3,704 research outputs found

    Prenatal diagnosis and postnatal follow-up of congenitally corrected transposition of the great arteries and recurrent supraventricular tachycardia

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    The prenatal sonographic diagnosis of congenitally corrected transposition of the great arteries (ccTGA), a rare form of congenital heart disease is very difficult. A24-year-old woman was referred to our center at 28 weeks’ gestation because of suspected fetal cardiac anomalies. This article reports a case of ccTGA with supraventricular tachycardia, ventricular septal defect, pulmonary valve stenosis, tricuspid valvar displacement and moderate tricuspid regurgitation during her pregnancy. The combined presence of SVT and ccTGA are occasionally present in the literature.peer-reviewe

    A case of pancreatic cancer with concomitant median arcuate ligament syndrome treated successfully using an allograft arterial transposition

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    An association of pancreatic cancer and median arcuate ligament syndrome (MALS) is a rare and challenging situation in terms of treatment. A 60-year-old man diagnosed with pancreatic cancer underwent laparotomy. A pancreaticoduodenectomy was planned, but during the resection part of the operation, a celiac artery stenosis was noticed. The patient was diagnosed with MALS causing almost total celiac artery occlusion, with no radiological solution. The patient was re-operated the next day, and an iliac artery allograft was used for aorta-proper hepatic artery reconstruction, concomitant with the total pancreaticoduodenectomy. Preoperative meticulous evaluation of vascular structures of the celiac trunk and its branches is important, especially in pancreatic surgery. A vascular allograft may be a lifesaving alternative when vascular reconstruction is necessary

    Improved of Approximating Function Li(x)

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    Let pi(x) be the prime-counting function that gives the number of primes less than or equal to x, for any positive number x and let the approximating function Li(x) denote the off set integral logarithm of x. This function is a good approximation to the number of prime numbers less than x. We propose a simple modification of Li(x) gauss prediction function for reduces of pi(x)-Li(x)

    Implicit threat vigilance among violent offenders diagnosed with antisocial personality disorder:The impact of ostracism and control threat

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    The present study investigated the role of control as a moderator in reaction to ostracism among male violent offenders diagnosed with ASPD (N = 33) compared to a control sample consisting of males from the normal population without a known history of violence, or diagnosis of ASPD, matched for age and educational level (N = 35). Participants played an altered version of the Cyberball game in which they could control the course of the game or not. The authors predicted and found that having control prior to ostracism would mitigate the effect of ostracism on implicit threat vigilance among violent offenders diagnosed with ASPD, but not among normal individuals. The results suggest that control needs are crucial in the typology of ASPD

    Structural, thermal and magnetic properties of barium-ferrite powders substituted with Mn, Cu or Co and X (X = Sr and Ni) prepared by the sol-gel method

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    In this study, Ferrite A (undoped barium hexaferrite), Ferrite B (MnCuNi-doped barium hexaferrite), Ferrite C (MnCuSr-doped barium hexaferrite), Ferrite D (MnCoNi-doped barium hexaferrite) and Ferrite E (MnCoSr-doped barium hexaferrite) powders were prepared by sol-gel processing. The produced powders were calcined at 550 °C for 6 h and sintered at 1000 °C for 5 h to obtain the required phases. The powders were characterized by differential thermal analysis/thermogravimetric analysis (DTA/TG), X-ray diffractometry (XRD) and scanning electron microscopy (SEM), and vibrating-sample magnetometry (VSM). The XRD patterns indicated that the pure barium ferrite phase was not obtained. The presence of M-type BaFe 11.6Mn 0.4O 19 was confirmed in the Ferrite B and Ferrite D patterns. In the Ferrite C pattern, there were the phases of BaFe 12O 19, Ba 2Cu 2Fe 12O 22 (X or Z-type) and Sr 3Fe 2O 6.16. The Ba 0.5Sr 0.5Fe 12 phase was easily observed in the Ferrite E pattern. The results showed that the dopant materials significantly change the particle shape of Ferrite A powders, but also lower the value of the coercivity. A higher saturation magnetization was observed for the Ferrite D powder

    h-deformation of Gr(2)

