Free breathing contrast-enhanced time-resolved magnetic resonance angiography in pediatric and adult congenital heart disease

Contrast enhanced magnetic resonance angiography (MRA) is generally performed during a long breath-hold (BH), limiting its utility in infants and small children. This study proposes a free-breathing (FB) time resolved MRA (TRA) technique for use in pediatric and adult congenital heart disease (CHD)

Računanje vrpčaste strukture nelokalnim pseudopotencijalima

Energy bands of Rb and Cs have been calculated for the first time using average or effective pseudopotentials obtained from non-local ones. It is shown that the results so obtained compare well to those obtained with full non-local calculations.Načinili smo prve račune energijskih vrpci Rb i Cs primjenom prosječnog ili efektivnog pseudopotencijala koji smo izveli iz nelokalnih pseudopotencijala. Pokazuje se dobra suglasnost ishoda tih računa i računa primjenom potpunih nelokalnih pseudopotencijala

Računanje vrpčaste strukture nelokalnim pseudopotencijalima

Energy bands of Rb and Cs have been calculated for the first time using average or effective pseudopotentials obtained from non-local ones. It is shown that the results so obtained compare well to those obtained with full non-local calculations.Načinili smo prve račune energijskih vrpci Rb i Cs primjenom prosječnog ili efektivnog pseudopotencijala koji smo izveli iz nelokalnih pseudopotencijala. Pokazuje se dobra suglasnost ishoda tih računa i računa primjenom potpunih nelokalnih pseudopotencijala

An analytical study of abnormal uterine bleeding in women of child bearing age group

Background: AUB (abnormal uterine bleeding) is defined as any variation from the normal menstrual cycle including alteration in its frequency, regularity of menses, duration of flow and amount of blood loss. In India, the reported prevalence of AUB is 17.9%. It can occur any time between menarche to menopause. A good clinician tries to recognize and identify the causative factors responsible for the disease, reverse the abnormality and induce or restore the cyclic predictable menses which should have normal volume and duration.Methods: 200 cases of AUB fitting the selection criteria were taken from OPD and gynecology ward between September 2020 to June 2021.Results: AUB was more common in the age group 41-45 years, that is, perimenopausal age group, more in multiparous women and women with previous surgeries on uterus and adnexa. Heavy menstrual bleeding was the most common complaint. Endometrial hyperplasia was the most common finding on ultrasound examination. Medical therapy was beneficial in some patients, rest had to undergo surgical intervention later.Conclusions: Transvaginal sonography is very accurate in assessing the endometrium as well as uterus and adnexa and diagnosing their abnormalities. Medical therapy is the first line of management in most cases. Dilatation and curettage should be used along with hysteroscopy for better results. LNG-IUS gives very good result in suitable cases. Hysterectomy is the final measure if everything else fails. Vaginal hysterectomy is preferred wherever possible

Indications and trends of caesarean birth delivery in the current practice scenario

Background: Objective of current study was to analyze incidence, indications and trends of cesarean birth delivery in our environment.Methods: A prospective study of the cesarean sections performed at V.S. general teaching hospital in Ahmedabad from January 2008 to December 2013Results: Out of 28,411 total deliveries, 11629 women underwent CS. Each year the CS rate, above 40%, was relatively constant. 72.46% patients were within 20-29 years of age group. 39% patients were from middle to higher socio-economic class. CS in emergency patient was consistently more than 50% and in registered patient around 40%. Maternal indications for CS were twice common to fetal indications. Previous CS and fetal distress were the commonest among maternal and fetal indications respectively. Overall maternal morbidity in CS ranged from 8-10%, commonest being blood transfusion and wound infection. Neonatal morbidity was less than half and neonatal mortality was almost one third in comparison to normal delivery. Rising CS trend was noted in patients with previous CS, fetal distress, oligohydramnios and failed induction. Gradual but constant decline in CS rate was noted among emergency patients, patient with CPD, obstructed labor and PROM.Conclusions: Although to some extent higher CS rate is justifiable due to remarkable reduction in neonatal mortality and morbidity in high risk patients; the CS rate in our environment is still three times higher than WHO recommendation. In controlled environment with experienced staff, careful selection of patients for normal delivery among patients with previous CS, breech presentation and scientific induction of labor may satisfy our concern for mother and newborn safety while keeping the CS rate low

