Hanging bladder calculi secondary to misplaced surgical suture

Bladder calculi, a rare condition in the pediatric population, occur most commonly as a result of either migration from the kidney or urinary stasis in the bladder. We report the case of a 3-year-old boy with recurrent urinary tract infections (UTI) secondary to bladder calculi formation on the sutures from a previous herniorrhaphy.A 3-year-old boy with previous history of herniorrhaphy presented with recurrent episodes of urinary tract infection, resistant to antibiotic therapy. Physical examination was unremarkable. Ultrasonography (US) showed an echogenic fixed intra-luminal lesion in the bladder. Cystoscopic evaluation was performed and confirmed presence of calculi forming around several permanent silk sutures fixed to the bladder wall. The patient undergone cystotomy and the calculi were resected. The stone analysis revealed 80 uric acid calculi. The final diagnosis was of bladder calculi due to remnant suture from past herniorrhaphy. © 2015, Tehran University of Medical Sciences and Iranian Society of Radiology

XMM-Newton and Gemini Observations of Eight RASSCALS Galaxy Groups

We study the distribution of gas pressure and entropy in eight groups of galaxies belonging to the ROSAT All-Sky Survey / Center for Astrophysics Loose Systems (RASSCALS). We use archival and proprietary XMM-Newton observations, supplementing the X-ray data with redshifts derived from the literature; we also list 127 new redshifts measured with the Gemini North telescope. The groups show remarkable self-similarity in their azimuthally averaged entropy and temperature profiles. The entropy increases with radius; the behavior of the entropy profiles is consistent with an increasing broken power law with inner and outer slope 0.92+0.04-0.05 and 0.42+0.05-0.04 (68% confidence), respectively. There is no evidence of a central, isentropic core, and the entropy distribution in most of the groups is flatter at large radii than in the inner region, challenging earlier reports as well as theoretical models predicting large isentropic cores or asymptotic slopes of 1.1 at large radii. The pressure profiles are consistent with a self-similar decreasing broken power law in radius; the inner and outer slopes are -0.78+0.04-0.03 and -1.7+0.1-0.3, respectively. The results suggest that the larger scatter in the entropy distribution reflects the varied gasdynamical histories of the groups; the regularity and self-similarity of the pressure profiles is a sign of a similarity in the underlying dark matter distributions.Comment: Accepted for publication in the Astrophysical Journa

Joint Analysis of Cluster Observations: II. Chandra/XMM-Newton X-ray and Weak Lensing Scaling Relations for a Sample of 50 Rich Clusters of Galaxies

We present a study of multiwavelength X-ray and weak lensing scaling relations for a sample of 50 clusters of galaxies. Our analysis combines Chandra and XMM-Newton data using an energy-dependent cross-calibration. After considering a number of scaling relations, we find that gas mass is the most robust estimator of weak lensing mass, yielding 15 +/- 6% intrinsic scatter at r500 (the pseudo-pressure YX has a consistent scatter of 22%+/-5%). The scatter does not change when measured within a fixed physical radius of 1 Mpc. Clusters with small BCG to X-ray peak offsets constitute a very regular population whose members have the same gas mass fractions and whose even smaller <10% deviations from regularity can be ascribed to line of sight geometrical effects alone. Cool-core clusters, while a somewhat different population, also show the same (<10%) scatter in the gas mass-lensing mass relation. There is a good correlation and a hint of bimodality in the plane defined by BCG offset and central entropy (or central cooling time). The pseudo-pressure YX does not discriminate between the more relaxed and less relaxed populations, making it perhaps the more even-handed mass proxy for surveys. Overall, hydrostatic masses underestimate weak lensing masses by 10% on the average at r500; but cool-core clusters are consistent with no bias, while non-cool-core clusters have a large and constant 15-20% bias between r2500 and r500, in agreement with N-body simulations incorporating unthermalized gas. For non-cool-core clusters, the bias correlates well with BCG ellipticity. We also examine centroid shift variance and and power ratios to quantify substructure; these quantities do not correlate with residuals in the scaling relations. Individual clusters have for the most part forgotten the source of their departures from self-similarity.Comment: Corrects an error in the X-ray luminosities (erratum submitted)---none of the other results are affected. Go to http://sfstar.sfsu.edu/jaco for an electronic fitter and updated quick data download link

