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Sample records for 1-year extension study

  1. An open-label, 1-year extension study of the long-term safety and efficacy of once-daily OROS® hydromorphone in patients with chronic cancer pain

    Tuca Alberto

    2009-09-01

    Full Text Available Abstract Background Opioid analgesics have proven efficacy in the short-term management of chronic cancer pain, but data on their long-term use is more limited. OROS® hydromorphone is a controlled-release formulation of oral hydromorphone that may be particularly well suited to long-term management of chronic cancer pain because it provides stable plasma concentrations and consistent analgesia with convenient once-daily dosing. The objective of this study (DO-118X was to characterise the pain control achieved with long-term repeated dosing of OROS® hydromorphone in patients with chronic cancer pain. Methods In this multicentre, phase III, open-label, single treatment, 1-year extension study, OROS® hydromorphone was administered to 68 patients with moderate-to-severe chronic cancer pain, who had successfully completed a short-term equivalence study, and whose pain was controlled with a stable dose of medication (≥ 8 mg OROS® hydromorphone or equivalent controlled-release morphine. Patients were started on the dose of OROS® hydromorphone equivalent to the opioid dose on which they achieved dose-stable pain control in the equivalence study; dose adjustments were made as necessary and breakthrough pain medication was permitted. Efficacy was assessed with the Brief Pain Inventory (BPI and patient and investigator global evaluations of treatment effectiveness. No formal statistical analysis was done. Results The mean (standard deviation duration of exposure to study medication was 139 (129.9 days and the mean (standard deviation average daily consumption of OROS® hydromorphone was 43.7 (28.14 mg/day. All scores were maintained at a mild to moderate severity throughout the study; however, BPI scores for pain at its worst, pain at its least, pain on average, pain right now, and pain relief were slightly worsened at end point compared with baseline. Mean BPI pain interference with daily activities and patient and investigator global evaluation

  2. Maintenance of Efficacy and Continuing Safety of Golimumab for Active Ulcerative Colitis: PURSUIT-SC Maintenance Study Extension Through 1 Year

    Gibson, Peter R; Feagan, Brian G; Sandborn, William J; Marano, Colleen; Strauss, Richard; Johanns, Jewel; Padgett, Lakshmi; Collins, Judith; Tarabar, Dino; Hebzda, Zbigniew; Rutgeerts, Paul; Reinisch, Walter

    2016-01-01

    Objectives: The safety and efficacy of subcutaneous golimumab through 2 years of maintenance therapy was evaluated in patients with moderate-to-severe ulcerative colitis (UC). Methods: Patients completing treatment through week 52 (placebo, golimumab 50, 100, every-4-weeks (q4w)) and evaluations at week 54 were eligible for this long-term extension (LTE) trial. Patients receiving placebo or golimumab 50 mg with worsening disease during the LTE could receive golimumab 100 mg. Efficacy assessments included the Mayo physician's global assessment (PGA) subscore, inflammatory bowel disease questionnaire (IBDQ), and corticosteroid use. Patients who were randomized to golimumab at PURSUIT-Maintenance baseline and continued receiving golimumab during the LTE were analyzed for efficacy (using intention-to-treat and “as observed” analyses; N=195) and safety (N=200). Patients treated with golimumab at any time from induction baseline through week 104 (N=1240) constituted the overall safety population. Results: Baseline demographics and disease characteristics of patients entering the LTE receiving golimumab were similar to those of all patients randomized to golimumab maintenance at baseline. At week 104, 80.5% (157/195) of patients had a PGA=0/1 (range weeks 56–104: 80.5–91.8%) and 56.4% (110/195) had a PGA=0 (weeks 56–104: range: 53.8–58.5%). Through week 104, 86% of patients maintained inactive or mild disease activity. Among 174 corticosteroid-free patients at week 54, 88.5% remained corticosteroid-free at week 104. At week 104, 62.2% (120/193) had an IBDQ score ≥170. Tuberculosis, opportunistic infection, and malignancy rates were low, and the overall safety profile was similar to that reported through week 54. Two non-melanoma skin cancers, one metastatic colon cancer, and two deaths (biventricular heart dysfunction, sepsis) occurred between weeks 54 and 104. Conclusion: Subcutaneous golimumab q4w through 2 years maintained clinical benefit and reduced

  3. Anxiety Sensitivity and Panic Attacks: A 1-Year Longitudinal Study

    Li, Wen; Zinbarg, Richard E.

    2007-01-01

    The hypothesis that anxiety sensitivity (AS) is a risk factor for panic genesis has obtained compelling support, but the clinical/practical importance of AS in panic genesis has been questioned. In addition, the association between panic experience and AS increase has not been clearly demonstrated. Through this 1-year longitudinal study among…

  4. Intracranial idiopathic hypertension: 1-year follow-up study.

    D'Amico, D; Curone, M; Erbetta, A; Farago', G; Bianchi-Marzoli, S; Ciasca, P; Bussone, G; Chiapparini, L

    2014-05-01

    Standard guidelines for ongoing management, as well as definitive data about the long-term course of idiopathic intracranial hypertension (IIH) are not available. The aim of this study was to compare several clinical and instrumental variables as assessed at the time of diagnosis and then after 1 year in a sample of IIH patients. A total of 21 patients were studied. Our results confirmed that headache and TVO are the most frequent symptoms in IIH patients, and that overweight is a very common feature. A trend towards a favorable outcome in patients followed for 1 year and treated by usual medical therapy was found: intracranial pressure was lower at follow-up; improvement of headache and transient visual obscurations, as well as of papilledema, was reported in most patients. On the other hand, neuroradiological findings (such as empty sella, perioptic subarachnoid space distension, narrowing of the transverse sinuses) were substantially stable at follow. These findings may be relevant for future research as far as understanding the role of different clinical and instrumental findings as diagnostic items as well as predictors of outcome in IIH. PMID:24867861

  5. A 1-year Study of Eye Trauma at Farabi Hospital

    J. Faraji Oskooie

    1998-04-01

    Full Text Available The author conducted 1-year study investigating the causation and management of eye trauma at Farabi Eye' center. All patients sustaining eye injuries who were evaluated by ophthalmology service over one year interval were included."n. A formal questionnaire was completed with details of the injuiy being obtained. An ophthalmologic examination was performed on each patient, and examination findings and diagnostic tests obtained, diagnosis and treatment were recorded and analyzed."nNine hundreds and sixty-one injuries (65% occured in males and 503 (35% in females. The average age was 30 years. This study included 1464 eye injuries."nFour handreds and eighty-five (nearly 30% of patients were in pediatric age group. Seventy percent of all patients were admitted within 24 hours of their injury. Fourty percent of all injuries occurred in the street, 30% at home, 15% at the work place , the rest either in school or sport field."nAmong those older than 65 years of age, 70% of injuries were the result of fall. Seventy percent of all eye injuries were caused by blunt trauma. Diagnosis and management were recorded."nConclusions : Tehran and other metropolitans population is more likely to sustain eye trauma as the result of an assault and is less likely to be involved in a work- or sports-related one."nGiven poor compliance without patient management and follow-up, aggressive primary management may be indicated to optimize visual outcome

  6. Poststroke depression and risk of recurrent stroke at 1 year in a Chinese cohort study.

    Huai Wu Yuan

    Full Text Available BACKGROUND: Studies show that poststroke depression (PSD increases mortality risk at 1 year. However, whether PSD increases the risk of recurrent stroke at 1 year remains unclear. This study was to investigate whether PSD at 2 weeks following a stroke could increase risk of recurrent stroke at 1 year. METHODS AND RESULTS: This was a multi-centered prospective cohort study. A total of 2306 patients with acute stroke were enrolled in our study. PSD was diagnosed according to the criteria set by the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV. The outcomes of recurrent stroke were followed up via face-to-face or phone interview. A total of 1713 patients had complete follow-up data, with 481 (28.1% cases of PSD and 158 (9.2% cases of cumulative recurrent stroke at 1 year. Multivariate logistic regression analysis showed a 49% increase of OR of recurrent stroke at 1 year in patients with PSD, compared to patients without PSD following a stroke (OR=1.49, 95%CI: 1.03-2.15. There was no significant correlation between anti-depressant drugs and the risk of recurrent stroke at 1 year following a stroke (OR=1.96, 95%: CI 0.95-4.04. CONCLUSIONS: Based on the DSM-IV diagnostic criteria, nearly 3 out of 10 hospitalized stroke patients in China were diagnosed with PSD at 2 weeks following a stroke. PSD is associated with a higher risk of recurrent stroke at 1 year. Our study did not find benefit of anti-depressant drugs in reducing such risk.

  7. Participation as a leader in immersion weight loss treatment: a 1-year follow-up study.

    Anderson, L M; Schaumberg, K; Anderson, D A; Kirschenbaum, D S

    2016-02-01

    Non-overweight individuals may follow aggressive weight management approaches alongside overweight/obese friends or family members; thus, research has begun to evaluate subsequent effects among non-overweight populations. A prior study evaluated the short-term effects of an immersion weight loss programme on healthy young adult staff leaders. Results indicated that participation seemed to benefit, not harm, the young adults. The current investigation examined 1-year eating disorder and weight trajectories in this sample. The total sample (N = 244) consisted of staff leaders (44.3%) and demographically similar comparison participants who completed eating disorder and weight assessments across four time points: baseline, end of summer, 6-week follow-up and 1-year follow-up. Forty-seven per cent of the original sample responded to all time points (staff leaders n = 60; comparison n = 55). Over the course of 1 year, risk trajectories did not differ between groups. Staff leaders did not report significant changes in body mass index, suggesting that they maintained healthy weight over the course of 1 year. Participation as an immersion weight loss programme leader appeared to be protective against weight gain, without increasing eating disorder risk, for healthy young adults. This provides further support for using weight management interventions across a wide range of individuals. PMID:26638779

  8. Enteroaggregative Escherichia coli in Daycare—A 1-Year Dynamic Cohort Study

    Hebbelstrup Jensen, Betina; Stensvold, Christen R.; Struve, Carsten; Olsen, Katharina E. P.; Scheutz, Flemming; Boisen, Nadia; Röser, Dennis; Andreassen, Bente U.; Nielsen, Henrik V.; Schønning, Kristian; Petersen, Andreas M.; Krogfelt, Karen A.

    2016-01-01

    Enteroaggregative Escherichia coli (EAEC) has been associated with persistent diarrhea, reduced growth acceleration, and failure to thrive in children living in developing countries and with childhood diarrhea in general in industrialized countries. The clinical implications of an EAEC carrier-status in children in industrialized countries warrants clarification. To investigate the pathological significance of an EAEC carrier-state in the industrialized countries, we designed a 1-year dynamic cohort study and performed follow-up every second month, where the study participants submitted a stool sample and answered a questionnaire regarding gastrointestinal symptoms and exposures. Exposures included foreign travel, consumption of antibiotics, and contact with a diseased animal. In the capital area of Denmark, a total of 179 children aged 0–6 years were followed in a cohort study, in the period between 2009 and 2013. This is the first investigation of the incidence and pathological significance of EAEC in Danish children attending daycare facilities. Conventional microbiological detection of enteric pathogens was performed at Statens Serum Institute, Copenhagen, Denmark, and at Hvidovre Hospital, Copenhagen, Denmark. Parents completed questionnaires regarding gastrointestinal symptoms. The EAEC strains were further characterized by serotyping, phylogenetic analysis, and susceptibility testing. EAEC was detected in 25 (14%) of the children during the observational period of 1 year. One or more gastrointestinal symptoms were reported from 56% of the EAEC-positive children. Diarrhea was reported in six (24%) of the EAEC positive children, but no cases of weight loss, and general failure to thrive were observed. The EAEC strains detected comprised a large number of different serotypes, confirming the genetic heterogeneity of this pathotype. EAEC was highly prevalent (n = 25, 14%) in Danish children in daycare centers and was accompanied by gastrointestinal symptoms in

  9. Whooping cough in South-East Romania: a 1-year study.

    Dinu, Sorin; Guillot, Sophie; Dragomirescu, Cristiana Cerasella; Brun, Delphine; Lazăr, Stefan; Vancea, Geta; Ionescu, Biatrice Mariana; Gherman, Mariana Felicia; Bjerkestrand, Andreea-Florina-Dana; Ungureanu, Vasilica; Guiso, Nicole; Damian, Maria

    2014-03-01

    The incidence of whooping cough in Romania is substantially underestimated, and, as noted by the health authorities, this is mostly due to the lack of both awareness and biological diagnosis. We conducted a 1-year study in Bucharest in order to assess the circulation of Bordetella pertussis, the main etiological agent of whooping cough. Fifty-one subjects suspected of whooping cough were enrolled. Culture, real-time PCR, and enzyme-linked immunosorbent assay were used for laboratory diagnosis. Whooping cough patients (63%) were distributed among all age groups, and most were unvaccinated, incompletely vaccinated, or had been vaccinated more than 5 years previously. Bordetella holmesii DNA was detected in 22% of the bordetellosis cases; these patients included adults; teenagers; and, surprisingly, young children. B. pertussis isolates were similar to the clinical isolates currently circulating elsewhere in Europe. One isolate does not express pertactin, an antigen included in some acellular pertussis vaccines. PMID:24355701

  10. A longitudinal study of back dimension changes over 1 year in sports horses.

    Greve, Line; Dyson, Sue

    2015-01-01

    Major back dimension changes over time have been observed in some horses, the speed of which may be influenced by work type, skeletal maturity, nutrition and saddle fit. Currently, there are no longitudinal data quantifying changes in back dimensions. The objectives of this study were to quantify back dimension changes over time, to identify the effects of horse, saddle and rider on these dimensions, and to determine their association with season, weight, work and saddle management. A prospective, longitudinal study was performed, using stratified random sampling within a convenience sample of 104 sports horses in normal work. Thoracolumbar dimensions/symmetry were measured at predetermined sites every second month over 1 year; weight, work and saddle management changes were recorded. Descriptive statistics, and univariable and multiple mixed effects linear regression were performed to assess the association between management changes, horse-saddle-rider factors and back dimension changes. Complete data was available for 63/104 horses, including horses used for dressage (n= 26), showjumping (n= 26), eventing (n= 26) and general purpose (n= 26), with age groups 3-5 years (n = 24), 6-8 years (n = 28), 9-12 years (n = 24) and ≥ 13 years (n = 28). There were considerable variations in back dimensions over 1 year. In the multivariable analysis, the presence of gait abnormalities at initial examination and back asymmetry were significant and had a negative effect on changes in back dimensions. Subsequent improved saddle fit, similar or increased work intensity, season (summer versus winter) and increased bodyweight retained significance, having positive effects on changes in back dimensions. In conclusion, quantifiable changes in back dimensions occur throughout the year. Saddle fit should be reassessed professionally several times a year, especially if there has been a change in work intensity. PMID:25510314

  11. Deferasirox in iron-overloaded patients with transfusion-dependent myelodysplastic syndromes: Results from the large 1-year EPIC study

    Gattermann, Norbert; Finelli, Carlo; Porta, Matteo Della;

    2010-01-01

    The prospective 1-year EPIC study enrolled 341 patients with myelodysplastic syndromes (MDS); although baseline iron burden was >2500ng/mL, approximately 50% were chelation-naïve. Overall median serum ferritin decreased significantly at 1 year (p=0.002). Decreases occurred irrespective of whether....... Alanine aminotransferase levels decreased significantly; change correlated significantly with reduction in serum ferritin (p...

  12. Deferasirox in iron-overloaded patients with transfusion-dependent myelodysplastic syndromes: Results from the large 1-year EPIC study

    Gattermann, Norbert; Finelli, Carlo; Porta, Matteo Della; Fenaux, Pierre; Ganser, Arnold; Guerci-Bresler, Agnes; Schmid, Mathias; Taylor, Kerry; Vassilieff, Dominique; Habr, Dany; Domokos, Gabor; Roubert, Bernard; Rose, Christian Schack; Kjeldsen, Lars

    2010-01-01

    The prospective 1-year EPIC study enrolled 341 patients with myelodysplastic syndromes (MDS); although baseline iron burden was >2500ng/mL, approximately 50% were chelation-naïve. Overall median serum ferritin decreased significantly at 1 year (p=0.002). Decreases occurred irrespective of whether...

  13. A prospective study of the 1-year incidence of fibromyalgia after acute whiplash injury

    Ferrari, Robert

    2015-01-01

    Objective To measure the 1-year incidence of fibromyalgia in a cohort of acute whiplash-injured participants. Methods Consecutive acute patients with whiplash were assessed via the 2010 Modified American College of Rheumatology (ACR) criteria for fibromyalgia at 3 months, 6 months and 1 year postinjury. At each of these follow-up points, participants were also examined for recovery from whiplash injury. Results Of an initial 268 participants, data on recovery was available for 264 participant...

  14. The harmonic ratio of trunk acceleration predicts falling among older people: results of a 1-year prospective study

    Doi Takehiko; Hirata Soichiro; Ono Rei; Tsutsumimoto Kota; Misu Shogo; Ando Hiroshi

    2013-01-01

    Abstract Background Gait variables derived from trunk accelerometry may predict the risk of falls; however, their associations with falls are not fully understood. The purpose of the study was to determine which gait variables derived from upper and lower trunk accelerometry are associated with the incidence of falls, and to compare the discriminative ability of gait variables and physical performance. Methods This study was a 1-year prospective study. Older people (n = 73) walked normally wh...

  15. Does Sensitivity to Orthographic Regularities Influence Reading and Spelling Acquisition? A 1-Year Prospective Study

    Rothe, Josefine; Schulte-Körne, Gerd; Ise, Elena

    2014-01-01

    Recent studies focused on the influence of orthographic processing on reading and spelling performance. It was found that orthographic processing is an independent predictor of reading and spelling performance in different languages and children of different ages. This study investigated sensitivity to orthographic regularities in German-speaking…

  16. Impact of Different Childhood Adversities on 1-Year Outcomes of Psychotic Disorder in the Genetics and Psychosis Study.

    Trotta, Antonella; Murray, Robin M; David, Anthony S; Kolliakou, Anna; O'Connor, Jennifer; Di Forti, Marta; Dazzan, Paola; Mondelli, Valeria; Morgan, Craig; Fisher, Helen L

    2016-03-01

    While the role of childhood adversity in increasing the risk of psychosis has been extensively investigated, it is not clear what the impact of early adverse experiences is on the outcomes of psychotic disorders. Therefore, we investigated associations between childhood adversity and 1-year outcomes in 285 first-presentation psychosis patients. Exposure to childhood adversity prior to 17 years of age was assessed using the Childhood Experience of Care and Abuse Questionnaire. Data on illness course, symptom remission, length of psychiatric hospitalization, compliance with medication, employment, and relationship status were extracted from clinical records for the year following first contact with mental health services for psychosis. Seventy-one percent of patients reported exposure to at least 1 type of childhood adversity (physical abuse, sexual abuse, parental separation, parental death, disrupted family arrangements, or being taken into care). No robust associations were found between childhood adversity and illness course or remission. However, childhood physical abuse was associated with almost 3-fold increased odds of not being in a relationship at 1-year follow-up compared to patients who did not report such adverse experiences. There was also evidence of a significant association between parental separation in childhood and longer admissions to psychiatric wards during 1-year follow-up and 2-fold increased odds of noncompliance with medication compared to those not separated from their parents. Therefore, our findings suggest that there may be some specificity in the impact of childhood adversity on service use and social functioning among psychosis patients over the first year following presentation to mental health services. PMID:26373540

  17. Sutureless femtosecond anterior lamellar keratoplasty: A 1-year follow-up study

    Rohit Shetty

    2014-01-01

    Full Text Available Aim: To study the safety and efficacy of sutureless femtosecond anterior lamellar keratoplasty (FALK in patients with corneal stromal opacities. Materials and Methods: Eleven eyes of 11 consecutive patients with corneal stromal opacities involving < 250 μ due to various pathologies were included in the study. Preoperatively, all underwent anterior segment imaging with spectral domain optical coherence tomography (SD-OCT (Bioptigen Inc., Durham, North Carolina, USA to measure the depth of the stromal opacity. All patients underwent FALK, and bandage contact lens was placed for a period of 2 weeks. Postoperatively, uncorrected visual acuity, best corrected visual acuity (BCVA, and SD-OCT evaluation were performed. Results: All patients showed significant improvement in BCVA. The mean postoperative BCVA (in decimals improved from 0.11 ± 0.06 preoperatively to 0.59 ± 0.08. There were no intraoperative or significant postoperative complications that were noticed. Conclusion: FALK is a safe and effective alternative to deep anterior lamellar keratoplasty or penetrating keratoplasty in the treatment of anterior stromal opacities.

  18. Video game addiction and college performance among males: results from a 1 year longitudinal study.

    Schmitt, Zachary L; Livingston, Michael G

    2015-01-01

    This study explored the pattern of video game usage and video game addiction among male college students and examined how video game addiction was related to expectations of college engagement, college grade point average (GPA), and on-campus drug and alcohol violations. Participants were 477 male, first year students at a liberal arts college. In the week before the start of classes, participants were given two surveys: one of expected college engagement, and the second of video game usage, including a measure of video game addiction. Results suggested that video game addiction is (a) negatively correlated with expected college engagement, (b) negatively correlated with college GPA, even when controlling for high school GPA, and (c) negatively correlated with drug and alcohol violations that occurred during the first year in college. Results are discussed in terms of implications for male students' engagement and success in college, and in terms of the construct validity of video game addiction. PMID:25584728

  19. Deferasirox in iron-overloaded patients with transfusion-dependent myelodysplastic syndromes: Results from the large 1-year EPIC study.

    Gattermann, Norbert; Finelli, Carlo; Porta, Matteo Della; Fenaux, Pierre; Ganser, Arnold; Guerci-Bresler, Agnes; Schmid, Mathias; Taylor, Kerry; Vassilieff, Dominique; Habr, Dany; Domokos, Gabor; Roubert, Bernard; Rose, Christian

    2010-09-01

    The prospective 1-year EPIC study enrolled 341 patients with myelodysplastic syndromes (MDS); although baseline iron burden was >2500ng/mL, approximately 50% were chelation-naïve. Overall median serum ferritin decreased significantly at 1 year (p=0.002). Decreases occurred irrespective of whether patients were chelation-naïve or previously chelated; changes were dependent on dose adjustments and ongoing iron intake. Sustained reductions in labile plasma iron were observed. Discontinuation rate (48.7%) and adverse event profile were consistent with previously reported deferasirox data in MDS. Alanine aminotransferase levels decreased significantly; change correlated significantly with reduction in serum ferritin (p<0.0001). This large dataset prospectively confirms the efficacy and well characterizes the safety profile of deferasirox in MDS. PMID:20451251

  20. Outdoor Operational Stability of Indium-Free Flexible Polymer Solar Modules Over 1 Year Studied in India, Holland, and Denmark

    Angmo, Dechan; Sommeling, Paul M.; Gupta, Ritu;

    2014-01-01

    We present an outdoor interlaboratory stability study of fully printed and coated indium-tin-oxide (ITO)-free polymer solar cell modules in JNCASR Bangalore (India), ECN (Holland), and DTU (Denmark) carried over more than 1 year. The modules comprising a fully printed and coated stack (Ag grid....../PEDOT:PSS/ZnO/P3HT:PCBM/PEDOT:PSS/Ag grid) were prepared in two successive generations and evaluated for outdoor operational stability according to the test protocols laid out by the International Summit on OPV stability (ISOS-3). The modules (70–100 cm2 active area) were encapsulated between two sheets of low...

  1. Individual, physical and psychological risk factors for neck pain in Australian office workers: a 1-year longitudinal study

    Hush, Julia M.; Michaleff, Zoe; Maher, Christopher G; Refshauge, Kathryn

    2009-01-01

    Neck pain is more prevalent in office workers than in the general community. To date, findings from prospective studies that investigated causal relationships between putative risk factors and the onset of neck pain in this population have been limited by high loss to follow-up. The aim of this research was to prospectively evaluate a range of risk factors for neck pain in office workers, using validated and reliable objective measures as well as attain an estimate of 1-year incidence. We ass...

  2. The harmonic ratio of trunk acceleration predicts falling among older people: results of a 1-year prospective study

    Doi Takehiko

    2013-01-01

    Full Text Available Abstract Background Gait variables derived from trunk accelerometry may predict the risk of falls; however, their associations with falls are not fully understood. The purpose of the study was to determine which gait variables derived from upper and lower trunk accelerometry are associated with the incidence of falls, and to compare the discriminative ability of gait variables and physical performance. Methods This study was a 1-year prospective study. Older people (n = 73 walked normally while wearing accelerometers attached to the upper and lower trunk. Participants were classified as fallers (n = 16 or non-fallers (n = 57 based on the incidence of falls over 1 year. The harmonic ratio (HR of the upper and lower trunk was measured. Physical performance was measured in five chair stands and in the timed up and go test. Results The HR of the upper and lower trunk were consistently lower in fallers than non-fallers (P P Conclusions HR derived from upper trunk accelerometry may predict the risk of falls, independently of physical performance. The discriminative ability of HR for the risk of falls may have some validity, and further studies are needed to confirm the clinical relevance of trunk HR.

  3. Effectiveness of a 1-Year Resident Training Program in Clinical Research: A Controlled Before-and-After Study

    Hartmann, Mechthild; Wild, Beate; Nikendei, Christoph; Kroenke, Kurt; Niehoff, Dorothea; Henningsen, Peter; Zipfel, Stephan; Herzog, Wolfgang

    2007-01-01

    Background To increase the number of clinician scientists and to improve research skills, a number of clinical research training programs have been recently established. However, controlled studies assessing their effectiveness are lacking. Objective To investigate the effectiveness of a 1-year resident training program in clinical research. Design Controlled before-and-after study. The training program included a weekly class in clinical research methods, completion of a research project, and mentorship. Participants Intervention subjects were 15 residents participating in the 1-year training program in clinical research. Control subjects were 22 residents not participating in the training program. Measurements and Main Results Assessments were performed at the beginning and end of the program. Outcomes included methodological research knowledge (multiple-choice progress test), self-assessed research competence, progress on publications and grant applications, and evaluation of the program using quantitative and qualitative methods. Results Intervention subjects and controls were well matched with respect to research experience (5.1 ± 2.2 vs 5.6 ± 5.8 years; p = .69). Methodological knowledge improved significantly more in the intervention group compared to the control group (effect size = 2.5; p < .001). Similarly, self-assessed research competence increased significantly more in the intervention group (effect size = 1.1; p = .01). At the end of the program, significantly more intervention subjects compared to controls were currently writing journal articles (87% vs 36%; p = .003). The intervention subjects evaluated the training program as highly valuable for becoming independent researchers. Conclusions A 1-year training program in clinical research can substantially increase research knowledge and productivity. The program design makes it feasible to implement in other academic settings. PMID:17922168

  4. Working Memory Deficit as a Risk Factor for Severe Apathy in Schizophrenia: A 1-Year Longitudinal Study.

    Raffard, Stéphane; Gutierrez, Laure-Anne; Yazbek, Hanan; Larue, Aurore; Boulenger, Jean-Philippe; Lançon, Christophe; Benoit, Michel; Faget, Catherine; Norton, Joanna; Capdevielle, Delphine

    2016-05-01

    Apathy, described as impaired motivation and goal-directed behavior, is a common yet often overlooked multidimensional psychopathological state in schizophrenia. Its underlying cognitive processes remain largely unexplored. Data was drawn from a longitudinal hospital study of patients with a DSM-IV diagnosis of schizophrenia; 137 (82.5%) participated at the 1-month follow-up and 81 (59.1%) at the 1-year follow-up. Apathy was assessed with the Lille Apathy Rating Scale, validated in French and in schizophrenia. Severe apathy, overall (total score > -13) and on 4 previously identified distinct dimensions, was considered. Episodic verbal learning was assessed with the California Verbal Learning Test, executive functioning with the Trail Making Test, the Six Element Test and the Stop Signal Paradigm and working memory with the Letter-Number Sequencing Test. After controlling for confounding variables, only episodic verbal learning was associated with severe overall apathy in the cross-sectional study. At 1 year, working memory was associated with an increased risk of severe overall apathy, adjusting for baseline apathy. Using a dimensional approach to apathy, specific types of cognition were found to be associated with specific dimensions of apathy. Our findings confirm the need for a multidimensional approach of negative symptoms in schizophrenia. Moreover, cognitive functioning could be a risk factor for developing severe apathy. Cognitive remediation may thus be a useful non-pharmacological intervention for treating apathy in schizophrenia patients. PMID:26834026

  5. Clinical assessment of prognostic factors for long-term pain and handicap after whiplash injury: a 1-year prospective study

    Kasch, H; Qerama, E; Kongsted, Alice;

    2008-01-01

    BACKGROUND AND PURPOSE: Physical mechanisms are the possible factors involved in the development and maintenance of long-term handicaps after acute whiplash injury. This study prospectively examined the role of active neck mobility, cervical and extra-cervical pains, as well as non-painful compla......BACKGROUND AND PURPOSE: Physical mechanisms are the possible factors involved in the development and maintenance of long-term handicaps after acute whiplash injury. This study prospectively examined the role of active neck mobility, cervical and extra-cervical pains, as well as non......-painful complaints after a whiplash injury as predictors for subsequent handicap. METHODS: Consecutive acute whiplash patients (n = 688) were interviewed and examined by a study nurse after the median of 5 days after injury, and divided into a high- or a low-risk group by an algorithm based on pain intensity, number...... median 11, 109, 380 days after injury. The main outcome measures were: handicaps, severe headaches, neck pain and neck disability. RESULTS: The relative risk for a 1-year disability increased by 3.5 with initial intense neck pain and headaches, by 4.6 times with reduced CROM and by four times with...

