[Collapsing variant of focal segmental glomerulosclerosis by parvovirus B19: case report].

PubMed

Freitas, Geraldo Rubens Ramos de; Praxedes, Marcel Rodrigues Gurgel; Malheiros, Denise; Testagrossa, Leonardo; Dias, Cristiane Bitencourt; Woronik, Viktoria

2015-01-01

To describe the clinical and laboratory profile of focal segmental glomerulosclerosis (FSGS) of the collapsing subtype in association with infection by parvovirus B19 (PVB19). Female patient, 37 years old, mulatto, developed pharyngalgia and fever with partial improvement after penicillin. After one week we observed reduced urinary output and lower limb edema. Smoker, family and personal history negative for hypertension, diabetes or kidney disease. Patient presented with olyguria, hypertension and edema, also hypochromic microcytic hypoproliferative anemia, nephritic range proteinuria, microscopic hematuria and renal dysfunction. All rheumatologic investigation, HIV and hepatitis serology were negative. Unremarkable renal ultrasound. PCR positive for PVB19 in bone marrow aspirate and blood and renal biopsy conclusive of collapsing FSGS subtype. Spontaneous remission occurred within two weeks of the profile. The blood PVB19 PCR was repeated within a month and resulted negative. This finding demonstrated PVB19 acute infection or viral reactivation in association with collapsing FSGS. There is demonstrated the temporal association of PVB19 viremia and collapsing FSGS, due primary infection or viral reactivation. The association of collapsing FSGS and PVB19 is described in the literature, demonstrating virus presence in kidney tissue, but the real relationship of virus in the pathogenesis of this glomerulopathy remains unclear.

Deployable geodesic truss structure

NASA Technical Reports Server (NTRS)

Mikulas, Martin M., Jr. (Inventor); Rhodes, Marvin D. (Inventor); Simonton, J. Wayne (Inventor)

1987-01-01

A deployable geodesic truss structure which can be deployed from a stowed state to an erected state is described. The truss structure includes a series of bays, each bay having sets of battens connected by longitudinal cross members which give the bay its axial and torsional stiffness. The cross members are hinged at their mid point by a joint so that the cross members are foldable for deployment or collapsing. The bays are deployed and stabilized by actuator means connected between the mid point joints of the cross members. Hinged longerons may be provided to also connect the sets of battens and to collapse for stowing with the rest of the truss structure.

Estimation of Pharyngeal Collapsibility During Sleep by Peak Inspiratory Airflow.

PubMed

Azarbarzin, Ali; Sands, Scott A; Taranto-Montemurro, Luigi; Oliveira Marques, Melania D; Genta, Pedro R; Edwards, Bradley A; Butler, James; White, David P; Wellman, Andrew

2017-01-01

Pharyngeal critical closing pressure (Pcrit) or collapsibility is a major determinant of obstructive sleep apnea (OSA) and may be used to predict the success/failure of non-continuous positive airway pressure (CPAP) therapies. Since its assessment involves overnight manipulation of CPAP, we sought to validate the peak inspiratory flow during natural sleep (without CPAP) as a simple surrogate measurement of collapsibility. Fourteen patients with OSA attended overnight polysomnography with pneumotachograph airflow. The middle third of the night (non-rapid eye movement sleep [NREM]) was dedicated to assessing Pcrit in passive and active states via abrupt and gradual CPAP pressure drops, respectively. Pcrit is the extrapolated CPAP pressure at which flow is zero. Peak and mid-inspiratory flow off CPAP was obtained from all breaths during sleep (excluding arousal) and compared with Pcrit. Active Pcrit, measured during NREM sleep, was strongly correlated with both peak and mid-inspiratory flow during NREM sleep (r = -0.71, p < .005 and r = -0.64, p < .05, respectively), indicating that active pharyngeal collapsibility can be reliably estimated from simple airflow measurements during polysomnography. However, there was no significant relationship between passive Pcrit, measured during NREM sleep, and peak or mid-inspiratory flow obtained from NREM sleep. Flow measurements during REM sleep were not significantly associated with active or passive Pcrit. Our study demonstrates the feasibility of estimating active Pcrit using flow measurements in patients with OSA. This method may enable clinicians to estimate pharyngeal collapsibility without sophisticated equipment and potentially aid in the selection of patients for non- positive airway pressure therapies. © Sleep Research Society 2016. Published by Oxford University Press on behalf of the Sleep Research Society. All rights reserved. For permissions, please e-mail journals.permissions@oup.com.

Course 6: Star Formation

NASA Astrophysics Data System (ADS)

Natta, A.

Contents 1 Introduction 2 Collapse of molecular cores 2.1 Giant molecular clouds and cores 2.2 Conditions for collapse 2.3 Free-fall collapse 2.4 Collapse of an isothermal sphere of gas 2.5 Collapse of a slowly rotating core 3 Observable properties of protostars 3.1 Evidence of infall from molecular line profiles 3.2 SEDs of protostars 3.3 The line spectrumof a protostar 4 Protostellar and pre-main-sequence evolution 4.1 The protostellar phase 4.2 Pre-main-sequence evolution 4.3 The birthline 5 Circumstellar disks 5.1 Accretion disks 5.2 Properties of steady accretion disks 5.3 Reprocessing disks 5.4 Disk-star interaction 6 SEDs of disks 6.1 Power-law disks 6.2 Long-wavelength flux and disk mass 6.3 Comparison with TTS observations: Heating mechanism 7 Disk properties from observations 7.1 Mass accretion rate 7.2 Inner radius 7.3 Masses 7.4 Sizes 8 Disk lifetimes 8.1 Ground-based near and mid-infrared surveys 8.2 Mid-infrared ISOCAMsurveys 8.3 ISOPHOT 60 microm survey 8.4 Surveys at millimeter wavelengths 9 Disk evolution 9.1 Can we observe the early planet formation phase? 9.2 Evidence for grain growth 9.3 Evidence of planetesimals 9.4 Where is the diskmass? 10 Secondary or debris disks 11 Summary

Regional quantification of myocardial mechanics in rat using 3D cine DENSE cardiovascular magnetic resonance.

PubMed

Zhang, Xiaoyan; Liu, Zhan-Qiu; Singh, Dara; Wehner, Gregory J; Powell, David K; Campbell, Kenneth S; Fornwalt, Brandon K; Wenk, Jonathan F

2017-08-01

Rat models have assumed an increasingly important role in cardiac research. However, a detailed profile of regional cardiac mechanics, such as strains and torsion, is lacking for rats. We hypothesized that healthy rat left ventricles (LVs) exhibit regional differences in cardiac mechanics, which are part of normal function. In this study, images of the LV were obtained with 3D cine displacement encoding with stimulated echoes (DENSE) cardiovascular magnetic resonance in 10 healthy rats. To evaluate regional cardiac mechanics, the LV was divided into basal, mid-ventricular, and apical regions. The myocardium at the mid-LV was further partitioned into four wall segments (i.e. septal, inferior, lateral, and anterior) and three transmural layers (i.e. sub-endocardium, mid-myocardium, and sub-epicardium). The six Lagrangian strain components (i.e. E rr , E cc , E ll , E cl , E rl , and E cr ) were computed from the 3D displacement field and averaged within each region of interest. Torsion was quantified using the circumferential-longitudinal shear angle. While peak systolic E cl differed between the mid-ventricle and apex, the other five components of peak systolic strain were similar across the base, mid-ventricle, and apex. In the mid-LV myocardium, E cc decreased gradually from the sub-endocardial to the sub-epicardial layer. E ll demonstrated significant differences between the four wall segments, with the largest magnitude in the inferior segment. E rr was uniform among the four wall segments. E cl varied along the transmural direction and among wall segments, whereas E rl differed only among the wall segments. E rc was not associated with significant variations. Torsion also varied along the transmural direction and among wall segments. These results provide fundamental insights into the regional contractile function of healthy rat hearts, and form the foundation for future studies on regional changes induced by disease or treatments. Copyright © 2017 John Wiley & Sons, Ltd.

INDUCTION OF NEOPLASMS IN THYROID GLANDS OF RATS BY SUBTOTAL THYROIDECTOMY AND BY THE INJECTION OF ONE MICROCURIE OF I$sup 13$$sup 1$

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

Goldberg, R.C.; Lindsay, S.; Nichols, C.W. Jr.

1964-01-01

Female Long-Evans rats were subjected to subtotal thyroidectomy, subtotal thyroidectomy plus injection of 1 mu e of I/sup 131/, subtotal thyroidectomy plus injection of 1 mu c of I/sup 131/ plus feeding of a diet containing desiccated thyroid, subtotal thyroidectomy plus feeding of a diet containing desiccated thyroid, injection of 1 mu c of I/sup 131/, feeding of a diet containing desiccated thyroid, and injection of 1 mu c of I/sup 131/ plus feeding of a diet containing desiccated thyroid. Single and multiple adenomas were found in rats subjected to subtotal thyroidectomy and in those subtotally thyroidectomized and given injectionsmore » of 1 mu c of I/sup 131/. In rats subjected to these same treatments but, in addition, fed the thyroid-containing diet, significantly fewer adenomas were encountered. Four papillary carcinomas and one follicular carcinoma were found in rats subjected to subtotal thyroidectomy and/or given injections of 1 mu c I/sup 131/. No carcinoma was observed in control rats. Two papillary carcinomas were found in glands following subtotal thyroidectomy alone, a finding suggesting that thyrotropic hormone stimulation may cause the development of both benign and malignant thyroid neoplasms. One papillary and one follicular carcinoma developed in the intact thyroid glands of rats that received only 1 mu c of I/sup 131/. These malignant neoplasms were possibly induced solely by the I/sup 131/ irradiation. One papillary carcinoma developed in a rat that had been subjected to subtotal thyroidectomy, given an injection of 1 mu c of I/sup 131/, and fed the desiccated thyroid-containing diet. This neoplasm appeared to be the result of either prolonged thyrotropic hormone stimulation or I/sup 131/ irradiation. (auth)« less

Treatment of subtotal medial rectus myectomy complicating functional endoscopic sinus surgery.

PubMed

Trotter, W L; Kaw, P; Meyer, D R; Simon, J W

2000-08-01

During the past 2 decades, the introduction of functional endoscopic sinus surgery (FESS) has dramatically improved the treatment of sinus disorders. However, a variety of orbital complications have been reported, including optic nerve damage, hemorrhage, infection, compromise of the lacrimal drainage apparatus, and strabismus. At least 10 cases have reported damage to the medial rectus muscle. (1-8) Treatment options for such patients have been limited, especially because most are adults at risk for anterior segment ischemia after transposition of vertical rectus muscles. We describe 2 patients whose medial rectus myectomies were repaired by using nonabsorbable "hang-back" sutures in combination with a botulinum toxin (Botox) injection of the antagonist lateral rectus muscle. Good primary position alignment was achieved in both patients, and one patient was able to regain binocular function. We recommend this surgical approach, especially in patients at increased risk for anterior segment ischemia.

[A Distal Bile Duct Carcinoma Patient Who Underwent Surgical Resection for Liver Metastasis].

PubMed

Komiyama, Sosuke; Izumiya, Yasuhito; Kimura, Yu; Nakashima, Shingo; Kin, Syuichi; Kawakami, Sadao

2018-03-01

A 70-year-old man with distal bile duct carcinoma underwent a subtotal stomach-preserving pancreaticoduodenectomy without adjuvant chemotherapy. One and a half years after the surgery, elevated levels of serum SPan-1(38.1 U/mL)were observed and CT scans demonstrated a solitary metastasis, 25mm in size, in segment 8 of the liver. The patient received 2 courses of gemcitabine-cisplatin combination chemotherapy. No new lesions were detected after chemotherapy and the patient underwent a partial liver resection of segment 8. The pathological examination revealed a metachronous distant metastasis originating from the bile duct carcinoma. Subsequently, the patient received S-1 adjuvant chemotherapy for 6 months. Following completion of all therapies, the patient survived without tumor recurrence for 3 years and 10 months after the initial operation. Thus, surgical interventions might be effective in improving prognosis among selected patients with postoperative liver metastasis of bile duct carcinoma.

Safety and operational analysis of lane widths in mid-block segments and intersection approaches in the urban environment in Nebraska.

DOT National Transportation Integrated Search

2015-04-01

This research examined the safety and operational effects of roadway lane width on mid-block segments between : signalized intersections as well as on signalized intersection approaches in the urban environments of Lincoln and Omaha, : Nebraska. In t...

Abnormal early diastolic intraventricular flow 'kinetic energy index' assessed by vector flow mapping in patients with elevated filling pressure.

PubMed

Nogami, Yoshie; Ishizu, Tomoko; Atsumi, Akiko; Yamamoto, Masayoshi; Kawamura, Ryo; Seo, Yoshihiro; Aonuma, Kazutaka

2013-03-01

Recently developed vector flow mapping (VFM) enables evaluation of local flow dynamics without angle dependency. This study used VFM to evaluate quantitatively the index of intraventricular haemodynamic kinetic energy in patients with left ventricular (LV) diastolic dysfunction and to compare those with normal subjects. We studied 25 patients with estimated high left atrial (LA) pressure (pseudonormal: PN group) and 36 normal subjects (control group). Left ventricle was divided into basal, mid, and apical segments. Intraventricular haemodynamic energy was evaluated in the dimension of speed, and it was defined as the kinetic energy index. We calculated this index and created time-energy index curves. The time interval from electrocardiogram (ECG) R wave to peak index was measured, and time differences of the peak index between basal and other segments were defined as ΔT-mid and ΔT-apex. In both groups, early diastolic peak kinetic energy index in mid and apical segments was significantly lower than that in the basal segment. Time to peak index did not differ in apex, mid, and basal segments in the control group but was significantly longer in the apex than that in the basal segment in the PN group. ΔT-mid and ΔT-apex were significantly larger in the PN group than the control group. Multiple regression analysis showed sphericity index, E/E' to be significant independent variables determining ΔT apex. Retarded apical kinetic energy fluid dynamics were detected using VFM and were closely associated with LV spherical remodelling in patients with high LA pressure.

HIGH TEMPERATURE SYSTEMS

DOEpatents

Thomson, G.P.; Blackman, M.

1961-07-25

BS>A device is descrined for producing nuclear fusion reactions by additional acceleration of a hydrogen isotope plasma formed and initially accelerated by a collapsing magnetic field. The plasma is enclosed in a toroidal cavity within a vessel composed of a plurality of insulated coaxial segments. The added acceleration is caused by providing progressing potentials to the insulated segments acting as electrodes by means of a segmented delay transmission line coupled to the electrode segments and excited by a two phase alternating current supply.

Ridge Segmentation, Tectonic Evolution and Rheology of Slow-Spreading Oceanic Crust

DTIC Science & Technology

1996-09-01

important source of motivation, information, and geological field trips (remember Canarias , HeMn3’?). Dave Aubrey guided me on my first steps in Woods Hole... volcanic Ruppel, C., and P. Shaw. An elastic plate thickness map of the Mid- segmentation of the Mid-Atlantic Ridge: Kane to Atlantis Fracture Atlantic Ridge...76, 156, 1995. Smith, D. K., J. R. Cann, M. E. Dougherty, J. Lin, J. Keeton, E. McAllister, C. J. MacLeod and S. Spencer, Mid-Atlantic ridge volcanism

Bone recycling in nasal septal reconstruction.

PubMed

Apaydin, Fazil

2013-12-01

Septal reconstruction alone or together with rhinoplasty can be a very challenging operation. In situations where septal cartilage is used for grafting or is not enough, bony implants taken from the perpendicular plate of the ethmoid and vomer can be used as a filler material between the mucoperichondrial flaps to avoid from unwanted mucosal atrophy, flapping, and septal perforation. These bony implants can also be used for splinting the dorsal and/or caudal segment of the septal cartilage after reshaping by rongeurs. On rare occasions, they can even be used for subtotal reconstruction of the septum. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Sublingual pyramidal lobe. Complications of subtotal thyroidectomy for Graves' disease

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

Sternberg, J.L.

1986-11-01

A potential complication of subtotal thyroidectomy where a large pyramidal lobe is present is described. The pyramidal lobe normally is immobilized inferiorly by its attachment to the thyroidal isthmus. When the isthmus is removed and the pyramidal lobe is left in situ during subtotal thyroidectomy its superior attachments will allow the pyramidal lobe to become situated sublingually. This may produce gagging and nausea. To avoid the complication, it is recommended that the pyramidal lobe be removed during subtotal thyroidectomy. If the patient also is thyrotoxic, I-131 can be used to treat this complication successfully.

Association between Latest Activated Sites in the Left Ventricle and Akinetic Segments in Patients with Ischemic Cardiomyopathy.

PubMed

Sadeghian, Hakimeh; Kousari, Aliasghar; Majidi, Shahla; Rezvanfard, Mehrnaz; Kazemisaeid, Ali; Moezzi, Seyed Ali; Vasheghani Farahani, Ali; Abdar Esfahani, Morteza; Sahebjam, Mohammad; Zoroufian, Arezoo; Sadeghian, Afsaneh

2016-07-06

Background: It is not clear whether the latest activation sites in the left ventricle (LV) are matched with infracted regions in patients with ischemic cardiomyopathy (ICM). We aimed to investigate whether the latest activation sites in the LV are in agreement with the region of akinesia in patients with ICM. Methods: Data were analyzed in 106 patients (age = 60.5 ± 12.1 y, male = 88.7%) with ICM (ejection fraction ≤ 35%) who were refractory to pharmacological therapy and were referred to the echocardiography department for an evaluation of the feasibility of cardiac resynchronization therapy. Wall motion abnormalities, time to peak systolic myocardial velocity (Ts) of 6 basal and 6 mid-portion segments of the LV, and 4 frequently used dyssynchrony indices were measured using 2-dimensional echocardiography and tissue Doppler imaging (TDI). To evaluate the influence of the electrocardiographic pattern, we categorized the patients into 2 groups: patients with QRS ≤ 120 ms and those with QRS >120 ms. Results: A total of 1 272 segments were studied. The latest activation sites (with longest Ts) were most frequently located in the mid-anterior (n = 32, 30.2%) and basal-anterior segments (n = 29, 27.4%), while the most common sites of akinesia were the mid-anteroseptal (n = 65, 61.3%) and mid-septal (n = 51, 48.1%) segments. Generally, no significant concordance was found between the latest activated segments and akinesia either in all the patients or in the QRS groups. Detailed analysis within the segments indicated a good agreement between akinesia and delayed activation in the basal-lateral segment solely in the patients with QRS duration ≤ 120 ms (Φ = 0.707; p value ≤ 0.001). Conclusion: The akinetic segment on 2-dimensional echocardiogram was not matched with the latest activation sites in the LV determined by TDI in patients with ICM.

Association between Latest Activated Sites in the Left Ventricle and Akinetic Segments in Patients with Ischemic Cardiomyopathy

PubMed Central

Sadeghian, Hakimeh; Kousari, Aliasghar; Majidi, Shahla; Rezvanfard, Mehrnaz; Kazemisaeid, Ali; Moezzi, Seyed Ali; Vasheghani Farahani, Ali; Abdar Esfahani, Morteza; Sahebjam, Mohammad; Zoroufian, Arezoo; Sadeghian, Afsaneh

2016-01-01

Background: It is not clear whether the latest activation sites in the left ventricle (LV) are matched with infracted regions in patients with ischemic cardiomyopathy (ICM). We aimed to investigate whether the latest activation sites in the LV are in agreement with the region of akinesia in patients with ICM. Methods: Data were analyzed in 106 patients (age = 60.5 ± 12.1 y, male = 88.7%) with ICM (ejection fraction ≤ 35%) who were refractory to pharmacological therapy and were referred to the echocardiography department for an evaluation of the feasibility of cardiac resynchronization therapy. Wall motion abnormalities, time to peak systolic myocardial velocity (Ts) of 6 basal and 6 mid-portion segments of the LV, and 4 frequently used dyssynchrony indices were measured using 2-dimensional echocardiography and tissue Doppler imaging (TDI). To evaluate the influence of the electrocardiographic pattern, we categorized the patients into 2 groups: patients with QRS ≤ 120 ms and those with QRS >120 ms. Results: A total of 1 272 segments were studied. The latest activation sites (with longest Ts) were most frequently located in the mid-anterior (n = 32, 30.2%) and basal-anterior segments (n = 29, 27.4%), while the most common sites of akinesia were the mid-anteroseptal (n = 65, 61.3%) and mid-septal (n = 51, 48.1%) segments. Generally, no significant concordance was found between the latest activated segments and akinesia either in all the patients or in the QRS groups. Detailed analysis within the segments indicated a good agreement between akinesia and delayed activation in the basal-lateral segment solely in the patients with QRS duration ≤ 120 ms (Φ = 0.707; p value ≤ 0.001). Conclusion: The akinetic segment on 2-dimensional echocardiogram was not matched with the latest activation sites in the LV determined by TDI in patients with ICM. PMID:27956911

Non-Orthogonality of Seafloor Spreading: A New Look at Fast Spreading Centers

NASA Astrophysics Data System (ADS)

Zhang, T.; Gordon, R. G.

2015-12-01

Most of Earth's surface is created by seafloor spreading. While most seafloor spreading is orthogonal, that is, the strike of mid-ocean ridge segments is perpendicular to nearby transform faults, examples of significant non-orthogonality have been noted since the 1970s, in particular in regions of slow seafloor spreading such as the western Gulf of Aden with non-orthogonality up to 45°. In contrast, here we focus on fast and ultra-fast seafloor spreading along the East Pacific Rise. To estimate non-orthogonality, we compare ridge-segment strikes with the direction of plate motion determined from the angular velocity that best fits all the data along the boundary of a single plate pair [DeMets et al., 2010]. The advantages of this approach include greater accuracy and the ability to estimate non-orthogonality where there are no nearby transform faults. Estimating the strikes of fast-spreading mid-ocean ridge segments present several challenges as non-transform offsets on various scales affect the estimate of the strike. While spreading is orthogonal or nearly orthogonal along much of the East Pacific Rise, some ridge segments along the Pacific-Nazca boundary near 30°S and near 16°S-22°S deviate from orthogonality by as much as 6°-12° even when we exclude the portions of mid-ocean ridge segments involved in overlapping spreading centers. Thus modest but significant non-orthogonality occurs where seafloor spreading is the fastest on the planet. If a plume lies near the ridge segment, we assume it contributes to magma overpressure along the ridge segment [Abelson & Agnon, 1997]. We further assume that the contribution to magma overpressure is proportional to the buoyancy flux of the plume [Sleep, 1990] and inversely proportional to the distance between the mid-ocean ridge segment and a given plume. We find that the non-orthogonal angle tends to decrease with increasing spreading rate and with increasing distance between ridge segment and plume.

20 CFR 10.711 - How much of any settlement or judgment must be paid to the United States?

Code of Federal Regulations, 2011 CFR

2011-04-01

... United States is calculated as follows, using the Statement of Recovery form approved by OWCP: (1... benefits under the FECA, subject to refund. The suit is settled and the injured employee receives $100,000... suit −3,000 Subtotal B 72,000 One-fifth of Subtotal B −14,400 (4) Subtotal C 57,600 Refundable...

Enhanced Mantle Upwelling/Melting Caused Segment Propagation, Oceanic Core Complex Die Off, and the Death of a Transform Fault: The Mid-Atlantic Ridge at 21.5°N

NASA Astrophysics Data System (ADS)

Dannowski, A.; Morgan, J. P.; Grevemeyer, I.; Ranero, C. R.

2018-02-01

Crustal structure provides the key to understand the interplay of magmatism and tectonism, while oceanic crust is constructed at Mid-Ocean Ridges (MORs). At slow spreading rates, magmatic processes dominate central areas of MOR segments, whereas segment ends are highly tectonized. The TAMMAR segment at the Mid-Atlantic Ridge (MAR) between 21°25'N and 22°N is a magmatically active segment. At 4.5 Ma this segment started to propagate south, causing the termination of the transform fault at 21°40'N. This stopped long-lived detachment faulting and caused the migration of the ridge offset to the south. Here a segment center with a high magmatic budget has replaced a transform fault region with limited magma supply. We present results from seismic refraction profiles that mapped the crustal structure across the ridge crest of the TAMMAR segment. Seismic data yield crustal structure changes at the segment center as a function of melt supply. Seismic Layer 3 underwent profound changes in thickness and became rapidly thicker 5 Ma. This correlates with the observed "Bull's Eye" gravimetric anomaly in that region. Our observations support a temporal change from thick lithosphere with oceanic core complex formation and transform faulting to thin lithosphere with focused mantle upwelling and segment growth. Temporal changes in crustal construction are connected to variations in the underlying mantle. We propose that there is a link between the neighboring segments at a larger scale within the asthenosphere, to form a long, highly magmatically active macrosegment, here called the TAMMAR-Kane Macrosegment.

Subtotal colectomy in severe ulcerative and Crohn's colitis: what benefit does the laparoscopic approach confer?

PubMed

Messenger, David E; Mihailovic, Dana; MacRae, Helen M; O'Connor, Brenda I; Victor, J Charles; McLeod, Robin S

2014-12-01

Comparative outcome data for laparoscopic and open subtotal colectomy in IBD are lacking and often difficult to interpret owing to low case volumes, heterogeneity in case mix, and variation in laparoscopic technique. This study aimed to determine the safety of laparoscopic subtotal colectomy in severe colitis and to determine whether the laparoscopic approach improved short-term outcomes in comparison with the open approach. This was a retrospective cohort study using data from a prospectively maintained clinical database. This study was conducted at a single center, Mount Sinai Hospital, Toronto. All patients undergoing subtotal colectomy for either ulcerative or Crohn's colitis between 2000 and 2011 were included. A standardized operative technique was used for both laparoscopic and open subtotal colectomies. Cases performed by non-laparoscopic surgeons were excluded. Perioperative outcome measures were operative duration, estimated blood loss, total morphine requirement, and length of postoperative stay. Postoperative outcome measures were the rates of minor and major complications. Laparoscopic subtotal colectomies were performed in 131 of 290 cases (45.2%). Nine patients required conversion to an open procedure (6.9%). The uptake of laparoscopic subtotal colectomy increased from 10.2% in 2000/2001 to 71.7% in 2010/2011. Regression analysis with propensity-score adjustment for operative approach revealed that the operative duration was 25.5 minutes longer in laparoscopic cases (95% CI 12.3-38.6; p < 0.001), but that patients experienced fewer minor complications (OR 0.47; 95% CI 0.23-0.96; p = 0.04) and required less morphine (adjusted difference, -72.8 mg; 95% CI 4.9-141; p = 0.04). The inherent selection bias of this retrospective cohort study may not be accounted for by multivariate analysis with propensity-score adjustment. Laparoscopic subtotal colectomy is safe and may reduce the rate of minor postoperative complications. The increase in operative duration reflects the technical demands associated with this procedure (see Video, Supplemental Digital Content 1, http://links.lww.com/DCR/A160).

Lower urinary tract symptoms after subtotal versus total abdominal hysterectomy: exploratory analyses from a randomized clinical trial with a 14-year follow-up.

PubMed

Andersen, Lea Laird; Møller, Lars Mikael Alling; Gimbel, Helga

2015-12-01

Lower urinary tract symptoms (LUTS) are common after hysterectomy and increase after menopause. We aimed to compare subtotal with total abdominal hysterectomy regarding LUTS, including urinary incontinence (UI) subtypes, 14 years after hysterectomy. Main results from this randomized clinical trial have been published previously; the analyses covered in this paper are exploratory. We performed a long-term questionnaire follow-up of women in a randomized clinical trial (n = 319), from 1996 to 2000 comparing subtotal with total abdominal hysterectomy. Of the randomized women, ten had died and five had left Denmark; 304 women were contacted. For univariate analyses, a χ(2)-test was used, and for multivariate analyses, we used logistic regression. The questionnaire was answered by 197 (64.7 %) women (subtotal 97; total 100). More women had subjective stress UI (SUI) in the subtotal group (n = 60; 62.5 %) compared with the total group (n = 45; 45 %), with a relative risk (RR) of 1.39 [95 % confidence interval (CI) 1.06-1.81; P = 0.014]. No difference was seen between subtotal and total abdominal hysterectomy in other LUTS. Factors associated with UI were UI prior to hysterectomy, local estrogen treatment, and body mass index (BMI) > 25 kg/m(2). High BMI was primarily associated with mixed UI (MUI) and urgency symptoms. Predictors of bothersome LUTS were UI and incomplete bladder emptying. The difference in the frequency of subjectively assessed UI between subtotal and total abdominal hysterectomy (published previously) is caused by a difference in subjectively assessed SUI; UI prior to hysterectomy and high BMI are related to UI 14 years after hysterectomy. The trial is registered on clinicaltrials.gov under Nykoebing Falster County Hospital Record sj-268: Total versus subtotal hysterectomy: http://clinicaltrials.gov/ct2/show/NCT01880710?term=hysterectomy&rank=27.

The optimal extent of gastrectomy for middle-third gastric cancer: distal subtotal gastrectomy is superior to total gastrectomy in short-term effect without sacrificing long-term survival.

PubMed

Ji, Xin; Yan, Yan; Bu, Zhao-De; Li, Zi-Yu; Wu, Ai-Wen; Zhang, Lian-Hai; Wu, Xiao-Jiang; Zong, Xiang-Long; Li, Shuang-Xi; Shan, Fei; Jia, Zi-Yu; Ji, Jia-Fu

2017-05-19

The optimal extent of gastrectomy for middle-third gastric cancer remains controversial. In our study, the short-term effects and longer-term survival outcomes of distal subtotal gastrectomy and total gastrectomy are analysed to determine the optimal extent of gastrectomy for middle-third gastric cancer. We retrospectively collect and analyse clinicopathologic data and follow-up outcomes from a prospectively collected database at the Peking University Cancer Hospital. Patients with middle-third gastric adenocarcinoma who underwent curative resection are enrolled in our study. We collect data of 339 patients between January 2005 and October 2011. A total of 144 patients underwent distal subtotal gastrectomy, and 195 patients underwent total gastrectomy. Patients in the total gastrectomy group have longer operative duration (P < 0.001) and postoperative hospital stay (P = 0.001) than those in the distal subtotal gastrectomy group. In the total gastrectomy group, more lymph nodes are harvested (P < 0.001). Meanwhile, the rate of postoperative complications is lower in the distal subtotal gastrectomy group than in the total gastrectomy group (8% vs 15%, P = 0.047). Further analysis demonstrates that the rate of anastomosis leakage is lower in the distal subtotal gastrectomy group than in the total gastrectomy group (0% vs 4%, P = 0.023). Kaplan-Meier (log rank test) analysis shows a significant difference in overall survival between the two groups. The 5-year overall survival rates in the distal subtotal gastrectomy and total gastrectomy groups are 65% and 47%, respectively (P < 0.001). Further stage-stratified analysis reveals that no statistical significance exists in 5-year survival rate between the distal subtotal gastrectomy and total gastrectomy groups at the same stage. Multivariate analysis shows that age (P = 0.046), operation duration (P < 0.001), complications (P = 0.037), usage of neoadjuvant chemotherapy (P < 0.001), tumor size (P = 0.012), presence of lymphovascular invasion (P = 0.043) and N stage (P < 0.001) are independent prognostic factors for survival. For patients with middle-third gastric cancer, distal subtotal gastrectomy shortens the operation duration and postoperative hospital stay and reduces postoperative complications. Meanwhile, the long-term survival of patients with distal subtotal gastrectomy is similar to that of those with total gastrectomy at the same stage. The extent of gastrectomy for middle-third gastric cancer is not an independent prognostic factor for survival.

Genetic podocyte lineage reveals progressive podocytopenia with parietal cell hyperplasia in a murine model of cellular/collapsing focal segmental glomerulosclerosis.

PubMed

Suzuki, Taisei; Matsusaka, Taiji; Nakayama, Makiko; Asano, Takako; Watanabe, Teruo; Ichikawa, Iekuni; Nagata, Michio

2009-05-01

Focal segmental glomerulosclerosis (FSGS) is a progressive renal disease, and the glomerular visceral cell hyperplasia typically observed in cellular/collapsing FSGS is an important pathological factor in disease progression. However, the cellular features that promote FSGS currently remain obscure. To determine both the origin and phenotypic alterations in hyperplastic cells in cellular/collapsing FSGS, the present study used a previously described FSGS model in p21-deficient mice with visceral cell hyperplasia and identified the podocyte lineage by genetic tagging. The p21-deficient mice with nephropathy showed significantly higher urinary protein levels, extracapillary hyperplastic indices on day 5, and glomerular sclerosis indices on day 14 than wild-type controls. X-gal staining and immunohistochemistry for podocyte and parietal epithelial cell (PEC) markers revealed progressive podocytopenia with capillary collapse accompanied by PEC hyperplasia leading to FSGS. In our investigation, non-tagged cells expressed neither WT1 nor nestin. Ki-67, a proliferation marker, was rarely associated with podocytes but was expressed at high levels in PECs. Both terminal deoxynucleotidyl transferase dUTP nick-end labeling staining and electron microscopy failed to show evidence of significant podocyte apoptosis on days 5 and 14. These findings suggest that extensive podocyte loss and simultaneous PEC hyperplasia is an actual pathology that may contribute to the progression of cellular/collapsing FSGS in this mouse model. Additionally, this is the first study to demonstrate the regulatory role of p21 in the PEC cell cycle.

Unilateral advancement of the maxillary minor segment by distraction osteogenesis in patients with repaired unilateral cleft lip and palate: report of two cases.

PubMed

Kuroe, Kazuto; Iino, Shoichiro; Shomura, Kenji; Okubo, Akiro; Sugihara, Kazumasa; Ito, Gakuji

2003-05-01

Collapse of the maxillary minor segment with lateral crossbite is a common feature in patients with repaired unilateral cleft lip/palate because of maxillary alveolar bony defect and palatal scar tissue. Distraction osteogenesis (DOG) is an effective technique of lengthening and augmentation for bone and gingiva. This case report describes the effects of unilateral advancement of the maxillary minor segment by DOG in two patients with the repaired unilateral cleft lip/palate.

Recurrent Laryngeal Nerve Injury In Total Versus Subtotal Thyroidectomy.

PubMed

Sajid, Tahira; Qamar Naqvi, Syeda Rifaat; Qamar Naqvi, Syeda Saima; Shukr, Irfan; Ghani, Rehman

2016-01-01

Both Total and Subtotal Thyroidectomy are correct treatment options for symptomatic Euthyroid Multinodular Goitre. The choice depends upon surgeon's preference due to consideration of disadvantages like permanent hypothyroidism in Total Thyroidectomy and high chances of recurrence in Subtotal Thyroidectomy. Many surgeons believe that there is a higher incidence of Recurrent Laryngeal nerve injury in Total Thyroidectomy which affects their choice of surgery. This study aimed to compare the incidence of recurrent laryngeal nerve injury in total versus subtotal thyroidectomy. This non randomized controlled trial was carried out at Department of Surgery and ENT of Ayub Teaching Hospital Abbottabad, and Combined Military Hospital Rawalpindi from 1st September 2013 to 30th August 2014. During the period of study, patients presenting in surgical outpatient department with euthyroid multinodular goitre having pressure symptoms requiring thyroidectomy were divided into two groups by convenience sampling with 87 patients in group 1 and 90 patients in group 2. Group-1 was subjected to total thyroidectomy and Group -2 underwent subtotal thyroidectomy. All the patients had preoperative Indirect Laryngoscopy examination and it was repeated postoperatively to check for injury to the recurrent laryngeal nerve. A total of 177 patients were included in the study. Out of these, 87 patients underwent total thyroidectomy (Group-1). Two of these patients developed recurrent laryngeal nerve injury (2.3%). In group-2 subjected to subtotal thyroidectomy, three of the patients developed recurrent laryngeal nerve injury (3.3%). The p-value was 0.678. The overall risk of injury to this nerve in both surgeries combined was 2.8%. There is no significant difference in the risk of recurrent laryngeal nerve damage in patients undergoing total versus subtotal thyroidectomy.

A Cost-Comparison Study Using Actual CHAMPUS Formulas to Price Wilford Hall Medical Center’s FY 1993 Inpatient Workload to Determine Whether CHAMPUS is the More Cost-Effective Health Care Delivery System.

DTIC Science & Technology

1994-05-01

PODIATRY AECA HAND SURGERY 3UB MED SVC MIL PER REC ACT TOTAL 0.00 558.00 558. 00 0.00 0.00 64.00 400.00 "袎.00 1022.00 ABIA PLASTIC...ABHA PEDIATRIC SURGERY ABHP PEDIATRIC SURGERY PART ABH SUBTOTAL ABIA PLASTIC SURGERY ABI SUBTOTAL ABKA UROLOGY _ ABK SUBTOTAL AA ORGAN

Water impact test of aft skirt end ring, and mid ring segments of the Space Shuttle Solid Rocket Booster

NASA Technical Reports Server (NTRS)

1983-01-01

The results of water impact loads tests using aft skirt end ring, and mid ring segments of the Space Shuttle Solid Rocket Booster (SRB) are examined. Dynamic structural response data is developed and an evaluation of the model in various configurations is presented. Impact velocities are determined for the SRB with the larger main chute system. Various failure modes are also investigated.

A possible source mechanism of the 1946 Unimak Alaska far-field tsunami, uplift of the mid-slope terrace above a splay fault zone

USGS Publications Warehouse

von Huene, Roland E.; Miller, John J.; Klaeschen, Dirk; Dartnell, Peter

2016-01-01

In 1946, megathrust seismicity along the Unimak segment of the Alaska subduction zone generated the largest ever recorded Alaska/Aleutian tsunami. The tsunami severely damaged Pacific islands and coastal areas from Alaska to Antarctica. It is the charter member of “tsunami” earthquakes that produce outsized far-field tsunamis for the recorded magnitude. Its source mechanisms were unconstrained by observations because geophysical data for the Unimak segment were sparse and of low resolution. Reprocessing of legacy geophysical data reveals a deep water, high-angle reverse or splay thrust fault zone that leads megathrust slip upward to the mid-slope terrace seafloor rather than along the plate boundary toward the trench axis. Splay fault uplift elevates the outer mid-slope terrace and its inner area subsides. Multibeam bathymetry along the splay fault zone shows recent but undated seafloor disruption. The structural configuration of the nearby Semidi segment is similar to that of the Unimak segment, portending generation of a future large tsunami directed toward the US West coast.

A Possible Source Mechanism of the 1946 Unimak Alaska Far-Field Tsunami: Uplift of the Mid-Slope Terrace Above a Splay Fault Zone

NASA Astrophysics Data System (ADS)

von Huene, Roland; Miller, John J.; Klaeschen, Dirk; Dartnell, Peter

2016-12-01

In 1946, megathrust seismicity along the Unimak segment of the Alaska subduction zone generated the largest ever recorded Alaska/Aleutian tsunami. The tsunami severely damaged Pacific islands and coastal areas from Alaska to Antarctica. It is the charter member of "tsunami" earthquakes that produce outsized far-field tsunamis for the recorded magnitude. Its source mechanisms were unconstrained by observations because geophysical data for the Unimak segment were sparse and of low resolution. Reprocessing of legacy geophysical data reveals a deep water, high-angle reverse or splay thrust fault zone that leads megathrust slip upward to the mid-slope terrace seafloor rather than along the plate boundary toward the trench axis. Splay fault uplift elevates the outer mid-slope terrace and its inner area subsides. Multibeam bathymetry along the splay fault zone shows recent but undated seafloor disruption. The structural configuration of the nearby Semidi segment is similar to that of the Unimak segment, portending generation of a future large tsunami directed toward the US West coast.

Installation Restoration Program. Phase I. Records Search, Brooks AFB, Texas

DTIC Science & Technology

1985-03-01

decay of the cadavers occurred. The waste was packaged in plastic bags, placed in seven 55-gallon drums and buried in a hole 7 to 8 feet deep. The drums...Receptors subscore (I x factor score subtotal/maximm score subtotal) 44 - II. WASTE CARACTERISTICS A. Select the factor score based on the estimated quantity...subtotal) 44 II. WASTE CARACTERISTICS A. Select the factor score based on the estimated quantity, the degree of hazard, and the confidence level of the

Parenteral glutamine supplement has synergic effects in minimally invasive surgery of subtotal gastrectomy patients.

PubMed

Chen, Chien-Chia; Chang, Tung-Cheng; Wang, Ming-Yang; Wu, Ming-Hsun; Lin, Ming-Tsan

2012-09-01

Exogenous glutamine supplement is known to improve morbidity and mortality of critically-ill patients. This study was conducted to elucidate the role of glutamine in minimally invasive surgery. We retrospectively reviewed subtotal gastrectomy patients in National Taiwan University Hospital from Dec 2005 to Dec 2008. The patients were divided into three groups. Group 1 underwent subtotal gastrectomy by laparotomy without glutamine supplement, group 2 underwent subtotal gastrectomy by laparotomy with glutamine supplement and group 3 underwent gasless laparoscopy-assisted subtotal gastrectomy with parenteral glutamine supplement. There were 155 patients in total; 85 patients in group 1, 17 in group 2 and 53 in group 3. The mean flatus days after operation are 3.6, 3.1 and 2.8 for groups 1, 2 and 3, respectively (p=0.001). Oral intake after operation was commenced after 6.7, 5.0 and 4.7 days (p=0.006). The body temperature had borderline differences between groups 3 and 1. There were significant differences in postoperative systemic responses including heart rates (p<0.001) and tenderness (p=0.011) 5 days after operation for group 3 vs. group 1. Minimally invasive surgery was a negative factor for postoperative body temperature change. Glutamine was a significant factor for postoperative heart rate change and reduction of tenderness. Glutamine supplement may have synergic effects of rapid recovery in minimal invasive surgery for subtotal gastrectomy patients by minimizing the postoperative systemic response and accelerating recovery.

Successful percutaneous coronary intervention with GuideLiner® catheter for subtotal occlusive lesion in the right coronary artery with anomalous origin from the left sinus of Valsalva: a case report.

PubMed

Shirota, Ayumi; Nomura, Tetsuya; Kubota, Hiroshi; Taminishi, Shunta; Urata, Ryota; Sugimoto, Takeshi; Higuchi, Yusuke; Kato, Taku; Keira, Natsuya; Tatsumi, Tetsuya

2015-07-28

Because of the unusual anatomy of an anomalous origin of the right coronary artery from the left sinus of Valsalva, selective cannulation of the guiding catheter in percutaneous coronary intervention for these cases is always challenging. A 58-year-old Japanese man was admitted to our hospital complaining of worsening exertional chest pain. He was suspected of having unstable angina pectoris and underwent cardiac catheterization. We found a subtotal occlusive lesion in the mid-portion of his right coronary artery that originated from the left sinus of Valsalva. On the previous percutaneous coronary intervention, we failed to cannulate the guiding catheter to the anomalous orifice of the right coronary artery. Therefore, we decided to use the GuideLiner catheter for stable back-up support from the beginning. A 6Fr GuideLiner catheter was introduced into the right coronary artery by anchoring it coaxially with a semi-compliant balloon catheter. And we successfully deployed two drug-eluting stents by crossing over the posterior-descending artery. Final angiography demonstrated favorable dilatation of the target lesion, and native blood flow in the right coronary artery was completely recovered. GuideLiner is a monorail-type "child" support catheter that facilitates coaxial guiding catheter engagement and an appropriate back-up force, achieving successful device delivery to target lesions in this kind of complex percutaneous coronary intervention.

Bookshelf faulting and transform motion between rift segments of the Northern Volcanic Zone, Iceland

NASA Astrophysics Data System (ADS)

Green, R. G.; White, R. S.; Greenfield, T. S.

2013-12-01

Plate spreading is segmented on length scales from 10 - 1,000 kilometres. Where spreading segments are offset, extensional motion has to transfer from one segment to another. In classical plate tectonics, mid-ocean ridge spreading centres are offset by transform faults, but smaller 'non-transform' offsets exist between slightly overlapping spreading centres which accommodate shear by a variety of geometries. In Iceland the mid-Atlantic Ridge is raised above sea level by the Iceland mantle plume, and is divided into a series of segments 20-150 km long. Using microseismicity recorded by a temporary array of 26 three-component seismometers during 2009-2012 we map bookshelf faulting between the offset Askja and Kverkfjöll rift segments in north Iceland. The micro-earthquakes delineate a series of sub-parallel strike-slip faults. Well constrained fault plane solutions show consistent left-lateral motion on fault planes aligned closely with epicentral trends. The shear couple across the transform zone causes left-lateral slip on the series of strike-slip faults sub-parallel to the rift fabric, causing clockwise rotations about a vertical axis of the intervening rigid crustal blocks. This accommodates the overall right-lateral transform motion in the relay zone between the two overlapping volcanic rift segments. The faults probably reactivated crustal weaknesses along the dyke intrusion fabric (parallel to the rift axis) and have since rotated ˜15° clockwise into their present orientation. The reactivation of pre-existing rift-parallel weaknesses is in contrast with mid-ocean ridge transform faults, and is an important illustration of a 'non-transform' offset accommodating shear between overlapping spreading segments.

Crustal Thickness on the Mid-Atlantic Ridge: Bull's-Eye Gravity Anomalies and Focused Accretion.

PubMed

Tolstoy, M; Harding, A J; Orcutt, J A

1993-10-29

Spreading segments of the Mid-Atlantic Ridge show negative bull's-eye anomalies in the mantle Bouguer gravity field. Seismic refraction results from 33 degrees S indicate that these anomalies can be accounted for by variations in crustal thickness along a segment. The crust is thicker in the center and thinner at the end of the spreading segment, and these changes are attributable to variations in the thickness of layer 3. The results show that accretion is focused at a slow-spreading ridge, that axial valley depth reflects the thickness of the underlying crust, and that along-axis density variations should be considered in the interpretation of gravity data.

Investigation of the Carrs Creek geofoam project.

DOT National Transportation Integrated Search

2014-08-01

The I88 culvert crossing of Carrs Creek in Sidney, NY collapsed during the record setting Mid : Atlantic States Flood of June 2006. Rapid construction with geofoam as lightweight fill enabled : partial reopening of I88 by Labor Day 2006. Shortly a...

Is Collapsing C1q Nephropathy Another MYH9-Associated Kidney Disease? A Case Report

PubMed Central

Reeves-Daniel, Amber M.; Iskandar, Samy S.; Bowden, Donald W.; Bostrom, Meredith A.; Hicks, Pamela J.; Comeau, Mary E.; Langefeld, Carl D.; Freedman, Barry I.

2009-01-01

C1q nephropathy is a rare kidney disease that can present with nephrotic syndrome and typically has the histological phenotype of either minimal change disease (MCD) or focal segmental glomerulosclerosis (FSGS). Disagreement exists as to whether it is a distinct immune complex-mediated glomerulopathy or whether it resides in the spectrum of FSGS-MCD. Two African American patients with C1q nephropathy histologically presenting as the collapsing variant of FSGS (collapsing C1q nephropathy) and rapid loss of kidney function were genotyped for polymorphisms in the non-muscle myosin heavy chain 9 gene (MYH9). Both cases were homozygous for the MYH9 E1 risk haplotype; the variant strongly associated with idiopathic FSGS, collapsing FSGS in Human Immunodeficiency Virus-associated nephropathy and focal global glomerulosclerosis (historically attributed to hypertensive nephrosclerosis). Collapsing C1q nephropathy with rapid progression to ESRD appears to reside in the MYH9-associated disease spectrum. PMID:20116156

Expression of heat shock protein 47 is increased in remnant kidney and correlates with disease progression

PubMed Central

SUNAMOTO, MASAAKI; KUZE, KOGO; IEHARA, NORIYUKI; TAKEOKA, HIROYA; NAGATA, KAZUHIRO; KITA, TORU; DOI, TOSHIO

1998-01-01

Glomerulosclerosis is characterized by accumulation of the mesangial extracellular matrix, including type I and IV collagen. The processing for the collagens in the glomeruli may play a critical role for development of glomerulosclerosis. We examined the expression of heat shock protein 47 (HSP47), a collagen-binding molecular chaperone in the progresive glomerulosclerosis model. Subtotally nephrectomized rats, unlike sham-operated rats, developed focal and segmental glomerulosclerosis. Immunological staining demonstrated an increased expression of HSP47 which paralleled the expression of type I and IV collagen in the glomeruli of the nephrectomized rats as the glomerulosclerosis developed. The mRNA levels encoding type I and type IV collagen and HSP47 were increased 3.4 fold, 3.6 fold and 2.8 fold, respectively, at week 7 after nephrectomy. By in situ hybridization, the expression of HSP47 mRNA was determined to be localized to the glomeruli with segmental sclerosis. These results suggest that HSP47 may play a central role in the process of extracellular matrix accumulation during the development of glomerulosclerosis. PMID:9741355

Validity of early parathyroid hormone assay as a diagnostic tool for sub-total thyroidectomy related hypocalcaemia.

PubMed

Riaz, Umbreen; Shah, Syed Aslam; Zahoor, Imran; Riaz, Arsalan; Zubair, Muhammad

2014-07-01

To determine the validity of early (one hour postoperatively) parathyroid hormone (PTH) assay (² 10 pg/ml), keeping gold standard as the serum ionic calcium level, for predicting sub-total thyroidectomy-related hypocalcaemia and to calculate the sensitivity and specificity of latent signs of tetany. Cross-sectional validation study. Department of General Surgery, Pakistan Institute of Medical Sciences, Islamabad from August 2008 to August 2010. Patients undergoing sub-total thyroidectomy were included by convenience sampling. PTH assay was performed 1 hour post sub-total thyroidectomy. Serum calcium levels were performed at 24 and 48 hours, 5th day and 2 weeks after surgery. Cases that developed hypocalcaemia were followed-up for a period of 6 months with monthly calcium level estimation to identify cases of permanent hypocalcaemia. Symptoms and signs of hypocalcaemia manifesting in our patients were recorded. Data was analyzed through SPSS version 10. 2 x 2 tables were used to calculate sensitivity and specificity of PTH in detecting post-thyroidectomy hypocalcaemia. Out of a total of 110 patients included in the study, 16.36% (n=18) developed hypocalcaemia including 1.81% (n=2) cases of permanent hypoparathyroidism. The sensitivity of one hour postoperative PTH assay as a predictive tool for post-thyroidectomy related hypocalcaemia was 94.4% while its specificity was 83.6% with 53% positive predictive value and 98.7% negative predictive value. One hour post sub-total thyroidectomy PTH assay can be helpful in predicting post sub-total thyroidectomy hypocalcaemia. Moreover, it can be useful in safe discharge of day-care thyroidectomy patients.

Towards lung EIT image segmentation: automatic classification of lung tissue state from analysis of EIT monitored recruitment manoeuvres.

PubMed

Grychtol, Bartłomiej; Wolf, Gerhard K; Adler, Andy; Arnold, John H

2010-08-01

There is emerging evidence that the ventilation strategy used in acute lung injury (ALI) makes a significant difference in outcome and that an inappropriate ventilation strategy may produce ventilator-associated lung injury. Most harmful during mechanical ventilation are lung overdistension and lung collapse or atelectasis. Electrical impedance tomography (EIT) as a non-invasive imaging technology may be helpful to identify lung areas at risk. Currently, no automated method is routinely available to identify lung areas that are overdistended, collapsed or ventilated appropriately. We propose a fuzzy logic-based algorithm to analyse EIT images obtained during stepwise changes of mean airway pressures during mechanical ventilation. The algorithm is tested on data from two published studies of stepwise inflation-deflation manoeuvres in an animal model of ALI using conventional and high-frequency oscillatory ventilation. The timing of lung opening and collapsing on segmented images obtained using the algorithm during an inflation-deflation manoeuvre is in agreement with well-known effects of surfactant administration and changes in shunt fraction. While the performance of the algorithm has not been verified against a gold standard, we feel that it presents an important first step in tackling this challenging and important problem.

Therapeutic use of fractionated total body and subtotal body irradiation. [X-rays

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

Loeffler, R.K.

1981-05-01

Ninety-one patients were treated using fractionated subtotal body (STBI) or total body irradiation (TBI). These patients had generalized lymphomas, Hodgkin's disease, leukemias, myelomas, seminomas, or oat-cell carcinomas. Subtotal body irradiation is delivered to the entire body, except for the skull and extremities. It was expected that a significantly higher radiation dose could be administered with STBI than with TBI. A five- to ten-fold increase in tolerance for STBI was demonstrated. Many of these patients have had long-term emissions. There is little or no treatment-induced symptomatology, and no sanctuary sites.

Building a Cloud Computing and Big Data Infrastructure for Cybersecurity Research and Education

DTIC Science & Technology

2015-04-17

408 1,408 312,912 17 Hadoop- Integration M/D Node R720xd 2 24 128 3,600 5 Subtotal: 120 640 18,000 5 Cloud - Production VRTX M620 2 16 256 30,720...4 Subtotal: 8 64 1,024 30,720 4 Cloud - Integration IBM HS22 7870H5U 2 12 84 4,800 5 Subtotal: 10 60 420 4,800 5 TOTAL: 62 652 3,492 366,432...3,492 366,432 Cloud - Integration Hadoop- Production Hadoop- Integration Cloud - Production September 2014 8 Exploring New Opportunities (Cybersecurity

Supracervical hysterectomy - the vaginal route.

PubMed

Wilczyński, Miłosz; Cieślak, Jarosław; Malinowski, Andrzej

2014-06-01

Removal of the cervix during hysterectomy is not mandatory. There has been no irrefutable evidence so far that total hysterectomy is more beneficial to patients in terms of pelvic organ function. The procedure that leaves the cervix intact is called a subtotal hysterectomy. Traditional approaches to this surgery include laparoscopic and abdominal routes. Vaginal total hysterectomy has been proven to present many advantages over the other approaches. Therefore, it seems that this route should also be applied in the case of subtotal hysterectomy. We present 9 cases of patients who underwent subtotal hysterectomy performed through the vagina for benign gynecological diseases.

[A Case of Liver Metastasis from Esophageal Cancer Successfully Treated by Surgical Resection after Chemotherapy with Weekly-Paclitaxel].

PubMed

Nozawa, Akinori; Kubo, Naoshi; Shimizu, Sadatoshi; Murata, Akihiro; Kanazawa, Akishige; Kodai, Shintaro; Urata, Yorihisa; Miura, Kotaro; Tauchi, Jun; Sakurai, Katsunori; Tachimori, Akiko; Tamamori, Yutaka; Inoue, Toru; Yamashita, Yoshito; Nishiguchi, Yukio

2017-11-01

A 58-year-old man complaining of dysphagia was admitted to our hospital and diagnosed with esophageal cancer.He underwent thoracoscopic subtotal esophagectomy with 3-field lymph node dissection and reconstruction with a gastric tube created by hand-assisted laparoscopy.The pathological diagnosis was classified as AeLtG, pT3N2M0, pStage III .He was subsequently treated with systemic chemotherapy with 5-fluorouracil and cisplatin.After 2 courses, a single liver metastatic tumor appeared at segment 5.As chemotherapy against the recurrence, weekly-paclitaxel was administered.After 2 courses, the metastatic liver tumor reduced in size.Subsequently, laparoscopic partial liver resection was performed 11 months after first surgery.The pathological finding was negative for malignancy(pathological complete response).

Acid Secretion and Its Relationship to Esophageal Reflux Symptom in Patients with Subtotal Gastrectomy.

PubMed

Oh, Hyun Jin; Choi, Myung-Gyu; Park, Jae Myung; Song, Kyo Young; Yoo, Han Mo

2018-03-01

Esophageal reflux symptom has been reported as common in patients with subtotal gastrectomy. Management of postoperative esophageal reflux symptom is not satisfactory. The aim of this study is to investigate prevalence of esophageal reflux symptom after subtotal gastrectomy and assess factors affecting esophageal reflux symptom in subtotal gastrectomy patients. We prospectively enrolled 100 consecutive patients with subtotal gastrectomy who were regularly followed up by endoscopic examination. Acid secretory capacity was assessed by measuring messenger RNA (mRNA) expression of H + /K + -adenosine triphosphatase (ATPase) via real-time polymerase chain reaction (PCR) in biopsy specimens. In total, 47 % of patients had typical esophageal reflux symptom, where heartburn or regurgitation was experienced at least weekly. Age, sex, body mass index, and type of reconstruction did not differ between esophageal reflux and non-esophageal-reflux groups. The esophageal reflux group had longer duration from time of operation until study (median 5.0 versus 3.6 years; P = 0.017). Hill grade for gastroesophageal (GE) flap valve was higher in the esophageal reflux group than in the non-esophageal-reflux group (P = 0.027). H + /K + -ATPase mRNA expression was higher in the esophageal reflux group than in the non-esophageal-reflux group [3967.6 (± 7583.7) versus 896.2 (± 1456.0); P = 0.006]. Multivariate analysis revealed that postoperative duration, H + /K + -ATPase mRNA expression level, and GE flap valve disruption were significantly associated with esophageal reflux symptom development. Esophageal reflux symptom is common in patients after subtotal gastrectomy, possibly because of anti-reflux-barrier impairment and preservation of acid secretory capacity following surgery. Optimal acid suppression may be helpful in managing postoperative esophageal reflux symptom.

Myocardial multilayer strain does not provide additional value for detection of myocardial viability assessed by SPECT imaging over and beyond standard strain.

PubMed

Orloff, Elisabeth; Fournier, Pauline; Bouisset, Frédéric; Moine, Thomas; Cournot, Maxime; Elbaz, Meyer; Carrié, Didier; Galinier, Michel; Lairez, Olivier; Cognet, Thomas

2018-05-14

The aim of this study was to evaluate the value of multilayer strain analysis to the assessment of myocardial viability (MV) through the comparison of both speckle tracking echocardiography and single-photon emission computed tomography (SPECT) imaging. We also intended to determine which segmental longitudinal strain (LS) cutoff value would be optimal to discriminate viable myocardium. We included 47 patients (average age: 61 ± 11 years) referred to our cardiac imaging center for MV evaluation. All patients underwent transthoracic echocardiography with measures of LS, SPECT, and coronary angiography. In all, 799 segments were analyzed. We correlated myocardial tracer uptake by SPECT with sub-endocardial, sub-epicardial, and mid-segmental LS values with r = .514 P < .0001, r = .501 P < .0001, and r = .520 P < .0001, respectively. The measurements of each layer strain (sub-endocardial, sub-epicardial, and mid) had the same performance to predict MV viability as defined by SPECT with areas under curve of 0.819 [0.778-0.861, P < .0001], 0.809 [0.764-0.854, P < .0001], and 0.817 [0.773-0.860, P < .0001], respectively. The receiver-operating characteristic analysis yielded a cutoff value of -6.5% for mid-segmental LS with a sensitivity of 76% and specificity of 76% to predict segmental MV as defined by SPECT. Multilayer strain analysis does not evaluate MV with more accuracy than standard segmental LS analysis. © 2018 Wiley Periodicals, Inc.

Highly-Damped Spectral Acceleration as a Ground Motion Intensity Measure for Estimating Collapse Vulnerability of Buildings

NASA Astrophysics Data System (ADS)

Buyco, K.; Heaton, T. H.

2016-12-01

Current U.S. seismic code and performance-based design recommendations quantify ground motion intensity using 5%-damped spectral acceleration when estimating the collapse vulnerability of buildings. This intensity measure works well for predicting inter-story drift due to moderate shaking, but other measures have been shown to be better for estimating collapse risk.We propose using highly-damped (>10%) spectral acceleration to assess collapse vulnerability. As damping is increased, the spectral acceleration at a given period T begins to behave like a weighted average of the corresponding lowly-damped (i.e. 5%) spectrum at a range of periods. Weights for periods longer than T increase as damping increases. Using high damping is physically intuitive for two reasons. Firstly, ductile buildings dissipate a large amount of hysteretic energy before collapse and thus behave more like highly-damped systems. Secondly, heavily damaged buildings experience period-lengthening, giving further credence to the weighted-averaging property of highly-damped spectral acceleration.To determine the optimal damping value(s) for this ground motion intensity measure, we conduct incremental dynamic analysis for a suite of ground motions on several different mid-rise steel buildings and select the damping value yielding the lowest dispersion of intensity at the collapse threshold. Spectral acceleration calculated with damping as high as 70% has been shown to be a better indicator of collapse than that with 5% damping.

Assessing the biogeochemical impact of AMOC collapse during Heinrich Stadial 1: New surface and mid-depth records from the South Atlantic

NASA Astrophysics Data System (ADS)

Lund, D. C.; Lacerra, M.; Schmittner, A.; Yu, J.

2017-12-01

Carbon isotope minima were a ubiquitous feature in the mid-depth (1.5-2.5 km) Atlantic during Heinrich Stadial 1 (HS1, 14.5-17.5 kyr BP), with the most likely driver being a collapse of the Atlantic Meridional Overturning Circulation (AMOC) [1, 2]. Model simulations suggest a weaker AMOC increases the residence time of deep water and causes accumulation of isotopically light respired carbon at mid-depths [3]. Subsequent weakening of the biological pump also causes light carbon to accumulate in the surface ocean and atmosphere, potentially accounting for surface ocean δ13C minima and the initial rise in atmospheric CO2. Here, we test the AMOC hypothesis using high resolution planktonic and benthic δ13C records from the Brazil Margin (1.8 km and 2.1 km water depth). We show that N. dutertrei and G. sacculifer δ13C lags benthic δ13C during HS1 by 500 years. Because the planktonic and benthic results are based on analyses of the same samples, the relative timing is constrained by the stratigraphic offset of the δ13C time series. Our results are consistent with the model prediction of an initial collapse of the AMOC causing δ13C minima at mid-depth followed by weakening of the biological pump and equilibration of the surface ocean with a 13C-depleted atmosphere. We also assess ΣCO2 storage in the mid-depth Atlantic during HS1 using benthic foraminiferal B/Ca as a proxy for [CO32-]. Using replicated high resolution B/Ca records, we show that [CO32-] decreased during HS1, synchronous with apparent weakening of the AMOC. The [CO32-] response is smaller than in the tropical North Atlantic [4], indicating there was a north-south gradient in the [CO32-] signal similar to that for δ13C [5]. The implied ΣCO2 signal is consistent with model results [3], suggesting that carbon is temporarily sequestered in the mid-depth Atlantic during millennial-scale stadial events. We estimate that approximately 75% of the mid-depth δ13C signal was driven by accumulation of remineralized carbon, highlighting the non-conservative nature of δ13C during the last deglaciation. 1 McManus, J. et al. (2004) Nature, 428, 834. 2 Oppo, D. et al. (2015) Paleoceanography, 30, 353. 3 Schmittner, A., & Lund, D. (2015) Clim. Past, 11, 135. 4 Yu, J. et al. (2010) Science, 330 (6007), 1084. 5 Lund, D., et al. (2015) Paleoceanography, 30, 477.

The Mechanics of Peak-Ring Impact Crater Formation from the IODP-ICDP Expedition 364

NASA Astrophysics Data System (ADS)

Melosh, H.; Collins, G. S.; Morgan, J. V.; Gulick, S. P. S.

2017-12-01

The Chicxulub impact crater is one of very few peak-ring impact craters on Earth. While small (less than 3 km on Earth) impact craters are typically bowl-shaped, larger craters exhibit central peaks, which in still larger (more than about 100 km on Earth) craters expand into mountainous rings with diameters close to half that of the crater rim. The origin of these peak rings has been contentious: Such craters are far too large to create in laboratory experiments and remote sensing of extraterrestrial examples has not clarified the mechanics of their formation. Two principal models of peak ring formation are currently in vogue, the "nested crater" model, in which the peak ring originates at shallow depths in the target, and the "dynamic collapse" model in which the peak ring is uplifted at the base of a collapsing, over-steepened central peak and its rocks originate at mid-crustal depths. IODP-ICDP Expedition 364 sought to elucidate, among other important goals, the mechanics of peak ring formation in the young (66 Myr), fresh, but completely buried Chicxulub impact crater. The cores from this borehole now show unambiguously that the rocks in the Chicxulub peak ring originated at mid-crustal depths, apparently ruling out the nested crater model. These rocks were shocked to pressures on the order of 10-35 GPa and were so shattered that their densities and seismic velocities now resemble those of sedimentary rocks. The morphology of the final crater, its structure as revealed in previous seismic imaging, and the results from the cores are completely consistent with modern numerical models of impact crater excavation and collapse that incorporate a model for post-impact weakening. Subsequent to the opening of a ca. 100 km diameter and 30 km deep transient crater, this enormous hole in the crust collapsed over a period of about 10 minutes. Collapse was enabled by movement of the underlying rocks, which briefly behaved in the manner of a high-viscosity fluid, a brittle deformation state described by the process of "acoustic" fluidization initiated by strong elastic vibrations accompanying the opening and collapse of the crater. The shattered core, cut by both melt rock and clastic dikes, is consistent with the block model of acoustic fluidization supporting its application to crater collapse both on the Earth and on other planets.

Radiological analysis of cystic lesion in osteonecrosis of the femoral head.

PubMed

Gao, Fuqiang; Han, Jun; He, Zike; Li, Zirong

2018-04-27

Cystic lesions are a common complication in osteonecrosis of the femoral head (ONFH). This study will discuss the cause of cystic lesion formation and the feature of cystic lesion distribution in ONFH. According to the feature of cystic lesion in ONFH, we will discuss the possible mechanisms of cystic lesions and their  influence on collapse of the femoral head. We retrospectively gathered 102 ONFH patients (168 hips) from November in 2015 to August in 2016 on China-Japan Friendship Hospital. Three categories of patients' medical information were collected: demographic characteristics, bone cystic lesion location, and pathological finding on CT and MRI imaging (microfracture, collapse, crescent sign). On mid-coronal and mid-axial CT section, the femoral head was divided into four quadrants for locating the cystic lesion. And we classified the location relationship of cystic lesion and sclerosis rim as G1 type, G2 type, and G3 type on coronal CT section. A significant difference was found between ONFH group with cystic lesion and ONFH group without cystic lesion in terms of microfracture (P < 0.001), collapse (P < 0.001), and crescent sign (P < 0.001). Forty-four cystic lesions (70%) are located in anterior hip area and 19 cystic lesions (30%) are located in posterior hip area. There were 14, 24, and seven cystic lesions (31, 53, 16%) locating in lateral, central, and medial pillars of the femoral head. G2 type was the most common pattern of location relationship between cystic lesion and sclerosis rim. Cystic lesions are often found near sclerosis rim in ONFH. The femoral head with osteonecrosis complicating by cystic lesions is more likely to accompany microfracture, collapse, and crescent sign which indicate structural instability in the femoral head. Cystic lesion in ONFH plays an important role in aggravating the progression of femoral head collapse. The peak stress from sclerosis rim may be a main factor inducing the formation of cystic lesion in ONFH via an OA-like mechanism.

Prospective study of the changes in thyrotropin binding inhibitory immunoglobulins in Graves' disease treated by subtotal thyroidectomy or radioactive iodine

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

Teng, C.S.; Yeung, R.T.T.; Khoo, R.K.K.

1980-06-01

The effects of subtotal thyroidectomy and radioactive iodine on thyroid-stimulating immunoglobulins, as measured by a receptor assay, more appropriately termed TSH binding inhibitory immunoglobulins (TBII), were studied in 74 patients with Graves' disease. Fourty-four patients received radioactive iodine therapy, while 30 were subjected to subtotal thyroidectomy. After radioactive iodine, more patients were TBII-positive (90.5% vs 81.8%) than before treatment, and the mean TBII index decreased dramatically, the maximum decrease being 3 months. The mean TBI index subsequently returned gradually to the pretreatment level. Subtotal thyroidectomy had a different effect on TBII activity. TBII indices were positive in 89.3% of thesemore » patients before any treatment but were positive in only 40% (12 patients) after antithyroid drugs had been given before surgery. After surgery, TBII indices remained positive in 7 patients, while the remaining 5 patients became TBII negative. Seventeen patients (56.7%) were TBII negative before operation and remained so after surgery. One patient who was TBII negative before operation became TBII positive 2 months after operation. Interestingly, postoperative relapse of hyperthyroidism occurred in 3 patients who were TIBII positive, while hypothyroidism occurred in patients who were TBII negative. Thus, the TBII activity after subtotal thyroidectomy might be an important factor in determining the outcome of surgery.« less

Feasibility of Using the Marginal Blood Vessels as Reference Landmarks for CT Colonography

PubMed Central

Wei, Zhuoshi; Yao, Jianhua; Wang, Shijun; Liu, Jiamin; Dwyer, Andrew J.; Pickhardt, Perry J.; Nowinski, Wieslaw L.; Summers, Ronald M.

2015-01-01

OBJECTIVE The purpose of this study was to show the spatial relationship of the colonic marginal blood vessels and the teniae coli on CT colonography (CTC) and the use of the marginal blood vessels for supine-prone registration of polyps and for determination of proper connectivity of collapsed colonic segments. MATERIALS AND METHODS We manually labeled the marginal blood vessels on 15 CTC examinations. Colon segmentation, centerline extraction, teniae detection, and teniae identification were automatically performed. For assessment of their spatial relationships, the distances from the marginal blood vessels to the three teniae coli and to the colon were measured. Student t tests (paired, two-tailed) were performed to evaluate the differences among these distances. To evaluate the reliability of the marginal vessels as reference points for polyp correlation, we analyzed 20 polyps from 20 additional patients who underwent supine and prone CTC. The average difference of the circumferential polyp position on the supine and prone scans was computed. Student t tests (paired, two-tailed) were performed to evaluate the supine-prone differences of the distance. We performed a study on 10 CTC studies from 10 patients with collapsed colonic segments by manually tracing the marginal blood vessels near the collapsed regions to resolve the ambiguity of the colon path. RESULTS The average distances (± SD) from the marginal blood vessels to the tenia mesocolica, tenia omentalis, and tenia libera were 20.1 ± 3.1 mm (95% CI, 18.5–21.6 mm), 39.5 ± 4.8 mm (37.1–42.0 mm), and 36.9 ± 4.2 mm (34.8–39.1 mm), respectively. Pairwise comparison showed that these distances to the tenia libera and tenia omentalis were significantly different from the distance to the tenia mesocolica (p < 0.001). The average distance from the marginal blood vessels to the colon wall was 15.3 ± 2.0 mm (14.2–16.3 mm). For polyp localization, the average difference of the circumferential polyp position on the supine and prone scans was 9.6 ± 9.4 mm (5.5–13.7 mm) (p = 0.15) and expressed as a percentage of the colon circumference was 3.1% ± 2.0% (2.3–4.0%) (p = 0.83). We were able to trace the marginal blood vessels for 10 collapsed colonic segments and determine the paths of the colon in these regions. CONCLUSION The marginal blood vessels run parallel to the colon in proximity to the tenia mesocolica and enable accurate supine-prone registration of polyps and localization of the colon path in areas of collapse. Thus, the marginal blood vessels may be used as reference landmarks complementary to the colon centerline and teniae coli. PMID:24370165

Spreading rate dependence of gravity anomalies along oceanic transform faults.

PubMed

Gregg, Patricia M; Lin, Jian; Behn, Mark D; Montési, Laurent G J

2007-07-12

Mid-ocean ridge morphology and crustal accretion are known to depend on the spreading rate of the ridge. Slow-spreading mid-ocean-ridge segments exhibit significant crustal thinning towards transform and non-transform offsets, which is thought to arise from a three-dimensional process of buoyant mantle upwelling and melt migration focused beneath the centres of ridge segments. In contrast, fast-spreading mid-ocean ridges are characterized by smaller, segment-scale variations in crustal thickness, which reflect more uniform mantle upwelling beneath the ridge axis. Here we present a systematic study of the residual mantle Bouguer gravity anomaly of 19 oceanic transform faults that reveals a strong correlation between gravity signature and spreading rate. Previous studies have shown that slow-slipping transform faults are marked by more positive gravity anomalies than their adjacent ridge segments, but our analysis reveals that intermediate and fast-slipping transform faults exhibit more negative gravity anomalies than their adjacent ridge segments. This finding indicates that there is a mass deficit at intermediate- and fast-slipping transform faults, which could reflect increased rock porosity, serpentinization of mantle peridotite, and/or crustal thickening. The most negative anomalies correspond to topographic highs flanking the transform faults, rather than to transform troughs (where deformation is probably focused and porosity and alteration are expected to be greatest), indicating that crustal thickening could be an important contributor to the negative gravity anomalies observed. This finding in turn suggests that three-dimensional magma accretion may occur near intermediate- and fast-slipping transform faults.

Kaguyak dome field and its Holocene caldera, Alaska Peninsula

USGS Publications Warehouse

Fierstein, J.; Hildreth, W.

2008-01-01

Kaguyak Caldera lies in a remote corner of Katmai National Park, 375??km SW of Anchorage, Alaska. The 2.5-by-3-km caldera collapsed ~ 5.8 ?? 0.2??ka (14C age) during emplacement of a radial apron of poorly pumiceous crystal-rich dacitic pyroclastic flows (61-67% SiO2). Proximal pumice-fall deposits are thin and sparsely preserved, but an oxidized coignimbrite ash is found as far as the Valley of Ten Thousand Smokes, 80??km southwest. Postcaldera events include filling the 150-m-deep caldera lake, emplacement of two intracaldera domes (61.5-64.5% SiO2), and phreatic ejection of lakefloor sediments onto the caldera rim. CO2 and H2S bubble up through the lake, weakly but widely. Geochemical analyses (n = 148), including pre-and post-caldera lavas (53-74% SiO2), define one of the lowest-K arc suites in Alaska. The precaldera edifice was not a stratocone but was, instead, nine contiguous but discrete clusters of lava domes, themselves stacks of rhyolite to basalt exogenous lobes and flows. Four extracaldera clusters are mid-to-late Pleistocene, but the other five are younger than 60??ka, were truncated by the collapse, and now make up the steep inner walls. The climactic ignimbrite was preceded by ~ 200??years by radial emplacement of a 100-m-thick sheet of block-rich glassy lava breccia (62-65.5% SiO2). Filling the notches between the truncated dome clusters, the breccia now makes up three segments of the steep caldera wall, which beheads gullies incised into the breccia deposit prior to caldera formation. They were probably shed by a large lava dome extruding where the lake is today.

Space shuttle solid rocket booster water entry cavity collapse loads

NASA Technical Reports Server (NTRS)

Keefe, R. T.; Rawls, E. A.; Kross, D. A.

1982-01-01

Solid rocket booster cavity collapse flight measurements included external pressures on the motor case and aft skirt, internal motor case pressures, accelerometers located in the forward skirt, mid-body area, and aft skirt, as well as strain gages located on the skin of the motor case. This flight data yielded applied pressure longitudinal and circumferential distributions which compare well with model test predictions. The internal motor case ullage pressure, which is below atmospheric due to the rapid cooling of the hot internal gas, was more severe (lower) than anticipated due to the ullage gas being hotter than predicted. The structural dynamic response characteristics were as expected. Structural ring and wall damage are detailed and are considered to be attributable to the direct application of cavity collapse pressure combined with the structurally destabilizing, low internal motor case pressure.

Magma plumbing system and seismicity of an active mid-ocean ridge volcano.

PubMed

Schmid, Florian; Schlindwein, Vera; Koulakov, Ivan; Plötz, Aline; Scholz, John-Robert

2017-02-20

At mid-ocean ridges volcanism generally decreases with spreading rate but surprisingly massive volcanic centres occur at the slowest spreading ridges. These volcanoes can host unexpectedly strong earthquakes and vigorous, explosive submarine eruptions. Our understanding of the geodynamic processes forming these volcanic centres is still incomplete due to a lack of geophysical data and the difficulty to capture their rare phases of magmatic activity. We present a local earthquake tomographic image of the magma plumbing system beneath the Segment 8 volcano at the ultraslow-spreading Southwest Indian Ridge. The tomography shows a confined domain of partial melt under the volcano. We infer that from there melt is horizontally transported to a neighbouring ridge segment at 35 km distance where microearthquake swarms and intrusion tremor occur that suggest ongoing magmatic activity. Teleseismic earthquakes around the Segment 8 volcano, prior to our study, indicate that the current magmatic spreading episode may already have lasted over a decade and hence its temporal extent greatly exceeds the frequent short-lived spreading episodes at faster opening mid-ocean ridges.

47 CFR 64.2401 - Truth-in-Billing Requirements.

Code of Federal Regulations, 2012 CFR

2012-10-01

... for non-telecommunications services must place those charges in a distinct section of the bill... subtotaled. These separate subtotals for carrier and non-carrier charges also must be clearly and conspicuously displayed along with the bill total on the payment page of a paper bill or equivalent location on...

Large Area Crop Inventory Experiment (LACIE). Phase 3 direct wheat study of North Dakota

NASA Technical Reports Server (NTRS)

Kinsler, M. C.; Nichols, J. D.; Ona, A. L. (Principal Investigator)

1979-01-01

The author has identified the following significant results. The green number and brightness scatter plots, channel plots of radiance values, and visual study of the imagery indicate separability between barley and spring wheat/oats during the wheat mid-heading to mid-ripe stages. In the LACIE Phase 3 North Dakota data set, the separation time is more specifically the wheat soft dough stage. At this time, the barley is ripening, and is therefore, less green and brighter than the wheat. Only 4 of the 18 segments studied indicate separation of barley/other spring small grain, even though 11 of the segments have acquisitions covering the wheat soft dough stage. The remaining seven segments had less than 5 percent barley based on ground truth data.

Aberrant Notch1-dependent effects on glomerular parietal epithelial cells promotes collapsing focal segmental glomerulosclerosis with progressive podocyte loss.

PubMed

Ueno, Toshiharu; Kobayashi, Namiko; Nakayama, Makiko; Takashima, Yasutoshi; Ohse, Takamoto; Pastan, Ira; Pippin, Jeffrey W; Shankland, Stuart J; Uesugi, Noriko; Matsusaka, Taiji; Nagata, Michio

2013-06-01

Collapsing focal segmental glomerulosclerosis (cFSGS) is a progressive kidney disease characterized by glomerular collapse with epithelial hyperplasia. Here we used a transgenic mouse model of cFSGS with immunotoxin-induced podocyte-specific injury to determine the role for Notch signaling in its pathogenesis. The mice exhibited progressive loss of podocytes and severe proteinuria concomitant with histological features of cFSGS. Hyperplastic epithelium was negative for genetic podocyte tags, but positive for the parietal epithelial cell marker claudin-1, and expressed Notch1, Jagged1, and Hes1 mRNA and protein. Enhanced Notch mRNA expression induced by transforming growth factor-β1 in cultured parietal epithelial cells was associated with mesenchymal markers (α-smooth muscle actin, vimentin, and Snail1). Notch inhibition in vitro suppressed these phenotypic transcripts and Notch-dependent cell migration. Moreover, Notch inhibition in vivo significantly decreased parietal epithelial cell lesions but worsened proteinuria and histopathology in our cFSGS model. Thus, aberrant Notch1-mediated parietal epithelial cell migration with phenotypic changes appears to underlie the pathogenesis of cFSGS. Parietal epithelial cell hyperplasia may also represent an adaptive response to compensate for a disrupted filtration barrier with progressive podocyte loss.

Biomechanical effects of maxillary expansion on a patient with cleft palate: A finite element analysis

PubMed Central

Lee, Haofu; Nguyen, Alan; Hong, Christine; Hoang, Paul; Pham, John; Ting, Kang

2017-01-01

Introduction The aims of this study were to evaluate the effects of rapid palatal expansion on the craniofacial skeleton of a patient with unilateral cleft lip and palate (UCLP) and to predict the points of force application for optimal expansion using a 3-dimensional finite element model. Methods A 3-dimensional finite element model of the craniofacial complex with UCLP was generated from spiral computed tomographic scans with imaging software (Mimics, version 13.1; Materialise, Leuven, Belgium). This model was imported into the finite element solver (version 12.0; ANSYS, Canonsburg, Pa) to evaluate transverse expansion forces from rapid palatal expansion. Finite element analysis was performed with transverse expansion to achieve 5 mm of anterolateral expansion of the collapsed minor segment to simulate correction of the anterior crossbite in a patient with UCLP. Results High-stress concentrations were observed at the body of the sphenoid, medial to the orbit, and at the inferior area of the zygomatic process of the maxilla. The craniofacial stress distribution was asymmetric, with higher stress levels on the cleft side. When forces were applied more anteriorly on the collapsed minor segment and more posteriorly on the major segment, there was greater expansion of the anterior region of the minor segment with minimal expansion of the major segment. Conclusions The transverse expansion forces from rapid palatal expansion are distributed to the 3 maxillary buttresses. Finite element analysis is an appropriate tool to study and predict the points of force application for better controlled expansion in patients with UCLP. PMID:27476365

Biomechanical effects of maxillary expansion on a patient with cleft palate: A finite element analysis.

PubMed

Lee, Haofu; Nguyen, Alan; Hong, Christine; Hoang, Paul; Pham, John; Ting, Kang

2016-08-01

The aims of this study were to evaluate the effects of rapid palatal expansion on the craniofacial skeleton of a patient with unilateral cleft lip and palate (UCLP) and to predict the points of force application for optimal expansion using a 3-dimensional finite element model. A 3-dimensional finite element model of the craniofacial complex with UCLP was generated from spiral computed tomographic scans with imaging software (Mimics, version 13.1; Materialise, Leuven, Belgium). This model was imported into the finite element solver (version 12.0; ANSYS, Canonsburg, Pa) to evaluate transverse expansion forces from rapid palatal expansion. Finite element analysis was performed with transverse expansion to achieve 5 mm of anterolateral expansion of the collapsed minor segment to simulate correction of the anterior crossbite in a patient with UCLP. High-stress concentrations were observed at the body of the sphenoid, medial to the orbit, and at the inferior area of the zygomatic process of the maxilla. The craniofacial stress distribution was asymmetric, with higher stress levels on the cleft side. When forces were applied more anteriorly on the collapsed minor segment and more posteriorly on the major segment, there was greater expansion of the anterior region of the minor segment with minimal expansion of the major segment. The transverse expansion forces from rapid palatal expansion are distributed to the 3 maxillary buttresses. Finite element analysis is an appropriate tool to study and predict the points of force application for better controlled expansion in patients with UCLP. Copyright © 2016 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.

With water still in midflight, the northeast end of the ...

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

With water still in mid-flight, the northeast end of the bridge (left) nears total collapse. View is to southeast from confluence of Trinity and South Fork Trinity Rivers - South Fork Trinity River Bridge, State Highway 299 spanning South Fork Trinity River, Salyer, Trinity County, CA

MeltMigrator: A MATLAB-based software for modeling three-dimensional melt migration and crustal thickness variations at mid-ocean ridges following a rules-based approach

NASA Astrophysics Data System (ADS)

Bai, Hailong; Montési, Laurent G. J.; Behn, Mark D.

2017-01-01

MeltMigrator is a MATLAB®-based melt migration software developed to process three-dimensional mantle temperature and velocity data from user-supplied numerical models of mid-ocean ridges, calculate melt production and melt migration trajectories in the mantle, estimate melt flux along plate boundaries, and predict crustal thickness distribution on the seafloor. MeltMigrator is also capable of calculating compositional evolution depending on the choice of petrologic melting model. Programmed in modules, MeltMigrator is highly customizable and can be expanded to a wide range of applications. We have applied it to complex mid-ocean ridge model settings, including transform faults, oblique segments, ridge migration, asymmetrical spreading, background mantle flow, and ridge-plume interaction. In this technical report, we include an example application to a segmented mid-ocean ridge. MeltMigrator is available as a supplement to this paper, and it is also available from GitHub and the University of Maryland Geodynamics Group website.

Pleural effusion segmentation in thin-slice CT

NASA Astrophysics Data System (ADS)

Donohue, Rory; Shearer, Andrew; Bruzzi, John; Khosa, Huma

2009-02-01

A pleural effusion is excess fluid that collects in the pleural cavity, the fluid-filled space that surrounds the lungs. Surplus amounts of such fluid can impair breathing by limiting the expansion of the lungs during inhalation. Measuring the fluid volume is indicative of the effectiveness of any treatment but, due to the similarity to surround regions, fragments of collapsed lung present and topological changes; accurate quantification of the effusion volume is a difficult imaging problem. A novel code is presented which performs conditional region growth to accurately segment the effusion shape across a dataset. We demonstrate the applicability of our technique in the segmentation of pleural effusion and pulmonary masses.

Motion in the north Iceland volcanic rift zone accommodated by bookshelf faulting

NASA Astrophysics Data System (ADS)

Green, Robert G.; White, Robert S.; Greenfield, Tim

2014-01-01

Along mid-ocean ridges the extending crust is segmented on length scales of 10-1,000km. Where rift segments are offset from one another, motion between segments is accommodated by transform faults that are oriented orthogonally to the main rift axis. Where segments overlap, non-transform offsets with a variety of geometries accommodate shear motions. Here we use micro-seismic data to analyse the geometries of faults at two overlapping rift segments exposed on land in north Iceland. Between the rift segments, we identify a series of faults that are aligned sub-parallel to the orientation of the main rift. These faults slip through left-lateral strike-slip motion. Yet, movement between the overlapping rift segments is through right-lateral motion. Together, these motions induce a clockwise rotation of the faults and intervening crustal blocks in a motion that is consistent with a bookshelf-faulting mechanism, named after its resemblance to a tilting row of books on a shelf. The faults probably reactivated existing crustal weaknesses, such as dyke intrusions, that were originally oriented parallel to the main rift and have since rotated about 15° clockwise. Reactivation of pre-existing, rift-parallel weaknesses contrasts with typical mid-ocean ridge transform faults and is an important illustration of a non-transform offset accommodating shear motion between overlapping rift segments.

Thyroid surgery for Graves' disease and Graves' ophthalmopathy.

PubMed

Liu, Zi Wei; Masterson, Liam; Fish, Brian; Jani, Piyush; Chatterjee, Krishna

2015-11-25

Graves' disease is an autoimmune disease caused by the production of auto-antibodies against the thyroid-stimulating hormone receptor, which stimulates follicular cell production of thyroid hormone. It is the commonest cause of hyperthyroidism and may cause considerable morbidity with increased risk of cardiovascular and respiratory adverse events. Five per cent of people with Graves' disease develop moderate to severe Graves' ophthalmopathy. Thyroid surgery for Graves' disease commonly falls into one of three categories: 1) total thyroidectomy, which aims to achieve complete macroscopic removal of thyroid tissue; 2) bilateral subtotal thyroidectomy, in which bilateral thyroid remnants are left; and 3) unilateral total and contralateral subtotal thyroidectomy, or the Dunhill procedure. Recent American Thyroid Association guidelines on treatment of Graves' hyperthyroidism emphasised the role of surgery as one of the first-line treatments. Total thyroidectomy removes target tissue for the thyroid-stimulating hormone receptor antibody. It controls hyperthyroidism at the cost of lifelong thyroxine replacement. Subtotal thyroidectomy leaves a thyroid remnant and may be less likely to lead to complications, however a higher rate of recurrent hyperthyroidism is expected and revision surgery would be challenging. The choice of the thyroidectomy technique is currently largely a matter of surgeon preference, and a systematic review of the evidence base is required to determine which option offers the best outcomes for patients. To assess the optimal surgical technique for Graves' disease and Graves' ophthalmopathy. We searched the Cochrane Library, MEDLINE and PubMed, EMBASE, ClinicalTrials.gov, and the World Health Organization (WHO) International Clinical Trials Registry Platform (ICTRP). The date of the last search was June 2015 for all databases. We did not apply any language restrictions. Only randomised controlled trials (RCTs) involving participants with a diagnosis of Graves' disease based on clinical features and biochemical findings of hyperthyroidism were eligible for inclusion. Trials had to directly compare at least two surgical techniques of thyroidectomy. There was no age limit to study inclusion. Two review authors independently extracted and cross-checked the data for analysis, evaluation of risk of bias and establishment of 'Summary of findings' tables using the GRADE instrument. The senior review authors reviewed the data and reconciled disagreements. We included five RCTs with a total of 886 participants; 172 were randomised to total thyroidectomy, 383 were randomised to bilateral subtotal thyroidectomy, 309 were randomised to the Dunhill procedure and 22 were randomised to either bilateral subtotal thyroidectomy or the Dunhill procedure. Follow-up ranged between six months and six years. One trial had three comparison arms. All five trials were conducted in university hospitals or tertiary referral centres for thyroid disease. All thyroidectomies were performed by experienced surgeons. The overall quality of the evidence ranged from low to moderate. In all trials, blinding procedures were insufficiently described. Outcome assessment for objective outcomes was blinded in one trial. Surgeons were not blinded in any of the trials. One trial blinded participants. Attrition bias was a substantial problem in one trial, with 35% losses to follow-up. In one trial the analysis was not carried out on an intention-to-treat basis.Total thyroidectomy was more effective than subtotal thyroidectomy techniques (both bilateral subtotal thyroidectomy and the Dunhill procedure) at preventing recurrent hyperthyroidism in 0/150 versus 11/200 participants (OR 0.14 (95% CI 0.04 to 0.46); P = 0.001; 2 trials; moderate quality evidence). Total thyroidectomy was also more effective than bilateral subtotal thyroidectomy at preventing recurrent hyperthyroidism in 0/150 versus 10/150 participants (odds ratio (OR) 0.13 (95% confidence interval (CI) 0.04 to 0.44); P = 0.001; 2 trials; moderate quality evidence). Compared to bilateral subtotal thyroidectomy, the Dunhill procedure was more likely to prevent recurrent hyperthyroidism in 20/283 versus 8/309 participants (OR 2.73 (95% CI 1.28 to 5.85); P = 0.01; 3 trials; low quality evidence). Total thyroidectomy compared with subtotal thyroidectomy conferred a greater risk of permanent hypocalcaemia/hypoparathyroidism in 8/172 versus 3/221 participants (OR 4.79 (95% CI 1.36 to 16.83); P = 0.01; 3 trials; low quality evidence). Effects of the various surgical techniques on permanent recurrent laryngeal nerve palsy and regression of Graves' ophthalmopathy were neutral. One death was reported in one study in year three of follow-up. No study investigated health-related quality of life or socioeconomic effects. Total thyroidectomy is more effective than subtotal thyroidectomy (both bilateral subtotal thyroidectomy and the Dunhill procedure) at preventing recurrent hyperthyroidism in Graves' disease. The type of surgery performed does not affect regression of Graves' ophthalmopathy. There was some evidence that total thyroidectomy compared with subtotal thyroidectomy conferred a greater risk of permanent hypocalcaemia/hypoparathyroidism, which however, was not seen in comparison with bilateral subtotal thyroidectomy. Permanent recurrent laryngeal nerve palsy did not seem to be affected by type of thyroidectomy. Health-related quality of life as a patient-important outcome measure should form a core determinant of any future trial on the effects of thyroid surgery for Graves' disease.

