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1.
Sci Rep ; 10(1): 49, 2020 01 08.
Artigo em Inglês | MEDLINE | ID: mdl-31913330

RESUMO

Porosity and permeability are the key factors in assessing the hydrocarbon productivity of unconventional (shale) reservoirs, which are complex in nature due to their heterogeneous mineralogy and poorly connected nano- and micro-pore systems. Experimental efforts to measure these petrophysical properties posse many limitations, because they often take weeks to complete and are difficult to reproduce. Alternatively, numerical simulations can be conducted in digital rock 3D models reconstructed from image datasets acquired via e.g., nanoscale-resolution focused ion beam-scanning electron microscopy (FIB-SEM) nano-tomography. In this study, impact of reservoir confinement (stress) on porosity and permeability of shales was investigated using two digital rock 3D models, which represented nanoporous organic/mineral microstructure of the Marcellus Shale. Five stress scenarios were simulated for different depths (2,000-6,000 feet) within the production interval of a typical oil/gas reservoir within the Marcellus Shale play. Porosity and permeability of the pre- and post-compression digital rock 3D models were calculated and compared. A minimal effect of stress on porosity and permeability was observed in both 3D models. These results have direct implications in determining the oil-/gas-in-place and assessing the production potential of a shale reservoir under various stress conditions.

2.
Rofo ; 192(2): 163-170, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31461762

RESUMO

PURPOSE: To observe the technical and clinical outcome as well as safety of CT fluoroscopy-guided drain placement in the multimodal clinical complication management of superinfected gastric leakage after sleeve gastrectomy. MATERIALS AND METHODS: All consecutive patients who underwent CT fluoroscopy-guided drain placement to treat superinfected postoperative leakage after sleeve gastrectomy in our department between 2007 and 2014 were included in this retrospective study. All interventions were performed on a 16- or 128-row CT scanner under intermittent CT fluoroscopy guidance (15-25 mAs, 120 kV). The technical and clinical success rates as well as complications, additional therapies and patient radiation dose were analyzed. RESULTS: 14 patients (mean age: 43.8 ±â€Š11.3 years, mean BMI: 52.9 ±â€Š13.5, 7 women) who underwent a total of 31 CT fluoroscopy-guided drain placement procedures were included. 30 of 31 interventions (96.8 %) were technically successful. 7 patients underwent more than one intervention due to drain obstruction or secondary dislocation or as further treatment. During and after the intervention no procedure-associated complications occurred. In all patients, inflammation parameters decreased within days after the CT-guided intervention. The total interventional dose length product (DLP) was 1561 ±â€Š1035 mGy*cm. CONCLUSION: CT fluoroscopy-guided drain placement has been shown to be a safe minimally invasive procedure that rarely leads to complications for treating superinfected gastric leakage occurring after sleeve gastrectomy. We assume that operative revisions in a high-risk patient group can be avoided using this procedure. KEY POINTS: · CT fluoroscopy-guided drain placement in obese - often medically highly complex - patients is a technically feasible procedure.. · Multimodal treatment (CT intervention, endoscopy and surgery) is required to successfully treat gastric leakage after bariatric surgery.. · High-risk surgery might be avoided by the CT-guided drain placement.. CITATION FORMAT: · Schwarz J, Strobl FF, Paprottka PM et al. CT Fluoroscopy-Guided Drain Placement to Treat Infected Gastric Leakage after Sleeve Gastrectomy: Technical and Clinical Outcome of 31 Procedures. Fortschr Röntgenstr 2020; 192: 163 - 170.


Assuntos
Fístula Anastomótica/cirurgia , Drenagem/métodos , Fluoroscopia/métodos , Gastrectomia , Cirurgia Assistida por Computador/métodos , Infecção da Ferida Cirúrgica/cirurgia , Tomografia Computadorizada por Raios X/métodos , Adulto , Estudos de Viabilidade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos
3.
BMC Emerg Med ; 17(1): 37, 2017 Dec 04.
Artigo em Inglês | MEDLINE | ID: mdl-29202698

