HEAO-A Observatory Description

The High Energy Astronomy Observatory Program is briefly described to introduce guest observers to the HEAO-A mission. Topics discussed include spacecraft subsystems, scientific instrumentation, and the mission operations concept. Scientific participants such as principal investigators and co-investigators are listed

Special Features of the Air-to-Space Neutron Transport Problem

Special features of the air-to-space neutron transport problem are identified, characterized, and quantified to provide information on features that should be included in Monte Carlo simulations to obtain accurate predictions. Currently available codes and tools for Monte Carlo neutron transport calculations do not provide an adequate (in accuracy nor precision nor efficiency) framework for practical transport calculations in the context of the air-to-space neutron transport problem. A new Fortran code, High Altitude Transport to Space for Neutrons (HATS-n), is developed and tested to perform high fidelity Monte Carlo neutron transport calculations for this class of problems. Special features of the air-to-space neutron transport are identified and categorized: The influence of relative motions, the influence of gravity, the influence of the implementation of the atmosphere model, and the influence of radioactive decay of free neutrons. Each special feature is examined individually and methods and procedures are developed for research and practical implementations. Finally, the features are demonstrated in concert using the new HATS-n code

Ray Next Event Estimator Transport of Primary and Secondary Gamma Rays

This thesis investigated the application of the ray next event estimation Monte Carlo method to the transport of primary and secondary gamma rays. The problem of interest was estimation of the free field flux at a distant point in a vacuum from a point source in the atmosphere. An existing Fortran code for neutron transport, Ray Next-Event Estimator v4.0, was adapted to perform photon transport computations including coherent scattering, incoherent scattering, photoelectric absorption, and pair production interactions. Production and transport of secondary gamma rays produced in bremsstrahlung, neutron inelastic scatter, and neutron absorption interactions was also implemented. A new version of the code, Ray Next-Event Estimator v5.1, was produced with the added photon transport capability and other changes focused on future development of the estimator code for application to this class of problems. Code version 5.1 was exercised and compared to version 4.0 for neutron transport computations. Code version 5.1 was also demonstrated for application to gamma ray transport computations and coupled neutron-photon transport computations

Sciatic nerve sarcoidosis: utility of magnetic resonance peripheral nerve imaging and treatment with radiation therapy

Journal ArticleSarcoidosis may involve both the central and peripheral nervous system, although peripheral nerve manifestations are usually seen late in the disease. In this report, the authors describe a case of sarcoidosis in a 22-year-old woman who presented with a foot drop. Although results of conventional lumbar magnetic resonance (MR) imaging were normal, MR peripheral nerve imaging of the thigh showed a mass in the sciatic nerve indicating tumor. An intraoperative biopsy sample revealed noncaseating granulomas consistent with sarcoid. The patient was treated with steroid drugs to control the manifestations of her disease but exhibited early signs of femoral bone necrosis, which required discontinuation of the steroids. She was then treated with local radiation therapy. At her 2-year follow-up visit the patient demonstrated relief of her symptoms and improvement on MR peripheral nerve imaging. This case demonstrates that sarcoidosis may present with peripheral nerve manifestations. The appearance of a diffusely swollen nerve on MR imaging should prompt clinicians to include sarcoidosis in the differential diagnosis and plan surgery accordingly. Patients who are not responsive to or who are unable to tolerate medical therapy may be treated with radiation therapy

Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 15: Electrophysiological monitoring and lumbar fusion

pre-printIntraoperative monitoring (IOM) is commonly used during lumbar fusion surgery for the prevention of nerve root injury. Justification for its use stems from the belief that IOM can prevent nerve root injury during the placement of pedicle screws. A thorough literature review was conducted to determine if the use of IOM could prevent nerve root injury during the placement of instrumentation in lumbar or lumbosacral fusion. There is no evidence to date that IOM can prevent injury to the nerve roots. There is limited evidence that a threshold below 5 mA from direct stimulation of the screw can indicate a medial pedicle breach by the screw. Unfortunately, once a nerve root injury has taken place, changing the direction of the screw does not alter the outcome. The recommendations formulated in the original guideline effort are neither supported nor refuted with the evidence obtained with the current studies