Real time flow with fast GPU reconstruction for continuous assessment of cardiac output

A novel approach for continuous cardiac output quantification during an exercise was developed and implemented on a heterogeneous image reconstruction system. Combination of spiral real-time PCMR sequence with parallel imaging allowed on high-temporal acquisition. Application of a GPU for image processing resulted in almost instantaneous reconstruction. An external computer equipped with the GPU was networked using CORBA technology. This let on seamless processing from a clinician point of view. The implementation was tested and validated against our multi -core CP

Magnetic Resonance-Augmented Cardiopulmonary Exercise Testing Comprehensively Assessing Exercise Intolerance in Children with Cardiovascular Disease

BACKGROUND: Conventional cardiopulmonary exercise testing can objectively measure exercise intolerance but cannot provide comprehensive evaluation of physiology. This requires additional assessment of cardiac output and arteriovenous oxygen content difference. We developed magnetic resonance (MR)–augmented cardiopulmonary exercise testing to achieve this goal and assessed children with right heart disease. METHODS AND RESULTS: Healthy controls (n=10) and children with pulmonary arterial hypertension (PAH; n=10) and repaired tetralogy of Fallot (n=10) underwent MR-augmented cardiopulmonary exercise testing. All exercises were performed on an MR-compatible ergometer, and oxygen uptake was continuously acquired using a modified metabolic cart. Simultaneous cardiac output was measured using a real-time MR flow sequence and combined with oxygen uptake to calculate arteriovenous oxygen content difference. Peak oxygen uptake was significantly lower in the PAH group (12.6±1.31 mL/kg per minute; P=0.01) and trended toward lower in the tetralogy of Fallot group (13.5±1.29 mL/kg per minute; P=0.06) compared with controls (16.7±1.37 mL/kg per minute). Although tetralogy of Fallot patients had the largest increase in cardiac output, they had lower resting (3±1.2 L/min per m2) and peak (5.3±1.2 L/min per m2) values compared with controls (resting 4.3±1.2 L/min per m2 and peak 6.6±1.2 L/min per m2) and PAH patients (resting 4.5±1.1 L/min per m2 and peak 5.9±1.1 L/min per m2). Both the PAH and tetralogy of Fallot patients had blunted exercise–induced increases in arteriovenous oxygen content difference. However, only the PAH patients had significantly reduced peak values (6.9±1.3 mlO2/100 mL) compared with controls (8.4±1.4 mlO2/100 mL; P=0.005). CONCLUSIONS: MR-augmented cardiopulmonary exercise testing is feasible in both healthy children and children with cardiac disease. Using this novel technique, we have demonstrated abnormal exercise patterns in oxygen uptake, cardiac output, and arteriovenous oxygen content difference

PDF model based on Langevin equation for polydispersed two-phase flows applied to a bluff-body gas-solid flow,

The aim of the paper is to discuss the main characteristics of a complete theoretical and numerical model for turbulent polydispersed two-phase flows, pointing out some specific issues. The theoretical details of the model have already been presented [Minier and Peirano, Physics Reports, Vol. 352/1-3, 2001 ]. Consequently, the present work is mainly focused on complementary aspects, that are often overlooked and that require particular attention. In particular, the following points are analysed : the necessity to add an extra term in the equation for the velocity of the fluid seen in the case of twoway coupling, the theoretical and numerical evaluations of particle averages and the fulfilment of the particle mass-continuity constraint. The theoretical model is developed within the PDF formalism. The important-physical choice of the state vector variables is first discussed and the model is then expressed as a stochastic differential equation (SDE) written in continuous time (Langevin equations) for the velocity of the fluid seen. The interests and limitations of Langevin equations, compared to the single-phase case, are reviewed. From the numerical point of view, the model corresponds to an hybrid Eulerian/Lagrangian approach where the fluid and particle phases are simulated by different methods. Important aspects of the Monte Carlo particle/mesh numerical method are emphasised. Finally, the complete model is validated and its performance is assessed by simulating a bluff-body case with an important recirculation zone and in which two-way coupling is noticeable.Comment: 23 pages, 10 figure