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    The hh-deformation of functions on the Grassmann matrix group Gr(2)Gr(2) is presented via a contraction of Grq(2)Gr_q(2). As an interesting point, we have seen that, in the case of the hh-deformation, both R-matrices of GLh(2)GL_h(2) and Grh(2)Gr_h(2) are the same

    Two cases of inferior vena cava duplication with their CT findings and a review of the literature

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    Duplication of the inferior vena cava (IVC) is the most common anomaly to affect the vena cava. Variations in the IVC are diagnosed in routine dissection studies, in retroperitoneal surgeries, or in computerised tomography (CT) sections ordered for various reasons. In this paper we present two cases of a double IVC together with the CT findings. The duplication might have occurred during embryological development. Although venous anomalies are rare, they have particular importance with respect to the interruptions that may occur during retroperitoneal and thoracic surgery or in the treatment of thrombo-embolic disease

    Radiation Testing of Electronics for the CMS Endcap Muon System

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    The electronics used in the data readout and triggering system for the Compact Muon Solenoid (CMS) experiment at the Large Hadron Collider (LHC) particle accelerator at CERN are exposed to high radiation levels. This radiation can cause permanent damage to the electronic circuitry, as well as temporary effects such as data corruption induced by Single Event Upsets. Once the High Luminosity LHC (HL-LHC) accelerator upgrades are completed it will have five times higher instantaneous luminosity than LHC, allowing for detection of rare physics processes, new particles and interactions. Tests have been performed to determine the effects of radiation on the electronic components to be used for the Endcap Muon electronics project currently being designed for installation in the CMS experiment in 2013. During these tests the digital components on the test boards were operating with active data readout while being irradiated with 55 MeV protons. In reactor tests, components were exposed to 30 years equivalent levels of neutron radiation expected at the HL-LHC. The highest total ionizing dose (TID) for the muon system is expected at the inner-most portion of the CMS detector, with 8900 rad over ten years. Our results show that Commercial Off-The-Shelf (COTS) components selected for the new electronics will operate reliably in the CMS radiation environment

    Management of spontaneous pneumothorax in patients with COVID-19.

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    ObjectivesThe coronavirus disease 2019 (COVID-19) pneumonia may cause cystic features of lung parenchyma which can resolve or progress to larger blebs. Pneumothorax was more likely in patients with neutrophilia, severe lung injury and a prolonged clinical course. The timely diagnosis and management will reduce COVID-19-associated morbidity and mortality.MethodsWe present 11 cases of spontaneous pneumothorax managed with chest tube thoracostomy or high-dose oxygen therapy. Isolated spontaneous pneumothorax was detected in all cases.ResultsEight cases were male and 3 cases were female. There were bilateral ground-glass opacities or pulmonary infiltrates in the parenchyma of the 10 cases. We detected neutrophilia, lymphopaenia and increased C-reactive protein, Ferritin, lactate dehydrogenase, D-Dimer, interleukin-6 levels in almost all cases. Chest tube thoracostomy was sufficient to treat pneumothorax in our 9 of case. In 2 cases, pneumothorax healed with high-dose oxygen therapy. Favipiravir and antibiotic treatment were given to different 10 patients. In our institution, all patients with COVID-19 infection were placed on prophylactic or therapeutic anticoagulation, unless contraindicated. The treatments of patients diagnosed with secondary spontaneous pneumothorax during the pandemic period and those diagnosed with secondary spontaneous pneumothorax in the previous 3 years were compared with the durations of tube thoracostomy performed in both groups.ConclusionsThe increased number of cases of pneumothorax suggests that pneumothorax may be a complication of COVID-19 infection. During medical treatment of COVID-19, pneumothorax may be the only reason for hospitalization. Although tube thoracostomy is a sufficient treatment option in most cases, clinicians should be aware of the difficulties that may arise in diagnosis and treatment
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