RESUMO

BACKGROUND: Contemporary resuscitation guidelines for basic life support recommend an immediate onset of cardiac compressions in case of cardiac arrest followed by rescue breaths. Effective ventilation is often omitted due to fear of doing harm and fear of infectious diseases. In order to improve ventilation a pre-stage of an automatic respirator was developed for use by laypersons. METHODS: Fifty-two healthy volunteers were ventilated by means of a prototype respirator via a full-face mask in a pilot study. The pre-stage public access ventilator (PAV) consisted of a low-cost self-designed turbine, with sensors for differential pressure, flow, FO2, FCO2 and 3-axis acceleration measurement. Sensor outputs were used to control the respirator and to recognize conditions relevant for efficiency of ventilation and patients' safety. Different respiratory manoeuvres were applied: a) pressure controlled ventilation (PCV), b) PCV with controlled leakage and c) PCV with simulated airway occlusion. Sensor signals were analysed to detect leakage and airway occlusion. Detection based upon sensor signals was compared with evaluation based on clinical observation and additional parameters such as exhaled CO2. RESULTS: Pressure controlled ventilation could be realized in all volunteers. Leakage was recognized with 93.5% sensitivity and 93.5% specificity. Simulated airway occlusion was detected with 91.8% sensitivity and 91.7% specificity. CONCLUSION: The pre-stage PAV was able to detect potential complications relevant for patients' safety such as leakage and airway occlusion in a proof of principle study. Prospectively, this device provides a respectable basis for the development of an automatic emergency respirator and may help to improve bystander resuscitation.


Assuntos
Parada Cardíaca Extra-Hospitalar/terapia , Respiração Artificial/métodos , Adulto , Obstrução das Vias Respiratórias/prevenção & controle , Serviços Médicos de Emergência/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Segurança do Paciente , Projetos Piloto , Ventiladores Mecânicos , Adulto Jovem
4.
Acta Radiol ; 58(8): 906-913, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-27856804

RESUMO

Background In unclear pancreatic lesions, a tissue sample can confirm or exclude the suspected diagnosis and help to provide an optimal treatment strategy to each patient. To date only one small study reported on the outcome of computed tomography (CT) fluoroscopy-guided biopsies of the pancreas. Purpose To evaluate technical success and diagnostic rate of all CT fluoroscopy-guided core biopsies of the pancreas performed in a single university center during a 10-year period. Material and Methods In this retrospective study we included all patients who underwent a CT fluoroscopy-guided biopsy of a pancreatic mass at our comprehensive cancer center between 2005 and 2014. All interventions were performed under local anesthesia on a 16-row or 128-row CT scanner. Technical success and diagnostic rates as well as complications and effective patient radiation dose were analyzed. Results One hundred and one patients (54 women; mean age, 63.9 ± 12.6 years) underwent a total of 104 CT fluoroscopy-guided biopsies of the pancreas. Ninety-eight of 104 interventions (94.2%) could be performed with technical success and at least one tissue sample could be obtained. In 88 of these 98 samples, a definitive pathological diagnosis, consistent with clinical success could be achieved (89.8%). Overall 19 minor and three major complications occurred during the intra- or 30-day post-interventional period and all other interventions could be performed without complications; there was no death attributable to the intervention. Conclusion CT fluoroscopy-guided biopsy of pancreatic lesions is an effective procedure characterized by a low major complication and a high diagnostic rate.


Assuntos
Biópsia Guiada por Imagem , Pancreatopatias/diagnóstico por imagem , Pancreatopatias/patologia , Tomografia Computadorizada por Raios X/métodos , Feminino , Fluoroscopia , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos
5.
Int J Hyperthermia ; 32(2): 151-8, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26652664

RESUMO

PURPOSE: This study was designed to assess technical success and complications in patients with high-risk soft tissue sarcomas undergoing CT fluoroscopy-guided closed-tip catheter placement before treatment with combined chemotherapy and regional hyperthermia. MATERIALS AND METHODS: This retrospective study comprised all patients referred for insertion of closed-tip catheters for the introduction of thermometry probes before regional hyperthermia treatment at a single university centre from 2010 to 2015. Catheter placements were performed under local anaesthesia and intermittent CT fluoroscopy guidance. Technical success, complication rate, duration of catheter insertion and dose-length product (DLP) were analysed. Technical success was defined as intratumoural catheter placement suitable for subsequent thermometry. RESULTS: A total of 35 procedures were performed on 35 patients (22 men, 13 women). In 34 out of 35 interventions catheters were inserted successfully; in one patient catheter placement was not feasible. No intra-interventional complications occurred. In six patients post-interventional complications were observed - two major (one abscess formation and one severe catheter dislocation) and four minor complications. Technical failure was observed in 11.4% of patients, especially catheter kinking. A total of 55 catheters were placed, with a mean number of 1.7 ± 0.7 per patient. Mean total DLP was 723.2 ± 355.9 mGy*cm. CONCLUSION: CT fluoroscopy-guided closed-tip catheter placement into high-risk soft tissue sarcomas was characterised by high technical success and relatively low complication rate. While major complications were rarely observed, catheter-kinking preventing successful thermometry represented the most frequent technical failure.