  6. Time to relapse and remission of bipolar disorder: findings from a 1-year prospective study in Thailand

    Leelahanaj T

    2013-08-01

    Full Text Available Thawatchai Leelahanaj,1 Ronnachai Kongsakon,2 Somrak Choovanichvong,3 Sookjaroen Tangwongchai,4 Suchat Paholpak,5 Thoranin Kongsuk,6 Manit Srisurapanont7 For the Thai Bipolar Registry Study Group 1Department of Psychiatry and Neurology, Phramongkutklao Hospital, Bangkok, Thailand; 2Department of Psychiatry, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand; 3Srithanya Hospital, Nonthaburi, Thailand; 4Department of Psychiatry, Chulalongkorn University, Bangkok, Thailand; 5Department of Psychiatry, Khon Kaen University, Khon Kaen, Thailand; 6Prasrimahabhodi Psychiatric Hospital, Ubon Ratchathani, Thailand; 7Department of Psychiatry, Chiang Mai University, Chiang Mai, Thailand Background and methods: This study aimed to determine time to relapse and remission of mood episodes in Thai patients with bipolar disorder (BD. The Thai Bipolar Disorder Registry was a multicenter, prospective, naturalistic, observational study conducted in Thailand. Participants were adult inpatients or outpatients with Diagnostic and Statistical Manual of Mental Disorders bipolar disorder. The diagnosis of bipolar disorder, current psychiatric comorbidity, mood relapse, and mood remission were determined by using the Mini International Neuropsychiatric Interview. Relapse and remission were assessed every 2 months. Results: Of 424 BD participants, 404 (95.3% were BD I, and 258 (60.8% were female. At entry, 260 (61.3% had recovered, and 49 (11.6% were recovering. During 1-year follow-up (381.7 person-years, 92 participants (21.7% had 119 relapses or 0.31 (95% confidence interval 0.25–0.35 episodes per person-year. Among 119 relapses, 58 (48.7%, 39 (32.7%, and 21 (17.6% of them were depressive, hypomanic, and manic episodes, respectively. Using the Kaplan–Meier method, we found that 25% of the participants relapsed in 361 days. Of the 400 participants who reached remission, 113 (28.2% had mood relapses. Of 173 mood events accountable for remission analysis, the

  7. Belatacept-Based Immunosuppression in De Novo Liver Transplant Recipients: 1-Year Experience From a Phase II Randomized Study

    Klintmalm, G B; Feng, S; Lake, J R; Vargas, H E; Wekerle, T; Agnes, S; Brown, K A; Nashan, B; Rostaing, L; Meadows-Shropshire, S; Agarwal, M; Harler, M B; García-Valdecasas, J-C

    2014-01-01

    This exploratory phase II study evaluated the safety and efficacy of belatacept in de novo adult liver transplant recipients. Patients were randomized (N = 260) to one of the following immunosuppressive regimens: (i) basiliximab + belatacept high dose [HD] + mycophenolate mofetil (MMF), (ii) belatacept HD + MMF, (iii) belatacept low dose [LD] + MMF, (iv) tacrolimus + MMF, or (v) tacrolimus alone. All received corticosteroids. Demographic characteristics were similar among groups. The proportion of patients who met the primary end point (composite of acute rejection, graft loss, death by month 6) was higher in the belatacept groups (42–48%) versus tacrolimus groups (15–38%), with the highest number of deaths and grafts losses in the belatacept LD group. By month 12, the proportion surviving with a functioning graft was higher with tacrolimus + MMF (93%) and lower with belatacept LD (67%) versus other groups (90%: basiliximab + belatacept HD; 83%: belatacept HD; 88%: tacrolimus). Mean calculated GFR was 15–34 mL/min higher in belatacept-treated patients at 1 year. Two cases of posttransplant lymphoproliferative disease and one case of progressive multifocal leukoencephalopathy occurred in belatacept-treated patients. Follow-up beyond month 12 revealed an increase in death and graft loss in another belatacept group (belatacept HD), after which the study was terminated. PMID:25041339

  8. Predictors of antipsychotic monotherapy with olanzapine during a 1-year naturalistic study of schizophrenia patients in Japan

    Ye W

    2012-01-01

    Full Text Available Wenyu Ye1, Haya Ascher-Svanum2, Jennifer A Flynn3, Yuka Tanji3, Michihiro Takahashi3,41Lilly Suzhou Pharmaceutical Co, Shanghai, People's Republic of China; 2Eli Lilly and Company, Indianapolis, IN, USA; 3Lilly Research Laboratories Japan, Eli Lilly Japan K.K., Kobe, 4Terauchi-Takahashi Psychiatric Clinic, Ashiya, JapanPurpose: Although expert guidelines for the treatment of schizophrenia recommend antipsychotic monotherapy, the use of antipsychotic polypharmacy is common. This study identified characteristics that differentiate patients with schizophrenia who are treated with olanzapine monotherapy versus polypharmacy in usual care in Japan.Patients and methods: In a large (N = 1850 prospective, observational study, Japanese patients with schizophrenia who initiated treatment with olanzapine were followed for 1 year. Consistent with past research, antipsychotic polypharmacy was defined as the concurrent use of olanzapine and another antipsychotic for at least 60 days. Switching was defined as discontinuing a prior antipsychotic therapy rather than augmenting the medication regimen. Predictors of antipsychotic monotherapy were based on information available at the time of olanzapine initiation. Baseline characteristics were compared using t-tests and Χ2 tests. Stepwise logistic regression was used to identify independent predictors of monotherapy.Results: Patients treated with olanzapine monotherapy (43.2% differed from those treated with antipsychotic polypharmacy (56.8% on demographics, treatment history, baseline symptom levels, functional levels, and treatment-emergent adverse events. Stepwise logistic regression identified multiple variables that significantly predicted monotherapy: older age, shorter duration of schizophrenia, outpatient status, comorbid medical conditions, lower body mass index, no prior anticholinergic use, no prior mood stabilizer use, and switching from a previous antipsychotic (typical or atypical

  9. Effect of 1-year regular Tai Chi on neuromuscular reaction in elderly women: a randomized controlled study.

    Sun, Wei; Zhang, Cui; Song, Qipeng; Li, Weiping; Cong, Yan; Chang, Shuwan; Mao, Dewei; Hong, Youlian

    2016-01-01

    This study assessed the effect of 1-year regular Tai Chi (TC) on neuromuscular reaction in elderly women. A total of 41 elderly women (55 years-68 years) completed the study. The TC group (n = 21) performed the 24-form TC, while the control group (C, n = 20) was instructed to read newspapers or watch television when the TC group practised. Electromyogram measurements were conducted before and after intervention. After a year-long intervention, the post-test results of between-group neuromuscular reaction time showed significant differences in the rectus femoris (t = 3.607, p = 0.001), semitendinosus (t = 2.678, p = 0.011), anterior tibialis (t = 3.455, p = 0.001), and gastrocnemius muscles (t = 4.061, p = 0.000). Within-group results showed that the TC group had significantly shorter neuromuscular reaction time compared to its baseline value in the rectus femoris (t = 3.066, p = 0.006), semitendinosus (t = 2.485, p = 0.022), anterior tibialis (t = 2.311, p = 0.032), and gastrocnemius muscles (t = 2.462, p = 0.023). Results suggested that year-long regular TC can improve neuromuscular reaction function in elderly women. PMID:27161956

  10. Influence of CT utilisation on patient flow in the emergency department: a retrospective 1-year cohort study

    Li, Chao-Jui; Syue, Yuan-Jhen; Lin, Yan-Ren; Cheng, Hsien-Hung; Cheng, Fu-Jen; Tsai, Tsung-Cheng; Chen, Kuan-Fu; Lee, Chien-Hung

    2016-01-01

    Objective CT, an important diagnostic tool in the emergency department (ED), might increase the ED length of stay (LOS). Considering the issue of ED overcrowding, it is important to evaluate whether CT use delays or facilitates patient disposition in the ED. Design A retrospective 1-year cohort study. Setting 5 EDs within the same healthcare system dispersed nationwide in Taiwan. Participants All adult non-trauma patients who visited the 5 EDs from 1 July 2011 to 30 June 2012. Interventions Patients were grouped by whether or not they underwent a CT scan (CT and non-CT groups, respectively). Primary and secondary outcome measures The ED LOS and hospital LOS between patients who had and had not undergone CT scans were compared by stratifying different dispositions and diagnoses. Results CT use prolonged patient ED LOS among those who were directly discharged from the ED. Among patients admitted to the observation unit and then discharged, patients diagnosed with nervous system disease had shorter ED LOS if they underwent a CT scan. CT use facilitated patient admission to the general ward. CT use also accelerated patients' admission to the intensive care unit (ICU) for patients with nervous system disease, neoplasm and digestive disease. Finally, patients admitted to the general wards had shorter hospital LOS if they underwent CT scans in the ED. Conclusions CT use did not seem to have delayed patient disposition in ED. While CT use facilitated patient disposition if they were finally hospitalised, it mildly prolonged ED LOS in cases of patients discharged from the ED. PMID:27147387

  11. Efficacy and safety of tiotropium Respimat® SMI in COPD in two 1-year randomized studies

    Eric Bateman

    2010-06-01

    Full Text Available Eric Bateman1, Dave Singh2, David Smith3, Bernd Disse4, Lesley Towse5, Dan Massey5, Jon Blatchford5, Demetri Pavia5, Rick Hodder61Division of Pulmonology, Department of Medicine, University of Cape Town, Cape Town, South Africa; 2University Hospital of South Manchester Foundation Trust, University of Manchester, Manchester, UK; 3North Bristol Lung Centre, Southmead Hospital, Bristol, UK; 4Boehringer Ingelheim, GmbH, Ingelheim, Germany; 5Boehringer Ingelheim, Ltd., Bracknell, Berkshire, UK; 6Divisions of Pulmonary and Critical Care Medicine, University of Ottawa, Ottawa, Ontario, CanadaAbstract: Two 1-year studies evaluated the long-term efficacy and safety of tiotropium 5 or 10 μg versus placebo, inhaled via the Respimat® Soft MistTM Inhaler (SMI. The two studies were combined and had 4 co-primary endpoints (trough FEV1 response, Mahler Transition Dyspnea Index [TDI] and St George’s Respiratory Questionnaire scores all at week 48, and COPD exacerbations per patient-year. A total of 1990 patients with COPD participated (mean FEV1: 1.09 L. The mean trough FEV1 response of tiotropium 5 or 10 μg relative to placebo was 127 or 150 mL, respectively (both P < 0.0001. The COPD exacerbation rate was significantly lower with tiotropium 5 μg (RR = 0.78; P = 0.002 and tiotropium 10 μg (RR = 0.73; P = 0.0008; the health-related quality of life and Mahler TDI co-primary endpoints were significantly improved with both doses (both P < 0.0001. Adverse events were generally balanced except anticholinergic class effects, which were more frequent with active treatment. Fatal events occurred in 2.4% (5 μg, 2.7% (10 μg, and 1.6% (placebo of patients; these differences were not significant. Tiotropium Respimat® SMI 5 μg demonstrated sustained improvements in patients with COPD relative to placebo and similar to the 10 μg dose but with a lower frequency of anticholinergic adverse events.Keywords: COPD, exacerbations, FEV1, quality of life, Respimat

  12. Socioeconomic status and duration and pattern of sickness absence. A 1-year follow-up study of 2331 hospital employees

    Mikkelsen Sigurd

    2010-10-01

    Full Text Available Abstract Background Sickness absence increases with lower socioeconomic status. However, it is not well known how this relation depends on specific aspects of sickness absence or the degree to which socioeconomic differences in sickness absence may be explained by other factors. The purpose of the study was to examine differences in sickness absence among occupational groups in a large general hospital; how they depend on combinations of frequency and duration of sickness absence spells; and if they could be explained by self-reported general health, personal factors and work factors. Methods The design is a 1-year prospective cohort study of 2331 hospital employees. Baseline information include job title, work unit, perceived general health, work factors and personal factors recorded from hospital administrative files or by questionnaire (response rate 84%. Sickness absence during follow-up was divided into short (1-3 days, medium (4-14 days and long (>14 days spells, and into no absence, "normal" absence (1-3 absences of certain durations and "abnormal" absence (any other absence than "normal". Socioeconomic status was assessed by job titles grouped in six occupational groups by level of education (from doctors to cleaners/porters. Effects of occupational group on sickness absence were adjusted for significant effects of age, gender, general health, personal factors and work factors. We used Poisson or logistic regression analysis to estimate the effects of model covariates (rate ratios (RR or odds ratios (OR and their 95% confidence intervals (CI. Results With a few exceptions sickness absence increased with decreasing socioeconomic status. However, the social gradient was quite different for different types of sickness absence. The gradient was strong for medium spells and "abnormal" absence, and weak for all spells, short spells, long spells and "normal" absence. For cleaners compared to doctors the adjusted risk estimates increased 4.2 (95

  13. Differential effects of mental and physical health and coping style on work ability: a 1-year follow-up study among aging workers

    Vijfeijke, H. van de; Leijten, F.R.; Ybema, J.F.; Heuvel, S.G. van den; Robroek, S.J.; Beek, A.J. van der; Burdorf, A.; Taris, T.W.

    2013-01-01

    OBJECTIVE: This study examines whether mental and physical health relate differently to work ability and whether these associations vary with coping style. METHODS: A 1-year longitudinal study was conducted among 8842 employees aged 45 to 64 years from the Study on Transitions in Employment, Ability

  14. Study on Extension Strategy-Tactics-Planning

    YangChunyan; ZhangYongjun; ZhuDongmei

    2004-01-01

    Extension strategy-tactics-planning (ESTP), based upon the science of Extenics, is established for the purpose of solving contradictory problems. In this paper, the fundamental thoughts, theories and methods of ESTP are introduced concisely. The highlights of ESTP are that the techniques, used in the case of tackling such problems as how to generate the ideas of strategy-tactics-planning, how to completely analyze the resources, how to exploit extension resources, how to transfer the incompatible into the compati-ble, and how to transfer the opposite into the co-existent, are developed in a formalized way. And regarding the practices of ESTP, the applications of ESTP in resource integration, project, market development, and the prevention and handling crises are presented.

  15. A 1-year multicenter randomized double-blind comparison of repaglinide and glyburide for the treatment of type 2 diabetes. Dutch and German Repaglinide Study Group

    Wolffenbuttel, B H; Landgraf, R

    1999-01-01

    OBJECTIVE: Repaglinide is a newly developed oral blood glucose-lowering agent that exerts its effect by stimulating insulin secretion. This multicenter study was designed to compare the efficacy and safety of this drug with glyburide in a 1-year randomized double-blind study of outpatients with type

  16. Monitoring benzotriazoles: a 1 year study on concentrations and removal efficiencies in three different wastewater treatment plants.

    Herzog, Bastian; Lemmer, Hilde; Helmreich, Brigitte; Horn, Harald; Müller, Elisabeth

    2014-01-01

    Benzotriazole (BTri), 4- and 5-tolyltriazole (4-TTri, 5-TTri) were monitored over 1 year in three wastewater treatment plants (WWTPs) with a membrane bioreactor (MBR-MH) and two conventional activated sludge systems (CAS-E, CAS-M). The influent/effluent concentrations and treatment stages removal efficiencies were monitored. 5-TTri was removed best (mean removal 80%) in the WWTP mainly by biodegradation followed by BTri (mean removal 45%) and 4-TTri (mean removal 15%) that showed a significant lower elimination. High removal fluctuations for all three benzotriazoles occurred over the four seasons with lowest removal during winter. All three WWTPs constituted a point source for BTs in the aquatic environment as concentration measurements in the receiving rivers upstream and downstream of the WWTP proved. While MBR-MH and CAS-M significantly increased the downstream concentrations, CAS-E only slightly increased the downstream concentrations as the receiving river was already contaminated with benzotriazoles from hydropower. 5-TTri was detected in lowest concentrations due to its good removal compared to BTri and 4-TTri that contribute to high effluent concentrations with the potential to accumulate due to insufficient self-purification. PMID:24569268

  17. Functional and muscle morphometric effects of ACL reconstruction. A prospective CT study with 1 year follow-up.

    Lindström, M; Strandberg, S; Wredmark, T; Felländer-Tsai, L; Henriksson, M

    2013-08-01

    Computed tomography (CT) was used to explore if changes in muscle cross-sectional area and quality after anterior cruciate ligament (ACL) injury and reconstruction would be related to knee function. Fourteen females and 23 males (16-54 years) underwent clinical tests, subjective questionnaires, and CT 1 week before and 1 year after ACL surgery with semitendinosus-gracilis (STG) graft and rehabilitation. Postoperatively, knee laxity was decreased and functional knee measures and subjective patient scores improved. The most obvious remaining deficit was the quadriceps atrophy, which was significantly larger if the right leg was injured. Right-leg injury also tended to cause larger compensatory hypertrophy of the combined knee flexor and tibial internal rotator muscles (preoperatively). The quadriceps atrophy was significantly correlated with the scores and functional tests, the latter also being related to the remaining size of the gracilis muscle. Biceps femoris hypertrophy and, in males only, semimembranosus hypertrophy was observed following the ACL reconstruction. The lack of semimembranosus hypertrophy in the women could, via tibial internal rotation torque deficit, contribute to the less favorable functional and subjective outcome recorded for the women. The results indicate that the quadriceps, the combined knee flexor/tibial internal rotator muscles, side of ACL injury, and sex are important to consider in rehabilitation after STG graft. PMID:22107159

  18. FDG PET during radiochemotherapy is predictive of outcome at 1 year in non-small-cell lung cancer patients: a prospective multicentre study (RTEP2)

    To assess prospectively the prognostic value of FDG PET/CT during curative-intent radiotherapy (RT) with or without concomitant chemotherapy in patients with non-small-cell lung cancer (NSCLC). Patients with histological proof of invasive localized NSCLC and evaluable tumour, and who were candidates for curative-intent radiochemotherapy (RCT) or RT were preincluded after providing written informed consent. Definitive inclusion was conditional upon significant FDG uptake before RT (PET1). All included patients had a FDG PET/CT scan during RT (PET2, mean dose 43 Gy) and were evaluated by FDG PET/CT at 3 months and 1 year after RT. The main endpoint was death (from whatever cause) or tumour progression at 1 year. Of 77 patients preincluded, 52 were evaluable. Among the evaluable patients, 77 % received RT with induction chemotherapy and 73 % RT with concomitant chemotherapy. At 1 year, 40 patients (77 %) had died or had tumour progression. No statistically significant association was found between stage (IIIB vs. other), histology (squamous cell carcinoma vs. other), induction or concomitant chemotherapy, and death/tumour progression at 1 year. The SUVmax in the PET2 scan was the single variable predictive of death or tumour progression at 1 year (odds ratio 1.97, 95 % CI 1.25 - 3.09, p = 0.003) in multivariate analysis. The area under the receiver operating characteristic curve was 0.85 (95 % CI 0.73 - 0.94, p -4). A SUVmax value of 5.3 in the PET2 scan yielded a sensitivity of 70 % and a specificity of 92 % for predicting tumour progression or death at 1 year. This prospective multicentre study demonstrated the prognostic value in terms of disease-free survival of SUVmax assessed during the 5th week of curative-intent RT or RCT in NSCLC patients (NCT01261598; RTEP2 study). (orig.)

  19. Foot pronation is not associated with increased injury risk in novice runners wearing a neutral shoe : a 1-year prospective cohort study

    Nielsen, Rasmus Oestergaard; Buist, Ida; Parner, Erik Thorlund; Nohr, Ellen Aagaard; Sorensen, Henrik; Lind, Martin; Rasmussen, Sten

    2014-01-01

    Objective To investigate if running distance to first running-related injury varies between foot postures in novice runners wearing neutral shoes. Design A 1-year epidemiological observational prospective cohort study. Setting Denmark. Participants A total of 927 novice runners equivalent to 1854 fe

  20. Protocol for the dano-run study: A 1-year observational follow-up study on running related injuries in 1000 novice runners

    Nielsen, R.O.; Ramskov, Daniel; Buist, Ida; Sørensen, Henrik; Lind, Martin; Rasmussen, Sten

    2011-01-01

    Background The knowledge on the relation between running patterns and Running Related Injuries (RRIs) is sparse. Studies have tried to document a relationship. However, no firm conclusions can be made. Still it is necessary to identify which running exposures increase the risk of injuries and which...... GPS watch at each training session and upload data to an internet based database. All participants are followed for 1 year. Assessment of risk factors Running volume measured as absolute number of kilometres and the graduation in kilometres pr. week over a period of 3 weeks. Main outcome measurement...... weekly training graduations. Conclusion This study may be the first study to adequately measure running patterns reliably in a large sample. The exposure is quantified by GPS, which is not affected by subject recall and is therefore a clear methodological improvement compared to previous studies. If...

  1. Elbow and wrist/hand symptoms among 6,943 computer operators: a 1-year follow-up study (the NUDATA study)

    Lassen, C. F.; Mikkelsen, S.; Kryger, Ann Isabel; Brandt, L. P.; Overgaard, E.; Thomsen, J. F.; Vilstrup, Imogen; Andersen, JH

    2004-01-01

    BACKGROUND: The aim of this study was to examine relations between computer work aspects and elbow and wrist/hand pain conditions and disorders. METHODS: In a 1-year follow-up study among 6,943 technical assistants and machine technicians self-reported active mouse and keyboard time, ergonomic...... exposures and associations with elbow and wrist/hand pain were determined. Standardized clinical examinations were performed among symptomatic participants at baseline and at follow-up. RESULTS: For continuous duration of mouse time adjusted linear effects were statistically significant for all investigated......, while keyboard exposure showed a threshold effect with 12-month wrist/hand pain at follow-up. Clinical diagnoses were not associated with exposure. CONCLUSIONS: Detailed examination of self-reported exposures showed that mouse and keyboard time predicted elbow and wrist/hand pain from low exposure...

  2. Evaluation of the Mandibular Function, after Nonsurgical Treatment of Unilateral Subcondylar Fracture: A 1-Year Follow-Up Study.

    K M, Sudheesh; Desai, Rajendra; K Sn, Siva Bharani; S, Subhalakshmi

    2016-09-01

    There are no clearly defined guidelines for when an open or closed treatment is indicated for treatment of mandibular condylar fractures. The aim of the study is to analyze the mandibular function after nonsurgical treatment of unilateral subcondylar fractures, in a prospective study. A prospective study was conducted on 30 patients with unilateral mandibular subcondylar fracture undergoing nonsurgical treatment. Clinical and radiographic examinations were done prior to treatment and at 12-month follow-up. Pain, perceived occlusion, mouth opening, protrusion, and horizontal movements of the mandible were evaluated by clinical examination. Radiologic evaluation was done using Panoramic and Reverse Towne's radiographs. At 12-month follow-up, there was minimal pain in the temporomandibular joint region, there was an improvement in the perceived occlusion, and mouth opening did not reduce. There was insignificant absolute difference between left and right lateral mandibular movements. The amount of increase in the protrusion of mandible was insignificant. On radiographic evaluation, the degree of coronal and sagittal displacement was insignificant at follow-up. Mean ramus height pretreatment and 12 months posttreatment were 0.98 ± 0.50 and 0.87 ± 0.47, respectively. Based on this study, patients had adequate mandibular function and minimal pain after nonsurgical treatment. Unilateral subcondylar fractures of the mandible can be treated nonsurgically in patients with minimal occlusal discrepancies, adequate mouth opening, minimal displacement of condyle, and minimal ramus height shortening. PMID:27516838

  3. Socioeconomic status and duration and pattern of sickness absence. A 1-year follow-up study of 2331 hospital employees

    Kristensen, Trine Rønde; Jensen, Signe Marie; Kreiner, Svend;

    2010-01-01

    prospective cohort study of 2331 hospital employees. Baseline information include job title, work unit, perceived general health, work factors and personal factors recorded from hospital administrative files or by questionnaire (response rate 84%). Sickness absence during follow-up was divided into short (1...

  4. Acute renal failure in pregnancy, its causes and outcome, 1 year study at sheikh zayed hospital lahore

    Objective: The objective of this study was to deter-mine the frequency, etiology, clinical course and out-come of pregnancy related acute renal failure. Type of Study: Observational and prospective hospital based study. Place of Study: Department of Nephrology, Shaikh Zayed Hospital Lahore. Duration of Study: One year from November 2010 - October 2011. Patients and Methods: Total 210 patients of Acute renal failure (ARF) were admitted with 92 (44%) males and 118 (56%) females during this period of which 40 (19%) females were pregnancy related ARF that were included in this study. A Predesigned proforma was used. The clinical history and physical examination was carried out. Relevant laboratory tests were performed. Renal biopsy was done in few cases. The final outcome was recorded. Twenty four (24) patients were from rural community of Punjab province and remaining (16) were from urban areas. Results: Pregnancy related ARF occurred in forty (40) patients. Twenty two (55%) were multipara and 18 (45%) were primigravida. Their age was between 29 +- 4.5 years. Majority 32 (80%) patients had not received any antenatal care as compared to 8 (20%) patients who had adequate antenatal care. Twelve cases (15%) presented in their first and second trimester of pregnancy while 28 (70%) patients developed ARF in their third trimester or the puerperium. Twenty four (60%) patients were anuric. Antepartum haemorrhage (APH) in 2 (5%) cases, postpartum haemorrhage (PPH) in 6 (15%) cases, Septic abortion in 6 (15%), puerperal sepsis in 8 (20%) and DIC in 4 (10%) cases, Intra-uterine fetal death (IUD) in 12 (30%) and HELLPS in 2 (5%) cases. Sepsis was the commonest cause of ARF. Thirty four (85%) patients received hemodialysis and 6 (15%) did not require any dialysis. Commonest clinical diagnosis was acute tubular necrosis (ATN). Complete recovery was seen in 8 (20%) cases .Acute renal cortical necrosis was seen in 14 (35%) cases and 18 (45%) patients had patchy cortical necrosis

  5. A 2-year phase II study with 1-year of follow-up of risedronate (NE-58095) in postmenopausal osteoporosis

    Clemmesen, B; Ravn, Pernille; Zegels, B; Taquet, A N; Christiansen, C; Reginster, J Y

    1997-01-01

    This paper presents the results of a two-center, double-masked, placebo-controlled, randomized, oral-dose study of risedronate treatment in postmenopausal osteoporosis. Patients had at least one, but no more than four prevalent vertebral fractures at baseline. They received either 2.5 mg continuous...... significance after 3 years (p < 0.01) in the femoral neck. Only minor changes were observed in the measured markers of bone turnover. Both the incidence and rate of new vertebral fractures showed no overall differences between the groups. The distribution of adverse events was similar across treatment groups...... future dose regimens in order to validate the effect on bone mass, fracture rate and biochemical markers. In these studies another formulation of the drug and other dosing instructions are used....

  6. Bone mineral density of the proximal femur after hip resurfacing arthroplasty: 1-year follow-up study

    Anttila Esa; Jurvelin Jukka; Hakulinen Mikko; Borg Håkan; Häkkinen Arja; Parviainen Tapani; Kiviranta Ilkka

    2011-01-01

    Abstract Background Hip resurfacing arthroplasty (HRA) is considered a bone-preserving procedure and may eliminate proximal femoral stress shielding and osteolysis. However, in addition to implant-related stress-shielding factors, various patient-related factors may also have an effect on bone mineral density (BMD) of the proximal femur in patients with HRA. Thus, we studied the effects of stem-neck angle, demographic variables, and physical functioning on the BMD of the proximal femur in a o...

  7. Belatacept-Based Immunosuppression in De Novo Liver Transplant Recipients: 1-Year Experience From a Phase II Randomized Study

    Klintmalm, G. B.; Feng, S.; Lake, J R; Vargas, H E; Wekerle, T; Agnes, S; Brown, K. A.; B. Nashan; Rostaing, L; Meadows-Shropshire, S; Agarwal, M; Harler, M B; García-Valdecasas, J-C

    2014-01-01

    This exploratory phase II study evaluated the safety and efficacy of belatacept in de novo adult liver transplant recipients. Patients were randomized (N = 260) to one of the following immunosuppressive regimens: (i) basiliximab + belatacept high dose [HD] + mycophenolate mofetil (MMF), (ii) belatacept HD + MMF, (iii) belatacept low dose [LD] + MMF, (iv) tacrolimus + MMF, or (v) tacrolimus alone. All received corticosteroids. Demographic characteristics were similar among groups. The proporti...

  8. Predictors of antipsychotic monotherapy with olanzapine during a 1-year naturalistic study of schizophrenia patients in Japan

    Ye W; Ascher-Svanum H; Flynn JA; Tanji Y; Takahashi M

    2012-01-01

    Wenyu Ye1, Haya Ascher-Svanum2, Jennifer A Flynn3, Yuka Tanji3, Michihiro Takahashi3,41Lilly Suzhou Pharmaceutical Co, Shanghai, People's Republic of China; 2Eli Lilly and Company, Indianapolis, IN, USA; 3Lilly Research Laboratories Japan, Eli Lilly Japan K.K., Kobe, 4Terauchi-Takahashi Psychiatric Clinic, Ashiya, JapanPurpose: Although expert guidelines for the treatment of schizophrenia recommend antipsychotic monotherapy, the use of antipsychotic polypharmacy is common. This study ...

  9. Psychological and Work Stress Assessment of Patients following Angioplasty or Heart Surgery: Results of 1-year Follow-up Study.

    Fiabane, Elena; Giorgi, Ines; Candura, Stefano M; Argentero, Piergiorgio

    2015-12-01

    The aim of this study was to explore changes in subjective psychological health and perceived work stress among patients who returned to work (RTW) after a multidisciplinary cardiac rehabilitation (CR) following cardiac interventions. A total of 108 patients were evaluated at the beginning of their CR, at 6 and 12 months after discharge. Self-report questionnaires were used to assess depression, anxiety, illness perception and work stress at each time stage. Results showed reports of depressive symptoms significantly decreased (p reintegration. PMID:24554616

  10. Morbid obese adults increased their sense of coherence 1 year after a patient education course: a longitudinal study

    Fagermoen MS

    2015-03-01

    Full Text Available May Solveig Fagermoen,1 Glenys Hamilton,2 Anners Lerdal1,3 1Department of Nursing Science, Institute of Health and Society, University of Oslo, Oslo, Norway; 2GAH Consulting, Boston, MA, USA; 3Department of Research, Lovisenberg Diakonale Hospital, Oslo, Norway Background: Personal factors are key elements to understand peoples' health behavior. Studies of such factors are important to develop targeted interventions to improve health. The main purpose of this study is to explore sense of coherence (SOC in a sample of persons with morbid obesity before and after attending a patient education course and to explore the association between SOC and sociodemographic and other personal factors. Methods: In this longitudinal purposely sampled study, the participants completed questionnaires on the first day of the course and 12 months after course completion. Sixty-eight participants had valid scores on the selected variables at follow-up: SOC, self-esteem, and self-efficacy. Relationships were assessed with correlation analyses and paired and independent samples t-tests and predictors with linear regression analyses. Results: From baseline to follow-up, the total SOC score and the subdimension scores comprehensibility, manageability, and meaningfulness all increased significantly. At both time points, the SOC scores were low compared to the general population but similar to scores in other chronically ill. At baseline, a multivariate analysis showed that older age, having paid work, and higher self-esteem were directly related to higher total SOC score after controlling for other sociodemographic factors and the participants' level of self-efficacy. Multivariate analyses of the relationship between baseline predictors of SOC at 12-month follow-up, controlling for baseline SOC scores or sociodemographic or personal factors, revealed that none of these variables independently predicted SOC scores at follow-up. Conclusion: The total SOC score and its

  11. Bone mineral density of the proximal femur after hip resurfacing arthroplasty: 1-year follow-up study

    Anttila Esa

    2011-05-01

    Full Text Available Abstract Background Hip resurfacing arthroplasty (HRA is considered a bone-preserving procedure and may eliminate proximal femoral stress shielding and osteolysis. However, in addition to implant-related stress-shielding factors, various patient-related factors may also have an effect on bone mineral density (BMD of the proximal femur in patients with HRA. Thus, we studied the effects of stem-neck angle, demographic variables, and physical functioning on the BMD of the proximal femur in a one-year follow-up. Methods Thirty three patients (9 females and 24 males with a mean (SD age of 55 (9 years were included in the study. BMD was measured two days and 3, 6, and 12 months postoperatively and 10 regions of interest (ROI were used. Stem-neck angle was analyzed from anteroposterior radiographs. Results Three months postoperatively, BMD decreased in six out of 10 regions of interest (ROI on the side operated on and in one ROI on the control side (p Conclusions After an early drop, the BMD of the upper femur was restored and even exceeded the preoperative level at one year follow-up. From a clinical standpoint, the changes in BMD in these HRA patients could not be explained by stem-neck angle or patient related factors.

  12. Maxillary ridge augmentation with custom-made CAD/CAM scaffolds. A 1-year prospective study on 10 patients.

    Mangano, Francesco; Macchi, Aldo; Shibli, Jamil Awad; Luongo, Giuseppe; Iezzi, Giovanna; Piattelli, Adriano; Caprioglio, Alberto; Mangano, Carlo

    2014-10-01

    Several procedures have been proposed to achieve maxillary ridge augmentation. These require bone replacement materials to be manually cut, shaped, and formed at the time of implantation, resulting in an expensive and time-consuming process. In the present study, we describe a technique for the design and fabrication of custom-made scaffolds for maxillary ridge augmentation, using three-dimensional computerized tomography (3D CT) and computer-aided design/computer-aided manufacturing (CAD/CAM). CT images of the atrophic maxillary ridge of 10 patients were acquired and modified into 3D reconstruction models. These models were transferred as stereolithographic files to a CAD program, where a virtual 3D reconstruction of the alveolar ridge was generated, producing anatomically shaped, custom-made scaffolds. CAM software generated a set of tool-paths for manufacture by a computer-numerical-control milling machine into the exact shape of the reconstruction, starting from porous hydroxyapatite blocks. The custom-made scaffolds were of satisfactory size, shape, and appearance; they matched the defect area, suited the surgeon's requirements, and were easily implanted during surgery. This helped reduce the time for surgery and contributed to the good healing of the defects. PMID:23343341

  13. Cytogenetic studies for a group of people living in Japan 1 year after the Fukushima nuclear accident

    In order to understand the potential health effect of radiation from Fukushima nuclear disaster, a group of people living in Japan during and after the accident were investigated 1 y after the accident. The venous blood samples were extracted in tune from 156 tested persons living in Tokyo and Niigata with average age of 42.4±10.2 y old as well as 87 controls living in Beijing with similar age and sex proportion. Conventional chromosome culture and cytochalasin B micronucleus methods were applied. The unstable chromosome aberrations of 200 cells and micronuclei (MN) and micronuclei cells (MNC) of 1000 bi-nucleated lymphocytes were analysed for each examined subject. The results showed that the frequencies±SE (x100) of the dicentrics plus rings were 0.17±0.024 % and 0.13±0.028 % in the tested and control populations (p > 0.05), respectively. The frequencies of the extra acentrics were 0.21±0.026 % and 0.06±0.018 % in the tested and control groups (p < 0.01), respectively. The total chromosomal aberration frequencies of the tested and control groups were 0.40±0.036 % and 0.20±0.034 % (p < 0.01), respectively. The MN and MNC frequencies of the tested group were 29.25±3.96 0/00 and 23.85±4.23 0/00, and 25.30±6.45 0/00 and 21.56±3.99 0/00 for control group (p < 0.01). With the exception of dicentrics, there were significant differences (p < 0.01) between two groups in frequencies of chromosome aberration and MN. Generally, 1 y after the Fukushima nuclear accident, the dicentric frequencies had not increased in the 156 persons investigated in this study. The increase in chromatid aberrations, chromosomal acentrics and MN was induced but could not be directly linked to radiation exposures, as an excess of dicentric frequency is linked. However, the observed higher frequency of chromosomal alterations might be related to exposure to the low doses of ionising in this cohort. Consequently, it is recommended to assess the long-term health effects in this

  14. Low-cost, low-field dedicated extremity magnetic resonance imaging in early rheumatoid arthritis: a 1-year follow-up study

    Lindegaard, H.M.; Vallø, J.; Hørslev-Petersen, K.;

    2006-01-01

    OBJECTIVE: To study the ability of low-cost low-field dedicated extremity magnetic resonance imaging (E-MRI) to assess and predict erosive joint damage in the wrist and metacarpophalangeal (MCP) joints of patients with early rheumatoid arthritis. METHODS: 24 previously untreated patients with...... rheumatoid arthritis with joint symptoms for <1 year were evaluated at the time of diagnosis and after 6 and 12 months of methotrexate treatment with conventional clinical or biochemical examinations, x rays of both hands and wrists, and E-MRI of the dominant wrist and MCP joints. RESULTS: At baseline, all...... arthritis who were treated uniformly, baseline E-MRI erosions in MCP or wrist bones markedly increased the risk of x ray erosions at the 1-year follow-up. Low-cost, low-field dedicated extremity MRI is promising for assessment and prognostication of early rheumatoid arthritis. Udgivelsesdato: 2006-Sep...

  15. Free thyroxine levels are associated with cognitive changes in individuals with a first episode of psychosis: A prospective 1-year follow-up study.