A Technique to Allow Prone Positioning in the Spine Surgery Patient With Unstable Spine Fracture and Flail Segment Rib Fractures.

PubMed

Pennington, Matthew W; Roche, Anthony M; Bransford, Richard J; Zhang, Fangyi; Dagal, Armagan

2016-07-01

Two patients with unstable thoracic spine and flail segment rib fractures initially failed prone positioning on a Jackson spinal table used for posterior spinal instrumentation and fusion surgery. Both patients experienced rapid hemodynamic collapse. We developed a solution using the anterior portions of a thoracolumbosacral orthosis brace as chest supports to use during prone positioning, allowing both patients to undergo uncomplicated posterior spinal instrumentation and fusion surgeries with greater hemodynamic stability.

Occult central venous stenosis leading to airway obstruction after subtotal parathyroidectomy.

PubMed

Meiklejohn, Duncan A; Chan, Dylan K; Lalakea, M Lauren

2016-07-01

Subtotal parathyroidectomy may be indicated in patients with chronic renal failure and tertiary hyperparathyroidism, a population at increased risk for central venous stenosis (CVS) due to repeated vascular access. Here we report a case of complete upper airway obstruction precipitated by subtotal parathyroidectomy with ligation of anterior jugular vein collaterals in a patient with occult CVS. This case demonstrates a previously unreported risk of anterior neck surgery in patients with chronic renal failure. We present a review of the literature and discuss elements of the history and physical examination suggestive of occult CVS, with additional workup proposed for appropriate cases. Recommendations are discussed for perioperative and postoperative care in patients at increased risk for CVS.

Melt distribution along the axis of ultraslow spreading mid-ocean ridges

NASA Astrophysics Data System (ADS)

Schlindwein, V. S. N.; Schmid, F.; Meier, M.

2017-12-01

Ultraslow spreading mid-ocean ridges (<15 mm/y full spreading rate) differ from faster spreading ridges by their uneven melt distribution. Crustal thickness varies along axis from zero to more than 8 km at volcanic centers. These volcanic centers receive more melt than the regional average and may be sustained for millions of years. The segmentation pattern and active volcanism at ultraslow spreading ridges greatly differs from faster spreading ridges. Using networks of ocean bottom seismometers at three differing ridge segments, we could show that the maximum depth of brittle faulting, equivalent approximately to temperatures of 600-700°C, varies drastically along axis. Ridge sections that lack an igneous crust exhibit a thick lithosphere as evidenced by the deepest mid-ocean ridge earthquakes observed so far at more than 30 km depth. Beneath areas of basalt exposure, in particular beneath pronounced volcanic centers, the axial lithosphere may be more than 15 km thinner allowing for melt flow at the base of the lithosphere towards the volcanoes, a process that has been postulated to explain the uneven along-axis melt distribution. Spreading events at ultraslow spreading ridges are unusual as we found from two spreading episodes at 85°E Gakkel Ridge and Segment 8 volcano on the Southwest Indian Ridge. These eruptions were preceded or accompanied by large (M>5) and long-lasting earthquake swarms and active magmatism lasted over 3-16 years. A massive hydrothermal event plume and sounds from deep submarine explosive volcanism were observed at Gakkel Ridge. At the Segment 8 volcano, we imaged a melt reservoir extending to about 8 km depth below the volcano that potentially fed a sill intrusion recorded by an ocean bottom seismometers about 30 km away at a neighboring subordinate volcanic center. To better understand the segmentation and melt transport at ultraslow spreading rigdes, we recently conducted a segment-scale seismicity survey of Knipovich Ridge in the Norwegian-Greenland Sea. Here we deployed 28 ocean bottom seismometers along 160 km of ridge axis for one year, the currently largest mid-ocean ridge microseismicity experiment.

Laparoscopic treatment of fulminant ulcerative colitis.

PubMed

Bell, R L; Seymour, N E

2002-12-01

The complexity and risks of the surgical treatment of ulcerative colitis are greater in patients with fulminant disease. Subtotal colectomy is frequently offered to such patients to control acute disease and restore immunological and nutritional status prior to a restorative procedure. The role of laparoscopy in this setting is poorly defined. The records of 18 patients with poorly controlled fulminant colitis on aggressive immunosuppressive therapy who underwent laparoscopic subtotal colectomy were reviewed. Postoperative complications occurred in six patients (33%). Postoperative length of stay was 5.0 +/- 0.3 days vs 8.8 +/- 1.8 days (p<0.05) for a group of six patients who had undergone open subtotal colectomy for the same indications. Systemic steroids were withdrawn in all patients, and 17 patients subsequently underwent proctectomy and pelvic pouch construction. The relatively high morbidity rate in these patients is likely related to their compromised status at the time of surgery. Laparoscopic subtotal colectomy in patients with fulminant ulcerative colitis allows for earlier hospital discharge, facilitates subsequent pelvic pouch, construction, and provides an excellent alternative to conventional two- and three-stage surgical treatment.

Sagittal Plane Correction Using the Lateral Transpsoas Approach: A Biomechanical Study on the Effect of Cage Angle and Surgical Technique on Segmental Lordosis.

PubMed

Melikian, Rojeh; Yoon, Sangwook Tim; Kim, Jin Young; Park, Kun Young; Yoon, Caroline; Hutton, William

2016-09-01

Cadaveric biomechanical study. To determine the degree of segmental correction that can be achieved through lateral transpsoas approach by varying cage angle and adding anterior longitudinal ligament (ALL) release and posterior element resection. Lordotic cage insertion through the lateral transpsoas approach is being used increasingly for restoration of sagittal alignment. However, the degree of correction achieved by varying cage angle and ALL release and posterior element resection is not well defined. Thirteen lumbar motion segments between L1 and L5 were dissected into single motion segments. Segmental angles and disk heights were measured under both 50 N and 500 N compressive loads under the following conditions: intact specimen, discectomy (collapsed disk simulation), insertion of parallel cage, 10° cage, 30° cage with ALL release, 30° cage with ALL release and spinous process (SP) resection, 30° cage with ALL release, SP resection, facetectomy, and compression with pedicle screws. Segmental lordosis was not increased by either parallel or 10° cages as compared with intact disks, and contributed small amounts of lordosis when compared with the collapsed disk condition. Placement of 30° cages with ALL release increased segmental lordosis by 10.5°. Adding SP resection increased lordosis to 12.4°. Facetectomy and compression with pedicle screws further increased lordosis to approximately 26°. No interventions resulted in a decrease in either anterior or posterior disk height. Insertion of a parallel or 10° cage has little effect on lordosis. A 30° cage insertion with ALL release resulted in a modest increase in lordosis (10.5°). The addition of SP resection and facetectomy was needed to obtain a larger amount of correction (26°). None of the cages, including the 30° lordotic cage, caused a decrease in posterior disk height suggesting hyperlordotic cages do not cause foraminal stenosis. N/A.

Shock waves from non-spherically collapsing cavitation bubbles

NASA Astrophysics Data System (ADS)

Supponen, Outi; Obreschkow, Danail; Farhat, Mohamed

2017-11-01

Combining simultaneous high-speed imaging and hydrophone measurements, we uncover details of the multiple shock wave emission from laser-induced cavitation bubbles collapsing in a non-spherical way. For strongly deformed bubbles collapsing near a free surface, we identify the distinct shock waves caused by the jet impact onto the opposite bubble wall and by the individual collapses of the remaining bubble segments. The energy carried by each of these shocks depends on the level of bubble deformation, quantified by the anisotropy parameter ζ, the dimensionless equivalent of the Kelvin impulse. For jetting bubbles, at ζ < 0.01 , the jet impact hammer pressure is found to be the most energetic shock. Through statistical analysis of the experimental data and theoretical derivations, and by comparing bubbles deformed by different sources (variable gravity achieved on parabolic flights, and neighboring free and rigid surfaces), we find that the shock peak pressure may be approximated as the jet impact-induced water hammer as ph = 0.45 (ρc2 Δp) 1 / 2ζ-1 .

Controls on melting at spreading ridges from correlated abyssal peridotite - mid-ocean ridge basalt compositions

NASA Astrophysics Data System (ADS)

Regelous, Marcel; Weinzierl, Christoph G.; Haase, Karsten M.

2016-09-01

Variations in the volume and major element composition of basalt erupted along the global mid-ocean ridge system have been attributed to differences in mantle potential temperature, mantle composition, or plate spreading rate and lithosphere thickness. Abyssal peridotites, the residues of mantle melting beneath mid-ocean ridges, provide additional information on the melting process, which could be used to test these hypotheses. We compiled a global database of abyssal peridotite compositions averaged over the same ridge segments defined by Gale et al. (2013). In addition, we calculated the distance of each ridge segment to the nearest hotspots. We show that Cr# in spinel in abyssal peridotites is negatively correlated with Na90 in basalts from the same ridge segments on a global scale. Ridge segments that erupt basalts apparently produced by larger degrees of mantle melting are thus underlain by peridotites from which large amounts of melt have been extracted. We find that near-ridge hotspots have a more widespread influence on mid-ocean ridge basalt (MORB) composition and ridge depth than previously thought. However, when these hotspot-influenced ridge segments are excluded, the remaining segments show clear relationships between MORB composition, peridotite composition, and ridge depth with spreading rate. Very slow-spreading ridges (<20 mm/yr) are deeper, erupt basalts with higher Na90, Al90, K90/Ti90, and lower Fe90, Ca90/Al90, and expose peridotites with lower Cr# than intermediate and fast-spreading ridges. We show that away from hotspots, the spreading-rate dependence of the maximum degree of mantle melting inferred from Cr# in peridotites (FM) and the bulk degree of melting inferred from Na90 in basalts (FB) from the same ridge segments is unlikely to be due to variations in mantle composition. Nor can the effects of dynamic mantle upwelling or incomplete melt extraction at low spreading rates satisfactorily explain the observed compositions of abyssal peridotites and MORB from very slow-spreading ridges. Instead, the distinctive compositions of abyssal peridotites and MORB from very slow-spreading ridges could result from the presence of a thick lithospheric lid, leading to a lower average degree of melting, and a higher contribution to melting from more fertile mantle lithologies. Alternatively, spreading rate influences the thermal structure of the upper mantle such that the mantle beneath very slow-spreading ridges is cooler.

Autosomal-dominant non-autoimmune hyperthyroidism presenting with neuromuscular symptoms.

PubMed

Elgadi, Aziz; Arvidsson, C-G; Janson, Annika; Marcus, Claude; Costagliola, Sabine; Norgren, Svante

2005-08-01

Neuromuscular presentations are common in thyroid disease, although the mechanism is unclear. In the present study, we investigated the pathogenesis in a boy with autosomal-dominant hyperthyroidism presenting with neuromuscular symptoms. The TSHr gene was investigated by direct sequencing. Functional properties of the mutant TSHr were investigated during transient expression in COS-7 cells. Family members were investigated by clinical and biochemical examinations. Sequence analysis revealed a previously reported heterozygous missense mutation Glycine 431 for Serine in the first transmembrane segment, leading to an increased specific constitutive activity. Three additional affected family members carried the same mutation. There was no indication of autoimmune disorder. All symptoms disappeared upon treatment with thacapzol and L-thyroxine and subsequent subtotal thyroidectomy. The data imply that neuromuscular symptoms can be caused by excessive thyroid hormone levels rather than by autoimmunity.

Laparoscopic cholecystectomy in cirrhotic patients: the role of subtotal cholecystectomy and its variants.

PubMed

Palanivelu, Chinnasamy; Rajan, Pidigu Seshiyer; Jani, Kalpesh; Shetty, Alangar Roshan; Sendhilkumar, Karuppasamy; Senthilnathan, Palanisamy; Parthasarthi, Ramakrishnan

2006-08-01

Open cholecystectomy is associated with considerable morbidity and mortality in cirrhotic patients. Laparoscopic cholecystectomy may offer a better option because of the magnification available and the availability of newer instruments like the ultrasonic shears. We present our experience of 265 laparoscopic cholecystectomies and attempt to identify the difficulties encountered in this group of patients. Between 1991 and 2005, 265 cirrhotic patients of Child-Pugh Classification A and B, with symptomatic gallstones, were subjected to laparoscopic cholecystectomy. We describe here our tailored approach and our techniques of subtotal cholecystectomy. Features of acute cholecystitis were present in 35.1% of the patients, and 64.9% presented with chronic cholecystitis. In 81.5% of the patients, the diagnosis of cirrhosis was established preoperatively. In 8.3% of the patients, a fundus first method was adopted when the hilum could not be approached despite additional ports. Modified subtotal cholecystectomy was performed in a total of 206 patients. Mean operative time in the subtotal cholecystectomy group was 72 minutes; in the standard group, it was 41 minutes. There was no mortality. In 15% of patients, postoperative deterioration in liver function occurred. Worsening of ascites, port site infection, port site bleeding, intraoperative hemorrhage, bilious drainage, and stone formation in the remnant were the other complications encountered. Laparoscopic cholecystectomy is a safe and effective treatment for calculous cholecystitis in cirrhotic patients. Appropriate modification of subtotal cholecystectomy should be practiced, depending on the risk factors present, to avoid complications.

[Duodenum-preserving total pancreatic head resection and pancreatic head resection with segmental duodenostomy].

PubMed

Takada, Tadahiro; Yasuda, Hideki; Nagashima, Ikuo; Amano, Hodaka; Yoshiada, Masahiro; Toyota, Naoyuki

2003-06-01

A duodenum-preserving pancreatic head resection (DPPHR) was first reported by Beger et al. in 1980. However, its application has been limited to chronic pancreatitis because of it is a subtotal pancreatic head resection. In 1990, we reported duodenum-preserving total pancreatic head resection (DPTPHR) in 26 cases. This opened the way for total pancreatic head resection, expanding the application of this approach to tumorigenic morbidities such as intraductal papillary mucinous tumor (IMPT), other benign tumors, and small pancreatic cancers. On the other hand, Nakao et al. reported pancreatic head resection with segmental duodenectomy (PHRSD) as an alternative pylorus-preserving pancreatoduodenectomy technique in 24 cases. Hirata et al. also reported this technique as a new pylorus-preserving pancreatoduodenostomy with increased vessel preservation. When performing DPTPHR, the surgeon should ensure adequate duodenal blood supply. Avoidance of duodenal ischemia is very important in this operation, and thus it is necessary to maintain blood flow in the posterior pancreatoduodenal artery and to preserve the mesoduodenal vessels. Postoperative pancreatic functional tests reveal that DPTPHR is superior to PPPD, including PHSRD, because the entire duodenum and duodenal integrity is very important for postoperative pancreatic function.

Late effect of subtotal thyroidectomy and radioactive iodine therapy on calcitonin secretion and bone mineral density in women treated for Graves' disease

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

Lowery, W.D.; Thomas, C.G. Jr.; Awbrey, B.J.

1986-12-01

This study was designed to evaluate the effect of subtotal thyroidectomy and/or radioactive iodine therapy on plasma immunocalcitonin (iCT) levels and bone densities in patients treated for Graves' disease. Forty-eight women whose ages ranged from 29 to 79 years (mean, 55 years) were evaluated. All were at least 10 years beyond treatment. Fourteen patients had undergone subtotal thyroidectomy, 22 had received radioactive iodine therapy, and 12 had received both. Serum calcitonin levels were measured with the patient fasting and at 30 minutes and 2 hours after the ingestion of 15 mg of calcium in orange juice. Single photon absorptiometry wasmore » used to measure bone mineral density of the middle and distal radius. The mean fasting plasma levels of iCT for patients undergoing subtotal thyroidectomy was 27 +/- 2 mumol/L; women treated with radioactive iodine, 26 +/- 2; women undergoing subtotal thyroidectomy followed by radioactive iodine, 24 +/- 2, and for normal control women, 48.5 +/- 4.7. The mean stimulated iCT level of each of the patient groups was significantly lower than that of the normal controls (p = 0.01). There were no significant differences among the groups. Although there was an increased loss of bone mineral density in postmenopausal patients, with age and race as covariates, the bone densities of the distal radius in women undergoing subtotal thyroidectomy and/or receiving radioactive iodine were not significantly lower than those of normal control subjects (p greater than 0.05). These findings are consistent with other observations that patients treated by thyroidectomy and/or radioactive iodine for Graves' disease have lower basal levels of calcitonin and decreased calcitonin response to a provocative stimulus. Whether this loss of calcitonin reserve is a significant factor in development of postmenopausal osteoporosis remains unanswered.« less

Morphology and tectonics of the Mid-Atlantic Ridge, 7°-12°S

NASA Astrophysics Data System (ADS)

Bruguier, N. J.; Minshull, T. A.; Brozena, J. M.

2003-02-01

We present swath bathymetric, gravity, and magnetic data from the Mid-Atlantic Ridge between the Ascension and the Bode Verde fracture zones, where significant ridge-hot spot interaction has been inferred. The ridge axis in this region may be divided into four segments. The central two segments exhibit rifted axial highs, while the northernmost and southernmost segments have deep rift valleys typical of slow-spreading mid-ocean ridges. Bathymetric and magnetic data indicate that both central segments have experienced ridge jumps since ˜1 Ma. Mantle Bouguer anomalies (MBAs) derived from shipboard free air gravity and swath bathymetric data show deep subcircular lows centered on the new ridge axes, suggesting that mantle flow has been established beneath the new spreading centers for at least ˜1 Myr. Inversion of gravity data indicates that crustal thicknesses vary by ˜4 km along axis, with the thickest crust occurring beneath a large axial volcanic edifice. Once the effects of lithospheric aging have been removed, a model in which gravity variations are attributed entirely to crustal thickness variations is more consistent with data from an axis-parallel seismic line than a model that includes additional along-axis variations in mantle temperature. Both geophysical and geochemical data from the region may be explained by the melting of small (<200 km) mantle chemical heterogeneities rather than elevated temperatures. Therefore, there may be no Ascension/Circe plume.

Filamentation in Air with Ultrashort Mid-Infrared Pulses

DTIC Science & Technology

2011-05-09

remote sensing [11, 12], lightning guiding [13–15], supercontinuum generation ( SCG ) [16], pulse compression [17], and THz generation [18]. Although...shock) and push the pulse toward positive times [23, 24, 46, 54, 55] [see Fig. 3(a) at ζ = 0.6]. Subsequently, the pulse collapses at ζ = 0.9, and SCG

Intra-abdominal fat: Comparison of computed tomography fat segmentation and bioimpedance spectroscopy.

PubMed

Finch, Peter

2017-06-01

Intra-abdominal fat is an important factor in determining the metabolic syndrome/insulin resistance, and thus the risk of diabetes and ischaemic heart disease. Computed Tomography (CT) fat segmentation represents a defined method of quantifying intra-abdominal fat, with attendant radiation risks. Bioimpedance spectroscopy may offer a method of assessment without any risks to the patients. A comparison is made of these two methods. This was a preliminary study of the utility of multifrequency bioimpedance spectroscopy of the mid abdomen as a measure of intra-abdominal fat, by comparison with fat segmentation of an abdominal CT scan in the -30 to -190 HU range. There was a significant (P < 0.01) correlation between intra-abdominal fat and mid-upper arm circumference, as well as the bioimpedance parameter, the R/S ratio. Multivariate analysis showed that these were the only independant variables and allowed the derivation of a formula to estimate intra-abdominal fat: IAF = 0.02 × MAC - 0.757 × R/S + 0.036. Circumabdominal bioimpedance spectroscopy may prove a useful method of assessing intra-abdominal fat, and may be suitable for use in studies to enhance other measures of body composition, such as mid-upper arm circumference.

Gravitational collapse of conventional polytropic cylinder

NASA Astrophysics Data System (ADS)

Lou, Yu-Qing; Hu, Xu-Yao

2017-07-01

In reference to general polytropic and conventional polytropic hydrodynamic cylinders of infinite length with axial uniformity and axisymmetry under self-gravity, the dynamic evolution of central collapsing mass string in free-fall dynamic accretion phase is re-examined in details. We compare the central mass accretion rate and the envelope mass infall rate at small radii. Among others, we correct mistakes and typos of Kawachi & Hanawa (KH hereafter) and in particular prove that their key asymptotic free-fall solution involving polytropic index γ in the two power exponents is erroneous by analytical analyses and numerical tests. The correct free-fall asymptotic solutions at sufficiently small \\hat{r} (the dimensionless independent self-similar variable) scale as {˜ } -|ln \\hat{r}|^{1/2} in contrast to KH's ˜ -|ln \\hat{r}|^{(2-γ )/2} for the reduced bulk radial flow velocity and as {˜ } \\hat{r}^{-1}|ln \\hat{r}|^{-1/2} in contrast to KH's {˜ } \\hat{r}^{-1} |ln \\hat{r}|^{-(2-γ )/2} for the reduced mass density. We offer consistent scenarios for numerical simulation code testing and theoretical study on dynamic filamentary structure formation and evolution as well as pertinent stability properties. Due to unavoidable Jeans instabilities along the cylinder, such collapsing massive filaments or strings can further break up into clumps and segments of various lengths as well as clumps embedded within segments and evolve into chains of gravitationally collapsed objects (such as gaseous planets, brown dwarfs, protostars, white dwarfs, neutron stars, black holes in a wide mass range, globular clusters, dwarf spheroidals, galaxies, galaxy clusters and even larger mass reservoirs etc.) in various astrophysical and cosmological contexts as articulated by Lou & Hu recently. As an example, we present a model scheme for comparing with observations of molecular filaments for forming protostars, brown dwarfs and gaseous planets and so forth.

Radiation hepatology of the rat: The effects of the proliferation stimulus induced by subtotal hepatectomy

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

Geraci, J.P.; Mariano, M.S.

1994-11-01

The effect of an 80 to 90% hepatectomy in stimulating proliferation immediately after irradiation of the liver was studied. A dose of 15 Gy was not lethal for animals with intact livers, but all animals with subtotal hepatectomies exposed to this dose died from apparent liver failure 28 to 60 days after exposure. To elucidate the mechanism for this mortality, plasma aspartate aminotransferase, retention of intravenous injected rose bengal, liver weight and liver hydroxyproline content were measured 0 to 90 days after 15 Gy irradiation of the liver to determine temporal changes in necrosis, function, mass and fibrosis, respectively, inmore » animals with either intact livers or livers with subtotal resection. Irradiation of the liver had no significant effect on these parameters in animals with intact livers. In subtotally hepatectomized animals the same radiation dose that suppressed liver mass restoration significantly increased hepatocyte necrosis within 7 days, which was followed by increased liver hydroxyproline concentration and hepatic dysfunction. This radiation-induced temporal change in hepatic dysfunction correlated with increased concentration of hydroxyproline but not with liver mass, indicating that liver fibrosis was the cause of hepatic dysfunction. Since similar sequelae are produced in intact livers after higher doses and longer intervals after irradiation, the proliferation stimulus induced by partial hepatectomy must accelerate the expression of damage and lower the radiation tolerance of the liver. However, in subtotally hepatectomized animals radiation-induced hepatocyte necrosis precedes fibrosis, whereas the reverse is normally true for animals with intact livers. 35 refs., 5 figs.« less

Three cases of successful microvascular ear replantation after bite avulsion injury.

PubMed

Schonauer, Fabrizio; Blair, James W; Moloney, Dominique M; Teo, T C; Pickford, Mark A

2004-01-01

We present three cases of sub-total amputation of the external ear caused by bite avulsion injury. The ears were all successfully replanted despite us being unable to perform a venous anastomosis in one case. These outcomes support attempted microsurgical replantation for total or sub-total amputations of the ear, as successful replantation is the most effective surgical option.

Subtotal Ablation of Parietal Epithelial Cells Induces Crescent Formation

PubMed Central

Sicking, Eva-Maria; Fuss, Astrid; Uhlig, Sandra; Jirak, Peggy; Dijkman, Henry; Wetzels, Jack; Engel, Daniel R.; Urzynicok, Torsten; Heidenreich, Stefan; Kriz, Wilhelm; Kurts, Christian; Ostendorf, Tammo; Floege, Jürgen; Smeets, Bart

2012-01-01

Parietal epithelial cells (PECs) of the renal glomerulus contribute to the formation of both cellular crescents in rapidly progressive GN and sclerotic lesions in FSGS. Subtotal transgenic ablation of podocytes induces FSGS but the effect of specific ablation of PECs is unknown. Here, we established an inducible transgenic mouse to allow subtotal ablation of PECs. Proteinuria developed during doxycycline-induced cellular ablation but fully reversed 26 days after termination of doxycycline administration. The ablation of PECs was focal, with only 30% of glomeruli exhibiting histologic changes; however, the number of PECs was reduced up to 90% within affected glomeruli. Ultrastructural analysis revealed disruption of PEC plasma membranes with cytoplasm shedding into Bowman’s space. Podocytes showed focal foot process effacement, which was the most likely cause for transient proteinuria. After >9 days of cellular ablation, the remaining PECs formed cellular extensions to cover the denuded Bowman’s capsule and expressed the activation marker CD44 de novo. The induced proliferation of PECs persisted throughout the observation period, resulting in the formation of typical cellular crescents with periglomerular infiltrate, albeit without accompanying proteinuria. In summary, subtotal ablation of PECs leads the remaining PECs to react with cellular activation and proliferation, which ultimately forms cellular crescents. PMID:22282596

Reconstruction of acquired sub-total ear defects with autologous costal cartilage.

PubMed

Harris, P A; Ladhani, K; Das-Gupta, R; Gault, D T

1999-06-01

Acquired sub-total ear defects are common and challenging to reconstruct. We report the use of an autologous costal cartilage framework to reconstruct sub-total defects involving all anatomical regions of the ear. Twenty-eight partially damaged ears in 27 patients were reconstructed with this technique. The defects resulted from bites (14), road traffic accidents (five), burns (four), iatrogenic causes (four) and chondritis following minor trauma (one). Computerised image analysis revealed a median of 31% (range 13-72%) ear loss. An autologous costal cartilage framework was fashioned in all cases. If adequate local skin was available, this was draped over the framework, but in nine cases preliminary tissue expansion was used and in a further three cases with significant scarring, the framework was covered with a temporoparietal fascial flap. Clinical assessment after ear reconstruction was undertaken, scoring for symmetry, the helical rim, the antihelical fold, the lobe position and a 'natural look' to produce a four-point scale; 11 were excellent, 12 were good, two were fair and three were poor. Our experience suggests that formal delayed reconstruction with autologous costal cartilage is to be recommended when managing acquired, sub-total ear deformity.

Therapeutic use of fractionated total body and subtotal body irradiation

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

Loeffler, R.K.

1981-05-01

Ninety-one patients were treated using fractionated subtotal body (STBI) or total body irradiation (TBI). These patients had generalized lymphomas, Hodgkin's disease, leukemias, myelomas, seminomas, or oat-cell carcinomas. Subtotal body irradiation is delivered to the entire body, except for the skull and extremities. It was expected that a significantly higher radiation dose could be administered with STBI than with TBI. STBI was given when there was a reasonable likelihood that malignancy did not involve the shielded volumes. A five- to ten-fold increase in tolerance for STBI was demonstrated. Many of these patients have had long-term (up to 17 year--.permanent) remissions. Theremore » is little or no treatment-induced symptomatology, and no sanctuary sites. STBI and TBI are useful therapeutic modalities for many of these malignancies.« less

76 FR 2748 - Competition in the Railroad Industry

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-14

...) (Bottleneck II), aff'd sub nom. MidAmerican Energy Co. v. STB, 169 F.3d 1099 (8th Cir. 1999). The Board also... segment-by-segment basis--can reasonably be applied in today's transportation world. In particular, we... through rates, and whether the reasoning in Great Northern Railway encompasses ``bottleneck'' situations...

Intestinal morphology of the wild Atlantic salmon (Salmo salar).

PubMed

Løkka, Guro; Austbø, Lars; Falk, Knut; Bjerkås, Inge; Koppang, Erling Olaf

2013-08-01

The worldwide-industrialized production of Atlantic salmon (Salmo salar) has increased dramatically during the last decades, followed by diseases related to the on-going domestication process as a growing concern. Even though the gastrointestinal tract seems to be a target for different disorders in farmed fish, a description of the normal intestinal status in healthy, wild salmon is warranted. Here, we provide such information in addition to suggesting a referable anatomical standardization for the intestine. In this study, two groups of wild Atlantic salmon were investigated, consisting of post smolts on feed caught in the sea and of sexually mature, starved individuals sampled from a river. The two groups represent different stages in the anadromous salmon life cycle, which also are part of the production cycle of farmed salmon. Selected regions of gastrointestinal tract were subjected to morphological investigations including immunohistochemical, scanning electron microscopic, and morphometric analyses. A morphology-based nomenclature was established, defining the cardiac part of the stomach and five different regions of the Atlantic salmon intestine, including pyloric caeca, first segment of the mid-intestine with pyloric caeca, first segment of the mid-intestine posterior to pyloric caeca, second segment of the mid-intestine and posterior intestinal segment. In each of the above described regions, for both groups of fish, morphometrical measurements and regional histological investigations were performed with regards to magnitude and direction of mucosal folding as well as the composition of the intestinal wall. Additionally, immunohistochemistry showing cells positive for cytokeratins, α-actin and proliferating cell nuclear antigen, in addition to alkaline phosphatase reactivity in the segments is presented. Copyright © 2013 Wiley Periodicals, Inc., a Wiley Company.

Degree of Vascular Encasement in Sphenoid Wing Meningiomas Predicts Postoperative Ischemic Complications.

PubMed

McCracken, D Jay; Higginbotham, Raymond A; Boulter, Jason H; Liu, Yuan; Wells, John A; Halani, Sameer H; Saindane, Amit M; Oyesiku, Nelson M; Barrow, Daniel L; Olson, Jeffrey J

2017-06-01

Sphenoid wing meningiomas (SWMs) can encase arteries of the circle of Willis, increasing their susceptibility to intraoperative vascular injury and severe ischemic complications. To demonstrate the effect of circumferential vascular encasement in SWM on postoperative ischemia. A retrospective review of 75 patients surgically treated for SWM from 2009 to 2015 was undertaken to determine the degree of circumferential vascular encasement (0°-360°) as assessed by preoperative magnetic resonance imaging (MRI). A novel grading system describing "maximum" and "total" arterial encasement scores was created. Postoperative MRIs were reviewed for total ischemia volume measured on sequential diffusion-weighted images. Of the 75 patients, 89.3% had some degree of vascular involvement with a median maximum encasement score of 3.0 (2.0-3.0) in the internal carotid artery (ICA), M1, M2, and A1 segments; 76% of patients had some degree of ischemia with median infarct volume of 3.75 cm 3 (0.81-9.3 cm 3 ). Univariate analysis determined risk factors associated with larger infarction volume, which were encasement of the supraclinoid ICA ( P < .001), M1 segment ( P < .001), A1 segment ( P = .015), and diabetes ( P = .019). As the maximum encasement score increased from 1 to 5 in each of the significant arterial segments, so did mean and median infarction volume ( P < .001). Risk for devastating ischemic injury >62 cm 3 was found when the ICA, M1, and A1 vessels all had ≥360° involvement ( P = .001). Residual tumor was associated with smaller infarct volumes ( P = .022). As infarction volume increased, so did modified Rankin Score at discharge ( P = .025). Subtotal resection should be considered in SWM with significant vascular encasement of proximal arteries to limit postoperative ischemic complications. Copyright © 2017 by the Congress of Neurological Surgeons

Speech outcomes in Cantonese patients after glossectomy.

PubMed

Wong, Ripley Kit; Poon, Esther Sok-Man; Woo, Cynthia Yuen-Man; Chan, Sabina Ching-Shun; Wong, Elsa Siu-Ping; Chu, Ada Wai-Sze

2007-08-01

We sought to determine the major factors affecting speech production of Cantonese-speaking glossectomized patients. Error pattern was analyzed. Forty-one Cantonese-speaking subjects who had undergone glossectomy > or = 6 months previously were recruited. Speech production evaluation included (1) phonetic error analysis in nonsense syllable; (2) speech intelligibility in sentences evaluated by naive listeners; (3) overall speech intelligibility in conversation evaluated by experienced speech therapists. Patients receiving adjuvant radiotherapy had significantly poorer segmental and connected speech production. Total or subtotal glossectomy also resulted in poor speech outcomes. Patients having free flap reconstruction showed the best speech outcomes. Patients without lymph node metastasis had significantly better speech scores when compared with patients with lymph node metastasis. Initial consonant production had the worst scores, while vowel production was the least affected. Speech outcomes of Cantonese-speaking glossectomized patients depended on the severity of the disease. Initial consonants had the greatest effect on speech intelligibility.

Delayed rupture of gallbladder following blunt abdominal trauma.

PubMed

Mohanty, Debajyoti; Agarwal, Himanshu; Aggarwal, Krittika; Garg, Pankaj Kumar

2014-09-01

A 29-year-old gentleman presented to surgery emergency with severe upper abdominal pain and vomiting. He reported to had been hit in his abdomen by a ball during a cricket match. Computerized tomogram of the abdomen revealed hematoma within the gallbladder lumen, laceration of segment six of liver, and hemoperitoneum. The patient did not agree for laparotomy advised to him, and so, managed conservatively. The patient reported back to us with high grade fever, jaundice, and painful abdominal distension after seven days of discharge from the hospital. His abdominal examination showed features of generalized peritonitis. Surgical abdominal exploration revealed a single perforation in the fundus of gallbladder with frozen calot'striangle. Subtotal cholecystectomy was done. Histopathology of excised gallbladder revealed xanthogranulomatous inflammation. The present case report highlights that early exploration and cholecystectomy should be considered in patients with gallbladder injury to obviate the risk of delayed perforation.

Oral Rehabilitation With Orthognathic Surgery After Dental Implant Placement for Class III Malocclusion With Skeletal Asymmetry and Posterior Bite Collapse.

PubMed

Ohba, Seigo; Nakatani, Yuya; Kawasaki, Takako; Tajima, Nobutaka; Tobita, Takayoshi; Yoshida, Noriaki; Sawase, Takashi; Asahina, Izumi

2015-08-01

Increasing numbers of older patients are seeking orthognathic surgery to treat jaw deformity. However, orthodontic and orthognathic surgical treatment is difficult in cases without occlusal vertical stop. A 55-year-old man presented with Class III malocclusion and mandibular protrusion including esthetic problems and posterior bite collapse. He underwent dental implant treatment to reconstruct an occlusal vertical stop before orthognathic surgery. His occlusal function and esthetic problems improved after surgery, and his skeletal and occlusal stability has been maintained for 6 years. Dental implant placement at appropriate positions could help to determine the position of the proximal segment at orthognathic surgery and could shorten the time required to restore esthetic and occlusal function. This case demonstrates how skeletal and dental stability can be maintained long after surgery in a patient with jaw deformity and posterior bite collapse.

Tomographic imaging of the transition from asthenospheric to lithospheric melt migration processes: 3-D structure of the topmost mantle and crust at the Endeavour Segment, Juan de Fuca Ridge

NASA Astrophysics Data System (ADS)

Arnoux, G. M.; Toomey, D. R.; Hooft, E. E. E.; Wilcock, W. S. D.

2017-12-01

We present tomographic images of the intermediate-spreading Endeavour Segment that constrain the nature of an axial magmatic system as it transitions from asthenospheric- to lithospheric-dominated rheologies. We use seismic energy from 5500 air gun shots refracted through the crust (Pg), reflected off the Moho (PmP), and refracted below the Moho (Pn)—as recorded by 64 OBSs from the Endeavour tomography experiment—to image the isotropic and anisotropic P-wave velocity structure of the topmost mantle and crust, as well as crustal thickness. At crustal depths, results reveal a low-velocity zone (LVZ)—inferred to be the axial magmatic system—that: (i) is continuous along the entire Endeavour Segment at depths of 2-3 km below seafloor and closely follows the axis of spreading, (ii) broadens and becomes more discontinuous at lower crustal depths, and (iii) has its largest amplitude from the mid- to lower-crust at the segment center. The ridge-tracking trend of the mid-crustal LVZ is in contrast to the crustal thickness pattern; in particular, a swath of thin crust is skewed with respect to both the ridge axis and the mid-crustal magmatic system and connects two overlapping spreading centers bounding the segment. The trend of thinner crust, however, is aligned with the mantle LVZ, which constrains the thermal structure and distribution of melt within the topmost mantle. The systematic depth variation of the map-view orientation and structure of the magmatic system indicates a distinct transition from a broad, cross-axis regime in the topmost asthenosphere governed by a regional, north-south trending thermal structure, to a narrow, cross-axis regime in the mid- to upper-crust governed by lithospheric rifting, magma injection, and hydrothermal processes. The lower-crustal magmatic system connects these two regimes. We also postulate that accumulation and differentiation of magma immediately beneath the crust-mantle boundary increases temperatures and suppresses plagioclase crystallization, thereby reducing the depth of lower crustal accretion and resulting in the observed north-south trending swath of thinner crust.

Seismic structure and segmentation of the axial valley of the Mid-Cayman Spreading Center

NASA Astrophysics Data System (ADS)

Van Avendonk, Harm J. A.; Hayman, Nicholas W.; Harding, Jennifer L.; Grevemeyer, Ingo; Peirce, Christine; Dannowski, Anke

2017-06-01

We report the results of a two-dimensional tomographic inversion of marine seismic refraction data from an array of ocean-bottom seismographs (OBSs), which produced an image of the crustal structure along the axial valley of the ultraslow spreading Mid-Cayman Spreading Center (MCSC). The seismic velocity model shows variations in the thickness and properties of the young oceanic crust that are consistent with the existence of two magmatic-tectonic segments along the 110 km long spreading center. Seismic wave speeds are consistent with exhumed mantle at the boundary between these two segments, but changes in the vertical gradient of seismic velocity suggest that volcanic crust occupies most of the axial valley seafloor along the seismic transect. The two spreading segments both have a low-velocity zone (LVZ) several kilometers beneath the seafloor, which may indicate the presence of shallow melt. However, the northern segment also has low seismic velocities (3 km/s) in a thick upper crustal layer (1.5-2.0 km), which we interpret as an extrusive volcanic section with high porosity and permeability. This segment hosts the Beebe vent field, the deepest known high-temperature black smoker hydrothermal vent system. In contrast, the southern spreading segment has seismic velocities as high as 4.0 km/s near the seafloor. We suggest that the porosity and permeability of the volcanic crust in the southern segment are much lower, thus limiting deep seawater penetration and hydrothermal recharge. This may explain why no hydrothermal vent system has been found in the southern half of the MCSC.

X chromosome origin of a supernumerary-like segment in Blatella germanica.

PubMed

Ross, M H

1986-12-01

An extraneous heterochromatic segment was discovered in a strain selected for a large-body trait. Derivation from the X chromosome is indicated by its behavior at metaphase I and association with the X and nucleolus in early prophase I. The segment does not pair with the X. Association with a mid-length bivalent is attributed to fusion of heterochromatin. Centromeric activity of small fragments, independent of, but apparently derived from, the X, is also reported.

Enucleation and limited pancreatic resection provide long-term cure for insulinoma in multiple endocrine neoplasia type 1.

PubMed

Bartsch, Detlef K; Albers, Max; Knoop, Richard; Kann, Peter H; Fendrich, Volker; Waldmann, Jens

2013-01-01

To assess the characteristics and long-term outcome after surgery in patients with multiple endocrine neoplasia type 1 (MEN1)-associated insulinoma. Retrospective analysis of prospectively collected data of MEN1 patients with organic hyperinsulinism at a tertiary referral center. Thirteen (17%) of 74 patients with MEN1 had organic hyperinsulinism. The median age at diagnosis was 27 (range 9-48) years. In 7 patients insulinoma was the first manifestation of the syndrome. All patients had at least one pancreatic neuroendocrine neoplasm (pNEN) upon imaging, including CT, MRI or endoscopic ultrasonography. Seven patients had solitary lesions upon imaging, 4 patients had one dominant tumor with coexisting multiple small pNENs, and 2 patients had multiple lesions without dominance. Eight patients had limited resections (1 segmental resection, 7 enucleations), 4 subtotal distal pancreatectomies, and 1 patient a partial duodenopancreatectomy. There was no postoperative mortality. Six patients experienced complications, including pancreatic fistula in 5 patients. Pathological examination revealed median three (range 1-14) macro-pNENs sized between 6 and 40 mm, and a total of 14 potentially benign insulinomas were detected in the 13 patients. After median follow-up of 156 months, only 1 patient developed recurrent hyperinsulinism after initial enucleation. Twelve patients developed new pNENs in the pancreatic remnant and 4 patients underwent reoperations (3 for metastatic ZES, 1 for recurrent hyperinsulinism). One of 5 patients with an initial extended pancreatic resection developed insulin-dependent diabetes mellitus. Enucleation and limited resection provide long-term cure for MEN1 insulinoma in patients with solitary or dominant tumors. Subtotal distal pancreatectomy should thus be preserved for patients with multiple pNENs without dominance given the risk of exocrine and endocrine pancreas insufficiency in the mostly young patients. © 2013 S. Karger AG, Basel.

Comparing an optical parametric oscillator (OPO) as a viable alternative for mid-infrared tissue ablation with a free electron laser (FEL).

PubMed

Mackanos, Mark A; Simanovskii, Dmitrii M; Contag, Christopher H; Kozub, John A; Jansen, E Duco

2012-11-01

Beneficial medical laser ablation removes material efficiently with minimal collateral damage. A Mark-III free electron laser (FEL), at a wavelength of 6.45 μm has demonstrated minimal damage and high ablation yield in ocular and neural tissues. While this wavelength has shown promise for surgical applications, further advances are limited by the high overhead for FEL use. Alternative mid-infrared sources are needed for further development. We compared the FEL with a 5-μs pulse duration with a Q-switched ZGP-OPO with a 100-ns pulse duration at mid-infrared wavelengths. There were no differences in the ablation threshold of water and mouse dermis with these two sources in spite of the difference in their pulse structures. There was a significant difference in crater depth between the ZGP:OPO and the FEL. At 6.1 μm, the OPO craters are eight times the depth of the FEL craters. The OPO craters at 6.45 and 6.73 μm were six and five times the depth of the FEL craters, respectively. Bright-field (pump-probe) images showed the classic ablation mechanism from formation of a plume through collapse and recoil. The crater formation, ejection, and collapse phases occurred on a faster time-scale with the OPO than with the FEL. This research showed that a ZGP-OPO laser could be a viable alternative to FEL for clinical applications.

RESPIRATORY MODULATION OF LINGUAL MUSCLE ACTIVITY ACROSS SLEEP-WAKE STATES IN RATS

PubMed Central

Stettner, Georg M.; Rukhadze, Irma; Mann, Graziella L.; Lei, Yanlin; Kubin, Leszek

2013-01-01

In obstructive sleep apnea (OSA) patients, inspiratory activation (IA) of lingual muscles protects the upper airway from collapse. We aimed to determine when rats’ lingual muscles exhibit IA. In 5 Sprague-Dawley and 3 Wistar rats, we monitored cortical EEG and lingual, diaphragmatic and nuchal electromyograms (EMGs), and identified segments of records when lingual EMG exhibited IA. Individual segments lasted 2.4–269 s (median: 14.5 s), most (89%) occurred during slow-wave sleep (SWS), and they collectively occupied 0.3–6.1% of the total recording time. IA usually started to increase with a delay after SWS onset and ended with an arousal, or declined prior to rapid eye movement sleep. IA of lingual EMG was not accompanied by increased diaphragmatic activity or respiratory rate changes, but occurred when cortical EEG power was particularly low in a low beta-1 frequency range (12.5–16.4 Hz). A deep SWS-related activation of upper airway muscles may be an endogenous phenomenon designed to protect the upper airway against collapse. PMID:23732510

Lower tracheal and carinal resection associated with subtotal oesophagectomy for carcinoma of oesophagus involving trachea

PubMed Central

Thompson, D. T.

1973-01-01

The problem of the patient with a carcinoma of the oesophagus involving the lower trachea and one or other main stem bronchus is discussed. An operation in which the carina was excised and both main bronchi were re-anastomosed to the trachea in association with a subtotal oesophagectomy is described. The criteria for deciding to undertake such an operation are discussed. Images PMID:4731124

Ultralightweight Space Deployable Primary Reflector Demonstrator

NASA Technical Reports Server (NTRS)

Montgomery, Edward E., IV; Zeiders, Glenn W.; Smith, W. Scott (Technical Monitor)

2002-01-01

A concept has been developed and analyzed and several generational prototypes built for a gossamer-class deployable truss for a mirror or reflector with many smaller precisely-figured solid elements attached will, for at least the next several decades, minimize the mass of a large primary mirror assembly while still providing the high image quality essential for planet-finding and cosmological astronomical missions. Primary mirror segments are mounted in turn on ultralightweight thermally-formed plastic panels that hold clusters of mirror segments in rigid arrays whose tip/tilt and piston would be corrected over the scale of the plastic panels by the control segments. Prototype panels developed under this program are 45 cm wide and fabricated from commercially available Kaplan sheets. A three-strut octahedral tensegrity is the basis for the overall support structure. Each fundamental is composed of two such octahedrons, rotated oppositely about a common triangular face. Adjacent modules are joined at the nodes of the upper and lower triangles to form a deployable structure that could be made arbitrarily large. A seven-module dowel-and-wire prototype has been constructed. Deployment techniques based on the use of collapsing toggled struts with diagonal tensional elements allows an assembly of tensegrities to be fully collapsed and redeployed. The prototype designs will be described and results of a test program for measuring strength and deformation will be presented.

High Tech High School Interns Develop a Mid-Ocean Ridge Database for Research and Education

NASA Astrophysics Data System (ADS)

Staudigel, D.; Delaney, R.; Staudigel, H.; Koppers, A. A.; Miller, S. P.

2004-12-01

Mid-ocean ridges (MOR) represent one of the most important geographical and geological features on planet Earth. MORs are the locations where plates spread apart, they are the locations of the majority of the Earths' volcanoes that harbor some of the most extreme life forms. These concepts attract much research, but mid-ocean ridges are still effectively underrepresented in the Earth science class rooms. As two High Tech High School students, we began an internship at Scripps to develop a database for mid-ocean ridges as a resource for science and education. This Ridge Catalog will be accessible via http://earthref.org/databases/RC/ and applies a similar structure, design and data archival principle as the Seamount Catalog under EarthRef.org. Major research goals of this project include the development of (1) an archival structure for multibeam and sidescan data, standard bathymetric maps (including ODP-DSDP drill site and dredge locations) or any other arbitrary digital objects relating to MORs, and (2) to compile a global data set for some of the most defining characteristics of every ridge segment including ridge segment length, depth and azimuth and half spreading rates. One of the challenges included the need of making MOR data useful to the scientist as well as the teacher in the class room. Since the basic structure follows the design of the Seamount Catalog closely, we could move our attention to the basic data population of the database. We have pulled together multibeam data for the MOR segments from various public archives (SIOExplorer, SIO-GDC, NGDC, Lamont), and pre-processed it for public use. In particular, we have created individual bathymetric maps for each ridge segment, while merging the multibeam data with global satellite bathymetry data from Smith & Sandwell (1997). The global scale of this database will give it the ability to be used for any number of applications, from cruise planning to data

Infill Walls Contribution on the Progressive Collapse Resistance of a Typical Mid-rise RC Framed Building

NASA Astrophysics Data System (ADS)

Besoiu, Teodora; Popa, Anca

2017-10-01

This study investigates the effect of the autoclaved aerated concrete infill walls on the progressive collapse resistance of a typical RC framed structure. The 13-storey building located in Brăila (a zone with high seismic risk in Romania) was designed according to the former Romanian seismic code P13-70 (1970). Two models of the structure are generated in the Extreme Loading® for Structures computer software: a model with infill walls and a model without infill walls. Following GSA (2003) Guidelines, a nonlinear dynamic procedure is used to determine the progressive collapse risk of the building when a first-storey corner column is suddenly removed. It was found that, the structure is not expected to fail under the standard GSA loading: DL+0.25LL. Moreover, if the infill walls are introduced in the model, the maximum vertical displacement of the node above the removed column is reduced by about 48%.

Late Neolithic phytolith and charcoal records of human activities and vegetation change in Shijiahe culture, Tanjialing site, China

PubMed Central

Zhu, Xiao Hong; Li, Bing; Ma, Chun Mei; Zhu, Cheng; Wu, Li; Liu, Hui

2017-01-01

There is significant archaeological evidence marking the collapse of the Shijiahe culture in the middle reaches of the Yangtze River in China during the late Neolithic Period. However, the causes for this cultural collapse remain unclear. Our sedimentary records from a 3.3 m long profile and 76 phytolith and charcoal samples from the Tanjialing archaeological sites provide records of interactions between an ancient culture and vegetation change. During the early Shijiahe culture (c, 4850–4400 cal BP), the climate was warm and humid. Fire was intensively used to clear the vegetation. In the mid-period of the Shijiahe culture (c, 4400–4200 cal BP), the climate became slightly dry-cold and this was accompanied by decreasing water, leading to settlements. From c, 4200 cal BP, severe drought eroded the economic foundation of rice-cultivation. These conditions forced people to abandon the Shijiahe ancient city to find water in other regions, leading to the collapse of the Shijiahe culture. PMID:28542219

Late Neolithic phytolith and charcoal records of human activities and vegetation change in Shijiahe culture, Tanjialing site, China.

PubMed

Zhu, Xiao Hong; Li, Bing; Ma, Chun Mei; Zhu, Cheng; Wu, Li; Liu, Hui

2017-01-01

There is significant archaeological evidence marking the collapse of the Shijiahe culture in the middle reaches of the Yangtze River in China during the late Neolithic Period. However, the causes for this cultural collapse remain unclear. Our sedimentary records from a 3.3 m long profile and 76 phytolith and charcoal samples from the Tanjialing archaeological sites provide records of interactions between an ancient culture and vegetation change. During the early Shijiahe culture (c, 4850-4400 cal BP), the climate was warm and humid. Fire was intensively used to clear the vegetation. In the mid-period of the Shijiahe culture (c, 4400-4200 cal BP), the climate became slightly dry-cold and this was accompanied by decreasing water, leading to settlements. From c, 4200 cal BP, severe drought eroded the economic foundation of rice-cultivation. These conditions forced people to abandon the Shijiahe ancient city to find water in other regions, leading to the collapse of the Shijiahe culture.

World Trends in Corporatization and Privatization. Proceedings of the 1993 Mid-Year Seminar of the Pacific Telecommunications Council (Taipei, Taiwan, June 9-11, 1993).

ERIC Educational Resources Information Center

Pacific Telecommunications Council, Honolulu, HI.

This packet of materials from the Mid-Year Seminar of the Pacific Telecommunications Council begins with lists of attendees and participants and the conference agenda. Papers include the following: (1) "Global Trends-Restructuring, Privatization, Finance, Investment: Worldwide Trends towards Liberalizing the Wireless Segment of…

Installation Restoration Program Records Search for Cannon Air Force Base, New Mexico.

DTIC Science & Technology

1983-08-01

several years. A deteriorating black plastic liner was noted at the edge of the shallow pit. Approximately 4 to 6 inches of soil covered the rest of...subtotal/eximtm subtotal) 56 II. WASTE CARACTERISTICS A. Select the factor score based on the eatimeted quantity, the degree of hazard, and the...anticipated soil properties such as gradation, plasticity , or permea- bility by performing appropriate laboratory tests. In addition, soil samples may be

Should Subtotal Thyroidectomy Be Abandoned in Multinodular Goiter Patients From Endemic Regions Requiring Surgery?

PubMed Central

Yoldas, Tayfun; Makay, Ozer; Icoz, Gokhan; Kose, Timur; Gezer, Gulten; Kismali, Erkan; Tamsel, Sadık; Ozbek, Sureyya; Yılmaz, Mustafa; Akyildiz, Mahir

2015-01-01

The most convenient surgical procedure for benign thyroid diseases is still controversial. The aim of this study is to determine the recurrence rate and risk factors for recurrence after different thyroidectomy procedures in multinodular goiter patients. Patients were separated into two groups according to the detection of a recurrent nodule or not after thyroidectomy. Of the 748 patients, 216 (29%) had recurrence, while 532 had no recurrent nodule. The difference between surgical procedures described as subtotal (ST), near total (NT) and total thyroidectomy (TT) was statistically significant. Transient hypoparathyroidism was significantly higher in NT and TT, when compared to ST patients (P < 0.05). Young age, bilateral multinodular goiter and insufficient surgery are risk factors affecting recurrence for benign nodular thyroid disease. Currently, subtotal procedures should be discontinued and total or near total procedures should be preferred. Meanwhile, the probability of a higher risk of hypoparathyroidism should be kept in mind. PMID:25594634

Laparoscopic subtotal colectomy with transrectal extraction of the colon and ileorectal anastomosis.

PubMed

Awad, Ziad T

2012-03-01

Despite the growing acceptance of laparoscopic colon surgery, an abdominal incision is needed to remove the specimen and perform an anastomosis. Five trocars (one 12 mm and four 5 mm) were used. The video describes the technique of performing laparoscopic subtotal colectomy, laparoscopic cholecystectomy, transrectal removal of the gallbladder and the entire colon, and intracorporeal stapled ileorectal anastomosis in a 27-year-old female with colonic inertia and biliary dyskinesia. There were no intraoperative complications. The operating time was 180 min. Blood loss was 10 cc. The patient was discharged home on postoperative day 4. Laparoscopic subtotal colectomy with transrectal removal of the colon is a safe and effective procedure that can be added to the armamentarium of surgeons performing laparoscopic colon surgery. This technique may provide both an attractive way to reduce abdominal wall morbidity and a bridge to NOTES colon surgery.

Oral rehabilitation of a patient with sub - total maxillectomy

PubMed Central

Soni, Romesh; Jindal, Shitu; Singh, B. P.; Mittal, Neelam; Chaturvedi, T. P.; Prithviraj, D. R.

2011-01-01

This clinical report describes oral rehabilitation of a patient with sub-total maxillectomy with palatine process of maxilla and horizontal plate of palatine bone intact to retain the maxillary obturator. Clinical examination has been performed to know the amount of favorable undercuts to be used for retention of the obturator for better functional efficiency. Successful prosthetic reconstruction of hemimaxillectomy defect is a challenging procedure that requires multidisciplinary expertise to achieve acceptable functional speech and swallowing outcomes. This article describes the oral rehabilitation of a patient with sub-total maxillectomy with a maxillary obturator. Oral rehabilitation of sub-total maxillectomy patient is a challenging task. Obturation of the defect depends on volume of the defect, and positioning of remaining hard and soft tissues to be used to retain, stabilize, and support the prosthesis. A maxillary obturator for edentulous patient must provide for retention, stability, support, patient comfort, and cleanliness. PMID:22114459

Laparoscopic gastric bypass with subtotal gastrectomy for a super-obese patient with Biermer anemia.

PubMed

Sodji, Maxime; Sebag, Frédéric A; Catheline, Jean Marc

2007-08-01

Laparoscopic Roux-en-Y gastric bypass (RYGBP) is a common procedure for morbid obesity. After RYGBP, the bypassed stomach is unavailable for follow-up. Biermer anemia is an autoimmune atrophic gastritis inducing vitamin B12 deficiency and it is a risk factor for gastric carcinoma. A 41-year-old woman with a long history of morbid obesity presented with a BMI of 56 kg/m2. She had anemia (Hb 9.9 g/dL), and atrophic gastritis was found endoscopically. We performed a laparoscopic RYGBP with subtotal gastrectomy, to avoid the risk of gastric carcinoma in the bypassed stomach. The patient was discharged 9 days after the operation without complication. At 18 months follow-up, her BMI was 39 kg/m2 (50% excess weight loss). Laparoscopic RYGBP with subtotal gastrectomy is a safe treatment for morbid obesity, which should be considered for patients with a risk factor for gastric carcinoma.

Oral rehabilitation of a patient with sub - total maxillectomy.

PubMed

Soni, Romesh; Jindal, Shitu; Singh, B P; Mittal, Neelam; Chaturvedi, T P; Prithviraj, D R

2011-01-01

This clinical report describes oral rehabilitation of a patient with sub-total maxillectomy with palatine process of maxilla and horizontal plate of palatine bone intact to retain the maxillary obturator. Clinical examination has been performed to know the amount of favorable undercuts to be used for retention of the obturator for better functional efficiency. Successful prosthetic reconstruction of hemimaxillectomy defect is a challenging procedure that requires multidisciplinary expertise to achieve acceptable functional speech and swallowing outcomes. This article describes the oral rehabilitation of a patient with sub-total maxillectomy with a maxillary obturator. Oral rehabilitation of sub-total maxillectomy patient is a challenging task. Obturation of the defect depends on volume of the defect, and positioning of remaining hard and soft tissues to be used to retain, stabilize, and support the prosthesis. A maxillary obturator for edentulous patient must provide for retention, stability, support, patient comfort, and cleanliness.

Evolution of the Mothra Hydrothermal Field, Endeavour Segment of the Juan de Fuca Ridge

NASA Astrophysics Data System (ADS)

Glickson, D.; Kelley, D. S.; Delaney, J.

2005-12-01

The Mothra Hydrothermal Field (MHF) is a 600 m long, high-temperature hydrothermal field. It is located 2.7 km south of the Main Endeavour Field at the southern end of the central Endeavour Segment. Mothra is the most areally extensive field along the Endeavour Segment, composed of six active sulfide clusters that are 40-200 m apart. Each cluster contains rare black smokers (venting up to 319°C), numerous diffusely venting chimneys, and abundant extinct chimneys and sulfide talus. From north to south, these clusters include Cauldron, Twin Peaks, Faulty Towers, Crab Basin, Cuchalainn, and Stonehenge. As part of the Endeavour Integrated Study Site (ISS), the MHF is a site of intensive interdisciplinary studies focused on linkages among geology, geochemistry, fluid chemistry, seismology, and microbiology. Axial valley geology at MHF is structurally complex, consisting of lightly fissured flows that abut the walls and surround a core of extensively fissured, collapsed terrain. Fissure abundance and distribution indicates that tectonism has been the dominant process controlling growth of the axial graben. Past magmatic activity is shown by the 200 m long chain of collapse basins between Crab Basin and Stonehenge, which may have held at least ~7500 m3 of lava. Assuming a flow thickness of 0.5 m, this amount of lava could cover over half the valley floor during a single volcanic event. At a local scale, MHF clusters vary in size, activity, and underlying geology. They range in size from 400-1600 m2 and consist of isolated chimneys and/or coalesced cockscomb arrays atop ramps of sulfide talus. In the northern part of the field, Cauldron, Twin Peaks, Faulty Towers, and Crab Basin are located near the western valley wall, bounded by basalt talus and a combination of collapsed sheet flows, intermixed lobate and sulfide, disrupted terrain, and isolated pillow ridges. The southern clusters, Cuchalainn and Stonehenge, are associated with collapse basins in the central valley and bounded by extensive lobate flows and disrupted terrain. At all clusters, active chimneys stand within meters of extinct chimneys, suggesting that flow in the shallow subsurface is both complex and transient. 1-2 m high mounds of sulfide talus and broken chimneys indicate that focused flow has been concentrated at the clusters for long periods, while extinct sulfide deposits between clusters and in collapse basins demonstrate that flow conduits have been rerouted and/or clogged by mineral precipitation. Two subsurface processes are responsible for hydrothermal venting at the clusters: tapping of magmatic heat near the lava drainbacks and tectonic movement along the steeply dipping, inward-facing normal faults at the western wall boundary. The interplay between these processes and fluid flow is synthesized in an evolutionary model of hydrothermal development at Mothra.

Detailing magnetic field strength dependence and segmental artifact distribution of myocardial effective transverse relaxation rate at 1.5, 3.0, and 7.0 T.

PubMed

Meloni, Antonella; Hezel, Fabian; Positano, Vincenzo; Keilberg, Petra; Pepe, Alessia; Lombardi, Massimo; Niendorf, Thoralf

2014-06-01

Realizing the challenges and opportunities of effective transverse relaxation rate (R2 *) mapping at high and ultrahigh fields, this work examines magnetic field strength (B0 ) dependence and segmental artifact distribution of myocardial R2 * at 1.5, 3.0, and 7.0 T. Healthy subjects were considered. Three short-axis views of the left ventricle were examined. R2 * was calculated for 16 standard myocardial segments. Global and mid-septum R2 * were determined. For each segment, an artifactual factor was estimated as the deviation of segmental from global R2 * value. The global artifactual factor was significantly enlarged at 7.0 T versus 1.5 T (P = 0.010) but not versus 3.0 T. At 7.0 T, the most severe susceptibility artifacts were detected in the inferior lateral wall. The mid-septum showed minor artifactual factors at 7.0 T, similar to those at 1.5 and 3.0 T. Mean R2 * increased linearly with the field strength, with larger changes for global heart R2 * values. At 7.0 T, segmental heart R2 * analysis is challenging due to macroscopic susceptibility artifacts induced by the heart-lung interface and the posterior vein. Myocardial R2 * depends linearly on the magnetic field strength. The increased R2 * sensitivity at 7.0 T might offer means for susceptibility-weighted and oxygenation level-dependent MR imaging of the myocardium. Copyright © 2013 Wiley Periodicals, Inc.

Effects of pulsed mid-IR lasers on bovine knee joint tissues

NASA Astrophysics Data System (ADS)

Vari, Sandor G.; Shi, Wei-Qiang; Pergadia, Vani R.; Duffy, J. T.; Miller, J. M.; van der Veen, Maurits J.; Weiss, Andrew B.; Fishbein, Michael C.; Grundfest, Warren S.

1993-07-01

We investigated the effect of varying Tm:YAG (2.014 micrometers ) and Ho:YAG (2.130 micrometers ) laser parameters on ablation rate and consequent thermal damage. Mid-infrared wavelengths are strongly absorbed by most biological tissues due to the tissue's high water content. The ablation rate of fresh bovine knee joint tissues (fibrous cartilage, hyaline cartilage, and bone) in saline was assessed as a function of radiant exposure (160 - 950 J/cm2), at pulse widths of 200 microsecond(s) ec for Tm:YAG and 250 microsecond(s) ec for Ho:YAG and a repetition rate of 2 Hz. All tissues used in this study could be efficiently ablated using two micron lasers. The mechanism of action is likely related to the formation and collapse of cavitation bubbles, associated with mid-infrared lasers. We concluded that the Tm:YAG and Ho:YAG lasers are capable of effective knee joint tissue ablation.

The Willapa Bay Oyster Reserves in Washington State: Fishery collapse, creating a sustainable replacement, and the potential for habitat conservation and restoration

USDA-ARS?s Scientific Manuscript database

Oysters have been an important resource in Washington state since the mid 1800’s and are intimately associated with recent history of the Willapa Bay estuary just as they have defined social culture around much larger US east coast systems. The Willapa Bay oyster reserves were set aside to preserve...

Repeated Duodenal Stump Perforation Using a Stapling Device Following Subtotal Gastrectomy With Roux-en-Y Reconstruction for Advanced Gastric Cancer: Lessons From a Rare Case.

PubMed

Furihata, Tadashi; Furihata, Makoto; Satoh, Naoki; Kosaka, Masato; Ishikawa, Kunibumi; Kubota, Keiichi

2015-04-01

Closure of the duodenal stump using a stapling device is commonly applied in Roux-en-Y reconstruction after gastrectomy. However, serious and possibly fatal duodenal stump perforation can develop in extremely rare cases. We describe a case of subtotal gastrectomy with Roux-en-Y reconstruction followed by repeated duodenal stump perforations. A 79-year-old man with a long history of diabetes and hypertension was admitted to our institution with epigastralgia and right hypochondralgia. Computed tomography and an upper gastrointestinal imaging series revealed remarkable wall thickening of the gastric antrum and corpus. Upper endoscopy also showed a giant ulcerative lesion in the same area. The lesion was confirmed by histology to be poorly differentiated adenocarcinoma. The patient underwent open subtotal gastrectomy with Roux-en-Y reconstruction. However, duodenal stump perforation occurred repeatedly on postoperative days 1, 3, and 19, which caused peritonitis. The patient was kept alive through duodenal stump repair, an additional resection using a stapling device, and repeated drainage treatments; but he suffered considerable morbidity due to these complications. We report a case of a life-threatening duodenal stump perforation after subtotal gastrectomy, highlighting lessons learned from the profile and clinical course. Abdominal surgeons should be aware of the possibility of this serious complication of duodenal stump perforation, and be able to perform immediate interventions, including life-saving reoperation.

Transthoracic ultrasonic tissue indices identify patients with severe left anterior descending artery stenosis. Correlation with fractional flow reserve. Pilot study.

PubMed

Dobrowolski, Piotr; Kowalski, Mirosław; Rybicka, Justyna; Lech, Agnieszka; Tyczyński, Paweł; Witkowski, Adam; Hoffman, Piotr

2016-01-01

The aim of this study was to evaluate the potential clinical application of ultrasonic tissue indices, with a focus on systolic strain (SS) and systolic strain rate (SSR) parameters derived from transthoracic echocardiography, in the assessment of left anterior descending artery (LAD) stenosis. The data of 30 patients with significant LAD stenosis were analysed. All patients underwent transthoracic echocardiography to obtain systolic myocardial velocity (Sm), longitudinal SS, and SSR from basal, mid, and apical segments of anterior and inferior walls in two-chamber apical view. Severity of LAD obstruction was measured by means of fractional flow reserve (FFR) during coronary catheterisation. Systolic velocities, strain, and strain rate measured in basal, middle, and apical segments of the anterior left ventricular (LV) wall were lower when compared to those obtained from the corresponding, i.e. unaffected, inferior LV wall. There was a significant correlation between FFR and the value of SS, SSR characterising the apical LV segment of the anterior wall (r = -0.583, p = 0.01; r = -0.598, p = 0.01, respectively). Moreover, we found significant correlation between FFR and Sm in the mid-segment of the LV anterior wall (r = 0.611, p = 0.009). We conclude that SS and SSR obtained from the apical segment of the anterior LV wall may be related to the severity of LAD stenosis.

Mid-ocean ridge basalt generation along the slow-spreading, South Mid-Atlantic Ridge (5-11°S): Inferences from 238U-230Th-226Ra disequilibria

NASA Astrophysics Data System (ADS)

Turner, Simon; Kokfelt, Thomas; Hauff, Folkmar; Haase, Karsten; Lundstrom, Craig; Hoernle, Kaj; Yeo, Isobel; Devey, Colin

2015-11-01

U-series disequilibria have provided important constraints on the physical processes of partial melting that produce basaltic magma beneath mid-ocean ridges. Here we present the first 238U-230Th-226Ra isotope data for a suite of 83 basalts sampled between 5°S and 11°S along the South Mid-Atlantic Ridge. This section of the ridge can be divided into 5 segments (A0-A4) and the depths to the ridge axis span much of the global range, varying from 1429 to 4514 m. Previous work has also demonstrated that strong trace element and radiogenic isotope heterogeneity existed in the source regions of these basalts. Accordingly, this area provides an ideal location in which to investigate the effects of both inferred melt column length and recycled materials. 226Ra-230Th disequilibria indicate that the majority of the basalts are less than a few millennia old such that their 230Th values do not require any age correction. The U-Th isotope data span a significant range from secular equilibrium up to 32% 230Th excess, also similar to the global range, and vary from segment to segment. However, the (230Th/238U) ratios are not negatively correlated with axial depth and the samples with the largest 230Th excesses come from the deepest ridge segment (A1). Two sub-parallel and positively sloped arrays (for segments A0-2 and A3 and A4) between (230Th/238U) and Th/U ratios can be modelled in various ways as mixing between melts from peridotite and recycled mafic lithologies. Despite abundant evidence for source heterogeneity, there is no simple correlation between (230Th/238U) and radiogenic isotope ratios suggesting that at least some of the trace element and radiogenic isotope variability may have been imparted to the source regions >350 kyr prior to partial melting to produce the basalts. In our preferred model, the two (230Th/238U) versus Th/U arrays can be explained by mixing of melts from one or more recycled mafic lithologies with melts derived from chemically heterogeneous peridotite source regions.

Controls on mid-ocean ridge segmentation and transform fault formation from laboratory experiments using fluids of complex rheology.

NASA Astrophysics Data System (ADS)

Sibrant, A.; Mittelstaedt, E. L.; Davaille, A.

2017-12-01

Mid-ocean ridges are tectonically segmented at scales of 10s to 100s of kilometers by several types of offsets including transform faults (TF), overlapping spreading centers (OSC), and slow-spreading non-transform offsets (NTO). Differences in segmentation along axis have been attributed to changes in numerous processes including magma supply from the upwelling mantle, viscous flow in the asthenosphere, ridge migration, and plate spreading direction. The wide variety of proposed mechanisms demonstrate that the origin of tectonic offsets and their relationship to segment-scale magmatic processes remain actively debated; each of the above processes, however, invoke combinations of tectonic and magmatic processes to explain changes in segmentation. To address the role of tectonic deformation and magmatic accretion on the development of ridge offsets, we present a series of analogue experiments using colloidal silica dispersions as an Earth analogue. Saline water solutions placed in contact with these fluids, cause formation of a skin through salt diffusion, whose rheology evolves from purely viscous to elastic and brittle with increasing salinity. Experiments are performed in a Plexiglas tank with two Plexiglas plates suspended above the base of the tank. The tank is filled with the colloidal fluid to just above the suspended plates, a thin layer of saline water is spread across the surface, and spreading initiated by moving the suspended Plexiglas plates apart at a fixed rate. Results show formation of OSCs, NTOs, and TFs. For parameters corresponding to the Earth, TF offsets are < 5 mm and form at all spreading velocities, corresponding to transform offsets of < 100 km on Earth. Measured TF offset size and ridge segment lengths exhibit a Poisson-type distribution with no apparent dependence on spreading rate. Observations of TF offset size on Earth show a similar distribution for TFs <100 km long and supports the hypothesis that TFform spontaneously through a mechanical instability of the axis. Here, we present an analysis of the magmatic and tectonic controls on axis instability leading to the formation of TFs, OSCs, and NTOs, and their implications for the evolution of mid-ocean ridges.

Shot noise enhancement from non-equilibrium plasmons in Luttinger liquid junctions.

PubMed

Kim, Jaeuk U; Kinaret, Jari M; Choi, Mahn-Soo

2005-06-29

We consider a quantum wire double junction system with each wire segment described by a spinless Luttinger model, and study theoretically shot noise in this system in the sequential tunnelling regime. We find that the non-equilibrium plasmonic excitations in the central wire segment give rise to qualitatively different behaviour compared to the case with equilibrium plasmons. In particular, shot noise is greatly enhanced by them, and exceeds the Poisson limit. We show that the enhancement can be explained by the emergence of several current-carrying processes, and that the effect disappears if the channels effectively collapse to one because of fast plasmon relaxation processes, for example.

Shot noise enhancement from non-equilibrium plasmons in Luttinger liquid junctions

NASA Astrophysics Data System (ADS)

Kim, Jaeuk U.; Kinaret, Jari M.; Choi, Mahn-Soo

2005-06-01

We consider a quantum wire double junction system with each wire segment described by a spinless Luttinger model, and study theoretically shot noise in this system in the sequential tunnelling regime. We find that the non-equilibrium plasmonic excitations in the central wire segment give rise to qualitatively different behaviour compared to the case with equilibrium plasmons. In particular, shot noise is greatly enhanced by them, and exceeds the Poisson limit. We show that the enhancement can be explained by the emergence of several current-carrying processes, and that the effect disappears if the channels effectively collapse to one because of fast plasmon relaxation processes, for example.

Congenital left ventricular wall abnormalities in adults detected by gated cardiac multidetector computed tomography: clefts, aneurysms, diverticula and terminology problems.

PubMed

Erol, Cengiz; Koplay, Mustafa; Olcay, Ayhan; Kivrak, Ali Sami; Ozbek, Seda; Seker, Mehmet; Paksoy, Yahya

2012-11-01

Our aim was to evaluate congenital left ventricular wall abnormalities (clefts, aneurysms and diverticula), describe and illustrate imaging features, discuss terminology problems and determine their prevalence detected by cardiac CT in a single center. Coronary CT angiography images of 2093 adult patients were evaluated retrospectively in order to determine congenital left ventricular wall abnormalities. The incidence of left ventricular clefts (LVC) was 6.7% (141 patients) and statistically significant difference was not detected between the sexes regarding LVC (P=0.5). LVCs were single in 65.2% and multiple in 34.8% of patients. They were located at the basal to mid inferoseptal segment of the left ventricle in 55.4%, the basal to mid anteroseptal segment in 24.1%, basal to mid inferior segment in 17% and septal-apical septal segment in 3.5% of cases. The cleft length ranged from 5 to 22 mm (mean 10.5 mm) and they had a narrow connection with the left ventricle (mean 2.5 mm). They were contractile with the left ventricle and obliterated during systole. Congenital left ventricular septal aneurysm that was located just under the aortic valve was detected in two patients (0.1%). No case of congenital left ventricular diverticulum was detected. Cardiac CT allows us to recognize congenital left ventricular wall abnormalities which have been previously overlooked in adults. LVC is a congenital structural variant of the myocardium, is seen more frequently than previously reported and should be differentiated from aneurysm and diverticulum for possible catastrophic complications of the latter two. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

Distribution of Personnel by State-by Installation, FY-62

DTIC Science & Technology

1962-06-30

Strategic-Air Defense) 6,125 46 5,693 46 432 43 Presque Isle AFB (Missile) 59 * 13 * 46 4 Subtotal 1,832 11,023 890 STATE TOTAL 1332 100 12&326 100...49 eOklahoa . . . . . . . . . . . .......... . . . 52 e Oregon s . . . . . . . . . . . . . . . . . 53 Pennsylvania ...631 6 631 33 0 0 Subtotal 9 A 1,705 7,594 91 STATE TOTAL 10.234 100 1,914 100 8lo010 ___ I 0___ io l~O - NAVY Grosse Isle NAS 732 60 644 56 88 68

Crackles and instabilities during lung inflation

NASA Astrophysics Data System (ADS)

Alencar, Adriano M.; Majumdar, Arnab; Hantos, Zoltan; Buldyrev, Sergey V.; Eugene Stanley, H.; Suki, Béla

2005-11-01

In a variety of physico-chemical reactions, the actual process takes place in a reactive zone, called the “active surface”. We define the active surface of the lung as the set of airway segments that are closed but connected to the trachea through an open pathway, which is the interface between closed and open regions in a collapsed lung. To study the active surface and the time interval between consecutive openings, we measured the sound pressure of crackles, associated with the opening of collapsed airway segments in isolated dog lungs, inflating from the collapsed state in 120 s. We analyzed the sequence of crackle amplitudes, inter-crackle intervals, and low frequency energy from acoustic data. The series of spike amplitudes spans two orders of magnitude and the inter-crackle intervals spans over five orders of magnitude. The distribution of spike amplitudes follows a power law for nearly two decades, while the distribution of time intervals between consecutive crackles shows two regimes of power law behavior, where the first region represents crackles coming from avalanches of openings whereas the second region is due to the time intervals between separate avalanches. Using the time interval between measured crackles, we estimated the time evolution of the active surface during lung inflation. In addition, we show that recruitment and instabilities along the pressure-volume curve are associated with airway opening and recruitment. We find a good agreement between the theory of the dynamics of lung inflation and the experimental data which combined with numerical results may prove useful in the clinical diagnosis of lung diseases.

Dissected Mantle Terrain on Mars: Formation Mechanisms and the Implications for Mid- latitude Near-surface Ground Ice

NASA Astrophysics Data System (ADS)

Searls, M. L.; Mellon, M. T.

2008-12-01

Determining the present and past distribution of surface and subsurface ice on Mars is critical for understanding the volatile inventory and climatic history of the planet. An analysis of a latitude-dependent layer of surface material known as the dissected mantle terrain can provide valuable insight into the distribution of ice in the recent past. The dissected mantle terrain is a surface unit that occurs globally in the mid-latitude of Mars. This unit is characterized by a smooth mantle of uniform thickness and albedo that is draped over the existing topography. This smooth mantle is disaggregated and dissected in places resulting in a hummocky pitted appearance. We propose that the mid-latitude dissected terrain results from collapse of a dusty mantle into the void left from desiccation of an underlying ice-rich (pure or dirty ice) layer. During period(s) of high obliquity, it is possible for ice to become stable at lower latitudes. Due to lack of direct solar insolation, surface ice deposits will preferentially accumulate on pole-ward facing slopes first. A mantle of dust and dirt is then deposited on top of these ice-rich deposits. As the climate changes, desiccation of the now buried ice leads to collapse of the overlying dusty layer resulting in a hummocky pitted appearance. This theory is supported by the pole-ward preference for the dissection pits as well an increase in dissection with increasing latitude. A study of the global distribution of the mid-latitude dissected terrain can provide invaluable clues towards unlocking the distribution of ice in the recent past. An analysis of HiRISE images and MOLA data indicate that the distribution of dissection pits varies from one region to the next. Knowing the distribution of ice in conjunction with ice stability modeling can provide a global view of the climate and orbital history of Mars at the time these features formed.

Along-axis steps in Ethiopian rift Bouguer gravity anomalies: Implications for crustal thinning and melt emplacement prior to breakup

NASA Astrophysics Data System (ADS)

Ebinger, C. J.; Tiberi, C.; Fowler, M. R.; Hunegnaw, A.

2001-12-01

The southern Afar depression, Africa, is virtually the only area worldwide where the transition from continental rifting to seafloor spreading is exposed onshore. During mid-Miocene to Pleistocene time the rift valley was segmented along its length by long normal faults; since Pleistocene time, faulting and magmatism have jumped to a narrow ca. 60 km-long volcanic mound marked by small faults. These magmatic segments are structurally similar to slow-spreading mid-ocean ridges, yet the rift is floored by continental crust. As part of the Ethiopia Afar Geoscientific Lithospheric Experiment (EAGLE), we examine new and existing Bouguer gravity anomaly data from the rift to study the modification of the lithosphere by extensional and magmatic processes. New and existing Bouguer gravity anomaly data also show an along-axis segmentation of elongate relative positive anomalies that coincide with the magmatic segments. These anomalies are superposed on a regionally eastward increasing field as one approaches true seafloor spreading in the Gulf of Aden, and crustal thickness decreases. Quite remarkably, the magmatic segment boundaries, where data coverage is good, are marked by 15-25 mGal steps. The amplitude of the along-axis steps, as well as their across-axis characteristics, indicate that magmatic intrusion and ca. 2 km relief at the crust-mantle interface contribute to the steps. We use inverse and forward models of gravity data constrained by existing seismic and petrological data to evaluate models for the along-axis steps. EAGLE seismic data will be acquired across and along the magmatic segments to improve our understanding of breakup processes.

Magmatic effects of the Cobb hot spot on the Juan de Fuca Ridge

USGS Publications Warehouse

Chadwick, John; Perfit, M.; Ridley, I.; Jonasson, I.; Kamenov, G.; Chadwick, W.; Embley, R.; le, Roux P.; Smith, M.

2005-01-01

The interaction of the Juan de Fuca Ridge with the Cobb hot spot has had a considerable influence on the magmatism of the Axial Segment of the ridge, the second-order segment that overlies the hot spot. In addition to the construction of the large volcanic edifice of Axial Seamount, the Axial Segment has shallow bathymetry and a prevalence of constructional volcanic features along its 100-km length, suggesting that hot spot-derived magmas supplement and oversupply the ridge. Lavas are generally more primitive at Axial Seamount and more evolved in the Axial Segment rift zones, suggesting that fractional crystallization is enhanced with increasing distance from the hot spot because of a reduced magma supply and more rapid cooling. Although the Cobb hot spot is not an isotopically enriched plume, it produces lavas with some distinct geochemical characteristics relative to normal mid-ocean ridge basalt, such as enrichments in alkalis and highly incompatible trace elements, that can be used as tracers to identify the presence and prevalence of the hot spot influence along the ridge. These characteristics are most prominent at Axial Seamount and decline in gradients along the Axial Segment. The physical model that can best explain the geochemical observations is a scenario in which hot spot and mid-ocean ridge basalt (MORB) magmas mix to varying degrees, with the proportions controlled by the depth to the MORB source. Modeling of two-component mixing suggests that MORB is the dominant component in most Axial Segment basalts. Copyright 2005 by the American Geophysical Union.

Successful subtotal orbitectomy in a cat with osteoma

PubMed Central

Corgozinho, Katia B; Cunha, Simone CS; Siqueira, Ricardo S; Souza, Heloisa JM

2015-01-01

Case summary A 14-year-old Siamese neutered male cat was evaluated for anorexia and a left periorbital mass. Skull radiographic findings showed a well-defined lesion resembling new compact bone formation without destruction. A subtotal orbitectomy was indicated. The tumor was removed intact with a normal tissue margin of at least 1 cm. There were no postsurgical complications. Histopathologic examination revealed an osteoma. The cat returned to normal appetite and activity 15 days after surgery. Six months after surgery, there were no gross signs of recurrence. Relevance and novel information Periorbital tumors are infrequently diagnosed in companion animals and most are malignant. In this case, the diagnosis was orbital osteoma. The most commonly affected bone for osteoma in cats is the mandibular bone; few cases have been identified in orbital bones. Orbital surgery has the potential to be challenging owing to complex anatomy, difficult exposure and the tendency to bleed. Surgical complications are common. In this case, although the disease was advanced, subtotal orbitectomy was successfully performed. PMID:28491397

SRM attrition rate study of the aft motor case segments due to water impact cavity collapse loading

NASA Technical Reports Server (NTRS)

Crockett, C. D.

1976-01-01

The attrition assessment of the aft segments of Solid Rocket Motor due to water impact requires the establishment of a correlation between loading occurrences and structural capability. Each discrete load case, as identified by the water impact velocities and angle, varies longitudinally and radially in magnitude and distribution of the external pressure. The distributions are further required to be shifted forward or aft one-fourth the vehicle diameter to assure minimization of the effect of test instrumentation location for the load determinations. The asymmetrical load distributions result in large geometric nonlinearities in structural response. The critical structural response is progressive buckling of the case. Discrete stiffeners have been added to these aft segments to aid in gaining maximum structural capability for minimum weight addition for resisting these loads. This report presents the development of the attrition assessment of the aft segments and includes the rationale for eliminating all assessable conservatisms from this assessment.

Investigations of spectral separability of small grains, early season wheat detection, and multicrop inventory planning. [North Dakota and Kansas

NASA Technical Reports Server (NTRS)

Nalepka, R. F. (Principal Investigator); Malila, W. A.; Gleason, J. M.

1977-01-01

The author has identified the following significant results. LANDSAT data from seven 5 by 6 segments having crop type information were analyzed to determine the potential for spectral separation of spring wheat from other small grains as an alternative to the primary LACIE procedure for estimating spring wheat acreage. Within segment field-center, classification accuracies for spring wheat vs. barley tended to be best in mid-July when crop color changes were in progress. When correlations were made for differences in atmospheric haze, data from several segments could be aggregated, and results that approached within segment accuracies were obtained for selected dates. LACIE field measurement spectral reflectance data provided information on both wheat development patterns and the importance of various agronomic factors on wheat reflectance, the most important being availability of soil moisture. To investigate early season detection for winter wheat, reflectance of developing wheat patterns was simulated through reflectance modeling and was analyzed along with field measured reflectance from a Kansas site. The green component development of the wheat field was analyzed as a function of data throughout the season. A selected threshold was not crossed by all fields until mid-April. These reflectance data were shown to be consistent actual LANDSAT data.

Physical inter-relationships between hydrothermal activity, faulting and magmatic processes at the center of a slow-spreading, magma-rich mid-ocean ridge segment: A case study of the Lucky Strike segment (MAR, 37°03'-37‧N)

NASA Astrophysics Data System (ADS)

Fontaine, F. J.; Cannat, M.; Escartin, J.; Crawford, W. C.; Singh, S. C.

2012-12-01

The modalities and efficiency of hydrothermal heat evacuation at mid-ocean ridges (25% of the global heat loss) are controlled by the lithosphere thermal and permeability structures for which we had robust constraints only for fast/intermediate spreading axis until the last past few years during which integrated geophysical, geological and geochemical studies focused on some hydrothermal sites at slow-spreading ridges. At the Lucky Strike vent field of the mid-atlantic ridge - a hydrothermal complex composed of high-temperature (maximum T=340°C), smoker-like vents and associated diffuse flow and extracting a few hundreds MW from the oceanic lithosphere - a seafloor observatory which installation started in 2005 highlights local interactions between hydrothermal, tectonic and magmatic processes. Detailed geophysical and geological investigations stress the role of the local axial fault system on localizing high- and low-temperature ventings around the faulted rim of a paleo lava lake. Microseismic studies bring constraints on the subseafloor hydrology and suggest an along-axis flow pattern, with a privileged recharge area located about a kilometer north off the active discharges. Seismic reflection studies image a central magma chamber fueling the hydrothermal sites and also reveal its along-axis depth variations likely influencing hydrothermal cell organization and flow focusing. Such linkages among hydrothermal dynamics, heat source and crustal permeability geometries usually lack quantitative constraints at mid-ocean ridges in general, and the Lucky Strike segment settings offers a unique opportunity to couple high-resolution geophysical data to hydrodynamic model. Here we develop a series of original two- and three-dimensional numerical and physical models of hydrothermal activity, tailored to this slow-spreading environment. Our results highlight physical linkages among magmatism, tectonics and crustal hydrology stressing the key role of faulting and magma chamber roof-topology in focusing fluid flow at the center of the Lucky Strike segment. They also help identifying some causes of variations in the modalities of hydrothermal heat extraction along the global ridge network.

Optimizing reconstruction of oncologic sternectomy defects based on surgical outcomes.

PubMed

Butterworth, James A; Garvey, Patrick B; Baumann, Donald P; Zhang, Hong; Rice, David C; Butler, Charles E

2013-08-01

The optimal strategy for oncologic sternectomy reconstruction has not been well characterized. We hypothesized that the major factors driving the reconstructive strategy for oncologic sternectomy include the need for skin replacement, extent of the bony sternectomy defect, and status of the internal mammary vessels. We reviewed consecutive oncologic sternectomy reconstructions performed at The University of Texas MD Anderson Cancer Center during a 10-year period. Regression models analyzed associations between patient, defect, and treatment factors and outcomes to identify patient and treatment selection criteria. We developed a generalized management algorithm based on these data. Forty-nine consecutive patients underwent oncologic sternectomy reconstruction (mean follow-up 18 ± 23 months). More sternectomies were partial (74%) rather than total/subtotal (26%). Most defects (n = 40 [82%]) required skeletal reconstruction. Pectoralis muscle flaps were most commonly used for sternectomies with intact overlying skin (64%) and infrequently used when a presternal skin defect was present (36%; p = 0.06). Free flaps were more often used for total/subtotal vs partial sternectomy defects (75% vs 25%, respectively; p = 0.02). Complication rates for total/subtotal sternectomy and partial sternectomy were equivalent (46% vs 44%, respectively; p = 0.92). Despite more extensive sternal resections, total/subtotal sternectomies resulted in equivalent postoperative complications when combined with the appropriate soft-tissue reconstruction. Good surgical and oncologic outcomes can be achieved with defect-characteristic-matched reconstructive strategies for these complex oncologic sternectomy resections. Copyright © 2013 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

The Use of Temporoparietal Fascial Flap to Eliminate Wound Breakdown in Subtotal Petrosectomy for Chronic Discharging Ears.