Assuntos
Cateterismo/métodos , Sarcoma , Neoplasias de Tecidos Moles , Adulto , Idoso , Cateterismo/efeitos adversos , Feminino , Fluoroscopia , Humanos , Hipertermia Induzida , Masculino , Pessoa de Meia-Idade , Doses de Radiação , Sarcoma/diagnóstico por imagem , Sarcoma/terapia , Neoplasias de Tecidos Moles/diagnóstico por imagem , Neoplasias de Tecidos Moles/terapia , Termometria , Tomografia Computadorizada por Raios X , Adulto Jovem
6.
Appl Opt ; 54(6): 1426-35, 2015 Feb 20.
Artigo em Inglês | MEDLINE | ID: mdl-25968209

RESUMO

A model for nonlinear optical propagation is cast into a split-step numerical framework via a variable stencil-size Crank-Nicolson finite-difference method for the linear step and a choice of two different nonlinear integration schemes for the nonlinear step. The model includes Kerr, Raman scattering, and ionization effects (as well as linear and nonlinear shock, diffraction, and dispersion). We demonstrate the practical importance of numerical effects when interpreting computational studies of high-intensity optical pulse propagation in physical materials. Examples demonstrate the significant error that can arise in discrete, limited precision implementations as one attempts to improve practical operator accuracy through increased operator support size and sampling frequency. We also demonstrate the effect of the method used to obtain the finite-difference operator coefficients defining the equations ultimately used in the discrete model. Smooth, plausible, but incorrect solutions may result from these numerical effects. This implies the necessity of a complete, precise description of all numerical methods when reporting results of computational physics investigations in order to ensure proper interpretation and reproducibility.

7.
Clin Lab ; 60(12): 2039-50, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25651739

RESUMO

BACKGROUND: Vegan and vegetarian diets could overcome many diseases of civilization. This study examines whether a whole food vegan diet with Nori algae and wild mushrooms can provide a sufficient quantity of critical nutrients. METHODS: Five blood samples (Baseline to Time 5) were taken over eight months from 75 subjects (10 vegans without B12 supplementation who consumed Nori algae and wild mushrooms, 20 vegans with supplementation, 40 vegetarians, 5 meat-eaters). Blood was analyzed for blood cell counts, total vitamin B12, holotranscobalamin, homocysteine, methylmalonic acid, vitamin B6, folic acid, ferritin, TSH, zinc, creatinine, vitamin D2 and D3. RESULTS: In the vegan group without supplementation, all means were within the tolerance (holotranscobalamin, homocystein) or normal, except for elevated methylmalonic acid and diminished vitamin D. This group developed significantly higher vitamin D2 levels. The vegan group with B12 supplementation and the vegetarian group showed normal values for all parameters. CONCLUSIONS: Vegans following a whole food diet had a borderline supply of vitamin B12. Folic acid, vitamin B6, TSH, iron metabolism, and the blood count were in the normal range. Vegans taking dietary supplements demonstrated satisfactory overall results. An ingestion of sundried mushrooms can contribute to the supply of vitamin D.


Assuntos
Agaricales , Dieta Vegetariana , Estado Nutricional , Porphyra , Biomarcadores/sangue , Análise Química do Sangue , Colecalciferol/sangue , Creatinina/sangue , Suplementos Nutricionais , Ergocalciferóis/sangue , Ferritinas/sangue , Ácido Fólico/sangue , Hemoglobinas/metabolismo , Homocisteína/sangue , Humanos , Carne , Ácido Metilmalônico/sangue , Avaliação Nutricional , Estudos Prospectivos , Recomendações Nutricionais , Tireotropina/sangue , Fatores de Tempo , Transcobalaminas/metabolismo , Vitamina B 12/sangue , Zinco/sangue
8.
Proc Natl Acad Sci U S A ; 110(10): 3755-9, 2013 Mar 05.
Artigo em Inglês | MEDLINE | ID: mdl-23431151

RESUMO

Newly developed high-speed, synchrotron-based X-ray computed microtomography enabled us to directly image pore-scale displacement events in porous rock in real time. Common approaches to modeling macroscopic fluid behavior are phenomenological, have many shortcomings, and lack consistent links to elementary pore-scale displacement processes, such as Haines jumps and snap-off. Unlike the common singular pore jump paradigm based on observations of restricted artificial capillaries, we found that Haines jumps typically cascade through 10-20 geometrically defined pores per event, accounting for 64% of the energy dissipation. Real-time imaging provided a more detailed fundamental understanding of the elementary processes in porous media, such as hysteresis, snap-off, and nonwetting phase entrapment, and it opens the way for a rigorous process for upscaling based on thermodynamic models.

