- Smoke: How to Differentiate Flow-related Artifacts From Pathology on Thoracic Computed Tomographic Angiography. [Journal Article]
- JTJ Thorac Imaging 2019 Jun 14
- Nonuniform contrast opacification of vasculature is frequently encountered on thoracic computed tomographic angiography. The purpose of this pictorial essay is to discuss the appearance of, and facto…
Nonuniform contrast opacification of vasculature is frequently encountered on thoracic computed tomographic angiography. The purpose of this pictorial essay is to discuss the appearance of, and factors underlying mixing artifacts, which we term "smoke." We provide an approach to distinguish it from pathology including pulmonary embolism, aortic dissection, and thrombus. Smoke results from a combination of technical factors, abnormal physiology, or inflow of unopacified blood. Smoke produces ill-defined filling defects that may be confidently diagnosed in many cases if these fundamentals are applied.
- Five-year results of endovascular aortic repair used according to instructions for use give a good general outcome for abdominal aortic aneurysm. [Journal Article]
- SOSAGE Open Med 2019; 7:2050312119853434
- CONCLUSIONS: Endovascular aortic repair for abdominal aortic aneurysm in accordance with instructions for use gives a low long-term risk for increased diameter and low rate of secondary procedures. There was similar mortality after elective endovascular aortic repair and open repair for abdominal aortic aneurysm. Applying endovascular aortic repair according to instructions for use does not seem to change the general outcome of patients with abdominal aortic aneurysm but improves the outcome with the method.
- Is Pelvic Floor Dysfunction Associated With Development of Transient Low Back Pain During Prolonged Standing? A Protocol. [Journal Article]
- CMClin Med Insights Womens Health 2019; 12:1179562X19849603
- Prolonged standing has been associated with an increased prevalence of low back pain (LBP) and is recognized as a potential workplace hazard for employees such as retail staff, assembly line workers,…
Prolonged standing has been associated with an increased prevalence of low back pain (LBP) and is recognized as a potential workplace hazard for employees such as retail staff, assembly line workers, and healthcare personnel. Low back pain is more prevalent in women than in men, and disability due to LBP is worse in women with severe urinary incontinence. However, it is unclear whether pelvic floor dysfunction observed in stress urinary incontinence is a risk factor for LBP. The main purpose of this study is to determine whether co-activation patterns between the pelvic floor and abdominal muscles during a 2-hour prolonged standing task predict transient LBP in women with and without stress urinary incontinence.
- On the usability of skull maceration in fatal head injuries caused by axes. [Letter]
- FSForensic Sci Med Pathol 2019 Jun 15
- A biomechanical comparison between human calvarial bone and a skull simulant considering the role of attached periosteum and dura mater. [Journal Article]
- IJInt J Legal Med 2019 Jun 16
- CONCLUSIONS: The load-deformation properties of the epoxy resin samples assessed in this study fell within a closer range to the skull specimens with PR than with PA. Moreover, the values obtained for the resin fall within the reference range for skull tissues in the literature suggesting that the proposed epoxy resin may provide a usable artificial substitute for PA but does not totally represent the human skull in its complex anatomical structure.
- Physico-chemical analysis of pyrolyzed bio-oil from swietenia macrophylla (mahogany) wood. [Journal Article]
- HHeliyon 2019; 5(6):e01790
- The Swietenia macrophylla wood used for the study was sun dried for about 48 h, pulverized using a hammer mill and then sieved to a particle size of about 425μm using Wiley milling machine. The prepa…
The Swietenia macrophylla wood used for the study was sun dried for about 48 h, pulverized using a hammer mill and then sieved to a particle size of about 425μm using Wiley milling machine. The prepared materials were pyrolyzed in a fixed-bed pyrolysis reactor in the temperature range from 425 to 500 °C. The product yields were collected at an interval of 25 °C. The maximum yield of bio-oil was recorded as 69.5wt.% at the pyrolysis temperature of 450 °C. The physicochemical properties and compositions of the feed materials and produced bio-oil were measured in order to quantify their potential for bio-energy use and industrial applications. The properties specifically measured include density, moisture content, ash content, pH, refractive index, cetane index, elemental composition, viscosity, and heating values. The ultimate analysis of the product showed that the contents of carbon, oxygen, hydrogen, nitrogen, and sulfur were 50.2%, 42.6%, 6.6%, <0.4% and <0.06% respectively. The viscosity, density, pH, moisture content, API gravity, ash content, HHV and LHV of bio-oil produced were found to be 4.6 mm2/s, 0.951 g/ml, 5.64, 21.4wt.%, 19.29, 0.15wt%, 29.52 MJ/kg and 28.08 MJ/kg respectively. These values were found to be in the ranges of values reported in the literature for bio-oils produced from biomass. The produced bio-oil had the much needed organic compounds typical of other woody biomass employed in commercial bio-oil manufacture. These compounds were classified into several groups; organic acids, ketones, phenols, alcohols, and aldehydes. The main components identified in the bio-oil are the aromatic and aliphatic compounds as well as carboxyl groups. The GCMS analysis of the product indicated the presence of 24 compounds which are useful as industrial chemicals and flammable gases: they include alkanes, alkenes, phenols, hydrogen, and levoglucosan. This study on bio-oil has demonstrated that mahogany wood is a useful biomass for the much sort potential fossil fuel substitute and finds vast application in the biofuel industry.
