals two regimes under which cells are bisected, one at low viscous stress where cells are cut with small membrane ruptures and high viability and one at high viscous stress where cells are cut with extended membrane ruptures and decreased viability. A cutting throughput up to 64 cells per minute—more than 200 times faster than current methods—is achieved. The method allows the generation of more than 100 cells in a synchronized stage of their repair process. This capacity, combined with high-throughput gene knockdown in Stentor, enables time-course mechanistic studies impossible with current wounding methods.
Liquid salt environment stress-rupture testing
Ren, Weiju; Holcomb, David E.; Muralidharan, Govindarajan; Wilson, Dane F.
2016-03-22
Disclosed herein are systems, devices and methods for stress-rupture testing selected materials within a high-temperature liquid salt environment. Exemplary testing systems include a load train for holding a test specimen within a heated inert gas vessel. A thermal break included in the load train can thermally insulate a load cell positioned along the load train within the inert gas vessel. The test specimen can include a cylindrical gage portion having an internal void filled with a molten salt during stress-rupture testing. The gage portion can have an inner surface area to volume ratio of greater than 20 to maximize the corrosive effect of the molten salt on the specimen material during testing. Also disclosed are methods of making a salt ingot for placement within the test specimen.
A Method for Direct-Measurement of the Energy of Rupture of Impact Specimens
1953-01-01
CONTENTS SECTION A - Poreword SFCTION B » ObjectiTes of the Current Investigation SECTION C - Basic Elements of an Impact Testing System ...SECTION D - Discussion lo Linear System 2 c Rotary System 3o Methods for Ifeasui ing the Energy of Rupture SECTION E « The Energy Measuring System ...has followed and to siironarize our techni<»l findings, Co BASIC ELEKEMTS OF AN IMPACT TESTING SYSTEM For the analytical purposes of this
Risk factors for pediatric arachnoid cyst rupture/hemorrhage: a case-control study.
Cress, Marshall; Kestle, John R W; Holubkov, Richard; Riva-Cambrin, Jay
2013-05-01
As the availability of imaging modalities has increased, the finding of arachnoid cysts has become common. Accurate patient counseling regarding physical activity or risk factors for cyst rupture or hemorrhage has been hampered by the lack of definitive association studies. This case-control study evaluated factors that are associated with arachnoid cyst rupture (intracystic hemorrhage, adjacent subdural hematoma, or adjacent subdural hygroma) in pediatric patients with previously asymptomatic arachnoid cysts. Patients with arachnoid cysts and intracystic hemorrhage, adjacent subdural hygroma, or adjacent subdural hematoma treated at a single institution from 2005 to 2010 were retrospectively identified. Two unruptured/nonhemorrhagic controls were matched to each case based on patient age, sex, anatomical cyst location, and side. Risk factors evaluated included arachnoid cyst size, recent history of head trauma, and altitude at residence. The proportion of imaged arachnoid cysts that presented either originally or subsequently with a rupture or hemorrhage was 6.0%. Larger cyst size, as defined by maximal cyst diameter, was significantly associated with cyst rupture/hemorrhage (P < .001). When dichotomized with a 5-cm cutoff, 9/13 larger cysts ruptured and/or hemorrhaged, whereas only 5/29 smaller cysts ruptured/hemorrhaged (odds ratio = 16.5 (confidence interval [2.5, ∞]). A recent history of head trauma was also significantly associated with the outcome (P < .001; odds ratio = 25.1 (confidence interval [4.0, ∞]). Altitude was not associated with arachnoid cyst rupture or hemorrhage. This case-control study suggests that larger arachnoid cyst size and recent head trauma are risk factors for symptomatic arachnoid cyst rupture/hemorrhage.
Nakamura, Sachiyo; Horiuchi, Shigeko
2013-01-01
Background: In Japan, the proportion of women aged 35 and older giving birth has greatly increased in recent years, and maternal age is continuing to increase. Advanced maternal age is a risk factor for abnormal delivery, as is hiesho (sensitivity to cold). Research Question: This study aimed to assess whether advanced maternal age and hiesho precipitate premature delivery, premature rupture of membranes, weak labor pains, prolonged labor and atonic bleeding. Method: The study design was a descriptive comparative study with a retrospective cohort group design. Subjects in this study were 2,810 Japanese women in hospital after childbirth. The research methods employed were a paper questionnaire and extraction of data from medical records. Results: Comparing the rate of occurrence of abnormal delivery among women aged 35 to 39 according to whether or not they had hiesho, results were premature delivery OR: 3.51 (95% CI: 1.66-7.43), premature rupture of membranes OR: 1.25 (95% CI: 0.90-1.74), weak labor pains OR: 2.94 (95% CI: 1.65-5.24), prolonged labor OR: 2.56 (95% CI: 1.23-5.26), and atonic bleeding, OR: 1.65 (95% CI: 0.14-2.40) when hiesho was present. Among women aged 40 and over, results were premature delivery OR: 5.09 (95% CI: 1.16-22.20), premature rupture of membranes OR: 1.60 (95% CI: 0.73-3.46), weak labor pains OR: 7.02 (95% CI: 1.56-31.55), prolonged labor OR:7.19 (95% CI: 1.49-34.60) and atonic bleeding OR: 2.00 (95% CI: 0.64-6.23). Conclusions: Regardless of maternal age, the presence of hiesho is a risk factor that can precipitate premature delivery, premature rupture of membranes, weak labor pains, prolonged labor and atonic bleeding. Furthermore, hiesho coupled with advanced maternal age increases the incidence of premature delivery, weak labor pains and prolonged labor. PMID:24062862
NASA Astrophysics Data System (ADS)
Gong, Jianhua; McGuire, Jeffrey J.
2018-01-01
The interactions between the North American, Pacific, and Gorda plates at the Mendocino Triple Junction (MTJ) create one of the most seismically active regions in North America. The earthquakes rupture all three plate boundaries but also include considerable intraplate seismicity reflecting the strong internal deformation of the Gorda plate. Understanding the stress levels that drive these ruptures and estimating the locking state of the subduction interface are especially important topics for regional earthquake hazard assessment. However owing to the lack of offshore seismic and geodetic instruments, the rupture process of only a few large earthquakes near the MTJ have been studied in detail and the locking state of the subduction interface is not well constrained. In this paper, first, we use the second moments inversion method to study the rupture process of the January 28, 2015 Mw 5.7 earthquake on the Mendocino transform fault that was unusually well recorded by both onshore and offshore strong motion instruments. We estimate the rupture dimension to be approximately 6 km by 3 km corresponding to a stress drop of ∼4 MPa for a crack model. Next we investigate the frictional state of the subduction interface by simulating the afterslip that would be expected there as a result of the stress changes from the 2015 earthquake and a 2010 Mw 6.5 intraplate earthquake within the subducted Gorda plate. We simulate afterslip scenarios for a range of depths of the downdip end of the locked zone defined as the transition to velocity strengthening friction and calculate the corresponding surface deformation expected at onshore GPS monuments. We can rule out a very shallow downdip limit owing to the lack of a detectable signal at onshore GPS stations following the 2010 earthquake. Our simulations indicate that the locking depth on the slab surface is at least 14 km, which suggests that the next M8 earthquake rupture will likely reach the coastline and strong shaking should be expected there.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Pitarka, A.
We analyzed the performance of the Irikura and Miyake (2011) (IM2011) asperity- based kinematic rupture model generator, as implemented in the hybrid broadband ground-motion simulation methodology of Graves and Pitarka (2010), for simulating ground motion from crustal earthquakes of intermediate size. The primary objective of our study is to investigate the transportability of IM2011 into the framework used by the Southern California Earthquake Center broadband simulation platform. In our analysis, we performed broadband (0 - 20Hz) ground motion simulations for a suite of M6.7 crustal scenario earthquakes in a hard rock seismic velocity structure using rupture models produced with bothmore » IM2011 and the rupture generation method of Graves and Pitarka (2016) (GP2016). The level of simulated ground motions for the two approaches compare favorably with median estimates obtained from the 2014 Next Generation Attenuation-West2 Project (NGA-West2) ground-motion prediction equations (GMPEs) over the frequency band 0.1–10 Hz and for distances out to 22 km from the fault. We also found that, compared to GP2016, IM2011 generates ground motion with larger variability, particularly at near-fault distances (<12km) and at long periods (>1s). For this specific scenario, the largest systematic difference in ground motion level for the two approaches occurs in the period band 1 – 3 sec where the IM2011 motions are about 20 – 30% lower than those for GP2016. We found that increasing the rupture speed by 20% on the asperities in IM2011 produced ground motions in the 1 – 3 second bandwidth that are in much closer agreement with the GMPE medians and similar to those obtained with GP2016. The potential implications of this modification for other rupture mechanisms and magnitudes are not yet fully understood, and this topic is the subject of ongoing study.« less
NASA Astrophysics Data System (ADS)
Lapusta, N.; Thomas, M.; Noda, H.; Avouac, J.
2012-12-01
Long-term simulations that incorporate both seismic events and aseismic slip are quite important for studies of earthquake physics but challenging computationally. To study long deformation histories, most simulation methods do not incorporate full inertial effects (wave propagation) during simulated earthquakes, using quasi-dynamic approximations instead. Here we compare the results of quasi-dynamic simulations to the fully dynamic ones for a range of problems to determine the applicability of the quasi-dynamic approach. Intuitively, the quasi-dynamic approach should do relatively well in problems where wave-mediated effects are relatively simple but should have substantially different (and hence wrong) response when the wave-mediated stress transfers dominate the character of the seismic events. This is exactly what we observe in our simulations. We consider a 2D model of a rate-and-state fault with a seismogenic (steady-state velocity-weakening) zone surrounded by creeping (steady-state velocity-strengthening) areas. If the seismogenic zone is described by the standard Dieterich-Ruina rate-and-state friction, the resulting earthquake sequences consist of relatively simple crack-like ruptures, and the inclusion of true wave-propagation effects mostly serves to concentrate stress more efficiently at the rupture front. Hence, in such models, rupture speeds and slip rates are significantly (several times) lower in the quasi-dynamic simulations compared to the fully dynamic ones, but the total slip, the crack-like nature of seismic events, and the overall pattern of earthquake sequences is comparable, consistently with prior studies. Such behavior can be classified as qualitatively similar but quantitatively different, and it motivates the popularity of the quasi-dynamic methods in simulations. However, the comparison changes dramatically once we consider a model with enhanced dynamic weakening in the seismogenic zone in the form of flash heating. In this case, the fully dynamic simulations produce seismic ruptures in the form of short-duration slip pulses, where the pulses form due to a combination of enhanced weakening and wave effects. The quasi-dynamic simulations in the same model produce completely different results, with large crack-like ruptures, different total slips, different rupture patterns, and different prestress state before large, model-spanning events. Such qualitative differences between the quasi-dynamic and fully-dynamic simulation should result in any model where inertial effects lead to qualitative differences, such as cases with supershear transition or fault with different materials on the two sides. We will present results on our current work on how the quasi-dynamic and fully dynamic simulations compare for the cases with heterogeneous fault properties.
Identification of vortex structures in a cohort of 204 intracranial aneurysms
Trylesinski, Gabriel; Xiang, Jianping; Snyder, Kenneth; Meng, Hui
2017-01-01
An intracranial aneurysm (IA) is a cerebrovascular pathology that can lead to death or disability if ruptured. Abnormal wall shear stress (WSS) has been associated with IA growth and rupture, but little is known about the underlying flow physics related to rupture-prone IAs. Previous studies, based on analysis of a few aneurysms or partial views of three-dimensional vortex structures, suggest that rupture is associated with complex vortical flow inside IAs. To further elucidate the relevance of vortical flow in aneurysm pathophysiology, we studied 204 patient IAs (56 ruptured and 148 unruptured). Using objective quantities to identify three-dimensional vortex structures, we investigated the characteristics associated with aneurysm rupture and if these features correlate with previously proposed WSS and morphological characteristics indicative of IA rupture. Based on the Q-criterion definition of a vortex, we quantified the degree of the aneurysmal region occupied by vortex structures using the volume vortex fraction (vVF) and the surface vortex fraction (sVF). Computational fluid dynamics simulations showed that the sVF, but not the vVF, discriminated ruptured from unruptured aneurysms. Furthermore, we found that the near-wall vortex structures co-localized with regions of inflow jet breakdown, and significantly correlated to previously proposed haemodynamic and morphologic characteristics of ruptured IAs. PMID:28539480
Identification of vortex structures in a cohort of 204 intracranial aneurysms.
Varble, Nicole; Trylesinski, Gabriel; Xiang, Jianping; Snyder, Kenneth; Meng, Hui
2017-05-01
An intracranial aneurysm (IA) is a cerebrovascular pathology that can lead to death or disability if ruptured. Abnormal wall shear stress (WSS) has been associated with IA growth and rupture, but little is known about the underlying flow physics related to rupture-prone IAs. Previous studies, based on analysis of a few aneurysms or partial views of three-dimensional vortex structures, suggest that rupture is associated with complex vortical flow inside IAs. To further elucidate the relevance of vortical flow in aneurysm pathophysiology, we studied 204 patient IAs (56 ruptured and 148 unruptured). Using objective quantities to identify three-dimensional vortex structures, we investigated the characteristics associated with aneurysm rupture and if these features correlate with previously proposed WSS and morphological characteristics indicative of IA rupture. Based on the Q -criterion definition of a vortex, we quantified the degree of the aneurysmal region occupied by vortex structures using the volume vortex fraction ( vVF ) and the surface vortex fraction ( sVF ). Computational fluid dynamics simulations showed that the sVF , but not the vVF , discriminated ruptured from unruptured aneurysms. Furthermore, we found that the near-wall vortex structures co-localized with regions of inflow jet breakdown, and significantly correlated to previously proposed haemodynamic and morphologic characteristics of ruptured IAs. © 2017 The Author(s).
Molacek, Jiri; Treska, Vladislav; Kasik, Miroslav; Houdek, Karel; Baxa, Jan
2013-09-01
There is much interest in all factors that influence the etiopathogenesis of abdominal aortic aneurysm (AAA) rupture. Apart from the well-established factors such as arterial hypertension, smoking, age, and genetic predisposition, less common factors that may play a role in the mechanism of the rupture are the subject of much discussion. These include atmospheric conditions, temperature, and atmospheric pressure. We conducted this study to investigate the effects of the absolute value of atmospheric pressure and its changes on the frequency of AAA rupture. We retrospectively examined 54 patients who underwent treatment for a ruptured AAA at the Clinic of Surgery in the University Hospital in Pilsen between 1 January 2005 and 31 December 2009. We collected data on the atmospheric pressure in this period from the Czech Hydrometeorological Institute in Pilsen. We did not find a significant difference in atmospheric pressure values between the days when the rupture occurred versus the other days (p < 0.5888). Moreover, we did not find significant changes in the atmospheric pressure during the 48 h preceding the rupture (Student's test p < 0.4434) versus the day of rupture or in the mean atmospheric pressure in that month. These findings suggest that atmospheric pressure and its changes do not affect the pathogenesis of AAA rupture.
Relation between energy radiation ratio and rupture speed in numerically simulated earthquakes
NASA Astrophysics Data System (ADS)
Noda, H.; Lapusta, N.; Kanamori, H.
2011-12-01
One of the prominent questions in seismology is energy partitioning during an earthquake. Venkataraman and Kanamori [2004] discussed radiation ratio η_R, the ratio of radiated energy E_R to partial strain energy change ΔW_0 which is the total released strain energy minus the energy that would have been dissipated if a fault had slipped at the final stress. They found positive correlation between η_R and rupture speed in large earthquakes, and compared these data with theoretical estimates from simplified models. The relation between η_R and rupture speed is of great interest since both quantities can be estimated independently although there are large uncertainties. We conduct numerical simulations of dynamic ruptures and study the obtained energy partitioning (and η_R) and averaged rupture speeds V_r. So far, we have considered problems based on TPV103 from the SCEC/USGS Spontaneous Rupture Code Verification Project [Harris et al., 2009, http://scecdata.usc.edu/cvws/], which is a 3-D problem with the possibility of remarkable rate weakening at coseismic slip rates caused by flash heating of microscopic asperities [Rice, 1999]. We study the effect of background shear stress level τ_b and the manner in which rupture is arrested, either in rate-strengthening or unbreakable areas of the fault. Note that rupture speed at each fault point is defined when the rupture is still in progress, while η_R is defined after all dynamic processes such as propagation of a rupture front, healing fronts, and seismic waves have been completed. Those complexities may cause a difference from the theoretical estimates based on simple models, an issue we explore in this study. Overall, our simulations produce the relation between η_R and V_r broadly consistent with the study of Venkataraman and Kanamori (2004) for natural earthquakes and the corresponding theoretical estimates. The model by Mott [1948] agrees best with the cases studied so far, although it is not rigorously correct [Freund, 1990]. For example, a case which is similar to TPV103 except in the nucleation procedure yields a pulse-like rupture with a spatially averaged rupture speed V_r = 0.59 c_s and η_R = 0.32, while the theoretical estimates [Fossum and Freund, 1975 for mode II and Kostrov, 1966; Ehselby, 1969 for mode III] predict η_R of about 0.5 for this rupture speed. This difference is not significant compared with the large observational error. As τ_b increases, V_r increases monotonically, while η_R exhibits more complex behavior: it increases with τ_b for pulse-like ruptures, decreases by about 0.1 at the transition to crack-like ruptures, and then increases again. Frictional dissipation is significant when a rupture front reaches a rate-strengthening region. If the barrier is changed to an unbreakable region, η_R decreases and V_r/c_s increases at most by 0.3 and 0.1, respectively. Although sharper arrest of rupture causes larger E_R per seismic moment due to the stopping phases, ΔW_0 per seismic moment increases more remarkably due to large wavenumber components in final slip distribution.
Greater rupture risk for familial as compared to sporadic unruptured intracranial aneurysms.
Broderick, Joseph P; Brown, Robert D; Sauerbeck, Laura; Hornung, Richard; Huston, John; Woo, Daniel; Anderson, Craig; Rouleau, Guy; Kleindorfer, Dawn; Flaherty, Matthew L; Meissner, Irene; Foroud, Tatiana; Moomaw, E Charles J; Connolly, E Sander
2009-06-01
The risk of intracranial aneurysm (IA) rupture in asymptomatic members of families who have multiple affected individuals is not known. First-degree unaffected relatives of those with a familial history of IA who had a history of smoking or hypertension but no known IA were offered cerebral MR angiography (MRA) and followed yearly as part of a National Institute of Neurological Diseases and Stroke-funded study of familial IA (Familial Intracranial Aneurysm [FIA] Study). A total of 2874 subjects from 542 FIA Study families were enrolled. After study enrollment, MRAs were performed in 548 FIA Study family members with no known history of IA. Of these 548 subjects, 113 subjects (20.6%) had 148 IAs by MRA of whom 5 subjects had IA >or=7 mm. Two subjects with an unruptured IA by MRA/CT angiography (3-mm and 4-mm anterior communicating artery) subsequently had rupture of their IA. This represents an annual rate of 1.2 ruptures per 100 subjects (1.2% per year; 95% CI, 0.14% to 4.3% per year). None of the 435 subjects with a negative MRA have had a ruptured IA. Survival curves between the MRA-positive and -negative cohorts were significantly different (P=0.004). This rupture rate of unruptured IA in the FIA Study cohort of 1.2% per year is approximately 17 times higher than the rupture rate for subjects with an unruptured IA in the International Study of Unruptured Aneurysm Study with a matched distribution of IA size and location 0.069% per year. Small unruptured IAs in patients from FIA Study families may have a higher risk of rupture than sporadic unruptured IAs of similar size, which should be considered in the management of these patients.
[A comparative study on repair of acute Achilles tendon rupture using three operating techniques].
Wang, Ting; Mei, Guohua; Shi, Zhongmin; Chai, Yimin; Zhang, Changqing; Hou, Chunlin
2012-07-01
To compare the effectiveness of the 3 methods (traditional open Achilles tendon anastomosis, minimally invasive percutaneous Achilles tendon anastomosis, and Achilles tendon anastomosis limited incision) for acute Achilles tendon rupture so as to provide a reference for the choice of clinical treatment plans. Between December 2007 and March 2010, 69 cases of acute Achilles tendon rupture were treated by traditional open Achilles tendon anastomosis (traditional group, n=23), by minimally invasive percutaneous Achilles tendon anastomosis (minimally invasive group, n=23), and by Achilles tendon anastomosis limited incision (limited incision group, n=23). There was no significant difference in gender, age, mechanism of injury, and American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score between 3 groups (P > 0.05). Minimally invasive group and limited incision group were significantly better than traditional group in hospitalization days and blood loss (P < 0.01). Incision infection occurred in 2 cases of traditional group, and healing of incision by first intention was achieved in all patients of the other 2 groups, showing significant difference in the complication rate (P < 0.05). Re-rupture of Achilles tendon occurred in 1 case (4.3%) of minimally invasive group and limited incision group respectively; no re-rupture was found in traditional group (0), showing significant difference when compared with the other 2 groups (P < 0.05). All cases were followed up 12-18 months with an average of 14.9 months. The function of the joint was restored. The AOFAS score was more than 90 points in 3 groups at 12 months after operation, showing no significant difference among 3 groups (P > 0.05). The above 3 procedures can be used to treat acute Achilles tendon rupture. However, minimally invasive percutaneous Achilles tendon anastomosis and Achilles tendon anastomosis limited incision have the advantages of less invasion, good healing, short hospitalization days, and less postoperative complication, and have the disadvantage of increased risk for re-rupture of Achilles tendon after operations.
PIP breast implants: rupture rate and correlation with breast cancer
MOSCHETTA, M.; TELEGRAFO, M.; CORNACCHIA, I.; VINCENTI, L.; RANIERI, V.; CIRILLI, A.; RELLA, L.; IANORA, A.A. STABILE; ANGELELLI, G.
2014-01-01
Aim To evaluate the incidence of Poly Implant Prosthése (PIP) rupture as assessed by magnetic resonance imaging (MRI), the prevalence of the detected signs and the potential correlation with breast carcinoma. Patients and methods 67 patients with silicone breast implants and clinical indications for breast MRI were evaluated for a total of 125 implants: 40 (32%) PIP in 21 patients and 85 non-PIP in 46 patients (68%), the latest considered as control group. A 1.5-T MR imaging device was used in order to assess implant integrity with dedicated sequences and in 6 cases a dynamic study was performed for characterizing breast lesions. Two radiologists with more than 5 years’ experience in the field of MRI evaluated in consensus all MR images searching for the presence of clear signs of intra or extra-capsular implant rupture. Results 20/40 (50%) PIP implants presented signs of intra-capsular rupture: linguine sign in 20 cases (100%), tear-drop sign in 6 (30%). In 12/20 cases (60%), MRI signs of extra-capsular rupture were detected. In the control group, an intra-capsular rupture was diagnosed in 12/85 cases (14%) associated with extra-capsular one in 5/12 cases (42%). Among the six cases with suspected breast lesions, in 2/21 patients with PIP implants (10%) a breast carcinoma was diagnosed (mucinous carcinoma, n=1; invasive ductal carcinoma, n=1). In 4/46 patients (9%) with non-PIP implants, an invasive ductal carcinoma was diagnosed. Conclusion The rupture rate of PIP breast implants is significantly higher than non-PIP (50% vs 14%). MRI represents the most accurate imaging tool for evaluating breast prostheses and the linguine sign is the most common MRI sign to be searched. The incidence of breast carcinoma does not significantly differ between the PIP and non-PIP implants and a direct correlation with breast cancer can not been demonstrated. PMID:25644728
Spontaneous Anterior Lens Capsule Rupture Of a Patient with Alport Syndrome - A Case Report.
Trifonova, Kalina; Jordanoff, George; Stoyanov, Valentin; Slaveykov, Kiril
2017-12-15
Alport syndrome is a progressive genetic disease which is characterised by glomerulonephritis, sensorineural deafness and ocular abnormalities. We aimed to present a clinical case of a patient with Alport syndrome with spontaneous anterior lens capsule rupture. A 16-year-old male with histologically proven Alport syndrome was hospitalised in the Department of Ophthalmology, University Hospital "Prof. Stoyan Kirkovich", Stara Zagora with low vision, pain, redness, high IOP and rupture of the anterior lenticular capsule of the right eye. Phacoaspiration was successfully performed (Millenium, Bausch& Lomb, Rochester, New York, USA) with the bimanual irrigation-aspiration system (Geuder AG, Heidelberg, Germany) with excellent visual results. As the syndrome is quite rare and can lead to diagnostic difficulties for the ophthalmologist complications such as spontaneous or traumatic rupture of the capsule are not uncommon. In such cases, phacoaspiration is an efficient method for clear lens extraction after ruptures of the anterior lenticular capsule of young patients with Alport syndrome.
The deep Peru 2015 doublet earthquakes
NASA Astrophysics Data System (ADS)
Ruiz, S.; Tavera, H.; Poli, P.; Herrera, C.; Flores, C.; Rivera, E.; Madariaga, R.
2017-11-01
On 24 November 2015 two events of magnitude Mw 7.5 and Mw 7.6 occurred at 600 km depth under the Peru-Brazil boundary. These two events were separated in time by 300 s. Deep event doublets occur often under South America. The characteristics that control these events and the dynamic interaction between them are an unresolved problem. We used teleseismic and regional data, situated above the doublet, to perform source inversion in order to characterize their ruptures. The overall resemblance between these two events suggests that they share similar rupture process. They are not identical but occur on the same fault surface dipping westward. Using a P-wave stripping and stretching method we determine rupture speed of 2.25 km/s. From regional body wave inversion we find that stress drop is similar for both events, they differ by a factor of two. The similarity in geometry, rupture velocity, stress drop and radiated energy, suggests that these two events looked like simple elliptical ruptures that propagated like classical sub-shear brittle cracks.
3D Dynamic Rupture Simulations along Dipping Faults, with a focus on the Wasatch Fault Zone, Utah
NASA Astrophysics Data System (ADS)
Withers, K.; Moschetti, M. P.
2017-12-01
We study dynamic rupture and ground motion from dip-slip faults in regions that have high-seismic hazard, such as the Wasatch fault zone, Utah. Previous numerical simulations have modeled deterministic ground motion along segments of this fault in the heavily populated regions near Salt Lake City but were restricted to low frequencies ( 1 Hz). We seek to better understand the rupture process and assess broadband ground motions and variability from the Wasatch Fault Zone by extending deterministic ground motion prediction to higher frequencies (up to 5 Hz). We perform simulations along a dipping normal fault (40 x 20 km along strike and width, respectively) with characteristics derived from geologic observations to generate a suite of ruptures > Mw 6.5. This approach utilizes dynamic simulations (fully physics-based models, where the initial stress drop and friction law are imposed) using a summation by parts (SBP) method. The simulations include rough-fault topography following a self-similar fractal distribution (over length scales from 100 m to the size of the fault) in addition to off-fault plasticity. Energy losses from heat and other mechanisms, modeled as anelastic attenuation, are also included, as well as free-surface topography, which can significantly affect ground motion patterns. We compare the effect of material structure and both rate and state and slip-weakening friction laws have on rupture propagation. The simulations show reduced slip and moment release in the near surface with the inclusion of plasticity, better agreeing with observations of shallow slip deficit. Long-wavelength fault geometry imparts a non-uniform stress distribution along both dip and strike, influencing the preferred rupture direction and hypocenter location, potentially important for seismic hazard estimation.
Piatanesi, A.; Cirella, A.; Spudich, P.; Cocco, M.
2007-01-01
We present a two-stage nonlinear technique to invert strong motions records and geodetic data to retrieve the rupture history of an earthquake on a finite fault. To account for the actual rupture complexity, the fault parameters are spatially variable peak slip velocity, slip direction, rupture time and risetime. The unknown parameters are given at the nodes of the subfaults, whereas the parameters within a subfault are allowed to vary through a bilinear interpolation of the nodal values. The forward modeling is performed with a discrete wave number technique, whose Green's functions include the complete response of the vertically varying Earth structure. During the first stage, an algorithm based on the heat-bath simulated annealing generates an ensemble of models that efficiently sample the good data-fitting regions of parameter space. In the second stage (appraisal), the algorithm performs a statistical analysis of the model ensemble and computes a weighted mean model and its standard deviation. This technique, rather than simply looking at the best model, extracts the most stable features of the earthquake rupture that are consistent with the data and gives an estimate of the variability of each model parameter. We present some synthetic tests to show the effectiveness of the method and its robustness to uncertainty of the adopted crustal model. Finally, we apply this inverse technique to the well recorded 2000 western Tottori, Japan, earthquake (Mw 6.6); we confirm that the rupture process is characterized by large slip (3-4 m) at very shallow depths but, differently from previous studies, we imaged a new slip patch (2-2.5 m) located deeper, between 14 and 18 km depth. Copyright 2007 by the American Geophysical Union.
Nakaoka, Hirofumi; Tajima, Atsushi; Yoneyama, Taku; Hosomichi, Kazuyoshi; Kasuya, Hidetoshi; Mizutani, Tohru; Inoue, Ituro
2014-08-01
The rupture of intracranial aneurysm (IA) causes subarachnoid hemorrhage associated with high morbidity and mortality. We compared gene expression profiles in aneurysmal domes between unruptured IAs and ruptured IAs (RIAs) to elucidate biological mechanisms predisposing to the rupture of IA. We determined gene expression levels of 8 RIAs, 5 unruptured IAs, and 10 superficial temporal arteries with the Agilent microarrays. To explore biological heterogeneity of IAs, we classified the samples into subgroups showing similar gene expression patterns, using clustering methods. The clustering analysis identified 4 groups: superficial temporal arteries and unruptured IAs were aggregated into their own clusters, whereas RIAs segregated into 2 distinct subgroups (early and late RIAs). Comparing gene expression levels between early RIAs and unruptured IAs, we identified 430 upregulated and 617 downregulated genes in early RIAs. The upregulated genes were associated with inflammatory and immune responses and phagocytosis including S100/calgranulin genes (S100A8, S100A9, and S100A12). The downregulated genes suggest mechanical weakness of aneurysm walls. The expressions of Krüppel-like family of transcription factors (KLF2, KLF12, and KLF15), which were anti-inflammatory regulators, and CDKN2A, which was located on chromosome 9p21 that was the most consistently replicated locus in genome-wide association studies of IA, were also downregulated. We demonstrate that gene expression patterns of RIAs were different according to the age of patients. The results suggest that macrophage-mediated inflammation is a key biological pathway for IA rupture. The identified genes can be good candidates for molecular markers of rupture-prone IAs and therapeutic targets. © 2014 American Heart Association, Inc.
Near-field tsunami edge waves and complex earthquake rupture
Geist, Eric L.
2013-01-01
The effect of distributed coseismic slip on progressive, near-field edge waves is examined for continental shelf tsunamis. Detailed observations of edge waves are difficult to separate from the other tsunami phases that are observed on tide gauge records. In this study, analytic methods are used to compute tsunami edge waves distributed over a finite number of modes and for uniformly sloping bathymetry. Coseismic displacements from static elastic theory are introduced as initial conditions in calculating the evolution of progressive edge-waves. Both simple crack representations (constant stress drop) and stochastic slip models (heterogeneous stress drop) are tested on a fault with geometry similar to that of the M w = 8.8 2010 Chile earthquake. Crack-like ruptures that are beneath or that span the shoreline result in similar longshore patterns of maximum edge-wave amplitude. Ruptures located farther offshore result in reduced edge-wave excitation, consistent with previous studies. Introduction of stress-drop heterogeneity by way of stochastic slip models results in significantly more variability in longshore edge-wave patterns compared to crack-like ruptures for the same offshore source position. In some cases, regions of high slip that are spatially distinct will yield sub-events, in terms of tsunami generation. Constructive interference of both non-trapped and trapped waves can yield significantly larger tsunamis than those that produced by simple earthquake characterizations.
Kim, Yeonho; Nabili, Marjan; Acharya, Priyanka; Lopez, Asis; Myers, Matthew R
2017-01-01
Safety analyses of transcranial therapeutic ultrasound procedures require knowledge of the dependence of the rupture probability and rupture time upon sonication parameters. As previous vessel-rupture studies have concentrated on a specific set of exposure conditions, there is a need for more comprehensive parametric studies. Probability of rupture and rupture times were measured by exposing the large blood vessel of a live earthworm to high-intensity focused ultrasound pulse trains of various characteristics. Pressures generated by the ultrasound transducers were estimated through numerical solutions to the KZK (Khokhlov-Zabolotskaya-Kuznetsov) equation. Three ultrasound frequencies (1.1, 2.5, and 3.3 MHz) were considered, as were three pulse repetition frequencies (1, 3, and 10 Hz), and two duty factors (0.0001, 0.001). The pressures produced ranged from 4 to 18 MPa. Exposures of up to 10 min in duration were employed. Trials were repeated an average of 11 times. No trends as a function of pulse repetition rate were identifiable, for either probability of rupture or rupture time. Rupture time was found to be a strong function of duty factor at the lower pressures; at 1.1 MHz the rupture time was an order of magnitude lower for the 0.001 duty factor than the 0.0001. At moderate pressures, the difference between the duty factors was less, and there was essentially no difference between duty factors at the highest pressure. Probability of rupture was not found to be a strong function of duty factor. Rupture thresholds were about 4 MPa for the 1.1 MHz frequency, 7 MPa at 3.3 MHz, and 11 MPa for the 2.5 MHz, though the pressure value at 2.5 MHz frequency will likely be reduced when steep-angle corrections are accounted for in the KZK model used to estimate pressures. Mechanical index provided a better collapse of the data (less separation of the curves pertaining to the different frequencies) than peak negative pressure, for both probability of rupture and rupture time. The results provide a database with which investigations in more complex animal models can be compared, potentially establishing trends by which bioeffects in human vessels can be estimated.
[Microcystin safety study during Cyanobacteria removal by pressure enhanced coagulation process].
Jiang, Xin-Yue; Luan, Qing; Cong, Hai-Bing; Xu, Si-Tao; Liu, Yu-Jiao; Zhu, Xue-Yuan
2014-11-01
Pressure enhanced coagulation and sedimentation technique is an effective way for blue algae treatment. It is not clear whether Cyanobacteria balloon rupture will cause Cyanobacteria cells rupture, resulting in high intracellular concentrations of microcystin LR leak into the water, affecting drinking water safety. Therefore, in this study experimental comparative study of pressure and pre-oxidation of water containing Cyanobacteria was carried out to examine the microcystin LR concentration changes and Cyanobacteria removal efficiency. The results showed that microcystin concentration increase was not significant by the pre-treatment with Cyanobacteria water pressure, while the pre-oxidation process caused a significant increase in the concentration of microcystin. After 0.5-0.8 MPa pressure coagulation and sedimentation, removal of Cyanobacteria basically was over 90%, up to 93.5%, while the removal rate by pre-oxidation was low and unstable. Effluent turbidity is also significantly better in the pre-pressure method than the pre-oxidation. The results indicated that pressure enhanced coagulation is a safe and reliable method for Cyanobacteria removal.
Use of fluroquinolone and risk of Achilles tendon rupture: a population-based cohort study.
Sode, Jacob; Obel, Niels; Hallas, Jesper; Lassen, Annmarie
2007-05-01
Several case-control studies have reported that the use of fluoroquinolone increases the risk of rupture of the Achilles tendon. Our aim was to estimate this risk by means of a population-based cohort approach. Data on Achilles tendon ruptures and fluoroquinolone use were retrieved from three population-based databases that include information on residents of Funen County (population: 470,000) in primary and secondary care during the period 1991-1999. A study cohort of all 28,262 first-time users of fluoroquinolone and all incident cases of Achilles tendon ruptures were identified. The incidence rate of Achilles tendon ruptures among users and non-users of fluoroquinolones and the standardised incidence rate ratio associating fluoroquinolon use with Achilles tendon rupture were the main outcome measures. Between 1991 and 2002 the incidence of Achilles tendon rupture increased from 22.1 to 32.6/100,000 person-years. Between 1991 and 1999 the incidence of fluoroquinolone users was 722/100,000 person-years, with no apparent trend over time. Within 90 days of their first use of fluoroquinolone, five individuals had a rupture of the Achilles tendon; the expected number was 1.6, yielding an age- and sex-standardised incidence ratio of 3.1 [(95% confidence interval (95%CI): 1.0-7.3). The 90-day cumulative incidence of Achilles tendon ruptures among fluoroquinolone users was 17.7/100,000 (95%CI: 5.7-41.3), which is an increase of 12.0/100,000 (95%CI: 0.0-35.6) compared to the background population. Fluoroquinolone use triples the risk of Achilles tendon rupture, but the incidence among users is low.
Pediatric appendicitis rupture rate: a national indicator of disparities in healthcare access.
Jablonski, Kathleen A; Guagliardo, Mark F
2005-05-04
BACKGROUND: The U.S. National Healthcare Disparities Report is a recent effort to measure and monitor racial and ethnic disparities in health and healthcare. The Report is a work in progress and includes few indicators specific to children. An indicator worthy of consideration is racial/ethnic differences in the rate of bad outcomes for pediatric acute appendicitis. Bad outcomes for this condition are indicative of poor access to healthcare, which is amenable to social and healthcare policy changes. METHODS: We analyzed the KID Inpatient Database, a nationally representative sample of pediatric hospitalization, to compare rates of appendicitis rupture between white, African American, Hispanic and Asian children. We ran weighted logistic regression models to obtain national estimates of relative odds of rupture rate for the four groups, adjusted for developmental, biological, socioeconomic, health services and hospital factors that might influence disease outcome. RESULTS: Rupture was a much more burdensome outcome than timely surgery and rupture avoidance. Rupture cases had 97% higher hospital charges and 175% longer hospital stays than non-rupture cases on average. These burdens disproportionately affected minority children, who had 24% - 38% higher odds of appendicitis rupture than white children, adjusting for age and gender. These differences were reduced, but remained significant after adjusting for other factors. CONCLUSION: The racial/ethnic disparities in pediatric appendicitis outcome are large and are preventable with timely diagnosis and surgery for all children. Furthermore, estimating this disparity using the KID survey is a relatively straightforward process. Therefore pediatric appendicitis rupture rate is a good candidate for inclusion in the National Healthcare Disparities Report. As with most other health and healthcare disparities, efforts to reduce disparities in income, wealth and access to care will most likely improve the odds of favorable outcome for this condition as well.
Urbanek, Tomasz; Juśko, Maciej; Niewiem, Alfred; Kuczmik, Wacław; Ziaja, Damian; Ziaja, Krzysztof
2015-01-01
The rate of aortic aneurysm rupture correlates with the aneurysm's diameter, and a higher rate of rupture is observed in patients with larger aneurysms. According to the literature, contradictory results concerning the relationship between atmospheric pressure and aneurysm size have been reported. In this paper, we assessed the influence of changes in atmospheric pressure on abdominal aneurysm ruptures in relationship to the aneurysm's size. The records of 223 patients with ruptured abdominal aneurysms were evaluated. All of the patients had been admitted to the department in the period 1997-2007 from the Silesia region. The atmospheric pressures on the day of the rupture and on the days both before the rupture and between the rupture events were compared. The size of the aneurysm was also considered in the analysis. There were no statistically significant differences in pressure between the days of rupture and the remainder of the days within an analysed period. The highest frequency of the admission of patients with a ruptured aortic aneurysm was observed during periods of winter and spring, when the highest mean values of atmospheric pressure were observed; however, this observation was not statistically confirmed. A statistically non-significant trend towards the higher rupture of large aneurysms (> 7 cm) was observed in the cases where the pressure increased between the day before the rupture and the day of the rupture. This trend was particularly pronounced in patients suffering from hypertension (p = 0.1). The results of this study do not support the hypothesis that there is a direct link between atmospheric pressure values and abdominal aortic aneurysm ruptures.
Valen-Sendstad, Kristian; Mardal, Kent-André; Steinman, David A
2013-01-18
High-frequency flow fluctuations in intracranial aneurysms have previously been reported in vitro and in vivo. On the other hand, the vast majority of image-based computational fluid dynamics (CFD) studies of cerebral aneurysms report periodic, laminar flow. We have previously demonstrated that transitional flow, consistent with in vivo reports, can occur in a middle cerebral artery (MCA) bifurcation aneurysm when ultra-high-resolution direct numerical simulation methods are applied. The object of the present study was to investigate if such high-frequency flow fluctuations might be more widespread in adequately-resolved CFD models. A sample of N=12 anatomically realistic MCA aneurysms (five unruptured, seven ruptured), was digitally segmented from CT angiograms. Four were classified as sidewall aneurysms, the other eight as bifurcation aneurysms. Transient CFD simulations were carried out assuming a steady inflow velocity of 0.5m/s, corresponding to typical peak systolic conditions at the MCA. To allow for detection of clinically-reported high-frequency flow fluctuations and resulting flow structures, temporal and spatial resolutions of the CFD simulations were in the order of 0.1 ms and 0.1 mm, respectively. A transient flow response to the stationary inflow conditions was found in five of the 12 aneurysms, with energetic fluctuations up to 100 Hz, and in one case up to 900 Hz. Incidentally, all five were ruptured bifurcation aneurysms, whereas all four sidewall aneurysms, including one ruptured case, quickly reached a stable, steady state solution. Energetic, rapid fluctuations may be overlooked in CFD models of bifurcation aneurysms unless adequate temporal and spatial resolutions are used. Such fluctuations may be relevant to the mechanobiology of aneurysm rupture, and to a recently reported dichotomy between predictors of rupture likelihood for bifurcation vs. sidewall aneurysms. Copyright © 2012 Elsevier Ltd. All rights reserved.
Design prediction for long term stress rupture service of composite pressure vessels
NASA Technical Reports Server (NTRS)
Robinson, Ernest Y.
1992-01-01
Extensive stress rupture studies on glass composites and Kevlar composites were conducted by the Lawrence Radiation Laboratory beginning in the late 1960's and extending to about 8 years in some cases. Some of the data from these studies published over the years were incomplete or were tainted by spurious failures, such as grip slippage. Updated data sets were defined for both fiberglass and Kevlar composite stand test specimens. These updated data are analyzed in this report by a convenient form of the bivariate Weibull distribution, to establish a consistent set of design prediction charts that may be used as a conservative basis for predicting the stress rupture life of composite pressure vessels. The updated glass composite data exhibit an invariant Weibull modulus with lifetime. The data are analyzed in terms of homologous service load (referenced to the observed median strength). The equations relating life, homologous load, and probability are given, and corresponding design prediction charts are presented. A similar approach is taken for Kevlar composites, where the updated stand data do show a turndown tendency at long life accompanied by a corresponding change (increase) of the Weibull modulus. The turndown characteristic is not present in stress rupture test data of Kevlar pressure vessels. A modification of the stress rupture equations is presented to incorporate a latent, but limited, strength drop, and design prediction charts are presented that incorporate such behavior. The methods presented utilize Cartesian plots of the probability distributions (which are a more natural display for the design engineer), based on median normalized data that are independent of statistical parameters and are readily defined for any set of test data.
Pron, Paolo Giay; Angelino, Paolo; Varbella, Ferdinando; Bongioanni, Sergio; Masi, Andrea Sibona; Iazzolino, Ernesto; Bonfiglio, Giovanna; Brusin, Maria Cristina Rosa; Mainardi, Loredana; Nicastro, Cristina; Bouslenko, Zoe; Conte, Maria Rosa
2002-02-01
The aim of this study was to prospectively evaluate the incidence of cardiac rupture during myocardial infarction (MI) as well as the predictive value of the main cardiac rupture risk factors. The study was carried out in 17 coronary care units (CCU) between January and December 1999 in the Piedmont region (Italy). The incidence of cardiac rupture was 1.4% of the total number of MI (n = 3041). Data from 13 out of 17 CCU showed the following causes of death during MI: 66% heart failure, 16% cardiac rupture, 7% arrhythmias, 11% others. Twenty-seven percent out of 44 cardiac ruptures had prior angina, 9% prior MI; 24% of patients were diabetic; 38% had anterior wall MI; 62% infero-postero-lateral MI; 86% showed ST-segment elevation, and 79.5% developed Q waves. Thrombolysis was administered in 39% of cases. Forty-three percent cardiac ruptures occurred within 24 hours. Electromechanical dissociation was present in 73% of cases, syncope and hypotension in 43%, bradycardia in 30%. An echocardiogram was performed in 89% of cases in the suspicion of cardiac rupture but only 45% showed severe pericardial effusion. One patient was referred to surgery but he died in the postoperative period. Autoptical diagnosis was made in 32% of cases. All patients died. The analysis of some qualitative variables (gender, thrombolysis, MI localization, ST-segment/non-ST-segment elevation) in 8 out of 17 CCU, between the cardiac rupture group (n = 22) and the MI group (n = 1330) showed a significant result only for the female gender. Cardiac rupture is the second cause of death during MI after heart failure; there is a higher incidence of cardiac rupture in infero-postero-lateral MI, after the first 24 hours particularly in the female gender; there is a low global incidence (1.4%).
NASA Astrophysics Data System (ADS)
Zheng, Ao; Wang, Mingfeng; Yu, Xiangwei; Zhang, Wenbo
2018-03-01
On 2016 November 13, an Mw 7.8 earthquake occurred in the northeast of the South Island of New Zealand near Kaikoura. The earthquake caused severe damages and great impacts on local nature and society. Referring to the tectonic environment and defined active faults, the field investigation and geodetic evidence reveal that at least 12 fault sections ruptured in the earthquake, and the focal mechanism is one of the most complicated in historical earthquakes. On account of the complexity of the source rupture, we propose a multisegment fault model based on the distribution of surface ruptures and active tectonics. We derive the source rupture process of the earthquake using the kinematic waveform inversion method with the multisegment fault model from strong-motion data of 21 stations (0.05-0.35 Hz). The inversion result suggests the rupture initiates in the epicentral area near the Humps fault, and then propagates northeastward along several faults, until the offshore Needles fault. The Mw 7.8 event is a mixture of right-lateral strike and reverse slip, and the maximum slip is approximately 19 m. The synthetic waveforms reproduce the characteristics of the observed ones well. In addition, we synthesize the coseismic offsets distribution of the ruptured region from the slips of upper subfaults in the fault model, which is roughly consistent with the surface breaks observed in the field survey.
Width of surface rupture zone for thrust earthquakes: implications for earthquake fault zoning
NASA Astrophysics Data System (ADS)
Boncio, Paolo; Liberi, Francesca; Caldarella, Martina; Nurminen, Fiia-Charlotta
2018-01-01
The criteria for zoning the surface fault rupture hazard (SFRH) along thrust faults are defined by analysing the characteristics of the areas of coseismic surface faulting in thrust earthquakes. Normal and strike-slip faults have been deeply studied by other authors concerning the SFRH, while thrust faults have not been studied with comparable attention. Surface faulting data were compiled for 11 well-studied historic thrust earthquakes occurred globally (5.4 ≤ M ≤ 7.9). Several different types of coseismic fault scarps characterize the analysed earthquakes, depending on the topography, fault geometry and near-surface materials (simple and hanging wall collapse scarps, pressure ridges, fold scarps and thrust or pressure ridges with bending-moment or flexural-slip fault ruptures due to large-scale folding). For all the earthquakes, the distance of distributed ruptures from the principal fault rupture (r) and the width of the rupture zone (WRZ) were compiled directly from the literature or measured systematically in GIS-georeferenced published maps. Overall, surface ruptures can occur up to large distances from the main fault ( ˜ 2150 m on the footwall and ˜ 3100 m on the hanging wall). Most of the ruptures occur on the hanging wall, preferentially in the vicinity of the principal fault trace ( > ˜ 50 % at distances < ˜ 250 m). The widest WRZ are recorded where sympathetic slip (Sy) on distant faults occurs, and/or where bending-moment (B-M) or flexural-slip (F-S) fault ruptures, associated with large-scale folds (hundreds of metres to kilometres in wavelength), are present. A positive relation between the earthquake magnitude and the total WRZ is evident, while a clear correlation between the vertical displacement on the principal fault and the total WRZ is not found. The distribution of surface ruptures is fitted with probability density functions, in order to define a criterion to remove outliers (e.g. 90 % probability of the cumulative distribution function) and define the zone where the likelihood of having surface ruptures is the highest. This might help in sizing the zones of SFRH during seismic microzonation (SM) mapping. In order to shape zones of SFRH, a very detailed earthquake geologic study of the fault is necessary (the highest level of SM, i.e. Level 3 SM according to Italian guidelines). In the absence of such a very detailed study (basic SM, i.e. Level 1 SM of Italian guidelines) a width of ˜ 840 m (90 % probability from "simple thrust" database of distributed ruptures, excluding B-M, F-S and Sy fault ruptures) is suggested to be sufficiently precautionary. For more detailed SM, where the fault is carefully mapped, one must consider that the highest SFRH is concentrated in a narrow zone, ˜ 60 m in width, that should be considered as a fault avoidance zone (more than one-third of the distributed ruptures are expected to occur within this zone). The fault rupture hazard zones should be asymmetric compared to the trace of the principal fault. The average footwall to hanging wall ratio (FW : HW) is close to 1 : 2 in all analysed cases. These criteria are applicable to "simple thrust" faults, without considering possible B-M or F-S fault ruptures due to large-scale folding, and without considering sympathetic slip on distant faults. Areas potentially susceptible to B-M or F-S fault ruptures should have their own zones of fault rupture hazard that can be defined by detailed knowledge of the structural setting of the area (shape, wavelength, tightness and lithology of the thrust-related large-scale folds) and by geomorphic evidence of past secondary faulting. Distant active faults, potentially susceptible to sympathetic triggering, should be zoned as separate principal faults. The entire database of distributed ruptures (including B-M, F-S and Sy fault ruptures) can be useful in poorly known areas, in order to assess the extent of the area within which potential sources of fault displacement hazard can be present. The results from this study and the database made available in the Supplement can be used for improving the attenuation relationships for distributed faulting, with possible applications in probabilistic studies of fault displacement hazard.
Heroin Use Is Associated with Ruptured Saccular Aneurysms.
Can, Anil; Castro, Victor M; Ozdemir, Yildirim H; Dagen, Sarajune; Dligach, Dmitriy; Finan, Sean; Yu, Sheng; Gainer, Vivian; Shadick, Nancy A; Savova, Guergana; Murphy, Shawn; Cai, Tianxi; Weiss, Scott T; Du, Rose
2017-11-04
While cocaine use is thought to be associated with aneurysmal rupture, it is not known whether heroin use increases the risk of rupture in patients with non-mycotic saccular aneurysms. Our goal was to investigate the association between heroin and cocaine use and the rupture of saccular non-mycotic aneurysms. The medical records of 4701 patients with 6411 intracranial aneurysms, including 1201 prospective patients, diagnosed at the Brigham and Women's Hospital and Massachusetts General Hospital between 1990 and 2016 were reviewed and analyzed. Patients were separated into ruptured and non-ruptured groups. Univariable and multivariable logistic regression analyses were performed to determine the association between heroin, cocaine, and methadone use and the presence of ruptured intracranial aneurysms. In multivariable analysis, current heroin use was significantly associated with rupture status (OR 3.23, 95% CI 1.33-7.83) whereas former heroin use (with and without methadone replacement therapy), and current and former cocaine use were not significantly associated with intracranial aneurysm rupture. In the present study, heroin rather than cocaine use is significantly associated with intracranial aneurysm rupture in patients with non-mycotic saccular cerebral aneurysms, emphasizing the possible role of heroin in the pathophysiology of aneurysm rupture and the importance of heroin cessation in patients harboring unruptured intracranial aneurysms.
Source Parameters and Rupture Directivities of Earthquakes Within the Mendocino Triple Junction
NASA Astrophysics Data System (ADS)
Allen, A. A.; Chen, X.
2017-12-01
The Mendocino Triple Junction (MTJ), a region in the Cascadia subduction zone, produces a sizable amount of earthquakes each year. Direct observations of the rupture properties are difficult to achieve due to the small magnitudes of most of these earthquakes and lack of offshore observations. The Cascadia Initiative (CI) project provides opportunities to look at the earthquakes in detail. Here we look at the transform plate boundary fault located in the MTJ, and measure source parameters of Mw≥4 earthquakes from both time-domain deconvolution and spectral analysis using empirical Green's function (EGF) method. The second-moment method is used to infer rupture length, width, and rupture velocity from apparent source duration measured at different stations. Brune's source model is used to infer corner frequency and spectral complexity for stacked spectral ratio. EGFs are selected based on their location relative to the mainshock, as well as the magnitude difference compared to the mainshock. For the transform fault, we first look at the largest earthquake recorded during the Year 4 CI array, a Mw5.72 event that occurred in January of 2015, and select two EGFs, a Mw1.75 and a Mw1.73 located within 5 km of the mainshock. This earthquake is characterized with at least two sub-events, with total duration of about 0.3 second and rupture length of about 2.78 km. The earthquake is rupturing towards west along the transform fault, and both source durations and corner frequencies show strong azimuthal variations, with anti-correlation between duration and corner frequency. The stacked spectral ratio from multiple stations with the Mw1.73 EGF event shows deviation from pure Brune's source model following the definition from Uchide and Imanishi [2016], likely due to near-field recordings with rupture complexity. We will further analyze this earthquake using more EGF events to test the reliability and stability of the results, and further analyze three other Mw≥4 earthquakes within the array.
Elongational rheology and cohesive fracture of photo-oxidated LDPE
DOE Office of Scientific and Technical Information (OSTI.GOV)
Rolón-Garrido, Víctor H., E-mail: victor.h.rolongarrido@tu-berlin.de; Wagner, Manfred H.
2014-01-15
It was found recently that low-density polyethylene (LDPE) samples with different degrees of photo-oxidation represent an interesting system to study the transition from ductile to cohesive fracture and the aspects of the cohesive rupture in elongational flow. Sheets of LDPE were subjected to photo-oxidation in the presence of air using a xenon lamp to irradiate the samples for times between 1 day and 6 weeks. Characterisation methods included Fourier transform infrared spectroscopy, solvent extraction method, and rheology in shear and uniaxial extensional flows. Linear viscoelasticity was increasingly affected by increasing photo-oxidation due to crosslinking of LDPE, as corroborated by themore » carbonyl index, acid and aldehydes groups, and gel fraction. The molecular stress function model was used to quantify the experimental data, and the nonlinear model parameter β was found to be correlated with the gel content. The uniaxial data showed that the transition from ductile to cohesive fracture was shifted to lower elongational rates, the higher the gel content was. From 2 weeks photo-oxidation onwards, cohesive rupture occurred at every strain rate investigated. The true strain and true stress at cohesive fracture as well as the energy density applied to the sample up to fracture were analyzed. At low gel content, rupture was mainly determined by the melt fraction while at high gel content, rupture occurred predominantly in the gel structure. The strain at break was found to be independent of strain rate, contrary to the stress at break and the energy density. Thus, the true strain and not the stress at break or the energy density was found to be the relevant physical quantity to describe cohesive fracture behavior of photo-oxidated LDPE. The equilibrium modulus of the gel structures was correlated with the true strain at rupture. The stiffer the gel structure, the lower was the deformation tolerated before the sample breaks.« less
Conditional, Time-Dependent Probabilities for Segmented Type-A Faults in the WGCEP UCERF 2
Field, Edward H.; Gupta, Vipin
2008-01-01
This appendix presents elastic-rebound-theory (ERT) motivated time-dependent probabilities, conditioned on the date of last earthquake, for the segmented type-A fault models of the 2007 Working Group on California Earthquake Probabilities (WGCEP). These probabilities are included as one option in the WGCEP?s Uniform California Earthquake Rupture Forecast 2 (UCERF 2), with the other options being time-independent Poisson probabilities and an ?Empirical? model based on observed seismicity rate changes. A more general discussion of the pros and cons of all methods for computing time-dependent probabilities, as well as the justification of those chosen for UCERF 2, are given in the main body of this report (and the 'Empirical' model is also discussed in Appendix M). What this appendix addresses is the computation of conditional, time-dependent probabilities when both single- and multi-segment ruptures are included in the model. Computing conditional probabilities is relatively straightforward when a fault is assumed to obey strict segmentation in the sense that no multi-segment ruptures occur (e.g., WGCEP (1988, 1990) or see Field (2007) for a review of all previous WGCEPs; from here we assume basic familiarity with conditional probability calculations). However, and as we?ll see below, the calculation is not straightforward when multi-segment ruptures are included, in essence because we are attempting to apply a point-process model to a non point process. The next section gives a review and evaluation of the single- and multi-segment rupture probability-calculation methods used in the most recent statewide forecast for California (WGCEP UCERF 1; Petersen et al., 2007). We then present results for the methodology adopted here for UCERF 2. We finish with a discussion of issues and possible alternative approaches that could be explored and perhaps applied in the future. A fault-by-fault comparison of UCERF 2 probabilities with those of previous studies is given in the main part of this report.
Ulutas, Murat; Cinar, Kadir; Secer, Mehmet
2015-07-01
Delivery of hydatid cysts, especially large ones, without rupture is very important and there is still no 100% successful method. After the hydatid cyst was reached, starting near the surface working around the cyst toward the base, a Foley probe was advanced and, in the region of desired dissection, the balloon of the Foley probe was inflated, and adhesion bands were freed to allow dissection. We believe our balloon-aided dissection technique is a method that increases the chances of delivering hydatid cysts, with no calcification and secondary infection, without rupture.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Dogan, Sozen, E-mail: sozendogan@hotmail.com; Memis, Ahmet, E-mail: ahmemis@yahoo.co; Kale, Arzum, E-mail: arzumkale@kenthospital.com
We report a successful repair of a ruptured tuberculous pseudoaneurysm of the descending thoracic aorta by endovascular stent graft placement. This procedure is starting to be accepted as an alternative method to surgery, and we review similar cases in the literature.