PubMed

Yung, Matthew

2016-03-01

To find out if the use of the vascularized temporo-parietal fascial flap (TPFF) reduces postoperative infection or wound breakdown in subtotal petrosectomy for chronic discharging ears. A retrospective review on 26 subtotal petrosectomies with blind pit closures on chronic discharging ears performed by a single surgeon between 2000 and 2015 was performed. All patients had a minimum follow-up period of 6 months. Eleven mastoid cavities were obliterated with abdominal fat, and 15 cavities were obliterated with TPFF. There was no concomitant cochlear implant or middle ear implant. All postoperative wound infections or delay in wound healing were recorded into a database. The complication rates of the fat obliteration group were compared using Fisher's exact test with those for the TPFF obliteration group. In the fat obliteration group, 4 out of 11 patients had documented postoperative complications. Three had wound breakdown with exposure of the fat that required revision surgery. Another patient had postauricular abscess without the wound actually broken down. On the other hand, all the ears in the TPFF obliteration group (100%) were completely free of wound infection, wound breakdown, or any complication. The difference between the two groups was statistically significant (p = 0.022). Many authors have encountered postoperative infection or wound breakdown in subtotal petrosectomy with fat obliteration in the treatment of chronic otitis media. Using a richly vascularized temporo-temporal fascial flap to protect the blind pit closure in such patients reduces postoperative infection and wound breakdown.

[An adult case of intradural lumbo-sacral lipoma].

PubMed

Hatayama, T; Sakoda, K; Tokuda, Y; Uozumi, T

1992-10-01

A rare case of lumbo-sacral lipoma in an adult case is reported. A 55-year-old male was admitted to the Department of Neurosurgery, Mazda Hospital, after a history of one year of urinary incontinence. Neurologically, no motor or sensory disturbance of the lower extremities was found in this patient. MRI showed a mass with high signal intensity on T2-weighted image, located between L3 to S2 vertebral segments. Metrizamide-CT scan demonstrated the outline of this hypodense mass at the same location as shown on MRI image. A L3 through L5 laminectomy was performed and the tumor was subtotally removed. Microscopic examination revealed that the tumor mass was made up of mature lipoma cells. Postoperative course of the patient was uneventful. The urinary incontinence was improved slightly. No motor or sensory deficit was found. We thought that MRI was useful for the correct diagnosis of lumbosacral lipoma. And it is best managed by operative removal of the tumor as early as possible after it is diagnosed.

Vertebral Compression Fractures after Lumbar Instrumentation.

PubMed

Granville, Michelle; Berti, Aldo; Jacobson, Robert E

2017-09-29

Lumbar spinal stenosis (LSS) is primarily found in an older population. This is a similar demographic group that develops both osteoporosis and vertebral compression fractures (VCF). This report reviewed a series of patients treated for VCF that had previous lumbar surgery for symptomatic spinal stenosis. Patients that only underwent laminectomy or fusion without instrumentation had a similar distribution of VCF as the non-surgical population in the mid-thoracic, or lower thoracic and upper lumbar spine. However, in the patients that had previous short-segment spinal instrumentation, fractures were found to be located more commonly in the mid-lumbar spine or sacrum adjacent to or within one or two spinal segments of the spinal instrumentation. Adjacent-level fractures that occur due to vertebral osteoporosis after long spinal segment instrumentation has been discussed in the literature. The purpose of this report is to highlight the previously unreported finding of frequent lumbar and sacral osteoporotic fractures in post-lumbar instrumentation surgery patients. Important additional factors found were lack of preventative medical treatment for osteoporosis, and secondary effects related to inactivity, especially during the first year after surgery.

From institutional segmentation to market fragmentation: Institutional transformation and the shifting stratification order in urban China.

PubMed

Zhao, Wei; Zhou, Xueguang

2017-03-01

Focusing on the changing roles of organizations, this study develops an institutional framework to examine the shifting stratification order since the mid-1990s in urban China. We argue that, after the mid-1990s, the Chinese state led a dual process of institutional transformation. On the one hand, the state dismantled the socialist redistributive system and broke down institutional segmentation based on organizational ownership and bureaucratic rank. On the other hand, the state developed different markets with various paces and strategies, resulting in fragmented market environments. In this context, reformed organizations interacted with heterogeneous market conditions to exert different impacts on multiple dimensions of social inequality. We draw empirical evidence from two national survey data collected in 1994 and 2003 during a critical period. Our findings show that the foundation of the stratification order has shifted from institutional segmentation to market fragmentation in urban China. This study calls for substantive institutional analysis to better understand the intricate landscape of social inequality in transitional economies. Copyright © 2016 Elsevier Inc. All rights reserved.

Decline of disjunct green salamander (Aneides aeneus) populations in the southern appalachians

USGS Publications Warehouse

Corser, J.D.

2001-01-01

Coincident with other amphibians around the world Aneides aeneus, a terrestrial plethodontid salamander, suffered a population collapse in a disjunct portion of its range in the mid-late 1970s. Long-term monitoring of seven historical green salamander populations throughout the 1990s showed a 98% decline in relative abundance since 1970. Three out of six populations first discovered in 1991 also crashed in 1996-1997. The synchronized suddenness of the declines, their region-wide impact, and effects on both small and larger populations, suggest the role of a novel agent of mortality beginning in the mid-late 1970s. Acting alone, but more likely in concert, habitat loss, overcollecting, epidemic disease and climate change could account for this region-wide decline.

NASA Today - Mars Observer Segment (Part 4 of 6)

NASA Technical Reports Server (NTRS)

1993-01-01

This videotape consists of eight segments from the NASA Today News program. The first segment is an announcement that there was no date set for the launch of STS-51, which had been postponed due to mechanical problems. The second segment describes the MidDeck Dynamic Experiment Facility. The third segment is about the scheduled arrival of the Mars Observer at Mars, it shows an image of Mars as seen from the approaching Observer spacecraft, and features an animation of the approach to Mars, including the maneuvers that are planned to put the spacecraft in the desired orbit. The fourth segment describes a discovery from an infrared spectrometer that there is nitrogen ice on Pluto. The fifth segment discusses the Aerospace for Kids (ASK) program at the Goddard Space Flight Center (GSFC). The sixth segment is about the high school and college summer internship programs at GSFC. The seventh segment announces a science symposium being held at Johnson Space Center. The last segment describes the National Air and Space Museum and NASA's cooperation with the Smithsonian Institution.

[Liver segment anatomy in ultrasound--examinations to define the frontier between segment II/III and literature review].

PubMed

Wolf, H; Gross, F; Merz, A; Schuler, A

2013-03-01

Liver segment definition due to Couinaud is the basis for localisation of focal liver lesions in imaging, in the follow-up or for planning operations. A literature review shows variety in segment definition and the frontier between segment II and III in the left liver lobe, in the course of the portal vein level and in variations of liver veins. The aim of this study is to demonstrate liver segment anatomy in sonography compared to anatomic preparations and the literature. This leads to a proposal for a unique nomenclature and illustration. 152 liver healthy persons (77 F, 75 M, mean age 63.3 years (18 - 91 years) were examined with standardised abdominal ultrasound in longitudinal, transversal and axis planes. (Angle) measurements were taken to define the left hepatic vein (Fissura sinistra), the Ramus umbilicalis of the portal vein (Fissura umbilicalis), the portal vein level and the amount and variations of the liver veins. The left hepatic vein was found with a mean angle of 24° (0 - 70°) left to the median axis, the Pars umbilicalis of the portal vein wasalmost strictly in the mid axis. The portal vein level was located with a mean angle of 61° (5 - 110°) right to the median with no variations of the two main branches. 27 (18 %) out of the remaining 151 patients showed variations of the liver veins: 7 × (4.6 %) a doubled mid hepatic vein, 12 × (8 %) a doubled left hepatic vein, 4 × (2.7 %) 3 left liver veins were found with a short (≤ 1 cm) common trunk, 1 × each (0.7 %) four left liver veins with a short common trunk, one trifurcation of the mid hepatic vein, one doubled right liver vein and one common trunk (2 cm) of all 3 main liver veins leading to the inferior V. cava. The surgical functional liver segment definition by Couinaud is the basis for localisation of focal liver lesions. The frontier between segment II and III is mainly described as a horizontal plane in the literature. The course of the left liver vein (fissura sinistra) has a mean angle of 24° left to the median and not like the umbilical fissure, which is found almost strictly in the median plane. The left hepatic vein(s), their course and liver vein variations are well demonstrated by sonography (99.3 % in this study). Anatomic landmarks as well as variations and a unique nomenclature should be well known and considered in the localisation of focal liver lesions, their feeding vessels and liver segment anatomy. © Georg Thieme Verlag KG Stuttgart · New York.

Differential Deposition for Surface Figure Corrections in Grazing Incidence X-Ray Optics

NASA Technical Reports Server (NTRS)

Ramsey, Brian D.; Kilaru, Kiranmayee; Atkins, Carolyn; Gubarev, Mikhail V.; Broadway, David M.

2015-01-01

Differential deposition corrects the low- and mid- spatial-frequency deviations in the axial figure of Wolter-type grazing incidence X-ray optics. Figure deviations is one of the major contributors to the achievable angular resolution. Minimizing figure errors can significantly improve the imaging quality of X-ray optics. Material of varying thickness is selectively deposited, using DC magnetron sputtering, along the length of optic to minimize figure deviations. Custom vacuum chambers are built that can incorporate full-shell and segmented Xray optics. Metrology data of preliminary corrections on a single meridian of full-shell x-ray optics show an improvement of mid-spatial frequencies from 6.7 to 1.8 arc secs HPD. Efforts are in progress to correct a full-shell and segmented optics and to verify angular-resolution improvement with X-ray testing.

Department of the Navy FY 1985 Military Construction & Family Housing Program.

DTIC Science & Technology

1984-02-01

Administrative Office 1,170 1,170 0 470 Modernization 091 Data Processing Center 15,100 15,100 130 472 Subtotal 16,270 16,270 ". ’.-: Page No. 17 " e % 𔃾...3,315 e Naval Air Station, CNET 318 Corpus Christi 258 Operational Trainer 545 545 35 708 Facility Modernization 103 Cold Storage Warehouse 550 550 100...836 Electrical Distribution 4,050 4,050 100 487 Lines Subtotal 4,050 4,050 .5-, ",.-’: Page No. 23 - e ’Y :7 11 Department of the Navy FY 1985

Establishment and Discontinuance Criteria for Runway Visual Range (RVR) at Category I Precision Landing System Runway

DTIC Science & Technology

1987-01-01

ATITN - x.xx 10,000 73,000 General GAAP - x.xx Aviation: 8,900 Military: MILAP - + x.xx 1,900 Subtotal x.xx x RVR System Design Factor x x.xx Subtotal...first three years of operation, ACAP, ATAP, GAAP and MILAP are the numbers of annual instrument approaches by user class, ACITN and ATITN are the...1, falls beneath 0.40. 3. Scope: The above (Phase I) criteria are based primarily on volume of air traffic and frequency and incidence of IFR weather

A Spitzer Survey for Dust in Type IIn Supernovae

NASA Technical Reports Server (NTRS)

Fox, Ori D.; Chevalier, Roger A.; Skrutskie, Michael F.; Soderberg, Alicia M.; Filippenko, Alexei V.; Ganeshalingam, Mohan; Silverman, Jeffrey M.; Smith, Nathan; Steele, Thea N.

2011-01-01

Recent observations suggest that Type IIn supernovae (SNe IIn) may exhibit late-time (greater than 100 days) infrared (IR) emission from warm dust more than other types of core-collapse SNe. Mid-IR observations, which span the peak of the thermal spectral energy distribution, provide useful constraints on the properties of the dust and, ultimately, the circumstellar environment, explosion mechanism, and progenitor system. Due to the low SN IIn rate (less than 10% of all core-collapse SNe), few IR observations exist for this subclass. The handful of isolated studies, however, show late-time IR emission from warm dust that, in some cases, extends for five or six years post-discovery. While previous Spitzer/IRAC surveys have searched for dust in SNe, none have targeted the Type IIn subclass. This article presents results from a warm Spitzer/IRAC survey of the positions of all 68 known SNe IIn within a distance of 250 Mpc between 1999 and 2008 that have remained unobserved by Spitzer more than 100 days postdiscovery. The detection of late-time emission from ten targets (approximately 15%) nearly doubles the database of existing mid-IR observations of SNe IIn. Although optical spectra show evidence for new dust formation in some cases, the data show that in most cases the likely origin of the mid-IR emission is pre-existing dust, which is continuously heated by optical emission generated by ongoing circumstellar interaction between the forward shock and circumstellar medium. Furthermore, an emerging trend suggests that these SNe decline at approximately 1000-2000 days post-discovery once the forward shock overruns the dust shell. The mass-loss rates associated with these dust shells are consistent with luminous blue variable (LBV) progenitors.

A Spitzer Survey for Dust in Type IIn Supernovae

NASA Technical Reports Server (NTRS)

Fox, Ori D.; Chevalier, Roger A.; Skrutskie, Michael F.; Soderberg, Alicia M.; Filippenko, Alexei V.; Ganeshalingam, Mohan; Silverman, Jeffrey M.; Smith, Nathan; Steele, Thea N

2011-01-01

Recent observations suggest that Type IIn supernovae (SNe IIn) may exhibit late-time (>100 days) infrared (IR) emission from warm dust more than other types of core-collapse SNe. Mid-IR observations, which span the peak of the thermal spectral energy distribution, provide useful constraints on the properties of the dust and, ultimately, the circumstellar environment, explosion mechanism, and progenitor system. Due to the low Type IIn rate (<10% of all core-collapse SNe), few IR observations exist for this subclass. The handful of isolated studies, however, show late-time IR emission from warm dust that, in some cases, extends for five or six years post-discovery. vVhile previous Spitzer/IRAC surveys have searched for dust in SNe, none have targeted the Type IIn subclass. This article presents results from a warm Spitzer/IRAC survey of the positions of all 68 known SNe IIn within a distance of 250 Mpc between 1999 and 2008 that have remained unobserved by Spitzer more than 100 days post-discovery. The detection of late-time emission from ten targets (approx. 15 %) nearly doubles the database of existing mid-IR observations of SNe IIn. Although optical spectra show evidence for new dust formation in some cases, the data show that in most cases the likely origin of the mid-IR emission is pre-existing dust, which is continuously heated by optical emission generated by ongoing circumstellar interaction between the forward shock and circumstellar medium. Furthermore, an emerging trend suggests these SNe "turn off" at " approx. 1000-2000 days post-discovery once the forward shock overruns the dust shell. The mass-loss rates associated with these dust shells are consistent with luminous blue variable (LBV) progenitors having similar mass-loss histories.

A survey of reptiles and amphibians on Kinmen Island, Taiwan

Treesearch

Daniel Saenz; Heather V. Podlipny; Pei-Yu Tasi; D. Brent Burt; Hsiao-Wei Yuan

2009-01-01

Little is known about the reptiles and amphibians of Kinmen Island, Taiwan. Until recently, Kinmen had been off-limits to outsiders. It wasn’t until the mid 1990’s that civilian travel was allowed to and from the island. We surveyed 8 sites from 19 May through 18 July 2005, using 15 m drift fences with collapsible funnel traps on the ends. We documented encounters with...

Woven Endobridge (WEB) device for endovascular treatment of complex unruptured aneurysms-a single center experience.

PubMed

Lescher, Stephanie; du Mesnil de Rochemont, Richard; Berkefeld, Joachim

2016-04-01

The introduction of the Woven Endobridge (WEB) device increases the feasibility of endovascular treatment of wide-neck bifurcation aneurysms with limitations given by currently available sizes and shapes of the device. Parallel to other studies, we used the new device for selected patients who were no optimal candidates for established techniques like neurosurgical clipping or endovascular coiling. We aimed to report the angiographic and clinical results of WEB implantations or combinations between WEB and coiling or intracranial stents. We reviewed the records of n = 23 interventions in 22 patients with unruptured wide-neck aneurysms (UIA) who were assigned for aneurysm treatment with the use of the WEB or adjunctive techniques. Interventional procedures and clinical and angiographic outcomes are reported for the periprocedural phase and in mid-term FU. Of the included 22 patients, six patients needed additional coiling, intracranial stenting, or implantation of a flow diverter. WEB implantation was technically feasible in 22 out of the 23 interventions. Follow-up angiographic imaging proved total or subtotal occlusion of the aneurysm in 19 of 22 cases. Two minor recurrences remained stable during a period of 15 months. One patient with a partially thrombosed giant MCA aneurysm had a major recurrence and was retreated with a second WEB in combination with coiling. Despite of unfavorable anatomic conditions, broad-based and large UIA endovascular treatment with the WEB and adjunctive techniques was feasible with a low risk of complications and promising occlusion rates in mid-term follow-up.

Crestal fault geometries reveal late halokinesis and collapse of the Samson Dome, Northern Norway: Implications for petroleum systems in the Barents Sea

NASA Astrophysics Data System (ADS)

Mattos, Nathalia H.; Alves, Tiago M.; Omosanya, Kamaldeen O.

2016-10-01

This paper uses 2D and high-quality 3D seismic reflection data to assess the geometry and kinematics of the Samson Dome, offshore Norway, revising the implications of the new data to hydrocarbon exploration in the Barents Sea. The study area was divided into three (3) zones in terms of fault geometries and predominant strikes. Displacement-length (D-x) and Throw-depth (T-z) plots showed faults to consist of several segments that were later dip-linked. Interpreted faults were categorised into three families, with Type A comprising crestal faults, Type B representing large E-W faults, and Type C consisting of polygonal faults. The Samson Dome was formed in three major stages: a) a first stage recording buckling of the post-salt overburden and generation of radial faults; b) a second stage involving dissolution and collapse of the dome, causing subsidence of the overburden and linkage of initially isolated fault segments; and c) a final stage in which large fault segments were developed. Late Cretaceous faults strike predominantly to the NW, whereas NE-trending faults comprise Triassic structures that were reactivated in a later stage. Our work provides scarce evidence for the escape of hydrocarbons in the Samson Dome. In addition, fault analyses based on present-day stress distributions indicate a tendency for 'locking' of faults at depth, with the largest leakage factors occurring close to the surface. The Samson Dome is an analogue to salt structures in the Barents Sea where oil and gas exploration has occurred with varied degrees of success.

Prediction of seismic collapse risk of steel moment frame mid-rise structures by meta-heuristic algorithms

NASA Astrophysics Data System (ADS)

Jough, Fooad Karimi Ghaleh; Şensoy, Serhan

2016-12-01

Different performance levels may be obtained for sideway collapse evaluation of steel moment frames depending on the evaluation procedure used to handle uncertainties. In this article, the process of representing modelling uncertainties, record to record (RTR) variations and cognitive uncertainties for moment resisting steel frames of various heights is discussed in detail. RTR uncertainty is used by incremental dynamic analysis (IDA), modelling uncertainties are considered through backbone curves and hysteresis loops of component, and cognitive uncertainty is presented in three levels of material quality. IDA is used to evaluate RTR uncertainty based on strong ground motion records selected by the k-means algorithm, which is favoured over Monte Carlo selection due to its time saving appeal. Analytical equations of the Response Surface Method are obtained through IDA results by the Cuckoo algorithm, which predicts the mean and standard deviation of the collapse fragility curve. The Takagi-Sugeno-Kang model is used to represent material quality based on the response surface coefficients. Finally, collapse fragility curves with the various sources of uncertainties mentioned are derived through a large number of material quality values and meta variables inferred by the Takagi-Sugeno-Kang fuzzy model based on response surface method coefficients. It is concluded that a better risk management strategy in countries where material quality control is weak, is to account for cognitive uncertainties in fragility curves and the mean annual frequency.

Noninvasive estimation of pharyngeal airway resistance and compliance in children based on volume-gated dynamic MRI and computational fluid dynamics.

PubMed

Persak, Steven C; Sin, Sanghun; McDonough, Joseph M; Arens, Raanan; Wootton, David M

2011-12-01

Computational fluid dynamics (CFD) analysis was used to model the effect of collapsing airway geometry on internal pressure and velocity in the pharyngeal airway of three sedated children with obstructive sleep apnea syndrome (OSAS) and three control subjects. Model geometry was reconstructed from volume-gated magnetic resonance images during normal tidal breathing at 10 increments of tidal volume through the respiratory cycle. Each geometry was meshed with an unstructured grid and solved using a low-Reynolds number k-ω turbulence model driven by flow data averaged over 12 consecutive breathing cycles. Combining gated imaging with CFD modeling created a dynamic three-dimensional view of airway anatomy and mechanics, including the evolution of airway collapse and flow resistance and estimates of the local effective compliance. The upper airways of subjects with OSAS were generally much more compliant during tidal breathing. Compliance curves (pressure vs. cross-section area), derived for different locations along the airway, quantified local differences along the pharynx and between OSAS subjects. In one subject, the distal oropharynx was more compliant than the nasopharynx (1.028 vs. 0.450 mm(2)/Pa) and had a lower theoretical limiting flow rate, confirming the distal oropharynx as the flow-limiting segment of the airway in this subject. Another subject had a more compliant nasopharynx (0.053 mm(2)/Pa) during inspiration and apparent stiffening of the distal oropharynx (C = 0.0058 mm(2)/Pa), and the theoretical limiting flow rate indicated the nasopharynx as the flow-limiting segment. This new method may help to differentiate anatomical and functional factors in airway collapse.

Widespread active detachment faulting and core complex formation near 13 degrees N on the Mid-Atlantic Ridge.

PubMed

Smith, Deborah K; Cann, Johnson R; Escartín, Javier

2006-07-27

Oceanic core complexes are massifs in which lower-crustal and upper-mantle rocks are exposed at the sea floor. They form at mid-ocean ridges through slip on detachment faults rooted below the spreading axis. To date, most studies of core complexes have been based on isolated inactive massifs that have spread away from ridge axes. Here we present a survey of the Mid-Atlantic Ridge near 13 degrees N containing a segment in which a number of linked detachment faults extend for 75 km along one flank of the spreading axis. The detachment faults are apparently all currently active and at various stages of development. A field of extinct core complexes extends away from the axis for at least 100 km. Our observations reveal the topographic characteristics of actively forming core complexes and their evolution from initiation within the axial valley floor to maturity and eventual inactivity. Within the surrounding region there is a strong correlation between detachment fault morphology at the ridge axis and high rates of hydroacoustically recorded earthquake seismicity. Preliminary examination of seismicity and seafloor morphology farther north along the Mid-Atlantic Ridge suggests that active detachment faulting is occurring in many segments and that detachment faulting is more important in the generation of ocean crust at this slow-spreading ridge than previously suspected.

Along-axis hydrothermal flow at the axis of slow spreading Mid-Ocean Ridges: Insights from numerical models of the Lucky Strike vent field (MAR)

NASA Astrophysics Data System (ADS)

Fontaine, Fabrice J.; Cannat, Mathilde; Escartin, Javier; Crawford, Wayne C.

2014-07-01

processes and efficiency of hydrothermal heat extraction along the axis of mid-ocean ridges are controlled by lithospheric thermal and permeability structures. Hydrothermal circulation models based on the structure of fast and intermediate spreading ridges predict that hydrothermal cell organization and vent site distribution are primarily controlled by the thermodynamics of high-temperature mid-ocean ridge hydrothermal fluids. Using recent constraints on shallow structure at the slow spreading Lucky Strike segment along the Mid-Atlantic Ridge, we present a physical model of hydrothermal cooling that incorporates the specificities of a magma-rich slow spreading environment. Using three-dimensional numerical models, we show that, in contrast to the aforementioned models, the subsurface flow at Lucky Strike is primarily controlled by across-axis permeability variations. Models with across-axis permeability gradients produce along-axis oriented hydrothermal cells and an alternating pattern of heat extraction highs and lows that match the distribution of microseismic clusters recorded at the Lucky Strike axial volcano. The flow is also influenced by temperature gradients at the base of the permeable hydrothermal domain. Although our models are based on the structure and seismicity of the Lucky Strike segment, across-axis permeability gradients are also likely to occur at faster spreading ridges and these results may also have important implications for the cooling of young crust at fast and intermediate spreading centers.

Geophysical Evidence for Magma Intrusion across the Non-Transform Offset between the Famous and North Famous segments of The Mid-Atlantic Ridge

NASA Astrophysics Data System (ADS)

Giusti, M.; Dziak, R. P.; Maia, M.; Perrot, J.; Sukhovich, A.

2017-12-01

In August of 2010 an unusually large earthquake sequence of >700 events occurred at the Famous and North Famous segments (36.5-37°N) of the Mid-Atlantic Ridge (MAR), recorded by an array of five hydrophones moored on the MAR flanks. The swarm extended spatially >70 km across the two segments. The non-transform offset (NTO) separating the two segements, which is thought to act as strucutural barrier, did not appear to impede or block the earthquake's spatial distribution. Broadband acoustic energy (1-30 Hz) was also observed and accompanied the onset of the swarm, lasting >20 hours. A total of 18 earthquakes from the swarm were detected teleseismically, four had Centroid-Moment Tensor (CMT) solutions derived. The CMT solutions indicated three normal faulting events, and one non-double couple (explosion) event. The spatio-temporal distribution of the seismicity and broadband energy show evidence of two magma dike intrusions at the North Famous segment, with one intrusion crossing the NTO. This is the first evidence for an intrusion event detected on the MAR south of the Azores since the 2001 Lucky Strike intrusion. Gravimetric data were required to identify whether or not the Famous area is indeed comprised of two segments down to the level of the upper mantle. A high resolution gravity anomaly map of the two segments has been realized, based on a two-dimensional polygons model (Chapman, 1979) and will be compared to gravimetric data originated from SUDACORES experiment (1998, Atalante ship, IFREMER research team). Combined with the earthquake observations, this gravity anomaly map should provide a better understanding the geodynamic processes of this non-transform offset and of the deep magmatic system driving the August 2010 swarm.

Assembly Test Article (ATA)

NASA Technical Reports Server (NTRS)

Ricks, Glen A.

1988-01-01

The assembly test article (ATA) consisted of two live loaded redesigned solid rocket motor (RSRM) segments which were assembled and disassembled to simulate the actual flight segment stacking process. The test assembly joint was flight RSRM design, which included the J-joint insulation design and metal capture feature. The ATA test was performed mid-November through 24 December 1987, at Kennedy Space Center (KSC), Florida. The purpose of the test was: certification that vertical RSRM segment mating and separation could be accomplished without any damage; verification and modification of the procedures in the segment stacking/destacking documents; and certification of various GSE to be used for flight assembly and inspection. The RSRM vertical segment assembly/disassembly is possible without any damage to the insulation, metal parts, or seals. The insulation J-joint contact area was very close to the predicted values. Numerous deviations and changes to the planning documents were made to ensure the flight segments are effectively and correctly stacked. Various GSE were also certified for use on flight segments, and are discussed in detail.

SIMPLIFIED TECHNIQUE FOR RECONSTRUCTION OF THE DIGESTIVE TRACT AFTER TOTAL AND SUBTOTAL GASTRECTOMY FOR GASTRIC CANCER

PubMed Central

ZILBERSTEIN, Bruno; JACOB, Carlos Eduardo; BARCHI, Leandro Cardoso; YAGI, Osmar Kenji; RIBEIRO-JR, Ulysses; COIMBRA, Brian Guilherme Monteiro Marta; CECCONELLO, Ivan

2014-01-01

Background Laparoscopic surgery has been increasingly applied to gastric cancer surgery. Gastrointestinal tract reconstruction totally done by laparoscopy also has been a challenge for those who developed this procedure. Aim To describe simplified reconstruction after total or subtotal gastrectomy for gastric cancer by laparoscopy and the results of its application in a series of cases. Methods In the last four years, 75 patients were operated with gastric cancer and two with GIST. Thirty-four were women and 43 men. The age ranged from 38 to 77 years with an average of 55 years. In two patients with GIST a total and a subtotal gastrectomy were performed. In the other 75 patients were done 21 total gastrectomies and 54 subtotal. In all cancers, gastrectomy with D2 lymphadenectomy was completed with at least 37 lymph nodes removed. Was used in these operations a modified laparoscopic technique proposed by the authors consisting in a latero lateral esophagojejunal anastomosis with linear stapler in TG as well in STG, and reconstruction of the digestive continuity also in the upper abdomen. Results The intraoperative and immediate postoperative course were uneventful, except for one case of bleeding due to an opening clip, necessitating re-intervention. The operative time was 300 minutes, with no difference between total or subtotal gastrectomy. The number of lymph nodes removed varied from 28 to 69, averaging 37. Postoperative staging showed one case in T4 N2 M0; 13 in T2 N0 MO; 27 in T2 N1 M0; 24 in T3 N1 M0 and 10 in T3 N2 M0. Complication in only one case was observed on the 10th postoperative day with a small anastomotic leakage in esophagojejunal anastomose with spontaneous closure. Conclusion The patient's evolution with no complications, no mortality and just one small anastomotic leakage with no systemic repercussions is a strong indication of the liability and feasibility of this innovative technical method. PMID:25004292

One hundred cases of laparoscopic subtotal hysterectomy using the PK and Lap Loop systems.

PubMed

Erian, John; El-Toukhy, Tarek; Chandakas, Stefanos; Theodoridis, Theo; Hill, Nicholas

2005-01-01

To evaluate the safety and short-term outcomes of laparoscopic subtotal hysterectomy using the PK and Lap Loop systems. Prospective observational study (Canadian Task Force classification II-2). Princess Royal University and Chelsfield Park Hospitals, Kent, UK. One hundred women who underwent laparoscopic subtotal hysterectomy for menorrhagia from February 2003 through July 2004. The procedure was performed using the Plasma Kinetic (PK) system to seal the vascular pedicles and the Lap Loop system to separate the uterus at the level of the internal os. The uterus was removed from the abdominal cavity mainly by morcellation or posterior colpotomy. Of 100 patients, 59 were operated on as outpatients. Mean patient age was 44.6 years, median parity was 2, mean body mass index was 26.8, and mean duration of symptoms was 4 years. Clinically, the uterus was enlarged in 70 patients, and preoperative ultrasound scanning suggested the presence of uterine myomas in 42 patients. In addition to hysterectomy, 47 patients had concomitant pelvic surgery. The mean total operating time was 45.5 minutes, and mean estimated blood loss was 114 mL. The overall major complication rate was 2%; two patients required blood transfusion after surgery. There were no bowel or urinary tract injuries, unintended laparotomy, return to operating room, or anesthetic complications. At follow-up, all patients were satisfied with surgery. Laparoscopic subtotal hysterectomy using the PK and Lap Loop systems for treatment of therapy-resistant menorrhagia is safe, can be performed as an outpatient procedure, and is associated with reduced operating time and high patient satisfaction.

Importance of latissimus dorsi muscle preservation for shoulder function after scapulectomy.

PubMed

Mimata, Yoshikuni; Nishida, Jun; Nagai, Taro; Tada, Hiroshi; Sato, Kotaro; Doita, Minoru

2018-03-01

Scapulectomy is an inevitable treatment for sarcomas of the scapula. This procedure is unavoidable because it reduces the local recurrence rate but can impair shoulder movements and affect the activities of daily living. This study investigated the factors influencing functional outcomes after scapulectomy. The clinical results of 8 patients (5 males, 3 females) who were diagnosed with primary or metastatic sarcomas of the scapula were retrospectively reviewed. The mean age was 49 years (range, 11-86 years). We examined the correlation between the type of excision of the scapula (total, subtotal, or partial) and postoperative functional outcomes according to the Musculoskeletal Tumor Society (MSTS) score. In partial excision, the glenohumeral joint was preserved; in subtotal excision, the glenoid was completely resected and some bony components were preserved; and in total excision, the entire bony component of the scapula was resected. The average follow-up period was 55 months (range, 9-142 months). The partial, subtotal, and total excision groups had mean functional scores of 96.7%, 76.7%, and 62.2%, respectively. Although the mean functional scores were lower in patients who underwent total and subtotal excisions, 3 patients in whom the latissimus dorsi muscle was preserved had better function (mean MSTS score, 76.7%) than the 2 patients in whom it was not preserved (mean MSTS score, 55.0%). These results suggest that the latissimus dorsi muscle, along with the deltoid and pectoralis major muscles, is one of the stabilizers of the proximal humerus after scapulectomy. Copyright © 2017 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

Seafloor Structural Geomorphic Evolution in Response to Seamount Subduction, Poverty Bay Indentation, New Zealand

NASA Astrophysics Data System (ADS)

Bodger, K. L.; Pettinga, J. R.; Barnes, P. M.

2006-12-01

More than 4000 km2 of high quality bathymetric and backscatter imaging of the Poverty Bay Indentation across the northern part of the Hikurangi subduction zone provide new insights into the relationship between seafloor morphology and active structures. The swath bathymetry extends from the edge of the continental shelf to the abyssal plain, at depths of between 100 to 3500 metres. The origin of the slope re-entrant is inferred to be related to multiple seamount impacts, and these collisions have initiated numerous large-scale gravitational collapse structures, multiple debris flow and avalanche deposits, which range in down-slope length from a few hundred metres to more than 40 km. The Poverty Bay Indentation has been simultaneously eroded by canyon systems that exhibit many of the features of incised river systems onshore. The swath images are complemented by the availability of excellent high-quality processed multi-channel seismic reflection data, single channel high-resolution 3.5 kHz seismic reflection data, as well as a limited number of core samples. Seismic reflection profiles and seafloor morphology are used to provide three morpho-structural sections. The comparison of these sections highlights the different effects of seamount subduction on the evolution of the margin and the re-entrant. The northern two sections are located to the north side of the re-entrant and reveal the role of seamount impact on the interrelationship between the structural evolution with respect to seafloor morphology. Here the development of an over-steepened margin with fault reactivation, inversion and over- printing leads to very complex structural styles of deformation and geometry in both seismic reflection profiles and seafloor morphology. There is evidence of an older, inactive thrust front buried beneath the upper and mid- slope basins. Beneath the mid-slope a subducted seamount is revealed by the presence of relief on the subduction interface and associated structural complexity in the over-riding wedge. The Poverty Bay canyon represents a structural transition zone coinciding with the re-entrant. The accretionary slope south of the re- entrant conforms more closely to the classic accretionary slope style of deformation. Backthrusts in this section propagate from a much shallower level than in the northern sections. Inversion is commonly observed in the mid slope and continental shelf basins, particularly to the south. Initial interpretations indicate that: i) seamount impact significantly influences the structural evolution, and submarine geomorphology of the inboard slope of the Hikurangi subduction zone, including the generation of large-scale gravitational collapse features; ii) the large gully systems located at the upper shelf slope boundary represent the most likely source areas for the multiple mega debris flows recognised from seafloor morphology and in seismic sections; iii) there exists a complex interaction between the evolving thrust-driven submarine ridges, ponded slope basins and the structural geometry and evolution of the near-surface fault zones (imbrication); iv) the submarine canyons may initiate complex patterns of fault zone segmentation and displacement transfer within the accretionary slope; and v) seamount subduction and subsequent instability of the margin may directly result in tsunami generation.

Comparison of 6-year Follow-up Result of Hybrid Surgery and Anterior Cervical Discectomy and Fusion for the Treatment of Contiguous 2-segment Cervical Degenerative Disc Diseases.

PubMed

Xiong, Yang; Xu, Lin; Yu, Xing; Yang, Yongdong; Zhao, Dingyan; Hu, Zhengguo; Li, Chuanhong; Zhao, He; Duan, Lijun; Zhang, Bingbing; Chen, Sixue; Liu, Tao

2018-03-15

A retrospective study. To compare the mid-term outcomes of hybrid surgery and anterior cervical discectomy and fusion for the treatment of contiguous 2-segment cervical degenerative disc diseases. Hybrid surgery has become one of the most controversial subjects in spine communities, and the comparative studies of hybrid surgery and anterior cervical discectomy and fusion in the mid- and long-term follow-up are rarely reported. From 2009 to 2012, 42 patients who underwent hybrid surgery (n = 20) or anterior cervical discectomy and fusion (n = 22) surgery for symptomatic contiguous 2-level cervical degenerative disc diseases were included. Clinical and radiological records, including Japanese Orthopedic Association, Neck Disability Index, Visual Analogue Scale, local cervical lordosis and range of motion, were reviewed retrospectively. Complications were recorded and evaluated. Mean follow-up were 77.25 and 79.68 months in HS group and ACDF group, respectively (p > 0.05). Both in HS group and ACDF group, significant improvement for the mean JOA, NDI and VAS scores was found at 2-week postoperation and at the last follow-up (P < 0.05). However, there were no significant differences between the two groups (P > 0.05). At last follow-up, the ROM of superior adjacent segments in ACDF group was significantly larger than HS group (p < 0.05) while the ROM of C2-C7 was significantly smaller (p < 0.05). In HS group, 2(10%)sagittal wedge deformity, 1(5%) heterotopic ossification and 1(5%) anterior migration of the Byran disc prosthesis were found. No symptomatic adjacent segment degeneration occurred in two groups. Hybrid surgery appears to be an acceptable option in the management of contiguous 2-segment cervical degenerative disc diseases. It yielded similar mid-term clinical improvement to anterior cervical discectomy and fusion, and demonstrated better preservation of cervical ROM. The incidence of postoperative sagittal wedge deformity was low, however, it can significantly reduce the cervical lordosis. 4.

A case of late-onset segmental neurofibromatosis.

PubMed

McLimore, Heather; McCaughey, Cort; Vanness, Erin

2014-04-01

Segmental neurofibromatosis (NF5) is a rare variant of neurofibromatosis. To our knowledge, there have been few reports of cases presenting later in life. The recognition of NF5 is important, as there have been reports of paraneoplastic manifestations and transmission to offspring. Here we present the case of a patient who presented with NF5 first appearing in her mid-50s. This case illustrates the subtle nature of NF5, which often leads to misdiagnosis.

The amphioxus T-box gene, AmphiTbx15/18/22, illuminates the origins of chordate segmentation.

PubMed

Beaster-Jones, Laura; Horton, Amy C; Gibson-Brown, Jeremy J; Holland, Nicholas D; Holland, Linda Z

2006-01-01

Amphioxus and vertebrates are the only deuterostomes to exhibit unequivocal somitic segmentation. The relative simplicity of the amphioxus genome makes it a favorable organism for elucidating the basic genetic network required for chordate somite development. Here we describe the developmental expression of the somite marker, AmphiTbx15/18/22, which is first expressed at the mid-gastrula stage in dorsolateral mesendoderm. At the early neurula stage, expression is detected in the first three pairs of developing somites. By the mid-neurula stage, expression is downregulated in anterior somites, and only detected in the penultimate somite primordia. In early larvae, the gene is expressed in nascent somites before they pinch off from the posterior archenteron (tail bud). Integrating functional, phylogenetic and expression data from a variety of triploblast organisms, we have reconstructed the evolutionary history of the Tbx15/18/22 subfamily. This analysis suggests that the Tbx15/18/22 gene may have played a role in patterning somites in the last common ancestor of all chordates, a role that was later conserved by its descendents following gene duplications within the vertebrate lineage. Furthermore, the comparison of expression domains within this gene subfamily reveals similarities in the genetic bases of trunk and cranial mesoderm segmentation. This lends support to the hypothesis that the vertebrate head evolved from an ancestor possessing segmented cranial mesoderm.

Analysis of a kinetic multi-segment foot model part II: kinetics and clinical implications.

PubMed

Bruening, Dustin A; Cooney, Kevin M; Buczek, Frank L

2012-04-01

Kinematic multi-segment foot models have seen increased use in clinical and research settings, but the addition of kinetics has been limited and hampered by measurement limitations and modeling assumptions. In this second of two companion papers, we complete the presentation and analysis of a three segment kinetic foot model by incorporating kinetic parameters and calculating joint moments and powers. The model was tested on 17 pediatric subjects (ages 7-18 years) during normal gait. Ground reaction forces were measured using two adjacent force platforms, requiring targeted walking and the creation of two sub-models to analyze ankle, midtarsal, and 1st metatarsophalangeal joints. Targeted walking resulted in only minimal kinematic and kinetic differences compared with walking at self selected speeds. Joint moments and powers were calculated and ensemble averages are presented as a normative database for comparison purposes. Ankle joint powers are shown to be overestimated when using a traditional single-segment foot model, as substantial angular velocities are attributed to the mid-tarsal joint. Power transfer is apparent between the 1st metatarsophalangeal and mid-tarsal joints in terminal stance/pre-swing. While the measurement approach presented here is limited to clinical populations with only minimal impairments, some elements of the model can also be incorporated into routine clinical gait analysis. Copyright © 2011 Elsevier B.V. All rights reserved.

Tectonic environments and local geologic controls of potential hydrothermal fields along the Southern Mid-Atlantic Ridge (12-14°S)

NASA Astrophysics Data System (ADS)

Li, Bing; Shi, Xuefa; Wang, Jixin; Yan, Quanshu; Liu, Chenguang; DY125-21 (Leg 3) Science Party; DY125-22 (Legs 2-5) Science Party; DY125-26 (Leg 3) Science Party

2018-05-01

Systematic hydrothermal exploration and multi-beam bathymetry mapping have been conducted along a 220-km-long section of the Southern Mid-Atlantic Ridge (SMAR) from 12°S (Bode Verde Fracture Zone) to 14°S (Cardno Fracture Zone), and previously reported deposits (Tao et al., 2011) are now being thoroughly investigated. Here, we present the characterization of three possible hydrothermal fields, a complete bathymetry data set of the ridge segment, gravity data, and the petrologic characteristics of collected rock samples. The magmatism characteristics, evolution of the ridge segment, and the local geological controls of the possible hydrothermal fields are then discussed. The studied segment can be divided into two segments by a Non-Transform Discontinuity (NTD). Our morphotectonic analysis shows significant along-axis heterogeneity in the surveyed segments: three distinctive cross-axis grabens were identified in the northern segment, and two were identified in the southern segment. Moreover, based on the gravity data (a relatively low spherical Bouguer anomaly) and petrologic data (low Mg# values and relatively low FeO and relatively high Al2O3 and CaO contents compared to nearby seafloor samples), a volcanic feature, the ZouYu seamount, on this segment is considered to be associated with strong magmatic activity, and the magmatic activity of the inside corner at the southern end of the segment has increased and decreased. The three possible hydrothermal fields occur in different local geological settings: a shallow magmatic seamount (ZouYu), an NTD (TaiJi), and an inside-corner high (CaiFan). These potential hydrothermal fields are significantly different from other fields in similar tectonic settings in terms of local geologic controls and products. The ZouYu field is primarily related to a newly formed cone, resulting in the production of sulfides, and differs from other fields on shallow magmatic seamounts. The TaiJi field is largely controlled by the tectonic evolution of the NTD and is based on mafic rocks. The inside corner containing the CaiFan field is a magmatic seamount rather than an Ocean Core Complex, making it strikingly different from other inside corner-related fields.

Peridotites and basalts reveal broad congruence between two independent records of mantle fO2 despite local redox heterogeneity

NASA Astrophysics Data System (ADS)

Birner, Suzanne K.; Cottrell, Elizabeth; Warren, Jessica M.; Kelley, Katherine A.; Davis, Fred A.

2018-07-01

The oxygen fugacity (fO2) of the oceanic upper mantle has fundamental implications for the production of magmas and evolution of the Earth's interior and exterior. Mid-ocean ridge basalts and peridotites sample the oceanic upper mantle, and retain a record of oxygen fugacity. While fO2 has been calculated for mid-ocean ridge basalts worldwide (>200 locations), ridge peridotites have been comparatively less well studied (33 samples from 11 locations), and never in the same geographic location as basalts. In order to determine whether peridotites and basalts from mid-ocean ridges record congruent information about the fO2 of the Earth's interior, we analyzed 31 basalts and 41 peridotites from the Oblique Segment of the Southwest Indian Ridge. By measuring basalts and peridotites from the same ridge segment, we can compare samples with maximally similar petrogenetic histories. We project the composition and oxygen fugacity of each lithology back to source conditions, and evaluate the effects of factors such as subsolidus diffusion in peridotites and fractional crystallization in basalts. We find that, on average, basalts and peridotites from the Oblique Segment both reflect a source mantle very near the quartz-fayalite-magnetite (QFM) buffer. However, peridotites record a significantly wider range of values (nearly 3 orders of magnitude in fO2), with a single dredge recording a range in fO2 greater than that previously reported for mid-ocean ridge peridotites worldwide. This suggests that mantle fO2 may be heterogeneous on relatively short length scales, and that this heterogeneity may be obscured within aggregated basalt melts. We further suggest that the global peridotite fO2 dataset may not provide a representative sample of average basalt-source mantle. Our study motivates further investigation of the fO2 recorded by ridge peridotites, as peridotites record information about the fO2 of the Earth's interior that cannot be gleaned from analysis of basalts alone.

A novel cardiac MR chamber volume model for mechanical dyssynchrony assessment

NASA Astrophysics Data System (ADS)

Song, Ting; Fung, Maggie; Stainsby, Jeffrey A.; Hood, Maureen N.; Ho, Vincent B.

2009-02-01

A novel cardiac chamber volume model is proposed for the assessment of left ventricular mechanical dyssynchrony. The tool is potentially useful for assessment of regional cardiac function and identification of mechanical dyssynchrony on MRI. Dyssynchrony results typically from a contraction delay between one or more individual left ventricular segments, which in turn leads to inefficient ventricular function and ultimately heart failure. Cardiac resynchronization therapy has emerged as an electrical treatment of choice for heart failure patients with dyssynchrony. Prior MRI techniques have relied on assessments of actual cardiac wall changes either using standard cine MR images or specialized pulse sequences. In this abstract, we detail a semi-automated method that evaluates dyssynchrony based on segmental volumetric analysis of the left ventricular (LV) chamber as illustrated on standard cine MR images. Twelve sectors each were chosen for the basal and mid-ventricular slices and 8 sectors were chosen for apical slices for a total of 32 sectors. For each slice (i.e. basal, mid and apical), a systolic dyssynchrony index (SDI) was measured. SDI, a parameter used for 3D echocardiographic analysis of dyssynchrony, was defined as the corrected standard deviation of the time at which minimal volume is reached in each sector. The SDI measurement of a healthy volunteer was 3.54%. In a patient with acute myocardial infarction, the SDI measurements 10.98%, 16.57% and 1.41% for basal, mid-ventricular and apical LV slices, respectively. Based on published 3D echocardiogram reference threshold values, the patient's SDI corresponds to moderate basal dysfunction, severe mid-ventricular dysfunction, and normal apical LV function, which were confirmed on echocardiography. The LV chamber segmental volume analysis model and SDI is feasible using standard cine MR data and may provide more reliable assessment of patients with dyssynchrony especially if the LV myocardium is thin or if the MR images have spatial resolution insufficient for proper resolution of wall thickness-features problematic for dyssynchrony assessment using existing MR techniques.

Department of the Navy FY 1990/FY 1991 Biennial Budget Estimates. Military Construction and Family Housing Program FY 1990. Justification Data Submitted to Congress

DTIC Science & Technology

1989-01-01

Center, Panama City 314 Diver Training Building Addition 4,300 4 ,300 50 180 Subtotal 4,300 4,300 Navy Experimental Diving Unit 182 Panama City 347 ...Air Force 001 Security Training Center 4,500 4,500 100 345 Subtotal .4,500 4,500 TOTAL FOR TAS 28,220 28,220 Virginia Naval SecuritY Goui Activity 347 ...Building Addition 4,300 C NEDU Panama City, FL 347 Underwater Equipment Support Complex 2,900 C NPWC Pensacola, FL 109 Wastewater Transfer System 2,100 C

Rectus abdominus free flap in the reconstruction of the orbit following subtotal exenteration.

PubMed

Weichel, Eric D; Eiseman, Andrew S; Casler, John D; Bartley, George B

2011-01-01

An 18-year-old woman with recurrent embryonal rhabdomyosarcoma underwent a right subtotal exenteration sparing the eyelids and conjunctiva to remove the tumor. A rectus abdominus muscle free flap was secured to the right temporalis muscle. The temporalis muscle was then advanced into the temporal fossa defect and the rectus abdominus flap placed into the right orbital cavity and right maxillary sinus. An ocular conformer was then placed and a lateral tarsorrhaphy was performed. This surgical technique provides rapid socket rehabilitation with good cosmesis and enables the use of a standard ocular prosthesis.

The Study of the Rapid Acquisition Mine Resistant Ambush Protected (MRAP) Vehicle Program and Its Impact on the Warfighter

DTIC Science & Technology

2013-06-01

according to the Naval Facilities Engineering Command (2008). FSRs and uniformed mechanics train at the RRAD in Texarkana , Texas. Participants of the... 2017 128.3 128.3 2018 96.1 96.1 Subtotal! 57581 5054.11 ·3 ·3 5054.11 2345.81 7399.91 Base. Year Dollars (BYS) 1109 1 Procurement I Procurement...164.3 2014 142.7 142.7 2015 129.6 129.6 2016 114.5 114.5 2017 1092 109.2 2018 80.5 80.5 Subtotal I 57581 4955.01 ~ - 1 4955.~ 2192.41 7147.41

Safe endobag morcellation in a single-port laparoscopy subtotal hysterectomy.

PubMed

Angioni, Stefano; Pontis, Alessandro; Multinu, Angelo; Melis, Gianbenedetto

2016-01-01

Recently, the American Food and Drug Administration (FDA) published an alert about the risks of uterine tissue morcellation during laparoscopic procedures. In particular, the possible risk of spreading an undiagnosed malignant tumor was emphasized. From then on, a fervent debate in the media has led major scientific societies to express their position on the matter. We present a safe endobag abdominal morcellation in a single port-access laparoscopy subtotal hysterectomy. The endobag abdominal morcellation is feasible and safe; consequently, the development of devices dedicated to intracavitary morcellation in a closed system has been encouraged.

Overview and Summary of the Advanced Mirror Technology Development Project

NASA Astrophysics Data System (ADS)

Stahl, H. P.

2014-01-01

Advanced Mirror Technology Development (AMTD) is a NASA Strategic Astrophysics Technology project to mature to TRL-6 the critical technologies needed to produce 4-m or larger flight-qualified UVOIR mirrors by 2018 so that a viable mission can be considered by the 2020 Decadal Review. The developed mirror technology must enable missions capable of both general astrophysics & ultra-high contrast observations of exoplanets. Just as JWST’s architecture was driven by launch vehicle, a future UVOIR mission’s architectures (monolithic, segmented or interferometric) will depend on capacities of future launch vehicles (and budget). Since we cannot predict the future, we must prepare for all potential futures. Therefore, to provide the science community with options, we are pursuing multiple technology paths. AMTD uses a science-driven systems engineering approach. We derived engineering specifications for potential future monolithic or segmented space telescopes based on science needs and implement constraints. And we are maturing six inter-linked critical technologies to enable potential future large aperture UVOIR space telescope: 1) Large-Aperture, Low Areal Density, High Stiffness Mirrors, 2) Support Systems, 3) Mid/High Spatial Frequency Figure Error, 4) Segment Edges, 5) Segment-to-Segment Gap Phasing, and 6) Integrated Model Validation Science Advisory Team and a Systems Engineering Team. We are maturing all six technologies simultaneously because all are required to make a primary mirror assembly (PMA); and, it is the PMA’s on-orbit performance which determines science return. PMA stiffness depends on substrate and support stiffness. Ability to cost-effectively eliminate mid/high spatial figure errors and polishing edges depends on substrate stiffness. On-orbit thermal and mechanical performance depends on substrate stiffness, the coefficient of thermal expansion (CTE) and thermal mass. And, segment-to-segment phasing depends on substrate & structure stiffness. This presentation will introduce the goals and objectives of the AMTD project and summarize its recent accomplishments.

In-situ seismic record of potential sill intrusion at the ultraslow spreading Southwest Indian Ridge

NASA Astrophysics Data System (ADS)

Meier, M.; Schlindwein, V. S. N.

2017-12-01

Ultraslow spreading mid-ocean ridges with full spreading rates up to 15 mm/yr are described as the melt poor endmember of the entire mid-ocean ridge system. The melt supply along ultraslow spreading ridges is uneven resulting in the formation of volcanic centres and amagmatic segments. Amagmatic segments show thicker brittle lithosphere of up to 30 km, whereas magmatic segments have much thinner lithosphere of up to less than 15 km. It is supposed that melt travels along the lithosphere asthenosphere boundary from amagmatic segments to magmatic segments, where it can reach the seafloor and erupt. These spreading events are rare at ultraslow spreading ridges compared to faster spreading ridges and insitu observations hardly exist. During an ocean bottom seismometer (OBS) experiment at the eastern Southwest Indian Ridge two earthquake swarms were accidentally recorded. The swarms occurred in January and April 2013 and both lasted for a few days. The events of the earthquake swarms were relatively located with HypoDD for better spatial resolution. This unique dataset allowed for studying active spreading processes at an ultraslow spreading ridge. The earthquakes occurred in depths, where the magma chamber of the nearby Segment-8 volcano is located. This magma chamber potentially fed a sill intrusion, which was recorded as earthquake swarms. During the first hours of the first earthquake swarm a migration pattern was identified. The hypocentres migrated away from the Segment-8 volcanic centre and slightly downwards. Later events occurred more randomly in the active area. Simultaneously seismic tremor was recorded at the station closest to the swarm locations. The tremor lasted longer for the shorter earthquake swarm in April. During both tremor phases the signal was modulated with a 12 hour period. We speculate that a hydrothermal system was affected by the intrusion and fluid flow modulated by the tides produced the tremor signal.

A cyber-physical system for senior collapse detection

NASA Astrophysics Data System (ADS)

Grewe, Lynne; Magaña-Zook, Steven

2014-06-01

Senior Collapse Detection (SCD) is a system that uses cyber-physical techniques to create a "smart home" system to predict and detect the falling of senior/geriatric participants in home environments. This software application addresses the needs of millions of senior citizens who live at home by themselves and can find themselves in situations where they have fallen and need assistance. We discuss how SCD uses imagery, depth and audio to fuse and interact in a system that does not require the senior to wear any devices allowing them to be more autonomous. The Microsoft Kinect Sensor is used to collect imagery, depth and audio. We will begin by discussing the physical attributes of the "collapse detection problem". Next, we will discuss the task of feature extraction resulting in skeleton and joint tracking. Improvements in error detection of joint tracking will be highlighted. Next, we discuss the main module of "fall detection" using our mid-level skeleton features. Attributes including acceleration, position and room environment factor into the SCD fall detection decision. Finally, how a detected fall and the resultant emergency response are handled will be presented. Results in a home environment will be given.

Unveiling early black holes with JWST

NASA Astrophysics Data System (ADS)

Natarajan, Priyamvada

The formation of direct collapse black hole seeds with masses ~104 - 105 ~M⊙ could help explain the assembly of supermassive black holes powering high redshift quasars. Conditions conducive to the formation of these massive initial seeds exist at high redshift. Halos hosting these massive seeds merge promptly with a nearby galaxy. These early stage mergers at high redshift produce a new class of transient galaxies that contain an accreting black hole that is over-massive compared to the newly acquired stellar component - Obese Black hole Galaxies (OBGs). During this phase, the accretion luminosity of the direct collapse black hole seed exceeds that of the acquired stellar component. Here we calculate the multi-wavelength spectrum of this short-lived OBG stage, and show that there exist unique observational signatures in long wavelengths spanning near, mid to far-infrared that should be detectable by instruments aboard the upcoming James Webb Space Telescope (JWST).

Petrologic Evolution of Lavas Erupted between 13N and 14N, Mid-Atlantic Ridge

NASA Astrophysics Data System (ADS)

Bendana, S.; Wanless, V. D.; Kurz, M. D.; Soule, S. A.; Mittelstaedt, E. L.; Fornari, D. J.; Lytle, M. L.

2017-12-01

Along many slow spreading ridge segments, the morphology of the axis varies from a symmetric central rift valley where magmatism accommodates a relatively higher proportion of plate spreading to a deeper, asymmetric axial valley where faulting and ductile deformation dominate and oceanic core complexes are common. This transition in morphology correlates with changes in lithospheric thickness, which may influence the total extents of melting and erupted lava compositions. To explore how magmatic processes vary along a slow spreading mid-ocean ridge, we sampled the Mid-Atlantic Ridge (MAR) from 13° 46'N to 14° 06'N on the R/V Atlantis using AUV Sentry and HOV Alvin. Three sections of the ridge were investigated in detail: (1) the asymmetrically spreading (magma-poor) section of the MAR at 13° 48'N, (2) the symmetrically spreading (magma-rich) center of the segment, near 14° 04'N, and (3) the transition between the two sections. To determine how crystallization depths and melting systematics vary from a magma-rich to magma-poor segment, we analyzed all the lavas for major element concentrations by electron microprobe and a subset of lavas for trace element contents using solution ICP-MS. Preliminary geochemical results from the magma-poor region indicate the eruption of a range of slightly to moderately enriched basaltic compositions. Out of 134 samples, fifteen samples collected in the magma-poor region are "popping rocks", containing a high abundance of vesicles and elevated volatile and noble gas contents. All "popping rocks" collected are relatively homogeneous in composition (e.g. [La]N 39-42, [Sm]N 22-24; K2O/TiO2 0.32-0.35) compared to the other lavas erupted in the magma-poor region (e.g. [La]N 13-47, [Sm]N 11-24; K2O/TiO2 0.17-0.5). This suggests that the non-popping rocks formed from variable extents of melting or heterogeneous mantle sources. We will combine bathymetry with results of analyses of lavas from the magma-rich segment and petrologic models to determine how extents and pressures of fractional crystallization and melting systematics vary along a slow spreading mid-ocean ridge.

The association between body composition, 25(OH)D, and PTH and bone mineral density in black African and Asian Indian population groups.

PubMed

George, Jaya A; Micklesfield, L K; Norris, S A; Crowther, N J

2014-06-01

There are few data on the contribution of body composition to bone mineral density (BMD) in non-Caucasian populations. We therefore studied the contribution of body composition, and possible confounding of 25-hydroxyvitamin D and PTH, to BMD at various skeletal sites in black African (BA) and Asian Indian (AI) subjects. This was a cross-sectional study in Johannesburg, South Africa. BMD, body fat, and lean mass were measured using dual x-ray absorptiometry and abdominal fat distribution by ultrasound in 714 healthy subjects, aged 18-65 years. Whole-body (subtotal), hip, femoral neck, and lumbar spine (lumbar) BMD were significantly higher in BA than AI subjects (P < .001 for all). Whole-body lean mass positively associated with BMD at all sites in both ethnic groups (P < .001 for all) and partially explained the higher BMD in BA females compared with AI females. Whole-body fat mass correlated positively with lumbar BMD in BA (P = .001) and inversely with subtotal BMD in AI subjects (P < .0001). Visceral adiposity correlated inversely with subtotal BMD in the BA (P = .037) and with lumbar BMD in the AI group (P = .005). No association was found between serum 25-hydroxyvitamin D and BMD. PTH was inversely associated with hip BMD in the BA group (P = .01) and with subtotal (P = .002), hip (P = .001), and femoral BMD (P < .0001) in the AI group. Significant differences in whole-body and site-specific BMD between the BA and AI groups were observed, with lean mass the major contributor to BMD at all sites in both groups. The contribution of other components of body composition differed by site and ethnic group.

Heinrich Events: An Unintentional Discovery And Possible Consequences For The Future

NASA Astrophysics Data System (ADS)

Heinrich, H.

2017-12-01

Heinrich Events: An Unintentional Discovery And Its Possible Consequences For The FutureIn the mid 80ties an environmental impact assessment in relation to deep-sea dumping of medium-to-high level radioactive waste was carried out in the eastern margins of the Mid Atlantic Ridge next to the Bay of Biscaye. In one of the box corers recovered for radionuclide analysis a volcanic rock was found that triggered interest because of an unexpected geochemical feature on its surface. Subsequent investigations on the bordering sediment layer revealed hints on a massive ice rafting event possibly released from rapidly collapsing circum-Atlantic ice shields. The search for more of these events in numerous sediment cores exhibited a total of 11 layers since the end of the Saalian/Illinoian glaciation (OIS 6/5 to 2/1). The six events identified in the period OIS 4 to 2 indicated oceanographic conditions in the Northeast Atlantic Ocean that were different to those that prevailed during most time of this glacial period. Later, several authors proposed mechanisms that could have triggered the collapses, e.g. the Binge-Purge model (MacAyeal, 1993) or, access of relatively warm water to the grounding lines in conjunction with isostatic movements (Bassis, 2017). One of the consequences of rapid ice shield collapses is sea level rise. Paleo data report rates of up to several meters per century over a period of several centuries. The process described by Bassis et al. resembles to what nowadays can be observed along the ice margins of Greenland and the Antarctic where (man-made) warmed ocean water attacks the grounding lines. If this initiates something similar to a Heinrich event this is of widespread consequence for coasts, from displacement of populations to marine pollution. Thus, research on past Heinrich Events is important for understanding the future developments of the existing ice shields and climate change.

Detecting macroeconomic phases in the Dow Jones Industrial Average time series

NASA Astrophysics Data System (ADS)

Wong, Jian Cheng; Lian, Heng; Cheong, Siew Ann

2009-11-01

In this paper, we perform statistical segmentation and clustering analysis of the Dow Jones Industrial Average (DJI) time series between January 1997 and August 2008. Modeling the index movements and log-index movements as stationary Gaussian processes, we find a total of 116 and 119 statistically stationary segments respectively. These can then be grouped into between five and seven clusters, each representing a different macroeconomic phase. The macroeconomic phases are distinguished primarily by their volatilities. We find that the US economy, as measured by the DJI, spends most of its time in a low-volatility phase and a high-volatility phase. The former can be roughly associated with economic expansion, while the latter contains the economic contraction phase in the standard economic cycle. Both phases are interrupted by a moderate-volatility market correction phase, but extremely-high-volatility market crashes are found mostly within the high-volatility phase. From the temporal distribution of various phases, we see a high-volatility phase from mid-1998 to mid-2003, and another starting mid-2007 (the current global financial crisis). Transitions from the low-volatility phase to the high-volatility phase are preceded by a series of precursor shocks, whereas the transition from the high-volatility phase to the low-volatility phase is preceded by a series of inverted shocks. The time scale for both types of transitions is about a year. We also identify the July 1997 Asian Financial Crisis to be the trigger for the mid-1998 transition, and an unnamed May 2006 market event related to corrections in the Chinese markets to be the trigger for the mid-2007 transition.

Borehole Sonar Investigations at Idaho Springs, Colorado and Manatee Springs, Florida.

DTIC Science & Technology

1982-02-01

fatalities, and economic losses. Without this ability, it faces the possibility of another disaster such as the Teton Dam collapse in the mid-70’s...water level in these holes could be maintained during logging if water was added from the piping system and truck reservoir atop the hill. A full...1980 (No. 5) was improved significantly. The others were no better than in 1980. One hole (No. 10) could not be used at all. The pipe recharge system

Mid-career faculty development in academic medicine: How does it impact faculty and institutional vitality?

PubMed Central

Campion, MaryAnn W.; Bhasin, Robina M.; Beaudette, Donald J.; Shann, Mary H.; Benjamin, Emelia J.

2016-01-01

Purpose Faculty vitality is integral to the advancement of higher education. Strengthening vitality is particularly important for mid-career faculty, who represent the largest and most dissatisfied segment. The demands of academic medicine appear to be another factor that may put faculty at risk of attrition. To address these issues, we initiated a ten-month mid-career faculty development program. Methods A mixed-methods quasi-experimental design was used to evaluate the program's impact on faculty and institutional vitality. Pre/post surveys compared participants with a matched reference group. Quantitative data were augmented by interviews and focus groups with multiple stakeholders. Results At the program's conclusion, participants showed statistically significant gains in knowledge, skills, attitudes, and connectivity when compared to the referents. Conclusion Given that mid-career faculty development in academic medicine has not been extensively studied, our evaluation provides a useful perspective to guide future initiatives aimed at enhancing the vitality and leadership capacity of mid-career faculty. PMID:27942418

Mid-career faculty development in academic medicine: How does it impact faculty and institutional vitality?

PubMed

Campion, MaryAnn W; Bhasin, Robina M; Beaudette, Donald J; Shann, Mary H; Benjamin, Emelia J

2016-09-01

Faculty vitality is integral to the advancement of higher education. Strengthening vitality is particularly important for mid-career faculty, who represent the largest and most dissatisfied segment. The demands of academic medicine appear to be another factor that may put faculty at risk of attrition. To address these issues, we initiated a ten-month mid-career faculty development program. A mixed-methods quasi-experimental design was used to evaluate the program's impact on faculty and institutional vitality. Pre/post surveys compared participants with a matched reference group. Quantitative data were augmented by interviews and focus groups with multiple stakeholders. At the program's conclusion, participants showed statistically significant gains in knowledge, skills, attitudes, and connectivity when compared to the referents. Given that mid-career faculty development in academic medicine has not been extensively studied, our evaluation provides a useful perspective to guide future initiatives aimed at enhancing the vitality and leadership capacity of mid-career faculty.

Verminous (Strongylus vulgaris) myelitis in a donkey.

PubMed

Mayhew, I G; Brewer, B D; Reinhard, M K; Greiner, E C

1984-01-01

A fifth stage Strongylus vulgaris migrated through the spinal cord of a 2-year-old, male donkey resulting in progressive paraparesis and then tetraplegia. A profound neutrophilic pleocytosis was detected on analysis of cerebrospinal fluid. The parasite appeared to have entered the mid-lumbar spinal cord, migrated to the cranial thoracic segments, exited, then re-entered the spinal cord a few segments craniad. It then traveled further cranially and was found in the third cervical spinal cord segment. Some parts of the lesion were remarkably free from tissue necrosis, hemorrhage and inflammation. Severe granulomatous myelitis with hemorrhage and necrosis were seen at other sites. The latter were quite similar to lesions seen in equine protozoal myeloencephalitis.

Carcinoma of the larynx. Surgery: general aspects.

PubMed

Remacle, M; Lawson, G

1992-01-01

A necessary and adequate selection of operations capable of meeting all the indications involved by partial surgery, is required. We suggest such a selection inspired on that of 1983. Partial laryngectomies for glottic carcinoma: CO2-laser endoscopic cordectomy, fronto-lateral partial laryngectomy (LEROUX-ROBERT), hemiglottectomy (GUERRIER), anterior partial laryngectomy with epiglottoplasty (TUCKER), subtotal laryngectomy with cricohyoidoepiglottopexy (MAJER-PIQUET). Partial laryngectomies for supraglottic carcinoma: horizontal supraglottic laryngectomy (anterior approach), CO2-laser endoscopic epiglottectomy, lateral supraglottic pharyngo-laryngectomy (ALONSO), subtotal laryngectomy with cricohyoidopexy (LABAYLE). Total laryngectomy As from the early eighties onwards, the great progress in vocal rehabilitation following laryngectomy has certainly been the development of phonatory prosthesis.

[Subtotal colectomy in emergency situations].

PubMed

Slauf, P; Antos, F; Kálal, J; Malý, P

1995-05-01

One-stage subtotal colectomy is the most radical solution of ileous conditions caused by an obturating tumour of the left half of the colon. The authors report on their experience with this procedure in 10 patients operated in the course of three years. They emphasize the advantages such as oncological radicality, immediate detoxication of the organism, a favourable postoperative course with a low morbidity (10% dehiscences) and lethality (10%), shorter hospitalization period, life of the patients without a stoma, lower costs and satisfactory functional results. For an experienced surgeon, if perfect intensive postoperative care is available, this operation is the method of choice even in very old patients.

Modified vs. standard D2 lymphadenectomy in distal subtotal gastrectomy for locally advanced gastric cancer patients under 70 years of age.

PubMed

Zhang, Chun-Dong; Zong, Liang; Ning, Fei-Long; Zeng, Xian-Tao; Dai, Dong-Qiu

2018-01-01

The present study was conducted to investigate the prognosis and survival of patients with locally advanced gastric cancer who underwent distal subtotal gastrectomy with modified D2 (D1+) and D2 lymphadenectomy, under 70 years of age. The five-year overall survival rates of 390 patients were compared between those receiving D1+ and D2 lymphadenectomy. Univariate and multivariate analyses were used to identify factors that correlated with prognosis and lymph node metastasis. Tumor size (P=0.039), pT stage (P=0.011), pN stage (P<0.001), and lymphadenectomy (P=0.004) were identified as independent prognostic factors. Furthermore, tumor size (P=0.022), pT stage (P=0.012), and lymphadenectomy (P=0.028) were proven as independent factors predicting lymph node metastasis. In conclusion, cancers of larger size, higher pT stage, and with D1+ lymphadenectomy had a higher risk of lymph node metastasis. Standard D2 lymphadenectomy removes sufficient lymph nodes to improve staging accuracy and survival. Therefore, D2 lymphanectomy is recommended in distal subtotal gastrectomy for locally advanced gastric cancer, especially for cancers of larger size and higher pT stage.

Middle to Late Devonian-Carboniferous collapse basins on the Finnmark Platform and in the southwesternmost Nordkapp basin, SW Barents Sea

NASA Astrophysics Data System (ADS)

Koehl, Jean-Baptiste P.; Bergh, Steffen G.; Henningsen, Tormod; Faleide, Jan Inge

2018-03-01

The SW Barents Sea margin experienced a pulse of extensional deformation in the Middle-Late Devonian through the Carboniferous, after the Caledonian Orogeny terminated. These events marked the initial stages of formation of major offshore basins such as the Hammerfest and Nordkapp basins. We mapped and analyzed three major fault complexes, (i) the Måsøy Fault Complex, (ii) the Rolvsøya fault, and (iii) the Troms-Finnmark Fault Complex. We discuss the formation of the Måsøy Fault Complex as a possible extensional splay of an overall NE-SW-trending, NW-dipping, basement-seated Caledonian shear zone, the Sørøya-Ingøya shear zone, which was partly inverted during the collapse of the Caledonides and accommodated top-NW normal displacement in Middle to Late Devonian-Carboniferous times. The Troms-Finnmark Fault Complex displays a zigzag-shaped pattern of NNE-SSW- and ENE-WSW-trending extensional faults before it terminates to the north as a WNW-ESE-trending, NE-dipping normal fault that separates the southwesternmost Nordkapp basin in the northeast from the western Finnmark Platform and the Gjesvær Low in the southwest. The WNW-ESE-trending, margin-oblique segment of the Troms-Finnmark Fault Complex is considered to represent the offshore prolongation of a major Neoproterozoic fault complex, the Trollfjorden-Komagelva Fault Zone, which is made of WNW-ESE-trending, subvertical faults that crop out on the island of Magerøya in NW Finnmark. Our results suggest that the Trollfjorden-Komagelva Fault Zone dies out to the northwest before reaching the western Finnmark Platform. We propose an alternative model for the origin of the WNW-ESE-trending segment of the Troms-Finnmark Fault Complex as a possible hard-linked, accommodation cross fault that developed along the Sørøy-Ingøya shear zone. This brittle fault decoupled the western Finnmark Platform from the southwesternmost Nordkapp basin and merged with the Måsøy Fault Complex in Carboniferous times. Seismic data over the Gjesvær Low and southwesternmost Nordkapp basin show that the low-gravity anomaly observed in these areas may result from the presence of Middle to Upper Devonian sedimentary units resembling those in Middle Devonian, spoon-shaped, late- to post-orogenic collapse basins in western and mid-Norway. We propose a model for the formation of the southwesternmost Nordkapp basin and its counterpart Devonian basin in the Gjesvær Low by exhumation of narrow, ENE-WSW- to NE-SW-trending basement ridges along a bowed portion of the Sørøya-Ingøya shear zone in the Middle to Late Devonian-early Carboniferous. Exhumation may have involved part of a large-scale metamorphic core complex that potentially included the Lofoten Ridge, the West Troms Basement Complex and the Norsel High. Finally, we argue that the Sørøya-Ingøya shear zone truncated and decapitated the Trollfjorden-Komagelva Fault Zone during the Caledonian Orogeny and that the western continuation of the Trollfjorden-Komagelva Fault Zone was mostly eroded and potentially partly preserved in basement highs in the SW Barents Sea.

Bone alloplasty and rehabilitation of children with maxillo-facial tumors

NASA Astrophysics Data System (ADS)

Zhelezny, P. A.; Sadovoy, M. A.; Kirilova, I. A.; Zhelezny, S. P.; Podorozhnaya, B. T.; Zheleznaya, A. P.

2017-09-01

The clinical observations in the treatment and rehabilitation of 117 children with maxillofacial tumors are presented. Malignant tumors were observed in 4 patients, other 113 children had benign tumors and tumor mass. Different bone defects of maxilla of both sub-total perforating and small segmental cavity appeared after the removal of neoplasms. The orthopedic transplants from the laboratory of tissue preservation of Tsivyan Novosibirsk Research Institute of Traumatology and Orthopedics preserved by different methods were used for maxilla defects restoration. Frozen transplants were applied in 48 patients, "Kostma" transplants were used in 14 patients, "Deprodex"—in 28 patients, "Orgamax"—in 27 patients. Orthopedic transplants from mandibular bone were used for chin and condylar process defects restoration. The orthopedic and orthodontic rehabilitation of the patients with the use of removable and unremovable orthodontic equipment and dental implantation systems was carried out in the postoperative period. Good anatomical functional and esthetic results of rehabilitation were received in 92 patients (89.3%) on long dates by 10 years. In some people the face asymmetry, bite disturbance, reduction of masticatory function were registered.

Infrasound from the 2007 fissure eruptions of Kīlauea Volcano, Hawai'i

NASA Astrophysics Data System (ADS)

Fee, David; Garces, Milton; Orr, Tim; Poland, Mike

2011-03-01

Varied acoustic signals were recorded at Kīlauea Volcano in mid-2007, coincident with dramatic changes in the volcano's activity. Prior to this time period, Pu'u 'Ō'ō crater produced near-continuous infrasonic tremor and was the primary source of degassing and lava effusion at Kīlauea. Collapse and draining of Pu'u 'Ō'ō crater in mid-June produced impulsive infrasonic signals and fluctuations in infrasonic tremor. Fissure eruptions on 19 June and 21 July were clearly located spatially and temporally using infrasound arrays. The 19 June eruption from a fissure approximately mid-way between Kīlauea's summit and Pu'u 'Ō'ō produced infrasound for ˜30 minutes—the only observed geophysical signal associated with the fissure opening. The infrasound signal from the 21 July eruption just east of Pu'u 'Ō'ō shows a clear azimuthal progression over time, indicative of fissure propagation over 12.9 hours. The total fissure propagation rate is relatively slow at 164 m/hr, although the fissure system ruptured discontinuously. Individual fissure rupture times are estimated using the acoustic data combined with visual observations.

Infrasound from the 2007 fissure eruptions of Kīlauea Volcano, Hawai'i

USGS Publications Warehouse

Fee, D.; Garces, M.; Orr, T.; Poland, M.

2011-01-01

Varied acoustic signals were recorded at Kīlauea Volcano in mid-2007, coincident with dramatic changes in the volcano's activity. Prior to this time period, Pu'u 'Ō'ō crater produced near-continuous infrasonic tremor and was the primary source of degassing and lava effusion at Kīlauea. Collapse and draining of Pu'u 'Ō'ō crater in mid-June produced impulsive infrasonic signals and fluctuations in infrasonic tremor. Fissure eruptions on 19 June and 21 July were clearly located spatially and temporally using infrasound arrays. The 19 June eruption from a fissure approximately mid-way between Kīlauea's summit and Pu'u 'O'o produced infrasound for ~30 minutes-the only observed geophysical signal associated with the fissure opening. The infrasound signal from the 21 July eruption just east of Pu'u 'Ō'ō shows a clear azimuthal progression over time, indicative of fissure propagation over 12.9 hours. The total fissure propagation rate is relatively slow at 164 m/hr, although the fissure system ruptured discontinuously. Individual fissure rupture times are estimated using the acoustic data combined with visual observations.

Acute hypocalcemia following kidney transplantation may depend on the type of remote parathyroidectomy: a retrospective cohort study
.

PubMed

Simons, Malorie; Bautista, Josef; Occhiogrosso, Rachel; Scott-Sheldon, Lori Aj; Gohh, Reginald

2017-06-01

Secondary hyperparathyroidism is a common complication of chronic kidney disease. When medical management fails, parathyroidectomy (PTX) is a treatment option. The two most common types are subtotal PTX and total PTX with autotransplantation (AT). To date, there is no consensus as to which procedure is preferable, especially in patients who are candidates for future kidney transplantation. The aim of this study was to identify if the type of PTX is a risk factor for acute postrenal transplant (postRTX) hypocalcemia and a concern for problems with long-term calcium homeostasis. Renal transplant recipients at Rhode Island Hospital from 2005 to 2014 were screened for prior PTX. Out of 297 participants, 11 patients met the criteria. They were further divided into subtotal PTX (n = 5) vs. total PTX+AT (n = 6). Immediate postoperative (14 days) and long-term (1 year) calcium levels were followed and analyzed. Linear growth models were used to determine the effects of type of parathyroidectomy (subtotal PTX, total PTX+AT) alone on hypocalcemia over time. In these models, pretransplant levels of calcium and PTH were included as covariates. Baseline characteristics showed that prerenal transplant (preRTX) parathyroid hormone (PTH) levels were lower in total PTX+AT vs. subtotal PTX (3.5 vs. 247.2 mg/dL, p < 0.005). PreRTX calcium levels were slightly lower in subtotal PTX (9.5 vs. 8.25 mg/dL, p < 0.01), but were within normal limits for both groups. No significant differences were noted between total vitamin D levels and time between PTX and RTX. Within 14 days postRTX, the total PTX+AT group had lower average calcium levels (5.8 vs 8.8 mg/dL, p < 0.001); however, both groups had normal and stable calcium levels from 1 month to 1 year after transplant. This was further supported after adjusting for preRTX levels of calcium and PTH, showing a significant interaction between treatment and time such that patients had lower calcium levels if they underwent total PTX+AT vs. subtotal PTX within 14 days postRTX (β = -0.204, SE = 0.039, p < 0.001) (Figure 1) but not at 1 year postRTX (β = 0.035, SE = 0.075, p = 0.640). This study suggests that total PTX+AT increases the risk for acute postRTX hypocalcemia but has no effect on long-term calcium homeostasis. We speculate that the acuity of the hypocalcemia may be compounded by high-dose glucocorticoids required for induction, in addition to the preoperative undetectable PTH. Thus, prior to RTX, physicians should take into account the type of remote PTX. If a patient had a total PTX+AT, then postRTX hypocalcemia is likely to occur.
.

Baculoviral mid-gut gland necrosis (BMN) of kuruma shrimp (Penaeus japonicus) larvae in Japanese intensive culture systems

NASA Astrophysics Data System (ADS)

Sano, T.; Nishimura, T.; Fukuda, H.; Hayashida, T.; Momoyama, K.

1984-03-01

In many shrimp farms in the Kyushu and Chugoku areas of Japan, the so-called mid-gut gland cloudy disease of kuruma shrimp larvae (Penaeus japonicus) has occurred since 1971. The pathological changes associated with this baculoviral mid-gut gland necrosis (BMN) are extensive cellular necrosis, collapse of mid-gut gland cells, nuclear hypertrophy and finally karyorrhexis. Electron microscopic examination revealed the presence of virions and virogenic stages in the affected nuclei. Average length and diameter of the virions detected was 310 and 72 nm, respectively; nucleocapsids were 250 nm in size. Virions enclosing 2 nucleocapsids within a single envelope were rarely found. The spirally arranged capsomeres were at an angle of 37 to 38° to a horizontal line meeting at right angles with the long axis of the virion. Infectivity trials resulted in high mortality of healthy mysis and juveniles (2nd post-larval stage). Juveniles at the 9th post-larval stage showed no mortality, although they could be infected easily by the agent. Hypertrophied nuclei in squashed and stained preparations of the affected gland cells can be considered to be of reliable presumptive diagnostic character, and fluorescent antibody staining can be employed to confirm the diagnosis of BMN.

Surgical treatment for osteoporotic thoracolumbar vertebral collapse using vertebroplasty with posterior spinal fusion: a prospective multicenter study.

PubMed

Katsumi, Keiichi; Hirano, Toru; Watanabe, Kei; Ohashi, Masayuki; Yamazaki, Akiyoshi; Ito, Takui; Sawakami, Kimihiko; Sano, Atsuki; Kikuchi, Ren; Endo, Naoto

2016-11-01

The study aimed to investigate the clinical outcomes and limitations after vertebroplasty with posterior spinal fusion (VP+PSF) without neural decompression for osteoporotic vertebral collapse. We conducted a prospective multicenter study including 45 patients (12 men and 33 women, mean age: 77.0 years) evaluated between 2008 and 2012. Operation time, blood loss, visual analog scale (VAS) of back pain, neurological status, kyphosis angle in the fused area, and vertebral union of the collapsed vertebra were evaluated. The mean operation time was 162 min and blood loss was 381 mL. The postoperative VAS score significantly improved, and the neurological status improved in 35 patients (83 %), and none of the remaining patients demonstrated a deteriorating neurological status at two years post-operatively. The mean kyphosis angle pre-operatively, immediately post-operatively, and two years post-operatively was 23.8°, 10.7°, and 24.3°, respectively, and there was no significant difference between the angles pre-operatively and two years post-operatively. The extensive correction of kyphosis >16° was a risk factor for a higher correction loss and subsequent fracture. Union of the collapsed vertebra was observed in 43 patients (95 %) at two years post-operatively. The present study suggests that spinal stabilization rather than neural decompression is essential to treat OVC. Short-segment VP+PSF can achieve a high union rate of collapsed vertebra and provide a significant improvement in back pain or neurological status with less invasive surgery, but has a limit of kyphosis correction more than 16°.

General polytropic self-gravitating cylinder free-fall and accreting mass string with a chain of collapsed objects

NASA Astrophysics Data System (ADS)

Lou, Yu-Qing; Hu, Xu-Yao

2016-06-01

We present a theoretical model framework for general polytropic (GP) hydrodynamic cylinder under self-gravity of infinite length with axial uniformity and axisymmetry. For self-similar dynamic solutions, we derive valuable integrals, analytic asymptotic solutions, sonic critical curves, shock conditions, and global numerical solutions with or without expansion shocks. Among others, we investigate various dynamic solutions featured with central free-fall asymptotic behaviours, corresponding to a collapsed mass string with a sustained dynamic accretion from a surrounding mass reservoir. Depending on the allowed ranges of a scaling index a < -1, such cylindrical dynamic mass accretion rate could be steady, increasing with time and decreasing with time. Physically, such a collapsed mass string or filament would break up into a sequence of sub-clumps and segments as induced by gravitational Jeans instabilities. Depending on the scales involved, such sub-clumps would evolve into collapsed objects or gravitationally bound systems. In diverse astrophysical and cosmological contexts, such a scenario can be adapted on various temporal, spatial and mass scales to form a chain of collapsed clumps and/or compact objects. Examples include the formation of chains of proto-stars, brown dwarfs and gaseous planets along molecular filaments; the formation of luminous massive stars along magnetized spiral arms and circum-nuclear starburst rings in barred spiral galaxies; the formation of chains of compact stellar objects such as white dwarfs, neutron stars, and black holes along a highly condensed mass string. On cosmological scales, one can perceive the formation of chains of galaxies, chains of galaxy clusters or even chains of supermassive and hypermassive black holes in the Universe including the early Universe. All these chains referred to above include possible binaries.

Imaging Findings of Isolated Bronchial Anthracofibrosis: A Computed Tomography Analysis of Patients With Bronchoscopic and Histologic Confirmation.

PubMed

Kahkouee, Shahram; Pourghorban, Ramin; Bitarafan, Mahdi; Najafizadeh, Katayoun; Makki, Seyed Shahabeddin Mohammad

2015-07-01

To evaluate the chest computed tomography (CT) findings of patients with isolated bronchial anthracofibrosis confirmed by bronchoscopy and histopathology. Fifty-eight patients with isolated bronchial anthracofibrosis (29 females; mean age, 70 years) were enrolled in this study. The diagnosis of bronchial anthracofibrosis was made based on both bronchoscopy and pathology findings in all patients. The various chest CT images were retrospectively reviewed by two chest radiologists who reached decisions in consensus. Central peribronchial soft tissue thickening (n=37, 63.8%) causing bronchial narrowing (n=37, 63.8%) or obstruction (n=11, 19%) was identified as an important finding on imaging. Multiple bronchial stenoses with concurrent involvement of 2, 3, and 5 bronchi were seen in 12 (21%), 9 (15%), and 2 (3.4%) patients, respectively. Segmental atelectasis and lobar or multilobar collapse were detected. These findings mostly occurred in the right lung, predominantly in the right middle lobe. Mosaic attenuation patterns, scattered parenchymal nodules, nodular patterns, and calcified or non-calcified lymph nodes were also observed. On chest CT, isolated bronchial anthracofibrosis appeared as peribronchial soft tissue thickening, bronchial narrowing or obstruction, segmental atelectasis, and lobar or multilobar collapse. The findings were more common in the right side, with simultaneous involvement of multiple bronchi in some patients. Copyright © 2014 SEPAR. Published by Elsevier Espana. All rights reserved.

A classification tree based modeling approach for segment related crashes on multilane highways.

PubMed

Pande, Anurag; Abdel-Aty, Mohamed; Das, Abhishek

2010-10-01

This study presents a classification tree based alternative to crash frequency analysis for analyzing crashes on mid-block segments of multilane arterials. The traditional approach of modeling counts of crashes that occur over a period of time works well for intersection crashes where each intersection itself provides a well-defined unit over which to aggregate the crash data. However, in the case of mid-block segments the crash frequency based approach requires segmentation of the arterial corridor into segments of arbitrary lengths. In this study we have used random samples of time, day of week, and location (i.e., milepost) combinations and compared them with the sample of crashes from the same arterial corridor. For crash and non-crash cases, geometric design/roadside and traffic characteristics were derived based on their milepost locations. The variables used in the analysis are non-event specific and therefore more relevant for roadway safety feature improvement programs. First classification tree model is a model comparing all crashes with the non-crash data and then four groups of crashes (rear-end, lane-change related, pedestrian, and single-vehicle/off-road crashes) are separately compared to the non-crash cases. The classification tree models provide a list of significant variables as well as a measure to classify crash from non-crash cases. ADT along with time of day/day of week are significantly related to all crash types with different groups of crashes being more likely to occur at different times. From the classification performance of different models it was apparent that using non-event specific information may not be suitable for single vehicle/off-road crashes. The study provides the safety analysis community an additional tool to assess safety without having to aggregate the corridor crash data over arbitrary segment lengths. Copyright © 2010. Published by Elsevier Ltd.

Mid-Wisconsin Laurentide Ice Sheet growth and decay: Implications for Heinrich events 3 and 4

NASA Astrophysics Data System (ADS)

Kirby, Matthew E.; Andrews, John T.

1999-04-01

A close look at the sedimentology of Heinrich event 4 from the northwest Labrador Sea indicates that an extended ice margin, perhaps greater than before Heinrich events 1 or 2 (H-1 and H-2), existed in the Hudson Strait region pre-Heinrich event 4 (H-4) and, that on the basis of characteristics of the sediment unit, Heinrich event-4 was different than Heinrich events 1 or 2 (i.e., larger ice sheet collapse(?), longer duration(?), "dirtier" icebergs(?)). Other data from across the southern and eastern margin of the Laurentide Ice Sheet, as well as Greenland and the North Atlantic, support this interpretation, possibly indicating a relative mid-Wisconsin glacial maximum pre-Heinrich event 4. Many of these data also indicate that Heinrich event 4 (35 ka) resulted in serious climatic and oceanographic reorganizations. We suggest that Heinrich event 4 gutted the Hudson Strait, leaving it devoid of ice for Heinrich event 3. We further hypothesize that Heinrich event 3 did not originate from axial ice transport along the Hudson Strait; thus Heinrich event 3 may be more analogous to the proposed northward advancing ice from Ungava Bay during Heinrich event 0 than to the more typical down-the-strait flow during H-1, H-2, and H-4. Consequently, the climatic and oceanographic impacts resulting from Heinrich events are highly susceptible to the type, origin, and magnitude of ice sheet collapse, something which varied per Heinrich event during the last glacial period.

