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https://www.readbyqxmd.com/read/28810998/delayed-diagnosis-of-acromegaly-in-the-context-of-post-traumatic-stress-disorder-due-to-symptoms-mimicking-known-psychotropic-medication-side-effects
#1
Ray-Bernard Portier, Afshin Afarin, Sara Pope
BACKGROUND: Acromegaly is caused by elevated secretion of human growth hormone, which is frequently because of intracranial tumors. This diagnosis is fairly uncommon with an incidence of 3 to 4 cases per million patients per year. We are presenting a case of acromegaly diagnosed in an active duty Chief Petty Officer. MATERIALS AND METHODS: A 38-year-old male Chief Petty Officer with no previous mental health diagnosis experienced post-traumatic stress disorder (PTSD)-like symptoms in early 2012 after deploying to Iraq and Afghanistan from 2010 to 2011...
July 2017: Military Medicine
https://www.readbyqxmd.com/read/28800220/the-secret-life-of-collagen-temporal-changes-in-nanoscale-fibrillar-pre-strain-and-molecular-organization-during-physiological-loading-of-cartilage
#2
Sheetal R Inamdar, David P Knight, Nicholas J Terrill, Angelo Karunaratne, Fernando Cacho-Nerin, Martin M Knight, Himadri S Gupta
Articular cartilage is a natural biomaterial whose structure at the micro- and nanoscale is critical for healthy joint function and where degeneration is associated with widespread disorders such as osteoarthritis. At the nanoscale, cartilage mechanical functionality is dependent on the collagen fibrils and hydrated proteoglycans that form the extracellular matrix. The dynamic response of these ultrastructural building blocks at the nanoscale, however, remains unclear. Here we measure time-resolved changes in collagen fibril strain, using small angle X-ray diffraction during compression of bovine and human cartilage explants...
August 11, 2017: ACS Nano
https://www.readbyqxmd.com/read/28791194/a-case-report-of-surgical-management-of-hemangiopericytoma-at-the-foramen-magnum
#3
Nobuhiko Arai, Satoshi Takahashi, Hatano Mami, Yukina Tokuda, Kazunari Yoshida
BACKGROUND: Hemangiopericytoma (HPC) is a highly vascularized mesenchymal tumor known for its high rates of recurrence and metastasis. The extent of tumor removal is known to be the most trustful prognostic factor. Skull base HPCs are challenging to treat because of the difficulty of the surgical approach and proximity to vital vascular and neuronal structures. We successfully treated a case of HPC at the ventral foramen magnum through surgical gross tumor removal via a far-lateral transcondylar approach...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/28773204/on-identification-of-critical-material-attributes-for-compression-behaviour-of-pharmaceutical-diluent-powders
#4
Jianyi Zhang, Chuan-Yu Wu, Xin Pan, Chuanbin Wu
As one of the commonly-used solid dosage forms, pharmaceutical tablets have been widely used to deliver active drugs into the human body, satisfying patient's therapeutic requirements. To manufacture tablets of good quality, diluent powders are generally used in formulation development to increase the bulk of formulations and to bind other inactive ingredients with the active pharmaceutical ingredients (APIs). For formulations of a low API dose, the drug products generally consist of a large fraction of diluent powders...
July 23, 2017: Materials
https://www.readbyqxmd.com/read/28772978/thermal-stability-of-p-type-bisbte-alloys-prepared-by-melt-spinning-and-rapid-sintering
#5
Yun Zheng, Gangjian Tan, Yubo Luo, Xianli Su, Yonggao Yan, Xinfeng Tang
P-type BiSbTe alloys have been widely implemented in waste heat recovery from low-grade heat sources below 600 K, which may involve assorted environments and conditions, such as long-term service, high-temperature exposure (generally 473-573 K) and mechanical forces. It is important to evaluate the service performance of these materials in order to prevent possible failures in advance and extend the life cycle. In this study, p-type Bi0.5Sb1.5Te₃ commercial zone-melting (ZM) ingots were processed by melt spinning and subsequent plasma-activated sintering (MS-PAS), and were then subjected to vacuum-annealing at 473 and 573 K, respectively, for one week...
