24 research outputs found
The effect of irradiation temperature on damage structures in proton-irradiated zirconium alloys
The association of hydrogen with nanometre bubbles of helium implanted into zirconium
Electron energy-loss spectroscopy (EELS) is used to investigate the association of hydrogen with helium bubbles in zirconium. Conventional EELS data yield a signal at 13.5 eV (similar to the hydrogen K-edge, 13 eV), which is spatially distributed around the peripheries of bubbles and may correlate with the concentration of hydrogen/deuterium in the material. Ultra-high energy resolution EELS yields a signal at 148.6 meV (comparable to a range of ZrH bonds, 130–156 meV) from a region containing bubbles and no visible hydrides. These signals are interpreted in the context of either bubble surface chemisorption or bubble stress field trapping mechanisms
"Isolated leptomeningeal carcinomatosis and possible fungal meningitis as late sequelae of oesophageal adenocarcinoma"
Evolution of radiation-induced lattice defects in 20/25 Nb-stabilised austenitic stainless steel during in-situ proton irradiation
We have monitored in situ the lattice defect evolution induced by proton irradiation in 20Cr-25Ni Nb-stabilised stainless steel, used as fuel cladding material in advanced gas-cooled reactors. At 420 °C, the damaged microstructure is mainly characterised by black spots and faulted [Formula presented]〈111〉 Frank loops. Defect saturation is reached at only 0.1dpa. In contrast, at 460 °C and 500 °C proton bombardment induces the formation of a mixture of [Formula presented]〈111〉 Frank loops and perfect [Formula presented]〈110〉 loops. These perfect loops evolve into dislocation lines that form a dense network. This transition coincides with the saturation in the dislocation loop size and number density at 0.8dpa (460 °C) and 0.2dpa (500 °C), respectively. The presence of a high density of dislocation loops and lines at those two temperatures causes a vacancy supersaturation in the matrix, leading to the formation of voids and stacking fault tetrahedra.</p
Isolated leptomeningeal carcinomatosis and possible fungal meningitis as late sequelae of oesophageal adenocarcinoma
We describe a case of a 67-year-old man with known chronic obstructive pulmonary disease, type 2 diabetes mellitus, hypertension, osteoarthritis, previous history of excess alcohol intake, and oesophagectomy 3 years earlier for T3N0 adenocarcinoma, referred by his general practitioner with confusion, weight loss and several recent falls. CT of the chest, abdomen and pelvis revealed a right middle-lobe pulmonary embolism, while CT of the head revealed a communicating hydrocephalus. Lumbar puncture was performed, and empirical treatment for tuberculous and fungal meningitis was commenced. Unfortunately, he suffered a rapid neurological deterioration with markedly elevated cerebrospinal fluid (CSF) pressures, leading to an external ventricular drain. Cytological analysis of a CSF sample revealed a cellular infiltrate consistent with leptomeningeal carcinomatosis (adenocarcinoma), with the previous oesophageal malignancy the likely primary. He passed away 17 days after hospital admission. Prolonged culture of CSF later produced evidence of two distinct phaeomycotic moulds (Cladosporium sp and Exophiala sp), suggesting that fungal meningitis may also have contributed to the clinical picture
Pancreatic islet changes in human whole organ pancreas explants: What can be learned from explanted samples?
Background.
Whole pancreas transplantation (Tx) is a successful treatment for type 1 diabetes resulting in independence from antidiabetic therapies. Transplant-related factors contributing to pancreatic islet failure are largely unknown; both recurring insulitis and pancreatitis have been implicated. The aim was to determine if cellular changes in islets and exocrine tissue are evident early in Tx, which could contribute to eventual graft failure using well-preserved tissue of grafts explanted from largely normoglycemic recipients.
Methods.
Histological specimens of explants (n = 31), Tx duration 1 day–8 years (median 29 d), cold ischemia time 7.2–17.3 hours (median 11.1 h), donor age 13–54 years (median 38 y) were examined; sections were labeled for inflammation, islet amyloidosis, and tissue fibrosis, and morphometry performed on immunolabeled insulin and glucagon positive islet cells. Data were related to clinical details of donor, recipient, and features of Tx.
Results.
Islet inflammation consistent with recurrent insulitis was not seen in any sample. Insulin-labeled islet cell proportion decreased with donor age (P < 0.05) and cold ischemia (P < 0.01) in explants from 26 normoglycemic patients; glucagon-labeled area proportion increased with cold ischemia (P < 0.05). Clinical pancreatitis was the explant reason in 12 of 28 normoglycemic cases. Exocrine fibrotic area/pancreas was variable (0.7%–55%) and unrelated to clinical/pathological features. Islet amyloid was present in 3 normoglycemic cases (donor ages 58, 42, and 31 y; Tx duration 8 y, 31 and 33 d, respectively). In 1 patient receiving antidiabetic therapy, the insulin-labeled area was reduced but with no evidence of islet inflammation.
Conclusions.
Explant histological changes after short-term Tx are similar to those seen in type 2 diabetes and occur in the absence of immunologic rejection without causing hyperglycemia. This suggests that factors associated with Tx affect islet stability; persistent deterioration of islet integrity and exocrine tissue fibrosis could impact on sustainability of islet function
The use of OGD in routine preoperative investigation for bariatric surgery: Findings and implications for management
Data for: The effect of irradiation temperature on damage structures in proton-irradiated zirconium alloys
These data files were used in the analysis of 2.3 dpa Zircaloy-2 and Low-Sn ZIRLO samples, irradiated at various temperatures