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

Holcomb, R.T.; Moore, J.G.; Lipman, P.W.

The GLORIA long-range sonar imaging system has revealed fields of large lava flows in the Hawaiian Trough east and south of Hawaii in water as deep as 5.5 km. Flows in the most extensive field (110 km long) have erupted from the deep submarine segment of Kilauea's east rift zone. Other flows have been erupted from Loihi and Mauna Loa. This discovery confirms a suspicion, long held from subaerial studies, that voluminous submarine flows are erupted from Hawaiian volcanoes, and it supports an inference that summit calderas repeatedly collapse and fill at intervals of centuries to millenia owing to voluminousmore » eruptions. These extensive flows differ greatly in form from pillow lavas found previously along shallower segments of the rift zones; therefore, revision of concepts of volcano stratigraphy and structure may be required.« less

Renal manifestations of primary mitochondrial disorders

PubMed Central

Finsterer, Josef; Scorza, Fulvio

2017-01-01

The aim of the present review was to summarize and discuss previous findings concerning renal manifestations of primary mitochondrial disorders (MIDs). A literature review was performed using frequently used databases. The study identified that primary MIDs frequently present as mitochondrial multiorgan disorder syndrome (MIMODS) at onset or in the later course of the MID. Occasionally, the kidneys are affected in MIDs. Renal manifestations of MIDs include renal insufficiency, nephrolithiasis, nephrotic syndrome, renal cysts, renal tubular acidosis, Bartter-like syndrome, Fanconi syndrome, focal segmental glomerulosclerosis, tubulointerstitial nephritis, nephrocalcinosis, and benign or malign neoplasms. Among the syndromic MIDs, renal involvement has been most frequently reported in patients with mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes syndrome, Kearns-Sayre syndrome, Leigh syndrome and mitochondrial depletion syndromes. Only in single cases was renal involvement also reported in chronic progressive external ophthalmoplegia, Pearson syndrome, Leber's hereditary optic neuropathy, coenzyme-Q deficiency, X-linked sideroblastic anemia and ataxia, myopathy, lactic acidosis, and sideroblastic anemia, pyruvate dehydrogenase deficiency, growth retardation, aminoaciduria, cholestasis, iron overload, lactacidosis, and early death, and hyperuricemia, pulmonary hypertension, renal failure in infancy and alkalosis syndrome. The present study proposes that the frequency of renal involvement in MIDs is probably underestimated. Diagnosis of renal involvement follows general guidelines and treatment is symptomatic. Thus, renal manifestations of primary MIDs require recognition and appropriate management, as they determine the outcome of MID patients. PMID:28515908

Ecological Meltdown in the Firth of Clyde, Scotland: Two Centuries of Change in a Coastal Marine Ecosystem

PubMed Central

Thurstan, Ruth H.; Roberts, Callum M.

2010-01-01

Background The Firth of Clyde is a large inlet of the sea that extends over 100 km into Scotland's west coast. Methods We compiled detailed fisheries landings data for this area and combined them with historical accounts to build a picture of change due to fishing activity over the last 200 years. Findings In the early 19th century, prior to the onset of industrial fishing, the Firth of Clyde supported diverse and productive fisheries for species such as herring (Clupea harengus, Clupeidae), cod (Gadus morhua, Gadidae), haddock (Melanogrammus aeglefinus, Gadidae), turbot (Psetta maxima, Scophthalmidae) and flounder (Platichthys flesus, Pleuronectidae). The 19th century saw increased demand for fish, which encouraged more indiscriminate methods of fishing such as bottom trawling. During the 1880s, fish landings began to decline, and upon the recommendation of local fishers and scientists, the Firth of Clyde was closed to large trawling vessels in 1889. This closure remained in place until 1962 when bottom trawling for Norway lobster (Nephrops norvegicus, Nephropidae) was approved in areas more than three nautical miles from the coast. During the 1960s and 1970s, landings of bottomfish increased as trawling intensified. The trawl closure within three nautical miles of the coast was repealed in 1984 under pressure from the industry. Thereafter, bottomfish landings went into terminal decline, with all species collapsing to zero or near zero landings by the early 21st century. Herring fisheries collapsed in the 1970s as more efficient mid-water trawls and fish finders were introduced, while a fishery for mid-water saithe (Pollachius virens, Gadidae) underwent a boom and bust shortly after discovery in the late 1960s. The only commercial fisheries that remain today are for Nephrops and scallops (Pecten maximus, Pectinidae). Significance The Firth of Clyde is a marine ecosystem nearing the endpoint of overfishing, a time when no species remain that are capable of sustaining commercial catches. The evidence suggests that trawl closures helped maintain productive fisheries through the mid-20th century, and their reopening precipitated collapse of bottomfish stocks. We argue that continued intensive bottom trawling for Nephrops with fine mesh nets will prevent the recovery of other species. This once diverse and highly productive environment will only be restored if trawl closures or other protected areas are re-introduced. The Firth of Clyde represents at a small scale a process that is occurring ocean-wide today, and its experience serves as a warning to others. PMID:20686614

Clinical and Radiologic Features of 3 Reconstructive Procedures for the Surgical Management of Patients with Bilevel Cervical Degenerative Disc Disease at a Minimum Follow-Up Period of 5 Years: A Comparative Study.

PubMed

Wang, Kai-Feng; Duan, Shuo; Zhu, Zhen-Qi; Liu, Hai-Ying; Liu, Chen-Jun; Xu, Shuai

2018-05-01

To assess the mid-long-term follow-up of the safety and efficacy of anterior cervical discectomy and fusion (ACDF), cervical artificial disc replacement (CADR) and hybrid surgery (HS) for bilevel cervical degenerative disc disease (cDDD). 77 patients who underwent ACDF, HS, and CADR were retrospectively reviewed. Clinical effects were evaluated based on Neck Disability Index (NDI), Visual Analog Scale (VAS), and Japanese Orthopedic Association (JOA) scores and the Odom criteria. Radiographic outcomes were evaluated, including cervical range of motion (ROM), ROM in the operative and adjacent segments, incidence of degeneration in the adjacent segments (ASD), and heterotopic ossification (HO). NDI, VAS, and JOA scores significantly improved in all patients after surgery without significant differences between groups. The excellent-to-good ratio in the Odom scale was 28/30 for the HS group, 30/33 for the ACDF group, and 13/14 for the CADR group. No significant differences in clinical outcomes or complication were found between groups (P > 0.05). Furthermore, the HS and CADR groups had less decreased ROM in the cervical and operative segments and less compensatory ROM in adjacent segments (P < 0.05). By contrast, the ACDF group had decreased ROM in the cervical and operative segments and significantly increased ROM in adjacent segments (P < 0.05). Moreover, the incidence of ASD was higher in the ACDF group, but the difference was not statistically significant (P > 0.05). HO was found in 10 patients (33.3%) in the HS group and 5 patients (35.7%) in the CADR group. HS was superior to ACDF with regard to equivalent clinical outcomes in the mid-long-term follow-up. Furthermore, HS was superior in the maintenance of ROM and had less impact on its adjacent segments. The efficacy of HS is similar to that of CADR. Copyright © 2018 The Author(s). Published by Elsevier Inc. All rights reserved.

Recommendations on rectal surveillance for colorectal cancer after subtotal colectomy in patients with inflammatory bowel disease.

PubMed

Derikx, Lauranne A A P; de Jong, Michiel E; Hoentjen, Frank

2018-05-17

Approximately 30% of patients with ulcerative colitis require a colectomy during their disease course. This substantially reduces colorectal cancer risk, although it is still possible to develop colorectal neoplasia in the remaining rectum. Although clear and well-accepted surveillance guidelines exist for patients with inflammatory bowel disease with an intact colon, specific surveillance recommendations following colectomy are less clear. Here, we aim to summarize the prevalence, incidence, and risk factors for developing colorectal cancer in patients with inflammatory bowel disease who underwent subtotal colectomy with a permanent end ileostomy and rectal stump, or with ileorectal anastomosis. Subsequently, gained insights are integrated into a proposed endoscopic surveillance strategy of the residual rectum.

[Significance of hypo-osmolar diets for oral nutrition build-up in very severe malabsorption--clinical observations exemplified by infants with subtotal small intestine resection].

PubMed

Niessen, K H; Teufel, M

1984-01-01

Regenerative and adaptive processes of the gut are apparently analogous to the absorption rate in small bowel diseases. These processes can be enhanced by the prolongation of passage time which, in turn, is influenced by the osmolality of the formula diet. Since infants who have undergone a subtotal bowel resection, like other children with serious diseases of the small bowel, are extraordinarily sensitive to hyperosmolar food, any preparation with special indications should be balanced and rendered hypoosmolar in full caloric concentration. Such formulas may well facilitate food supply to infants and, in case of short bowel syndrome, encourage more pronounced morphologic adaptation.

A New Approach to Implant-Based Midface Reconstruction Following Subtotal Maxillectomy.

PubMed

Dawood, Andrew; Kalavrezos, Nicholas; Tanner, Susan

2016-01-01

This case presentation describes the reconstruction of an extensive maxillary-orbital defect following subtotal resection of the maxilla en bloc with orbital exenteration in a young adult following the diagnosis of chondrosarcoma. A new approach to composite midface reconstruction with dental implants is described, in which computer-guided surgery (CGS) was used to obliquely position dental implants interradicularly in the residual maxilla, such that the implant tips lie in close proximity to the root apices of the remaining teeth. The implants were then used to fixate a milled-titanium bar, fabricated using computer-aided design and manufacture (CAD/CAM), and provided with attachments for the stabilization and retention of a maxillary obturator.

25. anniversary of the 1973 oil embargo: Energy trends since the first major U.S. energy crisis

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

NONE

The purpose of this publication is not to assess the causes of the 1973 energy crisis or the measures that were adopted to resolve it. The intent is to present some data on which such analyses can be based. Many of the trends presented here fall into two distinct periods. From 1973 to the mid-1980`s, prices continued at very high levels, in part because of a second oil shock in 1979--80. During this period, rapid progress was made in raising American oil production, reducing dependence on oil imports, and improving end-use efficiency. After the oil price collapse of the mid-1980`s,more » however, prices retreated to more moderate levels, the pace of efficiency gains slowed, American oil production fell, and the share of imports rose. 30 figs.« less

Spitzer Characterization of Transients from the Palomar Transient Factory

NASA Astrophysics Data System (ADS)

Kasliwal, Mansi; Ofek, Eran; Corsi, Alessandra; Nugent, Peter; Kulkarni, Shri; Cao, Yi; Helou, George; Gal-Yam, Avishay; Arcavi, Iair; Ben-Ami, Sagi

2012-12-01

We propose to continue Spitzer/IRAC follow-up of optical transients discovered by the Palomar Transient Factory. Our goals are: (i) probe the mass loss history and characterize the circumstellar environment of supernovae. (ii) construct a late-time bolometric light curve; the mid-infrared observations complement our ground-based optical and near-infrared data and (iii) understand the physical origin of new classes of transients (specifically, intermediate luminosity red transients) where the mystery is literally enshrouded in dust. We select extremely nearby supernovae, both thermonuclear and core-collapse, where the thermal echo is easily detectable in the mid-infrared. We also select peculiar supernovae that show tell-tale signs of circumstellar interaction. We also select rare and red gap transients in the local universe for IRAC follow-up. Additionally, we request low-impact target of opportunity observations for new discoveries in 2013. Our total request is 24 hrs.

Spitzer Characterization of Transients from the Palomar Transient Factory

NASA Astrophysics Data System (ADS)

Kasliwal, Mansi; Goobar, Ariel; Johansson, Joel; Cenko, Brad; Ofek, Eran; Nugent, Peter; Kulkarni, Shri; Cao, Yi; Helou, George; Gal-Yam, Avishay; Arcavi, Iair; Ben-Ami, Sagi

2013-10-01

We propose to continue Spitzer/IRAC follow-up of optical transients discovered by the Palomar Transient Factory. Our goals are: (i) probe the mass loss history and characterize the circumstellar environment of supernovae. (ii) construct a late-time bolometric light curve; the mid-infrared observations complement our ground-based optical and near-infrared data and (iii) understand the physical origin of new classes of transients (specifically, intermediate luminosity red transients) where the mystery is literally enshrouded in dust. We select extremely nearby supernovae, both thermonuclear and core-collapse, where the thermal echo is easily detectable in the mid-infrared. We also select peculiar supernovae that show tell-tale signs of circumstellar interaction. We also select rare and red gap transients in the local universe. Additionally, we request low-impact target of opportunity observations for new discoveries in 2014. Our total request is 17 hrs.

Reconstruction of the premaxilla by segmental distraction osteogenesis for maxillary retrusion in cleft lip and palate.

PubMed

Kim, Bong Chul; Lee, Sang-Hwy; Park, Kyung-Ran; Jung, Young-Soo; Yi, Choong-Kook

2014-03-01

We present a strategy to target one of the main areas causing retruded maxilla, the premaxillary region for patients with cleft lip and palate (CLP). Advancement of the premaxilla by distraction osteogenesis is attempted, and the retruded anterior maxilla, the collapsed dental space, and the arch shape are sufficiently improved. This strategy also prevents deterioration of the velopharyngeal incompetency function. The procedure seems to be a good option for the treatment of maxillary retrusion and malocclusion for CLP.

Clinical and pathological characteristics of primary intraspinal hemangiopericytoma and choice of treatment.

PubMed

Zhao, Yan; Zhao, Ji-zong

2007-01-20

Primary intraspinal hemangiopericytoma is a rare malignant mesenchymal tumor with high rates of recurrence and metastasis. Surgery is the main therapeutic procedure for this lesion. This clinical research was undertaken to analyze the pathological characteristics, clinical course, and the choice of treatment for this lesion. Twenty-three patients with primary intraspinal hemangiopericytomas were treated from 1987 to 2004. The clinical and imaging features, pathological findings, therapeutic procedures, and prognosis were analyzed retrospectively. Primary intraspinal hemangiopericytoma is more likely to attack middle-aged persons. The tumor mainly manifests as muscle weakness and sensor abnormalities. Microscopic examination showed slit-like vascular spaces and oral- or spindle-shaped cells with slightly acidic cytoplasm and oral nuclei. Tumors were subtotally resected in 11 patients, subtotally resected with postoperative radiotherapy in 4, totally resected in 5, and totally resected with postoperative radiotherapy in 3. Two patients were given spinal stabilization after total resection. Recurrence and metastatic rates were 50% and 0 in intradural patients. They were 73% and 27% in extradural patients, respectively. The tumor should be resected en bloc with the neighboring dural mater to reduce recurrence and metastasis. Patients with subtotal resection need adjuvant radiotherapy. Patients with evident spinal involvement may benefit from spinal stabilization. The prognosis of the lesion arising from the dural mater is better.

Validation of automatic segmentation of ribs for NTCP modeling.

PubMed

Stam, Barbara; Peulen, Heike; Rossi, Maddalena M G; Belderbos, José S A; Sonke, Jan-Jakob

2016-03-01

Determination of a dose-effect relation for rib fractures in a large patient group has been limited by the time consuming manual delineation of ribs. Automatic segmentation could facilitate such an analysis. We determine the accuracy of automatic rib segmentation in the context of normal tissue complication probability modeling (NTCP). Forty-one patients with stage I/II non-small cell lung cancer treated with SBRT to 54 Gy in 3 fractions were selected. Using the 4DCT derived mid-ventilation planning CT, all ribs were manually contoured and automatically segmented. Accuracy of segmentation was assessed using volumetric, shape and dosimetric measures. Manual and automatic dosimetric parameters Dx and EUD were tested for equivalence using the Two One-Sided T-test (TOST), and assessed for agreement using Bland-Altman analysis. NTCP models based on manual and automatic segmentation were compared. Automatic segmentation was comparable with the manual delineation in radial direction, but larger near the costal cartilage and vertebrae. Manual and automatic Dx and EUD were significantly equivalent. The Bland-Altman analysis showed good agreement. The two NTCP models were very similar. Automatic rib segmentation was significantly equivalent to manual delineation and can be used for NTCP modeling in a large patient group. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Complications after laparoscopic and open subtotal colectomy for inflammatory colitis: a case-matched comparison.

PubMed

Parnaby, C N; Ramsay, G; Macleod, C S; Hope, N R; Jansen, J O; McAdam, T K

2013-11-01

The aim of this study was to compare the early postoperative outcome of patients undergoing laparoscopic subtotal colectomy with those undergoing open subtotal colectomy for colitis refractory to medical treatment. A retrospective observational study was carried out of patients who underwent subtotal colectomy for refractory colitis, at a single centre, between 2006 and 2012. Patients were matched for age, gender, American Society of Anesthesiology (ASA) grade, urgency of operation and immunosuppressant/modulator treatment. The primary outcome measure was the number of postoperative complications, classified using the Clavien-Dindo scale. Secondary end-points included procedure duration, laparoscopic conversion rates, blood loss, 30-day readmission rates and length of hospital stay. Ninety-six patients were included, 39 of whom had laparoscopic surgery. Thirty-two of these were matched to similar patients who underwent an open procedure. The overall duration of the procedure was longer for laparoscopic surgery than for open surgery (median: 240 vs 150 min, P < 0.005) but estimated blood loss was less (median: 75 vs 400 ml, P < 0.005). In the laparoscopic group, 23 patients experienced 27 complications, and in the open surgery group, 23 patients experienced 30 complications. Most complications were minor (Grade I/II), and the distribution of complications, by grade, was similar between the two groups. There was no statistically significant difference in 30-day readmission rates between the laparoscopic and open groups (five readmissions vs eight readmissions, P = 0.536). Length of hospital stay was 4 days shorter for laparoscopic surgery, but this difference was not statistically significant (median: 7 vs 11 days, P = 0.159). In patients requiring colectomy for acute severe colitis, laparoscopic surgery reduced blood loss but increased operating time and was not associated with a reduction in early postoperative complications, length of hospital stay or readmission rates. Colorectal Disease © 2013 The Association of Coloproctology of Great Britain and Ireland.

Structure and kinematics of segment-scale crustal accretion processes in Iceland and implications for analogous mid-ocean ridge systems

NASA Astrophysics Data System (ADS)

Siler, Drew Lorenz

2011-12-01

The sub-surface geologic structure of the crust is controlled by the magmatic and tectonic processes that construct the crust during plate spreading. As a result, geologic structure provides constraints on the processes that occur during plate spreading. The crust of the Skagi region of northern Iceland, where this study was focused, was accreted by magmatic construction to Iceland ˜7-10 Ma and subsequently glacially eroded, exhuming ˜1-3 km of structural relief. Continuous spreading-parallel and spreading-orthogonal mountain ranges expose the crust accreted at discrete spreading segments, the fundamental intervals upon which plate spreading and crustal accretion occur. As a result, Skagi is an ideal location to employ geologic structure analysis to study magmatic rifting processes. Within spreading segments structural patterns vary significantly between segment centers and distal fissure swarms. While segment centers are characterized by focused magmatic construction and km-scale sub-volcanic subsidence, fissure swarms are characterized by limited magmatic construction, minor sub-axial subsidence and lateral dike injection. Such along-strike variation indicates that both magma in the upper crust and gabbroic material in the lower crust must be redistributed along-strike within spreading segments during plate spreading. Material flow is directed from beneath segment centers towards distal fissure swarms. At the regional scale, each spreading segment is a structurally discrete interval of Iceland's Neovolcanic Zone. As a result of west-northwestward movement of Iceland relative to the Iceland hotspot, the rift zone axis has progressively relocated to the east-southeast with time, leaving a series of abandoned rift zones throughout western Iceland. A compilation of published K/Ar and 40Ar/39Ar age data and geologic data from across northern Iceland shows that rift relocation occurs via frequent (2-3 Ma), small-scale (˜20 km) rift propagations rather than rare, 100s of km 'rift jumps' as is conventional models suggest. The structure relationships we define in the Icelandic crust are similar to that of other magmatic rift systems including Mid-Ocean Ridges, continental rifts and ancient volcanic rift margins. As such, we suggest that many of the crustal accretion processes we have inferred from Icelandic data may be important in these analogous environments as well.

Subtotal cholecystectomy for "difficult gallbladders": systematic review and meta-analysis.

PubMed

Elshaer, Mohamed; Gravante, Gianpiero; Thomas, Katie; Sorge, Roberto; Al-Hamali, Salem; Ebdewi, Hamdi

2015-02-01

Subtotal cholecystectomy (SC) is a procedure that removes portions of the gallbladder when structures of the Calot triangle cannot be safely identified in "difficult gallbladders." To conduct a systematic review and meta-analysis to evaluate current studies and present an evidence-based assessment of the outcomes for the techniques available for SC. A literature search of the PubMed/MEDLINE (1954 to November 2013) and EMBASE (1974 to November 2013) databases was conducted. Search criteria included the words subtotal, partial, insufficient or incomplete, and cholecystectomy. Inclusion criteria were all randomized, nonrandomized, and retrospective studies with data on SC techniques and outcomes. Exclusion criteria were studies that reported data on SC along with other interventions (eg, cholecystostomy) without the possibility to discriminate results specific to SC. This systematic review was performed using the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. The primary outcome of the study was the occurrence of common bild duct injury. Secondary outcomes included the occurrence of other SC-related morbidities, such as hemorrhage, subhepatic collection, bile leak, retained stones, postoperative endoscopic retrograde cholangiopancreatography, wound infection, reoperation, and mortality. Thirty articles were included. Subtotal cholecystectomy was typically performed using the laparoscopic technique (72.9%), followed by the open (19.0%) and laparoscopic converted to open (8.0%) techniques. The most common indications were severe cholecystitis (72.1%), followed by cholelithiasis in liver cirrhosis and portal hypertension (18.2%) and empyema or perforated gallbladder (6.1%). Morbidity rates were relatively low (postoperative hemorrhage, 0.3%; subhepatic collections, 2.9%; bile duct injury, 0.08%; and retained stones, 3.1%); the rate for bile leaks was higher (18.0%). Reoperations were necessary in 1.8% of the cases; the 30-day mortality rate was 0.4%. The laparoscopic approach produced less risk of subhepatic collection (odds ratio [OR], 0.4; 95% CI, 0.2-0.9), retained stones (OR, 0.5; 95% CI, 0.3-0.9), wound infection (OR, 0.07; 95% CI, 0.04-0.2), reoperation (OR, 0.5; 95% CI, 0.3-0.9), and mortality (OR, 0.2; 95% CI, 0.05-0.9) but more bile leaks (OR, 5.3; 95% CI, 3.9-7.2) compared with the open approach. Subtotal cholecystectomy is an important tool for use in difficult gallbladders and achieves morbidity rates comparable to those reported for total cholecystectomy in simple cases. The various technical differences appear to influence outcomes only for the laparoscopic approach.

A new method of morphological comparison for bony reconstructive surgery: maxillary reconstruction using scapular tip bone

NASA Astrophysics Data System (ADS)

Chan, Harley; Gilbert, Ralph W.; Pagedar, Nitin A.; Daly, Michael J.; Irish, Jonathan C.; Siewerdsen, Jeffrey H.

2010-02-01

esthetic appearance is one of the most important factors for reconstructive surgery. The current practice of maxillary reconstruction chooses radial forearm, fibula or iliac rest osteocutaneous to recreate three-dimensional complex structures of the palate and maxilla. However, these bone flaps lack shape similarity to the palate and result in a less satisfactory esthetic. Considering similarity factors and vasculature advantages, reconstructive surgeons recently explored the use of scapular tip myo-osseous free flaps to restore the excised site. We have developed a new method that quantitatively evaluates the morphological similarity of the scapula tip bone and palate based on a diagnostic volumetric computed tomography (CT) image. This quantitative result was further interpreted as a color map that rendered on the surface of a three-dimensional computer model. For surgical planning, this color interpretation could potentially assist the surgeon to maximize the orientation of the bone flaps for best fit of the reconstruction site. With approval from the Research Ethics Board (REB) of the University Health Network, we conducted a retrospective analysis with CT image obtained from 10 patients. Each patient had a CT scans including the maxilla and chest on the same day. Based on this image set, we simulated total, subtotal and hemi palate reconstruction. The procedure of simulation included volume segmentation, conversing the segmented volume to a stereo lithography (STL) model, manual registration, computation of minimum geometric distances and curvature between STL model. Across the 10 patients data, we found the overall root-mean-square (RMS) conformance was 3.71+/- 0.16 mm

Monitoring of sinkholes and subsidence affecting the Jordanian coast of the Dead Sea through Synthetic Aperture Radar data and last generation Sentinel-1 data

NASA Astrophysics Data System (ADS)

Tessari, Giulia; Riccardi, Paolo; Lecci, Daniele; Pasquali, Paolo; Floris, Mario

2017-04-01

Since the mid-1980s the coast of the Dead Sea is affected by sinkholes occurring over and around the emerged mud and salt flats. Strong subsidence and landslides also affect some segments of the coast. Nowadays, several thousands of sinkholes attest that the degradation of the Dead Sea coast is worsening. Furthermore, soil deformations are interesting the main streets running along both the Israeli and Jordanian sides of the Dead Sea. These hazards are due to the dramatic dropping of the Dead Sea level, characterized by an increasing rate from about 60 cm/yr in the 1970s up to 1 m/yr in the 2000s, which provokes a lowering of the fresh-saline groundwater interface, replacing the hypersaline groundwater with fresh water and causing a consequent erosion of the subsurface salt layers. Subsidence, sinkholes, river erosion and landslides damage bridges, roads, dikes, houses, factories worsening this ongoing disaster. One of the most emblematic effects is the catastrophic collapse of a 12-km newly constructed dyke, located on the Lisan Peninsula (Jordan), occurred in 2000. Differential Interferometric Synthetic Aperture Radar (DInSAR) techniques and Advanced stacking DInSAR techniques (A-DInSAR) were applied to investigate sinkholes and subsidence affecting the Jordanian coast of the Dead Sea. The use of SAR data already proof to be efficient on the risk management of the area, allowing to identify a vulnerable portion of an Israeli highway, averting a possible collapse. Deformation analysis has been focused on the Ghor Al Haditha area and Lisan peninsula, located in the South-Eastern part of the lake coast. The availability of a huge database of SAR data, since the beginning of the 90s, allowed to observe the evolution of the displacements which are damaging this area. Furthermore, last generation Sentinel-1 data, acquired by the ESA mission, were processed to obtain information about the recent evolution of the subsidence and sinkholes affecting the study area, from the end of 2014 to the present. Important subsidence can be noticed mainly in correspondence of the emerging coast. Moreover, some solar evaporation pools used for salt production are injured by high deformations. Analysis of results obtained from SAR satellite data allows to identify different hazard processing affecting the study area and define the displacement time-series to clearly describe the evolution of the different phenomena, resulting as an effective tool to prevent damage and collapses. Furthermore, vulnerability maps can be created and possible precursor behaviour can be highlighted demonstrating the predictive capability of these data.

Inferring the width of the upwelling region at mid-ocean ridges from the throttling effect of small-offset transforms: Implications for the dynamics of `normal' and plume-influenced mid- ocean ridges

NASA Astrophysics Data System (ADS)

Phipps Morgan, J.; Ranero, C. R.

2006-12-01

The fundamental question "How wide is the upwelling and melting region beneath mid-ocean ridges (MORs)?" remains a subject of ongoing debate after 4 decades of intensive study. The basic observational difficulty is that lateral melt migration has the potential to bring melt produced within a wide subaxial region to the ~2km- wide neovolcanic zone that has been observed to be the site of almost all oceanic crustal emplacement. Here we use an indirect approach to infer this width from the minimum length of the ridge-offsets that mark the limits of the `region of influence' of on-ridge plumes on the axial relief, axial morphology, and crustal thickness along the ridge — e.g. as seen along ridge segments influenced by the Galapagos and Iceland plumes, and at the terminations of fossil volcanic rifted margins and the paleo-Azores plume-ridge interaction. We adopt Vogt's [1972] hypothesis for along-ridge asthenospheric flow in a narrow vertical slot beneath the axis of plume- influenced `macro-segments'. We find that: (1) There is a threshold distance to the lateral offsets that bound plume-influenced macrosegments; all such `barrier offsets' are greater than ~30km, while smaller offsets do not appear to be a barrier to along-axis flow. (2) Recent seismic and E-M observations along the southern EPR are consistent with a narrow westward-dipping subaxial slot. (3) A similar pattern is seen in the often abrupt transitions between volcanic and non-volcanic rifted margins, which is discussed in a companion presentation by Ranero and Phipps Morgan (this meeting). (4) A ~30km width for the region of ridge upwelling and melting offers a simple conceptual explanation for the apparent ~30km threshold length for the existence of strike-slip transform faults and the occurrence of non-transform offsets at smaller ridge offset-distances. (5) It also offers a simple conceptual explanation for the largest scale of segmentation of axial relief seen at fast-spreading ridges; these 500-1000km `long wavelength undulations of the axis' (Macdonald et al., 1989) may be macro- segments sharing a single contiguous subaxial slot that is bent but not broken beneath non-transform offsets. (6) If asthenosphere consumption by plate-spreading is less than plume-supply into a macro-segment, then the shallow seafloor and excess gravitational spreading stresses associated with a plume-influenced ridge will lead to growth of the axial slot by ridge propagation, propagation that continues until the offset of the associated migrating shear zone becomes long enough to halt it. We think this is a promising conceptual framework with which to understand the dynamic similarities and differences between plume-influenced and `normal' mid-ocean ridges.

Paleogeographic changes across the Pennsylvanian-Permian boundary within the Mid-Continent (USA) inferred from detrital zircon geochronology of continental deposits

NASA Astrophysics Data System (ADS)

Soreghan, M. J.; Soreghan, G. S.

2017-12-01

The Permo-Pennsylvanian was characterized by intense orogenesis associated with Pangaean assembly, and profound climate shifts as earth transitioned from full icehouse conditions in the Pennsylvanian-early Permian to collapse into greenhouse conditions by latest Permian time. The modern U.S. Midcontinent was part of equatorial western Pangaea (North America) sandwiched between a continental-scale orogenic zone to the east and south (Appalachian-Ouachita-Marathon orogenic belt) and a series of basement-cored, intra-plate uplifts along western Pangaea (Ancestral Rocky Mountains). Here, we present a compilation of detrital zircon geochronology data from the Permo-Pennsylvanian of the Midcontinent as well as coeval strata of the east and west to explore sediment dispersal and potential tectonic and climatic influences on these provenance signatures. Zircon provenance data come from mostly eolian and fluvial silt- and sandstones of Early Pennsylvanian through Mid Permian age, although some data include marine sandstones. Our new data were acquired by LA-ICPMS at the University of Arizona Laserchron, and predominant age groups include >2500 Ma (Archean), 1600-1800 Ma (Yavapai-Matzatzal), 1300-900 Ma (Grenville), 790-570 Ma (Neoproterozoic), and 480-360 (E-M Paleozoic). However, the relative distributions of these populations exhibit distinctive temporal differences, especially across the Pennsylvanian-Permian boundary, but also spatially in comparison to published data from the Appalachian-Ouachita-Marathon basin, Ancestral Rocky Mountain basins, and the western Pangaean margin. Although the Central Pangaean Mountains, and in particular the Grenville-age basement rocks, were a dominant source of sediment to the Midcontinent, the data suggest an abrupt introduction of Neoproterozoic zircons in the early Permian. This signature also appears within the Ancestral Rocky Mountains region, but is rare along the western margin and the Appalachian basin in the early Permian. This suggests that dispersal remained segmented in the early Permian and not dominated by a simple east-west integrated paleodisperal system. Temporal change in paleoclimatic conditions across the boundary also likely complicated these provenance signatures through the Permian.

Identifying micro-inversions using high-throughput sequencing reads.

PubMed

He, Feifei; Li, Yang; Tang, Yu-Hang; Ma, Jian; Zhu, Huaiqiu

2016-01-11

The identification of inversions of DNA segments shorter than read length (e.g., 100 bp), defined as micro-inversions (MIs), remains challenging for next-generation sequencing reads. It is acknowledged that MIs are important genomic variation and may play roles in causing genetic disease. However, current alignment methods are generally insensitive to detect MIs. Here we develop a novel tool, MID (Micro-Inversion Detector), to identify MIs in human genomes using next-generation sequencing reads. The algorithm of MID is designed based on a dynamic programming path-finding approach. What makes MID different from other variant detection tools is that MID can handle small MIs and multiple breakpoints within an unmapped read. Moreover, MID improves reliability in low coverage data by integrating multiple samples. Our evaluation demonstrated that MID outperforms Gustaf, which can currently detect inversions from 30 bp to 500 bp. To our knowledge, MID is the first method that can efficiently and reliably identify MIs from unmapped short next-generation sequencing reads. MID is reliable on low coverage data, which is suitable for large-scale projects such as the 1000 Genomes Project (1KGP). MID identified previously unknown MIs from the 1KGP that overlap with genes and regulatory elements in the human genome. We also identified MIs in cancer cell lines from Cancer Cell Line Encyclopedia (CCLE). Therefore our tool is expected to be useful to improve the study of MIs as a type of genetic variant in the human genome. The source code can be downloaded from: http://cqb.pku.edu.cn/ZhuLab/MID .

Ultrafast hydrogen exchange reveals specific structural events during the initial stages of folding of cytochrome c.

PubMed

Fazelinia, Hossein; Xu, Ming; Cheng, Hong; Roder, Heinrich

2014-01-15

Many proteins undergo a sharp decrease in chain dimensions during early stages of folding, prior to the rate-limiting step in folding. However, it remains unclear whether compact states are the result of specific folding events or a general hydrophobic collapse of the poly peptide chain driven by the change in solvent conditions. To address this fundamental question, we extended the temporal resolution of NMR-detected H/D exchange labeling experiments into the microsecond regime by adopting a microfluidics approach. By observing the competition between H/D exchange and folding as a function of labeling pH, coupled with direct measurement of exchange rates in the unfolded state, we were able to monitor hydrogen-bond formation for over 50 individual backbone NH groups within the initial 140 microseconds of folding of horse cytochrome c. Clusters of solvent-shielded amide protons were observed in two α-helical segments in the C-terminal half of the protein, while the N-terminal helix remained largely unstructured, suggesting that proximity in the primary structure is a major factor in promoting helix formation and association at early stages of folding, while the entropically more costly long-range contacts between the N- and C-terminal helices are established only during later stages. Our findings clearly indicate that the initial chain condensation in cytochrome c is driven by specific interactions among a subset of α-helical segments rather than a general hydrophobic collapse.

Magma-tectonic interactions in an area of active extension; a review of recent observations, models and interpretations from Iceland

NASA Astrophysics Data System (ADS)

Pedersen, Rikke; Sigmundsson, Freysteinn; Drouin, Vincent; Rafn Heimisson, Elías; Parks, Michelle; Dumont, Stéphanie; Árnadóttir, Þóra; Masterlark, Timothy; Ófeigsson, Benedíkt G.; Jónsdóttir, Kristín; Hooper, Andrew

2016-04-01

The geological setting of Iceland provides rich opportunities of studying magma-tectonic interactions, as it constitutes Earth's largest part of the mid-oceanic ridge system exposed above sea level. A series of volcanic and seismic zones accommodate the ~2 cm/year spreading between the North-American and Eurasian plates, and the Icelandic hot-spot conveniently provides the means of exposing this oceanic crust-forming setting above sea-level. Both extinct and active plumbing system structures can be studied in Iceland, as the deeply eroded tertiary areas provide views into the structures of extinct volcanic systems, and active processes can be inferred on in the many active volcanic systems. A variety of volcanic and tectonic processes cause the Icelandic crust to deform continuously, and the availability of contemporaneous measurements of crustal deformation and seismicity provide a powerful data set, when trying to obtain insight into the processes working at depth, such as magma migration through the uppermost lithosphere, magma induced host rock deformation and volcanic eruption locations and styles. The inferences geodetic and seismic datasets allow on the active plate spreading processes and subsurface magma movements in Iceland will be reviewed, in particular in relation to the Northern Volcanic Zone (NVZ). There the three phases of a rifting cycle (rifting, post-rifting, inter-rifting) have been observed. The NVZ is an extensional rift segment, bounded to the south by the Icelandic mantle plume, and to the north by the Tjörnes transform zone. The NVZ has typically been divided into five partly overlapping en-echelon fissure swarms, each with a central main volcanic production area. Most recently, additional insight into controlling factors during active rifting has been provided by the Bárðarbunga activity in 2014-2015 that included a major rifting event, the largest effusive eruption in Iceland since 1783, and a gradual caldera collapse. It is evident from available datasets that improved rifting-cycle models do need to incorporate realistic lithospheric properties, as well as the dynamic transport of magma, in order to reproduce the variety of observations, and provide means of forecasting large future dyking events and eruptions at active rifting segments.

Three-Dimensional Seismic Structure of the Mid-Atlantic Ridge: An Investigation of Tectonic, Magmatic, and Hydrothermal Processes in the Rainbow Area

NASA Astrophysics Data System (ADS)

Dunn, Robert A.; Arai, Ryuta; Eason, Deborah E.; Canales, J. Pablo; Sohn, Robert A.

2017-12-01

To test models of tectonic, magmatic, and hydrothermal processes along slow-spreading mid-ocean ridges, we analyzed seismic refraction data from the Mid-Atlantic Ridge INtegrated Experiments at Rainbow (MARINER) seismic and geophysical mapping experiment. Centered at the Rainbow area of the Mid-Atlantic Ridge (36°14'N), this study examines a section of ridge with volcanically active segments and a relatively amagmatic ridge offset that hosts the ultramafic Rainbow massif and its high-temperature hydrothermal vent field. Tomographic images of the crust and upper mantle show segment-scale variations in crustal structure, thickness, and the crust-mantle transition, which forms a vertical gradient rather than a sharp boundary. There is little definitive evidence for large regions of sustained high temperatures and melt in the lower crust or upper mantle along the ridge axes, suggesting that melts rising from the mantle intrude as small intermittent magma bodies at crustal and subcrustal levels. The images reveal large rotated crustal blocks, which extend to mantle depths in some places, corresponding to off-axis normal fault locations. Low velocities cap the Rainbow massif, suggesting an extensive near-surface alteration zone due to low-temperature fluid-rock reactions. Within the interior of the massif, seismic images suggest a mixture of peridotite and gabbroic intrusions, with little serpentinization. Here diffuse microearthquake activity indicates a brittle deformation regime supporting a broad network of cracks. Beneath the Rainbow hydrothermal vent field, fluid circulation is largely driven by the heat of small cooling melt bodies intruded into the base of the massif and channeled by the crack network and shallow faults.

The Extraction of Post-Earthquake Building Damage Informatiom Based on Convolutional Neural Network

NASA Astrophysics Data System (ADS)

Chen, M.; Wang, X.; Dou, A.; Wu, X.

2018-04-01

The seismic damage information of buildings extracted from remote sensing (RS) imagery is meaningful for supporting relief and effective reduction of losses caused by earthquake. Both traditional pixel-based and object-oriented methods have some shortcoming in extracting information of object. Pixel-based method can't make fully use of contextual information of objects. Object-oriented method faces problem that segmentation of image is not ideal, and the choice of feature space is difficult. In this paper, a new stratage is proposed which combines Convolution Neural Network (CNN) with imagery segmentation to extract building damage information from remote sensing imagery. the key idea of this method includes two steps. First to use CNN to predicate the probability of each pixel and then integrate the probability within each segmentation spot. The method is tested through extracting the collapsed building and uncollapsed building from the aerial image which is acquired in Longtoushan Town after Ms 6.5 Ludian County, Yunnan Province earthquake. The results show that the proposed method indicates its effectiveness in extracting damage information of buildings after earthquake.

Trace-transform invariants of tracks of high-velocity jets from the surface of tungsten droplets in the plasma flow

NASA Astrophysics Data System (ADS)

Gulyaev, P.; Jordan, V.; Gulyaev, I.; Dolmatov, A.

2017-05-01

The paper presents the analysis of the recorded tracks of high-velocity emission in the air-argon plasma flow during breaking up of tungsten microdroplets. This new physical effect of optical emission involves two stages. The first one includes thermionic emission of electrons from the surface of the melted tungsten droplet of 100-200 μm size and formation of the charged sphere of 3-5 mm diameter. After it reaches the breakdown electric potential, it collapses and produces a spherical shock wave and luminous radiation. The second stage includes previously unknown physical phenomenon of narrowly directed energy jet with velocity exceeding 4000 m/s from the surface of the tungsten droplet. The luminous spherical collapse and high-velocity jets were recorded using CMOS photo-array operating in a global shutter charge storage mode. Special features of the CMOS array scanning algorithm affect formation of distinctive signs of the recorded tracks, which stay invariant to trace transform (TT) with specific functional. The series of concentric circles were adopted as primitive object models (patterns) used in TT at the spherical collapse stage and linear segment of fixed thickness - at the high-velocity emission stage. The two invariants of the physical object, motion velocity and optical brightness distribution in the motion front, were adopted as desired identification features of tracks. The analytical expressions of the relation of 2D TT parameters and physical object motion invariants were obtained. The equations for spherical collapse stage correspond to Radon-Nikodym transform.

Kinetic magnetic resonance imaging analysis of lumbar segmental mobility in patients without significant spondylosis.

PubMed

Tan, Yanlin; Aghdasi, Bayan G; Montgomery, Scott R; Inoue, Hirokazu; Lu, Chang; Wang, Jeffrey C

2012-12-01

The purpose of this study was to examine lumbar segmental mobility using kinetic magnetic resonance imaging (MRI) in patients with minimal lumbar spondylosis. Mid-sagittal images of patients who underwent weight-bearing, multi-position kinetic MRI for symptomatic low back pain or radiculopathy were reviewed. Only patients with a Pfirrmann grade of I or II, indicating minimal disc disease, in all lumbar discs from L1-2 to L5-S1 were included for further analysis. Translational and angular motion was measured at each motion segment. The mean translational motion of the lumbar spine at each level was 1.38 mm at L1-L2, 1.41 mm at L2-L3, 1.14 mm at L3-L4, 1.10 mm at L4-L5 and 1.01 mm at L5-S1. Translational motion at L1-L2 and L2-L3 was significantly greater than L3-4, L4-L5 and L5-S1 levels (P < 0.007). The mean angular motion at each level was 7.34° at L1-L2, 8.56° at L2-L3, 8.34° at L3-L4, 8.87° at L4-L5, and 5.87° at L5-S1. The L5-S1 segment had significantly less angular motion when compared to all other levels (P < 0.006). The mean percentage contribution of each level to the total angular mobility of the lumbar spine was highest at L2-L3 (22.45 %) and least at L5/S1 (14.71 %) (P < 0.001). In the current study, we evaluated lumbar segmental mobility in patients without significant degenerative disc disease and found that translational motion was greatest in the proximal lumbar levels whereas angular motion was similar in the mid-lumbar levels but decreased at L1-L2 and L5-S1.

Radiological and Functional Outcome of Displaced Colles’ Fracture Managed with Closed Reduction and Percutaneous Pinning: A Prospective Study

PubMed Central

Khatri, Kishor; Kharel, Krishna; Byanjankar, Subin; Sharma, Jay R; Shrestha, Rahul; Vaishya, Raju; Agarwal, Amit Kumar; Vijay, Vipul

2017-01-01

Background: Displaced Colles’ fractures are treated by manipulation and below elbow cast application. Malunion is a common complication, resulting in pain, mid-carpal instability, and post-traumatic arthritis. Fracture stabilization by percutaneous pinning is a simple, minimally invasive technique that helps prevent displacement of the fracture, thereby minimizing complications. This study aims to assess the amount of collapse after closed manipulation and percutaneous pinning with Kirschner wires (K-wires) and its correlation with the functional outcome of the wrist after union. Methods: A prospective study was conducted from May 2015 to May 2016 in a tertiary orthopedic center. Ninety patients (60 females, 30 males) with an average age of 54.93 years with Type II fractures underwent closed manipulation and percutaneous pinning with crossed K-wires as the primary procedure. Serial radiographs were taken to document the amount of collapse. The functional outcome was assessed using the Cooney Wrist Score. Results: At the final follow-up at six months, the collapse in the mean dorsal angle was 0.94 and mean ulnar variance was 0.51. Functionally, 48 patients (53.33%) had an excellent outcome, 36 patients (40%) had a good outcome, and six patients (6.67%) had a fair outcome. Conclusions: Displaced Colles’ fractures should be reduced and stabilized with percutaneous K-wires to achieve an excellent functional outcome. PMID:28191366

Radiological and Functional Outcome of Displaced Colles' Fracture Managed with Closed Reduction and Percutaneous Pinning: A Prospective Study.

PubMed

Panthi, Sagar; Khatri, Kishor; Kharel, Krishna; Byanjankar, Subin; Sharma, Jay R; Shrestha, Rahul; Vaishya, Raju; Agarwal, Amit Kumar; Vijay, Vipul

2017-01-06

Displaced Colles' fractures are treated by manipulation and below elbow cast application. Malunion is a common complication, resulting in pain, mid-carpal instability, and post-traumatic arthritis. Fracture stabilization by percutaneous pinning is a simple, minimally invasive technique that helps prevent displacement of the fracture, thereby minimizing complications. This study aims to assess the amount of collapse after closed manipulation and percutaneous pinning with Kirschner wires (K-wires) and its correlation with the functional outcome of the wrist after union. A prospective study was conducted from May 2015 to May 2016 in a tertiary orthopedic center. Ninety patients (60 females, 30 males) with an average age of 54.93 years with Type II fractures underwent closed manipulation and percutaneous pinning with crossed K-wires as the primary procedure. Serial radiographs were taken to document the amount of collapse. The functional outcome was assessed using the Cooney Wrist Score. At the final follow-up at six months, the collapse in the mean dorsal angle was 0.94 and mean ulnar variance was 0.51. Functionally, 48 patients (53.33%) had an excellent outcome, 36 patients (40%) had a good outcome, and six patients (6.67%) had a fair outcome. Displaced Colles' fractures should be reduced and stabilized with percutaneous K-wires to achieve an excellent functional outcome.

Designing a 'safe and just operating space' for the Chilika lagoon fishery of the Mahanadi delta, India

NASA Astrophysics Data System (ADS)

Cooper, Gregory; Dearing, John

2017-04-01

Annual fish production from the Chilika lagoon is worth US25-million/year, underpinning the livelihoods of 35,000 fishers and 200,000 secondary dependants. The system has a legacy of collapse, transitioning from annual production rates of 9000 tonnes to 1300 tonnes during the late-1980s, with resulting livelihood losses triggering the first recorded instances of economic migration from Chilika. Despite engineered recovery since 2000, the future persistence of Chilika's resource stock is uncertain. Climate change may strengthen freshwater and sediment delivery, promoting ecohydrological degradation through tidal outlet sedimentation, reduced salinity and freshwater weed growth. Simultaneously, human population growth, fleet motorisation and consumption demands threaten overexploitation driven collapse. These critical social-ecological drivers and feedbacks are projected into future by integrating system dynamics modelling with Monte Carlo inputs. Sustainable pathways are identified from outputs producing social-ecologically desirable futures, such as mid-century catch equalling maximum sustainable yield. The 'safe and just operating space' metaphor is regionalised by the limits of sustainable trajectories, such as the permissible number of active fishers, motorised boats and juvenile catch under alternative governance scenarios. These critical thresholds suggest policy-relevant guardrails for the sustainable governance of Chilika, in order to avoid regional productivity collapse, ecological degradation and livelihood losses. Benefits and trade-offs of alternative governance approaches are also discussed, aiding the optimisation of future regulatory decision-making.

Endothelial mitochondrial oxidative stress determines podocyte depletion in segmental glomerulosclerosis

PubMed Central

Daehn, Ilse; Casalena, Gabriella; Zhang, Taoran; Shi, Shaolin; Fenninger, Franz; Barasch, Nicholas; Yu, Liping; D’Agati, Vivette; Schlondorff, Detlef; Kriz, Wilhelm; Haraldsson, Borje; Bottinger, Erwin P.

2014-01-01

Focal segmental glomerular sclerosis (FSGS) is a primary kidney disease that is commonly associated with proteinuria and progressive loss of glomerular function, leading to development of chronic kidney disease (CKD). FSGS is characterized by podocyte injury and depletion and collapse of glomerular capillary segments. Progression of FSGS is associated with TGF-β activation in podocytes; however, it is not clear how TGF-β signaling promotes disease. Here, we determined that podocyte-specific activation of TGF-β signaling in transgenic mice and BALB/c mice with Adriamycin-induced glomerulosclerosis is associated with endothelin-1 (EDN1) release by podocytes, which mediates mitochondrial oxidative stress and dysfunction in adjacent endothelial cells via paracrine EDN1 receptor type A (EDNRA) activation. Endothelial dysfunction promoted podocyte apoptosis, and inhibition of EDNRA or scavenging of mitochondrial-targeted ROS prevented podocyte loss, albuminuria, glomerulosclerosis, and renal failure. We confirmed reciprocal crosstalk between podocytes and endothelial cells in a coculture system. Biopsies from patients with FSGS exhibited increased mitochondrial DNA damage, consistent with EDNRA-mediated glomerular endothelial mitochondrial oxidative stress. Our studies indicate that segmental glomerulosclerosis develops as a result of podocyte-endothelial crosstalk mediated by EDN1/EDNRA-dependent mitochondrial dysfunction and suggest that targeting the reciprocal interaction between podocytes and endothelia may provide opportunities for therapeutic intervention in FSGS. PMID:24590287

Renal artery nerve distribution and density in the porcine model: biologic implications for the development of radiofrequency ablation therapies.

PubMed

Tellez, Armando; Rousselle, Serge; Palmieri, Taylor; Rate, William R; Wicks, Joan; Degrange, Ashley; Hyon, Chelsea M; Gongora, Carlos A; Hart, Randy; Grundy, Will; Kaluza, Greg L; Granada, Juan F

2013-12-01

Catheter-based renal artery denervation has demonstrated to be effective in decreasing blood pressure among patients with refractory hypertension. The anatomic distribution of renal artery nerves may influence the safety and efficacy profile of this procedure. We aimed to describe the anatomic distribution and density of periarterial renal nerves in the porcine model. Thirty arterial renal sections were included in the analysis by harvesting a tissue block containing the renal arteries and perirenal tissue from each animal. Each artery was divided into 3 segments (proximal, mid, and distal) and assessed for total number, size, and depth of the nerves according to the location. Nerve counts were greatest proximally (45.62% of the total nerves) and decreased gradually distally (mid, 24.58%; distal, 29.79%). The distribution in nerve size was similar across all 3 sections (∼40% of the nerves, 50-100 μm; ∼30%, 0-50 μm; ∼20%, 100-200 μm; and ∼10%, 200-500 μm). In the arterial segments ∼45% of the nerves were located within 2 mm from the arterial wall whereas ∼52% of all nerves were located within 2.5 mm from the arterial wall. Sympathetic efferent fibers outnumbered sensory afferent fibers overwhelmingly, intermixed within the nerve bundle. In the porcine model, renal artery nerves are seen more frequently in the proximal segment of the artery. Nerve size distribution appears to be homogeneous throughout the artery length. Nerve bundles progress closer to the arterial wall in the distal segments of the artery. This anatomic distribution may have implications for the future development of renal denervation therapies. Crown Copyright © 2013. Published by Mosby, Inc. All rights reserved.

Subtotal obstruction of the male reproductive tract.

PubMed

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

2003-03-01

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

[Nutritional status and dietary assessment of patients with gastrectomy].

PubMed

Kamiji, Mayra Mayumi; de Oliveira, Ricardo Brandt

2003-01-01

Nutrition is a crucial factor in gastric resection surgery and the most suitable alimentary canal reconstruction method must be considered in order to reduce the risk of malnutrition. The cause of postgastrectomy malnutrition has not been clearly determined, but the mechanisms behind malnutrition are evidently multifactorial. To evaluate the nutritional status of patients who underwent different reconstructive procedures after total or subtotal gastrectomy. Fifty patients who have undergone gastrectomy for 0.5-39 years were assessed. The surgical procedures used were Billroth I in 7, Billroth II in 26, Henley in 3 and Roux-en-Y in 14 of the patients. Twenty one of them have followed gastrectomy for cancer. The nutritional status was evaluated by subjective global assessment, dietary recall and anthropometry. According to subjective global assessment, 6 of 50 patients were mild malnourished. The mean body mass index was 22 4.75 kg/m2, the average daily calorie intake was 1624 477 Kcal. Of the patients operated for cancer, those who underwent subtotal gastrectomy followed by Roux-en-Y presented higher body mass index. No relationship between the period of time since surgery with body mass index or with calorie intake was found. Among patients operated for cancer, subtotal gastrectomy with Roux-en-Y reconstruction is associated with better nutritional status. Factors other than low calorie intake are the cause of weight loss in patients with gastrectomy.

Multiple Visceral Resections for Synchronous Left and Transverse Colon Adenocarcinoma with Gastrocolic-cutaneous Fistula - Case Report and Literature Review.

PubMed

Bacalbasa, Nicolae; Stoica, Claudia; Balescu, Irina

2017-05-01

Synchronous adenocarcinomas of the colon represent a rare situation, characterized by the presence of at least two colonic malignancies separated by at least 4-cm distance, in the absence of submucosal spread. Gastrocolic-cutaneous fistulas also represent a rare complication associated with the presence of colonic or gastric adenocarcinomas. We present the case of a 61-year-old patient who presented for abdominal pain, vomiting, weight loss and cutaneous exteriorization of purulent liquid. Intraoperatively, a large centro-abdominal tumor with gastroduodenal, pancreatic and colonic invasion was found in association with a synchronous left colonic tumor. The tumors were resected en bloc with distal gastrectomy, cephalic pancreatoduodenectomy, segmental enterectomy, subtotal colectomy and upper abdominal lymph node dissection. The histopathological studies revealed the presence of two synchronous colonic tumors: one located on the transverse colon, with pancreatic, duodeno-jejunal and gastric invasion and gastrocolic-cutaneous fistula, and a second one located on the left colon. Both tumors proved to be moderately differentiated colonic adenocarcinomas. At 1-year follow-up the patient remains free of any recurrent disease. Copyright© 2017, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

Phase Behavior of a Single Structured Ionomer Chain in Solution

DOE PAGES

Aryal, Dipak; Etampawala, Thusitha; Perahia, Dvora; ...

2014-08-14

Structured polymers offer a means to tailor transport pathways within mechanically stable manifolds. Here we examine the building block of such a membrane, namely a single large pentablock co-polymer that consist of a center block of a randomly sulfonated polystyrene, designed for transport, tethered to poly-ethylene-r-propylene and end-capped by poly-t-butyl styrene, for mechanical stability,using molecular dynamics simulations. The polymer structure in a cyclohexane-heptane mixture, a technologically viable solvent, and in water, a poor solvent for all segments and a ubiquitous substance is extracted. In all solvents the pentablock collapsed into nearly spherical aggregates where the ionic block is segregated. Inmore » hydrophobic solvents, the ionic block resides in the center, surrounded by swollen intermix of flexible and end blocks. In water all blocks are collapsed with the sulfonated block residing on the surface. Our results demonstrate that solvents drive different local nano-segregation, providing a gateway to assemble membranes with controlled topology.« less

Exploring tectonomagmatic controls on mid-ocean ridge faulting and morphology with 3-D numerical models

NASA Astrophysics Data System (ADS)

Howell, S. M.; Ito, G.; Behn, M. D.; Olive, J. A. L.; Kaus, B.; Popov, A.; Mittelstaedt, E. L.; Morrow, T. A.

2016-12-01

Previous two-dimensional (2-D) modeling studies of abyssal-hill scale fault generation and evolution at mid-ocean ridges have predicted that M, the ratio of magmatic to total extension, strongly influences the total slip, spacing, and rotation of large faults, as well as the morphology of the ridge axis. Scaling relations derived from these 2-D models broadly explain the globally observed decrease in abyssal hill spacing with increasing ridge spreading rate, as well as the formation of large-offset faults close to the ends of slow-spreading ridge segments. However, these scaling relations do not explain some higher resolution observations of segment-scale variability in fault spacing along the Chile Ridge and the Mid-Atlantic Ridge, where fault spacing shows no obvious correlation with M. This discrepancy between observations and 2-D model predictions illuminates the need for three-dimensional (3-D) numerical models that incorporate the effects of along-axis variations in lithospheric structure and magmatic accretion. To this end, we use the geodynamic modeling software LaMEM to simulate 3-D tectono-magmatic interactions in a visco-elasto-plastic lithosphere under extension. We model a single ridge segment subjected to an along-axis gradient in the rate of magma injection, which is simulated by imposing a mass source in a plane of model finite volumes beneath the ridge axis. Outputs of interest include characteristic fault offset, spacing, and along-axis gradients in seafloor morphology. We also examine the effects of along-axis variations in lithospheric thickness and off-axis thickening rate. The main objectives of this study are to quantify the relative importance of the amount of magmatic extension and the local lithospheric structure at a given along-axis location, versus the importance of along-axis communication of lithospheric stresses on the 3-D fault evolution and morphology of intermediate-spreading-rate ridges.

Seismotectonics of Bhutan: Evidence for segmentation of the Eastern Himalayas and link to foreland deformation

NASA Astrophysics Data System (ADS)

Diehl, Tobias; Singer, Julia; Hetényi, György; Grujic, Djordje; Clinton, John; Giardini, Domenico; Kissling, Edi; Gansser Working Group

2017-08-01

The instrumental record of Bhutan is characterized by a lower seismicity compared to other parts of the Himalayan arc. To understand this low activity and its impact on the seismic hazard, a seismic network was installed in Bhutan for 22 months between 2013 and 2014. Recorded seismicity, earthquake moment tensors and local earthquake tomography reveal along-strike variations in structure and crustal deformation regime. A thickened crust imaged in western Bhutan suggests lateral differences in stresses on the Main Himalayan Thrust (MHT), potentially affecting the interseismic coupling and deformation regime. Sikkim, western Bhutan and its foreland are characterized by strike-slip faulting in the Indian basement. Strain is particularly localized along a NW-SE striking mid-crustal fault zone reaching from Chungthang in northeast Sikkim to Dhubri at the northwestern edge of the Shillong Plateau in the foreland. The dextral Dhubri-Chungthang fault zone (DCF) causes segmentation of the Indian basement and the MHT between eastern Nepal and western Bhutan and connects the deformation front of the Himalaya with the Shillong Plateau by forming the western boundary of the Shillong block. The Kopili fault, the proposed eastern boundary of this block, appears to be a diffuse zone of mid-crustal seismicity in the foreland. In eastern Bhutan we image a seismogenic, flat portion of the MHT, which might be either related to a partially creeping segment or to increased background seismicity originating from the 2009 MW 6.1 earthquake. In western-central Bhutan clusters of micro-earthquakes at the front of the High-Himalayas indicate the presence of a mid-crustal ramp and stress buildup on a fully coupled MHT. The area bounded by the DCF in the west and the seismogenic MHT in the east has the potential for M7-8 earthquakes in Bhutan. Similarly, the DCF has the potential to host M7 earthquakes as documented by the 2011 Sikkim and the 1930 Dhubri earthquakes, which were potentially associated with this structure.

Hypertensive heart disease versus hypertrophic cardiomyopathy: multi-parametric cardiovascular magnetic resonance discriminators when end-diastolic wall thickness ≥ 15 mm.

PubMed

Rodrigues, Jonathan C L; Rohan, Stephen; Ghosh Dastidar, Amardeep; Harries, Iwan; Lawton, Christopher B; Ratcliffe, Laura E; Burchell, Amy E; Hart, Emma C; Hamilton, Mark C K; Paton, Julian F R; Nightingale, Angus K; Manghat, Nathan E

2017-03-01

European guidelines state left ventricular (LV) end-diastolic wall thickness (EDWT) ≥15mm suggests hypertrophic cardiomyopathy (HCM), but distinguishing from hypertensive heart disease (HHD) is challenging. We identify cardiovascular magnetic resonance (CMR) predictors of HHD over HCM when EDWT ≥15mm. 2481 consecutive clinical CMRs between 2014 and 2015 were reviewed. 464 segments from 29 HCM subjects with EDWT ≥15mm but without other cardiac abnormality, hypertension or renal impairment were analyzed. 432 segments from 27 HHD subjects with EDWT ≥15mm but without concomitant cardiac pathology were analyzed. Magnitude and location of maximal EDWT, presence of late gadolinium enhancement (LGE), LV asymmetry (>1.5-fold opposing segment) and systolic anterior motion of the mitral valve (SAM) were measured. Multivariate logistic regression was performed. Significance was defined as p<0.05. HHD and HCM cohorts were age-/gender-matched. HHD had significantly increased indexed LV mass (110±27g/m 2 vs. 91±31g/m 2 , p=0.016) but no difference in site or magnitude of maximal EDWT. Mid-wall LGE was significantly more prevalent in HCM. Elevated indexed LVM, mid-wall LGE and absence of SAM were significant multivariate predictors of HHD, but LV asymmetry was not. Increased indexed LV mass, absence of mid-wall LGE and absence of SAM are better CMR discriminators of HHD from HCM than EDWT ≥15mm. • Hypertrophic cardiomyopathy (HCM) is often diagnosed with end-diastolic wall thickness ≥15mm. • Hypertensive heart disease (HHD) can be difficult to distinguish from HCM. • Retrospective case-control study showed that location and magnitude of EDWT are poor discriminators. • Increased left ventricular mass and midwall fibrosis are independent predictors of HHD. • Cardiovascular magnetic resonance parameters facilitate a better discrimination between HHD and HCM.

JWST Observatory Integration and Test Status

NASA Astrophysics Data System (ADS)

McElwain, Michael; Bowers, Charles; Kimble, Randy; Niedner, Malcolm; Smith, Erin; JWST Project Team

2018-01-01

The James Webb Space Telescope (JWST) is a large (6.5 m) segmented aperture telescope equipped with near- and mid-infrared instruments (0.6-28 microns), all of which are passively cooled to ~40 K by a 5-layer sunshield while the mid-infrared instrument is actively cooled to 7 K. There are currently two major paths of development: the telescope and science instruments, called OTIS, and the sunshield and spacecraft, called the spacecraft element. Over the past year, there has been tremendous progress on the integration and testing of these two systems. We will present the current status of the JWST hardware and estimated performance metrics based upon the test activities.

Posttraumatic mid-facial pain and Meige's syndrome relieved by pressure on the nasion and retrocollis.

PubMed

Jacome, Daniel E

2010-07-01

A 42-year-old farmer developed persistent mid-facial segmental pain and Meige's syndrome several months after suffering facial trauma and a fracture of the nose. He was not afflicted by systemic ailments, had no family history of movement disorder and no history of exposure to neuroleptic drugs. He was capable of suppressing his facial pain by performing a ritual that included forcefully tilting his head backwards, lowering of his eyelids and applying strong pressure to his nasion. Exceptionally dystonic movements and elaborate behavioral rituals may serve as a mechanism of pain suppression. Copyright 2010 Elsevier B.V. All rights reserved.

Sensory conduction of the sural nerve in polyneuropathy.

PubMed

Burke, D; Skuse, N F; Lethlean, A K

1974-06-01

Using surface electrodes, sensory nerve action potentials (SAP) have been recorded in the proximal segment (mid-calf to lateral malleolus) and the distal segment (lateral malleolus to toe 5) of the sural nerve and in the median nerve in 79 control subjects. The values obtained for the distal segment of the sural nerve varied widely and in seven apparently normal subjects no SAP could be distinguished. In the proximal segment conduction velocities were over 40 m/s and there was no significant change with age, unlike the median nerve in which a highly significant slowing occurred with age. Comparison of the results of sural and median sensory conduction studies in 300 consecutive patients screened for sensory polyneuropathy confirms the value of sural nerve sensory studies as a routine screening test, and confirms the belief that the changes in polyneuropathy are usually more prominent in lower limb nerves. It is therefore suggested that studies of sural sensory conduction form the single most useful test in the diagnosis of sensory polyneuropathy.

Spatial aggregation of holistically-nested convolutional neural networks for automated pancreas localization and segmentation.

PubMed

Roth, Holger R; Lu, Le; Lay, Nathan; Harrison, Adam P; Farag, Amal; Sohn, Andrew; Summers, Ronald M

2018-04-01

Accurate and automatic organ segmentation from 3D radiological scans is an important yet challenging problem for medical image analysis. Specifically, as a small, soft, and flexible abdominal organ, the pancreas demonstrates very high inter-patient anatomical variability in both its shape and volume. This inhibits traditional automated segmentation methods from achieving high accuracies, especially compared to the performance obtained for other organs, such as the liver, heart or kidneys. To fill this gap, we present an automated system from 3D computed tomography (CT) volumes that is based on a two-stage cascaded approach-pancreas localization and pancreas segmentation. For the first step, we localize the pancreas from the entire 3D CT scan, providing a reliable bounding box for the more refined segmentation step. We introduce a fully deep-learning approach, based on an efficient application of holistically-nested convolutional networks (HNNs) on the three orthogonal axial, sagittal, and coronal views. The resulting HNN per-pixel probability maps are then fused using pooling to reliably produce a 3D bounding box of the pancreas that maximizes the recall. We show that our introduced localizer compares favorably to both a conventional non-deep-learning method and a recent hybrid approach based on spatial aggregation of superpixels using random forest classification. The second, segmentation, phase operates within the computed bounding box and integrates semantic mid-level cues of deeply-learned organ interior and boundary maps, obtained by two additional and separate realizations of HNNs. By integrating these two mid-level cues, our method is capable of generating boundary-preserving pixel-wise class label maps that result in the final pancreas segmentation. Quantitative evaluation is performed on a publicly available dataset of 82 patient CT scans using 4-fold cross-validation (CV). We achieve a (mean  ±  std. dev.) Dice similarity coefficient (DSC) of 81.27 ± 6.27% in validation, which significantly outperforms both a previous state-of-the art method and a preliminary version of this work that report DSCs of 71.80 ± 10.70% and 78.01 ± 8.20%, respectively, using the same dataset. Copyright © 2018. Published by Elsevier B.V.

Piercing the upper ear: a simple infection, a difficult reconstruction.

PubMed

Cicchetti, S; Skillman, J; Gault, D T

2002-04-01

Piercing the upper ear to retain jewellery is now commonplace. When infection ensues, devastating chondritis leads to collapse of the ear. To our knowledge, the surgical reconstruction of post-piercing deformities has not been documented in the literature. We present five such cases referred for autogenous-tissue ear reconstruction. In four of these, the destroyed segments of ear cartilage were replaced with a carved costal-cartilage framework. One patient declined surgery. The importance of preventing infection is stressed. Copyright 2002 The British Association of Plastic Surgeons.

Childhood bone tuberculosis from Roman Pécs, Hungary.

PubMed

Hlavenková, L; Teasdale, M D; Gábor, O; Nagy, G; Beňuš, R; Marcsik, A; Pinhasi, R; Hajdu, T

2015-02-01

A child from a Roman necropolis in Pécs, Hungary (4th century CE) was initially diagnosed with severe spinal osteomyelitis. The post-cranial skeleton displayed bone alterations in the lower thoracic and upper lumbar segments, including vertebral body destruction, collapse and sharp kyphosis, and additional multiple rib lesions, suggesting a most likely diagnosis of pulmonary and spinal tuberculosis. This study discusses a number of selected diagnoses in the context of our pathological findings, complementing the macroscopic examination with radiological and biomolecular analyses. Copyright © 2014 Elsevier GmbH. All rights reserved.

Bilateral buphthalmia in a 4-month-old Texas longhorn steer.

PubMed

Jones, M L; Beck, A P; Dubielzig, R R

2013-01-01

Congenital ocular disease occurs uncommonly in cattle, with multiple abnormalities reported only sporadically in the literature. This report describes a case of anterior segment dysgenesis resulting in glaucoma in a 4-month-old Texas Longhorn steer. On clinical exam, bilateral buphthalmia was present and intraocular pressures exceeded 47 mm Hg in both eyes. On histopathologic examination, the iridocorneal angle and filtration apparatus were distorted due to collapse of the ciliary cleft and anterior displacement of the anterior portion of the ciliary body. No evidence of inflammation or other causes of glaucoma were recognized.

Laparoscopic intestinal derotation: original technique.

PubMed

Valle, Mario; Federici, Orietta; Tarantino, Enrico; Corona, Francesco; Garofalo, Alfredo

2009-06-01

The intestinal derotation technique, introduced by Cattel and Valdoni 40 years ago, is carried out using a laparoscopic procedure, which is described here for the first time. The method is effective in the treatment of malign lesions of the III and IV duodenum and during laparoscopic subtotal colectomy with anastomosis between the ascending colon and the rectum. Ultimately, the procedure allows for the verticalization of the duodenal C and the anterior positioning of the mesenteric vessels, facilitating biopsy and resection of the III and IV duodenal portions and allowing anastomosis of the ascending rectum, avoiding both subtotal colectomy and the risk of torsion of the right colic loop. Although the procedure calls for extensive experience with advanced video-laparoscopic surgery, it is both feasible and repeatable. In our experience we have observed no mortality or morbidity.

New Episodes of Volcanism at Kilauea Volcano, Hawaii

NASA Astrophysics Data System (ADS)

Poland, Michael; Miklius, Asta; Orr, Tim; Sutton, Jeff; Thornber, Carl; Wilson, David

2008-01-01

Mid-2007 was a time of intense activity at Kilauea Volcano, Hawaii (see Figure 1). In June, the long-lived Pu`u `Ō`ō-Kupaianaha eruption, a dual-vent system along the east rift zone (ERZ) that has been erupting since 1983 [Heliker et al., 2003], paused due to the outbreak of a new vent farther up the rift (see Figure 2). The Pu`u `Ō`ō vent collapsed following that activity, and the resulting reorganization of the magma plumbing system led to the formation of a second new eruptive vent 2 kilometers downrift of Pu`u `Ō`ō.

Urinary NGAL marks cystic disease in HIV-associated nephropathy.

PubMed

Paragas, Neal; Nickolas, Thomas L; Wyatt, Christina; Forster, Catherine S; Sise, Meghan; Morgello, Susan; Jagla, Bernd; Buchen, Charles; Stella, Peter; Sanna-Cherchi, Simone; Carnevali, Maria Luisa; Mattei, Silvia; Bovino, Achiropita; Argentiero, Lucia; Magnano, Andrea; Devarajan, Prasad; Schmidt-Ott, Kai M; Allegri, Landino; Klotman, Paul; D'Agati, Vivette; Gharavi, Ali G; Barasch, Jonathan

2009-08-01

Nephrosis and a rapid decline in kidney function characterize HIV-associated nephropathy (HIVAN). Histologically, HIVAN is a collapsing focal segmental glomerulosclerosis with prominent tubular damage. We explored the expression of neutrophil gelatinase-associated lipocalin (NGAL), a marker of tubular injury, to determine whether this protein has the potential to aid in the noninvasive diagnosis of HIVAN. We found that expression of urinary NGAL was much higher in patients with biopsy-proven HIVAN than in HIV-positive and HIV-negative patients with other forms of chronic kidney disease. In the HIV-transgenic mouse model of HIVAN, NGAL mRNA was abundant in dilated, microcystic segments of the nephron. In contrast, urinary NGAL did not correlate with proteinuria in human or in mouse models. These data show that marked upregulation of NGAL accompanies HIVAN and support further study of uNGAL levels in large cohorts to aid in the noninvasive diagnosis of HIVAN and screen for HIVAN-related tubular damage.

Segmentation Control on Crustal Accretion: Insights From the Chile Ridge

NASA Astrophysics Data System (ADS)

Martinez, F.; Karsten, J. L.; Milman, M. S.; Klein, E. M.

2002-12-01

Controls on crustal accretion at mid-ocean ridges include spreading rate and mantle temperature and composition. Less studied is the effect of the segmentation geometry, although it has been known for some time that large offset transforms have significant effects on the extent of melting and lava compositions produced by ridges in their vicinity. The PANORAMA 4 expedition surveyed the Chile Ridge between 36°-43°S in order to examine the effects of ridge segmentation on crustal accretion. This section of the ridge is spreading uniformly at intermediate rates (~53 mm/yr) and rock sampling and regional data indicate a largely uniform mantle composition with no systematic changes in mantle thermal structure. Thus the segmentation geometry is the primary crustal accretion variable. The survey mapped and sampled 19 first order ridge segments and their transform offsets. The ridges range from 130 to 10 km in length with mapped transform offsets from 168 to 19 km. The segments primarily have axial valley morphology, with segments longer than ~65 km typically displaying central highs deepening toward segment ends. Mantle Bouguer anomalies (MBAs) show that these segments also have bulls eye lows associated with the central highs indicating thicker crust than at segment ends. Overall the mapped segments displays a trend of increasing depth and MBA, implying diminishing crustal production, with decreasing segment length and increasing transform offset. We examine the cause of this trend by modeling the mantle flow pattern generated by finite length ridge segments using the Phipps-Morgan and Forsyth (1988) algorithm. The results indicate that at a constant spreading rate mantle upwelling rates are greatest and extend deeper near the segment center, and that for segments that are significantly offset, upwelling rates decrease overall with decreasing segment length. The modeling implies that segmentation itself, even without cooling and lithospheric relief at transforms has a strong influence on mantle advection and therefore on crustal production.

The importance of extent of choroid plexus cauterization in addition to endoscopic third ventriculostomy for infantile hydrocephalus: a retrospective North American observational study using propensity score-adjusted analysis.

PubMed

Fallah, Aria; Weil, Alexander G; Juraschka, Kyle; Ibrahim, George M; Wang, Anthony C; Crevier, Louis; Tseng, Chi-Hong; Kulkarni, Abhaya V; Ragheb, John; Bhatia, Sanjiv

2017-12-01

OBJECTIVE Combined endoscopic third ventriculostomy (ETC) and choroid plexus cauterization (CPC)-ETV/CPC- is being investigated to increase the rate of shunt independence in infants with hydrocephalus. The degree of CPC necessary to achieve improved rates of shunt independence is currently unknown. METHODS Using data from a single-center, retrospective, observational cohort study involving patients who underwent ETV/CPC for treatment of infantile hydrocephalus, comparative statistical analyses were performed to detect a difference in need for subsequent CSF diversion procedure in patients undergoing partial CPC (describes unilateral CPC or bilateral CPC that only extended from the foramen of Monro [FM] to the atrium on one side) or subtotal CPC (describes CPC extending from the FM to the posterior temporal horn bilaterally) using a rigid neuroendoscope. Propensity scores for extent of CPC were calculated using age and etiology. Propensity scores were used to perform 1) case-matching comparisons and 2) Cox multivariable regression, adjusting for propensity score in the unmatched cohort. Cox multivariable regression adjusting for age and etiology, but not propensity score was also performed as a third statistical technique. RESULTS Eighty-four patients who underwent ETV/CPC had sufficient data to be included in the analysis. Subtotal CPC was performed in 58 patients (69%) and partial CPC in 26 (31%). The ETV/CPC success rates at 6 and 12 months, respectively, were 49% and 41% for patients undergoing subtotal CPC and 35% and 31% for those undergoing partial CPC. Cox multivariate regression in a 48-patient cohort case-matched by propensity score demonstrated no added effect of increased extent of CPC on ETV/CPC survival (HR 0.868, 95% CI 0.422-1.789, p = 0.702). Cox multivariate regression including all patients, with adjustment for propensity score, demonstrated no effect of extent of CPC on ETV/CPC survival (HR 0.845, 95% CI 0.462-1.548, p = 0.586). Cox multivariate regression including all patients, with adjustment for age and etiology, but not propensity score, demonstrated no effect of extent of CPC on ETV/CPC survival (HR 0.908, 95% CI 0.495-1.664, p = 0.755). CONCLUSIONS Using multiple comparative statistical analyses, no difference in need for subsequent CSF diversion procedure was detected between patients in this cohort who underwent partial versus subtotal CPC. Further investigation regarding whether there is truly no difference between partial versus subtotal extent of CPC in larger patient populations and whether further gain in CPC success can be achieved with complete CPC is warranted.

Utility of late gadolinium enhancement in pediatric cardiac MRI.

PubMed

Etesami, Maryam; Gilkeson, Robert C; Rajiah, Prabhakar

2016-07-01

Late gadolinium enhancement (LGE) cardiac magnetic resonance (MR) imaging sequence is increasingly used in the evaluation of pediatric cardiovascular disorders, and although LGE might be a normal feature at the sites of previous surgeries, it is pathologically seen as a result of extracellular space expansion, either from acute cell damage or chronic scarring or fibrosis. LGE is broadly divided into ischemic and non-ischemic patterns. LGE caused by myocardial infarction occurs in a vascular distribution and always involves the subendocardial portion, progressively involving the outer regions in a waveform pattern. Non-ischemic cardiomyopathies can have a mid-myocardial (either linear or patchy), subepicardial or diffuse subendocardial distribution. Idiopathic dilated cardiomyopathy can have a linear mid-myocardial pattern, while hypertrophic cardiomyopathy can have fine, patchy enhancement in hypertrophied and non-hypertrophied segments as well as right ventricular insertion points. Myocarditis and sarcoidosis have a mid-myocardial or subepicardial pattern of LGE. Fabry disease typically affects the basal inferolateral segment while Danon disease typically spares the septum. Pericarditis is characterized by diffuse or focal pericardial thickening and enhancement. Thrombus, the most common non-neoplastic cardiac mass, is characterized by absence of enhancement in all sequences, while neoplastic masses show at least some contrast enhancement, depending on the pathology. Regardless of the etiology, presence of LGE is associated with a poor prognosis. In this review, we describe the technical modifications required for performing LGE cardiac MR sequence in children, review and illustrate the patterns of LGE in children, and discuss their clinical significance.

Volcanism on the fossil Galapagos Rise spreading centre, SE Pacific

NASA Astrophysics Data System (ADS)

Haase, K. M.; Stroncik, N. A.

2002-12-01

A part of the fossil spreading centre of the Galapagos Rise at 10° S, 95° W in the SE Pacific Ocean was mapped and sampled. This spreading centre was active for about 12 Ma and was abandoned about 6.5 Ma ago when the spreading rate of the East Pacific Rise (EPR) increased. The aim of this study is to understand the tectonic and petrological implications of the ridge jump for the spreading centre and to gain insights into the processes in its melting column. Bathymetric swath mapping of a part of the Galapagos Rise revealed an elongated structure with a NNE-SSW strike direction which is bounded by a large fracture zone in the north. The mapped area can be divided into three segments, each of about 50 km length. The northernmost segment consists of an ~4400 m deep rift which shows similarities to a slow-spreading centre, e.g. the Mid-Atlantic Ridge. The southern two segments are volcanic ridges with numerous volcanic flank cones which reach water depths up to 490 m. This volcanic ridge is interpreted as the continuation of the fossil spreading axis. While the northernmost segment is magmatically starved, the volcanic ridges of the southern two segments apparently formed after cessation of spreading. The rock samples from the rift flanks in the north are incompatible element-depleted (K/Ti 0.08-0.28) and plagioclase-phyric basalts resembling typical mid-ocean ridge basalts (MORB). In contrast, the lavas from the two volcanic ridge segments in the south are highly vesicular incompatible element-enriched alkali basalts with K/Ti of 0.65-1.4. The depleted rift basalts have Sr isotope ratios below 0.7027 while the alkali basalts from the ridge range between 0.7029 and 0.7031. The rift basalts have significantly lower sodium contents than the alkali basalts and thus the southern lavas are probably derived by smaller degrees of partial melting. The relatively low Si contents of the alkali basalts also indicates formation deeper in the melting column than the northern MORB-like samples. The mantle source of the alkali basalts is similar to the enriched source of off-axis seamounts along the EPR. Our preliminary data suggest that the northernmost segment formed by tectonic processes during a final slow-spreading phase of the Galapagos Rise while the southern two segments erupted alkaline lavas probably after spreading stopped.

Abundant Hydrothermal Venting in the Southern Ocean Near 62°S/159°E on the Australian-Antarctic Ridge

NASA Astrophysics Data System (ADS)

Baker, E. T.; Hahm, D.; Rhee, T. S.; Park, S. H.; Lupton, J. E.; Walker, S. L.; Choi, H.

2014-12-01

Circum-Antarctic Ridges (CARs) comprise almost one-third of the global Mid-Ocean Ridge, yet remain terra incognita for hydrothermal activity and chemosynthetic ecosystems. The InterRidge Vents Database lists only 3 confirmed (visualized) and 35 inferred (plume evidence) active sites along the ~21,000 km of CARs. Here, we report on a multi-year effort to locate and characterize hydrothermal activity on two 1st-order segments of the Australian-Antarctic Ridge that are perhaps more isolated from other known vent fields than any other vent site on the Mid-Ocean Ridge. KR1 is a 300-km-long segment near 62°S/159°E, and KR2 a 90-km-long segment near 60°S/152.5°E. We used profiles collected by Miniature Autonomous Plume Recorders (MAPRs) on rock corers in March and December of 2011 to survey each segment, and an intensive CTD survey in Jan/Feb 2013 to pinpoint sites and sample plumes on KR1. Optical and oxidation-reduction potential (ORP, aka Eh) anomalies indicate multiple active sites on both segments. Seven profiles on KR2 found 3 sites, each separated by ~25 km. Forty profiles on KR1 identified 13 sites, some within a few km of each other. The densest site concentration on KR1 occurred along a relatively inflated, 90-km-long section near the segment center. CTD tows covered 20 km of the eastern, most inflated portion of this area, finding two 6-km-long zones centered near 158.6°E and 158.8°E with multiple plume anomalies. Three ORP anomalies within 50 m of the seafloor indicate precise venting locations. We call this area the Mujin "Misty Harbor" vent field. Vent frequency sharply decreases away from Mujin. 3He/heat ratios determined from 20 plume samples in the Mujin field were mostly <0.015 fM/J, indicative of chronic venting, but 3 samples, 0.021-0.034 fM/J, are ratios typical of a recent eruption. The spatial density of hydrothermal activity along KR1 and KR2 is similar to other intermediate-rate spreading ridges. We calculate the plume incidence (ph) along KR1 and KR2 as the mean of the fraction of MAPR casts detecting a plume in each 2nd-order segment. For all 6 segments, ph=0.37±0.25, consistent with the prediction of 0.33 from the global trend of ph for a spreading rate of 68 mm/yr.

Paleoseismic investigations in the Santa Cruz mountains, California: Implications for recurrence of large-magnitude earthquakes on the San Andreas fault

USGS Publications Warehouse

Schwartz, D.P.; Pantosti, D.; Okumura, K.; Powers, T.J.; Hamilton, J.C.

1998-01-01

Trenching, microgeomorphic mapping, and tree ring analysis provide information on timing of paleoearthquakes and behavior of the San Andreas fault in the Santa Cruz mountains. At the Grizzly Flat site alluvial units dated at 1640-1659 A.D., 1679-1894 A.D., 1668-1893 A.D., and the present ground surface are displaced by a single event. This was the 1906 surface rupture. Combined trench dates and tree ring analysis suggest that the penultimate event occurred in the mid-1600s, possibly in an interval as narrow as 1632-1659 A.D. There is no direct evidence in the trenches for the 1838 or 1865 earthquakes, which have been proposed as occurring on this part of the fault zone. In a minimum time of about 340 years only one large surface faulting event (1906) occurred at Grizzly Flat, in contrast to previous recurrence estimates of 95-110 years for the Santa Cruz mountains segment. Comparison with dates of the penultimate San Andreas earthquake at sites north of San Francisco suggests that the San Andreas fault between Point Arena and the Santa Cruz mountains may have failed either as a sequence of closely timed earthquakes on adjacent segments or as a single long rupture similar in length to the 1906 rupture around the mid-1600s. The 1906 coseismic geodetic slip and the late Holocene geologic slip rate on the San Francisco peninsula and southward are about 50-70% and 70% of their values north of San Francisco, respectively. The slip gradient along the 1906 rupture section of the San Andreas reflects partitioning of plate boundary slip onto the San Gregorio, Sargent, and other faults south of the Golden Gate. If a mid-1600s event ruptured the same section of the fault that failed in 1906, it supports the concept that long strike-slip faults can contain master rupture segments that repeat in both length and slip distribution. Recognition of a persistent slip rate gradient along the northern San Andreas fault and the concept of a master segment remove the requirement that lower slip sections of large events such as 1906 must fill in on a periodic basis with smaller and more frequent earthquakes.

Using Paleoseismic Trenching and LiDAR Analysis to Evaluate Rupture Propagation Through Segment Boundaries of the Central Wasatch Fault Zone, Utah

NASA Astrophysics Data System (ADS)

Bennett, S. E. K.; DuRoss, C. B.; Reitman, N. G.; Devore, J. R.; Hiscock, A.; Gold, R. D.; Briggs, R. W.; Personius, S. F.

2014-12-01

Paleoseismic data near fault segment boundaries constrain the extent of past surface ruptures and the persistence of rupture termination at segment boundaries. Paleoseismic evidence for large (M≥7.0) earthquakes on the central Holocene-active fault segments of the 350-km-long Wasatch fault zone (WFZ) generally supports single-segment ruptures but also permits multi-segment rupture scenarios. The extent and frequency of ruptures that span segment boundaries remains poorly known, adding uncertainty to seismic hazard models for this populated region of Utah. To address these uncertainties we conducted four paleoseismic investigations near the Salt Lake City-Provo and Provo-Nephi segment boundaries of the WFZ. We examined an exposure of the WFZ at Maple Canyon (Woodland Hills, UT) and excavated the Flat Canyon trench (Salem, UT), 7 and 11 km, respectively, from the southern tip of the Provo segment. We document evidence for at least five earthquakes at Maple Canyon and four to seven earthquakes that post-date mid-Holocene fan deposits at Flat Canyon. These earthquake chronologies will be compared to seven earthquakes observed in previous trenches on the northern Nephi segment to assess rupture correlation across the Provo-Nephi segment boundary. To assess rupture correlation across the Salt Lake City-Provo segment boundary we excavated the Alpine trench (Alpine, UT), 1 km from the northern tip of the Provo segment, and the Corner Canyon trench (Draper, UT) 1 km from the southern tip of the Salt Lake City segment. We document evidence for six earthquakes at both sites. Ongoing geochronologic analysis (14C, optically stimulated luminescence) will constrain earthquake chronologies and help identify through-going ruptures across these segment boundaries. Analysis of new high-resolution (0.5m) airborne LiDAR along the entire WFZ will quantify latest Quaternary displacements and slip rates and document spatial and temporal slip patterns near fault segment boundaries.

Detection by next generation sequencing of a multi-segmented viral genome from sugarcane associated with Ramu stunt disease

USDA-ARS?s Scientific Manuscript database

Ramu stunt disease of sugarcane was first reported in Papua New Guinea in the mid 1980's. The disease can reduce sugarcane yields significantly and causes severe stunting and mortality in highly susceptible cultivars. The causal agent of Ramu stunt has been investigated but its characterization has ...

Mid-Career Faculty Development in Academic Medicine: How Does It Impact Faculty and Institutional Vitality?

ERIC Educational Resources Information Center

Campion, MaryAnn W.; Bhasin, Robina M.; Beaudette, Donald J.; Shann, Mary H.; Benjamin, Emelia J.

2016-01-01

Purpose: Faculty vitality is integral to the advancement of higher education. Strengthening vitality is particularly important for midcareer faculty, who represent the largest and most dissatisfied segment. The demands of academic medicine appear to be another factor that may put faculty at risk of attrition. To address these issues, we initiated…

A Subcortical Oscillatory Network Contributes to Recovery of Hand Dexterity after Spinal Cord Injury

ERIC Educational Resources Information Center

Nishimura, Yukio; Morichika, Yosuke; Isa, Tadashi

2009-01-01

Recent studies have shown that after partial spinal-cord lesion at the mid-cervical segment, the remaining pathways compensate for restoring finger dexterity; however, how they control hand/arm muscles has remained unclear. To elucidate the changes in dynamic properties of neural circuits connecting the motor cortex and hand/arm muscles, we…

An Exploratory Study of Distinguishing Challenges Faced by Mid-Life Teacher Candidates

ERIC Educational Resources Information Center

Tanksley, James F.