Macroscopic Source Properties from Dynamic Rupture Styles in Plastic Media
NASA Astrophysics Data System (ADS)
Gabriel, A.; Ampuero, J. P.; Dalguer, L. A.; Mai, P. M.
2011-12-01
High stress concentrations at earthquake rupture fronts may generate an inelastic off-fault response at the rupture tip, leading to increased energy absorption in the damage zone. Furthermore, the induced asymmetric plastic strain field in in-plane rupture modes may produce bimaterial interfaces that can increase radiation efficiency and reduce frictional dissipation. Off-fault inelasticity thus plays an important role for realistic predictions of near-fault ground motion. Guided by our previous studies in the 2D elastic case, we perform rupture dynamics simulations including rate-and-state friction and off-fault plasticity to investigate the effects on the rupture properties. We quantitatively analyze macroscopic source properties for different rupture styles, ranging from cracks to pulses and subshear to supershear ruptures, and their transitional mechanisms. The energy dissipation due to off-fault inelasticity modifies the conditions to obtain each rupture style and alters macroscopic source properties. We examine apparent fracture energy, rupture and healing front speed, peak slip and peak slip velocity, dynamic stress drop and size of the process and plastic zones, slip and plastic seismic moment, and their connection to ground motion. This presentation focuses on the effects of rupture style and off-fault plasticity on the resulting ground motion patterns, especially on characteristic slip velocity function signatures and resulting seismic moments. We aim at developing scaling rules for equivalent elastic models, as function of background stress and frictional parameters, that may lead to improved "pseudo-dynamic" source parameterizations for ground-motion calculation. Moreover, our simulations provide quantitative relations between off-fault energy dissipation and macroscopic source properties. These relations might provide a self-consistent theoretical framework for the study of the earthquake energy balance based on observable earthquake source parameters.
Carmont, Michael R; Silbernagel, Karin Grävare; Nilsson-Helander, Katarina; Mei-Dan, Omer; Karlsson, Jon; Maffulli, Nicola
2013-06-01
The Achilles tendon Total Rupture Score (ATRS) was developed because of the need for a reliable, valid and sensitive instrument to evaluate symptoms and their effects on physical activity in patients following either conservative or surgical management of an Achilles tendon rupture. Prior to using the score in larger randomized trial in an English-speaking population, we decided to perform reliability, validity and responsiveness evaluations of the English version of the ATRS. Even though the score was published in English, the actual English version has not be validated and compared to the results of the Swedish version. From 2009 to 2010, all patients who received treatment for Achilles tendon rupture were followed up using the English version of the ATRS. Patients were asked to complete the score at 3, 6 and 12 months following treatment for Achilles tendon rupture. The ATRS was completed on arrival in the outpatient clinic and again following consultation. The outcomes of 49 (13 female and 36 male) patients were assessed. The mean (SD) age was 49 (12) years, and 27 patients had treatment for a left-sided rupture, 22 the right. All patients received treatment for ruptured Achilles tendons: 38 acute percutaneous repair, 1 open repair, 5 an Achilles tendon reconstruction using a Peroneus Brevis tendon transfer for delayed presentation, 1 gracilis augmented repair for re-rupture and 4 non-operative treatment for mid-portion rupture. The English version of ATRS was shown to have overall excellent reliability (ICC = 0.986). There was no significant difference between the results with the English version and the Swedish version when compared at the 6-month- or 12-month (n.s.) follow-up appointments. The effect size was 0.93. The minimal detectable change was 6.75 points. The ATRS was culturally adapted to English and shown to be a reliable, valid and responsive method of testing functional outcome following an Achilles tendon rupture.
Selvan, D R; Perry, D; Machin, D G; Brown, D J
2014-12-01
Volar plating of distal radius fractures is one of the common procedures performed in trauma surgery. Flexor pollicis longus (FPL) rupture has been described as complication following volar plating of distal radius fractures. The aim of our study was to investigate the possible relation between parameters measured on post-operative radiographs and the occurrence of FPL ruptures. This was a case control study. The post-operative radiographs of 11 FPL rupture, and 22 non-FPL rupture patients were reviewed with respect to fracture reduction and plate position and the various parameters were calculated by five independent people. Logistic regression was used to examine the importance of the variables. We identified two significant factors to predict FPL rupture after volar plating of distal radial fractures. These were radial tilt and plate distance from the joint line. The odds ratio of ruptures was 0.74 (95% CI 0.57-0.95) for every degree of radial tilt <25° and 0.50 (95% CI 0.28-0.88) for every millimetre that the distal end of the plate was away from the volar lip of the distal radius at the wrist joint. Post-operative radiographs could help us predict FPL rupture after distal radius volar plating. The findings also highlight the need for good fracture reduction and thoughtful placement of the volar plate intraoperatively to minimise the risk of FPL tendon rupture. Copyright © 2014 Elsevier Ltd. All rights reserved.
Anomalies of rupture velocity in deep earthquakes
NASA Astrophysics Data System (ADS)
Suzuki, M.; Yagi, Y.
2010-12-01
Explaining deep seismicity is a long-standing challenge in earth science. Deeper than 300 km, the occurrence rate of earthquakes with depth remains at a low level until ~530 km depth, then rises until ~600 km, finally terminate near 700 km. Given the difficulty of estimating fracture properties and observing the stress field in the mantle transition zone (410-660 km), the seismic source processes of deep earthquakes are the most important information for understanding the distribution of deep seismicity. However, in a compilation of seismic source models of deep earthquakes, the source parameters for individual deep earthquakes are quite varied [Frohlich, 2006]. Rupture velocities for deep earthquakes estimated using seismic waveforms range from 0.3 to 0.9Vs, where Vs is the shear wave velocity, a considerably wider range than the velocities for shallow earthquakes. The uncertainty of seismic source models prevents us from determining the main characteristics of the rupture process and understanding the physical mechanisms of deep earthquakes. Recently, the back projection method has been used to derive a detailed and stable seismic source image from dense seismic network observations [e.g., Ishii et al., 2005; Walker et al., 2005]. Using this method, we can obtain an image of the seismic source process from the observed data without a priori constraints or discarding parameters. We applied the back projection method to teleseismic P-waveforms of 24 large, deep earthquakes (moment magnitude Mw ≥ 7.0, depth ≥ 300 km) recorded since 1994 by the Data Management Center of the Incorporated Research Institutions for Seismology (IRIS-DMC) and reported in the U.S. Geological Survey (USGS) catalog, and constructed seismic source models of deep earthquakes. By imaging the seismic rupture process for a set of recent deep earthquakes, we found that the rupture velocities are less than about 0.6Vs except in the depth range of 530 to 600 km. This is consistent with the depth variation of deep seismicity: it peaks between about 530 and 600 km, where the fast rupture earthquakes (greater than 0.7Vs) are observed. Similarly, aftershock productivity is particularly low from 300 to 550 km depth and increases markedly at depth greater than 550 km [e.g., Persh and Houston, 2004]. We propose that large fracture surface energy (Gc) value for deep earthquakes generally prevent the acceleration of dynamic rupture propagation and generation of earthquakes between 300 and 700 km depth, whereas small Gc value in the exceptional depth range promote dynamic rupture propagation and explain the seismicity peak near 600 km.
NASA Astrophysics Data System (ADS)
Grützner, Christoph; Fischer, Peter; Reicherter, Klaus
2016-03-01
The Lower Rhine Embayment in Central Europe hosts a rift system that has very low deformation rates. The faults in this area have slip rates of less than 0.1 mm yr-1, which does not allow to investigate ongoing tectonic deformation with geodetic techniques, unless they cover very long time spans. Instrumental seismicity does only cover a small fraction of the very long earthquake recurrence intervals of several thousands of years. Palaeoseismological studies are needed to constrain slip rates and the earthquake history of such faults. Destructive earthquakes are rare in the study area, but did occur in historic times. In 1755/1756, a series of strong earthquakes caused significant destruction in the city of Düren (Germany) and the surrounding areas. In this study we document palaeoseismological data from the nearby Rurrand Fault. In contrast to earlier studies on the same fault, we found evidence for a surface rupturing earthquake in the Holocene, and we identified at least one more surface rupturing event. Our study shows that the Rurrand Fault currently accommodates deformation in earthquakes rather than by creeping. The coseismic offsets were determined to be between less than 0.5 m per event. We assign maximum possible magnitudes of Mw 5.9-6.8 for the Rurrand Fault and a slip rate of at least 0.02-0.03 mm yr-1 for the last ˜130-50 kyr. The surface ruptures did not occur at the main fault trace that has a clear morphological expression due to older tectonic motions, but on a younger fault strand in the hanging wall of the main fault. Terrain analyses based on 1 m resolution airborne LiDAR data have been used to image the subtle morphological expression of this young fault zone. Georadar and electric resistivity tomography were applied to image the fault zone at depth and to test if these shallow geophysical methods can be used to identify and trace the fault zone. Georadar failed to produce reliable results, but geoelectrics were successfully applied and allowed us to retrieve slip rate estimates. Our results indicate that the Düren 1755/1756 earthquakes did not produce surface ruptures at the Rurrand Fault, either because they did not rupture the surface at all, or because they occurred at another, neighbouring fault.
EMG monitoring during functional non-surgical therapy of Achilles tendon rupture.
Hüfner, Tobias; Wohifarth, Kai; Fink, Matthias; Thermann, H; Rollnik, Jens D
2002-07-01
After surgical therapy of Achilles tendon rupture, neuromuscular changes may persist, even one year after surgery. We were interested whether these changes are also evident following a non-surgical functional therapy (Variostabil therapy boot/Adidas). Twenty-one patients with complete Achilles tendon rupture were enrolled in the study (mean age 38.5 years, range 24 to 60; 18 men, three women) and followed-up clinically and with surface EMG of the gastrocnemius muscles after four, eight, 12 weeks, and one year after rupture. EMG differences between the affected and non-affected side could only be observed at baseline and after four weeks following Achilles tendon rupture. The results from our study show that EMG changes are not found following non-surgical functional therapy.
Rupture Propagation Imaging of Fluid Induced Events at the Basel EGS Project
NASA Astrophysics Data System (ADS)
Folesky, Jonas; Kummerow, Jörn; Shapiro, Serge A.
2014-05-01
The analysis of rupture properties using rupture propagation imaging techniques is a fast developing field of research in global seismology. Usually rupture fronts of large to megathrust earthquakes are subject of recent studies, like e.g. the 2004 Sumatra-Andaman earthquake or the 2011 Tohoku, Japan earthquake. The back projection technique is the most prominent technique in this field. Here the seismograms recorded at an array or at a seismic network are back shifted to a grid of possible source locations via a special stacking procedure. This can provide information on the energy release and energy distribution of the rupture which then can be used to find estimates of event properties like location, rupture direction, rupture speed or length. The procedure is fast and direct and it only relies on a reasonable velocity model. Thus it is a good way to rapidly estimate the rupture properties and it can be used to confirm independently achieved event information. We adopted the back projection technique and put it in a microseismic context. We demonstrated its usage for multiple synthetic ruptures within a reservoir model of microseismic scale in earlier works. Our motivation hereby is the occurrence of relatively large, induced seismic events at a number of stimulated geothermal reservoirs or waste disposal sites, having magnitudes ML ≥ 3.4 and yielding rupture lengths of several hundred meters. We use the configuration of the seismic network and reservoir properties of the Basel Geothermal Site to build a synthetic model of a rupture by modeling the wave field of multiple spatio-temporal separated single sources using Finite-Difference modeling. The focus of this work is the application of the Back Projection technique and the demonstration of its feasibility to retrieve the rupture properties of real fluid induced events. We take four microseismic events with magnitudes from ML 3.1 to 3.4 and reconstruct source parameters like location, orientation and length. By comparison with our synthetic results as well as independent localization studies and source mechanism studies in this area we can show, that the obtained results are reasonable and that the application of back projection imaging is not only possible for microseismic datasets of respective quality, but that it provides important additional insights in the rupture process.
Re-rupture rate of primarily repaired distal biceps tendon injuries.
Hinchey, John W; Aronowitz, Jessica G; Sanchez-Sotelo, Joaquin; Morrey, Bernard F
2014-06-01
Distal biceps tendon rupture is a common injury, and primary repair results in excellent return of function and strength. Complications resulting from distal biceps tendon repairs are well reported, but the incidence of re-ruptures has never been investigated. A search of the Mayo Clinic's Medical/Surgical Index was performed, and all distal biceps tendon repairs from January 1981 through May 2009 were identified. All patients who completed 12 months or more of follow-up were included. All charts were reviewed and patients contacted as necessary to identify a re-rupture. We also investigated the situation causing the re-rupture. We identified a total of 190 distal biceps tendon ruptures that underwent repair and met our inclusion and exclusion criteria. Of the 190 repairs, 172 (90.5%) were performed by the Mayo modification of the Boyd-Anderson 2-incision technique. Bilateral ruptures occurred in 13 patients (7.3%). Six primary ruptures (3.2%) occurred in women, 4 of the 6 being partial ruptures. Partial ruptures were found to be statistically more common than complete ruptures in women (P = .05). We identified 3 re-ruptures (1.5%), all occurring within 3 weeks of the index surgery. The re-rupture rate after primary repair of the distal biceps tendon is low at 1.5% and occurs within 3 weeks of index repair. This appears to be due to patient compliance and excessive force placed on repairs. We also found the incidence of women who sustain a distal biceps tendon tear to be 3.2%, with partial tears being statistically more common than complete ruptures. Level IV, case series, treatment study Copyright © 2014 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved.
NASA Astrophysics Data System (ADS)
Duru, K.; Dunham, E. M.; Bydlon, S. A.; Radhakrishnan, H.
2014-12-01
Dynamic propagation of shear ruptures on a frictional interface is a useful idealization of a natural earthquake.The conditions relating slip rate and fault shear strength are often expressed as nonlinear friction laws.The corresponding initial boundary value problems are both numerically and computationally challenging.In addition, seismic waves generated by earthquake ruptures must be propagated, far away from fault zones, to seismic stations and remote areas.Therefore, reliable and efficient numerical simulations require both provably stable and high order accurate numerical methods.We present a numerical method for:a) enforcing nonlinear friction laws, in a consistent and provably stable manner, suitable for efficient explicit time integration;b) dynamic propagation of earthquake ruptures along rough faults; c) accurate propagation of seismic waves in heterogeneous media with free surface topography.We solve the first order form of the 3D elastic wave equation on a boundary-conforming curvilinear mesh, in terms of particle velocities and stresses that are collocated in space and time, using summation-by-parts finite differences in space. The finite difference stencils are 6th order accurate in the interior and 3rd order accurate close to the boundaries. Boundary and interface conditions are imposed weakly using penalties. By deriving semi-discrete energy estimates analogous to the continuous energy estimates we prove numerical stability. Time stepping is performed with a 4th order accurate explicit low storage Runge-Kutta scheme. We have performed extensive numerical experiments using a slip-weakening friction law on non-planar faults, including recent SCEC benchmark problems. We also show simulations on fractal faults revealing the complexity of rupture dynamics on rough faults. We are presently extending our method to rate-and-state friction laws and off-fault plasticity.
Under Pressure: Intraluminal Filling Pressures of Postpartum Hemorrhage Tamponade Balloons
Antony, Kathleen M.; Racusin, Diana A.; Belfort, Michael A.; Dildy, Gary A.
2017-01-01
Objective Uterine tamponade by fluid-filled balloons is now an accepted method of controlling postpartum hemorrhage. Available tamponade balloons vary in design and material, which affects the filling attributes and volume at which they rupture. We aimed to characterize the filling capacity and pressure-volume relationship of various tamponade balloons. Study Design Balloons were filled with water ex vivo. Intraluminal pressure was measured incrementally (every 10 mL for the Foley balloons and every 50 mL for all other balloons). Balloons were filled until they ruptured or until 5,000 mL was reached. Results The Foley balloons had higher intraluminal pressures than the larger-volume balloons. The intraluminal pressure of the Sengstaken-Blakemore tube (gastric balloon) was initially high, but it decreased until shortly before rupture occurred. The Bakri intraluminal pressure steadily increased until rupture occurred at 2,850 mL. The condom catheter, BT-Cath, and ebb all had low intraluminal pressures. Both the BT-Cath and the ebb remained unruptured at 5,000 mL. Conclusion In the setting of acute hemorrhage, expeditious management is critical. Balloons that have a low intraluminal pressure-volume ratio may fill more rapidly, more easily, and to greater volumes. We found that the BT-Cath, the ebb, and the condom catheter all had low intraluminal pressures throughout filling. PMID:28497006
Wang, Jing; Fu, Rongbing; Xu, Zhen
2017-08-01
In this work, the effects of diatomite with 15% FeSO 4 •7H 2 O and 7.5% Ca(OH) 2 on sludge stabilization were investigated using batch leaching tests. The influence of cell rupture caused by freezing and thawing on stabilization was also evaluated. The results indicated that the optimal diatomite percentage was 2%. Cell rupture by freezing and thawing reduced heavy metal leachability, followed by cell death and decrease of organic groups. The concentration of heavy metals in sludge leachate increased after cell rupture, indicating that the heavy metal leachability was reduced after freezing and thawings. Moreover, the stabilization effects were generally improved after freezing and thawing. As compared with the stabilization of the original sludge, the unstable fractions decreased and the residual fractions of the heavy metals increased in the stabilized sludge after cell rupture. This study developed a method to stabilize heavy metals in municipal sewage sludge. Diatomite combined with FeSO 4 ·7H 2 O and Ca(OH) 2 improved the treatment of sewage sludge contaminated by heavy metals. Cell lysis by freeze-thaw treatment reduced the risk of leaching heavy metals caused by cell death and decreased major organic groups in the sludge.
Egeto, Peter; Loch Macdonald, R; Ornstein, Tisha J; Schweizer, Tom A
2018-03-01
OBJECTIVE Subarachnoid hemorrhage (SAH) is treated with either surgical clipping or endovascular coiling, though the latter is the preferred treatment method given its more favorable functional outcomes. However, neuropsychological functioning after treatment is rarely taken into account. In this meta-analysis, the authors synthesized relevant data from the literature and compared neuropsychological functioning in patients after coiling and clipping of SAH. They hypothesized that the coiled patients would outperform the clipped patients; that group differences would be greater with higher posterior circulation rupture rates, in older patients, and in more recent publications; that group differences would be smaller with greater rates of middle cerebral artery (MCA) rupture; and that anterior communicating artery (ACoA) rupture rates would not influence effect sizes. METHODS The MEDLINE, Embase, and PsycINFO databases were searched for clinical studies that compared neuropsychological functioning after either endovascular coiling or surgical clipping for SAH. Hedge's g and 95% confidence intervals were calculated using random effects models. Patients who had undergone coiling or clipping were compared on test performance in 8 neuropsychological domains: executive functions, language, attention/processing speed, verbal memory, visual memory, spatial memory, visuospatial functions, and intelligence. Patients were also compared with healthy controls, and meta-regressions were used to explore the relation between effect sizes and publication year, delay between treatment and neuropsychological testing, mean patient age, and rates of posterior circulation, ACoA, and MCA ruptures. RESULTS Thirteen studies with 396 clipped cases, 314 coiled cases, and 169 healthy controls were included in the study. The coil-treated patients outperformed the clip-treated patients on executive function (g = 0.17, 95% CI 0.08-0.25) and language tests (g = 0.23, 95% CI 0.07-0.39), and all patients were impaired relative to healthy controls (g ranged from -0.93 to -0.29). Coiled patients outperformed clipped patients to a greater degree in more recent publications, over longer posttreatment testing delays, and among older patients. Higher rates of posterior circulation and MCA aneurysms were associated with smaller group differences, while ACoA rupture rates did not influence effect sizes. CONCLUSIONS Coiling of SAH may promote superior neuropsychological functioning under certain circumstances and could have applications for the specialized care of SAH patients.
NASA Astrophysics Data System (ADS)
Ulrich, Thomas; Gabriel, Alice-Agnes
2017-04-01
Natural fault geometries are subject to a large degree of uncertainty. Their geometrical structure is not directly observable and may only be inferred from surface traces, or geophysical measurements. Most studies aiming at assessing the potential seismic hazard of natural faults rely on idealised shaped models, based on observable large-scale features. Yet, real faults are wavy at all scales, their geometric features presenting similar statistical properties from the micro to the regional scale. Dynamic rupture simulations aim to capture the observed complexity of earthquake sources and ground-motions. From a numerical point of view, incorporating rough faults in such simulations is challenging - it requires optimised codes able to run efficiently on high-performance computers and simultaneously handle complex geometries. Physics-based rupture dynamics hosted by rough faults appear to be much closer to source models inverted from observation in terms of complexity. Moreover, the simulated ground-motions present many similarities with observed ground-motions records. Thus, such simulations may foster our understanding of earthquake source processes, and help deriving more accurate seismic hazard estimates. In this presentation, the software package SeisSol (www.seissol.org), based on an ADER-Discontinuous Galerkin scheme, is used to solve the spontaneous dynamic earthquake rupture problem. The usage of tetrahedral unstructured meshes naturally allows for complicated fault geometries. However, SeisSol's high-order discretisation in time and space is not particularly suited for small-scale fault roughness. We will demonstrate modelling conditions under which SeisSol resolves rupture dynamics on rough faults accurately. The strong impact of the geometric gradient of the fault surface on the rupture process is then shown in 3D simulations. Following, the benefits of explicitly modelling fault curvature and roughness, in distinction to prescribing heterogeneous initial stress conditions on a planar fault, is demonstrated. Furthermore, we show that rupture extend, rupture front coherency and rupture speed are highly dependent on the initial amplitude of stress acting on the fault, defined by the normalized prestress factor R, the ratio of the potential stress drop over the breakdown stress drop. The effects of fault complexity are particularly pronounced for lower R. By low-pass filtering a rough fault at several cut-off wavelengths, we then try to capture rupture complexity using a simplified fault geometry. We find that equivalent source dynamics can only be obtained using a scarcely filtered fault associated with a reduced stress level. To investigate the wavelength-dependent roughness effect, the fault geometry is bandpass-filtered over several spectral ranges. We show that geometric fluctuations cause rupture velocity fluctuations of similar length scale. The impact of fault geometry is especially pronounced when the rupture front velocity is near supershear. Roughness fluctuations significantly smaller than the rupture front characteristic dimension (cohesive zone size) affect only macroscopic rupture properties, thus, posing a minimum length scale limiting the required resolution of 3D fault complexity. Lastly, the effect of fault curvature and roughness on the simulated ground-motions is assessed. Despite employing a simple linear slip weakening friction law, the simulated ground-motions compare well with estimates from ground motions prediction equations, even at relatively high frequencies.
Mechanism for Si–Si Bond Rupture in Single Molecule Junctions
DOE Office of Scientific and Technical Information (OSTI.GOV)
Li, Haixing; Kim, Nathaniel T.; Su, Timothy A.
The stability of chemical bonds can be studied experimentally by rupturing single molecule junctions under applied voltage. Here, we compare voltage-induced bond rupture in two Si–Si backbones: one has no alternate conductive pathway whereas the other contains an additional naphthyl pathway in parallel to the Si–Si bond. We show that in contrast to the first system, the second can conduct through the naphthyl group when the Si–Si bond is ruptured using an applied voltage. We investigate this voltage induced Si–Si bond rupture by ab initio density functional theory calculations and molecular dynamics simulations that ultimately demonstrate that the excitation ofmore » molecular vibrational modes by tunneling electrons leads to homolytic Si–Si bond rupture.« less
Mechanism for Si-Si Bond Rupture in Single Molecule Junctions.
Li, Haixing; Kim, Nathaniel T; Su, Timothy A; Steigerwald, Michael L; Nuckolls, Colin; Darancet, Pierre; Leighton, James L; Venkataraman, Latha
2016-12-14
The stability of chemical bonds can be studied experimentally by rupturing single molecule junctions under applied voltage. Here, we compare voltage-induced bond rupture in two Si-Si backbones: one has no alternate conductive pathway whereas the other contains an additional naphthyl pathway in parallel to the Si-Si bond. We show that in contrast to the first system, the second can conduct through the naphthyl group when the Si-Si bond is ruptured using an applied voltage. We investigate this voltage induced Si-Si bond rupture by ab initio density functional theory calculations and molecular dynamics simulations that ultimately demonstrate that the excitation of molecular vibrational modes by tunneling electrons leads to homolytic Si-Si bond rupture.
Association between statin therapy and tendon rupture: a case-control study.
Beri, Abhimanyu; Dwamena, Francesca C; Dwamena, Ben A
2009-05-01
Although case reports of a possible association between statin therapy and tendon rupture have been published, no analytical studies exploring this relationship have been reported. We conducted a case-control study using the electronic medical records at Michigan State University from 2002 to 2007 to assess whether statin use is a risk factor for tendon rupture. We compared exposure to statins in 93 cases of tendon rupture with similar exposure in 279 sex- and age-matched controls. Exposure to statins was defined as documentation in the electronic medical record of statin use in the 12 months preceding tendon rupture. For controls, the exposure period was defined as 1 year preceding the last office visit. We used a multivariate logistic regression model, controlling for diabetes, renal disease, rheumatologic disease, and steroid use, to calculate the adjusted odds ratios (ORs). There was no significant difference between cases and controls in the rates of statin use, with either univariate [OR = 1.0, 95% confidence interval (CI) 0.54-1.84] or multivariate analyses (OR = 1.10, 95% CI 0.57-2.13). Based on predetermined subgroup analyses, statin exposure was found to be a significant risk factor for tendon rupture in women (adjusted OR = 3.76, 95% CI 1.11-12.75) but not in men (adjusted OR = 0.66, 95% CI 0.29-1.51). In conclusion, we found no overall association between statin use and tendon rupture, but subgroup analysis suggested that women with tendon rupture were more likely to be on statins.
Diagnostic accuracy of physical examination for anterior knee instability: a systematic review.
Leblanc, Marie-Claude; Kowalczuk, Marcin; Andruszkiewicz, Nicole; Simunovic, Nicole; Farrokhyar, Forough; Turnbull, Travis Lee; Debski, Richard E; Ayeni, Olufemi R
2015-10-01
Determining diagnostic accuracy of Lachman, pivot shift and anterior drawer tests versus gold standard diagnosis (magnetic resonance imaging or arthroscopy) for anterior cruciate ligament (ACL) insufficiency cases. Secondarily, evaluating effects of: chronicity, partial rupture, awake versus anaesthetized evaluation. Searching MEDLINE, EMBASE and PubMed identified studies on diagnostic accuracy for ACL insufficiency. Studies identification and data extraction were performed in duplicate. Quality assessment used QUADAS tool, and statistical analyses were completed for pooled sensitivity and specificity. Eight studies were included. Given insufficient data, pooled analysis was only possible for sensitivity on Lachman and pivot shift test. During awake evaluation, sensitivity for the Lachman test was 89 % (95 % CI 0.76, 0.98) for all rupture types, 96 % (95 % CI 0.90, 1.00) for complete ruptures and 68 % (95 % CI 0.25, 0.98) for partial ruptures. For pivot shift in awake evaluation, results were 79 % (95 % CI 0.63, 0.91) for all rupture types, 86 % (95 % CI 0.68, 0.99) for complete ruptures and 67 % (95 % CI 0.47, 0.83) for partial ruptures. Decreased sensitivity of Lachman and pivot shift tests for partial rupture cases and for awake patients raised suspicions regarding the accuracy of these tests for diagnosis of ACL insufficiency. This may lead to further research aiming to improve the understanding of the true accuracy of these physical diagnostic tests and increase the reliability of clinical investigation for this pathology. IV.
Teran, Orlando; Fletcher, John L.; Oskin, Michael; Rockwell, Thomas; Hudnut, Kenneth W.; Spelz, Ronald; Akciz, Sinan; Hernandez-Flores, Ana Paula; Morelan, Alexander
2015-01-01
We systematically mapped (scales >1:500) the surface rupture of the 4 April 2010 Mw (moment magnitude) 7.2 El Mayor-Cucapah earthquake through the Sierra Cucapah (Baja California, northwestern Mexico) to understand how faults with similar structural and lithologic characteristics control rupture zone fabric, which is here defined by the thickness, distribution, and internal configuration of shearing in a rupture zone. Fault zone thickness and master fault dip are strongly correlated with many parameters of rupture zone fabric. Wider fault zones produce progressively wider rupture zones and both of these parameters increase systematically with decreasing dip of master faults, which varies from 20° to 90° in our dataset. Principal scarps that accommodate more than 90% of the total coseismic slip in a given transect are only observed in fault sections with narrow rupture zones (<25 m). As rupture zone thickness increases, the number of scarps in a given transect increases, and the scarp with the greatest relative amount of coseismic slip decreases. Rupture zones in previously undeformed alluvium become wider and have more complex arrangements of secondary fractures with oblique slip compared to those with pure normal dip-slip or pure strike-slip. Field relations and lidar (light detection and ranging) difference models show that as magnitude of coseismic slip increases from 0 to 60 cm, the links between kinematically distinct fracture sets increase systematically to the point of forming a throughgoing principal scarp. Our data indicate that secondary faults and penetrative off-fault strain continue to accommodate the oblique kinematics of coseismic slip after the formation of a thoroughgoing principal scarp. Among the widest rupture zones in the Sierra Cucapah are those developed above buried low angle faults due to the transfer of slip to widely distributed steeper faults, which are mechanically more favorably oriented. The results from this study show that the measureable parameters that define rupture zone fabric allow for testing hypotheses concerning the mechanics and propagation of earthquake ruptures, as well as for siting and designing facilities to be constructed in regions near active faults.
Three-Dimensional Dynamic Rupture in Brittle Solids and the Volumetric Strain Criterion
NASA Astrophysics Data System (ADS)
Uenishi, K.; Yamachi, H.
2017-12-01
As pointed out by Uenishi (2016 AGU Fall Meeting), source dynamics of ordinary earthquakes is often studied in the framework of 3D rupture in brittle solids but our knowledge of mechanics of actual 3D rupture is limited. Typically, criteria derived from 1D frictional observations of sliding materials or post-failure behavior of solids are applied in seismic simulations, and although mode-I cracks are frequently encountered in earthquake-induced ground failures, rupture in tension is in most cases ignored. Even when it is included in analyses, the classical maximum principal tensile stress rupture criterion is repeatedly used. Our recent basic experiments of dynamic rupture of spherical or cylindrical monolithic brittle solids by applying high-voltage electric discharge impulses or impact loads have indicated generation of surprisingly simple and often flat rupture surfaces in 3D specimens even without the initial existence of planes of weakness. However, at the same time, the snapshots taken by a high-speed digital video camera have shown rather complicated histories of rupture development in these 3D solid materials, which seem to be difficult to be explained by, for example, the maximum principal stress criterion. Instead, a (tensile) volumetric strain criterion where the volumetric strain (dilatation or the first invariant of the strain tensor) is a decisive parameter for rupture seems more effective in computationally reproducing the multi-directionally propagating waves and rupture. In this study, we try to show the connection between this volumetric strain criterion and other classical rupture criteria or physical parameters employed in continuum mechanics, and indicate that the criterion has, to some degree, physical meanings. First, we mathematically illustrate that the criterion is equivalent to a criterion based on the mean normal stress, a crucial parameter in plasticity. Then, we mention the relation between the volumetric strain criterion and the failure envelope of the Mohr-Coulomb criterion that describes shear-related rupture. The critical value of the volumetric strain for rupture may be controlled by the apparent cohesion and apparent angle of internal friction of the Mohr-Coulomb criterion.
Study on Excitation-triggered Damage Mechanism in Perilous Rock
NASA Astrophysics Data System (ADS)
Chen, Hongkai; Wang, Shengjuan
2017-12-01
Chain collapse is easy to happen for perilous rock aggregate locating on steep high slope, and one of the key scientific problems is the damage mechanism of perilous rock under excitation action at perilous rock rupture. This paper studies excitation-triggered damage mechanism in perilous rock by wave mechanics, which gives three conclusions. Firstly, when only the normal incidence attenuation spread of excitation wave is considered, while the energy loss is ignored for excitation wave to spread in perilous rock aggregate, the paper establishes one method to calculate peak velocity when excitation wave passes through boundary between any two perilous rock blocks in perilous rock aggregate. Secondly, following by Sweden and Canmet criteria, the paper provides one wave velocity criterion for excitation-triggered damage in the aggregate. Thirdly, assuming double parameters of volume strain of cracks or fissures in rock meet the Weibull distribution, one method to estimate micro-fissure in excitation-triggered damage zone in perilous rock aggregate is established. The studies solve the mechanical description problem for excitation-triggered damage in perilous rock, which is valuable in studies on profoundly rupture mechanism.
NASA Astrophysics Data System (ADS)
Uchide, T.; Shearer, P. M.
2009-12-01
Introduction Uchide and Ide [SSA Spring Meeting, 2009] proposed a new framework for studying the scaling and overall nature of earthquake rupture growth in terms of cumulative moment functions. For better understanding of rupture growth processes, spatiotemporally local processes are also important. The nature of high-frequency (HF) radiation has been investigated for some time, but its role in the earthquake rupture process is still unclear. A wavelet analysis reveals that the HF radiation (e.g., 4 - 32 Hz) of the 2004 Parkfield earthquake is peaky, which implies that the sources of the HF radiation are isolated in space and time. We experiment with applying a matched filter analysis using small template events occurring near the target event rupture area to test whether it can reveal the HF radiation sources for a regular large earthquake. Method We design a matched filter for multiple components and stations. Shelly et al. [2007] attempted identifying low-frequency earthquakes (LFE) in non-volcanic tremor waveforms by stacking the correlation coefficients (CC) between the seismograms of the tremor and the LFE. Differing from their method, our event detection indicator is the CC between the seismograms of the target and template events recorded at the same stations, since the key information for detecting the sources will be the arrival-time differences and the amplitude ratios among stations. Data from both the target and template events are normalized by the maximum amplitude of the seismogram of the template event in the cross-correlation time window. This process accounts for the radiation pattern and distance between the source and stations. At each small earthquake target, high values in the CC time series suggest the possibility of HF radiation during the mainshock rupture from a similar location to the target event. Application to the 2004 Parkfield earthquake We apply the matched filter method to the 2004 Parkfield earthquake (Mw 6.0). We use seismograms recorded at the 13 stations of UPSAR [Fletcher et al, 1992]. At each station, both acceleration and velocity sensors are installed, therefore both large and small earthquakes are observable. We employ 184 earthquakes (M 2.0 - 3.5) as template events, and 0.5 s of the P waves on the vertical components and the S waves on all three components. The data are bandpass-filtered between 4 and 16 Hz. One source is detected at 4 s and 12 km northwest from the hypocenter. Although the CC has generally low values, its peak is more than five times larger than its standard deviation and thus remarkably high. This source is close to the secondary onset revealed by a back-projection analysis of 2 - 8 Hz data from Parkfield strong motion stations [Allmann and Shearer, 2007]. While the back-projection approach images the peak of HF radiation, our method detects the onset time, which is slightly different. Another source is located at 1.2 s and 2 km southeast from the hypocenter, which may correspond to deceleration of the initial rupture. Comparisons of the derived HF radiation sources to the whole rupture process will help us reveal general earthquake source dynamics.
Systematic observations of the slip pulse properties of large earthquake ruptures
Melgar, Diego; Hayes, Gavin
2017-01-01
In earthquake dynamics there are two end member models of rupture: propagating cracks and self-healing pulses. These arise due to different properties of faults and have implications for seismic hazard; rupture mode controls near-field strong ground motions. Past studies favor the pulse-like mode of rupture; however, due to a variety of limitations, it has proven difficult to systematically establish their kinematic properties. Here we synthesize observations from a database of >150 rupture models of earthquakes spanning M7–M9 processed in a uniform manner and show the magnitude scaling properties of these slip pulses indicates self-similarity. Further, we find that large and very large events are statistically distinguishable relatively early (at ~15 s) in the rupture process. This suggests that with dense regional geophysical networks strong ground motions from a large rupture can be identified before their onset across the source region.
Risk factors affecting chronic rupture of the plantar fascia.
Lee, Ho Seong; Choi, Young Rak; Kim, Sang Woo; Lee, Jin Yong; Seo, Jeong Ho; Jeong, Jae Jung
2014-03-01
Prior to 1994, plantar fascia ruptures were considered as an acute injury that occurred primarily in athletes. However, plantar fascia ruptures have recently been reported in the setting of preexisting plantar fasciitis. We analyzed risk factors causing plantar fascia rupture in the presence of preexisting plantar fasciitis. We retrospectively reviewed 286 patients with plantar fasciitis who were referred from private clinics between March 2004 and February 2008. Patients were divided into those with or without a plantar fascia rupture. There were 35 patients in the rupture group and 251 in the nonrupture group. The clinical characteristics and risk factors for plantar fascia rupture were compared between the 2 groups. We compared age, gender, the affected site, visual analog scale pain score, previous treatment regimen, body mass index, degree of ankle dorsiflexion, the use of steroid injections, the extent of activity, calcaneal pitch angle, the presence of a calcaneal spur, and heel alignment between the 2 groups. Of the assessed risk factors, only steroid injection was associated with the occurrence of a plantar fascia rupture. Among the 35 patients with a rupture, 33 had received steroid injections. The odds ratio of steroid injection was 33. Steroid injections for plantar fasciitis should be cautiously administered because of the higher risk for plantar fascia rupture. Level III, retrospective comparative study.
Deng, Senlin; Sun, Zhengyu; Zhang, Chenghao; Chen, Gang; Li, Jian
Acute Achilles tendon ruptures can be treated with surgical and nonsurgical treatment. However, the optimal intervention for acute Achilles tendon rupture remains controversial. The aim of the present study was to compare the clinical outcomes of surgical treatment versus conservative management for acute Achilles tendon rupture. Eight randomized controlled studies involving 762 patients were included in the meta-analysis. In general, re-rupture occurred in 14 of 381 surgically treated patients (3.7%) and 37 of 377 nonsurgically treated patients (9.8%). Pooled results showed that the total re-rupture rate was significantly lower in surgical group than that in the nonsurgical group (risk ratio 0.38, 95% confidence interval 0.21 to 0.68; p = .001). No significant differences were found between the 2 treatment groups in the incidence of deep venous thrombosis, the number who returned to sport, ankle range of motion (dorsiflexion, plantarflexion), Achilles tendon total rupture score, or physical activity scale. Surgical treatment can effectively reduce the re-rupture rate and might be a better choice for the treatment of acute Achilles tendon rupture. Multicenter, double-blind randomized controlled trials with stratification and long-term follow-up are needed to obtain a higher level of evidence and to guide clinical practice, especially in the comparison and selection of different treatments. Copyright © 2017 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
NASA Astrophysics Data System (ADS)
Kaneko, Y.; Francois-Holden, C.; Hamling, I. J.; D'Anastasio, E.; Fry, B.
2017-12-01
The 2016 M7.8 Kaikōura (New Zealand) earthquake generated ground motions over 1g across a 200-km long region, resulted in multiple onshore and offshore fault ruptures, a profusion of triggered landslides, and a regional tsunami. Here we examine the rupture evolution during the Kaikōura earthquake multiple kinematic modelling methods based on local strong-motion and high-rate GPS data. Our kinematic models constrained by near-source data capture, in detail, a complex pattern of slowly (Vr < 2km/s) propagating rupture from the south to north, with over half of the moment release occurring in the northern source region, mostly on the Kekerengu fault, 60 seconds after the origin time. Interestingly, both models indicate rupture re-activation on the Kekerengu fault with the time separation of 11 seconds. We further conclude that most near-source waveforms can be explained by slip on the crustal faults, with little (<8%) or no contribution from the subduction interface.
Poly Implant Prothèse (PIP) incidence of rupture: a retrospective MR analysis in 64 patients.
Scotto di Santolo, Mariella; Cusati, Bianca; Ragozzino, Alfonso; Dell'Aprovitola, Nicoletta; Acquaviva, Alessandra; Altiero, Michele; Accurso, Antonello; Riccardi, Albina; Imbriaco, Massimo
2014-12-01
The purpose of this retrospective study was to describe the magnetic resonance imaging (MRI) features of Poly Implant Prothèse (PIP) hydrogel implants in a group of 64 patients and to assess the incidence of rupture, compared to other clinical trials. In this double-center study, we retrospectively reviewed the data sets of 64 consecutive patients (mean age, 43±9 years, age range, 27-65 years), who underwent breast MRI examinations, between January 2008 and October 2013, with suspected implant rupture on the basis of clinical assessment or after conventional imaging examination (either mammography or ultrasound). All patients had undergone breast operation with bilateral textured cohesive gel PIP implant insertion for aesthetic reasons. The mean time after operation was 8 years (range, 6-14 years). No patients reported history of direct trauma to their implants. At the time of clinical examination, 41 patients were asymptomatic, 16 complained of breast tenderness and 7 had clinical evidence of rupture. Normal findings were observed in 15 patients. In 26 patients there were signs of mild collapse, with associated not significant peri-capsular fluid collections and no evidence of implant rupture; in 23 patients there was suggestion of implant rupture, according to breast MRI leading to an indication for surgery. In particular, 14 patients showed intra-capsular rupture, with associated evidence of the linguine sign in all cases; the keyhole sign and the droplet signs were observed in 6 cases. In 9 patients there was evidence of extra-capsular rupture, with presence of axillary collections (siliconomas) in 7 cases and peri-prosthetic and mediastinal cavity siliconomas, in 5 cases. The results of this double center retrospective study, confirm the higher incidence (36%) of prosthesis rupture observed with the PIP implants, compared to other breast implants.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Duru, Kenneth, E-mail: kduru@stanford.edu; Dunham, Eric M.; Institute for Computational and Mathematical Engineering, Stanford University, Stanford, CA
Dynamic propagation of shear ruptures on a frictional interface in an elastic solid is a useful idealization of natural earthquakes. The conditions relating discontinuities in particle velocities across fault zones and tractions acting on the fault are often expressed as nonlinear friction laws. The corresponding initial boundary value problems are both numerically and computationally challenging. In addition, seismic waves generated by earthquake ruptures must be propagated for many wavelengths away from the fault. Therefore, reliable and efficient numerical simulations require both provably stable and high order accurate numerical methods. We present a high order accurate finite difference method for: a)more » enforcing nonlinear friction laws, in a consistent and provably stable manner, suitable for efficient explicit time integration; b) dynamic propagation of earthquake ruptures along nonplanar faults; and c) accurate propagation of seismic waves in heterogeneous media with free surface topography. We solve the first order form of the 3D elastic wave equation on a boundary-conforming curvilinear mesh, in terms of particle velocities and stresses that are collocated in space and time, using summation-by-parts (SBP) finite difference operators in space. Boundary and interface conditions are imposed weakly using penalties. By deriving semi-discrete energy estimates analogous to the continuous energy estimates we prove numerical stability. The finite difference stencils used in this paper are sixth order accurate in the interior and third order accurate close to the boundaries. However, the method is applicable to any spatial operator with a diagonal norm satisfying the SBP property. Time stepping is performed with a 4th order accurate explicit low storage Runge–Kutta scheme, thus yielding a globally fourth order accurate method in both space and time. We show numerical simulations on band limited self-similar fractal faults revealing the complexity of rupture dynamics on rough faults.« less
NASA Astrophysics Data System (ADS)
Duru, Kenneth; Dunham, Eric M.
2016-01-01
Dynamic propagation of shear ruptures on a frictional interface in an elastic solid is a useful idealization of natural earthquakes. The conditions relating discontinuities in particle velocities across fault zones and tractions acting on the fault are often expressed as nonlinear friction laws. The corresponding initial boundary value problems are both numerically and computationally challenging. In addition, seismic waves generated by earthquake ruptures must be propagated for many wavelengths away from the fault. Therefore, reliable and efficient numerical simulations require both provably stable and high order accurate numerical methods. We present a high order accurate finite difference method for: a) enforcing nonlinear friction laws, in a consistent and provably stable manner, suitable for efficient explicit time integration; b) dynamic propagation of earthquake ruptures along nonplanar faults; and c) accurate propagation of seismic waves in heterogeneous media with free surface topography. We solve the first order form of the 3D elastic wave equation on a boundary-conforming curvilinear mesh, in terms of particle velocities and stresses that are collocated in space and time, using summation-by-parts (SBP) finite difference operators in space. Boundary and interface conditions are imposed weakly using penalties. By deriving semi-discrete energy estimates analogous to the continuous energy estimates we prove numerical stability. The finite difference stencils used in this paper are sixth order accurate in the interior and third order accurate close to the boundaries. However, the method is applicable to any spatial operator with a diagonal norm satisfying the SBP property. Time stepping is performed with a 4th order accurate explicit low storage Runge-Kutta scheme, thus yielding a globally fourth order accurate method in both space and time. We show numerical simulations on band limited self-similar fractal faults revealing the complexity of rupture dynamics on rough faults.
Kansal, Vinay; Nagpal, Sudhir; Jetty, Prasad
2017-12-01
Objective Endovascular aneurysm repair for ruptured abdominal aortic aneurysm is being increasingly applied as the intervention of choice. The purpose of this study was to determine whether survival and reintervention rates after ruptured abdominal aortic aneurysm vary between endograft devices. Methods This cohort study identified all ruptured abdominal aortic aneurysms performed at The Ottawa Hospital from January 1999 to May 2015. Data collected included patient demographics, stability index at presentation, adherence to device instructions for use, endoleaks, reinterventions, and mortality. Kruskal-Wallis test was used to compare outcomes between groups. Mortality outcomes were assessed using Kaplan-Meier survival analysis, and multivariate Cox regression modeling. Results One thousand sixty endovascular aneurysm repairs were performed using nine unique devices. Ninety-six ruptured abdominal aortic aneurysms were performed using three devices: Cook Zenith ( n = 46), Medtronic Endurant ( n = 33), and Medtronic Talent ( n = 17). The percent of patients presented in unstable or extremis condition was 30.2, which did not differ between devices. Overall 30-day mortality was 18.8%, and was not statistically different between devices ( p = 0.16), although Medtronic Talent had markedly higher mortality (35.3%) than Cook Zenith (15.2%) and Medtronic Endurant (15.2%). AUI configuration was associated with increased 30-day mortality (33.3% vs. 12.1%, p = 0.02). Long-term mortality and graft-related reintervention rates at 30 days and 5 years were similar between devices. Instructions for use adherence was similar across devices, but differed between the ruptured abdominal aortic aneurysm and elective endovascular aneurysm repair cohorts (47.7% vs. 79.0%, p < 0.01). Notably, two patients who received Medtronic Talent grafts underwent open conversion >30 days post-endovascular aneurysm repair ( p = 0.01). Type 1 endoleak rates differed significantly across devices (Cook Zenith 0.0%, Medtronic Endurant 18.2%, Medtronic Talent 17.6%, p = 0.01). Conclusion Although we identified device-related differences in endoleak rates, there were no significant differences in reintervention rates or mortality outcomes. Favorable outcomes of Cook Zenith and Medtronic Endurant over Medtronic Talent reflect advances in endograft technology and improvements in operator experience over time. Results support selection of endograft by operator preference for ruptured abdominal aortic aneurysm.
A systematic review of tibialis anterior tendon rupture treatments and outcomes.
Christman-Skieller, Claudia; Merz, Michael K; Tansey, Joseph P
2015-04-01
Tibialis anterior (TA) tendon rupture is a relatively rare injury that has been documented primarily in case reports. This article is the first large systematic review of the literature on treatment techniques for subcutaneous rupture of TA tendons. Studies for review were identified through a PubMed search. Eligible studies involved cases of closed tendon rupture. Of the 87 cases in the study, 72 were treated with surgery, 15 with conservative measures. Mean age was 63.9 years (surgery group) and 72.4 years (conservative treatment group). Primary repair was used most often for newer injuries, autograft most often for older injuries. Operative repair of subcutaneous TA tendon rupture leads to successful outcomes in many patients. A surgeon who is deciding which operative technique to use for a patient should consider the age of the injury and the findings of intraoperative assessment for tendon necrosis.
[Achilles tendon rupture : Current diagnostic and therapeutic standards].
Hertel, G; Götz, J; Grifka, J; Willers, J
2016-08-01
A superior life expectancy and an increased activity in the population result in an increase in degenerative diseases, such as Achilles tendon ruptures. The medical history and physical examinations are the methods of choice to diagnose Achilles tendon ruptures. Ultrasound and radiography represent reasonable extended diagnostic procedures. In order to decide on the medical indications for the therapy concept, the advantages and disadvantages of conservative and surgical treatment options have to be weighed up on an indivdual basis. There are explicit contraindications for both treatment options. For the surgical treatment concept open suture techniques, minimally invasive methods and reconstructive procedures are available. The postoperative management of the patient is as important as the choice of surgical technique. With the correct medical indications and supervision of the patient it is possible to achieve extremely satisfying results for the patient with both conservative and surgical treatment options.
The Siesta Habit is Associated with a Decreased Risk of Rupture of Intracranial Aneurysms.
Kang, Huibin; Feng, Xin; Zhang, Baorui; Guo, Erkang; Wang, Luyao; Qian, Zenghui; Liu, Peng; Wen, Xiaolong; Xu, Wenjuan; Li, Youxiang; Jiang, Chuhan; Wu, Zhongxue; Zhang, Hongbing; Liu, Aihua
2017-01-01
Previous studies have examined an association between the siesta habit and hypertension, as well as coronary heart disease. However, the relationship between a siesta and the risk of rupture of an intracranial aneurysm (IA) has not yet been established. We aimed to investigate the effects of a siesta on the risk of rupture of IAs. We prospectively enrolled consecutive patients diagnosed with IAs at our hospital between January 2016 and December 2016. Univariate and multivariate logistic regression analysis were performed to identify independent risk factors associated with IA rupture. We studied 581 consecutive patients with 514 unruptured and 120 ruptured aneurysms. Univariate analysis demonstrated that hypertension, hyperlipidemia, diabetes mellitus, cigarette smoking, location, size, as well as shape and aspect ratio were associated with the risk of rupture of IAs. Multivariate analysis identified hypertension [odds ratio (OR) 1.68, 95% confidence interval (CI) 1.03-2.73], hyperlipidemia (OR 0.25, 95% CI 0.08-0.72), current cigarette smoking ≥20 cigarettes/day (d) (OR 3.48, 95% CI 1.63-7.47), siesta (siesta time <1 h, OR 0.49, 95% CI 0.24-0.98 and siesta time ≥1 h, OR 0.32, 95% CI 0.19-0.57), location of largest aneurysm on the anterior communicating and internal carotid-posterior communicating artery (PCOM) (anterior communicating artery OR 16.27, 95% CI 7.40-35.79 and PCOM OR 11.21, 95% CI 5.15-24.43), and size of aneurysm ≥7 mm (OR 2.19, 95% CI 1.21-3.97) as independent strong risk factors associated with risk of aneurysm rupture. In the present study, we found that a habitual siesta is a new predictive factor to assess the risk of rupture of an IA. We found the siesta habit may reduce the risk of aneurysm rupture. We also found that hypertension, hyperlipidemia, cigarette smoking, location, and size of aneurysm were associated with the risk of rupture of IAs.
Mapping the rupture process of moderate earthquakes by inverting accelerograms
Hellweg, M.; Boatwright, J.
1999-01-01
We present a waveform inversion method that uses recordings of small events as Green's functions to map the rupture growth of moderate earthquakes. The method fits P and S waveforms from many stations simultaneously in an iterative procedure to estimate the subevent rupture time and amplitude relative to the Green's function event. We invert the accelerograms written by two moderate Parkfield earthquakes using smaller events as Green's functions. The first earthquake (M = 4.6) occurred on November 14, 1993, at a depth of 11 km under Middle Mountain, in the assumed preparation zone for the next Parkfield main shock. The second earthquake (M = 4.7) occurred on December 20, 1994, some 6 km to the southeast, at a depth of 9 km on a section of the San Andreas fault with no previous microseismicity and little inferred coseismic slip in the 1966 Parkfield earthquake. The inversion results are strikingly different for the two events. The average stress release in the 1993 event was 50 bars, distributed over a geometrically complex area of 0.9 km2. The average stress release in the 1994 event was only 6 bars, distributed over a roughly elliptical area of 20 km2. The ruptures of both events appear to grow spasmodically into relatively complex shapes: the inversion only constrains the ruptures to grow more slowly than the S wave velocity but does not use smoothness constraints. Copyright 1999 by the American Geophysical Union.
Analysis of the variability in ground-motion synthesis and inversion
Spudich, Paul A.; Cirella, Antonella; Scognamiglio, Laura; Tinti, Elisa
2017-12-07
In almost all past inversions of large-earthquake ground motions for rupture behavior, the goal of the inversion is to find the “best fitting” rupture model that predicts ground motions which optimize some function of the difference between predicted and observed ground motions. This type of inversion was pioneered in the linear-inverse sense by Olson and Apsel (1982), who minimized the square of the difference between observed and simulated motions (“least squares”) while simultaneously minimizing the rupture-model norm (by setting the null-space component of the rupture model to zero), and has been extended in many ways, one of which is the use of nonlinear inversion schemes such as simulated annealing algorithms that optimize some other misfit function. For example, the simulated annealing algorithm of Piatanesi and others (2007) finds the rupture model that minimizes a “cost” function which combines a least-squares and a waveform-correlation measure of misfit.All such inversions that look for a unique “best” model have at least three problems. (1) They have removed the null-space component of the rupture model—that is, an infinite family of rupture models that all fit the data equally well have been narrowed down to a single model. Some property of interest in the rupture model might have been discarded in this winnowing process. (2) Smoothing constraints are commonly used to yield a unique “best” model, in which case spatially rough rupture models will have been discarded, even if they provide a good fit to the data. (3) No estimate of confidence in the resulting rupture models can be given because the effects of unknown errors in the Green’s functions (“theory errors”) have not been assessed. In inversion for rupture behavior, these theory errors are generally larger than the data errors caused by ground noise and instrumental limitations, and so overfitting of the data is probably ubiquitous for such inversions.Recently, attention has turned to the inclusion of theory errors in the inversion process. Yagi and Fukahata (2011) made an important contribution by presenting a method to estimate the uncertainties in predicted large-earthquake ground motions due to uncertainties in the Green’s functions. Here we derive their result and compare it with the results of other recent studies that look at theory errors in a Bayesian inversion context particularly those by Bodin and others (2012), Duputel and others (2012), Dettmer and others (2014), and Minson and others (2014).Notably, in all these studies, the estimates of theory error were obtained from theoretical considerations alone; none of the investigators actually measured Green’s function errors. Large earthquakes typically have aftershocks, which, if their rupture surfaces are physically small enough, can be considered point evaluations of the real Green’s functions of the Earth. Here we simulate smallaftershock ground motions with (erroneous) theoretical Green’s functions. Taking differences between aftershock ground motions and simulated motions to be the “theory error,” we derive a statistical model of the sources of discrepancies between the theoretical and real Green’s functions. We use this model with an extended frequency-domain version of the time-domain theory of Yagi and Fukahata (2011) to determine the expected variance 2 τ caused by Green’s function error in ground motions from a larger (nonpoint) earthquake that we seek to model.We also differ from the above-mentioned Bayesian inversions in our handling of the nonuniqueness problem of seismic inversion. We follow the philosophy of Segall and Du (1993), who, instead of looking for a best-fitting model, looked for slip models that answered specific questions about the earthquakes they studied. In their Bayesian inversions, they inductively derived a posterior probability-density function (PDF) for every model parameter. We instead seek to find two extremal rupture models whose ground motions fit the data within the error bounds given by 2 τ , as quantified by using a chi-squared test described below. So, we can ask questions such as, “What are the rupture models with the highest and lowest average rupture speed consistent with the theory errors?” Having found those models, we can then say with confidence that the true rupture speed is somewhere between those values. Although the Bayesian approach gives a complete solution to the inverse problem, it is computationally demanding: Minson and others (2014) needed 1010 forward kinematic simulations to derive their posterior probability distribution. In our approach, only about107 simulations are needed. Moreover, in practical application, only a small set of rupture models may be needed to answer the relevant questions—for example, determining the maximum likelihood solution (achievable through standard inversion techniques) and the two rupture models bounding some property of interest.The specific property that we wish to investigate is the correlation between various rupturemodel parameters, such as peak slip velocity and rupture velocity, in models of real earthquakes. In some simulations of ground motions for hypothetical large earthquakes, such as those by Aagaard and others (2010) and the Southern California Earthquake Center Broadband Simulation Platform (Graves and Pitarka, 2015), rupture speed is assumed to correlate locally with peak slip, although there is evidence that rupture speed should correlate better with peak slip speed, owing to its dependence on local stress drop. We may be able to determine ways to modify Piatanesi and others’s (2007) inversion’s “cost” function to find rupture models with either high or low degrees of correlation between pairs of rupture parameters. We propose a cost function designed to find these two extremal models.
Zhang, R.R.; Ma, S.; Hartzell, S.