    Labad, J; Barbero, J D; Gutiérrez-Zotes, A; Montalvo, I; Creus, M; Cabezas, Á; Solé, M; Algora, M J; Garcia-Parés, G; Vilella, E

    2016-03-01

    The results of previous cross-sectional studies suggest that free thyroxine (FT4) levels are associated with cognitive abilities (particularly attention/vigilance) during the early stages of psychosis. We aimed to explore whether hypothalamic-pituitary-thyroid hormones predict cognitive changes in a 1-year longitudinal study following first episodes of psychosis (FEP). We studied 36 FEP patients and a control group of 50 healthy subjects (HS). Plasma levels of thyroid-stimulating hormone (TSH) and FT4 were measured. Cognitive assessment was performed with the MATRICS Cognitive Consensus Cognitive Battery (MCCB). FEP patients were assessed twice (baseline and after 1year), whereas HS were assessed only once. We compared cognitive changes at 1year between three groups based on baseline FT4 levels: 1) lowest quartile (Q1, FT41.54ng/dL). No differences in TSH or FT4 levels were found between HS and FEP patients. All participants had FT4 levels within the normal range. HS outperformed FEP patients in all cognitive tasks. In relation to the relationship between FT4 levels and cognitive changes, a U-shaped pattern was observed: FEP patients from the middle quartiles (Q2-Q3) improved in attention/vigilance, whereas both extreme quartiles (Q1 and Q4) showed a worsening in this cognitive domain over time. Patients with lower FT4 (Q1) showed poorer baseline attention; therefore, lower baseline FT4 levels predicted a poorer prognosis in terms of attention performance. Our study suggests that baseline FT4 levels are associated with changes in attention and vigilance performance over one year in FEP patients. PMID:26805411

  16. Impact of Libido at 2 Weeks after Stroke on Risk of Stroke Recurrence at 1-Year in a Chinese Stroke Cohort Study

    Jing-Jing Li; Huai-Wu Yuan; Chun-Xue Wang; Ben-Yan Luo; Jie Ruan; Ning Zhang; Yu-Zhi Shi

    2015-01-01

    Background:There were few studies on the relation between changes in libido and incidence of stroke recurrence.The aim of this study was to investigate the relationship between libido decrease at 2 weeks after stroke and recurrent stroke at 1-year.Methods:It is a multi-centered,prospective cohort study.The 14th item of the Hamilton Depression Rating Scale-17 was used to evaluate changes of libido in poststroke patients at 2 weeks.Stroke recurrence was defined as an aggravation of former neurological functional deficit,new local or overall symptoms,or stroke diagnosed at re-admission.Results:Among 2341 enrolled patients,1757 patients had completed follow-up data,533 (30.34%) patients had decreased libido at 2 weeks,and 166 (9.45%) patients had recurrent stroke at 1-year.Multivariate logistic regression analysis showed that,compared with patients with normal libido,the odds ratio (OR) of recurrent stroke in patients with decreased libido was reduced by 41% (OR =0.59,95% confidence interval [CI]:0.40-0.87).The correlation was more prominent among male patients (OR =0.52,95% CI:0.31-0.85) and patients of≥60 years of age (OR =0.57,95% CI:0.35-0.93).Conclusions:One out of three stroke patients in mainland China has decreased libido at 2 weeks after stroke.Decreased libido is a protective factor for stroke recurrence at 1-year,which is more prominent among older male patients.

  17. Effect of aerobic training on EEG alpha asymmetry and depressive symptoms in the elderly: a 1-year follow-up study

    A.C. Deslandes

    2010-06-01

    Full Text Available The effect of physical exercise on the treatment of depressive elderly adults has not been investigated thus far in terms of changes in cortical hemispheric activity. The objective of the present study was to identify changes in depressive symptoms, quality of life, and cortical asymmetry produced by aerobic activity. Elderly subjects with a diagnosis of major depressive disorder (DSM-IV were included. Twenty patients (70% females, 71 ± 3 years were divided into an exercise group (pharmacological treatment plus aerobic training and a control group (undergoing pharmacological treatment in a quasi-experimental design. Pharmacological treatment was maintained stable throughout the study (antidepressants and anxiolytics. Subjects were evaluated by depression scales (Beck Depression Inventory, Hamilton Depression Rating Scale, Montgomery-Asberg Depression Rating Scale and the Short Form Health Survey-36, and electroencephalographic measurements (frontal and parietal alpha asymmetry before and after 1 year of treatment. After 1 year, the control group showed a decrease in cortical activity on the right hemisphere (increase of alpha power, which was not observed in the exercise group. The exercise group showed a significant decrease of depressive symptoms, which was not observed in the control group. This result was also accompanied by improved treatment response and remission rate after 1 year of aerobic exercise associated with treatment. This study provides support for the effect of aerobic training on alpha activity and on depressive symptoms in elderly patients. Exercise facilitates the treatment of depressive elderly adults, leading to clinical and physical improvement and protecting against a decrease in cortical activity.

  18. Hospitalization for Pneumonia is Associated With Decreased 1-Year Survival in Patients With Type 2 Diabetes: Results From a Prospective Cohort Study.

    Falcone, Marco; Tiseo, Giusy; Russo, Alessandro; Giordo, Laura; Manzini, Elisa; Bertazzoni, Giuliano; Palange, Paolo; Taliani, Gloria; Cangemi, Roberto; Farcomeni, Alessio; Vullo, Vincenzo; Violi, Francesco; Venditti, Mario

    2016-02-01

    Diabetes mellitus is a frequent comorbid conditions among patients with pneumonia living in the community.The aim of our study is to evaluate the impact of hospitalization for pneumonia on early (30 day) and late mortality (1 year) in patients with type 2 diabetes mellitus.Prospective comparative cohort study of 203 patients with type 2 diabetes hospitalized for pneumonia versus 206 patients with diabetes hospitalized for other noninfectious causes from January 2012 to December 2013 at Policlinico Umberto I (Rome). Enrolled patients were followed up to discharge and up to 1 year after initial hospital admission or death.Overall, 203 patients with type 2 diabetes admitted to hospital for pneumonia were compared to 206 patients with type 2 diabetes admitted for other causes (39.3% decompensated diabetes, 21.4% cerebrovascular diseases, 9.2% renal failure, 8.3% acute myocardial infarction, and 21.8% other causes). Compared to control patients, those admitted for pneumonia showed a higher 30-day (10.8% vs 1%, P malnutrition were more likely to present with a mental status deterioration, and had a higher number of cardiovascular events during the follow-up period. Cox regression analysis found age, Charlson comorbidity index, pH < 7.35 at admission, hemodialysis, and hospitalization for pneumonia as variables independently associated with mortality.Hospitalization for pneumonia is associated with decreased 1-year survival in patients with type 2 diabetes, and appears to be a major determinant of long-term outcome in these patients. PMID:26844461

  19. Diffuse excessive high signal intensity in low-risk preterm infants at term-equivalent age does not predict outcome at 1 year: a prospective study

    Leitner, Yael [Tel Aviv Sourasky Medical Centre, Child Development Centre, Dana-Dwek Children' s Hospital, Tel Aviv (Israel); Tel Aviv University, Sackler Faculty of Medicine, Tel Aviv (Israel); Weinstein, Maya [Tel Aviv Sourasky Medical Centre, Functional Brain Centre, The Wohl Institute for Advanced Imaging, Tel Aviv (Israel); Bar Ilan University, Department of Psychology, Gonda Multidisciplinary Brain Research Centre, Ramat-Gan (Israel); Myers, Vicki [Tel Aviv Sourasky Medical Centre, Functional Brain Centre, The Wohl Institute for Advanced Imaging, Tel Aviv (Israel); Uliel, Shimrit; Geva, Karen [Tel Aviv Sourasky Medical Centre, Child Development Centre, Dana-Dwek Children' s Hospital, Tel Aviv (Israel); Berger, Irit; Marom, Ronella [Tel Aviv Sourasky Medical Centre, Department of Neonatology, Lis Maternity Hospital, Tel Aviv (Israel); Tel Aviv University, Sackler Faculty of Medicine, Tel Aviv (Israel); Bashat, Dafna Ben [Tel Aviv University, Sackler Faculty of Medicine, Tel Aviv (Israel); Tel Aviv University, Sagol School of Neuroscience, Tel Aviv (Israel); Ben-Sira, Liat [Tel Aviv University, Sackler Faculty of Medicine, Tel Aviv (Israel); Tel Aviv Sourasky Medical Centre, Department of Radiology, Tel Aviv (Israel); Geva, Ronny [Bar Ilan University, Department of Psychology, Gonda Multidisciplinary Brain Research Centre, Ramat-Gan (Israel); Gross-Tsur, Varda [Shaare-Zedek Medical Centre, Neuropediatric Unit, Jerusalem (Israel)

    2014-08-15

    The outcome of premature infants with only diffuse excessive high signal intensity (DEHSI) is not clear. We explored the relationship between DEHSI, white matter (WM) diffusion characteristics, perinatal characteristics, and neurobehavioral outcome at 1 year in a homogenous group of preterm infants without major brain abnormalities. Fifty-eight preterm infants, gestational age 29 ± 2.6 weeks, underwent an MRI at term-equivalent age (TEA). Griffiths Mental Developmental Scales, neurological assessment, and Parental Stress Index (PSI) were performed at 1 year corrected age. These measures were compared between preterm infants according to DEHSI classification (none, mild, moderate). Diffusion tensor imaging was used in major WM volumes of interest to objectively measure the degree of WM maturation. No significant differences were detected in the perinatal risk characteristics, neurobehavioral outcome, and PSI at 1 year between infants with different DEHSI classifications. In infants with DEHSI, increased axial and radial diffusivities were detected in the optic radiations, centrum semiovale, and posterior limb of the internal capsule, indicating less advanced maturation of the WM. Significant correlations were detected between the time interval from birth to MRI and the WM microstructure in infants without DEHSI. DEHSI in premature infants is neither a predictive measure for short-term adverse neurobehavioral outcome nor related to perinatal risk characteristics. Extrauterine exposure time had a differential effect on WM maturational trajectories in infants with DEHSI compared to those without. We suggest DEHSI may represent an alteration in WM maturational characteristics. Further follow-up studies may verify later consequences of DEHSI in premature infants. (orig.)

  20. Diffuse excessive high signal intensity in low-risk preterm infants at term-equivalent age does not predict outcome at 1 year: a prospective study

    The outcome of premature infants with only diffuse excessive high signal intensity (DEHSI) is not clear. We explored the relationship between DEHSI, white matter (WM) diffusion characteristics, perinatal characteristics, and neurobehavioral outcome at 1 year in a homogenous group of preterm infants without major brain abnormalities. Fifty-eight preterm infants, gestational age 29 ± 2.6 weeks, underwent an MRI at term-equivalent age (TEA). Griffiths Mental Developmental Scales, neurological assessment, and Parental Stress Index (PSI) were performed at 1 year corrected age. These measures were compared between preterm infants according to DEHSI classification (none, mild, moderate). Diffusion tensor imaging was used in major WM volumes of interest to objectively measure the degree of WM maturation. No significant differences were detected in the perinatal risk characteristics, neurobehavioral outcome, and PSI at 1 year between infants with different DEHSI classifications. In infants with DEHSI, increased axial and radial diffusivities were detected in the optic radiations, centrum semiovale, and posterior limb of the internal capsule, indicating less advanced maturation of the WM. Significant correlations were detected between the time interval from birth to MRI and the WM microstructure in infants without DEHSI. DEHSI in premature infants is neither a predictive measure for short-term adverse neurobehavioral outcome nor related to perinatal risk characteristics. Extrauterine exposure time had a differential effect on WM maturational trajectories in infants with DEHSI compared to those without. We suggest DEHSI may represent an alteration in WM maturational characteristics. Further follow-up studies may verify later consequences of DEHSI in premature infants. (orig.)

  1. The Development of Musical Skills of Underprivileged Children Over the Course of 1 Year: A Study in the Context of an El Sistema-Inspired Program.

    Ilari, Beatriz S; Keller, Patrick; Damasio, Hanna; Habibi, Assal

    2016-01-01

    Developmental research in music has typically centered on the study of single musical skills (e.g., singing, listening) and has been conducted with middle class children who learn music in schools and conservatories. Information on the musical development of children from different social strata, who are enrolled in community-based music programs, remains elusive. This study examined the development of musical skills in underprivileged children who were attending an El Sistema-inspired program in Los Angeles. We investigated how children, predominantly of Latino ethnicity, developed musically with respect to the following musical skills - pitch and rhythmic discrimination, pitch matching, singing a song from memory, and rhythmic entrainment - over the course of 1 year. Results suggested that participation in an El Sistema-inspired program affects children's musical development in distinct ways; with pitch perception and production skills developing faster than rhythmic skills. Furthermore, children from the same ethnic and social background, who did not participate in the El Sistema-inspired music program, showed a decline in singing and pitch discrimination skills over the course of 1 year. Taken together, these results are consistent with the idea of musical development as a complex, spiraling and recursive process that is influenced by several factors including type of musical training. Implications for future research are outlined. PMID:26869964

  2. Longitudinal Changes in Resting-State Cerebral Activity in Patients with First-Episode Schizophrenia: A 1-Year Follow-up Functional MR Imaging Study.

    Li, Fei; Lui, Su; Yao, Li; Hu, Junmei; Lv, Peilin; Huang, Xiaoqi; Mechelli, Andrea; Sweeney, John A; Gong, Qiyong

    2016-06-01

    Purpose To determine whether the brain functional abnormalities of drug-naive first-episode schizophrenia are reduced after 1 year of undergoing antipsychotic treatment and whether pretreatment resting-state functional magnetic resonance (MR) imaging parameters are associated with longitudinal changes in clinical symptoms. Materials and Methods This prospective study was approved by the local ethical committee, and written informed consent was obtained from all participants. Twenty antipsychotic-naive first-episode patients with schizophrenia and 16 healthy individuals were recruited and underwent resting-state functional MR imaging at baseline and again at 1-year follow-up, by which time significant clinical improvement was seen. The amplitude of low-frequency fluctuation (ALFF) and seed-based functional connectivity (FC) were analyzed with analysis of covariance. Results The amount of ALFF in the right inferior parietal lobule (IPL) and orbitofrontal cortex (OFC) and the amount of FC between the bilateral IPLs significantly increased over the follow-up period, and the amount of ALFF in the right occipital gyrus was reduced (P < .050, AlphaSim corrected [ http://afni.nimh.nih.gov/pub/dist/doc/manual/AlphaSim.pdf ]), returning toward normal levels. Furthermore, the degree of alteration in ALFF values in the right OFC (P = .037) and occipital gyrus (P = .002) at baseline was significantly correlated with the magnitude of the normalization in those regions at 1-year follow-up. In contrast, abnormalities of ALFF in the bilateral thalamus, ventral medial prefrontal cortex, precuneus, and right amygdala and of FC between the right OFC and the dorsal medial prefrontal cortex at baseline did not improve in patients at 1-year follow-up. Conclusion These findings show that some, but not all, neurophysiologic alterations that occur during the acute phase of schizophrenia are normalized in the context of clinical improvement and suggest therapeutic implications for

  3. Thermal Aging Study of a Dow Corning SE 1700 Porous Structure Made by Direct Ink Writing: 1-Year Results and Long-Term Predictions

    Small, Ward [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Pearson, Mark A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Maiti, Amitesh [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Metz, Thomas R. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Duoss, Eric B. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Wilson, Thomas S. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2015-11-13

    Dow Corning SE 1700 (reinforced polydimethylsiloxane) porous structures were made by direct ink writing (DIW). The specimens (~50% porosity) were subjected to various compressive strains (15, 30, 45%) and temperatures (room temperature, 35, 50, 70°C) in a nitrogen atmosphere (active purge) for 1 year. Compression set and load retention of the aged specimens were measured periodically during the study. Compression set increased with strain and temperature. After 1 year, specimens aged at room temperature, 35, and 50°C showed ~10% compression set (relative to the applied compressive deflection), while those aged at 70°C showed 20-40%. Due to the increasing compression set, load retention decreased with temperature, ranging from ~90% at room temperature to ~60-80% at 70°C. Long-term compression set and load retention at room temperature were predicted by applying time-temperature superposition (TTS). The predictions show compression set relative to the compressive deflection will be ~10-15% with ~70-90% load retention after 50 years at 15-45% strain, suggesting the material will continue to be mechanically functional. Comparison of the results to previously acquired data for cellular (M97*, M9760, M9763) and RTV (S5370) silicone foams suggests that the SE 1700 DIW porous specimens are on par with, or outperform, the legacy foams.

  4. Biochemical criteria at 1 year are not robust indicators of response to ursodeoxycholic acid in early primary biliary cirrhosis: results from a 29-year cohort study

    Papastergiou, V; Tsochatzis, E A; Rodriquez-Peralvarez, M; Thalassinos, E.; Pieri, G.; Manousou, P.; Germani, G.; Rigamonti, C.; Arvaniti, V.; Karatapanis, S.; Burroughs, A K

    2013-01-01

    Background: In primary biliary cirrhosis (PBC), biochemical criteria at 1 year are considered surrogates of response to ursodeoxycholic acid (UDCA). However, due to the slow natural history of PBC, evaluation at 1 year may be suboptimal to assess the therapeutic response, particularly in early disease. Aim: To determine whether evaluation of biochemical criteria at 1 year is a reliable surrogate of UDCA response in early PBC. Methods: We analysed the prospectively collected data of 21...

  5. Long-term effects of 1-year maintenance training on physical functioning and health status in patients with COPD: A randomized controlled study

    Ringbaek, Thomas; Brondum, Eva; Martinez, Gerd; Thogersen, Jane; Lange, Peter

    2010-01-01

    PURPOSE: To examine whether maintenance training (MT) for 1 year improved the long-term effects of a 7-week chronic obstructive pulmonary disease (COPD) rehabilitation program. METHODS: After a 7-week outpatient rehabilitation program, 96 patients with COPD were randomized to either an MT group (n...... = 55) or a control group (n = 41). Both groups were requested to continue unsupervised training at home. The MT group received weekly supervised training the first 6 months, supervised training every second week the next 6 months, and finally no supervised training the last 6 months of the 18-month...... study period. Primary effect parameters were Endurance Shuttle Walk Test (ESWT) time and health status (St. George's Respiratory Questionnaire, SGRQ). Secondary effect parameters were adherence to supervised training, dropout rates, and hospitalization. RESULTS: Compared with the control group, the MT...

  6. Long-term effects of 1-year maintenance training on physical functioning and health status in patients with COPD: A randomized controlled study

    Ringbaek, Thomas; Brondum, Eva; Martinez, Gerd; Thogersen, Jane; Lange, Peter

    2010-01-01

    study period. Primary effect parameters were Endurance Shuttle Walk Test (ESWT) time and health status (St. George's Respiratory Questionnaire, SGRQ). Secondary effect parameters were adherence to supervised training, dropout rates, and hospitalization. RESULTS: Compared with the control group, the MT...... months, the score was 1.7 units (95% confidence interval: -0.7 to 4.1) worse than at randomization. There was no difference between the 2 groups regarding dropout rates or hospitalization. DISCUSSION: Weekly MT for 12 months improved walking time but had no influence on health-related quality of life or......PURPOSE: To examine whether maintenance training (MT) for 1 year improved the long-term effects of a 7-week chronic obstructive pulmonary disease (COPD) rehabilitation program. METHODS: After a 7-week outpatient rehabilitation program, 96 patients with COPD were randomized to either an MT group (n...

  7. Emotional Development: 1 Year Olds

    ... in Action Medical Editor & Editorial Advisory Board Sponsors Sponsorship Opporunities Spread the Word Shop AAP Find a Pediatrician ... & Stages > Toddler > Emotional Development: 1 Year Olds Ages & Stages Listen Español Text ...

  8. Social Development: 1 Year Olds

    ... in Action Medical Editor & Editorial Advisory Board Sponsors Sponsorship Opporunities Spread the Word Shop AAP Find a Pediatrician ... Ages & Stages > Toddler > Social Development: 1 Year Olds Ages & Stages Listen Español Text ...

  9. Relationship between distal radius fracture malunion and arm-related disability: A prospective population-based cohort study with 1-year follow-up

    Dahlin Lars B

    2011-01-01

    Full Text Available Abstract Background Distal radius fracture is a common injury and may result in substantial dysfunction and pain. The purpose was to investigate the relationship between distal radius fracture malunion and arm-related disability. Methods The prospective population-based cohort study included 143 consecutive patients above 18 years with an acute distal radius fracture treated with closed reduction and either cast (55 patients or external and/or percutaneous pin fixation (88 patients. The patients were evaluated with the disabilities of the arm, shoulder and hand (DASH questionnaire at baseline (concerning disabilities before fracture and one year after fracture. The 1-year follow-up included the SF-12 health status questionnaire and clinical and radiographic examinations. Patients were classified into three hypothesized severity categories based on fracture malunion; no malunion, malunion involving either dorsal tilt (>10 degrees or ulnar variance (≥1 mm, and combined malunion involving both dorsal tilt and ulnar variance. Multivariate regression analyses were performed to determine the relationship between the 1-year DASH score and malunion and the relative risk (RR of obtaining DASH score ≥15 and the number needed to harm (NNH were calculated. Results The mean DASH score at one year after fracture was significantly higher by a minimum of 10 points with each malunion severity category. The RR for persistent disability was 2.5 if the fracture healed with malunion involving either dorsal tilt or ulnar variance and 3.7 if the fracture healed with combined malunion. The NNH was 2.5 (95% CI 1.8-5.4. Malunion had a statistically significant relationship with worse SF-12 score (physical health and grip strength. Conclusion Malunion after distal radius fracture was associated with higher arm-related disability regardless of age.

  10. Posterior implants for distal extension removable prostheses: a retrospective study.

    Mitrani, Ricardo; Brudvik, James S; Phillips, Keith M

    2003-08-01

    Common complaints associated with the Kennedy Class I (bilateral free end) and Class II (unilateral free end) removable partial denture situations are lack of stability, minimal retention, and unesthetic retentive clasping. Some of the same complaints have been reported for implant overdentures with only anterior implants. Starting in 1995, 10 of these patients were treated at the University of Washington with posterior osseointegrated implants to provide stability and/or retention of the removable prostheses, eliminating the need for clasps when possible. This article describes implant alternatives and prosthesis designs and presents a follow-up clinical evaluation of at least 1 year consisting of patient satisfaction, radiographic examination, and soft tissue health. Two groups were evaluated. Group 1 included patients whose implants were used as vertical stops for mandibular distal extension prostheses. Care was taken to ensure that the implants were not loaded laterally by creating a single-point contact at the center of a modified healing abutment. In these cases, sufficient retention was available from the anterior teeth and/or implant abutments. Group 2 included patients whose implants required retention because of lack of adequate tooth abutments. In those cases, a resilient type of attachment was used, which allowed for a small divergence from the path of insertion. Results indicated consistent increased satisfaction in all patients, minimal component wear, no radiographic evidence of excessive bone loss, and stable peri-implant soft tissues. PMID:12956479

  11. Language Development: 1 Year Olds

    ... Stages Listen Español Text Size Email Print Share Language Development: 1 Year Olds Page Content Article Body ... assured, it’s not your imagination. He’s developing his language and comprehension skills right on schedule. This giant ...

  12. Anaemia management with subcutaneous epoetin delta in patients with chronic kidney disease (predialysis, haemodialysis, peritoneal dialysis: results of an open-label, 1-year study

    Kwan Jonathan TC

    2009-02-01

    Full Text Available Abstract Background Anaemia is common in patients with chronic kidney disease (CKD and can be managed by therapy with erythropoiesis-stimulating agents (ESAs. Epoetin delta (DYNEPO®, Shire plc is the only epoetin produced in a human cell line. The aim of this study was to demonstrate the safety and efficacy of subcutaneously administered epoetin delta for the management of anaemia in CKD patients (predialysis, peritoneal dialysis or haemodialysis Methods This was a 1-year, multicentre, open-label study. Patients had previously received epoetin subcutaneously and were switched to epoetin delta at an identical dose to their previous therapy. Dose was titrated to maintain haemoglobin at 10.0–12.0 g/dL. The primary endpoint was mean haemoglobin over Weeks 12–24. Secondary analyses included long-term haemoglobin, haematocrit and dosing levels. Safety was assessed by monitoring adverse events, laboratory parameters and physical examinations. Results In total 478 patients received epoetin delta, forming the safety-evaluable population. Efficacy analyses were performed on data from 411 of these patients. Mean ± SD haemoglobin over Weeks 12–24 was 11.3 ± 1.1 g/dL. Mean ± SD weekly dose over Weeks 12–24 was 84.4 ± 72.7 IU/kg. Haemoglobin levels were maintained for the duration of the study. Epoetin delta was well tolerated, with adverse events occurring at rates expected for a CKD patient population; no patient developed anti-erythropoietin antibodies. Conclusion Subcutaneously administered epoetin delta is an effective and well-tolerated agent for the management of anaemia in CKD patients, irrespective of dialysis status. Trial registration http://www.controlled-trials.com ISRCTN68321818

  13. A Comparison of Acellular Dermal Matrix Allograft and Periosteal Pedicle Graft Covered by Coronally Advanced Flap in the Treatment of Gingival Recession: 1-Year Follow-Up Study.

    Godavarthi, Lalasa; Murthy, K Raja; Pavankumar, Sandhya

    2016-01-01

    The objective of this study was to evaluate and compare the clinical efficacy of periosteal pedicle graft (PPG) and acellular dermal matrix allograft (ADMA) in conjunction with coronally advanced flap (CAF) in the treatment of gingival recession during a 1-year follow-up. A sample of 14 patients, each with two similar Miller Class I or II gingival recession (28 recession sites), was selected. Each recession site was randomly assigned to the experimental site (PPG + CAF) or the control site (ADMG + CAF). The clinical parameters recorded at baseline and 12 months postoperatively were probing pocket depth, width of keratinized gingiva, and clinical attachment level, whereas full-mouth and site-specific plaque and gingival index and vertical recession depth and width were recorded at baseline and at 1, 3, 6, 9, and 12 months. Analysis was performed to determine if treatment differences were present. The mean recession depth in experimental sites decreased from 2.89 ± 0.40 mm at baseline to 0.25 ± 0.50 mm at 12 months, corresponding to a mean root coverage of 92.79% ± 14.25%. In control sites, recession shrank from 2.93 ± 0.55 mm at baseline to 0.32 ± 0.46 mm at 12 months follow-up, demonstrating a mean root coverage of 89.79% ± 14.73%. Compared to the use of ADMA, the PPG technique uses similar incision design and flap management at the graft site, is equivalent in technique sensitivity, and has a perceived improvement in esthetic outcome. PMID:27333020

  14. Intra-articular hyaluronan is without clinical effect in knee osteoarthritis: a multicentre, randomised, placebo-controlled, double-blind study of 337 patients followed for 1 year

    Jørgensen, Anette; Stengaard-Pedersen, Kristian; Simonsen, Lars Ole;

    2010-01-01

    osteoarthritis (clinical and laboratory) and with a Lequesne algofunctional index score (LFI) of 10 or greater. Patients received a hyaluronan product (sodium hyaluronate; Hyalgan) (n= 167) or saline (n= 170) intra-articularly weekly for 5 weeks and were followed up to 1 year. Time to recurrence was the primary...

  15. Characterization of Retinal Disease Progression in a 1-Year Longitudinal Study of Eyes With Mild Nonproliferative Retinopathy in Diabetes Type 2

    Ribeiro, Luisa; Bandello, Francesco; Tejerina, Amparo Navea;

    2015-01-01

    PURPOSE: To identify eyes of patients with diabetes type 2 that show progression of retinal disease within a 1-year period using noninvasive techniques. METHODS: Three hundred seventy-four type 2 diabetic patients with mild nonproliferative diabetic retinopathy (Early Treatment Diabetic Retinopat...

  16. Risk factors for development of non-specific musculoskeletal pain in preteens and early adolescents: a prospective 1-year follow-up study

    Auvinen Anssi

    2007-05-01

    Full Text Available Abstract Background Musculoskeletal pain symptoms are common in children and adolescents. These symptoms have a negative impact on children's physical and emotional well-being, but their underlying aetiology and risk factors are still poorly understood. Most of the previous cohort studies were conducted among mid and/or late adolescents and were mainly focused on a specific pain location (e.g. low back pain or neck pain. The purpose of this study is to estimate occurrence of new-onset pain symptoms, in all musculoskeletal locations, in preteens and early adolescents and investigate risk factors for development of these symptoms. Methods 1756 schoolchildren (mean age 10.8 were recruited from schools in southern Finland. Information was extracted as to whether they experienced musculoskeletal pain and a total of 1192 children were identified as free of musculoskeletal pain symptoms. Information was collected on factors which could potentially predict the development of musculoskeletal pain: headache, abdominal pain, sadness/feeling down, day-time tiredness, difficulty in falling asleep, waking up during nights, level of physical activity and hypermobility. These children were followed-up 1-year later and those with new episodes of non-traumatic and traumatic musculoskeletal pain symptoms were identified. Results A total of 1113 schoolchildren (93% of baseline pain-free children were found at one-year follow-up. New episodes of musculoskeletal pain were reported by 21.5% of these children. Of them 19.4% reported non-traumatic pain and 4.0% reported traumatic pain. The neck was the most commonly reported site with non-traumatic pain, while the lower limb was the most common site for traumatic pain. The independent risk factors for non-traumatic musculoskeletal pain were headache (OR = 1.68, [95% CI 1.16–2.44] and day-time tiredness (OR = 1.53, [95% CI 1.03–2.26]. The risk factors for traumatic musculoskeletal pain were vigorous exercise (OR = 3

  17. Deep Brain Stimulation of the Globus Pallidus Internus in Patients with Intractable Tourette Syndrome: A 1-year Follow-up Study

    Zhang, Xiao-Hua; Li, Jian-Yu; Zhang, Yu-Qing; Li, Yong-Jie

    2016-01-01

    Background: Deep brain stimulation (DBS) has been a promising treatment for patients with refractory Tourette syndrome (TS) for more than a decade. Despite successful DBS treatment of TS in more than 100 patients worldwide, studies with a large patient sample and long-term follow-up assessments are still scarce. Accordingly, we investigated the clinical efficacy and safety of globus pallidus internus (GPi) DBS in the treatment of intractable TS in 24 patients with a 1-year follow-up assessment. Methods: Bilateral/unilateral GPi-DBS was performed in 24 patients with TS. We evaluated symptoms of tics and obsessive-compulsive disorder (OCD) through the Yale Global Tic Severity Scale (YGTSS) and Yale-Brown Obsessive-compulsive Scale (Y-BOCS). We used the Wechsler Adult Intelligence Scale-Revised in China (WAIS-RC) to evaluate the safety of the treatment. We conducted follow-up assessments of all patients for at least 12 months (12–99 months). Results: Symptoms of tics and OCD were significantly relieved at a 12-month follow-up assessment. The mean YGTSS score was 74.04 ± 11.52, 49.83 ± 10.91, 32.58 ± 7.97, and 31.21 ± 8.87 at baseline, 3, 6, and 12 months, respectively. The mean YGTSS scores obtained at the follow-up assessments were significantly different from the baseline (P < 0.05). The improvement in motor tics was superior to that in phonic tics. The mean Y-BOCS scores were 21.61 ± 4.97, 18 ± 4.58, 14.39 ± 3.99, and 13.78 ± 4.56 at baseline, 3, 6, and 12 months, respectively (P < 0.05). We observed a remarkable improvement in psychiatric comorbidities, such as OCD and attention-deficit hyperactivity disorder, after the procedure. WAIS-RC scores were comparable before and after the operation. There were no severe postoperative complications. Conclusion: GPi-DBS appears to comprehensively alleviate tic symptoms and psychiatric comorbidities in patients with TS, thus significantly improving patients’ quality of life. PMID:27098785

  18. Intra-articular hyaluronan is without clinical effect in knee osteoarthritis: a multicentre, randomised, placebo-controlled, double-blind study of 337 patients followed for 1 year

    Jørgensen, Anette; Stengaard-Pedersen, Kristian; Simonsen, Ole;

    2010-01-01

    osteoarthritis (clinical and laboratory) and with a Lequesne algofunctional index score (LFI) of 10 or greater. Patients received a hyaluronan product (sodium hyaluronate; Hyalgan) (n=167) or saline (n=170) intra-articularly weekly for 5 weeks and were followed up to 1 year. Time to recurrence was the primary...... treat (ITT) and per protocol (PP). All adverse events (AE) were recorded as safety parameters. RESULTS: Time to recurrence showed no significant treatment effect (ITT analysis, p=0.26). Change from baseline in LFI and VAS pain 50 m for the ITT population showed no treatment effect. Paracetamol...

  19. Clinical Performance and Safety of 108 SpineJack Implantations: 1-Year Results of a Prospective Multicentre Single-Arm Registry Study

    David Noriega

    2015-01-01

    Full Text Available This prospective, consecutive, multicentre observational registry aimed to confirm the safety and clinical performance of the SpineJack system for the treatment of vertebral compression fractures (VCF of traumatic origin. We enrolled 103 patients (median age: 61.6 years with 108 VCF due to trauma, or traumatic VCF with associated osteoporosis. Primary outcome was back pain intensity (VAS. Secondary outcomes were Oswestry Disability Index (ODI, EuroQol-VAS, and analgesic consumption. 48 hours after surgery, a median relative decrease in pain intensity of 81.5% was observed associated with a significant reduction in analgesic intake. Improvements in disability (91.3% decrease in ODI score and in quality of life (increase 21.1% of EQ-VAS score were obtained 3 months after surgery. All results were maintained at 12 months. A reduction in the kyphotic angulation was observed postoperatively (-5.4±6.3°; p<0.001, remained at 12 months (-4.4±6.0°, p=0.002. No adverse events were implant-related and none required device removal. Three patients (2.9% experienced procedure-related complications. The overall adjacent fracture rate up to 1 year after surgery was 2.9%. The SpineJack procedure is an effective, low-risk procedure for patients with traumatic VCF allowing a fast and sustained improvement in quality of life over 1 year after surgery.