2012-01-01

The United States public education system is facing a possible shortage of several hundred thousand teachers over the next decade. To overcome the projected shortfall in teacher supply, schools of education of state university and college systems may need to look to the fastest growing segment of the college student population, the non-traditional…

Climatic and palaeoecological changes during the mid- to Late Holocene transition in eastern China: high-resolution pollen and non-pollen palynomorph analysis at Pingwang, Yangtze coastal lowlands

NASA Astrophysics Data System (ADS)

Innes, James B.; Zong, Yongqiang; Wang, Zhanghua; Chen, Zhongyuan

2014-09-01

The transition to the Late Holocene/Neoglacial occurred as a worldwide process of climatic deterioration from the optimum thermal conditions of the mid-Holocene, culminating in an abrupt decline around 4200 cal yr ago, in a period of severe climatic deterioration that lasted for two or three centuries. This sudden climatic event has been recorded in many proxy data archives from around the world, and its effects were manifest in different ways depending on the reaction of regional weather systems and conditions, but often as greatly increased aridity and/or cold temperatures. It has been regarded as causing or contributing to the sudden collapse of several well-established human societies at that time, including advanced agricultural Late Neolithic cultures in eastern China. We have used high-resolution pollen and non-pollen palynomorph analysis to examine the nature of this climatic transition through its impacts on the vegetation and hydrology at Pingwang, a site in the Yangtze coastal lowlands which has no evidence of complicating environmental influences such as sea-level rise or significant human land-use activity, factors previously suggested as alternative reasons for changes in forest composition. Our results show two phases of forest alteration, one gradual from about 5500 cal BP and one sudden at about 4200 cal BP., in which the frequencies of subtropical forest elements fall and are replaced by those of conifers and cold-tolerant trees. Total arboreal pollen frequencies do not decline and the proportion of temperate forest trees, tolerant of a wide range of temperatures, remains unchanged throughout, both ruling out human land clearance as a cause of the change in forest composition. As these dates accord very well with the known timings of climate deterioration established from other proxy archives in the region, we conclude that climate was the main driver of vegetation change in eastern China at the mid- to Late Holocene transition. Our hydrological results support the view that a combination of rising local water level and climatic cooling during the 4200 cal BP event was the probable cause of societal collapse in the lower Yangtze valley.

[Surgery for benign goiter in Germany: fewer operations, changed resectional strategy, fewer complications].

PubMed

Dralle, H; Stang, A; Sekulla, C; Rusner, C; Lorenz, K; Machens, A

2014-03-01

The increase of certain operations in the wake of the introduction of the German Diagnosis-Related Groups (G-DRG) system rekindled debate on the risk-benefit profile of what is widely being perceived as a too high number of thyroidectomies for benign goiter in Germany. The numbers of thyroidectomy for benign goiter from 2005-2011 were obtained from the Federal Bureau of Statistics ("Statistisches Bundesamt"). For the purpose of the study, the following operation and procedure key (OPS) codes were selected: hemithyroidectomy (OPS code 5-061); partial thyroid resection (OPS code 5-062); total thyroidectomy (OPS code 5-063); and thyroid surgeries via sternotomy (OPS code 5-064). The rates of permanent hypoparathyroidism and vocal cord palsy were calculated based on two prospective multicenter evaluation studies conducted in 1998-2001 (PETS 1) and 2010-2013 (PETS 2) in Germany. Between 2005 and 2011, the number of thyroidectomies for benign thyroid goiter decreased by 8 %, and the age-standardized surgery rate decreased by 6 % in men (2005: 599 per 1 million; 2011: 565 per 1 million) and 11 % in women (2005: 1641 per 1 million; 2011: 1463 per 1 million). At the same time, the rates of partial and subtotal thyroidectomy decreased by 59 % in men and 64 % in women, whereas the rates of hemithyroidectomy and total thyroidectomy increased by 65 % (113 %) in men and 42 % (97 %) in women. Despite a greater proportion of thyroidectomies over time, the approximated rates for postoperative hypoparathyroidism were reduced from 2.98 to 0.83 % and for postoperative vocal cord palsy from 1.06 to 0.86 %. Irrespective of that decline, either complication was more frequent after total than after subtotal thyroidectomy. The total number of thyroid surgeries due to benign goiter has decreased substantially in Germany from 2005 through 2011. Despite changes in the resectional strategy with an increase in the total number thyroidectomies and a decrease of subtotal resections, the rates for postoperative hypoparathyroidism and vocal cord palsy have decreased. The complication rates for total thyroidectomy, however, are still higher compared to subtotal resection. An individualized risk-oriented surgical approach is warranted.

MGMT Gene Promoter Methylation as a Potent Prognostic Factor in Glioblastoma Treated With Temozolomide-Based Chemoradiotherapy: A Single-Institution Study

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

Kim, Young Suk; Kim, Se Hoon; Cho, Jaeho

2012-11-01

Purpose: Recently, cells deficient in O{sup 6}-methylguanine-DNA methyltransferase (MGMT) were found to show increased sensitivity to temozolomide (TMZ). We evaluated whether hypermethylation of MGMT was associated with survival in patients with glioblastoma multiforme (GBM). Methods and Materials: We retrospectively analyzed 93 patients with histologically confirmed GBM who received involved-field radiotherapy with TMZ from 2001 to 2008. The median age was 58 years (range, 24-78 years). Surgical resection was total in 39 patients (42%), subtotal in 30 patients (32%), and partial in 17 patients (18%); only a biopsy was performed in 7 patients (8%). Postoperative radiotherapy began within 3 weeks ofmore » surgery in 87% of the patients. Radiotherapy doses ranged from 50 to 74 Gy (median, 70 Gy). MGMT gene methylation was determined in 78 patients; MGMT was unmethylated in 43 patients (55%) and methylated in 35 patients (45%). The median follow-up period was 22 months (range, 3-88 months) for all patients. Results: The median overall survival (OS) was 22 months, and progression-free survival (PFS) was 11 months. MGMT gene methylation was an independently significant prognostic factor for both OS (p = 0.002) and PFS (p = 0.008) in multivariate analysis. The median OS was 29 months for the methylated group and 20 months for the unmethylated group. In 35 patients with methylated MGMT genes, the 2-year and 5-year OS rates were 54% and 31%, respectively. Six patients with combined prognostic factors of methylated MGMT genes, age {<=}50 years, and total/subtotal resections are all alive 38 to 77 months after operation, whereas the median OS in 8 patients with unmethylated MGMT genes, age >50 years, and less than subtotal resection was 13.2 months. Conclusion: We confirmed that MGMT gene methylation is a potent prognostic factor in patients with GBM. Our results suggest that early postoperative radiotherapy and a high total/subtotal resection rate might further improve the outcome.« less

Surgical management of metastatic tumors of the cervical spine.

PubMed

Davarski, Atanas N; Kitov, Borislav D; Zhelyazkov, Christo B; Raykov, Stefan D; Kehayov, Ivo I; Koev, Ilyan G; Kalnev, Borislav M

2013-01-01

To present the results from the clinical presentation, the imaging diagnostics, surgery and postoperative status of 17 patients with cervical spine metastases, to analyse all data and make the respective conclusions and compare them with the available data in the literature. The study analysed data obtained by patients with metastatic cervical tumours treated in St George University Hospital over a period of seven years. All patients underwent diagnostic imaging tests which included, separately or in combination, cervical x-rays, computed tomography scan and magnetic-resonance imaging. Severity of neurological damage and its pre- and postoperative state was graded according to the Frankel Scale. For staging and operating performance we used the Tomita scale and Harrington classification. Seven patients had only one affected vertebra, 4 patients--two vertebrae, one patient--three vertebrae, 2 patients--four vertebrae, and in the other 3 patients more than one segment was affected. Surgery was performed in 12 patients. One level anterior corpectomy was performed in 6 patients, three patients had two-level surgery, and one patient--three-level corpectomy; in the remaining 2 cases we used posterior approach in surgery. Complete corpectomy was performed in 4 patients, subtotal corpectomy was used in 6 patients and partial--in 2 patients. Anterior stabilization system ADD plus (Ulrich GmbH & Co. KG, Ulm, Germany) was implanted in 2 patients; in 8 patients anterior titanium plate and bone graft were used, and in 1 patient--posterior cervical stabilization system. Because of the pronounced pain syndrome and frequent neurological lesions as a result of the cervical spine metastases use of surgery is justified. The main purpose is to maximize tumor resection, achieve optimal spinal cord and nerve root decompression and stabilize the affected segment.

What would have happened to the ozone layer if chlorofluorocarbons (CFCs) had not been regulated?

NASA Astrophysics Data System (ADS)

Oman, L.; Newman, P. A.; Douglass, A. R.; Fleming, E. L.; Frith, S. M.; Hurwitz, M.; Kawa, S. R.; Jackman, C. H.; Krotkov, N. A.; Nash, E. R.; Nielsen, J. E.; Pawson, S.; Stolarski, R. S.; Velders, G. J.

2010-12-01

The Montreal Protocol on Substances that Deplete the Ozone Layer was negotiated in 1987 and by 2010 had been signed by all of the nations of the world. In this presentation we use a fully coupled radiation-chemical-dynamical model to simulate a future world where ozone depletion substances (ODSs) were never regulated. In this “world avoided” simulation, ODS levels increase by 3% per year. From 1980 to 2020 we find that 17% of the globally average column ozone is destroyed, and from 1980 to 2065 67% is destroyed. Severe polar depletions (e.g., the Antarctic ozone hole) become year-round rather than just seasonal. Ozone levels in the tropical lower stratosphere remain constant until about 2053 and then collapse to near zero by 2058 as a result of heterogeneous chemical processes (as currently observed in the Antarctic ozone hole). The tropical cooling that triggers the ozone collapse is caused by an increase of the tropical lower stratospheric upwelling. In response to ozone changes, ultraviolet (UV) radiation increases, tripling the erythemal (sunburn) radiation in the northern summer mid-latitudes by 2065.

Spatial analysis of the impacts of the Chaitén volcano eruption (Chile) in three fluvial systems

NASA Astrophysics Data System (ADS)

Ulloa, H.; Iroumé, A.; Picco, L.; Mohr, C. H.; Mazzorana, B.; Lenzi, M. A.; Mao, L.

2016-08-01

The eruption of the Chaitén volcano in May 2008 generated morphological and ecological disturbances in adjacent river basins, and the magnitude of these disturbances depended on the type of dominant volcanic process affecting each of them. The aim of this study is to analyse the morphological changes in different periods in river segments of the Blanco, El Amarillo and Rayas river basins located near the Chaitén volcano. These basins suffered disturbances of different intensity and spatial distribution caused by tephra fall, dome collapses and pyroclastic density currents that damaged hillslope forests, widened channels and destroyed island and floodplain vegetation. Changes continued to occur in the fluvial systems in the years following the eruption, as a consequence of the geomorphic processes indirectly induced by the eruption. Channel changes were analyzed by comparing remote images of pre and post-eruption conditions. Two periods were considered: the first from 2008 to 2009-2010 associated with the explosive and effusive phases of the eruption and the second that correspond to the post-eruption stage from 2009-2010 to 2013. Following the first phases channel segments widened 91% (38 m/yr), 6% (7 m/yr) and 7% (22 m/yr) for Blanco, Rayas and El Amarillo Rivers, respectively, compared to pre-eruption condition. In the second period, channel segments additionally widened 42% (8 m/yr), 2% (2 m/yr) and 5% (4 m/yr) for Blanco, Rayas and El Amarillo Rivers, respectively. In the Blanco River 62 and 82% of the islands disappeared in the first and second period, respectively, which is 6-8 times higher than in the El Amarillo approximately twice the Rayas. Sinuosity increased after the eruption only in the Blanco River but the three study channels showed a high braiding intensity mainly during the first post-eruption period. The major disturbances occurred during the eruptive and effusive phases of Chaitén volcano, and the intensity of these disturbances reflects the magnitude of the dominant volcanic processes affecting each basin. Inputs of sediment from dome collapses and pyroclastic density currents and not ash fall seem to explain morphologic channel change magnitudes in the study segments. The resulting knowledge can facilitate land use planning and design of river restoration projects in areas affected by volcanic eruptions disturbances.

Traditional birth attendants issue: a menace in developing countries.

PubMed

Buowari, O Y

2012-01-01

A significant proportion of births in Nigeria still occur at homes of traditional birth attendant. Traditional birth attendants are popular in developing and low resource countries. They lack no formal education or medical training and their clients end up with obstetric complications which lead to severe morbidity and mortality. Two cases of pregnant women that engaged the services of traditional birth attendants (TBA) before presenting at a health facility are presented. They ended up with severe morbidity and mortalities. A 29 year old gravida 3 + para 2+0 woman with two previous caesarean section(C/S) was counselled for elective c/s but declined. She presented at the home of a TBA, had spontaneous vagina deliver, collapsed one hour after delivery and was dead by the time she was brought to the hospital. A 30 year old gravida 10 para 7 + 3 presented in hospital after being in labour at the home of a TBA for three days. On presentation in hospital there was absent foetal heart sound. At surgery there was ruptured uterus and subtotal hysterectomy was done. To improve the situation better access to optimal antenatal care and intrapartum care together with early referral of high-risk patients must be facilitated. Increased community awareness, promotion of appropriate technology for effective health care planning strategy from the grassroots level to tertiary centres is important in the reduction of obstructed labour. One of the most effective means of reducing maternal mortality is the provision of caesarean section for all women who need it.

Area collapse algorithm computing new curve of 2D geometric objects

NASA Astrophysics Data System (ADS)

Buczek, Michał Mateusz

2017-06-01

The processing of cartographic data demands human involvement. Up-to-date algorithms try to automate a part of this process. The goal is to obtain a digital model, or additional information about shape and topology of input geometric objects. A topological skeleton is one of the most important tools in the branch of science called shape analysis. It represents topological and geometrical characteristics of input data. Its plot depends on using algorithms such as medial axis, skeletonization, erosion, thinning, area collapse and many others. Area collapse, also known as dimension change, replaces input data with lower-dimensional geometric objects like, for example, a polygon with a polygonal chain, a line segment with a point. The goal of this paper is to introduce a new algorithm for the automatic calculation of polygonal chains representing a 2D polygon. The output is entirely contained within the area of the input polygon, and it has a linear plot without branches. The computational process is automatic and repeatable. The requirements of input data are discussed. The author analyzes results based on the method of computing ends of output polygonal chains. Additional methods to improve results are explored. The algorithm was tested on real-world cartographic data received from BDOT/GESUT databases, and on point clouds from laser scanning. An implementation for computing hatching of embankment is described.

Thyroid gland removal - discharge

MedlinePlus

... tingling in your face or lips Alternative Names Total thyroidectomy - discharge; Partial thyroidectomy - discharge; Thyroidectomy - discharge; Subtotal thyroidectomy - discharge References Lai SY, Mandel SJ, Weber RS. Management of thyroid neoplasms. In: Flint PW, Haughey BH, ...

Evolution of fine scale segmentation at intermediate ridges: example of Alarcon Rise and Endeavour Segment.

NASA Astrophysics Data System (ADS)

Le Saout, M.; Clague, D. A.; Paduan, J. B.; Caress, D. W.

2016-12-01

Mid-ocean ridges are marked by a segmentation of the axis and underlying magmatic system. Fine-scale segmentation is mainly studied along fast spreading ridges. Here we analyze the evolution of the 3rd and 4th order segmentation along two intermediate spreading centers, characterized by contrasting morphologies. Alarcon Rise, with a full spreading rate of 49 mm/yr, is characterized by an axial high and a relatively narrow axial summit trough. Endeavour segment has a spreading rate of 52.5 mm/yr and is represented by a wide axial valley affected by numerous faults. These two ridges are characterized by high and low volcanic periods, respectively. The segmentation is analyzed using high-resolution bathymetric cross-sections perpendicular to the axes. These profiles are 1200-m-long for Alarcon Rise and 2400-m-long at Endeavour Segment and are 100 m apart. The discontinuity order is based on variations, from either side of each offset, in: 1/the geometry and orientation of the axial summit trough or graben 2/ the lava morphology, and 3/ the distribution of hydrothermal vents. Alarcon Rise is marked by a recent southeast jump in volcanic activity. The comparison between actual and previous segmentation reveals a rapid evolution of the 3rd order segmentation in the most active part of the ridge, with a lengthening of the central 3rd segment of 8 km over 3-4 ky. However, no relation is observed in the 4th order segmentation before and after the axis jump. Along Endeavour, traces of the previous 3rd order discontinuities are still perceptible on the walls of the graben. This 3rd order segmentation has persisted at least during the last 4.5 ky. Indeed, it is visible in the distribution of the recent hydrothermal vents observed in the axial valley as well as in the segmentation of the axial magma lens. Analysis of the two ridges suggests that small-scale segmentation varies primarily during high magmatic phases.

Advanced UVOIR Mirror Technology Development for Very Large Space Telescopes

NASA Technical Reports Server (NTRS)

Stahl, H. Philip

2011-01-01

Objective of this work is to define and initiate a long-term program to mature six inter-linked critical technologies for future UVOIR space telescope mirrors to TRL6 by 2018 so that a viable flight mission can be proposed to the 2020 Decadal Review. (1) Large-Aperture, Low Areal Density, High Stiffness Mirrors: 4 to 8 m monolithic & 8 to 16 m segmented primary mirrors require larger, thicker, stiffer substrates. (2) Support System:Large-aperture mirrors require large support systems to ensure that they survive launch and deploy on orbit in a stress-free and undistorted shape. (3) Mid/High Spatial Frequency Figure Error:A very smooth mirror is critical for producing a high-quality point spread function (PSF) for high-contrast imaging. (4) Segment Edges:Edges impact PSF for high-contrast imaging applications, contributes to stray light noise, and affects the total collecting aperture. (5) Segment-to-Segment Gap Phasing:Segment phasing is critical for producing a high-quality temporally stable PSF. (6) Integrated Model Validation:On-orbit performance is determined by mechanical and thermal stability. Future systems require validated performance models. We are pursuing multiple design paths give the science community the option to enable either a future monolithic or segmented space telescope.

Dynamic Changes in the Myometrium during the Third Stage of Labor, Evaluated Using Two-Dimensional Ultrasound, in Women with Normal and Abnormal Third Stage of Labor and in Women with Obstetric Complications.

PubMed

Patwardhan, Manasi; Hernandez-Andrade, Edgar; Ahn, Hyunyoung; Korzeniewski, Steven J; Schwartz, Alyse; Hassan, Sonia S; Romero, Roberto

2015-01-01

To investigate dynamic changes in myometrial thickness during the third stage of labor. Myometrial thickness was measured using ultrasound at one-minute time intervals during the third stage of labor in the mid-region of the upper and lower uterine segments in 151 patients including: women with a long third stage of labor (n = 30), postpartum hemorrhage (n = 4), preterm delivery (n = 7) and clinical chorioamnionitis (n = 4). Differences between myometrial thickness of the uterine segments and as a function of time were evaluated. There was a significant linear increase in the mean myometrial thickness of the upper uterine segments, as well as a significant linear decrease in the mean myometrial thickness of the lower uterine segments until the expulsion of the placenta (p < 0.001). The ratio of the measurements of the upper to the lower uterine segments increased significantly as a function of time (p < 0.0001). In women with postpartum hemorrhage, preterm delivery, and clinical chorioamnionitis, an uncoordinated pattern among the uterine segments was observed. A well-coordinated activity between the upper and lower uterine segments is demonstrated in normal placental delivery. In some clinical conditions this pattern is not observed, increasing the time for placental delivery and the risk of postpartum hemorrhage. © 2015 S. Karger AG, Basel.

Dynamic changes in the myometrium during the third stage of labor, evaluated using two-dimensional ultrasound, in women with normal and abnormal third stage of labor and in women with obstetric complications

PubMed Central

Patwardhan, Manasi; Hernandez-Andrade, Edgar; Ahn, Hyunyoung; Korzeniewski, Steven J; Schwartz, Alyse; Hassan, Sonia S; Romero, Roberto

2015-01-01

Objective To investigate dynamic changes in myometrial thickness during the third stage of labor. Methods Myometrial thickness was measured using ultrasound at one-minute time intervals during the third stage of labor in the mid-region of the upper and lower uterine segments in 151 patients including: women with a long third stage of labor (n=30), post-partum hemorrhage (n=4), preterm delivery (n=7) or clinical chorioamnionitis (n=4). Differences between uterine segments and as a function of time were evaluated. Results There was a significant linear increase in the mean myometrial thickness of the upper uterine segments, as well as a significant linear decrease in the mean myometrial thickness of the lower uterine segments until the expulsion of the placenta (p<0.001). The ratio of the measurements of the upper to the lower uterine segments increased significantly as a function of time (p<0.0001). In women with postpartum hemorrhage, preterm delivery and clinical chorioamnionitis, an uncoordinated pattern between the uterine segments was observed. Conclusion A well-coordinated activity between the upper and lower uterine segments is demonstrated in normal placental delivery. In some clinical conditions this pattern is not observed, increasing the time for placental delivery and the risk for post-partum hemorrhage. PMID:25634647

Mid-Holocene palaeoflood events recorded at the Zhongqiao Neolithic cultural site in the Jianghan Plain, middle Yangtze River Valley, China

NASA Astrophysics Data System (ADS)

Wu, Li; Zhu, Cheng; Ma, Chunmei; Li, Feng; Meng, Huaping; Liu, Hui; Li, Linying; Wang, Xiaocui; Sun, Wei; Song, Yougui

2017-10-01

Palaeo-hydrological and archaeological investigations were carried out in the Jianghan Plain in the middle reaches of the Yangtze River. Based on a comparative analysis of modern flood sediments and multidisciplinary approaches such as AMS14C and archaeological dating, zircon micromorphology, grain size, magnetic susceptibility, and geochemistry, we identified palaeoflood sediments preserved at the Zhongqiao archaeological site. The results indicate that three palaeoflood events (i.e. 4800-4597, 4479-4367, and 4168-3850 cal. yr BP) occurred at the Zhongqiao Site. Comparisons of palaeoflood deposit layers at a number of Neolithic cultural sites show that two extraordinary palaeoflood events occurred in the Jianghan Plain during approximately 4900-4600 cal. yr BP (i.e.mid-late Qujialing cultural period) and 4100-3800 cal. yr BP (i.e. from late Shijiahe cultural period to the Xia Dynasty). Further analysis of the environmental context suggests that these flooding events might have been connected with great climate variability during approximately 5000-4500 cal. yr BP and at ca. 4000 cal. yr BP. These two palaeoflood events were closely related to the expansion of the Jianghan lakes driven by the climatic change, which in turn influenced the rise and fall of the Neolithic cultures in the middle reaches of the Yangtze River. Other evidence also suggests that the intensified discrepancy between social development and environmental change processes (especially the hydrological process) during the late Shijiahe cultural period might be the key factor causing the collapse of the Shijiahe Culture. The extraordinary floods related to the climatic anomaly at ca. 4000 cal. yr BP and political conflicts from internal or other cultural areas all accelerated the collapse of the Shijiahe Culture.

Structural Investigation of Disordered Stress Proteins. Comparison of Full-Length Dehydrins with Isolated Peptides of Their Conserved Segments1

PubMed Central

Mouillon, Jean-Marie; Gustafsson, Petter; Harryson, Pia

2006-01-01

Dehydrins constitute a class of intrinsically disordered proteins that are expressed under conditions of water-related stress. Characteristic of the dehydrins are some highly conserved stretches of seven to 17 residues that are repetitively scattered in their sequences, the K-, S-, Y-, and Lys-rich segments. In this study, we investigate the putative role of these segments in promoting structure. The analysis is based on comparative analysis of four full-length dehydrins from Arabidopsis (Arabidopsis thaliana; Cor47, Lti29, Lti30, and Rab18) and isolated peptide mimics of the K-, Y-, and Lys-rich segments. In physiological buffer, the circular dichroism spectra of the full-length dehydrins reveal overall disordered structures with a variable content of poly-Pro helices, a type of elongated secondary structure relying on bridging water molecules. Similar disordered structures are observed for the isolated peptides of the conserved segments. Interestingly, neither the full-length dehydrins nor their conserved segments are able to adopt specific structure in response to altered temperature, one of the factors that regulate their expression in vivo. There is also no structural response to the addition of metal ions, increased protein concentration, or the protein-stabilizing salt Na2SO4. Taken together, these observations indicate that the dehydrins are not in equilibrium with high-energy folded structures. The result suggests that the dehydrins are highly evolved proteins, selected to maintain high configurational flexibility and to resist unspecific collapse and aggregation. The role of the conserved segments is thus not to promote tertiary structure, but to exert their biological function more locally upon interaction with specific biological targets, for example, by acting as beads on a string for specific recognition, interaction with membranes, or intermolecular scaffolding. In this perspective, it is notable that the Lys-rich segment in Cor47 and Lti29 shows sequence similarity with the animal chaperone HSP90. PMID:16565295

Model-based analysis of an outbreak of bubonic plague in Cairo in 1801

PubMed Central

Whittles, Lilith K.; Hall, Ian

2017-01-01

Bubonic plague has caused three deadly pandemics in human history: from the mid-sixth to mid-eighth century, from the mid-fourteenth to the mid-eighteenth century and from the end of the nineteenth until the mid-twentieth century. Between the second and the third pandemics, plague was causing sporadic outbreaks in only a few countries in the Middle East, including Egypt. Little is known about this historical phase of plague, even though it represents the temporal, geographical and phylogenetic transition between the second and third pandemics. Here we analysed in detail an outbreak of plague that took place in Cairo in 1801, and for which epidemiological data are uniquely available thanks to the presence of medical officers accompanying the Napoleonic expedition into Egypt at that time. We propose a new stochastic model describing how bubonic plague outbreaks unfold in both rat and human populations, and perform Bayesian inference under this model using a particle Markov chain Monte Carlo. Rat carcasses were estimated to be infectious for approximately 4 days after death, which is in good agreement with local observations on the survival of infectious rat fleas. The estimated transmission rate between rats implies a basic reproduction number R0 of approximately 3, causing the collapse of the rat population in approximately 100 days. Simultaneously, the force of infection exerted by each infected rat carcass onto the human population increases progressively by more than an order of magnitude. We also considered human-to-human transmission via pneumonic plague or human specific vectors, but found this route to account for only a small fraction of cases and to be significantly below the threshold required to sustain an outbreak. PMID:28637916

Model-based analysis of an outbreak of bubonic plague in Cairo in 1801.

PubMed

Didelot, Xavier; Whittles, Lilith K; Hall, Ian

2017-06-01

Bubonic plague has caused three deadly pandemics in human history: from the mid-sixth to mid-eighth century, from the mid-fourteenth to the mid-eighteenth century and from the end of the nineteenth until the mid-twentieth century. Between the second and the third pandemics, plague was causing sporadic outbreaks in only a few countries in the Middle East, including Egypt. Little is known about this historical phase of plague, even though it represents the temporal, geographical and phylogenetic transition between the second and third pandemics. Here we analysed in detail an outbreak of plague that took place in Cairo in 1801, and for which epidemiological data are uniquely available thanks to the presence of medical officers accompanying the Napoleonic expedition into Egypt at that time. We propose a new stochastic model describing how bubonic plague outbreaks unfold in both rat and human populations, and perform Bayesian inference under this model using a particle Markov chain Monte Carlo. Rat carcasses were estimated to be infectious for approximately 4 days after death, which is in good agreement with local observations on the survival of infectious rat fleas. The estimated transmission rate between rats implies a basic reproduction number R 0 of approximately 3, causing the collapse of the rat population in approximately 100 days. Simultaneously, the force of infection exerted by each infected rat carcass onto the human population increases progressively by more than an order of magnitude. We also considered human-to-human transmission via pneumonic plague or human specific vectors, but found this route to account for only a small fraction of cases and to be significantly below the threshold required to sustain an outbreak. © 2017 The Author(s).

Temporal fossa hemangiopericytoma: a case series.

PubMed

Heiser, Marc A; Waldron, James S; Tihan, Tarik; Parsa, Andrew T; Cheung, Steven W

2009-10-01

Review clinical experience with temporal fossa hemangiopericytomas (HPCs). Retrospective case series review. Tertiary referral center. Intracranial HPCs within the temporal fossa. Craniotomy for either subtotal or gross total tumor excision. Determination of clinical outcome (alive with no evidence of disease, alive with disease, and died of disease). Five cases of HPC involving the temporal fossa were treated at our tertiary referral center for the period from 1995 to 2008. All but 1 patient were men. The age of presentation ranged from 31 to 62 years, and duration of follow-up ranged from 8 to 153 months. Clinical presentation was protean; headache was the most common symptom. Gross total tumor excision was achieved in 2 patients, whereas subtotal tumor excision was achieved in 3 patients. Reasons for subtotal resection included excessive intraoperative blood loss and inextricable tumor. Histologically, all tumors were composed of tightly packed, randomly oriented (jumbled-up) tumor cells with little intervening collagen. CD34 staining mostly highlighted the vascular background. One patient died of disease, 2 patients were alive with disease, and 2 patients had no evidence of disease. Management of temporal fossa HPC is challenging because clinical presentation is often late, and extent of tumor excision is constrained by vital structures in the cranial base and intracranial contents. A multidisciplinary approach with neurosurgery and neurotology undertaken to achieve the most complete tumor resection possible, whereas minimizing morbidity are likely to confer a longer period of symptom-free survival and improves curability of these difficult lesions.

Subtotal resection for management of large jugular paragangliomas with functional lower cranial nerves.

PubMed

Wanna, George B; Sweeney, Alex D; Carlson, Matthew L; Latuska, Richard F; Rivas, Alejandro; Bennett, Marc L; Netterville, James L; Haynes, David S

2014-12-01

To evaluate tumor control following subtotal resection of advanced jugular paragangliomas in patients with functional lower cranial nerves and to investigate the utility of salvage radiotherapy for residual progressive disease. Case series with planned chart review. Tertiary academic referral center. Patients who presented with advanced jugular paragangliomas and functional lower cranial nerves were analyzed. Primary outcome measures included extent of resection, long-term tumor control, need for additional treatment, and postoperative lower cranial nerve function. Twelve patients (mean age, 46.2 years; 7 women, 58.3%) who met inclusion criteria were evaluated between 1999 and 2013. The mean postoperative residual tumor volume was 27.7% (range, 3.5%-75.0%) of the preoperative volume. When the residual tumor volume was less than 20% of the preoperative volume, no tumor growth occurred over an average of 44.6 months of follow-up (P < .01). Four tumors (33.3%) demonstrated serial growth at a mean of 23.5 months following resection, 2 of which were treated with salvage stereotactic radiotherapy providing control through the last recorded follow-up. No patient experienced permanent postoperative lower cranial neuropathy as a result of surgery. Subtotal resection of jugular paragangliomas with preservation of the lower cranial nerves is a viable management strategy. If more than 80% of the preoperative tumor volume is resected, the residual tumor seems less likely to grow. © American Academy of Otolaryngology—Head and Neck Surgery Foundation 2014.

Seismicity of the Earth 1900–2010 Australia plate and vicinity

USGS Publications Warehouse

Benz, Harley M.; Herman, Matthew; Tarr, Arthur C.; Hayes, Gavin P.; Furlong, Kevin P.; Villaseñor, Antonio; Dart, Richard L.; Rhea, Susan

2011-01-01

This map shows details of the Australia plate and vicinity not presented in Tarr and others (2010). The boundary of the Australia plate includes all fundamental plate boundary components: mid-ocean ridges, subduction zones, arc-continent collisions, and large-offset transform faults. Along the southern edge of the plate the mid-ocean ridge separates the Australia and Antarctica plates and its behavior is straightforward. In contrast, the other boundary segments that ring the Australia plate represent some of the most seismically active elements of the global plate boundary system, and some of the most rapidly evolving plate interactions. As a result, there are some very complex structures which host many large and great earthquakes

An ECG ambulatory system with mobile embedded architecture for ST-segment analysis.

PubMed

Miranda-Cid, Alejandro; Alvarado-Serrano, Carlos

2010-01-01

A prototype of a ECG ambulatory system for long term monitoring of ST segment of 3 leads, low power, portability and data storage in solid state memory cards has been developed. The solution presented is based in a mobile embedded architecture of a portable entertainment device used as a tool for storage and processing of bioelectric signals, and a mid-range RISC microcontroller, PIC 16F877, which performs the digitalization and transmission of ECG. The ECG amplifier stage is a low power, unipolar voltage and presents minimal distortion of the phase response of high pass filter in the ST segment. We developed an algorithm that manages access to files through an implementation for FAT32, and the ECG display on the device screen. The records are stored in TXT format for further processing. After the acquisition, the system implemented works as a standard USB mass storage device.

Appliance Efficiency Standards and Price Discrimination

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

Spurlock, Cecily Anna

2013-05-08

I explore the effects of two simultaneous changes in minimum energy efficiency and ENERGY STAR standards for clothes washers. Adapting the Mussa and Rosen (1978) and Ronnen (1991) second-degree price discrimination model, I demonstrate that clothes washer prices and menus adjusted to the new standards in patterns consistent with a market in which firms had been price discriminating. In particular, I show evidence of discontinuous price drops at the time the standards were imposed, driven largely by mid-low efficiency segments of the market. The price discrimination model predicts this result. On the other hand, in a perfectly competition market, pricesmore » should increase for these market segments. Additionally, new models proliferated in the highest efficiency market segment following the standard changes. Finally, I show that firms appeared to use different adaptation strategies at the two instances of the standards changing.« less

Collapse of the sea surface stability during the Miocene to Quartenary in the Western Pacific Ocean, indicated by Discoaster abundance and Coccolith size change

NASA Astrophysics Data System (ADS)

Sato, T.; Pratiwi, S. D.; Farida, M.

2013-12-01

We describe in detail the middle Miocene to Pleistocene paleoceanography of the Western Pacific Ocean based on calcareous nannofossils. Abundantly occurrence of discoasters, which indicates the stable sea surface stratification and the development of thermo- and nutri-cline, are found in the interval from NN2 to NN4 zones of the early Miocene. The relative abundance of discoaster is decreased in the NN4-5 zone and it changed to very rare above NN10 (B in Fig.1). These characteristics are found in both Sites 805 and 782. Focusing to the mean size of Reticulofenestra species, it decreased at NN4-5 zone (A in Fig 2), and lower part of NN11 (B in Fig. 2). The presence of larger size Reticulofenestra species also show the oligotrophic conditions of sea surface with thermocline. On the basis of these results, the collapse of the stability of the sea surface stratification in the Western Pacific Ocean progressed throughout the Miocene to Quaternary. As the results, nutrient conditions of sea surface in these area were changed in steps from oligotrophic to eutrophic conditions at NN4-5 and lower part of NN11 (A and B in Fig. 2). These datum related to collapse of sea surface conditions, is cleary correlated to the timing of the end of Mid-Miocene Climatic Optimum (A) and the intensify of the Asian Monsoon (B; Fig. 2).

Outdoor education in the Mid-Atlantic states: an assessment of market segmentation

Treesearch

Stephanie L. Young; Megan L. Hash; Roy Ramthun

2007-01-01

Programs that emphasize experiential learning in outdoor settings have a long history in the United States and have been offered by a wide range of organizations. This study focused on programming that included environmental education, experiential education, and outdoor education. The purpose of this study was to examine the range of services and programs that offer...

Hydrothermal activity at slow-spreading ridges: variability and importance of magmatic controls

NASA Astrophysics Data System (ADS)

Escartin, Javier

2016-04-01

Hydrothermal activity along mid-ocean ridge axes is ubiquitous, associated with mass, chemical, and heat exchanges between the deep lithosphere and the overlying envelopes, and sustaining chemiosynthetic ecosystems at the seafloor. Compared with hydrothermal fields at fast-spreading ridges, those at slow spreading ones show a large variability as their location and nature is controlled or influenced by several parameters that are inter-related: a) tectonic setting, ranging from 'volcanic systems' (along the rift valley floor, volcanic ridges, seamounts), to 'tectonic' ones (rift-bounding faults, oceanic detachment faults); b) the nature of the host rock, owing to compositional heterogeneity of slow-spreading lithosphere (basalt, gabbro, peridotite); c) the type of heat source (magmatic bodies at depth, hot lithosphere, serpentinization reactions); d) and the associated temperature of outflow fluids (high- vs.- low temperature venting and their relative proportion). A systematic review of the distribution and characteristics of hydrothermal fields along the slow-spreading Mid-Atlantic Ridge suggests that long-lived hydrothermal activity is concentrated either at oceanic detachment faults, or along volcanic segments with evidence of robust magma supply to the axis. A detailed study of the magmatically robust Lucky Strike segment suggests that all present and past hydrothermal activity is found at the center of the segment. The association of these fields to central volcanos, and the absence of indicators of hydrothermal activity along the remaining of the ridge segment, suggests that long-lived hydrothermal activity in these volcanic systems is maintained by the enhanced melt supply and the associated magma chamber(s) required to build these volcanic edifices. In this setting, hydrothermal outflow zones at the seafloor are systematically controlled by faults, indicating that hydrothermal fluids in the shallow crust exploit permeable fault zones to circulate. While less studied, similar hydrothermal systems are found elsewhere associated to other central volcanoes along the ridge axis (e.g., Menez Gwenn at the Mid-Atlantic Ridge and Soria Mornia or Troll Wall at the Arctic Ridges). Long-lived hydrothermal activity plays an important role in controlling the thermal structure of the lithosphere and its accretion at and near-axis, and also determining the distribution and biogeography of vent communities. Along slow-spreading segments, long-lived hydrothermal activity can be provided both by volcanic systems (e.g., Lucky Strike) and tectonic systems (oceanic detachment faults). While magmatic and hydrothermal activity is relatively well understood now in volcanic systems (e.g., Lucky Strike), tectonic systems (oceanic detachment faults) require further integrated studies to constrain the links between long-lived localization of deformation along oceanic detachment faults, hydrothermal activity, and origin and nature of off-axis heat sources animating hydrothermal circulation.

Off- and Along-Axis Slow Spreading Ridge Segment Characters: Insights From 3d Thermal Modeling

NASA Astrophysics Data System (ADS)

Gac, S.; Tisseau, C.; Dyment, J.

2001-12-01

Many observations along the Mid-Atlantic Ridge segments suggest a correlation between surface characters (length, axial morphology) and the thermal state of the segment. Thibaud et al. (1998) classify segments according to their thermal state: "colder" segments shorter than 30 km show a weak magmatic activity, and "hotter" segments as long as 90 km show a robust magmatic activity. The existence of such a correlation suggests that the thermal structure of a slow spreading ridge segment explains most of the surface observations. Here we test the physical coherence of such an integrated thermal model and evaluate it quantitatively. The different kinds of segment would constitute different phases in a segment evolution, the segment evolving progressively from a "colder" to a "hotter" so to a "colder" state. Here we test the consistency of such an evolution scheme. To test these hypotheses we have developed a 3D numerical model for the thermal structure and evolution of a slow spreading ridge segment. The thermal structure is controlled by the geometry and the dimensions of a permanently hot zone, imposed beneath the segment center, where is simulated the adiabatic ascent of magmatic material. To compare the model with the observations several geophysic quantities which depend on the thermal state are simulated: crustal thickness variations along axis, gravity anomalies (reflecting density variations) and earthquake maximum depth (corresponding to the 750° C isotherm depth). The thermal structure of a particular segment is constrained by comparing the simulated quantities to the real ones. Considering realistic magnetization parameters, the magnetic anomalies generated from the same thermal structure and evolution reproduce the observed magnetic anomaly amplitude variations along the segment. The thermal structures accounting for observations are determined for each kind of segment (from "colder" to "hotter"). The evolution of the thermal structure from the "colder" to the "hotter" segments gives credence to a temporal relationship between the different kinds of segment. The resulting thermal evolution model of slow spreading ridge segments may explain the rhomboedric shapes observed off-axis.

Suicide right ventricle after lung transplantation for pulmonary vascular disease.

PubMed

Gangahanumaiah, Shivanand; Scarr, Bronwyn C; Buckland, Mark R; Pilcher, David V; Paraskeva, Miranda A; McGiffin, David C

2018-06-19

A 27-year-old female with Eisenmenger's syndrome underwent closure of a patent ductus arteriosus, closure of a perimembranous ventricular septal defect and mid muscular defect and bilateral lung transplantation. Her immediate postoperative course was complicated by severe right ventricular outflow tract (RVOT) obstruction resulting in hemodynamic collapse, a condition described as suicide right ventricle. The patient was placed on central Veno-Arterial Extra-Corporeal Membrane Oxygenation as a bridge to the relief of RVOT obstruction which included a right ventricular outflow muscle resection and a right ventricle outflow tract patch. The patient made an uneventful recovery. © 2018 Wiley Periodicals, Inc.

High-Visibility Photonic Crystal Fiber Interferometer as Multifunctional Sensor

PubMed Central

Cárdenas-Sevilla, G.A.; Fávero, Fernando C.; Villatoro, Joel

2013-01-01

A photonic crystal fiber (PCF) interferometer that exhibits record fringe contrast (∼40 dB) is demonstrated along with its sensing applications. The device operates in reflection mode and consists of a centimeter-long segment of properly selected PCF fusion spliced to single mode optical fibers. Two identical collapsed zones in the PCF combined with its modal properties allow high-visibility interference patterns. The interferometer is suitable for refractometric and liquid level sensing. The measuring refractive index range goes from 1.33 to 1.43 and the maximum resolution is ∼1.6 × 10−5. PMID:23396192

Thoracic aortic operations: management of maldistribution of arterial flow during cardiopulmonary bypass.

PubMed

Najafi, H; Veeragandham, R

1997-08-01

On three occasions during operations for aortic aneurysm involving the ascending aorta it was noted that upon the release of the aortic clamp the grafted segment remained collapsed, indicating very little or no flow reaching the lumen of the reconstructed aorta. This was promptly and successfully remedied in 2 patients by perfusing the graft directly with a pediatric arterial catheter attached to a pump head while the femoral arterial line maintained systemic arterial inflow. This simple, safe, and highly effective technique adds to the surgeon's repertoire to manage yet another intriguing intraoperative development during thoracic aortic operations.

Intramaxillary and intermaxillary absolute anchorage with an endosseous dental implant and rare-earth magnets.

PubMed

Uribe, Flavio; Nanda, Ravindra

2009-07-01

This case report describes the management of a partially edentulous adult with a severe deepbite malocclusion and a collapsed buccal segment because of supraeruption of the maxillary second and third molars. The treatment involved placement of an endosseous dental implant to achieve absolute intermaxillary and intramaxillary anchorage. Rare-earth magnets embedded in acrylic bite-blocks were used to intrude the supraerupted maxillary molars on the right side. After use as an anchorage device, the implant was restored and brought into occlusion. Good occlusal and esthetic results were achieved with this cost-effective treatment.

Segmental Bone Regeneration Using a Load Bearing Biodegradable Carrier of Bone Morphogenetic Protein-2

PubMed Central

Chu, Tien-Min G.; Warden, Stuart J.; Turner, Charles H.; Stewart, Rena L.

2006-01-01

Segmental defect regeneration has been a clinical challenge. Current tissue engineering approach using porous biodegradable scaffolds to delivery osteogenic cells and growth factors demonstrated success in facilitating bone regeneration in these cases. However, due to the lack of mechanical property, the porous scaffolds were evaluated in non-load bearing area or were stabilized with stress-shielding devices (bone plate or external fixation). In this paper, we tested a scaffold that does not require a bone plate because it has sufficient biomechanical strength. The tube-shaped scaffolds were manufactured from poly(propylene) fumarate/tricalcium phosphate (PPF/TCP) composites. Dicalcium phosphate dehydrate (DCPD) were used as bone morphogenetic protein -2 (BMP-2) carrier. Twenty two scaffolds were implanted in 5 mm segmental defects in rat femurs stabilized with k-wire for 6 and 15 weeks with and without 10 μg of rhBMP-2. Bridging of the segmental defect was evaluated first radiographically and was confirmed by histology and micro- computer tomography (μ-CT) imaging. The scaffolds in the BMP group maintained the bone length throughout the duration of the study and allow for bridging. The scaffolds in the control group failed to induce bridging and collapsed at 15 weeks. Peripheral computed tomography (pQCT) showed that BMP-2 does not increase the bone mineral density in the callus. Finally, the scaffold in BMP group was found to restore the mechanical property of the rat femur after 15 weeks. Our results demonstrated that the load-bearing BMP-2 scaffold can maintain bone length and allow successfully regeneration in segmental defects. PMID:16996588

The Consequences of Increased Magma Supply to Kilauea Volcano, Hawai`i

NASA Astrophysics Data System (ADS)

Poland, M.; Miklius, A.; Sutton, A. J.; Orr, T.

2007-12-01

The summer of 2007 was a time of intense activity at Kilauea. By mid-2007, ~4 years of summit inflation had uplifted and extended the caldera by 30 cm and 55 cm, respectively. Lava continued to erupt from the Pu`u `O`o vent on the east rift zone (ERZ) during the inflation. On May 24, 2007, two M4+ normal-faulting earthquakes occurred on caldera-bounding faults southeast of the summit. The seismicity did not affect summit inflation, which continued until June 17 when a dike intruded the upper and middle ERZ, causing a pause in the eruption, collapse of Pu`u `O`o's floor, and a small eruption 6 km uprift of Pu`u `O`o. The inflated state of the summit, relative timing of summit deflation and east rift zone extension, and abundant co-intrusive earthquake activity suggest forcible intrusion of magma. Lava returned to Pu`u `O`o by July 2, forming a lake that gradually refilled much of the collapsed crater. Early on July 21, the lake drained suddenly, the cone began to collapse, and a 2-km-long series of discontinuous eruptive fissures opened on and beyond the east flank of Pu`u `O`o. Sesimicity in Kilauea's south flank has been elevated since June and several M3+ earthquakes have occurred there, including a M5.4 on August 13. An increase in magma supply to Kilauea's shallow magmatic system is the probable cause for the events of summer 2007. Summit inflation since 2003 occurred during a period of constant or increasing magma supply to Pu`u `O`o, based on SO2 emissions from the ERZ. The rate of inflation increased markedly in early 2006, and uplift also began in the southwest rift zone. CO2 emissions at the summit, indicative of the quantity of magma degassing beneath Kilauea's caldera, more than doubled between 2003 and 2006. Also since 2003, the ERZ immediately downrift of Pu`u `O`o extended, and subsidence in the lower ERZ ceased. Together, these factors suggest that the magma supply rate to Kilauea's shallow magmatic system (the summit and rift zones above about 5 km depth) approximately doubled between 2003 and 2006. Subsequent volcanic and earthquake activity, including the events of mid-2007, are probably a result (either directly or indirectly) of this increase.

Acute transverse colon volvulus with secondary gastric isquemia. Case report.

PubMed

Sala-Hernández, Ángela; Pous-Serrano, Salvador; Lucas-Mera, Elí; Carvajal-Amaya, Nicolás

2016-03-01

Acute colonic volvulus accounts for 10% of all intestinal obstructions being the transverse colon volvulus an exceptional localization (2-4%). Late diagnosis is made as there are no pathognomonic clinical or radiological findings for this pathology. We present the case of an 81 year-old male with acute transverse colon volvulus that involved the gastric antrum causing irreversible ischemia. Subtotal gastrectomy, subtotal colectomy and reconstruction with Y en Roux gastrojejunostomy and ileosigmoid anastomosis was performed given the good overall status of the patient. Decompressive colonoscopy is not advised given the high probability of ischemic lesions in these cases; surgical exploration is mandatory in these circumstances. Surgical detortion with or without colopexia carries important recurrence rates. Treatment of choice includes colectomy with or without primary anastomosis. There are no reports on gastric ischemic necrosis in the setting of a transverse colon volvulus making this case unusual and unique.

Iatrogenic Subtotal Stenosis of the Right Subclavian Artery Treated With Percutaneous Transluminal Angioplasty

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

Smeenk, Robert M., E-mail: r.m.smeenk@asz.nl; Kock, Mark C. J. M.; Elgersma, Otto E. H.

2011-02-15

This report describes a rare vascular complication of surgical placement of a marking clip and a possible approach to problem solving. A 55-year-old patient presented with loss of sensation in the fingers and loss of peripheral pulsations in the right arm 4 days after right upper lobectomy for a pT2N1 moderately differentiated adenocarcinoma of the lung. Duplex examination and computed tomography were performed the same day and showed a subtotal stenosis of the right subclavian artery, which was caused by the surgical placement of a metal clip to mark the surgical boundary. Selective angiography was subsequently performed. Percutaneous transluminal angioplastymore » (PTA) successfully dilated the stenosis and pushed the clip off. Flow in the right subclavian artery (RSA) was completely restored as were neurology and peripheral pulses. In conclusion, arterial stenosis by a surgical (marking) clip may be feasibly treated with PTA.« less

Functional outcome after total and subtotal glossectomy with free flap reconstruction.

PubMed

Yanai, Chie; Kikutani, Takesi; Adachi, Masatosi; Thoren, Hanna; Suzuki, Munekazu; Iizuka, Tateyuki

2008-07-01

The aim of this study was to evaluate postoperative oral functions of patients who had undergone total or subtotal (75%) glossectomy with preservation of the larynx for oral squamous cell carcinomas. Speech intelligibility and swallowing capacity of 17 patients who had been treated between 1992 and 2002 were scored and classified using standard protocols 6 to 36 months postoperatively. The outcomes were finally rated as good, acceptable, or poor. The 4-year disease-specific survival rate was 64%. Speech intelligibility and swallowing capacity were satisfactory (acceptable or good) in 82.3%. Only 3 patients were still dependent on tube feeding. Good speech perceptibility did not always go together with normal diet tolerance, however. Our satisfactory results are attributable to the use of large, voluminous soft tissue flaps for reconstruction, and to the instigation of postoperative swallowing and speech therapy on a routine basis and at an early juncture.

Prevalence and pattern of abnormal myocardial perfusion in patients with isolated coronary artery ectasia: study by 99mTc-sestamibi radionuclide scintigraphy.

PubMed

Ismail, Ahmed M; Rayan, Mona; Adel, Amr; Demerdash, Salah; Atef, Mohamed; Abdallah, Mohamed; Nammas, Wail

2014-02-01

We explored the prevalence and pattern of abnormal myocardial perfusion in patients with isolated coronary artery ectasia (CAE), as demonstrated by (99m)Tc-sestamibi scintigraphy. Prospectively, we enrolled 35 patients with angiographically documented CAE and no significant coronary obstruction, who underwent elective coronary angiography. Patients underwent Stress-rest (99m)Tc-sestamibi scintigraphy within 4 days of coronary angiography. They were divided into 2 groups: group I: with normal perfusion scan; and group II: with reversible perfusion defects. The mean age was 49.6 ± 6.9 years; 34 (97.1 %) were males. Seventy-nine (75.2 %) arteries were affected by CAE. Among 79 arteries affected by CAE, affection was diffuse in 37 (46.8 %). Thirteen (37.1 %) patients had normal perfusion scan (group I), whereas 22 (62.9 %) had reversible perfusion defects (group II). Among 22 patients with reversible perfusion defects, 20 (90.9 %) had mild and 2 (9.1 %) had moderate ischemia. Among 49 myocardial segments with reversible perfusion defects, 22 (44.9 %) were basal, 18 (36.7 %) mid-, and 9 (18.4 %) apical segments. Diffuse CAE was significantly more prevalent in group II versus group I, in all 3 major coronary arteries (p < 0.05 for all). In patients with isolated CAE who underwent elective coronary angiography, reversible perfusion defects demonstrated by (99m)Tc-sestamibi scintigraphy were rather prevalent, mostly mild, more likely to affect the basal and mid-segments of the myocardium, and more frequently associated with diffuse ectasia.

Segmented lateral dyke growth in a rifting event at Bárðarbunga volcanic system, Iceland.

PubMed

Sigmundsson, Freysteinn; Hooper, Andrew; Hreinsdóttir, Sigrún; Vogfjörd, Kristín S; Ófeigsson, Benedikt G; Heimisson, Elías Rafn; Dumont, Stéphanie; Parks, Michelle; Spaans, Karsten; Gudmundsson, Gunnar B; Drouin, Vincent; Árnadóttir, Thóra; Jónsdóttir, Kristín; Gudmundsson, Magnús T; Högnadóttir, Thórdís; Fridriksdóttir, Hildur María; Hensch, Martin; Einarsson, Páll; Magnússon, Eyjólfur; Samsonov, Sergey; Brandsdóttir, Bryndís; White, Robert S; Ágústsdóttir, Thorbjörg; Greenfield, Tim; Green, Robert G; Hjartardóttir, Ásta Rut; Pedersen, Rikke; Bennett, Richard A; Geirsson, Halldór; La Femina, Peter C; Björnsson, Helgi; Pálsson, Finnur; Sturkell, Erik; Bean, Christopher J; Möllhoff, Martin; Braiden, Aoife K; Eibl, Eva P S

2015-01-08

Crust at many divergent plate boundaries forms primarily by the injection of vertical sheet-like dykes, some tens of kilometres long. Previous models of rifting events indicate either lateral dyke growth away from a feeding source, with propagation rates decreasing as the dyke lengthens, or magma flowing vertically into dykes from an underlying source, with the role of topography on the evolution of lateral dykes not clear. Here we show how a recent segmented dyke intrusion in the Bárðarbunga volcanic system grew laterally for more than 45 kilometres at a variable rate, with topography influencing the direction of propagation. Barriers at the ends of each segment were overcome by the build-up of pressure in the dyke end; then a new segment formed and dyke lengthening temporarily peaked. The dyke evolution, which occurred primarily over 14 days, was revealed by propagating seismicity, ground deformation mapped by Global Positioning System (GPS), interferometric analysis of satellite radar images (InSAR), and graben formation. The strike of the dyke segments varies from an initially radial direction away from the Bárðarbunga caldera, towards alignment with that expected from regional stress at the distal end. A model minimizing the combined strain and gravitational potential energy explains the propagation path. Dyke opening and seismicity focused at the most distal segment at any given time, and were simultaneous with magma source deflation and slow collapse at the Bárðarbunga caldera, accompanied by a series of magnitude M > 5 earthquakes. Dyke growth was slowed down by an effusive fissure eruption near the end of the dyke. Lateral dyke growth with segment barrier breaking by pressure build-up in the dyke distal end explains how focused upwelling of magma under central volcanoes is effectively redistributed over long distances to create new upper crust at divergent plate boundaries.

Impact of endobronchial coiling on segmental bronchial lumen in treated and untreated lung lobes: Correlation with changes in lung volume, clinical and pulmonary function tests.

PubMed

Kloth, C; Thaiss, W M; Hetzel, J; Ditt, H; Grosse, U; Nikolaou, K; Horger, M

2016-07-01

To assess the impact of endobronchial coiling on the segment bronchus cross-sectional area and volumes in patients with lung emphysema using quantitative chest-CT measurements. Thirty patients (female = 15; median age = 65.36 years) received chest-CT before and after endobronchial coiling for lung volume reduction (LVR) between January 2010 and December 2014. Thin-slice (0.6 mm) non-enhanced image data sets were acquired both at end-inspiration and end-expiration using helical technique and 120 kV/100-150 mAs. Clinical response was defined as an increase in the walking distance (Six-minute walk test; 6MWT) after LVR-therapy. Additionally, pulmonary function test (PFT) measurements were used for clinical correlation. In the treated segmental bronchia, the cross-sectional lumen area showed significant reduction (p < 0.05) in inspiration and tendency towards enlargement in expiration (p > 0.05). In the ipsilateral lobes, the lumina showed no significant changes. In the contralateral lung, we found tendency towards increased cross-sectional area in inspiration (p = 0.06). Volumes of the treated segments correlated with the treated segmental bronchial lumina in expiration (r = 0.80, p < 0.001). Clinical correlation with changes in 6MWT/PFT showed a significant decrease of the inspiratory volume of the treated lobe in responders only. Endobronchial coiling causes significant decrease in the cross-sectional area of treated segment bronchi in inspiration and a slight increase in expiration accompanied by a volume reduction. • Endobronchial coiling has indirect impact on cross-sectional area of treated segment bronchi • Volume changes of treated lobes correlate with changes in bronchial cross-sectional area • Coil-induced effects reflect their stabilizing and stiffening impact on lung parenchyma • Endobronchial coiling reduces bronchial collapsing compensating the loss of elasticity.

Piping dynamics in mid-altitude mountains under a temperate climate: the Bieszczady Mts., the Eastern Carpathians

NASA Astrophysics Data System (ADS)

Bernatek-Jakiel, Anita; Jakiel, Michał; Krzemień, Kazimierz

2017-04-01

Soil erosion is caused not only by overland flow, but also by subsurface flow. Piping which is a process of mechanical removal of soil particles by concentrated subsurface flow is frequently being overlooked and not accounted for in soil erosion studies. However, it seems that it is far more widespread than it has often been supposed. Furthermore, our knowledge about piping dynamics and its quantification currently relies on a limited number of data available for mainly loess-mantled areas and marl badlands. Therefore, this research aims to recognize piping dynamics in mid-altitude mountains under a temperate climate, where piping occurs in Cambisols, not previously considered as piping-prone soils. The survey was carried out in the Bereźnica Wyżna catchment (305 ha), in the Bieszczady Mts. (the Eastern Carpathians, Poland), where 188 collapsed pipes were mapped. The research was based on the monitoring of selected piping systems located within grasslands (1971-1974, 2013-2016). The development of piping systems is mainly induced by the elongation of pipes and creation of new collapses (closed depressions and sinkholes), rather than by the enlargement of existing piping forms, or the deepening of pipes. It draws attention to the role of dense vegetation (grasslands) in the delay of pipe collapses and, also, to the boundary of pipe development (soil-bedrock interface). The obtained results reveal an episodic, and even stochastic nature of piping activity, expressed by varied one-year and short-term (3 years) erosion rates, and pipe elongation. Changes in soil loss vary significantly between different years (up to 27.36 t ha-1 y-1), reaching the rate of 1.34 t ha-1 y-1 for the 45-year study period. The elongation of pipes also differs, from no changes to 36 m during one year. The results indicate that soil loss due to piping can cause high soil loss even in highly vegetated lands (grasslands), which are generally considered as areas without a significant erosion problem. The scale of piping in the study area is at least by three orders of magnitude higher than surface erosion rates (i.e. sheet and rill erosion) under a similar land use (grasslands), and it is comparable to the scale of surface soil erosion on arable lands. It means that piping is an important sediment source for fluvial systems, and it leads to significant soil loss in mid-altitude mountains under a temperate climate. This study is supported by the National Science Centre of Poland, as a part of the first author's project - PRELUDIUM 3 (DEC-2012/05/N/ST10/03926). The first author was also granted the ETIUDA 3 doctoral scholarship (UMO-2015/16/T/ST10/00505) financed by the National Science Centre of Poland.

Particular Oceanic Core Complex evolution in an extremely low melt supply environment

NASA Astrophysics Data System (ADS)

Maia, M.; Vincent, C.; Briais, A.; Brunelli, D.; Ligi, M.; Adrião, Á.; Sichel, S. E.

2017-12-01

Saint Paul is a major transform system in the Equatorial Mid-Atlantic Ridge. It consists of four transform faults and three short intra-transform ridge segments. This study focuses on peridotitic and gabbroic ridges and unusual Oceanic Core Complex (OCC)-related tectonics found at the St. Paul southern intra-transform segment. These structures display the same characters as the OCCs worldwide (termination, rafted blocks, corrugations, breakaway); however unusual features suggest that they have evolved in a particular way with respect to other OCCs along the Mid-Atlantic Ridge. Small ridge segments display an asymmetrical accretion through successive nucleations of detachment faults over more than 10 m.y. marked by crustal mylonitisation (Adrião et al., this session). Structural mapping and gravity models covering about 100 km on each ridge flank confirm the existence of four consecutive detachments, the more recent being still active, and provide an interpretative model of their spatiotemporal evolution. The unusual aspect is that each detachment appears to have been split on the two sides of the ridge axis. As a consequence, the breakaways are located on the American plate, while the conjugate terminations are drafted away on the African plate. We suggest that this unusual feature results from the rupture of the detachment surfaces by relocation of the ridge axis through westward small ridge jumps. This mode of expansion is somehow intermediate between the "normal" OCCs spreading and the Smooth Seafloor-type model described off-axis along the Southwest Indian Ridge (Sauter et al., 2013). It partly compensates the long-term asymmetric expansion of this ridge segment and is likely related to the extremely low melt supply and thick lithosphere inferred from other studies. Adrião et al., 2017. Mechanical mixing and metamorphism of mafic and ultramafic lithologies .... This Session Sauter et al., 2013. Continuous exhumation of mantle-derived rocks… Nat Geo, 2013

Issues In Modeling Military Space

DTIC Science & Technology

2002-03-26

storm was so intense that the Aurora Borealis could be seen as far south as El Paso, Texas. In addition, the recent Leonid meteor shower in mid...control segment consists of five Monitor Stations located in Hawaii, Kwajalein, Ascension Island, Diego Garcia and Colorado Springs (NAVSTAR, 2...There are three ground antennas also located at Ascension Island, Diego Garcia, and Kwajalien (NAVSTAR, 3). The Master Control Station (MCS) is

SUBTOTAL THYROIDECTOMY IN THE MANAGEMENT OF GRAVE'S DISEASE.

PubMed

Vincent, P J; Garg, M K; Singh, Y; Bhalla, V P; Datta, S

2001-07-01

Treatment options for Grave's disease include radio-iodine ablation, which is the standard treatment in the USA, antithyroid drug therapy, which is popular in Japan, and surgery, which is commonly employed in Europe and India. There are very few reports about the outcome of surgery in Grave's disease in the Indian setting. Surgery for Grave's disease is an attractive option in under developed countries to cut short prolonged drug treatment, costly follow up and avoid the need for radio-isotope facilities for 1311 ablation. Aim of the present study was to assess the result of subtotal thyroidectomy in 32 cases of Grave's Disease referred for surgery by the endocrinologist in a teaching hospital. Patients were prepared for surgery with Lugol's iodine and propranalol. Subtotal thyroidectomy was performed by a standard technique, which included dissection and exposure of recurrent laryngeal nerves and parathyroid glands. Actual estimation of weight of the remnant gland was not part of the study. Duration of follow up ranged from 6 months to 4 years. 13 of 32 cases were males. Age ranged from 20 to 57 years. There was 1 death in the immediate post-operative period. There were no cases of permanent hypoparathyroidism or recurrent laryngeal nerve palsy. 1 patient developed temporary hypoparathyroidism. 1 patient developed recurrence of hyperthyroidism and 3 cases developed hypothyroidism all within 2 years of surgery. The study has demonstrated the safety and effectiveness of surgery for Grave's Disease in comparison to the reported high incidence of hypothyroidism following radio-iodine therapy and high recurrence rate after anti thyroid drug therapy.

Effect of hemodynamics on outcome of subtotally occluded paraclinoid aneurysms after stent-assisted coil embolization.

PubMed

Liu, Jian; Jing, Linkai; Wang, Chao; Paliwal, Nikhil; Wang, Shengzhang; Zhang, Ying; Xiang, Jianping; Siddiqui, Adnan H; Meng, Hui; Yang, Xinjian

2016-11-01

Endovascular treatment of paraclinoid aneurysms is preferred in clinical practice. Flow alterations caused by stents and coils may affect treatment outcome. To assess hemodynamic changes following stent-assisted coil embolization (SACE) in subtotally embolized paraclinoid aneurysms with residual necks that were predisposed to recanalization. We studied 27 paraclinoid aneurysms (seven recanalized and 20 stable) treated with coils and Enterprise stents. Computational fluid dynamic simulations were performed on patient-specific aneurysm geometries using virtual stenting and porous media technology. After stent placement in 27 cases, aneurysm flow velocity decreased significantly, the reduction gradually increasing from the neck plane (11.9%), to the residual neck (12.3%), to the aneurysm dome (16.3%). Subsequent coil embolization was performed after stent placement and the hemodynamic factors decreased further and significantly at all aneurysm regions except the neck plane. In a comparison of recanalized and stable cases, univariate analysis showed no significant differences in any parameter before treatment. After stent-assisted coiling, only the reduction in area-averaged velocity at the neck plane differed significantly between recanalized (8.1%) and stable cases (20.5%) (p=0.016). Aneurysm flow velocity can be significantly decreased by stent placement and coil embolization. However, hemodynamics at the aneurysm neck plane is less sensitive to coils. Significant reduction in flow velocity at the neck plane may be an important factor in preventing recanalization of paraclinoid aneurysms after subtotal SACE. 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/.

Clinical, Pathological, and Surgical Outcomes for Adult Pineoblastomas.

PubMed

Gener, Melissa A; Conger, Andrew R; Van Gompel, Jamie; Ariai, Mohammad S; Jentoft, Mark; Meyer, Fredric B; Cardinal, Jeremy S; Bonnin, José M; Cohen-Gadol, Aaron A

2015-12-01

Pineoblastomas are uncommon primitive neuroectodermal tumors that occur mostly in children; they are exceedingly rare in adults. Few published reports have compared the various aspects of these tumors between adults and children. The authors report a series of 12 pineoblastomas in adults from 2 institutions over 24 years. The clinical, radiologic, and pathologic features and clinical outcomes were compared with previously reported cases in children and adults. Patient age ranged from 24 to 81 years, and all but 1 patient exhibited symptoms of obstructive hydrocephalus. Three patients underwent gross total resection, and subtotal resection was performed in 3 patients. Diagnostic biopsy specimens were obtained in an additional 6 patients. Pathologically, the tumors had the classical morphologic and immunohistochemical features of pineoblastomas. Postoperatively, 10 patients received radiotherapy, and 5 patients received chemotherapy. Compared with previously reported cases, several differences were noted in clinical outcomes. Of the 12 patients, only 5 (42%) died of their disease (average length of survival, 118 months); 5 patients (42%) are alive with no evidence of disease (average length of follow-up, 92 months). One patient died of unrelated causes, and one was lost to follow-up. Patients with subtotal resections or diagnostic biopsies did not suffer a worse prognosis. Of the 9 patients with biopsy or subtotal resection, 4 are alive, 4 died of their disease, and 1 died of an unrelated hemorrhagic cerebral infarction. Although this series is small, the data suggest that pineoblastomas in adults have a less aggressive clinical course than in children. Copyright © 2015 Elsevier Inc. All rights reserved.

An Alternative Prosthetic Approach for Rehabilitation of Two Edentulous Maxillectomy Patients: Clinical Report.

PubMed

Yenisey, Murat; Külünk, Şafak; Kaleli, Necati

2017-07-01

Obturator prosthesis is a common treatment method for maxillectomy patients for maintaining their oronasal separation and resuming their social lives. After tumor resection, the remaining anatomical structures have a significant effect on prosthesis retention. The present study describes the rehabilitation of two maxillectomy patients after cancer surgery using a prosthesis consisting of a denture and a special retentive obturator that is positioned in the anatomical undercuts of the nasal cavity. These patients have undergone total and subtotal maxillectomy surgery after the diagnosis of squamous cell carcinoma. The systemic and local health status of the total maxillectomy patient was not suitable for zygomatic implant surgery. Only one osseointegrated dental implant was placed into the left maxillary tuberosity area in the subtotal maxillectomy patient. In addition, the quality, vertical height, and horizontal width of the remaining bone structures in the maxilla limited the use of osseointegrated dental implants. Mechanical prosthesis retention was provided using a multiunit retentive mechanism composed of an orthodontic forsus fatigue resistant device (OFFRD), two Herbst appliances, and an acrylic piece associated with healthy keratinized mucosa. The OFFRD could easily apply a consistent force and push the acrylic pieces toward the retentive undercut under the control of the two Herbst appliances. Two OFFRD units in different directions were designed for the total maxillectomy patient, while only one OFFRD unit was placed on the opposite side of the osseointegrated implant in the subtotal maxillectomy patient. A sufficient retention was obtained for both patients. The patients were satisfied, and no major complications were observed in periodic controls. © 2017 by the American College of Prosthodontists.

Iodine-induced thyrotoxicosis--a case for subtotal thyroidectomy in severely ill patients.

PubMed

Köbberling, J; Hintze, G; Becker, H D

1985-01-02

Iodine-induced thyrotoxicosis (IIT), due to iodine application in high amounts in patients with circumscript or disseminated thyroid autonomy, is complicated by a prolonged course, mainly due on the body's resistance to conservative therapy with thiourea derivates. Therefore, we decided to perform subtotal thyroidectomy in 16 thyrotoxic patients. This is in contrast to the common opinion that surgery should only be performed after normalization of thyroid hormones. In all 16 patients with severe IIT, including three patients with thyroid storm, hormone levels decreased within a few days after surgery to normal or subnormal values and the clinical picture of thyrotoxicosis disappeared. In the case of thyroid storm the signs of disorientation normalized within 1-3 days. One patient died 5 weeks after surgery due to severe concomitant diseases. One patient exhibited transitory respiration distress and another had postoperative hypocalcaemia. In nine patients L-thyroxine replacement became necessary because of subclinical or clinical hypothyroidism. Only by this procedure will the high intrathyroidal storage of iodine and performed hormone be extracted. Surgery as a treatment for thyrotoxicosis should be reserved for patients with severe IIT, where conservative treatment has been shown to be ineffective. Furthermore, in rare selected cases, when a rapid normalization is required, surgery without preoperative treatment seems to be justified. The effect of surgery was impressive in all our cases and there were only minor perioperative complications. Thus, it could be shown that subtotal thyroidectomy may be a rational and effective treatment in severe IIT which should be carefully considered and weighed against other types of therapy.

Comparison of extended colectomy and limited resection in patients with Lynch syndrome.

PubMed

Natarajan, Nagendra; Watson, Patrice; Silva-Lopez, Edibaldo; Lynch, Henry T

2010-01-01

The purpose of the study was to determine the advantages and disadvantages of prophylactic/extended colectomy (subtotal colectomy) in patients with Lynch syndrome who manifest colorectal cancer. A retrospective cohort using Creighton University's hereditary cancer database was used to identify cases and controls. Cases are patients who underwent subtotal colectomy, either with no colorectal cancer diagnosis (prophylactic) or at diagnosis of first colorectal cancer; controls for these 2 types of cases were, respectively, patients who underwent no colon surgery or those having limited resection at time of diagnosis of first colorectal cancer. The Kaplan-Meier and proportional hazard regression models from the Statistical Analysis Software program was used to calculate the difference in survival, time to subsequent colorectal cancer, and subsequent abdominal surgery between cases and controls. The event-free survival of our study did not reach 50%, so we used the event-free survival at 5 years as our parameter to compare the 2 groups. The event-free survival for subsequent colorectal cancer, subsequent abdominal surgery, and death was 94%, 84%, and 93%, respectively, for cases and 74%, 63%, and 88%, respectively, for controls. Times to subsequent colorectal cancer and subsequent abdominal surgery were significantly shorter in the control group (P < .006 and P < .04, respectively). No significant difference was identified with respect to survival time between the cases and controls. Even though no survival benefit was identified between the cases and controls the increased incidence of metachronous colorectal cancer and increased abdominal surgeries among controls warrant the recommendation of subtotal colectomy in patients with Lynch syndrome.

Synchronous quintuple primary gastrointestinal tract malignancies: Case report

PubMed Central

Kim, Soo-Hong; Park, Byung-Soo; Kim, Hyun Sung; Kim, Jae Hun

2017-01-01

Multiple primary malignancy is defined as two or more malignancies detected in an individual person. In particular, synchronous quintuple primary malignancy is extremely rare. A 52-year-old male with anal pain and intermittent blood-tinged stool was diagnosed with malignancies in the stomach, jejunum, ascending colon, transverse colon and rectum. He underwent a subtotal gastrectomy, segmental resection of the jejunum and total protocolectomy with end ileostomy. The postoperative pathologic findings were moderate differentiated gastric adenocarcinoma (pT1bN0M0, pStageIA), combined adenocarcinoma and neuroendocrine carcinoma of the jejunum (pT3N0M0, pStageIIA), three mucinous adenocarcinoma of the ascending colon (pT3N0M0, pStageIIA), transverse colon (pT1N0M0, pStageI) and rectum (pT3N1aM0, pStageIIIB). The tumors did not lack MLH-1 and MSH-2 expression, as the markers (bat26, D5S346, bat25, D2S123) suggest MSI-H presence. Adjuvant chemoradiotherapy was started according to regimen, FOLFOX 4 for advanced rectal cancer. Six years post-operation, the patient is currently attending regular follow-ups without recurrence or metastasis. PMID:28104993

Evolution of collapse valleys in karst - examples from the Carpatho-Balkanides of Serbia

NASA Astrophysics Data System (ADS)

Petrović, Aleksandar S.; Ćalić, Jelena; Spalević, Aleksandra; Pantić, Marko

2016-04-01

Development of valleys in karst is an issue which has not been sufficiently studied in karst surface morphology. THESE valleys are long linear forms whose orthogonal projections resemble normal valleys, but most of their characteristics are strongly influenced by karst process. In largest number of relevant references, this subject is either only briefly mentioned or completely lacking. This paper presents the examples of a particular type of valley in karst formed by cave ceiling collapse close to the topographical surface. Karst of the Carpatho-Balkanides in eastern Serbia is characterized by uneven spatial distribution in several large massifs, but also in a large number of relatively small outcrops (patches and belts), which enable the development of contact karst and fluviokarst. Many morphological elements are of fluvial origin, subsequently modified by karst process. Collapse valleys occur mostly at the downstream contacts (where a seasonal watercourse leaves limestones) or in karst/limestone belts. In the first phase, which is visible on the example of the Radovanska Reka, the river course sinks to the swallets in the riverbed and forms a blind valley. After sinking, the water flows through the tunnel cave, while largest part of the valley remains above the cave. The bottom of the dry valley is dissected by deep dolines, reaching almost to the cave roof. In this part of the study, the area was scanned by a multistation Leica Nova MS 50 (resolution 20 cm @ 10 m). In the second phase, the doline bottoms reach the cave ceilings which develop holes at certain points, as it is case at the Zamna River valley. These hollows tend to enlarge with time, and the surface of the cave ceiling is reduced. The third, final phase is characterised by collapse of larger segments of cave ceilings. Only the natural bridges remain, as the remnants of former caves (e.g. in the Vratna River valley, Ravna Reka valley). These parts of valleys in karst are usually narrow, steep-sided, resembling classical gorges. A closer look to the morphogenesis of this type of valleys is discussed. Key words: valley in karst, collapse valley, karst surface relief, Carpatho-Balkanides.

COLLAPSED ABNORMAL POLLEN1 Gene Encoding the Arabinokinase-Like Protein Is Involved in Pollen Development in Rice1[C][W][OA

PubMed Central

Ueda, Kenji; Yoshimura, Fumiaki; Miyao, Akio; Hirochika, Hirohiko; Nonomura, Ken-Ichi; Wabiko, Hiroetsu

2013-01-01

We isolated a pollen-defective mutant, collapsed abnormal pollen1 (cap1), from Tos17 insertional mutant lines of rice (Oryza sativa). The cap1 heterozygous plant produced equal numbers of normal and collapsed abnormal grains. The abnormal pollen grains lacked almost all cytoplasmic materials, nuclei, and intine cell walls and did not germinate. Genetic analysis of crosses revealed that the cap1 mutation did not affect female reproduction or vegetative growth. CAP1 encodes a protein consisting of 996 amino acids that showed high similarity to Arabidopsis (Arabidopsis thaliana) l-arabinokinase, which catalyzes the conversion of l-arabinose to l-arabinose 1-phosphate. A wild-type genomic DNA segment containing CAP1 restored mutants to normal pollen grains. During rice pollen development, CAP1 was preferentially expressed in anthers at the bicellular pollen stage, and the effects of the cap1 mutation were mainly detected at this stage. Based on the metabolic pathway of l-arabinose, cap1 pollen phenotype may have been caused by toxic accumulation of l-arabinose or by inhibition of cell wall metabolism due to the lack of UDP-l-arabinose derived from l-arabinose 1-phosphate. The expression pattern of CAP1 was very similar to that of another Arabidopsis homolog that showed 71% amino acid identity with CAP1. Our results suggested that CAP1 and related genes are critical for pollen development in both monocotyledonous and dicotyledonous plants. PMID:23629836

Collapsing glomerulopathy in a young woman with APOL1 risk alleles following acute parvovirus B19 infection: a case report investigation.

PubMed

Besse, Whitney; Mansour, Sherry; Jatwani, Karan; Nast, Cynthia C; Brewster, Ursula C

2016-09-06

Collapsing Glomerulopathy (CG), also known as the collapsing variant of Focal Segmental Glomerulosclerosis (FSGS), is distinct in both its clinical severity and its pathophysiologic characteristics from other forms of FSGS. This lesion occurs disproportionally in patients carrying two APOL1 risk alleles, and is the classic histologic lesion resulting from Human Immunodeficiency Virus (HIV) infection of podocytes. Other viral infections, including parvovirus B19, and drugs such as interferon that perturb the immune system, have also been associated with CG. Despite significant advances, explaining such genetic and immune/infectious associations with causative mechanisms and supporting evidence has proven challenging. We report the case of a healthy (HIV-negative) pregnant 36 year-old Caribbean-American woman who presented with nephrotic syndrome and fetal demise in the setting of acute parvovirus B19 infection. A series of three renal biopsies and rapid clinical course showed progression from significant podocyte injury with mild light microscopy findings to classic viral-associated CG to ESRD in less than 3 months. Genetic analysis revealed two APOL1 G1 risk alleles. This is the first published case report of CG in the setting of acute parvovirus infection in a patient with two APOL1 risk allelles, and parvoviral proteins identified in renal epithelium on kidney biopsy. These findings support the causative role of parvovirus B19 infection in the development of CG on the background of APOL1 genetic risk.

The Iceland Plate Boundary Zone: Propagating Rifts, Migrating Transforms, and Rift-Parallel Strike-Slip Faults

NASA Astrophysics Data System (ADS)

Karson, J. A.

2017-11-01

Unlike most of the Mid-Atlantic Ridge, the North America/Eurasia plate boundary in Iceland lies above sea level where magmatic and tectonic processes can be directly investigated in subaerial exposures. Accordingly, geologic processes in Iceland have long been recognized as possible analogs for seafloor spreading in the submerged parts of the mid-ocean ridge system. Combining existing and new data from across Iceland provides an integrated view of this active, mostly subaerial plate boundary. The broad Iceland plate boundary zone includes segmented rift zones linked by transform fault zones. Rift propagation and transform fault migration away from the Iceland hotspot rearrange the plate boundary configuration resulting in widespread deformation of older crust and reactivation of spreading-related structures. Rift propagation results in block rotations that are accommodated by widespread, rift-parallel, strike-slip faulting. The geometry and kinematics of faulting in Iceland may have implications for spreading processes elsewhere on the mid-ocean ridge system where rift propagation and transform migration occur.

Urinary NGAL Marks Cystic Disease in HIV-Associated Nephropathy

PubMed Central

Paragas, Neal; Nickolas, Thomas L.; Wyatt, Christina; Forster, Catherine S.; Sise, Meghan; Morgello, Susan; Jagla, Bernd; Buchen, Charles; Stella, Peter; Sanna-Cherchi, Simone; Carnevali, Maria Luisa; Mattei, Silvia; Bovino, Achiropita; Argentiero, Lucia; Magnano, Andrea; Devarajan, Prasad; Schmidt-Ott, Kai M.; Allegri, Landino; Klotman, Paul; D'Agati, Vivette; Gharavi, Ali G.

2009-01-01

Nephrosis and a rapid decline in kidney function characterize HIV-associated nephropathy (HIVAN). Histologically, HIVAN is a collapsing focal segmental glomerulosclerosis with prominent tubular damage. We explored the expression of neutrophil gelatinase-associated lipocalin (NGAL), a marker of tubular injury, to determine whether this protein has the potential to aid in the noninvasive diagnosis of HIVAN. We found that expression of urinary NGAL was much higher in patients with biopsy-proven HIVAN than in HIV-positive and HIV-negative patients with other forms of chronic kidney disease. In the HIV-transgenic mouse model of HIVAN, NGAL mRNA was abundant in dilated, microcystic segments of the nephron. In contrast, urinary NGAL did not correlate with proteinuria in human or in mouse models. These data show that marked upregulation of NGAL accompanies HIVAN and support further study of uNGAL levels in large cohorts to aid in the noninvasive diagnosis of HIVAN and screen for HIVAN-related tubular damage. PMID:19628667

Use of resources and costs associated with the treatment of Dupuytren’s contracture at an orthopedics and traumatology surgery department in Denia (Spain): collagenase clostridium hystolyticum versus subtotal fasciectomy

PubMed Central

2013-01-01

Background Our purpose was to analyze and compare the use of direct health resources and costs generated in the treatment of Dupuytren's contracture using two different techniques: subtotal fasciectomy and infiltration with Collagenase Clostridium Histolyticum (CCH) in regular clinical practice at the Orthopedic and Traumatology Surgery (OTS) Department at the Hospital de Denia (Spain). Methods Observational, retrospective study based on data from the computerized clinical histories of two groups of patients- those treated surgically using a one or two digit subtotal fasciectomy technique (FSC) and those treated with CCH infiltration, monitored in regular clinical practice from February, 2009 to May, 2012. Demographic (age, sex), clinical (number of digits affected and which ones) and use of resources (hospitalizations, medical visits, tests and drugs) data were collected. Resource use and associated costs, according to the hospital’s accounting department, were compared based on the type of treatment from Spain’s National Health Service. Results 91 patients (48 (52.8%) in the FSC group) were identified. The average age and number of digits affected was 65.9 (9.2) years and 1.33 (0.48) digits affected in the FSC group, and 65.1 (9.7) years and 1.16 (0.4) digits in the CCH group. Overall, the costs of treating Dupuytren's disease with subtotal FSC amount to €1,814 for major ambulatory surgery and €1,961 with hospital stay including admission, surgical intervention (€904), examinations, dressings and physiotherapy. As to collagenase infiltration, costs amount to €952 (including minor surgery admission, vial with product, office examination and dressings). Finally, comparing total costs for treatments, a savings of €388 is estimated in favor of CCH treatment in the best-case scenario (patient under MAS system with no need for physiotherapy) and €1,008 in the worst-case scenario (patient admitted to hospital needing subsequent physiotherapy), implying a savings of 29% and 51%, respectively. Conclusions This study demonstrates that treating patients with DC by injection with CCH at the OTS department of the Hospital de Denia generates a total savings of 29% and 51% (€388 and €1008) compared with fasciectomy at the time of treatment. Long term evolution of CCH treatment is uncertain and the recurrence rate unknown. PMID:24125161

Computer Simulation of an Aircraft Seat and Occupant in a Crash Environment. Volume 2. Program SOM-LA (Seat/Occupant Model - Light Aircraft) User Manual

DTIC Science & Technology

1983-03-01

349A9 3 Figure A-8. Program SOM-LA body segment dimensions. _ t m • •m v m--, • v_ ,• W:•---:x:--:’ ,•-•• •--" ..- • % ’"•Z>L r -L.J :•":’. 7=- 2 J7.ŗZ...offset from the mid-saggital plane, and the anterior offset of the major upper body segment (lower torso, upper torso, and head) center of masses from... body rotation) energy-absorbing scat model. (See figure A-lI for a detailed de- scription of the parameters.) FORMAT AND EXAMPLE: 2 3 4 6 6 7 1 0123 4

Determination of the intersegmental plane using the slip-knot method

PubMed Central

Endoh, Makoto; Kato, Hirohisa; Suzuki, Jun; Watarai, Hikaru; Hamada, Akira; Suzuki, Katsuyuki; Nakahashi, Kenta; Sadahiro, Mitsuaki

2018-01-01

Background Visualization of intersegmental planes in the lung is desirable for precise anatomical lung segmentectomy. We developed the slip-knot method for creating inflation-deflation lines. This study aimed to assess relevant data for thoracoscopic segmentectomy performed using this method. Methods In the slip-knot method, the objective segmental bronchus is looped with a monofilament thread. One end of the thread is then pulled during temporary bilateral ventilation, causing the knot to slip toward the bronchus. Thereafter, bronchial ligation is tightened to block the outflow of segmental air, ensuring that the segment remains expanded while the other reserved segments collapse on resumption of unilateral ventilation. Data from 221 patients who underwent thoracoscopic pulmonary segmentectomy between 2010 and 2016 were analyzed. Results A total of 147 patients (67%) were indicated for the slip-knot method, and 74 cases (33%) were non-adaptive cases. Ninety six percent of 147 cases were well adapted to the slip-knot method, which allowed us to obtain good inflation-deflation line images to determine the intersegmental plane. The mean operative time was 171±51 min (range, 71–367 min). The mean duration of chest tube insertion was 1.5±1.2 days (range, 1–7 days). Three cases (2.0%) had prolonged air-leakage and one (0.7%) case had readmission for late air-leakage. Conclusions Our method enables determination of anatomical intersegmental planes using only one monofilament thread, thus facilitating thoracoscopic pulmonary anatomical segmentectomy. PMID:29785297

Measuring Patient Mobility in the ICU Using a Novel Noninvasive Sensor.

PubMed

Ma, Andy J; Rawat, Nishi; Reiter, Austin; Shrock, Christine; Zhan, Andong; Stone, Alex; Rabiee, Anahita; Griffin, Stephanie; Needham, Dale M; Saria, Suchi

2017-04-01

To develop and validate a noninvasive mobility sensor to automatically and continuously detect and measure patient mobility in the ICU. Prospective, observational study. Surgical ICU at an academic hospital. Three hundred sixty-two hours of sensor color and depth image data were recorded and curated into 109 segments, each containing 1,000 images, from eight patients. None. Three Microsoft Kinect sensors (Microsoft, Beijing, China) were deployed in one ICU room to collect continuous patient mobility data. We developed software that automatically analyzes the sensor data to measure mobility and assign the highest level within a time period. To characterize the highest mobility level, a validated 11-point mobility scale was collapsed into four categories: nothing in bed, in-bed activity, out-of-bed activity, and walking. Of the 109 sensor segments, the noninvasive mobility sensor was developed using 26 of these from three ICU patients and validated on 83 remaining segments from five different patients. Three physicians annotated each segment for the highest mobility level. The weighted Kappa (κ) statistic for agreement between automated noninvasive mobility sensor output versus manual physician annotation was 0.86 (95% CI, 0.72-1.00). Disagreement primarily occurred in the "nothing in bed" versus "in-bed activity" categories because "the sensor assessed movement continuously," which was significantly more sensitive to motion than physician annotations using a discrete manual scale. Noninvasive mobility sensor is a novel and feasible method for automating evaluation of ICU patient mobility.

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

Viola, M. E.; Brown, T.; Heitzenroeder, P.

The National Compact Stellarator Experiment (NCSX) is being constructed at the Princeton Plasma Physics Laboratory (PPPL) in conjunction with the Oak Ridge National Laboratory (ORNL). The goal of this experiment is to develop a device which has the steady state properties of a traditional stellarator along with the high performance characteristics of a tokamak. A key element of this device is its highly shaped Inconel 625 vacuum vessel. This paper describes the manufacturing of the vessel. The vessel is being fabricated by Major Tool and Machine, Inc. (MTM) in three identical 120º vessel segments, corresponding to the three NCSX fieldmore » periods, in order to accommodate assembly of the device. The port extensions are welded on, leak checked, cut off within 1" of the vessel surface at MTM and then reattached at PPPL, to accommodate assembly of the close-fitting modular coils that surround the vessel. The 120º vessel segments are formed by welding two 60º segments together. Each 60º segment is fabricated by welding ten press-formed panels together over a collapsible welding fixture which is needed to precisely position the panels. The vessel is joined at assembly by welding via custom machined 8" (20.3 cm) wide spacer "spool pieces." The vessel must have a total leak rate less than 5 X 10-6 t-l/s, magnetic permeability less than 1.02μ, and its contours must be within 0.188" (4.76 mm). It is scheduled for completion in January 2006.« less

Transcriptome sequencing of Atlantic salmon (Salmo salar L.) notochord prior to development of the vertebrae provides clues to regulation of positional fate, chordoblast lineage and mineralisation.

PubMed

Wang, Shou; Furmanek, Tomasz; Kryvi, Harald; Krossøy, Christel; Totland, Geir K; Grotmol, Sindre; Wargelius, Anna

2014-02-19

In teleosts such as Atlantic salmon (Salmo salar L.), segmentation and subsequent mineralisation of the notochord during embryonic stages are essential for normal vertebrae formation. However, the molecular mechanisms leading to segmentation and mineralisation of the notochord are poorly understood. The aim of this study was to identify genes/pathways acting in gradients over time and along the anterior-posterior axis during notochord segmentation and immediately prior to mineralisation of the vertebral bodies in Atlantic salmon. Notochord samples were collected from unsegmented, pre-segmented and segmented developmental stages. In each stage, the cellular core of the notochord was cut into three pieces along the longitudinal axis (anterior, mid, posterior). RNA was sequenced (22 million pair-end 100 bp/ library) and mapped to the salmon genome. 66569 transcripts were predicted and 55775 were annotated. In order to identify possible gradients leading to segmentation of the notochord, all 71 notochord-expressed hox genes were investigated, most of them displaying a typical anterior-posterior expression pattern along the notochord axis. The clustering of hox genes revealed a pattern that could be related to notochord segmentation. We further investigated how mineralisation is initiated in the notochord, and several factors related to chondrogenic lineage were identified (sox9, sox5, sox6, tgfb3, ihhb and col2a1), suggesting a cartilage-like character of the notochord. KEGG analysis of differentially expressed genes between stages revealed down-regulation of pathways associated with ECM, cell division, metabolism and development at onset of notochord segmentation. This implies that inhibitory signals produce segmentation of the notochord. One such potential inhibitory signal was identified, col11a2, which was detected in segments of non-mineralising notochord. An incomplete salmon genome was successfully used to analyse RNA-seq data from the cellular core of the Atlantic salmon notochord. In transcriptome we found; hox gene patterns possibly linked to segmentation; down-regulation of pathways in the notochord at onset of segmentation; segmented expression of col11a2 in non-mineralised segments of the notochord; and a chondroblast-like footprint in the notochord.