2003-01-01
In this article we use empirical mode decomposition (EMD) to characterize the 1994 Northridge, California, earthquake records and investigate the signatures carried over from the source rupture process. Comparison of the current study results with existing source inverse solutions that use traditional data processing suggests that the EMD-based characterization contains information that sheds light on aspects of the earthquake rupture process. We first summarize the fundamentals of the EMD and illustrate its features through the analysis of a hypothetical and a real record. Typically, the Northridge strong-motion records are decomposed into eight or nine intrinsic mode functions (IMF's), each of which emphasizes a different oscillation mode with different amplitude and frequency content. The first IMF has the highest-frequency content; frequency content decreases with an increase in IMF component. With the aid of a finite-fault inversion method, we then examine aspects of the source of the 1994 Northridge earthquake that are reflected in the second to fifth IMF components. This study shows that the second IMF is predominantly wave motion generated near the hypocenter, with high-frequency content that might be related to a large stress drop associated with the initiation of the earthquake. As one progresses from the second to the fifth IMF component, there is a general migration of the source region away from the hypocenter with associated longer-period signals as the rupture propagates. This study suggests that the different IMF components carry information on the earthquake rupture process that is expressed in their different frequency bands.
NASA Technical Reports Server (NTRS)
Vanfossen, G. J.
1983-01-01
A system which would allow a substantially increased output from a turboshaft engine for brief periods in emergency situations with little or no loss of turbine stress rupture life is proposed and studied analytically. The increased engine output is obtained by overtemperaturing the turbine; however, the temperature of the compressor bleed air used for hot section cooling is lowered by injecting and evaporating water. This decrease in cooling air temperature can offset the effect of increased gas temperature and increased shaft speed and thus keep turbine blade stress rupture life constant. The analysis utilized the NASA-Navy-Engine-Program or NNEP computer code to model the turboshaft engine in both design and off-design modes. This report is concerned with the effect of the proposed method of power augmentation on the engine cycle and turbine components. A simple cycle turboshaft engine with a 16:1 pressure ratio and a 1533 K (2760 R) turbine inlet temperature operating at sea level static conditions was studied to determine the possible power increase and the effect on turbine stress rupture life that could be expected using the proposed emergency cooling scheme. The analysis showed a 54 percent increse in output power can be achieved with no loss in gas generator turbine stress rupture life. A 231 K (415 F) rise in turbine inlet temperature is required for this level of augmentation. The required water flow rate was found to be .0109 kg water per kg of engine air flow.
Hand Surgeon Reporting of Tendon Rupture Following Distal Radius Volar Plating
Monaco, Nathan A.; Dwyer, C. Liam; Ferikes, Alex J.; Lubahn, John D.
2016-01-01
Background: Volar plate fixation with locked screws has become the preferred treatment of displaced distal radius fractures that cannot be managed nonoperatively. This treatment, however, is not without complication. The purpose of this study was to determine what percentage of hand surgeons, over a 12-month period, have experienced a tendon complication when using volar plates for the treatment of distal radius fractures. Methods: A total of 3022 hand surgeons were e-mailed a link to an online questionnaire regarding their observation and treatment of tendon injuries associated with volar plating of distal radius fractures. Responses were reported using descriptive statistics. Results: Of the 596 (20%) respondents, 199 (33%) surgeons reported encountering at least one flexor tendon injury after distal radius volar plating over the past year of practice. The flexor pollicis longus was the most commonly reported tendon injury (254, 75%). Palmaris longus grafting (118, 37%) and tendon transfer (114, 36%) were the most often reported treatments following this complication. A total of 216 respondents (36%) also encountered 324 cases of extensor tendon rupture after volar plating of distal radius fractures, with tendon transfer (88%) being the preferred treatment option. Conclusions: Both flexor and extensor tendon ruptures can be seen after volar plating of distal radius fractures. Surgeons should be aware of these complications. Critical assessment of hardware position at the time of index procedure is recommended to avoid complications. Long-term studies are needed to standardize approaches to managing tendon rupture following volar plating of distal radius fractures. PMID:27698628
Hand Surgeon Reporting of Tendon Rupture Following Distal Radius Volar Plating.
Monaco, Nathan A; Dwyer, C Liam; Ferikes, Alex J; Lubahn, John D
2016-09-01
Background: Volar plate fixation with locked screws has become the preferred treatment of displaced distal radius fractures that cannot be managed nonoperatively. This treatment, however, is not without complication. The purpose of this study was to determine what percentage of hand surgeons, over a 12-month period, have experienced a tendon complication when using volar plates for the treatment of distal radius fractures. Methods: A total of 3022 hand surgeons were e-mailed a link to an online questionnaire regarding their observation and treatment of tendon injuries associated with volar plating of distal radius fractures. Responses were reported using descriptive statistics. Results: Of the 596 (20%) respondents, 199 (33%) surgeons reported encountering at least one flexor tendon injury after distal radius volar plating over the past year of practice. The flexor pollicis longus was the most commonly reported tendon injury (254, 75%). Palmaris longus grafting (118, 37%) and tendon transfer (114, 36%) were the most often reported treatments following this complication. A total of 216 respondents (36%) also encountered 324 cases of extensor tendon rupture after volar plating of distal radius fractures, with tendon transfer (88%) being the preferred treatment option. Conclusions: Both flexor and extensor tendon ruptures can be seen after volar plating of distal radius fractures. Surgeons should be aware of these complications. Critical assessment of hardware position at the time of index procedure is recommended to avoid complications. Long-term studies are needed to standardize approaches to managing tendon rupture following volar plating of distal radius fractures.
Fractal avalanche ruptures in biological membranes
NASA Astrophysics Data System (ADS)
Gözen, Irep; Dommersnes, Paul; Czolkos, Ilja; Jesorka, Aldo; Lobovkina, Tatsiana; Orwar, Owe
2010-11-01
Bilayer membranes envelope cells as well as organelles, and constitute the most ubiquitous biological material found in all branches of the phylogenetic tree. Cell membrane rupture is an important biological process, and substantial rupture rates are found in skeletal and cardiac muscle cells under a mechanical load. Rupture can also be induced by processes such as cell death, and active cell membrane repair mechanisms are essential to preserve cell integrity. Pore formation in cell membranes is also at the heart of many biomedical applications such as in drug, gene and short interfering RNA delivery. Membrane rupture dynamics has been studied in bilayer vesicles under tensile stress, which consistently produce circular pores. We observed very different rupture mechanics in bilayer membranes spreading on solid supports: in one instance fingering instabilities were seen resulting in floral-like pores and in another, the rupture proceeded in a series of rapid avalanches causing fractal membrane fragmentation. The intermittent character of rupture evolution and the broad distribution in avalanche sizes is consistent with crackling-noise dynamics. Such noisy dynamics appear in fracture of solid disordered materials, in dislocation avalanches in plastic deformations and domain wall magnetization avalanches. We also observed similar fractal rupture mechanics in spreading cell membranes.
Lv, Nan; Wang, Chi; Karmonik, Christof; Fang, Yibin; Xu, Jinyu; Yu, Ying; Cao, Wei; Liu, Jianmin; Huang, Qinghai
2016-01-01
The conflicting findings of previous morphological and hemodynamic studies on intracranial aneurysm rupture may be caused by the relatively small sample sizes and the variation in location of the patient-specific aneurysm models. We aimed to determine the discriminators for aneurysm rupture status by focusing on only posterior communicating artery (PCoA) aneurysms. In 129 PCoA aneurysms (85 ruptured, 44 unruptured), clinical, morphological and hemodynamic characteristics were compared between the ruptured and unruptured cases. Multivariate logistic regression analysis was performed to determine the discriminators for rupture status of PCoA aneurysms. While univariate analyses showed that the size of aneurysm dome, aspect ratio (AR), size ratio (SR), dome-to-neck ratio (DN), inflow angle (IA), normalized wall shear stress (NWSS) and percentage of low wall shear stress area (LSA) were significantly associated with PCoA aneurysm rupture status. With multivariate analyses, significance was only retained for higher IA (OR = 1.539, p < 0.001) and LSA (OR = 1.393, p = 0.041). Hemodynamics and morphology were related to rupture status of intracranial aneurysms. Higher IA and LSA were identified as discriminators for rupture status of PCoA aneurysms.
Systematic Observations of the Slip-pulse Properties of Large Earthquake Ruptures
NASA Astrophysics Data System (ADS)
Melgar, D.; Hayes, G. P.
2017-12-01
In earthquake dynamics there are two end member models of rupture: propagating cracks and self-healing pulses. These arise due to different properties of ruptures and have implications for seismic hazard; rupture mode controls near-field strong ground motions. Past studies favor the pulse-like mode of rupture, however, due to a variety of limitations, it has proven difficult to systematically establish their kinematic properties. Here we synthesize observations from a database of >150 rupture models of earthquakes spanning M7-M9 processed in a uniform manner and show the magnitude scaling properties (rise time, pulse width, and peak slip rate) of these slip pulses indicates self-similarity. Self similarity suggests a weak form of rupture determinism, where early on in the source process broader, higher amplitude slip pulses will distinguish between events of icnreasing magnitude. Indeed, we find by analyzing the moment rate functions that large and very large events are statistically distinguishable relatively early (at 15 seconds) in the rupture process. This suggests that with dense regional geophysical networks strong ground motions from a large rupture can be identified before their onset across the source region.
Influence of fault steps on rupture termination of strike-slip earthquake faults
NASA Astrophysics Data System (ADS)
Li, Zhengfang; Zhou, Bengang
2018-03-01
A statistical analysis was completed on the rupture data of 29 historical strike-slip earthquakes across the world. The purpose of this study is to examine the effects of fault steps on the rupture termination of these events. The results show good correlations between the type and length of steps with the seismic rupture and a poor correlation between the step number and seismic rupture. For different magnitude intervals, the smallest widths of the fault steps (Lt) that can terminate the rupture propagation are variable: Lt = 3 km for Ms 6.5 6.9, Lt = 4 km for Ms 7.0 7.5, Lt = 6 km for Ms 7.5 8.0, and Lt = 8 km for Ms 8.0 8.5. The dilational fault step is easier to rupture through than the compression fault step. The smallest widths of the fault step for the rupture arrest can be used as an indicator to judge the scale of the rupture termination of seismic faults. This is helpful for research on fault segmentation, as well as estimating the magnitude of potential earthquakes, and is thus of significance for the assessment of seismic risks.
Rupture directivity of microseismic events recorded during hydraulic fracture stimulations.
NASA Astrophysics Data System (ADS)
Urbancic, T.; Smith-Boughner, L.; Baig, A.; Viegas, G.
2016-12-01
We model the dynamics of a complex rupture sequence with four sub-events. These events were recorded during hydraulic fracture stimulations in a gas-bearing shale formation. With force-balance accelerometers, 4.5Hz and 15Hz instruments recording the failure history, we study the directivity of the entire rupture sequence and each sub-event. Two models are considered: unilateral and bi-lateral failures of penny shaped cracks. From the seismic moment tensors of these sub-events, we consider different potential failure planes and rupture directions. Using numerical wave-propagation codes, we generate synthetic rupture sequences with both unilateral and bi-lateral ruptures. These are compared to the four sub-events to determine the directionality of the observed failures and the sensitivity of our recording bandwidth and geometry to distinguishing between different rupture processes. The frequency of unilateral and bilateral rupture processes throughout the fracture stimulation is estimated by comparing the directivity characteristics of the modeled sub-events to other high-quality microseismic events recorded during the same stimulation program. Understanding the failure processes of these microseismic events can provide great insight into the changes in the rock mass responsible for these complex rupture processes.
Spontaneous Hemothorax in Neurofibromatosis Treated with Percutaneous Embolization
DOE Office of Scientific and Technical Information (OSTI.GOV)
Arai, Kazunori; Sanada, Junichiro; Kurozumi, Akiko
We evaluated the effectiveness of transcatheter arterial coil embolization therapy for the treatment of spontaneous hemothorax followed by aneurysm rupture in neurofibromatosis patients. Three patients were treated for massive hemothorax caused by arterial lesions associated with neurofibromatosis. Bleeding episodes were secondary to ascending cervical artery aneurysm and dissection of vertebral artery in 1 patient, and intercostal artery aneurysm with or without arteriovenous fistula in 2 patients. Patients were treated by transarterial coil embolization combined with chest drainage. In 1 patient, the ruptured ascending cervical artery aneurysm was well embolized but, shortly after the embolization, fatal hemorrhage induced by dissection ofmore » the vertebral artery occurred and the patient died. In the other 2 patients, the ruptured intercostal artery aneurysm was well embolized and they were successfully treated and discharged. Transcatheter arterial coil embolization therapy is an effective method for the treatment of spontaneous hemothorax followed by aneurysm rupture in neurofibromatosis patients.« less
Globe rupture with post cataract-surgery safety sunglasses.
Brooks, Clifford W; Howard, Robert C; Lyons, Robert A; Reilly, Charles D
2010-07-01
We report a case of globe rupture associated with the use of post cataract-surgery protective eyewear. The patient had routine cataract surgery 3 months before presentation and had adapted his post cataract-surgery glasses to use on the tennis court. He experienced a large posterior globe rupture after falling directly onto his face during a match. Spectacle torsion is the suspected biomechanical process that led to the rupture. We conclude that although the glasses given to many patients after cataract surgery are protective for most low-impact injuries, patients should be aware they are not designed for activities with a risk for significant impact. Patients should also be counseled to use protective eyewear specifically designed and approved for the sport or activity in which they participate. No author has a financial or proprietary interest in any material or method mentioned. Published by Elsevier Inc.
Reslan, Ossama M; Sundick, Scott; Razayat, Combiz; Brener, Bruce J; Raffetto, Joseph D
2017-02-01
Profunda femoris artery aneurysms (PFAAs) are very rare and easily overlooked because they are located deeply within thigh muscle. PFAAs have a high rate of rupture in comparison with other peripheral arterial aneurysms, resulting in emergency surgical procedures with significant morbidity. PFAA is diagnosed with color arterial Doppler ultrasound, although computed tomography angiography remains the best imaging method to precisely define the exact site and length of arterial involvement. PFAAs should be treated surgically once diagnosed, even if they are asymptomatic due to the high incidence of complications. Currently, around 28 patients with PFAA rupture, including the 2 cases from this report, have been described in the English language literature. In this report, we describe the diagnosis and treatment of 2 true ruptured aneurysms of the profunda femoris artery with 2 different approaches, and will review the relevant literature. Copyright © 2016 Elsevier Inc. All rights reserved.
NASA Technical Reports Server (NTRS)
Russell, Rick; Grundy, David; Jablonski, David; Martin, Christopher; Washabaugh, Andrew; Goldfine, Neil
2011-01-01
There are 3 mechanisms that affect the life of a COPV are: a) The age life of the overwrap; b) Cyclic fatigue of the metallic liner; c) Stress Rupture life. The first two mechanisms are understood through test and analysis. A COPV Stress Rupture is a sudden and catastrophic failure of the overwrap while holding at a stress level below the ultimate strength for an extended time. Currently there is no simple, deterministic method of determining the stress rupture life of a COPV, nor a screening technique to determine if a particular COPV is close to the time of a stress rupture failure. Conclusions: Demonstrated a correlation between MWM response and pressure or strain. Demonstrated the ability to monitor stress in COPV at different orientations and depths. FA41 provides best correlation with bottle pressure or stress.
Presence of Bacteria in Spontaneous Achilles Tendon Ruptures.
Rolf, Christer G; Fu, Sai-Chuen; Hopkins, Chelsea; Luan, Ju; Ip, Margaret; Yung, Shu-Hang; Friman, Göran; Qin, Ling; Chan, Kai-Ming
2017-07-01
The structural pathology of Achilles tendon (AT) ruptures resembles tendinopathy, but the causes remain unknown. Recently, a number of diseases were found to be attributed to bacterial infections, resulting in low-grade inflammation and progressive matrix disturbance. The authors speculate that spontaneous AT ruptures may also be influenced by the presence of bacteria. Bacteria are present in ruptured ATs but not in healthy tendons. Cross-sectional study; Level of evidence, 3. Patients with spontaneous AT ruptures and patients undergoing anterior cruciate ligament (ACL) reconstruction were recruited for this study. During AT surgical repair, excised tendinopathic tissue was collected, and healthy tendon samples were obtained as controls from hamstring tendon grafts used in ACL reconstruction. Half of every sample was reserved for DNA extraction and the other half for histology. Polymerase chain reaction (PCR) was conducted using 16S rRNA gene universal primers, and the PCR products were sequenced for the identification of bacterial species. A histological examination was performed to compare tendinopathic changes in the case and control samples. Five of 20 AT rupture samples were positive for the presence of bacterial DNA, while none of the 23 hamstring tendon samples were positive. Sterile operating and experimental conditions and tests on samples, controlling for harvesting and processing procedures, ruled out the chance of postoperative bacterial contamination. The species identified predominantly belonged to the Staphylococcus genus. AT rupture samples exhibited histopathological features characteristic of tendinopathy, and most healthy hamstring tendon samples displayed normal tendon features. There were no apparent differences in histopathology between the bacterial DNA-positive and bacterial DNA-negative AT rupture samples. The authors have demonstrated the presence of bacterial DNA in ruptured AT samples. It may suggest the potential involvement of bacteria in spontaneous AT ruptures.
Nonlinear Inversion for Dynamic Rupture Parameters from the 2004 Mw6.0 Parkfield Earthquake
NASA Astrophysics Data System (ADS)
Jimenez, R. M.; Olsen, K. B.
2007-12-01
The Parkfield section of the San Andreas Fault has produced repeated moderate-size earthquakes at fairly regular intervals and is therefore an important target for investigations of rupture initiation, propagation and arrest, which could eventually lead to clues on earthquake prediction. The most recent member of the Parkfield series of earthquakes, the 2004 Mw6.0 event, produced a considerable amount of high-resolution strong motion data, and provides an ideal test bed for analysis of the dynamic rupture propagation. Here, we use a systematic nonlinear direct-search method to invert strong-ground motion data (less than 1 Hz) at 37 stations to obtain models of the slip weakening distance and spatially-varying stress drop (8 by 4 subfaults) on the (vertical) causative segment of the San Andreas fault (40 km long by 15 km wide), along with spatial-temporal coseismic slip distributions. The rupture and wave propagation modeling is performed by a three-dimensional finite-difference method with a slip- weakening friction law and the stress-glut dynamic-rupture formulation (Andrews, 1999), and the inversion is carried out by a neighborhood algorithm (Sambridge, 1999), minimizing the least-squares misfit between the calculated and observed seismograms. The dynamic rupture is nucleated artificially by lowering the yield stress in a 3 km by 3 km patch centered at the location of the hypocenter estimated from strong motion data. Outside the nucleation patch the yield stress is kept constant (5-10 MPa), and we constrain the slip-weakening distance to values less than 1 m. We compare the inversion results for two different velocity models: (1) a 3-D model based on the P-wave velocity structure by Thurber (2006), with S-wave and density relations based on Brocher (2005), and (2) a combination of two different 1-D layered velocity structures on either side of the fault, as proposed by Liu et al. (2006). Due to the non-uniqueness of the problem, the inversion provides an ensemble of equally valid rupture models that produce synthetics with comparable fit to the observed strong motion data. Our preliminary results with the smallest misfits, out of about 3000 tested rupture models, suggest an average slip-weakening distance of 19-81 cm and an average stress drop across the fault of 6.7 - 8.4 MPa. Compared to the kinematic inversion results by Liu et al. (2006) our models with the smallest misfits produce a larger maximum slip (up to about 81 cm) and smaller rupture area, but similar rupture duration (5-7s). The inversions carried out for the layered models tend to produce smaller misfit between data and synthetics as compared to the results using the 3D structure. This suggests that our 3D structure needs improvement, including the Vs-Vp and density-Vp relation. We expect further decrease in the misfit values by increasing the number of tested rupture models.
Chitnis, Parag V.; Koppolu, Sujeethraj; Mamou, Jonathan; Chlon, Ceciel; Ketterling, Jeffrey A.
2013-01-01
This two-part study investigated shell rupture of ultrasound contrast agents (UCAs) under static overpressure conditions and the subharmonic component from UCAs subjected to 20-MHz tonebursts. Five different polylactide-shelled UCAs with shell-thickness-to-radius ratios (STRRs) of 7.5, 30, 40, 65, and 100 nm/μm were subjected to static overpressure in a glycerol-filled test chamber. A video microscope imaged the UCAs as pressure varied from 2 to 330 kPa over 90 min. Images were postprocessed to obtain the pressure threshold for rupture and the diameter of individual microbubbles. Backscatter from individual UCAs was investigated by flowing a dilute UCA solution through a wall-less flow phantom placed at the geometric focus of a 20-MHz transducer. UCAs were subjected to 10- and 20-cycle tonebursts of acoustic pressures ranging from 0.3 to 2.3 MPa. A method based on singular-value decomposition (SVD) was employed to obtain a cumulative subharmonic score (SHS). Different UCA types exhibited distinctly different rupture thresholds that were linearly related to their STRR, but uncorrelated with UCA size. The rupture threshold for the UCAs with an STRR = 100 nm/μm was more than 4 times greater than the UCAs with an STRR = 7.5 nm/μm. The polymer-shelled UCAs produced substantial subharmonic response but the subharmonic response to 20-MHz excitation did not correlate with STRRs or UCA-rupture pressures. The 20-cycle excitation resulted in an SHS that was 2 to 3 times that of UCAs excited with 10-cycle tonebursts. PMID:23287913
NASA Astrophysics Data System (ADS)
Semmane, F.; Benabdeloued, B. Y. N.; Heddar, A.; Khelif, M. F.
2017-11-01
On November 15, 2014, an Mw4.3 earthquake occurred 2 km west of Mihoub village, 60 km SE of Algiers. In this study, we retrieve the relative source-time functions of the mainshock and largest aftershock (Mw3.9) for rupture analysis using the empirical Green's function method. The two events are nearly colocated with a smaller aftershock (Mw3.5), which is treated as the empirical Green's function. Moreover, these three events have similar focal mechanisms, suggesting that deconvolution is well posed in this case. The three events were recorded by nine stations of the Algerian permanent network. We use mainly P-wave data. The focal mechanism solution shows dominant reverse faulting with a strong strike-slip component. The two nodal planes align almost E-W, dipping to the south, and NNE-SSW, dipping to the NW, respectively; the fault and auxiliary planes cannot be resolved from hypocenter locations alone because too few aftershocks were recorded by the permanent network. The results show unilateral rupture propagation to the ENE and complex rupture with multiple episodes for the mainshock. The largest aftershock shows similar behavior with slightly less pronounced directivity at some sites. The rupture directivity for the mainshock is estimated at about N66° E, and the rupture velocity is Vr = 0.66 β. The E-W nodal plane of the best-fit focal mechanism is the preferred fault plane because it best agrees with the directivity direction and is consistent with the E-W faulting that dominates in the region.
Haeussler, Peter J.; Witter, Robert C.; Wang, Kelin
2015-01-01
The 28 October 2012 Mw 7.8 Haida Gwaii earthquake was a megathrust earthquake along the very obliquely convergent Queen Charlotte margin of British Columbia, Canada. Coseismic deformation is not well constrained by geodesy, with only six Global Positioning System (GPS) sites and two tide gauge stations within 250 km of the rupture area. To better constrain vertical coseismic deformation, we measured the upper growth limits of two sessile intertidal organisms, which are controlled by physical conditions, relative to sea level at 25 sites 5 months after the earthquake. We measured the positions of rockweed (Fucus distichus, 617 observations) and the common acorn barnacle (Balanus balanoides, 686 observations). The study focused on the western side of the islands where rupture models indicated that the greatest amount of vertical displacement, but we also investigated sites well away from the inferred rupture area to provide a control on the upper limit of the organisms unaffected by vertical displacement. We also made 322 measurements of sea level to relate the growth limits to a tidal datum using the TPXO7.2 tidal model, rather than ellipsoid heights determined by GPS. Three methods of examining the data all indicate 0.4–0.6 m subsidence along the western coast of Moresby Island as a result of the 28 October 2012 Haida Gwaii earthquake. Our data are, within the errors, consistent with data from two campaign GPS sites along the west coast of Haida Gwaii and with rupture models that indicate megathrust rupture offshore, but not beneath, the islands.
Tian, Jing; Xie, Bing; Zhang, Hao
2016-01-01
The applications of CT examination in the diagnosis of the acute Achilles tendon rupture (AATR) were investigated. A total of 36 patients with suspected acute Achilles tendon rupture were tested using physical examination, ultrasound, and 3DCT scanning, respectively. Then, surgery was performed for the patients who showed positive result in at least two of the three tests for AATR. 3DVR, MPR, and the other CT scan image processing and diagnosis were conducted in PACS (picture archiving and communication system). PACS was also used to measure the length of distal broken ends of the Achilles tendon (AT) to tendon calcaneal insertion. Our study indicated that CT has the highest accuracy in diagnosis of acute Achilles tendon complete rupture. The length measurement is matched between PACS and those actually measured in operation. CT not only demonstrates more details directly in three dimensions especially with the rupture involved calcaneal insertion flap but also locates the rupture region for percutaneous suture by measuring the length of distal stump in PACS without the effect of the position of ankle. The accuracy of CT diagnosis for Achilles tendon partial rupture is yet to be studied. PMID:28078295
Development of lightweight concrete mixes for construction industry at the state of Arkansas
NASA Astrophysics Data System (ADS)
Almansouri, Mohammed Abdulwahab
As the construction industry evolved, the need for more durable, long lasting infrastructure increased. Therefore, more efforts have been put to find new methods to improve the properties of the concrete to prolong the service life of the structural elements. One of these methods is the use of lightweight aggregate as an internal curing agent to help reducing self-desiccation and shrinkage. This research studied the effects of using locally available lightweight aggregate (expanded clay), as a partial replacement of normal weight aggregate in the concrete matrix. The concrete mixtures contained lightweight aggregate with a replacement percentage of 12.5, 25, 37.5, and 50 percent by volume. Fresh properties as well as compressive strength, modulus of rupture, and drying shrinkage were measured. While was effective in reducing drying shrinkage, the use of lightweight aggregate resulted in slightly reducing both the compressive strength and modulus of rupture.
Composite Overwrap Pressure Vessels: Mechanics and Stress Rupture Lifting Philosophy
NASA Technical Reports Server (NTRS)
Thesken, John C.; Murthy, Pappu L. N.; Phoenix, S. L.
2009-01-01
The NASA Engineering and Safety Center (NESC) has been conducting an independent technical assessment to address safety concerns related to the known stress rupture failure mode of filament wound pressure vessels in use on Shuttle and the International Space Station. The Shuttle s Kevlar-49 (DuPont) fiber overwrapped tanks are of particular concern due to their long usage and the poorly understood stress rupture process in Kevlar-49 filaments. Existing long term data show that the rupture process is a function of stress, temperature and time. However due to the presence of load sharing liners and the complex manufacturing procedures, the state of actual fiber stress in flight hardware and test articles is not clearly known. Indeed nonconservative life predictions have been made where stress rupture data and lifing procedures have ignored the contribution of the liner in favor of applied pressure as the controlling load parameter. With the aid of analytical and finite element results, this paper examines the fundamental mechanical response of composite overwrapped pressure vessels including the influence of elastic plastic liners and degraded/creeping overwrap properties. Graphical methods are presented describing the non-linear relationship of applied pressure to Kevlar-49 fiber stress/strain during manufacturing, operations and burst loadings. These are applied to experimental measurements made on a variety of vessel systems to demonstrate the correct calibration of fiber stress as a function of pressure. Applying this analysis to the actual qualification burst data for Shuttle flight hardware revealed that the nominal fiber stress at burst was in some cases 23 percent lower than what had previously been used to predict stress rupture life. These results motivate a detailed discussion of the appropriate stress rupture lifing philosophy for COPVs including the correct transference of stress rupture life data between dissimilar vessels and test articles.
Composite Overwrap Pressure Vessels: Mechanics and Stress Rupture Lifing Philosophy
NASA Technical Reports Server (NTRS)
Thesken, John C.; Murthy, Pappu L. N.; Phoenix, Leigh
2007-01-01
The NASA Engineering and Safety Center (NESC) has been conducting an independent technical assessment to address safety concerns related to the known stress rupture failure mode of filament wound pressure vessels in use on Shuttle and the International Space Station. The Shuttle's Kevlar-49 fiber overwrapped tanks are of particular concern due to their long usage and the poorly understood stress rupture process in Kevlar-49 filaments. Existing long term data show that the rupture process is a function of stress, temperature and time. However due to the presence of load sharing liners and the complex manufacturing procedures, the state of actual fiber stress in flight hardware and test articles is not clearly known. Indeed non-conservative life predictions have been made where stress rupture data and lifing procedures have ignored the contribution of the liner in favor of applied pressure as the controlling load parameter. With the aid of analytical and finite element results, this paper examines the fundamental mechanical response of composite overwrapped pressure vessels including the influence of elastic-plastic liners and degraded/creeping overwrap properties. Graphical methods are presented describing the non-linear relationship of applied pressure to Kevlar-49 fiber stress/strain during manufacturing, operations and burst loadings. These are applied to experimental measurements made on a variety of vessel systems to demonstrate the correct calibration of fiber stress as a function of pressure. Applying this analysis to the actual qualification burst data for Shuttle flight hardware revealed that the nominal fiber stress at burst was in some cases 23% lower than what had previously been used to predict stress rupture life. These results motivate a detailed discussion of the appropriate stress rupture lifing philosophy for COPVs including the correct transference of stress rupture life data between dissimilar vessels and test articles.
Analytic Study of Three-Dimensional Rupture Propagation in Strike-Slip Faulting with Analogue Models
NASA Astrophysics Data System (ADS)
Chan, Pei-Chen; Chu, Sheng-Shin; Lin, Ming-Lang
2014-05-01
Strike-slip faults are high angle (or nearly vertical) fractures where the blocks have moved along strike way (nearly horizontal). Overburden soil profiles across main faults of Strike-slip faults have revealed the palm and tulip structure characteristics. McCalpin (2005) has trace rupture propagation on overburden soil surface. In this study, we used different offset of slip sandbox model profiles to study the evolution of three-dimensional rupture propagation by strike -slip faulting. In strike-slip faults model, type of rupture propagation and width of shear zone (W) are primary affecting by depth of overburden layer (H), distances of fault slip (Sy). There are few research to trace of three-dimensional rupture behavior and propagation. Therefore, in this simplified sandbox model, investigate rupture propagation and shear zone with profiles across main faults when formation are affecting by depth of overburden layer and distances of fault slip. The investigators at the model included width of shear zone, length of rupture (L), angle of rupture (θ) and space of rupture. The surface results was follow the literature that the evolution sequence of failure envelope was R-faults, P-faults and Y-faults which are parallel to the basement fault. Comparison surface and profiles structure which were curved faces and cross each other to define 3-D rupture and width of shear zone. We found that an increase in fault slip could result in a greater width of shear zone, and proposed a W/H versus Sy/H relationship. Deformation of shear zone showed a similar trend as in the literature that the increase of fault slip resulted in the increase of W, however, the increasing trend became opposite after a peak (when Sy/H was 1) value of W was reached (small than 1.5). The results showed that the W width is limited at a constant value in 3-D models by strike-slip faulting. In conclusion, this study helps evaluate the extensions of the shear zone influenced regions for strike-slip faults.
Boesmueller, Sandra; Huf, Wolfgang; Rettl, Gregor; Dahm, Falko; Meznik, Alexander; Muschitz, Gabriela; Kitzinger, Hugo; Bukaty, Adam; Fialka, Christian; Vierhapper, Martin
2017-01-01
Although sex- and gender-specific analyses have been gaining more attention during the last years they have rarely been performed in orthopaedic literature. The primary purpose of this study was to investigate whether for injuries of the UCL the specific location of the rupture is influenced by sex. A secondary study question addressed the sex-independent effect of trauma intensity on the rupture site of the UCL. This study is a retrospective analysis of all patients with either a proximal or distal bony avulsion or with a mid-substance tear or ligament avulsion of the UCL treated surgically between 1992 and 2015 at two level-I trauma centres. Trauma mechanisms leading to the UCL injury were classified into the following categories: (1) blunt trauma (i.e., strains), (2) low-velocity injuries (e.g., fall from standing height, assaults), and (3) high-velocity injuries (e.g., sports injuries, motor vehicle accidents). After reviewing the surgical records, patients were divided into three groups, depending upon the ligament rupture site: (1) mid-substance tears, (2) proximal ligament or bony avulsions and (3) distal ligament or bony avulsions. Dependencies between the specific rupture site and the explanatory variables (sex, age, and trauma intensity) were evaluated using χ2 test and logistic regression analysis. In total, 1582 patients (1094 males, 488 females) met the inclusion criteria. Mean age was 41 years (range: 9-90 years). Taking into account the effects of sex on trauma intensity (p<0.001) and of trauma intensity on rupture site (p<0.001), mid-substance tears occurred more frequently in women, whereas men were more prone to distal ligament or bony avulsions (p<0.001). In other words, sex and rupture site correlated due to the effects of sex on trauma intensity and of trauma intensity on rupture site, but taking into account those effects there still was a significant effect of sex on rupture site. The results of this study demonstrate that with regression analysis both sex and trauma intensity allow to predict rupture site in UCL injuries.
Achilles tendon rupture--treatment and complications: a systematic review.
Holm, C; Kjaer, M; Eliasson, P
2015-02-01
Achilles tendon rupture is a frequent injury with an increasing incidence. Until now, there is no consensus regarding optimal treatment. The aim of this review was to illuminate and summarize randomized controlled trials comparing surgical and non-surgical treatment of Achilles tendon ruptures during the last 10 years. Seven articles were found and they were all acceptable according to international quality assessment guidelines. Primary outcomes were re-ruptures, other complications, and functional outcomes. There was no significant difference in re-ruptures between the two treatments, but a tendency to favoring surgical treatment. Further, one study found an increased risk of soft-tissue-related complications after surgery. Patient satisfaction and time to return to work were significantly different in favor of surgery in one study, and there was also better functional outcome after surgery in some studies. These seven studies indicate that surgical patients have a faster rehabilitation. However, the differences between surgical and non-surgical treatment appear to be subtle and it could mean that rehabilitation is more important, rather than the actual initial treatment. Therefore, further studies will be needed in regard to understanding the interplay between acute surgical or non-surgical treatment, and the rehabilitation regimen for the overall outcome after Achilles tendon ruptures. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Xu, Jing; Ma, Feiqiang; Yan, Wei; Qiao, Sen; Xu, Shengquan; Li, Yi; Luo, Jianhong; Zhang, Jianmin; Jin, Jinghua
2015-03-05
Subarachnoid hemorrhage caused by a ruptured intracranial aneurysm (RIA) is a devastating condition with significant morbidity and mortality. Despite the fact that RIAs can be prevented by microsurgical clipping or endovascular coiling, there are no reliable means of effectively predicting IA patients at risk for rupture. The purpose of our study was to discover differentially-expressed glycoproteins in IAs with or without rupture as potential biomarkers to predict rupture. Forty age/gender-matched patients with RIA, unruptured IA (UIA), healthy controls (HCs) and disease controls (DCs) (discovery cohort, n = 10 per group) were recruited and a multiplex quantitative proteomic method, iTRAQ (isobaric Tagging for Relative and Absolute protein Quantification), was used to quantify relative changes in the lectin-purified glycoproteins in CSF from RIAs and UIAs compared to HCs and DCs. Then we verified the proteomic results in an independent set of samples (validation cohort, n = 20 per group) by enzyme-linked immunosorbent assay. Finally, we evaluated the specificity and sensitivity of the candidate marker with receiver operating characteristic (ROC) curve methods. The proteomic findings identified 294 proteins, 40 of which displayed quantitative changes unique to RIA, 13 to UIA, and 20 to IA. One of these proteins, receptor tyrosine kinase Axl, was significantly increased in RIA, as confirmed in CSF from the discovery cohort as well as in CSF and plasma from the validation cohort (p <0.05). Spearman's correlation analysis revealed that the CSF and plasma Axl levels were strongly correlated (r = 0.93, p <0.0001). The ROC curve indicated an optimal CSF Axl threshold of 0.12 nM for discriminating RIA from UIA with corresponding sensitivity/specificity of 73.33%/90% and an area under the curve (AUC) of 0.89 (95% CI: 0.80-0.97, p < 0.0001). The optimal threshold for plasma Axl was 1.7 nM with corresponding sensitivity/specificity of 50%/80% and an AUC of 0.71 (95% CI: 0.54-0.87, p = 0.027). Both CSF and plasma Axl levels are significantly elevated in RIA patients. Axl might serve as a promising biomarker to predict the rupture of IA.
Study of breast implant rupture: MRI versus surgical findings.
Vestito, A; Mangieri, F F; Ancona, A; Minervini, C; Perchinunno, V; Rinaldi, S
2012-09-01
This study evaluated the role of breast magnetic resonance (MR) imaging in the selective study breast implant integrity. We retrospectively analysed the signs of breast implant rupture observed at breast MR examinations of 157 implants and determined the sensitivity and specificity of the technique in diagnosing implant rupture by comparing MR data with findings at surgical explantation. The linguine and the salad-oil signs were statistically the most significant signs for diagnosing intracapsular rupture; the presence of siliconomas/seromas outside the capsule and/or in the axillary lymph nodes calls for immediate explantation. In agreement with previous reports, we found a close correlation between imaging signs and findings at explantation. Breast MR imaging can be considered the gold standard in the study of breast implants.
NASA Astrophysics Data System (ADS)
Asano, K.; Iwata, T.; Kubo, H.
2015-12-01
A thrust earthquake of MW 6.3 occurred along the northern part of the Itoigawa-Shizuoka Tectonic Line (ISTL) in the northern Nagano prefecture, central Japan, on November 22, 2014. This event was reported to be related to an active fault, the Kamishiro fault belonging to the ISTL (e.g., HERP, 2014). The surface rupture is observed along the Kamishiro fault (e.g., Lin et al., 2015; Okada et al., 2015). We estimated the kinematic source rupture process of this earthquake through the multiple time-window linear waveform inversion method (Hartzell and Heaton, 1983). We used velocity waveforms in 0.05-1 Hz from 12 strong motion stations of K-NET, KiK-net (NIED), JMA, and Nagano prefecture (SK-net, ERI). In order to enhance the reliability in Green's functions, we assumed one-dimensional velocity structure models different for the different stations, which were extracted from the nation-wide three-dimensional velocity structure model, Japan Integrated Velocity Structure Model (JIVSM, Koketsu et al., 2012). Considering the spatial distribution of aftershocks (Sakai et al., 2015) and surface ruptures, the assumed fault model consisted of two dip-bending fault segments with different dip angles between the northern and southern segments. The total length and width of the fault plane is 20 km and 13 km, relatively, and the fault model is divided into 260 subfaults of 1 km × 1 km in space and six smoothed ramp functions in time. An asperity or large slip area with a peak slip of 1.9 m was estimated in the lower plane of the northern segment in the approximate depth range of 4 to 8 km. The depth extent of this asperity is consistent with the seismogenic zone revealed by past studies (e.g., Panayotopoulos et al., 2014). In contrast, the slip in the southern segment is relatively concentrated in the shallow portion of the segment where the surface ruptures were found along the Kamishiro fault. The overall spatial rupture pattern of the source fault, in which the deep asperity was located on the northern segment and surface rupture was found on the southern segment, seems to be spatially consistent with the mapped active faults. These findings suggest characteristic and repeating features of fault ruptures along active faults where static offsets have accumulated over past events, and it would be a good constraint on earthquake scenarios along it.
Kang, Huibin; Ji, Wenjun; Qian, Zenghui; Li, Youxiang; Jiang, Chuhan; Wu, Zhongxue; Wen, Xiaolong; Xu, Wenjuan; Liu, Aihua
2015-01-01
This study analyzed the rupture risk of intracranial aneurysms (IAs) according to aneurysm characteristics by comparing the differences between two aneurysms in different locations within the same patient. We utilized this self-controlled model to exclude potential interference from all demographic factors to study the risk factors related to IA rupture. A total of 103 patients were diagnosed with IAs between January 2011 and April 2015 and were enrolled in this study. All enrolled patients had two IAs. One IA (the case) was ruptured, and the other (the control) was unruptured. Aneurysm characteristics, including the presence of a daughter sac, the aneurysm neck, the parent artery diameter, the maximum aneurysm height, the maximum aneurysm width, the location, the aspect ratio (AR, maximum perpendicular height/average neck diameter), the size ratio (SR, maximum aneurysm height/average parent diameter) and the width/height ratio (WH ratio, maximum aneurysm width/maximum aneurysm height), were collected and analyzed to evaluate the rupture risks of the two IAs within each patient and to identify the independent risk factors associated with IA rupture. Multivariate, conditional, backward, stepwise logistic regression analysis was performed to identify the independent risk factors associated with IA rupture. The multivariate analysis identified the presence of a daughter sac (odds ratio [OR], 13.80; 95% confidence interval [CI], 1.65-115.87), a maximum aneurysm height ≥7 mm (OR, 4.80; 95% CI, 1.21-18.98), location on the posterior communicating artery (PCOM) or anterior communicating artery (ACOM; OR, 3.09; 95% CI, 1.34-7.11) and SR (OR, 2.13; 95% CI, 1.16-3.91) as factors that were significantly associated with IA rupture. The presence of a daughter sac, the maximum aneurysm height, PCOM or ACOM locations and SR (>1.5±0.7) of unruptured IAs were significantly associated with IA rupture.
EGF Search for Compound Source Time Functions in Microearthquakes
NASA Astrophysics Data System (ADS)
Ampuero, J.; Rubin, A. M.
2003-12-01
Numerical simulations of stopping ruptures on bimaterial interfaces seem to indicate a pronounced asymmetry in the time it takes to reach the peak Coulomb stress shortly beyond the rupture ends. For the rupture front moving in the direction of slip of the stiffer medium, the timescale is controlled by the arrival of stopping phases from the opposite side of the crack, but for the opposite rupture front this timescale is controlled by the much shorter-duration tensile stress pulse that moves in front of the crack tip as it slows down. This behavior may have implications for rupture complexity on bimaterial interfaces. In addition to observing an asymmetry in aftershock occurrence on the San Andreas fault, Rubin and Gillard (2000) noted that for all 5 of the compound earthquakes they observed in a cluster of 72 events, the second subevent occurred to the NW of the first (that is, near the rupture front moving in the direction of slip of the stiffer medium). They suggested that these 5``second events'' were simply examples of ``early aftershocks'' which also occur preferentially to the NW; however, the fact that these 5 earthquakes could not be recognized as compound at stations located to the SE indicates that the second event actually occurred on the timescale of the passage of the dynamic stress waves. Thus, observations of asymmetry in rupture complexity may form an independent dataset, complimentary to observations of aftershock asymmetry, for constraining models of rupture on bimaterial interfaces. Microseismicity recorded on dense seismological networks has proved interesting for earthquake physics because the high number of events allows one to gain statistical insight into the observed source properties. However, microearthquakes are usually so small that the range of methods that can be applied to their analysis is limited and of low resolution. To address the questions raised above we would like to characterize the source time functions (STF) of a large number of microearthquakes, in particular the statistics of compound events and the possible asymmetry of their spatial distribution. We will show results of the systematic application of empirical Green's function deconvolution methods to a large dataset from the Parkfield HRSN. On the methodological side the performance and robustness of various deconvolution schemes is tested. These range from trivially stabilized spectral division to projected Landweber and blind deconvolution. Use is also made of the redundance available in highly clustered seismicity with many similar seismograms. The observations will be interpreted in the light of recent numerical simulations of dynamic rupture on bimaterial interfaces (see abstract of Rubin and Ampuero).
NASA Astrophysics Data System (ADS)
El Hariri, M.; Bilek, S. L.; Deshon, H. R.; Engdahl, E. R.
2009-12-01
Some earthquakes generate anomalously large tsunami waves relative to their surface wave magnitudes (Ms). This class of events, known as tsunami earthquakes, is characterized by having a long rupture duration and low radiated energy at long periods. These earthquakes are relatively rare. There have been only 9 documented cases, including 2 in the Java subduction zone (1994 Mw=7.8 and the 2006 Mw=7.7). Several models have been proposed to explain the unexpectedly large tsunami, such as displacement along high-angle splay faults, landslide-induced tsunami due to coseismic shaking, or large seismic slip within low rigidity sediments or weaker material along the shallowest part of the subduction zone. Slow slip has also been suggested along portions of the 2004 Mw=9.2 Sumatra-Andaman earthquake zone. In this study we compute the source parameters of 90 relocated shallow thrust events (Mw 5.1-7.8) along the Sumatra-Java subduction zone including the two Java tsunami earthquakes. Events are relocated using a modification to the Engdahl, van der Hilst and Buland (EHB) earthquake relocation method that incorporates an automated frequency-dependent phase detector. This allows for the use of increased numbers of phase arrival times, especially depth phases, and improves hypocentral locations. Source time functions, rupture duration and depth estimates are determined using multi-station deconvolution of broadband teleseismic P and SH waves. We seek to correlate any along-strike variation in rupture characteristics with tectonic features and rupture characteristics of the previous slow earthquakes along this margin to gain a better understanding of the conditions resulting in slow ruptures. Preliminary results from the analysis of these events show that in addition to depth-dependent variations there are also along-strike variations in rupture duration. We find that along the Java segment, the longer duration event locates in a highly coupled region corresponding to the location of a proposed subducting seamount. This correlation is less clear along the southern Sumatran segment. One longer duration event is located within the high slip area of the Mw=8.4 2007 rupture, while another is located in the weakly coupled region of the 1935 Mw=7.7 rupture area.
The SCEC/USGS dynamic earthquake rupture code verification exercise
Harris, R.A.; Barall, M.; Archuleta, R.; Dunham, E.; Aagaard, Brad T.; Ampuero, J.-P.; Bhat, H.; Cruz-Atienza, Victor M.; Dalguer, L.; Dawson, P.; Day, S.; Duan, B.; Ely, G.; Kaneko, Y.; Kase, Y.; Lapusta, N.; Liu, Yajing; Ma, S.; Oglesby, D.; Olsen, K.; Pitarka, A.; Song, S.; Templeton, E.
2009-01-01
Numerical simulations of earthquake rupture dynamics are now common, yet it has been difficult to test the validity of these simulations because there have been few field observations and no analytic solutions with which to compare the results. This paper describes the Southern California Earthquake Center/U.S. Geological Survey (SCEC/USGS) Dynamic Earthquake Rupture Code Verification Exercise, where codes that simulate spontaneous rupture dynamics in three dimensions are evaluated and the results produced by these codes are compared using Web-based tools. This is the first time that a broad and rigorous examination of numerous spontaneous rupture codes has been performed—a significant advance in this science. The automated process developed to attain this achievement provides for a future where testing of codes is easily accomplished.Scientists who use computer simulations to understand earthquakes utilize a range of techniques. Most of these assume that earthquakes are caused by slip at depth on faults in the Earth, but hereafter the strategies vary. Among the methods used in earthquake mechanics studies are kinematic approaches and dynamic approaches.The kinematic approach uses a computer code that prescribes the spatial and temporal evolution of slip on the causative fault (or faults). These types of simulations are very helpful, especially since they can be used in seismic data inversions to relate the ground motions recorded in the field to slip on the fault(s) at depth. However, these kinematic solutions generally provide no insight into the physics driving the fault slip or information about why the involved fault(s) slipped that much (or that little). In other words, these kinematic solutions may lack information about the physical dynamics of earthquake rupture that will be most helpful in forecasting future events.To help address this issue, some researchers use computer codes to numerically simulate earthquakes and construct dynamic, spontaneous rupture (hereafter called “spontaneous rupture”) solutions. For these types of numerical simulations, rather than prescribing the slip function at each location on the fault(s), just the friction constitutive properties and initial stress conditions are prescribed. The subsequent stresses and fault slip spontaneously evolve over time as part of the elasto-dynamic solution. Therefore, spontaneous rupture computer simulations of earthquakes allow us to include everything that we know, or think that we know, about earthquake dynamics and to test these ideas against earthquake observations.
Ground Motion Synthetics For Spontaneous Versus Prescribed Rupture On A 45(o) Thrust Fault
NASA Astrophysics Data System (ADS)
Gottschämmer, E.; Olsen, K. B.
We have compared prescribed (kinematic) and spontaneous dynamic rupture propaga- tion on a 45(o) dipping thrust fault buried up to 5 km in a half-space model, as well as ground motions on the free surface for frequencies less than 1 Hz. The computa- tions are carried out using a 3D finite-difference method with rate-and-state friction on a planar, 20 km by 20 km fault. We use a slip-weakening distance of 15 cm and a slip- velocity weakening distance of 9.2 cm/s, similar to those for the dynamic study for the 1994 M6.7 Northridge earthquake by Nielsen and Olsen (2000) which generated satis- factory fits to selected strong motion data in the San Fernando Valley. The prescribed rupture propagation was designed to mimic that of the dynamic simulation at depth in order to isolate the dynamic free-surface effects. In this way, the results reflect the dy- namic (normal-stress) interaction with the free surface for various depths of burial of the fault. We find that the moment, peak slip and peak sliprate for the rupture breaking the surface are increased by up to 60%, 80%, and 10%, respectively, compared to the values for the scenario buried 5 km. The inclusion of these effects increases the peak displacements and velocities above the fault by factors up 3.4 and 2.9 including the increase in moment due to normal-stress effects at the free surface, and up to 2.1 and 2.0 when scaled to a Northridge-size event with surface rupture. Similar differences were found by Aagaard et al. (2001). Significant dynamic effects on the ground mo- tions include earlier arrival times caused by super-shear rupture velocities (break-out phases), in agreement with the dynamic finite-element simulations by Oglesby et al. (1998, 2000). The presence of shallow low-velocity layers tend to increase the rup- ture time and the sliprate. In particular, they promote earlier transitions to super-shear velocities and decrease the rupture velocity within the layers. Our results suggest that dynamic interaction with the free surface can significantly affect the ground motion for faults buried less than 1-3 km. We therefore recommend that strong ground motion for these scenarios be computed including such dynamic rupture effects.
NASA Astrophysics Data System (ADS)
Ren, Yefei; Wang, Hongwei; Wen, Ruizhi
2017-12-01
An
Diallo, M H; Baldé, I S; Mamy, M N; Diallo, B S; Baldé, O; Barry, A B; Keita, N
2017-08-01
Uterine rupture is an obstetric catastrophe that has become rare in developed countries. In developing countries, including Guinea, however, it remains a major concern of obstetricians. The objectives of this work were to calculate the frequency of uterine rupture in our département, describe the women's social and demographic characteristics, identify factors predisposing them to uterine rupture, describe its treatment, and assess maternal and fetal prognosis. Data for this descriptive study were collected in 2 phases, with a retrospective review of files covering the 3-year period from April 1, 2011, to March 31, 2014, followed by prospective data collection for the 6-month period from April 1 to September 30, 2014. This study of uterine rupture took place at the maternity unit of Donka National Hospital (CHU Conakry). We identified 98 cases of uterine rupture among 26 827 births, for a frequency of 0.36%. The women's mean age was 28.4 years (range: 16-43 years). The socio-demographic profile of the women admitted for uterine rupture was that of a housewife (50%), with two or three previous deliveries (41.84%), and who had no prenatal care (58.17%). Most of the ruptures took place in birthing centers, outlying maternity units, or during the journey to reach our reference department (87.16%). Most uterine ruptures were iatrogenic (69.38%) and occurred on an non cicatriciel uterus (62.24%). The rupture was most often complete. Most surgical treatment was conservative, by hysterorrhaphy (80.61%). Four women died, for a lethality rate of 4.80%. Almost all women were admitted without signs of fetal life. The role of uterine rupture in the obstetric activity in this service requires joint and urgent action by all stakeholders in the health system to combat this catastrophic complication that is evidence of a poor quality of obstetric care.
Labor Dystocia and the Risk of Uterine Rupture in Women with Prior Cesarean.
Vachon-Marceau, Chantale; Demers, Suzanne; Goyet, Martine; Gauthier, Robert; Roberge, Stéphanie; Chaillet, Nils; Laroche, Jasmin; Bujold, Emmanuel
2016-05-01
Objective The objective of this study was to evaluate the association between labor dystocia and uterine rupture. Methods We performed a secondary analysis of a multicenter case-control study that included women with single, prior, low-transverse cesarean section who experienced complete uterine rupture during a trial of labor (TOL). For each case, three women who underwent a TOL without uterine rupture were selected as controls. Data were collected on cervical dilatations from admission to delivery. We evaluated the relationship between uterine rupture and labor dystocia according to several criteria, including the World Health Organization's (WHO's) partogram. Results Data were available for 90 cases and 260 controls. Compared with the controls, uterine rupture was associated with less cervical dilatation on admission, slower cervical dilatation in the first stage of labor and longer second stage of labor (all with p < 0.05). Performing cesarean when the labor curve crossed the ACTION line of WHO's partogram or when the second stage was greater than 2 hours could have (1) prevented up to 56% of uterine rupture and (2) reduced the duration of labor in 57% of women with failed TOL. Conclusion Labor dystocia is a significant risk factor for uterine rupture. Labor progression should be assessed regularly in women with prior cesarean. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
Burkhardt, Jan-Karl; Winkler, Ethan A; Lasker, George F; Yue, John K; Lawton, Michael T
2018-06-01
OBJECTIVE Compressive cranial nerve syndromes can be useful bedside clues to the diagnosis of an enlarging intracranial aneurysm and can also guide subsequent evaluation, as with an acute oculomotor nerve (cranial nerve [CN] III) palsy that is presumed to be a posterior communicating artery aneurysm and a surgical emergency until proven otherwise. The CN VI has a short cisternal segment from the pontomedullary sulcus to Dorello's canal, remote from most PICA aneurysms but in the hemodynamic pathway of a rupturing PICA aneurysm that projects toward Dorello's canal. The authors describe a cranial nerve syndrome for posterior inferior cerebellar artery (PICA) aneurysms that associates subarachnoid hemorrhage (SAH) and an isolated abducens nerve (CN VI) palsy. METHODS Clinical and radiological data from 106 surgical patients with PICA aneurysms (66 ruptured and 40 unruptured) were retrospectively reviewed. Data from a group of 174 patients with other aneurysmal SAH (aSAH) were analyzed in a similar manner to control for nonspecific effects of SAH. Univariate statistical analysis compared incidence and risk factors associated with CN VI palsy in subarachnoid hemorrhage. RESULTS Overall, 13 (4.6%) of 280 patients had CN VI palsy at presentation, and all of them had ruptured aneurysms (representing 13 [5.4%] of the 240 cases of ruptured aneurysms). CN VI palsies were observed in 12 patients with ruptured PICA aneurysms (12/66 [18.1%]) and 1 patient with other aSAH (1/174 [0.1%], p < 0.0001). PICA aneurysm location in ruptured aneurysms was an independent predictor for CN VI palsy on multivariate analysis (p = 0.001). PICA aneurysm size was not significantly different in patients with or without CN VI palsy (average size 4.4 mm and 5.2 mm, respectively). Within the PICA aneurysm cohort, modified Fisher grade (p = 0.011) and presence of a thick cisternal SAH (modified Fisher Grades 3 and 4) (p = 0.003) were predictors of CN VI palsy. In all patients with ruptured PICA aneurysms and CN VI palsy, dome projection and presumed direction of rupture were directed toward the ipsilateral and/or contralateral Dorello's canal, in agreement with laterality of the CN palsy. In patients with bilateral CN VI palsies, a medial projection with extensive subarachnoid blood was observed near bilateral canals. CONCLUSIONS This study establishes a localizing connection between an isolated CN VI palsy, SAH, and an underlying ruptured PICA aneurysm. CN VI palsy is an important clinical sign in aSAH and when present on initial clinical presentation may be assumed to be due to ruptured PICA aneurysms until proven otherwise. The deficit may be ipsilateral, contralateral, or bilateral and is determined by the direction of the aneurysm dome projection and extent of subarachnoid bleeding toward Dorello's canal, rather than by direct compression.
Adjoint analysis of the source and path sensitivities of basin-guided waves
NASA Astrophysics Data System (ADS)
Day, Steven M.; Roten, Daniel; Olsen, Kim B.
2012-05-01
Simulations of earthquake rupture on the southern San Andreas Fault (SAF) reveal large amplifications in the San Gabriel and Los Angeles Basins (SGB and LAB) apparently associated with long-range path effects. Geometrically similar excitation patterns can be recognized repeatedly in different SAF simulations (e.g. Love wave-like energy with predominant period around 4 s, channelled southwestwardly from the SGB into LAB), yet the amplitudes with which these distinctive wavefield patterns are excited change, depending upon source details (slip distribution, direction and velocity of rupture). We describe a method for rapid calculation of the sensitivity of such predicted wavefield features to perturbations of the source kinematics, using a time-reversed (adjoint) wavefield simulation. The calculations are analogous to those done in adjoint tomography, and the same time-reversed calculation also yields path-sensitivity kernels that give further insight into the excitation mechanism. For rupture on the southernmost 300 km of SAF, LAB excitation is greatest for slip concentrated between the northern Coachella Valley and the transverse ranges, propagating to the NE and with rupture velocities between 3250 and 3500 m s-1 along that fault segment; that is, within or slightly above the velocity range (between Rayleigh and S velocities) that is energetically precluded in the limit of a sharp rupture front, highlighting the potential value of imposing physical constraints (such as from spontaneous rupture models) on source parametrizations. LAB excitation is weak for rupture to the SW and for ruptures in either direction located north of the transverse transverse ranges, whereas Ventura Basin (VTB) is preferentially excited by NE ruptures situated north of the transverse ranges. Path kernels show that LAB excitation is mediated by surface waves deflected by the velocity contrast along the southern margin of the transverse ranges, having most of their energy in basement rock until they impinge on the eastern edge of SGB, through which they are then funnelled into LAB. VTB amplification is enhanced by a similar waveguide effect.