9.
Opt Express ; 20(8): 8791-803, 2012 Apr 09.
Artigo em Inglês | MEDLINE | ID: mdl-22513590

RESUMO

A wavefront sensor has been used to measure the Kerr nonlinear focal shift of a high intensity ultrashort pulse beam in a focusing beam geometry while accounting for the effects of plasma-defocusing. It is shown that plasma-defocusing plays a major role in the nonlinear focusing dynamics and that measurements of Kerr nonlinearity and ionization are coupled. Furthermore, this coupled effect leads to a novel way that measures the laser ionization rates in air under atmospheric conditions as well as Kerr nonlinearity. The measured nonlinear index n2 compares well with values found in the literature and the measured ionization rates could be successfully benchmarked to the model developed by Perelomov, Popov, and Terentev (PPT model) [Sov. Phys. JETP 50, 1393 (1966)].

10.
Rev Sci Instrum ; 82(5): 053101, 2011 May.
Artigo em Inglês | MEDLINE | ID: mdl-21639486

RESUMO

Experiments dedicated to the characterization of plasma mirrors with a high energy, single shot short-pulse laser were performed at the 100 TW target area of the Z-Backlighter Facility at Sandia National Laboratories. A suite of beam diagnostics was used to characterize a high energy laser pulse with a large aperture through focus imaging setup. By varying the fluence on the plasma mirror around the plasma ignition threshold, critical performance parameters were determined and a more detailed understanding of the way in which a plasma mirror works could be deduced. It was found, that very subtle variations in the laser near field profile will have strong effects on the reflected pulse if the maximum fluence on the plasma mirror approaches the plasma ignition threshold.

11.
Appl Opt ; 50(9): C340-8, 2011 Mar 20.
Artigo em Inglês | MEDLINE | ID: mdl-21460961

RESUMO

We compare designs and laser-induced damage thresholds (LIDTs) of hafnia/silica antireflection (AR) coatings for 1054 nm or dual 527 nm/1054 nm wavelengths and 0° to 45° angles of incidence (AOIs). For a 527 nm/1054 nm, 0° AOI AR coating, LIDTs from three runs arbitrarily selected over three years are ∼20 J/cm2 or higher at 1054 nm and <10 J/cm2 at 527 nm. Calculated optical electric field intensities within the coating show two intensity peaks for 527 nm but not for 1054 nm, correlating with the lower (higher) LIDTs at 527 nm (1054 nm). For 1054 nm AR coatings at 45° and 32° AOIs and S and P polarizations (Spol and Ppol), LIDTs are high for Spol (>35 J/cm2) but not as high for Ppol (>30 J/cm2 at 32° AOI; ∼15 J/cm2 at 45° AOI). Field intensities show that Ppol discontinuities at media interfaces correlate with the lower Ppol LIDTs at these AOIs. For Side 1 and Side 2 dual 527 nm/1054 nm AR coatings of a diagnostic beam splitter at 22.5° AOI, Spol and Ppol LIDTs (>10 J/cm2 at 527 nm; >35 J/cm2 at 1054 nm) are consistent with Spol and Ppol intensity behaviors.

14.
Opt Express ; 14(23): 10957-69, 2006 Nov 13.
Artigo em Inglês | MEDLINE | ID: mdl-19529509

RESUMO

An optical surface of variable concave parabolic shape and a clear aperture of 30 mm was created using two rings to deform a flat 50.8 mm diameter mirror. The deformable mirror assembly was modeled using finite element analysis software as well as analytical solutions. Measured parabolic surface deformation showed good agreement with those models. Mirror performance was quantitatively studied using an interferometer and focal lengths from hundreds of meters down to the meter scale have been achieved. In this publication, the deformable mirror has been applied to compensate on shot thermal lensing in 16 mm diameter and 25 mm diameter Nd:Phosphate glass rod amplifiers by using only a single actuator. The possibility to rapidly change focal lengths across two to three orders of magnitude has applications for remote sensing, such as laser induced breakdown spectroscopy, LIDAR, and control of laser filament formation.

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