151 research outputs found

    On the heliolatitudinal variation of the galactic cosmic-ray intensity. Comparison with Ulysses measurements

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    International audienceWe study the dependence of cosmic rays with heliolatitude using a simple method and compare the results with the actual data from Ulysses and IMP spacecraft. We reproduce the galactic cosmic-ray heliographic latitudinal intensity variations, applying a semi-empirical, 2-D diffusion-convection model for the cosmic-ray transport in the interplanetary space. This model is a modification of our previous 1-D model (Exarhos and Moussas, 2001) and includes not only the radial diffusion of the cosmic-ray particles but also the latitudinal diffusion. Dividing the interplanetary region into "spherical magnetic sectors" (a small heliolatitudinal extension of a spherical magnetized solar wind plasma shell) that travel into the interplanetary space at the solar wind velocity, we calculate the cosmic-ray intensity for different heliographic latitudes as a series of successive intensity drops that all these "spherical magnetic sectors" between the Sun and the heliospheric termination shock cause the unmodulated galactic cosmic-ray intensity. Our results are compared with the Ulysses cosmic-ray measurements obtained during the first pole-to-pole passage from mid-1994 to mid-1995

    Simultaneously performed off-pump coronary artery bypass grafting and colectomy: a case report

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    This is written so as to report the case of a 71-year-old male with a diagnosis of sigmoid adenocarcinoma accompanied by severe coronary artery disease and unstable angina, which was subject to simultaneous surgical treatment. The patient initially underwent an off-pump coronary artery revascularization in order to avoid the complications of cardiopulmonary bypass, providing the opportunity of a colectomy at the same time with the use of safe surgical means. Our case suggests that performing an off-pump bypass procedure prior to cancer surgery can be an appropriate course of action in carefully selected cases

    Drainage of Post-Operative Abdominal and Pelvic Abscesses under the Guidance of Computed Tomography

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    BACKGROUND: Cross sectional imaging and specifically computed tomography (CT) has become the main radiological modality of detecting post-surgical abdominal collections and abscesses. Percutaneous abscess drainage (PAD) has revolutionized the treatment of abscesses, especially of post-surgical abdominal abscesses over the last 25 years; repeat laparotomy is a rare event due to the fact that the success rate of PAD is very high (90-95%) and complications are few (0-10%).OBJECTIVE: The aim of the study is to present our experience in the department of computed tomography of the percutaneous drainage of post-operative abdominal and pelvic abscesses.PATIENTS AND METHODS: During the last two and a half years, 93 post-operative patients were referred to the CT department for drainage of a post-surgical abscess in the abdomen or pelvis at 9-21 days post-operatively due to persistent fever. A total of 95 abscesses were drained; 84 were located in the abdomen and 11 in the pelvis. Abscess diameters ranged between 2 and 12 cm.  A percutaneous drainage technique under CT-guidance was employed in all patients; 98 catheters were placed with use of the Seldinger technique.  A transgluteal paracoccygeal approach was adopted in 11 patients. Aspiration of an intra-loop abscess was performed in 1 patient. The tilted gantry technique was utilized in 2 cases.RESULTS: Eighty-nine (95.7%) patients were successfully treated. In 4 (4.3%) patients the abscesses were partially drained, patients were stabilized and subsequently treated via laparotomy. Complications included inflammation of the skin at the entry site in 4 patients, pneumothorax in 1 patient, and displacement of the catheter in 12 patients, one involving catheter migration into the duodenum.  Major complications did not occur.CONCLUSION: Percutaneous drainage of post-operative abdominal and pelvic abscesses was a safe and effective method of abscess management in our series with a 95.7% success rate and absent major complications. It is currently a widely used procedure, eliminating the need for repeat laparotomy in the majority of patients. Proper catheter management is essential for the successful outcome
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