  20. Extensive study on the control of centrifugal compressor surge

    Arnulfi, G.; Giannattasio, P.; Pinamonti, P. [Universita di Udine (Italy). Dipartimento di Energetica e Macchine; Blanchini, F. [Universita di Udine (Italy). Dipartimento di Matematica e Informatica; Micheli, D. [Universita di Trieste (Italy). Dipartimento di Ingegneria Meccanica

    2006-07-01

    This paper reports the results of an extensive study concerning surge instability in an industrial compression system and its dynamic suppression. Both numerical simulations and experiments have been used to analyse the system behaviour under unstable operating conditions and to compare different control devices for surge suppression. First, the characterization of surge is performed over the whole unstable operating range of a compression system based on a four-stage centrifugal compressor. The unsteady energy associated with the surge cycle is employed as an index of the surge intensity to allow for a quantitative approach to the problem. Subsequently, the behaviour and performance of a passive-type control system and of an active-type one are analysed and compared. The former consists of an innovative device based on an oscillating water column, whereas the latter is a high-gain type of feedback device implemented digitally. Experimental data show that the proposed passive device is effective not only in inhibiting surge development, but also in suppressing fully developed instability. The active device turns out to be more effective than the passive one, but under severe conditions it may fail because of actuator limitations and noise amplification. Finally, the relative merits and limitations of the two control systems are discussed with reference to their effectiveness range, flexibility, steady-state performance, installation, maintenance, and costs. (author)

  1. Medical students who decompress during the M-1 year outperform those who fail and repeat it: A study of M-1 students at the University of Illinois College of Medicine at Urbana-Champaign 1988–2000

    Freund Gregory G

    2005-05-01

    Full Text Available Abstract Background All medical schools must counsel poor-performing students, address their problems and assist them in developing into competent physicians. The objective of this study was to determine whether students with academic deficiencies in their M-1 year graduate more often, spend less time to complete the curriculum, and need fewer attempts at passing USMLE Step 1 and Step 2 by entering the Decompressed Program prior to failure of the M-1 year than those students who fail the M-1 year and then repeat it. Method The authors reviewed the performance of M-1 students in the Decompressed Program and compared their outcomes to M-1 students who failed and fully repeated the M-1 year. To compare the groups upon admission, t-Tests comparing the Cognitive Index of students and MCAT scores from both groups were performed. Performance of the two groups after matriculation was also analyzed. Results Decompressed students were 2.1 times more likely to graduate. Decompressed students were 2.5 times more likely to pass USMLE Step 1 on the first attempt than the repeat students. In addition, 46% of those in the decompressed group completed the program in five years compared to 18% of the repeat group. Conclusion Medical students who decompress their M-1 year prior to M-1 year failure outperform those who fail their first year and then repeat it. These findings indicate the need for careful monitoring of M-1 student performance and early intervention and counseling of struggling students.

  2. Extension Master Gardener Social Media Needs: A National Study

    Vines, Karen A.; Jeannette, Karen; Eubanks, Emily; Lawrence, Maggie; Radhakrishna, Rama

    2016-01-01

    An online survey was conducted to assess the feasibility of providing training on the use of social media for the Extension Master Gardener (EMG) program. Volunteers (n = 1,275) and coordinators (n = 111) responded. Findings indicate the existence of sufficient interest in a nationally coordinated social media training. Inclusion of social media…

  3. An Extension Case Study in Institutional Innovation: Microfinance Intermediary Formation

    Edelman, Mark A.

    2015-01-01

    An institutional innovation process led by Extension created a statewide microfinance intermediary. The intermediary provides business technical assistance and microloans to entrepreneurs having difficulty securing conventional credit but having workable business plans. The process included (1) gathering indicators of a problem; (2) formation of a…

  4. MR studies of extension and spread pattern of nasopharyngeal carcinoma

    Seven patients with T2-T4 nasopharyngeal carcinoma were examined by MRI on a 0.5 T superconducting system. The MRI images obtained were reviewed, focusing on the signal intensity (SI) of tumors, and the extension of tumors into the related spaces from the pharyngeal mucosal space (PMS). Consequently, the SI of tumors demonstrated low on T1-weighted images and high on T2-weighted images. The parapharyngeal space was the first space where the tumors extended from the pharyngeal mucosa. The parapharyngeal space was an intermediate point of extension to the masticator space (MS), the carotid space (CS), the retropharyngeal space (RPS), and the prevertebral space (PVS). The PVS involvement by tumors was not a direct extension from the PMS, because the posterior portion of pharyngobasilar fascia worked as a barrier on MR. Therefore, the longus capitus muscle in the prevertebral space was considered to be involved via the parapharyngeal space (PPS). The masticator space involvement was indicated by slightly high SI of pterygoid muscle on T2-weighted images, and also the effacement of the PPS fat and parapharyngeal venous plexus were considered as a sign of involvement into the masticator space. The retropharyngeal lateral lymph node (Rouviere) metastases were recognized by MR. These metastasized lymph nodes were low on T1-weighted images and high on T2-weighted images. (author)

  5. MR studies of extension and spread pattern of nasopharyngeal carcinoma

    Mizutani, Hirokazu; Ohba, Satoru; Mizutani, Masaru; Ando, Keiichi; Inada, Miho (Nagoya City Univ. (Japan). Faculty of Medicine); Mizutani, Masako

    1991-05-01

    Seven patients with T2-T4 nasopharyngeal carcinoma were examined by MRI on a 0.5 T superconducting system. The MRI images obtained were reviewed, focusing on the signal intensity (SI) of tumors, and the extension of tumors into the related spaces from the pharyngeal mucosal space (PMS). Consequently, the SI of tumors demonstrated low on T1-weighted images and high on T2-weighted images. The parapharyngeal space was the first space where the tumors extended from the pharyngeal mucosa. The parapharyngeal space was an intermediate point of extension to the masticator space (MS), the carotid space (CS), the retropharyngeal space (RPS), and the prevertebral space (PVS). The PVS involvement by tumors was not a direct extension from the PMS, because the posterior portion of pharyngobasilar fascia worked as a barrier on MR. Therefore, the longus capitus muscle in the prevertebral space was considered to be involved via the parapharyngeal space (PPS). The masticator space involvement was indicated by slightly high SI of pterygoid muscle on T2-weighted images, and also the effacement of the PPS fat and parapharyngeal venous plexus were considered as a sign of involvement into the masticator space. The retropharyngeal lateral lymph node (Rouviere) metastases were recognized by MR. These metastasized lymph nodes were low on T1-weighted images and high on T2-weighted images. (author).

  6. Subjective health complaints in patients with lumbar radicular pain and disc herniation are associated with a sex - OPRM1 A118G polymorphism interaction: a prospective 1-year observational study

    Hasvik, Eivind; Iordanova Schistad, Elina; Grøvle, Lars; Julsrud Haugen, Anne; Røe, Cecilie; Gjerstad, Johannes

    2014-01-01

    Background Earlier observations show that development of persistent pain may be associated with the genetic variability in the gene encoding for the μ-opioid receptor 1, the OPRM1 A118G (rs1799971). The aim of this study was to investigate the association between OPRM1 genotype and subjective health complaints in patients with radicular pain and disc herniation. Methods A prospective, 1-year observational study was conducted at a hospital back clinic, including 118 Caucasian patients with lum...

  7. The Development of Musical Skills of Underprivileged Children Over the Course of 1 Year: A Study in the Context of an El Sistema-Inspired Program

    Ilari, Beatriz S.; Keller, Patrick; Damasio, Hanna; Habibi, Assal

    2016-01-01

    Developmental research in music has typically centered on the study of single musical skills (e.g., singing, listening) and has been conducted with middle class children who learn music in schools and conservatories. Information on the musical development of children from different social strata, who are enrolled in community-based music programs, remains elusive. This study examined the development of musical skills in underprivileged children who were attending an El Sistema-inspired progra...

  8. A Prospective Study of Treatment Patterns and 1-Year Outcome of Asian Age-Related Macular Degeneration and Polypoidal Choroidal Vasculopathy

    Cheung, Chui Ming Gemmy; Xiang LI; Mathur, Ranjana; Lee, Shu Yen; Chan, Choi Mun; Yeo, Ian; Loh, Boon Kwang; Williams, Rachel; Wong, Edmund Yick-Mun; Wong, Doric; Wong, Tien Yin

    2014-01-01

    Objective To study the treatment patterns and visual outcome over one year in Asian patients with choroidal neovascular membrane secondary to age-related macular degeneration (AMD-CNV) and polypoidal choroidal vasculopathy (PCV). Design Prospective cohort, non-interventional study. Methods 132 treatment-naïve patients who received treatment for AMD-CNV and PCV were included. All patients underwent standardized examination procedures including retinal imaging at baseline and follow-up. AMD-CNV...

  9. Impact of route to diagnosis on treatment intent and 1-year survival in patients diagnosed with oesophagogastric cancer in England: a prospective cohort study

    Palser, Thomas R; Cromwell, David A; Hardwick, Richard H; Riley, Stuart A; Greenaway, Kimberley; van der Meulen, Jan H P; ,

    2013-01-01

    Objective To investigate the relationship between the route to diagnosis, patient characteristics, treatment intent and 1 -year survival among patients with oesophagogastric (O-G) cancer. Setting Cohort study in 142 English NHS trusts and 30 cancer networks. Participants Patients diagnosed with O-G cancer between October 2007 and June 2009. Design Prospective cohort study. Route to diagnosis defined as general practitioner (GP) referral—urgent (suspected cancer) or non-urgent, hospital consul...

  10. Associations of Work-Related Factors and Work Engagement with Mental and Physical Health: A 1-Year Follow-up Study Among Older Workers

    Leijten, F.R.M.; Heuvel, S.G. van den; Beek, A.J. van der; Ybema, J.F.; Robroek, S.J.W.; Burdorf, A.

    2015-01-01

    Purpose The goals of this study were to determine whether, among older employees, unfavourable physical and psychosocial work-related factors were associated with poorer mental and physical health and whether high work engagement buffered the associations between unfavourable work-related factors an

  11. Quality measures for total ankle replacement, 30-day readmission and reoperation rates within 1 year of surgery:A data linkage study using the NJR data set

    Zaidi, Razi; MacGregor, Alexander J.; Goldberg, Andy

    2016-01-01

    Objective: To report on the rate of 30-day readmission and the rate of additional or revision surgery within 12 months following total ankle replacement (TAR). Design: A data-linkage study of the UK National Joint Registry (NJR) data and Hospital Episodes Statistics (HES) database. These two databases were linked in a deterministic fashion. HES episodes 12 months following the index procedure were isolated and analysed. Logistic regression was used to model predictors of reoperation and revis...

  12. MVPA is associated with lower weight gain in 8-10 year old children: a prospective study with 1 year follow-up.

    Abigail Fisher

    Full Text Available BACKGROUND: Studies relating physical activity (PA to weight gain in children have produced mixed results, although there is some evidence for stronger associations with more intense physical activities. The present study tested the hypothesis that weight gain over one year in 8-10 year olds would be more strongly predicted by moderate and vigorous physical activity (MVPA than total physical activity (total PA or sedentary behaviour. METHODOLOGY: Participants were 280 children taking part in the Physical Exercise and Appetite in Children Study (PEACHES. Weight status was assessed using body mass index (BMI, fat mass index (FMI, and waist circumference (WC in school Year 4 (baseline; age 8.7 yrs and Year 5 (follow-up; age 9.7 yrs. Physical activity was measured at baseline using the Actigraph GT1M accelerometer to assess total PA (mean accelerometers counts per minute, MVPA; ≥ 4000 counts per minute and sedentary time (<100 counts per minute. PRINCIPAL FINDINGS: After adjustment for baseline BMI, SES, sex and ethnicity, MVPA was significantly associated with follow-up BMI (adjusted β  = -0.07; p = 0.002. This association was independent of total PA or sedentary time. Similar results were observed for FMI; again MVPA was significantly associated with follow up FMI (β = -0.16; p = 0.001 independent of total PA or sedentary time. The pattern was similar for WC (β = -0.07, but the association between MVPA and WC did not reach significance at p = 0.06. CONCLUSION: The results of this study strongly support promotion of MVPA in children.

  13. Facial fractures: a 1-year retrospective study in a hospital in Belo Horizonte Fraturas de face: um estudo retrospectivo de 1 ano em um hospital de Belo Horizonte

    Bruno Ramos Chrcanovic; Belini Freire-Maia; Leandro Napier de Souza; Vasco de Oliveira Araújo; Mauro Henrique Nogueira Guimarães de Abreu

    2004-01-01

    A retrospective study was performed to assess facial fractures in patients treated at a public hospital in Belo Horizonte, in 2000. The data collected included age, gender, etiology, distribution of maxillofacial trauma considering day of the week and month, anatomic site of the fracture, and treatment. The analyses involved descriptive statistics and chi-squared test, Bonferroni test and analysis of variance. A total of 1,326 facial fractures were found in 911 patients. Most fractures occurr...

  14. Effect of aerobic training on EEG alpha asymmetry and depressive symptoms in the elderly: a 1-year follow-up study

    A.C. Deslandes; H. Moraes; Alves, H.; F.A.M.S. Pompeu; Silveira, H.; Mouta, R.; C. Arcoverde; Ribeiro, P; M. Cagy; R.A.M. Piedade; Laks, J; Coutinho, E S F

    2010-01-01

    The effect of physical exercise on the treatment of depressive elderly adults has not been investigated thus far in terms of changes in cortical hemispheric activity. The objective of the present study was to identify changes in depressive symptoms, quality of life, and cortical asymmetry produced by aerobic activity. Elderly subjects with a diagnosis of major depressive disorder (DSM-IV) were included. Twenty patients (70% females, 71 ± 3 years) were divided into an exercise group (pharmacol...

  15. Effect of Vitamin D supplementation on glycemic parameters and progression of prediabetes to diabetes: A 1-year, open-label randomized study

    Mohammad Shafi Kuchay; Bashir Ahmad Laway; Mir Iftikhar Bashir; Arshad Iqbal Wani; Raiz Ahmad Misgar; Zaffar Amin Shah

    2015-01-01

    Background: Whether Vitamin D supplementation in prediabetes subjects prevents the development of diabetes is a matter of debate, and the results are inconsistent. This open-label, randomized study in subjects with prediabetes evaluated the effect of 12 months of Vitamin D supplementation on glycemic parameters and progression of prediabetes to diabetes in an ethnically homogeneous Kashmiri population. Materials and Methods: A total of 147 subjects were diagnosed as prediabetes out of which 1...

  16. Chronic pain patients with possible co-morbid post-traumatic stress disorder admitted to multidisciplinary pain rehabilitation—a 1-year cohort study

    Andersen, Tonny Elmose; Andersen, Lou-Ann Christensen; Andersen, Per Grünwald

    2014-01-01

    Background: Although post-traumatic stress disorder (PTSD) is a common co-morbidity in chronic pain, little is known about the association between PTSD and pain in the context of chronic pain rehabilitation.Objective: The aim of the present study was two-fold: (1) to investigate the association of a possible PTSD diagnosis with symptoms of pain, physical and mental functioning, as well as the use of opioids, and (2) to compare the outcome of multidisciplinary chronic pain rehabilitation for p...

  17. Subjective health complaints in patients with lumbar radicular pain and disc herniation are associated with a sex - OPRM1 A118G polymorphism interaction: a prospective 1-year observational study

    Hasvik, Eivind; Iordanova Schistad, Elina; Grøvle, Lars; Julsrud Haugen, Anne; Røe, Cecilie; Gjerstad, Johannes

    2014-01-01

    Background Earlier observations show that development of persistent pain may be associated with the genetic variability in the gene encoding for the μ-opioid receptor 1, the OPRM1 A118G (rs1799971). The aim of this study was to investigate the association between OPRM1 genotype and subjective health complaints in patients with radicular pain and disc herniation. Methods A prospective, 1-year observati...

  18. Prevalence of malaria from peripheral blood smears examination: a 1-year retrospective study from the Serbo Health Center, Kersa Woreda, Ethiopia.

    Karunamoorthi, Kaliyaperumal; Bekele, Mammo

    2009-01-01

    Malaria is a major public health problem in Ethiopia. Over the past years, the disease has been consistently reported as the first leading cause of outpatient visits, hospitalization and death in health facilities across the country. Thus, a retrospective study was conducted to determine the prevalence of malaria from peripheral blood smear examination from the Serbo Health Center of Ethiopia. The case notes of all malaria cases treated between July 2007 and June 2008 were carefully reviewed and analyzed. Of the total 6863 smears, 3009 were found to be positive and contribute 43.8% of diagnostic yield. Plasmodium falciparum constituted the most predominant [64.6% (1946/3009 cases)], while Plasmodium vivax confirmed with 34.9% (1052/3009) cases. Among patients who underwent diagnostic testing and treatment for malaria, males [63.8% (1918/3009 cases)] were more prone to have a positive malaria smear than females [36.2% (1091/3009 cases)]. Chi-square statistical analysis shown that there was a statistically significant association found between male cases and number of positive blood smear (chi(2)=28.1; df=7; p-value=0.001). The present study results clearly suggest that the catchment area of Serbo Health Center is prone for epidemic malaria and the situation is quite deteriorating. At the moment, although we are not equipped with magic bullet for malaria effective low-cost strategies are available for its treatment, prevention, and control. Therefore, creating awareness by active health education campaigns and applying integrated malaria control strategy could bring the constructive outcome in the near future. PMID:20701879

  19. Suspended sediments and organic matter in mountain headwaters of the Amazon River: Results from a 1-year time series study in the central Peruvian Andes

    Townsend-Small, Amy; McClain, Michael E.; Hall, Bonnie; Noguera, Jorge L.; Llerena, Carlos A.; Brandes, Jay A.

    2008-02-01

    Few studies have examined the dynamics of sediments and suspended organic matter and their export from headwater basins in the Andes Mountains to the Amazon River, despite the fact that the Andes are the primary source of sediments to the lower Amazon basin. We measured river discharge as well as the concentration, δ 15N, δ 13C, %N, and %OC of coarse and fine suspended sediments (CSS and FSS) in the Chorobamba River, located in the central Andean Amazon of Peru. Samples were taken at least weekly over an entire year (July 2004-July 2005), with additional sampling during storms. Concentrations of particulate organic matter (POM) were generally low in the study river, with concentrations increasing by up to several orders of magnitude during episodic rain events. Because both overall flow volumes and POM concentrations increased under stormflow conditions, the export of POM was enhanced multiplicatively during these events. We estimated that a minimum of 80% of annual suspended sediment transfer occurred during only about 10 days of the year, also accounting for 74% of particulate organic carbon and 64% of particulate organic nitrogen transport. Significant differences occurred between seasons (wet and dry) for δ 13C of coarse and fine POM in the Chorobamba River, reflecting seasonal changes in organic matter sources. The time series data indicate that this Andean river exports approximately equal amounts of fine and coarse POM to the lower Amazon. The observation that the vast majority of sediments and associated OM exported from Andean rivers is mobilized during short, infrequent storm events and landslides has important implications for our understanding of Amazon geochemistry, especially in the face of incipient global change.

  20. A prospective study of treatment patterns and 1-year outcome of Asian age-related macular degeneration and polypoidal choroidal vasculopathy.

    Chui Ming Gemmy Cheung

    Full Text Available OBJECTIVE: To study the treatment patterns and visual outcome over one year in Asian patients with choroidal neovascular membrane secondary to age-related macular degeneration (AMD-CNV and polypoidal choroidal vasculopathy (PCV. DESIGN: Prospective cohort, non-interventional study. METHODS: 132 treatment-naïve patients who received treatment for AMD-CNV and PCV were included. All patients underwent standardized examination procedures including retinal imaging at baseline and follow-up. AMD-CNV and PCV were defined on fundus fluorescein angiography and indocyanine green angiography at baseline. Patients were treated according to standard of care.We report the visual acuity (VA and optical coherence tomography (OCT measurements at baseline, month 3 and month 12 The factors influencing month 12 outcomes were analyzed. MAIN OUTCOME MEASURE: Type of treatment, number of Anti-vascular endothelial growth factor (VEGF treatments, visual outcome over one year. RESULTS: Anti-VEGF monotherapy was the initial treatment in 89.1% of AMD-CNV, but only 15.1% of PCV. The mean number of anti-VEGF injections up to month 12 was 3.97 (4.51 AMD-CNV, 3.43 PCV, p = 0.021. Baseline OCT, month 3 OCT and month 3 VA were significant in determining continuation of treatment after month 3. At month 12, mean VA improved from 0.82 (∼20/132 at baseline to 0.68 (∼20/96 at month 12 (mean gain 6.5 ETDRS letters, p = 0.002. 34.2% of eyes (38/113 eyes gained ≥15 ETDRS letters and 14.4% (16/113 eyes lost ≥15 ETDRS letters. There were no significant differences in visual outcome between AMD-CNV and PCV (p = 0.51. Factors predictive of month 12 visual outcome were baseline VA, baseline OCT central macular thickness, month 3 VA and age. CONCLUSIONS: There is significant variation in treatment patterns in Asian eyes with exudative maculopathy. There is significant visual improvement in all treatment groups at one year. These data highlight the need for high quality

  1. The relationship between low back pain and leisure time physical activity in a working population of cleaners - a study with weekly follow-ups for 1 year

    Jespersen Tobias

    2012-02-01

    Full Text Available Abstract Background Low back pain (LBP and leisure time physical activity (LTPA are considered to be closely related, and clinical guidelines for the treatment of acute LBP recommend patients stay physically active. However, the documentation for this recommendation is sparse and based on studies involving patient populations. The purpose of the study was (1 to investigate the correlation between LBP and LTPA on a weekly basis over the course of a year in a high-risk group of cleaners; and (2 to investigate if maintaining LTPA during an episode of acute LBP has a positive effect on LBP intensity in the subsequent 4 weeks. Methods 188 cleaners consented to participate in a 52-week text message survey about hours of LTPA and intensity of LBP (from 0 to 9 over the previous 7 days. The correlation between LBP and LTPA was calculated by Pearson correlation coefficient. During an episode of acute LBP, a mixed effect logistic regression model was used to investigate whether cleaners who maintain LTPA have a lower pain intensity and higher probability of returning to initial pain intensity within the following four weeks compared with cleaners who decrease LTPA during acute LBP. Results The correlation between weekly LTPA and LBP data was negative, but numerically low (r = -0.069 and statistically insignificant (p = 0.08. Among the 82 cleaners experiencing at least one episode of acute LBP, those maintaining LTPA during an episode of acute LBP did not have a lower pain intensity (average LBP intensity difference between groups of 0.06; 95% confidence interval (95% CI of -0.417 to 0.539 or higher probability of returning to initial pain level (Odds ratio 1,02; 95% CI of 0.50 to 2.09 in the following four weeks compared with cleaners decreasing LTPA during acute LBP. Conclusions Hours of LTPA and intensity of LBP measured on a weekly basis throughout a year showed no close correlation. Maintaining LTPA during an episode of acute LBP did not result in a

  2. Study of factors responsible for recurrence of seizures in controlled epileptics for more than 1 years after withdrawal of antiepileptic drugs.

    Lamdhade S

    2002-07-01

    Full Text Available 531 epileptic patients, who had achieved remission mostly for 2 years or more were studied. The mean follow up period was 5 years. Recurrence was noted in 103 patients (19% after gradual withdrawal of AED, over a period of 3-4 months. 424 patients (81% did not have recurrence. The recurrence rate was influenced adversely by factors like adolescent age and later onset seizures, pre-treatment duration of symptoms more than 3 years, pre-treatment precipitating factors like emotional stress, lack of sleep and meals (however, number in each group is small, positive family history of epilepsy, focal neurodeficit, absence and myoclonic plus grandmal type of clinical seizures, paroxysmal generalized spike and wave discharges and generalized short polyspike and wave discharges in the pretreatment EEG, atrophic changes on CT brain scan (in small numbers, head trauma at birth or later and hereditary factors as etiology of epilepsy, and more than 30 number of seizures before achieving the remission. Factors like, sex, frequency of seizures, period of remission i.e. two years or more and number of drugs used to achieve remission, did not have any significant adverse effect. However, in the last parameter 95% remission was achieved by one or a combination of two drugs (72% and 23% respectively.

  3. Surgical Reconstruction with the Remnant Ligament Improves Joint Position Sense as well as Functional Ankle Instability: A 1-Year Follow-Up Study

    Kamizato Iwao

    2014-01-01

    Full Text Available Introduction. Chronic functional instability—characterized by repeated ankle inversion sprains and a subjective sensation of instability—is one of the most common residual disabilities after an inversion sprain. However, whether surgical reconstruction improves sensorimotor control has not been reported to date. The purpose of this study was to assess functional improvement of chronic ankle instability after surgical reconstruction using the remnant ligament. Materials and Methods. We performed 10 cases in the intervention group and 20 healthy individuals as the control group. Before and after surgical reconstruction, we evaluated joint position sense and functional ankle instability by means of a questionnaire. Results and Discussion. There was a statistically significant difference between the control and intervention groups before surgical reconstruction. Three months after surgery in the intervention group, the joint position sense was significantly different from those found preoperatively. Before surgery, the mean score of functional ankle instability in the intervention group was almost twice as low. Three months after surgery, however, the score significantly increased. The results showed that surgical reconstruction using the remnant ligament was effective not only for improving mechanical retensioning but also for ameliorating joint position sense and functional ankle instability.

  4. Effect of Vitamin D supplementation on glycemic parameters and progression of prediabetes to diabetes: A 1-year, open-label randomized study

    Mohammad Shafi Kuchay

    2015-01-01

    Full Text Available Background: Whether Vitamin D supplementation in prediabetes subjects prevents the development of diabetes is a matter of debate, and the results are inconsistent. This open-label, randomized study in subjects with prediabetes evaluated the effect of 12 months of Vitamin D supplementation on glycemic parameters and progression of prediabetes to diabetes in an ethnically homogeneous Kashmiri population. Materials and Methods: A total of 147 subjects were diagnosed as prediabetes out of which 137 subjects were randomized to receive in addition to standard lifestyle measures, either Vitamin D 60,000 IU weekly for 4 weeks and then 60,000 IU monthly (n = 69 or no Vitamin D (n = 68. Fasting plasma glucose (FPG, 2-h plasma glucose and A1C levels were estimated at 0, 6 and 12 months. Changes in FPG, 2-h plasma glucose, A1C level and the proportion of subjects developing diabetes were assessed among 129 subjects. Results: At 12 months, A1C levels were significantly lesser (5.7% ± 0.4% in the Vitamin D supplemented group when compared with non-Vitamin D supplemented (6.0% ± 0.3%. Similarly, FPG (97 ± 7 and 2-h plasma glucose (132 ± 16 were significantly less in Vitamin D supplemented group as compared with non-Vitamin D supplemented group (FPG = 116 ± 6 and 2-h plasma glucose = 157 ± 25 at 12 months. Nine out of 65 in non-Vitamin D supplemented and seven out of 64 in the Vitamin D supplemented group developed diabetes. Conclusions: Vitamin D supplementation in prediabetes subjects significantly lowered FPG, 2-h plasma glucose and A1C levels.

  5. Deep Brain Stimulation of the Globus Pallidus Internus in Patients with Intractable Tourette Syndrome: A 1-year Follow-up Study

    Xiao-Hua Zhang; Jian-Yu Li; Yu-Qing Zhang; Yong-Jie Li

    2016-01-01

    Background:Deep brain stimulation (DBS) has been a promising treatment for patients with refractory Tourette syndrome (TS) for more than a decade.Despite successful DBS treatment of TS in more than 100 patients worldwide,studies with a large patient sample and long-term follow-up assessments are still scarce.Accordingly,we investigated the clinical efficacy and safety of globus pallidus internus (GPi) DBS in the treatment of intractable TS in 24 patients with a l-year follow-up assessment.Methods:Bilateral/unilateral GPi-DBS was performed in 24 patients with TS.We evaluated symptoms of tics and obsessive-compulsive disorder (OCD) through the Yale Global Tic Severity Scale (YGTSS) and Yale-Brown Obsessive-compulsive Scale (Y-BOCS).We used the Wechsler Adult Intelligence Scale-Revised in China (WAIS-RC) to evaluate the safety of the treatment.We conducted follow-up assessments of all patients for at least 12 months (12-99 months).Results:Symptoms of tics and OCD were significantly relieved at a 12-month follow-up assessment.The mean YGTSS score was 74.04 ± 11.52,49.83 ± 10.91,32.58 ± 7.97,and 31.21 ± 8.87 at baseline,3,6,and 12 months,respectively.The mean YGTSS scores obtained at the follow-up assessments were significantly different from the baseline (P < 0.05).The improvement in motor tics was superior to that in phonic tics.The mean Y-BOCS scores were 21.61 ± 4.97,18 ± 4.58,14.39 ± 3.99,and 13.78 ± 4.56 at baseline,3,6,and 12 months,respectively (P < 0.05).We observed a remarkable improvement in psychiatric comorbidities,such as OCD and attention-deficit hyperactivity disorder,after the procedure.WAIS-RC scores were comparable before and after the operation.There were no severe postoperative complications.Conclusion:GPi-DBS appears to comprehensively alleviate tic symptoms and psychiatric comorbidities in patients with TS,thus significantly improving patients' quality of life.

  6. Facial fractures: a 1-year retrospective study in a hospital in Belo Horizonte Fraturas de face: um estudo retrospectivo de 1 ano em um hospital de Belo Horizonte

    Bruno Ramos Chrcanovic

    2004-12-01

    Full Text Available A retrospective study was performed to assess facial fractures in patients treated at a public hospital in Belo Horizonte, in 2000. The data collected included age, gender, etiology, distribution of maxillofacial trauma considering day of the week and month, anatomic site of the fracture, and treatment. The analyses involved descriptive statistics and chi-squared test, Bonferroni test and analysis of variance. A total of 1,326 facial fractures were found in 911 patients. Most fractures occurred in adults with age ranging from 21 to 30 years. Men were more affected than women, with a male-female ratio of 4.69:1. Accidents causing facial fractures occurred predominantly on weekends. Bicycle and motorcycle accidents were the major cause of trauma, followed by interpersonal violence, automobile accidents, and falls. When the relation between the gender and the etiology of facial fractures was analyzed, a significant relation was noted between these variables (p Um estudo retrospectivo foi realizado para avaliar fraturas faciais em pacientes atendidos no ano de 2000 em um hospital público de Belo Horizonte. As informações coletadas incluíam idade, sexo, etiologia, distribuição do trauma de acordo com o dia da semana e o mês, o local anatômico da fratura e o tratamento. As análises envolveram estatísticas descritivas, teste qui-quadrado, teste Bonferroni e análise de variância. Foram encontradas 1.326 fraturas de face em 911 pacientes. A maioria das fraturas ocorreu em adultos na faixa etária de 21 a 30 anos. Os homens foram mais acometidos do que as mulheres, numa proporção homem:mulher de 4,69:1. Os traumas causadores de fraturas faciais ocorreram predominantemente nos fins de semana. Os acidentes de moto e bicicleta foram a maior causa de trauma, seguidos por violência interpessoal, acidentes automobilísticos e quedas. Quando analisada a relação entre o gênero e a etiologia das fraturas de face, observou-se uma associa

  7. Baseline Serum Osteopontin Levels Predict the Clinical Effectiveness of Tocilizumab but Not Infliximab in Biologic-Naïve Patients with Rheumatoid Arthritis: A Single-Center Prospective Study at 1 Year (the Keio First-Bio Cohort Study)

    Izumi, Keisuke; Kaneko, Yuko; Hashizume, Misato; Yoshimoto, Keiko; Takeuchi, Tsutomu

    2015-01-01

    Objective To explore the baseline predictors of clinical effectiveness after tocilizumab or infliximab treatment in biologic-naïve rheumatoid arthritis patients. Methods Consecutive biologic-naïve patients with rheumatoid arthritis initiating infliximab (n = 57) or tocilizumab (n = 70) treatment were included in our prospective cohort study. Our cohort started in February 2010, and the patients observed for at least 1 year as of April 2013 were analysed. We assessed baseline variables including patients' characteristics (age, sex, disease duration, prednisolone dose, methotrexate dose, other disease-modifying antirheumatic drug use, Clinical Disease Activity Index [CDAI]) and serum biomarker levels (C-reactive protein, immunoglobulin M-rheumatoid factor, anti-cyclic citrullinated protein/peptide antibodies, interferon-γ, interleukin (IL)-1β, IL-2, IL-6, IL-8, IL-10, IL-17, tumor necrosis factor-α, soluble intercellular adhesion molecule-1, bone alkaline phosphatase, osteonectin, osteopontin) to extract factors associated with clinical remission (CDAI≤2.8) at 1 year using univariate analyses, and the extracted factors were entered into a multivariate logistic regression model. Similar analyses were also performed for Simplified Disease Activity Index (SDAI) remission (≤3.3) and Disease Activity Score with 28 joint counts, erythrocyte sedimentation rate (DAS28-ESR) remission (<2.6). Results There were no significant differences in the baseline characteristics except for methotrexate use between the groups. In the multivariate analyses, the low baseline osteopontin levels (OR 0.9145, 95% CI 0.8399–0.9857) were identified as predictors of CDAI remission in the tocilizumab group, whereas no predictors of CDAI remission were found in the infliximab group. Similar results were obtained when using SDAI and DAS28-ESR remission criteria. Conclusion Baseline low serum osteopontin levels predict clinical remission 1 year after tocilizumab treatment and not

  8. Handgrip strength, quadriceps muscle power, and optimal shortening velocity roles in maintaining functional abilities in older adults living in a long-term care home: a 1-year follow-up study

    Kozicka I

    2016-05-01

    Full Text Available Izabela Kozicka, Tomasz Kostka Department of Geriatrics, Medical University of Lodz, Lodz, Poland Purpose: To assess the relative role of handgrip strength (HGS, quadriceps muscle power (Pmax, and optimal shortening velocity (υopt in maintaining functional abilities (FAs in older adults living in a long-term care home over a 1-year follow-up. Subjects and methods: Forty-one inactive older institutionalized adults aged 69.8±9.0 years participated in this study. HGS, Pmax, υopt, cognitive function using the Mini-Mental State Examination, depressive symptoms using the Geriatric Depression Scale, nutritional status using the Mini Nutritional Assessment (MNA, and physical activity (PA using the Seven-Day Physical Activity Recall Questionnaire were assessed at baseline and at 1-year follow-up. FAs were assessed with activities of daily living (ADL, instrumental ADL, and Timed Up & Go test. Results: Both at baseline and at follow-up, FAs were related to age, HGS, Pmax/kg, υopt, MNA, and PA. These associations were generally similar in both sexes. As revealed in multiple regression analysis, υopt was the strongest predictor of FA, followed by Pmax/kg, PA, and MNA. FA deteriorated after 1 year as measured by ADL and Timed Up & Go test. Pmax and υopt, but not HGS, also decreased significantly after 1 year. Nevertheless, 1-year changes in FAs were not related to changes in HGS, Pmax, υopt, or PA. Conclusion: The 1-year period of physical inactivity among older institutionalized adults was found to have a negative effect on their FAs, Pmax, and υopt. The present study demonstrates that Pmax and, especially, υopt correlated with FAs of older adults more than HGS, both at baseline and at follow-up. Despite this, 1-year natural fluctuations of PA, Pmax, and υopt are not significant enough to influence FAs in inactive institutionalized older adults. Keywords: aging, handgrip strength, institutionalization, functional status, physical activity

  9. Vocabulary Learning through Extensive Reading: A Case Study

    Senoo, Yasuko; Yonemoto, Kazuhiro

    2014-01-01

    The role and importance of reading in second language vocabulary learning have been discussed by many researchers because of the richness and variety of vocabulary in written texts compared to oral discourse (Horst, 2005; Nation, 2001). However, despite the recent increase of studies in this field, there are very few studies focusing on…

  10. Different intensity extension methods and their impact on entrance dose in breast radiotherapy: A study

    Sankar A

    2009-01-01

    Full Text Available In breast radiotherapy, skin flashing of treatment fields is important to account for intrafraction movements and setup errors. This study compares the two different intensity extension methods, namely, Virtual Bolus method and skin flash tool method, to provide skin flashing in intensity modulated treatment fields. The impact of these two different intensity extension methods on skin dose was studied by measuring the entrance dose of the treatment fields using semiconductor diode detectors. We found no significant difference in entrance dose due to different methods used for intensity extension. However, in the skin flash tool method, selection of appropriate parameters is important to get optimum fluence extension.