Long-term results of middle cerebral artery aneurysm clipping in the Barrow Ruptured Aneurysm Trial.
Mooney, Michael A; Simon, Elias D; Brigeman, Scott; Nakaji, Peter; Zabramski, Joseph M; Lawton, Michael T; Spetzler, Robert F
2018-04-27
OBJECTIVE A direct comparison of endovascular versus microsurgical treatment of ruptured middle cerebral artery (MCA) aneurysms in randomized trials is lacking. As endovascular treatment strategies continue to evolve, the number of reports of endovascular treatment of these lesions is increasing. Herein, the authors report a detailed post hoc analysis of ruptured MCA aneurysms treated by microsurgical clipping from the Barrow Ruptured Aneurysm Trial (BRAT). METHODS The cases of patients enrolled in the BRAT who underwent microsurgical clipping for a ruptured MCA aneurysm were reviewed. Characteristics of patients and their clinical outcomes and long-term angiographic results were analyzed. RESULTS Fifty patients underwent microsurgical clipping of a ruptured MCA aneurysm in the BRAT, including 21 who crossed over from the endovascular treatment arm. Four patients with nonsaccular (e.g., dissecting, fusiform, or blister) aneurysms were excluded, leaving 46 patients for analysis. Most (n = 32; 70%) patients presented with a Hunt and Hess grade II or III subarachnoid hemorrhage, with a high prevalence of intraparenchymal blood (n = 23; 50%), intraventricular blood (n = 21; 46%), or both. At the last follow-up (up to 6 years after treatment), clinical outcomes were good (modified Rankin Scale score 0-2) in 70% (n = 19) of 27 Hunt and Hess grades I-III patients and in 36% (n = 4) of 11 Hunt and Hess grade IV or V patients. There were no instances of rebleeding after the surgical clipping of aneurysms in this series at the time of last clinical follow-up. CONCLUSIONS Microsurgical clipping of ruptured MCA aneurysms has several advantages over endovascular treatment, including durability over time. The authors report detailed outcome data of patients with ruptured MCA aneurysms who underwent microsurgical clipping as part of a prospective, randomized trial. These results should be used for comparison with future endovascular and surgical series to ensure that the best results are being achieved for patients with ruptured MCA aneurysms.
NASA Astrophysics Data System (ADS)
Douilly, Roby; Mavroeidis, George P.; Calais, Eric
2017-10-01
The devastating 2010 Mw 7.0 Haiti earthquake demonstrated the need to improve mitigation and preparedness for future seismic events in the region. Previous studies have shown that the earthquake did not occur on the Enriquillo Fault, the main plate boundary fault running through the heavily populated Port-au-Prince region, but on the nearby and previously unknown transpressional Léogâne Fault. Slip on that fault has increased stresses on the segment of Enriquillo Fault to the east of Léogâne, which terminates in the ˜3-million-inhabitant capital city of Port-au-Prince. In this study, we investigate ground shaking in the vicinity of Port-au-Prince, if a hypothetical rupture similar to the 2010 Haiti earthquake occurred on that segment of the Enriquillo Fault. We use a finite element method and assumptions on regional tectonic stress to simulate the low-frequency ground motion components using dynamic rupture propagation for a 52-km-long segment. We consider eight scenarios by varying parameters such as hypocentre location, initial shear stress and fault dip. The high-frequency ground motion components are simulated using the specific barrier model in the context of the stochastic modeling approach. The broad-band ground motion synthetics are subsequently obtained by combining the low-frequency components from the dynamic rupture simulation with the high-frequency components from the stochastic simulation using matched filtering at a crossover frequency of 1 Hz. Results show that rupture on a vertical Enriquillo Fault generates larger horizontal permanent displacements in Léogâne and Port-au-Prince than rupture on a south-dipping Enriquillo Fault. The mean horizontal peak ground acceleration (PGA), computed at several sites of interest throughout Port-au-Prince, has a value of ˜0.45 g, whereas the maximum horizontal PGA in Port-au-Prince is ˜0.60 g. Even though we only consider a limited number of rupture scenarios, our results suggest more intense ground shaking for the city of Port-au-Prince than during the already very damaging 2010 Haiti earthquake.
Multi-fluid Dynamics for Supersonic Jet-and-Crossflows and Liquid Plug Rupture
NASA Astrophysics Data System (ADS)
Hassan, Ezeldin A.
Multi-fluid dynamics simulations require appropriate numerical treatments based on the main flow characteristics, such as flow speed, turbulence, thermodynamic state, and time and length scales. In this thesis, two distinct problems are investigated: supersonic jet and crossflow interactions; and liquid plug propagation and rupture in an airway. Gaseous non-reactive ethylene jet and air crossflow simulation represents essential physics for fuel injection in SCRAMJET engines. The regime is highly unsteady, involving shocks, turbulent mixing, and large-scale vortical structures. An eddy-viscosity-based multi-scale turbulence model is proposed to resolve turbulent structures consistent with grid resolution and turbulence length scales. Predictions of the time-averaged fuel concentration from the multi-scale model is improved over Reynolds-averaged Navier-Stokes models originally derived from stationary flow. The response to the multi-scale model alone is, however, limited, in cases where the vortical structures are small and scattered thus requiring prohibitively expensive grids in order to resolve the flow field accurately. Statistical information related to turbulent fluctuations is utilized to estimate an effective turbulent Schmidt number, which is shown to be highly varying in space. Accordingly, an adaptive turbulent Schmidt number approach is proposed, by allowing the resolved field to adaptively influence the value of turbulent Schmidt number in the multi-scale turbulence model. The proposed model estimates a time-averaged turbulent Schmidt number adapted to the computed flowfield, instead of the constant value common to the eddy-viscosity-based Navier-Stokes models. This approach is assessed using a grid-refinement study for the normal injection case, and tested with 30 degree injection, showing improved results over the constant turbulent Schmidt model both in mean and variance of fuel concentration predictions. For the incompressible liquid plug propagation and rupture study, numerical simulations are conducted using an Eulerian-Lagrangian approach with a continuous-interface method. A reconstruction scheme is developed to allow topological changes during plug rupture by altering the connectivity information of the interface mesh. Rupture time is shown to be delayed as the initial precursor film thickness increases. During the plug rupture process, a sudden increase of mechanical stresses on the tube wall is recorded, which can cause tissue damage.
King, G; Soufleris, C; Berberian, M
1981-03-01
Abstract- Three earthquakes have been studied. These are the Thessaloniki earthquake of 20th June 1978 (Ms = 6.4, Normal faulting), the Tabase-Golshan earthquake of 16th September 1978 (Ms = 7.7 Thrust faulting) and the Carlisle earth-quake of 26th December 1979 (Mb = 5.0, Thrust faulting). The techniques employed to determine source parameters included field studies of SUP face deformation, fault breaks, locations of locally recorded aftershocks and teleseismic studies including joint hypocentral location, first motion methods and waveform modelling. It is clear that these techniques applied together provide more information than the same methods used separately. The moment of the Thessaloniki earthquake determined teleseismically (Force moment 5.2 times 10(25) dyne cm. Geometric moment 1.72 times 10(8) m(3) ) is an order of magnitude greater than that determined using field data (surface ruptures and aftershock depths) (Force moment 4.5 times 10(24) dyne cm. Geometric moment 0.16 times 10(8) m(3) ). It is concluded that for this earthquake the surface rupture only partly reflects the processes on the main rupture plane. This view i s supported by a distribution of aftershocks and damage which extends well outside the region of ground rupture. However, the surface breaks consistently have the same slip vector direction as the fault plane solutions suggesting that they are in this respect related to to the main faulting and are not superficial slumping. Both field studies and waveform studies suggest a low stress drop which may explain the relatively little damage and loss of life as a result of the Thessaloniki earthquake. In contrast, the teleseismic moment of the Tabas-e-Golshan earthquake (Force moment 4.4 times 10(26) dyne cm. Geometric moment 1.5 times 10(9) m(3) ) is similar t o that determined from field studies (Force moment 10.2 times 10(26) dyne cm. Geometric moment 3.4 times 10(9) m(3) ) and the damage and after-shock distributions clearly relate to the surface faulting. It h a s also been observed that high aftershock activity appears beneath gaps in the surface rupture system. The Carlisle earthquake (Force moment 9 times 10(23) dyne cm. Geometric moment 3 times 10(6) m(3) ) produced no surface ruptures. However, dislocation model-ling suggests that surface deformation will be visible on a first order levelling line which passes very close t o the epicentre. A well controlled fault plane solution, the first in the British Isles, derived from an aftershock study shows north-south compression. All three studied earthquakes occurred along major faults which had been reactivated in geological times. The fault on which the Tabas-e-Golshan earthquake occurred could have been identified a s active from evidence of Quaternary motion and previous smaller earthquakes. However, there were no perceptible events in the 12 months preceeding the catastrophic earthquake. In both Thessaloniki and Carlisle, significant foreshocks did occur within 6 months prior to the main shock*
Risk of rupture of unruptured cerebral aneurysms in elderly patients
Date, Isao; Tokunaga, Koji; Tominari, Shinjiro; Nozaki, Kazuhiko; Shiokawa, Yoshiaki; Houkin, Kiyohiro; Murayama, Yuichi; Ishibashi, Toshihiro; Takao, Hiroyuki; Kimura, Toshikazu; Nakayama, Takeo; Morita, Akio
2015-01-01
Objectives: The aim of this study was to identify risk factors for rupture of unruptured cerebral aneurysms (UCAs) in elderly Japanese patients aged 70 years or older. Methods: The participants included all patients 70 years of age or older in 3 prospective studies in Japan (the Unruptured Cerebral Aneurysm Study of Japan [UCAS Japan], UCAS II, and the prospective study at the Jikei University School of Medicine). A total of 1,896 patients aged 70 years or older with 2,227 UCAs were investigated. The median and mean follow-up periods were 990 and 802.7 days, respectively. Results: The mean aneurysm size was 6.2 ± 3.9 mm. Sixty-eight patients (3.6%) experienced subarachnoid hemorrhage during the follow-up period. Multivariable analysis per patient revealed that in patients aged 80 years or older (hazard ratio [HR], 2.02; 95% confidence interval [CI], 1.16–3.49, p = 0.012), aneurysms 7 mm or larger (HR, 3.08; 95% CI, 1.35–7.03, p = 0.007 for 7–9 mm; HR, 7.82; 95% CI, 3.60–16.98, p < 0.001 for 10–24 mm; and HR, 43.31; 95% CI, 12.55–149.42, p < 0.001 for ≥25 mm) and internal carotid–posterior communicating artery aneurysms (HR, 2.45; 95% CI, 1.23–4.88, p = 0.011) were independent predictors for UCA rupture in elderly patients. Conclusions: In our pooled analysis of prospective cohorts in Japan, patient age and aneurysm size and location were significant risk factors for UCA rupture in elderly patients. PMID:26511450
1991-03-21
discussion of spectral factorability and motivations for broadband analysis, the report is subdivided into four main sections. In Section 1.0, we...estimates. The motivation for developing our multi-channel deconvolution method was to gain information about seismic sources, most notably, nuclear...with complex constraints for estimating the rupture history. Such methods (applied mostly to data sets that also include strong rmotion data), were
B.Z. Yang; R.D. Seale; R. Shmulsky; J. Dahlen; X. Wang
2017-01-01
The identification of strength-reducing characteristics that impact modulus of rupture (MOR) is a key differentiation between lumber grades. Because global design values for MOR are at the fifth percentile level and in-grade lumber can be highly variable, it is important that nondestructive evaluation technology be used to better discern the potential wood strength. In...
NASA Astrophysics Data System (ADS)
Villamor, P.; Litchfield, N. J.; Van Dissen, R. J.; Langridge, R.; Berryman, K. R.; Baize, S.
2016-12-01
Surface rupture associated with the 2010 Mw7.1 Darfield Earthquake (South Island, New Zealand) was extremely well documented, thanks to an immediate field mapping response and the acquisition of LiDAR data within days of the event. With respect to informing Probabilistic Fault Displacement Analysis (PFDHA) the main insights and outcomes from this rupture through Quaternary gravel are: 1) significant distributed deformation either side of the main trace (30 to 300 m wide deformation zone) and how the deformation is distributed away from the main trace; 2) a thorough analysis of uncertainty of the displacement measures obtained using the LIDAR data and repeated measurements from several scientists; and 3) the short surface rupture length for the reported magnitude, resulting from complex fault rupture with 5-6 reverse and strike-slip strands, most of which had no surface rupture. While the 2010 event is extremely well documented and will be an excellent case to add to the Surface Rupture during Earthquakes database (SURE), other NZ historical earthquakes that are not so well documented, but can provide important information for PFDHA. New Zealand has experienced about 10 historical surface fault ruptures since 1848, comprising ruptures on strike-slip, reverse and normal faults. Mw associated with these ruptures ranges between 6.3 and 8.1. From these ruptures we observed that the surface expression of deformation can be influenced by: fault maturity; the type of Quaternary sedimentary cover; fault history (e.g., influence of inversion tectonics, flexural slip); fault complexity; and primary versus secondary rupture. Other recent >Mw 6.6 earthquakes post-2010 that did not rupture the ground surface have been documented with InSAR and can inform Mw thresholds for surface fault rupture. It will be important to capture all this information and that of similar events worldwide to inform the SURE database and ultimately PFDHA.
NASA Astrophysics Data System (ADS)
Chattopadhyay, A.; Bhattacharjee, D.; Mukherjee, S.
2014-04-01
The secondary fractures associated with a major pseudotachylyte-bearing fault vein in the sheared aplitic granitoid of the Proterozoic Gavilgarh-Tan Shear Zone in central India are mapped at the outcrop scale. The fracture maps help to identify at least three different types of co-seismic ruptures, e.g., X-X', T1 and T2, which characterize sinistral-sense shearing of rocks, confined between two sinistral strike-slip faults slipping at seismic rate. From the asymmetric distribution of tensile fractures around the sinistral-sense fault vein, the direction of seismic rupture propagation is predicted to have occurred from west-southwest to east-northeast, during an ancient (Ordovician?) earthquake. Calculations of approximate co-seismic displacement on the faults and seismic moment ( M 0) of the earthquake are attempted, following the methods proposed by earlier workers. These estimates broadly agree to the findings from other studied fault zones (e.g., Gole Larghe Fault zone, Italian Alps). This study supports the proposition by some researchers that important seismological information can be extracted from tectonic pseudotachylytes of all ages, provided they are not reworked by subsequent tectonic activity.
Comprehensive investigation of the metal in drums of boilers at thermal power stations
NASA Astrophysics Data System (ADS)
Ozhigov, L. S.; Mitrofanov, A. S.; Tolstolutskaya, G. D.; Vasilenko, R. L.; Rudenko, A. G.; Ruzhytskyi, V. V.; Ribalchenko, N. D.; Shramchenko, S. V.
2017-05-01
A comparative investigation of the metal of drums of two TP-100 boilers at the Starobeshevskaya and the Lugansk thermal power stations (TPS) was performed. Their operation time was approximately 300000 hours; the shell of one drum was ruptured during a hydraulic test, and the other drum is in operation. According to the results of the technical diagnostics and a strength analysis, both drums comply with the applicable regulatory requirements. The objects of the investigation were fragments of the ruptured drum and a "plug" cut out of the shell during a scheduled inspection. The investigation was carried out by microscopic metallography methods and the scanning electron microscopy technique. Mechanical tests of metal specimens were performed, and the hydrogen content in these specimens was measured. Prior to the material research, the metal was examined using a magnetic memory method. The investigation yielded specifics of the metal microstructure, mechanical properties, and fracture patterns of the metal specimens at various temperatures. An investigation performed by the method of thermal-desorption mass spectrometry revealed no considerable difference in the hydrogen content in the metal of both drums, thereby excluding the effect of hydrogenation in analyzing the rupture causes. It was established that the drum at the Starobeshevskaya TPS had been damaged due to its low impact strength at room temperature and high brittle-ductile transition point. Comparison of the metallographic study data with the results obtained using the magnetic memory method suggests that the fracture was caused by local formation of the Widmannstatten pattern at points where accessories are welded to the shell. The prospects are demonstrated of the comprehensive approach to nondestructive examination (NDE) of TPS drums using the magnetic memory technique and metallographic methods.
NASA Astrophysics Data System (ADS)
Kumagai, Hiroyuki; Pulido, Nelson; Fukuyama, Eiichi; Aoi, Shin
2013-01-01
investigate source processes of the 2011 Tohoku-Oki earthquake, we utilized a source location method using high-frequency (5-10 Hz) seismic amplitudes. In this method, we assumed far-field isotropic radiation of S waves, and conducted a spatial grid search to find the best fitting source locations along the subducted slab in each successive time window. Our application of the method to the Tohoku-Oki earthquake resulted in artifact source locations at shallow depths near the trench caused by limited station coverage and noise effects. We then assumed various source node distributions along the plate, and found that the observed seismograms were most reasonably explained when assuming deep source nodes. This result suggests that the high-frequency seismic waves were radiated at deeper depths during the earthquake, a feature which is consistent with results obtained from teleseismic back-projection and strong-motion source model studies. We identified three high-frequency subevents, and compared them with the moment-rate function estimated from low-frequency seismograms. Our comparison indicated that no significant moment release occurred during the first high-frequency subevent and the largest moment-release pulse occurred almost simultaneously with the second high-frequency subevent. We speculated that the initial slow rupture propagated bilaterally from the hypocenter toward the land and trench. The landward subshear rupture propagation consisted of three successive high-frequency subevents. The trenchward propagation ruptured the strong asperity and released the largest moment near the trench.
A simplified protocol for molecular identification of Eimeria species in field samples.
Haug, Anita; Thebo, Per; Mattsson, Jens G
2007-05-15
This study aimed to find a fast, sensitive and efficient protocol for molecular identification of chicken Eimeria spp. in field samples. Various methods for each of the three steps of the protocol were evaluated: oocyst wall rupturing methods, DNA extraction methods, and identification of species-specific DNA sequences by PCR. We then compared and evaluated five complete protocols. Three series of oocyst suspensions of known number of oocysts from Eimeria mitis, Eimeria praecox, Eimeria maxima and Eimeria tenella were prepared and ground using glass beads or mini-pestle. DNA was extracted from ruptured oocysts using commercial systems (GeneReleaser, Qiagen Stoolkit and Prepman) or phenol-chloroform DNA extraction, followed by identification of species-specific ITS-1 sequences by optimised single species PCR assays. The Stoolkit and Prepman protocols showed insufficient repeatability, and the former was also expensive and relatively time-consuming. In contrast, both the GeneReleaser protocol and phenol-chloroform protocols were robust and sensitive, detecting less than 0.4 oocysts of each species per PCR. Finally, we evaluated our new protocol on 68 coccidia positive field samples. Our data suggests that rupturing the oocysts by mini-pestle grinding, preparing the DNA with GeneReleaser, followed by optimised single species PCR assays, makes a robust and sensitive procedure for identifying chicken Eimeria species in field samples. Importantly, it also provides minimal hands-on-time in the pre-PCR process, lower contamination risk and no handling of toxic chemicals.
Muir, Peter; Danova, Nichole A; Argyle, David J; Manley, Paul A; Hao, Zhengling
2005-01-01
To determine expression of collagenolytic genes and collagen degradation in stifle tissues of dogs with ruptured cranial cruciate ligament (CCL). Six dogs with CCL rupture and 11 dogs with intact CCL. Gene expression in CCL tissue and synovial fluid cells was studied using reverse transcriptase-polymerase chain reaction (RT-PCR). Collagen degradation was studied using CCL explant cultures and a synovial fluid bioassay. Expression of matrix metalloproteases (MMP) was not found in young Beagles with intact CCL; however, increased expression of MMP-3 was found in CCL tissue from older hounds with intact CCL, when compared with young Beagles. In dogs with ruptured CCL, expression of MMP-2 and -9 was increased in stifle tissues, when compared with dogs with intact CCL. Similar to MMP-9, expression of tartrate-resistant acid phosphatase (TRAP) and cathepsin S was only found in stifle tissues from dogs with ruptured CCL; in contrast, expression of cathepsin K was found in all ruptured and intact CCL. Collagen degradation was increased in ruptured CCL, when compared with intact CCL. Rupture of the CCL is associated with up-regulation of expression of MMP-2 and -9 (gelatinase A and B), TRAP, and cathepsin S, and increased degradation of collagen. These findings suggest that MMP-2, -9, cathepsin S, and TRAP may be important mediators of progressive joint destruction in dogs with CCL rupture. These genes are markers for macrophages and dendritic cells. MMP and cathepsin S pathways may offer novel targets for anti-inflammatory medical therapy aimed at ameliorating joint degradation associated with inflammatory arthritis.
Can, Anil; Castro, Victor M; Dligach, Dmitriy; Finan, Sean; Yu, Sheng; Gainer, Vivian; Shadick, Nancy A; Savova, Guergana; Murphy, Shawn; Cai, Tianxi; Weiss, Scott T; Du, Rose
2018-05-01
Growing evidence from experimental animal models and clinical studies suggests the protective effect of statin use against rupture of intracranial aneurysms; however, results from large studies detailing the relationship between intracranial aneurysm rupture and total cholesterol, HDL (high-density lipoprotein), LDL (low-density lipoprotein), and lipid-lowering agent use are lacking. The medical records of 4701 patients with 6411 intracranial aneurysms diagnosed at the Massachusetts General Hospital and the Brigham and Women's Hospital between 1990 and 2016 were reviewed and analyzed. Patients were separated into ruptured and nonruptured groups. Univariable and multivariable logistic regression analyses were performed to determine the effects of lipids (total cholesterol, LDL, and HDL) and lipid-lowering medications on intracranial aneurysm rupture risk. Propensity score weighting was used to account for differences in baseline characteristics of the cohorts. Lipid-lowering agent use was significantly inversely associated with rupture status (odds ratio, 0.58; 95% confidence interval, 0.47-0.71). In a subgroup analysis of complete cases that includes both lipid-lowering agent use and lipid values, higher HDL levels (odds ratio, 0.95; 95% confidence interval, 0.93-0.98) and lipid-lowering agent use (odds ratio, 0.41; 95% confidence interval, 0.23-0.73) were both significantly and inversely associated with rupture status, whereas total cholesterol and LDL levels were not significant. A monotonic exposure-response curve between HDL levels and risk of aneurysmal rupture was obtained. Higher HDL values and the use of lipid-lowering agents are significantly inversely associated with ruptured intracranial aneurysms. © 2018 American Heart Association, Inc.
Ti, Seng-Ei; Yang, You-Nian; Lang, Stephanie S; Chee, Soon Phaik
2014-01-01
To describe the posterior capsule rupture rates and visual outcomes after phacoemulsification, analyze risk factors for poor vision, and compare results of faculty (F) and residents (R). Retrospective audit study. Visual success of all capsule ruptures (2006-2010) was analyzed and compared to uneventful cases. Rupture rates of faculty and residents were compared (χ², P < .05). Success was defined as % best-corrected visual acuity (BCVA) ≥20/40 at 3 months (excluding poor-prognosis eyes) and studied in relation to age, sex, surgeon type, stage of surgery, vitreous loss, dropped nucleus, and other complications (eg, retinal detachment, corneal decompensation, dislocated intraocular lens [IOL]). Final risk factors were identified using multivariate logistic regression analysis. From 2006 to 2010, there were 887 capsule ruptures in 48 377 phacoemulsification cases (rate 1.8%). Uneventful cases had significantly better visual outcomes than capsule ruptures (98.5% vs 93.9%; P < .01). Faculty rupture rates were lower (F = 1.4%) than residents' (R = 3.4%; P < .01), but visual outcomes were similar (F = 93.8%, R = 93.7%; P > .05). Ruptures most frequently occurred during phacoemulsification (59.6%) and irrigation and aspiration (24.8%) stages. Risk factors for poor outcomes included age >65 years, dropped nuclei, and other complications. The overall capsule rupture rate was 1.8%. Although residents had higher rates, visual success matched faculty's, possibly attributable to case mix and close supervision. Associated risk factors for poor vision included age >65 years, dropped nuclei, and postoperative retinal, corneal, and IOL complications. Copyright © 2014 Elsevier Inc. All rights reserved.
NASA Astrophysics Data System (ADS)
Varble, Nicole; Meng, Hui
2015-11-01
Intracranial aneurysms affect 3% of the population. Risk stratification of aneurysms is important, as rupture often leads to death or permanent disability. Image-based CFD analyses of patient-specific aneurysms have identified low and oscillatory wall shear stress to predict rupture. These stresses are sensed biologically at the luminal wall, but the flow dynamics related to aneurysm rupture requires further understanding. We have conducted two studies: one examines vortex dynamics, and the other, high frequency flow fluctuations in patient-specific aneurysms. In the first study, based on Q-criterion vortex identification, we developed two measures to quantify regions within the aneurysm where rotational flow is dominate: the ratio of volume or surface area where Q >0 vs. the total aneurysmal volume or surface area, respectively termed volume vortex fraction (VVF) and surface vortex fraction (SVF). Statistical analysis of 204 aneurysms shows that SVF, but not VVF, distinguishes ruptured from unruptured aneurysms, suggesting that once again, the local flow patterns on the wall is directly relevant to rupture. In the second study, high-resolution CFD (high spatial and temporal resolutions and second-order discretization schemes) on 56 middle cerebral artery aneurysms shows the presence of temporal fluctuations in 8 aneurysms, but such flow instability bears no correlation with rupture. Support for this work was partially provided by NIH grant (R01 NS091075-01) and a grant from Toshiba Medical Systems Corp.
NASA Technical Reports Server (NTRS)
Manson, S. S.; Ensign, C. R.
1978-01-01
The Minimum Commitment Method was applied to two sets of data for which multiple heat information was available. For one alloy, a 304 stainless steel studied in Japan, data on nine well characterized heats were used, while for a proprietary low alloy carbon steel studied in the United Kingdom data were available on seven heats - in many cases to very long rupture times. For this preliminary study no instability factors were used. It was discovered that heat-to-heat variations would be accounted for by introducing heat identifiers in the form A + B log sigma where sigma is the stress and the constants A and B depend only on the heat. With these identifiers all the data could be collapsed onto a single master curve, even though there was considerable scatter among heats. Using these identifiers together with the average behavior of all heats made possible the determination of an accurate constitutive equation for each individual heat. Two basic approaches are discussed for applying the results of the analysis.
Seafloor Deformation and Localized Source Mechanisms of the 2011 M9 Tohoku Earthquake and Tsunami.
NASA Astrophysics Data System (ADS)
Masterlark, T.; Grilli, S. T.; Tappin, D. R.; Kirby, J. T.
2012-12-01
The 2011 M9 Tohoku Earthquake (TE) ruptured the interface separating the Pacific and Okhotsk Plates. This rupture was about hundred kilometers in the along-strike direction and 200 kilometers in the down-dip direction. The TE was primarily thrust having substantial slip along the up-dip portion of the rupture, near the Japan Trench. The regional-scale seafloor deformation from the TE triggered a tsunami with run-ups of a few tens of meters that caused extensive damage along the east coast of Tohoku, Japan. We construct finite element models (FEMs) to simulate the deformation caused by a distribution of coseismic slip along the curved rupture surface of the TE. The FEMs include a distribution of material properties that accounts for the subduction zone structure -a weak forearc, volcanic arc, and backarc basin of the overriding Okhotsk Plate overriding the relatively strong subducting slab that is capped by basaltic oceanic crust. The coseismic rupture is simulated as a distribution of elastic dislocations along the interface separating the forearc of the overriding plate and the oceanic crust of the subducting slab. The slip distribution is calibrated to both onshore and offshore geodetic data, using linear least-squares inverse methods with FEM-generated Greens Functions and second order regularization. The regularization is imposed with a conductance matrix, constructed using Galerkin's Method to account for the curvilinear relationships among the dislocating node pairs. The estimated slip distribution is generally characterized as a few tens of meters of slip over the entire rupture, with greater slip magnitudes (>50 meters) concentrated up-dip and near the Japan Trench. The offshore geodetic data provide critical constraints for the location of the polarity reversal of predicted seafloor vertical deformation. Wave models excited by the predicted regional-scale seafloor deformation generally well predict observed tsunami run-ups and the vertical displacement magnitudes of low frequency waves of coastal GPS buoys. However, coastal areas near Sanriku, Japan experienced anomalously high run-ups of 40 meters and local offshore GPS buoys indicate high frequency waveforms that are incompatible with the coseismic seafloor deformation of the TE. These observations require a localized deformation source near the Japan Trench and just to the north of the TE rupture zone, which models solely based on tsunami waveform inversion predict. Others suggest that a submarine mass failure at this location, presumably triggered by the TE, can excite such waveforms. In this study, we investigate an alternative hypothesis that localized splay faulting, also presumably triggered by the TE, can excite the anomalous waveforms. To do so, we will estimate plausible suites of splay fault and slip parameters that can account for the anomalously high magnitude and high frequency tsunami waves sourced from a localized area near the Japan Trench and north of the TE rupture.
Bonilla, Manuel G.; Mark, Robert K.; Lienkaemper, James J.
1984-01-01
In order to refine correlations of surface-wave magnitude, fault rupture length at the ground surface, and fault displacement at the surface by including the uncertainties in these variables, the existing data were critically reviewed and a new data base was compiled. Earthquake magnitudes were redetermined as necessary to make them as consistent as possible with the Gutenberg methods and results, which make up much of the data base. Measurement errors were estimated for the three variables for 58 moderate to large shallow-focus earthquakes. Regression analyses were then made utilizing the estimated measurement errors.The regression analysis demonstrates that the relations among the variables magnitude, length, and displacement are stochastic in nature. The stochastic variance, introduced in part by incomplete surface expression of seismogenic faulting, variation in shear modulus, and regional factors, dominates the estimated measurement errors. Thus, it is appropriate to use ordinary least squares for the regression models, rather than regression models based upon an underlying deterministic relation in which the variance results primarily from measurement errors.Significant differences exist in correlations of certain combinations of length, displacement, and magnitude when events are grouped by fault type or by region, including attenuation regions delineated by Evernden and others.Estimates of the magnitude and the standard deviation of the magnitude of a prehistoric or future earthquake associated with a fault can be made by correlating Ms with the logarithms of rupture length, fault displacement, or the product of length and displacement.Fault rupture area could be reliably estimated for about 20 of the events in the data set. Regression of Ms on rupture area did not result in a marked improvement over regressions that did not involve rupture area. Because no subduction-zone earthquakes are included in this study, the reported results do not apply to such zones.
Bonilla, M.G.; Mark, R.K.; Lienkaemper, J.J.
1984-01-01
In order to refine correlations of surface-wave magnitude, fault rupture length at the ground surface, and fault displacement at the surface by including the uncertainties in these variables, the existing data were critically reviewed and a new data base was compiled. Earthquake magnitudes were redetermined as necessary to make them as consistent as possible with the Gutenberg methods and results, which necessarily make up much of the data base. Measurement errors were estimated for the three variables for 58 moderate to large shallow-focus earthquakes. Regression analyses were then made utilizing the estimated measurement errors. The regression analysis demonstrates that the relations among the variables magnitude, length, and displacement are stochastic in nature. The stochastic variance, introduced in part by incomplete surface expression of seismogenic faulting, variation in shear modulus, and regional factors, dominates the estimated measurement errors. Thus, it is appropriate to use ordinary least squares for the regression models, rather than regression models based upon an underlying deterministic relation with the variance resulting from measurement errors. Significant differences exist in correlations of certain combinations of length, displacement, and magnitude when events are qrouped by fault type or by region, including attenuation regions delineated by Evernden and others. Subdivision of the data results in too few data for some fault types and regions, and for these only regressions using all of the data as a group are reported. Estimates of the magnitude and the standard deviation of the magnitude of a prehistoric or future earthquake associated with a fault can be made by correlating M with the logarithms of rupture length, fault displacement, or the product of length and displacement. Fault rupture area could be reliably estimated for about 20 of the events in the data set. Regression of MS on rupture area did not result in a marked improvement over regressions that did not involve rupture area. Because no subduction-zone earthquakes are included in this study, the reported results do not apply to such zones.
Baker, Lauren A.; Kirkpatrick, Brian; Rosa, Guilherme J. M.; Gianola, Daniel; Valente, Bruno; Sumner, Julia P.; Baltzer, Wendy; Hao, Zhengling; Binversie, Emily E.; Volstad, Nicola; Piazza, Alexander; Sample, Susannah J.
2017-01-01
Anterior cruciate ligament (ACL) rupture is a common condition that can be devastating and life changing, particularly in young adults. A non-contact mechanism is typical. Second ACL ruptures through rupture of the contralateral ACL or rupture of a graft repair is also common. Risk of rupture is increased in females. ACL rupture is also common in dogs. Disease prevalence exceeds 5% in several dog breeds, ~100 fold higher than human beings. We provide insight into the genetic etiology of ACL rupture by genome-wide association study (GWAS) in a high-risk breed using 98 case and 139 control Labrador Retrievers. We identified 129 single nucleotide polymorphisms (SNPs) within 99 risk loci. Associated loci (P<5E-04) explained approximately half of phenotypic variance in the ACL rupture trait. Two of these loci were located in uncharacterized or non-coding regions of the genome. A chromosome 24 locus containing nine genes with diverse functions met genome-wide significance (P = 3.63E-0.6). GWAS pathways were enriched for c-type lectins, a gene set that includes aggrecan, a gene set encoding antimicrobial proteins, and a gene set encoding membrane transport proteins with a variety of physiological functions. Genotypic risk estimated for each dog based on the risk contributed by each GWAS locus showed clear separation of ACL rupture cases and controls. Power analysis of the GWAS data set estimated that ~172 loci explain the genetic contribution to ACL rupture in the Labrador Retriever. Heritability was estimated at 0.48. We conclude ACL rupture is a moderately heritable highly polygenic complex trait. Our results implicate c-type lectin pathways in ACL homeostasis. PMID:28379989
Etiology and pathophysiology of tendon ruptures in sports.
Kannus, P; Natri, A
1997-04-01
Of all spontaneous tendon ruptures, complete Achilles tendon tears are most closely associated with sports activities (1-3). Schönbauer (3) reported that 75% of all ruptures of the Achilles tendon are related to sports. In Plecko & Passl (2) the number was 60%. In our material of 430 cases, the number of sports-related Achilles ruptures was very similar (62%), while only 2% of ruptures of other tendons were sports-related (P < 0.001) (1). Also, the majority of Achilles reruptures occurred in sports. The ruptures occurred most often in soccer (34%), track and field (16%) and basketball (14%). The distribution of Achilles ruptures according to different sports varies considerably from country to country, according to the national sport traditions. For example, in northern and middle Europe, soccer, tennis, track and field, indoor ball games, downhill skiing, and gymnastics are the most common; and in North America, football, basketball, baseball, tennis and downhill skiing dominate the statistics (1, 2, 4). In sports, some Achilles ruptures are not spontaneous or degeneration-induced but may occur as a consequence of the remarkably high forces that are involved in the performance (2). Ruptures in the high jump or triple jump are good examples. In such cases, failure in the neuromuscular protective mechanisms due to fatigue or disturbed co-ordination can frequently be found. The spontaneous complete rupture of the supraspinatus tendon of the rotator cuff does not occur very frequently in sports. Those sports that include high-energy throwing movements, such as American and Finnish baseball, American football, rugby and discuss and javelin throwing, may, however, produce this injury. Partial tears and inflammations of the rotator cuff complex are much more frequent in throwing sports. The complete rupture of the proximal long head of the biceps brachii tendon is rare among competitive and recreational athletes. In our material, under 2% of these ruptures were associated with sports activities (5). The rupture (avulsion) of the distal tendon of the biceps muscle is rare. In sports, gymnastics, body building and weight lifting have been said to be able to produce this injury (6). In general, complete ruptures of the quadriceps tendon and the patellar tendon occur most often in older individuals. In our study, the mean age of these patients was 65 years (5). However, these injuries do also occur in younger age groups, especially in athletes. In athletes, the rupture most frequently occurs in high-power sports events, such as high jump, basketball and weight lifting, at the age of 15-30 years. A chronic-patellar apicitis (jumper's knee) may predispose rupture of the tendon (7). As is the case with the rotator cuff complex, overuse inflammation and partial tears of the quadriceps and patellar tendons are one of the most characteristic athletic injuries. Complete spontaneous ruptures of other tendons in sports are rare, although the literature does provide case studies from almost every tendon the human body possesses (8-18).
The Effects of Fault Bends on Rupture Propagation: A Parameter Study
NASA Astrophysics Data System (ADS)
Lozos, J. C.; Oglesby, D. D.; Duan, B.; Wesnousky, S. G.
2008-12-01
Segmented faults with stepovers are ubiquitous, and occur at a variety of scales, ranging from small stepovers on the San Jacinto Fault, to the large-scale stepover on of the San Andreas Fault between Tejon Pass and San Gorgonio Pass. Because this type of fault geometry is so prevalent, understanding how rupture propagates through such systems is important for evaluating seismic hazard at different points along these faults. In the present study, we systematically investigate how far rupture will propagate through a fault with a linked (i.e., continuous fault) stepover, based on the length of the linking fault segment and the angle that connects the linking segment to adjacent segments. We conducted dynamic models of such systems using a two-dimensional finite element code (Duan and Oglesby 2007). The fault system in our models consists of three segments: two parallel 10km-long faults linked at a specified angle by a linking segment of between 500 m and 5 km. This geometry was run both as a extensional system and a compressional system. We observed several distinct rupture behaviors, with systematic differences between compressional and extensional cases. Both shear directions rupture straight through the stepover for very shallow stepover angles. In compressional systems with steeper angles, rupture may jump ahead from the stepover segment onto the far segment; whether or not rupture on this segment reaches critical patch size and slips fully is also a function of angle and stepover length. In some compressional cases, if the angle is steep enough and the stepover short enough, rupture may jump over the step entirely and propagate down the far segment without touching the linking segment. In extensional systems, rupture jumps from the nucleating segment onto the linking segment even at shallow angles, but at steeper angles, rupture propagates through without jumping. It is easier to propagate through a wider range of angles in extensional cases. In both extensional and compressional cases, for each stepover length there exists a maximum angle through which rupture can fully propagate; this maximum angle decreases asymptotically to a minimum value as the stepover length increases. We also found that a wave associated with a stopping phase coming from the far end of the fault may restart rupture and induce full propagation after a significant delay in some cases where the initial rupture terminated.
Material contrast does not predict earthquake rupture propagation direction
Harris, R.A.; Day, S.M.
2005-01-01
Earthquakes often occur on faults that juxtapose different rocks. The result is rupture behavior that differs from that of an earthquake occurring on a fault in a homogeneous material. Previous 2D numerical simulations have studied simple cases of earthquake rupture propagation where there is a material contrast across a fault and have come to two different conclusions: 1) earthquake rupture propagation direction can be predicted from the material contrast, and 2) earthquake rupture propagation direction cannot be predicted from the material contrast. In this paper we provide observational evidence from 70 years of earthquakes at Parkfield, CA, and new 3D numerical simulations. Both the observations and the numerical simulations demonstrate that earthquake rupture propagation direction is unlikely to be predictable on the basis of a material contrast. Copyright 2005 by the American Geophysical Union.
Seliger, Gregor; Chaoui, Katharina; Lautenschläger, Christine; Jenderka, Klaus-Vitold; Kunze, Christian; Hiller, Grit Gesine Ruth; Tchirikov, Michael
2018-06-01
The purpose of this study was to assess, if the biomechanical properties of the lower uterine segment (LUS) in women with a previous cesarean section (CS) can be determined by ultrasound (US) elastography. The first aim was to establish an ex-vivo LUS tensile-stress-strain-rupture(break point) analysis with the possibility of simultaneously using US elastography. The second aim was to investigate the relationship between measurement results of LUS stiffness using US elastography in-/ex-vivo with results of tensile-stress-strain-rupture analysis, and to compare different US elastography LUS-stiffness-measurement methods ex-vivo. An explorative experimental, in-/ex-vivo US study of women with previous CS was conducted. LUS elasticity was measured by point Shear Wave Elastography (pSWE) and bidimensional Shear-Wave-Elastography (2D-SWE) first in-vivo during preoperative examination within 24 h before repeat CS (including resection of the thinnest part of the LUS = uterine scar area during CS), second within 1 h after operation during the ex-vivo experiment, followed by tensile-stress-strain-rupture analysis. Pearson's correlation coefficient and scatter plots, Bland-Altman plots and paired T-tests, were used. Thirty three women were included in the study; elastography measurements n = 1412. The feasibility of ex-vivo assessment of LUS by quantitative US elastography using pSWE and 2D-SWE to detect stiffness of LUS was demonstrated. The strongest correlation with tensile-stress-strain analysis was found in the US elastography examination carried out with 2D-SWE (0.78, p < 0.001, 95%CI [0.48, 0.92]). The laboratory experiment illustrated that, the break point - as a surrogate marker for the risk of rupture of the LUS after CS - is linearly dependent on the thickness of the LUS in the scar area (Coefficient of correlation: 0.79, p < 0.001, 95%CI [0.55, 0.91]). Two extremely stiff LUS-specimens (outlier or extreme values) rupture even at less stroke/strain than would be expected by their thickness. This study confirms that US elastography can help in determining viscoelastic properties of the LUS in women with a previous CS. The data from our small series are promising. However whether individual extreme values of high stiffness and consecutive restricted biomechanical resilience can explain the phenomenon of rupture during TOLAC in cases of LUS with adequate thickness remains a question which prospective trials have to analyze before US elastography can be introduced into clinical practice. Copyright © 2018 Elsevier B.V. All rights reserved.
NASA Astrophysics Data System (ADS)
Scala, Antonio; Festa, Gaetano; Vilotte, Jean-Pierre
2015-04-01
Faults are often interfaces between materials with different elastic properties. This is generally the case of plate boundaries in subduction zones, where the ruptures extend for many kilometers crossing materials with strong impedance contrasts (oceanic crust, continental crust, mantle wedge, accretionary prism). From a physical point of view, several peculiar features emerged both from analogic experiments and numerical simulations for a rupture propagating along a bimaterial interface. The elastodynamic flux at the rupture tip breaks its symmetry, inducing normal stress changes and an asymmetric propagation. This latter was widely shown for rupture velocity and slip rate (e.g. Xia et al, 2005) and was supposed to generate an asymmetric distribution of the aftershocks (Rubin and Ampuero, 2007). The bimaterial problem coupled with a Coulomb friction law is ill-posed for a wide range of impedance contrasts, due to a missing length scale in the instantaneous response to the normal traction changes. The ill-posedness also results into simulations no longer independent of the grid size. A regularization can be introduced by delaying the tangential traction from the normal traction as suggested by Cochard and Rice (2000) and Ranjith and Rice (2000) δσeff α|v|+-v* δt = δσ (σn - σeff) where σeff represents the effective normal stress to be used in the Coulomb friction. This regularization introduces two delays depending on the slip rate and on a fixed time scale. In this study we performed a large number of 2D numerical simulations of in plane rupture with the spectral element method dynamic and we systematically investigated the effect of parameter selection on the rupture propagation, dissipation and radiation, by also performing a direct comparison with solutions provided by numerical and experimental results. We found that a purely time-dependent regularization requires a fine tuning rapidly jumping from a too fast, ineffective delay to a slow, invasive, regularization as a function of the actual slip rate. Conversely, the choice of a fixed relaxation length, smaller than the critical slip weakening distance, provides a reliable class of solutions for a wide range of elastic and frictional parameters. Nevertheless critical rupture stages, such as the nucleation or the very fast steady-state propagation may show resolution problems and may take advantage of adaptive schemes, with a space/time variation of the parameters. We used recipes for bimaterial regularization to perform along-dip dynamic simulations of the Tohoku earthquake in the framework of a slip weakening model, with a realistic description of the geometry of the interface and the geological structure. We finely investigated the role of the impedance contrasts on the evolution of the rupture and short wavelength radiation. We also show that pathological effects may arise from a bad selection of regularization parameters.
Heterogeneity of direct aftershock productivity of the main shock rupture
NASA Astrophysics Data System (ADS)
Guo, Yicun; Zhuang, Jiancang; Hirata, Naoshi; Zhou, Shiyong
2017-07-01
The epidemic type aftershock sequence (ETAS) model is widely used to describe and analyze the clustering behavior of seismicity. Instead of regarding large earthquakes as point sources, the finite-source ETAS model treats them as ruptures that extend in space. Each earthquake rupture consists of many patches, and each patch triggers its own aftershocks isotropically. We design an iterative algorithm to invert the unobserved fault geometry based on the stochastic reconstruction method. This model is applied to analyze the Japan Meteorological Agency (JMA) catalog during 1964-2014. We take six great earthquakes with magnitudes >7.5 after 1980 as finite sources and reconstruct the aftershock productivity patterns on each rupture surface. Comparing results from the point-source ETAS model, we find the following: (1) the finite-source model improves the data fitting; (2) direct aftershock productivity is heterogeneous on the rupture plane; (3) the triggering abilities of M5.4+ events are enhanced; (4) the background rate is higher in the off-fault region and lower in the on-fault region for the Tohoku earthquake, while high probabilities of direct aftershocks distribute all over the source region in the modified model; (5) the triggering abilities of five main shocks become 2-6 times higher after taking the rupture geometries into consideration; and (6) the trends of the cumulative background rate are similar in both models, indicating the same levels of detection ability for seismicity anomalies. Moreover, correlations between aftershock productivity and slip distributions imply that aftershocks within rupture faults are adjustments to coseismic stress changes due to slip heterogeneity.
Du, Xiao-Jun; Shan, Leonard; Gao, Xiao-Ming; Kiriazis, Helen; Liu, Yang; Lobo, Abhirup; Head, Geoffrey A; Dart, Anthony M
2011-02-01
Left ventricular thrombus (LVT) and rupture are important mechanical complications following myocardial infarction (MI) and are believed to be due to unrelated mechanisms. We studied whether, in fact, wall rupture and LVT are closely related in their pathogenesis with intramural platelet thrombus (IMT) playing a pivotal role. Male 129sv and C57Bl/6 mice underwent operation to induce MI, and autopsy was performed to confirm rupture deaths. Haemodynamic features of rupture events were monitored by telemetry in conscious mice. Detailed histological examination was conducted with special attention to the presence of IMT in relation to rupture location and LVT formation. IMT was detected in infarcted hearts of 129sv (82%) and C57Bl/6 (39%) mice with rupture in the form of a narrow streak spanning the wall or an occupying mass dissecting the infarcted myofibers apart. IMT often contained dense inflammatory cells and blood clot, indicating a dynamic process of thrombus formation and destruction. Notably, IMT was found extending into the cavity to form LVT. Haemodynamic monitoring by telemetry revealed that rupture occurred either as a single event or recurrent episodes. Importantly, the anti-platelet drug clopidogrel, but not aspirin, reduced the prevalence of rupture (10% vs. 45%) and IMT, and suppressed the degree of inflammation. Thus, IMT is a key pathological element in the infarcted heart closely associated with the complications of rupture and LVT. IMT could be either triggered by a wall tear or act as initiator of rupture. IMT may propagate towards the ventricular chamber to trigger LVT.
NASA Astrophysics Data System (ADS)
Sahakian, Valerie; Bormann, Jayne; Driscoll, Neal; Harding, Alistair; Kent, Graham; Wesnousky, Steve
2017-03-01
The Newport-Inglewood/Rose Canyon (NIRC) fault zone is an active strike-slip fault system within the Pacific-North American plate boundary in Southern California, located in close proximity to populated regions of San Diego, Orange, and Los Angeles counties. Prior to this study, the NIRC fault zone's continuity and geometry were not well constrained. Nested marine seismic reflection data with different vertical resolutions are employed to characterize the offshore fault architecture. Four main fault strands are identified offshore, separated by three main stepovers along strike, all of which are 2 km or less in width. Empirical studies of historical ruptures worldwide show that earthquakes have ruptured through stepovers with this offset. Models of Coulomb stress change along the fault zone are presented to examine the potential extent of future earthquake ruptures on the fault zone, which appear to be dependent on the location of rupture initiation and fault geometry at the stepovers. These modeling results show that the southernmost stepover between the La Jolla and Torrey Pines fault strands may act as an inhibitor to throughgoing rupture due to the stepover width and change in fault geometry across the stepover; however, these results still suggest that rupture along the entire fault zone is possible.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Koike, Yuya, E-mail: r06118@hotmail.co.jp; Nishimura, Jun-ichi, E-mail: jun-ichi-n@nifty.com; Hase, Soichiro, E-mail: haseman@hotmail.co.jp
PurposeThe purpose of this study was to demonstrate a sac angiography technique and evaluate the feasibility of N-butyl cyanoacrylate (NBCA) embolization of the ruptured abdominal aortic aneurysm (AAA) sac in emergency endovascular aneurysm repair (EVAR) in hemodynamically unstable patients.MethodsA retrospective case series of three patients in whom sac angiography was performed during emergency EVAR for ruptured AAA was reviewed. After stent graft deployment, angiography within the sac of aneurysm (sac angiography) was performed by manually injecting 10 ml of contrast material through a catheter to identify the presence and site of active bleeding. In two patients, sac angiography revealed active extravasationmore » of the contrast material, and NBCA embolization with a coaxial catheter system was performed to achieve prompt sealing.ResultsSac angiography was successful in all three patients. In the two patients who underwent NBCA embolization for aneurysm sac bleeding, follow-up computed tomography (CT) images demonstrated the accumulation of NBCA consistent with the bleeding site in preprocedural CT images.ConclusionsEVAR is associated with a potential risk of ongoing bleeding from type II or IV endoleaks into the disrupted aneurysm sac in patients with severe coagulopathy. Therefore, sac angiography and NBCA embolization during emergency EVAR may represent a possible technical improvement in the treatment of ruptured AAA in hemodynamically unstable patients.« less
NASA Astrophysics Data System (ADS)
Lorito, S.; Romano, F.; Piatanesi, A.
2007-12-01
The aim of this work is to infer the slip distribution and mean rupture velocity along the rupture zone of the 12 September 2007 Southern Sumatra, Indonesia from available tide-gauge records of the tsunami. We select waveforms from 12 stations, distributed along the west coast of Sumatra and in the whole Indian Ocean (11 GLOSS stations and 1 DART buoy). We assume the fault plane and the slip direction to be consistent with both the geometry of the subducting plate and the early focal mechanism solutions. Then we subdivide the fault plane into several subfaults (both along strike and down dip) and compute the corresponding Green's functions by numerical solution of the shallow water equations through a finite difference method. The slip distribution and rupture velocity are determined simultaneously by means of a simulated annealing technique. We compare the recorded and synthetic waveforms in the time domain, using a cost function that is a trade-off between the L1 and L2 norms. Preliminary synthetic checkerboard tests, using the station coverage and the sampling interval of the available data, indicate that the main features of the rupture process may be robustly inverted.
Minkwitz, Susann; Schmock, Aysha; Kurtoglu, Alper; Tsitsilonis, Serafeim; Manegold, Sebastian; Klatte-Schulz, Franka
2017-01-01
A balance between matrix metalloproteinases (MMPs) and their inhibitors (TIMPs) is required to maintain tendon homeostasis. Variation in this balance over time might impact on the success of tendon healing. This study aimed to analyze structural changes and the expression profile of MMPs and TIMPs in human Achilles tendons at different time-points after rupture. Biopsies from 37 patients with acute Achilles tendon rupture were taken at surgery and grouped according to time after rupture: early (2–4 days), middle (5–6 days), and late (≥7 days), and intact Achilles tendons served as control. The histological score increased from the early to the late time-point after rupture, indicating the progression towards a more degenerative status. In comparison to intact tendons, qRT-PCR analysis revealed a significantly increased expression of MMP-1, -2, -13, TIMP-1, COL1A1, and COL3A1 in ruptured tendons, whereas TIMP-3 decreased. Comparing the changes over time post rupture, the expression of MMP-9, -13, and COL1A1 significantly increased, whereas MMP-3 and -10 expression decreased. TIMP expression was not significantly altered over time. MMP staining by immunohistochemistry was positive in the ruptured tendons exemplarily analyzed from early and late time-points. The study demonstrates a pivotal contribution of all investigated MMPs and TIMP-1, but a minor role of TIMP-2, -3, and -4, in the early human tendon healing process. PMID:29053586
Li, Hao; Li, Haowen; Yue, Haiyan; Wang, Wen; Yu, Lanbing; ShuoWang; Cao, Yong; Zhao, Jizong
2017-07-01
As it grows in size, an intracranial aneurysm (IA) is prone to rupture. In this study, we compared two extreme groups of IAs, ruptured IAs (RIAs) smaller than 10 mm and un-ruptured IAs (UIAs) larger than 10 mm, to investigate the genes involved in the facilitation and prevention of IA rupture. The aneurismal walls of 6 smaller saccular RIAs (size smaller than 10 mm), 6 larger saccular UIAs (size larger than 10 mm) and 12 paired control arteries were obtained during surgery. The transcription profiles of these samples were studied by microarray analysis. RT-qPCR was used to confirm the expression of the genes of interest. In addition, functional group analysis of the differentially expressed genes was performed. Between smaller RIAs and larger UIAs, 101 genes and 179 genes were significantly over-expressed, respectively. In addition, functional group analysis demonstrated that the up-regulated genes in smaller RIAs mainly participated in the cellular response to metal ions and inorganic substances, while most of the up-regulated genes in larger UIAs were involved in inflammation and extracellular matrix (ECM) organization. Moreover, compared with control arteries, inflammation was up-regulated and muscle-related biological processes were down-regulated in both smaller RIAs and larger UIAs. The genes involved in the cellular response to metal ions and inorganic substances may facilitate the rupture of IAs. In addition, the healing process, involving inflammation and ECM organization, may protect IAs from rupture.
Lambers Heerspink, Frederik O; Hoogeslag, Roy Ag; Diercks, Ron L; van Eerden, Pepijn Jm; van den Akker-Scheek, Inge; van Raay, Jos Jam
2011-01-26
Subacromial impingement syndrome is a frequently observed disorder in orthopedic practice. Lasting symptoms and impairment may occur when a subsequent atraumatic rotator cuff rupture is also present. However, degenerative ruptures of the rotator cuff can also be observed in asymptomatic elderly individuals. Treatment of these symptomatic degenerative ruptures may be conservative or surgical. Acceptable results are reported for both treatment modalities. No evidence-based level-1 studies have been conducted so far to compare these treatment modalities. The objective of this study is to determine whether there is a difference in outcome between surgical reconstruction and conservative treatment of a degenerative atraumatic rotator cuff tendon rupture. A randomized controlled trial will be conducted. Patients aged between 45 and 75 with a symptomatic atraumatic rotator cuff rupture as diagnosed by MRI will be included. Exclusion criteria are traumatic rotator cuff rupture, frozen shoulder and diabetes mellitus. Patients will be randomized into two groups. Conservative treatment includes physical therapy according to a standardized protocol, NSAIDs and, if indicated, subacromial infiltration with a local anesthetic and corticosteroids. Surgical reconstruction is performed under general anesthesia in combination with an interscalenus plexus block. An acromioplasty with reconstruction of the rotator cuff tendon is performed, as described by Rockwood et al. Measurements take place preoperatively and 6 weeks, 3 months, 6 months and 1 year postoperatively. The primary outcome measure is the Constant score. Secondary measures include both disease-specific and generic outcome measures, and an economic evaluation. Additionally, one year after inclusion a second MRI will be taken of all patients in order to determine whether extent and localization of the rupture as well as the amount of fatty degeneration are prognostic factors. Both surgical as conservative treatment of a symptomatic atraumatic rotator cuff tendon rupture is used in current practice. There is a lack of level-1 studies comparing surgical vs. conservative treatment. This randomized controlled trial has been designed to determine whether the surgical treatment of a degenerative atraumatic rotator cuff tendon rupture may lead to a better functional and radiological outcome than conservative treatment after one year of follow-up. Netherlands Trial Register (NTR): NTRTC2343.
Ho, Allen L; Lin, Ning; Frerichs, Kai U; Du, Rose
2015-09-01
As diagnosis and treatment of unruptured intracranial aneurysms continues to increase, management principles remain largely based on size. This is despite mounting evidence that aneurysm location and other morphologic variables could play a role in predicting overall risk of rupture. Morphological parameters can be divided into 3 main groups, those that are intrinsic to the aneurysm, those that are extrinsic to the aneurysm, and those that involve both the aneurysm and surrounding vasculature (transitional). We present an evaluation of intrinsic, transitional, and extrinsic factors and their association with ruptured aneurysms. Using preoperative computed tomographic angiography, we generated 3-dimensional models of aneurysms and their surrounding vasculature with Slicer software. Using univariate and multivariate analyses, we examined the association of intrinsic, transitional, and extrinsic aspects of aneurysm morphology with rupture. Between 2005 and 2013, 227 cerebral aneurysms in 4 locations were evaluated/treated at a single institution, and computed tomographic angiographies of 218 patients (97 unruptured and 130 ruptured) were analyzed. Ruptured aneurysms analyzed were associated with clinical factors of absence of multiple aneurysms and history of no prior rupture, and morphologic factors of greater aspect ratio. On multivariate analysis, aneurysm rupture remained associated with history of no prior rupture, greater flow angle, greater daughter-daughter vessel angle, and smaller parent-daughter vessel angle. By studying the morphology of aneurysms and their surrounding vasculature, we identified several parameters associated with ruptured aneurysms that include intrinsic, transitional, and extrinsic factors of cerebral aneurysms and their surrounding vasculature.
