A study on the turbulent transport of an advective nature in the fluid plasma

Advective nature of the electrostatic turbulent flux of plasma energy is studied numerically in a nearly adiabatic state. Such a state is represented by the Hasegawa-Mima equation that is driven by a noise that may model the destabilization due to the phase mismatch of the plasma density and the electric potential. The noise is assumed to be Gaussian and not to be invariant under reflection along a direction $\hat s$. It is found that the flux density induced by such noise is anisotropic: While it is random along $\hat s$, it is not along the perpendicular direction ${\hat s}_\perp$ and the flux is not diffusive. The renormalized response may be approximated as advective with the velocity being proportional to $(k\rho_s)^2$ in the Fourier space $\vec k$

Benign Pleomorphic Adenoma of the Soft Palate Metastasizing to the Sphenoid Sinus

A benign pleomorphic adenoma is the most common tumor of the salivary glands. This tumor has the potential to metastasize to bone, the head and neck region, visceral organs and skin. Although there a few reports about a benign pleomorphic adenoma metastasizing to the maxillary sinus in the paranasal sinuses, there are no reports about a metastatic benign pleomorphic adenoma in the sphenoid sinus. We report here on a case of a benign pleomorphic adenoma of the soft palate that metastasized to the sphenoid sinus, and we briefly review the relevant clinical literature

Volume preservation of a shattered kidney after blunt trauma by superselective renal artery embolization

PURPOSEWe examined whether superselective embolization of the renal artery could be effectively employed to preserve traumatic kidneys and assessed its clinical outcomes.METHODSBetween December 2015 and November 2019, 26 patients who had American Association for the Surgery of Trauma grade V traumatic shattered kidneys were identified. Among them, a retrospective review was conducted of 16 patients who underwent superselective renal artery embolization for shattered kidney. The mean age was 41.2 ± 15.7 years, and the mean follow-up duration was 138.2 ± 140.1 days. Patient data including procedure details and clinical outcomes were reviewed, and the preserved volume of kidney parenchyma was calculated.RESULTSBleeding control was achieved in 13 (81%) patients and kidney preservation was achieved in 11 (79%). There was no mortality, and the median intensive care unit stay was 1.5 days. The mean volume of remnant kidney was 122.3 ± 66.0 cm3 (70%) on the last follow-up computed tomography. The estimated glomerular filtration rate was not significantly changed after superselective renal artery embolization.CONCLUSIONSuperselective renal artery embolization using a microcatheter for the shattered kidney effectively controlled hemorrhage in acute stage trauma and enabled kidney preservation

Compressive Behavior and Mechanical Characteristics and Their Application to Stress-Strain Relationship of Steel Fiber-Reinforced Reactive Powder Concrete

Although mechanical properties of concrete under uniaxial compression are important to design concrete structure, current design codes or other empirical equations have clear limitation on the prediction of mechanical properties. Various types of fiber-reinforced reactive powder concrete matrix were tested for making more usable and accurate estimation equations for mechanical properties for ultra high strength concrete. Investigated matrix has compressive strength ranged from 30 MPa to 200 MPa. Ultra high strength concrete was made by means of reactive powder concrete. Preventing brittle failure of this type of matrix, steel fibers were used. The volume fraction of steel fiber ranged from 0 to 2%. From the test results, steel fibers significantly increase the ductility, strength and stiffness of ultra high strength matrix. They are quantified with previously conducted researches about material properties of concrete under uniaxial loading. Applicability of estimation equations for mechanical properties of concrete was evaluated with test results of this study. From the evaluation, regression analysis was carried out, and new estimation equations were proposed. And these proposed equations were applied into stress-strain relation which was developed by previous research. Ascending part, which was affected by proposed equations of this study directly, well fitted into experimental results

Evaluation of ITU-R Recommendation P.1546 and Consideration for New Correction Factor

ITU-R recommendation P.1546 models is representative path loss model in the frequency range 30~3000MHz over expended area (1~1000 km). It is mainly based on the propagation curves and correction factors are added on that. In this paper, we compare measurements and prediction and propose several considerations to enhance the prediction accuracy of ITU-R P.1546 model

Drain Tube-Induced Jejunal Penetration Masquerading as Bile Leak following Whipple's Operation