  11. My eSorts and Digital Extensions of Word Study

    Zucker, Tricia A.; Invernizzi, Marcia

    2008-01-01

    "My eSorts" is a strategy for helping children learn to read and spell in a socially motivated context. It is based on developmental spelling research and the word study approach to teaching phonics and spelling. "eSorting" employs digital desktop publishing tools that allow children to author their own electronic word sorts and then share these…

  12. Extensive HLA class Ⅱ studies in Chinese narcoleptic patients.

    2000-01-01

    Objective: Narcolepsy is a debilitating, lifelong sleep disorder. Its familial occurrence suggests that genetic factors may be of importance in the etiology. Narcolepsy is a very rare disease among Chinese, thus it was of interest to study the association of narcolepsy with the HLA system in Chinese narcoleptic patients.

  13. Using C Language Extensions for Developing Embedded Software: A Case Study

    Voelter, M.; Van Deursen, A.; Kolb, B.; Eberle, S

    2015-01-01

    We report on an industrial case study on developing the embedded software for a smart meter using the C programming language and domain-specific extensions of C such as components, physical units, state machines, registers and interrupts. We find that the extensions help significantly with managing the complexity of the software. They improve testability mainly by supporting hardware-independent testing, as illustrated by low integration efforts. The extensions also do not incur significant o...

  14. An extensive Study of Teaching / Learning Quantum Mechanics in College

    Akarsu, Bayram

    2010-01-01

    Quantum physics is considered as one of the most remarkable discoveries of contemporary physics grown during previous century and gradually manifested to the scientific world such as inventions of laser, the transistor, the electron microscope, and semiconductor. Teaching of physical science has been stressed in the National Science Education Standards (NSES) from level K-12 as well as many state science standards (Gossard, 2000). The objectives of the current study are to investigate prospective elucidation of the most common learning difficulties, insufficient teaching strategies and other significant instructional or conceptual problems encountered by science and engineering college students at the senior and/or junior level during the instruction of Quantum Physics. Although conceptual issues about learning and teaching of Quantum Physics were addressed in the current study, I mainly focused on the ways the teachers approach teaching it, as well as considerations of how the classroom environments should f...

  15. Attitudes of County Leaders toward Expanding Adult Programs in Extension: Minnesota Expansion Study I.

    Wilson, Duane A.; And Others

    A study was conducted in Minnesota on attitudes of county leaders (commissioners, auditors, and appointed Extension committee members) on ways of expanding Extension programs. In each county data were gathered by questionnaire from at least two thirds of the leaders. Questions were asked about expansion (1) through working with other…

  16. Extensive Reading and Language Learning: A Diary Study of a Beginning Learner of Japanese.

    Leung, Ching Yin

    2002-01-01

    Investigated the impact of extensive reading on an adult's self-study of Japanese over a 20-week period. Data were collected from a learner diary, audio recordings from several private tutorial sessions, and vocabulary tests. Results show extensive reading can enhance vocabulary acquisition and reading comprehension and promote a positive attitude…

  17. From Extension Science to Communication and Innovation Studies. New Theoretical Trends from Wageningen.

    Heymann, F. V.

    1998-01-01

    Wageningen University's extension science program shifted from a positivist to a constructivist foundation. Participatory methodologies and interactive policies are being developed, and the program's name has been changed to Communication and Innovation Studies. (SK)

  18. Process skill rather than motor skill seems to be a predictor of costs for rehabilitation after a stroke in working age; a longitudinal study with a 1 year follow up post discharge

    Björkdahl Ann

    2007-12-01

    Full Text Available Abstract Background In recent years a number of costs of stroke studies have been conducted based on incidence or prevalence and estimating costs at a given time. As there still is a need for a deeper understanding of factors influencing these costs the aim of this study was to calculate the direct and indirect costs in a younger ( Methods Fifty-eight patients included in a study of home rehabilitation and followed for 1 year after discharge from the rehabilitation unit, were interviewed about their use of health care services, assistance, medications and assistive devices. Costs (defined as the cost for society were calculated. A linear regression of cost and variables of functioning, ability, community integration and health-related quality of life was done. Results Inpatient care contributed substantially to the direct cost with a mean length of stay of 92 days. Rehabilitation during the first year constituted of an average of 28 days in day clinics, 38 physiotherapy sessions and 20 occupational therapy sessions. The total direct mean cost was 80 020 € and the indirect cost 35 129 €. The direct costs were influenced by the process skill (the ability to plan and perform a given task and to adapt when needed and presence of aphasia. Indirect costs for informal care giving increased for patients with a lower health-related quality of life as well as a low score on home integration. Conclusion Costs are high in this group of young (

  19. Application and Assessment of Extension of Time Claim: Findings of Case Studies Conducted in Malaysia

    M.S. Mohd Danuri,

    2006-12-01

    Full Text Available It is a common phenomenon for construction projects to have applications for extension of time. Many problems are encountered in practice in the application and preparation of extension of time claims. A study was conducted to identify the main problems encountered in the application and assessment of extension of time claim in selected construction projects in Malaysia. Three (3 case studies have been used 10 investigate the extension of time issues. Findings from the study revealed that local contractors usually fail to comply with the contract procedural requirements to submit timely notification of delay and have difficulty in demonstrating their entitlement for extension of time. The main problem faced by contract administrators is that contractors tend to "inflate" their extension of time entitlement with the intention to maximise their claims. Adherence to the agreed procedure in preparing and evaluating of delay claims and the implementation of a set of agreed standardised delay analysis may help to minimize the frequency and impact of such problems.

  20. 76 FR 27287 - Port Access Route Study: In the Bering Strait; Extension of Comment Period

    2011-05-11

    ... of Study and request for comments for the Port Access Route Study: In the Bering Strait (75 FR 68568..., 2008, issue of the Federal Register (73 FR 3316). This notice is issued under authority of 33 U.S.C... SECURITY Coast Guard 33 CFR Part 167 Port Access Route Study: In the Bering Strait; Extension of...

  1. A Global Worldview among Extension Professionals: A Case Study of Best Practices for Study Abroad Programs

    Lockett, Landry; Moore, Lori; Wingenbach, Gary

    2014-01-01

    Globalization and diversifying communities in the United States mandate internationally minded Extension professionals and programming. The knowledge necessary for successfully working in international agricultural and Extension education is vast and takes time to acquire. A catalyst for this learning process is participation in university- or…

  2. SVZ sum rules : 30 + 1 years later

    Narison, Stephan

    2010-01-01

    For this exceptional 25th anniversary of the QCD-Montpellier series of conferences initiated in 85 with the name "Non-perturbative methods", we take the opportunuity to celebrate the 30 + 1 years of the discovery of the SVZ (also called ITEP, QCD or QCD spectral) sum rules by M.A. Shifman, A.I. Vainshtein and V.I. Zakahrov in 79 [1]. In this talk, I have the duty to present the status of the method. I shall (can) not enumerate the vast area of successful applications of sum rules in hadron physics but I shall focus on the historical evolution of field and its new developments. More detailed related discussions and more complete references can be found in the textbooks [2,3].

  3. The Study of extensive air Shower (EAS)by four scintillation detectors

    Particles of an Extensive Air Shower, generated by a single high energy particle incident on the top of the atmosphere, may be delayed with respect to one another at the plane of observation because: (a) path lengths differ as the result of scattering, (b) velocities may differ, (c) the axis of the shower may not be perpendicular to the plane of observation. We have studied the distribution of cosmic rays in extensive air showers at Tehran level by measuring the relative delay between particles with four scintillation detectors. These measurements were carried out at department of physics, Sharif University of Technology, Tehran, Iran

  4. A Study of the Interpersonal Value Orientations of Extension Homemakers in Robeson County, North Carolina.

    Briley, Mollye Hughes

    This study investigated interpersonal value orientations (Support, Conformity, Independence, Benevolence, Leadership, and Recognition) of 267 Extension homemakers in Robeson County, North Carolina, and the relationship of these orientations to age, educational level, income, years in club work, family size, and ethnic group. Data were obtained…

  5. Meeting Extension Programming Needs with Technology: A Case Study of Agritourism Webinars

    Rich, Samantha Rozier; Komar, Stephen; Schilling, Brian; Tomas, Stacy R.; Carleo, Jenny; Colucci, Susan J.

    2011-01-01

    As clientele needs diversify, Extension educators are examining new technologies, including online tools, to deliver educational programming and resources. Using agritourism as the educational topic, the study reported here sought to evaluate participants' acceptance of online educational programming (webinars) and the effectiveness of the…

  6. Why Work for Extension? An Examination of Job Satisfaction and Motivation in a Statewide Employee Retention Study

    Harder, Amy; Gouldthorpe, Jessica; Goodwin, Jeff

    2014-01-01

    Understanding motivation and job satisfaction is important for increasing rates of employee retention within Extension. The purpose of the study reported here was to explore factors positively affecting the motivation of Extension professionals in their careers. An online survey of Extension professionals in Colorado was conducted. Factors such as…

  7. Quantifying elbow extension and elbow hyperextension in cricket bowling: a case study of Jenny Gunn.

    King, Mark A; Yeadon, Maurice R

    2012-05-01

    In this study a method for determining elbow extension and elbow abduction for a cricket bowling delivery was developed and assessed for Jenny Gunn who has hypermobility in both elbows and whose bowling action has been repeatedly queried by umpires. Bowling is a dynamic activity which is assessed visually in real time in a cricket match by an umpire. When the legality of a bowler's action is questioned by an umpire a quantitative analysis is undertaken using a marker based motion analysis system. This method of quantifying elbow extension should agree with a visual assessment of when the arm is "straight" and should minimise the effects of marker movement. A set of six markers on the bowling arm were used to calculate elbow angles. Differences of up to 1° for elbow extension and up to 2° for elbow abduction were found when angles calculated from the marker set for static straight arm trials were compared with measurements taken by a chartered sports physiotherapist. In addition comparison of elbow extension angles at ball release calculated from the markers during bowling trials with those measured from high speed video also showed good agreement with mean differences of 0°±2°. PMID:22548307

  8. Fiboquadratic Sequences and Extensions of the Cassini Identity Raised From the Study of Rithmomachia

    Guardia, Tomás; Jiménez, Douglas

    2015-01-01

    In this paper, we introduce fiboquadratic sequences as an extension to infinity of the board of Rithmomachia and we prove that this extension gives raise to fiboquadratic sequences which we define here. Also, fiboquadratic sequences provide extensions of Cassini's Identity.

  9. Development of EULAR recommendations for the reporting of clinical trial extension studies in rheumatology

    Buch, Maya H; Silva-Fernandez, Lucia; Carmona, Loreto; Aletaha, Daniel; Christensen, Robin; Combe, Bernard; Emery, Paul; Ferraccioli, Gianfranco; Guillemin, Francis; Kvien, Tore K.; Landewe, Robert; Pavelka, Karel; Saag, Kenneth; Smolen, Josef S.; Symmons, Deborah

    2014-01-01

    Objectives Our initiative aimed to produce recommendations on post-randomised controlled trial (RCT) trial extension studies (TES) reporting using European League Against Rheumatism (EULAR) standard operating procedures in order to achieve more meaningful output and standardisation of reports. Methods We formed a task force of 22 participants comprising RCT experts, clinical epidemiologists and patient representatives. A two-stage Delphi survey was conducted to discuss the domains of evaluati...

  10. The clinical outcome of scaphoid fracture malunion at 1 year.

    Forward, D P; Singh, H P; Dawson, S; Davis, T R C

    2009-02-01

    The aim of this study was to assess the effect of malunion of scaphoid fractures on the clinical outcome at 1 year. Forty-two consecutive patients with united scaphoid waist fractures which had been treated non-operatively underwent longitudinal CT scans to confirm union and assess malunion at 12 to 18 weeks after injury. A blind clinical assessment was made and the Patient Evaluation Measure (PEM) and DASH questionnaires were completed by all the patients 1 year after injury. The group consisted of 38 men and four women with a mean age of 31 years at the time of injury. Correlation analysis revealed no significant relationships between any of the outcome measures (range of motion, grip strength and PEM and DASH scores) and any of the three measures of malunion (height-to-length ratio, the dorsal cortical angle and the lateral intra-scaphoid angle). PMID:19129358

  11. Study of single and combined mass-sensitive observables of cosmic ray induced extensive air showers

    Rastegarzadeh, G.; Nemati, M.

    2016-03-01

    In this study, combinations of the global arrival time, (Δτ_{global}), pseudorapidity, and lateral density distribution (ρ_{μ}) of muons, which are three mass-sensitive observables of cosmic ray induced extensive air showers, have been used as new parameters to study the primary mass discrimination around the knee energies (100 TeV-10 PeV). This is a simulation-based study and the simulations have been performed for the KASCADE array at Karlsruhe and the Alborz-I array at Tehran to study the effect of the altitude on the quality of the primary mass discrimination. The merit factors of the single and combined three mass-sensitive observables have been calculated to compare the discrimination power of combined and single observables. We have used the CORSIKA 7.4 code to simulate the extensive air showers (EASs) sample sets. Considering all aspects of our study, it is found that the ratio of the global time to the lateral density distribution of the muons gives better results than other ratios; also in the case of single observables, the muon density gives better results compared with the other observables. Also it is shown that below 1 PeV primary energies, the ratio of the muon global time to the muon density (Δτ_{global}/ρ_{μ}) results in a better mass discrimination relative to the muon density only.

  12. A Detailed Study about Foraging Behavior of Artificial Bee Colony (ABC and its Extensions

    S.Santhosh Kumar

    2013-04-01

    Full Text Available Swam intelligence is an emerging field in Artificial Intelligence. The living nature and life style of animals, birds and other living organisms can be inherited and applied to solve many real worldproblems. ABC is a recently developed swam intelligence algorithm developed by Dervis Karaboga in the year 2005.In ABC, foraging is one of the behavior of honey bees to search, collect food from its foodresources. Many research works has undergone about foraging behavior and it is applied to solve variety of optimization problems. This paper discusses the detailed study of different types of extensions offoraging behavior of honey bees.

  13. A Study on the Extension of SDS2 Poison Tank Surveillance Frequency

    To meet evolving client and regulatory needs, a study on the Surveillance Requirements Frequency of the Shutdown System 2 of the Wolsong Nuclear Power Plants has been performed. The purpose of this study is to observe the effects of a relaxation in surveillance test interval (STI) of SDS2 poison tank as a part of CANDU-6 Nuclear Power Plants. The study is comprised of three major parts. The first is study for design criteria of SDS2 including conductivity instrument and online alarm system related to the low poison concentration. The second is the sensitivity analysis for SDS2 unavailability according to STI extension by using reliability analysis. The third is the measurement and analysis of SDS2 operating data of the Wolsong NPP

  14. Plant life extension (PLEX) and repowering. Study on Embalse Nuclear Power Plant

    updating of the turbine blades lengths or modifications to be implemented on the Turbo-generator system (activity carried on with Ansaldo Energia). Ansaldo Nucleare is going to perform the BOP PLEX just trying to minimize the in field inspection during the outages (without requiring specific extension of each one) and performing the major ISI and functional tests for systems and components during plant operation, using extensively information from available log-books as well as from in field personnel and support from local specialists. At the end of the first phase of PLEX and repowering study, activities will be proposed in terms of Design modification/update, procurement and installation of new components for electric and mechanical systems in order to reach the Plant Life Extension and Repowering goals for the Embalse NPP until year 2010. (authors)

  15. Method and Practice of Extensive Reading : A Case Study at Hirosaki University

    Onodera, Susumu

    2011-01-01

    This article looks at the method and practice of the extensive reading program at Hirosaki University. Extensive reading methods and practices have been developed in foreign countries since the 1980s. Extensive reading has been said to enhance the learner's reading ability dramatically, especially in reading speed and reading comprehension. As teachers of English as a foreign language, we have explored the best methods of extensive reading suitable for students at Hirosaki University, and hav...

  16. Natural history of extensive diaphragmatic injury on the right side: experimental study in rats

    Jorge Henrique Rivaben

    2014-08-01

    Full Text Available OBJECTIVE: To evaluate the natural healing of the rat diaphragm that suffered an extensive right penetrating injury.METHODS: Animals were submitted to an extensive penetrating injury in right diaphragm. The sample consisted of 40 animals. The variables studied were initial weight, weight 21 days after surgery; healing of the diaphragm, non-healing of the diaphragm, and herniated abdominal contents into the chest.RESULTS: Ten animals were used as controls for weight and 30 animals were operated. Two animals died during the experiment, so 28 animals formed the operated group; healing of the diaphragm occurred in 15 animals (54%, 11 other animals showed diaphragmatic hernia (39% and in two we observed only diaphragmatic injury without hernia (7%. Among the herniated organs, the liver was found in 100% of animals, followed by the omentum in 77%, small bowel in 62%, colon in 46%, stomach in 31% and spleen in 15%. The control group and the diaphragmatic healing subgroup showed increased weight since the beginning of the study and the 21 days after surgery (p <0.001. The unhealed group showed no change in weight (p = 0.228.CONCLUSION: there is a predominance of spontaneous healing in the right diaphragm; animals in which there was no healing of the diaphragm did not gain weight, and the liver was the organ present in 100% the diaphragmatic surface in all rats with healed diaphragm or not.

  17. Extension Trial of Qigong for Fibromyalgia: A Quantitative and Qualitative Study

    Jana Sawynok

    2013-01-01

    Full Text Available This extension trial is an open-label observational trial of 20 subjects with fibromyalgia who undertook level 2 Chaoyi Fanhuan Qigong (CFQ training following an earlier controlled trial of level 1 CFQ. Subjects practiced 60 min/day for 8 weeks and continued some daily practice for 6 months. Quantitative measures, assessed at baseline, 8 weeks, 4 and 6 months, were of pain, impact, sleep, physical and mental functions, and practice time. Qualitative comments also were recorded. Compared to baselines, CFQ practice led to significant improvements in pain, impact, sleep, and physical function in the 13 subjects (65% who completed the trial; changes were present at 8 weeks and were maintained for the 6-month trial duration. A highly motivated subgroup of N=5, who practiced the most, had the best outcomes in terms of end symptomology, and qualitative comments indicated health benefits in other domains as well. Qualitative comments by the remaining N=8 trial completers and N=7 withdrawals indicate different experiences with the practice. This extension trial indicates that diligent CFQ practice over time produces significant health gains in fibromyalgia in a subset of individuals. Future studies will need to address factors that might predispose to favourable outcomes.

  18. OpenARC: Extensible OpenACC Compiler Framework for Directive-Based Accelerator Programming Study

    Lee, Seyong [ORNL; Vetter, Jeffrey S [ORNL

    2014-01-01

    Directive-based, accelerator programming models such as OpenACC have arisen as an alternative solution to program emerging Scalable Heterogeneous Computing (SHC) platforms. However, the increased complexity in the SHC systems incurs several challenges in terms of portability and productivity. This paper presents an open-sourced OpenACC compiler, called OpenARC, which serves as an extensible research framework to address those issues in the directive-based accelerator programming. This paper explains important design strategies and key compiler transformation techniques needed to implement the reference OpenACC compiler. Moreover, this paper demonstrates the efficacy of OpenARC as a research framework for directive-based programming study, by proposing and implementing OpenACC extensions in the OpenARC framework to 1) support hybrid programming of the unified memory and separate memory and 2) exploit architecture-specific features in an abstract manner. Porting thirteen standard OpenACC programs and three extended OpenACC programs to CUDA GPUs shows that OpenARC performs similarly to a commercial OpenACC compiler, while it serves as a high-level research framework.

  19. Numerical simulations of contrail-to-cirrus transition – Part 1: An extensive parametric study

    K. Gierens

    2009-07-01

    Full Text Available Simulations of contrail-to-cirrus transition over up to 6 h were performed using a LES-model. The sensitivity of microphysical, optical and geometric contrail properties on relative humidity RHi, temperature T and vertical wind shear s was investigated in an extensive parametric study. The dominant parameter for contrail evolution is relative humidity. Substantial spreading is only visible for RHi≳120%. Vertical wind shear has a smaller effect on most contrail properties than human observers might expect from the visual impression. Our model shows that after a few hours the water vapour removed by falling ice crystals from the contrail layer can be several times higher than the ice mass that is actually present in the contrail at any instance.

  20. Numerical simulations of contrail-to-cirrus transition – Part 1: An extensive parametric study

    S. Unterstrasser

    2010-02-01

    Full Text Available Simulations of contrail-to-cirrus transition over up to 6 h were performed using a LES-model. The sensitivity of microphysical, optical and geometric contrail properties to relative humidity RHi, temperature T and vertical wind shear s was investigated in an extensive parametric study. The dominant parameter for contrail evolution is relative humidity. Substantial spreading is only visible for RHi≳120%. Vertical wind shear has a smaller effect on optical properties than human observers might expect from the visual impression. Our model shows that after a few hours the water vapour removed by falling ice crystals from the contrail layer can be several times higher than the ice mass that is actually present in the contrail at any instance.

  1. Studying the shower front curvature of extensive air showers with the Pierre Auger Observatory

    The shape of the shower front in extensive air showers (EAS) is related to the properties of the primary cosmic ray and to the shower development in the atmosphere. In particular the radius of curvature for ultra high energy cosmic rays (above 1018 eV) can be estimated using the large statistics of events collected by the Pierre Auger Observatory. The Observatory, located in Malargue (Argentina), consists of a Surface Detector (SD) and a Fluorescence Detector (FD) that can be combined in a hybrid detection mode providing precise measurements of the geometry and the energy of the primary particle. The surface detectors sample the lateral distribution and the arrival time of particles at the ground. These information are used to study the curvature of the shower front and its dependence on shower parameters. Results and implications for the reconstruction are discussed.

  2. Experimental study of the time structure of the muon component of Extensive Air Showers

    By using the Triggerlayer and the Multiwire Proportional Chambers of the Central Detector of the KASCADE experiment muons with an energy threshold of 2.4 GeV are measured in Extensive Air Showers. The arrival times of these muons measured with the Triggerlayer are examined whether they can give information about the shower development and the shower inducing primary. Detailed simulation studies are prepared, and special attention is put on the understanding of the detector response. By use of the arrival time of the first registered muon as a reference time, a strong dependency of the measured arrival times on the multiplicity of the muons is reviled. A procedure for the correction of this dependency is presented and checked for its usefulness. Altogether a very good agreement of the simulations with the measured data is observed. (orig.)

  3. Development of EULAR recommendations for the reporting of clinical trial extension studies in rheumatology

    Buch, Maya H; Silva-Fernandez, Lucia; Carmona, Loreto;

    2015-01-01

    OBJECTIVES: Our initiative aimed to produce recommendations on post-randomised controlled trial (RCT) trial extension studies (TES) reporting using European League Against Rheumatism (EULAR) standard operating procedures in order to achieve more meaningful output and standardisation of reports....... METHODS: We formed a task force of 22 participants comprising RCT experts, clinical epidemiologists and patient representatives. A two-stage Delphi survey was conducted to discuss the domains of evaluation of a TES and definitions. A '0-10' agreement scale assessed each domain and definition...... provide the rheumatology community with a more accurate and meaningful output from future TES, enabling better understanding and more confident application in clinical practice towards improving patient outcomes....

  4. Knee MRI study of normal cruciate ligaments comparing the flexion images with the extension images : preliminary study

    As a baseline study for clinical application, we investigated MRI findings of normal cruciate ligaments in the knee being flexed as compared to those in the knee being extended. Seven asymptomatic volunteers were studied. Knee MRI was performed with a 1.5 Tesla unit using a dual 3 inch coil. In the decubitus position, sagittal scanning was performed with the knee in extension, and subsequently, in flexion. We observed the shape and signal intensity of both cruciate ligaments, and measered the angles between the long axis of the femur and ligaments, and the ligament dimensions in extension and flexion images. As flexion and extension images were compared, cruciate ligaments differed both in their apppearance and dimensions. With flexion, joint space was widened, PCL became straightened and the signal intensity of ACL became homogeneously low; both curciate ligaments became longer and thinner. These MRI findings were statistically signifacant except for thinning of PCL. MRI appearance and the dimensions of cruciate ligaments were different in the fiexed knee as compared to those in the extended knee

  5. Study of muon bundles from extensive air showers with the ALICE detector at CERN LHC

    Shtejer, K.

    2016-05-01

    ALICE is one of four large experiments at the CERN Large Hadron Collider, specially designed to study particle production in ultra-relativistic heavy-ion collisions. Located 52 meters underground with 28 meters of overburden rock, it has also been used to detect muons produced by cosmic-ray interactions in the upper atmosphere. The large size and excellent tracking capability of the ALICE Time Projection Chamber are exploited to study the muonic component of extensive air showers. We present the multiplicity distribution of these atmospheric muons and its comparison with Monte Carlo simulations. The latest version of the QGSJET hadronic interaction model was used to simulate the development of the resulting air showers. High multiplicity events containing more than 100 reconstructed muons were also studied. Similar events have been studied in previous underground experiments such as ALEPH and DELPHI at LEP without satisfactory explanations for the frequency of the highest multiplicity events. We demonstrate that the high muon-multiplicity events observed in ALICE stem from primary cosmic rays with energies above 1016 eV and that the frequency of these events can be successfully described by assuming a heavy mass composition of primary cosmic rays in this energy range.

  6. Climate Change and the Extension of the Ozone Season in the United States: Extreme Case Studies

    Wang, Y.; Zhang, Y.; Zeng, T.; Song, Y.

    2014-12-01

    Summer (June-September) is usually considered as the season for high ozone. Owing to the emission reduction, long-term EPA surface ozone records show a decreasing trend during the summer over the US. However, the records also reveal increasing trends of concentration and variation of ozone during the spring and the fall in many regions of the US, indicating an extension of the ozone season. Here we analyze two cases of high monthly mean extremes over the Southeast: May 2007 and October 2011.We conduct a series of model simulation using the Regional chEmical trAnsport Model (REAM). Although doing a reasonably good job in general, the regional chemical transport model tends to underestimate the ozone by ~ 10 ppbv when relative humidity is low, indicating that a mechanism linking ozone and relative humidity is not represented in the model. The correlation between ozone and relative humidity is verified using 30-year ozone and meteorological data. Previous phytological studies in a controlled environment suggest that the stress under low humidity can stimulate trees to release more biogenic isoprene and this mechanism is not yet included in current biogenic emission algorithms such as MEGAN. Inclusion of this mechanism in the REAM model improves the model performance in the extreme years. We suggest that a drier condition in the future may be a key factor for the extension of the ozone season through the feedback of relative humidity on isoprene emissions. This feedback will also affect the production of secondary organic aerosols from isoprene oxidation.

  7. An investigation of impact of Brand Extension on Parent Brand Image: A case study of Johnson, UK

    Muhammad Shakil Ahmad

    2011-05-01

    Full Text Available Purpose of study: The main purpose of this study is to investigate the impact of brand extensions on parent brand image. For this purpose Johnson is selected as parent brand for current study. The selected brand extensions are Johnson shampoo, Johnson’s isotonic drinks, Johnson’s sportswear and Johnson’s suntan lotion. Research Methodology: sample was selected from Bradford, UK. Sample consists of consumer of Johnson including males as well as female. Total sample size is 250 and data was collected through self administered questionnaires. Convenience sampling was selected as sampling technique. Results: Correlation analysis indicated negative impact of brand extension on parent brand image if brand extension is done in different brand categories. Perceived brand quality and perceived brand fit of the extension also affect the parent brand image. Conclusion: It is concluded that if brand extension is done in the same product category of parent brand then there is possibly high acceptance for the brand extension rather than in the different product categories.

  8. Developing Sustainable Farmer-Led Extension Groups: Lessons from a Bangladeshi Case Study

    Islam, Md. Mofakkarul; Gray, David; Reid, Janet; Kemp, Peter

    2011-01-01

    The limited effectiveness and fiscal unsustainability of professional-led public sector extension systems in developing countries have aroused considerable interest in Farmer-led Extension (FLE) approaches in the recent decades. A key challenge facing these initiatives is a lack of sustainability of the farmer groups developed through project or…

  9. Study protocol: Audit and Best Practice for Chronic Disease Extension (ABCDE Project

    Thompson Sandra

    2008-09-01

    Full Text Available Abstract Background A growing body of international literature points to the importance of a system approach to improve the quality of care in primary health care settings. Continuous Quality Improvement (CQI concepts and techniques provide a theoretically coherent and practical way for primary care organisations to identify, address, and overcome the barriers to improvements. The Audit and Best Practice for Chronic Disease (ABCD study, a CQI-based quality improvement project conducted in Australia's Northern Territory, has demonstrated significant improvements in primary care service systems, in the quality of clinical service delivery and in patient outcomes related to chronic illness care. The aims of the extension phase of this study are to examine factors that influence uptake and sustainability of this type of CQI activity in a variety of Indigenous primary health care organisations in Australia, and to assess the impact of collaborative CQI approaches on prevention and management of chronic illness and health outcomes in Indigenous communities. Methods/design The study will be conducted in 40–50 Indigenous community health centres from 4 States/Territories (Northern Territory, Western Australia, New South Wales and Queensland over a five year period. The project will adopt a participatory, quality improvement approach that features annual cycles of: 1 organisational system assessment and audits of clinical records; 2 feedback to and interpretation of results with participating health centre staff; 3 action planning and goal setting by health centre staff to achieve system changes; and 4 implementation of strategies for change. System assessment will be carried out using a System Assessment Tool and in-depth interviews of key informants. Clinical audit tools include two essential tools that focus on diabetes care audit and preventive service audit, and several optional tools focusing on audits of hypertension, heart disease, renal

  10. Probabilistic safety assessment precursor studies in support of the NRU research reactor life extension

    A probabilistic safety assessment program is being undertaken in support of a major upgrade planned for the NRU research reactor at the Chalk River Laboratories of Atomic Energy of Canada Limited (AECL) Research. This paper describes the objectives of the program and discusses the safety issues against which the success of the upgrade program is being judged. A licensing basis for the reactor in the form of detailed safety goals and release criteria as a function of event frequency has been proposed. An allowance has been made in the setting of the release criteria as a function of frequency such that the summing of event sequences is not a requirement to demonstrate compliance. The ability to assess each individual sequence that leads to core damage and/or fission-product release from confinement against these release criteria has, to a large extent, dictated the character of the supporting safety analyses. To identify the release frequencies in accident sequences, a probabilistic assessment comprising a number of probabilistic precursor studies is being undertaken. Descriptive event sequences are being used extensively in these studies to complement the more traditional event/fault tree techniques, to - ensure that operating and maintenance staff are involved in their preparation. Details of the program, assessment basis, and the analysis techniques being used in support of the assessment are given. (author). 4 refs, 3 figs

  11. A 1-year study to compare the hemostatic effects of oral contraceptive containing 20 microg of ethinylestradiol and 100 microg of levonorgestrel with 30 microg of ethinylestradiol and 100 microg of levonorgestrel

    Jespersen, Jørgen; Endrikat, Jan; Düsterberg, Bernd;

    2005-01-01

    OBJECTIVES: To comparatively evaluate the impact of a balanced one-third dose-reduced oral contraceptive on hemostatic variables. METHODS: In an open-label, randomized study, a dose-reduced oral contraceptive containing 20 microg of ethinylestradiol (EE) and 100 microg of levonorgestrel (LNG) was...