Prognostic validation of a 17-segment score derived from a 20-segment score for myocardial perfusion SPECT interpretation.

PubMed

Berman, Daniel S; Abidov, Aiden; Kang, Xingping; Hayes, Sean W; Friedman, John D; Sciammarella, Maria G; Cohen, Ishac; Gerlach, James; Waechter, Parker B; Germano, Guido; Hachamovitch, Rory

2004-01-01

Recently, a 17-segment model of the left ventricle has been recommended as an optimally weighted approach for interpreting myocardial perfusion single photon emission computed tomography (SPECT). Methods to convert databases from previous 20- to new 17-segment data and criteria for abnormality for the 17-segment scores are needed. Initially, for derivation of the conversion algorithm, 65 patients were studied (algorithm population) (pilot group, n = 28; validation group, n = 37). Three conversion algorithms were derived: algorithm 1, which used mid, distal, and apical scores; algorithm 2, which used distal and apical scores alone; and algorithm 3, which used maximal scores of the distal septal, lateral, and apical segments in the 20-segment model for 3 corresponding segments of the 17-segment model. The prognosis population comprised 16,020 consecutive patients (mean age, 65 +/- 12 years; 41% women) who had exercise or vasodilator stress technetium 99m sestamibi myocardial perfusion SPECT and were followed up for 2.1 +/- 0.8 years. In this population, 17-segment scores were derived from 20-segment scores by use of algorithm 2, which demonstrated the best agreement with expert 17-segment reading in the algorithm population. The prognostic value of the 20- and 17-segment scores was compared by converting the respective summed scores into percent myocardium abnormal. Conversion algorithm 2 was found to be highly concordant with expert visual analysis by the 17-segment model (r = 0.982; kappa = 0.866) in the algorithm population. In the prognosis population, 456 cardiac deaths occurred during follow-up. When the conversion algorithm was applied, extent and severity of perfusion defects were nearly identical by 20- and derived 17-segment scores. The receiver operating characteristic curve areas by 20- and 17-segment perfusion scores were identical for predicting cardiac death (both 0.77 +/- 0.02, P = not significant). The optimal prognostic cutoff value for either 20- or derived 17-segment models was confirmed to be 5% myocardium abnormal, corresponding to a summed stress score greater than 3. Of note, the 17-segment model demonstrated a trend toward fewer mildly abnormal scans and more normal and severely abnormal scans. An algorithm for conversion of 20-segment perfusion scores to 17-segment scores has been developed that is highly concordant with expert visual analysis by the 17-segment model and provides nearly identical prognostic information. This conversion model may provide a mechanism for comparison of studies analyzed by the 17-segment system with previous studies analyzed by the 20-segment approach.

Starling resistors, autoregulation of cerebral perfusion and the pathogenesis of idiopathic intracranial hypertension.

PubMed

DE Simone, Roberto; Ranieri, Angelo; Bonavita, Vincenzo

2017-03-01

Two critical functions for the control of intracranial fluids dynamics are carried on the venous side of the perfusion circuit: the first is the avoidance of cortical veins collapse during the physiological increases of cerebrospinal fluid (CSF) pressure in which they are immersed. The second, is the generation of an abrupt venous pressure drop at the confluence of the cortical veins with the dural sinuses that is required to allow a CSF outflow rate balanced with its production. There is evidence that both of these effects are ensured by a Starling resistor mechanism (a fluid dynamic construct that governs the flow in collapsible tubes exposed to variable external pressure) acting at the confluence of cortical veins in the dural sinus. This implies that, in normal circumstances of perfusion balance, a certain degree of venous collapse physiologically occurs at the distal end of the cortical vein. This is passively modulated by the transmural pressure of the venous wall (i.e. the difference between internal blood pressure and external CSF pressure). The mechanism provides that the blood pressure of the cortical vein upstream the collapsed segment is dynamically maintained a few mmHg higher than the CSF pressure, so as to prevent their collapse during the large physiological fluctuations of the intracranial pressure. Moreover, the partial collapse of the vein confluence also generates a sharp pressure drop of the blood entering into the sinus. The CSF is drained in dural sinus through arachnoid villi proportionally to its pressure gradient with the sinus blood. The venous pressure drop between cortical veins and dural sinus is therefore needed to ensure that the CSF can leave the cranio-spinal space with the same speed with which it is produced, without having to reach a too high pressure, which would compress the cortical veins. Notably, the mechanism requires that the walls of the dural sinuses are rigid enough to avoid the collapse under the external cerebrospinal fluid pressure, and predicts that in the presence of excessively flexible dural sinuses, the system admits a second point of balance between cerebral fluid pressure and dural sinus pressure, at higher values. The second balance state is due to the triggering of a self-limiting venous collapse feedback loop between the CSF pressure, that compresses the sinus, and the subsequent increase of the dural sinus pressure, that further raises the intracranial pressure. The loop may stabilize only when the maximum stretching allowed by the venous wall is reached. Then, a new relatively stable and self-sustaining balance state is achieved, at the price of a higher CSF and dural sinus pressure values. We propose that this model is crucially involved in Idiopatic Intracranial Hypertension pathogenesis with and without papilledema, a condition that could be described as a pathological new balance state, relatively stable, between intracranial and dural venous pressure, at higher absolute values.

Risk factor analysis for predicting vertebral body re-collapse after posterior instrumented fusion in thoracolumbar burst fracture.

PubMed

Jang, Hae-Dong; Bang, Chungwon; Lee, Jae Chul; Soh, Jae-Wan; Choi, Sung-Woo; Cho, Hyeung-Kyu; Shin, Byung-Joon

2018-02-01

In the posterior instrumented fusion surgery for thoracolumbar (T-L) burst fracture, early postoperative re-collapse of well-reduced vertebral body fracture could induce critical complications such as correction loss, posttraumatic kyphosis, and metal failure, often leading to revision surgery. Furthermore, re-collapse is quite difficult to predict because of the variety of risk factors, and no widely accepted accurate prediction systems exist. Although load-sharing classification has been known to help to decide the need for additional anterior column support, this radiographic scoring system has several critical limitations. (1) To evaluate risk factors and predictors for postoperative re-collapse in T-L burst fractures. (2) Through the decision-making model, we aimed to predict re-collapse and prevent unnecessary additional anterior spinal surgery. Retrospective comparative study. Two-hundred and eight (104 men and 104 women) consecutive patients with T-L burst fracture who underwent posterior instrumented fusion were reviewed retrospectively. Burst fractures caused by high-energy trauma (fall from a height and motor vehicle accident) with a minimum 1-year follow-up were included. The average age at the time of surgery was 45.9 years (range, 15-79). With respect to the involved spinal level, 95 cases (45.6%) involved L1, 51 involved T12, 54 involved L2, and 8 involved T11. Mean fixation segments were 3.5 (range, 2-5). Pedicle screw instrumentation including fractured vertebra had been performed in 129 patients (62.3%). Clinical data using self-report measures (visual analog scale score), radiographic measurements (plain radiograph, computed tomography, and magnetic resonance image), and functional measures using the Oswestry Disability Index were evaluated. Body height loss of fractured vertebra, body wedge angle, and Cobb angle were measured in serial plain radiographs. We assigned patients to the re-collapse group if their body height loss progressed greater than 20% at any follow-up time compared with immediate postoperative body height loss; we assigned the remaining patients to the well-maintained group. The chi-square test and t test of SPSS were used for comparison of differences between two groups and multiple logistic regression analysis for risk factor evaluation. Through the decision tree analysis of statistical package R, a decision-making model was composed, and a cutoff value of revealed risk factors and re-collapse rate of each subgroup were identified. The present study wassupported by the University College of Medicine Research Fund (university to which authors belong). There was no external funding source for this study. The authors have no conflict of interest to declare. Re-collapse occurred in 31 of 208 patients (14.9%). In this group, age, the proportion of male gender, preoperative height loss, and preoperative wedge angle were significantly greater than the well-maintained group. Multivariable logistic regression analysis identified two independent risk factors: age (adjusted odds ratio 1.084, p=.002) and body height loss (adjusted odds ratio 1.065, p=.003). According to the decision-making tree, age (>43 years) was the most discriminating variable, andpreoperative body height loss (>54%) was the second. In this model, the re-collapse rate was zero in ages less than 43 years, and among those remaining, nearly 80% patients with greater than 54% of body height loss belonged to the re-collapse group. The independent predictors of re-collapse after posterior instrumented fusion for T-L burst fracture were the age at operation (>43 years old) and preoperative body height loss (>54%). Careful assessment using our decision-making model could help to predict re-collapse and prevent unnecessary additional spinal surgery for anterior column support, especially in young patients. Copyright © 2017 Elsevier Inc. All rights reserved.

Advanced Turbine Engine Seal Test

DTIC Science & Technology

1976-07-01

Transpiration- Cooled Shroud Segments. 67. ATEST Shroud Rub Pin Heights and Mid-Chord Runout . 68. Locations of Nine-Point Runout Check on Shroud Surface...69. ATEST Shroud Leading Edge Runout . 70. ATEST Shroud Trailing Edge Runout . 71. ATEST Shroud Support Posttest Runout . 72. ATEST Shroud Flow Zones...at General Electric on many prior engines with good success. It Involves the use of a grinding wheel in conjunction with a cutting fluid which is

[Estimating individual tree aboveground biomass of the mid-subtropical forest using airborne LiDAR technology].

PubMed

Liu, Feng; Tan, Chang; Lei, Pi-Feng

2014-11-01

Taking Wugang forest farm in Xuefeng Mountain as the research object, using the airborne light detection and ranging (LiDAR) data under leaf-on condition and field data of concomitant plots, this paper assessed the ability of using LiDAR technology to estimate aboveground biomass of the mid-subtropical forest. A semi-automated individual tree LiDAR cloud point segmentation was obtained by using condition random fields and optimization methods. Spatial structure, waveform characteristics and topography were calculated as LiDAR metrics from the segmented objects. Then statistical models between aboveground biomass from field data and these LiDAR metrics were built. The individual tree recognition rates were 93%, 86% and 60% for coniferous, broadleaf and mixed forests, respectively. The adjusted coefficients of determination (R(2)adj) and the root mean squared errors (RMSE) for the three types of forest were 0.83, 0.81 and 0.74, and 28.22, 29.79 and 32.31 t · hm(-2), respectively. The estimation capability of model based on canopy geometric volume, tree percentile height, slope and waveform characteristics was much better than that of traditional regression model based on tree height. Therefore, LiDAR metrics from individual tree could facilitate better performance in biomass estimation.

Automated liver segmentation using a normalized probabilistic atlas

NASA Astrophysics Data System (ADS)

Linguraru, Marius George; Li, Zhixi; Shah, Furhawn; Chin, See; Summers, Ronald M.

2009-02-01

Probabilistic atlases of anatomical organs, especially the brain and the heart, have become popular in medical image analysis. We propose the construction of probabilistic atlases which retain structural variability by using a size-preserving modified affine registration. The organ positions are modeled in the physical space by normalizing the physical organ locations to an anatomical landmark. In this paper, a liver probabilistic atlas is constructed and exploited to automatically segment liver volumes from abdominal CT data. The atlas is aligned with the patient data through a succession of affine and non-linear registrations. The overlap and correlation with manual segmentations are 0.91 (0.93 DICE coefficient) and 0.99 respectively. Little work has taken place on the integration of volumetric measures of liver abnormality to clinical evaluations, which rely on linear estimates of liver height. Our application measures the liver height at the mid-hepatic line (0.94 correlation with manual measurements) and indicates that its combination with volumetric estimates could assist the development of a noninvasive tool to assess hepatomegaly.

The Brain/MINDS 3D digital marmoset brain atlas

PubMed Central

Woodward, Alexander; Hashikawa, Tsutomu; Maeda, Masahide; Kaneko, Takaaki; Hikishima, Keigo; Iriki, Atsushi; Okano, Hideyuki; Yamaguchi, Yoko

2018-01-01

We present a new 3D digital brain atlas of the non-human primate, common marmoset monkey (Callithrix jacchus), with MRI and coregistered Nissl histology data. To the best of our knowledge this is the first comprehensive digital 3D brain atlas of the common marmoset having normalized multi-modal data, cortical and sub-cortical segmentation, and in a common file format (NIfTI). The atlas can be registered to new data, is useful for connectomics, functional studies, simulation and as a reference. The atlas was based on previously published work but we provide several critical improvements to make this release valuable for researchers. Nissl histology images were processed to remove illumination and shape artifacts and then normalized to the MRI data. Brain region segmentation is provided for both hemispheres. The data is in the NIfTI format making it easy to integrate into neuroscience pipelines, whereas the previous atlas was in an inaccessible file format. We also provide cortical, mid-cortical and white matter boundary segmentations useful for visualization and analysis. PMID:29437168

Intracortical stiffness of mid-diaphysis femur bovine bone: lacunar-canalicular based homogenization numerical solutions and microhardness measurements.

PubMed

Hage, Ilige S; Hamade, Ramsey F

2017-09-01

Microscale lacunar-canalicular (L-C) porosity is a major contributor to intracortical bone stiffness variability. In this work, such variability is investigated experimentally using micro hardness indentation tests and numerically using a homogenization scheme. Cross sectional rings of cortical bones are cut from the middle tubular part of bovine femur long bone at mid-diaphysis. A series of light microscopy images are taken along a line emanating from the cross-section center starting from the ring's interior (endosteum) ring surface toward the ring's exterior (periosteum) ring surface. For each image in the line, computer vision analysis of porosity is conducted employing an image segmentation methodology based on pulse coupled neural networks (PCNN) recently developed by the authors. Determined are size and shape of each of the lacunar-canalicular (L-C) cortical micro constituents: lacunae, canaliculi, and Haversian canals. Consequently, it was possible to segment and quantify the geometrical attributes of all individual segmented pores leading to accurate determination of derived geometrical measures such as L-C cortical pores' total porosity (pore volume fraction), (elliptical) aspect ratio, orientation, location, and number of pores in secondary and primary osteons. Porosity was found to be unevenly (but linearly) distributed along the interior and exterior regions of the intracortical bone. The segmented L-C porosity data is passed to a numerical microscale-based homogenization scheme, also recently developed by the authors, that analyses a composite made up of lamella matrix punctuated by multi-inclusions and returns corresponding values for longitudinal and transverse Young's modulus (matrix stiffness) for these micro-sized spatial locations. Hence, intracortical stiffness variability is numerically quantified using a combination of computer vision program and numerical homogenization code. These numerically found stiffness values of the homogenization solution are corroborated experimentally using microhardness indentation measurements taken at the same points that the digital images were taken along a radial distance emanating from the interior (endosteum) surface toward the bone's exterior (periosteum) surface. Good agreement was found between numerically calculated and indentation measured stiffness of Intracortical lamellae. Both indentation measurements and numerical solutions of matrix stiffness showed increasing linear trend of compressive longitudinal modulus (E11) values vs. radial position for both interior and exterior regions. In the interior (exterior) region of cortical bone, stiffness modulus values were found to range from 18.5 to 23.4 GPa (23 to 26.0 GPa) with the aggregate stiffness of the cortical lamella in the exterior region being 12% stiffer than that in the interior region. In order to further validate these findings, experimental and FEM simulation of a mid-diaphysis bone ring under compression is employed. The FEM numerical deflections employed nine concentric regions across the thickness with graded stiffness values based on the digital segmentation and homogenization scheme. Bone ring deflections are found to agree well with measured deformations of the compression bone ring.

Mild (not severe) disc degeneration is implicated in the progression of bilateral L5 spondylolysis to spondylolisthesis.

PubMed

Ramakrishna, Vivek A S; Chamoli, Uphar; Viglione, Luke L; Tsafnat, Naomi; Diwan, Ashish D

2018-04-02

Spondylolytic (or lytic) spondylolisthesis is often associated with disc degeneration at the index-level; however, it is not clear if disc degeneration is the cause or the consequence of lytic spondylolisthesis. The main objective of this computed tomography based finite element modelling study was to examine the role of different grades of disc degeneration in the progression of a bilateral L5-lytic defect to spondylolisthesis. High-resolution computed tomography data of the lumbosacral spine from an anonymised healthy male subject (26 years old) were segmented to build a 3D-computational model of an INTACT L1-S1 spine. The INTACT model was manipulated to generate four more models representing a bilateral L5-lytic defect and the following states of the L5-S1 disc: nil degeneration (NOR LYTIC), mild degeneration (M-DEG LYTIC), mild degeneration with 50% disc height collapse (M-DEG-COL LYTIC), and severe degeneration with 50% disc height collapse(S-COL LYTIC). The models were imported into a finite element modelling software for pre-processing, running nonlinear-static solves, and post-processing of the results. Compared with the baseline INTACT model, M-DEG LYTIC model experienced the greatest increase in kinematics (Fx range of motion: 73% ↑, Fx intervertebral translation: 53%↑), shear stresses in the annulus (Fx anteroposterior: 163%↑, Fx posteroanterior: 31%↑), and strain in the iliolumbar ligament (Fx: 90%↑). The S-COL LYTIC model experienced a decrease in mobility (Fx range of motion: 48%↓, Fx intervertebral translation: 69%↓) and an increase in normal stresses in the annulus (Fx Tensile: 170%↑; Fx Compressive: 397%↑). No significant difference in results was noted between M-DEG-COL LYTIC and S-COL LYTIC models. In the presence of a bilateral L5 spondylolytic defect, a mildly degenerate index-level disc experienced greater intervertebral motions and shear stresses compared with a severely degenerate index-level disc in flexion and extension bending motions. Disc height collapse, with or without degenerative changes in the stiffness properties of the disc, is one of the plausible re-stabilisation mechanisms available to the L5-S1 motion segment to mitigate increased intervertebral motions and shear stresses due to a bilateral L5 lytic defect.

[Myocardial regional thickness in patients with and without cardiomyopathy assessed by cardiac magnetic resonance].

PubMed

de Zan, Macarena; Carrascosa, Patricia; Deviggiano, Alejandro; Capuñay, Carlos; Rodríguez-Granillo, Gastón A

To explore regional differences in myocardial wall thickness (WT) among the most prevalent cardiomyopathies and in individuals without structural heart disease using cardiac magnetic resonance. Patients older than 18 years referred to cardiac magnetic resonance during the period between January 2014 and September 2014, with a diagnosis of hypertrophic cardiomyopathy, idiopathic dilated cardiomyopathy, ischemic cardiomyopathy, and myocarditis were retrospectively selected from our database. One hundred twenty patients patients were included. The control group had an average WT of 5.9±1.1mm, with a WT index of 2.9±0.8. Significantly lower mean WT in the apical segments were identified in both the control group (basal 6.7±1.3 vs. mid 6.0±1.3 vs. apical 4.6±1.0mm, P<.0001) and in all evaluated cardiomyopathies (hypertrophic cardiomyopathy: basal 10.5±2.4 vs. mid 10.8±2.7 vs. apical 7.3±3.3mm, P<.0001; idiopathic dilated cardiomyopathy: basal 7.7±1.7 vs. mid 7.6±1.3 vs. apical 5.4±1.3mm, P<.0001; ischemic cardiomyopathy: basal 7.4±1.7 vs. mid 7.5±1.9 vs. apical 5.5±1.8mm, P<.0001; myocarditis: basal 7.1±1.5 vs. mid 6.4±1.1 vs. apical 5.1±0.8, P<.0001). Significant gender differences were also evident regarding the mean WT both in the control group (male 6.5±2.1 vs. female 5.2±1.7mm, P<.0001), as in hypertrophic cardiomyopathy (10.5±5.3 vs. 8.5±5.7mm, P<.0001) and myocarditis (6.6±2.0 vs. 5.2±1.6mm, P<.0001). We found a relatively high prevalence of segments commonly deemed thinned among patients without structural heart disease. We also observed a marked asymmetry and longitudinal gradient in wall thickness both in controls and in the various cardiomyopathies evaluated. Copyright © 2016 Instituto Nacional de Cardiología Ignacio Chávez. Publicado por Masson Doyma México S.A. All rights reserved.

Optimal reconstruction interval in dual source CT coronary angiography: a single-center experience in 285 patients

PubMed Central

Akgöz, Ayça; Akata, Deniz; Hazırolan, Tuncay; Karçaaltıncaba, Muşturay

2014-01-01

PURPOSE We aimed to evaluate the visibility of coronary arteries and bypass-grafts in patients who underwent dual source computed tomography (DSCT) angiography without heart rate (HR) control and to determine optimal intervals for image reconstruction. MATERIALS AND METHODS A total of 285 consecutive cases who underwent coronary (n=255) and bypass-graft (n=30) DSCT angiography at our institution were identified retrospectively. Patients with atrial fibrillation were excluded. Ten datasets in 10% increments were reconstructed in all patients. On each dataset, the visibility of coronary arteries was evaluated using the 15-segment American Heart Association classification by two radiologists in consensus. RESULTS Mean HR was 76±16.3 bpm, (range, 46–127 bpm). All coronary segments could be visualized in 277 patients (97.19%). On a segment-basis, 4265 of 4275 (99.77%) coronary artery segments were visible. All segments of 56 bypass-grafts in 30 patients were visible (100%). Total mean segment visibility scores of all coronary arteries were highest at 70%, 40%, and 30% intervals for all HRs. The optimal reconstruction intervals to visualize the segments of all three coronary arteries in descending order were 70%, 60%, 80%, and 30% intervals in patients with a mean HR <70 bpm; 40%, 70%, and 30% intervals in patients with a mean HR 70–100 bpm; and 40%, 50%, and 30% in patients with a mean HR >100 bpm. CONCLUSION Without beta-blocker administration, DSCT coronary angiography offers excellent visibility of vascular segments using both end-systolic and mid-late diastolic reconstructions at HRs up to 100 bpm, and only end-systolic reconstructions at HRs over 100 bpm. PMID:24834490

Overview and Summary of Advanced UVOIR Mirror Technology Development (AMTD) Project

NASA Technical Reports Server (NTRS)

Stahl, H. Philip

2014-01-01

ASTRO2010 Decadal Survey stated that an advanced large-aperture ultraviolet, optical, near-infrared (UVOIR) telescope is required to enable the next generation of compelling astrophysics and exoplanet science; and, that present technology is not mature enough to affordably build and launch any potential UVOIR mission concept. AMTD is a multiyear effort to develop, demonstrate and mature critical technologies to TRL-6 by 2018 so that a viable flight mission can be proposed to the 2020 Decadal Review. AMTD builds on the state of art (SOA) defined by over 30 years of monolithic & segmented ground & space-telescope mirror technology to mature six key technologies: center dotLarge-Aperture, Low Areal Density, High Stiffness Mirror Substrates: Both (4 to 8 m) monolithic and (8 to 16 m) segmented telescopes require larger and stiffer mirrors. center dotSupport System: Large-aperture mirrors require large support systems to ensure that they survive launch, deploy on orbit, and maintain a stable, undistorted shape. center dotMid/High Spatial Frequency Figure Error: Very smooth mirror is critical for producing high-quality point spread function (PSF) for high contrast imaging. center dotSegment Edges: The quality of segment edges impacts PSF for high-contrast imaging applications, contributes to stray light noise, and affects total collecting aperture. center dotSegment to Segment Gap Phasing: Segment phasing is critical for producing high-quality temporally-stable PSF. center dotIntegrated Model Validation: On-orbit performance is driven by mechanical & thermal stability. Compliance cannot be 100% tested, but relies on modeling. Because we cannot predict the future, AMTD is pursuing multiple design paths to provide the science community with options to enable either large aperture monolithic or segmented mirrors with clear engineering metrics traceable to science requirements

Advanced UVOIR Mirror Technology Development (AMTD) for Very Large Space Telescopes

NASA Technical Reports Server (NTRS)

Postman, Marc; Soummer, Remi; Sivramakrishnan, Annand; Macintosh, Bruce; Guyon, Olivier; Krist, John; Stahl, H. Philip; Smith, W. Scott; Mosier, Gary; Kirk, Charles;

Long-term prognostic value of a comprehensive assessment of cardiac magnetic resonance indexes after an ST-segment elevation myocardial infarction.

PubMed

Merlos, Pilar; López-Lereu, Maria P; Monmeneu, Jose V; Sanchis, Juan; Núñez, Julio; Bonanad, Clara; Valero, Ernesto; Miñana, Gema; Chaustre, Fabián; Gómez, Cristina; Oltra, Ricardo; Palacios, Lorena; Bosch, Maria J; Navarro, Vicente; Llácer, Angel; Chorro, Francisco J; Bodí, Vicente

2013-08-01

A variety of cardiac magnetic resonance indexes predict mid-term prognosis in ST-segment elevation myocardial infarction patients. The extent of transmural necrosis permits simple and accurate prediction of systolic recovery. However, its long-term prognostic value beyond a comprehensive clinical and cardiac magnetic resonance evaluation is unknown. We hypothesized that a simple semiquantitative assessment of the extent of transmural necrosis is the best resonance index to predict long-term outcome soon after a first ST-segment elevation myocardial infarction. One week after a first ST-segment elevation myocardial infarction we carried out a comprehensive quantification of several resonance parameters in 206 consecutive patients. A semiquantitative assessment (altered number of segments in the 17-segment model) of edema, baseline and post-dobutamine wall motion abnormalities, first pass perfusion, microvascular obstruction, and the extent of transmural necrosis was also performed. During follow-up (median 51 months), 29 patients suffered a major adverse cardiac event (8 cardiac deaths, 11 nonfatal myocardial infarctions, and 10 readmissions for heart failure). Major cardiac events were associated with more severely altered quantitative and semiquantitative resonance indexes. After a comprehensive multivariate adjustment, the extent of transmural necrosis was the only resonance index independently related to the major cardiac event rate (hazard ratio=1.34 [1.19-1.51] per each additional segment displaying>50% transmural necrosis, P<.001). A simple and non-time consuming semiquantitative analysis of the extent of transmural necrosis is the most powerful cardiac magnetic resonance index to predict long-term outcome soon after a first ST-segment elevation myocardial infarction. Copyright © 2013 Sociedad Española de Cardiología. Published by Elsevier Espana. All rights reserved.

Correlated patterns in hydrothermal plume distribution and apparent magmatic budget along 2500 km of the Southeast Indian Ridge

USGS Publications Warehouse

Baker, Edward; Christophe Hémond,; Anne Briais,; Marcia Maia,; Scheirer, Daniel S.; Sharon L. Walker,; Tingting Wang,; Yongshun John Chen,

2014-01-01

Multiple geological processes affect the distribution of hydrothermal venting along a mid-ocean ridge. Deciphering the role of a specific process is often frustrated by simultaneous changes in other influences. Here we take advantage of the almost constant spreading rate (65–71 mm/yr) along 2500 km of the Southeast Indian Ridge (SEIR) between 77°E and 99°E to examine the spatial density of hydrothermal venting relative to regional and segment-scale changes in the apparent magmatic budget. We use 227 vertical profiles of light backscatter and (on 41 profiles) oxidation-reduction potential along 27 first and second-order ridge segments on and adjacent to the Amsterdam-St. Paul (ASP) Plateau to map ph, the fraction of casts detecting a plume. At the regional scale, venting on the five segments crossing the magma-thickened hot spot plateau is almost entirely suppressed (ph = 0.02). Conversely, the combined ph (0.34) from all other segments follows the global trend of ph versus spreading rate. Off the ASP Plateau, multisegment trends in ph track trends in the regional axial depth, high where regional depth increases and low where it decreases. At the individual segment scale, a robust correlation between ph and cross-axis inflation for first-order segments shows that different magmatic budgets among first-order segments are expressed as different levels of hydrothermal spatial density. This correlation is absent among second-order segments. Eighty-five percent of the plumes occur in eight clusters totaling ∼350 km. We hypothesize that these clusters are a minimum estimate of the length of axial melt lenses underlying this section of the SEIR.

Correlated patterns in hydrothermal plume distribution and apparent magmatic budget along 2500 km of the Southeast Indian Ridge

NASA Astrophysics Data System (ADS)

Baker, Edward T.; Hémond, Christophe; Briais, Anne; Maia, Marcia; Scheirer, Daniel S.; Walker, Sharon L.; Wang, Tingting; Chen, Yongshun John

2014-08-01

Multiple geological processes affect the distribution of hydrothermal venting along a mid-ocean ridge. Deciphering the role of a specific process is often frustrated by simultaneous changes in other influences. Here we take advantage of the almost constant spreading rate (65-71 mm/yr) along 2500 km of the Southeast Indian Ridge (SEIR) between 77°E and 99°E to examine the spatial density of hydrothermal venting relative to regional and segment-scale changes in the apparent magmatic budget. We use 227 vertical profiles of light backscatter and (on 41 profiles) oxidation-reduction potential along 27 first and second-order ridge segments on and adjacent to the Amsterdam-St. Paul (ASP) Plateau to map ph, the fraction of casts detecting a plume. At the regional scale, venting on the five segments crossing the magma-thickened hot spot plateau is almost entirely suppressed (ph = 0.02). Conversely, the combined ph (0.34) from all other segments follows the global trend of ph versus spreading rate. Off the ASP Plateau, multisegment trends in ph track trends in the regional axial depth, high where regional depth increases and low where it decreases. At the individual segment scale, a robust correlation between ph and cross-axis inflation for first-order segments shows that different magmatic budgets among first-order segments are expressed as different levels of hydrothermal spatial density. This correlation is absent among second-order segments. Eighty-five percent of the plumes occur in eight clusters totaling ˜350 km. We hypothesize that these clusters are a minimum estimate of the length of axial melt lenses underlying this section of the SEIR.

Image averaging of flexible fibrous macromolecules: the clathrin triskelion has an elastic proximal segment.

PubMed

Kocsis, E; Trus, B L; Steer, C J; Bisher, M E; Steven, A C

1991-08-01

We have developed computational techniques that allow image averaging to be applied to electron micrographs of filamentous molecules that exhibit tight and variable curvature. These techniques, which involve straightening by cubic-spline interpolation, image classification, and statistical analysis of the molecules' curvature properties, have been applied to purified brain clathrin. This trimeric filamentous protein polymerizes, both in vivo and in vitro, into a wide range of polyhedral structures. Contrasted by low-angle rotary shadowing, dissociated clathrin molecules appear as distinctive three-legged structures, called "triskelions" (E. Ungewickell and D. Branton (1981) Nature 289, 420). We find triskelion legs to vary from 35 to 62 nm in total length, according to an approximately bell-shaped distribution (mu = 51.6 nm). Peaks in averaged curvature profiles mark hinges or sites of enhanced flexibility. Such profiles, calculated for each length class, show that triskelion legs are flexible over their entire lengths. However, three curvature peaks are observed in every case: their locations define a proximal segment of systematically increasing length (14.0-19.0 nm), a mid-segment of fixed length (approximately 12 nm), and a rather variable end-segment (11.6-19.5 nm), terminating in a hinge just before the globular terminal domain (approximately 7.3 nm diameter). Thus, two major factors contribute to the overall variability in leg length: (1) stretching of the proximal segment and (2) stretching of the end-segment and/or scrolling of the terminal domain. The observed elasticity of the proximal segment may reflect phosphorylation of the clathrin light chains.

Tone classification of syllable-segmented Thai speech based on multilayer perception

NASA Astrophysics Data System (ADS)

Satravaha, Nuttavudh; Klinkhachorn, Powsiri; Lass, Norman

2002-05-01

Thai is a monosyllabic tonal language that uses tone to convey lexical information about the meaning of a syllable. Thus to completely recognize a spoken Thai syllable, a speech recognition system not only has to recognize a base syllable but also must correctly identify a tone. Hence, tone classification of Thai speech is an essential part of a Thai speech recognition system. Thai has five distinctive tones (``mid,'' ``low,'' ``falling,'' ``high,'' and ``rising'') and each tone is represented by a single fundamental frequency (F0) pattern. However, several factors, including tonal coarticulation, stress, intonation, and speaker variability, affect the F0 pattern of a syllable in continuous Thai speech. In this study, an efficient method for tone classification of syllable-segmented Thai speech, which incorporates the effects of tonal coarticulation, stress, and intonation, as well as a method to perform automatic syllable segmentation, were developed. Acoustic parameters were used as the main discriminating parameters. The F0 contour of a segmented syllable was normalized by using a z-score transformation before being presented to a tone classifier. The proposed system was evaluated on 920 test utterances spoken by 8 speakers. A recognition rate of 91.36% was achieved by the proposed system.

Analytical Verifications in Cryogenic Testing of NGST Advanced Mirror System Demonstrators

NASA Technical Reports Server (NTRS)

Cummings, Ramona; Levine, Marie; VanBuren, Dave; Kegley, Jeff; Green, Joseph; Hadaway, James; Presson, Joan; Cline, Todd; Stahl, H. Philip (Technical Monitor)

2002-01-01

Ground based testing is a critical and costly part of component, assembly, and system verifications of large space telescopes. At such tests, however, with integral teamwork by planners, analysts, and test personnel, segments can be included to validate specific analytical parameters and algorithms at relatively low additional cost. This paper opens with strategy of analytical verification segments added to vacuum cryogenic testing of Advanced Mirror System Demonstrator (AMSD) assemblies. These AMSD assemblies incorporate material and architecture concepts being considered in the Next Generation Space Telescope (NGST) design. The test segments for workmanship testing, cold survivability, and cold operation optical throughput are supplemented by segments for analytical verifications of specific structural, thermal, and optical parameters. Utilizing integrated modeling and separate materials testing, the paper continues with support plan for analyses, data, and observation requirements during the AMSD testing, currently slated for late calendar year 2002 to mid calendar year 2003. The paper includes anomaly resolution as gleaned by authors from similar analytical verification support of a previous large space telescope, then closes with draft of plans for parameter extrapolations, to form a well-verified portion of the integrated modeling being done for NGST performance predictions.

[Contrast agent improves diagnostic value of dobutamine stress echocardiography].

PubMed

Uehara, H; Yamamoto, T; Hirano, Y; Ozasa, Y; Yamada, S; Ikawa, H; Ishikawa, K

2001-03-01

Suboptimal endocardial definition reduces the diagnostic value of stress echocardiography for coronary artery disease, but intravenous infusion of a left ventricular contrast agent (Albunex) may enhance endocardial border delineation and improve the diagnostic value of dobutamine stress echocardiography. Fifty-six patients, 38 with myocardial infarction, 16 with angina pectoris and two normal subjects, were enrolled in this study. Dobutamine was infused in scalar doses of 5 to 40 micrograms/kg/min. Intravenous infusion of Albunex (0.15 ml/kg) was administered at rest and during peak dobutamine stress during monitoring of the apical four-chamber view. The left ventricle in the apical four-chamber view was divided into six segments and an endocardial delineation score of 0 to 3 (none to excellent visualization) was given to each segment. Endocardial delineation score was increased after Albunex infusion from 2.0 to 2.3 in the basal-septal, 2.0 to 2.4 in the mid-septal, 1.1 to 1.8 in the apical-septal, 0.7 to 1.2 in the apical-lateral, 0.9 to 1.6 in the mid-lateral, and 1.2 to 1.9 in the basal-lateral segments during peak dobutamine administration. Endocardial border resolution in the lateral wall showed greater improvement than in the septal wall after Albunex infusion. Diagnostic values in the left anterior descending artery territory failed to improve with Albunex infusion (sensitivity 82% to 89%, specificity 94% to 89%, and accuracy 86% to 89%), whereas a higher diagnostic accuracy was noted in the left circumflex artery territory with Albunex compared to without Albunex (sensitivity 63% to 81%, specificity 88% to 98%, and accuracy 80% to 93%, p < 0.05). Contrast agent improves the diagnostic accuracy of dobutamine stress echocardiography in the left circumflex artery territory.

Four-dimensional echocardiography area strain combined with exercise stress echocardiography to evaluate left ventricular regional systolic function in patients with mild single vessel coronary artery stenosis.

PubMed

Deng, Yan; Peng, Long; Liu, Yuan-Yuan; Yin, Li-Xue; Li, Chun-Mei; Wang, Yi; Rao, Li

2017-09-01

The aim of this prospective study was to assess the diagnosis value of four-dimensional echocardiography area strain (AS) combined with exercise stress echocardiography to evaluate left ventricular regional systolic function in patients with mild single vessel coronary artery stenosis. Based on treadmill exercise load status, two-dimensional conventional echocardiography and four-dimensional echocardiography area strain were performed on patients suspected coronary artery disease before coronary angiogram. Thirty patients (case group) with mild left anterior descending coronary artery stenosis (stenosis <50%) and thirty gender- and age-matched patients (control group) without coronary artery stenosis according to the coronary angiogram results were prospectively enrolled. All the patients had no left ventricular regional wall motion abnormality in two-dimensional echocardiography at rest and exercise stress. There was no significant difference in the 16 segmental systolic peak AS at rest between two groups. After exercise stress, the peak systolic AS rest-stress at mid anterior wall (-7.00%±10.90% vs 2.80%±23.69%) and mid anterolateral wall (-4.40%±18.81% vs 8.80%±19.16%) were decreased, while increased at basal inferolateral wall (14.00%±19.27% vs -5.60%±15.94%) in case group compared with control group (P<.05). In patients with mild single vessel coronary artery stenosis, the area strain was decreased at involved segments, while compensatory increased at noninvolved segments after exercise stress. Four-dimensional echocardiography area strain combined with exercise stress echocardiography could sensitively find left ventricular regional systolic function abnormality in patients with mild single vessel coronary artery stenosis, and locate stenosis coronary artery accordingly. © 2017, Wiley Periodicals, Inc.

Spatial and temporal distribution of the seismicity along two mid-oceanic ridges with contrasted spreading rates in the Indian Ocean

NASA Astrophysics Data System (ADS)

Tsang-Hin-Sun, E.; Perrot, J.; Royer, J. Y.

2015-12-01

The seismicity of the ultra-slow spreading Southwest (14 mm/y) and intermediate spreading Southeast (60 mm/y) Indian ridges was monitored from February 2012 to March 2013 by the OHASISBIO array of 7 autonomous hydrophones. A total of 1471 events were located with 4 instruments or more, inside the array, with a median location uncertainty < 5 km and a completeness magnitude of mb = 3. Both ridges display similar average rates of seismicity, suggesting that there is no systematic relationship between seismicity and spreading rates. Accretion modes do differ, however, by the along-axis distribution of the seismic events. Along the ultra-slow Southwest Indian Ridge, events are sparse but regularly spaced and scattered up to 50 km off-axis. Along the fast Southeast Indian Ridge, events are irregularly distributed, focusing in narrow regions near the ridge axis at segment ends and along transform faults, whereas ridge-segment centers generally appear as seismic gaps (at the level of completeness of the array). Only two clusters, 6 months apart, are identified in a segment-center at 29°S. From the temporal distribution of the clustered events and comparisons with observations in similar mid-oceanic ridge setting, both clusters seem to have a volcanic origin and to be related to a dike emplacement or a possible eruption on the seafloor. Their onset time and migration rate are comparable to volcanic swarms recorded along the Juan de Fuca Ridge. Overall, the rate of seismicity along the two Indian spreading ridges correlates with the large-scale variations in the bathymetry and shear-wave velocity anomaly in the upper mantle, suggesting that the distribution of the low-magnitude seismicity is mainly controlled by along-axis variations in the lithosphere rheology and temperature.

Stress and strain analysis of contractions during ramp distension in partially obstructed guinea pig jejunal segments

PubMed Central

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

2011-01-01

Previous studies have demonstrated morphological and biomechanical remodeling in the intestine proximal to an obstruction. The present study aimed to obtain stress and strain thresholds to initiate contraction and the maximal contraction stress and strain in partially obstructed guinea pig jejunal segments. Partial obstruction and sham operations were surgically created in mid-jejunum of male guinea pigs. The animals survived 2, 4, 7, and 14 days, respectively. Animals not being operated on served as normal controls. The segments were used for no-load state, zero-stress state and distension analyses. The segment was inflated to 10 cmH2O pressure in an organ bath containing 37°C Krebs solution and the outer diameter change was monitored. The stress and strain at the contraction threshold and at maximum contraction were computed from the diameter, pressure and the zero-stress state data. Young’s modulus was determined at the contraction threshold. The muscle layer thickness in obstructed intestinal segments increased up to 300%. Compared with sham-obstructed and normal groups, the contraction stress threshold, the maximum contraction stress and the Young’s modulus at the contraction threshold increased whereas the strain threshold and maximum contraction strain decreased after 7 days obstruction (P<0.05 and 0.01). In conclusion, in the partially obstructed intestinal segments, a larger distension force was needed to evoke contraction likely due to tissue remodeling. Higher contraction stresses were produced and the contraction deformation (strain) became smaller. PMID:21632056

Non‐invasive evaluation of the myocardial substrate of cardiac amyloidosis by gadolinium cardiac magnetic resonance

PubMed Central

Perugini, E; Rapezzi, C; Piva, T; Leone, O; Bacchi‐Reggiani, L; Riva, L; Salvi, F; Lovato, L; Branzi, A; Fattori, R

2006-01-01

Objective To investigate the prevalence and distribution of gadolinium (Gd) enhancement at cardiac magnetic resonance (CMR) imaging in patients with cardiac amyloidosis (CA) and to look for associations with clinical, morphological, and functional features. Patients and design 21 patients with definitely diagnosed CA (nine with immunoglobulin light chain amyloidosis and 12 transthyretin related) underwent Gd‐CMR. Results Gd enhancement was detected in 16 of 21 (76%) patients. Sixty six of 357 (18%) segments were enhanced, more often at the mid ventricular level. Transmural extension of enhancement within each patient significantly correlated with left ventricular (LV) end systolic volume (r  =  0.58). The number of enhanced segments correlated with LV end diastolic volume (r  =  0.76), end systolic volume (r  =  0.6), and left atrial size (r  =  0.56). Segments with > 50% extensive transmural enhancement more often were severely hypokinetic or akinetic (p  =  0.001). Patients with > 2 enhanced segments had significantly lower 12 lead QRS voltage and Sokolow‐Lyon index. No relation was apparent with any other clinical, morphological, functional, or histological characteristics. Conclusion Gd enhancement is common but not universally present in CA, probably due to expansion of infiltrated interstitium. The segmental and transmural distribution of the enhancement is highly variable, and mid‐ventricular regions are more often involved. Enhancement appears to be associated with impaired segmental and global contractility and a larger atrium. PMID:15939726

The coeliac stomach: gastritis in patients with coeliac disease.

PubMed

Lebwohl, B; Green, P H R; Genta, R M

2015-07-01

Lymphocytic gastritis (LG) is an uncommon entity with varying symptoms and endoscopic appearances. This condition, as well as two forms of H. pylori-negative gastritis [chronic active gastritis (CAG) and chronic inactive gastritis (CIG)], appears to be more common in patients with coeliac disease (CD) based on single-centred studies. To compare the prevalence of LG, CAG and CIG among those with normal duodenal histology (or nonspecific duodenitis) and those with CD, as defined by villous atrophy (Marsh 3). We analysed all concurrent gastric and duodenal biopsy specimens submitted to a national pathology laboratory during a 6-year period. We performed multiple logistic regression to identify independent predictors of each gastritis subtype. Among patients who underwent concurrent gastric and duodenal biopsy (n = 287,503), the mean age was 52 and the majority (67%) were female. Compared to patients with normal duodenal histology, LG was more common in partial villous atrophy (OR: 37.66; 95% CI: 30.16-47.03), and subtotal/total villous atrophy (OR: 78.57; 95% CI: 65.37-94.44). CD was also more common in CAG (OR for partial villous atrophy 1.93; 95% CI: 1.49-2.51, OR for subtotal/total villous atrophy 2.42; 95% CI: 1.90-3.09) and was similarly associated with CIG (OR for partial villous atrophy 2.04; 95% CI: 1.76-2.35, OR for subtotal/total villous atrophy 2.96; 95% CI: 2.60-3.38). Lymphocytic gastritis is strongly associated with coeliac disease, with increasing prevalence correlating with more advanced villous atrophy. Chronic active gastritis and chronic inactive gastritis are also significantly associated with coeliac disease. Future research should measure the natural history of these conditions after treatment with a gluten-free diet. © 2015 John Wiley & Sons Ltd.

The Coeliac Stomach: Gastritis in Patients with Coeliac Disease

PubMed Central

Lebwohl, Benjamin; Green, Peter HR; Genta, Robert M.

2015-01-01

Background Lymphocytic gastritis (LG) is an uncommon entity with varying symptoms and endoscopic appearances. This condition, as well as two forms of H. pylori-negative gastritis (chronic active gastritis [CAG] and chronic inactive gastritis [CIG]), appears to be more common in patients with coeliac disease (CD) based on single-center studies. Aim To compare the prevalence of LG, CAG, and CIG among those with normal duodenal histology (or non-specific duodenitis) and those with CD, as defined by villous atrophy (Marsh 3). Methods We analyzed all concurrent gastric and duodenal biopsy specimens submitted to a national pathology laboratory during a six-year period. We performed multiple logistic regression to identify independent predictors of each gastritis subtype. Results Among patients who underwent concurrent gastric and duodenal biopsy (n=287,503), the mean age was 52 and the majority (67%) was female. Compared to patients with normal duodenal histology, LG was more common inpartial villous atrophy (OR 37.66; 95% CI 30.16–47.03), and subtotal/total villous atrophy (OR 78.57; 95% CI 65.37–94.44). CD was also more common in CAG (OR for partial villous atrophy 1.93; 95%CI 1.49–2.51, OR for subtotal/total villous atrophy 2.42; 95%CI 1.90–3.09) and was similarly associated with CIG (OR for partial villous atrophy 2.04; 95%CI 1.76–2.35, OR for subtotal/total villous atrophy 2.96; 95% CI 2.60–3.38). Conclusion LG is strongly associated with CD, with increasing prevalence correlating with more advanced villous atrophy. CAG and CIG are also significantly associated with CD. Future researchshould measure the natural history of these conditions after treatment with a gluten-free diet. PMID:25973720

Management of chronic otitis media by subtotal petrosectomy.

PubMed

Altuna, Xabier; Navarro, Juan José; Goiburu, Miren; Palicio, Idoia

2016-01-01

Subtotal petrosectomy is the complete exenteration of all air cell tracts of the temporal bone. The isthmus of the Eustachian tube is obliterated and the external auditory canal is closed. The aim of this study was to describe the use of this technique in the management of certain cases of chronic otitis media. We conducted a retrospective revision of the patients treated in our Institution with this technique for chronic otitis media in a 5-year period (2008-2012). All charts were reviewed and data from the otomicroscopy, audiometry, radiology, surgical findings, postoperative complications and follow-up (including diffusion magnetic resonance imaging, MRI) of a minimum of 24 months were collected. In this period petrosectomy was performed on 28 patients for chronic otitis media. We treated 13 cases as primary cases, while 15 cases were secondary (patients that had already undergone another procedure in that ear). Fifteen cases had no serviceable hearing. Only 1 case had an immediate postoperative complication (infection); during the posterior follow-up, 2 cases had to be reoperated for diffusion restriction in the mastoid area revealed in the MRI 2 years after surgery. A subtotal petrosectomy is rarely performed for the treatment of chronic otitis media. However, it is a technique that we have to keep in mind for the treatment of certain cases where there is recurrence and deep hearing loss, as well as in cases with good cochlear reserve if the disease coexists with other complications. Copyright © 2015 Elsevier España, S.L.U. and Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello. All rights reserved.

A 15-year review of midface reconstruction after total and subtotal maxillectomy: part I. Algorithm and outcomes.

PubMed

Cordeiro, Peter G; Chen, Constance M

2012-01-01

Reconstruction of complex midfacial defects is best approached with a clear algorithm. The goals of reconstruction are functional and aesthetic. Over a 15-year period (1992 to 2006), a single surgeon (P.G.C.) performed 100 flaps to reconstruct the following midfacial defects: type I, limited maxillectomy (n = 20); type IIA, subtotal maxillectomy with resection of less than 50 percent of the palate (n = 8); type IIB, subtotal maxillectomy with resection of greater than 50 percent of the palate (n = 8); type IIIA, total maxillectomy with preservation of the orbital contents (n = 22); type IIIB, total maxillectomy with orbital exenteration (n = 23); and type IV, orbitomaxillectomy (n = 19). Free flaps were used in 94 cases (94 percent), and pedicled flaps were used in six (6 percent). One hundred flaps were performed in 96 patients (69 males, 72 percent; 27 females, 28 percent); four patients underwent a second flap reconstruction due to recurrent disease (n = 4, 4 percent). Average patient age was 49.2 years (range, 13 to 81 years). Free-flap survival was 100 percent, with one partial flap loss (1 percent). Five patients suffered systemic complications (5.2 percent), and four died within 30 days of hospitalization (4.2 percent). Over 50 percent of patients returned to normal diet and speech. Almost 60 percent were judged to have an excellent aesthetic result. Free-tissue transfer offers the most effective and reliable form of reconstruction for complex maxillectomy defects. Rectus abdominis and radial forearm free flaps in combination with immediate bone grafting or as osteocutaneous flaps consistently provide the best functional and aesthetic results. Therapeutic, IV.

Short- and long-term impact of subtotal parathyroidectomy on the achievement of bone and mineral parameters recommended by clinical practice guidelines in dialysis patients: a 12-year single-center experience.

PubMed

Tsai, Wan-Chuan; Peng, Yu-Sen; Yang, Ju-Yeh; Hsu, Shih-Ping; Wu, Hon-Yen; Pai, Mei-Fen; Chang, Jia-Feng; Chen, Hung-Yuan

2013-01-01

The short- and long-term impact of parathyroidectomy (PTX) on the parameters of mineral bone disease in dialysis patients with severe secondary hyperparathyroidism (HPT) remains unclear. A retrospective chart review of 401 consecutive dialysis patients who underwent subtotal PTX by one surgeon was performed. We checked serum levels of calcium (Ca), phosphorus (P), and intact parathyroid hormone (iPTH) for 3 consecutive days, and then monthly for Ca, P, and tri-monthly for iPTH postoperatively. Patients with available laboratory data within the 1st to 6th postoperative months were included in the short-term follow-up group and those with at least 6 months available data were in the long-term follow-up one. Patients (short-term group, n = 401, and long-term group, n = 94) had severely uncontrolled serum iPTH levels, Ca, P and Ca × P before PTX. In the short-term group, percentages of cases achieving K/DOQI targets for serum Ca, Ca × P, and iPTH and KDIGO ones for serum Ca, P, and iPTH after PTX, significantly improved compared with those before operation (all p < 0.05). In the long-term group (mean follow-up of 43 ± 29 months), the percentage of achieved targets for serum iPTH in both guidelines and for serum Ca and Ca × P in the K/DOQI recommendation also improved postoperatively (all p < 0.05). Achievements of K/DOQI recommended values for serum Ca, Ca × P, iPTH and KDIGO recommendations for iPTH can be successfully reached by subtotal PTX in medically refractory, secondary HPT in dialysis patients both during short- and long-term follow-ups. © 2013 S. Karger AG, Basel.

Factors that Influence Functional Outcome after Total or Subtotal Scapulectomy: Japanese Musculoskeletal Oncology Group (JMOG) Study

PubMed Central

Hayashi, Katsuhiro; Iwata, Shintaro; Ogose, Akira; Kawai, Akira; Ueda, Takafumi; Otsuka, Takanobu; Tsuchiya, Hiroyuki

2014-01-01

Background Scapulectomy requires not only joint resection but also wide resection of the shoulder girdle muscles. Even the significance of reconstruction has not yet been determined because of the difficulties in comparing the different conditions. The purpose of this study was to investigate factors that influence functional outcomes after scapulectomy in a multicenter study. Methods This retrospective study comprised 48 patients who underwent total or subtotal scapulectomy and were followed for at least one year after surgery. Patients were registered at the Japanese Musculoskeletal Oncology Group affiliated hospitals. Soft tissue reconstruction for joint stabilization was performed when there was enough remaining tissue for reconstruction of the rotator cuff and tendons. In 23 cases, humeral suspension was performed. The average follow-up period was 61.9 months. Multivariate analysis was performed using the patient’s background to determine which factors influence the Enneking functional score or active range of motion. Results The average functional score was 21.1 out of 30. Active shoulder range of motion was 42.7 degree in flexion, 39.7 degree in abduction, 49.6 degree of internal rotation and 16.8 degree of external rotation. The amount of remaining bone influenced functional outcome, which means that preserving the glenoid or the acromion lead to better function compared to total scapulectomy (p<0.01). Factors that influenced each functional measure include the amount of remaining bone, soft tissue reconstruction, the length of the resected humerus and nerve resection (p<0.05). Conclusion Although shoulder function was almost eliminated following total or subtotal scapulectomy, minimal resection of bone, and soft tissue reconstruction should lead to better function. PMID:24937254

A link between central kynurenine metabolism and bone strength in rats with chronic kidney disease

PubMed Central

Pawlak, Krystyna; Oksztulska-Kolanek, Ewa; Domaniewski, Tomasz; Znorko, Beata; Karbowska, Malgorzata; Citkowska, Aleksandra; Rogalska, Joanna; Roszczenko, Alicja; Brzoska, Malgorzata M.; Pawlak, Dariusz

2017-01-01

Background Disturbances in mineral and bone metabolism represent one of the most complex complications of chronic kidney disease (CKD). Serotonin, a monoamine synthesized from tryptophan, may play a potential role in bone metabolism. Brain-derived serotonin exerts a positive effect on the bone structure by limiting bone resorption and enhancing bone formation. Tryptophan is the precursor not only to the serotonin but also and primarily to kynurenine metabolites. The ultimate aim of the present study was to determine the association between central kynurenine metabolism and biomechanical as well as geometrical properties of bone in the experimental model of the early stage of CKD. Methods Thirty-three Wistar rats were randomly divided into two groups (sham-operated and subtotal nephrectomized animals). Three months after surgery, serum samples were obtained for the determination of biochemical parameters, bone turnover biomarkers, and kynurenine pathway metabolites; tibias were collected for bone biomechanical, bone geometrical, and bone mass density analysis; brains were removed and divided into five regions for the determination of kynurenine pathway metabolites. Results Subtotal nephrectomized rats presented higher serum concentrations of creatinine, urea nitrogen, and parathyroid hormone, and developed hypocalcemia. Several biomechanical and geometrical parameters were significantly elevated in rats with experimentally induced CKD. Subtotal nephrectomized rats presented significantly higher kynurenine concentrations and kynurenine/tryptophan ratio and significantly lower tryptophan levels in all studied parts of the brain. Kynurenine in the frontal cortex and tryptophan in the hypothalamus and striatum correlated positively with the main parameters of bone biomechanics and bone geometry. Discussion In addition to the complex mineral, hormone, and metabolite changes, intensified central kynurenine turnover may play an important role in the development of bone changes in the course of CKD. PMID:28439468

Risk factors associated with delayed gastric emptying after subtotal gastrectomy with Billroth-I anastomosis using circular stapler for early gastric cancer patients.

PubMed

Kim, Ki Han; Kim, Min Chan; Jung, Ghap Joong

2012-11-01

Gastric surgery may potentiate delayed gastric emptying. Billroth I gastroduodenostomy using a circular stapler is the most preferable reconstruction method. The purpose of this study is to analyze the risk factors associated with delayed gastric emptying after radical subtotal gastrectomy with Billroth I anastomosis using a stapler for early gastric cancer. Three hundred and seventy-eight patients who underwent circular stapled Billroth I gastroduodenostomy after subtotal gastrectomy due to early gastric cancer were analyzed retrospectively. One hundred and eighty-two patients had Billroth I anastomosis using a 25 mm diameter circular stapler, and 196 patients had anastomosis with a 28 or 29 mm diameter circular stapler. Clinicopathological features and postoperative outcomes were evaluated and compared between the two groups. Delayed gastric emptying was diagnosed by symptoms and simple abdomen X-ray with or without upper gastrointestinal series or endoscopy. Postoperative delayed gastric emptying was found in 12 (3.2%) of the 378 patients. Among all the variables, distal margin and circular stapler diameter were significantly different between the cases with delayed gastric emptying and no delayed gastric emptying. There were statistically significant differences in sex, body mass index, comorbidity, complication, and operation type according to circular stapler diameter. In both univariate and multivariate logistic regression analyses, only the stapler diameter was found to be a significant factor affecting delayed gastric emptying (P = 0.040). In this study, the circular stapler diameter was one of the most significant predictable factors of delayed gastric emptying for Billroth I gastroduodenostomy. The use of a 28 or 29 mm diameter circular stapler rather than a 25 mm diameter stapler in stapled gastroduodenostomy for early gastric cancer can reduce postoperative delayed gastric emptying associated with anastomosic stenosis or edema with relative safety.

Olfactory groove meningiomas from neurosurgical and ear, nose, and throat perspectives: approaches, techniques, and outcomes.

PubMed

Spektor, Sergey; Valarezo, Javier; Fliss, Dan M; Gil, Ziv; Cohen, Jose; Goldman, Jose; Umansky, Felix

2005-10-01

To review the surgical approaches, techniques, outcomes, and recurrence rates in a series of 80 olfactory groove meningioma (OGM) patients operated on between 1990 and 2003. Eighty patients underwent 81 OGM surgeries. Tumor diameter varied from 2 to 9 cm (average, 4.6 cm). In 35 surgeries (43.2%), the tumor was removed through bifrontal craniotomy; nine operations (11.1%) were performed through a unilateral subfrontal approach; 18 surgeries (22.2%) were performed through a pterional approach; seven surgeries (8.6%) were carried out using a fronto-orbital craniotomy; and 12 procedures (14.8%) were accomplished via a subcranial approach. Nine patients (11.3%) had undergone surgery previously and had recurrent tumor. Total removal was obtained in 72 patients (90.0%); subtotal removal was achieved in 8 patients (10.0%). Two patients, one with total and one with subtotal removal, had atypical (World Health Organization Grade II) meningiomas, whereas 78 patients had World Health Organization Grade I tumors. There was no operative mortality and no new permanent focal neurological deficit besides anosmia. Twenty-five patients (31.3%) experienced surgery-related complications. There were no recurrences in 75 patients (93.8%) 6 to 164 months (mean, 70.8 mo) after surgery. Three patients (3.8%) were lost to follow-up. In two patients (2.5%) with subtotal removal, the residual evidenced growth on computed tomography and/or magnetic resonance imaging 1 year after surgery. One of them had an atypical meningioma. The second, a multiple meningiomata patient, was operated on twice in this series. A variety of surgical approaches are used for OGM resection. An approach tailored to the tumor's size, location, and extension, combined with modern microsurgical cranial base techniques, allows full OGM removal with minimal permanent morbidity, excellent neurological outcome, and very low recurrence rates.

Evaluation of a new mid-scala cochlear implant electrode using microcomputed tomography.

PubMed

Frisch, Christopher D; Carlson, Matthew L; Lane, John I; Driscoll, Colin L W

2015-12-01

To investigate electrode position, depth of insertion, and electrode contact using an electrode array with a mid-scala design following round window (RW) and cochleostomy insertion. Eight fresh-frozen cadaveric bones were implanted; half via a RW approach and half through an anteroinferior cochleostomy using a styleted mid-scala electrode design. Microcomputed tomography was used to acquire oblique coronal and oblique axial reformations. Individual electrode positions along each array, insertional depth, and electrode contact were determined using National Institutes of Health Image J software. All electrodes were inserted without significant resistance. The average angular depth of insertion was 436.5° for the RW group and 422.7° for the cochleostomy group. All electrodes acquired a perimodiolar position in the proximal segment and a lateral wall position at the basal turn, regardless of approach. Electrodes distal to the basal turn demonstrated a variable location, with 78% mid scala. One cochleostomy array fractured through the interscalar partition (ISP), acquiring a scala vestibuli position. The odds ratio for either abutting the modiolus, ISP, lateral wall or floor, or fracturing through the ISP were 2.7 times more likely following a cochleostomy insertion (P = .032). The styleted mid-scala electrode design acquires a proximal perimodiolar position, a lateral wall location, as it traverses the basal turn, and most commonly a mid-scala position in the distal array. Interscalar excursion occurred in one of the cochleostomy insertions. Cochleostomy insertion is more likely to result in ultimate final electrode position adjacent to critical intracochlear structures. NA. © 2015 The American Laryngological, Rhinological and Otological Society, Inc.

3D visualization of liquefaction-induced dune collapse in the Navajo Sandstone, Utah, USA

NASA Astrophysics Data System (ADS)

Ford, Colby; Nick, Kevin; Bryant, Gerald

2015-04-01

The eolian Navajo Sandstone outcrop on the Canyon Overlook Trail in Zion National Park in Southern Utah is dissected by modern erosion in a way which reveals a great deal of the three-dimensional architecture of a major soft-sediment deformation event. The feature is bounded below by a well-developed interdune complex made up of two superimposed carbonate lenses, above by an irregular truncational surface, and incorporates 3 - 10 m of sandstone over an approximately 2 km area. The material above the deformed interval is undeformed cross-bedded sandstone, with crossbeds downlapping onto the surface of truncation. The stratigraphic confinement of deformation and the irregularity of the upper bounding surface suggests a deformation process which created topography, which was in turn covered by the next upwind dune before it could be eroded flat. The deformed material itself is laterally segmented by a stacked succession of shear surfaces, which all strike approximately perpendicular to the paleo-wind direction and dip at decreasing angles in the down paleo-wind direction. These factors point to the collapse of a major dune into the downwind interdune area, likely initiated by liquefaction in the interdune complex. The foundering of the dune's toe into the liquefied area created a powerful lateral stress field which did not extend significantly into the subsurface. The dune collapse process has been used in the past to describe other soft-sediment deformation features in the Navajo Sandstone, but this site provides a wealth of physical details which were not previously associated with dune collapse. Shear surfaces originate in the interdune deposit as slip between laminae, then the cohesive muds provided support as they were thrust upward to angles of up to 50 degrees. The margins of the site also contain important paleoenvironmental indicators. Dinosaur tracks are exposed both at the extreme upwind and downwind margins of the interdune deposit in and slightly above the deformed interval. In addition, a smaller liquefaction feature is visible in the deposit just below the interdune deposit, far enough away from the main feature to suggest that it is a separate event, not directly caused by the dune collapse. It may have been an earlier episode, or was initiated by the same trigger, but it illustrates the susceptibility of this particular interdune to liquefaction. Details such as the confinement of deformation between irregular bounding surfaces, development of major shear planes, and nearby indicators of liquefaction may be used as new and more robust criteria for the recognition of dune collapse features in other localities and deposits.

DISCOVERY OF FIVE CANDIDATE ANALOGS FOR η CARINAE IN NEARBY GALAXIES

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

Khan, Rubab; Adams, Scott M.; Stanek, K. Z.

The late-stage evolution of very massive stars such as η Carinae may be dominated by episodic mass ejections that may later lead to Type II superluminous supernova (SLSN-II; e.g., SN 2006gy). However, as long as η Car is one of a kind, it is nearly impossible to quantitatively evaluate these possibilities. Here, we announce the discovery of five objects in the nearby (∼4–8 Mpc) massive star-forming galaxies M51, M83, M101, and NGC 6946 that have optical through mid-infrared (mid-IR) photometric properties consistent with the hitherto unique η Car. The Spitzer mid-IR spectral energy distributions of these L{sub bol} ≃ 3–8 × 10{sup 6} L{submore » ⊙} objects rise steeply in the 3.6–8 μm bands and then turn over between 8 and 24 μm, indicating the presence of warm (∼400–600 K) circumstellar dust. Their optical counterparts in HST images are ∼1.5–2 dex fainter than their mid-IR peaks and require the presence of ∼5–10 M{sub ⊙} of obscuring material. Our finding implies that the rate of η Car–like events is a fraction f = 0.094 (0.040 < f < 0.21 at 90% confidence) of the core-collapse supernova (ccSN) rate. If there is only one eruption mechanism and Type II superluminous supernovae are due to ccSNe occurring inside these dense shells, then the ejection mechanism is likely associated with the onset of carbon burning (∼10{sup 3}–10{sup 4} years), which is also consistent with the apparent ages of massive Galactic shells.« less

Vibrant Soundbridge Implantation: Floating Mass Transducer Coupled with the Stapes Head and Embedded in Fat.

PubMed

Liu, Qingsong; Feng, Guodong; Shang, Yingying; Wang, Suju; Gao, Zhiqiang

2018-04-26

Subtotal petrosectomy may be performed for refractory chronic middle ear diseases, such as massive cholesteatoma or recurrent otitis media. It involves permanent obliteration of the operative cavity, thus precluding the chance to restore conductive hearing via traditional inertial ossicular prostheses. The Vibrant Soundbridge (VSB) is an alternative option for hearing rehabilitation. Vibrant energy is delivered into the inner ear via a floating mass transducer (FMT), which can be coupled with any part of the middle ear acoustic transmission structure. To restore the hearing of a young woman with cholesteatoma, we combined subtotal petrosectomy with obliteration of the cavity and VSB implantation with an FMT coupled to the stapes head. Two years of follow-up demonstrated excellent auditory rehabilitation, improved sound source localization ability, and a lower speech recognition threshold. This study showed that the FMT works well in an obliterated cavity, and the experience acquired through this successful exploration is worth disseminating. © 2018 S. Karger AG, Basel.

P-THER-20: Biliary derivation by endoscopic ultrasound from gastric body in a patient with subtotal gastrectomy by gastric cancer

PubMed Central

Arango, L.; Diaz, C.

2017-01-01

We present a biliary derivation from the gastric body in a patient with subtotal gastrectomy and anastomosis type Billroth I. The patient had a tumor obstruction of distal coledoco. The patient was with ictericia and the examinations indicated obstructive patron. A gastric transluminal derivation is made to common hepatic. Steps are as given below: Endosonography that locates the tumor obstruction of the coledoco shows the dilated hepatic conduct;Doppler signals are made that discharge vessels in the puncture route;The punction was made in gastric body with endosonographic window direct to the dilated common hepatic conduct. The puncton is performed with Boston Scientific 19-gauge needle;Bile was aspirated and contrast was injected to delineate the anatomy;We pass a hydrophilic guide of W. Cook 0.035 mm and after introduce a cystotomy of 6 Fr;Dilated the track is passed an autoexpandible stent covered of 60/10 mm. Patient evolves satisfactorily.

[Study on relationship between operation timing and clinical prognosis of cases with Bell palsy].

PubMed

Liu, Sufu; Li, Jiandong; Wang, Xueyong; Zhao, Liang; Ji, Wei; Wang, Jia; Bai, Juan; Wei, Bojun

2013-07-01

To study on relationship between diverse handling time following onset and clinical prognosis of cases with Bell palsy. Two hundred and sixteen cases with Bell palsy, who were admitted in our department between Jun. 2006 and Dec. 2009, were collected and divided into 6 groups according to disease time: 1-2 months, > 2 - 3 months, > 3 - 4 months, > 4 - 5 months, > 5 - 6 months, and > 6 months. Cases in all groups received subtotal course decompression of facial nerve and other compound treatment, and the relationship between handling timing and clinical prognosis were compared. It was found that the difference of prognosis and handling timing was statistically significant, after comparison between all groups with Facial Grading Standards (H-B) as the standard to assess prognosis. Clinical prognosis of cases with Bell palsy was related to alternative handling time, and subtotal course decompression of facial nerve was recommended to be performed as early as possible for those cases who were irresponsive after conservative treatment for one month.

[Acute pancreatitis and afferent loop syndrome. Case report].

PubMed

Barajas-Fregoso, Elpidio Manuel; Romero-Hernández, Teodoro; Macías-Amezcua, Michel Dassaejv

2013-01-01

The afferent syndrome loop is a mechanic obstruction of the afferent limb before a Billroth II or Roux-Y reconstruction, secondary in most of case to distal or subtotal gastrectomy. Clinical case: Male 76 years old, with antecedent of cholecystectomy, gastric adenocarcinoma six years ago, with subtotal gastrectomy and Roux-Y reconstruction. Beginning a several abdominal pain, nausea and vomiting, abdominal distension, without peritoneal irritation sings. Amylase 1246 U/L, lipase 3381 U/L. Computed Tomography with thickness wall and dilatation of afferent loop, pancreas with diffuse enlargement diagnostic of acute pancreatitis secondary an afferent loop syndrome. The afferent loop syndrome is presented in 0.3%-1% in all cases with Billroth II reconstruction, with a mortality of up to 57%, the obstruction lead accumulation of bile, pancreatic and intestinal secretions, increasing the pressure and resulting in afferent limb, bile conduct and Wirsung conduct dilatation, triggering an inflammatory response that culminates in pancreatic inflammation. The severity of the presentation is related to the degree and duration of the blockage.

Guide Catheter Extension Device Is Effective in Renal Angioplasty for Severely Calcified Lesions.

PubMed

Sugimoto, Takeshi; Nomura, Tetsuya; Hori, Yusuke; Yoshioka, Kenichi; Kubota, Hiroshi; Miyawaki, Daisuke; Urata, Ryota; Kikai, Masakazu; Keira, Natsuya; Tatsumi, Tetsuya

2017-05-23

BACKGROUND The GuideLiner catheter extension device is a monorail-type "Child" support catheter that facilitates coaxial alignment with the guide catheter and provides an appropriate back-up force. This device has been developed in the field of coronary intervention, and now is becoming widely applied in the field of endovascular treatment. However, there has been no report on the effectiveness of the guide catheter extension device in percutaneous transluminal renal angioplasty (PTRA). CASE REPORT We encountered a case of atherosclerotic subtotal occlusion at the ostium of the left renal artery. Due to the severely calcified orifice and weaker back-up force provided by a JR4 guide catheter, we could not pass any guidewires through the target lesion. Therefore, we introduced a guide catheter extension device, the GuideLiner catheter, through the guide catheter and achieved good guidewire maneuverability. We finally deployed 2 balloon-expandable stents and successfully performed all PTRA procedures. CONCLUSIONS The guide catheter extension device can be effective in PTRA for severely calcified subtotal occlusion.

The effect of foot arch on plantar pressure distribution during standing.

PubMed

Periyasamy, R; Anand, Sneh

2013-07-01

The aim of this study was to explore how foot type affects plantar pressure distribution during standing. In this study, 32 healthy subjects voluntarily participated and the subject feet were classified as: normal feet (n = 23), flat feet (n = 14) and high arch feet (n = 27) according to arch index (AI) values obtained from foot pressure intensity image analysis. Foot pressure intensity images were acquired by a pedopowergraph system to obtain a foot pressure distribution parameter-power ratio (PR) during standing in eight different regions of the foot. Contact area and mean PR were analysed in hind foot, mid-foot and fore foot regions. One-way analysis of variance was used to determine statistical differences between groups. The contact area and mean PR value beneath the mid-foot was significantly increased in the low arch foot when compared to the normal arch foot and high arch foot (p < 0.001) in both feet. However, subjects with low-arch feet had significantly higher body mass index (BMI) compared to subjects with high-arch feet (p < 0.05) and subjects with normal arch feet (p < 0.05) in both feet. In addition, subjects with low-arch feet had significant differences in arch index (AI) value as compared to subjects with high-arch feet (p < 0.001) and subjects with normal arch feet (p < 0.05) in both feet. Mean mid-foot PR value were positively (r = 0.54) correlated with increased arch index (AI) value. A significant (p < 0.05) change was obtained in PR value beneath the mid-foot of low arch feet when compared with other groups in both feet. The findings suggest that there is an increased mid-foot PR value in the low arch foot as compared to the normal arch foot and high arch foot during standing. Therefore, individuals with low arch feet could be at high risk for mid-foot collapse and Charcot foot problems, indicating that foot type should be assessed when determining an individual's risk for foot injury.

Two modes of orogenic collapse of the Pamir plateau recorded by titanite

NASA Astrophysics Data System (ADS)

Stearns, M. A.; Hacker, B. R.; Ratschbacher, L.; Rutte, D.; Kylander-Clark, A. R.

2013-12-01

Processes that operate in the mid- to lower crust during and following continent-continent collision are important for understanding how orogenic plateaux transition from thickening to collapse. In the central and southern Pamir, mid- to lower crustal rocks crop out in two belts of extensional domes. The central Pamir domes were exhumed by symmetrical N-S extension. In contrast, the southern Pamir domes were exhumed by asymmetrical top to the south (NNW-SSE) extension via a rolling-hinge detachment. To investigate the high-temperature exhumation history, titanites were dated using LASS (laser ablation split stream-ICP-MS). A multi-collector ICP was used to collect U-Pb isotopic ratios and a single collector ICP-MS was used to measure trace-element abundances. The data indicate that the central Pamir domes began exhumation synchronously at ~17 Ma. Titanite from the southern Pamir record two periods of protracted (re)crystallization: older metamorphic dates ranging from ~35-18 Ma and younger igneous and metamorphic dates from ~15-7 Ma. Samples with single populations of titanite dates are present throughout both groups. Samples with more-complex date populations typically have distinct trace-element (e.g., Sr, Y, Zr, and Nb) groups that can be used to distinguish different date populations (e.g., older dates may have higher Zr and younger dates lower Zr). The distinct early exhumation histories of the north and south Pamir require either a diachronous single process or two semi-independent processes. The N to S sequence of exhumation, ranges of dates, and overall extension directions may be related to two important plate-tectonic events inferred from seismic data: 1) breakoff of the northward subducting Indian slab around ~20 Ma, and 2) southward subduction and northwestward rollback of the Asian lithosphere between ~15-10 Ma based on geodetic convergence rates and Benioff zone length. We interpret these two lithospheric-detachment events to have driven the exhumation in the Pamir by changing the gravitational potential energy and boundary forces of the plateau.

Source Characterization of the 2015 Collapse in Gypsum Mine in Shandong, China

NASA Astrophysics Data System (ADS)

Yang, H.; Chu, R.; Sheng, M.

2016-12-01

Source parameters of mining earthquakes are essential to investigating pressure redistribution and accumulation due to underground excavation. On 25 December 2015, a local magnitude 4.0 earthquake occurred at 07:56:12 BJT in Pingyi County, China (latitude: 35.5°N, longitude: 117.7°E) with a depth of 0 km. This earthquake is caused by underground cave collapse. In this paper, we used sliding-window cross-correlation method to detect aftershocks of this event. The result indicates there are at least six aftershocks within ten minutes after the earthquake. Then we inverted focal mechanisms and depths of the mainshock and the largest aftershock with three-component broadband seismic waveform data recorded by the National Seismic Network. We use the generalized Cut-and-Paste (gCAP) method to obtain their moment tensors, which allows for a characterization of the relative amounts of deviatoric and isotropic source components. This gCAP method divides three component waveforms into Pnl and surface wave segments, and allows adjustable time shifts between observed and synthetic data, so that it reduces the influence of uncertainties in the 1-D velocity model. The results show that both events have similar focal mechanisms, which contains obvious non-double-couple component with a large proportion of isotropic source component. The mechanisms are dominated by 80% implosive isotropic energy and 20% thrusting double couple energy. Such mechanisms might be explained by an asymmetric collapse of the mine cavity due to unevenly distributed in situ stresses, sympathetic shear on a roof fault, or between the roof and floor of the mine.

Segmental-dependent permeability throughout the small intestine following oral drug administration: Single-pass vs. Doluisio approach to in-situ rat perfusion.

PubMed

Lozoya-Agullo, Isabel; Zur, Moran; Beig, Avital; Fine, Noa; Cohen, Yael; González-Álvarez, Marta; Merino-Sanjuán, Matilde; González-Álvarez, Isabel; Bermejo, Marival; Dahan, Arik

2016-12-30

Intestinal drug permeability is position dependent and pertains to a specific point along the intestinal membrane, and the resulted segmental-dependent permeability phenomenon has been recognized as a critical factor in the overall absorption of drug following oral administration. The aim of this research was to compare segmental-dependent permeability data obtained from two different rat intestinal perfusion approaches: the single-pass intestinal perfusion (SPIP) model and the closed-loop (Doluisio) rat perfusion method. The rat intestinal permeability of 12 model drugs with different permeability characteristics (low, moderate, and high, as well as passively and actively absorbed) was assessed in three small intestinal regions: the upper jejunum, mid-small intestine, and the terminal ileum, using both the SPIP and the Doluisio experimental methods. Excellent correlation was evident between the two approaches, especially in the upper jejunum (R 2 =0.95). Significant regional-dependent permeability was found in half of drugs studied, illustrating the importance and relevance of segmental-dependent intestinal permeability. Despite the differences between the two methods, highly comparable results were obtained by both methods, especially in the medium-high P eff range. In conclusion, the SPIP and the Doluisio method are both equally useful in obtaining crucial segmental-dependent intestinal permeability data. Copyright © 2016 Elsevier B.V. All rights reserved.

Soliton self-frequency shift and third-harmonic generation in a four-hole As₂S₅ microstructured optical fiber.

PubMed

Cheng, Tonglei; Usaki, Ryo; Duan, Zhongchao; Gao, Weiqing; Deng, Dinghuan; Liao, Meisong; Kanou, Yasuhire; Matsumoto, Morio; Misumi, Takashi; Suzuki, Takenobu; Ohishi, Yasutake

2014-02-24

Soliton self-frequency shift (SSFS) and third-harmonic generation (THG) are observed in a four-hole As2S5 chalcogenide microstructured optical fiber (MOF). The As2S5 MOF is tapered to offer an ideal environment for SSFS. After tapering, the zero-dispersion wavelength (ZDW) shifts from 2.02 to 1.61 μm, and the rate of SSFS can be enhanced by increasing the energy density of the pulse. By varying the average input power from 220 to 340 mW, SSFS of a soliton central wavelength from 2.206 to 2.600 μm in the mid-infrared is observed in the tapered segment, and THG at 632 nm is observed in the untapered segment.

[Utility of nickel-titanium shape memory alloys of vertebral body reduction fixator with assisted distraction bar].

PubMed

Man, Yi; Zheng, Yue-huan; Cao, Peng; Chen, Bo; Zheng, Tao; Sun, Chang-hui; Lu, Jiong

2011-06-07

To test the nickel-titanium (Ni-Ti) shape memory alloys of vertebral body reduction fixator with assisted distraction bar for the treatment of traumatic and osteoporotic vertebral body fracture. A Ni-Ti shape memory alloys of vertebral body reduction fixator with assisted distraction bar was implanted into the compressed fracture specimens through vertebral pedicle with the radiographic monitoring to reduce the collapsed endplate as well as distract the compressed vertebral fracture. Radiographic film and computed tomographic reconstruction technique were employed to evaluate the effects of reduction and distraction. A biomechanic test machine was used to measure the fatigue and the stability of deformation of fixation segments. Relying on the effect of temperature shape memory, such an assembly could basically reduce the collapsed endplate as well as distract the compressed vertebral fracture. And when unsatisfied results of reduction and distraction occurred, its super flexibility could provide additional distraction strength. A Ni-Ti shape memory alloys of vertebral body reduction fixator with assisted distraction bar may provide effective endplate reduction, restore the vertebral height and the immediate biomechanic spinal stability. So the above assembly is indicated for the treatment of traumatic and osteoporotic vertebral body fracture.

Pressures of Partial Crystallization of Magmas Along Transforms: Implications for Crustal Accretion

NASA Astrophysics Data System (ADS)

Scott, J. L.; Zerda, C.; Brown, D.; Ciaramitaro, S. C.; Barton, M.

2016-12-01

Plate spreading at mid-ocean ridges is responsible for the creation of most of the crust on earth. The ridge system is very complex and many questions remain unresolved. Among these is the nature of magma plumbing systems beneath transform faults. Pervious workers have suggested that increased conductive cooling along transforms promotes higher pressures of partial crystallization, and that this explains the higher partial pressures of crystallization inferred for magmas erupted along slow spreading ridges compared to magmas erupted along faster spreading ridges. To test this hypothesis, we undertook a detailed analysis of pressures of partial crystallization for magmas erupted at 3 transforms along the fast to intermediate spreading East Pacific Rise(Blanco, Clipperton, and Siqueiros) and 3 transforms along the slow spreading Mid Atlantic Ridge(Famous Transform B, Kane, and 15°20'N). Pressures of partial crystallization were calculated from the compositions of glasses (quenched liquids) lying along the P (and T) dependent olivine, plagioclase, and augite cotectic using the method described by Kelley and Barton (2008). Published analyses of mid-ocean ridge basalt glasses sampled from these transforms and surrounding ridge segments were used as input data. Samples with anomalous chemical compositions and samples that yielded pressures associated with unrealistically large uncertainties were filtered out of the database. The pressures of partial crystallization for the remaining 916 samples ranged from 0 to 520 MPa with the great majority ( 95%) of sample returning pressures of less than 300 MPa. Pressures of < 300 MPa are within error of the pressure range associated with partial crystallization within oceanic crust with a thickness of 7 km. Higher (sub-crustal) pressures (>300 MPa) are associated with a small number of samples from the Pacific segments. Except for the Blanco, pressures of partial crystallization do not increase as transforms are approached. These observations contrast with those of previous workers, who reported anomalously high pressures (up to 1000 MPa) for a large number of samples erupted near both Atlantic and Pacific Transforms. We conclude that higher rates of cooling along transform does not have a major effect on the onset of partial crystallization along the mid-ocean ridges

Multilevel models for evaluating the risk of pedestrian-motor vehicle collisions at intersections and mid-blocks

PubMed Central

Quistberg, D. Alex; Howard, Eric J.; Ebel, Beth E.; Moudon, Anne V.; Saelens, Brian E.; Hurvitz, Philip M.; Curtin, James E.; Rivara, Frederick P.

2015-01-01

Walking is a popular form of physical activity associated with clear health benefits. Promoting safe walking for pedestrians requires evaluating the risk of pedestrian-motor vehicle collisions at specific roadway locations in order to identify where road improvements and other interventions may be needed. The objective of this analysis was to estimate the risk of pedestrian collisions at intersections and mid-blocks in Seattle, WA. The study used 2007-2013 pedestrian-motor vehicle collision data from police reports and detailed characteristics of the microenvironment and macroenvironment at intersection and mid-block locations. The primary outcome was the number of pedestrian-motor vehicle collisions over time at each location (incident rate ratio [IRR] and 95% confidence interval [95% CI]). Multilevel mixed effects Poisson models accounted for correlation within and between locations and census blocks over time. Analysis accounted for pedestrian and vehicle activity (e.g., residential density and road classification). In the final multivariable model, intersections with 4 segments or 5 or more segments had higher pedestrian collision rates compared to mid-blocks. Non-residential roads had significantly higher rates than residential roads, with principal arterials having the highest collision rate. The pedestrian collision rate was higher by 9% per 10 feet of street width. Locations with traffic signals had twice the collision rate of locations without a signal and those with marked crosswalks also had a higher rate. Locations with a marked crosswalk also had higher risk of collision. Locations with a one-way road or those with signs encouraging motorists to cede the right-of-way to pedestrians had fewer pedestrian collisions. Collision rates were higher in locations that encourage greater pedestrian activity (more bus use, more fast food restaurants, higher employment, residential, and population densities). Locations with higher intersection density had a lower rate of collisions as did those in areas with higher residential property values. The novel spatiotemporal approach used that integrates road/crossing characteristics with surrounding neighborhood characteristics should help city agencies better identify high-risk locations for further study and analysis. Improving roads and making them safer for pedestrians achieves the public health goals of reducing pedestrian collisions and promoting physical activity. PMID:26339944

Glacier Changes in the Russian High Arctic.

NASA Astrophysics Data System (ADS)

Pritchard, M. E.; Willis, M. J.; Melkonian, A. K.; Golos, E. M.; Stewart, A.; Ornelas, G.; Ramage, J. M.

2014-12-01

We provide new surveys of ice speeds and surface elevation changes for ~40,000 km2 of glaciers and ice caps at the Novaya Zemlya (NovZ) and Severnaya Zemlya (SevZ) Archipelagoes in the Russian High Arctic. The contribution to sea level rise from this ice is expected to increase as the region continues to warm at above average rates. We derive ice speeds using pixel-tracking on radar and optical imagery, with additional information from InSAR. Ice speeds have generally increased at outlet glaciers compared to those measured using interferometry from the mid-1990s'. The most pronounced acceleration is at Inostrantseva Glacier, one of the northernmost glaciers draining into the Barents Sea on NovZ. Thinning rates over the last few decades are derived by regressing stacked elevations from multiple Digital Elevations Models (DEMs) sourced from ASTER and Worldview stereo-imagery and cartographically derived DEMs. DEMs are calibrated and co-registered using ICESat returns over bedrock. On NovZ thinning of between 60 and 100 meters since the 1950s' is common. Similar rates between the late 1980s' and the present are seen at SevZ. We examine in detail the response of the outlet glaciers of the Karpinsky and Russanov Ice Caps on SevZ to the rapid collapse of the Matusevich Ice Shelf in the late summer of 2012. We do not see a dynamic thinning response at the largest feeder glaciers. This may be due to the slow response of the cold polar glaciers to changing boundary conditions, or the glaciers may be grounded well above sea level. Speed increases in the interior are difficult to assess with optical imagery as there are few trackable features. We therefore use pixel tracking on Terra SARX acquisitions before and after the collapse of the ice shelf to compute rates of flow inland, at slow moving ice. Interior ice flow has not accelerated in response to the collapse of the ice shelf but interior rates at the Karpinsky Ice Cap have increased by about 50% on the largest outlet glacier compared to rates found using ERS data in the mid-90s. Speeds have at least doubled at some of the smaller glaciers that feed the Matusevich from the south. We investigate the causes of acceleration at both archipelagoes by comparing sea surface temperatures and passive microwave observations of the timing and duration of ice surface melting.

Measuring Patient Mobility in the ICU Using a Novel Noninvasive Sensor

PubMed Central

Ma, Andy J.; Rawat, Nishi; Reiter, Austin; Shrock, Christine; Zhan, Andong; Stone, Alex; Rabiee, Anahita; Griffin, Stephanie; Needham, Dale M.; Saria, Suchi

2017-01-01

Objectives To develop and validate a noninvasive mobility sensor to automatically and continuously detect and measure patient mobility in the ICU. Design Prospective, observational study. Setting Surgical ICU at an academic hospital. Patients Three hundred sixty-two hours of sensor color and depth image data were recorded and curated into 109 segments, each containing 1,000 images, from eight patients. Interventions None. Measurements and Main Results Three Microsoft Kinect sensors (Microsoft, Beijing, China) were deployed in one ICU room to collect continuous patient mobility data. We developed software that automatically analyzes the sensor data to measure mobility and assign the highest level within a time period. To characterize the highest mobility level, a validated 11-point mobility scale was collapsed into four categories: nothing in bed, in-bed activity, out-of-bed activity, and walking. Of the 109 sensor segments, the noninvasive mobility sensor was developed using 26 of these from three ICU patients and validated on 83 remaining segments from five different patients. Three physicians annotated each segment for the highest mobility level. The weighted Kappa (κ) statistic for agreement between automated noninvasive mobility sensor output versus manual physician annotation was 0.86 (95% CI, 0.72–1.00). Disagreement primarily occurred in the “nothing in bed” versus “in-bed activity” categories because “the sensor assessed movement continuously,” which was significantly more sensitive to motion than physician annotations using a discrete manual scale. Conclusions Noninvasive mobility sensor is a novel and feasible method for automating evaluation of ICU patient mobility. PMID:28291092

Transcriptome sequencing of Atlantic salmon (Salmo salar L.) notochord prior to development of the vertebrae provides clues to regulation of positional fate, chordoblast lineage and mineralisation

PubMed Central

2014-01-01

Background In teleosts such as Atlantic salmon (Salmo salar L.), segmentation and subsequent mineralisation of the notochord during embryonic stages are essential for normal vertebrae formation. However, the molecular mechanisms leading to segmentation and mineralisation of the notochord are poorly understood. The aim of this study was to identify genes/pathways acting in gradients over time and along the anterior-posterior axis during notochord segmentation and immediately prior to mineralisation of the vertebral bodies in Atlantic salmon. Results Notochord samples were collected from unsegmented, pre-segmented and segmented developmental stages. In each stage, the cellular core of the notochord was cut into three pieces along the longitudinal axis (anterior, mid, posterior). RNA was sequenced (22 million pair-end 100 bp/ library) and mapped to the salmon genome. 66569 transcripts were predicted and 55775 were annotated. In order to identify possible gradients leading to segmentation of the notochord, all 71 notochord-expressed hox genes were investigated, most of them displaying a typical anterior-posterior expression pattern along the notochord axis. The clustering of hox genes revealed a pattern that could be related to notochord segmentation. We further investigated how mineralisation is initiated in the notochord, and several factors related to chondrogenic lineage were identified (sox9, sox5, sox6, tgfb3, ihhb and col2a1), suggesting a cartilage-like character of the notochord. KEGG analysis of differentially expressed genes between stages revealed down-regulation of pathways associated with ECM, cell division, metabolism and development at onset of notochord segmentation. This implies that inhibitory signals produce segmentation of the notochord. One such potential inhibitory signal was identified, col11a2, which was detected in segments of non-mineralising notochord. Conclusions An incomplete salmon genome was successfully used to analyse RNA-seq data from the cellular core of the Atlantic salmon notochord. In transcriptome we found; hox gene patterns possibly linked to segmentation; down-regulation of pathways in the notochord at onset of segmentation; segmented expression of col11a2 in non-mineralised segments of the notochord; and a chondroblast-like footprint in the notochord. PMID:24548379

Volcanic Eruptions of the EPR and Ridge Axis Segmentation: An Interdisciplinary View

NASA Astrophysics Data System (ADS)

White, S.; Soule, S. A.; Tolstoy, M.; Waldhauser, F.; Rubin, K.