June 6, 2017: Materials
https://www.readbyqxmd.com/read/28772793/an-energy-equivalent-d%C3%A2-%C2%BA-d-damage-model-with-enhanced-microcrack-closure-reopening-capabilities-for-cohesive-frictional-materials
#6
Miguel Cervera, Claudia Tesei
In this paper, an energy-equivalent orthotropic d⁺/d(-) damage model for cohesive-frictional materials is formulated. Two essential mechanical features are addressed, the damage-induced anisotropy and the microcrack closure-reopening (MCR) effects, in order to provide an enhancement of the original d⁺/d(-) model proposed by Faria et al. 1998, while keeping its high algorithmic efficiency unaltered. First, in order to ensure the symmetry and positive definiteness of the secant operator, the new formulation is developed in an energy-equivalence framework...
April 20, 2017: Materials
https://www.readbyqxmd.com/read/28772701/role-of-tartaric-acid-in-chemical-mechanical-and-self-healing-behaviors-of-a-calcium-aluminate-cement-blend-with-fly-ash-f-under-steam-and-alkali-carbonate-environments-at-270-%C3%A2-c
#7
Tatiana Pyatina, Toshifumi Sugama
Tartaric acid (TA) changes short-term mechanical behavior and phase composition of sodium-metasilicate activated calcium-aluminate cement blend with fly ash, type F, when used as a set control additive to allow sufficient pumping time for underground well placement. The present work focuses on TA effect on self-healing properties of the blend under steam or alkali carbonate environments at 270 °C applicable to geothermal wells. Compressive strength recoveries and cracks sealing were examined to evaluate self-healing of the cement after repeated crush tests followed by two consecutive healing periods of 10 and 5 days at 270 °C...
March 25, 2017: Materials
https://www.readbyqxmd.com/read/28772382/experimental-study-on-mechanical-properties-and-porosity-of-organic-microcapsules-based-self-healing-cementitious-composite
#8
Xianfeng Wang, Peipei Sun, Ningxu Han, Feng Xing
Encapsulation of healing agents embedded in a material matrix has become one of the major approaches for achieving self-healing function in cementitious materials in recent years. A novel type of microcapsules based self-healing cementitious composite was developed in Guangdong Provincial Key Laboratory of Durability for Marine Civil Engineering, Shenzhen University. In this study, both macro performance and the microstructure of the composite are investigated. The macro performance was evaluated by employing the compressive strength and the dynamic modulus, whereas the microstructure was represented by the pore structure parameters such as porosity, cumulative-pore volume, and average-pore diameter, which are significantly correlated to the pore-size distribution and the compressive strength...
January 1, 2017: Materials
https://www.readbyqxmd.com/read/28770510/the-posterior-bundle-of-the-elbow-medial-collateral-ligament-biomechanical-study-and-proposal-for-a-new-reconstruction-surgical-technique
#9
A Sard, E Dutto, R Rotini, S Vanni, S Pastorelli, B Battiston
BACKGROUND: The medial collateral ligament (MCL) is one of the primary elbows stabilizers. It is composed of an anterior bundle (AB), a posterior bundle (PB) and a transverse bundle. In elbow dislocations, until today MCL reconstruction has addressed the AB only. The purpose of this paper is to understand the biomechanical role of the PB of the MCL and to propose a new surgical technique for the simultaneous reconstruction of the anterior and posterior bundles, preventing the risk of recurrent posterior dislocation or posteromedial rotational instability (PMRI)...
August 2, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28769065/highly-reusable-and-superhydrophobic-spongy-graphene-aerogels-for-efficient-oil-water-separation
#10
Yuanzheng Luo, Shenlin Jiang, Qi Xiao, Chuanliang Chen, Buyin Li
Graphene aerogels (GAs) are three-dimensional (3D) graphene sponges with unique wettability and have demonstrated the potential for reducing contamination from oil spills and chemical accidents. Herein, we report new polyurethane (PU) sponge-reinforced GAs with low surface energy, high sorption capacity and excellent recyclability for use as efficient oil sorbents. Spongy graphene aerogels (SGAs) with a hierarchical porous morphology were produced by simply freeze-casting reduced graphene oxide (rGO) to form compacted macroscale sponges...
