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Histopathologic, histochemical, and morphometric studies were done on 80 medial stumps of torn rotator cuff tendons to clarify the cause of tears. A high prevalence and diffuse distribution of degenerative changes were observed in the rotator cuff tendons including thinning and disorientation of collagen fibers, myxoid degeneration, hyaline degeneration, chondroid metaplasia, calcification, vascularproliferation, and fatty infiltration. No distinct inflammatory reaction was observed. Thinning and disorientation of collagen fibers, myxoid degeneration, and hyaline degeneration were seen in all cases. All changes except vascular proliferation and fatty infiltration were more pronounced in the middle to deep layers of the tendons than in the superficial layer. The collagen fibers were disoriented in the deep layer of the tendons, shown by microscopic image analysis. The frequency and distribution of thinning and disorientation of collagen fibers, myxoid degeneration, and hyaline degeneration suggest that these are early degenerative processes. Chondroid metaplasia and calcification may be chronic pathologic changes that occur after tearing regardless of the type of tear. Preexisting degenerative change in the middle and deep layers of the tendon in association with microtrauma seems to be the main cause of rotator cuff tears.

Computed tomography (CT) plays an important role in diagnosis of acute intestinal obstruction and planning of surgical treatment. Although internal hernias are uncommon, they may be included in the differential diagnosis in cases of intestinal obstruction, especially in the absence of a history of abdominal surgery or trauma. CT findings of internal hernias include evidence of small bowel obstruction (SBO); the most common manifestation of internal hernias is strangulating SBO, which occurs after closed-loop obstruction. Therefore, in patients suspected to have internal hernias, early surgical intervention may be indicated to reduce the high morbidity and mortality rates. In a study of 13 cases of internal hernias, nine different types of internal hernias were found and the surgical and radiologic findings were correlated. The following factors may be helpful in preoperative diagnosis of internal hernias with CT: (a) knowledge of the normal anatomy of the peritoneal cavity and the characteristic anatomic location of each type of internal hernia; (b) observation of a saclike mass or cluster of dilated small bowel loops at an abnormal anatomic location in the presence of SBO; and (c) observation of an engorged, stretched, and displaced mesenteric vascular pedicle and of converging vessels at the hernial orifice.

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This paper describes a precision positioning technique that can be applied to vehicles in urban areas. The proposed technique mitigates Global Positioning System (GPS) multipath by means of an omnidirectional infrared (IR) camera that can eliminate the need for invisible satellites [a satellite detected by the receiver but without line of sight (LOS)] by using IR images. Some simple GPS multipath mitigation techniques, such as the installation of antennas away from buildings and using choke ring antennas, are well known. Further, various correlator techniques can also be employed. However, when a direct signal cannot be received by the antenna, these techniques do not provide satisfactory results because they presume that the antenna chiefly receives direct signals. On the other hand, the proposed technique can mitigate GPS multipath, even if a direct signal cannot be received because it can recognize the surrounding environment by means of an omnidirectional IR camera. With the IR camera, the sky appears distinctively dark; this facilitates the detection of the borderline between the sky and the surrounding buildings, which are captured in white, due to the difference in the atmospheric transmittance rate between visible light and IR rays. Positioning is performed only with visible satellites having fewer multipath errors and without using invisible satellites. With the proposed system, static and kinematic evaluations in which invisible satellites are discriminated through observation using an omnidirectional IR camera are conducted. Hence, signals are received even if satellites are hidden behind buildings; furthermore, the exclusion of satellites having large errors from the positioning computation becomes possible. The evaluation results confirm the effectiveness of the proposed technique and the feasibility of highly accurate positioning.Index Terms-Global Positioning System (GPS), infrared (IR) image sensors, multipath mitigation, self-positioning, urban areas.

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