A novel therapeutic approach for rectal varices: a case report of rectal varices treated with double balloon-occluded embolotherapy

We present a patient with continuous melena, diagnosed as rectal varices bleeding. She had a history of esophageal varices, which was treated by endoscopic ligation therapy. Eight years after the treatment of esophageal varices, the continuous melena began. Colonoscopic examination showed that the melena was caused by rectal varices, which were so severe that they could not be treated by either endoscopic sclerotherapy or surgical devascularization. Taking into considering the overall risk of treating rectal varices, we chose the approach of double balloon-occluded embolotherapy (DBOE) with 5% ethanolamine oleate with iopamodol as a liquid embolic material. DBOE is one of the interventional radiology techniques (Morita et al., Acta Hepatol Jpn 1994;35:109-120), but in this case was a completely new and novel clinical procedure for rectal varices. After the DBOE therapy, the condition of rectal varices was markedly improved. Thus, DBOE might be a new tool for treating inoperable rectal varices.     

Experimental studies of 4-inch pipe whip test under BWR loca conditions

Pipe whip tests or jet discharge tests have been performed at the Japan Atomic Energy Research Institute, which simulate the instantaneous circumferential guillotine break of primary coolant piping in nuclear power plants. The present paper describes the results of the pipe whip tests using test pipes of 4 inch diameter, under the BWR LOCA conditions, which were performed from 1979 to 1981. The tests were carried out at an initial pressure of about 6.8 MPa and an initial temperature of about 285°C.The test pipe was 114.3 mm (4 in) in diameter, 8.6 mm in thickness and 4500 mm in length. The four pipe whip restraints used in the tests were the U-bar type of 8 mm in diameter and fabricated from Type 304 stainless steel. The experimental parameters were the clearance (30, 50 and 100 mm) and the overhang length (250, 400, 550 and 1000 mm).The main purpose of these tests is to investigate the effects of the clearance and the overhang length on the pipe whip behavior. It has been clarified from the test results that a smaller clearance and a shorter overhang length causes the deformation of the pipe and restraints to be minimized, and the test pipe collapses near the setting point of the restraints with the overhang length of 1000 mm.     

Temperature increase on target due to jet impingement under BWR/PWR loss of coolant accident conditions

This report describes the temperature increase on the target plate after jet impingement on it from a ruptured pipe under BWR/PWR Loss of Coolant Accident Conditions. From test results it is shown that the temperature on the target can be conservatively estimated by taking it equal to the saturated temperature corresponding to the pressure on the target, which is given by the steam table. An experimental formula is presented to estimate the maximum temperature increase on the target.     

Transfectable and transplantable postmitotic human neurons: a potential "platform" for gene therapy of nervous system diseases

OBJECTIVE: To evaluate F-18 fluorodeoxyglucose positron emission tomography (PET) in terms of its sensitivity and specificity in diagnosing malignant pulmonary nodules and staging bronchogenic carcinoma. METHODS: A retrospective review of any patient that presented to the VA Palo Alto Health Care System with a pulmonary nodule between 9/94 and 3/96 revealed 49 patients (four female, 45 male) age 37-85 (mean 63) with 54 pulmonary nodules who had: chest CT scan, PET scan; and tissue characterization of the nodule. Characterization of each nodule was achieved by histopathologic (N = 44) or cytopathologic (N = 10) analysis. Of the 49 patients, 18 had bronchogenic carcinoma which was adequately staged. Mediastinal PET and CT findings in these 18 patients were compared with the surgical pathology results. N2 disease was defined as mediastinal lymph node involvement by the American Thoracic Society's classification system. Mediastinal lymph nodes were interpreted as positive by CT if they were larger that 1.0 cm in the short-axis diameter. RESULTS: Sensitivity and specificity for the diagnosis of malignant pulmonary nodules using PET was 93 and 70%, respectively. All nodules (N = 3) that were falsely positive by PET scan were infectious in origin. All nodules (N = 4) that were falsely negative by PET were technically limited studies (outdated scanner, no attenuation correction, hyperglycemia) except for one case of metastatic adenocarcinoma. The sensitivity and specificity of PET in diagnosing N2 disease was 67 and 100%, compared with 56% and 100% for CT scan (not statistically significant). However, one more patient with N2 disease was correctly diagnosed by PET than by CT scan. CONCLUSION: PET is a valuable tool in the diagnosis and management of pulmonary nodules and may more accurately stage patients with bronchogenic carcinoma than CT scanning alone.     

Feature detectors by autoencoders: Decomposition of input patterns into atomic features by neural networks

In this paper, we propose a feature detector for the neural network. Our feature detector aims to decompose input patterns into minimum constituents or atomic features. Atomic features are classified into features, common to all the input patterns and features, specific to each pattern. Thus, our feature detector is mainly composed of a common feature detector, distinctive feature detectors. The other two components are an information maximizer and an error minimizer. The distinctive feature detector is realized by the information maximizer, which increases the information, specific to each pattern as much as possible. The error minimizer is a device to minimize the difference between targets and outputs, that is, a usual neural network. We applied our feature detector to two problems: detection of vertical and horizontal bars and the phonological feature detection. In both cases, experimental results confirmed that distinctive features could clearly be extracted and that the common feature detector could extract features, as close as possible to the common features.     

Transcatheter arterial renal and adrenal embolization with iohexol-ethanol solutions. Animal experimental study and clinical application

RATIONALE AND OBJECTIVES: The authors compared the embolic effect of radiolucent absolute ethanol (AE) with that of a radiopaque iohexol-ethanol (IES) solution for renal ablation in dogs and for the destruction of human aldosteronomas by the technique of transcatheter arterial embolization (TAE) to test whether IES can be an alternative to AE. METHODS: The embolic agents were infused through a balloon catheter into the renal arteries of 17 dogs (9 infused with 0.3 mL/kg AE; 8 infused with IES). The immediate and parenchyma were compared between the two groups. Transcatheter arterial embolization with IES also was performed in three humans with unilateral aldosteronoma. RESULTS: The IES was visualized faintly under fluoroscopy in all dogs. There were no significant differences in embolic effects between the AE and IES. Three patients with aldosteronoma were treated successfully by TAE with IES. CONCLUSIONS: The IES can be used as a "visible ethanol" to improve the safety and ease of ethanol embolization.