The evolution of slip pulses within bimaterial interfaces with rupture velocity
NASA Astrophysics Data System (ADS)
Shlomai, H.; Fineberg, J.
2017-12-01
The most general frictional motion in nature involves bimaterial interfaces, when contacting bodies possess different elastic properties. Frictional motion occurs when the contacts composing the interface separating these bodies detach via propagating rupture fronts. Coupling between slip and normal stress variations is unique to bimaterial interfaces. Here we use high speed simultaneous measurements of slip velocities, real contact area and stresses to explicitly reveal this bimaterial coupling and its role in determining different classes of rupture modes and their structures. Our experiments study the rupture of a spatially extended interface formed by brittle plastics whose shear wave speeds differ by 30%. Any slip within a bimaterial interface will break the stress symmetry across the interface. One important result of this is that local values of normal stress variations at the interface couple to interface slip, `bimaterial coupling'. The sign of the coupling depends on the front propagation direction. When we consider ruptures propagating in the direction of motion of the more compliant material, the `positive' direction, slip reduces the normal stress. We focus on this direction. We show that, in this direction, interface ruptures develop from crack-like behavior at low rupture velocities, whose structure corresponds to theoretical predictions: As the ruptures accelerate towards their asymptotic speed, the structures of the strain and stress fields near the rupture tip deviate significantly from this crack-like form, and systematically sharpen to a pulse-like rupture mode called slip-pulses. We conclude with a description of slip-pulse properties.
Evaluation of obstetricians' surgical decision making in the management of uterine rupture.
Eze, Justus Ndulue; Anozie, Okechukwu Bonaventure; Lawani, Osaheni Lucky; Ndukwe, Emmanuel Okechukwu; Agwu, Uzoma Maryrose; Obuna, Johnson Akuma
2017-06-08
Uterine rupture is an obstetric calamity with surgery as its management mainstay. Uterine repair without tubal ligation leaves a uterus that is more prone to repeat rupture while uterine repair with bilateral tubal ligation (BTL) or (sub)total hysterectomy predispose survivors to psychosocial problems like marital disharmony. This study aims to evaluate obstetricians' perspectives on surgical decision making in managing uterine rupture. A questionnaire-based cross-sectional study of obstetricians at the 46th annual scientific conference of Society of Gynaecology and Obstetrics of Nigeria in 2012. Data was analysed by descriptive and inferential statistics. Seventy-nine out of 110 obstetricians (71.8%) responded to the survey, of which 42 (53.2%) were consultants, 60 (75.9%) practised in government hospitals and 67 (84.8%) in urban hospitals, and all respondents managed women with uterine rupture. Previous cesarean scars and injudicious use of oxytocic are the commonest predisposing causes, and uterine rupture carries very high incidences of maternal and perinatal mortality and morbidity. Uterine repair only was commonly performed by 38 (48.1%) and uterine repair with BTL or (sub) total hysterectomy by 41 (51.9%) respondents. Surgical management is guided mainly by patients' conditions and obstetricians' surgical skills. Obstetricians' distribution in Nigeria leaves rural settings starved of specialist for obstetric emergencies. Caesarean scars are now a rising cause of ruptures. The surgical management of uterine rupture and obstetricians' surgical preferences vary and are case scenario-dependent. Equitable redistribution of obstetricians and deployment of medical doctors to secondary hospitals in rural settings will make obstetric care more readily available and may reduce the prevalence and improve the outcome of uterine rupture. Obstetrician's surgical decision-making should be guided by the prevailing case scenario and the ultimate aim should be to avert fatality and reduce morbidity.
Observing earthquakes triggered in the near field by dynamic deformations
Gomberg, J.; Bodin, P.; Reasenberg, P.A.
2003-01-01
We examine the hypothesis that dynamic deformations associated with seismic waves trigger earthquakes in many tectonic environments. Our analysis focuses on seismicity at close range (within the aftershock zone), complementing published studies of long-range triggering. Our results suggest that dynamic triggering is not confined to remote distances or to geothermal and volcanic regions. Long unilaterally propagating ruptures may focus radiated dynamic deformations in the propagation direction. Therefore, we expect seismicity triggered dynamically by a directive rupture to occur asymmetrically, with a majority of triggered earthquakes in the direction of rupture propagation. Bilaterally propagating ruptures also may be directive, and we propose simple criteria for assessing their directivity. We compare the inferred rupture direction and observed seismicity rate change following 15 earthquakes (M 5.7 to M 8.1) that occured in California and Idaho in the United States, the Gulf of Aqaba, Syria, Guatemala, China, New Guinea, Turkey, Japan, Mexico, and Antarctica. Nine of these mainshocks had clearly directive, unilateral ruptures. Of these nine, seven apparently induced an asymmetric increase in seismicity rate that correlates with the rupture direction. The two exceptions include an earthquake preceded by a comparable-magnitude event on a conjugate fault and another for which data limitations prohibited conclusive results. Similar (but weaker) correlations were found for the bilaterally rupturing earthquakes we studied. Although the static stress change also may trigger seismicity, it and the seismicity it triggers are expected to be similarly asymmetric only if the final slip is skewed toward the rupture terminus. For several of the directive earthquakes, we suggest that the seismicity rate change correlates better with the dynamic stress field than the static stress change.
Effect of posterior cruciate ligament rupture on the radial displacement of lateral meniscus.
Lei, Pengfei; Sun, Rongxin; Hu, Yihe; Li, Kanghua; Liao, Zhan
2015-06-01
The relationship between lateral meniscus tear and posterior cruciate ligament injury is not well understood. The present study aims to investigate and assess the effect of posterior cruciate ligament rupture on lateral meniscus radial displacement at different flexion angles under static loading conditions. Twelve fresh human cadaveric knee specimens were divided into four groups such as posterior cruciate ligament intact, anterolateral band rupture, posteromedial band rupture and posterior cruciate ligament complete rupture groups, according to the purpose and order of testing. Radial displacement of lateral meniscus was measured under different loads (200-1000N) at 0°, 30°, 60°, and 90° of knee flexion. Compared with posterior cruciate ligament intact group, the displacement values of lateral meniscus in anterolateral band rupture group increased at 0° flexion with 600N, 800N, and 1000N and at 30°, 60° and 90° flexion under all loading conditions. Posteromedial band rupture group exhibited higher displacement at 0° flexion under all loading conditions, at 30° and 60° flexion with 600, 800N and 1000N, and at 90° flexion with 400N, 600N, 800N, and 1000N than the posterior cruciate ligament intact group. The posterior cruciate ligament complete rupture group had a higher displacement value of lateral medial meniscus at 0°, 30°, 60° and 90° flexion under all loading conditions, as compared to the posterior cruciate ligament intact group. The study concludes that partial and complete rupture of the posterior cruciate ligament can trigger the increase of radial displacement on lateral meniscus. Copyright © 2015 Elsevier Ltd. All rights reserved.
A Benchmarking setup for Coupled Earthquake Cycle - Dynamic Rupture - Tsunami Simulations
NASA Astrophysics Data System (ADS)
Behrens, Joern; Bader, Michael; van Dinther, Ylona; Gabriel, Alice-Agnes; Madden, Elizabeth H.; Ulrich, Thomas; Uphoff, Carsten; Vater, Stefan; Wollherr, Stephanie; van Zelst, Iris
2017-04-01
We developed a simulation framework for coupled physics-based earthquake rupture generation with tsunami propagation and inundation on a simplified subduction zone system for the project "Advanced Simulation of Coupled Earthquake and Tsunami Events" (ASCETE, funded by the Volkswagen Foundation). Here, we present a benchmarking setup that can be used for complex rupture models. The workflow begins with a 2D seismo-thermo-mechanical earthquake cycle model representing long term deformation along a planar, shallowly dipping subduction zone interface. Slip instabilities that approximate earthquakes arise spontaneously along the subduction zone interface in this model. The absolute stress field and material properties for a single slip event are used as initial conditions for a dynamic earthquake rupture model.The rupture simulation is performed with SeisSol, which uses an ADER discontinuous Galerkin discretization scheme with an unstructured tetrahedral mesh. The seafloor displacements resulting from this rupture are transferred to the tsunami model with a simple coastal run-up profile. An adaptive mesh discretizing the shallow water equations with a Runge-Kutta discontinuous Galerkin (RKDG) scheme subsequently allows for an accurate and efficient representation of the tsunami evolution and inundation at the coast. This workflow allows for evaluation of how the rupture behavior affects the hydrodynamic wave propagation and coastal inundation. We present coupled results for differing earthquake scenarios. Examples include megathrust only ruptures versus ruptures with splay fault branching off the megathrust near the surface. Coupling to the tsunami simulation component is performed either dynamically (time dependent) or statically, resulting in differing tsunami wave and inundation behavior. The simplified topographical setup allows for systematic parameter studies and reproducible physical studies.
Sarman, Hakan; Atmaca, Halil; Cakir, Ozgur; Muezzinoglu, Umit Sefa; Anik, Yonca; Memisoglu, Kaya; Baran, Tuncay; Isik, Cengiz
2015-01-01
Although pre- and postoperative imaging of Achilles tendon rupture (ATR) has been well documented, radiographic evaluations of postoperative intratendinous healing and microstructure are still lacking. Diffusion tensor imaging (DTI) is an innovative technique that offers a noninvasive method for describing the microstructure characteristics and organization of tissues. DTI was used in the present study for quantitative assessment of fiber continuity postoperatively in patients with acute ATR. The data from 16 patients with ATR from 2005 to 2012 were retrospectively analyzed. The microstructure of ART was evaluated using tendon fiber tracking, tendon continuity, fractional anisotropy, and apparent diffusion coefficient values by way of DTI. The distal and proximal portions were measured separately in both the ruptured and the healthy extremities of each patient. The mean patient age was 41.56 ± 8.49 (range 26 to 56) years. The median duration of follow-up was 21 (range 6 to 80) months. The tendon fractional anisotropy values of the ruptured Achilles tendon were significantly lower statistically than those of the normal side (p = .001). However, none of the differences between the 2 groups with respect to the distal and proximal apparent diffusion coefficient were statistically significant (p = .358 and p = .899, respectively). In addition, the fractional anisotropy and apparent diffusion coefficient measurements were not significantly different in the proximal and distal regions of the ruptured tendons compared with the healthy tendons. The present study used DTI and fiber tracking to demonstrate the radiologic properties of postoperative Achilles tendons with respect to trajectory and tendinous fiber continuity. Quantifying DTI and fiber tractography offers an innovative and effective tool that might be able to detect microstructural abnormalities not appreciable using conventional radiologic techniques. Copyright © 2015 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
Morphology parameters for intracranial aneurysm rupture risk assessment.
Dhar, Sujan; Tremmel, Markus; Mocco, J; Kim, Minsuok; Yamamoto, Junichi; Siddiqui, Adnan H; Hopkins, L Nelson; Meng, Hui
2008-08-01
The aim of this study is to identify image-based morphological parameters that correlate with human intracranial aneurysm (IA) rupture. For 45 patients with terminal or sidewall saccular IAs (25 unruptured, 20 ruptured), three-dimensional geometries were evaluated for a range of morphological parameters. In addition to five previously studied parameters (aspect ratio, aneurysm size, ellipticity index, nonsphericity index, and undulation index), we defined three novel parameters incorporating the parent vessel geometry (vessel angle, aneurysm [inclination] angle, and [aneurysm-to-vessel] size ratio) and explored their correlation with aneurysm rupture. Parameters were analyzed with a two-tailed independent Student's t test for significance; significant parameters (P < 0.05) were further examined by multivariate logistic regression analysis. Additionally, receiver operating characteristic analyses were performed on each parameter. Statistically significant differences were found between mean values in ruptured and unruptured groups for size ratio, undulation index, nonsphericity index, ellipticity index, aneurysm angle, and aspect ratio. Logistic regression analysis further revealed that size ratio (odds ratio, 1.41; 95% confidence interval, 1.03-1.92) and undulation index (odds ratio, 1.51; 95% confidence interval, 1.08-2.11) had the strongest independent correlation with ruptured IA. From the receiver operating characteristic analysis, size ratio and aneurysm angle had the highest area under the curve values of 0.83 and 0.85, respectively. Size ratio and aneurysm angle are promising new morphological metrics for IA rupture risk assessment. Because these parameters account for vessel geometry, they may bridge the gap between morphological studies and more qualitative location-based studies.
Colmorn, Lotte B; Langhoff-Roos, Jens; Jakobsson, Maija; Tapper, Anna-Maija; Gissler, Mika; Lindqvist, Pelle G; Källen, Karin; Gottvall, Karin; Klungsøyr, Kari; Bøhrdahl, Per; Bjarnadóttir, Ragnhild I; Krebs, Lone
2017-05-01
Previous caesarean delivery and intended mode of delivery after caesarean are well-known individual risk factors for uterine rupture. We examined if different national rates of uterine rupture are associated with differences in national rates of previous caesarean delivery and intended mode of delivery after a previous caesarean delivery. This study is an ecological study based on data from a retrospective cohort in the Nordic countries. Data on uterine rupture were collected prospectively in each country as part of the Nordic obstetric surveillance study and included 91% of all Nordic deliveries. Information on the comparison population was retrieved from the national medical birth registers. Incidence rate ratios by previous caesarean delivery and intended mode of delivery after caesarean were modelled using Poisson regression. The incidence of uterine rupture was 7.8/10 000 in Finland and 4.6/10 000 in Denmark. Rates of caesarean (21.3%) and previous caesarean deliveries (11.5%) were highest in Denmark, while the rate of intended vaginal delivery after caesarean was highest in Finland (72%). National rates of uterine rupture were not associated with the population rates of previous caesarean but increased by 35% per 1% increase in the population rate of intended vaginal delivery and in the subpopulation of women with previous caesarean delivery by 4% per 1% increase in the rate of intended vaginal delivery. National rates of uterine rupture were not associated with national rates of previous caesarean, but increased with rates of intended vaginal delivery after caesarean. © 2017 John Wiley & Sons Ltd.
NASA Astrophysics Data System (ADS)
Shimizu, K.; Yagi, Y.; Okuwaki, R.; Kasahara, A.
2017-12-01
The kinematic earthquake rupture models are useful to derive statistics and scaling properties of the large and great earthquakes. However, the kinematic rupture models for the same earthquake are often different from one another. Such sensitivity of the modeling prevents us to understand the statistics and scaling properties of the earthquakes. Yagi and Fukahata (2011) introduces the uncertainty of Green's function into the tele-seismic waveform inversion, and shows that the stable spatiotemporal distribution of slip-rate can be obtained by using an empirical Bayesian scheme. One of the unsolved problems in the inversion rises from the modeling error originated from an uncertainty of a fault-model setting. Green's function near the nodal plane of focal mechanism is known to be sensitive to the slight change of the assumed fault geometry, and thus the spatiotemporal distribution of slip-rate should be distorted by the modeling error originated from the uncertainty of the fault model. We propose a new method accounting for the complexity in the fault geometry by additionally solving the focal mechanism on each space knot. Since a solution of finite source inversion gets unstable with an increasing of flexibility of the model, we try to estimate a stable spatiotemporal distribution of focal mechanism in the framework of Yagi and Fukahata (2011). We applied the proposed method to the 52 tele-seismic P-waveforms of the 2013 Balochistan, Pakistan earthquake. The inverted-potency distribution shows unilateral rupture propagation toward southwest of the epicenter, and the spatial variation of the focal mechanisms shares the same pattern as the fault-curvature along the tectonic fabric. On the other hand, the broad pattern of rupture process, including the direction of rupture propagation, cannot be reproduced by an inversion analysis under the assumption that the faulting occurred on a single flat plane. These results show that the modeling error caused by simplifying the fault model is non-negligible in the tele-seismic waveform inversion of the 2013 Balochistan, Pakistan earthquake.
Sha, Lin; Xie, Guoming; Zhao, Song; Zhao, Jinzhong
2017-02-01
Reconstruction of the ruptured anterior cruciate ligament (ACL) does not always result in expected successful outcome. A satisfactory outcome depends not only on the tightness or strength of the graft but also on the quality of proprioceptive restoration. Mechanoreceptors of ACL are supposed to play considerable roles in the proprioceptive feedback system of knee. This study aimed to observe the condition and number of the surviving mechanoreceptors in the tibial remnant of ruptured ACL in human knees.From April 2009 to January 2012, 60 patients with existing free tibial remnants who had undergone arthroscopic ACL reconstruction were enrolled and divided into 4 groups according to the time duration of injury to surgery (Group I: no more than 3 months; Group II: 3 to 6 months; Group III, 6 months to 1 year; Group IV: more than 1 year). Six normal ACL specimens were taken as controls. Specimens were obtained from ACL tibial remnant and stained by the immunohistochemical staining method. The type, size, and quantity of mechanoreceptors were observed under the light microscope. A total of 92 Ruffini-like corpuscles, 9 Pacini-like corpuscles, 5 unclassified neural endings, and free nerve endings were identified via immunohistochemical staining.There were no significant differences in the number of mechanoreceptors in the 5 groups (P = 0.238). Some degenerative changes were observed in Group IV. The results suggest that the residual mechanoreceptors in the ruptured ACL exhibit long-term survival and showed no obvious signs of withering within 1 year.Residual mechanoreceptors do exist in the tibial remnants of ruptured anterior cruciate ligament in human knees and identified clearly by using immunohistochemistry staining. No significant difference was found regarding quantitative variation of the residual mechanoreceptors about the injury duration.
Custodio, S.; Page, M.T.; Archuleta, R.J.
2009-01-01
We present a new method to combine static and wavefield data to image earthquake ruptures. Our combined inversion is a two-step procedure, following the work of Hernandez et al. (1999), and takes into account the differences between the resolutions of the two data sets. The first step consists of an inversion of the static field, which yields a map of slip amplitude. This inversion exploits a special irregular grid that takes into account the resolution of the static data. The second step is an inversion of the radiated wavefield; it results in the determination of the time evolution of slip on the fault. In the second step, the slip amplitude is constrained to resemble the static slip amplitude map inferred from the GPS inversion. Using this combined inversion, we study the source process of the 2004 M6 Parkfield, California, earthquake. We conclude that slip occurred in two main regions of the fault, each of which displayed distinct rupture behaviors. Slip initiated at the hypocenter with a very strong bilateral burst of energy. Here, slip was localized in a narrow area approximately 10 km long, the rupture velocity was very fast (???3.5 km/s), and slip only lasted a short period of time (<1 s). Then the rupture proceeded to a wider region 12-20 km northwest of the hypocenter. Here, the earthquake developed in a more moderated way: the rupture velocity slowed to ???3.0 km/s and slip lasted longer (1-2 s). The maximum slip amplitude was 0.45 m. Copyright 2009 by the American Geophysical Union.
Fukuda, Hitoshi; Iwasaki, Koichi; Murao, Kenichi; Yamagata, Sen; Lo, Benjamin W.Y.; Macdonald, R. Loch
2014-01-01
Background: While clipping cerebral aneurysms at the neck is optimal, in some cases this is not possible and other strategies are necessary. The purpose of this study was to describe the incidence, risk factors, and outcomes for inability to clip reconstruct ruptured anterior communicating artery (ACoA) aneurysms. Methods: Of the 70 cases of ruptured ACoA aneurysms between January 2006 and December 2013, our institutional experience revealed four cases of small ACoA aneurysms that had been considered clippable prior to operation but required trapping. When a unilateral A2 segment of anterior cerebral artery (ACA) was compromised by trapping, revascularization was performed by bypass surgery. Clinical presentation, angiographic characteristics, operative approach, intraoperative findings, and treatment outcomes were assessed. Results: Very small aneurysm under 3 mm was a risk factor for unexpected trapping. The reason for unexpected trapping was laceration of the aneurysmal neck in two cases, and lack of clippaple component due to disintegration of entire aneurysmal wall at the time of rupture in the others. Aneurysms with bilateral A1 were treated with sole trapping through pterional approach in two cases. The other two cases had hypoplastic unilateral A1 segment of ACA and were treated with combination of aneurysm trapping and revascularization of A2 segment of ACA through interhemispheric approach. No patients had new cerebral infarctions of cortical ACA territory from surgery. Cognitive dysfunction was observed in three cases, but all patients became independent at 12-month follow up. Conclusions: Unexpected trapping was performed when ruptured ACoA aneurysms were unclippable. Trapping with or without bypass can result in reasonable outcomes, with acceptable risk of cognitive dysfunction. PMID:25101201
NASA Astrophysics Data System (ADS)
Dreger, D. S.; Boyd, O. S.; Taira, T.; Gritto, R.
2017-12-01
Enhanced Geothermal System (EGS) resource development requires knowledge of subsurface physical parameters to quantify the evolution of fracture networks. Spatio-temporal source properties, including source dimension, rupture area, slip, rupture speed, and slip velocity of induced seismicity are of interest at The Geysers geothermal field, northern California to map the coseismic facture density of the EGS swarm. In this investigation we extend our previous finite-source analysis of selected M>4 earthquakes to examine source properties of smaller magnitude seismicity located in the Northwest Geysers Enhanced Geothermal System (EGS) demonstration project. Moment rate time histories of the source are found using empirical Green's function (eGf) deconvolution using the method of Mori (1993) as implemented by Dreger et al. (2007). The moment rate functions (MRFs) from data recorded using the Lawrence Berkeley National Laboratory (LBNL) short-period geophone network are inverted for finite-source parameters including the spatial distribution of fault slip, rupture velocity, and the orientation of the causative fault plane. The results show complexity in the MRF for the studied earthquakes. Thus far the estimated rupture area and the magnitude-area trend of the smaller magnitude Geysers seismicity is found to agree with the empirical relationships of Wells and Coppersmith (1994) and Leonard (2010), which were developed for much larger M>5.5 earthquakes worldwide indicating self-similar behavior extending to M2 earthquakes. We will present finite-source inversion results of the micro-earthquakes, attempting to extend the analysis to sub Mw, and demonstrate their magnitude-area scaling. The extension of the scaling laws will then enable the mapping of coseismic fracture density of the EGS swarm in the Northwest Geysers based on catalog moment magnitude estimates.
Orientation dependence of the stress rupture properties of Nickel-base superalloy single crystals
NASA Technical Reports Server (NTRS)
Mackay, R. A.
1981-01-01
The influence of orientation of the stress rupture behavior of Mar-M247 single crystals was studied. Stress rupture tests were performed at 724 MPa and 774 C where the effect of anisotropy is prominent. The mechanical behavior of the single crystals was rationalized on the basis of the Schmid factors for the operative slip systems and the lattice rotations which the crystals underwent during deformation. The stress rupture lives were found to be greatly influenced by the lattice rotations required to produce intersecting slip, because steady-state creep does not begin until after the onset of intersecting slip. Crystals which required large rotations to become oriented for intersecting slip exhibited a large primary creep strain, a large effective stress level at the onset of steady-state creep, and consequently a short stress rupture life. A unified analysis was attained for the stress rupture behavior of the Mar-M247 single crystals tested in this study at 774 C and that of the Mar-M200 single crystals tested in a prior study at 760 C. In this analysis, the standard 001-011-111 stereographic triangle was divided into several regions of crystallographic orientation which were rank ordered according to stress rupture life for this temperature regime. This plot indicates that those crystals having orientations within about 25 deg of the 001 exhibited significantly longer lives when their orientations were closer to the 001-011 boundary of the stereographic triangle than to the 001-111 boundary.
Bayer, Thomas; Fries, Simon; Schweizer, Andreas; Schöffl, Isabelle; Janka, Rolf; Bongartz, Georg
2015-01-01
The objectives of this study were the evaluation of flexor tendon pulley rupture of the fingers in the crimp grip position using magnetic resonance imaging (MRI) and the comparison of the results with MRI in the neutral position in a cadaver study. MRI in the crimp grip position and in the neutral position was performed in 21 cadaver fingers with artificially created flexor tendon pulley tears (combined pulley rupture, n = 14; single pulley rupture, n = 7). Measurement of the distance between the tendon and bone was performed. Images were evaluated by two readers, first independently and in cases of discrepancy in consensus. Sensitivity and specificity for detecting combined pulley ruptures were calculated. Tendon bone distances were significantly higher in the crimp grip position than in the neutral position. Sensitivity and specificity for detecting combined pulley rupture were 92.86 % and 100 % respectively in the crimp grip position and 78.57 % and 85.71 % respectively in the neutral position. Kappa values for interobserver reliability were 0.87 in the crimp grip position and 0.59 in the neutral position. MRI examination in the crimp grip position results in higher tendon bone distances by subjecting the pulleys to a higher strain, which facilitates image evaluation with higher interobserver reliability, higher sensitivity, and higher specificity for combined pulley rupture compared with examination in the neutral position.
Morphological and clinical risk factors for posterior communicating artery aneurysm rupture.
Matsukawa, Hidetoshi; Fujii, Motoharu; Akaike, Gensuke; Uemura, Akihiro; Takahashi, Osamu; Niimi, Yasunari; Shinoda, Masaki
2014-01-01
Recent studies have shown that posterior circulation aneurysms, specifically posterior communicating artery (PCoA) aneurysms, are more likely to rupture than other aneurysms. To date, few studies have investigated the factors contributing to PCoA aneurysm rupture. The authors aimed to identify morphological and clinical characteristics predisposing to PCoA aneurysm rupture. The authors retrospectively reviewed 134 consecutive patients with PCoA aneurysms managed at their facility between July 2003 and December 2012. The authors divided patients into groups of those with aneurysmal rupture (n = 39) and without aneurysmal rupture (n = 95) and compared morphological and clinical characteristics. Morphological characteristics were mainly evaluated by 3D CT angiography and included diameter of arteries (anterior cerebral artery, middle cerebral artery, and internal carotid artery), size of the aneurysm, dome-to-neck ratio, neck direction of the aneurysmal dome around the PCoA (medial, lateral, superior, inferior, and posterior), aneurysm bleb formation, whether the PCoA was fetal type, and the existence of other intracranial unruptured aneurysm(s). Patients with ruptured PCoA aneurysms were significantly younger (a higher proportion were < 60 years of age) and a significantly higher proportion of patients with ruptured PCoA aneurysms showed a lateral direction of the aneurysmal dome around the PCoA, had bleb formation, and the aneurysm was > 7 mm in diameter and/or the dome-to-neck ratio was > 2.0. Multivariate logistic regression analysis showed age < 60 years (OR 4.3, p = 0.011), history of hypertension (OR 5.1, p = 0.008), lateral direction of the aneurysmal dome around the PCoA (OR 6.7, p = 0.0001), and bleb formation (OR 11, p < 0.0001) to be significantly associated with PCoA aneurysm rupture. The present results demonstrated that lateral projection of a PCoA aneurysm may be related to rupture.
Zhang, Xiaojuan; Yao, Zhixuan; Duan, Yanting; Zhang, Xiaomei; Shi, Jinsong; Xu, Zhenghong
2018-01-11
The specific recognition and binding of promoter and RNA polymerase is the first step of transcription initiation in bacteria and largely determines transcription activity. Therefore, direct analysis of the interaction between promoter and RNA polymerase in vitro may be a new strategy for promoter characterization, to avoid interference due to the cell's biophysical condition and other regulatory elements. In the present study, the specific interaction between T7 promoter and T7 RNA polymerase was studied as a model system using force spectroscopy based on atomic force microscope (AFM). The specific interaction between T7 promoter and T7 RNA polymerase was verified by control experiments, and the rupture force in this system was measured as 307.2 ± 6.7 pN. The binding between T7 promoter mutants with various promoter activities and T7 RNA polymerase was analyzed. Interaction information including rupture force, rupture distance and binding percentage were obtained in vitro , and reporter gene expression regulated by these promoters was also measured according to a traditional promoter activity characterization method in vivo Using correlation analysis, it was found that the promoter strength characterized by reporter gene expression was closely correlated with rupture force and the binding percentage by force spectroscopy. These results indicated that the analysis of the interaction between promoter and RNA polymerase using AFM-based force spectroscopy was an effective and valid approach for the quantitative characterization of promoters. © 2018 The Author(s). Published by Portland Press Limited on behalf of the Biochemical Society.
Westin, Olof; Nilsson Helander, Katarina; Grävare Silbernagel, Karin; Samuelsson, Kristian; Brorsson, Annelie; Karlsson, Jón
2018-04-24
The aim of this study was to perform a long-term follow-up of patients treated for an Achilles tendon re-rupture, using established outcome measurements for tendon structure, lower extremity function and symptoms, and to compare the results with those for the uninjured side. A secondary aim was to compare the outcome with that of patients treated for primary ruptures. The hypotheses were that patients with a re-rupture recover well, and have similar long-term outcome as primary ruptures. Twenty patients (4 females) with a mean (SD) age of 44 (10.9) years, ranging from 24 to 64, were included. The patients were identified by reviewing the medical records of all Achilles tendon ruptures at Sahlgrenska University Hospital and Kungsbacka Hospital, Sweden, between 2006 and 2016. All patients received standardised surgical treatment and rehabilitation. The mean (SD) follow-up was 51 (38.1) months. A test battery of validated clinical and functional tests, patient-reported outcome measurements and measurements of tendon elongation were performed at the final follow-up. This cohort was then compared with the 2-year follow-up results from a previous randomised controlled trial of patients treated for primary Achilles tendon rupture. There were deficits on the injured side compared with the healthy side in terms of heel-rise height (11.9 versus 12.5 cm, p = 0.008), repetitions (28.5 versus 31.7, p = 0.004) and drop-jump height (13.2 versus 15.1 cm, p = 0.04). There was a significant difference in calf circumference (37.1 versus 38.4 cm, p =< 0.001) and ankle dorsiflexion on the injured side compared with the healthy side (35.3° versus 40.8°, p = 0.003). However, no significant differences were found in terms of tendon length 22.5 (2.5) cm on the injured side and 21.8 (2.8) cm on the healthy side. Compared with primary ruptures, the re-rupture cohort obtained significantly worse results for the Achilles tendon total rupture score, with a mean of 78 (21.2) versus 89.5 (14.6) points, (p = 0.007). The re-ruptures showed a higher mean LSI heel-rise height, 94.7% (9.3%) versus 83.5% (11.7%) (p = < 0.0001), and superior mean LSI eccentric-concentic power, 110.4% (49.8%) versus 79.3% (21%) (p = 0.001), than the primary ruptures. The results of this study indicate that patients with an Achilles tendon re-rupture had continued symptoms and functional deficits on the injured side, after a long-term follow-up. Patients with an Achilles tendon re-rupture had worse patient-reported outcomes but similar or superior functional results compared with patients with primary ruptures. Case series, Level IV.
NASA Astrophysics Data System (ADS)
Bano, Fouzia; Banerji, Suneale; Howarth, Mark; Jackson, David G.; Richter, Ralf P.
2016-09-01
Glycosaminoglycans (GAGs), a category of linear, anionic polysaccharides, are ubiquitous in the extracellular space, and important extrinsic regulators of cell function. Despite the recognized significance of mechanical stimuli in cellular communication, however, only few single molecule methods are currently available to study how monovalent and multivalent GAG·protein bonds respond to directed mechanical forces. Here, we have devised such a method, by combining purpose-designed surfaces that afford immobilization of GAGs and receptors at controlled nanoscale organizations with single molecule force spectroscopy (SMFS). We apply the method to study the interaction of the GAG polymer hyaluronan (HA) with CD44, its receptor in vascular endothelium. Individual bonds between HA and CD44 are remarkably resistant to rupture under force in comparison to their low binding affinity. Multiple bonds along a single HA chain rupture sequentially and independently under load. We also demonstrate how strong non-covalent bonds, which are versatile for controlled protein and GAG immobilization, can be effectively used as molecular anchors in SMFS. We thus establish a versatile method for analyzing the nanomechanics of GAG·protein interactions at the level of single GAG chains, which provides new molecular-level insight into the role of mechanical forces in the assembly and function of GAG-rich extracellular matrices.
NASA Technical Reports Server (NTRS)
Greene, Nathanael; Saulsberry, Regor; Yoder, Tommy; Forsyth, Brad; Carillo, Marlene; Thesken, John
2006-01-01
A viewgraph presentation describing stress rupture testing on Composite Overwrapped Pressure Vessels (COPV) is shown. The topics include: 1) Purpose for Testing; 2) NASA WSTF COPV Test Program; 3) NASA WSTF Test Facilities; 4) COPV Impact Study; 5) Fluids Compatibility Testing; 6) Stress Rupture Testing; and 7) COPV Lifting.
Steady-state propagation speed of rupture fronts along one-dimensional frictional interfaces.
Amundsen, David Skålid; Trømborg, Jørgen Kjoshagen; Thøgersen, Kjetil; Katzav, Eytan; Malthe-Sørenssen, Anders; Scheibert, Julien
2015-09-01
The rupture of dry frictional interfaces occurs through the propagation of fronts breaking the contacts at the interface. Recent experiments have shown that the velocities of these rupture fronts range from quasistatic velocities proportional to the external loading rate to velocities larger than the shear wave speed. The way system parameters influence front speed is still poorly understood. Here we study steady-state rupture propagation in a one-dimensional (1D) spring-block model of an extended frictional interface for various friction laws. With the classical Amontons-Coulomb friction law, we derive a closed-form expression for the steady-state rupture velocity as a function of the interfacial shear stress just prior to rupture. We then consider an additional shear stiffness of the interface and show that the softer the interface, the slower the rupture fronts. We provide an approximate closed form expression for this effect. We finally show that adding a bulk viscosity on the relative motion of blocks accelerates steady-state rupture fronts and we give an approximate expression for this effect. We demonstrate that the 1D results are qualitatively valid in 2D. Our results provide insights into the qualitative role of various key parameters of a frictional interface on its rupture dynamics. They will be useful to better understand the many systems in which spring-block models have proved adequate, from friction to granular matter and earthquake dynamics.
Endocytic vesicle rupture is a conserved mechanism of cellular invasion by amyloid proteins.
Flavin, William P; Bousset, Luc; Green, Zachary C; Chu, Yaping; Skarpathiotis, Stratos; Chaney, Michael J; Kordower, Jeffrey H; Melki, Ronald; Campbell, Edward M
2017-10-01
Numerous pathological amyloid proteins spread from cell to cell during neurodegenerative disease, facilitating the propagation of cellular pathology and disease progression. Understanding the mechanism by which disease-associated amyloid protein assemblies enter target cells and induce cellular dysfunction is, therefore, key to understanding the progressive nature of such neurodegenerative diseases. In this study, we utilized an imaging-based assay to monitor the ability of disease-associated amyloid assemblies to rupture intracellular vesicles following endocytosis. We observe that the ability to induce vesicle rupture is a common feature of α-synuclein (α-syn) assemblies, as assemblies derived from WT or familial disease-associated mutant α-syn all exhibited the ability to induce vesicle rupture. Similarly, different conformational strains of WT α-syn assemblies, but not monomeric or oligomeric forms, efficiently induced vesicle rupture following endocytosis. The ability to induce vesicle rupture was not specific to α-syn, as amyloid assemblies of tau and huntingtin Exon1 with pathologic polyglutamine repeats also exhibited the ability to induce vesicle rupture. We also observe that vesicles ruptured by α-syn are positive for the autophagic marker LC3 and can accumulate and fuse into large, intracellular structures resembling Lewy bodies in vitro. Finally, we show that the same markers of vesicle rupture surround Lewy bodies in brain sections from PD patients. These data underscore the importance of this conserved endocytic vesicle rupture event as a damaging mechanism of cellular invasion by amyloid assemblies of multiple neurodegenerative disease-associated proteins, and suggest that proteinaceous inclusions such as Lewy bodies form as a consequence of continued fusion of autophagic vesicles in cells unable to degrade ruptured vesicles and their amyloid contents.
Endovascular Repair of Contained Rupture of the Thoracic Aorta
DOE Office of Scientific and Technical Information (OSTI.GOV)
Morgan, Robert; Loosemore, Tom; Belli, Anna-Maria
Purpose: To assess the efficacy of stent-grafts for the treatment of acute rupture of the thoracic aorta. Methods: Four patients with acute contained ruptures of the thoracic aorta were treated by insertion of stent-grafts. The underlying aortic lesions were aneurysm, acute aortic ulcer, acute type B dissection and giant cell aortitis. The procedures were performed under general anesthesia in three patients and local anesthesia in one patient. Results: All stent-grafts were successfully deployed. All patients survived the procedure and are now alive and well at follow-up (mean 6.3 months, range 44 days-16 months). One patient underwent a second stent proceduremore » 10 days after the first procedure because of a proximal endoleak. All hemothoraces have resolved. There were no complications. Conclusion:Treatment of acute contained ruptures of the thoracic aorta by the insertion of stent-grafts is feasible. The technical success rates,complication rates and patient survival compare favorably with emergency surgery.« less
Internal carotid artery rupture caused by carotid shunt insertion
Illuminati, Giulio; Caliò, Francesco G.; Pizzardi, Giulia; Vietri, Francesco
2015-01-01
Introduction Shunting is a well-accepted method of maintaining cerebral perfusion during carotid endarterectomy (CEA). Nonetheless, shunt insertion may lead to complications including arterial dissection, embolization, and thrombosis. We present a complication of shunt insertion consisting of arterial wall rupture, not reported previously. Presentation of case A 78-year-old woman underwent CEA combined with coronary artery bypass grafting (CABG). At the time of shunt insertion an arterial rupture at the distal tip of the shunt was detected and was repaired via a small saphenous vein patch. Eversion CEA and subsequent CABG completed the procedure whose postoperative course was uneventful. Discussion Shunting during combined CEA-CABG may be advisable to assure cerebral protection from possible hypoperfusion due to potential hemodynamic instability of patients with severe coronary artery disease. Awareness and prompt management of possible shunt-related complications, including the newly reported one, may contribute to limiting their harmful effect. Conclusion Arterial wall rupture is a possible, previously not reported, shunt-related complication to be aware of when performing CEA. PMID:26255001
Computational simulation of the creep-rupture process in filamentary composite materials
NASA Technical Reports Server (NTRS)
Slattery, Kerry T.; Hackett, Robert M.
1991-01-01
A computational simulation of the internal damage accumulation which causes the creep-rupture phenomenon in filamentary composite materials is developed. The creep-rupture process involves complex interactions between several damage mechanisms. A statistically-based computational simulation using a time-differencing approach is employed to model these progressive interactions. The finite element method is used to calculate the internal stresses. The fibers are modeled as a series of bar elements which are connected transversely by matrix elements. Flaws are distributed randomly throughout the elements in the model. Load is applied, and the properties of the individual elements are updated at the end of each time step as a function of the stress history. The simulation is continued until failure occurs. Several cases, with different initial flaw dispersions, are run to establish a statistical distribution of the time-to-failure. The calculations are performed on a supercomputer. The simulation results compare favorably with the results of creep-rupture experiments conducted at the Lawrence Livermore National Laboratory.
Boszotta, H; Wendrinsky, R; Sauer, G
1988-02-01
The arthroscopic examination of every recent haemarthrosis of the knee, even in cases without clinically obvious instability has increased the number of primary diagnosed ruptures of the LCA in the last years. The most frequent lesion of the LCA was the proximal rupture. The usual methods for the operative treatment of the ruptured LCA require the opening of the knee joint and cause the weakening of hamstrings, with all disadvantages connected with these procedures. Basing on the experiences in arthroscopic surgery of meniscal lesions and the good results of alloplastic augmentation an new method of arthroscopic refixation and augmentation of the torn LCA has been developed. The use of an arthroscopic meniscal stitcher enables anatomically exact reconstruction of the torn ligament through a femoral tunnel. Augmentation by an LAD-band (Kennedy) or Trevira band (Hoechst) allows postoperative functional treatment, avoiding atrophic degeneration of muscles and loss of mobility by immobilisation. Postoperative pain is reduced to a minimum compared to conventional technics. The period of rehabilitation is considerably shortened.
Is Statin Use Associated With Tendon Rupture? A Population-Based Retrospective Cohort Analysis.
Contractor, Tahmeed; Beri, Abhimanyu; Gardiner, Joseph C; Tang, Xiaoqin; Dwamena, Francesca C
2015-01-01
Previous case reports and small studies have suggested that 3-hydroxy-3-methylglutaryl-CoA reductase inhibitors (HMG-CoA-Is) may increase the risk of tendon rupture. We conducted a population-based retrospective cohort evaluation to better assess this relationship. From approximately 800,000 enrollees of a private insurance database, those who were aged ≤64 years with at least 1 year of continuous enrollment were selected. Exposure was defined as initiation of HMG-CoA-I after the beginning of the study period. Each exposed person was matched with 2 controls of similar age and gender. Baseline characteristics, including known risk factors for tendon rupture, were compared between exposed and control cohorts with fidelity to the study's matched design. After adjusting for differences in follow-up and baseline characteristics, incidence rate ratios for tendon rupture was assessed in HMG-CoA-I users and nonusers. A total of 34,749 exposed patients were matched with 69,498 controls. There was no difference in the occurrence of tendon ruptures in HMG-CoA-I users versus nonusers. The results remained unchanged after adjustment for age and gender. In conclusion, this population-based retrospective cohort evaluation suggests that use of HMG-CoA-Is as a group are not associated with tendon rupture.
Mtimba, L; Dhaffala, A; Molaoa, S Z
2017-06-01
Appendicectomy is the most commonly performed operation worldwide. The diagnosis is predominantly based on clinical findings. Some patients will clinically be unclear if ruptured or acute inflamed appendicitis; the level of white cell count has been used as the predictor for ruptured appendicitis. This was a retrospective chart review of paediatric surgical patients admitted at Nelson Mandela Central Hospital, Mthatha South Africa. A total of 214 patients with a diagnosis of acute appendicitis. Overall, the ruptured appendicitis was 62% and 38% were inflamed appendicitis. Nature of the acute appendicitis: White cell count, Inflamed, Ruptured, Total p-value < 9.9 21 30 51 0.075, 10-14.9 28 54 82 0.0, 15-19.9 17 29 46 0.012, 20-29.9 5 26 31 0.0 > 30 0 4 4. This study has demonstrated that in patients who are diagnosed with acute appendicitis clinically, the normal white cell count does not necessarily rule out ruptured acute appendicitis. But the risks of ruptured acute appendicitis increase with the increase level of white cell count.
NASA Astrophysics Data System (ADS)
Soto-Cordero, L.; Nealy, J. L.; Meltzer, A.; Agurto-Detzel, H.; Alvarado, A. P.; Beck, S. L.; Benz, H.; Bergman, E. A.; Charvis, P.; Font, Y.; Hayes, G. P.; Hernandez, S.; Hoskins, M.; Leon Rios, S.; Lynner, C.; Regnier, M. M.; Rietbrock, A.; Stachnik, J. C.; Yeck, W. L.
2017-12-01
On April 16, 2016, a Mw7.8 earthquake, associated with oblique subduction of the Nazca Plate under South America, ruptured a segment approximately 130x100km in the region north of the intersection of the Carnegie ridge with the Ecuador subduction zone. The rupture coincides with the rupture area of the Mw7.8 1942 earthquake. To characterize the aftershock sequence, we analyze seismic data recorded by 30 stations from April 17, 2016 to May 8, 2017; 11 stations belong to Ecuador's national network and 19 are part of a PASSCAL temporary deployment. We apply a kurtosis detector to obtain automatic P- and S-wave picks. Earthquake locations, magnitudes, and regional moment tensors are obtained using the U.S. Geological Survey National Earthquake Information Center (NEIC) processing system. We also determine calibrated relocations using the Hypocentroidal Decomposition approach for a subset of events for which we combine phase readings from local and temporary PASSCAL stations with regional and teleseismic phase readings from the NEIC. In contrast with other earthquake relocation approaches, this method evaluates absolute location uncertainties for each event in the cluster, which allows us to more confidently assess the relationships between mainshock slip and aftershock activity. We find the aftershock sequence is characterized by a series of event clusters that predominantly surround the main rupture patches. However, the aftershocks extend beyond the mainshock rupture area, covering a region approximately 250x100km. Aftershocks north of the 2016 rupture fall in the rupture area of the Mw7.7 1958 earthquake. The southernmost region of elevated seismicity occurs south of a region of low coupling where the Carnegie ridge meets the subduction zone. The characterization of this sequence allows a detailed spatial and temporal analysis of the rupture processes, stress patterns and slip behavior during this earthquake sequence in Ecuador subduction zone.
NASA Astrophysics Data System (ADS)
Harrington, Jonathan; Wang, Teng; Feng, Guangcai; Akoglu, Ahmet; Jónsson, Sigurjón; Motagh, Mahdi
2014-05-01
The M 7.7 earthquake in the Balochistan province of Pakistan on September 24th, 2013 took place along a subsidiary fault in the transition area between the Makran accretionary prism and the Chaman transform fault. This tectonics of the Indian and Arabian plate collisions with Eurasia produce primarily oblique left-lateral strike slip in this region. In this work, measurements of displacement and mapping of the rupture trace are achieved through image correlation of Landsat 8 images and SAR offset tracking of TerraSAR-X data. Horizontal displacements from both methods and derived vertical displacements are used to constrain a fault rupture model for the earthquake. Preliminary results show a surprisingly uniform slip distribution with maximum displacement near the surface. The total fault rupture length is ~210 km, with up to 9 m of left-lateral strike-slip and 3 m of reverse faulting. Additionally, mapping of the rupture trace is made use of for geomorphological observations relating to slip rates and identification of transpressional and transtensional features. Our results indicate a mostly smooth rupture trace, with the presence of two restraining steps, a releasing bend and a 3 km long sliver where the surface rupture jumped from the foot of the range-front into the alluvial fans at their base. A small block at one of the restraining steps shows intermediate displacement in both data sets. At the southern end of the rupture we observe that displacement from the earthquake cuts across a fold-and-thrust belt of the Makran accretionary prism. Preliminary results show a minimum of 12 km of repeated section of the accretionary wedge, and within the southern repeated section we find an offset of 600 m between two parallel ridges across the rupture trace. We relate these observations to conceptual models of fault segmentation and growth.
Analysis of constant tension-induced rupture of lipid membranes using activation energy.
Karal, Mohammad Abu Sayem; Levadnyy, Victor; Yamazaki, Masahito
2016-05-11
The stretching of biomembranes and lipid membranes plays important roles in various physiological and physicochemical phenomena. Here we analyzed the rate constant kp of constant tension-induced rupture of giant unilamellar vesicles (GUVs) as a function of tension σ using their activation energy Ua. To determine the values of kp, we applied constant tension to a GUV membrane using the micropipette aspiration method and observed the rupture of GUVs, and then analyzed these data statistically. First, we investigated the temperature dependence of kp for GUVs of charged lipid membranes composed of negatively charged dioleoylphosphatidylglycerol (DOPG) and electrically neutral dioleoylphosphatidylcholine (DOPC). By analyzing this result, the values of Ua of tension-induced rupture of DOPG/DOPC-GUVs were obtained. Ua decreased with an increase in σ, supporting the classical theory of tension-induced pore formation. The analysis of the relationship between Ua and σ using the theory on the electrostatic interaction effects on the tension-induced rupture of GUVs provided the equation of Ua including electrostatic interaction effects, which well fits the experimental data of the tension dependence of Ua. A constant which does not depend on tension, U0, was also found to contribute significantly to Ua. The Arrhenius equations for kp using the equation of Ua and the parameters determined by the above analysis fit well to the experimental data of the tension dependence of kp for DOPG/DOPC-GUVs as well as for DOPC-GUVs. On the basis of these results, we discussed the possible elementary processes underlying the tension-induced rupture of GUVs of lipid membranes. These results indicate that the Arrhenius equation using the experimentally determined Ua is useful in the analysis of tension-induced rupture of GUVs.
Kim, Sang Heum; Kong, Min Ho
2017-01-01
Objective Aneurysm clipping and simultaneous hematoma evacuation through open craniotomy is traditionally recommended for ruptured cerebral aneurysms accompanied by intracerebral or intrasylvian hemorrhages. We report our experience of adapting a less invasive treatment strategy in poor-grade patients with intracerebral or intrasylvian hemorrhages associated with ruptured cerebral aneurysms, where the associated ruptured cerebral aneurysms were managed by endovascular coil embolization, followed by stereotactic aspiration of hematomas (SRH) using urokinase. Materials and Methods We retrospectively analyzed 112 patients with ruptured cerebral aneurysms. There were accompanying intracerebral or intrasylvian hemorrhages in 36 patients (32.1%). The most common site for these ruptured aneurysms was the middle cerebral artery (MCA) (n = 15; 41.6%). Endovascular coil embolization followed by SRH using urokinase was performed in 9 patients (25%). Results In these 9 patients, the most common site of aneurysms was the MCA (n = 3; 33.4%); the hematoma volume ranged from 19.24 to 61.68 mL. Four patients who were World Federation of Neurological Surgeons (WFNS) grade-IV on admission, achieved favorable outcomes (Glasgow Outcome Score [GOS] 4 or 5) at 6-months postoperatively. In the five patients who were WFNS grade-V on admission, one achieved a favorable outcome, whereas 4 achieved GOS scores of 2 or 3, 6-months postoperatively. There was no mortality. Conclusion If immediate hematoma evacuation is not mandated by clinical or radiological signs of brain herniation, a less invasive strategy, such as endovascular coil embolization followed by SRH using urokinase, may be a good alternative in poor-grade patients with intracerebral or intrasylvian hemorrhages associated with ruptured cerebral aneurysms. PMID:29152466
Different Achilles Tendon Pathologies Show Distinct Histological and Molecular Characteristics
Minkwitz, Susann; Schmock, Aysha; Bormann, Nicole; Kurtoglu, Alper; Tsitsilonis, Serafeim; Manegold, Sebastian
2018-01-01
Reasons for the development of chronic tendon pathologies are still under debate and more basic knowledge is needed about the different diseases. The aim of the present study was therefore to characterize different acute and chronic Achilles tendon disorders. Achilles tendon samples from patients with chronic tendinopathy (n = 7), chronic ruptures (n = 6), acute ruptures (n = 13), and intact tendons (n = 4) were analyzed. The histological score investigating pathological changes was significantly increased in tendinopathy and chronic ruptures compared to acute ruptures. Inflammatory infiltration was detected by immunohistochemistry in all tendon pathology groups, but was significantly lower in tendinopathy compared to chronic ruptures. Quantitative real-time PCR (qRT-PCR) analysis revealed significantly altered expression of genes related to collagens and matrix modeling/remodeling (matrix metalloproteinases, tissue inhibitors of metalloproteinases) in tendinopathy and chronic ruptures compared to intact tendons and/or acute ruptures. In all three tendon pathology groups markers of inflammation (interleukin (IL) 1β, tumor necrosis factor α, IL6, IL10, IL33, soluble ST2, transforming growth factor β1, cyclooxygenase 2), inflammatory cells (cluster of differentaition (CD) 3, CD68, CD80, CD206), fat metabolism (fatty acid binding protein 4, peroxisome proliferator-activated receptor γ, CCAAT/enhancer-binding protein α, adiponectin), and innervation (protein gene product 9.5, growth associated protein 43, macrophage migration inhibitory factor) were detectable, but only in acute ruptures significantly regulated compared to intact tendons. The study gives an insight into structural and molecular changes of pathological processes in tendons and might be used to identify targets for future therapy of tendon pathologies. PMID:29385715
Spontaneous tendon rupture in systemic lupus erythematosus: association with Jaccoud's arthropathy.
Alves, E M; Macieira, J C; Borba, E; Chiuchetta, F A; Santiago, M B
2010-03-01
Tendon rupture has rarely been described in patients with systemic lupus erythematosus. From observation of three cases of Jaccoud's arthropathy with tendon rupture, and considering that this arthropathy is more related to an inflammatory process of the tendon sheath than to synovitis per se, the intention of this study was to review the cases of tendon rupture in patients with systemic lupus erythematosus, in the hope of determining the frequency of Jaccoud's arthropathy associated with this complication. Systematic review using MEDLINE, Scielo and LILACS databases (1966 to 2009) and the following keywords: systemic lupus erythematosus, tendon rupture, Jaccoud's arthropathy. Secondary references were additionally obtained. Additionally, three Brazilian systemic lupus erythematosus patients who developed tendon rupture are described. Only 40 articles obtained fulfilled the previously established criteria. They were all case reports; the number of cases reported was 52 which, together with the three cases presented herein add up to 55 cases. Forty-six patients were women aged between 19 and 71 years, with a mean age of 40.1 +/- 12.4 years, and the average duration of the disease was 10 years. The most frequently observed rupture sites were the patellar and Achilles' tendons. While almost all patients described were on various doses of corticosteroids, 16 patients concomitantly had Jaccoud's arthropathy (29%). In conclusion, the association between Jaccoud's arthropathy and tendon rupture in systemic lupus erythematosus has been underestimated. As almost one-third of the systemic lupus erythematosus patients with tendon rupture also have Jaccoud's arthropathy, this arthropathy may be recognized as risk marker for tendon rupture.
NASA Astrophysics Data System (ADS)
Jeanne, Pierre; Guglielmi, Yves; Rutqvist, Jonny; Nussbaum, Christophe; Birkholzer, Jens
2018-02-01
We studied the relation between rupture and changes in permeability within a fault zone intersecting the Opalinus Clay formation at 300 m depth in the Mont Terri Underground Research Laboratory (Switzerland). A series of water injection experiments were performed in a borehole straddle interval set within the damage zone of the main fault. A three-component displacement sensor allowed an estimation of the displacement of a minor fault plane reactivated during a succession of step rate pressure tests. The experiment reveals that the fault hydromechanical (HM) behavior is different from one test to the other with varying pressure levels needed to trigger rupture and different slip behavior under similar pressure conditions. Numerical simulations were performed to better understand the reason for such different behavior and to investigate the relation between rupture nucleation, permeability change, pressure diffusion, and rupture propagation. Our main findings are as follows: (i) a rate frictional law and a rate-and-state permeability law can reproduce the first test, but it appears that the rate constitutive parameters must be pressure dependent to reproduce the complex HM behavior observed during the successive injection tests; (ii) almost similar ruptures can create or destroy the fluid diffusion pathways; (iii) a too high or too low diffusivity created by the main rupture prevents secondary rupture events from occurring whereas "intermediate" diffusivity favors the nucleation of a secondary rupture associated with the fluid diffusion. However, because rupture may in certain cases destroy permeability, this succession of ruptures may not necessarily create a continuous hydraulic pathway.
Krill, Michael K; Borchers, James R; Hoffman, Joshua T; Krill, Matthew L; Hewett, Timothy E
2017-09-01
Achilles tendon (AT) ruptures are a potentially career-altering and ending injury. Achilles tendon ruptures have a below average return-to-play rate compared to other common orthopaedic procedures for National Football League (NFL) players. The objective of this study was to monitor the incidence and injury rates (IR) of AT ruptures that occurred during the regular season in order to evaluate the influence of player position, time of injury, and playing surface on rupture rates. A thorough online review was completed to identify published injury reports and public information regarding AT ruptures sustained during regular season and post-season games in the National Football League (NFL) during the 2009-10 to 2016-17 seasons. Team schedules, player position details and stadium information was used to determine period of the season of injury and playing surface. IRs were calculated per 100 team games (TG). Injury rate ratios (IRR) were utilized to compare IRs. During eight monitored seasons, there were 44 AT ruptures in NFL games. A majority of AT ruptures were sustained in the first eight games of the regular season (n = 32, 72.7%). There was a significant rate difference for the first and second four-game segments of the regular season compared to the last two four-game segments of the regular season. Defensive players suffered a majority of AT ruptures (n = 32, 72.7%). The IR on grass was 1.00 per 100 TG compared to 1.08 per 100 TG on artificial turf (IRR: 0.93, p = .80). A significant increase in AT ruptures occurred in the first and second four game segments of the regular season compared to the last two-four game segments of the regular season. Defensive players suffered a majority of AT ruptures compared to offensive or specialist players. There was no difference between AT rupture rates and playing surface in games.
Jin, Wook; Ryu, Kyung Nam; Kim, Gou Young; Kim, Hyun Cheol; Lee, Jae Hoon; Park, Ji Seon
2008-02-01
The purpose of this study was to retrospectively evaluate the sonographic findings of ruptured epidermal inclusion cysts in superficial soft tissue, with an emphasis on shapes, pericystic changes, and pericystic vascularity. The cases of 61 patients with surgically confirmed epidermal inclusion cysts were reviewed, and 13 patients were found to have ruptured cysts. The Ethics Committees of our institutions did not require patient approval or informed patient consent for this retrospective study. We evaluated the shapes, sizes, locations, pericystic changes, and pericystic vascularity for the 13 cases. The shapes of the ruptured epidermal inclusion cysts were classified into 3 types: with lobulations (type I, 2 cases), with protrusions (type II, 8 cases), and with abscess pocket formations (type III, 3 cases). The mean long diameter of the cysts was 3 cm. Common sites of ruptured epidermal inclusion cysts were the plantar surface of the metatarsophalangeal joint (4 cases) and buttocks (3 cases). Pericystic changes were noted in all of the type II and III cysts. Increased vascularity on color Doppler sonography was prominent in 3 type II cysts and 3 type III cysts. Deep abscess formation was noted in the epidermal inclusion cysts, especially for the type III cysts. A ruptured epidermal inclusion cyst visualized by sonography had variable shapes; the sonographic findings can be useful for obtaining a correct diagnosis of a ruptured epidermal inclusion cyst.