August 2, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28768280/chest-compressions-during-sustained-inflations-improve-recovery-when-compared-to-a-3-1-compression-ventilation-ratio-during-cardiopulmonary-resuscitation-in-a-neonatal-porcine-model-of-asphyxia
#11
Elliott S Li, Immanuel Görens, Po-Yin Cheung, Tze-Fun Lee, Min Lu, Megan O'Reilly, Georg M Schmölzer
BACKGROUND: Recently, sustained inflations (SI) during chest compression (CC) (CC+SI) have been suggested as an alternative to the current approach during neonatal resuscitation. No previous study compared CC+SI using CC rates of 90/min to the current 3:1 compression:ventilation ratio (C:V). OBJECTIVE: To determine whether CC+SI versus a 3:1 C:V reduces the time to the return of spontaneous circulation (ROSC) and improves hemodynamic recovery in newborn piglets with asphyxia-induced bradycardia...
August 3, 2017: Neonatology
https://www.readbyqxmd.com/read/28767637/osmotic-pressure-alters-time-dependent-recovery-behavior-of-the-intervertebral-disc
#12
Semih E Bezci, Grace D O'Connell
STUDY DESIGN: Disc recovery behavior under hypo- and hyper-osmotic pressure OBJECTIVE.: To evaluate the effect of osmotic pressure on the unloaded recovery response of healthy discs SUMMARY OF BACKGROUND DATA.: The intervertebral disc is a poroviscoelastic material that experiences large fluctuations in water composition throughout a diurnal loading cycle. Fluid flow out of the disc occurs through mechanical loading, while fluid flow into the disc occurs through passive diffusion due to an imbalance of ions between the disc and its surrounding environment...
August 1, 2017: Spine
https://www.readbyqxmd.com/read/28767569/visual-loss-due-to-optic-nerve-infarction-and-central-retinal-artery-occlusion-after-spine-surgery-in-the-prone-position-a-case-report
#13
Soo Hee Lee, Inyoung Chung, Dae Seob Choi, Il-Woo Shin, Sunmin Kim, Sebin Kang, Ji-Yoon Kim, Young-Kyun Chung, Ju-Tae Sohn
RATIONALE: Visual loss after spine surgery in the prone position is a serious complication. Several cases of central retinal artery occlusion with ophthalmoplegia after spine surgery have been reported in patients with ophthalmic arteries fed by the internal carotid artery (ICA) in a normal manner. PATIENT CONCERNS: A 74-year-old man developed visual loss after undergoing a spinal decompression and fusion operation in the prone position that lasted approximately 5 hours...
August 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28762027/a-simple-and-efficient-algorithm-operating-with-linear-time-for-mceeg-data-compression
#14
Geevarghese Titus, M S Sudhakar
Popularisation of electroencephalograph (EEG) signals in diversified fields have increased the need for devices capable of operating at lower power and storage requirements. This has led to a great deal of research in data compression, that can address (a) low latency in the coding of the signal, (b) reduced hardware and software dependencies, (c) quantify the system anomalies, and (d) effectively reconstruct the compressed signal. This paper proposes a computationally simple and novel coding scheme named spatial pseudo codec (SPC), to achieve lossy to near lossless compression of multichannel EEG (MCEEG)...
July 31, 2017: Australasian Physical & Engineering Sciences in Medicine
https://www.readbyqxmd.com/read/28758659/capillary-uptake-in-macroporous-compressible-sponges
#15
Soumyajyoti Chatterjee, Pankaj Doshi, Guruswamy Kumaraswamy
The capillarity-driven uptake of liquid in swellable, highly porous sponges is of significant industrial importance. Sponges prepared using polymers and their composites with carbon nanotubes and graphene have been reported, with extraordinary solvent uptake capacities and with the ability to separate oil from water. However, the effect of systematic variation of sponge characteristics on solvent uptake has not been investigated. Here, we report experiments that study capillary uptake in a variety of flexible, centimetre-sized macroporous cylindrical sponges...