  12. Supervised extensions of chemography approaches: case studies of chemical liabilities assessment.

    Ovchinnikova, Svetlana I; Bykov, Arseniy A; Tsivadze, Aslan Yu; Dyachkov, Evgeny P; Kireeva, Natalia V

    2014-01-01

    Chemical liabilities, such as adverse effects and toxicity, play a significant role in modern drug discovery process. In silico assessment of chemical liabilities is an important step aimed to reduce costs and animal testing by complementing or replacing in vitro and in vivo experiments. Herein, we propose an approach combining several classification and chemography methods to be able to predict chemical liabilities and to interpret obtained results in the context of impact of structural changes of compounds on their pharmacological profile. To our knowledge for the first time, the supervised extension of Generative Topographic Mapping is proposed as an effective new chemography method. New approach for mapping new data using supervised Isomap without re-building models from the scratch has been proposed. Two approaches for estimation of model's applicability domain are used in our study to our knowledge for the first time in chemoinformatics. The structural alerts responsible for the negative characteristics of pharmacological profile of chemical compounds has been found as a result of model interpretation. PMID:24868246

  13. An Application Domain Extension to CityGML for immovable property taxation: A Turkish case study

    Çağdaş, Volkan

    2013-04-01

    It is generally acknowledged that immovable property taxes are one of the main revenue sources for local government. The literature emphasizes that the administration of property taxes needs well-developed inventories or registers that provide complete and accurate records of the taxed properties and their legal-economic attributes. This requirement is generally fulfilled by Spatial Data Infrastructures (SDIs) in which the coordinate exchange and sharing of geo-spatial data is provided by separate registers/information systems such as: cadastral systems, building and address registers. Recently, the Open Geospatial Consortium presented a core component of a 3D SDI in the form of an international domain standard for representing, storing and exchanging 3D city models. The CityGML allows the semantic and 3D geometrical representation of physical objects but does not deal with the legal and administrative aspects of the city objects which are required for the process of property taxation. This paper outlines the development of an Application Domain Extension (ADE) for the immovable property taxation domain that expands the CityGML data model with the legal and administrative concepts defined in Turkish Law. The study shows that this ADE could be a 3D national data model for municipal information systems and facilitate a more efficient taxation process, as well as providing data for urban planning, facility management and other municipal services.

  14. Work Productivity and Healthcare Resource Utilization Outcomes for Patients on Etanercept for Moderate-to-Severe Plaque Psoriasis: Results from a 1-Year, Multicentre, Open-Label, Single-Arm Study in a Clinical Setting

    Ronald Vender; Charles Lynde; Vincent Ho; Dina Chau; Melanie Poulin-Costello

    2012-01-01

    Background:Background: Data investigating the effect of etanercept on work productivity and healthcare resource utilization in Canadian patients in a clinical setting is limited. Abstract: Objective:Objective: The aim of the study was to describe work productivity and healthcare resource utilization in patients with psoriasis prescribed etanercept. Abstract: Methods:Methods: A 12-month, phase IV, non-randomized, multicentre, open-label, single-arm prospective trial of patients with moderate-t...

  15. Erosive progression is minimal, but erosion healing rare, in rheumatoid arthritis patients treated with adalimumab. A 1 year investigator-initiated follow-up study using high-resolution computed tomography as the primary outcome measure

    Møller Døhn, Uffe; Boonen, Annelies; Hetland, Merete Lund;

    2008-01-01

    -grade radiographic erosions in the wrist or metacarpophalangeal (MCP) joints in the same (index) hand, initiated adalimumab 40 mg sc. eow. Thirty-five patients completed the study (median age 61 years (range 19-86), disease duration 8 years (0-36)). CT of index wrist and MCP2-5 and radiographs of hands and forefeet...... were obtained at baseline, 6 and 12 months. Images were evaluated blinded to chronology and clinical data, and assessed according to Sharp/van der Heijde (radiographs) and OMERACT RA MRI scoring (CT) methods. RESULTS: All investigated parameters of disease activity had decreased at 6 and 12 months (P<0...

  16. Level of agreement between self-rated and clinician-rated instruments when measuring major depressive disorder in the Thai elderly: a 1-year assessment as part of the THAISAD study

    Wongpakaran N

    2014-02-01

    Full Text Available Nahathai Wongpakaran,1 Tinakon Wongpakaran,1 Kamonporn Wannarit,2 Nattha Saisavoey,2 Manee Pinyopornpanish,1 Peeraphon Lueboonthavatchai,3 Nattaporn Apisiridej,4 Thawanrat Srichan,5 Ruk Ruktrakul,5 Sirina Satthapisit,6 Daochompu Nakawiro,7 Thanita Hiranyatheb,7 Anakevich Temboonkiat,8 Namtip Tubtimtong,9 Sukanya Rakkhajeekul,9 Boonsanong Wongtanoi,10 Sitthinant Tanchakvaranont,11 Putipong Bookkamana,12 Usaree Srisutasanavong,1 Raviwan Nivataphand,3 Donruedee Petchsuwan4 1Faculty of Medicine, Chiang Mai University, Chiang Mai, Kingdom of Thailand; 2Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Kingdom of Thailand; 3Faculty of Medicine, Chulalongkorn University, Bangkok, Kingdom of Thailand; 4Trang Hospital, Trang, Kingdom of Thailand; 5Lampang Hospital, Lampang, Kingdom of Thailand; 6Khon Kaen Hospital, Khon Kaen, Kingdom of Thailand; 7Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Kingdom of Thailand; 8Phramongkutklao Hospital, Bangkok, Kingdom of Thailand; 9Faculty of Medicine Naresuan University, Pitsanulok, Kingdom of Thailand; 10Srisangwal Hospital, Mae Hong Son, Kingdom of Thailand; 11Queen Savang Vadhana Memorial Hospital, Chonburi, Kingdom of Thailand; 12Faculty of Science, Chiang Mai University, Chiang Mai, Kingdom of Thailand Purpose: Whether self-reporting and clinician-rated depression scales correlate well with one another when applied to older adults has not been well studied, particularly among Asian samples. This study aimed to compare the level of agreement among measurements used in assessing major depressive disorder (MDD among the Thai elderly and the factors associated with the differences found. Patients and methods: This was a prospective, follow-up study of elderly patients diagnosed with MDD and receiving treatment in Thailand. The Mini International Neuropsychiatric Inventory (MINI, 17-item Hamilton Depression Rating Scale (HAMD-17, 30-item Geriatric Depression Scale (GDS-30

  17. An investigation of impact of Brand Extension on Parent Brand Image: A case study of Johnson, UK

    Muhammad Shakil Ahmad; Amer Rajput; Ehtesham ul Mujeeb; Hafiz Abid Hussain

    2011-01-01

    Purpose of study: The main purpose of this study is to investigate the impact of brand extensions on parent brand image. For this purpose Johnson is selected as parent brand for current study. The selected brand extensions are Johnson shampoo, Johnson’s isotonic drinks, Johnson’s sportswear and Johnson’s suntan lotion. Research Methodology: sample was selected from Bradford, UK. Sample consists of consumer of Johnson including males as well as female. Total sample size is 250 and data was c...

  18. Extension of the quantum hadrodynamics theory for the pairing relativistic study in the nuclear matter

    In this work it is proposed an extension of the relativistic Quantum Hadrodynamic theory (QHD) to the study of nucleonic pairing in nuclear matter. The work follows the usual formulation of QHD by describing the NN-interaction in terms of mean fields either for the usual self-energy, Σ, or the pairing energy, Δ. The equations of the fields are obtained in terms of the exact nucleon propagators which are expanded up to the first order in the NN-interaction, defining the self-consistent Hartree-Fock-Bogoliubov (HFB) approximation for Σ and Δ. This approach represents an improvement over the old non-relativistic formulations in the sense that it allows for a simultaneous description of many nuclear matter properties as the saturation point, the effective mass of the nucleon, the energy gap in the sp-spectrum, etc., in a consistent fashion, by considering only the hadronic degrees of freedom, what that is, the nucleons interacting in nuclear matter through the exchange of mesons. The resulting mean field energies, Σ and Δ, have large components in the Lorentz space, which adequately cancel each other in the expressions of either the energy per nucleon or the gap parameter, so that resulting values of these quantities agree with the experimental data. Although the gap parameter can be adequately estimated with non-relativistic models, in terms of two nucleon interactions, the saturation point of nuclear matter cannot be. The appealing feature of the present model is its rather simple fundamental formulation in terms of hadronic degrees of freedom and the usual HFB approximation to the many-body field theory, which points toward future improvements as would be obtained with a self-consistent Brueckner-HF approximation. (author). 102 refs., 39 figs., 9 tabs

  19. Spatial Double Generalized Beta Regression Models: Extensions and Application to Study Quality of Education in Colombia

    Cepeda-Cuervo, Edilberto; Núñez-Antón, Vicente

    2013-01-01

    In this article, a proposed Bayesian extension of the generalized beta spatial regression models is applied to the analysis of the quality of education in Colombia. We briefly revise the beta distribution and describe the joint modeling approach for the mean and dispersion parameters in the spatial regression models' setting. Finally, we…

  20. A study on the optimization of plant life extension and decommissioning for the improvement of economy in nuclear power plant

    Shin, Jae In; Jung, K. J.; Chung, U. S.; Baik, S. T.; Park, S. K.; Lee, D. G.; Kim, H. R.; Park, B. Y

    2000-01-01

    Fundamentals on the plan, the national policy, the safety securities for the life extension of the nuclear power plant was established from the domestic/abroad documents and case studies in relation with the life extension and decommissioning of the nuclear power plant. Concerning the decommissioning of the nuclear power plant, the management according to decommissioning stages was analyzed by the investigation of the domestic/abroad standard of the decommissioning (decontamination. dismantling) technology and regulation. Moreover, the study on the cost estimation method has been carried out for the decommissioning of the nuclear power plant. (author)

  1. A study on the optimization of plant life extension and decommissioning for the improvement of economy in nuclear power plant

    Fundamentals on the plan, the national policy, the safety securities for the life extension of the nuclear power plant was established from the domestic/abroad documents and case studies in relation with the life extension and decommissioning of the nuclear power plant. Concerning the decommissioning of the nuclear power plant, the management according to decommissioning stages was analyzed by the investigation of the domestic/abroad standard of the decommissioning (decontamination. dismantling) technology and regulation. Moreover, the study on the cost estimation method has been carried out for the decommissioning of the nuclear power plant. (author)

  2. Choking first aid - adult or child over 1 year - slideshow

    ... page: //medlineplus.gov/ency/presentations/100222.htm Choking first aid - adult or child over 1 year - series—Part ... occur in as little as 4 minutes. Rapid first aid for choking can save a life. The universal ...

  3. Choking first aid - infant under 1 year - slideshow

    ... page: //medlineplus.gov/ency/presentations/100221.htm Choking first aid - infant under 1 year - series—Part 1 To ... Loss of consciousness if blockage is not cleared FIRST AID 1. DO NOT perform these steps if the ...

  4. Applications of Extensive Green-roof Systems in Contributing to Sustainable Development in Densely Populated Cities: a Hong Kong Study

    Vivian W. Y. Tam

    2011-03-01

    Full Text Available Developed cities such as Hong Kong are usually densely populated. Since the land is limited, high-rise buildings are constructed. When the building height becomes higher, air flow is reduced and heat is trapped among high-rise buildings. Air temperature will be greatly increased and air pollution becomes a serious problem. This creates a walled building problem. To reduce air temperature caused by the wall-effects, various methods have been developed in the previous studies. One typical method is the use of green roof systems. The application of extensive green roofs on the existing building rooftops has been recommended in Hong Kong since 2001. The advantage of this practice is that no additional floor area is required and it can also improve urban greenery. Although a green roof system has been introduced and adopted in Hong Kong since 2001, the emphasis is mainly given to the application of intensive green roofs for podium garden instead of extensive green roofs. It is considered valuable and necessary of the extensive green roofs for the buildings. This paper investigates the current practice of using extensive green roofs in Hong Kong. The constraints in applying extensive green roofs are investigated, which leads to studying the solutions for mitigating these constraints and improving the future development of the implementation.

  5. Human resource development for a community-based health extension program: a case study from Ethiopia

    Teklehaimanot, Hailay D; Teklehaimanot, Awash

    2013-01-01

    Introduction Ethiopia is one of the sub-Saharan countries most affected by high disease burden, aggravated by a shortage and imbalance of human resources, geographical distance, and socioeconomic factors. In 2004, the government introduced the Health Extension Program (HEP), a primary care delivery strategy, to address the challenges and achieve the World Health Organization Millennium Development Goals (MDGs) within a context of limited resources. Case description The health system was refor...

  6. Repair of an Extensive Furcation Perforation with CEM Cement: A Case Study

    Eghbal, Mohammad Jafar; Fazlyab, Mahta; Asgary, Saeed

    2013-01-01

    Iatrogenic perforation of the furcation area in multi-rooted molars during preparation of the access cavity can potentially lead to tooth extraction. The present case report describes the nonsurgical endodontic management of an extensive pulp chamber floor perforation in a first mandibular molar with calcium enriched mixture (CEM) cement. The perforation was chemically cleaned and then physically sealed with CEM cement. Root canal therapy was completed and the tooth was then restored with ama...

  7. EXTENSION THROUGH ANALOGY A USEFUL METHOD IN THE STUDY OF DISPARITIES

    Viorica PUSCACIU

    2006-01-01

    Full Text Available The method of extension through analogy is, in our view, useful for comparisons between miscellaneous economical indicators belonging to the same structure, also between indicators which belongs to various economical areas like cities, regions, countries. Taking into account Romania’s admission to the European Union, this method would establish the extant temporary disparities and would impress those responsible in the political economy. As a novelty we present it inthe context of square trends.

  8. Controlled categorisation processing in brand extension evaluation by Indo-European language speakers. An ERP study.

    Fudali-Czyż, Agnieszka; Ratomska, Marta; Cudo, Andrzej; Francuz, Piotr; Kopiś, Natalia; Tużnik, Przemysław

    2016-08-15

    The purpose of our experiment was to test event-related potentials (ERP) accompanying the process of brand extension evaluation in people speaking Indo-European languages. The experimental procedure consisted of sequential presentations of pairs of stimuli; namely, a beverage brand name and a product name. The products fell into the category of beverages (congruent trials) or clothes (incongruent trials). In the response condition (RC), the participants decided whether they accepted the product as an extension of the brand. In the no-response condition (NRC), the participants' task was to attend the stimuli and try to remember them. In the response condition, the amplitudes of the N270, P300 and N400 components were sensitive to incongruence between the product category and the previously presented brand. However, in the no-response condition, differences emerged only at the level of early P1 and P2 components. Our results suggest that, in people speaking one of the Indo-European languages, the process of categorisation in brand extension evaluation is not automatic. PMID:27289044

  9. Parametric study of variable renewable energy integration in Europe: Advantages and costs of transmission grid extensions

    Wind and solar energy will play an important role in the decarbonization of the European electricity generation. However, high shares of these variable renewable energies (VREs) challenge the power system considerably due to their temporal fluctuations and geographical dispersion. In this paper, we systematically analyze transmission grid extensions as an integration measure for VREs in Europe. We show the effects of grid extensions for fundamental properties of the power system as a function of the penetration and mix of wind and solar energy. Backup capacity requirements and overproduction are reduced with a powerful overlay transmission grid. We determine the costs of the grid extensions in dependence of the VRE penetration and mix and find that the grid integration costs remain below 25% of the VRE investment costs for all conceivable VRE configurations. Furthermore, robust design features of future power systems in terms of grid geometry and flexibility requirements for backup technologies are identified. We apply a spatially and temporally highly resolved techno-economic model of the European power system for our analysis. - Highlights: ► Quantification of the advantages and costs of a European overlay transmission grid. ► Grid integration costs for VREs in Europe remain below 6€/MWh. ► Application of a detailed power system model to a wide parameter space.

  10. Detailed studies of the electron lateral distribution in extensive air showers with energies around 10(16) eV

    Dzikowski, T.; Gawin, J.; Wdowczyk, J.

    1984-01-01

    Detailed studies have been performed of the electron lateral distribution in extensive air showers using the Lodz extensive air shower array. The showers were grouped according to their particle densities around 20 m from the core. The grouping was made in very narrow intervals of the densities. For every group of showers and for every distance interval /changing by 5 m/ histograms of the numbers of electron counters discharged have been obtained. The trays of G.M counters were located at following distances from the center of the triggering detectors array: 16 m, 76 m, 117 m, 137 m, 141 m and 147 m.

  11. Relationship of moderate and low isometric lumbar extension through architectural and muscular activity variables: a cross sectional study

    No study relating the changes obtained in the architecture of erector spinae (ES) muscle were registered with ultrasound and different intensities of muscle contraction recorded by surface EMG (electromyography) on the ES muscle was found. The aim of this study was analyse the relationship in the response of the ES muscle during isometric moderate and light lumbar isometric extension considering architecture and functional muscle variables. Cross-sectional study. 46 subjects (52% men) with a group mean age of 30.4 (±7.78). The participants developed isometric lumbar extension while performing moderate and low isometric trunk and hip extension in a sitting position with hips flexed 90 degrees and the lumbar spine in neutral position. During these measurements, electromyography recordings and ultrasound images were taken bilaterally. Bilaterally pennation angle, muscle thickness, torque and muscle activation were measured. This study was developed at the human movement analysis laboratory of the Health Science Faculty of the University of Malaga (Spain). Strong and moderate correlations were found at moderate and low intensities contraction between the variable of the same intensity, with correlation values ranging from 0.726 (Torque Moderate – EMG Left Moderate) to 0.923 (Angle Left Light – Angle Right Light) (p < 0.001). This correlation is observed between the variables that describe the same intensity of contraction, showing a poor correlation between variables of different intensities. There is a strong relationship between architecture and function variables of ES muscle when describe an isometric lumbar extension at light or moderate intensity

  12. Standardization of doctoral study in agricultural and extension education: is the field of study mature enough for achievement of the optimum degree of order?

    Briers, G E; Lindner, J R; Shinn, G C; Wingenbach, G W; Baker, M T

    2010-01-01

    Agricultural and extension education--or some derivative name--is a field of study leading to the doctoral degree in universities around the world. Is there are body of knowledge or a taxonomy of the knowledge--e.g., a knowledge domain--that one should possess with a doctorate in agricultural and extension education? The purpose of this paper was to synthesize the work of researchers who attempted to define the field of study, with a taxonomy comprising the knowledge domains (standards) and knowledge objects--structured interrelated sets of data, knowledge, and wisdom--of the field of study. Doctoral study in agricultural and extension education needs a document that provides for rules and guidelines--rules and guidelines that in turn provide for common and repeated use--all leading to achievement of an optimum degree of order in the context of academic, scholarly, and professional practice in agricultural and extension education. Thus, one would know in broad categories the knowledge, skills, and abilities possessed by one who holds a doctoral degree in agricultural and extension education. That is, there would exist a standard for doctoral degrees in agricultural and extension education. A content analysis of three previous attempts to categorize knowledge in agricultural and extension education served as the primary technique to create a new taxonomy--or to confirm an existing taxonomy--for doctoral study in agricultural and extension education. The following coalesced as nine essential knowledge domains for a doctorate in agricultural and extension education: (1) history, philosophy, ethics, and policy; (2) agricultural/rural development; (3) organizational development and change management; (4) planning, needs assessment, and evaluation; (5) learning theory; (6) curriculum development and instructional design; (7) teaching methods and delivery strategies; (8) research methods and tools; and, (9) scholarship and communications. PMID:20491409

  13. Study of extensive air showers with the EAS-BARS pilot setup

    To investigate into spectrum of the extensive air showers (EAS) within its breakdown region one designed and constructed BARS-EAS pilot setup. It consists of eight scintillation counters. Two central counters are placed on the case of a liquid-argon spectrometer. Total recording area of the BARS-EAS setup is equal to 104 m2. Conditions to select events are as follows: 6-fold coincidences, excess of the total energy release in 50 GeV value spectrometer. Besides, distance from shower axis up to spectrometer centre should be maximum 10 m. One estimated accuracy of restoration of EAS parameters

  14. On application of non—extensive statistical mechanics to studying ecological diversity

    Van Xuan, Le; Lan, Nguyen Tri; Viet, Nguyen Ai

    2016-06-01

    The concept of Tsallis entropy provides an extension of thermodynamics and statistical physics. In the ecology, Tsallis entropy is proposed to be a new class of diversity indices Sq which covers many common diversity indices found in ecological literature. As a new statistical model for the Whittaker plots describing species abundance distribution, the truncated exponential distribution is used to calculate the diversity and evenness indices. The obtained results in new model are graphically compared with those in previous publication in the same field of interests, and shows a good agreement. A further development of a thermodynamic theory of ecological systems that is consistent with entropic approach of statistical physics is motivated.

  15. Extension of minimal fermionic dark matter model: a study with two Higgs doublet model

    Dutta Banik, Amit; Majumdar, Debasish [Saha Institute of Nuclear Physics, Astroparticle Physics and Cosmology Division, Kolkata (India)

    2015-08-15

    We explore a fermionic dark matter model with a possible extension of Standard Model of particle physics into two Higgs doublet model. Higgs doublets couple to the singlet fermionic dark matter through a non-renormalisable coupling providing a new physics scale. We explore the viability of such dark matter candidate and constrain the model parameter space by collider serach, relic density of DM, direct detection measurements of DM-nucleon scattering cross-section and with the experimentally obtained results from indirect search of dark matter. (orig.)

  16. Safety of a new extensively hydrolysed formula in children with cow's milk protein allergy: a double blind crossover study

    Schaafsma Anne

    2002-10-01

    Full Text Available Abstract Background Formulae for infants with cow's milk protein allergy (CMA should be based on extensively hydrolysed protein. 'Extensively' however is not strictly defined. Differences in molecular weight and peptide chain length may affect its clinical outcome. We studied the safety of a new extensively hydrolysed casein based formula (Frisolac Allergycare®: FAC for children with IgE mediated CMA. Methods Thirty children, aged 1.5 – 14.8 years old (median 4.9 years with persistent CMA were enrolled in this double-blind reference product (Nutramigen®: NUT controlled crossover study. All had positive skin prick tests (SPT and IgE mediated allergy, showing immediate reactions after ingestion of small amounts of milk. Twenty-five children also had positive radio allergen sorbent tests (RAST to cow's milk. Formulae provided consisted of 80% elementary formula in combination with 20% reference or test product. Crossover periods lasted for two weeks. From both products molecular weight (MALDI-TOF method and HPLC and peptide chain length distribution (adapted Edman degradation were determined. Results Maximum molecular weights of NUT and FAC are 2.1 and 2.56 kDa, respectively. The contribution of free amino acids and small peptides Conclusions The new extensively hydrolysed casein-based formula (FAC can safely be used in children with IgE mediated cow's milk allergy.

  17. Alternative grafts for brachioaxillary hemodialysis access: 1-year comparative results

    Sergio Quilici Belczak

    2015-06-01

    Full Text Available BACKGROUND: Many chronic renal patients lack autologous veins in the upper limbs suitable for construction of arteriovenous fistulas for hemodialysis. Alternative fistula options for these patients should be evaluated and compared.OBJECTIVE: To compare different types of grafts used for brachioaxillary access in hemodialysis patients in terms of their patency and complication rates.METHOD: Forty-nine patients free from arterial system abnormalities and with no venous options for creation of arteriovenous fistulae in the arm and/or forearm underwent brachioaxillary bypass with implantation of autologous saphenous vein, polytetrafluoroethylene (PTFE, or PROPATEN(r grafts. Patients were assessed by Doppler ultrasonography at 3, 6, and 12 months after surgery,.RESULTS: The four first saphenous vein grafts had failed by 3 or 6 months after surgery. The autologous saphenous vein group was discontinued at the beginning of the study because of extreme difficulty in achieving puncture and hematoma formation. Failure rates of PTFE and PROPATEN(r grafts did not differ after 3 (p = 0.559, 6 (p = 0.920, or 12 months (p = 0.514. A log-rank test applied to cumulative survival of grafts at 1 year (0.69 for PTFE, 0.79 for PROPATEN(r detected no significant differences (p = 0.938. There were no differences in complications resulting in graft failure between the two types of prosthetic graft.CONCLUSION: Autologous saphenous vein grafts do not appear to be a good option for brachioaxillary hemodialysis access because of difficulties with achieving puncture. Brachioaxillary fistulae constructed using PTFE or PROPATEN(r grafts exhibited similar patency and complication rates. Further studies with large samples size are warranted to confirm our findings.

  18. Study on Security Management System of Construction Enterprises in Evaluation and Pre-alarm According to Extension Theory

    Zhang Limei; Liu Weiran; Fan Meng; Du Shoujun

    2013-01-01

    Safety is the most important problem to construction enterprises and the influent factors about safety are too many and complicated. Considering that the safety problems of construction enterprise are difficult to determine promptly and intuitively by current safety management evaluation methods, extension theory was used to study security management evaluate and warning system of construction enterprises in this study. Firstly, based of construction safety inspection experiences, security le...

  19. Study on the muon component of extensive air showers by means of the underground magnetic spectrometer

    Kulikov, G.V.; Rozhdestvenskij, S.M.; Solov' eva, V.I.; Khrenov, B.A.; Khristiansen, G.B.; Vdovchik, E.; Olejnichak, Ya. (Lodz Univ. (Poland). Inst. Fizyki; Moskovskij Gosudarstvennyj Univ. (USSR). Nauchno-Issledovatel' skij Inst. Yadernoj Fiziki)

    1980-01-01

    Muon component of extensive air-showers (EAS) was measured by means of a magnetic spectrometer placed at a depth of 40 m w.e. in the center of the MSU complex facility. Given are data on the density of the muon component with different threshold energy in EAS with the particle quantity N=2x10/sup 5/, muon energy spectrum as a whole in EAS as well as the most interesting space-energy characteristics of the muon component. Experimental data are most close to theoretical obtained from the calculation according to the model of high multiplicity in the case of the standard composition of primary radiation. Tendency to the increase in the steepness of the energy spectrum with the growth of muon energy is noted. In the energy range E=100-500 ueV the index of energy spectrum ..gamma..=1.8+-0.15.

  20. Study on the muon component of extensive air showers by means of the underground magnetic spectrometer

    Muon component of extensive air-showers (EAS) was measured by means of a magnetic spectrometer placed at a depth of 40 m w.e. in the center of the MSU complex facility. Given are data on the density of the muon component with different threshold energy in EAS with the particle quantity N=2x105, muon energy spectrum as a whole in EAS as well as the most interesting space-energy characteristics of the muon component. Experimental data are most close to theoretical obtained from the calculation according to the model of high nultiplicity in the case of the standard composition of primary radiation. Tendency to the increase in the steepness of the energy spectrum with the growth of muon energy is noted. In the energy range E=100-500 ueV the index of energy spectrum ν=1.8+-0.15

  1. First-principles study of extensive dopants in wurtzite ZnO

    Huang, Gui-Yang; Wang, Chong-Yu; Wang, Jian-Tao

    2010-01-01

    Based on comprehensive calculations of the transition energy levels for extensive dopant substitutional (H, Li, Na, K, Ag, B, Al, Ga, In, N, P, As, Sb, Bi, F, Cl, Br, I), we illustrate and check the validity of the first-principle calculations based on GGA and GGA+ U correction method. The results indicate that there still exist large limits for quantitative correct results of first-principle calculations. Nevertheless, some qualitative useful information can be obtained by such calculations. Based on our calculation results, LiZn, NaZn, KZn, NZn and AgZn have the shallowest transition energy level (0/1-) for p-type doping, from shallow to deep.

  2. [Extensive excision of fixed cancers of the colon. A retrospective study of 44 cases].

    Le Treut, Y P; Bozon-Verduraz, E; Sabiani, P; Maillet, B; Bricot, R

    1986-01-01

    Out of 268 resections for colonic carcinoma, 44 were extended because of an involvement to adjacent tissues or organs. Abdominal wall (14 cases), vesical dome (12 cases) and small bowel (11 cases) were most frequently resected. Post-operative mortality (15.9%) and five years survival rates (57.5%) of this radical procedures do not significantly differ compared to results after conventional procedures (15.3 and 64.3% respectively). Carcinomatous adhesions are difficult to distinguish from inflammatory ones at the time of laparotomy. They were found in 47% of the specimens only. This had a lesser prognostic significance than lymph nodes involvement. This results are in favour of extensive surgery for locally advanced tumours of the colon. PMID:3771668

  3. Regularized Risk Minimization by Nesterov's Accelerated Gradient Methods: Algorithmic Extensions and Empirical Studies

    Zhang, Xinhua; Vishwanathan, S V N

    2010-01-01

    Nesterov's accelerated gradient methods (AGM) have been successfully applied in many machine learning areas. However, their empirical performance on training max-margin models has been inferior to existing specialized solvers. In this paper, we first extend AGM to strongly convex and composite objective functions with Bregman style prox-functions. Our unifying framework covers both the $\\infty$-memory and 1-memory styles of AGM, tunes the Lipschiz constant adaptively, and bounds the duality gap. Then we demonstrate various ways to apply this framework of methods to a wide range of machine learning problems. Emphasis will be given on their rate of convergence and how to efficiently compute the gradient and optimize the models. The experimental results show that with our extensions AGM outperforms state-of-the-art solvers on max-margin models.

  4. Lateral density and arrival time distributions of Cherenkov photons in extensive air showers: a simulation study

    Hazarika, P; Chitnis, V R; Acharya, B S; Das, G S; Singh, B B; Britto, R

    2014-01-01

    We have investigated some features of the density and arrival time distributions of Cherenkov photons in extensive air showers using different high and low energy hadronic interaction models available in the CORSIKA simulation package. We have found that, for all primary particles, their energies and hadronic interaction model combinations, the density distribution patterns of Cherenkov photons follow the negative exponential function with different coefficients and slopes depending on the type of primary particle, its energy and the type of model combination. Whereas the arrival time distribution patterns of Cherenkov photons follow the function of the form $t (r) = t_{0}e^{\\Gamma/r^{\\lambda}}$, with different values of the function parameters. Flatness of the density distribution increases with decreasing energy and increasing mass of the primary particle. The shift from the spherical shape of the arrival time distribution near the shower core increases with increasing mass of the low energy primary particl...

  5. Site directed spin labeling studies of Escherichia coli dihydroorotate dehydrogenase N-terminal extension

    Couto, Sheila G. [Instituto de Fisica de Sao Carlos, Universidade de Sao Paulo, Av. Trabalhador Sao-carlense 400, C.P. 369, 13560-970, Sao Carlos, SP (Brazil); Grupo de Biofisica e Fisica Aplicada a Medicina, Instituto de Fisica, Universidade Federal de Goias, Campus Samambaia, C.P. 131, 74001-970, Goiania, GO (Brazil); Cristina Nonato, M. [Laboratorio de Cristalografia de Proteinas, Faculdade de Ciencias Farmaceuticas de Ribeirao Preto, Universidade de Sao Paulo, Av. do Cafe S/N, 14040-903, Ribeirao Preto, SP (Brazil); Costa-Filho, Antonio J., E-mail: ajcosta@ffclrp.usp.br [Instituto de Fisica de Sao Carlos, Universidade de Sao Paulo, Av. Trabalhador Sao-carlense 400, C.P. 369, 13560-970, Sao Carlos, SP (Brazil); Departamento de Fisica, Faculdade de Filosofia, Ciencias e Letras de Ribeirao Preto, Av. Bandeirantes 3900, 14040-901, Ribeirao Preto, SP (Brazil)

    2011-10-28

    Highlights: Black-Right-Pointing-Pointer EcDHODH is a membrane-associated enzyme and a promising target for drug design. Black-Right-Pointing-Pointer Enzyme's N-terminal extension is responsible for membrane association. Black-Right-Pointing-Pointer N-terminal works as a molecular lid regulating access to the protein interior. -- Abstract: Dihydroorotate dehydrogenases (DHODHs) are enzymes that catalyze the fourth step of the de novo synthesis of pyrimidine nucleotides. In this reaction, DHODH converts dihydroorotate to orotate, using a flavine mononucleotide as a cofactor. Since the synthesis of nucleotides has different pathways in mammals as compared to parasites, DHODH has gained much attention as a promising target for drug design. Escherichia coli DHODH (EcDHODH) is a family 2 DHODH that interacts with cell membranes in order to promote catalysis. The membrane association is supposedly made via an extension found in the enzyme's N-terminal. In the present work, we used site directed spin labeling (SDSL) to specifically place a magnetic probe at positions 2, 5, 19, and 21 within the N-terminal and thus monitor, by using Electron Spin Resonance (ESR), dynamics and structural changes in this region in the presence of a membrane model system. Overall, our ESR spectra show that the N-terminal indeed binds to membranes and that it experiences a somewhat high flexibility that could be related to the role of this region as a molecular lid controlling the entrance of the enzyme's active site and thus allowing the enzyme to give access to quinones that are dispersed in the membrane and that are necessary for the catalysis.