May, James; White, Geoffrey H; Stephen, Michael S; Harris, John P
2004-11-01
The purpose of this single-center study was to compare findings at presentation and surgical outcome in patients in whom abdominal aortic aneurysms (AAAs) ruptured after endovascular repair and patients in whom AAAs ruptured before any treatment, over a defined period. From May 1992 to September 2003, 1043 patients underwent elective repair of intact infrarenal AAAs. Endovascular repair was performed in 609 patients, and open repair in 434 patients. Eighteen of 609 patients (3%) who underwent endovascular AAA repair required treatment because of rupture of the aneurysm after a mean of 29 months (group 1). During the same 11-year period, another 91 patients without previous treatment required urgent repair of a ruptured AAA (group 2). Rupture was diagnosed at contrast material-enhanced computed tomography or by presence of extramural extravasation of blood at open repair. Except for a higher incidence of women in group 2, patients in both groups were similar with regard to demographics and clinical characteristics but differed in findings at presentation. Eight patients in group 1 had a known endoleak before AAA rupture, whereas contrast-enhanced computed tomography, performed in 15 patients at presentation, demonstrated an endoleak in all. Hypotension (systolic blood pressure <100 mm Hg) was noted at presentation in 4 of 18 patients (22%) in group 1 and 76 of 91 patients (84%) in group 2. All patients underwent open repair via a transperitoneal approach, except for 4 patients in group 1 and 3 patients in group 2 who underwent endovascular repair of ruptured AAAs. The proportion of patients with hypotension at presentation in group 1 (4 of 18) was significantly less than in group 2 (76 of 91; P < .01). The difference in perioperative (30 day) mortality rate in group 1 (3 of 18; 16.6%) compared with group 2 (49 of 91; 53.8%) was also significant (P < .01). The outcome in group 1 was therefore superior to that in group 2. This study confirms that endovascular AAA repair complicated by endoleak does not prevent rupture. The data suggest, however, that rupture, when it occurs in these circumstances, may not be accompanied by such major hemodynamic changes and high mortality as rupture of an untreated AAA. Further long-term follow-up and analysis in a larger group of patients are required to confirm the apparent intermediate level of protection afforded by failed endovascular repair, which does not prevent rupture but enhances survival after operation to treat rupture, possibly by ameliorating the hemodynamic changes associated with the rupture process.
Treatment of acute Achilles tendon ruptures in Central Finland Central Hospital in 2010-2015.
Reito, Aleksi; Logren, Hanna-Liina; Ahonen, Katri; Nurmi, Heikki; Paloneva, Juha
The epidemiology of Achilles tendon ruptures and treatment strategies have undergone a major change in recent years. We investigated the incidence of acute Achilles tendon ruptures, the choice of treatment strategies and treatment implementation. The research material consisted of patients living in the catchment area of Central Finland Hospital District who had been diagnosed with an acute Achilles tendon rupture between 2010 and 2015. The final sample consisted of 266 patients. Conservative treatment was started for 207 patients, and the remaining 59 were referred for surgery. During the study period, the proportion of patients undergoing surgery fell from 41% to 10%. Three patients (1.4%) were referred for surgery during conservative treatment, and 10 patients (4.7%) developed deep vein thrombosis while wearing a cast or an orthosis. Twelve patients (5.8%) sustained a re-rupture after conservative treatment. Two surgically-treated patients (3.5%) sustained a re-rupture, and one patient (1.7%) developed deep vein thrombosis. The strategies for treating acute Achilles tendon ruptures have clearly become more conservative in our hospital. Conservative treatment is safe and rarely fails. However, it is important to bear in mind that surgery still has a role in the treatment of acute Achilles tendon ruptures.
Zhang, Ying; Jing, Linkai; Liu, Jian; Li, Chuanhui; Fan, Jixing; Wang, Shengzhang; Li, Haiyun; Yang, Xinjian
2016-08-01
To identify clinical, morphological, and hemodynamic independent characteristic factors that discriminate posterior communicating artery (PCoA) aneurysm rupture status. 173 patients with single PCoA aneurysms (108 ruptured, 65 unruptured) between January 2012 and June 2014 were retrospectively collected. Patient-specific models based on their three-dimensional digital subtraction angiography images were constructed and analyzed by a computational fluid dynamic method. All variables were analyzed by univariate analysis and multivariate logistic regression analysis. Two clinical factors (younger age and atherosclerosis), three morphological factors (higher aspect ratio, bifurcation type, and irregular shape), and six hemodynamic factors (lower mean and minimum wall shear stress, higher oscillatory shear index, a greater portion of area under low wall shear stress, unstable and complex flow pattern) were significantly associated with PCoA aneurysm rupture. Independent factors characterizing the rupture status were identified as age (OR 0.956, p=0.015), irregular shape (OR 6.709, p<0.001), and minimum wall shear stress (OR 0.001, p=0.038). We combined clinical, morphological, and hemodynamic characteristics analysis and found the three strongest independent factors for PCoA aneurysm rupture were younger age, irregular shape, and low minimum wall shear stress. This may be useful for guiding risk assessments and subsequent treatment decisions for PCoA aneurysms. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/
Andrews, D.J.; Ma, Shuo
2010-01-01
Large dynamic stress off the fault incurs an inelastic response and energy loss, which contributes to the fracture energy, limiting the rupture and slip velocity. Using an explicit finite element method, we model three-dimensional dynamic ruptures on a vertical strike-slip fault in a homogeneous half-space. The material is subjected to a pressure-dependent Drucker-Prager yield criterion. Initial stresses in the medium increase linearly with depth. Our simulations show that the inelastic response is confined narrowly to the fault at depth. There the inelastic strain is induced by large dynamic stresses associated with the rupture front that overcome the effect of the high confining pressure. The inelastic zone increases in size as it nears the surface. For material with low cohesion (~5 MPa) the inelastic zone broadens dramatically near the surface, forming a "flowerlike" structure. The near-surface inelastic strain occurs in both the extensional and the compressional regimes of the fault, induced by seismic waves ahead of the rupture front under a low confining pressure. When cohesion is large (~10 MPa), the inelastic strain is significantly reduced near the surface and confined mostly to depth. Cohesion, however, affects the inelastic zone at depth less significantly. The induced shear microcracks show diverse orientations near the surface, owing to the low confining pressure, but exhibit mostly horizontal slip at depth. The inferred rupture-induced anisotropy at depth has the fast wave direction along the direction of the maximum compressive stress.
Treatment of acute achilles tendon rupture with the panda rope bridge technique.
Yin, Liangjun; Wu, Yahong; Ren, Changsong; Wang, Yizhong; Fu, Ting; Cheng, Xiangjun; Li, Ruidong; Nie, Mao; Mu, Yuan
2018-03-01
Although nonsurgical methods and many surgical techniques have been developed for repairing a ruptured Achilles tendon, there is no consensus on its best treatment. In this article, a novel minimally invasive technique called the Panda Rope Bridge Technique (PRBT) is described. Patient with acute Achilles tendon rupture was operated on in the prone position. The PRBT begin with making the proximal bridge anchor (Krackow sutures in the myotendinous junction), the distal bridge anchor (two suture anchors in the calcaneus bone) and the ropes (threads of the suture anchors) stretched between the anchor sites. Then a small incision was made to debride and reattach the stumps of ruptured tendon. After the surgery, no cast or splint fixation was applied. All patients performed enhanced recovery after surgery (ERAS), which included immediate ankle mobilisation from day 1, full weight-bearing walking from day 5 to 7, and gradually take part in athletic exercises from 8 weeks postoperatively. PBRT was performed in 11patients with acute Achilles tendon rupture between June 2012 and June 2015. No wound infection, fistula, skin necrosis, sural nerve damage, deep venous thrombosis or tendon re-rupture was found. One year after the surgery, all patients reported 100 AOFAS ankle-hindfoot score points and the mean ATRS was 96.6. The PRBT is a simple, effective and minimally invasive technique, with no need for immobilisation of the ankle, making possible immediate and aggressive postoperative rehabilitation. Copyright © 2018 Elsevier Ltd. All rights reserved.
Barfod, Kristoffer Weisskirchner; Hansen, Maria Swennergren; Holmich, Per; Troelsen, Anders; Kristensen, Morten Tange
2016-11-29
Early controlled ankle motion is widely used in the non-operative treatment of acute Achilles tendon rupture, though its safety and efficacy have never been investigated in a randomized setup. The objectives of this study are to investigate if early controlled motion of the ankle affects functional and patient-reported outcomes. The study is performed as a blinded, randomized, controlled trial with patients allocated in a 1:1 ratio to one of two parallel groups. Patients aged from 18 to 70 years are eligible for inclusion. The intervention group performs early controlled motion of the ankle in weeks 3-8 after rupture. The control group is immobilized. In total, 130 patients will be included from one big orthopedic center over a period of 2½ years. The primary outcome is the patient-reported Achilles tendon Total Rupture Score evaluated at 12 months post-injury. Secondary outcome measures are the heel-rise work test, Achilles tendon elongation, and the rate of re-rupture. The primary analysis will be conducted as intention-to-treat analyses. This trial is the first to investigate the safety and efficacy of early controlled motion in the treatment of acute Achilles tendon rupture in a randomized setup. The study uses the patient-reported outcome measure, the Achilles tendon Total Rupture Score, as the primary endpoint, as it is believed to be the best surrogate measure for the tendon's actual capability to function in everyday life. ClinicalTrials.gov: NCT02015364 . Registered on 13 December 2013.
Jin, Rihao; Jin, Yu; Fang, Xiulin
2006-07-01
To discuss applied anatomy, biomechanics and surgical procedures of long peroneal muscles tendon transposition in repair of occlusive achilles tendon rupture. The blood supply and the morphology of long peroneal muscles tendon were observed in the lower extremity of 50 sides adult specimens and the mechanical tests which stretch load on the tendon were carried out. The methods were designed on the basis of the anatomical characteristics and morphology. Ten patients suffering occlusive Achilles tendon rupture were treated by using long peroneal muscles tendon transposition from March 2001 to July 2004. Among 10 patients, there were 7 males and 3 females, aging 32 to 54 years including 6 cases of jump injury, 2 cases of bruise, 1 case of step vacancy and 1 case of spontaneity injury. The interval between injury and surgery was 6 hours to 7 days in 7 fresh rupture and 21 days to 3 months in 3 old rupture. All cases belonged to occlusive Achilles tendon rupture (8 cases of complete rupture and 2 cases of incomplete rupture). The origin of long peroneal muscles was proximal tibia and fibular head, the end of them was base of first metatarsal bones and medial cuboid. The length of tendon was 13.5 +/- 2.5 cm. The width of origin tendon was 0.9 +/- 0.2 cm and the thickness was 0.3 +/- 0.1 cm; the width on apex of lateral malleolus was 0.7 +/- 0.1 cm and the thickness was 0.4 +/- 0.1 cm, the width on head of cuboid was 0.7 +/- 0.1 cm and the thickness was 0.3 +/- 0.1 cm. The long peroneal muscles tendon had abundant blood supply. The results of mechanical test showed that the biggest load was 2,292.4 +/- 617.3 N on tendon calcaneus, 1,020.4 +/- 175.4 N on long peroneal muscles tendon, 752.0 +/- 165.4 N on peroneus brevis tendon and 938.2 +/- 216.7 N on tibialis posterior tendon. Ten cases of occlusive Achilles tendon rupture achieved healing by first intention and were followed up 18-24 months. No Achilles tendon re-rupture, necrosis of skin or other complications occurred. According to Amerind-holm criterion for curative results, the results were excellent in 7 cases and good in 3 cases and the excellent and good rate was 100%. The long peroneal muscles tendon transposition is a perfect and simple way to repair occlusive Achilles tendon rupture.
Yan, Chenguang; Hao, Zhiguo; Zhang, Song; Zhang, Baohui; Zheng, Tao
2015-01-01
Power transformer rupture and fire resulting from an arcing fault inside the tank usually leads to significant security risks and serious economic loss. In order to reveal the essence of tank deformation or explosion, this paper presents a 3-D numerical computational tool to simulate the structural dynamic behavior due to overpressure inside transformer tank. To illustrate the effectiveness of the proposed method, a 17.3MJ and a 6.3MJ arcing fault were simulated on a real full-scale 360MVA/220kV oil-immersed transformer model, respectively. By employing the finite element method, the transformer internal overpressure distribution, wave propagation and von-Mises stress were solved. The numerical results indicate that the increase of pressure and mechanical stress distribution are non-uniform and the stress tends to concentrate on connecting parts of the tank as the fault time evolves. Given this feature, it becomes possible to reduce the risk of transformer tank rupture through limiting the fault energy and enhancing the mechanical strength of the local stress concentrative areas. The theoretical model and numerical simulation method proposed in this paper can be used as a substitute for risky and costly field tests in fault overpressure analysis and tank mitigation design of transformers. PMID:26230392
Yan, Chenguang; Hao, Zhiguo; Zhang, Song; Zhang, Baohui; Zheng, Tao
2015-01-01
Power transformer rupture and fire resulting from an arcing fault inside the tank usually leads to significant security risks and serious economic loss. In order to reveal the essence of tank deformation or explosion, this paper presents a 3-D numerical computational tool to simulate the structural dynamic behavior due to overpressure inside transformer tank. To illustrate the effectiveness of the proposed method, a 17.3 MJ and a 6.3 MJ arcing fault were simulated on a real full-scale 360MVA/220kV oil-immersed transformer model, respectively. By employing the finite element method, the transformer internal overpressure distribution, wave propagation and von-Mises stress were solved. The numerical results indicate that the increase of pressure and mechanical stress distribution are non-uniform and the stress tends to concentrate on connecting parts of the tank as the fault time evolves. Given this feature, it becomes possible to reduce the risk of transformer tank rupture through limiting the fault energy and enhancing the mechanical strength of the local stress concentrative areas. The theoretical model and numerical simulation method proposed in this paper can be used as a substitute for risky and costly field tests in fault overpressure analysis and tank mitigation design of transformers.
The inflammatory response to ruptured abdominal aortic aneurysm is altered by endovascular repair.
Makar, R R; Badger, S A; O'Donnell, M E; Soong, C V; Lau, L L; Young, I S; Hannon, R J; Lee, B
2013-01-01
Introduction. Ruptured abdominal aortic aneurysm (rAAA) causes a significant inflammatory response. The study aims to investigate this response following endovascular and open repair of ruptured AAA. Patients and Methods. Consecutive rAAA patients had either endovascular aneurysm repair (EVAR) or open repair (OR). Blood samples were taken for cytokines, lipid hydroperoxides (LOOH), antioxidants, and neutrophil elastase/ α 1-anti-trypsin complexes (NE/AAT) before surgery, 6 hours after clamp release and 1, 3, 5 days postoperatively. Results. 30 patients were included in the study, with 14 undergoing eEVAR and 16 eOR, with comparable baseline comorbidities, age, and parameters. IL-6 peaked higher in eOR patients (P = 0.04), while p75TNFr was similar between groups except at day 5 (P = 0.04). The NE/AAT concentrations were higher in eOR patients (P = 0.01), particularly in the first postoperative day, and correlated with blood (r = 0.398, P = 0.029) and platelet (r = 0.424, P = 0.020) volume transfused. C-reactive protein rose and lipid hydroperoxide fell in both groups without significant intergroup difference. Vitamins C and E, lycopene, and β -carotene levels were similar between groups. Conclusion. EVAR is associated with lower systemic inflammatory response compared to OR. Its increased future use may thereby improve outcomes for patients.
The Inflammatory Response to Ruptured Abdominal Aortic Aneurysm Is Altered by Endovascular Repair
Makar, R. R.; Badger, S. A.; O'Donnell, M. E.; Soong, C. V.; Lau, L. L.; Young, I. S.; Hannon, R. J.; Lee, B.
2013-01-01
Introduction. Ruptured abdominal aortic aneurysm (rAAA) causes a significant inflammatory response. The study aims to investigate this response following endovascular and open repair of ruptured AAA. Patients and Methods. Consecutive rAAA patients had either endovascular aneurysm repair (EVAR) or open repair (OR). Blood samples were taken for cytokines, lipid hydroperoxides (LOOH), antioxidants, and neutrophil elastase/α1-anti-trypsin complexes (NE/AAT) before surgery, 6 hours after clamp release and 1, 3, 5 days postoperatively. Results. 30 patients were included in the study, with 14 undergoing eEVAR and 16 eOR, with comparable baseline comorbidities, age, and parameters. IL-6 peaked higher in eOR patients (P = 0.04), while p75TNFr was similar between groups except at day 5 (P = 0.04). The NE/AAT concentrations were higher in eOR patients (P = 0.01), particularly in the first postoperative day, and correlated with blood (r = 0.398, P = 0.029) and platelet (r = 0.424, P = 0.020) volume transfused. C-reactive protein rose and lipid hydroperoxide fell in both groups without significant intergroup difference. Vitamins C and E, lycopene, and β-carotene levels were similar between groups. Conclusion. EVAR is associated with lower systemic inflammatory response compared to OR. Its increased future use may thereby improve outcomes for patients. PMID:24363936
Study of the Seismic Source in the Jalisco Block
NASA Astrophysics Data System (ADS)
Gutierrez, Q. J.; Escudero, C. R.; Nunez-Cornu, F. J.; Ochoa, J.; Cruz, L. H.
2013-05-01
The direct measure of the earthquake fault dimension and the orientation, as well as the direction of slip represent a complicated task nevertheless a better approach is using the seismic waves spectrum and the direction of P-first motions observed at each station. With these methods we can estimate the seismic source parameters like the stress drop, the corner frequency which is linked to the rupture duration time, the fault radius (For the particular case of a circular fault), the rupture area, the seismic moment , the moment magnitude and the focal mechanisms. The study area where were estimated the source parameters comprises the complex tectonic configuration of Jalisco block, that is delimited by the mesoamerican trench at the west, the Colima grabben to the south, and the Tepic-Zacoalco to the north The data was recorded by the MARS network (Mapping the Riviera Subduction Zone) and the RESAJ network. MARS had 50 stations and settled in the Jalisco block; for a period of time, of January 1, 2006 until June, 2007, the magnitude range of these was between 3 to 6.5 MB. RESJAL has 10 stations and is within the state of Jalisco, began to record since October 2011 and continues to record. Before of apply the method we firs remove the trend, the mean and the instrument response and we corrected for attenuation; then manually chosen the S wave, the multitaper method was used to obtain the spectrum of this wave and so estimate the corner frequency and the spectra level. We substitute the obtained in the equations of the Brune model to calculate the source parameters. To calculate focal mechanisms HASH software was used which determines the most likely mechanism. The main propose of this study is estimate earthquake seismic source parameters with the objective of that helps to understand the physics of earthquake rupture mechanism in the area.
Reproducing the scaling laws for Slow and Fast ruptures
NASA Astrophysics Data System (ADS)
Romanet, Pierre; Bhat, Harsha; Madariaga, Raúl
2017-04-01
Modelling long term behaviour of large, natural fault systems, that are geometrically complex, is a challenging problem. This is why most of the research so far has concentrated on modelling the long term response of single planar fault system. To overcome this limitation, we appeal to a novel algorithm called the Fast Multipole Method which was developed in the context of modelling gravitational N-body problems. This method allows us to decrease the computational complexity of the calculation from O(N2) to O(N log N), N being the number of discretised elements on the fault. We then adapted this method to model the long term quasi-dynamic response of two faults, with step-over like geometry, that are governed by rate and state friction laws. We assume the faults have spatially uniform rate weakening friction. The results show that when stress interaction between faults is accounted, a complex spectrum of slip (including slow-slip events, dynamic ruptures and partial ruptures) emerges naturally. The simulated slow-slip and dynamic events follow the scaling law inferred by Ide et al. 2007 i. e. M ∝ T for slow-slip events and M ∝ T2 (in 2D) for dynamic events.
A finite difference method for off-fault plasticity throughout the earthquake cycle
NASA Astrophysics Data System (ADS)
Erickson, Brittany A.; Dunham, Eric M.; Khosravifar, Arash
2017-12-01
We have developed an efficient computational framework for simulating multiple earthquake cycles with off-fault plasticity. The method is developed for the classical antiplane problem of a vertical strike-slip fault governed by rate-and-state friction, with inertial effects captured through the radiation-damping approximation. Both rate-independent plasticity and viscoplasticity are considered, where stresses are constrained by a Drucker-Prager yield condition. The off-fault volume is discretized using finite differences and tectonic loading is imposed by displacing the remote side boundaries at a constant rate. Time-stepping combines an adaptive Runge-Kutta method with an incremental solution process which makes use of an elastoplastic tangent stiffness tensor and the return-mapping algorithm. Solutions are verified by convergence tests and comparison to a finite element solution. We quantify how viscosity, isotropic hardening, and cohesion affect the magnitude and off-fault extent of plastic strain that develops over many ruptures. If hardening is included, plastic strain saturates after the first event and the response during subsequent ruptures is effectively elastic. For viscoplasticity without hardening, however, successive ruptures continue to generate additional plastic strain. In all cases, coseismic slip in the shallow sub-surface is diminished compared to slip accumulated at depth during interseismic loading. The evolution of this slip deficit with each subsequent event, however, is dictated by the plasticity model. Integration of the off-fault plastic strain from the viscoplastic model reveals that a significant amount of tectonic offset is accommodated by inelastic deformation ( ∼ 0.1 m per rupture, or ∼ 10% of the tectonic deformation budget).
NASA Astrophysics Data System (ADS)
Sun, J.; Shen, Z.; Burgmann, R.; Liang, F.
2012-12-01
We develop a three-step Maximum-A-Posterior probability (MAP) method for coseismic rupture inversion, which aims at maximizing the a posterior probability density function (PDF) of elastic solutions of earthquake rupture. The method originates from the Fully Bayesian Inversion (FBI) and the Mixed linear-nonlinear Bayesian inversion (MBI) methods , shares the same a posterior PDF with them and keeps most of their merits, while overcoming its convergence difficulty when large numbers of low quality data are used and improving the convergence rate greatly using optimization procedures. A highly efficient global optimization algorithm, Adaptive Simulated Annealing (ASA), is used to search for the maximum posterior probability in the first step. The non-slip parameters are determined by the global optimization method, and the slip parameters are inverted for using the least squares method without positivity constraint initially, and then damped to physically reasonable range. This step MAP inversion brings the inversion close to 'true' solution quickly and jumps over local maximum regions in high-dimensional parameter space. The second step inversion approaches the 'true' solution further with positivity constraints subsequently applied on slip parameters using the Monte Carlo Inversion (MCI) technique, with all parameters obtained from step one as the initial solution. Then the slip artifacts are eliminated from slip models in the third step MAP inversion with fault geometry parameters fixed. We first used a designed model with 45 degree dipping angle and oblique slip, and corresponding synthetic InSAR data sets to validate the efficiency and accuracy of method. We then applied the method on four recent large earthquakes in Asia, namely the 2010 Yushu, China earthquake, the 2011 Burma earthquake, the 2011 New Zealand earthquake and the 2008 Qinghai, China earthquake, and compared our results with those results from other groups. Our results show the effectiveness of the method in earthquake studies and a number of advantages of it over other methods. The details will be reported on the meeting.
Delayed treatment of ruptured brain AVMs: is it ok to wait?
Beecher, Jeffrey S; Lyon, Kristopher; Ban, Vin Shen; Vance, Awais; McDougall, Cameron M; Whitworth, Louis A; White, Jonathan A; Samson, Duke; Batjer, H Hunt; Welch, Babu G
2018-04-01
OBJECTIVE Despite a hemorrhagic presentation, many patients with arteriovenous malformations (AVMs) do not require emergency resection. The timing of definitive management is not standardized in the cerebrovascular community. This study was designed to evaluate the safety of delaying AVM treatment in clinically stable patients with a new hemorrhagic presentation. The authors examined the rate of rehemorrhage or neurological decline in a cohort of patients with ruptured brain AVMs during a period of time posthemorrhage. METHODS Patients presenting to the authors' institution from January 2000 to December 2015 with ruptured brain AVMs treated at least 4 weeks posthemorrhage were included in this analysis. Exclusion criteria were ruptured AVMs that required emergency surgery involving resection of the AVM, prior treatment of AVM at another institution, or treatment of lesions within 4 weeks for other reasons (subacute surgery). The primary outcome measure was time from initial hemorrhage to treatment failure (defined as rehemorrhage or neurological decline as a direct result of the AVM). Patient-days were calculated from the day of initial rupture until the day AVM treatment was initiated or treatment failed. RESULTS Of 102 ruptured AVMs in 102 patients meeting inclusion criteria, 7 (6.9%) failed the treatment paradigm. Six patients (5.8%) had a new hemorrhage within a median of 248 days (interquartile range 33-1364 days). The total "at risk" period was 18,740 patient-days, yielding a rehemorrhage rate of 11.5% per patient-year, or 0.96% per patient-month. Twelve (11.8%) of 102 patients were found to have an associated aneurysm. In this group there was a single (8.3%) new hemorrhage during a total at-risk period of 263 patient-days until the aneurysm was secured, yielding a rehemorrhage risk of 11.4% per patient-month. CONCLUSIONS It is the authors' practice to rehabilitate patients after brain AVM rupture with a plan for elective treatment of the AVM. The present data are useful in that the findings quantify the risk of the authors' treatment strategy. These findings indicate that delaying intervention for at least 4 weeks after the initial hemorrhage subjects the patient to a low (< 1%) risk of rehemorrhage. The authors modified the treatment paradigm when a high-risk feature, such as an associated intracranial aneurysm, was identified.
Lorthe, Elsa; Torchin, Héloïse; Delorme, Pierre; Ancel, Pierre-Yves; Marchand-Martin, Laetitia; Foix-L'helias, Laurence; Benhammou, Valérie; Gire, Catherine; D'Ercole, Claude; Winer, Norbert; Sentilhes, Loïc; Subtil, Damien; Goffinet, François; Kayem, Gilles
2018-05-28
Most clinical guidelines state that with early preterm premature rupture of membranes, obstetric and pediatric teams must share a realistic and individualized appraisal of neonatal outcomes with parents and consider their wishes for all decisions. However, we currently lack reliable and relevant data, according to gestational age at rupture of membranes, to adequately counsel parents during pregnancy and to reflect on our policies of care at these extreme gestational ages. To describe both perinatal and 2-year outcomes of preterm infants born after preterm premature rupture of membranes at 22-25 weeks' gestation. EPIPAGE-2 is a French national prospective population-based cohort of preterm infants born in 546 maternity units in 2011. Inclusion criteria in this analysis were women diagnosed with preterm premature rupture of membranes at 22-25 weeks' gestation and singleton or twin gestations with fetus(es) alive at rupture of membranes. Latency duration, antenatal management, and outcomes (survival at discharge, survival at discharge without severe morbidity, and survival at 2 years' corrected age without cerebral palsy) were described and compared by gestational age at preterm premature rupture of membranes. Among the 1435 women with a diagnosis of preterm premature rupture of membranes, 379 were at 22-25 weeks' gestation, with 427 fetuses (331 singletons and 96 twins). Median GA at preterm premature rupture of membranes and at birth were 24 (interquartile range 23-25) and 25 (24-27) weeks, respectively. For each gestational age at preterm premature rupture of membranes, nearly half of the fetuses were born within the week after the rupture of membranes. Among the 427 fetuses, 51.7% were survivors at discharge (14.1%, 39.5%, 66.8% and 75.8% with preterm premature rupture of membranes at 22, 23, 24 and 25 weeks, respectively), 38.8% were survivors at discharge without severe morbidity and 46.4% were survivors at 2 years without cerebral palsy, with wide variations by gestational age at preterm premature rupture of membranes. Survival at 2 years without cerebral palsy was low with preterm premature rupture of membranes at 22 and 23 weeks but reached approximately 60% and 70% with preterm premature rupture of membranes at 24 and 25 weeks. Preterm premature rupture of membranes at 22-25 weeks is associated with high incidence of mortality and morbidity, with wide variations by gestational age at preterm premature rupture of membranes. However, a non-negligible proportion of children survive without severe morbidity both at discharge and at 2-years' corrected age. Copyright © 2018 Elsevier Inc. All rights reserved.
Visual and anatomic outcomes of golf ball-related ocular injuries
Park, S J; Park, K H; Heo, J W; Woo, S J
2014-01-01
Aims To investigate the characteristics and prognoses of golf ball-related ocular injuries (GROIs) using standardized terminology, classification, and scoring systems. Methods Twenty-two GROI patients were assessed using the Birmingham Eye Trauma Terminology, Ocular Trauma Classification Group (OTCG) classification, and Ocular Trauma Score. Globe preservation and final visual acuity (FVA) were assessed according to the injury severity categorical designation. Results Fourteen patients were injured on golf courses and eight on driving ranges. Nine patients (40.9%) had open-globe injuries (five ruptures (22.7%), four penetrating injuries (18.2%)). All rupture cases required enucleation, whereas penetrating injury cases did not (the FVA ranged from 20/100 to no light perception). In open-globe injuries, wearing glasses protected against rupture (P=0.008). Thirteen patients sustained closed-globe injuries that were accompanied by lens subluxation (38.5%), choroidal rupture (30.8%), macular commotio retinae (38.5%), and traumatic optic neuropathy (7.7%). Twelve (54.5%) patients had orbital wall fractures. The mean number of related surgeries required was 1.5±1.7 across all patients. Conclusion Eyes with GROIs had devastating FVA and globe preservation status, especially those with open-globe injuries. Observing golf rules and improving driving-range facilities are essential for preventing GROIs. Protective eyewear may reduce ocular damage from GROIs, especially globe rupture. PMID:24384962
Surface Rupture Map of the 2002 M7.9 Denali Fault Earthquake, Alaska: Digital Data
Haeussler, Peter J.
2009-01-01
The November 3, 2002, Mw7.9 Denali Fault earthquake produced about 340 km of surface rupture along the Susitna Glacier Thrust Fault and the right-lateral, strike-slip Denali and Totschunda Faults. Digital photogrammetric methods were primarily used to create a 1:500-scale, three-dimensional surface rupture map, and 1:6,000-scale aerial photographs were used for three-dimensional digitization in ESRI's ArcMap GIS software, using Leica's StereoAnalyst plug in. Points were digitized 4.3 m apart, on average, for the entire surface rupture. Earthquake-induced landslides, sackungen, and unruptured Holocene fault scarps on the eastern Denali Fault were also digitized where they lay within the limits of air photo coverage. This digital three-dimensional fault-trace map is superior to traditional maps in terms of relative and absolute accuracy, completeness, and detail and is used as a basis for three-dimensional visualization. Field work complements the air photo observations in locations of dense vegetation, on bedrock, or in areas where the surface trace is weakly developed. Seventeen km of the fault trace, which broke through glacier ice, were not digitized in detail due to time constraints, and air photos missed another 10 km of fault rupture through the upper Black Rapids Glacier, so that was not mapped in detail either.
Cowgill, Eric; Bernardin, Tony S.; Oskin, Michael E.; Bowles, Christopher; Yikilmaz, M. Burak; Kreylos, Oliver; Elliott, Austin J.; Bishop, Scott; Gold, Ryan D.; Morelan, Alexander; Bawden, Gerald W.; Hamann, Bernd; Kellogg, Louise
2012-01-01
The moment magnitude (Mw) 7.0 12 January 2010 Haiti earthquake is the first major earthquake for which a large-footprint LiDAR (light detection and ranging) survey was acquired within several weeks of the event. Here, we describe the use of virtual reality data visualization to analyze massive amounts (67 GB on disk) of multiresolution terrain data during the rapid scientific response to a major natural disaster. In particular, we describe a method for conducting virtual field work using both desktop computers and a 4-sided, 22 m3 CAVE immersive virtual reality environment, along with KeckCAVES (Keck Center for Active Visualization in the Earth Sciences) software tools LiDAR Viewer, to analyze LiDAR point-cloud data, and Crusta, for 2.5 dimensional surficial geologic mapping on a bare-earth digital elevation model. This system enabled virtual field work that yielded remote observations of the topographic expression of active faulting within an ∼75-km-long section of the eastern Enriquillo–Plantain Garden fault spanning the 2010 epicenter. Virtual field observations indicated that the geomorphic evidence of active faulting and ancient surface rupture varies along strike. Landform offsets of 6–50 m along the Enriquillo–Plantain Garden fault east of the 2010 epicenter and closest to Port-au-Prince attest to repeated recent surface-rupturing earthquakes there. In the west, the fault trace is well defined by displaced landforms, but it is not as clear as in the east. The 2010 epicenter is within a transition zone between these sections that extends from Grand Goâve in the west to Fayette in the east. Within this transition, between L'Acul (lat 72°40′W) and the Rouillone River (lat 72°35′W), the Enriquillo–Plantain Garden fault is undefined along an embayed low-relief range front, with little evidence of recent surface rupture. Based on the geometry of the eastern and western faults that show evidence of recent surface rupture, we propose that the 2010 event occurred within a stepover that appears to have served as a long-lived boundary between rupture segments, explaining the lack of 2010 surface rupture. This study demonstrates how virtual reality–based data visualization has the potential to transform rapid scientific response by enabling virtual field studies and real-time interactive analysis of massive terrain data sets.
Chu, Q.; Lopez, M.; Hayashi, K.; lonescu, M.; Billinghurst, R. C.; Johnson, K. A.; Poole, A. R.; Markel, M. D.
2007-01-01
Summary Clinical relevance Measurement of markers of cartilage pathology in synovial fluid may provide clinical rheumatologists and osteoarthritis (OA) researchers important information for early diagnosis of OA as well as a method for monitoring disease progression and response to treatment. This study demonstrates the value of this approach in an established model of OA (cranial cruciate ligament rupture) at a point distant enough from the original surgical manipulation so as to have little to no effect on the marker concentrations. Objective The objective of this study was to determine whether measurement of markers of cartilage collagen cleavage and proteoglycan turnover in synovial fluid from a canine model could be used to detect cartilage changes following the onset of joint instability during the development of OA. Design A model of joint instability that develops OA was created in 18 mature dogs using monopolar radiofrequency energy (MRFE). MRFE was arthroscopically applied to one cranial cruciate ligament (CCL) while the contralateral CCL was sham treated. The treated CCLs ruptured approximately 8 weeks (55 ± 1.6 days) after MRFE treatment. Synovial fluid was collected at time zero prior to MRFE treatment, 4 weeks after MRFE treatment, and at 4, 8, and 16 weeks after CCL rupture. Synovial fluid concentrations of the neoepitope COL2-3/4C long (type II collagen cleavage by collagenase) and epitopes 3B3(–) (proteoglycan aggrecan sulfation) and 846 (associated with aggrecan synthesis) were analyzed. Results Compared to sham treated joints, the synovial fluid concentrations of COL2-3/4C long and 3B3(–) were significantly increased 2.2 fold and 2.9 fold, respectively, in joints with MRFE treated CCLs following CCL rupture. Concentrations of the 846 epitope in synovial fluid showed a trend toward an increase, which was not significant, after CCL rupture. Conclusions Concentrations of the collagenase-cleaved type II collagen neoepitope and 3B3(–) epitope in synovial fluid were significantly increased by 4 weeks and remained elevated for at least 16 weeks after CCL rupture. This suggests that in dogs the COL2-3/4C long neoepitope and 3B3(–) epitope are sensitive markers for changes in joint cartilage turnover in joints that are developing OA. PMID:12479389
Chu, Q; Lopez, M; Hayashi, K; Ionescu, M; Billinghurst, R C; Johnson, K A; Poole, A R; Markel, M D
2002-08-01
Measurement of markers of cartilage pathology in synovial fluid may provide clinical rheumatologists and osteoarthritis (OA) researchers important information for early diagnosis of OA as well as a method for monitoring disease progression and response to treatment. This study demonstrates the value of this approach in an established model of OA (cranial cruciate ligament rupture) at a point distant enough from the original surgical manipulation so as to have little to no effect on the marker concentrations. The objective of this study was to determine whether measurement of markers of cartilage collagen cleavage and proteoglycan turnover in synovial fluid from a canine model could be used to detect cartilage changes following the onset of joint instability during the development of OA. A model of joint instability that develops OA was created in 18 mature dogs using monopolar radiofrequency energy (MRFE). MRFE was arthroscopically applied to one cranial cruciate ligament (CCL) while the contralateral CCL was sham treated. The treated CCLs ruptured approximately 8 weeks (55 +/- 1.6 days) after MRFE treatment. Synovial fluid was collected at time zero prior to MRFE treatment, 4 weeks after MRFE treatment, and at 4, 8, and 16 weeks after CCL rupture. Synovial fluid concentrations of the neoepitope COL2-3/4C long (type II collagen cleavage by collagenase) and epitopes 3B3(-) (proteoglycan aggrecan sulfation) and 846 (associated with aggrecan synthesis) were analyzed. Compared to sham treated joints, the synovial fluid concentrations of COL2-3/4C long and 3B3(-) were significantly increased 2.2 fold and 2.9 fold, respectively, in joints with MRFE treated CCLs following CCL rupture. Concentrations of the 846 epitope in synovial fluid showed a trend toward an increase, which was not significant, after CCL rupture. Concentrations of the collagenase-cleaved type II collagen neoepitope and 3B3(-) epitope in synovial fluid were significantly increased by 4 weeks and remained elevated for at least 16 weeks after CCL rupture. This suggests that in dogs the COL2-3/4C long neoepitope and 3B3(-) epitope are sensitive markers for changes in joint cartilage turnover in joints that are developing OA.
NASA Astrophysics Data System (ADS)
Jiao, L.; Chan, C. H.; Tapponnier, P.
2017-12-01
The role of seamounts in generating earthquakes has been debated, with some studies suggesting that seamounts could be truncated to generate megathrust events, while other studies indicate that the maximum size of megathrust earthquakes could be reduced as subducting seamounts could lead to segmentation. The debate is highly relevant for the seamounts discovered along the Mentawai patch of the Sunda Trench, where previous studies have suggested that a megathrust earthquake will likely occur within decades. In order to model the dynamic behavior of the Mentawai patch, we simulated forearc faulting caused by seamount subducting using the Discrete Element Method. Our models show that rupture behavior in the subduction system is dominated by stiffness of the overriding plate. When stiffness is low, a seamount can be a barrier to rupture propagation, resulting in several smaller (M≤8.0) events. If, however, stiffness is high, a seamount can cause a megathrust earthquake (M8 class). In addition, we show that a splay fault in the subduction environment could only develop when a seamount is present, and a larger offset along a splay fault is expected when stiffness of the overriding plate is higher. Our dynamic models are not only consistent with previous findings from seismic profiles and earthquake activities, but the models also better constrain the rupture behavior of the Mentawai patch, thus contributing to subsequent seismic hazard assessment.
DOT National Transportation Integrated Search
2005-01-01
This report describes work to develop non-destructive testing methods for concrete pavements. Two methods, for pavement thickness and in-place strength estimation, respectively, were developed and evaluated. The thickness estimation method is based o...
Saccharification of Spirulina platensis biomass using free and immobilized amylolytic enzymes.
Rempel, Alan; Machado, Tainara; Treichel, Helen; Colla, Eliane; Margarites, Ana Cláudia; Colla, Luciane Maria
2018-04-30
We aimed to use physical methods of microalgal biomass rupture to study saccharification strategies using free and immobilized amylolytic enzymes. The biomass of Spirulina platensis, which consists of 50-60% carbohydrates, was exposed to physical cell rupture treatments, with better results obtained using freeze/thaw cycles following by gelatinization. In saccharification tests, it was possible to hydrolyze Spirulina biomass with hydrolysis efficiencies above 99% and 83%, respectively, using 1% (v/v) of free enzymes or 1% (m/v) of amylolytic enzymes immobilized together. The use of free and immobilized enzymes yielded high levels of conversion of polysaccharides to simple sugars in Spirulina biomass, showing that these processes are promising for the advancement of bioethanol production using microalgal biomass. Copyright © 2018 Elsevier Ltd. All rights reserved.
Implications on 1 + 1 D Tsunami Runup Modeling due to Time Features of the Earthquake Source
NASA Astrophysics Data System (ADS)
Fuentes, M.; Riquelme, S.; Ruiz, J.; Campos, J.
2018-02-01
The time characteristics of the seismic source are usually neglected in tsunami modeling, due to the difference in the time scale of both processes. Nonetheless, there are just a few analytical studies that intended to explain separately the role of the rise time and the rupture velocity. In this work, we extend an analytical 1 + 1 D solution for the shoreline motion time series, from the static case to the kinematic case, by including both rise time and rupture velocity. Our results show that the static case corresponds to a limit case of null rise time and infinite rupture velocity. Both parameters contribute in shifting the arrival time, but maximum runup may be affected by very slow ruptures and long rise time. Parametric analysis reveals that runup is strictly decreasing with the rise time while is highly amplified in a certain range of slow rupture velocities. For even lower rupture velocities, the tsunami excitation vanishes and for larger, quicker approaches to the instantaneous case.
Implications on 1 + 1 D Tsunami Runup Modeling due to Time Features of the Earthquake Source
NASA Astrophysics Data System (ADS)
Fuentes, M.; Riquelme, S.; Ruiz, J.; Campos, J.
2018-04-01
The time characteristics of the seismic source are usually neglected in tsunami modeling, due to the difference in the time scale of both processes. Nonetheless, there are just a few analytical studies that intended to explain separately the role of the rise time and the rupture velocity. In this work, we extend an analytical 1 + 1 D solution for the shoreline motion time series, from the static case to the kinematic case, by including both rise time and rupture velocity. Our results show that the static case corresponds to a limit case of null rise time and infinite rupture velocity. Both parameters contribute in shifting the arrival time, but maximum runup may be affected by very slow ruptures and long rise time. Parametric analysis reveals that runup is strictly decreasing with the rise time while is highly amplified in a certain range of slow rupture velocities. For even lower rupture velocities, the tsunami excitation vanishes and for larger, quicker approaches to the instantaneous case.
Propose a Wall Shear Stress Divergence to Estimate the Risks of Intracranial Aneurysm Rupture
Zhang, Y.; Takao, H.; Murayama, Y.; Qian, Y.
2013-01-01
Although wall shear stress (WSS) has long been considered a critical indicator of intracranial aneurysm rupture, there is still no definite conclusion as to whether a high or a low WSS results in aneurysm rupture. The reason may be that the effect of WSS direction has not been fully considered. The objectives of this study are to investigate the magnitude of WSS (|WSS|) and its divergence on the aneurysm surface and to test the significance of both in relation to the aneurysm rupture. Patient-specific computational fluid dynamics (CFD) was used to compute WSS and wall shear stress divergence (WSSD) on the aneurysm surface for nineteen patients. Our results revealed that if high |WSS| is stretching aneurysm luminal surface, and the stretching region is concentrated, the aneurysm is under a high risk of rupture. It seems that, by considering both direction and magnitude of WSS, WSSD may be a better indicator for the risk estimation of aneurysm rupture (154). PMID:24191140
NASA Technical Reports Server (NTRS)
DiCarlo, James A.; Yun, Hee Mann; Hurst, Janet B.; Viterna, L. (Technical Monitor)
2002-01-01
The successful application of SiC/SiC ceramic matrix composites as high-temperature structural materials depends strongly on maximizing the fracture or rupture life of the load-bearing fiber and matrix constituents. Using high-temperature data measured under stress-rupture test conditions, this study examines in a mechanistic manner the effects of various intrinsic and extrinsic factors on the creep and fracture behavior of a variety of SiC fiber types. It is shown that although some fiber types fracture during a large primary creep stage, the fiber creep rate just prior to fracture plays a key role in determining fiber rupture time (Monkman-Grant theory). If it is assumed that SiC matrices rupture in a similar manner as fibers with the same microstructures, one can develop simple mechanistic models to analyze and optimize the stress-rupture behavior of SiC/SiC composites for applied stresses that are initially below matrix cracking.
Verification of SORD, and Application to the TeraShake Scenario
NASA Astrophysics Data System (ADS)
Ely, G. P.; Day, S.; Minster, J.
2007-12-01
The Support Operator Rupture Dynamics (SORD) code provides a highly scalable (up to billions of nodes) computational tool for modeling spontaneous rupture on a non-planar fault surface embedded in a heterogeneous medium with surface topography. SORD successfully performs the SCEC Rupture Dynamics Code Validation Project tests, and we have undertaken further dynamic rupture tests assessing the effects of distorted hexahedral meshes on code accuracy. We generate a family of distorted meshes by simple shearing (applied both parallel and normal to the fault plane) of an initially Cartesian mesh. For shearing normal to the fault, shearing angle was varied, up to a maximum of 73-degrees. For SCEC Validation Problem 3, grid-induced errors increase with mesh-shear angle, with the logarithm of error approximately proportional to angle over the range tested. At 73-degrees, RMS misfits are about 10% for peak slip rate, and 0.5% for both rupture time and total slip, indicating that the method--which up to now we have applied mainly to near-vertical strike-slip faulting-- also is capable of handling geometries appropriate to low-angle surface-rupturing thrust earthquakes. The SORD code was used to reexamine the TeraShake 2 dynamics simulations of a M7.7 earthquake on the southern San Andreas Fault. Relative to the original (Olsen et al, 2007) TeraShake 2 simulations, our spontaneous rupture models find decreased peak ground velocities in the Los Angles basin, principally due to a shallower eastward connecting basin chain in the SCEC Velocity Model Version 4 (used in our simulations) compared to Version 3 (used by Olsen et al.). This is partially offset by including the effects of surface topography (which was not included in the Olsen et al. models) in the simulation, which increases PGV at some basin sites by as much as a factor of two. Some non-basin sites showed comparable decreases in PGV. These predicted topographic effects are quite large, so it is important to quantify SORD accuracy in the presence of non-planar free surface geometry. We test the case of a semi-circular canyon to an incident P wave, and find close agreement with boundary element methods, for surface amplification at wavelengths comparable to the canyon width.
Bifurcation of rupture path by linear and cubic damping force
NASA Astrophysics Data System (ADS)
Dennis L. C., C.; Chew X., Y.; Lee Y., C.
2014-06-01
Bifurcation of rupture path is studied for the effect of linear and cubic damping. Momentum equation with Rayleigh factor was transformed into ordinary differential form. Bernoulli differential equation was obtained and solved by the separation of variables. Analytical or exact solutions yielded the bifurcation was visible at imaginary part when the wave was non dispersive. For the dispersive wave, bifurcation of rupture path was invisible.
NASA Astrophysics Data System (ADS)
Nakano, M.; Kumagai, H.; Toda, S.; Ando, R.; Yamashina, T.; Inoue, H.; Sunarjo
2010-04-01
On 2007 March 6, an earthquake doublet occurred along the Sumatran fault, Indonesia. The epicentres were located near Padang Panjang, central Sumatra, Indonesia. The first earthquake, with a moment magnitude (Mw) of 6.4, occurred at 03:49 UTC and was followed two hours later (05:49 UTC) by an earthquake of similar size (Mw = 6.3). We studied the earthquake doublet by a waveform inversion analysis using data from a broadband seismograph network in Indonesia (JISNET). The focal mechanisms of the two earthquakes indicate almost identical right-lateral strike-slip faults, consistent with the geometry of the Sumatran fault. Both earthquakes nucleated below the northern end of Lake Singkarak, which is in a pull-apart basin between the Sumani and Sianok segments of the Sumatran fault system, but the earthquakes ruptured different fault segments. The first earthquake occurred along the southern Sumani segment and its rupture propagated southeastward, whereas the second one ruptured the northern Sianok segment northwestward. Along these fault segments, earthquake doublets, in which the two adjacent fault segments rupture one after the other, have occurred repeatedly. We investigated the state of stress at a segment boundary of a fault system based on the Coulomb stress changes. The stress on faults increases during interseismic periods and is released by faulting. At a segment boundary, on the other hand, the stress increases both interseismically and coseismically, and may not be released unless new fractures are created. Accordingly, ruptures may tend to initiate at a pull-apart basin. When an earthquake occurs on one of the fault segments, the stress increases coseismically around the basin. The stress changes caused by that earthquake may trigger a rupture on the other segment after a short time interval. We also examined the mechanism of the delayed rupture based on a theory of a fluid-saturated poroelastic medium and dynamic rupture simulations incorporating a rheological velocity hardening effect. These models of the delayed rupture can qualitatively explain the observations, but further studies, especially based on the rheological effect, are required for quantitative studies.
Thermann, H; Hüfner, T; Tscherne, H
2000-03-01
The treatment of acute of Achilles tendon rupture experienced a dynamic development in the last ten years. Decisive for this development was the application of MRI and above all the ultrasonography in the diagnostics of the pathological changes and injuries of tendons. The question of rupture morphology as well as different courses of healing could be now evaluated objectively. These advances led consequently to new modalities in treatment concepts and rehabilitation protocols. The decisive input for improvements of the outcome results and particularly the shortening of the rehabilitation period came with introduction of the early functional treatment in contrast to immobilizing plaster treatment. In a prospective randomized study (1987-1989) at the Trauma Dept. of the Hannover Medical School could show no statistical differences comparing functional non-operative with functional operative therapy with a special therapy boot (Variostabil/Adidas). The crucial criteria for therapy selection results from the sonographically measured position of the tendon stumps in plantar flexion (20 degrees). With complete adaptation of the tendons' ends surgical treatment does not achieve better results than non-operative functional treatment in term of tendon healing and functional outcome. Regarding the current therapeutic standards each method has is advantages and disadvantages. Both, the operative and non-operative functional treatment enable a stable tendon healing with a low risk of re-rupture (1-2%). Meanwhile there is consensus for early functional after-treatment of the operated Achilles' tendons. There seems to be a trend towards non-operative functional treatment in cases of adequate sonographical findings, or to minimal invasive surgical techniques.
Rupture Dynamics and Seismic Radiation on Rough Faults for Simulation-Based PSHA
NASA Astrophysics Data System (ADS)
Mai, P. M.; Galis, M.; Thingbaijam, K. K. S.; Vyas, J. C.; Dunham, E. M.
2017-12-01
Simulation-based ground-motion predictions may augment PSHA studies in data-poor regions or provide additional shaking estimations, incl. seismic waveforms, for critical facilities. Validation and calibration of such simulation approaches, based on observations and GMPE's, is important for engineering applications, while seismologists push to include the precise physics of the earthquake rupture process and seismic wave propagation in 3D heterogeneous Earth. Geological faults comprise both large-scale segmentation and small-scale roughness that determine the dynamics of the earthquake rupture process and its radiated seismic wavefield. We investigate how different parameterizations of fractal fault roughness affect the rupture evolution and resulting near-fault ground motions. Rupture incoherence induced by fault roughness generates realistic ω-2 decay for high-frequency displacement amplitude spectra. Waveform characteristics and GMPE-based comparisons corroborate that these rough-fault rupture simulations generate realistic synthetic seismogram for subsequent engineering application. Since dynamic rupture simulations are computationally expensive, we develop kinematic approximations that emulate the observed dynamics. Simplifying the rough-fault geometry, we find that perturbations in local moment tensor orientation are important, while perturbations in local source location are not. Thus, a planar fault can be assumed if the local strike, dip, and rake are maintained. The dynamic rake angle variations are anti-correlated with local dip angles. Based on a dynamically consistent Yoffe source-time function, we show that the seismic wavefield of the approximated kinematic rupture well reproduces the seismic radiation of the full dynamic source process. Our findings provide an innovative pseudo-dynamic source characterization that captures fault roughness effects on rupture dynamics. Including the correlations between kinematic source parameters, we present a new pseudo-dynamic rupture modeling approach for computing broadband ground-motion time-histories for simulation-based PSHA
Uncertainty Analyses for Back Projection Methods
NASA Astrophysics Data System (ADS)
Zeng, H.; Wei, S.; Wu, W.
2017-12-01
So far few comprehensive error analyses for back projection methods have been conducted, although it is evident that high frequency seismic waves can be easily affected by earthquake depth, focal mechanisms and the Earth's 3D structures. Here we perform 1D and 3D synthetic tests for two back projection methods, MUltiple SIgnal Classification (MUSIC) (Meng et al., 2011) and Compressive Sensing (CS) (Yao et al., 2011). We generate synthetics for both point sources and finite rupture sources with different depths, focal mechanisms, as well as 1D and 3D structures in the source region. The 3D synthetics are generated through a hybrid scheme of Direct Solution Method and Spectral Element Method. Then we back project the synthetic data using MUSIC and CS. The synthetic tests show that the depth phases can be back projected as artificial sources both in space and time. For instance, for a source depth of 10km, back projection gives a strong signal 8km away from the true source. Such bias increases with depth, e.g., the error of horizontal location could be larger than 20km for a depth of 40km. If the array is located around the nodal direction of direct P-waves the teleseismic P-waves are dominated by the depth phases. Therefore, back projections are actually imaging the reflection points of depth phases more than the rupture front. Besides depth phases, the strong and long lasted coda waves due to 3D effects near trench can lead to additional complexities tested here. The strength contrast of different frequency contents in the rupture models also produces some variations to the back projection results. In the synthetic tests, MUSIC and CS derive consistent results. While MUSIC is more computationally efficient, CS works better for sparse arrays. In summary, our analyses indicate that the impact of various factors mentioned above should be taken into consideration when interpreting back projection images, before we can use them to infer the earthquake rupture physics.
Crustal Gravitational Potential Energy Change and Subduction Earthquakes
NASA Astrophysics Data System (ADS)
Zhu, P. P.
2017-05-01
Crustal gravitational potential energy (GPE) change induced by earthquakes is an important subject in geophysics and seismology. For the past forty years the research on this subject stayed in the stage of qualitative estimate. In recent few years the 3D dynamic faulting theory provided a quantitative solution of this subject. The theory deduced a quantitative calculating formula for the crustal GPE change using the mathematic method of tensor analysis under the principal stresses system. This formula contains only the vertical principal stress, rupture area, slip, dip, and rake; it does not include the horizontal principal stresses. It is just involved in simple mathematical operations and does not hold complicated surface or volume integrals. Moreover, the hanging wall vertical moving (up or down) height has a very simple expression containing only slip, dip, and rake. The above results are significant to investigate crustal GPE change. Commonly, the vertical principal stress is related to the gravitational field, substituting the relationship between the vertical principal stress and gravitational force into the above formula yields an alternative formula of crustal GPE change. The alternative formula indicates that even with lack of in situ borehole measured stress data, scientists can still quantitatively calculate crustal GPE change. The 3D dynamic faulting theory can be used for research on continental fault earthquakes; it also can be applied to investigate subduction earthquakes between oceanic and continental plates. Subduction earthquakes hold three types: (a) crust only on the vertical up side of the rupture area; (b) crust and seawater both on the vertical up side of the rupture area; (c) crust only on the vertical up side of the partial rupture area, and crust and seawater both on the vertical up side of the remaining rupture area. For each type we provide its quantitative formula of the crustal GPE change. We also establish a simplified model (called CRW Model) as follows: for Type B and Type C subduction earthquakes, if the seawater average depth on the vertical up side of the rupture area is less than a tenth of the hypocenter depth, then take the approximation that the seawater above the continental plate is replaced by the upper crustal material of the continental plate. The formula of quantitative calculating the crustal GPE change is also provided for this model. Finally, for 16 September 2015 Mw 8.3 Illapel Chile earthquake, we apply CRW Model and obtain the following results: the crustal GPE change is equal to 1.8 × 1019 J, and the hanging wall vertical moving-up height is 1.9 m with respect to the footwall. We believe this paper might be the first report on the quantitative solution of the crustal GPE change for this subduction earthquake; our results and related method will be helpful in research into the earthquakes in Peru-Chile subduction zone and the Andean orogeny. In short, this study expounds a new method for quantitative determining the crustal GPE change caused by subduction earthquakes, which is different from other existing methods.
NASA Astrophysics Data System (ADS)
Cirella, A.; Piatanesi, A.; Tinti, E.; Chini, M.; Cocco, M.
2012-04-01
In this study, we investigate the rupture history of the April 6th 2009 (Mw 6.1) L'Aquila normal faulting earthquake by using a nonlinear inversion of strong motion, GPS and DInSAR data. We use a two-stage non-linear inversion technique. During the first stage, an algorithm based on the heat-bath simulated annealing generates an ensemble of models that efficiently sample the good data-fitting regions of parameter space. In the second stage the algorithm performs a statistical analysis of the ensemble providing us the best-fitting model, the average model, the associated standard deviation and coefficient of variation. This technique, rather than simply looking at the best model, extracts the most stable features of the earthquake rupture that are consistent with the data and gives an estimate of the variability of each model parameter. The application to the 2009 L'Aquila main-shock shows that both the separate and joint inversion solutions reveal a complex rupture process and a heterogeneous slip distribution. Slip is concentrated in two main asperities: a smaller shallow patch of slip located up-dip from the hypocenter and a second deeper and larger asperity located southeastward along strike direction. The key feature of the source process emerging from our inverted models concerns the rupture history, which is characterized by two distinct stages. The first stage begins with rupture initiation and with a modest moment release lasting nearly 0.9 seconds, which is followed by a sharp increase in slip velocity and rupture speed located 2 km up-dip from the nucleation. During this first stage the rupture front propagated up-dip from the hypocenter at relatively high (˜ 4.0 km/s), but still sub-shear, rupture velocity. The second stage starts nearly 2 seconds after nucleation and it is characterized by the along strike rupture propagation. The largest and deeper asperity fails during this stage of the rupture process. The rupture velocity is larger in the up-dip than in the along-strike direction. The up-dip and along-strike rupture propagation are separated in time and associated with a Mode II and a Mode III crack, respectively. Our results show that the 2009 L'Aquila earthquake featured a very complex rupture, with strong spatial and temporal heterogeneities suggesting a strong frictional and/or structural control of the rupture process.