July 31, 2017: Soft Matter
https://www.readbyqxmd.com/read/28757765/pulseless-electrical-activity-in-acute-massive-pulmonary-embolism-during-thrombolytic-therapy
#16
Han-Hua Yu, Jing-Ren Jeng
We report a case of acute pulmonary embolism with hemodynamic instability diagnosed by a computed tomography pulmonary angiogram. The patient developed pulseless electrical activity during systemic thrombolytic therapy with recombinant tissue plasminogen activator. Successful return of spontaneous circulation was achieved after immediate cardiopulmonary resuscitation with chest compressions for 6 min. His electrocardiogram (ECG) on arrival in the emergency department displayed sinus tachycardia, an S wave in lead I, a Q wave in lead III, incomplete right bundle branch block (RBBB), T-wave inversion (TWI) in leads V1-V3, ST elevation in leads aVR and V1, and ST depression in leads I, II, III, aVF, and V4-V6...
January 2017: Ci Ji Yi Xue za Zhi, Tzu-chi Medical Journal
https://www.readbyqxmd.com/read/28755391/impact-of-winter-roads-on-boreal-peatland-carbon-exchange
#17
Maria Strack, Divya Softa, Melanie Bird, Bin Xu
Across Canada's boreal forest, linear disturbances, including cutlines such as seismic lines and roads, crisscross the landscape to facilitate resource exploration and extraction; many of these linear disturbances cross peatland ecosystems. Changes in tree canopy cover and the compression of the peat by heavy equipment alters local thermal, hydrological and ecological conditions, likely changing carbon exchange on the disturbance, and possibly in the adjacent peatland. We measured bulk density, water table, soil temperature, plant cover, and CO2 and CH4 flux along triplicate transects crossing a winter road through a wooded fen near Peace River, Alberta, Canada...
July 28, 2017: Global Change Biology
https://www.readbyqxmd.com/read/28754642/symptomatic-thoracic-nerve-root-herniation-into-an-extradural-arachnoid-cyst-case-report-and-review-of-the-literature
#18
Nagesh C Shanbhag, Ruurd F Duyff, Rob J M Groen
BACKGROUND: Spinal extradural arachnoid cysts (SEAC) are relatively rare and usually asymptomatic. They preferentially are situated in the thoracic extradural space, and almost always dorsal. SEACs may present with back pain and/or cord compression symptoms. Needle aspiration, needle fenestration or open surgical resection/fenestration have been reported as treatment modalities. CASE DESCRIPTION: We present a 35-year-old woman who complained of radiating pain from the right lower thoracic region of her back towards the right inguinal region which was aggravated upon defecation and straining...
July 25, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28753372/towards-holography-via-quantum-source-channel-codes
#19
Fernando Pastawski, Jens Eisert, Henrik Wilming
While originally motivated by quantum computation, quantum error correction (QEC) is currently providing valuable insights into many-body quantum physics, such as topological phases of matter. Furthermore, mounting evidence originating from holography research (AdS/CFT) indicates that QEC should also be pertinent for conformal field theories. With this motivation in mind, we introduce quantum source-channel codes, which combine features of lossy compression and approximate quantum error correction, both of which are predicted in holography...
July 14, 2017: Physical Review Letters
https://www.readbyqxmd.com/read/28746221/diagnosis-and-treatment-of-hidden-lesions-in-mild-cervical-spondylotic-myelopathy-patients-with-apparent-symptoms
#20
Yaning Sun, Kunlun Yu, Haonan Wang, Yong Shen, Lingde Kong, Jingtao Zhang
Patients with apparent symptoms of cervical spondylotic myelopathy (CSM) may only show a mild compressive lesion in ordinary magnetic resonance imaging (MRI). The aim of this study was to investigate the characteristics of CSM patients with "hidden" lesions on kinetic MRI and to determine an effective treatment.Thirty-one patients with obvious spinal cord compression only on kinetic MRI were included in our study. A variety of parameters were calculated from MRI of the cervical spine at different postures. The anterior cervical decompression and fusion (ACDF) procedure were used for treatment of CSM...
July 2017: Medicine (Baltimore)
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