  6. Seroepidemiological study of Q fever in domestic ruminants in semi-extensive grazing systems

    Atxaerandio Raquel

    2010-01-01

    Full Text Available Abstract Background Q fever, a worldwide zoonotic disease caused by Coxiella burnetii, is endemic in northern Spain where it has been reported as responsible for large series of human pneumonia cases and domestic ruminants' reproductive disorders. To investigate pathogen exposure among domestic ruminants in semi-extensive grazing systems in northern Spain, a serosurvey was carried out in 1,379 sheep (42 flocks, 626 beef cattle (46 herds and 115 goats (11 herds. Serum antibodies were analysed by ELISA and positive samples were retested by Complement Fixation test (CFT to detect recent infections. Results ELISA anti-C. burnetii antibody prevalence was slightly higher in sheep (11.8 ± 2.0% than in goats (8.7 ± 5.9% and beef cattle (6.7 ± 2.0%. Herd prevalence was 74% for ovine, 45% for goat and 43% for bovine. Twenty-one percent of sheep flocks, 27% of goat and 14% of cattle herds had a C. burnetii seroprevalence ≥ 20%. Only 15 out of 214 ELISA-positive animals reacted positive by CFT. Age-associated seroprevalence differed between ruminant species with a general increasing pattern with age. No evidence of correlation between abortion history and seroprevalence rates was observed despite the known abortifacient nature of C. burnetii in domestic ruminants. Conclusions Results reported herein showed that sheep had the highest contact rate with C. burnetii in the region but also that cattle and goats should not be neglected as part of the domestic cycle of C. burnetii. This work reports basic epidemiologic patterns of C. burnetii in semi-extensive grazed domestic ruminants which, together with the relevant role of C. burnetii as a zoonotic and abortifacient agent, makes these results to concern both Public and Animal Health Authorities.

  7. Why don’t they do it? A study on the implementation of extensive reading in Taiwan

    Yi-Cheng Huang

    2015-01-01

    The study aims to verify whether extensive reading (ER) is able to promote senior high school students’ English reading motivation and foster positive attitude towards reading in English. It further explores the teachers’ perceptions of and the challenges faced in the implementation of ER activities. An ER activity was held for 12 weeks with 258 participants from 4 senior high schools in Southern Taiwan. Focus group interviews were then carried out with 72 randomly selected participants, afte...

  8. Safety and Efficacy of Memantine in Children with Autism: Randomized, Placebo-Controlled Study and Open-Label Extension.

    Aman, MG; Findling, RL; Hardan, AY; Hendren, RL; Melmed, RD; Kehinde-Nelson, O; Hsu, HA; Trugman, JM; Palmer, RH; Graham, SM; Gage, AT; Perhach, JL; Katz, E.

    2016-01-01

    Abnormal glutamatergic neurotransmission is implicated in the pathophysiology of autism spectrum disorder (ASD). In this study, the safety, tolerability, and efficacy of the glutamatergic N-methyl-d-aspartate (NMDA) receptor antagonist memantine (once-daily extended-release [ER]) were investigated in children with autism in a randomized, placebo-controlled, 12 week trial and a 48 week open-label extension.A total of 121 children 6-12 years of age with Diagnostic and Statistical Manual of Ment...

  9. Advanced condition monitoring techniques and plant life extension studies at EBR-2

    Numerous advanced techniques have been evaluated and tested at EBR-2 as part of a plant-life extension program for detection of degradation and other abnormalities in plant systems. Two techniques have been determined to be of considerable assistance in planning for the extended-life operation of EBR-2. The first, a computer-based pattern-recognition system (System State Analyzer or SSA) is used for surveillance of the primary system instrumentation, primary sodium pumps and plant heat balances. This surveillance has indicated that the SSA can detect instrumentation degradation and system performance degradation over varying time intervals and can be used to provide derived signal values to replace signals from failed sensors. The second technique, also a computer-based pattern-recognition system (Sequential Probability Ratio Test or SPRT) is used to validate signals and to detect incipient failures in sensors and components or systems. It is being used on the failed fuel detection system and is experimentally used on the primary coolant pumps. Both techniques are described and experience with their operation presented

  10. Study of Thorium-Plutonium Fuel for Possible Operating Cycle Extension in PWRs

    Klara Insulander Björk

    2013-01-01

    Full Text Available Computer simulations have been carried out to investigate the possibility of extending operating cycle length in the Pressurised Water Reactor Ringhals 3 by the use of thorium-plutonium oxide fuel. The calculations have been carried out using tools and methods that are normally employed for reload design and safety evaluation in Ringhals 3. The 3-batch reload scheme and the power level have been kept unchanged, and a normal uranium oxide fuel assembly designed for a 12-month operating cycle in this reactor is used as a reference. The use of plutonium as the fissile component reduces the worth of control rods and soluble boron, which makes it necessary to modify the control systems. The delayed neutron fraction is low compared with the reference, but simulations and qualitative assessments of relevant transients indicate that the reactor could still be operated safely. Differences in reactivity coefficients are mainly beneficial for the outcome of transient simulations for the thorium based fuel. A 50% extension of the current 12-month operating cycle length should be possible with thorium-plutonium mixed oxide fuel, given an upgrade of the control systems. More detailed simulations have to be carried out for some transients in order to confirm the qualitative reasoning presented.

  11. An extensive photometric study of the Blazhko RR Lyrae star MW Lyr: I. Light curve solution

    Jurcsik, J; Hurta, Zs; Váradi, M; Szeidl, B; Smith, H A; Henden, A; Dékány, I; Nagy, I; Posztobányi, K; Szing, A; Vida, K; Vityi, N

    2008-01-01

    We have obtained the most extensive and most accurate photometric data of a Blazhko variable MW Lyr during the 2006-2007 observing seasons. The data within each 0.05 phase bin of the modulation period (P_m=1/f_m) cover the entire light cycle of the primary pulsation period (P_0=1/f_0), making possible a very rigorous and complete analysis. The modulation period is found to be 16.5462 d, which is about half of that was reported earlier from visual observations. Previously unknown features of the modulation have been detected. Besides the main modulation frequency f_m, sidelobe modulation frequencies around the pulsation frequency and its harmonics appear at +/- 2 f_m, +/- 4 f_m, and +/- 12.5 f_m separations as well. Residual signals in the prewhitened light curve larger than the observational noise appear at the minimum-rising branch-maximum phase of the pulsation, which most probably arise from some stochastic/chaotic behaviour of the pulsation/modulation. The Fourier parameters of the mean light curve differ...

  12. A case study of small hydro and grid extension for rural electrification alternatives and complementarities

    This paper reports that rural electrification in Eastern and Southern African Countries (ESAC) has so far been based largely on stand-alone diesel electric generating plant or on the extension of high-voltage transmission grids fed by large hydro and/or thermal electric generating stations. The alternative of furnishing supply at modest investment and competitive cost from a nearby small- hydro plant has rarely been considered in those countries of the sub-region that have ample hydro-power resources. All countries in the sub-region (except Angola) import petroleum and/or petroleum product supplies, as well as all hardware for electricity supply and utilization. As a result, in most countries an acute shortage of foreign exchange severely hampers implementation of rural electrification schemes. This should turn attention increasingly to strategies which are less capital-intensive and less dependent on foreign exchange, such as small-hydro plants, where the resource is located near to rural demand. Increasing the local content of small-hydro project implementation has paid off in recent years, considerably reducing costs in a number of Asian and Latin American projects. Local contributions have taken the form of resource assessment at a particular site, design, construction works, and fabrication of relatively simple components of power plant such as hydraulic equipment, low pressure penstocks and gates, as well as simpler types of turbines (e.g., the Banki type). Inadequacy of indigenous technical capacity to make similar local contributions in the ESAC has meant that the few recent small-hydro projects have relied on importing both expertise and equipment. The high costs resulting have frequently fueled arguments against pursuit of small-hydro projects

  13. Why don’t they do it? A study on the implementation of extensive reading in Taiwan

    Yi-Cheng Huang

    2015-12-01

    Full Text Available The study aims to verify whether extensive reading (ER is able to promote senior high school students’ English reading motivation and foster positive attitude towards reading in English. It further explores the teachers’ perceptions of and the challenges faced in the implementation of ER activities. An ER activity was held for 12 weeks with 258 participants from 4 senior high schools in Southern Taiwan. Focus group interviews were then carried out with 72 randomly selected participants, after which individual interviews were conducted with 6 English teachers from these participating schools. Findings reveal that despite the challenges encountered in implementing the activity, the English teachers observed its benefits and were willing to encourage students to read extensively. The majority of the student participants also held positive attitudes towards the ER activity. Their positive attitudes, however, did not lead to the enhancement of their motivation in reading extensively due to the heavy workload from tests, homework or cram school. It was generally agreed that ER was time-consuming and not efficient enough to boost their exam scores. Accordingly, the study suggests that coordinated efforts and change of attitudes among the stakeholders are indispensable in the promotion of ER among senior high school students.

  14. Longitudinal profile of Nµ/Ne in extensive air showers: Implications for cosmic rays mass composition study

    D Purmohammad

    2013-10-01

    Full Text Available Nµ/Ne, muon to electron population ratio in extensive air showers at high altitudes has been shown to be a suitable estimator of primary cosmic rays mass composition. This study is based on simulated extensive air showers. The Nµ/Ne ratio has been obtained in 100 depths from the top of the atmosphere to the sea level for different primary particle masses and energies. An empirical relation between cosmic ray atomic mass and Nµ/Ne has been obtained. The relation has then been used for estimation of atomic masses of progenitors of another set of simulated showers. Although the estimated masses are rough, the accuracy of the estimation improves with observation altitude.

  15. Magnetic studies over the northern extension of the Prathap ridge complex, eastern Arabian sea

    Krishna, K.S.; Murty, G.P.S.; Srinivas, K.; Rao, D.G.

    studies, constrainEd. by seismic results, determine the varied nature and depth to the top of the causative basement bodies. Similarities of the geophysical signatures of the ridges and their structural resemblance perhaps point to their common origin...

  16. An Extension of the Similarity-Attraction Hypothesis to the Study of Vocational Behavior

    Hogan, Robert; And Others

    1972-01-01

    This study investigated the relationship between similarity of interests and likability. Consistent with the general hypothesis, a strong positive relationship was found between interest similarity and rated attraction. (Author)

  17. Empirical Studies on Legitimation Strategies: A Case for International Business Research Extension

    Turcan, Romeo V.; Marinova, Svetla Trifonova; Rana, Mohammad Bakhtiar

    2012-01-01

    The paper focuses on legitimation and legitimation strategies applied by companies. Following the process of systematic review, we analyze empirical studies exploring legitimation and legitimation strategies from different theoretical perspectives. Using the key findings by reconnoitering and com...... comparing the theoretical background, approaches, methodologies, and findings of these empirical studies, we outline potential directions for research in the legitimation strategies of firms engaged in international business operations....

  18. STrengthening the REporting of Genetic Association Studies (STREGA – An Extension of the STROBE Statement

    Julian Little

    2009-09-01

    Full Text Available Making sense of rapidly evolving evidence on genetic associations is crucial to making genuine advances in human genomics and the eventual integration of this information in the practice of medicine and public health. Assessment of the strengths and weaknesses of this evidence, and hence the ability to synthesize it, has been limited by inadequate reporting of results. The STrengthening the REporting of Genetic Association studies (STREGA initiative builds on the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE Statement and provides additions to 12 of the 22 items on the STROBE checklist. The additions concern population stratification, genotyping errors, modelling haplotype variation, Hardy-Weinberg equilibrium, replication, selection of participants, rationale for choice of genes and variants, treatment effects in studying quantitative traits, statistical methods, relatedness, reporting of descriptive and outcome data, and the volume of data issues that are important to consider in genetic association studies. The STREGA recommendations do not prescribe or dictate how a genetic association study should be designed but seek to enhance the transparency of its reporting, regardless of choices made during design, conduct, or analysis.

  19. Interdependence and dynamics of essential services in an extensive risk context: a case study in Montserrat, West Indies

    V. L. Sword-Daniels

    2015-02-01

    Full Text Available The essential services that support urban living are complex and interdependent, and their disruption in disasters directly affects society. Yet there are few empirical studies to inform our understanding of the vulnerabilities and resilience of complex infrastructure systems in disasters. This research takes a systems thinking approach to explore the dynamic behaviour of a network of essential services, in the presence and absence of volcanic ashfall hazards in Montserrat, West Indies. Adopting a case study methodology and qualitative methods to gather empirical data we centre the study on the healthcare system and its interconnected network of essential services. We identify different types of relationship between sectors and develop a new interdependence classification system for analysis. Relationships are further categorised by hazard condition, for use in extensive risk contexts. During heightened volcanic activity, relationships between systems transform in both number and type: connections increase across the network by 41%, and adapt to increase cooperation and information sharing. Interconnections add capacities to the network, increasing the resilience of prioritised sectors. This in-depth and context-specific approach provides a new methodology for studying the dynamics of infrastructure interdependence in an extensive risk context, and can be adapted for use in other hazard contexts.

  20. Study of stochastic extensions of kinematic equations for kaon production below the nucleon-nucleon threshold

    Kaon production in heavy-ion collisions at bombarding energies below the nucleon-nucleon threshold is highly interesting. It can be related to the time evolution of the nuclear density during the collision which, in turn, could provide information on the Equation of State (EOS) of the nuclear matter at high densities and/or high temperatures. It could also help elucidating the question of whether subthreshold kaon production is a collective process or can still be explained by elementary baryon-baryon processes. In a first step, we give a review of models used for studying kaon production and we discuss the different parametrizations of the elementary kaon production cross-sections. In the second step, we study kaon production in the framework of the nuclear Boltzmann equation. This study shows that kaon production is very sensitive to the elementary cross-sections but not sufficiently to the mean field to determine accurately the EOS. We have then studied kaon production in the framework of the Boltzmann-Langevin equation. This approach goes beyond the average description of the Boltzmann equation by incorporating fluctuations due to high order correlations. To simulate this equation, we have developed an original method based on the projection of fluctuations on multipole moments of the momentum distribution. This study shows that large fluctuations appear in the early stages of the collision. It also shows that fluctuations, when incorporated into the equation of motion, substantially increase the kaon production cross-sections. In the last part, we have developed a model based on the results of the simulations of Boltzmann and Boltzmann-Langevin approaches to study kaon production far below the threshold. This model allows to evaluate kaon production cross-sections at energies as low as 100 MeV/n. Our results for the Ca + Ca collision are in good agreement with experimental data

  1. An Extension Landau-Lifshitz Model in Studying Soft Ferromagnetic Films

    Jing-na Li; Xiao-feng Wang; Zheng-an Yao

    2007-01-01

    In this paper, we propose a model in studying soft ferromagnetic films, which is readily accessible experimentally. By using penalty approximation and compensated compactness, we prove that the dynamical equation in thin film has a local weak solution. Moreover, the corresponding linear equation is also dealt with in great detail.

  2. Chronic aflatoxin exposure in children living in Bhaktapur, Nepal: Extension of the MAL-ED study

    Fumonisin B1 (FB1) and aflatoxin B1 (AFB1) are toxic chemicals produced by molds. The molds that produce these two toxic chemicals are commonly found in corn and their co-occurence in corn has been demonstrated in many surveys. This study was conducted because it is suspected that exposure to eith...

  3. Method Modification Study for the Thermo Scientific SureTect™ Listeria Species Assay-Matrix Extension.

    Cloke, Jonathan; Evans, Katharine; Crabtree, David; Hughes, Annette; Simpson, Helen; Holopainen, Jani; Wickstrand, Nina; Kauppinen, Mikko; Leon-Velarde, Carlos; Larson, Nathan; Dave, Keron; Chen, Yi; Ryser, Elliot; Carter, Mark

    2016-03-01

    The Thermo Scientific™ SureTect™ Listeria species assay is a new real-time PCR assay for the detection of all species of Listeria in food and environmental samples. The assay was originally certified as Performance Tested Methods(SM) (PTM) 071304 in 2013. This report details the method modification study undertaken to extend the performance claims of the assay for matrixes of raw ground turkey, raw ground pork, bagged lettuce, raw pork sausages, pasteurized 2% fat milk, raw cod, pasteurized brie cheese, and ice cream. The method modification study was conducted using the AOAC Research Institute (RI) PTM program to validate the SureTect PCR assay in comparison to the reference method detailed in ISO 11290-1:1996 including amendment 1:2004. All matrixes were tested by Thermo Fisher Scientific (Basingstoke, United Kingdom). In addition, three matrixes (raw cod, bagged lettuce, and pasteurized brie cheese) were analyzed independently as part of the AOAC RI-controlled independent laboratory study by the University of Guelph, Canada. Using probability of detection statistical analysis, there was no significant difference in the performance between the SureTect assay and the International Organization for Standardization reference method for any of the matrixes analyzed in this study. PMID:27103105

  4. Extensive simulation studies on the reconstructed image resolution of a position sensitive detector based on pixelated CdTe crystals

    Zachariadou, K; Kaissas, I; Seferlis, S; Lambropoulos, C; Loukas, D; Potiriadis, C

    2011-01-01

    We present results on the reconstructed image resolution of a position sensitive radiation instrument (COCAE) based on extensive simulation studies. The reconstructed image resolution has been investigated in a wide range of incident photon energies emitted by point-like sources located at different source-to-detector distances on and off the detector's symmetry axis. The ability of the detector to distinguish multiple radioactive sources observed simultaneously is investigating by simulating point-like sources of different energies located on and off the detector's symmetry axis and at different positions

  5. Legislation perspectives about social assistance programs for electricity distribution networks extensions. Considerations from ELETROPAULO case study, Sao Paulo, Brazil

    The central issue of debate was the need to align the energy sector's options and organization with changing global patterns of economic and social development, characterized by the increasing role played by the private sector, greater integration in the world economy, and new economic and social priorities such as efficiency, decentralization, deregulation, and a closer attention to environmental issues. The aim of the work was to present legislation perspectives about social assistance programs for electricity distribution networks extensions considering a Brazilian electric utility case study

  6. Public support for tobacco control policy extensions in Western Australia: a cross-sectional study

    Rosenberg, Michael; Pettigrew, Simone; Wood, Lisa; Ferguson, Renee; Houghton, Stephen

    2012-01-01

    Objectives Policy makers seeking to introduce new tobacco control measures need to anticipate community support to assist them in planning appropriate implementation strategies. This study assessed community support for plain packaging and smoking bans in outdoor locations in Australia. Design Analytical cross-sectional survey. Setting and participants 2005 Western Australian adults participated in a computer-assisted telephone interview. Random household telephone numbers were used to obtain...

  7. Extensive studies of MRS APDs for plastic scintillator muon veto detectors of cryogenic experiments

    Low background experiments need active muon veto detectors to shield them from cosmic muons. Plastic scintillator panels with WLS fiber and multi-pixel Geiger-mode avalanche photodiodes readout are widely used in such experiments due to their compactness and robustness. In this paper, results from the study of the basic MRS APD parameters, such as breakdown voltages, quenching resistors, internal gain and dark count rates are presented, as well as temperature dependencies of some of these parameters. In a small fraction of the MRS APDs, some strange dips in the I–V curves just preceding the breakdown voltage point have been observed.

  8. Excessive daytime somnolence in Parkinson's disease. Follow-up after 1 year of treatment.

    Fabbrini, G; Barbanti, P; Aurilia, C; Pauletti, C; Vanacore, N; Meco, G

    2003-10-01

    Excessive daytime somnolence (EDS) and quality of sleep were studied in 25 parkinsonian patients at baseline, when they had not yet received any antiparkinsonian medication, and after 1 year of treatment with dopaminergic drugs. EDS was measured by the Epworth Sleepiness Scale (ESS) and sleep quality by the Pittsburgh Sleep Quality Index (PSQI). At baseline, the ESS score was not different from that of age-matched healthy controls. The mean ESS score increased significantly after 1 year of follow-up, being more than 10 in 12 patients. The mean PSQI also increased significantly after 1 year of treatment, but there were no differences in the number of "bad sleepers" at baseline and at follow-up. In conclusion, EDS seems to emerge during the course of the illness, at least in a proportion of PD patients, and could represent another clinical correlate of the interaction between the ongoing neurodegenerative process and the side effects of drugs. PMID:14598075

  9. Extensive study of the autooxidation products of apomorphine and its pharmacologically active derivatives

    Udvardy, Antal; Gyulai, Zsuzsanna; Sipos, Attila

    2011-09-01

    The autooxidation phenomenon of apomorphine and the products of this procedure were analytically and pharmacologically studied, however we found that there have been some unclarified details of this filed. Therefore the synthesis and structure of the autooxidation products of three clinically and pharmacologically relevant aporphinoids (apomoprine, N-propyl-norapomorphine and 2-hydroxy- N-propyl-norapomorphine) were thoroughly investigated. The autooxidation of apomorphine achieved at physiological pH resulted two products; one of them is the known tetracyclic, tertiary amino ortho quinone and the hitherto unknown, fluorescent, derivatized phenanthrene-3,4-quinone. Under the same conditions N-propyl congeners resulted only the expected 1,2-dione products. The analytical structure elucidation involved the full 1H and 13C NMR assignment, UV and IR characterizations of the four isolated ortho quinone-type products exploiting the possibilities of DFT calculations for geometry optimization, NMR and IR simulations. The phenanthrene-3,4-quinone compound can be relevant in further pharmacological studies of aporphine-related oxidation products due to its potential toxicity and investigated fluorescent character.

  10. A study on the life extension of polymer materials under radiation environment

    The object of this project is to improve the stability and the economics by reducing the radiation-induced oxidation as a factor of degradation of polymer materials used under the radiation environment. In order to attain the objective of this study and to check the effect of diamond-like carbon(DLC) coating on the anti-oxidation reaction, polymer specimens such as ABS, Acryl, Polycarbonate, Polyethylene, Polypropylene, PVC coating DLC thin layer were exposed to high-level gamma radiation, and their irradiation effects were investigated. A plasma-enhanced chemical vapor deposition method was adopted in fabricating a DLC thin film on the polymer specimens, which were irradiated with the non-DLC film deposited specimens under the gamma radiation emitted from Co-60 source from 1x105 to 1x108 rads exposure. According to the characterization of irradiated specimens from the elapsed time of minimum 4 hours to a maximum of 105 days after the irradiation, the DLC deposition on the polymer surface was revealed to contribute to the improvement on the resistance of the radiation-induced oxidation in this study

  11. Balance-of-plant outage availability study. Phase I. Extension report

    After completion of the Phase 1 Refueling Outage Availability Study, Babcock and Wilcox and the U.S. Department of Energy entered into a supplemental agreement to perform a balance-of-plant maintenance, inspection, and test study with the cooperation of Duke Power Company and Arkansas Power and Light Company. The objectives were (1) to expand the Phase 1 data base, including balance-of-plant activities, to reduce outage time and increase plant availability and (2) to conduct an onsite review of plant maintenance, practices to complement the utility efforts in reducing outage time and increasing on-line operational time. Data were obtained from (1) observations during the 1977 refueling outage at Oconee 3, (2) review of maintenance practices during the Arkansas Nuclear One, Unit 1, operational cycle in 1977, and (3) selected observations of the 1978 refueling outage at ANO-1. Accumulated data were then reviewed and analyzed to produce a list of improvement recommendations for Oconee 3 and ANO-1 that can be generically applied to plants of similar design and construction

  12. Parental spanking of 1-year-old children and subsequent child protective services involvement✩

    Lee, Shawna J.; Grogan-Kaylor, Andrew; Berger, Lawrence M.

    2014-01-01

    The majority of U.S. parents spank their children, often beginning when their children are very young. We examined families (N=2,788) who participated in a longitudinal community-based study of new births in urban areas. Prospective analyses examined whether spanking by the child's mother, father, or mother's current partner when the child was 1-year-old was associated with household CPS involvement between age 1 and age 5. Results indicated that 30% of 1-year-olds were spanked at least once ...

  13. Extension of Radiochromic Film Dosimetry to Three Dimensions: A Feasibility Study

    The feasibility of measuring dose distributions in three-dimensions using Gafchromic EBT film was studied. A stack of film was used as tomographic dosimeter. The response of film (4x4 cm2) placed between a stack of Gafchromic EBT films and slabs of polystyrene phantom was tested. Differences in film response for two different photon beam qualities, 6 MV and 25 MV, were observed. Measurements with 6 MV beam quality revealed that for different field sizes and depths there were no changes in response of EBT Gafchromic film when placed between polystyrene plates or sandwiched between other films. However, in the case of 25 MV beam quality, a statistically significant over-response was found for film placed in stack. We conclude that stacked-film dosimetry is feasible at 6 MV. For 25 MV photon beam quality the stack of films showed different properties than the polystyrene slabs of the same height

  14. A study on the life extension of polymer materials under radiation environment

    The object of this study is to improve the stability and the economic profit by reducing the radiation-induced degradation rate of polymer material used under the radiation environment. So far, the resistance to radiation-induced oxidation of a polymer has been improved by the stabilizers. They can play an important role in the anti-oxidants that interrupt the radical-mediated oxidation chain reaction. The stabilization effect could be larger than that achieved in an inert-atmosphere irradiation. Stabilization is a function of stabilizer concentration up to a certain threshold, but it is not further improved above this concentration. Beyond the threshold, the rate of radiation-induced oxidation goes up to the rate that is characteristic for the unstabilized polymer. To make up for this weakness, a technique depositing a thin layer of diamond-like carbon (DLC) on the polymer surface was developed for protecting the radiation-induced oxidation in the air

  15. A study on the life extension of polymer materials under radiation environment

    Park, K. J.; Park, S. W.; Cho, S. H.; Hong, S. S

    2000-12-01

    The object of this study is to improve the stability and the economic profit by reducing the radiation-induced degradation rate of polymer material used under the radiation environment. So far, the resistance to radiation-induced oxidation of a polymer has been improved by the stabilizers. They can play an important role in the anti-oxidants that interrupt the radical-mediated oxidation chain reaction. The stabilization effect could be larger than that achieved in an inert-atmosphere irradiation. Stabilization is a function of stabilizer concentration up to a certain threshold, but it is not further improved above this concentration. Beyond the threshold, the rate of radiation-induced oxidation goes up to the rate that is characteristic for the unstabilized polymer. To make up for this weakness, a technique depositing a thin layer of diamond-like carbon (DLC) on the polymer surface was developed for protecting the radiation-induced oxidation in the air.

  16. Extensive cost reduction studies: Composite empennage component - L-1011 commercial airliner

    Van Hamersveld, J.

    1978-01-01

    A series of cover skin laminate studies was conducted. The baseline laminate design is composed of 34 plies with doublers interwoven. This is costly to produce, since the broad goods tape dispersing machine must stop frequently while the doubler plies are inserted by hand during the layup sequence. The use of graphite cloth was investigated for the cover skin. Attention is also given to low resin content prepreg, the selection of optimum tape width, an increase in gap/overlap tolerances, the use of large reusable vacuum bags with mechanical edge seals for production, an integrated laminating center machine, automated hat stiffener processing, a secondary bond assembly process, and a single-stage cure process.

  17. An extensive study of electrochemical behavior of brimonidine and its determination at glassy carbon electrode

    Highlights: • The electrochemical behavior of BRIM was investigated by CV, DPV and SWV at GCE. • The effects of pH, scan rate and BRIM concentriation was studied. • The nature of the electrode process, and the mechanism scheme was proposed. • DPV method was developed for the estimation of BRIM in the Alphagan eye drops. -- Abstract: The electrochemical behavior of brimonidine (BRIM), an antiglaucoma agent applied in therapy for lowering high intraocular pressure, was investigated by cyclic voltammetry, differential pulse voltammetry and square wave voltammetry using a glassy carbon electrode (GCE). The reduction of BRIM occurs as one-step quasi-reversible reaction in acid and neutral medium, reaching the full reversibility in alkaline solutions. Reduction process involves the transfer of two electrons and two protons at the pyrazine ring of quinoxaline moiety, forming a dihydro-derivative. In acid and neutral solutions, brimonidine reduction product is partly oxidized to its hydroxy-derivative. BRIM is also oxidized irreversibly with the transfer of one electron and one proton at secondary amine moiety. The effects of pH of the electrolyte solution, scan rate and BRIM concentration were monitored. The nature of the electrode process was found to be controlled by the adsorption at pH > 6 and the total surface concentration of brimonidine adsorbed onto the GCE surface at pH 7, ΓBRIM = 1.35 × 10−10 mol cm−2 was obtained. Based on this study, differential pulse voltammetric method was developed, validated and suggested for rapid electroanalytical determination of the low concentration of brimonidine. The linearity was achieved within the concentration range from 5 × 10−7 to 5 × 10−6 M with LOD = 1.6 × 10−7 M and LOQ = 5.3 × 10−7 M. The method was applied for brimonidine determination in pharmaceutical dosage form, eye drops

  18. Symmetrical extensions of graphs

    We study symmetrical extensions of graphs, with special emphasis on symmetrical and Aut0(Λd)-symmetrical extensions of d-dimensional grids Λd by finite graphs. These topics are of interest in group theory and graph theory and possibly also in crystallography and some branches of physics. We prove the existence of a connected locally finite graph admitting infinitely many symmetrical extensions by a fixed finite graph. On the other hand, we prove that the number of symmetrical and Aut0(Λd)-symmetrical extensions of the d-dimensional grid Λd by a finite graph is finite in several interesting cases. Moreover, for every positive integer d we construct all Aut0(Λd)-symmetrical extensions of the d-dimensional grid Λd by two-vertex graphs

  19. The unexpected outcomes of anti-aging, rejuvenation, and life extension studies: an origin of modern therapies.

    Stambler, Ilia

    2014-06-01

    The search for life-extending interventions has been often perceived as a purely academic pursuit, or as an unorthodox medical enterprise, with little or no practical outcome. Yet, in fact, these studies, explicitly aiming to prolong human life, often constituted a formidable, though hardly ever acknowledged, motivation for biomedical research and discovery. At least several modern biomedical fields have originated directly from rejuvenation and life extension research: (1) Hormone replacement therapy was born in Charles-Edouard Brown-Séquard's rejuvenation experiments with animal gland extracts (1889). (2) Probiotic diets originated in Elie Metchnikoff's conception of radically prolonged "orthobiosis" (c. 1900). (3) The development of clinical endocrinology owed much to Eugen Steinach's "endocrine rejuvenation" operations (c. 1910s-1920s). (4) Tissue transplantations in humans (allografts and xenografts) were first widely performed in Serge Voronoff's "rejuvenation by grafting" experiments (c. 1910s-1920s). (5) Tissue engineering was pioneered during Alexis Carrel's work on cell and tissue immortalization (c. 1900-1920). (6) Cell therapy (and particularly human embryonic cell therapy) was first widely conducted by Paul Niehans for the purposes of rejuvenation as early as the 1930s. Thus, the pursuit of life extension and rejuvenation has constituted an inseparable and crucial element in the history of biomedicine. Notably, the common principle of these studies was the proactive maintenance of stable, long-term homeostasis of the entire organism. PMID:24524368

  20. Improving the Agronomy of Alyssum murale for Extensive Phytomining: A Five-Year Field Study.

    Bani, Aida; Echevarria, Guillaume; Sulçe, Sulejman; Morel, Jean Louis

    2015-01-01

    Large ultramafic areas exist in Albania, which could be suitable for phytomining with native Alyssum murale. We undertook a five-year field experiment on an ultramafic Vertisol, aimed at optimizing a low-cost Ni-phytoextraction crop of A. murale which is adapted to the Balkans. The following aspects were studied on 18-m2 plots in natural conditions: the effect of (i) plant phenology and element distribution, (ii) plant nutrition and fertilization, (iii) plant cover and weed control and (iv), planting technique (natural cover vs. sown crop). The optimal harvest time was set at the mid-flowering stage when Ni concentration and biomass yield were highest. The application of N, P, and K fertilizers, and especially a split 100-kg ha(-1) N application, increased the density of A. murale against all other species. It significantly increased shoot yield, without reducing Ni concentration. In natural stands, the control of graminaceous weeds required the use of an anti-monocots herbicide. However, after the optimization of fertilization and harvest time, weed control procured little benefit. Finally, cropping sown A. murale was more efficient than enhancing native stands and gave higher biomass and phytoextraction yields; biomass yields progressively improved from 0.3 to 9.0 t ha(-1) and phytoextracted Ni increased from 1.7 to 105 kg ha(-1). PMID:25237722

  1. Extensive X-ray variability studies of NGC 7314 using long XMM-Newton observations

    Emmanoulopoulos, D; Vaughan, S; Papadakis, I E

    2016-01-01

    We present a detailed X-ray variability study of the low mass Active Galactic Nuclei (AGN) NGC 7314 using the two newly obtained XMM-Newton observations ($140$ and $130$ ks), together with two archival data sets of shorter duration ($45$ and $84$ ks). The relationship between the X-ray variability characteristics and other physical source properties (such as the black hole mass) are still relatively poorly defined, especially for low-mass AGN. We perform a new, fully analytical, power spectral density (PSD) model analysis method, which will be described in detail in a forthcoming paper, that takes into consideration the spectral distortions, caused by red-noise leak. We find that the PSD in the $0.5-10$ keV energy range, can be represented by a bending power-law with a bend around $6.7\\times10^{-5}$ Hz, having a slope of $0.51$ and $1.99$ below and above the bend, respectively. Adding our bend time-scale estimate, to an already published ensemble of estimates from several AGN, supports the idea that the bend ...