A 70-year-old man had undergone pancreaticoduodenectomy due to a distal common bile duct malignancy. After the operation, serous fluid discharge decreased from two drain tubes in the retroperitoneum. Over four weeks, the appearance of the serous fluid changed to a greenish bile color and the patient persistently drained over 300 ml/day. Viewed as bile leak at the choledochojejunostomy, treatment called for endoscopic diagnosis and therapy. Cap-fitted forward-viewing endoscopy demonstrated that the distal tip of a pancreatic drain catheter inserted at the pancreaticojejunostomy site had penetrated the opposite jejunum wall. One of the drain tubes primarily placed in the retroperitoneum had also penetrated the jejunum wall, with the distal tip positioned near the choledochojejunostomy site. No leak of contrast appeared beyond the jejunum or anastomosis site. Following repositioning of a penetrating catheter of the pancreaticojejunostomy, four days later, the patient underwent removal of two drain tubes without additional complications. In conclusion, the distal tip of the catheter, placed to drain pancreatic juice, penetrated the jejunum wall and may have caused localized perijejunal inflammation. The other drain tube, placed in the retroperitoneal space, might then have penetrated the inflamed wall of the jejunum, allowing persistent bile drainage via the drain tube. The results masqueraded as bile leakage following pancreaticoduodenectomy

Tunable colors of chiral liquid crystal displays

Abstract We report a method of the color variation in the reflective CLC displays depending on thermodynamically and the electric field switching. The reflective wavelength can be thermodynamically switched to reflect green from a cell initially reflecting a red color. Afterwards, the reflective wavelength can be electrically switched to reflect blue color. It is found that continuous decrease of the pitch is mainly originated from the dopant solubility below the critical temperature and stepwise decrease of the pitch is dominantly affected by the thermodynamic property above the critical temperature. The blue color change is a result of the compression to the helical pitches in planar layers in response to the applied voltage

A case of partial trisomy 3p syndrome with rare clinical manifestations

Partial trisomy 3p results from either unbalanced translocation or de novo duplication. Common clinical features consist of dysmorphic facial features, congenital heart defects, psychomotor and mental retardation, abnormal muscle tone, and hypoplastic genitalia. In this paper, we report a case of partial trisomy 3p with rare clinical manifestations. A full-term, female newborn was transferred to our clinic. She had cleft lip-plate, dysgenesis of the corpus callosum, patent ductus arteriosus, pulmonary hypertension, and severe right-sided hydronephrosis, associated with ureteropelvic junction obstruction. Cytogenetic investigation revealed partial trisomy 3p; 46,XX,der(4)t(3;4) (p21.1;p16). The karyotype of her father showed a balanced translocation, t(3;4)(p21.1;p16). Therefore, the size of duplication can be an important factor

A Case of Nasal Septum Gossypiboma 14 Years After Septorhinoplasty

Gossypiboma, an infrequent surgical complication, describes a mass of cotton material inadvertently left in the body cavity after an operation. It is an extremely rare iatrogenic complication of nasal surgery, with only a few cases reported in literature to date. Here we present a case of gossypiboma in the nasal septum of a 35-year-old male patient who previously underwent septorhinoplasty fourteen years prior. He was treated by endoscopic endonasal surgery to remove the lesion. Pathologic findings showed a foreign body (gauze filament) with a giant cell reaction. This report will be helpful for treating patients with similar histories in the future

Effect of moderate-intensity statin therapy on plaque inflammation in patients with acute coronary syndrome: A prospective interventional study evaluated by 18F-FDG PET/CT of the carotid artery

Background: Asian patients with acute coronary syndrome (ACS) are frequently prescribed moderate- -intensity statin in real practice, even during the early stage of ACS. Under assessment herein was the effect of moderate-intensity statin therapy on the resolution of plaque inflammation during the first month after ACS, a period with highest recurrent ischemic events, using dual time point 18F-fluorodeoxyglucose positron emission tomography/computed tomography (FDG PET/CT).Methods: This prospective study included statin-naïve patients with ACS and non-calcified carotid plaques (≥ 3 mm on ultrasound images). Baseline FDG PET/CT images of the carotid arteries of the patients were obtained. Then, all patients received atorvastatin (20 mg/day); follow-up FDG PET/CT images of the carotid arteries were then obtained after 1 month of therapy. The primary endpoint measurement was the change in the target-to-background ratio (TBR) of the carotid artery between the initial and follow-up FDG PET/CT scans.Results: Thirteen ACS patients completed the initial and follow-up FDG PET/CT scans. Moderate-intensity statin therapy failed to reduce plaque inflammation at 1 month after ACS (TBR 1.60 ± 0.20 at baseline vs. 1.50 ± 0.40 after therapy; p = 0.422) but significantly reduced serum low-density lipoprotein cholesterol (LDL-C) levels (mean LDL-C 101.2 ± 21.1 mg/dL at baseline vs. 70.7 ± 12.4 mg/dL after therapy; p < 0.001). Changes in the TBR and serum LDL-C levels were not correlated (r = –0.27, p = 0.243).Conclusions: Dual time point FDG PET/CT imaging demonstrates that moderate-intensity statin therapy was insufficient in suppressed plaque inflammation within the first month after ACS in Asian patients, even though achieving target LDL levels