PubMed Health⌕ Search

Biomedical subjects

R Haggerty

Publications and source records attributed to R Haggerty.

10 recordsLinked to original sources

Transport with multiple-rate exchange in disordered media.

We investigate transport of particles subject to exchange using the continuous-time random-walk framework. Transition is controlled by macroscale, and exchange by both macroscale and microscale disorder. A wide class of exchange mechanisms is represented using the multiple-rate exchange model. Particles are transported along random trajectories viewed as one-dimensional lattices. The solution of the transport problem is obtained in the form of the crossing-time density, h(t;L), at an exit surface L; h is dependent on two functions, g and f. g characterizes exchange controlled by microscale disorder. The joint density f is central for the solution as it relates the microscale and macroscale disorder along random trajectories. For the case of transition and exchange disorder, we show that power-law exponent eta (characterizing microscale disorder) and power-law exponents alpha(tau) and alpha(mu) (characterizing macroscale disorder), define two regions delimited by a line alpha(tau)=alpha(mu)(eta+1): One in which the asymptotic transport is dominated by transition, and one in which it is dominated by the exchange. For the case of transition disorder with uniform exchange, both transition and exchange can influence the late-time behavior of h(t). Microscale exchange processes will unconditionally influence the late-time behavior of h(t) only if eta<0. If eta>0, exchange will dominate at late time provided that transition is asymptotically Gaussian.

Journal Article↗

Modeling solute diffusion in the presence of pore-scale heterogeneity: method development and an application to the Culebra dolomite member of the Rustler Formation, New Mexico, USA.

Previous studies have revealed the presence of pore-scale variability in diffusivity in the Culebra (dolomite) member of the Rustler Formation, NM. In this study, eight laboratory-scale diffusion experiments on five Culebra samples were analyzed using a methodology for modeling solute diffusion through porous media in the presence of multiple matrix diffusivities, Dp. A lognormal distribution of Dp is assumed within each of the lab samples. The estimated standard deviation (sigma d) of ln(Dp) within each sample ranges from 0 to 1, with most values lying between 0.5 and 1. The variability over all samples leads to a combined sigma d in the range of 1.0-1.2, which is consistent with the distribution of independently determined formation factor measurements for similar Culebra samples. A comparison of our estimation results to other rock properties suggests that, at the lab-scale, the geometric mean of Dp increases with bulk porosity and the quantity of macroscopic features such as vugs and fractures. However, sigma d appears to be determined by variability within such macroscopic features and/or by micropore-scale heterogeneity. In addition, comparison of these experiments to those at larger spatial scales suggests that increasing sample volume results in an increase in sigma d.

Calcium Carbonate↗

Cerebral dysfunction after cardiac operations in elderly patients.

BACKGROUND: Cerebral injury remains a significant complication of cardiac operations. We determined the incidence of cerebral dysfunction in a population of elderly patients undergoing open chamber cardiac operations (group 1) as compared with a younger population (group 2) and an age-matched group of elderly patients undergoing major noncardiac operations (group 3). METHODS: Sixty-eight patients (55 for open chamber cardiac operations and 13 for noncardiac operations) were prospectively studied. Patients were evaluated preoperatively and postoperatively before hospital discharge using a complete neurologic examination and a battery of standard neuropsychometric tests, and at surgical follow-up with neuropsychometric tests only. RESULTS: Postoperative changes detected by neurologic examination consisted of the appearance of new primitive reflexes in all groups. No statistically significant differences in incidence were found. The neuropsychometric performance of group 1 patients was statistically different from that of patients in groups 2 and 3 only in the early follow-up period. CONCLUSIONS: Elderly patients having open chamber cardiac operations exhibit significantly more cerebral dysfunction in the early postoperative period than those undergoing major noncardiac operations and younger patients after open chamber procedures. These changes do not persist into the late follow-up period.

Age Factors↗

Abnormal cranial magnetic resonance imaging scans in sickle-cell disease. Neurological correlates and clinical implications.

OBJECTIVE: Eight asymptomatic patients with sickle-cell disease (SCD) with magnetic resonance imaging (MRI) abnormalities consistent with cerebral infarcts (group 1) and eight asymptomatic patients with SCD with normal MRI scans (group 2) were followed up to assess the neurological correlates and the clinical outcome. DESIGN: Patients in the two cohorts underwent clinical evaluations and xenon 133 regional cerebral blood flow (rCBF) studies within 1 month of the entry MRI. This study sequence was repeated up to 5 years later. Neuropsychological studies also were performed in six group 1 patients and eight group 2 patients at the end of the study. SETTING: The patients were recruited from the Comprehensive Sickle Cell Center at Columbia University, New York, NY. PATIENTS: All patients had SCD, hemoglobin SS, and normal findings on clinical evaluation at entry. The group 1 cohort had clinically silent MRI abnormalities consistent with cerebral infarction. The group 2 cohort was age matched to group 1 and had normal MRI studies. INTERVENTIONS: None. MAIN OUTCOME MEASURE: The natural history of MRI abnormalities and the neurological correlates were assessed to determine the predictive value of subclinical MRI lesions as a risk factor for clinically apparent stroke. RESULTS: The mean duration of MRI follow-up was 3.7 years. In group 1, four patients (50%) demonstrated progressive MRI abnormalities and three patients (38%) became clinically symptomatic. In group 2, findings for all patients remained normal on clinical and radiological examination. Both groups had markedly elevated rCBF values. Individual rCBF differences correlated with the specific MRI abnormalities. The psychometric study results were similar in the two cohorts. Eighty-three percent of group 1 and 88% of group 2 patients had defective scores in one or more areas of cognitive functioning. Three patients met cognitive criteria for dementia. CONCLUSIONS: Cranial MRI abnormalities have important prognostic implications even when detected in clinically asymptomatic patients. Cognitive abnormalities exist in patients with SCD even in the absence of MRI abnormalities or clinical stroke.

Adolescent↗