  2. Do Extensive Rubber Plantation Influences Local Environment? A Case Study From Tripura, Northeast India.

    Abhik Majumder

    2014-12-01

    Full Text Available Tripura is the second largest Natural Rubber (NR producing state of India. As most of the NR plantation in the state is rain dependent, it is observed that fluctuation in monsoon poses a serious threat to plantation growth of NR crops. The effect of such shift and fluctuation in climate ranges from surface and ground water level variation, air quality and soil preservation. At present no assessment is available to critically review the impact of large scale NR plantation on environment. In the present paper the effect and impact of annual rainfall deficit, depleted ground water level, average local atmospheric temperature variation and rainfall ground water recharge on NR plantation is studied for the state of Tripura. Considering the large scale accelerated NR plantation in the state, an attempt has been made to figure out the consequences related to water management. The multidirectional environmental threat to the state comprising annual rainfall deficit of 23.3 %, depleted ground water level and significant rise in average atmospheric temperature may severely hit the production of NR in the region. Moreover, the estimated requirement of water to produce ribbed smokes sheet (RSS will may escalate to more than 152140 kiloliters in the next ten years. The predicted amount of wastewater generated (directly or indirectly in RSS collection and industry processing effluents may cause large environmental issue due to their open disposal in many cases. Hence, also claims a threat to the rubber production and growth of the sector.

  3. Study on the long-term passive cooling extension of AP1000 reactor

    The AP1000 with high safety is a generation III pressurized water reactor (PWR), its significant feature is passive safety system. However, its passive cooling can only maintain for 72 h and requires additional support from inside or outside the plant. To solve this problem, this study utilized the WGOTHIC software to calculate and analyze the water inventory in the passive containment cooling water tank under different conditions. the results show that when the cooling water inventory is 6553.78 m3, the AP1000 nuclear power plants can achieve long-term, completely passive cooling without any inside or outside the plant. The same outcomes occur when 65-mm-thick containment wall increases the design pressure rating to 0.6 MPa at the cooling water inventory of 5673 m3. Also, the AP1000 shield building was accordingly improved. An ANSYS analysis of the structural stability of the shield building with a 6000 m3 cooling water inventory confirmed that the new design can meet the requirements of the seismic design and the safe residual heat removal requirements of a large-scale PWR. (authors)

  4. Extensive X-ray variability studies of NGC 7314 using long XMM-Newton observations

    Emmanoulopoulos, D.; McHardy, I. M.; Vaughan, S.; Papadakis, I. E.

    2016-08-01

    We present a detailed X-ray variability study of the low-mass active galactic nuclei (AGN) NGC 7314 using the two newly obtained XMM-Newton observations (140 and 130 ks), together with two archival data sets of shorter duration (45 and 84 ks). The relationship between the X-ray variability characteristics and other physical source properties (such as the black hole mass) are still relatively poorly defined, especially for low-mass AGN. We perform a new, fully analytical, power spectral density (PSD) model analysis method, which will be described in detail in a forthcoming paper, that takes into consideration the spectral distortions, caused by red-noise leak. We find that the PSD in the 0.5-10 keV energy range, can be represented by a bending power law with a bend around 6.7 × 10-5 Hz, having a slope of 0.51 and 1.99 below and above the bend, respectively. Adding our bend time-scale estimate, to an already published ensemble of estimates from several AGN, supports the idea that the bend time-scale depends linearly only on the black hole mass and not on the bolometric luminosity. Moreover, we find that as the energy range increases, the PSD normalization increases and there is a hint that simultaneously the high-frequency slope becomes steeper. Finally, the X-ray time-lag spectrum of NGC 7314 shows some very weak signatures of relativistic reflection, and the energy resolved time-lag spectrum, for frequencies around 3 × 10-4 Hz, shows no signatures of X-ray reverberation. We show that the previous claim about ks time delays in this source, is simply an artefact induced by the minuscule number of points entering during the time-lag estimation in the low-frequency part of the time-lag spectrum (i.e. below 10-4 Hz).

  5. Comparative study of human mitochondrial proteome reveals extensive protein subcellular relocalization after gene duplications

    Huang Yong

    2009-11-01

    Full Text Available Abstract Background Gene and genome duplication is the principle creative force in evolution. Recently, protein subcellular relocalization, or neolocalization was proposed as one of the mechanisms responsible for the retention of duplicated genes. This hypothesis received support from the analysis of yeast genomes, but has not been tested thoroughly on animal genomes. In order to evaluate the importance of subcellular relocalizations for retention of duplicated genes in animal genomes, we systematically analyzed nuclear encoded mitochondrial proteins in the human genome by reconstructing phylogenies of mitochondrial multigene families. Results The 456 human mitochondrial proteins selected for this study were clustered into 305 gene families including 92 multigene families. Among the multigene families, 59 (64% consisted of both mitochondrial and cytosolic (non-mitochondrial proteins (mt-cy families while the remaining 33 (36% were composed of mitochondrial proteins (mt-mt families. Phylogenetic analyses of mt-cy families revealed three different scenarios of their neolocalization following gene duplication: 1 relocalization from mitochondria to cytosol, 2 from cytosol to mitochondria and 3 multiple subcellular relocalizations. The neolocalizations were most commonly enabled by the gain or loss of N-terminal mitochondrial targeting signals. The majority of detected subcellular relocalization events occurred early in animal evolution, preceding the evolution of tetrapods. Mt-mt protein families showed a somewhat different pattern, where gene duplication occurred more evenly in time. However, for both types of protein families, most duplication events appear to roughly coincide with two rounds of genome duplications early in vertebrate evolution. Finally, we evaluated the effects of inaccurate and incomplete annotation of mitochondrial proteins and found that our conclusion of the importance of subcellular relocalization after gene duplication on

  6. Individualised unsupervised exercise training in adults with cystic fibrosis: a 1 year randomised controlled trial

    Moorcroft, A; Dodd, M; Morris, J; Webb, A

    2004-01-01

    Background: Short term studies of exercise training have shown benefits in cystic fibrosis. Transferring exercise programmes to the community and sustaining them long term is a challenge for the patient. The effectiveness of an individualised unsupervised home based exercise programme was examined in adults with cystic fibrosis over a 1 year period.

  7. BNP and NT-proBNP, Predictors of 1-Year Mortality in Nursing Home Residents

    Barents, Maaike; Hillege, Hans H. L.; van der Horst, Iwan C. C.; de Boer, Rudolph A.; Koster, J.; Muskiet, Frits A. J.; de Jongste, Mike J. L.

    2008-01-01

    Objectives: To investigate 1-year mortality prediction of B type natriuretic peptide (BNP) and N terminal-proBNP (NT-proBNP) in institutionalized elderly with multiple morbidities. Design: Prospective cross-sectional study. Setting: One nursing home. Participants: Ninety-three residents (mean age 81

  8. Radioactive iodine treatment of a struma ovarii with extensive peritoneal involvement: a dosimetric study

    Full text of publication follows. Objective: we report a patient with a very large and unresectable peritoneal involvement from a struma ovarii who was treated with radioactive iodine (3.7 GBq). Methods: whole body retention was measured during hospital stay (10 days), 3 times a day, using a calibrated automatic gamma counter attached to the ceiling of the room. Radiation protection for the husband was monitored with a radiation dosimeter, during one month after hospital discharge. OLINDA software was used to evaluate the absorbed dose delivered to the red marrow, assuming that radioactive iodine was concentrated mainly in the abdomen. Results: a 53-year-old woman, treated 22 years before for bilateral ovarian cysts with thyroid elements (struma ovarii) but no sign of malignancy, was explored for hyperthyroid symptoms with undetectable TSH level (0.07 mUI/ml) and elevated FT3 level (11,6 pmol/l). Thyroglobulin (Tg) level was elevated (15,200 ng/ml). Thyroid uptake was low. Abdominal ultrasonography revealed liver nodules and multiple intra-abdominal masses, the largest measuring 140, 57 and 53 mm. Coelio-scopic exploration and histologic analysis found peritoneal metastasis of a follicular carcinoma. The masses did not disclose any FDG uptake. Lesions were considered non resectable and the patient was referred for total thyroidectomy and radioactive iodine treatment. The post-therapy whole-body scan revealed an intense 131I uptake in all abdominal masses. Dosimetric study 131I showed a very long whole body effective half-life (7 days compared to 0.3 days in non-metastatic patients). The mean red marrow dose ranged between 100 and 200 mGy. Effective dose delivered to her husband was 225 μSv. A transient and moderate decrease in lymphocyte (1.15 G/l) and platelet (178 G/l) counts was observed 3 weeks after the 131I administration. FT3 decreased slowly after treatment. Tumour response according to RECIST will be shown during the congress presentation. Conclusion

  9. SVZ sum rules: 30+1 years later

    For this exceptional 25th anniversary of the QCD-Montpellier series of conferences initiated in 85 with the name 'Non-perturbative methods', we take the opportunuity to celebrate the 30+1 years of the discovery of the SVZ (also called ITEP, QCD or QCD spectral) sum rules by M.A. Shifman, A.I. Vainshtein and V.I. Zakahrov in 79 [M.A. Shifman, A.I. Vainshtein and V.I. Zakharov, Nucl. Phys. B 147 (1979) 385, 448]. In this talk, I have the duty to present the status of the method. I shall (can) not enumerate the vast area of successful applications of sum rules in hadron physics but I shall focus on the historical evolution of field and its new developments.

  10. Elektroprivreda Kosova Kosovo A. Unit 2. Life-extension study. (BVI Project 17031, BVI File 40. 0406). Export trade information

    1992-01-01

    Elektroprivreda Kosova (EPK) has five units in operation at its Kosovo A power station. Unit 2, which began commercial operation in 1964, is the subject of the study. That unit burns brown coal in a pulverized coal steam generator and uses electrostatic precipitators to remove particulate. EPK would like to extend the life of Unit 2 by 25 years. The study evaluates several alternatives to life extension. In the first three alternatives, the existing Unit 2 boiler would be life extended with new pulverized coal equipment without a flue gas desulfurization scrubber. In the fourth alternative, the existing boiler would be life extended with new pulverized coal equipment with flue gas desulfurization equipment. In the fifth alternative, the existing boiler would be converted to fluidized bed combustion. The evaluation compares technical, economic, and financial aspects of the alternatives.

  11. Hydrological performance of an extensive green roof: a case study from the central Europe (Bustehrad, Czech Republic)

    Tománková, Klára; Sněhota, Michal; Jelínková, Vladimíra

    2016-04-01

    Extensive green roofs with a thin growing medium require minimal maintenance, and in general no irrigation. The proper functioning of such systems rests with their structural constituents, especially with the substrate used for planting. An extensive green roof with poorly developed vegetation and with a soil layer of a maximum thickness of 5 cm mixed with local stripped topsoil with crushed bricks and green waste was studied with respect to the hydrological behavior. The substrate classified as loam comprises a significant proportion of very fine particles and thus it is prone to clogging up of soil pores and forming of fissures on the surface. The green roof studied is well equipped for measuring meteorological data including air temperature, wind speed and direction, net radiation, relative humidity, and rainfall intensity. The meteorological information on the site is completed by soil temperature measurement. The 12 m long transect is equipped with eight time domain reflectometry probes (TDR) to monitor soil water content. Soil physical properties (bulk density, porosity, grain size distribution) and soil hydraulic characteristics (soil water retention curve) were obtained. The numerical modeling of transient soil water movement in the green roof substrate was performed using a two-dimensional model based on the Richards' equation. Results were compared with the soil water content data acquired. Six alternative scenarios were formulated to discuss possible improvement of green roof functioning and four selected scenarios were simulated. The study helped us to improve our understanding of the flow processes through the green roof soil system under study. The alternative scenario simulations allowed hydrological assessment of roof construction amendments. The research was realized as a part of the University Centre for Energy Efficient Buildings supported by the EU and with financial support from the Czech Science Foundation under project number 14-10455P.

  12. Algebraic extensions of fields

    McCarthy, Paul J

    1991-01-01

    ""...clear, unsophisticated and direct..."" - MathThis textbook is intended to prepare graduate students for the further study of fields, especially algebraic number theory and class field theory. It presumes some familiarity with topology and a solid background in abstract algebra. Chapter 1 contains the basic results concerning algebraic extensions. In addition to separable and inseparable extensions and normal extensions, there are sections on finite fields, algebraically closed fields, primitive elements, and norms and traces. Chapter 2 is devoted to Galois theory. Besides the fundamenta

  13. Development of newborn and 1-year-old reference phantoms based on polygon mesh surfaces

    The purpose of this study is the development of paediatric reference phantoms for newborn and 1-year-old infants to be used for the calculation of organ and tissue equivalent doses in radiation protection. The study proposes a method for developing anatomically highly sophisticated paediatric phantoms without using medical images. The newborn and 1-year-old hermaphrodite phantoms presented here were developed using three-dimensional (3D) modelling software applied to anatomical information taken from atlases, textbooks and images provided by the Department of Anatomy of the Federal University of Pernambuco, Brazil. The method uses polygon mesh surfaces to model body contours, the shape of organs as well as their positions and orientations in the human body. Organ and tissue masses agree with corresponding data given by the International Commission on Radiological Protection for newborn and 1-year-old reference children. Bones were segmented into cortical bone, spongiosa, medullary marrow and cartilage to allow for the use of μCT images of trabecular bone for skeletal dosimetry. Anatomical results show 3D images of the phantoms’ surfaces, organs and skeletons, as well as tables with organ and tissue masses or skeletal tissue volumes. Dosimetric results present comparisons of organ and tissue absorbed doses or specific absorbed fractions between the newborn and 1-year-old phantoms and corresponding data for other paediatric stylised or voxel phantoms. Most differences were found to be below 10%. (paper)

  14. Horizontal Brand Extension and Customer perception

    Khan, Khalid; Janthimapornkij, Rattanawilai

    2011-01-01

    Company use different method for extended their business to different market and to different segment. They use different method; brand extension is one of popular strategy for extension of business. Brand extension does not become successful for every brand, it is very risky. The purpose of this thesis is to study horizontal brand extension and customer perception. We will discuss horizontal brand extension and its two main types franchise brand extension and line extension. Brand extension ...

  15. Anti-tumour effects of lanreotide for pancreatic and intestinal neuroendocrine tumours: the CLARINET open-label extension study.

    Caplin, Martyn E; Pavel, Marianne; Ćwikła, Jarosław B; Phan, Alexandria T; Raderer, Markus; Sedláčková, Eva; Cadiot, Guillaume; Wolin, Edward M; Capdevila, Jaume; Wall, Lucy; Rindi, Guido; Langley, Alison; Martinez, Séverine; Gomez-Panzani, Edda; Ruszniewski, Philippe

    2016-03-01

    In the CLARINET study, lanreotide Autogel (depot in USA) significantly prolonged progression-free survival (PFS) in patients with metastatic pancreatic/intestinal neuroendocrine tumours (NETs). We report long-term safety and additional efficacy data from the open-label extension (OLE). Patients with metastatic grade 1/2 (Ki-67 ≤ 10%) non-functioning NET and documented baseline tumour-progression status received lanreotide Autogel 120 mg (n = 101) or placebo (n = 103) for 96 weeks or until death/progressive disease (PD) in CLARINET study. Patients with stable disease (SD) at core study end (lanreotide/placebo) or PD (placebo only) continued or switched to lanreotide in the OLE. In total, 88 patients (previously: lanreotide, n = 41; placebo, n = 47) participated: 38% had pancreatic, 39% midgut and 23% other/unknown primary tumours. Patients continuing lanreotide reported fewer adverse events (AEs) (all and treatment-related) during OLE than core study. Placebo-to-lanreotide switch patients reported similar AE rates in OLE and core studies, except more diarrhoea was considered treatment-related in OLE (overall diarrhoea unchanged). Median lanreotide PFS (core study randomisation to PD in core/OLE; n=101) was 32.8 months (95% CI: 30.9, 68.0). A sensitivity analysis, addressing potential selection bias by assuming that patients with SD on lanreotide in the core study and not entering the OLE (n=13) had PD 24 weeks after last core assessment, found median PFS remaining consistent: 30.8 months (95% CI: 30.0, 31.3). Median time to further PD after placebo-to-lanreotide switch (n=32) was 14.0 months (10.1; not reached). This OLE study suggests long-term treatment with lanreotide Autogel 120 mg maintained favourable safety/tolerability. CLARINET OLE data also provide new evidence of lanreotide anti-tumour benefits in indolent and progressive pancreatic/intestinal NETs. PMID:26743120

  16. The Nicaraguan Pediatric Dengue Cohort Study: Study Design, Methods, Use of Information Technology, and Extension to Other Infectious Diseases

    Kuan, Guillermina; Gordon, Aubree; Avilés, William; Ortega, Oscar; Hammond, Samantha N.; Elizondo, Douglas; Nuñez, Andrea; Coloma, Josefina; Balmaseda, Angel; Harris, Eva

    2009-01-01

    Dengue is a mosquito-borne viral disease that is a major public health problem worldwide. In 2004, the Pediatric Dengue Cohort Study was established in Managua, Nicaragua, to study the natural history and transmission of dengue in children. Here, the authors describe the study design, methods, and results from 2004 to 2008. Initially, 3,721 children 2–9 years of age were recruited through door-to-door visits. Each year, new children aged 2 years are enrolled in the study to maintain the age s...

  17. Urban water-quality modelling: implementing an extension to Multi-Hydro platform for real case studies

    Hong, Yi; Giangola-Murzyn, Agathe; Bonhomme, Celine; Chebbo, Ghassan; Schertzer, Daniel

    2015-04-01

    During the last few years, the physically based and fully distributed numerical platform Multi-Hydro (MH) has been developed to simulate hydrological behaviours in urban/peri-urban areas (El-Tabach et al. , 2009 ; Gires et al., 2013 ; Giangola-Murzyn et al., 2014). This hydro-dynamical platform is open-access and has a modular structure, which is designed to be easily scalable and transportable, in order to simulate the dynamics and complex interactions of the water cycle processes in urban or peri-urban environment (surface hydrology, urban groundwater infrastructures and infiltration). Each hydrological module relies on existing and widely validated open source models, such as TREX model (Velleux, 2005) for the surface module, SWMM model (Rossman, 2010) for the drainage module and VS2DT model (Lappala et al., 1987) for the soil module. In our recent studies, an extension of MH has been set up by connecting the already available water-quality computational components among different modules, to introduce a pollutant transport modelling into the hydro-dynamical platform. As for the surface module in two-dimensions, the concentration of particles in flow is expressed by sediment advection equation, the settling of suspended particles is calculated with a simplified settling velocity formula, while the pollutant wash-off from a given land-use is represented as a mass rate of particle removal from the bottom boundary over time, based on transport capacity, which is computed by a modified form of Universal Soil Loss Equation (USLE). Considering that the USLE is originally conceived to predict soil losses caused by runoff in agriculture areas, several adaptations were needed to use it for urban areas, such as the alterations of USLE parameters according to different criterions, the definition of the appropriate initial dust thickness corresponding to various land-uses, etc. Concerning the drainage module, water quality routing within pipes assumes that the conduit

  18. Subclinical Rejection Phenotypes at 1 Year Post-Transplant and Outcome of Kidney Allografts.

    Loupy, Alexandre; Vernerey, Dewi; Tinel, Claire; Aubert, Olivier; Duong van Huyen, Jean-Paul; Rabant, Marion; Verine, Jérôme; Nochy, Dominique; Empana, Jean-Philippe; Martinez, Frank; Glotz, Denis; Jouven, Xavier; Legendre, Christophe; Lefaucheur, Carmen

    2015-07-01

    Kidney allograft rejection can occur in clinically stable patients, but long-term significance is unknown. We determined whether early recognition of subclinical rejection has long-term consequences for kidney allograft survival in an observational prospective cohort study of 1307 consecutive nonselected patients who underwent ABO-compatible, complement-dependent cytotoxicity-negative crossmatch kidney transplantation in Paris (2000-2010). Participants underwent prospective screening biopsies at 1 year post-transplant, with concurrent evaluations of graft complement deposition and circulating anti-HLA antibodies. The main analysis included 1001 patients. Three distinct groups of patients were identified at the 1-year screening: 727 (73%) patients without rejection, 132 (13%) patients with subclinical T cell-mediated rejection (TCMR), and 142 (14%) patients with subclinical antibody-mediated rejection (ABMR). Patients with subclinical ABMR had the poorest graft survival at 8 years post-transplant (56%) compared with subclinical TCMR (88%) and nonrejection (90%) groups (P<0.001). In a multivariate Cox model, subclinical ABMR at 1 year was independently associated with a 3.5-fold increase in graft loss (95% confidence interval, 2.1 to 5.7) along with eGFR and proteinuria (P<0.001). Subclinical ABMR was associated with more rapid progression to transplant glomerulopathy. Of patients with subclinical TCMR at 1 year, only those who further developed de novo donor-specific antibodies and transplant glomerulopathy showed higher risk of graft loss compared with patients without rejection. Our findings suggest that subclinical TCMR and subclinical ABMR have distinct effects on long-term graft loss. Subclinical ABMR detected at the 1-year screening biopsy carries a prognostic value independent of initial donor-specific antibody status, previous immunologic events, current eGFR, and proteinuria. PMID:25556173

  19. AOAC Official MethodSM Matrix Extension Validation Study of Assurance GDSTM for the Detection of Salmonella in Selected Spices.

    Feldsine, Philip; Kaur, Mandeep; Shah, Khyati; Immerman, Amy; Jucker, Markus; Lienau, Andrew

    2015-01-01

    Assurance GDSTM for Salmonella Tq has been validated according to the AOAC INTERNATIONAL Methods Committee Guidelines for Validation of Microbiological Methods for Food and Environmental Surfaces for the detection of selected foods and environmental surfaces (Official Method of AnalysisSM 2009.03, Performance Tested MethodSM No. 050602). The method also completed AFNOR validation (following the ISO 16140 standard) compared to the reference method EN ISO 6579. For AFNOR, GDS was given a scope covering all human food, animal feed stuff, and environmental surfaces (Certificate No. TRA02/12-01/09). Results showed that Assurance GDS for Salmonella (GDS) has high sensitivity and is equivalent to the reference culture methods for the detection of motile and non-motile Salmonella. As part of the aforementioned validations, inclusivity and exclusivity studies, stability, and ruggedness studies were also conducted. Assurance GDS has 100% inclusivity and exclusivity among the 100 Salmonella serovars and 35 non-Salmonella organisms analyzed. To add to the scope of the Assurance GDS for Salmonella method, a matrix extension study was conducted, following the AOAC guidelines, to validate the application of the method for selected spices, specifically curry powder, cumin powder, and chili powder, for the detection of Salmonella. PMID:26268975

  20. A study on economic viability of life extension of nuclear power plants in Korea : a case study of Kori no.1 unit

    This study would assess the viability of life extension of nuclear power plants, specially Kori no.1 unit, as an economical electric source in the present long-term expansion planning of generating units in Korea. For the purpose of this study, replacement power cost would be evaluated by using probabilistic simulation method, and then break-even refurbishment costs would be calculated by means of levelized generation cost comparison, and compared with reference cost to assess the economic viability of Kori no.1 unit life extension. Under the baseline scenario, break-even overnight refurbishment cost range is appeared as from about 800/kWe in the case of replacing PWR-1000MWe to 2,000/kWe in the case of replacing coal-700MWe, being about 1.4 sim 3.5 times of reference cost. Therefore, absent major technological breakthroughs making present generating options obsolete, life extension of Kori no.1 unit should be the most economical option in the present expansion planning of generating unite in Korea

  1. Lagrangian study of surface transport in the Kuroshio Extension area based on simulation of propagation of Fukushima-derived radionuclides

    Prants, S V; Uleysky, M Yu

    2013-01-01

    Lagrangian approach is applied to study near-surface large-scale transport in the Kuroshio Extension area using a simulation with synthetic particles advected by AVISO altimetric velocity field. A material line technique is applied to find the origin of water masses in cold-core cyclonic rings pinched off from the jet in summer 2011. Tracking and Lagrangian maps provide the evidence of cross-jet transport. Fukushima derived caesium isotopes are used as Lagrangian tracers to study transport and mixing in the area a few months after the March of 2011 tsunami that caused a heavy damage of the Fukushima nuclear power plant (FNPP). Tracking maps are computed to trace the origin of water parcels with measured levels of Cs-134 and Cs-137 concentrations collected in two R/V cruises in June and July 2011 in the large area of the Northwest Pacific. It is shown that Lagrangian simulation is useful to finding the surface areas that are potentially dangerous due to the risk of radioactive contamination. The results of sim...

  2. Evaluation of 1-Year Survival Rate and Effective Factors in Patients with Acute Myocardial Infarction

    Ahmad Khosravi

    2008-01-01

    Full Text Available Introduction: Myocardial infarction (MI with 25- 30% mortality rate is one of the most common causes of death in most countries. According to recent data, MI is an increasing event in Iran. The aims of this study were to determine the 1-year survival rate and its correlates with MI among patients. Methods: This nonconcurrent cohort study was done on 113 patients with first acute MI who had been admitted in Imam Hossein hospital during the year 2004. Kaplan-Maier product limit and log rank test for survival analysis were used. Results: From 113 patients studied, there were 73(64.6% males and their mean age was 63.9±13.1 (range 16-89. According to of the past history of these patients relived that 23.9% had been smokers. The most frequent risk factors were hypertensions (53.1%, history of previous ischemic heart disease (35.4%, diabetes mellitus (24.8% and heart block (6.2%. Thirty six (31.9% of them died in first one-year after admission. The 1-year survival rate was 69 percent. Significant predictors of 1-year survival in our study were administration of streptokinase and use of ß-blockers after discharge. Conclusion: We concluded that mortality in first year after MI has been significantly reduced because of therapies including thrombolysis and ß-blockers

  3. Platelet-rich plasma to treat patellar tendinopathies: a 1 year follow-up.

    Kaux, Jean-François; Croisier, Jean-Louis; Bruyère, Olivier; Forthomme, Bénédicte; Le Goff, Caroline; Gothot, André; DELCOUR, Sandra; Crielaard, Jean-Michel

    2014-01-01

    Background: Jumper’s knee is a frequent chronic overuse syndrome of the upper part of the patellar tendon. Platelets contain lots of growth factors which could enhance the healing process of tendons. Infiltration of Platelet Rich Plasma (PRP) may be considered as a recent therapeutic option for chronic tendinopathies. The aim of the current study is to evaluate the clinical status and the return to sports activities in patients with chronic upper patellar tendinopathies up to 1 year after 1 ...

  4. BDNF mediates improvements in executive function following a 1-year exercise intervention

    Regina Lynn Leckie; Oberlin, Lauren E.; Voss, Michelle W.; Prakash, Ruchika S.; Amanda eSzabo-Reed; Laura eChaddock-Heyman; Phillips, Siobhan M.; Gothe, Neha P.; Emily eMailey; Victoria Jeanne Vieira-Potter; Martin, Stephen A.; Pence, Brandt D.; Mingkuan eLin; Raja eParasuraman; Greenwood, Pamela M.

    2014-01-01

    Executive function declines with age, but engaging in aerobic exercise may attenuate decline. One mechanism by which aerobic exercise may preserve executive function is through the up-regulation of brain-derived neurotropic factor (BDNF), which also declines with age. The present study examined BDNF as a mediator of the effects of a 1-year walking intervention on executive function in 90 older adults (mean age = 66.82). Participants were randomized to a stretching and toning control group or ...

  5. Knowledge and performance of the Ethiopian health extension workers on antenatal and delivery care: a cross-sectional study

    Medhanyie Araya

    2012-11-01

    Full Text Available Abstract Background In recognition of the critical shortage of human resources within health services, community health workers have been trained and deployed to provide primary health care in developing countries. However, very few studies have investigated whether these health workers can provide good quality of care. This study investigated the knowledge and performance of health extension workers (HEWs on antenatal and delivery care. The study also explored the barriers and facilitators for HEWs in the provision of maternal health care. Methods In conducting this research, a cross-sectional study was performed. A total of 50 HEWs working in 39 health posts, covering a population of approximately 195,000 people, were interviewed. Descriptive statistics was used and a composite score of knowledge of HEWs was made and interpreted based on the Ethiopian education scoring system. Results Almost half of the respondents had at least 5 years of work experience as a HEW. More than half (27 (54% of the HEWs had poor knowledge on contents of antenatal care counseling, and the majority (44 (88% had poor knowledge on danger symptoms, danger signs, and complications in pregnancy. Health posts, which are the operational units for HEWs, did not have basic infrastructures like water supply, electricity, and waiting rooms for women in labor. On average within 6 months, a HEW assisted in 5.8 births. Only a few births (10% were assisted at the health posts, the majority (82% were assisted at home and only 20% of HEWs received professional assistance from a midwife. Conclusion Considering the poor knowledge of HEWs, poorly equipped health posts, and poor referral systems, it is difficult for HEWs to play a key role in improving health facility deliveries, skilled birth attendance, and on-time referral through early identification of danger signs. Hence, there is an urgent need to design appropriate strategies to improve the performance of HEWs by enhancing their

  6. Trunk and hip muscle recruitment patterns during the prone leg extension following a lateral ankle sprain: A prospective case study pre and post injury

    Lehman Gregory J

    2006-01-01

    Abstract Background and case presentation The prone leg extension (PLE) is commonly used to identify dysfunction of muscle recruitment patterns. The prone leg extension is theorized to identify proximal muscle disturbances which are a result of distal injury or dysfunction (i.e. an ankle sprain). This case study compares the trunk and hip muscle (bilateral lower erector spine, ipsilateral hamstring and ipsilateral gluteus maximus) timing during a PLE of a 27 year old female runner during a he...

  7. Effects on Metabolic Health after a 1-Year-Lifestyle Intervention in Overweight and Obese Children: A Randomized Controlled Trial

    Maria Waling

    2012-01-01

    Results. BMI z-scores decreased in both groups, 0.22 (P = 0.002 and 0.23 (P = 0.003 in intervention and control group, respectively, during the 1-year study, but there was no difference in BMI between the groups at 1-year measurement (P = 0.338. After 1 year, there was a significant difference in waist circumference, waist/hip ratio, and apolipoprotein B/A1 ratio between intervention and control group. Conclusions. The intervention had limited effects on anthropometrics and metabolic markers, which emphasizes the need of preventing childhood overweight and obesity.

  8. Effectiveness of Agricultural Extension Activities

    Ali AL-Sharafat

    2012-01-01

    Full Text Available Problem statement: Jordans agricultural extension service is seriously under-staffed and its effectiveness is consequently compromised. Reservations are being expressed about the performance and capability of the agricultural extension system in Jordan. The performance of this sector has been disappointing and has failed to transfer agricultural technology to the farmers. The main objective of this study is to assess the effectiveness of Jordans agricultural extension services. Approach: The effect of extension services on olive productivity in the study area was investigated. A total number of 60 olive producers were selected to be interviewed for this study. This number was enough to achieve the study objectives. The interviewed producers were distributed almost equally within olive production locations in the study area. The sample obtained through the simple random sampling technique. The two groups had been chosen and distributed randomly into an experimental group (30 farmers; 10 for each source of extension service and control group (30 farmers. The experimental group received extension services and the control group received no extension services. Two interview-cum-structured questionnaires were designed and used to collect information and data for this study. The first instrument was designed for farmers who received extension services and the second from farmers who received no extension services. Another questionnaire was designed for administrators of extension organizations concerned with providing extension services to farmers. To find the differences that may exist between two studied groups, One Way Analysis of Variance (ANOVA, t-test and LSD test via Statistical Package for Social Sciences software (SPSS were used. The average net profit obtained from an area of one dynamo of olive farm was the main item to be considered in determining the effectiveness of agricultural extension activities. Results and Conclusion: The results of

  9. Extensive study of HD 25558, a long-period double-lined binary with two SPB components

    Sódor, Á; Wright, D J; Neiner, C; Briquet, M; Lampens, P; Dukes, R J; Henry, G W; Williamson, M H; Brunsden, E; Pollard, K R; Cottrell, P L; Maisonneuve, F; Kilmartin, P M; Matthews, J; Kallinger, T; Beck, P G; Kambe, E; Engelbrecht, C A; Czanik, R J; Yang, S; Hashimoto, O; Honda, S; Fu, J N; Castanheira, B; Lehmann, H; Bognár, Zs; Behara, N; Scaringi, S; Van Winckel, H; Menu, J; Lobel, A; Mathias, P; Saesen, S; Vučković, M

    2013-01-01

    We carried out an extensive observational study of the Slowly Pulsating B (SPB) star, HD 25558. The ~2000 spectra obtained at different observatories, the ground-based and MOST satellite light curves revealed that this object is a double-lined spectroscopic binary with an orbital period of about 9 years. The observations do not allow the inference of an orbital solution. We determined the physical parameters of the components, and found that both lie within the SPB instability strip. Accordingly, both show line-profile variations due to stellar pulsations. Eleven independent frequencies were identified in the data. All the frequencies were attributed to one of the two components based on Pixel-by-pixel variability analysis of the line profiles. Spectroscopic and photometric mode identification was also performed for the frequencies of both stars. These results suggest that the inclination and rotation of the two components are rather different. The primary is a slow rotator with ~6 d period, seen at ~60 deg i...

  10. Parental spanking of 1-year-old children and subsequent child protective services involvement✩

    Lee, Shawna J.; Grogan-Kaylor, Andrew; Berger, Lawrence M.

    2015-01-01

    The majority of U.S. parents spank their children, often beginning when their children are very young. We examined families (N=2,788) who participated in a longitudinal community-based study of new births in urban areas. Prospective analyses examined whether spanking by the child's mother, father, or mother's current partner when the child was 1-year-old was associated with household CPS involvement between age 1 and age 5. Results indicated that 30% of 1-year-olds were spanked at least once in the past month. Spanking at age 1 was associated with increased odds of subsequent CPS involvement (adjusted odds ratio=1.36, 95% CI [1.08, 1.71], ppunishment, professionals who work with families should counsel parents not to spank infants and toddlers. For optimal benefits, efforts to educate parents regarding alternative forms of discipline should begin during the child's first year of life. PMID:24602690