2008-12-01

The eruption of the EPR in 2005-06 provides an ideal window into the relationship between fine-scale segmentation of the ridge axis and individual eruptive episodes. Lava flow mapping of the eruption by visual and acoustic images, precise dates on multiple eruptive units, stress information from seismicity, long-term records of hydrothermal activity, and well known segment boundaries illustrate the relationships between eruptions and segmentation of mid-ocean ridges. Lava flows emerged from several sections of the axial summit trough (AST) during the eruption, presumably from en echelon fissures between 9 45'N and 9 57'N. Each en echelon fissure is a 4th order segment, and the overall area matches the 3rd Order segment between ~9 45'N and ~9 58'N. Within the eruption, the primary eruptive fissure jumped east by 600 m at 9 53'N, and ran along an inward facing fault scarp, although limited lava effusion also extended northward along the axial fissure. A zone of high seismicity connects the normal fault bounding the eastern fissure eruption with the main locus of eruption on the ridge axis to the south, suggesting that the offset eruption may have occurred in response to stress buildup on this fault. Radiometric ages indicate that the entire along-axis extent of the eruptive fissures activated initially, but that volcanic activity focused to a single fourth-order segment within 1-3 months. Previously indentified breaks in the AST and its overall outline were largely unchanged by the eruption. These observations support the hypothesis that fourth-order segments are offsets controlled by the mechanics of dike emplacement, whereas third-order segments represent discrete volcanic systems. Dike segmentation may be controlled by variations in underlying ridge structure or the magma reservoir. Hydrothermal systems disrupted as far south as 9 37'N may be responding to cracking due to stress interaction or share a common deeper magmatic source. Comparisons between the 1991 EPR eruption at the same site, and several mapped southern EPR eruptions, the 10 45'N EPR eruption in ca. 2003 all show similar relationships to segmentation

Degenerative changes of the canine cervical spine after discectomy procedures, an in vivo study.

PubMed

Grunert, Peter; Moriguchi, Yu; Grossbard, Brian P; Ricart Arbona, Rodolfo J; Bonassar, Lawrence J; Härtl, Roger

2017-06-23

Discectomies are a common surgical treatment for disc herniations in the canine spine. However, the effect of these procedures on intervertebral disc tissue is not fully understood. The objective of this study was to assess degenerative changes of cervical spinal segments undergoing discectomy procedures, in vivo. Discectomies led to a 60% drop in disc height and 24% drop in foraminal height. Segments did not fuse but showed osteophyte formation as well as endplate sclerosis. MR imaging revealed terminal degenerative changes with collapse of the disc space and loss of T2 signal intensity. The endplates showed degenerative type II Modic changes. Quantitative MR imaging revealed that over 95% of Nucleus Pulposus tissue was extracted and that the nuclear as well as overall disc hydration significantly decreased. Histology confirmed terminal degenerative changes with loss of NP tissue, loss of Annulus Fibrosus organization and loss of cartilage endplate tissue. The bony endplate displayed sclerotic changes. Discectomies lead to terminal degenerative changes. Therefore, these procedures should be indicated with caution specifically when performed for prophylactic purposes.

Geology of selected lava tubes in the Bend Area, Oregon

NASA Technical Reports Server (NTRS)

Greely, R.

1971-01-01

Longitudinal profiles representing 5872.5 m of mapped lava tubes and a photogeologic map relating lava tubes to surface geology, regional structure and topography are presented. Three sets of lava tubes were examined: (1) Arnold Lava Tube System (7km long) composed of collapsed and uncollapsed tube segments and lava ponds, (2) Horse Lava Tube System (11 km long) composed of parallel and anastomosing lava tube segments, and (3) miscellaneous lava tubes. Results of this study tend to confirm the layered lava hypothesis of Ollier and Brown (1965) for lava tube formation; however, there are probably several modes of formation for lava tubes in general. Arnold System is a single series of tubes apparently formed in a single basalt flow on a relatively steep gradient. The advancing flow in which the tubes formed was apparently temporarily halted, resulting in the formation of lava ponds which were inflated and later drained by the lava tube system. Horse System probably formed in multiple, interconnected flows. Pre-flow gradient appears to have been less than for Arnold System, and resulted in meandrous, multiple tube networks.

Liquification and soft-sediment deformation in a limestone megabreccia: The Ayabacas giant collapse, Cretaceous, southern Peru

NASA Astrophysics Data System (ADS)

Callot, Pierre; Odonne, Francis; Sempere, Thierry

2008-12-01

In the back-arc basin of southern Peru, the bulk of the mid-Cretaceous carbonate platform collapsed near the Turonian-Coniacian boundary (~ 90-89 Ma), due to slope creation and resulting oversteepening. The resulting mass-wasting deposits, namely the Ayabacas Formation, consist of a megabreccia which is organised from NE to SW in relation with two major fault systems. Facies of sediment reworking (such as brecciation, liquification, sedimentary dykes and soft-sediment deformation) are described and four types of resedimentation facies are define. In the northeastern part of the study area, deposits mainly consist of a mixture of very heterometric clasts and blocks (millimetric to kilometric in size), mainly carbonate but also sandy-marly in nature, floating in sandy-marly matrix that exhibits features of liquification (sedimentary dykes and flows) and plastic deformation. Here, resedimentation facies are characterized by deformations and a brecciated facies at each observation scale (from aerial photographs to thin sections) and are therefore defined as fractal or multi-scale breccias. Some clasts and large amounts of the matrix were derived from the underlying clay-rich sandstones of the Murco Formation. These materials were prone to liquification and plastic deformation, allowing them to act as a sliding sole that facilitated the slides and the downslope movement of large limestone rafts. In the southwestern part of the study area, only limestone breccias are observed, in alternation with well-stratified levels. The sliding sole of plastically deformable siliciclastic sediments that previously acted as a lubricating layer was not present here, as materials were more deeply buried. Variations in the degree of sediment lithification from northeast to southwest are inferred to have existed before the collapse and also within the sedimentary succession in the northeastern part. In particular, limestones were well-cemented at the base of the carbonate succession and formed a cap that prevented water to escape from the underlying siliciclastic materials. Such a succession allowed the formation of limestone clasts and of a slide sole constituted by water-saturated siliciclastic materials. In the southern part of the study area, the slide surface was located within the Murco Formation in the upper part of the collapse and just above the Murco Formation downslope. The collapse was frontally confined as it was blocked downslope by a topographic high that folded the whole limestone succession. In the northern part of the study area, the slide surface was also within the Murco Formation in the upper part, but occurs within the limestone succession downslope, due to higher subsidence that buried the sediments more deeply. The compressional structures affecting the limestone succession in the south are not observed there, suggesting that the toe of the collapse was not blocked here.

NOSE laparoscopic gastrectomies for early gastric cancer may reduce morbidity and hospital stay: early results from a prospective nonrandomized study.

PubMed

Hüscher, Cristiano G S; Lirici, Marco Maria; Ponzano, Cecilia

2017-04-01

Natural orifice specimen extraction - NOSE laparoscopy is a promising technique that avoids mini-laparotomy, possibly reducing postoperative pain, wound infections and hospital stay. Recent systematic reviews have shown that postoperative morbidity associated with laparoscopically assisted gastrectomies is similar to that after open gastrectomies. More specifically, there is no difference in wound infection rate. The study objective was to evaluate whether postoperative morbidity and hospital stay may be reduced by transoral specimen extraction after laparoscopically assisted gastrectomy for early gastric cancer (EGC). A prospective, nonrandomized study was carried out starting in August 2012. Data from all patients operated on during the first year, with minimum 18 months follow-up, were collected to assess feasibility, oncologic results, postoperative morbidity, hospital stay and functional results. Overall, 14 patients were included and followed-up. After gastric resection, a 3 cm opening was created on the gastric stump, and the specimen, divided into three segments stitched one to each other, was sutured to the gastric tube and retrieved through the mouth. Postoperative morbidity was 7.14% (1/14): one case of pneumonia. No wound infection occurred. The mean postoperative hospital stay was 4.7 ± 1.0 days. NOSE laparoscopic subtotal gastrectomy is feasible and safe, with similar oncologic results as LAG, but decreased morbidity and hospital stay.

Switchable multi-wavelength fiber ring laser based on a compact in-fiber Mach-Zehnder interferometer with photonic crystal fiber

NASA Astrophysics Data System (ADS)

Chen, W. G.; Lou, S. Q.; Feng, S. C.; Wang, L. W.; Li, H. L.; Guo, T. Y.; Jian, S. S.

2009-11-01

Switchable multi-wavelength fiber ring laser with an in-fiber Mach-Zehnder interferometer incorporated into the ring cavity serving as wavelength-selective filter at room temperature is demonstrated. The filter is formed by splicing a section of few-mode photonic crystal fiber (PCF) and two segments of single mode fiber (SMF) with the air-holes on the both sides of PCF intentionally collapsed in the vicinity of the splices. By adjusting the states of the polarization controller (PC) appropriately, the laser can be switched among the stable single-, dual- and triple-wavelength lasing operations by exploiting polarization hole burning (PHB) effect.

Guidelenines in the management of obstructing cancer of the left colon: consensus conference of the world society of emergency surgery (WSES) and peritoneum and surgery (PnS) society

PubMed Central

2010-01-01

Background Obstructive left colon carcinoma (OLCC) is a challenging matter in terms of obstruction release as well of oncological issues. Several options are available and no guidelines are established. The paper aims to generate evidenced based recommendations on management of OLCC. Methods The PubMed and Cochrane Library databases were queried for publications focusing on OLCC published prior to April 2010. A extensive retrieval, analyses, and grading of the literature was undertaken. The findings of the research were presented and largely discussed among panellist and audience at the Consensus Conference of the World Society of Emergency Surgery (WSES) and Peritoneum and Surgery (PnS) Society held in Bologna July 2010. Comparisons of techniques are presented and final committee recommendation are enounced. Results Hartmann's procedure should be preferred to loop colostomy (Grade 2B). Hartmann's procedure offers no survival benefit compared to segmental colonic resection with primary anastomosis (Grade 2C+); Hartmann's procedure should be considered in patients with high surgical risk (Grade 2C). Total colectomy and segmental colectomy with intraoperative colonic irrigation are associated with same mortality/morbidity, however total colectomy is associated with higher rates impaired bowel function (Grade 1A). Segmental resection and primary anastomosis either with manual decompression or intraoperative colonic irrigation are associated with same mortality/morbidity rate (Grade 1A). In palliation stent placement is associated with similar mortality/morbidity rates and shorter hospital stay (Grade 2B). Stents as a bridge to surgery seems associated with lower mortality rate, shorter hospital stay, and a lower colostomy formation rate (Grade 1B). Conclusions Loop colostomy and staged procedure should be adopted in case of dramatic scenario, when neoadjuvant therapy could be expected. Hartmann's procedure should be performed in case of high risk of anastomotic dehiscence. Subtotal and total colectomy should be attempted when cecal perforation or in case of synchronous colonic neoplasm. Primary resection and anastomosis with manual decompression seems the procedure of choice. Colonic stents represent the best option when skills are available. The literature power is relatively poor and the existing RCT are often not sufficiently robust in design thus, among 6 possible treatment modalities, only 2 reached the Grade A. PMID:21189148

Collapse of a marine mammal species driven by human impacts.

PubMed

Harkonen, Tero; Harding, Karin C; Wilson, Susan; Baimukanov, Mirgaliy; Dmitrieva, Lilia; Svensson, Carl Johan; Goodman, Simon J

2012-01-01

Understanding historical roles of species in ecosystems can be crucial for assessing long term human impacts on environments, providing context for management or restoration objectives, and making conservation evaluations of species status. In most cases limited historical abundance data impedes quantitative investigations, but harvested species may have long-term data accessible from hunting records. Here we make use of annual hunting records for Caspian seals (Pusa caspica) dating back to the mid-19(th) century, and current census data from aerial surveys, to reconstruct historical abundance using a hind-casting model. We estimate the minimum numbers of seals in 1867 to have been 1-1.6 million, but the population declined by at least 90% to around 100,000 individuals by 2005, primarily due to unsustainable hunting throughout the 20(th) century. This collapse is part of a broader picture of catastrophic ecological change in the Caspian over the 20(th) Century. Our results combined with fisheries data show that the current biomass of top predators in the Caspian is much reduced compared to historical conditions. The potential for the Caspian and other similar perturbed ecosystems to sustain natural resources of much greater biological and economic value than at present depends on the extent to which a number of anthropogenic impacts can be harnessed.

The beaming of subhalo accretion

NASA Astrophysics Data System (ADS)

Libeskind, Noam I.

2016-10-01

We examine the infall pattern of subhaloes onto hosts in the context of the large-scale structure. We find that the infall pattern is essentially driven by the shear tensor of the ambient velocity field. Dark matter subhaloes are preferentially accreted along the principal axis of the shear tensor which corresponds to the direction of weakest collapse. We examine the dependence of this preferential infall on subhalo mass, host halo mass and redshift. Although strongest for the most massive hosts and the most massive subhaloes at high redshift, the preferential infall of subhaloes is effectively universal in the sense that its always aligned with the axis of weakest collapse of the velocity shear tensor. It is the same shear tensor that dictates the structure of the cosmic web and hence the shear field emerges as the key factor that governs the local anisotropic pattern of structure formation. Since the small (sub-Mpc) scale is strongly correlated with the mid-range (~ 10 Mpc) scale - a scale accessible by current surveys of peculiar velocities - it follows that findings presented here open a new window into the relation between the observed large scale structure unveiled by current surveys of peculiar velocities and the preferential infall direction of the Local Group. This may shed light on the unexpected alignments of dwarf galaxies seen in the Local Group.

Geomorphology and Sediment Stability of a Segment of the U.S. Continental Slope off New Jersey.

PubMed

Robb, J M; Hampson, J C; Twichell, D C

1981-02-27

The morphology of complex deposits of Pleistocene sediments covering the upper continental slope between Lindenkohl Canyon and South Toms Canyon results from both depositional and erosional processes. Small slump or slide features were detected primarily on the flanks of canyons or valleys and were observed to occur only within Pleistocene-aged sediments. Eocene to Miocene sediments are exposed over much of the mid- and lower slope in this area.

Seismic structure of the Mid-Atlantic Ridge, 8-9°S

NASA Astrophysics Data System (ADS)

Minshull, T. A.; Bruguier, N. J.; Brozena, J. M.

2003-11-01

The Mid-Atlantic Ridge at 8-9°S is characterized by a transition from axial valley to axial high and recent episodes of ridge jumping and ridge propagation. We present constraints on the structure of 0-4 Ma crust in this region on the basis of the analysis of wide-angle seismic data from a grid of profiles across and parallel to the current and abandoned spreading centers. A 350-800 m thick oceanic layer 2A, interpreted as high-porosity extrusive basalts, is underlain by a ˜2.0-2.5 km layer 2B with velocities which increase with age and decrease in the vicinity of the pseudofaults. Layer 3 velocities are uniform across the area except for a possible localized anomaly at the ridge axis. The crustal thickness varies from 6-7 km near the pseudofaults formed by ridge propagation to 9-10 km at the segment center of the recently (˜0.3 Ma) abandoned spreading center. Seismically determined crustal thickness and density variations and age-related lithospheric cooling can plausibly account for all observed variations in gravity across the area, and there is no requirement for the thicker crust at the segment center to be underlain by hot mantle. The transition from axial valley to axial high occurs at a crustal thickness of ˜8 km.

[Mid- to long-term outcomes of cervical disc arthroplasty for symptomatic cervical disc disease: a meta-analysis].

PubMed

Kan, S L; Yang, B; Ning, G Z; Gao, S J; Sun, J C; Feng, S Q

2016-12-01

Objective: To compare the benefits and harms of cervical disc arthroplasty (CDA) with anterior cervical discectomy and fusion(ACDF) for symptomatic cervical disc disease at mid- to long-term follow-up. Methods: Electronic searches were made in PubMed, EMBASE, and the Cochrane Library for randomized controlled trials with at least 48 moths follow-up.Outcomes were reported as relative risk or standardized mean difference.Meta-analysis was carried out using Revman version 5.3 and Stata version 12.0. Results: Seven trials were included, involving 2 302 participants.The results of this meta-analysis indicated that CDA brought about fewer secondary surgical procedures, lower neck disability index (NDI) scores, lower neck and arm pain scores, greater SF-36 Physical Component Summary (PCS) and Mental Component Summary(MCS) scores, greater range of motion (ROM) at the operative level and less superior adjacent-segment degeneration( P <0.05) than ACDF.CDA was not statistically different from ACDF in inferior adjacent-segment degeneration, neurological success, and adverse events ( P >0.05). Conclusions: CDA can significantly reduce the rates of secondary surgical procedures compared with ACDF.Meanwhile, CDA is superior or equivalent to ACDF in other aspects.As some studies without double-blind are included and some potential biases exites, more randomized controlled trials with high quality are required to get more reliable conclusions.

Single-incision approach improves wound healing and bone union for treating mid-to-lower segment of tibiofibular fracture.

PubMed

Zhang, Yongguang; Zhuang, Yuehong; Wang, Benhai; Xu, Hao; Chen, Jinshui; Lin, Songqing

2015-01-01

The mid-to-lower segment of tibiofibular fractures (MLTFs) is commonly encountered in clinical practice, which is conventionally treated by the double-incision surgical approach. However, the double-incision approach frequently makes the closure of the wound extremely difficult and sometimes results in necrosis of skin around fractured sites. In the present study, our experience of using a single-incision surgical approach for treating MLTF was exhibited. From February 2005 to December 2013, the clinical outcomes of 212 patients with MLTFs who underwent either double-incision approach or single-incision approach were retrospectively evaluated and compared. Both groups were similar with respect to injury mechanism and all patients were followed up with the efficacies of treatment evaluated by Johner-Wruth criteria. The results demonstrated that the effective rate and the rate of excellent and good efficacy in the single-incision group were significantly higher than those in the double-incision group (P<0.05). In addition, the rates of skin wound healing and bone union after surgery in the single-incision group were significantly higher than those in the double-incision group (P<0.05). These findings indicate that the single-incision surgical approach, which holds the advantages of being milder in trauma, fewer in complications and better in function restoration, might be used as an alternative method for treating MLTFs.

Lunar drill footplate and casing

NASA Technical Reports Server (NTRS)

Maassen, Erik C.; Hendrix, Thomas H.; Morrison, Eddie W.; Phillips, Rodrick B.; Le, Vu Quang; Works, Bruce A.

1989-01-01

To prevent hole collapse during lunar drilling operations, a casing has been devised of a graphite reinforced polyimide composite which will be able to withstand the lunar environment. Additionally, this casing will be inserted into the ground in segments two meters long which will penetrate the regolith simultaneously with the auger. The vertical action of the mobile platform will provide a downward force to the casing string through a special adaptor, giving the casing the needed impetus to sink the anticipated depth of ten meters. Casing segments will be connected with a simple snap arrangement. Excess casing will be cut off by a cylindrical cutting tool which will also transport the excess casing away from the hole. A footplate will be incorporated to grasp the auger rod string during rod segment additions or removals. The footplate grasping mechanism will consist of a set of vice-like arms, one end of each bearing threaded to a common power screw. The power screw will be threaded such that one end's thread pitch opposes that of the other end. The weight of the auger and rod string will be transmitted through the arms to the power screw and absorbed by a set of three ball bearing assemblies. The power screw will be driven by a one-half horsepower brushless motor actuated by radio control. The footplate will rest on four short legs and be anchored with pins that are an integral part of each leg.

Evaluation of poly-L-lactic acid and polyglycolic acid resorbable stents for repair of tracheomalacia in a porcine model.

PubMed

Nalwa, S S; Hartig, G K; Warner, T; Connor, N P; Thielman, M J

2001-11-01

Poly-L-lactic acid and polyglycolic acid (PLPG) resorbable stents may offer a potential solution to the problem of tracheomalacia. Advantages of this material include its strength, its versatile shaping characteristics, and its resorbability, which would preclude surgical removal and allow for airway growth. The purpose of this pilot study was to examine the usefulness of PLPG stents for temporary external airway stenting of tracheomalacia in a porcine model. A severe tracheomalacia was created in 6 pigs by submucosal resection of segments of tracheal cartilage from 6 consecutive rings. The PLPG stent was then shaped to recreate the tracheal contour and sutured to the underlying airway. Endoscopic photodocumentation during spontaneous ventilation was obtained before and after reconstruction. After creation of the malacic tracheal segment, all animals developed stridor, retractions, and cyanosis during spontaneous ventilation. After repair, all animals were extubated without complication. All animals survived the follow-up period of 9 to 12 weeks without evidence of respiratory distress and with rapid weight gain. Repeat bronchoscopy showed no evidence of airway collapse during spontaneous ventilation. Tracheal measurements revealed growth of the stented segment with a mild narrowing within the repaired region. Histologic examination showed preservation of respiratory epithelium. These preliminary findings suggest that PLPG stents may serve a useful role in the surgical management of tracheomalacia.

Experimental injury study of children seated behind collapsing front seats in rear impacts.

PubMed

Saczalski, Kenneth J; Sances, Anthony; Kumaresan, Srirangam; Burton, Joseph L; Lewis, Paul R

2003-01-01

In the mid 1990's the U.S. Department of Transportation made recommendations to place children and infants into the rear seating areas of motor vehicles to avoid front seat airbag induced injuries and fatalities. In most rear-impacts, however, the adult occupied front seats will collapse into the rear occupant area and pose another potentially serious injury hazard to the rear-seated children. Since rear-impacts involve a wide range of speeds, impact severity, and various sizes of adults in collapsing front seats, a multi-variable experimental method was employed in conjunction with a multi-level "factorial analysis" technique to study injury potential of rear-seated children. Various sizes of Hybrid III adult surrogates, seated in a "typical" average strength collapsing type of front seat, and a three-year-old Hybrid III child surrogate, seated on a built-in booster seat located directly behind the front adult occupant, were tested at various impact severity levels in a popular "minivan" sled-buck test set up. A total of five test configurations were utilized in this study. Three levels of velocity changes ranging from 22.5 to 42.5 kph were used. The average of peak accelerations on the sled-buck tests ranged from approximately 8.2 G's up to about 11.1 G's, with absolute peak values of just over 14 G's at the higher velocity change. The parameters of the test configuration enabled the experimental data to be combined into a polynomial "injury" function of the two primary independent variables (i.e. front seat adult occupant weight and velocity change) so that the "likelihood" of rear child "injury potential" could be determined over a wide range of the key parameters. The experimentally derived head injury data was used to obtain a preliminary HIC (Head Injury Criteria) polynomial fit at the 900 level for the rear-seated child. Several actual accident cases were compared with the preliminary polynomial fit. This study provides a test efficient, multi-variable, method to compare the injury biomechanical data with actual accident cases.

Interaction of sea water and lava during submarine eruptions at mid-ocean ridges

USGS Publications Warehouse

Perfit, M.R.; Cann, J.R.; Fornari, D.J.; Engels, J.; Smith, D.K.; Ridley, W.I.; Edwards, M.H.

2003-01-01

Lava erupts into cold sea water on the ocean floor at mid-ocean ridges (at depths of 2,500 m and greater), and the resulting flows make up the upper part of the global oceanic crust. Interactions between heated sea water and molten basaltic lava could exert significant control on the dynamics of lava flows and on their chemistry. But it has been thought that heating sea water at pressures of several hundred bars cannot produce significant amounts of vapour and that a thick crust of chilled glass on the exterior of lava flows minimizes the interaction of lava with sea water. Here we present evidence to the contrary, and show that bubbles of vaporized sea water often rise through the base of lava flows and collect beneath the chilled upper crust. These bubbles of steam at magmatic temperatures may interact both chemically and physically with flowing lava, which could influence our understanding of deep-sea volcanic processes and oceanic crustal construction more generally. We infer that vapour formation plays an important role in creating the collapse features that characterize much of the upper oceanic crust and may accordingly contribute to the measured low seismic velocities in this layer.

Frontal plane multi-segment foot kinematics in high- and low-arched females during dynamic loading tasks.

PubMed

Powell, Douglas W; Long, Benjamin; Milner, Clare E; Zhang, Songning

2011-02-01

The functions of the medial longitudinal arch have been the focus of much research in recent years. Several studies have shown kinematic differences between high- and low-arched runners. No literature currently compares the inter-segmental foot motion of high- and low-arched recreational athletes. The purpose of this study was to examine inter-segmental foot motion in the frontal plane during dynamic loading activities in high- and low-arched female athletes. Inter-segmental foot motions were examined in 10 high- and 10 low-arched female recreational athletes. Subjects performed five barefooted trials in each of the following randomized movements: walking, running, downward stepping and landing. Three-dimensional kinematic data were recorded. High-arched athletes had smaller peak ankle eversion angles in walking, running and downward stepping than low-arched athletes. At the rear-midfoot joint high-arched athletes reached peak eversion later in walking and downward stepping than the low-arched athletes. The high-arched athletes had smaller peak mid-forefoot eversion angles in walking, running and downward stepping than the low-arched athletes. The current findings show that differences in foot kinematics between the high- and low-arched athletes were in position and not range of motion within the foot. Copyright © 2010 Elsevier B.V. All rights reserved.

STS-114 Flight Day 10 Highlights

NASA Technical Reports Server (NTRS)

2005-01-01

On Flight Day 10 of the STS-114 mission the International Space Station (ISS) is seen in low lighting while the Space Station Remote Manipulator System (SSRMS), also known as Canadarm 2 grapples the Raffaello Multipurpose Logistics Module (MPLM) in preparation for its undocking the following day. Members of the shuttle crew (Commander Eileen Collins, Pilot James Kelly, Mission Specialists Soichi Noguchi, Stephen Robinson, Andrew Thomas, Wendy Lawrence, and Charles Camarda) and the Expedition 11 crew (Commander Sergei Krikalev and NASA ISS Science Officer and Flight Engineer John Phillips) of the ISS read statements in English and Russian in a ceremony for astronauts who gave their lives. Interview segments include one of Collins, Robinson, and Camarda, wearing red shirts to commemorate the STS-107 Columbia crew, and one of Collins and Noguchi on board the ISS, which features voice over from an interpreter translating questions from the Japanese prime minister. The video also features a segment showing gap fillers on board Discovery after being removed from underneath the orbiter, and another segment which explains an experimental plug for future shuttle repairs being tested onboard the mid deck.

Myocardial segmentation based on coronary anatomy using coronary computed tomography angiography: Development and validation in a pig model.

PubMed

Chung, Mi Sun; Yang, Dong Hyun; Kim, Young-Hak; Kang, Soo-Jin; Jung, Joonho; Kim, Namkug; Heo, Seung-Ho; Baek, Seunghee; Seo, Joon Beom; Choi, Byoung Wook; Kang, Joon-Won; Lim, Tae-Hwan

2017-10-01

To validate a method for performing myocardial segmentation based on coronary anatomy using coronary CT angiography (CCTA). Coronary artery-based myocardial segmentation (CAMS) was developed for use with CCTA. To validate and compare this method with the conventional American Heart Association (AHA) classification, a single coronary occlusion model was prepared and validated using six pigs. The unstained occluded coronary territories of the specimens and corresponding arterial territories from CAMS and AHA segmentations were compared using slice-by-slice matching and 100 virtual myocardial columns. CAMS more precisely predicted ischaemic area than the AHA method, as indicated by 95% versus 76% (p < 0.001) of the percentage of matched columns (defined as percentage of matched columns of segmentation method divided by number of unstained columns in the specimen). According to the subgroup analyses, CAMS demonstrated a higher percentage of matched columns than the AHA method in the left anterior descending artery (100% vs. 77%; p < 0.001) and mid- (99% vs. 83%; p = 0.046) and apical-level territories of the left ventricle (90% vs. 52%; p = 0.011). CAMS is a feasible method for identifying the corresponding myocardial territories of the coronary arteries using CCTA. • CAMS is a feasible method for identifying corresponding coronary territory using CTA • CAMS is more accurate in predicting coronary territory than the AHA method • The AHA method may underestimate the ischaemic territory of LAD stenosis.

Spatial instability of the rift in the St. Paul multifault transform fracture system, Atlantic Ocean

NASA Astrophysics Data System (ADS)

Sokolov, S. Yu.; Zaraiskaya, Yu. A.; Mazarovich, A. O.; Efimov, V. N.; Sokolov, N. S.

2016-05-01

The structure of the acoustic basement of the eastern part of the St. Paul multifault transform fracture system hosts rift paleovalleys and a paleonodal depression that mismatch the position of the currently active zones. This displacement zone, which is composed of five fault troughs, is unstable in terms of the position of the rift segments, which jumped according to redistribution of stresses. The St. Paul system is characterized by straightening of the transform transition between two remote segments of the Mid-Atlantic Ridge (MAR). The eastern part of the system contains anomalous bright-spot-like reflectors on the flattened basement, which is a result of atypical magmatism, that forms the standard ridge relief of the acoustic basement. Deformations of the acoustic basement have a presedimentation character. The present-day deformations with lower amplitude in comparison to the basement are accompanied by acoustic brightening of the sedimentary sequence. The axial Bouguer anomalies in the east of the system continue to the north for 120 km from the active segments of the St. Paul system. Currently seismically active segments of the spreading system are characterized by increasing amplitudes of the E-W displacement along the fault troughs. Cross-correlation of the lengths of the active structural elements of the MAR zone (segments of the ridge and transform fracture zones of displacement) indicates that, statistically, the multifault transform fracture system is a specific type of oceanic strike-slip faults.

Diabetes in the national TV news: 1971-1981.

PubMed

Pichert, J W

1983-01-01

Millions of Americans get virtually all their current events information from the national nightly television news programs. The purpose of this study was to learn what diabetes-related information had been broadcast over the last 11 years by the network news programs. Another objective was to learn how that coverage compared with that given other chronic diseases. The Vanderbilt Television News Archives (VTNA) has videotaped every ABC, NBC, and CBS nightly newscast since mid-1968. The contents of each telecast have been catalogued and indexed. Indexes were searched for every segment that had anything to do with diabetes from 1971 through 1981. In the last 11 years there have been 32 diabetes-related news segments. More than a third were about the controversial attempt to ban saccharin. Because each network may carry essentially the same story, the number of nonoverlapping reports was 20. The total time of the diabetes-related segments was 70 minutes. The topics covered by the news reports included oral agents (5 reports), artificial sweeteners (12), biosynthetic human insulin (BHI) (7), and an assortment of unique items. The 32 diabetes-related segments compare with 23 about arthritis, 215 about heart diseases, and 925 dealing with cancer. A compilation of the non-overlapping segments has been shown to health professionals, who felt the stories were generally accurate. Diabetes is not portrayed as a killer. Therefore, diabetes seems less serious, and therefore less newsworthy, than heart disease or cancer.

LDR segmented mirror technology assessment study

NASA Technical Reports Server (NTRS)

Krim, M.; Russo, J.

1983-01-01

In the mid-1990s, NASA plans to orbit a giant telescope, whose aperture may be as great as 30 meters, for infrared and sub-millimeter astronomy. Its primary mirror will be deployed or assembled in orbit from a mosaic of possibly hundreds of mirror segments. Each segment must be shaped to precise curvature tolerances so that diffraction-limited performance will be achieved at 30 micron (nominal operating wavelength). All panels must lie within 1 micron on a theoretical surface described by the optical precipitation of the telescope's primary mirror. To attain diffraction-limited performance, the issues of alignment and/or position sensing, position control of micron tolerances, and structural, thermal, and mechanical considerations for stowing, deploying, and erecting the reflector must be resolved. Radius of curvature precision influences panel size, shape, material, and type of construction. Two superior material choices emerged: fused quartz (sufficiently homogeneous with respect to thermal expansivity to permit a thin shell substrate to be drape molded between graphite dies to a precise enough off-axis asphere for optical finishing on the as-received a segment) and a Pyrex or Duran (less expensive than quartz and formable at lower temperatures). The optimal reflector panel size is between 1-1/2 and 2 meters. Making one, two-meter mirror every two weeks requires new approaches to manufacturing off-axis parabolic or aspheric segments (drape molding on precision dies and subsequent finishing on a nonrotationally symmetric dependent machine). Proof-of-concept developmental programs were identified to prove the feasibility of the materials and manufacturing ideas.

Crypto-rhombomeres of the mouse medulla oblongata, defined by molecular and morphological features.

PubMed

Tomás-Roca, Laura; Corral-San-Miguel, Rubén; Aroca, Pilar; Puelles, Luis; Marín, Faustino

2016-03-01

The medulla oblongata is the caudal portion of the vertebrate hindbrain. It contains major ascending and descending fiber tracts as well as several motor and interneuron populations, including neural centers that regulate the visceral functions and the maintenance of bodily homeostasis. In the avian embryo, it has been proposed that the primordium of this region is subdivided into five segments or crypto-rhombomeres (r7-r11), which were defined according to either their parameric position relative to intersomitic boundaries (Cambronero and Puelles, in J Comp Neurol 427:522-545, 2000) or a stepped expression of Hox genes (Marín et al., in Dev Biol 323:230-247, 2008). In the present work, we examine the implied similar segmental organization of the mouse medulla oblongata. To this end, we analyze the expression pattern of Hox genes from groups 3 to 8, comparing them to the expression of given cytoarchitectonic and molecular markers, from mid-gestational to perinatal stages. As a result of this approach, we conclude that the mouse medulla oblongata is segmentally organized, similarly as in avian embryos. Longitudinal structures such as the nucleus of the solitary tract, the dorsal vagal motor nucleus, the hypoglossal motor nucleus, the descending trigeminal and vestibular columns, or the reticular formation appear subdivided into discrete segmental units. Additionally, our analysis identified an internal molecular organization of the migrated pontine nuclei that reflects a differential segmental origin of their neurons as assessed by Hox gene expression.

The 'respect rather than resect' principle in mitral valve repair: the lateral dislocation of the P2 technique.

PubMed

Zanobini, Marco; Ricciardi, Gabriella; Mammana, Francesco Liborio; Kassem, Samer; Poggio, Paolo; Di Minno, Alessandro; Cavallotti, L; Saccocci, Matteo

2017-09-01

Leaflet resection represents the reference standard for surgical treatment of mitral valve (MV) regurgitation. New approaches recently proposed place emphasis on respecting, rather than resecting, the leaflet tissue to avoid the drawbacks of the 'resection' approach. The lateral dislocation of mid portion of mitral posterior leaflet (P2) technique for MV repair is a nonresectional technique in which the prolapsed P2 segment is sutured to normal P1 segment. Our study evaluates the effectiveness of this technique. We performed the procedure on seven patients. Once ring annular sutures were placed, the prolapsed P2 segment was dislocated toward the normal P1 segment with a rotation of 90° and without any resection. If present, residual clefts between P2 and P3 segments were closed. Once the absence of residual mitral regurgitation is confirmed by saline pressure test, ring annuloplasty was completed. The valve was evaluated using transesophageal echocardiography in the operating room and by transthoracic echocardiography before discharge. At the last follow-up visit, transthoracic echocardiography revealed no mitral regurgitation and normal TRANSVALVULAR gradients. The lateral dislocation of P2 is an easily fine-tuned technique for isolated P2 prolapse, with the advantage of short aortic cross-clamp and cardiopulmonary bypass times. We think it might be very favorable in older and frail patients. Long-term follow-up is necessary to assess the durability of this technique.

Doppler Systolic Signal Void in Hypertrophic Cardiomyopathy: Apical Aneurysm and Severe Obstruction without Elevated Intraventricular Velocities.

PubMed

Po, Jose Ricardo F; Kim, Bette; Aslam, Farhan; Arabadjian, Milla; Winson, Glenda; Cantales, Deborah; Kushner, Josef; Kornberg, Robert; Sherrid, Mark V

2015-12-01

In patients with hypertrophic cardiomyopathy (HCM), akinetic apical aneurysms are associated with ventricular tachycardia, heart failure, apical thrombus, and mortality. The cause of apical aneurysms remains unresolved, and there is controversy about prevalence and significance of mid-left ventricular (LV) obstruction, often present in these patients. The aim of this study was to test the hypothesis that low velocities in patients with aneurysms are due to near complete cessation of mid-LV flow, characteristically marked by a Doppler signal void. This was a retrospective analysis of 39 patients with HCM with segmental hypertrophy of the mid left ventricle and complete systolic emptying at the mid-LV level. The severity of dynamic obstruction was evaluated by measuring the time during which cross-sectional mid-LV cavity area was <1 cm(2). Presence or absence of an LV Doppler midsystolic signal void was determined. Akinetic apical aneurysms were present in 21 patients. The duration of two-dimensional mid-LV short-axis complete emptying was longer in patients with akinetic apical aneurysms (194 ± 45 vs 148 ± 63 msec, P = .013), nearly 50% of systole. Midsystolic signal voids were seen only in patients with akinetic apical aneurysms (P < .001), present in 86%. In patients with akinetic aneurysms, there was a strong correlation between the duration of the systolic signal void and the proportion of systole with complete emptying < 1 cm(2) (r = 0.704; P = .001). Complete emptying < 1 cm(2) for ≥ 38% of systole was associated with akinetic aneurysm (odds ratio, 9.35; P < .004). Patients with akinetic apical aneurysm HCM have near complete cessation of flow across severe dynamic mid-LV obstruction for nearly 50% of systole. This explains how the adverse effects of obstruction may occur without high velocities on echocardiography. Copyright © 2015 American Society of Echocardiography. Published by Elsevier Inc. All rights reserved.

Numerical Temperature And Fluid-Flow Modelling For The Topographic Effects On Hydrothermal Circulation; A case study in Lucy Strike Vent Field

NASA Astrophysics Data System (ADS)

Erçetin, Engin; Düşünür Doǧan, Doǧa

2017-04-01

The aim of the study is to present a numerical temperature and fluid-flow modelling for the topographic effects on hydrothermal circulation. Bathymetry can create a major disturbance on fluid flow pattern. ANSYS Fluent Computational fluid dynamics software is used for simulations. Coupled fluid flow and temperature quations are solved using a 2-Dimensional control volume finite difference approach. Darcy's law is assumed to hold, the fluid is considered to be anormal Boussinesq incompressible fluid neglecting inertial effects. Several topographic models were simulated and both temperature and fluid flow calculations obtained for this study. The preliminary simulations examine the effect of a ingle bathymetric high on a single plume and the secondary study of simulations investigates the effect of multiple bathymetric highs on multiple plume. The simulations were also performed for the slow spreading Lucky Strike segment along the Mid-Atlantic Ridge (MAR), one of the best studied regions along the MAR, where a 3.4 km deep magma chamber extending 6 km along-axis is found at its center. The Lucky Strike segment displays a transitional morphology between that of the FAMOUS - North FAMOUS segments, which are characterized by well-developed axial valleys typical of slow-spreading segments, and that of the Menez Gwen segment, characterized by an axial high at the segment center. Lucky Strike Segment hosts a central volcano and active vent field located at the segment center and thus constitutes an excellent case study to simulate the effects of bathymetry on fluid flow. Results demonstrate that bathymetric relief has an important influence on hydrothermal flow. Subsurface pressure alterations can be formed by bathymetric highs, for this reason, bathymetric relief ought to be considered while simulating hydrothermal circulation systems. Results of this study suggest the dominant effect of bathymetric highs on fluid flow pattern and Darcy velocities will be presented. Keywords: Hydrothermal Circulation, Lucky Strike, Bathymetry - Topography, Vent Location, Fluid Flow, Numerical Modelling

A study of earthquake-induced building detection by object oriented classification approach

NASA Astrophysics Data System (ADS)

Sabuncu, Asli; Damla Uca Avci, Zehra; Sunar, Filiz

2017-04-01

Among the natural hazards, earthquakes are the most destructive disasters and cause huge loss of lives, heavily infrastructure damages and great financial losses every year all around the world. According to the statistics about the earthquakes, more than a million earthquakes occur which is equal to two earthquakes per minute in the world. Natural disasters have brought more than 780.000 deaths approximately % 60 of all mortality is due to the earthquakes after 2001. A great earthquake took place at 38.75 N 43.36 E in the eastern part of Turkey in Van Province on On October 23th, 2011. 604 people died and about 4000 buildings seriously damaged and collapsed after this earthquake. In recent years, the use of object oriented classification approach based on different object features, such as spectral, textural, shape and spatial information, has gained importance and became widespread for the classification of high-resolution satellite images and orthophotos. The motivation of this study is to detect the collapsed buildings and debris areas after the earthquake by using very high-resolution satellite images and orthophotos with the object oriented classification and also see how well remote sensing technology was carried out in determining the collapsed buildings. In this study, two different land surfaces were selected as homogenous and heterogeneous case study areas. In the first step of application, multi-resolution segmentation was applied and optimum parameters were selected to obtain the objects in each area after testing different color/shape and compactness/smoothness values. In the next step, two different classification approaches, namely "supervised" and "unsupervised" approaches were applied and their classification performances were compared. Object-based Image Analysis (OBIA) was performed using e-Cognition software.

Post-collapse evolution of a coastal caldera system: Insights from a 3D multichannel seismic survey from the Campi Flegrei caldera (Italy)

NASA Astrophysics Data System (ADS)

Steinmann, Lena; Spiess, Volkhard; Sacchi, Marco

2018-01-01

In this study we present the first 3D high-resolution multichannel seismic dataset from a (partly) submerged caldera setting, the Campi Flegrei caldera (CFc). Our work aims at examining the spatial and temporal evolution of the CFc since the last caldera-forming event, the Neapolitan Yellow Tuff (NYT, 15 ka) eruption. The main objectives are to investigate the caldera's shallow (< 200 m) subsurface structure and post-NYT-collapse (< 15 ka) deformational processes, the manifestation of magmatic and hydrothermal processes in the subsurface, as well as the volume, dispersal and explosivity of coastal post-collapse eruptions, thereby significantly advancing our current knowledge of the CFc. Our findings confirm the existence of a nested-caldera system comprising two caldera depressions bordered by an inner and a deeper (> 200 m) outer caldera ring-fault zone. The seismic data revealed that the NYT collapse occurred exclusively along the inner caldera ring-fault and that the related NYT caldera depression is filled with on average 61 m of sediment deposited between 15 and 8.6 ka. The geometry of the inner ring-fault, consisting of four fault segments, seems to be strongly influenced by regional NW-SE and NE SW-trending faults. Furthermore, we found that the ring-faults have acted as pathway for the recent (< 3.7 ka) ascent of fluids (gases and liquids) and the emplacement of intrusions. We propose that the outer ring-fault zone, which likely formed in the course of the Campanian Ignimbrite (CI, 39 ka) eruption, has had the main control on the release and ascent of fluids. Overall, the caldera ring-faults represent key locations for the interconnection between the magmatic-hydrothermal systems and the surface and, thus, potentially represent future eruption sites as well as important fluid pathways during the recent unrest episodes. Furthermore, we reassessed the volume, dispersal, and explosivity of the post-collapse Nisida Bank (10.3-9.5 ka), Nisida Island ( 3.98 ka), and Capo Miseno (3.7 ka) eruptions, yielding DRE values of 0.15 km3, 0.1 km3, and 0.08 km3, respectively, and an explosive magnitude of at least moderate-large scale (VEI 3). Our findings highlight that eruption volumes may be underestimated by 3 to 4 times if the submerged portion of a (partly) submerged caldera is not considered, implying severe consequences for the hazard and risk evaluation. The spatial response of the post-collapse (< 15 ka) depositional environment to volcanic activity, deformational processes and sea-level variations is presented in a comprehensive 3D evolutionary model.

Digging for Fossils in the Hertzsprung Gap

NASA Technical Reports Server (NTRS)

Ayres, Thomas R.

1999-01-01

Objective was to conduct deep (approx. 250 ks) pointings on two EUV sources, the early-F giant beta Cas and the mid-G giant mu Velorum; to obtain spectra in the range 70-300 A and to record Deep Survey light curves over the extensive duration of each observation. We have analyzed the DS lightcurve and the SW spectrum, breaking the latter lip into time slices corresponding to key phases of the observation: pre-flare, flare rise, and two segments of the flare decay.

The Top 100 Bachelor's Degrees Conferred

ERIC Educational Resources Information Center

Borden, Victor M. H.

2011-01-01

This article presents this year's Top 100 institutions that conferred the most bachelor's degrees to students of color in academic year 2009-2010. It shows the total number of bachelor's degrees for a specific minority group or for total minorities, with subtotals for women and men in that ethnic group. The author also includes the prior year…

33 CFR 116.50 - Apportionment of costs under the Truman-Hobbs Act.

Code of Federal Regulations, 2014 CFR

2014-07-01

... traffic, and actual capital costs of the used service life. The United States will bear the balance of the... quality than similar items in the bridge prior to alteration. Examples include improved signal and fender... service life of old bridge ____ $____ Subtotal ____ $____ Share to be borne by the bridge owner...

33 CFR 116.50 - Apportionment of costs under the Truman-Hobbs Act.

Code of Federal Regulations, 2010 CFR

2010-07-01

... traffic, and actual capital costs of the used service life. The United States will bear the balance of the... quality than similar items in the bridge prior to alteration. Examples include improved signal and fender... service life of old bridge ____ $____ Subtotal ____ $____ Share to be borne by the bridge owner...

33 CFR 116.50 - Apportionment of costs under the Truman-Hobbs Act.

Code of Federal Regulations, 2012 CFR

2012-07-01

... traffic, and actual capital costs of the used service life. The United States will bear the balance of the... quality than similar items in the bridge prior to alteration. Examples include improved signal and fender... service life of old bridge ____ $____ Subtotal ____ $____ Share to be borne by the bridge owner...

33 CFR 116.50 - Apportionment of costs under the Truman-Hobbs Act.

Code of Federal Regulations, 2011 CFR

2011-07-01

... traffic, and actual capital costs of the used service life. The United States will bear the balance of the... quality than similar items in the bridge prior to alteration. Examples include improved signal and fender... service life of old bridge ____ $____ Subtotal ____ $____ Share to be borne by the bridge owner...

75 FR 42762 - Agency Information Collection Activities: Proposed Collection; Comment Request, OMB No. 1660-0015...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-22

... Amendments to National Flood Insurance Program Maps (Spanish). SUMMARY: The Federal Emergency Management... Insurance Program Maps (Spanish). Abstract: This collection of information allows owners of structures that... National Flood Insurance Program Maps (Spanish)/ FEMA Form 086-0-22A. Subtotal 18,775 18,775 22,530 659,228...

Improving Naval Shipbuilding Project Efficiency through Rework Reduction

DTIC Science & Technology

2007-09-01

National Steel and Shipbuilding Company Kvaerner Masa (Finland) Swan Hunter Northrop Grumman Ship Systems Royal Schelde (The Netherlands) Vosper...72 10% T-AKE 9 $ 380 $9 2% $39 10% T-AKE Subtotal $3,354 $29 1% $370 11% Grand Total 49,287 5,645 11% 5,934 12% Table 8. Change Cost Analysis

Advanced real-time multi-display educational system (ARMES): An innovative real-time audiovisual mentoring tool for complex robotic surgery.

PubMed

Lee, Joong Ho; Tanaka, Eiji; Woo, Yanghee; Ali, Güner; Son, Taeil; Kim, Hyoung-Il; Hyung, Woo Jin

2017-12-01

The recent scientific and technologic advances have profoundly affected the training of surgeons worldwide. We describe a novel intraoperative real-time training module, the Advanced Robotic Multi-display Educational System (ARMES). We created a real-time training module, which can provide a standardized step by step guidance to robotic distal subtotal gastrectomy with D2 lymphadenectomy procedures, ARMES. The short video clips of 20 key steps in the standardized procedure for robotic gastrectomy were created and integrated with TilePro™ software to delivery on da Vinci Surgical Systems (Intuitive Surgical, Sunnyvale, CA). We successfully performed the robotic distal subtotal gastrectomy with D2 lymphadenectomy for patient with gastric cancer employing this new teaching method without any transfer errors or system failures. Using this technique, the total operative time was 197 min and blood loss was 50 mL and there were no intra- or post-operative complications. Our innovative real-time mentoring module, ARMES, enables standardized, systematic guidance during surgical procedures. © 2017 Wiley Periodicals, Inc.

Subtotal resection of vestibular schwannoma: Evaluation with Ki-67 measurement, magnetic resonance imaging, and long-term observation

PubMed Central

Iannella, Giannicola; de Vincentiis, Marco; Di Gioia, Cira; Carletti, Raffaella; Pasquariello, Benedetta; Manno, Alessandra; Angeletti, Diletta; Savastano, Ersilia; Magliulo, Giuseppe

2017-01-01

Purpose The aim of this study was to compare the postoperative clinical and radiological data of patients with vestibular schwannomas who were initially managed by near total resection (NTR) or subtotal resection (STR). The Ki-67 analysis results were compared with tumor regrowth to determine the presence of a correlation between this proliferative index and postoperative tumor regrowth. Study Design Seventeen adult patients (7 male, 10 female) were retrospectively reviewed. Nine (52.9%) and eight (47.1%) patients underwent NTR and STR, respectively. Postoperative clinical and radiological data associated with vestibular schwannoma growth were compared with the Ki-67 immunohistochemical analysis results. Results Evidence of clinically significant regrowth was observed in four (23.5%) patients. Patients who underwent NTR had a lower rate/incidence of tumor regrowth than did patients who underwent STR. Patients with a higher Ki-67 index had the highest tumor regrowth rates. Conclusions Our study indicates that assessment of the Ki-67 index may be useful for determining the probability of regrowth of vestibular schwannomas when only partial removal is accomplished. PMID:28447494

Pre-eruptive processes and timescales recorded in olivine crystals and melt inclusions from the 2007 caldera-forming eruption of Piton de la Fournaise (La Réunion Island)

NASA Astrophysics Data System (ADS)

Albert, H.; Costa Rodriguez, F.; Herrin, J. S.; Di Muro, A.; Metrich, N.

2017-12-01

Summit caldera collapse is a rare event at Piton de la Fournaise. One such event occurred in 2007 during one of the largest historic eruptions of more than 200 Mm3 of magma. Effusion of aphyric basalts initiated at the summit area in mid-February, followed by the migration of active vents in March and early April to progressively lower elevations. Collapse of a 1 km diameter summit caldera occurred on April 5th while effusion of crystal rich lava continued until May 1st. Here we investigate these events through timescales recorded in olivine crystals and their melt inclusions (MIs) using a diffusion modelling approach. Olivine crystals from the early tephra emitted just before caldera collapse and from the post caldera collapse lava display similar compositions and zoning patterns. Fo [%Fo=100*Mg/(Mg+Fe)] values range from ≈82 to ≈86 and the phenocrysts are complexly zoned including a reverse followed by normal zoning. Fo≈84 cores are surrounded by a Fo≈86 plateau. In contact with the surrounding matrix or MIs, crystals exhibit normal zoning toward values of Fo≈82-83. Phosphorus distribution revealed in 2D X-Ray maps shows complex patterns that can be interpreted as early skeletal growth likely responsible for entrapment of MIs. Diffusion modeling of Fo, Ca, and Ni reveals two distinct magma residence timescales recorded in olivine. The inner reversed-zoned profiles yield timescales of 1-2 years, while normally-zoned profiles at crystal rims and also adjacent to MIs yield timescales of only a few days. Modelling of the P zoning patterns is consistent with the 1-2 year timescales obtained from reversely-zoned profiles. H2O contents of olivine-hosted MIs range from 0.35-1.16 wt%. Selective loss of water in some MIs suggests diffusive re-equilibration between the MIs and host magma during ascent. We have applied H2O diffusion modeling to estimate timescales of water loss of a few days, consistent with the results of Fo/Ca/Ni modeling of olivine profiles. We infer that the timescales of one to two years obtained from reversely-zoned profiles and P in olivine could record residence in a long-lived intrusive body sitting below the volcano summit which was fluidized during the eruption leading to caldera collapse. Timescales of one to a few days obtained from normal zoning and water loss record magma ascent during the 2007 eruption.

Investigating the structure and fragmentation of a highly filamentary IRDC

NASA Astrophysics Data System (ADS)

Henshaw, J. D.; Caselli, P.; Fontani, F.; Jiménez-Serra, I.; Tan, J. C.; Longmore, S. N.; Pineda, J. E.; Parker, R. J.; Barnes, A. T.

2016-11-01

We present 3.7 arcsec (˜0.05 pc) resolution 3.2 mm dust continuum observations from the Institut de Radioastronomie Millimétrique Plateau de Bure Interferometer, with the aim of studying the structure and fragmentation of the filamentary infrared dark cloud (IRDC) G035.39-00.33. The continuum emission is segmented into a series of 13 quasi-regularly spaced (λobs ˜ 0.18 pc) cores, following the major axis of the IRDC. We compare the spatial distribution of the cores with that predicted by theoretical work describing the fragmentation of hydrodynamic fluid cylinders, finding a significant (a factor of ≳ 8) discrepancy between the two. Our observations are consistent with the picture emerging from kinematic studies of molecular clouds suggesting that the cores are harboured within a complex network of independent sub-filaments. This result emphasizes the importance of considering the underlying physical structure, and potentially, dynamically important magnetic fields, in any fragmentation analysis. The identified cores exhibit a range in (peak) beam-averaged column density (3.6 × 1023 cm-2 < NH, c < 8.0 × 1023 cm-2), mass (8.1 M⊙ < Mc < 26.1 M⊙), and number density (6.1 × 105 cm-3 < nH, c, eq < 14.7 × 105 cm-3). Two of these cores, dark in the mid-infrared, centrally concentrated, monolithic (with no traceable substructure at our PdBI resolution), and with estimated masses of the order ˜20-25 M⊙, are good candidates for the progenitors of intermediate-to-high-mass stars. Virial parameters span a range 0.2 < αvir < 1.3. Without additional support, possibly from dynamically important magnetic fields with strengths of the order of 230 μG < B < 670 μG, the cores are susceptible to gravitational collapse. These results may imply a multilayered fragmentation process, which incorporates the formation of sub-filaments, embedded cores, and the possibility of further fragmentation.

Left Ventricular Myocardial Function in Children With Pulmonary Hypertension: Relation to Right Ventricular Performance and Hemodynamics.

PubMed

Burkett, Dale A; Slorach, Cameron; Patel, Sonali S; Redington, Andrew N; Ivy, D Dunbar; Mertens, Luc; Younoszai, Adel K; Friedberg, Mark K

2015-08-01

Through ventricular interdependence, pulmonary hypertension (PH) induces left ventricular (LV) dysfunction. We hypothesized that LV strain/strain rate, surrogate measures of myocardial contractility, are reduced in pediatric PH and relate to invasive hemodynamics, right ventricular strain, and functional measures of PH. At 2 institutions, echocardiography was prospectively performed in 54 pediatric PH patients during cardiac catheterization, and in 54 matched controls. Patients with PH had reduced LV global longitudinal strain (LS; -18.8 [-17.3 to -20.4]% versus -20.2 [-19.0 to -20.9]%; P=0.0046) predominantly because of reduced basal (-12.9 [-10.8 to -16.3]% versus -17.9 [-14.5 to -20.7]%; P<0.0001) and mid (-17.5 [-15.5 to -19.0]% versus -21.1 [-19.1 to -23.0]%; P<0.0001) septal strain. Basal global circumferential strain was reduced (-18.7 [-15.7 to -22.1]% versus -20.6 [-19.0 to -22.5]%; P=0.0098), as were septal and free-wall segments. Mid circumferential strain was reduced within the free-wall. Strain rates were reduced in similar patterns. Basal septum LS, the combined average LS of basal and mid interventricular septal segments, correlated strongly with degree of PH (r=0.66; P<0.0001), pulmonary vascular resistance (r=0.60; P<0.0001), and right ventricular free-wall LS (r=0.64; P<0.0001). Brain natriuretic peptide levels correlated moderately with septal LS (r=0.48; P=0.0038). PH functional class correlated moderately with LV free-wall LS (r=-0.48; P=0.0051). The septum, shared between ventricles and affected by septal shift, was the most affected LV region in PH. Pediatric PH patients demonstrate reduced LV strain/strain rate, predominantly within the septum, with relationships to invasive hemodynamics, right ventricular strain, and functional PH measures. © 2015 American Heart Association, Inc.

[Surgical treatments in recurrent Graves' disease].

PubMed

Velikov, M; Mendizov, I; Dashev, G

1998-01-01

Seventy-six patients with clinical diagnosis Graves' disease, reoperated in the Clinic of Endocrine Surgery over the period 1985 through 1996, are analyzed. Distribution by gender and age: 3 men with mean age 55.33 y (range 49-60), and 73 women at mean age 39.67 years (range 19-69). The scope of secondary operation includes: thyroidectomy--3 cases, subtotal thyroid resection--55, lobectomy with contralateral subtotal resection--2, and unilateral predominantly subtotal resection--16 cases. It is the purpose of the study to assay the underlying causes of surgical relapse in Graves' disease, its relationship to the radicalism of the intervention, thyrostatic therapy duration, and early and late postoperative complications associated with its removal. In 16 cases (21.05%) secondary operative intervention is done against the background of enhanced production of thyroid hormones. A short 3 to 6-month thyrostatic course precedes the reoperation in eleven patients (14.47%). Unilateral thyroid resection is resorted to in 16 patients (21.05%). Postoperative hypothyroidism is observed in 6 cases (7.89%). A relapse of Graves' disease after reoperation is noted in 3 instances (3.94%). Six patients of the series reviewed (7.89%) develop postoperative hypoparathyroidism: transitory in four (5.26%) and permanent in two (2.63%). In the early postoperative period, paresis of n recurrents (n laryngeus inferior) develops in 2 patients (2.63%): left- and rightside, one each respectively. In terms of morphological patterns, the ensuing relapses after surgery in Graves' disease patients portray the initial pathological process: some cases show a tendency of nodular adenomatous hyperplasia development, sporadic cases form follicular adenomas, and in 14 cases (18.42%) lymphoid infiltrates predominate with a tendency to be converted into Hashimoto's thyroiditis. The presence of enhanced proliferative response induced by a variety of factors, therapeutic ones inclusive, is the basic morphological factor of the recurrent conditions described.

Risk factors associated with delayed gastric emptying after subtotal gastrectomy with Billroth-I anastomosis using circular stapler for early gastric cancer patients

PubMed Central

Kim, Ki Han; Jung, Ghap Joong

2012-01-01

Purpose Gastric surgery may potentiate delayed gastric emptying. Billroth I gastroduodenostomy using a circular stapler is the most preferable reconstruction method. The purpose of this study is to analyze the risk factors associated with delayed gastric emptying after radical subtotal gastrectomy with Billroth I anastomosis using a stapler for early gastric cancer. Methods Three hundred and seventy-eight patients who underwent circular stapled Billroth I gastroduodenostomy after subtotal gastrectomy due to early gastric cancer were analyzed retrospectively. One hundred and eighty-two patients had Billroth I anastomosis using a 25 mm diameter circular stapler, and 196 patients had anastomosis with a 28 or 29 mm diameter circular stapler. Clinicopathological features and postoperative outcomes were evaluated and compared between the two groups. Delayed gastric emptying was diagnosed by symptoms and simple abdomen X-ray with or without upper gastrointestinal series or endoscopy. Results Postoperative delayed gastric emptying was found in 12 (3.2%) of the 378 patients. Among all the variables, distal margin and circular stapler diameter were significantly different between the cases with delayed gastric emptying and no delayed gastric emptying. There were statistically significant differences in sex, body mass index, comorbidity, complication, and operation type according to circular stapler diameter. In both univariate and multivariate logistic regression analyses, only the stapler diameter was found to be a significant factor affecting delayed gastric emptying (P = 0.040). Conclusion In this study, the circular stapler diameter was one of the most significant predictable factors of delayed gastric emptying for Billroth I gastroduodenostomy. The use of a 28 or 29 mm diameter circular stapler rather than a 25 mm diameter stapler in stapled gastroduodenostomy for early gastric cancer can reduce postoperative delayed gastric emptying associated with anastomosic stenosis or edema with relative safety. PMID:23166886

A prospective cross-sectional study of laparoscopic subtotal Lind fundoplication for gastro-oesophageal reflux disease--a durable and effective anti-reflux procedure.

PubMed

Shapey, I M; Agrawal, S; Peacock, A; Super, P

2015-01-01

Laparoscopic partial fundoplication for gastro-oesophageal reflux disease (GORD) is reported to have fewer side effects when compared to Nissen fundoplication, but doubts remain over its long term durability in controlling reflux. The aim of this study was to assess outcome of symptoms for all patients presenting with GORD undergoing routine laparoscopic subtotal Lind fundoplication. All patients undergoing laparoscopic fundoplication between August, 1999 and November, 2007 performed by a single surgeon were included in the study. The anti-reflux procedure studied was laparoscopic Lind (300°) fundoplication with crural repair in all cases. Patients completed pre and post-operative questionnaires containing validated scoring systems for heartburn, gas bloat, dysphagia and overall patient satisfaction. Over the 100-month period, 320 consecutive patients underwent laparoscopic subtotal Lind fundoplication. Of these, 256 (80%) replied to the questionnaire at a mean of 31 months (range 3-96 months) following surgery. 91.4% of respondents had an improvement in heartburn symptom score with a significant reduction in score from 7.74 preoperatively to 1.25 postoperatively (p<0.001). There was also a significant reduction of mean modified Visick score for reflux control (heartburn and regurgitation) from 3.49 preoperatively to 1.48 after surgery (p<0.001). In total, 22 patients developed recurrent reflux symptoms with half of these reporting their recurrence within two years following surgery. Because of this all were tested with post-operative pH testing, yet only one had a 24-h pH time outside the normal range. Overall patient satisfaction was high with a visual analogue score of 9 and 88% of the patients claimed they would have the operation again. Laparoscopic Lind fundoplication demonstrates excellent reflux control when performed routinely for all patients presenting with GORD. This technique is both durable and efficacious in controlling reflux symptoms. Copyright © 2014 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.

Systematic Review of the Long-term Surgical Outcomes of Discoid Lateral Meniscus.

PubMed

Lee, Yong Seuk; Teo, Seow Hui; Ahn, Jin Hwan; Lee, O-Sung; Lee, Seung Hoon; Lee, Je Ho

2017-10-01

To evaluate the surgical treatment of the discoid lateral meniscus (DLM) with long-term follow-up and to search which factors are related to good clinical or radiological outcomes. Search was performed using a MEDLINE, EMBASE, and Cochrane database, and each of the selected studies was evaluated for methodological quality using a risk of bias (ROB) covering 7 criteria. Clinical and radiological outcomes with more than 5 years of follow-up were evaluated after surgical treatment of DLM. They were analyzed according to the age, follow-up period, kind of surgery, DLM type, and alignment. Eleven articles (422 DLM cases) were included in the final analysis. Among 7 criteria, 3 criteria showed little ROB in all studies. However, 4 criteria showed some ROB ("Yes" in 63.6% to 81.8%). The minimal follow-up period was 5.5 years (weighted mean follow-up: 9.1 years). Surgical procedures were performed with open or arthroscopic partial central meniscectomy, subtotal meniscectomy, total meniscectomy, or partial meniscectomy with repair. The majority of the studies showed good clinical results. Mild joint space narrowing was reported in the lateral compartment, but none of the knees demonstrated moderate or advanced degenerative changes. Increased age at surgery, longer follow-up period, and subtotal or total meniscectomy could be related to degenerative change. The majority of the complications was osteochondritis dissecans at the lateral femoral condyle (13 cases) and reoperation was performed by osteochondritis dissecans (4 cases), recurrent swelling (2 cases), residual symptom (1 case), stiffness (1 case), and popliteal stenosis (1 case). Good clinical results were obtained with surgical treatment of symptomatic DLM. The progression of degenerative change was minimal and none of the knees demonstrated moderate or advanced degenerative changes. Increased age at surgery, longer follow-up period, and subtotal or total meniscectomy were possible risk factors for degenerative changes. Level IV, systematic review of Level IV studies. Copyright © 2017 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

Functional-Based Resection Does Not Worsen Quality of Life in Patients with a Diffuse Low-Grade Glioma Involving Eloquent Brain Regions: A Prospective Cohort Study.

PubMed

Muto, Jun; Dezamis, Edouard; Rigaux-Viode, Odile; Peeters, Sophie; Roux, Alexandre; Zanello, Marc; Mellerio, Charles; Sauvageon, Xavier; Varlet, Pascale; Oppenheim, Catherine; Pallud, Johan

2018-05-01

We assessed the impact of surgery on postoperative cognitive function and ability to work in adult patients with a diffuse low-grade glioma involving eloquent brain regions and having a functional-based maximal surgical resection using intraoperative corticosubcortical mapping under awake conditions. We prospectively included 39 consecutive patients with diffuse isocitrate dehydrogenase-mutant low-grade glioma without preoperative and adjuvant oncologic treatment and assessed preoperative (mean, 24.1 ± 21.2 days before surgery) and postoperative (mean, 14.6 ± 13.2 months after surgery) cognitive evaluations and ability to work together with clinical, imaging, therapeutic, and follow-up characteristics before tumor progression. None of the 3 patients without preoperative cognitive deficit had postoperative worsening. We observed a significant inverse interaction between worsened postoperative cognitive function and extent of resection: 80.0%, 18.8%, and 16.7% of worsening after partial, subtotal, and total resection, respectively (P = 0.020). We observed an independent interaction between improved postoperative cognitive function and extent of resection: 20.0%, 43.7%, and 44.4% of improvement after partial, subtotal, and total resection, respectively (P = 0.022). Of the employed patients, 61.8% were unable to work preoperatively and 82.4% resumed their employment postoperatively (mean, 6.9 ± 5.5 months). We observed an independent interaction between postoperative ability to work, similar or superior to preoperative work capacity and extent of resection (P < 0.001): 20.0%, 87.5%, and 100% ability to work after partial, subtotal resection, and total resection. The extent of the functional-based surgical resection and the residual tumor for diffuse low-grade gliomas involving eloquent brain regions correlate with postoperative cognitive outcomes and return to work rates. Copyright © 2018 Elsevier Inc. All rights reserved.

Compositional variation of lavas from a young volcanic field on the Southern Mid-Atlantic Ridge, 8°48'S

NASA Astrophysics Data System (ADS)

Haase, K.; Brandl, P. A.; Melchert, B.; Hauff, F.; Garbe-Schoenberg, C.; Paulick, H.; Kokfelt, T. F.; Devey, C. W.

2012-12-01

Volcanic eruptions along the mid-oceanic ridge system are the most abundant signs of volcanic activity on Earth but little is known about the timescales and nature of these processes. The main parameter determining eruption frequency as well as magma composition appears to be the spreading rate of the mid-oceanic ridge. However, few observations on the scale of single lava flows exist from the slow-spreading Mid-Atlantic Ridge so far. Here we present geological observations and geochemical data for the youngest volcanic features of the so-called A2 segment (Bruguier et al., 2003, Hoernle et al., 2011) of the slow-spreading (33 mm/yr) southern Mid-Atlantic Ridge at 8°48'S. This segment has a thickened crust of about 9 km indicating increased melt production in the mantle. Side-scan sonar mapping revealed a young volcanic field with high reflectivity that was probably erupted from two volcanic fissures each of about 3 km length. Small-scale sampling of the young lava field at 8°48'S by ROV and wax corer and geochemical analyses of the volcanic glasses reveal three different compositional lava units along this about 11 km long portion of the ridge. Based on the incompatible element compositions of volcanic glasses (e.g. K/Ti, Ce/Yb) we can distinguish two lava units forming the northern and the larger southern part of the lava field covering areas of about 5 and 9 square kilometres, respectively. Basalts surrounding the lava field and from an apparently old pillow mound within the young flows are more depleted in incompatible elements than glasses from the young volcanic field. Radium disequilibria suggest that most lavas from this volcanic field have ages of 3000 to 5000 yrs whereas the older lavas surrounding the lava field are older than 8000 yrs. Faults and a thin sediment cover on many lavas support the ages and indicate that this part of the Mid-Atlantic Ridge is in a tectonic rather than in a magmatic stage. Lavas from the northern and southern ends of the southern lava unit have lower MgO but higher Cl/K than those from the centre of the unit indicating more extensive cooling and assimilation of hydrothermally altered material during ascent, most likely at the tips of the feeder dike. The compositional heterogeneity on a scale of 3 km suggests small magma batches that rise vertically from the mantle to the surface without significant lateral flow and mixing. Thus, the observations on the 8°48'S lava field are in agreement with low frequency eruptions from single ascending magma batches beneath slow-spreading ridges. Bruguier, N.J., Minshull, T.A., Brozena, J.M., 2003. Morphology and tectonics of the Mid-Atlantic Ridge, 7°-12°S. Journal of Geophysical Research, 108: DOI: 10.1029/2001JB001172. Hoernle, K., Hauff, F., Kokfelt, T.F., Haase, K., Garbe-Schönberg, D., and Werner, R., 2011, On- and off-axis chemical heterogeneities along the South Atlantic Mid-Ocean-Ridge (5-11°S): Shallow or deep recycling of ocean crust and/or intraplate volcanism?: Earth and Planetary Science Letters, v. 306, p. 86-97.

Interactive 3D segmentation of the prostate in magnetic resonance images using shape and local appearance similarity analysis

NASA Astrophysics Data System (ADS)

Shahedi, Maysam; Fenster, Aaron; Cool, Derek W.; Romagnoli, Cesare; Ward, Aaron D.

2013-03-01

3D segmentation of the prostate in medical images is useful to prostate cancer diagnosis and therapy guidance, but is time-consuming to perform manually. Clinical translation of computer-assisted segmentation algorithms for this purpose requires a comprehensive and complementary set of evaluation metrics that are informative to the clinical end user. We have developed an interactive 3D prostate segmentation method for 1.5T and 3.0T T2-weighted magnetic resonance imaging (T2W MRI) acquired using an endorectal coil. We evaluated our method against manual segmentations of 36 3D images using complementary boundary-based (mean absolute distance; MAD), regional overlap (Dice similarity coefficient; DSC) and volume difference (ΔV) metrics. Our technique is based on inter-subject prostate shape and local boundary appearance similarity. In the training phase, we calculated a point distribution model (PDM) and a set of local mean intensity patches centered on the prostate border to capture shape and appearance variability. To segment an unseen image, we defined a set of rays - one corresponding to each of the mean intensity patches computed in training - emanating from the prostate centre. We used a radial-based search strategy and translated each mean intensity patch along its corresponding ray, selecting as a candidate the boundary point with the highest normalized cross correlation along each ray. These boundary points were then regularized using the PDM. For the whole gland, we measured a mean+/-std MAD of 2.5+/-0.7 mm, DSC of 80+/-4%, and ΔV of 1.1+/-8.8 cc. We also provided an anatomic breakdown of these metrics within the prostatic base, mid-gland, and apex.

Prevention of the collapse of pial collaterals by remote ischemic perconditioning during acute ischemic stroke.

PubMed

Ma, Junqiang; Ma, Yonglie; Dong, Bin; Bandet, Mischa V; Shuaib, Ashfaq; Winship, Ian R

2017-08-01

Collateral circulation is a key variable determining prognosis and response to recanalization therapy during acute ischemic stroke. Remote ischemic perconditioning (RIPerC) involves inducing peripheral ischemia (typically in the limbs) during stroke and may reduce perfusion deficits and brain damage due to cerebral ischemia. In this study, we directly investigated pial collateral flow augmentation due to RIPerC during distal middle cerebral artery occlusion (MCAo) in rats. Blood flow through pial collaterals between the anterior cerebral artery (ACA) and the MCA was assessed in male Sprague Dawley rats using in vivo laser speckle contrast imaging (LSCI) and two photon laser scanning microscopy (TPLSM) during distal MCAo. LSCI and TPLSM revealed that RIPerC augmented collateral flow into distal MCA segments. Notably, while control rats exhibited an initial dilation followed by a progressive narrowing of pial arterioles 60 to 150-min post-MCAo (constricting to 80-90% of post-MCAo peak diameter), this constriction was prevented or reversed by RIPerC (such that vessel diameters increased to 105-110% of post-MCAo, pre-RIPerC diameter). RIPerC significantly reduced early ischemic damage measured 6 h after stroke onset. Thus, prevention of collateral collapse via RIPerC is neuroprotective and may facilitate other protective or recanalization therapies by improving blood flow in penumbral tissue.

Upper Airway Elasticity Estimation in Pediatric Down Syndrome Sleep Apnea Patients Using Collapsible Tube Theory.

PubMed

Subramaniam, Dhananjay Radhakrishnan; Mylavarapu, Goutham; McConnell, Keith; Fleck, Robert J; Shott, Sally R; Amin, Raouf S; Gutmark, Ephraim J

2016-05-01

Elasticity of the soft tissues surrounding the upper airway lumen is one of the important factors contributing to upper airway disorders such as snoring and obstructive sleep apnea. The objective of this study is to calculate patient specific elasticity of the pharynx from magnetic resonance (MR) images using a 'tube law', i.e., the relationship between airway cross-sectional area and transmural pressure difference. MR imaging was performed under anesthesia in children with Down syndrome (DS) and obstructive sleep apnea (OSA). An airway segmentation algorithm was employed to evaluate changes in airway cross-sectional area dilated by continuous positive airway pressure (CPAP). A pressure-area relation was used to make localized estimates of airway wall stiffness for each patient. Optimized values of patient specific Young's modulus for tissue in the velopharynx and oropharynx, were estimated from finite element simulations of airway collapse. Patient specific deformation of the airway wall under CPAP was found to exhibit either a non-linear 'hardening' or 'softening' behavior. The localized airway and tissue elasticity were found to increase with increasing severity of OSA. Elasticity based patient phenotyping can potentially assist clinicians in decision making on CPAP and airway or tissue elasticity can supplement well-known clinical measures of OSA severity.

Concentration dependent requirement for local protein synthesis in motor neuron subtype specific response to axon guidance cues

PubMed Central

Nedelec, Stephane; Peljto, Mirza; Shi, Peng; Amoroso, Mackenzie W.; Kam, Lance C.; Wichterle, Hynek

2012-01-01

Formation of functional motor circuits relies on the ability of distinct spinal motor neuron subtypes to project their axons with high precision to appropriate muscle targets. While guidance cues contributing to motor axon pathfinding have been identified, the intracellular pathways underlying subtype specific responses to these cues remain poorly understood. In particular, it remains controversial whether responses to axon guidance cues depend on axonal protein synthesis. Using a growth cone collapse assay, we demonstrate that mouse embryonic stem cell (ESC) derived spinal motor neurons (ES-MNs) respond to ephrin-A5, Sema3f and Sema3a in a concentration dependent manner. At low doses, ES-MNs exhibit segmental or subtype specific responses, while this selectivity is lost at higher concentrations. Response to high doses of semaphorins and to all doses of ephrin-A5 is protein synthesis independent. In contrast, using microfluidic devices and stripe assays, we show that growth cone collapse and guidance at low concentrations of semaphorins relies on local protein synthesis in the axonal compartment. Similar bimodal response to low and high concentrations of guidance cues is observed in human ES-MNs, pointing to a general mechanism by which neurons increase their repertoire of responses to the limited set of guidance cues involved in neural circuit formation. PMID:22279234

Extinct mid-ocean ridges and insights on the influence of hotspots at divergent plate boundaries

NASA Astrophysics Data System (ADS)

MacLeod, Sarah; Dietmar Müller, R.; Williams, Simon; Matthews, Kara

2016-04-01

We review all global examples of confirmed or suspected extinct mid-ocean ridges that are preserved in present-day ocean basins. Data on their spreading rate prior to extinction, time of cessation, length of activity, bathymetric and gravity signature are analysed. This analysis identifies some differences between subgroups of extinct ridges, including microplate spreading ridges, back-arc basin ridges and large-scale mid-ocean ridges. Crustal structure of extinct ridges is evaluated using gravity inversion to seek to resolve a long-standing debate on whether the final stages of spreading leads to development of thinned or thickened crust. Most of the ridges we assess have thinner crust at their axes than their flanks, yet a small number are found to have a single segment that is overprinted by an anomalous feature such as a seamount or volcanic ridge. A more complex cessation mechanism is necessary in these cases. The location of spreading centres at their time of cessation relative to hotspots was also evaluated using a global plate reconstruction. This review provides strong evidence for the long-term interaction of spreading centres with hotspots and plate boundaries have been frequently modified within the radius of a hotspot zone of influence.

Tectonic evolution and extension at the Møre Margin - Offshore mid-Norway

NASA Astrophysics Data System (ADS)

Theissen-Krah, S.; Zastrozhnov, D.; Abdelmalak, M. M.; Schmid, D. W.; Faleide, J. I.; Gernigon, L.

2017-11-01

Lithospheric stretching is the key process in forming extensional sedimentary basins at passive rifted margins. This study explores the stretching factors, resulting extension, and structural evolution of the Møre segment on the Mid-Norwegian continental margin. Based on the interpretation of new and reprocessed high-quality seismic, we present updated structural maps of the Møre margin that show very thick post-rift sediments in the central Møre Basin and extensive sill intrusion into the Cretaceous sediments. A major shift in subsidence and deposition occurred during mid-Cretaceous. One transect across the Møre continental margin from the Slørebotn Subbasin to the continent-ocean boundary is reconstructed using the basin modelling software TecMod. We test different initial crustal configurations and rifting events and compare our structural reconstruction results to stretching factors derived both from crustal thinning and the classical backstripping/decompaction approach. Seismic interpretation in combination with structural reconstruction modelling does not support the lower crustal bodies as exhumed and serpentinised mantle. Our extension estimate along this transect is 188 ± 28 km for initial crustal thickness varying between 30 and 40 km.

Deep drilling into the Chesapeake Bay impact structure

USGS Publications Warehouse

Gohn, G.S.; Koeberl, C.; Miller, K.G.; Reimold, W.U.; Browning, J.V.; Cockell, C.S.; Horton, J. Wright; Kenkmann, T.; Kulpecz, A.A.; Powars, D.S.; Sanford, W.E.; Voytek, M.A.

2008-01-01

Samples from a 1.76-kilometer-deep corehole drilled near the center of the late Eocene Chesapeake Bay impact structure (Virginia, USA) reveal its geologic, hydrologic, and biologic history. We conducted stratigraphic and petrologic analyses of the cores to elucidate the timing and results of impact-melt creation and distribution, transient-cavity collapse, and ocean-water resurge. Comparison of post-impact sedimentary sequences inside and outside the structure indicates that compaction of the crater fill influenced long-term sedimentation patterns in the mid-Atlantic region. Salty connate water of the target remains in the crater fill today, where it poses a potential threat to the regional groundwater resource. Observed depth variations in microbial abundance indicate a complex history of impact-related thermal sterilization and habitat modification, and subsequent post-impact repopulation.

Deep drilling into the Chesapeake Bay impact structure.

PubMed

Gohn, G S; Koeberl, C; Miller, K G; Reimold, W U; Browning, J V; Cockell, C S; Horton, J W; Kenkmann, T; Kulpecz, A A; Powars, D S; Sanford, W E; Voytek, M A

2008-06-27

Samples from a 1.76-kilometer-deep corehole drilled near the center of the late Eocene Chesapeake Bay impact structure (Virginia, USA) reveal its geologic, hydrologic, and biologic history. We conducted stratigraphic and petrologic analyses of the cores to elucidate the timing and results of impact-melt creation and distribution, transient-cavity collapse, and ocean-water resurge. Comparison of post-impact sedimentary sequences inside and outside the structure indicates that compaction of the crater fill influenced long-term sedimentation patterns in the mid-Atlantic region. Salty connate water of the target remains in the crater fill today, where it poses a potential threat to the regional groundwater resource. Observed depth variations in microbial abundance indicate a complex history of impact-related thermal sterilization and habitat modification, and subsequent post-impact repopulation.

Right ventricular dyssynchrony in idiopathic pulmonary arterial hypertension: determinants and impact on pump function.

PubMed

Badagliacca, Roberto; Poscia, Roberto; Pezzuto, Beatrice; Papa, Silvia; Gambardella, Cristina; Francone, Marco; Mezzapesa, Mario; Nocioni, Martina; Nona, Alfred; Rosati, Riccardo; Sciomer, Susanna; Fedele, Francesco; Dario Vizza, Carmine

2015-03-01

Right ventricular (RV) dyssynchrony has been described in pulmonary arterial hypertension (PAH), but no evidence is available on its morphologic determinants and its effect on systolic function. The aim of this study was to evaluate the morphologic determinants of RV dyssynchrony by echocardiographic and cardiac magnetic resonance imaging and its effect on systolic function. In 60 consecutive idiopathic PAH (IPAH) patients with narrow QRS, RV dyssynchrony was evaluated by 2D speckle-tracking echocardiography, calculating the standard deviation of the times to peak systolic strain for the four mid-basal RV segments (RV-SD4). Patients were grouped by the median value of RV-SD4 (19 milliseconds) and compared for RV remodeling and systolic function parameters, WHO class, pulmonary hemodynamics and 6-minute walk test (6MWT). Despite similar pulmonary vascular resistance and mean pulmonary arterial pressure, patients with RV-SD4 at >19 milliseconds had advanced WHO class and worse 6MWT, RV hemodynamics, RV remodeling and systolic function parameters compared with patients at ≤19 milliseconds. The morphologic determinants of RV dyssynchrony resulted RV end-diastolic area, LV diastolic eccentricity index and RV mass volume ratio (r = 0.69, r(2) = 0.47, p < 0.0001). Finally, we found a significant inverse correlation between RV mid-basal segments post-systolic shortening time and cardiac index (r = -0.64, r(2) = 0.41, p = 0.001), accounting for the significant correlation between RV-SD4 and cardiac index (r = 0.57, r(2) = 0.32, p = 0.003). In IPAH with narrow QRS, RV dyssynchrony is associated with RV dilation and eccentric hypertrophy pattern, suggesting a role of segmental wall stress heterogeneity as the major determinant of mechanical delay. Post-systolic shortening, as inefficient contraction, contributes to pump dysfunction. Copyright © 2015 International Society for Heart and Lung Transplantation. Published by Elsevier Inc. All rights reserved.

Scales of magmatic replenishment and differentiation on an intermediate spreading mid-ocean ridge segment: Endeavour, Juan de Fuca Ridge

NASA Astrophysics Data System (ADS)

Dreyer, B. M.; Gill, J.; Clague, D. A.

2016-12-01

The aggregate chemistry of mid-ocean ridge (MOR) basalts cannot be produced by fractional crystallization alone. Recent modeling suggests that repeated magmatic replenishment is required (O'Neill and Jenner, 2012; Coogan and O'Hara, 2015; Shorttle, 2015). Does this inference hold when considering recent advancements in characterizing geological/volcanological context, geochemical variability, and temporal parameters on the scale of individual lava units (Rubin et al., 2009)? We evaluate the scales of magmatic replenishment through examination of compositionally diverse lavas from the Endeavour segment of the Juan de Fuca (JdF) MOR interpreted as comagmatic or coeruptive based on robust geological (Clague et al., 2014), geochemical (Gill et al., 2016), and geochronological (Jamieson et al., 2013; Clague et al., 2014) evidence. This approach is similar to that used for historical MOR eruptions (Rubin et al., 2001). We identified 15 "chemomagmatic" units that are spatially proximate and chemically relatable and separable that collectively represent eruptions since 11ka. Some units may be single lava flows. Other units appear to have erupted batches intermittently over hundreds to thousands of years during which chemically dissimilar lava also erupted. Melt evolution was modeled using MELTS for units with reasonably broad major element variations. Fractional crystallization models can adequately reproduce most of the major and incompatible trace element behavior observed within each unit. Consistent differences in trace element ratios between units argue against intermixing. Thus, magmatic batches typically lie within analytical resolution of fractional crystallizing systems, notwithstanding growing evidence that magmatic systems are repeatedly replenished at the segment scale. Melting and mixing of heterogeneous mantle sources are responsible for the overall compositional diversity at Endeavour. Chemomagmatic units, in contrast, reflect smaller scale processing of magma after exiting the melt column during ascent through the crust. Age and spatial relationships among the chemomagmatic units reflect fluctuations in productivity and composition during assembly of primitive mantle melts and the geometry of networked magma-hosting reservoirs.

Expression of the pair-rule gene homologs runt, Pax3/7, even-skipped-1 and even-skipped-2 during larval and juvenile development of the polychaete annelid Capitella teleta does not support a role in segmentation

PubMed Central

2012-01-01

Background Annelids and arthropods each possess a segmented body. Whether this similarity represents an evolutionary convergence or inheritance from a common segmented ancestor is the subject of ongoing investigation. Methods To investigate whether annelids and arthropods share molecular components that control segmentation, we isolated orthologs of the Drosophila melanogaster pair-rule genes, runt, paired (Pax3/7) and eve, from the polychaete annelid Capitella teleta and used whole mount in situ hybridization to characterize their expression patterns. Results When segments first appear, expression of the single C. teleta runt ortholog is only detected in the brain. Later, Ct-runt is expressed in the ventral nerve cord, foregut and hindgut. Analysis of Pax genes in the C. teleta genome reveals the presence of a single Pax3/7 ortholog. Ct-Pax3/7 is initially detected in the mid-body prior to segmentation, but is restricted to two longitudinal bands in the ventral ectoderm. Each of the two C. teleta eve orthologs has a unique and complex expression pattern, although there is partial overlap in several tissues. Prior to and during segment formation, Ct-eve1 and Ct-eve2 are both expressed in the bilaterial pair of mesoteloblasts, while Ct-eve1 is expressed in the descendant mesodermal band cells. At later stages, Ct-eve2 is expressed in the central and peripheral nervous system, and in mesoderm along the dorsal midline. In late stage larvae and adults, Ct-eve1 and Ct-eve2 are expressed in the posterior growth zone. Conclusions C. teleta eve, Pax3/7 and runt homologs all have distinct expression patterns and share expression domains with homologs from other bilaterians. None of the pair-rule orthologs examined in C. teleta exhibit segmental or pair-rule stripes of expression in the ectoderm or mesoderm, consistent with an independent origin of segmentation between annelids and arthropods. PMID:22510249

Lymphangioma of the jejunal mesentery and jejunal polyps presenting as an acute abdomen in a teenager.

PubMed

Jayasundara, Jasb; Perera, E; Chandu de Silva, M V; Pathirana, A A

2017-03-01

Cystic lymphangioma of the small bowel mesentery is a rare clinical entity, especially after childhood. Medical literature reveals a limited number of such cases presenting as acute abdomen due to bowel obstruction, small bowel volvulus and bleeding into the tumour. We present the management experience of an 18-year-old woman who presented with rapid onset diffuse peritonism and raised inflammatory markers. Computed tomography showed a mass in the small bowel mesentery with suspicion of segmental bowel ischaemia. Emergency laparotomy revealed a mass in the mid-jejunal mesentery close to the bowel wall with no bowel ischaemia. The patient made an uncomplicated recovery after segmental bowel resection and end-to-end anastomosis. Histology confirmed the mass as a cystic lymphangioma involving the jejunal mesentery and two small jejunal polyps. Lymphangioma could be considered in the differential diagnosis of an acute abdomen in a young adult when the presentation is atypical.