The Orbital Structure of Dark Matter Halos with Gas

With the success of the Chandra and XMM missions and the maturation of gravitational lensing techniques, powerful constraints on the orbital structure of cluster dark matter halos are possible. I show that the X-ray emissivity and mass of a galaxy cluster uniquely specify the anisotropy and velocity dispersion profiles of its dark matter halo. I consider hydrostatic as well as cooling flow scenarios, and apply the formalism to the lensing cluster CL0024+16 and the cooling flow cluster Abell 2199. In both cases, the model predicts a parameter-free velocity dispersion profile that is consistent with independent optical redshift surveys of the clusters.Comment: 17 pages, 12 figures; to appear in the Astrophysical Journa

Investigation of inverse design of multilayer thin-films with conditional invertible Neural Networks

The task of designing optical multilayer thin-films regarding a given target is currently solved using gradient-based optimization in conjunction with methods that can introduce additional thin-film layers. Recently, Deep Learning and Reinforcement Learning have been been introduced to the task of designing thin-films with great success, however a trained network is usually only able to become proficient for a single target and must be retrained if the optical targets are varied. In this work, we apply conditional Invertible Neural Networks (cINN) to inversely designing multilayer thin-films given an optical target. Since the cINN learns the energy landscape of all thin-film configurations within the training dataset, we show that cINNs can generate a stochastic ensemble of proposals for thin-film configurations that that are reasonably close to the desired target depending only on random variables. By refining the proposed configurations further by a local optimization, we show that the generated thin-films reach the target with significantly greater precision than comparable state-of-the art approaches. Furthermore, we tested the generative capabilities on samples which are outside the training data distribution and found that the cINN was able to predict thin-films for out-of-distribution targets, too. The results suggest that in order to improve the generative design of thin-films, it is instructive to use established and new machine learning methods in conjunction in order to obtain the most favorable results

Evidence for Non-Hydrostatic Gas from the Cluster X-ray to Lensing Mass Ratio

Using a uniform analysis procedure, we measure spatially resolved weak gravitational lensing and hydrostatic X-ray masses for a sample of 18 clusters of galaxies. We find a radial trend in the X-ray to lensing mass ratio: at r2500 we obtain a ratio MX/ML=1.03+/-0.07 which decreases to MX/ML=0.78+/-0.09 at r500. This difference is significant at 3 sigma once we account for correlations between the measurements. We show that correcting the lensing mass for excess correlated structure outside the virial radius slightly reduces, but does not eliminate this trend. An X-ray mass underestimate, perhaps due to nonthermal pressure support, can explain the residual trend. The trend is not correlated with the presence or absence of a cool core. We also examine the cluster gas fraction and find no correlation with ML, an important result for techniques that aim to determine cosmological parameters using the gas fraction.Comment: 8 pages, minor modifications, accepted for publication in MNRA