- [Single-stage open tympanoplasty in the form of tympanosclerosis with fixation of the stapes]. [Journal Article]
- VOVestn Otorinolaringol 2019; 84(2):23-28
- We used several variants of one-stage tympanoplasty, including our own method, according to which, in the absence of an anvil and malleus after mobilisation of the stapes, ossiculoplasty with partial…
We used several variants of one-stage tympanoplasty, including our own method, according to which, in the absence of an anvil and malleus after mobilisation of the stapes, ossiculoplasty with partial or complete ossicular prosthesis and myringoplasty simultaneously preventively created a support (neo-malleus) in the thickness of the neotympanic membrane. To assess the effectiveness of different variants of single-stage tympanoplasty, the long-term functional results were compared in terms of 6 to 12 months after the intervention with preoperative indicators. Standard methods of statistical estimation with calculation of descriptive statistics and methods of statistical hypothesis testing based on nonparametric Wilcoxon criterion for related samples were used. All the variants of one-stage tympanoplasty used in the fixation of the stapes are effective and, in general, make it possible to achieve an improvement in auditory function. In the present study, this result was achieved in 61 of 86 patients with tympanosclerosis (71% (65%; 74%) of 95% CI). The functional results of tympanoplasty according to the developed method do not differ from the results of traditional variants with the use of prostheses, but the implementation of this variant of tympanoplasty in the absence of an anvil and hammer allows for the fixation of the stapes during the reoperative stapedotomy using a prosthesis of the piston type without additional surgical stage of the formation of the neomaleus.
- The burden of Legionnaires' disease in New Zealand (LegiNZ): a national surveillance study. [Journal Article]
- LILancet Infect Dis 2019 Jun 10
- CONCLUSIONS: The rate of notified disease during the study period was three-times the average over the preceding 3 years. Active case-finding through systematic PCR testing better clarified the regional epidemiology of Legionnaires' disease and uncovered an otherwise hidden burden of disease. These data inform local Legionnaires' disease testing strategies, allow targeted antibiotic therapy, and help identify outbreaks and effective prevention strategies. The same approach might have similar benefits if applied elsewhere in the world.
- Altered expression of signaling pathways regulating neuronal excitability in hippocampal tissue of temporal lobe epilepsy patients with low and high seizure frequency. [Journal Article]
- EREpilepsy Res 2019 May 24; 155:106145
- Despite recent advances in our understanding of synaptic transmission associated with epileptogenesis, the molecular mechanisms that control seizure frequency in patients with temporal lobe epilepsy …
Despite recent advances in our understanding of synaptic transmission associated with epileptogenesis, the molecular mechanisms that control seizure frequency in patients with temporal lobe epilepsy (TLE) remain obscure. RNA-Seq was performed on hippocampal tissue resected from 12 medically intractable TLE patients with pre-surgery seizure frequencies ranging from 0.33 to 120 seizures per month. Differential expression (DE) analysis of individuals with low (LSF, mean = 4 seizure/month) versus high (HSF, mean = 60 seizures/month) seizure frequency identified 979 genes with ≥2-fold change in transcript abundance (FDR-adjusted p-value ö0.05). Comparisons with post-mortem controls revealed a large number of downregulated genes in the HSF (1676) versus LSF (399) groups. More than 50 signaling pathways were inferred to be deactivated or activated, with Signal Transduction as the central hub in the pathway network. While neuroinflammation pathways were activated in both groups, key neuronal system pathways were systematically deactivated in the HSF group, including calcium, CREB and Opioid signaling. We also infer that enhanced expression of a signaling cascade promoting synaptic downscaling may have played a key role in maintaining a higher seizure threshold in the LSF cohort. These results suggest that therapeutic approaches targeting synaptic scaling pathways may aid in the treatment of seizures in TLE.
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- Hypothenar hammer syndrome: Case report and literature review. [Case Reports]
- RCRadiol Case Rep 2019; 14(7):868-871
- Hypothenar hammer syndrome is a rare but serious cause of digital ischemia and morbidity. Presented here is a case of a manual laborer who had symptoms of digital ischemia after acute hyperextension …
Hypothenar hammer syndrome is a rare but serious cause of digital ischemia and morbidity. Presented here is a case of a manual laborer who had symptoms of digital ischemia after acute hyperextension injury to the ring finger. Magnetic resonance imaging revealed thrombosed ulnar artery aneurysm. Etiology, presentation, and current treatments are reviewed.