Rupture of the female urethra in childhood.
Williams, D I
1975-01-01
Rupture of the female urethra is a rare disorder, but perhaps more liable to occur in childhood than in adult life. As in the male, it can follow a fractured pelvis, but the level of the rupture is not simply in the membranous region, and is frequently much higher with destruction of the urethra over a considerable length. The vagina is always involved, so that almost inevitably there is a urethra-vaginal fistula. In the low lesions the bladder and urethral function may be adequate, but stenosis of the vaginal introitus can result in a considerable hydrocolpos, leading to a spurious form of incontinence. In the higher lesions true incontinence can occur, and there may be stricturing of the urethra above or below the urethro-vaginal fistula. Methods of surgical repair are discussed.
Usuelli, Federico Giuseppe; D'Ambrosi, Riccardo; Manzi, Luigi; Indino, Cristian; Villafañe, Jorge Hugo; Berjano, Pedro
2017-12-01
Objective The purpose of the study is to evaluate the clinical results and return to sports in patients undergoing reconstruction of the Achilles tendon after minimally invasive reconstruction with semitendinosus tendon graft transfer. Methods Eight patients underwent surgical reconstruction with a minimally invasive technique and tendon graft augmentation with ipsilateral semitendinosus tendon for chronic Achilles tendon rupture (more than 30 days after the injury and a gap of >6 cm). Patients were evaluated at a minimum follow-up of 24 months after the surgery through the American Orthopaedic Foot and Ankle Society (AOFAS), the Achilles Tendon Total Rupture Scores (ATRS), the Endurance test, the calf circumference of the operated limb, and the contralateral and the eventual return to sports activity performed before the trauma. Results The mean age at surgery was 50.5 years. Five men and three women underwent the surgery. The average AOFAS was 92, mean Endurance test was 28.1, and the average ATRS was 87. All patients returned to their daily activities, and six out of eight patients have returned to sports activities prior to the accident (two football players, three runners, one tennis player) at a mean of 7.0 (range: 6.7-7.2) months after the surgery. No patient reported complications or reruptures. Conclusion Our study confirms encouraging results for the treatment of Achilles tendon rupture with a minimally invasive technique with semitendinosus graft augmentation. The technique can be considered safe and allows patients to return to their sports activity. Level of Evidence Level IV, therapeutic case series.
Mast cell curve-response in partial Achilles tendon rupture after 830 nm phototherapy.
Pinfildi, Carlos E; da Silva, Érika P Rampazo; Folha, Roberta A C; Turchetto, Paola C G; Monteiro, Paola Pkp; Antunes, Arainy; Hochman, Bernardo S
2014-02-01
The aim of this study was to quantify mast cells at different time intervals after partial Achilles tendon rupture in rats treated with low-level laser therapy (LLLT). There is a high incidence of lesions and ruptures in the Achilles tendon that can take weeks and even months to heal completely. As the mast cells help in the healing repair phase, and LLLT has favorable effects on this tissue repair process, study of this modality on the quantity of mastocytes in the ruptured tendon is relevant. Sixty Wistar rats were subjected to partial Achilles' tendon rupture by direct trauma, randomized into 10 groups, and then divided into the group treated with 80 mW aluminum gallium arsenide infrared laser diode, continuous wave, 2.8 W/cm(2) power density, 40 J/cm(2) energy density, and 1.12 J total energy, and the simulation group. Both the groups were subdivided according to the histological assessment period of the sample, either 6 h, 12 h, 24 h, 2 days, or 3 days after the rupture, to quantify the mastocytes in the Achilles' tendon. The group subjected to LLLT presented a greater quantity of mastocytes in the periods of 6 h, 12 h, 24 h, 2 days, and 3 days after rupture, compared with the simulation groups, but differences were detected between the sample assessment periods only in the simulation group. LLLT was shown to increase the quantity of mastocytes in the assessment periods compared with the simulation groups.
Mayer, Dieter; Rancic, Zoran; Pfammatter, Thomas; Hechelhammer, Lukas; Veith, Frank J; Donas, Konstantin; Lachat, Mario
2010-01-01
The value of emergency endovascular aneurysm repair (EVAR) in the setting of ruptured abdominal aortic aneurysm remains controversial owing to differing results. However, interpretation of published results remains difficult as there is a lack of generally accepted protocols or standard operating procedures. Furthermore, such protocols and standard operating procedures often are reported incompletely or not at all, thereby making interpretation of results difficult. We herein report our integrated logistic system for the endovascular treatment of ruptured abdominal aortic aneurysms. Important components of this system are prehospital logistics, in-hospital treatment logistics, and aftercare. Further studies should include details about all of these components, and a description of these logistic components must be included in all future studies of emergency EVAR for ruptured abdominal aortic aneurysms.
Zheng, Bo; Mintz, Gary S; McPherson, John A; De Bruyne, Bernard; Farhat, Naim Z; Marso, Steven P; Serruys, Patrick W; Stone, Gregg W; Maehara, Akiko
2015-10-01
The study sought to examine the relative importance of lesion location versus vessel area and plaque burden in predicting plaque rupture within nonculprit fibroatheromas (FAs) in patients with acute coronary syndromes. Previous studies have demonstrated that plaque rupture is associated with larger vessel area and greater plaque burden clustering in the proximal segments of coronary arteries. In the PROSPECT (Providing Regional Observations to Study Predictors of Events in the Coronary Tree) study 3-vessel grayscale and radiofrequency-intravascular ultrasound was performed after successful percutaneous coronary intervention in 697 patients with acute coronary syndromes. Untreated nonculprit lesion FAs were classified as proximal (<20 mm), mid (20 to 40 mm), and distal (>40 mm) according to the distance from the ostium to the maximum necrotic core site. Overall, 74 ruptured FAs and 2,396 nonruptured FAs were identified in nonculprit vessels. The majority of FAs (73.6%) were located within 40 mm of the ostium, and the vessel area and plaque burden progressively decreased from proximal to distal FA location (both p < 0.001). In a multivariate logistic regression model, independent predictors for plaque rupture included the distance from the ostium to the maximum necrotic core site per millimeter (odds ratio [OR]: 0.86; 95% confidence interval [CI]: 0.76 to 0.98; p = 0.02), plaque burden per 10% (OR: 2.05; 95% CI: 1.63 to 2.58; p < 0.0001), vessel area per mm(2) (OR: 1.14; 95% CI: 1.11 to 1.17; p < 0.0001), calcium (OR: 0.09; 95% CI: 0.05 to 0.18; p < 0.0001), and right coronary artery location (OR: 2.16; 95% CI: 1.25 to 3.27; p = 0.006). By receiver-operating characteristic analysis, vessel area correlated with plaque rupture stronger than either plaque burden (p < 0.001) or location (p < 0.001). Large vessel area, plaque burden, proximal location, right coronary artery location, and lack of calcium were associated with FA plaque rupture. The present study suggests that among these variables, vessel area may be the strongest predictor of plaque rupture among non-left main coronary arteries. ( An Imaging Study in Patients With Unstable Atherosclerotic Lesions [PROSPECT]; NCT00180466). Copyright © 2015 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.
NASA Astrophysics Data System (ADS)
Ortlepp, W. D.
1992-09-01
Mining of a highly-stressed remnant in a deep South African gold mine was accompanied by considerable seismic activity and some significant rockbursts. The larger seismic events were registered some 60 km away at a WSSN station and several shear ruptures corresponding to these events were encountered during mining operations. A careful study based on detailed exploration of two of these ruptures proved them to be the source of two of the larger rockbursts. Certain striking features revealed by a scanning electron microscopic study of some of the fresh cataclastic ‘rock-flour’ forming part of the comminuted filling of these ruptures provide strong evidence of violent ’shock rebound’ phenomena in the faulting process. This interpretation could provide useful insight into earthquake source mechanisms and also has practical significance in the understanding of mine rockbursts.
Richens, D; Kotidis, K; Neale, M; Oakley, C; Fails, A
2003-02-01
The true incidence and survivability of blunt traumatic aortic rupture following road traffic accidents in the UK is unclear. The objective of this study was to determine the extent of blunt traumatic aortic rupture in the UK after road traffic accidents and the conditions under which it occurs. Data for the study was obtained from the Co-operative Crash Injury Study database. Road traffic accidents that happened between 1992 and 1999 and included in the Co-operative Crash Injury Study database were retrospectively investigated. A total of 8285 vehicles carrying 14,435 occupants were involved in 7067 accidents. There were 132 cases of blunt traumatic aortic rupture, of which the scene survival was 9% and the overall mortality was 98%. Twenty-one percent of all fatalities had blunt traumatic aortic rupture (130/613). Twenty-nine percent were due to frontal impacts and 44% were due to side impacts. Twelve percent of the blunt traumatic aortic rupture cases in frontal vehicle impacts were wearing seat belts and had airbag protection and 19% had no restraint mechanism. The Equivalent Test Speed of the accident vehicles, (where equivalent test speed provides an estimate of the vehicle impact severity and not an estimate of the vehicle speed at the time of the accident), ranged from 30 to 110 km/h in frontal impacts and from 15 to 82 km/h in side impacts. Blunt traumatic aortic rupture carries a high mortality and occurred in 21% of car occupant deaths in this sample of road traffic accidents. Impact scenarios varied but were most common from the side. The use of an airbag or seat belt does not eliminate risk. The injury can occur at low severity impacts particularly in side impact. Copyright 2002 Elsevier Science B.V.
Time/Temperature Dependent Tensile Strength of SiC and Al2O3-Based Fibers
NASA Technical Reports Server (NTRS)
Yun, Hee Mann; DiCarlo, James A.
1997-01-01
In order to understand and model the thermomechanical behavior of fiber-reinforced composites, stress-rupture, fast-fracture, and warm-up rupture studies were conducted on various advanced SiC and Al2O3-based fibers in the,temperature range from 20 to 1400 C in air as well as in inert environments. The measured stress-rupture, fast fracture, and warm-up rupture strengths were correlated into a single master time/temperature-dependent strength plot for each fiber type using thermal activation and slow crack growth theories. It is shown that these plots are useful for comparing and selecting fibers for CMC and MMC reinforcement and that, in comparison to stress rupture tests, the fast-fracture and warm-up tests can be used for rapid generation of these plots.
Dynamic analysis of an inflatable dam subjected to a flood
NASA Astrophysics Data System (ADS)
Lowery, K.; Liapis, S.
A dynamic simulation of the response of an inflatable dam subjected to a flood is carried out to determine the survivability envelope of the dam where it can operate without rupture, or overflow. The free-surface flow problem is solved in two dimensions using a fully nonlinear mixed Eulerian-Lagrangian formulation. The dam is modeled as an elastic shell inflated with air and simply supported from two points. The finite element method is employed to determine the dynamic response of the structure using ABAQUS with a shell element. The problem is solved in the time domain which allows the prediction of a number of transient phenomena such as the generation of upstream advancing waves, the dynamic structural response and structural failure. Failure takes place when the dam either ruptures or overflows. Stresses in the dam material were monitored to determine when rupture occurs. An iterative study was performed to find the serviceability envelope of the dam in terms of the internal pressure and the flood Froude number for two flood depths. It was found that existing inflatable dams are quite effective in suppressing floods for a relatively wide range of flood velocities.
Rupture of the subscapularis tendon after shoulder arthroplasty: diagnosis, treatment, and outcome.
Miller, Bruce S; Joseph, Thomas A; Noonan, Thomas J; Horan, Marilee P; Hawkins, Richard J
2005-01-01
The purpose of this study was to document the diagnosis, surgical treatment, and functional outcome in patients with subscapularis ruptures after shoulder arthroplasty. Prospective objective and subjective data were collected on 7 patients with symptomatic rupture of the subscapularis tendon after shoulder arthroplasty. Presenting signs and symptoms included pain, weakness in internal rotation, increased external rotation, and anterior instability. All patients were treated with surgical repair of the ruptured tendon. Four required repair augmentation with a transfer of the pectoralis major tendon. After subscapularis repair and pectoralis transfer, 2 patients continued to have anterior instability and required an additional operation to address the instability. At a mean follow-up of 2.3 years (range, 18-55 months), the mean American Shoulder and Elbow Surgeons shoulder score in this study group was 63.2. The mean patient satisfaction rating, on a 10-point scale, was 6.2. Factors associated with post-arthroplasty subscapularis ruptures included subscapularis lengthening techniques used to address internal rotation contracture and previous surgery that violated the subscapularis tendon. Symptomatic subscapularis rupture after shoulder arthroplasty introduces the need for additional surgery and a period of protected or delayed rehabilitation after arthroplasty. Although symptoms were adequately addressed with appropriate surgical treatment, decreased functional outcomes were observed.
Intracapsular implant rupture: MR findings of incomplete shell collapse.
Soo, M S; Kornguth, P J; Walsh, R; Elenberger, C; Georgiade, G S; DeLong, D; Spritzer, C E
1997-01-01
The objective of this study was to determine the frequency and significance of the MR findings of incomplete shell collapse for detecting implant rupture in a series of surgically removed breast prostheses. MR images of 86 breast implants in 44 patients were studied retrospectively and correlated with surgical findings at explantation. MR findings included (a) complete shell collapse (linguine sign), 21 implants; (b) incomplete shell collapse (subcapsular line sign, teardrop sign, and keyhole sign), 33 implants; (c) radial folds, 31 implants; and (d) normal, 1 implant. The subcapsular line sign was seen in 26 implants, the teardrop sign was seen in 27 implants, and the keyhole sign was seen in 23 implants. At surgery, 48 implants were found to be ruptured and 38 were intact. The MR findings of ruptured implants showed signs of incomplete collapse in 52% (n = 25), linguine sign in 44% (n = 21), and radial folds in 4% (n = 2). The linguine sign perfectly predicted implant rupture, but sensitivity was low. Findings of incomplete shell collapse improved sensitivity and negative predictive values, and the subcapsular line sign produced a significant incremental increase in predictive ability. MRI signs of incomplete shell collapse were more common than the linguine sign in ruptured implants and are significant contributors to the high sensitivity and negative predictive values of MRI for evaluating implant integrity.
Goren, David; Ayalon, Moshe; Nyska, Meir
2005-04-01
Reports on complete spontaneous Achilles tendon ruptures and associated treatment have become more frequent in the literature in the past two decades, as has the request for treatments that enable the finest possible functional recovery. The best available treatment is a matter of considerable controversy in the literature. The purpose of this study was to compare the isokinetic strength and endurance of the plantarflexor muscle-tendon unit in subjects who sustained rupture of the Achilles tendon and underwent either open surgery or closed percutaneous repair of the Achilles tendon. Twenty patients (18 males, 2 females) with spontaneous ruptures of the Achilles tendon were included in this study. Ten patients were treated by open surgery, and 10 patients were treated percutaneously. All patients had ruptured their Achilles tendon more than 6 months before the study, and all of the ruptures occurred 3.5 years or less before the day of the testing. All patients underwent an oriented physical examination. An isokinetic Biodex dynamometer (Biodex Medical System, Shirley, NY) was used to measure ankle joint angle, and in plantarflexion to calculate the torque at the ankle joint (Newton/meter), and the average work (jouls) for both maximal power and endurance. Each measurement was compared to the normal ankle. Biodex dynamometer evaluations at 90 deg/sec demonstrated a significant difference of maximal voluntary plantarflexor torque, endurance performance and range of motion at the ankle joint between the involved and uninvolved sides in patients treated by either mode of treatment. Yet, no statistically significant differences were revealed for the parameters mentioned above between the subjects that were treated either percutaneously or by an open surgery. In functional terms, the biomechanical outcomes of open surgery and percutaneous repair for acute ruptures of the Achilles tendon are both effective.
Roberts, Devender; Vause, Sarah; Martin, William; Green, Pauline; Walkinshaw, Stephen; Bricker, Leanne; Beardsmore, Caroline; Shaw, Ben N J; McKay, Andrew; Skotny, Gaynor; Williamson, Paula; Alfirevic, Zarko
2014-04-01
Fetal survival is severely compromised when the amniotic membrane ruptures between 16 and 24 weeks of pregnancy. Reduced amniotic fluid levels are associated with poor lung development, whereas adequate levels lead to better perinatal outcomes. Restoring amniotic fluid by means of ultrasound-guided amnioinfusion (AI) may be of benefit in improving perinatal and long-term outcomes in children of pregnancies with this condition. The AI in preterm premature rupture of membranes (AMIPROM) pilot study was conducted to assess the feasibility of recruitment, the methods for conduct and the retention through to long-term follow-up of participants with very early rupture of amniotic membranes (between 16 and 24 weeks of pregnancy). It was also performed to assess outcomes and collect data to inform a larger, more definitive, clinical trial. A prospective, non-blinded randomised controlled trial. A computer-generated random sequence using a 1 : 1 ratio was used. Randomisation was stratified for pregnancies in which the amniotic membrane ruptured between 16(+0) and 19(+6) weeks' gestation and 20(+0) and 24(+0) weeks' gestation. The randomisation sequence was generated in blocks of four. Telephone randomisation and intention-to-treat analysis were used. Four UK hospital-based fetal medicine units - Liverpool Women's NHS Trust, St. Mary's Hospital, Manchester, Birmingham Women's NHS Foundation Trust and Wirral University Hospitals Trust. Women with confirmed preterm prelabour rupture of membranes between 16(+0) and 24(+0) weeks' gestation. Women with multiple pregnancies, resultant fetal abnormalities or obstetric indication for immediate delivery were excluded. Participants were randomly allocated to either serial weekly transabdominal AI or expectant management (Exp) until 37 weeks of pregnancy, if the deepest pool of amniotic fluid was < 2 cm. Short-term maternal, pregnancy and neonatal outcomes and long-term outcomes for the child were studied. Long-term respiratory morbidity was assessed using validated respiratory questionnaires at 6, 12 and 18 months of age and infant lung function was assessed at approximately 12 months of age. Neurodevelopment was assessed using Bayley's Scale of Infant Development II at a corrected age of 2 years. Fifty-eight women were randomised and two were excluded from the analysis owing to termination of pregnancy for lethal anomaly, leaving 56 participants (28 serial AI, 28 Exp) recruited between 2002 and 2009, with annual recruitment rates varying between 2 and 14. Recruitment to the study improved significantly from 2007 with National Institute for Health Research (NIHR) funding. There was no significant difference in perinatal mortality [19/28 vs. 19/28; relative risk (RR) 1.0; 95% confidence interval (CI) 0.70 to 1.43], maternal morbidity or neonatal morbidity. The overall chance of surviving without long-term respiratory or neurodevelopmental disability is 4/56 (7.1%): 4/28 (14.3%) in the AI arm and 0/28 in the expectant arm (0%) (RR 9.0; 95% CI 0.51 to 159.70). This pilot study found no major differences in maternal, perinatal or pregnancy outcomes. The study was not designed to show a difference between the arms and the number of survivors was too small to draw any conclusions about long-term outcomes. It does signal, however, that a larger, definitive, study to evaluate AI for improvement in healthy survival is indicated. The results suggest that, with appropriate funding, such a study is feasible. A larger, definitive, study with full health economic analysis and patient perspective assessment is required to show whether AI can improve the healthy survivor rate.
Quaba, Omar; Quaba, Awf
2013-09-01
To determine the true rupture rates of PIP implants from a large single surgeon cohort and to assess whether rupture rates varied depending on time of implant insertion. In addition, the efficacy of ultra sound scanning (USS) in determining rupture is examined. Predominantly prospectively based analysis of patient records, investigations and surgical findings. 338 patients (676 implants) were included in the study and they all had removal of their implants. The senior author operated on all patients at some stage of their treatment. 160 patients were imaged pre-operatively with USS. Patients had implants inserted between 1999 and 2007 for cosmetic breast augmentation. A total of 144 ruptured implants were removed from 119 patients, giving a rupture rate of 35.2% per patient and 21.3% per implant over a mean implantation period of 7.8 years. A statistical difference (P < 0.001) in rupture rates between implants inserted prior to 2003 and those inserted from 2003 was demonstrated, with higher failure rates in the latter group. There was a significant difference in rupture rates depending on pocket placement of the implants. The sensitivity and specificity of USS at detecting rupture was 90.6% and 98.3% respectively. A proportion of patients (29.4%) demonstrated loco-regional spread of silicone to the axilla on scanning. Our paper has confirmed high rates of PIP implant failure in the largest published series to date. The significant difference in rupture rates between implants inserted prior to 2003 and those after this time supports the view that industrial silicone was used in the devices after 2003. Implants are more likely to rupture if inserted in the sub muscular plane compared to the sub glandular plane. USS is highly effective at detecting rupture in PIP implants and loco-regional spread is high compared to other devices. We believe this paper provides hard data enabling more informed decision making for patients, clinicians and providers in what remains an active issue affecting thousands of women. Copyright © 2013 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
Lu, G; Huang, L; Zhang, X L; Wang, S Z; Hong, Y; Hu, Z; Geng, D Y
2011-08-01
Hemodynamics factors play an important role in the rupture of cerebral aneurysms. The purpose of this study was to evaluate the impact of hemodynamic factors on the rupture of the MANs with 3D reconstruction model CFD simulation. RDSA was performed in 9 pairs of intracranial MANs. Each pair was divided into ruptured and unruptured groups. The hemodynamic factors of the aneurysms and their parent arteries were compared. There was a significant difference in the WSS at peak systole between the regions of the aneurysms and their parent arteries in the ruptured group (ie, 6.49 ± 3.48 Pa versus 8.78 ± 3.57 Pa, P =.015) but not in the unruptured group (ie, 9.80 ± 4.12 Pa versus 10.17 ± 7.48 Pa, P =.678). The proportion of the low WSS area to the whole area of the aneurysms was 12.20 ± 18.08% in the ruptured group and 3.96 ± 6.91% in the unruptured group; the difference between the 2 groups was statistically significant (P =.015). The OSI was 0.0879 ± 0.0764 in the ruptured group, which was significantly higher than that of the unruptured group (ie, 0.0183 ± 0.0191, P =.008). MANs may be a useful disease model to investigate possible causes linked to ruptured aneurysms. The ruptured aneurysms manifested lower WSS compared with their parent arteries, a higher proportion of the low WSS area to the whole area of aneurysm, and higher OSI compared with the unruptured aneurysms.
de Bruin, Tanya; de Rooster, Hilde; van Bree, Henri; Cox, Eric
2007-03-01
To evaluate anticollagen type I antibodies in synovial fluid of the affected stifle joint, the contralateral stifle joint, and the left shoulder joint of dogs with unilateral cranial cruciate ligament (CrCL) rupture during an extended period of 12 to 18 months. 13 client-owned dogs with CrCL rupture and 2 sham-operated dogs. All dogs were examined and arthrocentesis of all 3 joints was performed every 6 months after surgery. Synovial fluid samples were tested for anticollagen type I antibodies by use of an ELISA. Dogs with partial CrCL rupture had higher antibody titers than dogs with complete rupture. Six of 13 dogs ruptured the contralateral CrCL during the study, whereby higher antibody titers were found for the stifle joints than for the shoulder joint. Seronegative dogs or dogs with extremely low antibody titers and 2 dogs with high antibody titers did not sustain a CrCL rupture in the contralateral stifle joint. In most dogs that had a CrCL rupture of the contralateral stifle joint, a distinct antibody titer gradient toward the stifle joints was detected, suggesting that there was a local inflammatory process in these joints. However, only a small number of sham-operated dogs were used to calculate the cutoff values used to determine the anticollagen type I antibody titers in these patients. Synovial fluid antibodies against collagen type I alone do not initiate CrCL rupture because not all dogs with high antibody titers sustained a CrCL rupture in the contralateral stifle joint.
NASA Astrophysics Data System (ADS)
Casias, Andrea M.
Increasing demands for energy efficiency and reduction in CO2 emissions have led to the development of advanced ultra-supercritical (AUSC) boilers. These boilers operate at temperatures of 760 °C and pressures of 35 MPa, providing efficiencies close to 50 pct. However, austenitic stainless steels typically used in boiler applications do not have sufficient creep or oxidation resistance. For this reason, nickel (Ni)-based superalloys, such as IN740, have been identified as potential materials for AUSC boiler tube components. However, IN740 is susceptible to heat-affected-zone liquation cracking in the base metal of heavy section weldments. To improve weldability, IN740H was developed. However, IN740H has lower stress rupture ductility compared to IN740. For this reason, two IN740H modifications have been produced by lowering carbon content and increasing boron content. In this study, IN740, IN740H, and the two modified IN740H alloys (modified 1 and 2) were produced with equiaxed grain sizes of 90 ìm (alloys IN740, IN740H, and IN740H modified 1 alloys) and 112 µm (IN740H modified 2 alloy). An aging study was performed at 800 °C on all alloys for 1, 3, 10, and 30 hours to assess precipitation behavior. Stress rupture tests were performed at 760 °C with the goal of attaining stress levels that would yield rupture at 1000 hours. The percent reduction in area was measured after failure as a measure of creep ductility. Light optical, scanning electron, and transmission electron microscopy were used in conjunction with X-ray diffraction to examine precipitation behavior of annealed, aged, and stress rupture tested samples. The amount and type of precipitation that occurred during aging prior to stress rupture testing or in-situ during stress rupture testing influenced damage development, stress rupture life, and ductility. In terms of stress rupture life, IN740H modified 2 performed the best followed by IN740H modified 1 and IN740, which performed similarly, and IN740H. In terms of stress rupture ductility, IN740H modified 1 performed the best, followed by IN740H modified 2, IN740, and IN740H. G-phase, η, M23C 6, and MX precipitated in IN740 during stress rupture testing. IN740H and the two modified alloys displayed M23C6 precipitates that were often in lamellar form and blocky MX precipitates. However, IN740H displayed more extensive formation of lamellar precipitates along grain boundaries after both aging and during stress rupture testing, which negatively influenced stress rupture life and ductility. Grain size was also shown to influence stress rupture life and ductility; a larger grain size increased stress rupture life, but decreased ductility as shown by the IN740H modified 1 and 2 alloy results. Transmission electron microscopy analysis was performed to assess the lamellar precipitation in IN740H. These precipitates were identified to be Cr-rich M23C6 that form by discontinuous cellular precipitation (DCP). The M23C6 precipitates were found to adopt different {111} habit planes based on the conditions of DCP boundary migration. Discontinuous precipitation of lamellar M23C6 is harmful to stress rupture life and ductility.
Kogan, M I; Obeĭd, M T; Siziakin, D V
2007-01-01
Rupture of the cavernous bodies is a serious penile trauma which may result in severe long-term consequences. Standard suturing of the cavernous body is accompanied with posttraumatic complications: erectile dysfunction and distortion of the penis. The results of examination and treatment of 38 patients with rupture of the tunica albuginea of the penile cavernous bodies are presented. The technique of the cavernous body wound suturing was perfected. Long-term sequences of fracture of the penis in conservative policy and different methods of cavernous body wound suturing are compared.
Lauric, Alexandra; Baharoglu, Merih I; Malek, Adel M
2013-04-01
The variable definition of size ratio (SR) for sidewall (SW) vs bifurcation (BIF) aneurysms raises confusion for lesions harboring small branches, such as carotid ophthalmic or posterior communicating locations. These aneurysms are considered SW by many clinicians, but SR methodology classifies them as BIF. To evaluate the effect of ignoring small vessels and SW vs stringent BIF labeling on SR ruptured aneurysm detection performance in borderline aneurysms with small branches, and to reconcile SR-based labeling with clinical SW/BIF classification. Catheter rotational angiographic datasets of 134 consecutive aneurysms (60 ruptured) were automatically measured in 3-dimensional. Stringent BIF labeling was applied to clinically labeled aneurysms, with 21 aneurysms switching label from SW to BIF. Parent vessel size was evaluated both taking into account, and ignoring, small vessels. SR was defined accordingly as the ratio between aneurysm and parent vessel sizes. Univariate and multivariate statistics identified significant features. The square of the correlation coefficient (R(2)) was reported for bivariate analysis of alternative SR calculations. Regardless of SW/BIF labeling method, SR was equally significant in discriminating aneurysm ruptured status (P < .001). Bivariate analysis of alternative SR had a high correlation of R(2) = 0.94 on the whole dataset, and R = 0.98 on the 21 borderline aneurysms. Ignoring small branches from SR calculation maintains rupture status detection performance, while reducing postprocessing complexity and removing labeling ambiguity. Aneurysms adjacent to these vessels can be considered SW for morphometric analysis. It is reasonable to use the clinical SW/BIF labeling when using SR for rupture risk evaluation.
Flow diverter devices in ruptured intracranial aneurysms: a single-center experience.
Lozupone, Emilio; Piano, Mariangela; Valvassori, Luca; Quilici, Luca; Pero, Guglielmo; Visconti, Emiliano; Boccardi, Edoardo
2018-04-01
OBJECTIVE In this single-center series, the authors retrospectively evaluated the effectiveness, safety, and midterm follow-up results of ruptured aneurysms treated by implantation of a flow diverter device (FDD). METHODS The records of 17 patients (12 females, 5 males, average World Federation of Neurosurgical Societies score = 2.9) who presented with subarachnoid hemorrhage (SAH) due to the rupture of an intracranial aneurysm treated with an FDD were retrospectively reviewed. Of 17 ruptured aneurysms, 8 were blood blister-like aneurysms and the remaining 9 were dissecting aneurysms. The mean delay between SAH and treatment was 4.2 days. Intraprocedural and periprocedural morbidity and mortality were recorded. Clinical and angiographic follow-up evaluations were conducted between 6 and 12 months after the procedure. RESULTS None of the ruptured aneurysms re-bled after endovascular treatment. The overall mortality rate was 12% (2/17), involving 2 patients who died after a few days because of complications of SAH. The overall morbidity rate was 12%: 1 patient experienced intraparenchymal bleeding during the repositioning of external ventricular drainage, and 1 patient with a posterior inferior cerebellar artery aneurysm developed paraplegia due to a spinal cord infarction after 2 weeks. The angiographic follow-up evaluations showed a complete occlusion of the aneurysm in 12 of 15 surviving patients; of the 3 remaining cases, 1 patient showed a remnant of the aneurysm, 1 patient was retreated due to an enlargement of the aneurysm, and 1 patient was lost at the angiographic follow-up. CONCLUSIONS FDDs can be used in patients with ruptured aneurysms, where conventional neurosurgical or endovascular treatments can be challenging.
Internal carotid artery rupture caused by carotid shunt insertion.
Illuminati, Giulio; Caliò, Francesco G; Pizzardi, Giulia; Vietri, Francesco
2015-01-01
Shunting is a well-accepted method of maintaining cerebral perfusion during carotid endarterectomy (CEA). Nonetheless, shunt insertion may lead to complications including arterial dissection, embolization, and thrombosis. We present a complication of shunt insertion consisting of arterial wall rupture, not reported previously. A 78-year-old woman underwent CEA combined with coronary artery bypass grafting (CABG). At the time of shunt insertion an arterial rupture at the distal tip of the shunt was detected and was repaired via a small saphenous vein patch. Eversion CEA and subsequent CABG completed the procedure whose postoperative course was uneventful. Shunting during combined CEA-CABG may be advisable to assure cerebral protection from possible hypoperfusion due to potential hemodynamic instability of patients with severe coronary artery disease. Awareness and prompt management of possible shunt-related complications, including the newly reported one, may contribute to limiting their harmful effect. Arterial wall rupture is a possible, previously not reported, shunt-related complication to be aware of when performing CEA. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.
Clément, R; Fornes, P; Lecomte, D
2001-02-17
Ingestion of illicit drug packages is a well known method for transportation. These packages are prone to rupture causing overdose. The body packer syndrome may be overlooked in medical practice as illustrated by the following case report. A 19-year old male had convulsions followed by cardiac arrest during a flight. He was resuscitated in the plane, but he died a few hours after admission in intensive care unit. Chest and abdominal X-rays were considered normal. Cocaïne métabolites were found in his urine. The death was considered suspicious. X-rays performed before medicolegal autopsy showed numerous packages in his digestive tract. Thirty-six packages were found in the stomach and intestine. Two were ruptured in the stomach. The cause of death was cocaïne overdose caused by package rupture. The packages are usually visible on an standard abdomen X-ray. The drug is often wrapped in latex membranes or condoms. The air is trapped between the condoms by the nodes, forming two crescents visible on the X-ray. Surgery is preferred to laxatives when the packages are fragile with a high risk of rupture.
NASA Astrophysics Data System (ADS)
Wittek, Andreas; Blase, Christopher; Derwich, Wojciech; Schmitz-Rixen, Thomas; Fritzen, Claus-Peter
2017-06-01
Abdominal aortic aneurysms (AAA) are a degenerative disease of the human aortic wall that may lead to weakening and eventually rupture of the wall with high mortality rates. Since the currently established criterion for surgical or endovascular treatment of the disease is imprecise in the individual case and treatment is not free of complications, the need for additional patient-individual biomarkers for short-term AAA rupture risk as basis for improved clinical decision making. Time resolved 3D ultrasound combined with speckle tracking algorithms is a novel non-invasive medical imaging technique that provides full-field displacement and strain measurements of aortic and aneurysmal wall motion. This is patient-individual information that has not been used so far to assess wall strength and rupture risk. The current study uses simple statistical indices of the heterogeneous spatial distribution of in-plane strain components as biomarkers for the pathological state of the aortic and aneurysmal wall. The pathophysiological rationale behind this approach are the known changes in microstructural composition of the aortic wall with progression of AAA development that results in increased stiffening and heterogeneity of the walls mechanical properties and in decreased wall strength. In a comparative analysis of the aortic wall motion of young volunteers without known cardiovascular diseases, aged arteriosclerotic patients without AAA, and AAA patients, mean values of all in-plane strain components were significantly reduced, and the heterogeneity of circumferential strain was significantly increased in the AAA group compared to both other groups. The capacity of the proposed method to differentiate between wall motion of aged, arteriosclerotic patients and AAA patients is a promising step towards a new method for in vivo assessment of AAA wall strength or stratification of AAA rupture risk as basis for improved clinical decision making on surgical or endovascular treatment of AAA.
Modeling Soft Tissue Damage and Failure Using a Combined Particle/Continuum Approach.
Rausch, M K; Karniadakis, G E; Humphrey, J D
2017-02-01
Biological soft tissues experience damage and failure as a result of injury, disease, or simply age; examples include torn ligaments and arterial dissections. Given the complexity of tissue geometry and material behavior, computational models are often essential for studying both damage and failure. Yet, because of the need to account for discontinuous phenomena such as crazing, tearing, and rupturing, continuum methods are limited. Therefore, we model soft tissue damage and failure using a particle/continuum approach. Specifically, we combine continuum damage theory with Smoothed Particle Hydrodynamics (SPH). Because SPH is a meshless particle method, and particle connectivity is determined solely through a neighbor list, discontinuities can be readily modeled by modifying this list. We show, for the first time, that an anisotropic hyperelastic constitutive model commonly employed for modeling soft tissue can be conveniently implemented within a SPH framework and that SPH results show excellent agreement with analytical solutions for uniaxial and biaxial extension as well as finite element solutions for clamped uniaxial extension in 2D and 3D. We further develop a simple algorithm that automatically detects damaged particles and disconnects the spatial domain along rupture lines in 2D and rupture surfaces in 3D. We demonstrate the utility of this approach by simulating damage and failure under clamped uniaxial extension and in a peeling experiment of virtual soft tissue samples. In conclusion, SPH in combination with continuum damage theory may provide an accurate and efficient framework for modeling damage and failure in soft tissues.
Modeling Soft Tissue Damage and Failure Using a Combined Particle/Continuum Approach
Rausch, M. K.; Karniadakis, G. E.; Humphrey, J. D.
2016-01-01
Biological soft tissues experience damage and failure as a result of injury, disease, or simply age; examples include torn ligaments and arterial dissections. Given the complexity of tissue geometry and material behavior, computational models are often essential for studying both damage and failure. Yet, because of the need to account for discontinuous phenomena such as crazing, tearing, and rupturing, continuum methods are limited. Therefore, we model soft tissue damage and failure using a particle/continuum approach. Specifically, we combine continuum damage theory with Smoothed Particle Hydrodynamics (SPH). Because SPH is a meshless particle method, and particle connectivity is determined solely through a neighbor list, discontinuities can be readily modeled by modifying this list. We show, for the first time, that an anisotropic hyperelastic constitutive model commonly employed for modeling soft tissue can be conveniently implemented within a SPH framework and that SPH results show excellent agreement with analytical solutions for uniaxial and biaxial extension as well as finite element solutions for clamped uniaxial extension in 2D and 3D. We further develop a simple algorithm that automatically detects damaged particles and disconnects the spatial domain along rupture lines in 2D and rupture surfaces in 3D. We demonstrate the utility of this approach by simulating damage and failure under clamped uniaxial extension and in a peeling experiment of virtual soft tissue samples. In conclusion, SPH in combination with continuum damage theory may provide an accurate and efficient framework for modeling damage and failure in soft tissues. PMID:27538848
Janiga, G; Berg, P; Sugiyama, S; Kono, K; Steinman, D A
2015-03-01
Rupture risk assessment for intracranial aneurysms remains challenging, and risk factors, including wall shear stress, are discussed controversially. The primary purpose of the presented challenge was to determine how consistently aneurysm rupture status and rupture site could be identified on the basis of computational fluid dynamics. Two geometrically similar MCA aneurysms were selected, 1 ruptured, 1 unruptured. Participating computational fluid dynamics groups were blinded as to which case was ruptured. Participants were provided with digitally segmented lumen geometries and, for this phase of the challenge, were free to choose their own flow rates, blood rheologies, and so forth. Participants were asked to report which case had ruptured and the likely site of rupture. In parallel, lumen geometries were provided to a group of neurosurgeons for their predictions of rupture status and site. Of 26 participating computational fluid dynamics groups, 21 (81%) correctly identified the ruptured case. Although the known rupture site was associated with low and oscillatory wall shear stress, most groups identified other sites, some of which also experienced low and oscillatory shear. Of the 43 participating neurosurgeons, 39 (91%) identified the ruptured case. None correctly identified the rupture site. Geometric or hemodynamic considerations favor identification of rupture status; however, retrospective identification of the rupture site remains a challenge for both engineers and clinicians. A more precise understanding of the hemodynamic factors involved in aneurysm wall pathology is likely required for computational fluid dynamics to add value to current clinical decision-making regarding rupture risk. © 2015 by American Journal of Neuroradiology.
Simulated Data for High Temperature Composite Design
NASA Technical Reports Server (NTRS)
Chamis, Christos C.; Abumeri, Galib H.
2006-01-01
The paper describes an effective formal method that can be used to simulate design properties for composites that is inclusive of all the effects that influence those properties. This effective simulation method is integrated computer codes that include composite micromechanics, composite macromechanics, laminate theory, structural analysis, and multi-factor interaction model. Demonstration of the method includes sample examples for static, thermal, and fracture reliability for a unidirectional metal matrix composite as well as rupture strength and fatigue strength for a high temperature super alloy. Typical results obtained for a unidirectional composite show that the thermal properties are more sensitive to internal local damage, the longitudinal properties degrade slowly with temperature, the transverse and shear properties degrade rapidly with temperature as do rupture strength and fatigue strength for super alloys.
Tam, Greta; Chan, Yiu Che; Chong, Ka Chun; Lee, Kam Pui; Cheung, Grace Chung-Yan; Cheng, Stephen Wing-Keung
2018-03-01
The aim of this study was to examine changes in abdominal aortic aneurysm repair and mortality during a period when endovascular aneurysm repair (EVAR) was introduced.Open repair surgery was the mainstay of treatment for abdominal aortic aneurysm (AAA), but EVAR is increasingly utilized. Studies in the Western population have reported improved short-term or postoperative mortality and shorter length of hospital stay with EVAR. However, scant data are available in the Chinese population.We conducted a retrospective observational study using the database of the Hospital Authority, which provides public health care to most of the Hong Kong population. AAA patients admitted to public hospitals for intact repair or rupture from 1994 to 2013 were included in this study. We calculated the incidence of ruptured AAA, annual repair rates according to type of AAA and surgery, as well as death rates (operative and overall short-term). We calculated whether there were significant changes over time and compared short-term mortality between open surgery and EVAR.One thousand eight hundred eighty-five patients were admitted for intact repair and 1306 patients were admitted for AAA rupture, of whom 795 underwent rupture repair. Intact repair rates significantly increased in all age groups (7.3-37.8%, P < .001) over the study period.The incidence of ruptured AAA increased, in all age groups, except in < 64 years old. By 2013, 85% of intact repairs and 55.4% of rupture repair were done by EVAR. Over time, there was a significant decrease in operative mortality for intact repair (16.5 in 1994 to 7.1 in 2013, P = .01) and rupture repair (59.7 in 1994 to 30.8 in 2013, P = .003). Over the same time period, short-term AAA-related deaths decreased by more than half (73% in 1994 to 24% in 2013, P < .001), with a significant decline in all age groups, except < 64 years old. Short-term mortality was significantly lower for EVAR than for open repair (17.2% vs 40.3%, P < .01).Short-term AAA-related deaths have declined likely due to decreased operative mortality and rupture deaths during the period of EVAR introduction and expansion.
Evidence for Coseismic Rupture Beyond the Base of the Seismogenic Layer
NASA Astrophysics Data System (ADS)
Zielke, O.; Wesnousky, S.
2010-12-01
For scientific reasons and hazard assessment it is important to better understand the physics and rupture characteristics of large, destructive earthquakes. However, those events occur infrequently, severely obstructing their analysis. Smaller but more frequent earthquakes are usually studied and their characteristics are extrapolated to assess large earthquake behavior, assuming that small and large events are associated with the same physical processes and parameters. For small and moderate size earthquakes it was observed and independently derived from elastic models that coseismic stress drop is independent of earthquake size and that slip is proportional to the smallest rupture dimension. It is therefore assumed that large earthquake stress drops are essentially equal to the stress drop of their smaller size siblings. It is further assumed that the slip amount of large events does not further increase once it ruptures the full seismogenic layer--the base of the seismogenic layer is commonly thought to limit the earthquake down-dip rupture extend and thus defines the smallest rupture dimension. However, slip observations for many large strike-slip events show how offset gradually increases with rupture length. Two explanations have been formulated: If the rupture width of those events were indeed limited by the base of the seismogenic layer, the observations would imply larger stress drops and possibly other processes involved in large earthquake rupture, questioning the validity of the aforementioned extrapolation from small to large earthquakes. On the other hand, if rupture width of large earthquakes were not limited by the base of the seismogenic layer but were allowed to extend further down (as suggested by recent studies), the increased slip amount may be explained without an increase in stress drop or additional rupture mechanisms for large earthquakes. For the study we present here, we analyzed seismic data constraining the depth extent of large earthquakes relative to the depth of the seismogenic base. We utilized time series data of aftershock depths for a number of large strike-slip earthquakes, generating aftershock time vs. depth histograms to investigate the temporal variation in depth distribution. Based on hypocenter depth of small earthquakes along the Landers fault (causing the 1992 M7.3 Landers earthquake), we identified the base of the seismogenic layer at ~10km. Aftershocks that occurred only days after the Landers earthquake had maximum depths of ~18km, suggesting that rupture of the main shock extended this far down and therefore went well below the base of the seismogenic layer. Maximum aftershock depth then decayed roughly logarithmically, reaching the previous value of ~10km after about 5.5years. We argue that these observations are a logical consequence of the visco-elastic rheology of crustal rocks: Coseismically highly increased strains elevate the crustal stiffness, temporarily lowering the base of the seismogenic layer and permitting initiation of slip instabilities at depths that are otherwise characterized by viscous behavior. Extrapolation from small to large earthquakes is therefore permitted. No additional stress drop or rupture mechanism is required to explain the data.
Crystal plastic earthquakes in dolostones: from slow to fast ruptures.
NASA Astrophysics Data System (ADS)
Passelegue, F. X.; Aubry, J.; Nicolas, A.; Fondriest, M.; Schubnel, A.; Di Toro, G.
2017-12-01
Dolostone is the most dominant lithology of the seismogenic upper crust around the Mediterranean Sea. Understanding the internal mechanisms controlling fault friction is crucial for understanding seismicity along active faults. Displacement in such fault zones is frequently highlighted by highly reflective (mirror-like) slip surfaces, created by thin films of nanogranular fault rock. Using saw-cut dolostone samples coming from natural fault zones, we conducted stick-slip experiments under triaxial loading conditions at 30, 60 and 90 MPa confining pressure and temperature ranging from 30 to 100 degrees C. At 30 and 65 degrees C, only slow rupture was observed and the experimental fault exhibits frictional behaviour, i.e. a dependence of normal stress on peak shear stress. At 65 degrees C, a strengthening behaviour is observed after the main rupture, leading to a succession of slow rupture. At 100 degrees C, the macroscopic behaviour of the fault becomes ductile, and no dependence of pressure on the peak shear stress is observed. In addition, the increase of the confining pressure up to 60 and 90 MPa allow the transition from slow to fast rupture, highlighted by the records of acoustic activity and by dynamic stress drop occurring in a few tens of microseconds. Using strain gages located along the fault surface and acoustic transducers, we were able to measure the rupture velocities during slow and fast rupture. Slow ruptures propagated around 0.1 m/s, in agreement with natural observations. Fast ruptures propagated up to supershear velocities, i.e. faster than the shear wave speed (>3500 m/s). A complete study of the microstructures was realized before and after ruptures. Slow ruptures lead to the production of mirror-like surface driven by the production of nanograins due to dislocation processes. Fast ruptures induce the production of amorphous material along the fault surface, which may come from decarbonation and melting processes. We demonstrate that the transition from slow to fast instabilities is observed due to an increase of the fault stiffness with increasing both temperature and confining pressure. This increase in the stiffness leads to an increase of the slip velocity during the main instability, which allow flash weakening processes and fast propagation of the seismic rupture.
Mulat Aweke, Amlaku; Eshetie Wondie, Tewodrose
2017-01-01
Background Uterine rupture is tearing of the uterine wall during pregnancy or delivery. It may extend to partial or whole thickness of the uterine wall. It is usually a case where obstetric care is poor. In extensive damage, death of the baby and sometimes even maternal death are evident. Objective This study assesses associated factors and outcome of uterine rupture at Suhul General Hospital, Tigray Region, Ethiopia, 2016. Methodology A case-control study was conducted by review of data from September 2012 to August 2016. A total of 336 samples were studied after calculating by EPI-INFO using proportion of multiparity (53%) and ratio of 1 : 2 for cases and controls, respectively. Analysis was done using SPSS version 20. Bivariate and multivariate logistic regression was applied with p < 0.05. Result ANC, grand multiparity, malpresentation, and obstructed labor had association, but previous cesarean delivery was not significant. Perinatal mortality was 105 (93%) versus 13 (5.8%) in cases and controls, respectively. Anemia was highest for both groups (53.7% versus 32.1%). Conclusion Majority of uterine rupture is attributed to prolonged or obstructed labor. Cases of uterine rupture had prompt management preventing maternal mortality, but burden of perinatal death is still high. PMID:29403533
Tao, Hongyue; Qiao, Yang; Hu, Yiwen; Xie, Yuxue; Lu, Rong; Yan, Xu
2018-01-01
Objectives To quantitatively assess changes in cartilage matrix after acute anterior cruciate ligament (ACL) rupture using T2- and T2⁎-mapping and analyze the correlation between the results of both methods. Methods Twenty-three patients and 23 healthy controls were enrolled and underwent quantitative MRI examination. The knee cartilage was segmented into six compartments, including lateral femur (LF), lateral tibia (LT), medial femur (MF), medial tibia (MT), trochlea (Tr), and patella (Pa). T2 and T2⁎ values were measured in full-thickness as well as superficial and deep layers of each cartilage compartment. Differences of T2 and T2⁎ values between patients and controls were compared using unpaired Student's t-test, and the correlation between their reciprocals was analyzed using Pearson's correlation coefficient. Results ACL-ruptured patients showed higher T2 and T2⁎ values in full-thickness and superficial layers of medial and lateral tibiofemoral joint. Meanwhile, patients exhibited higher T2⁎ values in deep layers of lateral tibiofemoral joint. The elevated percentages of T2 and T2⁎ value in superficial LT were most significant (20.738%, 17.525%). The reciprocal of T2⁎ value was correlated with that of T2 value (r = 0.886, P < 0.001). Conclusion The early degeneration could occur in various knee cartilage compartments after acute ACL rupture, especially in the superficial layer of LT. T2⁎-mapping might be more sensitive in detecting deep layer of cartilage than T2-mapping. PMID:29888279
NASA Astrophysics Data System (ADS)
Zhang, Yong; Wang, Rongjiang; Parolai, Stefano; Zschau, Jochen
2013-04-01
Based on the principle of the phased array interference, we have developed an Iterative Deconvolution Stacking (IDS) method for real-time kinematic source inversion using near-field strong-motion and GPS networks. In this method, the seismic and GPS stations work like an array radar. The whole potential fault area is scanned patch by patch by stacking the apparent source time functions, which are obtained through deconvolution between the recorded seismograms and synthetic Green's functions. Once some significant source signals are detected any when and where, their signatures are removed from the observed seismograms. The procedure is repeated until the accumulative seismic moment being found converges and the residual seismograms are reduced below the noise level. The new approach does not need any artificial constraint used in the source parameterization such as, for example, fixing the hypocentre, restricting the rupture velocity and rise time, etc. Thus, it can be used for automatic real-time source inversion. In the application to the 2011 Tohoku earthquake, the IDS method is proved to be robust and reliable on the fast estimation of moment magnitude, fault area, rupture direction, and maximum slip, etc. About at 100 s after the rupture initiation, we can get the information that the rupture mainly propagates along the up-dip direction and causes a maximum slip of 17 m, which is enough to release a tsunami early warning. About two minutes after the earthquake occurrence, the maximum slip is found to be 31 m, and the moment magnitude reaches Mw8.9 which is very close to the final moment magnitude (Mw9.0) of this earthquake.
Quantifying near-field and off-fault deformation patterns of the 1992 Mw 7.3 Landers earthquake
NASA Astrophysics Data System (ADS)
Milliner, Christopher W. D.; Dolan, James F.; Hollingsworth, James; Leprince, Sebastien; Ayoub, Francois; Sammis, Charles G.
2015-05-01
Coseismic surface deformation in large earthquakes is typically measured using field mapping and with a range of geodetic methods (e.g., InSAR, lidar differencing, and GPS). Current methods, however, either fail to capture patterns of near-field coseismic surface deformation or lack preevent data. Consequently, the characteristics of off-fault deformation and the parameters that control it remain poorly understood. We develop a standardized method to fully measure the surface, near-field, coseismic deformation patterns at high resolution using the COSI-Corr program by correlating pairs of aerial photographs taken before and after the 1992 Mw 7.3 Landers earthquake. COSI-Corr offers the advantage of measuring displacement across the entire zone of surface deformation and over a wider aperture than that available to field geologists. For the Landers earthquake, our measured displacements are systematically larger than the field measurements, indicating the presence of off-fault deformation. We show that 46% of the total surface displacement occurred as off-fault deformation, over a mean deformation width of 154 m. The magnitude and width of off-fault deformation along the rupture is primarily controlled by the macroscopic structural complexity of the fault system, with a weak correlation with the type of near-surface materials through which the rupture propagated. Both the magnitude and width of distributed deformation are largest in stepovers, bends, and at the southern termination of the surface rupture. We find that slip along the surface rupture exhibits a consistent degree of variability at all observable length scales and that the slip distribution is self-affine fractal with dimension of 1.56.
Catchings, Rufus D.; Rymer, Michael J.; Goldman, Mark R.; Sickler, Robert R.; Criley, Coyn J.
2014-01-01
The determination of near‐surface (vadose zone and slightly below) fault locations and geometries is important because assessment of ground rupture, strong shaking, geologic slip rates, and rupture histories occurs at shallow depths. However, seismic imaging of fault zones at shallow depths can be difficult due to near‐surface complexities, such as weathering, groundwater saturation, massive (nonlayered) rocks, and vertically layered strata. Combined P‐ and S‐wave seismic‐refraction tomography data can overcome many of the near‐surface, fault‐zone seismic‐imaging problems because of differences in the responses of elastic (bulk and shear) moduli of P and S waves to shallow‐depth, fault‐zone properties. We show that high‐resolution refraction tomography images of P‐ to S‐wave velocity ratios (VP/VS) can reliably identify near‐surface faults. We demonstrate this method using tomography images of the San Andreas fault (SAF) surface‐rupture zone associated with the 18 April 1906 ∼M 7.9 San Francisco earthquake on the San Francisco peninsula in California. There, the SAF cuts through Franciscan mélange, which consists of an incoherent assemblage of greywacke, chert, greenstone, and serpentinite. A near‐vertical zone (∼75° northeast dip) of high P‐wave velocities (up to 3000 m/s), low S‐wave velocities (∼150–600 m/s), high VP/VS ratios (4–8.8), and high Poisson’s ratios (0.44–0.49) characterizes the main surface‐rupture zone to a depth of about 20 m and is consistent with nearby trench observations. We suggest that the combined VP/VSimaging approach can reliably identify most near‐surface fault zones in locations where many other seismic methods cannot be applied.
Effect of a Material Contrast on a Dynamic Rupture: 3-D
NASA Astrophysics Data System (ADS)
Harris, R. A.; Day, S. M.
2003-12-01
We use numerical simulations of spontaneously propagating ruptures to examine the effect of a material contrast on earthquake dynamics. We specifically study the case of a lateral contrast whereby the fault is the boundary between two different rock-types. This scenario was previously studied in two-dimensions by Harris and Day [BSSA, 1997], and Andrews and Ben-Zion [JGR, 1997], in addition to subsequent 2-D studies, but it has not been known if the two-dimensional results are applicable to the real three-dimensional world. The addition of the third dimension implies a transition from pure mode II (i.e., plane-strain) to mixed-mode crack dynamics, which is more complicated since in mode II the shear and normal stresses are coupled whereas in mode III (i.e., anti-plane strain) they are not coupled. We use a slip-weakening fracture criterion and examine the effect on an earthquake rupture of material contrasts of up to 50 percent across the fault zone. We find a surprisingly good agreement between our earlier 2-D results, and our 3-D results for along-strike propagation. We find that the analytical solution presented in Harris and Day [BSSA, 1997] does an excellent job at predicting the bilateral, along-strike rupture velocities for the three-dimensional situation. In contrast, the along-dip propagation behaves much as expected for a purely mode-III rupture, with the rupture velocities up-dip and down-dip showing the expected symmetries.
Pizones, Javier; Sánchez-Mariscal, Felisa; Zúñiga, Lorenzo; Álvarez, Patricia; Izquierdo, Enrique
2013-04-20
Prospective cohort study. To study magnetic resonance imaging (MRI) accuracy in diagnosing posterior ligamentous complex (PLC) damage, when applying the new dichotomic instability criteria in a prospective cohort of patients with vertebral fracture. Recent studies dispute MRI accuracy to diagnose PLC injuries. They analyze the complex based on 3 categories (intact/indeterminate/rupture), including the indeterminate in the ruptured group (measurement bias) in the accuracy analysis. Moreover, fractures with conservative treatment (selection bias) are not included. Both facts reduce the specificity. A recent study has proposed new criteria where posterior instability is determined with supraspinous ligament (SSL) rupture. Prospective study of patients with acute thoracolumbar fracture, using radiography and MRI (FS-T2-w/short-tau inversion-recovery sequences). 1. The integrity (ruptured/unruptured) of each isolated component of the PLC (facet capsules, interspinous ligament, SSL, and ligamentum flavum) was assessed via MRI and surgical findings. 2. PLC integrity as a whole was assessed, adopting the new dichotomic stability criteria from previous studies. In the MR images, PLC is considered ruptured when the SSL is found discontinued, and intact when not (this excludes the "indeterminate" category). In surgically treated fractures, PLC stability as a whole was assessed dynamically (ruptured/unruptured). In conservative fractures, PLC stability was assessed according to change in vertebral kyphosis measured with the local kyphotic angle at 2-year follow-up (ruptured if difference is > 5°/unruptured if difference is < 5°).3. Comparative analysis among findings provided MRI accuracy in diagnosing PLC damage. Fifty-eight vertebral fractures were studied (38 surgical, 20 conservative), of which 50% were in males; average age, 40.4 years. MRI sensitivity for injury diagnosis of each isolated PLC component varied between 92.3% (interspinous ligament) and 100% (ligamentum flavum). Specificity varied between 52% (facet capsules) and 100% (SSL). PLC integrity sensitivity and specificity as a whole were 91% and 100%, respectively. Adopting the new stability criteria, MRI accuracy in PLC injury diagnosis increases. Specificity is increased (true positives) both in isolated component analysis and PLC as a whole.
NASA Astrophysics Data System (ADS)
Wu, S. M.; Hung, S. H.