High-dose-rate 192Ir brachytherapy dose verification: A phantom study

Background: The high-dose-rate (HDR) brachytherapy might be an effective tool for palliation of dysphagia. Because of some concerns about adverse effects due to absorbed radiation dose, it is important to estimate absorbed dose in risky organs during this treatment. Objectives: This study aimed to measure the absorbed dose in the parotid, thyroid, and submandibular gland, eye, trachea, spinal cord, and manubrium of sternum in brachytherapy in an anthropomorphic phantom. Materials and Methods: To measure radiation dose, eye, parotid, thyroid, and submandibular gland, spine, and sternum, an anthropomorphic phantom was considered with applicators to set thermoluminescence dosimeters (TLDs). A specific target volume of about 23 cm3 in the upper thoracic esophagus was considered as target, and phantom planned computed tomography (CT) for HDR brachytherapy, then with a micro-Selectron HDR (192Ir) remote after-loading unit. Results: Absorbed doses were measured with calibrated TLDs and were expressed in centi-Gray (cGy). In regions far from target (� 16 cm) such as submandibular, parotid and thyroid glands, mean measured dose ranged from 1.65 to 5.5 cGy. In closer regions (� 16 cm), the absorbed dose might be as high as 113 cGy. Conclusions: Our study showed similar depth and surface doses; in closer regions, the surface and depth doses differed significantly due to the role of primary radiation that had imposed a high-dose gradient and difference between the plan and measurement, which was more severe because of simplifications in tissue inhomogeneity, considered in TPS relative to phantom. © 2015, Iranian Journal of Cancer Prevention

The potential and challenges of monitoring-supported energy efficiency improvement strategies in existing buildings

The ongoing EU-supported CAMPUS 21 explores the energy efficiency potential of integrated security, control, and building management software. The main objective of the project is to compare the energy and indoor-environmental performance of a number of existing facilities before and after real or virtual implementation of monitoring-based control improvement measures

A Study of the Dark Core in A520 with Hubble Space Telescope: The Mystery Deepens

We present a Hubble Space Telescope/Wide Field Planetary Camera 2 weak-lensing study of A520, where a previous analysis of ground-based data suggested the presence of a dark mass concentration. We map the complex mass structure in much greater detail leveraging more than a factor of three increase in the number density of source galaxies available for lensing analysis. The "dark core" that is coincident with the X-ray gas peak, but not with any stellar luminosity peak is now detected with more than 10 sigma significance. The ~1.5 Mpc filamentary structure elongated in the NE-SW direction is also clearly visible. Taken at face value, the comparison among the centroids of dark matter, intracluster medium, and galaxy luminosity is at odds with what has been observed in other merging clusters with a similar geometric configuration. To date, the most remarkable counter-example might be the Bullet Cluster, which shows a distinct bow-shock feature as in A520, but no significant weak-lensing mass concentration around the X-ray gas. With the most up-to-date data, we consider several possible explanations that might lead to the detection of this peculiar feature in A520. However, we conclude that none of these scenarios can be singled out yet as the definite explanation for this puzzle.Comment: Published in ApJ. Figures are slightly degraded to meet the size limi

Evaluation of patient outcome and satisfaction after surgical treatment of adolescent idiopathic scoliosis using scoliosis research society-30

Background: Adolescent idiopathic scoliosis (AIS) may lead to physical and mental problems. It also can adversely affect patient satisfaction and the quality of life. In this study, we assessed the outcomes and satisfaction rate after surgical treatment of AIS using scoliosis research society-30 questionnaire (SRS-30). Methods: We enrolled 135 patients with AIS undergoing corrective surgery. Patients were followed for at least 2 years. We compared pre- and post-operative x-rays in terms of Cobb's angles and coronal balance. At the last visit, patients completed the SRS-30 questionnaire. We then assessed the correlation between radiographic measures, SRS-30 total score, and patient satisfaction. Results: Cobb's angle and coronal balance improved significantly after surgery (P<0.001). The scores of functional activity, pain, self-image/cosmesis, mental health, and satisfaction were 27±4.3, 26±2.5, 33±5.2, 23±3.5, and 13±1.8, respectively. The total SRS-30 score was 127±13. Radiographic measures showed significant positive correlation with satisfaction and SRS-30 total scores. There was also a positive correlation between satisfaction and self-image/cosmesis domain scores. Conclusions: The greater the radiographic angles were corrected the higher the SRS-30 total score and patient satisfaction were. It is intuitive that the appearance and cosmesis is of most important factor associated with patient satisfaction. © 2015 BY THE ARCHIVES OF BONE AND JOINT SURGERY