The effect of tonal changes on voice onset time in Mandarin esophageal speech.

PubMed

Liu, Hanjun; Ng, Manwa L; Wan, Mingxi; Wang, Supin; Zhang, Yi

2008-03-01

The present study investigated the effect of tonal changes on voice onset time (VOT) between normal laryngeal (NL) and superior esophageal (SE) speakers of Mandarin Chinese. VOT values were measured from the syllables /pha/, /tha/, and /kha/ produced at four tone levels by eight NL and seven SE speakers who were native speakers of Mandarin. Results indicated that Mandarin tones were associated with significantly different VOT values for NL speakers, in which high-falling tone was associated with significantly shorter VOT values than mid-rising tone and falling-rising tone. Regarding speaker group, SE speakers showed significantly shorter VOT values than NL speakers across all tone levels. This may be related to their use of pharyngoesophageal (PE) segment as another sound source. SE speakers appear to take a shorter time to start PE segment vibration compared to NL speakers using the vocal folds for vibration.

Segmented Subduction Across the Juan De Fuca Plate: Challenges in Imaging with an Amphibious Array

NASA Astrophysics Data System (ADS)

Hawley, W. B.; Allen, R. M.

2014-12-01

The Cascadia Initiative (CI) is an amphibious array spanning the Juan de Fuca plate from formation at the ridge to the destruction of the slab in the mantle beneath western North America. This ambitions project has occupied over 300 onshore and offshore sites, providing an unprecedented opportunity to understand the dynamics of oceanic plates. The CI project is now in its fourth and final year of deployment. Here we present constraints on the structure of the Juan de Fuca plate and its interaction with western North America. We identify segmentation along the Cascadia subduction zone that can be traced back onto the Juan de Fuca plate prior to subduction. These results give insight into the life cycle of oceanic plates, from their creation at a mid-ocean ridge to their subduction and subsequent recycling into the mantle.

Dike intrusions during rifting episodes obey scaling relationships similar to earthquakes.

PubMed

Passarelli, L; Rivalta, E; Shuler, A

2014-01-28

As continental rifts evolve towards mid-ocean ridges, strain is accommodated by repeated episodes of faulting and magmatism. Discrete rifting episodes have been observed along two subaerial divergent plate boundaries, the Krafla segment of the Northern Volcanic Rift Zone in Iceland and the Manda-Hararo segment of the Red Sea Rift in Ethiopia. In both cases, the initial and largest dike intrusion was followed by a series of smaller intrusions. By performing a statistical analysis of these rifting episodes, we demonstrate that dike intrusions obey scaling relationships similar to earthquakes. We find that the dimensions of dike intrusions obey a power law analogous to the Gutenberg-Richter relation, and the long-term release of geodetic moment is governed by a relationship consistent with the Omori law. Due to the effects of magma supply, the timing of secondary dike intrusions differs from that of the aftershocks. This work provides evidence of self-similarity in the rifting process.

Patterns of CMR measured longitudinal strain and its association with late gadolinium enhancement in patients with cardiac amyloidosis and its mimics.

PubMed

Williams, Lynne K; Forero, Julian F; Popovic, Zoran B; Phelan, Dermot; Delgado, Diego; Rakowski, Harry; Wintersperger, Bernd J; Thavendiranathan, Paaladinesh

2017-08-07

Regional variability of longitudinal strain (LS) has been previously described with echocardiography in patients with cardiac amyloidosis (CA), however, the reason for this variability is not completely evident. We sought to describe regional patterns in LS using feature-tracking software applied to cardiovascular magnetic resonance (CMR) cine images in patients with CA, hypertrophic cardiomyopathy (HCM), and Anderson-Fabry's disease (AFD) and to relate these patterns to the distribution of late gadolinium enhancement (LGE). Patients with CA (n = 45) were compared to LV mass indexed matched patients with HCM (n = 19) and AFD (n = 19). Peak systolic LS measurements were obtained using Velocity Vector Imaging (VVI) software on CMR cine images. A relative regional LS ratio (RRSR) was calculated as the ratio of the average of the apical segmental LS divided by the sum of the average basal and mid-ventricular segmental LS. LGE was quantified for the basal, mid, and apical segments using a threshold of 5SD above remote myocardium. A regional LGE ratio was calculated similar to RRSR. Patients with CA had significantly had worse global LS (-15.7 ± 4.6%) than those with HCM (-18.0 ± 4.6%, p = 0.046) and AFD (-21.9 ± 5.1%, p < 0.001). The RRSR was higher in patients with CA (1.00 ± 0.31) than in AFD (0.79 ± 0.24; p = 0.018) but not HCM (0.84 ± 0.32; p = 0.114). In CA, a regional difference in LGE burden was noted, with lower LGE in the apex (31.5 ± 19.1%) compared to the mid (38.2 ± 19.0%) and basal (53.7 ± 22.7%; p < 0.001 for both) segments. The regional LGE ratio was not significantly different between patients with CA (0.33 ± 0.15) and AFD (0.47 ± 0.58; p = 0.14) but lower compared to those with HCM (0.72 ± 0.43; p < 0.0001). LGE percentage showed a significant impact on LS (p < 0.0001), with a 0.9% decrease in absolute LS for every 10% increase in LGE percentage. The presence of marked "relative apical sparing" of LS along with a significant reduction in global LS seen in patients with CA on CMR cine analysis may provide an additional tool to differentiate CA from other cause of LVH. The concomitant presence of a base to apex gradient in quantitative LGE burden suggests that the regional strain gradient may be at least partially explained by the burden of amyloid deposition and fibrosis.

Multilevel models for evaluating the risk of pedestrian-motor vehicle collisions at intersections and mid-blocks.

PubMed

Quistberg, D Alex; Howard, Eric J; Ebel, Beth E; Moudon, Anne V; Saelens, Brian E; Hurvitz, Philip M; Curtin, James E; Rivara, Frederick P

2015-11-01

Walking is a popular form of physical activity associated with clear health benefits. Promoting safe walking for pedestrians requires evaluating the risk of pedestrian-motor vehicle collisions at specific roadway locations in order to identify where road improvements and other interventions may be needed. The objective of this analysis was to estimate the risk of pedestrian collisions at intersections and mid-blocks in Seattle, WA. The study used 2007-2013 pedestrian-motor vehicle collision data from police reports and detailed characteristics of the microenvironment and macroenvironment at intersection and mid-block locations. The primary outcome was the number of pedestrian-motor vehicle collisions over time at each location (incident rate ratio [IRR] and 95% confidence interval [95% CI]). Multilevel mixed effects Poisson models accounted for correlation within and between locations and census blocks over time. Analysis accounted for pedestrian and vehicle activity (e.g., residential density and road classification). In the final multivariable model, intersections with 4 segments or 5 or more segments had higher pedestrian collision rates compared to mid-blocks. Non-residential roads had significantly higher rates than residential roads, with principal arterials having the highest collision rate. The pedestrian collision rate was higher by 9% per 10 feet of street width. Locations with traffic signals had twice the collision rate of locations without a signal and those with marked crosswalks also had a higher rate. Locations with a marked crosswalk also had higher risk of collision. Locations with a one-way road or those with signs encouraging motorists to cede the right-of-way to pedestrians had fewer pedestrian collisions. Collision rates were higher in locations that encourage greater pedestrian activity (more bus use, more fast food restaurants, higher employment, residential, and population densities). Locations with higher intersection density had a lower rate of collisions as did those in areas with higher residential property values. The novel spatiotemporal approach used that integrates road/crossing characteristics with surrounding neighborhood characteristics should help city agencies better identify high-risk locations for further study and analysis. Improving roads and making them safer for pedestrians achieves the public health goals of reducing pedestrian collisions and promoting physical activity. Copyright © 2015 Elsevier Ltd. All rights reserved.

Comparison of postoperative magnetic resonance imaging and second-look arthroscopy for evaluating meniscal allograft transplantation.

PubMed

Kim, Jong-Min; Kim, Jong-Min; Jeon, Byeong-Sam; Lee, Chang-Rack; Lim, Sung-Joon; Kim, Kyung-Ah; Bin, Seong-Il

2015-05-01

The aim of this study was to compare the magnetic resonance imaging (MRI) evaluation of transplanted meniscal allograft with second-look arthroscopy and evaluate the sensitivity, specificity, and accuracy of MRI for assessing graft status. From 1996 to 2012, among 290 knees that underwent meniscal allograft transplantation and received follow-up examination for more than 1 year, those knees that underwent second-look arthroscopy were reviewed. Patients with no postoperative MRI and patients with a time gap between postoperative MRI and second-look arthroscopy of more than 3 months were excluded. Anatomically, the meniscus was divided into 3 segments: anterior one-third, mid body, and posterior one-third. Each part of the meniscus was evaluated using both methods. Grade 3 MRI signal intensity was diagnosed as a meniscal tear radiologically. By use of second-look arthroscopy as the standard, the sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of postoperative MRI were assessed in each segment of the grafts. Twenty knees were retrospectively enrolled. The specificity, PPV, and accuracy for the anterior one-third were lower than those for the mid body and posterior one-third (specificity of 35.3% v 91.7% and 90%, respectively; PPV of 21.4% v 87.5% and 90.9%, respectively; and accuracy of 45% v 90% and 95%, respectively). However, the sensitivity and NPV were similar among the anterior one-third, mid body, and posterior one-third (sensitivity of 100%, 87.5%, and 100%, respectively; and NPV of 100%, 91.7%, and 100%, respectively). There were no significant differences in the comparison between the diagnostic MRI values of lateral grafts and medial grafts. Of 5 cases that showed grade 3 signal at only the anterior one-third section, 60% had no clinical signs. There were no graft tears in any cases. The anterior one-third of grafts showed low specificity, PPV, and accuracy of postoperative MRI compared with the mid body and posterior one-third. MRI tended to grade the anterior one-third more poorly than second-look arthroscopy. These features should be considered when evaluating transplanted meniscal allografts on postoperative MRI. Level III, study of non-consecutive patients evaluating a diagnostic test with a gold standard. Copyright © 2015 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

Unmixing techniques for better segmentation of urban zones, roads, and open pit mines

NASA Astrophysics Data System (ADS)

Nikolov, Hristo; Borisova, Denitsa; Petkov, Doyno

2010-10-01

In this paper the linear unmixing method has been applied in classification of manmade objects, namely urbanized zones, roads etc. The idea is to exploit to larger extent the possibilities offered by multispectral imagers having mid spatial resolution in this case TM/ETM+ instruments. In this research unmixing is used to find consistent regression dependencies between multispectral data and those gathered in-situ and airborne-based sensors. The correct identification of the mixed pixels is key element for the subsequent segmentation forming the shape of the artificial feature is determined much more reliable. This especially holds true for objects with relatively narrow structure for example two-lane roads for which the spatial resolution is larger that the object itself. We have combined ground spectrometry of asphalt, Landsat images of RoI, and in-situ measured asphalt in order to determine the narrow roads. The reflectance of paving stones made from granite is highest compared to another ones which is true for open and stone pits. The potential for mapping is not limited to the mid-spatial Landsat data, but also may be used if the data has higher spatial resolution (as fine as 0.5 m). In this research the spectral and directional reflection properties of asphalt and concrete surfaces compared to those of paving stone made from different rocks have been measured. The in-situ measurements, which plays key role have been obtained using the Thematically Oriented Multichannel Spectrometer (TOMS) - designed in STIL-BAS.

Marine Geophysical Characterization of the Chain Fracture Zone in the Equatorial Atlantic

NASA Astrophysics Data System (ADS)

Harmon, N.; Rychert, C.; Agius, M. R.; Tharimena, S.; Kendall, J. M.

2017-12-01

The Chain Fracture zone is part of a larger system of fracture zones along the Mid Atlantic Ridge that is thought to be one of the original zones of weakness during the break up of Pangea. It is over 300 km long and produces earthquakes as large as Mw 6.9 on segments of the active fault zone. Here we present the results of two marine geophysical mapping campaigns over the active part of the Chain Fracture zone as part of the PI-LAB (Passive Imaging of the Lithosphere-Asthenosphere Boundary) experiment. We collected swath bathymetry, backscatter imagery, gravity and total field magnetic anomaly. We mapped the fault scarps within the transform fault system using the 50 m resolution swath and backscatter imagery. In addition, a 30-40 mGal residual Mantle Bouguer Anomaly determined from gravity analysis suggests the crust is by up to 1.4-2.0 km beneath the Chain relative to the adjacent ridge segments. However, in the eastern 75 km of the active transform we find evidence for thicker crust. The active fault system cuts through the region of thicker crust and there is a cluster of MW > 6 earthquakes in this region. There is a cluster of similar sized earthquakes on the western end where thinner crust is inferred. This suggests that variations in melt production and crustal thickness at the mid ocean ridge systems may have only a minor effect on the seismicity and longevity of the transform fault system.

Distribution of melt along the East Pacific Rise 9°50'N from amplitude variation with angle (AVA) of incidence technique

NASA Astrophysics Data System (ADS)

Marjanovic, M.; Carton, H. D.; Carbotte, S. M.; Mutter, J. C.; Nedimovic, M. R.; Canales, J.

2012-12-01

Multichannel seismic (MCS) data collected in 2008 along the crest of the East Pacific Rise (EPR) 8°20'-10°10'N offer an excellent opportunity for studying along-axis variations in seismic properties of the mid-crustal magma sill imaged at ˜1.6 km below seafloor and inferring along-axis variations in the physical properties of this melt body. Locally, pre-stack data show a clear decrease in the amplitude of the P-wave reflection off the top of the magma sill as a function of angle of incidence, an observation reminiscent of the amplitude response of some hydrocarbon-saturated reservoirs, which may imply that within these regions the sill contains fully molten material. In oil and gas exploration, a technique known as amplitude variation with angle of incidence (AVA) analysis has been developed to derive reservoir properties from amplitude behavior. One such method, developed recently, uses intercept (derived from near-angle of incidence information, A) vs. slope (derived from mid-angle of incidence information, B) as seismic attributes to infer reservoir properties. Here, for the first time, we apply this approach to the mid-ocean ridge environment to infer variations in melt content of the axial magma sill. Using the presence of a converted P- to S- phase at the AMC as the first-order proxy for melt, we limit the application of AVA analysis to the region between ~9°30' and 10°00'N along the EPR axis. Prior to conducting the AVA analysis properly, data preparation steps are required (Kirchhoff pre-stack time migration, Radon filtering, velocity analysis of the AMC event for its accurate normal move-out correction, conversion of CMP gathers from offset domain to angle of incidence domain, and near and mid angle stacking were carried out here) and an interpretation scheme adequate for the mid-ocean ridge environment is established. The individual regions for conducting the A vs. B AVA analysis were based on previously-defined small-scale segmentation of the axial magma sill. The AVA behavior suggests the presence of melt within the four segments (each 5 to 10 km in length) spanning between ~9°42.3'N and 9°56.2'N. Drainage related to the 2005-06 eruption appears to be limited to a narrow area (~500 m in length) centered at 9°50.6'N. Furthermore, data from the 9°53'N area shows increased scatter of the seismic attributes A and B that can be explained by the anomalous density/velocity relationship for iron-enriched rocks; within this same region, seafloor lavas show a relatively higher concentration of Fe. The intercept vs. slope AVA method tested here thus seems a very promising tool for the study of mid-ocean ridge magma systems.

Coordination of spinal motion in the transverse and frontal planes during walking in people with and without recurrent low back pain.

PubMed

Crosbie, Jack; de Faria Negrão Filho, Ruben; Nascimento, Dafne Port; Ferreira, Paulo

2013-03-01

Observational cohort study. To investigate spinal coordination during preferred and fast speed walking in pain-free subjects with and without a history of recurrent low back pain (LBP). Dynamic motion of the spine during walking is compromised in the presence of back pain (LBP), but its analysis often presents some challenges. The coexistence of significant symptoms may change gait because of pain or adaptation of the musculoskeletal structures or both. A history of LBP without the overlay of a current symptomatic episode allows a better model in which to explore the impact on spinal coordination during walking. Spinal and lower limb segmental motions were tracked using electromagnetic sensors. Analyses were conducted to explore the synchrony and spatial coordination of the segments and to compare the control and subjects with LBP. We found no apparent differences between the groups for either overall amplitude of motion or most indicators of coordination in the lumbar region; however, there were significant postural differences in the mid-stance phase and other indicators of less phase locking in controls compared with subjects with LBP. The lower thoracic spinal segment was more affected by the history of back pain than the lumbar segment. Although small, there were indicators that alterations in spinal movement and coordination in subjects with recurrent LBP were due to adaptive changes rather than the presence of pain.

Dependent lung opacity at thin-section CT: evaluation by spirometrically-gated CT of the influence of lung volume.

PubMed

Lee, Ki Nam; Yoon, Seong Kuk; Sohn, Choon Hee; Choi, Pil Jo; Webb, W Richard

2002-01-01

To evaluate the influence of lung volume on dependent lung opacity seen at thin-section CT. In thirteen healthy volunteers, thin-section CT scans were performed at three levels (upper, mid, and lower portion of the lung) and at different lung volumes (10, 30, 50, and 100% vital capacity), using spirometric gated CT. Using a three-point scale, two radiologists determined whether dependent opacity was present, and estimated its degree. Regional lung attenuation at a level 2 cm above the diaphragm was determined using semiautomatic segmentation, and the diameter of a branch of the right lower posterior basal segmental artery was measured at each different vital capacity. At all three anatomic levels, dependent opacity occurred significantly more often at lower vital capacities (10, 30%) than at 100% vital capacity (p = 0.001). Visually estimated dependent opacity was significantly related to regional lung attenuation (p < 0.0001), which in dependent areas progressively increased as vital capacity decreased (p < 0.0001). The presence of dependent opacity and regional lung attenuation of a dependent area correlated significantly with increased diameter of a segmental arterial branch (r = 0.493 and p = 0.0002; r = 0.486 and p = 0.0003, respectively). Visual estimation and CT measurements of dependent opacity obtained by semiautomatic segmentation are significantly influenced by lung volume and are related to vascular diameter.

DRhoGEF2 and Diaphanous Regulate Contractile Force during Segmental Groove Morphogenesis in the Drosophila Embryo

PubMed Central

Mulinari, Shai; Barmchi, Mojgan Padash

2008-01-01

Morphogenesis of the Drosophila embryo is associated with dynamic rearrangement of the actin cytoskeleton mediated by small GTPases of the Rho family. These GTPases act as molecular switches that are activated by guanine nucleotide exchange factors. One of these factors, DRhoGEF2, plays an important role in the constriction of actin filaments during pole cell formation, blastoderm cellularization, and invagination of the germ layers. Here, we show that DRhoGEF2 is equally important during morphogenesis of segmental grooves, which become apparent as tissue infoldings during mid-embryogenesis. Examination of DRhoGEF2-mutant embryos indicates a role for DRhoGEF2 in the control of cell shape changes during segmental groove morphogenesis. Overexpression of DRhoGEF2 in the ectoderm recruits myosin II to the cell cortex and induces cell contraction. At groove regression, DRhoGEF2 is enriched in cells posterior to the groove that undergo apical constriction, indicating that groove regression is an active process. We further show that the Formin Diaphanous is required for groove formation and strengthens cell junctions in the epidermis. Morphological analysis suggests that Dia regulates cell shape in a way distinct from DRhoGEF2. We propose that DRhoGEF2 acts through Rho1 to regulate acto-myosin constriction but not Diaphanous-mediated F-actin nucleation during segmental groove morphogenesis. PMID:18287521

The Largest Holocene Eruption of the Central Andes Found

NASA Astrophysics Data System (ADS)

Fernandez-Turiel, J.; Rodriguez-Gonzalez, A.; Saavedra, J.; Perez-Torrado, F.; Carracedo, J.; Osterrieth, M.; Carrizo, J.; Esteban, G.

2013-12-01

We present new data and interpretation about a major eruption -spreading ˜110 km3 ashes over 440.000 km2- long thought to have occurred around 4200 years ago in the Cerro Blanco Volcanic Complex (CBVC) in NW Argentina. This eruption may be the biggest during the past five millennia in the Central Volcanic Zone of the Andes, and possibly one of the largest Holocene eruptions in the world. The environmental effects of this voluminous eruption are still noticeable, as evidenced by the high content of arsenic and other trace elements in the groundwaters of the Chacopampean Plain. The recognition of this significant volcanic event may shed new light on interpretations of critical changes observed in the mid-Holocene paleontological and archaeological records, and offers researchers an excellent, extensive regional chronostratigraphic marker for reconstructing mid-Holocene geological history over a wide geographical area of South America. More than 100 ashes were sampled in Argentina, Chile and Uruguay during different field campaigns. Ash samples were characterized by scanning electron microscope (SEM), X-ray diffraction (XRD), grain size distributions laser diffraction, and geochemically by electron microprobe (EMPA) and laser ablation-HR-ICP-MS. New and published 14C ages were calibrated to calendar years BP. The age of the most recent CBVC eruption is 4407-4093 cal y BP, indirectly dated by 14C of associated organic sediment within the lower part of a proximal fall deposit of this event (26°53'16.05"S-67°44'48.68"W). This is the youngest record of a major volcanic event in the Southern Puna. This age is consistent with other radiocarbon dates of organic matter in palaeosols underlying or overlying distal ash fall deposits. Based on their products, all of rhyolitic composition, we have distinguished 8 main episodes during the evolution of the most recent CBVC eruption: 1) the eruption began with a white rhyolite lava dome extrusion; 2) followed by a Plinian proximal and distal dispersal of purely fallout (˜110 km3, bulk volume); 3) the eruptive column collapsed, producing white co-ignimbrite lag breccia, ignimbrite flow deposits, and associated surge and ash cloud deposits (~1 km3); 4) a resurgent white rhyolite lava dome was extruded that 5) collapsed to produce several lateral blasts directed into the Cerro Blanco caldera that emplaced lithic-rich block-and-ash flow deposits; 6) a new pinkish rhyolite lava dome extruded and 7) also laterally collapsed forming new lithic-rich block-and-ash flow deposits within the same caldera; finally, 8) the development of a post-eruption geothermal field that produced white sinter deposits within the Cerro Blanco caldera. Financial support was provided by the QUECA Project (MINECO, CGL2011-23307).

Indirect food web interactions: Sea otters and kelp forest fishes in the Aleutian archipelago

USGS Publications Warehouse

Reisewitz, S.E.; Estes, J.A.; Simenstad, C.A.

2006-01-01

Although trophic cascades - the effect of apex predators on progressively lower trophic level species through top-down forcing - have been demonstrated in diverse ecosystems, the broader potential influences of trophic cascades on other species and ecosystem processes are not well studied. We used the overexploitation, recovery and subsequent collapse of sea otter (Enhydra lutris) populations in the Aleutian archipelago to explore if and how the abundance and diet of kelp forest fishes are influenced by a trophic cascade linking sea otters with sea urchins and fleshy macroalgae. We measured the abundance of sea urchins (biomass density), kelp (numerical density) and fish (Catch per unit effort) at four islands in the mid-1980s (when otters were abundant at two of the islands and rare at the two others) and in 2000 (after otters had become rare at all four islands). Our fish studies focused on rock greenling (Hexagrammos lagocephalus), the numerically dominant species in this region. In the mid-1980s, the two islands with high-density otter populations supported dense kelp forests, relatively few urchins, and abundant rock greenling whereas the opposite pattern (abundant urchins, sparse kelp forests, and relatively few rock greenling) occurred at islands where otters were rare. In the 2000, the abundances of urchins, kelp and greenling were grossly unchanged at islands where otters were initially rare but had shifted to the characteristic pattern of otter-free systems at islands where otters were initially abundant. Significant changes in greenling diet occurred between the mid-1980s and the 2000 although the reasons for these changes were difficult to assess because of strong island-specific effects. Whereas urchin-dominated communities supported more diverse fish assemblages than kelp-dominated communities, this was not a simple effect of the otter-induced trophic cascade because all islands supported more diverse fish assemblages in 2000 than in the mid-1980s. ?? Springer-Verlag 2005.

Long-term evolution of a propagating non-transform offset on the Mid-Atlantic Ridge over the last 26 m.y.

NASA Astrophysics Data System (ADS)

Zheng, T.; Tucholke, B. E.; Lin, J.

2017-12-01

By making plate reconstructions from Chron 8n ( 26.54 Ma) to present and analyzing multibeam bathymetry, long-range HMR1 sidescan sonar images, residual mantle Bouguer gravity anomaly (RMBA) and gravity-derived crust thickness, we investigated the structure and evolution of a propagating non-transform discontinuity (NTD) and adjacent ridge segments that now intersect the Mid-Atlantic Ridge (MAR) axis at 25°37'N. The NTD has propagated consistently northward since Chron 8n at a rate of 4.76 km/m.y. Offset across the NTD since Chron 6an (22 Ma) has been right lateral and has ranged from 8-52 km. Key features are: 1) Inside-corner (IC) crust consistently has higher values of RMBA than the adjacent ridge segments, implying thinner crust. 2) IC crust typically exhibits elevated, irregular edifices. Slopes of the NTD walls are steeper at ICs than at outside corners (OCs). Steep (up to 40°), abrupt slopes are particularly pronounced at the IC on the north side of the NTD. 3) OC crust is deeper and normally exhibits long linear ridges that curve toward the MAR axis at the southern edge of the NTD but show little curvature at the northern edge. 4) Width of the NTD between its northern and southern walls (at mid-depth) has ranged from 2 to 22 km, averaging 15 km. 5) The NTD valley was intermittently crossed by individual ridges or blocks every 5-60 km (average 20 km) along the run of the NTD. The ridges curve along the transtensional plate boundary within the NTD but are often discontinuous. HMR1 data show lumpy small-scale topography and occasional volcanic cones on the ridges and blocks. Their intermittency indicates that melt intruded sporadically into the NTD. Propagation of the NTD occurred as the transtensional plate boundary within the NTD jumped northward from a volcanic ridge axis or block, apparently as magmatism waned. The jumps captured crust and transferred it to the east flank only within the NTD, not from the northern IC edifices. We propose two possible causes for the northward propagation: 1) Enhanced melt supply (implied by more negative RMBA) in the segment south of the NTD may have driven the northward propagation; however, RMBA data are limited prior to Chron 5n, so the validity of this mechanism is uncertain. 2) The loci of rising parcels of fertile mantle that supplied melt to the crust may have shifted northward through time.

Microstructural changes in cartilage and bone related to repetitive overloading in an equine athlete model

PubMed Central

Turley, Sean M; Thambyah, Ashvin; Riggs, Christopher M; Firth, Elwyn C; Broom, Neil D

2014-01-01

The palmar aspect of the third metacarpal (MC3) condyle of equine athletes is known to be subjected to repetitive overloading that can lead to the accumulation of joint tissue damage, degeneration, and stress fractures, some of which result in catastrophic failure. However, there is still a need to understand at a detailed microstructural level how this damage progresses in the context of the wider joint tissue complex, i.e. the articular surface, the hyaline and calcified cartilage, and the subchondral bone. MC3 bones from non-fractured joints were obtained from the right forelimbs of 16 Thoroughbred racehorses varying in age between 3 and 8 years, with documented histories of active race training. Detailed microstructural analysis of two clinically important sites, the parasagittal grooves and the mid-condylar regions, identified extensive levels of microdamage in the calcified cartilage and subchondral bone concealed beneath outwardly intact hyaline cartilage. The study shows a progression in microdamage severity, commencing with mild hard-tissue microcracking in younger animals and escalating to severe subchondral bone collapse and lesion formation in the hyaline cartilage with increasing age and thus athletic activity. The presence of a clearly distinguishable fibrous tissue layer at the articular surface immediately above sites of severe subchondral collapse suggested a limited reparative response in the hyaline cartilage. PMID:24689513

[Surgeons' hope: expanding the professional role of co-medical staff and introducing the nurse practitioner/physician assistant and team approach to the healthcare system].

PubMed

Maehara, Tadaaki; Nishida, Hiroshi; Watanabe, Takashi; Tominaga, Ryuji; Tabayashi, Koichi

2010-07-01

The healthcare system surrounding surgeons is collapsing due to Japan's policy of limiting health expenditure, market fundamentalism, shortage of healthcare providers, unfavorable working environment for surgeons, increasing risk of malpractice suits, and decreasing number of those who desire to pursue the surgery specialty. In the USA, nonphysician and mid-level clinicians such as nurse practitioners (NPs) and physician assistants (PAs) have been working since the 1960s, and the team approach to medicine which benefits patients is functioning well. One strategy to avoid the collapse of the Japanese surgical healthcare system is introducing the NP/PA system. The division of labor in medicine can provide high-quality, safe healthcare and increase the confidence of the public by contributing to: reduced postoperative complications; increased patient satisfaction; decreased length of postoperative hospital stay: and economic benefits. We have requested that the Ministry of Health, Labor and Welfare establish a Japanese NP/PA system to care for patients more efficiently perioperatively. The ministry has decided to launch a trial profession called "tokutei (specifically qualified) nurse" in February 2010. These nurses will be trained and educated at the Master's degree level and allowed to practice several predetermined skill sets under physician supervision. We hope that all healthcare providers will assist in transforming the tokutei nurse system into a Japanese NP/PA system.

Tourism's collapse puts Gambian women at risk.

PubMed

Coker, M S

1995-06-01

Despite efforts of the Gambian government, which established a ministry in 1981 that would tackle gender issues, improve women's health, and promote empowerment, women are underrepresented in government and business, and 84% are illiterate. Child mortality is among the highest in Africa; 134 children per 1000 die before their fifth birthday. In the mid-1980s austerity measures adopted by the World Bank and IMF left the ministry without funds. Rice and vegetable production, the main source of income for women, fell in the 1990s. In 1994, paddy production dropped 23% from the previous year; this was due to a lack of technical and financial assistance. The collapse of tourism with Capt. Yahya Jammeh's seizure of power has put prostitutes catering to tourists out of work, but women who have lost jobs in the hotel industry may be pushed into local prostitution to survive. The impact of this on the HIV/AIDS epidemic is unclear. Although Gambia is one of the world's most aid-dependent countries (more than a quarter of the GNP before the coup), corruption and mismanagement in the nongovernmental sector is widespread. The director of the Women in Development Programme, a $15m World Bank project, was forced to resign over allegations of fraud. The political process sidelines women; only village chiefs, who are traditionally men, are allowed to vote when new heads are elected.

Bone loss of vertebral bodies at the operative segment after cervical arthroplasty: a potential complication?

PubMed

Heo, Dong Hwa; Lee, Dong Chan; Oh, Jong Yang; Park, Choon Keun

2017-02-01

OBJECTIVE Bony overgrowth and spontaneous fusion are complications of cervical arthroplasty. In contrast, bone loss or bone remodeling of vertebral bodies at the operation segment after cervical arthroplasty has also been observed. The purpose of this study is to investigate a potential complication-bone loss of the anterior portion of the vertebral bodies at the surgically treated segment after cervical total disc replacement (TDR)-and discuss the clinical significance. METHODS All enrolled patients underwent follow-up for more than 24 months after cervical arthroplasty using the Baguera C disc. Clinical evaluations included recording demographic data and measuring the visual analog scale and Neck Disability Index scores. Radiographic evaluations included measurements of the functional spinal unit's range of motion and changes such as bone loss and bone remodeling. The grading of the bone loss of the operative segment was classified as follows: Grade 1, disappearance of the anterior osteophyte or small minor bone loss; Grade 2, bone loss of the anterior portion of the vertebral bodies at the operation segment without exposure of the artificial disc; or Grade 3, significant bone loss with exposure of the anterior portion of the artificial disc. RESULTS Forty-eight patients were enrolled in this study. Among them, bone loss developed in 29 patients (Grade 1 in 15 patients, Grade 2 in 6 patients, and Grade 3 in 8 patients). Grade 3 bone loss was significantly associated with postoperative neck pain (p < 0.05). Bone loss was related to the motion preservation effect of the operative segment after cervical arthroplasty in contrast to heterotopic ossification. CONCLUSIONS Bone loss may be a potential complication of cervical TDR and affect early postoperative neck pain. However, it did not affect mid- to long-term clinical outcomes or prosthetic failure at the last follow-up. Also, this phenomenon may result in the motion preservation effect in the operative segment after cervical TDR.

At-a-glance monitoring: covert observations of anesthesiologists in the operating room.

PubMed

Ford, Simon; Birmingham, Elina; King, Ashlee; Lim, Joanne; Ansermino, J Mark

2010-09-01

Patient monitoring displays are designed to improve patient safety, and yet little is known about how anesthesiologists interact with these displays. Previous studies of clinician behavior used an observer in the operating room, which may have altered behavior. We describe a covert observation technique to determine how often and for how long anesthesiologists actually look at the monitoring display during different segments of the maintenance phase of anesthesia, and to determine whether this changed with more than 1 anesthesia provider or during concomitant activities such as reading. Five staff anesthesiologists, 2 anesthesia fellows, 3 anesthesia residents, and 2 medical students were covertly videotaped across 10 dual anesthesia provider cases and 10 solo cases. Videotapes were later segmented (5 minutes postinduction [early maintenance], mid-maintenance, and immediately before the drapes came down [late maintenance]) and coded for looking behavior at the patient monitor, anesthesia chart, and other reading material. Anesthesiologists looked at the monitor in 1- to 2-second glances, performed frequently throughout the 3 segments of maintenance anesthesia. Overall, the patient monitor was looked at only 5 of the analyzed time, which is less than has previously been reported. Monitoring behavior was constant across the segments of maintenance anesthesia and was not significantly affected by the number of anesthesia providers or role (trainee vs. senior). In contrast, charting behavior and other reading material viewing changed significantly over the analyzed segments of maintenance anesthesia. The presence of "at-a-glance monitoring" has implications for the design of patient monitoring displays. Displays should be developed to optimize the information obtained from brief glances at the monitor.

Cortical bone fracture analysis using XFEM - case study.

PubMed

Idkaidek, Ashraf; Jasiuk, Iwona

2017-04-01

We aim to achieve an accurate simulation of human cortical bone fracture using the extended finite element method within a commercial finite element software abaqus. A two-dimensional unit cell model of cortical bone is built based on a microscopy image of the mid-diaphysis of tibia of a 70-year-old human male donor. Each phase of this model, an interstitial bone, a cement line, and an osteon, are considered linear elastic and isotropic with material properties obtained by nanoindentation, taken from literature. The effect of using fracture analysis methods (cohesive segment approach versus linear elastic fracture mechanics approach), finite element type, and boundary conditions (traction, displacement, and mixed) on cortical bone crack initiation and propagation are studied. In this study cohesive segment damage evolution for a traction separation law based on energy and displacement is used. In addition, effects of the increment size and mesh density on analysis results are investigated. We find that both cohesive segment and linear elastic fracture mechanics approaches within the extended finite element method can effectively simulate cortical bone fracture. Mesh density and simulation increment size can influence analysis results when employing either approach, and using finer mesh and/or smaller increment size does not always provide more accurate results. Both approaches provide close but not identical results, and crack propagation speed is found to be slower when using the cohesive segment approach. Also, using reduced integration elements along with the cohesive segment approach decreases crack propagation speed compared with using full integration elements. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

Structured Ionomer Thin Films at Water Interface: Molecular Dynamics Simulation Insight

DOE PAGES

Aryal, Dipak; Agrawal, Anupriya; Perahia, Dvora; ...

2017-08-23

Controlling the structure and dynamics of thin films of ionizable polymers at water interfaces is critical to their many applications. As the chemical diversity within one polymer is increased, controlling the structure and dynamics of the polymer, which is a key to their use, becomes a challenge. Here molecular dynamics simulations (MD) are used to obtain molecular insight into the structure and dynamics of thin films of one such macromolecule at the interface with water. The polymer consists of an ABCBA topology with randomly sulfonated polystyrene (C), tethered symmetrically to flexible poly(ethylene- r-propylene) blocks (B), and end-capped by a poly(more » t-butylstyrene) block (A). The compositions of the interfacial and bulk regions of thin films of the ABCBA polymers are followed as a function of exposure time to water. We find that interfacial rearrangements take place where buried ionic segments migrate toward the water interface. The hydrophobic blocks collapse and rearrange to minimize their exposure to water. In conclusion, the water that initially drives interfacial reengagements breaks the ionic clusters within the film, forming a dynamic hydrophilic internal network within the hydrophobic segments.« less

The mechanical spectra of β-relaxation and spontaneous densification effects in an amorphous polymer

NASA Astrophysics Data System (ADS)

Muzeau, Elisabeth; Johari, G. P.

1990-12-01

The dynamic mechanical spectra of shear modulus of poly(methyl methacrylate) have been measured at several temperatures over the frequency range 10 -4-1 Hz in order to study localized diffusion of chain segments which appears as β-relaxation. The shape of the spectra of both the real and imaginary components has been analyzed. It is described by a stretched exponential decay function with exponent of 0.18 and it shows nearly 50% change in the modulus over this frequency range. This exponent and the rate of relaxation are remarkably similar to those observed by dielectric methods. A procedure for obtaining the exponent of the decay function and the relaxation strength of the β-process has been outlined. The strength of the β-relaxation, or equivalently the number of molecular segments undergoing a thermally activated localized diffusion, decreases on structural relaxation during the isothermal ageing, and the magnitude of the modulus increases. Qualitatively speaking, these effects seem comparable to the effects of an increase in density that normally occurs with decrease in temperature or increase in pressure, and demonstrate that isothermal ageing causes collapse of "soft sites" in a rigid amorphous matrix.

Automated segmentation and geometrical modeling of the tricuspid aortic valve in 3D echocardiographic images.

PubMed

Pouch, Alison M; Wang, Hongzhi; Takabe, Manabu; Jackson, Benjamin M; Sehgal, Chandra M; Gorman, Joseph H; Gorman, Robert C; Yushkevich, Paul A

2013-01-01

The aortic valve has been described with variable anatomical definitions, and the consistency of 2D manual measurement of valve dimensions in medical image data has been questionable. Given the importance of image-based morphological assessment in the diagnosis and surgical treatment of aortic valve disease, there is considerable need to develop a standardized framework for 3D valve segmentation and shape representation. Towards this goal, this work integrates template-based medial modeling and multi-atlas label fusion techniques to automatically delineate and quantitatively describe aortic leaflet geometry in 3D echocardiographic (3DE) images, a challenging task that has been explored only to a limited extent. The method makes use of expert knowledge of aortic leaflet image appearance, generates segmentations with consistent topology, and establishes a shape-based coordinate system on the aortic leaflets that enables standardized automated measurements. In this study, the algorithm is evaluated on 11 3DE images of normal human aortic leaflets acquired at mid systole. The clinical relevance of the method is its ability to capture leaflet geometry in 3DE image data with minimal user interaction while producing consistent measurements of 3D aortic leaflet geometry.

Medial-based deformable models in nonconvex shape-spaces for medical image segmentation.

PubMed

McIntosh, Chris; Hamarneh, Ghassan

2012-01-01

We explore the application of genetic algorithms (GA) to deformable models through the proposition of a novel method for medical image segmentation that combines GA with nonconvex, localized, medial-based shape statistics. We replace the more typical gradient descent optimizer used in deformable models with GA, and the convex, implicit, global shape statistics with nonconvex, explicit, localized ones. Specifically, we propose GA to reduce typical deformable model weaknesses pertaining to model initialization, pose estimation and local minima, through the simultaneous evolution of a large number of models. Furthermore, we constrain the evolution, and thus reduce the size of the search-space, by using statistically-based deformable models whose deformations are intuitive (stretch, bulge, bend) and are driven in terms of localized principal modes of variation, instead of modes of variation across the entire shape that often fail to capture localized shape changes. Although GA are not guaranteed to achieve the global optima, our method compares favorably to the prevalent optimization techniques, convex/nonconvex gradient-based optimizers and to globally optimal graph-theoretic combinatorial optimization techniques, when applied to the task of corpus callosum segmentation in 50 mid-sagittal brain magnetic resonance images.

Full waveform ambient noise tomography of Mount Rainer

NASA Astrophysics Data System (ADS)

Flinders, A. F.; Shen, Y.

2014-12-01

Mount Rainier towers over the landscape of western Washington, ranking with Fuji-yama in Japan, Mt. Pinatubo in the Philippines, and Mt. Vesuvius in Italy, as one of the great stratovolcanoes of the world. Notwithstanding it's picturesque stature, Mt. Rainier is potentially the most devastating stratovolcano in North America, with more than 3.5 million people living beneath its shadow in the Seattle-Tacoma area. The primary hazard posed by the volcano is in the form of highly destructive volcanic debris flows (lahars). These lahars form when water and/or melted ice erode away and entrain preexisting volcanic sediment. At Mt. Rainier these flows are often initiated by sector collapse of the volcano's hydrothermally rotten flanks and compounded from Mt. Rainier's extensive snow and glacial ice coverage. It is therefore imperative to ascertain the extent of summit hydrothermal alteration within the volcano, and determine areas prone to collapse. Despite being one of the sixteen volcanoes globally designated by the International Association of Volcanology and Chemistry of the Earth's Interior as warranting detailed and focused study, Mt. Rainier remains enigmatic both in terms of shallow internal structure and the degree of summit hydrothermal alteration. We image this shallow internal structure and areas of possible summit alteration using ambient noise tomography. Our full waveform forward modeling includes high-resolution topography, allowing us to accurately account for the effects of topography on the propagation of short-period Rayleigh waves. Empirical Green's functions were extracted from 80 stations within 200 km of Mount Rainier and compared with synthetic greens functions over multiple frequency bands from 2-28 seconds. The preliminary model shows a broad (60 km wide) low shear-wave velocity anomaly in the mid-crust beneath the volcano. The mid-crust low-velocity body extends to the surface beneath the volcano summit in a narrow near-vertical conduit, the likely path of magma ascent. There is a peculiar aseismic high Vs and low Vp/Vs zone (possibly indicative of a high quartz bearing lithology) beneath the eastern edifice. We interpret it as a possible remnant of a more felsic (and perhaps more explosive) proto Mount Rainier volcano.

Legacy effects of colonial millponds on floodplain sedimentation, bank erosion, and channel morphology, MID-Atlantic, USA

USGS Publications Warehouse

Schenk, E.R.; Hupp, C.R.

2009-01-01

Many rivers and streams of the Mid-Atlantic Region, United States (U.S.) have been altered by postcolonial floodplain sedimentation (legacy sediment) associated with numerous milldams. Little Conestoga Creek, Pennsylvania, a tributary to the Susquehanna River and the Chesapeake Bay, is one of these streams. Floodplain sedimentation rates, bank erosion rates, and channel morphology were measured annually during 2004-2007 at five sites along a 28-km length of Little Conestoga Creek with nine colonial era milldams (one dam was still in place in 2007). This study was part of a larger cooperative effort to quantify floodplain sedimentation, bank erosion, and channel morphology in a high sediment yielding region of the Chesapeake Bay watershed. Data from the five sites were used to estimate the annual volume and mass of sediment stored on the floodplain and eroded from the banks for 14 segments along the 28-km length of creek. A bank and floodplain reach based sediment budget (sediment budget) was constructed for the 28 km by summing the net volume of sediment deposited and eroded from each segment. Mean floodplain sedimentation rates for Little Conestoga Creek were variable, with erosion at one upstream site (-5 mm/year) to deposition at the other four sites (highest = 11 mm/year) despite over a meter of floodplain aggradation from postcolonial sedimentation. Mean bank erosion rates range between 29 and 163 mm/year among the five sites. Bank height increased 1 m for every 10.6 m of channel width, from upstream to downstream (R2 = 0.79, p < 0.0001) resulting in progressively lowered hydraulic connectivity between the channel and the floodplain. Floodplain sedimentation and bank erosion rates also appear to be affected by the proximity of the segments to one existing milldam, which promotes deposition upstream and scouring downstream. The floodplain and bank along the 28-km reach produced a net mean sediment loss of 5,634 Mg/year for 2004-2007, indicating that bank erosion was exceeding floodplain sedimentation. In particular, the three segments between the existing dam and the confluence with the Conestoga River (32% of the studied reach) account for 97% of the measured net sediment budget. Future research directed at understanding channel equilibria should facilitate efforts to reduce the sediment impacts of dam removal and legacy sediment. ?? 2009 American Water Resources Association.

Quantitative analysis of skeletal muscle mass in patients with rheumatic diseases under glucocorticoid therapy--comparison among bioelectrical impedance analysis, computed tomography, and magnetic resonance imaging.

PubMed

Hosono, Osamu; Yoshikawa, Noritada; Shimizu, Noriaki; Kiryu, Shigeru; Uehara, Masaaki; Kobayashi, Hiroshi; Matsumiya, Ryo; Kuribara, Akiko; Maruyama, Takako; Tanaka, Hirotoshi

2015-03-01

To determine the availability of bioelectrical impedance analysis (BIA), computed tomography (CT), and magnetic resonance imaging (MRI) for measurement of skeletal muscle mass in patients with rheumatic diseases and quantitatively assess skeletal muscle loss after glucocorticoid (GC) treatment. The data from 22 patients with rheumatic diseases were retrospectively obtained. The muscle mass of body segments was measured with a BIA device in terms of skeletal muscle mass index (SMI). Cross-sectional area (CSA) was obtained from CT and MRI scans at the mid-thigh level using the image analysis program. We further assessed the data of three different measurements before and after GC treatment in 7 patients with rheumatic diseases. SMI of whole body was significantly correlated with estimated muscle volume and mid-thigh muscle CSA with CT and MRI (p < 0.01). Significant correlations between SMI and mid-thigh muscle CSA of each leg were also found (p < 0.01). All the three measurements were negatively correlated with GC dosage (p < 0.01). Significant decline in mid-thigh muscle CSA with CT and MRI was found after GC treatment in 7 patients (p < 0.02). Those patients showed significant decline in SMI of whole body after GC treatment, but not in SMI of each leg. On the other hand, significant correlations between mid-thigh muscle CSA with CT and MRI were found before and after GC treatment (p < 0.01). GC-related skeletal muscle loss could be quantitatively assessed with BIA, CT, or MRI in patients with rheumatic diseases, and CT and MRI appeared to be more accurate than BIA.

New Mexico structural zone - An analogue of the Colorado mineral belt

USGS Publications Warehouse

Sims, P.K.; Stein, H.J.; Finn, C.A.

2002-01-01

Updated aeromagnetic maps of New Mexico together with current knowledge of the basement geology in the northern part of the state (Sangre de Cristo and Sandia-Manzano Mountains)-where basement rocks were exposed in Precambrian-cored uplifts-indicate that the northeast-trending Proterozoic shear zones that controlled localization of ore deposits in the Colorado mineral belt extend laterally into New Mexico. The shear zones in New Mexico coincide spatially with known epigenetic precious- and base-metal ore deposits; thus, the mineralized belts in the two states share a common inherited basement tectonic setting. Reactivation of the basement structures in Late Cretaceous-Eocene and Mid-Tertiary times provided zones of weakness for emplacement of magmas and conduits for ore-forming solutions. Ore deposits in the Colorado mineral belt are of both Late Cretaceous-Eocene and Mid-Tertiary age; those in New Mexico are predominantly Mid-Tertiary in age, but include Late Cretaceous porphyry-copper deposits in southwestern New Mexico. The mineralized belt in New Mexico, named the New Mexico structural zone, is 250-km wide. The northwest boundary is the Jemez subzone (or the approximately equivalent Globe belt), and the southeastern boundary was approximately marked by the Santa Rita belt. Three groups (subzones) of mineral deposits characterize the structural zone: (1) Mid-Tertiary porphyry molybdenite and alkaline-precious-metal deposits, in the northeast segment of the Jemez zone; (2) Mid-Tertiary epithermal precious-metal deposits in the Tijeras (intermediate) zone; and (3) Late Cretaceous porphyry-copper deposits in the Santa Rita zone. The structural zone was inferred to extend from New Mexico into adjacent Arizona. The structural zone provides favorable sites for exploration, particularly those parts of the Jemez subzone covered by Neogene volcanic and sedimentary rocks. ?? 2002 Published by Elsevier Science B.V.

Modeling the development of martian sublimation thermokarst landforms

USGS Publications Warehouse

Dundas, Colin M.; Byrne, Shane; McEwen, Alfred S.

2015-01-01

Sublimation-thermokarst landforms result from collapse of the surface when ice is lost from the subsurface. On Mars, scalloped landforms with scales of decameters to kilometers are observed in the mid-latitudes and considered likely thermokarst features. We describe a landscape evolution model that couples diffusive mass movement and subsurface ice loss due to sublimation. Over periods of tens of thousands of Mars years under conditions similar to the present, the model produces scallop-like features similar to those on the Martian surface, starting from much smaller initial disturbances. The model also indicates crater expansion when impacts occur in surfaces underlain by excess ice to some depth, with morphologies similar to observed landforms on the Martian northern plains. In order to produce these landforms by sublimation, substantial quantities of excess ice are required, at least comparable to the vertical extent of the landform, and such ice must remain in adjacent terrain to support the non-deflated surface. We suggest that Martian thermokarst features are consistent with formation by sublimation, without melting, and that significant thicknesses of very clean excess ice (up to many tens of meters, the depth of some scalloped depressions) are locally present in the Martian mid-latitudes. Climate conditions leading to melting at significant depth are not required.

Holocene Relative Sea-Level Changes from Near-, Intermediate-, and Far-Field Locations

NASA Astrophysics Data System (ADS)

Walker, J. S.; Khan, N.; Shaw, T.; Ashe, E.; Vacchi, M.; Peltier, W. R.; Kopp, R. E.; Horton, B.

2015-12-01

Holocene relative sea-level (RSL) records exhibit spatial and temporal variability that arises mainly from the interaction of eustatic (land ice volume and thermal expansion) and isostatic (glacio- and hydro-) factors. We fit RSL histories from near-, intermediate-, and far-field locations with noisy-input Gaussian process models to assess rates of RSL change from selected study areas. Records from near-field regions (e.g., Antarctica, Greenland, Canada, Sweden, and Scotland) reveal a complex pattern of RSL fall from a maximum marine limit due to the net effect of eustatic sea-level rise and glacial-isostatic uplift with rates of RSL fall as great as -69 ± 9 m/ka. Intermediate-field regions (e.g., mid-Atlantic and Pacific coasts of the United States, Netherlands, Southern France, St. Croix) display variable rates of RSL rise from the cumulative effect of isostatic and eustatic factors. Fast rates of RSL rise (up to 10 ± 1 m/ka) are found in the early Holocene in regions near the center of forebulge collapse. Far-field RSL records exhibit a mid-Holocene highstand, the timing (between 8 and 4 ka) and magnitude (between <1 and 6 m) of which varies across South America, Africa, Asia and Australia regions.

Coniunctio--in bodily and psychic modes: dissociation, devitalization and integration in a case of chronic fatigue syndrome.

PubMed

Holland, P

1997-04-01

Three years of analytical psychotherapy with a professional woman in mid-life, suffering from chronic fatigue syndrome (CFS), is described. Gradual recovery merged into mid-life changes; marriage, along with a new balance of maternal and paternal imagos, enabled her to trust enough to become pregnant-coniunctio in the most primal bodily and psychic modes. Her life-long, schizoid type pattern, "the pendulum of closeness and isolation', with its extreme of psycho-physical collapse and devitalization, was replayed in therapy. The analyst's symbolic attitude is emphasized, containing the patient's initial affective explosion and validating the physicality of her condition. Mirroring and steady rhythmic attunement became a new, pre-verbal, source of trust-vitalization; differentiation and separation replaced defensive splitting and dissociation. Then the overwhelmingly powerful bodily/maternal could be counterbalanced by the masculine, and a transitional space emerged for symbolic work. Both the regressive and the dynamic aspects of CFS are located in the earliest undifferentiated, archetypal, bodily/psychic modes, when the frustration of primary needs evokes the defences of the self. It is argued that our psychodynamic understanding can contribute to the stalemate in seeing chronic fatigue syndrome as either an organic illness or depression, and that a new linking of the somatic and psychic calls for a new professional collaboration.

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

Tobler, Matt; Watson, Gordon; Leavitt, Dennis

Radiotherapy plays a key role in the definitive or adjuvant management of patients with mesothelioma of the pleural surface. Many patients are referred for radiation with intact lung following biopsy or subtotal pleurectomy. Delivery of efficacious doses of radiation to the pleural lining while avoiding lung parenchyma toxicity has been a difficult technical challenge. Using opposed photon fields produce doses in lung that result in moderate-to-severe pulmonary toxicity in 100% of patients treated. Combined photon-electron beam treatment, at total doses of 4250 cGy to the pleural surface, results in two-thirds of the lung volume receiving over 2100 cGy. We havemore » developed a technique using intensity-modulated photon arc therapy (IMRT) that significantly improves the dose distribution to the pleural surface with concomitant decrease in dose to lung parenchyma compared to traditional techniques. IMRT treatment of the pleural lining consists of segments of photon arcs that can be intensity modulated with varying beam weights and multileaf positions to produce a more uniform distribution to the pleural surface, while at the same time reducing the overall dose to the lung itself. Computed tomography (CT) simulation is critical for precise identification of target volumes as well as critical normal structures (lung and heart). Rotational arc trajectories and individual leaf positions and weightings are then defined for each CT plane within the patient. This paper will describe the proposed rotational IMRT technique and, using simulated isodose distributions, show the improved potential for sparing of dose to the critical structures of the lung, heart, and spinal cord.« less

Phenotypic heterogeneity associated with a novel mutation (Gly112Glu) in the Norrie disease protein.

PubMed

Allen, R C; Russell, S R; Streb, L M; Alsheikheh, A; Stone, E M

2006-02-01

To determine the molecular pathology and clinical severity of two pedigrees with a history of early retinal detachment and peripheral retinal vascular abnormalities. Longitudinal cohort study. A longitudinal clinical study and DNA analysis was performed on 49 family members of two pedigrees. Nine individuals were found to be hemizygous for a mutation at codon 112 (Gly112Glu) of the Norrie disease protein (NDP) in one pedigree. Significant phenotypic heterogeneity was found. The proband presented with a unilateral subtotal retinal detachment at the age of 3 years, and subsequently developed a slowly progressive tractional retinal detachment involving the macula in the contralateral eye at the age of 4 years. One individual had only mild peripheral retinal pigmentary changes with normal vision at the age of 79 years. The remaining seven individuals had varying degrees of peripheral retinal vascular abnormalities and anterior segment findings. Seven affected members of a second pedigree affected by a previously reported mutation, Arg74Cys, also demonstrated wide ocular phenotypic variation. A novel mutation (Gly112Glu), which represents the most carboxy located, NDP mutation reported, results in significant phenotypic heterogeneity. These data support the contention that the spectrum of ocular disease severity associated with these NDP mutations is broad. Use of terms that characterize this entity by phenotypic appearance, such as familial exudative vitreoretinopathy, do not adequately communicate the potential spectrum of severity of this disorder to affected or carrier family members.

Effects of artificial tear treatment on corneal epithelial thickness and corneal topography findings in dry eye patients.

PubMed

Çakır, B; Doğan, E; Çelik, E; Babashli, T; Uçak, T; Alagöz, G

2018-05-01

To investigate the effects of artificial tear treatment on central corneal epithelial thickness, and central, mid-peripheral and peripheral corneal thicknesses in patients with dry eye disease (DED). Patients with DED underwent ocular examinations, including Schirmer-2 test, slit lamp examination for tear break-up time (BUT), corneal topography (CT) for measuring mean central, mid-peripheral and peripheral corneal thickness values and anterior segment optic coherence tomography (AS-OCT) for obtaining central corneal epithelial thickness. After artificial tear treatment (carboxymethylcellulose and sodium hyaluronate formulations) for one month, patients were examined again at a second visit and the results were compared. Sixty-one eyes of 33 female dry eye patients (mean age: 38.3±5.7 years) were enrolled. The mean follow-up time was 36.4±3.3 days. The mean tear BUT and Schirmer-1 tests revealed significant improvement after treatment (P=0.000, P=0.000, respectively). Central corneal epithelium and mean mid-peripheral corneal thicknesses measured significantly higher after treatment (P=0.001, P=0.02). Changes in central and peripheral corneal thicknesses were not statistically significant. Artificial tear treatment in dry eye patients seems to increase central corneal epithelial and mid-peripheral corneal thicknesses. Measurement of corneal epithelial thickness can be a useful tool for evaluation of treatment response in dry eye patients. Further long-term prospective studies are needed to investigate this item. Copyright © 2018 Elsevier Masson SAS. All rights reserved.

Amagmatic Accretionary Segments, Ultraslow Spreading and Non-Volcanic Rifted Margins (Invited)

NASA Astrophysics Data System (ADS)

Dick, H. J.; Snow, J. E.

2009-12-01

The evolution of non-volcanic rifted margins is key to understanding continental breakup and the early evolution of some of the world’s most productive hydrocarbon basins. However, the early stages of such rifting are constrained by limited observations on ancient heavily sedimented margins such as Newfoundland and Iberia. Ultraslow spreading ridges, however, provide a modern analogue for early continental rifting. Ultraslow spreading ridges (<20 mm/yr) comprise ~30% of the global ridge system (e.g. Gakkel, Southwest Indian, Terceira, and Knipovitch Ridges). They have unique tectonics with widely spaced volcanic segments and amagmatic accretionary ridge segments. The volcanic segments, though far from hot spots, include some of the largest axial volcanoes on the global ridge system, and have, unusual magma chemistry, often showing local isotopic and incompatible element enrichment unrelated to mantle hot spots. The transition from slow to ultraslow tectonics and spreading is not uniquely defined by spreading rate, and may also be moderated by magma supply and mantle temperature. Amagmatic accretionary segments are the 4th class of plate boundary structure, and, we believe, the defining tectonic feature of early continental breakup. They form at effective spreading rates <12 mm/yr, assume any orientation to spreading, and replace transform faults and magmatic segments. At amagmatic segments the earth splits apart with the mantle emplaced directly to the seafloor, and great slabs of peridotite are uplifted to form the rift mountains. A thick conductive lid suppresses mantle melting, and magmatic segments form only at widely spaced intervals, with only scattered volcanics in between. Amagmatic segments link with the magmatic segments forming curvilinear plate boundaries, rather than the step-like morphology found at faster spreading ridges. These are all key features of non-volcanic rifted margins; explaining, for example, the presence of mantle peridotites emplaced simultaneously on both the Newfoundland and Iberian Margins in the Jurassic and Cretaceous. Miocene Lena Trough is a new mid-ocean rift plate boundary and the final event in the separation of the North American and Eurasian continents. Mapping and sampling of Lena Trough confirms that it is both oblique and amagmatic, showing that initiation of seafloor spreading at a non-volcanic rifted continental margin follows the same pattern as ultraslow spreading ridges.

[Is subtotal bilateral thyroidectomy still indicated in patients with Grave's disease?].

PubMed

Bilosi, M; Binquet, C; Goudet, P; Lalanne-Mistrih, M L; Brun, J M; Cougard, P

2002-02-01

To evaluate the morbidity and the functional results of subtotal bilateral thyroidectomy in patients (TST) with Graves' disease. A retrospective study was performed in 128 patients. They were 23 males and 105 females with a median age of 34 years (range: 14-68). Weight of remnant tissue was between 4 and 5 g. Thyroid functional status was evaluated, at 3 months and after a follow-up period ranged from 1 to 5 years, by measurement of serum concentration of free T4 and/or free T3 and TSH. They were no post-operative death. Surgical complications were 2 vocal cord palsies and 17 hypocalcemia (inf. to 2 mmol/L). After a median follow-up of 2 years, they were no longer any cases of vocal cord dysfunction and no case of permanent hypoparathyroidism. Functional results were established in 118 patients: 46 patients had clinical hypothyroidism (39%), 64 patients had latent hypothyroidism or euthyroidism (54.2%), and 8 had recurrent hyperthyroidism (6.8%). These results suggest that TST with a remnant mass inferior to 5 g provides a low level of recurrent hyperthyroidism and allows to give no drug therapy to half patients. In our opinion, TST is still indicated in Graves' disease.

Guide Catheter Extension Device Is Effective in Renal Angioplasty for Severely Calcified Lesions

PubMed Central

Sugimoto, Takeshi; Nomura, Tetsuya; Hori, Yusuke; Yoshioka, Kenichi; Kubota, Hiroshi; Miyawaki, Daisuke; Urata, Ryota; Kikai, Masakazu; Keira, Natsuya; Tatsumi, Tetsuya

2017-01-01

Patient: Male, 69 Final Diagnosis: Atherosclerotic renal artery stenosis Symptoms: None Medication: — Clinical Procedure: — Specialty: Radiology Objective: Unusual setting of medical care Background: The GuideLiner catheter extension device is a monorail-type “Child” support catheter that facilitates coaxial alignment with the guide catheter and provides an appropriate back-up force. This device has been developed in the field of coronary intervention, and now is becoming widely applied in the field of endovascular treatment. However, there has been no report on the effectiveness of the guide catheter extension device in percutaneous transluminal renal angioplasty (PTRA). Case Report: We encountered a case of atherosclerotic subtotal occlusion at the ostium of the left renal artery. Due to the severely calcified orifice and weaker back-up force provided by a JR4 guide catheter, we could not pass any guide-wires through the target lesion. Therefore, we introduced a guide catheter extension device, the GuideLiner catheter, through the guide catheter and achieved good guidewire maneuverability. We finally deployed 2 balloon-expandable stents and successfully performed all PTRA procedures. Conclusions: The guide catheter extension device can be effective in PTRA for severely calcified subtotal occlusion. PMID:28533503

Application of intraoperative magnetic resonance imaging in large invasive pituitary adenoma surgery.

PubMed

Li, Jie; Cong, Zixiang; Ji, Xueman; Wang, Xiaoliang; Hu, Zhigang; Jia, Yue; Wang, Handong

2015-07-01

To investigate the clinical application value of intraoperative magnetic resonance imaging (iMRI) in large invasive pituitary adenoma surgery. A total of 30 patients with large pituitary adenoma underwent microscopic tumor resection under the assistance of an iMRI system; 26 cases received surgery through the nasal-transsphenoidal approach, and the remaining four cases received surgery through the pterion approach. iMRI was performed one or two times depending on the need of the surgeon. If a residual tumor was found, further resection was conducted under iMRI guidance. iMRI revealed residual tumors in 12 cases, among which nine cases received further resection. Of these nine cases, iMRI rescanning confirmed complete resection in six cases, and subtotal resection in the remaining three. Overall, 24 cases of tumor were totally resected, and six cases were subtotally resected. The total resection rate of tumors increased from 60% to 80%. iMRI can effectively determine the resection extent of pituitary adenomas. In addition, it provides an objective basis for real-time judgment of surgical outcome, subsequently improving surgical accuracy and safety, and increasing the total tumor resection rate. Copyright © 2015. Published by Elsevier Taiwan.

Effects of maternal subtotal nephrectomy on the development of the fetal kidney: A morphometric study.

PubMed

Kondo, Tomohiro; Kitano-Amahori, Yoko; Nagai, Hiroaki; Mino, Masaki; Takeshita, Ai; Kusakabe, Ken Takeshi; Okada, Toshiya

2015-11-01

The present study was designed to explore if maternal subtotal (5/6) nephrectomy affects the development of fetal rat kidneys using morphometric methods and examining whether there are any apoptotic changes in the fetal kidney. To generate 5/6 nephrectomized model rats, animals underwent 2/3 left nephrectomy on gestation day (GD) 5 and total right nephrectomy on GD 12. The fetal kidneys were examined on GDs 16 and 22. A significant decrease in fetal body weight resulting from maternal 5/6 nephrectomy was observed on GD 16, and a significant decrease in fetal renal weight and fetal body weight caused by maternal nephrectomy was observed on GD 22. Maternal 5/6 nephrectomy induced a significant increase in glomerular number, proximal tubular length, and total proximal tubular volume of fetuses on GD 22. Maternal 5/6 nephrectomy resulted in an increase in the number of apoptotic cells in the metanephric mesenchyme of the kidney on GD 16, and in the collecting tubules on GD 22. These findings suggest that maternal 5/6 nephrectomy stimulates the development of the fetal kidney while suppressing fetal growth. © 2015 Japanese Teratology Society.

Effect of growth phase on the fatty acid compositions of four species of marine diatoms

NASA Astrophysics Data System (ADS)

Liang, Ying; Mai, Kangsen

2005-04-01

The fatty acid compositions of four species of marine diatoms ( Chaetoceros gracilis MACC/B13, Cylindrotheca fusiformis MACC/B211, Phaeodactylum tricornutum MACC/B221 and Nitzschia closterium MACC/B222), cultivated at 22°C±1°C with the salinity of 28 in f/2 medium and harvested in the exponential growth phase, the early stationary phase and the late stationary phase, were determined. The results showed that growth phase has significant effect on most fatty acid contents in the four species of marine diatoms. The proportions of 16:0 and 16:1n-7 fatty acids increased while those of 16:3n-4 and eicosapentaenoic acid (EPA) decreased with increasing culture age in all species studied. The subtotal of saturated fatty acids (SFA) increased with the increasing culture age in all species with the exception of B13. The subtotal of monounsaturated fatty acids (MUFA) increased while that of polyunsaturated fatty acids (PUFA) decreased with culture age in the four species of marine diatoms. MUFA reached their lowest value in the exponential growth phase, whereas PUFA reached their highest value in the same phase.

The role of ventral and preventral organs as attachment sites for segmental limb muscles in Onychophora

PubMed Central

2013-01-01

Background The so-called ventral organs are amongst the most enigmatic structures in Onychophora (velvet worms). They were described as segmental, ectodermal thickenings in the onychophoran embryo, but the same term has also been applied to mid-ventral, cuticular structures in adults, although the relationship between the embryonic and adult ventral organs is controversial. In the embryo, these structures have been regarded as anlagen of segmental ganglia, but recent studies suggest that they are not associated with neural development. Hence, their function remains obscure. Moreover, their relationship to the anteriorly located preventral organs, described from several onychophoran species, is also unclear. To clarify these issues, we studied the anatomy and development of the ventral and preventral organs in several species of Onychophora. Results Our anatomical data, based on histology, and light, confocal and scanning electron microscopy in five species of Peripatidae and three species of Peripatopsidae, revealed that the ventral and preventral organs are present in all species studied. These structures are covered externally with cuticle that forms an internal, longitudinal, apodeme-like ridge. Moreover, phalloidin-rhodamine labelling for f-actin revealed that the anterior and posterior limb depressor muscles in each trunk and the slime papilla segment attach to the preventral and ventral organs, respectively. During embryonic development, the ventral and preventral organs arise as large segmental, paired ectodermal thickenings that decrease in size and are subdivided into the smaller, anterior anlagen of the preventral organs and the larger, posterior anlagen of the ventral organs, both of which persist as paired, medially-fused structures in adults. Our expression data of the genes Delta and Notch from embryos of Euperipatoides rowelli revealed that these genes are expressed in two, paired domains in each body segment, corresponding in number, position and size with the anlagen of the ventral and preventral organs. Conclusions Our findings suggest that the ventral and preventral organs are a common feature of onychophorans that serve as attachment sites for segmental limb depressor muscles. The origin of these structures can be traced back in the embryo as latero-ventral segmental, ectodermal thickenings, previously suggested to be associated with the development of the nervous system. PMID:24308783

True-lumen and false-lumen diameter changes in the downstream aorta after frozen elephant trunk implantation.

PubMed

Berger, Tim; Kreibich, Maximilian; Morlock, Julia; Kondov, Stoyan; Scheumann, Johannes; Kari, Fabian A; Rylski, Bartosz; Siepe, Matthias; Beyersdorf, Friedhelm; Czerny, Martin

2018-02-19

To evaluate early and mid-term clinical outcomes and to assess the potential of the frozen elephant trunk technique to induce remodelling of downstream aortic segments in acute and chronic thoracic aortic dissections. Over a 4-year period, 65 patients (48 men, aged 61 ± 12 years) underwent total aortic arch replacement using the frozen elephant trunk technique for acute (n = 31) and chronic (n = 34) thoracic aortic dissections at our institution. We assessed diameter changes at 3 levels: the L1 segment at the stent graft level; the L2 segment at the thoraco-abdominal transition level and the L3 segment at the coeliac trunk level. True-lumen (TL) and false-lumen (FL) diameter changes were assessed at each level. Fifty-six percent of patients had already undergone previous aortic or cardiac surgery. In-hospital mortality was 6%. Symptomatic spinal cord injury was not observed in this series. During a mean follow-up of 12 ± 12 months, late death was observed in 6% of patients. Aortic reinterventions in downstream aortic segments were performed in 28% at a mean of 394 ± 385 days. TL expansion and FL shrinkage were measured in all segments and were observed at each level. This effect was the most pronounced at the level of the stent graft in patients with chronic aortic dissection, TL diameter increased from 15 ± 17 mm before surgery to 28 ± 2 mm (P = 0.001) after 2 years, and the FL diameter decreased from 40 ± 11 mm before surgery to 32 ± 17 mm (P = 0.026). The frozen elephant trunk technique is associated with an excellent clinical outcome in a complex cohort of patients, and also effectively induces remodelling in downstream aortic segments in acute and chronic thoracic aortic dissections. The need for secondary interventions in downstream segments, which mainly depends on the extent of the underlying disease process, remains substantial. Further studies are required to assess the long-term outcome of this approach.

Subsonic flow investigations on a cranked wing designed for high maneuverability

NASA Technical Reports Server (NTRS)

Rao, D. M.

1986-01-01

The characteristic pitching moment nonlinearity of cranked wings limits their usable lift coefficient well below C sub L max. The potential of several aerodynamic devices, viz., fences, pylon vortex generators (PVG), mid-span strakes and cavity flaps, in delaying the pitch up onset on a 70/50 deg cranked wing was explored in low speed tunnel tests. Upper surface pressure measurements and low visualizations were conducted on a semi-span wing model to observe the vortex flow development with increasing angle of attack, and then to assess the effectiveness of the devices in controlling the collapse of vortex lift over the wing panel outboard of the crank. Force tests on a full span wing and body model were also conducted to assess the fence and PVG in improving the usable C sub L.

Loop Electrostatics Asymmetry Modulates the Preexisting Conformational Equilibrium in Thrombin.

PubMed

Pozzi, Nicola; Zerbetto, Mirco; Acquasaliente, Laura; Tescari, Simone; Frezzato, Diego; Polimeno, Antonino; Gohara, David W; Di Cera, Enrico; De Filippis, Vincenzo

2016-07-19

Thrombin exists as an ensemble of active (E) and inactive (E*) conformations that differ in their accessibility to the active site. Here we show that redistribution of the E*-E equilibrium can be achieved by perturbing the electrostatic properties of the enzyme. Removal of the negative charge of the catalytic Asp102 or Asp189 in the primary specificity site destabilizes the E form and causes a shift in the 215-217 segment that compromises substrate entrance. Solution studies and existing structures of D102N document stabilization of the E* form. A new high-resolution structure of D189A also reveals the mutant in the collapsed E* form. These findings establish a new paradigm for the control of the E*-E equilibrium in the trypsin fold.

AMS radiocarbon investigation of the African baobab: Searching for the oldest tree

NASA Astrophysics Data System (ADS)

Patrut, Adrian; von Reden, Karl F.; Mayne, Diana H.; Lowy, Daniel A.; Patrut, Roxana T.

2013-01-01

The Glencoe baobab, a very large specimen from South Africa, split twice in 2009. Several wood samples were collected from the eastern cavity, from the outer part of the main section and also from the largest broken segment which was connected to this section. These wood samples were processed and investigated by AMS radiocarbon dating. The radiocarbon date of the oldest sample was found to be 1838 ± 21 BP, which corresponds to a calibrated age of 1835 ± 40 years. Thus, the Glencoe baobab becomes the oldest dated baobab and also the oldest angiosperm tree with accurate dating results. The distribution of dating results revealed that the Glencoe baobab is a multi-generation tree, with several standing or collapsed and partially fused stems, showing different ages.

Ascending Aortic Stenting for Acute Supraaortic Stenosis From Graft Collapse.

PubMed

Lader, Joshua M; Smith, Deane E; Staniloae, Cezar; Fallahi, Arzhang; Iqbal, Sohah N; Galloway, Aubrey C; Williams, Mathew R

2018-06-01

A 78-year-old man with remote type-A dissection presented with acute-onset dyspnea. Twenty-two years prior, treatment for his aortic disease required replacement of ascending and arch aneurysms with a polyester graft (Dacron) using the graft inclusion technique. He presented currently in cardiogenic shock. Echocardiography demonstrated new severe hypokinesis of all apical segments. Left-heart catheterization revealed a 120 mm Hg intragraft gradient. Computed tomography arteriography was unrevealing, but intraaortic ultrasound demonstrated critical intragraft stenosis. A balloon expandable stent (Palmaz stent, Cordis, Milpitas, CA) was deployed in the stenotic region with gradient resolution. The patient later underwent aortic root replacement and ascending aneurysm repair (Bio-Bentall technique) and is doing well at 24 months. Copyright © 2018 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Reply to: Terry, J. and Goff, J. comment on “Late Cenozoic sea level and the rise of modern rimmed atolls” by Toomey et al. (2016), Palaeogeography, Palaeoclimatology, Palaeoecology 4 51: 73–83.

USGS Publications Warehouse

Toomey, Michael; Ashton, Andrew; Raymo, Maureen E.; Perron, J. Taylor

2017-01-01

We appreciate Terry and Goff's thoughtful comment in response to our proposed atoll development model. Flank collapse of reef-built slopes likely does affect plan-form atoll morphology in some locations and potentially poses a tsunami hazard to low-lying Pacific islands (Terry and Goff, 2013). However, given the often rapid rates of lagoon infill (> 1 mm/yr; Montaggioni, 2005), such failure events would likely need to be frequent and widespread in order to leave a morphologic imprint on modern western Pacific atoll lagoon depths. Few atoll flank collapse features have been dated but many of the arcuate bight-like structures (ABLS) identified could be inherited from scars incised into the initial volcanic edifice (e.g. Terry and Goff, 2013 and refs. therein) — submarine mass wasting has been extensively documented on young hotspot islands (e.g. Hawaiian Islands: Moore et al., 1989; Reunion: Oehler et al., 2008). Atolls in the Marshall Islands, where our main study site Enewetak Atoll is located, are likely ~ 50–100 million years old (Larson et al., 1995) and dating of adjacent deep-water turbidite aprons in the Nauru Basin (DSDP Site 462; Schlanger and Silva, 1986) suggests that large atoll flank collapse events have been relatively infrequent there since the mid-Miocene (< 11 Ma). In our simple, 1D atoll development model (Toomey et al., 2016a), we included the minimum set of processes (vertical accretion, dissolution, and lagoonal infilling) required to accurately simulate Enewetak's ‘recent’ depositional history (8.5–0 Ma) and explain basic differences in lagoon depth among western Pacific atolls.We agree future development of a model incorporating the wider range of processes impacting connectivity between reef-bound lagoons and the ocean (e.g. Ouillon et al., 2004; Toomey et al., 2016b), including stochastic mass wasting events, will be essential for exploring the plan-form and 3D shapes of atolls. To our knowledge, no quantitative model of long-term atoll development has explicitly linked lagoon restriction/sedimentation to episodic flank collapse events (e.g. Montaggioni et al., 2015; Paterson et al., 2006; Quinn, 1991; Warrlich et al., 2002). Testing Terry and Goff's proposed conceptual model for how rim failure processes affect atoll morphology in a numerical context will require deep drilling along arcuate bight-like structures, as well as adjacent, unaffected, rim and lagoon areas, in order quantify how often failures occur and how quickly the rim/lagoon is rebuilt afterwards. The model we present here provides a general framework capable of integrating atoll flank collapse processes once they are sufficiently constrained by such observational datasets.

Effect of the starting and turning performances on the subsequent swimming parameters of elite swimmers.

PubMed

Veiga, Santiago; Roig, Andreu

2017-03-01

In the present research, we examined the effect of the starting and turning performances on the subsequent swimming parameters by (1) comparing the starting and turning velocities with the swimming parameters on the emersion and mid-pool segments and (2) by relating the individual behaviour of swimmers during the start and turns with subsequent behaviour on each swimming lap. One hundred and twelve 100 m performances on the FINA 2013 World Swimming Championships were analysed by an image-processing system (InThePool 2.0®). At the point of the start emersion, the swimming parameters of the 100-m elite swimmers were substantially greater than the mid-pool parameters, except on the breaststroke races. On the other hand, no diminution in the swimming parameters was observed between the turn emersion and the mid-pool swimming, except on the butterfly and backstroke male races. Changes on the surface swimming kinematics were not generally related to the starting or turning parameters, although male swimmers who develop faster starts seem to achieve faster velocities at emersion. Race analysts should be aware of a transfer of momentum when swimmers emerge from underwater with implications on the subsequent swimming kinematics, especially for male swimmers who employ underwater undulatory techniques.

Mid-Holocene drying of the U.S. Great Basin recorded in Nevada speleothems

NASA Astrophysics Data System (ADS)

Steponaitis, Elena; Andrews, Alexandra; McGee, David; Quade, Jay; Hsieh, Yu-Te; Broecker, Wallace S.; Shuman, Bryan N.; Burns, Stephen J.; Cheng, Hai

2015-11-01

Lake level records point to dramatic changes in Great Basin water balance over the last 25 ka, but the timing and pace of Holocene drying in the region remains poorly documented. Here we present stable isotope and trace metal data from two Lehman Caves, NV speleothems that provide a well-dated record of latest Pleistocene to mid-Holocene hydroclimate in the U.S. Great Basin. Together the stalagmites span the interval between 16.4 ka and 3.8 ka, with a hiatus from 15.0 ka to 12.7 ka. Mg/Ca and δ13C covary throughout the records, consistent with control by the extent of degassing and prior calcite precipitation (PCP); measurements of modern cave and soil waters support PCP as the primary control on drip-water trace-element composition. We therefore interpret Mg/Ca and δ13C as reflecting infiltration rates, with higher values corresponding to drier periods. Both Mg/Ca and δ13C indicate a wet period at the beginning of the record (12.7-8.2 ka) followed by pronounced drying after 8.2 ka. This mid-Holocene drying is consistent with records from around the western United States, including a new compilation of Great Basin lake-level records. The strong temporal correspondence with the collapse of the Laurentide ice sheet over Hudson Bay suggests that this drying may have been triggered by northward movement of the winter storm track as a result of ice sheet retreat. However, we cannot rule out an alternative hypothesis that wet early Holocene conditions are related to equatorial Pacific sea-surface temperature. Regardless, our results suggest that Great Basin water balance in the early Holocene was driven by factors other than orbital changes.

Experimental Evaluation of Early and Long-Term Effects of Microparticle Embolization in Two Different Mini-Pig Models. Part I: Kidney

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

Stampfl, S.; Stampfl, U.; Rehnitz, C.

Purpose. Using a pig model: (1) to evaluate the vascular distribution pattern, including the homogeneity and completeness of the intra-arterial microsphere distribution, of 40-120-{mu}m trisacryl-gelatin microspheres (Embospheres) in acute whole-kidney embolization; (2) to evaluate the durability and biocompatibility of 40-120-{mu}m trisacryl-gelatin microspheres (Embospheres) in chronic partial kidney embolization. Methods. Twenty-two animals were divided into four groups: group 1 (n = 4) underwent total arterial renal occlusion with immediate euthanasia. Groups 2-4 had chronic superselective and partial renal embolization with increasing follow-up times: group 2 (n = 2), 1 week; group 3 (n = 7), 4 weeks; and group 4 (nmore » = 9), 14 weeks. Key endpoints in group 1 were homogeneity and completeness of acute embolizations. In groups 2-4 the key endpoints were durability of embolization and particle-related inflammation in chronic partial embolizations as assessed by quantitative angiography or histomorphometry. A numerical angiographic occlusion score (0.0 to 4.0, where 3.0 is optimal) was developed to assess and quantify the angiographic durability of superselective embolizations (groups 2-4). Results. In group 1, a relatively homogeneous distribution of the particles from segmental arteries to the precapillary level was shown by histomorphometry. Some particles reached the glomerular vas afferens (10 {mu}m diameter). In groups 2-4, a mild recanalization appeared during follow-up. The immediate average postembolization occlusion score of 3.18 {+-} 0.73 was reduced to 1.44 {+-} 0.73 (statistically significant). Microscopy revealed subtotal necrosis but no foreign body granuloma formation. The intra-arterial appearance of giant cells closely attaching to the surface of the embolic spheres inside the vessel lumen was noted. Vessel walls showed major ischemic reactions. Conclusion. Microspheres 40-120 {mu}m in diameter might achieve total occlusion of the arterial kidney vasculature when injected centrally as a result of their fairly homogeneous distribution. Segmental renal infarction occurs after chronic partial embolization despite recanalizations during follow-up. Only mild specific intra-arterial foreign body reactions were found.« less

Infant orthopedics has no effect on maxillary arch dimensions in the deciduous dentition of children with complete unilateral cleft lip and palate (Dutchcleft).

PubMed

Bongaarts, Catharina A M; van 't Hof, Martin A; Prahl-Andersen, Birte; Dirks, Iris V; Kuijpers-Jagtman, Anne M

2006-11-01

Evaluation of the effect of infant orthopedics on maxillary arch dimensions in the deciduous dentition in patients with unilateral cleft lip and palate. Prospective two-arm randomized controlled clinical trial with three participating cleft palate centers. Cleft palate centers of the Radboud University Nijmegen Medical Center, Academic Center of Dentistry Amsterdam, and University Medical Center Rotterdam, the Netherlands. Children with complete unilateral cleft lip and palate (n = 54) were included. Patients were randomly divided into two groups. Half of the patients (IO+) had a presurgical orthopedic plate until surgical closure of the soft palate at the age of 52 weeks; the other half (IO-) did not undergo presurgical orthopedics. Maxillary arch dimensions were assessed on dental casts at 4 and 6 years of age with measurements for arch width, arch depth, arch length, arch form, and the vertical position of the lesser segment. Contact and collapse were assessed also. There were no clinically significant differences found between IO+ and IO- for any of the variables. Infant orthopedics had no observable effect on the maxillary arch dimensions or on the contact and collapse scores in the deciduous dentition at the ages of 4 and 6 years. Considering the Dutchcleft results to date, there is no need to perform infant orthopedics for unilateral cleft lip and palate patients.

Use of a Fourier transform spectrometer on a balloon-borne telescope and at the multiple mirror telescope (MMT)

NASA Technical Reports Server (NTRS)

Traub, W. A.; Chance, K. V.; Brasunas, J. C.; Vrtilek, J. M.; Carleton, N. P.

1982-01-01

The design and use of an infrared Fourier transform spectrometer which has been used for observations of laboratory, stratospheric, and astronomical spectra are described. The spectrometer has a spectral resolution of 0.032/cm and has operated in the mid-infrared (12 to 13 microns) as well as the far-infrared (40 to 140 microns), using both bolometer and photoconductor cryogenic detectors. The spectrometer is optically sized to accept an f/9 beam from the multi-mirror telescope (MMT). The optical and electronic design are discussed, including remote operation of the spectrometer on a balloon-borne 102-cm telescope. The performance of the laser-controlled, screw-driven moving cat's-eye mirror is discussed. Segments of typical far-infrared balloon flight spectra, lab spectra, and mid-infrared MMT spectra are presented. Data reduction, interferogram processing, artifact removal, wavelength calibration, and intensity calibration methods are discussed. Future use of the spectrometer is outlined.

Finescale parameterizations of energy dissipation in a region of strong internal tides and sheared flow, the Lucky-Strike segment of the Mid-Atlantic Ridge

NASA Astrophysics Data System (ADS)

Pasquet, Simon; Bouruet-Aubertot, Pascale; Reverdin, Gilles; Turnherr, Andreas; Laurent, Lou St.

2016-06-01

The relevance of finescale parameterizations of dissipation rate of turbulent kinetic energy is addressed using finescale and microstructure measurements collected in the Lucky Strike segment of the Mid-Atlantic Ridge (MAR). There, high amplitude internal tides and a strongly sheared mean flow sustain a high level of dissipation rate and turbulent mixing. Two sets of parameterizations are considered: the first ones (Gregg, 1989; Kunze et al., 2006) were derived to estimate dissipation rate of turbulent kinetic energy induced by internal wave breaking, while the second one aimed to estimate dissipation induced by shear instability of a strongly sheared mean flow and is a function of the Richardson number (Kunze et al., 1990; Polzin, 1996). The latter parameterization has low skill in reproducing the observed dissipation rate when shear unstable events are resolved presumably because there is no scale separation between the duration of unstable events and the inverse growth rate of unstable billows. Instead GM based parameterizations were found to be relevant although slight biases were observed. Part of these biases result from the small value of the upper vertical wavenumber integration limit in the computation of shear variance in Kunze et al. (2006) parameterization that does not take into account internal wave signal of high vertical wavenumbers. We showed that significant improvement is obtained when the upper integration limit is set using a signal to noise ratio criterion and that the spatial structure of dissipation rates is reproduced with this parameterization.

Myocardial oedema as the sole marker of acute injury in Takotsubo cardiomyopathy: a cardiovascular magnetic resonance (CMR) study.

PubMed

Iacucci, Ilaria; Carbone, Iacopo; Cannavale, Giuseppe; Conti, Bettina; Iampieri, Ilaria; Rosati, Riccardo; Sardella, Gennaro; Frustaci, Andrea; Fedele, Francesco; Catalano, Carlo; Francone, Marco

2013-12-01

The main hallmark of Takotsubo cardiomyopathy (TT-CMP) is transient ischaemia, with completely reversible regional contractile dysfunction, which involves the mid-apical segments and shows no angiographic signs of coronary artery disease (CAD). The acute and reversible myocardial injury suggests that tissue oedema may be an important marker of disease. Seventeen patients with a clinical and angiographic diagnosis of TT-CMP underwent cardiovascular magnetic resonance (CMR) imaging in the acute phase and at follow-up after 4 months. A standard acquisition protocol including turbo spin echo (TSE) T2-weighted short-tau inversion-recovery (T2 STIR), steady-state free-precession cine (SSFP cine) and lateenhancement (LE) imaging after gadolinium benzyloxypropionic tetraacetic acid (Gd-BOPTA) administration was performed. All images were analysed, and data on oedema and LE were correlated with regional dysfunction and histological findings from endomyocardial biopsy (EMB) where available. In all patients, T2 STIR images showed a diffuse homogeneous hyperintensity that extended to all mid-apical segments and perfectly matched the area of regional dysfunction, reflecting tissue oedema. In the five patients who underwent EMB, histology confirmed the massive interstitial oedema associated with typical contraction-band necrosis. No cases of LE were observed. At follow-up, complete regression of oedema was observed in all cases, with significant recovery of regional and global left ventricular (LV) function (ejection fraction from 48.7% to 59.8%). Myocardial oedema on CMR is a characteristic feature of acute TT-CMP, which reflects acute inflammation and acute myocardial injury. It could therefore be used as a specific marker of disease severity.

Application of mid-infrared spectroscopy in analyzing different segmented production of Angelica by AB-8 macroporous resin

NASA Astrophysics Data System (ADS)

Guo, Yizhen; Wang, Jingjuan; Lu, Lina; Sun, Suqin; Liu, Yang; Xiao, Yao; Qin, Youwen; Xiao, Lijuan; Wen, Haoran; Qu, Lei

2016-01-01

As complicated mixture systems, chemical components of Angelica are very difficult to identify and discriminate, so as not to control its quality effectively. In recent years, Mid-infrared spectroscopy has been innovatively employed to identify and assess the quality of Traditional Chinese medicine (TCM) products. In this paper, the macroscopic IR fingerprint method including Fourier transform infrared spectroscopy (FT-IR), the second derivative infrared spectroscopy (SD-IR) and two-dimensional correlation infrared spectroscopy (2D-IR), are applied to study and identify Angelica raw material, the decoction and different segmented production of AB-8 macroporous resin. FT-IR spectrum indicates that Angelica raw material is rich in sucrose and the correlation coefficient is 0.8465. The decoction of Angelica contains varieties of polysaccharides components and the content is gradually decreased with increasing concentration of ethanol. In addition, the decoction of Angelica contains a certain amount of protein components and 50% ethanol eluate has more protein than other eluates. Their second derivative spectra amplify the differences and reveal the potentially characteristic IR absorption bands, then we conclude that the decoction of Angelica contains a certain amount of ferulic acid and ligustilide. And 30% ethanol eluate, 50% ethanol eluate and 70% ethanol eluate are similar to ligustilide. Further, 2D-IR spectra enhance the spectral resolution and obtain much new information for discriminating the similar complicated samples. It is demonstrated that the above three-step infrared spectroscopy could be applicable for effective, visual and accurate analysis and identification of very complicated and similar mixture systems of traditional Chinese medicines.