2015-12-01
Earthquake-induced temporal changes in seismic velocity of the earth's crust have been demonstrated to be monitored effectively by the time-lapse shifts of coda waves recently. Velocity drop during the coseismic rupture has been explicitly observed in proximity to the epicenters of large earthquakes with different styles of faulting. The origin of such sudden perturbation in crustal properties is closely related to the damage and/or volumetric strain change influenced by seismic slip distribution. In this study, we apply a coda wave interferometry method to investigate potential velocity change in both space and time related to the moderate-sized (Mw6.3) 2010 Jiasian earthquake, which nucleated deeply in the crust (~23 km), ruptured and terminated around the depth of 10 km along a previously unidentified blind thrust fault near the lithotectonic boundary of the southern Taiwan orogenic belt. To decipher the surface and crustal response to this relatively deep rupture, we first measure relative time-lapse changes of coda between different short-term time frames spanning one year covering the pre- and post-seismic stages by using the Moving Window Cross Spectral Method. Rather than determining temporal velocity variations based on a long-term reference stack, we conduct a Bayesian least-squares inversion to obtain the optimal estimates by minimizing the inconsistency between the relative time-lapse shifts of individual short-term stacks. The results show the statistically significant velocity reduction immediately after the mainshock, which is most pronounced at the pairs with the interstation paths traversing through the hanging-wall block of the ruptured fault. The sensitivity of surface wave coda arrivals mainly in the periods of 3-5 s to shear wave speed perturbation is confined within the depth of 10 km, where the crust mostly experienced extensional strain changes induced by the slip distribution from the finite-fault model. Compared with coseismic slip distribution from GPS data and finite-fault inversion, peak ground velocity, and static volumetric strain field following the earthquake, the velocity decrease observed in the hanging wall side of the shallow crust is most likely attributed to pervasive dilatational strain changes induced by the slip rupture on the underlying blind thrust.
NASA Astrophysics Data System (ADS)
DeLong, S. B.; Pickering, A.; Scharer, K. M.; Hudnut, K. W.; Lienkaemper, J. J.
2014-12-01
Near-fault surface deformation associated with the August 24, 2014 M6.0 South Napa earthquake included both coseismic and post-seismic slip. Initial synthesis of field observations and initial measurement and modeling of afterslip from traditional survey methods indicate that coseismic slip was minimal (<10 cm) within 8 km northward from the epicenter but post-seismic slip, in places, approached 40 cm. We collected reconnaissance photographs using professional-grade SLR cameras from a helicopter within 12 hours after the earthquake, and a more systematic collection of air photos the day after the earthquake. We also collected terrestrial laser scanner (TLS) data two days (on August 26) and twenty-two days (on September 22) after the earthquake along a 0.5 km length of the main fault trace, just south of State Highway 12. This study site is 6 km north of the southern end of the 15 km long surface rupture and 5 km south of the highest measured co-seismic slip. We used structure-from-motion (SfM) methods to mosaic, orthorectify, and generate dense point clouds from the photos. SfM data corroborates survey-based ground observations of limited (~5 cm or less) coseismic slip along the fault trace between CA State Highway 12 and Withers Road, on discontinuous left-stepping en echelon ruptures. By August 26, the surface rupture became nearly continuous, and cultural features extracted from the TLS point clouds indicate horizontal slip magnitudes between 15 and 27 cm, increasing northward. By September 22, slip magnitudes had increased to between 26 and 46 cm. The lower slip magnitudes are to the south at Withers Road, and the general trend is increased slip to the north, but there is more slip variability along the fault trace in the September 15 data. From August 26 to September 15, the west side of the fault trace uplifted between 0.5 and 5 cm relative to east side. Increased relief on the surface rupture itself indicated a slight compressional component of the deformation. These results confirm that post-event air photos can be useful for rapid 3D mapping, and that the unparalleled accuracy of TLS data can be used to quantify even very subtle deformation patterns in three dimensions and document changes through time.
2012-01-01
Background Benign esophageal ruptures and anastomotic leaks are life-threatening conditions that are often treated surgically. Recently, placement of partially and fully covered metal or plastic stents has emerged as a minimally invasive treatment option. We aimed to determine the clinical effectiveness of covered stent placement for the treatment of esophageal ruptures and anastomotic leaks with special emphasis on different stent designs. Methods Consecutive patients who underwent placement of a fully covered self-expandable metal stent (FSEMS), a partially covered SEMS (PSEMS) or a self-expanding plastic stent (SEPS) for a benign esophageal rupture or anastomotic leak after upper gastrointestinal surgery in the period 2007-2010 were included. Data on patient demographics, type of lesion, stent placement and removal, clinical success and complications were collected Results A total of 52 patients received 83 esophageal stents (61 PSEMS, 15 FSEMS, 7 SEPS) for an anastomotic leak (n = 32), iatrogenic rupture (n = 13), Boerhaave's syndrome (n = 4) or other cause (n = 3). Endoscopic stent removal was successful in all but eight patients treated with a PSEMS due to tissue ingrowth. Clinical success was achieved in 34 (76%, intention-to-treat: 65%) patients (PSEMS: 73%, FSEMS: 83%, SEPS: 83%) after a median of 1 (range 1-5) stent and a median stenting time of 39 (range 7-120) days. In total, 33 complications in 24 (46%) patients occurred (tissue in- or overgrowth (n = 8), stent migration (n = 10), ruptured stent cover (all Ultraflex; n = 6), food obstruction (n = 3), severe pain (n = 2), esophageal rupture (n = 2), hemorrhage (n = 2)). One (2%) patient died of a stent-related cause. Conclusions Covered stents placed for a period of 5-6 weeks may well be an alternative to surgery for treating benign esophageal ruptures or anastomotic leaks. As efficacy between PSEMS, FSEMS and SEPS is not different, stent choice should depend on expected risks of stent migration (SEPS and FSEMS) and tissue in- or overgrowth (PSEMS). PMID:22375711
Mori, J.
1996-01-01
Details of the M 4.3 foreshock to the Joshua Tree earthquake were studied using P waves recorded on the Southern California Seismic Network and the Anza network. Deconvolution, using an M 2.4 event as an empirical Green's function, corrected for complicated path and site effects in the seismograms and produced simple far-field displacement pulses that were inverted for a slip distribution. Both possible fault planes, north-south and east-west, for the focal mechanism were tested by a least-squares inversion procedure with a range of rupture velocities. The results showed that the foreshock ruptured the north-south plane, similar to the mainshock. The foreshock initiated a few hundred meters south of the mainshock and ruptured to the north, toward the mainshock hypocenter. The mainshock (M 6.1) initiated near the northern edge of the foreshock rupture 2 hr later. The foreshock had a high stress drop (320 to 800 bars) and broke a small portion of the fault adjacent to the mainshock but was not able to immediately initiate the mainshock rupture.
Estimating rupture distances without a rupture
Thompson, Eric M.; Worden, Charles
2017-01-01
Most ground motion prediction equations (GMPEs) require distances that are defined relative to a rupture model, such as the distance to the surface projection of the rupture (RJB) or the closest distance to the rupture plane (RRUP). There are a number of situations in which GMPEs are used where it is either necessary or advantageous to derive rupture distances from point-source distance metrics, such as hypocentral (RHYP) or epicentral (REPI) distance. For ShakeMap, it is necessary to provide an estimate of the shaking levels for events without rupture models, and before rupture models are available for events that eventually do have rupture models. In probabilistic seismic hazard analysis, it is often convenient to use point-source distances for gridded seismicity sources, particularly if a preferred orientation is unknown. This avoids the computationally cumbersome task of computing rupture-based distances for virtual rupture planes across all strikes and dips for each source. We derive average rupture distances conditioned on REPI, magnitude, and (optionally) back azimuth, for a variety of assumed seismological constraints. Additionally, we derive adjustment factors for GMPE standard deviations that reflect the added uncertainty in the ground motion estimation when point-source distances are used to estimate rupture distances.
Contribution of MRI to clinically equivocal penile fracture cases.
Türkay, Rüştü; Yenice, Mustafa Gürkan; Aksoy, Sema; Şeker, Gökhan; Şahin, Selçuk; İnci, Ercan; Tuğcu, Volkan; Taşcı, Ali İhsan
2016-11-01
Penile fracture is a surgical emergency defined as rupture of the tunica albuginea. Although most cases can be diagnosed with clinical evaluation, it has been stated in the literature that diagnosis in as many as 15% of cases can be challenging. In uncertain cases, imaging can help determine diagnosis. Present study included 20 cases where diagnosis could not be made with certainty and magnetic resonance imaging (MRI) was performed. MR images were examined for tunical rupture and accompanying pathologies. When rupture was observed, localization and length of rupture were noted. All patients underwent degloving surgery. All imaging findings were compared to surgical findings. MRI revealed 19 tunical ruptures. In 1 case, hematoma was seen with no sign of penile fracture. No urethral injuries were found. All MRI findings were confirmed during surgery. Performing MRI in clinically equivocal cases can provide crucial data to make precise diagnosis and improve patient management.
Chen, J J; Lien, W P; Chang, F Z; Lee, Y S; Hung, C R; Chu, S S; Wu, T L
1980-02-01
Clinical features of 19 cases with congenital aneurysm of the right sinus of Valsalva rupturing into the right ventricular outflow region (Type 1) were analysed in relation to their pathoanatomic lesions and hemodynamic alterations. Sixteen cases were operated with one surgical death. All were catheterized together with ascending aortographic study. Rupture of the aneurysm in many cases was silent or symptomless and progressive heart failure was not quite common. Symptomatology of the patients did not seem to be related entirely to status of the pathoanatomical lesions or hemodynamic alterations. Time of the rupture, and inherent right ventricular characteristics, tolerating volume overload rather well, might be, in part, responsible for its better prognosis in some cases. However, all patients with ruptured aneurysm of the sinus of Valsalva should be treated surgically. Bacterial endocarditis is a serious complication leading to death.
[Secondary Splenic Rupture after Initially Inconspicuous CAT Scan].
Prokop, A; Koll, S; Chmielnicki, M
2016-04-01
Splenic injuries occur in 1-5 % of blunt abdominal trauma cases. After initial haemorrhagic compression, secondary delayed spleen rupture can occur with a latency of one day to a month or longer. Mortality is then up to 15 %. The spleen injury is almost always recognisable on CT or ultrasound. In one case from our clinic, secondary splenic rupture occurred in a patient after discharge from hospitalisation, even though the initial CT and ultrasound were unremarkable. The patient survived, and underwent emergent splenectomy 8 days after the trauma. An expert review of the case identified no errors in treatment. No case of secondary splenic rupture after initially unremarkable diagnostic studies and clinical course has previously been published. Secondary splenic rupture has a high mortality rate. Patients should be advised of potential complications after hospital discharge, and should return to the hospital immediately in case of symptoms. Georg Thieme Verlag KG Stuttgart · New York.
Advanced Simulation of Coupled Earthquake and Tsunami Events
NASA Astrophysics Data System (ADS)
Behrens, Joern
2013-04-01
Tsunami-Earthquakes represent natural catastrophes threatening lives and well-being of societies in a solitary and unexpected extreme event as tragically demonstrated in Sumatra (2004), Samoa (2009), Chile (2010), or Japan (2011). Both phenomena are consequences of the complex system of interactions of tectonic stress, fracture mechanics, rock friction, rupture dynamics, fault geometry, ocean bathymetry, and coastline geometry. The ASCETE project forms an interdisciplinary research consortium that couples the most advanced simulation technologies for earthquake rupture dynamics and tsunami propagation to understand the fundamental conditions of tsunami generation. We report on the latest research results in physics-based dynamic rupture and tsunami wave propagation simulation, using unstructured and adaptive meshes with continuous and discontinuous Galerkin discretization approaches. Coupling both simulation tools - the physics-based dynamic rupture simulation and the hydrodynamic tsunami wave propagation - will give us the possibility to conduct highly realistic studies of the interaction of rupture dynamics and tsunami impact characteristics.
Implications on 1+1 D runup modeling due to time features of the earthquake source
NASA Astrophysics Data System (ADS)
Fuentes, M.; Riquelme, S.; Campos, J. A.
2017-12-01
The time characteristics of the seismic source are usually neglected in tsunami modeling, due to the difference in the time scale of both processes. Nonetheless, there are just a few analytical studies that intended to explain separately the role of the rise time and the rupture velocity. In this work, we extend an analytical 1+1D solution for the shoreline motion time series, from the static case to the dynamic case, by including both, rise time and rupture velocity. Results show that the static case correspond to a limit case of null rise time and infinite rupture velocity. Both parameters contribute in shifting the arrival time, but maximum run-up may be affected by very slow ruptures and long rise time. The analytical solution has been tested for the Nicaraguan tsunami earthquake, suggesting that the rupture was not slow enough to cause wave amplification to explain the high runup observations.
HAYASHI, Shihori; MAEHARA, Taketoshi; MUKAWA, Maki; AOYAGI, Masaru; YOSHINO, Yoshikazu; NEMOTO, Shigeru; ONO, Toshiaki; OHNO, Kikuo
2014-01-01
Ruptured intracranial aneurysms are rare in the pediatric population compared to adults. This has incited considerable discussion on how to treat children with this condition. Here, we report a child with a ruptured saccular basilar artery aneurysm that was successfully treated with coil embolization. A 12-year-old boy with acute lymphoblastic leukemia and accompanying abdominal candidiasis after chemotherapy suddenly complained of a severe headache and suffered consciousness disturbance moments later. Computed tomography scans and cerebral angiography demonstrated acute hydrocephalus and subarachnoid hemorrhage caused by saccular basilar artery aneurysm rupture. External ventricular drainage was performed immediately. Because the patient was in severe condition and did not show remarkable signs of central nervous system infection in cerebrospinal fluid studies, we applied endovascular treatment for the ruptured saccular basilar artery aneurysm, which was successfully occluded with coils. The patient recovered without new neurological deficits after ventriculoperitoneal shunting. Recent reports indicate that both endovascular and microsurgical techniques can be used to effectively treat ruptured cerebral aneurysms in pediatric patients. A minimally invasive endovascular treatment was effective in the present case, but long-term follow-up will be necessary to confirm the efficiency of endovascular treatment for children with ruptured saccular basilar artery aneurysms. PMID:24257487
Hayashi, Shihori; Maehara, Taketoshi; Mukawa, Maki; Aoyagi, Masaru; Yoshino, Yoshikazu; Nemoto, Shigeru; Ono, Toshiaki; Ohno, Kikuo
2014-01-01
Ruptured intracranial aneurysms are rare in the pediatric population compared to adults. This has incited considerable discussion on how to treat children with this condition. Here, we report a child with a ruptured saccular basilar artery aneurysm that was successfully treated with coil embolization. A 12-year-old boy with acute lymphoblastic leukemia and accompanying abdominal candidiasis after chemotherapy suddenly complained of a severe headache and suffered consciousness disturbance moments later. Computed tomography scans and cerebral angiography demonstrated acute hydrocephalus and subarachnoid hemorrhage caused by saccular basilar artery aneurysm rupture. External ventricular drainage was performed immediately. Because the patient was in severe condition and did not show remarkable signs of central nervous system infection in cerebrospinal fluid studies, we applied endovascular treatment for the ruptured saccular basilar artery aneurysm, which was successfully occluded with coils. The patient recovered without new neurological deficits after ventriculoperitoneal shunting. Recent reports indicate that both endovascular and microsurgical techniques can be used to effectively treat ruptured cerebral aneurysms in pediatric patients. A minimally invasive endovascular treatment was effective in the present case, but long-term follow-up will be necessary to confirm the efficiency of endovascular treatment for children with ruptured saccular basilar artery aneurysms.
A crack-like rupture model for the 19 September 1985 Michoacan, Mexico, earthquake
NASA Astrophysics Data System (ADS)
Ruppert, Stanley D.; Yomogida, Kiyoshi
1992-09-01
Evidence supporting a smooth crack-like rupture process of the Michoacan earthquake of 1985 is obtained from a major earthquake for the first time. Digital strong motion data from three stations (Caleta de Campos, La Villita, and La Union), recording near-field radiation from the fault, show unusually simple ramped displacements and permanent offsets previously only seen in theoretical models. The recording of low frequency (0 to 1 Hz) near-field waves together with the apparently smooth rupture favors a crack-like model to a step or Haskell-type dislocation model under the constraint of the slip distribution obtained by previous studies. A crack-like rupture, characterized by an approximated dynamic slip function and systematic decrease in slip duration away from the point of rupture nucleation, produces the best fit to the simple ramped displacements observed. Spatially varying rupture duration controls several important aspects of the synthetic seismograms, including the variation in displacement rise times between components of motion observed at Caleta de Campos. Ground motion observed at Caleta de Campos can be explained remarkably well with a smoothly propagating crack model. However, data from La Villita and La Union suggest a more complex rupture process than the simple crack-like model for the south-eastern portion of the fault.
Kauwe, Merrell
2017-04-01
The Achilles tendon (AT) is the strongest, largest, and most commonly ruptured tendon in the human body. Physical examination provides high sensitivity and specificity. Imaging studies are not recommended unless there are equivocal findings in the physical examination. Recent studies have shown that the risk of re-rupture is negated with implementation of functional rehabilitation protocols. Heterogeneity in study design makes conclusions on the specifics of functional rehabilitation protocols difficult; however, it is clear that early weight bearing and early controlled mobilization lead to better patient outcome and satisfaction in both surgically and conservatively treated populations. Copyright © 2016 Elsevier Inc. All rights reserved.
Kodde, Izaäk F; van den Bekerom, Michel P J; Mulder, Paul G H; Eygendaal, Denise
2016-01-01
Hypertrophic changes at the radial tuberosity have traditionally been related to distal biceps tendon degeneration and rupture. From supination to pronation of the forearm, the space available for the distal biceps tendon between de lateral ulna and radial bicipital tuberosity (RBT) decreases by almost 50%. A hypertrophic change at the radial tuberosity further reduces this space with impingement of the distal biceps tendon as a result. The purpose of this study was to evaluate whether the size of the RBT plays a role in the pathophysiology of distal biceps tendon ruptures. Twenty-two consecutive patients with a surgically proven distal biceps tendon rupture were matched to controls, in a 1:1 ratio. The size of the RBT was expressed as a ratio of the maximum diameter of the radius at the RBT to the diameter of the diaphysis just distal to the RBT (RD ratio), measured on standard radiographs of the elbow. The RD ratio of patients and matched controls were compared. The mean RD ratio in control group was 1.25 and not significantly different from the mean 1.30 in the group of patients with a distal biceps tendon rupture. Each 0.1 point increase in RD ratio results in an estimated 60% increase of the rupture odds, which was not significant either. Based on the RD ratio on conventional radiographs of the elbow, there was no significant difference in RBT size between patients with a distal biceps tendon rupture and matched controls without biceps tendon pathology.
NASA Astrophysics Data System (ADS)
Gorum, Tolga; van Westen, Cees J.; Korup, Oliver; van der Meijde, Mark; Fan, Xuanmei; van der Meer, Freek D.
2013-02-01
The 12 January 2010 Mw 7.0 Haiti earthquake occurred in a complex deformation zone at the boundary between the North American and Caribbean plates. Combined geodetic, geological and seismological data posited that surface deformation was driven by rupture on the Léogâne blind thrust fault, while part of the rupture occurred as deep lateral slip on the Enriquillo-Plantain Garden Fault (EPGF). The earthquake triggered > 4490 landslides, mainly shallow, disrupted rock falls, debris-soil falls and slides, and a few lateral spreads, over an area of ~ 2150 km2. The regional distribution of these slope failures defies those of most similar earthquake-triggered landslide episodes reported previously. Most of the coseismic landslides did not proliferate in the hanging wall of the main rupture, but clustered instead at the junction of the blind Léogâne and EPGF ruptures, where topographic relief and hillslope steepness are above average. Also, low-relief areas subjected to high coseismic uplift were prone to lesser hanging wall slope instability than previous studies would suggest. We argue that a combined effect of complex rupture dynamics and topography primarily control this previously rarely documented landslide pattern. Compared to recent thrust fault-earthquakes of similar magnitudes elsewhere, we conclude that lower static stress drop, mean fault displacement, and blind ruptures of the 2010 Haiti earthquake resulted in fewer, smaller, and more symmetrically distributed landslides than previous studies would suggest. Our findings caution against overly relying on across-the-board models of slope stability response to seismic ground shaking.
Maffulli, Nicola; Longo, Umile Giuseppe; Maffulli, Gayle D; Rabitti, Carla; Khanna, Anil; Denaro, Vincenzo
2011-04-01
A laboratory study was performed to evaluate the histopathological features of the macroscopically intact portion of the Achilles tendon in patients undergoing surgery for an acute rupture of the Achilles tendon. Tendon samples were harvested from 29 individuals (21 men, 8 women; mean age: 46 ± 12) who underwent repair of an Achilles tendon tear tear, and from 11 male patients who died of cardiovascular events (mean age: 61). Three pieces of tendon were harvested: at the rupture site, 4 cm proximal to the site of rupture, 1 cm proximal to the insertion of the Achilles tendon on the calcaneum. Slides were assessed using a semiquantitative grading scale assessing fiber structure and arrangement, rounding of the nuclei, regional variations in cellularity, increased vascularity, decreased collagen stainability, and hyalinization. Intra-observer reliability of the subscore readings was calculated. The pathological features were significantly more pronounced in the samples taken from the site of rupture than in the samples taken proximally and distal to it (0.008 < P < 0.01). There were no significant differences in the mean pathologic sum-scores in the samples taken proximally and distal to the site of rupture. Unruptured Achilles tendons, even at an advanced age, and ruptured Achilles tendons are clearly part of two distinct populations, with the latter demonstrating histopathological evidence of failed healing response even in areas macroscopically normal.
Incidence and clinical outcomes of tendon rupture following distal radius fracture.
White, Brian D; Nydick, Jason A; Karsky, Dawnne; Williams, Bailee D; Hess, Alfred V; Stone, Jeffrey D
2012-10-01
To evaluate the incidence of tendon rupture after nonoperative and operative management of distal radius fractures, report clinical outcomes after tendon repair or transfer, and examine volar plate and dorsal screw prominence as a predictor of tendon rupture. We performed a retrospective chart review on patients treated for tendon rupture after distal radius fracture. We evaluated active range of motion, Disabilities of Arm, Shoulder, and Hand score, grip strength, and pain score, and performed radiographic evaluation of volar plate and dorsal screw prominence in both the study group and a matched control group. There were 6 tendon ruptures in 1,359 patients (0.4%) treated nonoperatively and 8 tendon ruptures in 999 patients (0.8%) treated with volar plate fixation. At the time of final follow-up, regardless of treatment, we noted that patients had minimal pain and excellent motion and grip strength. Mean Disabilities of the Shoulder, Arm, and Hand scores were 6 for patients treated nonoperatively and 4 for those treated with volar plating. We were unable to verify volar plate or dorsal screw prominence as independent risk factors for tendon rupture after distal radius fractures. However, we recommend continued follow-up and plate removal for symptomatic patients who have volar plate prominence or dorsal screw prominence. In the event of tendon rupture, we report excellent clinical outcomes after tendon repair or tendon transfer. Therapeutic IV. Copyright © 2012 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
Morphological characteristics associated with rupture risk of multiple intracranial aneurysms.
Wang, Guang-Xian; Liu, Lan-Lan; Wen, Li; Cao, Yun-Xing; Pei, Yu-Chun; Zhang, Dong
2017-10-01
To identify the morphological parameters that are related to intracranial aneurysms (IAs) rupture using a case-control model. A total of 107 patients with multiple IAs and aneurysmal subarachnoid hemorrhage between August 2011 and February 2017 were enrolled in this study. Characteristics of IAs location, shape, neck width, perpendicular height, depth, maximum size, flow angle, parent vessel diameter (PVD), aspect ratio (AR) and size ratio (SR) were evaluated using CT angiography. Multiple logistic regression analysis was used to identify the independent risk factors associated with IAs rupture. Receiver operating characteristic curve analysis was performed on the final model, and the optimal thresholds were obtained. IAs located in the internal carotid artery (ICA) was associated with a negative risk of rupture, whereas AR, SR1 (height/PVD) and SR2 (depth/PVD) were associated with increased risk of rupture. When SR was calculated differently, the odds ratio values of these factors were also different. The receiver operating characteristic curve showed that AR, SR1 and SR2 had cut-off values of 1.01, 1.48 and 1.40, respectively. SR3 (maximum size/PVD) was not associated with IAs rupture. IAs located in the ICA are associated with a negative risk of rupture, while high AR (>1.01), SR1 (>1.48) or SR2 (>1.40) are risk factors for multiple IAs rupture. Copyright © 2017 Hainan Medical University. Production and hosting by Elsevier B.V. All rights reserved.
Clinical features and prognosis of eyeball rupture: eye injury vitrectomy study.
Feng, Kang; Wang, Chang-guan; Hu, Yun-tao; Yao, Yi; Jiang, Yan-rong; Shen, Li-jun; Pang, Xiu-qin; Nie, Hong-ping; Ma, Zhi-zhong
2015-01-01
The objective of the study was to delineate clinical characteristics, surgical interventions, anatomic and visual outcomes of ruptured eye balls after trauma, and establish the prognostic indicators, which can assist clinicians in making correct surgical decisions during globe exploration for ruptured eyes. The study design used was a multicentre prospective cohort study, including six university-affiliated tertiary hospitals. We selected 242 cases of ruptured globe from the Eye Injury Vitrectomy Study database, until 31 December 2012. All selected cases underwent vitreoretinal surgery, enucleation or evisceration, and were followed up for at least 6 months. Age, visual acuity (VA) after injury, ocular trauma zone, time to surgery, corneal laceration, scleral wound, extrusion of iris or lens, ciliary body damage, intraocular haemorrhage, retinal detachment or defect, proliferative vitreoretinopathy (PVR) and choroidal damage were the predisposing factors evaluated by logistic regression models. We compared the pre-surgical indicators between cases of anatomically restored eyes with VA of 4/200 or better, or eyes with initial no light perception restored light perception or better, and cases of VA worse than 4/200, silicone oil-sustained eyes, phthisis or enucleation. Nearly 40% of cases with ruptured globe were anatomically restored through vitreoretinal surgery. The closed-funnel retinal detachment or extensive retinal loss (odds ratio [OR] = 3.38, P = 0.026), PVR-C (OR = 3.45, P = 0.008), and choroidal damage (OR = 4.20, P = 0.004) were correlated with poor outcomes. The closed-funnel retinal detachment or extensive retinal loss, PVR-C, and choroidal damage are the risk factors for unfavourable outcomes in globe ruptures. © 2015 Royal Australian and New Zealand College of Ophthalmologists.
Moreno, Daniel H; Cacione, Daniel G; Baptista-Silva, Jose C C
2016-05-13
An abdominal aortic aneurysm (AAA) is the pathological enlargement of the aorta and can develop in both men and women. Progressive aneurysm enlargement can lead to rupture. The rupture of an AAA is frequently fatal and accounts for the death from haemorrhagic shock of at least 45 people per 100,000 population. The outcome of people with ruptured AAA varies among countries and healthcare systems, with mortality ranging from 53% to 90%. Definitive treatment for ruptured AAA includes open surgery or endovascular repair. The management of haemorrhagic shock is crucial for the person's outcome and aims to restore organ perfusion and systolic blood pressure above 100 mm Hg through immediate and aggressive fluid replacement. This rapid fluid replacement is known as the normotensive resuscitation strategy. However, evidence suggests that infusing large volumes of cold fluid causes dilutional and hypothermic coagulopathy. The association of these factors may exacerbate bleeding, resulting in a 'lethal triad' of hypothermia, acidaemia, and coagulopathy. An alternative to the normotensive resuscitation strategy is the controlled (permissive) hypotension resuscitation strategy, with a target systolic blood pressure of 50 to 100 mm Hg. The principle of controlled or hypotensive resuscitation has been used in some management protocols for endovascular repair of ruptured AAA. It may be beneficial in preventing blood loss by avoiding the clot disruption caused by the rapid increase in systolic blood pressure; avoiding dilution of clotting factors, platelets and fibrinogen; and by avoiding the temperature decrease that inhibits enzyme activity involved in platelet and clotting factor function. To compare the effects of controlled (permissive) hypotension resuscitation and normotensive resuscitation strategies for people with ruptured AAA. The Cochrane Vascular Information Specialist searched the Specialised Register (April 2016) and the Cochrane Register of Studies (CENTRAL (2016, Issue 3)). Clinical trials databases were searched (April 2016) for details of ongoing or unpublished studies. We sought all published and unpublished randomised controlled trial (RCTs) that compared controlled hypotension and normotensive resuscitation strategies for the management of shock in patients with ruptured abdominal aortic aneurysms. Two review authors independently assessed identified studies for potential inclusion in the review. We used standard methodological procedures in accordance with the Cochrane Handbook for Systematic Review of Interventions. We identified no RCTs that met the inclusion criteria. We found no RCTs that compared controlled hypotension and normotensive resuscitation strategies in the management of haemorrhagic shock in patients with ruptured abdominal aortic aneurysm that assessed mortality, presence of coagulopathy, intensive care unit length of stay, and the presence of myocardial infarct and renal failure. High quality studies that evaluate the best strategy for managing haemorrhagic shock in ruptured abdominal aortic aneurysms are required.
Moreno, Daniel H; Cacione, Daniel G; Baptista-Silva, Jose Cc
2018-06-13
An abdominal aortic aneurysm (AAA) is the pathological enlargement of the aorta and can develop in both men and women. Progressive aneurysm enlargement can lead to rupture. The rupture of an AAA is frequently fatal and accounts for the death from haemorrhagic shock of at least 45 people per 100,000 population. The outcome of people with ruptured AAA varies among countries and healthcare systems, with mortality ranging from 53% to 90%. Definitive treatment for ruptured AAA includes open surgery or endovascular repair. The management of haemorrhagic shock is crucial for the person's outcome and aims to restore organ perfusion and systolic blood pressure above 100 mmHg through immediate and aggressive fluid replacement. This rapid fluid replacement is known as the normotensive resuscitation strategy. However, evidence suggests that infusing large volumes of cold fluid causes dilutional and hypothermic coagulopathy. The association of these factors may exacerbate bleeding, resulting in a 'lethal triad' of hypothermia, acidaemia, and coagulopathy. An alternative to the normotensive resuscitation strategy is the controlled (permissive) hypotension resuscitation strategy, with a target systolic blood pressure of 50 mmHg to 100 mmHg. The principle of controlled or hypotensive resuscitation has been used in some management protocols for endovascular repair of ruptured AAA. It may be beneficial in preventing blood loss by avoiding the clot disruption caused by the rapid increase in systolic blood pressure; avoiding dilution of clotting factors, platelets and fibrinogen; and by avoiding the temperature decrease that inhibits enzyme activity involved in platelet and clotting factor function. This is an update of a review first published in 2016. To compare the effects of controlled (permissive) hypotension resuscitation and normotensive resuscitation strategies for people with ruptured AAA. The Cochrane Vascular Information Specialist searched the Specialised Register (August 2017), the Cochrane Register of Studies (CENTRAL (2017, Issue 7)) and EMBASE (August 2017). The Cochrane Vascular Information Specialist also searched clinical trials databases (August 2017) for details of ongoing or unpublished studies. We sought all published and unpublished randomised controlled trial (RCTs) that compared controlled hypotension and normotensive resuscitation strategies for the management of shock in patients with ruptured abdominal aortic aneurysms. Two review authors independently assessed identified studies for potential inclusion in the review. We used standard methodological procedures in accordance with the Cochrane Handbook for Systematic Review of Interventions. We identified no RCTs that met the inclusion criteria. We found no RCTs that compared controlled hypotension and normotensive resuscitation strategies in the management of haemorrhagic shock in patients with ruptured abdominal aortic aneurysm that assessed mortality, presence of coagulopathy, intensive care unit length of stay, and the presence of myocardial infarct and renal failure. High quality studies that evaluate the best strategy for managing haemorrhagic shock in ruptured abdominal aortic aneurysms are required.
Fuchs, F; Guillot, E; Cordier, A-G; Chis, C; Raynal, P; Panel, P
2008-04-01
Pregnancy in the rudimentary horn of a unicornuate uterus is an extremely rare form of ectopic gestation associated with a high risk of uterine rupture. We report the case of a pregnancy developed in a non communicating rudimentary horn of a unicornuate uterus complicated by horn rupture at 23 weeks of amenorrhea showing as an acute abdominal pain and massive hemoperitoneum. This patient's uterine abnormality was known before, as this woman has delivered two years before at term a healthy boy by cesarean section. This past pregnancy was located in the normal horn and the non communicating rudimentary horn seemed at this time normal. This uterine malformation is presented with its gynecological and obstetrical entailments as well as methods that could prevent such outcome.
Catchings, R.D.; Rymer, M.J.; Goldman, M.R.; Prentice, C.S.; Sickler, R.R.
2013-01-01
The San Francisco Public Utilities Commission is seismically retrofitting the water delivery system at San Andreas Lake, San Mateo County, California, where the reservoir intake system crosses the San Andreas Fault (SAF). The near-surface fault location and geometry are important considerations in the retrofit effort. Because the SAF trends through highly distorted Franciscan mélange and beneath much of the reservoir, the exact trace of the 1906 surface rupture is difficult to determine from surface mapping at San Andreas Lake. Based on surface mapping, it also is unclear if there are additional fault splays that extend northeast or southwest of the main surface rupture. To better understand the fault structure at San Andreas Lake, the U.S. Geological Survey acquired a series of seismic imaging profiles across the SAF at San Andreas Lake in 2008, 2009, and 2011, when the lake level was near historical lows and the surface traces of the SAF were exposed for the first time in decades. We used multiple seismic methods to locate the main 1906 rupture zone and fault splays within about 100 meters northeast of the main rupture zone. Our seismic observations are internally consistent, and our seismic indicators of faulting generally correlate with fault locations inferred from surface mapping. We also tested the accuracy of our seismic methods by comparing our seismically located faults with surface ruptures mapped by Schussler (1906) immediately after the April 18, 1906 San Francisco earthquake of approximate magnitude 7.9; our seismically determined fault locations were highly accurate. Near the reservoir intake facility at San Andreas Lake, our seismic data indicate the main 1906 surface rupture zone consists of at least three near-surface fault traces. Movement on multiple fault traces can have appreciable engineering significance because, unlike movement on a single strike-slip fault trace, differential movement on multiple fault traces may exert compressive and extensional stresses on built structures within the fault zone. Such differential movement and resulting distortion of built structures appear to have occurred between fault traces at the gatewell near the southern end of San Andreas Lake during the 1906 San Francisco earthquake (Schussler, 1906). In addition to the three fault traces within the main 1906 surface rupture zone, our data indicate at least one additional fault trace (or zone) about 80 meters northeast of the main 1906 surface rupture zone. Because ground shaking also can damage structures, we used fault-zone guided waves to investigate ground shaking within the fault zones relative to ground shaking outside the fault zones. Peak ground velocity (PGV) measurements from our guided-wave study indicate that ground shaking is greater at each of the surface fault traces, varying with the frequency of the seismic data and the wave type (P versus S). S-wave PGV increases by as much as 5–6 times at the fault traces relative to areas outside the fault zone, and P-wave PGV increases by as much as 3–10 times. Assuming shaking increases linearly with increasing earthquake magnitude, these data suggest strong shaking may pose a significant hazard to built structures that extend across the fault traces. Similarly complex fault structures likely underlie other strike-slip faults (such as the Hayward, Calaveras, and Silver Creek Faults) that intersect structures of the water delivery system, and these fault structures similarly should be investigated.
Association of intracranial aneurysm rupture with smoking duration, intensity, and cessation.
Can, Anil; Castro, Victor M; Ozdemir, Yildirim H; Dagen, Sarajune; Yu, Sheng; Dligach, Dmitriy; Finan, Sean; Gainer, Vivian; Shadick, Nancy A; Murphy, Shawn; Cai, Tianxi; Savova, Guergana; Dammers, Ruben; Weiss, Scott T; Du, Rose
2017-09-26
Although smoking is a known risk factor for intracranial aneurysm (IA) rupture, the exact relationship between IA rupture and smoking intensity and duration, as well as duration of smoking cessation, remains unknown. In this case-control study, we analyzed 4,701 patients with 6,411 IAs diagnosed at the Brigham and Women's Hospital and Massachusetts General Hospital between 1990 and 2016. We divided individuals into patients with ruptured aneurysms and controls with unruptured aneurysms. We performed univariable and multivariable logistic regression analyses to determine the association between smoking status and ruptured IAs at presentation. In a subgroup analysis among former and current smokers, we assessed the association between ruptured aneurysms and number of packs per day, duration of smoking, and duration since smoking cessation. In multivariable analysis, current (odds ratio [OR] 2.21, 95% confidence interval [CI] 1.89-2.59) and former smoking status (OR 1.56, 95% CI 1.31-1.86) were associated with rupture status at presentation compared with never smokers. In a subgroup analysis among current and former smokers, years smoked (OR 1.02, 95% CI 1.01-1.03) and packs per day (OR 1.46, 95% CI 1.25-1.70) were significantly associated with ruptured aneurysms at presentation, whereas duration since cessation among former smokers was not significant (OR 1.00, 95% CI 0.99-1.02). Current cigarette smoking, smoking intensity, and smoking duration are significantly associated with ruptured IAs at presentation. However, the significantly increased risk persists after smoking cessation, and smoking cessation does not confer a reduced risk of aneurysmal subarachnoid hemorrhage beyond that of reducing the cumulative dose. © 2017 American Academy of Neurology.
Nyengidiki, T K; Allagoa, D O
2011-10-01
Ruptured uterus is a major life-threatening condition encountered mostly in developing countries and is an index of failure of obstetric care at a point in time in a woman's reproductive career. With worsening economic condition, increasing caesarean section rates, and patients' aversion for operative delivery this condition would still remain a major obstetric matter for discussion. To identify the incidence, sociodemographic variables, clinical characteristics, causes, and outcome of ruptured uterus at the University of Port Harcourt Teaching Hospital. A 5-year retrospective study of cases of ruptured uterus at the University of Port Harcourt Teaching Hospital was carried out. The case notes of 40 patients with uterine rupture during the period 2003-2007 were analyzed. Data collected included sociodemographic characteristics, etiologic factors, clinical presentation, and outcome. Data were analyzed using Microsoft Excel version 2007 and SPSS 14.0 computer software. The incidence of rupture of the gravid uterus was 1:258 deliveries. In patients with rupture of the gravid uterus, 65% (26) of patients were unbooked; 37.5% (15) were aged between 25 and 29 years. A total of 42.5% (17) of patients had secondary education and 21 (52.5%) were housewives. Rupture of a previous scar was the commonest etiologic factor accounting for 32.5% (11). The commonest presentation was abdominal pain in 92.5% of cases. Perinatal mortality and maternal mortality were 80% and 17.5% respectively. Rupture of the gravid uterus still remains a major cause of maternal mortality. Injudicious use of oxytocics should be discouraged in peripheral health facilities and reinforcement of the need for hospital based deliveries in patients with previous caesarean sections should also be intensified to improve outcome.
Biomechanical Indices for Rupture Risk Estimation in Abdominal Aortic Aneurysms.
Leemans, Eva L; Willems, Tineke P; van der Laan, Maarten J; Slump, Cornelis H; Zeebregts, Clark J
2017-04-01
To review the use of biomechanical indices for the estimation of abdominal aortic aneurysm (AAA) rupture risk, emphasizing their potential use in a clinical setting. A search of the PubMed, Embase, Scopus, and Compendex databases was made up to June 2015 to identify articles involving biomechanical analysis of AAA rupture risk. Outcome variables [aneurysm diameter, peak wall stress (PWS), peak wall shear stress (PWSS), wall strain, peak wall rupture index (PWRI), and wall stiffness] were compared for asymptomatic intact AAAs vs symptomatic or ruptured AAAs. For quantitative analysis of the pooled data, a random effects model was used to calculate the standard mean differences (SMDs) with the 95% confidence interval (CI) for the biomechanical indices. The initial database searches yielded 1894 independent articles of which 19 were included in the analysis. The PWS was significantly higher in the symptomatic/ruptured group, with a SMD of 1.11 (95% CI 0.93 to 1.26, p<0.001). Likewise, the PWRI was significantly higher in the ruptured or symptomatic group, with a SMD of 1.15 (95% CI 0.30 to 2.01, p=0.008). After adjustment for the aneurysm diameter, the PWS remained higher in the ruptured or symptomatic group, with a SMD of 0.85 (95% CI 0.46 to 1.23, p<0.001). Less is known of the wall shear stress and wall strain indices, as too few studies were available for analysis. Biomechanical indices are a promising tool in the assessment of AAA rupture risk as they incorporate several factors, including geometry, tissue properties, and patient-specific risk factors. However, clinical implementation of biomechanical AAA assessment remains a challenge owing to a lack of standardization.
NASA Astrophysics Data System (ADS)
Zheng, A.; Zhang, W.
2016-12-01
On 15 April, 2016 the great earthquake with magnitude Mw7.1 occurred in Kumamoto prefecture, Japan. The focal mechanism solution released by F-net located the hypocenter at 130.7630°E, 32.7545°N, at a depth of 12.45 km, and the strike, dip, and the rake angle of the fault were N226°E, 84° and -142° respectively. The epicenter distribution and focal mechanisms of aftershocks implied the mechanism of the mainshock might have changed in the source rupture process, thus a single focal mechanism was not enough to explain the observed data adequately. In this study, based on the inversion result of GNSS and InSAR surface deformation with active structures for reference, we construct a finite fault model with focal mechanism changes, and derive the source rupture process by multi-time-window linear waveform inversion method using the strong-motion data (0.05 1.0Hz) obtained by K-NET and KiK-net of Japan. Our result shows that the Kumamoto earthquake is a right-lateral strike slipping rupture event along the Futagawa-Hinagu fault zone, and the seismogenic fault is divided into a northern segment and a southern one. The strike and the dip of the northern segment are N235°E, 60° respectively. And for the southern one, they are N205°E, 72° respectively. The depth range of the fault model is consistent with the depth distribution of aftershocks, and the slip on the fault plane mainly concentrate on the northern segment, in which the maximum slip is about 7.9 meter. The rupture process of the whole fault continues for approximately 18-sec, and the total seismic moment released is 5.47×1019N·m (Mw 7.1). In addition, the essential feature of the distribution of PGV and PGA synthesized by the inversion result is similar to that of observed PGA and seismic intensity.
Source Rupture Process of the 2016 Kumamoto, Japan, Earthquake Inverted from Strong-Motion Records
NASA Astrophysics Data System (ADS)
Zhang, Wenbo; Zheng, Ao
2017-04-01
On 15 April, 2016 the great earthquake with magnitude Mw7.1 occurred in Kumamoto prefecture, Japan. The focal mechanism solution released by F-net located the hypocenter at 130.7630°E, 32.7545°N, at a depth of 12.45 km, and the strike, dip, and the rake angle of the fault were N226°E, 84˚ and -142° respectively. The epicenter distribution and focal mechanisms of aftershocks implied the mechanism of the mainshock might have changed in the source rupture process, thus a single focal mechanism was not enough to explain the observed data adequately. In this study, based on the inversion result of GNSS and InSAR surface deformation with active structures for reference, we construct a finite fault model with focal mechanism changes, and derive the source rupture process by multi-time-window linear waveform inversion method using the strong-motion data (0.05 1.0Hz) obtained by K-NET and KiK-net of Japan. Our result shows that the Kumamoto earthquake is a right-lateral strike slipping rupture event along the Futagawa-Hinagu fault zone, and the seismogenic fault is divided into a northern segment and a southern one. The strike and the dip of the northern segment are N235°E, 60˚ respectively. And for the southern one, they are N205°E, 72˚ respectively. The depth range of the fault model is consistent with the depth distribution of aftershocks, and the slip on the fault plane mainly concentrate on the northern segment, in which the maximum slip is about 7.9 meter. The rupture process of the whole fault continues for approximately 18-sec, and the total seismic moment released is 5.47×1019N·m (Mw 7.1). In addition, the essential feature of the distribution of PGV and PGA synthesized by the inversion result is similar to that of observed PGA and seismic intensity.
Spatio-temporal mapping of plate boundary faults in California using geodetic imaging
Donnellan, Andrea; Arrowsmith, Ramon; DeLong, Stephen B.
2017-01-01
The Pacific–North American plate boundary in California is composed of a 400-km-wide network of faults and zones of distributed deformation. Earthquakes, even large ones, can occur along individual or combinations of faults within the larger plate boundary system. While research often focuses on the primary and secondary faults, holistic study of the plate boundary is required to answer several fundamental questions. How do plate boundary motions partition across California faults? How do faults within the plate boundary interact during earthquakes? What fraction of strain accumulation is relieved aseismically and does this provide limits on fault rupture propagation? Geodetic imaging, broadly defined as measurement of crustal deformation and topography of the Earth’s surface, enables assessment of topographic characteristics and the spatio-temporal behavior of the Earth’s crust. We focus here on crustal deformation observed with continuous Global Positioning System (GPS) data and Interferometric Synthetic Aperture Radar (InSAR) from NASA’s airborne UAVSAR platform, and on high-resolution topography acquired from lidar and Structure from Motion (SfM) methods. Combined, these measurements are used to identify active structures, past ruptures, transient motions, and distribution of deformation. The observations inform estimates of the mechanical and geometric properties of faults. We discuss five areas in California as examples of different fault behavior, fault maturity and times within the earthquake cycle: the M6.0 2014 South Napa earthquake rupture, the San Jacinto fault, the creeping and locked Carrizo sections of the San Andreas fault, the Landers rupture in the Eastern California Shear Zone, and the convergence of the Eastern California Shear Zone and San Andreas fault in southern California. These examples indicate that distribution of crustal deformation can be measured using interferometric synthetic aperture radar (InSAR), Global Navigation Satellite System (GNSS), and high-resolution topography and can improve our understanding of tectonic deformation and rupture characteristics within the broad plate boundary zone.
NASA Astrophysics Data System (ADS)
Sherrod, B. L.; Styron, R. H.
2016-12-01
Paleoseismic studies documented prehistoric earthquakes after the last glaciation ended 15 ka on 13 upper-crustal fault zones in the Cascadia fore arc. These fault zones are a consequence of north-directed fore arc block migration manifesting as a series of bedrock uplifts and intervening structural basins in the southern Salish Sea lowland between Vancouver, B.C. to the north and Olympia, WA to the south, and bounded on the east and west by the Cascade Mountains and Olympic Mountains, respectively. Our dataset uses published information and includes 27 earthquakes tabulated from observations of postglacial deformation at 63 sites. Stratigraphic offsets along faults consist of two types of measurements: 1) vertical separation of strata along faults observed in fault scarp excavations, and 2) estimates from coastal uplift and subsidence. We used probabilistic methods to estimate past rupture magnitudes and surface rupture length (SRL), applying empirical observations from modern earthquakes and point measurements from paleoseismic sites (Biasi and Weldon, 2006). Estimates of paleoearthquake magnitude ranged between M 6.5 and M 7.5. SRL estimates varied between 20 and 90 km. Paleoearthquakes on the Seattle fault zone and Saddle Mountain West fault about 1100 years ago were outliers in our analysis. Large offsets observed for these two earthquakes implies a M 7.8 and 200 km SRL, given the average observed ratio of slip/SRL in modern earthquakes. The actual mapped traces of these faults are less than 200km, implying these earthquakes had an unusually high static stress drop or, in the case of the Seattle fault, splay faults may have accentuated uplift in the hanging wall. Refined calculations incorporating fault area may change these magnitude and SRL estimates. Biasi, G.P., and Weldon, R.J., 2006, Estimating Surface Rupture Length and Magnitude of Paleoearthquakes from Point Measurements of Rupture Displacement: B. Seismol. Soc. Am., 96, 1612-1623.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Corcillo, Antonella, E-mail: antonella.corcillo@chuv.ch; Aellen, Steve, E-mail: steve.aellen@hopitalvs.ch; Zingg, Tobias
Purpose: Colonoscopy is reported to be a safe procedure that is routinely performed for the diagnosis and treatment of colorectal diseases. Splenic rupture is considered to be a rare complication with high mortality and morbidity that requires immediate diagnosis and management. Nonoperative management (NOM), surgical treatment (ST), and, more recently, proximal splenic artery embolization (PSAE) have been proposed as treatment options. The goal of this study was to assess whether PSAE is safe even in high-grade ruptures. Methods: We report two rare cases of post colonoscopy splenic rupture. A systematic review of the literature from 2002 to 2010 (first reportedmore » case of PSAE) was performed and the three types of treatment compared. Results: All patients reviewed (77 of 77) presented with intraperitoneal hemorrhage due to isolated splenic trauma. Splenic rupture was high-grade in most patients when grading was possible. Six of 77 patients (7.8 %) were treated with PSAE, including the 2 cases reported herein. Fifty-seven patients (74 %) underwent ST. NOM was attempted first in 25 patients with a high failure rate (11 of 25 [44 %]) and requiring a salvage procedure, such as PSAE or ST. Previous surgery (31 of 59 patients), adhesions (10 of 13), diagnostic colonoscopies (49 of 71), previous biopsies or polypectomies (31 of 57) and female sex (56 of 77) were identified as risk factors. In contrast, splenomegaly (0 of 77 patients), medications that increase the risk of bleeding (13 of 30) and difficult colonoscopies (16 of 51) were not identified as risk factors. PSAE was safe and effective even in elderly patients with comorbidities and those taking medications that increase the risk of bleeding, and the length of the hospital stay was similar to that after ST. Conclusion: We propose a treatment algorithm based on clinical and radiological criteria. Because of the high failure rate after NOM, PSAE should be the treatment of choice to manage grade I through IV splenic ruptures after colonoscopy in hemodynamically stabilized patients.« less
J.B. Salisbury,; T.K. Rockwell,; T.J. Middleton,; Hudnut, Kenneth W.
2012-01-01
We measured offsets on tectonically displaced geomorphic features along 80 km of the Clark strand of the San Jacinto fault (SJF) to estimate slip‐per‐event for the past several surface ruptures. We identify 168 offset features from which we make over 490 measurements using B4 light detection and ranging (LiDAR) imagery and field observations. Our results suggest that LiDAR technology is an exemplary supplement to traditional field methods in slip‐per‐event studies. Displacement estimates indicate that the most recent surface‐rupturing event (MRE) produced an average of 2.5–2.9 m of right‐lateral slip with maximum slip of nearly 4 m at Anza, a Mw 7.2–7.5 earthquake. Average multiple‐event offsets for the same 80 kms are ∼5.5 m, with maximum values of 3 m at Anza for the penultimate event. Cumulative displacements of 9–10 m through Anza suggest the third event was also similar in size. Paleoseismic work at Hog Lake dates the most recent surface rupture event at ca. 1790. A poorly located, large earthquake occurred in southern California on 22 November 1800; we relocate this event to the Clark fault based on the MRE at Hog Lake. We also recognize the occurrence of a younger rupture along ∼15–20 km of the fault in Blackburn Canyon with ∼1.25 m of average displacement. We attribute these offsets to the 21 April 1918 Mw 6.9 event. These data argue that much or all of the Clark fault, and possibly also the Casa Loma fault, fail together in large earthquakes, but that shorter sections may fail in smaller events.
Aftershocks of the june 20, 1978, Greece earthquake: A multimode faulting sequence
Carver, D.; Bollinger, G.A.
1981-01-01
A 10-station portable seismograph network was deployed in northern Greece to study aftershocks of the magnitude (mb) 6.4 earthquake of June 20, 1978. The main shock occurred (in a graben) about 25 km northeast of the city of Thessaloniki and caused an east-west zone of surface rupturing 14 km long that splayed to 7 km wide at the west end. The hypocenters for 116 aftershocks in the magnitude range from 2.5 to 4.5 were determined. The epicenters for these events cover an area 30 km (east-west) by 18 km (north-south), and focal depths ranges from 4 to 12 km. Most of the aftershocks in the east half of the aftershock zone are north of the surface rupture and north of the graben. Those in the west half are located within the boundaries of the graben. Composite focalmechanism solutions for selected aftershocks indicate reactivation of geologically mapped normal faults in the area. Also, strike-slip and dip-slip faults that splay off the western end of the zone of surface ruptures may have been activated. The epicenters for four large (M ??? 4.8) foreshocks and the main shock were relocated using the method of joint epicenter determination. Collectively, those five epicenters form an arcuate pattern convex southward, that is north of and 5 km distant from the surface rupturing. The 5-km separation, along with a focal depth of 8 km (average aftershock depth) or 16 km (NEIS main-shock depth), implies that the fault plane dips northward 58?? or 73??, respectively. A preferred nodal-plane dip of 36?? was determined by B.C. Papazachos and his colleagues in 1979 from a focal-mechanism solution for the main shock. If this dip is valid for the causal fault and that fault projects to the zone of surface rupturing, a decrease of dip with depth is required. ?? 1981.
Alliance ruptures and rupture resolution in cognitive-behavior therapy: a preliminary task analysis.
Aspland, Helen; Llewelyn, Susan; Hardy, Gillian E; Barkham, Michael; Stiles, William
2008-11-01
An initial ideal, rational model of alliance rupture and rupture resolution provided by cognitive-behavioral therapy (CBT) experts was assessed and compared with empirical observations of ruptures and their resolution in two cases of successful CBT. The initial rational model emphasized nondefensive acknowledgment and exploration of the rupture. Results indicated differences between what therapists think they should do to resolve ruptures and what they actually do and suggested that the rational model should be expanded to emphasize client validation and empowerment. Therapists' ability to attend to ruptures emerged as an important clinical skill.
NASA Astrophysics Data System (ADS)
Kolawole, F.; Atekwana, E. A.; Laó-Dávila, D. A.; Abdelsalam, M. G.; Chindandali, P. R.; Salima, J.; Kalindekafe, L.
2018-05-01
Seismic events of varying magnitudes have been associated with ruptures along unknown or incompletely mapped buried faults. The 2009 Mw 6.0 Karonga, Malawi earthquake caused a surface rupture length of 14-18 km along a single W-dipping fault [St. Mary Fault (SMF)] on the hanging wall of the North Basin of the Malawi Rift. Prior to this earthquake, there was no known surface expression or knowledge of the presence of this fault. Although the earthquake damage zone is characterized by surface ruptures and coseismic liquefaction-induced sand blows, the origin of the causative fault and the near-surface structure of the rupture zone are not known. We used high-resolution aeromagnetic and electrical resistivity data to elucidate the relationship between surface rupture locations and buried basement structures. We also acquired electrical resistivity tomography (ERT) profiles along and across the surface rupture zone to image the near-surface structure of the damaged zone. We applied mathematical derivative filters to the aeromagnetic data to enhance basement structures underlying the rupture zone and surrounding areas. Although several magnetic lineaments are visible in the basement, mapped surface ruptures align with a single 37 km long, 148°-162°—striking magnetic lineament, and is interpreted as the ruptured normal fault. Inverted ERT profiles reveal three regional geoelectric layers which consist of 15 m thick layer of discontinuous zones of high and low resistivity values, underlain by a 27 m thick zone of high electrical resistivity (up to 100 Ω m) and a basal layer of lower resistivity (1.0-6.0 Ω m) extending from 42 m depth downwards (the maximum achieved depth of investigation). The geoelectric layers are truncated by a zone of electrical disturbance (electrical mélange) coinciding with areas of coseismic surface rupturing and sediment liquefaction along the ruptured. Our study shows that the 2009 Karonga earthquake was associated with the partial rupture of the buried SMF, and illuminates other potential seismogenic buried faults within the Karonga area of the North Basin. Although our electrical surveys were conducted 6 yr after the 2009 Karonga earthquake, we observe that near-surface lenses of electrically conductive sediments imaged by our ERT profiles, coincide with zones of coseismic surface rupture and liquefaction sand blows. We suggest that the presence of these preserved near-surface lenses of potentially water-saturated sand pose potential hazard in the event of a future earthquake in the area. In addition, our ERT profiles reveal structures that could represent relics of previous earthquake events along the SMF. In addition, our study demonstrates that the integration of ERT and aeromagnetic data can be very useful in illuminating seismogenic buried faults, thereby significantly improving seismic hazard analysis in tectonically active areas.
Schmohl, M; Konar, M; Tassani-Prell, M; Rupp, S
2014-04-16
In this case study we describe a surgically confirmed caudal cruciate ligament rupture in a 10-year-old Border Collie. Magnetic resonance imaging (MRI) demonstrated a complete rupture of the caudal cruciate ligament, a suspected bone bruise lesion on the proximolateral tibia and a muscle strain injury of the M. flexor digitorum lateralis. In human medicine, bone bruise lesions in MRI have been described as "footprint injuries" and can thereby explain the mechanism of trauma in ligament injuries. The combination of the MRI findings in this case can help to understand how the rarely diagnosed isolated rupture of the caudal cruciate ligament occurred in this dog.
NASA Technical Reports Server (NTRS)
Petrasek, D. W.; Signorelli, R. A.
1974-01-01
Tungsten-hafnium-carbon - superalloy composites were found to be potentially useful for turbine blade applications on the basis of stress-rupture strength. The 100- and 1000-hr rupture strengths calculated for 70 vol. % fiber composites based on test data at 1090C (2000F) were 420 and 280 MN/m2 (61,000 and 41,000 psi, respectively). The investigation indicated that, with better quality fibers, composites having 100- and 1000-hr rupture strengths of 570 and 370 MN/m2 (82,000 and 54,000 psi, respectively), may be obtained. Metallographic studies indicated sufficient fiber-matrix compatibility for 1000 hr or more at 1090C (2000F).