GE's new STE and VCT PET/CT systems have improved spatial resolution without loss in sensitivity. When compared with the LYSO crystal-based GE Discovery RX, the resolution and scatter fraction are comparable, the count rate capability is lower but the sensitivity is higher.
We studied the effects of the bacterial urease inhibitor acetohydroxamic acid on the growth of struvite stones in the urinary tract. Eighteen patients who received acetohydroxamic acid (15 mg per kilogram of body weight per day, in divided oral doses) for a mean of 15.8 months were compared in a randomized double-blind study with 19 patients who received placebo for a mean of 19.6 months. Seven patients given placebo reached a pre-determined end point: a 100 per cent increase in the two-dimensional surface area of their stones. No patient who received acetohydroxamic acid had a doubling of stone size (P less than 0.01). Nine patients receiving the drug and one patient receiving placebo required a decrease in dosage or cessation of treatment because of adverse effects (P less than 0.01). Episodes of tremulousness (n = 5, P less than 0.05), which reversed with a decrease in drug dose, and phlebothrombosis (n = 3, P not significant) were limited to the group given acetohydroxamic acid. We conclude that acetohydroxamic acid effectively inhibits the growth of struvite stones in the short term in patients infected with urea-splitting bacteria, but the prevalence of adverse reactions appears to be high and the toxicity and effectiveness of long-term therapy for struvite nephrolithiasis remain to be defined.
This paper numerically investigates particle saltation in a turbulent channel flow having a rough bed consisting of two to three layers of densely packed spheres. The Shields function is 0.065 which is just above the sediment entrainment threshold to give a bed-load regime. The applied methodology is a combination of three technologies, i.e., the direct numerical simulation of turbulent flow; the combined finite-discrete element modeling of the deformation, movement, and collision of the particles; and the immersed boundary method for the fluid-solid interaction. It is shown that the presence of entrained particles significantly modifies the flow profiles of velocity, turbulent intensities, and shear stresses in the vicinity of a rough bed. The quasi-streamwise-aligned streaky structures are not observed in the near-wall region and the particles scatter on the rough bed owing to their large size. However, in the outer flow region, the turbulent coherent structures recover due to the weakening rough-bed effects and particle interferences. First- and second-order statistical features of particle translational and angular velocities, together with sediment concentration and volumetric flux density profiles, are presented. Several key parameters of the particle saltation trajectory are calculated and agree closely with published experimental data. Time histories of the hydrodynamic forces exerted upon a typical saltating particle, together with those of the particle's coordinates and velocities, are presented. A strong correlation is shown between the abruptly decreasing streamwise velocity and increasing vertical velocity at collision which indicates that the continuous saltation of large-grain-size particles is controlled by collision parameters such as particle incident angle, local bed packing arrangement, and particle density, etc.
These results are consistent with the existence of an environmental trigger for autism among genetically vulnerable children that is positively associated with precipitation. Further studies focused on establishing whether such a trigger exists and identifying the specific trigger are warranted.
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