Radiation dose in pneumatic reduction of ileo-colic intussusceptions--results from a single-institution study

BACKGROUND Air enema under fluoroscopy is a well-accepted procedure for the treatment of childhood intussusception. However, the reported radiation doses of pneumatic reduction with conventional fluoroscopy units have been high in decades past. OBJECTIVE To compare current radiation doses at our institution to past doses reported by others for fluoroscopic-guided pneumatic reduction of ileo-colic intussusception in children. MATERIALS AND METHODS Since 2007 radiologists and residents in our department who perform reduction of intussusceptions have received a radiation risk training. We retrospectively analyzed the data of 45 children (5 months-8 years) who underwent a total of 48 pneumatic reductions of ileo-colic intussusception between 2008 and 2012. We analyzed data for screening time and dose area product (DAP) and compared these data to those reported up to and including the year 2000. RESULTS Our mean screening time measured by the DAP-meter was 53.8 s (range 1-320 s, median 33.0 s). The mean DAP was 11.4 cGy ∙ cm(2) (range 1-145 cGy ∙ cm(2), median 5.45 cGy ∙ cm(2)). There was one bowel perforation, in a 1-year-old boy requiring surgical revision. Only three studies in the literature presented radiation exposure results on children who received pneumatic or hydrostatic reduction of intussusception under fluoroscopy. Screening times and dose area products in those studies, which were published in the 1990 s and in the year 2000, were substantially higher than those in our sample. CONCLUSION Low-frequency pulsed fluoroscopy and other dose-saving keys as well as the radiation risk training might have helped to improve the quality of the procedure in terms of radiation exposure.

Fluid pressure actuated net weighing device with pneumatic taring

The weighing device comprises a tension load cell including an upper liquid chamber and a lower air chamber which has a volume much greater than the volume of the liquid chamber. The weight of a suspended load and the load supporting structure on the load cell are applied on both chambers. A gauge reads the liquid pressure in the upper chamber and a valve unit connectible to a source of air under pressure is connected to the air chamber. The load cell is tared by initially adjusting the air pressure in the lower chamber to produce a zero reading on the gauge. When a load is applied on the device, the volume displacement of the air chamber is small relative to the volume displacement of the liquid in the upper chamber. The volume of the air chamber thus remains substantially constant so that the gauge indicates directly the net weight of the applied load.

Existing buidings retrofiting. The potential use of pneumatic envelopes

Existing buidings retrofiting. The potential use of pneumatic envelopes

Pneumatic Serendipity

El término inglés serendipity hace referencia al hallazgo de algo interesante, por casualidad, o a la habilidad de reconocer un descubrimiento –aunque este no tenga exactamente relación con lo que se está buscando. Durante los últimos cuatro años, Pneumatic Serendipity ha buscado de manera intencionada la coincidencia, el accidente, que permita establecer nuevas relaciones a través de la construcción de prototipos. A lo largo de diferentes talleres y seminarios, se han ido proponiendo experimentos que lleven a los estudiantes a reflexionar sobre la forma, estructura y construcción en el proyecto arquitectónico. Experimentos planificados por los tutores de los talleres –y que forman parte de una investigación más extensa–, pero espontáneos en la exploración y análisis por parte de los alumnos. Todos esos son aspectos que no solo resultan especialmente indisociables en las estructuras neumáticas sino que, a través de ellos, se llega a poner en cuestión la idea misma de habitar y percibir la arquitectura. La vuelta a las cuestiones que animaron el debate de la Arquitectura Radical de los años 60 y 70, en el momento de máxima apertura a esa clase de experimentaciones, ha sido fundamental para formar una conciencia común sobre las propuestas desarrolladas. Con ello se ha animado a la discusión y anclaje de los proyectos a temas de aquel contexto, reinterpretados en la lógica de la época del digital y de la comunidad 2.0 –la tecnología en relación al espesor o la ligereza, las revueltas sociales, la arquitectura-protesta y la arquitectura pop-up, la crisis energética y la energía en el proyecto de arquitectura.

A lightweight pneumatic coring device : design and field test /

"September 1982."

Mechanics of pneumatic tires.

Mode of access: Internet.

Operating characteristics of pneumatic grain conveyors /

Cover title.

Temperature rise-times in pneumatic tires. Interim report.

Transportation Systems Center, Cambridge, Mass.

The rolling resistance of pneumatic tires. Final report.

National Highway Traffic Safety Administration, Office of Research and Development, Washington, D.C.

Pneumatic breakwaters (III) : field test at Ha-Jima /

Mode of access: Internet.