Posterior reversible encephalopathy syndrome (PRES) of the brainstem

A 71-year-old man had disordered consciousness whose Glasgow Coma Scale was E4V1M5. His blood pressure was high, but there was no abnormality in the cerebrospinal fluid examination. The MRI finding reveals a high-intensity area at the pons without the blood flow interruption. Thus, he has diagnosed with brainstem PRES

Stepwise Treatment for Abnormally Invasive Placenta with Placenta Previa

Placenta accreta spectrum (PAS) disorder often causes a large amount of intraoperative bleeding in a short period which makes maternal circulation unstable and threatens life. As a countermeasure, two-stage surgery combined with selective uterine arterial embolization (UAE), named “stepwise treatment” was introduced in 2003. At a cesarean section (CS), only the baby is delivered and the placenta is left in situ. The transcatheter angiographic UAE is performed on the operation day, followed by the total hysterectomy on 5 to 7 days after CS. The difficulty in the operative procedures for hysterectomy and the amount of bleeding can be reduced by the added effect of the blood flow interruption by UAE and the uterine involution. Although there are not many indication cases, this is the prudent operation that should be considered for the most severe PAS case such as total placenta increta/percreta with placenta previa.In this article, the practical procedures and tips of stepwise treatment are described.

Sub-Tree-Based Approach for Reconfiguration of Light-Tree Pair without Flow Interruption in Sparse Wavelength Converter Network

Network reconfiguration is an important mechanism for network operators to optimize network performance and optical flow transfer. It concerns unicast and multicast connections. Multicast connections are required to meet the bandwidth requirements of multicast applications, such as Internet Protocol-based TeleVision (IPTV), distance learning, and telemedicine. In optical networks, a multicast connection is made possible by the creation of an optical tree-shaped path called a light-tree. The problem of light-tree pair reconfiguration is addressed in this study. Given an initial light-tree used to transfer an optical flow and a final light-tree that is computed by the network operator to optimize network performance, the goal is to migrate the optical flow from the initial light-tree to the final light-tree without flow interruption. Flow interruption is not desirable for network operators because it forces them to pay financial penalties to their customers. To solve this problem, existing methods use a branch approach that is inefficient if some network nodes do not have wavelength conversion capability. Therefore, we proposed in this study a sub-tree-based method. This approach selects and configures sub-tree pairs from the light-tree pair (initial light-tree, final light-tree) to be reconfigured. Then, we produce a sequence of configurations. The performance study confirms that our method is efficient in solving the problem of light-tree pair reconfiguration because our method does not cause flow interruption.

Testing of the Model of the Heat Exchanger Supercharger With a Flat Active Par

This paper designs a pulsation-generating structure to provide pulsating flow for experiments. The relationship between frequency, flow and pulsating flow enhancement heat transfer is discussed separately. The characteristics of pulsating flow enhanced heat transfer are analyzed, and the theoretical research and engineering application of pulsating heat transfer are proposed. The scheme of the laboratory installation is developed, which is an independent circuit from the heat source with a pulse circulation of the coolant. The unit allows testing the heat exchanger-supercharger at different performance at the frequency of fluctuations of the coolant from 0.5 to 2 Hz. As a result of thermal tests, graphs of temperature changes over time in the heated and closed circuit at flow interruption frequencies from 0.5 to 1 Hz are obtained. It is found that with increasing frequency of flow fluctuations, the heating time of the coolant in a closed loop decreases by almost 1.85 times.

Detection of Neutrons Emitted From Reactor Primary Circuit Water by Discontinuing Flow Method

On-line activity measurement of fission products in a primary circuit water is often used for a fuel failure detection in research and power nuclear reactors. When gamma spectrometry is used for the activity measurement, high signal from 16N radionuclide and other activation products make the detection of fission products difficult. The detection of delayed neutrons emitted from several fission products is also used; however, if the detector is placed near the outlet coolant pipe, the signal from the delayed neutrons cannot be distinguished from the neutrons emitted due to 17N decay and deuterium photofission, with exception of a reactor scram condition. In this paper, a method of discontinuing the flow of primary circuit water is described. This method is based on the water flowing through a bypass on the outlet pipe to the sampling container and the flow is periodically temporarily interrupted, e.g., using 200 s + 200 s cycles. Neutrons located in the vicinity of the sampling container are continuously detected with a measuring sampling time of less than 2 s. The signal part, corresponding to the delayed neutrons, is evaluated by the signal decay analyzing during the flow interruption. The main sources of delayed neutrons suitable for this method are 137I, 87Br, and 88Br radionuclides with half-lives of 24.5 s, 55.7 s, and 16.5 s, respectively. The method was theoretically analyzed and experimentally verified in the LVR-15 research reactor.